HomeMy WebLinkAbout07-27-15 (3) A.
Ismpennsylvania 1505618403
DEPARTMENT OF REVEIN(03-14)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 15 0 2 7 4
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
02 03 2015 06 19 1916
Decedent's Last Name Suffix Decedent's First Name MI
YURASEK MARY H
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
❑X 1. Original Return 2. Supplemental Return 3. Remainder Return(date of death
prior to 12-13-82)
❑ 4. Agricultural Exemption(date of 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
❑X 7. Decedent Died Testate 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes
(Attach copy of will) (Attach copy of trust.)
10. Litigation Proceeds Received 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
13. Business Assets 14. Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
WAYNE M PECHT ESQ 717 691 9808
First Line of Address
650 NORTH TWELFTH ST
Second Line of Address
SUITE 100
City or Post Office State ZIP Code
LEMOYNE PA 17043 ;s
rn
wpecht _pechtlaw.com ��' c� _ c7
Correspondent's email address: o
REGISTER OF WILLA USE ONLY
Z 1— N
REGISTER OF WILLS USE ONLY r ;" 4 Tl __j
DATE FILED MMDDYYYY
r-, D n
DATE FILED STAMP C11
Side 1
IIIIIIIIIIIIVIIIVIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII
1505618403 1505618403 \
V
1505618411
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Yu rasek,MaryH.
RECAPITULATION
1. Real Estate(Schedule A)............................ 1. 154,246-74
..............................
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. 2,278-10
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
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. 156-1524-84
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 14,062- 49
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 616- 49
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 14,678-98
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 141-v845-86
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. 141-1845-86
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.00 15. 0•0 0
16. Amount of Line 14 taxable
at lineal rate X.045 141,845.86 16. 61383.06
17. Amount of Line 14 taxable
at sibling rate X.12 [).[10 17. 0.0 0
18. Amount of Line 14 taxable
at collateral rate X.15 0 - 00 18. 13-1113
19. TAX DUE................................................................................................................ 19. 6,383.06
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Under penalties of perjury,I declare 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 person responsible for filing the return is based on all Information of which preparer has
any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Donna M.Mshar f12 /�/y t
r °ATE (% ! 7
ADDRESS
1059D York 11ad, Dillisburg,P,417019
SIGNATURE OF PPA OT T P E Wayne M Pecht Esq. DATE As
ADDRESS
650 North Twelfth St.,Lemoyne,PA 17043
1111111111111111f 111111111111111111111111111111111111111111 Side 2
1505618411 1505618411
REV-1500 EX Page 3 File Number 21-15-0274
Decedent's Complete Address:
DECEDENT'S NAME
Yurasek, Mary H.
STREET ADDRESS
426 Parkside Road
CITY STATE ZIP
L Camp Hill PA 17011
Tax Payments and Credits:
1, Tax Due(Page 2,Line 19) 6,383.06
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
Total Credits(A +B) (2) 0.00
3. Interest (3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line I +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 6,383.06
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;............................... ......... ......-................... n [i]
b. retain the right to designate who shall use the property transferred or its income;................................. F1 0c. retain a reversionary interest;or..._...... ......___......_ __ .... ....................._..._......___....__ n �x
d. receive the promise for life of either payments,benefits or care?............................................................
x
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?................................__......_.......... ........................__............-.................
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?...................................................... ........................................................... n nx
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 January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72P.S.§9116(a)(1.11)(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)],
• 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+(12-12)
SCHEDULE A
pennsylvania REAL ESTATE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Yurasek, Mary H. 21-15-0274
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
Include a copy of the deed showing decedent's interest if owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 426 Parkside Road,Camp Hill-real estate proceeds 146,732.12
2 426 Parkside Road,Camp Hill-real estate proceeds-escrowed for inheritance tax 7,514.62
TOTAL(Also enter on Line 1, Recapitulation) 154,246.74
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule A(Rev. 12-12)
Rev-1508 EX+(08-12)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE p p
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Yurasek, Mary H. 21-15-0274
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 Wells Fargo#xxxx4298-checking account 2,278.10
TOTAL(Also enter on Line 5, Recapitulation) 2,278.10
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev.08-12)
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX
RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Yurasek, Mary H. 21-15-0274
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s)attached 7,048.69
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
Year(s)Commission Paid
2. Attorney's Fees Pecht&Associates, P.C. 3,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State ZiD
RelationshiD of Claimant to Decedent
4. Probate Fees 657.32
See continuation schedule(s)attached
5. Accountant's Fees 225.00
See continuation schedule(s)attached
6. Tax Return Preparer's Fees
7. Other Administrative Costs 2,631.48
See continuation schedule(s) attached
TOTAL(Also enter on line 9,Recapitulation) 14,062.49
Copyright(c)2013 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.08-13)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Yurasek, Mary H. 21-15-0274
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Malpezzi Funeral Home-funeral 7,048.69
H-A 7,048.69
Probate Fees
2 Cumberland Legal Journal-legal advertisement 75.00
3 Patriot News-legal advertisement 196.82
4 Register of Wills-Probate fees 365.50
5 Register of Wills-filing Family Settlement Agreement 20.00
1-1-134 657.32
Accountant Fees
6 Charles Kokoski-tax preparation 225.00
1-1-65 225.00
Other Administrative Costs
7 Decor and More-Cleaning expenses 250.00
8 Donna Mshar-reimburse expenses 300.00
9 Kenneth Mshar-home repairs/supplies 1,008.48
10 Roto Rooter-plumbing 725.00
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Yurasek, Mary H. 21-15-0274
ITEM
NUMBER DESCRIPTION AMOUNT
11 UGI-final gas bill 73.00
12 Virtus Group-home inspection 275.00
1-1-137 2,631.48
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12-12)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OFMORTGAGE LIABILITIES AND LIENS
RET
INHERITANCE TAXAXRETURRNN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Yurasek, Mary H. 21-15-0274
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 Camp Hill Borough-Sewer bill 165.00
2 Harland Clarke-invoice 35.58
3 PA Water-water bill 77.62
4 PA Water-final water bill 29.92
5 PP&L-electric bill 65.26
6 PP&L-final electric bill 43.80
7 UGI-gas bill 73.00
8 Wells Fargo#xxxx4298-checks cleared after death 126.31
TOTAL(Also enter on Line 10, Recapitulation) 616.49
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-12)
REV-1513 EX+(01-10)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Yurasek, Mary H. 21-15-0274
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT
Do Not List Trusteels) (Words) ($$$)
TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
Barbara Hodgson Daughter One-third
12802 Clay Creek Court residue
Bakersfield,CA 93312
Donna M. Mshar Daughter One-third of
1059D York Road residue
Dillsburg, PA 17019
Susan E. Pray Daughter One-third
1452 Quail View Circle residue
Walnut Creek,CA 94597
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
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10)
03/88r2015 20:08 FAX 7172457001
SHIPPING CARLISLE SINIEO 0003
. �
not
piu ��
u�� |
' MARY YURASEK |
1, MARY H. YURASEK, a resident of Camp Hill, Pennsylvania, being Of »»und
and disposing mind and memory, do hereby muke, publish and declare this to he my
Last Will and Testament hereby revoking any and all DVkla and Codicils he'e1ubefnre
made bvmme.
```-~�~�k.e__c.t ±haf..nay�-b/mt debts. Bmcl funeral expeomes he paid.-as soon
as cunventiently can be done after my death. |
]
ITEM It: l give, devise and bequeath any and all property that l may ovvo at �
the time of my decease, both real and personal, or which I may be entitled to at '
the time of my death, and any and all property which l shall have a power or
appointment of whatsoever kind and wheresoever situate, absolutely and forever,
to my three children, DONNA M. YlJIlA8BK, BARBARA }YODQS00. and SUSAN
E. Yl7}lAGEl[, share and share alike.
In the event that any of my above-named children shall predecease me` and
are not survived by any heirs, then the share of any of the aforesaid children shall
lapse and shall be divided among my surviving children and the heirs of any of my
_ children who have not survived_me, such heirs to take per atiqpeo and not per capita.
_
ITEM M: If neither of my children or heir of mine shall survive me,then I
'
'vo' devise and bequeath all of my estate and property, absolutely and forever, �
to the St' Joseph Indian School, Chamberlain, South Dakota 57326, IRS Identification
No. 46-0239152` absolutely and forever.
ITEM IV: Wherever in this my Last Will and Testament, it is provided that
any person ahuD benefit hereunder if such ppromo shall survive me, such person ahuD
be deemed not to have survived me it he or she shall die within thirty (30) days after
my death.
03/08/2015 20:08 FAX 7172457001 SHIPPING CARLISLE SYNTEC Q004
ITEM V: I.nominate, constitute and appoint DONNA M. YURASEK, as Executrix
of this my Last Will and Testament. No bond or security shall be required by the
Executrix in this jurisdiction or any jurisdiction in which she may be required to act.
ITEM VI: I give my said Executrix absolute discretion and the fullest authority
in all matters including, but not limited to, complete authority to sell at public or
private sale, for cash or credit, with or without security, mortgage, tease;and disperseof all property, real, personal or mixed, at such times and upon such terms and
conditions as he or she shall determine to be in the best interest of my estate. I
direct that the administration of my estate be as independent of probate proceedings
as the laws in force at my death shall permit. If any of my estate passes to a minor,
I hereby direct that my Executrix pay over said portion of my estate to the legal
guardian of said minor or minors.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this0
day of June, 1991.
MARV H. URA.
I
03/08/2015 20:08 FAX 7172457001 SHIPPING CARLISLE SYNTEC 0005
i
'11
i
Signed, sealed, published and declared by the above named Testatrix, MARY j
H. YURASEK, as and for her Last Will and Testament, in the presence of us, JI
who, at her request, in her presence and in the presence of each other, have
residing at �t Pa�k$,de 6J, e 9-it, PA
`� ..�
/"O _
residing at `f L`f (�xi�sr� 4a C. 2" l r P4
-3-
A. Settlement Statement (HUD-1) OMB Approval No.2502-0265
FINAL
Type of .-
1.❑FHA 2.❑RHS 3.❑Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number:
FL15442
4.❑VA 5.❑Cohv.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:
Rachid Belarbi,Mary Theresa Belarbi Estate of Mary H.Yurasek Cash Transaction
G.Property Location: H.Settlement Agent: I.Settlement Date:06/12/2015
426 Parkside Road Freedom Land Settlement Corp. Disbursement Date:06112/2015
Camp Hill,PA 17011 2251 Eastern Blvd.,York,PA 17402
Camp Hill Borough
Place of Settlement: TitleExpress
2251 Eastern Blvd.,York,PA 17402 Printed 06/12/2015 at 9:23 am
by SER
J.Summary of Borrower's Transaction K.Summary of Seller's Transaction
100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller
101. Contract sales price 166,996.00 401. Contract sales price 166,996.00
102. Personal property 402. Personal property
103. Settlement charges to borrower(line 1400) 3,412.46 403.
104. 404.
105. 405.
Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance
106. City/town taxes 06112/2015 to 12/31/2015 312.11 406. City/town taxes 06/12/2015 to 12/31/2015 312.11
107. County taxes 06/12/2015 to 12/31/2015 226.70 407. County taxes 06112/2015 to 1213112015 226.70
108. School taxes 06/12/2015 to 06/30/2015 132.99 408. School taxes 06112/2015 to 06/30/2015 132.99
109. Library taxes 06112/2015 to 12/3112015 14.77 409. Library taxes 06/1 212 01 5 to 12/3112015 14.77
110, 410.
111. Sewer 06/12/2015 to 06/3012015 34.45 411. Sewer 06/12/2015 to 06/3012015 34.45
112. 412.
120• Gross Amount Due from Borrower 171,129.48 420. Gross Amount Due to Seller 167,717.02
200. Amounts Paid by or in Behalf of Borrower 500. Reductions In Amount Due to Seller
201. Deposit or earnest money 5,000.00 501. Excess deposit(see instructions)
202. Principal amount of new loan(s) 502. Settlement charges to seller(line 1400) 13,470.08
203. Existing loan(s) taken subject to 503. Existing loans taken subject to
204. 504. Payoff of first modage loan
205. 505. Payoff of second mortgage loan
206. 506.
207. 507. Escrow-Inheritance Tax 7,514.82
208. 508.
209. 509.
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. City/town taxes to 510. City/town taxes to
211. County taxes to 511. County taxes to
212. School taxes to 512. Schooltaxes to
213. 513.
214. 514.
215. 515.
216. 516.
217, 517,
218. 518.
219, 519.
220• Total Paid by/for Borrower 5,000.00 520. Total Reduction Amount Due Seller 20,984.90
300. Cash at Settlement from/to Borrower 600. Cash at Settlement tolfrom Seller
301. Gross amount due from borrower(line 120) 171,129.48 601, Gross amount due to seller(fine 420) 167,717.02
302. Less amounts paid by/for borrower(line 220) 5,000.00 602. Less reductions in amount due seller(line 520) 20,984.90
303. Cash ❑X From [:] To Borrower 166,129.48 603. Cash ❑x To F] From Seller 146,732.12
epp ing a en pr ,s c ono m ortna ipn rs a e nu es per mspanse p ca ec ing, v¢wnq•an repo e a 2 ,s agenry mTy na e Fr'
ortna,p an ypu are no repu,re p comp e e
Ihis lortn,unless it displaysawrtenily valM OMB wnirdl nu W,Np wnhdentiallty Lsassured:thls disclpsum iz mandatory.ThIs is tleslgnetl 1.P-1-the P__ RESPA covered Iransadlpn with in(prmallpnduring Ne
.111...n1 prp-
Previous editions are obsolete Page 1 of 4 HUD-1
L.Settlement Charges
700. Total Real Estate Broker Fees $10,019.76 Paid From Paid From
Division of commission line 700 as follows: Borrower's Seller's
701. $5,009.88 to Joy Daniels Real Estate Group,LTD Funds at Funds at
702• $5,009.88 to Keller Williams Realty Settlement Settlement
703. Commission paid at settlement 10,019.76
704. Broker fee to Joy Daniels Real Estate Group,LTD 395.00
705. Broker Fee to Keller Williams Realty 295.00
800. Items Payable in Connection with Loan
801. Our origination charge (Includes Origination Point 0.000%or$0.00) $ (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)
804. Appraisal fee to from GFE#3
805. Credit report to from GFE#3
806. Tax service to from GFE#3
807. Flood certification to from GFE#3
808. to
900. Items Required by Lender to be Paid in Advance
901. Daily interest charges from from 06/12/2015 to 07/01/2015 @$0.00/day (from GFE#10)
902. Mortgage insurance premium months to. from GFE#3
903. Homeowner's insurance months to from GFE 911)
904. months to from GFE#11
1000. Reserves Deposited with Lender
1001. Initial deposit for your escrow account (from GFE#9)
1002. Homeowner's insurance months @$ /month
1003. Mortgage insurance months @$ /month
1004.Property taxes months @$ 46.77/month $
1005.County taxes months @$ 33.97/month $
1006.School taxes months @$ 212.89/month $
1007.Aggregate Adjustment $
1100.Title Charges
1101.Title services and lender's title insurance $ from GFE#4
1102.Settlement or closing fee to $
1103.Owner's title insurance-Old Republic National Title Insurance Co. $ from GFE#5 1,358.50
1104. Lender's title insurance-Old Republic National Title Insurance Co. $
1105. Lender's title policy limit$0.00 Lender's Policy
1106.Owner's title policy limit$166,996.00 Owner's Policy
1107.Agent's portion of the total title insurance premium $1,181.89
1108.Underwriter's portion of the total title insurance premium $176.61
1109. Notary Fee to Sharon E.Reimold 10.00 10.00
1200.Government Recording and Transfer Charges
1201.Government recording charges $ (from GFE 97) 79.00
1202• Deed$79.00 Mortgage$ Release$
1203.Transfer taxes $ (from GFE#8) 1,669.96
1204.City/County tax/stamps Deed$1,669.96 Mortgage$
1205. State tax/stamps Deed$1,669.96 Mortgage$ 1,669.96
1206. Deed$ Mortgage$
1207. $
1208. $
1209. $
1210. $
1300.Additional Settlement Charges
1301.Required services that you can shop for (from GFE#6)
1302.Tax Certification Fee to Diane Neiper 15.00
1303.2015 Countyfrwp/Lib Taxes to Diane Neiper 995.36
1304. Home Warranty to First American 365.00
1305, to
r r UMMr r 3,412.46 13,470.08
'Paid outside of closing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1.' Credit by seller shown on page 1.
Previous editions are obsolete Page 2 of 4 HUD-1
Customer Correspondence
MAC P61o2-o3A
• P.O.Box 6995
Portland,OR 97228-6995
Date of Death Balance Request Response Form
Decedent: Mary H.Yurasek Case number: 94554708
Date of death: Tuesday,February 03,2015 Completed by: April Wilson
Requested by: Wayne M.Pecht Contact number: (540)562-9035
Mail: Pecht&Associates,P.C. Date: April 2,2015
Attn:Wayne M.Pecht
65o North Twelfth Street,Suite too
Lemoyne,PA 17043
Interest paid
Principal balance Accrued Date of death'.
Account title Affiliation Account type Account nurmberas of.date of.death year to date of Merest balance
death
Mary H.Yurasek Sole Owner Checking = 4298 $2,278.10 $0.05 $0.00 $2,278.10
Donna M.Mshar Power of Attorney
The account was opened on
o6/17/20to and was closed on
03/23/2015.
Notes:Balances provided are for the last business day prior to the date of death,if the date of death falls on a holiday or weekend.
Money Market Checking and Money Market Access accounts pay dividends only.
Comments:
There was no Safe Deposit Box found for the decedent.