HomeMy WebLinkAbout08-31-06 (2)
RE" 1500 EX -<- 16-00)
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 6 0 5 4 0
COUNTYCOoE ~A~ - - -;;u;:;BER- -
DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
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BEECHER
DATE OF DEATH (MM-DD-Year)
JEAN
I.
DATE OF BIRTH (MM-DD-Year)
SOCIAL SECURITY NUMBER
2 0 9 - 1 2 - 7 0 1 0
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
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OS/20/2006 06/12/1924
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
o 3. Remainder Return (date 01 death prKJrto 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) (Mach Sch 0)
[RJ 1. Original Return
o 4. Limited Estate
[RJ 6. Decedent Died Testate (Attach copy of Will)
o 9. litigation Proceeds Received
o 2. Supplemental Return
D 4a. Future Interest Compromise (data 01 death attar 12-12-82)
D 7. Decedent Maintained a Living Trust (Attach copy of Trust)
D 10. Spousal Poverty Credit ldateotdaathberween 12-31-91 and 1-1-95)
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THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
ROGER B. IRWIN ESQUIRE 60 WEST POMFRET STREET
FIRM NAME (If Applicable)
IRWIN & McKNIGHT
TELEPHONE NUMBER
717 249-2353 CARLISLE PA 17013
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
(1)
(2)
(3)
(4)
(5)
OFFICIAL USE ONLY
186,000.00 ]
111,954.61 j
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123,989.22~ z.1;J
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10,167.481:-'"
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)
(7)
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9. Funeral Expenses & Administrative Costs (Schedule H)
(9)
(10)
(8)
432,111.31
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)
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)
SEe INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
X _(15)
X _(16)
X .12 (17)
42,592.27
1,518.70
(11)
(12)
(13)
44,110.97
388,000.34
388,000.34
16. Amount of Line 14 taxable at lineal rate
(14)
0.00
17 Amount of Line 14 taxable at sibling rate
(19)
18. Amount of Line 14 taxable at collateral rate
X .15 (18)
19. Tax Due
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
ece ent's omplete ress:
STREET ADDRESS
2910 DICKINSON AVENUE
CITY I STATE PA I ZIP
CAMP HILL 17011
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Add
C
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
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)
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)
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
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
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contains a ene IClary eSlgnatlon. ....................................................................................................... L.6.J
No
[Xl
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Under penalties ot perjury. I declare that I have examined this retum, 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 alllntormation ot which preparer has any knowledge.
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
DATE
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SIGNATURE OF p. E~~ RESPONSIBLE FOR FILING RETURN
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ADDRESS 60 W T OMFRET STRE
CARLI
SIGNATURE OF PR,EPARER OT~fllHA~PRESEN
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ADDRESS 60 WEST POMFRET STREET
CARLISLE
PA
PA 17013
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 P.S. 99116 (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. 99116 (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 PS 99116(a)(1.2)].
The tax 'ate 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. 99116(1.2) [72 P.S. 99116(a}(1)].
The tax rate ir'posed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)J. A sibling is defmed, under Section 9102, as an
individual who haS at least one parent in common with the decedent, whether by blood or adoption.
RE'I-1502 EX + 16-98)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
BEECHER JEAN I. 21 06 0540
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real orooertv which is iointlv-owned with riaht of survivorshio must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
2910 DICKINSON AVENUE, CAMP HILL, PENNSYLVANIA
SOLD - SETTLEMENT SHEET ATTACHED
VALUE AT DATE
OF DEATH
186,000.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
186,000.00
RE-1503 EX + ,6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
BEECHER
JEAN
I.
FILE NUMBER
21 06
0540
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
Series E/EE/HH Savings Bonds - Inventory Attached
VALUE AT DATE
OF DEATH
26,722.69
2.
Comcast Corporation (CMCSA) - 175 Shares x $31.56 = $5,523.00
5,523.00
3.
AT & T Inc. (T) - 84 Shares x $25.28 = $2,123.52
CUSIP #079860102
2,123.52
4.
Lucent Technologies Inc. (LU) - 468 Shares x $2.55 = $1,193.40
CUSIP #549463107
1,193.40
5.
BellSouth Corp (BLS) - 1,760 Shares x $32.76 = $57,657.60
CUSIP #001 75207986010
57,657.60
6.
Verizon Communications Inc. (VZ) - 543 Shares x $30.90 = $16,778.70
CUSIP #077853109
16,778.70
7.
Agere Systems Inc. (AGR) - 123 Shares x $15.90 = $1,955.70
CUSIP #
1,955.70
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
111 954.61
HE\j-1508 EX T6-98)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
BEECHER
FILE NUMBER
JEAN I. 21 06
Include the proceeds of litigation and ihe date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
0540
ITEM
NL;MBER
DESCRIPTION
VALUE AT DATE
OF DEATH
206.05
Coin Collection - Appraisal Attached
2.
Personal Property - Settlement Sheet Attached
5,301.25
3.
Belco Community Credit Union - Regular Savings Account #27770
8,899.49
4.
Belco Community Credit Union - Money Market Account #27770
80,633.26
5.
M& T Bank - Checking Account #14576686
2,998.34
6
Wachovia Securities - Account #1428-5263
25,935.33
7.
Cash on Hand
15.50
TOT AL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
123989.22
REV-1510 EX + :6-98)
*'
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BEECHER
JEAN
I.
FILE NUMBER
21 06
0540
This schedule must be sompleted 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
iTEM NCU..iDE THE "lAME OF T'1E TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT ANC DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER THE DATE 8F I;:jANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET iNTEREST VALUE
':F ~PPL:CA6LE'
1. Belco Community Credit Union - IRA Account #27770 10,167.48 100. 10,167.48
TOTAL (Also enter on line 7 Recapitulation) $ 10167.48
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
BEECHER
ITEM
NUMBER
A.
1.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
FILE NUMBER
JEAN
I.
06
21
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) Roqer B. Irwin, Esquire
Social Security Number(s)/EIN Number of Personal Representative(s) 194241402
Street Address 60 West Pomfret Street
City Carlisle State PA Zip 17013
Year(s) Commission Paid:
Attorney Fees Irwin & McKnight
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
Probate Fees Register of Wills
Accountant's Fees
Tax Return Preparer's Fees Patricia A. Rosendale, CPA
Filing Fees
Cumberland Law Journal - Estate Notice
The Sentinel - Estate Notice
S.W. Barrett Real Estate - Appraisal on Real Estate
Vinny Evans - Lawn Care
Margaret Rice - House Cleaning (preparation of Sale of House)
Ruth Turns - House Cleaning (Preparation of Sale of House)
Brickers Auction - Public Sale
Closing Costs on Sale of Real Estate
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
0540
AMOUNT
15,650.00
16,500.00
352.00
350.00
30.00
75.00
129.77
300.00
348.00
307.50
772.50
4,000.00
3,777.50
42,592.27
REV-1512 EX +6-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BEECHER
FILE NUMBER
JEAN
I.
21
06
0540
Include unreimbursed medical expenses.
iTEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
Pennsylvania American Water - Utility
1 09.74
2.
George H. Harhigh, D.O. F.A.A.F.P. - Medical
33.97
3.
PP&L - Electric
108.95
4.
West Shore EMS - Ambulance
96.75
5.
Pharamerica - Medical
22.65
6.
Penn Waste, Inc. - Trash
42.63
7.
Terminix - Pest Inspection
82.68
8.
Borough of Camp Hill - Water/Sewer
85.00
9.
T-Mobile - Telephone
52.33
10.
Reimbursement of Pension
884.00
TOTAL (Also enter on line 10, Recapitulation) $
1.518.70
(if more space is needed, insert additional sheets of the same size)
,,,.,,,m. "'*-
COMMONWEALTH OF PENNSYLVMJIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
R i= 1= r.1-U= R
.JFAN
I.
FILE NUMBER
::>1 06
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
n>;4n
AMOUNT OR SHARE
OF ESTATE
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1.
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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. 81. Labre Indian School
POBox216
Ashland, MT 59003
2. Arthritis Foundation
3544 North Progress Avenue, Suite 204
Harrisburg, P A 17110
3. S1. Paul's United Methodist Church of Wormleysburg
PO Box 259
Lemoyne, PA 17043
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
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LAST WILL AND TESTAJ}JENT
I, JEAN I. BEECHER, of the, Borough of Camp Hill, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
1. I direct my executor to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my executor to sell any realty owned by me at my death
and not specifically devised herein, at either public or private sale, and to give good and
sufficient deeds therefor, in fee simple, as I could do if living.
3. I give, devise and bequeath all of my estate of every nature and wherever situate
as follows:
(a) 1/3RD to St. Paul's United Methodist Church of Wormleysburg, P. O. Box
259, Lemoyne" Pennsylvania 17043,
(b) l/3RD to St. Labre Indian School Educational Association, Ashland, Montana,
and,
(c) 1/3RDto the Arthritis Foundation, 17 S. 19TH Street, Camp Hill, Pennsylvania.
4. I nominate and appoint Roger B. Irwin to be the executor of this my Last 'vVill and
Testament; he is to serve as such without bond. Should he die before my death, renounce or
refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and
appoint Marcus A. McKnight, III and James D. Hughes, as substitute executors, also to serve as
such without bond, with the same powers as are given herein to my executor.
5. I hereby suggest that my personal representative retain the services of Irwin,
McKnight & Hughes, as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 29TH day of
August 2000.
Q (/ ~I
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I AN I. BEEC'HER
(SEAL)
Signed, sealed, published and declared by JEAN I. BEECHER, the Testatrix above
named, as and for her Last Will and Testament, in the presence of us, who at her request, in her
presence and in the presence of each other have subscribed our names as witnesses hereto.
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ACKt~OWLEDG~IENT A~D AFFIDAVIT
WE, JEAN I. BEECHER, CHERYL L. CLELA~D and MARTHA L. NOEL, the
testatrix and witnesses respectively, whose names are signed to the foregoing instrument being
first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and
executed the instrument as her Last Will, and that she had signed willingly, and that she executed
it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses,
in the presence and hearing of the testatrix, signed the ~Will as a witness and that to the best of
their knowledge the testatrix was, at that time~ eighteen years of age or older, of sound mind and
under no constraint or undue influence.
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JEAN l. BEECHER
f~~ / etlaAtrL
CHER. CLELAND
tft~
M RTHA L. NOEL
COMMONWEAL TH OF PENNSYLVANIA
SS;
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by, JEAN I. BEECHER, the testatrix
herein and subscribed and sworn to before me by CHERYL L. CLELA~D and MARTHA L.
NOEL, witnesses, this 29TH day of August, 2000.
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A B TYPE OF LOAN"
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U_S DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 10FHA 2DFmHA J oCONV UNINS_ 4 DVA 5 eeet<\' INS ---
6 FILE NUMBER I 7 LOAN NL;MBER -----:
SETTLEMENT STATEMENT GOOD215-06 ! i
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8 MORTGAGE INS CASE NUMBiCR
c: NI~rE TIlls furm s rum/silell tu gIVe you a ,'jlafernefl: ut actudl stJ((lemen{ costs Amounts paid tv aflJ by !lIe ::iel!Jemen! ayen! are silo,<m
Iterll~ marke..:f ';.POCr ',Vete pdlJ (JursnJe tnt: ,",iOSJfJg: lf1ey dre slJown here for lilf(),-maIJondl PU(P~St:S and ~(,e:1,~t,~nc/u~:~r:(}~~:k Ic:tals
1 0 3:'711 COulJo.: ,-ll6 ">"J"-'d'~;~~ ~ ,_'bl
0 NAME AND ADOReS:S CF BORROWER I t NAME AND ADDRESS OF SiCLLER 'F NAME AND ADDRESS OF LEIWEF,
RUSSEL~ C GOODliNG and JEAN i BEECHER ESTATE I'"''
JANET 0_ GOODW,G 2910 DICKINSON AVE
4 VICKSBURG COURT CAMP HILL, PA 17011
MECHANICSBURG. PA 17050
G PROPERTY LOCATICN H SETTLEMENT AGENT I I SETTLEME~F DATE
2",0 DIC"INSON AVE MIDREW C SHEELY ESO I
CAMP H1LL, PA 170 ~ 1 -I Auqust 25, 2UG6
PLACE OF SETTLEMENT
127 S MARKET ST
, MECHANICSBURG, PA 17055
J SUMMA.RY OF BORROWER'S TRANSACTION K. SU~lMARY OF SELLERS TRANSACTION I
100 GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: I
101 Contract Sales Price 186.00000 40 I Contract Sales Price H:bJO('I00
102 Personal Propertj 402 Personal PrG~eriy j
103 Sel:iernenl Ch,JW8S :0 Borrewer (Line 14()O) 1,80850 403
104 404 I
105 405 !
Adfustn,ents Fot Iterns Paid Bv Seller In advance Ad/uslments For Items Paw By Seller In advance
106 City/Town Taxes 08:25,06 to 01/01/07 215.36 406 CllyiTown Taxes 08/25/06 10 01/01107 21536
107 COt;nl'l Taxes to 407 Counly Taxes 10
108 SCHOOL T A,\ 08/25:06 to 07/01/07 1,552.12 408 SCHOOL TAX 08/25/G6 to 07101/07 -: ,552 12
109 SEWER 08/25106 10 01/01/07 70.11 409 SEWER 08125,06 to 01/0 li07 70 11
110 410
111 411
112 412
120 GROSS AMOUNT DUE FROM BORROWER i 189,73609 420 GROSS AMOUNT DUE TO SELLER 187.83750
200, AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500_ REDUCTIONS IN AMOUNT DUE TO SELLER:
201 Deposit or earnest rnor:e'/ 10.00000 501 Excess DepOSit (See Instructions)
202 Pnnclp<J1 Amount of ~Je'N LOi:lnls) 502 Settlement Charaes to Seller (Line 1400) :3 777 5C
203 EXISllf1~J IUaf1(~) fa.!<;,,:n sub(ect to 503 EXISIJng ioan(s) taken sutJecl to
204 504 PayoH 01 first Mortgage I
205 505 PayoH of second Mortaaue I
206 : 506 ~
207 507 (DepOSit dlSb. as proceeds)
208 I 508
209 509
AdjustrnerHs .-0'" items Unpaid By Sell~r A:Jjustmenfs For Ilems Unpaid By Sdler
210 C:ly/Towo Taxes 10 510 CltylTown Taxes to
211 COL.nty Taxes to 511 Countv Tax.es 10
212 SCf;OOL TAX to 512 SCHOOL TAX to
213 . 513 -,
I
214 514 . I
215 515
216 5i 6
217 517
218 518.
219 519
220 TOTAL PAID BY/FOR BORROWER I 10,00000 520 TOTAL REDUCTlOU AMOUNT DUE SELLER 3.777 50
300, CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
JGl Gross .A.mounl Due From Borrower (Lule 120) : 189.736.09 601 Gross Amount Due To Seller (llf1B 420) '87,83759
3C2 Less Amount PaId By/For Borrower (Line 220) ( 10.000.00/ 602 Less Reduclions Due Seller (line 520) ( 3.77750
303 CASH ( X FROM) I TO) BORROWER 179,73609 603 CASH ( X TO) ( FROM) SELLER , 34.060 09
OMB NO 2502 0265 ,r...
The underslgne(j hereby acknowledge receipt of a completed copy of pages 1&2 of this statement & any attachments referred to herem
I HAVE CAREFULLY REVIEWED THE HUD-1 SETTL~MENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF. IT IS A TRUE AND
ACCURATE STATEMENT OF ALL RECEIPTS AND ISBURSEMENTS MADE ON MY ACCOUNT OR BY ME IN THIS TRN~SACTlm,. I FUR THEf-; CERTIH
THJU I HAVE RECEivED COpy 0 THE H D- ETTLEMENT STATEMENT
Borrower
Seller _ /Ul:~c:L {,<e....h'
JEAN I. ~~J ER ESTATE -
ELEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNl OF Tf--E
OR WILL BE DISBURSED BY THE UNDERSIGNED AS PART OF THE SETTLU.\ENT OF THIS
c'
L. SETTLEMENT CHARGES
~o '. OTAl COMMISSION Based on Price 5 4l /0 I c''-"I, rc,,\1 "'-11.1
0/VI510(1 of c.:ommlsslcn (fine :'00) as Fellows ~ 80RRO'Nt'k'S '~i::, L:::k ':;
701 $ 10 I FUNDS A-:- F' J~.L;:; A 1
7C2 $ to i SETTLt':Mf"JT s[r'~Er,IE~JT
703 CommiSSion Paid 31 Set!lement I
704 TRANSACTION FEE to
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
001 Loan Om Illation F~e % to I .~
802 Lean DIscount ulo to I
j I
803 Appr31sdl Ff:e (0 I i
I j
804 Credit Reuort to I I --i
805 :.....8nder'S Inspection Fee to I I
806 MortQage Ins App Fee :0 I I 1
I i
807 Assumption Fee to I
808 I j
809 I
I
810 I 1
I
8'1 I 1
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901 interest c (orn to @ $ /dClY I (13YS ~/Q ) i I
902 1\11F 101lns for ~:feO~Lcan ~ur manIt',:) :0 ----,-----j
903 H-azard :nsur3nce Premium for 10 vears te I T ~
904
905 I i I
1000. RESERVES DEPOSITED WITH LENDER i
1001 Hazara Insurance months IclJ $ per monUl I
1002 Martaaae Insurance months !oJ $ per month i i
1003 City; Town T axE:S months @ 'j; per month I
1004 County Taxes months IQJ $ per month I ---j
1005 SCHOOL To'll. rT\onttb @ $ per rnonth -I
1006 months @ $ per month I ~ ~i
1007 months @ $ per month
1008 AGGREGATE ESCROW .A.DJUSTME months ~i:'J $ per month i
1100. TITLE CHARGES
1101 Settlement or Closinu Fee to I
1102 'CLOSING PROTECTION LETTER to FIRST AMERICAN TITLE INSURANCE COr.IPANY
1103 Title Examination to
1104 Tille Insurance Binder to
1105 Document PreparatHJrl to i
1106 Nalary Fees to
1107 Attorney's Fees 10 ANDRE',\! C SHEELY. ESO POC
(Includes abc:ve ,tem nurnL ers I i
1108 Title Insurance to TRI,COUNTY ABSTRACT SERVICE AGENT
(IrlCluGt:S abu',;f;: ,lelfl/JumL'"f.;, I
1109 Lenaer's Cuveraye -- $
I
1110 Owner's Coverage $
1111 ENDORSEMErnS
1112
1113
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES I
1201 Recording Fees Deed S 3850, Mort9a9" $ Releases $ I 38oL'1
1202 CltviCounty Tax/Stamcs 0[;e(1 1.860 OC r,lortqaoe I 1 F:l60 00
1203 State Tax/Stamps Revenue Stamps 1.860 00. Manoaae I lotiO Ill, I i
1204 I I
1205 OVERNIGHT/COURiER FEES I I
1300. ADDITIONAL SETTLEMENT CHARGES I
1301 Sur....ev to
1302 Pest Inspection to
1303 2006 SCHOOL TAXES to JANET L MILLER. TAX COL 22 533 125 i 1,8275J
1304 TAX CERT FEE to ANDREW C SHEELY, ESQUIRE REIMBURSEMENT I 500
1305 SEWER JUL Y THROUGH DEC to CNAP HILL BOROUGH AC 185: 0500
1400 TOTAL SETTLEMENT CHARGES (Enter on Lines 103. Section J and 502, Section K) I 1 8'J8 50 3.777 ~u
or "Y"'''9 ;';<:1';" ! "I '(1,,; ~1,,1"1"\:"! Ir-" ""j' ."OCo, "."",",o","",",~I ,I ,ce.",,"'"" """ ,",0' ", IC, ,.., P"9~~':/, (-:>j!~
SETTLEMENT OFFICER /
Settlement Agent
Cefflfi8ej to be a true copy
\ GOOr,2 \5-06 i GOOD215 J6 i 1 I
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19-May-06 31.47 31.69 31.18 31.56 14,147,400 31.56
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At 9:37AM ET: 2.55 l' 0.01 (0.3
ft::;::;-";;'-;:-'~ ;,- ~~ _____h________;
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19-May-06 2.55 2.63 2.51 2.55 72,232,704 2.55
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BellSouth Corp. (BLS)
At 3: 10PM ET: 35.23 1" 0.17 (0.480(,)
!r~~ k.~' :ioo - -----.- ."--'j
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Date
Open
High
Low
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Volume
Adj
Close*
32.76
19-May-06
32.11
32.94
32.10
32.76 8,376,100
k:'/':'
. - - - - - . -.. - -. - - - ~diuster r~ ~ -. - - J - -. - ~ . - - ~.. RETAiN FOR YOU-R REcoRDs. - - - ~ ~ - - - - - ~ - - - - - - - - - - - ~ - - ~ - - - ~ - - - - - . - ~ - - - - - - - ~ - - - - - - - --
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SHAREHOLDER OF I TRA>ISIIC;-'ON DESCRIPrO~1
BELLSOUTH CORPORATION DIVIDEND
INVESTOR 10 CUSIP I .~CCOUNT KEY I ISSI,;EiCL.~SS OF STOCK RECORD DATE PAYABLE DATE
125281895184 i 001 75207986010 I BEECHER--JEANIOOOO I COMMON STOCK 04/13/2006 05/01/2006
RATE PER SHARE I NO OF SHARES OWNED i TAX -NITHf-lELD NET DIVIDEND GROSS DIVIDEND PAID YTD
$0.2900000 I 1,760.0000 i $000 $51040 $1.020.80
TAX WITHHELD YTD I TA.x IDENTIFiCATION NUMBER r
$0.00 I ON FILE Please detach and retain this form for your records.
I
BRCKER DEALER I BROKER ID ! BROKER DEALER ACCOUNT NUMBER
I I
SELLSOUTH
NON-NEGOTIABLE
PAYABLE DATE
05/01/2006
BELLSOUTH SHAREHOLDER SERVICES
POST OFFICE BOX 3336
SOUTH HACKENSACK, NJ 07606.1936
PAY TO THE
ORDER OF:
JEAN I BEECHER
2910 DICKINSON ST
CAMP HILL PA 17011-5226
001 75201986010
BEECHER-JEANIOOOO
IN ACCORDANCE WITH YOUR INSTRUCTIONS.
THIS DIVIDEND HAS BEEN CREDITED TO THE
ACCOUNT DESCRIBED BELOW.
CHECKING ACCT. NO. 14576686
500828501 AT 0 308 .'AUTO T41 664317011-5226104 DOM00000152
11Il1I11II1II1II1II1I1II1I.1.1,"1.111.1.1I1111l1l1l1ll,11l11
VZ: Historical Prices for VERIZON COMMUN - Yahoo! Finance
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At 9:40AM ET: 30.91 0.00 (0.00%)
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30,55
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30.90 17,431,500
30.90
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Agere Systems Inc. (AGR)
f;::::,: ;:;,., ~-OO -.---- '.----i
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Date
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High
Low
Close
19-May-06
15.82
16.04
15.71
15.90 1,614,000
15.90
At 9: 54AM ET: 13.9801 t 0.2301 (1.67%)
TRADE FREE FOR
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Agere . Direct Registration Advice
Transaction( 5)
Date
005938_LOT _ 4]ROD_I_BA TCH_I_OF _6_110276951083083
Transaction Description
Total Class B
Total of New Common Stock
New Common Stock Post Reverse Split
27 May 2005
27 May 2005
Summary Advice
Total
Shares/Units
123.000000
123.000000
12.300000
CUSIP I
00845V 20 9
Class
Description
Class B Common Stock
00845V 30 8
New Agere Common Stock
Transaction Description
Payment Date I
27 May 2005
CIL Sale
.
C'J1C070002
S hares/U nits Price/Rate I Gross I Deduction I Deduction Net
Sold per share Amount ($) I Amount ($) Type Amount ($)
0.3 $12.30 3.69 0.00 3.69
87UDR AGR +
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Appraisal by:
Harry E. Danson
CARLISLE COIN SHOP
25 Circle Drive
Carlisle, PA 17013
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d/o/d - May 20, 2006
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243-8943
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BRICKERS AUCTION
Buy & Sell on Commission - Complete Sale Service
93 Texaco Rd., Mechanicsburg, PA 17055 766-5785
Personal Property of E feN E c t S
Address } 01 ell-. / Ivl S {)v .rf u c
Sold At Public Sale J?)LY' ( / D ( 206 ro
Outstanding
Total Sale
530,;}S
Total Checks
Total Cash
Cash After Payout
Expenses
Property Fee
~ ,3 U. of)
'-f '1 D. /) ()
)710,6 J
Auctioneer & Clerks
Adv. Cost
Sale S~tup or ~p ~K
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(; luE CLEAV
SHCO COMMUNITY CREDIT UNION
1. Name(s) in which the account was held:
DECEDENT ESTATE INFORMATION
JEAN I BEECHER
2. Account number: 27770
3. Balance as of date of death: 5/20/2006
Balance
Accrued Dividends
For 5/20/2006
YTD Dividends
$31.40
$
$ $52.26
$
$558.78
Regular Savings:
Christmas Club:
IRA Acct
Checking:
Money Market:
$ $8,875.58
$
$ $10,125.97
$ N/A
$ $80,190.26
$ $23.91
$
$ $41.51
$ $443.00
Certificates:
Balance
Accrued Dividends
YTD Dividends
Certificate Number
For
$
$
$
$
$
$
$
$
$
$
$
$
4. Date the account was initiated:
6/4/1962
5. Name(s) in which Safe Deposit Box was held: N/A
6. Date the box was initially rented: N/A
7. Branch address at which the box is located:
8. Loan Information:
Balance
Accrued Interest
Per Diem Int
A.
VI SA LOAN
198.59
$
$
$
$
$
C.
Mortgage Loans:
$
$
$
$
$
$
$
$
B.
Secured Loans
Miscellaneous:
~ M&TBank
-+99 :Ylitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
June 6, 2006
Law Offices
Irwin & McKnight
\-Vest Pomfret Professional Building
60 West Pomfret Street
Carlisle, Pennsylvania 17013-3222
~tt~~UW~~
J:)\j - 8 2006
Re, Estate or Jean J Beecher
Social Security': 209-12-7010
Date of Death.' l\lfav 20. 2006
,\ i -'_, f_~__ \.llcKNICHT
Dear Sir or Madam:
Per your inquiry dated May 31,2006, please be advised that at the time of death, the above-named decedent had on deposit
with this bank the following:
l. Type ojAccount - Checking Account
Account Number J 4576686
Ownership (Names oj) Jean J Beecher *
Opening Date 08/28/64
Balance on Date of Death $2,99834
Accrued Interest $ 000
Total $2,998.34
Please be advised, there was no safe deposit box found for the above decedent
* For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call
the West Shore Plaza Office # 717-255-2271.
Sincerely,
//;(.-'-;;;- 1 ___ f/ /<t';-~<-.'. :::,1:)
::.-: _ c..-' .... ---r-~// 1...-------- ::.:.-")
, "
Nancy Clagett
Records Management
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