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HomeMy WebLinkAbout04-03-09J 15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Hanisburg, PA 17128-0601 RESIDENT DECEDENT 21 08 .0942 ENTER DECEDENT INFORMATION BELOW Social Securiiy Number Date of Death Date of Birth 202-36-8326 09/15/2008 01 /11 /1948 Decedent's Last Name Suffix Decedent's First Name MI Powell Janet M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Powell David P Spouse's Social Security Number 299-36-0047 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~;~; 1. Original Retum ~ 2. Supplemental Return 4~ 3. Remainder Return (date of death prior to 12-13-82) ~? 4. Limited Estate O 4a. Future Interest Compromise (date of C~ 5. Federal Estate Tax Retum Required death after 12-12-82) ~~ 6. Decedent Died Testate C~ 7. Decedent Maintained a Living Trust _ __.__ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) '~ 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death +~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST 8E COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Johnna J. Kopecky, Esq (717) 221-1111 ,. `, Firm Name (If Applicable) _ ~2 REGISTER O ~ USE ON ' ~ e ~ The Shagin Law Group -v , ~ => ~ ~ t First line of address ' r- t'~l t r i ~ i 120 South Street b~ c-~ C? ~ Second line of address ~ ~ - ~ ~ ~; ~ ~ City or Post Office _ DATEFILED State ZIP Code ---- -- --- - ----ifii-' ~ Harrisburg PA 17101 Correspondent's a-mail address Under pen f perju are t 1 ve examin tum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is t ,Corr nd mplete. I io of preps than the personal representative is based on all information of which preparer has any knowledge. SI AT RE F P SON P SI E FO I RETURN DATE ~ ~~ AUUK ~J ~ ~,~ ~ / ~ s w!s e~ ~~~~ ~ 17 Sc SIGNATURE OF P REPRESENTATIVE DATE 3-Z6.Q ADDRESS _ t Z c So ~ f~ ~-~--~ f -{ciww~ ~ t,v~~ ~': ~ t ~ ! r/ j PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 t~ 15056052059 REV-1500 EX Decedent's Social Security Number .Janet M Powell ' 202-36-8326 Decedent s Name: ~-____---- ..~ ~-- ------- --~-- --___ _-__,_._.__.~_ _._..-. RECAPITULATION 1. Real estate (Schedule A) ........................................... .. 1. 2. Stocks and Bonds (Schedule B) ..................................... .. 2. 256,544.44 _ _ 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) O Separate Billing Requested ..... .. 6. 107,746.40 7. Inter-wos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~} Separate Billing Requested...... .. 7. 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. 364,290.84 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 12,490.01 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. 4,328.77 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 16,818.78 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 347,472.06 13. Charitable and Governmental Bequests/Sec 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. 347,472.06 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES - ~ _ ~~~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .o_ 107,746.40 15. 0.00 16. Amount of Line 14 taxable at lineal rate x .0 45 239,725.66 16, 10,787.65 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ....................................................... ..19. 10,787.65 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Decedent's Comalete Address: _ File Number ~~ 21 ~' 08 '0942 i~ i DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER Janet M Powell 202-36-8326 STREET ADDRESS 14 Kings Arms CITY Mechanicsburg STATE PA ZIP 17050 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 10,787.65 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + g + C - (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E ~ (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 10,787.65 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :................................................................................ .......... ^ ^Q 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? .................................................................................................... .......... ^ 3. Did decedent own an "intrust for" or payable upon death bank account or security at his or her death? .... .......... ^ ^x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .............................................................................................................. .......... ^ ^x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. .~%,,. 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. §9116 (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. §9116 (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 return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(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. §9116(1.2) p2 P.S. §9116(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. §9116(a)(1.3)]. Asibling isdefined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-7 $03 EX+ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Powell, Janet M 21-08-0942 All property jointly-owned with right of survivorship must be disclosed on Schedule F. (If more space is needed, insert additional sheets of the same size) ' REV-1509 EX+ (6-98) SCNEDVLE F COMMONWEALTH OF PENNSYLVANIA JOINTLY OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Powell, Janet M 21-08-0942 Han asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. David P. Powell 14 Kings Arms Mechanicsburg PA 17050 spouse B C. JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANKACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST ~ A• 14 Kings Arms Mechanicsburg PA Parcel #10-18-1323-032-UC-14 192,666.00 50% 96,333.00 2 A 06111107 Members First FCU #237823-43 22,826.81 50% 11,413.40 TOTAL (Also enter on line 6, Recapitulation) I $ ''R 107,746.40 ., , (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) SCIr1EDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8c INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Powell, Janet M 21-08-0942 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Malpezzi Funeral Home 1,684.37 2 What-If Cafe (funeral reception) ', 3,184.64 s Unitarian Church ~'I 550.00 a Reverend Howard Dana ! 100.00 s Sparkle Radcliffe i 50.00 i 'i B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions ~ 1,000.00 Name of Personal Representative(s) David P. Powell Social Security Number(s)lEIN Number of Personal Representative(s) _ Street Address 14 Kings Arms City Mechanicsburg .state PA z;p 17050 Year(s) Commission Paid: 2009 2. Attorney Fees ' 2,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) ', 3,500.00 Claimant David P. Powell Street Address 14 Kings Arms city Mechanicsburg state PA zip 17050 Relationship of Claimant to Decedent SpOUSe 4. Probate Fees 421.00 5. Accountant's Fees 6. Tax Return Preparer's Fees ~I i 7. i i b is TOTAL (Also enter on line 9, Recapitulation) ~, 12,490.01 (If more space is needed, insert additional sheets of the same size) ' REV-1513 EX+ (11-08) Pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Powell. Janet M 21-08-0942 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 2116 (a) (1.2).] __ 1. David P. Powell 14 Kings Arms Mechanicsburg PA .spouse 107,746.40 2 Lori A. Prevost 346 Ruth Ridge Drive Lancaster PA daughter 159,897.01 3 David P. Powell, Trustee, for grandchildren's trust grandchildren 79,828.65 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, A S APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ,, 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~I'', If more space is needed, insert additional sheets of the same size. CODICIL TO THE LAST WILL AND TESTAMENT OF JANET M. DIEIIL, NOW JANET 1~1. POWELL I, Janet M. Powell, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do inak~, publish and declare this to be a Codicil to my Last Will and Testament, dated January 26, 2004, as follows: SECOND I give, devise and bequeath a life +~state in my residence known as 14 Kings Arms, Mechanicsburg, Pennsylvania, to my husband, David P. Powell. Upon the death of David P. Powell, I direct that the house be sold and the proceeds by shared equally by my daughter, Lori A. Prevost, and the son of David P. Powell, Raymond. D. Powell, or their survivor. In the event that the residence is sold by David P. Powell to purchase a new one, any proceeds procured from the sale of said residence shall be divided equally between them at the death of David P. Powell and the sale of the new residence. THIRD I hereby give, devise and bequeath the rest and residue of my estate as follows: a. Any and all savings bonds owned by me at my death, plus two-thirds of the residue to my daughter, Lori A. Prevost b. One-third to be divided. among any grandchildren I have, including after-born grandchildren, and if they have riot attained the age of eighteen (18) then to said grandchild(ren), IN TRUST, held by David P. Powell and .Lori A. Prevost as Trustees, to be used only i:or post-secondary education and/or extraordinary healthcare issues, with the balance to be distributed at the age of twenty-five (25). In all other respects, the Origin~:.l Will, dated January 26, 2004, is hereby ratified in full. IN WITNESS WHEREOF, I ha~re set my hand and seal to this, my Codicil to my Last Will and ' ,-LF,. Testament, this '-c day of ~r-~~ .r -,~ , 2008. ~.1 ,~iiE%'j1 ~G,~ ~`~ (SEAL) ;~anet M. Powell rage 1 of 3 pages. Signed, sealed, published and declared by the above-named Testator, as and for her Codicil to her Last Will and Testament in the pre:>ence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testator and of each other. WITNESSED BY: -- . ~-_ , ~ <__ ~~ -~ --.a ^ , -r ' '~,~ I, Janet M. Powell, testator whose name i:: signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as a Codicil to my Last Will and Testament; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Janet M. Powell COMMONWEALTH OF PENNSYLVANIA COUNTY OF On this ~ day of ,2008, before me, the undersigned officer, personally appeared Janet M. P ell, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Codicil to the Last Will and Testament, who acknowledged that she executed the same as her Codicil to her Last Will Testament. NO~t SEAL i ~JVi ~- ~ ~ Notary P blic ~+ tibNc rw~aer~ anr, oNURw caum- My conwntalon ~ dun TT. 4010 We, -,t~~,hh ~ J . ~~c; n e c,~~~ and ~,ler~anc~ j~'lati~~,ne,~ ,the witnesses whose names are signed to the attached of foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as her Last Will and Testament; that the testator signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the will as a wi~ess; and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Page 2 of 3 pages. LAST WILL AND TESTAMENT OF JANET M. DIEHL N N n n N N O n_ Q a u N N N N X O m I, Janet M. Diehl, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my bast Will and Testament, hereby revoking all Wills and Codicils by me at any time previously made. FIRST I direct the payment of my just debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently maybe done. SECOND I give, devise and bequeath a life +~state in my residence known as 14 Kings Arms, Mechanicsburg, Pennsylvania, to my friend, DAVID P. POWELL. Upon the death of David P. Powell, I direct that the house be sold and. the proceeds by shared equally by my daughter, Lori A. Prevost, and the son of David P. Powell, Raymond D. Powell, or their survivor. THIRD I hereby give, devise and bequeath the rest and residue of my estate as follows: a. Two-thirds to my daughter, Lori A. Prevost b. One-third to be divided among any grandchildren I have at the time of my death and if they have not atxained the age of eighteen (18) then to said grandchild, IN TRUST, to be used for post-secondary education, with the balance to be distributed at the age of twenty-five (25). FOURTH All shares of principal and income hereby given shall be free from anticipation, assignment, pledge or obligation of the beneficiaries ~!.nd any of them, and shall not be subject to any execution, attachment, levy or sequestration or other claims of the creditors of said beneficiaries or any of them. Page 1 of 5 pages. FIFTH Any person who shall have died at the same time as I or under such circumstances that it is diff cult or impossible to determine who shall have died first, shall be deemed to have predeceased me. N N n N N m 0 a ri m a N N N X a m 0 a 0 0 v W N a z 0 0 0 U J J W Z z Q Z Q N U 4 0 i ~I SIXTH All death taxes (and interest and penalties thereon) imposed as a result of my death upon the property passing under my Will, and upon assets held in any qualified or non-qualified deferred compensation plan or IRA, and proceeds c:~f insurance on my life, but not otherwise, shall be paid out of my residuary estate, each share thereof, to bear a pro rata portion of such taxes. I authorize my Executor, in my Executor's sole discretion, to make an election, in whole or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property passing to or for the benefit of my spouse or to defer the: Pennsylvania Inheritance Tax on such property. My Executor shall be without liability to anyone for making or failing to make such election. SEVENTH My Executor shall have the following powers in addition to those conferred by law until all property is distributed: (a) To retain any real or personal property in the form in which it is received. (b) To sell at public or private sales for cash and/or credit, to exchange, and to lease for any period of time, any real or personal property and to give options for such sales, exchanges, or leases. {c) To purchase all forms of property, including but not limited to stocks, bonds, notes and other securities, common trust funds, life insurance policies and real estate, or any variety of real or personal property, without being confined to so-called legal investments and without regard for the principle of diversification. (d) To purchase securities at a premium or discount and to charge such premium or credit such discount to principal or incom~°. (e) To exercise any option ari;~ing from the ownership of any investment; to join in any recapitalization, merger, reorganization, liquidation, dissolution, consolidation or voting trust plan affecting any investment; to delegate powers with respect thereto; to deposit securities under agreements and pay assessments; to subscribe for stock and bond privileges; and generally to exercise all rights of security holders. (f) To hold property unregistered or in the name of a nominee. .Page 2 of 5 pages. (g) To mortgage, divide, alter., repair and improve real property and generally to exercise all rights of real estate ownership. (h) To distribute in cash, in kind, or partly in each, and to cause any share to be composed of cash, property, or undivided fractional shares in property different in kind from any other share. N N N 0 m N N X 0 m 0 0 U W c 0 z 0 0 M 0 a J m U W z z Q z Q N W U 0 J (i) To compromise claims by or against my estate including but not limited to tax issues and disputes, without order of court or consent of any party in interest and without regard for the effect of such compromise on any interest hereunder. (j) To borrow money and to pledge any real or personal property as security for the repayment thereof. (k) To apply income for the b;;nefit of any incapacitated individual to whom income may or must be distributed for any reason during the period of incapacity. Income not so applied maybe distributed to a custodian or accumulated, invested and if not sooner applied, paid to such individual upon gaining capacity. (1) To join with my spouse or my said spouse's personal representative in filing any joint income tax return, and to join in any gifts made by my said spouse for gift tax purposes even if this may result in additional liabilities for my estate. Any income or gift taxes due on such returns and any deficiencies, interest, penalties or refi,.nds thereon shall be allocated between my estate and my said spouse or my said spouse's estate, or all to any of them, in such manner as my Executor and my said spouse or my said spouse's personal representative may agree. (m) To apply expenses of my e;state permitted as income tax or real estate tax deductions and to value my estate for estate tax purposes by any method permitted. (n) To employ accountants, a;ents, attorneys, investment counsel, brokers, bank or trust company to perform services for and at the expense of my estate and to carry or register investments in the name of the nominee of such agent; broker, bank or trust company. The expenses and charges for such services shall be charged against principal or income. My Executor is expressly relieved of any liability or responsibility whatsoever :for any act or failure to act by, or for following the advice of, such accountants, agents, attorneys, investment counsel, brokers, bank or trust company, so long as my Executor exercises due care in thei~• selection. The fact that an Executor may be a member, shareholder or employee of any accounting, investment, legal or brokerage firm, agent or bank or trust company so employed shall not be deemed a conflict of interest. Any compensation paid pursuant to this subparagraph shall not afi:ect in any manner the amount o:f or the right of my Executor to receive commissions as a fiduciary. (o) To invest any part of my residuary estate in, or lend money to, any closely-held business in which I may have an interest Fit my death for any purposes incident thereto, including but not limited to expansion and entry into new fields of business provided that only assets actually invested in such business shall be liable f~~r the debts incurred in its operation. Page 3 of 5 pages. (p) To disclaim any interest in property without court approval. EIGHTH N N n m N N N n Q a u rc m a N N X 0 m 0 a W K N 0 0 ~n 0 z 0 0 M 0 0 J 2 f U J J W Z F (n Z Q W Z_ U' Q I N ui W U 4 4 3 Q J (a) I appoint David P. Powell as Executor. If he fails to qualify or ceases to act for any reason, I appoint my daughter, Lori A. Prevost, as Executor in his place. (b) My Executor shall not be required to post security in any jurisdiction. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, this ~ ~= day of ~; 2r~.,lul•'~-cj , 200,x. 1 ~` ~~~~~ ~ ~~~1 ~~~ (SEAL) Janef .Diehl r Signed, sealed, published and declared by the above-named Testator, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said ".:'estator and of each other. WITNESSED BY: ':'age 4 of 5 pages. ~~~v~ .; ~ ~ RT ~'. 'z ~ ~ i. ~ Parcel No. ~ ~~ Made the ~~ day of ~ `~t-~ rz~-- , 2404. Between JANET M. DEHL, a4~~ by reams ~ tt'e, JANET 1Vi. PUWELL,an adult iudvi~:ual, of Cumberland County.:E'e~nsylvania, "Grantor" AND JANET M. POVVELL AND DAVID P. POWELL, huslraad and ~vlfe, of Cumberland County, Pennsylvania, "Grantees" VvITNESS, that in consideration c~t'the sum of Ose Du~~r ($1.40) in baud paid, the receipt whereof is hereby acknowledged, ,.-~ad infending bo be legally bound hereby, the Grantor does grant and convey to the Grantees as j Dint tenants with the right of survivorship and not as tenants in common, ALL THAT CERTAIN tract or f arcel of land ahd premises, situate, lying and being in the Township of Hampden in the Comity =~~ Cumberland and Commonwealth of Pennsylvania, more particularly described as follows: ALL that certain unit in the prope--ty known, named and identified in the Declaration Plan referred to below as King's Arms Cr 3~dominium, she in the Village of Westover, Hampden Township, Cumberland County, Pennsylvania, which has been. submitted to the provisions of the Unit Property Act of Fe3Et~sylvana; Act of July 3, 1963, P.L. 196 (68 P.S. Section 700.101, et. se4~, by recording in tie Office of tie Recorder of Deeds of Cumberland County, Pennsylvania, of a Declaration d~ a: ad May Zfl, 1975 anal recorded in Misc. Book 214, Page 836, and a Declaration Plan dated N <ay 21, 1975 awl recorded in Plan Book 26, page 70, and Amendment to Declaration Plan dax~ l :August 4, 1976 and recorded in Plan Book 28, page 98, and a Code of Regulations, Exhibit "ft"' of said Declaration described as follows: BEING and designated on the De::l~aration Plan as Unit C-14, with detacb~i garage, said garage designated on the Declaration Plan: ,~s Unit C-14-~r, together with an undivided interest appurtenant to the unit in all Common El<:ents (as defamed in the D~laratian) of 5.27%. The unit is municipally numbered as 14 King's Arms, Village of Westover, 1Vlechanicsburg, Pennsylvania UNDER AND SUBJECT to certaixa restrictions, rights of way, easements and agreements of record. TOGETHER with the benefits of end under and sub}ect to the terms, covenaa~ts and a~~ ~~4 ~bc~4~9~ conditions contained in the Declart~n, Ir~~llaaa~ation Plan and Code of Regulations aforesaid. TOGETHEI€~ with the right ofinga~:ss to and from said property and the right to use, for all proper purposes, in common with Pens t~~oro Flumes, Inc., its successors and assigns, and all other occupants form time to time, any an ~: all portions of the project designated a Common Elements by the Declaration or by statute: BEING THE SA11~ P~El~E` which Mattla~ew M. Shook antl Sam. L. Shook, his wife, by deed dated July 28, 1993, aarci rec r,rded in the Off'ice of Recorder of Deeds in and for Cumberland County in Deed. Book K, vol ~:~e 36, page 1145, granted and conveyed to Janet M. Diehl, Grantor herein. .AND the Grantor will warrant spe . pally the properly hereby conveyed: -}-~-; ~, ~ s A ?f~ X - ~"E-~~-r n'7 Lo ~3 v -:'Y'~~t N C ~ ~3 ~? tnJ ~EE ,'~ i~% i ~ r~ n% s~ ~h;5"t3,~': h31 IN WITNESS W€~ERE(?~`, the t;f~antor has hereunto set her hand and seal the day and year first above written. Witness as to ~~"` ~ ~.~ (SEAL) ~'~ . ` ~~ J T M. D~EFiL ~.~ ~ e l« ~ ~~f~` (SEAL) J ;T M. POWELL COMMONWEALTH OF PENNSYLVA ~'A SS COUNTY OF DAUPHLN On this, the 5~ day of ~ ~•~~ ~- zc>~' ~ ,before me, the undersigned officer, personally wed Janet M. Diehl, now Janet M. Pow~l,known to me (or satisfactorily proven) to be the person wl3ose name. is sub<xribe ~ to the within instrument, and acknowledged that she executed the same for the purposes therein. contained. IN WITNESS WI~EIiE~E, I he-~.unto set my hand. and official seal. ;'. No publ' r .. My Commission E xpires: H Or PF:~fSYLVAd~tlA Sep Joiaruta J. iC©pedcy, Pio@~y Public (~of~9. c~Y tby C~rsara~icr- tdow. ~ 9, 2t3f~t AAember. Pennsy}va~;a Assocaat~on Of Notaries I HEREBY CERTIFY, that the pr:~ise residence of the Grantees is 14 Kings Arms, Mechanicsburg, PA 17050. ` fit /T7"i~~~ Jf ~- COMMONWEALTH OF PENNSYLVI~:NIA SS COUNTY OF CUMBERLAND Recorded on this day of _„ in the Recorder's Office of the said County in Deed Book .Page _„~ Given under my hand and the seal of the said Office, the date above written. Recorder of Deed s r .. #' ~ ~ ~. ~{ y M ~~ Z ~ ? '{'•..