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Home My WebLink About05-02-13 (2) 1505610140 � EX (01-10) REV-1500 oFFIC1AL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 2 0 9 7 8 HarrisburQ,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BEIOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 8 0 5 2 0 1 2 0 7 2 5 1 9 4 1 Decedent's Last Name Suffix Decedent's First Name MI K 0 R N F E L D M A R C C (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI K 0 R N F E L D J E N N I F E R C Spouse's Social Security Number 2 1 O 4 4 7 4 8 6 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Q 1.Original Return � 2.Supplemental Return � 3.Remainder Return(date of death prior to 12-13-82) � 4.Limited Estate � 4a.Future Interest Compromise(date of � 5. Federal Estate Tax Return Required death after 12-12-82) ❑X 6.Decedent Died Testate � 7.Decedent Maintained a Living Trust 0 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) � 9.Litigation Proceeds Received � 10.Spousal Poverty Credit(date of death � 11.Election to tax under Sec.9113(A) befinreen 12-31-91 and 1-1-95) (Attach Sch.O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE,pIRECTED T0: Name Daytime Tele�ne Number� � � H U 8 E R T X • G I L R 0 Y 7 1 7 �� 3 �3 � � rn � � � � � REGIS �V�ICLS USE ONL� � � � � � � . � Y � � First line of address � � � � -s-� � �� ..�.W t M A R T S 0 N L A W 0 F F I C E S � � ti N' �. `� `..� L'—� i' P` Second line of address � � � 1 0 E A S T H I G H S T R E E T � City or Post Office State ZIP Code DATE FILED C A R L I S L E P A 1 7 0 1 3 CorrespondenYs e-mail address: HGILROY(u�MARTSONLAW.COM Under penalties of peryury,I declare that I have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNAT OF PER N RESPONSI E FO FILI G RETURN � D/�T l � . � SS 1], 4 0 0 MECHANI�SBURG PA 17055 SIGNA R P R T THAN REPRESENTATIVE � T� � � AD S 10 EAST HIGH S REET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY ' Side 1 � 1505610140 1505610140 J � 1505610240 REV-1500 EX DecedenYs Social Security Number �ecedent'sName: MARC C• KORNFELD RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . .. . .. .. . . .. . . .. . . . . . .. .... . . . . . . ... . 1. 3 1 3 8 0 0 . 0 0 2. Stocks and Bonds(Schedule B) . . .. . . . . . . . . . . . . .. .. . . . . ..... . . . . . . . . . 2. • 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. • 4. Mortgages and Notes Receivable(Schedule D) .. . . . ..... . . . . ..... . . .. . .. 4. • 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). . ... .. 5. 2 6 8 4 3 . 0 8 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . .. 6. 3 4 3 5 9 . 0 2 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) � Separate Billing Requested . . . . . . . 7. 1 8 3 4 0 , 5 1 8. Total Gross Assets(total Lines 1 through 7) . . .. . . ..... . . . . . ... . . .. . . . . 8. 3 9 3 3 4 2 . 6 1 9. Funeral Ex enses and Administrative Costs Schedule H 9. 0 . 0 0 p � ) . . . . ... .. . . . . . . . . . 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) .. . . . . . . . . .. . 10. 0 • � � 11. Total Deductions(total Lines 9 and 10) . . . . . . . . .... . . . . ... .. . . . ... . .. . 11. � • 0 � 12. Net Value of Estate(Line 8 minus Line 11) . . . . . ... . . . . ..... . . . .. . . .. . . �2• 3 9 3 3 4 2 . 6 1 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. 3 9 3 3 4 2 . 6 1 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(�.2)x.0 3 7 5 0 9 ? . 1 O 15. O . 0 0 16. Amount of Line 14 taxable at lineal rate X.0 � • 0 � 16. O • 0 0 17. Amount of Line 14 taxable at sibling rate x.�2 1 8 3 4 0 . 5 1 ��. 2 2 0 0 . 8 6 18. Amount of Line 14 taxable O . O Q 18 O . 0 � at collateral rate X.15 19. TAX DUE . .. . .. . . ... . . . . . .. .. . . . . .. . . . .. . . . . ...... . . . . . .. . .. . . . 19. 2 2 � � • 8 6 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 � 1505610240 1505610240 � REV-1500 EX Page 3 File Number Decedent's Complete Address: 2i 12 o9�s DECEDENTS NAME MARC C.KORNFELD STREET ADDRESS 1104 GREGOR COURT CITY STATE ZIP MECHANICSBURG PA 17055 Tax Payments and Credits: �. Tax Due(Page 2,Line 19) (1) 2,200.86 . 2. Credits/Payments A.Prior Payments B.Discount Total Credits(A+B) (2) 0.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 2,200.86 Make check payable to: REGISTER OF WILLS, AGENT _ _ _ ___ _ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred: ...................................................................... ❑ X❑ b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ � c. retain a reversionary interest;or ................................................................................................ ❑ � d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ ❑X 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ ❑X 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ ❑X 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. X❑ ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 3 percent[72 P.S.§9116(a)(1.1)(i)j. For dates of death on or after Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)J. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in 72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,undE Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(01-10) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCETAXRETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: MARC C.KORNFELD 21 12 0978 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. Real estate located at 1104 Gregor Court,Upper Allen Township,Cumberland County,PA, 313,800.00 known as Tax Parcel No.42-30-2106-101,being described in Deed dated Apri16,2001 and recorded in Cumberland County,PA,Deedbook 00243-00363,jointly owned Marc C.Kornfeld Jennifer C.Kornfeld,husband and wife. See attached Deed and tax assessment. TOTAL(Also enter on Line 1,Recapitulation.) $ 313 800.00 If more space is needed,use additional sheets of paper of the same size. REV-1508 EX+(11-10) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN � RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: MARC C.KORNFELD 21 12 0978 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Citizens Bank Checking Account No.6100678040 2,162.87 See attached valuation. 2. Pennsylvania State Education Association-unpaid vacation 24,420.72 3. Pennsylvania State Education Association-fmal expense voucher 169.69 4. Horace Mann Inswance Company-car insurance refund 89.80 TOTAL(Also enter on Line 5,Recapitulation) $ 26 843.08 If more space is needed,insert additional sheets of paper of the same size REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: MARC C.KORNFELD 21 12 0978 If an asset was made jointly owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A.Jennifer C.Kornfeld 1104 Gregor Court Spouse Mechanicsburg,PA 17055 B. C. JOINTLY-OWNED PROPERTY: LETfER DATE DESCRIPTION OF PROPERTY °k OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. 4/14/10 Sovereign Bank savings account no.2334087246 68,718.04 50. 34,359.02 TOTAL(Also enter on Line 6,Recapitulation) $ 34 359.02 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsylvania SCHEDULE G DEPARTMENTOFREVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER MARC C.KORNFELD 21 12 0978 This schedule must be compieted and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OF DECD�S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. Riversource Life Insurance Company,Annuity Contract No. 18,340.51 100.00 18,340.51 9920-3154000;beneficiary Jean Kornfeld,sister See attached. TOTAL (Also enter on Line 7,Recapitulation) $ 18 340.51 If more space is needed,use additional sheets of paper of the same size. REV-1513 EX+(01-10) : pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: MARC C.KORNFELD 21 12 0978 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1. Jennifer C.Kornfeld Spousal 375,097.10 1104 Gregor Court Schedules A,E and F Mechanicsburg,PA 17055 2. Jean H.Kornfeld Sibling 18,340.51 1614 Allison Street,NW Sch.G,Item 1 Washington,DC 20011 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. f -.. � . � . a ! , � Y LA3T WILL AND TE3TAMENT OF MARC CHARLES KORNFELD I, MARC CIiARLES RORNFELD, a resident of Mechanicsburg, Cumberland County, Pennsylvania, declare this is my Will. I. I revoke all wills and codicils that I have previously made. II. I am married to JENNIFER CATHERINE RORNFELD and all references in this Will to "my wife'• are to her. I have three (3) children whose names are PAUL ARTHUR RORNFELD, SBARON LOUISE KORNFELD and DANIEL ERNEST RORNFELD. I have no deceased children. The terms "my child" and "my children" as used in this Will shall include any other children hereafter born to or adopted by me. III. It is my intention by this Will to dispose of all property which I may own. However, I hereby elect not to exercise any power of appointment exercisable by a will which I now have or which may hereafter be conferred upon me. No pro- � viaion of this Will shall be conatrued as an exercise in whole or in part of any � �j such power. J �ti IV. I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care, using therefore funds from my estate in such amounts as he ahall consider necessary and desirable, and I authorize my personal representative to cauae title to or ownership of such lot so purchased to be vested in such person as personal representative shall designate. Further in this connection I authorize my personal representative to expend funds from my estate in auch amount as my peraonal representative shall consider necessary and desirable for the purchase, erection, and inscription of a suitable marker for my grave. . . . • . V. I give, devise and bequeath all other tangible property owned by me at the time of my death together with all insurance policies thereon unto my wife, JENNIFER CATHERINE RORNFELD, if she survives me by thirty (30) days. In the event she faila to survive me by thirty (30) days, I give, devise and bequeath all eaid tangible pereonal property with all insurance policiea thereon in as nearly equal shares as practicable to such of my children as survive me by thirty (30) days. Particular items shall be allocated among them as they agree if they are of age. If they are of age, ae to property about which there ie not unanimous agreement, I direct my executrix to liet each piece of property on separate identical slips of paper and then allow DANIEL, PAUL, and SBARON to draw a slip in rotation in the order above until all such slips are drawn. , In the event neither my wife nor my children survive me by thirty (30) days and in the event there are no issue of my children, I give, devise and bequeath all the rest, residue and remainder of my personal property to my eister, JEAN H. RORNFELD of 1614 Allison Avenue, Northwest, Washington, District of Columbia � 20011. In tr:e event that none of the above named have survived me by thirty � (30) days I hereby give, devise and bequeath all the rest, residue and remainder J of my personal property to the CORNELL UNIVERSITY SC800L OF INDUSTRIAL AND LABOR �b . . RELATIONS to set up a scholarship for the son or daughter of a union official, if the son or daughter of such official is studying in the field of labor relations. I give, devise and bequeath all the rest, residue and remainder of my real estate to my wife, JENNIFER CATHERINE RORNFELD, if she survives me by thirty (30) days. If she does not survive me by thirty (30) days, then to my children and to their issue per stirpes. If my children have no issue and do not survive me by thirty (30) days, then I give, devise and bequeath all the rest, residue and . remainder of my real estate equally to my sister, JEAN H. KORNFELD. If none of the above survive me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my real estate to the CORNELL UNIVERSITY SC800L OF INDUSTRIAL AND LABOR RELATIONS. Page 2 of 4 . , � . VI. I appoint JENNIFER CATHERINE RORNFELD executrix of this my Last Will and Testament. In the event of the renunciation or death, resignation, or inability to act for any reason whateoever of said wife, I nominate, constitute and appoint JEAN H. KORNFELD, my sister of thia my Last Will and Testament. I hereby relieve ; my executrix from the necessity of posting security in connection of such in any jurisdiction in which her or she may be called upon to act as far as I am able by law to do so. VII. In addition to the powers conferred by law, I authorize my executrix in her absolute discretion: A. To retain in the form received and to sell either at public sale or private sale any real or personal property. B. To manage real estate. C. To invest and reinvest in all forms of property without being confined to legal investments and without regard to the principle of , diversificaticn. � D. To compromiae claims without court approval and without the consent � of any benef iciary. . �� VIII. I direct that any and all inheritance, estate, or transfer taxes imposed upon my estate passing under my Will shall be paid out of the principal of my reeiduary eatate. IN WITNE33 WHEREOF, I hereunto set my hand and seal to thie my Last Will and Testament, consiating of three (3) typewritten pages, the f irst of which bear my signature in the margin for the purpose of identification of this day of , 1993. � �` SEAL � � � Page 3 of 4 � . . • COMMONWEALTH OF PENNSYLVANIA : . COUNTY OF CUMBERLAND • We, Ruby D. Weeke, Marylyn Lapato, Shirley Clevenger and MARC CHARLES RORNP'ELD, the testator and the witnesses, respectively whose names are signed to the attached or foregoing inatrument, consisting of four (4) typewritten pagee, this page included, being first duly eworn, do hereby declare to the underaigned authority that the testatrix aigned and executed the instrument ae hia Last Will and Testament and that he signed willingly and that he executed it as hie free and voluntary act for the purposes therein expreased, and that each of the witneases, in the presence and hearing of the testator, signed the will ae witneas and that to the best of their knowledge the testator was at that time eighteen (18) years or older, of sound mind and under no constraint or undue influence. . l �� arc Charles Kornfeld, Tes tor � . � Ruby D. W eks, Esquire �i �-.� t- , �� Marylyn to i Shirley Cle enger C Subscribe, sworn to and acknowledged before me by MARC CBARLES RORNFELD, the testator, and subscribed and sworn to before me by Ruby D. Weeks, Marylyn Lapato, and Shirley Clevenger, witnesses this � day of r� , 1993. • �.� � - -- Notary Public � � �� f�V Ko�ial Sea1 ' Carfisle Boro,Cun'iberl�and� ; MY�m�ion Expires Jan.22,1 Page 4 of 4 � J00904.02.01/RHW/KLT1144926.1 �0 � . � . ��' � �l� QQ�� o� Tax Parcei No. �J�•11-ba76-105 � � � � TH1S DEED, rnade this day of in the year of ou� Lord two thousand one (2001) BETWEEN CaUNTRY SQUARE PARTNERSHIP,a Pennsylvania General Partnership, Grantor and MARC C. KORNFELD and JENNIFER C. KORNFELD, husband and wife, Grantee(s) WITNESSETH, that the said Grantor, for and in consideration of the sum of Fif�y Thousand Five Hundred �550,540.00} Dollars, together with other good and valuable consideration, lawful money of the U�ited States of America, the receipt and suffidency of which is hereby adcnowfedged, has granted, bargained, sold, aliened, enfeoffed, reteased and oonfirmed, and by these presents does grant, bargain, sell, alien,enfeoff, release and oonvey and oonfirm unto Grantees�their heirs,sucxessors and assigns. ALL THAT CERTAIN Lot in the property known, named and identified in the Dedaration, referenoed below, as "Ashcombe FaRns P.R.D., a Planned Community," located in Upper Allen Tawnship, Cumberland County, Pennsylvania, which has heretofore been submitted to the provisions of the Pennsylvania Uniform Planned Community Act, 68 Pa.C.S.A. §§ 5101 � �., as amended, by the recording in the Office of the Reoorder of Deeds of Cumberiand County, Pennsylvanfa, the Declara�on for Ashoombe Farms P.R.D., a Flexible Residential Planned Community ("Dedaration"}, dated April 6, 1998, recorded April 13. 1998, in Miscellaneous Book 573, Page 407, as amended by First Amendment to Dedaration for Ashcombe Fanns P.R.D., a Flexible Residential Planned Community, dated March 13, 1999. recorded March 19� 1999, in Miscellaneous Book fi07, Page 440. by Second Amendment to Declaration for Ashcombe Farms P.R.D., a Flexible Residential Planned Community, dated September 29, 9999� recorded October 13, 1999, in Miscellaneous Book 627, Page 652� and as further amended by Third Amendment to Declaration for Ashcombe Farms P.R.D�a Fle�ible Residential Planned Community {"Third Amendment") dated December 2, 2000;�rec�rded February 26, 2001, in Miscellaneous Book fi67, Page 650, being and designa ir}�SUCh Declaration,as amended,as Lot No. 105(Identi in Number), described in Paragr�+5�f fh'e fY 9 Third Arnendment to Declaration and shown (and described} in Exhibit B-5 o�he r�'hiir+d Amendment. c.� � . � �:; ..- Lot No. 105 cantains 11,547.18 square feet, more or less. � �' � � � :.- �.� o _� T.,� _ �, -< c; .'� N � G�' -t� v • ` ' 'j � C l ' l�,•1 V 1'i�u t cS��: ��. �ch. � , �� t ,Q10095-0009/04.02.01/RHW/KLT/144928.1 BEING LQT NO. 105 on a Finai Subdivision Plan titled "Ashcombe Farms P.R.D. Final-Phase 3A" dated September 1, 2000, recorded in the Office of the Recorder of Deeds of Cumberiand County in Plan Book 82, Page 125. BElNG PART OF THE SAME PREMISES which Ashcombe Products Company, a Pennsylvania Corporation, by its Deed, dated 4ctober 29, 1996, recorded in the Uffice of the Recorder of Deeds of Cumberland County, Pennsytvania, in Deed Book 153, Page 279, granted and conveyed unto Country Square Partnership, a Pennsylvania General Partnership, Grantor herein. UNDER ANQ SUBJECT to restricctions and covenants ot reoord, induding, but not limited to, Declaration for Ashcombe Famns P.R.D., a Flexible Residential Planned Community, dated April. fi, 1998, recorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Miscetlaneous Book 573, Page 407, First Amendment to Dedaration for Ashcombe Farms� P.R.D., a Flexible Residential Planned Community, dated March 13, 1999, : recorded in the Of�ice of the Recorder of Deeds of Cumberland County, Pennsytvania, in Miscellaneous Book 607, Page 440, Second Amendment to Declaration for Ashcombe Farms, P,R.D., a Flexible Residential Planned Community, dated Septembe�29, 1999, recorded in the Uffice of the Recorcfer of Deeds of Cumberland County, Pennsylvania, in Misoellaneous Book 627, Page 652, Third Amendment to Dedaration for Ashcombe Farms� P.R.D., a Flexible Residential Planned Community, dated December 2, 2000� reoorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Miscellaneous Book 667, Page fi50, and under and subject to easements and rights-of way of record and visible by inspection� induding, but not limited to a twenty-five {25') foot stonn sewer easement acxoss the southwest portion of the Premises as shown on Exhibit B-5 of said Third Amendment to Declaration. And the said Grantor hereby covenants and agrees that it will speaalty warrant the property hereby conveyed. IN WITNFSS WHEREOF, the said Grantor, by its duly authorized officers, has caused this Deed to be executed as of the day and year first above written. Slgned, Sealed and Deliver�ed in the Pr�esence of: COUNTRY SQUARE PARTNERSHIP , � ' (SEAL) BY��. � - - Vem .Anderson, Partner + By: (S�L) I I. Stem, Partner ATTEST: ASHCOMBE PRODUCTS COMPANY, Partner ��n � ' �' '' (SEAL) _::, � - ,.�..a- By: (Assista } Secretary _�`�-� �-�-�;;�r,i�� John S.Thomton� President �c,.�=:�..��.'�,,I;�;�_. ., �'►-3�y�,� —�-�: a''�'?� �r .'S ' 7�,"� ;,j+*.� G �"''� t - 2- •` J �, �f'r� �O'�.d��o��p�:'_t. , (-• n . .'•�+,� '�� ds. �.�� , �IJUf. ,�,'�� M1,C �V't � ��'t.'� ��;� �,�.. �,,.,,. . _....i. , .a�ooss-aooso�a.o2.a��RFtwn��Y��aas2s.� COMMONWEALTH OF PENNSYLVANIA : : ss. cauN�nr oF ��Q�. • . On ihis the �d day of �� , 2001, before me, the undersigned officer� personalty appeared VERNON E.ANDERSON, a Partner of Country Square Partnership. known to me {or satisfactorily proven)to be the person whose name is subscribed ta the within instrument and acknowledge that he executed the same for the purpose therein contained. , IN WITNESS WHEREOF, I hereunto set my hand and official seal. � , Y �� 1,��'�-�•� � • �'��':�- No ry Public . ♦. .'y .A�',1/i�� ' A, . •"4:. ,�„ � �t'�"yx� ��,,;ui� ,/;�..�., d;.� S'trr:.�.;yti��. :�`�•► fy .. �y..��, ""�'', �j `�. ;� F' Ls r4 .��:�i'/'s'� r�� ' '��'}' 4 1�k '. ,�VIR�11iY� •�c,!r',r+�,i++,�r7,�;3`.. ��:��:`:�w'�'�� T�yR.N9r�hsy�N01s1'�I PtIbNC ''�� ,. ...,,.. � Y�orlc ',; �.c;,,,,..r . ,� MY C�onxnissfon E�ic�n�,�an.�2004 Member,aAnr�av�vaniA a�ociailo�dNot�Aee CQMMONWEALTH OF PENNSYLVANIA : : ss. � couNnr oF • aR�C. ' On this the � day of i 2001, before me, the undersigned officer� personalfy appeared RONALD I. STERN, a Partner of Country Square Partnership� known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and adcnowledge that he executed the same for the purpose therein contained. IN WITNESS WHEREOF, i hereunto set my han d official seal. , , / . , ,�' �':"�. � /lQ y+�,': �. • � �: • �" •' •�:, otary Public -,,'•�'. � M:^�4+ {,'.� i� i �: h �Ly� t•� �'�L�'/„�4�.Y 6 RP�R�','r Yti��'w� • �,� •� � . .' `'•� * �,� �� '�Z..� ,� ., , . / a M .. •.� . ' •' •`�i+�r�y" ' ' •"� .�'1�.;� : i.,� - �",+�� .y . �Je .. `j� �� M•-} �y..� `�' ��{'t�'�,+,��,^�i �,�~��'!^ '�� " t . +�..r - ' R•ergheY�Sea! ..,�;��,.,�,•,� , ��;,y� T a�� Notery Public •� �', �g � tir � ' " MY COrin11i88iOr1 EXp1�,j�n��2004 Mernber.Penn4yh�.,�a�.�,qailOnOf IVp�igg �� s FN�t 365 , � . ,P10095-000904.02.01/RHW/K1.T1144926.1 , C4MMONWEALTH C3F PENNSYLVANIA : : ss. COUNTY OF Yo rK � On this the G� day of ^,�pr-i L , 2001� before me, a notary public, the undersigned officer, person�lly appeared JOHN S. THORNTON, who adcnowledged himself to be the President of Ashcombe Products Company, a Partner of Country Square Partnership� and that he as such President, being authorized to do so, executed the foregoing for the purposes therein oontained by signing the name of the corporation as President. !N WITNESS WNFRFOF, I have set my h nd offaai seal. . ` . ��. , .,.,�*�'�"`�r.-,, .. '�'.�"y Notary P ,;;..i,.. _�.a,�..w:►;�. , #x�'.�'��•,�•Cea� r��+ ,� . �.�'' �'S;�z,-t�.. I�MORARIAL SE�4t. �t�,.,,�!t;• ►��{:�'` PM�lpAd ,Hof,�ry public � � ��► r'T".i�'iY"�V O . ti.. � ,�. '.,�.. . Y' �' . �� p1, •. �� ti� .0 �r . .MG.� . � �� 0 ' ,•� .,•., �t,.!v1+.s�• \.1 :��. �r��Ai/ b��4��y��d�� ;�n�.�,` •>�o~�r �� r�i�' tt��..��..,,..rr � �z w A �Mf�i��:T"'�4� I hereby certify #hat the precise residence a�d complete post offioe address of the within named G rantees is: �� ltc•r�. = �4 0��s r�-¢� a�nnsylvania I Certify th#s to be '� In Cumberlu1d Coun�/�� Grantees �p �. , . COMMONIIVEALTH OF PENNSY + . % ��-�" e ss. V C4UNTY OF CUMBERLAND : • R�ecorder of Deeds RECORDEO on this ..��-��-�� ; � � D. 2001. in the ,-r rp m ra -a+c-� � r �n c Recorder's office of the said County, ir��.,k��`° �age� a„ � � � � � �p°'.o.a.o � �i�c-> >v� u, M, �� =�"'y� � .... �� Given under m hand and the�a�of the-��i of��e date abov�wrt�en.� � �' y � � �� ; � -r, �'�' r*i o � � �' � °. ,�c � • � ,.'y,f. � �.s � � �° �-� Reoorder. � (.,] V•�,,�,, 1�10 . �` r"� ✓�� ;�� 36fi � " � � �� {N�t .� � � �. � ��. .� � Q �, ,,..+ ., �.a�� ro . . . . . . . . . . . . •a �s-��,c ooc°y'�a�uoa�o � a � a er Cumberland County, PA � :x � �.. � �- _ ] : Copyright 2011 Esri. All rights reserved. Thu Sep 6 2012 09:53:16 AM. 1104 GREGO R COU RT ' PI N: 42-30-2106-101 Deed boo k: 00243-00363 Owner. KORNFELD, MARC C & JENNIFER C La nd Use Code: 101 Property Type: R :' Acreage: 0.27 Square Feet: 2313 � Taxable Status: T Clean & Green Status: ' Land Assessed Value $: 65300 Building Assessed Value $: 248500 Total Assessed Value $: 313800 Sa i e Pri ce $: 50500 ' Sale Date: Tue Apr 24 2001 08:00:00 PM Year Built: 2001 ' Municipality: UPPER ALLEN TOWNSHIP Height in Stories: 1 Type of Dwelling: DEfACH : Primary Exterior: Vnyl ` Basement Percentage: 100 Air Conditioning: AC Total Rooms: 6 Bedrooms: 3 Full Bath: 3 ; Half Bath: :� � � ��ii�t�� '��`:� �� r Account Number 6100678040 Account Title MARC C KORNFELD Date O ened 10/30/1978 Account T e Checkin Principal Balance as of DOD $2162.87 Interest from Last Postin to DOD $ .00 Account Balance as of DOD $2162.87 YTD Interest to DOD $ .00 � ��Y� � ��. , � R.iverS�urce "�:� March 30, 2013 RiverSource Life insurance Company 829 Ameriprise Financiai Center Minneapolis, MN 55474 RiverSource Distributors, Inc. Jenifer C Kornfeld (Distributor), Member FINRA. Insurance Estate of Marc Kornfeld and annuity products are issued by 1104 Gregor Court RiverSource Life Insurance Company. Mechanicsburg PA 17055 Contract Owner(s): Marc Kornfeld Contract Annuitant: Marc Kornfeld Contract Number: 9920 - 3154000 Dear Marc Kornfeld: You recently contacted us by phone or mail regarding the contract listed above. Please accept our condolences for your loss. We are providing the following information you requested for your records: • The date of death value of this contract is $ 18,340.51. If you have any questions or further service needs, please call Client Services at 1 (800) 333- 3437. Contact Professionals are available Monday through Friday from 7 a.m. to 6 p.m., Central time. Sincerely, Client Services 02012 RiverSource Life Insurance Company.All rights reserved. 9409(9/12) J G�1 . ls� ��