HomeMy WebLinkAbout02-10-06 (2)
REV.1500 EX + (6-00)
15. Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15)
z or transfers under Sec. 9116(a)(1.2)
0 (16)
;::: 16.Amount of Line 14 taxable at lineal rate 0.00 x .045
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a.. 17.Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
::!E
0
u 18. Amount of Line 14 taxable at collateral rate 10,490.51 .15 (18)
>< x
~ 19. Tax Due
(19)
*'
I OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
..QQU1'<I'f GQQE YE~___ ._J:-IId.MBEFL.___ . ___
----~_.__._.._---.- ---"-"-"~--'----~
SOCIAL SECURITY NUMBER
FILE NUMBER
II
05
0597
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
I.~i Iver,. Robert S.
[DATE OF DEATH (MM-DD-YEAR)
I 04-14-2005
149-18-6255
DATE OF'BIRTH(MM:OD-YEAR)-~--'------ . ---t- THISRETURN-MUST BE FILED IN DUPLICATE WlnlTHE'-
06-06-1926
._l_._.__RE_~LSTER OF~ILL.s____.___.
SOCIAL SECURITY NUMBER
------ ---
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
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Original Return .
3. Remainder Retum (date of death prior to 12-13.82)
2. Supplemental Return
, 4. Limited Estate
4a. Future Interest Compromise (date of death after
I. 12-12.82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal Povertv Credit (date of death between
. 12.31-91 and 1.1-~5)
---- -- ~- ---_.._-~-,_. ---,-- --
~~~~C!IQ!'l-M~~!.BE~OMPLE!ED. ~ll CORRESPON~.NCE AND C2NFID~~H~~~~:~fN~~~~;~~~ SHOUlD BE DIRECTED TO:
Jam esD. H ugl1~~ _______._______.
5. Federal Estate Tax Return Required
1,(' 6. Decedent Died Testate (Attach
copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
11.Election to tax under Sec. 9113(A) (Attach Sch 0)
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FIRM NAME (If applicable)
j. . S A ~.~ MAN N~~LJuc.3 H ~~p C___
TELEPHONE NUMBER
717 -249-6333
354 Alexander Spring Road, Suite 1
Carlisle, PA 17013
1. Real Estate (Schedule A)
(1 )
(2)
(3)
95,000.00
OFFlelM- USE ON~ y
L__'-~
2. Stocks and Bonds (Schedule B)
None
3. Closely Held Corporation, Partnership or Sole-Proprietorship
None
4. Mortgages & Notes Receivable (Schedule D)
C~,
(4) None
(5) 5,826.91
\..0
(6) None .'
(7) None r0
(8) 100,826.91
(9) 16,844.40
-----------
(10) 73,492.00
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5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
. I Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) Separate Billing Requested
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)
(11 )
90,336.40
10,490.51
12. Net Value of Estate (Line 8 minus Line 11)
(12)
13. Charitable and Governmental Bequests/Sec 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)
(13)
0.00
(14)
10,490.51
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
0.00
0.00
0.00
1,573.58
1,573.58
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
>> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH <<
~._~--~~..._-~~.._----~.._------~-~---------~_.
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Copyright 2002 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00;
IJ(
Decedent's Complete Address:
STREET ADDRESS
135 West South Street
CITY Carlisle
STATE P A
ZIP 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
1,573.58
0.00
Total Credits (A + B + C)
(2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
8.15
Total Interest/Penalty (0 + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 1 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)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
8.15
1,581.73
1,581.73
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;.................................................................................. D [!]
b. retain the right to designate who shall use the property transferred or its income;.................................... D [!]
c. retain a reversionary interest; or.................................................................................................................. [J [!]
d. receive the promise for life of either payments, benefits or care?.............................................................. D [Xl
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?............................................................................................................... .......
~J
[!]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?................................................................................................................. .... D [!J
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 pe~ury. 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.,Qeclaration ofE'eparer other than the personal representative is based on an information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
iz th E. Ray ond ~
6>
GN T F PERS PON,) IB~E F ADDRESS
DATE
726 Manor Street
York, PA 17403
:2/C{Jo~
( ~T~
2/0/06
. DATE
RESENTATIVE
ADDRESS
354 Alexander Spring Road, Suite 1
Carlisle, PA 17013
ates 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 P.S. g9116 (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. g9116 (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% [72 P.S. g9116 (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,
g9116 1.2) [72 P.S. g9116 (a) (1)].
The tax rate imposed on the net value of transfers to orfor the use of the decedent's siblings is 12% [72 P .5. g9116 (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+ (6-98)
*'
SCHEDULE A
REAL ESTATE
C0M'.10NWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Silver, Robert S.
FILE NUMBER
21-05-0597
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 properiy 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 which Is Jolnlly-owned with right of survivorship must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1
135 West South Street, Carlisle Borough, Cumberland County - settlement sheet
attached
95.000.00
TOTAL (Also enter on Line 1, Recapitulation)
95.000.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule A (Rev. 6-98)
Rev-1508 EX+ (6-98)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Silver, Robert S.
FILE NUMBER
21-05-0597
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property Jointly-owned with the right ofsurvlvorshlp must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 M& T Bank - checking account
VALUE AT DATE
OF DEATH
826.91
2 Honda - 1998 Accord
4.500.00
3 Miscellaneous personal property/household goods
500.00
TOTAL (Also enter on Line 5, Recapitulation)
5.826.91
(If more space is needed, additional pages of the same size)
Copyright (e) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
REV.1151 EX+ (12.99)
'.
COMMONWEALTH OF PENNSYLVANIA
INHEKIT ANCE T A.X RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Silver, Robert S.
FILE NUMBER
21-05-0597
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
Auer Memorial Home & Cremation Services Inc. - funeral 1,032.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees 5,500.00
3 Family Exemption (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 252.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 10,060.40
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 16,844.40
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-87
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Silver, Robert S.
FILE NUMBER
21-05-0597
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Patricia A. Rosendale CPA - tax return preparation
300.00
2
Register of Wills - filing fee
30.00
3
Settlement charges - sale of West South Street, Carlisle Borough
9.730.40
Subtotal
10.060.40
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Silver, Robert S.
FILE NUMBER
21-05-0597
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 ABN Amro - mortgage balance due
VALUE AT DATE
OF DEATH
64.816.06
2 Comcast Cable - balance due
104.09
3 Cumberland County Redevelopment Authority - mortgage balance due
8.338.75
4 PP&L - PP&L
168.00
5 Premier Eye Care Group - balance due
19.19
6 Quantum Imaging & Therapeutic - balance due
45.91
TOTAL (Also enter on Line 10, Recapitulation)
73,492.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV-1513 EX+ (g-OO)
*'
SCHEDULE ,J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Silver, Robert S.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
aistributions, and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-05-0597
RELATIONSHIP TO
DECEDENT
Do Not List Trustee/sl
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
Lizbeth E Raymond
726 Manor Street
York, PA 17403
Friend
remainder
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
\
LAST WILL AND TESTAMEN~
0:
ROBERT S. SILV2R
I, ROBERT S. SILVER of Cumberla~d Cou~ty,
2ennsylvania, being of sound mind, memory and understandi~g, do
hereby make, publish and declare this as and fer my Las~ Will and
Testa~ent, hereby revoking all other wills and codicils
heretofore made by me.
FIRST
I direct the payment of my debts and the expenses of my
last illness and funeral from my estate as soon after my death as
conveniently may be done. I desire that my bodily remains be
cremated and the ashes co-mingled with those of my dogs. In the
alternative, if my executrix so chooses I direct that my ashes be
retained and be co-mingled with her ashes at her death.
SECOND
_ glve, devise and bequeath all of my estate of
whatever nat~re or wherever situate to Lizbeth Eve Raymo~d should
she survive me by thirty (30) days, as she has brought endless
happiness to my life.
THIRD
In
,
~~e
e7e~~ = an ~ot so su~vived by L~zbett Eve R2Y~J~d
l give, devise and bequea~t all of my estace whatever nature or
wherever situate unto my son Timothy Silver, who stood by me in
spite of his siblings.
FOURTH
I hereby bequeath the sum of One ($1.00) Dollar to each
of my remaining Children (James, Thomas, Kathleen, Joan, Paul and
Michael) and a like sum to my wife, Joan, who already received
more than half of everything I ever owned. I have not forgotten
them.
FIFTH
I direct that no trustee, personal representative,
guardian or other fiduciary named, nominated, or appointed by
this my Last will and Testament shall be required to post any
bond or give any security of any type for my purpose whatsoever,
any law or rule of court notwithstanding.
SIXTH
Any and all payment or payments of any sum or sums,
whether in cash or in kind and whether for principal or income,
payable hereunder shall be made upon the sole receipt of the
respective individual to whom the payment is made, and free from
anticipation, alienation, assignment, attachmenc, and pledge, and
free from control by the creditors of any such beneficiary.
SEVENTH
I appoint Lizbeth :. Ray~ond ExecGtrix of chis my Last
r." . 1 1
vJlJ..~
and Testament.
Should my said Exeoutrix fail to survive 8e
or for any reason fail to qualify as Execucrix, then I appoint my
son Timothy Silver Executor of this my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, consisting of four (4)
typewritten pages, the first two (2) of whioh bear my signatu:e
in the margin for the purpose of identificatibn, this 30th day of
November, 1999.
(seal)
Signed, sealed, published and declared by the above
named testator, ROBERT S. SILVER, as and for his Last Will and
Testament, in the presence of us, who, at his request, in his
sight and presence, and in the sight and presence of each other,
have hereunto subscribed our names as witnesses.
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COMMONW2ALTH 0: PSNNSYLVANIA
ss.
COUNT~ 0: CUMBS8.LAND
We, ROBERT S. SILVER,
xosc:y ft-I ;Ylo-<j Cd+(,l~) and
t< ~""l ti-I..l..{ 1.-.- l~...;; t.,'-tl-\e.....,A
the testator and the witnesses,
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testator signed and executed the
instrument of his Last Will and Testa~ent, and that he signed
willingly and that he executed as his free and voluntary act for"
the purposes therein expressed, and that each of the witnesseS,
in the presence and hearing of th"e testator, signed the Will as
witnesses, and that to the best" of their knowledge, the testator
was at the time eighteen (18) years of age or older, of sound
mind and under no constraint or undue influence.
Sworn to and subscribed before
e.--LhiS.3"03:~~OV" .ember.,
-."~." _...._-----~-~
1999.
NOTARIAL SEAL
STEVEN J. FISHMAN. Notary Public
Car1is1e Born. Cumberland County
E S..1oo3
. -
Andre'.vs & Jolmson
A. SETTLEMENT SHEET
78 w. Pomfeet St., Carlisle, Pa. 17013
HUD-1
RESPA HB 4305-2
B. Type cfLo3..rl
.- FHA - FmHA - Cony. Unins. File No. I Loan No. Mortgage Ins. Case No.
VA Conv. Ins.
C. 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 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
Todd W. Bryant Estate of Robert S. Silver American Home Bank
G. Property Location H.Settlement Agent
135 West South Street Ronald E. Johnson, Esquire
Carlisle, PA 17013 Place of Settlement I. Settlement Date
78 West Pomfret Street I July 19, 2005
Carlisle PA 17013
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 $95,000.00 401. Contract sales price $95,000.00
102. Personal Property 402. Personal property
103. Settlement charges to borrower(line1400} $4,381.47 403.
104. 404.
105. 405.
Adjustments for items paid by seller in advance: Adjustments for items paid by seller in advance:
106. City/town taxes to $0.00 406. City/town taxes to $0.00
107. County taxes 7/19/2005 to 12/31/2005 $214.18 407. County taxes 7/19/2005 to 12/31/2005 $214.18
108. Assessments to 408. Assessments to
109. Maintenance to 409. Maintenance to
110. School taxes 7/19/2005 to 6/30/2006 $1,078.62 410. School taxes 7/19/2005 to 6/30/2006 $1,078.62
111. to 411. Commitment fee to
112. to 412. to
120. GROSS AMOUNT DUE FROM BORROWER: $100,674.27 420. GROSS AMOUNT DUE TO SELLER: $96,292.80
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deposit or earnest money . $1,000.00 501. Excess deposit (see instructions)
202. Principal amount of new loan(s) $76,000.00 502. Settlement charges to seller (line 1400) $9,730.40
203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to
204. Commitment Fee 504. Payoff of first mortgage
205. 505. ABN AMRO-0624046165 $64,816.06
206. Proceeds from second mortgage $18,550.69 506. Payoff of second mortgage loan
207. 507. Redevelopment Authority $8,338.75
208. 508.
209. 509.
Adjustments for items unpaid by seller: Adjustments for items unpaid by seller:
210. City/town taxes to $0.00 510. City/town taxes to $0.00
211. County taxes to $0.00 511. County taxes to $0.00
212. Assessments to 512. Assessments to
213. School taxes to $0.00 513. Maintenance to
214. to 514. School/taxes to $0.00
215. to 515. to
216. to 516. to
217. to 517. to
218. to 518. to
219. to 519. to
220. TOTAL PAID BY/FOR BORROWER $95,550.69 520. TOTAL REDUCTION AMOUNT DUE SELLER: $82,885.21
300. CASH AT SETTLEMENT FROM/TO BORROWER 600. CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross amount due from borrower (line 120): $100,674.27 601. Gross amount due to seller (line 420) $96,292.80
302. Less amounts paid by/for borrower (line 220) $95,550.69 602. Less total reductions in amount due seller $82,885.21
303.CASH ([X ] FROM) ([ ] TO) BORROWER: $5,123.58 603. CASH ([X] TO) ([ ] FROM) SELLER: $13,407.59
paid from Borrower's paid from :,ell'" v
L. SEttLEMENI CHARGES IIJnds at settlement \unds at settlement
@ 8.0%
~oo. T~TAL SALES/BROKER'S COMMISSION Based on price $95,000.00
$7,600.00
Division 0\ commission (line 700) as 101l0WS'. \-\oo\<.e, \-\oo\<.e, Ec\<.man
$3,825.00 to
701.
702 $3,775.00 to spencer &. Spencer \ $7,60000
703. commission paid at settlement
800.nEMS PAYABLE IN CONNECTION wn\-\ LOAN. $76000
801. Loan origination lee to 1% American \-\ome Ban\<.
802. Loan discount to $250.00
803. APpraisal Report to William A. Bassett $~921
804. Credit Report to CREOCO $345.00
805. APplication lee to American \-\ome Ban\<. $1450
806. Flood Cert lee to first American
$96.00
807. Tax Service Fee to First American
$1500
808. F\-\LMC prospector Fe! to American \-\ome Ban\<.
American Home Ban\<. ($390) ($100 waived) $290.00
809. Lender Administration Fee to
8~0.
811.
812.
813.
900.nEMS REaUIRED TO BE PAID IN ADVANCE.
901. Interest Irom 7/19/2005 to 8/~/2005 @ $12.67 per day $164.71
902.
903. Hazard insurance premium lor yrs. to
904. flood insurance yrs. to
905.
1000. RESERVES DEPOSITEO WIiH LENDER
1001. Hazard insurance 3 mo.@ $3008 permo. $90.24 :;z;.., --:::" ';7. .,'
1002. Mortgage insurance mo.@ permo. $0.00 :;z '7' ";"'.
1 003. City property taxes mo.@ per mo. $0.00 -;:::;.
1004. County property taxes 6 mo.@ $40 00 permo. $240.00 /<</ ,..
1005. Annual assessments (Main\') mo.@ per mo. $0.00 " ./ .
1006. Scl1001 Property Taxes. 2 mo.@ $94.83 permo. $189.66 .' lli-.2
1007. water Ois\' Prop. Tax mo.@ permo. $0.00 ,
1008. Aggragate Escrow Adjustment ($190.10) .,S0."i <
1009. 12- .,,;,,7,':>
1100. TITLE CHARGES:
1101. Settlement or closing lee to
1102. Abstract or title searcl1 to
1103. Title examination to
1104. Title insurance binder to
1105. Oocument preparation to
to
1106. Notary lees to casl1 $15.00
1107. Attorney lees to Salzmann Hugl1es, pC POC
Attorney lees to
1108 Title insurance to Ronald E. Johnson, Agent $828.75
(includes above itemS No.: ,. [0.;:--;:::;- -;20,
1109. Lender's coverage $95,000.00 ;,; .,;;i:;"', ":1
1 11 O. owner's coverage $95,000.00 li./,i.--..J. ";:
1111. Title Insurance Endorsements $150.00
1112. Restrictions
1113. Messenger service to AndrewS &. Jol1nson $15.50 $15.5C
1114. Wire lee to Andrews &. Jol1nson
1115.Closing protection Letter fee to commonwealtl1 Land Title $35.00
1200 GOVERNMENT RECOROING AND TRANSFER CHARGES
1201. Recording fees: oeed $38.50 Mortgage $64.50 Satis Piec $103.00
1202. City/county tax stamps: Oeed $950.00 Mortgage $9501
1203. State tax/stamps: oeed $950.00 Mortgage $95000
1204
1205 Recorder of Deeds _ satisfaction 01 Redevelopment Autl10rity $27
1300 ADDiTIONAL SETTLEMENT CHARGES
~ 301. Survey
1302. Pest inspection
1303 Darlene Moyer, Tax Collector - 2005-06 school real estate taxes $~,~3
1304.
1305.
.._~, ,^or.t=S (entered on lines 103, Section J and 502, Section K) . $4.381.47 $9,7:
-=---
File Number
CERTIFICATION
I direct and authorize the Company to make the distributions indicated for my account on the
attached HUD-1 Settlement Statement, approving the tax prorations indicated therein, and
understand that prorations were based on figures for the preceding year, or estimates for the
current year, and in the event of any change for the current year, all necessary adjustments
must be made between Seller and Borrower direct; likewise and DEFICIT in delinquent taxes
will be reimbursed to Title Company by the Seller.
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge
and belief it is a true and accurate statement of all receipts and disbursements made on my
account or by me in this transaction. I further certify that I have received a copy of the HUD-1
Settlement Statement.
a~0~--
Todd W. Bryant
---
<:
Borrowers
Sellers
To the best of my knowledge, the HUD-1 Settlement Statement which I have prepared is a
true and accurate account of the funds which were received and have been or will be
disbursed by the ~ndersigned as part of the settlement of this transaction.
Date
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I! M&TBank
499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
F<LX (302) 934-2955
July 14, 2005
Salzmann Hughes PC
Attorneys & Counselors at Law
95 Alexander Spring Road - Suite 3
Carlisle, Pennsylvania 17013
Re: Estate of" Robert S Silver
Social Security: 149-18-6255
Date of Death: Avril 14, 2005
Dear Sir or Madam:
Per your inquiry dated July 07, 2005, please be advised that at the time of death, the above-named decedent had on deposit
with this bank the following:
1. Type of Account Checking Account
Account Number 3740990431
Ownership (Names oj) Robert S Silver *
Lizabeth E Raymond, PDA
Opening Date 09/24/99
Balance on Date of Death $826.91
Accrued Interest $ 0.00
Total $826.91
Please be advised, there was no safe deposit box found for the above decedent.
This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of
Uniform Transfers, Representative Payee, or Trustee under a Written Agreement.
* For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call
the High Street Carlisle Office # 717-240-4536.
Sincerely,
:/ ~1' < //;:-zr Pr
.r-' /~-/ <. f
Nancy Clagett
Records Management