The URL can be used to link to this page

Home My WebLink About06-11-12Susan J. Smith, Esq. Pa.I.D. No. 62531 The Law Office of Susan J. Smith 3009 Market Street Camp Hill, PA. 17011 P: 717-763-1650 F: 717-763.1651 Attorney for Douglas C. Young IN RE: ESTATE OF ARTHUR H. LENTZ, DECEASED ~ ~ . ~ ~ ~ ~ ~ ~ r~i ~ ,~ ~ ~'~ :, ~ :,.J ri ~~ ~'r Cf ~7 t f ..' C ' 7 -, ~ ~ c„ ' IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION N0.21-11-0422 RETURN OF RULE TO SHOW CAUSE AND NOW, comes Douglas C. Young, Executor of the Estate of Arthur H. Lentz, Deceased, by and through his counsel, and responds to the Rule to Show Case issued on May 22, 2012 and avers as follows: 1. Admitted 2. Admitted 3. Admitted. By way of further answer, Petitioner was granted a Durable Power of Attorney by Decedent on June 24, 2009. Such grant continued until Decedent's death. 4. This paragraph requires no response. 5. Admitted. 6. Denied. 7. Admitted. 8. Admitted. 9. Admitted as of the filing of the Petition. By way of further answer, an inventory of the Estate is provided with this Response. 10. Admitted as of the filing of the Petition. Concurrent with this filing, the Executor has submitted a status report to the Register of Wills and served a copy of same on the Petitioner. 11. Paragraph 11 is a statement of law to which no response is required. 12. Admitted. By way of further answer, the Executor has exercised due diligence in inventorying and valuing the assets of the Estate. 13. Denied to Paragraph as stated. By way of further answer, the Executor has exercised due diligence in inventorying and valuing the assets of the Estate, has made a determination that the Estate is without sufficient cash assets to pay claims against the Estate, has made a determination that the truck bequeathed to Petitioner is the asset of single greatest value in the Estate, and (concurrent with this Response) petitioned the Orphans' Court to permit the sale of the truck. 14. Denied. By way of further answer, the Executor has exercised due diligence in inventorying and valuing the assets of the Estate and has made a determination that the Estate is without sufficient cash assets to pay claims against the Estate. 15. Paragraph 15 is a statement of relief to which no response is required. NEW MATTER 1. Decedent was an illiterate gentleman. Decedent's wife Betty Lentz assisted Decedent with his business and medical affairs until her death in March 2008. Decedent granted his natural daughter Debbie Bomberger a Power of Attorney and Durable Medical Power of Attorney on August 23, 2007 for the purpose of having his daughter provide similar assistance. Decedent granted Petitioner a Durable Power of Attorney on June 24, 2009, which powers she exercised until Decedent's Death. 2. Upon information and belief, Decedent resided with Petitioner from August 2.009 until his death and kept his personal property at the shared residence. 3. Decedent's Will named as beneficiaries Petitioner ("grandfather clock and truck"); Albert Largent ("all of my tools, lawn mowers and equipment"); and Douglas C. Young (Estate remainder). 4. From the time of Decedent's death, Douglas C. Young (Executor or Mr. Young) has exercised due diligence to inventory and value the personal property of the Decedent. In support thereof, attached hereto and marked ATTACHNtENT A is the Affidavit of Douglas Young. 5. Despite the exercise of due diligence, Mr. Young remains unable to account fir the following personal property, including cash assets, of the Decedent: Shivvers Country Clipper mower valued at $6,566.00 and listed as covered equipment in a tradesman insurance policy issued by Goodville Mutual Casualty Company to Arthur Lentz t/a Pete's Lawn Care; $600.0() security deposit paid by tenants Bradley and Debbie Hoak relating to a lease entered into with Decedent in his capacity as the holder of a life estate in property located at 1115 Strites Road, Middletown, Pennsylvania; and Judgment in the amount of $2,153.92 ordered by District Justice Michael J. Smith, Magisterial District 12-2-01 on Complaint filed by Decedent and Petitioner, Co-Plaintiffs, on July 21, 2010 at Docket No. LT-0000469-10, seeking unpaid rent from Robert and Sharon Eshelman. Upon information and belief, Decedent, in his capacity as the holder of a life estate in property located .at 1115 Strites Road, Middletown, Pennsylvania, entered into a residential lease with the Eshelmans. 6. On behalf of Mr. I'oung, the firm of Robert W. Morris and Co., PC, prepared the Inheritance Tax Return which indicates that the Estate inheritance tax due and payable is $2,258.39. Also offered in support thereof attached and marked as ATTACHMENT B is the Affidavit of Debbie Bomberger. 7. The asset of single greatest value in the Estate under the control of the Executor is the 2008 (2 wheel drive) Ford F-150, appraised at $10,000, which was the subject of the bequest to Petitioner (Truck). 8. Based on the foregoing, the Estate has insufficient cash assets to pay the Estate's expenses and claims, including the inheritance tax. 9. Based on the foregoing, the Executor believes that the remaining Estate assets, including those assets that are the subject of specific bequests, need to be sold for their cash value to be applied to the Estate expenses and claims. 10. By separate concurrent filing, the Executor has petitioned the Orphans' Court to authorize the sale of the Truck for application of its cash value to the Estate expenses and claims. 11. Executor expects to file the formal accounting and to complete the administration of the Estate and distribution of the Estate assets within 30 days of the Orphans' Court grant of the Petition for sale of the Truck. Wherefore, Executor requests that the Court accept this Response as to the current administration of the Estate. Respectfully Submitted, THE LAW OFFICE OF SUSAN J. SMITH Date: June 11, 2012 `~[~~( ,,,t/ V'~-~' ~/ Pa.LD. No. 6531 3009 Market Street Camp Hill, PA 17011 Attorney for Douglas Young, Executor, Estate of Arthur H. Lentz CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing document was served on the following individual(s) on the date and by the method as indicated below: Service by ls`-Class Mail: Aaron C. Jackson, Esq. Tucker Arensberg, P.C. 2 Lemoyne Drive, Ste. 200 Lemoyne, PA 17043 Attorney for Betty J. Gingrich Date: June 11, 2012 ATTACHMENT A AFFIDAVIT I, Douglas C. Young, affirm the following: 1. I am the natural grandchild of Arthur Lentz. 2. Arthur Lentz informed me that he had named me the Executor of his estate in his Will dated July 10, 2009. 3. Arthur Lentz died on March 29, 20l 1 after a short hospitalization. 4. Upon information and belief, prior to his death, Arthur Lentz resided at 207 Edna Street, Wormleysburg, Cumberland County, Pennsylvania, with property owner Betty Gingrich. 5. I began performing my duties as Executor upon the death of Arthur Lentz on. March 29, 2011. 6. As Executor, I secured a Short Certificate from the Cumberland County Register of Wills on April 1, 2011. 7. Arthur Lentz granted Betty Gingrich a Durable Power of Attorney on June 24, 2009. 8. As Executor, on March 29, 2011 I requested a copy of Arthur Lentz's Will from Betty Gingrich as holder of his power-of-attorney and with whom he resided prior to his hospitalization and death. 9. Ms. Gingrich delivered a copy of the Will, dated July 10, 2009, to me through his then legal counsel. 10. As Executor, I prepared an inventory of the assets of the Estate of Arthur Lentz (APPENDIX A~. 11. On March 29, 2011, I requested that Ms. Gingrich release all financial records relating to the Estate of Arthur Lentz. Thereafter, I sporadically received the requested records. 12. On March 29, 2011, I requested that Ms. Gingrich release the personal property of Arthur Lentz believed to be at her residence. 13. Upon agreement with Ms. Gingrich as to the time and place, I appeared at the home of Ms. Gingrich on May 16, 2011, to take possession of Arthur Lentz's personal property. Ms. Gingrich independently made arrangements for a Constable to be present and to oversee the transfer of Arthur Lentz's personal property from Ms. Gingrich's possession to my possession as Executor. 14. Certain personal property known to be in the possession of Arthur Lentz at the time of his death were not made available by Ms. Gingrich on May 16, 2011. 15. Thereafter, certain additional personal property was sporadically delivered by Ms. Gingrich through her then legal counsel to me. 16. Prior to his death, Arthur Lentz held a life estate in real property located at 1115 Strites Road, Middletown, Pennsylvania, at which he had lived with his wife Betty J. Lentz before and for a period of time after her death in March 2008 and whi<;h he had deeded to his natural daughter, Debbie Bomberger, and her husband (Proper):y) in August 2008. 17. On August 30, 2010, Arthur Lentz leased the Property to Bradly and Debbie Hoak, subject to a security deposit of $600.00 (APPENDIX B). 18. The $600.00 security deposit was not found among Arthur Lentz's personal assets nor re eased by Ms. Gingrich to me. 19. Upon information and belief, Ms. Gingrich did not return the $600.00 security deposit directly to the Hoaks following Arthur Lentz's death and termination of his life estate in the Property. 20. From 2009 until Arthur Lentz's death on March 29, 2011, Debbie and Michael Bomberger paid real estate taxes, solid waste collection service charges, and electric service charges and maintained property insurance for the Property (APPENDIX C). 21. Prior to his death, Arthur Lentz was the sole proprietor of a lawn care business trading under the name Pete's Lawn Care. 22. Arthur Lentz owned and used several mowers and other equipment in the lawn care business. 23. On April 4, 2010, Arthur Lentz purchased a Shiwers Country Clipper mower from Central Hardware Lawn and Garden for the price of $6,566.70 (APPENDIX D). 24. Arthur Lentz maintained a tradesman insurance policy for Pete's Lawn Care with Goodville Mutual Casualty Company. 25. A renewal of the tradesman insurance policy dated March 28, 2011, listed a "Shiwers Manufacturing Country Clipper" mower valued at $6,566.00 as covered equipment (A.PPENDIX E). 26. The Country Clipper mower was not among the personal property of Arthur Lentz transferred by Ms. Gingrich to me on May 16, 2011. Despite the exercise of reasonable due diligence, the Country Clipper mower has not thereafter been located by me or transferred to me by Ms.Gingrich. 27. Arthur Lentz owned a 2008 (2 wheel drive) Ford F-150 truck at the time of his death (Truck). 28. As Executor, I took possession of the Truck when I took possession of Arthur Lentz's other personal property. 29. At the time of Arthur Lentz's death, the truck was in fair condition (APPENDIX F). 30. As Executor, I had the truck appraised by Maguires Ford of Duncannon. Maguires Ford appraised the truck at $10,000 (APPENDIX G). 31. As Executor, I have paid outstanding bills and claims owing on the Estate, excepting they referenced $600.00 security deposit and the Property expenses paid by the Bambergers. 32. As Executor, I have accounted for and valued all of Arthur Lentz's personal property and cash assets at the time of his death, excepting the $600.00 security deposit and the Country Clipper mower valued at $6,566.00. 33. As Executor, I have accounted for all outstanding claims on the Estate, including tax obligations in the amount of $2,258.39, as identified in the Inheritance Tax Return prepared by Robert W. Morris and Company, PC and dated June 7, 2012 (APPENDIX H). 34. The outstanding claims on the Estate exceed the value of the Estate assets remaining in my possession. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Date: :~_ , ~ ~ C~~-- ~ ~~C , 1 -1 o glas C. oun N 07 N CTf N ~ N W N N N ~ N O ~ t0 •~ 00 ~ ~I ~ O ~ O -a ~ ~ W ~ N ~ -~ j O t0 00 V Q~ X71 ~ W N ~ A W ~ ~I ~ ~ N N ~ N ~ ~ ~ U't ~ N -~ ~ ~ ~ U1 Cl7 v v ~ C37 Cr N ~ O A N r v ° oo u G7 ~ O_ °- o o v = ~ ~ f D cn ~ -~ o ~ Cn m ~ ~ m o T cu ao m ~ ~ ~ ~ c cn n c~ v o0 co 0 o B ~ m o n v = o G7 ~' 00 ~ 0o ~ r ~ ~ - co/~ ~ ~ ~ ~ < ~ ~ ~ m ~ ? cD o O ~ ~ Q N i - ~ n ~ ~ ~ .c ~ cD n n ~p cn cn ~ m W c~ C7 -o cn ~ o o ~ ~' < ~ ~_ N r °~ ~ w ~ v o u' ~ ~ ~ -, vai O cvn c n rn ~ ~ v o ~ ~ ~ v ~ ~ D ~ o ~ ~ o can o ~ ~ C ~ m ~ n r n ~ ~ ° v ~ ° cn ~ ° - ~ ~ cD -' C ~ c ~ i v .-. . . f~!) ( ~ C7 ~ ~ ~ N ~ ~ y X X cn X cn Q ~ '~ p' cn N~ (D ~ ~ ~ `• ~ `G c~ `< m `G m `G cu `< ro `< cu '< m Z O `< cu `G c~ `< c~ `G c~ `G cn ~< m `< m `< rn ~< m `G c~ ~< c~ `G c~ ~< rn `< m `G m `< cu C7 ~ ' cn ~ cn cn u. cn cn cn cn cn ~ cn cn cn cn cn cn cn cn cn cn cn cn < c~ a v o o v n~ v v o v v o o n~ su v v v v v o o ~ o Q. 0 ~ ~ O N U7 Efl W W CJi 4i~ C11 ffl 00 ffl Ul 4fl O EA C31 ~ Cn U1 O . ffl O . ffl O . ffl -~ . ffl U7 . fig CJ7 . Ei9 ~ . Ei9 W . ffl C)'1 . ffl CJ7 . b9 ~ . W O . _ = ~ O O O O O O O O O O O O O O U1 O O O O O O O Cn O U7 O O O O O O O O O O O O O O O O O O O ~ W ~ ~ T T T W W ~D ~D lD T ~D T ~D T ~D T ~D ~ Ul CIl O ~ Ul C77 v O C)'1 O Ul (n U7 CT7 e-~ h h ~~~-yy V ~ ~ rF ~ ~ ~ ~ ~ ~ ~ r-F r-h r-F r-F ~ r-F ~ r-h ~ r-F ~ ~ ~Q c~ ~ ~Q c~ ~ ~ c~ ~ ~ (Q c~ ~ ~Q c~ ~ ~ 1 ~ ~Q ~ ~Q ~ m m m rn 1 ~Q c~ ~ ~Q m 1 m N 'C O y rt O~ Appendix A T v cn m N ~ O ~ ~ V ~ ~~71 ~ W N j O ~C 00 V C7 DTI ~ W N -~ O CO 00 V A ~ ~ ~ ~ ~ N ~ ~ ~ ~ ~ ~ W N ~ ~ ~ -. O ~ ~ m O ~ ~ ~ v Q.. ~ ~, `< W ~ ~ ~• c~ O ~ ~ N -n = c, o n, ~• ro u; p c ~ ~ '~ rn o ~ n o ~' ca ~ o ~ W v ~ m ~ ~ ~ C7 e ~ ~' ~' Oo ~• o ° ~ Oo - m ~ ~ n ~ ~ o m ~ W v o O ~ ~ ~ o rn ~ o ~ ~ m ~' ~ ~ c~ Oo v cn ~_ m ~ ~ ~ _ ~ ~ ~ ~ - ~ ~ ~• ~ ~ ~ ~ ~ cn o oo x ~ O Z m Oo o v a m ~ N 0o ~ ao ~_ o C7 o ~ ~ ~ C7 ~ ~ a ~ C7 ~. ~ D ° ~ ~ D ~ °o ~ ~ m ~. ~, -n D 0 ~- ~ ~ `< (D `G fD `G (D `G CD `< (D `G CD ~G (D `G CD K (D `G fD `•G (D `G (D `G (D `G CD ~G fD ~G (D `G (D `G (D `G CD `G (D `•G (D K fD `G (D `G CD `G fD `G fD n <D fn V) V) (~ ua ul N V) V) to V) V) V) (A ~ fA V) ~ V) fA ~ V1 V) V) O ~ ~. <D O. v n~ o su a o 0 0 0 0 0 o v v v o o n~ o 0 o v sv v w o a 0 ~ ffl ffl ~ ~ ~ ~ O O O O ffl O fig O ffl O ffl O fA O ffl N ffl 00 ffl W fig ~ fig ~ N 07 ffl W fig U1 W O ffl Cn N O N O ~ ~ O O O O O U1 Ut O O O . O . O . O . O . O . O . O . O . O O O O O O O O O O O O O O O O O O O O N O N ~ <D 'p ~ ~D 'p ~ W ~ ~ V" ~ • (O C < (D ~ ~ O N ~ Q O ~ ~ '~ ~ C`J7 Q O ~ ~ ~ <D ~ ~ ~ N S ~ ~D ~ ~ ~D -a ~ <D -a ~ -' \1 ~ -' ~ N O N ~ p ~ ~ ~ -' C~ Q O O ~ ~ ~ ~ C\Jt ~ ~ ~ (\J1 ~ ~ ~ C~37 ~ ~D ~ ~ ~D 'C ~ ~ ""- '-~ fD ~ CD ~ ~ ~ ~ ~ ~ CD ~ ~ ~ O ~ (OD O ~ N S O, ~ O ~ p ~ Q O p (~D Q. v ~ ~ O v fOD O O N O p N ~ O ~ ~ O fD (Q Q O ~ O O N O v N O v fOD ~ m fD o -a ;` ~• o 0 V 00 V V V O V <71 V ~ V W V N V j V O C1 to O 00 W V C7 C7 C7 CTf O ~A Q1 W O N O ~ C7 O Ct1 tG CJ1 00 ~7t V tJ1 C1 t71 t71 X71 ~ CT1 W A -~ W N W ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ r Q (D ~ ~ ~• Z7 O ~ ~ (p ~' CG f:~ C ~ co.~ Sc ~ ~ - - ~ ~ n ~ ~ v ~ ~ ~~ O ~ ~ ~ ~ C7 ~. ( ~ ~ ~ n ~ N ~ ~ ~ "O r' (O (D v ~ ~ ~, ~ ~ ~ ~ ~ c7 ~ ~ ~ t~ v ~ ~ O Q (D ~ ~ ~ ~ -i ~ ~ Q `G oo ~ ~ ~ ~• ~ 3 = ~ CA ~ ~ v ~ ~ Z7 ~ p O ~ p ~ ~ W O ~ -'n ~ Cn v Cn ~ cQ ~ O ~ rn ~ O ~ ~ (fl ~ ~ - ~ G7 ~ Q ~ O CD n O ~ _< N ~ (D (D tp~ ~ ~ ~ n _6 ~ ~ S ~ (O cOn ~ v ~ O C c~D ~ ~ ~ cn ~ ~ ~ (D O. v ~' cc (~ (D ~ ~ n O ~_ ~ ~ O Q v - ~ O ~ Q p , ~ y n ~ .a' O ~ v v (Q (D `G (D cn `G fD cn `~G (D cn `G (D cn `C CD ua ~ (D cn `G CD cn ~G (D cn `G (D cn `G CD cn `G (D to `G CD cn `G fD cn `G fD cn ~G CD cn `G (D cn `G (D cn `G CD v~ `G CD cn ~G (D cn ~G fD cn `G (D cn Z O `G (D cn `G fD cn `G (D cn n ~D c• ~D Q O o v v o 0 0 0 o v o 0 0 0 0 0 0 0 0 o v v o o a O ~' ~' O O O O O =,' O O O O O O O O O O =,' _,' O O rr ~ O ffl ffl {~ fifl ffl fig ~ ~ EA ffl ffl EA ~ Efl N ~ O O O O O U1 O O N O U~ . O . U1 . O . U1 . O O O O U7 O O O O CJ7 O Cr O O O O O O O O O O O O O O O O O O v f/~ 3 ~ ~ V7 ~ ~ CJ1 ~ cD ~ ~D O ~ v ~ -' Ut ~ cD v (n ~ ~ ~D ~ ~D v cn ~ v (~ ~ ~ cn S v cn ~ ~ ~ Ul O ~ ~ O ~ v ~ ~D ~ ~D ~ cD ~D lD 0 ~ N O N N O N ~ N Q. cn O v c0 m cn O v cQ o cp O- to O ~ cQ CD n ~ ~ v ~ Q O ~ O ~ n. ~ ~ 9J m Q.. O ~ Sv m Q., ~ ~ iU m to O ~ ca o CD Q cD Q „~, C ~ ~ cn O v ~ Q cn O v ~ Q . N ~ O ~ v ~ y N N ~ ~ ~ Z v cfl c~ v co m 0 .A ~C ~C to tD ~C 00 00 00 00 00 00 00 00 00 00 V ~ W N -~ O ~C 00 V O V7 ~1 W N ~ O t0 A w ~ ~ ~ ~ c~ ~ ~ oo ~ ~ c~ ~ ~ m m ~ ~ ~+ ~ v ~ ~ ~ ~ _ o v ~ ~ ~ ~ -, ~ ° o c ~ 3 o ~ cn r cQ cn O Q, c~ ~ ~ ~ ~ ~ _ o o a? ~ ~ ~' m ~ m ~ ~ ~' O ~ ~' o- ~ cD ~ v o n Q ~ ~ c~ C7 v ~, .~ ~ o N n ~ 'O 'C CD '_*. ~ O Qo 7 N N (D O CD N v ~ ~ Q- `G (D K (D `G CD ~G fD `G (D `G (D •G (D `G (D `G (D `G (D `G (D `G (D n ~D cn cn cn to v> cn to cn cn cn cn cn c' <D fl. -I ~ _ ~ fA ~ O ~ O ~' v ~' O O v ~' O O O O O O ~ ~' O O O O O O O O n O p, O p Q 7 EA ffl ~ ffl ffl 4 fl ~ ~ _ O O N C31 W U7 C Ji O O O ~ U7 U1 O N O ffl ~ b9 N fig ~ ~ ~ O O O O O O O O O O O O O O O O O O O O O O O Q O Q O Q ~ CJl ~ C~ ~ -a ~ ~ ~ -a O v O v ~ ~' v ~" ~, O ~, O (D ~ (D Q- ~ ~ ~ ~ v . ~ y ~ O N ~r ~ O 7 ~, The Landlords are: Mr_ Arthur Lentz Phone: 737-5777 Page 1 of 3 The Tenant is: '` _r ~ %' ~ G~~,~~ ~ ~ ,~ ~ e"Gr~'-l~ia-~-~ ~:YOnly ~e~on(s listed hove are to reside a# the residences Location: 0'~d.~~ S :~~3 st~ ~l ~f •~ f ~^ ~ :~:~° _ ~~ ~ ~ `~~ J~" -cfiAC ~2 I clw+st ~ ~ J ~ ~f -7 ~ Y f9, 7 !~~"'~ .` --~ ~ ~ ~ - c .• ~'~ecurity Deposit zs ~TO'1` ~enti ----- _ Monthly Rental ot: $ ~~d, v ~9 Rent Due on the first (1St) day of each month. Charges for LateRent: A five doIIar late fee is due for each day .after the 5"' of the month and must be included at time the rent is paid. x~~~°en= is dot maid by tlae 1~`~ ofthe ~ ont~~e the Tease ~l be ended and the tenan# ~~~11 be given ~r~° ~, ie~ ~ otice #® rove out within 1~ daysn Term of Lease: M:inimuffi 12 Months From To ~"~Minimum 60-day move-on# VYRITTEN notice required prior to the end of the month that you intend to move. Utilities Paid By: RESPONSIBLITIES (initial). -Water ____ Electric _ Telephone ~~ €sas Sewer Cable TV Renter's Tn ~ prance Building Insurance n YxLandlord ~ ~~ ~' resp~nsihle for an~r accidents occurring on pre~nnses o xx~ ~,e~~~ p~sPLYE~o~~a~°~1~.~~ P.°~~ks~zirta~ r3.a.a~. ...~...__ -'`'' ' Appendix B TENANT IS REi SPONSIBLE FOR: page 2 0~3 ~ Contacting utilities immediately to be put into your name ~, ~~~IT IS YOUR RF,SPOiYSIBILITY TO OBTAIN TENANT INSURANCE ON YOUR PERSONAL BELONGINGS. r Landlord is :I1TOT responsible for any losses to tenants' property. ~~ ~ ONLY people who are on the lease are to be living in the apartments. ~" Keeping apartment, appliances, and area neat and clean. ~iir Keeping noise level reasonable. Contact landlord regarding atl repairs_ 1~~ repairs may be matte without landlords' approvat. NO repairs may be deducted from rent. (contact landlord immediately) No waterbeds in apartments. Apartments are ~Oy I~ER AI~SOLIITE~~4~ ~~ PATS ALLO yB4 ~ N4 pet-Sitting iri a~za~ients~ (i~T~ C~T~R} No giving any objects to cabinets, doors, or walls, etc. No stick-on hooks to be used. No wallpaper of any kind, including borders, stenciling, etc. If there is any .damage to Winslow screens du_rin~ your occunancv. yoaa will be responsible for replacing them before you move oat Landlord may inspect the apartment at ahy true while tenan# is ~reseht. Tenants renting oa the second- fluor are responsible for keeping the steps clean at .all times, ABSOLIJT~L~' I~£~ ~~1RCLl~ OI~d T_ PI~OP~tTY '1`UAT E Pd®T ~ 12IJI'~lG C~NBfTI®N Wage 3 of 3 FINAL A~ART1Vi~T CLEANIl~tG CHEC7KL.IST r General: Throughout the entire apartment) l .1Zemove ALI, trash from apartment. 2. Vacuum/Wash all floors. Carpets will be professionally cleaned and cost will be deducted from your security deposit. Ho ~CIT rent a carpet cleaner. 3.Walls must be free of all nails, tacks marks etc Holes must be spackled and~anded. 4. Clean (wash) windows and blinds or replace blinds with new ones. 5. Replace all burned-out light bulbs. 5. ~3ebris removed from all cabinets and wiped doom in_ side and out 7. All appliances must be thoroughly washed and oven cleaned Bathroom: 1. Tub, toilet, and basins must be cleaned of all film, soap residue, marks, etc 2_ -Clean exhaust €an, -and replace -any -burned -out li tbulbs 3. Floors must be cleaned and washed up. l~teheu: 1. Clean oven, racks, and stove top of all residue Replace burner-plates, if necessary 2_ Er_npty refri~er~tor Clem x.11 tacks shelves, etc Wash outside of refr%g_erator. 3 _ F-lours must be cleaned and washed up you must schedule an appointment with 1/andlord for awalk-through before handing in keys order to have your security deposit mailed to yflu. When you move into the apartment, ali of the above-mentioned- items on the checklist have been eompieted. When you move out, the same is expected of you. Uwe have read the checklist, and agree to complete all items prior to returning the keys. Uwe understand that if These tasks are not completed andlor there is damage to the apartment, that charges far cleaning andfor repairs will be deducted frori myfour security deposit. e "~ s) ignature mate: ~ ~~ - ~~ ~~ Tenant(s) Signature Date: ,~ fir, - ~C1 o c ~ m v ~ ~ ~ ~ ~ ~' ~ ~ m 0 N _ ~ i J7 C N .J ~ _ I V O O O ,J .A W O ~ .a cn ~ O c:~ n ~ O ~ N C j O r m p ~ ~ _ O O O V O ~ C .-. O W i o O i V CO CIl ~ CD CO O OD ~ O O O ~1 N N N Q1 O O O ~ J N -~ O O ~ ~ W N ~ ~ ~ O ~ U1 CO aD O CJ1 1I O CJ1 o ~ o ~ m c ~ c ~ D ~ ~ v --~ n~ x m cn COI, ~ N N N O tin ~ O 69 69 °~ ~ ~ rn ~ ~ ~ ~ O O O N O O [O ~ ~' ~ m N .C'AO ~ W N - O O 00 O t0 ~ ~ ~ C ~ O C~JI (~17 r-« OD ~ .p. ~. ~ ~ ~ ~ o ~ o ~ m c c c ~ D ~ ~ v ~ C7 < ' ~' ~ (Q ~ ~ ~ ~ ~ ~ ~ ~ p ~ ~ ~ O ~ O O Qp W N ~ O ~ W IV O ~ ~ O W N ~ ~ ~ ~ N O ~ O n ~ O N O 4fl O ~ N O r off W ~ ~ O O C T .lam (Q ~ ~ N O O N CTI O ~ N C ~ Efl ffl Efl E~ ffl _=~ ~ ~ A ~ ~ CD W O O W (OJT ~ Appendix C a+ .-. -, r« m N d _ _. t rat, ~,,el'~~~ ~.~: ~,~`~•rL~ ~a`,~ _ __ inxoox wwex aa~w-verv. u+n _ O~DLE-! .. -,. „<wxr.FPn~.r.~..:nva.«. .. `sF`r.:r :`~t,~`'E,'t, w INVOtCH M- . ;~ ~~ Tt s<. ~ ~ pIF343'> ~~ TS- ~ t; t?`: DATE -~^~" - ~~ fl THIS FORM IS PHINTEO BY BF(J INC. AND. HAS __ _. { ! ~~ / I.i~1.-:"1 /~:4 [',CIPYRICtiHT PRrITGr`Tlnh i NatnF ^~ EtdGlhlLlTRANt. MODEL NO. ____.__ NAME OF EQUIPMENT ~~ -~ :. _ _. STREET ADDRESS - TYPE OF SPEC. NO. i HOURS ' TYPE OF EQUIPMENT CITY STATE _ . SERIAL 1 CODE I D.O.F~A.. NO. EQUIP. MODEL & SERIAL NO a & ZtP . DATE ' DATE °' CUSTOMER H DEALER PICKUP ~ /DELIVERY CUSTOMER DELIVERY / REG D i-, P ROMISED PHONE N0. W PICKUP ~~~ E'ER tt CC'~- LJ SHORT BLOCK ~ ~ - ..__.~_.. ^ SPEED R ~.~ . CARBURETION STARTER . PM _ NSPECTION OVERHAU ~' L LIJBRiCATE CHASSIS ~ CHECK ~ CHECK - -~--~- --~-~ TOP SPEED DATE OF' -~`--~ _ - - CHARGING CIRCUIT E IGNITION RPM PURCHASE NEEDIr~U S ~ ~- ENCItJF OIL ~ SAFET`( INTERLOCK ~ I ~ D B F T N _ -_ COMP RESS IGN ENC ,'TH ~_-_~ __. AILLtRE ENGIMEE L__J SHARPEN BLADE ~ I CHECK AIR CLEANER - ~ CHECK r ) t BLADE-STOP _ - -____- ENG. COOL ING ` TIME ~___-_~_ ___._, sec. - + CUSTOMER COMMENTS: ~ -` -- WORK PERFORMED: ; ` .~ -------- -------- t r ~~ -------------- i MATERIALS _ ( ~~ _ _ ; _ ' - ----- ---_--- - --- --- -------- LAEOR _ _ ---.--_____--------- - ~ ---_ GAS, OIL, LUaE --- PICK UP /DELIVERY Y:.. .. _ c - a - ~ e - . s FREIGHT j --__..____,.-.-_.- _-- --....~, -__--_-- _ ENVIRONMENTAL FEE. ___~.__ r -V____-___~---- ---- SUBTOTAL t.•^ ' --- ---------------- --- - TAX TOTAL AMOUNT 1Nhite the manufacturer may wan•antthe goods sold - to the custome , wemaka no warranties, express or implred,including any implieii warranties of merchani- _-__ - ability or fitness, with respect to such goods. Not responsiblo for loss or damage in caseof fro, then --""~~ ----~ or any otheccause beyond our control ---------------~---------- ~ ~ I hereby authorize the above repair work to be tlone along with the necessary material andheretiy grant you ___ _ _ _ __ ___ _ __ TQ'i'AL ~' - and ! or your employeespennission to oparate the unit as necessary for. the purpose of testing anii t or insper,- I FULLY UNDERSTAP7D THF.. PURPOSES OF THE SAFETY DEVICES Oh! THIS EQUIPMENT AND REQUEST THAT THEY tion, nn express mechanic's Tien is hereby acknow- NOT BE REPAIRED OR REPLACED, AND I WILLASSUME RESPONSIBILITY FOR AND HOLD YOU HARMLESS FRCA4 iedged on above unit to s~~c:ure the amount of repairs ANY INJURY THA'C MAY RESUCP THEREFROM. thereto. h sIGN~D~______~_,____.-_-- _ X _____ AUTHORIZED SIGNATURE RUTHORI7_ED SIGNATURE Appendix D Goodville Mutual Casualty Company Tradesman Renewal Declarations 625 West Main Street, PO Box 489 Cover Plus New Holland, P,4 17557-0489 Policy Prefix TC www.gocxJville.com POIIC}/ Policy No. 909486 Mailbox: 3775 68 Named Insured Arthur H Lentz and T/A Pete's Lawn Care Mailing Address 207 Edna St worcnleysburg PA 17043 Agency name James O. Bower Insurance, Inc. and Address 2145 Market St PO Box 97 Camp Hi 11 PA 17001 0097 (717)763-5668 Type of Entity: Policy Period: 12:01 A.M. Standard Time at the described location from 05/16/11 to 05/16/12 Individual Business Description: Lawn Mowing In return for the payment of F~remium, and subject to all terms of this policy, we agree with you to provide the insurance as stated in this policy. This premium may be subject to adjustments. Audit premiums are due within thirty days of the audit billing date. This Declarations together with the Common Policy Conditions Coverage Part Declarations, Coverage Part Coverage Form(s) and Endorsements, if any, issued to form a part thereof, completes the above numbered policy. Corrlmercial GeneraC,LiabiEity Coverage Limits of Insurance GeneralAggregate$ 600,000 Products/Completed Work Aggregate $ 600, 000 Personal/Advertising Injury $ 300, 000 Each Occurrence $ 300, 000 Fire Legal Liability $ 100, 000 per occurrence Medical Payments $ 5 , 000 oer person Location: Wormle:ysburg, Dauphin Co PA Class Description: Landscaping/Lawn Mowing-No Spraying Total Liability Premium $ 279 Commercial Property/ Coverage Location No. 1: 207 Edna St, Wormleysburg, Dauphin Co PA 2.98 miles to fire department: Lower Swatara FC Limit of Insurance Deductible Valuation Use/Occupancy Business Personal Property $ 7,700 $ 250 RCV Business Property of the Insured M~sce[laneous Property Coverages Mechanical Breakdown -- Premium: $10.00 Total Property Premium $ 122 Commercial Inland Marine Coverage.. See GMCI 0 900 declarations for specific coverages Total Inland Marine Premium $ 86 Other Endorsement Premium $ 13 Total Policy Premium $ 500 Form(s) and Endorsements Form(s) and Endorsements made part CGLYCR(0798) CL0124(1006) of this policy at the 0 time of issue: CL100(1.0) CP0640(0703) CL300(1,0) C CL 600(0108) CPYCR(0798) CL0605(0108) CP0171(1008) CL0700(1006) CP0619(1006) CR0100(0699) P0643(0108) GL0163(0108) CP100(1.0} GL0215(1005) CP12(1.0) 02 CP85(1.0) GL0349(0602) ~GL200(1 0) GL0950(1299) GL0996(1005) GL 43(1005} GL1020(0909) GL0250(0108) GL1022(0909) . GL894(1.0) GL212(1.0) GMCI (0900) GL222(1.0) GMOCC(0610) GL409{1.0) GL848(1.0) IM2077(0404) SAE (0898) IM2077(0908) IM7000(0404) GMwIS(0610) IM7020(1.0) IM1000(0105) ML120(2 0) SEB(0610) TCP(0604} . Notices: CL1045B(1208) SEPHN(0306") WRCPPN(0804) COMMDEC 10 03 3128/11 A endix E PP TC 909486 52RU Commercial Inland Marine Coverage Part GMCI 09 00 Policy No: TC.909486 Description of Property Valuation Limit of Insurance IM7000 Contractors' $quipment Cov RCV A $250 deductible applies unless otherwise specified: - Contractors' Equipment - Scheduled - Stihl BG85 Hedge Trimmer Ser #247610003 $ 405 - Echo Powex- Blower Model IE $ 553 - Cub Cadet Trim Lawn Mower Ser #SC62 $ 553 - Shiwers N[anufacturing Country Clipper Mdl 2360KOJ $ 6,566 S# 33855 - Contractors' Tools - Scheduled - Stihl Blower Ser # 255830865 $ 199 Total Premium for this Coverage Part: $ GMCI 09 00 3/28/ 11 Goodville Mutual Casualty Company 86 Page 1 of i TC 909486 52RU x~ - - ~ ~ ~. ~ ~ `_ -:~ 1 ~ t~ ~. ~~ ~ z, -~,.~ ~ i ~, yyyyyy S •i Y y~ .-^ Ai.a~ C,r r ~. }~ ~:~ ~~~ t _ ~:,~ ;.,_ ?a i~_ , :~ ~ ~ t, ~ :1~j +~;1 TI E: 1 F 7"'l- ~r ~ j 1~ ~r y f , t k:. _ ~q.y..~.l: ~. , p: t ~ ~ ~ ~~ ~ t 1r ~ ~ ~ti.. ~ "r til_, ,. ~ T ~ F 5ku. , E~ ~ ~r ~~ r: ~ ' - ~, 1_, _ k ~ S j : I } ~` r .. f _ f ~.. k~. ~~ Y~^ s t ~, ~~ - ~ ., r ~ '~ `3F y -~yy~ f ^ti~r ~ ~ 8 ~; _ t ~ ;r ~ppendjX P .~iM~ "V.r'~Hd'~`.,•4 i ~ w.~ti + f 4 a;.$ i .y~,,i~i ,s ~ F {.'~~ ~ i'~ Y ~ t~ye r ~ ~ ,~ ,v ..> 4 " ~ ~ t- . ~ - ~ r ~ # .. - - i ~ t ~ ~ ~ 4 e j i r~ ~. ~ _~ ''. ;~ .~. ~i ~ - s s. - ;~ t ai f 1{ ~ i ~~ ~,3 ~ 1 :i ) j' } t: ,~ ~:`~ ~ ~ 1 ~ ~ s 1~ i: i i ~~ ~ ~ ;. ~; ~ ~ ;. rr ~ ~' ,~ II ~,: it {~ ti r x 4 7, qi ~ ~ 1' '~ '~ ~~;~ ~ ~„ ik ~ ~ ..1 ' L j' `~~~~f~,""" F S ,. ~ ~ { ~.? f ik~ YWW~ ` t ~ k I I ~, lf. ~ y # ys ~ ~~ ~ ~ ~ ~~ ~ ~` i I " . ~~ 3 ~ , ! ~:t : 7 ~!„ n Y~ ~~~ 'f 1 l~ ~ ~ ~ .. t _ T- .~, ~ _ _' ?~~ ~~~,~. '~i ,. ~~ ' ` _r ~ '`'~~ S `+iy, ~~q t ~~`~ +~ < ~ 3`~ .: ~!~~~~ ~~ j'~ -, ~}; ~~:+ ~` ~ z. , "r € s ~~ ~ ~. ~ ~. 4 °~ ,: : ~ ~~ ~ ~~' ~ ~; 3 ~ ~ ,. ~~. f 3'f ~~ + L bti i `} ~ ~. K 1 3 ~ ~TL.~ '~i. ~F.syt~f ]~. ~}rt '@Y ~ ~ * f . ;' } ~ * Y . } l L S.. ..v . ~~}H ~~ ~. A ~~~ ~ . ~ } .'~~~r ~ yy yr~~ ~" ~~ _F . ~ ~ ~ ~ ' ' N f ` "S I ~ €~ ,~,s lR . +~ ~~~ ` ~ ~ _ ~. r ~, II. ~~ . u ; i { ni V ~ '?. +~ K S ~ t ' i- _ . . ~ ~ P ~+ ' g yi' ~; ~ . ~ • - ~ ~ ' , v ~ + r ~.~~ ~ i Y ~~: tY ~~ ` ' z a. . ~~y ~~, ~ y y ~~ ~? 3 ~1J K. ~A ,d~~'71,R~i. ~'~ ~ '~'!~ ~ R__ ~a5 . ' ~ ~' ~ 3 ' ~~ a ~~, „kz :~~~f`` T~k " r ~~, - y , ~!r_ ~ , r ~. x ~~ F ~';. "~ r ~4,J R~4 i : ~, .~ ~ , ~ 2008 FORD F-150 Maguires Ford of Duncannon 1~1ain & Fisher Streets Duncannon, Pennsylvania 17020 VEHICLE INFORMATION CUSTOMER INFOR1vfATION VIN: IFTRXl2W08FB33490 llOUGLAS YOUNG Odometer: 35,000 Miles +~ (717) 648.6657 Color: APPRAISAL VALUES Disposition: Retail Reconditioning: SI,000 Purchase: No Profit Objective: 52,00 ~ 1 O, O /~ O Appraiser. B. Sova 1 ` 6/8/20 12 BOOK VALUES RROOK Market Average 11~iarkel Days Supply Rankin Unit Cost $11,000 $16,517 Overall: 68 Pricc Rank: } ~,I'y Asking Price: 513,500 41,057 Miles Like Mine: 45 vRank: t of 9 Adj % Cost To Market: 56 ",-~ ,NAAA National Regional Avg. Auction Pricc $14,231 516,(07 MAGUiRE'S FORD raAtN STREET . t 7-a34-3t t t DUNGANNON, PA 17020 Ht3G. 717-737-?_772 ROBERT J. SOVA FAx: 717-as4-s;aa --__ - - _ - Safes Manager- - - ---- - ------ -vwaw,ma9uiresford.cnrrL-. __-.__ . n~ Appendix G ROBERT ~ . MORRIS ~t COMPANY P. C. CERTIFIED PUBLIC ACCOUNTANTS 19 EAST MAIN STREET, P0. BOX 68, NEW BLOOMFIELD, PA 17068 • (717) 582-8135 • FAX (717) 582-7392 • robertmorriscpa.com MEMBER: AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS PENNSYLVANIA INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS June 8, 2012 Arthur Lentz Estate C/O Douglas C Young 114NHighSt Duncannon, P,4 17020 RE: Estate Filing Dear Douglas, Please file the attached (two) inheritance tax returns with a check payable to "Register of Wills" in the amount of $2,:?58.39 with the Cumberland County Register of Wills at the following address: Cumberland County Courthouse Register of Wills 1 Courthouse 5q. Carlisle, PA 17013-3387 As you are aware, the return is past due and as a result we recommend filing as soon as possible. The state will calcullate and notify you of any overdue interest and penalty after the return is filed. Please do not hlesitate to contact me with any questions. As always, thank you for the opportunity to work with you iin this matter. Sincerely, Robert W. Morris III Certified Public Accountant Enclosures Appendix H CLIENT'S COPY _J 1505610105 REV-1500 extoa_,r,tFt, OFFICIAL USE ONLY PA Department of Revenue Pennsylvania Bureau of Individual Taxes ~"~~'~`~' "~`"~` County Code Year File Number PO BOX z8o6oi ~ INHERITANCE TAX RETURN Harrisburg, PA 1'7128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number D<tte of Death tv1MDDYYYY Date of Birth MMDDYYYY 200-24-0425 03/29/2011 01 /16/1930 Decedent's Last Name Suffix Decedent's First Name MI LENTZ ARTHUR H (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW t'>D 1. Original Return O O 4. Limited Estate ~ ~ 6. Decedent Died Testate C) (Attach Copy of Will) O 9. Litigation Proce<;ds Received O 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust.) 10. Spousal Poverty Credit (Date of Death Between 12-31-91 and 1-1-95) O 3. Remainder Return (Date of Death Prior to 12-13-82) O 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes O 11. Election to Tax under Sec.. 9113(A) (Attach Schedule O) CORRESPONDENT - THIS :iECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number DOUGLAS C YOUIVG (717) 648-6657 REGISTER OF WILLS USE ONLY First Line of Address 114 NORTH HIGH STREET Second Line of Address City or Post Office DUNCANNON State ZIP Code PA 17020 DATE FILED - _ _ -- _ _ - - ___ Correspondents a-mail address: fEdtlJOyy0Uf1 28 .gfT1aILCOn1 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief. it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE HUUKtJS _-- 114 NO~'H HIGH STREET DUNCANNON PA 17020 SIGNAT OFi$F~)~ARER, OTHER THAN REPRESENTATIVE ~~r~ P9'BOX 68, NEW BLOOMFIELD PA 17068 PLEASE USE ORIGINAL FORM ONLY Side 1 15051510105 1505610105 J 1505610205 REV-1500 EX (FI) Decedent's Name: ARTHUR H LENTZ Decedent's Social Security Number 200-24-0425 RECAPITULATION 1. Real Estate (Schedule A) ......................................... .... 1. :?3,970.00 2. Stocks and Bonds (Schedule 6) .................................... ... 2. 3. Closely Held Corporation, Partnership or Sote-Proprietorship (schedule C) .. ... 3. 4. Mortgages and Notes Receivable (Schedule D) ........................ ... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. 12,608.87 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. 600.00 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule Gj O Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1 through 7) .......................... ... 8. 37,178.87 9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. 11,077.13 10. Debts of Deced<;nt, Mortgage Liabilities and Liens (Schedule I) ............ ... 10. 11. Total Deductions (total Lines 9 and 10) ............. . ................ ... 11. 11,077.13 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 26,101.74 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to ta:K has not been made (Schedule J) ...................... .. 13. 14. Net Value Subjerct to Tax (Line 12 minus Line 13) ...................... .. 14. 26,101.74 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 114 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 45 15,779.74 16 17. Amount of Line 14 taxable at sibling rate X .12 17 18. Amount of Line 14 taxable at collateral rate X .15 10,322.00 18. i9. __ _ TAX DUE ...................................... ..... _ _ _ .. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610205 15D5610205 710.09 1, 548.30 2,25$:39- _ _ O ___J REV-1500 EX (FI) Page 3 Decedent's Complete Address: ARTHUR H LENTZ STREET ADDRESS 207 EDNA STREET ___--_ ___ ___ aTV _ __ WORMLEYSBURG Tax Payments and (:redits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Line '1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund, 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Ftle Number f sraTE PA _ _ i ziP 17043... (1) 2,258.39 Total Credits (A + B } (2) (3) (4) (5) 2,258.39 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 care? .................................... 2. If death occurred after Dec. 12, 1982.. did decedent transfer property within one year of death without receiving adequate consideration? .................................................................. ^ . ............................................ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? .............. ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ..................................................................................................................__ I~ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Fordates-ofdeattron orafterJulyl, 199-and before Jan. 1; 1995 tfie tax ~aCe imposedon the net-value of transfers to or for the use offhe surviving spouse is 3 percent [72 P.S. §9116 (a) (1.'1) (i)]. For dates of death on or after J<~n. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)j. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000; • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-15oZ EX+ (I1-08) ~ Pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TA?;RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF ARTHUR H LENTZ FILE NUMBER 21/11-0422 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a Nilling seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if awned as tenant in common. VALl1E AT DATE NUMBER DESCRIPTION 01= DEATH 1' LIFE ESTATE AT 1115 STRITES ROAD, MIDDLETOWN PA -SEE SCHEDULE K ATTACHED 23,970.00 TOTAL (Also enter on Line 1, Recapitulation.) I $ 23,970-00 [f more space is needed, insert additional sheets of the same size. REV-i5o8 EX+ (ii-to) ~ ~~~ pennsytvania ~~~,`~ DEPARTMENT Of REVENUE INHERtTANCE 7AX RETURN RESIDENT DECEDENT ESTATE OF: ARTHUR H LENTZ ITEM SCHEDULE E CASH, BANK DEPOSITS & MISC. PERSONAL PROPERTY FILE NUMBER: 21-11-0422 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ` DESCRIPTION VALUE AT DATE 1. M & T BANK CHECKING #000009850851560 OF DEATH 893.07 2 M & T SAVINGS #015004220421579 49.80 3 CASH ON HAND 544.00 4 2008 FORD F'-150 TWO WHEEL DRIVE TRUCK 10,000.00 5 GRANDFATHER CLOCK 75.00 6 HOUSEHOLD AND PERSONAL ITEMS 800.00 7 TOOLS, MOWER & EQUIPMENT 247.00 TOTAL (Also enter on Line 5, Recapitulation) $ I 12,608.87 If more space !s needed, use additional sheets of paper of the same size. REV-i5o9 EX+ (o>->o) ~ '~Q Pennsylvania .i DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F ]OINTLY-OWNED PROPERTY tJ1Alt: UF: ARTHUR H LENTZ If an asset became jointly owned within one year of the decedent's date of death, it must be SURVIVING JOINT TEPJANT(S) NAME(S) ADDRESS A• BETTY J GINGRICH 207 EDNA ST, WORMLEYSBURG PA 17043 B. C. JOINTLY OWNED PROPERTY: FILE NUMBER: 21-11-0422 ed on Schedule G. RELATIONSHIP TO DECEDENT FRIEND -----~ -- ~~~~~•~~~~~ ~~~__~~ ~~ Naper yr me same size. REV•I511 EX+ (10-09) ~ ` = Pennsylvania DEPAgTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ta~ait or ARTHUR H LENTZ ESTATE ITEM NUMBER A• FUNERAL EXPENSES: i. B. 1 Decedent's debts must be reported on Schedule I. ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address fILE® 21-11-0422 City __ Year(s) Commission Paid: State ZIP z• Attorney Feesr 3• Family Exemption; (IF decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address City __ State Relationship of Claimant to Decedent 4• Probate Fees: S• Accountant Fees: 6• Tax Return Preparer Fees: ~• MEDICAL EXPENSES B SAM'S CLUB s REAL ESTATE: EXP FOR LIFE ESTATE COSTS io CAMPER STORAGE >> STATE AUTO 12 DEATH CERTIIFICATES ZIP 2,621.00 500.00 68.24 315.47 7,425.42 45.00 42.00 60.00 TOTAL (Also enter on Line 9, Recapitulation) I $ 11,077.13 If more space is needed, use additional sheets of paper of the same size, REV-1513 EX+ (01-10) ~~ti ~!.l~~ Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TA:K RETURN RESIDENT DECEDENT SCHEDULE ~ BENEFICIARIES ESTATE OF: ARTHUR H LENTZ NUMBER NAh1E AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec, 9116 (a) (1,2).~ 1• DOUGLAS C 'I'OUNG 114 N HIGH ST DUNCANNON PA 17020 2 ALBERTLARGENT 13 BESSIE LANE MIDDLETOWN PA 17057 3 BETTY J GINGRICH 207 EDNA STREET WORMLEYSBURG PA 17043 RELATIONSHIP TO DECEDENT Do Not List Trustee(sl GRANDSON FRIEND FRIEND ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE:. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. 8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. FILE NUMBER: 21-11-0422 AMOUNT OR SHARE OF ESTATE RESIDUAL 247 10075 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~ ~ If more space Is needed, use additional sheets of paper of the same size. FEV•7514 EX+ (4.09) ~ ~ Pennsylvania SCHEDULE K DEPARTMENT OF RE VENUE LIFE ESTATE, ANNUITY Bureau of Individual Taxes & TERM CERTAIN PO Box 28o6oi Harrisburg PA iyiz8-o6oi (CHECK BOX q ON REV-15oo COVER SHEET) ~a ~ A t C ~r FILE NUMBER ARTHUR H LENTZ 21-11-0422 This schedule should be used for all single-life, joint or successive life estate and term-certain calculations. For dates of death prior to 5-1-89, actuarial factors for single-life calculations can be obtained from the Department of Revenue. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death from 5-1-89 to 4-30-99, and in Aleph Volume for dates of death from 5-1-99 and thereafter. Indicate below the type of instrument that created the future interest and attach a copy of it to the tax return. ^ 'Wi~~ ^ Intervivos Deed of Trust ®Other NAME OF UFE TENANT DATE OF BIRTH NEAREST AGE AT TERM OF YEARS DATE OF DEATH LIFE ESTATE IS PAYABLE ARTHUR H LENTZ 01/16/1930 g1 ®Life or ^ Term of Years ^ Life or ^ Term of Years ^ Life or ^ Term of` Years ^ Life or ^ Term of Years ^ Life or ^ Term of Years 1. Value of fund from which life estate is payable ... , .... $ 120,000.00 2. Actuarial Factor per appropriate table . ...... . ....... . .. . . . . . .. . . . . . 0.19975 ................. Interest table rate - ®3.5% ^ 6% ^ 10°i~ ^ Variable Rate 3. Value of life estate (Lune 1 multiplied by Line 2) ........... 70 00 NAME. OF LIFE ANNUITANT DATE OF BIRTH NEAREST AGE AT TERM OF YEARS DATE OF DEATH ANNUITY IS PAYABLE ^ Life or ^ Term of 'Years ^ Life or ^ Term of 'rears ^ Life or ^ Term of `fears ^ Life or ^ Term of Years 1. Value of fund from which annuity is payable ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, $ 2. Check appropriate block below and enter corresponding number , .... , . . Frequency of payout - CI Weekly (52) ^ Bi-weekly (26) ^ Monthly (12) ^ Quarterly (4) CI Semi-annually (2) ^ Annually (1) ^ Other ( ) 3. Amount of payout per period ............................................ . 4. Aggregate annual payment, Line 2 multiplied by Line 3 ........................... . ....... 5. Annuity Factor (see instn~ctions) Interest table rate - ^ 3..5% ^ 6% p 10% p Variable Rate °/, 6. Adjustment Factor (See instructions.) ...... . .......................................... 7. Value of annuity - If using 3,5, 6, or 10%, or if variable rate and period payout is at end of period, calculation is Line 4 x Line 5 x Line 6 ...........................$ If using variable rate and period payout is at beginning of period, calculation is (Line4xLineSxline6)+Line3 ...............................................$ NOTE: The values of the funds that create the above future interests must be reported as part of the estate assets on Schedules A through G of the tax return. The resulting life or annuity (nterest should be reported at the appropriate tax rate on Lines 13 and 15 through 18 of the return. [f more space is needed, use additional sheets of the same size. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SHORT CERTIFICATE I, Glenda Farner Strasbaugh, Register for the Probate of Wills and Granting of Letters of Administration in and for Cumberland County, do hereby certify that on the 1St day of -y ~ April, 2011, LETTERS Testamentary in common form were granted by the Register of said County, on the estate of"Arthur H. Lentz ,.late of Wormleysburg Borough in said county, deceased, to Douglas C. Young aka Douglas Young and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 1st day of April 2011. File No. 21-11-0422 PA File ;Vo. 21-2011-0422 Date of I7eath. March 29 2011 S.S. No. 200-24-0425 U egisier of Wi ~ 13eputy NOT VALID WITHOUT ORGINAL SIGNATURE AND IMPRESSED SEAL REGISTER OF WILLS Certificate of Grant of Letters CUMBERLAND COUNTY, PENNSYLVANIA No. 21-11-0422 ESTATE OF Arthur H. Lentz a/k/a: Late Of: Wormleysburg Borough, Cumberland County, Deceased Social Security No. 200-24-0425 WHEREAS, on the 1st day of April, 2011 instrument(s) dated July 10, 20C19 was (were) admitted to probate as the last will of Arthur H. Lentz (a/k/a late of Wormleysburg Borough, who died on the 29th day of March, 2011, and WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, Glenda Farner Strasbau~h, Register of Wills in and for the County of Cumberland, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters Testamentary to Douglas C. Young aka Douglas Youna, who has duly qualified as Executor. and has agreed to administer the estate according to law, all of which fully appears of record in my Office at Cumberland County Courthouse, Carlisle, Pennsylvania. IN TESTIMONY Wl [EREOF, I have hereunto set my hand and affixed the seal of my Office the 1st day of April, 2011. ~.. Deputy Last Will and Testament , = ~ ~ = -~ ~ y~ - . = ~_ ~ ~ ~ ~ ~~ : ': - - _ -- r-- OF ~ ~=; ~ ~ _ _J _ ~ r~ zz _ r^ ARTHUR H LENTZ --~ - . ti ~- ; -~, ~. I, ARTHUR H. LENTZ, of Middletown, Dauphin County, Pennsylvania, do make, publish and declare this to be my Last Wiil and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing out of the residue o~f this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay the expenses of my last illne:;s and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM III: I give and bequeath to BETTY JA:I~1E GINGRICH, my grandfather clock and truck. ITE~VI IV: I give and_becfueath to ALBERT_LARGEL~LT__alL of my tools, lawn mowers and equipment. ITEM V: I give, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portions of this Will, to my grandson, DOUGLAS YOUNG, per stirpes. ITEM V: In the settlement of my estate, the Executor shall possess, among others, the following powers: (a) To retain any investments I may have at my death, including specifically those consisting of stock of any bank as long as the Executor may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or ire such other property, real or personal, as the Executer shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of :law regarding investments by fiduciaries. (c) In order to effect a division of the principal of my estate or for any other purpose, including any final distribution, the Executor is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind, and to allocate specific assets among beneficiaries hereunder so long as the 'total m;~rket value of any share is not affected by such division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor is authorized to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, recognizances or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions. as the Executor may deem advantageous to the estate,- any or alt real oi- personal estate or interest therein owned by the estate severally or in conjunction with other persons or acquired after my death by the Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor in this paragraph or elsewhere in my Will. (e) T'o mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, including the Executor, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy. estate and other taxes, and to assign and pledge assets of my estate therefor. (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate. (h) To make distributions of income and of principal to the proper beneficiaries thereof, during the administration of my estate, with or without court order, in such manner and in such amounts as my Executor deems prudent and appropriate. (i) To vote any shares of stock which form a part of the estate, and otherwise to exercise all the powers incident to the ownership of such stock. (j) In the discretion of the Executor, to unite with other owners of similar property_n c_ arryng out any plans for the reorganization of any- corporation or company whose securities form a part of the estate. (k) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under athird-party beneficiary contract. (1) To do all other acts in the Executor's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate. ITEM VI: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under such circumstances that the order of oar ~jeaths canno*. be established by woof or wit'Zir. thirty (:?(~) days of my death, sha.i.l be deemed t:o have predeceased ine. ITEM VII: If at any time any beneficiary under the age of twenty-o:ne (21) years shall be entitled to receive any assets hereunder, the Executor of this Will shall receive such assets as Custodian under the Pennsylvania Uniform Transfers to Minors Act for that beneficiary. Such Custodian may receive and administer all assets authorir_ed by law, and shall have full authority as provided in the Pennsylvania Uniform Transfers to Minors Act to use such funds in the manner it deems advisable for the best interests of such beneficiary. In addition, said Custodian shall have all the rights and privileges as to the Custodianship and its assets as are herein granted to the Executor as to my estate and the assets therein. I also designate said Custodian as successor Custodian of any property for which I am custodian under any Uniform Gifts to Minors Act, or Uniform Transfers to Minors Act. ITEM.~'III: I hereby ncrnine.te, constitute and appoint my grandson, DOUGLAS Y_(~U~TGYto. bethe-Executor, hereir~referred to as-"E~e~-utor'-`-Irrthe- - - event of his death or his inability or refusal to serve, I nominate, constitute and appoint BETTY JANE GITIGRICH. The Executor is specifically relieved from the duty or obligation of filing any bond or other security. ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) SS.: COUNTY OF DAUPHIN ) I, ARTHUR H. LENTZ, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as 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. `~"v" "'`''w ~ ~-~e'~ (SEAL) ARTHUR H. LENTZ Sworn to and subscribed before me this _~~~~' day of July, 2009. ~ ~~Ct/~fin ~~'~ ~ c~n~ Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA (SEr'i') Notarial Seal Karen W. Porn, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Oct 25, 2010 Member, Pennsylvania Association of Notaries AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUN"I'Y OF DAUPHIN ) SS.: We, /~i9T~~ • ~ ~~ and ~~ l~ . ~ Y' ,the Witnesses whose names are signed to the attached or foregoing >.nstrument, being duly qualified according to law, do depose and say that we were present and saw ARTHUR H. LENTZ sign anti execute the instrument as his Last Will and Testament; that he signed willingly and that he executed the Will as free arid. voluntary act. for the purposes :herein .:xpressed; that each of us in the hearing and sight of his or her signed the Will as Witnesses; and that to the best of our knowledge he was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Gv • fitness Witness Sworn toy and subscribed before me this _/D~!t day of Jul, 2009. Notary Public 1 y Commission Exppires. (SE MMONN/EALTHOFPENNSYLVANIA Notarial Seal Karen W. Porr, Notary Public Susquehanna Twp., Dauphin County h7y Commission Expires Oct. 25, 2010 Mem'her. Pennsylvania Association of Notaries )9259-001 ~1 ~i0792 ! xlos.eos xsv (ovo~} LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is lllegal to duplicate this copy by photostat or photograph. Fee far this certificate, .$6.00- 'Phis is o certify .that the information iiere'~~ven is correctly copied from an original Certificate of Death <duly filed wiih;me as:L,ocal Registrar°:>The original certificate will::: be foX~vartled' to the State Vital Records Office for permanent filing.. P 17 2 4 810 5 Ct,G@- ~ ~ 31' of ~erfification l~TUmber Local 1~ gistrai Date Issued ~~ 1~ rlt~tlariEV 172006 TYPE / PHIHf i19 P[TMaHEI}( COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTtFICATE:OF DEATH (See InetrUclitxzt3 arrd'gzzunnlea on reversal t: wm:.aaadrnt 6iu4 •mdr, IrrL tutor} ~ 2 sa. s soad a.auiy tamtra ~a :: Drp ErwM1 ~ i ,. r _ ;:, : ' S~A9~llart rWSYY1 lkrut ar Urisat Q Dab of 3na 7. ,~ endrieMa ~ ea. Plw~el OuA ~' . •. _. rMntar cy hove Le.ura. tIO40MN: OtMn .1. Yt,. 1 16 0 Middletown Pa. '`b~eia?t.L7 Da , p"` tiwa. ^Rrtlrae.` f~oCet •. . >!~~r ac.c~v.BOm.rwaamm~ eeFea~nke.rtunairci><~oa,.at~arep+arnnraeerl a: w ~wa~nr;argtz no Y.a is er+c~iwDaw.ea~x,Y+nwe~- ~ ~ a ri bur Harrisbur Hoa 3ta1 MidCa1 x'"^° tart, rci hin ~ White it. tar~er.uw i dwartdoneeum morlaworiAt EN.DOMaurrelr t2.WrDaedorAawrrNtb ta.t)eutlrnrs£duasm(S~a~~r~~r4ta~aerpete~ taAkrlal8hpn tWrka•tre+guer d,d, i6.~ '~ ~q ~ Nom. 9~+ ^~den mma) - Idid dtWrk trneudunar/lnd: try DS. Aral rorray ~ Yfidued, Dtrvad (`$w'ar9 terWy / 3aa!dety~(P72) Calrrps (ti'd 6r). : ~ ^ rr ^ idowed t6 tx5edMraNeFq Adlm (StroN,dtyllwri,aula. =iy w0a) ?Q~~ EdAa St. DerEMfs PenAa. ~.;' ~ .01d DeceeeM Actua awdxtee Ira SUa ~ : .. : ~thtiNO ~ flt: ^Yr, DSesotrir LN•d ~n ~ Trp. • Wormleysburg, Ps. .. . .s Tmrnship7 77tl. ^ N4 Oernh'a Lbed r.~rYr tTb. camq 'Cumberlaad `• ' abuT-g Wormle Acuet ttrdeta y Gyfeaa ItL Fesrera Naiw (Fht.Maa0. W4ea~).. lANOllnrc Mrro DTW. abdU.n.km tu!r!ny :<. Harrv Lentz Helen Lavande:Y -i t0a. pibmMrMa Nane(Type i Prnl1 - 2pa haamrra MdFNAddesa (Bacot dy! brrt; ~dats, itPCOeeJ - .. :..:' -E su.wetAaaapmwon <.... , c~aremn ^Dmsmn~~ ~ ^ e du ^ P l/ St l i • zib.DaNaDkpreYai~.lsnpi;dey.Yeer) sfaPtea.aoupo.nml~»dmr..reMae.ewrxWrr .. - phoe} 11d. Ieteprrt (~Y/rwk rhk; tip ~i ~ . e anwa mn a e Wu p .rrdan or0omroo Aetltoda0 ^DIMr• rtytYShcedEannlrfCaarrr ®Yr^r» 3/30/11 $FIi. Crematory Grantville, Pa. 'J4.; IItgrarlredfurN Fiances (a peon Drredi zzs Lpeiira~Nknbar , ~ zsc.NaM.erd Admwaradgr -~. ~., A~ ~` 0-1 0 ~L . _ . "Mstinchek S Deu hter:':FUner~i Home Middletown Pa. 17057 pwywarmrreauaMedrrcpwrtiy 'ptryftlultlrrt ert'~athq adadM tO xl.rorrtrwarr err pwe.~twa; ; ~ t1. L [~ ' xwtfoaas,Nuaaer .-< . sae. oat.sprmonmrt.mr:.r«t1 0 { rewwraarrm. •~ f~ ::::. f~ .J <. !/ ~$ ~6~0~7 (a ( -1 I~{CCrc n 3 'Zo tr TA~2r ~W eaA*Nd Ur P.rcon 2a. a . 25 OaY Drd MmR d9!.Y p~ ~ 2r. Wes Cars Rslened W dool figmhlar I Caaer tor. ft em Oprr pb.i GgmaYOa a OoneknT P . hL ~ / =7 ~ ^ Yr Ne ;. .: ` CAItl~ O~ 4rATH (8ds IgstnrsNdfp ~iid m~Pkrl .' ;. ;. y Apprmhun rwl Iler 2y Pan L•EnM-r dNkrat ewaa-ASarr; p~aW,aa/pYealom•ral dtrW/t`iaWdllretexdt ODNOTarlar MmirelwWC milt mLrAS errs(, ::- ~ Oreaib Oran - n ;': Wnol rawY<a0htrurdadrtpaxe6 pMnEr Plltl 28 old7obeooo U , CdntAbsts p 0a ^Yes - : ^ R COCdy ~ -. iaepkaloryarrtl,avenNos~ar ~ridm trppnB ihord^D~~/+D/ tiq aikar ea ni.iri atlrMu. . ~ . r~- r ^~.Na LJ UnFnp!'!!i ~ p~q ~~ f /M Q ~ J~~,( - .^ a+dtlo"o"Awt p ~" n ~ ~Q GwTG~ ISCJ(e~ !/"''e" a ~DI'~~ a ~ ; ! -~ A ^p ~h / ~ b. Dur b la w s co~4~ aC f f ~ ~ 1 !~4' ' ~ • 1 m r d0o n s, edm D~ p ~ e C ~ ~ ~ : v.:i rrar.. M D!el~xp ^ P~eyi2M ar kr d dcaN ^ e. ra i 9 m UAPDiNICYMe CAUSA: Sur to:(b r s erre4~rrres ~. r s/oi.n!eD^aR W pegwr r~ t2 aal+ :iOpway~tOrl YA/rud r~ _ - r b~rte raaAfnYn In deaN) LAST a tlistl ^ ._ . ... ~ DUI b (M rr a aq: r - ~ ~ Wd7r~ PR9nawat days to t year UYrB Orfi d - i ^ Unlporrr epagrrd wffi the pet yes lYr N,Awopty am. War Autppq fhdieps -. 5f Ar+enerd DeWr -, Die. Dots d Mw (Mmh Ny, Yrrl 7a.0aw•be tkr DdaN rxcarw asa tree dkywr tbrss,Fenel &rel Faday, .: PeifonirdT AaM41e Pdr W CerP~rar aar•d Orrrt :~ {]Flg m.~GG _, .. : ..: .' Olrm @frtdinpr Mt:15Drp?Yl <::. ~ '. . ~. Vet ~tyno ^ Yec ~lJrr r O:AftldYr tJ P.iHpD hvplgalm ffid Thr d i^NY 72e Frprj a1~Was1 ~ 3FrLyY T h{IUp.ESjrd'Yf ~^Prse ^PStl C7 tld: /O tl Nd 3eD Laatlm d kyury IStrel, tlyJ herb are(a)' . Q lydcide ^Card Nol0e0ernrM M ^Ysa ^ ND igrr r pe a r r . dher-S}ara~c 8$CwdtM (dick o!.'M aq ~ ;. .:" ss n d r f wwdd r a h 1F ' 4n e ' • ~/ 27b. Sgnecearanrd ~ ~., .~., ~ ---~ r -I~~ ur y 'p e wiaraae .r pryclcrrAe t S~ raroiraa um m7 r porrrrad dr r 1~9 tk ~ . e Y ~. TO1M 6YtlgrybrawpQDti tlrraaceraraY des le Braaraa(alMdnrnMr~~ed _______ ____ _________.._^~ ; . ~4 Y "~ :., :. .;~ y ~~?D!D~~IbYPhldeles(plyebWi bahPatananD dsYrard nMYy~Obaucs ddeM} ' ^ D3a.r~yp~~Mm ~ey't~ /. / _ ) ~ ~~ Deb BlpiM ~~tlry ~/ ~~ ~ ~~/ ~ To tYr beYdnrr~rMildp er darn eodafbdNtheWtr, dagMrd plrM erddWbireeWl(s).Ijld ilrrfprt81r0_~________________ • Wdrl FYrrrftlll:trerr C/ C,J:. C.W~((G ` / ~ t . . a.'e 0.11r Oea4Mnrndrtetlsserr0ferlm~urptlen, fn rmr oplalar, dcefi eeprrrMatrh•tlrs,detyrdplrµandtlrblM EMe(rl rldrrnrrfr MrtaL ^ ~ dr ar s Q~ I~ 1e ~ y ~ ra a a4 nd a NM eel ~ / 7 / / ~ } . ~ / ~ / / ~ ~ Fleyauere rd Ard(~• .ro4r~ i o2 uZ a6. / C it / ~!IW~ r/ 7 {/~~/ ly / D~ . ~ _ iA i1.7 ~ / / 8 Dtaposlbn Pamir Na I tfl:.~f}t I r; rf~ t° ~ ) k~ ~~ ~ ~~r6~~.~ J f~~~ rS.y~+.~~rr' Ib~B' 3~~+ {, ali~f~Rllt~„~ ` J s t va.i 4 ''~rW9 fv~, L_ \ . ,.( ,.ol ~ i rii fltt..rtG:r r ru IF[( shad .L.RtrA4OfSrrRliTa•r(G•?•A47VrtPT. rti Sj{;iW'tlL-'F.'rl0ar~u...y ^•T3rfA1.u :r~R:D,~tY'rrr i'r'i(1USYalfrfa4ai4'IY... •, ~~~t ~-h '~ ~ \ ~i '- ` CrEI~•T•lt=~lCf~TE C3F TITLE F'OF2 H ~EhtIC:LE f y .... ........ _ ` , ?b026L3407000330-QQL '~ i ;' ) 71i r <.~ 2B6JB31YiCNf:L54956 i L993 ~ DODGE f 64 QQL9271]OZ GI ; ~ ~~~ '::.;;I 11 ~i.r rll~w, if K:A-fIC11V NLIh1L+EH 'i=P.H ~ hiFFl- (7l' VCI II; 1. I- I ` :III I_ NtJ.1~1!Eri 7 )I MTRH Q I I NY 9l18/LO' ExEMPTj ` ~ 4 ~c '- Ls.iU'r ; ; 1=t ~ fll ~.p ~ SEAT E.nF ~ YHIGR Tli(1= $TAit i?UGA1, t`Iilx;D. p.9TL= f ~ (iDl•NI. hIII.ES t'lJt )I :.1 r. i .;' "" f ;.I 12/D1/Cllo 9/18/10 I 5, 5[]:0 I 7, 50^ I I ~~ ' '~ k i li,r. tf_ I'n I I .i: (1 UA if- OF ISSUc i~:VWR I : I- F.., ti ~f r LINI..ADEN WCIGHi (i('WIl TIT! f f)F"~^ll l: ! - )' 1. Ir ~.-1Ii ,'i ~~~ ODOMETEF2 DISCLOSURE .'*EXEMPT"~:BY F,~.:DERAL LAW ~' " '' JOINT OWNERSHIP WITH ~RTG~iT:S OFr SURVT~'ORSHI ~ 1-I!'~51 F-NI:I. •IWNF_Hf St Tt I h 4 ., ,{ } , HET.T.Y... ~_._..GTNG?3~t-Ef'.-I~- ~,-~ ,..~-1,:r _.:.: `''; ~• ~; ARTHUR H LENTZ _ " ' ~~ 2[]7 EDNA ST `? ~.'.'' LJORMLEYSBURG Pa 17043 y' I r ~r . I I :~ BSI, FIt1;:Tlil~l~l l'-:'.t"'I?f -. r-)'i ~ ~ Sl: i:itNp Llt.-'N r,1VllN uf~' .. ~)'.~~.I I. .. - 1 r}ti r (i ilH:;l LIFM f.hl r-. ,.`I-f~ , }; i ~ UAl"E 1,. ' ; aUl'FIVHIZEU RF_P HESL:N fA'fIVE `.~,~ 1! 7:y~]l'a l' MAIL II`IL%AI)C71'TES`S .`.UTI lt?F IIEO I?E'F''FIC S ENT:i iI V L ---" -~-" '-_~".i;` BETTY J GINGRICH " `"~~' ARTHUR H LENTZ t:;~;-I -u 2~7 EDNA ST WORMLEYSBURG PA 171743 ;' ~~~~: "-,~ ~ r - I :- lily ' _ _ J ,1 1 In .I I (1, al Ile h'l nnsylvFrrtl({,"()epsrlnlenl _.. __ - ' vl I._n I I II. ~ r..l -J Iha(il n,-pat,.on(sl or ,nmpdnv nnnted heroM Is Iher .lawful owner --~--_ ~ •L~ OIIpMF.7lLl STAI(; F. l r J - M1111 EAGL L~..L ~ I~Oti 7H1: hlrl'.r;n Nl•: 1 i `f . IMI"fti ~) l),~~ N )I'1'I II iUAI_MII FA(i- iIL IJt)f llil- r„II!AI Aill EAf I ~~I )~,. ~I.n 1~ ' ~ 4. R.11'I Rr rd JLJLIHr4'I. i!S IIIE c? I - I I I I L F r ~`' 7' ~ L I )NI. i Vr1Tl( F IEHICIt ~ "i '1 . .. L~._. _. ... I .. . -t•UI VF (•GUtJfHI (~ (11i1GINALLY IAFf_;L Gnf Y)nl~l ~ GISTfaI(:ll f ION H - AOfn( UI TUfaAI. VENIt I.t L LO(;C IN Lrln'I L .'i I (IfF 1 l i~.;; r r Ilrcr I I rrfer t- I I~t llt LF NIAIn~ I .,rl \~J,t- n If.'I II v~ 1' Il f ' N' I 1 1~ :,i t`F-- ., ~ ", , C [iAHii~dEN~i~OF i~;`,NSpiJl+, rn LIN ai... . ALLEN A BIEHLER _" _ ~cen•Ltn nl 'f r.ur.pm t. lino uus(ailul t! nlv:', :-'•o-~nrv.l ~~ I(a co-purchasaf olhar than your spousa IS listed and~you wont the tillo to - ~- Fn, ul_fntlr h,lr.- ~ be Ilstot7 as 'Joint 7enanhv vaith Ru7M of S I •h' • ~~~~ . - J' -._-- __ - _ ___ ,_ I~rcr - mrn _ • urv vurs q) (On J all .>f )I ce ownef, title goes to surviving )wnor) CIiECI: tiEHE Q OthE lwi a U'e Mlle ~~~ ~ , . ~ - I ' ~I . will be israled'as'Tenanis ut (umnon' )Un (lealh of one nr r ,r, intorc I rl ~ daceased ownal yues to hlsihw heirs or astalu). --_-~~_ ____ ,i,S~r .,fi '. K if ~ FB ~ ._--_ __'-__ '~-=r I_L~n nL_.L,'I~1JSS~nL __ 1: • • ~ T - . If- NO LIEN f`IIECK ~~ 4at;.. T. • , J `.:: . IS 1T IIS AN f1.T7 (If~ VE :, FIhJ RE(]UlftEl?I Y::ti i ! !J(t i ~~, f• '~ ~ -~ l ? i ' W 1 -' l, ~ 1Sf LIENHC)LDER EINAtJGIAI INSTII UTIOh! rJ11hAf3E R ~', ~ I .. til . : ~. ' ~ tl ~ _-_'-.~---. -._ ._.-_ v* ~ i ~ ~ .1ST LIENHOLDER NAME: 1 - - ~ 5f I.1- _ f. S7HF,L-T' ) 11 } t ._.__ -___ ~ ___ . ~/~.t L ~~ `` U'i' J 'r IF NO ?NI7 LIEN (I II - I I I n nl f l ~ ' ~ •~ . ~ . _ .. r , I. III _ FIIJ nF.0U11:1:1 ti . h! . __ j± . r. ~ ~ ~ ~ •r~ 4. "~'. ~ NUIII PINOI CI NF I ' ' F ~ l r^ _ ____ _ _.._. _. _. W . _ . i rJ.,hll, 1.11. h... flI~I~ION IHUh1-, li \- ~ (v I ~ .______.___. ._ ; ~Nf1 l Il Nhll )LIl[(i r1Af.lE ' I .'r 11::. .~rl:. Il .:1. r.n..Nrrl ___.-_.. _.. . .. _ ____- -.__ ..- -.__._ N _____~__ _. _. _._ _.._~_ .. _..____ _ ....__._-._-.__ ' ...1 I - W ~ __. ti il'LI 1 ~'f1 - . , y :f~ - --------- _ __ -~--~----..- ------_ _.. _..---------...... r. n~: ,Lii ~i n.~lr .nn, M1b ::e;nFl: •~ITY ,. .t.. ~._ r ..._..._ur, .a._w' ..."'..•. ...~~•. L...vW.r.Lii•.~4LLL(LUfiI.aL JeWtn. •lt LJ i ^-.---~.--:.-.--...__....__.__.__. .. r_rLilllrLrtyli.. ~. ~.~~ ~.... ~_.. II a cr -U I' ItolU iv-TI~I a Ita ,all t n )1 111- fl I~ nlu h~::l lionl n.IUSr nllsl Wrw A Ihi;; TIn Ic 1•..:• Iful 'In rr1 M 1( V[: clr•y ,;ills tl i.~ 9Plrr Wrlala lane Fuu1 Ier1 r SECONU LIEN RE(EAbEP C O ' ++ . N O Q N Q d ~ N O O N ~ t!') ~- c- r O O ~ s a O O O ~ ~ tf') r r ~- O O O era N O O ~ ~ tf~ r r ~- O O to ~ N O O ~ ~ tf') r ~- r O O O N O O O ~ ~ r ~- r O O O r- O O O ~ ~-- r r O O tf') ~- O O O ~,,, r r r O O O r O O ~ O ~ r r ~- O O O N N O ~ O ~ r r ~-- O O ~ l~ N O ~ O U') s- r ~- O O tt) N N O ~ O ~ r r r O O O lA O O ~ O Ln r r ~- O O r- 6F? O O ~ O l j ~- r .-- O O to ~ O O ~ O t j r r r- O O r u~. N O ~ O t j r r r- O O ~ ~ ~ O ~ ~ r r ~- O O ~ O O ~ O ~ ~ r- r r- O O ~ O O ~ O ~ l17 r r .- O O N O O ~ O ~ t!') r r r- O O O O O ~ O ~ r ~- r- O O Lp ~ O F- o o ~ ~ ~ - - - - - ~ ..z v7 ett bF? C O '«+ C O O ~ ` ''a O Q.. O Q O ~ .L `~ O a .~- `~ ~ O ~ ,~- `~ L- - '~ ~ O Q ~ U ~ d a i 'm a~ a a w a a a ~ '~ ~ v, ~~ ~ ~ ~~ ~ 6H~ ~~ ~ ~ Q.I QI QI`~~~I~I I = a~ ~ N ~ ~ ~ C Q _ __ ` ~' _d' _ _ (II fQ 3 O Q N ~ N ~ ~ J ~ v ~ U O ~ ~ _ ~ 'C Q o X m ~ ~ O C 'L ~ ~ (n LL. .C ~ O ~ ~ N O O = fn 2 ~ '++ cn . ~ O v Q U fII m O O _~ O ~ ~ ~ Y cn ~ ~ C ~ ~ Y ~ otS U fQ m ~ ~ ~ i U ~ r r~ ~ O D. fn C~ ~ W p ` ¢ - -- N C t U O m ~ E ~ ~ t~ ~ ~ ~ O O ~ ~ E ~ N U -- ~ ~~ j > O .Q- ~ E ~ ~ c.~ .` ~ ~ ~ Q N ~ m Y (6 ~ ~? ~ N ~ Q O X m° ~ N ~ = ~ C O O a°. O ~ ~ O ~ d ~ a Q N cis O ~- O .~ ~ ~ O to ¢ ~ "O V C O ~~ O Ll.l N ~ ~ ¢ w = > U ~ ~ ~ ~ _ - ~ N 'U E ~ C Q r N r r r ~- r r- r- •"' N M '~ tp tC 1~ 00 C1 O r r' r N r M r efi r u7 r ~p r P• r 00 r O! r O N r N 0 ~ o O N . U O a a ~ ~ - ~ rn ~ ~ ~ 0 0 ~ N ~ r' O ..... r- N O ~ ~ ~ O O O p~ O to tfj ~ O b9 O ~ ~ O 69 (~ C O ~:+ ~ _ ~ O U as m > .~ v m a~ . ` D a~ a~ c ~ O - o -. a ' ~ ~ ~ ~ a~ a ~ V Y a O ~n ~ ~ U u ~ Ll L `~ .. DO C O (B N C~ ~ c- r'i N 42214 ARTHUR H LENTZ. lI4 NORTH HIGH ST DUNCANNON PA 17020 SELECTED ACCOUNT ACCOUNT TYPE NUMBER M8T CLASSIC CHECKING M/INTEREST 000009850851560 RELATIONSHIP SAVINGS 015004220421579 TOTAL DEPOSITS OUNT SUMMARY' ; INTEREST EARNED MATURITY ENDING YEAR-TO-DATE DATE BA1,ANe{~ D.02 0.02 893.07 49.80 942.87 ACCOUNT ARTHUR H LENTZ M&T CLASSIC CHECKING W/INTEREST TITLE<` ACCOUNT NO. 9850851560 HEST SHORE PLAZA INTEREST EARNED FOR STATEMENT PERIOD 0.00 ACCOUNT SUMMARY BEGINNING DEPOSITS rii OTHER BALANCE OTHER ADDITIONS CHECKS PATD. SUBTRACTIONS - CURRENT INTEREST'PD ENDING L NO. AMOUNT NO. AMOUNT NO. AMOUNT BA ANCE 953.56 3 1,348.46 0 0.00 6 1,408.96 0.01 893.D7 ACCOUNT ACTIVITY POSTING- DATE TRANSACTION DESCRIPTION DEPOSITS,INTEREST :< :CHECKS & OTHER 8 OT ER DAILY H ADDITIONS. SUBTR ACTIONS BALANCE - T BEGINNING BALANCE _ - _ _ _ ___ 03-29-11 DEPOSIT S953.56 04-01-11 US TREASURY 303 XXSOC SEC 233.25 1,186.81 1,037.00 04-01-11 TRESSLER - LUTHE PENS PMTS 78.21 04-01-11 FREEDOMBLUE FREEDOMEFT 04-04-11 In Branch Trans•far/Nithdraaal 161.00 2,141.02 04-06-11 REVERSE DIRECT DEPOSIT 25.00 2,116.02 04-13-11 STATE AUTO COS. E-PAY 1,037.00 1,079.02 04-18-11 TRESSLER - LUTHE REVERSAL 71.75 1,007.27 04-19-11 GOODVILLE MUTUAI. INSURANCE 78 21 929.06 04-22-11 INTEREST PAYMENT' 36.00 893.06 0.01 893.07 ENDING BALANCE 5893.07 L008A (6/07) - . .. ,<:. . .,. ;. -~ Michael and Debbie Bomberger 1130 N. Market St Duncannon PA 17020 October 17', 2011 Arthur H. Lentz Estate Douglas Young, Executor 114 High St Duncannon~, PA 17020 The property at 1115 Strites Road, Middletown PA 17057 is owned by us and had a Life Estate on the deed for the deceased Arthur H. Lentz. Please find attached a spreadsheet outlining the expenses incurred by us as owners of the property beginning March 2009. Total due is $6825.42 Thank you in advance for your attention to this matter. Michael R. Bomberger Debbie S. Bomberger ~L r r r ~ ~ O N M 000 N N `cf' M d' V' _~ ~ ~ ~ ~ ~ ~ ~ ~ ~ O rn o in N M ~ ~ o ~~ ~ r> rn~~~- ~ ~ ~ CO M N N J EA ff3 ff} O .-- r ~} N U O O ~ .+ + c N ~ O F- ~ ~ ~ O c ~ O r~ ~-- O N N .- C 7 ~j O O !n X ~~ p O l!') ~ ~ ~ ~ ~LL.~Q~ - i'~7 QCn OZ C] ~ ~ M M ~ ~ ff3 ~ 69 O r- ~ ~ ~ Q~ O O p O ~ O ~ ~ ~ GH ~ ti Ef? ~ f~9 ~ O -- O - N 0 O - -- -- ~ 0 p Ri (II O N M ~". ~ ~ ffl ffl 01 O 0 N N N ~ ti ~ M ~ X ~ EA (II i--- ~ L ~ i - i ~ ~~~- i~ Q cnOZ~ ~ O ~ ~ 0 0 O ~ ~ ~?' M O N ~ ~ ~ H} a~ o ~- ~ ° o 0 o m N N N t~A O 0 00 0 0 ~ 0 ~ M 0 0 ~ ~ ... ~ ~ ti ~ O ~ O ~ O ~ ~ r- 6~ N J -_ O N ~ ~ ~ U ~ 0 (B ~ ~" L ~ ~ ~~ O N O p o f~ ~7' r _N ~ 00 X ~ ~ ~ cU F- ~ ~IaI ~~ t~,.P Page 1 of 3 The Landlords are: Mr. Arthur Lentz phone: 737-5777 The Tenant is: -~-.~ ~~% ~,y ~~~,, ~ ~ ,f, ~ ~~~~~.~_--~ *~'~®nly gerson(s listed above are to reside at this residenceP Location: /// ~ ~j'~yf7'~~3 ~~tcy(~ J"`-c~p(,t~c9w..ti ~s~ ~ / (~.a -1 • ~r i' /, -~eC ~E11pgi~~a ~ (} ~~ * * ~` Security Deposit is Rent! _ - -- Monthly Rental of: $ ~'"~d, c~c~ Rent Due on the first (1~`) day of each month. Charges for LateRent: A five dollar late fee is dne for each day after the 5`~ of the month and must be included at time the rent is paid. ~`*~If rent is not paid by the 1§~' of the month. the lease wdl be edtded `A i?~ the 40~..~ ~.4 ~.rii/ i. _ ~__ - - • - _ Otlt ~'Yithin 15 days Term of Lease: Minimum 12 Months From ~**Minimum 60-da To y move-ont WRI~-EN notice required prior to the end of the month that you intend to move. Utilities Paid By: RESPONSIBLITIES (initial} _ Water Sewer - Electnc Cable TV _ Telephone _RenteL'slnsurance- -- ---- - -- - --- _ - _ _ - _ - -- -- ------ ~ Insurance - Gas Building _ _- ~"~`Landiord is ~ ~~'esponsible for any accidents occurring on premised `~:~Lease is autoanatisally ~'ec~e~vPr~ p~~~. ~,~.,,. ~~.-- _- - .- i TENANT IS RESPONSIBLE FOR; Page 2 o:f 3 ~~ Contacting utilities immediately to be put into your name I7' IS YOUR RESPONSIBILITY TO OBTAIN TENANT INSURANCE ON YOUR PERSONAL BELONGINGS. ~~~Landlord is NOT responsible for any tosses to tenants' property, ONLY people who are on the lease are to be living in the apartments. ~; ~~ ~~P~g aP~~~ appliances, and area neat and clean. Keeping noise level reasonable. Contact landlord regarding all repairs. 1~0 repairs may be made without landlords' approval. 1~d0 repairs may be deducted from rent (contact landlord immediately) No waterbeds in apaitmen#s. Apartments are St'VI®~ E! ABSOI.[JTEL~i' N® PETS ALLOB! ~ No Pet-Sitting in apartments) fN0 CATS-) No gluing nay objects to cabinets, doors, or walls, etc. No stick-on hooks to be used. No wallpaper of agy kind, including borders, stenciling, etc. If there is any .damage to window screens during your occnnaacv you will be responsible for reoIacing them before von move ourk Landlord may inspect the apartment at any tune while tenant is present. Tenants renting on the second floor are responsible for keeping_ the stepa clean at alt #imes~--- ABSOLtTTELY NO VIEHYCi,ES ON THE PROPERTY THAT ARE NOT 7N RUNNIlVG CONDITYON Page 3 of 3 FINAL APARTN~1vT CLFAND.vG CHECKLIST General: Throughout the entire apartment) 1. Remove ALL trash from apartment. 2. Vacuum/Wash all floors. C is will be rofessionall cleaned and cost wirl ~ deducted fl'Om yO~ ~~~ deposit Do 1~OT rent a carpet cleaner. 3.WalLs must he ~T(+P nfall „~;te +,,..,_.. ~_ ,__ ~_ _ can (wash) windows and blinds or replace blinds with new ones. 5. Reylace all burned-out h t bulbs. 6. debris removed from all ,cabinets and wiped down inside and out 7. All a~phances must be thoroughly washed and oven cleaned Bathroom: 1. Tub, toilet, and basins must be cleaned of all film, soap residue, marks etc 2. ~~ean exhaust - a~,_ -and replace -arty burned out lightbulbs 3. Floors must be cleaned and washed u . Kitchen: 1. ~ .doom rust be cleaned and washed u . You must schedule an appointment with Landlord for a walk-thro ~n order #o have your securi - ugh before handing in keys tY deposit mailed to you. When you move into the apartment, all of the above-mentioned items on the checklist have been completed. When. you move out, the same is expected of you. - - ---- Uwe have read the checklist, and. agree. to complete.all-items prior tareturning the-keys. we understand that 'if these tasks are not completed and/or there is damage to the apartment, that charges for cleaning and/or repairs will be deducted from mylour security deposit. 'A~ -- `" - s) gnature Tenant(s) Signature Date: ~ 30 .-!© Date:rr ~, _ ~~ ATTACHMENT B AFFIDAVIT I, Debbie S. Bomberger, affirm the following: L I am the natural daughter of Arthur Lentz, deceased as of March 29, 2011. 2. Arthur Lentz was an illiterate gentleman. 3. Arthur Lentz was diagnosed with and under treatment for diabetes, arthritis, macular degeneration, carotid arteries and heart triple bypass. 4. Arthur Lentz was the sole owner and operator of a lawn care business trading as Pe~te's Lawn Care. 5. Following the death of Betty J. Lentz, Arthur Lentz's wife and my mother on March 7, 2008, I and my husband, Michael Bomberger, assisted Arthur Lentz in matters relating to his health care and business records. 6. Arthur Lentz granted me Power-of-Attorney and Durable Medical. Power-of-Attorney on. August 23, 2007. 7. Arthur and Betty J. Lentz resided at 1115 Strites Road, Middletown, Pennsylvania (Property). 8. On August 26, 2008 Arthur Lentz deeded the Property to me and my husband Michael Bomberger in fee, retaining a life estate in the Property. The Deed was recorded in the Dauphin County Recorder of Deeds on August 28, 2008 at Instrument #20080032266. The life estate clause provided for no exceptions to the legal. duties of Mr. Lentz as possessor and occupant of the Property (APPENDIX A). 9. Arthur Lentz exercised his rights in the life estate in the Property until his death on March 29, 2011. 10. On June 24, 2009, Arthur Lentz, through his then legal counsel, verbally requested that I no longer assist in the management of his business and medical affairs. 11. On June 24, 2009 Arthur Lentz granted a Durable Power-of-Attorney to Betty Gingrich. Upon inquiry, I was informed by his then legal. counsel that the Power-of- Attorney included both financial and medical matters. 12. Upon information and belief, on or about August 2009 Arthur Lentz began residing at the home of Betty Gingrich. 13. Thereafter, Arthur Lentz rented the Property to Robert and Sharon Eshelman. 14. Upon information and belief, the Eshelmans failed to pay rent and on July 21, 2010, Arthur Lentz filed a Landlord and Tenant Complaint against the Eshelmans for unpaid rent (Docket No. LT-0000469-10). Ms. Gingrich was named as a co-plaintiff in the Complaint and alone signed the Complaint. Arthur Lentz alone signed a Request for Order of Possession. 15. By Order for Possession, Return and Notice dated August 13, 2010, District Justice Michael J. Smith, Dauphin County, ordered the Eshelmans to vacate the Property and granted judgment against the Eshelmans in the amount of $2,153.92 (Judgment). 16. Upon information and belief, no further action was taken by Arthur Lentz or Ms. Gingrich, under her Power-of-Attorney, to collect the Judgment. 17. On or about May 30, 2010, Arthur Lentz rented the Property to Bradley and Debbie Hoak, subject to a $600.00 deposit. 18. Th,e Hoaks rented the Property from Arthur Lentz until the date of his death. 19. Arthur Lentz did not pay the real estate taxes on the Property for the years 2010 through his death in March 29, 2011 and did not pay the school taxes on the Property for the years 2009 through his death in March 29, 2011. 20. Arthur Lentz did not pay the waste collection service charges on the Property from Ocaober 2009 through March 29, 2011. 21. Arthur Lentz did not pay electric utility service charges for the Property from. April 13 to April 16, 2010. 22. Arthur Lentz discontinued homeowner insurance on the property on July 20, 2009. 23. I paid the above-described taxes, waste collection service charges, electric utility service charges and homeowner insurance for the Property during the periods when Arthur Lentz did not do so. I paid the taxes and utility service charges for the purposes of keeping the Property current on its obligations. I maintained homeowners insurance on the Property as a prudent precaution against loss (APPENDIX B). I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Date: ~ / ~ ~~ ~ ~ CC - ~1~ Debbie S. B erger INST#: 20080032266 Recorded: 08/28/2008 at 10:32:27 AM 4 PAGES JAMES M. ZUGAY, RECORDER OF DEEDS, DAUPHIN COUNTY, PA. RECORDED BY DEPUTY CLERK: JSTAZNI:K DEED THLS DEED, made this the~~ day of ~~, 2008, BETWEEN ARTHUR H. LENTZ, husband of Betty Jane Lentz, now deceased, and Executor of her Estate, of Lower Swatara Township, Dauphin County, Pennsylvania, GRANTOR, and DEBBIE S. BOMBERGER, natural daughter of Arthur H. Lentz and Betty Jane Lentz, and MICHAEL BOMBERGER, husband of Debbie S. Bomberger, of the Borough of Duncannon, Perry County, Pennsylvania, as Joint Tenants with the Right of Survivorship, GRANTEES. WITNESSETII, that the Grantor, for and in consideration of the sum of One Dollar and 00/100 ($1.00) lawful money of the United States of America, well and truly paid at or before the sealing and delivery of this Deed, the receipt of which is hereby acknowledged, has granted unto the said Grantees as Joint Tenants with the right of survivorship, their assigns, the survivor of them and the survivor's personal representatives and assigns, All that certain tract or piece of land situate in Lower Swatara Township, Dauphin County, Pennsylvania, more particularly bounded and described as follows, to wit: BECiINNII~IG at a point in the public road known as T-388, which point is 1,731.91 feet west of T-355; thence South 15 degrees 28 minutes west along land of or formerly of Harry B. Shope 380 feet to a point at other land of or formerly of Benjamin F. Smith herein; thence North 68 degrees 0 minutes West along said Smith land 115 feet to a point; thence North 15 degrees 28 minutes East along same 234 feet to a point; thence North 68 degrees 0 minutes West along same 1 S feet to a point; thence North 15 degrees 28 minutes East along same 146 feet to a point in the public road, T-388; thence South 68 degrees 0 minutes East in said road 130 feet to a point, the place of BEGINNING. This description was made according to a corrected plan of survey by William B. Whittock, P.E., dated August 24, 1966. BEING the same premises which Benjamin F. Smith and Bessie B. Smith granted and conveyed to the Grantor and Betty J. Lentz, his wife, now deceased, by deed Appendix A INSTRUMENT #: 20080032266 PAGE 2 OF 4 dated September 28, 1964, and recorded in the Dauphin County Deed Book C Volume 50 Page 559. 7I~s "VANSFC~ 15 )=A~i~CR- T~ f~AUL~}I~ ANA r5 SPX EXL~M TOGETHER WITH all and singular buildings and improvements, ways, streets, alleys, driveways„ passages, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances to the same belonging, and the reversions, remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever, both in law and equity, of the Grantor of, in, to or out of the said premises and every apart thereof. To HAVE AND To HOLD the said premises hereby granted and intended so as to be, with all appurtenances, unto the Grantees, their heirs and assigns, to and for the only proper use and behoof of the Grantees, their heirs an assigns forever. AND the Grantor, for himself and his heirs, executors and administrators, do, by these presents, covenant, grant and agree to and with the Grantees, their heirs and assigns, that the Grantor and his heirs, all and singular the hereditaments and premises herein described and granted and intended so as to be, with all appurtenances, unto the Grantees, their heirs :and assigns, against the Grantor, and his heirs and against all and every other person or persons whomsoever lawfully claiming or to claim the same or any part thereof, shell and will, by these presents, SPECIALLY WARRANT AND FOREVER DEFEND. SUBJECT TO A LIFE ESTATE retained by Grantor, Arthur H. Lentz, in the premises hereby granted. IN WITNESS WHEREOF, the Grantor has set his hand and seal, the day and year first above written. Signed, sealed and delivered in the presence of .~ ~~ ~.~` (SEAL) Arthur H. Lentz CXCc~.c ~ oR t<-P L-5~~ ~~' ~~TY ~ANV LL~~Z INSTRUMENT #: 20080032266 PAGE 3 OF 4 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN On this, the ~ day of ~ ~ 2008, before me, '~~~, cc~ r , ~~r~ a notary public, the undersigned offices, personally appeared Arthur H. Lentz, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Deed, and acknowledged that he executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. ~ rip Notary Public COMMONWEALTH OF PEN NOTAitIAL SEAL TAMICA C. GOODSON, Notary Public '~SusqueAe~a Twp., psuphln. Courib bly Commtsslon E~cplres Oct 6.201 ~.ridence ~f ~ C~rante~, in th~c ~~' l l ~ 5- S~Rt~i ES l~vA~ /~/~~r~cx,~vu~,J ~~ ~ 7v5 ~ James M. Zugay, Esq. Recorder of Deeds (717} 780-6560 Candace E. Meck First Deputy Recorder of Deeds Harrisburg, Pennsylvania CERTIFIED END PAGE INSTRUMENT #: 20080032266 RECORD DATE: 8i;'?8t200010:32:27 Ah~l RECORDED BY: JSTAZNIF{ DOC TYPE: DEED AGENT: DEBBIE S BOMBERGER DIRECT NAME: LENTZ, BETTY JANE EST INDIRECT NAl1+lE: BOMBERGER, DEBBIE S. RECORDING FEES -State: $0.80 RECORDING FEES -County: $13.00 ACT 8 OF 1998: $ r.00 LOWER SUVATARA TWP h~IIDDLETOWTV AOPC: $10.00 AFFORDABLE HOIJSINO: $13.00 Parcel ID: I Certify This Document To Be Recorded In Dauphin County, Pennsylvania. ~- 9"~ Location: Dauphin County Courthouse Room 102 Front & Market Streets Harrisburg, PA 17101 James M. Zugay, Recorder of Deeds F~~ ~ ~' '~ f ~,~ ',:+" THIS IS A CERTIFICATIoN PAGE PLEASE DO NOT DETACH THIS PAGE IS NOW PART OF THIS LEGAL DOCUMENT m o ~, c co ~ -, ~ ~ ~ W N ~ ~ ~ AD _~ ~ ~ O O O 'mil A W O ~ ~ ~ ~ ~ v ~ ~ n ~ q ~ N O r m ~ ~ o cn ~ ~ - O ~ O V Ci ~ ~ ~ C b9 i (J A O~ O W O O O 69 N N N o~ o00 -' --- O N -~ O CO ~ ~ W N N O CAJ1 COO C70 O CT ~i O CJ~ -1 o z O u~ D ~- ~ ~- ~ D ~ ~ ~t ~- chi <° ~ ~ co ~ .~ ° °' ~ ~ LU X ~ ~ ~ Cr CJt v N V N O ~ C ~ O o N ~ n O O O ~ N O O O t~ cfl to r N ~ rn w ~ - O O 00 O t~ ~ ~ C O d9 Efl _ D O ~ .A cD ~ ~ ~ ~ o ~ o ~ m ~ ` ~ ~ D ~ ~ ~ c - c ~ ~ ~ ~ v ~ n < -- ~ cQ ~ ~ -~ rs ~ -t ~ ~ ~' ~ ~ M W Q ~' W ~ ~ N CD GJ N O ~ ~ ~ O ffl EH ~ N N ~ O ~ , ~ ~ p ~ p N O 4~ O -' r ~ N (Q to O CO C!t ~ w C ~ a ~ N O O N ~ O C ~ ~ N ~ A A W A (D ~ O O W O W O C O O J ~\ ,,~^ VJ n~ 1 Iti~ m a Appendix A