HomeMy WebLinkAbout12-12-05
REV-1500 EX (6-00)
COMMONWEALTH OF
PENNSYLVANIA
~ DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
2L- V~
COUNTY CODE YEAR
-1i~J1 _
NUMBER -#
tJ 7)..0
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
~ 1. Original Return
o 4. Limited Estate
o 6. Decedent Died Testate (Attach copy of Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of death after 12-12-82j
o 7. Decedent Maintained a Living Trust (Attach copy ofTrust)
o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
o 3. Remainder Return (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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NAME
COMPLETE MAILING ADDRESS
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tJEW C'^~I8f;(.LLp..A)O (rA>. l '7r>7 i>
TELEPHONE NUMBER
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
(1) ~O~J O~Jt .1fO
(2)
(3)
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(4)
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(5) 33J o 14Jt .t.) '1....
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(6) r....,)
01
(7)
(8) f}t3 6' } 0 it. 9; I t.t "1-..
(9) ~fI, q<lj, q f"
(10)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
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5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
(11)
(12)
(13)
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1--3. Lih1..fiif
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x .0_ (15)
x .0_ (16)
x .12 (17) ~~1(g,3 L(
x .15 (18)
(19) ?5ll..,. 1,1..{
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
~3 if L"Q,4Jj
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
I STREET ADDRESS
Gin :~ ~:~:~~~~I~'1
I STATE ~l
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
Total Credits ( A + B + C ) (2)
--.
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
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5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
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A. Enter the interest on the tax due.
(5)
(5A)
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
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PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred;........................................................................................ 0
b. retain the right to designate who shall use the property transferred or its income; ........................................... 0
c. retain a reversionary interest; or.......................................................................................................................... 0
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0
No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury. I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
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ADDRESS
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DATE
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For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 PS. S9116 (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% [72 P.S. S9116 (a) (1.1) (ii)].
The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one 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% 172 P.S. 39116(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%. except as noted in 72 P.S. S9116(1.2) [72 P.S. S9116(a)(1)],
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% 172 P,S. S9116(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.
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All real property owned solely or a a tenant in common must be reported at fair market value, Fair market value is defined as the price at which property w uld 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 which is jointly-owned with right of
survivorshiD must be disclosed on Schedule F.
ITEM
NUMBER
1.
REV-1502EX .. (1-97)
ESTATE OF
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SCHEDULE A
REAL ESTATE
COI:1MONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
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TOTAL (Also enter on line 1, Recapitulation) $ ?"OQ....O ~1..J...J,.f D
(If more space is needed, insert additional sheets of the same size)
hif. );)8''1. -. i2-87)
SCHEDULE E
i CASH, BANK DEPOSITS AND
MISCELLANEOUS I
COM~~~E~I~~~~8~~E~tr~~~ANIA PERSONA_ l PROPE~~Y. __J_________~~a~;_P~~nt or_!D;e __=
RESIDENT D_._ECED_ENT _________~ _
--"==- - FILE NUMBER
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ESTATE OF
---r;~~_12~JVN--Bi) S5 ~.t(<..________-:-________________.__________J.,.J:.D5:~_~bD~_____,..-.
(All p;optrty jointly-"'-ned with the _~~_t~f Surv~,:,rsh~pmus!~.:~c:~O!~~~~~c:~~~le _F~____.._~_________,_._________________._
.----------T----------------- " VALUE AT
ITEM \ DESCRIPTION r DATE OF DEATH
NUMBER 1 .... __________~______________.. ---------------------------------t----------- ---- -- -
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(Attach additional 8\(," X 1]" sheets if more space is needed.)
ITEM
NUMBER
1.
--
REV.1510 EX. (1.97)
SCHEDULE G
INTER.VIVOS TRANSFERS &
MISC. NON.PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
'Ii t1o. H '1 c; t..elVAJ BoS":1 LE-~
FilE NUMBER
~ Dr; - Pb/)L-f
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER
ATTACH A COPY OF THE DEED FOR REAl ESTATE.
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DATE OF DEATH DE CD'S EXCLUSION
VALUE OF ASSET INTEREST ilFAPPliCABlE\
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TAXABLE VALUE
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TOTAL (Also enter on line 7, Recapitulation) $
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REV.ISll E~. (7.891 . .~
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAll RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
A.
l.
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U.
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B.
1.
Funeral Expenses:
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Please Print or Type
FILE NUMBER
DESCRIPTION
"
OG~'(tt GsR:nflcltfl1$
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M.AW~
Administrative Costs:
Personal Representative Commissions O. SCi-A.~
Social Security Number of Personal Representative:
Year Commissions paid
2. Attorney Fees
A.
C.
1.
2.
3.
.4.
5.
6.
7.
8.
3. Family Exemption
Claimant
Un,.) &-
Address of Claimant at decedent's death
Street Address
City
Probate Fees
Miscellaneous Expenses:
SDUep-e\Go t6AtVt<. -
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u
Relationship
State
Zip Code
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REV.ISI3 EX. (2.871
~in
COMMONWEAlIH Of P~NNSYlVANIA
. . INHERITANCE TAX RETURN
RESIDENT DECEDEN T
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
(.1...
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ITEM
NUMBER
NAME AN6 ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. Taxable Bequests:
1.
e1"~u. IiMOT\tj LeS6c-NS
F\ R\E\.... Mf\1Q\C L6vScNS
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ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequests:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S
(If mor. space is need.d, insert additional sheets of same size)
SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
CHECKING ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
MONEY MANAGEMENT ACCOUNT:
Account NumbeNSuffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
PERSONAL SERVICE LOAN:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Name of Co-Borrower
Estate of: TIMOTHY G. BOSSLER
Date of Death: 06/25/2005
Social Security Number: 210-52-0720
tvl~
MEMBERS 1st
FEDERAL CREDIT UNION
41551 -00
10/17/1984
$25.10
$.00
$25.10
None
41551 -11
10/17/1984
$10,118.01
$1.60
$10,119.61
None
41551 -05
04/11/2005
$10,017.33
$8.17
$10,025.50
None
41551 -06
02/04/1986
$4,574.30
None
M. E~S 1ST F;9E~L ~REDIT UNION
/Jttj( //ji)ptL
eniseA. Wolfe r-
Insurance Services Supervisor
September 29,2005
5000 Louise Drive. P.G. Box 40 . Mechanicsburg, Pennsylvania 17055 · (717) 697-1161 · www.members1st.org
Form Approved CMB No 2502-0265
B. TYPE OF LOAN
o FHA 20 FMHA 3 5iJCONVUNi~-
o VA 5 0 CONV. INS.
6. ESCROW FILE NUMBER 7. LOAN NUMBER
00053025-001 CER 936940
A U,S DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT
Affiliated Settlement Sevices Group, LLC
~912 Market Street
Camp Hill, PA 17011
(717) 975-7839
FINAL
6. MORTGAGE INSURANCE CASE NUMBER
C NOTE: This fom! is furnished to give you a stetement of actual settlement costs. Amounts paid to and by the settlement agent are shown
Items marked "IP. O.C.)" were paid outside the dosing; they am shown here for informationel pUlpOseS and are not included in the totals.
o NAME OF BORROWER: Martin J. Nagy
ADDRESS OF BORROWER: 106 Franklin Street
Mechanicsburg, Pa 17050
E NAME OF SELLER Estate of Timothy G. Bossler
ADDRESS OF SELLER:
PLACE OF SETTLEMENT:
SETTLEMENT DATE:
Tavlor, Bean & Whitaker Mortqaqe Corp
1417 N. Magnolia Avenue
Ocala, FL 34475
6363 Locust Lane
Mechanicsburg, PA 17050
Cumberland County 10-16-1064-032
Parcel # 10-16-1064-032
Affiliated Settlement Sevices Group, LLC
3912 Market Street, Camp Hill, PA 17011
1 0/28/2005 PRORATION DATE 10/28/2005
DISBURSEMENT DATE:
10/28/2005
NAME OF LENDER
ADDRESS OF LENDER
G PROPERTY LOCATION:
H. SETTLEMENT AGENT:
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
1100 'GADS! ~ : "''t T6
101. Contract Sales Price 200,900.00 401. Contract Sales Price 200,900.00
102 Personal Property 402 Personal Property
103 Settlement charges to Borrower (line 1400) 5,593.73 403.
104 404
105 405
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE'
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE'
106. CilyfTown Taxes 406. CitvfTown Taxes
107. County Taxes 10/28/05 to 12/31/05 68.32 407 County Taxes 10/28/05 to 12/31/05 68.32
108 Assessments 408 Assessments
109 School Tax 10/28/05 to 06/30/06 1,056.08 409. School Tax 10/28/05 to 06/30/06 1,056.08
110. Sewer 10/28/05 to 12/31/05 80.66 410. Sewer 10/28/05 to 12/31/05 8066
111 411.
112 412. u__
113 413.
114. 414
115 415
120 GROSS AMOUNT DUE FROM BORROWER: 207,698.79 420. GROSS AMOUNT DUE TO SELLER: 202,105.06
1 ~Qllf~M!i!~', i", ".:/:/:/1
201 Deposit or earnest money 1,500.00 501. Excess deposit (see instructions)
202 Principal amount of new loan(s) 160,700.00 502. Settlement charges to Seller (line 1400) 23,565.14
203 Existing loan(s) taken subject to 503. Existing loan{s) taken subject to
~---
204 504. Payoff of 1 st mtg. loan to Sovereign Bank 127,13490
205. 505. Payoff of 2nd mtg. loan to Sovereign Bank 24,042.15
206. Seller Paid Closing Cost 5,000.00 506. Seller Paid Closing Cost 5,000.00
207 Proceeds from 2nd Mortgage 39,542.58 507.
208. 508.
209 509.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER'
210 CityfTown Taxes 510. CitvfTown Taxes
211 County Taxes 511. County Taxes
212 Assessments 512. Assessments
_u.___
213 513
214 514
215 515
216 516
217 517
218 518.
219 519.
220 TOTAL PAID BY/FOR BORROWER: 206,742.58 520 TOTAL REDUCTIONS IN AMOUNT DUE SELLER: 179,742.19
:.: "I
301. Gross amount due from Borrower ( line 120) 207,698.79 601. Gross amount due to Seller IIine 420) 202,105.06
302 Less amount paid by/for Borrower ( line 220) 206,742 58 602. Less reduction in amount due Seller (line 520\ 179,742.19
303 CASH ( 10 FROM ) ( 0 TO ) BORROWER: 956.21 603. CASH (0 FROM) (!XI TO I SELLER: 22,362.87
~----
1 CER
BASED ON PRICE$ 200,900.00 @ 5.000%= $10,045.00 PAID FROM
DIVISION OF COMMISSION (LINE 700) AS FOllOWS, BORROWER'S FUNDS SELLER'S
AT SETTLEME NT FUNDS AT
,01 $ 10.04500 to M.C. Walker Realty SETTLEMENT
702. $ to M.C. Walker Realty
703. Commission paid at settlement 10,045.00
704 Transaction Fee to MC Walker Realty 125.00 125.00
Ij[!ll!lMi.f;ti;Mli, "~~. .1','k',1
801 Loan Origination Fee
802. Loan Discount Fee ---
803 Appraisal Fee to Mortgages Unlimited Inc 75.00
804. Credit Report
805. Lenders Inspection Fee .-
806 Mortgage Insurance Application Fee
807 Assumption Fee
808. Par Premium pd by TBW to Mortgages Unlimited Inc (2,59048)
809. Tax Service Fee to Taylor, Bean & Whitaker Mortgage Corp 73.00
--..-
810. Admin Fee to Taylor, Bean & Whitaker Mortgage Corp 515.00
811.
li::I!l!l!,f4_!i,Be ,-,+<","
901. Interest From 1 0/28/05 to 11/01/05 @ $27.5200/day % (4 days) 110.08
902 Mortgage Insurance Premium for Month(s) to
903 Hazard Insurance Premium for 1 Years(s) to Allstate Insurance (522.00)
904.
905.
1..~!l!lq;liB~l?
1001. Hazard Insurance 3 months@ $ 43.50 per month 130.50
1002 Mortgage Insurance months@ $ per month
1003. City Property Taxes months@ $ per month
1004 County Property Taxes 10 months@ $ 3247 per month 324.70
1005 Annual Assessments months@$ per month
1006. School Taxes 5 months @ $ 131.11 per month 655.55
1007 months @ $ per month
100B Aggregate Accl. Adj. months @ $ per month -48948
I ,~ ,
1101. Settlement or closing fee
1102. Abstract or title search
1103 Title examination
1104. Title insurance binder
1105. Document preparation
1106. Notary fees 10 SettlemenUClerical/Notary 30.00 15.00
1107. Attorney's Fees
(includes above items numbers, )
1108 Tille Insurance to Affiliated Settlement Services Group,LLP 1,227.38
(includes above items numbers: )
1109 Lenders coveraae $ 160,700.00
1110 Owner's coverage $ 200,900.00
1111- Ends. (100, 300, 8.1) to Affiliated Settlement Services Group,LLP 150.00
1112 Insured Closino Letter to Southern Tille 35.00
1113 Overnighl Fees to Affiliated Settlement Services GrouP.LLP 30.00 15.00
I.:j~~l!~~lm .
1201. Recording Fees: Deed $ 38.50 Mortgage $ 64.50 Release $ 103.00
1202 City/Countv tax/stamps Deed $ 2,009.00 Mortgage $ 2,009.00
1203 State tax/stamps Deed $ 2,009.00 Mortgage $ 2,009.00
1204.
1205.
Itl~gr."~i:li;litlQ~~;D "C.','1':'1'.:"''',1
1301. Survey
1302. Pest Inspection
1303. Tax Cert. Reim. to Affiliated Settlement Services Group,LLP 5.00
1304. Document Transmission Fee to Affiliated Settlement Services Group,LLP 25.00
1305. Sewer 10/1 10 12/31 to Hampden Twp. Sewer Authority 115.00
1306. HomelTermitelWater Insps. to Enviroquesl 465.00
1307. Inheritance Tax Escrow to Affiliated Settlement Services Group,LLP 11,236.14
1400 TOTAL SETTLEMENT CHARGES (Enter on line 103,Section J - and .line 502, Section K) 5,593.73 23,565.14
I have carefully reviewed the HUD-1 Setaement Statement and 10 the best of my knowledge and belief, it is a true and accurate statement of all reoeipls and disbursements made on my
account or by me in this transadion. I further certily that I have received a copy of the HUD-l Selaement Statement
,.../"')
-j "J' -- " 1 . .' / '
/' {,.Il,;~_:'. )7 (i i~",,/-
Martin J. Nagy Y ,? (I
L-'
Sellers
I have cau sed or will cause the fund s k:> be disbursed in accordance with this
/ ( ,/.J, JA~' ~S' Dale
Borrowers
The HU. 0-1 se.tUemen\ Statement whim 1_ have p..refared.is a)'ue.'7d accurale account of this transad,on
SIa)~Ih~nl. 'f / I C/ f-..-l
L ( It, l.U -_( I _ie_.. SeUlementAgent
Affiliat Settlement Sevices Group, LLC
WARNING: It is a crime to knowingly make false statements b the United States on this orany similarform Penalties upon ronviction can include a fine and imprisonment Fordetails
see: litle 18 U ,8. Code Section 1 001 and Section 1010
NEILL
FUI}eral Home Inc.
Mr. Glenn Bossler
98 Pepper Avenue
Enola, Pa 17025
Services For: Timothy G Bossler
Complete Traditional Service Burial ....... . . . . . . . . . . .. $
047625 DH SYDNEY BLUE. . . . . . . . . . . . . . . . . . . . . . . . .
Memorial Package . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Flowers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Death Certificates 10 @ $6.00 . . . . . . . . . . . . . . . . . . . . . . .
Honorariuml Clergy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Patriot News ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total Funeral Charges $
Adjustments (Payments) $
Balance Due on Account (Due date: 07/01/2005) $
3401 Market Street
Camp Hill, PA - 17011-4428
tel 717737-8726
fax 717 737-1859
Rebecca j. Donahue, Supervisor
3501 Derry Street
Harrisburg, PA - 17111-1817
tel 717 564-2633
fax 717 561-9918
Stephen]. Wilsbach, Supervisor
June 30, 2005
Ref No.: 1002991/ C05-062
3,845.00
3,395.00
180.00
291.50
60.00
125.00
88.00
$7,984.50
0.00
$7,984.50
Member of
AWERWOODS
GROUP
./
~------
LAST WILL AND TESTAMENT
OF
TIMOTHY GLENN BOSSLER
I, TIMOTHY GLENN BOSSLER, now of 6363 Locust Lane,
Mechanicsburg, Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do hereby make, publish
and declare this to be my Last Will and Testament, hereby revoking
all other Will~ and Codicils previously made by me.
ITEM I: I direct that payment of all my just debts, expenses
of my last illness, funeral expenses, and the costs of
administering my estate from my estate as soon after my death as
conveniently may be done.
ITEM II: I give and bequeath the sum of $50,000.00 to each of
the following, to wit:
A. Eric Timothy Lessens, my nephew
B. Ariel Marie Lessens, my niece
ITEM III: r give and bequeath the sum of $20,000.00 to each of
the following, to wit:
A. Clifford Hutchison, my friend, now of Manchester, PA
B. Thomas King, my friend, now of Shippensburg, PA
ITEM IV. I give, devise and bequeath all of the rest,
residue and remainder of my estate, of every nature and wherever
situate, toget.h,er with all insurance policies thereon, unto my
1
NA9D
tJ ,~-t