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HomeMy WebLinkAbout12-13-1215^561^143 REV-1500 Ex(°'-'°' OFFICIAL USE ONLY PA Department of Revenue Pennsylvania county code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE t Po sox.zsosof INHERITANCE TAX RETURN 21 ~ 0586 Harrisburg, PA 17128-0(101 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 200 24 1191 05 06 2012 O1 04 1932 Decedent's Last Name Suffix Decedent's First Name MI JOHNSON JERRY L (lf Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI JOHNSON MARY S Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ Aa. Future Interest Compromise (date of death after 12-12-82) ~ 5. Federal Estate Tax Return Required g Decedent Died Testate (Attach Copy o(Will) ~ 7, Decedent Main~~ned a Living Trust (Attach Copy o rust) ~ 8. Total Number of Safe Deposit Boxes 9. Litigation Proceeds Received ~ 10. be~eenP231 ~~a^tlitl(da95~f death ~ 11.Election to fax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Tel~hone Numb: JAMES D BOGAR (717) c7~ 7 8 7~1 ~? m First line of address ONE WEST MAIN STREET Second line of address City or Post Office State ZIP Code SHIREMANSTOWN PA 17011 ~ ~ ;~ "' c: REGISTE~F~TW~S U~E'ON~Yiy: , , r- ^ , .r ~ ..xT ..: f C-o J~ _:.. .:. ,_ .: .t. , '_ _ a ., ~~ r,`:i , DATE FILED Correspondent's a-mail address: jbogar@bogarlaW.COm Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of Dreparer other than the personal representative is based on all information of which preparer has any knowledge. David L. Johnson ~ ~ ~0` 1 Z ADDRESS 13 e SIGNATURE R PARER OT RTHAN REPRESENIAIIVE DATE ~,,,~ ,t~,p` l James D. Bogar t ~ (3d(2c~lZ One West Main Street,~hiremanstown, PA 17011 Side 1 15^5610143 15^561^143 J 'rJ`' PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF FILE NUMBER Johnson, Jerry L. 21-21-0586 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 #2 Name Debra A. Cassatt AddreSS1 18 Northview Drive Address2 Clty, State, Zip Carlisle. PA 1;7013 Date l ( ' ~ '.L' - ___1 1505610243 REV-1500 EX Decedents Name. JOfI rISOtI, Jerry L. Decedents Social Security Number 200 24 1191 RECAPITULATION 1. Real Estate (ScheduleA) ....................._......_....................................................... . 1. 255 , OOO . OO 2 Stocks and Bonds (Schedule B) ........................................................................... .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)........ . 3. 4. Mortgages & Notes Receivable (Schedule D) ....................................................... . 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .............. . 5. 15 7 , 67 6.14 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 11 , 603.55 7. Inter-Vivos Transfers ~ Miscellaneous ~ pq-Probate Property (Schedule G) a Separate Billing Requested............ 7, 8. Total Gross Assets (total Lines 1-7) .................................................................... . 8. 42 4 , 2 7 9 . 6 9 9 Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 60 , 90 6.42 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................. . 10. 6 ,119.90 11. Total Deductions (total Lines 9 & 10) .................................................................. . 11. 67 , 02 6.32 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 357 , 253.37 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) .............................................. . 14. 357 , 253.37 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 119 084.45 15. 0.00 (a)(t2) X .DO ~ 16. Amount of Line 14 taxable 238 168.92 16. 10 , 717.60 , at lineal rate X .045 17. Amount of Line 14 taxable 0 OO 17 0 . OO , at sibling rate X .12 . 18. Amount of Line l4 taxable O OO 18 O.OO . at collateral rate X .15 . 19. Tax Due ............. ................................................................................................. . t9. 10 , 717.60 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-21-0586 DECEDENT'S NAME Johnson, Jerry L. STREET ADDRESS 5002 Balmoral Court CITY Mechanicsburg STATE PA ZIP 17050 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 10,747.05 535.88 (1) 10,717.60 Total Credits (A + gJ (2) 11,282.93 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box 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. (3) (4) 565.33 (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 :.................................. ^ ^x c. retain a reversionary interest; or ............................................................................................................... ^x d. receive the promise for life of either payments, benefits or care? ............................................................ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ ^x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. ^ ^x 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 January 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 1.2) [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)]. A sibling 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) ~. SCHEDULE A ' , _ REAL ESTATE COMMONWEALTH OF PENNSVIVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Johnson, Jerry L. 21-21-0586 All real property owned solely or as a tenant in common must be reportetl 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 oompe6ed to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointlyowned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been soltl Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate -All that certain piece or parcel of real estate having erected thereon a dwelling 255,000.00 house being known and numbered as 5002 Balmoral Court, Mechanicsburg, Pennsylvania. The property was acquired by Jerry L. Johnson, by deed dated January 31, 1991 and recorded February 5, 1991 in the Cumberland County Recorder of Deeds Office, a copy of said deed being attached hereto and incorporated herein. The above-described real estate was sold pursuant to an Agreement of Sale for Real Estate dated August 2, 2012, a copy of which is attached hereto and incorporated herein. Final settlement occurred on September 18, 2012. A copy of the deed transferring this property, as well as the Settlement Sheet are attached hereto and incorporated herein. The sale price of the real estate was $255,000.00 TOTAL (Also enter on Line 1, Recapitulation) I 255,000.00 (If more space is needed, atldltional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08) T[TRNBERRY\lot.56 THIS DEED •i MADE the lj`~ day of January in the year nineteen hundred and ninety-one (1991) BETWEEN VICTORIA GLEN ASSOCIATES, a Pennsylvania General Partnership, Party of the First Part, Grantor A N D Jerry L. Johnson, single man, Party (s) of the Second Part, Grantee(s) WITNESSETH, That in consideration of Twonty-Nine Thousand Five Hundred AND No/100 ($29,500.00) DOLLARS, in hand pzid, the receipt whereof is hereby acknowledged, the said grantor does hereby grant and convey to ,the said grantee(s), ALL THAT CERTAIN tract or parcel oP land situate in Hampden Township, . Cumberland County, Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point on the southern right-of-way line of Good ffope Road, a forty six and Fifty hundredths (46.50') foot wide road said . point being the northwest corner oP Lot N59 as shown on the final subdivision plan of Turnberry; Thence continuing along a portion of the western line of Lot X59 South sixteen (16) degrees twelve i ~ (12) minutes twenty five (25) seconds west a distance of fifty _ 4 ~ three and eleven hundredths (53.11') feet to a point said point . O t`, ~~~ being the northeast corner of 'Lot //58 as shown on the aforesaid ~~ ~ '~ final subdivision plan, said point also being a point on the`, „ , ~ i~:~` western line of Lot ((59; Thence continuing along the northern line =' jl of Lot ,y 58 South eighty nine (89) degrees sixteen (16) minutes ~~`"''~^i twenty five (25) seconds West a distance of one hundred five and `'~~. 'T' eighty one (105.01 ) feet to a point said point being the northwest ~ +1> , I .~ ,? corner of LOt.~J58 said point being also the northeast corner of Lot ~ ~~ ~ i ¢57 as shown on the final subdivision plan of Turnberry; Tnence ! •_.: continuing along the northern line of Lot x'57 North fifty six (56} ( `_ ~ ~~ degrees twenty (20) minutes eight (08) seconds West a distance of r'•"'"' ~"'(! Forty seven and seventy nine hundredths {x7.79') feet to a point said point being a corner of Lot X57 said point being also a point on the eastern right-of-way line of cul-de-sac number two (02), a sooKy34 PacF10i9 I i. _ j ~ ~ one hundred twenty and no hundredths (120.00') foot wide cul-de- sac at the terminus of Balmoral Court; Thence continuing along the right-of-way line of cul-de-sac number. two (02) along a curve to the left having a radius of sixty and no hundredths (60.00') feet I an arc length of one huttdred fourteen and forty hundredths p (114.40') feet said arc being subtended by a chord and bearing of North twenty (20) degrees fifty seven (57) minutes thirty two (32) seconds West a distance of ninety seven and eighty four hundredths (97.84') feet to a point said point being a corner of Lot ~'S5 as shown on-the aforesaid subdivision plan; Thence continuing along the •eastern line of lot /I55 North fourteen (14 ) degrees twenty five no hundredths (25.00') feet to a point said point being the northeast corner of Lot x'55 as shown on the aforesaid final subdivision plan, said point being also a point on the southern right-of-way line of the aforesaid Good Hope Road; Thence continuing along the southern right-of-way line of Good Hope Road South seventy five (75) degrees thirty four (34) minutes fifty six (56) seconds East a distance of thirty eight and sixty three hundredths (38.63') feet to a point said point being a point on the southern right-of-way line of the aforesaid Good Hope Road; Thence continuing along the southern right-of-way line of Good Hope Road ' along a curve to the right having a radius of three hundred seventy and no hundredths (370.00') feet an arc length of one Ytundred seventy three and nineteen hundredths (173.19') feet said arc being subtended by a chord and bearing oP South sixty two (62) degrees ten (10) minutes twenty one (21) seconds East a distance of one hundred seventy one and sixty two hundredths (171.62•) feet to a point said point being the point and place of beginning. SAID lot containing 15,870.63 square feet or 0.36434 acres. BEING Lot No. 56 as shown on the Final Subdivision Plan of Turnberry, Phase I, recorded in Plan Book 58, Page 30. UNDER AND SUBJECT to all applicable restrictions, reservations, easements and rights of way of record.. ' HESNG PART OF THE SAME PREMISES which B & R Construction Company, a Pennsylvania Partnership, by Deed dated November 13, 1987 and recorded December 15, 1987 in the Office of the Recorder of Deeds in and for CumberlandCOUnty in Deed Book C, Volume 33, Page 304, granted and conveyed unto Victoria Glen Associates, a Pennsylvania General Partner- ship, Grantor herein. AP7D the said grantor will specially WARRANT AND FOREVER DEFEND the . property hereby conveyed. IN WITNESS WHEREOF, said grantors have hereunto set theirhands an3 seals, the day and year first above-written. boox}/34 ~ac~1020 • ~J`~~,f H~rF • ^ Y ..,~ , 4T'~f5~'~,j ,,'~,'~,: d?. VICTORIA GLEN OCIATES brit;,, ,,. Michael J. Greene .....••~ Authorized Partner under Power of Attorney dated November 10, 1989, recorded at Recorder of Deeds office in Book 375, Page 68. CERTIFICATE OF RESIDENCE I hereby certify, that the precise residen~~ of the grantee is herein as follows: ~U~ !,/isr U/H~ L/S~/i/n~cay' Sl~i.•pv~,.~,,,r~,y~, ~A i jai{ I~GC~ L/ o o../ - Attorney or Ag_nt f Grantee COMMONWEALTH OF PENNSYLVANIA j SS. ' COUNTY OF CUMBERLAND ) On this, the .3~'~t day of ~~~1~--fin/ , 1991, before me, the undersigned officer, personally appeared MICHAEL J. cREENE, who acknowledged himself to be the Authorized Partner of Victoria Glen Associates, the foregoing partnership, and that as such, he, being authorized by such partnership to do so, executed the foregoing instrument for the purpose therein contained by signing his name thereon as such. IN WITNESS WHEREOF, I have hereunto set my hand and offi~,ial..,sea1. State o enn County of r Recordetl in t etc. in and for in ~ Book . witness my he Carlisle, PA tri ~~ r ' i ~ Nota Public 3 ;~ :: '~~~`•~`~' SS My Commission Expires: w, =.rniY~. _;.{,~,..,; rlan ff a for the recording of Deeds ~. ,r! `. ,mss .;;;,~,,; ,,. ~., %o'~ ~.o s ~~ berlandCounty,Pa. _ . -Page., ! . _, ~~ .. Kam6 n `art 1.+:'Y~`6 ~ ,~Qi ;~~~"`~~' ......, and b ' I of office of HxnP~+wTcr» ny Wmhvt~y' ~ yof ,,;,,y M Comm. F~~,a Cr 7 tAa? .~.~ Msm6n. PrmYl~.'drt.Wti::,.`..r, yl }~o-4~~ Reco der BoQK y 3~ PAG~1.~22 I COMMONWEALTH DF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) ., RECORDED in the office fo Recording o£ Deeds, etc ., in and £or said County, in Deed Book No. ~ Vol. 3y Page IU 741c.~Fianct~~~find Offimal WSTNESS ~ da y-o f Seal this c~C.-1J , 199. , yf / ~ ` h4+i'~K, `. ~ ~~ . Tt ' ~~ ~ ~t~ s ~ t, ~, Recorder of Deeds zv_- k ~ ' .. jl :.~ :1,... 3t :N C~ ~ ' ~ ~ti~ t~~~.'+'. i.f .. ~ ,,, .~~~: ~ , 5 Townanip of Cum6. Co., Pa _-SA6ReaE Eatete Trana tx Tc+c ~ ~ '7 Z S ~'-~- Oats I' { amb, co. otaz cot. ;~ p ~ /r/I r„ ~'s, t-~ ,~ ~~•~.> Schoot Oist. Cum6, Co., Pa f ij lv ~^ ~Y. Heal Psrete/Tren aEar Ta ~ t'' .-~ ; / ~ ~ ~ ~: ~ ~ ! ,. w ~ ~ I ~~ K , ~ Cum6. Co. Dlat CoA Apt, ~ ~~ "' . ~ n • ni BOOK~3F} PAGE~,O~ • DUruSign Envelope ID: CD5E870C-6E52-4332-AC46.56367ED60664 sx~iv~A~zn Aoru;rn~~~vx Fort ~rx;v ~Ar~F or,ltiu;AZ, ~sxA~rH~ A51t This Iun11 rccummendcd and approved fn[, hUt nM mxlnclxd to me h}, the members of ille Pennfphanie AstnfiOnOn orREa LlpliS3i~ tVAlt 1. r ._- ._.___ _-_._.__..--.._-.____-.._..__ [3UYGR(S}; Michael L Carrfcato Michael A. & Leslie E. Carricato BUYER'S MAIL[N(: ADDRIsSS; 7-136 Sycamore Drive Ilarrisburg Pa 17112 PROPERTY ADDRESS PROPERTY in the municipality of~_~~ HamLtden in the School DisUict of Cumbe ]deniificalinn (c.g., Tax ID b; 1'arccl i1; Lot, Block; Decd SELLER(S): Esfate of Jerry L. Johnson SELLI'sR'S MAILING ADDRESS: _ 5002 Balmoral Cnurt Mechanicsburg Pa 17050 -_ __ - 002 Balmoral Courk _ __ __ __ __, %1 P 17050 County of Cumberland ___„_._,, in the Cornmonwealth ofYennsylvania~ Recording Date): 10161060106 BUYGR'S 12fiLA7'IONSHU' Wt'I'Fi I'A LICCNSrD BROICI?It L~Nn Busincss Relationship (Buyer is not represented by a brnher) Broker (Company) Cenkury 21 Realty Services Company Address 3315 Market Street Came Hill Pa 17011 Company Phone ~_ 737-2121 • Company fax 737-7129 Broker is; Buyer Agent (D rukar represcttis Buyer only) ^ Dual Agent (See Dual and/or Designated Agent box below) I.iuensee(s) (Name) Kerib(:kh Kauffman Direct Phone(s) Coll Phnnc(s) _ Pax Huycr Agent with Designated Agency Huyor Ageni without Designated Agency f ~ Dual Agent (See Dual and/ar Designated Agent box below') L.I TranSaCllnn Lieonsee (Broker and Licensee(s) provide real estate survives but do not represent Buyer) SLLLPR'S IiGLAT1ON5HIP WITH PA LICENSED 13ROKLR v _ ^ No Busincss Relationship (Sellcl• is nut rcprescuta(1 b,Y a hroker) Broker(Compuny) Remax 15lAdvantage ~l.,icensee(s)(Nama) Jim Bedprf Company Address 6375 MercurYDrive _ Mechanicsburg Pa 17050 Company Phone 763-7500 Company fu Hrokcr is; ~(SeIlerAgant (Broker represents Seger only) LI Dual Agent (Sea Dual and/ar Designated Agent box below) Direct Phone(s) 443-7033 Cell Phone(s) 443-7033 Fax _ Email jbedor(hgi@pmail.com I.icanscc(s) is. n SeIlerAgenl with besignated Agency ~SeIlcrAgent without Designated Agency Dual Agent (Sec Dual Rnd/or Designated Agent hox below _-_..__ ._._... ____. _._-_.__._.__ _.,___~.._~._.__-_._-. __._ _,.___,- _ _ __J DUALAND/OR 1)in51(YNATIJD AGENCI' A Broker is a Dual Agent when o Broker represents both Buyer and Seller in Nte same transactim). A Licensee is a Dual Agent when a Licensee represents Buyer and Seller in the same transaction. All of Broker's licensees are also Dual Agents UNLESS chore ore separate Designated Agents For Buyer and Seller. ]f d)c same Licensee is designated for Buyer earl Scllcr, lhC Licensee is tt Dual Agent. By signing this Agreement, T3uycr and Seller each aCltnowlcdgc having been previously informed uf, and consented lo, dual agency, iCapplicahle, r--os ~-os ^uycr Initials: _ ASk 1'akp 1 0( 11 liccisctl 1/12 Pennsylvania Association of RPALTORS@ rata Unnomled by: True Forms" vnwl,YrueForms,com a0n~49n,3G12 PAR1'!E5 Scllcr CDI'S'ItICn'I' I'SN,V51'L1:a~l,} ASSp('[,tTf0!\' UN RF1i LYUlt5 N: 2UI7 I~IO ^Transaetion l,iccnsce (Broker and Licensee(s) provide real esurte sernices but do not represent Sailer) Doc"Sign Envelope ID: CDSE670C-6E52-4332-AC46 56367ED60664 1 1. ~~p f1jGa q~LCCtri>r'tlf, tinted Augusl2 202 2 Srller Lerch}' agrees to seIl nu(I caut'r~• So I3Uyer, {t•ho ngl'rrs to pUrchnsh, thr [Qeullfie(1 l?rnprt'h•. a ?. PI"Rr:'FC-~ SE PRICE :1.\'D DEPOSITS (i-10) •~ lAl Purchnsa PTica S _ _ 255.000.00 b ( c L. S. Dollpr<1. m ba paid Oy Buyer n: fnllou•s; ~ I • Da}+USIf nt 51311ir12 Ot 11114 A~Y8d11tait(: S 5 OOO,DO o ?. Dapnsit ttithin days ol'tha Exaautiou Dnte of this .•1elaantanr S - 9 ;• S to d. Ren)nu)iug balnnca trill he laid m sattlautau4 "°`"- °"'-"-`~" t I tB1 Atl itinuls pni0 b}~ 13urer, iurlndiug (lrposits, u'lll De pnitl by chrrk, clnLier's rllerit or \s•irhtl fuutls, ;1.11 foods paid by Boger f2 n'ithiu all DAYS nCarttlrrnenl, fuchulL)~ Itultlt pnld nt sedlemeut, n'ill br U}' cnsldrl°s thee!: or a•ireti toads, bits not bg pet•- f3 soon! thee!.. id I(:') Dalx~sits, ragarillass of thz fonnot ppyulaut mld the person ila>igllnted ns paya@, tell! be !)Nil in U.S. Dullnrs to Broker foi Sallar t5 IIrIlIas5 n1ha111'i5a atateil I]elY: 1. is trl)o tri11 r0iput C1apMhs ht nn asa'on' naawurt in coltfnrzl7ih' with all npplianbla Inn's and rzrulations until cousununntinu or tar- ty It)i1711i0n nt this •atl'CanlanL Onl}' rzal astnta brokers 11'a Ca(hln'0CI CO hold ilaposlis lit pCCnl'(I811Ca 11'Ith (hd It1I05 plld 1'asnlnllnni di to the SINa Ranl Esuua C'onmucsion, C'beaks tendered ns deposit monies uln}• ba llal(I uncpsltad pending 1h0 execution of thi, t9 Agraentegt, 20 3, SLLLZI2ASSI5T(IfAppilrnblh)(1-.(U) "t SaliaC (VIII pay S 5.000.00 or °a of Ptu•chnsz Price (p ifnot specitiatl'I tntt'nril 2z Btq'ar's costs, ns penuittad by rite morrgnga !antler, if mty. Seller is only obligntad to pay ol) to the mnount or perceninga tt•hiall is 23 nppt'orad U}' molt¢nea !antler. 2a .J. SETTLE.1fE~7:'.-\D POSSESSiO\ (1.-.10) 25 lAl Satlleulattl DNa is September 18 2012 . or bai~ra ifBuyar atul Seller p~'aa, 2s (H1 Sanlanlant will occur iu the counq' n'hare the Property is Iocntad or in nu n(~inaant aounh•. chuiug uonnnl business hom•s, antes' 27 Boyar rued Szilar nsrae olhant'i>a. 2a iC t .4t time of settlanlent, the FoUots'ing tt•ill be pro~rnted ou n daily basis benraan Buyer and Sa11ar. raiulbur;ing n'hara npplianbli:: 2a ctu'rzut tnxa:; (aaa \otica IZ,egnt'(ling Raul Estate Tnxasl: rents: illierasl on mortsnga nssuutlxious: condomillwu tees Nld hou)a- 30 of+•trer nssoaiNion fees: tenter nud•or setter fens, rogathar with any other hannble unudcipnl sal't•iCa fens. All ahnrgas n'ill ba p)'o- 3 t rntad fur the period(s) coccrad. Seller trill pay up to and includ'ulg the dote of satilentant nod Buyer n•ill pay liu• all ilnys follott•- 32 inc satdaulaut. unless othal,tisa smtad here: 33 34 (D! Cnnreynnca from Seller (till ba b}' fee illlll?Ia d22d nl Sj)zC4nI 11'111'L)ty'1111Ia~S DII1Cl\C14P itnt2Cl II~Ta1 35 36 (E7 Pnyntant of u•nusfer tnxas trill be diriilad agitally baht•zan BUyar and Seller tutless othant'isa sCntad hers; 37 --~•------• .~_ 3p 1F1 Possasiwt is to Ua delivered by deed, existing I(a}•s mxi physianl pos~assion b n t•acant Proper'ty' G'ea of debris, tt7d1 all StlUChiraS 39 bl'nnll7-Clentl, nt tin}' ntltl (11110 Ul'Sl'tt1a111211t, ltllla5b Seller, belflra Sl4,tllrl_ fIt1S A-n„I'e0n7Nllt, 1'p5 1tiCllliktail Ill {YliUng rhm thr Prroperty l.i ao subject to n tense. 41 ICiI It' Setter has idanlit]at1 ill tt'LlIll12 that I!re Peaparty l5 sUUyaCt to n lan3a, posSi:SSiort i5 to 1)a delitered b}• deed, exii[ulg ke}'s nod a2 nssiuullaut ol'egistine ianoir5 for' Ute Propalty. together {citb saaurit}• deposits mtd uuarast. ifeuy. nt clay' nod time of sattlaufeul, Sallar 'f3 q'ill not atttar utto Huy Herr lenses, nor estand existing lapses, to the Propel(}' n-i(ltoul the tt'rittan consent Ol Buyer. Bugar tt•ill as ncknott•ladga axistiu= lense(sj by initinliug the lense(s) nt rile axeautiou of this Aw'aantant. u)iless othzl,t•isa ((alert in this .AU•eemenL ae Teunnt-4crupied Proprrh'.~.ddmulum (P:1-I.i: ot'm TOP) is ntlnched, 4n 5, DdTES~I'I~IL dS OI' 1'f~ ESSE\C'L• (1-10) '47 l.At 11'ritteu nccaptnuae of all pn17ies \t'ill ba on nr Uefore:_ AuoUSt 3 2012 ao IB) The Settlement Dpte nod all otlles' dates nn(1 tituas itienhha(1 for Iha partotil>,wca of mly obligntious of this Aglaamanl m'a i~f the' '~y essence and m•a bhtduts. so IC'1 The Exacutim) Ante of this a.w•aantaut is tba dote n•han Boyar and Seller hate htdicptad fill! pcaapi(utca of this Asraeulant by si27r 5t ins Harbor iuitialiu¢ it. For pu)pases of this AM'aantant, the number of du}•s trill ba cutuxad iioat the Exaanian Dnre, axcluilu)g J2 Iha tiny this Aglaemant )ens executed mld including the Ins( (Iny of Iha tn11a jial'IbCI, ~ CI1nI1Fr5 t0 rhls :1~1'PPIn P)I1 Sll0idd hr hli- 53 rimed m+d tinted, as (D) Tlta Sartlament Dale is not axlandetl by mty other provision of this :1 Creanlanl Hutt ploy only lie axtandad by annual ,t'riltan nrraa- 55 n)ant of tlta prutie,. 5g (1r) Certain tettius nud tim0 periods pre pra•printarl iu this AIa'aaulant ns n i:out•aniaq%a to tltz Buyer anti Seller, .All pra•priniad tanne 5~ nut) lima periods pre ueYOrinble N)d any be churl^_ad by su'ikhtg urn the pre-printed text nod utsertino different (era)s axapinble so to all pm'tias. so Fnilura of this .~1rJaenlrnl to aontpin the zopiug classiGcntiou (except iu cases n'hara the property' (and enell J)ilreel d121'0nf. 13 sub- ~~ dit•idnbla; is zouad solely nr l)rinmrily to permit siugla-family du•allutgil trill Pander flu's Agreantant volantila nt Bnpar'> option, and. if G2 (Hided, mly deposits tauderad b}' Il)e Bu}•ar tell] ba ranuned to lha Buyer without any raquiranlent for court na G3 Zouhlg C7nssiSirntlou;. _ _ _ _ _ hesidentlal ~ ~---os fie Du}•rr Inltlnls+ f_/~/ l~ i ~1SR Pnge 1 or 11 Se112r [uitinls ^~_- $erised 1 I1 Rnrn gans~T•,cd nr ~) rnr Farms` wptvCtruoFom+,.eom nCC•L5p•~t'L DocaSign Envelope ID: CD5E870C-6E52-4332-AC46-56367ED60664 7. T~L'l'TL"R1;S A.1D PERSO\AT. PROPtikTI' (1-)U) 1:1) I~CLLIDED iu this sale nre all zXistinit itent5 pztmm~uutly iustnllatl in the Ptop2rt}', ii•ee llt heels. NKl OIhOr 11011K inahtiling pLmthing: heating: radiator corers: hsltiutg Si~hu'zs Unclu<litt chandelier, and ecilhtn tiros!: pool mtd spa equipnteut luteluiliug corers and clenui»g equipment): zlazh•ic attilnnl fencing sysients (e~clodAtg collarsi: ghrnge done opaster~ ;tail ututsu»nzr;; rale- cision mnelJnns: uuportad sluirbbztlt plnntin25 and u•za>; alt}' rautninius hantin: and cooking tilals stared on the Prnpam• nt tltz lime of sattlentettC smoke det2ela~ and cnrbou ntonoude detector:: iulnp pnntps; storage shade: fenczs; ntailhoxa;, stall ro u•nll cmpztiua: aSistin$ u'indou' >n'zens. stone n'indnn's ant! scPzznSMnu door's; «•iuilon' oat•arina hnrdn•nre, shndzs and hliuih; ntrniugs: built-ut air cuu<litiooers; builbhr apphano2s: the rouge evert, unless athzrn'isz stntail: nod, if nutted. tenter u'eannenr s}•>• teats. proptut2 tools, sntallire dishes nod seturin• systauts, Also included: Refrlgeralor, dishwasher range, Mlcrowavl>. ____ washer and dryer. _ __ _ _ _ (Dl 1'Ita follou•ht items are LE.ISED foot owned b}' Sallarl. C'vntnct rha prm•itlzr reudor for utot•i' iufmYUatian {e.e.• seater u'enmxln systzuls. propane tmtks. sntzllitz dishes and sacnriq's}stemsl: _ (C'1 E~C'Lf,tDED tixnu•zs and items: - ~ __ 8. MORTGAGE C'O\TI~GE\C'Y (1-1D) ^ 11:•1I1'ED. This sale is ?t'07 zrnuingani ou u]nligaga tinancut;. nhhoueh Du}•zr map obrnin ntw'tgage futauciuY and or the garnet atop include nn npprnisnl contingzna)•, ~ ELEC'TED. (.•1) 17us s01z IS contutgaut upon nuyzr ootmwug utorrgnae nnnucmg accormn,_ to ate rawtrulg letup Tttr•st \Im•tgnge nu the Proper)}• $proud:lrortgnge on the Pt•operh' Lone Amounts 221.9a1.88 Loau ~ntount5 It[iniuuuu Tal7u 30 years .lliuintwn Tzlru •^~ yen!, T)q)2 CJt 1llOITLa80 _ FHA Type ofntnt•renga _ ___T _~ Lone-To-1'nlua (LT1-) ratio; Loau•To~1'nhla lLT\') ratio; For nun-FHrI'~'?. funny L'f`" ratio not ro extend ° o FOr don-FHA'1'."1 lontts LT\' rnlio trot to axcazd Aiortenzz lender MottaaQe Neh'/otk VmYgngz leu<ler Lltet'zst tart 3,250 °o; hotr2r2r. Btt}'er ngcees to trccept toe {unrest rote m mm' be cotmnlRed h}• the mortgage leader, not to exceed n nt0.V»ltntt itttareat rate of 3.25 0 0. Discount points, loan otigiuation• loan plncenlaut nod other Tres charged by the lender nb n pareeutnga of the ntortgnga Iona (axtlud- ulg any moltgnez iusurmtcz premiums or \'A fiutdins feel not to eeczati D °n (0°r, if not apecitied] of tlta mnrtgnae Innn ss loo toe ta? t03 104 106 108 107 100 169 Ito nt I1Z 113 n4 ft5 rt5 117 11n tto t2o tzt 122 123 124 tic t26 l27 I20 129 13U t31 o° lutarest tart `__° a; hou•erar, Btq'er ngt'ce5 to Ortept the Iu1t•rest t'nte ns may be romutit nd b}• the mortgage !ceder, u0l to exceed n »mxinuuu interest rtne of °o. Discount points, loon ot'igiunuNt, iQ111 plncentznt nail Other feat ahnr~atl b}' fhz lender ns a perceutnga of Ihz morlange loan lexaluil- ing t+ny uwrtgnga insurance premiums or \ _•L Auulhl_ fez) not to a~czad °° IDno if »nr apacitied) of the mnnenae Iran (B) The interest rntz(s) vu') fza(s) prot•isions in Parngrnplt S(Al at'a sntistiefl if lllz D)Of1gn_0 ledclzl'(s) stit'zs Du}'zr the tight to ?um•- mrtaa the ituet'a5t tnre(St uttl leafs! nl or below dx nmxinwnt lerals stated. IF landm•(sl ~.:ires Bu}•at' the Behr to lock in the iuter- zst rnta(sl, Buyer will do so nt !ants 15 dogs before Settletnant Dnta. Buyer git'zi Seller the right. nt Caller's soli option noel ns pemtitted b}• Ina' and the nutttgn~2 reader(s), to conn'ibuta $ttnncinlly. tt•ithout ptnntise of raintbtu•,antaut, to Iha Bu}•ar and or the nlotigngz Ieltdcr(s) to nmka the nbaee ulortgaze tatYU(s) nvailnbla to Buyer, t(') ~~ llhlll da}'S ( lf]IOt SpCClhedl (YOI1t fha E\aMIh011 DRte Ot II715 Agraalua»t. BII}'21'tt'lll make a COLUpIateCh tr!'In211111Urh snap npplitntiolt (htcludiug payment for soul ordaruta of nppt'atsnl mtd credit t'apults tcithout delay. N the tints required b}• lender(s)) fa• the u]ortenae scoot and to the mortaaUe Izdilzr(s) ideutitiatl i» Parag]'nplt St;A6 iFntty, othzrn'tse to n respansiU]z utorlgnuz leader{51 of Buyat''S choice. Broker for Hu7rer, if tnly, odtzncisa Broker for Seller, is nuthottizad to conmtatticnte tcitlt the mottgngz leudzr(s) f0 nS515I ht II]a 111U1't2aY0 IOEIn I]1'00055. (I)) BuyM' ni11 be iu default of this A~l'eelnent If BU}'Pl' flll'111S11p5 false infortnntimt to nupoue couceruhtg Buyel"s [lunuclnl nud;or etnplo}•tnent status, falls to cooperate In good Pnlth with processluH the mertgnge lotot npplicnliou (luclutlhtg deln}' of the npprnisnl), foils to lock hr turarest 1•nte(s) ns stnted fu Pnrngrnph 9(B), or otLern'i•se causes the !ceder In re)ect, refuse to apttrore or issue n morlgnre IOmI rmnmihneilt. tE) 1. ~Iortgngt• C'ommihnettt Dnte; September 10, 2012 , Ltprnt racairin n utortgnge touuuinuznt, Boyar trill promptly dzlirer n copy of the touuttiuuant ro Seller. ~. If Seller does nol reczirc n copy of the tnor'kgnga conuttihnenHsl by the \tw•Igage Crnlwunnent Dnte, Seller ntn}' renuinntz t{tis ,-1,'rzetnem ln' tr0nan notice to Bu}'er, Seller's righl to tzn]tu],•t1e contutuas until Bu}'er ilelirers n tatott¢age to»unlhuedl to •y'ellar. Until Seller tenttLlates this Aareautant. Boyar is oblignfed to nmka n good-faith effort to obtain utos•tgnaa Lll1alttitli. j. $ell2t' lllar (alYllhlnta AliS Aal'BZp1C11(b}' R'171121I IIDIICO IU BU}Yt' else!' 1110 •lIO1T4R?9 Cbllll]hh11011t Dale IFlhO lntln2ai'e COILnttlhltaU[' n. Does »ot sntisfi'thz tents oi'Pamcraph S(A), OR b. Contnhts mty condition not spaciiied iu iWs Aat'eemznt (e,a.. the Huger must settle o» mother propern•. nn npprnisnl luu~t be rzcairad by the !ceder, of the ntortLnSa cOtt4tlltutant ii trot voles! 11uough else S2Ulztnant Data) Ihnt i5 not sntistizd and or remorad in u•ritin; b}' the woliea4c lender(s) within DA1-S prier the D~forlgnga C'onultihnzlu Dnfa ilt 1'm'n~rnplt SlElll), or pup extension thereof, other than thosz cunditias» thln nre customarily satistied m or near salrlatnant (z.2.. obmututg ntsurnnze, dall£urning zutployntent), •I. If 51115 r1~1'221112nf 15 tei]11inMed pOtSttn^1 to PID:921'a])lti SIEI(31 or 131, or the utorttn a loau(sl ii not ubtninzd for szrtlaut2nt. all dtposit nlonias will be rehuued to Buyer nccordina to the tann$ of Pm•ngl;•tph 3i and This .A~•2amznt trill eta C(?ID Buyer trill be ra;;ponsible for nap colt; incurred by Buyat' for tun' iltipzthons rn' canitizntiat> obtained nccwtlulg to dtz terms of Ibis :12raalnzut. and nn}• costs ulcuned h}' Buyer tbr: (1) Title search, title ntsul~~uca nod or Inechnnits' Ilea insurance• m' nlq. fee for Cnncallntiou; (_^) Flaod iusurnncz, lire insurancz. hnznrd insurance, mute subsidanaa utsu osor nuc - tnnaal- lahon:~~(3)~~~~Apprn]sol tees nod rhnrses paidut ndrnuca to ntorterlga lepdrr(s). .~~ (1~[" Burerluttl;tlsl,~'(~C..~..- _ _ A6RPnt;c3or11 Sellerluitinlst ~~t\ Ret•Iscd 1 12 ~a~nr°crph•4 kp '(•1vcPormc' vnwr.Trua F~rnis.com nos Ae9 ~B;.' DoccSign Envelope ID: CD5E67DC-6E52-4332-AC46-56367ED60664 t32 (r) If Ilse moltsnga Ittttlw'(s), ar n j>t'OyG'[}' fllt[I cn.lUnltY itJ;»I'aJ' pJ'm'idiJtg In;nPOtlat IL•iJllit'z[I b}' dta I3JOIToO~'a landat'(s J, ragnlJ'CS t33 rtpairs to She Progert}•, Ru}•ar n'ill, upon raazit'ing the requirautauts. delit•er n cop}' of the requirealauts to Sallar l1'ithin 5 taa DA1"S of recait•hig Iha copy of the rzquirenlants, Seller still notif}• Hu}•ar tt•hztlter Szllar will nuika the squired repairs flt Scllcr°: 135 ZRJ)CI1Sa. 336 1. Il Sallal' 11Lak05 tha L'tgllh'etl I'al)n115 t0 Ih2 b0115I«CIIOtJ OP tha 1»OJ't~^,n~a Jaltil0l' NHl 01' 1t15111'2l', Bll\'al' ntC01)IS the Ptnyern• flu[I 137 ngi'aas to tJla RELEASE w Pnr«~'nyh ?s of dris Ap'aentznt, t34 ~, Il' Sellar n•ill not mn};e tha requirad rapnily. m' if Sallar foils to raspoud within the st«lad Lintz. Hu}'er teill, tcilhuJ s 13s DAIS, uotit}• Szllar of Huyer's choica to: --~ iao n. \Inka the repnit's•improvzluznts nt HuyeJ's zspenst, ss'ith pamlisswn and azcass to the Proyarn• git•an by yeller. which 1dt still not be uru'easollahl}'ts'itldtald. OR tn2 b. Tet'utumra d11s Asrzzntznt by strinzn nolica to Seller, truh «Il ttzpoiit utmlies rartu'nztl to Hu}•zr flccot'duie to Iht Ienns of ias Pnrngt'«yh ~3 at'this Aaa'aantant• tan If Buyrt• fells to respond nithlu the ttme stfltrd iv Ynrngrnph 8(x)(2) or fnRs to termfnnte this agrertnent h)'ttrlttru uotlce Les to Seller stithiu that titer, Bu}•rr n•(Il ncrept the Property nud ngrae to We RLLrASE iu Pnrngrnph 25 of thls AcreentruG f 46 FIi,1/{',(,1T APPLIC.~I3I,E t47 (GI It is axprzssly agrzad rhnrnohtithsmudhig oily otherpravisim3s of this co»n•nC1, Boyar still not be obli~ ntad to amu}>)ate the yurahasa tn6 of tha Proyztt}' dcsclibeil herzut a' to incur nay paunlt}' b}' fm'Feihu•e of eurt)es( )uatzv del)osits of othznvi;a wtlass Bu}•ar ins has been giran. i» necprdnnca tvilh HLID PHA or Z :A raquirzntants, n written statantznt b}' dte Patlzr«1 Housing C'onmtissionar, ' 1so ~'etrrnn; Adnutlisnnlion- m• a Du•zct Endot5alnent Lander ;attille forth Ulz «pyr«isetl t•nlua Pf Iha PropeJt}' of not ltss than 151 S•___ 255,000.00 (tha Purchase Pt'ica ns stntetl in this ~lgraenlentl, Buyc)• w•i(1 Itm'a the pris'ilcge and optio)t of t52 pros:aedine svitL catswivuntion of the conu'nct tvilhnut ragm•d to the flnto»nt of the nyp3;~ised t'nLmtiou. The appraised valuation 153 is amirad nl to clatentuJle the uuishuum nloxbngz tht Dzynrmraur of Hrnishtg and Ltrbnu Dat•alopnlant will iusura. IiLtU hoes t3a not tenn'mll tht t'nlltr nor the condition of the Propart}•. Au}tr shmtld sntisty lihuself hat~,zlf flint tha peke nail coudrtiou of the Ia6 Pt'oyait}' «rz ncczyt«blz, tfi6 1~'nrui»e: Sactiat 1pIU of Tillz 1S. L:•S.C., Depvtment of Housutg null Ltrbnu bzvzlopnlzur nud Fadzml Housing t57 Adminisu'nliou Tr«usnetions, prot'itlzs, "1l']lOt`Y61' t01' tlra gl11IlO5a of .. , llil]11aI1CL1l'_' ill cuty n•ny the action of >ueh Depnrhneut, t56 makes. pn~ses. attars or publishes auy;t«tautaut. knotting the snnte to bz fnlsa sltal] ba tined uudar this title or imprisoned tksl t69 afore then hvo t'eari, or botlt.'• t6o IHI L',S• Depnraneut of Housiu~ nud i`rbnu Development (H:L'D) \OTIC'L TO PL'RCIL-I,S&RS: Bu}-er's .~lrknott'1Ptlgcuteut l61 B11}'al' has 1'etalt'ad the HIJD '~!otice "For I`our Proraction: Gar n Houle Iuspaatiml." Bu}'ar understnn[Is Ihz unpolt1tYCe of 1sz cztrin3 vl hulepandzut house insyectiou nud has thonglu abotn this before ;i¢tJing this A_raawant, Boyar tutderstnnds that r63 FHA trill not garlmtn n home utspaction nor gunJ'mitzz the yrica ot• coudiuon of tlta Ptope3t}'. t64 (D C'erti(icnttou \~'a the uudersieuad. Sellarls) nud Duyar(s) golly to this h'mtsnctiou each cartiiy that the teens ai Ilus couunat I 166 for ytu'chnsa tn'e uue to the best of au• kttott'Izttge and belief, «u[I that an}• other ngt'atu)an( entered into by any of tliase pta'tle; 1s6 in ewinectiou ts'ilh this u':uuaction is mrtclle[I to thi; Agl•zarntut. 167 J. CIi~1\GE ]1 BC'S'ER'S FI\A.\C'I.•1.L STATLtS (3-Il) -~ -•1 t66 L) the atuu of n altausa iu Buyer's tinmieinl st«hts affecting $ttyar's abiliq' ro ptu'chnsa. Buyer shall promptly notiij• Ballet and ass Jeuder(s) to whom the Boyar subntitrad utottgnga npylicnrion, if any. A cttmt~z iu f~tmuial steles inchu9as. but is not lin»tad ro, loss ns or n change iu zmplo}vizntt failure ar loss of sole of Huyar's honla; Boy'ar's hnt'ing hicutt•ad n new tutauaial obli;ntion: eon}• of n tli ludglnenl ne«inst BuyeP. Bu}•rr undersGtnds th»t »ppl}'h3g fof a»dlor iururt9ng nu nc)ditlonnl fiunucinl abligntlo» inn}' nffrct 172 Jlu}•er's nbltlp' to purchase. ,73 lo, sirLLET2 REPI~s>;~Tarlo~s (1-10> 17a (.4) Rndou Tesllug nud Remrtllntlou (Sea Volice Rzgnrdiu. Rndonl 176 Seller Ims uo knott•IecJge about the przsztua oi' absence of t'ndan unless citzckad bzlosv: tll ^ 1• Seller has l:3wu9adba that the Proyarty o'as tasred on the dates nud by the methods (e.;', charcoal ennistar. nh?hn frock. arc,), a'bicb produced the results indicated bzlote: na Dnte T}•ye of Tesl Rasuhs (piwCuries liter nr n•orkut~ Izt•tl>! Nmvz of Testing San'ice 179 IDO rat ^ '?. Seller tins Iaiott'Izdee that the Property lied radon remoter 6}'srem(sl iustnllad nS indil;ntad below: lag Dare Ltstnlletl Typa of Systant Proeithr J03 18a 165 ['ogles of all at'nilnblr test reports 11911 be delh•rretl to Bll}'el' 1?'Ith thl5 --~~1'ertnrlt t, SCIIPI' 11oP5 llOt tl'nl'l'Itnt (1JP litrth- 106 ods or the t'esu]ts of rntlav rests, fez IHl Status ofll'nter 166 Seller relsrtszuts that the Propart}' is sen•td b~'; Las ~ Puhlic \1'ater ^Cammmi lt'atar ty ^On-sitalti'ater ^\ona ~____~ tso (C) StnniS of Setter Jst StllaJ' Papi'efielll; thnl the Pro(t')eyrr}' i5 ban'aCl by; 1azPublic Sen'zr LJ['C)nlltlluil Satt•n¢z Dis osnl S)•stzm _ tl' N ^Tan-acre Peltnit Exanq)lion Isza Szn'nre>votitc ?t ~•'3 hidit'idunl ou-lot Szttnga llisposnl S}•srem Isza Selenge Yoticc I) ~~ Holdina'I';utk (scl; Sau•nge\oticz 3) tsa U hulit•idufll Uu-lot Sats'a2e Disposal S}'stain in Proxiuuq' to \Ycll (sea Sats•nge :ltotiae !: sea Satcn¢z Votiae d. if nyplienblz) 19s ~ \'aie (see Sest•ngz :~otica J) ^\onz as'«ilnblzTenuit Linlitntions in 6ffact (see Sen•ngz \*nticz 51 os os 196 ---- ' ~ \ 197 f3nt'rr lultinls; .~~~ ASR Pnge q of tI Scller hdtlnls; Ret•Ised 1'12 ~om?gee&~ate`iby ~I~1'llrFO(ma' wWVaTrunForms,com nU0~406-4312 Doc!~Sign Envelope ID: CDSE870C-6E52-4332-AC4G-56367EDGOG64 1aa Ina 200 zol zoz zn3 za^ zns zos zc~ zoa 209 ztn ztt 272 213 z1^ (D) Ilistnric Prrscrvatian Scllcr is not aware of historic preservation restrictions regarding the Property unless otherwise staled here: ( L•' j. I Property, or a portion of it, is preferentially assessed for tax purposes under (hc following Act(s) (see Notices Regarding Lant Usc Rcslrictions): Parminnd and Forest Lond Assessment Ac((Cleon and Green Program; Act 319 of 1974; 72 N.S. ~ 5490. I el seq,) L_.I Open SpaccAcl (Act 442 of 1967; 32 P.S. r,+ SODI et seq,) I _ !Agricultural Arcs Security Law (Act d3 of 1981; 3 P.S. §9D1 cf scy.) ~ IOther (P) Scllcr rcpreseNs Ihaf, as of the date Seller signed Otis Agreement, no public improvement, condominium or homeowner association assessments hove been made against the I'mpedy which remain unpaid, and that no notice by mry govenmtent or public authority has been served upon Seller or :myone on Seller's behalf, including notices relaling to violations of zoning, housing, building, safety or lire ordinances Thal remain uncorrected, and llmt Setter knows of no condilian that would Constitute a viotalian ofany such ordinances that remain uncorrected, unless olhervtsc speciticd here: (G) Scllcr knows oCno other potential notices (including violations) and/or assessments except as Collotvs: z1c (H) Access to a public road Wray require issuance ofa highway occupancy pcmlil From the peptutmenl of Transportation. 21° ll, WAIVCB Or CON'f1NCFNCiF,S (9-OS) 217 If this Agreement is contingent nn Buyer's right to inspect anrtlor repair the Property, ar in verify insurability, envirnrrmentat zlo conditions, boundaries, cerllfications, zoning rlassificalimt or use, or any other informatiuu regartting the Property, Buyer's zlo failure la rscrcisc any of Buyer's opllons vvlthln the Times set forth In this Agreement (s a 1VAIVI;H of that contingency and zzo Buyer accepts the i'rnperty and agrees to the l2GLEASE io Paragraph 25 of this Agreement. zz1 12. iNSPF,CTlONS (I-10) (See Notices Regarding Property and tatvironmental ]nspeclions) 222 (A) Rights and Respnnsihiiities Lea t. Seller will provide access to insurers' rupresenlalivas and, as may hu required by this Agreement or by mortgage lender(s), to zz'1 surveyors, mmlicipal officials, appraisers m;d inspectors. All parties and !heir rent estate licensee(s) may nUcnd any inspcciinns, 2'''° 7.. Buyer may make apre-settlement walk-through inspection of the Properly, Buyer's right to this inspection is not waived by zza any other provision of this Agreement. z27 3, Seller will have heating and all ulilitics (inchrdLlg fuel(s)) on for all inspections/appt'nisnis. 2ze 4. All inspectors, including home inspectors, are aulharixed by Buyer to provide a copy ofany inspection Report to Broker for buyer, azs S, Seller hits the right, upon rcyucsl, lu rcueive a free copy of any inspection Report from rho party for whom it was prepared. 27° (B) fiuyer waives or elects at Buyer's expense to have the following bupections, certiiicalions, and invcstigalions (referred to ns zaz "inspection" or "inspections") performed by prni'essionn) conlructors, hmne iuspeclurs, enginucrs, architects and other properly licensed or otherwise qualified professionnis. If the same inspector is inspecting more than one systeut, the inspector must comply zsa tvith the Homc Inspection I,aw. (See Notice Regarding the Home Inspection Law) 294 IC) Per elected Inspection(s), Royer will, within the Contingency Period(s) stated in Paragraph 13(A), complete Inspections, obtain any zas lnspeclion Reports or resuhs (referred to as "Report" nr °Reports"), and accept the Property, terminate this Agreement, nr submit a L4° Rlritlen Corrective Proposal(s) to Seller, according to the tarns of Paragrnph 13(B). z3r Home/Property Inspections and Lnvirmrmcnial Iln~nrds (mold, etc,) zsa Elected Duycr may conduct an inspection oClhe Property's structural components; roof; exterior +vindows and exterior \Vaived zas doors' exteriorsidin ~ Cxterior Insulation artd Irinislt S stems, Casci P g pools, hot _.' --- ~ b. y a, gutters and dorms outs' swimmin 240 tubs and spas;9ppiiances;e)eetricalsystems; inleriorandexteriurplumbing;publicsewersystems;healingandcool- 4 a L^1 ing systems; wider penetration; clectromagnelic fields; wetlands and Ooad plain delinealian; structure square zaz footage; mold and other environmental hazards (e.g., fungi, indoor air quality, osbestos, underground storage hmks, 2^a etc,); and any other Items Buyer may select. IfDuyer elects to have a home inspection of the Property, as defined in 2^^ the Honte Inspection Law, the home inspection must be perfotnted by a full member in good standing ofa national znr home inspection association, or a person supervised by a Cull member of a nntienal home inspection association, in 246 accordance with the ethical s(andards and code of conduct or proclice pf that association, or by a properly licensed 247 or registered engineer or architect. (See Notice Regarding the Name inspection J.aw) ' z4a Woad hlfestatiun z4s F'lectetl Buyer may obtain a written "Wood-Destroying Dlsect Infestation inspection Report" front on inspector certified as 11'a(ved 2S0 ~~~- awood-destroying pests pesticide npplicalor and will deliver It and ail supporting documents and drawings provid- .__.! zst cd by the inspector to Seller. The Report is to be made satisfactory to and in compliance with applicable laws, mort- zsz gage lender requirements, and/or Federal ]nsuring End Ctuvunteeing Agency reyuiremenls.'fhe Jnspcction is to be zsa limited to all readilyvisible mtd accessible areas of all structures on the Property, t%kcept fences. If the Irlspecfion 254 reveals active infestation(s), Duycr, at Buyer's Bxpcnse, may obtain a Proposal front a tvood-destroying pests pes- 266 liclde applicotor to areal the Property, ]f the Inspection reveals damage from active or previous infestation(s), Buyer L5° may obtain o written Report from a processional contractor, home inspector or slnlelural engineer that is limited to 257 structural damage t° the Property caused by wood-destroying organisms and a Proposal to repair the Property. z50 Wnler Service zsa Elected Auyorrnay obtain on Inspection ofthequality and quantity ofihe canter system from a properly licrnscd orothenvlse 11'alved 2C0 ---. ~.- qualified water/wall testing company. If and ns required by the inspection company, Scllcr, at Seller's expense, will~'1--. C-'-_ zcl localeatldprovideaccesslolbeen-site(orindividual)tvalersystem,SellerwillrestorcthePropertyloi 'ousco - os z°1 ~d~alion, of Seller's expense, prior to settlement. zsa payer Inllfals: ~IIL --''~ ASR Page 5 of 11 tieller Initials. ~~ 7"-- Revised Jliz farm °aneraixd t,y~ True forms" Wwar.Trueporms.com B0o-A 99-8812 Doc!Sign Envelope ID: CD5E870C-6E52-4332-AC46-56367ED60664 264 Radon 263 Elected Buyer may obloin a radon lest of the Properly from a certified inspector, The U,S. Environmental Protection `,V~ived 200 ~_/_ Agency (EPA) advises coneclive au(ion if the average annual exposure to radon is aqua( to or higher than 0,02 f2_~.~,/~ 207 working levels or 4 picoCurieslliter (4pCi/L). 2so On-lot Sewage (If Applicable) 769 Elcctcd Buyer may obtain an [nspectien of the individual on-lot sewage disposal system from a qualified, professional ~~ 1,~atved 27o ___/ inspector. If and ns required by the inspection company, Seller, al Scller'S expense, will locate, provide access to,~y__! 771 and ompty the individual on-lot sewage disposal system, Seller will restore the Property to its previous condition, 272 at Seller's expense, prior to settlement. See parngraph 13(C) for more infomlation regarding the Individual Ort-lot 773 Sowage Inspection Contingency. 274 I'ropcrtylnsurnacc 276 Elected Buyer may detcmtinc the insurability of the Property by making application for property and casualty insurance for , - ~Vnfved 276 /~^ the Property to a responsible insurer. Broker for Buyer, if any, olhenvise Broker for Seller, may communicate tvitlt ~% 277 the insurer to assist in the insurance process. ]f the Property is located in a flood plain, Buyer may be required Io z7a carry Rood insurance at Buyer's expense, which may need to he ordered 14 days or more prior to Settlement Dafe. 27s Property Boundarlcs 26s E{acted Buyer may engage the services of a surveyor, title abslmetor, or odrer yualifed professional to assess the legal ..'1~n;ved 201 % description, certainty and location of boundaries and/or yuantum oFland, Most Sellers have not had the Property 2e2 surveyed as it is not a raluircment ofpropcrty transfer in Pennsylvania, Any fences, hedges, walls and nthernahlral 203 or constructed barriers may or may not represent the true boundary lines of the Property. Any numerical represcn- 204 Cations of size of properly are approximations only and may be inaccurate, za6 Deeds, Restrictions oud Zouing 200 Elected Buyer may im~esligate casements, deed and use restrictions (including any historic preservation restrictions or ordi- Waived 207 ^/_ nanccs) that apply to the Properly and review local zoning ordinances, 8uycr may verify that the prese»I use of the~~-! 200 Properly (such as in-law quadcrs, apartments, home oflicc, day care) is permitted and may elect to make the 209 Agreement contingent upon an aulicipalcd use. Present use: 2so Lend-Based Point Ela2ards (Roe Properties prior to 1978 only) 201 Elected BcforeBuyerisobligatedtopurehasearesidcntialdtvellingbuiltpriorto1978,Buycrhastheoptiontoconducta ~~~'IVpivcd 2s2 _.__,.___..-_ risk assessment and/or inspectionofthePropertyforthepresenceoflcad-based paint and/or lead-based painthaz- °~'C__L__.-_. 2s3 cede unless Buyer waives that right.Regardless of whether this inspection is elected or valved, the ResldeuNal 2s4 Lcud-Based Faint Hazard ReducHnn Act requires n Shccr of property built prior to 1978 to provide the gas Buyer with nn EPA-approved lead hazards information pamphlet titled Protect Your Family from Lend in 2so Ynur Home, along with a separate form, attached to this Agreement, disclosing Seller's knowledge oflcad- za7 based paint hnrnrds and ony lead-based paint records regarding the Property, (See Notices Regarding 2se Residential Leod-Based Paint Hazard Reduction Act) 2es Other 300 Elected 301 _/ 302 303 The Inspections elected above do not aaaly to the followinn existine 30~ 3Q~ 3n6 307 Son 309 310 311 312 313 314 3,z 316 31% 316 319 320 321 32'l. 323 324 325 320 3zr 32a 32a 330 331 ~ ~Vuived and/or items; 13. INSPECTION CONTINGENCY (1-10) (A) The Contingency Period is days (10 if not specified) from the &xeculion Date ofthis Agreement for each Inspection elected In Pazagraph 12(C), except the following; Inspection(s) Contingenoy Period days days i _ days days (B} Cxcept as slated in Paragraph 13(C), if Cho result of any inspection elected in Paragraph 12(C) is unsatisfactory to Boyar, Buyer will, within the stated Coningency Pcrlod: 1, Accept the Property with the information stated in the Report(s) end agree to the [ZELEASE in Paragraph 25 ofthis Agreement, OR 2, Terminate this Agreement by written notice to Seller, with all deposit monies rettuned to Buyer according to the terms of Paragraph 23 oflhlsAgreement, OR 3. I'resen t the Report(s) to Seller with a Written Corrective Proposal ("Proposal") Bstingcorrections and/or credits desired by Buyer. The Proposal may, but is not required to, include the name(s) of a prollerly licensed or qualifjed professional(s) to perform the corv Rcclions rcyuestcd in the Proposal, provisions for payment, including retests, and a projected date for completion of the correc- tions, Buyer abnees That Seller will not bo held liable for corrections that do not comply with mortgage lender or governmental requirements if performed in a workmanlike manner according to the terms of Duyer's Proposal. a , No toter than days (5 if not specified) from the end of the Coutiogency Period(s), Seller will inform Boyar in writ- ing that Seller will: (1) Safisfy all the temis ofBuyer's Proposal(s), OR (2) Not satisfy all the terms of Buyer's Proposal(s) b. If Seller agrees to satisfy the terms of Buyer's Proposal, Buyer accepts the Property and agrees to the RELEASE in Pazagraph 25 ofthis Agreement. os es c. ~W~it,h~~r _ days (2 ifnot specified) of the receipt of written notification that Seller will not tls~a~lts ns o¢81]staF's [iuycr tnltlPls; _ i ' v t,~_., ___ ASR Pnge 6 of 11 Seller loftlelst ~ ~~~ Revised Il12 r«moomretoddy.Truerarmn' vrvrw,7nmrarme.com 0o0-4oaoo12 DvcuSign Envelope ID: CD5E870C-6E52-4332-AC46-56367ED60664 332 proposal, or the time staled in paragraph 13(B)(3)(a) if Seller Pails to choose vidter option in writing, whichever occurs 933 first, Buyer will: 334 (1 )Accept the Property with the inlormalion staled in the Repvrl(s) and agree tv file RELEASE in Paragraph 25 of this 335 Agreement, OR 3as (2)Tcrminatc this Agrccment by written notice to Seller, with all deposit monies returned to Buyer according to the lernts of 997 Paragraph 23 of this Agreement, OR 33e (3)Enlcr into a mutually acceptabie written agreement ,vilh Selleq providing for any ropairs or improvoments to the 33a Properly and/vr any credit to Ruycr at sefilcmenl, as acceptable to fire mortgage lender, i f any. 340 if Buyor fAi15 to respond svlthln the time stated In Pnragroph 13(A)(3)(c) or (nits to terminate ibis Agreement by Sal Written notice to Seller wlthiu that time, Buyer will accept the Property and agree to the RELEASE in Paragraph 34z 25 of this Agreement. 343 (C') !f a Report reveals the Heal fo expand or replace the existing individual on-Iul sewage disposal system, Sd)or may, within 3aa days (25 if not specified) of receiving the Report, subrnit a Propose] to Buyer, The Proposal w[ll include, but not be limited to, the 345 name of the company Iu perform the expansion or rcplacemenl; provisions for payment, including retests; and n projected com- 34a pletion dale for coneclive measures, With{n 5 llAYS of receiving Seller's proposal, or if oo Proposal Is provided within the 347 stated time, Buyer will notify Seller in writing of Buyer's choice to; 34n l . Agrcc to the terms of the Proposal, accept the Property and agree to the RELEAS); in Paragraph 25 of this Agreement, OR ins 2, Terminate this Agreement by written nolico to Seller, with all deposit monies returned to Buyer acevrding to the terms of 350 Paragraph 23 of this A},RCCmenl, OR 35t 3. Accep! the Property and the existing system and agree to the RELEASE in Paragraph 25 of this Agreement. if required by any 352 mortgage lender and/or ony governmental authority, Buyer will correct the defects before settlement or within the time required 353 by the mortgage lender and/or governmental authority, at Buyer's sole expense, with permission and access to the property given 35a by Scllcr, which may not be unreasonably withheld, If Seller denies Buyer permission and/or access to correct the defects, Buyer 355 may, within S DAYS of Seller's deniat, terminate this Agreement by written notice to Sel ter, with all deposit monies returned ass to Buyer according to the terms of Paragroph 23 of this Agreement. 357 If Buyer fails to respond within the lime stated in Paragraph 13(C) or fails to lerminnte this Agrccment by written nottce 35o to Seller within that time, Buyer wilt accept the Property and ngrce to the RELEAS1v in Peregrnph 25 of this Agreement, ssa I4. NOTICES, ASSESSMENTS AND MUNICIPAL REQUIREMENTS (]-10) 3s0 (A) In the event any notices, inc{uding violations, and/or assessments are received after 5oller has signed this Agreement and before sst settlement, Seller will within 5 DAYS oP receiving the notices and/or assessments provide a copy ofthe Helices and/or assess- 382 menu to Buyer and will notify Buyer in writing that Seller with 3s3 1 . Fully comply with the notices and/or assessments, al Seller's expense, before sclilement. If Seller fully compiles with (he an4 notices and/or assessments, Buyer accepts the Property and agrees to the RELEASE in Paragraph 25 of IhisAgreement, OR 365 2 , Plot comply with the notices and/or assessments, If' Scllcr chooses not to comply with the notices and/or assessments, o rfnils sse within the stated time to notify Buyer whether Seller will comply, Buyer mill notify Sclier in writing wilhin~_ DAYS ss7 that Buyer with ass a. Comply with the notices and/or assessments at Buyers expense, accept the Property, and egret lv the RELEASE in 3sa Paragraph 25 ofthi5 Agreement, OR 37o b. Terminate this Agroemenl by written police tv Seller, with all deposit monies returned to Buyer according to the terms of 371 Paragraph 23 of this Agreement. 372 If Buyer falls to rospond withso the timestated in Paragraph 13(A)(2) or fails to terminate this Agreement by written notice 373 to Salter within that time, Iluyer will accep[ the Property and agree to the RELEASE 1n Paragraph 25 of Ibis Agrcoment. 374 (B) If required by law, within 3Q DAYS fro,u the Execution Date of this Agreement, but in no case later than IS DAIS prior to 37n Settlement Date, Seller will order ut Seller's oxpense n certification from the appropriate municipal department(s) disclosing notice 376 oFany uncorrected violations of zoning, housing, building, safety pr fire ordinances and/or a certificate permitting occupancy ofthe 377 Property. If Buyer receives a notice of any required repairs/improvements, Buyer will promptly deliver a copy ofthenotiee to Scllcr, 37a i ,Within 5 DAYS of receiving notice from the m,micipalify that repairs/improvements are required, Seller will deliver a 379 copy of the notice to Buyer and notify Buyer in writing that Seller will: 3°o a, Mokc the required repeirs/impmvemenls to the sallsfaclion of the municipality. If Seller makes the required Sat repairslimprovemenls, Buyer accepts lire Property and agrees to the RELEASE in Paragraph ZS of this Agreement, OR 302 b, Nol make the reyuireJ repairslimprovemenls. If Seller chooses not to make the required repairsJimprovements, Buyer will 3as notify Seller in writing wkhin 5 DAYS that Buyer will: 3s4 (I) Make the repairslimprovements al Buyer's expense, widr permission and access to the property given by Scher, tvitieh ens will not be unreasonably withhold, OR 3na (2) Terminate this Agreement by tvrittert notice to Scllcr, with all deposit monies returned to Buyer according to the terms 367 of paragraph 23 of this Agreement 3oa if Bnyer fails to respond within the lima stated in Paragraph s4(R)(1)(b) or fniss to terminate this Agreement by 3B° written notice to Seller within that time, Buyer will accept the Property and agree to the RELEASE in Paragraph 39° 25 of this Agreement, Hors Buyer accepts the responsibility to perform the repairs/Improvemcots according to rho 39t terms of the notice provided by the municipality. 302 2. If Seller denies Buyer permission to makr, the required repoirslmprovemenls, or does ^ot provide Buyer ogcess before 303 Settlement Dale to make the required repairs/improvements, Buyer may, within 5 DAYS, terminate this Agreement by 394 written notice to Seller, with alt deposit monies returned to Buyer according to the terms of Paragraph 23 of this Agreement. 3es 3 . [f repairs/improvements are required and Seller fails to prvvide a cvpy of the notice to Buyer as require '~sihis Paragreph, Seller 3as will aria tall repairs/improvements as required by the notice at Seller's expense. Puragrnph 14(B)( ) wt~u ~ Mack 3a7 payer initials; ~ i ~ ASR Pagc 7 of it Seller laltlalse `-~'V ~ Ravlscd 1/72 Form Oena'eaxi by: Tr7ie Porms° vrvnv,TmeFarms.com 600-493~961Z DocuSign Envelope ID: CD5E870C-6E52-4332-AC46.56367ED60664 390 I5. CONDOMINIUIM/PLANNIFD CUI14)ti9UNPf'1' (IIOMIsOWNrIC ASSOCIATIONS) 12ESAJL~ NOTICi/ (I-I O) 399 Pmpcrty is NOT a Condominium or part of a Planned Community unless checked below, 40o I ~ C'ONDQMINIlh14. The Property is a unit of a condominium that is primarily run by a unit owners' association. Section 3407 of the 4ot Uniform Condominium Act of Pennsylvania (sec Notice Regarding Condominiums and Plamted Communities) requires Seller to 4D2 famish Buyer with a Certificate of Resale and copies of the condominium declaration (other than plats and plans), Ute bylaws and 4oa ilte rules and regulations of the association. 404 '`~ I PLANNIaD COMMUNITY (IiGMEpWNER ASSOCIATION). The Properly is part of a planned community as defined by the a°5 Uniform Planned Community Acl (see Notice Regarding Condominiums and Planned Communities). Section 5407(e) of the Acl a°e requires Seller t° famish Buyer with a copy of the -ealaraNon (other than pltlls and plans), the bylaws, the rules and regulations a9~ of the association, and o Certificate containing the provisions set forth in section 5407(a) of the Aot. a°9 THC FOf.LO WLNG AI'PLIC~S'PO PROPTRTIES'TIIAT ARE PART OF A CONDOMINIUM OR A PLANNED COMMUNITY. 4oa (A) Within _I5 DAYS from the Execution 17ate of this Agreement, Seller, at ScUcr's expense, wit( request from the association a ate Certificate of Resa{c and any other documents necessary ro enable Seller to comply with the relevant Act. The Acl provides that 4tl the association is required to provide these documents within 10 days of Seller's request. ale (B) Seller will promptly deliver to Buyer all documents received from the association. Under the Act, Seller is not liable to Buyer For eta the failure of the association tv provide the Ccrtiticatc in a timely manner or for any incorrect inforrnation provided by the assvciation ^~^ in the Certificate. ale (C) The Act provides that Buyer may declare this Agreement VOID at any time hefore Buyer receives the association documents and ate fqr 5 days after receipt, OR until settlement, whichever occurs first. Buyer's notice fo Seller must be in writing; upon Buyer all declaring lh(s Agrccmertt void, all deposit monies will be returned to Buyer according to the torus of Paregroph 23 of this 4to Agreement. 479 (b) if the association hoe the right to buy the Property (right of first refusal), and the association exercises that right, Seller will reimhurse ago Huyer for any costs incurred by Buyer for any inspections or certifications ohtained according 1o fhe terms of the Agreement, 427 mid any costs inctrred by Auyer for. (1}'fille search, fide insurance and/or mechanics' hen insurance, or any fee for cancellation; az2 (2) Flood insurance, fare insurance, hazard insurance, mine subsidence irtsurancc, or any fee for cancellation; (3) Appmisal fees n2a and charges paid in advance to mortgage lender. az4 I6. TITLI•;S, SCII2VTyS AND C0S1'S (1.12) 425 (A) The Progeny will be conveyed with good and marketable title: that is insumblc by a reputable title insuranec company at the regular ass rates, free and c{ear of all liens, encumbrances, and casements, excepting howeverthe following; existing deed restrictions; a27 historic preservation restrictions or ordinances; building restrictions; ordinances; easements of roads; easements visible upon the a2a ground; easements of record; and privileges cr rights of public service companies, if any, aza (H) Buyer will pay fqr the following; (1) Title search, title insurance and(ar mechanics' lien insurance, or any fee for canuollatiun; n3o (2) Flood insuronce, fire insurance, hazard insurance, mine subsidence insurance, or any fca for cancellation; (~) Appraisal tees eat and charges paid in advance to mortgage lender; (4) Buyer's customary scltloment costs and accruals. nuz (C) Any survey or sunroys required by the title insurance company or the abstracting company for preparing an adequate legal acs description of the Properly (or the correction thercot) will be obtained and paid for by Seller. Any survey or surveys desired by 434 Buyer or required by the mortgage lender will he obtained and pail for by Buyer. ass (p) if Seller is wtnble to give good and marketable title that IS insurable by a reputable title insurance company at the rt:gular rates, as aaB specified in Paragraph IG(A), Huyer may terminate this Agreement by written notice to Seller, with all deposit monies retumed to 437 Buyer according to the terms of Paragraph 23 of this Ab~recmenl. L(pon termination, Scher will reimburse Buyer for any costs 438 incured by Buyer fbr any inspections or eartifeations ohtainad according to the letms of this Agreement, and for those items spec- 43e ificd'in Paragraph 1G(B) ilems(I), (2), (3) and in Paragraph ]G(C). n4o (E) Oil, gas, mineral, or other tights of this Properly may have boon previously conveyed or leased, and Senors make no representa- 447 lion about the status of those rights tmless indicated elsewhere in this Agreement. 44z ^ Oil, Gas and Mineral Rights Addendum (PAR Form OGM) is attached. 443 (P) COALNOTICR (WhercAppllcablu) 444 THISDOCUt.IGtdTMAYNOTS&LL,CONYGY,'fRANSFGR,INCLUD80RSNSU1tETHETI'iLLrTO'fHECOAI,ANDRIGHTSOPSUPPORTUNDGRNC•ATH A45 THG SURPACG LAND DfsSCRInGD OR RGFGRIiGD TO HEREIN, ANDTHP OWNtilt OR OWNERS OF SUCH COAL A/AY HAYC THG COMP1.f>TG LCC3AL 446 RI011'r't'U RCMOVE ALL 5UCli CUAL AND IN'1'HA'1' CONNF,C'f10N, PAtiAaIi MAY RESULT TU THH SURFACC OF THG LAND AND ANY HOUSE, 4a7 GUILDING pR OT'HGR STRUCTURL• ON OR IN SUCH I,ANA, (This notice is Set forth in the manner prgvldod in Section 1 of the Act of nna July 17, 1957, P,L. 984.) "Buyer acknowledges Utat he Wray clot be obtaining the right of protection agains! subsidence resulUng ace from coal mining operations, and that the property described herein may hu pmtcutad Pram damage due to mine subsidence by a d5o private contract with the owners of the uconomlc interests in rho coal. Tlds acknowledgement is mode For rho purpose of complying 45t with the provisions vF Scclivn Iq uF the Bituminous Mine Subsidence and the Land Conscrvatinn Acl of April 27, 1966," 45z Buyer agrees to sign the decJ from Seller which deed will contain the aforesaid provision, 45a (G) The Property is not a "recreational cabin" as defined in the Pennsylvania Construction Code Act unless otherwise slated here (sco 45a Notice Regarding Recreational Cabins): 455 (i{) This property is not subjeot to a i'rivate'I'ransfer Fee Obligation unless othenvisc staled here (see Notice Rngarding Private Transfer 46B FceS): a57 OPrivatc Transfer Tee Addendum (PAI2 form PTF) is ntt°ched, aye 17. MAINT)1NANCEAND RISK OT LOSS (1-10) 45a (A) Seller will maintain the Property, grounds, fixturrs and personal property specifically listed in thisAgrecment in its present condition, coo normal wear and tear excepted. 461 (B) [f any system or appliance included in the sale of Property fails before scttlcmenf, Seller with 4nz 1, Repair or rt:place the failed system or appliance bci'ore settlement, pR acs 2. Provide prompt written notice to Auyer of Seller's decision to; Wen a. Credit Buyer at settlemmn for the fair market value of the failed system or appliance, as accept the a lender, 4oa ifs OR 4°e Buyer Iatflsls: ~ ASR Pngc 8 of 11 Seller Inltlols: 1 ~ RevJscd I/12 Form gorwreted by 'l'ore Forms" wvr,V.TruoFotma.com 000-nab-9812 DocuSign Envelope ID: CD5E870C-6E52-4332-AC46-56367ED60664 AU7 h. Nol repair or replace the failed system ar appliance, and not credit Buyer al settlement for the fair market value of the a6o failed system or appliance, Ors 3. If Selier does not repair or replace the failed system or appliance or agree to credit Buyer for its foir market value, or if Seller 470 fails to Botify Uuycr of Seller's choice, Royer will notify Seller in writing within 5 DAYS or before Settlement Daie, an whichever is earlier, that Duyer will; 472 a. Accept the Property and pgrcc to the RELEASC in Paragraph 25 of this Agrccmcnt, OR 479 h, Terminate this Agreement by written notice to Seller, with all deposit monies ratumcd to Buyer according la the terms of 47a Paragraph 23 of this Agreement. 475 !f Buyer fails to respond within the limo stated in Paragraph I7(B)(3) or tails to terminate this Agreement by writtep a7s notice to Serer within that time, Buyer will accept the Property pad agree to the RI:h$s,SL in Paragraph 25 of this a~7 Agreement, n7a (C) Seller bears the risk of loss from fire or other casualties until settlement. If any properly included in This sole is destroyed and not ^79 replaced prior to settlement, Auyer will: 400 I , Accept the Property in its then current condition together with the proceeds of any insurance recovery obtainable by Seller, Olt na1 2. Terminate this Agrccmcnt (ry written notice to Seller, with all deposit monies returned to Buyer according to the terms of ae2 Paragraph 23 of this Agreement. aaa lA. HOME ~VARILANT[);S (1-I U) ^a4 At or before settlement, either party may pwehase a home warranty for the Property iiom a third-party vendor. Buyer end Seger understanJ '485 that n home warranty for the Property does not nher any disclosure requiremeNS of Seller, will not cover or warrant any preexisting aBa defects a(' the Property, and will not aher, waive or extend any provisions of this Agreement regarding inspections or cenificalions 4B7 that Buyer has elected or tvnived as part of this Agrccmcnt Buyer and Seller understand that a hraker who recommends a home n00 warranty may have a trusiness relationship with the home tvnrranty company that provides a financial benefit to the broker. aaa 19. RCCORll1NC (9-05) a00 This Agreement wilt not be recordeJ in the Office of the Recorder of Deeds or in any other orrice or place of public record. If' Buyer A91 causes or permits thisAgreement to be recorded, Seller may creel to treat such act as a default of this Agreement, aaz 2U. ASSIGNMENT (1-l0) 493 This Agreement 1s binding upon the parties, their heirs, personal representatives, guardians and successors, ant! 1o the extent assignablq, a9^ on the assigns of the parties hereto, Buyer will not transfer or assign this Agreement without the written consent of ScUer unless a95 otherwise stated in this AbReemenL Assignment of this Agreement may result in additional transfer taxes, a9s 21. COV;u)aNING LAVV,'VLNI)EAND PCRSONAI,JURISAICTION (9-OS) 497 (A) The validity and construction of this Agreement, and the tights and duties of the parties, will be governed in accordance with the q90 lows of ffle Commonwealth of Pennsylvania. a99 (B) The panics ogee thol any dispute, canlroversy or claim arising under or in cgnncction with this Agreement or its perfOrmnnec by coo either party suhmitted to a court shall he filed exclusively by and in the slate or federal courts sitting in the Commonwealth of 507 Pennsylvania, 5oz 22, RFPR~SENTA'1'30NS (1-10) 503 (A) All representations, claims, advertising, promoli0nal netivities, brochures or plans of any kind made by Sellor, Brokers, their ~^ licensees, empioyces, officers or partners arc not a part of this Agreement unless expressly incorporated or stated in this 605 Agreement This Agreement contains the whole agreement bchvicen Seller and Buyer, and there are no other terms, obligations, 50° covenants, rcprescntations, slatemenls or conditions, oral or otherwise, of any kind whatsoever concerning this sale. This 507 Agrccmcnt will not be altered, amended, changed ar modified except in writing executed Uy the parties. 500 (B) Unless otherwise stated in this Agreemcot, Buyer has inspected the Property (including fixtures qod auy personal property J09 spec(ficaUy listed herein) hefore signing this Agreement Or LAS waived the right to do so, and agrees to purahese the 510 Property fN 1TS PRCSL:NT CONbiT10N, subject to inspection contingenaies elected in this Agreement. Buyer acltnowledges 511 that Brotters, their licensees, employees, oitccrs or partners have not mpde qn Independent eagailngtlon or determinntlon 5t2 of the structural soundness of the Property, the ego or condition of the components, envlronmontAl conditions, J13 iLe permitted uses, nor of egnditious exlsHng is We locate whore Lire Property is situated; uor hpvc they made a mechanical 614 inspection ofany of the systems contatned therein. b15 (C) Any repairs required by this Agreemcot will he completed in a workmanlike manner, 610 (D) I3rokcr(s) have provided or may provide services to assist unrepresented pMias in complying with this Agreement. 617 23. DEFAUIdT, TEItM1fNATION AND RETUiRN OF DEPOSIT'S (1-l0) 615 (A) Where Buyer tcnninates this Agreement pursuant to any right granted by this Agreement, Buyer will be entitled to a return of 519 aft deposit monies paid on account of Purchase Price pursuant to the terms of Paragraph 23(13), and this Agrccmcnt will be 520 Vp]D, Tenninntion of this Agrccmcnt may occur for other reasons glving rise to alarms by Auyer and/or ,Seller for the deposit 6z1 monies. 6z2 (13) Regardless Of (he apparent entitlement to deposit monies, Pcnnsyh~ania law does not allow q broker Itoldittg deposit monies to sza determine who is emit{e<! to the deposit monies whoa scttlcmcnt does not occur. Broker can only release fhc deposit monies: 5zn i, If this Agreement is temrinated prior to settlement and there is no dispute over entitlement to the deposit monies, A written 5z-5 agreement si6med by both parties IS evidence that there is no dispute regarding deposit monies. 6zs 1„ 1f, after Broker has received deposit monies, Broker receives a written agreement that is signed by Buyer and Salter, dlfCCfing 52y BrOkcr how to distribute some ur all of the deposit monies. szo 3. According to the terms of a final order ofcour(. 629 4. According to the tCrmS Of 8 prior Written ab'TCCmCnI betlVeen allyCr and Seller that di(eCIS tl7C BrOk~~ how t~dbutc the 6ao dap ~f i/i~gttcs if there is a dispute between the parties that is not resolved. (See Paragraph 23(C)) I( ~~, r 631 gayer iultials; ,~/g~ 1~ ~ ASR Paee 4 of tI snunr r.,nr"re. ~~ ,-~`~ Pane {y~norvNd by: TrueForrns" vmw.Treotorms,cam B00-A99~9ot2 Dacu?;gn Envelope ID•. CD5E670C-6E52-4332-AC46-56367ED60664 53z (C) Buyer and Seiler agree that if there is a dispute over the entitlerneat to deposit monies that is unresolved a6S days after sea the Settlement pale sealed in Paragraph A(A), or uny written cxtcrtsions thereof, the Broker holding fho deposit monies will, with sea in 30 days of receipt of Buyer's written request, dishibulc the deposit monies to Buyer unless the Broker is in receipt of vertifi- eo5 ablewritten notice, That the dispute is tho subject of litigation, Jf Broker has received verifiable written nolire of litigation prior to sa6 the receipt of Buyer's request for distribution, Broker wiii continue to hold Ihn deposit monies until rcceip( of a written dislri- 537 halloo agreement between Buyer and Seller or a final court order. Buyer anti Seiler are advised to initiate litigation for any por- 596 lion oi' the deposit monies prior to any distribution made by Broker pursuant to this pnraginph. Buyer and Seller agree that the 599 distribution of deposit monies based upon the passage of Limo does not legally determine nntiticment to deposit monies, and that s4e the parties maintain their legal rights to pursue litigation event after a distribution is made. sot (b) Duyer end Seller ogree that Druker who holds or distrlbu[cs deposit monies pursuant to the terms of Paragraph 23 or Pennsylvania 542 law will not be liable, Buyer and Setter agree that If any Droker or afTliated licensee is named in litigation regarding deposit Goo monies, the oltomeys' fees and assts of the Broker(s) and licensee(s) will be paid by the party naming them in litigation. ea4 (E) Seller has the option of retaining all sums paid by IIuyer, including the deposit monies, should Huyer: 545 1. Fail to make any additional payments as specified In Parabnaph 2, OR 546 2, Famish false or incomplete infiamation to Sclter, Broker(s), nr any other party identified in this Agreement concerning G47 Buyer's legal or financial status, OR 54a 3. Violate or Lail to fulfill and perform any other terms or conditions of this Agreement. 64s (F) Unless othorrr~se checked iu 1'aragrnph 23(G), Seller may elect to retain (hose sums paid by Huyer, including deposit monies: 6so I . On account of purchase price, OR 561 2, As monies to he applied to Seller's damages, OR ss2 3. As liquidated damages for such default, 553 (G) DQS);LLER IS LIMITED TO RETAINING SUMS PAID BY BUYER, INCLUDING DEPOSIT MONIES AS .554 LIQUIDAi!'ED DAMAGES. ' 555 (H) If Seller retains all sums paid by Buyer, including deposit monies, as liquidated damages pursuant !o Paragraph 23(F) ar (G), 55s Buyer and Seller are re}cased from further liability or obligation and lhisAgrecmenl is VOip, 557 (q brokers and licensees are not responsible for unpaid deposits. 559 24. MEDIATION (1-lU) 55s Buyer and Seller will submit all disputes or rlaims that arise from this Agreement, including disputes and claims Duct deposit monies, eso to mediation. ivlcdiation will be conducted in accordance with the Rules and Procedures of the Homc SaUerslHome Buyers Dispute sat Resolution System, unless it is not available, ht which case Buyor and Seller wilt mediate according to the lams of the mediation sys- 562 tam offered or endorsed by the local Association of REALTORSQ+'. Mediation fees, contained in the mediator's fee schedule, will be 5sa divided equally among the parties and wiU be paid before the mediation conference, This mediation process mull ho concluded beforo 664 ony party to the dispute may initiate legal proceedings in any enurtroom, with the exception of filing a summons if it is necessary to 5s5 stop any statute of limitations from expiring. My agreemem reached through mediation and signed by the parties will be binding (see boa Notice Regarding Mediation), Any agreement to mediate disputes or claims aris(ng from this Agr'ecment wiii survive settlement. sal 2S. REl,F;A5E (9-05) see 1luycr rclonses, quit claims and forever discharges SELLER, ALL tsftOKERS, their L1CEh'SEES, EMPLOYEES anti any bus OFFICER or PARTNER of any one of them end any other PL4'RSON, FIRM or CORPORATION wlro may ha liable by or 57o through them, tram uny and all clalnrs, tosses or demands, including, but not limited lo, personal injury and properly dant- 57t age and all of the consequeuces thereat, whether known or nut, which may arise from the presenac of tatwttes or other wood- 572 boriogfnsects, radon, lead-based paint hazards, mold, flmgi or indoor air quality, environmental harArds, any defects in the 57s iadivldua] an-lot selvage disposal system or detlclencies in the on-silo water service system, or any defects ar conditions on the 574 Property, Should Seller be in default under the terms of this Agreemeut or in tdotatian of any Seller disclosure law or regula- 575 don, this rolease tines not deprive Buyer of any right to pursue any remed[es that may bo available under law ar equity. Thia 576 release will survive settlemont. 5n Z6. REAL ES'T'ATE RECOVERY FUND (9-OS) 57o A Real Gstata Recovery Pund exists to reimburse any persons who have obtained a final civil judgment against a Pennsylvania real 67s estate liccnscc (or a lircnsce's alliliates) owing to fraud, misrepregentation, or deceit in a real estate transaction and who have been 5BO unable to collect the judgment after exhausting all legal and equitable remedies. For complete details about the Fund, call (717) 7t33- 55t 3658 or (800) 822.21 l3 {within Pennsyh~ania) and (717) 7831}RSA (outside Pennsylvania). ssz Z7, COMMlfN1CA1'IONS WITH BUYERAND/Oil SELLER. (1-1U) 503 Wherever this Agreement contains a provision that requires or allows eommunic;ation/delivery to a Duyer, tlral provision shall be satis• $04 tied by connnunicalionldclivcry to the Broker for Buyer, if any, except fur documents required to be delivered pursuant to 5a5 Paragraph I5, IF there is no Broker for Buyer, those provisions may be satisfied only by communicationJdeiivery being made dircct- 5B5 iy (o the Buyer, unless othcnvise agreed to by the parlina, Wherever this Agreemonl contains a provision tint requires or allows com- 5a7 nnmication/delivery to a Seiler, Thal provision shall be satisfed by communicntionldclivery to the Broker for Seiler, if any, If there is sac no Broker for Seller, those provisions may be satisfied only by communicationldelivery being made direcgy to the Sailer, unless other- 509 wise agreed ro by the parties. 5so 2g, SPECIAL CLAUSES (I-10) Est (A) 'The follmvlog are port of this Agreement ifchccked: ssz C _>Saie & Sotl{cmcnt of Other Property Contingency Addendum (PAR Form SSP) 5s3 ~ Sale & Settlement of Other Property Contingency with Right to Continue Marketing Addendum (PAR ForTrt SSP-CM) s9a IYj Sclllement of Olhcr Property Conlingcncy Addendtun (1'AR Form SOP) 585 [ ~ Short Selc Addendum to Agreement of Salc (PAR Porm SHS) ,Bn (]Appraisal ConlingcncyAddendum (PAR Porm ACA) 5s7 I~ 590 ~_~ 5BB coo Ruycr Inltinl:-~~ ASR Page 1D of 11 Sdicr InlHnls: Revised 1/12 Fwm purwrated Ay TrveForms' twnv.TruoForms.com BW-49&B61Z DocuSign Emtelape ID: CD5E670C-6E52-4332-AC46-56367ED6D664 Got (g) Additional Terms: aU2 603 aDa G05 GUG f07 aas saa stn s1 t atz G13 614 a15 stn s1 ~ stn payer and Seller aclmowledgc receipt at n copy of this Agreement nt the time of signing, ets This Agreement may he executed in one or more counterparts, each of nttich shalt be deemed to be an original ttnd which coun- s2a terpnrts together shall constitute one and the same Agreement of the Parties. set NOTICE't'O PARTIES: WHEN SIGNED, THIS AGREEMENT IS A BINDING CONTRAC'T', Parttps to this transaction are a22 advised to consult n Ponnsylvnuis rent estate attorney before sigatng if they desire Icgal advico. s23 Return otthis Agreement, and any nddcndn and amendments, including return by electronic trnrlsmission, bearing the signatures sea of ail patties, constitutes acceptance by the parties. s2s ~~J Buyer has received the Consumer Notice as adopted by the State Real Estate Commission at 4y Pa. Coda szs §35.336, s27 /~Lt,~ / Buyer hos received a statement oiliayer's estimated ctosing costs before signing this Agreement, ago _~ ham(' _~ payer has road and understands the notices and explanatory lnformadon in this Agreement. 62a t•~ / 9uyer has received o Scllor's Property Disclosure Statement betare signing Ibis Agreement, if required by 1a1v s3o (see Information Regarding the Real Estate 5ellor Disclosure Law). sst -(~;V/_.~ -uyer bas received the Deposit Money Notice (tor cooperative sales vvhen Broker for Seller is holding deposit s32 money) before ~;ning this Agreement, ss3 a}, f1,~ t3uycr bas re clued the pad-Based Paint Hazards Disclosure, tvitich is nttanhed to this Agreement otSate, and sea // the pnm~ t Protect ' ur Family from Lead ip Xour Home (for properties built prior to 1978) sib HUYER ~ DA9'E 8~c~i ~ 1 ~-' ~ M)chae . Cnrticeto ~-r' ess BUYER _ _ DATE a37 DUyER DATE 6so Seller has received the Consumer Notice ns adopted by the State Real Estate Commission nt 44 Pa, Code § 35.3:16, s3o Setter has received n statement of Soller's estimated closing costs before signing this Agreement. s4o Sclter has rend and understands the notices and explanatory information in this Agreement. noeuSigned hy: ~ sal SELL,EI~I~"~~~s ~- DATE $/4IZ012 aEasapsa7FOa7o... Oocusipned ny: ~r DATE 8/4!2012 sae SELLER- ~`~~~~ C8EC5E45s8COZ471... sa3 ST;LLER _ __ _ DATE ASft PaRc 31 of Ii devised U12 FamoonoretedbyTlveFn,me'" tvww,TruoForma,cum nob-aAa.aet2 n~.ncur°v III ~° OMB Approval No. 2502-0265 ~` ! • ~ I y G _~ ~IB~N ,=,i A. Settlement Statement (HUD-1) q nP i BAN ~2JE~ ~. 6. Type of Loan 1. ^X FHA 2.~ RHS 3. ~Conv. Unins 6. File Number. CARRICAT0 7, Loan Number, 8. Mortgage insirance Case Number: . .5002 7700376223 446-1407360-2036 4. ~ UA 5. Q Conv. Ins. C. Note: This form s furnished to gvE you a s'atement of adual ttk Item3 marked "(p. o.c.)"were paid outsde .re ment costs Amounfspatil to and bythe ~ttkment agent are shown, the closing; the ar h h y e s own ere for informafronal purposes and are not inGuded in the totals D. Name and AddlIress of Borrower. MiUael L Carricato . E. Name and Address o(Seller. F. Name and Address of Lender. Mid~ael A. Carrice'o and LeAie E. Carrica[o MORTGAGE NETWORK, INC. Daviq L. Johnron m-ex and 2136 Sycamore Djive , 300 ROSEWOOD DRIVE Debra A. Cassatt m-ex Harrisburg, PA 17112 , DANVERS, MA D7923 of the Estate of Jerry L. Johnson i 5002 Balmoral Ct Megtanicsburg, PA 17050 G. Properly Lo©lion: 5002 Balmoral Cglirt H. SetfkmentAgent: 23-2402316 Settlement Date: 1 Medranwcburg, PA 17050 PURITY ABSTRACT COMPANY • 3329 MARKET STREET Hampden Twp, Cumberland Co. CAMP HILL PA 17D11 September 18, 2012 Ph. (717)737-8359 Place of Settlement: Century 21 Realty Services 3375 Market St, Camp Hr17, PA J, Summary of Borrowers transaction 100. tross Amourit Due from Borrower K. Summary of Sellers transaction . 101. Contrail sales dce 400. G'p55 Amount Due to Seller: 102. Personal roe 255,D00.00 4D1. Cqn}rail sales price 255 000 00 103. Settlement Char es to Borrower Line 1400 , . 402. Fkrsonal ro e 104 71,566.38 403. 105. 404, 405 Ad'ustments for items aid b Seller in advance . 106. COUNTYlTOWNSHIP 09118/12 to 01/01/13 176 61 U t ld b 9118/72n il 107. CITY TAX to . O6 000NTY/TO WNSHIP 0 to 0l/Dt/13 ~ 176 61 108. SCHOOL TAX 09/18/12 to 07/01/13 1 864 33 407, CITY TAX to . 109. 3RD QTR. SEINER & TRASH 09/18/12 to"10/07/1 . . 2 408. SCHOOL TAX 09/18/12 l0 07/01!13 1 864 33 110. 2072 HOA FEE $25 09/18/12 to OY01/13 21.97 409. 3RD OTR. SEWER & TRASH 09/18/12 t0 10/01/12 , . 21 91 111 7.17 410. 2012 HOAFEE $25 09/18/12 to01lOt/13 . 112. 417. 7 17 ~ 120 G 412. . ross Amount Due from Borrower ~ 288 63 200. Amounts Paid b or in Behalf of Borrower , 6.40 420. Gross Amount Due to Seller 257,070.02 201. De osl ore melt mpne 600. Reductions in Amount Due Setter. 202. Rind al amount of newloan s 5,000.00 507. Excess de ost see hstrudions 2D3. Edstina Ioandsl takon a ~ne.a ~,. 224,943.00 502. Settlement drarges to Seller /Line 14nm ~....,., .,_ TIIP WdiG R(pdGn~ BNdB'I (p- tfys cd9Gppn p( ilRMmaEO'1 is flSbmMtl1 at 35 miw((E pg r660d1$B (C! LOMB.-Org• rmi piiry yglQ~(ijrlg (ryg da(a, TMS ap9C`/ mby ip Ldp pvs inkrmaA Vl, dam] Yw dre nil r pMOClgs ,,puss it dspays a cuTeMl/ vB'IOOMa cvVd romper. No cdnd>,waiy is Bssux{ pas dsdosve is m i eIk#OrY TfYSis desi~l0 poviya Ve ~r0as l0 aRE5R1CwBfatl RaysdimwMlrfbmapVl ~~rg Vy SeApem9R Page 1 of 3 Hl1D-7 '~ (CARRICATO.5002.PFD/CARRICAT0.5002/22) L. Settlement Charges roa. mtal Reel F.:._._ ^--•-- Yditl FrCm ~ -- Paitl Fran L'drO.nN"'S SE41b`. FLMCS dl Fyrry 31 Sehlanarl $e1M9nP'1 /11. 712. 860. from 7001. Intial~or fur esc7ow a¢ount wv. wuiv ~ YI I VyP TAX 1007. SCHOOL TR,X 1008. 7009. ACGRFrorv nr. ~~ •. Loan ~~~ peofc inte- reSy- ra~ ~n 2 13 (from GFE months @ $ 50.28 per month months p $ 402,2• @ $ 194.31 er month $ 777.2 $ -445.81 1705. Lender's title of IirnR `~"'mow I I I Lt INS. CO. - 7706. Owner's tRl $ 224,943.00 7107 p ~poic f<mit $ 255,000.00 . A cot's o on o/the total tdle insurance premium 1108. Underwriters ortion of the tptalMlo n~ ~em~umto PURITYAE 1109. Notary Fee, p ~o FIRST 1170. Tax Cert fee to Notary Clerk 1171. to PURITYABSTRACT C 7772. ~ 7173. 7200. Covemme t Recording and Transfer Charges 1201. C?wernmenp'reoordin filar es 7202. Deed $ 64,00 to RECORDER OF DEED 1203. Transfer taxes Mortgage $ 76.00 Rele~ 1204. OtylCountytax/stamps to RECORDER OF DEED; 1205. Sate tar/stan s $ 2,550.00 1206. $ 2,550,00 1202 1300. Additional Settlement Cha es 1301. Re wired sennQ..s that wu ran ~o for 1302. 1303. RESALE CHRT 1304. ROOF REPAIRS to TURNBERRV HOA 1305. 7Ufl REPAIRS to PINKAS BUILDING & RC 1400, Total Settlejnent Charges enter on Iinest103, Sect pp aO dL502 PSp Ily sPTn9cd9e 1 d Uxa ~talana~t Gre syaNles xkrwA eaga recall dacvnderetl cops of page283dNiv CertiFleo to oe a t ue mpy i ~ i Page 2 of 3 _ HUD-1 - (CARRICATO.5002.PFD/CARRICAT0.5002/22) Comparison of Good Faith Estimate (GFE) and HUD•1 Charges Good Faith Estimate HUD-1 Charges That Cannot Increase HUD-1 Line Number Our originaton dYa~rge # 801 895.00 895.00 Your QedA or charge (points) for the saeafic interest rate diosen # 802 Your adjusted origination dYarges # 803 895.00 895.00 Transfer taxes '~ #1203 2,550.00 2.550.00 Charges That in Total Cannot Increase More than 10 % Good Faith Estimate HUD-1 Government recording dYarges #1201 150.D0 140.00 Appraisal fee # 804 440.00 440.00 Credd report # 805 120,00 120.00 FIO0d certTcatbn '. # 807 21.50 10.00 FNMA LOI UPDATE # 808 sD Do Mortgage Ireurance Premium # 902 Title senAces and lendefs title insuranco #1101 Owners tdle inwrahcz to FIRST AMERICAN TITLE INS. CO. #1103 3,868.81 2,100.00 100.00 . 3,868.81 1,897.00 150.00 Total 6 800 31 6 675 81 I I Increase hetween CYE and HUD-1 Charges $ -124 50 or 1 83 Charges That Can Change Gootl Faith Estimate HUD•1 Indial depost for }rtiur escrow aoxwnt #1001 3,186.99 890.18 Daily interest diarges # 901 $ 20.030000/day 260.39 260.39 Homeowner's inwrance # 903 700.00 _ 626.00 Loan Terms Your initial loan mount is Your loan term is Your initial interest rate is Your initial mont~rly amount owed for principal, Imeest and any mortgage insurance is Can your interest rate dse? Even if you makE payments on time, can your loan balance dse7 Even if you make) payments on time, can your monthly amount owed foi principal, interest, and mortgage insurance dse? Does your loan Nave a prepayment penalty? Does your loan f{ave a balloon payment? Total monthly amount owed including escrow account payments $ 224,943.00 30 years 3.2500 $ 1,198.05 hdudes ^X Principal ^X Interest ^X Mortgage Insurance ^X No ^ Yes, t can rise to a maximum of %. The frst change vdll be on _ and ®n diange agah every- monthsafter . Cvery dtange date, pur interest rate Gan incease or decease by %. Over the ife of the ban, your interest rate s guaranteetl to never be bwer than °/ or higher than ^X No ^ Yes, d can rise to a maximum of $ ^X No ^ Yes, the first increase can be on and the monthly amount owed cen rise to $ The maxmum it ran ever rise to s $ ^X No ^ Yes, your maximum prepayment penalty h $ ^X No ^ Yes, you have a balloon payment of $ due h _ years on ^ Vou do not have a monthly escrow payment for Rems wdi as property taxes and homeowner's inwranco. You must pay these dens diredly yourseN. ^X You hake an add[ional mouthy escrow payment of $296.76 thahewlts in a totalhdial mouthy amount owed of $1,494,81. This indudes prinppal, merest, any mortgage hwrance and any Kemsrhedced bebw: ^X Property taxes ^X Homeowner's mwrance ^ Flood insurance n Note: If }ou have any questions about the Settlement Charges and Lcon Terms listed on the form, please cantad your lender. Page 3 of 3 HUD-1 (CARRICATOS002.PAD/CARRICATO.5002/19) HUD-1 Attachment Borrower(s): Michael L. Carricato Seller(s): David L. Johnson, co-ex. and Debra A. Cassatt, co-ex. 2138 Sycamore Drive Harrisburg, PA 17112 Michael A. Carricato and Leslie E. Carricato Lender: MORTGAGE NETWORK, INC. Settlement Agent: PURITY ABSTRACT COMPANY (717)737-8359 Place of Settlement: Century 21 Realty Services 3315 Market St, Camp Hill, PA Settlement Date: September 18, 2012 Property Location: 5002 Balmoral Court Mechanicsburg, PA 17050 Hampden Twp, Cumberland Co. Additional Adjustments For Items Paid By Seller In Advance (Borrower Debit) Description Amount From/Through Prorated Amount 3RD QTR. SEWER & TRASH 155.05 07!01/12 through 09/30/12 21.91 Total Line 109/409 21.91 2012 HOAFEE $25 25.00 01/01/12 through 12/31/12 7,17 Total Line 110/410 7.17 Adjusted Origination Charge Details Origination Charge ORIGINATION CHARGE 895.00 to MORTGAGE NETWORK, INC. Total $ 895.00 Origination CreditlCharge (points) for the specific interest rate chosen Total $ Adjusted Origina tion Charges $ 895.00 Reserves Deposited with Lender Homeowner's Insurance 3.000 at 52.17 per month 156.51 COUNTY/TW P TAX 8.000 at 50.28 per month 402.24 SCHOOL TAX 4.000 at194.31 per month 777 24 AGGREGATE ADJUSTMENT month -445.81 Total $ 890,18 Title Services and Lender's Title Insurance Details BORROWER SELLER CPL Fee 75.00 to FIP,ST AMERICAN TITLE INSURANCE CO. Email Document Retrieval to PURITY ABSTRACT COMPANY 50.00 WARNING: It is a come to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Sectlon 1001 attl Section 1010. (CARRICAT0.5002. PFD/CAR RICATO.5002/19j HUD-1 Attachment - Continued Notary Fee 30.00 to Notary Clerk Overnight Fee/Package 17.00 to PURITY ABSTRACT COMPANY Lender's title insurance SALE 1,725.00 to FIRST AMERICAN TITLE INS. CO. Total $ 1,897.00 $ 0.00 Owner's Title Insurance BORROWER SELLER Owner's Policy Premium 150.00 to FIRST AMERICAN TITLE INS. CO. Total $ 150.00 $ 0.00 Lender's Title Insurance BORROWER SELLER 'fees also shown above in Title Services and Lender's Title Insurance details Lender's Policy Premium 1,525.OD to FIRST AMERICAN TITLE INS. CO. Lender's Endorsement Charges 200.00 Endorsement Endorsement Charge END 100 50.00 END 300 SO.DO END 900 50.00 ALTA Endorsement Form 5 (Planned Unit Development) 50.00 Total $ 1,725.00 $ 0.00 WARNING: It is a crime to knowingly make false statements to the United States on this or any similarform. Penalties upon conviction can include a fne and imprisonment. For details see: Title 16 U.S. Code Section 1001 and Section 1010, (CAR R I CAT 0.5002. PFD/CAR R I CAT 0.50021 19 ) ACKNOWLEDGMENT OF RECEIPT OF SETTLEMENT STATEMENT Borrower: Michael L. Carricato Michael A. Carricato and Leslie E. Carricato Seller: David L. Johnson, co-ex. and Debra A. Cassatt, co-ex. Lender: MORTGAGE NETWORK, INC. Settlement Agent: PURITY ABSTRACT COMPANY (717)737-8359 Place of Settlement: Century 21 Realty Services. 3315 Market St, Camp Hill, PA Settlement Date; September 18, 2012 Property Location: 5002 Balmoral Court Mechanicsburg, PA 17050 Hampden Twp, Cumberland Co. I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify tha ave re d of the HUD-1 Settlement St ment ichael .Carricato David L. Joh son, co-ex~ Mich I A. Carricato ebra A. Cassatt, co-ex. ~~~;~ ~ Leslie E. Carricato WARNING: It is a crime to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Tltle 18 U.S. Code Section 1001 and Section 1010. (C A R R I CAT0.5002. P F DlCAR R I C AT 0.5002 /26 ) Tax Parcel No. 10-16-1060-108 THIS INDENTURE, MADE THE t~z~~'t, day of September, two thousand twelve (2012) BETWEEN DAVID L. JOHNSON and DEBRA A. CASSATT, formerly DEBRA A. DILLER, Co-Executors of the Last Will and Testament of Jerry L. Johnson, a/k/a Gerald L. Johnson, late of Hampden Township, Cumberland County, Pennsylvania, parties of the first part, anal. MICHAEL L. CARRICATO, a single person, MICHAEL A. CARRICATO and LESLIE E. CARRICATO, husband and wife, all as Joint Tenants with the Right of Survivorship, of Harrisburg, Dauphin County, Pennsylvania, parties of the second part: WHEREAS, the said Jerry L. Johnson, by his Last Will and Testament, duly proved and recorded in the Cumberland County Register of Wills Office, Pennsylvania, in Docket Number 21-12- 0586, Letters Testamentary being issued on May 23, 2012, provided, in pertinent part, as follows: THIRD: In addition to all powers granted to them by law and by other provisions of this Wi11, I give the fiduciaries acting hereunder the following powers, applicable to all property, exercisable without court approval and effective until actual distribution of all. property: (A) To sell at public or private sale, or to lease, fer any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it.... FIFTH: I nominate and appoint DAVID L. JOHNSON and DEBRA A. DILLER, Co-Executors of this, my Last Will and Testament.... NOW THIS INDENTURE WITNESSETH, that the said parties of the first part, by virtue of the power and authority aforesaid, in said Will contained, and in consideration of the sum of Two Hundred Fifty-Five Thousand Dollars ($255,000.00) to them paid by the said parties of the second part, at and before the ensealing and delivery of these presents, the receipt whereof is hereby acknowledged, have granted, bargained, sold and conveyed, and do hereby grant, bargain, sell and convey to the said parties of the second part, their heirs and assigns forever: ALL THAT CERTAIN piece or parcel of land situate in Hampden Township, Cumberland County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a point on the southern right-of-way line of Good Hope Road, a forty six and fifty hundredths (46.50') foot wide road said point being the northwest corner of Lot #59 as shown on the final subdivision plan of Turnberry; thence continuing along a portion of the western line of Lot #59 South sixteen (16) degrees twelve (12) minutes twenty five (25) seconds West a distance of fifty three and eleven hundredths (53.11') feet to a point said point being the northeast corner of Lot #58 as shown on the aforesaid final subdivision plan, said point also being a point on the western line of Lot #59; thence continuing along the northern line of Lot #58 South eighty nine (89) degrees sixteen (16) minutes twenty five (25) seconds West a distance of one hundred five and eighty one (105.81') feet to a point said point being the northwest corner of Lot #58 said point being also the northeast corner of Lot #57 as shown on the final subdivision plan of Turnberry; thence continuing along the northern line of Lot #57 North fifty six (56) degrees twenty (20) minutes eight (08) seconds West a distance of forty seven and seventy nine hundredths (47.79') feet to a point said point being a corner of Lot #57 said point being also a point on the eastern right-of-way line of cul-de-sac number two (02), a one hundred twenty and no hundredths (120.00') foot wide cul-de-sac at the terminus of Balmoral Court; thence continuing along the right-of-way li_n_e o_f cul-de-sac number two (02) along a curve to the left having a radius of sixty and no hundredths (60.00') feet an arc length of one hundred fourteen and forty hundredths (114.40') feet said arc being subtended by a chord and bearing of North twenty (20) degrees fifty seven (57) minutes thirty two (32) seconds West a distance of ninety seven and eighty four hundredths (97.84') feet to a point said point being a corner of Lot #55 as shown on the aforesaid subdivision plan; thence continuing along the eastern line of Lot #55 North four (04) degrees twenty five and no hundredths (25.00') feet to a point said point being the northeast corner of Lot #55 as shown on the aforesaid final subdivision plan, said point being also a point on the southern right-of-way line of the aforesaid Good Hope Road; thence continuing along the southern right-of-way line of Good Hope Road South seventy five (75) degrees thirty four (34) minutes fifty six (56) seconds East a distance of thirty eight and sixty three hundredths (38.63') feet to a point said point being a point on the southern right-of-way of the aforesaid Good Hope Road; thence continuing along the southern right-of-way line of Good Hope Road along a curve to the right having a radius of three hundred seventy and no hundredths (370.00') feet an arc length of one hundred seventy three and nineteen hundredths (173.19') feet said arc being subtended by a chord and bearing of South sixty two (62) degrees ten (10) minutes twenty-one (21) seconds East a distance of one hundred seventy one and sixty two hundredths (171.62') feet to a point said point being the point and place of BEGINI~TING. SAID lot containing 15,870.63 square feet or 0.36434 acres. BEING Lot No. 56 as shown on the Final Subdivision Plan of Turnberry, Phase I, recorded in Plan Book 58, Page 30. UNDER AND SUBJECT to all applicable restrictions, reservations, easements and rights of way of record. BEING the same premises which Victoria Glen Associates, a Pennsylvania General Partnership, by deed dated January 31, 1991 and recorded February 5, 1991 in the Cumberland County Recorder of Deeds Office in Deed Book Y, Volume 34, Page 1019, granted and conveyed unto Jerry L. Johnson. The said Jerry L. Johnson died May 6, 2012. TOGETHER with all and singular the rights, liberties, privileges, hereditaments and appurtenances whatsoever thereunto belonging or in anywise appertaining, and the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever of the said Jerry L. Johnson at and immediately before the time of his decease, in law or equity or otherwise howsoever, of, in, to or out of the same: TO HAVE AND TO HOLD the said granted premises to the said parties of the second part, their heirs and assigns forever. AND the said parties of the first part, do covenant, promise, grant and agree, to and with the said parties of the second part, their heirs and assigns, by these presents, that the said parties of the first part, have not done, committed, or knowingly or willingly suffered to be done, any act, matter or thing what- soever, whereby the premises aforesaid, or any part thereof, is, are, shall or may be charged or encumbered, in title, charge or estate, or otherwise howsoever. IN WITNESS WHEREOF, the said parties of the first part have hereunto set their hands and seals the day and year above written. Signed, Sealed and Delivered v ~a'EaC~~-I.Tr~- (SEAL) DAVID L.~JOHNSON, Co-Executor „ ~~"`~~ `~/~'(~ SEAL) DEBRA A. CASSAT formerly DEBRA A. DILLER, Co-Executor COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. On this, the day of September, 2012, before me, the undersigned officer, personally appeared DAVID L. JOHNSON, Co- Executor, and DEBRA A. CASSATT, formerly DEBRA A. DILLER, Co- Executor, known to me (or satisfactorily proven) to be the persons described in the foregoing instrument, and acknowledged that they executed the same in the capacity therein stated and for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Jordan Piscionerl, Notary Public Camp HIII OOro, Cumgerland County My Commission I.XpIreS July 31, 2016 ~Meea, oa+wsnv~mw assocunoN of woTrux>ES N y t i c Co fission Expires: CERTIFICATE OF RESIDENCE EAL) I do hereby certify that the precise residence and complete post office address of the within named gra~~es is ijO(~ 2 Qcl~~o~al burr N~e~~-tcsl>u~f ~'7v5 5 September X27 2012 At rney/Agent for Grantees Rev-1508 EXt j6-98) ~ SCHEDULE E ,~; CASH, BANK DEPOSITS, ~ MISC. ~. - PERSONALPROPERTY COMMON WEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIpENT pECEOENT ESTATE OF FILE NUMBER Johnson, Jerry L. 21-21-0586 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Americhoice Federal Credit Union -Regular Savings Account Number 00145-0001. Date of 69.88 death balance $69.88; accrued interest $0.00. 2 Americhoice Federal Credit Union -Sub Share Account No. 00145-0018. Date of death 10,420.05 balance $10,420.05; accrued interest $0.00. 3 Americhoice Federal Credit Union -Certificate of Deposit No. 00145-0068. Date of death 79.776.25 balance $79,472.79; accrued interest $303.46. 4 Americhoice Federal Credit Union -Certificate of Deposit No. 00145-0069. Date of death 37,523.05 balance $37,363.34; accrued interest $159.71. 5 Americhoice Federal Credit Union -Checking Account No. 00145-0016. Date of death 7,230.66 balance $7,230.66; accrued interest $0.00. 6 2011 Ford Fusion -VIN # 3FAHPOJA36R102505. Value per attached appraisal. 18,500.00 7 Personal Property -Per attached appraisal. 4,135.00 8 Holy Spirit Hospital -Refund of overpayment 21.25 TOTAL (Also enter on Line 5, Recapitulation) I 157,676.14 Include the proceetls of litigation and the tlate the proceetls were receivetl by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. (Ii more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Amer~Cho~ice F E D E R A L CREDIT U N I O N Building Relationships For Life June 6, 2012 James D. Bogar Attorney At Law One West Main Street Shiremanstown, PA 17011 Re: Estate of Gerald L. Johnson Mr. Bogar, The decedent had one member number, 00145; titled Jeny L. Johnson. David L Johnson was joint on one account as listed below: Account 145 Regular Savings (suffix 0001) -opened 05/12/1970 Sub Share (suffix 0018) -opened 08/23/1993 12 Month Certificate (suffix 0067) -opened 04/25/2003; JT David added 04/25/2003 12 Month Certificate (suffix 0068) -opened ] 0/17/2003 12 Month Certificate (suffix 0069) -opened 08/24/2012 Checking (suffix 0016) -opened 04/05/2002 Date of death balances are as follows: Account 145 Balance 0001 - $ 69.88 0018 - $ 10,420.05 0067 - $ 23.203.92 0068 - $ 79,472.79 0069 - $ 37,363.34 0016 - $ 7,230.66 Accrued Dividends $ 0.00 $ 0.00 $ 3.17 $ 303.46 $ 159.71 $ 0.00 The above balances do not include the accrued dividends. Mr. Johnson did not have a safe deposit box with AmeriChoice. This account was closed on May 23, 2012 by David L Johnson. Two checks were issued. One check was for $143,890.99 payable to the Estate of Gerald Lewis Johnson. The second check was for $23,210.79 made payable to Dave Johnson as Joint Owner on Sharc Certificate 0067. This has been reported to the PA Department of Revenue. I have enclosed Mr. Johnson's final statement for your records. Main Office: 21 75 Bumble bee hollow Road • Mechanicsburg, PA 1 7055 • Phone: (71 7) 697-3474 • Fax: (71 7) 697-3713 Wehsite: www.americhoice.org ~ ~~~ Equal ~ ,~/ Opportunity ~ ,y LENDER EOWL NWSIX6 CREDIT UNIONS- LENOER Please feel fi•ee to contact me directly with any yuestions you may have. Sincerely, Bonnie R. Seagraves Operations Specialist Phone (717) 59]-1282 Fax (7l 7) 697-3713 Email bsea~~raves~,americhoice.or~ ~5, i~ ~';,`, ~, ,~~ t~ ;i j ," ti ,y i,, ~~ ~: ^ •. Appraisal Voucher L.B. Smith Ford Lincoln 1100 Market St Lemoyne, PA 17043 Customer Information Appraisal Information Name: David Johnson Completed Date: 5/1 7/2012 1 0:31 AM Address: Appraised Value: $18,500.00 City: Appraiser: Brett Corcoran Region: Salesperson: Brett Corcoran Postal Code: Vehicle Description Year: 2011 Odometer: 4,000 Make: Ford VIN: 3FAHPOJA3BR102505 Model: Fusion Color: Series: SEL Owner Acknowledgement The owner acknowledges that the information is correct and that any issues with this vehicle are noted below. Vehicle Salvaged Flood Damage Factory Buyback Yes ^ No ® Yes ^ No ® Yes ^ No Previously Damaged Emission Systems Verified Odometer Replaced Yes ^ No ® Yes ^ No ® Yes ^ No Owner Signature Date Sales Manager Appraiser 02012 vAu _ _. ~ to, Inc. LINDEN HALL ANTIQUES 211 N. OLD STONE HOUSE ROAD CARLISLE, PA 17015 717-249-1978 To: James D. Bogar, Esquire One West Main Street Shiremanstown, PA 17011 From: William G. Rowe, Appraiser 211 N. Old Stone House Road Carlisle, PA 17015 Re: Personal Property Appraisal Estate of Jerry L. Johnson 5002 Balmoral Ct. Mechanicsburg, PA 17050 Date: June 14, 2012 BEDROOM Bedroom set $350.00 Lamps $10.00 Knick knacks $10.00 T.V. $5.00 BEDROOM Bedroom set $150.00 ATTIC Beds $75.00 Christmas items $20.00 Miscellaneous household $15.00 LIVING ROOM 3 pc sofa /chairs $175.00 Stands -brass !glass $85.00 Lamps $10.00 DINING ROOM Dining room set $200.00 Miscellaneous household $10.00 Recliner $100.00 T.V. /electronics $85.00 Lamps $15.00 LAUNDRY Washer 1 dryer $110.00 PORCH Grill $55.00 Table / 2 chairs $15.00 Johnson Appraisal 1 06/14/2012 GARAGE Cub Cadet mower Garden tools Ladder BASEMENT Sofa set with attached tables Knick knacks T.V. - no value Recliner - no value Toy box Recliner Wall hangings Exercise equipment Cedar chest Rocker WORKSHOP Shop Vac Sprayer Table saw Router /stand Clamps Grinder Disc /sander Skill saw Planer Radial arm saw Vice Drill press Hardware Band saw Selection of hand power tools Selection of hand tools Miscellaneous shop related GARDEN SHED Snow blower Chair Shelves Sprayer Lawn & garden tools PORCH Bench Swing Chairs {3) $650.00 $35.00 $15.00 $150.00 $25.00 $0.00 $0.00 $10.00 $30.00 $10.00 $50.00 $45.00 $45.00 $20.00 $60.00 $75.00 $150.00 $85.00 $30.00 $50.00 $30.00 $75.00 $150.00 $60.00 $100.00 $85.00 $150.00 $115.00 $55.00 $45.00 $150.00 $10.00 $10.00 $10.00 $15.00 $10.00 $25.00 $10.00 TOTAL $4,135.00 William G. Rowe /~`~ Johnson Appraisal 2 06/14/2012 Rev-1509 EX+ (6-98) 1 COMMON WE LTH OF PENNSVIVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Johnson, Jerry L. 21-21-0586 ff an asset was made joint within one year of the decedent's date of death, it must lte reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. David L. Johnson 113 Umberto Avenue Son New Cumberland, PA 17070 B. C JOINTLY OWNED PROPERTY: ITEM NUMBER FOR JOINT TENANT MADE JOINT DESCRIPTION OF PROPERTY INUMBDER OR SIMILARNDENTIFY NG INUMIBERAATTACH DEED pR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE of DEArH DECEDENTS NTEREST 1 A 04/25/2003 Americhoice Federal Credit Union - 23,207.09 50.000% 11,603.55 Certificate of Deposit No. 00145-0067. Date o death balance $23,203.92; accrued interest $3.17. TOTAL (Also enter on Line 6, Recapitulation) (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. 11,603.55 Form PA-1500 Schedule F (Rev. 6-98) F E D E R A L CREDIT U N I O N Building Relationships For Life June 6, 2012 James D. Bogar Attorney At Law One West Main Street Shiremanstown, PA 17011 Re: Estate of Gerald L. Johnson Mr. Bogar, The decedent had one member number, 00145; titled Jerry L. Johnson. David L Johnson was joint on one account as listed below: Account 145 Regular Savings (suffix 0001) -opened 05/12/1970 Sub Share (suffix 0018) -opened 08/23/1993 12 Month Certificate (suffix 0067) -opened 04/25/2003; JT David added 04/25/2003 12 Month Certificate (suffix 0068) -opened 10/17/2003 12 Month Certificate (suffix 0069) -opened 08/24/2012 Checking (suffix 0016) -opened 04/05/2002 Date of death balances are as follows: Account 145 Balance 0001 - $ 69.88 0018 - $ 10,420.05 0067 - $ 23,203.92 0068 - $ 79,472.79 0069 - ~ 37,363.34 0016 - $ 7,230.66 Accrued Dividends $ 0.00 $ 0.00 $ 3.17 $ 303.46 $ ] 59.71 $ 0.00 The above balances do not include the accrued dividends. Mr. Johnson did not have a safe deposit box with AmeriChoice. This account was closed on May 23, 2012 by David L Johnson. Two checks were issued. One check was for $143,890.99 payable to the Estate of Gerald Lewis Johnson. The second check was for $23,210.79 made payable to Dave Johnson as Joint Owner on Share Certificate 0067. This has been reported to the PA Department of Revenue. I have enclosed Mr. Johnson's final statement for your records. Main Office: 2175 Bumble bee Hollow Road • Mechanicsburg, PA 1 7055 • Phone: p7 7) 697-3474 • Fax: (717) 697-3713 Website: www.an7erichoice.org Equal ~ Opportunity LENDER EuuFtxWAnG LENDER ~~~ CRHDIT UNIONS Please feel fi-ee To contact me directly with any questions you may have. Sincerely, -~ Bonnie K. Sea~~aves Operations Specialist Phone (717) 591-1282 Fax (717)697-713 Email bsea~raves(c americhoice.or~ REV•1151 EX+110-06) ti. COMMNHER TANCEOTAX RENSURN ANIA RESIDENT DECEDETNT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Johnson, Jerry L. 21-21-0586 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT N MBER A, FUNERAL EXPENSES: See continuation schedule(s) attached B. I ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) 10,518.00 Street Address City State Zip Year(sl Commission paid 2. Attorney's Fees Bogar 8~ Hipp Law Offices 13,650.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationship of Claimant to Decedent 4. Probate Fees 427.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 36,310.92 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 60,906.42 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Johnson, Jerry L. 21-21-0586 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Myers Buhrig Funeral Home -funeral bill 10,518.OD H-A 10,518.00 Other Administrative Costs 2 Andrews 8 Patel -Medical bill 8.08 3 Bob's Pressure Washing 492.90 4 Century 21 Realty Services -Realtor's commission 7,500.00 5 Comcast -Cable bill 105.99 6 Comcast -Cable bill 27.33 7 Cumberland Law Journal -legal advertisement 75.00 8 Gelco Carpet Cleaning 250.11 9 Hampden Township -Sewer and trash bill 155.05 10 Holy Spirit Hospital -Medical bill 25.00 11 Holy Spirit Hospital -Medical bill 21.25 12 IBM -Payment for benefits 92.00 13 Journal Multimedia -Legal advertisement 158.00 14 Mary S. Johnson -Reimbursement for payment of utilities 117.32 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Johnson, Jerry L. 21-21-0586 ITEM NUMBER DESCRIPTION AMOUNT 15 Michael L. Carricato, Michael A. Carricato and Leslie E. Carricato -Seller's assist paid at real 5,000.00 estate settlement 16 Michael Langan, Tax Collector - 2012 Real Estate Taxes 2.331.71 17 Moises Cruz Home Improvement 900.00 18 PA American Water -Water bill 67.67 19 PA American Water -Water bill 44.83 20 PA American Water -Water bill 25.79 21 PA American Water -Water bill 16.62 22 PA American Water -Water bill 10.63 23 Pinkas Building & Roofing -Roof repairs 6,444.00 24 PPL -Electric bill 81.34 25 PPL -Electric bill 99.87 26 PPL -Electric bill 150.33 27 PPL -Electric bill 101.00 28 PPL -Electric bill 65.04 29 Purity Abstract -Notary fee 10.00 30 Purity Abstract -Tax certification fee 10.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Johnson Jerry L. 21-21-0586 ITEM NUMBER DESCRIPTION AMOUNT 31 Re/Max Realty Associates -Realtor's commission 7,995.00 32 Recorder of Deeds -Realty Transfer Tax 2,550.00 33 Register of Wills -Fee for short certificate 4.00 34 RESERVES: -Costs to conclude administration of Estate, including filing PA Inheritance Tax 850.00 Return and Inventory; preparation and filing of First and Final Account and Statement of Distribution; preparation and filing of final personal income tax returns and fiduciary income tax returns 35 Stover's Poll & Spa -Tub repair 173.25 36 Turnberry HOA -Resale Certificate 50.00 37 U.S. Postal Service -Certified mail to Register of Wills making prepayment on account of 5.75 Pennsylvania Inheritance Taxes 38 UGI -Gas bill 53.00 39 UGI -Gas bill 90.96 40 UGI -Gas bill 36.00 41 United Refining Company 31.10 42 William G. Rowe -Fee to appraise personal property 85.00 H-B7 36,310.92 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 E%+112-06) ~, SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8r LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIn ENT DECEDENT ESTATE OF FILE NUMBER Johnson Jerry L. 21-21-0586 Report debts incurred by the decedent prior to tleath that remained unpaid at the date of tleath, including unreimbursed medical expenses. (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 E%+111-08) y, SCHEDULE J COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Johnson, Jerry L. 21-21-0586 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (N/ords) ($$$) Do of t Trustee s I TAXABLE DISTRIBUTIONS [include outright spousal . distributions, and transfers under Sec. 9116 a 1.2 See attached schedule Total Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 150 0 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Jerry L. Johnson 05/06/2012 200-24-1191 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 1 Debra A. Cassatt Daughter One-third of rest, 18 Northview Drive residue and remainder Carlisle, PA 17013 2 David L. Johnson Son one-third of rest 113 Umberto Avenue residue and remainder New Cumberland, PA 17070 3 Mary S. Johnson Spouse One-third of rest, 8104 Spotter Drive residue and remainder Apex, NC 27502 *Mary S. Johnson, Surviving Spouse, has chosen to make a claim for her spousal election against this Estate. There was no prenuptial agreement. The distribution set forth under the Last Will and Testament of Jetry L. Johnson is modified accordingly. LAST WILL AND TESTAMENT OF JERRY L. JOHNSON ~~ '~ I, JERRY L. JOHNSON, of Mechanicsburg, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I give and bequeath the sum of Fifteen Thousand and No/100 ($15,000.00) Dollars to my wife, MARY S. JOHNSON. In the event my wife, MARY S. JOHNSON, predeceases me, I direct that this bequest become a part of my residuary estate, being distributed in accordance with the terms and conditions set forth hereinbelow. SECOND: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, in equal shares, to my children, DAVID L. JOHNSON, and DEBRA A. DILLER, provided that should any of my children predecease me, I give and bequeath such child's share unto his or her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased child's share to my surviving child as provided herein. THIRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give F legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including sLOCics, common trust funas and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qud~ified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I direct that all inheritance, estate, trans- fer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect 2 to property passing under this Will, shall be paid out of the principal of my residuary estate. FIFTH: I nominate and appoint DAVID L. JOHNSON and DEBRA A. DILLER, Co-Executors of this, my Last Will and Testa- ment. I direct that my Co-Executors, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this °'j day of ~~~'" , 1995. YL (SEAL) RRY OHNSON Signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address 3 MEMOR~TDUM ~ In conjunction with my Last Wi11 and Testament, dated ~J'~ ~~ 1995, it is my desire and wish that my wife, MARY S. JOHNSON, retain whatever property, be it furniture, personal possessions or otherwise, that she brought into our marriage. ~~- ~ 1995 Da ~e . , J2f"Y ( SEAL) ~RRY L O NSON