HomeMy WebLinkAbout06-12-15 (2) iii� iuti i
� 150567,0105
REV-1500 EX�oz_��,�Ft> �.
OFP ICIAL USE ONLY
PA Department of Revenue Ppnnsytvanie
°��^�T�F�T�FWF°���� Goiinty Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN "
PO BOX z8o6o1 -r�' I� /��� � j
Harrisburq,PA 1�i28-o6oi RESIDENT DECEDENT �.J `1
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
12/23/2014 ' 07/21/1920
DecedenYs Last Name Suffix Decedent's First Name MI
Bitting Lorraine q
(If Applicable)Enter Surviving Spouse's information Below
Spouse's Last Name Suffix Spouse's First Nan�e MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
(,� 1:Originai Return p 2. Supplemental Retur� p 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4. Limited Estate p 4a. Future Interest Compromise(date of �y 5. Federal Estate Tax Return Required
death after 12-12-82)
¢� 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ___ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL 7AX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
Andrew C. Sheely, Esquire '717-697-7050
REGISTER OF WILLS USE ONLY
First Line of Address ;_�
127 South Market Street � ; � r�,.rn
-,.. o rn �
Seconci Line of Address _ r_AJ � � �� �
� --r-
r;-y ;.�,'7
P.O. Box 95 ' � �= c' � � c�
, ,�
�-- f._..
..._
� ��
City or Post Office State ZIP Code ��bT�FIL� . : C-7
. .. . . . . . .. . .... ....... . ..... .. .. . . .. .. ... ....... _........ ,. �'�. - r'_>
Mechanicsburg ' PA 17055 , '? c�' � � ��
-.�._ � __
`-� � = C7
__i �V i_— C�
Corres�ondent°s e-maii address:andrewc.sheely@verizon.net �� U� o
Under penalties of perjury,I declare that I have examined this return,including accompanyiny schedules and statements,and to the best of my nowledge and belief,
it is true,correct and complete.Dedaration f preparer other than the personal representative is based on all informaiion of which preparer has any knowledge.
SI T' E OF PERSON(j�'O i FOR IING RETURN � /� `
�-�� J
ADDRES
Marcia A. Farnham,Administratrix, 24 East Mulberry Hilt Road, Carlisle, PA 17013
SIG RE OF EP E T H REPRESENTATIVE ATE
�°.�e. �z �d
ADDRESS
Andrew C. Sheely, Esquire, 127 South Market Street, P.O. Box 95, Mechanicsburg, PA 17055
PLEASE USE ORIe'aINAL FORM ONLY �
Side 1
� 15056101�5 1,505610],05 �
ll'
�
� 1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
�ecedenrs Name: LOI'I'8i112 A. Bltting, aka Anna L. Bitting '
RECAPITULATION
1. Real Estate(Schedule A). . .. .. . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . 1. , $168,000.00 '
2. Stocks and Bonds(Schedule B) .. . . .. . .. .. .. . . . . .. .. . .. . . .. . . . . . . . . . . . 2.
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. , 13,618.76
6. Jointiy Owned Property{Schedule F) O Separate Billing Requested . . . .. .. 6. '
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested.. . . . . . . 7. , 18,0�3.36
8. Total Gross Assets(total Lines 1 through 7). . . . . . . . .. .. .. . .. . . .. . . . .. .. 8. 199,672.12
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . .. . . .. . . 9. 11,155.11
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I). . . .. . . . . . .. . . 10. 43,997.56 '
11. Total Deductions(total Lines 9 and 10). . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . 11. 55,152.67 `
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . 12. $144,519.45
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. ' $144,519.45
TAX CALGULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousai tax rate,or
transfers under 5ec.9116 _
(a)(1.2)X A_ 15. ,
16. Amount of Line 14 taxable
at Iineal rate x.0 45 $144;519.45 �g, , $6,503.37
17. Amount of Line 14 taxable
at sibiing rate X.12 17. ,
18. Amount of Line 14 taxable
at coliateral rate X.15 18.
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . .. .. . . .. .. . .. .. . . .. .. .. . . .. .. . . . . . 19. $6,503.37
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Slde 2
� 15056102�5 15�561�2�5 J
iiuu i u � i
REV-1500 EX(FI) Page 3 File Number � .
Decedent's Complete Address: a r� �S� � �3 �
DECEDEN7'5 NAME
Lorraine A. Bitting
_ __ __ __ _ _ __ _ _ _ __
STREETADDRESS
24 Laurel Drive
__ _ ___.... _ _ _ __ _
__ __._.._ _.....
CITY . STATE: � ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1} $6,503.37
2. Credits/Payments
A. Prior Payments
B. Discount
Total CrediCs(A+B) (2)
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the tlifference. This is the OVERPAYMENT.
Fill in ovai on Page 2,Line 20 to request a refund. (4)
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) $6,503.37
Make check payable to: REGISTER OF WILL.S, 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 ......................................................................................... ❑ �
b. retain the right to designate who shall use the property transferred or its income ........................................... ❑ �
c. retain a reversionary interest ................................................................................................... .......................... ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ �
2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration?.................................................................................. ........................... ❑ �
3. Did tlecedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ �
4. Did decedent own an individual retirement account,annuity or other non-probate property,whi4h
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,an�the statutory requirements for tlisclosure 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.�percent,except as noted in[72 P.S.§9116(a)(1)].
. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,wP7ether by blood or adoption.
KEv-isoz Ex+ !1r-os�
� � `�pennsylvania SCHEDULE A
, DEPARTMENT OF REVENUE REAL ESTATE
1NHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Lorraine A. Bitting, aka Anna L. Bitting 21-15-0334
All real property owned solely or as a tenant in common must be reported at fair market value.fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedenYs interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1• DecedenYs real estate located at 24 Laurel Drive, UpperAllen Township,Cumberland County,
PA, 17055. Tax Parcel#42-28-2421-097.See attached settlement sheet. $168,000.00
TOTAI(Also enter on Line 1, Recapitulation.) $ �'�68,000.00
If more space is needed, insert additional sheets of the same size,
1 III10...1 Ill�ll 1
PS�Mt�
�„* �'o�p OMB Approvai Na 2602-0266
fc k *� A. Settlement Statement�HUD-1}
a^+A'PE��
B.Type of Loffir
1.�FHA 2.Q RHS 3.Q Corn.Umns. 6. File Plumoer. 7. Loar.Number. 8, Mortgage Insurance Case Numher:
4.[�VA 5.Q Conv.ir�s, �1�� o�OQ20TT9 446-2439360-7IX3
C. NMe: �a fwm is hunlsh�ed fo give yau a sfatamard of actual settlemerrt r,asts. Amounfs peid ta arnf by tha sefUemeM agent are strown.
Mems marked"fp.o.c.)"were paid oufside tha ctasing:lhey are strown here for rrrformatrorrat purposes and aro rrot included in fhe Mca/s.
D. Name and Addresa af Borrower: E Name and Address af Seiler. F. ;�ame and Address of ler.der:
Andraw 0.Reath and Esteda of LorrairroA Bitting flrrc:town Benk
HileryA Roath 8 wneberry Drive 258s�fladelphia A�enue
82Q Windsor Place,Apt.D MechaMcsburg,AA 17055 Ghamberaburg,PR 17201
Mechanicsburg,PA 17054
G. Praperiy tAcstian: M. SettiementAperrt: I. Settiement Detc:
24 Laurel Drive Bankers Settlement Serv'ces-Capital Regian,llC
Machanicsburg,Pft 17055 4400 4eer Peth Raad,Suito 100 May 4,2015
Cumberiend County,Peraisylvanie Harrisburg,PA 17710 Ph. {717)871-4556
Place of Set:lement:
1t10 E.Simpson Street
M1Aechanicsburg�PA a7Q55
J. Summary of Bortowera trangaetion K. 8ummnry of Seller's transaction
1�Q. Gross Amoiart�ue from Barrower. 4p0. Gr�s Amount pua fo Seiler:
1Q1. Canhactsafas 'ce 188000.00 401. .r,ontractaales rice 168,000.00
iQ2. Persona4 r 402, persone! ra rt
tQ3. Settiemerd Char to Borcower Une 1400 11,785.88 403.
104. 4p4.
105, 405.
Ad uatments for ite�ns aid b Seltar in advance Ad ustments for items aid 3eller i�advance
106. Cou T�wms 051�41Z5 to Oi/Otl1S 531.84 4x.�� lf Taxr�s 05/Q4l75 to 01/01t16 b31.94
107. SchoaiTaxes 05104/15 to 0710tt75 326,94 407, SchoolTaxes OStOMiS to fl7(01115 328.94
108. Asssssmems to 4Q8.Assessmenis to
109. 4J9.
110. 410. v
111. 411. �---
112. 452.
120. Grosa AmouM Due from Bortpwer 180,646.76 420.Gross Amount Due ta.^seller 168,86G.88
20Q Amounts Paid o�in Baha{f of Bortower 500. �ed�ctions in Amoant pua Belter
2�5. Re It oc oarnest 7 000.00 501. Excess d it see instrucUons
202. Princi i amount of new foa s 764,957.W 502. SeKlement char rs to Seller Une f400 20,946.19
203. Existin loan s taken sub'ect to 503. :�Fsti �oen s taken sub'aet ro
2t14. isal Pes-Credit � 25.Od 5Q4, Peyoff First Morfgege ko NO MORTGAGE PAYflFFS
205. l.e+�der Crodit 785.00 565. Second Mo�t
206. 5Qfi.
247. SU7. itdsb,as roceeds
206. Se7lerAssist i 8,989.76 SQB. SelletAssist ,_ 8,983.76
209. 549.
Ad stments for Items un aid SeEler Ad ustments tor items un aid b Seiler
2fR, Cou Tazas to 514.Coun /rw T�ces to
211. Sch�t Ta�s . to 511. Schasl Tawes to
212.Assessmerrts ta 512.Assassmetrts to
213. 593. !
2t4. 514.
215. i 515. �
21fi. 516.
217. 517. �
2�8� 518.
219. 519.
224.Totsf Peid HvrBorrower 175.766.76 520. Tot�Reductlon Amount DueSeEter 29,835.95
304. Cash at SetHement fromfto Borrower 600. Cash af settletreent kofFrom Seiler
301, flto6s amW�nt dtrofrom Botrower Ifn8120 180 646.76 601. Gross amourtt due to Se+lter (ine 420 168 860.88
302. Less amount �d BoRower Q)ne 220 { �73,7�,7g �, �s reductia.ns due S��tar Iine 52Q) { 2g,g35.9
303. Cash XQ Prom � To Bortflwer 4,880,00 6p8, Cash �To � From Setter 138,924.93
�PeM vuYMe ofdoainq by Corrower{H1,e411ar(SJ.landet(L),or r,ib-perrytr�
The untiersigrred hereby�re,��knowledge receipt of a completed coyy af this statement&any attachmenb referred to herem
Bwrower C4�3'dl�.�.�' C.-� ���� Seller Esta LorraineA itting
Andrew C.Reath g ,� �
/�/�� � !��� M ia A.Famham,E�cutrix���
Hi!aryA th
Thv PuDlk RepnAnp BurAsn br mle mlleeWn otiMurma9on iseelma�tl at35 minules par roaponw fo�collaqlnq,reNewinq,entl roponing Ino da�a.'fiis egen�y may notcolleUfiis Inbrmatlon,antl you ere
rrottequirotl b eomplets I�isbrtn,unlea IttlGplays e eurta�/y vstlA OMB eonM numbec No mn6Uenlieliry is emurctl;fUs Ofapown is manaamry Thb k tlaafpneG b proNEe the peMe3 b e RESFAoowretl
tanaactlon w)ti IMortnenon auAn94�e aellament promss.
Pege t ot 3 HUD-'I
(201500326.PFDP107500326137)
� i r � ■ ■ �
L.Settlement Char es
70Q.Total R�1 Estate Sroker Pees S 10,080.60
--- Paid F�nm Paid From �
D/vlslon of commission(1Jne TDO}as fotfows:
._... Borrovre's Setlets
Funds at funds at
702. 5 to Reel Estate EXCEI 3ettbment 5eulement
03:Gommission i settteme� ?0080.Q0:
704.Broker Fee to REb1AX Reaf Assaciates ~� 495.Q6;
T05.&dcer Fee fo Real Estste EXCEL 695.OQ
800.kems atsie in Connection with Loan
841.Our ination cha $ 795.00 from G�E#�f
BQ2.Your cre�t or pointsj far the s cif€c inkeresi rate alwaen g (hom GFE#2)
3.Your ed'usted ori ination cha fram GFE#A 795.40
804. raisaf fee to Premier raisa:Senaica fran GFE#3 P.C}.C.5426.
805.Credit R R to CBC Inrwvis,l�, from GFE tK,�^,.. 23.90 _
806.T�c service to Seller .hiUD Line 1310�
80?.Flood certification to CBC innovis,:nc. from GFE 5�3��._ 10.00
808. ftortt GFE#3)
8Q8. from�FE#3
810. from GFE#3
89?. (from GFE#3) �
9W.ttema ulred Lenderto Be paid in Advance
9t11.Daii i.�etereat cha trom D5J04155 to il6tQ1(15 28 14.63�0�0/da from GFE#?0 At1.32
902.M e insurence 3um for monfhs to t.of HtfD hom GFE#3 2,837.10
.Homeownar's irts n T 1,0 rs to Erie i rance Com from GFE#1t fi39.�0
944. iram GFE#1t
905, from GFE#1t}
T000.Resenss osited with Lender
1009.Enitiai tl it for ur eacrow account (hom GFE�9) 2,339.87
1062.Ho[newvnes's tnsurance 3.000 monfhs � 5 53.25 r moMh � 159.7b
'IQai. Insurance o ths 113.79 r rtmMh `-
�fl04.Pro ta�s S _ _
Cou Taxe months r mon �
ha 1 T months r m th �
1fl05.
1006.Coun Pro TexeS 4.000 mnrtths $ 68.22 r month $ 272,88
10�7.Schoot Ta�aes 12.� manths $ 776.62 r mont� $ 2112.24 4
yoos. s
YW9. Adustrnent $ -2'Jrs.06
1'f00.Title Ch es
ti01. Title senicea aruf le�er's title i�surance hom GFE#4 1.510.00 15.Q0
tt 2. Settlement or closi fee
1103. Ow�Ys title insutance R from G E
11 . L i in u CR 1 CiO. 0
11 5 r's li limit 164 957.00
11�. Qwner's 6Ue i timit S 'l68,OOO.OQ
�107. e s rtion ofthe 4 i " rence temittm to BSS-CR t� '..
1108. Undervuriter's on oflhe totei ti@e insurance remium to tT[C $ ���
1109. [7eed Pt ration Andrew C.Sheel $ POC Setter O.CO
111p. �
1111. $
1112. S
1113. $
120Q.Govemment Recording and Transfer Chargea
12�t.Govemmont record'i Cha ?o Recorder's O�ce trom GF�# 17U.00
12 , 81.� Mo BS.OQ Releasas OtF:e�
1203.Transfer taxes Reco r s k GFE#8�}__.__ 1 680.00
1204. i o m ----
1205.Statetax/stem $ 1 fi$0.00 $ t,fi84.00
1206.
1207.
13�.Additional S�etttement Cha es
13D1.R uired services that u can sh far ham�,FE#6
73Q2.2015Cau , owr�shi Ta�ma to DennlsZerbe Ta�cCof(ector S 818.68
1303.FinalSewer to AlfenTawrsshi $ 68.69 �54.31
13Q4.Home WarraMy to FisstAmerican Fiwne Buyers Protection $ 365.00
1345.Home lnspection ta BIS Nome inspection Service S _ 590.�0
1306.Radon Mitigs6on to Bass Air 4uatity Systems S 7�-�
1307.PayAmoum to C&C Ptumbing 8 EtecFrica!Service,Inc. S �S r
1306.Back Qoor to Giann Hickey S �2'�
t3Q9.PayfarPooi ta AquaSpecialists,ina S ___ 5,737.00
5310.Tax Service Fee to Orrstown 3ank S 7�•�
1404.Totat Setttement Chargea{enter on Hnes 1Q3,Section J and 502,3ectlon K} 11,785.88 2Q,946.18
•raid ouaide aaosing uy borrorrer(s�,selier{s),�•naer(�),nr mtre•parry;'1� -
0y�pninppepetM.tlta#eWtr,anthe�qnatorfeseqviwMedgerewiptotaan:plabCcoDYe�Page233M4Rislhreepageatetemeit �
Banksrs Settlemert Servic. - �rpit�:R�i ,l..LG,SettlementAgent
'POC(B)raproseMs POC Barrower aM POC(S)represerds POC Selier
Page 2 of 3 HUD-1
(291500326.PFD/205500326137)
� iva.'.�. u.� . �
Comparison of Good Faith Eatimate(fiFE}and htUD-1 Gharges Gopd Paith E�timate FfUD-1 ;
Chargea That Cannat lncrgsse HUD-t Line Num6er
Ouroriginatlanchar #801 870.C� T95.Qp
Your adjusted ariginstior char #8SY3 87Q.� 795.00
Transfartaxes #1273 1,686.00 1,680.00
Charges Thffi tn 7otai Cannot tnerease More than 10°.6 i;ood Fafth Estimate HUD-1
Governmerrt racording charges #'2�7 24p.00 170.0�
Apprafsaf fee #SOa a2S.00 400.D0
Credit report �805 6p.00 23.90
Flood ceAification �807 10.� 10.�
Mortgage Insurance Pramfum #902 2,837.10 . 2,83�.10
Title services and lendar's titte insurance #1iQt 1,6pQ.40 i 1,510.00
Owne�'s tide insurence to BSS-CR #t703 25.00 15.i10
TOtat 5,197.14 4,966.Q(} ,
Increase beriveen GFE and HUD-t Charges $ -231.10 w -4.45
Charg�That CAn Change daod Feifh Estimate HUR-1
Inidal deposit for your escrpw accaurt! #�001 3,251.d9 2.339.87
Daily interest charges #�1 S 14.69000Dlday 220.35 411.32
HomeownePs insvrance #9d3 850.0(J 633AC
Loan Ferms
�Yaur initial ipan amottnt Is $'64,957.�
�Your loan term is 30.40 years
Your initia!Mtereet rate is 3.250d'h
Your 3nttial monthly amount owed for princlpal,interest and 3 831.69 includes
arry moKgage insurance is Q Principal
Q Irderest
QX Mortgage insurance
Can your interest rate rise? �X No � Yes,It can rise to a ma�dmum of %.The first
change wlil be on and cen change again every_months after
. Every change dale,your fMerest rate can increase or decrease
by 96. Over the life of the Ioan,your interest rate is guareMeed
to never be tower than� %or higher then %.
Even H you make paymeMs on time,can your toen belance rise? QX No � Yes,it can rise to a maximum of S
Even it you make payments nn tlme,can your monthly QX Na � Yes,the frrst increase can Ae on and the monthly
amounf owed for pr3ncipal,interest,and moRgage insurance ri�? amourt owed can rise to$��
The ma�cimum it cen ever rise to is 3
Does your toan heve a prepayrment pa+a!.ty? �X No [� Yes,}rour maximum prepaymeirt penaity is 5
Does your loan have a balloon payment? QX No � Yes,you have a baltoon paymeM of$
due i�_years on__
Total monthly amount owed including escmw account paymenfs ❑ You do not have a monthly escrow paymeM for items,such as property
tazas and homeowner's insurance. You must paythese itams diractfy
yourseff.
[]X You have an additional monthly eacrow peyment oi 5297.49 fhat results
in a total initfal moMhly amount owed of$1,129.18. This inctudes
pflncipal.iMerest,arrymortgage insurance and erryitems checked below:
Q Propertytaxes QX Homaoxmer'sinsurence
� Flood insurence QX Property taxes-School
❑ ❑
Note: if you have arry questions abouf the Settleme�t Charges and�oan Terms listed on this form,piease coMact your lender.
Pege 3 of 3 HUD-1
(201500326.PFD209500326l37)
i i u i i e . i
HUD-1 Attachment �
���
BorroweKsj:Andrew C.Reath and Hilary A.Reath SstleKs): Estate ot Lorraine A Bitting
820 Windsor Place,Apt.D 8 Wineberry Drive
Mechanicsburg,PA 17055 Mechanicsburg,PA 17055
Lender:Orrstown Bank
Setflement Agent Bankers Settlement Services-Capifal Region,LLC
(717)671-4556
Pface of 3�tlemerrt:1110 E.Simpson Street
Mechanicsburg,PAi7055
Settiement Date:May 4,2015
Property Location:24 Laurei Drive
Mechanicsburg,PA 17055
Cumberland County,Pennsyfvania
Adjusted Origination Charge Details
Origination Charge
Undervvriting Fee 265.00
to Orrstown Bank
Document Prep 265.00
to Orrstown Bank
Application Fee 265.00
to Orrstown Bank
Totai $ 795.OQ
Orfgfnation Gredit/Charge(points)for the speclflc interest rate chosen
Tota! S
Adjusted Origlnat�on Chargea $ 795.Q0
Reserves Deposited with Lender
Homeowner's Insurance 159.75
3.000 at 53.25 per month
County Property Taxes 2�2.88
4.000 at 68.22 per month
School Taxes 2,112.24
12.000 at 176.02 per month
Aggregate AdJustment -205.00
Total S 2,338.87
Title Senrices and Lenders Title Insurance DetaiRs BORROWER SELLER
Overnight Fee 10.40
to Bankers Settlement Services
Tax Cert Reimbursemen# '15.00
to Bankers Settiement Services
Lender's title insurance 1,500.00
to BSS-CR
Totai S 1,510.40 $ 15.00
VYARNING: tt is a crime to knowingty make falae stataments to the Unitsd Sffites nn this or any slmflar(otm. Penalties upon conviction can
Inelude a flne and impeisomment. for detNls see: Titk 18 U.S.Code Seetion 10W and Section 101Q.
(201500326.PFD/201500328/3�
� i m � ■ ■ �
HUD-1 Attachment- Continaed
C}wner's Titfe Insurance BORROWER SELLER
Owners Policy Premium 15.00
to BSS-CR
Tota) $ 15.Op $ 0.00
Lender's Titie Insurance BORRQYVER SELLER
'feea atso mhown above in Tttle Servlcas and Gender's Title Insurance L�elails
Lender's Poiicy Premium 1,350.00
to BSS-CR
Lenders Endorsement Charges 150.00
Endorsement Endorsement Charge
7ota1 S 1,500A0 ; 0,00
WARNING: k is a erHne Lo knowingiy make false stataments to the United States on this or any similar fortn. PanaMSes upnn conWction can
Mcludo a flne and impriaonmeni. Por dehils see: TKIe 18 LLS.Code Sectlon 1001 and Sec[lon 1010.
(2(11500326.PFO1201500326/37}
1 IYIH.. 1 1�.1�11. 1
REV-i5o8 EX+(1i-1o)
�� . ���` pennsylvania SCHEDULE E
� DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
� � INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: � FILE NUi�IBER:
Lorraine A. Bitting, aka Anna L. Bitting 21-15-0334
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
$15.33
2 Highmark refund
$19.81
3 Independence Blue Cross refund $649.58
4 PNC Bank Checking account#5001870481,$4,620.31,principal,$0.02 accrued interest $4,620.33
5 PNC Bank Checking account#5001971231,$8,055.37,principal,$0.04 accrued interest $g,055.41
6 Erie Insurance refund $228.00
� Republic Services, Inc.trash refund $30.30
TOTAL(Also enter on Line 5, Recapitulation) $ 13,618.76
If more space is needed,use additional sheets of paper of the same size.
1 IVIP 1 Ill�ll. 1
1
COI�CAST
1555 SUZY STREET
ATTN: LF.BANOH SiJPPORT SERVICES
LEBANON, PA 17046
�omcast3
LORRAINE BITTING 53571 0445-147-31-MADC
24 E MULBERRY BILL RD
CARLISLE, PA 17013
hn�,��h�idl��hlrlldlllllili�li��l�llll�d�hl�h4h�ih��
PAYMENT SL�I�IMARY
cHecKNo: 0014519438
nccouwrNo: 09547-22206705 CHECKDATE: OL/19/15
Dear LORRAINE BITTING,
The attached check represents a refund for accouat number 09547-22206705 in the amount of
$15.33.
IP you are a Comcast BFINITY customer and have questions regardinq your refund check, you
caa write us at the address above, call Comcast's toll free customer service number at
1-888-0O2�CAST (1-888-266-2278), or chat with us at www.comcast.com/chat. Our
representatives are anailable to assist pou 24 hours a dap, 7 days a week.
If you are a Comcast Spotlight client or ageacp, please contact your 1oca1 Spotliqht
office.
DEfACFI AND RETPJN THIS STATEMENT
7HE ATTACHED CHE(:K IS IN PAYMINT OF ITEMS DESCRIBED ABOVE.
IF NOT CARREL"I�,PLEASE NOTIFY US PROMPTLY.NO REG�Pf DESIRED.
......................................................................................................................
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0007040007 0001 000
532682-002-0
'�rIIGHMNZK.� � Blue Rx PDP
P.O.Box 535049 P"rttsburgh PA 15253-5049
' � THE ESTATE OF LORRAINE A BITTING
� 0 24 LAUREL DRIVE
g MECHANICSBURG,PA 17055 �
Premium Refund
—_ -- - _ _ ,..— ------ -_.__.__. _ __ ._
i
Check N�:rnber OfX�42312
Gheck aate. 09/06/201:5
Produd latarne Prescription Drug Plan
Gross paymentamount $19.8'1.
Net payment amount $19.81
Highmark&ue Shieid is an independent Ilcensee of the Blue Uoss and&ue Shield Association
8 .. ,,:9' k"�� =N �..�� ' :<y 3.�" k' . .:� ' £ ' ;:
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;��rd�f ���TA'�,k?F���IE A BITTING `����9.81''�**
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000p8600D1 0001 000
539175-002-0
Independence �.�.
PO Box 41773,Philadelphia PA 1910t-17t3
ESTATE Of LORRAINE BITTING
24 tAUREL DR
� � MECHANICSBURG,PA 17055-5535
�
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____---- - _. ---
' � Check Number Date � Amount
0400013553 03/16/2015 5649.58
lndependence Blue Cross is an indepenCent licensee of the Blue Cross and Blue Shield Association
�a;rr� ` CHECK��€T� CHEGK�E3
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p���e ����,�,�
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PAY TH15 AMOUNT
�46495,ff •?
P��f'�;�$�(�p��(-0Ri�;�l#NE�R7�1fl 58 CENTS""`�"�""
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Ap r. 23. 2015 8:47RM PNC BANK 412-745-0057 No, 5I1U i'. 1
� ���
A,p�i123,20xS
Andrew Sheely
Attorney at Law
127 S M�rket St
Mechanicbsurg,PA 170�5
RE: Name: Lorrai.ne A$itti.ng
SSN: 160�26-7631
D�D: 12 23 2Q�4
17ear Mr. Sheely:
T�n response to your request for Date of Death{la4T�)balances for the customer noted above,our
� reeords shovv the foIiowing: �
C�ecking Account
Account#5001870�4$1 Established: 01 11 1999
SAMC7�L G BTTTTNG
LQRRAIN�E A$T�'TTN'Gr
T70D�balance: $4,620.31 �+0.02 acezued interest
SAVIXI�S,E�CCQllhti
Account#500I971231 Est�,blished: OS 201999
SAMUEL G BIT'I'ING �
L��t.AINE A BITTING
DOD balance: $ 8,�55,37+Q,04 accrued.interest .
Please note that this offiee provides date of death ba]ances for deposit accounts{ITt.As,CDs,Checking and
Sa�'ings). We do not process any financial trunsactions ar pro�vide s�a#ements. If you need assistance with
any ofthese items,please call 1-888-PNC-BANK(1-8'$5-7�2-2265)ar stop�y your lacal pNC Bank branch
o�ce.
Sincerel�,
National�inanciai Ser�'ices Centei
PN'C Bank,N.A.
�Viember FD7C
Page 1 of 2
� i a � a� . �
kev-isio ex+�as-og�
'�`� '`" pennsylvania SCHEDULE G
DEPARTMENTOFREVENUE INTER-VIVOS TRANSFERS AND
�ruHeRrrnNce Tax aEruRrv MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Lorraine A. Bitting, aka Anna I. Bitting 21-15-0334
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.
DESCRIPTION OF PROPERTY DATE OF DEATH %Of DECD'S EXCLUSION TAXABLE
ITEM ?NCLUDE'HE NAME Of iHE'RANSFEREE,THEIR RELAIIONSHIP i0 DECEDENT ANO
NUMBER THE DATE Of TRQNSFER. ATfACH A COPY OF THE DEED fOR REAL ESTATE. VALUE OF ASSET INTEREST (If APPLICABLE} VALU E
1 Erie Family Life IRA.Account#602619.Beneficiary:Daughter,Marcia A.
Farnham,24 East Mulberry Hill Road,Carlisle,PA 17013 18,053.36 100 18,053.36
TOTAL(Aiso enter on Line 7, Recapitulation) $ 18,053.36
If more space is needed,use additional sheets of paper of the same size.
i i n i u e . i
REV-1511 E?(+ (1G091
��',M� ��pennsylvania SCHEDULE H
� DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
1NHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIOENT DECEDENT
ESTATE OF FILE NUMBER
Lorraine A. Bitting, aka Anna L. Bitting 21-15-0334
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1� Malpezzi Funeral Home $6,136.60
e, ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: $0.00
Name{s)of Personal Representative(s) M8fCi8 A. F8ftlham _ _
Street Address 24_Ea5t Muiberry Hill Road
c�ty _Carlisle__.____.............__. _._. .__. _____........_..state_._PA z�P_170_�.3__._...._.----
Year(s)Commission Paid: .___
2. Attorney Fees: $3,885.00
�,����� �.. s�-���y , �����,��
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant _ __—_—____.
Street Address _
City___ State......._ _ ��P_......._.�
Relationship af Claimant to Decedent _ __ _______. ._.__.
4. Probate Fees;
$370.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
�. Misc.postage
$4.40
s. Death certificates for Samuel Bitting,decedent's deceased husband $158.61
s. Reserves to conclude Estate administration,first and final accounting,filing fees $600.00
TOTAL(Also enter on Line 9, Recapitulation) $ 11,155.11
If more space is needed,use additional sheets of paper of the same size.
1 IIIIN.:..1 141�1. 1
RECEIPT FOR PAYMENT
LISA M. GRAYSON, ESQ. Receipt Date : 3/27/2015
Cumberland County - Register Of Wills Receipt Time : 11 : 36 :25
One Courthouse S quare Receipt No. : 1080896
Carlisle, PA 17613
BITTING LORRAINE A
Estate File No. : 2015-00334
Paid By Remarks : MAR.CIA A FARNHAM
WZ
------------------------ Receipt Distribution - -----------------------
Fee/Tax Description Payment Amount Payee Name
PETIIION LTRS TEST 260 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUMBEkLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 25 . 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERI�AND COUNTY GENERAL FUN
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERI.,AND COUNTY GENERAL FUN
----------------
Check# 6337 $370 . 50
Total Received. . . . . . . . . $370 . 50
iia ia� . i
3�3/2015 Cteath C�tificate�der Campiete
VITAI CERTI�ICATE ORC?ER CC}MPLETE
PLEAS� PRIh1T OR 5AVE TN15 PAGE NC3W.Y(3U Vt1tLE.IVEED 7Fi15 LATER. ���
.F��4�� b;?� L, ��_ S JJJ''''''���
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�
INHAT YOU'!t SfE O(�Yt?UR�REt31T CARD SfiATEMENT
2 CtiARGES W3l.L BE MADE 70 YOUR CREDIT CARD MAKING t1P THE TOTAL FEE
U.S.VITAL RECdRDS or VITAL CERTIFtCATES$��,$Z lupon receipt of your app�icatian)
VCN PEIVNSYLVANIA VITAI RECORDS$27.00 for UPS Delivety OR$�for Regular Mail(AF�EF ID requirements are met)
SEND lN YQUR Ib TQ RECE#VE YbUR C�RTlFlCATE
�
YOU Wlll PEt3T RECEIV£YOUR CERTiFiCATE t�iD REQUIREMENTS ARE NOT MET
(1j Check your emat)in a few days.OON'T FORGET.
• Find and open the canfirmation email check junk emaii folder tooj
� Read and follow instructions abouL ID requirements
• Send in yaur 10
(2}Check your emall again over next feuv tlays
� The ID you sent may not have been accepted(unclear,too dark,wrong type,etc.)
� Resend ID if you receive an emai!asking you to
(3}Receive your certificate after aueptable iD rec��yed
• In approximately 25—30 days if UPS delivery option chasen
• !n approximately 30—35 days if reguiar mail delivery option chosen
*in some cases,ID may not be required.
*Pcocessing times may vary depending upon the workiaad of the state agency.
if you have any questions about your application,ptease contact us by compieting our contact us form.You will usually receive a response
faster than by telephone.Please ailow up to one business day far a repiy.
USVitatRecanfs.org =., � . ,:
Online processing Division
www.usvitalrecords.orgJpennsylvanialcontact
Phone Number:1-844-477-4141 �
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���l�'E7����.a`�Ci,�">fi%.�
https:l(usvit�records.orgrpermsyivanialdeaAtardercampi�e.h�mt?PHPSESSID=r�qlciv032En9e48evc�aUntg3i t��
1 IllI.Y.i.lIlI�II. 1
�ev-lsiz ex+ri2-os�
�:. � -�� pennsylvania SCHEDULE I
' DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
,rvHeai-rANce-rax ReruRN MORTGAGE LIABILITIES & LIENS
. RESIDENT DECEDENT �
ESTATE OF FILE NUMBER
Lorraine A. Bitting, aka Anna L. Bitting 21-15-0334
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• Republic Services-final bill $45.45
2. United Water-final bill $39.75
3. Doug DiMartile-snow removal,lawn maintenance $182.00
4. PPL Electric-final bill $1,334.91
5. PA Auto Brokers-title transfer of decedenPs vehicle $157.00
6. UpperAllen Township sewer bill $112.00
7. Settlement Costs from sale of 24 Laurel Drive,Upper Allen Township,PA 17055 $20, 946.19
8. Reimbursement to Marcia Farnham for advances for Decedent's nursing care at The Woods $12,816.94
Decedent's residence located at 24 Laurel Drive, Upper Allen Township,PA, 17055 was in poor
condition requiring improvments prior to sale including the following:
9. GH Construction-repairs to decedent's residence $2,943.59
10. Drain Doctor-repairs to Decedent's sewer system $204.00
11. RT Carey-dumpster rental $400.00
12. Echelon Cabinetry-repairs/updates to decedent's residence $130.54
13. Harries Painting-cleaning and painting interior of home $2,620.00
14. Touch of Color-replacement of damaged carpeting $1,754.00
15. John Esser-repairlreplace vanity $315.19
TOTAL(Also enter on Line 10, Recapitulation) $ 43,997.56
If more space is needed,insert additianal sheets of the same s:ze.
1 IIIIM...1.1L1�11 1
. ��REPUBLIC LORRIANE A BITTING Invoic
J►� SERV/CES
3730 Sandhurst Drive Managing your account is now easier than ever with the My Resource App.Free download on Page 1 of
York PA 17406-793535 the App Store or Googie Play.
Payments/Ad justments
Date Descrintion Reference Amoui
� 01/03 Payment-Thank You 4005 -$45.4
•
Account Number 3-0611-12260B2 Current Invoice Charges
invoice Date March 15,2015 Lorfiane A BittiRg 24 Laurel Dr (L1)
Invoiee Number 0611-001670254 MeChanicsburg,PA
Previous Balance $45.45
PaymentslAdjustments .$45_qy Contract:9611028(C2)
Unpaid Balance $0.00 1.Bag Service Scheduled Service (S1)
current�nvoice Charges S45A5 Date Descriation Reference QuaM" Unit Price Amour
03/15 Residential Service 04/01/15-06/30/15 $�t5.45 $45.4
Current Invoice Charges $45.4
' � •
$45.45
_.� ___. _ _ _ ___ _- --
� Due By: 04/04i15
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Z Republic Services.No checks to write,and no stamps
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p on any d evice with �1y Resource. g q . �th My Resource you can schedule a pickup,pay your bill and discover new servlces-all with a
Visit re ubliconiine.com
rn P touch of a button.Visit republiconline.com to get started.
;�, to get staft8d. . Piease see reverse side for terms and conditions.
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USAGE HISTORY Billing Date: 03/24/15
UsageinThousandsofGallons , AccountNumber: Q0209348820000
4
s 3 t Pre�ious Balance $11.81
� � Payments 7'hrough 03/24/15 rHaNKrou $1'1.81C
z Z Balance Forward $0.00
Current Charges Due 04/13/Z015 $11.81
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Mor 24 Apr 23 May 23 Jun 23 )u124 Aug 25 Sep 23 Oct 24 Nw 20 Oec 23 bn 23 feb 23 Mar 24
Next meter reading date:on or about 04/23/2015 *PAY BY 04/20/2015 TO AVOID A 1.5%LATE PAYMENT CHARGE
SERViCETG= SHMUE�G 81'fTfNG SERVi�E iSDDRE55: 24 LAUREI DR MS£1t��itR6-�A --
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68281090 02/Z3/15 03/24/15 29 0095 0095 0 MGl ACTUAL W07
F_QUlVALFNT TO O GALLONS
SERVICE CHARGES $11.00
DISTRIBUTION SYSTEM IMPROVEMEN $0.83
5TATE TAX ADJUSTMENT SURCHARGE $0.02 CR
TOTAI CURRENT CHARGES $11.81
SEE REVERSE SIDE fOR IMPORTANT ACCOUNT INFORMATION
� �;,�. �,. ;'.�����
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Payments made using an incorrect account number will no longer be accepted. To a�oid unnecessary confusion, please adjust your records
and only use account number 00209348820000.
Your consumption is based on an actual reading of your water meter.
Saue a stamp and go paperless today!Log on to www.unitedwater.com or call Customer Seruice to find out more information and to enroll in
eBilling.
EFFECI'IVE 7ANUARY 1,2015 THE DISTRIBUTION SYSTEM IMPROVEMENT CHARGE(DSIC)INCREASED FROM 6.98%TO 7.50%.THIS CHARGE
FUNDS THE REPLACEMENT OF WATER DISTRIBUTION FACIIITIES IN PENNSYIVANIA.
Approximate state tax included on this bill$0.44.
1 IIII.Y...1 141�11. 1
Upper Allen Township
100 Gettysburg Pike
Mechanicsburg, PA 17055
(717)766-0756 -
After Hours Sewer Emergencies(717) 238-9676
Sewer Biiling
YOU MAY PAY YOUR SEWER UTILITY
BILL OR SET UP AUTOMATIC
LORRIANE A BITTING PAYMENTS ONLINE FOR FREE AT:
24 LAUREL DR HTTPS://WWW.XPRESSBILLPAY.COM/
MECHANICSBURG PA 17055-5535 -
Senrice Location: LAUREL DRIVE 24 Due by: Amount Due:
Account Number: 536D28 05/14/2015 $112.00
Billing Period: 01/01/2015 to 03/31/2015 .
Balance Forward: $ Penalry of 10% on the current charges will accrue
Current Charges: $ 112.00 after 05/14/2015. Interest of 1/2%of the unpaid
balance will accrue after 06/15/2015.
Consumption: gals _
LORRIANE A BITTING Due by: Amount Due: '
LAUREL DRIVE 24 05/14/2015 $112.00
Account Number: 536028 Penalty of 10%on the current charges will accrue
after Q5/14/2015. Interest of 1/2%of the unpaid
balance will accrue after 06/15/2015.
Make Checks Payable To: -
Upper Allen Township Check No.
100 Gettysburg Pike Amount Enclosed
Mechanicsburg,PA 17055
717-766-0756
Hours: Mon. thru Fri. 8AM to 4:30PM RETURN THIS PORTION WITH PAYMENT
I � � 000005360284000000112003
* 536028 *
1 IYIY...1.141111. 1
GH Canstruction
211 Narth York Rd
Dillsburg, PA 17019 Date: 2/22J2015
717-8d2-9667 invoice 1
To: lohn Esser address 24 Laure!drive
717-648-3737 Mechanicsburg PA 37055
Johr,esser@rernax.net
Description of Materiais and Labor
Description of Materials price quantity Tota!
Ta1et supply line 8 2 16
Faucet supply lines kitchen and bath 8 6 �g
kitchen faucet 4a 1 4�
1 1J4 p trap 4.5 2 9
double switeh for kitchen 10 1 1tl
trim for bathroom baseboard 8 1 $
GFi for kitchen 15 2 30
elettrical wall p1a#es for kitchen 2 Z 4
Patch kits far drywal! 5 3 15
old work box eiectrical-light bath 4 1 4
1 1/4 extension tube for drains `� 2 8
Efecirica{switch and cover-replace biue � � 5
outlets/with covers to repiace blue 5 3 15
light bulbs � � �
dryer outlet surface maunt g � �
toilet kit with seat/wax ring 125 2 250
bath vanity with mirror and top 210 1 21ti
repair piece for closet door � 1 '�
Shu#off valves for kitchen 15 2 30
shut off valves for baihroom up 25 2 3�
GFI for bathroom 15 1 15
bath faucet 36 1 36
electrical wall pia#es for bath 3 2 �
white outiets and cover pla#es 3 13 39
white switctres and plates-normal � Z �
one side to side white double switch �� 1 ��
white 3 way switches and plates 4 6 24
5ub Tota! 886
Tax �7.��
Total parts 943.59
� iu u . i � � . �
Description of Labor labor price quanti#y total
install toilets and remove oid 12fl 2 240
instali vanities and faucets and remave old 24S 2 490
install light with rewiring new box and swiiches 75 1 75
rehang claset dnors S 4 20
instaU dryer plug 2d 1 Za
instail 6Fi's, switches or outlets bathroams and blue ones 5 11 55
lnstall kitchen sink 60 1 60
install water shut off valves 10 4 40
Reinstal! bath faucet that leaked 25 1 25
Repair roof shingle SO 1 SO
drywali patches in bathroom 25 3 75
Frant Entry door 2C?0 1 200
bathraom trim baseboard install 3C? 1 30
bathraom closet door 45 1 45
basement bathroom door with knob 80 1 80
13 white outlets,8 switches,one double switch 5 22 130
Tota1 for labor 1615
Payment due upon Invoice Grand Total 2558.59
Made payabl�to Glenn Hickey
, , . . . . ,
R7�" C,�rey Trucking, LLC .
�3BA Garey's Bumpster Service � �u����
b I Heisers I,ane
Carlisle, PA 17015 In�roice Date 214/2Q15
717-258-140Ci Invoice# 7'784
careysdum��te�a,,centurylink.net
Billing Address Se�vice Address
Marsha Fat�arn 24 Laurel I7r
24 E. Maiberry Hilt R�i Mech
Carlisle Pa 11013
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it's been a pleasure working with yout paytrrenfs/Credits $0.00
Please call if you have any questions regarding this
invoice,we can be reached afi?17.258.14{)0. Balance Due $400.00
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` � Harris�rurg,PA Propossl#01 ib15
TCf U CH t3F C 4 L t'��"'� P�one:see contact -Page l of]-
PROPOSAL
To:3ohn Esser
Contact:Karly 717-8Sb-7272
-------»-This ro sat in val'sd for 30 dars£rom the above date-------
Pro'eet name: Pro'ect a�tdress:
l,surel Dr. 24 Laurei br.Marhanicsbu PA
AREA: Bssetnent+Hatl
Style:Stock C;arpei-Stone,blb pad
!ncludes: Tear aut existing carpet aod p�d.Sapply and install carpet and pad.
'�'otai: �7Q2
AREA: Master/B�f ZJ Sed 3J HaIU Liviug Room/Dining R�om/Steps
Styk:Stork t'sr�t-5tone,6ib pad
includes: Tear out ezisting carpet,pad,tack strips,snd st�ples.
Total: $4�2
AREA: Bathroom
Styte:Stock Vinyl FE-2l
Includes:Suppri;�and rnstal!viQyl.Emi�ss textured Vt�'I'.Remove and re-inst�ll s6oe molding
Tatsl:�405
C,iarific�tions
Exclusions:
• Remove and re-install toilet
• Remove and re-ins#all vanity
• Re-install closei doar
Terms&Canditions.Standard Constructian Industry Terms 8c Cond'etions apply
PAYMf;N't""I'{)BF;A1AI7F_,.4S FflLLnVdS:Yz de}�asit to place order—baiance duc up<m c:ompletion
Proposal prepared by: Karly l.,ewis
r�cceptance c�f Propc�sal:
'l.ouch�f Colar F�looring 1/3 6t241 S
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P r�d u��S
Frank Taylor 717-535-5893 717-535-589f ax
B�R�AiN �A� � (�E�DE � ��} R��
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IT`EM C�UANITY SEC.� PRI+ �C�TA€.
BBCABS 1 5{? 5f}
BBACCESSC}RIES a
BBMARBLE �
B�NARi3WARE �
7C)TAl SO
�-�,� �g�� $3.t�i CtJST.NAME 1o�n Esser
GRAND TCITAL $53.Ot3 C1�5T ADItE55
PHONE
CUSTUMER SICsIdATURE
Pd in fulE
PAYMENT C�tECK# 157� CREDiT CARD CASN
REV-1513 EX+(01-10)
L ������ pennsylvania SCHEDULE )
DEPARTMENT OF REVENUE gENEFICIARIES
INHERITANCE TA7(RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Lorraine A. Bitting, aka Anna L. Bitting 21-15-0334
RElATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(5)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
i. Marcia A. Farnham,24 East Mulberry Hill Road,Carlisle, PA 17013 Daughter 100%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUlI0N5
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.
1 Illltl. .1 141�11 1
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beco�r payabl� oy r�asc�n Q€ �� d�ath i� r�sp�ct a�� all propsrty
coz�prisiaag ��r �ross �-s�te fa� de�� tax p�rpcase�, �r�et��r r�r
not suc� prcperty �ass�s u�d�F �his 1,�RST �iI�L, s�.ail be �aaid ty
. , � _
'�'' �..re��"=����p--���� t ra�r �;>a�sx�s;
������=�st� ��k =
funds, deatu be�s��i�s or i��urance FrQcs�ds �hic�-± ar� ot�erw�se
� iu u..�.� ia• �
� �xclu�a��� car sxe��� f'rc�� �_� gross es��.�e f�r �ederal �s�ate
- �r�luat�c� or ��x �ur�vs�s .
�C)�lR.�°I� : .�. I �;iv� and b�r�raeat�: �.li a�� Saa�g�.bie �e��t��aal.
pro��r��, i�cludi�� an� t�a'�or ��hic�.�s �hic�s I may v�n �.� ��
�.�''ic�.Lfi ��J �}� -:Z..lcJ�'`�[t3(� s �J1i�-`vT�.1. � • 3�.3f���1:'M� w 31 iiL�' SJiZ��aYPS 3'v.� �
s. I� the ��rer�� �.� ��s�arsd f�al� �c� s��zr�viv� r:� , �h�n
� �ave ar�� �e�ueat�: aI� nl}� t�.ngi�l� ��r�a�.a�. �rr��erty tes �^;�
�.ar��x M�� y �:�PiC�st �:� �<��i��F��.�,�, �f s��� ��xr�riv�� �se .
�IF��-i : € �iv� , �.ev�se a�:a ueq�z�at�:� al$ r�al �ro�erty us�� �;
�,s� as ;��- �:ixa�ci�ai �iac� cf r�s��er�ce , �.�ic:? I �ay o� at �k��
tiT�c d� �? �i€:i�l.i.9� � �G��Li1€`.Y' iul.'�i'. �'='i� s`�.�}..�diT�P=?C',i1�S �k'iF,�'I'BtJ�i c3Y'it� tii�,'
appur��a�a.��c�s 't=�,�re�� , and �I� �� r�.�a;� �:.tle anc� �nt�rest in
a�:�. �� ara3� gc�lici�s c�f irs�ar�nc� rela.�a�g �a s�e�: rsai. ��operty�
�Q �y ?��sbas��, �A��L G< ��TT��G, i.� he survi�res �� .
S��:af: : I give , �.evi�e ard �ec�uea�17 �.21 t�e xest , r�sidue �r�d
Y'b:�&�I'iC1E;F c�f �+y :�ropert;� , r�a3 a���i ;��rs�r.al , �ti�;Ar�v�r site��t�d ,
i�a ��'iic�� I �ay ���e a�.y �r�t�res�t �.� t�e ti�e saf :��v Lea�t�3 ,
��clu�ing a�p rra�ert� €�v�r ��ic�� � �a}° �ave a poe��r c�£ a��oiat-
r���t , as fQl�.a�s :
�,. io =rt� ��a�i���d , 5,����EL � > b�T�I�:C S �f h� surr,T�ves r::� �
�s . In �f�� e�ent tiaa� �;� �;���a�a fails t� sur�Tiu� �� ,
tt;�� to �►y aaaz�l�ter , ��.Ri,I� �. F�.�ti:�?-:, i� s:�E surviv�� ::e ;
n
�. I�a ��e eve�t ��,.�2C�� 4. ���R�T�:;��' fails to sur�r��e �e ,
���r i� eq€�al ��a�es �o t��ase ar�vng t.�� fo3lo�ving persons �rho
� �urvi.v� me ; JO�:d F. i nR�i�4.��, Pt�I�*�E�,A R. �AP;P3��►�r .J'Q��N F.
���d�:A�', .TR. � �Z1s� ST���F� E, FI�.RI'yt�-iA,?`��,
�r. �.rsy r�sicii:e are re�ai:��.er c� �y estat� e:isti�g
a�:�� �I1 c���er �rvv3sas�aas �f t?�i� 7�.AST ��ILL ar� satisf�ed , I
g�ve , devas� a�c3 beq�e�fi� to �ry d��c��c�arqts and �t� �iusba�d °s
fl�SC�T1C�i�Z1�5 , �3E?T S�ZTy3t'S , �'Fi€'1T ��1�'S �,?l�i c.SSISi2S �O_r�i�e'f,
������i�l� � �f ��3� ��.rt t�f �� ����t� s��;.� vest in a rerson �nder
t����y-��,� {2�} ��ars ef age , tlze �xecutar �:ay, �rit�-� aasolute
u�.scre�ic�� , c�.�3.i�r�r s�.�i� �art , ar any partian tl�ereof , �ithout
bo�xd , �o ��.� parent Qr �u�rdaan flf st�ch �ersar tc� be �e3d far
s�e�i �ersg� ��til aae Qr �i�e re�ch�s t�=8zat�-oras (2�} ��ar� of ag�.
k�� rec�int cf s��� r�are:at c�r �uardaa:� s:�a�i �e a ce��l�te
�.��c�Zar�� a�.3 ac�uitta�c� a� t�ae �xee��or a�ad s�ali be� fi�.�l
a�rd ��n��.�,g �� ��l ��rs�rs i�. interesv .
�IGf-�T� : If a�y 2e��tee 9 be��£i�iar� , c,� devise� ot�er ��San �y
- -;---
��s���� ����.�. ���1 �c� s�rviv� �� b�* ��irt�r (��) days , i direet
�I�a� � �;�all be c��e��d ta ��av� �urviv�d s€�eh Ie�atee ,
venef�c���� or �.e�is�:� �,�� that thi� L,���' �ILL �.nd al3 ti��e
�ro�isi.e�:� , �;xce�,�. �r��r� s�ec�ficali�* s���ed �t�-:e;wise , sI:aII
�� cm�s�trued Qr� ��-i3s ass���tian notr�r�t�st:�ciin� the prov;�io�s
of a�� i�w esL�bli�hi�� a �e����arv �r����st�.€►�. .
IIIIIY...1.111�11. 1
P.I�di�i : I direct that se F���tor, Ez�tri� or Guardisa
nominated a�d appo3.nted by t�i� provis3�o�� c�f this L4ST �'ILL
s�all ��; reqt��rEd to pive �ny bo�d or �ost a:ny sscurit�- , and t:-:at
�€, z�ot�itl�standi�� ��i�.s directio� , any bo�ad ar sEeurity is
rerau�r�� , u� any la� ar order of cour�, na sureties �� rea��red
there�n. __ ,; _,_;...
- I�d �i�'�I�SS �IH�REO� , i hade s�bscrib�d �� �arne ar�d
�f�'iKed m� seal th.�.s ;;.;�day� c�f �,���,� � �r, r �9 7�.
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T�-iE F��;.�G�I�3G I�TSTRL�E?dT was s�gned on the abov�
date by t��e T�statri:x , L�RRAI�I£ fi. B�TTI�iu , �� a�r pr�sencp , �ve
b�iag �resent at th� 5ar�� ti�e , and. s�e then c�eclar�d �o us tnat
suc� i�str��e�t �ras �i�r LAST �ILL ar�d �'ESTA�4EN'�; s�d �r+� at th�
T�st�trix' r�:quest and iri her rres�nce anu ir. the �r�senc�e �-�
eac� at?��r , h$�s s�.gned ���h inst�u���t �� �v�tness�s .
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