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HomeMy WebLinkAbout04-18-13 J 1505610143 REV-1500 EX(02-11) 1 OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number Bureau of Individual Taxes NPU MENT Or REVENNE PO 60x.280601 INHERITANCE TAX RETURN 21 12 0991 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 09 01 2012 03 19 1919 Decedent's Last Name Suffix Decedent's First Name MI KLINGER ELIZABETH B (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW X 1. Original Return ❑ 2. Supplemental Return Prior to 12-13-82) 1:1 3. Remainder ReReturn(Date of Death ❑ a. Limited Estate qa. Future Interest Compromise F1 5. Federal Estate Tax Return Required ❑ El 4a. of death after 12-12-82) 6 Decedent Died Testate ❑ 7 DA ced maintained)a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) G ❑ 9. Litigation Proceeds Received ❑ 10.bg=l Pov31�Cra ditfDa95M Death ❑ 11.Election to tax under Sec.9113(A) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: I' Name DaytinOTelephone Illi mbel, JAMES D BOGAR (7396 Q 737�7In � RECOT_ 0 WI W US�fQH4Y III Cf O First Line of Address <_ �, 'n -;rt ONE WEST MAIN STREET r r, OD r Second Line of Address L rn C> DATE FILED City or Post Office State ZIP Code SHIREMANSTOWN PA 17011 I Correspondent's e-mail address: jbogar @bogarlaw.com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,corre od complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU F PE SON RES O BLE FOR FILING RETURN DATE James D. Bo gar 8 3 ADDRESS One West Main Street hiremanstown PA 17011 SIGNATUR5.eF P EPARER OTHE HAN REPRESENTATIVE DATE James D. Boger 4{-(l* ADDRESS One West Main Street,jilremanstown, PA 17011 Side 1 L 1505610143 1505610143 J 1505610243 REV-1500 EX Decedent's Social Security Number D-dOW-9 N­ Klinger, Elizabeth B. RECAPITULATION t. Real Estate(Schedule A).....-................___........... ................... ................ 1 75, 000 . 00 2, Stocks and Bonds(Schedule B)..............._.............-............................................ 2. 69,006. 93 3- Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......._ 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)...... 5. 1,838 , 691 . 77 6. Jointly Owned Property(Schedule F) [:] Separate Billing Requested..,..,...... 6. 7. Inter-Vivos Transfers&Miscellaneous I Probate Property (Schedule G) t Separate Billing Requested............ 7. 8. Total Gross Assets (total Lines 1 through 7).......... ....... ..................................... 8, 1 , 982 , 698 . 70 li 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 125,413 . 65 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1)............................ 10, 11. Total Deductions(total Lines 9 and 10).........._.... ...........__ 11, 1 125,413. 65 12. Net Value of Estate(Line 8 minus Line 11).... . . . ..... . .. .... .... 12, 1 , 857 ,285 . 05 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, 1 , 857 ,285 . 05 TAX COMPUTATION.SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X 00 15, 0 . 00 16. Amount of Line 14 taxable at lineal rate X 045 0 . 00 16� 0 . 00 IT Amount of Line 14 taxable at sibling rate X.12 0. 00 IT 0.00 18. Amount of Line 14 taxable at collateral rate X.15 1 , 857 ,285 . 05 18, 278 , 592 . 76 19 TAX DUE.._._,......_.._..._... ............ ......................................... ......_......... 19, 278,592 . 76 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 1505610243 REV-1500 EX Page 3 File Number 21-12-0991 Decedent's Complete Address: DECEDENT'S NAME Klinger, Elizabeth B. STREET ADDRESS 1 Wayne Circle CITY STATE ZIP Camp Hill PA 17011 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 278,592.76 2. Credits/Payments !, A. Prior Payments 261,099.96 B. Discount 13,742.10 Total Credits(A +B) (2) 274,842.06 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) III 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) 3,7550,70 II Make Check Pa jable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. decedent make a transfer e use or income of Y he property transferred; .............. a. h ❑ ❑x b. retain the right to designate who shall use the property transferred or its income;............... ............. x c. retain a reversionary interest;or......................................................... ................................-................... x d. receive the promise for life of either payments,benefits or care?............................................................ x 2. If death occurred after Dec. 12,'1982, did decedent transfer property within one year of death without ❑ ❑ ! receiving adequate consideration.... ._...... x j a Bath?.. 4. id d c own n individu l retirement payable account, annuity,y or other non-probate at roperty which a beneficiary designation? ..... ❑❑ ❑❑x III IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. ! For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and fling a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in [72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. JREV-485 EX(05-04) 48500041046 SAFE DEPOSIT BOXINVENTORY PA Department of Revenue PLEASE USE ORIGINAL FORM ONLY Social Security or Death Certificate Number Date of Death County Code Year File Number 09/01/2012 21 12 0991 Decedent's Last Name Suffix First Name MI KLINGER ELIZABETH B ©ADDRESS OF DECEDENT STREET: CITY: STATE: ZIP CODE: 1 Wayne Circle Carrp Hill PA 17011 NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX NAME: James D. BOgar _ STREETADDRESS: CITY: STATE: ZIP CODE: One West Main Street Shiremanstown PA 17011 NAME,ADDRESS AND RELATIONSHIP(IF ANY)TO DECEDENT,OF PERSON(S)PRESENT AT THE BOX OPENING a. NAME: RELATIONSHIP: _ James D. Boger Executor STREETADDRESS: CITY: STATE: ZIP CODE: _ One West Main Street Shiremanstown PA _ 17011 b. NAME: RELATIONSHIP: j STREETADDRESS: CITY: STATE: ZIP CODE: c. NAME: RELATIONSHIP: STREETADDRESS: CITY: STATE: ZIP CODE: - NAME ANDADDRES$OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED j NAME: Citizen's Bank _ STREETADDRESS: CITY: STATE: ZIP CODE: 4101 Carlisle Pike Ci2 Hill PA 17011 NAME OF PERSON MAKING LAST ENTRY DATE AND TIME OF LAST ENTRY, j is ly bC L i DATE OF CONTRACT TO RENT BOX UMBER OF BOX i TtTLE UND ft WHICH BOX IS REQUESTED j i6 114 246 Lite NAME AND ADDRESS OF PERSON(S)HAVING ACCESS TO BOX a. NAME:� � b. NAME: STREET DDRESS' STREETADDRESS: CITY: STATE: ZIP CODE: CITY: STATE: ZIP CODE: NAME AND TITL OF EMPLOYEE TAKING THE INVENTORY WAS A WILL IN THE BOX? ❑ YES A NO N yes, a. Date of will: b. Name and address of personal representative,If named In the will NAME: i STREETADDRESS: CITY: STATE: ZIP CODE: c. Name and address of attorney,If any NAME: STREETADDRESS: CITY: STATE: ZIP CODE: 48500041046 48500041046 I REV-485 EX SAFE DEPOSIT BOX INVENTORY Page`_-of z INSTRUCTIONS (1) Cash: Report total only. (2) Stocks:List in detail every Common or preferred certificate,warrant or other rights found in box.Stocks are to be designated by name of company,certificate number,date of certificate,name in which stock is registered,and number of shares and class of stock. (3) Obligations of U.S.Government:Number of items,date of issue,face value,names in which registered and type of ownership, i.e.,jointly held, payable on death,etc. (4) Bonds: Designate by name,amount,serial number,or other designation.(Bearer Bonds) (5) Bank and Savings and Loan Passbooks:State name of depositor,number of book,last date appearing in book,name of bank and branch,and balance. (6) Jewelry,Coins,Stamps, Manuscripts,etc: List and describe as fully as possible. , (7) Deeds,Mortgages,Current Insurance Policies or other evidences of indebtedness:List and describe as fully as possible. (8) All other contents. (9) Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT.280601 HARRISBURG,PA 17128-0601 ITEM ITEM DESCRIPTION NO. It U '�4�U4�/_jl la `fi 1 !to Ire-��n�a Lr 1'.k.tJiulss4i _ u vG /3 _ S I t iz 7 - Q t _ c _ - - I W232b704 f 42tw 2 ? rl1W19- ky eta__, 1� TEt4' Y0 , 27(o, q_(&e t.�r 1 t { 74t, 2� ',-4% _-- if —k 4 34S`74r c7.cai_ eht d era zu 3 7 - it Zit — 3' rG C�Joc ca3t9 +? - 0, - I CERTIFY UNDER PENALTY OF PERJURY Tli THE ABOVE RECORD IS PERSON RECEIVING COPY OF CORRECT A COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATU PRINT NAME {� - --- -- —�-- PS=T"o EAND E�ROPRIATE 80X aoW: ----- -- _ , �1 . . -ti- SAY PRINTTITLE "J��� '' .}� DATE CHECKAPPROPRIATE BOX: b 1GQCrC�ICJC 1""c � I - R �t��I�.y �Exewtor(tdx} �Atlmtnlstretor(tnx) (G'.j Estate RepresantaWe Q.bin:wmor of safe tleposlt bat NOTE:Attach additional 8%ff x " sheet(s) If necessary or use duplicates of this page of form. The Department is authorized by law,42 U.S.C.§405(c)(2)(C)(i),to require disclosure of Social Security numbers in connection with administering state tax laws.The Department uses the Social Security number to identify the decedent and personal representatives of the estate.The Comrnomveralth may also use the information in exchange of tax information agreements with Federal and local taudng authorities.The state law prcr"the Commo weaWs personnel from disclosing confidential tax intomration except for official purposes. REV-4$5 EX SAFE DEPOSIT BOX INVENTORY Page 2 of 9 INSTRUCTIONS (1) Cash: Report total only. (2) Stocks:List in detail every common or preferred certificate,warrant or other rights found in box.Stocks are to be designated by name of company,certificate number,date of certificate,name in which stock is registered,and number of shares and class of stock. (3) Obligations of U.S.Government:Number of items,date of issue,face value,names in which registered and type of ownership, i.e.,jointly held,payable on death,etc. (4) Bonds:Designate by name,amount,serial number,or other designation.(Bearer Bonds) (5) Bank and Savings and Loan Passbooks:State name of depositor,number of book,last date appearing in book,name of bank and branch,and balance. (6) Jewelry,Coins,Stamps,Manuscripts,etc:List and describe as fully as possible. (7) Deeds,Mortgages,Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible. (8) All other contents. (9) Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION j DEPT.280601 l HARRISBURG.PA 17128-0801 J ITEM NO. ITEM DESCRIPTION .1b.47t?4,c77 �c��trnt{icm{a� 32E3=C)>—a ( _ 4 35,csr -cs7Zt 214 I i CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. S R BOX INVENTORY: SIGNATURE SIGN0. u -PRINT NAME I .� E ANF­c CK APPROPRIATE BOX 9ELOw PRINT TITLE DATE CHECK APPROPRIATE eOX 1 t 1 �r � l yJ4 �4.Jxi �` j]E%eGYter(trl%) Atlmtnlelralor(tdx) `(I (�Es1sle Repress .W$ E]Joint owner of sale deport PM NOTE:Attach additional 81h"0 1'sheet(s) if necessary or use duplicates of this page of form. The Department is authoraed by law,42 U.S.C.§405(c)(2)(C)(1),to require disclosure of Social Security numbers in connection with administering state tax laws.The Department uses the Social Security number to identify the decedent and personal representatives of the estate.The Commonwealth may also use the information in exchange of tax information agreements with Federal and local taxing authorities.The state law prohibits the Commormalth's personnel from clsiclosing confidential tax information except for official purposes. Rev-1502 U-(01-101 SCHEDULE A pennsylvania REAL ESTATE DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Klinger Elizabeth B. 21-12-0991 All real property owned solely or as a tenant in common must be reported at fair market value.Fair mallet value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointlyowned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet If the property has been sold Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate-All that certain piece or parcel of real estate having erected thereon a dwelling 75,000.00 house being known and numbered as 1 Wayne Circle,Camp Hill, PA 17011. The property was acquired by Henry G. Klinger and Elizabeth B. Klinger, husband and wife,by Deed dated July 24, 1952,and recorded July 24, 1952 in the Cumberland County Recorder of Deeds Office,a copy of said Deed being attached hereto and incorporated herein. The said Henry G. Klinger died April 11,2007,whereupon full and complete title to the within described property became vested solely in Elizabeth B. Klinger,the decedent herein. The above- described real estate was sold pursuant to an Agreement of Sale,a copy of which is attached hereto and incorporated herein. Final settlement took place on December 28,2012. A copy of the Deed conveying said real estate,as well as a copy of the Settlement Sheet,are attached hereto and incorporated herein. The sale price of the real estate was$75,000.00. !, I II i I I I i I II I i I i TOTAL(Also enter on Line 1, Recapitulation) 75,000.00 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule A(Rev.01-10) I AT CARLISLE, PENNSYLVANIA, EXCEPTING THOSE, IF ANY, IMPOSING RESTRICTION UPON SALE OR OCCUPANCY � ON THE BASIS OF RACE, CREED, OR COLOR, WHICH IT IS EXPRESSLY INTENDED SHALL NOT BE IMPOSED OR RE-IMPOSED HEREBY. AND, THE SAID GRANTORS, DO HEREBY COVENANT AND AGREE TO AND WITH THE SAID GRANTEES, THAT I SHALL AND WILL WARRANT GENERALLY ADMINISTRATORS, ANO THEY THE GRANTORS, THEIR HEIRS, EXECUTORS AND FOREVER DEFEND THE HEREIN ABOVE DESCRIBED PREMISES, WITH THE HEREDITAMENTS AND APPURTENANCES, UNTO THE SAID GRANTEES, THEIR HEIRS AND ASSIGNS, AGAINST THE SAID GRANTORS, AND AGAINST EVERY OTHER PER5ON LAWFULLY CLAIMING OR WHO SHALL HEREAFTER CLAIM THE SAME OR ANY PART THEREOF. II III IN WITNESS WHEREOF, SAID GRANTORS HAVE HEREUNTO SET THEIR HANDS AND SEALS THE DAY AND YEAR FIRST ABOVE WRITTEN. SIGNED, SEALED AND DELIVERED - LER OV A. KOHLER (SEAL) IN THE PRESENCE Of B. JOHANNAH KOHLER (SEAL) CHARLES C. STONER ' JOSEPH A. WAGNER (SEAL) RHODA E. WAGNER (SEAL) STATE OF PENNSYLVANIA ) COUNTY OF CUMBERLAND 4S: ON THIS, THE 15TH DAY OF APRIL, 1952, BEFORE ME, THE UNDERSIGNED OFFICER, PERSONALLY APPEARED LEROY A. KOHLER AND S. JOHANNAH KOHLER, HIS WIFE, AND JOSEPH A. WAGNER AND RHODA E. WAGNER, HIS WIFE, KNOWN TO ME (OR SATISFACTORILY PROVEN) TO BE THE PERSONS WHOSE NAMES ARE SUBSCRIBED TO THE WITHIN INSTRUMENT, AND ACKNOWLEDGED THAT THEY EXECUTED THE SAME FOR THE PURPOSES THEREIN CONTAINED. IN WITNESS WHEREOF, I HEREUNTO SET MY HAND AND OFFICIAL SEAL ELLA M. STRAUB SEAL NOTARY PUBLIC MY DOM EXPIRES AT THE END OF NEXT SESSION OF �— SENATE. CERTIFICATE OF RESIDENCE II' Ili i I DO HEREBY CERTIFY THAT THE PRECISE RESIDENCE Of THE WITHIN NAMED GRANTEE IS I LEMOYNE, PA. FORREST MERCER AIRS. ATTORNEY FOR GRANTEES------------------------------------------.- ________________ N0. 18951 -------- --- j L THIS INDENTURE,DEED S MADE THE 24TH DAY OF JULY IN THE VEAH OF OUR MARLYN WERT BONN ET UX 4 LO ONE THOUSAND NINE HUNDRED AND FIFTY-TWO (1952)1, TO V BETWEEN MARLYN WERT BONN AND MARY A. BONN, HlTs WIF�, HENRY G. KLINGER ET UX A OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIil [UNITED STATES CONS. $8,700.00 gMWB PARTIES OF THE FIRST PART AND ( STATES LOC. LOWER ALLEN TOWNSHIP "L/€ Ar. HENRY G. KLINGER AND ELIZABETH B. KLINGER, HIS ( PENNSYLVANIA, PARTIES OF THE SECOND PART, ' DATED JULY 24, 1952 WIFE, OF THE BOROUGH OF HIGPS PIRE, DAUPHIN COUNTY r ENTD• JULY 24. 1952 TIME 12:52 PM WITNESSETH, THAT THE SAID PARTIES OF THE FIRST PART, FOR AND IN CONSIDERATION OF THE SUM OF EIGHTY-SEVEN HUNDRED ($8,700.00) DOLLARS, LAWFUL MONEY OF THE UNITED STATES OF AMERICA, WELL AND TRULY PAID BY THE SAID PARTIES OF THE SECOND PART TO THE SAID PARTIES OF THE FIRST PART, AT AND BEFORE THE SEALING AND DELIVERY OF THESE PRESENT8, THE RECEIPT WHEREOF IS HEPEBY ACKNOWLEDGED, HAVE GRANTED, BARGAINED, SOLD, ALIENED. ENFEOFFED. i I'Il R EL EASED,CONVEYED, AND CONFIRMED AND BY THESE PRESENTS BO GRANT, BARGAIN, SELL, ALIEN, ENFEOFF, RELEASE, CONVEY, AND CONFIRM UNTO THE SAID PARTIES OF THE SECOND PART, THEMSELVES, THEIR HEIRS AND ASSIGNS, j ALL THAT CERTAIN PIECE OF PARCEL OF LAND WITH THE BUILDINGS AND IMPROVEMENTS THEREOF ERECTED, BEING KN0WN AS LOT NO. 135, ON PLAN OF LOTS LAID OUT FOR ALLEN PARK DEVELOPMENT CORP., CALLED "CUMBERLAND PARK" A" RECORDED IN PLAN BOOK 4, PAGE 86, CUMBERLAND COUNTY RECORDS, SITUATE AT THE NORTHERLY CORNER OF WAYNE CIRCLE (FORMERLY AVENUE "M") AND WAYNE ROAD FORMERLY AVENUE "L"), CUMBERLAND PARK, TOWNSHIP OF LOWER ALLEN, COUNTY OF CUMBERLAND AND COMMONWEALTH OF PENNSYLVANIA, BOUNDED AND DESCRIBED AS FOLLOWS, TO WIT:- BEGINNING AT A POINT OF CURVE ON THE NORTHWESTERLY SIDE OF WAYNE CIRCLE (FORMERLY AVENUE "M") (50 FEET WIDE) AT A DISTANCE OF THIRTY (30) FEET MEASURED NORTH SIXTY-THREE (63) DEGREES THIRTY-THREE (33) MINUTES THIRTY (30) SECONDS EAST FROM THE INTERSECTION OF THE 5410 SIDE OF WAYNE CIRCLE (FORMERLY AVENUE "Al") WITH THE NORTHEASTERLY SIDE OF WAYNE ROAD III, j (FORMERLY AVENUE "L") (50) FEET WIOE)(BOTH LINES PRODUCED); THENCE IN A NORTHWESTERLY DISTANCE DIRECTION BY A LINE CURVING TO THE RIGHT HAVING A RADIUS OF THIRTY (30) FEET THE ARC/OF �I FORTY-SEVEN AND TWELVE ONE HUNDREDTHS (47.12) FEET TO A POINT ON THE NORTHEASTERLY SIDE 'A OF WAYNE ROAD (FORMERLY AVENUE "L");THENCE ALONG SAID SIDE OF WAYNE ROAD (FORMERLY AVENUE "L") NORTH TWENTY-SIX (26) DEGREES TWENTY-SIX (26) MINUTES THIRTY (30) SECONDS WEST A ' DISTANCE OF FIFTY-NINE (59) FEET TO A POINT; THENCE ALONG LOT NO. 134 NORTH SIXTY-THREE (63) DEGREES THIRTY-THREE (33) MINUTES THIRTY (30) SECONDS EAST A DISTANCE OF NINETY (90) FEET 10 THIRTY '. A POINT; THENCE ALONG LOT NO. 136 SOUTH TWENTY-SIX (26) DEGREES TWENTY-SIX (26) MINUTES/Do) i,l ' SECONDS EAST A DISTANCE OF EIGHTY-NINE (89) FEET TO A POINT ON THE NORTHWESTERLY SIDE OF WAYNE CIRCLE (FORMERLY AVENUE "M"); THENCE ALONG SAID SIDE OF WAYNE CIRCLE (FORMERLY AVENUE "M") SOUTH SIXTY-THREE (63) DEGREES THIRTY-THREE (33) MINUTES THIRTY (30) SECONDS WEST A 'DISTANCE OF SIXTY (60) FEET TO THE FIRST MENTIONED POINT AND PLACE OF BEGINNING, UNDER AND SUBJECT TO SAID RESERVATIONS AND RESTRICTIONS AS CONTAINED IN PRIOR DEEDS. II BEING THE SAME PREMISES WHICH ALLEN PARK DEVELOPMENT CORP., A CORPORATION DULY 'ORGANIZED AND LAWFULLY EXISTING UNDER AND IN ACCORDANCE WITH THE LAWS OF THE COMMONWEALTH OF PENN- SYLVANIA, BY ITS DEED DATED JANUARY 23, 1950 AND WHICH DEED IS RECORDED IN THE OFFICE OF I THE RECORDER OF DEEDS IN AND FOR CUMBERLAND COUNTY, PENNSYLVANIA IN DEED BOOK "H", VOLUME 14, PAGE 197 GRANTED ARID CONVEYED UNTO MARLYN WERT BONN AND MARY A. BONN, His WIFE, THE I GRANTORS AND PARTIES OF THE FIRST PART HERETO, TOGETHER WITH ALL AND SINGULAR, THE TENEMENTS, HERECITAMFNTS AND APPURTENANCES TO THE SAME BELONGING OR IN ANYWISE APPER TAINING,A NC THE REVERSION ANC REVERSIONS, REMAINDER ARID �I I� REMAINDERS, RENTS, ISSUES AND PROFITS THEREOF;'AND ALSO ALL THE EATATE, RIGHT, TITLE, INTEREST, I, I PROPERTY, CLAIM AND DEMAND WHATSOEVER, BOTH IN LAW AND EQUITY, OF THE SAID PARTIES OF THE I FIRST PART, OF, IN, TO OR OUT OF THE SAID PREMISES, AND EVERY PART AND PARCEL THEREOF TO HAVE AND TO HOLD THE SAID PREMISES, WITH ALL AND SINGULAR THE APPURTENANCES, UNTO THE SAID PARTIES OF THE SECOND FART THEIR HEIRS AND ASSIGNS, TO AND FOR THE ONLY PROPER USE AND BEHOOF OF THE SAID PARTIES OF THE SECOND PART, THEIR HEIRS AND ASSIGNS FOREVER, AND THE SAID PARTIES OF THE FIRST PART, THEIR HEIRS, EXECUTORS ADD ADMINISTRATORS, DO BY THESE PRESENTS, COVENANT, GRANT AND AGREE TO AND WITH THE SAID PARTIES OF THE SECOND PART i THEIR HEIRS AND ASSIGNS, THAT THEY THE SAIL PARTIES OF THE FIRST PART, THEIR HEIRS ALL AND III SINGULAR THE HEREEITAMENTS AND PREMISES HEREINABOVE DESCRIBED AND GRANTED OR MENTIONED, AND i INTENDED SO TO BE, WITH THE APPURTENANCES, UNTO THE SAID PARTIES OF THE SECOND PMT, THEIR HEIRS AND ASSIGNS, AGAINST THE SAID PARTIES OF THE FIRST PART AND THEIR HEIRS AND AGAINST ALL AND EVERY OTHER PERSON OR PERSONS WHOMSOEVER, LAWFULLY CLAIMING OR TO CLAIM THE SAME OR ANY PART THEREOF, SHALL AND WILL, BY THESE PRESENTS, WARRANT AND FOREVER DEFEND ; IN WITNESS WHEREOF THE SAID PARTIES OF THE FIRST PART HAVE HEREUNTO SET THEIR HANDS AND i j i SEALS THE DAY AND YEAR FIRST ABOVE WRI ITEM. SIGNED, SEALED AND DELIVERED IN THE PRESENCE OF MARLY4 WERT BONN (SEAL) STANLEY 0. ADLER, JR. ,MARY A. BONN (SEAL) COMMONWEALTH OF PENNSYLVANIA ) 5: COUNTY OF CUMBERLAND ON THIS, THE 24TH DAY OF JULY, 1952, BEFORE ME A NOTARY PUBLIC, THE UNDERSIGNED OFFICER, PERSONALLY APPEARED MARLYN WERT BONN & MARY A. BONN, HIS WIFE KNOWN TO ME (OP SATISFACTORILY i PROVEN) TO BE THE PERSONS WHOSE NAMES ARE SUBSCRIBED TO THE WITHIN INSTRUMENT, AND ACKNOWLEDGED THAT THEY EXECUTED THE SAME FOR THE PURPOSE THEREIN CONTAINED. Ii IN WITNESS WHEREOF, I HEREUNTO SET MY HAND AND OFFICIAL SEAL. \ MILURED HbOPY STONE SEAT NOTARY PUBLIC MY'COM EXP MARCH 30, 1955 i HEREBY CERTIFY THAT THE PRECISE RESIDENCE OF THE GRANTEE, IN THE WITHIN DEED, IS I 1 WAYNE CIRCLE, CUMBERLAND PARK, CAMP HILL, PA. THOMAS 1. MYERS ARB. ATTORNEY FOR GRANTEE 1 -------------------------------------------------- ..._________-----_____.,___.- ___ N0, 18980 4 THIS DEED PENNA DEED ¢ $52 50 CfRA MADE THE 26TH DAY OF JULY, IN THE YEAR NOME- CHARLES M. MCCRACKEN ET AL 4 ¢�.2.yf;2-__ TEEN HUNDRED AND FIFTY-TWO. ST AiC AX TO (t T BETWEEN CHARLES M. MCCRACKEN OF CARLISLE,I� JOHN -°. KLUGE ET UX Q CUMBERLANO COUNTY, PENNSYLVANIA, AND BETTY M CONS, $1.00 4 UNITED STATES gg pp55 ryry� MCCRAKEN BOLES, FORMERLY BETTY J. MCCRACKEN, LOC. CARLISLE Y VIRYAL�EVENUE 7Q26/52 ANDREW F. BOLES, HER HUSBAND, OF THE SAME DATED JULY 26, 1952 $ � D 2HMENTAAf PLACE, PARTIES OF THE FIRST PART, AND ENTD. JULY 26, 1952 § .... JOHN F. KLUGE AND MARY E. KLUGE, HIS WIFE, OF TIME 9.11 AM CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA, PARTIES OF THE SECOND PART; WITNESSETH, THAT IN CONSIDERATION OF ONE ($1.00) DOLLAR AND OTHER GOOD AND VALUABLE ° CONSIDERATION IN HAND PAID, THE RECEIPT WHEREOF IS HEREBY ACKNOWLEDGED, THE SAID GRANTORS DO _ HEREBY GRANT AND CONVEY TO THE SAID GRANTEES, THEIR HEIRS AND ASSIGNS, 1 d ALL THAT CERTAIN LOT OF GROUND SITUATE ON NORTH BEDFORD STREET IN THE FIRST WARD OF THE ! I BOROUGH OF CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA, BOUNDED AND DESCRIBED AS FOLLOWS, TO WIT; I ` i ON THE NORTH BY AN ALLEY; ON THE EAST BY PROPERTY NOW OR FORMERLY OF JOHN H. STAMBAUGH ETfUX; ON THE SOUTH BY NORTH BEDFORD STREET AND ON THE WEST BY PROPERTY NOW OR FORMERLY OF JOHN C. ALBRIGHT. HAVING A FRONTAGE OF 15g FELT, MORE OR LESS, ON NORTH BEDFORD STREET AND EXTENDING IN I � DEPTH A DISTANCE OF 120 FEET TO THE ALLEY AFORESAID, THE BOUNDARY LINE ON THE EAST BEING THE {{� Y PARTITION WALL BETWEEN NOS. 524 AND 526 NORTH BEDFORD STREET. HAVING THEREON ERECTED THE WESTERN ONE-HALF OF A DOUBLE FRAME, METAL ROOFED, DWELLING HOUSE KNOWN AS NO. 524 NORTH .1 BEDFORD STREET, CARLISLE, PENNSYLVANIA. I BEING THE SAME PREMFSES WHICH JOHN H. SHAMBAUGH ADO ALICE M. SHAMBAUGH, HIS WIFE, BY DEED � I. s STANDARD AGREEMENT FOR THE SALE OF REAL ESTATE ASR This form recommended and approved for,but not resmaed to use by,the members of the Pennsylvania Association of REALTORSa(PAR). PARTIES BITYER(S): Sin 1 Shp l A m SELLER(S)- Jr,.m Ps �o r -EXU o� ESA n lE a aP.l.in lLljlcn#¢ BUYER'S MAiLLNG ADDRESS: SELLER'S MAILING ADDRESS: _ PROPERTY PROPERTY ADDRESS r12 tCrnq i:6X QA ZIP in the municipality of_ Lo w-u fkwel, _- ,County of C um)opr-L&nA , in the School District of -WIS- s(/Im ____ in the Commonwealth of Pennsylvania. Identification (e.g.,Tax ID#; Parcel #, Lot,Block;Dead Book, Page,Recording Date): =-- I I BUYER'S RELATIONSHIP WITH PA LICENSED BROKER ❑ No Business Relationship(Buyer is not represented by a broker) _ Broker(Company V S Licensee(s)(Name)lYrIA. $p hfp r Company Address _3 �2. Direct Phone(s) Cell Phone(s)(-jq\ Company Phone A'1111 OAO-,-aA00 Fax Company Fax _--- _- —_-- -- ---- Email*Qdd,SAr--Ard P. A4[_r,"IYr% Broker is: Licensees) is: Buyer Agent(Broker represents Buyer only) ❑ Buyer Agent with Designated Agency ❑ Dual Agent(See Dual and/or Designated Agent box below) K Buyer Agent without Designated Agency ❑ Dual Agent(See Dual and/or Designated Agent box below) ❑ Transaction Licensee (Broker and Licensee(s) provide 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)_ M .Gu.kt L Licensee(s) (Name) �- Company Address Direct Phone(s) t_Dfl 1�5S Cell Phone(s) S Company Phone_Lf�q i-4�181_--- -- Fax _ Company Fax _�1 ti its_gy8o Email (VC_ IVArrf�p p QFyet qlw mal( L-4ch Broker is: Licensee(s)is: �e� Seller Agent(Broker represents Seller only) ❑ Seller Agent with Designated Agency ❑ Dual Agent(See'Dual and/or Designated Agent box below) Seller Agent without Designated Agency ❑ Dual Agent(See Dual and/or Designated Agent box below) 0 Transaction Licensee (Broker and Licensee(s)provide real estate services but do not represent Seller) DUAL AND/OR DESIGNATED.AGENCY A Broker is a Dual Agent when a Broker represents both Buyer and Seller in the same transaction. A Licensee is a Dual Agent when a �i 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 to,dual ageecy, if applicable. Buyer Initials:X1.5 I ASR Page 1 of 11 Seller Initials:_! Revised 1/10 �� I Pennsylvania Association Of REALTORS COPYRIGHT PENNSYLVANIA ASSOCIATION Or REALTORS*2010 ', _ F 2 Seller hereby agrees to sell and convey to Buyer,who agrees to purchase,the ideattHed 2, PURCHASE PRICE AND DEPOSITS 1-10) J� (A)Purchase Price$ r On SS _ 6 (- _ U.S,Dollars),to be paid by Buyer as follows: 7 1. Deposit at signing of this Agreement: $ a 15.00 s 2. Deposit within__days of the Execution Date of this Agreement: $ ,^ s 3. _.._ $ to 4. Remaining balance will be paid at settlement. U (B) All funds paid by Buyer,including deposits,will be paid by check,embier's check or wired.funds.AB funds paid by Beyer 12 wtthiu 30 DAYS of settlement,including funds paid at settlement,wild be by cashler's check or wired funds,but not by per- 13 sonal.check. » (C) Deposits,regardless of the form of payment and the parson designated as payee,will be paid in U.S.Dollars to Broker for Seller 15 (unless otherwise stated here: _ )> 16 who will retain deposits ip an escrow account mi confrimtity with all applicable laws and regulations until consummation or ter- 17 urination of this Agreement Only real esmte brokers are required to hold deposits in accordance with the rues and regulations of 18 the State Real Estate Commission..Checks teadered as deposit monies ma bead.uncashed pending the execution of this 19 Agreement. 20 3. SELLER ASSIST(1f Applicable)(1-10)- 21 . Seller will pay $,_ or °.!a of Ptucbasc Price (0 if not specified)toward 22 Buyer's costs, as permitted by the mortgage lender,if any. Seller is only obligated to pay up to the amount or percentage which is 1 23 approved by mortgage lender. 24 4. SETTLEMENT AND POSSESSION(1-10) s (A) Settlement Date is or before if Buyer and Seiler Wee 26 B) Settlement will occur 27 A� W. [w6sk-.S1fHrCtV aansbtrro; Adurnq nurroaQ 1pdal ass hneKS t ur.le$'$ 28 (C) At time of settlement,the following will be pro-rated on a daily basis between Buyer&ud Seller,reimbursing where applicable: 29 current taxes(see Notice Regarding Real Estate T axes);rents;interest on n assumptions;condominium,fees and j 36 owner association fees;water and/or sewer fees,together with any other lienable municipal service fees.All charges will be 31 rated for the penod(s)covered.Seilet will pay up to and including date of nt and Buyer will pay forpll da ow- 3'_ mg settlement,unless otherwise stated here: '" � 33 34 (D) Conveyance from Seller will be by fee side deed of special wafranty unless otherwise stated here: _ li 3i sb (E) Payment of transfer taxes will be divided equally between Buyer and Seller unless otherwise stated here: 38 (F) Possession is to be delivered by deed,existing keys and physical possession to a vacant Property free of debris,with all structures 39 broom-clean,at day and time of settlement,unless Seller,before signing this Agreement,has identified in writing that the Property 46 is subject to a lease. ' 41 (0) If Seller has 'identified in writing that the Property is subject to a lease,possession is to be delivered by deed,existing keys and I a2 assignment of existing leases for the Property,together with security deposits and interest,if my,at day and time of settlement.Seller 43 will not enter into any new leases, nor extend existing leases, for the Property wi&w the written consent of Buyer. Buyer will ;< acknowledge existing leases)by initialing the leasc(s)at the execution of this Agreement,unless otherwise stated in this Agreement as 17 Tenant-Occupied Property Addendum(PAR Form TOP)is attached. <d 9. DAfESfMIE IS OF THE ESSENCE(1-10) 47 (A) Written acceptance of all parties will be on or before: lA yA l l as (B) The Settlement Date and all other dates and tithes identified for' eth performance of any obligations ofthis Agreement are of the 49 essence and are binding. so (C) The Execution Date of this Agreement is the date when Buyer and Seller have indicated full acceptance of this Agreement by sign- s t ing and/or initialing it.For purposes of this Agrecmcmt the number of days will be counted from the Execution Date,exchrdivg 52 the day this Agreement was executed and including the last day of the time period-All changes to this Agreement should be bd- 33 tialed and dated. 54 (D) The Settlement Date is not extended by any other provision of this Agreement and may only be extended by mutual written agree- 55 ment of the parties. w (E) Certain terms and time periods are pre-printed in this Agreement as a convenience to the Buyer and Sell=Ali p e-primed terms 57 and time periods are negotiable and may be changed by striking out the pre-pritned textand inserting differem terms acceptable ! 58 to 0 parties. 59 6. ZONING(1-10) da Failure of this Agreement to contain the zoning classification(except in cases where the property (snot each parcel thereat if subdi- 61 vidabie) is zoned solely or primarily to permit single-family dwellings)will render this Agreement voidable at Buyer's option,and,if 1 62 voided,any deposits tondere by the Buyer will be retained to the Buyer without any requirement for court action. 63 Zoning iClasstfiention: 64 anyer Iw[tiala: c] 1 ASR Page 2 of li seller hdWls: -Ak) / III Ravi wd Illf I ".__ __�__�, _-____ r•.____.. '..-....,w w w,;x.xvl,caty, ucc or nens, ana miter items mciudmg 6 plumbing;heating;radiator covers;lighting fixtures(inciuding chandeliers and ceiling fans);pool and spa equipment(including es covers and cleaning equipment);electric animal fencing systems(excluding collars);garage door openers and transmitters;tele- 69 vision antennas;unpomed shrubbery,plantings and trees;any remaining heating and cooking fuels stored on the Property at the 70 time of settlement;smoke detectors and carbon monoxide detectors;sump pumps;storage sheds;fences;mailboxes;wall to wall 71 carpeting; existing window sneers, stator windows and screen/storm doors, covering hardware, shades and blinds; 72 awnings;built-in air conditioners;built-in appliances;the range/oven,unless otherwise stated;and,if owned,water treatment sys- 13 terns,propane tanks,satellite dishes and security systems.Also included: Q1/�t{tfi t�?F r usL�cMtrT(�r�Y ;5 (B) The following items are LEASED(not owned by Seller).Contact the provider/veador for more information(e.g.,water treatment 76 systems,propane tanks,satellite dishes and security systems): (C) EXCLUDED fixtures and items: s - g. MORTGAGE CONTINGENCY(1-10) 80 ❑ WAIVED. This We is NOT contingent on mortgage financing,although Buyer may obtain,mortgage financing and/or the par- 81 ties may include an appraisal contingency. 82 N ELECTED. s3 (A) This sale is contingent upon Buye obtaining mortgage financing according to the following terms: S4 Fast Mortgage on the Pr , ` Second Mortgage on the Property > Loan Atrurunt$. ue� 6f,so(�i— r1 Loan Amami$ Iw Minimum Term _years Minimum Term_ }eats s7 Typeofmortgage A,-i0Ar*Jre.ra�v_Oaiiol y Type ofmortgage sir Loan-TaValue(LTV)t� Loan-TD-Value(LTV)ratio: s9 For non-FHANA loans LTV ratio not to exceed „ °/u For neat-FHANAk>aas LTV ratio not to colored_ % 90 Mortgage lender v.5AMJ5 r1F (Dxr+AlSbiutl� _ Mcatgago lender 91 92 Interest cote 4-4.5 %;ho,vever,Buyer agrees to accept the Interest rate _"/a; horwevet Buyer agrees to accept the 93 interest rate as may be committed by the mortgage leader,not interest rate as may be committed by the lmartgagejeadw,not to extend a maximum interest rate of /a. # to CXCf.`�a ntBXmnntrt IntetCSt 2'8tC Of�_._aJa a 95 Discount points, low origination, k,m placement[and other fees Discount points, loan origination, loan placement and other fees 96 charged by the lender as a percentage of the mortgage loan(exclud- charged by the leader as a percentage of the mortgage loan(exehtd- 91 ing any mortgage insurance premium or VA fi>rlding fee)not to ing any nmtgage msmance prm==or VA f ns ing€ee)not to ss exceed %(09%if not specified)of the mortgage loan exceed_ a/a(00%if not specified)of the mortgage k>Sn. 99 (B) The interest rate(s)and fee(s)provisions in Paragraph 8(A)are satisfied if the mortgage lender(s)gives Buyer the right to guar, non antee the interest rate(s)and fm(s)at or below the maximum levels stated.If leader(s)gives Buyer the right to lock in the inter- tot est rate(s),Buyer wil do so at l ast_ 15 _days before Settlement Date.Buyer gives Seller the right,at Seller's sole opium and i02 as permitted by law and the mortgage lender(s),to contribute financially;without promise of reimbursement,to the Buyer and/or 103 the mortgage lender(s)to make the above mortgage term(s)available to Buyer. non (C) Within_days(7 if not specified)from the Execution Date of this Agreement,Buyer will make a completed,written mort- 10= gage application (including payment fa and ordering of appraisal and credit reports without delay, at the tine required by a lender(s))for the mortgage terms and to the mortgage lender(s) identified in Paragraph g(A), if any,otherwise to a responsible tin mortgage lender(s) of Buyer's choice.Broker for Buyer,if any,otherwise Broker for Seller,is authorized to communicate with 101, the mortgage lender(s)to assist in tie mortgage loan process. 109 (D) Buyer will be in default of this Agreement if Sayer furnishes false information to anyone concerning Buyer's financial 110 and/or employment status,fails to cooperate In good faith with processing the mortgage ban application(Including delay j 1 1 of the appraisal),fails to lock in interest rate(s)'as stated In Paragraph 8(B),or otherwise causes the leather to reject,refuse 112 to approve or fame a mortgage loan commitment ins (E) 1. Mortgage Commitment"Date: �ltFmbPrr--_ .�oIll Upon receiving a mortgage commitment, Buyer will I is promptly deliver a copy.of the commitment act Sew 1; 2. If Seller does not receive a copy of the mortgage commitment(s)by the Mortgage Commitment Date,Seller may terminate 06 n this Agreement by written notice to Buyer.Seller's right to terminate continues until Buyer delivers a mortgage commitment 117 to Seller.Until Seller tamiaates.this Agreement,Buyer is obligated to make a good-faith effort to obtain mortgage financing. 119 3. Seller may terminatettisAgteetnentbywrittennoticetoBuyeraftertheMor"CommimentDateifthemortgagecomminuent: u9 a. Does not satisfy the terms of Paragraph 8(A),OR 120 b. Contains any condition not specified in this Agreement(e-g.,the Buyer must settle on another property,an appraisal must n2r be received by the lcr ,der,or the mortgage coaunianeut is not valid through the Settlement Date)that is not satisfied and/or 122 removed in writing by the mortgage lander(s)within 7 DAYS aft the Mortgage Commitment Date in Paragraph 123 - 8(E)(1), or any extension thereof,other than those conditions that are customarily satisfied at or near settlement(e.g., 12.4 - obtaining insurance,confirming employment). j to . d. If ibis Agreement is terminated pursuant to Paragraphs g(E)(2)or(3),or the mortgage loan(s)is not obtained for settlement, 126 all deposit monies will be retumed to Buyer according to the terns of Paragraph 22 and this Agreement will be VOID.Buyer 127 will be responsible for any costs incurred by)3uyer for any inspections or certifications obtained according to the tours of 1z8 this Agreement,and any assts incurred by Buyer for(1)True search,title imniancc�imdtor mechanics'lien insurance,or any 129 fee for cancellation;(2)Flood insurance,fire insurance,hazard insurance,mine subsidence insurance,or any fee for cancel- 130 la i-o{{n;(3)Appraisal fees and charges paid in advance to mortgage lender(s). ,,fj 131 Bayer laifials: s.3� 7 ASR Page 3 of 11 . Sena lattkk: -., 1 Iteviaed 1110 i ,. rr the montage lenderkl, or a property and casualty insurer providing insurance required by the mortgage Iender(s),requires repairs to the Proper:Y, Buyer will, upon receiving the requirements,deliver a copy of the requirements to Seiler.Witbin _S :)AYS of recei-,ing t's,e copy of the requirements,Seller will notify Buyer whether Seller will make the required repairs it Seller's _ ,dxpeusc. _ If Seller stake,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: a. Mak the repairs;improvements at Buyer's expense, with permission and access to the Property given by Seller, which will not be unreasonably withheld,OR S. Tenni::ate this Agreement by written notice to Seiler,with all deposit nipples returned to Buver according to the terms of Paragraph 22 of this Agreement. if Buve-fails to respond within the time stated in Paragraph 8(F)(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 24 of this Agreement. FHA/VA,IF APPLICABLE (G) It is expresst} agreed chat notwithstanding any other provisions of this contract,Buyer will not be obligated to complete the pur- chase of the Property described herein or to incur any penalty by forfeiture of earnest money deposits or otherwise unless Buyer has b2en7 given,in accordance with HUD/FHA or GA 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 not less than 5__ ____ __ (the Putchase Price as stated in this Agreement). Buyer will have the privilege and option of p.oceedmg with consummation of the contract without regard to the amount of the appraised valuation.The appraised valuation is anived at to detennine the maximum mortgage the Department of Housing and Urban Development will insure. HUD does not warrant,the value nor the condition of the Property. Buyer should satisfy himself/herself that the price and condition of the Property are acceptable. Warning: Sectrcti 1016 of Title 18. U.S.C., Department of Housing and Urban Development and Federal Housing Administration Transactions,provides,"Whoever for the purpose of. . . influencing in any way the action of such Department, makes passes, utters or publishes any statement,knowing the same to be false shall be fined under this title or imprisoned not more than iwu year,;,or both." (H) U.S. Department of Housing and Urban Development(HUD)NOTICE TO PURCHASERS: Buyer's Acknowledgement ❑ Buyer has received the HUD Notice "For Your Protection: Get a Home Inspection." Buyer understands the importance of getting an independent home inspection and has thought about this before signing this Agreement. Buyer understands that FHA will not pe fornr a home inspection nor guarantee the price or condition of the Property. — (1) Certification We the undersigned, Seller(s) and Buyer(s)party to this transaction each certify that the terms of this contract for purchase are true to 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. 9, SELLER REPRESENTATIONS(1-10) j (A) Radon Testing and Remedlation (See Notice Regarding Radon) Seller 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 canister, alpha track, etc.), which produced the results indicated below: Date Type of Test Results (picoCuries/liter or working levels) Name of'resting Service ❑ 2. Seiler has knowledge that the Property had radon removal system(s) installed as indicated below: Date Installed Type of System Provider i Copies of all available test reports will be delivered to Buyer with this Agreement.Seller does not warrant the meth- ods or the results of radon tests. (B) Status of Water Seller represents that the Property is served by: IN Public Water ❑ Community Water ❑ On-site Water ❑ None ❑ � (C) Status of Sewer Seller represents that the Property is served by: i :K Public Sewer ❑ Community Sewage Disposal System ❑ Ten-Acre Permit Exemption(see Sewage Notice 2) ❑ Individual Gn-lot Sewage Disposal System(see Sewage Notice 1) ❑ Holding Tank(see Sewage Notice 3) ❑, Individual On-lot Sewage Disposal System is Proximity to Well(see Sewage Notice 1;see Sewage Notice 4;if applicable) ❑ None(,see Sewage Notice 1)❑None Available/Permit Limitations in Effect(see Sewage Notice 5) (D) Historic Preservation Seller is not aware of historic preservation restrictions regarding the Property unless otherwise stated here: n i I 19 Buyer initials: 4J 7 / _ ASR Page 4 o It Seller Initials:�,�{ Revised 1/10 tE) 7 Property,or a portion,of it,is preferentially assessed for tax purposes under the following Act(s)(see Notices Regarding Land Use Restrictions): 11 Farmland and Forest Land Assessment Act(Clear,and Green Program;Act 319 of 1974, 72 P.S. § 5490.1 et seq.) Open Space Act(Act 442 of 1967;32 P.S. § 5001 et seq.) ❑Agricultural Area Security Law(Act 43 of 1981;3 P.S. §901 et seq.) 20. ❑ Other ___ ____ ___ __ (F) Seller represents that as of the date Seller signed this Agreement, no public improvement,condominium or homeowner associa- _... tion assessments have been made against the Property which remain unpaid, and that no 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 ;ire ordinances that remain uncorrected, and that Seller knows of no condition that would constitute a viola- _ tion of any suah ordinances that remain uncorrected,unless otherwise specified here: tot -�- (G) Seller knows of no other potential.notices (including violations)and/or assessments except as follows: — =t, (H) Access to a public road may require issuanc. of a highway occupancy permit from the Department of Transportation. 10.WAIVER OF CONTINGENCIES(9-05) If this Agreement is contingent on Buyer's right to inspect and/or repair the Property,or to verily insurability,environmental conditions, boundaries, certifications,zoning classification or use, or any other information regarding the Property,Buyer's failure to exercise any of Buyer's options Within the times set forth in this Agreement is a WAIVER of that contingency and Buyer accepts the Property and agrees to the RELEASE in Paragraph 24 of this Agreement. -_� 11. INSPECTIONS(1-10)(See Notices Regarding Property and Environmental Inspections) (A) Rights and Responsibilities. I. Seller will provide access to insurers'representatives and, as may be required by this Agreement or by mortgage lender(s),to surveyors,municipal officials,appraisers and inspectors.All parties and their real estate licensees)may attend any inspections. 2. Buyer may make a pre-settlement walk-tbrough 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(including fuel(s))on for all inspections/appralsals. 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. =- (B) Buyer waives or elects at Buyer's expense to have the following Inspections, certifications, and investigations(referred to as - "Inspection" or "Inspections") performed by professional contractors, home inspectors, engineers, architects and other properly licensed or otherwise qualified professionals. If the same inspector is inspecting more than one system,the inspector must com- ply with the Home Inspection Law. (See Notice Regarding the Home Inspection Law) (C) For elected Inspection(s),Buyer will,within the Contingency Period(s)stated in Paragraph 12(A), complete Inspections,obtain any -- Inspection Reports or results (referred to as."Report"or"Reports"), and accept the Property,terminate this Agreement,or submit a Written Corrective Proposals)to Seller,according to the terms of Paragraph 12(B). =i! Home/Property Inspections and Environmental Hazards(mold,etc.) Elected Buyer may conduct an inspection of the Property's structural components; roof; exterior windows and exterior Waived <?' i doors;exterior siding,Exterior Insulation and Finish Systems. fascia,gutters and downspouts;swimming pools,hot 2" robs and spas;appliances;electrical systems;interior and exterior plumbing;public sewer systems;heating and cool-T -- ing systerns; water penetration; electromagnetic fields; wetlands and flood plain delineation; structure square 2" footage;mold and other environmental hazards(e.g., fimgi,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 f¢ll 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 standards and code of conduct or practice of that association,or by a properly licensed or registered engineer or architect.(See Notice Regarding the Home Inspection Law) 4- Wood Infestation Elected Buyer may obtain a written"Wood-Destroying Insect Infestation Inspection Report" from an inspector cenifred as Waived a S51 a wood-destroving pest 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,mort- gage lender requirements,and/or Federal Insuring and Guaranteeing Agency requirement.The Inspection is to be 24'' limited to all readily-visible and accessible areas of all structures on the Property, except fences. If the Inspection gas reveals active infestation(s),Buyer, at Buyer's Expense,may obtain a Proposal from a wood-destroying pest pes- 24° ticide applicator to treat the Property. If the Inspection reveals damage from active or previous infestation(s),Buyer 2w may obtain a written Report from a professional contractor, home inspector or structural engineer that is limited to 21', structural damage to the Property caused by wood-destroying organisms and a Proposal to repair the Property. =2 Radon Elected Buyer may obtain a radon test of the Property from a certified inspector. The U.S. Environmental Protection Waived t 254 /_Agency (EPA) advises corrective action if the average annual exposure to radon is equal to or higher than 0.02`-V !_ working levels or 4 picoCuries/liter(4pCi/L). -;o Water Service 25' Elected Buyer may obtain an Inspection of the quality and quantity of the water system from a properly licensed or otherwise Waived 2ss / qualified water/well testing company. If and as required by the inspection company, Seller, at Seller's expense, wdkj� 1, 250 locate and provide access to the on-site(or individual)water system.Seller will restore the Property to its previous con- 26n dition,at Seller's expense,prior to settlement. 261 Buyer initials: 1_�� / ASR Page 5 of 11 Seller Initials: .a / Revised 1/10 On-lot Sewage If Applicable) s , Elected Buyer may obtain an Inspection of the individual on-lot sewage disposal system from a qualified, professional Waived zea inspector. If and as required by the inspection company, Seller, at Seller's expense,will locate, provide access to,_/ and empty the individual on-lot sewage disposal system. Seller will restore the Property to its previous condition, at Seller's ex;mise, prior to settlement See paragraph 12(C) for more information regarding the Individual On-lot - Sewage Inspection Contingency. h,a Property Elected Buyer may d,,-termine the insurability of the Property by making application for property and casualty insurance for Waived the Property ,o a responsible insurer.Broker for Buyer, if any, otherwise Broker for Seller,may communicate with- ! i the insurer to assist in the insurance process. If the Property is located in a flood plain, Buyer may be required to _ carry flood insurance at Buyer's expense, which may need to be ordered 14 days or more prior to Settlement Date. Property Boundaries Elected Buyer may engage the services of a surveyor, title abstractor, or other qualified professional to assess the legal Waived description, c trtainty and location of boundaries and/or quantum of land. Most Sellers have not had the Property/_ 27(-- surveyed as it 6 not a requirement of property transfer in Pennsylvania.Any fences,hedges,walls and other natural _.. or constructed barriers may or may not represent the true boundary lines of the Property.Any numerical represen- '78 tations of size of property are approximations only and may be inaccurate. Deeds,Restrictions and Zoning rs0 Elected Buyer may investigate easements, deed and use restrictions(including any historic preservation restrictions or ordi Waived 2tr _/_ nances)that apply to the Property and review local zoning ordinances.Buyer may verify that the present use of the M !_ s2 Property (such as in-law quarters, apartments, home office, day care) is permitted and may elect to make the 293 Agreement contingent upon an anticipated use.Present rue: 2S4 Lead-Based Paint Hazards(For Properties prior to 1978 only) - 185 Elected Before Buyer is obligated to purchase a residential dwelling built prior to 1978, Buyer has the option to conduct a Waived 28a /_risk assessment and/or inspection of the Property for the presence of lead-based paint and/or lead-based paint haz-: 28- ards unless Buyer waives that right. Regardless of whether this inspection is elected or waived,the Residential 28s Lead-Based Paint Hazard Reduction Act requires a Seller of property built prior to 1979 to provide the 289 Buyer with an EPA-approved lead hazards information pamphlet titled Protect Your Family from Lead In - 290 lour Home, ahutg with a separate form, attached to this Agreement, disclosing Seller's knowledge of lead- 29 based paint hazards and any lead-based paint records regarding the Property. (See Notices Regarding 292 Residential Lead-Based Paint Hazard Reduction Act) ss Other 294 Elected _ _ Waived I sn The Inspections elected above do not apply to.the,following existing conditions and/or items: 100 12. INSPECTION CONTINGENCY(1-10) xo (A) The Contingency Period is—days(10 if not specified)from the Execution Date of this Agreement for each Inspection elect- 202 ed in Paragraph I I(C), except the following: !I s Inspection(s) Contingency Period 204 -_ days -- - — days 206 ---_ - — days X07 days a0x (B) Except as stated in Paragraph 12(C), if the result of any Inspection elected in Paragraph I I(C)is unsatisfactory to Buyer,Buyer will,within the stated Contingency Period: 0 1. Accept the Property with the information stated in the Report(s)and agree to the RELEASE in Paragraph 24 of this Agreement,OR 2. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of Paragraph 22 of this Agreement,OR 3. Prevent the Report(s)to Seller with a Written Corrective Proposal("Proposal lilting corrections and/or credids desired by Buyer. The Proposal may,but is not required to,include the name(s)of a properly licensed or qualified professional(s)to perform the cor- rections requested in the Proposal,provisions for Payment, including retests, and a projected date for completion of the correc- tions. Buyer agrees that Seller will not be held liable for corrections that do not comply with mortgage lender or governmental requirements if performed in a workmanlike manner according to the terms of Buyer's Proposal. a. No later than_days(5 if not specified)from the end of the Contingency Perlod(s), Seller will inform Buyer in writ- ing that Seller will: 10 (1) Satisfy all the terms of Buyer's Proposal(s), OR 221 (2) Not satisfy all the terms of Buyer's Proposal(s), OR (3) Negotiate a mutually acceptable written agreement with Buyer, providing for any repairs or improvements to the =2 Property and/or any credit to Buyer at settlement,as acceptable to the mortgage lender, if any. 124 b. If Seller agrees to satisfy the terms of Buyer's Proposal or Buyer and Seller enter into a mutually acceptable written agree- 121 ment,Buyer accepts the Property and agrees to the RELEASE in Paragraph 24 of this Agreement. I�h see Buyer IuWn s:_-_, ( ASR Page 6 of 11 Seller Initials: Revi"Vii I c. a eerier mouses not to sattsly an the terms of Buyer's Proposal and if Buyer and Seller do not enter into a mutually F acceptable written agreement,or if Seller fails to choose any option within the time given,Buyer will.within_days (2 if not specified): (1) Accept the Property with the information stated in the Report(s)and agree to the RELEASE in Paragraph 24 of this _ Agreement. OR �sz (2) Terminate this Agreement by written notice to Seller,with all deposit monies returned to Buyer according to the terms of Paragraph 22 of this Agreement. If Buyer fails to respond within the time stated in Paragraph 12(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 24 of this Agreement. (C) If a Report reveals the need to expand or replace the existing individual on-lot sewage disposal system, Seller may,within days(25 if not specified)of receiving the Report,submit a Proposal to Buyer.The 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- pletion date for corrective measures.Within 5 DAYS of receiving Seller's Proposal, or if no Proposal is provided within the - stated time.,Buyer will notify,Seller in writing of Buyer's choice to: I. Agree to the terms of the Proposal,accept the Property and agree to the RELEASE in Paragraph 24 of this Agreement,OR 2. Terminate this Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of Paragraph 22 of this Agreement,OR sx=. 3. Accept the Property and the existing system and agree to the RELEASE in Paragraph 24 of this Agreement If required by any ao mortgage lender and/or any governmental authority,Buyer will correct the 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 t by Seller,which may not be unreasonably withheld. If Seller denies Buyer permission and/or access to correct the defects,Buyer :a may,within 5 DAYS of Seller's denial,terminate this Agreement by written notice to Seller;with all deposit monies returned to Buyer according to the terms of Paragraph 22 of this Agreement. If Buyer fails to respond within the time stated in Paragraph 12(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 24 of this Agreement 13.NOTICES,ASSESSMENTS AND MUNICIPAL REQUIREMENTS(1-10) .14 (A) In the event any notices, including violations,and/or assessments are received after Seller has signed this Agreement and before settlement, Seller will within_f_DAYS of receiving the notices and/or assessments provide a copy of the notices and/or assess- __ ments 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 24 of this Agreement,OR i s; 2. Not comply with the notices and/or assessments. If Seiler chooses not to comply with the notices and/or assessments,or fails within the stated time to notify Buyer whether Seller will comply,Buyer will notify Seller in writing within 5 DAYS 3W that Buyer will: se, a. Comply with the notices and/or assessments at Buyer's expense, accept the Property, and agree to the RELEASE in Paragraph 24 of this Agreement, OR ;c-t b. Terminate this Agreement by written notice to Seller,with all deposit monies returned to Buyer according to the terms of "I Paragraph 22 of this Agreement. 31,6 If Buyer falls to respond within the time stated in Paragraph 13(A)(2)or fails to terminate this Agreement by written notice If", to Seller within that time,Buyer will accept the Property and agree to the RELEASE in Paragraph 24 of this Agreement mrz (B) If required by law,within 30 DAYS from the Execution Date of this Agreement, but in no case later than 15 DAYS prior to Settlement Date, Seller will order at Seller's expense a certification from the appropriate municipal department(s) diaeiosing s,n notice of any uncorrected violations of zoning, housing,building, safety or fire ordinances and/or a certificate permitting occu- pwicy of the Property. If Buyer receives a notice of any required repairs/improvements, Buyer will promptly deliver a copy of the notice to Seller. 1. Within 5 DAYS of receiving notice from the municipality that repairs/improvements are required, Seller will deliver a r7= copy of the notice to Buyer and notify Buyer in writing that Seller will: a. Make the required repairs/improvements to the satisfaction of the municipality. If Seller makes the required > e repairs/improvements,Buyer accepts the Property and agees to the RELEASE in Paragraph 24 of this Agreement,OR b. Not make the required repairs/improvements.If Seller chooses not to make the required repairs/improvements,Buyer will notify Seiler in writing within_5 DAYS that Buyer will: (1) Make the repairs/improvements at Buyer's expense,with permission and access to the Property given by Seller,which will not be unreasonably withheld, OR =s m (2) Terminate this Agreement by written notice to Seller,with all deposit monies returned to Buyer according to the terms ;a of Paragraph 22 of this Agreement. If Buyer fails to respond within the time stated in Paragraph 13(B)(1)(b) or fails to terminate this Agreement by ss? written notice to Seller within that time,Buyer will accept the Property and agree to the RELEASE in Paragraph ss 24 of this Agreement,and Buyer accepts the responsibility to perform the repairslimprovements according to the terms of the notice provided by the municipality. .x? 2. If Seller denies Buyer permission to make the required repairs/improvements, or does not provide Buyer access before :earn Settlement Date to make the required repairs/improvements, Buyer may, within 5 DAYS, terminate this Agreement by ise written notice to Seller,w;th all deposit monies returned to Buyer according to the terms of Paragraph 22 of this Agreement. sop 3. If repairs/improvements are regaired and Seller fails to provide a copy of the notice to Buyer as required in this Paragraph,Seller will perform all repairs/improvements as required by the notice at Seller's expense.Paragraph 13(B)(3)will survive settlement I ?v� Buyer Initials: _,_ ASR Page 7 of 11 Selkr Initials: 1/10 I 398 15. CONDOMINIUMIPLANNED COMMUNITY(HOMEOWNER ASSOCIATIONS)RESALE NOTICE(1-10) 399 Property is NOT a Condominium or part of a Planned Community unless checked below. 400 O CONDOMINIUM. The Property is a unit of a condominium that is primarily run by a unit owners association. Section 3407 of the 401 Uniform Condominium Act of Pennsylvania (see Notice Regarding Condominiums and Planned Communities) requires Seller to 402 furnish Buyer with a Certificate of Resale and copies of the condominium declaration (other than plats and plans), the bylaws and 403 the rules and regulations of the association. 404 p PLANNED COMMUNITY (HOMEOWNER ASSOCIATION). The Property is part of a planned community as defined by the 405 Uniform Planned Community Act (see Notice Regarding Condominiums and Planned Communities). Section 5407(a) of the Act 406 requires Seller to furnish Buyer with a copy of the Declaration (other than plats and plans), the bylaws, the rules and regulations 407 of the association,and a Certificate containing the provisions set forth in section 5407(a)of the Act. 408 THE FOLLOWING APPLIES TO PROPERTIES THAT ARE PART OF A CONDOMINIUM OR A PLANNED COMMUNITY. 409 (A) Within I5 DAYS from the Execution Date of this Agreement, Seiler,at Seller's expense,will request from the association a 410 Certificate of Resale and any other documents necessary to enable Seller to comply with the relevant Act. The Act provides that 411 the association is required to provide these documents within 10 days of Seller's request. 412 (B) Seller will promptly deliver to Buyer all documents received from the association. Under the Act, Seller is out liable to Buyer for 413 the failure of the association to provide the Certificate in a timely manner or for any incorrect information provided by the asso- 414 ciation in the Certificate. 415 (C) The Act provides that Buyer may declare this Agreement VOID at any time before Buyer receives the association documents and 416 for 5 days after receipt, OR until settlement, whichever occurs first. Buyers notice to Seller must be in writing; upon Buyer 417 declaring this Agreement void, all deposit monies will be returned to Buyer according to the terms of Paragraph 23 of this 418 Agreement. j 419 (D) If the association has the right to buy the Property (right of first refusal), and the association exercises that right, Seller will reim- 420 burse Buyer for any costs incurred by Buyer for any inspections or certifications obtained according to the terms of the Agreement, 421 and any casts incurred by Buyer for: (1)Title starch, title insurance andfor mechanics' lien insurance, or my fee for cancellation; 422 (2) Flood insurance, fire insurance, hazard insurance, mine subsidence insurance, or any fee for cancellation; (3) Appraisal fees 423 and charges paid in advance to mortgage lender. 424 16.TITLES,SURVEYS AND COSTS(1-12) 425 (A) The Property will be conveyed with good and marketable title that is insurable by a reputable title insurance company at the reg- 426 ular rates, free and clear of all liens, encumbrances, and easements, excepting however the following existing deed restrictions; 427 historic preservation restrictions or ordinanccs; building restrictions; ordinances; easements of roads; easements visible upon the 428 ground;easements of record;and privileges or rights of public service companies,if any. 429 (B) Buyer will pay for the following: (1) Title search, title insurance andfor mechanics' lien insurance, or any fee for cancellation; 430 (2) Flood insurance, fire insurance, hazard insurance, mine subsidence insurance, or any fee for cancellation; (3) Appraisal fees ,j 431 and charges paid in advance to mortgage lender;(4)Buyer's customary settlement costs and accruals- 432 (C) Any survey or surveys required by the title insurance company or the abstracting company for preparing an adequate Itgel 433 description of the Property (or the correction thereof) will be obtained and paid for by SeHV. Any sucyty or survve�desired by 434 Buyer or required by the mortgage tender will be obtained and paid for by Buyer. 'Y;_..r�r(sa_. 435 (D) If Seller is unable to give good and marketable title that is insurable by a reputable title insurance company at the regular rates, as 436 specified in Paragraph 16(A), Buyer may terminate this Agreement by written notice to Seller, with all deposit monies returned to 437 Buyer according to the terms of Paragraph 23 of this Agreement. Upon termination, Seller will reimburse Buyer for any costs 438 incurred by Buyer for any inspections or certifications obtained according to the terms of this Agreement, and for those items spec- 439 ified in Paragraph 16(B)items(1),(2),(3)and in Paragraph 16(C). 440 (E) Oil,gas,mineral,or other rights of this Property may have been previously conveyed or leased,and Sellers make no representation about 441 the status of those rights unless indicated elsewhere in this Agreement- 1 442 [j Oil,Gas and Mineral Rights Addendum(PAR Forst OGM)is attached. 443 (F) COAL NOTICE(Where Applicable) 444 THIS DOCUMENT MAY NOT SELL, CONVEY,TRANSFER INCLUDE OR INSURE THE TITLE TO THE COAL AND RIGHTS OF SUPPORT UNDERNEATH 445 THE SURFACE LAND DESCRIBED OR REFERRED TO HEREIN, AND THE OWNER OR OWNERS OF SUCH COAL MAY HAVE THE COMPLETE LEGAL 446 RIGHT TO REMOVE ALL SUCH COAL AND IN THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE, 447 BUILDING OR OTHER STRUCTURE ON OR IN SUCH LAND. (This notice is set forth in the manner provided in Section I of the Art of 448 July 17, 1957, P.L. 984.) "Buyer acknowledges that he may not be obtaining the right of protection against subsidence resulting j 449 from coal mining operations, and that the property described herein may be protected from damage due to mine subsidence by a 450 private contract with the owners of the economic interests in the coat. This acknowledgement is made for the purpose of com- 451 plying with the provisions of Section 14 of the Bituminous Mine Subsidence and the Land Conservation Act of April 27, 1966.' 452 Buyer agrees to sign the deed from Seller which deed will contain the aforesaid provision. 453 (G) The Property is not a "recreational cabin" as defined in the Pennsylvania Construction Code Act unless otherwise stated here (see 454 Notice Regarding Recreational Cabins): 455 (H) This property is not subject to a Private Transfer Fee Obligation unless otherwise Stated here (see Notice Regarding Private Transfer 456 Fees): 457 [J Private Transfer Fee Addendum(PAR orm PTF)IN attached. 458 17. MAINTENANCE AND RISK OF LOSS(1-10) 459 (A) Seller will maintain the Property, grounds, fixtures and personal property specifically listed in this Agreement in its present con- 460 dition,normal wear and test excepted. 461 (B) If any system or appliance included in the sale of Property fails before settlement,Seller will: 462 L Repair or replace the failed system or appliance before settlement.OR 463 2. Provide prompt written notice to Buyer of Seller's decision to: 464 a Credit Buyer at settlement for the fair market value of the failed system or appliance,as acceptable to the mortgage lender, 465 if any,OR 466 Buyer Initials:v-^c, f_ ASR Page 8 of i l Seller Iniaals:_n�i ,__ Revised 1112 Rvtlrxedwitn z3pFOtm®CY Ziptcgiz t86l0 Fateort hale RaeC,Fraser.RMdtiasn Aad25 Joel Sheldon ,Y.�:v:.wmi- +r�;vtirt.:vtv!vnu f-L)NINFUINI IT H"1L3 IEVwriE1(ANNMIA I IUNS)RESALE-NOTICE (]dU) - Property is r a Condominium or part of a Planned Community unless checked below. - ❑ CONDO.:IINIUM-'fhe Property is a unit of a condominium that is primarily tun by a unit owners'association. Section 3407 of the < Uniform 'ondomm,tur Act of Pennsylvania (see Notice Regarding Condominiums and Planned Communities) requires Seller to - fimush Buyer with a Certificate of Resale and copies of the condominium declaration (other than plats and plans),the bylaws and the rules ,nd regulations of the association. a° ❑ PLANN I!D COMMUNITY (HOMEOWNER ASSOCIATION). The Property is part of a planned community as defined by the Uniform i'launed Community Act(see Notice Regarding Condominiums and Planned Communities). Section 5407(a)of the Act requires Helier to furnish Buyer with a copy of the Declaration(other than plats and plans),the bylaws,the rules and regulations of the as;.,ciation, and a Certificate containing the provisions set forth in section 5407(a)of the Act. THE FOLD 1 W ING APPLIES TO PROPERTIES'THAT ARE PART OF A CONDOMINIUM OR A PLANNED COMMUNITY. 1 A) Within_ 15 DAYS from the Execution Date of this Agreement, Seller, at Seller's expense, wig request from the association a C'ertificen c of Resale and any other documents necessary to enable Seller to comply with the relevant Act. The Act provides that the assoc iation is required to provide these documents within 10 days of Seller's request, (B) Seller wl i l promptly deliver to Buyer all documents received from the association. Under the Act, Seller is not liable to Buyer for the failm c of the association to provide the Certificate in a timely manner or for any incorrect information provided by the asso- ciatiou ii. the Certificate. . (C) The Act provides that Buyer may declare this Agreement VOID 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 in will be returned to Buyer according to the terms of Paragraph 22 of this 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 Bu, er for ary 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) Floou insurance, fire insurance, hazard insurance,mine subsidence insurance, or any fee for cancellation; (3)Appraisal fees -rs and chaises paid in advance to mortgage lender. I9 15. TITLES,SURVEYS AND COSTS (1-10) (A) The Property wi ll 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,excepting 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 for the following: (1) Title search, title insurance and/or mechanics' lien insurance, or any fee for cancellation; 'I _. (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 -'s description of the Property (or the correction thereof) will be obtained and paid for by Seller.Any survey of surveys desired by -i Buyer or required by the mortgage lender will be obtained and paid for by Buyer. (D) If Seller is unable to give good and marketable title that is insurable by a reputable title insurance company at the regular rates,as I specified in Paragraph 15(A), Buyer may terminate this Agreement by written notice to Seller,with all deposit monies returned to Q Buyer according to the terms of Paragraph 22 of this Agreement. Upon termination, Seller will reimburse Buyer for any costs incurred by Buyer for any inspections or certifications obtained according to the terms of this Agreement, and for those items spec- =4 ified in Paragraph 15(B I items(1),(2),(3)and is Paragraph 15(C). s (E) Seller is not aware 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 DO(UMEN'r MAY NOT SELL,CONVEY,TRANSFER,INCLUDE OR INSURE THE TITLE TO THE COAL AND RIGHTS OF SUPPORT UNDERNEATH THE SURI'dCE LAND DESCRIBED OR REFERRED TO HEREIN,AND THE OWNER.OR OWNERS OF SUCH COAL MAY HAVE THE COMPLETE LEGAL 'hl RIGHT TO REMOVE ALL SUCH COAL AND IN THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE, :4z BUILDINO OR OTHER STRUCTURE ON OR IN SUCH LAND. (This notice IS set forth in the manner provided In .Section I of the Act of it July 17, 1957. P.L.. 984.) "Buyer acknowledges that he may not be obtaining the right of protection against subsidence resulting from coa l mining operations, and that the property described herein may be protected from damage due to mine subsidence by a , private Lohtract with the owners of the economic interests in the coal. This acknowledgement is made for the purpose of com- plying with Floe provisions of Section 14 of the Bituminous Mine Subsidence and the Land Conservation Act of April 27, 1966." Buyer agrees to sign the deed from Seller which deed-will contain the aforesaid provision. (G) The Property is not a `recreational cabin' as defined in the Pennsylvania Construction Code Act unless otherwise stated here (see !au Notice Regarding Recreational Cabins): o 16.MAINTENANCE AND RISK OF LOSS (1-10) -�I (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. Repair or replace the failed system or appliance before settlement,OR 2. Provide prompt written notice to Buyer of Seller's decision to: -56 a. Credit Buyer at settlement for the fair market,value of the failed system or appliance,as acceptable to the mortgage lender, , <' if any, OR b. Not repair or replace the failed system or appliance, and not credit Buyer at settlement for the fair market value of the �59 failed system or appliance. <60, Buyer Initials:_ / ASR Page 8 of it Seger Initials: Revised 1/10 -- _. T.._..,,. -----..... avawui U1 appnancc Ur agmc tU Urcan nuyer Ter its rair marKet vame,or IT Seuer - fails to notify Buyer of Seller's choice, Buyer will notify Seller in writing within DAYS or before Settlement Date, -- whichever i,earlier,that Buyer will: -- a. Accept rte Property and agree to the RELEASE in Paragraph 24 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 22 of this Agreement. If Buyer fails to respond within the time stated in Paragraph 16(B)(3)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 24 of this Agreement, - (C) Seller bears the isk of loss from fire or other casualties until settlement. If any property included in this sale is destroyed and not - replaced prior is settlement, Buyer will: _. Accept the Prope N in its then current condition together with the proceeds of any insurance recovery obtainable by Seller,OR 2. Terminate tkis Agreement by written notice to Seller, with all deposit monies returned to Buyer according to the terms of Paragraph 22 of this Agreement -< 17.NOME WARRANTIES (1-10) At or before settlement,either party may purchase a home warranty for the Property from a third-party vendor. Buyer and Seller wider- stand that a home warranty for the Property does not alter any disclosure requirements of Seller, will not cover or warrant any pre- - existing defects of the Property, and will not alter, waive or extend any provisions of this Agreement regarding inspections or certify- - cations that-Buyer has elected or waived as part of this Agreement.Buyer and Seller understand that a broker who recommends a home warranty may hate c business relationship with the home warranty company that provides a financial benefit to the broker. 18. RECORDING (9-05) ! This Agreement w ill not be recorded in the Office of the Recorder of Deeds or in any other office or place of public record. If Buyer causes or permits this Agreement to be recorded, Seller may elect to treat such act as a default of this Agreement. 19.ASSIGNMENT (1-10) > This Agreement i, binding upon the parties, their heirs,personal representatives, guardians and successors, and to the extent assigna- ble, on the assigns o`the parties hereto. Buyer will not transfer or assign this Agreement without the written consent of Seiler unless otherwise stated in this Agreement.Assignment of this Agreement may result in additional transfer taxes. +' 20. GOVERNING LAW,VENUE AND PERSONAL JURISDICTION (9-05) a (A) The validity and construction of this Agreement, and the rights and duties o£the parties,will be governed in accordance with the laws of the Commonwealth of Pennsylvania. 4 (B) The parties agree that any dispute,controversy or claim arising under or in connection with this Agreement or its performance by j 4 - either party submitted to a court shall be filed exclusively by and in the state or federal courts sitting in the Commonwealth of 4', Pennsylvania. j +4= 21.REPRESENTATIONS (1-10) + (A) All representations, claims, advertising, promotional activities, brochures or plans of any kind made by Seller, Brokers, their !, licensees. employees, officers or partners are not a part of this Agreement unless expressly incorporated or stated in this 4 Agreement. This Agreement contains the whole 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 j Agreement will not be altered, amended,changed or modified except in writing executed by the parties. (B) Unless otherwise stated in this Agreement, Buyer has inspected the Property(including fixtures and any personal prop- erty specifically listed herein)before signing this Agreement or has waived the right to do so,and agrees to purchase the 107 Property IN ITS PRESENT CONDITION,subject to,inspection contingencies elected in this Agreement.Buyer acknowl- edges that Brokers, their licensees, employees, officers or partners have not made an independent examination or deter- mination of the structural soundness of the Property,the age or condition of the components,environmental conditions, >!` the permitted uses, nor of conditions existing in the locale where the Property is situated; nor have they made a mechan- ical inspection of any of the systems contained therein. (C) Any repairs required by this 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. 22.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 return of all deposit monies paid on account of Purchase Price pursuant to the terms of Paragraph 22(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 monies. (B) Regardless of the apparent entitlement to deposit monies, Pennsylvania law does not allow a Broker holding deposit monies to - determine who is entitled to the deposit monies when settlement does not occur. Broker can only release the deposit monies: I. 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- j . .ing Broker how to distribute some or all of the deposit monies. 3: According to the terms of a final order of court. -- 4. According to the terms of a prior written agreement 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 22(C)) I I -? Buyer Initials: ✓ ) I _ ASR Page 9 of Il Seller Initials:_._ / !. Revised 1/10 i aewc alai i1 ulC,c 13 n umpuic Vv01 u1c UUMICUIVIlt LV UGPV53L mULIAM Ltlat t5 urae5olveu JW unyb alter -- - tnr Scmrrment Datc stated in Paragraph 5(A).or any written extensions thereof,the Broker holding the deposit monies will,with- . oireceipt ol'Buyer's written request, distribute the deposit monies to Buyer unless the Broker is in receipt of verifi- at�le nonce that the dispute is the subject of litigation. if Broker has received verifiable written notice of litigation prior t,f the resipt of Buyer's request for distribution, Broker will continue to hold the deposit monies until receipt of a written distri- w:ion aenetrsnt Buyer and Seiler or a final court order. Buyer and Seller are advised to initiate litigation for any por- ton el tIL� depusil monies p nor to any distribution made by Broker pursuant to this paragraph. Buyer and Seller agree that the mst iouu, 1[a deposit monies based upon the passage of time does not legally determine entitlement to deposit monies,and hat the parties :naictain their legal rights to pursue litigation even after a distribution is made. f D) Buyer and Seller agree that Broker who holds or distributes deposit monies pursuant to the terms of Paragraph 22 or Pennsylvania law will not be liable. Buyer and Seller agree that if any Broker or affiliated licensee is named in litigation regarding deposit - monies,the anon.eys' fees and costs of the Broker(s) and licensee(s) will be paid by the patty naming them in litigation. (E) Seller has the option ot. retaining all sums paid by Buyer,including the deposit monies, should Buyer. I Fail to make any additional payments as specified in Paragraph 2, OR Furnish false or incomplete information to Seller, Broker(s), or any other party identified in this Agreement conceming Buyer's legal or financial status, OR Violate or fail to fulfill and perform any other terms- or conditions of this Agreement. (F) Unless otherwise checked in Paragraph 22(G), Seller may elect to retain those sums paid by Buyer,including deposit monies: 1. On account of purchase price, OR 2. As monies to be applied to Seller's damages, OR 1. As liquidated damages for such default. (G)X 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 22(F) or (G), Buyer and Seller are released from further liability or obligation and this Agreement is VOID. (I) Brokers and licensees are not responsible for unpaid deposits. «� 23. MEDLATION (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 in accordance with the Rules and Procedures of the Home Sellers/Home 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- tem offered or endorsed by the local Association of REALTORSa. Mediation fees, contained in the mediator's fee schedule, will be divided equally among the parties and will be paid before the mediation conference.This mediation process roust be concluded before any parry 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 limitations from expiring.Any agreement reached through mediation and signed by the parties will be binding(see Notice Regarding Mediation).Any agreement to mediate disputes or claims arising from this Agreement will survive settlement. 24.RELEASE(9-05) Buyer releases, quit claims and forever diseharges SELLER, ALL BROKERS, their LICENSEES, EMPLOYEES and any OFFICER or PARTNER of any one of them and any other PERSON, FIRM 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 pant hazards, mold, fungi or indoor air quality,environmental hazards, any defects in the sI individual on-lot sewage disposal system or deficiencies in the on-site water service system,or any defects or conditions on the c.• Property. Should Seller be in default under the terms of this Agreement or in violation of any Seller disclosure law or regula- tion,this release does not deprive Buyer of any right to pursue any remedies that may be available under law or equity.This s.�> release will survive settlement. 25. 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 Pennsylvania real estate licensee(or a licensee's affiliates) owing to fraud, 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). 26. COMMUNICATIONS WITH BUYER AND/OR SELLER(1-10) Wherever this Agreement contains a provision that requires or allows communication/delivery to a Buyer,that provision shall be satis- fied by communication'delivery to the Broker for Buyer, if any, except for documents required to be delivered pursuant to Paragraph 14. 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 agreed to by the parties. Wherever this Agreement contains a provision that requires or allows com- 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. '.. 27.SPECIAL CLAUSES(1-10) (A) The following are part of this Agreement if checked: rsa ❑ Sale& Settlement of Other Property Contingency Addendum (PAR Form SSP) r. ❑ Sala &Settlement of Other Property Contingency with Right to Continue Marketing Addendum (PAR Form SSP-CM) ❑ Settlement of Other Property Contingency Addendum (PAR Form SOP) 5s- ❑ Short Sale Addendum to Agreement of Sale (PAR Form SHS) sex ❑ Appraisal Contingency Addendum(PAR FormACA) ssv ❑ i ?92 Buyer Inidxts:_ / ASR Page 16 of 11 Seger Iaidata: Revised 1/10 L _ 5+3 (13) Additional Terms: 594 `95 596 ?9 598 599 600 001 ?A. 603 604 6U5 606 a01 608 tide 610 611 61, 013 .;14 615 Buyer and Seller acknowledge receipt of a copy of this Agreement at the time of signing. 616 This Agreement may be executed in one or more counterparts,each of which shall be deemed to be an original and which coup- 617 terparts together shall constitute one and the same Agreement of the Parties. li „1e NOTICE TO PARTIES: WHEN SIGNED, THIS AGREEMENT IS A BINDING CONTRACT. Parties to this transaction are 619 advised to consult a Pennsylvania real estate attorney before signing if they desire legal advice. X20 Return of this Agreement,and any addenda and amendments,including return by electronic transmission,bearing the signatures 621 of all parties,constitutes acceptance by the parties. 622 _M_/ Buyer has received the Consumer Notice ss adopted by the State Real Estate Commission at 49 Pa.Code 623 §35336. „24 / _ Buyer has received a statement of Buyer's estimated closing costs before signing this Agreement I 625 4:0 / Buyer has read and understands the notices and explanatory information in this Agreement 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). rxa Buyer has received the Deposit Money Notice (for cooperative eases when Broker for Seller is holding deposit h9 money) before signing this Agreement. =30 �j % Buyer has received the Lead-Based Paint Hazards Disclosure,which is attached to this Agreement of Sale,and c31 the pamphlet Protect Your Family from Lead in Your Home(for properties built prior to 1978) 632 WITNESS ✓-?�`� BUYER DATE Z y 2 x33 WITNESS BUYER DATE 634 WITNESS BUYER DATE — I ens Seiler has received the Consumer Notice as adopted by the State Real Estate Commission at 49 Pa. Code§ 35.336. x36 Seller has received a statement of Seller's estimated closing costs before signing this Agreement Seller has read and understands the notices and explanatory information in this Agreement., ,38 WITNESS SELLER ,,� = e �C DATE it� l�tl.3o1L { t..��.u.v �S x39 WITNESS_ _ SELLER kj4 DATE WITNESS SELLER__ DATE ASR Page 11 of 11 Revised 1110 SELLER'S COPY _ _ I REPLY TO INSPECTIONS/REPORTS RR ADDENDUM TO AGREEMENT OF SALE This fmm recommended and approved for,but not restricted to use by,the members of the Pennsyplvania Asswiawn of REALTORS®(PAR). I PROPERTY / (rae ,11 PIS /1,911 2 SELLER ¢r 3 BUYER S 4 DATE OF AGREEMENT I&.()7- 5 In reply to the following inspections/reports only: 6 ❑ Home/Property Inspections and Environ- ❑ Wood Infestation ❑Property Boundaries 7 mental Hazards(mold,etc.): ❑Radon ❑Deeds,Restrictions and Zoning 8 ❑Water Service ❑Lead-Based Paint 9 ❑ On-Lot Sewage ❑Municipal Requirements 10 Appraisal/Mortgage Leader Inspection ❑Property Insurance ❑Other: 11 1. ❑ Accept: Buyer accepts the Property in the condition reflected in the above Report(s)/Results. 12 2. I)t Written Corrective Proposal:In response to the attached Report(s),Buyer accepts the Property and Seller agrees to satisfy the 13 terms of the following Written Corrective Proposal(s): 14 (A) ❑ Corrections/Repairs and/or credits: Seller, at Seller's expense, will make the following corrections/repairs to the 15 Property in a workmanlike manner, with permits if required, or provide the following credits prior to settlement: 16 17 18 19 20 21 22 ❑See attached Proposal(s) 23 (B) Seller Assist: Seller Assist is changed to$ or %of the Purchase Price,maximum, 24 toward Buyer's costs as permitted by the mortgage lender(s), if any. Seller is only obligated to pay up to the amount 25 or percentage which is approved by mortgage lender. 26 (C) ❑ Settlement Date:Settlement date is changed from to 27 (D) Purchase Price: Purchase price is changed from$ qo,wo to$ 28 (E) U Mortgage Terms: 29 is changed from to 30 is changed from to 31 (F) ❑ Other: ! 32 33 34 3. ❑ Change of Time Period(s) (changing of any time period in the Agreement of Sale does not constitute acceptance of the 35 Property unless otherwise stated):Time periods stated in the Agreement of Sale are changed as follows: 36 (A) Contingency Periods 37 1. The contingency period for , elected in the Agreement of Sale is changed to !, 38 2. The contingency period for ,elected in the Agreement of Sale is changed to 39 3. The contingency period for , elected in the Agreement of Sale is changed to 40 (B) Additional Time Periods 41 1. The time period in paragraph ,line of Agreement of Sale is changed to 42 2. The time period in paragraph ,)the of Agreement of Sale is changed to 43 3. The time period in paragraph ,line of Agreement of Sale is changed to !, I 44 All other terms and c dttii�tions o e Agreement of Sale remain unchanged and in fall force and effect. 45 WITNESS BUYER DATE /Z i8 i2. 46 47 WITNESS B R /6 DATE 48 49 WITNESS BUYER DATE 50 51 WITNESS SELLER DATE 52 53 WITNESS SELLER DATE 54 55 WITNESS SELLER DATE 56 COPYRIGHT PENNSYLVANIA ASSOCIATION OF REALTORS®2010 t%I Pennsylvania Association of REALTORS'- 7/10 MT Plminum Plus Realty 3560 Ganysburg Road Camp HilL PA 17011 Phan:717-920fi00 Fu: 1147-920-6401 dot Ime, it Robot Ho titer produced with zipForm,01 by zlpLo&18070 FlOeen Mile Read.Fraaa,Midogan 48026 =ypl ogisr�an !i I t m+c"'mb OMB Approval No.2502-0265'. a� a e A. Settlement Statement (HUD-1) x4x oeJB��x B. Type of Loan 1.❑FHA 2. RHS 3.❑X Conv.Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number- 4. VA 5.❑Cony.Ins. Crzolz-120A C. Note: This form is lumished to give you a stafementofactual settlement costs. Amounts paid to and by Me seMemantagenf are shown. Items marked'ip.o.c,l'were paid outside Me closing;may are shown here formfomoutonal purposes and are not included in Me totals. i D. Name and Address of Borrower: E. Name and Address of Seller: F. Name and Address of Lender: Joel Sheldon The Bank of Landisburg 337 Youngs Church Road Estate of Elizabeth B.Klinger 100 North Carlisle Street Shamans Dale,PA 17090 1 James D.Bogor,Esquire Landisburg,PA 17040 One West Main Street Shiremanstown,PA 17011 G. Property Location: H. Settlement Agent: I. Settlement Date: 1 Wayne Circle CT Land Services Company Camp Hill,PA 17011 2D01 N.Front Street,Suite 110 December 28,2012 Cumberland County,Pennsylvania Governors Plain S,Bldg 1 Harrisburg,PA 17102 Ph. (717)236-5263 Place of Settlement: One West Mein Street Shiremanstown,PA 17011 J. Summery of Borrower's transaction K. Summary of Seller's transaction 100. Gross Amount Due from Borrower: 400. Gross Amount Due to Seller: 101. Contract sales price 75,000.00 401. Contract sales price 75.000.CO 102. Personal property 402. Personal property 103. Settlement Charges to Borrower Line 1400 3,659.75 403. 104. 404. 105. 405. Adjustments for hems paid by Seller In admarl Atl ustments for hems Itl by Seller In advance 106. Citiffrown Taxes 12129/12 to 01/01/13 4.15 406.Cityfrowri Taxes 12/29/12 to 01101/13 4.15 107. County Taxes to 407.County Taxes to 108. School Taxes 12/29/12 to 07/01/13 487.18 408.School Taxes 12/29112 to 07/01/13 487.18 109. 409. 110. 410. 111. 411. 112. 412. 120. Gross Amount Due from Borrower 79,151.08 420.Groan Amount Due to Seller 75,491. 200. Amounts Paid by or M Behalf of Borrower 500. Roductlorw In Amount Due Seller: 201. Deposit or asmest money 2,500.00 501. Excess deposit see instructions 202. Principal amount of new ban 3 61,200.00 502. Settlement charges to Seller Line 1400 5,250. 0 203. E)d1i loans taken su 'ect to 503. Existln loans taken subject to 204. i 504.Payoff Rrst Mortgage 205. 505,Payoff Second!Mortgage 206. 1 508. 207. 507.(Deposit dish.as proceeds) 208. 508. 209. 509. Atl ustments for hems unpaid by Seller Adjustments for hems unpaid by Seller 210. City/Town,Taxes to 510.City/Tom Taxes to 211. County Taxes to I 511.County Taxes to 212. School Taxes to 512.School Torso to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. Total PaW by/for Borrower 63,700.00 520. Total Reduction Amount Due Seller 5.250. 300. Cash at Settlement momRO Borrower 600. Cash at sMtlement tollrom Seller 301. Gross amount due from Borrower line 120 79,151.08 601. Gross amount due to Seller line 420 75,491. 302. Less amount id Aor Borrower(line 220) ( 63,700.00) 602. Less reductions due Seller line 520) ( 5,250. 303. Cash XM From 0 To Borrower 15,451.08 603. Cash l To ❑ From Seller 70,241.33 Pea oui a dosing b✓do.mi)..rams).anorrof or wrdo.rm(l) The undersignetl hereby ac e I of a completed copy of this statement&any attachments referred to herein Borrower cv�_ Seller Estate of Elizabeth B.Klinger el Shel o Br 1 �2Li1-�v o� I I TM Wdk Re roi a+Nen for MU oral n of nMmetim if Wmbd it 35 mi pr mponee for colMCSnB.N"NMnO.and npaRrp Ne di n,4 epwcy mss rofioi mu kbmu5on.aM Yof an notreBu,IIgE to wmPkN ro;form,wlew it 6arAry2 a wroi valf,CMS i nurtbcr.No confidendtlM If aeovird;n.dis:.-u oirfluoi lift u df ipud-1-M Y,a Wrlgafoa RESPA ocri fraiiii x or".mWwn .-9"."Ni Ineceu Page 1 of 3` HUD-1 (CT 2012-120A.PFD/CT2012-120A/ 6) J L.Settlement Charges 700.Total Real Estate Broker Fees $4,500.00 Paid From Paid From Division of commission(line 700)as follows: Borrowers 9elfera Funds at Funds at 701,S 1250,00 m Pvit Platinum Plus Realty 702. 2250.00 to MC W alker Real Settlement $.Uwment 703.Commission paid at settlement 4500.0 704.Transaction Fee to Exit Platinum Plus Ready 195.00 705. 800.hems Payable In Connected with Loan 801.Our origination charge $ 600.00 from GFE#1) 802.Your credit or charge(points)for the specific interest rate chosen $ (from GFE#2) 803.Your adjusted on ination char es from GFE#A 600.00 804.Appraisal fee to The Bank of Landisbu from GFE Of 375.00 805.Credit Report to ifrom GFE#3 806.Tax service to from GFE#3 807.Flood cerihicall to The Bank of Landisbu from GFE#3 15.00 808.Document Preparation ro Gerald Morrison,Esquire from GFE#3) 150.00 !�£ 809. from GFE#3 810. from GFE#3 811. (from GFE#3) 900.hems Required Im,Lender to Be Paid In Advance 901.Daily interest charges from to 0 $/da from GFE#10 902.Mortgage insurance premium for months to from GFE#3 r' > 903.Homeowners Insurance for 1.0 years to Ede Insurance from GFE#11 P.O.C. 387.00 B' 904. from GFE#11 905. (from GFE#11) , ,. . rl 1000.Reserves Deposited wild Lender 1001.Initial deposit for your escrow account (from GFE#9) 1002.Homeowner's insurance payment® per paymen $ S 1003.Mortoaae insurance painneriftO r vaimner, a 1004.Pm rtytaxes $ Ci /Town Taxes ent® er rawen School Taxes wMendta r isamen 1005. 1006. paymentEG $ per paymen $ 1007. paymente@ $ per paymen $ 1008. $ 1009. $ 1100.Title Charges 1101.Title services and lenders tltle insurance from GFE 44 345.00 1102.Settlement or closing fee to CT Land Services Company 125.00 1103.Owners this Insurance to First American This Insurance Company from GFE#5 1038.75 1104.Lenders file Insurance to First American rite Insumnce Company 1105.Lenders title policy limit 61200.00 Enhanced 1/06.Owners tltle policy limit $ 75000.00 Enhanced 1107. Agents vortion of the total tltle Insurance Premium to CT Land Sendicas Com n 882.94 J !' 1108. Underwriters portion of the total tltle insurance premium to First American Title Insurance Compam 1109. $ 1110. $ 1111. $ 1112. $ 1113. $ 1200.Government Recording and Transfer Charges 1201.Government recording charges to Recorders Office from GFE# 191.00 04ft ar 1202.Deed 66.00 Mort a 125.00 Releases Other 1203.Transfer taxes to Recorders Office from GFE 418) 750.00 1204.City/County tax(stamps $ 750.00 375.00 1205.State tax/stamps $ 750.00 $ 375.00 1206. 1207. 1300.Addhbnal Settlement Charges 1301.Required services that you can shop for from GFE#61 '? -. 1302. $ 1303. $ 1304. $ 1305. $ 1400.Total Settlement Charges enter on lines 11 Section J and 502,Settled 3,55U.751 5. Paid xru dN d dO in9 dl a m,p»dft ee.O( bnda4L).Oran par'T) 9y sgn'mg page 1 dmb demment,me agrerorea winwAedge rereip d a CompabU copy of Pipe 2 a 3 of to m,ee pass sutxrenL I CT Land S 'ae9' mpana9 ant Agent Page 2 of 3 HUD-1 (CT 2012-120A.PFD/CT2012-120A/26) _ I Comparison of Good Faith Estimate(GFE)and HUD-1 Charges Good Faith Estimate HUD-1 Charges That Cannot Increase HUDA Line Number Our origination charge #801 600.00 Your adjusted origination charges #803 600.00 Transfer razes #1203 750.00' Charges That in Total Cannot Increase More than 10% Good Faith Estimate HUD-1 Government recording charges #1201 191.00' Appraisal fee #804 375.00. Flood certification 0 807 15.00 Document Preparation #808 150.00 Title services and lender's title insurance #1101 345.00 Owner's the insurance to First American Title Insurance Compan #1103 1,038.75 Total 1 1 2,114.75 Increase between GFE and HUD-1 Charges $ 2,114.75 or 0.00 Charges That Can Change Good Faith Estimate HUD-1 Homeowners insurance #903 387.00. Loan Terms Your Initial loan amours Is $61,200.00 Your ban term is 23.46 years Your Initial Interest rate Is 4.8700% Your Initial monthly amount owed for principal,Interest and $364.89 includes any mortgage Insurance Is ❑K Principal ❑K Interest ❑ Mortgage Insurance Can your interest rate rise? ❑X No ❑ Yes,It can nse to a maximum of %. The first change will be on and can change again every_months after . Every change date,your interest rate can increase or decrease by %. Over the life of the loan,your interest rate is guaranteed to never be lower than %or higher than %. Even H you make payments on time,can your loan balance rise? ❑X No ❑ Yes,H can rise to a maximum of$ . Even If you make payments on time,can your monthly ❑X No ❑ Yes,the first increase can be on and the monthly amount owed for principal,Interest,and mortgage insurance rise? amount owed can rise to$ . The maximum it can ever rise to is$ . Does your loan haw a prepayment penalty? ❑X No ❑ Yes,your maximum prepayment penalty is$ . Does your ban have a balloon payment? ❑X No ❑ Yes,you have a balloon payment of$ due in_ years on Total monthly amount owed Including escrow account payments ❑% You do not have a monthly escrow payment for items,such as property taxes and homeowners insurance. You must pay these items directly yourself. ❑ You have an additional monthly escrow payment of$N/A that results in a total initial monthly amount owed of$N/A. This includes principal,Interest,any mortgage insurance and any items checked below: �I ❑ Property taxes ❑ Homeowner's insurance ❑ Flood insurance ❑ ❑ ❑ Note: If you have any questions about the Settlement Charges and Loan Ten s listed on this form,please contact your lender. i i i Page 3 of 3 HUD-1 i HUD-1 Attachment Borrower(s):Joel Sheldon Sellouts): Estate of Elizabeth B.Klinger 337 Youngs Church Road Shennans Dale,PA 17090 Lender:The Bank of Landisburg Settlement Agent:CT Land Services Company (717)236.5263 Place of Settlement:One West Main Street Shiremanstown,PA 17011 Settlement Date:December 28,2012 Property Location:1 Wayne Circle Camp Hill,PA 17011 Cumberland County,Pennsylvania Adjusted Origination Charge Details Origination Charge Origination Charge 600.00 j to The Bank of Landisburg Total $ 600.00 I Origination Credit/Charge(points)for the specific Interest rate chosen Total $ Adjusted Origination Charges $ 500.00 Title Services and Lender's Title Insurance Details BORROWER SELLER Closing Service Letter 75,00 to CT Land Services Company Notary Fees 55,00 to CT Land Services Company Doc Processing and Retention 50.00 to CT Land Services Company Courier,Wire and Email Fees 40.00 ! to CT Land Services Company Closing Fee 125.00 to CT Land Services Company Total $ 346.00 $ 0.00 thyWs Title Insurance BORROWER SELLER I Owner's Policy Premium 83815 to First American Title Insurance Company Owner's Endorsement Charges 200.00 Endorsement Endorsement Charge ALTA Endorsement Form 1 (Street Assessments) 50.00 ALTA Endorsement Form 3.1 (Zoning-Completed Structure) 50.00 ALTA Endorsement Form 8.1 (Environmental Protection Lion) 100.00 Total $___1,038.75 $ 0.04 I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,It is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. ��,,..�//CC��,, �of7E17z Klingery' 6i Shel wARNtNG: It is a CAM to imowingry main fate statements to the United Siatr on this many similar form.PGrMft$uPon=nvI0tIW=n lmkirla a line and imprisonment. For debt aae:Tat 18 U.S.Code sectl r 1081 and SwUnn 5010. (CT 2012420A.PPD1CT2012420A26)I! HUD-1 Attachment- Continued BY: I lil I II i i III I I WARNING: It Is a crime to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can Include a fine and Imprisonment For details Sea: TRIG 1S U.S.Code Section 1001 and Section 1010. (CT 2012-120A.PFD/CT2012-120A26) I Tax Parcel No . 13-24-0797-135 THIS zNDENTURE, MADE THE day of er two thousand twelve (2012) BETWEEN JAMES D. BOGAR, Executor of the Last Will and Testament of ELIZABETH B . KLINGER, late of Lower Allen Township, Cumberland County, Pennsylvania, party of the first part, and JOEL V. SHELDON, of Camp Hill, Pennsylvania, party of the second part : WHEREAS, the said ELIZABETH B. KLINGER, by her Last Will and Testament, duly proved and recorded in the Cumberland County Register of Wills Office, Pennsylvania, in Docket Book 21-12- 09991, Letters Testamentary being issued on September 13, 2012, provided, in pertinent part, as follows : THIRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers , applicable to all property, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases , for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. . . FIFTH: I nominate and appoint JAMES D. BOGAR, as Executor of this, my Last Will and Testament. i I NOW THIS INDENTURE WITNESSETH, that the said party of the first part, by virtue of the power and authority aforesaid, in said Will contained, and in consideration of the sum of Seventy-Five Thousand Dollars ($75 , 000 . 00) to him 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, has granted, bargained, 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 ALL THAT CERTAIN piece or parcel of land with the buildings and improvements thereof erected, being known as Lot No. 135 , on Plan of Lots laid out for Allen Park Development Corp. , called "Cumberland Park" as recorded in Plan Book 4 , Page 86, Cumberland County Records, situate at the northerly corner of Wayne Circle (formerly Avenue "M" ) and Wayne Road (formerly Avenue "L" ) , Cumberland Park, Township of Lower Allen, County of Cumberland and Commonwealth of Pennsylvania, bounded and described as follows, to wit : - BEGINNING at a point on the curve on the northwesterly side of Wayne Circle (formerly Avenue "M" ) (50 feet wide) at a distance of thirty (30) feet measured north sixty-three (63) degrees thirty-three (33) minutes thirty (30) seconds east from the intersection of the said side of Wayne Circle (formerly Avenue "M" ) with the northeasterly side of Wayne Road (formerly Avenue "L" (50 feet wide) (both lines produced) ; thence in a northwesterly direction by a line curving to the right having a radius of thirty (30) feet the arc distance of forty-seven and twelve one hundredths (47. 12) feet to a point on the northeasterly side of Wayne Road (formerly Avenue "L") ; thence along said side of Wayne Road (formerly Avenue "L" ) north twenty- six (26) degrees twenty-six (26) minutes thirty ( 30) seconds west a distance of fifty-nine (59) feet to a point ; thence along Lot No . 134 north sixty-three (63) degrees thirty-three (33 ) minutes thirty (30) seconds east a distance of ninety (90 ) feet to a point; thence along Lot No. 136 south twenty-six (26) degrees twenty-six (26) minutes thirty (30) seconds east a distance of eighty-nine (89) feet to a point on the northwesterly side of Wayne Circle (formerly Avenue "M" ) ; thence along said side of Wayne Circle (formerly Avenue "M" ) south sixty-three (63) degrees thirty-three (33) minutes thirty (30) seconds west a distance of sixty (60) feet to the first mentioned point and place of BEGINNING. HAVING ERECTED THEREON a dwelling house being known and numbered as 1 Wayne Circle, Camp Hill, Pennsylvania. I i UNDER AND SUBJECT to said reservations and restrictions as contained in prior deeds. BEING the same premises which Marlyn Wert Bonn and Mary A. Bonn, his wife, by deed dated July 24, 1952 and recorded July 24 , 1952 in the Cumberland County Recorder of Deeds Office in Deed Book "A" , Volume 15, Page 419, granted and conveyed unto Henry G. Klinger and Elizabeth B. Klinger, his wife. The said Henry G. Klinger died April 11, 2007 , whereupon full and complete title to the within described real estate became vested solely in fee simple to Elizabeth B. Klinger. The said Elizabeth B. Klinger died September 1, 2012 . TOGETHER with all and singular the rights, liberties, privileges, hereditaments and appurtenances whatsoever thereunto belonging or in anywise appertaining, and the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever of the said Elizabeth B. Klinger at and immediately before the time of her decease, in law or equity or otherwise howsoever, of, in, to or out of the same : TO HAVE AND TO HOLD the said granted premises to the said party of the second part, his heirs and assigns forever. 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 has not done, committed, or knowingly or willingly suffered to be done, any act, matter or thing whatsoever, whereby the premises aforesaid, or any part thereof, is, are, shall or may be charged or encumbered, in title, charge or estate, or otherwise howsoever. IN WITNESS WHEREOF, the said party of the first part has hereunto set his hand and seal the day and year above written. Signed, Sealed and Delivered in the Presence of (SEAL) J D. BOGAMExecutor of the Estate of Elizkbeth B. Klinger COMMONWEALTH OF PENNSYLVANIA SS . COUNTY OF CUMBERLAND on this, the dg-th day of D ecernbe r , 2012, before me, the undersigned officer, personally appeared JAMES D. BOGAR, Executor of the Estate of Elizabeth B. Klinger, known to me (or satisfac- torily proven) to be the person described in the foregoing instrument, and acknowledged that he executed the same in the capacity therein stated and for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. (SEAL) Notary Public i M TN PEAL 1iAR1A ,EA BET!!8.LENGEL,ROTARY PUBLIC SMREMANSMWN 8080,CUMBERLAND CO" MY COMMISSION EXPIRES DECEMBER 12,2015 i CERTIFICATE OF RESIDENCE i i I do hereby certify that the precise residence and complete post office address of the within named grantee is i 2012 , y Att rney/Agen far Grante I I i I I I i Rev-1508 EX.(6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENTOeCEOENT ESTATE OF FILE NUMBER Klinger, Elizabeth B. 21-12-0991 All property 3olnny- vrwdf with right of survivorship rnAW be diaciased on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 352 shares of Exxon Mobil Corporation-Stock 87.25 30,712.00 I 2 2,490 shares of Franklin Templeton Investments-Franklin 10.94 27,240.60 PA Tax-Free Income A 3 Vanguard-Wellington Fund INV 0021.04743000017 11,054.33 i i i 1 i i i i i i I i i I i i I i i I i i i TOTAL(Also enter on Line 2, Recapitulation) 89.008.93 (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 B(Rev.6-98) XOM Historical Prices Exxon Mobil Corporation Common Stock- Yahoo! Finance Page I of I Search search Web OMF rVIESTI. PERSONAL FINANCE MY PORTFOLIOS EXCLOSIVES Got Qusnvs Finance Search r„ dn FCT 01 34 n, Qow rLascaq+OA1,1c ass XOM AMORE oNUra E*TRADE XOM AilAf lea A° eNfidi Exxon Mobil Corporation(XOM)-wsc Add to Pori uke 243 87.47 -015(0,17%) 12.26PM EST•Nasdaq Real Time Nce Historical Prices Got Historical Prices w. Set Date Range - Daily Sampan.: Aug 31 2012 EgAan1,2010 Weekly End Date: Sep i' 2012 Monthly Dividends Only First I previous I Next I Last Prices Date Sep 4,2012 Open High Low Close vultures Adj Close* NOV 13.President 87.33 87.46 86.52 87.12 10,602,900 86.58 Waives Reff Aug 31,2012 87.61 87.85 87.14 87,30 14,178,800 86.76 Requirement case Price.djusted for dividdruls and salon 531t.of Firs[l Prov)ous I Next I Last teed this rihavlotal,e., tick w save At,to ADownload to Spreadsheet $145.030 Responsible homcownars are now able to Per and thei,horde,Is had Currency in USD. the time and save up w $805hrraasdt.ff you”,a homeowner and d an I kn..de,trithd U3.1haftag, Median Price 8/31/12 = $86.99 tocl and a"hoav,wo, + [Median Price 9/4/12 = $87.50 you can save. $174.49 Select Your Age: 2.0 Date of Death Value $ 87.25 Calculate New X 352.00 Shares ;A 11 Total Date of Death Value $30,712.00 ?W,Ilrl n 2012 Y 1,—r Inc M P,",,,,F.4-, AI,111 0.,A� 1,,at Yahoo! ABC N eAvA,Natwm Q..cS aver fc,NASXIAQ Nt SE and NYsE MKT,So.ai dn d.r.,scra,In,a(ftA, ,,chdggas -rlwnnarcR ro,"051'acc t,, n 11,rcc, tAr trading n"Ift'n Real -,o... yc,-1,tA,A 7,tAd""It g,-tas"'d,nft N,Ja,dnal.,npA,y data ftwie,by Capital to Hatr.II anAft d.18 ardl dar,update,rro,md by,A-nnd,svftem, -tn-natnal hss,r,,A� ,,4afsycpd�;os.furl s""d,fadd 0erd d.:s.rd Morn,ransa,Inde>data provided by Mgr ,atr,,Inc http://finance.yahoo.coin/qi'hp?a--07&b=31&c=2012&d=08&e=4&f--2012&,L--d&s=XO... 11113/2012 etdllNlrl wlzmu _ _ - - vage 1 or 1 Transfer Wizard for Authorized Representatives 1`ranster Shares Transfer Help Contact Us >1. Type of Transfer>2. Transfer Instructions >3. New Account Instructions>4. Review And Finalize >5. Confirmation Current Account (assets to be transferred out to new owner(s)or account(s) Company NameEXXON MOBIL CORPORATION HENRY G KLINGER & ELIZABETH B KLINGER 1 WAYNE Holder Name(s)JT TEN Address CIRCLE CAMP HILL PA Account Number 00006002633 Code 17011-6660 eMail Address Not on file Country UNITED STATES New Holder/Recipient What's this? Please indicate the number of new holders/recipients to whom shares will be transferred: Shares Available for Transfer What's this? Please select the TOTAL number of shares that you wish to transfer. * When transferring all shares,please note that the printed form will only reflect whole shares but any fractional shares will be processed accordingly. Note to Investment Plan participants: If you are electing to transfer all shares from an account currently enrolled in an Investment Plan,when you print the form that will generate once the steps of the wizard are completed, an Investment Plan Enrollment section will appear on the form for any new account. If this section is not completed for the new account or if the transfer is submitted using another method,then typically any remaining fractional share will be sold. Sales fees and commissions will be deducted from the fractional shares sold according to the terms in the Plan Prospectus. Description Register Balance Shares To Transfer 4 All available shares COMMON ;, -ate Specific Amount STOCK 351000000;_None *Original certificate(s)must be submitted for your transfer to be processed. Total Shares Selected for Transfer 352 Cancel/Logout < Previous Next Copyright v 2012 Computershare Limited, All rights reserved. Terms and Conditions Privacy i https://www-us.computershare.com/TransferWizard/Transferinstructions.aspx 10,115/2012 i Vanguard - Price History Search Page 1 of 1 PERSONAL WVESTORS OPEN AN ACCOUNT FORMS CONT,=.CTUS HEL° LOGON I/&�N1�'lidfd' Gel a quote or searchthe silo SEARCH Home My Accounts Funds,Stocks&ETFs West We Offer Insights Research Funtls&Stocks u More Ways to Researh Funds n Search Pace History Since Inception Price history search Track the dally prices of i or 2 Vanguard iOVastmeflta for op to 12 months You ran also view high and low prices for a specific calandar yew or since an lnvestmenes mcaptlon. Vanguard funds Ann.ifas 529 plans Excharrgeiradedfurrds Step 1.Select a Vangua dar fund Investor - Share class Investor Shares - What are share classes? WeBingtan Fund Inv or enter aiumt numtrar 4021 Step 2.Enter a time period ii: Daily price history ! View price hall for a pened—reltans from I day to A year—Ow mile between the investments incaPfon date and the last CusutCSs day.Yeid history i5 available from 1g93 to the present From (mMddryyyyi, 08/3112412 To (mMddyyyy) Ogt0912412 High and low prices for a calendar year View,the"westment rich and low prces for any fug calendar year _.._.._ Year {yyyy) High and low prices since inception Near,the investment high and bw Cass since its Inception. i Results I Current results I Wellington Fund Inv i 08131/2012-09/0412012 i Fund Inception Date 7/111929 I High High Date Low Low Date 33.765 Median Price $33.80 0813112012 $33.73 0910412012 X 327.39 Shares $11,054.33 Date of Death Value Date Price Yield 8 0813112012 $33.80 2.44% 09/04/2012 $33.73 2.44% j i FJ 1995-2013 Tha Vanguard Grou,.Inc.All rights reaervetl.Vanguard Marketing Corp,pRtrib.Tours &aimditums of use 1 Security Center i Oraain proRpectvs i Careers I Mobile sarvicee i _Feedtcau, https://personal,vaDguard.conl/us/funds/tools/pricehistorysearch?radio=l&results=get&Fun... 4/5/201.3 December 31, 2012, year-to-date statement Page> 1 of t - Vanguard® Client Services s 800-662-2739 HENRY G KLINGER& °o ELIZABETH B KLINGER JT TEN vanguard.cam C/O JAMES D BO GAR 1 W MAIN ST SHIREMANSTOWN PA 17 01 1-6327 Wellington Fund Inv 0021-04743000017 Date Transaction Amount Share Price Shares Transacted Total Shares Owned Value Beginning balance on 12/31/2011 $31.34 327.390 $10,260.40 03/29 Income div cash 126 $73.99 327.390 06/28 Income div cash 20. 78.57 327.390 09/27 Income div cash 224 73,34 327.390 11/13 Deposit certificate 0.00 327.390 11/13 Deposit certificate 0.00 327.390 11/13 Deposit certificate 0.00 327390 11/13 Deposit certificate 0.00 327,390 11/13 Deposit certificate 0.00 327.390 11/13 Deposit certificate 0.00 321.390 1I/13 Deposit certificate 0.00 327.390 11/13 Deposit certificate 0.00 327.390 11/13 Deposit certificate 00 . -... _ 0 - - 327390 11/13 Transfer to 88063412880 -11,026.50 33.68 -327,390 0.000 Ending balance on 12/318012 $33.84 0.000 $0.00 I Beginning on.January 1, 2012, new tax rules on taxable(nonretirement) mutual fund accounts (excluding money market funds) require I Vanguard to track cost basis information for shares acquired and subsequently sold, on or after that date. Unless you select another method, sales of Vanguard mutual funds, but not ETFs,will default to the average cost method.We'll begin reporting cost basis to the g8 IRS in 2013. For more information, visit vanguard.com/costbasis. 8 i i m N I II I 1 i _ 1111111 INIIII Bill PIE HIM 11111IIIN11lulUll lull 11111 fill Hilo Mill llml 1'LI tL 11111ty"11.1 1 "I'll c .—..n,--x-. a v ,..... ,— . .--I--- --—-- -— - I Ary"j'snr SIR"in '--d Pilrokxx Mail f Y'T"hu., IlaO t,' V searrf Search Web HOME INVESTING PERSONAL FINANCE MY PORTFOLIOS EXCLUSIVES Get Quotas Finance Search U, Nil i 3,201 12,21 on,EST US h 6 n 3 h h,, 33 mias Dow tD,37%Nasdaq 40A1% Still up to sa'c sacc, TWW 711 Amearhesoes,0 Franklin PA Tax-Free Income A(FRPAX) Add W Portfolio 11.05 0.00(0.00%) Nov I2 Historical Prices GEARIStorical Prices for. FGO Set Dale Range - s,Daily Stoutest Aug 31 2012 Sill J.1,2010 Weekly End Dam: Sep 2 Monthly Dividends Only First I Previous I Next I Last Prices Date Open High LcAv, CIO" Vertical A(4 Dial Sep 4,2012 10.94 10.94 10-94 10.94 0 10,90 Aug 3l,2012 10.94 1044 10-94 10.94 0 10.90 Aug$1,2012 0.034 Dividend Close area adjusted for dividends and spirts, First I Previous I Next I Last l"cooverriload to Spreadsheet Currency in I Date Of Death ValUe $10.94 X 2490 Shares = $27,240.60 ,on,,ld'2012 Yartt Alt rigni,reaorvad Privacy vs,,At,, Ardid fo,Aw,Tyint of Scixco-CopyrignVIP Fdlty Send Feedhca-Yahnol-ABC News Network Quotas are real-time for NASDAQ.NYSE and NYSE MKT Sao sea delay times for after excharges.A,information provided"as s'Tof inforIcaland dLrlvS6c only,rat ny'l trading 111ca1-1.,,cc oc"Ic. Nwflod,Yory"t no,any ca"donavocat 0"'Rat-d ta citi.for dap ot.m.cotial ec"o,a,c"Odn'Acetwd,or devyn,for any actions diter,in odsurti,on"dirrayd"c.-tarded By....s,rc the Ynt-m- re yd,Aotp not in,Feastrend the cxcMl flUnd thirti, Rstd-T,r ,.ri ctrnarr,, ..fccl,th,.",h Yd" ,aycar,, st'da"n.qutc-,on V Off, Fu,c.,.wl cdripa,y,dcc wend.,try Capital IQ Mcct chat,data andoat,canals's orm'deo city Cotnmd0k,S,len, lnc (CSI) nterrAti.-cl hicerdai 4ran coca dairy troj,at i'vid "rit fund Worman-a M,Mond data and Marniral index data process by Macrac-ts, Inc http://finance.yahoo.com/q./hp?s=FRPAX&a=07&b=31&c=2012&d=08&e=4&f=2012&... 11/13/2012 FRANKLIN TEMPLETON INVESTMENTS AB Ot 016836 83165 $ 67 A Quarterly Asset Summary ELIZABETH B KLINGER January 1,2012-September 30, 2012 Page 1 of 2 AND HENRY G KLINGER JTTEN Distributed 1 WAYNE CIR By: FRANKLIN TEMPLETON DISTRIBUTORS INC - CAMP HILL PA 17011-6660 IIIIIIIII IIo IIIJllhlplllll blllllb 1'1111"ilhlll'11111'I Customer tranklintempleton.com Service: Shareholder Services(800)632-2301 Mailing 100 Fountain Parkway Address: PO Box 33030 St.Petersburg, PL.33733-8030 Franklin Pennsylvania Tax-Free Income Fund - Class A NASDAQ Symbol: FRPAx Fund-Account Number. 129-12900145987 Year-to-Date Summary: Tax-Exempt Income Dividends: $7$8.34 Asset Summary Number. 02516348 Long-Term Capital Gains: $0.00 Transaction Details DATE TRANSACTION DOLLAR AMOUNT SHARE PRICE SHARES TOTAL SHARES j 01-01-12 BALANCE FORWARD $26,319.30 $10.57 21490.000 j 01-20-12 DIV PAID OUT $63.50 $10.72 0.000 2,490.000 02-17-12 DIV PAID OUT $93.3$ $10.79 0.000 2,490.000 03-21-12 DIV PAID OUT $90.64 $10.66 0.000 2,490.000 04-19-12 DIV PAID OUT $86.65 $10.76 0.000 2,490.000 05-21-12 DIV PAID OUT $86.65 $10.86 0.000 2,490.000 06-29-12 DIV PAID OUT $112.55 $10.80 0.000 2,490.000 07-31-12 DIV PAID OUT $86.65 $10.97 0.000 2,490.000 08-31-12 DIV PAID OUT $84.16 $10.94 0.000 2,490.000 09-28-12 DIV PAID OUT $84.16 $10.96 0.000 2,490.000 09-30-12 TOTAL ACCOUNT VALUE $27,290.40 AT $10.96 PER SHARE i Continued on next page s Purchases can also be made Online at frankiintempleton.com Please make your check payable to: ELIZABETH B KLINGER Franklin Pennsylvania Tax-Free Income Fund-Class A AND HENRY G KLINGER Fund-Account Number: 129.12900145987 JTTEN j I WAYNE CIR Amount Enclosed: CAMP HILL PA 17011-6660 i FRANKLIN TEMPLETON INVESTMENTS PO BOX 33030 ST PETERSBURG FL 33733-8030 h,a1111.HI 111111 IPIIiil.Igl, il.11n141�lltigl.11, h11 Q Check here and wmplete reverse side if changes are necessary for: Address Distribution Options 001 000012900145987 129 100 a Rev-1508 EX.itYie) SCHEDULE E Pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Klinger, Elizabeth B. 21-12-0991 I Jtide the proceeds of Iitifiation and the dale the proceeds were received by the estate. AN property jointly-owrwd with the right of Survivorship met be d;sch,"d on schedule F. - ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Cash-from wallets 69.00 2 Cash-deposit of fifty-one(51)checks which were in the possession of the decedent at the 8,282.23 time of her death,but not cashed,copies of said checks are attached hereto. 3 ACNB Bank-CD#162084;date of death balance$52,384.26; accrued interest$21.18 52,405.44 i 4 ACNB Bank-CD#162217;data of death balance$50,000.00;accrued interest$114 50,001.64 5 Centric Bank-CD#3028636;date of death value$25,000.00 25,000.00 i 6 Centric Bank-CD#3032414;date of death value$26,210.43 26,210.43 i 7 Centric Bank-CD#3035797;date of death balance$61,744.83 61,774.83 i 8 Centric Bank-CD#3036985; date of death balance$20,841.18 20,841.18 9 Centric Bank-CD#3038130;date of death balance$104,159.90 104,159.90 10 Citizen's Bank-Checking Account No.6232311926;principal balance at date of death 28,167.49 $28,155.18;accrued Interest$12.31 i 11 Citizens Bank-Checking Account No.6234870515; principal balance at date of death 39,886.16 $39,884.26;accrued interest$1.90 12 Citizens Bank-CD#6140796040; principal balance at date of death$114,755.92; accrued 114,774.79 interest$18,87 ( 13 Citizens Bank-CD#6252137619;principal balance at date of death$38,276.93;accrued 38,279.44 interest$2.51 I 14 Citizens Bank-CD#6100714225;principal balance at date of death$11,017.45;accrued 11,018.06 interest$0.61 I I Total of Continuation Schedules See attached pages TOTAL(Also enter on Line 5, Recapitulation) 1,838,691.77 j (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10) j Rev-1508 EX.(11-00) SCHEDULE E Pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT continued ESTATE OF FILE NUMBER Klinger, Elizabeth B. 21-12-0991 ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH 15 Coins-removed from home 53.29 16 Commonwealth of Pennsylvania-death benefit 147.76 17 First National Bank-CD#402110175;principal balance at date of death$24,996.45;accrued 25,003.64 interest$7.19 18 Fulton Bank-CD#328-0203481;principal balance at date of death$33,169.86;accrued 33,24100 interest$73.14 19 Fulton Bank-CD#328-0227124;principal balance at date of death$30,986.40;accrued 31,044.27 interest$57.87 20 Fulton Bank-CD#328-0240773;principal balance at date of death$43,240.38;accrued 43.243.93 interest$3.55 21 Integrity Bank-CD#1029930;date of death balance 26,462.20 22 M&T Bank-Checking Account No.9839058030;principal balance at date of death$2506; 25.06 accrued interest$0.00 I 23 M&T Bank-CD#31003913914048;principal balance at date of death$41,000.00;accrued 41,144.15 interest$144.15 i, 24 Members 1st Federal Credit Union-Regular Savings Account No.3647-00; principal balance 89.58 at date of death$89.58;accrued interest$0.00 it 25 Members 1st Federal Credit Union-Life Savings Account No.3647-04;principal balance at 4,000.00 date of death$4,000.00;accrued interest$0.00 I 26 Members tat Federal Credit Union-Investment Savings Account No.3647-05;principal 2,786.70 balance at date of death$2,786.70;accrued interest$0.00 i i I i i Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11.10) i i Rev-1508 EX-01-1D) SCHEDULE E Pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT continued ESTATE OF FILE NUMBER Klinger, Elizabeth B. 21-12-0991 ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 27 Members 1st Federal Credit Union-CD#364740;principal balance at date of death 18,729.65 $18.729.65;accrued interest$0.00 28 Members list Federal Credit Union-CD#364741;principal balance at date of death 73,805.00 $73,805.00;accrued interest$0.00 29 Members 1st Federal Credit Union-CD#3647.43;principal balance at date of death 65,000.00 $65,000.00;accrued interest$0.00 30 Members 1st Federal Credit Union-CD#3647-48; principal balance at date of death 35,188.48 $35,188.48;accrued interest$0.00 31 Members tat Federal Credit Union-CD#3647-49; principal balance at date of death 74,564.04 $74,564.04;accrued Interest$0.00 32 MetLife-Total Control Account No.4053301765; principal balance at date of death$923.00 923.00 33 Metro Bank-Savings Account No.480002150;date of death value$24,099.73 24,099.73 i 34 Mid Penn Bank-CD#309002329; principal balance at date of death$38,469.23;accrued 38,511.27 interest$15.04 35 Mid Penn Bank-CD#309002921; principal balance at date of death$46,751.92;accrued 46,619.59 interest$67.67 i 36 Mid Penn Bank-CD#309002923;principal balance at date of death$86,231.32;accrued 86,364.72 Interest$133.40 37 Mid Penn Bank-CD#309002971;principal balance at date of death$20,779.67;accrued 20,781.63 interest$1.96 i 38 Mid Penn Bank-CD#309003058;principal balance at date of death$35,000.00;accrued 35.007.16 interest$7.16 ii Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11.10) Rev-0506 EX+(11-10) SCHEDULE E Pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT continued ESTATE OF FILE NUMBER Klinger, Elizabeth B. 21-12-0991 ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 39 New York Life -Annuity payment 188.90 40 Orrstown Bank-CD#4000027846; principal balance at date of death$60,000.00;accrued 60,009.05 interest$9.06 I 41 Orrstown Bank-CD#4000033635; principal balance at date of death$93,000.00;accrued 93,025.48 interest$25.48 42 Orrstown Bank-CD#4000034579; principal balance at date of death$$20,745.87;accrued 20,747.01 interest$1.14 i, 43 Orrstown Bank-CD#4000035061;principal balance at date of death$31,288.93;accrued 31,29105 interest$4.12 44 PNC Bank-CD#11020043316;principal balance at date of death$40,000.00;accrued interest 40,006.28 $6.28 45 PNC Bank-Checking Account No.5004116257; principal balance at date of death$5,17159; 5,173.61 accrued interest i 46 Susquehanna Bank-Checking Account No.13513568;principal balance at date of death 10038 $100.38;accrued interest$0.00 47 Susquehanna Bank-CD#3000023248;principal balance at date of death$30,667.08;accrued 30,676.78 interest$8.70 48 Susquehanna Bank-CD#40340001835; principal balance at date of death$25,758.74; 25,759.89 accrued interest$1 A 5 49 Susquehanna Bank-CD#403500002304;principal balance at date of death$100,000.00; 100,024.59 accrued interest$24.59 i i Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev.11-10) Rev-1508 EX.(11-10) SCHEDULE E Pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT continued ESTATE OF FILE NUMBER Klinger, Elizabeth B. 21-12-0991 ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 50 Wells Fargo-Checking Account No.xxx6080;principal balance at date of death$5.00; 5.00 accrued interest$0.00 51 Wells Fargo-CD#xxx75";principal balance at date of death$37,146.02;accrued interest 37,146.07 $0.05 52 Wells Fargo-CD#xxx8625;principal balance at date of death$65,000.00;accrued interest 65,019.95 $19,95 i 53 Personal Property-sold at auction 7,220.50 54 Personal Property -retained by Bruce and Naomi Speirs,per appraisal 145.00 55 Kiilmore Eye Associates-Refund 15.00 56 Millville Mutual Insurance Company-Refund of homeowner's insurance premium 602.00 57 PA American Water-Refund 20.03 i 58 New York Life Annuity-Policy No.75616293; closeout value used. Date of death balance 13,605.76 was requested,but never received. i i i i TOTAL(Also enter on Line S. Recapitulation) 1,838,691.77 Copyright(c)2010 form software only The Lackner Croup, Inc, Form PA-1500 Schedule E(Rev. 11-10) i i Uncashed Checks I Deposited into Estate Account at Metro Bank i September 18, 2012 i I i i I i i I i Ii I ii i 000041 8-9/430 B PNCBANK DATE CHECK NUMBER PNC Bank, National Association 05/08/2012 014347674 Pittsburgh, PA PAY TO THE ORDER OF CHECK AMOUNT 014347674 ELIZABETH B KLINGER 1 WAYNE CIR jI CAMP HILL PA 17011-6660 Ij ALPI SIGNATURZ 11.0 i4347674iI' 1:0430000961: 000900 1 50 111' Original document ��3 � �_ W.ETL8iFt8r NAT16�_ ?�NIkCF REN I t INTEF[ESF NO.: �r R&I, "u"yM4i1 *1 w a iWmm Mi iqS i■.m �A umm rm "u ry iii x E 4.i wai uurW WW iiww m u . iy ry iw wum "uu�muM uunm nn iNW uWrvW'""' m Wuww u�miw"d Swu�S �w mmm."m'MU wym +0 x rv. riu :mug'AIR, . ✓IIo m Mai um m Oy iuw .�Oiw .n ry §i.bA iW iwj A§ i�u..�n n.mx i1 rvmi ii uui Mww .rtn N�iMfi ✓■ h n m F � .ru nn pMi "m'wnm 4 uwuw,rw iuru� iy'� ,muu•wr Yum. 111 My, Mii uwiu yy"Mq uuA '.'E m � � w mSx wi fire uM� .d+�i"w uiyu`. ��nynWS imuem° Date': QS�fl5��012 *"' ********7 . 19 ngi'M i.4y,iwlin mn iy "p p nPOW MnW yfi- WI'umw pu"W°iM iNi Y'-m M4 '5d'umiM i�i.uiiWrv" Cliy�. "� m . °" 1i!M. !�" m WrM -Sm, m,ml wi `" � i in nu",i n .mi u1y W, ,n iy r iw rvm iui rvimm m i `9iummry Nervy .4 nm Wr ne w a r:, 'Miry rt w. ku.xry mn .Iry iii�i, uu .uq.:" a yd yuy . rvmni a An-poii i H;FmMri �mo ueuwx miu fie a iuu a°m.m w¢ 4mmd �;0 lruui imi iir im�nmm,":rci�iu W'mrvu' "Wrv!w`rnem mMr^"yr .yu u 'M�""wrv � INCLUDED ON BACK ium�i ELIZABETH B KLINGER w $° nF " + 1 4 " �"& n mnirt Wx' mmm 'wm rvn Al V' m■uy, Muuu.:'W'��W'wv vyumr %III �mmi x"11 ° .wu yu Wry mmrou. yywuy my nil im mmu i �lu.v'i� fiwrvc fir Ym i Ifim uu. 1 WAYNE CIR w,yi mn ii wurv,. ,4"m� mm m�a w�'n<: w.jnw miu" i CAMP PA 17ry011-6660 I " w „mm SIGN M% w ill 7036a4lie 1:0433ia0921: 30004011' SUSQUEHANNA SENIORS LLC 2076 DBA SENIOR HELPERS PH 717-920-0707 60-1809/433 3400 TRINDLE ROAD / BPANCH 2852 CAMP HILL,PA 17011 DATE PAY Ir' 1��� // �- L lJ 111 qI 'f TO THE ORDEROF''LLEC t�.�+'<- OF �Lt ZA'�CS+�. `` �1•/lS.<N dre'S,OQ i 7[,.117 46UfA4 CIY "!d +Ja�-f'U, -Gk 4 1 44t, AA1 Firs National 13 nk FOR ■ m m u n 1 1 it I _ 00 2076 .043318092 . 95 OL99 5 I 6D.,6D3 034199 p.1 313 0. BANK TIME DEPOSIT INTEREST Afnd"°,fs°°'"° IRA DISTRIBUTION ACCOUNT NUMBER P.O.BD�c25gSh�ippemburg PA 172579970 4000027846 DATE VOID AFTER 6 MONTHS One hundred seventy seven & 5/100 dollars AMOUNT $177 . 05 PAY, TRTHE Elizabeth- B Kljnger 1 Wayne Cycle Camp Hill' PA 17011 AUTHORIZED SIGNATURE n•034 qqu■ 1:0313iS0361: 103 10106920116 Jill ii ABSENCE OF THIS FEATURE WILL INDICATE A COPY. THIS DOCUMENT HAS A MICROPRINT BORDER. • — — _ _ _ • �7 510394279 CHECK NO. Susqu ehann 4a ISSUED BY:MONEYGRAM PAYMENT SYSTEMS INC 5.709 P.O.BOX 9476,MINNEAPOLIS,MN 55480 TT= DRAWEE: THE BANK OF NEW YORK MELLON,EVERETT,MA I DATE AMOUNT �I 5/17/2012 ***$40 . 99 PAY ELIZABETH B KLINGER Drawer: Susquehanna Bank To MICHAEL R FERTENBAUGH POA THE ORDER 1 WAYNE CIRCLE OF CAMP HILL PA 17011 THORI GNAILI o S 10394 279g• 1:0 i 100709 24016001 2089 19011' I 701M 12103G THIS DOCUMENT HAS A WATERMARH.THE FRONT OF THE DOCUMENT HAS A MICR0.PRINT SIGNATURE LINE.ABSENCE OF THERE FEATURES WILL INDICATE A COPY. 0 3 3 - 60.1503 .,... 313 00 TOWN BANK,. TIME DEPOSIT INTEREST , 91� rLv PO.. Box OX 2 50,:Shippensburg,.PA 17257-9920 IRA DISTRIBUTION ACCOUNT NUMBER 4000033635 � - I SATE' _ 5/0,7/I2 _ _ VOID AFTER fi MONTHS I Sixty eight & 61/100 dollars AY AMOUNT $68 . 61 OTHE IRDER Elizabeth B Klinger IF 1 Wayne Circle Y Camp Hill PA 17011 AUTHORIZED SIGNATURE 00339aGO 1:0313LS0361: 103 01369201I' 60-880/313 MID PENN BANK 345782 349 Union St.•Millersburg, PA 17061 (717)692-2133•www.mfdpennbank.com REF :C00000000309003058 CHECK DATE: 05/30/12 *********58 . 68 PAY TO THE ORDER OF I ELIZABETH B KLINGER- 1 WAYNE C I R CAMP HILL PA 17011 1 �* 'A M2ELT5161NIATUBE Rfi lip 3Is S ?a211• 13 1 30880 71: 066003511• - I t AT „5 :1 PAY •< °. ../Y PAY�EXA'&LY I! -01 E'l4.69 1 ro ELIZRBET KLI , R 1 a 6SROE111 TM...,*�,7 v..•.a:m.,emmra�aas:. .�arvmwwm s,:ra—rw xras:rswa �za-roax: amv:�sm"cw:mrary..,.w:w:.. ••_c. _�.a�. - y: ... ...:,.:- �I 11. 12198611• 13130 &aL,Gi 5 190000 5 311• .. . 9 ba' MUST 37004'13432 62-35 BNY ME4LON MUST OF pLLANARh 311 I A UNIFI Company NEWARK,UE 19711 The Union.Central Life Insurance Company . . Cincinnati, Ohio 45240 i I CONTROL NO ANNUITANTIINSURED OR CONTRACTHOLDER DATE OF CHECK TOTAL AMOUNT I +x+*** ** .ELIZABETH KLINGER 6/1/2012 S***rt°****621.67 PAY TO THE ORDER OF ELIZABETH B 1ZLINGER i 1 WAYNE CIRCLE I. i CAMPI[II.L PA 17011 AUTHORIZED SIGNATURES j u• 3700473432110 1:0311003Si1: 0 3009 5 5 7 2 11" FRANKLINBTEMPLETON, INVESTMENTS 11-35/1210 Franklin Pennsylvania Tax-Free Income Fund•Class A CHECK NUMBER: 1290871777 DATE: 5/21/12 ii **EIGHTY SIX AND 651100 USD ** PAY * * * * * * * . * * * g86.65 SEURITY TO THE ORDER OF MUV) DIETAID rLatun[s ETAMtS ON eACK ELIZABETH B KLINGER 9 AND HENRY G KLINGER JTTEN a BANK OF AMERICA,NA 1WAYNE C1 San Francisco,CA CAMP HILL PA 17011-6660 1, Sti TWO SIGNATURES REQUIRED II 1111 i 2908 ? 1 ? ? ?u' 1: 1 2 1000 3 581: 1,48491111400011' RaN.IqUM40111.BP St MEMBERS 1 NO. 00o©7�$aos SL issues By.Moneygram Payment Systems,Inca P.O.Box 9478,Minneapolis MN 55480 UNION Drawee: Boston Safe Deposit 8 Trust Company P.O.Box 40 Boston,MA Mechanicsburg,Pennsylvania 17055 5.709ta 10 PATE 06/01/12 *** EIGHTY-SEVEN DC7LLARS AND 78 CENTS *** $87 . 78 PAY EXACTLYOW 8 7 Dollar.a., .,rs §Cents r.,. r. OFFICIAL CHECK -. ' Drawer,MEMBERS IST FEDERAL CREDIT UNION To THE, *ELIZABETH B' KLINGER* ORDER OF Two SIGNATUIRt4 RE UIK1EIJ I­UK UHLUK OVER 00 1 WAYNE CIR CAMP HILL PA 17011-6660 11.0000 ? 1880 511` 1:0 1, 100 709 21:0 1600 It 1304 ?8 211a f 1 t �� m. R'G�t"�S+`•K,1 aa.(x'A'. Y k '' w e ". ,._ � 'v 24741,20822 $62 3$ 66 c f MATORE' '0✓1F/2012 ., Date: 86116✓2AS12 ,PayAmaunl: 1,F 3M MM 38,66 Pay EXACTLY MM«t*MtMM3B DOLLARS AND *66* CENTS To The '.. Order Of ELIZABETH B KLINGER {j 1 WAYNE CSR - CAMP HILL PA 17011-6660 - 11.008 19090411' 1: 12 1000 2481: 486 i 506 ? 3 1114 i CEN'rruc° O T 18 8 P.O.Box 62090-Harrisburg,PA 17106-2090 (717)657-7727-w .centricbank.com DATE ACCOUNT NUMBER INTEREST CHECK 6/13/12 3028636 Twenty four- & 29f 1DQT CICt13, F„ AMOUNT E 1 ! ill 1111 Ij ll Il lot Il 1,111 1911 ll 1 P y ELIZABETH 'IfLFIIt � ' 1v',_ f1,111I TO 1 WAYNE CIRCLE THE OREBQE !' C, HILL PA 17011-6660 Ih I � {11111 N11�Ih1 I I I u Ik 11111 lf'u I u v 1 1 1VII �II� I�,I �1 �h Illll :� A *� .�la� -0_�?x Fy aMl�ul1 al I I� � �I Ili 1�l 1,"^„ v , I Flaw" Mme. � AUF E Mn. , 11E071882n■ 11:0313452691: 000004211' i 000040 l % ' , 1 9 ,W II �1 yl�r. V IWY'If v 9-9/430 l q pN! I�I� DATE CHECK NUMBER Pitts . . , PA', y+hp,7,. se �U wMl�m "VW� 06/08/2012 /'1.43,7957 0 - p, IS"Y "5p1 'uq s hlry V7= tJ �1 Li 1I& wv��° aVl1 f6 IA j1� PAY,TO THE ORDER OF " 1 1µ v - A �°C CHECK AMOUNT f ��.M T'ly ,rr $*6E3E3t*9E3E*�6*$.47 014379570 ELIZABETH B KLINGER , t•" t '." 1 WAYNE CIR I CAMP HILL PA 17011-6660 J1 1 A ORIZED SIGNATORE i 11'0 443 ?95 ?011■ t:04300009Bt: 000900150111. WARNING:MULTIPLE SAFETY FEATURE&THE PACE OF THIS CHECK HASA BLUE BACKGROUND AND FLUORESCENT INK(HOLD UNDER BIACKLIGHT TO VIEWI.REFER TO SECURITY ENDORSEMENT SACHEM FOR TRUE WATENMARK.AND ADDITIONAL FEATURES. Edo n Mo b i l Bank of America 64-1275 Atlanta,Dekalb County,Georgia 611 GA PLEASE DEPOSIT THIS CHECK PROMPTLY. Pay $`TWO HUNDRED DOLLARS AND SIXTY FOUR CENTS"' Ched Number.00039347i2 11 Jun 2012 Pay to the HENRY G KLINGER order of &ELIZABETH B KLINGER JT TEN 1 WAYNE CIRCLE **** **** CAMP HILL PA 17011-6660 $ 200.64 i CDTputershare In� Authorized PayiAAnt Il Computershare Inc. 250 Royal St Canton,MA 02021 signahlre(5) 1 it"000 3 9 34 7 4 21i' t:06iii2788t: 3 29 905 24930 Original document has LineMarkrm lines in the paper that change from light to . -. ea eo9 as CASHIER CHECK -- -DRAWER FIRST NATIONAL BANICOF PENNSykVA-fA INTEREST N0. 707634- 1 Rfa� ''n000ao2� 1�Y7 • m Date : 0605/2012 * ;Ipp �'�II i0 w BB .�NCIUD� ON ACKoy ,I �, w III 11 1144; 111 11,11 111 111 �11 I 40 T}rfE n w D wuuW mla y"1,"r„ 1,u, 1,u w ro mhe mil ,im °� um „ ELIZABETH B KLINGER ..,, n N m r re„wimml�,y i oN,�h,e n�w i Iwn w' U q l, ,u+�t Y Pm9. m 1 WAYNE CIR Z ,, u N CAMP HILL PA 17011-6660 w u m ,�... ,• n ��,. � ,,, ,�„r._ ,nmr1M, e,ll,m M y „ 'DWI PSIG '71�� n u .m,n„ �� I� 11' 70 76 34111 1:04 3 3 1809 21: 30004011' ASS ECHECKHNOEATUPE INDICATE A COPY. h CrOF THIS DOCUMENT HAS A MICPOPRINT BORDER. • - -P ' H n _ • 1 Susquehanna ISSUED BY:MONEYGRAM PAYMENT SYSTEMS,INC 5-70 P.O.BOX 9470,MINNEAPOLIS,MN 55480 TTZI- DRAWEE: THE BANK OF NEW YORK MELLON,EVERETT,M $ I � DATE AMOUNT 6/17/2012 ***$42 . 3�5i PAY ELIZABETH B KLINGER Drawer: Susquehanna Bank TO MICHAEL R FERTENBAUGH POA THE ORDER 1 WAYNE CIRCLE OF CAMP HILL PA 17011 ALJTHOR1 GNATURE ee 5 10 3999 34u' 1:0 L 100709 21:01600 L 2089 19011' — -- - CHECK NO. 0004552661 SP4 937 ® NYL ANNUITY SERVICE CENTER Z 3 i REFERENCE NUMBER. 75616293 IAD PO BOX 9859 JUNE 12, 2012 PROVIDENCE,RI 02940 $188.90 , PAY TFRS AMOUNT ONE HUNDRED EIGHTY-EIGHT & 901100 DOLLARS PAY MS ELIZABETH B KLINGER O RDeR OP: 1 WAYNE CIRCLE CAMP HILL, PA 17011-6660 PRESIDENT PBi T VICE PRESIDENT&TREASURER JP Morgan Chase Bank,N.A.Syracuse,NY r-- m0004552661110 1:021, 3093791: 60188076811' /1" 60.880,313 MID PENN BANK 347776 ..349 Union St.•Millersburg.,PA 17061 _ (717)692-2133-w w.midpennbank.Com' REF:CO000O000309003058 CHECK DATE: 08/30/12 *********60 . 64 i PAY TO THE ORDER OF i ELIZABETH B KLINGE& 1 WAYNE CIR r " CAMP HILL FA 17011 ,_s ; —'ACJ'1`H6RI2''ED-SIGNATUFIE ,,may 11. 34 ? ? ?6a■ 1:03130880 71: 0660035++' CHECK NO: 0004639366 SP4 va; NYL ANNUITY SERVICE CENTER REFERENCE NUMBER: 75616293 [AD ,2 po Box PkIT IINCNCE,RT 02940 AUGUST 13, 2012 $188.90 AMOUNT ONE HUNDRED 60ATY-EIGHT &90/100 DOLLARS - PAY TO MS ELIZABETH B KLINGER pRDEROF: 1 WAYNE CIRCLE CAMP HILL, PA 17011-6660 i PxESmRr.r I �K JP Morgan Chase Hank,N.A.Syracuse,NY _ -_ FiR VICE PR%SIDENT TREASURER i 11.000463936811' 1:0213093791: 60188076811' I I 101M 121036 i THIS ODCUMENTHASA WATERMARK THE FRONT OF THE DOCUMENT RASA MICRQPRINT SIGNATURE DNE.ADSENGE OFTMESE FEATURES WILL INDICATE COPY /LI 133446 ORRSTOWN 313 BANK a o TIME DEPOSIT INTEREST P.O.Box 250 Shippensburg,PA 172579970 IRA DISTRIBUTION ACCOUNT NUMBER 4000033635 ATE _ 6iO7/12 VOID AFTER 6MONTHS ' Seventy & 89/100 dollars AY AMOUNT 0THE $70 . 89 RDER Elizabeth B Klinger F 1 Wayne Circle �11 Camp Hill PA 17011 M. AUTHORIZED SIGNATURE 11403446►.0■ 1:0313150361: 103 006920116 i a 60 ism 035531 318 ORRSI'OWN 8A A TIME DEPOSIT INTEREST - TrWb�,g:&Nlw - P.O.O0,s µar1 f2 99 a __ - IRA DISTRIBUTION �`�.. ff ACCOUNT NUMBER r - r. �_ +� 4000027.846 DATE ��`_ `t g-�: r �^ M VOID AFTER S MONTHS t7ne hundred eighty & 98/100 dollars RAY.. AMOUNT T E $180 . 98 ElzabetBr R 1 Wayne _ * k Camp Hil1 � " .� � �� 1 � j "AUTHOflREpBIGNATORE eb3553 iniii 1:0343450361: 103 006920114 3700477521 ex as BNYMELLONTRDBTOFDELAWARL 311 AUNiF(Camparty NEWARK-DE MII The Utnioa Central Life Insurance Company , i Cincinnati, Ohio 45240 "Ct3NTitOL NO. ANtVUYP,AIV'7'lIN3T,33REbOR'CON.TRAC'i'$OI.IIFB 'DATE.GlP.OI3SC& TOTALikL�IO'SIN'1• . ****>M**** ELIZABETH i L ZABETH KLINGER � 912J2022 $ .622.67 � . FAY TO THE CiRDER OF ELIZABETT3 B KLINCTER ll 4 1 WAYNE CIRCLE CAMPFIlLL PA 17011 AUTHORIZED SIGNATURES 11' 3 ?004 ? ? 524n5 1:0344003541: 030095572411' iHIS NV�NMENt nR£aN Api!flC!AL WgTEPMAfl15 PPIYTfO(NV TXE BACK.111E cppryT OE 7,4E OOGUMENi Hq5 A MIGpCFpINT SIGNATVRE LINE.ABSENCE OF THESE GEAIMSS WILL INDICATE A COPY. 5'T DRAWER: MONEYGRAM PAYMENT SYSTEMS,INC, 1I jra j/"'� P.O.BOX 3476,MINNEAPOLIS,MN 56496 154154 o (y■ NB BANK DRAWEE'. EVER TNKMOAF NEW YORK MELLON 0 CETTYSBURG. PENNSYLVANIA 17325 8-28-12 AGENT FOR MONEYGRAM ONE HUNDRED THIRTY SIX DOLLARS AND 91 CENTS*********** $********136.91 PAY ELIZABETH B KLINGER TO THE ORDER 1 WAYNE CIR OF CAMP HILL PA 17011 11` 454154611' I:0 4 40D ?09 21:0 4 500 40 38066811' CUMEM UP TC THE LIGHT TO VIEW TRUE WATERMARK HOLD DOCUMENT JP TO THE LIGHT Tp VIEW TRUE WATERMARK mnT�� . f • CHECK N0, 644295 Menufca.mn;*N TrWOM Trust Comps Us O '-B.-ns 09/01/12 P.O. Box 767 Eu Is NY 14240-0767 10.4 z2o ACCOUNT NO. 031003913914048 PAY SUM OF ********144 DOLLARS AND 15 CENTS $144.15 TO THE ORDER OF ELIZABETH B KLINGER Two AUTHORIZED SIGNATURES REQUIRED 1 WAYNE CI R FOR AMOUNTS$5,000 8 OVER CAMP HILL PA 17011-6660 I 11.000644 295+1' 1:0220000461: 17005101705108111 k Interest ,'heck " 147E 0/2512 PAY i PIFTEEAF DOLLARS AND j@ C&TS44 ,`„��^`i �I�".;, PAYEXAGRY TO ELIZABETH B KLINGER T r 17011 I t1. 12 28 2 211• 1:0 3 130 18461: 5 190000 5 311• THIS DOCUMENT HAS AMICROPRINT BORDER. -,-�roAT E QF TFVISfEAiURE WILL INDICATE ACOPV. 1,._o, A�d� «r' It _ _ _.; r CHECK NO. 510412040 9 Susquehann4 ISSUED BY:MONEYGRAM PAYMENT SYSTEMS,INC 5-7 4 ;,. R DRAWEE: T E BANK OF NEW YORK MIELLON,EVERETT,MA 5 _ r DATE AMOUNT I PAY ELIZABETH B KLINGER $j17j2012 ***$42 .35 TO Drawer:R FERTENBAUGH POA Drawer: Susquehanna Bank III THE T L !� ORDER 1 MP HI CIRCLE AU of CAMP HILL PA 17011 t ` THORI GNATURE __ 11' 5 10 4 1-20 4011' 1:0 1 100 709 21:0 1600 12089 190,16 CASHIER CHECK - DRAWER FIRST NATIONAL'.BANK OF PENNSYLVANIA INTEREST NO. !R 179 9 1- r � Ref:`C00000000402110175 Y w„ Date: 08/05/2012 PAY TO THE ORDEF1 OF r.. 6ECkR1YFEg7UPE$ , •INCLUDED ON BACK ELIZABETH E KLINGER , 1 WAYNE CIR . », , . CAMP HILL PA 17011-6660 Am.U..� .wyc'fro. y SIGNAP,C9 u ix i nr. m iwr , 11' 7099111' 1:0433180921: 30004011' m"i iihj f J�upVip � r � li I �r D$[JI ' �LP.O.Box62090•Harrisbu PA 17106- �� • � mRi V d II �I �' 1717)657-7727•w ..c etricbank.com�o NUMBER ANT RcHEe 0111i 12 ff3621-h.: M Twenty four & 2 1 ow p Cj T.'A AMOUNT tlY N I,�i 10111 : R ELIZABETH KL �. TO 1 WAYNE CIRCLE THE RF MHIL L PA 17011-55.50 A �' Ilr II X911 1 °t 91 I� V ,. � AU E 11.07215411= 1:0313152091: 0000042+11 15USS FARGO BANKw N.A, a 11eekN6 0082851 7 INTEREST PAYmrw�T 247412052258625 38.65 NATURE '09f16/20k2 -Date: 08/16/2012 PryAmauntc ■ Pay EXACTLY *****.*38 DOLLARS AND *65* CENTS To The Order Of ELIZABETH B KLINGER 1 WAYNE CIR -F- CAMP HILL PA 17011-6660 0008 28 5 1 2 7"• 1: 1210002481: 48G150G7310 =L` FRANKLIN;TEMPLETON INVESTMENTS 1135/1210 II Franklin Pennsylvania Tax-Free Income Fund-Class A CHECK NUMBER: 1290673553 DATE: 7/31112 **EIGHTY SIX AND 65/100 USD ** PAY . • > * + . * * * $86.65 r: ,. SCCIIEIV PURIM a TO THE ORDER OF ]BOUND DETAB,S ON BACK f ;f ELIZABETH B KLINGER'1^, '•' AND HENRY G KLINGER' JTTEN }.BANK OF AMERICA,NA 1 WAYNE£IR San FranascD,CA CAMP HILL PA 17011-6660 TWO SIGNATURES REQUIRED s i R' 129087355311' 1: 1 2 1000 3 581: L413491111400011' i r 000040 ylp y DATE EF'�WA*IJ'I� + q �}�y�ry I iits PA ' el'..,„,„, 0$/08/2012 "'�� 1 �°FV2 I z 1 r uIEn PAY TO THE ORDER OF °Ip R "I l 1+m a �' ` CHECK AMOUNT li - e. $3f3E3HF3E3E3EiEJE3E$.47 014440263 ELIZABETH B KLINGER . I I I WAYNE CIR T < ” CAMP HILL PA 17011-6660 ° I III ' All A�rFSURlZf:D SiGNATU�I CT R'0 L4440 263R' #:0430000961* 000400 L 50 LII' i iy11IM 121039 THIS DOCUMENT HASA WATERMARK.THE FRONT OF THE DOCUMENT HASA MICRO-PRINT SIGNATURE ONE.ABSENCE OF THESE FEATURES WILL INDICATE A COPY {���I +t 631303 QJ� Olttts OW BANK ems, _ .: TIME DEPOSIT INTEREST P.O.BOx25D,.MPpenshurB,.PA 17257-9970 IRA DISTRIBUTION ACCWNTNVMBEft `. 4000033635 ATE 8/QTf 12 VOID AFTER 6 MONTHS Thirty one & 59/100 dollars AY AMOUNT OTHE $31. 59 RDER _ Elizabeth' B Klinger : - 1 Wayne Circle Camp Bill' PA 17011 AUTHORI2ED SIGNATURE 118035346e' 1:03L3L5036s: L03 00692011' i St No. UUUUisal.)r MEMBERS Vt t issued By.P.O.Box 9 Payment Systems,Inc, IV u"� P.O.8pz 9478,Minneapolis MN 55480 I-FEDERAL CREDIT UNION `mti! Drawee: Boston Safe Deposit&Trust Company i. P.O.Box 40 ,s 'sp' "�. Boston,MA 19- Mechanicsburg,Pennsylvania 17055 c•--°�'� Gf�": 5-7091116 DATE 08/01/12 *** TWENTY-FIVE DOLLARS AND 47 CENTS *** $25 . 47 PAY EXACTLYase25 DO11aC5 Q 7Cents ,,. OFFICIAL CHECK I Drawer:MEMBERS 1ST FEDERAL CREDIT UNION j R O - IR r ORDDER ER *ELIZABETH B KLINGER* TWO wo SIGNATURES E UE FOR CHECK V S 50 .00 1 WAYNE CIR Qr CAMP HILL PA 17011-6660 nqU Cdut.) _K - � }JT E I 11'00007 361, 3711" 1:0LL00 ?0921:0L600LL304 ?82111 i so-eso�ats I�ILIQ PEi�iN BANK 34 71 2 549 Union St•Millersburg,PA 17067 (717}692-2133'•www.mdpennbank corm C ,,. REF:000000000309003058 CHECK DATE: " 07j30/12 *********58 . 68 PAY TO THE ORDER OF ELIZABETH B KLINGER_ + 1 WAYNE CIR ,­117#f 1 CAMP HILL PA 17011 I+V.t7dWIZE'0 SIGNATURE �... r34 ? L4 2us t:03 1 30880 71: 06600350 g 3700476176 sass A UNIFI Company r 9NY MEI,LUN TRUSTOP DELAWARE ' 31! The Union Central Life Insurance Company NEWA{}:,DE rant 1 Cincinnati, Ohio d5240 - CONTROLNO. ANNUITANTINSURED OR CONTRACTHOLDER DATE OF CHECK TOTAL AMOUNT ELIZABETH KLINGER . $/1/2012 I$********+*621.67. PAY TO THE ORDER OF 4 ELIZABETHKLWC3ER c� v I WAYNE CIRCLE I CAMPPIII,L PA 17011 i 3 AUTHORIZED SIGNATURES III3700476L ?6tt" 1:0311003511: 0 3009 5 5 7 2 &11" .......................................................-........................ a - - CHECK NO: 0004595524 SP4 Z1 NYL ANNUITY SERVICE CENTER REFERENCE NUMBER: 75616293 IAD PO BOX 9859 JULY 11, 2012 PROVIDENCE RI 02940 $188.90 PAY THIS IT ONE HUNDRED EIGHTY-EIGHT &90/109 DOLLARS PAY MS ELIZABETH B KLINGER ORDER eROP: 1 WAYNE CIRCLE CAMP HILL, PA 17011-6660 PnasroENT �� �� 11 FTA T VIf.E PRESIDENT&TREASURER JP Mnr pan Chase Rank,N.A. Syracuse NY _. 11'000459552 Lon 1:02L3093791: 6OL$8D76811' III I,'I 'A��,CII JIB plfla h $f y I I��N�N�I�I!!p IryI�I�I i4hl BI�ll I. tvT hlllf SIN 20 mrcm P.O.Box 62090•Harr)sburg,PA 177.06-2090 (717)657-7727 www.centncbankcom Ile n Ins _ sl NT NUMBER . , III' I N .III I �I. . IN�fFtE9'G�N.EC 1� li VI NIpl 30 � = �� S2 ..� �NMYWOI Ih �hMl 1 — _ d �iN Twenty tYrsee & vo�I "Y ZABETH r k4m To E CIRCLE LE YN 1 .WA THE F . HILL PA 17011-6660 rfi;;' ql h w uM Y1 `' _ Ira r u1 III 71 I IM1u I I NL, 100720L711' 1:03L3L52691: 000004211' ;I q@ !iiiiii!I110110 THIS DOCUMENT HAS A MICflOPPINT BORDER.. ABSENCE OF THIS FEATURE WILL INDICATE A COPY. CHECK NO. 510406198 � Susquehannn I ISSUED BY:MONEYGRAM PAYMENT SYSTEMS,INC 5-70g P.O.BOX 9475,MINNEAPOLIS,MN 55480 1'M{O���pryy g DRAWEE: THE BANK OF NEW YORK MELLON,EVERETT,, C j DATE AMOUNT �f C 7/17/2012 ***$40 . 9 PAY ELIZABETH B KLINGER S TO MICHAEL R FERTENBAUGH POA Drawer: Susquehanna Bank THE j ORDER 1 WAYNE CIRCLE OF CAMP HILL PA 17011 THORI GNATURE CC 11. 5 L0406 19811■ I:0 L LO❑ 709 21:0 L E00 L 2089 L9011' FRANKIINwTEMPLETON, INVESTMENTS 11-351 1210 !' Franklin Pennsylvania Tax-Free Income Fund-Class A CHECK NUMBER: 1290872673 DATE: 6/29/12 **ONE HUNDRED TWELVE AND 55/100 USD ** PAY * * * * * ' * * * * * ' $112.55 ',, CUnm FUTURES TO THE ORDER OF IN ® EA DETAILS ON BACK ELIZABETH B KLINGER AND HENRY G KLINGER .� JTTEN _w 1l,, . BANK OF AMERICA,NA 1 WAYNE CIR �^ San F2nciscD,cA CAMP HILL PA 17011-6660 TWO SIGNATURES REQUIRED I 11. 129087267311• I: i2 1000 3 581: i48491111400011' WARNIIII Original document has LineMark TM lines in the paper that change from light to dark in reflected to transmitted light. CA INfEFt CNECK eo- ras {}RAWER FIRS;hFAFI NAL BANK OF RENN6W1 ANI. INTEREST � NO. 714G?7 ,I Wpm �Irvn Alfi it III Y ��µ!i m lu "I Al( n i�l Yri Wow YY � ��mm lmo V�OQYW � OY Lei. o"AAAAAA III uwi Y rw Nuw Aioim u N u m Ddtre : 07j0�5�2012 . * ********7 . 19 m i nry Yin nmr.l �ml iiil: ry m rvnR Wi'1 u iW� iu wului giNui nxA m,mm1o. d u All' nnw �: rvd uAia n '.r All",,yeµpu` urn ry u, mm4 irrN i. ry m u mry iia 'ui w' m Iry h rdl li ": nR rn � uniu' uW a •'u IY1N'i uW Y"ri ym wN .n Min my a o mmiuw< M uw pm vl 1I a I � mF' " u � ivr u�r n r^ n a or r ou °I ui a *' li PAY ra i' '"viu Imm��m we B�Q�,IIIRITYWE�1 _ •INCLUDED ON BACK In InA ryry ilnuµ . Y u W u qW Nplm i 0 njVAn mml ELIZABETH B KLINGER i �rii m mm III m: V .II mm m ry ,IRm rmmu r h ^. AA .h Grv,.$IN i. u' Wu wl m" !AAAA m h . 1 WAYNE CIR W!"w° �m ry w � Am ry CAMP HILL PA 17011-15660 ^. * m V}', '�a„ S16N 11' 71402711' 1:04 3 3 1809 21: 3GOOL10118 i WELLS FARGO BANK, N.A. 0udlzNa 0482413 INTEREST PA- MEI 247412052258625 -37 .41 ;. MATURE. 09/16/20 Date: 07/16/2012 PayAmoI *****37.1,141 Pay EXACTLY *******37 DOLLARS AND *41* CENTS 'I '1'o The Order Of / ELIZABETH B KLINGER 1 WAYNE CIR CAMP HILL PA 17011-6660 ill I _. nannil 31-. 117f1ue r• l 7 infin 71.Ar' _1-AC 1 i;nr_ ? :1 1um THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND-NOT A WHITE BACKGROUND DIVIDEND CHECK Vanguard Wellington Fund Investor Shares Check pate Of Number Check 22004104 0612812012 4743000017 Dalan Cants 57 Pay To Th **********712 e Order Of ' HENRY G KLINGER & PAYABLE ?lease cash this check with',,six 161 momhe so-1sz . ELIZABETH B KLINGER JT TEN 433 PNCBANY. PNC BANK,Netloeel Assedarw,, JEANNETTE,PA G Vanguard" Authorized Signature I 110002200410 Lie 1:0Le 33016274 100241909611• IV IFEDERAL No. 0000727640 MEMMERS 1st ,, Issued By:Moneygram Payment Systems,Inc. T Wry(, P. ,Box 9476,Minneapolis MN 55MO j L CREDIT UNION A apt, Drawee: Boston Safe Deposit&Trost Company P.O.Box 40 — Boston,MA i Mechanicsburg,Pennsylvania 17055 - 5.709/110 j DATE I 07/02/12 *** EIGHTY-FOUR DOLLARS AND 95 CENTS $84 . 95 � I PAY EXACTLY, o11a rs 9 y5 Cements OFFICIAL CHECK -Drawer:MEMBERS 1ST FEDERAL CREDIT UNION TO THE ORDER OF *ELIZABETH B KLINGER'* TWO SIGNATURES REQUIRED 0.CHECK OVER$2, .00 I f 1 WAYNE CIR CAMP HILL PA 170116660 L»_ i ' 11'0000 ? 2 ?64011' 1:0110070421:016001130478211` � 346475 so-asararaj NUD NN K ) 349 Union SL•NlIlerSGUrg,PA 17061 i - 7t 7i 692-21 33•www.mi<ipennbank.rom REF:0 0 0 0 0 0 0 0 0 3 0 9 0 0 3 0 5 8 CHECK DATE: 06/30/12 *********60 . 64, 1 ! PAY TO THE ORDER OF ELIZABETH B KLINGER Jj - WAYNE CIR CAMP HILL PA 17011 "AUTHORIZED SIGNATURE I n' ;1-CL45u+ 1_n ; 13nAAd?C 066003511' 3ID1M 1'11034 THIS DOCUMENT HAS A WATEPMAgK.THE FRONT OF THE aUCUMENTHAS A MICRO PRINT SIGNATURE LINE.ABSENCE OF THESE FEATURES WILL INDICATE A COPY, aR BANK xT1_3 034917 er d - TIME DEPOSIT INTEREST P.O.Box 250,Shippensburg PA 17257.9970 IRA DISTRIBUTION ACCOUNT NUMBER _ 4000033635 ' ATE r 707/12 ' VOID AFTER 6 MONTHS Sixty eight & 611100 dollars 'AY AMOUNT 'O THE - $68 . 61 ?RUR , f_ Elizabeth. B Klinger IF 1 Wayne Circle Camp Hill "PA 17011 F AUTHORIZED SIGNATURE SIGNATURE I 11'0349170 1:0313150361: 103 006920116 000040 e 9t4aD 9 v a' 11 ,A, i f°ryT}*°` : DATE CHECK NUM$ER , P ti� sR tto 07/08/2012 ,}, Pitt6 , PRI'�d. A I I�n� 4�'II 014,44"09N ad PAY TO THE ORDER OF M1IIi tI ^F'av g �Ii ,ml " 6 ri. lit CHECK AMOUNT bIX�Ys�� Jra� yv Itll�+l re Iy $3E3E3f9E3E3E9E3HE3EI},20 014410924 ELIZABETH B KLINGER r" j 1 WAYNE CIR CAMP HILL PA 17011-6660 " l., " r A 'IiOAIZHD SIONATU H 11.01441092411' 1:0430000961: 000900150111' St MEERS No. 0000730737 St Issued By:Moneygram Payment Systems,Inc. �, S P.O,Box 9475,Minneapolis MN 55480 •FEDERAL CREDIT ANION aR Drawee: Boston Safe Deposit&Trust Company P.O.Box 40 " c... Boston,MA Mechanicsburg,Pennsylvania 17055 t 5-709/110 DATE 07/10/12 *** TWENTY-FIVE DOLLARS AND 48 CENTS *** $25 , 48 PAY 5 Dollars 48 Cents .rx OFFICIAL CHECK Drawer:MEMBERS IST FEDERAL CREDIT UNION TOTHE ORDER OF *ELIZABETH B KLINGER* ORDER TWO§IGNATURES I REQUIRED FOR CHECK OVER$2,500.1H WAYNE CAMP H Z HILL PA 17011-6660 tJkbt .J 11110000 `73073791 1:0 1 100 70 9 21:016001130478211• i .. . . .• ■ 3700474769 UnKu�n 6311 i BNY MELLON TRUST OF p1:LAW.1it1: 311 A UNWI Company ` NEWARK,DE 14711 The Union Central Life Insurance Company { Cincinnati, Ohio 45240 - I CONTROLNO ANNUITANCIINSUREDORCONTRACTiiOLDER DATEOFCEECK TOTAL AMOUNT ** s* ELIZAB E'IH KLINGER 7/1/2012 $+r:rrt r+r*'"**621.67 PAY TO THE ORDER OF ELIZABETH B KLINGER I WAYNE CIRCLE CAMPHILL PA 17011 - - AU'TiiORiZEI3 5IONATURE 111370D4747691I' 403110035i4 030095572111' a � t $ p lit A f. ..2.,aaw•x�+..mv',caaxs'. 112 1 2 2 2 6811• 1:0 3 130 1846'': 51900005311• "NIS pOLUMENT HAB AN AflSIFlCIAL WA'IEPMAPK PFINTEDON THE BACK THE FPONTOFTHEOOMMENTM.AIklO ,P NT51GNATURELME_.6ENM OETHESEEERTURE5WILL INa1LATG ACOPY, 1 DRAWER: MONEYGRAM PAYMENT SYSTEMS,INC. 10 ACNB BANK DRAWEE EVERETT9MA NEW VORR MELLON55480 15398 6-21-12 GETTYSBURG.PENNSYLVANIA 17325 AGENT FOR MONEYGRAM TWO HUNDRED THIRTY SIX DOLLARS AND 56 CENTS"' 236.56 I P.AY ELIZABETH B KLINGER OORDER 1 WAYNE CIR OF CAMP HILL PA 17011 AUTHORIZEp 51C`1ATUNk n■ iS39R43u■ i!nLLn.n7n9 ?l]niSnnin38n668u■ ACNB BANK October 4,2012 James D Bogar Attorney at Law 1 W Main St Shiremanstown PA 17011 i i RE: Estate of Elizabeth B Klinger i Dear Mr. Bogar: The following information is being provided as per your request: Aect.Type Account No, Balance at Accrued Ownership Date D.O.D. Interest to Opened/Joint D.O.D. Certificate of 162084 $52,384.26 $21.18 Individual 9/10/02 Deposit Certificate of 162217 $50,000.00 $1.64 Individual 10/23/02 Deposit i Inquiries concerning ACNE Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information, please contact me at(717)339-5122. i i Sincerely, Barbara J W er ACNB Bank Deposit Services Representative II i i I acnb.com•acnbbusiness.com• P.O.Box 3129,Gettysburg,PA 17325•Phone 717.334.3161 •Toll Free 1.888.334.ACNB(2262) CEYFRIC I3LNK We ke,,*eM.und You. James D. Bogar Attorney at Law One West Main Street I Shiremanstown, PA 17011 j I i Re: The Estate of Elizabeth B Klinger Dear Atty. Bogar, i I Please find enclosed the information you requested about Elizabeth B Klinger and her accounts at Centric Bank. Should you need additional information, please do not hesitate to contact our office. i Sinc a y, Vickie L. Broughton Camp Hill Office Centric Bank (717)730-2816 I 4320 Linglestown Road Harrisburg,PA'17112 T 717.657.7727 11 F 717,657.7748 w xentricbank.com Elizabeth B Klinger 1 Wayne Circle Camp Hill, PA 17011 The following accounts are/were held by Elizabeth Klinger as primary, and sole owner on the date of death being September 1, 2012. CD#3028636-Opened 10/13/09/Initial Deposit=$25,000.00-DOD Balance$25,000(received monthly interest check) CD#3032414-Opened 03/09/10/Initial Deposit=$25,000-DOD Balance$26,210.43 CD#3035797-Opened 06/25/10/Initial Deposit=$59,178.96-DOD Balance$61,774.83 I CD#3036985—Opened 07/24/10/Initial Deposit=$20,000.00—DOD Balance $20,841.18 CD#3038130—Opened 08/25/10/Initial Deposit=$100,000.00—DOD Balance $104,159.90 I I I I �I I I I Citizens Bank- One Citizens Drive ROP112 Riverside,RI 02915 October 22, 2012 James D Bogar Attorney At Law One West Main Street Shiremanstown PA 17011 I i Estate of Elizabeth B Klinger Date of Death: Sep 01,2012 SSN: 188-32-5172 Dear Sir/Madam: In accordance with your request, the attached information sheets have been provided in the above decedent's name as of his/her date of death. For Installment Loans or Line of Credit accounts,contact our Loan Department at 1-800-708-6680. For all other inquiries,please call 877-579-2667 option 2. Sincerely, Kristen B. Correia Decedent Account Processing REF#: 565991 II II I VIII Citizens Bank- Account Number 6232311926 Account Title Elizabeth B Min er Date Opened 1/11/2012 Account Type Checking Principal Balance as of DOD $281 5518 Interest from Last Posting to DOD $12.31 Account Balance as of DOD $28167.49 YTD Interest to DOD $155.18 i Ii 1i i I i _i Ct Citizens Bank Account Number 6234870515 Account Title Elizabeth B Min er Date Opened 1/11/2012 Account Type Checking Principal Balance as of DOD $39884.26 Interest from Last Posting to DOD $1.90 Account Balance as of DOD $39886.16 YTD Interest to DOD $7.51 I it Citizens Bank- Account Number 6140796040 Account Title Elizabeth B Klinger Date Opened 6/11/2001 Account Type Time Deposits i Principal Balance as of DOD $114755.92 Interest from Last Posting to DOD $18.87 Account Balance as of DOD $114774.79 I'TD Interest to DOD $1338.08 i l i i i i i I i i i Citizens Bark" Account Number 6252137619 Account Title Elizabeth B Klinger Date Opened 7/2/2007 Account Type Time Deposits Principal Balance as of DOD $38276.93 Interest from Last Posting to DOD $2.51 Account Balance as of DOD $38279.44 YTD Interest to DOD $378.11 i ICI I II I I II J itiz ' s Bark- Account Number 6100714225 Account Title Henry G Klinger/Elizabeth B Klinger Date Opened 12/8/1970 Account T Checking Principal Balance as of DOD $11017.45 Interest from Last Posting to DOD $ .61 Account Balance as of DOD $11018.06 YTD Interest to DOD $7.72 I i I i I c First National Bank 4140 East State Street, Hermitage, PA 16148-3487 724-981-6000 October 1, 2012 James D. Bogar Attorney at Law 1 West Main Street Shiremanstown PA 17011 RE: ESTATE OF ELIZABETH B. KLINGER SSN: 188-32-5172 DOD: 09/3/2012 Dear Sir or Madam, As per your request,the following information is provided as of date of death: Certificate# 402110175 Certificate# 100214618 Opened 04/27/2006 Opened 09/24/2004 Titled Elizabeth B Klinger Titled Elizabeth B Klinger Balance $24,996.45 Balance $0.00 Accrued Interest $7.19 Accrued Interest $0.00 Closed 12/20/2011 If you should have any further questions,please do not hesitate to contact me at 724-983-4112. Very truly yours FIRST NATIONAL BANK (2'� spagm Jeffrey Pallini I Rfltm Bank LISTENING IS JUST THE BEGINNING! October 5, 2012 James D. Bogar Attorney at Law One West Main Street Shiremanstown, PA 17011 I Dear Mr. Bogar, RE: Elizabeth B. Klinger, deceased September 3, 2012 i In response to your recent inquiry concerning the accounts maintained in the name of the decedent, please be advised that the following accounts were open at the date of death: I DATE OF DEATH ACC CD# BALANCE INT RATE OPEN ROLL OVER MATURITY 328-0203481 $33,169.86 $73.14 0.30% 3110105 12/10/11 3/10/13 * Titled in her name alone 328-0227124 $30,986.40 $57.87 0.30% 9/19/05 1/20/12 4/20/13 * Titled in her name alone 328-0240773 $43,240.38 $3.55 0.50% 8/28/06 5/28/12 5/28/14 * Titled in her name alone I If you have any other questions, please feel free to contact me at(717) 327-2497. Sincerely, Joshua A. Groff C®NF'DEN 1 IAL Credit Confirmation Processor This Information is furnished as a matter of business courtesy in answer to your inquiry,and is for your confidential use only. The bank furnishing this information does not represent or guarantee the accuracy, completeness or reliability of the intorntation provided. No responsibility is assumed by the bank or any of Its oiicers,employees or agents. Any opinion herein expressed is subi:ci to change without notics 1.800.FULTON.4 * fultonbank.com Fulton Bank,IN.Member FDIC. Member of the Fulton Financial Family 2012-Nov-19 19:28 AM Integrity Bank 7779204904 2/2 November 19, 2012 James D. Bogar One West Main Street Shiremanstown, PA 17011 i i Re: Estate of: Elizabeth B. Klinger Social Security#: 188-32-5172 Date of Death: 09/03/2012 To whom it may concern: The following reflects upon the relationship Miss Klinger had with Integrity Bank as of 09/03/2012: Time Deposit 1029930 opened 01/28/2009 Titled Elizabeth B. Klinger December 2010 Michael Fertenbaugh was added as Power of Attorney. Balance as of 09/03/2012-$26,462.20 If I can assist you further,please feel free to contact me at (717) 920-4900 ext. 231 or dhanson@integritybankonline.com Sincerely, Debbie Hanson Integrity Bank—Camp Hill Customer Service Representative it I i © 1V &TBanik 499 Mitchell Road,Millsboro,DE 19966 Adjustment Services Phone 888-502-4349 Fax (302)934-2955 October 4,2012 James D. Bogar One West Main Street Shiremanstown,PA 17011 Re: Estate of Elizabeth B. Klinger Social Security: 188-32-5172 Date of Death: September 3.2012 I Dear Sir or Madam: Per your inquiry on September 27,2012,please be advised that at the time of death,the above-named decedent had on deposit with this bank the following: i 1. Type ofAceount Checking Account � Account Number 9839058030 Ownership(Names of) Michael R. Ferienbaugh(POA) Elizabeth B. Klinger Opening Date 031022005 Balance on Date of Death $25.06 i Accrued Interest $ .00 Total $25.06 1 Type of Account Certificate of Deposit Account Number 31003913914048 Ownership(Names of) Michael R.Ferterbaugh(POA) Elizabeth B. Klinger Opening Date 0310111999 j Balance.on Date of Death $41,000.00 Accrued Interest $ 14435 Total $41,144.15 I For any additional information on the above accounts,including ownership and any changes,closures and/or reimbursement of funds, please call the Trindle Road at 717-737.1308. We were unable to locate any safe deposit box for the above-mentioned decedent, This letter does not include any accounts in which the deceased may have been Rsted as Power of Attorney,Custodian of Uniform Transfers, Representative Payee,or Trustee under a Written Agreement Sincerely, j Valarie Mercer Adjustment Services I I I i i I I, St MEMBERS 1'r EEDERALCREDTT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 3647-00 Date Account Established 10/01/1974 Principal Balance at Date of Death $89.58 Accrued Interest to Date of Death $.00 Total Principal and Accrued Interest $89.58 Name of Joint Owner None LIFE SAVINGS ACCOUNT: Account Number/Suffix 3647-04 Date Account Established 10101/1974 Rollover Date 02/01/2001 Principal Balance at Date of Death $4000.00 Accrued Interest to Date of Death $.00 Total Principal and Accrued Interest $4000.00 Name of Joint Owner None INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix 3647-05 Date Account Established 07/02/2007 Principal Balance at Date of Death $2786.70 Accrued Interest to Date of Death $.00 Total Principal and Accrued Interest $2786.70 Name of Joint Owner None CERTIFICATES OF DEPOSIT: Account Number/Suffix 3647.40" 3647-41 Date Account Established 05/13/2010 05124/2010 Principal Balance at Date of Death $18,729.65 73,805.00 Accrued Interest to Date of Death $0.00 $0.00 Total Principal and Accrued Interest $18,729.65 $73805.00 Name of Joint Owner None None "Rollover from 3647-42 opened 10/7/2008 CERTIFICATES OF DEPOSIT: Account Number/Suffix 3647-43 3647-48 3647-49 Date Account Established 12/11/2010 3/1912009 5/7/2009 Principal Balance at Date of Death $65,000.00 $35,188.48 $74,564.04 Accrued Interest to Date of Death $0.00 $0.00 $0.00 Total Principal and Accrued Interest $65,000.00 $35,188.48 $74,564.04 Name of Joint Owner None None None ,I MEMBERS 1sT FEDERAL CREDIT UNION Tessa Klugh Lending Insurance Support Specialist October 3,2012 Estate of: ELIZABETH B KLINGER Date of Death:09101/2012 Social Security Number: 188-32-5172 I I 5000 Louise Drive • P.O. Box 40 • Mechanicsburg,Pennsylvania 17055 (800) 283-2328 www.memberslst.org I Meftife MetLife Total Control Account PO Box 6300 Scranton,PA 18505-6300 800-638-7283 November 28, 2012 James Bogar One West Main Street Shiremanstown,PA 17011 Re: Total Control Account#4053301765 Metropolitan Life Insurance Company Accountholder: ELIZABETH KLINGERR Dear Mr. Bogar: i In response to your request for the date of death balance for the above referenced Total Control Account, the date of death balance is $923.00 and the account was opened on 05115/2007. If you have any questions or require further assistance, please call our TCA Customer Service department at 800-638-7283 Monday through Friday, 8:00am through 6:00pm ET. Sincerely, TCA Administration Services r i I i I �i Note:Metropolitan Life Insurance Company(MLIC)provides administrative services for Total Control Accounts established in connection with policies issued by MLIC or by certain of MUC's insurance company affiliates. i tea.0146.rev.02 METRO 3801 Paxton Street BANK Harrisburg, PA 17111 m8ym9 tr ba k.com 10/1/12 James D. Bogar Attorney At Law One West Main St Shiremanstown, PA 17011 RE: Estate of: Elizabeth B. Klinger Tax Identification Number: 188-32-5172 Date of Death: September 3, 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: SV Account Number: 480002150 Date Opened: 10/20/1997 Primary Owner: Elizabeth B. Klinger Secondary Owner: Henry G. Klinger Date of Death Balance: $24,099.73 Please feel free to contact me at (717) 412-6127 if I may be of further assistance. Since II Jennifer Jacobs Research Associate Metro Bank I_ MID PENN BANK October 4,2012 James D Boger Attorney-at-Law 1 W Main St Shiremanstown PA 17011 i Re: Estate of Elizabeth B Klinger Date of Death: September 1,2012 SSN: XXX-XX-5172 Dear Mr Boger; In response to your letter requesting information on the accounts of Elizabeth B Klinger,I have accumulated the necessary data below: Account Name: Elizabeth B Klinger Account#:309002329—Certificate of Deposit Date Opened: September 29,2008 Balance DOD: $38,496.23 Balance Accrued Interest DOD: $15.04 Total DOD Balance: $38,511.27 Date Joint Ownership Established: N/A If Joint Within One Year of DOD Can it be Traced to a Prior Joint Account in Existence Over One Year Prior to the Date of Death: N/A Account Name: Elizabeth B Klinger Account#:309002921 —Certificate of Deposit Date Opened: April 20,2010 Balance DOD: $46,751.92 Balance Accrued Interest DOD: $67.67 Total DOD Balance: $46,819.59 Date Joint Ownership Established: N/A If Joint Within One Year of DOD Can it be Traced to a Prior Joint Account in Existence Over One Year Prior to the Date of Death: NIA i Account Name: Elizabeth B Klinger j Account#: 309002923—Certificate of Deposit Date Opened: April 23,2010 Balance DOD: $86,231.32 Balance Accrued Interest DOD: $133.40 Total DOD Balance: $86,364.72 Date Joint Ownership Established: NIA If Joint Within One Year of DOD Can it be Traced to a Prior Joint Account in Existence , Over One Year Prior to the Date of heath: N/A I 349 Union Street, Millersburg, PA 17061 • 1-866-642-7736 • midpennbank.com Member FDIC d MID PENN BANK Account Name: Elizabeth B Klinger Account#: 309002971—Certificate of Deposit Date Opened: July 26,2010 Balance DOD: $20,779.67 Balance Accrued Interest DOD: $1.96 Total DOD Balance: $20,781.63 Date Joint Ownership Established: N/A If Joint Within One Year of DOD Can it be Traced to a Prior Joint Account in Existence Over One Year Prior to the Date of Death: N/A Account Name: Elizabeth B Klinger Account#: 309003058—Certificate of Deposit Date Opened: December 30,2010 Balance DOD: $35,000.00 Balance Accrued Interest DOD: $7.16 Total DOD Balance: $35,007.16 Date Joint Ownership Established: N/A If Joint Within One Year of DOD Can it be Traced to a Prior Joint Account in Existence Over One Year Prior to the Date of Death: N/A If you have any further questions,please call me at 717-896-5388. Sin erel� � Karen Tarbell Deposit Support Specialist I 349 Union Street, Millersburg, PA 17061 • 1-866-642-7736 • midpennbank.com Member FDIC I nI 'L NYL ANNUITY SERVICE CENTER EXPLANATION OF BENEFITS PO BOX 9859 PLEASE DETACH AND SAVE FOR YOUR RECORDS' PROVIDENCE , RI 02940 0780 CHECK NO: 0004774488 NOVEMBER 14, 2012 PAYEE: ESTATE OF ELIZABETH B KLINGER OWNER: MS ELIZABETH B KLINGER POLICY NUMBER: 75616293 >900081 2216396 0001 092154 10Z ESTATE OF ELIZABETH B KLINGER TRANSACTION: JAMES D BOGAR , EXECUTOR t7 1 WEST MAIN STREET DEATH CLAIM PAYMENT TO BENEFICIARY SHIREMANSTOWN, PA 17011-6327 Ir f PLEASE FIND YOUR ENCLOSED CHECK. DETAILS ARE AS FOLLOWS: GROSS PAYMENT AMOUNT: 513,605.76 j FEDERAL TAX WITHHELD: 0 . 00 STATE TAX WITHHELD: 0 .00 AMOUNT OF CHECK: 13,605 .76 i i PLEASE BE SURE TO LET US KNOW IF WE CAN FURTHER ASSIST YOU . YOU CAN REACH US AT 1-800-762-6212 BETWEEN 8: 30 A.M. AND 5:30 P.M. EST j MONDAY THROUGH FRIDAY. ANNUITY SERVICE MANAGER I i i i ORRSTOWN BANK A Tradition of Exceflence October 2,2012 James D. Bogar Attorneys At Law I West Main Street Shiremanstown, PA 17011 Fax: 737-2086 I I Re: Estate of Elizabeth B. Klinger Social Security Number 188-32-5172 Date of Death 9/1/2012 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: CERTIFICATE OFDEPOSIT Account No: 4000027846 Account Type- 24-29 Month Income CD Date Opened- 8/21/2008 Joint Account(nameldate)- No Balance t- --- _.. . ._ _ _.$6.0,000.0.0_ Accrued Interest- $9.05 i Account No.- 4000033635 (Roll-over from another CID originally opened 4/2/2008) j Account Type- 18-23 Month Income CD Date Opened- 7/7/2009 Joint Account(name/date)- No Balance- $93,000.00 Accrued Interest- $25.48 I i Account No.- 4000034579 (Roll-over from another CD originally opened 5/22/2008) Account Type- 18-23 Month Growth CD Date Opened- 8/27/2009 Joint Account (name/date)- No Balance- $20,745.87 Accrued Interest- $1.14 i i i 2695 Philadelphia Avenue•Chambersburg, PA 17201 .. Account No.- 400003$061 (Roll-over from another M originally opened 12/16/2008) Account Type- 24-29 Month Growth CD Date Opened- 9/24/2009 Joint Account(name/date)- No Balance- $31,288.93 Accrued Interest- $4.12 Best Regards, YJI R. Worthin ton g � Deposit Processing Clerk i i i i i i i i I i i i Ii ^AM IN' Bark — — No, 8730 P. 1/2 OW NC . . Ecibw 2'Fiti.S�-A October 5, 2012 James D Bogar,Esq Attorney at Law 1 W Main St Shiremanstown,PA 17011 RE: Elizabeth B Klinger SSN: 18532-5172 DOD: 09/01/2012 Dear Mr.Bogar: In response to your request for Date of Death(DOD)balances for the customer noted above,our records show the following: Certificate of Deposit Account# 11020043316 Established: 05/10/2007 ELIZABETH B KLINGER DOD balance: $ 40,000A0+6.25 accrued interest Interest paid 01,101/2012 thm 09/01/2012 $ 66.69 Y'ID Checking Account Account#5004116257 Established: 04/1612003 ELIZABETH B KLINGER DOD balance: $ 5,173.59 +0A2 accrued interest Interest paid 01/01/2012 tbru 09/01/2012 $ 0.34 YTD Please note that this office provides date of death balances for deposit accounts (IRAs,CDs,Checldng and Savings). We do not process any nuancial transactions or provide statements. If you need assistance with any of these items,please call 1-888-PNC-BANK(1-888-762-2265)or stop by your local PNC Bank branch office, I Sincerely, National Financial Services Center PNC Bank N.A.. Member FDIC i Page I of 2 0. . 5, 2C'2 . °;1,AV Bank 4�o. "s7�B °, 2i2 This message is intended for the use of the individual or entity to which it is addressed and may contain information that is priviteged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering this message to the intended recipient,you are hereby notified that any dissemination; distribution or copying of this communications is strictly prohibited If you have received this communication in error,please notify me immediately by reply or by telephone at 800-762-1775 and immediately destroy this faxed document i i i i Page 2 a£2 i POWRING 9b59-5Z9-L IL-I peal luauclxedaQ fu[uob-d-goa¢aso d l[sodaQ saluag W umeQ `Xialaou[s •[luo of aa.c} laaj oseald `oouelsisse.[agl.mj jo aq u¢o I3I -luapooap oq;3o auceu aql ul xoq lcsodop a3es oust aaaq L -slunoonjo ls[l pagauulu oql pawdaid anuq an+`ZIOZ `LZ aagataldoS;o.canal moX of asuodsai ul :cuaouoo XtW lI utogM of I£LZ6Z #SuI)[o¢a L ZLIS-XX-XXX :#SS ZIf£(6 :(IOQ alulsa.cagutIM q glaquzllg :aH IIOLI Vd NAIOISKVW3IIHS IgUIS NIVW MI 2 vDoff Q SaNvf $LY4'9Z9'Ltl xed Z9C£'i t£'0091 lei OOOL-£b9Ll Hd'ZP.8'l OON XOg O'd IMIS Jepe0 4AON 9Z ,oul'saimisoues euueyenbsng ZIOZ 5 aagolop IL Af 13tAuoganbsnS . . . . . . . . . . . . . . . . . . . . . , 6 7 / � 9CID ` 2 ® = ƒ _ n \ ( -TI n rA } { } \ { * * / \ • \ } } ( § \ § m \ / \ \ \ k \ 2 ) ter ¥ \ \ \ \ [ ) t4 \ � § \ \ \ ) ¥ � _ ) a . v Y H ftl L N N p V N p O y O pop N p W O tV O N $ G M y N O O � w Cw G N [t h # i6 � b b FM O p h+�l N p p yP Ll [�/� N ar p {Cis f"Oan L'01 v }.a tai 0�J `Cp� !. y � - � •:-' `: '.. � d td vQs vs o � ar v a°i o a� 00 11S E f aATmsseTU — 18 5 Ll OA I 00 "0T pn-s/;a>jseq atuotd -IS WIT 00 " sew.-x/a4eld alvo -Ila swa4T -,islw -113 0 `6 40T UaqD4Tn/SaUTAn6,t4 — IS 00 spjeo BuiAeld — -Is 00 '0-17 r saxoq Uapoom E — -18 100, "9:_. 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