HomeMy WebLinkAbout11-26-14 1505611186
R EV-1 500 EX(02-11)(FI)
OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes
PO BOX 280601 INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT �(
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
03262014 05041950
Decedent's Last Name Suffix Decedent's First Name M I
MAHONEY TERESA R
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name M I
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
X❑ 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return(Date of Death
Prior to 12-13-82)
❑ 4. Limited Estate ❑ 4a. Future Interest Compromise(date of ❑ 5. Federal Estate Tax Return Required
death after 12-12-82)
❑ 6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
❑ 9. Litigation Proceeds Received ❑ 10. Spousal Poverty Credit(Date of Death ❑ 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 TO:
Name Daytime Telephone Number
ROBERT L - DLUGEI JR - 1 ESQ 570-672-2536
REGISTER OrF�IIILLS USE ON---
CZ
NL ?J
First Line of Address 1 :x C r)
133 MT - CARMEL AVENUE rci
Second Line of Address '�' �
P - 0 • BOX 304
City or Post Office State ZIP Code UATE'FILED CO
ELYSBURG PA 17824 01)
Correspondent's e-mail address:
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,
it is true,correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG TUBE OF,PERN RESPO SIBLE FOR LING RETURN DATE
1271r
ARD
RES
634 ELYSBURG ROAD;f YSBURGI PA 17824
SI OF PREPARER OTHER THAN REPRESENTATIVE . DATE
ADD
P . O . BO 41 ELYSBURGI PA 17824
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505611186 1W461472.000 1505611186 , J
PD
1505611286
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: TERESA R • MAHONEY
RECAPITULATION
1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 140-1000 - 00
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . 2. 24 ,290 - 46
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C), . . . . 3.
4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E) . . . . . 5. 2 91,557 • 51
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . , , , 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) I ❑ Separate Billing Requested . . . . 7.
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . 8. 455-,847 - 97
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. 601384 - 56
10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) . , , . . . . . . 10. 891958 - 84
11. Total Deductions(total Lines 9 and 10), , , , , , , , , , , , , , , , , , , , it. 150,343 - 40
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . 12. 305,504 - 57
13. 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) . , , . , . 14, 305,504 - 57
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- 15.
16. Amount of Line 14 taxable
at lineal rate X.0-
16.
17. Amount of Line 14 taxable
at sibling rate X.12 .3051504 . 57 17. 361660 . 55
18. Amount of Line 14 taxable
at collateral rate X.15
18.
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 36,660 . 55
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
1505611286 1505611286
1W4648 2.000
REV-1500 EX(FI) Page 3 File Number 21-14-0331
'Decedent's Complete Address:
DECEDENTS NAME
TERESA R . MAHONEY
STREEfADDRESS
1105 ALLEN STREET.
CITY STATE ZIP
NEW CUMBERLAND PA 17070
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 361660 . 55
2. Credits/Payments
A. Prior Payments 151000 - 00
B. Discount 11833 - 03
Total Credits(A+B) (2) 161833 - 03
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT.
Fill in box on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 191827 - 52
Make check payable to:REGISTER OF WILLS,_AGENT.
',,. i3i�' ..� - ice .. " , ..,,. `'`4�4
..R. _ .w.n ..,fr.. ... , ::,.- ", «...... ... ......» n«d.,....,.,� a,.,,�. F. 3'i 3, a
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 s'hall'use the,property transferred or its income . . . . . . .
c. retain a reversionary interest El M
. . . . . . . . . . . . . . . . : . . .
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑
El
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
01,10
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.
1W4671 1.000
REV-1502 EX+(Ot-10) SCHEDULE A
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDEN DECEDENT
ESTATE OF: FILE NUMBER:
TERESA R. MAHONEY 21-14-0331
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 DESCRIPTION OF DEATH
1• Real estate situate at 1105 Allen Street, New Cumberland,
Cumberland County, Pennsylvania, as recorded in Deed Book 278,
at page 12. Valuation based upon the sale of the same. 140,000.00
TOTAL (Also enter on Line 1,Recapitulation.) $ 140 000.00
1W4695 1.000 If more space is needed, use additional sheets of paper of the same size.
REV-1503 EX+(7-11)
Pennsylvania SCHEDULE B
EPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS &BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
TERESA A. MAHONEY 21-14-0331
All property jointly awned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
t• Numerous Series EE bonds titled in the decedent's name 24,290.46
TOTAL (Also enter on Line 2,Recapitulation) $ 24 290,46
iw4696 2.000 If more space is needed,insert additional sheets of the same size
REV-1508 EX+(11-10)
pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RE
RESIDENT ECEDENTTURN PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
TERESA R. MAHONEY 21-14-0331
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. 1. IRA Account with Fidelity Investments 8,204.15
2. Account No. 616-15480-1-8 with Edward Jones 4,615.38
3. Account No. 957-13458-1-9 with Edward Jones 85,922.46
4. IRA Account No. 957-96111-1-3 with Edward Jones 109,742.89
5. IRA Account No. 957-95719-1-1 with Edward Jones 50,266.96
6. Savings Account No. S1 with PSECU 11,912.52
7. Checking Account No. S4 with PSECU 1,854.67
8. Money Market Account No. S7 with PSECU 11,278.09
9. Certificate of Deposit No. S50 with PSECU 2,034.48
10. Certificate of Deposit No. S52 with PSECU 5,725.91
TOTAL(Also enter on line 5,Recapitulation) $ 291 557.51
1 Wa6AD 1.000 If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(10-09) SCHEDULE H
pennsylvania
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
TERESA R. MAHONEY 21-14-0331
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Parthemore Funeral Home 12,339.48
2. Office of Catholic Cemeteries 1,760.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: 22,792.40
Name(s)of Personal Representative(s) Jerome J. Mahoney, Jr.
Street Address 634 Elysburg Road
City Elysburg State PA ZIP 17824
Year(s)Commission Paid: 2015
2. Attorney Fees: 22,792.40
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: 413.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
7. Cumberland Law Journal 75.00
8. The Sentinel 211.78
TOTAL(Also enter on Line 9, Recapitulation) $ 60 384.56
I W46AG 1.000 If more space is needed, use additional sheets of paper of the same size.
REV-1512 EX+(12-08)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITESIDE
ANCE TAX RETURN
RESIDEM'DECEDENT MORTGAGE LIABILITIES & LIENS
ESTATE OF FILE NUMBER
TERESA R. MAHONEY 21-14-0331
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. Mortgage with Wells Fargo Home Mortgage 58,213.30
2. Robin Gasperetti, Tax Collector - 2014 co/twp taxes 2,052.13
3. PA Water Company - water bills 338.73
4. PSERS - reimbursement of March check 360.82
5. New Cumberland Borough - sewer/trash fees 417.91
6. UGI - gas bills 162.74
7. Leffler Energy 1,410.19
8. Abbey Carpet & Floor 1,800.00
9. Robert Hobaugh - painting 2,175.00
10. Comcast 85.12
11. PPL Electric Utilities 1,409.51
12. Verizon Wireless 31.51
13. Jerome J. Mahoney, Jr. - reimbursement 3,935.00
14. H.V. Mechanical Services 416.89
15. Mary Julia Klimas - reimbursement 1,380.00
16. Michael Walter - mowing of grass 500.00
17. Recorder of Deeds 1 1,400.00
18. Century 21 Realty.Services 4,366.00
19. RE/MAX Realty Professionals 4,071.00
20. Seller Assist 4,300.00
21. U.S. Postal Service 19.99
22. Penn Pest, LLC 1,113.00
TOTAL Also enter on Line 10,Recapitulation) $ 89 958.84
1W46AH 1.000 If more space is needed, insert additional sheets of the same size.
REV-1513 EX+(Ot-10) SCHEDULE J
pennsylvania
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
TERESA R. MAHONEY 21-14-0331
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec. 9116(a) (1.2).]
1.
1. Jerome J. Mahoney, Jr. Brother 1/3 residuary
634 Elysburg Road
Elysburg, PA 17824
2. Mary Julia Klimas Sister 1/3 residuary
189 Lavelle Road
Ashland, PA 17921
3. Anne F. Anoia Sister 1/3 residuary
P.O. Box 115
Aristes, PA 17920
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
[[ NON-TAXABLE DISTRIBUTIONS
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
1 W46AI 1.000 If more space is needed, use additional sheets of paper of the same size.
q�lull�' A. Settlement Statement (HUD-1) OMB Approval.No.2502-0265Esr)nnaTED
1.Q FHA 2.Q RHS 3, Conv.Unlns. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number:
14-3195NM 0030223184
4.❑VA 5.O 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 dosing;they are shown here for informational purposes and are not Included in the totals.
D.Name 8 Address of Borrower. E.Name 8 A dress of Seller. F.Name&Address of Lender:
Adrienne M.Smith Estate of Teresa R.Mahoney M&T Bank
875 Baltimore Pike,Gardners,PA 17324 One Fountain Plaza,Buffalo,NY 14203.1495
G.Property Location: H.Settlement Agent: 1.Settlement Date:11/18/2014
1105 Allen Street North Mountain Settlement Services,L.P. Disbursement Dale:11/18/2014
New Cumberland,PA 17070 1250 North Mountain Road,Harrisburg,PA 17112
26-24-0809-122,New Cumberland Borough
Telephone:717.364.3140 Fax:717.364-3144
Place of Settlement: TitleExpress
1250 North Mountain Road,Harrisburg,PA 17112 Printed 11/10/2014 at 3:02 pm
by BG
J.Summary of Borrower's Transaction K.Summary of Seller's Transaction
100. Gross Amount Due from Borrower' 400. Gross Amount Due to Seller
101. Contract sales price - 140,000.00 401. Contract sales price 140,000.00
102. Personal property 402. Personal property -
103. Settlement charges to borrower(line 1400) 3,346.00 403.
104. 404. .
105. 405.
Adjustments for Items p aid by seller in advance Adjustments for Items paid by seller in advance
106. Cltyltown taxes . to 406. Gtyllown taxes to
107. County taxes -11118/2014 to 1213112014 100.74 407. County taxes 11/1812014 to 12J3112014 100.74
• 108. Assessments to 408. Assessments to
109. Schad taxes 11/18/2014 to 06/30/2015 749.86 409. School taxes 11/182014 to 06130/2015 749.86
110. Trash 1111812014 to 12/31/2014 18.46 410. Trash 11/182014 to 12/3112014 18.46
11L 411.
112. 412.
. 120• Gross Amount Due from Borrower 1",215.06.1 420. Gross Amount Due to Seller 140,869.06
200. *Amounts Paid by or in Behalf of Borrower I 500. Reductions In Amount Due to Seller
201. Deposit or earnest money 1,000.00' 501. Excess deposit(see Instructions)
202. 'Principal amount of new loan(s) 112,000.00; 502. Settlement charges to seller(line 1400) 9,867.00
203. Existing loans taken subject to 503. Existing loans taken subject to
204• 504• Payoff of first mortgage loan#0279162275 to Wells 55,423.31
Fargo Bank,N.A.
205. 505. Payoff of second mortgage loan
206. 506.
207. i 507. -
208. 508.
209. Seller Assist 4,300.00 509. Seller Assist 4.300.00
Adjustments for Items unpaid by seller Adjustments for Items unpaid by seller
210. CityAown taxes to 510. Cityltown taxes to
211. County taxes -to 511. County taxes to
212. Assessments to 512. Assessmepts to
213. Sewer 10/0112014 to 11/1812014 39.99 513. Sewer 10/012014 to 1111812014 39.99
214, 514.
215. 515.
216. 516.
217, 517.
218. - 518.
219. 519.
220• Total Paid by/for Borrower' - 117,339.99 520. Total Reduction Amount Due Seller 69,630.30
300. Cash at Settlement fromRO-Borrower 600. Cash at Settlement tolfrom Seller
• 301. Gross amount due from borrower(line 120) 144,215.06 601, Gross amount due to seller Dine 420) 140,869.06
302. Less amounts paid byRor borrower(line 220) 117,339.99 602. Less reductions in amount due seller(line 520) 69,630.30
303. Cash OX From To Borrower 26,875.07 603. Cash E) To E From Seller 71,238.16
_.M 0.rmr-R rcpwm0 �W�Ymh'M Id re wrw�bee+p�m .
Nf lmnlr4Yxdw.x.�a.rrnrvsa OMB said amMr.Na trrMMsW b�ssasE:r+adMewsh mnaakr'l.TMsb awousbpaax,e prnesbs RElR�eartrr0 twnrea,,.;a Yea,msrm d+bo arc
Previous editlons are obsolete Page 1 of 4 HUD-1
L.Settlement Charges
700. Total RealEstaleBrokerFees- - $8,687.00 Paid From Paid From
Division ofcommission(line 700)aslolows: Borrower's Seller's
701. S250,GD to Remax Realty Professionals Funds at Funds at
702. $4,011.00 to RemaxRealty Professionals Settlement Settlement
54,366.00 to Century 21 Piscioned Realty,Inc.
703. Commission paid at settlement 250.00 8,437.00
704. to
800. Items Payable In Connection with Loan
801. Our orlMnation charge (includes Origination Point 0.000%or$0.00) 5 (from GFE#i)
802. Your credit or charge(prints)for the specific interest rate chosen $ (from GFE 42)
803. Your adjusted origination charges (tram GFE A)
804• Appraisal fee to (from GFE#3)
805. Credit report - to (from GFE#3)
806. Tax service to (from GFE#3)
607. Fkrod cerlificadon to (nom GFE 43)
808. to
900. Items Required by Lender to be Paid In Advance
901. Daily Interest charges from from 1111812014 to 12101/2014 @$0.001day (from GFE#10)
902. ;.Mortgage Ins.Premium - for months to (from GFE#3)
903. ,Homeowner's insurance for months to (from GFE 011)
904.' months to from GFE#11
ID00. Reserves Deposited with Lander
1001. Initial deposit for your escrow account (from GFE#9)
1002. Homeownees Insurar a months @ S 0.001marth S to
IDD3. Mortgage Insurance months @$ 0.001month S, to
1004. City Property Tax months @$ 0.001nonth $ to
1005. County Property Tax months @ S 69.64/month $ to
1006. School Property Tax months @ S 0.00/month S to
1007. Aggregate Adjustment $ to
1160. TW*Charges
1101. Title services and lender's title insurance from GFE#4 1,365.00
1102. Settlement or closing fee to $
1103, Owner's 000 Insurance from GFE#5 140.00
1104. Lendersgtleinsurance $1,110.00
1105. Lendees Nus polity Amit$112,000.00 lenders Pdlcy .
1106. Owners due poricy limit$140,000.00 Owner's Policy
1107. Agent's portion of the total title Insurance premium s1,100.00
to North Mountain Settlement Services,C.P.
1108. Undervnitefs portion of the total the insurance premium $150.00
to Old Re ubfic National Title Insurance Co.
1109. Clos4VSvcUACL to North Mountain Settlement So 5125.00
1200. Government Recording and Transfer Charges i
1201. Govemment recording charges $ (from GFE#7) 191.00
1202, Deed$78.50 Morta$112.50 Release 5 to Cumberland County Recorder of 0
1203. Transfer taxes $ (from GFE 98) 1,400.00
12D4. City/County tax/stamps Deed$1,400.00 Mortgage S to Cumberland County Recorder of D
1205. State Tax/stamps Deed$1,¢00.00 "age S to Cumberland County Recorder of 0 1,400.00
.. 1206. Deed S Mortgage$ to
1207.'' $ to
1300, Additional Settlement Charges
1301. Required services that you can shop for (tram GFE 46)
1302. Tax Certl icatien to Nath Mountain Settlement Services 10.00
1303, 2014 Cc 8 Borough Tax to Robin Gasperetd 5835.69 P.O.C.(Sq
1304. 2014.15 School Tax to Robin Gasperetti 51,216.44 P.O.C.S
1305..Overnight Fee to Noor Mountain Settlement Services,L.P. 20•
00
1400. i 3,346.00 9,867.00
Pad outside of dosing by(B)o ower.(S)eller,(L)ender,(i)mrestor,Sro(K)er."Credit by tender shown on page i.-Credit by sefler shown on page 1.
-
HUD-1
Previous editions are obsolete Page 2 of 4