HomeMy WebLinkAbout03-06-13 (2)1505610143
REV-1500 Ex (o1-tn) ~ OFFICIAL USE ONLY
PA Department of Revenue Pennsylvania county cotle year Fne Number
Bureau of Individual Taxes °"""RiMeNrOFR~""1E
Po Box.zaosot INHERITANCE TAX RETURN 21 12 1093
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
Decedent's Last Name Suffix Decedent's First Name MI
BABINEAU RAYMOND W
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Retum ~ 2. Supplemental Retum ~ 3. Remainder Return (date of death
92
poor to 12-13-
)
4. Limited Estate ~ 4a. Future Interest Compromise ~ 5. Federal Estate Tax Return Required
(Gale of tleath aker 12-12-82)
8 Oecetlenl Died Testate ~ 7. (qe~ h Copy ~~mstj Living Trust O 8. TOtal Number Of Safe Deposit BOxee
(Akach Copy of Will)
9. Litigation Proceeds Receivetl ^ 1D. b~iweeni0z~31 ~i1 andt,~tlatges~f death ~ 11.Eleclion to tax under Sec. 9113(A)
S
O
(Attach
ch.
)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
LAUREN E BOGAR 717 737;8761
w ~r
~G~fER OF~LS~87®NLY
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First line of address pr. ~ ~ ~: r'~ t,:y
v'
ONE WEST MAIN STREET ~ o cs
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Second line of address ~ `~'' `• • '~ -~ --1
v c. `_ c~
r
;~ cc~
° rn
~ ~ DATEFiLEQfJ O
City or Post Office State 21P Code
SHIREMANSTOWN PA 17011
Correspondent's a-mail address: loygar~ov~annw.wm
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, antl to the best of my knowledge and belie(,
it i5 tme, correct and complete. Declaration of Dreparer other than the personal representative Is based on all information Of which preparer has any knowledge.
V,l 'V"~l~s-fl,ile ,~V /~ `f'S,l,1.YLi"G4-- Joan A. Kuoko ~1 ~~~~
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
~~- ia,~_ .~,<t'h~~,`a'o~ Lauren E. Bogar ~ ~~ ~~
PA 17011
Side 1
L 1505610143 1505610143 J
1505610243
REV-1500 EX
Decedent's Social Security Number
Decedents Name. Babinea U~ Raymond W.
RECAPITULATION
1. Real Estate(Schedule A) ...................................................................................... . 1. 153,900.00
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 R Miscellaneous Personal Property (Schedule E) .............. . 5. 9 , 040.64
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 12 , 743.2 9
7. Inter-Vivos Transfers & Miscellaneous ton; Probate Property
(Schedule G) LJ Separate Billing Requested............ 7,
8. Total Gross Assets (total Lines 1-7) ................................................................... .. 8. 175 , 683.93
9. Funeral Expenses 8 Administrative Costs (Schedule H) ............................... ........ 9. 32 , 191.17
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ...................... ........ 10.
11. Total Deductions (total Lines 9 & 10) .......................................................... ......... 11. 32 , 191.17
12. Net Value of Estate (Line 8 minus Line 11) .................................................. ........ 12. 143 , 4 92.7 6
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. 143 , 4 92 .7 6
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
15
(a)(1.2) X .00 .
is. Amount of Line t4 taxable 143,492.76 16.
at lineal rate X .045
17. Amount of Line 14 taxable
0.00
17.
at sibling rate X .12
18. Amount of Line 14 taxable
0 0
0
18
at collateral rate X .15 . .
i9. Tax Due ................................................. ................................................................ . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
L 1505610243 1505610243
0.00
6,457.17
0-00
0.00
6,457.17
J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-12-1093
DECEDENT'S NAME
Babineau, Raymond W.
STREETADDRESS
1129 Cocklin Street
CITY STATE
Mechanicsburg PA ZIP
17055
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
8,139.00
322.86
(1)
Total Credits (A + B) (2)
3. Interest (3)
q. If Line 2 is greater than line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (q)
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. (5)
6,457.17
6,481.88
4.89
Make Check Pa able to: REGISTER OF WILLS AGENT.
~! ~,.. _,. ~ _,. r..- __,. ~~..~,ar
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 ......................................................._..................................................._. 'IL~JiI ~x
d. receive the promise for life of either payments, benefits or care? ............................................................ x
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .................................................................................................................... ^ ^x
3. Did decedent own an "intrust for' or payable upon death bank account or security at his or her death?....... ^
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 taz 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 defned under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Rav-1504 EXt )7t-09)
SCHEDULE A
REAL ESTATE
COMMON W E4LTH OF PENNSYL VAN IA
INHERITANCE TAX RETORN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Babineau, Raymond W. 21-12-1093
All real property owned solely or as a tenant in common must be reported at felt market value. Fair market value is tlefinetl as the price et which property woultl be
exchangetl between a willing buyer antl a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which ie jointly-ownetl with right of aurvivonhlp must ba dlscloaed on achetlula F.
Attach a copy of the seHlement sheet if the property has been sold
Include a copy of Me deed showing decetlenrs Interest it ownetl ae 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 153,900.00
house being known and numbered as 1129 Cocklin Street, Mechanicsburg, PA. The property
was acquired by Raymond W. Babineau and Jean A. Babineau, husband and wife, by Deed
dated June 29, 1972, and recorded July3, 1972 in the Cumberland County Recorder of Deeds
Office, a copy of said deed being attached hereto and incorporated herein. The said Jean A.
Babineau died March 9, 1995, whereupon full and complete title to the within described
property became vested solely in Raymond W. Babineau, the Decedent herein. The above
described property was sold pursuant to an Agreement of Sale for Real Estate dated
November 9, 2012. a copy of which is attached hereto and incorporated herein. Final
settlement took place on December 20, 2012. A copy of the Settlement Sheet, along with a
copy of the Deed conveying the real estate, are attached hereto and incorporated herein.
The sale price of the real estate was $153,900.00.
TOTAL (Also enter on Line 1, Recapitulation) I 153,900.00
(If more space is neetle4 atltlitional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08)
201-GT-Wavvnty DeW~SOrt Parm--Act 14p9-Double SLeoC
lten rr xmi, m~., x~al~m. f'~
~~ji~ ~eeb,
MADE THE ~ ( i-,.x day of ~ ~- bn the ye¢r
of our Lord one thousand nine hundred Seventy two (1972)
EETW'EEN MARTIN P. RUTKOWSKI and GAIL A. RUTKOWSKI, his wif6, of
the Borough p£, Mech anicsburg, County of Cumberland and State of
Pennsv~vania~-
N
N
Grantor s,
and RAYMOND W. BABINEAU and JEAN A. BABINEAU, his wife, of
the Borough of Camp Hill, County of Cumberland and State of Pennsyl-
vania,
Grantees
WITNESSETH, that in consideration of Thirty one nine hundred and NO/100
($31,900.00)-------------------------------------------------DoU¢rs,
in h¢nd paid, the receipt whereof is hereby ¢eknowLedped, the said grantors do hereby gr¢nt
and convey to the said grantee s, their heirs and assigns ,
ALL THAT CERTAIN lot or tract of land situate in the Borough of
Mechanicsburg, Cumberland County, Pennsylvania, more particularly
bounded and described as follows, to wit:
BEGINNING at the point of intersection at the northern line of
Cocklin Street and the line of adjoiner between Lots Nos. 69 and
70 on the hereinafter mentioned Plan of Lots; thence North 21 degrees
13 minutes West by said line of adjoiner 140 feet to a point;
thence North 66 degrees 43 minutes East 75 feet to the northwestern
corner of Lot No. 71; thence South Z1 degrees 13 minutes East by
the western line of Lot No. 71, 140 feet to the northern line of
Cocklin Street; thence South 66 degrees 43 minutes West by the
northern line of Cocklin Street 75 feet to the point and place of
BEGINNING.
BEING Lot No. 70 on the Plan of Section 104 of Orchard Crest, Inc.
as recorded in the Cumberland County Recorders Office in Plan Book
18, Page 24.
HAVING thereon erected a brick and aluminum ranch home known and
numbered as 1129 Cocklin Street.
BEING apart of the same premises which Orchard Crest, Inc., a
corporation existing under the laws of the Commonwealth of Pennsyl-
vania and having its principle place of business in the Borough of
Camp Hill, Pennsylvania, by their deed dated September 25, 1969,
and recorded in the Recorder of Deeds Office in Cumberland County
in Deed Book K, Page 23 Volume 85, granted and conveyed unto the
Grantors herein.
The above described premises are conveyed under and subject to the
easements and restrictions o£ instruments of prior record.
-.,"N" °I ~l~>ie>i~e`"~`%`.. >chool Disc. Cum . Co., Pe
Crumb. Co., Pa.
I% Reel E,lele Tremfer Taa
~-ry~ 0.e el Eelale Vender Tex iy
?e le /.CJ.. L2... Am1..1.`fk'.~t..oaM1 ?.'3..~~.. /Im1. /~;/, s-o
.a b. Ce. Did. GI, Ave 3 ~.n4. Co. Di.l. GI. AAl a~
"r ' ~~~PAGE N9l~
!° cl~NMOXWtPtlN UE{
PENNSYLVPNIC
~ Y~ ~I
l:
~oEe
T°.....
ma oauaas
And- 4he said grantor s hereby covenant s a~ad agrees float
will warraait generally
IN WITNESS WHEREOF, said grantor shave hereunto set
the day and year first above written.
;lipase D, ~raleD unD glri{nureA
y(I in khe tilresence uI
_~ ,
L
State of / 1~~1 YI c~-
County of Ls.;i~tl tie Le ti, tt
On this, the ~,~;'~''
~~I
r hands omd seals
Martin P. Rutkowski "b"
.. __.
Gail A. Rutkowski
~~
' '-________`___""'_______________________"'__'______, sawn
} ss.
d¢y of )~~,,,,,z , 1&~ 2; before me,
the undersigned oQicer, personally ¢ppe¢red
~~iaQf„~'P~~rkew,~. >,_..P 6~,I a ~~+rtk.~~.~sk, ~w-. r„
known to me (or satisfactorily proven) to be the person whose name stbscribed to'the
within instrument, and acknowledged that executed same for the., ~3,groses ~~k.;eir~n
contained. M
IN WITNESS WHEREOF, I hereunto set my hand and offcei¢l seal. '~,~',~ 'l ~~; ,
State of
County of
On this, the
day of
the undersigned opicer, personally appe¢red
19 ,before me,
knoxun to me (or satisfactorily proven) to be the person whose name subscribed to the
within instrument, ¢nd acknowledged that executed same far the purposes therein
contained.
IN WITNESS WHEREOF, I hereunto set my hand and oiJieial seal.
6BIGL
Title Of OffiCe'!'.
do hereby certk/js~~(( that the precise residence a co~}~plete post offcce address
of the within named grantee is ~ (L Gf ~~-{'--+' ~'~- Y~7~~z'C~l"G'"~--'~~~
~1 ~ ~~.~...,-,.(f-~ ~~.~ ,
Attorney for ---.~.~. _~c..~l-c_ ~~--------------
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n..N CU....,,ss,n. £ay~s~~ ~T'3~l0ufOffio'xr'..~..
7u1 aY i97L J'' . _
diyrl
ss ... -
they
the property hereby conveyed.
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COMMONWEALTH OF PENNSYLVANIA
County of -.._...=-----`---'----,-----------~-----'-'--'-'--`------'--) ~
RECORDED on this .:'~: . l~ .. --- day o) '--- ~~~-- -? -------------
,i
A. D. 19.~.._, tin the Recorder's o>jice of the said County, an Deed Book ~''~--
- % ~ _
e `s"' >'
Vol. }_...-_._._, Page _.~.i.~:_~..__.._.
Civen ernder my hand and weal of said e, the date above written.
~..._/`.~~...,__.., Recorder.
STANDARD AGREEMENT FOR THE SALE OF REAL ESTATE ASR
This foam recommended and approved for, Wt not reshicled m uve by, t6t membezs of tlrc Peaosylvavia Association ofREALTORS® (PAR).
PARTIES
BUYER(S): i7.~ SELLER(S): ~ ~ X
Estate of Ra~n.end [~~ ~o.6:near 11
BUYER'S MAII.ING/~DRESS:
eRfS' ,~1`~ ~. SELLER'S MAILL*iG ADDRESS:
.
Vie..! ,. v
PROPERTY
PROPERTY ADDRESS '
ZIP ''D.y ''
in the municipaliTy of ~ County of~'~.
in the School District of , in the Commonwealth of Pennsylvania.
Identification (e.g., Tax ID #; Parcel #; Lot, Block; D d Book, Page, Recording Date):
BUYER'S RELATIONSHIP WITH PA LICENSED BROKER
^ No Business Relationship (Boyer is not represented by a broker)
Broker (Company) ~L'r L ~f j,,~caC • ~,c`oara .
/
Company Address sbc eZ3' S lzaw
CCU y ~'4 . / ~tt ~~
Phone ~7i
Compan
7L~ °1'12Y/ Licensee(s) (Name) ~ .~~rt.~ •~A.m+t/'
~'~
Direct Phone(s) J~,Z ' ~, hl:Z'y
Cell PilOne(a)
Fax
~
y
~ - 7?2'~
Company Fax ZG Email
,
Broker is: -
Layer Agent (Broker represents Buyer only)
^ Dual Agent (See Dual and/or Designated Agent box below)
^ Transaction Licensee (Broker and Licensee(s) p Licensee(s) is: -
^ Buyer Agent with Designated Agency
buyer Agent without Designated Agency
^ Dual Agent (See Dual andlor Designated Agem box below)
i
rovide real estate services but do not represent Buyer) '.
SELLER'S RELATIONSHIP WITH PA LICENSED BROKER
^ No Business Relationship (Seller is not represented by a broker)
Broker (Company) .'Yi .C +!Jt~rt. ~QaaJ:9i-1,,, Licensee(s) (Name) (~nw-~ ~utk,zr
Company Address 1 y +..i ~ 1,JcLC.,....,,tr &F .
~~
Company Phone '"it7 , to ti . 94K't
Company Fax "11l tcu l .~t •{g 0
Broker is:
® Sellet Agent (Broker represents Seller only)
^ Dual Agent (See Dual and/or Designated Agent box below)
Dued Phone(s)
Cell Phone(s) ~ t"1 . Lk3Cl • to 1~t5
Fax
Email M ~-w U.~~F-tree, ct~v~ !:a ~ Mw~ l • csrs~ __
Licensee(s) is: '
^ Seller Agerd with Designated Agency
® Seller Agent without Designated Agency
^ Dual Agent (See Duat and/or Designated Agent box below)
^ Transaction Licensee (Broker and Licensee(s) provide real estate services but do not represent Seller)
DUAL AND/OR DESIGNATED AGENCY
A Broker is a Duat Agent when a Broker represents both Buyer and Seller in the same transaction_ 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 there are separate
Designated Agents for Buyer and Seller If the same Licensee is designated for Buyer and Seller, the Licensee is a Dual Agent
By signing this Agreement, Buyer and Seller each acknowledge having been previously informed of, and consented m, dual agency,
B applicable.
Bayer Inidalsn~~/ ASR Page t of ll
Revised 7/11
~~ I Pennsylvania Association of REALTORS corvRrcn•r
~a t
_ 1. Bey this Agreement, dated .~ - ~ .-;.~
Se r hereby agrees to self and convey to Beyer, who agrees to purchase, the identified Property.
2. PURCHASE PRICE AND DEPOSITS (I-10) ,,,~~
_ (A) Purchase Price $ dw! - ~- - - c' /.5 A.V d./.d a`1'.%L~B~
( U.S. Dollars), to be paid by a~-f~ws:
1. Deposit at signing of this Agreement: $ ~:-+~•~ .3~Q00 ~I ~ ~~""
2. Deposit within days of the. Execution Date of this Agreement: $ ~s3
3. $
-:.0 4. Remaining balance will be paid at settlement.
.. (B) All funds paid by Bnyey indadiog deposits, will be paid by check, cashier's check or wired fonds. Alt funds paid by Buyer
. _ within 30 DAYS of settlement, including fends paid at settlement, wiD be by cashier's cheek or wired funds, but not by per-
_ sonalcheck.
.. (C) Deposits, regardless of the form of payment and the person designated as payee, will be paid in U.S. Dollars to Broker for Seller
,~ (unless otherwise stated here: ~.
~~,,; who will retain deposits in an escrow account in confomtity with all applicable laws and regulations until consummation of ter-
. ; minanon of this Ageement Only real estate brokers are required to hold deposits in accordance with the roles and regulations of
.. the State Reat Estate Commission. Checks tendered as deposit monies may be held encashed pending the execution of this
.- Agreement.
~a 3. SELLER ASSIST (Ff App4cabte) (Id0)
Seller will pay $ -• G-' or % of Purchase Ptice (0 if not specified) toward
__ Buyer's costs, as permitted by the mortgage lender, if any. Seller is only obligated to pay up to the amount or percentage which. is
_- approved by mortgage lender.
~ 4. SETTLEMENT AND POSSESSION (1-10)
n ~ i ~ td~1~-'1~~~
_. (A) Settlement Date is ~~z=f"STr~ rri=t c-' `~ , y?v~r- r J or before if Buyer and Seller agree.
~,. (B) Settlemer[ will occur in the county where the Prope is located or in an adjacent co ,during normal business bouts, unless
_- Buyer and Seller agree otherwise.
_... (C) A[ time of settlement, the following will be pro-mted on a daily basis between Buyer and Seller, reimbursing where applicable:
_, current taxes (see Notice Regarding Real Estate Taxes); rents; interest on mortgage assumptions; condominium fees and home-
owner association fees; water andlar sewer foes, together with any other lienable municipal service fees. All charges will be pro-
, rated for the period(s) covered. Seder will pay up to and including the date of s~tlement and Buyer will pay for all days follow-
__ ing settlement, unless otherwise stated here:
.a (D) Conveyance from Seller will be by fee simple deed of special warranty unless otherwise stated here:
,- (E) Payment of transfer taxes will be divided equally between Buyer and Seller unless otherwise stated here:
,s (F} Possession is to be delivered by deed, existing keys and physical possession to a vacant Property free of debris, with all structures
,> broom-clean, at day and time of settlement, unless Seller, before signing this Agreement, has identified in writing that the Property
u~ is subject to a lease.
.. (G) If Seller has identified in writing that the Property is subject to a lease, possession is to be delivered by deed, existing keys and
,_ assignment of existing leases for the Property, together with security deposits and interest, if any, at day and time of settlement Seller
. , will not enter into any new leases, nor extend existing leases, for the Property withom the written consent of Buyer. Buyer will
„ acknowledge existing lease(s) by initialing the leases} at the execution of this Agreement, unless otherwise stated in this Agreement.
e ^ Tenant-Occupied Property Addendum (PAR Form TOP) is attached.
5. DATES/TIME IS OF THE ESSENCE (1-19)
,. (A) Written acceptance of all parties will be on or before: ~'F - /J • ! Z
,,. {B) 7'he Settlement Date and aFl other dates and times identified for the performance of any obligations of this Agreement are of the
;v essence and are binding.
.. (C) The Execution Date of this Agreement is the date when Buyer and Sellerltave indicated full acceptance of this Agreement bysign-
:, ing andr`or initialing it. For purposes of this Agreement, the number of days will be counted from the Execution Dafe, excluding
.-_ the day this Agreement was executed and including the last day of the time period. All changes to this Agreement should be ini-
aated and dated.
_ (D) The Settlement Date is not extended by any other provision of this Agreement and may only be extended by mutual written agree-
_ _ went of the patties.
__ (E) Certain terms and time periods aze pre-printed in this Agreement as a convenience W the Buyer and Seller. All pre-printed terms
_.. and time periods are negotiable and may be changed by striking out the pre-printed text and inserting different terms acceptable
;~~ to all parties. -
..; (ti ZONING (1-10)
~.; Failure of this Agreement to contain the zoning classification (except in cases where the property {and each parcel thereof, if subdi-
c: vidable} is zoned solely or primarily to permit single-family dwellings) will render this Agreement voidable at Buyer's option, and, if
,,. voided, any deposits tendered by the Buyer will be returned to the Buyer without any requirement for court action.
t ZorriagClassification•
q yr i
,,.; Bayer Initials: /C ~'7 ~ 1 ASR Page 2 of 11 _ ~~ ~1
..Revised 7/it '.
7. FIXTURES AND PERSONAL PROPERTY (1-10)
~.. (A) INCLUDED in this sale are all existing items permanently installed in the Property. free of liens, and other items including
plumbing; heating; radiator covers; lighting fixtures (-mctuding chandeliers and ceiling fans}; pool and spa equipment (including
covets and cleaning equipment); electric animal fencing systems (excluding collars); garage door openers and transmitters; tele-
vision antennas; unpotted shrubbery, plantings and trees; any remaining heating and cooking fuels stored on the Property at the
time of settlement; smoke detectors and carbon monoxide detectors; sump pumps; storage sheds; fences; mailboxes; wall to wall
-. carpeting; existing window screerts, storm windows and screen/siorindoors; window covering hardware, shades and blinds;
aWmngs; built-in air conditioners; built-in appliances; the rouge/oven, unless otherwise stated; and, if owned, wa[er treatment sys-
teg~s propane tanks, satellite dishes and security systems. Also ineluded:~~~2y~~ i ~fr~ ~~"ccFci';ZS
lKr+c~,z (~ d- 1~,cvr~nzlt-lt~~
-l (S) The following items are LEASED (not owned y eller). Contactthe provrder/vendor for more mformahon (e.g., water treatment
e ~ systems, propane tanks, satellite dishes and security systems}:
(C) EXCLUDED fixtures and items:
-. 8. MORTGAGE CONTINGENCY (1-10)
_ . ^ WAIVED. This sale is NOT contingent on mortgage financing, although Buyer may obtain mortgage financing and/or the par-
,. lies may include an appraisal contingency.
,_ [3' ELECTED.
Al t ms sate is
uuutuuy, uu:uruwg w me rvu~wwg aciuaa.
Frost Mortgage on the Property
MmintumTern~ ~ years
Type of raortgageT~crVAi _
Loan-To-Value (LTV) ratio:
Fornon-FfIAJVA loans LTV ratio rwk to exce~eld
Morgage lender .~.+ rL'l~ f/ 611j JQRw.t!
Iraerest rate %; howevea, Bayer agrees to accept ffie
ion rate as may be committed by the mortgage lender, trot
m exceed a maximum utterest rate of %.
Discamt poiNS, loan originafion, loan placement and other fees
chazged by the Iceder as a perc®tage ofthe mrntgageloan (exclud-
ing any mortgage insurance premiums or VA funding fee) trot to
exceed % (iP/o if not specked) ofdte mortgage kratt.
Second Mortgage on the Property
LoanAmauti $
Minimum Tent years
Type of mortgage
LoazrTo-Vahte (LTI~ ratio:
For noo-FIIAlVAioans LTV ratio not to exceed
Mortgage lender
Interest rate %; however, Buyer agrees to atxept the
interest rate as may be committed by the mortgage leader, notto
exceed a maximutm interest torte of %.
Discount points, loan origination, loan placement and other fees
charged by the lender as a percentage of the mortgage loan (exclttd-
ing any mo*rv~e insusmtce premiums or VA funding fee) not to
exceed % (0% if not specified) of the mortgage loan.
'Bl The interest rate(s) and fee(s) vrovisions in Paragraph 8(A} are satisfied if the mortgage lender(s) gives Buyer the right to guar-
... antee the interest rate(s) and fee(s) at or below the maximum levels stated. If lender(s) gives Buyer the right to lock to the rnter-
03 est rate(s), Buyer will do so at least _~ days before Settlement Date. Buyer gives Seller the right, at Seller's sole option and
.e~ as permitted by law and the mortgage lender(s), m couttibute financially, wtthout promise of reimbursement, to the Buyer and/or
:ca the mortgage lender(s) m make the above mortgage terms} available to Buyer.
:!.i (C7 WRhin days (7 if not specified from the Execution Date of this Agreement, Buyer will make a completed, written mort-
~. gage application (including payment for and ordering of appraisal and credit reports without delay, st the time required by
ic.: lender(s)) for the mortgage terms and to the mortgage lender(s) identified in Paragraph 8(A), if any, otherwise to a responsible
!u? mortgage lender{s} of Buyer's choice. Broker for Buyer, if any, otherwise Broker for Seller, is authorized to communicate with
:o+ the mortgage lender(s) to assist in the mortgage loan process.
~a.- (D) Buyer wID be in default of this Agreement if Buyer furnishes false information to anyone concerning Buyer's 5naacial
r ~ and/or employment states, fails to cooperate in good faith with grocessing the mortgage loan application (including delay
~: ~ of the appraisal), fails to locket interest rate(s) as stated in Paragraph,8 ), or otherwise ceases the lender to reject, refuse
:r, to approve or issue a mortgage loan commitment l1 ~da~ 1
„_ (E) L Mortgage Commitment Date: pore receiving a mortgage commitment, Buyer will
_, promptly deliver a copy of the commitmen to Seller
.,= 2. If Seller does not receive a copy of the mortgage commitments} by the Mortgage Commitment Dzte, Seller may terminate
_ this Agreement by written notice to Buyer. Seller's right to terminate cominues unti113uyer delivers a mortgage commitment
,- m Seller. Until Seller terminates this Agreement, Buyer is obligated to make agood-faith effort to obtain mortgage financing.
~.> 3. Seller may terminate this Agreement by written notice to Buyer after the Mortgage Commitment Date if the mortgage commitment:
. a. Does not satisfy the terms of Paragraph 8(A), OR
_.. b. Contains any condition not specified in this Agreement (e.g., the Buyer must settle on another property, an appraisal must
_ be received by the lender, or the mortgage commitment is not valid through the Settlement Date}that is not satisfied and/or
-_ removed in writing by the mortgage lender(s) within ~_ DAYS after the Mortgage Commitment Date in Pamgraph
._, 8(Exl), or any extension thereof, other than those conditions that are customarily satisfied at or near settlement (e.g.,
„_ obtaining insurance, con5rming employment).
,_ 4. lfthis Agreement is terminated pursuant to Paragraphs 8(Ex2) or (3), or the mortgage loan(s) is not obtained for settlement,
_ , all deposit monies will be returmed to Buyer according to the terms of Paragraph 23 and this Agreement will be VOID. Buyer
._, will be responsible for any costs inetured by Buyer for any inspections or certifications obtained according to the terms of
._,. this Agreement, and any costs incurred by Buyer for: (1) Title search, title insurance and/or mechanics' lien insurance, or any
,_. fee for cancellation; (2) Ftood insurance, fire insurance, hazard insurance, mine subsidence insurance, or any fee for cancel-
, lotion; (3) Appraisal fees and charges paid in advance m mortgage lender(s).
:~~~ Ba}s Lutialc~~ / ASR Page 3 of 11 tTUB~~/!
Revised 7n1
,,_ (F) If the mortgage tender(s), or a property and casualty insurer providing insurance required by the mortgage lender(s), requires
repairs to the Property, Buyer wifl, upon receiving the requirements, deliver a copy of the requirements to Sellee Within _~
:.. DAYS of receiving the wpy of the requirements, Seller will notify Buyer whether Seller will make the required repairs at Seller's
:_= expense. -
„~ 1. If Seller makes the required repairs to the satisfaction of the mortgage lender and/or insurer, Buyer accepts the Property and
., - agrees to the RELEASE in Paragraph 24 of this Agreement.
„. 2. If Seller will not make the required repairs, or if Seller fails to respond within the stated time, Buyer will, within 5
„„ DAYS, notify Seller of Buyer's choice to:
:;n a. Make the repairs/improvemems at Buyer's expense, with permission and access to the Property given by Seller, which
~: a a will not be unreasonably withheld, OR ,
._ b. Terminate this Agreement by written notice to Seller, with alt deposit monies retained to Buyer according to the temms of
;i; Paragraph 23 of this Agreemem.
~; )f Buver fads to respond within the trme stated in Paragraph S{H~(2) or fails to terminate thisAgreement by wntten notice
,, r;
to SeIler within that time, Bayer w81 accept the Property and agree to the RELEASE in Paragraph 25 of thit Agi4emen4
FHA/VA, IF APPLICABLE
(G) It is expressly agreed [hat notwithstanding auy other provisions of this contract, Buyer will not be obligated to complete the pur-
chase of the Property descnbed herein or to incur any penalty by forfeiture of earnest money deposits or otherwise unless Buyer
has been given, in accordance with HUD/FHA or VA requirements, a written statement by the Federal Housing Commissioner,
Veterans Administration, or a Direct Endorsement Lender setting forth the appraised value of the Property of rat less than
$ (the Purchase Price as stated in this Agreement). Buyer will have the privilege and option of
proceeding with consummation of the contract without regazd to the amount of the appraised valuation. The appraised valuation
is arrived at to determine the maximum mortgage the Departmem of Housing and Urban Development will insure. HUD does
not warrant the value nor the condition of the Property. Buyer should satisfy himselfRtetself that the price and condition of the
Property are acceptable.
Warning: Section 1010 of Title 18, U.S.C., Department of Housing and Urban Development and Federal Housing
A ;nictration Transactions, provides, "Whoever for the purpose of ...influencing in any way the action of such Department,
makes, passes, utters or puhlishes any statement, knowing the same to be false shall be fined under this title or imprisoned not
more than two years, or both."
(H) U.S. Department of Housing and Urban Development (HUD) NOTICE TO PURCHASERS: Buyer's Aelmowledgement
^ Buyer has received the HUD Notice "For Your Protection: Get a Home Inspection." Buyer understaods the iatpo[tance of
getting an independent home inspection and has thought about this before signing this Agreement. Buyer unde+etaridc that
FHA will not perform a home inspection nor guarantee the price or condition of the Property.
(I) CertiSeation We the undersigned, Seller(s) and Buyer(s) party to this transaction each certify that the terms of this conhac~t
for purchase are true m the best of our knowledge and belief, and that any other agreement entered into by any of these parties
in connection with this transaction is attached to this Agreement.
t6% 9. CHANGE 11V BUYER'S FINANCIAL STATUS (7-11)
;RS In the even[ of a change is Bvyer's financial status affecting Buyer's ability to purchase, Buyer shall promptly notify Seller and
;~c leader(s) to whom the Buyer submitted mortgage application, if any. A change in financial status includes, but is trot limited to, loss
-~; or a change in employmem; faihtre or loss of sale of Buyer's home; Buyer's having incurred a new financial obligation; entry of a
,~~ judgmem against Buyer. Buyer understands that applying for and/or incurring an additional Snancial obligatioo rosy at3eM
t;x Buyer's ability to purchase. .
i % 10. SELLER REPRESENTATIONS (1-10) '
"? (A) Radon'I~stipg and Remediation (See Notice Regazding Radon)
. -~ SeBer has no knowledge about the presence or absence of radon unless checked below:
:?~ ^ 1. Seller has knowledge that the Property was tested on the dates and by the methods (e.g. charcoal cmristey alpha track,
-" etc.), which produced the results indicated below:
i-s Date Type of Test Results (picoCuries/liter or working levels) Name of Testing Service
r?•+ _
,~r
_ _. ^ 2. Seller has knowledge that the Property had radon removal system(s) installed as indicated below:
Date Installed Type of System Provider
<s;
s:
;; Copies of as ava7able test reports will be delivered to Buyer with this Agreement. Seller does not wamM the meth-
!.*e ods or the rESUlis of radon tests.
- (B) Status of Water
~, Seller represents that the Property is served by:
Public Wa[er ^ Community Water ^ On-site W"ater ^ None ^
r~o (C) Status of Sewer
.'•! Seller represents that the Property is served by:
un iB'Public Sewer ^ Community Sewage Disposal System ^ Ten-Acre Permit Exemption (see Sewage Notice 2)
~.s' ^ Individual On-lot Sewage Disposal System (see Sewage Nance 1) ^ Holding Tank (see Sewage Notice 3)
~, ^ Individual On-lot Sewage Disposal System in Proximity to Well {see Sewage Notice 1; see Sewage Notice 4, if applicable)
-_ ^ None (see Sewage Notice 1) ^ None Avadable/Permit Limitations in Effect (see Sewage Notice 5)
:9' Bayer Iniliats?~ AF~I ASR Page 4 of 11 ... "~-' /
Revived 7/il % jJ
(D) Historic Preservation
Seller is not aware of historic preservation restrictions regazding the Property unless otherwise stated here:
(E) ^ Property, or a portion of it, is preferentially assessed for tax purposes antler the touowtog nctis} (see tvoaces xegazatng tuna
Use Restrictions):
^ Farmland and Forest Land Assessment Acl (Clean and Green Program; Act 319 of 1974; 72 P.S. § 5490.1 et seq.}
^ Open Space Act {Act 442 of ] 967; 32 PS. § 5001 et seq.)
^ Agricultural Area Security Law (AcY 43 of 7981; 3 P.S. §901 et segJ
^ Other
(F) Seller represents that, as of the date Seller signed this Agreement, no public improvement, condominium or homeowner associa-
tion assessmems have been made against the Property which remain unpaid, and that ao notice by any government or public
authority has been served upon Seller or anyone on Seller's behalf, including notices relating to violations of zoning, housing,
building, safety or Fire ordinances that remain uncoaected, and That Seller knows of no condition that would constitute a viola-
tion of any such ordinances that remain uncorrected, unless otherwise specified here:
_.. (G) Seller knows of no other potential notices (including violations) and/or assessments except as follows:
_.. (H) Access to _a public road may require issuance of a highway occupancy permit from the Department of Transportation.
=. il. WAIVER OF CONTINGENCIES (9-05)
_ . - If this Agreement is contingent on Buyer's right to inspect and/or repair the Property, or to verify insurabhlity, environmental
-.- conditions, bonnQaries, certifications, zoning dasaification or use, or any other information regarding the Property, Bayer's
_, failure to exercise any of Buyer's opthons within the thmes set forth io this Agreement is a WAIVER of that contingency and
__ . Buyer accepts the Property and agrees to the RELEASE in Paragraph ZS of this Agreement.
~:~ 12. INSPECTIONS (1-10) (See Notices Regazding Property and Environmental Inspections)
___ {4) Rights and Responsibilities
__: I . Seller will provide access to insurers' representatives and, as may be required by this Agreement or by mortgage leader(s), to
__ surveyors, municipal officials, appraisers and inspectors. All parties and their real estate licensee(s) may attend any inspections.
.._: 2. Buyer may make apre-settlement walk-through inspection of the Property. Buyer's right to this inspection is not waived by
__,. any other provision of this Agreement.
_' 3. Seller will have heating and all utilities (inclndiBg fuel(s)) on for all inapecthonslapprahsals.
..a 4. All inspectors, including home inspectors, are authorized by Buyer to provide a copy of any inspection Report to Broker for Buyer.
_~~~ 5. Seller has the right, upon request, to receive a free copy of any inspection Report from the party for whom it was prepared.
:;u {B) Buyer waives or elects at Buyer's expense to have the following Inspections, certifications, and investigations (referred to as
_- ~ "Inspection" or "hnspections'~ performed by professional contractors, home inspectors, engineers, architects and other property
_. _ licensed or otherwise qualified professionals. If the same inspector is inspecting more than one system, the inspector must con-
.... ply with the Home Inspecioa Law. (See Notice Regarding the Home Inspection I.aw)
_- (C) For elected Inspection(s), Buyet w81, within the Contmgency Period(s) stated in Paragraph 13(A), complete Ttrspections, obtain any
__ : Inspection Reports or results (referred to as "Report" or "Reports', and accept the Property, terminate this Agreement, or submit a
.=r, Written Corrective Proposal(s) to Seller, according to the tents of Paragraph 13(B}.
__~ HomelProperty Inspections and Environmental Hazards (mold, etc.)
?~ ~E~le~Med Buyer may conduct an inspection of tbe Property's structural components; roof; exterior windows and exterior Waived
*?e ~ rn, / r' doors; exterior siding, Exterior Insulation and Finish Systems, fascia, gutters and downspouts; swimming pools, hot_/
z??~ tubs and spas; appliances; electrical systems; interior and exterior plumbing; public sewer systems; heating and cool-
=. ing systems; water penetration; electromagnetic fields; wetlands and flood plain delineation; structure square
_ ._ footage; mold and other environmental hazards (e.g., fungi, indoor air quality, asbestos, underground storage tanks,
_-_ etc.); and any other items Buyer may select. If Buyer elects to have a home inspection of the Property, as defined in
__- the Home Inspection Law, the home inspection must be performed by a full member in good standing of a national
_.: home inspection association, or a person supervised by a full member of a national home inspection association, in
.., accordance with the ethical standazds and code of conduct or practice of'thai association, or by a properly licensed
_.- or registered engineer or architect (See Notice Regazding the Home Inspection Law)
_.. Wood Infestation
- heeled Buyer may obtain a written "Wood-Destroying Insect Infestation Inspection Report" from an inspector certified as Waived
_.- ! ~f(14,~f awood-destroying pests pesticide applicator and will deliver it and all supporting documents and drawings provid-/
_. ed by the inspector to Seller The Report is to be made satisfactory to and in compliance with applicable laws, roort-
..::. gage lender requirements, and/or Federal Insuring and Guaranteeing Agency requirements. The Inspection ism be
_.-_ limited to all readily-visible and accessible areas of all shuctures on the Property, except fences. If the Inspection
_. reveals active infestation(s), Buyer, at Buyer's Expense, may obtain a Proposal from a wood-0es[roying pests pes-
_.. ticide applicator to treat the Property. If the inspection reveals damage from active or previous infestation(s), Buyer
_. n may obtain a written Report from a professional contractor, home inspector or structural engincer that is limited to
_. - stmctuml damage io the Property caused by wood-destroying organisms and. a Proposal to repair the Property.
_: Water Service
_~° Elected Buyer may obtain an Inspection of the quality and quantity of the water system from a properly licensed or otherwise Waived
pro / qualified water/well testing company. If and as required by the inspection company, Seller, at Seller's expense, will~~~
-~ locate and provide access to the on-site (or individual} water system. Seller will restore the Property to itspreviouscon-
<F° dition, at Seller's expense, prior to settlement
r!; Bayer Initials: /'f>~ / ASR Page 5 of 11 .Setfet'lai)t+Ie:.,,/
Revised 7111 ~
_, _ Radon
_~.. Elected Buyer may obtain a radon Pest of the Property from a certified inspector. The U.S. Environmental Protection Waived
~~ -~~ Agency (EPA) advises wrrective action if the average annual exposure to radon is equal to or higher than 0.02 /
_.- working levels ur 4 picoCurieslliter (4pC~JL).
zsa Oa~ot Sewage ¢f Appticsble)
s.~
_... Elected Buyer may obtain as Inspection of the individual on-lot sewage disposal system from a qualified, professional Waived
z e ! inspector. If and as required by the iffipeetiop company, Selley at Se[ler's expense, will locate, provide access to,U~q~
:.. and empty the individual on-lot sewage disposal system. Seller will restore the Property to its previous condition,
..-_ at Seller's expense, prior to settlement. See paragraph 13(C) for more information regarding the Individual On-lot -
_.. Sewage Inspection Contingent:y.
-_ Property Insarance '
.-- Elected Buyer may determine the insurability of the Property by making application for property and casualty insurance for- ~W^aaived
.-.. _/ the Property to a responsble insures Bmker for Buyer, if any, otherwise Broker for Seller, may communicate with ~ZSC~
_.-- the insurer to assist in Cite instrance process. If the Property is Located in a flood plain, Buyer may be requved to
_.., cant' fktod insurance at Buyer's expense, which may need to~be ordered 14 days or more prior to Settlement Date. ,
_-. Property Boundaries
_> Elected Buya may engage the services of a surveyor, title abstractor, or other quali&ed professional to assess the legal Waived
__ ~ __ i description, certainty and location of boundaries and/or quantum of land. Most Sellers have not had the Property ~ ~
_. _ surveyed as it is not a requirement of property transfer in Pennsylvania Any fences, hedges, walls and other natural
_ or constnu:ted barriers may or may not represent the true boundary lines of the Property. Any numerical represen-
_... rations of size of property are approximations only and may be inaccraate.
_.. Deeds, Restrictions and Zoning
_~ Elected Buyer may investigate easements, deed and use reshictions (including any historic preservation restrictions or ordi Waived
_~fi _( nances) that apply to the Property and review local zoning ordinances. Buyer may verify that the present use of the
_.,. Property (such ~ in-law quarters, apartments, home office, day care) is permitted and may elect to make [he
+~- Agreement contingem upon an anticipated use. Present use:
~~; Lead-Based Paint Hazards (For Properties prior to 1978 only)
._.. EieMed Before Buyer is obhgafed to purchase a residential dwelling built prior to 1978, Buyer has the option to conduct a Waived
_ _ / risk assessment arxllor inspection of the Property for the presence of lead-based paint and/or lead-based paint haz,~f}fI
_ >. arils unless Buyer waives that right Regardless of whether thB inspection is elected or waived, the Residential
Lead-Based Paint Hazard Reduction Act regairea a Seller of property built prior to 1978 to provide the
_ . Bayer with as EPA-approved lei 6azsrds information pamphlet titled Protect Yoor Family fi»m Lesd in
_;.; Your Home, abng with a separate form, attached to this Agreement, discloaiag Seller's Imowledge of lead-
.... based paint hazards awl any lead-based paint records regarding the Property. (See Notices Regarding
>~s Residential Lead-Based Paint Hazard Redaction Act)
_, . Other
s~~, EleMed Waived
_ /
.... The Inspections elected above do not apply to the following existing conditions and/or items:
:is~ 13. INSPECTION CONTINGENCY (1-10)
(A) The Contingency Period is _ days (10 if not specified) from the Execution Date of this Agreement for each Inspection elect-
_., ed in Paragraph 12(C), except the fallowing:
... Inspection(s) Contingency Period
_ days
days
days
~~
>. (B) Except as stated in Paragraph 13(C), if the result of any Inspection elected in Paragraph 12(C) is unsatisfactory to Buyer, Buyer
~. will, within the stated Coutiagency Period:
., 1. Accept the Property with the infomatian stated in the Report(s) and agree to the RELEASEin Paragraph 25 of this Agreement, OR
2. Terminate this Agreement by written notice to Seller, with all deposit monies retuned to Buyer according m the tents of
. , ,. Paragraph 23 of this Agreement, OR
3. Present the Report(s) to SeOer wi8t a Written Cotmtive Propmat ("ProposaP') Tutivg carectias and/or aedi6 desQed by Boyce
_ The Proposal may, but is not required to, include the name(s) of a properly licensed or qualified professional(s) m perform ffie cur-
..- rectioos requested in the Proposal, provisions for payment, including retests, and a projected date for completion of the cosec-
.. _ _ Lions. Buyer agrees that Seiler will not be held liable for coaections that do not comply with mortgage lender or govemmenfai
_. requirements if perforated m a wori®anlilre manner according to the terms of Buyer's Proposal.
. _- a. No rata than _ days (5 if not specified) from the end of the Contingency Period(s), Setter will inform Buyer in writ-
.:.. ing that Se0a will:
_-,. (1) Satisfy all the tams of Buyer's Proposal(s), OR
(2) Not satisfy a0 tbe tams of Buyer's Proposals}
_.. b. If Sella agrees m satisfy the tears of Buyer's Proposal, Buyer accepts the Property and agrees +A the RELEASE m
_ . Paragraph 23 of this Agreement
c. Within _ days (2 if not specified) of the receipt of written notification that Seller will not satisfy a of Buyer's
', Buyer Inlttsls?~~~/ ASR Page 6 of it :G•„ .,.,,~kl:~~~!
Rev'sad 7111
-__ Proposal, or the time stated in paragraph 13(B)(3){a) if Seller fails to choose either option i4 writing, whichever occurs
___ first, Buyer will: _
_., { L}Accept the Property with the information stated-in the Report(s) and agree to the RELEASE in Paragraph 25 of this
__ Agreement, OR
_ (2}Terminate this Agreement by written notice to Seller, with alt deposit monies returned to Buyer according to the terms
_ _ of Paragraph 23 of this Agreement, OR '
. _ (3) Enter into a mutually acceptable written agreement with Seller, providing for any repairs or improvements to the
_ _ Property and/or any credit to Buyer at settlement, as acceptable to the mortgage leader, if any.
... if Buyer fails to respond within the time stated in Paragraph 13(B}(3)(c) or fails to terminate this Agreement by
_ written notice to Seller within that time, Buyer will accept the Property and agree to the RELEASE in Paragraph
.._ 25 of [his Agreement
_ _ (C) If a Report reveals the need to expand or replace the existing individuai on-lot sewage disposal system, Seller may, within
~- days (25 if not specified) of receiving the Report, submit a Proposal to Buyer. T'he Proposal will include, but not be limited to, the
..: name of the company to perform the expansion or replacement; provisions for payment, including retests; and a projected com-
-c pletion dale for corsective measures. Within ~ DAYS of receiving Seller's Proposal, or if no Proposal is provided within the
-- stated time, Buyer wilt notify Seiler in writing of Buyer's choice to:
as 1. Agree to the terms of the Proposal, accept the Property and agree to the RELEASE in Paragraph 25 of this Agreement, OR
say 2. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of
s.-e Paragraph 23 of this Agreement, OR
__, 3. Accept the Property and the existing system and agree to the RELEASE in Paragaph 25 of this Agreement If required by any
___ mortgage lender and/or any governmental autitority, Buyer will correct fire defects before settlement or within the time required
...-. by the mortgage lender and/or governmental authority, at Buyer's sole expense, with permission and access to the Property given
by Seller, which may not be tmreasonably withheld. if Seller denies Buyer permission and/or access to correct the defects, Buyer
~_ may, within _~ DAYS of Seller's denial, terminate this Agreement by written notice m Seller, with all deposit monies returned
=e m Buyer acxording to the terms of Paragraph 23 of this Agreement
__ If Buyer farly to respond within the time stated in Paragraph 13(C) or fails to terminate this Agreement by written notice
~.ss to Seder within that time, Buyer will accept the Properly and agree to the RELEASE in Paragraph 25 of this Agreement
s~? 14. NOTICES, ASSESSMENTS AND MUNICIPAL REQUIREMENTS (1-10)
Feu (A) In the event any notices, including violations, and/or assessments are received after Seller has signed this Agreement and before
x~ ~ settlement, Seller will within ~ DAYS of receiving the notices and/or assessments provide a copy of the notices and/or assess-
_,. _ menu to Buyer and will notify Buyer in writing that Seller will:
... I. Fully comply with the notices and/or assessments, at Seller's expense, before settlement. If Seller fully complies with the
.., notices and/or assessments, Buyer accepts the Property and agrees to the RELEASE in Paragraph 25 of this Agreement, OR
::;~ 2. Not comply with the notices and/or assessments. If Seller chooses not to comply with the notices and/or assessments, or fails
~e within the stated time to notify Buyer whether Seller will comply, Buyer will notify Seller in writing within 5 DAYS
..~: that Buyer will:
sr•.~ a. Comply with the notices and/or assessments at Buyer's expense, accept the Property, and agree to the RELEASE in
Paragraph 25 of this Agreement, OR
-. b. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of
.. ~. Paragraph 23 of this Agreement
-.-_ If Buyer far7s to respond within the lime stated in Paragraph 14(A)(2) or fails to terminate this Agreement by written notice
-_ to Seller within that time, Buyer will accept the Property and agree to the RELEASE in Paragraph 25 of this Agreement
-, (B} If required by law, within 30 DAYS from the Execution Date of this Agreement, but in no case lacer than 15 DAYS prior to
-.-: Settlement Date, Seller will order at Seller's expense a certification from the appropriate municipal department(s) disclosing notice
_ ~ of any uncorrected violations of zoning, housing, building, safety or fire ordinances and/or a certificate pemtitting occupancy of the
.-- Property. If Buyer receives a notice of any required repairslunprovements, Buyer will promptly deliver a copy of the notice m Seller.
1. Within ~ DAYS of receiving notice from the municipality that repairs/improvements aze required, Seller will deliver a
.-: copy of the notice to Buyer and notify Buyer in writing that Seiler will
_.. a. Make the required repairs/improvements to the satisfaction of the mtmicipality. If Seller makes the required
,., repairslimprovements, Buyer accepts the Properly and agrees to the RELEASE in Paragraph 25 of this Agreement, OR
_ b. Not make the required repairs/improvements. If Seller chooses not to make the tequiredrepairs/improvements, Buyer will
s>s notify Seller in writmg within 5 DAYS that Buyer will:
~~ (1) Make the repairs/imptovements at Buyer's expense, with permission and access to the Property given by Seller, which
;,r, will not be unreasonably witbheld, OR
~„ (2) Terminate this Agreement by written notice to Seller,-with all deposit monies returned to Buyer according to the terms
...- of Paragmph 23 of this Agreement
?es If Buyer fails to respond within the time stated in Paragraph 14(B)(lxb) or fails to terminate this Agreement by -
ssa - written notice to Seller within that time, Boyer will accept the Property and agree to the RELEASE in Paragnph
;,., 25 of this Agreement, and Buyer accepts the responsibility to perform the repairslimprovements according to the
-. ~ terms of the notice provided by the municipality.
_ ~_ 2. If Seller denies Buyer permission to make the required repairs/improvements, or does not provide Buyer access before
.,.. Settlement Date to make the required repairs/improvements, Buyer may, within 5 DAYS, terminate this Agreement by
:. written notice to Seller, with all deposit monies returned to Buyer according to the terms of Paragraph 23 of this Agreement
. -- 3. If repairs/improvements are required and Seller fails to provide a copy of the notice to Buyer as required in this Pamgmph, Seller
;eE will perform all repairs/improvements as required by the notice at Seller's expense. Paragraph 14(Bx3) will survive settlement
i n r
:a- Bayer Iahiats i ~ ~1~1 / ASR Page 7 of 11 ~..... ~n ~ `~` ~ /
Revived 7111 ~
75. CONDOMINTUM,PLANRED COMMUNITY (HOMEOWNER ASSOCIATIONS) RESALE NOTICE (1-10)
Property is NOT a Condominium or part of a Planned Community unless checked below.
^ CONDOMINIIAl. The Property is a unit of a condominium that is primarily ran by a unit owners' association. Sectloti 3407 of the
Unifortn Condominium Act of Pennsylvania (see Notice Regarding Condominiums and Plaaned Communities) requires Seller to
_- _ famish Buyer with a Certificate of Resale and copies of the condominium declaration (other.than plats and plans), the bylaws and
the roles and regulations of the association.
^ PLANNF,D COMMUNITY (HOMEOWNER ASSOCIATION. The Property is part of a planned community as defined by the
_.- Uniform Planned Community Act (see Notice Regarding Condominiums and Planned Communities)- Section 5407(a) of the Act
... requires Seller to furnish Buyer with a copy of the Declaration (other than plats and plans), the bylaws, the roles and regulations
- of the association, and a Certificate containing the provisions set forth in section 5407(a) of the Ad.
THE FOLI.oWLNG APPLIES TO PROPERTIES THAT ARE PART OFA CONDOMINIUM OR A PLANNED COMMUNITY.
-._.. (A) Within 15 DAYS from the Execution Date of this Agreement, Seller, at Seller's expense, will request from the association a
.. Certificate of Resale and any other documents necessary to enable Seller to comply with-the relevant Act. The Act provides that
the association is required to provide these documents within 10 days of Seller's request.
a.~..: (B) Seller will promptly deliver m Buyer all documents received from the association. Under the Act, Seller is not liable to Buyer for
_.. the failure of the association to provide the Certificate in a timely manner or for any incorrect information provided by the also-
,.- elation in the Certificate.
... (C) The Act provides that Buyer may declare this Agreement V OID at any time before Buyer receives the association documents and
,.,. for 5 days after receipt, OR until settlement, whichever occurs first. Buyer's notice to Seller must be in writing; upon Buyer
~. declaring this Agreement void, all deposit monies will be rettrned to Buyer according to the terms of Paragraph 23 of this
a~> Agreement.
.,. (D) If the association has the right to buy the Property (right of first refusal), and the association exercises that right, Seller will reim-
.:. burse Buyer for any costs incurred by Buyer for any inspections or certifications obtained according to the terms of the Agreement,
_.. and any costs incurred by Buyer for: (1) Title search, title insurance and/or mechanics' lien insurance, or any fee for cancellation;
-__ (2) Flood insurance, fire insurance, hazazd insurance, mine subsidence insurance, or any fee for cancellation; (3) Appraisal fees
..- and charges paid in advance to mortgage lender.
.; 16. TITLES, SURVEYS AND COSTS (1-10)
:::, (A) The Property will be conveyed with good and marketable title that is insurable by a reputable title insurance company at the reg-
._.. ular rates, free and clear of all liens, encumbrances, and easements, ezceptmg however the following: existing deed restrictions;
_. historic preservation restrictions or ordinances; building restrictions; ordinances; easements of roads; easements visible upon the
_._,_ ground; easements of record; and privileges or rights of public service companies, if any.
-_. (B) Buyer will pay fof the following: (1) Title seazch, title insurance and/or mechanics' lien insurance, or any fee for cancellation;
.. (2) Flood insurance, fire insurance, hazard insurance, mine subsidence insurance, or any fee for cancellation; (3) Appraisal fees
_. ~ and charges paid in advance to mortgage lender; (4) Buyer's customary settlement costs and accruals.
_ (C) Any survey or surveys required by the title insurance company or the abstracting company for preparing an adequate legal
... description of the Property (or the correction thereof) will be obtained and paid for by Seller. Any survey or surveys desired by
.. Buyer or required by the mortgage lender will be obtained and paid for by Buyer.
.. (D) If Seller is unable to give good and mazketable title that is insurable by a reputable title insurance company at the regulaz rates, as
.-.... specified in Paragraph 16(A), Buyer may temilnate this Agreement by written notice to Seller, with all deposit monies returned to
Buyer according to the terms of Paragraph 23 of this Agreement. Upon temlination, Seller will reimburse Buyer for any costs
incurred by Buyer for any inspections or certifications obtained according to the tenns of this Agreement, and for those items spec-
. , ified in Paragraph 16(B) items (1), (2), (3) and in Paragraph 16(C).
..... (E) Seller is not awaze of the status of oil, gas and mineral rights for Property unless otherwise stated below:
,.. ^ Seller does not own all subsurface rights to the property. _
_ ~ Oil, Gas and Mineral Rights Addendum (PAR Form OGM) is attached. '
- (F) COAL NOTICE (Where Applicable)
-. THIS DOCUMENT MAY NOT SELL, CONVEY, TRANSFER, INCLUDE OR INSURE THE TITLE TO THE COAL AND RIGHTS OF SUPPORT L?IDERNEATH
_. THE SUREACE LAND DESCRIBED OR REFERRED TO HEREIN, AND THE OWNER OR OWNERS OF SDCH COAL MAY HAVE THE COMPLETE LEGAL
RIGHT TO REMOVE ALL SUCH COAL AND M THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE,
- BUILDING OR OTHER STRUCTURE ON OR IN SUCH LAND. (Thls nOtiCe i5 Set fOrf}3 Ill-the lllannei prOVlded lII $eetlOn 1 Of the ACt Of
July i7, 1957, P.L. 984.) "Buyer acknowledges that he may not be obtaininyp, the right of protection against subsidence resulting
-. from coal mining operations, and that the property described herein may be protected from damage due to mine subsidence by a
_..~. private contract with the owners of the economic interesks in the coal This acknowledgement is made for the purpose of com-
_. plying with the provisions of Section 14 of the Bituminous Mine Subsidence and the Land Conservation Act of Apri127, 1966."
_:.. Buyer ag'ees to sign the deed from Seller which deed wilt contain the aforesaid provision.
.. (G) The Property is not a "recreational cabin" as defined in the Pennsylvania Constmetion Code Act unless otherwise stated here (see
.... Notice Regarding Recreational Cabins): '
as 17. MAINTENANCE AND RISK OF LOSS (1-10)
.. ~ (A) Seller will maintain The Property, grounds, fixtures and personal property specifically listed in this Agreement in its present con-
, dition, normal wear and tear excepted.
_. (B) If any system or appliance included in the sale of Property fails before settlement, Seller will:
.-. 1. Repay or replace the failed system or appliance before settlement, OR
.... 2. Provide prompt wriften notice to Buyer of Seller's decision to:
_.. a. Credit Buyer at settlement for the fair mazket value of the failed system or appliance, as acceptable to the mortgage lender,
if any, OR
_. b. No[ repair or replace the failed system or appliance, and not credit Buyer at settlement for the fair mazket value of the
„., fa~i}led system or appliance.
s. Bayer Initials:R/T~ / ASR Page S of 11 .. ~~ ~~/
Revised 7111
..., 3. If Setter does not repair or replace the failed system or appliance or agree to credit Buyer for its fair market value, or if SeIler
-- fails to notify Buyer of Seller's choice, Buyer wiR notify Seller in writing within 5 DAYS or before Settlement Date,
.. whichever is eazlier, that Buyer will: -
- a. Accept the Property and agree to the RELEASE in Paragraph 25 of this Agreement, OR
-- . b. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of
- Paragraph 23 of this Agreement `
. _ If Buyer fails to respond within the time stated in Paragraph 17(B)(3) or far7s to terminate this Agreement by written
-. notice to Seller within that fime, Buyer wi0~accept the Property and agree to the RELEASE in Paragraph 25 of this
- . Agreement
(C) Seller beazs the risk of loss from fire or other casualties until setlement. If any property included in this sale is destroyed and not
-~ replaced prior to settlement Buyer wilt•
-~' l . Accept the Property in its then current condition together with the proceeds of any insurance recovery obtainable by Seller, OR
2. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the tenors of
<-e Paragraph 23 of this Agreement
7l iS. HOME WARRANTIES (i-10)
?'« At or before settlement, either party may purchase a home warranty for the Property from athird-party vendor. Buyer and Seller uhder-
=`s- stand that a home warranty for the Property does not alter any disclosure requirements of Seller, will not cover or warrant any pro-
existing defects of the Property, and will not althr, waive or extend any provisions of this Agreement regazding inspections or certifi-
<k cations that Buyer has elected or waived as part of this Agreement Buyer and Seller understand that a broker who recommends a how
-.> warranty may have a business relationship with the home warranty company that provides a financial benefit [o the broker.
:ns 19. RECO1tDING (9-05)
ss? This Agreement will not be recorded in the Office of the Recorder of Deeds or in any other office or place of public record. If Buyer
~~~* tenses or permits this Agreement to be recorded, Seller may elect to treat such act as a default of this Agreement
~xa 20. ASSIGNMENT' (1-10)
.. This Agreement is binding upon the parties, their heirs, personal representatives, guardians and successors, and to the extent assign-
-- ~ ble, on the assigns of the parties hereto. Buyer wdl not aansfer or assign this Agreement without the written consent of Seller unless
.. _ otherwise stated in this Agreement Assignment of this Agreement may resuh in additional transfer fazes.
=4s 21. GOVERNING LAW, VENUE AND PERSONAL JURISDICTION (9-05)
~!~~ (A) The validity and construction of this Agreement, and the rights and duties of the parties, will be governed w accordance with the
x-;s laws of the Commonwealth of Pennsylvania.
(B) The parties agee that any dispute, controversy or claim arising under or in connection with this Ageement or its performance by
either party submitted ro a court shall be filed exclusively by and in the state or federal courts sitting in the Commonwealth of
ava Pennsylvania.
a~a 22. REPRESENTATIONS (i-10)
•~~~~ (A) All representations, claims, advertising, promotional activities, brochures or plans of any kind made by Seller, Brokers, their
so: licensees, employees, officers or partners are not a part of this Agreement unless expressly incorporated or stated in this
<o, Agreement. This Agreement contains rite whale agreement between Seller and Buyer, and there are no other terms, obligations,
covenants, representations, statements or conditions, oral or otherwise, of any kind whatsoever concerning this sale. This
_.. Agreement will not be altered, amended, changed or modified ezceptin writing executed by the parties.
~~ (B) Unless otherwise stated in this Agreement, Beyer has inspected the Property (including futures and any personal prop-
;oc erty specifically listed herein) before signing this Agreement or has waived the right to do sq and agrees to parchsse the
Property IN TTS PRESENT CONDiT'ION, subject to inspection contlngencies elected in this Agreement Buyer acknowl•
:..,, edges that Brokers, their licensees, employees, officers or partners have not made an independent examination or deter-
n urination of the structural soundness of the Property, the age or condition of the compbaents, environWenlal conditions,
>n the permitted uses,nor of conditions ex"stiag in the locale where the Property is situated; nor have they made a mechan-
:. teal inspection of any of the systems contained therein.
(C) Any repairs required by finis Agreement will be completed in a workmanlike manner.
:.., (D) Broker(s) have provided or may provide services to assist unrepresented parties in complying with this Agreement
,;, 23. DEFAULT, TERMINATION AND RETURN OF DEPOSITS (1-10)
:._ (A) Where Buyer terminates this Agreement pursuant to any right granted by this Agreement, Buyer will be entitled to a return of
..., all deposit monies paid oa account of Purchase Price pursuant to the terms of Paragraph 23(B), and this Agreement will be
:.' VOID. Termination of this Agreement may occur for other reasons giving rise to claims by Buyer and/or Seller for the deposit
s s monies.
-.4 (B) Regardless of the apparent entitlement to deposit monies, Pennsylvania law does not allow a Broker bolding deposiF monies to
- - determine who is entitled to the deposit monies when settlement does not occur. Broker can only release the deposit monies:
.. _. 1. If this Agreement is terminated prior to settlement and there is no dispute over entitlement to the deposit monies. A written
.-_~ agreement signed by both parties is evidence that there is no dispute regarding deposit monies
-_. 2. If, after Broker has received deposit monies, Broker receives a written agreement that is signed by Buyer and Seller, direct-
_-. ing Broker how to distribute some or ail of the deposit monies.
_: 3. According to the terms of a final order of court.
_.: 4. According to the terms of a prior written ageement between Buyer and Seller that directs the Broker how to distribute the
-- deposit monies if there is a dispute between the parties that is not resolved. (See Paragraph 23(C))
::;s Ruyer Initials: s? /T I / ASR Psge 9 of 11 !
Revised 7/71 - -
_. (C) Buyer and Seller agee that if there is a dispute over the entitlement to deposit monies that is unresolved 365 days after
the Settlement Date stated in Patagaph 4(A), or any written extensions thereof, the Broker holding the deposit monies will, with-
-- in 30 days of receipt of Buyer's written request, distribute the deposit monies to_ Buyer unless the Broker is in receipt of vedS-
_ . able written notice that the dispute is the subject of litigation. If Broker has received verifiable written notice of litigation prior
to the receipt of Buyer's request for distribution, Broker will continue to hold the deposit monies until receipt of a written distri-
bution agreement between Buyer and Seiler or a final court order. Buyer and Seller are advised to initiate litigation for any por-
lion of the deposit monies prior to any distribution made by Broker pursuant to this paragaph. Buyer and Seller agree that the
-. distribution of deposit monies based upon the passage of time does not legally determine entitlement to deposit monies, and that
- the parties maintain their legal rights m pursue litigation even after a distribution is made.
_. (D) Buyer and Seller agree that Broker who holds or distributes deposit monies pursuant to the terms of Paragraph 23 of Pennsylvania
... law will not be liable. Buyer and Seller agee that if any Broker or affiliated licensee is named in litigation regazding deposit
monies, the attorneys' fees and costs of the Broker(s) and licensee(s) will be paid by the parry naming them in litigation.
... (E) Seller has the option of retaining all sums paid by Buyer, including the deposit monies, should Buyer:
- _ 1. Fail to make any additional payments as specified in Paragraph 2, OR
.. 2. Furnish false or incomplete information to Seller, Broker(s), or any other party identified in this Agreement concerning
Buyer's legal or financial status, OR
,~~ 3. Violate or fail to fulfill and perform any other terms or conditions of this Ageement.
~~ (F) Unless otherwise checked in Paragraph 23(G), Seller may elect to retain those sums paid by Buyer, including deposit monies:
-.. ]. On account of purchase price, OR
2. As monies to be applied to Seller's damages, OR
3. As liquidated damages for such default.
.. (G) ^ SELLER IS LIMITED TO RETAINING SUMS PAID BY BUYER, INCLUDING DEPOSIT MONIES, AS LIQUIDATED.
DAMAGES
._ (H) If Seller retains all sums paid by Buyer, including deposit monies, as liquidated damages pursuant to Paragraph 23(F) or (G),
Buyer and Seller aze released from further liability or obligation and this Agreement is VOID.
... - (I) Brokers and licensees aze not responsible for unpaid deposits.
s=~ 24. MEDIATION (1-10)
Buyer and Seller will submit all disputes or claims that arise from this Agreement, including disputes and claims over deposit monies,
-- to mediation_ Mediation will be conducted m accordance with the Rules and Procedures of the Home Sellers/I-Tome Buyers Dispute
Resolution System, unless it is not available, in which case Buyer and Seller will mediate according to the terms of the mediation sys-
.-.. rem offered or endorsed by the local Association of REALTORS. Mediation fees, contained in the mediator's fee schedule, will be
-.- divided equally among the parties and writ be paid before the mediation conference. This mediation process must be concluded before
_. any party to the dispute may initiate legal proceedings in any courtroom, with the exception of filing a summons if it is necessary to
.... _ stop any statute of (imitations from expiring. Any agreement reached through mediation and signed by the parties will be binding (see
_._ Notice Regazding Mediation} Any agreement to mediate disputes or claims arising from this Ageement will survive settlement.
c,a 25. RELEASE (9-057
Buyer releases, quit claims and forever discharges SELLER, ALL BROKERS, their LICENSEES, EMPLOYEES and any
OFFICER or PARTNER of any one of them and any other PERSON, EIRM or CORPORATION who may be liable by or
. - through them, from any and all claims, losses or demands, including, but not limited to, personal injury and property dam-
- .. age and all of the consequences thereof, whether known or not, which may arise from the presence of termites or other wood-
.. boring insects, radon, lead-based paint hazards, mold, fungi or indoor air quality, eav'vonmental hazards, any defects in the
individual on-lot sewage disposal system or deficiencies th the on-site water service system, or any deteMs or conditions on the
--. Property. Should Seller be in default ender the terms of this Agreement or in violation of any Seller disclosure law or regula-
. -. lion, this release does not deprive Buyer of aoy right to pursue any remedies that may be available under law or equity. This
. _. release will survive settlement
%< 26. REAL ESTATE RECOVERY FUND (9-05)
..- A Real Estate Recovery Fund exists to reimburse any persons who have obtained a final civil judgment against a Pewsylvania real
~. estate licensee (or a licensee's affiliates) owing to Eland, misrepresentation, or deceit in a real estate transaction and who have been
- unable to collect the judgment after exhausting all legal and equitable remedies. For complete details about the Fund, call (717) 783-
3658 or (800) 822-2113 (within Pennsylvania) and (717) 783-4854 (outside Pennsylvania).
27. COMMUNICATIONS WITH BUYER AND/OR SELLER (1-10)
. ~ - Wherever this Agreement contains a provision that requires or allows wmmunication/delivery to a Buyer, that provision shall be saris-
...., feed by communication/delivery to the Broker for Buyer, if any, except for documents required to be delivered pursuant to
-. _. Paragraph 15. If there is no Broker for Buyer, those provisions may be satisfied only by communication/delivery being made direct-
. ly to the Buyer, unless otherwise ageed to by the parties. Wherever this Ageement contains a provision that requires or allows cum-
munication/delivery to a Seller, that provision shall be satisfied by communication delivery to the Broker for Seller, if any. If there is
_.. no Broker for Seller, those provisions may be satisfied only by communication/delivery being made directly to the Seller, unless other-
_. wise agreed to by the parties.
_~ 28. SPECIAL CLAUSES (1-]0)
_ (A) The following are part of this Agreement if checked:
__. ^ Sale & Settlement of Other Property Contingency Addendum (PAR Form SSP)
^ Sale & Settlement of Other Property Contingency with Righi to Continue Marketing Addendum (PAR Form SSP-CM)
- ~. ^ Settlement of Other Property Contingency Addendum (PAR Form SOP)
-.. ^ Short Sale Addendum to Agreement of Sate (PAR Form SHS)
. ~ ^ Appraisal Contingency Addendum (PAR Form ACA)
ASR Page 10 of 11
Revised 7/11
(B) Ad • • nal Terms:
- ~e FIL$
- J/~1L7JL'LC'~~cl1j. jL~~.%t-' ~}, -
t ' r/~Ji: "~ ~
~~
J
k
SQ~-41-e,`r~-zvct- -j-C eLC.-.^ 14 C\ua,}S ~o-.' ~s<s~((--r,z.r ~{- -F~c<s :b\z ~y Sxl1Ye~ c>.~-ts,{'
3~iiYS ~yr:X ~r~vit-~ (-LGvv~ q'~(7Ytl3a°°-~ nrCV~ ~1Z1P.e~dY1 S~C~.v,.k,.
J~~v,ni.^{ ,~,. y5 ~- C~t_i_.v :^ no 1Ct^VCr {-l~~ca.^~ 1a., 1+{-~ is un\t SS eX-1E nc1~eC~
Buyer and Seller acknowledge receipt of a copy of this Agreement at the time of signing.
:~. This Agreement may be executed in one or more counterparts, each of which shall be deemed to be an original and which coup-
,..- terparts together shag constitute one and the same Agreement of the Parties.
NOTICE TO PARTIES: WHEN SIGNED, THIS AGREEMENT IS A BINDING CONTRACT. Parties to this transaction are
,. s: advised to consult a Pennsylvania real estate attorney before signing if they desire legal advice.
,:~ Return of this Agreement, and any addenda and amendments, including return by electronic transmission, bearing the signatures
e:.~ of aBparties, constitutes acceptance by the parties.
._= "/ Buyer has received the Consumer Notice as adopted by the State Real Estate Commission at 49 Pa. Code
_, §35336.
,.,, ~/ Boyer has received a statement otBuyer's estimated closing costs before signing this Agreement.
.. _, 'i Buyer has read and understands the notices and explanatory information in this Agreement.
..__ W'Ltl'7 / Buyer has received a Seller's Property Disclosure Statement before signing this Agreement, if required by law
(see information Regarding the Real Estate Seller Disclosure Law).
..:~ 'y~~/ Buyer has received the Deposit Money Notice (for cooperative sales when Broker for Seller is holding deposit
money) before signing this Agreement.
...~ ' ~>+7T / Brayer has received the Lead-Based Paint Hazards Disclosure, which is attached to this Agreement of Sale, and.
~.. ~. the pamp~hleptP~rotect/YJour Family from Lead in Your Home (for properties b`u('ilt/prior to 1978)
BUYER ~~(.L~L/,,C_ !~( ,~~ DATE ~~/ 7/ ~:~
:!.~. BUYER DATE
._c BUYER BATE
Seller has received the Consumer Notice as adopted by the State Real Estate Commission at 49 Pa. Code § 35.336.
Seller has received a statement of Seller's estimated closing costs before signing this Agreement
~ ,- Seller has r~ead/~n7d~un!der/st~/an~ds the oti s and a lavatory information in this Agreement.
(`-~s'~'°' /~ *' ~ - ~~~•~ DATE
.:~:~~ SELLER
_- SELLER
ASR Page 11 of 11
Revived 7111
.. =t.L~~''~ ~t;i~Y
Tax Parcel No. 17-24-0791-052
THIS INDENTURE,
~~.
MAZE THE Z ~ day of December in the year two
thousand twelve (2012}
BE4'WEEN SOAK A. KUPKO, Executrix of the Estate of RAYMOND
W. BABINEAU, late of Mechanicsburg, Cumberland
County, Pennsylvania, party of the: first part,
¢nd RONALD FIELDS, individually, of Enola,
Cumberland County, Pennsylvania, party of
the second part:
WHEREAS, the said RAYMOND W. BABTNEAU by his Last Will and
Testament, duly proved and recorded in the Cumberland County
Register of Wills Office, Pennsylvania, in Docket Book 21-12-
1093, Letters Testamentary being issued on October 8, 2012,
provided, in pertinent part, as follows:
1. As my Personal Representative, I appoint my daugh-
ter, JOAN A. KUPKO, as the Executrix of my LAST WILL.
WHEREAS, the within sale is made pursuant to Section 3532 of the
Probate, Estates and Fiduciaries Code (20 Pa.C.S.A. § 3532).
NOW THIS INDENTURE WITNESSETH, that the said parties of the first
part, by virtue of the power and authority aforesaid, in said
Last Will and Testament contained, and in consideration of the
sum of One Hundred-Fifty Three Thousand Nine Hundred and 00/100
Dollars ($153,900.00} to her paid by the said party of the second
part, at and before the ensealing and delivery of these presents,
the receipt whereof is hereby acknowledged, have granted, bar-
gained, sold and conveyed, and does hereby grant, bargain, sell
and convey to the said party of the second part, his heirs and
assigns forever:
~i.r..~.,..r~ r sr-r~e--- _. ,~.. _...e~,.._ _ ,..,,~~..... .
ALL THAT CERTAIN lot or tract of land situate in the Borough of
Mechanicsburg, Cumberland County, Pennsylvania, more particularly
bounded and described as follows, to wit:
BEGINNING at the point of intersection at the northern line of
Cocklin Street and the line of adjoiner between Lots Nos. 69 and
70 on the hereinafter mentioned Plan of Lots; thence North 21
degrees 13 minutes West by said line of adjoiner 140 feet to a
point; thence North 66 degrees 43 minutes East 75 feet to the
northwestern corner of Lot No. 71; thence South 21 degrees 13
minutes East by westeni line of Lot No. 71, 140 feet to the
northern line of Cocklin Street; thence South 66 degrees 43
minutes West by the northern line of Cocklin Street 75 feet to
the point and place of BEGINNING.
BEING Lot No. 70 on the Plan of Section 104 of Orchard Crest,
Inc., as recorded in the Cumberland County Recorders Office in
Plan Book 18, Page 24.
HAVING thereon erected a brick and aluminum ranch home known and
numbered as 1129 Cocklin Street, Mechanicsburg, Pennsylvania.
BEING a part of the same premises which Martin P. Rutkowski and
Gail A. Rutkowski, his wife, by deed dated June 29, 1972 and
recorded July 3, 1972, in the Cumberland County Recorder of Deeds
Office at Deed Book R, Volume 24, Page 890, granted and conveyed
unto Raymond W. Babineau and Jean A. Babineau, husband and wife.
The said, Jean A. Babineau died March 9, 1995. The said Raymond
W. Babineau died September 22, 2012.
DNDER AND SIIBJECT to the easements and restrictions of instru-
ments of prior record.
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 Raymond W. Babineau 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 BOLD the said granted premises to the said party
of the second part, his heirs and assigns i'orever.
j,..,,.~~..~..~.. _ _. ,,~..._, _ _ r _~. ,.,.,.... _ . ,..r~,_„
AND the said party of the first part, does covenant, promise,
grant and agree, to and with the said party of the second part,
his heirs and assigns, by these presents, that the said party 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, said party of the first part has hereunto set
her hand and seal the day and year first above written.
Signed, Sealed and Delivered
in the Preseace of
AN PKO E ecut 'x of the
state of RA 0~~ W. BABINEAU
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND ~®~~
On this, the ~~ day of. ~-~" , 2012, before me,
the undersigned officer, personally appeared JOAN A. KUPKO,
Executrix of the Estate of Raymond W. Babineau, known to me (or
satisfactorily proven) to be the person whose name is subscribed
to the within instrument, and acknowledged that she executed the
same for the purposes therein contained.
seal,
IN WITNESS WHEREOF, i hereunto set my hand and official
COMMONWEALTH OF PENNSYLVANIA ~ (SEAL)
NOTARIAL SEAL Notary Publi c
HOLLY f. KELLER, Notary PuhAo
Hampden Twp., Cumberisnd County
My Commission Expires March 15, 2019
1 do hereby certify that the precise residence and complete
post office address of the within named grantee is 2299 Gleim
Drive, Enola, PA 17025.
~Z_ lZ,'3 2012
Attorney/Ag t for orantee
U. 5. DEPARTMENT OF HOUSING and URBAN DEVELOPMENT CMB No. 2502-02b5
SETTLEMENT STATEMENT Titlepro far Windows'" I
LIBERTY LAND TRANSFER, INC.
B. TYPE OF LOAN
4660 Trindle Road, Suite 201
Camp Hill, PA 17011 ^ 1. FHA ^ 2. FMHA ^ 3 CONV UNINS.
^4. vA ^S. CONV. INS.
Phone: 717-975-9915 FAX; 717-763-7460 6. FILE NUMBER:
96370 7. LOAN NUMBER:
MORT. INS. CASE NO.:
:. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marketl "(p. o.c.)" were paitl outside the closing; they are shown here far information purposes and are not included in the totals.
. NAME AND ADDRESS OF BORROWER:
onaltl Fieltls E. NAME AND ADDRESS OF SELLER-.
Raymontl Babineau Estate F. NAME AND ADDRESS OF LENDER
. PROPERTY LOCATION:
129 Cacklin Street
lechanicsburg, PA 17055 H. SETTLEMENT AGENT: Liberty Land Transfer I. SETTLEMENT DATE:
Dec 20 2012
Thursday
lechanicsburg Borough
umberland County, PA PLACE OF SETTLEMENT: 3803 Cedar AVe.
Camp Hill, PA 17011
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARV OF SELLER'S TRANSACTION
)0. Gross Amount Due From Borrower 400. Gross Amount Dua to Seller
)1. Contract sales price 153,900.00 401. Contract sales price 153,900.00
)2. Personal Property 402. Personal Propedy
)3. Settlement Charges (line 7400) 2,921.00 403.
)a aoa.
)5. 405.
Atljustmants for kerns paitl in advance by seller(s) Atljuslments for items paitl in atlvance by seller(s)
)6. City/Town tax to 406. CitylTOwn tax to
)7. CountylCity tax 12/20/2012 to 12/31/2012 21.64 407. County/City taz 12/202012 to 12I3V2012 21.64
)6. Assessments to 408. Assessments to
)9. School Tax 12/20/2012 to 6/30/2013 942.79 409. School Tez 121202012 tc 6/302013 942.79
10. Sewer/Trash 12/20/2012 to 12!31/2012 15.34 410. Sewer/Trash 12202012 to 12/312012 15.34
11. 10 411. to
12. to 412. to
20. Gross Amount Due from Borrower 157,800.77 420. Gross Amount Due to Seller 154,878.77
)0. Amounts Paid By Or In Behalf Of Borrower 500. Reduetlons In Amount Due To Seller
)1. Deposit or earnest money 2,000.00 501. Excess tleposit (see instructions)
)2. Principal Amount of new loan(s) 502. Settlement charges to seller (line 1400) 11 243.00
)3. Existing Iean(s)taken subject to 503. Existing loan(s)taken sublect to
74. 504. Payoff of First Mortgage Lcan
)5. 505. Payoff of Second Mortgage loan
)6. Cratlit tram Seller 790.00 506. Credit tc Buyer 790.00
77. 507.
]8. 506.
J9. 509.
Atljuslments for items unpaitl by seller AdjusMents for Rems unpaid by seller
10. City/Town tax l0 510. CitylTown tax to
11. County/City tax to 511. County/City tax to
12. Assessments to 512. Assessments to
13. School Tax to 513. School Tax to
14. to 514. to
15. to 515. to
I6. to 51 fi. to
17. 517.
16. 518.
19. 519.
20. Total Pald By/POr Borrower 2,790.00 520. Total Raductlon Amount Due Seller 12,033.00
]0. CASH AT SETTLEMENT FmmRo BORROWER fi00. CASH AT SETTLEMENT TWFrom SELLER
]1. Gross Aml. due from borrower (line 120) 157,800.77 601. Gross Amount tlue Seller (line 420) 154,879.77
]2. Less Amt. paid by/for borrower (line 220) 2,790.00 602. Less reduction in Amt.due Seller (line 520) 12,033.00
]3. Cash®FROM ^TO Borrower 155,010.77 603. Cash®TO ^FROM Seller 142,846.77
L / ~r
Buyer or Borrower's Signature SelleYS Signature /
HUD-1
.. SETTLEMENT CHARGES Case N 86370 Pald From Paitl From
'00. Total Sales Commission based on Price: $ % Sortowels Seller's
Division o(COmmission at: $ 9,234.00 Funtls At Funds At
r01. 4,617.00 to M.C. Walker Really
r02. 4,fii7.00 to Century 2l-Walak
r03. Commission paid at Settlement Settlement Settlement
9,234.001
r04. Broker Fee to WalakNJaltz 150.00
300. Items Payable in Cannectlon With Loan
301. Loan Origination Fee 0.0000 % to
302. Loan Discount 0.0000 % to
303, Appraisal Fee to
304. Credit Report to
305. Inspection Fee to
306. Mortgage Insurance to
30]. Assumption Fee to
308. to
309. to
310. to
311. to
300. Items Requiretl By Lender Tp Be Paitl In Advance
301. Interest from to @ $ 0.0000 /Day
302. Mortgage Ins. Premium 0 Months to
d03. Hazartl Ins. Premium 0 Veers to
304. 0 Years to
305. 0 Years to
1000. Reserves Depositetl With Lender For
1001. Hazard Insurance 0 Months @ $ /Month
1002. Mortgage Insurance 0 Months @ $ /Month
1003. CitylTown Taxes 0 Months @ $ IMOnth
1004. County Taxes 0 Months @ 8 fi0,01 IMOnth
1005. Assessments 0 Months @ $ /Month
1006. School Taxes 0 Months @ $ 149.37 /Month
1007. 0 Months @ $ 149.37 /Month
1008. 0 Months @ $ /Month
1100. Title Charges
1101. Settlement or closing fee to
1102. Abstract or title search to
1103. Title Examination tc
1104 Title Insuance Binder to
1105. Document preparation tc
1106. Nclaryfees to
1107. Attorney's fees to
(inclutles above items No.:)
1108. Title Insurance to Liberty Land Transfer
(inclutles above hams No.:)
1109. Lentler's coverage $
1110. Owners coverage 8 153,900.00
1111. Tax Cert. to Liberty Land Transfer
1,170.00
0.00
1112. to
1113. to
1200. Government Recortling and Transfer Charges
1201. RecoMing Fees :Deed $ 62.00 Mortgage $ Release $ 62.00
1202. City/County taristamps :Deed $1,539.00 Mortgage $ 1,539.00
.203. State tax/stamps :Deed $1,539.00 Mortgage $ 1,539.00
1204. to
1205. to
1300. Adtlifional 5etlemenc Charges
1301. Survey to
1302. Pest Inspection to
1303. Home Warzanty to AHS 460.00
1304. to
1305. to
'400. Total Settlement Charges (enter on lines 103 8502, Sections J 8 K) 2,921.00 11,243.00
PaNes agree that no liability is assumed by Sedlement Agent for the acwrary of in/ormallon Nmishetl by others as shown on the HUD-1 Settlement Statement.
HUD CERTIFICATION OF 9UYER3 AND SELLERS
I have carefully reviewed the HUp-i Settlement Statement antl [o the best of my knowledge antl belief, 1[ Is a true antl accurate statement of all receipts antl
disbursements matle on my account by me inthis tr/anrsaction. I fudher certify Nat I have received a copy pt the HUD-1 Settlement Statement.
i~~~f :'I~'t is 'a~~-i ~~ji rya:
Buyer or SOrroweh Signature Sellers 6i9nature ~ ~ ~/ ~
l/ J
auyers AtltlressB Phone: 5€Ilers New AdtlressB Phone' V
The HUp- Settlement Statement which I have prepared is s We and a¢urata account of this tre05acd0p. I have caused or will rouse the funds to be tlisbursetl in accordance with this
statement
~.~~~ ~~'-slz ~/F~7...
Settlement Agent ~ Date
WApNING: It is acrime to knowingly make false statements to the Unitetl States on this or any similar form. Penalties upon conviction can indudeafine and imprisonment. FOr details
see Title t 8'. U.S. Cotle 6ectlon 1 W 1 antl aecdon 1010.
Rev-7508 E%i 16.98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OFPENNSVLVANIA
INHERITANCE TA%RETORN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Babineau Raymond W. 21-12-1093
Include the procaetls of litigation and the tla[e the proceeds were receivetl by the estate.
All property jointlyowned wiM the fight of survivorship must be tlixlosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
7 2004 Mercury Monterey - VIN# 2MRDA20224BJ08696. Sold at private sale. 5.000.00
2 Personal Property -sold at auction 2,009.00
3 Donegal Insurance -refund of car insurance premium 253.00
4 Donegal Insurance -Refund of homeowner's insurance premium 138.00
5 Highmark -refund of premium 52.82
6 Liberty Land Transfer - prorations for taxes, sewer and trash at real estate settlement 979.77
7 U.S. Treasury -Refund towards burial vault 262.00
8 U.S. Treasury -refund from Social Security 340.80
9 U.S. Treasury -refund of co-pay from VA 5.25
TOTAL (Also enter on Line 5, Recapitulation) I 9,040.64
(If 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)
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4 Abbey Lane
Gamp Ni11 F'A 17011
Item Description s'r^ics~ :?ty Tota1
-- BL - pict~_tr^e ~ 1.4~2e
- HL - c lacl, boxes,~'sewing 1 1,.00
IT' clCl'i 1 n e
- HL- - misc. itemsfmi5c. i x.00
items
- DL -- sheet mu5ic,~pokar 1 4.02t
chips
- BL lampfhuuseho3d 1 1.00
- L-iL - noise makers _ 1.00
- BL_ - kitchen iottchapper^ i 1,00
- ;?L fur ? 8. ~@
- HL -keyboard/cloc4<llamps _ 6.02
_. L'L - galf items 2.00
- HL - IIVD°s 8.00
- HL - prints i 1.00
- BL -- ext. cordslnautical 1 3.00
- LPL - clocks 1 10,00
- ;~L - mist/ram er^et 1 1. c. ~Qr
- PL - ><-mas lot/rack i 1.00
• - BL - office lot 1 2e:.52
-_ E4L CB's 1 1.22
- 9L - mixing boWifY-mas 1 1.~2
- AL - misc. items 1 U.k'~0
- BL. - x--maslinnetrtube/t;nte 1 3.00
-- BL _ x-mas _ E3. 20
- RL - 7.ighthauses i 15.00
- L'~L - mi5c/bar stuff 1 1.20
- EL - CB's '_ 1.00
- LPL - misc. items 1 6.22
- EL. - c].ocl;fglcbe '! 4.20
- LPL - gain s'tu'Ffltoel=. 1 i.02+
- ?xL - step staol,`tool=. 1 6.00
- PI_ - misc. items 1 c. 00
- C1_ .- stereo sy=_tem 1 E,.~BO
- BL - framesltapes _ 3.00
_ L= - :7a1"d wctr'e 1. C: tch• G~~
- F+L- -- na,-;ticaltli~htt-~o_a;;+s _ 8.00
- ;3L -- boat -,
_ 3.04?;
_ _-_ _-'---. _. __
~i_ mSSC. xt ~I.; S. ..
~. _i. ~~
- c'~L - standirt-+nasldrying 1 ?. 2k
r"~G'k
RoF;'a' .> i-?:.iC[:c7r Sep °.'ic~
;c". ryy
~7 7 -, r. ,~_rr_t.F - J~r n~
ivw,.i., ta,.;.a:_,c:t~:.r.:;:ser^vi~e~,,._or;
_tt l.ern~n'L
est. ~ayroori Pe,binea:-i
At}he}' Lane
~cmp Hill :.-'Ft i7}~9.1
-.. -
i~..-~w..r+ C'c Cy ii. ~c
T't e tT,
Description
F'_ -- misc. item (new}
FL - Nurtdrii lot
FL - nat.rtical
FL - m].SC.
item=;/camfarter{misc
E,~. - x-mds lot (J bL}
SL - linens CC!-IJ
Sncw shovel
L'm~relld
Sh6VB1 ~ 5Cr'dpe~r'
ShavEl
Pr. rakes
Thatcher & edgor°!br'onrn
Wo~dEn step lddefer°
Mulcher mower`-LawnSoy
Snapper thrower
F-~!.ASk ie
FL - old x-mas/golf cart
Gr~aftsman waedwdcker
Mnwer" b],ade/eh+.ct@ftar^p
Dmor^ entry. mat
CI'lai r^s (CS-k7
FL - gtas~wdre
BL -dishes-.Impel^a1
FL - misc. items
Pt_ - woddpn li~htltnol 7;ot
FL - r-also late
E1L - nail
1atFradio/flas!-rl fight
FL - misc. items
DL - jewels^y ao};es
FL - fr^ameslpanes
F FL - recores/plant
stand/glass
?!- -- por•cel~in
Ot 5114'9T`tti c'tr2i ~d it CiiF.R
BL - is 1'~: C`rBTrWare>
DL - '_ncyci.opedias
9L - misc. items/tai;e
'- L'L. -' pl ii Jt~~S'i'i
r:r•,i:_e Lit }+ ~Ot El1
6 ~T~~Tee/~/~~
i .:~J. K~YJ
.. J. s~..iF?I
J 1 . ~1 Y~
'~ ~. ~
3 7. rZr~
j v. QQ~
.. ~:. ~~
1 4. ID~
_ E5. 2rr~
sr~. acn
2 i 6§.: Irk
I i. 0~
Z c. ~~
f 1. (~1~V
I 7. t3~
1. >~~1 9 ~. 0(d
~ ~. ~~!
i. mss
Fs. ~~
2 1.0. ~G~
i 1. ~J c~}
1 J. Lr~'h
i ii`'_'. ~k'I
.. 1. ~~
i . [~k!
1 U. ~ZrcZ
.. ~ki
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_ y. m(n
-. ~ ~'. i712?I
~y-Y~ -._.. ._ :.._. pia _,:~
.ztt;l.emer-.t
iBi ~ 2T'a `;
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r -i ~E; ry.~~i~ .~7r ~~y i; ~~ r;,-.
LJVJi+l.;"~We 5a,1Ct lti riSiT"1'.Ca. 1.Gm
.iTa;a.:l ~I_k pliG 7JG""J i:~E+
r..5t. Rayinan Ra~inec:li
r Ni:J!~L'y i-ctn2
item Descr^ir:~4,iari
- LPL. - battleslr•ecarW;; - .___.___._
- S,_ - clacks/sign/figc.krines
- ~;- -- pr-,1 laympsl~arameter
--~ L~'_ - LCl ~1 )i G L
- RL_ - HayrJ's
bear-slp~tmpi x-°,rtas!>c~+r;ing
- BL - x-maa lot!x-mas/r<-m<xs
- EL - x-mas/><-ma5
R~_ -- k'I.t CS"Yen 1t 8Qi=:
- P?_ -- conkwar^elmicra plate
'-' $~ - pl Ct It r"'e5/t ll tl
latlc~i::heslcr-aft
- R!. - fnluing cc,r~tlcr•aft
items
- SL - ~aakStCor•ell+~
l;L - x-mCIJ
_ DL -- m i 5 i:..
itemslr^:adi•us/tr^ays
- BL - clacks 8
awllknittingJmisc
- ~L - Mate/craft items
- P! - baa4slpatia
liter; lighthoc-tse
~~_ - g01'f Cluf55/balg
- ~•L - 5llit L'a5e
- .'i taai e5 (uUt 57. L`I?)
-- Ltm ~7r'cll~ Stair
- ,_n_knae/tahielt: cFxairs
- c green -pwtio 'P._rr~nitut^e
- ~ g'r'^.-en pa',io ch<;ir•s
.._ Ci 7. t_''c'k^
- ~ stands-Act~ar
- o chairs - c:~vo;r~e
- c af`'ice c`~ait•s
.._ lac't`.ars
_ ~a~i ~: ta~le,'S c#-~airs
_ "ki_, tabl_
_.-. _ _-:__-c--r: ~-r--- -. __.. ._
i~ ~ _
-- i=iYU iJ icier lC C).~i. S">
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~da~. _.
Tatal.
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i . 4~':J
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1i a NJ~
1. ~Z~L?
:. Qty
1 99 . fh(t~ry
~ 1 a 1~~y~Y'
1 r.n Y~~
- 3. Qc4~
3. ~~
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:. I . G~~:
'_ i . Chi;
'_ 1. ~ S
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.`-~: LiWe~S (a 1.lCtl an :ierV lCe
t:..J~J P. i.tner 1-1wy
Car:~isle~ 'r"'R 17015
717-C49-~=F77~ ~t+9-1~76~ fs97-4794
www. rawesauctianservic:e. cmm
Se'tlem::r~t Joan Kt.tpF,a 73S-~2U4 Page: 4
Sellsr^~ 4 Est. Raymon Laatrineai_t
4 R6bey bane
Camp Hi11 PF7 17011
Item Ilescrptan r!r^ice G?ty Total
- 5 card totals chairs 1 ~.0ap
- Pitxe' sofas. {CH7 Sv.O~- S 11 @.OQ~
- 3 mir•r-ars 1 c.OV~
- ~ stands-brass & wooden 1 E. 00
- Table. 1 v.0~ '
- Stack of chairslstacil 1 ~=^~
- Bedr^anm st_iite L 70.Q
Walker,/cane 1 1.00
- 3 table lampsJ~ shades 1 10.0QJ
'
Sedr^oom suite i i7. 410
PSlMattress 1 S0 ,00
Maroon r•eeliner 1 1aV.i.1d,Q1
1 5
~0Q!
- BamSoo mire^ar : ,
4f pJO
Shadow bax- i ~
_, Bran sofa- {CI-I7 1 BQ:C~Q1'.
- Sofa: ~ eh~ir - brawn: 1 70.-~@
- White base` cabiretl4 limps' 1 1.0@
Maple uedr~~am suite 1 250.00
- ?win bcds sets {CH7 1>Z15.00 c 2141.@~
- F't°. pink stands 1 40.00
- Lacioksheif 1 4.0111
- F'r. stands i. 27..`'.t0
- Closed door baaitshelf 1 10.00
•J""t:eT'Lad '_tt and lhassacx i. 1.141
- Curia 1 25. 04!
-- 4 pr_. table set 2 ~41.V.10
- Diningroam t~z~le K chair^s 1 40.Q14i
- Drop-froi-tt cabinet 1 27..:;0
Itemse 138 ~ma~-1nt: c'900S.rn0
cu;r.utissi~:n at 35.004'1°l• 703.1
Less adjustments: -703. f5
Net d ine to seliern _ R2~34i5.85
ur busi
Rev-7809 E%~ (8-96)
SCNEDULEF
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT OECEOENT
ESTATE OF (FILE NUMBER
Babineau, Raymond W. 21-12-1093
Kan asset was matle joint within one year of the decedent's date of death, It moat to reported on schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Joan A. Kopko 4 Abbey Lane Daughter
Camp Hill, PA 17011
B.
C.
JOINTLY OWNED PROPERTY:
ITEM
NUMBER
FOR,JOIN
TENANT
MADE
JOINT DESCRIPTION OF PROPERTY
(NUMBER OR SIMILARNDENTIFVING INUMBERAATTACH EEOO OR
JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSE % OF
DECD~S
INTEREST DATE OF DEATH
DECEDENT'S NTEREST
1 A 04/01/1992 Metro Bank -Checking Account No. 399.28 50.000% 199.64
32028870.
2 A 02/01/7999 Metro Bank -Savings Account No. 7.236.73 50.000°/a 3,618.37
616032347.
3 A 09/29/1994 Metro Bank -Savings Account No. 9,803.32 50.000% 4,901.66
410746564.
4 A 10/19/1990 PNC Bank -Checking Account No. 1,912.42 50.000% 956.21
5070094359.
5 A 04/19/1994 PNC Bank -Savings Account No. 5080279576. 6.134.87 50.000°/a 3,067.41
Date of death value $6134.78; accrued
interest $0.03.
TOTAL (Also enter on Line 6, Recapitulation) ~ 12,743.29
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form sofhvare only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98)
METRO
BANK
10/25/12
3801 Paxton Street 888.937.0004
Harrisburg, PA 17111 mymetrobank.com
James D. Bogar
1 West Main St.
Shiremanstown, PA 17011
RE: Estate of: Raymond W. Babineau
Tax Identification Number: 017-16-2896
Date of Death: September 22, 2012
To Whom It May Concern:
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type: CK
Account Number: 32028870
Date Opened: 04/01/1992
Primary Owner: Raymond W. Babineau
Secondary Owner: Joan A. Kupko
Date of Death Balance: $399.28
Account Type: SV
Account Number: 616032347
Date Opened: 02/01/1999
Primary Owner: Raymond W. Babineau
Secondary Owner: Joan A. Kupko
Date of Death Balance: $7,236.73
Account Type: SV
Account Number: 410146564
Date Opened: 09/29/1994
Primary Owner: Joan A. Kupko
Secondary Owner: Raymond W. Babineau
Date of Death Balance: $9,803.32
METRO
BANK Harri burg, PAr17111 m$ m9 t obank.com
Please feel free to contact me at (717) 412-6127 if I may be of further assistance.
Sincerely,
Jennifer Jacobs
Research Associate
Metro Bank
+Pruc
September 28, 2012
Joan Ann Kupko
4 Abbe}+ Lane
Camp idill PA 17011
RE: Raymond W Babineau
SSN= 01.7-16-289b
DOD: 09/22/2012
Dear Sir/Madam:
Tn response to your request for Date of Death (DOD) balances £ox the customer noted aboi=e, our
records show the following:
Checking Account
Account # 507D094359
RAYMOND VJ BABINFAU
JOAN A KUPKO
DOD balance: X1,912.42 + 0.00 accrued interest
Savings Account
Account # 5080279576
RAYMOND W BABL~AU
JOAN A KUPKO
BOD balance: X6,134.78 + 0.03 accrued interest
Established: 10/19i 1990
Ins:ablished: 04/191 1994
Please note that this office provides date of death balances far deposit accounts (IIt 4s, Cbs, Checking and
Savings). '~1'e do not process anyfnancial transactions or provide statements. Tfyouneed assistance with
any of these items, please call 1-1;88-PNC-BANK (1-S 8B-762-22651 or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank, N.A.
Member FDIC
Page 1 of 2
?his message is intended far the use tf the individual ar entity to xliicl: it is addressed and may
contain information that is privileged, eonfdential and exempt from disclosure under applicable
law. If the reader of this message is nat the intended recipient or the employee ur agent
responsible for delivering thzs message to the intended recipient, yan are hereby notafzed that arty
dssemination, distribution or copying of this communications is strictly prohibited. Ifyou ha>>e
received this communication in error, please notify me immediately by reply or by telephone at
SOD 761-1775 and immediately destroy this faxed document
Pave 2 0£ 2
REV-1151 E%+110-06)
COMMORESI~ DENTEDECE~RNVANIA
ESTATE OF FILE NUMBER
Babineau, Raymond W. 21-12-1093
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
A, I FUNERAL EXPENSES:
See continuation schedule(s) attached
B. I ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
12,366.08
Street Address
City State Zio
Year(sl Commission paid
2. Attorney's Fees Bogar 8 Hipp Law Offices 3,990.00
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 fo Decedent
4. Probate Fees 319.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 15,515.59
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 32,191.17
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
Copyright (c) 2009 form software only The Lackner Group, Inc. Fonn PA-1500 Schedule H (Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Babineau, Raymond W. 21-12-1093
ITEM
NUMBER
DESCRIPTION
AMOUNT
7 Funeral Expenses
Fire Mountain -funeral luncheon
72.31
2 Malpeui Funeral Home-funeral bill 12,734.77
3 Royer's Flowers -flowers for funeral 159.00
H-A 12,366.08
4 Other Administrative Costs
AHS -homeowner's warranty
460.00
5 Bones Contracting -repairs to baseboard heaters for settlement 275.00
6 Borough of Mechanicsburg -sewer and trash 128.32
7 Bouders Trash Removal -fee for removal of piano and trash from house 400.00
8 Century 21 - Walak - realtor's commission 4,677.00
9 East Pennsboro Ambulance -transport for doctor's appointment 128.80
10 Fax fee 1.00
11 Liberty Land Transfer -tax certification fee 10.00
12 Lowes -dehumidifier for house 147.85
13 MC Walker Realty - realtor's commission 4,617.00
14 Metro Bank -charge for estate checks 23.85
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
Babineau Raymond W. 21-12-1093
ITEM
NUMBER
DESCRIPTION
AMOUNT
15 Patriot News - ad to sell van 28.00
16 Peter Murphy -grass cutting 26.00
17 Peter Murphy -grass cutting 26.00
18 Peter Murphy -grass cutting 26.00
19 Peter Murphy -grass cutting 26.00
20 Peter Murphy -grass cutting 26.00
21 Peter Murphy -grass cutting 26.00
22 Physicians of Rehab Industrial 8 Spine - doctor at Healthsouth 6.36
23 PNC -Credit card payment 42.96
24 PPL 31.48
25 PPL 0.41
26 PPL -final electric bill 101.97
27 Recorder of Deeds -realty transfer tax 1,539.00
28 RESERVES: -Costs to conclude administration of Estate, including filing PA Inheritance Tax 850.00
Return and Inventory, preparation and filing of final personal income tax returns and
fiduciary income tax returns
29 Ronald Fields -credit to Buyer at real estate settlement 790.00
30 Rowe's Auction Service -Commission for sale of personal property 703.15
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.
Babineau, Raymond W. 21-12-1093
ITEM
NUMBER
DESCRIPTION
AMOUNT
31 Rowe's Auction Service -fee for hauling and spraying 125.00
32 Sears -battery for van 90.08
33 Terminix -pest control at house 74.20
34 U.S. Postal Service -postage stamps for thank you notes 9.00
35 U.S. Postal Service -Stamps to mail bills 9.00
36 United Water 11.18
37 United Water 17.18
38 United Water 11.18
39 United Water -final water bill 2.23
40 VA -balance for office visit with doctor 5.25
41 VA - copay for VA 5.25
42 Verizon -final bill 30.80
43 West Shore EMS -transport from Health South to Manor Care 67.09
H-B7 15,515.59
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
RFVd513 FYHN-0fll
SCHEDULE J
F~f~~YLVANIA
COMM~f~WFi11,Tt1_OF~
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IT
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H
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` BENEFICIARIES
E
~
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S
~
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ESTATE OF FILE NUMBER
Babineau, Ra mood W. 21-12-1093
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$)
I TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 a 1.2
Joan A. Kupko Daughter Rest, residue
4 Abbey Lane and remainder
Camp Hill, PA 17011
Total
Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 15 00 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 SHEETI
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)
~~z~t ~i1i ~rc~ C7~ P~t~in~nt
BE IT RElIEMBERED THAT
I, RAYMOND A. BABINEAU, of the County of Cumberland and Commonwealth
of Pennsylvania, being of sound mind, memory and understanding, do make,
publish and declare this to be my LAST WILL and TESTAMENT, hereby
revoking and making null and void any and all Wills and Codicils, or
writings in the nature thereof, at any time heretofore made by me.
I. As my Personal Representative, I appoint my daughter, JOAN A. KUPKO,
as the Executrix of my LAST WILL.
2. For all purposes of this LAST WILL, my ESTATE shall include and
consist of all real and personal property of any kind and every nature
whatsoever, wherever situate, in which I may have any interest at the
time of my death, including any property over which I may have power of
appointment.
3. I direct that my funeral and burial expenses, and my just debts, be
paid from my residuary ESTATE as part of the administration of my ESTATE.
4. I direct that all taxes assessed and payable because of my death, be
paid from my residuary ESTATE as part of the administration of my ESTATE.
5. I give, devise and bequeath all of my ESTATE, both real and personal,
to my daughter, JOAN A. KUPKO, if she survives me.
6. In the event that my daughter, JOAN A. KUPKO, fails to survive me,
then I give, devise and bequeath all my ESTATE, in equal shares to my
granddaughter, JULIE L. WALTERS, and to my grandson, JEFFREY J. KUPKO,
if they survive me; but if either one fails to survive me, then all to
the survivor.
7. If any legatee, beneficiary or devisee, shall fail to survive me by
thirty (30) days, I direct that I shall be deemed to have survived such
legatee, beneficiary or devisee and that this LAST WILL and all its
provisions, except where specifically stated otherwise, shall be
construed on this assumption notwithstanding the provisions of any law
establishing a contrary presumption.
8. I direct that no Personal Representative appointed by this LAST WILL
shall be required to give any bond, notwithstanding any provision of law
to the contrary; but if any bond shall be necessary no sureties shall be
required.
IN WITNESS WHEREOF, I have subscribed my name and affixed my seal
th i s ~ ~' day of ~v r9C 2000.
~~
Witness
n
l~C~1~~GU ~ G~ie~~r~~ti~
~i1,~N~D A_. BABINEAU ,~ ,~.
Wi~n~ss
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
I, RAYMOND A. BABINEAU, Testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to
law, do hereby acknowledge that I signed and executed this instrument as
my LAST WILL, that I signed it willingly and that I signed it as my free
and voluntary act for the purposes therein expressed.
ND A. BA NEAU
Sworn or affirmed to and acknowledged before me by RAYMOND A. BABINEAU,
Testator, this C~~~ day of --~~,,4~~ 2000.
~ '!
1 i
NOTARY
NOTAIiA6 SEAL
VlNIfJ+Y 3 C1iliSIRO, Y 6~ublc
AFFIDAVIT -awa Alan Tvrp., Cu~beriand Couaay
My CaarnrYdon Enpirot AAcy 10,1005
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
We, /~.CB~!?i Z. i3aGCr2j and /9h'iT~9 ~~ 8D~E2T' the
witnesses whose names are signed to the attached or foregoing instrument
being duly qualified according to law, do depose and say that we were
present and saw the Testator sign and execute this instrument as his
LAST WILL, that RAYMOND A. BABINEAU signed willingly and that he executed
it as his free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testator signed this LAST
WILL as witnesses and that to the best of our knowledge, the Testator
was at the time eighteen (18) years or more of age, of sound mind and
under no constraint or undue influence. ~~ "'~,
Swor~ affirmed to and acknowledged before me this ~.~~i_ ~y of
~~ 1 ~~c„~h--~_ 2000.
~ ~/
1gTAWAE 5FI~t
WENGY S d#ESlilQ, Moray Niblc
f+Dwae Alen Tap., Cwnberla~d C'wray
My Canm6ioiw, 6goke~ May 90, 1005