HomeMy WebLinkAbout05-16-07 (2)
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REV-1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes. ~
PO BOX.280601 ~
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Va.-
INHERITANCE TAX RETURN
RESIDENT DECEDENT 2 1 0 7
File Number
0066
Date of Birth
189091731
12152006
12141919
Decedenfs Last Name
Suffix
Decedent's First Name
GIBSON
MERLIN
MI
C
(If Applicable) Enter Surviving Spouse's Infonnatlon Below
Spouse's Last Name
SuffIX
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
0 1. Original Return 0 2. Supplemental Return 0 3. Remainder Return (date of death
prior to 12-13-82)
0 4. Umited Estate 0 4a. Future Interest Compromise 0 5. Federal Estate Tax Return Required
(dale of death alter 12-12-82)
[!] 6. Oecedent Died Testate 0 7. Decedent Maintained e Uving TI\JSl 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (AI\ac:h Copy of Trust)
0 9. Litigation Proceeds Received 0 10 Spousal p~ Credit ~daIe of death 0 11. Election to tax under Sec. 9113(A)
. b8\ween 12-31 1 In! -1-95) (Attach Sch. 0)
~ORRESPONDENT - THIS SECnON MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAnON SHOULD BE DIRECTED TO:
ame , DaytIme Telephone Number
JAMES D. BOGAR 7177378761
FIrm Name (If Applicable)
BOGAR & HIPP LAW OFFICES
r,,'1
ONE WEST MAIN STREET
REGISTji OJ V\IILLS . ONLY
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First line of address
Second line of address
City or Post OffIce
SHIREMANSTOWN
State
PA
ZIP Code
17011
Correspondent's e-mail address:
Samuel C. Gibson
17339
James D. Bogar
,Shlremanstown, PA 17011
Side 1
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15051:.042148
REV-1500 EX
Oecedent'sName: Merlin C. Gibson
RECAPITULATION
1. Real Estate {Schedule A).......................................................................................... 1.
2. Stocks and Bonds {Schedule B)............................................................................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship {Schedule C).......... 3.
4. Mortgages & Notes Receivable {Schedule D).......................................................... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property {Schedule E)................ 5.
6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 Separate Billing Requested............. 7.
8. Total. Gross Assets {total Lines 1-7)....................................................................... 8.
9. Funeral Expenses & Administrative Costs {Schedule H)......................................... 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens {Schedule I)................................ 10.
11. Total Deductions {total Lines 9 & 10)...................................................................... 11.
12. Net Value of Estate {Line 8 minus Line 11)............................................................. 12.
13. Charitable and Govemmental Bequests/See 9113 Trusts for which
an election to tax has not been made {Schedule J)................................................. 13.
14. Net Value Subject to Tax {Line 12 minus Line 13)................................................. . 14.
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPUCABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
(a){1.2) X ~
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
0.00
548,330.73
16.
0.00
17.
0.00
18.
19. Tax Due..................................................................................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
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la5D51:.D42148
Decedenfs Social Security Number
189091731
88,944.20
493,022.00
581,966.20
33,635.47
33,635.47
548,330.73
548,330.73
15.
0.00
24,674.88
0.00
0.00
24,674.88
[!]
la5D5bD42148
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REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-07-0066
DECEDENT'S NAME
Merlin C. Gibson
STREET ADDRESS
79 Oneida Road
CITY I STATE I ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
24,674.88
23,469.75
1,233.74
Total Credits (A + 8 + C)
(2)
24,703.49
3. InterestlPenalty if applicable
D. Interest
E. Penalty
TotallnterestlPenalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Une 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(3)
(4)
(5)
(SA)
(58)
28.61
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:
a. retain the use or income of the property transferred;..................................................................................
b. retain the right to designate who shall use the property transferred or its income;....................................
c. retain a reversionary interest; or..................................................................................................................
d. receive the promise for life of either payments, benefits or care?.............................................................
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?........ [!]
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?...................................................................................................................... 0 [!]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Yes No
~ ~
[!]
o
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 three (3) percent [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 zero
(0) percent [72 P .S. 99116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements
for disclosure of assets and filing a tax retum 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 zero (0) percent [72 P.S. 99116 (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 four and one-half (4.5) percent,
except as noted in 72 P.S. 99116 1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116 (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.
I Rev.15Ol1 b. lUll)
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SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEAl. TH OF _SYlVANIA
INHeRITANCE TAX RETURN
RESDENT DECEDENT
ESTATE OF
Gibson, Merlin C.
FILE NUMBER
21-07-0066
Include the proceeds of Iligation and the dale the proceeds were received by the estale.
A1111"01*1Y joInlIy-owned with ... right of MII'VIvcnhIp IIIUlIt be clecIoeed on Khedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Erie Insurance. car Insurance refund 196.00
2 Loyalton ofCreekvlew. rent refund 1.186.00
3 Sovereign Bank Checking Account No. 0571109071. Merlin C. Gibson Custodian, 2.167.48
Betty J. Gibson UTMA; d~te of death balance $2,167.48; accrued Interest $0.00
4 Sovereign Bank Savings Account No. 0574107058. Merlin C. Gibson Custodian, 82.974.72
Betty J. Gibson UTMA; date of death balance. $82,862.65; accrued Interest $112.07
5 1996 Chevy Cavalier. per appraisal 1.300.00
6 Personal Property. per appraisal 1.120.00
***NOTE: As to Item Nos. 3 and 4 hereinabove, these
accounts were, as can best be determined, established
under the Pennsylvania Uniform Gifts to Minors Act in
1986. The Pennsylvania Uniform Gists to Minors Act
was repealed and replaced in 1992 by the Pennsylvania
Uniform Transfers to Minors Act. The accounts then
became labeled, "Merlin C. Gibson Custodian, Betty J.
Gibson UTMA". It is to be noted that Betty J. Gibson
was the wife of Merlin C. Gibson, the decedent herein.
Betty J. Gibson died April 5, 1995. No successor
beneficiary was named as to either account. It is
submitted that these accounts were titled in error, it
being clear that Betty J. Gibson was not a minor.
TOTAL (Also enter on Line 5, Recapitulation)
88.944.20
(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 E (Rev. 6-98)
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Court Ordered Processing / MAl MB3 02-10
P.O. Box 841005
Boston, MA 02284
February 21,2007
James D. Bogar
Attorney at Law
One W. Main St.
Shiremanstown, PA 17011
RE: . Estate of: Merlin C. Gibson
Date of Death: December 15,2006
Dear Mr. Bogar:
Per your request, enclosed please fmd the account information as of date of death for the
above-named decedent. Please note the balances do not include accrued interest.
If you should have any further questions, please do not hesitate to call.
Very truly yours,
l/7
lk~~'~---'-,------,-",
Linda Spavento
Team Leader
Court Order Processing
(617) 533-1789
(617) 533-1931-fax
..
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Merlin C Gibson
189-09-1731
December 15,2006
Account #: 0571109071 Type: . Checking Open date: 8/11/1986
In the name of: Merlin C Gibson Custodian, Betty J Gibson UTMA
Date of Death Balance: $2,167.48
Int.(YTD) from 1/1/2006 to 12/7/2006 $1.59
Accrued interest to date of death: $0.00
Other Info:
Account #: 0574107058 Type: Savings Open date: 8/11/1986
In the name of: Merlin C Gibson Custodian, Betty J Gibson UTMA
Date of Death Balance: . $82,862.65
Int.(YTD) from 1/1/2006 to 12/7/2006 $361.52
Accrued interest to date of death: $112.07
Page 1 of 1
~.,ie~ j .: r
r~ CHEVROLET, INC.
~
3400 Hartzdale Drive · Camp Hill, PA 17011 · (717) 761-0600
www.forbeschevrolet.com
Jan 13,2007
The retail value of this car if being sold would be $1300 or less.
This is a 1996 Chevrolet Cavalier VIN # 1 G UC5249T7259986.
Sincerely,
Kevin Plitt
Sales Manager
Ktf~
"You're in Forbes Country"
.
('1'0 BE PLACED ON CAR DEALERSHIP'S LE'l"l'ERHEAD)
OWNER OF VEHICLE:
VEHICLE IDENTIFICATION NO. :
YEAR/MAKE/MODEL:
CJ:lvAL~
FAIR MARKET VALVE AS OF (insert date of death) : $-J 3DO_ ~ { ~
COMMENTS: DA'"'\E- DF DBl~n-LJa-lt;- DCe
ABOVE INFORMATION PROVIDED BY:
~~~
(Signature)
S4//~.5 H?I<
(Title)
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To: JiJmes D. Bogar. Attorney
One West Main Street
Shiremanstown. PA 17011
From: William G. Rowe. Appraiser
211 Old Stone House Rd.
Carlisle, PA 17015
Re: Personal Property Appraisal
Estate of Merlin C. Gibson
79 Oneida Road
Camp Hill. PA 17011
Dat.e: February 1, 2007
UNDEN HALL ANTIQUES
211 OLD STONE HOUSE ROAD
CARUSLE, PA 17015
717-249-1978
KITCHEN.
Refrigerator
Pots I pans
Table I chairs
Miscellaneous household
LMNG ROOM
T elevisiori
Server
Sofas (2) - worn, no value
Chairs (2) - upholstered - worn. no value
Stand, marble
Bookcase I books
Stand
Stereo music center - no value
Mirror
Wall hangings
Lamps
Masonic items
BEDROOM
Dehumidifier
Men's jewelry
Chest of drawers
Cedar chest
Bed
OFFICE I DEN
Desk
Shotgun - Remington
Ranger .22 rifle
Bookcase
Camera
Airplane model
BEDROOM
Gibson Appraisal
$20.00
$10.00
$10.00
$15.00
$20.00
$10.00
$0.00
$0.00
$10.00
$15.00
$5.00
$0.00
.$5.00
$5.00
$5.00
$20.00
$10.00
$10.00
$10.00
$20.00
$10.00
$10.00
$85.00
$45.00
$10.00
$10.00
$15.00
1
0210112007
Chest of drawers
Frames
Cot - no value
$20.00
$10.00
$0.00
GARAGE
Tool chest /tools
Galvanized tubs
Small drill press
Bicyde
Planes
Hand tools
Chain saw
Lawn sweeper
Snow blower. old
Signature 14.5142 lawn mower
Double ladder
Step ladder
Edger. power
Blower
Air compressor
Lawn mower
Acetylene tank
Wheelbarrow
Miscellaneous garage.ltems
Model airplanes
$35.00
$10.00
$15.00
$5.00
$15.00
$10.00
$45.00
$20.00
$35.00
$300.00
$25.00
$10.00
$25.00
$10.00
$45.00
$40.00
$20.00
$10.00
$10.00
$20.00
TOTAL $1,120.00
iQ
"--~ ->~-
William G. Rowe
Gibson Appraisal
2
0210112007
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SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
C~TH~PENNSYl.VANIA
INHERrrANCE TAX RETURN
RESDENT DECEDENT
ESTATE OF
Gibson, Merlin C.
FILE NUMBER
21-07-0066
This schedule must be completed end filed W the answer to any of questions 1lhrough 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM IIVI'4 OF -"\.,,-...n I DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1 Betty and Merlin Gibson Trust - US Treasury 377,022.00 377,022.00
Bills - per attached valuation; Elizabeth J.
Gibson, alkJa Betty Gibson, died April 5, 1998,
whereupon Merlin C. Gibson became the sole
trustee. Upon the death of Merlin C. Gibson,
Samuel C. Gibson became the successor
trustee. Copies of the Betty and Merlin Gibson
Trust dated October 11, 1991, along with the
Amendment to Living Trust for Married Couple
dated October 24, 1994, are attached hereto and
Incorporated herein.
Total of Continuation Schedules See attached
Da08S
TOTAL (Also enter on Line 7, Recapitulation) 493,022.00
(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 G (Rev. 6-98)
· Rft'-1510 b+ (5-ll8)
*'
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
continued
COMMON'1IIoeALTH OF PENNS'IlVANIA
INHERITANCE TAX RETURN
RE8IlENT DECEDENT
ESTATE OF
Gibson, Merlin C.
FILE NUMBER
21-07.0066
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPUCABLE) VALUE
THE DATE OF TRANSFER ATTACH A copy OF THE DEED FOR REAL ESTATE.
2 Betty and Merlin Gibson Trust. Real Estate . All 116.000.00 116.000.00
that certain piece or parcel of real estate having
thereon erected a dwelling house known and
numbered as 79 Oneida Road, Camp Hili,
Pennsylvania. The property was acquired by
Merlin Charles Gibson and Elizabeth Jean
Gibson, his wife, by deed dated March 20,1953
and recorded March 21, 1953 In the Cumberland
County Recorder of Deeds OffIce, a copy of said
deed Is attached hereto and Incorporated herein.
The property was transferred to the Betty and
Merlin Gibson Trust by deed dated September
24,1991 and recorded October 10, 1991 In the
Cumberland County Recorder of Deeds Office, a
copy of said deed Is attached hereto and
Incorporated herein. The said Elizabeth Jean
Gibson, also known as Betty Gibson, died April
5, 1995, whereupon full and complete title to the
within described real estate became vested
solely In Merlin Charles Gibson, also known as
Merlin C. Gibson, surviving spouse and
surviving trustee of the Betty and Merlin Gibson
Trust, the decedent herein. The above-described
real estate was sold pursuant to an Agreement
for the Sale of Real Estate dated March 14,2007,
a copy of which is attached hereto and
Incorporated herein. Final settlement took place
on March 30,2007. A copy of the deed
conveying the real estate, along with a copy of
the Settlement Sheet, are attached hereto and
Incorporated herein. The sale price of the real
estate was $116,000.00.
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule G (Rev. 6-98)
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pca UI!lRARV
ATTN:
FAX:
RI!F:
P AlTY SHERICK
717-737.0800
LKZ /54.J
SMITH BARNEY:
.... . cltlQroUiSr'
From: Cathy Wrenn
Wlr. Code: RLI
112785YN U 8 TrIa BIIII(BJU 0,000 07)'
11278SYQ U S Tl'IIIlIlIl(8l~ 0.000 01)
'1msYR US TI'III B1111(B.1U 0,.07).
91279M U S Treu BIIII(BI. 0.000 em.
9127HVU U S Trlu lllIec.l. 0.000 071.'
912'795YV US Tria IIU1t,ild a,oaO 07J
91 mmc U S TI'8U III11a(BJlI 0.000 07)
U.S. Treasure Bills - Closing Prices 12/15/06
Betty & Merlin Gibson Trust
CUSIP
912795YN
912795YQ
912795YR
912795YS
912795YU
912795YV
912795YX
PARAMOUNT
$20,000
$55,000 (20m + 35m)
$48,000 (23m + 25m)
$107,000
$20,000
$30,000
$100,000(8Om +2Om)
. ., . ~ .
HI..'.: LO
'NoOatll. ..S800
'NoDItiI. ..&100
'NoDataI ..4100
91.8200. .3100
'NaO. H.1aoo
'NODatiI 99.0300
9B.85CXf. 98.8400
VALUE 12/15/06
$19,938.00
$54,730.50
$47,716.80
$106,261.70
$19,826.00
$29,709.00
$98,840.00
CLO
&8.8800
..91.5100
9IIi41 00.
88.3100
91.1300
99,0300
98.8400
The Betty and Kerlin Gibson Trust
DECLARATION AND INSTROHENT OF TRUST
I. Trust Name
This trust shall be known as The Betty and Merlin Gibson
Trust.
II. Trust Property
Betty and Merlin Gibson, called the "settlors" or
"trustees," declare that they have set aside and hold in the
Betty and Merlin Gibson Trust, all their interest in the property
described in the attached Schedule A.
The trust property shall be used for the benefit of the
trust beneficiaries, and shall be administered and distributed by
the trustees in accordance with this trust instrument.
Either settlor, or both, may add additional or after-
acquired property to the trust at any time by listing it on the
appropriate schedule.
All trust property is listed on Schedule A:
The house and real estate at 79 Oneida Road,
Camp Hill, Pennsylvania and all household
furnishings and personal possessions in it.
Bank accounts, #1009011471 and #900436825, at
York Federal Savings and Loan, Camp Hill
Branch.
National Service Life Insurance, Policy #FV
301-41-21, Veterans Administration.
American National Can Insurance Policy
#15000-G, Metropolitan Life Insurance Co.
Federal Reserve Bank of Philadelphia, account
#9900-081-1903, at Philadelphia,
Pennsylvania.
2
As long as both settlors live, either settlor may revoke The
Betty and Merlin Gibson Trust in writing, at any time, without
notifying any beneficiary.
As long as both settlors live, The Betty and Merlin Gibson
Trust may be altered, amended or modified only by joint action in
writing by both Betty and Merlin Gibson.
1:1:I:. Trustees
The trustees of the Betty and Merlin Gibson Trust and all
subtrusts created pursuant to Paragraph V of this trust, shall be
Betty and Merlin Gibson. Either trustee may act for, and
represent, the trust in any transaction.
The first settlor to die shall be called the "deceased
spouse." The living settlor shall be called the "surviving
spouse."
Upon the death of the deceased spouse, the surviving spouse
shall serve as sole trustee.
Upon the death or incapacity of the surviving spouse, the
successor trustee for the Betty and Merlin Gibson Trust shall be
Samuel C. Gibson.
As used in this instrument, the term "trustee" shall include
any successor trustee.
Any trustee shall have the right to appoint, in writing
which shall be notarized, additional successor trustees to serve,
in the order nominated, as trustee, if all the successor trustees
named in this trust instrument cease or are unable to serve as
trustee.
3
No bond shall be required of any trustee.
No trustee shall receive any compensation.
IV. Beneficiaries
until the death of the deceased spouse, the settlors retain
all rights to income, profits, or control of the property in The
Betty and Merlin Gibson Trust.
Upon the death of both settlorS Samuel C. Gibson, Trustee,
shall be the sole beneficiary.
If both settlors of the Betty and Merlin Gibson Trust become
physically or mentally incapacitated, as certified in writing by
a licensed physician, the successor trustee shall manage The
Betty and Merlin Gibson Trust, and shall apply for the benefit of
the settlors any amount of trust income or trust principal
necessary in the successor trustee's discretion, for the proper
health care, support, maintenance, comfort and welfare of the
settlors, in accordance with their accustomed standard of living,
until a licensed physician certifies that the settlors, or either
of them, are again able to manage their own affairs, or until
their deaths.
Any income in excess of amounts applied for the benefit of
the settlors shall be accumulated and added to the property of
The Betty and Merlin Gibson Trust.
If both Betty and Merlin Gibson should die simultaneously,
or under such circumstances as to render it difficult or
impossible to determine who predeceased the other, it shall be
conclusively presumed that both died at the same moment, and
4
neither shall be presumed to have survived the other for purposes
of this living trust.
V. Trustee's Powers and Duties
To carry out the provisions of this trust instrument, and to
manage the trust property of The Betty and Merlin Gibson Trust,
created pursuant to Paragraph V, the trustee shall have all
authority and power allowed or conferred under Pennsylvania law
and subject to the trustee's fiduciary duty to the settlors and
the beneficiaries.
Any debts or death taxes'of Merlin Gibson shall be paid by
the trustee from the following trust property:
York Federal Savings and Loan Account
#1009011471, Camp Hill Branch.
Any debts or death taxes of Betty Gibson shall be paid by
the trustee from the following trust property:
York Federal Savings and Loan Account
#1009011471, Camp Hill Branch.
If specified property is insufficient to pay the debts and
death taxes, the trustee shall determine how such debts and death
taxes shall be paid.
VI. General Administrative provisions
The validity of this trust and the construction of its
beneficial provisions shall be governed by the laws of
Pennsylvania.
If any provisions of this Trust is held to be unenforceable,
the remaining provisions shall be nevertheless carried into
effect.
5
Executed at 79 Oneida Road, Cumberland County, Pennsylvania
on this ~ day of ~~l~ , 19~.
r1? A 111-1 l 6'~"" v~. /J " Or! 'l
v~ >t. ~M.>- 6i1i~ (,ld.vt<.cu A',.t.~'~Y--
We certify that we have read this Declaration and Instrument
of Trust and that it correctly states the terms and conditions
under which the trust property is to be held, managed and
disposed of by the trustees, and we approve the Declaration and
. Instrument of Trust.
Dated:
loWq(
a.eztr Q', ~
/~ tpJ.~":7
-k~; 'J!j.~
Settlors and Trustees
6
state of Pennsylvania
County of Cumberland
On
II >4&1WL
, 19~, before me, a notary
public for the state of Pennsylvania, personally appeared Betty
and Merlin Gibson known to me to be the settlors and trustees of
the trust created by the above instrument, and to be the persons
whose names are subscribed to the instrument, and they
acknowledged and executed the same as settlors and trustees.
IN WITNESS WHEREOF, I have set my hand and affixed my
official seal the day and year first above written.
I(tIJ/;1j JJ7 /)?diM
NOTARY PUBLIC for
the State of Pennsylvania
My commission expires:
, 19
, ~n,.... .......".~-==--.....
. Notari,,1 Seal '-
KATHY M. MILLE.'!, j'~()tary Public ~
Lower Allen Twp., Cumberbnd County !J
My Commission EJ:pires December 14, 1992
7
Schedule A
The house and real estate at 79 Oneida Road, Camp Hill,
Pennsylvania and all household furnishings and personal
possessions in it.
Bank accounts #1009011471 and #900436825 at York Federal Savings
and Loan, Camp Hill Branch.
Federal Reserve Bank of Philadelphia, account #9900-081-1903, at
Philadelphia, Pennsylvania.
National Service Life Insurance, Policy #FV301-41-21, Veterans
Administration.
American National Can Insurance, Policy #15000-G, Metropolitan
Life Insurance Company.
Fonn N: Amendment to Living Trust for a Married Couple
This Amendment to The Rl'lt.t.y 1'lnri Me,..1 in Gibson
your names
(j) Living Trust is made
this u.. t h
day of October, 19.2...4by. Betty Gibson.
wife's name
and
Merlin Gibson
husband's name
, the ~ettlors ~d .truStees of the Trust. Under the power of
amendment reserved to the senlors by Para~ph II(E) of the trust, the settlors amend the trust
as follows:
1. The following is added to the trust:
Account No. 9890849362, Fund No 73, Vandguard, Windsor 11
set out new language added to trust and identify precisely where it is added
, .
Added pae:e 7. Schedule A. after American:;National Can Insurance
Policy No 15000-G, Metropolitan Life Insurance Co.
2. The following is deleted from the trust:
None
identify precisely all language deleted from the trust
[Repeat as needed]
"'1~-
In all other respects, the trust as executed on 10/11
, 19 -2l. by the settlors is hereby
........~.(;"
affirmed.
Executed at York Federal Savin9s ,on October 25 . 19.2...4
j
.j
j
I
j
I
~. C }),;P
1 .~
your signatures _
~;cc;l;~ ftJ~~v ~~
Setdors and Trustees
.'
-.'
",
'. .
Notary's Acknowledgement
"
..
State of Pennsylvania
COuntyof Cumberland
On October 2~ 191-1 before me, anot3ry public for the State of Pennsylvania
your state
personally appeared Merlin C Gibson, Betty' J G,:@~ to me to be the
your names
trustees and setdors of the Amendment to Living Trust created in the above document, and to
be the persons whose names are subscribed to the document. and acknowledged that it was
executed as settlors and trustees.
, .
".
IN WI1NESS WHEREOF, I have set my hand and affixed my official seal the day and year
-,-
first above written.
Y(affl1j m ({)J~,,,-
NOTARY PUBLIC for
~ -::,.........
the State of Pennsylva.nia
'-~e':'
My commission expires 12/ 1 ~ 19_9 6
Notarial Seal
KATHY M. MILLER, Notary Public
Lower Allen Twp., Cumberllmd County
My CoIlImission Expires Dtcemblr 14, \996
.'
FEE-SIMPLl!:-Typewrlter
mqi!l 1Joorutufr ~ .U~t Wl1t
- 20th -
dav of March
in the v...... of 0U1' Lord One
7'houa7l<l Ni... Hu7l<l..ed ud Fiftv three (1953)
JktUJttn ROY A. HOLLINGE1 and ELIZABETH A. HOLLINGER, his wife, Grantors
and parties of the first part, - A U D - MERLIN CHARLES GffiSON and
ELIZABETH JEAN GIBSON, his wife, Grantees and parties
of the .eecmd part, mitnt.s.stth ThAt theSClid pGf'ties of the tint part, fOf' cmd i.. ~
of tl,eaum of TEN THOUSAND EIGHT HUNDRED ($10,800.00) ---------------------
Dolla.... IA1Dful monev of the UftUed State. of America, 1DeU a7l<l tndv pGid bv the SCIid pGrt ies of the ftCOIWi
part to the said pGrt i e s of the tint pGrt, lit a7l<l belOf'e the .ealitlg a7l<l deu"ef'V of tha. pl'ealftto. the ..eedpt
1Dhef'eof b hef'ebv lIClmotoleclged, gnlftted, bcwgaiud,
sold, aliened, ...feofJed, ...leaHd, COt>l>oved, _. COt>finned aftd bll th... t"'alftto do Q7'lIDt, bargait&. ..U,
..u.... ...feoff, ..eleue, COt>"III, a7l<l e<mtirm unto the SCIid pGf't ie s at the ..CORd pGf't thems e~ ves,
th eir hdf'a - uaign.o.
J\11THAT CERTAIN traot or parcel of ground, together with all the
improvements thereon erected, situate in Lower Allen Township,
Cumberland County, Pennsylvania, more particularly bounded and
described according to a surv~ by D. P. Raffensperger, dated
October 24, 1952, as follows:
BEGINNING at a point the Northwestern corner of Seneca Avenue and
Oneida Read; thence Westwardly along the Northern side of Seneca
Avenue, one hundred four and seven one-hundredths (104.07) feet
to a point on line of Lot No. 24 on the Plan of Lots hereinafter
mentioned; thence along same, North thirty-one (31) degrees twenty
(20) minutes West, one hundred ten (110) feet to a.point on line
of Lot No. 26 on said Plan; thence along same North fifty-eight
(58) degrees forty (40) minutes East, sixty-one and thirteen one
hundredths (61.13) feet to a point on the Southern side of Oneida
Road; thence along the same, South fifty-two (52) degrees thirty-
nine (39) minutes thirty (30) seconds East, one hundred eighteen
and eight one-hundredths (118.08) feet to a point, the Place of .
BEn INNING.
BEING all of lot No. 25 on Plan of Keewaydin, recorded in the
Office of the Recorder of Deeds in and for Cumberland County in
Plan Book 4, Page 42.
HAVING thereon erected a one story frame dwelling house.
BEING part of the same premises which E. Vickery, widow by deed
dated August 23, 1951, and recorded in the Office of the Recorder
of Deeds in and for Cumberland County in Deed Book nUn, Vol. 14,
Page 4, granted and conveyed to Roy A. Hollinger, Grantor herein.
Wllgtt!Jtt
with "U "mI singuluT. the t~. h.eTeditaments ami appuTtetlaIlCU tCI the ...me belmt.gtng
OT in ....lI'DUe appeTtCIinlng. ami the T,",,1TIicm ami Tetlenlcma. TemaindeT. aM Tem4tftdeTa. Tenta. ....... and
PTOfita theTeOf: Anh abut "II the _fe. riglu. tUle.inteTeat. pt'OpeTtv. claim "M c!emaml ",hataoe1>er. both
in .law ami equttv. at the auld part lesat the first part, of. In. tCI OT out of the aaId pr........, aM ..,.." part
and parcel thereof
liJll:lIlaut aub to 1Inl~ the auld pr........, with all 4M ....gulczT the appurtenance., unto the
Mlid part les at the.econd part. their
behoof of the auld part 1 e s at the ..cond part.
helTa and .....gu. tCI and fOT the cm1v pTOper use and
thel:r helTa aM a.ulgu torflTler.
1\ttll
THE SAID p"rdes of the first part fOT themselves, thell'
heii-., uecmtoT. aM ad~.. do bti theee presents. """.......u, grant
Mid part les of the '.CoM part. themselves, their
the mid P"rt iesat the fiTat plITt the 11'
"mI agr.. tCI and 1lllth the
heir. alld a.ulgu. that
helTa all "nd singulur the hereditaments and pram.... h..........b""e deecribed and granted or metltllmed, and In
tended eo to be. with "ppurtenance.. untCI the mid part ies of the ..CoM part. their helTa
and ....tgu. "gamat the auid part les of the first part and their helT.4nd againet all aM eHTfI other
perMm OT per...... whomao""er. lawfuUy claiming OT to claim the ...".. OT any part thereat.
.hall aM will by the.e presents. WARRANT AND FOREVER DEFEND
lItt lIit11t!Ul IIqttrof
the ."id paTt les
of the jirst part
hdH
hereumo.et their
hand S
and .e"l S the duy "nd lJear jint 4b""e writt....
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COMMONWEALTH OF PENNSYLVANIA }
. SS:
COUNTY OF .......D.AIIPHIN...........................................
0.. this, the .~~Ot.l;3,.",:, M1/ of .. .March....... ............... ........., 19.. 5~ before m.
........ .. ............ a ~Qtar:y. Pub 1.10 . .. ........., the UMenlgned
offi.e...., p...._Il1/ 4ppeAred . .Ro.y. .A... Rolling.er.and. .Elizabeth .A... Holl:i.ager;.. his'"
...w:if.e. ..................................................... ........ ....................... ....... .
kn""", to me (Ot' ...tlsfAetorll" pt'01I...) to be the pmIDn.. .s. . who.. _e .8............. are.. .Mecribed to the
With... l1utrumem, 4M ae1cncnDledged th4t ... t. . he. .y. . . eo:eeuted the _e fOt' the JlUTJlOH thenl.. conMi..ed.
m W~..S WR<R<OF.' '"- - ~=~u~u.
I het'eb" c...liflf tMt the Pn!cise Reeldence of the G~....tee, i.. the IOlthi.. Deed, Is . . . . . . . . . . . . . . .
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f~C~;~~ED-OFFIGE~ THE
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: fi~~On(OER Of O!j!lDS
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:CUMSltlAllil COUNTY:
: PI! ISYtVANlA : :
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COMMONWEALTH OF PENNSYLVANIA }
88:
....CUMBE;HLAND........................................... COUNTY,
Ilrtnrllrll In the Office for Recording of Deeds, Mortgages, etc. in and for the County
of ......C.UM6.;.8L.M!!L...........in Deed Book ...f...............VoL ..J,2............... Page ..!t.?;...........
My Hand and Seal of Office, this......................~.;........................................................day of
...................8CH..........................................................................Ann0 Domini 19 53
,f)~ )j~
;--
.Unrss,
_T--Qult.cJ.lm Deed
Henry Han, Inc., IncU_na, Pa.
RE~Qi'lHD-OFf!CE OF Tf'IE
R.ECgRDr~ IJF 9EH1S
C~!MBERLAN~ COUNTY-PA.
'91 OCT 10 AfT! ~:J 55
tEbi~
1!\ttb,
MADE THE twenty-:1'ourth
of our Lord one thousand nine hundred
day of September
ninety-one (1991
in the year
BETWEEN MERLIN CHARLES GIBSON and ELIZABETH JEAN GIBSON, his wi:1'e, the
parties of the :1'irst part and the Betty and Merlin Gibson Trust,
WITNFJSSETH, that the said part
the party of the second part,
of the first part, _
~..nlIl1lUlllK
~ ~tI'bpD1lal!.UbXHn
~~m11lJ(
~ remised, released and quit-claimed, and by t1r.eBe' presents do
remise, release and forever quit-claim unto the said party of the second part,
1r;eirs and asBigna, ALL THAT CEIrl'AIN tract or parcel of ground, ',together with all
the improvements thereon erected, situated in Lower Allen Township, Cumberland
County, Pennsylvania, more par"\;icularly bounded and described according to a
survey by D.P. Raffensperger, dated October 24, 1952, as :1'ol1ows:
BEGINNING at a point the Northwestern corner 0:1' Seneca Avenue and Oneida Road;
thence Westwardly along the Northern side of Seneca Avenue, one hundred four
and seven one-hUndredths (104.07) feet to a point on line of Lot No. 24 on the
plan of Lots herein after mentioned; thence along samet North thirty-one (31)
degrees twenty (20) minutes West, one hundred ten (110) feet to a point on
line of Lot. No. 26 on said P1sin;.thence along same North fifty-eight (58)
degrees forty (40) minutes East, sixty-one and thirteen one hundredths (61.13)
feet to a point on the Southern side of Oneida Road; thence along the same,
South fifty-two (52) degrees thirty-nine (39) minutes! thirty (30) seconds
East,one hundred eighteenand eight-hundredths (11S.OS) feet to a point,
the Place of BEGINNING. '
BEING all of Lot No. 25 on the P1en of Keewaydin, recorded in the Office of the
Recorder of Deeds in and for Cumberland County in Plan Book 4, Page 42
Having thereon erected a one story frame dwelling house.
Being part of the same premises which E. Vickery, wisow by deed dated August 23,
1951, and recorded in. the Office of the Recorder of Deeds in and for Cumber1Rnd
County in Deed Book "U.", Vo1.14, Page 4 granted and conveyed to Roy A. Hollinger,
Grantor herein.
MOrraS fACE 732
State of Pennsylvania
County of Cumberlsncl J.A
On this, the ;.. S"
}ss. ;
ooy of ~
,199/ ' before me,
the undersigned officer, personally.appeo,red MEJi:'lln Charles and Elizabeth Jean Gibson
known to me (or satisfactorily proven) to be tke person 8 WMse na.mes subscribed to th.e
within instrument, and aclmO'Wledged t1w.t they e:r:ecuted so,me.!or the purposes therein
conta.imd. .
In witness whereof, 1 hereunto set my OOnd and official serU.
.....-...........-...............-.....................-......................-. e
_~______..w___.______...____.__.____...__...______..__.___...----...---..-----..-..---
Sta.teof .p~~
Counbg uf () . 4 ,
On this, the ~
Title of Officer.
dS)l.t
ooy of
}BB"
~
, 19 q ( , before me,
the undersigned officer, penonallY o,ppea.red
!mown to me (or sa.tiilfactorily proven) to be the perB()7I, wMBe na.me subscribed to the
witkin itJBtrument, and acknowledged tka.t ea:ecuted same for the purposes the1'ein
contlliMd.
In witness whef'eof, 1 hereunto Bet my OOnd o,nd o/ficial Beal.-
.,.; .
CERTIFICATE OF RJ!}SIDENCE ,': ~"f.!f1
do hereby certify toot the precise residence and complete post offit.f'''i'
of th.e wiUlin twImed grefttee is 79 Oneida Road, Camp Hill PennsylVania 17011.067.~O~~}" .
''''",,' .
September, 25
1991
.........--......------.....--.------......---..-----....-----.........-!'.......-................---------
Attorney for .....---..---- -..................-.-..' --.-....-...,.....
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RECORDED on th'l8 .............................. 0011 of ................-:,..............-..........
A. D. 19':JL. in the Recorders office of th.e Bo,id County, in Deed Book 7"
3~ 13;J.
Vol. ........................, pa.ge .........................
Given under my
.... 004~_f!~:~~=
600KJ..35 rAGE 734
TOGETHER with all and singular tke tenements, kereditaments and appu,'tenances to the
same belonging, or in anywise appertaining, and the reversion and reversions, remainder and '/"e-'
mainders. rents, issues and profits thereof: and alsQ, all the estate, right, title, interest, prope7'ty,
claim and demand whatsoever, both in law and equity, of tke-said parties of the first part, of,
in, to or out of the said premises, and ever-y part ,and par-eel thereof,
TO HAVE AND TO HOLD the said premises, with aU and sing'ular the appurtenances, unto
the said par;- of the second part, their heif'8 and a.ssigns, to and for the only proper
7/se and behoof of the said 1JO:rty of the second part, their heirs and a.ssigns forever.
IN WITNESS WHEREOF, the said part of the first part ha
h:a.nd and seal the day, and year first above written.
"7A!:!!::~:;i;Lc..~.~..... ~
.~~.~...r#p-!~...IU-~.....:~~
.....--...........................................................--. ...---...............--...........-.....................-.....................-. ~
......-...-........----...............--.......-.........--...-..... ---..-...-....................-..................-.........-............. e
hereunto set
.i~nd. ,ir..I.h anh Itlitltnb
in t~. '...,ner ,f
Recei1Jed the rkll of the date of the above Indenture of the above 'named
tke sum of Dollars,
lawful money of the U'Il.ited State6, being tke consideration money above mfl'll,tioned in full.
Witness:
-....._._..---_..~----------_...-----..-._---_..__..--_.-----------.----------
, ,
..----------.-------..------------..-..--..---.---...--.-----..--..----------...-------
----..-----------.-..-..-----..---;.-----------------------------------..-..-----
..---------------------------------------....------------------.----...---------
bOOK:L35 rACE 733 '
REV.183 EX \12.89) RECORDER'S USE ONLY
*
r Slate Tax Paid
.; ",
....;" , REALTY TRANSFER TAX look Number
COMMONWEALTH OF PENNSYlVANIA STATEMENT OF VALUE
DEPARTMENT OF REVENUE age Number
BUREAU OF INDIVIDUAL TAXES
DEPT. 280603 See Reverse for Instructions Dale Recorded
HARRISBURG, PA 17121.0603
Complete each sedion and file in duplicate with Recorder af Deeds when (1) the full valve/consideration is not set forth in the deed, (2) when the deed
is without consideration, or by gift, or (3) a tax exemption is claimed. A Statement of Value is not required if the transfer is wholly exempt from tax
based on: (1) family relationship or (2) public utility easement. If more space is needed, aHach additional sheet(s).
A CORRESPONDENT - All inquiries mdy be directed to the following person:
Nome
.!pri in t~ GHiY~'71'
. , "'~. '.J
Streel Addreu 1~ OI~E' j di:l Rl,(~d _ '
'. u, 1 ' ". 1 :">('2'\" .- ..~..
,.B,l!lf' 1'1'1, f l"",:{ ,y~ f-.(;'~'iir;:
City
Telephone Number:
Area Code (717
State
737-3715
Zip Code
B TRANSFER DATA '
Grantorls)/lessor(s)
Merlin ChH!'1es anJ Elizabet,h Jean Gibson
Street Address
79 Oneide :~d., Camp Hill pA 170' 1-6780
City State Zip Co e
Document
Se te~ber 25, 1991
Grontee(s)/lellee(s)
The Bettv and Mer1~n Gibson Trust
Street Address
79 Oneida Rd.
City
, Camp Hill FA, 170]1-6780
State Zip Code'
. .
10. Amount of Exemption Cloimed
2. Check Appropriate Box Below for exemption Claimed
o
o
o
o
o
Will or intestate succession
(Name of Decedent)
(Estate Fil. Number)
Transfer to Industrial Development Agency.
Transfer to agent or straw party. (Attach copy of agency/straw party agreement).
Transfer between principal and agent. (AHach copy of agency/straw Irust agreement). Tax paid prior deed S
Transfers to the Commonwealth, the United States, and Instrumentalities by gift, dedication, condemnation or in lieu of condemnation.
(Attach copy of resolution).
o Transfer from mortgagor to a holder of a mortgage in default. Mortgage Book Number
o Corredive deed (AHach copy of the prior deed).
o Statutory corporate consolidation, merger or division. (Attach copy of articles).
!Xl Other (Please explain exemption claimed, if other than listed above.l Qui t- Cl Rim Deed
, Page Number
Under penalties of law, I declare that I have examined this Statement, including accompanying information, and to the best of my knowledge
and belief, it is true, correct and complete.
Signature of Corr.spondent or Responsible Party
Date
J
(SEE REVERSE)
. 2 ;
3
4
. 5
~;".!.:., 6"
7
8
9
10
11
12.
13
. 14 .
15
16
17
18
19.
20
21
22
23
24
25
26.
'l:1
28
28
30
31
32
.33
34
35
36
37
38
39
40
41
STANDARD AGREEMENT.FOR'TH.ESALJi: Uf!'~AL .ImS1AHi/
This form recommended and aPP".'l"ed for, but not restricted to use by, the members of the Pennsylvania hsociation of REALTORSe (PAR).
AlS-R'
BROKER (Company) S~~~~R'~"~EfeJJ'~S ~~l~tSHIPWlTH PA LICE:~;BR~~~ - 1457 .
ADDRESS '14, f'.,L \ Ii 0"", (11 k+ ..CH-- . 1\"J'--L t {r r n cS t:;~j ( c;, r f. ; I' nli1Gf . .'
LI.CENSEE(S) i'J'Cf ;.':- {\! td 0/1./ Designated Agent? 0 Yes 0 No
BRq~R IS THE AGENT FOR SELLER. OR (if checked below):
Brol,{er is NOT the Agent for SeDer and is alan: 0 AGENT FOR BUYER 0 TRANSACTION LICENSEE
,
BUYER'S BUSINESS RELATIONSHIP WITH PA LICENSED BROKER ..,
",--;- i l i Id '''~f(.u; . i ~... ~i:t f,.. PHONE -//1';1 - -1'~Y:.o.,
: ,~. f\!, -:-1; If b'l..", I}. r~ ~ 4! -,c- f J,. .' . -.. ., . . i \t. ~ ':'. J-.J'-......
LA!; Ie; i41./lfWl ( <:"fi';;..,!..;..,') If1U .tr.':"; I/O F;i\X,
I " .. . f,r - '-"
'LICENSEE(S)' .. U Vi{'!C<""CfltpE/-rf
:B'R.OKER IS THE AGENT FOR BUYER. OR (if checked below):
Broker is NO'(,the Agent for Buyer and is alan: 0' AGENT FOR SELLER 0 SUBAGENT FOR SELLER . 0 TRANSAcnON LICENSEE'
BROKER (Company)
. ADDRESS
Desipated Agent? 0 Yes ,0 . No
When the same Btoker is Agent for Seller and Agent for Buyer, Broker is a Dual Agent. All of Broker's licensees. are also Dual Agents UNLESS there'are
.separate: Designated Agents for Buyer and SeDer. If the same Licensee is designated for Seller and Buyer, the Licensee is a Dual Agent.
1. ~bis agreement, datecl
M (v" {i~,
tf\,1 ", vI i...
, ~ \!/l' t..-. ,.
, is between
.ZDu!
I L-~I
I
,7:;,,"++0 (~ i I17<::;/i":'
Z-:". .'. 1.'. .. --
tJ v~1
-~.. . ..~
I .",
;n.J~
SELLER(S):
2
3
4.
5
6
, called "Buyer." 7
2. PROPERTY (9-05) Seller hereby agrees tOsen and con-vey to Buyer, who hereby agrees to p1ii'chase:" 8
ALL THAT CERTAIN lot .or piece of gI"ouDdwith bulldiitgsalid iDlpto.veillentsthereon;erected, if liily;:knoWil'lis: 9
',qOoe \d~:- I2nod . ((}.,a.. /-hit. vA i7dll ", 10
I . .... ,
.., .' in the of 11 .
County of LU iJ~b(VIUJrd.. . .... intl1eCommonwe~thj)fPeunsYivania; Iden~c.tion(e:g.;'TaXID'#;Pareel#; 12
Lot,BIock;D~Boo~:Page,RecordingDate):167_~ c5;~~ 097"_ . . .'P-..,-.. ~......
3. TERMS(9-05) I .9.1)l'\-eeV'l"'--n - " . cOl' .... .... ..'? .'.
. .',..1 {J ' .. . I I F", ". _ _ . " .:j ., ~.' . ,.
(A) Purchase Pri U!. fti ,11'1 )/U (<: -;.. I .~-t'f~ i J rlOu <:'4.r I.d .... J 1 rd ,. '/ l ,J, _'. .' _. . \.' ,'. .. J. '
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hi h will b aid S II b Bu Ii II '-.--' ~ \. (.r.' ---...... 0.0 '. '. . .' _.....~\J,...;../ '. . . . cJ
; ~h or :h:Ck a:~si~~ ~A;::n:O~s: ,,' "'.$$' ---.1~.',":""'. 117g8..... ~.-,'
2. Cash or check withiIi:i days of the eiecution oftbis^--greeinent ~:-...................=- _. ___ ..
3.~l_" $ .'. . . -J "20 .
4. Cash or cashier's check at time of settlement: $ J 1(#),660 ,00 :11
. . ", .' TOTAL S [,H~oc~.,~ .,' 22
(B) Deposits paid'by Buyer within ---3.!L. DAYS of settlement will be by cash or cashier's check. Deposits, regardless Qfthe forill of payment and 23
the person designatedas payee, will be paid in U.S. Dollars to Broker for SeDer (unless otherwiSe stated here), 24
, who will retain 25
deposits in an escrow account until consummation or termination of this Agreement in conformity with all.applicable laws and regulations. Any 26
(C) ::,:en=~p::~\:~~;~:':O~ld7~Qj:~thel~~;;;~~ent _. . ....... .'~'
(D) S ttl t be ""N"::li \ . ....oc~ ~ ::L.--__,.-I. ~ " !..., ~~~ befi 'fB d S 11 'M l~
S:ttl::t ~ll:ur itHhe-eoun;:~:~~::~':::;'J:~un~~~'DUs:~;~es~:y::~ '1-;(1'
(E) ., \ . ..., 1\ t, (i...J.,. " !\ .. tl t ,., . <0' _1IC1' . '.1.
SeJJ.er..agree-othetwise. I "'- ~v-e. \..A..C'...c..V l. 'Ni~~ "".#4.5:" iLl \k!>:9.a~r-. \ ~i41rt'I'II--if.,.~p't1d.....r:..:d44\'t'~i-v.(tewn
(F) Conveyance from Seller will be by fee simple deed of special warranty unless othe~ise stated here: . .~:' '. 32
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, called "SeDer," and
BUYER(S):
~(jr. J".
. ., I ~; I fl.
\ YV d D..J.o'l
-
'~r:
(G) Payment of transfer taxes will be divided equally between Buyer and Seller unless otherwise stated here: .
(H) At time of settlement, the following will b~ adjusted pro-rata on a .daily basi~ lletween Buyer and Seller, reimbursing where applicable: cur.-
rent taxes (see Information Regarding Real Estate Taxes); rents; interest on mortgage assumptions; condominium fees and homeowner asso-
ciation fees; water and/or sewer fees, together with any other lienable municipal service. All charges wiD be pro-rated for the period(s) cov-
ered. SeDer will pay up to and including the date of settlement and Buyer will pay for all days following settlement, unless otherwise stat-
ed h~~/ ,../,c' /,
.,.-~
Buyer IJ;J.itials:/
..,p' ----.
AlS-R Page 1 of 10
Revised 9/05
c...z. r-' r.:....
--'- ..""'--
Seller Initials:
m Pennsylvania Association of
u::! REALTORS-' .
AEAI1QOe "'_"'__"_
COPYRIGHT PENNSYLVANIA ASSOCIATION OF REALTORS~ 2005
9/05
45'
AS
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}"._ .l'.IA..1. 1.J.ft..I!I" uc. .J: .I::IftI3Ul'ft..I.I L A.VC ~n..l .I. \7-U:J}
4:1,;.: (A)
#'L::':c'::;~'.
INCLUDED in this sale are all existing'items Permimently installed in the Property, free of Hens, including plUmbing; heating; lighting fix-
tures (including chandeliers and ceiling fans); water treatment systems; pool and spa equipment; garage door openers and transmitters: tele-
vision antennas; unpotted shrubbery, plantings and trees; any remaining heating and cooking 'fuels stored on the Property at the time of set-
tlement; Slimp pumps; storage sheds; mailboxes; wall to wall carpeting; existing window screens, storm windows and screen/storm doors; .
window covering hardware, shades and blinds; awnings; built-in air conditioners; bllilt-in appliances; and the range/oven unless otherwise
stated. Also included:
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(B) LEASED items (not owned by Seller):
(C) EXCLUDED fixtures and items:
Arf?t;0~,_.;di1>r~/f.A t,(.;'ff1140#t"~'
{
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SO'
'5. DATESfI1ME IS OF THE ESSENCE (9-05)
(A) The settlement date ~d all other dates and times referred to for the gerformance of any of the obligations of this Agreement are of the essence'
and are binding. .,..' .
(B) For pmposes of~ Agreement, the number of days will be counted from the date of execution; excluding the day this Agreement was exe-
cuted and including the last day of the time period. The Exec~tion Date of this Agreement is the date when BUyer and Seller have indicated.
full acceptance of this Agreement by sigD.ing and/or initialing it All changes io this Agreementshould be initialed and dated.
(C) The settlement date is not extended by any other provision of this Agreement and may only be extended bymutuaI written agreementofthe ~es.
(D) Certain time periods are pre-printed in thisAgreement as a convenience to the Buyer and Seller. All pre-printed time periods are negotiable
and may be changed by striking out the pre-printed text and inserting a diff-erent time period acceptable to all parties.
6';rRTGAGE CONTINGENCY (9-05) .
wAIvED. This sale is NOT contingent on mortgage financing, although Buyer may still obtain mortgage financing.
. 0 ELECI'ED. . . .
(A). This sale is contingent upon Buyer obtaining mortgage financing as follows:
......
First :l\f:9I1gage:onCheJ'(Operty... . ...., " ~' . Second Mortgage on the Property
Imui':Anl.c>Unt $ . " l-',":" 'i)' ~ Loan Amount $
Minim\lDl Term yearsJ Minimum Term
lype of mortgage Type of mortgage
years
Mortgage lender
Mortgage lender
Interest rate %; however, Buyer agrees to accept the Interest rate %; however, Buyer &greestO accept the
interest rate as may be committed by the mortgage lender, not to iJiterest tate as may be committed by the mortgage lender, not to
exceed a maximum interest rate of %. exceed a maximum interest rate of %.
Discount points, loan origination, loan placement and other fees charged DisCount points, loan origination, loan plal::ement and other fees charged
by the lender.as a percentage of the mortgage loan (excluding any mort- by the lender as a percentage of the mortgage loan (eXcluding aily mort-
gage insurance premiums or VA funding fee) not to exceed gage insurance premiums or VA funding fee) not to exceed
%(0% unot specified) of the mortgage loan. % (0% if not specified) of the mortgage loan.
The interest rate(s).and fee(s) provisions in paragraph 6 (A) are satisfied if the mortgage lender(s) gives Buyer the right to guarantee the interest rate(s) 81
and fee(s) at or below the maximum levels stated. Buyer gives Seller the right, at Seller's sole option and as permitted by law and the mortgage 82
Iender(s), to contribute financially, without promise of reimbursement, to the Buyer and/or the mortgage lender(s) to make the above mortgage terms 83
available to Buyer. 84
(B) Within days (10 if not specified) from the Execution Date of this Agreement, Buyer will make a completed, written mortgage appli- 85
cation for the mortgage terms stated above to the mortgage lender(s) identified in paragraph 6 (A), if any, otherwise to a responsible mortgage 86
lender(s) of Buyer's choice. Broker for Buyer, if any, otherwise Broker for Seller, is authorized to communicate with the mortgage 87
lender(s) to assist in the mortgage loan process. 88
(C) Should Buyer furnish false or incomplete information to Seller, Broker(s), or the mortgage lender(s) concerning Buyer's legal or 89
financial status, or fail to cooperate in good faith in processing the mortgage loan application, which results in the mortgage lender(s) 90
refusing to approve a mortgage loan commitment, Buyer will be in default of this Agreement. 91
(D) 1. Mortgage commitment date: .lfSeller does not receive a copy of Buyer's mortgage commitment(s) by this 92
date, Bnyer and SeDer agree to extend the mortgage commitment date until Seller terminates this Agreement by written notice to Buyer. 93
2. Upon receiving a mortgage commitment, Buyer will promptly deliver a copy of the commitment to Seller. 94
3. Seller may terminate this Agreement in writing after the mortgage commitment date, if the mortgage commitment(s): 95
a Is not valid until the date of settlement, OR 96
b. Is conditioned upon the sale and settlement of any other property, OR 97
c. Does not satisfy all the mortgage terms as stated in paragraph 6 (A), OR 98
d Contains any other condition not specified in this Agreement that is not satisfied and/or removed in writing by the mortgage lender(s) 99
within.....:L- DAYS after the mortgage commitment date in paragraph 6 (D) (1), other than those conditions that are customari- 100
Iy satisfied at or near settlement, such as obtaining insurance and confirming employment status. 101
4. lfthis Agreement is terminated pursuant to paragraphs 6 (0) (I) or (3), or the mortgage loan(s) is not obtained for settlement, all deposit monies 102
will be returned to Buyer according to the terms ofpangraph 30 and this Agreement will be VOID. Buyer will be responsible for any costs incurred 103
by Buyer for any inspections or certifications obtained according to the terms of this Agreement, and any costs inClnTed by Buyer for: (1) Title 104
search, title insurance and/or mechanics'lien insurance, or any fee for cancellation; (2) Flood insurance and/or fire insurance with extended cov- 105
eni.g~ m.IDe.subsidence insurance, or any fee for cancellation; (3) Appraisal fees and charges paid in advance to mortgage leiider(s). 106
.,.,' -.,' /.....'r./.....
Buyer Initials: .. '.. .;.~...--- AlS-R Page 2 oflO Seller Initials: '-'OJ "-.-l "":l
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Revised 9/05
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1UU
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lilt<.
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~.c} 11 W~ lllungl1ge: l~IlUt:T\ S}, ur l11l ll1sur~r, p.rU:-'l~ll1g.'pn:~pt:IlY: .l111U'l.:l1SUl11LY ..1l\s.tl.111111-'e:..,!s !!"H UU~U Py ~\11' l,lJ,"ILl'l4l'l""1"11t;l"'- \~1,;1"'1U11''''': 1 "p411' LV L11" I UO
PrOperty, Buyer will, upon receiving the requirements, deliver a copy of the requirements to Seller. Within ---2....... DAYS of receiving the copy 109
.:..:,.... of the requirements, Seller will notify Buyer w.heti1er Sell~willmake $e required repairs.atSeller's:exp~se: ,':." -. 110
1. If Seller makes the required repairs to the satisfaction of the mortgage lender(s) or insurer, Buyer accepts the Property and agrees to the 111
RELEASE in paragraph 27 of this Agreetnent "112,,
2. If Seller will not make the required repairs,ortf SeIierJails to respond within the timegiven~Buyer will, within~DAYS,notify 113
Seller of Buyer's choice to: .114
a. Make the required repairs, at Buyer's expense, with permission and access to the Property given by Seller; permission and access may 115
not be unreasonablywithheld by Seller, OR . . 'ne' .
b. Tenninate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of paragraph, 117
30 of this Agreement ' 118
(F) S~r Assist 119
~'NOTAPPLICABLE, . 12Q
"0 .. APPLICABLE. Seller will pay: 121
o $.. , or % of Purchase Price..maximum, towardBuyer's'costs as acceptable to the mortgage lender(s). 122
o 123
i .'~
'-',
(G).
FRANA, IF APPLICABLE
It is expresslyagreetl thilt notwithStanding ahy other provisioruidf this contract, Buyer Will not be obligated to completethe'j)Urchase of
thi:Piupertydescribed herem or to incur anypenalty by forfeiture of earnest money deposits or otherwise unless Buyer haS been given, in
. .liccordlinceWith IillDIFiIA:' or VA requirements, a written statement by the Federal Housing Commissioner,VeteranS Administration, or a
Direct Endorsement Lender setting forth the appraised value of the Property of not less than $. (the dollar amount
to be insertedis. the sales price as stated in this Agreement), Buyer will have theprivilege and option of proceeding with coIlS1Il11llll1tion of
the Cori1ract without regard to the lIIIlOunt of the appraised Valuation. The appraised valuation is arrivoo at to determine the lnaxitiuunmort-
gage the Depar1ment of Housing and Urban Development will insure. HUD does not warrant the value nor the condition of the property.
Buyer sho'uld,.satisfy himselpherselfthat the price. and condition of the Property are acceptable.
Wan1ing: Section 1010 of Title 18, U.S.C., Department of Housing and Urban Development and Federal Housing Adniini~ti\ln
T~oiis;-ptovides, "WhoeVer-for the purpoSe of,~ . t~ue.Pcing iD. any way the action of such Depar1ment,makes, passes, utters or
'pUb1ish~JlI1ystatement, la10wing the same to befalse\.'. shalJ Be:fined under this title or imprisoned not more thantwoyears;-or both."
U.S: Department of Housing and Urban Development(HUD} NOUCE TO PURCHASERS: Buyer~s Acknowledgenient .
o Buyer has received the HUD Notice "For Your Protection: . Get a Home Inspection." Buyer understands the importance of getting
an indepCndent home inspection and has thought about this before signing this Agreement. Buyer understands that FHA will.not
perfomi a home inspection nor guarantee the'piiceor condition of the PropertY. . . ...,.. .', .'
Certification We the undersigned, Seller(s) and Buyer(s) party to this trcirisaction each certify thiitthe terms of this CdIJtraCt for purchase
are inle to the best of our knowledge and belief, and that anyotheragreemeritemered intoby any of these parties in coririection With this
tni:risaCtion is attached to this Agreement.
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(H)
(I)
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WAIVER OF. CONTINGENCIES (9-05)
If this Agreement is contingent on Buyer~s right to inspect and/or repair the Property, or to verify insurability, environmental conditionS,
boundaries; certifications, zoning classification or use, or any other information regarding the Property,Buyer'sfailureto'exercise.anyof
Buyer~s options within the times set forth in this Agreement is It WAIVER of that contingency and Buyer accepts. the Property: ali.dltgrees to
the RELEASE in paragraph 27 of this Agreement.
PROPERTY INSURANCE AVAILABILITY (9-05) .
WWAIVED. This Agreement is NOT contingent upon Buyer obtaining property and CaSualty hlsut8nce fotthe PropertY: although Buyer tnay
/'still obtain property and casualty insurance. .
o ELECTED. Contingency Period: _ DAYS (IS ifnot specified) from the Execution Date of this Agreement. ..' .
Within the Contingency Period, Buyer will make application for property and casualty insurance for the PropertY to a responsible insurer. Broke~
for .Buyer, if any, otherwise Broker for Seller, may communicate with the insurer to assist in the insurance process; If Buyer cannot obtain
property and casualty insurance for the Property.on tenns and conditions reasonably acceptable to Buyer, Buyer will, within the Contingency
Period:
(A) Accept the Property and agree to the RELEASE in paragraph 27 of this Agreement, OR
(B) Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of paragraph 30 of this
Agreement, OR
(C) Enter into a mutually acceptable written agreement with Seller,
If Buyer and Seller do not reach a written agreement during the Contingency Period, and Buyer does not terminate this Agreement by
written notice to Seller within that time, Buyer will accept the Property and agree to the RELEASE in paragraph 27 of this Agreement.
INSPECTIONS (9-05)
(A) Seller will provide access to insurers' representatives and, as may be required by this Agreement, to surveyors, municipal officials, and inspec-
tors. If Buyer is obtaining mortgage financing, Seller will provide access to the Property to appraisers and others reasonably required by mort- 164
gage lender(s). Buyer may attend any inspections. 165
(B) Buyer may make a pre-settlement walk-through inspection of the Property. Buyer's right to this inspection is not waived by any other provision 166
of this Agreement. 167
(C) Seller will have heating and all utilities (including fuel(s)) on for all inspections. 168
(D) All inspectors, including home inspectors, are authorized by Buyer to provide a copy of any inspection report to Broker for Buyer.
(E) Seller has the right, upon request, to receive without charge a copy of any inspection report from the party for whom it was prepared.
8.
9.
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A1S-R Page 3 of 10
Revised 9/05
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171
171 Buyer Initials:
"" ~ LU. m~l"j!;t..:nUN CUNTINGENCY OPTIONS (9-05)
1~'<t: ,_ ._ j;.The inspection contingencies elected by Buyer in paragraphs 11.15 are controlled by the Options set forth below. The time periods stated in
1'-4 . "'these Options will apply to aU inspection contingencies in paragraphs II-IS unless otherwise stated in this Agreement.
175 Option 1. Within the Contingency Period, as stated in paragraphs 11-15, Buyer will:
176 1. Accept the Property with the information stated in the report(s) and agree to the RELEASE in paragraph 27 of this Agreement, OR
m 2. If Buyer is not satisfied with the information stated in the report(s), terminate this Agreement by written notice to Seller, with all deposit
178 monies returned to Buyer according to the terms of paragraph 30 of this Agreement, OR
179 3. Enter into a mutually acceptable written agreement with Seller providing for any repairs or improvements to the Property and/or any
180 credit to Buyer at settlement, as acceptable to the mortgage lender(s), if any.
181 If Buyer and Seller do not reach a written agreement during the specified Contingency Period, and Buyer does not terminate this
182 -_Agreement by written notice to Seller within that time, Buyer will accept the Property and agree to the RELEASE in paragraph
183 27 ofthis Agreement.
184 Option 2. Within the Contingency Period, as stated in paragraphs 11-15, Buyer will:
185 1. Accept the Property with the information stated in thereport(s) and agree to the RELEASE in paragraph 27 of this Agreement, OR.
186 2. If Buyer is not sa#sfied with the information stated in the report(s), present the report(s) to Seller with a Written Corrective Proposal
187_. ("Proposal'-ljsting corrections and/or credits desired by Buyer. The Proposal may, but is not required to, include the name of a prop-
188 erly licensett...o/ qualified professional to perform the corrections requested in the Proposal, provisions for payment, including retests, and
189 a projected date for completion of the corrections. Buyer agrees that Seller will not be held liable for corrections that do not comply with
190 mortgage lender or governmental requirements if performed in a workmanlike manner according to .the terms of Buyer's Proposal, or by
191 a contractor selected by Buyer.
192 a. Within _ days (7 if not specified) of receiving Buyer's Proposal, Seller will inform Buyer in writing of Seller's choice to:
193 (1) Satisfy the terms of Buyer's Proposal, OR
194 (2) Credit Buyer at settlement for the costs to satisfy the terms of Buyer's Proposal, as acceptable to the mortgage lender(s), if any, OR
195 (3) Not satisfy the terms of Buyer's Proposal and not credit Buyer atsettlement for the costs to satisfy the terms of Buyer's Proposal.
196 b. If Seller agrees to satisfy the terms of Buyer's Proposal or to credit Buyer at settlement as specified above, Buyer accepts the Property
197 and agrees to the RELEASE in paragraph 27 of this Agreement.
198 c. If Seller ch~ses not to satisfy the terms of Buyer's Proposal and not to credit Buyer at settlement as specified above, or if Seller fails
199' to choose any option within tbe time given; BJlyerWill.,within _ days (5 ifnot specified):
200 (1) Accept the Property with the information stated in the report(s) and agree to the RELEASE.in paragraph27 of this Agreement, OR
201 (2) Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of para-
202 graph 30 of this Agreement, OR
203 (3) Enter into a mutually acceptable written agreement with Seller providing for any repairs or improvements to. the Property and/or
204 any credit to Buyer at settlement, as acceptable to the mortgage lender(s), if any.
205 If Buyer and SeUer do not reach a written agreement during the time specified in Option 2, 2. Co, and Buyer does not tei-
206 minate this Agreement by written notice to Seller within that time, Buyer will accept the Property and agree to the
207 RELEASE in paragraph 27. of this Agreement. ,
208 11. PROPERTY INSPECTION CONTINGENCY (9-05) (See. Property and Environmental Inspection Notices)
209 Buyer undeI'lltands that property inspections, certifications and/or investigations can be performed by professional contractQrs, home inspectors,
210 engineers,archi~ctsand other properly licensed or otherwise qualified professionals, and may include, but are not limited to: structural compo-
211 nents; ro~r, exterior windows and exterior doors; exterior siding, fascia, gutters and downspouts, swimming pools, hot tubs and spas; appliances;
212 electric/iI, plumbing, heating and cooling systems; water penetration; environmental hazards (e.g., mold, fungi, indoor air quality, asbestos, under-
213 ground storage tanks, etc.); electromagnetic fields; wetlands inspection; flood plain verification; property boundary/square footage verification;
214 and any other items Buyer may select. Buyer is advised to investigate easements, deed and use restrictions (including any historic preservation
215 restrictions or ordinances) that apply to the Property and to review local zoning ordinances. Other provisions of this Agreement may provide for
216 ~ections, certifications and/or investigations that are not waived or altered by Buyer's election here.
217 I~ WAIVED. Buyer has the option to conduct property inspections, certifications and/or investigations. Buyer WANES TIllS OPTION and
218 I agrees to the RELEASE in paragraph 27 of this Agreement.
219 0 ELECfED. Contingency Period: _ days (15 if not specified) from the Execution Date of this Agreement.
220 (A) Within the Contingency Period, Buyer, at Buyer's expense, may have inspections, certifications and/or investigations completed by proper-
221 ly licensed or otherwise qualified professionals. If Buyer elects to have a home inspection of the Property, as defined in the Pennsylvania Home
222 Inspection Law (see Information Regarding the Home Inspection Law), the home inspection must be performed by a full member in good stand-
223 ing of a national home inspection association or a person supervised by a full member of a national home inspection association, in accordance
224 with the ethical standards and code of conduct or practice of that association, or by a properly licensed or registered professional engineer, or a
225 properly licensed or registered architect. This contingency does not apply to the following existing conditions and/or items:
226 ..~
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(B)
If Buyer is not satisfied with the condition of the Property as stated in the written inspection report(s), Buyer will proceed under one of the fol-
lowing Options as listed in paragraph 10 within the Contingency Period:
o Option 1
o Option 2 For the purposes of Paragraph 11 only, Buyer agrees to accept the Property with the results of any report(s) and agrees to
the RELEASE in paragraph 27 of this Agreement if the total cost to correct the conditions stated in the report(s) is less than
$ ($0 if not specified) (the ''Deductible Amount"). Otherwise, all provisions of paragraph 10, Option 2, shaIl
apply, except that SeIler will be deemed to have satisfied the terms of Buyer's Proposal if Seller agrees to perform corrections
or offer credits such that the cumulative cQst of any uncorrected or uncredited condition(s) is equal to the Deductible Amount.
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Buyer Initials:~;';:> >,,';"
AlS-R Page 4 of 10
Revised 9/05
SeUer Initials:
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j.:
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23i;
.' ..:
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2&4
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: 12. WOOD INFESTATION INSPECTION CONTINGENcY'(~5f'" ..... , . .
~JJ WAIVED. Buyer has the option to have the Property inspected for wood infestation by an inspector certified as a wood-destroying pests pesti-
.. ...: r cide applicator. BUYER WAIVES TIllS OPTION and agrees to the RELEASE inpa.ragraph 2'Z()ftbis Agreement. . .
'iZl___ ELECTED. Contingency Period: ~ days (15 if not specified) from .theExecution Date of this Agreement. " . ,. "'. .
I(A) Within the Contingency Period, Buyer, at Buyer's expense, may obtain a written "Wood-Destroying Insect.Infestation Inspection RepOrt"
from an inspector certified as a wood-destroying pests pesticide applicator and will deliver it and all supporting documents and drawings pro-
vided by the inspector to Seiler. The report is to be made' satisfactory to 'and in compliance with applicable laws, mortgage lender requirements,
and/or Federal Insuring and Guaranteeing Agency requirements, if any; The inspection is to be liinited to all readily visible and aecessibleateas
of all structures on the Property except fences and the following structures, which will not be inspected:
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o 2. Seller has knowledge that the Property underwent radon reduction measures on the date(s) and by the method(s)-indiCated beloW:" ," 283. "'"
DATE RADON REDUCTION METIlOD .. . ,2&4 ,.'
. .;265~
~.
COPIES OF ALL AVAnABLE TEST REPORTS will be delivered to Buyer With thisA~ent.SELLERDOEs NOTWARRAN1' 267
EITHER THE METHODS OR RESULTS OF THE TESTS; 268 .-C
(B) ~NINSPECTlONCONTlNGENCY.' ':' -. .' . , .'. .... '2$9';'
....I!!\ WAIVED. Buyer has the option to have the Property inspected for radon by a certified inspector. BUYER WAIVES TIllS OPTION and .270....
agrees to the RELEASE in'paragraph27 of this Agreement. .' '. 271.,,"
o ELECTED. Contingency Period:. ___ days (15 if not specified) from the Execution Date of this Agreement. 272
: Wit~ the Contingency Period, Buyer, at Buyer's expense, may obtain a radon test of the Property from a.certified inspector. If Seller 273 .
. perfol;l1lS.any radon remediation, Seller will.provide Buyer a certification~ttheremecli.ati.on was performed by a.properly licensed and 274 .
, certified radon mitigation company. _. .", ..... 275
1. If the written test report reveals the presence of radon below 0.02 worldngJevels or 4 picoC1iries/liter (4.pCi/t), Buyer accepts the . 276
Property and agrees to the RELEASE in paragraph 27 of this Agreement. '. . .... 277
2; If the written test report reveals the presence of radon 8t or exceedini 0~02.worldng levels or 4 picoCmieslllter (4pCiIL); Buyer will' 278
proceed under one of the following Options as listed in paragraph 10 within the'Contingency PeriOd: 279
o Option 1 . 280
o Option 2 281
STATUS OF WATER (9-05) 282
(A) ~~JJer represents that the Property is served by: 283
J2I:. Public Water 284
o On-site Water 285
o Community Water 286
o None 287
o 286
(B) ~R SERVICE INSPECTION CONTINGENCY 289
p., WAIVED; Buyer has the option to have an inspection of the quality and or quantity of the water system for the Property. BUYER wAIvEs 290
TIllS OPTION and agrees to the RELEASE in paragraph 27 of this Agreement. 291
o ELECTED. Contingency Period:_ days (15 i'fnot specified) from the Execution Date of this Agreement. 292
1. Within the Contingency Period, Buyer, at Buyer's expense, may obtain an inspection of the quality and/or quantity of the water sys- 293
tem from a properly licensed or otherwise qualified waterlwell testing company. 294
2. If required by the inspection company, Seller, at Seller's expense, will locate and provide access to the on-site (or individual) water 295
system. Seller also agrees to restore the Property, at Seller's expense, prior to settlement. 296
3. If Buyer is not satisfied with the condition of the water system as Stated.in the written inspection report(s), Buyer will proceed under 297
one of the following Options as listed in paragraph 10 within the Contingency Period: 298
o Option 1 299
o Option 2 300
(B) If the inspeCtion reveals active infestation(s),Buyer,atBuyir~expeh$e:niay Within: theContiitgency Period, obtain a;ProPos81 from: Ii. wood-
destroying pests pesticide applicator to treat the Property. ,
(C) If the inspection reveaIs damage fro.m activ.e or previous infestation(s), Buyet,:at B.~er's expense, may within the Contingency Period, obtain
a written report from a poofessioIial contractor, home inspector or structural engineer that i~ limited to structural. damage to the Property caused
by wood-destroyingorganismsand'aProposaI to repaitand/or,treat the Property.;':. " ..
(0) If Buyer is not satisfied with the condition,ofthe Property as stated in the writteninspc:cti.on report(s), Buyer will'proceed undet one oftJJ.e fol-
lowing Options as "listed in paragraph 10 Within the Contingency Period: .. . ".
o Option 1. . . .,.-.,.'
DOptiQn .2
STATUS OF RADON (9-05) (see Information Regarding Radon)
(A) Seller has no knowledge concerning the presence or absence of radon unless checked.below: .
o 1. Seller has knowledge that the Property was tested on the dates, by the methodS (e.g., 1::harcoaIcanister, aIpha1rack, 'etC.), arid With the
results of all tests indicated below: .. . _'
DATE TYPE OF TEST RESULTS (picoCuriesll.iter or working' levels) ,
/=..........!
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Seller Initials: 8eG
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Buyer Initials: j .<< Lj--
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"15. STATUS OF SEWER (9-05)
. ,~(A) S~ller represents that the Property is served by:
. ''0 Public Sewer
-'0' Individual On-lot Sewage Disposal System (see Sewage Notice 1)
o - Individual On-lot Sewage Disposal System in Proximity to Well (see Sewage Notice I; see Sewage Notice 4, if applicable)
o Community Sewage Disposal System - -
o Ten-Acre Permit Exemption (see Sewage Notice 2)
o Holding Tank (see Sewage Notice 3)
o None (see Sewage Notice 1)
o None Available/Permit Limitations in Effect (see Sewage Notice 5)
o
(B)\ l}IDIVIDUAL ON-LOT SEWAGE DISPOSAL INSPECTION CONTINGENCY
ItJ WANED. Buyer has the option to have an inspection of the individual on-lot sewage disposal system for the Property. BUYER
E.... -
WANE~- TIllS OPTION and agrees to the RELEASE in paragraph 27 of this Agreement
d ELECTED. Contingency Period: _ days (15 ifnot specified) from the Execution Date of this Agreemerit.
1. Within the Contingency Period, Buyer, at Buyer's expense, may obtain an inspection of the individual on-lot sewage disposal sYs-
tem from a qualified, professional inspector.
2. If and as required by the inspection company, Seller, at Seller's expense, will locate; provide access to and empty the individual on-
lot sewage- disposal system. Seller will also restore the Property, at Seller's expense, prior to settlement;-
3. If the inspection report reveals defects that dO not require expansion or replacement of the existing individual on~lot sewage disposal
system, Buyer will proceed under one of the following Options as listed in paragraph 10 within the Contingency _Period:
o _ Option 1
o Option 2
4. If the inspection report reveals the need to expand or replace the existing ind,ividual on-lot sewage disposal system, Seller may,
within -2L DAYS of receiving the inspection report, submit a Written Corrective Proposal ("Proposal") to Buyer. The Proposal
willinc1ude, but not be limited to,-the name of the company to perforrn the expansion or replacement; provisions for payment, includ-
ing retests; and a projected completion date for corrective measures. Within ...:...L- DAYS - of receiving Seller's Proposal, or if no
. Proposal is provided within the time given, Buyer will notifY Seller in writing of Buyer's choiCe to:
a. Agree-to the terms of the Proposal, if any, whereupon Buyer accepts the Property:and agrees to the RELEASE in paragraph 27 of
this Agreement, OR
b. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer aCcording to the terms of para_
graph 30 of this Agreement --
c. Accept the Property and the existing system and agree to the RELEASE in paragraph 27 of thiS' Agreement, and; if required by
any mortgage lender and/or any governmental authority, correct the defects before settlement or within the tiri1e required by the
mortgage lender and/or governmental authority, at Buyer's sole expense, and with p~ion and access to the Property giveriby
Seller. Permission and access may not be unreasonably withheld by Seller. If Seller denies Buyer permission and/or access to cor-
rectthe defects, Buyer may, within ~ DAYS of Seller's denial, terminate this Agreement by written not!ce to Seller, with all-
deposit monies returned to Buyer according to the terms of paragraph 30 of this Agreement. -
16. HOME WARRANTIES.(9-05)
At or before settlement, either party-may have the opportunity to purchase a home warranty for the Property from a third-party vendor. Buyer and
Seller understand that a home warranty for the Property - does not alter any disclosure requirements of Seller, - will not cover or warrant any pre.:.
existing defects of the Property, and will not alter, waive or extend any provisions of this Agreement regarding inspections. or certifications that
Buyer has elected or waived as part of this Agreement. Buyer and Seller understand that the licensee, broker or mortgage lender who orders the
home warranty may possibly receive a fee paid by the home warranty company. '
17. ZONING CLASSIFICATION & VERIFICATION OF USE CONTINGENCY (9-05)
(A) Failure of this Agreement to contain the zoning classification (except in cases where the property {and each parcel.thereof: if subdividable} is
zoned solely orpriinarily to permit single-family dwellings) will render this Agreement voidable at Buyer's option, and, if voided, any deposits
tendered by the Buyer will be re~d to the Buyer witho}ft any requirement for court action.
Zoning Classification: 't/ j/t:...,.i ct P II') "it (J ;J - -
(B) Contingency Period: _ days (7 if not speCified) from the Execution Date Of this Agreement.
Within the - Contingency Period, Buyer, at Buyer's expense, may verify that the presenfuse(
of the Property is permitted. In the event the present use is not permitted, Buyer will, within the Contingency Period, give Seller written
notice that the present use of the Property is not permitted and that Buyer will:
1. Accept the Property and agree to the RELEASE in paragraph 27 of this Agreement, OR
2. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of para graph 30 of
this Agreement.
If Buyer fans to respond within the Contingency Period or does not terminate this Agreement by written notice to Seller within that
time, Buyer will accept the Property and agree to the RELEASE in paragraph 27 of this Agreement.
18. NOTICES, ASSESSMENTS & CERTIFICATES OF OCCUPANCY (9-05)
(A) Seller represents, as of the date Seller signed this Agreement, that no public improvement, condominium or homeowner association assessments
have been made against the Property which remain unpaid, and that no notice by any government or public authority has been served upon Seller
or anyone on Seller's behalf: including notices relating to violations of zoning, housing, building, safety or fire ordinances that remain uncor-
rected, and that Seller knows of no condition that would constitute a violation of any such ordinances that remain uncorrected, unless otherwise
specified here:
(B) Seller kno;ws of no other potential notices (including violations) and/or assessments except as follows:
..r :." ~
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Seller IDltials. _ J, ~ _
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Buyer Initials:
,--::-: c_f.--
A/S-R Page 6 of 10
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~L) m me event any nonces~mclUomg mOlanons) anOlor assessments are recelveu aIler "el~er llll!i ~l~eu Ull~1'\.grc;eU1t:l1ll1llU UCIUIC .CLUClllCllL, 40~
Seller will provide a copy of the hC;ti~es ahd!orasse~sriientS to Buyer '~dwin;riotifY Bu'ycl- hi" Writing \Vifl:1in ~. DAYS' ~freceiVmi the 370
notices and/or assessments that Seller will: . . ,. 371
1. Fully comply with the notices and/or assessments at Seller's expense before settlement If Seller fully complies with the notices and/or 372
assessments, Buyer accepts the Property and agrees to the RELEASE m paragrajJh 27 of this Agreement. OR 373
2. Not comply. ~th.the ,no.tices and/orasses~ents~ If Sellerchooses riot tocbmply with the noticesand/or assessments, or fails witbiJi the 374
time giVen "to notify' Buy~r whether. Seller win .comply, BUYe!" will. IiotifySeller in writingwithiII ~PAYS that B\l~er .\\'ill: : 375
a. Comply Willi thehotices and/or assessments at Buyer's expense, accept the Property, and agree to the RELEASE iri paragraph 27 'of 376
this Agreement, OR 377 '
b; Termmate this Agreement by written notice to Seller, with all depqsit monies r~turned.to Buyer according tO,the terms of Paragraph. 378
30 of this Agreement . '379
If Buyer fails to respond witbiJi the time stated in paragraph 18 (C) (2) or falls to terminate this Agreement by written notice to 380
Seller within 'that time, Buyer will accept the Property and agreeto the RELEASE in paragraph 27 of this Agreement . '.. 381
(D) If requirOO bfimv, wiilim--1lL DAYS from the ExecirtionDate of tills Agreertient, biIt mno case later than 15 days prior to settlement, Seller 3si
will order at Seller's expeiise a certification from the appropriate municipal department(s) disclosmg notice of imy uncOrrected violations of zon~ 383'
ing, housmg, buildiIIg, safety or fueordiIIances and/oracertificatepermittingoccupancy of the Property. If Buyer receives a notice of any 384
required repaii:slimprovements, :BuYer will promptly deliver a copyof the notice to Seller. ' ..' 385
1. Within ~J)AYS ofrecei~irnotice fromthe municipality that repairs/improvements are require~ Seller'will notify Buyer in Writ~ 3116
ingthatSellerwill: ". ,. . .., ,. ......... .' ..,. .' . . .., ..' .. ..... .387
a. . Make the requITed repairsihnprovements to tiie satisfaction' of the muriicipaiity. If Seller makes'the i-equlred reparrs/improvemeiJ.tS, 388
auyer aCcepts the Property and agrees to the RELEASEm'paragraph 21 of this Agreement. OR . .' . 389
b. Notmake the required repairs/improvements. IfSeUer chooses not to make the required repairs/improvements, Buyer will notify 390
Seller in writing withiII -L DAYS that Buyer will: 391 .
(1) Make there.Pairsfuni>rovements at Buyer's expense, with permission and access to the Property given by Seller, which will not. 392
be unreasonaBly'wi1:lJheld, OR .' . '. . . . . . . . . . .' 393
(2) Terininlite:thisA~em.ent by writteiJ. notice to Seller, with an deposit monies rCtumed to Buyer accoidiIigw the terms of para, '394
grllph30ofthisA~ent.. .... ". ...... '.' . .' . .', .'. ..' .395'
UBlIyer failStorespond'Witbinthe timesta~ed in paragraph 18 (D) (1) (b) or fails to terminate this Agreement by written notice .396
tei Seller Withiii thaUinie,Buyer will accept the Property and agree to the RELEASE in paragraph 27 -Of this Agreement, and :Buyer" 397
accepts the responSibiiity to perform the repaitslimproveinentsaccordingto the terms of the notice provided by the inunicipitnty.398
2. If.8eller denies Buyer peonission.t() make the J:'equired repairs/impi'<>v~eti.tS,Qr does not provide Buyer access beforesett1ementto make 399.
the requiredrepairs/imprcivements; Buyer may;, within ~DAYS, 1eIniinate this Agreement by written notiCe to. Seller, with aU deposit.. 400
monies returned to Buyer accordiIIg to the terms of paragraph ~O of this Agreement .' . ' . . 401
3. If repairs/improvements are,required and. Seller fails to provide a copy of the notice to Buyer as required in paragraph 18 0:>), Seller. will 402 "
perform all rePairs/improvements as require4 by the notice at Seller's expense. Paragrapq, 18 (D) (3) will survive settlement 403
(E) Access to a public road may iequire issuance of a highway occupanCy ~t from the Department of Transportation. 404
19. TITLE, SURVEYS. & COSTS (9~05)" 405
(A) The Property will be conveyed with good and marketable title as is insurable by a reputable title insurance company at the regular rates, free and 406'-
clear of all liens, encumbrances, and easements, EXCEPTING HOWEVER the followiIIg: existing deed restlictiom;h1Siorlc- preservation 407
restrictions or ordlnances; buildiIIg restrictions; ordinances; easements of roads; easements. visible upon the ground; eal!ements ofre(lOrd;an~. .408
privileges or rights of public service companies, if any. . ., . ,. ,.... ~ .
(B) Buyer will pay for the following: (1) Title search, title insurance and/or mechanics' lien insurance, .orany fee fo!cancellation; 410
(2) Flood m.suran. ce,o fire. jnsurance. with .exten. ded coverage. ,mine SUo bSid.en.' ce insurance, or any fee for cancellation;(. 3...) Appraisal fees.' and.. .4. 11___. ..... .
charges paid in advance to mortgage lender(s); (4) Buyer's customary settlement costs and accruals. . ,t4!1.1...;';
(C) Any surveyor surveys required by the title insurance company or the abstractiIlg attorney for prepariiJ.g an adequate l~iaI description of the .'i'~ .
Property.( or the. co~ctio~ th~f) will be obtaiIIed and paid for by ~ Any surveyor surveys desired by Buyer or required by the mortga~~
lender will be obtamed and pmd for by Buyer. ~V(.er . 415 .)
(D) If Seller is unable to give a good and marketable title and such as is insurahle'by a reputable title iIIsurance company at the regular rates, as specified 416
m paragraph 19 (A), Buyer will: 417
1. Accept the Property with such title as Seller can give, with no change to the purchase price, and agree to the RELEASE in paragraph 27 of this 418'
Agreement, OR , 419
2. Termmatethis Agreement by written notice to Seller, with all deposit monies returned to Buyer accordiIIg to the terms of paragraph 30 of 420
this Agreement Upon termination, Seller will reimburse Buyer for any costs incurred by Buyer for any iIIspections or certifications obtained 421
accordiIIg to the terms of this Agreement, and for those items specified in paragraph 19 (B) items (1), (2), (3) and in paragraph 19 (C). 422
(E) The Property is not a "recreational cabm" as defined in the Pennsylvania Construction Code Act unless otherwise stated here (see Infonnation 423
Regarding Recreational Cabins): 424
20. CONDOMINIUMIPLANNED COMMUNITY (HOMEOWNER ASSOCIATION) RESALE NOTICE (9-05) 425
W NOT APPLICABLE' 426
-0-- APPLICABLE: CONDOMINIUM. The Property is a unit ofa condominium that is primarily run by a unit owners' association. 23407 of the 427
Uniform CondomiIlium Act of Pennsylvania (see Information Regardmg Condommiums and Planned Communities) requires Seller to furnish 428
Buyer with a Certificate of Resale and copies of the condomiIlium declaration (other than plats and plans), the bylaws and the rules and regula- 429
tions of the association. 430
o APPLICABLE: PLANNED COMMUNITY (HOMEOWNER ASSOCIATION). The Property is part of a planned community as defined by 431
the Uniform Planned Community Act (see Information Regarding Condominiums and Planned Communities). s5407(a) of the Act requires 432
Seller to furnish Buyer with a copy of the Declaration (other than plats and plans), the bylaws the rules and regulations of the association, and 433
a Certificate containmg the provisions set forth in s5407(a) of the Act. 434
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AlS-R Page 7 of 10
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SeDer lnitials:
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~35 Buyer Initials:
.,
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441
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504
..............& -.-.....-.. .....-.......... .....~.... ... - ... .....-... .......................~ ................... ..-.....- ....-........ -- .- -....-.- --.- ._--"- - ---- - --- .-
(A) Within ---1L DAYS from the Execution Date of thisAgreettierlt;Se'nei,!at'-Sellet'1lhpense; ~'request~the association a Certificate of 437
.a' Resale and any other documents necessary to enable Seller to comply with the relevant Act. The Act provides that the association is required to 438
provide these documents within 10 days of Seller's requeSt.' . " , : :. ,;, " " " ,.,'; " 439
(B) Seller will promptly deliver to Buyer all documents received from the association. Under the Act, Seller is not liable to Buyer for the failure of 440
the association to: proVide the' C-erfificatein a timely 'iriaimer, - ndr is" Seller liable to Buyer for any IDoottectinformation.pr<>videdbytlie 'liSsoci- ;441:
ation in the Certificate. . " 442
(C) The Act provides that Buyer may declare thisAgreementVOID.atimy time before Buyer receives the association documents and for 5 dRys after 443
receipt, OR tintilsettlement, whichever occurs first Buyer's notice to Seller mUSt be in writing; upon Buyer declaring this Agreement void; all 444
deposit monieswiU be returned to Buyer according to the terms ofparagraph'30-ofthisAgreement 445
(0) If the assOCiation has the right to buy-the Propei:ty (right of firSt refusal).. and !he association exercises that right, Sellerwill'reimburseBuyer for 446
any costs incurred by Buyer for any irispectiohS or certifications obtained according to the terms of the AgreeiIlen:t, and imycosts incurred by Buyer 447
for: (1) Title search, title insurance and/or mechanics' lien insurance, or any fee for cancellation; (2) - Flood insurance imd/or. fire insurance with 448
extended coverage, mine'subsidence insurance, or any fee for cancellation; (3) Appraisal fees and charges paid in advance to mortgage lender(s). 449
21. MAINTENANCE & RISK OF LOSS (9-05)450
(A) 'Seller willm8intain the ProPertY, groiuids, fixtures andper'Sonal'property specifically listedinthis-Agreemenf'in its present condition, norinal 451
wear and tear excepted. 452
(B) If any system or appliance included in the sale - of the Property fails before settlement, Seller will: 453
1. Repair or replace the failed system or appliance before settlement, OR 454
2. Provide prompt written notice to BilyerOfSeller'sdecision to:. 455
a. Credit Buyer at settlement for the fair market value of the failed system .or appliance, as acceptable ti>the mortgage lender(s), if any, OR 456
b. Not repair or replace the failed system or appliance, and not credit Buyer at settlement for the fair market value of the failed system 457
or appliance. 458
3. If Seller does not repair or replace the failed system or appliance' or agree to credit Buyer forits fair market value, or if Seller' fails to noti- 459
fy Buyer of Seller's 'choice, Buyer will notify Seller in writing Within ~ DAYS:or before settlement, whichever is earlier, that Buyer 460
will: 461
a Accept the Property and agree to the RELEASE in paragraph 27 of this Agreement, OR 462
b. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of paragraph 463
30 of this Agreement 464
(C) Seller bears the risk ofloss from fire or other cilsua1ties until settlement Ifany property included in this. sale is des1roy6dand not replaced; Buyer will: 465
1. Aci:eptthe Ptoperty inits then current condition together with the proceeds of any insurance recovery obtaiIiab1eby Seller;'OR ,466
2. 'TeIminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer ,according to the tenilS of paragraph 30 of 467
thisAgreement. 468
22. COAL NOTICE (Where Applicable) 469
TIns DOCUMENT MAY Nor SElL, CONVEY, TRANSFER, INCLUDE OR INSURE TIlE 1111.1;'1'0 TIlE COAL AND RIGHTS OF SUPPORT UNDERNEATH TIlE SURFACE LAND 470
DESCRIBED OR REl'ER.RED TO HEREIN, ANDnrE OWNER OR OWNERS OF SUCH COAL MAY HAVE TIlE COMPLETE LEGAL RIGHT TO REMOve ALL SUCH COAL AND 471
IN mAT' cONNECTION, DAMAGE MAY RESULT TO TIlE SURFACE OF TIlE LAND AND ANY HOUSE, BUILDING OR ornER STR.U~ON OR IN SUCHLAND~ (This 472
noticeisset forth in the manner provided in Section 1 of the Act ofJuly 17, 1957, P.L. 984.) "Buyer acknowledges thatihe may riot be obtaining the' '473
right of protection against subsidence resulting from coal mining operations, and that the property described herein maybe protected from damage 474
due to mine subsidence by a private contract with the owners of the economic interests ill the coal. This acknowledgement is made for the purpose 475
of complying with the provisions of Section 14 of the Bituminous Mine Subsidence and the Land Conservation Act of Apri127, 1966." Buyer agrees 476
to sign the deed from Seller which deed will contain. the aforesaid provision. 477
23. POSSESSION (9-05) 478
(A) Possession is to be delivered by deed, keys and: 479
1. Physical possession to vacant Property free of debris, with all structures broom-clean, at day and time, of settlement, AND/OR 480
2. Assignment of any existing 1ease(s), together with any security deposits and interest, at day and time of settlement, if Property is leased at 481
the execution of this Agreement, unless otherwise stated in this Agreement. 482
(B) Buyer will acknowledge existing lease(s) by initialing the 1ease(s) at the execution of this A~\mt, unless otherwise specified herein. 483
(C) Seller will not enter into any new leases, extensions of existing leases or additional leases for the Property without the written consent of Buyer. 484
24. RECORDING (9-05) This Agreement will not be recorded in the Office of the Recorder of Deeds or in any other office or place ofpuhlic record. 485
If Buyer causes or permits this Agreement to be recorded, Seller may elect to treat such act as a breach of this Agreement 486
25. ASSIGNMENT (9-05) This Agreement is binding upon the parties, their heirs, personal representatives, guardians and successors, and to the extent 487
assignable, on the assigns of the parties hereto. Buyer will not transfer or assign this Agreement without the written consent of Seller unless other- 488
wise stated in this Agreement. 489
26. GOVERNING LAW, VENUE & PERSONAL JURISDICTION (9-05) 490
(A) The validity and construction of this Agreement, and the rights and duties of the parties, will be governed in accordance with the laws of the 491
Commonwealth of Pennsylvania. 492
(B) The parties agree that any dispute, controversy or claim arising under or in connection with this Agreement or if$ performance by either party 493
shall be decided exclusively by and in the state or federal courts sitting in the Commonwealth of Pennsylvania. 494
27. RELEASE (9-05) 495
Buyer releases, quit claims and forever discharges SELLER, ALL BROKERS, their LICENSEES, EMPLOYEES and any OFFICER or 496
PARTNER of anyone of them and any other PERSON, FIRM or CORPORATION who may be liable by or through them, from any and 497
all claims, losses or demands, including, but not limited to, personal injury and property damage and all of the consequences thereo~ whether 498
known or not, which may arise from the presence of termites or other wood-boring insects, radon, lead-based paint hazards, mold, fungi or 499
indoor air quality, environmental hazards, any defects in the individual on-lot sewage disposal system or deficiencies in the on-site water serv- 500
ice system, or any defects or conditions on the Property. Should Seller be in default under the terms of this Agreement, or in violation of any 501
seller disclosure law or regulation, this release does not deprive Buyer of any right to pursue any remedies that may be available under law 502
or equity. This ,release 'rill survive settlement. 503
) ? /".~ r\ {--"(-'
Buyer Initials: _--- A/S-R Page 8 of 10. Seller Initials: :::::. \ - ',::l
Revised 9/05
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,28. REPRESENTATIONS (9-05) 505
(A) All representations, claims, advertising, promotional activities, brochures or plans of any kind made by Seller, Brokers, their licensees, employ- 506
- .to' ees, officers or partners are not a part of this Agreement unless expressly incorporated or stated in this Agreement This Agreement contains the 507
whole agreement between Seller and Buyer, and there are no other terms, obligations, covenants, representations, statements or conditions, oral 508
or otherwise, of any kind whatsoever concerning this sale. This Agreement will not be altered, amended, changed or modified except in writing 509
executed by the parties. 510
(B) Unless otherwise stated in this Agreement, Buyer has inspected the Property (including fixtures and any personal property specifically 511
listed herein) before signing this Agreement or has waived the right to do so, and agrees to purchase the Property IN ITS PRESENT 512
CONDmON. Buyer acknowledges that Brokers, their licensees, employees, officers or partners have not made an independent exam- 513
ination or determination of the structural soundness of the Property, the age or condition of the components, environmental conditions,
the permitted uses or of conditions existing in the locale where the Property is situated; nor have they made a mechanical inspection of
any of the systems contained therein.
(C) Any repairs required by this Agreement will be completed in a workmanlike manner.
(D) Broker(s) have provided or may provide services to assist unrepresented parties in complying with this Agreement
29. DEFAULT (9-05)
(A) Seller has the option of retaining all sums paid by Buyer, including the deposit monies, should Buyer:
1. Fail to make any additional payments as specified in paragraph 3, OR
2. Furnish false or incomplete information to Seller, Broker(s), or any other party identified in this Agreement concerning Buyer's legal or
financial status, OR
3. Violate or fail to fulfill and perform any other terms or conditions of this Agreement
(B) Unless otherwise checked in paragraph 29 (C), Seller may elect to retain those sums paid by Buyer, including deposit monies:
1. On account of purchase price, OR
2. As monies to be applied to Seller's damages, OR
\.3/ As liquidated damages for such breach. .
(C) A SELLER IS LIMITED TO RETAINING SUMS PAID BY BUYER, INCLUDING DEPOSIT MONIES, AS LIQUIDATED DAMAGES.
(D) If Seller retains all sums paid by Buyer, including deposit monies, as liquidated damages pursuant to paragraph 29 (B) or (C), Buyer and Seller
are releaseci from further liability or obligation and this Agreement is YOID.
30. TERMINATION & RETURN OF DEPOSITS (9-05)
(A) Where Buyer terminates this Agreement pursuant to any right granted by this Agreement, all deposit monies paid on account of purchase price
will be returned to Buyer and this Agreement will be YOID. The broker holding the deposit monies may only release the deposit monies accord-
ing to the terms of a fully executed written agreement between Buyer and Seller and as permitted by the Rules and Regulations of the State Real
Estate Commission.
(B) If there is a dispute over entitlement to deposit monies, a broker is not legally permitted to determine if a breach occurred or which party is enti-
tled to deposit monies. A broker holding the deposit monies is required by the Rules and Regulations of the State Real Estate Commission to
retain the monies in escrow until the dispute is resolved In the event of litigation over deposit monies, a broker will distribute the monies accord-
ing to the terms of a final order of court or a written agreement of the parties. Buyer and Seller agree that, if any broker or affiliated licensee is
joined in litigation regarding deposit monies, the attorneys' fees and costs of the broker(s) and licensee(s) will be paid by the party joining them.
31. REAL ESTATE RECOVERY FUND (9-05)
A Real Estate Recovery Fund exists to reimburse any persons who have obtained a finaI civil judgment against a Pennsylvania real estate licensee
owing to fraud, misrepresentation, or deceit in a real estate transaction'and who have been unable to collect the judgment after exhausting all legal
and equitable remedies. For complete details about the Fund, call (717) 783-3658 or (800) 822-2113 (within Pennsylvania) and (717) 783-4854 (out-
side Pennsylvania).
32. MEDIATION (9-05)
(A) Unless otherwise checked in paragraph 32 (D), Buyer and Seller will submit all disputes or claims that arise from this Agreement to meQiation
in accordance with the Rules and Procedures of the Home SellersIHome Buyers Dispute Resolution System. Any agreement reached through
mediation and signed by the parties will be binding (see Information Regarding Mediation).
(B) Buyer and Seller have received, read, and understand the Rules and Procedures of the Home Sellers/Home Buyers Dispute Resolution System.
(C~ agreement to mediate disputes or claims arising from this Agreement will survive settlemenk
(DyE!. MEDIATION IS WAIVED. Buyer and Seller understand that they may choose to mediate at a later date should a dispute or claim arise,
but that there will be no obligation for any party to do so. _
33. RESIDENTIAL LEAD-BASED PAINT HAZARD REDUCTION ACT NOTICE (Required for properties built before 1978) (9-05)
Lead-Based Paint Hazards Disclosure Requirements: The Residential Lead-Based Paint Hazard Reduction Act requires any seller of prop-
erty built before 1978 to provide the buyer with an EPA-approved lead hazards information pamphlet titled Protect Your Family from Lead in Your
Home and to disclose to the buyer and the broker(s) the known presence of lead-based paint and/or lead-based paint hazards in or on the proper-
ty being sold, along with the basis used for determining that the hazards exist, the location of the hazards, and the condition of painted surfaces.
Any seller of a pre-1978 structure must also provide the buyer with any records or reports available to the seller regarding lead-based paint and/or
lead-based paint hazards in or about the property being sold, the common areas, or other residential dwellings in multi-family housing. Before a
buyer is obligated to purchase any housing constructed prior to 1978, the Act requires the seller to give the buyer 10 days (unless buyer and sell-
er agree in writing to another time period) to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint
hazards. The opportunity to conduct a risk assessment or inspection may be waived by the buyer, in writing. Neither testing nor abatement is
required of the seller. Housing built in 1978 or later is not subject to the Act.
o NOT APPLICABLE. Property was built in 1978 or later.
":El APPLICABLE. Property was built before 1978. Broker must attach the Lead-Based Paint Hazards Disclosure and Inspection
"
Contingency Addendum (pAR Form LPA) or another acceptable form with the information required by the Act, and provide Buyer
the pamphlet,Protect Your Family from Lead in Your Home. Buyer(s) must initial below that they have received both documents:
,.- J(
...... ! -:'" -, Lead-Based Paint Hazards Disclosure and Inspection Contingency Addendum (attached as part of this Agreement).
...... ,7";;: "/' Protect Your Family from Lead in Your Home
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AlS-R Page 9 of 10
Revised 9/05
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(A)
The following are part of this Agreement if checked:
o Sale & Settlement of Other Property
Contingency Addendum (pAR Form SSP)
o Sale & Settlement of Other Property Contingency
with Right to Continue Marketing
Addendum(pAR Form SSP-CM)
o Settlement of Other Property Contingency Addendum (pAR Form SOP)
o Tenant-Occupied Property Addendum (pAR:Fonn TOP)
o
o
o
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(B)
Buyer and Seller acknowledge receipt of a copy of this Agreement at the time of signing.
599 NOTICE TO. PARTIES: WHEN SIGNED, THIS AGREEMENT IS A BINDING CON'q{ACT. Parties to this transaction are advised to consult 599
600 an attorney before signing if they desire legal advice. 600
601 Return by facsimlle.transmission (FAX) of this Agreement, and any addenda and amendments, bearing the signatures of all parties, constitutes 601
602 acceptance by the parties. 602
~' .. ,,,-Buyer has received the Consumer Notice as adopted by the State Real Estate Commission at 49 Pa. C, ode ~35.336.
. puyer has received a statement of Buyer's estimated closing costs before signing this Agreement. ' .
Buyer has read and understands the notices and explanatory information in this Agreement.
oyer has received a Seller's Property Disclosure Statement before signing this Agreement, if reqllired by law (see Information Regarding
the Real Estate Seller Disclosure Law).
.9( Buyer has received the Deposit Money Notice (for cooperative sales when Broker for Seller is holding deposit money) before signing this
Agreement. .
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BUYER'S MAILING ADDRESS:
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614 WITNESS
BUYER
DATE
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615 Seller has received the Consumer Notice as adopted by the State Real Estate Commission at 49 Pa. Code ~35.336.
616 Seller has received a statement of Seller's estimated closing costs before signing this Agreement.
617 Seller has read and understands the notices and explanatory information in this Agreement. ___
615
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618 SELLER'S MAILING ADDRESS:
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AlS-R Page 10 of 10
Revised 9/05
BROKER'S COpy
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1. SEL~ER'S DISCLOSURE Seller has no knowledge concerning the presence oflead-based paint and/or lead-based paint hazards in or about
the Property, unless checked below.
o Seller has knowledge of the presence of lead-based paint and/or lead-based paint hazards in or about the Property. (provide the basis for
determinin.gthat lead-based paint and/or hazards exist, the location(s), the condition of the painted surfaces, and other available informa-
tion concerning Seller's knowledge of the presence oflead-based paint and/or lead-based paint hazards.)
2. SELLER'S RECORDSIREPORTS Seller has no records or reports pertaining to lead-based paint and/or lead-based paint hazards in or
about the Property, unless .checked below.
o Seller has provided ;Buyer with all available records and reports regarding lead-based paint and/or lead-based paint hazards in or about the
Property. (List docuinents):
3. BUYER'S ACKNOWLEDGMENT Buyer has received the pamphlet Protect Your Family from Lead in Your Home and bas read the Lead
Warning Statement on the front of this form. Buyer has reviewed Seller's disclosure ofknl?wn lead~b~ paint and/or lead-based paint hazards
in para~ph 1 and has received the records and reports regarding lead-based paint and/or lead-based paint hazards identified in paragraph 2.
4. LEAD-BASED PAINT ASSESSMENT/INSPECTION CONTINGENCY
Buyer acknowledges that before Buyer is obligated to buy a residential dwelling built before 1978, Buyer has 10 DAYS (unless otherwise nego..
~'a, ) to conduct a risk assessment and/or inspection of the Property for the presence oflead-based paint and/or lead-based paint hazards.
WAIVED. Buyer understands that Buyer has the right to conduct a risk assessment and/or inspectiqn of the Property to determine the pres-
. ence oflead-based paint and/or lead~based paint hazards. BUYER WAIVES TIIIS RIGHT and agrees to the terms of the RELEASE para-
graph of this Agreement. '
o ELECTED. Contingency Period: ~ days from the Execution Date of this Agreement.
(A) Within the Contingency Period, Buyer, at Buyer's expense, may choose to obtain a risk assessment and/or inspection of the Property
for lead-based paint and/or lead-based paint hazards.
(B) Within the Contingency Period, Buyer may deliver to Seller a written list of the specific hazardous conditions cited in the report and
those corrections requested by Buyer, along with a SOpy of the risk assessment and/or inspection report. .
(C) Seller may, within ----1- DAYS of receiving the list and report(s), submit a Written Corrective Proposal (''Proposal'') to Buyer. The
Proposal will include, but not be limited to, the corrections 'to be performed, the name of the remediation company'and a projected
completion date for corrective measures. Seller will provide ceI#ficaqon from a risk assessor or inspector that corrective measures
have been satisfactorily completed on or before the projected completion date.
(D) H Seller submits a Proposal, Buyer will, within -2- DAYS:
1. Accept the Proposal and the Property in writing, and agree to the terms of the RELEASE paragraph of this I^-greement, OR
2. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of the TER-
MINATIoN & RETURN OF DEPOSITS paragraph of this Agreement. ,
(E) H Seller does notsubmit a Proposal within the time set forth in paragraph (C) above, Buyer will, within ~ DAYS:
1. Accept the Property in writing, with the information stated in the report(s) and agree to the terms of the RELEASE paragraph of
this Agreement, OR
2. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of the TER-
MINATION & RETURN OF DEPOSITS paragraph of this Agreement.
H Buyer fails to exercise any of Buyer's options or to terminate this Agreement within any of the time periods stated in this para-
graph, Buyer will accept the Property and agree to the terms of the RELEASE paragraph of this Agreement
5. BROKERS'/LICENSEES' CERTIFICATIONS The undersigned Licensees involved in this transaction, on behalf of themselves and their
brokers, certify that their statements are true to the best of their knowledge and belief. The Licensees involved in this transaction have informed
Seller of Seller's obligations under the Residential Lead-Based Paint Hazard Reduction Act, 42 V.S.C. ~4852(d), and are aware oftheirrespon-
sibility to ensure compliance.
6. BUYER/SELLER CERTIFICATION By signing this Addendum., Buyer and Seller certify the accuracy of their respective statements, to the
best of their 19,1owledge. '.'7
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WITNESS SELLER DATE
BROKER FOR SELLER (Company Name)
ACCEPTED BY
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Tax Parcel No. 13-23-0555-097
THIS INDENTURE,
MADE THE
lf1t.1 day of ~~Jl
(2007) nrr-v
, two thousand seven
BETWEEN
SAMUEL C. GIBSON, Executor of the Last will
and Testament of Merlin C. Gibson, late of
Lower Allen Township, Cumberland County,
Pennsylvania, and SAMUEL C. GIBSON; Successor
Trustee for the Betty and Merlin Gibson Trust
dated October 11, 1991, and further, SAMUEL
C. GIBSON and SALLY JEAN SAVINE, husband and
wife, of Lewisberry, Pennsylvania, parties of
the first part,
and
PATRICIA L. JORDAN, single individual, of
Mechanicsburg, Cumberland County, Pennsylva-
nia, party of the second part:
WHEREAS, the said MERLIN C. 'GIBSON by his Last Will and Testa-
ment, duly proved and recorded in the Cumberland County Register
of Wills Office, Pennsylvania, in Docket Book 21-07-0066, Letters
Testamentary being issued on January 19, 2007, provided, in
pertinent part, as follows:
THIRD: Should my wife, Elizabeth J. Gibson, predecease me
or die on or before the sixty-first (61st) day following my
death, I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever
situate, including any property over which I hold power of
appointment and together with any insurance policies
thereon, to my son, SAMUEL C. GIBSON, or his issue, per
stirpes.
FOURTH: In addition to all powers granted to them by law
and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all
property, exercisable without court approval and effective
until actual distribution of all property:
. I
(A) To sell at public or private sale, or to lease, for any
period of time, any real or personal property and to give
options for sales, exchanges or leases, for such prices and
upon such terms (including credit, with or without security)
or conditions as are deemed proper. This includes the power
to give legally sufficient instruments for transfer of the
property and to receive the proceeds of any disposition of
it.
SEVENTH: I nominate and appoint my wife, ELIZABETH J.
GIBSON, Executrix of this, my Last Will and Testament. In
the event of the death, resignation or inability to serve
for any reason whatsoever of the said ELIZABETH J. GIBSON, I
nominate and appoint my son, SAMUEL C. GIBSON, Executor of
this my Last will and Testament...; and
WHEREAS, Merlin C. Gibson, also known as Merlin Charles Gibson,
and Elizabeth Jean Gibson, also known as Betty Gibson, by
Declaration and Instrument of Trust dated October 11, 1991,
established the Betty and Merlin Gibson Trust, which provided, in
pertinent part, as follows:
Upon the death or incapacity of the surviving spouse, the
successor trustee for the Betty and Merlin Gibson Trust
shall be Samuel C. Gibson.
Upon the death of both settlors Samuel C. Gibson, Trustee,
shall be the sole beneficiary.
NOW THIS INDENTURE WITNESSETH, that the said parties of the first
part, by virtue of the power and authority aforesaid, in said
Will contained, and in consideration of the sum of One Hundred
Sixteen Thousand Dollars ($116,000.00) to them paid by the said
party of the second part, at and before the ensealing and deliv-
ery of these presents, the receipt whereof is hereby acknowl-
edged, have granted, bargained, sold and conveyed, and do hereby
grant, bargain, sell and convey to the said party of the second
part, her heirs and assigns forever:
ALL THAT CERTAIN piece or parcel of land situate in Lower Allen
Township, Cumberland County, Pennsylvania, bounded and described
according to a survey by D. P. Raffensperger, dated October 24,
1952, as follows:
BEGINNING at a point the Northwestern corner of Seneca Avenue and
, I
Oneida Road; thence Westwardly along the Northern side of Seneca
Avenue, one hundred four and seven one-hundredths (104.07) feet
to a point on line of Lot No. 24 on the plan of lots herein after
mentioned; thence along same, North thirty-one (31) degrees
twenty (20) minutes West, one hundred ten (110) feet to a point
on line of Lot No. 26 on said Plan; thence along same North
fifty-eight (58) degrees forty (40) minutes East, sixty-one and
thirteen one hundredths (61.13) feet to a point on the Southern
side of Oneida Road; thence along the same, South fifty-two (52)
degrees thirty-nine (39) minutes thirty (30) seconds East, one
hundred eighteen and eight one-hundredths (118.08) feet to a
point, the place of BEGINNING.
BEING all of Lot No. 25 on the Plan of Keewaydin, recorded in the
Office. of the Recorder of Deeds. in and for Cumberland County in
Plan Book 4, Page 42.
HAVING THEREON ERECTED a one story frame dwelling house being
known and numbered as 79 Oneida Road, Camp Hill, Pennsylvania.
BEING the same premises which Roy A. Hollinger and Elizabeth A.
Hollinger, husband and wife, by deed dated March 20, 1953 and
recorded March 21, 1953 in the Cumberland County Recorder of
Deeds Office in Deed Book "F", Vol. 15, Page 425, granted and
conveyed unto Merlin Charles Gibson and Elizabeth Jean Gibson,
his wife.
ALSO BEING the same premises which Merlin Charles Gibson and
Elizabeth Jean Gibson by their deed dated September 24, 1991 and
recorded October 10, 1991 in the Cumberland County Recorder of
Deeds Office in Deed Book "I", Vol. 35, Page 734, granted and
conveyed unto the Betty and Merlin Gibson Trust.
THE said Elizabeth Jean Gibson, also known as Betty Gibson, died
April 5, 1998, whereupon full and complete title to the within
described property became vested solely in Merlin Charles Gibson,
also known as Merlin C. Gibson. The said Merlin C. Gibson died
December 15, 2006. By virtue of the death of Elizabeth Jean
Gibson, full and complete title to the within described real
estate became vested solely in Merlin C. Gibson, surviving spouse
and surviving Trustee of the Betty and Merlin Gibson Trust.
Merlin C. Gibson is the decedent herein.
TOGETHER with all and singular the rights, liberties, privileges,
hereditaments and appurtenances whatsoever thereunto belonging or
in anywise appertaining, and the reversions and remainders,
f l .. .
rents, issues and profits thereof, and all the estate, right,
title, interest, property, claim and demand whatsoever of the
said Merlin C. Gibson at and immediately before the time of his
decease, in law or equity or otherwise howsoever, of, in, to or
out of the same:
TO HAVE AND TO HOLD the said granted premises to the said party
of the second part, her heirs and assigns forever.
AND the said parties of the first part, do covenant, promise,
grant and agree, to and with the said party of the second part,
her heirs and assigns, by these presents, that the said parties
of the first part, have not done, committed, or knowingly or
willingly suffered to be done, any act, matter or thing what-
soever, whereby the premises aforesaid, or any part thereof, is,
are, shall or may be charged or encumbered, in title, charge or
estate, or otherwise howsoever.
IN ~TNESS WHEREOF, the said parties of the first part have
hereunto set their hands and seals the day and year above writ-
ten.
Signed, Sealed and Delivered
in the Presence of
~ ,., (SEAL)
SAMUEL C. GIBSON, 1nd1v1dually, and
as Executor of the Estate of Merlin
C. Gibson and Successor Trustee of
the Betty and Mer in Gibson Trust
/
( SEAL )
, , . .
COMMONWEALTH OF PENNSYLVANIA
S5.
COUNTY OF CUMBERLAND
On this, theI1+~ay of ~1LP , 2007, before me, the
undersigned officer, personally appeared SAMUEL C. GIBSON,
individually, and as Executor of the Estate of Merlin C. Gibson
and Successor Trustee of the Betty and Merlin Gibson Trust, known
to me (or satisfactorily' proven) to be the person described in
the foregoing instrument, and acknowledged that he executed the
same in the capacity therein stated and for the purposes therein
contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
'-:Bonn u of (L1.Qf)1rnnJ)
Notary Public
My Cominission
(SEAL)
Expires: COMMONWEAlTII OF PENNSYlVANIA
NOTARIAL SEAL
BONNIE L WilliAMS, NOTARY PUBUC
SHIREMANSTOWN BORa., CUMBERlAND CO.
MY COMMISSION EXPIRES APRIL 18 2009
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
On this, the n-Uday of tir:n~ , 2007, before me, 'the
undersigned officer, personally appeared SALLY JEAN SAVINE, known
to me (or satisfactorily proven) to be the person described in
the foregoing instrument, and acknowledged that she executed the
same in the capacity therein stated and for the purposes therein
contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
~ C.YH1lr 'C/ L ,J.Q0 ;1/'fv.J
Notary Public
My Cormnission
(SEAL)
Expires: COMMONWEALTH OFPEftNSVLVANIA
NOTARIAL SEAL
BONNIE L W1WAMS, NOTARY PUBUC
SRIREMANSiOWN BORD., CUMBERlAND CO.
MY COMMISSION EXPIRES APRIL IB 2009
.. I ( ..
CERT~FICATE OF RES~DENCE
I do hereby certify that the precise residence
post office address of the within named grantee is:
-#1..
It~.rd {1j- 2007
<4v~~
and complete ~ }
T q a/l.~\"JQ. fd.
('~... P ?~~i~ 'A r 10 {I
Attorney/Agent for Grantee
,
It Il
,...
A. B. TYP~ UI- LUAN:
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1-DFHA 2,oFmHA 3.~CONV; UNINS. 4. OVA 5.oCONV. INS.
a. ACA07-OO100 : I (.
SETTLEMENT STATEMENT 0839633548
8. MORTGAGE INS CASE NUMBER:
c. NOT~: This fonn Is furnished /0 g/w you e statement of ectu81 settlement costs. Amounts paid /0 end by the settlement eQ8nt are shown.
I18ms m8rlcBd "[pOCr lI/l!ll8 paid outside the cJosJng; they are shown hel8 for Infonne/ionel fJU11'OS8S end 818 not /ncJuded In the totels.
1.0 :we (ACAONI011lO.PI'DIACIION10100117)
D. NAME AND ADORE RRoWER: E. NAME AND ADDRESlS UF S~LL~R: . NAMe AN : LENDER:
Patricia L Jordan, Belly and Merlin Glb50n Trust HSBC Mortgage Corporation
79 Onelda Road (USA)
Camp Hili, PA 17055 2929 Walden Avenue
Depew, NY 14043
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 20.1201080 I. SETTLEMENT DATE:
79 Onelda Road Acadia SellIemen~ LLC
Camp HID, PA 17055 April 17, 2007
Cumberland County, Pennsylvania PLACE OF SETTLEMENT
341 Science Park Road, Suite 205E
Slale College, PA 16803
J. -.
100. uuc FROM : 400. GROBB AMoU R:
es PI1ea 116,llOO.w . ""nn", ....,es mea ,
. Personal Property . .-ersonal.-roperty
. SellIement CharlIes to Borrower ne 1400/ o,uaa.
y ::;e/lflf Rl eovance ADjustments ror IIIIms .-eKI tsy ::;e"",. Rl advance
. Utyll own I axes ID 4UO. uty/lown I axes to
. county Taxes to 4Ul. UlURty I axes ID
. :>cnool 04/17101 ID 01101101 . 189.41 4U8. l:ia100l U4I11101 to 07101107 189.41
r Gr8dIl 74.04
"'v.
411.
412.
120. GROSS AMOUNT DUE FROM BORROWER 121,352.16 420. GROSS AMOUNT DUE TO SELLER 116,263.45
200. AMOUNTS P . I:IUKKUWER: 500. ReDU 0..... R:
'",U1. U8l108II or earnest money nsvuCllOl18I
1202. n I) ~em VIIII'lJes ID :illller lune 14001 8.207.50
I"'W. t:lCIsung 10811(1) IaKan SUDJ8Cl to ow. t:XI8lIng 10811(8' lBKen SUDJ8Cl to
1"'04. 004. a
12Ull. ayo e
12011.
1207. . \utIpIlI" UUiC. as prDC88lIll
1208.
1209.
1 AtJlus/ments For I18ms r "a}us/ments np8Ja y sa/ler
1210. OM own axes 1 . ....ty/lown axes
121 . Coun axes 01101107 1 1J'I/1I1U I 13U.111 . \AlUmy axes U11U1/Uf 04117/07 130.18
1212. SeIlo . l:ia100l
1213.
1214.
1215.
12111.
1217.
1218.
1219.
220. TOTAL PAID BY/FOR BORROWER 121,130.18 520. TOTAL REDUCTION AMOUNT DUE SELLER 8,337.86
1300. : . lIUU. o VIr"..... SELLER:
1301. ue t"rom IlOlTowequne l",U/ 1",1,3ll</.111 . IIU1. \;I'OlIII M'lOURI uue 0
13lT.t. Less A/l1OUnll"lllO Ilylt"or e""u/ 121,1il1l.11l, till"'. Less K80ucaona uue :seller (une 520) 8,337.116;
303. CASH ( X FROM)( TO) BORROWER 222.00 603. CASH ( X TO){ FROM) SELLER 107,925.79
OMB NO 2502-0265 .....
. ':0::.
L. SETTLEMENT CHARGES
700. T TALC )I,1MISSION Based on Price $ 116,000.00 @ 6.0000 % 6,960.00 . I'AIDl'IIOIOf PAlO FROM
'MSIOII as ~IOWS: IlORROWER'S sa.I.Bl'S
1;505: ID Ie waf_ Realtv FUNOSAT FUNDS AT
1,4.<;1;. to e Homesfaed Grouo SETTLalENT SETTLElIENT
:-c mmlU n Pald atS ement 6;960.00
to
.11_10 PAYABLe IN
. Loan Of1aInallon Fee % 10
802. Loan Discount % 10
803. Appral8Bl ee ID pra sillS :
1lU4. ee ID H~lil,; Moncaga l,;OfDOrauon I U~Af 4.9:
IlUO. l>rDKer SPiilCiiSfng ee 10
-806; Comm tment Fee to M~lil,; MOrtgage CorporijllOn (USA) D25:m:
807. I ax seMC8 ee to nmb8lllnk 1lr.[Jl:
IlUll. ee ID moerul1ll 18:00
llVli. rFee age (.;OrporaUon (USA)
llU. ee to ynx 7.5[
n 1. M I U l>"",er Fee -0 by Lenoer age
900. ED BY LENDER TO BE PAID I ADVANCE
901. Interest From 04117/07 to 05/01/07 @ $ 22.555600/day ( 14 days 7.0000%) 315.78
lIU:':. lurn tor 12 IIlDnUlS lD
w;j. MIIZlIRl nauranee Pram urn tor 1.0 years toEne Po(; li200.00b
1904.
1905.
1000. RESER II cD WITH LENDER
1001:Kazard Insurance 3.000 months $ 17.50 per monlh 52.50
IUU:':. MOl1Ilage nsurance months 57.03 per mon
1003. l,;Itv/ ownTaxes J.UOO monlhs per mon
1004. UlUntv faxes J.UUU months 37.35 per mon r!2:0S
1 UUO. l:>CROOI 11.000 montha 78.40 per mon 882.40
11006. monthS per man
Lgnsgate Adlustment monD'S oer man
montl'8 per man -219.4C
1100. TITLE
1101. Settlement or Ooslng Fee to Acadia Settlement LlC 250.00
. ADSU'BCI or lIIfe S88i'i:1l to
:r. WIre Fee ID ACalII8 setaemenr:u:c- 20.lX
ee to ACalIIa Setaemenr:u:r: 65.00
5. DocumenlP"reparauon to
6. ax certILIen Letters to Acadia SettlementLLC 75.00
111 . AlIomey's Fees to
/mClUC/8s aoo1lll aem numoers:
I 108. I IDe Insurance to unll80 uenll/'lll IIDe nsurance ComDanv 1138:75
C/nctudfJs 1Ib01IlIltem numberS: J
1111>I. ~oe.-S uwerage Ii I I 6,000.00
111U. UWIlllTS coverage Ii 9J1l.711
1111. C:NU. , to """0'" ..emement, LLC 15lT.00
Ill:':. ....1OSIIlll "fOl8ClIOn Letter ID un""" ""'" eral11De nsurance company 35.00
1"3.
1200. ru:CORDlNG AND CHARGES
1201. Recording Fees: Deed $ 50.00: Mortgage $ 89.00; Releases $ 139.00
ps:oeea 1,lou.uu;MOClllage 0lI(f.(){ OlIU.UII
. ~tal8 I axJStamps: Deed 1,160.00; Mortgage 560.0C 5lllr.OC
12 TPP Recordlnos
12 I t"t" Kecora'"9s
1300. HARGES
1301. Survey to
130: . 'est InspecllOil to
1130 . axes to BOM e K. Miller, TIC 448.18
113G . School' axes
! 130: . See . exhibit to 50:00 87.50
1400. rOTAL NiCHARGI:S Enter on UI1lIS 103, Section J aiiif502, Section Kf 5,088.71 8,207.50
.--,
Acadia Setaemant, LLC, SeWement Agent
(ACA07.oo1DO/ ACA07.oo1DO/17)
I ) I
HUD-1, Page 3 I
Borrower (s): Patrida L Jordan,
79 Orieida Road . !
CamplHlII, PA 17055 " .
. Fill
Lender: HSBq Mortgage Corporation '(USA)
Settlement Agent: Acadia Settlement, LLC
(877)0\43-0832
Plllce of Settlement: 341 Sbience Park Road, Suite 205E
State College, PA 16803
Settlement Datil: April 1:7 , 2007
Property LocatIon: 79 Ori~ida Road
Camp.HIII, PA 17055
Cumberland County, Pennsylvania
Seller(s): Betty and Merlin Gibson Trust
. . ~ ~ 1 .
; ~~ .
I. ~~~1 C
( iY:'f!
1':~' '
"lh ~!
Additional Disbursements
PayeelDescrlptlon
Envlronquest
Pest Report
Lower Allen Township
Final Sewer
Lower Allen Township
Final Trash
NoteJRef No.
Borrower
Seller
50.00
7481
32.00
55.50
$
Tota~Addltlonal Disbursements shown on Line 1305
;
50.00 $
87.50
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and
a te statement of all receipts and disbursements made on my accOunt or by me In this transaction. I further certify
th I have received a COP?' of the HUD-1 Settle~en~i~tat~ment. i,' t~+ ;- .
_ _ . ':' li!H.\ :; l'ft;"'. <,
Be~aJZ~
BY. .
'frl:fstee
J
f,
~
ii'.' i!:),i
"I' .
','
d:~
:'~~
, ~{..~ i ',r. \,;
WARNING: It's a crime to knoiNtngly make fals. statements to the United Statee on this or any elmllar form. Penaltlae upon conviction can
Include a flna and bnprlsonment. For details _: TItle 18 U.S. Code SectIon 1001 and Section 1010.
(ACA07 -00100.PFD/ACA07 -00100/17)
( ) I.
REV.11111 EX+ (12-1111
.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Gibson, Merlin C.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21.fJ7.fJ066
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 7,230.00
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 Bogar & Hlpp Law Offices 13,940.00
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 310.00
5. Accountant's Fees
6. Tax Retum Preparer's Fees
7. Other Administrative Costs 12,155.47
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 33,635.47
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
, , '
Rw.1502 EX+ (....)
*'
SCHEDULE H.A
FUNERAL EXPENSES
continued
COMMClNV1A:AJ.. TH OF PENNSYl. VANIA
INHERITANCE TAX RETURN
RESDeHT DECEDENT
ESTATE OF
Gibson, Merlin C.
FILE NUMBER
21.{J7.{J066
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Myers Funeral Home
7,230.00
Subtotal
7,230.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
4 (.. i
Rey.1l102 EX+ (HII)
*'
SCHEDULE H.B7
OTHER
ADMINISTRATIVE COSTS
continued
CClMMOIII\o\eAL TH OF PENNSYLVANIA
INHERrrANeE TAX RETURN
RESIlENT DECEDENT
Gibson, Merlin C.
FILE NUMBER
21-07..0066
ESTATE OF
ITEM AMOUNT
NUMBER DESCRIPTION
1 CountyfTownshlp Real Estate Taxes. paid at settlement 130.16
2 Erie Insurance. automobile Insurance 214.00
3 Linden Hall Antiques. personal property appraisal 85.00
4 Lower Allen Township. final sewer bill 32.00
5 Lower Allen Township. final trash bill 55.50
6 Lower Allen Township. sewer and trash 87.50
7 MC Walker Realty and The Homestead Group. realtors' commission 6.960.00
8 Omnicare Pharmacy Services of Eastem PA 565.53
9 PA American Water 17.53
10 PA American Water 18.12
11 PA American Water. final bill 23.52
12 Pennsylvania Vital Records. death certificates 86.00
13 Pinnacle Health Hospital 25.00
14 PPL 17.97
15 PPL 19.65
16 PPL 18.86
17 PPL . final bill 23.67
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H.B7 (Rev. 6-98)
. (~ ..
Rev-1102 EX+ (WI'
.
SCHEDULE H.B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEAl. TH OF PENNSVlVANIA
tlHERlTANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Gibson, Merlin C.
FILE NUMBER
21-47-0066
ITEM
NUMBER
18
DESCRIPTION
Recorder of Deeds - Realty Transfer Tax
AMOUNT
1.160.00
19
RESERVES: - Costs to conclude administration of Estate Including filing fee for PA
Inheritance Tax Return, Inventory and First and Final Account; preparation of
Fiduciary Income Tax Returns
2.000.00
20
Terry Lindsey - trash hauling
390.00
21
UGI
27.48.
22
UGI
99.87
23
UGI
79.66
24
UGI - final bill
18.45
Subtotal
12.155.47
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
. ~ ,
REV-11513 EX+ (1-001
*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
NUMBER
Gibson, Merlin C.
NAME AND ADDRESS OF
PERSON(S) RECEMNG PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
C1istributions, and transfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
Do Not LIlt ~.l
FILE NUMBER
21.{J7.{J066
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
ESTATE OF
I.
Samuel C. Gibson
837 Stonybrook Lane
Lewlsberry, PA 17339
Son
One hundred
percent of rest,
residue and
remainder
Total
Enter dollar amounts for distributions shown above on lines 5 through 18, as appropnate,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 II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (cl 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule J (Rev. 6-98)
.~ . ~ ~
jEerst 31ill ~ttb (ijtst~~nt
OF
MERLIN C. GIBSON
I, MEaLIN C. GIBSON, of Lower Allen Township, Cumberland
County, Pennsylvania, make, publfsh and declare this as and for my
Last Will and Testament, hereby revoking all other Wills and
Codicils heretofore made by me.
~: I give and bequeath my household fUrniture and
furnishings, my personal effects, jewelry, clothing, automobiles
and all other tangible personal property, including all insurance
'policies covering those items, to my wife, ELIZABETH J. GIBSON,
provided she survives me by sixty (60) days; or, if she does not
so survive me, to my son, SAMUEL C. GIBSON.
SECOND: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, unto my wife,
ELIZABETH J. GIBSON, provided she survives me by sixty (60) days.
THIRD: Should my wife, Elizabeth J. Gibson, predecease
me or die on or before the sixty-first (61st) day following my
death, I devise and bequeath all the rest, residue and remainder
of my estate of whatever nature and wherever situate, including
any property over which I hold power of appointment and together
with any insurance policies thereon, to my son, SAMUEL C. GIBSON,
or his issue, per stirpes.
J
FOURTH: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
,... ..
'-S
acting hereunder the following powers, applicable to all property,
exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, or to lease, for
any period of time, any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or
.. >-
1
~
'-'
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and to
receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate and
to enter into agreements concerning the partition, subdivision,
improvement, zoning or management of real estate and to impose or
extinguish restrictions on real estate.
(e) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or prOductivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses.,
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee stock
ownership plan, or any other type of qualified plan) to the extent
the plan or the law permits them to do so, and to exercise any
~
other rights which they may have under the plan, in whatever
manner they consider advisable.
FIFTH: I direct that all inheritance, estate, transfer,
succession and death taxes, of any kind whatsoever, which may be
2
.: <- .
payable by reason of my death, whether or not with respect to
property passing und~r this Will, shall be paid out of the princi-
pal of my residuary estate.
SIXTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distributable,
shall not be subject to attachment, execution or sequestration for
any debt, contract, obligation or liability of any beneficiary,
and furthermore, shall not be subject to pledge, assignment,
conveyance or anticipation.
SEVENTH: I nominate and appoint my wife, ELIZABETH J.
GIBSON, Executrix of this, my Last Will and Testament. In the
event of the death, resignation or inabil~ty to serve for any
reason whatsoever of the said Elizabeth J. Gibson, I nominate and
appointrny son, SAMUEL C. GIBSON, Executor of this, my Last Will
and Testament. I direct that my Executor or Executrix, as the
case may be, and their successors, shall not be required to post
security or a bond for the performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
to this, my Last Will and Testament, this {3ti day of ~,
1988.
btut~ C~
Merlin C. Gibson
(SEAL)
Signed, sealed, published and declared by the above-
named Testator as and for his Last Will and Testament in our
presence, who, at his request, in his presence and in the presence
of each other, have hereunto subscribed our names as attesting
witnesses.
Address
~t'~
. (
CaZt-~t.~
Address
3