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Home My WebLink About10-04-12 (2) 1505610105 REV-1500 EX (02-11) (FI) OFFICIAL USE ONLY PA Department of Revenue pennsylvania ~~~a~,-~,E~„~~~ -~-~-~.~.~F Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 2 8o6o1 County Code Year ~ File Number r g Harrisbur , PA 1']128-0601 R ESIDENT DECEDENT ~~ ~ ~ ~ r ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 196-14-3804 10/03/2011 07/20/1923 Decedent's Last Name Suffix Decedent's First Name MI PROKOP-VLADYKA FREDA (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 ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (Date of Death Prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) CtiQ 6. Decedent Died Testate O 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 O 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 TO: Name Daytime Telephone Number STEVE C NICHOLAS EXECUTOR (717) 540-7746 -.~:~ First Line of Address 2215 FOREST HILLS DRIVE Second Line of Address SUITE 37 City or Post Office HARRISBURG Correspondent's a-mail address: State ZIP Code PA 17112 REGISTER Vy11.LS USE O ~ ' ~ ~ \ ..../ G,"~ '~"' ~C7 cT=~ C..'a '~ ~ C~~ V _ ~~ ._~ ~ D FILED CAD ~• ~~~ ~_~ ! ~ _J ~. - .___., -: r. .._i _~,.: ~~ n .. i`- ~-~-' ~'~ O ~r~ 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, corr and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU f~,RES SIBI,E FO (LING RETURN ~ DATE ~ ADDRESS ~ 2215 FOREST HILLS DRIVE, SUITE 37, HARRISBURG, PA 17112 SI TURE OF PREy~tR~ OT1~R T(;~N REPRESENTATIVE DATE ( I 3 I ~ a- 5 FOREST HILLS DRIVE, SUITE 37, HARRISBURG, PA 17112 PLEASE USE ORIGINAL FORM ONLY L 1505610105 Side 1 1505610105 ~1 J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decedent's Name: FREDA PROKOP-VLADYKA 196-14-3804 RECAPITULATION 1. Real Estate (Schedule A) ........................................ ..... 1. 120,536.00 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. 1,377,266.33 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. 1,497,802.33 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 29,649.93 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) .......... ..... 10. 8,535.20 11. Total Deductions (total Lines 9 and 10) ............................ ..... 11. 38,185.13 12. Net Value of Estate (Line 8 minus Line 11) ......................... ..... 12. 1,459,617.20 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ................... ..... 13. 1,318,655.48 14. Net Value Subject to Tax (Line 12 minus Line 13) ................... ..... 14. 140,961.72 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 _ 1 5. 16. Amount of Line 14 taxable at lineal rate X .0 _ 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 1 s. Amount of Line 14 taxable 140 961.72 at collateral rate X .15 18. 21 144.26 19. TAX DUE .................................................... ..... 19. 21,144.26 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Cl~ Side 2 1505610205 1505610205 J REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 21,144.26 2. Credits/Payments A. Prior Payments 21,500.00 B. Discount 1,131.58 Total Credits (A + B) (2) 22,631.58 3. Interest (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 1,487.32 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 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? ........................................................................................................................ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (11-08) ~ pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF FILE NUMBER FREDA PROKOP-VLADYKA 21-11-1196 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. 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• 119 W. Clearview Drive, Camp Hill, PA 17011 120,536.00 Hampden Township, Cumberland County -Tax Parcel #10-21-0279-100 (Sale pending -See attached Agreement of Sale dated September 12, 2012) NOTE: The assessed value of the property is $136,400 (See attached 2012-13 School Tax bill for assessment information). The CLR for Cumberland County is 1.00 which equals a fair market value of $136,400. The property is in need of extensive repairs totaling $17,110. (See attached estimate/proposal from Mione Family, Inc.) TOTAL (Also enter on Line 1, Recapitulation.) I $ 120,536.00 If more space is needed, insert additional sheets of the same size. REV-i5o8 EX+ (o8-1z) i pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: FREDA PROKOP-VLADYKA 21-11-1196 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. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Capital Financial Services, Inc. -Brokerage Account #N8T-031903 213,234.00 2, Citizens Bank -Account #xxxxxx409-4 110,118.19 3. Fulton Bank -Account #xxxx-x6611 114,372.84 4. M&T Bank -Account #xxxxxx5714 35.08 5, M&T Bank -Account #xxxxxxxxxx7181 111,627.90 g. Members 1st FCU -Account #xxxxxx5113-S0042 105,495.63 7, Mid Penn Bank -Account #9365 106,609.11 g. PNC Bank -Account #xxxxxx2569 42 777.99 g, PNC Bank -Account #xxxxxx2585 9,584.69 10. PNC Bank -Account #xxxxxx3735 92,083.04 11. PNC Bank -Account #xxxxxx8643 (John L. Prokop Estate Checking Account -see Exhibit A for details) 72,169.76 12. PSECU -Account #8448xxxxxxS1 439.77 13. PSECU -Account #8448xxxxxxS52 110,423.48 14. Sovereign Bank -Account #xxxxxx2594 15,240.69 15. Sovereign Bank -Account #xxxxxx2864 159,137.69 16. Sovereign Bank -Account #xxxxxx2929 110,531.87 17, MetLife -Dividend 25.90 1 g. House Beautiful -Refund 17.42 1 g. Heritage Medical Group -Refund 86.54 20. US Treasury - 2011 Income Tax Refund 2,002.00 21. PA Dept of Revenue - 2011 Income Tax Refund 240.00 22. PA SERS -Final Settlement 1 012.74 TOTAL (Also enter on Line 5, Recapitulation) $ I 1,377,266.33 If more space is needed, use additional sheets of paper of the same size. JOHN L. PROKOP ESTATE ACCOUNT - PNC BANK, NA (#xxxxxx8643) BALANCE ON 10/3/2011 LESS Atty's fees/costs as per John's PA-1500 filed 12/9/2011 TAXABLE RECEIPTS ON FREDA PROKOP-VLADYKA PA-1500 12/16/11 Metlife -Dividend 02/03/12 Nationwide Ins -Refund Policy #5837D 386539 Nationwide Ins -Refund Policy #5837DP175781 03/09/12 Nationwide Ins -Refund Policy#5837DP175781 Patriot-News -Refund 04/09/ 12 AT&T -Refund CVS Pharmacy -Refund Nationwide Ins -Refund Policy #5837MP651925 08/09/12 2011 US Income Tax Refund (John L Prokop) Total Receipts BILLS PAID - TO LIST ON FREDA PROKOP-VLADYKA PA-1500 01/05/12 172 Nationwide Insurance -Homeowners 173 PPL 01/13/12 174 ATT 175 PPL 176 Hampden Township Authority 177 Cumberland Valley Tree Service 02/06/12 178 Nationwide Insurance -Homeowners 02/13/12 179 ATT 180 Katrin Walker -Carpet Cleaning 04/04/12 181 Michael Langan, Treasurer - 2012 County/Twp Real Estate Taxes 04/06/ 12 182 Hampden Twp Authority 04/13/12 183 Schreckengaust Associates 2011 Tax Prep (Personal & Estate) 04/ 16/ 12 184 PA Dept of Revenue - 2011 PA-40 185 PA Dept of Revenue - 2011 PA-41 06/12/12 187 Register of Wills -Short Certificate Total Deductions VALUE OF ASSET $91,758.20 -18,560.00 $73,198.20 33.30 5.20 77.00 420.00 29.55 17.17 53.36 26.10 +1,555.68 $74,753.88 505.00 43.08 48.86 1.24 155.05 295.00 420.00 51.38 106.00 294.21 155.05 341.25 163.00 1.00 - 2,584.12 $72,169.76 EXHIBIT "A" REV-1511 EX+ (10-09) r pennsylvania DEPARTMENT OFREVENUF INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER FREDA PROKOP-VLADYKA 21-11-1196 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Funeral -Neill Funeral Home 8,742.92 2. Burial -East Harrisburg Cemetery & Cremation Services 1,138.60 s. Honorarium -Father Mark Lichtenstein 200.00 a. Flowers at 40-day Service -Holy Trinity Greek Orthodox Cathedral 60.00 5. Coffee Hour at 40-day Service - Philoptochos Society 50.00 s. Koliva at 40-day Service -Sophia Kaldes 120.00 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address City _-- - - - - _.......... -- ---- - -- ----- - - ..._ ---- - __-- --- -State --------ZIP Relationship of Claimant to Decedent 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: ~~ Short Certs/Inheritance Taxes/Inventory Fees - Register of Wills s. Advertising -Cumberland Law Journal/The Sentinel 9. Postagelcopies/notary -Nicholas Law Offices, PC 15,000.00 993.50 2,998.75 46.00 275.16 25.00 TOTAL (Also enter on Line 9, Recapitulation) I $ 29,649.93 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) ~ pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER FREDA PROKOP-VLADYKA 21-11-1196 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 • Country Meadows Associates -Final bill 277.51 2. Golden Lvingcenters-Camp Hill -Final bill 3,201.46 3. Omnicare-CCRx Harrisburg -Final bill 12.72 4. West Shore EMS-BLS -Final bill 111.25 5. ATT Mobility -Final bill 109.09 6. PSERS -Reimbursement for payment after DOD (1015111 to 11 /30/11) 1,924.21 7. OPI -Final bill 15.00 8. Pharmerica -Final bill 18.00 9. Barbara Brinley -Caregiver/companion (time & milage - 9120111 / to 1012111) 1,087.78 10. PA Dept of Revenue - 2011 PA-41 1.00 11. Cumberland Valley Tree Service -Open account 180.00 12. Katrin Walker -Reimbursement for A/C repair 179.26 13. Hampden Township Authority -Open account 310.10 14. Michael Langan, Treasurer - 2012-13 School Real Estate Tax 1,107.82 TOTAL (Also enter on Line 10, Recapitulation) I $ 8,535.20 If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) ~ pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: FREDA PROKOP-VLADYKA 21-11-1196 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] i. Katherine Rose Kamowski, 1826 Willow Road, Camp Hill, PA 17011 Goddaughter $140,961.72 (10% of residual estate) ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. Ignatios and Anastasia Prokop/John L. Prokop and Freda Prokop-Vladyka Scholarship Fund Shippensburg University Foundation, 500 Newburg Road, Shippensburg, PA 17257 25,000.00 2. ~ Holy Trinity Greek Orthodox Cathedral Sunday School, 1000 Yverdon Dr., Camp Hill, PA 17011 ~ 25,000.00 SEE EXHIBIT "A" ATTACHED HERETO FOR ADDITIONAL CHARITABLE DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size. 1,318,655.48 SCHEDULE J BENEFICIARIES Estate of Freda Projop-Vladyka File Number: 21-11-1196 B. Nontaxable Distributions -Continued Amount or No. Name /Address of Beneficiary Share of Estate 3. John L. Prokop/Order of Ahepa, Harrisburg Chapter $634,327.74 No. 64 Merit Scholarship Trust Fund Holy Trinity Greek Orthodox Cathedral ATTN: Order of Ahepa 1000 Yverdon Drive Camp Hill, PA 17011 (45% of residual Estate) 4. Holy Trinity Greek Orthodox Cathedral $634,327.74 1000 Yverdon Drive Camp Hill, PA 17011 (45% of residual Estate) Prokop Vladyka Freda Will scn/will LAST WILL AND TESTAMENT OF FREDA PROKOP VLADYKA I, FREDA PROKOP VLADYKA, of 119 W. Clearview Drive, Camp Hill, Cumberland County, Pennsylvania 17011, declare this to be my Last Will and revoke any Will or Codicil previously made by me. ITEM I: I direct that all expenses of my last illness and funeral, including my grave marker and perpetual care, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as apart of the expense of the administration of my estate, without apportionment. ITEM III: a. My Brother, JOHN L. PROKOP established the IGNATIOS and ANASTASIA PROKOP/JOHN L. PROKOP SCHOLARSHIP FUND at Shippensburg University/Shippensburg University Foundation in year 2005 in memorial tribute to our parents. I wish to endow a second IGNATIOS and ANASTASIA PROKOP/JOHN L. PROKOP and FREDA PROKOP VLADYKA SCHOLARSHIP FUND with a gift and therefore I give, devise and bequeath the sum of Twenty Five Thousand Dollars ($25,000.00) to the Shippensburg University/Shippensburg University Foundation to establish this Scholarship. If possible, it is my wish and desire that the two scholarship funds be combined and be known as the IGNATIOS and ANASTASIA PROKOP/JOHN L. PROKOP and FREDA PROKOP VLADYKA SCHOLARSHIP FUND. I further direct that the guidelines my Brother, JOHN L. PROKOP, established for the first scholarship, be and constitute the guidelines for the Scholarship endowed by this bequest. b. I give, devise and bequeath the sum of Twenty-five Thousand Dollars ($25,000.00) to the HOLY TRINITY GREEK ORTHODOX CATHEDRAL SUNDAY SCHOOL to further the needs of the beloved Sunday School students of our Cathedral. ITEM IV: I give, devise and bequeath all the rest, residue, and remainder of my Estate of every nature and wherever situate, as follows: a. I give, devise and bequeath ten (10%) per cent of the remaining balance of my Estate to my God-Daughter, KATHERINE ROSE I~'.AMOWSKI providing that she survives me by ninety (90) days. b. I give, devise and bequeath forty-five (45%) per cent of the remaining balance of my Estate to establish the JOHN L.. PROKOP/ORDER OF AHEPA, HARRISBURG CHAPTER NO. 64 MERIT SCHOLARSHIP TRUST FUND. This is intended to be a restricted trust with the income to be used to provide scholarships to children of Stewards of the Holy Trinity Greek Orthodox Cathedral who further their education following secondary school graduation. It is my desire that a Committee selected by the Officers of the Order of AHEPA, Harrisburg Chapter No. 64, establish the guidelines for the scholarships. The Trust funds shall then be administered in accordance with the rules and regulations established by the HOLY TRINITY GREEK ORTHODOX CATHEDRAL ENDOWMENT TRUST COMMITTEE. c. I give, devise and bequeath forty-five (45%) per cent of the remaining balance of my Estate to the HOLY TRINITY GREEK ORTHODOX CATHEDRAL to be used for capital improvements to our Cathedral. ITEM V: I hereby authorize and empower my Executor hereinafter named to sell all of the real property and any or all of the personal property not specifically bequeathed herein, which I may own or to which I am entitled at the time of my death, in the sole discretion of my Executor at private or public sale, without an Order of Court, at such time or times and upon such terms as the said Executor shall deem proper for the best interests of my estate or of my beneficiaries, thereby converting the same into cash. I further authorize and empower my said Executor to execute, acknowledge and deliver all proper writings and deeds of conveyance and transfer thereof. ITEM VI: The principal and income of any bequests and trusts created hereunder shall be free from anticipation, assignment, pledge or obligation of any beneficiaries and shall not be subject to any execution or attachment or to voluntary or involuntary alienation. ITEM VII: I appoint my attorney, STEVE C. NICHOLAS, ESQUIRE, Executor of this, my Last Will. ITEM VIII: I direct that my Executor or his successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ ` day of ~..- 2011. .~ ~~, r FREDA PROKOP VLADYKA 2 The preceding instrument, consisting of this and two (2) other typewritten pages i entified by the signature of the Testatrix, was on the day and date thereof signed, published and declared by FREDA PROKOP VLADYKA, the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses hereto. ~: ~"'' ..~ ;~ ! ~< S! r ~. of /' , i ~~j'~4~f3 AYR ~~ s 6 P ~,~ R Y I f 3 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS. I, FREDA PROKOP VLADYKA, the Testatrix 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 that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by FREDA PROKOP VLADYKA this ~ ~~" day of ~;:~_ :~ ~- , 2011. --°;_ .;, FREDA PROKOP-'VLADY`KA ~ e / Notary i'ublic co~~rowv~.n~ of ~nv~-raw ~~+NC3'~I~AU~L SEf~. i ~ ~ i~IiXNLI~is Lowe- P~ot~ Twp., twin ~~ ,iane 2Q 20 3 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS. WE, the undersigned 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 the Testatrix, sign and execute the instrument as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. -~~ Sworn to or affirmed and subscribed before me by the undersigned witnesses, this day of ~ ~~ ~ cC.. , 2011. r~a~ ~ f~/~faArt t` ~ ~ qy ~` e ~`r~ Witness ~~ ,,~s ~~ Witn ss ~ '4 Notary Public ~ of nv~w NOTARlAl. SEAL CHRfSTMIA 1. I~HOLAS, Notary Public i~ow~er Paxton 7wp., Dauphin: Cowriy My Commis~iort Exp~+es ,lime 20, 243 5 7c. ~•P '~ 63 Prokop Com°ct;~,e Deeti/re/cln Tax Parcel No. 10-21-0279-100 CORRECTIVE DEED THIS DEED made the 8th day of January, 2008. BETWEEN JOHN L. PROKOP, an adult man, Party of the First Part, GR-AI~TTOR, AN-D JOHN L. PROKOP, an adult man, Party of the Second Part, GRANTEE, KT. H,IeS TRANSFER IS FROM SELF TO SELF AND, n,~~1~1:J1 ~! ,~ T i il'~ ~,, Ll'~-F.~z~D Y ~ ROivI ~,Ai, l~~ T .kcANS~'ER TAXES Tr~is is a Corrective Deed to correct the metes and bounds description in the prior Deed description in Deed Book C, Volume 20 at Page 322, so that the property will properly close from the beginning point to the ending point. See the Plan of Property of John L. Prokop by Michael C. D'Angelo, PLS, Consulting Land Surveyor, attached hereto as Exhibit "A" and made apart hereof. ~ F_ s ~,, `'~~'?"~`~ES~~~'I-I_ 'That the said GRANTER for and in consideration of the sum of One and 00/100 (51.00) Dollar and other good and valuable considerations paid by the said GRANTEE to the said GRANTOR, at and before the signing and delivery of these presents, the z~eceipt of which is hereby acknowledged, has granted, bargained, sold, and conveyed, and by these presents does grant, bargain, sell, and convey unto the said GRANTEE and GRANTEE' S heirs, successors and assigns the premises described as follows: ALL THAT CERTAIN piece or parcel of land in the Township Hampden, County of Cumberland and Commonwealth of Pennsylvania, being more fully described as follows: BEGI]~TNING at a point, said point being located on the eastern right-of--way line of V`Test ~:learvzcw _ujzve, at the western tennixlus or the Q.greeo-i.ipCii ul V l~.llr'laJ lliili VA Ia11.1.5 V1 .iv:ili .ice. Prokop and Gary Lee Mowery et al., said point beings referenced 205.65 feet (previously erroneously stated as 200.13 feet) north of the northwest intersection of Courtland Street and West Clearview Drive; thence by the eastern right-of--way line of West Clearview Drive, by a curve to the right having a radius of 430.96 feet an arc distance of 91.61 feet to an iron pin set at the dividing line of lands of John L. Prokop and the southern line of lands of Kathleen M. Aller. identified as Lot No. 166 Revised; thence by same North 68 degrees 46 minutes 24 seconds East, a dzstazZCe of 109.55 feet to an iron rod (cam shaft) found on the line of Lot No. 113; thence by tl~e same and part of Lot No. 114, South 19 degrees 39 minutes 00 seconds East a distance of ?4.45 feet to an iron pin set at the eastern terminus of the agreed-upon dividing line of lands of John L. Prokop and Gary Lee IVlower et al.; thence by the same South 59 degrees 16 minutes OS seconds West a distance of 100.96 feet to an iron pin, the place of BEGI]~NII~TG. BEING Lot No. 155 Revised, containing 8,826.4 square feet, as shown on Final Subdivision Plan of Clearview Farms, Section 2 & 3, recorded in Cumberland County Plan Book 9 at Page 6 and being subject to all easements of record. The foregoing description is based on a Plan prepared by Michael C. D'Angelo, P.L.S., titled Plan of Property for John L. Prokop, dated November 6, 2007, bearing Drawing No. 98-60. BEING THE SAME PREMISES WHICH Nelson Improvement & Development Corporation, a Pennsylvania Corporation, by its Deed dated January 10, 1961 and recorded January 10, 1961 in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania in Deed Book C, Volume 20, at Page 322, transferred and conveyed unto John L. Prokop, adult man, GRANTOR herein. TOGETHER with all buildings, improvements, woods, ways, rights. liberties, r~rivile~Ps, hereditaments and appurtenances, to the same belon in or in any way appertaining, and any revisions, remainders, rents, issues and rofits thereof g~ p ,and of every part and parcel thereof, including any interests specifically set forth herein, if any. And also, all the estate, right, title, interest, property, possession, claim and demand whatsoever, both in law and equity, of the GRANTOR of, zn and to the same. TO HAVE AND TO HOLD the said premises, and the appurtenances, hereby granted to GRANTEE and GRANTEE'S heirs, successors and assigns, to and for the only proper use, -. rte.,; l:~^ -,± tj't~ c. ~ !'~ Jl~livli:. ::cli..: V'viav~.•' ; ., ~~~ ` ,_,~-~ .,t~: .:_,.~ ~ ~.. ~ ~ _~, ~.~~ =R,a?~TTEE and GP,.~~?~TTEE'~ ~ ;,- ,. ` ~. ~~ells;. successors and assigns forever, under and subject to conditions of record. AND the said GRANTOR hereby covenants and agrees that GRANTOR will specially warrant the property hereby conveyed. IN WITNESS WHEREOF, the said GRANTOR has hereunto set his hand and seal the day and year first above written. SIGNED, SEALED and DELIVERED IN T1=iE PRESENCE OF ~ZTN~ESS JOIN L. PROKOP COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN On the 8th day of January, 2008, before me, a Notary Public in and for said County and State, the undersigned officer, personally appeared JOHN L. PROKOP, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained, and desired the same might be recorded as such. IN WITNESS WHEREOF, I hereunto set my hand and official seal. f _.. .;' ~ _~ - ---.. CO#r1~VtCiNWEALTH OF `r--'' ""`~•-`'~s ``' __ ~ _ _,;:''' , ~ ~w-:;~. l P.ENbtSYLVANEA l~fOTAR1Ai` SEA#. CHRIs'fif~1A L. ~iCHOLAS. ~otaxy Pubs i..ower Ri~xt~n 'Fwp., Dauphin C~t~r~#y .- ~ . Coaunissi~n Expires Jcxie 20, 2fN~9 + Notary Public 3c~kk~c~~3cx~Y~F3c:F~c~3c~Y3c:F:F~k9c~~c~F~x~~k~~F~~F~~c3c~F~x~c~c:F~F9ckxk~F~~~~F~:~F~~~c3e~~ckxx~~F~F~~F:F3c~~F~c~~~x CERTIFICATE OF RESIDENCE I hereby certify that the precise address of the Grantee herein is: 119 W. Clearview Drive Camp Hill, PA 17011-4023 Agent for Grantee ~,~„ ~-TaTux,~ ~ cy ~ h~~~~~ `' C ~.C'~ ~ O q ~ v~ QV ~ y~.h p o ~ry~o;~N Q ~ -~ ~~ o a~ O o ry~~ ~~ ~ 0~ ,y a` m ~ ~ 0~0 ~ d~V~m~~ g h C O c ~,o',~ ~ m 0 pc~i4ZpZ . „ ~b ~ ~ ° c° ~'~' Z~WQ '~~OZ `' ~w v.. C O O Q-~~ O ~~~~~~ h m ~a~ v ~~ m~=- ~ o ~' .b C O -.., m ~ m v ~ Q ~~ ~ ~ a a'~ ~ 4~ ~ h ~ C ~p t~ ~~~ (O ~m~ ~ Z ~~ ~°° e r~ 4~ ~~ . 74.45' w ~ ~ ~ a .v ~ ~ WQ o m ~ a ~ry~ ~iC o ~~~ ~ eh ~m~ ~~~ ° 00 0 ~Q~ 0 ~ ~ V ~w Q~ 40' ~ ~ ~ Q S 9:39'O ~" E Q 30.32' 49.87' y v~ 80.19' ,, ~ ~ o~ o _; h _ I ~ o~` ~ ~ ~ _ ,., ~ ~a O J ~ ~ I ~ ~ ~~ ~, ~ i ~. 2~ ~ '; 1. _~ #'Y j~K i p~N~ ~~ ~~ 1 i N V ~~ ~1 .r~~J~ ~ ~~ ____---- T ~L~~~~f ~~. ~~.5 ~ 26 ~ ~R~,Ay --_ 50 ~/~' J~--~' ~..~ ~ ~ m w '~~ ~ .t~. ` w ti ~' ~ i ~ ,y1`~o 1 1 -s ~t 1 ~ ~ ~ : ~ - h ~ ~~ Nv- h:, h~ ~, ; ~o~Z~~ ~' N~ C~~a ~, ~~~~zry i' oo~~~o v ~~ h V ~ ~ ~~ ~ ~ o~ ~ ~ ~ ~ ~ 4 ~I tl ~ ~~ V m V ~ ,Q~~~C~~ d~~mUti d Z d Y ~ m~ ~ ~ ~ O Z~ ~ 1 orn o ° ~z} ;~ ~ ~ ~ ~ °~z z ~ ~ us ~ ~ ~ OUP ~ O J ~ = ~ a ~ w ~ ~~ Z O ~ o ~~ ~ ~ ° ~ o U !~ T r- a' ~ W b a~ V"~ U V} Q ^ ~~ +,. W~~ ~ ~ ~''` o a Q U ~ fl ~m°O~ _ ~ z ~ _ _ ~ - ~ ,~ a ~Cr V ~ ~' ~ h- W W ~ Q~ .-~ U m / / _ _ ~~ U Li! W m = O -- - -- ~ ~~~o s ~-~oa ~~~~W~ aZ~ ~~Z~Z~~ o~ ~oWa ~~~~ ~~~ o~~~Q~C~ ~~~~4~~ v ~p h~~~ ~Q~ ~~ ~ ~ W ~~~~~~~ ~~o~~W ~~~~ ~°~ oQ~o ~ovQ ~~~~ ~~Z Z~40 Z~Z Cf~ J ~ --l O ~ i1J o o coo ~ ~ ~ o > Q z ~ ~ r- ~ c~ ~ U Z iU ~ -Q ~ c o ~ N ~ s L1.! ~ `~ ~ ,Q z p ~ C ROBERT P. ZIEGLER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 717-240-6370 Instrument Number - 200802194 Recorded On 1/22/2008 At 1:30:35 PM X Instrument Type -DEED Invoice Number - 12943 User ID - KW x Grantor - PROKOP, JOHN L Y Grantee - PROKOP JOHN L , * Customer -NICHOLAS LAW O FFICES "FEES STATE WRIT TAX $0.50 STATE JCS/ACCESS TO $10.00 JUSTICE RECORDING FEES - $12.50 RECORDER OF DEEDS AFFORDABLE HOUSING $11.50 COUNTY ARCHIVES FEE $2.00 R~iD ARCHIVES FEE $3.00 CUMBERLAND VALLEY SCHOOL $0.00 DISTRICT HAMPDEN TOWNSHIP $0.00 TOTAL PAID $39.50 X Total Pages - 6 Certification Page DO NOT DETACH This page is now part of this legal document. I Certify this to be recorded in Cumberland County PA ~ ~:: ~~ C ~.\~~_=/:;-~ ~ RECORDER O D EDS ~~f ~73fl ~% -Information denoted by an asterisk may change during the verification process and may not be reflected on this page. IIIIlllll~ll'l illlllllIIICI REV-183 EX (11-04) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280603 HARRISBURG PA 17128-0603 REALTY TRANSFER TAX STATEMENT OF VALUE See Reverse for Instructions RECORDER'S USE ONLY State Tax Paid Book Number Page Number Date Recorded complete each section and file in duplicate with Recorder of Deeds when (1) the full value/consideration is not set forth in the deed, (2) when the deed is without consideration, or by gift, or (3) a tax exemption is claimed. A Statement of Value is not required if the transfer is wholly exempt from tax based on: (1) family relationship or (2) public utility easement. If more space is needed, attach additional sheet(s). A. CORRESPONDENT -All in uiries ma be directed to the foflowin ~erson: 1 Name STEVE C. NICHOLAS, ESQ. Telephone Number: Street Address (717) 540-7746 2215 FOREST HILLS DRIVE, SUITE 37 Clty State Zip Code HARRISBURG PA 17112 B. TRANSFER DATA _ ~ Date of Acceptan f D uranior(s)/Lessor(s) JOHN L. PROKOP Ctroci D r7.i..,.-.. ce o ocument Grantee(s)/Lessee(s) JOHN L. PROKOP 119 W. CLEARVIEW DRIVE City State CAMP HILL PA C. PROPERTY LOCATION CFr~.-.• A J~1____ SVeet Address 119 W. CLEARVIEW DRIVE Zip Code City State Zip Code 17011 CAMP HILL PA 17011 va. vva i ~V VI GJJ 119 W. CLEARVIEW DRIVE County CUMBERLAND D. VALUATION DATA 1. Actual Cash Consideration 1.00 4. County Assessed Value 102,100.00 I E. EXEMPTION DATA 1 a. Amount of Exemption Claimed City, Township, Borough HAMPDEN TOWNSHIP School District Tax Parcel Number CUMBERLAND VALLEY 10-21-0279-100 2. Other Consideration + 0.00 5. Common Level r~a:;~ X 1.22 1b. Percentage of Interest Conveyed 2. Check Appropriate Box Beiow for Exemption Claimed 3. Total Consideration = 1.00 ti. F=air F~arket !~aiue = 124,562.00 ^ Will or intestate succession (Name of Decedent) (Estate File Number) ^ Transfer to industrial Development Agency. ^ Transfer to a trust. (Attach complete copy of trust agreement identifying all beneficiaries.) ^ Transfer between principal and agent. (Attach complete copy of agency/straw party agreement.) ^ Transfers to the Commonwealth, t he Unitad S'ra:es and Instrumvntw;itias by gift, dedication, condemnation or in lieu of condemnation. (If condemnation or in lieu of condemnation, attach copy of resolution.) ^ Transfer from mortgagor to a holder of a mortgage in default. Mortgage Book Number ,Page Number ® Corrective or confirmatory deed. (Attach complete copy of the prior deed being corrected or confirmed.} ^ Statutory corporate consolidation, merger or division. (Attach copy of articles.) ^ Other (Please explain exemption claimed, if other than listed above.) Under penalties of law, l declare that (..have examined this Statement, including accompanying information and too of my knowledge and belief, it is true, correct and complete. ~ the best ~I(a11a~~IC ~~ ~.u,responaeni or rtesponsible Party 1("~/~ , i a ~ ~. o~ ~ FAILURE TO COMPLETE THIS FORM PROPERLY OR ATTACH APPLICABLE DOCUMENTATION MAY RESULT IN THE RECORDER'S REFUSAL TO RECORD THE DEED. PAYABLE TO: Michael Langan, Treasurer/Tax Collector 230 S. Sporting Hill Road Mechanicsburg, PA 17050 BILL #: 08153 Hours: See Reverse MUNICIPALITY: Hampden Twp. BILL NO: 08153 Phone: 717-737-4822 PROPERTY: 119 W CLEARVIEW DRIVE BILL DATE: 7/1/2012 MAP CODE: 10-21-0279-100 PROKOP. JOHN I NOTICE OF PROPERTY TAX RELIEF Your enclosed tax bill includes a tax reduction for your homestead and/or farmstead property. As an eligible homestead and/or farmstead property owner, you have received tax relief through a homestead and/or farmstead exclusion which is provided under the Pennsylvania Taxpayer Relief Act, a law passed by tie ,,y Pennsylvania General Assembly designed to reduce your property taxed ~ r~ ~ ~, ~~~~ - THIS TAX IS DUE AND PAYABLE. YOU ARE HEREBY REQUESTED TO MAKE PAYMENT THEREOF. f~ ~~i1. PROKOP, JOHN L ~~,:~~~Ue C/O NICHOLAS LAW OFFICES, PC rax CO 2215 FOREST HILLS DR STE 37 HARRISBURG, PA 17112-1099 • ~ --• ~ ASSESSMENT $32,300 $104,100 $136,400 HOMESTEAD EXCLUSION $6,689 FARMSTEAD EXCLUSION $0 TE 8.715 8.715 Ft~JLL HOOL R/E TAX $281.49 $907.23 $1,188.72 LESS HOMESTEAD CREDIT $-58 29 ARMSTEAD CREDIT • 0.00 TAX AMOUNT DUE $1,107.82 ~. $1,130.43 $1,243.47 teCCOtlf Paid On or Before 10/31/12 12/17/12 NO CHECKS ACCEPTED AFTER DECEMBER 17, 2012 $376.81 I $376.81 I $376.81 On or before 8/15/12 On or before 9!15/12 On or before 10/15/12 ~'-~.. ~/ ~ ~~~~~~~ 3c~Z Prince Street 7{7.x.{.Q9{ ! i7.~4i.~7a~ i-ax ~ 4i';S3 ~~f~~~ ~t fit" Pijp,z~. 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F` ivTFi.+y i'~~j!rii ,li •t, aZ7ii~i TiPiaT i V;iia1 T V W;i tVVV6 c.KV;VV [.i;i V N_J.'..iiV K4 V a.RV V i t;V a11r K;iLi ;V T Vi SV T V;~ S ~+Llit4VV TT itt; L[V TT nr;~n~rl~; axnt~nr;~.ri rPr~~far~l~c. ~.' ...- r i Jam- 1 ~„ ~ r. ~.. in5t3ii are additional receptacle in living roam wa11'netween batlnroon~ and living ~ 3'~i~y;li j' LLi^iLL 122ar7LG11 _i i~S+S~•T kLL,+Upir.Gl~i3v 1 ill YY \°.i 2LrYkJ2 yY?11L1U {.iv~lrV4i. ~~ '~ .LiI.rJGGit2.Ql~.GE~i611i3FtCl~i.rar~+i.+•f~.i4Eb~r3r~_.,.I.ES.Eliy~~+CitsLS-L+3i.Lei.~.af.SiS.Q.~..i~J.F_F.t~i1'+r{aS ~lL.L~~4.iSS+aL4~?-.S+i.E..~.+4,~LL: ~ `tiiiriry v itita'~ i_L_~in7~ i(°iiv' r;~7 p:'r^, ;"a^i"o~ .-a i.~ fn n•{or. •,,., ~.,. ~ y,, c +o~ ,i-l. -J S•i _ _ S ~3: _s ~ re.~.ia~..~ _g~ 1i (_~_ n.(~~ _y°°,~^ a1X~>_.~ ~~ri ~f ~'~i•~i and in batnraom. ~ Supply7 and ins~uii a r~ew Ivutane ex~~au.st fare ~ ba{ihroom~. 'dew fan to be properly 1__-L_ 3 L_ ' :~.ltli:iC4~.1 ti~~T~1~~.~Iil3I`. ~ ,.~ ;~ .'1 .tzr-..'tJs~'.:d.;.~.:t'..Sb:JItC:+~~`uTlb ~.L t.T}~il'u:~uz~ 4:.t L!`e~CJiI~_uI3~'1 .dl~.t.T..'~GiC.IL~T~'.}~ C:~1~:.~` ~~I:rii.t'•~'i :.a.v ;. t7, lc r•rii ;(r •f+ vSir •il.~+ie =iiriii iiiiiii :( ~ ii ~iai~ti iirt(:Tirir~ri ~i5i of :(it=S Yl I. iRRiVi.lLKY1/ ;L,L ~jlVilVu Lf:.,Ly ~Jf''~~((TI St.f,1'~~'''{c.4 iLLl1 ,(1J-..tyL~(,i.si V T 1tsVV. ''(( T lYt.b t''„(j(G'~i.ati. 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C t7._ t 1 1 ~~=. y.+ ~a.~7v.:v ~•.st ..,~.~ua,-.. v `rt_` a tv ~&i: r s~:~.:.:::sca~:v Hill: vuf~i_:f~~CSSfii y ;t`:S'tiin:.r.;G. c.rctt 4'rUiACiS t}~G 1'JS: V.L;C>'v'L''!.C(i 1.:V ~%~'liliiilicfli': ~t711ip~F1S2iiivfl %[7a1i7.'aRi: f~ H~r~ J j~ J ~ t r /,r ij :~iithorizee Signa;ztre~li~ i ~~~ 1?pis p7_•opasat uzaay be «ithdra~vn by us ii` no€ _ _ /!~~ ii_'~s, .~.. F~:~ iy-~F.: it-+vSu iy Yi.~ o.. ...., .<...~, s... ~ , t ~v ~yc u;.+~:.... /::~.. ~.~~ ui:'-~i~._u:-G ~. n 3: E.: n.. .. F ., ,. _.. ` ::.iu ivii:,aR.::t$ ci"ti Sa+eSan,.ivi:y Ailti Aiv iic'i'cuy aCCLj,i~c:;. `~L,il tic E:_]C~~UI~"Leif 1C) (.~to fFln 1t70i~ 2S SD~Ci~i.C'Li. !'~' uS'f~t;P.t lsrl~i ~?('. filc'7.t~t' aS OLt~I12{~ aZ70'vQ. ~~~.t ~ ~ `~. t idi4 u`c:Li::.i liifi%C____ t ~I~Ti]- flEli18--.-~--~-._._..._. Prokop Estate 1 19 to Walker Agr scn/estates Agreement for the Sale Of Real Estate This Agreement is made this ~ ~~ da of Se to y p tuber 2012 between the Estate of Freda Prokop Vladyka, by Steve C. Nicholas,~I Executor, of 2215 Forest Hills Drive, Suite 37, Harrisburg, Pennsylvania 17112-1099 (the Seller) -AND- Katrin M. Walker, single woman, of 119 W. Clearview Drive, Camp Hill, Pennsylvania 17011-4023 (the "Buyer") Witnesseth: In consideration of the mutual promises and agreements, and other good and valuable considerations, receipt of which is hereby acknowledged, the parties hereto agree as follows: 1. Agreement to Sell. Seller and Buyer, intending to be legally bound hereby, covenant and agree as follows: Seller shall, on the date hereinafter specified, by Estate Deed, grant, transfer and convey to Buyer, in fee simple, free and clear of all liens and encumbrances, except as hereinafter set forth, good and marketable title and such as will be insurable by any responsible title insurance company regularly doing business in Pennsylvania, at regular rates, to the property described hereafter (the Premises ). 2. _Descri tp ion. All that certain tract or parcel of land situate primarily in Hampden Township, Cumberland County, Pennsylvania, known as 119 West Clearview Drive, Camp Hill, Pennsylvania 1 70 1 1-4023, and more particularly described in the Office of the Recorder of Deeds in and for Cumberland County at Instrument Number 200802194 and also being known as Tax Parcel Number 10-21-0279-100. 3. Consideration. Buyer will purchase the Premises and pay Seller the sum of $120,536.00 payable at the time of settlement, in cash, cashier's or attorney's check, upon delivery of the Deed. Buyer currently occupies the premises as a tenant, and payment of a good faith deposit is therefor waived. 4. Mortgage Contingency. This Agreement is contingent upon Buyer obtaining mortgage financing on terms and conditions acceptable to Buyer. The Buyer shall make a completed application to a responsible mortgage lending institution for a mortgage loan within 15 business days from the date of this Agreement. Notwithstanding anything contained in this Paragraph 4 to the contrary, Seller shall have the option to declare this Agreement NULL AND VOID if Buyer has not obtained mortgage financing on or before October 15, 2012. 5. Proration Items. Real Estate taxes, water, sewer, trash and other municipal utilities and rents, shall be prorated as of the date of settlement. All realty transfer taxes shall be divided equally between Seller and Buyer. 6. Possession. Seller shall deliver an Executor's Deed to Buyer upon full payment of the purchase price. Buyer currently occupies the property as a Tenant. 7. Settlement. Settlement shall take place on or before November 1, 2012 at the Nicholas Law Off ces PC, 2215 Forest Hills Drive, Suite 37, Harrisburg, Pennsylvania 17112- 1099 or at such other place as the parties may hereafter agree to in writing. g. Appurtenance Clause. The conveyance will be made together with all and singular the buildings, improvements, easements and appurtenances whatsoever thereunto appertaining, it being understood and agreed that all plumbing, heating and electric systems, ceiling fans, clothes washer and dryer, refrigerator, and fixtures appurtenant thereto and forming a part thereof, as well as all cabinets and other permanent fixtures, wall oven if any, stove and dishwasher, together with storm doors, windows and awnings, if any, screens, shades, venetian blinds, fuel in the fuel tank, if applicable, are included in the sale and purchase price, and shall be delivered to Buyer at the time of delivery of possession of said property. 9. Condemnation. If prior to the Closing Date, all or any part of the Premises is taken by eminent domain, either party may, by written notice to the other, elect to cancel this Agreement prior to the Closing Date. In such event, both parties shall be relieved and released of and from any further liability hereunder, and the deposit shall be returned to Buyer without any deductions. Unless this Agreement is so canceled, it shall remain in full force and effect, and the Seller shall assign, transfer, and set over to the Buyer all the Seller's right, title, and interest in and to any awards that may be made for such taking. 10. Risk of Loss. The Seller assumes the risk of loss or damage to the Premises by fire or other casualty until delivery of the deed at settlement. In the event of damage to the Premises by fire or other casualty prior to settlement, there shall be no duty on the Seller to restore, replace, rebuild or repair the damaged or destroyed Premises or portions thereof. In the event of damage as aforesaid, the Buyer shall have the right (1) to declare this Agreement null and void and receive back all deposit monies; or, (2) to pay the full purchase price at settlement and receive an assignment of all claims to any insurance proceeds. Subsequent to settlement, all risk of loss or damage by reason of destruction of or damage to the Premises shall be solely that of the Buyer. 11. Maintenance & Repairs. Until delivery of possession to Buyer, Seller shall maintain and repair said property and deliver the same in as good condition as it now is except for: (a) ordinary wear and tear; (b) casualty damage from perils insurable under a standard fire policy with extended coverage; (c) casualty damage from other perils if same occurred otherwise than by fault of Seller or anyone under Seller. 12. Expenses of Transfer. Seller shall be responsible for all matters of title clearance and preparation of the deed. Buyer shall be responsible for its settlement costs, including but not limited to recording fees, title search fees, title insurance fees, attorney fees, etc. 2 13. Munici aI Im rovements. Prior to the date of this Agreement, Seller warrants that it has complied with all notices received from any municipal body or other public authority requiring work to be done or improvements to be made upon the property. Seller has no notice or knowledge of the enactment or adoption of any ordinance or resolution which may require additional work or improvements to the property. Any and all municipal improvements made prior to the execution of this Agreement are to be paid by Seller. All subsequent improvements required after the date of this agreement shall be the responsibility of the Buyer. 14. Under & Subject. Buyer shall take title to said property SUBJECT to the following: (a) building and use restrictions of record; (b) vehicular or pedestrian easements of record affecting said property and being contiguous to the front, rear or side lot lines; (c) water, sewer, gas, electric and telephone lines or easements therefor of record, provided, however, that said lines or easements shall not adversely affect the use of the said property for residential purposes or at any time require the removal or alteration of the presently existing dwelling(s), or appurtenant structures thereon; (d} or other minerals as shown by instruments of record; and (e) easements apparent upon inspection of said property. 15. Status of Water and Sewer. Seller warrants the Property is serviced by public water and public sewer. Further, Seller warrants to the best of her/his/their knowledge that these systems are fully paid for and as of this date and are in satisfactory operating condition. 16. As Is Condition. Except as otherwise provided in this agreement, it is understood the Buyer has inspected the property and has agreed to purchase it as a result of such inspection in its "as is present condition" and not because of or in any reliance upon any representation made by Seller or by any agent of Seller, and has agreed to purchase it in its "as is present condition" unless otherwise specified herein. 17. Inspections. Seller hereby agrees to permit inspections by Buyer, authorized appraisers, reputable certifiers or as may be required by the lending institution or insuring agencies. 18. Assignment. No assignment of this Agreement shall be valid without the written consent of Seller, which consent shall not be unreasonably withheld. 19. Default. (a) If Seller is unable to deliver the quality of title required in accordance with the terms of this Agreement, Buyer shall have the option of terminating this Agreement and the deposit shall be returned to Buyer without any deductions, whereupon neither party shall have any further liability or obligation to the other under the terms of this Agreement; or, Purchaser may proceed to settlement and take such title as Seller can give without an abatement or reduction in purchase price. (b) In the event all contingencies set forth in this Agreement have been satisf ed and Buyer fails or refuses to consummate this transaction, Seller's sole remedy shall be the retention of the deposit paid the Buyer. 3 20. Radon. Seller has no knowledge concerning the presence or absence of radon. Buyer waives his right and agrees to accept the property on the basis of Seller's representation and does hereby release, quit-claim and forever discharge Seller or his agents and any other person who may be liable by or through them, for any and all claims, losses or demands, including personal injuries and all of the consequences thereof whether now known or which may arise from the presence of radon in any building on the property. This release shall survive settlement. 21. Addenda. Attached Addenda are made a part of this Agreement, including: (a) Wood Infestation Addendum (b) Seller's Property Disclosure Statement (c) Lead Paint Disclosure Statement 22. Waiver of Tender; Notices. Formal tender of Deed and of purchase price are hereby waived. Any notices between the parties hereto shall be in writing and may be served in the manner provided by law for the service of process of equity or may be mailed by certified or registered mail to either party at the respective addresses above set forth. If mailed, such notice shall be deemed effectively given as of the second business day after the date of posting. 23. Escrow Agent. In the event this Agreement shall be declared void by either party hereto in accordance with the terms herein, the said escrow agent shall pay out any moneys deposited as provided under the terms of this Agreement, after which this Agreement shall be deemed null and void and canceled. Escrow agent shall not be liable to either party in payment of the escrow fund. Seller and Buyer, jointly and severally, shall defend, indemnify and hold Escrow Agent harmless from and against all claims, demands, liability, or expense including without limitation reasonable attorneys' fees, that Escrow Agent may incur or which may be asserted against Escrow Agent, by Seller, Buyer or any other person or entity as a result of his performance of services hereunder, except to the extent that such claims, demands, liability or expense shall arise directly as a result of Escrow Agent's gross negligence or willful misconduct and there shall be a judicial determination as such. 24. Covenant Not To Record. Buyer will not record this Agreement. Any recording of this Agreement shall constitute a default hereunder on the part of the Buyer and shall automatically render this Agreement null and void. 25. Time of the Essence. The Parties agree that time is of the essence in this Agreement. 26. Real Estate Brokers. The parties hereto each warrant, represent, covenant and agree with the other that they have not used the services of a real estate broker or agent in the instant transaction and, agree, to indemnify the other from any claims brought for real estate broker or agent commissions on the instant sale. 4 27. Entire Contract. This Agreement constitutes the entire contract between the parties hereto and there are no other understandings, oral or written, relating to the subject matter hereof. This Agreement may not be changed, modified or amended, in whole or in part, except in writing, signed by all parties. Wherever used in this Agreement, the singular shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. Marginal notes are inserted for convenience only and shall not form part of the text of this Agreement. 28. Bindin Effect. This Agreement and all of its terms and conditions shall extend and be binding upon the parties hereto and upon their respective heirs, executors, administrators, successors and assigns. IN WITNESS WHEREOF, the parties hereto, intending to be legally bound hereby, have hereunto set their hands and seals the day and year first above written. Witness: Seller: Buyer: Estate of Freda Prokop Vladyka By: ~/~ Steve C. Nicholas, Executor << ~~-- ~~~ . Katrin M. Walker 5 ALL THAT CERTAIN piece or parcel of land in the Township Hampden, County of Cumberland and Commonwealth of Pennsylvania, being more fully described as follows: BEGINNING at a point, said point being located on the eastern right-of--way line of West Clearview Drive, at the western terminus of the agreed-upon dividing line of lands of John L. Prokop and Gary Lee Mowery et al., said point being referenced 205.65 feet (previously erroneously stated as 200.13 feet) north of the northwest intersection of Courtland Street and West Clearview Drive; thence by the eastern right-of--way line of West Clearview Drive, by a curve to the right having a radius of 430.96 feet an arc distance of 91.61 feet to an iron pin set at the dividing line of lands of John L. Prokop and the southern line of lands of Kathleen M. Aller, identified as Lot No. 166 Revised; thence by same North 68 degrees 46 minutes 24 seconds East, a distance of 109.55 feet to an iron rod (cam shaft) found on the line of Lot No. 113; thence by the same and part of Lot No. 114, South 19 degrees 39 minutes 00 seconds East a distance of 74.45 feet to an iron pin set at the eastern terminus of the agreed-upon dividing line of lands of John L. Prokop and Gary Lee Mower et al.; thence by the same South 59 degrees 16 minutes OS seconds West a distance of 100.96 feet to an iron pin, the place of BEGINNING. BEING Lot No. 165 Revised, containing 8,826.4 square feet, as shown on Final Subdivision Plan of Clearview Farms, Section 2 & 3, recorded in Cumberland County Plan Book 9 at Page 6 and being subject to all easements of record. The foregoing description is based on a Plan prepared by Michael C. D'Angelo, P.L.S., titled Plan of Property for John L. Prokop, dated November 6, 2007, bearing Drawing No. 98-60. BEING the same premises which Nelson Improvement & Development Corporation, a Pennsylvania Corporation, by its Deed dated January 10, 1961 and recorded January 10, 1961 in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania in Deed Book C, Volume 20, at Page 322, transferred and conveyed unto John L. Prokop. ALSO BEING the same premises which John L. Prokop, adult man, by Corrective Deed dated January 8, 2008 and recorded January 22, 2008 in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania at Instrument Number 200802194, transferred and conveyed unto John L. Prokop. John L. Prokop died on March 9, 2011. On April 11, 2011 Steve C. Nicholas was duly appointed Administrator CTA of the Estate of John L. Prokop, as set forth in the Office of the Register of Wills of Cumberland County, Pennsylvania at No. 2011-00431 (PA No. 21-11-0431). The Estate of John L. Prokop is still under administration. Freda Prokop Vladyka is the sole beneficiary of the Estate of John L. Prokop. Freda Prokop Vladyka died on October 3, 2011. On November 7, 2011, Steve C. Nicholas was duly appointed Executor of the Estate of Freda Prokop Vladyka as set forth in the Office of the Register of Wills of Cumberland County, Pennsylvania at No. 2011-0 l 196 (PA No. 21-11-1196). Exhibit "A" 6 ~, _ ~ ~ _ President, Northwood Asset Mgmnt Corp. Investment Advisor Rep. Capital Financial Services Inc. ~~~da viad~k,.. ~c~oU~~- Uq~~~. a~ 9-~ fn~3J~.a~c M o n)~~ M ~tk ~Ce-~ ~i~u ~5 ~~'o c~. 1~.A l~x~ Lifetime Member PA Inst. of CPA's Certified Retirement Counselor Registered Rep since 1970 ~ , s~ spa ~ ~N C FAN' 15~~~~s~ ~a-r~~ .~ ~Da-F~ o ~ d~.a-~h v ~ 1u4~- o~ lo~~', ~-0it~, ~ ~~~ti ~~,~t~;~a~G~~h . 2209 Forest Hills Dr Suite 20b Harrisburg, PA 17112 ~ ~-z o2~ 'I~,2.n~ ~r 3~ ~~~ ~~ ~t~.~4`i ~~. ~. I x J5=- Phone: 717-652-1857 Fax: 717-652-1948 ~~~...____'•c. ~' ..._...: _._ ~s~~._. m.__~ .. u..,:' _~..~ ~ __o. ,.moo.. ._._a ~_ ~C...-' _W~~~ _ __:. G:k ~'.. _G.i ~~..? 'C .[~..L~ i_t.. 0 0 N Q7 ~: h] W O O ^~ j ]~ ~~ i 6 r ~ ~1 ~ ... 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O n C") _~ Cp ._.. ~ o ~ ~ A~ ~ ~ ~ ~ fD cD ~ ~~ ~~~ O ~~~ ~1 n ~ ~a~ rt m S r ~ r ~ c z w' •iI V ~ ° 3 g °' I~M- ~t , „ V Q A V V m a O ~ o o 0 m V PF `" ~ / A !~ a rh y ~ ~ O ~ o ~ '~ _, ~ a o A n Q. 0 ~ ...s 4 0 ~~ o W N 0 y ~ ~Jli ~~ PO Sox 7000 ROP-450 Providence RI 02940 AV 01 031909 74451E113 A"YSDGT I~~I~~1~1~~111~111~~11~1~~~11~1~~1111~11~~1~ll~ll~"'I~I'~"'II'~ JOHN L PROKOP 2215 FOREST HILLS DR STE 37 HARRISBURG PA 17112-1Q99 © OF 1 Beginning September 07, 2011 through October 05, 2011 Checking SUMMARY Balance Calculation Balance Previous Balance 110,101.41 Average Daily Balance 110,101.41 Checks .00 - Interest Withdrawals .00 - Deposits & Additions . 00 + Current Interest Rate .20°10 Interest Paid 17.50 + Annual Percentage Yield Earned .20% Current Balance 110,118.91 = Number of Days Interest Earned 29 Interest Earned 17.50 Interest Paid this Year 310.62 You can waive the monthly maintenance fee of $50.00 by maintaining a minimum daily balance in your account of $1,000. Your minimum daily balance this statement period is $110,101 TRANSACTION DETAILS Interest Date Amount Description 10/05 17.50 Interest Daily Balance Date Balance Date Balance Date Balance 10/05 110,118.91 ~ NEWS FROM CITIZENS --As part of our continuing commitment to keeping you informed about relevant topics we are providing you with this information on Identity Theft. What is Identity Theft? Identity theft occurs when someone uses information, like your name, Social Security number, or credit card number, without your permission, to commit fraud or other crimes. Identity theft is serious and may have long term affects on your life. Learn more about what you can do to protect yourself against Identity Theft at 4vww.ftc.gov and search on Identity Theft in the Quick Finder area. 1-888-910-4100 Checking Account Please call us anytime for ansvrers to your Statement questions, account information, current rates or to update your address & phone number_ US102 JOHN L PROKOP FREDA PROKOP Performance Money Market XXXXXXX409-4 Previous Balance 110,101.41 ~1 Total Interest Paid ^^ ~~ ^^ 17.50 n Current Balance 110,118.91 fvlember FDIC ~ Equal Housing Lender 0 0 0 O 0 O O O O O O '~ dh O M ~ ~ O O O ~--1 CV 1- -+ J r--i ~ t\ ~~ r., P.O. Box 4887 `~~'~' ~, ~' Lancaster, PA 17604 LIS T ENIN~ IS JUST THE 6cGINNING.° fultonbank.com Temp-Return Service Requested i~~~lll„~I~~~II~~~II,~I~I~~~lill~„I~l„I~I~~~~II,I~„II~I,.I 005609 0.4500 AT 0.365 TR00023 FREDA PROKOP JOHN L PROKOP J 2215 FOREST HILLS DR STE 37 ~ HARRISBURG PA 17112-1099 1057 0348 18398 Y STATEMENT OF ACCOUNTS 3624-56611 STATEMENT PERIOD FROM THROUGH 9-16-11 10-16-11 7 PAGE 1 OF 1 0 ENCLOSURES 7 X PLATINUM MONEY MARKET ACCOUNT: 3624-56611 PREVIOUS DEPOSITS/ CHECKS/ STATEMENT BALANCE CREDITS 1 D SERVICE ENDING EBITS 114,343.71 29 13 0 FEES 00 BALANCE . . .00 114,372.84 ACCOUNT/ T EST INFORMATION ~~ 14 INTEREST PAID THIS YEAR DATE ACTIVITY DESCRIPTION REFERENCE DEPOSITS/ _ CHECKS/ -~ -~ _ CREDITS DEBITS BALANCE 09-16 BEGINNING BALANCE 10-14 INTEREST CREDIT 114,343.71 10-16 ENDING BALANCE 29.13 114,372.84 114,372.84 '`"'~ ANNUAL PERCENTAGE YIELD EARNED DISCLOS ANNUAL PERCENTAGE YIELD EARNED URE FROM 9-16-11 THROUGH 10 -16-11 ~_~~~~ AVERAGE DAILY COLLECTED BALANCE .3O% 114 343 71 INTEREST EARNED , . 29.13 SERVICE FEE BALANCE INFORMATION FROM 9-16-1 1 THROUGH 10-16-11 AVERAGE LEDGER BALANCE 114,343.71 AV MINIMUM LEDGER BALANCE 114 343 71 MI ERAGE COLLECTED BALANCE NIM 114,343.71 , . UM COLLECTED BALANCE 114,343.71 INQUIRIES: PO BOX 504, EAST PETERSBURG, PA 17520; 1-800-FULTON4 M&TBarik 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Steve C. Nicholas, Esq. Northwood Office Center 2215 Forest Hills Drive, Suite 37 Harrisburg, PA 17112-1099 Re: Estate of Freda Prokop Social Security: 196-14-3804 Date of Death: October 3, 2011 Phone 888-502-4349 F ax (302) 934-2955 September 20, 2012 Dear Sir or Madam: Per your inquiry on September 13, 2012, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Tvpe of Account Checking Account Account Number- 9846395714 Ownership (Narnes o~ Freda Prokop John L. Prokop Opening Date 08/42007 Balance orz Date of Death $35.08 Accnred Interest $ .00 ...................... . _._ .. Total $35.08 2. Ttipe ofAccoztrzt SavirzgsAccount Account Number 15004216707181 Ownership (Names o~ Freda Prokop Jolzra L. Prokop Opening Date 03/07/Z008 Balance on Date of Death $111, 619.64 Accrued Interest $ 8.26 Total $111, 627.90 ~- 0 0 .-~ 0 O 0 0 0 O O 0 0 .-a o r~ O M .--a Ql O O O '--i N Z .-+ W ~ ~ ~ ~ +--+ ,.,,„~~`&1 9 U PAGE: 1 ~~,~ ~~ ~ ~'~ ~~~. ~ F ~ ,~ ACCOUNT: 901 9365 10/14/2011 DOCUMENTS: 0 894 N River Rd ~ Halifax PA 17032 Temp-Return Service Requested MPEN -~~ 001061 0.4500 AT 0.365 TR00004 ~~ Freda Prokop-Vladyk a John L Prokop -~ -<D> 15 2215 Forest Hills D rive Apt 37 0 Harrisburg Pa 17112 -1099 0 CHOICE MMDA-PROMO ACCOUNT 9019365 DESCRIPTION DEBITS ------------------- CREDITS DATE --------------- BALANCE BALANCE LAST STATEMENT ................. INTEREST ............ 09/15/11 106,508.41 BALANCE THIS STATEMENT 100.70 10/14/11 106,609.11 ............................... 10/14/11 106,609.11 TOTAL CREDITS (1; 100.70 AVG MIN BALANCE 106 508 41 TOTAL DEBITS (0; .00 MINIMUM BALANCE , . 106,508.41 AzJr Z1 ~Tja T T . 7~ F2 T . F R ZIT _Z~ TAT C F' 10 6 , 5 0.8.41 AVERAGE BALANCE 106,508.41 - - - - - - - - - - I N T E R E S T - - - - - - - - _ _ AVERAGE LEDGER BALANCE: 106,508.41 INTEREST EARNED: 100 70 AVERAGE AVAILABLE BALANCE: 106,508.41 DAYS IN PERIOD: . 29 INTEREST PAID THIS PERIOD: 100.70 ANNUAL PERCENTAGE YIELD EARNED: 1 20' INTEREST PAID 2011: 1,222.66 . - - - ITEMIZATION OF OVERDRAFT AND RETURNED ITEM FEES - - - I TOTAL FOR I TOTAL THIS PERIOD I YEAR TO DATE --------------------- ----------~------------00----* * TOTAL OVERDRAFT FEES: I .00 .~ ----------------------------- I ----------oo----* * TOTAL RETURNED ITEM FEES: ~ .00 ~ * FUUAI UOUSIN6 LEN DES Phone: 1-866-642-7736 ~.vw~~+.midpennbank.com Member FDIC PSEC~k Nicholas Law Offices, PC Steve C. Nicholas, Attorney Northwood Office Center 2215 Forest Hills Dr., Suite 37 Harrisburg, PA 17112-1099 Re: FREDA VLADYKA, Deceased. PSECU Reference # 9777303638689 Dear Attorney Nicholas: 03/22/2012 The above referenced person has an account with PSECU which was opened on June 9, 2011. The Share accounts were individually held by FREDA VLADYKA. The following are the Date of Death Balances for FREDA LADYKA's account with PSECU: Account Date of Death Balances Interest -October 1-3 (S 1) -Savings $439.76 $0.01 (S4) -Checking $0.00 $0.00 (S52) -Certificate $110,417.13 $6.35 ~ ~ -', r The account has been closed per your request. The check totaling the share balance(s) is being sent to your office. If you have any questions, please contact me at (717) 234-8484 or toll-free at (800) 237- 7328, press 6, extension 3120. Sincerely, Y .: ` Sandy Fagley g. Member Service Representative PSECU Per~~sy~varaia State 1=~~p~o fees ~re~it C~raiora P.O. Box 67013, Harrisburg, PA 17106-7013 • 717.234.8484 • 800.237.7328 • » psecu.com THIS CREDIT UNION IS FEDERALLY INSURED BY THE NATIONAL CREDIT UNION ADMINISTRATION. EQUAL OPPORTUNITY LENDER. JOHN L PROKOP FREDA PROKOP Deposit Accounts Account Number Average Daily Balance Current Balance THE SOVEREIGN ONE ACCOUNT 2331042594 - $15,239.40 $15,240.69 PREMIER MONEY MARKET SAVINGS 2334082864 $159,070.14 $159,137.69 Total Deposit $174,378.3a JOHN L PROKOP FREDA PROKOP Balances Account # 2339042594 Beginning Balance $15,239.40 Current Balance $15,240.69 Deposits/Credits + $1.29 Average Daily Balance $15,239.40 Withdrawals/Debits - $0.00 Interest Paid this Period * $ 1.29 Annual Percentage Yield Eamed 0.10% Earned this Period $ 1.29 Paid Last Year $13(]_4s t'aid Year-ro-Date $ 13.39 i ne interest eamed and the interest paid may differ depending on when interest is credited to your account. Account Activity Date Description Additions Subtractions Balance 10-01 Beginning Balance $15,239.40 10-31 INTEREST CREDIT $1.29 $15,240.69 10-31 Ending Balance $15,240.69 JOHN L PROKOP FREDA PROKOP Balances Account # 2334082864 Beginning Balance $159,070.14 Current Balance $159,137.69 Deposits/Credits + $67.55 Average Daily Balance $159,070.14 Withdrawals/Debits _ $0,Q0 Interest Paid this Period * $ 67.55 Annual Percentage Yield Eamed 0.50% Earned this Period $ 67.55 Paid Last Year $1,083.04 Paid Year-To-Date $ 778.21 ~ he interest eamed and the interest paid may differ depending on when interest is credited to your account. Account Activity Date Description Additions Subtractions Balance 10-01 Beginning Balance $159,070.14 10-31 INTEREST CREDIT $67.55 $159,137.69 10-31 Ending Balance $159,137.69 pale 2 of3 23310~Z~9-l FREDA PROKOP JOHN L PROKOP Balances Account # 2334082929 Beginning Balance $110,485.25 Current Balance $110,531.87 Deposits/Credits + $46.62 Average Daily Balance $110,485.25 WithdrawalsJDebits - $0.00 Interest Paid this Period * $ 46.62 Annual Percentage Yield Eamed 0.51% Eamed this Period $ 46.62 Pahl I act Yaar T~~., .,.. a~u icai-iu-udtc ~ 541.20 *The interest earned and the interest paid may differ depending on when interest is credited to your account. Account Activity Date Description Additions Subtractions Balance 09-26 Beginning Balance $110,485.25 10-25 INTEREST CREDIT $46.62 $110,531.87 10-25 Ending Balance $110,531.87 IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFERS CALL YOUR CUSTOMER SERVICE CENTER AT THE NUMBER SHOWN ON THE TOP OF YOUR STATEMENT OR WRITE TO THE BANK FOR DEBIT CARD ISSUES: Sovereign Bank Attn: Card Disputes Team MA1 MB3 02 0~ P.O. Box 831002 Boston MA 02283-1002 FOR ALL OTHER ISSUES: Sovereign Bank Attn: Client Relations 10-421-CR1 P.O. BOX 12646 READING, PA 19612-2646 Please contact us if you think your statement or receipt is wrong or if you need additional information about a transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error appeared. • Tell us your name and account number. • Describe the error or the transfer that you are unsure about and explain as clearly as you • Tell us the dollar amount of the suspected error. can why- you believe there is an error or why you need further information. If you tell us orally, we may require you to send your complaint or question in writing within 10 business days. We will promptly investigate the matter and call or write to you with an answer within 10 business days (10 calendar days in Massachusetts). If we need more time, we may take up to 45 days to investigate your complaint or question. If we do, we wrll credit your account within this 10-day period for the amount you think is in error, so you will have the use of the money during the time it takes us to complete our investigation. If we ask you to put your complaint or question in writing and we do not receive it withinJlO business days, we may choose not to credit your account. For errors involving new accounts, point of sale purchases or foreign transactions, we may take up to 90 days to investigate your complaint or question. For new accounts, we may take up to 20 business days to credit your account for the amount you think is in error. We will tell you the results of our investigation within 3 business days after completing our investigation. If we decide there was no error, we will send you a wntten explanation. You may ask for copies of the documents we used in our investigation. Important information about your Sovereign Debit Card The networks through which some of your Sovereign Debit Card purchases are processed have begun allowing merchants to process your purchases witlmout either a signature or a PIN. If you are not reqquired to enter your PIN when you make a purchase, your purchase may be processed either through the Visa network or through the STAR or NYCE networks. If your purchase is processed through STAR or NYCE, different terms apply and you will not be eligible for the ritrhts and protections available through Visa Please see your Personal Deposit Account Agreement for more information. page 2 of 2 233=0829 29