HomeMy WebLinkAbout10-17-14 (2) � 1505610143
REV-1500 Ex�°2_,,, �
PA Department of Revenue OFFICIAL USE ONLY
pennsylvania County Code Year File Number
Bureau of Individual Taxes �P�TMENTOFREVEMIE
Po BOX.28oso� INHERITANCE TAX RETURN 21 14 0561
Harrisburg, PA �7128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATI.ON BELOW
Social Security Number Date of Death Date of Birth
05 20 2014 03 07 1927
DecedenYs Last Name Suffix Decedent's First Name MI
HESSLER JEANNE L
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Su�x Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FiLL IN APPROPRIATE OVALS BELOW
X❑ 1. Onginal Retum �' p Supplemental Return ^ 3 Remainder Return(Date of Death
-- Priorto 12-t3-82)
� 4. LimitCd EStatE � 4� Future Interest Compromise
C (dace of deam after i2-�2-82) __ 5. Federal Estate Tax Return Required
� Decedent Died Testate
6' (Attach Co of Wll � 7 Decedent Maint ined a Living Trust
py ) �� (Attach Copy of�rust� 8. Total Number of Safe Deposit Boxes
�; g. Litigation Proceeds Received ` ��� betweenP2 31 51 and��Da95of Deacn , _ �� Election to tax under Sec.9113(A)
(Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
MICHAEL L BANGS 717 730 7310
REGISTER OF WILLS�f)�ONLY
� c :'��
First Line of Address `;�- � �-� !tl',�
429 SOUTH 18TH STREET c�� �' � �
,';? �-. --� ;>
-- �' � ��
. `,
Second Line of Address -�7 �..,
4 : ,.,, r:.
•-� _.,3 -,
DATE F4�ED� �
.__
ity or Post Office State ZIP Code - .,.= G7
CAMP H I LL PA 17 011 - _ ~ !- rn
nJ G� 0
' �► "Ti
CorrespondenYs e-maii address: mikebangs@verizon.net
Under penalties of peryury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowtedge and belief,
it is true,wrrect and compiete.Declaration of preparer other than the personai representative is based on all information oi which preparer has any knowledge.
I ATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
"�L�r� �-C��--�t,N��i�-f Kathleen L. Machamer /�/�j� //�
ADDRESS
203 Hilicrest Drive, New Cumberiand, PA 17070
IGNATURE OFPREPARER OTHER A PRESENTATIVE DATE
Michael L. Bangs ��j �� � y
ADDRESS
429 South 18th Street, Camp Hill, PA 17011
Side 1
� 1505610143 15C15610143 �
�
J 1505610243
REV-1500 EX
DecedenYs Social Security Number
Decedent'sName: H@SSIEI'� Jeanne L.
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1. 1Z S , 68 6 . 13
2. Stocks and Bonds(Schedule B)............................................................................. 2.
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4.
5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 6, 8 8 9 . 5 9
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous I�nq-Probate Property
(Schedule G) U Separate Billing Requested............ 7.
8. Total Gross Assets (total Lines 1 through 7)........................................................ g. 135,575 . 72
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 12 ,5 63 . 81
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 2 4 , 5 6 9 . 4 0
11. Total Deductions(total Lines 9 and 10)................................................................ �1. 3 7 , 133 . 21
12. Net Value of Estate(Line 8 minus Line 11).......................................................... �2. 9$ , 442 . 51
�3. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J)............................................... 13.
14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... �4. 9$ , 442 . 51
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.00 15. � . ��
16. Amount of Line 14 taxable 98 442 . 51 16. 4
at lineal rate x .oa5 . , 42 9. 91
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0 0 18. 0 . 0 0
19. TAX DUE................................................................................................................ 19. 4 ,42 9 . 91
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �
$ICI@ 2
� 1505610243 1505610243 J
REV-1500 EX Page 3 File Number 21-74-0561
Decedent's Complete Address:
DECEDENT'S NAME
Hessler,Jeanne L.
STREET ADDRESS — ---
611 Brookhaven Road
CITY STATE ZIP
New Cumberland PA 17070
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 4,429.91
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
Total Credits(A +B) (2) 0.00
3. Interest �3�
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. �q�
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than line 2,enter the difference. This is the TAX DUE. (5) 4,429.9�
Make Check Pa able to REGISTER OF WILLS AGENT
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred:............................................................................... � �
b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ �
c. retain a reversionary interest;or............................................................................................................... ❑ 0
d. receive the promise for life of either payments,benefits or care?............................................................ � �
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................... ❑ 0
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ �
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?.................................................................................................................. ❑ 0
1F THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
�
� :�a"5;.. .,a�; .. . -. ,.aa.,� . �. . ".�. ` . . �a.:.'�:. :.°�'a�-_ ..�, � ..''�°�:: �:�.: .T^.- . . -,v:... �` . , .' ��%
For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of
assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)j.
. The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in
[72 P.S.§9116(a)(1)].
. The tax rate imposed on the net value of transfers to or for the use of the decedenYs siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A
sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
.Rev-1502 EX+�01-10)
SCHEDULE A
pennsylvania REAL ESTATE
DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hessler,Jeanne L. 21-14-0561
A�I real property owned solely or aa a tenant in common muat be reportad at fair market value.Fair market value is defined as the price at which property wou�tl be
exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right o/survivorship must ba disclosed on schadule F.
Attach a copy of the settlement sheet if the property has been sold
Include a copy of the deed showi�g decedent's interest if owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Real Estate-611 Brookhaven Road, New Cumberland, Tax ID#26-24-0809-319. Property 128,686.13
sold on June 30, 2014(see HUD attached).
TOTAL(Also enter on Line 1, Recapitulation) 128,686.13
(If more space�s needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule A(Rev. 01-10)
Rev-1508 EX+(�1-70)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
� INHER�TANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hessler,Jeanne L. 21-14-0561
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 M&T Bank-Checking Account 9864354452 1,730.01
2 M&T Bank-Checking Account#9857489745 4,187.57
3 PSERS-final benefit 272.01
4 Refund-Final Settlement under SERS Cash Refund Annuity Plan 139.61
5 Refund-Malpezzi Funeral Home(VA Benefit) 100.00
6 Refund from Core Source(PSERS) 205.00
7 Revenue Rent Rebate 250.00
8 Susquehanna Valley Federal Credit Union 5.39
TOTAL(Also enter on Line 5, Recapitulation) 6,889.59
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10)
REV-1511 EX+��O-09)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN
RESIDENTDECEDENT ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Hessler, Jeanne L. 21-14-0561
DecedenYs debts must be reported on Schedule I.
ITEM
N DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s)attached 946.53
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Kathleen L. Machamer
StreetAddress 203 Hillcrest Drive
city New Cumberland state PA zio 17070
Year(s)Commission Paid 5,000.00
2. Attornev's Fees Michael L. Bangs 5,000.00
3. Family Exemption: (If decedenYs address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State Zip
Relationshio of Claimant to Decedent
4. Probate Fees 218.50
5. AccountanYs Fees 1,000.00
6. Tax Return Preparer's Fees
7. Other Administrative Costs 398,�g
See continuation schedule(s)attached
TOTAL(Also enter on line 9, Recapitulation) 12,563.81
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Hessler, Jeanne L. 21-14-0561
ITEM
NUMBER DESCRIPTION AMOUNT
F�neral Ex enses
1 Malpezzi Funeral Home 291.53
2 Rolling Green Cemetery 405.00
3 St.Theresa Church-funeral lunch 250.00
H-A 946.53
Other Administrative Costs
4 Cumberland Law Journal-estate advertisement 75.00
5 Paul Wirrick-work done to premises prior to sale 150.00
6 The Patriot News Co. -estate advertisement 173.78
H-67 398.78
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(�y_OS)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OFREVENUE
INHERITANCETAXRETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hessler,Jeanne L. 21-14-0561
Report debts incuned by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Centerfor Neurobehavioral Health 70.00
2 Donegallnsurance 56.50
3 Keystone Oil 128.00
4 M&T Visa 1.672.23
5 Messiah Lifeways 7,337.13
6 PA American Water Co. -6/3/14 to 6/30/14 31.25
7 PA Department of Public Welfare 15,005.30
8 Philhaven 40.00
9 PP&L Electric-6/18/14 to 6/30/14 163.73
10 UGI -5/28/14 to 6/26/14 80.50
11 UGI-6/26/13 to 7/3/14 44.76
TOTAL(Also enter on Line 10, Recapitulation) 24,569.40
(If more space is needed,additional pages of the same size)
Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-08)
REV-1517 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hessler,Jeanne L. 21-14-0561
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT ��/4/ords) (g$$)
I� TAXABLE DISTRIBUTIONS [include outright spousal
distnbutions,and transfers
under Sec.9116 a 1.2
Cindy M. Cicak Daughter one-sixth
1601 Kathryn Street
New Cumberland, PA 17070
Steven Hessler Grandson one-twelfth
922 S. Decker Avenue
Baltimore, MD 21224
Terry M. Hessler Son one-sixth
804 Second Street
New Cumberland, PA 77070
Thomas J. Hessler Son one-sixth
904 Peace Drive
Mechanicsburg, PA 17055
Lori A. Lund Daughter one-sixth
1037 Country Club Road
Camp Hill, PA 17011
See continuation schedule attached Continuation
Total
Enter dollar amounts for distributions shown above on lines 15 throu h 1 S on Rev 1500 cover sheet,as a ro riate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10)
SCHEDULE J
BENEFICIARIES
(Part I, Taxabie Distributions)
ESTATE OF:
Jeanne L. Hessler 05/20/2014 159-22-5514
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
6 Kathleen L. Machamer Daughter one-sixth
203 Hillcrest Drive
New Cumberland, PA 17070
7 Marjorie Miller Granddaughter one-twelfth
31 North 5th Avenue
Lebanon, PA 17046
Total
1
.�II'II`., OMB Approval No.2502-0265
: ��uV��; A. Settlement Statement (HI�D-1) FINAL
.. . ._
1. XQ F�A 2.Q RHS 3.Q Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number:
14-1151GC 0422164293 44&2128312-703
4.Q VA 5.❑Conv.Ins.
C.Note:This form is furnished to give you a statement of actual settiement costs.Amounts paid to and by the settlement agents ara shown Items marked
"(p.o.c)"were paid outside the closing;they are shown here for iniormational purposes and are not included in the totals
D.Name 8 Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender:
Oonald E.Kurtz,Jr.,Alison M.Kuriz The Estate of Jeanne L Hessier Wells Fargo Bank NA.
1221 Bridge St.,�C,New Cumberiand,PA 17070 611 Brookhaven Rd.,New Cumberland,PA 17070 2701 Wells Fargo Way,Minneapolis,MN
55467�000
G.Property Localion: H.Settlement Agent: I.Settlement Date:O6I3N2014
611 Brookhaven Rd. Guardian Transfer CwporaGon Disbursement Date:06J30/2014
New Cumberland,PA 17070 4075 Market SL,Camp Hill,PA 17011
New Cumberland Borough
717-909-4700
Place of Settlement TitleExpress
4075 Market SUeet,Camp HiA,PA 17011 Printed OC�130/2014 at 1:20 pm
by SLC
:. . . •
100. Gross Amount Due hom Borrower . Gross Amou►h Due to:Seller
101. ConUact sales price 155,000.00 401. ConUact sales price 155,000.00
102. Personai ro 402. Personal r
103. Settlement charges to borrower(line 1400) 10,023.36 403.
104. 404.
105. 405.
Ad'ustments for items aid b seller in advance Ad ustments for items aid b seller in advance
106. City/tavn taxes to 408. CityAown taxes to
107. Counry taxes O6I30I2014to 12/31/2014 507.14 407. County taxes O6/30/2014to 12I31f2014 507.14
108. Schooltaxes O6l302014to O6I3012014 4.13 408. Schooltaxes 06/30l201410 06/3012014 4.13
109. Retuse AIMIJ 06/30/2014 to 06/30/2014 0.42 409. Refuse AIMIJ 06/30/2014 to 06/3012014 0.42
1t0. 410.
111. 411.
112. 412.
�20• Gross Amount Due trortl Borrower 1fi5,535.05 420. Gross Amount Due to Seller 155,511.69
200. Amounts Paid b or in�ehalf of Borcower 50. Reductfons In Amount Due to Seller
201. Deposit or earnest money 1,500.00 50 . Excess deposN(see insWcuons)
202. Principal amount of new loan(s) 152,192.00 502. Settlement charges to seiler(line 1400) 11,425.50
203. ExisGn loa s taken sub'ect to 503. Existin loa s taken sub'ecl to
204• 5�4• Payoff oi first morigage Ioan to Thomas J.Hessler 10,324.26
and Patt Hessler
205. Lender Paid Final Inspection Fee 100.00 505. Payoif of second mortgage loan
206. Se�ler paid tax service fee 100.00 506. Seller paid tax service fee 100.00
207. Sellers Assistance 4,900.00 507. Sellers Assistance 4,900.00
208. Sewer A/MIJ 04/01/2014 to 06/30/2014 75.80 508. Sewer NMIJ 04101/2014 to O6/30I2014 75.80
209. 509.
Ad'ustments for items un aid b seller Ad ustments for items un aId b seller
210. Ciryltown taxes to 510. Cityftown taxes ro
211. County taxes to 511. Counly taxes to
212. Schooltaxes to 512. Schooltaxes to
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
Z20• ToWI Paid b Ifor Borcower 158,867.80 520. Total Reduction Amount Due Seller 26,825.56
300. Cash at Settlement fromlto Borzower 600: Cash at SettiemenEtoffrom Seller
301. Gross amount due irom borrower(line 120) 165,535.05 gp�, Gross amount due ro selier Qine 420j 155,511.69
302. Less amounts paid byHor borrower(Iine 220) 158,867.80 602. Less reducGons in amount due seller(line 520) 26,825.56
303. Cash QX From ❑ To Borrower 6,667.25 603. Cash ❑X To ❑ From Seller 128,686.13
vY�lam.wYau4 nparnapoma rmmwq, ro N�Y Y �s � YWN nquu •
salWmeM pv+sa�rt a amnUY vaW OMB wnUW num0�r.No wn110enti.41Y b�awnE:Nls Olftlosu���muMYaY.Tnia 4 EIeWmE b povWa tM M�a la�RESPA mwnE UwW{on MN WonnMion OuMO tM
Previous editions are obsolete Page 1 0 4 NUD-1
70D. Total Real Estate Broker Fees $9,690:00 Paid From Paid From
Division of commission Iine 700 as follows: Borrower'S Sel ler'S
701• $4,795.00 • �o Jack Gaughen ERA
Funds at Funds at
70z� $'t;895.00 �o Coldwell Banker Homestead Group Settiement Settlement
703. Commission paid at setUement 395.00 9,295.00
800. Items Pa a61e in Connection with Loan
801. Our origination charge (Includes OriginaGon Point 0.000%or$0.00) $895.00 (from GFE#1)
802. Your credit or charge(points)for the specific interest rate chosen $380.48 (from GFE#2)
803. Your adjusted originaUon charges (from GFE A) 1,275.48
804. Appraisal fee lo RELS ValuaGon $460.00 P.O.C.B'(from GFE#3) 100.00
805. Credit report to Corel ic Credco,LLC $11.66 P.O.C.B (from GFE�3) 37.84
806. Taz service to from GFE#3
607. Flood certificaGon to from GFE#3
808• ta
900. kems Re uired b Lender to be Paid in Advance
901. Daily interest charges from from 06/30J2014 to 07l0112014 @$172000/day , (from GFE#10) 1720
902. Morfgage insurance premium fa ���o De t of HUD (han GFE#3) 2,617.56
903. Homeowners insurance fa 1 ears to Reamstown Mutual (han GFE#11) 634.00
�• months to from GFE#11
1000. e s e o i ' L der '
1001. Initial deposit for your esc�ow account (from�FE�9) 1,50778
1002.Homeowners insurance 3��s $ 52.83(month 5158.49 to Welis F Bank NA.
1003.Mortgage insurance months $ O.00/month S to Weils fat o Bank NA.
��•PfOP�nY�� months S 0.00lmonth S to Wells Faz Bank NA.
1005.County taues 5��s $ 83.38/month 5416•90 to Wdls Far o Bank NA.
1006.School taxes 12 months $ 125.65/manth $1,507.80 to Weils F o Bank NA.
1007.Aggregate Adjustment a575.41 to Wells Far o Bank NA.
1100.TiGe Cha es
1101.TiUe services and lenders tiUe insurance $ �GFE�q 1,490.00 25.00
1102. Settlement a dosing fee to S
1103.Owner's Gtle insurance-First American Tiqe Insurance Company $ from GFE#5 127.50
1104. Lendefs Gtle insurance•First American TiUe Insurance Company $1,165.00.
1105. Lende�s tille policy limit$152,192.00 Lenders Policy
1706.Owner's title policy limit$155,000.00 Owners Policy
1107.AgenYs pation of the total GUe insurance premium $1,098.62
to Guardian Transfer Co raGon
1108.Underwritefs pation of the totai title insurance premium $193.88
to First American Title Insurance Com an
1109. 100 No ViG1100 to First American Title $50.�0
Insurance Com an
1110.300 Survey1300 to First American TiUe S50•00
Insurance Com an
1111. 900 EPL-Res18.t to First American Tiqe $50.00
Insurance Com an
1112.ClosingSvcLlrlCL to First American Title $75.00
Insurance Com an
1200.Govemment Recordin and Trensfer Char es
1201.Govemment recording charges $ (from GFE#7) 152.00
�2�2. p�$67•00 Mort a e$85.00 Release$ to Sim lifile
1203.Transfer taxes $ (from GFE#8) 1,550.00
1204. CitylCounty tax/stamps Deed$1,550.00 Mort a e$ to Sim lifile
1205.State Tax/stamps Deed$1,550.00 Mort e$ to Sim lifile 1,550.00
1206. Deed$ Mort a e$ to
1207. Mortgage SaGsfaction to Simptifile 55.50
1300.Additionai SetUement Char es
1301.Required services ihat you can shop fa (from GFE#6) 119.00
1302.Attomey Fees to Ban s Law Office,LLC 500.00
1303. to $
1304.Tax Service Fee to WFRETS 5100.00
1305. fLood(Life of Loan) to Weils Far o Flood Services $19.00
��� • "" ' ' � ' � • � � - � 10,023.36 11,425.50
'Paid outside of closing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1."`Credit by seller shown on page 1.
Previous editions are obsolete Page 2 of 4 HUD-1
Coin arison�of Good FaiW;EsUmate.GF fand HUD-1SCha es ° - ' ` ' Good�Fafth;Estlmate `" HUD;1
�..
....,
Clia esT.h"a"t;Cahnot�lncrea'se; " HUD�1=LIne�Number..
Ouroriginat�on�char9e. g 801. 895.00 895.00
Yourcreditoqchage:(points),for,the"specific:interestratechosen # 802 380.48 380,48
Your a�sted originaUon charges #'803 �,p75.qg �2�5 qg
TransfeYtaxes 1203 3,000.00 1,550.00
Char es;That inaTotai.Cannotilncrease_More Ttian 10%0 :Good Faifh Estlmate HUD-1.
Govemment recortling charges ;" , # 1201, 174.00 152.00
_
. 4... -- , #.�, . 460.00 560.00
Appraisabfee•,
Credit report ,.. , #;805.: � : 11.66 49.50
Matgage`insurance;premium # 902 `;, 2,617.56 2,617.56
# 1303 0.00 0.00
Tax Service Fee # 1304 100.00 100.00
FL`ood(life of Loan) g 1305 19.00 19.00
____. . ....:._ _
'
_:._.. �___... � .,:._. .#.._.�...� .__�..;. .,�;.
3,382.22 3,498.06
• � � $ 115.84 3.4250%
Ctia es:That Can.Chae e, � ` ' Good;Paith�Esdmate HUD�1
Irutial deposit for your.esaow'account - # 1001 . � 2,770.00 1,507.78
Daily interest charges�fram. ; , #;,901 , .$17:2000/da 258.00 1720
Homeownersinsurance � g 90.3,: 480.00 634.00
TiGe services and lender's Gtle`in`surance # 1101: 1,915.82 1,490.00
Owner's title�Psurarice: Frst Arrierican;Title Insurance.Gompany p 1103 � 10.00 127.50
#
Loan Terms
Your.iniUalloanamount:is : ; $152,t92.00
Your loan term�sf � 30.years
Your initial interest Fate;is.� � - 4.1250%
YourinitlaGmonthly,amount owed�for principal;interest,,and any mortgage $904.55 includes
insurance is QX Prinapal
QX Interest
� ; QX Mortgage Insurance
Can your interest�rate rise? r ' QX No. ❑Yes,it can rise to a maximum of %. The first change
will be on I l and can change again every years after l I . Every
change date,your interest rate can increase or deaease by %. Over the life of
<• the loan,your interest rate is guaranteed to never be lower than %or higher
than %.
Even if you make payments on time;;can.your loan balance rise7, X No.
❑ ❑Yes,it can rise to a maximum of$ .
Even if yoqmake payments on time,can your monthly.amaint owed for, QX No. ❑Yes,the first increase can be on / I and the monthly
prinGpal,.interest,sand mortgage in.surance rise7s amount owed can rise to$ ,
The maxfmum it can ever rise to is$ ,
Doesyoucioan,haveTa;prepayment penalty7 XQ No. ❑Yes,your maximum prepayment penalty is$ ,
Does your loan have�a`balloon payment? QX No. ❑Yes,you have a balloon payment ot$ due in
years on I /
Total montfily amountiowed including.escrow account payments ❑You do not have a monthly escrow payment for items,SUCh as property taxeS
and homeowners insurance. You must pay these items directiy yoursetf.
_ ❑X You have an additional monthly escrow payment of$261.86
that results in a total initial monthiy amount owed of$1,166.41. This indudes
principal,interest,any mortgage insurance and any items checked below:
QX Property taxes QX Homeowners insurance
�Flood insurance Q School Taxes
� ❑
Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form,piease contact your lender.
Previous editions are obsolete Page 3 of 4 HUD-1
HUD CERTIFICATION OF BUYER AND SELLER
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and
disbursements made on my account or by me in this transaction I further certify th2t I have received a copy of the HUD-1 Settlement Statement
l .EW' .
D Id E.Kurtz,Jc
.
Alison M.Kurtt
THE ESTATE OF JEANNE L.HESSLER
� , �x��� ,
Kathleen L.Machamer,Exeartrix '
The HUD-1 Settlement Statement which I have prepared is e true and accurate acco nt of this transaction I have caused or will cause the funds to be
disbursed in accordance with this statement.
��30-�y
S EME T EN ' DATE
WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010.
Previous editions are obsolete Page 4 of , HUD-1
. . �
Name of Borrower. Name of Seller: File Number:
Donald E.Kurtz,Jr. The Estate of Jeanne L.Hessler 14-1151GC
Alison M Kurtz '
Prepared 06/30/2014 at 1:20 m
Note:This page displays an itemization of the charges shown on linb 1101 of the HU0.1 Settlement Statement.This page
accompanies but is not a part of the HUD-1 SettlementStatement.Ifia discrepancy exists,the information on the HUD-1 Settlement
Statement applies.
1100.Title Charges ToRal Charge Borrower Seller
1101.Title services and lender's Gtle insurance to
Wire In to Guardian Transfer ation $ '' 15.00 15,00
Notary Fee-Purchasers to Guardian Transfer Co ation $ 35.00 35.00
Courier Fee-Purchase to Guardian Transfer Co aGon $ 15.00 15.00
Electroriic Document Fee to Guardian Transfer Co ation $ , 35.00 35.00
Notary Fee-Sellers to Guardian Transfer ation $ ' 15.00 15.00
Tax Cert Reimbursement Fee ro Guardian Transfer Co a6on $ 10.00 �p.pp
1102.Se�lement or closing fee �o $ , 0.�
1104.Lenders tiUe insurance-First American Tit to Flrst American Title Insurance G$ I 1,165.00 1,165.00
1109.1�No Vo11100 to First American TiUe Insurance G$ i 50.00 50.0p
1110.300 Survey1300 to First American Title�nsurance Cc$ i 50.00 50,0p
1111.900 EPL-Res18.1 to Flrst Ameriqn Titie Insurance G$ ' S0.00 50.pp
1112.ClosingSvcLtrlCL to first American Title Insurance Cc$ ' 75.00 78,00
Totals: S '� 1,515.00 0.00 1,490.00 25.00
SelledLender credits shown on a ei POC=Paitl 0utsid Closin CR=Lender CredR
Previous editions are obsolete Page 1 of',1 HUD-1
3850 Hartzdale Dr. Camp Hill, PA 17011-7809
USQUEHANNA 339 East Park Dr. Harrisburg, PA 17111-2730
ALLEY Local: 717-737-4152
Toll Free: 800-948-1454
FEDERAL CREDIT UN ION Fax: 717-737-0589
July 23, 2014
Michael L Bangs
429 S 18t''St
Camp Hill, PA 17011
Re: fstateo#Jear�ne L. Hessler
Dear Mr. Bangs:
The following is the information that you requested regarding the account of leanne L. Hessler at
Susquehanna Valiey FCU.
1. Type of account:Savings
2. Account number: 1455
3. Names on the account: Jeanne L. Hessler and Kathleen L. Machamer '
4. Account opened:07/26/1979
5. Joint owner added on 06/20/2003
6. Date of death value: $5.39
7. There was no interest on this account.
Enclosed are the copies of the signature cards that you requested. Please let me know if you need any
additional information.
Kind regards,
�����
Kathy Jo McCabe
Member Services Supervisor
www . SVFCU . org
p ��zs��
499 Mitchell Road,Millsboro,DE 19966 Records Management
Phone 888-502-4349
F ax (302)934-2955
July 3,2014
Bangs Law Office,LLC
429 South 18"' Street
Camp Hill, PA 17011
Re: Estate of Jeanne L. Hessler
Social Security: 159-22-5514
Date of Death: Mav 20 2014
Dear Sir or Madam:
Per yow inquiry on June 25,2014,please be advised that at the time of death,�e above-named decedent had on
deposit with this bank the following:
1. Type of Account Checking Account
Accounl Number 9864354452
Ownership(Names o� Jeanne L.Hessler(Principal)
Kathleen L. MacHamer(Agent)
Opening Date 03/10/2014
Balance on Date of Death � I,730.07
Accrued Interest $ .01
Toral $1,�30.02 _
2. Type ofAccount CheckingAccount
Account Number 9857489745
Ownership(Names ofJ Jecmne L. Hessler
Kathleen L. MacHamer(POA)
Opening Date 11/13/2012
Balance on Date oJ�Death $ 4,187.57
Accrued Interest $ ,p�
Total $4,187.58
3. Type of Account Safe Deposit Box
Box Number/Location 465Mighland Park
Chvnership(Names o� Jeanne L.Hessler
_._ .
....�.�.-- . _ .. -r
_ -_ _ ti -
�Ifa}fC+�::,.. '���_'' ,.� , '-+��-m�4-,� ..
��g�e ]0/O 1/]950 ' _ , � w.
For any addi6onal information oo the above accounts,inciudiog ownership and any changes,closures and/or reimbursemeot of fuods,
piease call the Fairview at 71�-938-1829.
7Lis letter dces not indude any accounts io wtrich t6e decea4ed may have been list+ed as Power of Attorney,Custodi$n of Uniform Traosfers,
Representative Payee,or Trustee under a Written Agreement
�ItI�2lE�,
Valarie Mercer
Recards Management
/��-�
. �
a�� �G7Z�ac�at
I, JEANNE L. HESSLER, of Cumberland County, Pennsylvania, declare this to be my
last will and revoke any will previously made by me. •
ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, and any and all taxes and assessments imposed by any
governmental body as a result of my death, whether on property passing under this will or
otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a
part of the expense of the administration of my estate. .
ITE�i II. I gi��e and bequeat;� all of m; ho�ehold gcods. automobiles,jewelry�, and a�1_
other articles of household and personal use, equipment and ornament, together��-ith all
insurance thereon and reIating thereto, to those of my issue, per stirpes, as survive my death by
thirty (30) days.
ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate to those of my issue, per stirpes, as
survive my death by thirty (30) days.
ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
ITEM V. I appoint my daughter KATHLEEN L. MACHAMER executrix of this my last
will. Should my daughter predecease me or otherwise fail to qualify or cease to serve as
1
executrix of this m�� last �vill, I appoint my� son THOMAS J. HESSLER executor of this my last
will. . �
ITEM VI. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby
give to my personal representatives the following powers and authorities effective without court
� .
approval and until actual distribution of all property: to compromise any claim or controversy;
to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
my personal representatives may determine and at valuations finally to be fixed by them; to
invest in all forms of property, including any stock or other securities in any corporate fiduciary
or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle of risk or diversification;
to retain anv or all assets of my estate, real or personal, without regard to any principle of risk or
diversification; to sell at public or private sale, to exchange, or to lease for any period of time,
any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms o`r conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
ITEM VII. I direct that my personal representatives and fiduciaries shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
r`�J
IN WITNESS WHEREOF, I have hereunto set my hand this -� � `^ day of
'.��`- C �C=r`l�� ���"�t_ 2013.
' � /�
, - �- /
; � / � -
� �j .. / li�` _ �/��1� �
�-
JEA L. HESSLER
. 2
The preceding instrumen� consisting of this and TVVO other t�-pewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and declared
by JEANNE L. HESSLER, the testatrix therein named, as and for her last will, in the presence of
us, who at her request, in her presence, and in the presence of each other, have subscribed our
names as witnesses hereto. '
, �
�������t - ������ti�
� ��
/ �� � ��
.,
3
COtii'��O�ii`E_aLTH OF PE��S�1�"�\L�
� ��+r�o+�v�..x� v�wsnvar►ta
( SS: Katnk�n N.r,agaro.No�1�� i
� c'ast Pe1x�5bot0 Twj3..Cu�+berfand COu�h' �
COt:'.�Tl' OF CL��iBERLAtiD . ) � r-�y c«rnVss+oo Exo�esn�.�.Zai�
MEHaEF PiNNS't�YAhIA �55.'bAh}. •?. ICT4:�.c
The undersigned, being the testatri�whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, does hereby acknowledge that I signed and
executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed. -
} ; ,
__ ; , ,
_. �.. , ��,
r^ .� 1��/ �����
JEA E L. HESSLER
Sworn or affirmed to and acknowledged
before me by the testatrix named above
t}115, l�d Of �^�'r�r��f�' , 2013. CortMo_ N;yEp,�TH OF PENNSYLVANIA
Notarial Sea�
l �/� � ' �Kachlcen r�f. hiagaro,Notary Public
��� v1.� ��—�-� �`� /., � East P2nnsboro Twp.,�umberlana Counry
Notary Public ,' ��y Commissi�n Eypires Aug 23 2017 '
i Me�,._F f�re.snv,�.� ,�,.,�„�r,.,� :� N,
TA:::S
COMMONWEALTH OF PENNSYLVANIA ) �
( S �
COL1T�' OF Ct�►iBERLA\� � '�
W'E, _���<i ,l��!'!'l�'r-�%/ '/ / �'�—"`" �
L�_ "�7 %andj , the
witnesses whose na►nes are signed to the attache _�r'f`oregoing instru e , being duly qualified according
to law, do depose and say that we were present and saw the testatrix � and execute the instrument as
her last will; that she signed it willingly and that she executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as
witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more years of age, of
sound mind, and under no constraint or undue influence.
�'-��Mt'fUNW�!,L'FH �F D�IyNSyLVANIA s� / /y
i Notariat Se�l ' �l�t_-./�� t�- � /���/7 �i���
! !:c�thleen r4. M-egaro, Notary aubik
__s:P�nnst+oro Twp.,CumbeNand County
�•��Ccmm�ssio�Expires Aug, 23, ZQ17 /
ri�n� :� c��usr_v.r�,:a �.s�x�nn� •:k "��/_�. S . � ��j�j (--�'���
h0T4lt,':5
Sworn or affirmed to and acknowledged
before me this�day of
� P� ����� t ��r , 2013.
� , �
/,' ` �`=--��---<��/,`�'��-�.�
Notary Public ;��
4