Loading...
HomeMy WebLinkAbout01-28-11 1505605104? REV-1500 EX 06 05 ( - ) OFFICIAL USE ONLY. PA Department of Revenue Bureau of Individual Taxes PO BOX 280601 Coun INHERITANCE TAX RETURN ~ Code Year ' File Number Harrisbur , PA 17128-0601 RESIDENT DECEDENT ~ ~~ ~ i ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth Decedent's Last Name -_ sN ~ ouffix Decedent's First Name MI , . , , ~ , , , ~ a s _. ~- t . l (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse s First Name MI Spouse's Social Security Number i ~~ ~ fiEF"~ #~!`1Mf~~I~~I+I~lE FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder etlurn date of death prior to 12-1~-~2) ; O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate ITax Return Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Numbe f df Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust} ~ 9. litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to ta x under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch.i O CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATIONS ~UL BE DIRECTED T0: Name Daytime Telephony I~um~er Fvrn Name ~ If Applicable) REGISTER 0 VIL S USE ONLY ' r-fl ~ ; s:; ~ ~ I~ ~~ ~ 1 ~~i^ s:.~ c'> 47.7 -~ - ~~ °" ....~ r',,~ - ~_ FI ED r _ ~~ n~ First line of address a~_ao ~ o~~~~R~~ ~N ~~ Second !ine of address City or Post Office ~~` ~ ~ L E:T4 ciJ~ nState r ~ 71P Code !'1 D5 `~ L Correspondent's a-mail address: ~~nQ~ Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the bes o~ my Iknowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which pre a er h s any knowledge. SIGNATr raF nc aFacnni acconeic~ai F cna FILING RETURN I ne c ADDRESS C~~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS TJ i ,-ry r „l7 ~7 ~, i e' t -,-~ ~-~ PLEASE USE ORIGINAL FORM ONLY Side 1 '~ I~ L 15056051047 1505605~,p4~1 J __ 15056052048 REV-1500 EX Decedent's Social Secuffrit~~y Number Decedent's Name: ~ ~ ~ ~ ~ `~t RECAPITULATION 1. Real estate (Schedule A) . ............................................ 1. l ~ ~- `i Q Q • 2. Stocks and Bonds (Schedule B) ....................................... 2. ~ 1 5 I ~.Q • °~- 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) ............................. 4. c'1 cam, 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ........ 5. 5 `, 3 rJ I LP 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. ~- 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 8. Total Gross Assets (total Lines 1-7) .................................... 8. Ot ~ L$1 ~ ~"l ~ Q 9. Funeral Expenses & Administrative Costs (Schedule H) ..................... 9. ~ ~ ~} ~ O • ~ d~ 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. p~ (~ 5 ~ L,P• ~ f 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. ~ « q l.-` ~ . ~,[~ -~ 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. ` ~ 3 ~ ~ ~ . 3 y 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... .. 13. ~ ; -- 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. 1 ~ ~.7 ~ ~ 0. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 . 15. 16. Amount of Line 14 taxable at lineal rate X .0 X5`'10 l ~$,3 g 5 ~ • J ~ 16. ~ ~ ~ 3 17. Amount of Line 14 taxable at sibling rate X .12 . 17. 18. Amount of Line 14 taxable at collateral rate X .15 • 1g. 19. TAX DUE .........................................................19 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ .~. ~ ~3 ~. `1 O Side 2 15056052048 15056052048 REV-1500 EX Page 3 rlor_pdont'c Cmm~lpte Address: Fi/le~ Number n , I OL ~ U~ ~O~C ~ ~( -~ DECEDENT'S NAME STREETADDRESS CITY STA SIP '., Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) '~ ~~~~ 3 a"1 2. CreditsJPayments A. Spousal Poverty Credit _ B. Prior Payments C. Discount Total Credits (A + B + C) (Z) ~ ~`1.3 . a"1 3. InteresUPenalty if applicable D. Interest E. Penalty Total lnterest/Penalty (D + E } (3) 4. ff Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fifl 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. f 5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Cheek Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPRdP~R1~1TE BLOGKS 1. Did decedent make a transfer and: f d Yes No :............................................................................. erre a. retain the use or income of the property trans ............ . 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? ................................................................................................. ............ . ^ ,,~1 LXI " " or payable upon death bank account or security at his or her death? . in trust for 3. Did decedent own an ........... .. 4 Did deceder~ own an Individual Retirement Account annuity or other non-probate property which < Z contains a benefiaary designation? ..~4.. ~.C1.Z~...?~S:.QR~„!L ........ ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE~~t~ ASS 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 o~ for trye use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. 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 urtvivi-fig spause is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exemot a.,transferto a surviving spouse from tax, and the statutory requir~menta for discaosure of assets and filing a tax return are still applicable even 'rf the surviving spouse is the only beneficiary. !i For dates of death en or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased t:hild twenty-one years of age or younger at death to o~ for ttte 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 benefiaaries is four and one-h~llf' (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §911fi(a)(1)]. i 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. §9116Qa}(1j.3)]. Asibling is defined, under Section 9102, as art individual who has at feast one parent in common with the decedent, whether by blood or adoption. _ _ i H 105 405 REV 913(, - _ This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING:. It is illegal to duplicate this copy by photostat or photograph. Fee for this cenificate, $2.00 5036745 No. ~o. is31+.~. ae7 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • V CERTIFICATE OF DEATH a'~CNAAff of DECEaFHrIF.aI. Mlaal.. Lw a SEX _ .~ _ SOCIAL SECURITY NUMBER DATE OF tMawb. Wy Mbar) ,, Patricia FI. Snyder :.female a. 184 - 26 - 384 . . AGE 1laM WW1 UNDER t YEAR UNpER 1 WIf ORE Of BIRTH BMTRMIACE Kill' aad Da w IMOMh WV 9 i C MACE OF H ICM U~ ar- sea iaaugam on Mr anN . ~~ . r. raa aagn aawH MpWr r Obp Han ~ aka i • ERIO,lgalird ^ ooA ^ 63 rr.. ' 4 3 1935 s ^' Rardanp ^ ^ . Y + COUNTY OP OE,VH CRY,SORO, IYVP OF OEATFI )IAMEAI m1i M!/ion.pw oral and nanbr' ' ~ ~ YWSDECE MOF F 1~L N• ,.}[ 1M ^ X TM , RACE• Amron IMir6 B4cf. WnM., rc. (SO•cAYI qu0rr ~1 ~~ / Ma P•M•Ngar,, ale !w " uC7hTQ , h t l e to. W DENTS USUK OCCURQlON XWDOP &! tEaICRIDN M ARITAL S• ~8 'N gUpV1 1 0 ~ ~~ .. (C'wkMdwkdar Ow y,m•M U. MMEO~~ 9 a •arkkq ab; m ar wa `ir.d) L~ Elr"r""ylS.anary °Iwc'e(S~.c~ly) ^ d y N m g~pDUiE vba N, mlzl h~aaq t,a._ ~.' 1 b. 12. 1i. 11. E Thomas H. Snyder 1 D CEDENTS MAXk10 ADORESB (SaraL Cry/kwn,9ub ZpCodN OETR'S - ACTUAL 17a.Slar Pennsylvania DM ,7a.~'g,a,aaa.drdaY.d SIDENCE ,~ 1931 Chatham Drive °~.,.,+ iraro.ar ~,b.CaH Hill, PA 17011 M In a a1wrsi0" ,Tb, f'Itm-wrlanA q.n.MaT Ira^an,w,~lw,ua r cil b FQIIER'S NAME IT•M. Midala. Lash MOTNER'8 NAME IF~N, Middle. Maitlan Swnama) a o. n " ~• 1.j,~T~ ' , . Mildred Amelia Moser diFOT S77AAE(TYWPr•al S d MIPORMANT'S MAY.INO ADDRESS dilrM. CAyf6an, Sr,a, Zp CWp ny er ~e.'1'krnmas~ 1931 Chatham Drive, C Hil P 17011 METfgD OP asvoslTlOyN, F GP aSPOSITION PIACE OP a • Naar a Caarlary, Cramagry L SIMa. 79p Caa Burial E'1 Crwrwuun ^ Rrnwal aom SW ^ . Dw.14M) a dlrr Pl.q """'^ °""'~""""` ^ .2°:. - une 17 1998 ,•. Rollin Green r' oR rER9oNACTwO AS SUCH NEE NUU6ER NAME AIgAODRE880FP,ICAITY , : , .0. Box 431 New C m ~ " r1 PA 17070 c • Parirm.za.coa .lrr ~ ;.~ LIMbaMamyargmbd/..dwbaxurradrlM ytq•icnn r nw araaabb r liar a aaam b (Sipnaaa era Twirl LICENSE NUMBER pJEE SpNED c«wY Caw.a~Yan. AJarsh. Dav.Wrl b•^is 2•-26 aara bd complMad by Df„pEIE~~ ~ DATEP ED DEADIM .Da~ YNS CASE REFERiIED TO MEDICAL P•r..a mlr paaau,ca dwb. G ,[ ' 14is ^ I~ o~ M. C J ~ 2 N 27.-MT1: Erw Ur daaaaaa.kq,ainammpacMi•ns ,Y,,k„pwW Yr Grh. Darglaar dr madaadyYr6, wcba GardiuarapYagry rnr. shockalran laMaa. i LW aNY ar true a, wrJ~lwr. r~/fir/ MME' r Yq/••/L~ j M 6r undarryAip rasa piYa n PART I. rr rWkWAIE CAWS (Fa,al 1w~~rye. .. [-7CV"T~ ~~•/~"~. ~fjiLd2L '. DUE W (OR AS A CONSEOUEHCE tel: c~~"G~ c=/J/( %Ly/Y6; SIhRLC /D/l G ST D /j1ET ?~~ . . i )N M9 o, ,9 S.Quraway ar caafiliw n ft - 4 Rant WMlYpbwrrdia,a OUE TO 1011 AS ACONSEOl1ENCE Of7: I crw. Erw,r,N/OERI.YWR CAUtEllawasaa+MaY c. I ~ ow in4+rd avraa OUE TO(OR AS ACONSEOUENCE OP). rwuauy n earl,) LAST I d ~ -MY18 AN AUTOPSY MERE AU1OP$Y FMJDIH08 MANNER a DEATH DATE OF HJJURY TIME OF INJURY INJURY R WtlRKT PERFORMED? MAVLABIE PRgR TO IMOm. DaY• Nr) MOW INJURY OCCURRED. C01PLEilONOF CAUSE ~~ss~~55 OF OEMI7 Nrurr L`j Nanida ^ 1'-a ^ No ^ ACCidMd ^ PaiWaq lnwNgallan ^ ~. yea ^ N• ~ Yw ^ No ^ Suicide ^ C•Wd nr W Oarminad ^ MACE OF INIIJRY -AI barN arm Mral a61ca M LOCATION 4ga . , , Y. bwdMp, rc. (Spaalyl . Slral 20.. tab. 26. a0.. fJE11TIFBJI(Ch~ck a1y orrl TpIFR 'CERi1FYM/Q PNY6IGAN Ph i ( yWCrn rrMp nq caua d<laam uJian aiwllxn Phlsw:ian Ira pa~WICaO dbalh acrd arrplrW %am 231 7 ,. .11.a Mr NrnT tnoarOW. MaM OOCarrW .uablM awala)anO wrrwrM •Wad .......................:........... ..... ............. ^ • /Z~ •. 'PRON01RipN0 ANO CFNTIFYMIO MIY6lC1ANIPhyacW~aah garwKmp GaN and cwrympgcauaadanl T•Mr bar NrrkMMWya, OaalbasewrMMMr Mm~.dW,••dPlaa,MN duab dr•aua(a)and mrwrN alrad .......................... ~ LICE ~1 M,D ~V /p/ 1 ?Maw. Day C7 q ~, t ~~J' /~. MEON:AL EXAWNER/CORONER •On B,a baa4 al daanina,lon andlw Inra Ll Ni I NAME AND ADDRESS Of _ WNO (Xam 27) Tvpa a Prkp /~P~~7 R~3L~ / r`7 OCAUSE OF DEAN I'g"r ~yvrj R ~~ J /1',O a p q,, n mY oPMbn. dulh oauNW W Ub IIIM :dab. and pbca, and dw IM IM cwu(Q and ^ mlani,af N ataad.......... ~ ~ r r Z / (L l~ 1.~/ ~. (1 ~O ' p ~~ >Z. C/ 7 / ~ , ~ ~/~ REGISTRAR S SIONNtIfC/~R ~ as E FlLE .Day. Nwl >•. / ' _ __ i wossos tzEV ~miw> LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6:00 This is to certify th t' the information here given is correctly copied fro an original`Certificate of Death duly filed wi~ me s Local Registrar. The original certificate will be 'forwarded ; to ;the >State Vital `Records Office for anent filing: - P 1518 7 6 41 ~~;;~- .~ M ~ o ~~ Certification Number Local, <Itegistra ~ Date Issued 3aEV tvmoa COMMbNWEAtTH OF 1sENN$Y'LYANf/l • f~PAR7MENT OF HEALTH • YrrAL RECORDS w 'r'" CERTIFICAI F DEATH Aac 9vx (Sras insh9wti(ona and! rxatnpNs on ravens) STATE FI[E R 1.lYro a DeaYdrt JRir. elerl~ btL enAal : 2. Su S Each Sew19rtl~a0a ~, d ~ ( ~ hK MF~1 Thomas H. Snyder Male 181 - 32,*'4811 P ,: S.AP NrBWr.Y) lMra1 tMrr t~ - B. qBM... 7. ~ebe Meba 4FI~o, dtleeel db 75 '.~."' °'" """ "" ! rn Oct. 30, 1133< sett Bburg, PA ^Epiae~.eed CTS I!a ^ OD1oa-~9r rtb: Cau.r a DerA ea Glr, eac, trq. a Dwe ea F,g1y wn.m poi bWbn, tM urer era ) 9. wlelSeeedsea Weo.rr ~'+' !b to: pees AArpan tnaen: bbd: M+w, elc f tSe~M Dau hin Harriabur " nia,lPo~an..k.l Haar White n. oeaerfe urd d coat ear mal a ^e.Oo nd eYb i2 YYr Deneal ewr h er ts. DeoedaKe Edlla9on (>Aec9r aey ~ I ie. tMar 9ti9s: AYreee, 1s. taoouee In wwe, g.. m~ ~) IardWak MIrod81rp1MlYrlrry.. U.B. Anealfaae? BelrMeryl3eoaWry(0-t2)._ Coupe lt~aSd ~e~'l ' Wido ed w p~,„ "e ~ao~a.rdtiwwq~es..t~r,ar~b.,..w.aumen 1931 Chatham Dr c.aaaw' PennsYlyBnta u°".m°ie0i" ~?~7d ~ "diMp~"'0M10"791tli T b? ua~, T.o. . a+FW~ ~umbeTlsad;' nd.^re.oeaaea 'w9x, Camp Hill, PA 17011 tn.ca~, kAw uew Gy/aoio .1L fYtaY brne 6ir, nYdfe~ br, eufp 19: MbdWt Naro ~ mbee, m,b,n raweM) Eu ne Sn der 2a. s+amreY rWne (IypfPiM) 29b. YMOmiaA YWq am.rtsevl ar f bat ewe, t1p me.) 2020 Powderttorn Rd .., Middlet PA 1 057 2te. IlMbe d Dbpp~Mon ^f>Ieen9on ^ Oartlon 2yb. Deb d DYp7Wan (Md'1h, del. Mal 21e. PMn d DMOeWon I~ d pbraN~ d~apraf a Mr dael - 2t . Lpee9on Cey t brn, MW, m oboe) ^ narowAOasw ~ ® March 4, 2009 Rolling Green Memorial Park oprer~~ Allen Twp., PA 17011 ~ ~~ ^~^~ ~ ^ a aar< yrpno~ oolpp r eucA) ab uea.r taros Za Nrro adAdder d Frly 'ongrr ras MMn aiMY-q 29L ietM twt a nq bbdedpe, earn sated a 9r tAb, ere rr geuedM:19puAra ad Mll 23h. Fero. "umha : Dre 1.twn ax MM pANbYpsrole- rYAadleeGb ~. aMy aueddliMr Ilree 2aae Art M ~~ by Oaaa 21. Tbb d Dean - 25.OwRpaebed Deee IYasti dry. Mal 29. Mbe Cw nrened m Eamror . Hwon oMer gum Gnmedan a Dawtlon7 erodronl.alln. tu. u0.r Z~ ^Y« ^"° OF oEATN (!~. brtnw:tlen. r+e euww~nl :, e9P~llar:laa'AI~ Pen n: Frbrotlr Dfa Tanom use Caubub mDe~? 4n27. Pall: ErerM9~d.1111~-dYerw;YMan~aoagkrar-hl ~clyrautllrtl2Mt 00N0irM bmirW aaM~wdl e. crdac sort i ONIIbOph:. WlnolrwdYph9e ar~AlVq {~Iwn L 'I Q Yn ^Pmb,gY eMaYebry rna,awalaNrlleMlbit.MwM ~gMe9ropr. Elroplyar ewrmerA M. i ^_~ ^~~.:~ ialAlm Eng nellrV~,_„!a e. - S F. P$ I5 i ^ N h a Durmla ee a a.aePlaln a1: ~ ! aagwn+~ Pe lw u em. d drat ~ ^ Prepuvl ~Mtad9aR 9rry, b: ~ i t1 ~ a p e. D I ^ "a Pe~un4 W pregMM widai /2 d/ls ~iA ue m (a Y e OOnMPrroe l: E» I ~ ddNn ~WY ~9ry ~ ~ ~ c t ~ ~ aa~aMh rt bire dl: oar o b l I ^ Nol pqun6 be preprM 19 deyt b 1 Mxr a a e , i I bekn d^m d c Unpgpn 90rc9Mn .e1r1 M pep yMt `~pl. Yea NMeoMY 9m. rren AUbpry~V Dt. Atlabrd WYA- ffie.OW dMaY lLtar~, dlri Yelr) 32D.OnatW }bM I!WYf)epiryee .Pl.~e~q bM-y Hpne, F,rm,S9gel.Fxbry. Clfila &ild eb (S aiY ) Puloaad? AreYae Pea b fbnpMbn a cr.e a oerA± I ^ FleeYClee 9 . y p ^'~ ~ ^ ra C~ ^ Acdere ^'r«.rq bnrtpltlon p2d TYro a MM' ~. Wu,r r r9on:? , 621.9 rnFMpurbp -iiuly tA1wM s~, a Mar ~ ~ bwn, rret ^ subbs ^ code "a a owmrre ^ rw ^ w ^ dwa) alas ^ P99wipa ^PeewYbri r o91s 39t. GrWrldwA.alraal. S9b. .: dcwrrw ~ • CrYyAq phMkbe(Ph,~kJnan9rY)prrrr dlee~iMMn ab9w prylldln Ale pawlMd Ae9tero oonpAibdtbm 23) F19b 9wldar biwW~, deel6-amme'du~blM eeea~elderarre4bd;~~.~.~~~,~~..~.~_._____.~__~_____ ~ : • AYOM6 YrFaF~~~ IfiYMd1A~ ~ ~ 4 ~hl~ind arewreYMd__________________ ^ ~ /~'t~ O~~`7// 3C t- / Dre ~~ ~,yw!' Oe Ya heeb d eoa9rtlm ene l a bvMipetl9n, b rN ay99al, lbe9l Bowled r tlr Sae, drti eM pba, rr dw b 9r orreh) ad ewer r ared_ ^ Pafon !Mg 3/. !sole nr d Detl~ Tyg l «d ~ ow Fw d l l ~ I al / I /I ~ l v, r i i .a ~ Dfepae9bn Pemi9 No. 033 2248 I. i 1 I a REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA No . 2009- 00214 Estate Of : THOMAS H SNYDER (firs! Middle, Lestl Late Of : LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY Deceased Soci a1 Security No : 181-32-4811 WHEREAS, on the Sth day of March 2009 an instrument aced April 24th 1997 was admitted to probate as the last wil f THOMAS H SNYDER (First, Middle, Lest) late of LOWER ALLEN TOWNSH/P, CUMBERLAND County, who died on the 28th day of February 2009 and ', WHEREAS, a true copy of the will as probated is ann ex d hereto. THEREFORE, I, GLENDA EARNER STRASBAUGH Regi s tier of Wi 11 s in and for CUMBERLAND County, in the Commonwealth of Pennsylvani hlereby certify that I have this day granted Letters TESTAMENTARY o: JOANN MARIE ALFORD who has duly qualified as EXECUTOR(R/Xl and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY CO[,'IRT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 5th day of March 2009. **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, CERTIFICATE OF MGR N1` OF LETTERS PA Nol,. 2~1- 09- 0214 ~, CERTIFICATION OF NOTICE UNDER Pa. O.C. R~l~e 5.6(a) REGISTER OF VV ILLS tnl~cz~ \c]r~ COUNTY, PENNSYLVANIA Name of Decedent: ~ `f10ct10.~ H J'[1~xCy.~~ Date of Death: ~ • ~$ -('~ File Number:, Date Letters Granted: _ _ _ 3 - ~ • ~ To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Rules was served on or mailed to the following beneficiaries of the above-captioned Name: Address: t`•2~.4 `Patv-~ ~o.c~Y1.~- ~~11 ~ ~, ~a y~ ~ C c~ ~ C ~ esZ C c~ c,~ Q '~ t ''~ ~. r~l 4 t~,A2.. ~. 4 mt 1~~ ck~.s~ S~~ Cif ~~ s (If more space is needed, attach separate shee ~m~ ~`~' ` ~ t Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) e Date ~ D - 1- +---•-- ~hatr~s' Court ate ion ~ ~~~~ •. ~, ~~a ~ ~ ~-10~1,3 ~~ o-~ o Signatw'e ojPerson Filing this FoNn Capacity: ~ Personal Representative ©I!Counsel ~p~.. Name ojPerson FUing this Form Atfdress ~ ~ ~~ Telephone Form RW-08 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 Whether you will receive any money or property will be determined wholly o parCly by the decedent's will. If the decedent died without a will, whether you will rec uve zany money or property will be determined by the intestacy laws of Pennsyly nia. BEFORE THE REGISTER OF WILLS, COUNTY OF ClJ.if`nbQ ~ ~O~t~ ,PENN YL~ANIA IN RE: ESTATE OF '-Crlr~Ot`nG.~ l-~. S('~la CAS' ,Deceased File Number oZCX~ - o0a lt~ TO: (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representa ve(s)' named below. The Decedent died on the day of o1R~ ~2~1 ,are iaient of S ~ rn1~:c ~o~c~d~ County, PA. The Decedent died: ~ testate (with a will) or intestate (without a will). You may have a beneficial interest in the estate as follows: (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: ~AME ADDRESS r~ TELEPHONE ~ ~ ....~ ~ \ \ n. ~ ..1 ', (1 "~t`n R.i'ty 1 r1 n ~ L~ nm i. (~ r~l --i ~--~ _ R C t ... Ci S'tJ If the Decedent died testate, the will has been filed with Office of the Register of Wills of C ~.~.tr\~ c 1~c~.1~ County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with ~h~ Office of the Register of Wills of County. The Register's address is J c ' ,and telephone number is 1 A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date Signature of Person Filing this Form Name of Person Filing this Form Capacity: [$Personal Representative Address Counsel for Personal Representative .M ;, Telephone Form RW-07 rev. 10.13.06 ~ _,.~ .i l~1O55 t-~C~~S t *13 tq INVENTORY REGISTER OF WII,LS OF (~a~ i11~~OQ~C ~ C~f'1~I COUNTY, PENNSYLYAIVIA COI~i1~IONWEALTx OF PENNSYLVANIA ~ ss I $1- 3a•~}81 ~ File Number ~~~ - d COUNTY OF Personal Representative(s) of the Estate of deceased, depose(s) and say(s) that the items appearing in the following inventory inc ude all of the persol and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no gets wherever situate bite each item of said gestate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventor.' I verify that the statements made in this Inven- ~~ _ _ ~~ ~.~~ tory are true and correct. I understand that false state- ~ - - meats herein are made subject to the penalties of 18 Pa.GS. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) (Supreme Court ~ ~. No.) (Address) i (Telephone) DATE OF DEATH LAST RESIDENCE --_ DE~E~EN1hS SOC. SEC. NO. ~ • ~. (`'~ A~c+~~e~ C Y~t- ~~.~ C 1r~l~c ,z ~ lX (a ~11e 11~ ~ - 3 a - ~g l ~ FIGURES MUST BE TOTALED ~ ~~ `Rtv~e~c,©vccs~. C~p11oZ.~al 3~k a(~. b c^A ~. r~--ca,~.~-~ ~ Los - ~o~oc~~.~~g~ b ~vQ.c~O~n ~~0.s`cK-c~GG:rO~, o~Cco~~. 5n~1a-15q~} (Aaach ada~tiona[ sheets as needtd) V,~.q t ~o©. a0 to, q,~+. 3c.P ~ ~, goy. q3 q.,c~aq .~R NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal repres¢nt~ativd include the value of each item, but such figures should not be extended into the total of the Inventory. (See 20 Po. C.S. § 3301(b)) For-n RlV-09 rev. 10.13.06 RW-09 REV-1502 EX+ (&98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCNEp~1LE A REAL ESTATE ESTATE OF FILE NUMBER All real property owned solely or as a ~narK In common must be reported at fair market value. Fair market value is defined as the price at vyhich property would be (If more space is needed, insert additional sheets of the same size) ___ _ __~ I i - ___ REV-1503 EX+ (6-98) scNEOU~E s COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER All property ~oiMly-owned wtth right of survivorship must be disclosed on Schedule F. ~n nRwe s~z u ~ienuw, auswi awmu~w~ a~nu~s w uss aa1R5 ans) 04/06/2010 14:59 7174414808 ANERIPRISE FINANCIAL PAGE 02/03 .:,_• - ,~ ~~. ;~,, '.~ History: To M~hael J &IttaiNFieid/AMPF~AMPF cc bcc Subject 15583146 4001 THOMAS. H SNYDER - DEATH'SETTLEMENT REGIUIREMENTS - PLEASI~ ~O wOT DELETE Rlwrt3oures Life Insunncs Comprsry RivsrBoures Funds /unsApriss CsrtlRcab CorrgranY Amsriprise 9naiksraps 70100 Amarlpriss FinaneW Csr-tsr Mlnnsepolls, MN 55474 Apri15, 2010 MICHAEL JON BRTITAIN STE 106 4909 LOUISE DR MECHAMCSHUItG, PA 17055-6900 Dear MICHAEL ION BRITTAIN: Thank you for your recent inquiry regarding THOMAS H SNYDERs accouab. These are the valves of the accounts as of 02!2812009. Account Inforeutlon Mutest Faeds Account Numb R O l 1249342154 0002 Individual Life Ia~traece Account Number 90003014455 5004 Individual Mutail IFunds Accauut Number Total Value ~ of shares Asset Value Per Share 01124934264 0002 510,911.36 2,495.716 $4.370 Life tasurltnce Account Number Total Value 90003014455 5004 510,000.00 The date of death vahtes provided are for estate tax purposes and are not a value W be paid Aecoants Imay be subject to market flvctaat~n as gavemed by each product Please cote that the values indicated for ~ L.jfc Insurance product(s) with the inaurod deceased reflect the gross death b~e6t at date of death sad ~It the ~ vahre Values indicated for Life Insurance Products with only the ow~r deceased reflect the csah value as 'af thq date of death. Values for any proprietary mutual funds include accrued divld~ds sa applicable Vahtes prrnrided ~' brokerage products are manually calculated, and should be used as estimates only. 'The prices used to de vahres are estimates obtained from outside sources believed t4 be roliable Ameripriae Financial provides dues as a service W its clients. Actual values used is preparation of tax returns or for planning purposes should ~be Verified by ~ This a has been forwarded. 04/06/2010 14:59 7174414808 your legal and accounting advisors. -- -- - -- ----_ _. _._.__.. __ 7_-~. --r AMERIPRISE FINANCIAL We appreciate the opportunity to be of service to you Ptease contact us if you have any questions PAGE 03f 03 Sincerely,. Jonathan Ericksaa Death Settlements Processing Team 70100 Ameriprise Financial Center Minneapolis, lNN 55474 1-800-862-7919, Option 2, ask for Estate Settlemet~ please do not reply to this em8i1. This database does not support incoming mail. Please calN tie phone # within the letter if you require assistance. Thank you. Life Everts Tim FRANKLIN TEMPLETON INVESTMENTS Franklin Templeton Investor Services, LLC 100 Fountain Parkway St. Petersburg, FL 33716-1205 tel (800) 632-2350 franklintempleton.com January 7, 2010 Joann M. Alford 2020 Powderhorn Road Middletown, PA 17057-5971 SUBJECT: Franklin Nigh Income Fund -Class A A/C #105-50100836860 Joann M Alford EXEC Thomas H Snyder Dear Ms. Alford: We are writing in regard to your request for the value of the referenced account, as of February 28, 2009. As this was anon-business day, the fund was not priced. Therefmre, we are providing you with the account value based on the price for the prior business day. According to our records, the value of the account on February 27, 2009, was $16,604.93. This figure is based on the net asset value price per share of $1.45, for the Franklin High Income Fund - Class A, multiplied by 11,451.674 shares owned. If you have any questions regarding this matter, please contact a Customer Service Associate, Monday through Friday, 5:30 a.m. to 5:00 p.m. Pacific Time, toll free at (800) 632-2301, and refer to identification number: 2007430DEC09. Sincerely, Franklin Templeton Investor Services, LLC c~ 7~.~'J Roberta Whitson Associate Customer Operations rs~v,soe a. non SCHEDULE E COMMONWEALTH of PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER ~MQS ~. ~nU O~~ ~C~ ~ ~a 1- _ ~ Indude the proceeds of litigation and the date the proceeds were received hY the estate. AN property joiMlyowned with the right of survhrorship hwsC be discbssd on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ~e~c ~ p'n ('~,t11"`~ - C-1-~-C~C~'C~~ i~ ccovt~~ 5~ ~ i a ~ sq~ gLaaQ . aq ~~.da~mR.r~ ob u'~~~`on as~c~;.c~s~ ~o~.~ch.,CAr~, t-lq,''~.5a .mil a. TOTAL (Also enter on line 5, Recapitulation) I IS ~ q r ~ 8 I a ~ 0 (If more space is needed, insert additional sheets of the same size) ' I ~ .. _ .. _ _.. r 1-877-SOV-BANK (1-877-768-2265) www.sovereignbank.com THOMAS H SNYDER i3ai8nCe3 Statement Period 02H7109 TO 03115!09 THE SOVEREIGN aNE ACCOUNT Account #'S~11'21594 Beginning Balance $6,253.27 Current Balance $1;1011.42 DepositslCredits + $2,486.96 Average Daily Balance $6,1037.40 Withdrawals/Debits - $9,728.81 -- ~ Interest Paid this Period ' $ 4.42. Annual Perrrentage Yield Eamed 0.99% Eamed this Period $ 4.42 Paid Last Year $77.48 Paid Year-To-Date $ 26.01 'The interest earned and the interest paid may differ depending on when interest is credited to your account. Service Fees Date # Transactions Fee Total MONTHLY MAINTENANCE FEE 0311.3109. 1 12.00 $12.00 Total ~,. $12.00 Account Activity Date Description 02-17 Beginning Balance $8,253.27 02-25 BANKERS LIFE 357 $87.52 I $8,165.75 INS PREM 090223 -~-~-~ 207015056090225 02-27 PA TREASURY DEPT $1,463.54 $9,629.29 ~- ~~. ANNUITANT 090227 030894 ' 03-03 US TREASURY 303 $1,019.00 10,648.29 SOC SEC 030309 A SSA 03-06 WTHDRWL $9,628.29 '$1,019.00 03-13 TOTAL SERVICE FEES $12.00 ,$1,007.00 03-13 INTEREST CREDfT $4.42 1,$1,011.42 03-15 Ending Balanee $1,011.42 page 3 of 3 Addkiona Subtractions Balance ~~... ~~~ 571121594 IN RE: JOANN MARIE ALFORD, Executrix of the Estate of THOMAS H. SNYDER, Deceased IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA -. ORDER AND NOW, this a~ day of , 2010, upon consideration of the Petition for Court Approval of Wrongful Death and Survival Action Settlement, it is hereby ordered that the Petitioner is authorized to enter into a settlement in the gross sum of $80,000. Petitioner is authorized to sign a release and to mark the matter settled, discontinued and eryded as to the Defendant. The settlement proceeds shall be distributed as follows: TO: James R. Moyles, attorney at law, $18,480 for counsel fees; TO: Johnson Duffle Stewart & Weidner, attorneys at law, $7,9210 fbr counsel fees. TO: James R. Moyles, attorney at law, $3,354 for reimbursement of costs; TO: Medicare, $493.61, in payment of the Medicare lien; The balance of the settlement is apportioned as follows: Wrongful Death Action $0 Survival Action $49,752.39 BY THE COURT, J' ~' C Distribution: • Jefferson J. Shipman, Esquire, Johnson, Duffle, Stewart & Weidner, 301 Market'Street, P.O. Box 109, Lemoyne, PA 17043-0109; Tel. (717) 761-4540; Fax (717) 761-3Q15; email: jjs cQjdsw.com. • Michael Thomas Snyder, 220 Ross Avenue, Apt. 2, Second Floor, New Cumberland, PA 17070. • Attention: Beth Wilson, Legal Department, HCR Manor Care, 333 North Summit Street, P.O. Box 10086, Toledo, OH 43699-0086 Johnson, Duffie, Stewart & Weidner By: Jefferson J. Shipman I.D. No. 51785 301 Market Street P. O. Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 jjs@jdsw.com IN RE: JOANN MARIE ALFORD, Executrix of the Estate of THOMAS H. SNYDER, Deceased 1~~Q ~~~i~ "(~ ~i~~ ii ~ ~ ~ IN THE COURT OF COMMON IPL~AS OF CUMBERLAND COUNTY, PENNSI~LVANIA NO. ,fib ^ 3t.85 ~irlit L~_ - l AND NOW, comes the Petitioner, JoAnn Marie Alford, Executrix of the Estate bf Thomas H. Snyder, Deceased, and petitions this Honorable Court for approval of the wronglful !death and survival action settlement based on the following: 1. Petitioner JoAnn Marie Alford, Executrix of the Estate of Thomas H. Snyder, Deceased, is an adult individual presently residing at 2020 Powderhorn Road, Miiddletown, Pennsylvania 17057. 2. On February 28, 2009, the Decedent, Thomas H. Snyder, died from Sepsis. 3. The Decedent contracted the infection as a result of the medical rhegligence of Arden Courts, a nursing home located at 2625 Eilanthus Lane, Harrisburg, PA 17"110. The Decedent was taken to Harrisburg Hospital, where he succumbed to the infection. 4. The Decedent died testate, with his last Will and Testament prdviding for bequests of $5,000 to each of his grandchildren and the distribution of the residue pf his Estate to Michael Thomas Snyder, Raymond William Spence, Bruce Allen Spence, R~~ Aron Banks and JoAnn Marie Alford. See Last Will and Testament of Thomas H. Snyder,, attached as Exhibit A. _...... __ _... -r-- r 5. The Petitioner was granted Letters Testamentary by the Register of Wills of Cumberland County on March 5, 2009. See Short Certificate, attached as Exhibit B. 6. The Decedent's spouse, Patricia J. Snyder, predeceased the Decedent. 7. The only known surviving natural child of the Petitioner's Decede0t is Michael Snyder, a son, who resides in New Cumberland, Pennsylvania. Michael Snyder i$ not a minor or an incapacitated person. Michael Snyder is aware of the proposed settlement and has relinquished his rights to any proceeds therefrom. See Release signed by Michael Snyder, dated May 16, 2010, attached as Exhibit C. 8. The Petitioner retained James R. Moyles of the Moyles Law Firm to investigate and pursue this action on behalf of the Estate of Thomas H. Snyder and ~g~eed to a contingency fee of forty percent (40%). A copy of the contingency fee agreement i$ attached as Exhibit D. The contingency fee has subsequently been reduced to thirty-three percent (33%). Thirty percent of the contingency fee earned by the Moyles Law Firm will be paid to Johnson Duffle Stewart 8~ Weidner (JDSW) for services rendered in this matter. 9. Counsel for the Petitioner drafted a Complaint against Arden' Courts and engaged in extensive negotiations with counsel for the nursing home. In addition, counsel for the Petitioner gathered and assimilated medical records, obtained expert reports from medical experts, and engaged in extensive conversations with Medicare. 10. Arden Courts has agreed to settle this matter for a total sum of $80,000. 11. The Petitioner desires to accept the proposed settlement. 12. There is an outstanding Medicare lien of $493.61. It is proposed tlhat Medicare be paid $493.61 from the $80,000 settlement proceeds. 13. The Petitioner desires to allocate one hundred percent (100%)' bf remaining proceeds to the survival action claim. 14. The Pennsylvania Department of Revenue has been consultdd about the proposed settlement and allocation of proceeds and has no objection. See letter of May 24, 2010 attached as Exhibit E. 15. The Petitioner requests that this Honorable Court approve the settl~m~nt of this matter as set forth above and further requests the approval and allocation of the of the settlement proceeds as follows: Gross Settlement Amount $80,000 Attorneys Fees $26,400 Moyles Law Firm ($18,480) JDSW ($7,920) Return of Costs Advanced by Moyles Law Firm $3,354 Payment of Medicare Lien $493.61 Net Settlement Amount $49,752.39 Under the Wrongful Death Act $0 Under the Survival Act $49,752.39 WHEREFORE, the Petitioner respectfully requests this Honorable Court approve the proposed terms of this wrongful death and survival action settlement. Respectfully submitted, JOHNSON, DUFFIE, STEWART & WEIDMER ,~efferson J.'Shiprr~n Attorney I.D. No. 51785 Sarah E. Hoffman Attorney I.D. No. 307612 301 Market Street P. O. Box 109 Lemoyne, PA 17043-0109 Telephone (717) 761-4540 Attorneys for JoAnn Alford, Executrix of the Estate of Thomas H. Snydler Date: June 3, 2010 ____ T - _~ VERIFICATION AND CONCURRENCE I, JoAnn Alford, Executrix of the Estate of Thomas H. Snyder, am the Petitioner in this action. I hereby verify that I have read the foregoing Petition for Court Appiroval of Wrongful Death and Survival Settlement and that the statements made in said Petition are true and correct to the best of my knowledge, information, and belief. I understand that the statements in said Petition are made subject to the penal$i~s of 18 Pa.C.S. §4904 relating to unsworn falsification to authorities. I hereby verify that I' concur in the terms of the Petition and the relief sought therein. DATE: ~'~"'~ _~'~ A__ .,.fit F~c(~ JoAnn Alfo d, Executrix of the state of Thomas H. Snyder CERTIFICATE OF SERVICE I hereby certify that a copy of the foregoing Petition for Court Approval of Wrongful Death and Survival Settlement has been duly served upon the following counsel of record, by depositing the same in the United States Mail, postage prepaid, at Lemoyne, Pe~ni~sylvania, on June 3, 2010: Michael Thomas Snyder 220 Ross Avenue, Apt 2 2nd Floor New Cumberland, PA 17070 HCR Manor Care Legal Department Attention: Beth Wilson 333 North Summit Street P.O. Box 10086 Toledo, OH 43699-0086 JOHNSON, DUFFIE, STEWART & WEIDNER' B. J er o J. Ship n :399927 EXHIBIT "A" ~~r ~~~ ~~~ ~.~,~~~~~ OF THOMAS H. SNYDER I, THOMAS H. SNYDER, of Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament hereby revoking all other Wills and Codicils by me at any time heretofore made. ITEM I: I direct that all of my just debts and. currently due debts and funeral expenses shall be paid from my estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I give, devise and bequeath my entire estate, whether real or personal, or wheresoever the same may be situate or located, to my wife, PATRICIA JANE SNYDER, if she survives me. In the event that my wife, l'ATRICIA JANE SNYDER, should predecease me, then I dispose of my estate as follows: (A) I give and bequeath the sum of Five Thousand ($S,OA0.00) Dollars to each of my grandchildren listed hereinafter and to any afterbom grandchildren, namely, ASHLEY RAE BANKS, SARAH ELIZABETH SNYDER, BRANDI LEE SPENCE and ANTHONY JOHN GARNER The foregoing bequest to my grandchildren shall be placed in an interest bearing sequestered account nor to be withdrawn until each grandchild attains the age oftwenty--one (21) years. (B) I give, devise and bequeath all of the rest; residue and reanainder of my estate, whether real or personal, or wheresoever the same maybe situate or located, in equal shares, to my son and stepchildren, namely, MICHAEL THOMAS SNYDER, RAYMOND WII.,LIAM SPENCE, BRUCE ALLEN SPENCE, RAE ANN BANKS and 7oANN MARIE ALFORD, per stirpes. ITEM III: I nominate, constitute and appoint my wife, PATRICIA JANE SNYDER, as Executrix of this my Last Will and Testament. In. the event that she is unable or nawilling to serve in this capacity, then I nominate, constitute and appoint my stepdaughters, RAE ANN BANKS and JoANN MARIE ALFORD, as Co-Executors of this my Last Will and Testament. TTEM 1V: It is hereby directed that my);xecutrix shall pay a!1 inheritance, estate, succession and legacy taxes to which my estate for the transfer of any property hereunder may be subject, and to charge such taxes as a part of the expense of the administration, payable out of my residuary estate. ITEM V: I direct that no Executrix or other fiduciary named, nominated or appointed in this my bast Will and Testament shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of the Court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. II~~ WITNESS WHERE01, I have hereunto set my hand and seal this ~ ~~day of April, 1997. ,•--. Thomas K Snyder ' Signed, sealed, published and declared by the said Thomas H. Snyder, the above named T , as sod for his Last Will and Testament, in the presence of us, who at his request in Iris presence and in a presence of each other, all being present at e same ' e, have hereur~o subsc~I~d our names as witnesses he,~eto./ ,~ Residing ~ ~ Gfi~x f ~~'~`'`/ ~ Residing _ ~`' ____~._. ~~ "- COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHN I, THOMAS H. SNYDBR, Francis A. Zulu and Wendy S. Paul, the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being duly qualified according to Iaw, do hereby declare to the undersigned authority that we were present and saw Testator sign and execute the instrument as his Last Will, that he signed willingly {or willingly directed another to sign for him), and that he executed it as his free and'voIuntary act for the purposes therein expressed; that each of the witnesses, in the pxesence and hearing of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time eighteen {~ 8) or more years of age, of sound mind and under no constzaint or undue influence, and 1, the said Testator, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and vohmtary act fer the purposes herein expressed Subscribed, sworn to and acknowledged before me by Thomas H. Snyder, the Testator, and sabscribed and sworn to before me by Francis A. Zulu and Wendy S. Pahl witnesses, this ~~y of April, 1997. . `~,~ Notary 'c Korataa~ s~r-~ ANM J. IONO, otary PubP~ ryofHartlsburp,HDw hp I~Counb fAy CanmWlon E~S+Oot~ 9D.1899 F i i EXHIBIT "B" e COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, F f SHORT CERTII+ICATE Register for the Probate of Wills and Ofanting Letters of Administration in and for CUMBERLAND County, do hexeby certify that on the 5th day of March, Two Thousand and'NTine, Letters TESTAMENTARY in common form were granted by the Register of said County, on the estate of THOMAS H SNYDER late of LOWER ALLEN TOWNSHIP' f£kst Mldme, Gi4 in said county, deceased, to JOANNMARIEALFORD lFus4 MJdtliq, Gtsf! and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixedi the seal. of said office at CARLISLE, PENNSYLVANIA, this 29th day of Juzne Two Thousand and Nine. File No. 2009-00214 PA File No. 21- 09- 0214 Date of Death 2/28/2009 S. S . # 181-32-4811 NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL i_ EXHIBIT "C" Full and Final Release Michael Snyder {the "Releasor'~, in consideration of Tweniy Four Thousand dollars --------------00/00 (24,000.00) and other good aucl valuable consideration, the receipt and sufficiency of which is acknowledged by the Releasar, hereby releases and forever discharges The Estate of Thomas H. Snyder (the "Releasee'~ Releasee's agents, servants, successors, heirs, executors, administrators, successors and assigms of and from all actions, any and all manner of claims, demands, causes of action, damages or suits whatsoever, which the Releasor had, now has or which the Releasor, Releasor's heirs, executors, adrninistrators and assigns or any of them hereafter can, shall or may have by reason of, or in any way directly or indirectly, connected with, or arising out of: The settlement of the Estate of Thomas H. Snyder. This includes but is not limited to the final settlement of any and all pending litigation. For the same consideration, the Releasor further agrees not to make claim or take proceedings against the Releasee or any other person or entity which may claim contribution or indemnity under the provisions of any statute or otherwise. IN ~ SS WHEREOF, the Releasor has executed this Release on I 'tt date by Releasor) .~ (S tore of Releasor ~~/ ~ Sncaf~-t/~ (Print Name) ~- EXH/BI T ~~~ ~~ POWER OFATTORNEY/CONTINGENT FEE AGREEMENT I/~/E, f ,~,~,,,, ~/ Fordo ,presently residing at z ~~ ~~~ P hereby appoint and employ James R. Moyles, Esquire and The Moyles Law Firm as our attorneys to represent us in any and all claims of whatsoever kind or nature arising out of ~ r~ •f' +~~-p - ~~'~- % •~,, J~.. , Pennsylvania and, if necessary, to institute, conduct, and prosecute claims by actions at law or otherwise against any party from whom recovery may be made with respect!to the aforesaid accident. Our attorneys are to lend their professional services to the prosecution of our claim with full authority to do whatever is necessary in this regard. It is expressly understood that all negotiations for settlement shall be conducted by them but that any settlement of our claims shall be subject to our approval amd authorization. Further it is agreed that alt contact between myself and any adverse party shall be made by my attorneys. If such investigation is completed and/or if after expert review, or at any #ime during the pendency of the action, the determination is made that a clairh 7 __ __,_ _ _a _i cannot be made because the care provided did not deviate from acceptable standards of care or the wrongful act cannot be established, or that the probability of winning the case is very remote, or it is not economically feasikale to pursue the case because the cost of litigation would be great and the amount of probable recovery would be small, the above named attorneys shall have the right to withdraw as our attorneys upon giving us ten (10) days notice, and in!that event, ll hereby release James R. Moyles, Esquire and The Moyles Law Firm from this contract. We agree that James R. Moyles, Esquire/Moyles Law Finn shall receive either 44% of the amount of gross recovery or the amount awarded by the Court, whichever is greater, of the amount of gross recovery secured from any source resulting in whole or in part from actions taken by James R. Moyles or Moyles Law Firm in conjunction with this Power of Attorney and Contingent Fee Agreement. The Attorney Fee on any total amount of awards, settlements artd/or verdicts for future damages shall be paid in one lump sum along with any other fee due and payable relating to any other award, verdict and/or settlement resulting from the case. If the only award, verdict and/or settlement is for future damages, then the attorney fee will be paid in one lump sum calculated on the amount of the verdict reduced to judgment. We agree to pay all cost and expenses involved in bringing suit and in preparing this case for settlement and/or trial including but not limited to expierf or 2 witness charges, investigation expenses, copying and postage charges, deposition expenses, etc., and any court costs. We understand that we will be responsible for these costs and expenses whether paid by us or advanced by James R. Moyles or Moyles Law Firm regardless of the success or results of any suit or the amount of any recovery. Any costs which may have been advanced and incurred by James R. Moyles or Moyles Law Firm for which they may not have been reimbursed by us at the time of any recovery shall be collected by Moyles Law Firm before the division and distribution of any other monies recovered in this mater. In the event that this agreement shall be terminated by us prior to the termination of any Litigation and prior to any settlement offer, we agree that James R. Moyles, Esquire and Moyles Law Firm shall be compensated at the rate of the greater of the following amounts: 1. That the portion of the above agreed contingent fee, payable out of!any settlement or successful litigation, which corresponds to the amount of attorney time expended by James R. Moyles, Esquire and Moyles 4aw Firm as opposed to any attomey time expended by others in addiijidn to reimbursement of any cos#s incurred to date or; 2. James R. Moyles, Esquire's then prevailing fee in the amount of $300.00 per hour for the time expended by James R. Moyles, Esquire and Moyles Law Firm. In the event that this agreement shall be terminated by me/us prior to the termination of any litigation which is authorized by us and subsequent to a settlement offer, we agree that James R. Moyles, Esquire and Moyles Law Finn shall be compensated at the rate of the greater of the following amounts: 3 1. The contingent fee percentage calculated on the outstanding settlement offer at the time of termination in addition to reimbursement of any costs incurred to date, or 2. James R. Moyles, Esquire's then prevailing fee in the amou~r~t of $300.00 per hour for the time expended by James R. Moyle, Esquire and Moyles Law Firm. In the event that this agreement is terminated by James R. Moyles, Esquire and Moyles Law Firm prior to the termination of any litigation and subsequent to a settlement offer, we agree that James R. Moyles, Esquire ainld Moyles Law Firm shall be compensated at the rate of the greater of the fallowing amounts: 1. The contingent fee percentage calculated on the outstanding settlement offer at the time of termination, or 2. James R. Moyles, Esquire's then prevailing fee in the amaurlt of $300.00 per hour far the time expended by James R. Moyles, Esquire and Moyles Law Firm. We have re#ained a copy of this Agreement. IN WITNESS WHEREOF, we have agreed to this contract on this tgrX day of ~~ -7 , 2009. Date Date R. Moyles, Esquire - - ~ ~~ 9~0 9 . '~ Date 4 EXHIBIT "E" _... _._. l.__..._... ___. __. _... _. ~ pennsylvan~a DEPARTMENT OF REVENUE May 24, 2010 Sazah E. Hoffman Johnson, Duffie, Stewart & Weidner 301 Market Street PO Box 109 Lemoyne, PA 17043-0109 MAY 2~ ~ 2010 ~!A ~.. Re: Estate of 'Thomas Snyder File Number 2109-0214 Court of Common Pleas Cumberland County Dear Ms. Hoffinan: The Department of Revenue has received the Petition for Approval of Settlement Claim to be filed on behalf of the above-referenced Estate in regard to a wrongful death and survival action. It has been forwarded~to`~his Bureau for the Commonwealth's approval of the allocation of the pirdceeds paid to settle the actions. ' Pursuant to the Petition, the 75 year old decedent died as a result of negligence. Depedent is . survived by~his adult children. Please be advised that, based upon these facts and for inheritance tax purposes only, this Department has no objection to the proposed allocation of the net proceeds of this action, the full sum of $49,752.39 to the survival claim. Proceeds of a survival action aze an asset included in the decedent's estate and are subject to the imposition of Pennsylvania inheritance tax. 42 Pa.C.S.A. §83b~; 72 P.S. §9106, 9107. Costs and fees must be deducted in the same percentages as the proceeds are allocated. In re Estate of Meer r~nan, 669 A.2d 1059 (Pa. Cmwlth. 1995). I trust that this letter is a sufficient representation of the Department's position on this matter. As the Department has no objections to the Petition, an attorney from the Department of Revenlze will not be attending any hearing regarding it. Please contact me if you or the Court has any questions pr requires anything additional from this Bureau. i erely, ~~~~~ ~~~ on E. Baker Trust Valuation Specialist Inheritance Tax Division Bureau of Individual Taxed Bureau of Individual Taxes ~ PO Box 280601 ~ Harrisburg, PA 17128 ~ 717.783.5824 ~ shabakerC~istate.pa.us REV-1511 EX+ (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCNEpYLE N FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Debts of decederH must be reported on Schedule L ITEM ' NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip T Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 4. 5. 6. ~. City State _ Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Retum Preparer's Fees ~ ~~`,~'~ ~~`,~ Zip ~~Q'OV TOTAL (Also enter on line 9, Recapitulati©n~ I $ ~d ~ ~ j ~, ~~ (If more space is needed, insert additional sheets of the same size) ~~,, ~ ,,~ ~' ~~~.~ A Family Tradition Of Caxing® FARTHEMORE Fungal Dome ~ Cremation services, Inc: Mrs, JoAnn M. Alford 3/3/2009 2020 Pgwderhorn Road Middletown, PA 17057 For the Service of Thomas H. Snyder 1303 Bridge "Street We sincerely appreciate the confidence you have placed in us and will continue to Assist you in every way P.O. Box 431 we can. Please heel free to contact us if you have any questions in regard to this went. The following New Cumberland, PA 17070 is an itemized statement of the services, facilities, automotive equipment and merc~anidis® that you selected (7 i 7) 774-7721. when making the. funeral arrangements. (Fax) 774-5546 Terms Due Date account # www.parthemore.com Net 30 4/2/2009° 2009018.0 Description Arnount SERVICES & MERCHANL>ISE Traditional Funeral Service.. 5,7511:00 Peaceful Retreat Stationery Set 165.00 18 Gauge Steel casket 2,395.00 Gilbert W: Parthemore, 12 Gauge Galvanized Steel Vault I 1,690.40 Founder Total Services and Merchandise 10,000.00 Gilbert J. Parthemore, Supervisor CASH ADWANGE TJ'EMS Death Notice, Harrisburg Patriot 238.32 Stephen K. ~Parthemore, 18 Certified. Copies of Death Certificate 108.00 CFSP Clergy Honorarium 150.00 Flowers; Casket Spray 212,00 Flowers, Roses in Vase ~ 38.50 .Bruce R. Parthemore, Grave Opening 1,345.00 Pre-Need Coordinator, CPC Total Cash Advances 2,041.82 Professional Memberships: ~ ~~ I NFDA • PFDA i VICIY~~ OV 'R~ :. 4~ ~'1u5~ ~D~SI~ DCFDA • CCFDA LE ~t ~ '~~ .The Rule You Know 77~e Peopte You Trust ~ ~y~ ~,~ Payments/Gre s ~• •~~ls.~ B~18nC~e D ~1:2,o9z,82 ~. ~_ REV-1512 EX+ (t2-03) SCNEpVLE 1 COMMONWEALTH OF PENNSYLVANIA DEBTS Of DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER 1 Report debts incurred by the decedent prior to de th which remained unpaid as of the date of death, including unreimbursed' medical expenses. ITEM VALUE AT DATE NUMBER DEn~SC~.R,IP\TIO~N OF DEATH a . v~-~ ;-~-: s~ ~ • ass fix1 -- ~ ~ l - t 3. ~t~~t~j ~ ~-~ 1^~~. ceot~ ~'~ sc~ ~, 3 y S. ~ I lo. ~lvt~~;c~ -~p ~~'ho~ ccZvs.~,~~C ~ ~.p , 'I ~ca.C~j ~ ~cr ~'©©b ~'~,~ pct. c~s~~c~ ©~ ~~~s~, c~o~. on ~ot~. ~ ~-~S_ C9c~ TOTAL (Also enter on line 10, Recapitulation) S II (If more space is needed, insert additional sheets of the same size) i ~ / OMB Approval No. 25FIIVAL !;~a~; ,;~ A. Settlement Statement (HUD-1) 1. XQ FHA 2. Q'2HS 3. Q Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: H510006 0073163172 441-9712675-703 4. ^ VA 5.0 Conv. Ins. C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agents are shown Items marked "(p.o.c)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. Name & Address of Borrower. Bradley C. Bartett, Detxxah R. Bartell 1515 Chatham Road, Camp Hill, Pa. 17011 E. Name & Address of,Seller: Estate of Thomas H. Snyder 1931 Chatham Drive, Camp Hill, PA 17011 F. Name & Address of Lender: MetL'rfe Home Loans 681 Anderson Drive, Suite 420, Pittsburgh, PA 15220 G. Property Location: 1931 Chatham Drive Camp Hill, PA 17011 H. Settlement Agent: Heritage Settlement Services, LLC Phone: 717-975-2117 Fax: 717-730.9665 I. Settlement Date: 03l0'V2010 Disbursement Date: 03/0'V2010 Lower Alien Township Place of Settlement: 4705 E. Tdndle Road, Mechanicsburg, PA 17050 TitleExpress Printed 03J0'V2010 at 12:31 pm by'JG . :. 100. Gross Amount Due from Borrower 400. Gross Amourtt Due to Seller 101. Contrail sales price 129,900.00 401. Contracts price 129, 00 102. Personal 402. Personal 103. Settlement charges to borrower (line 1400) 7,546.83 403. t04. 404. 105. 405. Ad uatments for items aid b setter in advance Ad uatments for Rems aW aelkrhn a vance 106. CityRown taxes to 406. Cityltown taxes ip 107. County taxes to 407. County taxes to 108. Assessments 02126/2010 to 06130/2010 374.96 408. Assessments 02/26/2p10td 06/30/2010 374.96 109. Sewer/Refuse J/F/M 02/25/2010 to 03/31/2010 38.09 409. SewerlRefuse JIFlM .02125 10 td 03/31/2010 38.09 110. 410. 111. 411. 112. 412. 120• Gross Amount Due from Florcower 137,889.68 420. Gross Amount Due to Seller 130,313.05 200. Amounts Paid or in Behal(of Borcower 500. Reductions 1n AmouM Due to Sa 201. Deposit or earnest money 1,000.00 1. Excess deposit (see inshuc8ons 202. Principal amount of new loan(s) 127,546.00 502. Settlement charges to seller (lino 14 ) 17,005.75 203. Existin loo s taken su 'ect to 503. ExisBn loo s taken su 'eil to 204. 504. Payoff of first mortgage loan 205. Broker Paid Fee 90.00 505. Payoff of second mortgage loan 206. ~, 207. 507. 208. 508. 209. 509, Ad uatments for items un std b seller Ad uatments for hems un eid b seler 210. Cityltown taxes to 510. CityAown taxes to 211. County taxes 01/01l2010.to 02126/2010 85.28 511: County taxes 01101/2010 to 02126/2010 85:28 212. Assessments to 512. Assessments to 213. 513. 214. 514.' 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. Total Pald 6 lfor Borrower 128,721.28 520.. Total Reduction Amount Due Steller' 17,091.03 300. Cash at Settlemerrt fromlto Borrower 600. Cash et Settlement tolfrom Seller 301, Gross amount due from bortower (line 120) 137,859.88 601, Gross amount due to seller (line 420) 130,313.05 302. Less amounts paid byltor borrower (line 220) 128,721.28 602. Less reductions in amount due seller (I ne 520) 17,091.03 303. Cash Q From ~ To Borrower n. m,,,, u n ar n o n a 9,138.80 603. 'Cash XD To ~ from Sillier 113,222.02 Previous editions are obsolete Page 1 of 4 HUD-1 ,.. , . ,~ 700. Total Real Estate Broker Fees $ 7,794.00 Pald From Paid From Division of commission line 700 as follows: Borrower's Seller's 701. $3,922.00 to Century 21 Piscioneri Realty, Inc. FUnds at FUndS dt 702. $3,872.00 to The Homestead Group, Inc. Settlement Settlement 703. Commission paid at settlement 7,794.00 704. Buyer Commission to The Homestead Group, Inc. 200.00 800. Items Pa able in Connection with Loan 801. Our origination charge (Includes Origination Point % or $0.00) $4,316.95 (from GFE #1) 802. Your credit or charge (points) for the specific interest rate chosen $-3,666.95 (from GFE #2) 803. Your adjusted origination charges (from GFE A) 650.00 804. Appraisal fee to C.R. Colestock $350.00 P.O.C. B' (from GFE#3) 805. Credit report to ACA Mod a e Com an LLC (from GFE #3) 71.17 806. Tax service to TMS (from GFE #3) 90.00 807. Flood cedification to Federal Flood (from GFE #3) 26.00 808. to 900. Items Re ulred b Lender to be Paid in Advance 901. Daily interest. charges from from 03101/2010 to 03/01/2010 @ $18.34601day (from GFE #10) 902._ Modgage Ins. Premium for months to HUD (from GFE #3) 2,193.68 903. Homeowner's insurance for 12 months to Horace Mann (from GFE #11) 431.00 904. months to from GFE #11 1000. Reserves De osited with Lender 1001. Initial deposit for your escrow account (from GFE #9) 1,130.23 1002. Homeowner's insurance 3 months $ 35.921monih $107.76 1003. Mortgagelnsurance months $ 57.09Imonlh $0.00 1004. City Property Tax months $ O.OOlmonih $0.00 1005. County Propedy Tax 13 months $ 46.32/month $602.16 1006..Assessments 9 months $ 91.241month $821.16 1007. Aggregate Adjustment $-4 0.85 1100. Title Char es 1101. Title services and lender's title insurance (from GFE #4) 1,293.75 30.00 1102. Settlement or closing fee to $ 1103. Owner's title insurance (from GFE #5) 10.00 1104. Lender's title insurance $1,223.75 1105. Lender's title policy limit $127,546.00 1106. Owner's title policy limit $129,900.00 1107. Agent's podion of the total title insurance premium $984.94 1108. Underwriter's portion of the total title insurance premium $248.8.1 1109. Deed Prep to The Law Office of Crai Diehl 110.00 1200. Government. Recordln and Transfer Char es 1201. Government recording charges (from GFE #7) 152.00 1202• Deed $62.00 Mod a e $90.00 Release $0.00 1203. Transfer taxes (from GFE #8) 1,299.00 1204. City/County taxlstamps Deed $1,299.00 Mort a e $0.00 1205. Stale Taxlstamps Deed $1,299.00 Morl $0.00 1,299.00 1206. Deed $0.00 Mod a e $0.00 1207. 1300. Additional Settlement Char es 130E Required services that you can shop for (from GFE #6) 1302. Survey to $ 1303. to 1304. SewerlRefuse to Lower Allen Townshi Sewer Authorit 107,75 1305. Home Warranty to AHS 435. 1306. Estate Holding to Herita a Settlement Services, LLC 7,230.00 y,r,.,it1 tt ~ai~i ,~.t`s.,.;i. ~.,,. •.., ..)_.,w ,a.yf.j~ r il~~i~rtr .' t~ 7,548.83 17,005.75. 'Paid outside of closing by (B)orrower, (S)eller, (L)ender, (I)nvestor, Bro(K)er. Previous editions are obsolete Page 2 of 4 HUD-1 _ {_ _ _ r - r Com arison of Good Faith Estimate GFE and HUD-1 Char es Char es That Cannot Increase HUD-1 Line Number Our origination charge # -801 Your credit or charge (points) for the specific interest rate chosen # 802 Your adjusted origination charges # 803 Transfer taxes # 1203 Char es That fn Total Cannot Increase More Than 70°/ Government recording charges # 1201 Appraisal fee # 804 Credit report # 805 Tax service # ~ Flood certification # 807 Mortgage Ins. Premium # 902 Title services and lendets title Insurance # 1101 Char ea That Can Chan e Initial deposit for your esaow account # 1001 Daily interest charges from # 901 18.3460/d Homeowner's insurance # 90& Owne(s title insurance # 1103 Good Faith Estimate HUD-1 7,645.78 4,316.95 -3,666.95 -3,666.95 4,178.83 650.00 1,299.00 1,299.00 Good Faith Estimate HUD•1 145.00 152.00 350.00 350.00 46.67 71.17 90.00 90.00 26.00 26.00 2,193.68 2,193,68 1,424.00 1,293.75 4,275.35 4,176.60 -98.75 or -2.3098°k Your initial loan amount is $127,546.00 Your loan term is 30 years Your initial interest rate is 5.2500% Your initial monthly amount owed for principal, interest, and any mortgage $761.41 includes insurance is ^X Pdnapal ^X Interest X^ Mortgage Insurance Can your interest rate rise? 0 No. ^ Yes, it can dse to a maximum of %. The first change will be on I I and can change again every years after / I .Every change date, your interest rate can inaease or deaease by %. Over the life of the loan, your interest rate is guaranteed to never be lower than % a higher than °f°. Even if you make payments on time, can your loan balance rise? ^X No. ^ Yes, it can rise to a maximum of $ Even if you make payments on time, can your monthly amount owed for ^X No. ^ Yes; the first inaease can be on l / and the nronthly principal, interest, and mortgage insurance rise? amount owed can rise to $ The maximum it can ever dse to is $ Does your Loan have a prepayment penally? X^ No. ^ Yes, your maximum prepayment penalty is $ Does your loan have a balloon payment? ^X No. ^ Yes, you have a balloon payment of $ ' due in ,years on I 1 Total monthly amount owed including escrow account payments ^ You do not have a monthly escrow payment to items, such as property taxes and homeowner's insurance. You must pay these items directly yourself. 0 You have an additional monthly esaow payment of $82.24 that results in a total initial monthly amount owed of $643:65. This includes pdncipal, interest, any mortgage insurance and any items checked below: X^ Property taxes ~ Homeowner's insurance Flood insurance ^ ^ ^ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. Previous editions are obsolete Page 3 of 4 HUD-1 __ _ .~~ C~'tvM~'if ~i'~rt`x.d~..n.. .....y.°u£i.L:%..=5.:-... an~+l~i ... , L'L LL1" ..~ - HUDCERTIFICATION OF BUYER AND SELLER I have carefully reviewed the I1UD-1 Settlement Statement and to the best ~f my knowledge and belief, it is a true and accurate statement of all receipts and disbursements m+3de on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. r~ f Bradlgy C. B tt `_ Deborah R. Barrel( ~~.", "~-O..A.~ 4~., CkA.C Estate of Thomas H. Snyder =s The HUD-1 Settlement Statement which I have prepared. is a true and accurate account of this transaction. 1 have causled or will cause the funds to be disbursed in accordance with this slalenient. ~ ~ '~•\(~ SETTL MENT AGENT DATE ?~ WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECT40N 1001 AND SECTION 1010. Previous edRions are obsolete Page 4 of 4 HUD-1 ~yo'•uvv rrlo O O 1 1p \ \ I \ I r l-+ I N If O I W \ \ I \ N N 1 N O O 1 O O O 1 O ' 10 Vl 1 10 1 ~~,a 1 1 1•+ 1 r1 n i ~ y r C nni ~ i 00 10 V) \ \ 1•+ r 01 01' \ \ N N Q O 10 ~ m ~ ~` n ~d r !~ < Iti n M rr O W r VI N O O V) Oros m L O O fD W \ \ N~ J J ~. \ N N O O 10 10 r Kn N Y n th 0 1 0 0 1 fb I J ~I I \ 1 \ \ 1 0 I r N 1 OI 1 01 01 I \ 1 \ \ 1 N I N N I 0 1 0 0 1 0 1 0 0 I 10 1 1D 10 I 1 I d I ~ I I I i N rr i „ n 1 I~R 1 1 N• fA 1 i ~ C 1 H I 1 n l I ~ I 1 I 1 I I I O I O O J I 01 O \ 1 \ \ r 1 -+r I IP 1 OI 01 \ 1 \ r. N I N N O 1 O O O I O O V) 1 10 10 r I '~f D7 OI I r A i ~ II m i M H I ~m~~ 1 wN I I rca I ~ 1 ~ 1 1 H w ~ ~ ', N I I I I 1 I I I I I I t I 1 I I I 1 I 1 I I I 1 I 1 I I I I r o I I J I I \ I I o I 1 J I 1 I 1 I 1 I 1 1 I I 1 I 1 I I I Vf 1 aA t7r O I. O O I I I N 1 W W I VL.4~ 0 1 0 0 1 0 1 0 0 1 -O 1 0 0 1 0 0 1 0 0 C1 1 l!1 UI f VI I A A I Io 1 W W l W W I N N \ I \ \ 1 \ 1 \ \ 1 \ 1 \ \ 1 \ \ I \ \ O 1 N N I N 1 N N 1 N I N N I I-+ N I N H N I VI 4!1 I W I OI QI 1 Ifs I ~] a 1 N N t W W \ 1 \ \ 1 \ 1 \ \ I \ 1 \ \ 1 \ \ 1 \ \ N I N N I N I N N I N I N N I N N I N N i 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0' O I O O. 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 t0 1 10 10 1 10 t 1D 1D f 10 I 1D 10 I 10 10 I 10 V) t I 1 M 1 1 1 t f~ m I~ I~ I~ r I~ I~~IQ~~ I¢ ~1 1~(~Qp ['~ I I~ I A I~~ I~ I F I Ip W I G 1 1-+ I I N y3j 1 NNN I W «~~i 1 1 F+ 1 ty I ro l Os 70 1 '.y l j11 7s { ro ro 1 a IY I I{ H 1 a I fy H 1 1Y 1 rt H 1 p 01 I M M 1 n 1 1 n 1 I n 1 1 n l 1 rp 1~ 1 Cb 1 I Gd 1~~ I m 1 N• N I 1 r- N{ 1 N• y I r N- f0 1 N I I N t0 1 1 N 1 O I h+ ~C i ~ i ~~ i , N~ ~ net ~ ~+~ II I H I (~ I N I I 1-i I n 1 N' I n l .T I n l I n l `J' 1 n ~ i YYly1l i ~ i i ~ i ~iy1 1r~~ i m i R i i i i tOp fC 1 1 1 1 I I ! ! 1 I I I t I 1 I I 1 I I I I 1 I 1 1 1 1 1 1 1 1 1 1 I I I 1 1 I I 1 I I I I I 1 1 1 1 1 I 1 t I I 1 1 1 I 1 I I 1 I I t I 1 I I 1 1 I I I 1 I I I I 1 1 I I 1 1 1 I 1 1 1 I I 1 1 f I I I 1 1 I 1 I 1 I I 1 1 1 1 1 1 1 I I I 1 I 1 f I I f 0 1 I O 1 I O I I O 1 I Q1 1 I N 1 I b I I W I 1\ 1 I\ I I\ I I\ I 1 0 1 1 0 I 1 0 1 1 0 I 1 N 1 I J 1 I J 1 I 01 I I 1 I 1 1 I I I 1 I 1 I I I I I 1 ! 1 1 1 I 1 I I I 1 1 1 1 I I I I 1 1 1 1 f I i 1 1 f I 1 1 I fA 1 1 I I N I I I I 1 I i/1 1 I 1 1 1 i? I 1 iR 1 N 1~ i~+ Lr f N l {? f/J• I W I W t/1 1 {/> t// I N {R 1 r 1 1 V r 1 1 0 \ 1 / \ ~ i i o 1 1 1 1 I f 1 1 I 1 1 N 1 NN I I 1 f?N r r I N I N N O O I 10 1 10 W J J I N I N W 0 0 I N I UI V) I I I 1 I I I 1 1 1 I 1 I O 1 1 N 1 1 O I 1 0 1 t \ 1 I o 1 I O 1 1 N 1 1 N 1 I 1 1 I I I N I 1 J 1 I Ib I 1 1 I 1 f 1 I 1 I 1 I N I I 10 1 N N t o I l a 1 1 10 1 I O 1 1 ~. 1 I \ 1 t o I l 0 1 I W 1 1 01 1 1 1 1 I I 1 l I I 1 1 1 I 1 1 1 I I I I 1 t 1 1 I I H I I 1 {I- to 1 I I u !/- I N 1 F+ N 1 N 1 N N 1 O 1 O W I Itl 1 10 O 1 1 1 1 1 N 1 OI tT 1 0. I Pia 1 O I lT 01 1 IC• 1 /- O I ~ I 1 N I I ~ I 1 I t pl I t 01 I 1 1 1 I I 1 I 1 I 1 I I 1 1 1 r 1 1 1 I I I 1 I 1 1 I 1 1 O O N Ir \ 0 J J N A O P I W I I O 1 I 1 1 1 1 I 1 1 1 1 1 I 1 I 1 1 I I I I 1 I I I 1 A f 1 J 1 I I I 1 1 1 I I I 1 I I I 1 I 1 I I I 1 1 I I 1 I t I I t 1 1 1 1 io to I \ to 1 W I r 1 a 1 1 1 Ir I A I ~ 1 O I J 1 1 1 I w I N' ~1 I J OD I O I V) 1D I O -I 1 1 ! ! I V) 1 10 J 1 N 1 0 0 I !p l N I N t!1 I N I OI 01 I 10 I 1 1 1 1 I I 1 1 I 1 1 I I 1 1 I 1 1 1 I 1 I I 1 I I 1 1 t I 1 1 I I I N I 1 1 I ~/- 1 I I I O I I I 1 V) 1 I I I I 1 1 1 1 I I 1 VI I f I 1 0 I 1 I I W 1 1 1 1 01 1 I 1 1 ! 1 I I I I I 1 1 I I I I I I I I I I I 1 I 1 1 I 1 I f 1 I I 1 I I 1 1 I I I I 1 1 I I 1 1 I 1 I 1 } I I I I 1 I 1 I 1 1 1 1 I 1 1 1 1 1 t 1 1 1 I I { I 1 I 1 1 t I I I I I 1 1 1 I 1 1 1 1 I I I , I 1 1 I I 1 I 1 I I I 1 1 1 1 I 1 I 1 1 I I 1 I I I I 1 I 1 1 1 1 I I 1 I I t 1 1 1 I I I 1 I I 1 1 1 I 1 I 1 1 I 1 I 1 1 1 `, I 1 I I 1 f I I I I 1 1 1 I 1 0 1 1 0 I l 0 1 1 I 1 0 1 1 0 1 I N t 1 I I O 1 I tT 1 I O I 1 I I 171 f I W 1 I N 1 1 1 1\ I 1\ 1 1\ 1 f 1 1 0 1 1 0 1 1 0 I I I I N 1 1 N 1 1 0 1 1 I I r 1 1 0 I 1 A 1 I I I N I 1 OD 1 I W 1 I I 1 1 1 1 1 1 1 I 1 1 I I 1 I 1 1 1 I 1 I 1 I 1 1 I N 1 1 f+ 1 I N 1 I I I A I I 10~ 1 1 A ! I I 1 It- ! 1 IP 1 I IP 1 I I 1 W 1 1 N I 1 N 1 7 I 1 10 I 1 01 I I d 1 1 I I .b I I IIPI 1 1 'fl 1 1 I f 1 1 I 1 1 I I I 1 I I 1 I I I 1 I I 1 1 1 1 I I 1 I 1 I 1 1 I I 1 I I I I 1 I I W 1 I W 1 I N 1 1 I 1 0 1 I N 1 I lD 1 I 1 1 1 1 1 I 1 1 1 1 I 1 1 1 I 1 1 I I I 1 I I I N I 1 11- 01 I 1 N m I 1 w 1 I 1 1 1 I 1 I I I 1 1 1 1 I 1 I I 1 1 1 1 0 10 1 O O l . OOJ I NO 10 N I w r I O 1D I I 1D 10 I rNl 1 N I N I O 1 I 10 1 I r 1 I IQSI i i 10o i P 1 1 00 1 \ 1 1 \ 1 o I l 0 1 °o i i o° o I l 0 1 1 1 I I 1 1 1 I 1 r 1 I N I a I I A 1 IA 1 I 1P l r r l 0 I O 1 I W I .bl 1 1 9r I I I I I 1 I 1 I 1 1 I I I 1 W I I W f O 1 I N I v r w m N O eo U 1 r 1 O I A 1 t0 io to o 1 I 1 I N 1 W 1 V] i Y N O r I 1 1 1 I 1 1 1 .ay µ1n. w-ui-cult/ c fa y ~ ~ N N ~ J 1 Q 7, A ( 7 F\+ -\+ NN ~ J ~ ~ Q O G ~fD N O O \ \ 00 O 0 J W.a I UUUIII 0 N~ x W IC ! ~ 1 rM o x ~ ~II [Q ~ ~ K ~ , ~ N lY ~ T. y ~ ly ; • aro d °i ~~ z Id n ~ ~ ~ et ~ n ~~ ~ c fo m 1~I ~t O ~ it n O• ~ NOF•• 1-• o ~ ~ ~ O .. • M ~~~yyyy y m H r J 0 v+ L- N O O (/1 ~Y ( J J o r H r W H M 2 p"p~ ya W S ~ rl Cr OI IL 1 R II yy ' ~ ~ ~ rt i G t p7 ~~ ~~ cr K f+ r1 li M f+7 ~ d w ~ A ~ Qt O ~/+ K ea th o C rt a ~ o~ o ~ K n ~ ~' ~° ~ r r m ~ • Q ~ ID (~ # YpQ7 I>y ` !n i1! ~yy 0 O ~+J /C O O Cp A A C n n 17 C W m rt rr w ~' ~ ~ N N O O J N O Q 1 0° I N N N 1 •~.. "~ 1 "` 1 F,+ t/ 1~ 1 01 C'' 1 N _ _._ rrl. 1~-' ~I ~~ i ~~~ i ~~ ~ N i NN ~ o i Noo II m, `° l0 /+~~ N i o o tl o ~ N t 11 ~-' i b li ',p .o ~ `c 11 ~ [mss! ; y 1" W 1.. 1 Nµ0 1 G. p 0 i o o l i 4tl R1 I~ i~ C' 1 n O i 7@@tt t+7 i 7d ~' ~ ' p r li ~ f '~ ~ i ~ 1 ~ ~ i ~ ~ r ttt'@~ 1 ~ 1 C 1~ 1 w 1~ I W 1~ I n -~ 1 it 1 ~' i~ IV ~ K H 1 ~* i ri n l i t7p f~ l ri PQ ~ N R 1 ~ A 1 ~ r W~ ~ ii ~• t[oe~ 11 i Y }*~ It o 1 ~' N;~~ N ~ Y~ 1 't F' C a rt ~ r H ~ b N 1 +'' ~ I w tT ~ 1 L' 1 1 /-1 I r~i 1 n 1 M O li v~ 11 W tn17 1 M ti 1' M it W ~1 M~ r ~ [h i ~ ~ ~ i ~ ~ 11 ~ o 1 1 fC 1 1 1 1 { 1 N 1 1 1 I 1 1 ' 1 i 1 1 1 { ; 1 1 1 1 1 1 1 1 1 1 1 t 1 I 1 1 f 1 i 1 I t t i f ~ 1 1 1 I 1 1 1 1 1 1 1 ~ 1 1 ~ 1 ~ i ~ I 1 1 I 1 1 1 1 I i ' 1 1 1 ' 1 1 1 1 1 1 1 ' 1 1 1 ' I I ~ 1 1 t 1 I w t 1 I 1 1 1 0 1 I~ 1 j 1 t o i I r i 1 ""' i 1 0 I W ~N„ 1 '` 1 1~ 1 1 W '` t o I ~~ i 1~ i ~ I Y I N 1 !D t 1 t 1 1 Cl 1~ j° ~ 1 ~ 1 ~ 1 y a i 1 1 i 1 i ' / 1 1 1 1 t 1 { 1 1 1 1 1 1 1 j ~ ~' 1 N I 1 Ito i +n 1 i .N N~ N N i N~~~ i o n ;~ ~ i ~. N; N~ i N a r 1 w 1^' i~ l a ;a ~ r+, I N N ~ H N. J t~ JN 11 SAN 1' o° j ~ 11 OIN Ij N 1i j '~1~ f 1 1 1 1 1 t 1 O N 1 1 t t 1 1 1 1 1 1 1 I 1 1 1 1 ~ ~ ~ y~ I N j i i ID ~ 1 ~ ~ [h I w 1 1 1 { 1 ( 1 t 1 1 1 i t ~ :' 1 i I N i ~ i rt 1 iP' i o 1 1 1 ' 1 1 ~~ 1 1 1 ; 1 ; 1 ' I C 1 t i 1 1 t 1 t' 1 1 1 1 1 1 1 t 1 y 1 -1/T 1 1 ~ 1 ~ 1 ~ 1 I 1 I 1 I I t 1 ' j 1 1 1 I 1 1 t 1 ~ ~ 1 ~ 1 ~ 1 t 1 1 ; 1 i 1 1 I 1 I 1 1 1 1 I / 1 I 1 1 ' 1 1 I 1 1 M 1 1 f 1 1 7 1 f 1 1 1 1 1 1 1 1 1 I1 ~ 1 ~ 1 ~ 1v~y 11 1, 11 r 1 I' O 11 11 ~ 11 n ~+ i o 1 N i 1° i {~ i 1 N YI ~ ; ~ 1 ' OD 1 1 O. t `C 1 0~ 1 Y 1 ^~ 1 1° 1 i o 1 1~ 1~ 1 0 1 1 0 1 I C' I p 1 0 ~ 1 0 i 1 0 ~ 1 0 1 0 1 l 0 1 1 i 1~ C 1° 1 1 J 1 1 1 24Q7] ° i , r ~1 '~ b 1, It m it b .. i l~oa ~~ it ~ o ~I i t i M t QI 1~ I N 1 I A 1 i '~' f I lr ~ p ~~ 1 ~~ 1 ~ 1 O ~ ~ ~ i ~ i ~ i Q~ it 11 II i ` W 1' ; N 1, O m 1 1 I W 1 1 0 1 1 1 1 ~ p' 1~ 1 1 1 1 1 1 CA 1 1 1 t 1 ' 1 1 t 1 1 ' 1 1 1 1 1 1 1 1 1 1 I 1 I 1 i ' 1 1 ' V ' 1 1 ~ 1 1 1 1 1 1 1 t 1 i 1 1 ' 1 1 1 t ~ 1 ~ I ~ 1 1 1 t 1 I 1 I ~,.. 1 1 1 I I 1 r 1 t ~, 1 ~ 1 I N ~ I W 1 1 i 1 ~ r I ~ 1 1 1 { I 1 tr / ~ 1 i 1 ~ 1 1 1 f 1 t 1 1 1 ~ 1 1 ~ 1 1 1 t 1 1 1 1 1 1 ' 1 1 1 1 1 t 1 I t 1 t 1 t CD 1 1 1 1 1 ' 1 t 1 ~ C 1 1 1 t 1 1 1 1 r 1 I I 1 SCC! 1 t ' 1 I 1 1 1 I ~ 1 1 1 1 1 - 1 1 1 1 1 i ~ { 1 1 1 i 1 1 1 1 1 I ~ ~ 1 1 ; 1 i 1 ~ ~ j ~ in 1 r 0 a 0 b A ~ tJ C O J N O .~ ;) ~ ,~ * ~~ w**w**,rww*www*,~***,r**w**w,rrrw***** CICSPRO~ *****ww*~rwwx********w,r~rw,t*********~rw AG1E D3C 10%07/2010 ]5.53.17 * * * w w w * * * ,t * w w w w * +r * * w ;~ ~~ w w * * * w w w * * * wl w w * * * w * UGI UTYLITIES, INC. ** Cx~S CONSUMPTION HISTORY I ** * * * w w w w ,- * * * * * w w w * * * * ir;l w w * * +~ * * w w ,r *~ w+, * w w ~ * * * ACCOUNT: 218-].87-1750-12~ DATE: 10•;07-10 SNYDER,THOMAS RATE: Ri 1931 CHATHAM DR ACCOUNT CAMP HILL 17011 MAILING w w**** w w w w w w*** w w w* g; TYPE OF READ DATE METER READING 2-25-10 1-27-10 12-28-09 11-25-09 10-27-09 9-28-09 8-26-09 7-as-09 6-30-09 529-09 5-29-09 4-29-09 3-2?-09 2-27-09 1-29-09 22-26-08 11-24-08 10-23-08 .FINAL READING ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL CANCELLED ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL idential Heating T.~LTU'S : OLD TENANT DDRES$ ON FILE LS * w w ,r * w * * w * * w * w w ~r w xUNDREa CU. FEET DEGREE S USED NET BI'LS~ DAYS i ,~ 0 i ~'2 9 .12 9 i ;~33 ;28 '13 Q '30 :33 ~ :'2 8 I ;129 ;j32 132 29 165 2~.4~-~ 104 0 170 220.',921 1012 15S 203.',471 975 64 93.2~~ 446 30 48.63 356 2 11.2L'~ 54 1 9 . s ~' 2 11.21 3 12.52~~, 27 2 11.',21! 13 5 a 11.2. 135 48 72.701 447 74 106.16, 690 l04 154.,27] 919 146 a11.8z 1271 134 202.67' 985 8$ 157.471 657 7 20.~y1.. 272 ~~ THE HOME DEPOT #4113 4200 DERRY ST HARRISBURG, PA 17111 YOUR SWATARA HOME DEPOT:717-558-8105 4113 40023 32286 07/24/09 SALE '~ 32 JZ6976 09:50 AM -~ 9 ~ ~~ l7J CUSTOMER AGREE~N1~ i1 250768 RE AL~ AMOUNT 90.00 ALES TAX 0.00 ', TOTAL $90.00 XXXXXXXXXXXX64~8 VISA 90.00 AUTH CODE 0094 5/g0233898 TA I~il~l~i~~1I~Hi HII~I~~l~iili 4113 23 3 6 07/24/2009 2575 THE HOME DEPdT R SERVES THE RIGHT TO LIMIT /DENY ~2ET RNS. PLEASE SEE THE RETURN POLIICY IGN IN STORES FOR DE AILS. GUARANTEE LOW PRICES LOOK FODRR HOUSANDS OF LOWER pRI ES STOREWIDE x~rxzr~~rx~r~rxrr~r~r~r~ckt~c{tx~txzx:zr~xxx~rx~~rc~~rcx ENTEF2 FO~2 A CHANCE TO WIN A $5,000 HOME b~POT GIFT C RD! Share Your Opni~ With Us1 Complete the brief survei, a out your store visit and enter for alchance to win at: www.homedep~t.com/opinion iPARTIC PE EN UNA OPORTUNI~*D D DE GANAR UNA TTA JETA DE REGAL DE THD DE ' $ , 000 ! iComparta Su Opinion! Complete 1a breve ehcuesta store su'~visita a la tienda y tenga la opor`tunidad de ganar en: www.homedepdt.com/opinion User- ID 68941, 64884 Pa~award : 937`4 ' 64861 Entries must b~ enjtered by 08/23/2009. Entrants must a 18 or older to enter. See complete,rul s on website. No purchase ecessary. i JUL-OZ-2006 02:46P~1 Q, to ~. 0 W -al W m C~ a rn ~z' v t~ m C 3 A' ~~ -~ ~; . ~ ..~ ~ ~ : ~ ~ ~ w ~ ~ ~: Z i O ~ .0 :~ ' C ~ ~ 1 r ~ m ~ ,~ :~ ~ ~ cn ~ v ..,~ V F-06Z F ~i i Q ~~~c ~~~~ ~w ~ ~m i 1,! ~ ~ J ^C U+ 7-681 P.001/006 FRONFHOYE DEPOT 4113 +T1T 636 T41T ~PpT 4113 F~~ UL-02-2008 02:49PM ~ ~ ~s .~i ..a ~ ~ «.1 . ,~ '(-081 P.002/ODD m f -v N ~. P~~ppT 4(1'18 i~t•02-2009 OZ:80P1A t 1 i_ 1!~ 1 ~. cr d i W m .. tTiT E69 T41T T-691 P_008/006 p•Ca2 ~'~ ,,'~ 1~ ~~~ ,~ Z a cn a JU1-02-2000 02:50PM FROM-H01E DEPOT 4113 +tlt 668 T417 T-681 P.004/006 F-062 N ~ O 'o y~ .• ~ ~ I~ ~- ~ ~ ~ ~ '-1 A ~m ~ ~ 2 ~ ~ 3- o ~ ~+~ p ~ ~ ~ n a ~ go ~~(jj o ~p ~ 8 ^, 8 ~ 8 ~ O ,~ . z ~~ c - ~ ~ ~ ~ ~ s ~ .~1~ ril$ ~ A z a ~ ~ z ~ ~ ~a ~ ~ ~,Q in z p ~ z ~ ~ m ~ ~ ~ ~ ~ ~ ~' ~' ~ ~ ~ ,~ ~ .-• ~ : a ~ ro -~ ~ ~ ~ z ,.., ~ ~ ~ „ ~ ~ '' i ~ Q ~ r ~A ~ ~ ~ ro z a ~ i ~ ~ 8 ~ ~ ~' ' ~~ ~~ ~ ~ ~ ~ o ~ ~~ ~~ z ~ ~ VI ~ z ~ x z z ~ z ~ ~ ~ ~ o ~ ~' ~r+ ~ ~ Y h ~ ~ ~ ~ _ , ,i m ~7; 9i f3° ~ a C ~ O ~ }`~+ O ry~~ iii ~ O 1~~D N Q ~_ I,~ //~ Y~ O .p W JUL-02-2001 02:60PM FROI~FHOIE DEPOT 4113 v+ 0 r- O w s +717 b63 T41T 0 a r x rn o ~ m ~ i y w ~~-~ m~~e , d~ i i i r f 7 i Q O ,- ~~ ~_ v m m w Q. cn •_~ O w~ I T-681 P.OOb/006 F-062 FIX CONSTRUCTIOI~T FOX CONSTRUCTION 15 DEARDORFF DRNE ETTERS, PA 17319 (717) 773-7257 Customer Joann Alford 2020 Powder Horn Road Middletown, PA 17057 DATE tNVOICE # Payment due by: INVOICE December 27, 2008 #241-08 January 26, 2009 v TOTAL DUE: Please make all t~ledcs payable to Fox Construction THANK YOU FOR YOUR BU81NE8S! page 1 s ,,esoss __ ____ _ _i I ~-. FAX CONSTRUCTION FOX CONSTRUCTION 15 DEARDORFF DRIVE ETTERS, PA 17319 (717) 773-7257 PA034656 Custonwr Joann Alford 2020 Powder Horn Road Middletown, PA 17057 DATE INVOICE ~ Please ms~ke alt checks payable to Fox Cons4ucUon 7f1ANK YOU FOR YOUR BWNrESEI page 1 - - ~ I INVOICE August 17, 2009 ''s~lltiber 14, 2009 Pct R-~ao; _ __ __ _ __ ,_ ~ ... ~,. _ Phone: 717-558-8739 717-773-0809 717-773-0807 Serving all your' Plumbing ~t Drain carp needs Fax: 7I7-558-8245' Address: P.O Box 314 _._ Fed Id: 20-0522383 Middletown, PA `17057 Jacey, hie. Bili To Joann or Ed Alford 2020 Powderhom Rd Middletown, PA 17057 Date Invoice # 6/2312009 ' 2487 Ship To Joann or Ed Alford 1931 Chatham Dr Camp' Hill; PA 17011 P.O. No. Tettns Account # Project. Joann 2020 Quantity Description Rate Serviced Amount 1 Tnv 2482 6122/2009.-Fulled toilet and set to the side per 193.00 195.00 Joann's instructions. First ran line from toilet rough out 60' numsrons times. Had to move to outside Mean out due to atnount of roots in line. Continued running line $om clean out by deck at steps out 40' numerous times. Kept retrieving 1" tap. roots, continued out line to 70'. Large amount of roots in line, treated line with Root Destroyer and will return 6/23/2009 after Root Destroyer '' had the opportunity to work overnight to sotlen roots. Put expansion plug in toilet rough until customer is finished with floor. 1 Customer discount -86.00 -86.00 1 Inv 2482 6!22/2009 - 4 1/2 hours additional time on job 405,00 405.00 2 Drain care product - 21bs Root Destroyer 40.00 80.00 1 Inv 2487 6/23/2009 -Returned to continue running line, 180.00 180.00 ran line out 70' numerous times and pulled back a large amount of raots. Continued through line to 100' several times to ensure line is open and flowing and clear of roots at this time. PA Sales Tax 6.00% 0.00 TQt2r~ $774.00 Jacey, Inc. dba Plumb-Rooter Serveng your Rlumbir~g ~ Drsin care P.O. Box 314 Middletown, P~ 17Q57 717-558-87.33, Fax 7i7-55$-8245 TO: ~~!`J ~ L fu.2 ,7 r.-aFrNeeearc neulnTr• ~ ? r~n..c.. _ _ __ '~_UMBING 2482 vV+~rk Order/Invoice DAT60F ORDER ~ !~. Z. HOME TEL. ORDER TAKEN BV WORK TEL. CUSTOINER ORDER NO. C~-BAYWORK ^ CONTRACT ^ EXTRA STARTIIVG DATE ^ OVERTIME ^ OTHER JOB NAIVE / NO. ~..J JOB LOCATION INVOIC P~E~ 2 ~ n 1/ JOB TEL ~~ 9~~ f -vt C •-~ ~c (, ^ WORK TO BE DONE ~g~~ w~ ~ ~ ~,~ // ------- ~ f ~ ^ WORK COMPLETED ,~~,V o~ ~~' S~ QJ' ~~ ~~ DESCRlPTKkI O~ WORK ~'2~' J`'~ @~ Q~ ~~,. QpJ t~,Z, LG ,~r f NO HEAT G.! ~ .7 "f " /!~ .""` .~ ~ (~/t ~!.- ~ 'J (S a`? l _ ~ _. NO WATER ~ - BURST PIPE(S) ~ ' ~ THAW PIPE(S) ~l y .9 i ~b ~' f 5 ~ 'J ~t GJ ~ ~ .~C?C i S / j /} /1 ~ INSULATE PIPE(S) //~ G F-' ! ~~ T ~~^'. fi N?c7 i s .tom L t i/ .4 ,~ ,.~ _ ~T (~ C..- K ( 7 ~ BLOCKAGE-WASTE SYSTEM LABOR HRS. ~ RATE AMOW,iT < . / '~ l t " SINK / ~ co~-i~ / ~ "'/ a.. / i' (% C/7 v ~ . " f'rC. .'via./ INSraNr Hor /~ ~ 2 ~ (,,, ,v fl' _ C c ~ v ~^ i vr, ~ y WATER FlLTER ~ asPOSAL 7 ' !?er c.-- .•/ ~-1 -~l: ! /3-~ e S •- ~ ,• irc.~ •e f-~.~ e c i _ u " DISHWASHER BATH (» (z) (a) LAVATORY WATER CLOSET ~ ~~• TOTAL LjABOR MATERIAL (}pjtT ~~(~~ BATHTUB SHOWER STALL /HEAD WHIRLPOOL /SPA /HOT TUB ~' LAUNDRY WASHING MACHINE FAUCET(S) '. SILL COCK aiiPPLY L1NE(S) TRAP(S) /DRAIN(S) ~ - ' FlLTER(S) GATE /BALL VALVE(S) WATER LINE(S) WELL /WATER PUMP PRESSURE TANK WATER SOFTENER/COND. ' SUMP/EFFLUENT PUMP WATER HEATER BOILER -STEAM /HOT WATER ' SAFETY VALVE '. CIRCULATOR WORK ORDERED BY TOTAL zoNE vALVE BASEBOARD(S)(RADIATOR(S) I hereby acknowledge the satisfactory completion of the above described work MATERIAUS TOTAL FURNACE . LABOR BURNER HEAT PUMP ' SIGNATURE pA7E TAX AIR CONDITIONER WASTE /SEWER LINE(S) ~ ~ ~ ` , ' OTHER C ARGES • 1 PENT FlPE(S) ~ ~ O ~ Y TOTAL ~~: '~~MBI NG t ~. ~~~y, ~n~. db~ P1u~nb~Ro~er 2 4 8 7 ~+~`''~" ` ~'.0 ~iC3i~'" "~'` `~N~~rk Order/Invoice _ ~n~~r~to~, p~ ~7n~~ ~'i~'-558.8?3~r ~=~~ 7'7-558-825 TO: C / Jt't • ~ / 7a / / ~ 7. "7 ~^'~717-~ CHECKMARKSDENOTE: ~ Q~ / ~ % / ~ ~~^"'~' ~~ v / ~ ^ WORK TO BE DONE ~ ~ ~ ___ _ _ ^ WORK COMPLETED ~ O ~ ~ ' ~~~ ~, i ~~ l~SCAfPFFON l?F WORK U 4 Q/ c~ J i .x'22 Jam' ~' ~P``' / z P~ / ~~ - NO HEAT - ~ ~ - - i ~ __-- -, NO WATER - - ~~~ ~~ ~~ ~ ~ lT 4 G.~ c L.. /~.~2 Cv L rr. i ~ V /~ ~ ~ a ~ C BURST PIPE(S) _ i•A/ -) r• ~j 1. ~( .:J ~ / % ~ n~ ~" ,r f ~.^ ~--- THAW PIPE(S) v _ ` ~' / `7 `~ ~ ` ~ C INSUUITE PIPE(S) 9 7 Y ~ r ~~ ~~ %~ /~ C /~ .JC`} ~ ~ I ~y ~ ~~ BLOCKAGE -WASTE SYSTEM I-AFSOR FIRS. - ~ RA~ IE~AOUKC KITCHEN ~~ ~ ~ 51NK - INSTANT MOT '' WATER FlLTER - -- _ _ ._ . - _- ', F - DISPOSAL __ - DISHWASHER ~ } ~ .. _ ,. .. - eaTM ~+) ta> ca) : -- ~ TOTAL LIABOR LAVATORY - QTY -- MA'~EftrAL UNfT ~ AYOtifVT , _ T WATER CLOSET -- -- ~ BATHTUB ~ /1 n ~n t? /. /7~ (r •J ! :/ / , SHOWER STALL/HEAD ~ ~ ,. WHRtLPOOLlSPA/HOT TUB LAUNDRY WASHING MACHINE FAUCET(S) SILL COCK SUPPLY LINE(S) - ~ - - e , e • ' , , TRAP(S) /DRAIN(S) :~ FlLTEFi(S) - ~ GATE! BALL VALVE(S) WATER LINE(S) - WELL /WATER PUMP PRESSURETANK WATER SOFTENER/COND. SUMP/EFFLUENT PUMP WATER NEATER BOILER -STEAK /NOT WATER - ~ - SAFETY VALVE - - - CIRCULATOR - `~ Wn~'K:ORDERED BY , - - .TOTAL TfJ lAL6 - MA i ZONE VALVE f th b isf le io e TOTAL ' BASEBOARD(s) / RADUTOR(s) n o e a ove' actory comp t f hereby acknowledg the sat tdescribed work. LABOR FURNACE ,l ~~ BURNER X '\ C/ b.i ,~ ~c ~~:/ ~ < ~~ HEAT PUMP .SIGNATURE - GATE TAX AIR conomoNER OTHER CHARGIES WASTE/SEWER UNE(B> Th a n k Y ou ! a VENT PIPE(S) . ToT ~ DF}TE OF RDER ~ .t~ -~Z.- HOME TEL. ORDER TAKEN BY WORK TEL. CUSTOIdER ORDER NO. ^~pkYWORK ^ CQNTRACT ^ EXTRA STARTIIJG DATE ~ OVERTIME ^ ETHER JOB NAe Fy!'I~` ~ ^ J JOB LOCATION INVOI ~. DATE' Z JOB TEL. ~ r C ~ ~ ~ 2009 School Real Estate Tax Tax Collector: Bonnie K. Miller, Treasurer 717-975-7575 l BARRETT, BRADLEY C & DEBORAH R 1931 CHATHAM DRIVE CAMP HILL, PA 17011 ~ ~1 ~^ 2009 School Real Estate Tax for West Shore School District Account Number: 13-23-0547-193 Property Location: 1931 CHATHAM DRIVE HIGHLAND ESTATES LOT 16 BLK B PB 4 PG 79 mn~cn Residential Building RECEI'/~D F°~~`~~~,~.,~T Land 103 290 ~L,v. ~ ;,-- Improvements : ~ 0 ~ ~ `~'~~ Total: 103,290 N~~ ~ ~Gl~-C~ ~a1PL~.f~; ~, ~;'231S. L®w~r- Ail~~i ~fuwnship Bill Number: 6630 Discount - Face Jul 1 2009 Sep 2 2009 to to Sep 1 2009 Nov 1 2009 School 1,072.97 1,094.87 Total 1,072.97 1,094.87 ---------------------------------------- Penalty After Dec 31 2008 1,204.36. 1,204.6 -----------------r--------- Paid in full at the penalty amount Date Paid: 12/28/09 Amount Paid: 1,204.36 2009 County/Township Real Estate Tax Tax Collector: Bonnie K. Miller, Treasurer 717-975-7575 `BARRETT, BRADLEY C & DEBORAH R 1931 CHATHAM DRIVE CAMP HILL, PA 17011 ~ ~~0~`"°~~ rw~~1. 2009 County/Township Real Estate Tax for Cumberland County/Lower Allen Township Account Number: 13-23-0547-193 Property Location: 1931 CHATHAM DRIVE HIGHLAND ESTATES LOT 16 BLK B PB 4 PG 79 Residential Building Land 20,450 Improvements: 82,840 Total: 103,290 Bill Number: 4932 Discount Face RECEiv~E~ ' ~ " 3''.`~.NT L®r1{7 A~~FII IV Yx~l.%i l~~ Penalty Mar 1 2009 May 1 2009 to to After Apr 30 2009 Jun 30 2009 Dec 31 200 County 242.83 247.79 272.57 Library 18.22 18.59 20.5 Township 151.84 154.94 170.43 Light 31.20 31.20 31.20 Debt SVC 50.62 51.65 56.82' Fire 50.62 51.65 56.$2 Total 545.33 555.82 6 Paid in full at the penalty amount Date Paid: 12/28/09 Amount Paid: 608.29 ~---- __ _ _ _ _ _ _._ I _ I 2009 County/Township Personal Tax Tax Collector: Bonnie K. Miller, Treasurer 717-975-7575 SNYDER, THOMAS H 2020 OUTERHORN ROAD MIDDLETOWN, PA 17057-0000 2009 County/Township Personal Tax for Cumberland County/Lower Allen Township RECEI~~D PA~'N~ENT Account Number: 013003623 ~~~ ~ _$~ Bill Number: 4932 ONNlE' K. MrLLEf~, Treas. L©we~ R~leri Township Discount Face Penalty Mar 1 2009 May 1 2009 to to After Apr 30 2009 Jun 30 2009 Dec 31 2009 Cnty P/C 4.90 5.00 5.50 Twp P/C 4.90 5.00 5.50. Total 9.80 10.00 11.p0 Paid in full at the penalty amount Date Paid: 12j28/09 Amount Paid: 11.00 ~- REPLY TO INSPECTIONS/REPORTS ~ ~ ~ 1tR ADDENDUM TO AGREEMENT .OF SALE Tbia form :ecammended and approved for, but not ratriobed to use by, the member of the Peaasylvaeia Aaooiatiou of RBALTOR3~ (PARS. 1 PROPERTY 2 SELLER Estate of Thomas "Sngder " s gUyEg Brad and Deb Barrett 4 DATE OFAGREEMENT January 19, 2010 6 s In reply to the following inspections/reports only: ~ . 7 l~ Property Inspections (Home Inspection, ^ Wood Infestation ^ Certificate of jOc~npancy a Plnmbtng, etc.): ^ Radon • ^ Property Insdranlce ' a ^ Lead-Based Paint ^ Other: to ***See below*** ^ Water 3ervke ^ Other: ~1 ^ ApprabaUMortgage Lender Inspection ' ^ Individaal Oa-Lot 3e~vage Dlaposal ^ Other: t2 1. ^ Accept: Buyer accepts the Property in the condition reflected in the above report(s), ~a to .2.,^ lbrminate: As provided for inthe terms of the Agreement of Sale, Brayer terminates the Agreemei-t,!and Seller may market ~s the property and accept offers from other buyers. ~. . 18 17 ' ~a 3. ^ Written Corrective Proposal: Buyer accepts the Property and Seller agrees to satisfy the terms of the following Written . 19 Corrective Proposal(s): 20 (A) ^ CorrectionsJRepairs: Seller, at Seller's expense, will make the following corrections/repairs tp the Property in a work- 21 manlike manner, with permits if required, prior to settlement: . 22 i 2s • 24 2S 27 ^See attached Proposai(s) •~ 2a (B). ^ Credit: Seller will credit $ . towards the costs of corrections/repairs to the ~topdrty, as acceptable to ~ the mortgage lender(s), if any. ao (C) ^ Seller Aaslat: Seller assist is changed to $ • , or % of the Purchase' Price, maximum, s~ toward Buyer's costs as permitted by the mortgage lender(s), :if any. • -: S2 (D) ^ Settlement Date: Settlement date is changed from ~ ~ to s3 (E) ^ Purchase Price: Purchase price is changed from' $ to $ ' s4 (1~ ^ Mortgage Amount: Mortgage amount is changed from $ ~ to $ as (G) ®Other: At time of s ' , .. _~_. ~ pa able to Bu era in the amo i' of >•• ~ •-= ~, roof and deck roof. Bu er understa' s t S ~ real estate .agent kith license "in referral" status. ~ 4..^ Change of.Time Period(s) (changing of any time period in the Agreement of Sale does not constitute ~cc~ptance of the 4~ . Property unless otherwise stated): Time periods stated in the Agreement of Sale are:changed as follows: • 42 (A) The time period in paragraph ~ ;line of the Agreement of Sale is changed to • ~ ~ (B) The time period in paragraph • ;line of the Agreement of Sale is changed to M- (C) The time period in paragraph , tine of the Agreement of Sale is changed to 4s ~ All ether terms and conditions of the Agreement of Saie remain unchanged and Ill full .farce and effect. a~ ~ TERMINATING THE AGREEMENT 3 PURSUANT TO PARAGRAPH 2 ABOVE REQUIRES ONLY THE SIGNATURE(l9) OF THE BUYER(S). 49 pp so WITNESS BUYER VL f.. I~AT~`E Z, si WITNESS BURR I~A~E s2 WITNESS BUYER DATE sa WITNESS ~ ~ SELLER DAT1E s4 WITNESS SELLER - 1~AT}E ss WITNESS SELLER DI~AT1E ~/ I Pennsylvania Association of REALTORS COPYRIGHT PSNNSYLVANIAASSOC#A'IDNOFREALTORB~ se _ _ __ _ - __ _ _ 1 _ ~_ REV-1513 EX+ (9-00) SCNEpt~LE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ~~~m - l NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT DO Not List Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under 16 (a) (1.2)] 1 Sec . 9 , ` , ^` a ~s~~- ~ ~~cs~ ~~ ~a~ ~ ~c~~a , C~1 5 ~'~c~o.. ,m a-L~~G o,~d~awL~ ~I c~U . d~ (~ 5~,,,co~ ~~vY,~.r o~dC~Ow~~ 5 O~ • O~ ~ ~tsh\~,,~. ~-s~~g ~p~,cld~ 5 ~~ . ~ `~ ~~d~,,, ~~c.sZ ~~O~~C 5 ~ ~~ . C~ ~ ~'`~~~`~ C~ ~ r~d~~ ~ ~~70~ ~ l ~ t1, ~~ O~k,~~ ~°'~e~ ~'~C~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 TH ROUGH 18, AS APPROPRIATE, ON RSV-11500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MAD 1. B. CHARITABLE AND GOVERNMENTAL RIBUTIONS 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ A (If more space is needed, insert additional sheets of the same size) Full and Final Release ~ Raymond W. Spence (the "Releasor"), in considera~kio~ of Five Thousand Dollars (x5,000.00) and other good and valuable co~si~eration, the receipt and sufficiency of which is acknowledged by the Releasor, hereby releas$s forever discharges _The Estate of Thomas H. Snyder (the "Releasee'~, Releas~ee'Is agents, servants, successors, heirs, executors, administrators, successors and assigns of and all actions, any and all manner of claims, demands, causes of action, damages or suits vNha~tsoever, which the Releasor had, now has or which the Releasor, Releasor's heirs, executors, administrators and assigns-or any of them hereafter can, shall or may have by reasons ofd or in any way directly or indirectly, connected with, or arising out of The settlement and value of the Estate of Thomas H. Snyder For the same consideration, the Releasor further~grees not to make claim or take pr~celedings against the Releasee or any other person or entity which may claim contribution or i#~dgmnity under the provisions of any statute or otherwise. IN WITNESS WHEREOF, the Releasor has executed this Release on (handwritten date by Releasor) ~ i of Releaso ~~ ~~. a w. ~ e (print) Raymon W. S Full and Final Release Michael Snyder (the "Releasor"), in consideration of twenty Four Thousand dollars -- x/00 (24,OOp.pp) and other) gopd and valuable consideration, the receipt and sufficiency of which is acknowledged by the Rq'leasor, hereby releases and forever discharges The Estate of Thomas H. Snyder (the "I~el~asee"), Releasee's agents, servants, successors, heirs, executors, administrators, successors gnc~ assigns of and from all actions, any and all manner of claims, demands, causes of action, da~na~es or suits whatsoever, which the Releasor had, now has or which the Releasor, Releasor'~ heeirs, executors, administrators and assigns or any of them hereafter can, shall or may have b~ reason of, or in any way directly or indirectly, connected with, or arising out of: ', The settlement of the Estate of Thomas H. Snyder. This inch~des bit ~ not limited to the final settlement of any and all pending litigation. For the same consideration, the Releasor further agrees not to make claim or take prpcgedings against the Releasee or any other person or entity which may claim contribution or i~d~mnity under the provisions of any statute or otherwise. IN ~ SS WHEREOF, the Releasor has executed this Release on itt date by Releasor) (S tore of Releasor ~~ ~< <~~~ n (Punt Name) __ __ _ _, Full and Final Release Bruce Allen Spence (the "Releasor" ), in consideration. of Five Thousand Dollars ($5,000.00) and other good and valuable co>tisi~eration, the receipt and sufficiency of which is acknowledged by the Releasor, hereby releases end forever discharges _The Estate of Thomas H. Snyder (the "Releasee'~, Releasee~s agents, servants, successors, heirs, executors, administrators, successors and assigns of and ~roim all actions, any and all manner of claims, demands, causes of action, damages or suits vvhaltsoever, which the Releasor had, now has or which the Releasor, Releasor's heirs, executors; administrators and assigns, or any of them hereafter can, shall or may have by reasonl of, or in any way dirextly or indirectly, connected with, or arising out of: The settlement and value of the Estate of Thomas H. Snyder For the same consideration, the Releasor further agrees not to make claim or take prpc~edings against the Releasee or any other person or entity which may claim contribution or iidekmmity under the provisions of any statute or otherwise. IN V ~ S ' WHEREOF, the Releasor has executed this Release on itt by Releasor) (Signature of Releasor) en. Spence _, - _ _ ~ _- _ _ _ _ ~ _ . _~ unable or unwilling to serve in this capacity, then I nominate, constitute and appoint my stepdaughters, RAE ANN BANKS and JoANN MARIE ALFORD, as Ca-Executors of this my Last Will and Testament. ITEM IV: It is hexeby duected that my Executrix shall ~~ay all inheritance, estate, succession and legacy taxes to which my estate for the transfer of any property hereunder maybe subject, and to charge such taxes as a part of the expense of the administration, payable out of my residuary estate. ITEM V: I direct that no Executrix or other fiduciary named, nominated or appointed in this my Last Will and Testament shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of the Court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~' ~~'day of April, 1997. ~^-• Thomas H. Snyder ~^ ' Signed, sealed, published and declared by the said Thomas H. Snyder, the above named Testator, as and for his Last Will and Testament, in the presence of us, who at his request m his presence and in a presence of each other, all being present at e same ' e, have here o subsc ed our names as witnesses h veto. ` ft; l 'G~ ~ Residin ~ ~ ~P S ~ ~~,~,~' ~ ,yam ~ S ~ ___~-~. I.esiding _ ~~_1.~-~~!_?'~~ -! __ ~ ---- COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, THOMAS H. 5NYDER, Francis A. Zulli and Wendy S. Paul, the Testator and the witnesses respectively, whose names are signed to the attached, or foregoing instrument, being duly qualified according to law; do hereby declare to the undersigned authority that we were present and saw Testator sign and execute the instrument as his Last Will, that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed; that each of the witnesses, in the presence and hearing of the Testator signed 'the Will as witnesses; and that to the best of our knowledge the Testator was at.that time eighteen (l ~) or more years of age, of sound mind and under no constraint or undue influence, and I, ;he said Testator, do hereby. acknowledge that I signed and executed the instrument as my Last Will and Testament, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. TATOR WITNESS Subscribed, sworn to and acknowledged before me by Thomas H. Snyder, the Testator, and subscribed and sworn to before me by Francis A. Zulli and Wendy S. Paul witnesses, this ~ ay of April, 1997. _~ ~ __. Notary Pu, ~c ?~ ~^ NOTAflIAL SEAL ~ ANN J.lONG, Notary Pub"•c Cary of Harrisburg, Dauphin County W;y Commiseio~ Expires Oct. 30, 1998 .lJ ;~ InC~Qr ~tt~t mill ~crc~ (~le,~txmEnY OF THOMAS H. SNYDER I, THOMAS H. SNYDER, of Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament hereby revoking all other Wills and Codicils by me at any time heretofore made. ITEM I: I direct that all of my lust debts and currently due debts and funeral expenses shall be paid from my estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I give, devise and bequeath my entire estate, whether real or personal, or wheresoever the same maybe situate or located, to my wife, PATRICIA SANE SNYDER, if she survives me. In the event that my wife, PATRICIA JANE SNYDER, should predecease me, then I dispose of my estate as follows: (A) I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to each of my grandchildren listed hereinafter and to any,afterborn grandchildren, namely, ASHLEY RAE BANKS, SARAH ELIZABETH SNYDER, BRANDI LEE SPENCE and ANTHONY JOHN GARNER. The foregoing bequest to my grandchildren shall be placed in an interest bearing sequestered account not to be withdrawn until each grandchild attains the age of twenty-one (21) years. (B) I give, devise and bequeath all of the rest; residue and remainder of my estate, whether real or personal, or wheresoever the same may be situate nov 15 2010 12:53PM HP LRSERJET FRX L` • r p.l 1 ........ _._..____ __._..._..__ ~._._...~._...__.----....._.__r_. .._.,..~.....~ ~~ n ~a-o~r~ ~ n. s s ~ ea~rsr ~aa• M+.waasri _ , +I~rr-awafww • ~~bs ~~lb, w.a fr lsth Ewa sasaat, »p '~; Mwf~r.ea ~ow-s s. aasaoe sad ~setn =. aeseae, nts vim, os san*r ~' 1113+~e ~POwnship, Ctialbs~e]s-r~d Ooasi~y. leellsylr~af~la~ Awu~f iNyss~il er M. Hss 'StI01Hls S. sMMM~ affil 1arllLlopl a. dIQD~. his Mina, of TioNSe 7L1Lse lowahlp, Cuf~befaaod Y. lrlLaayisaatla. ' ' Alma ref W OY~~Iaslk . fMt fiat ~MII~ ,~ riiM e.sl(ilealteu ~ Olrs 01.00} Do].lat sail ot'liaa: goeA eqd vslaaDie aeflsidasstioa- ~.r..~..~..--.~~_...~ ~~ ~a~Y 4r fM fJhilli SNMf aAwsrl~L M W 6w~fMr tM AwMt a~i1 aril f.a~ rIf/ fM~ ~f o. ~O IA/ MRRYI/ ~ Il~r a f~1IlI rlrllfllf; IAf tN~t MAM1K~ AfMMy q~ ~r~~x ~ •fw~•c ~ 4 f~ /.wwf. psk s,n~r,, ..ef ...t ealwp rrAa er. ~-a fast artaia ara .r ~u..t giJrfi wi s~ .Wrtr, 4~or o•+ +"r- s~+~ J ow ~iafod. ssi ~~ w~i:nr ~-MesMrAt Irw'IM w ~f~Iw. s~MSMa •t a point am ~ thi aoateer~ il.ae o! td+atbarL Da~ive, MLielf polaft !s tAree h~ISdfeed aias#y-piss aufd s3xy!-slay t1sl.6i~ ', lest Nast o! ffia sontheasbrly eaa:sss op Xstift Orise and dhsl~IaaL Dr~iMe ', ama at di~idiTaq iiae betf-eea Lots 1os. l6 sail 17, siodc ^H`, eo ble'' hesritaaltisz aisa'tl+ooad sins o! rota f Mmes :a,osq tore eeatA.rip ls>~. '~ o! Ohathat Drive Mostb !illy (SO) 4eQrees thistr-lil-s tiS} sla~ttes 3ast sistt (60} laet to a poi at disf~ia* liA-a brliilsea Lots Mos. 113 '' ilid 16. HiO~i "f" OIL said Plaiff tlnnOe aloeq olLid diridis~q line so/afpl 'I t+rsnty (1!0) (!liee~speint m !hs (iy liae~o! Lots ~d yI1A i 27 on said Dlanf l9LSnea aiosq 'said dividis! lime south !i!!sy (so) ', degras tUixty-=iw (is) rda~ttee Rest sixey <60) leer do R podmt st disidiaq line belrNA ?slse Mar. 16 saki 17. S10dIC '3" alorssaidr tbeal0e alaflq said di+~iQlifg Lime Borth twnLly-Wins (!!) tsfentr-tiw (ZS) aiaatt•4 Nest sae huedred w.aty {lio) l7ast to a po3at. ~ pLse41 ~' o! a4NxrsftMO. ~ prerLises karoaln as is3i Chat'hafa Deise. "' ~ '~ s ~~~ ~ ~~~~ e~+c~29 +a~ 4C5 Mov 15 2010 12:53PM HP LRSERJET FR}S I p.2 IYov 15 2010 12:53PM HP LRSERJET FRX r f 1 ~. i i t s •NNhNe ir11i att aai +tNlatr alr irilii~ 4 arm, +rwb ~ualrnr. Yiw11r, ~rbM~r- IIw~NAraawr. aNR A~W~ M alt wrw i~rtwriN ar 1~ aawriM Ur erorr~ aai rwa~fiap ranalairr ad rrwNAi~, rwrK ipw aai ~4N MNra~ art 4 .as rrN+ Wrry~ fhi +~M..Q Mw r~ .w; ~ww..4 r~ srrr~+w iwaat liiarrraw• y WrA~wMrs iw it A~rrai 4 d; b.ae a ~ awry }ae! ant Wry a~flt alr MtNt Nai b ~~ aad ~tapin Mir Awtits/werii~rt MgMw'~IAeAarr~IrNwNard~r~lwwsr sw~tlltfi>rrd~wnRMfJYrdw' rrr ant bayp,~rMNr: f1N! ylr aearrwri m.hwrt taw, .r..~1.,M.r M Aratx ~e~ aNyr ~. wrt wit lNN~wt aad i.hatl w ~. aNi trwrtrr~lfrrir~hr~r ant ~r.+.wwr M-r-p aawa/riCNMilrrt Mr swt ri oabr }wriae 1rNA~ aYMfYrr alr .a.. rr t, .~. lllr ararr. h ltRllaw alr Oraabrs Mare twr~rtr ad Wh ilrrdr ant +rrh rr ~. wwNoraBer~ awawt aYwe ~M M M ate M- tM f++rMrr ~r ant ~h k ara! eo k AwaA, dr My aat y.or Pub aba~ pritfan. . k~ aWwtati Yj' %w~f~.rl........ rats wt rrtt.ab, ~wat~ d . Dwmplrsn ~ fir.: i N ~airrata. aYat aR ~ ! r nit . ~r ^a 1~Ir ariraMtbr prpMt~~r ~1~}foMat $. /e~dni aOQ Ktrladw i. , hi:~. ~r bNMN Ir riw tw' wil>tiYolNitira~ M Or ala lMr~ra • w~or aaNN s . M aYr uM~IN'iNd dwt aW t M r anra/ad Mr annAr • ~-••:. i~ aw bwt aai rrrt Mr ~ ant rw' p6r~iE'`' vs aft i~'. ~ ; . eumc`7'~ 29 ~~ 407 . _......,.---..._ .....__~__~._...~. _. _~.._...~.__~_... ---~. __... t p.3 IYov 15 2010 12:53PM HP LHSERJET FRX ROBERT P. ZIEGLER 1LECQRDER OF DEEDS COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 717-210-b3'!0 I~sseit Nash - ~O1N3314 8etorslad Oso 3f~10 At 8:13s39 AM * ta~naeat Tjpe - DS~D Iaraico Lrnsber - 6166 Uaar ID - AF * Gnutoc- SNYBSR, TH05'IAS A " Gstinlee - BA~>~1T, IDtADL,ZY C * Csuta^iae -1IDRFTAG! BETTY.EMI~NT "llNs i sss~s ~rarele ~-s #i,~9s.oo SSJ~?i Nltl! 'Li #0.50 srnss scs/access so #zs.ao aos~r=cs asoos~osao rsss - #ii.a~ a or woos r~wcsL carrzrrc~rssoN #so . o0 rs~s srs~w-s=ae siooasuv #~i . so cocMr: »asvss rsa #s . 00 aoo a~casves s^e #s.o0 1RST ~O~ti sL•MOOL X649.50 azs~tc~r xioo~e uisn s~oMwsup #sss . so sosaz pa~ca #s,sso.oo * Total Pa=a - S Certification Pltge DO NOT D1~TAIG'$ This page is nor ~Tt o~thi:le=al docent. I CertMy ttils to be recordcd' is Cua~beriand Coaaty PA Q lsscoi:nsa bl~~-~os • -IsArrestb. ~yr.a..arM1~.q elaya ~ w!~ fievKMeatloa ad any Mt MnA.a*+«~ d P•4 fYov 15 2010 12:53PM HP LRSERJET FRX p.5 r Ml~i~. d ISM.: # N #~NN, tMt ~r t~ . MAne rw tkr ~', r•~w•~- w«r.t ~o a~ M 8~ NIr ~ ~ ^li fMe MiNr wf~rtw~ q A ae r ~ ~~ bls~' wiwf~ Nb~~~ty i~rnsf ' ~ Jk ~ lMrl~lNO~ 1Aiwdh eNdi~d Nt bAs{~q/ f~ ~M1lr1 wqi Awt ad iMl 1~ ~ M~ pwt pMw~t~ . i . ...... .......».......r.........._.... -............ ~ ~~ ~~~ ~~ ~ ~ ~ ~~ ~ ~~ ~ - M m !q p{ ~M Of P1M~N~IMi ~ to .°;~ ~.. ~~ .' • ~ • ' z~ ~~ ~ I i ' i i i 7 ~ '~ ~ ~~ ~ . ~ ~~ ~ ~ ~~ ~.~ ~ ~ ~~w~ ~. Nov 15 2010 12:53PM HP LRSERJET FRX 5 ~'`~ C ~r~ Parcel No; 13-23-0547-193 (193I Chatham Drive) EXECUTRIX'S DEED THiS INDBI~T'UR16 is made this 1~''" day of ~eMrrar~r. 2.010. 1 ~:~ rT.'!~~] JOANN MARIE All.F4RD, Executrlx of the Estate of Thomas I-i. Snyder, p.6 herein designated as the grantor, ~~`~`~7 BRADLEY C. BARRETT and DEBORAH R. l3ARRETT, husband and wife, herein designated as the Gralntees. WHEREAS, Thomas H. Snyder and Patricia H. Snyder, his wife, by 171ee~ dated August.l8, 1961 and recorded August 19, 1981 in the Office of the Recorder of Deleedd~ in and for Curr~erlend County, Pennsylvania, to shed Book N-28. Page 405, gr~nt~d and conveyed unto Thomas H. Snyder and Patrida H. Snyder, hts wife; and VYHERFAS, Patricia H. Snyder died on June 14, 1998; and 1lYIiEREAS, 'Thomas H. Snyder died on February 28, 2009; and WHEREAS, the Register of Wills of Cumberland Coun#y. Pennaylv~niii, duly granted Letters of Testamentary to Joann Marla Alford, the Grantor herein. or1 March 5, 2009, thereby granting her authority to grant and convey said premises punwant! to Section 3351 of the Pennsylvania Probate, Estate and Fiduciary Code (20 Pa. C,S.A. Secriorr 3351). NOV{f THIS INDEIVI'URB WP17VESSETH, that the said Grantor, fir and in consideration of the sum of One Husdrod Twenty-Nine T>kansand Nine Hundred i;od 00/100 (S129,900.d~ Dollars lawful money of the United States of America. unto her, wel! and truly paid by the said Grantees at and before the sealing and delivery hereof, the'receipt whereof is hereby acknowledged, granted, bargained, sold, aliened. released and icorlfirtned, and by these presents does grant, bargain, Bell, alien, release and confirm untlo 1~he said Grantees, their heirs and assigns, a IYov 15 2010 12:53PM HP LRSERJET FRX ALL THAT CERTAIN tract or parcel of land and premises, situate, ly[ng end being in the Township of Lower Allen, in the County of Cumberland aad Commonwae~lth of Pennsylvania. more particularly described as follows: BEGII~iNDdG at a point on the southerly line of Chatham Drive, which port T~ three hundred nMet~nine and sixty-six hundredths (399.fifi) feet Fast of the southeast~rl}~ corner of Kent Drive and Chatham Drive and at dividing line between Lots Ivos. 16 and' 17+ Block "B", on the here[nafter mentioned Plan af' Lots; thence along the souther#y ine of Chatham Drive North fatty (SO) degrees thirty-five (35) minutes East sixty (60~ fe~t m a point at dividing line between Lots Nos. 15 and 16, Block `B" on said Plan; th along said dividing line South twenty-nine (29) deg~naes twenty-Ave (25) minutes';EaGst one hundred twenty (120) feet >D a point on the northerly line of Lots Nos. 26 and $7 c~n said plan; thence slang said dividing line South fifty {50) degrees thirty-flue (35) rntrtjute~s West sixty (60) feet to a point at dividing line between Lots Noe. 1fi and 17, Black "B" afa~resaid; thence along said dividing line North twenty-nine (29) degrees twenty~five (2~) mdnutes t~Vest one hundred twenty (12l>) feet to a point, the place of BEGINNING. BEING premises known as 1931 Chatham Drive. - B1dING Lot No. lfi, Block `B", in Plan of Highland Estates, which Plan is recorded in the Cumberland Gounty Recorder of Deeds Office in Plan Book 4, Page 79. UNDER AND SLJBJECf to all other agreements, easements and restrictionsi of hreonrd. TOGfi1HER with all and singular improvements, buildings, ways. oauraes, rights, liberties, privileges. heredltaments and appurtenances thereunto belonging, or in any way appertaining and the reversions and rema rues and profits thereof; and also all the estate, right, title, interest, use, to possession, claim and demand whatsoever, of Hm, the said Thomas H. Sr immediately before the time of his decease, in law, equity. or otherwise how to, or out of the same. ~ water rents,. r- re-~-- ~r, ~ and Irer„ of, an, Tt} HAYE AND TO HOLD the said parcel above-described with irnprbv~nents thereon, hereditarnents and premises hereby granted and released, or rnenti~on~d and amended so to be, with the appurtenances, unto the said Grantees, their heirs Arid a'wsigns, to and for the only proper use and behoof of the said Grantees. their heirs ar~i ~ssigna forever, AND the said Grantor, for Hmself, his heirs, executors and administ~aters, do covenant, promise and agree, to and with the said Grantee, his heirs and assig~ls, (hat he has not done. committed. or knowingly or unwillingly suffered to bt done or ctbmrhitted, any act. matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged ar encumbered, in title, charge, lestate, or otherwise howsoever. p.7 Nov 15 2010 12:54PM HP LRSERJET FR}{ IN 1NI'TAiBSS WH1~RB01~, the said Grantor has hereunto set her hand arfd seal the day and year first above written. SIGNED, sealed and delivered in the preserxx of p.8 ~ ~ F'~.~ Exl~icu~. JOANN ll~AR[E ALFORD, B~#r# of tlu Estate of Thomas H. Snyier COMMONVYEAL'~H OF PENNSYLVANIA 5S. COUN'T'Y OF ~~~'"~"~ , On this 1~'~ day of Fsb 10, before me, a Notary Publtc, perspnally appeared JOANN T~IARIE ALFORD, Faceca~ of fhe of 17totoas H. Snrde~r,''; known to me (or satisfactorily proven) to be the person whose name is subscribed to the withih Deed and ackswwledged that she executed the sasru for the purposes therein contained.. Witntas my hand and seal the day and year aforesaid. blic WIUt.~_ MW.BEN. JOLiirlE Y. a®0i1tiE, C~i 1 IYov 15 2010 12:54PM HP LASERJET FAX The undersigned certifies that the precise residence and complete post ofRce address of the Grantees Is: ti4'S ~~c. L~ _ gent far G t p.9 ..~_. ..«.~ ... .. .........,.w.,...,.,....,... ~o .-~, I i~oo I: ~ N r Y ~ N W ~~~oZo no~~ a <A N t, rn ~ c+~ ti ~ ~ ~ Q~`~ d th W _~~ ~ O _J -~IVn N O Q O O r , . ti~'~5 ;i ~ ~, {y, _ ~3' ~.*~iy y'~~. eal~dse8wo~ IIeW ~3l~ol~d r J t ~~ ~3~~ k j ~J _ j ~= ~_~_ ~~ ~;u ~~~~7 .., C~ a.,7 O c ~_ ~ C ~~ u-OC Q- Uv~ cfl ~cn: Q U~~ o ~i_; ~~ N O .~ t ~Q~ ~ V ~ O V • r pKp m d ~ ~~~ y C~~~ Nl c ~ r> V ~ ~° ~~~~' ~~~: _, ~,~