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Home My WebLink About08-12-15 � � pennsylvania 1505618403 OEPARTMENTOFREVEN�X(03-14) REV-1500 OFFICIAL USE ONLY Bureau of Individu8l Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN HarrisburQ PA 17128-0601 RESIDENT DECEDENT 21 13 13�7 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 12 16 2013 12 06 1921 DecedenYs Last Name Suffix Decedent's First Name MI BROWN BLAINE M (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 � 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) � 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 T0: Name Daytime Telephone Number BRADLEY L GRIFFIE 717 243 5551 First Line of Address 396 ALEXANDER SPRING RO Second Line of Address City or Post Office State ZIP Code CARLISLE PA 17015 � �; � ��-+ � rn rn CorrespondenYs email address: bqriffie anqriffielaw com � � � <%� c� ''.7 -(-� C�.� i,� _.'? REGIST�Ef�(��'Wj 6LS U�E ONLY`� �� . �.. N '_� REGISTER OF WILLS USE ONLY ��-' �� - �� DATE FILED MMDDYYYY ' �� . •-� � --�� ., � _ �1 _,._ C7 _� ,.._ frtl _ O � Q DATE FILED STAMR7 � Side 1 � II I IIIII IIIII IIIII IIIII�II I�I I II�I�I IIIII II I IIII 1505618403 1505618403 � � 1505618411 REV-1500 EX DecedenYs Social Security Number Decedent's Name: BPOWII, Blaine M. __ RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 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. 7� ,3 8 3 • 2 0 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 8 3 ,5 0 0 • ❑� 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) � Separate Billing Requested............ 7. 16 5 ,3 8 8 • 7 7 8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 319 ,2 71 • 9 7 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 4 2 ,5 7 8 - 0❑ 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I)............................ 10. 3 ,8 2 2 • 4 6 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 4 6 , 4 0� - 4 6 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 2 7 2 ,8 71 • 51 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. 2 7 ,2 8 7 • 15 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 2 4 5 ,5 8 4 - 3 6 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 2 4 5 ,5 8 4 • 3 6 �6. 11 ,0 51 - 3 0 17. Amount of Line 14 taxable at sibling rate X.12 17. 0 • 0� 18. Amount of Line 14 taxable at collateral rate X.15 18. 0 • 0 0 19. TAX DUE................................................................................................................ 19. 11 ,0 51 • 3 0 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. SIGN URE OF PER N R PON,$IBLE FOR ILING RETURN Debra B. Richcreek DAT �v�� ,�c,hnh�.-� � /�-�i,5� ADDRESS 50 Wedgewood Drive, Carlisle, PA 17015 SIG P OT R THAN REPRESENTATIVE Bradley L. Griffie DA AD 396 Alexander Spri g Road, Suite 1, Carlisle, PA 17015 � I IIIII IIII II I IIII II II I II IIII I�III IIIII IIII III IIII Side 2 1505618411 1505618411 � REV-1500 EX Page 3 File Number 21-13-1337 Decedent's Complete Address: DECEDENT'S NAME Brown, Blaine M. STREET ADDRESS 1834 Basin Hill Boulevard CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 11,051.30 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +B) (2) 0.00 3. Interest (3) 0.00 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 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 11,051.30 Make Check Payable to REGISTER OF WILLS, AGENT �, i�� I I�re�� : �,�n � .. i. ��, � � �I ��,��. ��a� ' tA `� a �r ;. G� P�� I�1� ,��' ' '��` �a n s;��I �i�l� , -��s� � iIt ,, yg . -�� _'� i rl.; . �+�o _ �'rh . � i . . _ I i� _ , i. , i�� .. t�»-,��i �' . � - 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:.................................. ❑ ❑X c. retain a reversionary interest;or................................................................. ............................................. x 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?.................................................................................................................... ❑ ❑X 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?.................................................................................................................. ❑X ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. �� ...� � � � ��. i� �u�r: i i i �'� � �� Ili',Cr��' �ala.� ��°PI.�- � �, �=- �;ri � , ! �� „"�„�,�.�ms�,;,. °"��_ � �P6i� II N� �'; ��r. ;.i ;"�, 3 � n nr�; r '��;«m 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 [72 P.S.§9116(a)(1.1)(ii)j. 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 decedenYs 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 decedenYs 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-1508 EX+(08-12) SCHEDULE E �;�, pennsylvania CASH, BANK DEPOSITS, & MISC. °EPART"'E"TOFRE�E""E pERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Brown, Blaine M. 21-13-1337 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 Morgan Stanley- 58,049.21 Regular Investment Account No.XXX-XXXXX8-550 (See attached statement) 2 Orrstown Bank- 3,173.28 Checking Account No. XXXXX5729 (See attached statement) 3 Orrstown Bank- 6,500.81 Money Market Account No. XXXXX0889 4 Personal Property Sold - 1,800.00 (See attached statement) 5 Proration of Real Estate Taxes on Sale of Real Estate- 430.33 (Total -$860.65) (See attached HUD-1 Settlement Statement) 6 2014 Real Estate Tax Rebate- 125.00 (Total $250.00; 112 provided to Trust) 7 Homeowner's Insurance Refund - 304.57 (Total $609.14; 1/2 provided to Trust) TOTAL(Also enter on Line 5, Recapitulation) 70,383.20 (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-1509 EX+�01-10) p� ,, SCHEDULE F � . � pennsylvania � oEPART^"E"T°FRE"E"�E JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Brown, Blaine M. 21-13-1337 If an asset was made joint within one year of the decedenYs date of death,it must be reported on schedule G. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. Amy B. Brown Testamentary Trust c/o Debra B. Richcreek, 50 Wedgewood None Drive Carlisle, PA 17015 B. C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY o�o OF �nTE oF oEnTH ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANKACCOUNT DATE OF DEATH DECD'S DECE ENT'S I�NTEREST NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR VALUE OF ASSE INTEREST TENANT JOINT JOINTLY-HELD REAL ESTATE 1 A 06/26/2007 Real Estate- 167,000.00 50.000% 83,500.00 1834 Basin Hill Boulevard Carlisle, PA 17015 Cumberland County, PA (See attached Deed and HUD-1 Settlement Statement) TOTAL(Also enter on Line 6, Recapitulation) 83,500.00 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10) Rev-1510 EX+(08-09) SCHEDULE G ��;�� pennsylvania lNTER-VIVOS TRANSFERS AND °EPARTME"T°FRE�E""E MISC. NON-PROBATE PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Brown, Blaine M. 21-13-1337 This schedule musl be completed and filed if the answer lo any of questions 1 through 4 on page ihree of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH i oF oEco s EXCLUSION TAXABLE NUMBER THELDATE OF T ANSFERSATTACH A COPY OF TI�E DEIED�OR REAEESTATDE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 Morgan Stanley IRA- 165,388.77 100.000% 0.00 165,388.77 Account No.XXX-XXXXX3-550 Beneficiaries: Cinda B. Grove, Daughter Debra B. Richcreek, Daughter (See attached statement) TOTAL(Also enter on Line 7, Recapitulation) 165,388.77 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09) REV-1511 EX+(08-13) �� ",�_� pennsylvania SCHEDULE H oEPARTMENTOFRE�EN�E FUNERAL EXPENSES AND R SIDENNDECEDENT URN qDMINISTRATIVE COSTS ESTATE OF FILE NUMBER Brown, Blaine M. 21-13-1337 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER q, FUNERAL EXPENSES: See continuation schedule(s) attached 8,765.62 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Debra B. Richcreek Street Address 50 Wedgewood Drive citv Carlisle state PA zio 17015 Year(s)Commission Paid 2015 12,569.00 2. Attorney's Fees Griffie 8�Associates, P.C. 5,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Zio Relationshio of Claimant to Decedent 4. Probate Fees 228.50 5. AccountanYs Fees 1,025.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs 14,989.88 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 42,578.00 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 Brown, Blaine M. 21-13-1337 ITEM AMOUNT NUMBER DESCRIPTION Funeral Expenses 1 Fogelsanger-Bricker Funeral Home 7,894.36 2 WakelFuneral Reception 871.26 H-A 8,765.62 Other Administrative Costs 3 Cumberland Law Journal (Advertising) 75.00 4 Orrstown Bank-Bank Fees 49.65 5 The Sentinel (Advertising) 202.00 6 "PPL Electric Utilities- 326.64 (All fees hereafter with ""' reflect 1/2 of fees on real estate jointly owned with Amy Brown Trust) 7 "Kough's Oil (home heating oil) 943.30 8 �Advanced Disposal (Trash) 62.95 9 2013 Personal Income Tax Due 284.00 10 "Fehl's Awning (Awning repair and removal) 77•38 11 '`GilberYs Professional Pest Control 184.95 12 '`Carpet Tyme(repairs and replacement) 916.93 13 *Herman Plumbing (Plumbing repairs) 29.00 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 Brown, Blaine M. 21-13-1337 ITEM NUMBER DESCRIPTION AMOUNT 14 `H&H Improvements(real estate repairs) 456.98 15 *Virtus Group(home inspection) 175.00 16 "On Call (HVAC maintenance) 189.45 17 "State Farm Insurance(Homeowner's Insurance) 439.50 18 "`Argennt Co. (home repairs) 75.00 19 �North Middleton Township Authority 249.21 20 *2014 County and Township Real Estate Taxes 319.71 21 "2014-2015 School Real Estate Taxes 1,298.71 22 '`Myers Landscaping(lawn/landscaping maintenance) 410.10 23 *Ron Richcreek(snow removal) 100.00 24 Miscellaneous expenses(postage,cleaning supplies,etc.) 328.29 25 �Baymont On Call (bathroom vent repair) 107.00 26 '`Costs and Fees for Sale of Real Estate- 6,026.13 Commission -$10,265.00 Notary Fee -$30.00 Transfer Tax-$1,670.00 N. Middleton Authority-$87.26 (See attached HUD-1 Settlement Sheet) 27 "Scott Lampeter(Snow removal) 135.00 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 Brown, Blaine M. 21-13-1337 ITEM NUMBER DESCRIPTION AMOUNT 28 �Bass Air Quality Systems - 375.00 (Radon mitigation prior to house sale) 29 PA Department of Revenue- 153.00 2014 Fudiciary Income Tax Return 30 Reserves 1,000.00 H-B7 14.989.88 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, i� °EPARTMENTOFRE�EN"E MORTGAGE LIABILITIES AND LIENS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Brown, Blaine M. 21-13-1337 Report debts incurred by the decedent prior to death tha[remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Myers Landscaping 150.00 2 CitiCards (Credit card) $2•83 3 Kough's Oil 256.90 4 North Middleton Authority 83.07 5 Thornwald Home 2,873.73 6 Diversified Pharmacy 375.00 7 Millenium Pharmacy 0.93 TOTAL(Also enter on Line 10, Recapitulation) 3,822.46 (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-7513 EX+�01-10) .� pennsylvania SCHEDULE J DEPARTMENT OFREVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Brown, Blaine M. 21-13-1337 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$) Do Not List Trustee s I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 1.2 1 Cinda B. Grove Daughter Forty-five 122,792.18 1118 Orchard Road percent of net Lititz, PA 17543 distributable estate 2 Debra B. Richcreek Daughter Forty-five 122,792.18 50 Wedgewood Drive percent of net Carlisle, PA 17015 distributable estate Total 245,584.36 Enter dol�ar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 Grace United Methodist Church 27,287.15 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 27,287.15 Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 01-10) , , . , . � � c `'' r�n �' � � '� c� o� � f�Tl -'� C'� c� �? � Z � x,. r rv r.ln � -- m w �:: c=, � '`- � LAST WILL OF BLAINE M.BROWN ;;, �; �` -� � �-°� ,-, c; - , -:% - .- �.i �� - }-n ' c� I,Blaine M.Brown,ofNorth Middleton Township,Cumberland Cou�tiy,�Penns�uani�;dvs make this my Will,hereby revoking any and all prior Wills,Codicils and Testamentary Tnstruments - heretofore made by me. TTEM I. I direct that the expenses of my funeral and burial,including a suitable marker,and all my debts and other obligations,which in the opinion of my Executor,are not subject to a legal or equitable defense, shall be paid from my estate at my Executor's convenience unless otherwise provided below. ITEM II. I give,devise and bequeath all the rest,residue and remainder ofmy estate of every nature and wherever situate as follows: A. A ten percent (10%) share of the residue of my estate to Grace United Methodist Church, Carlisle, Pennsylvania 17013. B. A forty-five percent(45%)share of the residue of my estate to my daughter, Cinda B. Grove,provided,however,that if my daughter,Cinda B.Grove,does not survive me,her share shall pass instead to her issue who survive me,per stirpes. If there is no such issue,her share shall be reallocated pro rata among the ather shares. C. A forty-five percent(45%)share of the residue of my estate to my daughter, Debra B. Richcreek,provided,however,that if my daughter,Debra B.Richcreek,does not survive me, her shaze shall pass instead in equal shares to her husband, Ronald L. Richcreek and her daughter,Jessica R.Ellis nee Richcreek. If Ronald L.Richcreek does not survive me,his share shall 1 /��9��-�"�'t�I') pass to Jessica R.Ellis.If Jessica R.Ellis does not survive me her share shall pass to her issue who survive me,per stirpes. If there is no such issue,her share shall be reallocated pro rata among the other shares. Christopher A.Richcreek was intentionally omitted as a beneficiary of my estate and I direct that neither he nor any of his issue receive any portion of my estate. ITEM III. Tf any property passes,by reason of my death,to a beneficiary who has not attained u�� il.�� GF u.�j' �3vj ai:iic: �1P,:� Of::y'uG:�35�, ;;R:.�3 FI'Oi,�?'!�'S�:3i �C��:4� ��Tt?��F!��CLLnr 2S Trustee, in trust, to hold, manage and invest the same in such securities and investments as the Trustee, in his/her sole discretion, shall deem advisable and to use and apply so much of the net income and principal thereof as the Trustee,in his/her sole discretion,shall deem advisable for the health,support, maintenance and education (including secondary and post-graduate education)of said beneficiary until she or he shall have arrived at the age of thirty(30) years; at which time,the trust shall terminate and the undistributed principal and income shall be paid to the beneficiary. If tbe beneficiary should die before age thirty(30), such undistributed principal and income shall be distributed to the personal representative of the beneficiary's estate. The Trustee shall accumulate and add to principaI any net income of the trust not paid out in accordance w-i#h the discrerion hereinabove conferred on the TnyStPe. The interest,whether in principal or income,of any beneficiary hereundez shall not be subject to voluntary anticipation,encumbrance,alienation,or assignment,either in whole or in part, nor shall any such interest whiie in the hands of the Executor or Trus#ee be subject to any judicial pr�cess to levy upon or attach the same for or on behalf of such beneficiary's creditors er claimants. 2 EAL) J. To take any and all action which they deem necessary to prevent,abate,"clean up"or otherwise respond to any actual or potential violation of a.ny federal,state or local law,rule or ordinance that affects any property held hereunder and that relates to the generation,use,treatment, storage, disposal, release, discharge of, or contamination by, any materials or substances that are prohibited or regulated by federal, state or local law or that pose a hazard to the environment or ht:rr�.n heut+h. Tbe EYecL#e�;n:ay in her so�e discretion charge ihe expense of her 2ction or response under this power to principal or to income�r partly to each. K To make payment in cash or in-kind,or partly in each,upon any division or distribution of my estate or any trust created hereunder(including the satisfaction of any pecuniary amount),in such proportions as the Executrix thinks best,without regard to the income ta�c basis of any specific property allocated to any beneficiary, so long as the total market value of any beneficiary's share at time of division or distribution is not affected. L. Any beneficiary or personal representative may purchase from my estate assets not specifically bequeathed or devised without court approval at fair market vaIue. ITEM V. I appoint my daughter,Debra B. Richcreek,Executrix of this my Last Will,but if she does not survive me or is unable or unwilling to serve or to continue to serve as Executrix,then I appoint my son-in-law, Ronald L. Richcreek, to be the Executor of this, my Last Will. 4 (SEAL) IT'EM VI. For purposes of this Will,a person shall be consi�dered to survive another person only if he or she survives such other person by at least thiriy(30)days. ITEM VII. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed,shall be paid from my residuary estate as a part of the expense of the administration of my estate. ' ITEt��VTIL I dire+�t :.h�t r.ei*her mv Fxecut�rs nor my TrusteP u�der this Will shall not be required to give bond for the faithful performance of their duties in any jurisdiction. `At IN WITNESS WHEREOF,I have hereunto set my hand this a s day of June,2009. (SEAL) Blaine M.Brown Signed, sealed,published and declared by the above named Blaine M.Brown,Testator,as and for his Last Will, in the presence of us who have hereunto subscribed our names as witnesses thereto, at his request,in the presence of said Testator and of each other. �`� � Witriess _ � •�L�-c-� Witness 5 We, Blaine M. Brown, ��L�� . �� and /�,�, ,� L � - ,the Testator and the witnesses,respectively,whose names are signed to the attache or foregoing instrument, being first duly swom, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he signed willingly, and that he executed it as his free and voluntary act for the pwposes therein expressed,and that each ofthe witnesses,in the presence and hearing ofthe Testator,signed the Will as witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older,of sound mind and under n�constraint or undue influence. A � Blaine M.Brown Witness ` �yZZ-t-C,C- � Witnests Subscribed,sworn to and acknowledged before me by Blaine M.Brown,the Testator,and subscribed and sworn to before me by ��-(� �� 5��{7�E and �o,v�,�c �_��,� ,witnesses,this�_day of June,2009. �� ot Public My Commiss xpires: COMMOMNEALTH OF PENNSYLVAN[IA NoLrisl Seai Nathan C.Wdf,Nohry Public Car6We Bora,Cianbatsrd County My Catnnisslon Exptraa Ap�R to,20t2 Membet,Pennsylvania Assoc�aflort of Nodaries 6 ITEM IV. In addition to the powers granted by law,my Executor shall have the following powers with respect to both principal and accumulated income and such powers shall continue until distribution is actually made: A. To accept in-kind and retain any properiy which I may own at my death, without regard to any principle of diversification,and to invest and reinvest in any form of properly i v -oc�t n _fi_1•.1ri• �''S 'v�'1 )Ci.it:�Sb':�ZiOii 1C' L'bQ•iIl.....,.I1;�I1tS �Z 3.:... _ B. To purchase investments at a premium and,at her discretion,to charge such premium and the premium on any investments owned by me at my death either to principal or income. C. To give proxies and to join in any merger,reorganization,voting trust plan,or other concerted action of security holders affecting investments, delegating powers with respect thereto. D. To sell at public or private sale,exchange or lease for any period of tune any real or personal property,and to give options for saies or leases. E. To borrow money and to mortgage or pledge any real or personal property. F. To register property in the name of a nominee or to hold vroT+ert_y unregistered. G. To compromise claims. H. To disclaim any interest in property. I. To allocate any property received or charge incurred to principai or income or partly to each,without being obliged to apply the usual rules of trust acconnting. 3 - EAL) Attachment to Schedule "E" o�.STo�� A Tradit�ion of Eaccedle►uae March 13, 2015 Griffie&Associates,P.0 200 N Hanover St ar is e, A 13 F�: 717-532-5289 Re: Estate of Blaine M Brown Social Security Number 225-18-9541 Date of Death 12/lb/2013 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD TF� F�LLOWING ACC�UNT WITH ORRSTOWN BANK: CHECKING ACCOUNT Account Na I08045729 Account Type- 50+Interest Check Account Title- Blaine M Brown Date Opened- 12/18l200� Joint Account(name/date) No Balance- $3173.26 Accrued Int�rest $0.02 CheckinQ Account Account No- 143000889 Account Type- Money Market Account Title- Blaine M Brown Date Opened- 5/22/2004 Joint Account(name/date) No Balance- $650Q.57 Accrued IntGrest $0.24 Best Regazds, �� Casmen R Jones Deposit Pracessing Specialist 2695 Philadelphfa Avenue• Chambersburg,PA 17201 �N �^` ^ N Q L ? ty" r 'V' - ' C " ✓. d I O W w O 7 u) . � O 1] � T -. 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' .��f { � $�� s '� �� i �� ,�� a��,�8 '� <�a�� ` � �� ._ t''-� � a�>l�axm4 .,� ,@I�"y.��,� t � � �� ' � ^`'. fia�r;"�� ti�� i r ,t'' t�'***� � e�t�" '`�n ,,�'"�' '�7' � ��it s� �` .�� ,� � ,� � �'i s'�� "��" t a.��t''�t ,�r��e i. � � �� r ��.�� _ �.�� ... x -s `'S �.J V �. M�� ,v.a`k3`` � �.�t,.s� 3,n�°� ta a�a� r, qvn� �� r� .� i � �f � �.� � r a �� a G � dtx�k��°� � ��,t�� i. t�'r F1�� ^;.S� �n, 1��1? � y� x� � ..�rz;'�J`, P „ ,.x . . .. .. e. - ;1�"`-�"��;: OMB Approvdl No.2502-0265 .,5" �� +�'S. HUD-1 Y`x �� .�� A. Settlement Statement (HUD-1) �L,, ��I�11�� :��_ '�.'^��,�c��''"� Page 1 of 2 B. Type of Loan 1.�FHA 2.❑RHS 3.�Conv.Unins. 6.File Number: 7.Loan Number: S.Mortgage Insurance Case Number; 4.�VA S.❑Canv.Ins. 401500228-SK C.NOTE: This form is furnished[o give you a statement of actual settlement costs.Amounts paid to and by the settlement agent 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 and Address of Borrower E.Name and Address of Seller F.Name and Address of Lender ELENA L.BRTNEMAN DEBRA B.RICHCREEK,EXECUTRIX OF 531 LIMESTONE ROAD ESTATE OF BLAINE M.BROWN CARLISLE,PA 17015 (UNDIVIDED 1/2 INTEREST) 1634 BASIN HILL BOULEVARD CARLISLE,PA 17013 DEBRA B.RICHCREEK AND CINDA B. GROVE,SURVIVING TRUSTEES UNDER THE LAST WILL AND TESTAMENT OF AMY B.BROWN,DECEASED(UNDIVIDED 1/2 INTEREST) 1834 BASIN HILL BOULEVARD CARLISLE,PA 17013 G.Property Location H.Settlement Agent GUARDIAN TRANSFER 1834 BASIN HILL BOULEVARD, 485 ST.]OHNS CHURCH ROAD, CARLISLE,PA 17013 SHIREMANSTOWN,PA 17011 Phone:(717)901-8342 COUNTY:CUMBERLAND place of Settlement I.Settlement Date PARCELID:29-17-1585-201 TOWNSHIP:NORTH MIDDLETON TOWNSHIP 02/18/2015 50 W POMFRET ST CARLISLE,PA 17013 Disbursement Date 02/18/2015 ]. Summar of Borrower's Transaction K. Summar of Seller's Transaction 100.Gross Amount Due from Borrower 400.Gross Amount Due to Seller 101. Contract Sales Price g167,000.00 401. Contract Sales Price $167,000.00 102. Personal Property 402. Personal Property 103. Settlement char es to borrower line 1400 3 641.50 403. 104. 404. 105, 405. Adjustment for items paid by seller in advance Adjustment for items paid by seller in advance 106. Cit /Town Taxes 406. Ci /Town Taxes 107. Count Taxes 407. Count Taxes 108. Assessments 408. Assessments 109. SchoolTaxes 2597.4200/ r02/18/15to 07/01/15 $946.46 409. SchoolTaxes 2597.4200/ r02/18/i5to 07/O1/15 946.46 110. 410. 111. 411. 112. 412. 120.Gross Amount Due from Borrower 171 587.96 420.Gross Amount Due to Seller $167,946.46 200.Amounts Paid by or in Behalf of Borrower 500.Reductions In Amount Due to Seller 201. De osit or earnest money $5,000.00 501. Excess De osi[s 202. Princi al Loan Amount 502. SetYlemen[Char es to Seiler 17 125.26 203. Existin loan s taken sub'ect to 503. Existin loan s taken sub'ect to 204. 504. 205. 505. 206. 506. zo�. So�. 206. 508. 209. 509. Adjustments for items unpaid b sel�er Adjustments for items un aid b seller 210. City/Town Taxes 510. City/Town Taxes 211. Count Taxes 652.4900/ r Ol/Ol/15 to 02/18/15 85.81 Sll. Count Taxes 652.4900/ r O1/Ol/15 to 02/18/15 85.81 212. Assessments 512. Assessments 213. 513. 214. 514. 215. 515. 216. 516, 217. 517. 218. 518. 219. 519. 220.Total Paid b /for Borrower $5,085.81 520.Total Reduction Amount Due Seller $17,211.07 300.Cash at Settlement from/to Borrower 600.Cash at Settlement to/from Seller 301. Gross amount due from borrower(line 120) $171,587.96 601. Gross amount due to seller(line 420) $167,946.46 302. Less amounts aid b /for borrower line 220 5 085.81 602. Less reductions in amount due seller line 520 17 211.07 303.Cash X From To Borrower $166,502.15 603.Cash X To From Seller $150,735.39 The Public Reporting Burde�(or this colleclion of information is eslimated at 35 minutes per response for collec�ing,reviewing,and reporting lhe data.This agency may not collect ihis informalion,and you are not required to complete this form,unless it displays a currently valid OMB control number.No confidenliality is assured;lhis disdosure is mandatory.This is designed to provide the parties to a RESPA covered Iransaction with intormation during lhe setllemenl process. �t'��(� Initials �y�-J- 401500228-SK HUD-1 Pa e 2 of 2 L. Settlement Charges 700.Total Reai Estate Broker Fees$10565.00 Division of Commission(line 700)as follows: Paid From Paid From 701. $5255.00 to Hooke,Hooke and Eckman $5,010+$245 Borrower's Funds Seller's Funds 702. $5310.00 to Coldwell Banker Residential Brokerage($5,010+$300) At Settlement At Settlement 703. Commission aid at settlement 300.00 10 265.00 704. 800.Items Payable in Connection with Loan 801. Our ori ination char e from GFE#1 602. Your credit or char e points)for the s ecific interest rate chosen from GFE#2 803. Your ad'usted ori ination char es from GFE A 804. A raisal Fee from GFE#3 805. Credit report (from GFE#3) 806. Tax Service from GFE#3 807. Flood Cert.Fee (from GFE#3) 808. 900.Items Required by Lender to Be Paid in Advance 901. Dail interest char es from GFE#10 902. Mort a e Insurance Premium from GFE#3 903. Homeowner's Insurance (from GFE#11 904. SOOO.Reserves Deposited with Lender 1001.Initial de osit for our escrow account from GFE#9 1002. 1003. 1004. 1005. 1006. 1007. iS00.Title Charges 1101.Ti[le services and lender's title insurance to Guardian Transfer from GFE#4 $155.00 g30.00 1102.Settlement or closing fee to Guardian Transfer $100.00 1103.Owner's title insurance to Guardian Transfer from GFE#5 1 358.50 1104.Lender's title insurance 1105.Lender's title olic limit 0.00 1106.Owner's title polic limit $167,000.00 1107.A ent's ortion of the total title insurance remium to Guardian Transfer 1 222.65 1108.Underwriter's ortion of the total title insurence remium to TRGC $135.85 1109.Seller Notary Fee to Robin J.Bassett $30.00 1200.Government Recording and Transfer Charges 1201.Government recordin char es from GFE#7 $158.00 1202.Deed(2 Deeds)$158.00 Mortgage$ Releases$ 1203.Transfertaxes from GFE#8 1 670.00 1204.City/County tax/stamps Deed$1670.00 Mortga e$ 1205.State tax/stam s Deed 1670.00 Mort a e 1 670.00 1206. 1300.Additional Settlement Charges 1301.Required services that you can shop for (from GFE#6) 1302.Escrow for Inheritance Taxes to Secured Land Transfers-Mechanicsbur 5 073.00 1303.Home Inspection to Central PA Home Inspections POC(B)$460.00 1304.Radon Miti ation Installation to Bass Air ualit S stems POC S $750.00 1305.Final Sewer/Water Bill to North Middleton Authority $g�Z6 1400.Total Settlement Charges(enter on lines 103,Section 7 and 502,Section K) $3,641.50 $17,125.26 It you have any questions about the settlement charges and loan terms listed on this torm,please contact your lendec Settlement agent is not responsible for content oT lender's assessments on HUD. The seller's and borrowefs signatures hereon acknowledge their approval and signify their understantling that tax and insurance prora�ions and reserves are based on figures(or the preceding year or supplied by others or estimated for lhe current year,and in lhe evenl of any change for the current year,all necessary adjustments will be maae between borrower and seller directly.Any deficit tlelinquent taxes or mortgage payoffs will be promptly reimbursed to�he settlement agenl by the seller. I have caretully reviewed the HUD-1 SetUement Statement and to lhe best of my knowledge and belief,il is true and accurate statement of all receipts and disbursements made on my account or by me in this transaction.I furiher certify lhat I have received a copy of the HUD-1 Settlement Statement. BUtYyERS SELLERS L-/_fJ�/�,��il.�i�'-�✓I?� r , Est e ot Blaine M.Brown(undivided t/2 interest) Elena L.Brineman / C� dic.. � .11w�ltrp l:��__ By:Debra B.Richcreek,Execu�rix The HUD-1 Settlement St ement which I have prepared is a true and accurate account of lhis iransaction.I have caused or will cause the funds to be disbursed in accord e 'th this stat ment. Settle e Agen Date 02/18/2015 'Any ilems marked"POC"were paid outside closing by:Borrower POC(B),Lender POC(L),Mortgage Broker POC(M),Seller POC(S),Real Estate Agenl POC(R), or Other POC(0). Attachment to Schedule "F" �d�`-°�'rr_ OMB Approval No.2502-0265 ,t"� �� A`� HUD-1 �-y � � � � � .-41 A. Settiement Statement (HUD-1) ��J.: ��Ili .:�t ''" �r� Page 1 of 2 B. Type of Loan 1.�FHA 2.�RHS 3.�Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurence Case Number: 4.❑VA S.�Conv.Ins. 401500228-SK C.NOTE: This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agent are shown. Items marked"(p.o.c.)"were paid outside the closin9;they are shown here for informationai purposes and are not included in the totals. D.Name and Address of Borrower E.Name and Address of Seiler F.Name and Address of Lender ELENA L.BRINEMAN DEBRA B.RICHCREEK,EXECUTRIX OF 531 LIMESTONE ROAD ESTATE OF BLAINE M.BROWN CARLISLE,PA 17015 (UNDIVIDED 1/2 INTEREST) 1834 BASIN HILL BOULEVARD CARLISLE,PA 17013 DEBRA B.RICHCREEK AND CINDA B. GROVE,SURVIVING TRUSTEES UNDER THE LAST WILL AND TESTAMENT OF AMY B.BROWN,DECEASED(UNDIVIDED 1/2 INTEREST) 1834 BASIN HILL BOULEVARD CARLISLE,PA 17013 G.Property Location H.Settlement Agent GUARDIAN TRANSFER 1834 BASIN HILL BOULEVARD, 485 ST.JOHNS CHURCH ROAD, CARLISLE,PA 17013 SHIREMANSTOWN,PA 17011 Phone: (717)901-8342 COUNTY:CUMBERLAND Place of Settlement I.Settlement Date PARCELID:29-17-1565-201 02/18/2015 TOWNSHIP: NORTH MIDDLETON TOWNSHIP 50 W POMFRET ST CARLISLE,PA 17013 Disbursement Date 02/18/2015 J. Summar of Borrower's Transaction K. Summar of Seller's Transaction 100.Gross Amount Due from Borrower 400.Gross Amount Due to Seller 101. Contract Sales Price $167,000.00 401. Contract Sales Price $167,000.00 102. Personal Property 402. Personal Property 103. Settlement char es to borrower line 1400 3 641.50 403. 104. 404. 105. 405. Adjustment for items paid by seller in advance Adjustment for items aid by seller in advance 106. Cit/Town Taxes 406. Ci /Town Taxes 107. Count Taxes 407. Count Taxes 108. Assessments 408. Assessments 109. School Taxes 2597.4200/ r 02/18/15 to 07/O1/15 $946.46 409. Schooi Taxes 2597.4200/ r 02/18/15 to 07/O1/15 946.46 110. 410. 111. 411. 112, 412. 120.Gross Amount Due from Borrower 171 587.96 420.Grass Amount Due to Seller $167,946.46 200.Amounts Paid by or in Behalf of Borrower 500.Reductions In Amount Due to Seller 201. De osit or earnest mone $5,000.00 501. Excess De osits 202. Princi al Loan Amount 502. Settlement Char es to Seller 17 125.26 203. Existin loan s taken sub'ect to 503. Existin loan s taken sub'ect to 204. 504. 205. 505. 206. 506. zo�. 507. zos. 508. 209. 509. Adjustments for items unpaid b seiler Adjustments for items un aid b seller 210. City/Town Taxes 510. City/Town Taxes Zll. Count Taxes 652.4900/ r O1/O1/15 to 02/18/15 85.81 511. Count Taxes 652.4900/ r O1/O1/15 to 02/18/15 85.81 212. Assessments 512. Assessments 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220.Total Paid b /for Borrower $5,085.81 520.Total Reduction Amount Due Seller $17,211.07 300.Cash at Settlement from/to Borrower 600.Cash at Settlement to/from Selier 301. Gross amount due from borrower(line 120) $171,567.96 601. Gross amount due to seller(line 420) $167,946.46 302. Less amounts aid b /for borrower fine 220 5 085.81 602. Less reductions in amount due seller line 520 17 211.07 303.Cash X From To Borrower $166,502.15 603.Cash X To From Seller $150,735.39 The Public RepoAing Burden for this collection of information is estimated at 35 minutes per response for collecting,reviewing,and repoRing the data.This agency may not collect this information,and you are not required to complete lhis form,unless it displays a currently valid OMB conlrol number.No confidentiality is assured;this disclosure is mandatory.This is designed lo provide the parties fo a RESPA covered transaclion with information during lhe settlement process. � Initials �� 401500228-SK NUD-1 Pa e 2 of 2 L. Settlement Charges 700.Total Real Estate Broker Fees$10565.00 Division of Commission(line 700)as follows: Paid From Paid From 701. $5255.00 to Hooke,Hooke and Eckman $5,010+g245 Borrower's Funds Seller's Funds 702. $5310.00 to Coldwell Banker Residential Brokerege($5,010+$300) At Settlement At Settlement 703. Commission aid at settlement 300.00 10 265.00 704. 800.Items Payable in Connection with Loan 801. Our ori ination char e from GFE#1 802. Your credit or charge points)for the s ecific interest rate chosen from GFE#2 803, Your ad'usted ori ination char es from GFE A 804, A raisat Fee from GFE#3 605. Credit report (from GFE#3) 806. Tax Service from GFE#3 807. Flood Cert.Fee (from GFE#3) 808. 900.Items Required by Lender to Be Paid in Advance 901. Dail interest char es from GFE#10 902. Mort a e Insurence Premium from GFE#3 903. Homeowner's Insurence (from GFE#11 904. 1000.Reserves Deposited with Lender 1001.Initial de osit for our escrow account from GFE#9 1002. 1003. 1004. 1005. 1006. 1007. i100.Title Charges 1101.Title services and lender's title insurance to Guardian Trensfer from GFE#4 $155.00 $30.00 1102.Settlement or closin9 fee to Guardian Transfer $100.00 1103.Owner's title insurence to Guardian Transfer from GFE#5 1 358.50 1104.Lender's title insurance 1105.Lender's title olic limit 0.00 1106.Owner's title poiic limit $167,000.00 1107.A ent's ortion of the total title insurance remium to Guardian Transfer 1 222.65 1108.Underwriter's ortion of the total title insurance remium to TRGC $135.85 1109.Seller Notary Fee to Robin J.Bassett $30.00 1200.Government Recording and Transfer Charges 1201.Government recordin char es from GFE#7 $158.00 1202.Deed(2 Deeds)$158.00 Mortgage$ Releases$ 1203.Transfer taxes from GFE#8 1 670.00 1204.City/County tax/stamps Deed$1670.00 Mortgage$ 1205.State tax/stam s Deed 1670.00 Mort a e 1 670.00 1206. 1300.Additional Settlement Charges 1301.Required services that you can shop for (from GFE#6) 1302.Escrow for Inheritance Taxes to Secured Land Transfers-Mechanicsbur 5 073.00 1303.Home Inspection to Central PA Home Inspections POC(B)$460.00 1304.Radon Miti ation Installation to Bass Air ualit S stems POC S $750.00 1305.Final Sewer/Water Bill to North Middleton Authority $87.26 1400.Tota1 Settlement Charges(enter an lines 103,Section J and 502,Section K) $3,641.50 $17,125.26 If you have any questions about lhe settlement charges and loan terms listed on this form,please contact your lender.Settlement agent is not responsible tor content of lender's assessments on HUD. The seller's and borrower's signatures hereon acknowledge iheir approval antl signify their understanding that tax and insurance prora�ions and reserves are based on figures for the preceding year or supplied by others or estimated for the current year,and in the event of any change for the current year,all necessary adjustments will be made between borrower and seller direclly.Any tleficit delinquent taxes or mortgage payofts will be promptly reimbursed lo�he seqlement agent by the seller. I have careTully reviewed the HUD-1 Settlement Statement and to the best ot my knowledge and belief,it is true and accurale statement of all receipls and disbursements made on my account or by me in this transaction.I further certify that 1 have received a copy of the HUD-t Setllement Statement. BUYERS SELLERS 4_�✓7u_��/,/i n f�,�ij�� Est e oT Biaine M.Brown(undivided 1/2 interest) Elena L.Brineman ' Q C� ar. � .Qrp2l'C Z�'L_ By:Debra B.Richcreek,Execulrix The HUD-1 Settleme�t 51 ement which I have prepared is a true and accurate account of ihis transaclion.I have caused or will cause the funds to be disbursed in accord e 'th this stat ment. Settle e Agen Date 02/18/2015 'Any items marked"POC"were paid outside closing by:Borrower POC(B),Lender POC(L),Mortgage Broker POC(M),Seller POC(S),Real Estate Agent POC(R), or Other POC(0). Attachment to Schedule "G" i m � �y z �^; ° `; � c ; `m_=n � _ - o �� J�-'_Q'� =';t-: -� -��, o � � ? i ,� o ' 3 N � !1 �.� _ -.- ] '= - t� •7� _ C T`' -. . -'r' - T _ t"j � .ni T� • yi O Q � iI (� - (?- �D Gt- - :J � �L �� _ C � - C - - (:: I�- r � T P _ (J� .C:` .. `u ^.i � = � � ='__ �. _ C! l�„� _ . •',' x -1 /j�j �I � C!: n.� .n ��'j .v �� l. 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Jr� �� \'t�� A. Settlement Statement (HUD-1) .,.. .,.. s,i7 ' �� "�"� Page 1 of 2 B. Type of Loan 1.❑FHA 2.❑RHS 3.�Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number: 4.❑VA 5.❑Conv.Ins. 401500228-SK C.NOTE: This form is furnished to give you a sta[ement of actual settlement costs.Amounts paid to and by the settlement agent 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 and Address of Borrower E.Name and Address of Seller F.Name and Address of Lender ELENA L.BRINEMAN DEBRA B.RICHCREEK,EXECUTRIX OF 531 LIMESTONE ROAD ESTATE OF BLAINE M.BROWN CARLISLE,PA 17015 (UNDIVIDED 1/2 INTEREST) 1834 BASIN HILL BOULEVARD CARLISLE,PA 17013 DEBRA B.RICHCREEK AND CINDA B. GROVE,SURVIVING TRUSTEES UNDER THE LAST WILL AND TESTAMENT OF AMY B.BROWN,DECEASED(UNDIVIDED 1/2 INTEREST) 1834 BASIN HILL 80ULEVARD CARLIS�E,PA 17013 G.Property Location H.Settlement Agent GUARDIAN TRANSFER 1834 BASIN HILL BOULEVARD, 485 ST.JOHNS CHURCH ROAD, CARLISLE,PA 17013 SHIREMANSTOWN,PA 17011 Phone:(717)901-8342 COUNTY:CUMBERLAND Place of Settiement I.Settlement Date PARCELID:29-17-1585-201 02/18/2015 TOWNSHIP: NORTH MIDDLETON TOWNSHIP 50 W POMFRET ST CARLISLE,PA 17013 Disbursement Date 02/18/2015 J. Summar of Borrower's Transaction K. Summar of Seller's Transaction 100.Gross Amount Due from Borrower 400.Gross Amount Due to Seller 101. Contrect Sales Price $167,000.00 401. Contract Sales Price $167,000.00 102. PersonalProperty 402. PersonalProperty 103, Settlement char es to borrower line 1400 3 641.50 403. 104. 404. 105. 405. Adjustment for items paid by seller in advance Adjustment for items aid by seller in advance 106. Cit /Town Taxes 406. Ci /Town Taxes 107. Count Taxes 407. Count Taxes 108. Assessments 408. Assessments 109. SchoolTaxes 2597,4200/ r02/18/15to 07/O1/15 $946.46 409. SchooiTaxes 2597.4200/ r02/18/15to 07/O1/15 946.46 110. 410. 111. 411. 112. 412. 120.Gross Amount Due from Barrower 171 587.96 420.Gross Amount Due to Seller g167,946.46 200.Amounts Paid by or in 8ehalf of 8orrower 500.Reductions In Amount Due to Seller 201. De osit or earnest money g5,000.00 501. Excess De osits 202. Princi al Loan Amount 502. Settlement Char es to Seller 17 125.26 203. Existin loan s taken sub'ect to 503. Existin loan s taken sub'ect to 204. 504. 205. 505. 206. 506. 20�. So�. • 208. 508. Z09. 509. Adjustments for items un aid b seller Adjustments for items un aid b seller 210. City/Town Taxes 510. City/Town Taxes 211. Coun[ Taxes 652.4900/ r 01/O1/15 to 02/18/15 85.81 511. Count Taxes 652.4900/ r O1/Ol/15 to 02/18/SS 85.81 212. Assessments 512, Assessments 213. 513. 214. 514. 215. S 15. 216. 516. 217. 517. 218. 518. 219. 519. 220.Total Paid b /for Borrower 5,085.81 520.Total Reduction Amount Due Seller $17,211.07 300.Cash at Settlement from/to Borrower 600.Cash at Settlement to/from Seller 301. Gross amount due from borrower(line 120) $171,587.96 601. Gross amount due to seller(line 420) g167,946.46 302. Less amounts aid b /for borrower line 220 5 085.81 602. Less reductions in amount due seller line 520 17 211.07 303.Cash X From To Borrower $166,502.15 603.Cash X To From Seller $150,735.39 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response tor collec�ing,reviewing,and reporting lhe data.This agency may not collect this information,and you are not required lo complete this form,unless it displays a curreMly valid OMB control number.No confidenliality is assured;this disclosure is mandatory.This is designed to provide ihe parties fo a RESPA covered transaction with information during the sedlement process. � Initials ��- 401500228-SK HUD-1 Pa e2of2 L. Settlement Charges 700.Total Real Estate Broker Fees$10565.00 Division of Commission(line 700)as foliows: Paid From Paid From 701. $5255.00 to Hooke,Hooke and Eckman $5,010+$245 Borrower's Funds Seller's Funds 702. $5310.00 to Coldwell Banker Residential Brokerage($5,010+$300) At Settlement At Settlement 703. Commission aid at settlement 300.00 10 265.00 704. 800.Items Payable in Connection with Loan 801. Our ori ination char e from GFE#1 802. Your credit or char e oints)for the s ecific interest rate chosen from GFE#2 803. Your ad'usted ori ination char es from GFE A 804. A raisal Fee from GFE#3 805. Credit report (from GFE#3) 806. Tax Service from GFE#3 807. Flood Cert.Fee (from GFE#3) 808. 900.Items Required by Lender to Be Paid in Advance 901. Dail interest charges from GFE#10 902. Mort a e[nsurence Premium from GFE#3 903. Homeowner's Insurence (from GFE#11 904. 1000,Reserves Deposited with Lender 1001.Initial de osit for our escrow account from GFE#9 1002. 1003. 1004. 1005. 1006. 1007. 1100.Title Charges 1101.Title services and lender's title insurence to Guardian Trensfer from GFE#4 $155.00 $30.00 1102.Settlement or closing fee to Guardian Transfer $100.00 1103.Owner's title insurance to Guardian Transfer from GFE#5 1 358.50 1104.Lender's title insurance 1105.Lender's title olic limit 0.00 1106.Owner's title polic limit $167,000.00 1107.A ent's ortion of the total title insurence remium to Guardian Trensfer 1 222.65 1108.Underwriter's ortion of the total title insurence remium to TRGC $135.85 1109.Seller Notary Fee[o Robin J.Bassett $30.00 1200.Government Recording and Transfer Charges 1201,Government recordin char es from GFE#7 $158.00 1202.Deed(2 Deeds)$158.00 Mortgage$ Releases$ 1203.Transfer taxes from GFE#8 1 670.00 1204.City/County tax/stamps Deed$1670.00 Mortgage$ 1205.Statetax/stam s Deed 1670.00 Mort a e 1670.00 1206. 1300.Additional Settlement Charges 1301.Required services that you can shop for (from GFE#6) 1302.Escrow for Inheritance Taxes to Secured Land Trensfers-Mechanicsbur S 073.00 1303.Home Inspection to Central PA Home Inspections POC(B)$460.00 1304.Radon Miti ation Installation to Bass Air ualit S stems POC S $750.00 1305.Final Sewer/Water Bill to North Middleton Authority $8�Z6 1400.Total Settlement Charges(enter an lines 103,Section J and 502,Section K) $3,641.50 $17,125.26 If you have any questions about the seftlement charges and loan terms listed on this form,please contact your lender.Settlement agent is not responsible for content of lender's assessments on HUD. The seller's and borrower's signalures hereon acknowledge their approval and signify their understanding that tax and insurance prorations and reserves are based on figures for the preceding year or supplied by others or estimated for the current year,and in�he evenl of any change for the current year,alt necessary adjustments will be made between borrower and selier directly.Any deficit delinquent taxes or mortgage payoffs will be promp�ly reimbursed to�he settlement agenl by the Seller. I have carefulty reviewed lhe HUD-t Settlement Statement and to the besl of my knowledge and belief,it is true and accurate sta�ement of all receipts and disbursemenis made on my account or by me in this iransaction.I furiher certify that I have received a copy of the HUD-1 Setllement Statement. BUYERS /y�/) SELLERS �✓��..,.� r//>1�n�-r'-iYJ'�i.n� Est e of Blaine M.Brown(undivided 1/2 inlerest) Elena L.Brineman e( oc. � �r�w14 02�, �Z'L_ By:Debra B.Richcreek,Executrix The HUD-t Setllement St ement which I have prepared is a true and accurate account of this transaclion.I have caused or will cause the funds to be disbursed in accord e 'th Ihis stat menl. Settle e Agen Date 02I18/2015 'Any items marked"POC"were paid outside closing by:Borrower POC(B),Lender POC(L),Mortgage Broker POC(M),Seller POC(S),Real Estate Agent POC(R), or Other POC(0).