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HomeMy WebLinkAbout06-09-11 105.905 REV.(3/09) ~ ~ _ ~,~ I This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with the Vital Sta tistics Law of 1953, as amended. 3~ // ~~ / ~ 3 ~ `~ ..~ WA~ING: It is illegal to duplicate this copy by photostat or photograph. ~~rr ~- ~ w , 4 t,~ U u.i u:i ~ Linda A. Caniglia [x`~ ~:a Uw State Registtaz ~ ,. ,. ~ z t~ 5 6 $`'2 3 awN 2 No. 1su3nEV nrmon COMMONWEALTH OF PENNSYLVANU • DEPARTMENT OF HEALTH • VRAL RECORDS rrrz / aaxr w °Eeuac rcm CERTIFICATE OF DEATH (S!e InfWCtinns eeul eawannlww nn ..a...~~ Date D GQdC~ a APR 2 8 201 pIANEMAtHLE KIEh~ Ct,ERI(pFORPHANS' LOUR' REGISTER OF WILL singe e+~xuMaeN 1. Nau d Dewdxe lanel netlae. Nel eafx) _ 2.8u 3. Sadr 3seuee NwMr ~ l [41s d LAW IMare.dn.laal Eichard Wa a Powell _ h ~ S~I~GIM,I Va3er1 IA10a1 d00deM MpA6, 7. ra YYa 1 Be. Phwa Cllsfk ar u,e. aan Nor eesa, OIMr 55 va July 26, 1954 Clarion, PA ^Ep,p,~,,, ^~,, ^,,b„x ^~~ ^~ ea aoww x.cW, ~rxa. o.em M.raiyxawlnnat+Mbran.96ts0ealrr nIH (~74~ e.w.oxxw,awp.,bogbx ~° ^Y.. +o.x.or.Am,a„baM.er~.mr..b. ~, `" Ix yl. w.aNUan ' I C "~rd°^."'ab'wn^cl White n.or,ean aar exaa rdaercerer +zyrDwrtlae,wrhnr +a rrlaaewl3a•aNan/l+Vxav~mlewey u.MeaYBWUaMreMd,NewrMeaM, u. ~ah+q ~uw ln+nle. aM. n.ux+wro) away wrar.b.e/wmW US.AnnsA rows? ~ Elanmyn/B,earsry lal2) Ca1.wt{lJaa) '^d~~19raN domputer Analyst Computers (aiG, ^Na 12 6 Divorced N/A t n. oenOSas MYnq AGOSU 19nwt dy/ban,rm, ap wEe) [bwEelCe 686 Front Street Aaaanwrxlwnesw Pennevlvania ~dtl„,b°e:°"" 1Ta^vw,o,o,ea,u.eb Taaxxp? Try. Enola, PA 17025 ne.ca.W Cumberland neZ$NO ~ u.a,xna Eaola ~ ~ eao 18. FeMe Nrro ISM nanJ,, ba. wNul 19. eewNr, N,^^ IFxL sidle, orbs mnwna) Clarence Wayne Powell Shirley Mae Schrecengoat 2h. bbnwrs Name (Tye I fYke) 206. NanwrA', MsingMOUe ~, tlq lbws, pegs, iywdel Shirle Mae P ll y owe 686 Front Street Enola, PA 17025 r,. Manor a naaoww~ ^ arr ^ Ranwa nom SLb ~~O""eQi ^DOnetlon 216.D0a01pwa,i lebe6,ab. ysel 21c. P4wd04pw'tlon lNawdtwnbry, aaubxaoriw aNwl 21d lawtlon (CJYlbws, elw,>ip ads) 3Aee Q~If on w Owrln Au6erb,a W Yed ~reeertcaw.n ^v.^xo June 18, 2010. Northwestern PA Crematory Clarion, PA 16214 ~ la ~~) ~ ~~f0sr '~e "Mwvn0A81N1ar'a"~ Brenda D. Shumalcer Funeral Home Inc , . FD014901 erw l3ea ay Mrn wiW,Yp 23s. T,Maegdny ,dssb omnatlr Nnms, hraM pew deN0.19laxen sod we) 23b. Lbxw NUnAter 6gnM lelen6, tley, yetl aWrdm Yna weYae peened leW b 23a. [lYe wary wsda,r6. tau 2428 mrl be waVneed Waxen +.lYUa © ?6. Pn,waed Detl (~~• ~ 20. wp MewIJI EY,IeYIa/ ralalYf+af i ApMI ()dIB131N rlellxVlll a DaaYhT? MIIO PabNILM EIWI m ~ ~ 0 . M. ^ O cAe3ee os e3FwT3e Mem 2/. 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M. »e ~ ^ ~~ ________ ' YeYal E,eeeYMr/Gasp On tlw h~ls a..wrbx wr / b - ~ ~ ~ -~~ a~ O (JT a v,alpsna4 b my aanibes tleetll aaau,a rw em,, ar, sntl Ww. eeq Arb tlw aMr(y na owns es ,IeY11 I ' Npe,v's entl ONew ~ 3d Dm Flied IMaA, ywl 13 1 313 6 1 31 .1a ~1(dy~a Inrnm hve/ )~ l r/ ~ ~ t ' 1 1 6d /I t .G~n I~f~"~'I L' : 7 / ~, a L oepoanon venrANO. 0462943 V COMMONWEALTH OF PENNSYLVANIA REV-1182 EXI11-981 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0801 RECEIVED FROM: STELLO JAMIE C 103 NORTH GILPIN STREET PUNXSUTAWNEY, PA 15767 fold ~T aU~E~ GO., A4 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: Asa-46-saga FILE NUMBER: 3311-01 13 DECEDENT NAME: POWELL RICHARD W DATE OF PAYMENT: 04/28/2011 POSTMARK DATE: 04/27/201 1 COUNTY: JEFFERSON DATE OF DEATH: 06/ 14/2010 REMARKS: CHECK# 2793 SEAL ~~ C3F~1( PENNSYLVANIA} x ~'~ {~~ INHERITANCE AND ESTATE 1'A,F ,, ~~; OFFICIAL REC~~"~N _9 PM ~: ~~~. JF 003851 101 ~ 52,982.20 TOTAL AMOUNT PAID: INITIALS: CM RECEIVED BY: 52,982.20 DIANE MAIHLE KIEHL REGISTER OF WILLS REGISTER OF WILLS Y ` ~' 1505b10105 REV-1500 ex iei.""F" ~' ns Lvanta OFFICIAL USE ONLY PA Department of Revenue PH!~ Y County Code Year File Number Bureau of Individual Taxes ~~~`~~ - PO BOXzl306ot INHERITANCE TAX RETURN 33 ~~' ~ I~3 Harrisburg, PA 1~tz8-0601 RESIDENT DECEDENT ENTER DECEDENTINFORNAATI Social Security Number '184-46-5474 Decedent's Last Name Powell Date of Death MMDDYYYY 06/14/2010 Suffix (N Applicable) Enter Surviving Spouse's Information Below Date of Birth MMDDYYYY 07/26/1954 Decedent's First Name Richard Spouse's Last Name Suffix Spouse's First Name N!A Spouse's Social Security Number THIS RETURN MUST 8E FILED IN DUPLICATE YVRH THE __ _ _ REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW MI W MI (;~ 1. Original Retum O 2. Supplemental Retum O 3. Remainder Relum (Date of Death Prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) O 8. Decedent Died Testate O 7. Decedent Maintained a Living Trust 4 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Data of Death O 11. Election to Tax under Sec. 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT - TENS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFlDEN7IAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Jamie C. Stello, Esq. (814) 938-2296 First Line of Address 103 North Gilpin Street Second Line of Address City or Post Office Stale Punxsutawney ', PA REGISTER OF WILLS USE ONLY ~ar~~~ APR 28 2pt1 DIANE ttAA1H(.E KIEHL ZIP Code ' "_""~` ,15767 Correspondent's a-mail address: St@11018W veflZOn.net Under penalties of perjury, I deGare Ihat 1 have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it Is true, correct and complete. Dedaretion of preperer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE Side 1 1505610105 1505610105 i J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decedenes Name: RlChafd W. Powell 184-46-5474 RECAPRULATION 1. Real Estate (Schedule A) ............................................. 1. 0.00 2. Stocks and Bonds (Schedule 8) ..................................... .. 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 0.00 4. Mortgages and Notea Receivable (Schedule D) ......................... .. 4. 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Properly (Schedule E)..... .. 5. 0.00 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 25,000.00 7. Inter-~vos Transfers & Miscellaneous Non-Probate Properly (Schedule G) O Separate Billing Requested...... .. 7 0.00 8. Total Gross Assets (total Lines 1 through 7) ........................... .. 8. 25,000.00 9. Funeral Expenses and Administrative Costs (Schedule H) .......... ......... 9. 250.00 10. Debts of Decedent, Mortgage Liabilities and liens (Schedule I) ...... ......... 10. 0.00 11. Total Deductions (total Lines 9 and 10) ........................ ......... 11. ' 250.00 12. Net Value of Estate (Line 8 minus Line 11) ..................... ......... 12. ; 24,750.00 13. Charitable and Governmental Bequests/See 9113 Trusts for which -- _., _ . ,,.. . _ ...._.._....._. , ,,_ .. an election to tax has not been made (Schedule J) ............... ......... 13.. 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ............... ......... 14. I 24,760.00 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 ._ (a>(1.z> x .0 0~ 0.00 15. 0.00 16. Amount of Line 14 taxable at lineal rate X .0 ~ 0.00 16. ! 0.00 17. Amount of Line 14 taxable at sibling rate X .12 24,750.00 ; 17, 2,970.00 18. .,,,_,_........ .. Amount of Llne 14 taxable _W..._ _........_ ._........... ._,__ ..... ......... .._ _....._., _ ......_..--- -----...... at collateral rate x .15 ' 0.00 ' tfi. 0.00 19. TAX DUE ............................ ........................... .. 19. 2,970.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 L 150561D205 1505610205 REV-1500 EX (FI) Page 3 Decedent's Complete Address: Flls Numtrsr DECEDENTS NAME Richard W. Powell STREETADDRESS 686 Front Street - CITY - Enola STATE- - - PA ZIP ~- 17025 Tax Payments and Credits: 2. Tax Due (Page 2, Line 19) CreditslPayments A. Prior Payments __ B. Discount 3. Interest 0.00 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill In oval on Page 2, Une 20 to requeat a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is Ore TAX DUE. (1) 2,970.00 Total Credits (A + B) (2) 0.00 (3) 12.90 (4) 0.00 (5) 2,982.20 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred .................................................................................... ...... ^ b. retain the right to designate who shall use the property transferred or its income ...................................... ...... ^ c. retain a reversionary interest ........................................................................................................................ ...... ^ d. receive the promise for life of either payments, benefits or cere1 ................................................................ ...... ^ 2. If death occurted after Dec. 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ 3. Did decedent own an 'in Vast for" or payable-upon-death bank account or security at his or her death7 ........ ...... ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? .................................................................................................................. ...... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the nei value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to a for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disdosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. • The tax rate imposed on the net value of transfers to or for the use of the der~denYs lineal benefidaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedents siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Secfion 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1509 EX + (8-98) • , COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Richard W. Powell SCHEDULE F JOINTLY-OWNED PROPERTY If an asset was made joint within orro year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME I ADDRESS I RELATIONSHIP TO DECEDENT A. Randy L. Powell B. Michael W. Powell JOINTLY-OWNED PROPERTY: Powell Lane, Punxsutawney, PA 15767 1166 Young Road, Punxsutawney, PA 15767 brother brother ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INBTITUiION AND BANK ACCOUNT NUMBER OR SIMILAR IDENnFnNO NUMBER. ATTACH DEED FOR JOBrrLr.NELD REAL EBTA7E. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST 1. A 8 B 9.13-Ofl A one-third (I/3) interest in and to ALL that certain piece, parcel and tract of land situate, lying and being in the BOROUGH OF TIMBLIN, (formerly Ringgold Township) JEFFERSON COUNTY, PENNSYLVANIA, more particularly bounded and described as follows, to-wit: BEGINNING at a stump, it being the northwest comer of lands herein described; thence North 81° East 69 feet along lands now or formerly of W. C. Hepler; thence South 8° 15', 340 feet along lands now or formerly of Clair Shumaker to an iron pin; thence South 75° West, 143 feet along lands now or formerly of Erbie Sherry to a stone; thence North 7° 30' East, 170 feet along same lands to an iron pin; thence West 113 feet along same lands to an iron pin; thence North 87 feet along lands now or formerly of McGregor Coal Co, to an iron pin; thence East 113 feet along lands now or formerly of W. C. Hepler to an iron pin; thence North 7° 30' East, 63 feet along same lands to the place of beginning. CONTAINING 46,000 square feet, more or less. BEING the same premises conveyed to Richard W. Powell, single, Randy L. Powell, a married individual, and Michael W. Powell, single, as joint tenants with the right of survivorship, and not as tenants in common, by Deed dated September 13, 2006, from Shirley M. Powell, widow, of record in the Office of the Recorder of Deeds of Jefferson County, Pennsylvania, in Record Book 405, at page 183. The said Richard W. Powell died on June 14, 2010, and therefore, by operation of law, all right, title and interest to the property vested in the said Randy L. Powell and Michael W. Powell, the survivingjoint tenants. The premises aze more patlicularly identified in the Jefferson County Assessment Records as Parcel No. 36-001-0406. The total value of the property, which is in the process of being sold, pursuant to a Purchase Agreement dated March 26, 2011, a copy which is attached hereto, to form a pazt hereof, for more particular $75,01)0.00 33 1/3% $25,000.00 reference thereto: $75,000.00. more space is TOTAL (Also enter on line 5, same ARTICLE OF AGREEMENT t~ MADE THE ~ y day of ~ A r ~- in the year of our Lord two thousand eleven (2011) BETWEEN SHIRLEY M. POWELL, widow, of 202 Powell Lane, Punxsutawney, Pennsylvania 15767, RANDY L. POWELL, a married individual, of 202 Powell Lane, Punxsutawney, Pennsylvania 15767, and MICHAEL W. POWELL, single, of 1166 Young Road, Punxsutawney, Pennsylvania 15767, "SELLERS", parties of the first part, A N D LUKE J. CAYLOR, single, of 197 Hungry Hook Road, Mayport, Pennsylvania 16420, "BUYER", party of the second part; W I T N E S S E T H, the said parties of the first part, in consideration of the covenants and agreements hereinafter contained, on the part of the said party of the second part, to be kept and performed, have agreed and do hereby agree to sell and convey unto the party of second part, his heirs and assigns, the residential real estate hereinafter mentioned and fiilly described, situate in the Borough of Timblin, formerly Ringgold Township, Jefferson County, Pennsylvania, identified as Parcel Nos. 36-001-0406, 36-001-0405-1, and 36-001-0407-A, more particularly described in Exhibit "A," which is attached hereto, to form a part hereof, for more particular reference thereto, for the sum of Seventy Five Thousand and 00/i00ths (575,000.00) Dollars, with the sum of One Thousand and 00/100ths (61,000.00) Dollars to be paid henceforth, upon the execution of the within Purchase Agreement, receipt which in hand paid is hereby acknowledged by SELLERS, and with the balance of the purchase price of Seventy Four Thousand and 00/100ths (574,000.00) Dollars to be mid at closing, as provided for hereinafter. The parties further agree to the following: 1. Closing shall occur on or before June 15, 2011, until which time first parties shall etain possession, use and enjoyment of the premises, and bear the risk of loss. At closing, each ~Y shall pay one-half (%:) of the real estate transfer stamp taxes, which presently total two (2%) iercent. At closing, the 2011 county and township real estate taxes shall be prorated on a calendar year basis, and the 2010-2011 school real estate taxes shall be prorated on a fiscal year basis. 2. This Agreement is contingent upon BUYER being able to obtain the necessary financing in order to purchase the real estate herein described; in the event that BUYER is not able to obtain the necessary financing, in order to effectuate closing by June 15, 2011, then this Agreement shall then and thereafter be null, void, and of no finrther effect, and BUYER'S down payment shall be returned to him. As soon as BUYER obtains the necessary financing, he shall notify SELLERS, and provide written documentation from his lender, verifying that he has been approved for his financing. 3. SELLERS or BUYER shall have all remedies in law or in equity, should any default occur on the part of either party, including but not limited to the right to compel specific performance. In the event that any default occurs on the part of BUYER, other than for the specific reasons set forth herein, SELLERS shall also have the option of retaining the sum of One Thousand and 00/100ths (51,000.00) Dollars, which was paid by BUYER as a down payment, as liquidated damages, or to be applied on account towards the purchase price, or as monies to be applied towards the SELLERS' damages, as SELLERS may elect. 4. BUYER shall not assign, transfer, or otherwise contract away any of his rights or obligations under this Agreement, without the advance written consent of SELLERS, and any attempt by BUYER to do so shall make this Agreement null, void, and of no further effect, at the option of SELLERS. 5. BUYER expressly acknowledges hereby that he is purchasing the premises "AS IS", with no reliance whatsoever upon any representations by SELLERS, and in fact further acknowledge that the SELLERS have made no representations to him. The BUYER agrees that he has plenty of time, if he chooses, at his option, to conduct whatever physical inspections and testing, either he desires to do himself, or through professionals whom be may retain, to satisfy BUYER with regard to the structural aspects of auy buildings on the premises, inclmiing but not limited to plumbing, heating, roofing, electrical system, foundation, or for termites; with regard to the flow, quantity, quality, mineral content, or contamination of any water supplying the mmises; with regard to the adequacy and legality of any on-site septic system; and with regard .o a survey of the premises, to determine the boundaries, the area of the premises, whether any 2 improvements thereon such as the house, water system, driveway, any septic system, and anything else necessary to the use and enjoyment of the premises may encroach upon the premises of third parties, or to determine whether or not there are any encroachments by third parties on to the premises that are the subject of the within Agreement. Any inspections, testing, certifications or survey desired by the BUYER shall be at his option and sole expense, and shall be conducted so as not to delay closing. Should BUYER choose not to close this transaction based upon what he may discover, then this Agrcement shall then and thereafter be null, void, and of no further effect, and BUYER'S down payment shall be returned to him. In no event shall SELLERS be required to expend any monies to correct any alleged problem which such inspection, testing or survey may reveal, unless SELLERS choose to do so. SELLERS shall ,,complete and execute a Seller's Property Disclosure Statement, to be provided to BUYER simultaneously with the execution of the within Article of Agreement, which the BUYER shall acknowledge Receipt and Acceptance of, said Disclosure Statement which shall reflect all known defects which SELLERS are aware, which SELLERS acknowledge true and accurate, to the best of SELLERS' knowledge, information and belief. SELLERS acknowledge that BUYER is purchasing the property for use as his principal residence, and as such, shall have all rights at law attendant thereto. 6. SELLERS and BUYERS shall each pay their own attorney's fees and costs related to this transaction. SELLERS and BUYERS shall each pay for one-half (1 /2) of the fees for the preparation of the within Article of Agreement. 7. BUYER shall not record this Agreement, and any attempt on his part to do so shall make it null, void, and of no fiuther effect, uiiless SELLERS choose to enforce it. 8. To the extent that this paragraph is not inconsistent with any other provision of the Agreement, it shall be legally binding upon, and inure to the benefit of the parties hereto, and their respective heirs and assigns. 9. This Agreement shall be executed in original and two (2) duplicate copies, and all three instruments shall be treated as one and the same, and an original. 10. Upon the payment of the said sums above mentioned, and pursuant to the terms of he within Agreement between the parties, SELLERS will, at SELLERS' expense, make, execute end deliver to BUYER a Special Warranty Deed, conveying the property free and clear of all 3 liens and encumbrances that may effect the property. The SELLER, Randy L. Powell, is presently married, and his spouse, Melinda Jo Powell, shall join in the conveyance, for the sole purpose of granting and conveying any right, title and interest which she may have in and to the premises, by virtue of her marital status. Included in the sale of the property is certain personalty, including the stove, refrigerator, old freezer, television set, and window treatments. 11. TIME SHALL BE OF THE ESSENCE in regard to all provisions of the within Article of Agreement between the parties. IN WITNESS WHEREOF, the said parties to this Agreement have hereunto set their hands and seals on the day and year first above written. WITNESS: SELLERS: ~~ui ~. ~~ (SEAL) Shirley PoweU r ~ V~~ (SEAL) Ran L. Powell (SEAL) Michel W. PoweU BUYER: (SEAL) Lnke ay 4 E_xHiBIT ~ A" T O AR TICLE OF AGR EEMENT HE EN SHIRLEY M wtw~Ll WIDOW. RA NDY L. POWELL. A iii.D illii)IViD iiAi._ ,~]11D MICI~LAFi POWE LL . SIN GLE. SELLERS. AND LUKE CAYL OR. S1_1~1Gi~F_ BiTYER ALL that certain piece, parcel and tract of land situate, lying and being in the BOROUGH OF TIMBLIN, (formerly Ringgold Township) JEFFERSON COUNTY, PENNSYLVANIA, more particularly bounded and described as follows, to-wit: BEGINNING at a stump, it being the northwest corner of lands heroin described; thence North 81° East 69 feet along lands now or formerly of W. C. Hepler; thence South 8° 15', 340 feet along lands now or formerly of Clair Shumaker to an iron pin; thence South 75° West, 143 feet along lands now or formerly of Erbie Sherry to a stone; thence North 7° 30' East, 170 feet along same lands to an iron pin; thence West 113 feet along same lands to as iron pin; thence North 87 feet along lands now or formerly of McGregor Coal Co. to an iron pin; thence East 113 feet along lands now or formerly of W. C. Hepler to an iron pin; thence North 7° 30' East, 63 feet along same lands to the place of beginning. CONTAINING 46,000 square feet, more or less. BEING the same premises conveyed to Richard W. Powell, single, Randy L. Powell, a married individual, and Michael W. Powell, single, as joint tenants with the right of survivorship, and not as tenants in common, by Deed dated September 13, 2006, from Shirley M. Powell, widow, of record in the Office of the Recorder of Deeds of Jefferson County, Pennsylvania, in Record Book 405, at page 183. The said Richard W. Powell died on June 14, 2010, and therefore, by operation of law, all right, title and interest to the property vested in the said Randy L. Powell and Michael W. Powell, the surviving joint tenants. The premises are more particularly identified in the Jefferson County Assessment Records as Parcel No. 36-001-0406. SECOND PIECE: ALL that certain piece or parcel of land situate in the BOROUGH OF TIMBLIN, JEFFERSON COUNTY, PENNSYLVANIA, bounded and described as follows: BEGINNING at a point in the centerline of T-300, said point being the Northeast corner of lot now or formerly of V. Dinger, and the Southeast comer of parcel herein conveyed; thence North 88 degrees 58 minutes 58 seconds West, along lands now or formerly of V. Dinger, a distance of 171.85 feet to an existing stone corner, being the Southwest corner of the parcel shown as Tract 1 on the survey attached to the Deed, of record in Deed Book 529, at page 654, and the Southeast comer of the parcel shown as Tract 3 on said survey, passing through a stone comer, located 11.98 feet from the centerline of T-300; thence North 86 degrees 03 minutes 13 seconds West, still along lands now or formerly of V. Dinger, a distance of 105.45 feet to a stone corner, being the Southwest corner of said Tract 3 and the Southeast corner of the tract now or s formerly of McGregor Coal Company; thence North 09 degrees 57 minutes 45 seconds East, along lands now or formerly of McGregor Coal Company, a distance of 235.28 feet to an iron pipe corner, being the Southwest corner of tract now or formerly of Clarence W. Powell, the Northwest corner of parcel herein conveyed; thence South 86° 44 minutes 39 seconds East, along lands now or formerly of Clarence W. Powell, a distance of 103.65 feet to a point, being the Northeast corner of parcels herein conveyed; thence South 09 degrees 08 minutes 08 seconds West, along lands now or formerly of Clarence W. Powell, a distance of 170.00 feet to an existing stone corner, being the Southwest corner of the Clarence W. Powell tract; thence South 88 degrees 58 minutes 58 seconds East, still along lands now or formerly of Clarence W. Powell, a distance of 152.42 feet to a point located in the centerline of T-300, being the Southeast corner of the tract now or formerly of Clarence W. Powell; thence South 06 degrees 26 minutes 57 seconds East, along the centerline of T-300, a distance of 66.02 feet to the point of beginning. CONTAINING 0.809 acres, as surveyed by Ronald L. Fox, Professional Land Surveyor, December 30, 1988. EXCEPTING AND RESERVING all of the coal and other minerals, together with the right to mine and remove the same without liability for damages only as fully and completely as said coal and other rights have heretofore been excepted and reserved by previous deeds. ALSO EXCEPTING AND RESERVING from that portion of the above premises which is shown as Tract 3 on the survey attached to the Deed, of record in Deed Book 529, at page 654, all of the oil and gas, together with right to lay pipe lines over said Tract 3 as fully and completely as said oil, gas and pipe line rights have heretofore been excepted and reserved by previous deeds. ALSO EXCEPTING AND RESERVING from this conveyance, the prior conveyance made of 0.40 acres, with house and garage situate thereon, by Deed dated November 22, 2006, from Shirley M. Powell, widow, to Jonathan A. Byler and Elizabeth A. Byler, husband and wife, as tenants by the entirety, of record in the Office of tbe Recorder of Deeds of Jefferson County, Pennsylvania, in Record Book 405, at page 183, and more particularly shown on flaw Survey Map attached to said Deed, and recorded as a part of the Deed, in Record Book 413, at page 768. AND BEING the residue of the property conveyed to Clarence W. Powell and Shirley M. Powell, husband and wife, by Deed dated January 9, 1989, from Wilda I. Sherry, widow, by Robert M. Sherry, Attorney-in-Fact, specially constituted by Letter of Attorney dated October 31, 1981, of record in the Office of the Recorder of Deeds of Jefferson County, Pennsylvania, in Deed Book 529, at page 652. The said Clarence W. Powell predeceased his wife, having died on March 5, 2006, and therefore, by operation of law, all right, title and interest in the property vested in the said Shirley M. Powell, his surviving spouse. The premises are more particularly identified in the Jefferson County Assessment [tecords as the residue of Parcel No. 36-001-0405-1. 6 .. THIRD PIECE: ALL that certain piece, parcel, or tract of land situate, lying and being in the BOROUGH OF TIMBLIN, JEFFERSON COUNTY, PENNSYLVAMA, more particularly bounded and described as follows, to-wit: BEGINNING at a stone at line of land now or formerly of J.B. Kurdes; thence West along land now or formerly of Henry Sherry, 106 feet to a stone; thence North along land now or formerly of McGregor Coal Company, 60 feet to an iron post; thence East along land now or formerly of Henry Sherry, 106 feet to an iron pin; thence South along land now or formerly of J.B. Kurdes, 60 feet to the place of beginning. CONTAINING, 6,360 square feet. AND BEING the same premises conveyed to Clarence W. Powell and Shirley M. Powell, husband and wife, by Deed dated April 20, 1959, from W. J. C. Hepler and Lola A. Hepler, husband and wife, of record in the Office of the Recorder of Deeds of Jefferson County, Pennsylvania, in Deed Book 338, at page 74. The said Clarence W. Powell predeceased his wife having died on March 5, 2006, and therefore, by openition of law, all right, title and interest in the property vested in the said Shirley M. Powell, his surviving spouse. The premises are more particularly identified in the Jefferson County Assessment Records as Parcel No. 36-001-0407-A. 7 REV-1511 EX+11P-06), COMMONVYEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER Debts of docedent must L1s reported on Schedule I. 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 Year(s) Commission Paid: 2. Attorney Fees to Jamie C. Stello, Esquire $200.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Diane Maihle Kiehl, Register of Wills and Clerk of Orphans' Court -filing PennayNania Inheritance Tax Return, and Death Cert~cate $50.00 TOTAL (Also enter on line 9, Recapitulation) ~ $250.00 more space is needed, insert additional sheets of the same size) REV-1513 EX ~ (9-00) COMMONWEALTH Of PENNSYLVANVI INHERITANCE TAX RETURN RESIDENT DECEDENT BCHEDULEJ BENEFICIARIES NUMBER I II. 1. 2. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [InGude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Randy L. Powell, of 202 Powell Lane, Punxsutawney, PA 15767 Michael W. Powell, of 1168 Young Road, Punxsutawney, PA 15787 Do Not List Trustee(s) Brother Brother NWINfCRSlWiE OFBSfAIE Decedent's 1/3 share of property heW jointly with decedent, Randy L. Powell, & Michael W. Powell Decedent's 1/3 share of property held jointly with decedent, Randy L. Powell, & Michael W. Powell ENTER IXXlARAMOl11YTS FOR l)ISl'RIBl1T10NS SF101MJABOVE ON UNES 15 TF iiOUGH 18, ASAPPROPRIATE, ON REV-1500 COVER SFfET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. Nane 0.00 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. None TOTAL OF PART Q -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON UNE 13 OF REV 1500 COVER SHEET (If more space is needed, insert additional sheets of the same size) 0.00 ICHAEL W. POWELL ~ s 2 7 9 $ 1166 YOUNG RD. PH. 814938-2809 PUNXSUTAWNEY, PA 15767-2928 ~~ ~ / . j f DATE I' 1 C / ~~ n / 11 .. _ ~,_~ 5 f a4neeucw's~IEo~z s4ceouit • eoo.ass.e+uxc ~o~^ Q,..,.~ stbank.eem O pQ,~ ~ MEM6ER FDK MEMO ~ -~:043306855~: 300022'S668~~' '2793 ..~,:,~ ^.