HomeMy WebLinkAbout01-23-15 500 EX(02-11) 1505610143 OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County Code Year File Number
Bureau of Individual Taxes DEPARTMEW Of REVENUE
PO BOX280601 INHERITANCE TAX RETURN 21 14 0472
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
05 01 2014 05 18 1930
Decedent's Last Name Suffix Decedent's First Name MI
SPROUT ALBERTA E
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name M1
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
XO 1. Original Return F-1 2. Supplemental Return 3, Remainder Return(Date of Death
Prior to 12-13-82)
4, Limited Estate 4a.Future Interest Compromise 5, Federal Estate Tax Return Required
(date of death after 12.12-82)
FX 7. (DAttach 6. Decedent Died Testate ecede�.Maiont�rwd).Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) py f rust
a Pover%Credlit�Date of Death 11.Election t tax under Sec.9113(A)
9. Litigation Proceeds Received 10.ggfoNsan'12-31- land -1-95) (Attach Schedule 0)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
MICHAEL L BANGS 717 730 7310
REGISTER OF WILLS USF ONLY
C-)
C= r 1
First Line of Address rri C>
429 SOUTH 18TH STREET
Ml
--4
m r-i
Second Line of Address
PAT.-�.-FILED
City or Post Office State ZIP Code CZ
CAMP HILL PA 170111— M
17%)
r
Cn CD
Correspondent's e-mail address: Mikebangs@verizon.net
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.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
-,k Randy L.Sprout
ADDRESS
23 Longview Drive, Mechanicsburg, PA 17050
SIGN TURE OF PREPARIER OTV!! EPRESENTATIVE DATE
Michael L. Bangs
ADDRESS
429 South 18th Street, Camp Hill, PA 17011
Side I
1505610143 1505610143
1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Sprout, Alberta E.
RECAPITULATION
1. Real Estate(Schedule A).................................................................................... 38 , 863 . 64
2, Stocks and Bonds(Schedule B)............................................................................. 2.
3, Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4-
5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 1, 772 . 25
6, Jointly Owned Property(Schedule F) E separate Billing Requested............ 6. 1 , 769 . 64
7. Inter-Vivos Transfers&Miscellaneous Non,-Probate Property
(Schedule G) L Separate Billing Requested............ 7.
8. Total Gross Assets(total Lines 1 through 7)...__...... ......_.......................... 8. 42r405 . 53
9. Funeral Expenses and Administrative Costs(Schedule H)................................... 9. 7 , 688 . 67
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 1 ,062 . 27
11. Total Deductions(total Lines 9 and 10)........................_.... ................................ 11. 8 , 750 . 94
12. Net Value of Estate(Line 8 minus Line 11).............. .......................................... 12. 33, 654 . 59
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. 33 , 654 . 59
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 15. 0 . 00
(a)(1.2)X.00
16. Amount of Line 14 taxable 33, 654 . 59 16. 1, 514 . 46
at lineal rate X 045
17. Amount of Line 14 taxable 0 . 00 17. 0 . 00
at sibling rate X.12
I& Amount of Line 14 taxable 0 . 00 18. 0 . 00
at collateral rate X.15
19. TAX DUE...................................... 19. 1, 514 . 46
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. El
Side 2
1505610243 1505610243
Rev-1502 EX+(01-10)
SCHEDULE A
pennsylvania REAL ESTATE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sprout,Alberta E. 21-14-0472
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 fads.
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
Include a copy of the deed showing decedent's interest if owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Real Estate-1813 Letchworth Drive, Lower Allen Township(Parcel No. 13-23-0547-232). 38,863.64
Sold on 9/30114(See settlement sheet attached). Total gross proceeds$38,863,64; $3,500.00
held in escrow by title company pending approval of Pennsylvania inheritance tax return.
TOTAL(Also enter on Line 1, Recapitulation) 38,863.64
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule A(Rev.01-10)
Rev-1508 EX+(111.10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sprout,Alberta E. 21-14-0472
Include the proceeds of litigation and the date the proceeds were received by the estate,
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Proceeds from auction of personal property 821.38
2 Refund from Highmark-unused premium 442.84
3 Refund of homeowners insurance 508.03
TOTAL(Also enter on Line 5, Recapitulation) 1,772.25
(if more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10)
Rev-1509 EX+(01-10)
Pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sprout,Alberta E. 21-14-0472
If an asset was made joint within one year of the decedent's date of death,it must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Randy L. Sprout 23 Longview Drive Son
17050, PA
B.
C.
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATEOFDEATH VALUE OF
FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR DECD'S OECEDENTSINTEREST
NUMBER TENANT JOINT JOINTLY-HELD REAL ESTATE. VALUE OF ASSE INTEREST
I A 11118/2010 PNC Bank-Account 5140222644 3.047.06 50.000% 1,523.53
2 A 03/07/1985 PSECU -Savings Account 37.43 50.000% 18.72
3 A 0310711985 PSECU-Checking account 454.77 50.000% 227.39
TOTAL(Also enter on Line 6, Recapitulation) 1,769.64
(if more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1600 Schedule F(Rev.01-10)
REV-1511 EX+(10-09) SCHEDULE H
pennsylvania
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN
RESIDENT DECEDENT ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Sprout,Alberta E. 21-14-0472
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 184.97
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State ZiD
Year(s)Commission Paid
2. Attornev's Fees Michael L. Bangs 6,500.00
I Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State Zio
Relationship of Claimant to Decedent
4" Probate Fees 343.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 660.20
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 7,688.67
Copyright(c)2009 form software only The Lackner Group,Inc, Form PA-1500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Sprout,Alberta E. 21-14-0472
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
I Neill Funeral Home-Balance due 184.97
H-A 184.97
Other Administrative Costs
2 Cumberland Law Journal.-estate advertisement 75.00
3 Randy Sprout-Reimbursement for miscellaneous expenses 422.94
4 The Patriot News Co. -estate advertisement 162.26
H-B7 660.20
Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
J
Rev-1512 EX+(12.08)
SCHEDULE I
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sprout,Alberta E. 21-14-0472
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 Allstate-Homeowners insurance 634.78
2 Lower Allen Township-sewer/refuse 122.70
3 PA American Water-5/6/14 to 6/3/14 15.00
4 PA American Water-6/5/14 to 7/3/14 16.02
5 PAWC 16.02
6 PAWC-7/4/14 to 8/5/14 16.02
7 PAWC-8/6/14 to 9/4/14 15.00
8 PAWC-final bill 13.35
9 PP&L Electric-4/16/14 to 5/16/14 29.69
10 PP&L Electric-5/16/14 to 6/17/14 22.24
11 PP&L Electric-6/17/14 to 7/17/14 21.11
12 PP&L Electric-7/17/14 to 8/15/14 16.55
13 PP&L Electric-8/15/14 to 9/16/14 18.05
14 PP&L Electric-final bill 6.71
15 UGI 37.00
16 UGI-4/28/14 to 5/28/14 17.06
17 UGI-5/28114 to 6/26/14 10.49
Total of Continuation Schedule See attached page
TOTAL(Also enter on Line 10,Recapitulation) 1,062.27
(If more space is needed,additional pages of the same size)
Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule i(Rev. 12-08)
Rev-1612 EX+(12-08)
SCHEDULE I
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT continued
ESTATE OF FILE NUMBER
Sprout,Alberta E. 21-14-0472
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
18 UGI-6/26/14 to 7/28/14 12.49
19 UGI-7/28/14 to 8/26/14 10.50
20 UGI-8126114 to 9/30/14 11.49
TOTAL(Also enter on Line 10, Recapitulation) 1,062.27
Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-08)
REV-1513 EX+(01-10)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sprout,Alberta E. 21-14-0472
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not List Trusteels)
I.
TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
Randy L.Sprout Son Entire estate
23 Longview Drive
Mechanicsburg, PA 17050
Total
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate.
NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTALI OF PART 11 -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev,01-10)
OMB Approval No.2502-0265
A. Settlement Statement (HU'DA)
. . ..
1. X❑FHA 2. RHS 3.❑Conv.Unins. 6.File Number: 7.LoanNumber: 8.Mortgage Insurance Case Number:
32652SHAKESPEAR HB-1014072801 446-2194698.702
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.
Tara L.Shakespeare Estate of Alberta E.Sproul Tidewater Mortgage Services,Inc.
1839 Green St.Apt#309,Harrisburg,Pa 17102 1813 Letchwodh Dr.,Camp HiD,Pa 1011 . 200 Golden Oak CL Suite 100,Virginia Beach,
VA 23452
G.Property Location H.Settlement Agent I.Settlement Date:09130/2014
1813 Letchworth Dr. Cedar Cliff Abstract Agency,Inc. Disbursement Date:09r3012014
Camp Hill,Pa 17011 414 Bridge Street,New Cumbedand,PA 17070
Lower Allen Township
Telephone:717-774-7435 Fax:717-774-3869
Place of Settlement: TitleExpress
414 Bridge Street,New Cumberland,OA 17070 Printed 09/3012014 at 2:29 pm
by CLT
min I.,R1.40"" K.Summary of Seller's Transaction
100. Gross Amount Due from Borrower 400. Gfosi Amount Due to Seller
101. Contract sales price 123,500.00 401. sales price 123,500.00
102. Personal property 402. PwscInal property
103. Settlement dtarges to borrower(line 1400) 15,520.31 403.
104. Rehab Funds to TMST 5,169.62 404.
105. Contingency Reserve to TMST 1,021.75 405.
Adjustments for Items paid by seller in advance Ad'usttnentt for items paid by seller in advance
106. CityRown taxes to 406. Cityhown taxes to
107. County taxes 0913012014 to 12/3112014 172.59 407. County taxes 09/30/1014 to 12/3112014 172.59
108. SchoolTaxes 0960014 to 06/30/1015 935.37 408. Sdhodl Taxes 09130014 to 06!30/2015 935.37
109 409.
110. 410.
111. 411.
112. 412.
120• Gross Amount Due from Borrower 146,318.64 420• Gro Amount Due to Seller 124,607.96
200. Amounts Pael by or In Behalf of Borrower 500. Red ns In Amount Due to Seiler
201. Deposit or earnest money 1,200.00 501. Ex deposit(see instruudiorts)
202. Principal amount of new loan(s) 133,181.00 502. Settleritent charges to seller(line 1400) 9,931.11
203. Existing bas taken su ect to 503. Existi s taken subject to
204. 504. Pa offlof first mortgage loan
205. 505. Pa offiof second mortgage loan
206. 506.
207. Credit by Seller 5,000.00 507. Credit by Seller 5,000.00
208. Lender pd d costs 956.64 508.
209. Cure for fees that cannon increase 600.00 509.
Adjustments for Items unpaid by seller Adjustments for items unpaid by seller
210. City/town taxes to 510. Cityrtown taxes to
211. County taxes to 511. County taxes to
212. School Taxes to 512. SchoclTaxes to
213. 513.
214. 514. Inherdancetax escrow 3,500.00
215. 515. Payment to DPW 70;813.21
216. 516.
217, 517.
218. 518.
219. 519.
220, Total Paid by/for Borrower 140,937.64 520. Total Reduction Amount Due Seller 68,241.32
300. Cash at Settlement fromho Borrower 600. Cash at Settlement toff om Seger
301, Gross amount due from borrower(line 120) 146,319.64 601. Gross amount due to seller(line 420) 124,607.96
302. Less amounts paid by/fa borrower(tine 220) 140,937.64 602. Less reductions in amount due seller(line 520) 89,244.32
303. Cash ❑X From ❑ To Borrower 5,382.00 603. Cash 0 To ❑ From Seller 35,363•64
h.
oris rnn.mru.a.Wnr a+,r,iar wr ore mss a,.ro..romm.n+rr°w.o:n.e.u�..r,o.m+.n.rn:re.d.ae sad u.pwu n:Ft"PA mora rrr.em"ak OAV ar.
See attached addendum for additional information
Previous editions are obsolete Page I of 4 HUD-1
IC-Total seal Estate Brokaw€M $7,110.00 Paid From Paid From
Division of canmissim line 700 as follows: Borrower's_ Seller's
701. $3,555.00 to Century 21 Realty Services Funds at Funds at
702. $3,555.00 to Hooke.Hooke&Eckman Realtors Settlement Settlement
703. Commission pad at settlement 7,110.00
704. Broker fee to Hooke.Hooke&Eckman Realtors 245.00
705. Broker fee to Century 21 Realty Services 295.00
800. Items Payable in Connection with Loan
801. Our origination charge (Includes Origination Point 0.267%or$350.00) $2,026.00 (from GFE#1)
802. Your credit or charge(points)for the specific interest rate chosen $ (from GFE#2)
803. Your adjusted origination charges (from GFE A) 2,026.00
804. Appraisal fee to CapitalPropertyaisers (from GFE#3) 400.00-
805, Credit report to Funding Suite (from GFE iia) 69.37
806. Tax service to from GFE#3
807. Flood cenification to FAFDS (from GFE#3) 17.00
808, trupection fees to Tidewater Mortgage Services,Inc. (h«n GFE 1113) 300.00
900. Items Required Lender to be Paid in Advance
901. Daily interest c wjm from from 0913012014 to 1 MI12014 @$15.5074tday (from GFE#10) 15.51
902. Mortgage insurance premium for months to (from GFE#3)
903. Homeowner's insurance for 1 years to State Farm Insurance Companies (from GFE#11) 467.00
904. FHA upfront premuim for months to Department of HUD (from GFE#3} 2,290.59
1001,Initial deposit for your escrow account (from GFE#9) 600.51
1002.Homeowner's insurance 3 months LS$ 38.92/month $116.76
1003 Mortgage insurance months A$ 146.121mnonth $
1004. ProWy taxes months A$ /month
1005.County taxes 8 months @$ 57.0month $4`56.48
1006.School Taxes 4 months @$ 104.221month $416.88
1007.Aggregate Adjustment $-389.61
1100.Title Chuges
1101.Title services and ler dens bile insurance from GFE#4 1,470.00
1102.Sealernent or closing fee to $
1103. Owner's title insurance tram GFE#5
1104.Lender's title insurance $1,345.00
1105. Lender's title policy limit$133,181.00 Lender's Policy
1106.Owners fide policy limit$123,500.00 Owner's Policy
1107.Agent's portion of the total title insurance premium $1,049.20
to Cedar Cliff Abstract Aqency,Inc.
1108.Underwriter's portion of the total title insurance prennium $295.80
to Commonwealth Land Title Insurance Con
1109.
pany
1200.Government Recording and Transfer CMrges
1201.Govemmnent recording charges $ (from GFE#7) 192.00
1202.peed$79.00 Mort a$113.00 Release$
1203.Transfer taxes $ (fr«e GFE#8) 1235.00
1204. City/County tax/stamps peed$1,235.00 Mortgage$
1205. State Tax/stamps Deed$1,235.00 Mortw$ 1,235.00
1206. peed$ Mortgage$
1300.Additional settlement Charges
1301.Required services that you can shop for (from GFE#6)
1302. to
1303. to
1304.2014 County taxes to Bonnie K.Miller' $684.72 P.O.C.S'
1305.2014 School taxes to Bonnie K.Miller' 1,276.11
1306.Tax cent fee to Stone LaFaver&Shekletski 15.
1307.4th qtr sewertuash to Lower Allen Township 122.70-
1308,Initial advance to Tara Shakespeare and NGW ConVacting,LLC 6,06H31 1
11M. NIFIRMIM11511- •_- - r r 55,520,31 9,931.11
'Pad outside of closing by(B)orrower,(S)eller,(L*Ki&,(I)nvestor,Bro(K)er."Credit by tender shown on page 1.-Credit by seller shown on page 1.
See attached addendum for additional information
Previous editions are obsolete Page 2 of 4 HUD-1
Comparison of Gdod Faith Estimate GF and HUD-1 asEstimate-, ': HUtk3=,
es k=
em leasa HUD-0 UMNumb/G
Otdarignafiorndtage 1,426.00 2,026.00
Your aedt«charge(Points)for the specific interest rate dlosern d $0 ' "'` n' 0.00 0.00
_. .
Your Ousted origination Charges 4t E03 777 1.426.00 2,026.
Transfer taxes 1203 `. - 1,235.00 1,235.00
Mes That In Total Cannot Increase Mon Than 10% Good Faltb:Estirrxte HUtk
rruerU rec«dug charges ;orf'1201` 250.00 192.00
Appraisal fee 8p} ,,,: ; . .; 600.00 400.60
credit raw :8�:it n r,::;: ,-='...;r; 55.00 69.37
Flood certification ,0.84T ':'.,- I:....,,;, 17.00 17.00
Inspection fees dx : r 0.00 300.00
FHA upfr«q premuim fi x 2,290.591 2,290.59
3,212.591 3,268.96
Increase between GFE and HUD-1 Charces $ 56.37 Of 1.7547%
es That Can Change " Good Fai<hEt 3imate NUD.1
Initial deposit for your escorr account =` '1043 ., < "'- 2,01320 600.51
Daly irderestcharges from .':_. ; 1/•.c; .74A`a07 77.54 15.51
Homeowner's Insurance {`p3' " ;== r, 467.04 467.00
Title services and lendersfide insura>ce !34Qt I 1,270.00 1,470.00
Owrs title irnsuratice / ;:::., 0.00 0.00
Loan Terms
Your Initial loan amount is $133,181.00
Your ban term is 30.years
Your initial interest rate is 4.2500%
Your initial moo"amount owed for principal,ji!@ r a! -a tt!?r49 $801.29 incudes
itnsuralCe is ..`� Principal
❑X Interest
❑X Mortgage Insurance
Can your interest rate rise? ❑X No. ❑Yes,it can rise to a maximum of %. The fust change
z wE; will be on 1 I and can change again every years after 1 I Every
:.; change date,your interest rate can increase or decease by %. Over the Irfe of
the ban,your interest rate is guaranteed to never be lower than %or higher
than %.
Even if you make payments on time,qn your loam rycg rise? Q No. ❑Yes,it can rise to a maximum of$
Even 0 you make pymerq on time,cram yqg. fit . Q No. Yes,the first increase can be on 1 I and the monthly
.:•
principal,interest,and mortgage insur�rtp@ = amount owed can rise to$
:.?,: ..
- - The maximum it can ever rise to is$
X
Does you ban have a prepayment penalty? �: ;'�`'..'':... ❑No. ❑Yes,Your maximum prepayment penalty is$
(does your ban have a balloarn IF 0 No. ❑Yes,you have a balloon payment of s due in
". '. . years on I 1
Total monthly amount owed indpdir48 a;Goys(. ❑You do not have a monthly escrow payment tc items,such as property taxes
... . and homeowners insurance. You must pay these items directly yourself.
X❑You have an additional monthly escrow payment of$200.20
that results in a total initial monthly amount owed of$1,001.49. This includes principal,interest,a
mortgage insurance and any items checked below:
❑X Property taxes Homeowners insurance
❑Flood insuranceX❑School taxes
Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender.
See attached addendum for additional information
Previous editions are obsolete Page 3 of 4 HUD-1
HUD ClEiWIFICA110N OF BUYER AND SELLER
I have'carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,4 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 1 have received a copy of the HUD61 Settlement Statement
Tara L.Shakespeare
ESTATE OF ALBERTA E.SPROUT
--A-z,a--
RandyL.Sproul.E.Akulor
The HUD-1 Settlement Statement whic#rl h ve prepared is a true and accurate account of this transaction I have caused or will cause the funds to be
disbursed in accordance with this sta men
SETTLEMENT ENT DATE
WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT,FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010.
See attached addendum for additional information
Previous editions are obsolete Page 4 of 4 HUD-1
may. Lj. 1U 14 z: lurm rn bank No. J�7O r. I/ I
VWC
May 23,2014
Michael L Bangs, Esq
Bangs Law Office LLC
429 S. le St
Camp Hill,PA 17011
RE: Name: Alberta.E Sprout
SSN:
DOD: 05/01/2014
Dear Mr. Bangs:
In response to your request for Daze of Death(DOD)balances for the customer noted above,our
records show the following:
Checking Account
Account#5140222644 Established: 11/18/2010
A)';,BERTA.E SPROUT
RANDY L SPROUT
DOD balance: S 3,047.06+0.01 accrued interest
Interest paid 01/01/2014 thru 05/01/2014 S 0.11 YTD
Please note that this office provides date of death balances for deposit accounts(IRAs,CDs,Checking and
Savings). We do not process any finanBial tmosactions or provide statements. If you need assistance with
any of these items,please call 1-888-PNC-BANK(1-888-762-2265)or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank,NA.
Member FDIC
This message is intended for the use of the individual or entity to which it is addressed and may
contain information that is privileged confidential and exemptfrom disclosure under applicable law.
If the reader of this message is not the intended recipient or the employee or.agent responsible for
delivering this message to the intended recipient,you are hereby notified that any dissemination,
distribution or copying of this communications is.sirictly prohibited, If you have received this
communication in error, please notify me immediately by reply or by telephone at 800-762-1775 and
immediately destroy this faxed document.
Page 1 of 1
PSECO
05/19/2014
BANGS LAW OFFICE, LLC
MICHAEL L BANGS
429 SOUTH 181H STREET
CAMP HILL PA 17011
Re:ALBERTA E'SPROUT,Deceased.
PSECU Reference#8446258798899
Dear Attorney Michael L. Bangs:
The above referenced person has an account with PSECU which was opened on 03/07/1985. The Share
accounts were jointly held by ALBERTA E SPROUT and RANDY L SPROUT.
The following are the Date of Death Balances for ALBERTA E SPROUT's account with PSECU:
Account Date of Death Balances Interest—May I,
Savings (SI) S 37.43 $0.00
Checking (S4) $454.77 $0.00
The account has'been closed.
If you have any questions,please contact our department toll-free at(800)237-7328,press 6,extension
3120 or email accountservicesp_psecu.c,
Sincere
Sherry etz
Member Service Representative
PSECU
P. Q. BOX 67013 HARRISBURG, PA 1 7106.7013 800.237.7328 >>psecu.com
THIS CREDIT UNION IS FEDERALLY INSURED BY THE NATIONAL CREDIT UNION ADMINISTRATION.EQUAL OPPORTUNITY LENDER.
411,
Of
c(! P/XQi Ce. %Xflll
I, ALBERTA E. SPROUT, of Lower Allen Township, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, and any and all taxes and assessments imposed by any
a- governmental body as a result of my death, whether on property passing under this will or
O
otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a
M
part of the expense of the administration of my estate.
s
ITEM H. I give and bequeath all of my household goods, automobiles,jewelry, and all
other articles of household and personal use,equipment and ornament, together with all
J
insurance thereon and relating thereto to my son RANDY L. SPROUT provided he survives my
death by thirty (30) days. Should he predecease me or not survive my death by thirty (30) days,
then his share shall be divided evenly between my grandchildren who survive my death by thirty
a
(30)days.
ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate to my son RANDY L. SPROUT
provided he survives my death by thirty (30)days. Should he predecease me or not survive my
death by thirty (30) days, then his share shall be divided evenly between my grandchildren who
survive my death by thirty (30) days.
1
ITEM IV. All of the its of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
.ITEM V. I appoint my son RANDY L. SPROUT executor of this my last will.
ITEM VI. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby
1
give to my personal representatives the following powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy;
to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
my personal representatives may determine and at valuations finally to be fixed by them-, to
invest in all forms of property, including any stock or other securities in any corporate fiduciary
I or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle of risk or diversification;
to retain any or all assets of my estate, real or personal, without regard to any principle of risk or
diversification; to sell at public or private sale,to exchange, or to lease for any period of time,
any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms or conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
2
ITE1Mi IV. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
ITEM V. I appoint my son RANDY L. SPROUT executor of this my last will.
ITEM VI. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby
1
give to my personal representatives the following powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy;
to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
my personal representatives may determine and at valuations finally to be fixed by them; to
invest in all forms of property, including any stock or other securities in any corporate fiduciary
or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle of risk or diversification;
J J
to retain any or all assets of my estate, real or personal, without regard to any principle of risk or
diversification; to sell at public or private sale, to exchange, or to lease for any period of time,
any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms or conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
2
ITEM VII.. I direct that my persom representatives;and fiduciaries 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 this ` 3 day of
2004.
lee—
ALBERTA E. SPIOUT
3
The preceding i wument cow of tins and THREE other typewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and declared
by ALBERTA E. SPROUT, 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.
kv,
4
COMMONWEALTH OF PENNSYLVANIA
( SS:
COUNTY OF CUMBERLAND
The undersigned, being the testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law,does hereby acknowledge that I signed and
executed the foregoing instrument as my last will,that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed.
ALBERTA E. SPROUT
Worn or affirmed to and acknowledged
-bak)re a-it by the t r' a ed above
r
"�f
0 T
this d o 12004.
Pu c ;N10)Y S.CHESVRO,NOtBN Pubft
Pu IF
to
NOTARAL SEAL
Lmw ADW TWP
my wivifssW iiii May 4 i
2W
COMMON WALTHOF PENNSYLVANIAj ..
SS:
COUNTY OF CUMBERLAND
WE, L 4k, and
b4U6165._ the
witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according
to law,do depose and say that we were present and saw the testatrix sign and execute the instrument as
her last will; that she signed it willingly and that she executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as
witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more years of age, of
sound mind,and under no constraint or undue inluence.
Sw-qrq-or !affiacknowledged 7ed to and ac
-befor %n
'" j4,LjZpqjk__day of
20
j
dldrl
Notary Publi
E (OTARAL SEAL
V�EENDY S.CHESSRO,Notwy Pubk
Low
Lower AAw Twp,,WmbxWid 0=* 5
MyCo
y C*nmffdssion EVkes May 10,2007
mL'