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Home My WebLink About06-05-15 pennsytvania 1505614105 a..+nmhvrcr rx�tr�,,t EX(03-14)(FI) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN ;_.f�.(..._.....I a._........_..........__. __........._..................__...___......, Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY .......... ...-- ---- _..........._......_..._......_.. ..................__......._.__._..-.........._.........__......__ .._....... _. : ; 03062015 i 08261922 i Decedent's Last Name Suffix Decedent's First Name MI ..........................._................_...__._.._........ _.._.._..... Lunsford ' Sara J : ................... ................. _._._..........._._.. ......-.-................._........_.._......_... _...... ... : (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI _..._.__..__._......_..........__.._........................................._...__.._.._._...._..._.._.__.....__......-.... _ , .................._........._._-......_._..........._........__.._-._..._._....__._._..... _— ...__..... i ! i __....._. ....._... ._....__..___..._._..._........._............................................__..._..----.......__.....__.1 �.__.._....._........_ l_.........._.._......._..............__...._..... __. a THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW OD 1.Original Return p 2. Supplemental Return p 3. Remainder Return(date of death prior to 12-13-82) C=:) 4.Agriculture Exemption(date of O 5. Future Interest Compromise(date of C=:) 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) m 7. Decedent Died Testate O 8.Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) O 10. Litigation Proceeds Received C=:) 11.Non-Probate Transferee Return Q 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) O 13. Business Assets a 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NameDaytime Telephone Number . ................_...................___-.................... ............. -..... __....__............_.........._...__......__.............._...-.....__, .._........._........_.........---..._.-_.......__......._.........__............._.-a William T Lunsford III { ;(304) 289-3379 :................._ ...._...._............._._.... ......_................_............. ...._........._.........._.......__....... ............ __....__.._.._..._....--....__...._._.........._.......__.........._.__......._._...__. First Line of Address RR-2, Box 1-J - - _........._.........._........_...........__......_...._.........__.... - -._.........__.........._....--...................._... _....._............._...............__........._........_-_......._......................................: Second Line of Address r_.._..... .._...._ _..._.__...._..... .. _ ..... _._...,_._._.._......__.____._._....___'._.__._........................ ..... ....._. .._._._._._., t US Route 50 &220 City or Post Office State ZIP Code _........_....... _ _......-._........._....._.__........-........ __ ...__......-.............-.....__..........._......_--.._ ._..._._...._ .._. j Burlington ! WV ;26710 Correspondent's email address: tomwl@frontlernet.net ry REGISTEffaF�WILLS USQVOtrILY Crn"7 ' REGISTER 6F WILLS USE ONLY C_= {� ' ''DATE FILED::MYYYY MDD '. v� ::3 C C'? C> DATE FILED-STAMPD = C7 C=) I— rr1' C Cn 'T1 PLEASE USE ORIGINAL FORM ONLY Side 1 111111 Illll IIIII{1111 IIIII IIIII Illll{1111 Illll IIIII{II!Illi 1505614105 1505614105 F'J 150561,4205 REV-1500 EX(FI) Decedent's Social Security Number Decedents Name: Sara Jane Lunsford RECAPITULATION ..........................................................._........_..........................,.............. 1. Real Estate(Schedule A). .. .. . . . .. . . .. .. .. . . . .. .. .... .. ..... . . . . 120,106.00 2. Stocks and Bonds(Schedule B) .. .. ... . .. . .. .. ... .. . .. .. . ..... . . .. .. .. 2. 2,579.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) .. . . . 3. 0.00 4. Mortgages and Notes Receivable(Schedule D) ... ... .... . . ... ... .... .... . 4. 0.00 . 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . ... .. 5, 240,555.11 6. Jointly Owned Property(Schedule F) CZ) Separate Billing Requested .. . . . .. 6. 0.00 ................,..... _.:. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested... .. .. . 7, 55,254.18 8. Total Gross Assets(total Lines 1 through 7).. ......... ... .. . . ...... ... .. 8. 418,494.29 9. Funeral Expenses and Administrative Costs Schedule H 9, 5,650.00 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)....... .. .. ... . 10. 4,063.66 11. Total Deductions(total Lines 9 and 10). .... .. . ... . ... . . ... ... ........ .. 11. 9,713.66 12. Net Value of Estate(Line 8 minus Line 11) ... .. ..... . . . .. .. . ... .. . .. ... . 12. 408,780.63 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J) ... ... .. ....... ..... .... 13. ! 0.00 14. Net Value Subject to Tax(Line 12 minus Line 13) . ... .. ... ... .... .. . .. .. . 14. 408,780.63 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. m_._...v,.._ .....................,._,. . ,__.. ,_ _....._.__. ... .,.... __ __,.. ......... 16. Amount of Line 14 taxable at lineal rate X.0 45 408,780.63 16, 18,395.12 17. Amount of Line 14 taxable at sibling rate X.12 17. 18. Amount of Line 14 taxable at collateral rate X.15 18. 19. TAX DUE . .... .. . ... . ...... ..... . . . ... .... .. . . . .. . .. . . . ... ... . .. .. 19. 18,395.12 ................................._..................,........................._....................... .......__....._.....................,....__ 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Under penalties o e ry,'I declare I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true, corre an ,co 'plete.Declaration of preparer other than the person responsible for fling the return is based on all information of which preparer has any knowled A SIGNATUR F S _ ,=-TETU TU DATE SIGNATUROF PREPARER THER THAN PERSON RESPONSIBLE!FOR FILING TH RETURN DATE ADDRESS IIIlII IIIA VIII VIII VIII VIII Illii VIII VIII VIII 11111111 Side 2 L 1505614205 1505614205 REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Sara Jane Lunsford STREETADDRESS 100 Norman Road CITY STATE ZIP Camp Hill Pa 17011 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 18,395.12 2. Credits/Payments A.Prior Payments ..._445_50 B.Discount 919.75 (See instructions.) Total Credits A+B (2) 1,365.25 3, Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 5. If Line I +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 17,029.87 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 ......................................................................................... ❑ E b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ c. retain a reversionary interest ............................................................................................................................. ❑ d. receive the promise for life of either payments,benefits or care?..................................................................... ❑ E 2. If death occurred after Dec. 12,1982,did decedent transfer property within one year of death without receiving adequate consideration?.......................................................................................................... ❑ N 3. Did decedent own an"in trust for'or payable-upon-death bank account or security at his or her death?.............. ❑ E 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? .............__.................................................................................................... ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995;the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan, 1, 1995; the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a step-parent 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)]. e 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. REV-1502 EX+(02-15) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Sara Jane Lunsford 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 snowing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1' 100 Norman Road,Camp Hill,Pennsylvania 17011 120,106.00 TOTAL(Also enter on Line 1, Recapitulation.) $ 120,106.00 If more space is needed,use additional sheets of paper of the same size. REV-1503 EX+(02-15) 1A pennsylvania SCHEDULE B 52 OEPAR'NEN'r OF REVENUE is INHERITANCE TAX RETURN STOCKS & BONE RESIDENT DECEDENT ESTATE OF FILE NUNBER Sara Jane Lunsford All property jointly owned with right of survivorship must be disclosed on Schedule F. VALUE AT DATE rrEM NUMBER DESCRIPTION OF DEATH 52 shares MetLife Policyholder Trust,Stock Price$49.60 2,579.00 TOTAL(Also enter on Line 2, Recapitulation) 2,579,00 If more space is needed,insert additional sheets of the same size REV-i5c,8 EX+(08-12) pennsyLvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. PERSONAL PROPERTY ANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER* Sara Jane Lunsford 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. Citizens Bank,Camp Hill,Pa,Checking account,A/C#610068-223-4 6,301.00 2 Citizens Bank,Camp Hill,Pa.,Money Market account,A/C#622221-595-9 18,187.34 3 Citizens Bank,Camp Hill,Pa.,CD,A/C#6261-019459 50,306.22 4 Citizens Bank,Camp Hill,Pa,Money Market Account 1/2 owner,A/C#623930-641-3 80,33027 5 Citizens Bank,Camp Hill,Pa.,Money Market Account 1/2 owner,A/C#623930-642-1 80,330,28 6 2004 Chevy Chevelle 300.00 7 Household Furnishings 800.00 8 Prepaid Funeral 4,000.00 TOTAL(Also enter on Line 5, Recapitulation) $ 240,555.11 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(02-15) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Sara Jane Lunsford This schedule must be completed and filed if the answer to any of questions I through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE iNClUO"t THE NAt4E OF THE TRANSFEREE,THEIR RElki IONSHiP TO CECEDENT wd0 NUMBER THE DAIE OF TRANSFER.ATTACH A COPY Cr THE DEED FDR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE I• Citizens Bank,Camp Hill,Pa.,IRA account,AIC# 26,659.00 100 26,659.00 2 New York Life Annuity 28,595.18 100 28,595.18 TOTAL(Also enter on Line 7,Recapitulation) $ 55,254.18 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(02-15) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERIT ANCETAXRET.URN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Sara Jane Lunsford Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Neill Funeral Home,Camp Hill, Pa 4,600.00 Funeral Luncheon 1,050.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representatives) Street Address ---ZIP Year(s)Commission Paid:__-. 2. Attorney Fees: 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: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. TOTAL(Also enter on Line 9, Recapitulation) $ 51650.00 If more space is needed,use additional sheets of paper of the same size. REV_:t512 Erii. {?2..:"`. ¢'r ,, pennsytvania SCHEDULE I ' DEPARTMENT OFREVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Sara Jane Lunsford 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. Elders Choice $40.00 2 Shelby Warmer-Clean House 200.00 3 Butch Lunsford,house repairs 500.00 4 Mark McClellan 500.00 5 f PP&L 179.53 6 Lower Allen Trash 129.07 7 (Pa American Water 107.35 8 Culligan 28.21 9 I UGI 173.08 10 Sheffers Lawn 105.00 11 Tom Lunsford/materials for house repairs 194.14 12 Culligan 14.48 13 Comcast 114.33 14 Pa Dept of Revenue 2014 taxes 267.00 15 Bonnie Miller Tax Collector 711.47 I E TOTAL(Also enter on Line 10, Recapitulation) 4,063.66 If more space is needed,insert additional sheets of the same size. REV-1513 Ex= (01-10) evr pennsytvania SCHEDULE i DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDEM ESTATE OF: FILE NUMBER: Sara J Lunsford RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).J 1• William T.Lunsford Son 50 RR-2,Box 1-J,US Rt 50&220,Burlington,WVa 26710 2 John T Lunsford,Sr Son 50 971 Mt Pleasant Road,Woodbine, NJ 08270 s ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 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. Jun 04 2015 10:11 HP FaxToms Computers 13042895602 page 8 OM8 Approval No.2502-0265 A. Settlement Statement (HUD-1) 1.❑FHA 2.❑RHS 3.❑Conv.Unins. 6,File Number. 7.Loan Number: 8.Mortgage Insurance Case Number: 15-01-W312 201493415 028664268 4.❑VA 5,®Conv.Ins. C.Note:This form is fumished to give you a Statement of actual settloment coats.Amounts paid loan by the settlement agents areshown items manteo -ip.ozy were paid outside the dosing;they are shown here for informa0onaI purposes and are not included in the totals. 0.Name&Address of Borrower: E.Name&Address of Seller. F.Name&Address of Lender. Meredith A.Ungen`eiter The Estate of Sar J.Lunsford,alkta Sara Jane Lunsford Howard Hanna Mortgage Services 236 Winding Way,Camp Hill,PA 17011 100 Norman Road,Camp Hili,PA 17011 1000 Gamma Drive,Pittsburgh,PA 15238 G.Property Location: H.Settlement Agent: 1.Settlement Date:05/29/2015 100 Norman Road Barristers Land Abstract Company Disbursement Date:0512912015 Camp Hili,PA 17011 3310 Market Street,Camp Hill,PA 17011 Lower Allen Township Phone:717.761-6190 Fax:717.761.4072 Place of Settlement TitleExpress 3310 Market Street,Camp Hill,PA 17011 Printed 05282015 at 1:05 pm by JE J.Summary of Borrowers Transaction i �K.Summary of Seller's Transaction 100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller 101. Conlract sates price 130,000.00 401. Contract sales pri s 130,000.00 102. Personal pr3perty 402. Personal property 103. Settlement charges to borrower(line 1400) 6,763.73 403. 104. 404. 105, 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106. CityAoen taxes to 406. Cityftown taxes to 107. County taxes M2912015 to 12612015 431.29 407. County taxes 0512912015 to 12131x2015 431.29 10& School Taxes 05292015 to 061302015 120.36 406. School Taxes 0529015 to 06!3012015 120.36 109. Sewer/Trash 051292015 to 061302015 46.61 409. Sew/Trash 05r,512015 to 06x30x2015 46.61 110. 410. 111. 411. 112. 412. 120. Gross Amount Due from Borrower 137,362.19 420, Gross Amount Due to Saber 136,598.46 200. 0141i, mounts Patd or in Behalf of Borrower 500, Reductions In Amount Out to Seller 20. Deppstt or earnest money 1,00040 V. Excess deposit(see instructions 202. Principal amount of new ban(s) 123,500.00 502. Ssltlement charges to seller(line 1400) 28,924.30 203. Existln loans)taken su iect to 503. Exist) loos taken sub-lest to 204. 504. Payoff of first morWage loan 206. 505. Payoff of second mortgage loan 206. 506, 207. Seller Assist 3,900.00 507, Seiler Assist 3,900.00 208, Good Faith Deposit 400.00 508, 209. 509. Ad stments for(tams unpaid Wier Ad ustments for Kerns unpaid b seller 210. Cltyltoam taxes tc 510. Ity/town taxes to 211. County taxes to 511. County taxes to 212. School Taxes to 512. School Taxes to 213. 513. 214, 514. 215, 515. 216. 516. 217. 517. 218, 518. 219, 519. 220- Total Paid bvftr Borrower 128,800.00 520. Total Reduction Amount But Seiler 32,824.30 30Q Cash at Settlement fromho Borrower 800. Cash at SdJemerd tolfrom Seller 3p1, Gross amount due from borrow((line 120) 137,362.19 601. Gross amount due to seller(line 420) 130,598.46 302. Less amounts pant Dy/for borrower(line 220) 128,800.00 602. Less reductions in amount due seller(tine 520) 32,824.30 3113. Cash ❑X From ❑ To Borrower 8,582.t9 603. Cash %❑ To ❑ From Seller 97,774.16 dtis ram.uawndbpor.aamw�iry.na CAiewwnr mmae.`He mrae, ,.,r«.cd;,m.dodam.i.ww+ HYHarttW O.r+a ,W� d.tay.TMabd.U9^+d,R prxdsf,.OMMs asREBPA oov.M 4wf.aalen.,ifaf.4n4tien MpiM See attached addendum for additional Information Previous editions are obsolete Page t of 4 HUD-I j 1 i Jun 04 2015 10:12 HP FaxToms Computers 13042895602 page 9 700. Total Real Estate Broker Fees $8,250-00 Paid From Paid From Division of commission One 700 as follows: Borrower's Seller's 701. $4,126.00 to Howard Hanna Camp Hill Funds at Funds at 702. $4,125.00 to SHHSHomesaleRealty Prud3 Settlement Settlement 703. Commission paid at settlement 225.00 25.00 800, hems Payable In Connection with Leen 801. Our origination charge (Includes Origination Point O.5W%or$0. 5940.00 (from GFE#1) 802. Your credit or charge(points)for the specific Interest rate chosen $ row GFE#21 803. Your adjusted origination charges (from GFE A) 940.00 804. Appraisal flea to GRU Appraisal from Gq U)-- 425.00 805. Credit report to CBC innovis,inc. (from GFE#3) 51.14 806. Tax seft4w to Howard Hanna Mortgage Services from GFE 100.00 807, Flood ro3rtification to Core Logic (from GFE 9) 1 13.001 1808. Employment Verification to Work# (from GFE ) 119.50 900. Berns Required 6 Lander to be Paid In Advance 901. Daily interest charges from from 05l 9 2015 to 06MI12015 @$12.69001day frorn GFE#10) 38.071 902. Mortgage Ins.Premium for months to (from GFE#3) 903. Homeowners insurance for 12 months to Doriegal Mutual Irsurance (from GFE#11) 559.00 904, months to from GFE#11) 1 00.Reserves Deposited WIth Lander 1001. Initial deposit for your escrow account (from GFE#9) 1,331.28 1002.Homeowner's insurance 4 months&$ 46.5&morth $186.32 to Howard Hanna Mortgage Se 1003,Mortgage Insurance months @$ 63.81hnonth $ to Howard Hanna Mortgage Se 1004.City Property Tax months $ 0.00/month 5 to 1005.County Property Tax 6 months $ 59.291month 5355.74 to Howard Hanna Modgage Sere 1006.Sri ares Texas 13 months $ 110.941month $11,442.22 to Howard Hanna t age SeA 1007.Aggregate Adjustment 5653.00 to Hrnvard Hanna Mort a.qe S 1100.ride Charges 1101.Title services and lenders title insurance $ from GFE#4 1,542.74 1102.Settlement or dosing fee to $ 1103.Ownees Ole insurance-First American Tide Insurance Co-Hbg $ from GFE#5) 1104.Lender's title insurance-First American Title Insurance Co-Hbg $1,447.00 1105. Lender's title pollcy limit$123,500.00 Lender's Policy 1106.Owners title poky limit$130,000.00 Owners Policy 1107.Agent's pollen of the total title insurance premium $1,219.50 1108. Underwriters portion of the total title insurance premium $260.50 1109. Deed Prep Fee to Barristers Land Abstract 175.00 General-HD 1110. Escrow Fee to Banisters Land Abstract 25.00 Escrow-HC 1200,Govemment Recording and Transfer Charges 1201.Govemment recording charges $ (from GFE#7) 186.00 1202.peed$79.00 Momace$107.00 Release$ to Cumbertand County Recorder 1203.Transfer taxes S (from GFE#8) 11300.00 1204.City/County tax/stamps Deed$1,300.00 Mortgage$ to Cumbertand County Record 1205.State Taxistamps Deed$1300.00 Mortgage$ to Cumberland County Recorder c 1,300.00 1206.Deed S Mortgage$ Release$ to 1207. to 1300.Additional Settlement Chu as 1301,Required services that you can shop for (from GFS tie) 1302.Cleaning Big to Shelby Warner $400.00 P.O.C.S' 1303.Pest Inspection to 1304.Tax Cert Reimbursement to Barristers Land Abstract Cost-1-i1bg 20. 1305.Inheritance Tax Payment to Register of W ils,Aged 16,842. 1306,Overnight Fee(Seller Docs) to Barristers Land Abstract Postage-Hbq 10.41-1 1307. Home Warranty to American Home Shield 487. 1308.Escrow for additional Inheritance taxeto Barristers Land Abstract Escrow.Hb 2,000. 1309. Overnight Fam to Barristers Land Abstract Postage-H 38.55 1400 # + 8,763.73 28,92d.30 -Paid outside of dosing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(i)er."G-edt by lendershown 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 Jun 04 2015 10:12 HP FaxToms Computers 13042895602 page 10 Ca'm anion bf Good Pettit Estlinate GF add HUDd'Ch es Good' - Faith Estimate- HUD-1 Char es That'Cannat increase: HUD-1 Line Number Curodginationcnarge N 801" 940.00 940.00 Your credit orcharge.(points)for the specific Interest rate chosen 802 01.00 0.00 Your adjusted od_ginaton-charges g 803 940.00 940.00 Transfer taxes. .. 1203 1,300.00 1,300.00 Charges That tnTotal'CannotIncrease More Than lO% Good Falth Estimate HUa1 Government recotding chargas ft 1201 234.00 18970 Appraisal foe #804 400.00 4. .00 Credit report M805, 50.00 57 T4 Tax service (#806 100M 100,00 Ftopd ceNBcadatt #807 13.00 13.00 Employment,Verification #808 40.00 19.50 Title services and lenders title Insurance #1101" 1,554.00 1,5 2.74 Owner's ft insurance-First Aineridan 7ifle insurance Co:-Hbg #,1103 16.50 33.00 2,407.50 2,370.38 Increase between and HUD-1 $ 37.12 0 15418% Cha es.That Can Change Good Faith Estimate HUD-1 .. Initialdeposit.lor.your'escnow.acxarnt #1001 227868 133128 Daily interest charges from:, #901 $12.6-8 38.07 38.07 Homeowner's insurance .,' #903 500.00 -- 55900 # Al # Loan Terms Yourindkoan"amount is $123,500.00 Yout;l4anisttn is .`1': 30.years Your initial-interest rate is' 3.7500% YbL"r.tnMet"Martin!.y"amount.owed fa.pdnc4pal,Interest,and anymortgageI $335.76 Includes tnsuranceis,_ Principal ®Interest X Mortgage insurance Can;yqur inteiest rate rlse2 X❑No. El Yes,item rise too maximum of %.The first change WH bean t 1 and can change again every years after I I .Every change date,your interest rate can increase or decrease by %• Over the life of the loan,your interest rate is guaranteed io never be lower than %or higher than %. Evemif you make payrnanls;on 11 9,can your loan balancia rise? [X No. ❑Yes,it can rise to maximum of$ Everr(l;ygu rural a,paymen6 time;can you>no0lhly amount awed for: ❑X No. ❑Yes,the first increase can is on 1 1 and the monthly pdn`crpeGln 6rest ins mditgage irisarance die? amount owed can dse to$ _. :. ..............._... u.... .... .. .. The maximum 0 can ever rise to is$ €3oes.your ba n have sprepayment:psnaity? Q No. ❑Yes,your maximum prepayment penalty is$ Coes your ban have a balloon payment?' ❑X No. ❑Yes,you have a balloon paymant of$ due in years on ! 77 Totei marilhiy amount ovisd including escrow account payments ❑You do not have a monthly escrow payment for items,such as property taxes and homeowner's Insurance. You must pay these items directly yourself. XQ You nave an aftlional monthly escrow payment of$216.81 that results in a total initial monthly amount owed of$852.57.This includes principal,interest,any mortgage insurance and any items checked below: Q Property taxes Q Homeowner's insurance Flood insurance QX Schad Taxes Note: If you have any questions about the Settlement Charges and Loan Terms listed on this forth,please contact your lender. See attached addendum for additional Information Previous editions areobsolete Page 3 of 4 HUD-1 1 � f LAST WILL AND TESTAMENT O SARA JANE LUNSFORD I, SARA JANE LUNSFORD, of .,ower Allen Township, Cumberland County, Pennsylvania,. being of sound and disposingd ind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all. Wills and Codicils by me at any time previously made . 1 . TANGIBLE PROPERTY. I give and bequeath all of my household furniture and furnishings, automobiles, books, pictures, jewelry, china, crystal, appliances, silverware, wearing apparel, articles of household or personal use or adornment, collections, and vehicles, together with all policies of insurance thereon, to my husband, WILLIAM T. LUNSFORD, JR. ("My Husband") , if My Husband survives me . If My Husband does not survive me, I give such articles to our children, WILLIAM THOMAS LUNSFORD, III and JOHN TERRANCE LUNSFORD, SR. ( "My Children") in as nearly equal shares as they shall select under the supervision of my Executor . Any articles which are not special enough to be divided or distributed in kind shall be sold, distributed to My Children or other family members or donated, in kind, to charity or otherwise in the discretion of my Executor, and any proceeds thereof shall pass as a part cf my residuary estate . 2 . RESIDUE . I give, devise and bequeath all the rest and residue of my property, real, personal and mixed, not disposed of in the preceding portions of this Will, including all property over which I hold a power of appointment (which powers of appointment I hereby exercise in favor of my estate) to My Husband, if he survives me, or, if not, to my then living issue, per stirpes . 3 . SPENDTHRIFT PROVISION . No interest in income or principal of my estate shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary of my estate prior to the beneficiary' s actual receipt thereof . My Executor shall pay over the net income and the principal to the beneficiaries herein designated, as their interests may appear, without regard to any attempted anticipation (except as may be specifically provided herein) , pledging or assignment by any beneficiary of my estate and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. 4 . SURVIVAL PRESUMPTIONS. Any person who shall have died at the same time as me or as any then beneficiary or my estate or under such circumstances that it is difficult or. imossible to determine who sfirst,have died shall be deemed to have predeceased me and/or such beneflcla:y. 5 . FIDUCIARY POWERS . In the settlement of my estate, my Executor shall possess, among others, the following powers, exercisable without prior court approval, but in all cases to be exercised for the best interests of the beneficiaries: (a) To retain any investments I may have at my, death 30 long as my Executor may deem it advisable to my estate so to do, including securities owned, issued or underwritten by any corporate Executor or any of its affiliates . (b) To vary investments, when deemed desirable by my Executor, and to invest in every kind of property and type of investment, including securities owned, issued or underwritten by any corporate Executor or any of its affiliates, ' or as to which my corporate Executor or any of its affiliates are investment advisors, as my Executor shall deem wise . (c) In order to affect a division of the principal of my estate or for any other purpose, including any final distribution of my estate, my Executor is authorized to make said divisions or distributions of the personalty and realty partly or wholly in },ind. if such division or distribution is made in kind, said assets shall be divided or distributed at their respective values on the date or dates of their division or distribution. In making any division or distribution in kind, my Executor shail divide or distribute said assets in a manner which will fairly allocate any unrealized appreciation among the beneficiaries . (d) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my estate, any or all real or personal estate or interest therein owned by my estate severally or ,in conjunction with other persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the --purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of f sad sale or sales; also, to make, lL -1 k1l) iu yliaL, uiit= ut ututt ueL'�on5 or a corporation to act .as ancillary -fiduciary in any jsrisdiction in which ancillary a.dminist.ration may be Page 4 of 7 Pages necessary, such ancillary fiduciary to serve without ..- . bond or security and to have all the powers, authorities. and discretions conferred hereunder. (o) To employ and compensate from income or principal, in the discretion of my Executor, investment and legal counsel, accountants, brokers and other specialists, and, whenever ::here shall be no corporate Executor in office, a corporate custodian, and to delegate to investment counsel discretion with respect to the investment and reinvestment of any or all of the assets held hereunder. 6 . TAX CLAUSE . All inheritance, estate and similar taxes becoming due by reason of my death ("Death Taxes" ) , whether such Death Taxes shall be payable by my estate or by any recipient of -ainy- property, shall be paid by my Executor out of the property passing under ITEM 2 of this Will as an expense and cost of administration of my estate, in the discretion of any Executor . My -Ske6utor shall have no duty or obligation to obtain reimbursement for any Death Taxes paid by my Executor, even though paid with respect to proceeds of insurance or other property not passing under this Will . 7 . EXECUTOR POWERS REGARDING BASIS ADJUSTMENT. I II hereby authorize my Executor in my Executor's sole and absolute discretion to allocate any adjustments to the income tax basis of assets of my estate to such assets as my Executor deems to be appropriate . I recognize that this power gives my Executor broad -atitude, which 1 wish my Executor to exe.-cise while taking into account such factors as my Executor deems beneficial to all of the beneficiaries of my estate . My Executor shall not be liable for any loss to my estate or to any beneficiary of my estate resulting from such allocation made in good faith. 8 . CUSTODIAN OF ESTATES . If at any time any individual under the age of twenty-one shall be entitled to receive any assets free of .trust by reason of my death, whether payable hereunder, by operation of law, contract or otherwise, I appoint the surviving parent of such individual as Custodian for such individual under Pennsylvania Uniform Transfer to Minors Act. uc 9 . EXECUTOR APPOINTMENT. I hereby appoint My Husband, WILLIAM T . LUNSFORD, JR. , and DUANE E. HERMAN, CPA, with his offl* c'e' in Cumberland County, Pennsylvania, as Co-Executors of this Will . If for any reason either of' them should fail or cease to act, the other shall act or continue to act with all the powers granted to the two of them. All references in this Will. to my "Executor" shall refer to my originally named Co-Executors, or to my successor Executor, as the case may be . 10 . WAIVER OF BOND; FIDUCIARY FEES; ATTORNEYS. My Executor shall qualify and serve without the duty or obligation of filing any bond or other security. My individual fiduciary shall be enti--led to reimbursement- of expenses and to reasonable mir for services _rendered . 1 request that the law J_f - of R,'noads & Sinon LLP be employed as the attorneys for my estate . IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding six (6) pages, this day of February, 2002 . (SEAL) Sara Jan6 Lunsford We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that at the time of the ,,--execution thereof, the said Testatrix was of sound and disposing min and e. 0 iiL1j,;,,N"'('SEAL) Residing at : pp (SEAL) Residing at: "H, b j _(SEAL) Residing at : 1,re AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS : COUNTY OF We, and 1.Uj&jkZ,*0 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 Sara Jane Lunsford, the Testatrix, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it - as - her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our-- knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by and A the itnesses, this day of February, 2002 . C, itness Witness Witness %Ndr ?if-,P-.ic� My Commission Expires : ACKNOWLEDGEMENT COMMONWEALTH O-F PENNSYLVANIA : SS : COUNTY OF CUMbZAZant_ I, Sara Jane Lunsford, Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the 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. --;r4-7 (SEAL) Sara Jane Lunsford Sworn or affirmed to and acknowledged before me, by Sara , Jane Lunsford, the Testatrix, this day of February, 2002. Ntar Pu is r,kA,1r,3!SL-al My Commission Expires : (SEAL) CODICIL TO THE LAST WILL AND TESTAMENT OF SARA J. LUNSFORD I, SARA J. LUNSFORD, of Lower Allen Township, Cumberland County, Pennsylvania,being of sound and disposing mind and memory,do make,publish and declare this to be a Codicil to my Last Will and Testament dated February 11, 2002. I. I hereby revoke paragraph 9 of my Last Will and Testament and in lieu thereof provide the following new paragraph 9 as follows: 9. Executor Appointment. I hereby appoint my sons, WILLIAM THOMAS LUNSFORD,III and JOHN TER.RANCE LUNSFORD, SR.,as Co-Executors of this Will. If for any reason either of them should fail or cease to act,the other shall act or continue to act with all the powers granted to the two of them. All references in this Will to my"Executor" shall refer to my originally named Co-Executors, or to my successor Executor, as the case may be. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this Codicil to CD Page 1 of 2 Pages my Last Will and Testament, consisting of this page and the preceding one(1)page,this day of-�47� � ,2013. AL) Sara J. unsford We, the undersigned, hereby certify that the foregoing Codicil was signed, sealed, published and declared by the above-named Testatrix as and for a Codicil to her Last Will and Testament, in the presence of us, who at her request and in her presence and in the presence of each other,have hereunto set our hands and seals the day and year above written, and we certify that at the time of the execution thereof,the said Testatrix was of sound and disposing mind and memory. � �(SEAL) c VA. 170, avaiu.,., 72. &4&wv;_ (SEAL) Page 2 of 2 Pages COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF We,SARA J. LUNDSFORD(testatrix), S"(QUjA and AA44Wffie Testatrix and the Witnesses,respectively,whose names are signed to the foregoing instrument,having been sworn,do hereby declare to the undersigned officer that the Testatrix, in the presence of the Witnesses, signed said instrument as a Codicil to her Last Will,and Testament,that she signed voluntarily, that each of the witnesses, in the presence of the Testatrix and of each other, signed said Codicil as a witness and that to the best of the knowledge of each witness,the Testatrix was at the time of sound mind and under no constraint or undue influence. ara L. Lunsl,,'rd itness i ss Subscribed and acknowledged before me by SARA J. LL JNTSFORD,the Testatrix, and subscribed and sworn to before me by Yew . G��rrac�► and witnesses, on this day of 4Public Commission Expires: (SEAL)