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HomeMy WebLinkAbout11-26-14 (2) � 150561�140 REV-1500 EX �°2_„>�F'> PA Department of Revenue Bureau of Individual Taxes County Code Year File Number Po eox 2so6o� INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 1 4 � 1 5 9 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 2 0 5 2 0 ], 4 0 4 2 6 7, 9 3 2 Decedent's Last Name Suffix DecedenYs First Name M� P E I F F E R N E I L p (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 a 1. Original Return � 2. Supplementaf 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) �X 6. Decedent Died Testate � 7. Decedent Maintained a Living Trust 1 8.Total Number of Safe Deposit Boxes (Attach Copy of Wilp (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 T0: Name Daytime Telephone Number D A V I D H S T 0 N E , E S Q U I R E 7 1, 7 7 7 4 �-ti 4 3 5 ,-_� � t-, ,...� _� �:--�r i REG�9�LER�f WILLS USE ONL'Y�i �_ *. _T_.. a �� ' ,,j �� ? �I -t:7 r"_' ,_.) ..:17 First Line ofAddress ', -�� <�' '�% i - ;,; n.� .�i, 4 1 4 B R I D G E S T R E E T j _ G' ;:iJ Second Line of Address ', , �":': � "Y"� ; • _,:� '�1 ' -;} . . �_ . ,.. �� ; � ��-i ('V Y-._ �*t.� City or Post Office State ZIP Code �____—____ DafiE FILED �— � -- —�--Ef)-_.rl N E W C U M B E R L A N D P A 1 7 0 7 0 � CorrespondenYs e-mail address: D S T O N E a�S T 0 N E L A W • N E T 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. ,$IG ATU OF P RSON RE ON BLE FOR F�LING RETURN DATE ^l\ L ��_�� ADDRESS 6 E A ETTERS PA 17319 SI`GNA RE OF PREPA OT N PRESENTATIVE DATE ADDR S I ��_l� 4],4 TRE NEW CUMBERLAND PA 1,7070 PLEASE USE ORIGINAL FORM ONLY Side 1 � 15�561,014� 15056101,40 J � � 1505610240 REV-1500 EX(FI) Decedent's Social Security Number oecede�es rvame: N E I L 0 • P E I F F E R RECAPITULATION 1. Real Estate(Schedule A) � 1 � 3 5 � � � � � . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Stocks and Bonds(Schedule B) 2. 1 1 3 1 � . � 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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. 5 4 5 2 . 3 9 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. . 7. Inter-Vivos Transfers&Miscellaneous N�-Probate Property (Schedule G) Separate Billing Requested . . . . . . . 7. , 8. Total Gross Assets(total Lines t through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . g. 1 9 0 2 6 9 , 4 7 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9. 4 4 4 8 3 . 5 � 10. Debts of Decedent, Mortgage Liabilities, and Liens(Schedule I) . . . . . . . . . . . . . 10. 9 5 6 5 2 . 3 ], 11, Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 1 4 � 1 3 5 . 8 8 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 5 � 1 3 3 . 5 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an etection to tax has not been made(Schedule J) . . . . . . . . . . 13. � 14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . 14. 5 0 1 3 3 . 5 9 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 15. 0 . 0 0 16. Amount of Line 14 taxable at�inea�rate X .045 5 � 1 3 3 . 5 9 �s. 2 2 5 6 . 0 1 17. Amount of Line 14 taxable at sibling rate x.iz 0 . 0 0 ��. 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X .15 � . Q Q �g 0 . 0 � 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . 19. 2 2 5 6 . � 1 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Side 2 � ],50561,0240 1,50561D240 J REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: 27, 1,4 �159 DECEDENT'S NAME NEIL 0 • PEIFFER STREET ADDRESS - — - 700 GEARY STREET _ CITY— - - --- -- STATE ZIP NEW CUMBERLAND Ipq 117070- Tax Payments and Credits: �• Tax Due(Page 2,Line 19) (1) 2,2 5 6 • 01 2. Credits/Payments A. Prior Payments B. Discount Totai Credits(A+g) �2� 0 • D� 3. Interest 4. If Line 2 is greater than Line 1 +Line 3,enter the difference,This is the OVERPAYMENT. (3) 0 • 00 Fill in oval on Page 2,Line 20 to request a refund. (4) 0 • 0 0 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 2,2 5 6 • 01 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 ...................................................................... � Q b. retain the right to designate who shall use the property transferred or its income ............................... ❑ ❑X c. retain a reversionary interest ..................................................................................................... ❑ 0 d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ Q 2, if death occurred after December 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ Q 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ XQ 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 is 3 percent[72 P.S. §9116(a)(1.1)(i)J. 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 p2 P.s.§s��s�a)(���. • The tax rate imposed on the net value of transfers to or for the use of the decedenPs 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+(12-12) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REALESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: NEIL 0 • PEIFFER 21 1,4 0159 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 compeiled to buy or sell,both having reasonable knowiedge of the relevant facts. Real property that is jointlyowned 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 decedenYs interest if owned as tenant in common. VALUE AT DATE NUMBER OFDEATH DESCRIPTION � Property at 70� Geary Ave New Cumberland, 173,500 • 00 Cumberland County, PA sold to Timothy Blair and Billie Jo Blair, husband and wife on July 23, 2014 TOTAL(Also enter on Line 1,Recapitulation.) S 17 3,5 0 0 • 0 0 If more space is needed,use additional sheets of paper of the same size. REV-1503 EX+ (8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCETAXRETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER NEIL 0 - PEIFFER 21 1,4 0159 All property jointly owned with right of survivo�ship must be disciosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH � Yellow Breeches Investment Club stock a� $6 ,276 • 16 11,�1,7 • 08 per share less 10i expenses ($627 • 62 ) plus $10 • 00 March dues equals $5,658 • 54 times 2 shares TOTAL(Also enter on Line 2,Recapitulation) $ L], ,3],7 • 0 8 If more space is needed, insert additional sheets of the same size REV-1508 EX+(08-t2) pennsylvania SCHEDULE E DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDENTDECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: NEIL 0 • PEIFFER 21 1,4 0159 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 �. Comcast-refund on equipment and service 4�9 • 23 2 M&T Bank-�hecking Acct #67901964 3,569 • 51 Princ $3,569 • 51 , Int $ • 01 3 M&T Bank-Checking Acct #67901964 - Accrued Int 0 • 01 4 Miscellaneous refunds received 152 • 59 5 Personal property as mentioned in Schedule of 1,00 • 00 Special Bequests to will (guns, washstand, and rocker) 6 Refund on painting services at property 1, 221 • �5 TOTAL(Also enter on Line 5,Recapitulation) $ 5, 4 5 2 • 3 9 If more space is needed, use additionaf sheets of paper of the same size. REV-1511 EX+ (OB-13) pennsyivania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER NEIL 0 • PEIFFER 21 14 D159 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: �. Parthemore Funeral Home-funeral expenses 10 , 458 • 53 2 Potteiger ' s Memorials-engraving 195 • 00 3 Christ Lutheran Cemetery, Wormsdorf-serv rendered 1�0 • 00 4 Vault Company-services rendered 795 • DO B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. AttorneyFees: David H Stone, Esquire 4 ,500 • 00 3. Family Exemption:(If decedenYs address is not the same as claimanPs,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. P�obateFees: Cumberland County Register of Wills 328 • 50 5 Accountant Fees: 6. Tax Return Preparer Fees: �. Bank service charges June-October 34 . 75 2 PAWC-water service at property from Feb to July 231, - 60 3 Robin Derendinger-Misc items for cleaning house 1,84 • 24 4 Electric bill at property from Feb to July 465 • 09 5 Allstate Insurance-homeowners ins at property 297 • 81 6 Painters RA-painting done at property 2, 400 • 00 7 Rich Alligeri-repairs done at property 400 • 00 8 Settlement costs $22, 422 • 02 less reimb $2,201 • 43 20 ,220 • 59 9 Painters RA-painting done at property 1,20� • 00 LO Painters RA-painting done at property 500 • 0� 1], Robin Derendinger-Reimb for repairs done at prop 500 • �� 1,2 Robin Derendinger-Reimb for repairs done at prop 2�0 • �0 TOTAL(Also enter on Line 9,Recapitulation) $ 4 4 , 4 8 3 • 5 7 If more space is needed,use additional sheets of paper of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent NEIL O. PEIFFER 21 14 0159 DecedenYs Name Page 1 File Number Schedule H -Funeral Expenses 8�Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 13 Real estate taxes on property 1„180 - 46 14 David H Stone-Reimb for short cert and fed ex fee 25 • 0� 15 David H Stone-Reimb for Vital Record for death cert 37 • �0 16 Register of Wills-filing Inh tax return and Inv 30 • �0 17 Reserve for closing expenses 2�0 • 00 SUBTOTAL SCHEDULE H•B7 1, 4 7 2 • 4 6 REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT� INHERITANCETAXRETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER NEIL 0 - PEIFFER 21, 14 0159 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 i CVS Caremank-debt of decedent 45 • 98 2 M&T Bank-loan payoff of #12�44449349824998 83,118 • 42 3 Wells Fargo-student loan payoff balance 1,2 , 487 • 91 TOTAL(Also enter on Line 10,Recapitulation) $ 9 5, 6 5 2 • 31 If more space is needed, insert additional sheets of the same size. REV-7513 EX+�p�-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: NEIL 0 • PEIFFER 21 14 0159 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE j TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] � ROBIN DERENDINGER Sch E #5 $25 & Lineal 1,6 ,702 • 87 664 BANBERGER ROAD 1,/3 residue of ETTERS PA 1?319- estate 2 JEFFREY L PEIFFER Sch E #5 $50 & Lineal 16,727 • 86 724 BUSLER AVENUE 1/3 residue of LEMOYNE PA 17043- estate 3 ALLISON P PEIFFER Sch E �5 $25 & Lineal 1,6 ,702 • 86 321 8TH STREET, 1ST FL 1/3 residue NEW CUMBERLAND PA 17070- of estate ENTER DOLLAR AMOUNTS FOR OISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. 1[. 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. $ If more space is needed,use additional sheets of paper of the same size. . • ' ' ' ' L .� � T tiVILL d» D TEST �-� 1�1E � T OF - -,� -, , - � ET �, Cfl. PET � FE � . ' .,= _., �'; ; I, NEIL O. PEIFFER, of New Cumberland, Cumberland County, Pennsylvariia, being � ,; of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this to be my Last Will and Testament and hereby revoke all other Wills and Codicils that I have made, including the Will dated October 31, 1985. FIRST: I give and bequeath to the individuals whose names are set forth in the Schedule attached to this, my Last Will and Testament, the respective legacies described on the said Schedule. I have signed this Schedule in the margin for purposes of identification. i 'L Should any of these individuals fail to survive me by thirty (30) days or should said person for " any reason be unable, or otherwise refuse, to accept the gift, then that gift shall become a part �,��� � of my residuary estate. �i� --, SECOND: I give, devise, and bequeath all the rest, residue, and remainder of my Estate, of whatever nature and wherever situate, in three equal shares, to those of my children who shall survive me by thirty (30) days: my son, JEFFREY L. PEIFFER, of Lemoyne, Pennsylvania; my daughter, ROBIN DERENDINGER, of Etters, Pennsylvania; and my daughter, ALLISON P. PEIFFER, of New Cumberland, Pennsylvania. Should any of my children fail to survive me by thirty (30) days, but be represented by children then living, these children shall take, per stirpes, the share to which my child would have been entitled if then living. , , � , , THIRD: All interests of any beneficiary in the income or principal of this Estate, while undistributed and in the possession of my Executrix, even though vested and distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any bene�ciary and, furthermore, shall not be subject to pledge, assignment, conveyance, or anticipation. FOURTH: All inheritance, estate, and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate, without apportionment or right of reimbursement from any person. In the event that a substantial portion, as determined in the sole and absolute judgment and discretion of my Executrix, of the non-probate assets such as an annuity or mutual funds are directed to be paid to a beneficiary or bene�ciaries, so that the taxes referred � ��'' to herein would be paid out of the probate residue passing to the beneficiary or beneficiaries of _`,� this will (whether or not the same as the beneficiary or bene�ciaries under the non-probate �.�/ � assets), my Executrix, in the Executrix's sole and absolute judgment and discretion, shall have ���� � - , the right to allocate the full or partial payment of the taxes to the beneficiary or beneficiaries of i the non-probate assets. FIFTH: In addition to all rights and powers conferred by law, I authorize and empower my Executrix and her successors, in her absolute discretion and without necessity of obtaining court approval: A. To buy investments at a premium or discount. B• To hold property unregistered or in the name of a nominee. C. To give proxies, both ministerial and discretionary. D. To compromise claims. E. To join any merger, consolidation, reorganization, voting trust plan, or any other concerted action of security holders and to delegate discretionary duties with respect thereto. F. To lend to, and buy from, my estate. G. To borrow and to pledge real and personal property as security therefor. H. To sell at public or private sale for cash or credit or partly for each, to exchange, or to lease for any period of time, any real or personal property, and to give options for sales, exchanges, or leases. I. To exercise any option permitted by law which she believes to be advantageous from the viewpoint of overall tax reductions, including, without limitation of the foregoing, power and authority to claim administration or other expenses either as income tax deductions or inheritance or estate tax deductions, without regard to whether they were paid ' t ' from principal or income and without requiring adjustments between principal and income for `..� any resulting effect on income or estate taxes, and a deduction of such expenses for income tax :') , purposes shall be given effect in computing the respective shares of all persons interested in ;.. my estate set forth herein, even though the effect is to increase the share of one beneficiary or class of beneficiaries hereunder at the expense of another; and to make such adjustments, if any, betweeii beneficiaries with respect thereto as she shall deem appropriate in view of the nature of the transaction and the amounts involved. J. To distribute in cash or in kind or partly in each. K. To employ agents, legal counsel, brokers, and assistants, and to pay their fees and expenses as she may deem necessary or advisable to carry out the provisions of this Will or any Trust. I The powers granted hereunder shall be exercisable with respect to all real and personal property, including, but not limited to, income and principal held for minors or disabled beneficiaries at any time, until the actual distribution of all property. All powers, authorities and discretion granted here shall be in addition to those granted by law and shall be exercisable without leave of court. However, nothing herein shall be interpreted or construed to encourage, authorize, empower, or permit the Executrix to act or cause anyone to act in a manner contrary to or inconsistent with accepted standards of portfolio diversification and risk management. SIXTH: I nominate, constitute, and appoint my daughter, ROBIN DERENDINGER, as Executrix of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability of my daughter to act for whatever reason in this capacity, then I nominate, constitute, and appoint my other daughter, ALLISON P. PEIFFER, as Executrix of this, my Last Will and Testament. I direct that no representative named above shall be required to post security for the faithful performance of her duties in any jurisdiction insofar as I am able by law to relieve her of such obligation. Any of my representatives shall be entitled to reasonable compensation for the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ��/�`' day of � Jk�£ , 2011, on this, the fourth of four typewritten pages. I have also signed the left-hand margin of the �rst three of these pages and the attached Schedule for purposes of identi�cation only. � �� %� 3 �� NEIL O. PEIFFER '. SIGNED, PUBLISHED, and DECLARED by the Testator, NEIL O. PEIFFER, as his Last Will and Testament, in the presence of us, who at his request, in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ��"'` u. ul.�.,,,- Ysv ��i�,��t� �R. m`�,.�,<<b�y, ►�,� s��-�- �� _�� -� ,i �� ��� �. (m �,, � ��� �;�, � �l. ' �—�._ � � r� �, �� � G � ACKNOWLEDGVIENT Commonwealth of Pennsylvania County of Cumberland I, NEIL O. PEIFFER, Testator, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. �'� ii` _ _. r, --� NEIL O. PEIFFER � Sworn or affirmed to and subscribed before me by NEIL O. PEIFFER, the Testator, this I-�r'� dayof ]U�� , 2011. _��y� „ . ., �, Notary Publi � GCMMONWEALTH OF P�vp1SYLV4N�A �otariml Seal Mary M.Leper,Nutary pubiic Camp Hi8 Ecro,Gumt�erland Ccunty �,ty Carrimission E�ires Ud 2T,2011 Alember,Penns�h•ania Associatl�n of Nctaries AFFIDAVIT Commonwealth of Pennsylvania County of Cumberland We, Debra K. Wallet and I�y1 rl �-. YY��, �,I , the witnesses whose names are signed to the attached instrument, being duly qualified according to law, depose and say that we were present and saw the Testator, NEIL O. PEIFFER, sign and execute the instrument as his Last Will and Testament; that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that, to the best of our knowledge, the Testator was at that time 18 years of age or older, of sound mind, and under no constraint or undue influence. �.,h�. 1c. ��.c�,,f- /: ,i % ,,j�i l' r-l�, Sworn or af�rmed to and subscribed to before me by �,}-jr-� �-- ��C���_ and � ��i � � , witnesses, this j�_�.}-h day of �a 2011. , � r� r Notary Publi C�MMO�iWEALTH OF PENMSYLVANIA Nr�fana!Se� � Msry MI.Louer.Nobry Public G.�mp FliY�cro,Cumt:eriarr�Counry My Commi�sian Expires Ud.27.2011 Mt;mter,Pennsylvania Assc•ciation of Notaries ' - , , . . . , �C�IEDULE OF ��E�IP�L B�QUE��'� �'O L�S�' �VIL�, Al'�ID TE�TAi��EN�' �F i�EII. �. PEIFFER a. My son, JEFFREY L. PEIFFER, of Lemoyne, Pennsylvania: all of my guns. b. My daughter, ROBIN DERENDINGER, of Etters, Pennsylvania: my mother's washstand. c. My daughter, ALLISON P. PEIFFER, of New Cumberland, Pennsylvania: my wife's rocker. , `� ) � . � � 48500041046 REV-485 EX(05-04) SAFE DEPOSIT BOX INVENTORY PA Department of Revenue PLEASE USE ORIGINAL FORM ONLY Social Security or Death Certificate Number Date of Death County Code Year File Number _ . ��_:�-��a �-s-:�� ; _ _ _ � __ _ DecedenYs Last Name Suffix First Name M� -._ _ + �:,��.�- _ _ _ _, _N ,_ __ _ _ __ _ � . _ � � �1 _ _ o. __ _ _ __ - �ADORESS OF DECEDENT STREET: (�h O �CITY: STATE: ZIP CODE: 1�V '� � `�fYl�C� t � � l�--i� NAME AND ADDRESS OF PERSON REQUESTING THE OP NING OF THE SAfE DEPOSIT BOX NAME: Q \_ �� r � _ �,xP[`1 � �oY�. � ���1P� STREETADDR �� �CITY: TATE: ZIPCODE: ; i � NAME,ADDRESS AND RELATION IP(IF ANY)TO DECEDENT,OF PERSON(S)PRESEN AT THE BOX OPENING a. NAME: RELAT ONSHIP: ��� �� , STREETADDRESS: CITY: STATE: ZIPCODE: b. NAME: / �' J' RELATIONSHIP: STREETADDRESS: CITY: STATE: ZIPCODE: c. NAME: RELATIONSHIP: STREET ADDRESS: CITY: STATE: 21P CODE: NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED NAME: ��� �� STREETAODRESS: � CITY: STATE: ZIPCODE: . NAME OF PERSON MAKING lA3T ENTRY DATE ND TIME OF LA3T ENTRY � � DATE OF CONTRACT TO RENT BOX ' N BER OF BOX 1 TITLE UNDER WHICH BOX IS REQUESTED NAME AND ADDRESS OF PERSON(3)HAVING ACCESS TO BOX a. NAME: b. NAME: STREET ADDRESS: STREET ADDRESS: C�TY� STATE: ZIP CODE: CITY: STATE: ZIP CODE: NAME AND TITIE OF EMPL�YEE TAKING THE INVENTO .ta-p�o ��t�.���� WAS A WILL IN THE 80X1�YE3 ❑ NO If yea, a. Date of witl:� \ �\ � t 4(�� C>f \ �v b. Nama and address of peraonal represenWtive,if named in the will NAME: �t \� � IV �� STREET ADDRESS: CI : 1 STATE: ZIP CODE: ' � � �n��� ��ol-�����2i���1�A_j�_�,�1 ', c. Name and address ot attorney,if an NAME: ' STREETADDRESS: CITY: STATE: ZIPCODE: ' _ _ _ _. _ . _ __ . __ _ __.. . _ _ _ __. . __. L 48500041046 48500041046 � SAFE DEP Pa9e �- °f a REV-485 EX OSIT SOX INVENTORY INSTRUCTIONS (1) Cash:Report total only. (2) Stocks:List in detail every common or preferzed certificate,warcant or other rights found in box.Stocks are to be designated by name of company,certificate number,date of certificate,name in which stock is registered,and number of shares and class of stock. (3) Obligatlons of U.S.Government:Number of items,date of issue,face value, names in which registered and type of ownership, i.e.,joinGy held,payable on death,etc. (4) Bonds:Designate by name,amount,serial number,or other designation.(Bearer Bonds) (5) Bank and Savings and Loan Passbooks:State name of depositor,number of book,last date appearing in book,name of bank and branch,and balance. (6) Jewelry,Coins,Stampa,Manuscripts,etc:List and describe as fully as possible. (7) Deeds,Mortgagea, Current Insurance Policiea or other evidences of indebtedness:List and describe as fully as possible. (8) All other contents. (9) Retum completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVI3ION DEPT.280601 HARRISBURG,PA 1712&0601 ITEM NO. ITEM DESCRIPTION • .�.\r � ^ p � � F t;,,l_ ��� \ - I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF CORRECT AND COMPLETE T THE BEST OF MY KNOWLEOGE AND BELIEF. 3AFE DEP IT BOX INVENTORY: SIG RE SIGN TURE PRINT NAME PRINT E AND CHECK APPROP'IATE BOX BELOW: (�� C�- �e�ev�d�r� � PRIN TITLE DATE CHECKAPPROPRIATEBOX: �� �Executor(trix) �Admiruetratw(trpc) �� � '`�'�'1 ❑Estate Representetive �Joint owner of safe deposft box NOTE:Attach additio al 8'/z"x 11"sheet(s) if necessary or use duplicates of this page of form. The DepaAment is authaized by law,42 U.S.C.§405(c)(2)(C)(i),to require disclosure of Social Security numbers in connedion with administering state tax laws.The Department uses the Social Security number to identify the decedent and personal representativey of the estate.The Commornvealth may also use the information in exchange of tax informadon agreements with federal and local taxi authorities.The state law rohibits the Commonwealth's nnel from disclosi confidential tax information ex t fa official u ses. . r � , �--�� . � ( f r a ��,('r �" i � � �.' t' ( E , �G� 7.:�RE1DEblPeift`aNci)—700 Gcaq�A�rnuc Ta:PArceiH:26-2�-081 t��t1 Address:700 Gearya�•cnuc \ew Cnmbcrland,PA 1707Q DEED ____._ �� �, THIS iNDENTiTRE made the � >'�day of � i.,, �A E.- , in the year 2014, behveen ROBIN DERENDINGER, Eaecutrix of the Last �t�il�.�nd Testament of NEIL O. PEIFFER, iate of the Borough of ?�te�v Cumberland, County of Cumbertand, and Comtnonwealtfi of Pennsylvania,oftlle fii•st part,hereinaiter called tl�e Grantor, -A1VD- TIMOTf�Y BLAIR and BTLLIB JO BLATR, husband and �vife, of the second part, hereinafter ca(led the Grantees; WI3�R�AS, ti�e said NETL O.PEIF��R becanle in his iifetime seised,as of fee,ofand iti a certain tract of land, together �vith the improvements thereon erecied, situate in #he Borough of Ne�v Cumbertand, Couniy of Cumberland, and Commonwealth of Pennsylvania, and more particu(arly descttibed hereinafter; and being so thereof seised, died on February 5, 2014, having ftrst made his Last Will and Testameut in �vititing dated 3une 14, 20l t, duly probated 1nd registered in the Office of thc Register of Wills 4f Ciimberland County on Febraar�� 21, 201�3, �vherein and �vhereby he appointed as Executris, the said ROBIN DERENDINGER,to wltorn Letters Testamentary were duly issued by said Register of Wiils on �'ebnlary 21, 20I4, �vherein and �vhereby said premises hereinaf3er described were not � specifically devised, aIl as in and by said �Wiq and the records of said Register of Z'Vi!!s, I recourse thereunto being had,appears: I NOW TAIS INDENTUR� WTTNESSETH, that the said Grantor, for and in considc��tion of the surn of ONE HUNDRBD SEVENTY-TNREE FIVE HUNDRED and NO/100------{$173,500.00)---------Dollars,�vhich has been paid to they by the said Granrees at or before the sealing and delivery hereof, receipt�vhereof is hereby ackno�vtedged,has granied, bargained,sold,aiiened,released and confimed,and by these presents does g�ant, bargain,se]], alien, reiease and confrm unto the said Grantees, ALL THAT CERTAIN piece or parcei of �add sitUat� in the Borough of Ne�v Cumber�and and Conunomvealth of Pennsyivania, «�ore partieularty bounded and described according#o a survey dated September 12, 1969,as follo�vs,to wii: B�GINNll\'G at a stake on the nortvwestern corner of 7`h St,•eet (50 feei �vide) and Geary Avenue (a/I;/a Geary Street)(40 feet �vide); thence along tl�e north�vestern side of�'h Street South 47 degrees 54 mim�tes l�est,a distance of sevenE}�{70)feet to a stake at land no�v or late of Larr}� G. Ba,•ge and Joan L. Bac•ge, his �vife; thence by same i�to�th 42 degrees 42 minutes �'�lest, a distauce of otze hundred five {lOS) feet to a stake at land no�v or late of William G.Alford and Betty R.Alford, his wife;thence by same North 47 degrees 54 minutes East, a distance of seventy {70) feet to a stake on the southtivestein side of Geary Averiue ..�� (a/L✓a Geary SU•eet);thence by Geary Avenue(a/k/a Geary Street) South 42 degrees 42 minutes �ast,a distance of one hundred five((OS)fcet to the Place of BEGINNiNG. IiAVING THER�ON ER�CT�D a single bricic and alaminum bi-ievel d�veiling�vitl� aitached t�vo car garage, said prernises being kno�vn and m�mbered as 700 Geary Street (farmerly 509 Seventh Street),Ne�v Cumberiand,Pennsylvania. B�ING the same premises�vhich Peter 3. MilEetics and Darlis J.Milletics,his�vife, by Deed dated May 15, 1972,and recorded May I7, 1972, in the Office of the Recorder of Deeds of Cumberland County in Deed Book"P", Votumc 24, Page 9�4, granted and conveyed unto Neil 0. Peiffer and 3v1ary E. Peiffer, his wife. Mary E.Perffer died on Apri( 14, I998, thus by operation of la�v vesting title in Nei1 O.Peif�er,deceased, TOGETHER �vith all and singular the buildings, improvements, �vays, streets, al[eys, passages, �vaters, water-courses, rights, liberties, privileges, heredita�ncnts and appurtenances �vhatsoever,2hereunto belon�ing or in any�vise appertaiiiing and the reversions and remainders, rents, issues and profits thereof, and ai1 t�te estate, right, title, interest, propert}�, ciaim and dcmas�d whatsoever of him,the said NCIL 0. PEIFFER, at and immediately beFore the time of hu decease, in law,ec�iiity,or othe��vise ho�vsoever, of, in,to or out of the same. TO HA'VE AND TO HOLD the said Iot or piece of ground above described,tvith the buildings and improveinents thereon erected, hereditaments anc! premises hereby grar�ted or mentioned,and intended so to be, tivith the appurtenances unto die said Grantees, to and for the only proper use and behoof of the said Grantees, forever. AND the said Grantor, for herself and her respective heirs, executors and administrators, does covenant,promise and agree to and �vith the said Cnaniees,their heirs and assigns, that they, tJte said Grantor, has not I�aretofore done oi• coanmitted any act, matter or ihing�vhatsoever whereby the premises hershy aranted,or any part tliereof, is,are,sliall or may be impeacf�ed,ci�arged,or encumbered in titl�, charge,estate or othercvise ho�vsoever. IN WITNESS 'W��RLEOF, the said Grantor has hei•eunto set her l�and and seal the day and year first above tivi•itten. Signed,Sealed,and Delivered , in the Presence of , ; � � • r���.�� � , l , �._ ��-��C�;,x t.:��l. t�s >c__(SEAL} Witness : ROB1N DERENDINGBR, Executrix af the Last : Will and Testament ofNEIL O.P�IPFER v2'" , COMMONW'EALTFI OF PENTfSYLVANIA . � ' SS: i � . COUNTY OP � I.;/ r� r ,'r�'r.'J . � . On this, the. �, ., •� day of ,,� c .,`�.�-` ' , 2014, before me a Notary Public, the undersigned officer, personaily appeared RDBIN DERENDINGER, Executri� of the Last Will and '�'estament of NEIL O. PETFFER, kno�vn to me or satisfactorily prove�t to be the person�vhose name is subscribed to the lvithin inst�ument,and acknotiviedged that she execeited the same far the purposes therein contained. TN WT('NBSS WHEREOF,T have hereto set my hand and notarial seal. � j COMMGNWEALTH OF PENNSYLVANIA ; ` 1 �'' ) NOC+r10lSeal �...�.,� ���_;� �-1;� _ ;.c��-�����1,��.("�.i�•_ Conn'�e 3.T�gman,Notary Pubiic Camp rtlll eoro,amaer�and c.out+tv Notary Pc�bllc MyComttdssbn�WresNov.15 20K �:._. MEMBER,PENNSYIVANiA 0.� ��� `. I he��eby ceitify,that tlae precise address of the Grrantees is l`!C �-- '�� < t ; ��.. r �.} �. ��L, t i �_ ;� , ,�,i�.��;_�,,�" ' �'�- ' ' �'�� 't 1 �. 1� ` �r �. � �� .._.< . r \ � � � . . DATE: ) j � , =`2;,�_ t �.i � i- i �- / , --r---_._.. r � �_ ' Attoi jiey fo� �3� Wells Fargo Advisors,LLC Three Lemoyne Drive , i � a Lemoyne,PA 17043 Tel:717-761-7344 Fa�c:717-975-8426 Toll Free:800-468-8685 February 27, 2014 Robin Derendinger, Executor Estate of Neil 0. Peiffer 664 Bamberger Road Etters, PA 17319-9728 RE: Yellow Breeches Investment Club Dear Robin: Enclosed please find a copy of the statement of the Yellow Breeches Investment Club taken from their regular February monthly meeting(the fourth Wednesday of the month). As you will note the value of a share was$6,276.16. When a member withdraws the club's by-laws call for a 10� reduction in value in order to clover any expenses (commissions, check fees, postage, etc.) Your father had paid through March 2014—so we add$10 for the March dues. Your father owned 2 shares in the club. ($6,276.16 less 10%_$5,648.54+$10=$5,658.54 X 2 = $11,317.08). I hope this answers any questions that you may have. A check will be mailed to your home address on Wednesday, March 5, 2014. The check will be made out to—Robin Derendinger, Executor the Estate of Neil O. Peiffer 664 Bamberger Road Etters, PA 17319-9728. If you have any questions, please do not hesitate to contact me at (717) 761-7344 or the Agent of the Club David L. Ball at(717) 938-3857. Sincerely, ,, - '�'�--..�-�---�_- <: Zz=L' ° � Bruce D. 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Phana 888-50'r..�}3a9 �'ax (302)934-29SS OCtober29;2014 Stone LaFaver& Shckletski Aftorneys at Y,a�v 414 Brfdge Street � � � P.O.So�c E New Cumberland,PA 17070 � Yte: Estate ofNeil O.Peiffer Social SeCurity: 244-26-5662 -. Date of Death:�ebruary 5.2014 Dear Sir or Madam: Pcr your inquuy on May 8,2014,please be advised that at the time of death,the abovo-named decedent had on deposit with this bank thc follawing: 1. ?'ypeofA�,count GheckingAccou,rt � ,4ccount Number 67901964 UYV77P-JdIlIE/(��Glll't�.7,�j........... .........�� t�w►v.i c�C� -'---, ._ ._ . .... ..— - -.. _ . . ..._ ... Open�ng 17ate Ol/28/1476 • . Bcrlcmce on Date ofbearh $ 3,569.SI Arcrued'Interest $ .Ol . ----•--�-----------------,,..,...,.----------- T�i ' _ t 3,58�5�. - - - - -: .._ . . . _. . -_..'.�—F.9.+��. .-.................... �. � .� . , , � �. .. �.. KCC011t]LlVlltnb@T Z.�-b,�l�L�., '''u�ay3ay���� -� - - Qwnership(Names o� Neil O.peiffer Gpening bate 0'�.,/09/2Q07 � Balance on Date of T)eath $31314.$5** and 49,�6.49(principal balance).'C'his amount is not to be used • fdr payoff purposes. For a pa�+bfP balance,please call 1-800-724-2A40 Aurerrt Balance $ O.QO ** This balance is not a payoff balance � f 14-30-'14 0$:11 FR�M- T-550 P4043/OQ43 F-927 • Far any additional intormation on the above accounts,includinp owherahip and any changea,cloaurea and/or reimbui'semeht of funds, � pleese call the West rhone Pl�rt 717 731.1730. We were unablc to loeate Any anfe deposit boY fpr thc nbove-m�ntioned decedcnt. . T�is kfter do�s nar i�elude any�oeouats in whie6'ttre dcceased may have beeo listni as power of Attorn�y,Cvstodian of Uuiform'Y�anafers. ltepreseataGve Psyeq Or Truatee under a Writteb A�r�ccment S1IlCCY'E��, . Valarie 1Viercer Records Managcment . � . ` I /� OMB Approval No.2502-0265 �'-������•� A. Se�tlernent Statement ��iUD-1) �.��.��f� . 1. XQ FHA 2.Q RHS 3.Q Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number. 14-01-34310 201484775 446-2135030-703 4.Q VA 5.Q 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.IVame&Address of Lender: Timothy A.Blair,Biliie Jo Blair Estate of Neil 0.Peiffer Howard Hanna Mortgage Services 7109 Salem Park Dnve,Mechanicsburg,PA 17050 700 Geary SVeet,New Cumberland,PA 17070 119 Gamma Drive,Pittsburgh,PA 15238 G.Property Location H.Settlement AgenC I,Settiement Date:07/2M2014 700 Geary Street Baristers Land Abstract Company Disbursemenf Date:07/24/2014 New Cumberland,PA t 7070 3310 Markel SUeet,Camo Hill,PA 17011 NewCumberland Borough 717•751-6t90 Place of Settlement; TitleExpress 3310 Maricet SUeet,Camp Hill,PA 17011 Printed 07/232014 at 11:22 am byJE 100. Gross Amount Due from Bortower 400. Gross Amount Due to Seller • 101. ConVad sales pnce 173,500.00 401. Contract sales price 173,500.00 102. Persor,al ro e 402. Personal ro 103. Settlement charges to borrower(line 140p) 9,a28.04 403. 104, �. 105. �5, Ad'ustments for items aid h seper in advance Ad'ustments for items paid b selfer in advance 106. Cityltown taxes to 406. CiryRown taues ro 107. County taxes 07/24/2014(0 12f31/2014 531,37 407. County taxes 07/24/2014 to 12l31l2014 108, School Ta�ces 07/24Y1014 fo 06/30/2015 1,641.11 408. School 7axes 07l24/20t4 to 06/30/2015 �'37 109. Trash 0712412C14 to 09/30/2014 ",641.11 28.95 409. Trash 07/24/2014 to 09/30/2014 28.95 �'0. 410. 117. 411. 112, 412. �20• Gross Amount Due from Bonower 185,129.47 420. Gross Amount Due to Seller 175,701.43 200. Amounts Paid b or in Behalf of Borrower 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) 170,356.00 502. Settlement charges to seller(line 1400) 24,896.83 203. Existin loa s taken sub'ect to 503. Existin loa s iaken sub'ect to 204. �• PayoH of first moRgage loan#12044449349824998 4 83,118.42 M&T 8ank 205, 505. Pa off of second morta e ioan 2C6. 5�. 20�. Se1lerAssist 8,500.00 507. Se1lerAssist 208. Gooa Faith Ceposit 9,500.00 400.00 508. 209. 509. Ad'ustmentsforitemsunpaidb seller Ad'ustmentsforitemsunpaidb seller 210. City/town taxes ;0 510. City/�own t2xe5 !o 211. Counry taxes to 511. Cour,ty taxes ;p 212. School Taxes to 512. School Taxes ;o 213. Sewer 07/01l2014,0 07i24/2014 25.19 513, Sewet 07J0�/2014 to 07/24/2014 214. 25.79 215. 514. 2',6. 515. 217. 516. 2 i8 517. 518. 279. 519. 2Z�• Total Paid bylfor Borcovrer 180,Z81,19 520. ToWI Reduction Amount Due Seller 116,540.44 300. Cash at Settlement fromRo Borrower 600. Cash at Settlement tolhom Seiler 301. Gross amaunt due from borrower(line 120) 185,129.47 gp�, Gross amount due to seller(Eine 420) 175,70?.43 302. Less amounts paid byHor borrower(line 220) 180,2g1,1g 602 less reductions in amount due seiler(line 520) i 16,540.44 303. Cash �X From � To Borrower a,848.28 603. Cash X To - „ ,. ❑ ❑ From Seller 59,160.99 /•�'-i � '.(�� A � mma�.om��.w�w,« ��a,��.�u�wq.on �--`-- ue \ �U oa:uroo:tnlo a;cwwre',�maqalay.7ruc k a Y Y n . ,u �...J �' ) ---� -��- .. ,�---"- W J i.7� 1� /�/ r u �w:wu�ino I`7��5�C7'c'� a �or S�f'D�1� �vst� aa,yaa.v2 ��r� ��3, tl8.y� �Q$$ , Page 1 0 `���`I e�o(��a HUD-i ►�„,6. - � ��r, t-13 � �SS �..1, �I,U�� '�'U "� �SCYpti.l i � a�,�a�.s9 �z�,y��.aa 700. Total Real Estate Broker Fees $10,420.00 Paid FrOm Paid From Divis;onofcomm;ssion Iine700 astollows: Borrow0r's Seller's ��� $5,245.00 to Century2l RealtyServices Funds at Funds at 7�2, $5,175.00 �o Howard Hanna Colorial Park Settlement Settlement 703. Commission paid at settlement 715�Q �o�95 00 704. to 800. ftems Pa ble in Connection with Loan 801. Our origina6on charge (Indudes Origination Poini 0.000°�or$0.00) 5690,00 (from GFF#1) 802. Your cred;t w charge(points)for the specific interest rate chosen $ ('rcm GFE#2) 803. Your adjusted originafion charges (hom GFE A) 690.00 804. Appraisal fee to A raisals b E.J.Kop enhaver (from GFE#3) 395.00 805. Credit report ta CBC Innovis,Inc. (from�FE#3) 49.05 806. 7ax service to from GFE#3 807. Flood certification ;o FDSI (from GFE i�3) 13,00 808. Fnal Inspection to A raisals b E.J.Ko nhaver (from GFE#3) 120.00 900. kems Re uired b Lender to be Paid in Advance 901. Daily interest charges from from 07124/2014 to 08I01/2014 Q$17.SOOOIday ( om GFE#10) 140,00 902. Mortgage Ins.Premium for months to De t.of HUD (from GFE#3) 2,929.97 903. Homeowner's insurance fa 12 months to Howard Hanna Insurance Services (from GFE#t 1) 599.00 904. months to from GFE#11 1000. Reserv De ited with Lender 1001.Initial deposit for your escrow account (from GFE#9) 590.16 1002.Homeowner's insurance 4 months $ 49.92/month $199�� 1003.MoRgage Insurance months $ 186.78lmonth $ 1004.City Property Taz months S 0.00/monUt $ 7005.County Property Tax S monihs S 98.37/month $786.96 1006.School Taxes 3 months $ 146.79/month $�.37 1007.Aggregate Adjustment $•836.65 1100.Title Cha es 7101.TiUe senrices and lende(s tNe insurance $ from GFE#4 1,)60.36 1102.Senlement a closing tee to S 1103.Owner's title insurance-StewaA Title Guaranty Company S from GFE#5 16.50 1104. Lenders tiUe insurance-Stewart Title Guaranty Company $1,655.50 1105. Lenders Gtle policy limit$170,356.00 Lertders Policy 1106.OvmePs title policy IimR$173,500.00 Owners Policy 1107.AgenYs portion of Ne totai GUe insurance premium St,357,45 1108.Underwnters portion of the rotal 6tle insurance premium $314.55 1109. Escrow Fee ro 6arristers Land AbstCaq 25.00 General-H 1200. GovemmeM Recordin and Transfer Char es 1201. Govemment recording charges $ (from GFE#� 165.0� �2�2. Deed$78.00 Mort a e$87.00 Release S 1203.Transfer taxes $ (from GFE#8) 1,735,00 1204,City/County taxistamps Deed$1,735.00 Mort a e S 1205.Stffie Tax/stamps Deed 51,735.00 Mort a e$ 1,735.00 �z�• Oeed 3 Mort a e$ 1207. � 1300.AdditionalSettlemenYChar es 1301.RequireC services that you can shop for (from GFE ff6) 1302. Sewer-ApriFJune to Borou h of New CumbeAand Au�orit 7B.gq ?303.Pest Ins n to SeeMore Ins ections $50.00 P.O,C.B 1304.Tax CeNPostage Reimbursement to Bartisters Land Abstract Cost-H 1 C.4 1305. Ovemigh!Fee(payoi� to Bamsters Land Abstract Posta e-H 14 63 1306.Mtg.Release Tracking/Search Fee to reQuire 35.00 1307. Inheritance Tau Escrow to Bamsters Land Abstract Escrow-H 11,000.00 1308.201415 School Taues to Robin Gas etti Tax Coliector 1,751.4 1309.Home Inspection to SeeMore Ins ections 5270.00 P.O.C.8 1310.Trash-June-Sept ro Borou h of New Cumberland Autho' 36.6 1311.Notary Fee to Connie Z man 15.00 � •�� • • - . . ':` • ' • � • • . • , • • 9,426.04 24,89fi.83 'Paid outside of Uosing by(B)orcower,(S)eller,(L)ender,(I)nvestor,Bro(I�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 Com adson of Good Faitfi EstimaEe GF 'and NUD-1 Char es Good Faith Estimate HUD•1 Cha. es That CannoY Increase HU0.1 Line Num6er OurorigEnatlonchacge # 801 690.00 690.00 Your credit or charge(points}tor the specific interest rate chosen � 802 O.QO C.CO Your adjusted origination charges p 803 690.00 690.00 Transfertaxes � 1203 1,735.00 1,735.00 Cha es That in.Total Cannot Increase More 7han 10�o Good Faiih Estlmate HUD-1 Govemment tecording charges # 1201 210.00 165.00 A.ppraisal;ee # 804 400.CQ 395.OQ Credit repoR # 805 50.00 49A5 �lood certification � 807 13.00 13.00 Final Inspectlon � 808 75.00 120.00 Mortgage Ins.Premium # gpZ 2 929 9� 2 929 9� TNe services-and lender's tiUe insu�ance, # 1101 . 1,762.50 7,760.36 Owners title insurance-Stewart TiUe Guaranry Company # )t03 35.00 16.50 5,475.47 5,448.88 � $ -26.59 pr -0.4856% Char es That Can Chan e Good Faith Estimate HUD-1 Initialdepositfofyourescrowaccount # 1001 � g,3�7,7y 590.t6 Daily interest charges from #901 $17,5000/da 35,00 �y�� Homeowner's insurance # 903 650.00 599.00 # # ' loan Terms Your initial loan amount is 5170,356.00 Your loan tertn;s 30.years Your iniGaf interesi rate is 3.7500% Youcinitial monthly amount owed for principal,Interest,and any mortgage $875.73 includes insurance is QX Prindpal �X Interest ❑X Mortgage Insurance Can your interest�aEe rise? QX No. ❑Yes,it can rise to a maximum of %. The first change wili be on I ! and can change again every years after ! I . Every change date,your interest rete can increase or decrease by °Je. Over the Iffe of the loan,your interest rate is guaranteed to never oe lovrer than °/,or higher than %. cven if you make payments on tlme,can your loan balance nse? QX No. ❑Yes,it can rise w a mauimum of 3 , Even'rf you make paymentson time,can your monthly amount awed for QX No. ❑Yes,Ne first inaease qn be on I ! and the monthfy pnncipai,interest,artd mortgage insurance rise? amount owed can rise to$ , The mauimum it can ever rise to is$ . Does your loari have a prepayment penalty? QX No, ❑Yes,your maximum prepayment penalty is$ Dces your loan have a balfoon payment? QX No. ❑Yes,you have a balloon payment of$ due in years on I l Total monthly amount owed induding escrow account payments ❑You do not have a monthly escrow payment for items,such as property ta�ces and homeownefs insu2nce. You must pay these items direc(ly yourself. �X You have an additional monthly escrow payment of$295,08 that results in a total initlal monthly arnount owed of 51,270.81. This indudes prfndpal,interest,any mortgage insurdnce and any items checked below: ❑X Property taxes Xn Homeowners insurance �Fiood insurance Q School Taxes ❑ � Note: If you have any questions aboui the Settlement Charges and Loan Tertns listed on this form,pfease contact your lender. Prevlous editions are obsolete Page 3 ot 4 HUD-1 HUD CERTIFICATION OF BUYER AND SELLER f have carefully reviewed the HUD-1 Setilement Statement and to the best of my Knowledge and belief,it is a true and accurete statement of all receipts and disbursements made on my account or by me in this transaction I further certffy that I have received a copy of the HUI}t Settlement Statement ��'' ; � ��'1 ` �_,�.�.., Y Timothy A.Blair , � f � 'i ,. '" �.'l�._. t ��:� 1.4: __ illie Jo Blair ESTATE OF NEIL 0.PEIFFER � , -=L-��, ,\�i��'��C\ �� �1 lC�}..�. Robin p�re�din�jer,Executnx, � � The HUD�1 Settlement Statement which I have prepared is a true and accurate account of this transacxion.I have caused or will cause the funds to be disbursed in accordance with this statement ."'� .4.�_. �� -�1. 1 _f � (, �v ' .. � <, � SET7LEME`T GENT DAT , n WARNING:IT iS A CRlME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITE�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 4 HUD-1 � . � � ,. Name ot Borrower. Name of Seller File Number Timothy A.Blair Estate of Neil O.Peiffer 14-01-34310 Billie Jo Blair TRIeExpress Prepared 07123/2014 at 622 pm Note: This give ou an itemization of the amounts shown on ai page is furnished to y P d:F�Om Paid FCom;'. Lines 110�, 1103 and 1104 of the Setttement Statement(HUD-1).This page Bofrov�ier's r Seller's � accompanies but is not a part of the settlement statement. If a discrepancy Funds at ';.FGndsat: exists,the information shown on the SetUement Statement(HUd-1)applies. Settlement" ';Settlemenf' 1100.'.TitleCharges ' " ; Amountsinciuded , 11�t. Titleserycesa , irrLirte1101- � � ,, , _,. nd lender's title Pnsurance 1,760.36 a.Nota Fees $ �OQ b. Wire Fee(2 10.00 c. Ovemight Fee ^.4.86 d. ElecVonic Ooc Transmikal Fee 45.00 $ 104.86 1162. Settiement or closing fee 1103. Ownefs title insurartce (policy $ 16.50 16.50 I 1104. Lende(s title insurance policy) 1,380.50 $ 1,655.50 a. Ciasing Service Letter 75.00 b. Exp Cov Res Short 200.00 (ToEal t 103+f 104) g � �,1105. Lender's tifle ti limit$170,356.00 -' _ 1106. Qwner'stiUe� licylimit$113,500.00 - ' 11D7.;AgenYs portion of fhe total Mle insurance premium' $ '1,357.45 7108. Underwriter's portion of the totai titie insurance prem. 354.55 _ Rocai��o�.�ioa� s�2oo 1109. 1110. 1t11. 1112. . � 1100. . , ; .. , Tofal ower ,: BorrowcY „ Seller. , Title Cha es wifh'P ee �. ' Cha e POC or Credk Line 1101 � Pald 1101. Title services and lender's title insurence g a.Notary Fees to Linda Mc6eth 35.00 35.60 b.Wire Fee(2)to Barristers Land Abstraci Wlre-Hbg ?0.00 10.00 c.Ovemight Fee to Barristers Land Abstract Postage-Hbg 14.86 14.86 d.Electronic Doc Transmittai Fee to Barristers Land AosVact Generai-Nbg 45.00 45.00 1104. Lendefs title insurance ro Barcisters Land AbsVact CompanY 1,655.50 1,655.50 , . ,- S" 1,760.3fi , , , , :i1:,760.36 � M&T Banlc Case Number: 21-14-0159 CLAIM DETAIL IN RE ESTATE OF: NEIL O PEIFFER Claim detail is as follows: 12044449349824998 $81,790.52 Secured 700 Geary St. New Cumberland, PA 17070 THIS CLAIM IS BASED ON AN ACCOUNT FOR GOODS AND/OR SERVICES ON THE AMOUNT OF $81,790.52, EVIDENCED BY ACCOUNT NUMBER 22044449349824998. ' C. . . - . . • . . • , �� STATE OF PENNSYLVA1�tIA IN RE: ESTATE OF Neil O Peiffer � PROBATE COURT: CUMBERLAND ESTATE NO. #21-14-OO159 STATEMENT OF CL.AIM 1. M8T Bank hereby present for filing against the above estate this statement of claim in the amount of�1.��� diem S12_Q4l 2. Tha basis fos ths claim is M�T Bank account number 1204444934982499a,which was open on 2-9-07. 3. The tax identification number of the claimaui i� 16-145770� 4. The n$me and addrCss of tht Claim$nt is M�T Baelc 47�Crnea�int��Y Cetzvill�NY 14068. 5. Thi�claim�ecured. 6. Ths last payment made on the account was 5602.5�1 on 2-9-14. 7. Pleass send paymeM to M�T Bank 473 Crosspoint Parkway Getzville,NY 14065.Please write the above account number on yow check. Undcr penalties of perjury,I declaro that I have road the foregoing,and the facts alleged ars true,to th�best of my Irnowledg�and belief. Execuud this��day of R�� 2014 ,T V/ Claimant Michaei Nowicki,Assi tant Vice Presi ent State of New York,County of Erie [N WITNESS WHEREOF, I have set my hand I�1� Day of ��� � ,2014 � ,� i ` ; Notary Public My Commission Expires: �?- �� (� Shannon��A Smith Notary Public,State uf New York QualiMd in Erie County Reg No.01 SM628341 S Ah►Commbsbn Exp.June,03 20 �� � Education Financial Servicea PO Box 6507Z5 ` Dallas,TX 75265-0725 1-500-658-3567 FAX: 1-II00-456-0561 July 31,��0�4 ATTORNEY STONE LAW OFFICES OF 5TONE, LAFAVER & SHEKLET5K POST OFFICE BOX E NEW CUMBERLAND PA 17070 Itct: Nl�.1i, Y1�.11�1�1�:1t nccuunt number: qGo84-��rt�i Ue�1r Nu•.Stune: r�cic�w am Lhc payc�ff amc�unl(ti) fc�r ycn�r lc�an(s) lhal,yc�u rcc1t.icwLr.c3. 1 f,ycw chocr,�c l��F�ay c�ff your lu�ui(s),ple��se mvl yutu•plyment to t��e ldch'�SS 1t t�18 tOU Of�115 18tt�I•.It's veiy impuit�uit thlt you Wl'!t�YOL1I'1Cl'AL1Ilt riUIT1��8I'Ori y011l'l'.h�:.k ui'IIlOIl�y OI'C1BP. 9,ecuunl Number YayuffAmotuil Yayuff(;uud'1'hruuxh 1)ale c�ba�1�-5s7ib c.Y�7��oi �ia,�8?.yi rl�����al S3,��o� If you hava que�stions or neecl�p�yoff fur a clifferent c�.1te,y0U G.'tll: • 5r,nd :�n r,m:�il Lhrc�ugh bti'ell�1%ctrtJn(htlint�� }jankin�,aL wclltiCarbc�.cc�m, c�r • (:s�ll uti aL �-fic�t�-6�H-:3�E>'7, Mcmcl.ay lhr�c�u�h l�riday bcLwccn Lhc hc�un c�f fi:pt�a.m. Lc� 8:t)t�p.m.,(;rnLral'ltimc. '1'h,jnk yc�u fc�r chcx�sin�;Wcllti l�ar�c�. Wc apprc�criaLc your hu�;iness. Wells F�u,�u Educ��tiun Fin�uici�l Seivir�s h.�W/i�twn�e i:�cle S&5-1039(03-12) Wells Fargo Education Financial Services is a division of Wells Far-go eank, N.A. STONE LAFAVEI3 & SHEKLETSKI ATTORNEYS AT LAW a14 BRIDGE STREET DAVID H.STONE POST OFFICE BOX E OF COUNSEL GERALD J.SHEKLETSKI NEW CUMBEALAND.PA 17070 CHARLES H.STONE www.stonelaw.net JON R LnFAYER TELEPHONE(717)774-7435 FACSIMILE (717)774-3B69 November 24, 2014 ��..=i �J C� � � �,� Register of Wills of Cumberland County `» Q - '��' �� 1�;} �.� 1 Courthouse Square �� �. � �.' ;: , � Room 102 - -� r�� `. Carlisle, PA 17013 �� � ��� "' ��' . , , .-:� .�:� Re: Estate of Neil O. Peiffer � �-� ..,. _. ., .� File No. 21-14-0159 - r" � ��� , .,._; t�� �:;� t'' W `'� Greetings: Please find enclosed two original Inheritance Tax Returns, and an original Inventory form in the above referenced estate. I am also enclosing a check in the amount of$?,256.01 for Inheritance Tax due. Enclosed is a copy of the cover page of the Inheritance Tax Return and a copy of the Inventory form. Please time stamp those copies and return them to us in the enclosed self- addressed, stamped envelope, which I have provided for your convenience. Please note that these documents are being sent via regular United States Mail and this letter has been post marked on November 24, 2014. Thank you for your attention and assistance in this matter. Please don't hesitate to contact us should you have any questions regarding this matter. Very truly yours, S ER & SHEKLET�KI David H. � e, Esquire DHS/jam _. _.-.: Enclosures cc: Robin Derendinger, Executrix � i K� � �i�x � � `�: i 1 �r� �" � , -�` e: 1 s� s�- §3. . �,.. � � .��,r �:,^�'< -` `�.�`�;rs��. ;`'x ` � "� 3s. 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