HomeMy WebLinkAbout07-21-10~ ~
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Glenda Farner Strasbaugh
Register of Wills &
Clerl: of Orphans' Court
Marjoe•ie A. Wevodau
First Deputy
Kirk S. Sohonage, Esq.
Solicitor
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Fax: (717)240-7797
OFFICES OF
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
Date: ~ . , ' ~,
We are unable to process the enclosed document. It is being returned to you for the
following reason:
^ Must be filed in duplicate.
L,~~
~id not include the filing fee of $ ~ ~ ~ (Made payable to
Register of Wills)
~d Your Inheritance Tax payment has been processed. You will find yoLU• receipt
enclosed.
D Other:
If you have any questions or concerns, please call the off ce at 717-240-6345 between
8:00 a.m. and 4:30 p.m.
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Attaching the documents indicated below will help us to process tax returns more efficiently. If the
Schedules in the left column are being used in a tax return, the preparer must include the appropriate
documentation as indicated in the right column. Failure to do so may delay the processing of the tax return,
and may result in an unfavorable assessment of tax.
tf the decedent's will and codicils were probated, copies must be submitted.
Check Blocks: Documentation Required
4a. Future Interest
Compromise Schedule M, see below
5a. Federal Estate Tax Return
Required Form 706, Federal Estate Tax Return
6. Decedent Died Testate Complete copy of will and all codicils
7. Decedent Maintained
Living Trust Complete copy of trust instrument
9. Litigation Proceeds
Received
11. Election to Tax Under
Section 9113(a)
Schedules:
Schedule A
Schedule B
Schedule C
Schedule D
Copies of court orders indicating the amount of the distribution/award, and the
allocation of wrongful death/survival awards, the date the proceeds were actually
received by the estate
Schedule O, Parts A and B completed, will and/or trust instrument
Proof of fair market value, such as a qualified appraisal, settlement sheets, or
agreements of sale prepared for the sale of the property. Copies of deeds for
property in which the decedent held a fractional interest.
Summaries received from brokers, financial institutions, or valuation services
Proof of fair market value of the decedent's interest, such as a qualified appraisal.
See Page 10 for a more specific list.
Copies of amortization schedules or any other documents used in valuing the
decedent's interest
Schedule E Appraisals of assets valued at $3,000 or more, or collections valued at $10
000 or
,
more. Statements from financial institutions. Settlement a reement
which resolve litigation commenc
d b
~
e
y or on behalf of t e deceden
which results
in an award.
Schedule F Copies of statements from financial institutions. Copies of deeds for jointly held
real property. Documentation showing the date the asset was placed in joint
ownership.
Separate Billing Requested Complete description of jointly-held assets, including the name of the financial
institution, account number, balance as of the date of death, the date the account
was created in joint ownership, and the balance as of the date of death. For jointly
owned real property, include a copy of the deed, and proof of fair market value
(See Schedule A above). Name and current address of the surviving joint owner(s)
,
and their relationship to the decedent.
Schedule G Copy of deed and proof of fair market value for real property. Documentation which
verifies fair market value for other types of assets. Copies of annuity or retirement
contracts. Documentation showing the date the asset was transferred
/
/
Schedule H .
Copies of bills for reasonable funeral expenses are NOT necessary. Copies of
receipts for customary administrative ex
yyy penses are also NOT necessary. However
c
f
,
opies o
all bills and receipts should be maintained should it be necessary for the
Department to determine if a joint tenant or transferee is entitled to claim a
deduction.
/
V Schedule I Copies of statements which provide proof of the decedent's liability as of the date
of death.
Schedule J Copy of birth certificate for decedents whose estate includes transfers under Section
9116(a)(1.2). Disclaimers if appropriate. Family Settlement agreements
Schedule K .
Will and/or trust instrument
Schedule M Will and/or trust instrument. Copies of the estate representatives' calculations of
the trust estate and tax due. Copies of purchased actuarial calculations.
Statements furnished by the estate representative
t
or
rustee concerning the
general health and financial needs of each of the beneficiaries. Form 706
if the
,
estate was required to file with the IRS.
22
Harry Corney ... 189-03-2053
Form 706 -Not Required, Not Attached
Farm 7Ub Filing Requirements for Decedents Dying in 2009
Form 706 must be filed for the estate of every U.S. citizen or resident whose gross estate, plus
adjusted taxable gifts and specific exemption, is more than $3,500,000.
Unified Credit (Applicable Exclusion Amount)
A credit is an amount that reduces or eliminates tax. A unified credit applies to both the gift tax
and the estate tax. You must subtract the unified credit from any gift tax that you owe. Any
unified credit you use against your gift tax in 1 year reduces the amount of credit that you can
use against your gift tax in a later year. The total amount used during life against your gift tax
reduces the credit available to use against your estate tax.
The unified credit against taxable gifts remains at $345,800 (exempting $1 million from tax)
through 2009, while the unified credit against estate tax increases during the same period. The
following table shows the unified credit and applicable exclusion amount for the calendar years
in which a gift is made or a decedent dies after 2001.
For Gift Tax Purposes: For Estate Tax Purposes:
Year
Unified Credit Applicable
Exclusion
Amount
Unified Credit Applicable
Exclusion
Amount
2002 and 2003 345,800 1,000,000 345,800 1,000,000
2004 and 2005 345,800 1,000,000 555,800 1,500,000
2006, 2007, and 2008 345,800 1,000,000 780,800 2,000,000
2009 345,800 1,000,000 1,455,800 3,500,000
REGISTER OF WILLS
CUMBERLAND COUNTY
PENNSYLVANIA
No . 2009- 0 X064
Estate Of : HARRY CORNEY
Cc ~TIF3CA~"E 04
GRANT OF LETTERS
PA No . 21- p9~~ 308;
(First, Middle, Last/
Late Of : NEW CUMBERLAND BORO UG 4`
CUMBERLAND COUNTY
Deceased
Soci a1 Security No : 9 89-03-2053
WHEREAS, on the 16th day of November 200a an instrument da r~:='°~~_
September 3rd 1999 was admitted to probate as the last t'llil ' :~'
HARRY CORNEY
(First, Middle, Last1
late of NEW CUMBERLAND BOROUGH, CUMBERLAND C~~:l,~:°,
who died on the 28th day of October 2009 and,
WHEREAS, a true copy of the wi 11 as probated i s annexed hex-e to .
THEREFORE, I, GLENDA EARNER STRASBAUGH Register of WTi 11 s i ~~ F-~ ~..
for CUMBERLAND County, in the Commonwealth of Pennsylvania, here^~r
certify that I have this day granted Letters TESTAMENTARY ~~.:
JOHN RA YMOND CORNEY
who has duly qualified as EXECUTOR(RIX1
and has agreed to administer the estate according to law, all of ~°1~~~:.~
fully appears of record in my office at CUMBERLAND COUNTYCOUR?"H`O~u;.;
CARLISLE, PENNS YL VA NIA .
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed t1i~ ;~~-~~_
of my office on the 6th day of /November 2009.
,.
* *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, L~~w 1""
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~T~ iJ~?i~ frfl~t?~NTi'.Y
~-, !11"~.R_.(~_~ l,t%j'C•iV.~~r, Qf r11e L3rT~'~L:t~l. l.~_~- LVe~lV L~~l_d~'tt.;a.l~iiCliai.I, ~.-~..'-ttu:)t'_~m1G~..~~~..~
CL~.1.111~ y'~ lyPnlls ~vatlla laeL...~~rr,- L r-, +- ~ m`s e'+t- i.-'~ 1 ^iZ ~ r t ~-
V 11 y S ~ v .,...,E t t t Y 1 a ~ ~ v~ ~ a ~ t:: ~ t..t ~' ~~ ;.~ ; E: ~ ~ _ ~ ~.
~:T~11 pre~~~iousl~,T made b`~ T,e .
ITEM i I direct teat my EXeCUtGr r';.el"elnc~ite?" ilaT~ed S ic~:.i N°r'~
all m~~ just debts and funeral expenses as soon as canvenie~tllr :^a;,r ~,~
done after my decease.
ITEM II : I devise and bec,aeath al! the rest, res } emu` a :~~.~. r~r,~;v:;___-
der of my estate, of every nature and w~tere~,%e ~ tu~~t~e, ~.~~, z,i~J ~~~~ ;
JOHN ~YMOND ~OxIvEY, or his issue .
ITEM III : I appcint my son, J~JHN RAi'MJI~T~ ~L~F.NE`~ , ~xeLU.~v
this my last will.
ITEM IV: IVTO fiduciary aC~1nc~ he~eUnd~r S~1a1i. b~ r~~~uir~=., i~..:1 ~.~~:~`
bond or enter security for the faithful ,aertormance of ::za;`her d~:t.~ea,
in any ~ urisdictiorl .
Pa Sze i o f 4
II~T WITNESS WHEREOF, T, HARRY CORNEY, r`a~.'e hereurxt.{Y~ ~e~~ my "1~3`st<
. ;.
and seal .his -' -day of ~ ~~~~--~'~~~ ? 9w~a .
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HAr2~Y CQRIvT1JY
SIGNED, SEALED, Pz3BLISiiEi:~ ali~.i i:i~LL~1FtF:3J by~l ~1ARRY ~v~uvEL, ~ e
Testator above named, as and for his Last G~1ii1 and Testame.~t, and i_`~
the presence of us, who at his request, in his presence anti. ?r the=
presence of each other, have subscribed our names as witizesSe4".
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Address
COMMONWEALTH O1~ PENNSYLVAIv~TA
. SS.
COUNTY OF CUMBERLAND
I, HARRY CORNEY, the Testator whose name is signed to the a`t.
tacked or foregoing instrument, having been duly qualifyed accordi~
Page ~ o r tZ
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~.o ~ aw uo hereby ~ g:~ _ e~ ,~- .,~ r ~,; _~ . ~,
,-- a ac.~nowledge treat I sI n,ed a~E~~ ~~r. t :, ~-~., ,_~~s .:-1~~~~ -
meat as my last will; that I signed it willingly a~~d that I s1gnu.~ _.~
as my free and voluntary act fcr the purposes therein ccntaine~.
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s~knY C~~~TEY
Sworn to cr affirmed to and ackr~owl~c~.ged before ine b~~- H~~.R~
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CORNEY. the Testator, this `, ._f.~ day of _-•:.,F=_~",;. ;~ '....; j ~~~:.
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NOTP-F~IAL SEAL
PAT~ICH!A t... 'YOTF~, N~Cary ~t~Dc
~ ldew CucnE~l~nQ Bari. ~umt~etlarx~ ~.
My v~mmissian Ex~lt~s ~iov 18,
C~MM~I~WE~LTH OF r~tvil3SYL`v'~~V~I~
. SS.
COL~ITY ~JF' CL3MBEF2LA'~ID
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the W1tneSSeS whose Haines are S1~n~d tG r i1E'. attaCh~d ~r ~.v~ G~oili
instrument, being duly qualified according to law, depc; e ar_d say t~~.~t
we were present and saw Testator sign and execute the irstrumPn} ~~s
his last -Hill ; that Testator signed willingly and that h.e execute, it
as his free and voluntary act for the purposes t.iier~ei n eXpreSSed; t~~-~~-
gage ~ ,v,~= 4
each of us in the hearing and sight of tr.e .tvS~~~~~,:~~. ~ ~~{:.~~ `.~xe sr~s~_~. __
witnesses; that to the best of our knowledge, the Testator was at ~r~-
time eighteen or more years of age, of sound ;Hind and us~der r_o coxx-
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straint or undue influer~~:e ,
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Sworn to ar of f irrned to acid acnnowledged before rr:e by
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~'~~TRIi;#~(A L. YOT~~, i+io~ary Pubiic
New Cum~iand t~or~, Ci.tmt~e~lanQ Co.
N!y Commissign ~ir~s Nov. 38, 2flQ2
Page ~ ~v~ * ~.
J 1505610101
REV-1500 Ex X01.1°'
PA Department of Revenue pennsylvania OFFICIAL USE ONLY
OEPANTMENT Of NEVENUE County Code Year File Number
Bureau of Individual Taxes INHRERI; ANCE TAX RETURN ,~ ~ ~;~ ~ ~
PO BOX 28o6oi ~ `~ ( ~ -f
Harnsburs, PA 1128-o6oi ES DENT DECEDENT
..........
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
189-03-2053 10/28/2009 01 /11 /1915
Decedent's Last Name Suffix Decedent's First Name MI
Corney Harry
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse s Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death
O 4. Limited Estate
~ 6. Decedent Died Testate
(Attach Copy of Will)
O 9. Litigation Proceeds Received
O 4a. Future Interest Compromise (date of
death after 12-12-82)
O 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
O 10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
prior to 12-13-82)
O 5. Federal Estate Tax Return Required
0 8. Total Number of Safe Deposit Boxes
O 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number ~-~
_ __.
_.._ _ _..
John R Corney, Executor (732) 793-529 ~~ ~ ~~
,; ,
,~
,,
~,
~:~~~
~. ~ c ~~
--s
DATE FILED
Correspondent's a-mail address: Corney@comcast. net
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE~OFPERSON-RESPp11Q~IBLE FOR FILING RETURN
Z~)Q
ADDRESS
1. ~ ~{~~~c ~~, le e ~ NS O ~~T3S -2?0 6
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610101 1505610101 J
J
1505610105
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Harry COrney ` 189-03-2053
RECAPITULATION
1. Real Estate (Schedule A) .......................................... ... 1. ' 154,900.00
2. Stocks and Bonds (Schedule B) .................................... ... 2. 0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3. 0.00
4. Mort a es and Notes Receivable Schedule D
9 9 ( ) ........................
... 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. 12,082.00
6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. 0.00
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested..... ... 7. 0.00
8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 166,982.00
9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. 13,484.52
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... ... 10. 9,954.00
11. Total Deductions (total Lines 9 and 10) .............................. ... 11. '; 23,438.52
12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. ', 143,543.48
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
14. an election to tax has not been made (Schedule J) .................
Net Value Subject to Tax (Line 12 minus Line 13) ................. ....... 13.
....... 14. 0.00
143,543.48 i
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
_ _
trans ers under Sec. 9116 _ __ _ _. _ __
_ __
(a)(1.2) X .0_ 15.
16. Amount of Line 14 taxable
at lineal rate X .0 _ 16.
17. .. _
Amount of Line 14 taxable
at sibling rate X .12 17, ' 17,225.22
18. Amount of Line 14 taxable
at collateral rate X .15
_ _ _ 1 g,
_ __
19. TAX DUE .................................................. ....... 19. ; 17,225.22
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
1505610105 1505610105 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number
DECEDENT'S NAME
Harry Corney
STREET ADDRESS
1903 Beckley Dr
CITY
New Cumberland STATE
PA ZIP
17070-1406
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19) (1) 17,225.22
2. CreditslPayments
A. Prior Payments
B. Discount
Total Credits (A + B) (2)
3. Interest
(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) 17,225.22
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 :.......................................................................................... ^
b. retain the right to designate who shall use the property transferred or its income : ............................................ ^
c. retain a reversionary interest; or .......................................................................................................................... ^ 0
d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ X^
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ^ X^
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? ........................................................................................................................ ^
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 Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is
3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 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 4.5 percent, except as noted in
72 P.S. §9116(1.2) [72 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 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX+ (11-08}
~ pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Harry Corney 21-09-1064
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
If more space is needed, insert additional sheets of the same size.
Listing Activity Report
1903 Beckley Drive, New Cumberland
Jun 16, 2010, 12:25 PM
Homeowner: John Corney
(609) 408-3858 (Home Phone)
Presented By: DAVID CLOUKEY
Tel: (717) 557-4079
(717) 652-3500
Email: dcloukey~weichertfirstchoice.com
Directions: Heading to New Cumberland from Lemoyne; S/Bridge St; R/Carol St.; L/Beckley, Home on corner
Activity .Mail
Show Feedback Detail .With Showing
Showings Total: 4 Last Thirty Days: 4 Last Seven Days: 2 Agent Inquiries: 1 Ad Calls: 0 Sign Calls: 0
.!. r ~ y ~. off;: •?~'
Past 06/11/20106:30 Showing
Showing FM - 7:30 PM
Past 06/11/2010 5:00 Showing
Showing tfitiA - 8:00 PM
Past O6/02/20101:00 Showing
Showing FM - 2:00 PM
Open 05/30!20101:00 The open house was a huge success. 1 had 7 nosey neighbors and 2 reel buyers. Unfortunately everyone thought thai there was work that would need to Lie done. The primed
House F#A - 4:OD PM but. not paifsted welts. are a downside. The roof was brought up as well. Everyone liked the location. Out of the two buyers one said it was priced right and the other thought it
was priced high. AN the people who came threw were brought in by the signs.
Comment 05/26/2010 9:00 Placed open house information on MLS, bulletin board, weichertfirstchoice.com, homesandland.com & weichert.com
AM
Agent 05!24/2010 4:01 The agent viewed the showing instructions online at 4:01 PM.
Inquiry FRII
Past 05/21/20101:30 Showing
Showing FAA - 2:30 PM
New 05!17/2010 4:00
Listing HN
®Copyright 2010 ShowingTime, Inc. All Rights Reserved
Pagel/1
MLS Number: 10195026
Address: 1903 Beckley Drive, New Cumberland
Prlce: $154,900.00
Status: ACTIVE
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCI~IEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Harry Corney 21-09-1064
Include the proceeds of litigation and the date the proceeds were received by the estate.
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-1511 EX+ (i0-Q9)
~ ~ pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Harry Corney 21-09-1064
Decedent's debts must be reported on Schedule i.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Christman's Funeral Home -Services of Mortician -Cremation & Transportation 2,035.00
2 Maple Hill Cemetary -Grave Opening 400.00
3 Normandy Beach Landscaping -Grave Blanket 49.95
4 Pasquales Restraurant -Funeral Refreshments for Attendees 136.72
s PA Turnpike Svc Center - NE Extension -Refreshments for Family 38.76
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s) John COrney, EX@CUtor
street Address 1 Newark Ave
city Lavallette state NJ ZIP 08735
Year(s) commission Paid: 09-10:Admin of Real_Prop Decendent's Name - Exector Fee
z• Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
4.
5.
6.
7.
City State
Relationship of Claimant to Decedent
Probate Fees:
Accountant Fees:
Tax Return Preparer Fees:
ZIP
TOTAL (Also enter on Line 9, Recapitulation) I $
If more space is needed, use additional sheets of paper of the same size.
10,442.10
67.99
314.00
13,484.52
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0
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(D
Spending by Payee -Last 12 months:6
07/05/09 through 07/04/10
07/04/10 Page 1
07/05/09-
Payee 07/04/10
Ace Hardware 148.99
Ach Websingle CKFXJCX)CX2222POS 1,326.70
_
Burger King _
18.11
Burger Kings P11390093 10.99
Cumberland Borough 126.63
Darin Ritchie 850.00
Free Flow Drain Cleaning 175.00
Giant Food #253 18.20
Harbor Freight Tools 199 96.28
Hepfers Homecenter 290.95
Hess 30304 108.65
Hess 38419 _ __ _ 31.01
Hess 38429 4.94
Jerry Gentile 470.00
John Corney 485.67
John Corney, Executor 3,000.00
Keystone True Value 6.35
Lowes #01034* _ _ _ 247.41
Lukoil 57370001 37.43
Lukoil 75078 26.00
Mcdonald's F 10579 _ _ _ _ _ 7.37
Mcdonald's F14266 4.05
Mcdonald's F18439 4.23
Mcdonald's F2449 13.74
New Cumberland Borough 194.02
New Jersey E-zpass 90.00
Nick's 114 Cafe __ _ _ _ _.296.68
Olde Towne Beverage 19.85
Ollies Bargain Outlet 003 42.28
Pa DRIVER/VEHICLE Serv 6.00
Pennsylvania American Water 32.64
Ppl Electric Utilities 41.15
Robin Gasperitti, Tax Collector 874,28
Roy Rogers Pa-11340023 8.78
RT Carey Trucking LLC 330.80
Rutter's Farm STORE#64 10.00
Rutter's Farm Stores # 22.50
Sheetz 00002287 4.44
Sunoco 62.05
Sunoco Svc Station 207.17
Travels Remittance Center 374.00
Turkey Hill #0187 Q69 _ _ _ _ _ _ 35.01
Unknown 0.00
Verizon 69.17
Verizon PA -2.65
Wawa 758 00007583 32.45
Wawa 949 00009498 17.74
Wawa Food Markets 109.62
Weis Market 17.30
Weist Hardware Inc 14.82
Spending by Payee -Last 12 months:6
07/05/09 through 07/04/10
07/04/10
07/05/09-
Payee 07/04/10
Your Place Restaurant We 23.30
OVERALL TOTAL
10,442.10
Page 2
Itemized Payees -Last 12 months:2
07/05/09 through 07/04/10
07/04/10
Date Account Num Category Tag Memo Clr Amount
Page 1
EXPENSES -10,442.10
Ace Hardware -148.99
05/16/10 Chase - 1537 Estate Costs:... c -148.99
Ach Websingle CKFXXXXX2222P0S -1,326.70
12/01/09 PNC Estate Estate Costs:... UGI UTILITI... R -72.71
12/10/09 PNC Estate Estate Costs:... PENN AME... R -19.01
12/10/09 PNC Estate Estate Costs:... UGI UTILITI... R -48.21
12/14/09 PNC Estate Estate Costs:... PP&L ONLI... R -26.25
01/06/10 PNC Estate Estate Costs:... UGI UTILITI... R -188.35
01/12/10 PNC Estate Estate Costs:... PENN AME... R -18.50
01/13/10 PNC Estate Estate Costs:... PP&L ONLI... R -29.88
02/02/10 PNC Estate Estate Costs:... PENN AME... R -18.50
02/02/10 PNC Estate Estate Costs:... PP&L ONLI... R -29.88
02/23/10 PNC Estate Estate Costs:. UGI UTILITI... R -204.10
02/23/10 PNC Estate Estate Costs:... PENN AME... R -18.56
02/23/10
__ PNC Estate Estate Costs:... PP&L ONLI... R -10.98
03/09/10 PNC Estate Estate Costs:... UGI UTILITI... R -208.09
03/10/10 PNC Estate Estate Costs:... PENN AME... R -1.06
03/16/10 PNC Estate Estate Costs:... PP&L ONLI... R -23.34
04/16/10 PNC Estate Estate Costs:... UGI UTILITI... R -94.63
04/22/10 PNC Estate Estate Costs:... PENN AME... R -18.56
04/26/10 PNC Estate Estate Costs:... PP8~L ONLI... R -32.04
05/10/10 PNC Estate Estate Costs:... UGI UTILITI... R -69.43
05/21/10 PNC Estate Estate Costs:... PENN AME... c -66.35
05/21/10 PNC Estate Estate Costs:... PP&L ONLI... c -35.04
06/14/10 PNC Estate Estate Costs:... UGI UTILITI... c -28.26
06/14/10 PNC Estate Estate Costs:... PENN AME... c -26.56
06/15/10 PNC Estate Estate Costs:... PP&L ONLI... c -38.41
Burger King -18.11
10/29/09 Chase - 1537 Estate Costs:... c -8.94
10/30/09 Chase - 1537 Estate Costs:... c -2.75
11/05/09 Chase - 1537 Estate Costs:... c -6.42
Burger Kings P11390093 -10.99
04/28/10 Chase - 1537 Estate Costs:... c -10.99
Cumberland Borough -126.63
11/23/09 PNC Estate Estate Costs:... Garbage Ch... R -126.63
Darin Ritchie -850.00
04/29/10 PNC Estate 0 Estate Costs:... R -500.00
05/12/10 PNC Estate 0 Estate Costs:... c -350.00
Free Flow Drain Cleaning -175.00
04/29/10 PNC Estate 0 Estate Costs:... R -175.00
Giant Food #253 -18.20
05/09/10 Chase - 1537 Estate Costs:... c -6.24
05/10/10 Chase - 1537 Estate Costs:... c -11.96
Harbor Freight Tools 199 -96.28
04/13/10 Chase - 1537 Estate Costs:... Hand Truck ... c -96.28
Hepfers Homecenter -290.95
04/14/10 Chase - 1537 Estate Costs:... Dad c -56.67
04/16/10 Chase - 1537 Estate Costs:... Dad c -33.91
04/20/10 Chase - 1537 Estate Costs:... Dad c -5.20
04/20/10 Chase - 1537 Estate Costs:... Dad c -8.47
Itemized Payees -Last 12 months:2
07/05/09 through 07/04/10
07/04/10
Date
Account
Num
Category
Tag Memo
Clr Page 2
Amount
04/26/10 Chase - 1537 Estate Costs:... Dad c -30.48
05/10/10 Chase - 1537 Estate Costs:... Dad c -179.03
05/10/10 Chase - 1537 Estate Costs:... Dad c -13.21
05/17/10 Chase - 1537 Estate Costs:... Dad c 36.02
Hess 30304 -108.65
12/15/09 Chase - 1537 Estate Costs:... c -27.00
12/15/09 Chase - 1537 Estate Costs:... c -35.50
05/06/10 Chase - 1537 Estate Costs:... c -32.80
05/16/10 Chase - 1537 Estate Costs:... c -13.35
Hess 38419 -31.01
11/08/09 Chase - 1537 Estate Costs:... c -31.01
Hess 38429 -4.94
11/18/09 Chase - 1537 Estate Costs:... c -4.94
Jerry Gentile -470.00
12/16/09 PNC Estate 7005 Estate Costs:... Snow Remo... R -200.00
02/16/10 PNC Estate 7018 Estate Costs:... Snow Remo... R -150.00
04/23/10 PNC Estate 7031 Estate Costs:... Lawn Care R -60.00
06/09/10 PNC Estate 7038 Estate Costs:... c -60.00
John Corney -485.67
11/12/09 PNC Bank DEP Estate Costs:... Prior to Dad'... -352.63
01/04/10 PNC Estate 7010 Estate Costs:... Ck 7010 R -42.46
04/28/10 PNC Estate 7030 Estate Costs:... R -62.75
04/28/10 PNC Estate 7032 Estate Costs:... R -27.83
John Corney, Executor -3,000.00
07/04/10 PNC Estate 101 Estate Costs:... -3,000.00
Keystone True Value -6.35
05/23/10 Chase - 1537 Estate Costs:... c -6.35
Lowes #01034* -247.41
05/11/10 PNC Estate 85154495 Estate Costs:... Soffit Material c -247.41
Lukoil 57370001 -37.43
04/12/10 Chase - 1537 Estate Costs:... c -37.43
Lukoil 75078 -26.00
11 /01 /09 Chase - 1537 Estate Costs:... c -26.00
Mcdonald's F10579 _7.37
04/13/10 Chase - 1537 Estate Costs:... c -7.37
Mcdonald's F14266 -4.05
04/20/10 Chase - 1537 Estate Costs:... c -4.05
Mcdonald's F18439 -4.23
05/17/10 Chase - 1537 Estate Costs:... c -4.23
Mcdonald's F2449 -13.74
04/26/10 Chase - 1537 Estate Costs:... c -7.19
05/10/10 Chase - 1537 Estate Costs:... c -6.55
New Cumberland Borough -194.02
02/25/10 PNC Estate 7022 Estate Costs:... Garbage and... R -96.47
05/18/10 PNC Estate 7033 Estate Costs:... c -97.55
New Jersey E-zpass -90.00
11 /02/09 Chase - 1537 Estate Costs:... c -30.00
11 /10/09 Chase - 1537 Estate Costs:... c -30.00
11 /22/09 Chase - 1537 Estate Costs:... c -30.00
Nick's 114 Cafe -296.68
04/25/10 Chase - 1537 Estate Costs:... c -43.76
04/26/10 Chase - 1537 Estate Costs:... c -35.27
Itemized Payees -Last 12 months:2
07/05/09 through 07/04/10
07/04/10
Page 3
Date Account Num Category Tag Memo Clr Amount
04/27/10 Chase - 1537
05/10/10 Chase - 1537
05/11/10 Chase - 1537
05/16/10 Chase - 1537
05/17/10 Chase - 1537
05/23/10 Chase - 1537
Olde Towne Beverage
04/25/10 Chase - 1537
Ollies Bargain Outlet 003
04/22/10 Chase - 1537
04/26/10 Chase - 1537
Pa DRIVER/VEHICLE Serv
02/28/10 Chase - 1537
Pennsylvania American Water
11 /16/09 TD Bank
Ppl Electric Utilities
11 /16/09 TD Bank
Robin Gasperitti, Tax Collector
03/25/10 PNC Estate
Roy Rogers Pa-11340023
04/21/10 Chase - 1537
04/25/10 Chase - 1537
RT Carey Trucking LLC
04/20/10 PNC Estate
05/28/10 PNC Estate
Rutter's Farm STORE#64
11 /18/09 Chase - 1537
Rutter's Farm Stores #
11/18/09 Chase - 1537
Sheetz 00002287
11 /08/09 Chase - 1537
Sunoco
10/29/09 Chase - 1537
11/18/09 Chase - 1537
Sunoco Svc Station
Estate Costs:... c -37.48
__
Estate Costs:...
_c
-42.84
Estate Costs:... c -33.95
Estate Costs:... c -54.74
Estate Costs:... c -26.32
Estate Costs:... c -22.32
-19.85
Estate Costs:... c -19.85
-42.28
Estate Costs:... c -19.04
Estate Costs:... c -23.24
-6.00
Estate Costs:... Trailer Regis... c -6.00
-32.64
Estate Costs:... R -32.64
-41.15
Estate Costs:... R -41.15
-874.28
7025 Estate Costs:... R -874.28
-8.78
Estate Costs:... c -5.19
Estate Costs:... c -3.59
-330.80
Estate Costs:... 16 Yd Dump... R -245.00
7037 Estate Costs:... c -85.80
-10.00
Estate Costs:... c -10.00
-22.50
Estate Costs:... c -22.50
-4.44
Estate Costs:... c -4.44
-62.05
Estate Costs:... c -29.51
Estate Costs:... c -32.54
-207.17
04/14/10 Chase - 1537 Estate Costs:... c -39.02
04/25/10 Chase - 1537 Estate Costs:... c -22.64
04/28/10 Chase - 1537 Estate Costs:... c -37.76
05/12/10 Chase - 1537 Estate Costs:... c -27.75
05/14/10 Chase - 1537 Estate Costs:... c -32.50
05/17/10 Chase - 1537 Estate Costs:... c -23.00
05/24/10 Chase - 1537 Estate Costs... ~ -24 50
Travels Remittance Center
12/22/09 PNC Estate
Turkey H i I I #0187 Q69
04/22/10 Chase - 1537
Unknown
11/12/09 PNC Bank
11/12/09 PNC Bank
Verizon
12/01/09 PNC Estate
01/29/10 Chase - 1537
-374.00
7009 Estate Costs:l... Homeowner... R -374.00
-35.01
Estate Costs:... c -35.01
0.00
7053 Estate Costs:... Check 7053 -106.63
7054 Estate Costs:... Return Chec... 106.63
-69.17
Estate Costs:... VERIZON 0... R -29.89
Estate Costs:... VERIZON 0... c -39.28
Itemized Payees -Last 12 months:2
07/05/09 through 07/04/10
07/04/10 Page 4
Date Account Num Category Tag Memo Clr Amount
Verizon PA 2.65
12/08/09 PNC Estate Estate Costs:... Telephone R... R 2.65
Wawa 758 00007583 -32.45
05/09/10 Chase - 1537 Estate Costs:... c -26.95
05/12/10 Chase - 1537 Estate Costs:... c -5.50
Wawa 949 00009498 -17.74
04/12/10 Chase - 1537 Estate Costs:... c -5.32
04/25/10 Chase - 1537 Estate Costs:... c -2.40
05/28/10 Chase - 1537 Estate Costs:... c -4.96
06/15/10 Chase - 1537 Estate Costs:... c -5.06
Wawa Food Markets -109.62
11/05/09 Chase - 1537 Estate Costs:... TOMS RIVE... c -4.44
11/05/09 Chase - 1537 Estate Costs:... TOMS RIVE... c -30.30
11/05/09 Chase - 1537 Estate Costs:... TOMS RIVE... c -34.50
_
11/08/09
Chase - 1537 _ __ _ __
Estate Costs:...
TOMS RIVE...
c
-25.00
11/17/09 Chase - 1537 Estate Costs:... TOMS RIVE... c -5.61
11/22/09 Chase - 1537 Estate Costs:... TOMS RIVE... c -4.27
11/27/09 Chase - 1537 Estate Costs:... TOMS RIVE... c -5.50
Weis Market -17.30
10/29/09 Chase - 1537 Estate Costs:... c -9.90
10/30/09 Chase - 1537 Estate Costs:... c -3.70
10/30/09 Chase - 1537 Estate Costs:... c -3.70
Weist Hardware Inc -14.82
11/08/09 Chase - 1537 Estate Costs:... c -14.82
Your Place Restaurant We -23.30
04/22/10 Chase - 1537 Estate Costs:... c -23.30
OVERALL TOTAL -10,442.10
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REV-1512 EX+ (12-OS}
SCHEDULE I
~ Pennsylvania
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Harry Corney 21-09-1064
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
If more space is needed, insert additional sheets of the same size.
SELLER'S ESTIMATED COSTS ~~ _~~ ~--
This form reconunended and approved for, but not restricted to use by, the members of the Pennsylvania Association of IZEALTORSv~ (1'ARj .
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PROPERTY 1903 Beckley Drive, New Cumberland, PA 17070 _ __ _
SELLER John R Cornet' --- - --
BUYER
SETTLEMENT DATE PURCHASE PRICE $ ~ 15,1 ~~
1. Broker`s Fee
2. Preparation of Deed
3. Transfer Tax
4. Seller's Assist/Credit to Buyer
5. Home Warranty
6. Municipal Certification(s)
7. Certificate of Resale (Condominium/Homeowner's Association)
8. Settlement Fee
Q Nntarv Fepc
1(1 CIIrVPV
11. On-lot Sewage System Pumping
12. Property Repairs
13. Tax Certifications
14. Overnight/Express Mail Charges
15. Domestic Lien Search
16. "Patriot Act" Search
17 flthPr
18. Other
ESTIMATED COST'S (subtotal) $
Adjustments (+/-) (e.g., real estate taxes, association fees, utilities)
Realtors-First Choice
TOTAL ESTIMATED COSTS/ADJUSTMENTS ~ ____
Purchase Price
Total Estimated Costs/Adjustments (from above)
DATE
DATE
DATE
ESTLMATED PROCEEDS (before loan payoffs) $
Seller's Estimate of Mortgages, Equity, and Other Loan Balances
(including prepayment penalties), Liens, assessments, etc.
ESTIMATED NET PROCEEDS TO SELLER $ ~ ~ ~,, ~ ~ ~ , °~_'-'
The estimated proceeds do not take into account any other undisclosed mortgage obligations, liens, assessments., jud~~n~i~?t
or other obligations levied against the Property or Seller.
Seller understands that the estimated costs stated above are based on the best information available at signing and nzay ac
higher or lower at settlement.
Seller understands and has received a copy of these estimated closing costs before signing the Agreenment: of Salt.
SELLER
SELLER
SELLER
John R. Corn
BROKER (Company Name) weichert
PROVIDED BY (Licensee)
Pennsylvania Association of
REALTORS®
REALTOR® The Volce fer Reel Eetete® to PennsyWenle
$ __.._
$ _ _ _
G ~~ ` __-
$ _
$
$ --
~ ~~~
$ _ ___
$ -
$ "7h~
_...--
-- ---- --
$ ---
DATE
Dave Cioukey
COPYRIGHT PENNSYLVANIA ASSOCIATION OF REALTORS' ?QQ
1?/(~5
LISTING CONTRACT XI
' EXCLUSIVE RIGHT TO SELL REAL ESTATE
"This form recommended and approved for, but not restricted to use by, the members of the Pennsylvania Association ot" ItF.ALTOltSW jYA tt?.
1 BROKER (Company) Weichert, Realtors-First Choice
2 LICENSEE(S) Dave Cloukey ___
3 SELLER John R. Corney __
4 Does Seller have a Listing Contract with another Broker? ^ Yes ®No
5 If yes, explain: _ ___ _
6
7 1. FROPERTY LISTED PRICE
~ Address 1903 Beckley Drive, New Cumberland, PA 17070 ____
9 Municipality (city, borough, township) New Cumberland
10 County Cumberland School District west Shore
11 Zoning Residental Present Use Residential
12 Identification (Tax ID #; Parcel #; Lot, Block; Deed Book, Page, Recording Date) 2 6 - 2 3 - 0 54 3 -10 7 . _
13
14 2. STARTING & ENDING DATES OF LISTING CONTRACT (ALSO CALLED "TERM")
1,5 A. No Association of REALTORS has set or recommended the term of this contract. By law, the length or term of a listing ;r,Ln-
16 tract may not exceed one year. Broker and Seller have discussed and agreed upon the length or term of this Contract.
17 B. Starting Date: This Contract starts when signed by Broker and Seller, unless otherwise stated here: _
18 C. Ending Date: This Contract ends on ~~~`? ~~.~ i=3
19 3. DUAL AGENCY Seller agrees that Broker may also represent the buyer(s) of the Property. The Broker is a DUAL AGENT ,,~;~hcr,
20 representing both Seller and the buyer in the sale of a property.
21 4. DESIGNATED AGENCY
22 ^ Not Applicable
23 ^ Applicable. Broker may designate licensees to represent the separate interests of Seller and the buyer. Licensee (itl~nti it?~
24 above) is the Designated Agent, who will act exclusively as the Seller Agent. If Property is introduced to the buyer by a licen~.~~°
25 in the Company who is not representing the buyer, then that licensee is authorized to work on behalf of Seller. If Licensee iS al~~
26 the Buyer's Agent, then Licensee is a DUAL AGENT.
27 5. BROKER'S FEE No Association of REALTORS® has set or recommended the Broker's Fee. Broker and Seller have negotiat~,d
28 the fee that Seller will pay Broker. Broker's Fee is ~ _ % of the sales price AND $ 2 5 0.0 0 , paid by Seller.
29 6. COOPERATION WITH OTHER BROKERS
30 Licensee has explained Broker's company policies about cooperating with other brokers. Broker and Seller agree that Broker ;~~iL p:~t~
3 ~ from Broker's Fee a fee to another broker who procures the buyer, is a member of a Multiple Listing Service (MLS), and who:
32 A. ^ represents Seller (SUBAGENT}. Broker will pay oflfrom the sale pI-i~~.
33 B. ^ represents the buyer (BUYER'S AGENT). Broker will pay "2_ ~ of/from the sale pri;4.
34 A Buyer's Agent, even if compensated by Broker for Seller, will represent the interests of the buyer.
3S C. ^ does not represent either Seller or a buyer (TRANSACTION LICENSEE}.
36 Broker will pay _ oflfrom the sale price.
37 7. PAYMENT OF BROKER'S FEE
38 A. Seller will pay Broker's Fee if Property, or any ownership interest in it, is sold or exchanged during the term rsf this
39 Contract by Broker, Broker's salespersons, Seller, or by any other person or broker, at the listed price or any price accegt-
40 able to Seller.
41: B. Seller will pay Broker's Fee if a ready, willing, and able buyer is found by Broker or by anyone, including Seller. A willing ut~y,~x
42 is one who will pay the listed price or more for the Property, or one who has submitted an offer accepted by Seller.
43 C. Seller will pay Broker's Fee if negotiations that are pending at the Ending Date of this Contract result in a sale.
44 D. Seller will pay Broker's F~ for a sale that occurs after the Ending Date of this Contract IF:
45 (1) The sale occurs within 3.a- 17C- of the Ending Date, AND
46 (2) The buyer was shown or negotiated to buy the Property during the term of this contract, AND
47 (3) The Property is not listed under an "exclusive right to sell contract" with another broker at the time of the sale..
~~ E. If a buyer signs an agreement of sale then refuses to buy the Property, or if a buyer is unable to buy the Property because o± fai-
49 ing to do all the things required of the buyer in the agreement of sale (buyer default), Seller will pay Br~lcer
SO h 0`ib of/from buyer's deposit monies, OR the Broker's Fee in Paragraph 5, whichever is lyce_
51 F. If the Property or any part of it is taken by any government for public use (Eminent Domain), Seller will pay Broker's Fee fro~~ ~.
S2 any money paid by the government.
:53 G. If a sale occurs, Broker's Fee will be paid upon delivery of the deed or other evidence of transfer of title or interest. if the Property
.54 is transferred by an installment contract, Broker's Fee will be paid upon the execution of the installment contract.
.S 5
Seller Initials: XLS Page 1 of 4 Broker/Licensee Initials. ~ ~~
~/ I Pennsylvania Association of RfALTORS~ COPYRIGHT PENNSYLVANIA ASSOCIATION Of REAL'FQ~S^ ~ta~'`
6/t1'i
Weichert, REALTORS® 4206 LINGLESTOWN RD, HARRISBURG, PA 17112 Phune. Fax: 1703 L~n-:9~•
Dave Cloukey Produced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.ziotoaix.com
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26. MA~2KETING OF PROPERT4'
A. Where permitted, Broker, at Broker's option, may use: ~ For sale sign ®Sold sign ^ Key in office ~l Lack bj:~~:
® Print /electronic advertising, including photographs ®Property address in print/electronic advertising.
B. Broker ®will/^ will not use a Multiple Listing Service (I~iLS) to advertise the Property to other real estate brokers and salespc:•rso~t~.
Seller agrees that Broker, Licensee, and the MLS are not responsible for mistakes in the MLS and/or advertising of the Proper-_
27. ITEMS INCLUDED/NOT INCLUDED IN THE PRICE OF THE PROPERTY
A. INCLUDED in the sale are all existing items permanently installed in the Property, free of liens, including plumbing; hc'i.?ti?3~;
lighting fixtures (including chandeliers and ceiling fans); water treatment systems;;pool and spa equipment; garage door c~pen~ ,~
and transmitters; television antennas; unpotted shrubbery, plantings, and trees; any remaining heating and cooking fuels stgr~
on the Property at the time of settlement; sump pumps; storage sheds; mailboxes; wall to wall carpeting; existing ; ins~l^-I°
screens; storm windows and screen/storm doors; window covering hardware, shades and blinds; built-in air conditioners; built-
in appliances; and the range/oven, unless otherwise stated. Also included: ___.~.,.-_~.~_
B. LEASED items (not owned by seller):
C. EXCLUDED fixtures and items:
ADDITIONAL INFORMATION (OPTIONAL)
TITLE & POSSESSION
A. Seller will give possession of Property to a buyer at settlement, or on _ _'
B. At settlement, Seller will give full rights of ownership (fee simple) to a buyer except as follows:
(1) Mineral Rights Agreements:
(2) Other: -._-_____.
C. Seller has: 4
^ Mortgage with: __ Amount of balance $ _ _ _
Address: Phone: Acct. #: s
^ Equity Loan with: Amount of balance $
i
Address: Phone: Acct. #: !
^ Seller authorizes Broker to receive mortgage payoff and/or equity loan payoff information from lender(s). 1
D. Seller has: ^ Judgments ^ Municipal Assessment ^ Past Due Taxes ^ Other: 3
E. If Seller, at any time on or since January 1, 1998, has been obligated to pay support under an order on record in any Pennsylvani:l
county, list the county and the Domestic Relations Number or Docket Number: ____
TAXES, UTILITIES, & ASSOCIATION FEES
A. At settlement, Seller will pay one-half of the total Real Estate Transfer Taxes, unless otherwise stated mere: _ ____
B. Real Estate Property Tax Assessment $
Wage/Income Tax $
C. Estimated Utilities (trash, water, sewer, electric, gas, oil, etc.):
Yearly Taxes $ _
Per Capita Tax $
t
D. Association Fees $ Include:
BUYEK FINANCING Seller will accept the following arrangements for buyer to pay for the Property:
^ Cash ^ Conventional mortgage ^ FHA mortgage
^ Seller's help to buyer (if any):
Seller has read the Consumer Notice as adopted by the State Real Estate Commission at 49 Pa. Code §35.336.
Seller gives permission for Broker to send information about this transaction to the fax number(s) and/or a-mail address(es) listed belo~~;~.
Seller has read the entire Contract before signing. All Sellers must sign this Contract.
Return by facsimile (FAX) constitutes acceptance of this Contract.
NOTICE BEFORE SIGNING: IF SELLER HAS LEGAL QUESTIONS, SELLER IS ADVISED TO CONSULT AN ATTOItNEY_
SELLER'S MAILING ADDRESS:
PHONE:
223 SELLER
FAX:
2'14 SELLER
225 BROKER (Company Name) Weichert
2'1_6 ACCEPTED BY
.John R. Corneyl3ATE
DATE
^ VA rrzortgage
e~.tors-Fist Choice
E-MAIL:
Dave C1
DATE =~~ l ~ -~f`~'
XLS Page 4 of 4
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