HomeMy WebLinkAbout97-00614
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Oath of per.onal Repre.entatlve
c....__1Ih 01 l'IlIMylvlnla
Counly 01 Cumberland
The Pot~iono~o) Ibo.o.namod OWllr{O) or Ifflrmls) Ihlllho .lllImon..ln Iho fo"golng POI~lon "" Iruo
Ind corr,cllO ths bsot of Ihs knuwledll' Ind bollel 01 PoI~lonlr(ol.nd Ihll. .. per.on.1 "p,..onllll..(.) 01
tho Oocld.n., PII"lonor(o) will wolllnd truly admlnls'er Ihs "'"I" .ccordlng.o Ilw.
Swoln to or "fflrmod Ind oubscrlbsd
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. bsfors mo Ihlo 21 S idlY ol
JULY
19 97 '\
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Fortho Rogl'IS~' , ' . . r
No ..ll:..? 7 - 614
ESIIlSoI FRANCES M. DISILVESTER
_Clceasld
500111 Soeurlly No: 185 - 03.6677 0.1S 01 Olllh: 03/17 /97
AND NOW.
JULY 23
, 19!Jl' In con.ldlrlllon
of the: Plt_k)n on the rlYlr.. sldl hor.on. sltlstactory proof hlYlng been presentld M1or. rot,
IT IS OECREED Ihll Lonl.. []] T..lOmontlry 0 Of Admlnlstr.llon
(c,t.., d.b.n,c.l.a.' plndlnlll"o, durlnlo .b..ntla, durlnto mlnorllall)
Irs hersby Il'lntld to
Patricia M. Hart
In the lbo.. .sIIlS Ind Ihlllhe Insl,umont{s) d.lSd
07/20/76
dl.crlbsd In Ihs PotKlon bs Idmittld to problle Ind filed 01 roeord "' Ihl I..t Will 01 Doeldenl.
Lotti,. .
$
200.00
9.00
filS
Short CortKIOIlo(.), $
R.nunclallon, , , , $
AffIdlvits ( I, . $
EICIII PIgsO ( 1 ), $
Codicil. , , , , , , $
JCP FH, , , , , , $
Inventory, , , , . $
Olher ..", , $
Anornoy:
Robert C. Sal~Esqulre
1.0. No:
21458
3.00
Addrlss:
2109 Market Street
P. O. Box 737
Camp Hill, PA 17001.0737
5.00
Tolophone: 717 /737.3405
TOTAL, , . , , , , , $ 217.00
Preplred by ,he Per\nlVIvI" ai' ...ocll"on COPYf~hl (c) 1'" formtoftwlt. ont; CftSyt1.':"If, Inc,
'.eBers and orde:' ')u' 'n a '.orneys file in "rotny on
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1997
CrOBB Cemeter
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Camp
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Hill. Pa.
17011
Herriebuu . Pa. 17111
FH Ino. 1903 Market St
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--'M1IN)H1D~,(/low_"'l
IAST WILL
OF
FRANCES M. DiSILVESmR .
I, Fraoceo M. DiSilveuter, or 2) Maple Avenue, Camp Hill,
Cumberland County, Pennsylvania, deolal'tl thist.o be my Last Win
and revoke 8JW and all W'illu previously made by me.
1. I direo t the payment or my just debts, taxes and
t1lMral expensest.o be paid out or my estate as !loon after my
deoea.e al may be oonvenient to my Exeoutor or Exeoutrix, whiohever,
here1l\1.tter named.
2. I give, devise and bequeath the lum ot $500.00 to
Father 'lbCllll11 J. Simpson, tormer Paster or Good Shepherd Churoh ot
Camp Hill, Pennlylvania, presently reliding at Saored Heart Churoh
ot Williamltown, Pennsylvania.
). I give, devise and bequeath the remainder ot my estate,
real, personal or mixed ot whatsoever kind and wheresoever lituat.ed
to my beloved husband, Joseph P. DiSilvelter, providing he shall
lurvive 11I8 tor a period of thirty (JO) daYI.
4. Should my hUlband, .Joleph P. DiSilvelter, predeceaee
me or die on or before the thirtieth (JOth) day following my death,
I give, devile and bequeath all of my eltate, real, perlonal or
mixed, ot whatsoever kind and wheresoever situated, to my daughter,
Patrioia M. Hart, of Camp Hill" Cumberland County, Pennsylvania,
providing she shall Ilurvive me for a period ot thirty (JO) day..
5. Should my daughter, Patrioia M. Hart, predecease me
or die on or before the thirtieth OOth) day following my death, I
give, devise and bequeath all ot my estate to her issues per .tirpe.
to lbare and lhare alike; should 8JW or my daughter's children die
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"EV,' ,!OO EX 1/1 '4)
FOR OATES Of' DEATH AFTER 121Jl/91 CHECk HERE
IFAsPOUSAL 0
. 'tlliJ~lAIt.4EO
FILE NUMIEA
c:
20, II Llno 191s groator th." Line 18, enler the dlll.rence on L1no 20. This Is Ihe OVEAPAVME~T.
~ D ICheck hor. H you I.e rsqusollng I rslund of your ov..poym.nl,1
21. II Line 181s greater than Line 19, enler the dlllerenee on Line 21. This ISlhe TAX DUE.
A. Entef the Interest on the balance due on Une 21A.
I, Enter the total of Line 21 and 21A on L1n. 21B This is the eALANCE DUE,
Mike Check PI Ibl.lo: Ae III.. 01 Wille, A Inl
. . IE SURE TO ANSWEA ALL QUESlIONS ON PAGE 2 AND TO RECHECK MATH 4 4
Under penalll.. 0' perJury, I decll1re thiTi hive IIC.mlned thIs retu,". Includlng.ect'mpAnylng schedules 100 s,.lements, .00 10 the besl of my knowledge 100 belle', It It true,
correct lnet compl6l'. I dc.cllfllhlllU ,..1..1111 h.. belln reporled., lrUfl mlrkllt value. Declar.llon 01 prepare, other Ihln the peltona' represenllllve Is billed on IlIlolo'll'IIlIoo of
which prep' F" nlllny knowledge.
SIGN.TURE OF PERSGN RESPONSIBLE FGR FILING RETURN Patriea M. Hart O.TE
//-;).,t .""'vJ - / . ~~_Q~.!h~~!'!t.o~lle..~~:......., __..................... Ir/II/91
~~-'~~~/ /I. \,l/;u'I! Camp Hill, PA 17011 .
SI,G~.TUR~O;Z.,. .R~,R)>,THERTH.N REPRESENT.TIVE Saidis, Guido, Shuff " Masland
( /,." 2109 Market Street
", t., '. __ Camp.iiiU.,'.PA...i]iiiim.........................
Copyright (e) 1"~ form IOftW"1 only CPSYltlml, loc. Form 1100 (Alv. 7-'.4)
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HAAnlsiB~b,mlz8'06Ot
DECEDENT'S NAME (lAST, ~IASt, AND MIDDl.E INITIAL)
D1Sllveator, Franeos M.
SOCIAL SECURITY NUMBER OAn OF DEATH
185-03.6677 03/17/1997
OArE OF BIRTH
09/28/1909
COUNTY CODE
DECEDENT'S C:OMPU:U: AUOAEMi
23 Maplo Avo,
C'lmp Hill, PA 17011
21 -97-061i1
YE.R
NUMBER
_____ County Cumberland
(IF APPLICABLE) SURVIVING SPOUSE'S NAMI! (LAST ,FIRST AND MtOOlf INITlALl SOCIAL SECURITY NUMBER
AMOUNT RECEIVED (SEE INSTAUCTlONS)
0.00
X 1, Original Relurn
4, Limited F.state
R
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1
N
2, Suppltrmnlal Return
4.. Future Intorest Compromise
(for doles of dealh alter 12-12-82)
[!] e. Decedent Died Testate D 7. Decedent Maintained a Living lru~t
(A<<ach copy of Will) (Attach 0 copy of T,ust)
ALL COARESPONDENCE AND CONFIDENTIAL TAX INFOAMATION SHOULD BE OIAECTED TO:
NAME COMPLETE MAILING ADDRESS
Robert C. Saidis Saidis, Guido, Shuff
TELEPHONE NUMBER 2109 Market Street
717 737.3405 Cam Hill PA 17011
1, Real Esla.e Schedule A)
2, Sleeks and Bonds (Schedule B)
3, CIo..1y Held Stock/Pennership Inlerest (Schedule CI
4, Mongages and Notes Rlcelvable (Schedule D) (4)
I, Cash, Bank Deposb & Miscellaneous Porsonal Property (Sch. EI (I)
I, Jointly OWI'\8d Properly (Schedule F) (I)
7, Translers (Sehldule G) (Schedule L) (7)
8. Total Gross Assets (total Lines 1-7)
9. Funeral EKpenses, Administrative Costs, Miscellaneous
Expenses (Schedule H)
10, Debts, Mongage Liabilities, Liens (Schedula I)
11, Total Deductions (total L1n., 9 & 10)
12, Nel Value of Estate (Line 8 minus Line 11)
13, Charltablo and Governmenlal Bequests (Schedule J)
14, Net Value SubJlct.o Tax (Line 12 minus Line 13) .
II, Spousal Transfers (10' dates 01 death after 6.30-94)
See Instructions 10' Applicable Percentage on page 2.
(Include valuesl,om Schedule K or Schedule /,1,)
18. Amount of Line 14 taxable al6% rate
(Include valuls Irom Sehedula K or Schldule /,1,)
17. Amount 01 Line 14 ta.able at 15% rate
(Include values from Schedule K or Schedule /,1.)
18, Principal tax due (Add ta.lrom Line 15, 16 and 17.)
19, Crodits/Sp Poverty Prior Payments Discount
. .
0.00
0.00
Remainder Return
(fo, dotes 01 dealh prior 10 12-13-82)
Foderal Estate T8I( Relurn Required
Total Number of Safe Deposl18olC85
01,
o 8.
& Mas land
None
None
None
4,915.50
30 LliI..J 5
None
(9)
27,986.95
(8) _1.25,872.8.5...
(10)
2,686.29
(11)
(12)
(13)
(14)
30,673.24
95,1 g~l
95.199.61
0.00
5,711.98
(15)
0.00 X '
95, 1 99. 6 k ,06 '
(18)
~
(17)
0.00X,15'
0.00
(18)_
5..711.98
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Interest
(19)
(20)~.
(21)
(21A)
(21B)
5,.71~
0.00
a ,'711;98
DATE
IJ-Pl/~?
\
"IV - 'loIlX . (I-Ill
SCHI!DULI! e
CASH, BANK DEPOSITS AND
MISCI!LLANEOUS
PI!RSONAL PR PERTY
COM.~~_MhYANIA
ESTATE 0
Frances M. D1511veater
55' 185-03.6677 03/17/1997
oint -owned wnh RJi!'1 of Survlvorlhlp mUll... dllclolod on ~ch.dul. p)
DESCRIPTION
Household goods and psrsonal property,
see copy of acttoneer's sales sheet attached
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TOTAL (AI,o onlo, on IInl 5, Rlclpllullllon!
(AltIIoh oddlllonl18 112' , 11- .hSlI' II mort 'P"OI I. nlldld,)
~pVrlgh' (c) 1~ form loft WI" lIInly CPSY"'l\Wt Inc,
VALUE AT OATE
OF DEATH
4,915.50
. 4 ,915.50
,.,--
Form 1100 S1ct,ldull& (RI.." 2-87)
ITEM ~ETTER DATE TOT A~ V ALliE DECD'S DO~~AR VALUE OP
POR MADE DESCRIPTION OP PROPERTY
NUMIER JOINT OP ASSET '4INT, DECEDENTINTDREST
TENANT JOINT
1 / / -
1 A 01/22/93 Harris Savings Bank,CD 17,589.64 50.00% 8,794.82
acct. no. 31.56-290599
2 A 07/07/91 Harris Savings Bank, chk 1,493.93 50.00% '146.97
acct. no. 31.0000021
3 A 04/23/89 Dauphin Dsposit Bank, chk 2,898.21 50.00% 1,449.11
acct. no. 286174339
4 A / /89 1220 shares PP&L common stk 21,620.00 50.00% 10,810.00
at 21 per share
5 A / /89 359 shares Phil. Electric 7,494.13 50.00% 3,747.07
common stock at 20.875
6 A / /89 510 shares Pac if io Corp. 10,518.75 50.00% 5,259.38
at 20.625 per share
7 A / /89 1983 Ford 300.00 50.00% 150.00
,
, I, "
. ,
TOTAL (Also onlo, on line 6, Rocapltulallon! 30.957.35
"EV. IIotE" 111.18'
COM.MNA_~ANIA
I' 0'
Fran~~. DiSi1veRt.er
Joint tonantl.),
SOHI!DULI! I'
JOINTL -0 I!D PAOPI!ATY
ssg 185.03.6677 03/17[1991
A,
NAME
Patricia M. Hart
ADDRESS
3408 Hawthorno Drive
Camp Hill, PA 170n
I.
C.
Jolntly-ownsd proparty.
(If moro spacol' noodad, Insort addlllonal,hoels 01 ,ame ,llO.)
Copyright (e) 199410rm ,ottWI" o~1y CPS)'steml, Inc.
PILI NUM II
21- 97.0611.
IIELA T10NSHIP TO OlelDINT
daughter
Fo,m 1100 Schtdul. F (Aev. 12-88)
J\.tle 6, 1m
Saidis, G.1kb, amf& Mlalan:'J
2100 M1IrlIet Street
P.O. 8:lx 737
Cef1p Hill, PA 1 '7OJl-0737
M!!~~t~
OperatlonK Center
635 North 12th Street
Lemoyne, Pennsylvania 17043
7171731-1440
The in1'omlltion ~Ihich :rOIl l"oquer,torl on the IICCollnt(ll) 01' t'ramls DiSil\rEl9tec
. n.n...<WI (Zocilll Security Number 'A<-(\'~'TJ ) is IlS 1'ollo~m.
Account numher(s)
ClaaR or Account
!lnte Openec
Prineiplll Balance
AccT'Jed !ntcrent
Ilalance II t
Date or Death
Account
Ownerllhip
lIame or Joint
Owner,. i1' Ilny
Date Owllftrshi]'l
\IllS Istnblinhod
Adl:!itionlll In1'or-
Illation lleqllnr.te(\
31-56-2!.XW 3HUXXXl21
om.ificate 0lacki1TJ
7-22~ 5-2fI-'.X)
$17,<rrl.85 $1,493.44
188.79 .49
17,589.64 1,493,93
Joint JoInt
PatrIci<i M. H3rt.
Patr leia N. Hlrt
1-22-93
7-9-91
N:> reo:rd of a safe cEp::sit \:ox.
Q:etdlen L. Cal~~
&\". !lataH JIctnlnill1:.raticn' S,:'s.'ViOllO R6p.
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M~ARNF.R FUNERAL HOME, INC,
1905 MARKET STREEt
P.O, BOK 291
C.AMP IIILl" PENNSYI.vANIA 17011
, ROURT H. II^RN~R
lUPERVISOR
TILlrHONI
711.711.9961
I.OCALLY OWNED AND
OPERATED
April 4, 1997
.
Mrs. Patricia M. Hart
3408 Hawthorne Drive
Camp Hill, PA. 17011
Services for Frances M. DiSilvelter
March 21, 1997
Charges for.Services Selected
Professional Services
Use of Facilities
Automotive Equipment
$ 2,79,S. 00
$ 2.79lhOO
Charges for Merchandise Selectsd
, Casket
Vault
$ 2,420.00
880.0Q,
$ 3,300.00
Cash Advances
Clel'gy
Certified Copies
Florist
Organist
Soloist
$ 100.00
24.00
'90.00
75.00
50.00 '
Total due within thirty 4aysr pleasel
$ 339.00
$ 6,434.00
Iti/,J/q 1
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'$
lEI,:j.O(l '$
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$
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SUBTOTAL
F'A. SALES TAX 67.
TOTAL
AI10UNT PAID 13/!.2/',I7 Chad: *' 125
Balance Due
Pteas~,ret~rn pink copy along with payment 0/
~YM~sB_Q~s_Ig~I_B6~Iebe
P. 0 ~ }~I::.~;. 204
Lehman, PA" 18627
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1f3~S. (P_l
18~~. ()(I
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The Prudent.al, ~
Thomplon Wood
R.III ..llItl
Statement of Estimated Seller's Costs
PREPARED BY
:!l__ SALEPRlC~ 11~
-\-__ SELU~R ~_1
I'ROPERTY ~~
("0 I;'
,
. DATE PREPARED
-.
The following estimate, showing the amounts 10 be paid, supersedes all previous agreements, oral or wrl<<en, and is provided so thallhe
Seller wlll understand what costs will be deducted from the Gross Sale Price allhe time of settlement,
I, Real BstateCommISSlon_L'A,of$ qD~ "".",.., $
2, TrlUlsferTsx \ %of$ '1 (), or;c) .................., $
3. Preparallon of Deed, . , , , , , , , , , . , . . , , , . , , , , , , , , . , . , . , . , . , . . . , , , , , , . , , , , , . . , , . , . ,
4, Transaellon Fee, , , , . , , , , , , . . , , . , . , , , , . . , , , , . , , , , . , , , , , , , , , , , , , , , , , , , . , , , , , , , . ,
S, Notary F..s , , " , , . . , , . , , , , , , , , , , , . , . , , , , "" , , , , . . , , , ' , , , . . . , , , , . , , , , , , . , , , , , :
6. Disbursement FeeslSe<<lem.nt Fee. , , , . .. .. " , .. " , , , , , , " .. , , . , , , , , .. , , , , , .. .. " "
"7"WIJod Inf.station R.port , , , , , , . , , , , , , , , , , , , ,,' , , , . , , , , . , , , , , , , , , , , , , , , , , , , , ' , , , ,
"'" " ,
s, ~6n Test. """ , , , , . , ".." , , , . , ,,,,,...., , . , . , , ..", , , , , , . , ,.. " , , ,"," , ,
9, Well Water Analysis Report. , , , , , . , , , , , , , . , , , , , , , , , , , , , , , , , , , . , , . , , , , , , , . , , , , , , , ,
"10, private On.L~t Sewage Syslemlnspeellon , , , , . " , , , , '. ' , , , , " , , , . , , , , , , , , , , . , , , " , , ,
II. LCI!l Bued Paint Assessmenlllnspeellon, , , . , , '" , , , , , , . , , , , , , , , ,
12. Mollgago Placement F.e % ofs , , " "", , ,
13, Buy.rs Se<<lemenVClosing Costs, , , , , . . . ", ,. . t) , , , , . . , , () , , , , , , " . .
14, HomeWarranlyPlan".,. ..."""., '''' ....",.... ",/': t; 4, ,..-:./.....
IS, Municipal Code Bnforeement Inspecllon",."""".., ,q, ,':"\;" '7'" '_"""
16, Repairs" , ..".. , , , , . . ....,,, , , , , '" "",,", , , .."".. ':,>/.. ,>'t.i/1' "..
17, RoofC.rtificallen""" ,,',"," """."."~...-;"" .::../,.:/.,~ ,
IS, Plumbing and Headng Inspection " , . , . '''' ,...... . cJ"D ::::::?" , , , '"''
19, BI.etrlcaISyst.mCenificallon""",."..,....., "'D"" \ """"""'"
20, VAlFHATsxBscrowS.rvle.Fee" '" "",,,,,.. ",',," . ,..""",,,.,,,.,,,,
21. VAlFHA or Other Document Pr.paration.,.., ".., , . , , ,. ,7 ' , , . ,. ,.,." , , , , ".,.
22, Plood Certification, . . . , . , ,'.. " " , " , " .. , .. .. , , , , " " " , , , . , , , , , , " .. , , " " " , ,
23,
TOTALCOSrs...,,,,,.,,,,,,,,,,,.,..,,,,..,,,,,,,,,..,,,,,,,,,,..,,,,,,,,,, "
~~,
Cl~
$ 7.t"
$-ll..L_
$ (0
$ ~o
$ '!It>
$
$
$
S
$
$ 2.000
$
$
S
S
$
S.
$
$-
S
$
s-9JJ ( )
These are approxlmat. figuros, Exact figures will be provided at the lime of settlem.nt.
In addition, Soller agf.e to USillln financing In Ihe amount ofS for __ y.ars al_'/, interest
with monthly payments ofs '
Based on the above figur.s, Seller hereby fully understand thaI they will net approximately $_ from which de<luellon will be
made or credit glv.n, u th. case may b., for payment of existing mortgage(s), Judgment(s), prepayment penalty, sallsfaction f.e, escrow adjustment
and any olh.r liens or encumbrances, tax or Insurance adjustments, sewer, water, or rent adJuslments, and any other ilems to which the panies agreed
in th.lr contract,
eby aeknowledg. receipt of a copy of this Slalement of Bstimaled Seller's Sculcmeru Cbsts and approve the above Esllmated charges,
enl. This Doeumenl may be executed by the Buyer or S.lIel and transmitted to the. other fer execution by lelefsx. When executed and
· -''':-:.''~'::(2:Z:;:Z''':~~: ~'-
WITNES SELLER: DATE:
I
\
P1WSC . 4/97
Al.Klo,I~M1~1'I 1 Hilt 1111; ~ALl~ Al'lU I'LJltl.lIl\~I~ \11' IU'.,\I~ I,,~ i,' ii,
. This I'orm recommended and approved I'or. but nOI re'trieted 10,
use by members of Ihe Oreal" Harrisburg Association of REALTORS.
~, AOBNT 'OR SBL,LERl [--SUB AGENT FOR SELLER"'- E. ,- A~'~TFO"UY~: -.\
1<<MJ -r: WI. I,'" "'"'1'~- -<'(+"
PA, LICENSED BROKER-I -PA. LICENsED BROKER.-- PA, LICENSED BROKER
This Ag,eement made Ihl, ----.~,i.::-..:.!---- day of ~_._,J/.J_U:::---.._..--- . . .-. 19-1+'
I. PRINCIPALS Behnen.___...-!:...'JA./.,~ t:i.J.:':b.i;;;;;.---.---..--------~...::..~.----..-
(residing at - '-, \ r..r::.--liJ~....T-----7.--T--'--r;. ----.-'- ,------)
h(ere,l"nlarter ealledc~~le~, ~r'dY~)i.')'~~Iv. '-L"'~'~- -- ~ ~-I(_~"!;~..}.!LC4.-.--~-----.--.---)
~::eln~'t:rt eali.~" -,,-oCo---'-".. ~..-......,i"'a.L-.L---L--..._L--..------:--------.-------
1; p,ROPERTY, Seller hereby agrecslo ,ell and convey In Buyer, who hereby ag"es 10 \lurcll"ie: AlL THAT CERTAIN Lot or p ece
of gr~d ,whh b~lIdl~~I:.~~,~~Z:.l~?~:;1:~~"~~~\~:~_::. ~~_~:~='~~ ~
3. ZONINO~ng Classification ---------.--'-----------.. --.---------..--------------
Fa)lure,of this Agleemelll.to cOlllaln Ihe1.01I1IIg classiflcatloll exccpl ill CII,e, where the properly (or each pa"elthereof. If suodivldllhlc)
Is zoned solely or primarily to permit ,Ingle. family dwcllillgsshall "ndc, ,hi, Agreement ,'oidable lit Ih. oplion of IheBuy., and il' void.d
dep05lt5 tendered"by the~luyer ,han,bll relurn6'II~.l~C ~uyer wltho>~ II rcquirel)lr._1 of court aelioll,
4. TERMS: (a)pureh..e Proce _..-~Lf'~1-'-'.b<J >'A~JL_j_...'-l_...0<'-'" --', .
.. .__.__-'-------..--_-----'--_. ($___<] DI ,/~
I<l,be "aid by \he Buy.$l a5 (ollows:
, (b)oerOSIT Check.t;;;'t..h O. at the llanlna of lhit '1Ilcement, receipt of which is hcrehy Ill;'knowledacd " S_
(el ADDIT10NA.L l?I!POS1T due on or before the
.:.-__ day ~r ______~__.___~_..__.., 19_~u.
(d) BALANCB OP PURCHASe PRICE I,settlement
(elth, r:erlUled check. lnd/or morl,II' funds) <.
__.l
1.0,22.
.
,$
$ ~ ''? ::>;?O
TOTAL "";.'J:'.";'" $ . '1U.O..."'>O
(e) W,llIen .pp'~VlI or Seller 10 be on 0' befo<. ,he 1;' -rh_ d.y 01 -- _...LY.-~---' 19''J.:L,
j~o, SeIHement.lo~.:m.deonOfberorelhe 3J~_d.Y_o,._- _~,19j'D.,','f , .. .1.
(a) , the (ollowlOI ih'Ubf Ipportlonedpro'TltlIS of and II lime of leulement: Tax levle and aueued, nots, Inleresi1i\iliOrl'I" ,'Slumptlon,; condomInium feu
and'homtowner ulod.Uon fees If any, Wiler Indlor lewer renll U .ny, IOllether Ih any other lienable munlclpll servlcu, All Reilly Tllnsfer T.~.s 'hall be dl...lded
e....nly unlm otherwise pro...lded herein, J\ J ' '..d.
5, PROPERl'Y'SEtTtItM'ENT CONTINGENCY I Thh aareemenl Is subject 10 lhe IeHIGmenl of Buyer's property locattd II ~~.t '; ,
,
_" onor~rore
6. ..hNANCINGCONTING~NtYIThll.'reemenll'lUbl"I"O Ihe flnood".. follow" ", '. '~r, .'.' ,
(.) PRINCIPAl AMOUNT 5 ~s;<;oo ;"'?_"> TVPE C'I~ + Jl1':f \I Oe., MINIMUM TERM ~') . >,1-
MAXIMUM INITIAl. ...,' ' .,--- ,
INT~RI!STR,ATf. _-(--~. MAXIMUM TOTAl. POINTSy-I,NCI.UDINO 1.0AN ORIOINATION FEE. TO 8E PAID aY THE BUV,.ER'_.a_-
":R~INAL OATE_f~r Obtalnlnll Flnanclnll,Commltmenl 4J.~'" - I~ I / j I h -----:--'-~---
, Broker mayad...IK Buyer of pouible sources of mOrljlle funds, but cannot anume responslblllty-fot oblalnin! Buyer's morlll'8e. Ifsald loan cannot be obtained
as herein provided, this Aareem.ent shall be NULL AND VOID and all deposll mOllle5 shall be relUrntd to the Buyer on or be"ore d.t' of selllemenl ISprovided herein,
subJ~1 ho'wever 'to Ihe'provlslons In Paralltaphs 6(b) .nd 6(c). ,,-r _ , r- ' .
'(bl Buyer shall m.~ta completed.pplicallon to a responsible lendinlllnstitullon for Ihe said loan wilhm ~. calendar dayi 'rom Ihe Seller', .ppro....1 hereor.
Should Ihe Buyer raUto make such completed application within the specified time, It shall be_ al tho opllon of the Sellor, within fl...e (S) calendar dlYs 'hereafter to:
(I) Declare lhl.Af"emenl NULL AND VOID,.I which time, all monlcs paid on account wtl1 be forfeited to Seller uliquldated dlm.,el, sublectlo Ihe Rules and
Rel\llatlon.o the Pennsyl....ni. R.eal Estate Commission, or
(Ill InabKnceof Wrlllen"noli~e to the Ruyer by the Seller declafin,thil Alreement NULL AND VOID, Ihe condition .nd conlinienc~ pro...ldedfor.in this Par'araph,
tOlether with any olher financlna conlln,enclu thll mlY be herein or endorsed herelo, shall no lonller pre....H, and this AllreGmenl ,hili remlln'errecli...e accoTdlnll
10 ils terms _In. the SlIrme ni.nner at If Ihe condition and conllnllenn were not It part hmof.
(c). Seller or A!ent mUll receive a written commitment ....Ud until thedale of settiement, f91 the said loan, on or before Ihe lermlnll date a.s specified. Jf the Slid conlmilment
is not furn shed wllh the terms as Ipecifled hertin, or on other lerml accepted In'virillna by the Buyer, on or before the lpeclned dale, Seller shall h....e the option,
atthatd.le, or any Olher time thereafter..1.durlnll ,he lerm or this Aarecmenl, unlll, but 1I0t beyond IhG d.le of receipt of the commitment by the Seller, or .....ent, 10
declare Ihls A,rcement NULL AND VOlU,by wrlnetl,nollc:t; to IhG Buyer of hls/her dechlon to cancel. II which time all deplHlI monict paid on account shan be returned
to the Buyer, subJect. 10; ~he paymenl required, U .ny, prov!d~d for In P.rallfaph lJ(b): (i), (I\), and (Iii). ,_.,
(dl' . ,Seller hereby lITe.. ,to"pcrmlt"lnipectlonl by'authorlzed .ppralsers, reputablt cttllflen and/ot Buyer as m.y be required by the lendln, lIItlllUllon or-insuring IlImcles.
(e) Seller hirebYI"ee' 10 PlY Iddlllon.1 mOrl"le dllOouOI pOloll onMo, loon orl,loll'OIl ~ 10 eo.. orlbuYOI oblllololll,,",lol from .lendln,lo.lIlU1lol1 requl,lna
Iny one.' .11'01 .rorellld '".,pro,ldloi Ihe 10111 or llld reet do.. 001 exceed __ '!!,ol the .muunt 0' Ihe morll'I', . .) ""
." STATUS,OF..WATER'-AND SEWER: Seller'warrantlthal this properlY-1s serviced by ~--:.- llllIer llrnd> - . C~--..
HweT, Further, Seller wan.nts thalthele IYltems are fullY p.ld for and, as of lhe dale of lhls a,reemenl.re In satilf.clory operaUn, condrclon.lf either afotulld !oY.Slem
II ptlvate, Seller wln.ntlthll he/she has no nollce (rom tht. municipality or from municipal authorities thAt public water tnd/ot sewet wnl be ancned or Installed
I. MUNICIPAL IMPROVEMENTS: Seller has no not1m of municipal Improvements (Iuch as sidewalk" cutbs, elc.) ucept
. II Ace'" 10' public 'Old mi.' require hl~on" 01. HI,hw" occup.ocy ""mil from '5 ~pl;';cp' T"OIPo'"IIOO.
9, SPE9~CLAUSF.s, :J5.S/&Uc. ,iD..~!.1l'LAA'O ( -I ,_,.~-.u.:1k::f!'..ec..--P c.1f ~",,-,,-;2L' ~-
~ ~"......L.~!&.*"'----\ ,h~ (~_..sLl:~1mr~,t'-
.--.--.----.....---------..---
.~-~-------.,--~.--~_.-_.~---,.-._,.-
10. c:=J Buyer atknowl,d.tI tfulpt of Stller's ProperlY 1>lsclollltC, ./
II, A"'~lm,AOOENDA .re mld~. parI of this .....reemenl: rw4oodlnfc!i!j\\I(ll1 ~:i~.a~on ~~dos\lre ,'c~, Pri...awWllter/On,Slle Sewalle t]fHA./Vi\
l'!1.'.enc, Rellllon,hlp t..nomeIM",,,loo ~~ed 1',10' tll'fl'her!\) -~~::.....)~
11, P.:RSONAI.TYI All eltlllln. plurnblna, heallnll, alr-colldltioninl and lilhllnl fixtures (lncludin. chlndellm and celli nil rantland systems appunenant Iherelo Ind forml!!1
a part thereof, and other pl:rm.nenl flltturCl,'s wellalan tanllU, llundry lubl, T.V. .nIGllI\", millt Ind rotor syllems, lo,ether with wall 10 wall carpelin" Icreens, norm
lun and/or doors, Ihades, Iwnl"!s, ...,nell.n bllndt, coupllnlls fOf aUlomatlc wuhert and dryerl, el~. radiator co...ert, cornicel, water softeners, kitchen cablneu, drapery
rods, drapery rl;)d hardware, cutI. n rods curlllln rod hardware, III trees, shubbery, pl.nlinlls now in or on prorerlY, I.ra~e door opener I, IIi,ds; If any \lnlen sp~clfically
eltcepll:d In this Alreem,nl, .re Included In ,he sale tnd purchase pr,ce. None of Ihe above mentioned llemllh.l be remo...ed or lubstituted by the Seller irom premises dur
. dl1e. of this A,Tecmenl. Any rem.lnln, heatln, andlor cookln. rueh sloled on the premlsu .1 time or telllement Ire also Included IInder this Alreem~l. Selin hereby warranu
'Ihll hellht.wUl deliver lood Utle to III of Ihe articles described lfllhll parallrlph, and .ny other flltlUrts or items of personllty specifically sched41ed to be Included in Inh
'~ 181~, .Sellet wan.nl.all plumbln" he.tlnl, air cOlldlftonlnll, mech.nlcal.and electrical Wtlem' and equipment and appliances to be In proper worklnl order at time of u:lIlemenl.
Thls warranty does nolsllr...lve clollnll.~___"_~.___._. ~-
-------_.--------_.~------_.----------.---~~-
-~-_._-....------------------~--~-~---_.._~--_.~-
....L..
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.1 (' ,.1 ,,('I...,
--.Y '\-4., I ;c.d J ID, .~ot Write In This Space)
(.9 ,'~ ~i>4s;' ~
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.~.~~~,.o)~~~ ~~'0' ~ ~-
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In Clcrow ICC(lUIlI IInllI n:mlummlllOIl III 1l:11l1'''IUIU'' UI 11111 ""~~I"~'" Il' ~,.,..". ""'1 .."" ~,. ~.'.n.._._.. .- -- - _.,--
ollllno. hold any uncllned durck le"d~"d., dtJlmif, pendl", tht lH're\l!.n~e l,r th(1 oHer. .
H Ihfft h. dllpulc bclwun Int Ilunf .nlithe SeUcr O\'el who It enlitl,d In lh~ Ilel'o,ll, A.tlll will Oi:ll ht IUpoll1ihle HI ,,\olvt lhlll ill'fllllt and wlfl nol bf: lI.tlle 10 tilher
lIuyC! or the Sellct lor Ifflllln. 10 Iflfue tht depmil wilhillll In "dCtlUllf wlillen lIi1rwnenl htlWf.tn l1uyu .nd SCllCf 01 . 'l'.lItl CIlUII mdtl. IhlYII Ind Sellcf ''11tf lIlll!,
In lht ''''''!lllhe A.enl Ind/or Sub..enllltt/i~ joined lfl HII"llon for rhe rtllHIl of defl(ull 111(11\1'1, tht A.ent', Ind/m Subl'tnl" rUtI'lIulble IlhltJlfY', feet .nd l;'ml\ will
b. Jllld b~ tht r.f1y lnlnln. Ihe Alenl m Suhallenl. '
", I'O~~.:''i~ION A.NI) n:NlJt:AI
tl) Pouellloll h 10 be delivere,' b)' deed, l_e)', IUHlllh),kllI11onenlon III ii, \licanl hllildllll (If 1l0Y) II dlV antI lime .or Hllltnu'nl, Of hy deed and u,i,nl1l'l\l of e_i'lllIlI
h~ue(.)allht time (If ttl'lenltllt I( rrel1\11U I,' tellM1! n~'cllried III lh~ '111111111 tlf thh Aarwmnl, \Ir,ten olht,Wlle 'Ilt~'lfled herl'ln. Huyer wlli Ickllowledlle ed'llnllluul'J
hy InUII'oI"' uld Itllth) II lime of 'l.oIIlIlUf lhl\ ^ilrwllelll \lfSIlI~ If Itnlnl 1l~"'Ul'led.
(bl Sdln will nlll enw lnlo an) n(Ow lute(.), wrlllen e~l~n1101\ or e'i'lIlllll{,llle(\\. Ir lUll,'. or iHldllllllll1 kil1eW ror lhe IlH'ml"H withoul t~llIt1' wIIIWI o:onUIII nf lht Illll-'N,
(C) Formlllet\der of In euculed deed Ilnd rllld!!11t IrwMy II herd'y W,II"ell.
(ell "uye~ retervt, Ihe Illhl In mlkt I flft'el1ltmtnl Inlpt<:lil,n III tht whll'..1 rrl'nil\~\. ,llId will ~~tCUI{, llPPllllH\lltr dOClIllI{,lItlltiOIl or 'lid, in,p(el;nn.
16, RIS~ Of' I.(lSSl
(ll) Stller ,hill! n\.1lnlnin Ihe plol'l('rlY (inl.'llIdin,lR!I itCIlH rn~ntlnnt(1 il\ lllHilllr:lph NI \ hNcill1 ;wd any pctlon;III1/0PI'lIY 1[1lil.'IIi1:ilhy 1th~dulcd lIt'lcin ill il\ 11IC\CIlI ,,1111IiH\1I1,
nmlmd wel., IlId Itar el~ell.td,
(hl Sellel ,hltlll1elll rllk (If I(lH fmm flft' m nlh.;.'r ~'a\llllh)' ulI\il 1111\1' nl '~lllt1l\I'I\1. IUlht l'ltnl of 1I.lmillll' In Ihr !lwllerly hI' fH~ III lither ,II'ually, lIu)'(r ,h;lll hllvt' Itll'
oplion Ilf rl'\dndllllllhh u~reemtnl and rel.'clIIIIIl hand mOllt\' p;II\! I'll ilc'(Olllll 'H oi ,1,,'elllIUIIIII( properly III II' IlIen nmdillon wllh tht 11WI'c';'th I1f all) 11I1Ulllll,'I'
re(IWery ohlainl\hlc hy Seller. lhlye' " htfdlY nOlHltd Ih;l! he mil'; III'iure hi\ t1lullilhle illll'H'\1 in Ihll p'operly 111 l1f the IlIIle 01 lhe a,'ceplll"cr of Ihl\ illIlI:el11Cl11
11, RUllust:Nr"nON!>l: It il umltr~l{Jn<llhllt Huytl h;ll Inlptcll'd rill' Ilrnpl'fly. or herd'y \\ili..c\ Ihe rlllht lo,ln \0 null he/,he 11<11 RlIfttd III (llItel\ll.le Illu II retult of 1\11'11
irllj):(lion and nOI beelu'e nl Of in I('hlllee upon IU1) re!'rt\entation llluM b)' Ih{' S~II~/ or dtlY ,'lh(r offli.-fr, llo\lll1Cr \It W1PIU~~t'lf S~ller, (lr by lhe IIlenl of Ih~ Stlkr or
~ny or Ihe liller', ,ale,ptruHu 1I11d employet\., \1' hy II l'Cloperillinll IIw~er, If illl)', III iillY of hi\!lItr \illttpl'rmn\ llull tlllployee\ Ilnd thal.ln:l.he 1-1., a~rel'd,l() 'ltu<:hll\f It
III 11\ I'ruenl C(lndlllon unll'3\ olherwI\t Ipt'''lfll'ct hertin IInd 'unht! a.:knowledgl'\ Ihill th{' ,lforeml'nllllllcd parlit\ art' Ml 'lllllllflcd 10 fenile! an oplllhlll on conltrUCllun,
en,hll'erin., Of environment,lmlller, and thlllht huyt! hn h~l'n adviltd Ihlll hl'/~ht may rt(l"irl' ot wi'h l(l t('eklh~ ll"imll\Ct .1( experts illlho~e field!. It i, furl her undl'rswt)(1
Ihlllhh A,reemenl cOIUlln~ Ihe wholl' ",rftlment belwecn the Sflltl and Ihf)'l'r llull tIltrt' lHe no olher lernu, obhill11llllll, (Qvtnanh, r~llIel('nlllloIU, ualemenll OT conlllliOll1,
orll oi olherwl.. of Iny kind wtllulCtver ((Incernins Ihi, Jllll'. ~lJrlhmllore, Ihit Agreemenl Ihl\1I no\ hI' allered. IImended, dllnled (Jf mndified eleepl in wrhlnll e'tnlled
by lh. panlu hlreto,
II, RECORtJlNOI This l,rumcnllhaU nol bt recoldl'd In lhe Offk~ for Ihe RWHdinll ollJwh urUl any Nhel offlct Of Illa{'e or public rel:llrd, Intllr Duyer thlll rel'ord Ihi\
I.reemenl or caule or ptrmillhe lime 10 be record~d, S~lItr may, at hil/hl'r orlioll, eltet lolrelll ,ul:h act In a blellch or Ihilllleemen!.
19. ASSIGNMENT: This Alrtemenl Ihl\lI be blndlnlupon Ine rell1teli~t heio, e~e<:II!Ofl, adrnini_llralnTS, \tl{'ceuou Rnd, to lhe e_tent aH1llnablt, on lhe nullllS or Iht paTlit,
htrtto, II beln, upressl~ underslood, ho.....ever, IhJlllht AlIyer shall nOllrlUl1fer or aUiltlllm AlIfl'trnent wilhout lht wllllen conlelll of llle S~ll~1 beln, fim obtained,
JO, NON.UA8IUTY or MJf:NTl E'l:epl 'II 1lI1)' ht PHwldtd h)' I "filum nefWl\enl Of addel\thll1i 10 lhi, A,rtemem, ^aenlhl or Sub.Aaenl(sl,lf all)', I\r-: reprmntln8 Sell!'f,
nollhe 8uyef. " "
It I~ uflreuly undeulood ind .arced belwl'tn the pAnics hereto Ihll lhe h(,Telo named aStnl, hiM her salelpc!r~ons and tmllloyet~ or any oHleer or parlntl or 'Ielll and
llny cooper.lln, broker Ind hll/ncr uluperlons and employeu Ind an)' offIcer or parlll~' of the cooptra\h1' broker are aCllnl u alenl only In brlnllnl the huyer and Selle'
lOltlhH, and will In no cale w~atsotVfr b, held lilhle Jolnlly or 'tverall)' 10 tither pllrty (or lhe performlnce of any hem or covenant of thi~ ^Ireemenl or (of,damalle1 fill
Iht nonperrl1rmance Ihenof, .,
, 11, !lUAUI.T _ T'ME IS Of TilE ESSENCf:: The said lltlll' ro scltlemenl 1I0d all olh~r ileml Icfmtd to ({'If lht llerformnnct of any of ihe ol)lI,allons llf lhl~ "IUe~tlltn!
are hertby ',I<<dIO be of lht emnce of Ihh Asrt~m~nl. Should Ihe BlIyer'
(I) "all 10 mak, any Addltlonll payments U Ipecifled in I'araallrh "',
(b) Furnish (list Of Incomplele In(ormlllon to the S,lleT. Ihe Sellel" alent. (\T Ihe mOrll~Ke lender, :oncerninllhe lIuyer'llelal or flnllndal SIIIUS. or '11110 COOJlfIlUI'
, 'nlhe procenlnl of lhe morc.ale lOin appUellion, which Del' would Inlllt in the 'allur' to obtain lhe arproval of a morla'ae loan cllmmllment, or
Ie) Vlolal' or rail 10 tuUmlnd perform any of Ihe termlor condllionl 0' Ihls Aale'tllenl, Ihen in luch cue, all deposit monit' and other SIlnu paid by Ihe Buyet on a<:counl
of Iht purchllt price, whe!tier required by Ihis ^arttmtnl or not, may be relllined:
(I) by the Seller on accounl of Ihe purchlilt prkt, Ihouldlhe ~tller demAnd ;he full purdum prICt. or
(il) II monlu lq be Ippll,d l(llhe Stller's daml,u, ot
(Iii) II IIquldllcd dlmll~1 (OT luch bfuch, '
Illhc Seller may eltel. Ind in Ihe evenllhll the Seller elects 10 relaln lhll monk~ IIsllqulda,ed damalle' In aceoldllnce with Pllrailraph 20((1(iii), Iht Selll'r Shlllloc Itlea\t'd
from In IIlbUlIy oh~)bll'lllon allhls ^,reemenl Ihlll be NULL AND VOID.
11, RECOVER,,'j'UND:'A rell Ulale recovery rund tIIhlllG relmbu'm any ptrlon\ who hu oblained a nnal civil jud,menl allain~l a Pen",ylvlnla:real tllal\' licenteI' owinil
10 fraud, mlmpreaenlallon, or deeelllll II real utile trlnnctlon Ind who hIS been tlnable 10 J;olle{'llht Judaemenl af\~r exhaulIlna all lea.llnd equllable remedle_l" for COlli.
pltle detlill.lboUllhe rund, eaU (717) '18~,"854..
)], REAl. r.8TATE DISPllTE RESOLUTION S\'STEM: Any dllpule or clllilll arl,lnll 0111 of or rel"tioalo thls Aareemenl, tht breach of Ihls A,reement or Ihe servict prClvided
In rellllon 10lhh Aareem~nllha\l be submllled 10 medlillon In accordlnce wllh Ihe Rules and Procedures o( Ihe Real Eltalt Di\p\lte Rnolullon SYllem.'Dllpulellhllll includt
represeollllonl mad, by the buyer.leller, or any broker, I,enl, sublllenl, or olher person or enlity in conuecllon wilh the sal(', pllrch,,\c, flnanclnl, C,Jnditlon~, or olher 115pC{,l
orlhe properlY '10 whlch"thls Alreement ptllainllndudlna, wllhoUI Umilallon, 111eaalioM of concealmenl, mimpruclltllllnn, nea!laence andtof fraud.
The provision, (I( Ihls pualraph rel.llnllo medial Ion shal1lurvive ~elllemenl on lhe ~llbje" pTOIJtr\y Of urll('r Il'rllllnllllon of Ihi, A8fe,m,nt.
Buyer and nller Icknowltdae th.lthey hive Tecelved, rud, and u"detsllnd Ihe sl.lr\dard IlIHlouncemenl brOl:hurt ,lIld rules and p10cedllrn for the Rell P.JllUe I)hllllle Reilolll'
lion SYSll:,",
1.. Dr.sCRIPTIVE HEADING: The descrlpllve headinaJ used herein' Iff fOI conv,nlenr.e only and Ihey are lIol1nlended 10 indicale all of Ihe mAiler in Ihe secliom which follow
Ihem. Accordln,ly, (hey Ihlll have no dft'Ct whlUoever In delermlnln,lhe rlahll or oblla'IIOn! of the parlin,
l!, AGREEMENT, THIS,AOREEMENT CONTAINSTHE WHOLE AOREEMENT BETWEEN THE SaLLER AND .UYER. THERE ARE NOOTHER 'rBRMS, OBLlGA.
TIONS, COVENANTSJ\EPRESENTATIONS, STATBMENTS OR CONDITIONS, ORAL OR OTHERWISE, OF ANY KINO WHATSOEVER CONCERNING TIllS
SALE, EXCEPT ASAnACIIED TO THIS CONTRACT, .'
(Do Not Write In 'fills Space)
This Is . I~gally binding contract; If nOI undcrsloo~, consult your attorney.
Fill Sl.temefttl Thll ~umenl m.y ~ 'Keculed b)' Ihe (lllyqr or Seller Ind IIlllHmlUed ICllht olhtr for e:-.:ecullon tw leleraX. When execuled and delivered In ~uch mlnner. Ihi!
Documenl wUl be blndl", .. IhoUlh u'culr.d hy the plnl.. on lhe orlllnal document.
110m whmof. the plrtln hmlo, lnlendlnllo be lellllll~ bound h~ltby,
I handl and ~eals Ihe day and yur flTlllbove wrltlen.
IIUYliK _
BUYER.
'M~~_~dIY
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
IU.!AU Of IHDIVIDUAL TAMES
INHERITANCE lAM DIV15ION
DEPT. 210601
HAftRlSIURQ, PA 11121"0601
HOTICE Of IHHE.ITANCE TAM
APP."ISE"EHT. AllOWANCE O. DISAllOWAHCE
Of OEDUCTIONS AHD ASSESS"EHT Of TAM
uv.\WU'" "H"
03-0Z-9S
DISILVESTER
03-17-91
21 91-06),4
CUMBERLAND
101
E "~unt_~elttl~. \
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER Of WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 11013
CUT ALONG THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS ....
ifiv: it;;j' ix" AFji" i i19: ,'ri"iloYici" "oF" i"titliiiifANC'a -YAX -A'piiiiA'iiiiiiil'f; "ALi."owANcf OR - - -- -"- - -" -" - - - -.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
FRANCES M FILE NO. n 91-0614 ACN 101 DATE 03-0Z-98
TAM ~nU~H WAS. I I ACCEPTED AS fIlEO C X) CHAHGED SEE ATTACHED NOTICE
ROBERT C SAIDIS
SAlDIS ETAl
2109 MARKET ST
CAMP HUl
DATE
!STATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ADN
FRANCES
M
PA 170ll
ESTATE OF
DISIlVESTER
RESERVATION CONCERNING FUTURE INTEREST ' SEI! REVERSE
APPRAISED VALUE OF RETURN lASED ONl ORIGINAL RETURN
I, ~I.l Eotlt. (Sohldull A)
2. Slockl end I....d. CSch.du~1 II
3. Clol.h Hlld StOClk/P.rtnorohlp Inhr..t CSch.dul. Cl
4, "ort...../Not.. ~..Ilvobll CSoh.dull 01
i. Ca.h/lenk Depolltl/"llc, h,.lonal Property ISchedule E)
., Jointly Own.d Prop.rly C Sohldull f)
7. Tr-.nafarl (Schedule Q)
I. Tobl A...h
HOTEl To insure prop.r
orad! t to your 1I00ouni.,
.ubelt tho upp.r porUon
of thh fore with your
tax paYMnt.
90.00L.M.
,00
.00
.00
4,915,50
30.957.35
,00
lal
(II
(2)
C31
(4)
(5)
CU
(7)
lZ5.81Z,85
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. ,fun.,...l b:...n.../AdII. COlh/"iIC. hp.n..' (Sch.dul. H) (In
10. Oobh/"ort.... ll.bIlIUI./LI.nl CSo""dul. Xl 1101 Z .686. Z9
11, Totol 1Io_t10~. nil
12, N.t V.luo of T.~ ~.turn (12)
13. Ch.rltobl./Gov.r.....ntol lI.uuhl Hon-d.ct.d 9113 Tru.to CSoh.dull JI CI3)
14. ...t VII... of Eliot. Subjlct to ro. (14)
NOTEI l~.n ........nt W.I i..u.d pr.viou.ly. lin.. 14. 15 .nd/or 16. 17 and 18 will
refl.ct figure. th.t include the tot.l of ~ r.turn. .......d to date.
ASSESSMENT OF TAXI
II. Aeount of lIno 14 .t Spcu.II r.t. nS)
U. AllOunt of lIno 14 tl.obl. It lIn..I/CII.. " r.t. nu
17. Aeount of lln. 14 t..obll It Coll.tlrII/CI..1 I rltl (17)
II. Prinolpal Ta>e Du.
24,3Z8.95
" . n 1'; "
98,851,6.1
,00
98.851.61
,00 M .00. ,00
98.851,61 M ,06. 5.931,46
-:00 M ,15.-- .00
CIIl- 5.931,46
TAX CREDITS I
~AY"EHT
OATE
IZ-14-91
..
DISCOUNT C.)
IHTE~EST/PEH ~AIO Co)
,00
-
~ECElPT
HU"IER
AAZ42558 .
A"OUNT ~AID
5.111.98
INTEREST IS CHARGED THROUGH 03-11-98
AT THE RATES APPLICABLE AS OUTLI~ED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
IALANC. OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
5 . 111 .98
219.48
4.88
Z24.36
. IF ~AID AFTE~ DATE IHOICArED, SEE .EVERSE
fO~ CALCULATION Of AODITIONAl IHTUEST.
~f TGTAl DUE IS lESS THAH .1. HO ~AY"ENT IS ~EquI~EO,
If TOTAl DUE IS ~EflECTEO AS A "C~EOIT" IC~), YOU "AY IE OUE
A ~EfUNO. SEE ~EVE~SE SlOE Of THIS fO~" FOR INST.UCTIONS.I
c,
AU!RV_UONI Eft_t.. of 9(1""t. dYing on or b.for. DICl....r 12, 1912 u if Iny future Inter..t In the ..ttit. it trllu4.rrtd
In Jo.....lon or enjoYlllnt to Cll.. . {ooUlt.rIU ""-fllllerl.. of the d.c.d,"t 'Hlr the 'MP1reUon of MY 1_lt.-tl for
11'e Dr for y..rl, the COII.onwellth hlr.by IMPr...ly te..rve. t~e right to Gpprei,. end I...i' tranl'.r Jnherltenoe Tlw"
.t the 18wful Cl... . (collet.reU ret."n II"Y .uch 4uturfl Int.r..t.
PURPOSEllf
NOnCE I
PAVMENT I
ttEFUHD (CA)l
OBJECTIONS I
AIlIU..
IIT_ATlVE
CORRECTIONSI
DISCOUNTI
PENAL TV I
INTEREST I
To fulfill thl requlr...ntl 0' SlcUon 2140 of the Inhlr1t1ncl end fetete Tex Act, "'ct Zl of 1995. (72 P.S.
$lctlon 9140).
Dlt,",h the top portion of thll NoticI end sub.lt tlllth your pIY.lnt to thl RIght.r of Nllll prlnt.d on thl tlVflllr.. .IH.
--"Ilk. ch.ck or .on.y ord.r peYable tClI RHOIITER OF MILLS, AOENT
... refund of Cl! tex cr.dit, which WII not r.qu..t.d on thl T'M Rlturn, ..y hi rlqu..tld by coeplltlng an "Appllcdlon
for R.fund of P.nnlyl".nle Inheritlt,ce .nd Elt'te Tllx" (REY~1SU), "'ppllcaUon. .rl Iv..l1ab11 at 'ttt. OffiCI
of thll R.gltt.r of NUh, InY of thl Z5 R.vlnu. Dlttrict Offlcel, or by celling thl .peel.1 Z4-hour
en...rlno ..rvle. ~Ir. for for.. orderlngl In P.nnlylvsnl. 1.100-36Z-20S0, outtlde pennlYlv.nla end
..lthln 10c.1 H.rrllburg Ir.. (117) 717-8094, TOO' (117) i'72~ZZ5Z (He.rlng "IP.ired Only),
"'ny p.rty In Int.r..t not .athfl.d ..lth ttt. "'pr......nt, .110....,c.ur dll.UOlIIlno, of dOduotlonl, or ......'""t
of tll( (Includlnl dltaount or lnt.rut) .. Ihown on thlt Notlc. IIl.Ilt obj.ct wUhAn .bty UlIl daYI of rlcllpt of
thh Notlc.. bill
--..rltt.n prottlt to tttl Pi D.partalnt of ROII.nu., loltd of App..h, D.pt. Z810ZI, H.r-rhburl, P'" 17128-1011,
~-al.ct1on to hay. thl utt.r detlrainld at .udJt of thtl account, of thl par.onal ,'.prltllntatlll., 011
--epp..1 to the Orphln,' Court.
OR
F.ctu.1 error. dllcovlrld on thh ........nt should b. addrtllsd In 'lrltlng -tOl p... napertaent of Rev.nue,
lur.eu of Indlvldu.1 Tax.., ATTNl POlt ......~I..nt R.vll" Unit, Dlpt. Z80601, HarriSburg, P... 171ZI-0601
Phone (711) 117-6505. S.. page 5 of the bookl.t "In.tructlonl for lnh.rlt.nca l.x R.turn for.. R,lldent
o.cedent" (REY.ISOI) for an ,xplanatlon of .dalnlltratlv.l~ corr.ctabl. .rror..
If InY t.x due It p.ld wUhln thr.. (5) c.l.ndor aonths after the deeeMnt'. dllth, . fivI pere.nt 15:0 discount of
thl t.x p.ld I. IlloWld.
The IS~ tax -.nelty non-p.rtlclp.tlon panalty I. cOllpUt.d on the tot.1 of the t.~ end Int.r..t ......ed, end not
peld bafore January II/ 1996, thl flr.t day .ftar thl .nd of the t.~ 11IItn..ty p.rlnd. This non-plrUelp.tlon
p.n.ltv '" ...a.lltbl. In thl 11..1 aennar .nd In thll the .... tI.e p.rlod .. you would IIPP..1 U.. tll( and Int.r..t
thlt h.. be," .......d .. Indlc.t.d on this not Ie..
Inter..'t It ch.r.ed b.glnnln. with flr.t dlY of d.1Jnquenc~, or nln' 191 .onth. l!nd on. (1) da~ fro. the dati of
death, to thl d.t. of p.y..nt. T.~.. which b,olal delinquent b.for. J.nuary I, 19'2 be.r lnt.ra.t .t the rate of
lhe (6ie) percent per IIMUII calculatad at I dally rat. of .000164. ...11 taxII whloh bee.... delinquent on and .fter
JlI'luary 1, 1912 wUI Hit Inter..t at . r.t. which ..Ul vlry fro. c.llnd.r y..r to calender Yllr with th.t rltl
ennourlc.d by ttt. PA D.p.rtunt of Rttv.nu.. Tttt eppUeltbl. Int.r..t r.t.. for 19IZ thrOUlltt 1991 Itll
U!I: Interut A.t. DaUv Int.ra.t Factor !!!!' lntlr..t Ra'" D.lly Inter..t Factor
1912 ZOie .00054' 19.7 OX .000247
1915 16:< .00G4!1 19.1-1991 11:<- .000101
1914 llie .000301 1'92 .% .000241
U6S lJie . DOni' 199J~1994 7% .00U192
I'" "% .000l74 1995-1991 9% .001'247
--Intlr..t be.lcul.lId .. followlI
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X OAILY INTEREiT FACTOR
--Any HoUc. Il1tMd aft.r Uti t.x bleo..s deUnquent ..Ill r.fl.et In Intsr..t c.lcut.tlon tl'l flft..n (15) cI"y.
b.vond thl date of the ..,.....nt. If p'V.lnt J. ..ds aft.r thl Int.rllt coaputatlond.t. .hown on the
NootlOI, Iddltlonal lnt.r..t IlUlt be calcullt.d,
/ :;-/tjJ., -13
IUIEAU ~~_INDIVIDUAL TAMES
I....WITAIIC. lAM DIVI.I"
DIP!. I.....
"l~, ftA 17Ue-'6Il
COMMOMWIALTH OF PENNSYLVANIA
DEPARTMENT. OF REVENUE
INHERITANCI TAX
RECORD ADJUSTMINT
DATI
ISTATE OF
DATI OF DEATH
FILE NUNlER
COUNTY
ACN
C/
ROBERT C SAIDIS
SAIDIS ETAl
2109 MARKET ST
CAMP HILL
06-10-98
DISILVESTER
03-17-97
21 97-0614
CUMBERLAND
101
A_t R..itted
PA 17011
L
*'
OY."'IO'" 'H-'"
FRANCES
MAKI CHECK PAYA.LE AND RIMIT PAYMENT TOI
REGISTER OF WIllS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
M
NOTE. To In.uf'. pr_r oredit to your ..oount, _it the _r porUon of thh for. with your t.. P.y....t.
CUT ALONG THIS UNE .. RITAIN LOWER PORTION FOR YOUR RECORDS ....
iiii:iilij-ix--AFji-Coli:;71------iii-iNiiiiiifANC-i-tiii-iic:oiii-ADj-uiTiiiHy--..-----------------------------
ESTATE OF DISILVESTER
FRANCES
M FlLr, NO. 21 97-0614
ACN 101
ADJUSTIlENT lASED OIl.
VALUE OF ESTATE I
PROTEST BOARD DECISION
1. R..l Iot.t. (Sohedul. A I
2. sto.... _ 1_. (Schedul. II
S. Clo..l~ Held Stook/P.rt...r"'~o Int.r.ot (S.hedul. CI
4. Ilort_.lNot.. R...h...l. IS.hedul. 01
5. C..h/lonk Depo.tt./Ht... P.r.on.l Prop.rty (Soheduln EI
6. JQlntly Owned Pr_rty (Schedul. Fl
7. Tr....f.r. (_1. III
I. Totol b..tt
DEDUCTIONs AND EXEMPTIONS I
.. Funor.l E~.../Adolnl.tr.tl.. Co.t.1
HI...lllIMM>U. E.pon... (S.hedul. HI
10. Dobt./llortll.1I Lt...llltl../LI.... (Sohedul. II
11. Tot.l DeducUon.
12, Not V.l.. of T.. R.turn
Cherltllbl./80..rnoent.1 loque.t., Non-.l.ot.d '11$ Tru.t. (S.hedul. Jl
Not V.l.. of E.t.t. Subj..t to 1..
Ul
121
151
141
(51
(61
(71
90,000.00
.00
.00
.00
4.915.50
30.957,35
.00
(II
(9)
UOl
27,986.95
2,686.29
Ull
1121
(151
1141
15.
14.
TAXI
15. Aeount of LI... 14 .t Spou..l r.t.
16. Aeount of LI... 14 t.....l. .t LI....I/C1... A r.t.
17. AIount of LI... 14 t.....l. .t Coll.t.r.l/Cl... I r.t.
11. Prlnclp.l T.. _
TAX CREDITS I
PAYMENT
DATE
11Sl
1161
1171
.00 X. 00 .
95.199.61 )C. 06 II
.00M.15-
nil
12-14-97
RECElP~ DISCOUIlT (+ I
HUHlER INTEREST/PEN PAID I-I
AA242558 , .00
5,711.9S
ANOUNT PAID
TOTAL TAX CREDIT
.ALANCI OF TAX DUI
INTEREST AND PEN.
TOTAL DUE
. IP PAID AFTU DATE INDICATED, SEE REVERSE
POR CALCULATIoN OF ADDITIOIIAL INTEREST.
DATI 06-10-98
125,S72.85
30.673.24
95.199.~1
.00
95,19L.il,
.00
5.711.98
.00
5.711.98
5 711.98
.00
,00
.00
If TOTAL DUE IS LESS THAN 01, NO PAYMENT IS REQUIRED.
If TOTAL DUE IS REfLECTED AS A "CREDIT" ICRI, YOU NAY IE DUE
A REfUND. SEE REVERSE SIDE Of THIS FORM FOR INSTRUCTIONS. I