HomeMy WebLinkAbout11-04-14 REV-1500 EX`02-11)fF1' 1505610105
OFFICIAL USE ONLY
PA Department of Revenue pennsytvania
County Code Year File Number
Bureau 280601 INHERITANCE INHERITANCE TAX RETURN
Ha Box Harrisburg,
PA i j i i j Q //�
Harrisburg,PA>7iz8 0601 RESIDENT DECEDENT 1�k I I oS _I -I 6 '
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
08/17/2012 '12/21/1925
Decedent's Last Name Suffix Decedent's First Name MI
McBride i Gisela ------- --------.._"-__.._ R
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
-- _
Spouse's Social Security Number
Security Number
---? THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
CW 1.Original Return Q 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4-Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
(AD 6.Decedent Died Testate O 7-Decedent Maintained a Living Trust 0 8.Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED:Td?;
Name __._. __ __—_ —__ - -• -_. ._-- _ DaytimeTelephor@Q umber d
William S. Daniels, Es - -- j --- �_ rn
q .(717.)-243-38� �o = h
n �
REGISTERrpO WLLS-USE ONLY f C7
ti r T1 r'1 r'rl
C/)
First Line of Address _ c> q
�. npt �7
1 West High Street
Second Line of Address --.._— — - - -__-- - !-_- rel
Suite 205 0
DATE FILED
City or Post Office State ZIP Code
i Carlisle PA I !17013
Correspondent's e-mail address:humeranddaniels@outlook.com
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
R is e,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer h s any knowledge.
SrNj[=C1rEM=IqG RE#JRN I D E
AD R SS
is la V. McBri e, 50 Beacon ar'Sburg, PA 17112
SI ATURE OF AREFkOTHE:;? RES N IV DATE
MD-DRESS
-W.S.
S W.S. Daniels, Humer&Daniels Law Office, 1 W. High St., Ste. 205, Carlisle, PA 17013 .
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610105 1505610105 J
1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name:
RECAPITULATION
1. Real Estate(Schedule A). ............................................ 1. 1 79,000.00
2. Stocks and Bonds(Schedule B) 2. 0.00
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0.00
4. Mortgages and Notes Receivable(Schedule D)........................... 4. 0.00
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5. 9,937.10
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6. 0.00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7. 0.00
8. Total Gross Assets(total Lines 1 through 7)............................. 8. 88,937.10
9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. I 13,306.94 1
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............... 10. 44,622.04
11. Total Deductions(total Lines 9 and 10)................................. 11. 57,928.98
12. Net Value of Estate(Line 8 minus Line 11) ....... ....................... 12. 31,008.12
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) ........................ 13. 0.00
14. Net Value Subject to Tax(Line 12 minus Line 13) ........................ 14. 31,008.12
TAX CALCULATION-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.0- 0.00 15.1 0.00
16. Amount of Line 14 taxable
at lineal rate X.0 45 31,008.12 16.r
17. Amount of Line 14 taxable
at sibling rate X.12 17.1
1,395.37
18. Amount of Line 14 taxable
at collateral rate X.15 18.
19. TAX DUE .................. ...................................... 19.1 1,395.27
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT C >
S
Side 2
1505610205 1505610205
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENTS NAME
Gisela R. McBride
STREETADDRESS
322 North Bedford Street
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 1,395.37
2. Credits/Payments
A.Prior Payments 2,000.00
B.Discount 105.26
Total Credits(A+g) (2) 2,105.26
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4) 709.89
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5)
Make check payable to: REGISTER OF WILLS, AGENT.
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.......................................................................................... ❑ 0
b. retain the right to designate who shall use the property transferred or its income ............................................ ❑
c. retain a reversionary interest.............................................................................................................................. ❑
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?..............................................................................................................
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? ........................................................................................................................ ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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 Jan. 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)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's 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 decedent's 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.
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
No. 2012- 00940 PA No. 21- 12- 0940
Estate Of: GISELA R MCBRIDE
• (First,Middle,Last)
a/k/a: GISELA R-1 MCBRIDE
Late Of: CARLISLE BOROUGH
CUMBERLAND COUNTY
Deceased
Social Security No:
WHEREAS, on the 28th day of August 2012 an instrument dated
February 14th 2009 was admitted to probate as the last will of
GISELA R MCBRIDE
/First,Middle,Last)
a/k/a GISELA R I MCBRIDE
late of CARLISLE BOROUGH, CUMBERLAND County,
who died on the 17th day of August 2012 and, Y
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
GISELA V MCBRIDE
who has duly qualified as EXECUTOR(RIX)
and has agreed to administer the estate according to law, all of which
ful ly appears of record in my offi ce a t CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VA NIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 28th day of August 2012.
L
Register of Wills
Deputy
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
RECORDED OFFICE OF
OF
2012AUru' 28 RM %AMINO taw"
CILci,11"K , r
ORPHANS COURT
CUMBERAD CO., PA
I, GISELA R. McBRIDE, of the Borough of Carlisle, Cumberland County,
Pennsylvania, declare this to be my Last Will and revoke any will previously made by
me.
I. I give, devise and bequeath all of my estate of every nature and wherever situate
in equal shares to my adult children, GISELA V. McBRIDE and THOMAS C.
McBRIDE, or to the survivor of them living on the thirty-first day following my
death.
[I. I make no provisions herein for my grandsons, MICHAEL and IAN, not from
any lack of love and affection, but because they are otherwise provided for.
1II. All federal, state and other death taxes payable because of my death, with respect
to the property forming my gross estate for tax purposes, whether or not passing
under this will, including any interest or penalty imposed in connection with.such
tax, shall be considered a part of the expense of the administration of my estate Jo!
and shall be paid out of the principal of my estate without apportionment or right
of reimbursement. I
IV. I appoint my daughter, GISELA V. McBRIDE, executrix of this my Last Will.
Should my daughter, Gisela V. McBride, fail to qualify or cease to act as
executrix, I appoint my son, THOMAS C. McBRIDE, executor of this my Last py
Will.
COPY.
t
V. I direct that my executrix or her successor executor shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of
February, 2009.
ELA R. McBRIDE
The preceding instrument, consisting of this and one other typewritten page
identified by the signature of the testatrix, GISELA R. McBRIDE, was on the day and
date thereof signed, published and declared by GISELA R. McBRIDE, 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.
Aiz
O 2�' n 41
1 / ,&
D
{
COPY,
1, GISELA R. McBRIDE, of the Borough of Carlisle, Cumberland County,
Pennsylvania, declare this to be my Last Will and revoke any will previously made by
me.
i
. I
I. I give, devise and bequeath all of my estate of every nature and wherever situate
in equal shares to my adult children, GISELA V. McBRIDE and THOMAS C.
McBRIDE,or to the survivor of them living on the thirty-first day following my {i
I
death.
li. I make no provisions herein for my grandsons, MICHAEL and IAN, not from
an lack of love and affection, but because they are otherwise provided for.
y I
111. All federal, state and other death taxes payable because of my death, with respect
,
to the property forming my gross estate for tax purposes, whether or not passing
under this will, including any interest or penalty imposed in connection with.such
tax, shall be considered a part of the expense of the administration of my estate
i
and shall be paid out of the principal of my estate without apportionment or right
a
j
of reimbursement.
IV. I appoint my daughter, GISELA V. McBRIDE, executrix of this my Last Will.
Should my daughter, Gisela V. McBride, fail to qualify or cease to act as
executrix, I appoint my son,THOMAS C. McBRIDE, executor of this my Last p
Will. ------��-���-�,
i
V. I direct that my executrix or her successor executor shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
7,'-'Ir—
IN WITNESS WHEREOF, I have hereunto set my hand and seal this Aay of
February, 2009.
ELA R. McBRIDE
The preceding instrument, consisting of this and one other typewritten page
identified by the signature of the testatrix, GISELA R. McBRIDE, was on the day and
date thereof signed, published and declared by GISELA R. McBRIDE, the testatrix
therein named, as and for her last will, in the presence of us, who, at Iter request, in her
presence, and in the presence of each other have subscribed our names as witnesses
hereto.
_
COPY
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 016794
MCBRIDE GISELA V
50 BEACON DRIVE
HARRISBURG, PA 17112
ACN
ASSESSMENT AMOUNT
CONTROL.
NUMBER
-------- fold
__________ --------
101 ( $2,000.00
ESTATE INFORMATION: SSN: 560-58-1417
FILE NUMBER: 2112-0940
DECEDENT NAME: MCBRIDE GISELA R
DATE OF PAYMENT: 11/16/2012
POSTMARK DATE: 11/16/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 08/17/2012
TOTAL AMOUNT PAID: $2,000.00
REMARKS: RECEIPT TO ATTY
CHECK# 1439
INITIALS: HEA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
so-2954.W 14a9- .
GISELA V. McBRIDE 319
50 BEACON DRIVE
HARRISBURG,•PA 17112
DATE
A PAY TO THE 1 1 S ;� b j .•� S: f.. o.
ORDER OF v
DOLLARS 8
M&T Bank
W r
o Spring Garden Office .. �..
MEMO
ISA
--i: 03L302955i: 9509850 Oli':1439
. t
r ,
REV-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE REAL ESTATE
INHERUANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
McBride, Gisela R. 21-12-0940
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
would 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 of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1 322 North Bedford Street,Carlisle,PA 17013 11 _ 79,000
__:0 U
TOTAL(Also enter on Line 1, Recapitulation.) $� � 000000
If more space is needed,use additional sheets of paper of the same size.
OMB Approval No.2502-0265
A. Settlement Statement (HUD-1)
B.Type of Loan
1.❑FHA 2 Q RHS 3.0 Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number:
13-186 6067809
4.❑VA 5.❑conv. ins.
C.Note:This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agents are shown.Items marked
"(p.o.c)"were paid outside the closing;they are shown here for informational purposes and are not included in the totals.
D. Name&Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender:
Gail L.De'Angelo Estate of Gisela R.McBride Cole Taylor Bank
11 Sandy Bottom Road,Carlisle,PA 17015 322 North Bedford Street,Cadisle,PA 17013 2350 Green Rd,Suite 100,Ann Arbor,MI 4810
G. Property Location: H.Settlement Agent: I. Settlement Date:03t07/2014
322 North Bedford Street The Law Office of Andrew H.Shaw,PC Disbursement Date:03107/2014
Carlisle, PA 17013 200 S.Spring Garden Street,Suite 11,Carlisle,PA 17013
Carlisle Borough
Telephone:717-243-7135
Place of Settlement: TitleExpress
200 S.Spring Garden Street,Suite 11,Carlisle,PA 17013 Printed 03106/2014 at 2:40 pm
by AHS
ff,`S6;Wt_�arj,bf Bor"ro;w'er�s`Tr'ansaction K.Summary of Seller's Transaction
100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller
101. Contract sales price 79,000. 401. Contract sales price 79,000.00
102, Personal property 4024 Personal property
103. Settlement charges to borrower(line 1400) 3,800.63 403.
104. 404.
106. 405.
Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance
106. City/town taxes to 406. City/town taxes to
107. County taxes 03107/2014 to 12131/2014 500.94 407. County taxes 03/0712014 to 12/3112014 500.94
108. School Taxes 03107/2014 to 06/30014 435.01 408. School Taxes 03/07/2014 to 06/30/2014 435.01
109. 409.
110, 410.
111. 411,
112, 412.
120• Gross Amount Due from Borrower 83,736.58 420- Gross Amount Due to Seller 79,935.95
200. Amounts Paid by or in Behalf of Borrower 500. Reductions In Amount Due to Seller
201, Deposit or earnest money 501. Excess deposit(see instructions)
202. Principal amount of new loan(s) 75,050.00 502. Settlement charges to seller(line 1400) 6,139.48
201 Existing loos taken subject to 503. Existing loan(s)taken subject to
204, 504. Payoff of first mortgage loan#3404845 to Wells 23,070.29
Fargo Home Mortgage,Inc.
205. 505. Payoff of second mortgage loan to M&T Bank 50.50
206• 506.
207. Seller's Assistance 2,370.00 507. Seller's Assistance 2,370.00
208. 508.
209, 509.
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. City/town taxes to 510. City/town taxes to
211. County taxes to 511. County taxes to
212. School Taxes to 512. SchoolTaxes to
213. 513,
214, 514.
215. 515,
216, 616.
217. 947
4 �
700. Total Real Estate Broker Fees $4,740.00 Paid From Paid From
Division of commission line 700 as follows: Borrower's Seller's
701. $2,370,00 to Wolfe&Company Realtors Funds at Funds at
702. $2370.00 to Wolfe&Company Realtors Settlement Settlement
743. Commission paid at settlement 4,740.00
704. to
800. Items Payable in Connection with Loan
801. Our origination charge (includes Origination Point 0.000%or$0.00) $2,813.88 (from GFE#1)
802. Your credit or charge(points)for the specific interest rate chosen $-2,401.61 (from GFE#2)
803. Your adjusted origination charges (from GFE A) 412.27
804. Appraisal fee to Dart Appraisal $455.00 P.O.C.B* (from GFE#3)
805. Credit report to Credit Plus (from GFE#3) 26.95
806. Tax service to (from GFE#3)
807. Flood certification to Corel is Flood Services (from GFE#3) 9.00
808. to
900. Items Required by Lender to be Paid in Advance
901. Daily interest charges from from 03/07/2014 to 04/01/2014 @$9.7668/day (from GFE#10) 244.17
902. Mortgage insurance premium for months to (from GFE#3)
903. Homeowner's insurance for 1 years to Erie Insurance $371.00 P.O.C.B*(from GFE#11)
904, months to from GFE#11
1000. Reserves Deposited with Lender
1001. Initial deposit for your escrow account (from GFE#9) 993.74
1002.Homeowner's insurance 3 months @$ 30.921month $92.76
1003.Mortgage insurance months @$ 33.77/month $
1004.Property taxes 2 months $ 54.17/month $108.34
1005. months @$ 0.00/month $
1006.School Taxes 10 months @$ 116.391month $1,163.90
1007.Aggregate Adjustment $-371.26
1100. Title Charges
1101. Title services and lender's title insurance to The Law Office of Andrew t from GFE#4 1,138.00
1102. Settlement or closing fee to $
1103. Owner's title insurance-West Cor Land and Title Insurance Company from GFE#5 16.50
1104. Lender's title insurance-West Cor Land and Title Insurance Company $768.00
1105. Lenders title policy limit$75,050,00 Lender's Policy
1106. Owner's title policy limit$79,000.00 Owner's Policy
1107. Agent's portion of the total title insurance premium $666.82
to The Law Office of Andrew H.Shaw PC
1108. Underwriter's portion of the total title insurance premium $117.68
to West Cor Land and Title Insurance Company
1109.
1200. Government Recording and Transfer Charges
1201. Government recording charges $ (from GFE#7) 170.00
1202. Deed$67.00 Mortgage$103.00 Release$
1203. Transfer taxes $ (from GFE#8) 790.00
1204. City/County tax/stamps Deed$790.00 Mortgage$ ,
1205. State Tax/stamps Deed$790.00 Mortgage$ 790.00
1206. Deed$ Mortgage$
1207. $
1300. Additional Settlement Charges
1301. Required services that you can shop for (from GFE#6)
1302. 2014 County Property Taxes to Carlisle Borough 609.48
1303. to $ yy
1304. to $ t
1305. to $
t r • _ 1,115A 1 3,800.63 6,139.48
*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.
Comparison of Good Faith Estimate GF and HUD-1 Charges Good Faith Estimate HUD-1 .
Charges That Cannot increase HUD-1 Line Number
Our origination charge # 801 2,813.88 2,813.88
Your credit or charge(points)for the specific interest rate chosen # 802 -2,401.61 -2,401.61
Your adjusted origination charges # 803 412.27 412.27
Transfer taxes # 1203 790.00 k:0-
Charges That in Total Cannot Increase More Than 10% Good Faith Estimate HUD-1
Government recording charges # 1201 190.00 170.00
Appraisal fee # 804 455.00 455.00
Credit report # 805 50.00 26.95
Flood certification # 807 10.00 9.00
Mortgage insurance premium # 902 0.00 0.00
Title services and lenders title insurance # 1101 1,128.00 1,138.00
Owners title insurance-West Cor Land and Title Insurance Company # 1103 16.50 16.50
# 1303 0.00 0.00
1,849.50 1,815.45
- s .- is -34.05 or -1.8410%
Charges That Can Chane Good Faith Estimate HUD-1
Initial deposit for your escrow account- # 1001 2,050.00 993.74
Daily interest charges from # 901 $9.7668/day 146.50 244.17
Homeowners insurance # 903. 420.00 371.00
Loan Terms
Your initial loan amount is $75,050.00
Your loan term is 30.years
Your initial interest rate is 4.6250%
Your initial monthly amount owed for principal,interest;and any mortgage $425.27 includes
insurance is �principal
Q Interest
❑X Mortgage insurance
Can your interest rate rise? ❑X No. ❑Yes,it can rise to a maximum of %. The first change
will be on ! ! and can change again every years after ! ! . Every
change date,your interest rate can increase or decrease by %. Over the life of
the loan,your interest rate is guaranteed to never be lower than %or higher
than %.
Even if you make payments on time,can your loan balance rise? X❑No. ❑Yes,it can rise to a maximum of$
Even if you make payments ori time,can your monthly amount owed forXQ No. f-1 Yes,the first increase can be on ! / and the monthly
principal,interest,and mortgage insurance rise? amount owed can rise to$
The maximum it can ever rise to is$
Does your loan have a prepayment penalty? ®No. ❑Yes,your maximum prepayment penalty is$
Does your loan have a balloon payment? t I No. ❑Yes,you have a balloon payment of$ due in
years on / !
Total monthly amount owed 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 directly yourself.
0 You have an additional monthly escrow payment of$201.48
that results in a total initial monthly amount owed of$626.75. This includes principal,interest,any
mortgage insurance and any items checked below:
❑X Property taxes ❑X Homeowners insurance
❑Flood insurance ❑
Q Misc impound ❑
Note: If you have any questions about the Settlement Charoes and Loan Tarmc r;GtAri nn this f— -11------�--�
Signature Page-"-"
HUD CERTIFICATION OF BUYER AND SELLER
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and
disbursements made on my account or by me in this transaction I further certify that I have received a copy of the HUD-1 Settlement Statement.
4-1e0AW7&4'1
Gail L.`ge'Angelo J
ESTATE OF GISELA R.MCBRIDE
tL� V �
Gisel V.McBride,Executrix
The HUD-1 Settlement Statement which i have prepared is a true and accurate account of this transaction.I have caused or will cause the funds to be
disbursed in accordance this statement.
SETTLEMENT AGENTS DATE
01
Name of Borrower: Name of Seller. File Number:
Gail L.De'Angelo Estate of Gisela R.McBride 13-186
Prepared 03/06/2014 at 2:16 pm
Note:This page displays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement.This page
accompanies but is not a part of the HUD-1 Settlement Statement.If a discrepancy exists,the information on the HUD-1 Settlement
Statement applies.
1100.Title Charges Total Charge Borrower Seller
1101.Title services and lender's title insurance to The Law Office of Andrew H.Shaw,PC
Overnight Fee to The Law Office of Andrew H.Shi$ 20.00 20.00
Notary to Andrew Shaw $ 25.00 25.00
Document Prep. to The Law Office of Andrew H.Sh,$ 100.00 100.00
Heed Prep Fee-POC-S to Law Office of Humer and Daniels$ 0.00
Notary Fee-POC-S to Law Office of Humer and Daniel,$ 0,00
100 No Vioil100 to AHSWLTIC $ 50.00 50.00
300 Survey1300 to AHSWLTIC $ 50.00 . 50.00
900 EPL Res18.1 to AHSWLTIC $ 50.00 50.00
ClosingSvcLtrlCL — to AHSWLTIC $ 75.00 75.00
1102.Settlement or closing fee to $ 0.00
1104. Lender's title insurance-West Cor Land anto AHSWLTIC $ 768.00 768.00
Totals: $ 1,138.00 0.001 1,138.001 0.00
Seller/Lender credits shown on page 1 POC=Paid Outside Closing CR=Lender Credit
- 5 ,
REV-1508 EX+(o8-i2)
j7Pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS &MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
McBride, Gisela R. 21-12-0940
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.r :Personal Property(Appraisal Attached) }
° 1,009.00
2M&T Bank Checking Account#13113305,DOD Valuation ry
2 744.43
3.= Cash on Hand ' 250.004. ;;
Mercury Car,-Sale Price(Bill of Sale Attached)^ 2,200.00
' 5A iMutual of Omaha,Insurance Refundi
I
289.48 i
6, SAMA,Insurance Rebate 12.07
—
- �
7 i sMashington National Company Deposit Refund 8.00
8 137.8411
i IState Farm,Insurance Refund — +
I g. Ohio Casualty,Insurance Refund 512.00111
10. iUGI Gas Refund
174.28
r 11.� !Wells Fargo,Escrow Account Refund , 1,664.95—j!
_ - — --- - -
12. 'Refund of County Property Taxes { 500.94 j
Property Refund of School tty E : Taxes
13. I P 435.01
- ----- _
i
� I
I ..
I'
TOTAL(Also enter on Line 5, Recapitulation) $ 9,937.10
If more space is needed,use additional sheets of paper of the same size.
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Reese, Jessie
From: Mercer,Valarie on behalf of DATE OF DEATH REQUESTS
Sent: Friday,August 31,2012 11:28 AM
To: Reese,Jessie
Subject: RE: prod - Date of Death Request
Per your request, please find the Date of Death Values 1
Account Number Balance Accrued Interest Total
1. 13113305 2744.43 00.00 2744.43
2. 12044448581574998-DOD Balance-$00.00-Current Balance-00.00
-.-----Let-me know if there's anything else-you need :)
Thanks
V Mercer
-----Original Message-----
From: Reese,Jessie
Sent:Tuesday,August 28,2012 3:16 PM
To: DATE OF DEATH REQUESTS
Cc: Reese,Jessie
Subject: prod-Date of Death Request
Account Information
Date of death:08/17/2012
Account Number: 13113305
Product Type: Deposit Account
Account Number: 12044448581574998
Product Type: LOC/Business VISA/ODL.
Request Details
VLA
.� sses .� talcie Nates
Nouse 100.0000.00 Estimate
Car 4,SOOmOO
Eottk Account _�... $ 2,74 .43
Cash $ 250.00
Hciuphcld Contents S 1,000.00 Estimate
assets tub rotat
Bill of Sale
2005 Mercury Sable
]Light blue,cruise control,s6&-cd
Inspected.October 2012,new battery
80,000 miles
Sold "As-is"'
Seller: Estate of Gisela 1-1,McBride
Gisela.V.McBride--Executrix
Buyer: N -A ( � . . .
Amount: '- -2—C�
Cash
Check Check information
Date of.Sale:
REV-1511 EX+(08-13)
i pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
McBride, Gisela R. 21-12-0940
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL_EXPENSES:
1' Hetrick Funeral Home,Memorial/Funeral Services 1,918.95
WELCA/First Lutheran Church,Hospitality
Blue Mountain Flowers,Memorial Service
D4. LFirst Lutheran Church,Services ~ 200.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: T- -�+�-�
41260.1
711
Name(s)of Personal Representative(s) Gisela V. McBride
Street address 50 Beacon Drive
City Harrisburg State PA ZIP 17112
Year(s)Commission Paid: 2014
2• Attorney Fees: 5,010.17
3• Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) 000
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: �� 67.601
5. Accountant Fees:
6. Tax Return Preparer Fees:
Z• Short CertificatesA
1 81
Roy Guttshall,Auctioneer,Personal Property Appraisal
F9--1 Cumberland County Assessment Office,Property Assessment 0.50 i
t o
Lu and The Sentinel-Legal,Advertisement 375.0
11..3 Register of Wills,Filing Fee,Filing of Inventory,Family Settlement Agreement ( 50.00
Subtotal from Page 2: 1,040.00
TOTAL(Also enter on Line 9, Recapitulation) $f 13,306.94
If more space is needed,use additional sheets of paper of the same size.
1'
Page 2 - Schedule H, Continued
ESTATE OF GISELA R. MCBRIDE FILE NO. 21-12-0940
Item
Number Description Amount
12. Additional Probate 190.00
13. Reserve 850.00
Subtotal to be added to Page 1 1040
TOTAL (Entered on Page 1 of Schedule H) 13306.94
Il�o:tg _` P }+m nt/t7e ►i Notes
welis Fargo through November 15 $ i,51C1.E35
Mortage Stab Total
Credit Cards Pey�rr�.entjt3e.bi. Notes
acct.closed,
Runk Ot f3rnerlca $ 3.5.00 balance forgiven
Lr#Anrie-rl.cap Express/Delta $ 72. 9 acct.closed
ast Gard Sub.
Utilities. Pa' VO /Det3t' Notes
PP&L Through: 11/15112 _ $ 265.69
PP&, Through WIS/13 $ 531.313
uGi nhrou,h 1?115!12 $ 134.00
UGI through 05/15/13 $ 450.00
3orovgnofCarlisle-Water _ $ 72,90
Boroughs of CrArlisls' �1Fater=thio(gh�5115/13 $_ 480 CO
Century Link-Phone and lnterent �— $� 160.54 acct.closer!
Pioneer-long Distance $ � 25.53 acct closed
;tilitles Sub T0141
Medic.at Pay,►rentJUebt Notes
Carlisle Hospital $ 50.00 acre.closed
Johns Hopkins 5 60.00 acct.closed
Hiltan i-teat;island Hospital ---- $ _50.00 acts,closed_~
Hilton Heats island Hospital 51.0 0 acct.closed_
;nuns i~ot.kens-7V;Telephone $ a7.?J acct.closest _
PSL !irtz�clir,a!Center _— $ p-70 acct.closed
t'v9edital Sub Total —
$
_tVlernorialj'Ftiners Seruiees Faytry Nags
.Orfa
Hn_¢rick Funeral l4onle $ 1,918.95 _ _
WE3.C£�;1st Lutheran •tuncheor± $ 226.55
Blue Mcuntatn Flowers �~�_ $ 100.00
First Lutheran-Service $ �" 200.00
memorial/Nnerai Services 5uts.7atal
Hetrick Cremation Services of Central Pennsylvania, Inc. Invoice
3125 Walnut Street
Harrisburg,PA 17109 Date Invoice#
8/23/2012
740
:Bill To
Gisela McBride
50 Beacon Dr.
Harrisburg,PA 17112
4
Client Terms Due Date
Gisela R.I.McBride COD 8/23/2012 P
Qty Description Rate Amount
1525Direct Cremation 1,525.00 1,525.00
12 Death Certificates 6.00 72.00
Coroner's Release Fee 25.00 25.00
Newspaper Notice 296.95 296.95
Total $1,918.95
Payments/Credits 50.00
It's been a pleasure working with you!
Balance Due $1,918.95
I
113 Forge Rd., .Boiling Springs, PA 17007 �o�'�1J��1;
In Account With
ROY. D. GOTTSHALL,
r
AUCTIONEER
ae
J� O
---------------
i
A
2 r
x Cumberland County Assessment Office Thursday,October 18,2012
One Courthouse Square
Carlisle, PA 17013
717-240-6362 fax 717-240-6354
ReCfiipt
Customer
Company cash Company ID: 28
Name:
Address 1
Address 2
City: State: Zip:
Phone Number
RequestiD: Job Number: Description of Request: Quanity: Unit Price: Balance Due:
6604 2 $0.25 $0.50
Total Due: $0.50
Paid in Full Signature
REV-1512 EX+(12-12)
Pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES &LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
McBride, Gisela R. 21-12-0940
Report debts incurred 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. ECar Insurance(DOD until April 14,2013) f 248.20 ]
! 2] [Car Maintenance(Title;Inspection,Battery)Prior to Sale 87.32 1
3 House Maintenance,Outdoor Lighting 20.004.
(Bance_ k of America Credit Card Debt �..^�;��.•�"L��.�_����� t 588.08
:511
Americom an Express/Delta,Credit Card Debt 72 89 .1
i 6. `Medical Bills 457.67
71 tPP&L,Electric Bills(DOD until March 7,2013) i 712.89
L
-
r_ �r
8. UGI,Gas Bills(DOD until March 7,2013) ^4A- '599.4
j 9.� :Borough of Carlisle,SewerMater(DOD until March 7,2013) C 385.43
# 10 ]Century Link Telephone and Internet Service(DOD until March 7,2013) 180 47 i
XI {Pioneer,Long Distance Telephone Service(DOD until March 7,2013) 31.36 f
12. IWells Fargo,Home Mortgage Payments(DOD until March 7,2013) j 9,307.9 ]
13. Daniels Landscaping,Maintenance 300.00
i �--mac-------�:a--�---�—.._,
ff 14Payoff First Mortgage Loan to Wells Fargo,Home Mortgage Inc. 23,070.29
1 Payoff Second Mortgage Loan to M&T Bank50.5011
I'- -
i 16. Seller Assistance' 2,370.
00
17 'Real Estate Broker Fees 4 740 0�1
18, Realty Transfer Taxes�T � � � E` 790.00
19 2014 County Property Taxes i
609.48
a _
h
v�rr.
TOTAL(Also enter on Line 10,Recapitulation) $ 44,622.04
If more space is needed,,insert additional sheets of the same size.
•�,� OMB Approval No.2502-0265
A. Settlement Statement (HUD-I*)
•:ate KO
o p i •.
1.❑FHA 2.0 RHS 3.Q Conv.Unins. 6.File Number: 7.Loan Number: B.Mortgage Insurance Case Number:
13-186 6067609
4.L]VA 5. Conv. Ins.
C.Note:This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agents are shown.Items marked
"(p.o.c)"were paid outside the closing;they are shown here for informational purposes and are not included in the totals.
D. Name&Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender:
Gail L.De'Angelo Estate of Gisela R.McBride Cole Taylor Sank
11 Sandy Bottom Road,Carlisle,PA 17015 322 North Bedford Street,Carlisle,PA 17013 2350 Green Rd,Suite 100,Ann Arbor,MI 4810
G. Property Location: H.Settlement Agent: I.Settlement Date:03/07/2014
322 North Bedford Street The Law Office of Andrew H.Shaw,PC Disbursement Date:03/07/2014
Carlisle, PA 17013 200 S.Spring Garden Street,Suite 11,Carlisle,PA 17013
Carlisle Borough
Telephone:717-243-7135
Place of Settlement: TitieExpress
200 S.Spring Garden Street,Suite 11,Carlisle,PA 17013 Printed 03/06/2014 at 2:40 pm
by ANS
100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller
101. Contract sales price 79,000.00 401. Contract sales price 79,000.00
102. Personal pTperty 402. Personal property
103. Settlement charges to borrower(line 1400) 3,800.63 403.
104. 404.
105. 405.
Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance
106. City/town taxes to 406. City/town taxes to
107. County taxes 0310712014 to 12/3112014 500.94 407. County taxes 03/07/2014 to 12/31/2014 500.94
108. School Taxes 03/07/2014 to 06/30/2014 435.01 408. School Taxes 03/0712014 to 06/30/2014 435.01
109. 409.
110. 410.
111. 411.
112. 412.
120. Gross Amount Due from Borrower 83,136.58 420. Gross Amount Due to Seller 79,935.95
200. Amounts Paid by or in Behalf of Borrower 500. Reductions In Amount Due to Seller
201. Deposit or eamest money 501. Excess deposit(see instructions)
202. Principal amount of new loan(s) 75,050.00 502. Settlement charges to seller(line 1400) 6,139.48
203. Existing loan(s) taken subject to 503. Existing ioa s taken subject to
204. 504. Payoff of first mortgage loan#3404845 to Wells 23,070.29
Faro Home Mort a e,Inc.
205, 505. Payoff of second mortgage loan to M&T Bank 50.50
206, 506.
207. Seller's Assistance 2,370.00 507. Seller's Assistance 2,370.00
208. 508.
209. 509.
Adjustments for items unpaid by seller Adjustments for items unpaid b seller
210. Cityltown taxes to 510. City/town taxes to
211. County taxes to 511. County taxes to
212. School Taxes to 512. School Taxes to
213. 513.
214. 514.
215. 515,
216. 616.
Charges
700. Total Real Estate Broker Fees $4,740.00 Paid From Paid From
Division of commission line 700 as follows, Borrower's Seller's
701• $2,370.00 to Wolfe&Company Realtors Funds at Funds at
702. $2,370.00 to Wolfe&Company Realtors Settlement Settlement
703. Commission paid at settlement 4,740.00
704. to
800. items Payable in Connection with Loan
801. Our origination charge (includes Origination Point 0.000%or$0.00) $2,813.88 (from GFE#1)
802. Your credit or charge(points)for the specific interest rate chosen $-2,401.61 (from GFE#2)
803. Your adjusted origination charges (from GFE A) 412.27
804. Appraisal fee to Dart Appraisal $455.00 P.O.C.B* (from GFE#3)
805. Credit report to Credit Pius (from GFE#3) 26.95
806. Tax service to (from GFE#3)
807. Flood certification to Corel is Flood Services (from GFE#3) 9.00
808. to
900. Items Required by Lender to be Paid in Advance
901. Daily interest charges from from 03/07/2014 to 04101/2014 @$9.76681day (from GFE#10) 244.17
902. Mortgage insurance premium for months to (from GFE#3)
903. Homeowner's insurance for 1 years to Erie Insurance $371.00 PA,C.B (from GFE#11)
804, months to from GFE#11
1000. Reserves Deposited with Lender
1001, initial deposit for your escrow account (from GFE#9) 993.74
1002.Homeowner's insurance 3 months @$ 30.921month $92.76
1003. Mortgage insurance months $ 33.77/month $
1004,Property taxes 2 months 0$ 54.17/month $108.34
1005' months $ O.00tmonth $ l
1006.School Taxes 10 months @$ 116.39/month $1,163.90
1007.Aggregate Adjustment $-371.26
1100. Title Char es
1101. Title services and tender's titre insurance to The Law Office of Andrew F
1102. Settlement or closing feeto $ from GFE#4 1,138.00
1103. Owner's title insurance-West Cor Land and Title Insurance Company
1104. Lenders title insurance-West Cor Land and Title Insurance Company $768.00 from GFE#5 16.50
1105. Lender's title policy limit$75,050.00 Lenders Policy
1106. Owner's 6 1 policy limit$79,000.00 Owner's Policy
1107. Agent's portion of the total title insurance premium
to The Law Office of Andrew H.Shaw PC $666.82
1108. Underwriter's portion of the total title insurance premium
to West Cor Land and Title Insurance Company
1109,
1200. Government Recordin 11 an11 d Transfer Cha-
1201. Government recording charges
1202. Deed$67.00 $ (from GFE#7) 170.00
1203. Transfer taxes Mort a e$103.00 Release$
1204. City/County taxlstamps $ (from GFE#8) 790.00
1205. State Taxlstamps Deed$790.00 Mart a e$
1206. Deed$790.00 Mort a e$
1207. Deed$ Mart a e$ 790.00
1300. Additional Settlement Charges
1301. Required services that you can shop for
1302. 2014 County Property Taxesto Carlisle Borou h (gym GFE#6)
1303.
1304. to $ 609.48
1305. to $
to $
*tt
'Paid outside of closing by(8)orrower,-(S)eller,Wender,(I)nvestor,Sro(K)er.-
• � 3,800.63 6,139.48
Credit by tender shown on page 1.-Credit by seller shown on pane 1.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE
INHERrrANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
McBride,'Gisela R. 21-12-0940
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1• Gisela V McBride,50 Beacon Dr.,Harrisburg PA 17112 Daughter 50 01
2.1 Thomas C.McBride,24 Franklin Avenue,Fairview,NJ 07022 Son ; 50%
L�j
EJ ���..�..p,��
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: _
[-----�`(
TOTAL OF PART H-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET. $ _
If more space is needed,use additional sheets of paper of the same size.