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HomeMy WebLinkAbout06-11-12 (2)~_ ~, Susan 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 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION N0.21-11-0422 PETITION TO ALLOW SALE OF ESTATE ASSET SUBJECT TO SPECIFIC BEQUEST AND NOW, comes Douglas C. Young, Executor of the Estate of Arthur H. Lentz, Deceased, by and through his counsel, and, pursuant to Section 20 Pa.C.S.A. § 762, petitions this Court to allow the sale of an asset of the Estate and avers as follows: 1. Arthur H. Lentz (Decedent) died testate on March 29, 2011, leaving a VW'ill dated July 10, 2009. A copy of the Will is attached hereto and marked APPENDIX A. 2. In his Will, Decedent appointed Douglas C. Young as his Executor (Young or Executor). 3. As Executor, Young obtained Letters Testamentary from the Cumberland County Register of Wills on Apri12, 2011, Estate No. 2011-0422. A copy of the Letter~Testameril~ry is ~ ~-~ x, attached hereto and marked APPENDIX B. ~ ~, ~ ~ c.~ ~ , s' 2 (j . .. .r ) e~~ ~ j ~` ~ .J --~r ~ r- (t" 1 ~ ~~ ~~~L~ 4. Decedent's Will named as beneficiaries: a. Betty J. Gingrich - "grandfather clock and truck"; b. Albert Largent - "all of my tools, lawn mowers and equipment"; and c. Douglas C'. Young - "residue and remainder of my estate." 5. Betty J. Gingrich, on May 15, 2012, filed with the Orphan's Court a Petition for Rule to Show Cause, No. 21-11-0422, in which she asserted that the Estate is solvent and pled the distribution of the Truck. Young filed a Response to the Rule to Show Cause on June 11, 2012. 6. Young 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, including the Estate's inheritance tax liability (APPENDIX C -- AFFIDAVIT of DOUGLAS C. YOUNG. 7. The Estate asset having the single greatest value is the 2008 (2 wheel drive) Ford F-150, appraised at $10,000, which was bequeathed to Betty J. Gingrich (Truck). 8. The Executor seeks to sell the Truck pursuant to 20 Pa.C.S.A.§ 3351 and to apply its cash value to the claims against the Estate, including but not limited to the inheritance tax claim. Wherefore, Executor requests that the Court authorize Executor to sell the Truck and to apply its cash value to the claims against the Estate and thereafter to distribute to Betty J. Gingrich any cash assets derived from the sale that may remain after the Estate claims are paid in full. Respectfully Submitted, THE LAW FFICE OF SUSAN J. SMITH ~' Date: June 11, 2012 ~,a ~iw ~~/ Sus~fi J. Smi~,l`i, Esq. Pa.LD. No. 531 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 1't-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 .~. ;J`,_ . ('_` i~1 Last Will and Testament ~° ~~~ -~~ ~=~~ ~` ~; ~ OF c o~~ _~' -' -- ' _ ~' C -~ _ l ARTHUR H. LENTZ v ~-- -~, ~. I, ARTHUR H. LENTZ, of Middletown, Dauphin County, Pennsylvania, do make, publish and declare this to be my Last Will 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 of 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 illness 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 JANE GINGRICH, my grandfather clock and truck. ITEM IV: I give and bequeath to ALBERT LARGEI~tTaIL 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. Appendix A 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 in such other property, real or personal, as the Executor 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 market 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 all Teal or 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 ali 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 V~'ill. (e) To 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, leeacv. estate and other t:~xes, and to assign anti 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 _ro ert _in_ 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 deaths cannot he established by nmof or cvithir_ thirty (3(~~ dayG of my death. sha1.1 be deemed to have predeceased me. ITEM VII: If at any time any beneficiary under the age of twenty-one (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 authorized by law, and shall have full authority as provided in the Fennsylvania 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.VIII: I hereby .^.~~min~te, constitute and appoint my grandson, DOUGLAS YQUNGr to-be the-Executor, herein-referred to as "-Exec;utor'~ Irrth~-- ~ ~ event of his death or his inability or refusal to serve, I nominate, constitute and appoint BETTY JANE GINGRICH. 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. ~vW ~ ~~-r/~ (SEAL) ARTHUR H. LENTZ Sworn to and subscribed before me this _ ~~'`'~l' day of Jam, 2009. ~~ Notary Public My Commission Expires: S1; ~ T COMMONWEALTH OF PENNSYLVANIA ( ~~ ) Notarial Seal Karen W. Porn, Notary Publ'~c Susquehanna Twp., Dauphin County My Commission Expires Oct 25, 2010 Member, Pennsylvania Association of Notaries . '.• AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS.. COUNTY OF DAUPHIN ) We, r~~~ /`~• ~ ~~ and ~ ~ ~ . ~ r ~ ,the Witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw ARTHUR H. LENTZ sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed the Will as free and voluntary act for the p~.~rposes therein .: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 (1 S) or more years of age, of sound mind and under no constraint or undue influence. .G~ . fitness Witness Sworn to and subscribed before me this /0 ~~~ day of Jam; 2009. ~~J/ ~, Notary Public ____ __ My CoYmmisson Expires: MMONWFJ~LTH OF PENNSYLVANIA (S E Notarial Seai Karen W. Porr, Notary Public Susquehanna Twp., Dauphin County fNy Commission Expires Oct 25, 2010 'Nemher. PennsylNan{a Association of Notaries 09259-OOI~1S0792 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 1 S` 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 Dou as C. Young aka Douglas Young and that same has not since been revoked. :[N TESTIMONY WHEREOF, I have hereunto set my hand and affxed the seal of said office at CARLISLE, PENNSYLVANIA, this 1st day of April 2011. File No. 21-11-0422 PA File No. 21-2011-0422 Date of Death. March 29 2011 S.S. No. 200-24-0425 C ,~ egister of Wi ~ Deputy NOT VALID WTTHOUT ORGINAL SIGNATURE AND IMPRESSED SEAL Appendix B 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_Borou~h, Cumberland County, Deceased Social Security No. 200-24-0425 WHEREAS, on the 1st day of April, 2011_instrument(s) dated July 10, 2009 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 Young, 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 TE'.STIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 1st day of April, 2011. Register of Wills `' ~(,. ` Deputy 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, 2011 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 1 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 3uly 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, 201 1, to take possession of Arthur Lentz's personal property. Ms. Gingrich independently made arrangements for a Constable to be Appe,~dix C present and to oversee the transfer of Arthur Lentz's personal property frorri 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 l 115 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 which he had deeded to his natural daughter, Debbie Bomberger, and her husband (Property) 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 released by Ms. Gingrich to me. 19. Upon information and belief, Ms. Gingrich did not return the $600.00 secw-ity 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. Ors 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 (APPENDIX E). 26. The Country Clipper mower was not among the personal property of Arthux• Lentz transferred by Ms. Gingrich to me on May 16, 201 1. 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 (T'ruck). 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 Fard appraised the truck at $10,000 (APPENDIX G). 31. As Executor, I have paid outstanding bills and claims owing on the Estate, excepting the referenced $6()0.00 security deposit and the Property expenses paid by the Bombergers. 32. A~~ 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 x). 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: ~•~ 1 o glas C. noun N "'" tiw __ "'> ~ qD "'~ ~ y j~ W N ..i ~ y ~ N J tNJrNP W N .y y ..~ '~' ~ ~ W a tD ~ N N ~ C"1 N rn N ~ - ~ ~ G~ a; f~D N n N ~ G ~ N ~ C7 N ~ ~ O N N ~ ~ ~ ~ N ~ G~ ~ c`!N N ~ ~ N UN ~ ~' CD n S~ N ~ i- ~ ~ N ~ CD ~ f7 ? 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Monthly ~entaI of: ~ ~~d~ ~ ~ tent ?Due on the first (;lSt) day of sash month. charges f®r Latel~ent: A five dollar late fee is due for each day .after the 5~' of the month and must be included at tune the rent is paid. ~-~ ~ rent not ap i h~ tie I~g~ of the ontlaa the iea~e jai he ended. and the teuant ~ ~i~~n ~,T~°itten notice to move out ~thi~ 1~ da~~s. 'T'erm of Lease: Mi~timutn 12 Months ~'rorn To ~"~Minim~n 60-day move-out ~YRI7'TEN notice required prior to the end of the month that you intend to ffiove. fTtilities 'aid 18y: R~PONSIBLITIES (ini~iai) iTl7ater Sewer _ Blectric Cable TV _ Telephone- Renter's Insurance !~ Builcliing Insurance n ~~L~nd~®~-~ ~ ~~T ~°esp~nsibie f®~° ~~ accidents oec~ar~~°i~g on p~°emiseso xx~Lease ~s autou~~ti~ll~ ~°e~e~red sash ~~a~° ae~° e~~fraon date. Appendix B ~'~+ 11TA1t+T`I' IS ~7:T-SPOI~t sII3L~ ~+'()~: Page z o~'3 ~~~ Contacting utilities immediately to be put into your name ,, " ~~~I'I' IS YOUR I2ESl'~I~iSIBIi~ITY T4 Ol~'TAiIdT `T1ul~tAN~ INSUTt2ANGl/ t3N 'YO~EJR PERSt32~TAL BELONGINGS. Landlord is NdT responsible #or any tosses to tenants' property. ~~ ONLY people who are on the lease are to be Living in the apartments. { ` __~_.- _. , _ - weeping apartment, appliances; and area neat and clean_ Keeping noise level reasonable. Contact landlard regarding al'l repairs_ NO repairs gray be made without landlords' approval. NO repairs may be deducted from rent (contact landlord immediately) No waterbeds in apartments. Apartments are SOIL s ~{ l~f ~I~S~L iEJ ~'~11A~ ISO 1~~ .~ S ALLd~l~4 (No 1'et-fitting in apartmeagtsl ~l`J~ Ct~ TS? ~ No giaing any objet#s to cabinets, doors, mr walls, etc. No sick on lgsrol~s to be need. lelo wallpaper of aay ltd, including borders, stenciling, etc. if there is any .damage to w~dQw screens during your occut~ancy, von: will be resrfons~le for reulacing them before voa move oat Landlord may inspect the apartment at aby time while tebadt $s ~resebt Tenants renting oa the seso~ad floor are responsible for keeping tl;e steps -clean at all tiYnes. S~LtJi~' 1~T~3 'l~Cf1l+ ~ ~1~. ~ P~®PZ~ YY ~~T ~~+ I~®'~' ~ ItZ~G C~II~®~i Page 3 of ~ . ~ ~N,AL A7PAR7~0~[E1~I~t' CL~AN.Il~~ CHECKLIST Cene~ra~: Throughout the entire apartment) 1 _ Remove ALL trash from apartment. 2. VacuuinJWash all floors. Carnets will be professionally cleaned and cost vvi~l be deducted from roux security deposit. Do ~~~' rent a carpet cleaner. 3.Walls must be free of all nails, tacks, marks., etc. Holes.must be speckled and~anded. 4. Clean awash) windows, and blinds or replace blinds with new ones. 5. Replace aIl burned-out li hg_t bulbs. f . -Debris remflved dim cali~ets anal v~it~ed iivwn inside aa~d out. 7. All appliances must be thoroughly washed and oven cleaned. ~athro®m: l . Tub, toilet, and basins must be cleaned of all film, soap residue, marks, etc. ~. -Glean. -eauat fan, -aad -replace -any bur-ped -out -1}ghtbulbs 3. Floors must be cleaned and washed up. tel~ene l .Clean oven, racks, and stove top of all residue. Replace burner palates, if necessary. 2_ F~pty refrigerator Cl~.n ~.Il racks, shelves, ~~. Wash outside of refrigerator. ~. ~loQrs Est be -cleaned and washed up. Vou must schedule an appointment with Landlord for a walk through before handing in keys inn order to have your security deposit mailed to yflu. when you move-into-the apartment; all-of the above-mentioned-items can the-checklist have been completed. when you shove out, the same- is expected of you. Uwe have read the checklist, and agree to complete all items prior to returning the keys. I~we understand that if these tasks are not completed and/or there 'is damage to the apartment, that charges for cleaning andlar repairs will be deducted front my/our security deposit. e '" s~ ignature Date: ~ ~~ wig ~~ _ Tenant(s) Signature Date: ~,~-- ?,r~ - ~CI o m c ~ ~ ~ cQ ~ ~ ~ W N ~ ~ Q0 Ui N -~ .A ~1 O O O V .A W N O ~ ~ ~ O o n ~ O ~ N O p r m o ~ 0 y ~ ~ C ~ CD W CJ1 "= UD CJ1 ~ (D d0 O OD ~ O O O t~R N N N O~ O O O -~ -~ O N -~ O CO ~' ~ W N N O W h O C~T1 COO Cx1 O CJ1 ~J ' O CT1 -i ~ Z O ~ ~ ~ ~ ~ 't~ ~ n ~ ~ ~ to c - c ~ ~ ~ ~ 6 v ~ -i N X W CA ~ ~ ~ ~! V N N N O ~ O ~ N ~ O ~ n O O O p _- ___ _ O ~ ~ ~ r c~ N ~ rn w ~' a 0 0 0 co v, c ~ ~ ~ ~ - " O 00 J1 C ~ t Jl J~ '• (D V W W ~ O W W O ~ p ~ in tD C ~ ~ ~ ~ V 1 ~ ~D ~ ^, ~ C ~ ~ y Vl O ~J'I (A OD O Q7 W N ~ O _a W N O N O "" ~ Efl N EA N -~, ~ O ~ -~ ~ -~ O n ~ o j O -~ N N W ~ r ~ W ,c~D ~ ~ ..~A ~ r ~ N O O N C1'1 ~ N (31 69 CJl fA CJl 6H CJl EA N ffl W C ": (A .A J~• A 00 .A CD N N (n OD O 00 O N W O U1 W OD Appendix C 1 J '~'^ V/ e+ r+ T N Q _ ~ ~ I i h~- >f ,a ~~~3~'J~" yEf~1~ICE ~~Q F `W .~r._ ~, ; a ®B~DER <' in6WF.9ERVF-E rv~n~oi. -. ~. ~ - - - F -- _t_ ate.., ~~ !l~lj INVOICE ~, ~-''e .'tit~ru_t"ri<.' ~~%, ~~~~ 1 (C~rh~, `DATE .e" ~ _ ,-. ~ ~ -t l ~ :. THIS FORMIS PRINTED HY 6F~ INCiANp WAS - OVJNER ~- ~ ~~ ~~ r~_~ ~-~=-~-- -- ~ COP?'RIGHTPRGTECTION IN U.S.A.NUtv1BER{OPEESA200H)., P~LAPdE ~ EN( iiJE / IRAf 5 tiODFL NO NAME OF (=C?UEPMENT - ~_ ~ _~ _ -X '- ~ ----- -- --- ~ - ~ ~~ L~ T. ,., _ - STREET ~ - - - _ RDDRESS TYPE OF bPEC N7 i HOURS TYPE OF EF)UIPp1 ENT _... .. 1., , ~.~.` _. CITY -~~- - .,... r STATEFRIAL. COJE7(7 Q1d. NQ EOUIP t10DELS SEHIALNO- ' & LIP __~_ - .T ~_~ _ - -__ --- - --- --- ---------- - - -- DATE - f DATE ~ `` ~ CUSTOMER i{ DEALER PICKUP , ~ CUSTOMER DELIVERY -HEG'D PROMISE[) PHONE NQ ~~ - ~ DELIVCRY P!C}<UP --- ---- 1 UC~lE-UP ^ :"I JS1PE_L ^ ? CHe( I< ~ _ ~-_ - ~ CAR6 > TARTER RPtvi - 1NSPEC-10t+1 LUE'R C,AT E~CP ~ IP,HEC~~RETION ^ CHECK ~~ IgLE SPEED WARRAtJTY -- _ --- -- ---- _~~~~~+~t-I ~- CHASSIS ~ ~ CHARG'N ~GIRC~.1T ^ fUNIT10F1 ^ TOP~FEED '-BATE OF ~ -~_-- tt --.__ RPhA - PURCHASE_.__ REPAIR AS -- ~_1 CHAJGE ~ CHCCK. CHEEK----- --------- - --- 'NF~DEb F_F k Itl[ OIL SAF-Ei ! INTERLOCY. ~~ ~ BLADE IJATE OF ____ _ ___~_- _ COMPRESSIt~N` rEfv'GTH - ~- FAILLrRE REPLACE ^ `HF, i'EPJ r CHECK -_ -- --- ENGINE 13LF DE ~._J ~ AIR CLEANER ^ CHECK( ~ BLADE STOP ENG.COOLlNG TIME . ~ ~ __ ----._.-- -- --` - -- ---- z.ec. ~ CUSTOMER COMF~AENTS: ~ _. ---.-_--- -- ~4 WORK PERFOFih4ED: -~'-"'~ - r ,--~ / % MATERIALS _ ~. / ~~ r_ -. ... _. _. -_ - _.. _. _ _ - i_.+1EOR - -- GAS, OlL, LUL3E PICK UP /DELIVERY ---- - "- ------- - --~- i _ ENVIRONMENTAL FEE. --- - ------ - - - --- -- -- - - - -SUBTOTAL ' ~ ~ -- ~J~ ----------- -- --------- _._ I TAX s z' -- ---- --- -- - -- -~ TOTALAMOUNT ~~:~~ r While the manufacturer may warrant the goods sold - "----~ ; to thecustomeq we make no warranties, express or ; ~ implied, including anyimplied warranties of merchanT- _. ~ ~ ability or fitness, with respect to such gooda. ___ - ~ Not responsipl© for lass or damage in caseof fir©, chart ____--- ~ -- - - -_~ or anV other Cau56 beyond u it uontrol _ I hereby authorize she above repair work to 6e Uone L along with the necessary material and hereby grant you _.___ _ --__ _ 1 OTAL ® , ~. , ~ t and / or your emploveos pE rmisslor( to operata the uric( `f GULLYUNDERS fA(`1D Ti IE. PURP<~SES OFTHE SAF ET'{ DEVICES DN THIS EQUIF'.yIEiVT AND REC;UEST l HAT THEY `'s necessary for the purpose of testincT and / o~inspec- tion. P.nexpress machanic s ben is hereby acknow- NOT BE_REPAIREDOR REPLACED, ANDI WILL ASSUME RESPONSIBILITY FOR AND HOLD YOU HARMLESSFRCM legged on above unit to sS:ure tim amount of repatrs ANY INJURY THAT MAY RESULT" THEREFROMf. Iheieto- i~ SlGiVED------ --------- X - AUli-IORIZED SIGNATURE T F,UTHORIZ=D SIGNATURE ----- _- _ --------- - _- - - ----1--- Appendix D I I Goodville Mutual Casuarty Company Agency name Jamey O. Bower Insurance, Inc. and Address 2145 Market St PO Elox 9 7 Camp Hi11 PA 17001 0097 (717)763-5668 625 West Main Street, PO Box 489 New HoBa~nd, PA 1 7 557-0489 www. gooclville.com Named Insured Arthur H Lentz and T/A Pete's Lawn Care Mailing Address 207 Edna St Wornileysburg PA 17043 Tradesman Cover Plus POIIC}/ Renewal Declarations Policy Prefix: TC Policy No. 909486 Mailbox: 3775 68 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 premium, 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. Ca.mmerci~l General L"sak~iiity Gbver~ge Limits of Insurance General Aggregate $ 600, 000 Products/Completed Work Aggregate $ 600, 000 Personal/Advertisinglnjury $ 300,000 Each Occurrence $ 300, 000 Fire Legal Liability $ 100, 000 per occurrence Medical Payments $ 5, 000 per person Location: wormleysburg, Dauphin Co PA Class Description: I,andscapinc.~/Lawn Mowing-No Spraying Total Liability 1?remium $ 279 CornmerCi81 Property Cover~~e Location No. 1: 20'7 Edna St, Wormleysburg, Dauphin Co Pii 2.98 miles to fire department: Lower Swatara FC Limit of Insurance Deductible Valuation Use/Occupancy Business Persona7_ Property $ 7,700 $ 250 RCV Business Property of the Insured _ _ Miseellanevus Property Covesrages Mechanical Erreakdown -- Premium: $10.00 Total Property Premium $ 122 IC,`OIfi1n72rGla1 Irll;3nd Marl?1Q Ct~r.e~age See GMCI 09G0 declarations for specific coverages Total Inland Marine F~remium $ 86 Other Endorsement Premium $ 13 Total Policy Premium $ 500 Form(s) and Etidorsemertts , Form(s) and Endor sements made art of p this policy at the- time of issue: 5 CGLYCR(0798) CL0124(1006) CL0600(0108) CL060 (0108) CL0700(2006) CL100(1.0) CL300(1.0) CPYCR(0798) CP0171(1008) CP0619(1006) CP0640(0703) CP0643(0108} CP100(1.0) CP12(1.0) CP85(1.0) CR0100(0699) GL0163(0108) GL0215(1005) GL0243(1005) GL0250(0108) GL0349(0602) GL0950(1299) GL0996(1005) GL1020(0909) GL1022(0909) -GL200(1.0) GL212(1.0) GL222(1.0) GL409(1.0) GL848(1.0) GL894(1.0} GMCI(0900) GMOCC(0610) GMWIS(0610} IM1000(0105) IM2077(0404) IM2077(0908) IM7000(0404) IM7020(1.0) ML120(2.0) SAE (0898) SEB(0610) TCP(0604) Notices: CL1045B(1208) COMMDEC 10 Q3 3/28/i 1 SEPHN(030Ei} WRCPPN(0804) Appendix E TC 909486 52RU Commercial Inland Marine Coverage Part GMCI 09 00 Policy No: TC909486 Description of Property Valuation Limit of Insurance IM7000 Contractors' 8quipment Cov RCV A $250 deductible applies unless otherwise specified: - Contractors' Equipment - Scheduled - Stihl BG85 Hedge Trimmer Ser #247610003 $ 405 - Echo Power• Blower Model IE $ 553 - Cub Cadet Trim Lawn Mower Ser #SC62 $ 553 - Shivvers N[anufacturing Country Clipper Mdl 2360KOJ $ 6,566 S# 33855 - Contractors' Tools - Scheduled - Stihl Blourer Ser # 255830865 $ 199 'T'otal Premium for this Coverage Part: $ 86 ~MCi os oo Goodville Mutual Casualty Company Pages 1 of 1 3/28/11 TC 909486 52RU .~ ~ I E 0.p ~ ,th~" ~ ~' ~ f.. i ~ ~. 1 ~ r ~ ~ . '~ ~ti h pp j9 ~ ~ q ~ ~' , t9 ~ "`~ 's ha ~,( ~ t ~ K ~, ~~ ~ ~~ r Y' _ t, r ~ I'~ ~ 1~, ~ 4 ~ r r i f Y ~~ K {. ~ 4 I z 1 ~ ~ ~;:, V; i; { ~ ~ .` a ~ ~ - a~_ k;l 1, ` ~~ ~ ~ ~ '.r 2- ~ A 't. . .. a~ { r n... 7 sf .9 S` tt' ~Y. ~ S. ~~I r ~ ~ ~~I ` '+ ~ -333 ~ ~ S , I ~, n -Z E ~ (` F ~~ 2~ _. ~ 1 r I ~ _ ~` ~~~~ 1: ~ k ~ ~ ;~'^ ~-. ~ { ~. y, ~ ~ ~. j ,~y ~ 71r.~ ~ 1 ~ ~ ~s '_ f / ~u fix; ; a .. . H.~ v ` r ' ~. ~ 2~ ,'t. +~» ~ ~ ; ~ t st.° y "' ^ ~ t ' ~.w x ~~"y "" ~.,+~ _ $ k I r ~ f ~.. e 1? ' ~. ~' f T ~ s ,,~<~ E ~`1~ ~~~ Appendix F ~ ~l ~ ~ , ~ ~ ~ ~ ~~ ; - ~~; ~ } } i9 ~-- , 7 ~ - l t „ i. mot xi~ F. _ ~ ,}9 r fj n~.L.1 .N tjp w l. ` : ~ F ~ Y. .k i .T w ,y~ fv~ ~ R,~ t '~~ _ ~~~ ~ E~ :~ F~~~° r w ,~ ~ 7' tft~ ~ ,.i~ ~ ,yy'] _ .~ i t y~~~ - rC ~ ~, ~~ ~ ~ r ~ ,~ h ~ t ~t lx a~ 1 , P I~ Z I ry'~ 1 i:t ~ + ~4 ~2 ~ i' : .f~ ~ ~ 73. F F ~ t [[11~(y`{' ~ ] ' ' ~, ~ ~ i ` { F +~~ F - v n ; ~ ,; '1. 1, f ~ { j 3 ~ , y : {~ Y 3 i"i1~ ~ ~ ~ _ ' ~lr~ ~~,~ : ., ~':. ~ ~ ~ _ ' 1~ j ~ :~ .. ~ f _f` ~ - ~ ` .. r ;i ::, '~ .T { ~. 3 igg' ~ ~ ~S ? ~ x! . ~ w ~ _ ~ F -~~ 1s ~ ~ ~` i-+~ ~-s t ` ~ ~ ~+t~ ,'' a ` 4 ' _ , s~ z , ~ ~ _ ~ ~s ~r ~ t ~ k<A4~' ~ S ~ ` - i,b a _ rw `{ ~. } ci~jK i ~1 ~. _ > ~ i J ~ ~ ~ y . 5 i` S . y t~ I ~r ..1 1' ~~ ~ d ~ F' -., . y ~° k t "WI LL 1 ~'.S ^. .; ;h. , m ;t i ,}, ~~` ~, ~ 4,. ~±~ . '~ .-. 1 ~ ~ . G 4 . ~~ ` t - . 1. 1 P _ _ ~t ~ ]U.,c X .Y~ , y 'Y ~~3~ ..$ `~, ~_ f ~~ ~'` ,; I, ,, c . K - ' ~~' i i > rr~ , - i - a, t ~` L~ x .7 /: ti` fi ~ J r ~ ~~~ ~{ 1 n. '` ~ } ~ r . i '>. ~ ~~ £ ,. ` y ti T ~ ~f ~r - ~ - . ~, r ~ ~ ., ~ i i +{ '4 ~ .~ t ~ b ~: ~ ~ h '~. ~~ i ~.~a ~ e ~ L ~ :~, ~ ~ Y r ~ ~ ! ~ ~ ~T fi / ~~ ,. +~• r t ~ 7 4i yµ, t 1b. Y: y~ 7~~~/.~ ~f" . 'j,'.. i .Y, ~~': F"~ _. j~ h ~G :r { r 1 ~~ ,, ~ ~F ~ 1 2008 FORD F-150 Maguires Ford of Duncannon Main & Fisher Streets Duncannon, Pennsylvania 17020 VEHICLE INFORMATION CUSTOMER INFORMATION VIN: I FTRX 12~V08FB33490 DOUGLAS YOUNG Odometer: 35,000 Miles (717) 643-6657 Color: APPRAISAL VALUES Disposition: Retail Reconditioning: 51,000 Purchase: No Profit Objective: 52,00 ~ 1 O, O ~ O Appraiser: B. Soya 1 6/3/2012 BOOK VALUES RBOOR Market .4vera~e R~iarket Days Supply Ranking Unit Cost: $11,000 $16,517 Overall: 68 Price Rank: 3 of 9 Asking Priee: 513,500 41,057 M11iles Like Mine: 45 vRank: 1 of 9 Adj % Cost To Marked: 56 °•S ,N,4; i, t National Regional Avg. Auction Nricc $14,231 516,607 __ MAGUiRE'S FORD tv1AIN STREET 717-834.37 t t DUNCANNON, PA 17020 HQG. 717-737-2772 ROBERT J. SOVA FAx: 7n-a34-s7aa _ __-__ Sates Manager-- - --www.maguiresfnrd cam n, Appendix G ROBERT W . MORRIS cat COMPANY P. C. CERTIFIED PUBLIC ACCOUNTANTS 19 EAST MA{N STREET, PO. 80X 68, NEW BLOOMFiELD, PA 17068 • (717) 582-8135 • FAX (717) 582-7392 • robertmorriscpa.com MEMBER: AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS PENNSYLVANIA 1NSTfTUTE OF CERTIFIED PUBLIC ACCOUNTANTS )une 8, 2012 Arthur Lentz Estate C/O Douglas C Young 114 N High St Duncannon, P,A 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 Sq. 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 calculate and notify you of any overdue interest and penalty after the return is filed. Please do not hesitate to contact me with any questions. As always, thank you for the opportunity to work with you in this matter. Sincerely, Robert W. Morris fll Certified Public Accountant Enclosures Appendix H G~.IENT'S COPY 150561^1^5 REV-1500 t:x to2.11> (Ft, PA Department of Revenue P Sylvania OFFICIAL USE ONLY enns Bureau of Individual Taxes A..`~ Counry Code Year File Number Po Box 28o6ot, ~ INHERITANCE TAX RETURN Harrisburg, PA 5']128-o601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 200-24-0425 03/29/2011 01 /16/1930 Decedent's Last Name Suffix Decedent's First Name Mt LENTZ ARTHUR H (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Mt Spouse's Social Security Number THIS RETURN MUST BE FILE D IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW t3>p 1. Original Return Q 2. Supplemental Return O 3. Remainder Return (Date of Death Prior to 12-13-82) Q 4. limited Estate ~ 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate Q 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received Q 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec:. 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number DOUGLAS C YOUPJG (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: fatboyyOUfig~8@9fT1811.COf11 Under penalties of perjury, I declare that 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. 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 ADDRESS 114 NOf~l-H HIGH STREET DUNCANNON PA 17020 SIGNAT 06~ARER OTHER THAN REPRESENTATIVE DATE 68, NEW BLOOMFIELD PA '17068 PLEASE USE ORIGINAL FORM ONLY Side 1 L5^561^1^5 15^561^1^5 J 15D561D2D5 REV-1500 EX (FI) decedent's Name: ARTHUR H LENTZ RECAPITULATION 1. Real Estate (Sc;hedule A) .......................................... ... 1. 2. Stocks and Bonds (Schedule B) .................................... ... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3. 4. Mortgages and Notes Receivable (Schedule D) ...................... . . ... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1 through 7} .......................... ... 8. 9. Funeral Expensf;s and Administrative Costs (Schedule H) ................ ... 9. 10. Debts of Decedeent, Mortgage Liabilities and Liens (Schedule I) ............ ... 10. 11. Total Deductiorus (total Lines 9 and 10) .............................. ... ~ 1. 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tai; has not been made (Schedule J} ...................... .. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tau 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 10 322 00 . , at collateral rate X .15 18 i9:- TAX 11U~ ..... ... ...........-----............................ ..19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Social Security Number 200-24-0425 23,970.00 '12,608.87 600.00 3'7,178.87 11,077.13 11,077.13 26,101.74 2b,101.74 710.09 1,548.30 _--2;2539--- ---- - _ _- O Side 2 15D56~1D205 15D561D205 REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME ARTHUR H LENTZ STREET ADDRESS 207 EDNA STREET --___ CITY STATE i ZIF' WORMLEYSBURG PA ~ 17043 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments 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. Filt 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. Total Credits (A + B) (2) (5) (1) 2,258.39 (3) (4) 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 eithar payments, benefits or care? .................................................................... .. ^ 2. If death occwTed after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................................................................ .. ^ 3. Did decedent own an "intrust for' orpayable-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? .............:...:.................................................................................................... .. ^ fF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. -For-datesrofideattfon orafterJu{yr1994; Arid t5efot~e Jan t~ 1985, tfie fazTaCe imposedori the neLvafue oft~ansfers fo or for the use of thei surviving spouse is 3 percent [72 P,S. §9116 (a) (1.'I) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii}). The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a rlatura{ 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)J. • 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)J. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+(11-OH) ~ ~~ Pennsylvania SCHEDULE A ~~ DEPARTMENT OF REVENUE INHERITANCE TA},RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF FILE NUMBER ARTHUR H LENTZ 21111-0422 All real property owned salely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of thP- 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 owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 ~ LIFE ESTATE AT 1115 STRITES ROAD, MIDDLETOWN PA -SEE SCHEDULE K ATTACHED 23,970.00 TOTAL (Also enter on Line 1, Recapitulation.) ! ~ 23,970.00 If more space is needed, insert additional sheets of the same size. REV-t5o8 EX+ (11-ao) ~ Pennsylvania ~~ DEPARTMENT OF REVENUE 1Nt1ERITANCE TA% REIURN RESIDENT DECEDENT SCHEDULE E CASN, BANK DEPOSITS & MISC. PERSONAL PROPERTY ESTATE OF: FILE NUMBER: ARTHUR H LENTZ 21-11-0422 Include the proceeds of litigation and the date the proceeds were received by the estate. AN property jointly owned with right of survivorship must be disclosed on Schedule F. If more space is needed, use additional sheets of paper of the same size. REV-;;5og EX+ (oi-io) r Pennsylvania ~`'~ DEPARTMENT OF REVENUE INHERITANCE TA% RETURN RESIDENT DECEDENT SCHEDVLE F JOINTLY-OWNED PROPERTY ESTATE OF: FILE NUMBER: ARTHUR H LENTZ 21-11-0422 If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TEtVANT(S) NAMES} ADDRESS RELATIONSHIP TO DECEDENT A• BETTY J GINGRICH 207 EDNA ST, WORMLEYSBURG PA 17043 FRIEND B. C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FSNANCIAL iNSTITUTlON AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECEDENT'S INTEREST DATE OF DEATH VALUE OF DECEDENT'SINTERE57 1. A. 09118/10 1993 DODGE CAMPER VAN 1,200.00 50 600.00 TOTAL (Also enter on Line 6, Recapitulation) I $ 600.00 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-D9) ~, ~ ' ` Pennsylvania ~,' DEPARTMENT OE REVENUE ..~~~~ rT..~~c rn u oc-n io u SCHEDULE H FUNERAL EXPENSES AND wnuTRITCT~ATT\/C /^ACTC ESTATE OF FILE NUM6ER ARTHUR H LENTZ ESTATE 21-11-0422 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: I, Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City ~~ State ZIP Year(s) Commission Paid: 2,621.00 2. Attorney Fees; 3. Family Exemption: ([f decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address City i_ State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 5. Accountant Fees: _ _ _ ______- -_. _ --------------- 6. Tax Return Preparer Fees: 500.00 7. MEDICAL EXPENSES 68.24 a SAM'S CLUB 315.47 s REAL ESTATE EXP FOR LIFE ESTATE COSTS 7,425.42 io CAMPER STOf2AGE 45.00 1 ~ STATE AUTO 42.00 iz DEATH CERTIFICATES 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) ~~~~ pennsylvania DEPARTMENT 01= REVENUE INHERITANCE TAJ( RETURN RESIDENT DECEDENT SCHEDULE BENEFICIARIES ESTATE OF: FILE NUMBER: ARTHUR H LENTZ 21-1'1-0422 RELATIONSHIi' TO DECEDENT AMOUNT OR SHARE NUMBER NAt4E AND ADDRE55 OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS {Include outright spousal distributions and transfers under Sec. 9115 (a) (1.2).] 1~ DOUGLAS C YOUNG GRANDSON RESIDUAL 114 N HIGH ST DUNCANNON PA 17020 2 ALBERT LARGENT FRIEND 247 13 BESSIE LANE MIDDLETOWN P,A 17057 3 BETTY J GINC~RICH FRIEND 10075 207 EDNA STF;EET WORMLEYSBURG PA 17043 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH iB OF REV-1500 COVER SHEET, AS APPROPRIATE, II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX I5 NOT TAKEN: 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: i TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ $ 1F more space is needed, use additional sheets of paper of the same size. REV-1514 EX+ (4-09) ~ ; pennsytvania .~~'1 SCHEDULE K DEPARTMENT OF REVENUE LIFE ESTATE ANNUITY Bureau of Individual Taxes PO Boxz8o6oi , & TERM CERTAIN Harrisburg PA 17iz8-o6oa (CHECK BOX 4 ON REV-1500 COVER SHEET) ESTATE OF FILE NUMBER ARTHUR H LENTZ 21-11-0422 This schedule should bey used for all single-life, joint or successive (ife 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 inskrument that created the future interest and attach a copy of it to the tax return, ^ Will ^ Intervivos Deed of Trust ®Other NAME OF LIFE TENANT DATE OF BIRTH NEAREST AGE AT DATE OF DEATH- TERM OF YEARS LIFE ESTATE IS PAYABLE ARTHUR H LENTZ 01/16/1930 81 ®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°/~ ^ Variable Rate °lo 3. Value of life estate (Line 1 multiplied by Line 2) ............. . .... . .................$ - NAME OF LIFE ANNUITANT DATE OF BIRTFI NEAREST AGE AT DATE. OF DEATH TERM OF YEARS ANNUITY IS PAYABLE ^ Life or ^ Term of Years ^ Life or ^ Term of Years ^ Life or ^ Term of 't'ears ^ Life or ^ Term of `fears 1. Value of fund from which cinnuity is payable ................................... . ... . . . .$ 2. Check appropriate block below and enter corresponding number ... . ............ . Frequency of payout - ^ Weekly (52) ^ ei-weekly (26) ^ Monthly (12) ^ Quarterly (4) ^ Semi-annually (2) ^ Annually (1) ^ Other ( ) 3. Amountotpayoutperperiod ........................................................$ 4. Aggregate annual payment, Line 2 multiplied by Line 3 .................................. . 5. Annuity Factor (see instructions) Interest table rate - ^ 3.5% ^ 6% ^ 10% ^ 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 (Line4xLine5xLlne6)+Line3 ...............................................$ NOTE: The values of [he 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 interest should be reported at the appropriate tax rate on Lines 13 and 15 through 18 of the return. If 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, an the estate of Arthur H. Lentz ,.late of Wormleyshurg Borough in said county, deceased, to Dou as 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 o~fhce at CARLISLE, PENNSYLVANIA, this 1st day of April 2011. File No. 21-11-4422 PA File Ivo. 21-2011-0422 Date of Death. March 29, 2011 200-24-0425 S.S. No. ~t %~ egister of Wi ~ 13eputy NOT VALID WITHOUT ORGINAL SIGNATURE AND IMPRESSED SEAL ~. REGISTER OF WILLS Certificate of Grant of Letters CUMBEI?.LAND COUNTY, PENNSYLVANIA No. 21-11-0422 ESTATE OF Arthur H. Lentz a1k/a: Late Of: Wormleysburg_Borou,~h, Cumberland County, Deceased Social Security No. 200-24-0425 WHEREAS, on the 1st day of April, 2011 instrument(s) dated July 10, 20(19 was (were) admitted to probate as the last will of Arthur H. Lentz (a/lv'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 Young, who has duly qualified as Executor. and has agref;d 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 WHEREOF, I have hereunto set my hand and affixed the seal of my Office thE; 1st day of April, 2011. ~, Deputy Last Will and Testament OF ARTHUR H. LENTz -~~ T1 r--1 Q~ ~`~ ! ~~ nzC7 ~ ~ 7 ~r=„=` ~ ~ r ' t fin ..o ~ ~, ~._ l =-n = r ~z ; ti ~~: ~-, ~ ~: I, ARTHUR II. LENTZ, of Middletown, Dauphin County, Pennsylvania, do make, publish and declare this to be my Last Will 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 of 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 illness and funeral expenses from the property passing under this Wili as an expense and cost of administration of my estate. ITEM III: I give and bequeath to BETTY JANE GINGRIC:H, my grandfather clock and truck. ITEM IV: I give and beq_ueath_to ALBERT LARGENT.aIL__ of my tools, Iawn 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 in. such other property, real or personal, as the Executor shall deem wise, without bE:ing 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 fdr any other purpose, including any final distribution, the Executor is authorized tc- make said divisions or distributions of the personalty and realty partly or wholly in kind, arnd to allocate specific assets among beneficiaries hereunder so long as the total market 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 Exe°cutor 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 ~.zpon such terms and __conditions as.the.Executor-may-deem-advantageous to-the estates any`or all i~aI"or-- 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 V6'ill. (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) Ta 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 un;te with other owners of similar propert~in cany~g_out_an_Xplans-for-the-reorganiZatiorrot=any- -- - - ---_~-~-_-- cori~oration 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) T'o 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 Vl: 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 n~1r deaths cannot be established by woof, car wi*.hir. tl?i.rty fat?} days of my death, shall be deemed to have predeceased me. ITEM VI[; If at any time any beneficiary under the age of twenty-one (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 authorised by law, and shall have full authority as provided in the Pennsylvania Uniform Transfers to Minors Act to use such tends 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. VIII: I hereby n~~rnlne.te, constitute and appoint my I~OtLGLAS_Y_QU~IGrto-be the-Executor;-herein-referred-to-as-"Executor"-lrrtheJ" event of his death or his inability or refusal to serve, I nominate, constitute and appoint BETTY JANE GII~iGRICH. The Executor is specifically relieved from the duty or obligation of filing any bond ar 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 ~ ~--ir~ (SEAL) ARTHUR H. LENTZ Sworn to and subscribed before me this _~~`~~' day of Jul, 2009. 71. 1~~~ Notary Public ~I My Commission Expires: ~SEri~~) COMMONWF-AL7H OF PENNSYLVANIA Notarial Seaf Karen W. Port, Notary Public Susquehanna Twp., Dauphin County My Commission Expires OcL 23, 2014 Member. Pennsyhania Association of Notaries AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA } } SS.. COUNTY OF DAUPHIN ) We, ~~~~ ~ /~U~~" and ~ ,~ . ~ Y' ~ ,the Witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw ARTHUR H. LENTZ sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed the Will as free ar~d tioluntary act fcrr the purposes `..herein expressed; 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. /G , / . fitness ~ Witness Sworn to and subscribed before me this iG~'><fl day of July, 2009. 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'}iii 111 ,'~I~ ODOMETER DIStLOS UiZE EXEMP BY F~;DERA'L_ LAW ~ _ r ''Vi'i' JOINT OI,INERSHIP ~ WITH RT~tiTS fOF.`SURVIVORSHT I~ .i'MI HY (il:~iF: q;~i: •)W HEH(;il gsY„'Y t V C ~~ I -~~;r BETTY __ J_.GI1~t~?I-CH n 7 .,~::r , ., .~ -_ _ _._ _.,-- ~~~~ ~~'I; A7RTFiUR H' t.ENTZ ~ K'~~{I# 20? EDNA ST . I . ' [~^17~f1 t;r ' L~ORMl.EYSBURG PA L7G]43 it '7 1 =_, ~7fi pIFf;T 1ICr1 F-,'yiF' i:(. :~_1 .',.,i ,., >-.~.} +,r t :,} f {'IF~:;I LIEN l:P.I 4::,'L:D__.__.-..-~ . e ~II UATE ~Ir _ pir~Ea~L. l; Fr, _---._ 1 ? y fl AUl'YIUHI7EU REPHESENr A'flyE' 11rr , I~ MAILIPH AHCIHE:iS ~. !. ,1,:: f,.C = ~r;.11 ~ ';~;~-~,~.'~~~ SETTS` J GTNG:RICH ~a~li ARTHUR H L.EN'T`Z p~'r-I ~ 207 EDNA aT ~,',. "' WORML.EYSBURG PA L7Q43 `~ '' II ,~~,' ~:~ ~ 8'~ Q:~~~.'~ ~ ~1$ PfPARTibEYI~P 6F TRANSIT?N,TA~f;Ofl ALLEN D BTEHLE._R I ~lil I J 1 I Iss nr: urar.IJl rucorAa nl the F'ennsylval~_f)ey? Nle!L-_...____ - _----.__- _ --.- .. - _. _ orl nrr .1~„ilnlSo ...la -r mAl Il u, pu:.un(s) or company name) herelp Is the .lawful owner: of mr .:IiU oa+d.: W. - ticrr Inrc nY t ram:pnrnluon ~• i+~~1$rG9~'rvFiji2 '~~E.•. M.. .y , -• -. -~.. wb1Cr~~Lx.Ri.P:)YCX _. ,,.,. ~~ If a co-purchaser other than your spouse Is listed and'you ivklnt the lino w :_. li. ;,1 [)!5[1HfIJl.L it--!: sv'nmFl ~~'be IIs1oU as 'J~int Tanant_v with Ru7ht o[ Survivorship" (On [teeth of en[I I' Yn 0f_Fr)Ht FdE. f~r1 unY -.. - YrAn_~~ owner. title goes to sufviviny ~iwnar) CHECK I~IEHE CL OthErwlse, the nue ~' ~i------- •- -- --'~ -""- will he issued as 'Tenants of CCmm~op (Un death of ono :)rl ar int[irn~sl of 1 {t 5L~ ~ deceased ownor guts lJ hisihHl nalrz or a late).` _ f+_~.; ,?!' il!_Ir I.h r• r3flFinnL.L ~'`~fJ1iS~.nl ~ If- NQ LIEN. rl IECK (~ IS PHIS AN FI T~ (If YE`;, fIN gEl7UlgEl. 1 YCti i. ~ N[);. ! 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O r N M 'et ~ CO h 00 Q~ O e- r e- e- e- r- r- r e- e- r- N N m 00 0 06123M NM 017 42214 ARTHUR H LENT2 1:L4 NORTH HIGH S7 DUNCANNON PA 1.7020 SELECTED ArCC0UN1' SUMhFARY: '. __ ACCOUNT ACCOUNT INTEREST EARNED MATURITY' ENDING TYPE NUMBER YEAR-TO-DATE DATE BgLANEE-` M&T CLASSIC CHECKING M/INTEREST RELATIONSHIP SAVINGS TOTAL DEPOSITS 000009850851560 015004220421579 0.02 0.02 843.07 49.80 942.87 ACCOUNT ARTHUR H LENTZ ~M&T CLASSIC CHECKING W/INTEREST TITLE ACCOUNT NO. 9850851560 NEST SHORE PLAZA INTEREST EARNED FOR STATEMENT PERIOD 0.00 w (^~`n 11UT CIIMMADV BEGINNING: BALANCE OEROSITS & OTHER ADDITIONS - - - - - - - ; CHEEKS .PAID OTHER! Sl1BTRACTIONS ;!CURRENT.; INTEREST PD ? .:.:ENDING ; BALANCE NO. AMOUNT NO. AMOUNT NO. AMOUNT 953.56 3 1,348.46 0 0.00 6 1,408.96 0.01 893.07 ecrnuNT nCTTViTV POSTING.. DATE _ <, TRANSACTION.QESCRIPTIDN-: DEPOSITS; INTEREST B OTHER ADDITiONS CHECKS:B-OTriER;; SUBTRACTIONS - :: DAILY,:. BALANCE 03=25=1X ---- __ _- -- --- BEGINNING- BALiiNCE- 5953.56 03-29-11 DEPOSIT 233.25 ' 1,186.81 04-01-11 US TREASURY 303 XXSOC SEC 1,037.00 04-01-11 TRESSLER - LUTHE PENS PMTS 78.21 ~' 04-01-11 FREEDOMBLUE FREEDOMEFT 161.00 2,141.02 04-04-11 In Branch TransfiarlNithdravral 25.00 2,116.02 04-06-11 REVERSE DIRECT DEPOSIT 1,037.00 1,079.02 04-13-11 STATE AUTO COS. E-PAY 71.75 1,007.27 04-18-11 TRESSLER - LUTHE REVERSAL 78.21 929.06 04-19-11 GOODVILLE MUTUAL INSURANCE 36.00 893.Ob 04-22-11 INTEREST PAYMENT D.O1 893.07 ENDING BALANCE 5893.07 i nnae iaim~ .. ~ - - .. .. _ _.. _- -_.. __.. 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 awned 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 iri advance for your attention to this matter. Michael R. Bomberger Debbie S. Bomberger APART.EV~NT LEASE AGREEMENT Fage Y of 3 The Landlords are: Mr. Arthur Lentz Phone: 737-5777 ~--~ The Tenant is: ii~~~ ~~f ~ ~6~,` ~ ~. ~ ~ ~'!: !~~-~-.~ ***Q~'~aly pe~-son~s listed a6o~e are to reside at this residences •,~ Location: /1/.5 sf~%~~~ ~ci~ ~~,6'~I~~~~.,.~ ~~ / ~r~.s7~ %~; - ~~ E ~ * ~` Security Deposit is l~®~` Rent! IVlonthly Rental of: ~ ~~d. G 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 6e included at time the rent is paid. ***~ rent is trot paid h~the 15~' of the month4 the lease will be ended aa~d the tenant ~Il be men written notice to move out within 15 days. Term of Lease: Minimum 12 Months From To ***Minimnm (i0-day move-out WRrITEN notice required prior to the end of the month that you intend to move. Utilities Paid By: RESPONSIBLIT~S (initian _ Water Sewer _ Electric Cable TV _ Telephone _ _Renter,~j Building Insurance Gas Y~Landl©rd is N®T responsible for any accidents occnarriaag on prernisess ~:~l.e-ase is aaatoaa~a~a~ll~ ~-e~aewed each year after ez~irati©~t date. TENANT IS .RESPONSIBLE FOR: Page 2 of 3 ~~~~ Contacting utilities immediately to be put into your name IT IS YOUR RESPONSIBILITY TO OBTAIN TENANT INSURANCE ON YOUR. PERSONAL BELONGINGS. Landlord is NOT 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 clearL Keeping noise level reasonable. Contact landlord regarding all repairs. I~IO repairs may be made without landlords' approval. NO repairs may be deducted from rent. (contact landlord immediately) No waterbeds in apartments. Apartments are ~~®Kt; I+'REE! ABSOLBJTEL'Y N® PETS A.LI.,O~E199 (No Pet-Sitting in apartments) (NO CATS No gluing any objects to cabinets, doors, or walls, etc. No stick-on Books to be used. No wallpaper of aay kind, including borders, stenciling, etc. If there is any .damage to window screens during your occupancy, von will be responsible for replacing ti~em before You move out Landlord nay :inspect the apartment at any time white tenan# is present. Tenants renting on Ilse second floor are responsible for keeping_tb~ step~cleaaat all_ times.----- - - - -- Aff3S®I~U~'.~LY NO VEirIIC€,ES ON TAE PR®P1±.t2TY TRAT A~ RdOT II+T RI7N1~TtNG CGNDITI®N Page 3 of 3 ~`I1yAh A:PAR~IV~NT wG CHECKZIST -~ ~ - Generai: Throughout the entire apartment) 1. Remove ALL trash from apartment_ 2. Vacuum/Wash all floors.. Carpets will be professionally cleaned and cost wil"1 be deducted from your securityposit. Do HOT rent a carpet cleaner. 3 .'Walls must be free of all nails, tacks,. marks. etc. Holes must be suackled .and -sanded. 4. Clean (wash) windows, and blinds or replace blinds with new ones. 5. Replace all burned-out li t bulbs. 6. debris removed from afl cabinets and wiped Clown inside and out_ 7. All appliances must be thoroughly washed and oven cleaned. Bathra-om: 1. Tub, toilet, and basins must be cleaned of all film, soap residue, marks, etc. 2.-Clean -exhaust fan, -and neplase -anyburned-out lightbulbs 3. Floors must be cleaned and washed up. I~tehen: 1. Clean oven, racks, and stove top of all residue. Replace burner plates, if necessary. 2. Fmpty rcfriger~ox. Ci~n ull. zacks~, shelvcs~ ~~. W. _ash outside of refri~ierator. ~ _ Fire must be cleaned agd washed ut~. You must schedule an appointment with Landlord for a walk through before handing in keys is order to have yam ~tY depusirt mailed to you. - When you move into the apartment, all of the above-mentioned items on the checklist have been compieteci. 'When you move out, the same is expected of you. Uwe have read the checklist=_and agree to_complete.ah--items-prio~to returning the-keys-. I~we understand that'if These taste are not completed andlor there is damage to the apartment, that charges for cleaning andJor repasts will be deducted from mylour security deposit. r~"- . e s) ignature Date: ~ 3o i© .1 Tenant(s) Signature Date: ,r' ~,c, - JCI