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08-13-14
J _ REV-1500 EX(02-11) 1505610143 OFFICIAL USE ONLY PA Department of Revenue pennsylvania couwcode Year File Number Bureau of Individual Taxes MPARTMEMid MEra1e PO BOX.280601 INHERITANCE TAX RETURN 21 14 0521 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 05 08 2014 09 07 1958 Decedent's Last Name Suffix Decedent's First Name MI ROCKEY WINIFRED S (If Applicable)Enter Surviving Spouse's Information Below MI Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ❑ 3. Remainder Return(Date of Death 1. Original Return ❑ 2. Supplemental Return 3. to 12-13-82) ❑ 4. Limited Estate ❑ qa,Future Interest Compromise El 5. Federal Estate Tax Return Required (date of death after 12-12-82) © B Decedent Died Testate ❑ 7, 1nitacne`�o�lo�ar vest)Livirg trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) ❑ 9. Uiga9on Proceeds Received ❑ 10.sgp 1�l P3:'S"j 1i B,�,dit�Da�eSj f Death ❑ 11,�At(Attach Schedule O)Sec.9113(-8) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX I Daytime Telephone Number BE DIRECTED TO: Name ROGER B IRWIN ESQ 717 24 6333 = - r REGISTER ORM70LILS USr,-nNLY_r n l ft-, First Line of Address 354 ALEXANDER SPRING RO pc x :�;='5 77 rr Second Line of Address —' O r DATE FILED City or Post Office State ZIP Code CARLISLE PA 17015 Correspondent's e-mail address: ro erbirwin salzmannhu hes.com Under penalties of Perjury.I declare that_I have examined this return,in,Uding 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 knovdetlge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE �P�,� ; Marianne R Besaw EI - n-/Y ADDRESS 6827 East Garnet Dr. St. Marie's ID 83860 DATE SIGNATURE OF PR ARER OTHER THAN REPR SENTATNE Roger B. Irwin Esq. Q i ADDRESS 354 Alexander Spring Road, Suite 1, Carlisle, PA Side 1505610143 1505610143 `�O 1505610243 REV-1500 EX Decedent's Social Security Number Deceaem•s Name: Rockey, Winifred S. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 16 , 093 . 83 4. Mortgages 8 Notes Receivable(Schedule D)........................................................ 4. 5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 12 , 401 . 22 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous t�oq Probate Property (Schedule G) U Separate Billing Requested............ 7. 8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 28 , 495 . 05 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 16, 352 . 02 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 8 , 918 . 68 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 25 , 270 . 70 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 3 , 224 . 35 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 , 224 . 35 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 15 0 . 00 (a)(1.2)X.00 16. Amount of Line 14 taxable 0 . 00 16. 0 . 00 at lineal rate X .045 17. Amount of Line 14 taxable 3 , 224 . 35 17. 386 . 92 at sibling rate X.12 18. Amount of Line 14 taxable 0 . 00 18. 0 . 00 at collateral rate X.15 19. TAX DUE................................................................................................................ 19. 386 . 92 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 21-14-0521 Decedent's Complete Address: DECEDENT'S NAME Rockey,Winifred S. STREETADDRESS 1143 Goodyear Rd. CITY STATE ZIP Gardners PA 17324 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 386.92 2. Credits/Payments A. Prior Payments 367.57 B. Discount 19.35 Total Credits(A +B) (2) 386.92 3. Interest (3) 4, If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) 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) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;................................... .........................................- ❑ ❑ b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ ❑ c. retain a reversionary interest;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 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ 4. Did decedent own an individual retirement account,annuity,or other non-probate property which E] ❑ contains a beneficiary designation?.................................................................................................................. IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994 and before Jan.1,1995,the lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: . The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(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. Reu4504 EX-{5-98} SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR COMMOM4'EALT OF PENNSYLVANIA SOLE-PROPRIETORSHIP INHERITANCE TAX RETLMN RESIDENTDECEDENT ESTATE OF FILE NUMBER Rockey, Winifred S 21-14-0521 schedule C-T or C-2(Including all supporrAll Information)must ba attached for each closely-held corporallorupartnership Interest of the decedent,other than a sore.propdelonoop.Sea instructions tar the suppoding infametlan to oe submiaed for sate-propriolorships. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 114 interest in Partnership of Real Estate situate at 333 Centerville Rd.,Carlisle,West 14,250.00 Pennsboro Township,Cumberland Co.,Pennsylvania-Decedent held a 114th Partnership Interest with Mickey D. Rockey, Marianne R. Rockey and Jennie L. Rockey; Clean&Green assessment$57,000 divided 4=$14,250 2 114 interest in Partnership of Real Estate situate at Meals Rd.,Gardners,South Middleton 650.00 Township,Cumberland Co., Pennsylvania-Decedent held a 114th Partnership Interest with Mickey K. Rockey,Marianne R. Besaw and Jenni L.Rockey;Clean&Green assessment $2,600 divided by 4=$650 3 Ken Four Partnership,ACNB Free Business Checking Account No, 2197987-decedent held 1,193.83 a 114th interest in with Mickey D. Rockey,Marianne R. Besaw and Jenni L. Rockey; DOD balance$4,775.33 divided by 4=$1,193.83 TOTAL(Also enter on Line 3, Recapitulation) 16,093.83 (it more space is needed,additional pages of the same size) Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-15o0 Schedule C{Rev.6-98) Rcn.-iSNEX+111-110) SCHEDULE E Pennsylvania CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF F3LE NUMBER Rockey,Winifred S. 21-14.0521 Include the proceeds of III ation and the date the precegds were received by the estata. All property)ointlyawned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 ACNB Bank,Statement Savings Account No.9000231485 427.27 2 PNC Checking Account No.5112933932 6,633.85 3 PNC Savings Account No,5114287129 840.10 4 1991 Subaru Jutsy Coupe-VIN JF1KA7329MC700217 500.00 5 2001 Subaru Station Wagon-VIN 4S3BH675517602262 4,000.00 TOTAL(Also enter on Line 5, Recapitulation) 12,401.22 (if nfore 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) REV-1511 EX.(1049) SCHEDULE H pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Rockey,Winifred S 21-14-0521 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 8,657.86 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Marianne R. Besaw Street Address 6827 East Garnet Dr. City St. Marie's State ID zip 83860 7,485.00 Year(s)Commission Paid 2. Attorney's Fees Salzmann Hughes, P.C. 1,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) 3,500.00 Claimant Jeune D Rockey Street Address 1143 Goodyear Rd. City Gardners State PA zip 17324 Relationship of Claimant to Decedent Mother 4. Probate Fees 193.50 5: Accountant's Fees 6. Tax Return Preparer's Fees - 7. Other Administrative Costs 1,015.66 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 16,352.02 Copyright(c)2009 form software only The Lackner Group,Inc. _ Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Rocke ,Winifred S. 21-14-0521 ITEM NUM ER DESCRIPTION AMOUNT Funeral Expenses 1 Marianne R. Besaw-reimbursement for funeral expenses 8,657.86 H-A 8,657.86 Other Administrative Costs 2 Marianne R.Besaw-reimbursement for fee to replace lost car titles to sell in order to 134.00 administer the estate 3 Register of Wills -file Qualified Disclaimer of Interests 5.00 4 Roger B. Irwin -reimbursement for photocopies 0.50 5 Salzmann Hughes, P.C. -reimbursement for payment to Cumberland Law Journal for legal 75.00 advertising 6 Salzmann Hughes, P.C. -closing costs and final fees for income tax preparation, postage 600.00 and miscellaneous contingencies in order to administer the estate 7 The Sentinel -legal advertising 201.16 H-B7 1,015.66 Copyright(c)2002 form software only The Lackner Group,Inc. Fonn PA-1500 Schedule H(Rev.6-98) Re,4612 EX.(1248) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Rockey,Winifred S. 21-14-0521 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unraimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Capital One-balance due on account!#6342 11151.55 2 Cumberland Goodwill Fire Rescue EMS Inc. -balance due for services on 2/17/2014 61.33 3 Forest Park Health Center-balance due on account 5,624.00 4 Fresenius Medical Care-balance due on account 1.15 6 Graham Medical Clinic, P.C. -balance due for services on 2112114 and 2/20/14 86.44 6 Guardian LongTermCare Pharmacy-balance due on account 2.28 7 Portfolio Recovery Associates, LLC-balance due on World Financial Capital Bank Account 781.26 8 SKO Brenner American-balance due on Chaz Dean Continuity Account 120.67 9 Wellspan EMS-balance due for services on 111612014 475.00 10 Wellspan EMS-balance due for services on 51212014 625.00 TOTAL(Also enter on Line 10,Recapitulation) 8,918.68 (It more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-08) REV-1513 EX.101-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES _ RESIDENT DECEDENT ESTATE OF FILE NUMBER Rockey,Winifred S. 21-14-0521 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) (5551 Do Not List Tmstee M TAXABLE DISTRIBUTIONS [include outright spousal I• distributions,and transfers under Sec.9116(a)(1.2)] 1 Kenneth E. Rockey Predeceased the Testatrix in 2002 PA 2 Jeune D. Rockey Mother Entire Residue- 1143 Goodyear Road Disclaimed Gardners, PA 17324 Interest in Estate 3 Jennie L. Rockey Sister 1 13rd Disclaimed 1,074.79 Residue 4 Marianne R. Besaw Sister 1/3rd Disclaimed 1,074.78 6827 East Garnet Dr. Residue St, Marie's,ID 83860 5 Mickey D. Rockey Brother 1/3rd Disclaimed 1,074.78 Gardners, PA 17324 Residue Total 3,224.35 Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as apor Dot te. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10) 1F I n O M LAST WILL AND TESTAMENT N OF WINIFRED S. ROCKEY r; 6 23 M I, WINIFRED S. ROCKEY, of the City of York, York County, Pen nsy�'ania, bei rrK f s6Qn� and disposing mind, memory and understanding, declare this to be my Last 1011 and Tesrantenr, hereby revoking and making void any and all Wills heretofore made by me. FIRST: I direct that my body be cremated and that my Executrix, hereinafter named, shall pay all of my just debts and funeral expenses as soon as conveniently possible after my dcecasc. SECOND: I give, devise and bequeath unto my friend, LYNN ELLEN LENTZ, the following items to be hers absolutely: 1) my amethyst ring; 2) two (2) rust reproduction fireside chairs; 3) one(1)Queen Anne reproduction coffee table and two(2)Queen Anne reproduction end tables; and 4) one (1) floral living room sofa and one (1) floral living room chair. THIRD. All of the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath unto my parents, KENNETH E. ROCKEY and JEUNE D.ROCKEY, of 4525 Carlisle Road, Gardners, Cumberland County, Pennsylvania to be theirs absolutely. FOURTH. I order and direct my Executrix to pay all transfer inheritance, federal estate, death, succession and legacy taxes to which my estate, or the transfer of any property hereunder may be subject, and to charge such taxes as part of the expense of administration and to pay the same from / A my residuary estate- r [SEAL] . " WIED S.r Q� l E LASTLY, I hereby nominate constitute and appoint my sister, MARI4.1NE ROCKEY, to be i the Executrix of this, my Last Will and Testament. In the event that my sister has predeceased me or should she be unable to serve for any reason, I appoint my friend, LYNN ELLEN LENTZ, to be i the alternate Executrix of my estate. I direct that my Executrix or alternate Executrix shalt not be ! i required to give bond for the faithful performance of her duties hereunder and she shall have full I power at her discretion to do any and all things necessary for the complete administration of my i estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this // day of .CC e _ �i , 1989. (SEAL, ! ' INI RED S ROO I COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF YORK WE, the undersigned, the Testatrix and the witnesses, whose names are signed to the within instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and !tearing of the Testatrix, signed the If it/ as witness, and that to the best of their knowledge, the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. (SEAL) Witness c "3'FRED S''R� KEY Witness tress ; SUBSCRIBED, sworn to and acknowledged before me by WINIFRED S. ROCYE;Y, the Testatrix, and subscribed and sworn to before me by./ti K-.,.t.1'f/. and�¢zrltu2e� ZGt �l the witnesses, this /1 day ! Of dlLt2 m1rt.y , 1989. EAL i Notary Public .. i NOTARIAL ScAI - II WAN6A K6EHlER.N 1. Public . York,York Counrf.P-MSYNania My COMMi59i0n EIN,cz,M:ir,19,1942 FILE COPY IN THE COURT OF COMMON PLEAS OF THE NINTH JUDICIAL DISTRICT OF PENNSYLVANIA — CUMBERLAND COUNTY BRANCH ORPI A S' COURT DIVISION In Re: Estate of Winifred S. Rocket', late 44 of Dickinson Township, Cumberland No. Z f " 4 y 5z t County, Pennsylvania, deceased QUALIFIED DISCLAIMER OF INTERESTS IN TILE ESTATE OF WINIFRED S. ROCKEY 5; r '� a7 F,I C" PURSUANT TO 20 PA.C.S.A. §6201 . L )t Jenne D. Rockey ("disclaim ant"), respectfully states that: 1. Winifred S. Rockey (`'decedent") died testate May $, 2014, a resident of Dicki on Township, Cumberland Count, Pennsylvania. Her last will and testament dated December 11, I989, was duly probated by the Register of Wills for Cumberland County, Pennsylvania, and is recorded at Cumberland County No, 2014-00521. By her will, she appointed Marianne Rockey, also known as Marianne R. Besaw (hereinafter Marianne R. Besaw) as Executrix of her estate. On May 28, 2014, Marianne R. Besaw duly qualified as such and Letters Testamentary were duly issued by the Register of Wills of Cumberland County, Pennsylvania, to Marianne R. Besaw. 2. Less than nine months have elapsed since the date of death of Winifred S. Rockey, the decedent, and the undersigned disclaimant has not accepted any interests in or benefits of the herein disclaimed property, nor has she exercised any control as beneficial owner over that property, or over any interests therein. NOW, THEREFORE,intending to be legally bound hereby, the undersigned, .leune D. Rockey,does hereby forever,absolutely, irrevocably, unconditionally, and for no consideration, disclaim any and all interest in the Estate of Winifred S. Rockey late of Dickinson Township and any described interests in the hereinafter described property which might otherwise inure to her benefit as a result of the death of Winifred S. Rockey on May 8, 2014. Descriptions of the disclaimed interests and property are as follows: 1) One-fourth (1/4`h) Survivorship interest in Free Business Checking Account No. 2197987 at ACNB Bank, having a total value at date of death of$4,775.33; a one-fourth (1/4`h) interest is valued at $1,193.83, [titled to "Ken Four Partnership."] 2) One-fourth (1/4'h) Survivorship interest in 333 Centerville Road, Gardners, West Pennsboro Township, Cumberland County, Pennsylvania, having a total Clean and Green value at date of death of $57,000; a one- fourth (1/4`h) interest is valued at $14,250.00, [titled to "Mickey D. Rockey, Marianne R. Besaw, Jennie L. Rockey and Winifred S. Rockey."] 3) One-fourth (1/4"i) Survivorship interest in Meals Road, Gardners, South Middleton Township, Cumberland County, Pennsylvania, having a total Clean and Green value at date of death of$2,600.00; a one-fourth (1/4`h) interest is valued at $650.00, [titled to "Mickey D. Rockey, Marianne R. Besaw, Jennie L. Rockey and Winifred S.Rockey.'"] It is suggested that the interests in the property disclaimed hereunder might be devised and disbursed to the three surviving interest owners, Mickey D. Rockey, Marianne R. Besaw and Jennie L. Rockey, who are the surviving children of the disclaimant. For purposes of clarification, it is suggested that this disclaimer be construed in no way other than in the unconditional manner in which it is intended. This instrument is intended to be a valid disclaimer under 20 Pa. C.S.A., Section 6201, and is to be governed by the laws of the Commonwealth of Pennsylvania. In the event that this disclaimer is defective in any way as to any interest attempted to be disclaimed, it shall nevertheless be valid for any other interest as to which it is not defective. WITNESS the due execution hereof the Z`?, day of 7tW(t 2014. Witness: n EAL) 6/( t,,,�_ cb, Jenne D. Rockey (Disclaim ACKNOWLEDGMENT STATE OF PENNSYLVANIA SS COUNTY OF CUMBERLAND : On this y day of -112, 2014, before me, the undersigned officer, personally appeared Jeune D. Rockey, Disclaimant, known to me to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. Notary Public COMMONWEALTH OF PENNSYLVANIA �nTwpal Seel Tamer"S.Sle^Notary Public South Middleton Tvq.,t]arnbalend County j My ComnjS§W Bow Dec.3,7014 MEMBER,PENWTLVANM�11�O R^•.['.; :BORAH W PIPER,TAX COLLECTOR I I I I Bill No: 1809 2013 Statement of Real Estate Taxes Control No:046-001850 Bill Date: 7101/2013 Assessed Preferred Land Improvement Mineral Total ,Y�BLE Veluea_ 61,800 0 0 51,800 _ >: BIG SPRING S.D. Disco ace Penalty DEBORAH W.PIPER,TAX COLLECTOR Rates .o1z63600 z a 10 t P O BOY`157 SCHOOL R E 691.45 4.54 X19.99 PLAINFIELD,PA 17081 Temp-Return Service Requested TAX AMOUNT DUE-----> $641.45 654.54 9719.99 asc: ASSESS.NO-46001143 MAP NO: 46-D9-0577-030. If Paid On Or After 7/01/2013 /0l/2013 11/01/2013 333 CENTERVILLE ROAD Paid On or Before a 31 zo13 l0 31 zo13 12/31/2013 ACRES 63.870 DEED 258 /202 F X ARE ESCROWED PLEASE FOR A PY 70 MORTGAGE CO. H MONEY ORDER AFTER 12124/13.RETURN BOTH COPIES OF - & I POSTAGE PAID ENVELOPE IF YOU REQUIRE A RECEIPT. AGRICULTURAL WITH BUILDINGS AX 4kV R &WCIN FF EMICKEY S OCKEY& NIE L 08 AUG 2013 MARIANNE R BESAW 392 PEACH GLEN ROAD DEBORAH W. PIPER GARDNERS PA 17324 TAX LECTOR cRcE TUESDAY 9AM-5PM THURSDAY 12-6PM WESWPINS" 0 TOWNSHIP OURS: 241 KERRSVILLE RD,CARLISLE, PA DEC,JAN,FEB BY APPOINTMENT PHONE:(717)440-6660 IiJN� i 9=1. Return Bill with Payment.For a Receipt, Tax Co lector Signature Date Paid Amount Paid Enclose a self-addressed stamped enveL 1 333_CenderVi II - d C C7 CUMBERLAND COUNTY ,fl AMENDMENT TO AN APPROVED CLEAN & GREEN APPLICATION The sole purpose of this document is to amend a previously approved Clean & Green application. A $17.00 recording fee,made payable to the Recorder of Deeds,must accompany this amendment. SPLIT OFF SEPARATION TRANSFER X TERMINATION Definitions Split off - A division by conveyance or other action of the owner of land preferentially assessed under the act into two or more tracts of land,the use of eligibility for Clean&Green. Separation - A division by conveyance or other action of the owner of lands preferentially assessed under the act into two or more tracts of U7) land, the use of which continues to meet the requirements of Z m eligibility for Clean&Green. = .= Eransfer - A conveyance of all of the enrolled land described in a single N o application for preferential assessment under the act. a: w ° Termination - The right to terminate preferential assessment of enrolled land �.- `; a .r—t subject to rollback taxes even when it continues to meet the cm requirements of eligibility for Clean &Green. AFPROgD ACREAGE 103 , to 3 AMENDED ACREAGE 'f • °J APPROVED LAND USE AMMENDED LAND USE AGRICULTURAL USE rc AGRICULTURAL USE x AGRICULTURAL RESERVE AGRICULTURAL RESEW p FOREST RESERVE FOREST RESERVE K Definitions. JUL 2 8 2003 Agricultural Use Land for the purpose of producing and agricultural commodity. Agricultural Reserve - Noncommerical open space lands used for outdoor recreation enjoyment of scenic or natural beauty and open to the public for that use,without charge or fee. Forest Reserve - Land, 14 acres or more, stocked by forest trees of any size and capable of producing timber or other wood products. APPROVED CLEAN&GREEN DOCUMENT RECORDED IN HOOK PAGE APPROVED PARCEL NUMBER 46 - 01 NEW PARCEL NUMBER PRESENT OWNERNAME(s) W OWNERS N P Kni 0U� �} Signature(s) �acf 01�� s) Box 700 a�;?_ /� PRESENT OWNER(S)ACKNOWLEDGEMENT STATE OF PENNSYLVANIA SS; COUNTY OF CUMBERLAND On this,the__day of_,200_,before me )mown to me(or The undersigned ojKcer,did personally appear acknowledge that(he/she/they)e the person(s)auted the same na for(tlte purpose to the within instrument and Therein contained. IN WITNESS WHEREOF,I have hereunto set my hand and notarial seal. My Commission Expires NEW OWNER(S)ACKNOWLEDGEMENT N STATE OF PENNSYLVANIA rr ��� K� SS. �a A. 4Ets.�. s A,cK+y /W s.r�S. +�' weNe h` COUNTY OF CUMBERLAND M On this,the +8- day afro n ,2007 ,before me g � �o�to the(or The undersigned officer,did personally appear 's' a n.�csx* satisfactorily pro en)to be the executed these name(s)e(s)is/are r subscribed to the within instrument and acknowledge Therein contained. •IN WITNESS WHEREOF,I have hereunto set my hand and notarial seal. NWAal Seal Public My Commission Expires my coomr idsss''m�Cum xPtr� county My CUMBERLAND COUNTY ACKNOWLEDGEMENT tAaerOar.Pett�`M�atA Ndat1�+ COUNTY OF CUMBERLAND AUf130RIZATTON SIGNATURE STATE OF PENNSYLVANIA SS; COUNTY OF CUMBERLAND N On this,the_day of_ 200_,before me The undersigned officer,did personally appear known to tde P, a) satisfactorily proven)to be the person(s)whose name(s)is/are subscribed to the within instrur�cntytia Q acknowledge that(he/she/they)executed the same for the purpose �. Therein contained. .j O O U 'o IN WITNESS WHEREOF,I have hereunto set my hand and notarial seal. D p y _ c My Commission Expires r �; U q prepared by: Tel hone: This document was prep Address: 800K 700 PACE 24i3 Parcel#46-09-0517-030 THIS INDENT'U'RE MADE this Lf day of May, 2003. BETWEEN MICKEY DEAN ROCKEY, Executor of the Last Will and Testament of Kenneth E. Rockey, late of Dickinson Township, Cumberland County, Pennsylvania; GRANTOR AND MICKEY D. ROCKEY, a married man of Gardners, Pennsylvania, MARIANNE R. BESAW, a married woman of St. Maries, Idaho, JENNIE L. ROCKEY, a single woman of Gardners, Pennsylvania and WINIFRED S. ROCKEY, a single woman of York, Pennsylvania; GRANTEES WHEREAS Kenneth E. Rockey died May 15, 2002, testate seized of certain land situate in West Pennsboro Township, Cumberland County, Pennsylvania; and WHEREAS the Will of the said Kenneth E. Rockey dated June 3, 1999, was duly probated in the Office of the Register of Wills in and for Cumberland County, Pennsylvania, on June 6, 2002, and Letters Testamentary were granted to Mickey Dean Rockey, the above named Executor to#21-02-0539; and WHEREAS Section 3351 of the Probate, Estates and Fiduciaries Code (20 PS. 3351) confers upon Executor(s) the power to sell at public or private sale, any real estate not specifically devised; and WHEREAS the hereinafter described premises were not specifically devised; and WHEREAS the said Executor was not required to file any bond to secure faithful, performance of his duties. NOW THIS INDENTURE WiTNESSETH that Mickey Dean Rockey, Executor,of the Estate of Kenneth E. Rockey, deceased, for and in consideration of the sum of One and 001100 Dollars ($1.00) in lawful money of the United States, to him in hand paid by 606 258 PAGE 202 . the said GRANTEES at and before the sealing and delivery hereof, the receipt whereof is hereby acknowledged he has granted, bargained, sold, aliened, released and confirmed, and by these presents does grant, bargain, sell, alien, release and confirm unto the said GRANTEES, their heirs and assigns as tenants in common: ALL THAT CERTAIN tract of land situate in West Pennsboro Township, Cumberland County, Pennsylvania, in accordance with a plan prepared by Eric L. Diffenbaugh, RPLS dated September 29, 1993 and recorded in the Office of the Recorder of Deeds for Cumberland County in Plan Book 67, page 113. BEGINNING at a point in centerline of SR 233 at corner of lands now or formerly of Jonas W. Nolt; thence along centerline of SR 233 North 34 degrees 45 minutes West 704.56 feet to a point; thence still along centerline of SR 233 North 35 degrees 01 minute 42 seconds East 458.32 feet to a point; thence along same North 35 degrees 19 minutes 09 seconds West 54.56 feet to a P K Nail; thence along same by a curve having a radius of 4,004.32 feet and an arc distance of 149.73 feet on a chord bearing of North 34 degrees 14 minutes 29 seconds West; thence still along same North 33 degrees 10 minutes 36 seconds West 366.70 feet to a point; thence by a curve having a radius of 6,581 .39 feet an arc distance of 100.00 feet on a chord bearing of North 33 degrees 36 minutes 43 seconds West to a point; thence still along same North 34 degrees 2 minutes 50 seconds West 45.42 feet to a point; thence continuing along the centerline of SR 233, North 34 degrees 45 minutes West 770.55 feet to a point; thence along lands now or formerly of Herbert Bowlby North 68 degrees 30 minutes East 1047.75 feet to a point; thence along lands now or formerly of Herbert Bowlby South 34 degrees 45 minutes East 2,668.05 feet to a point; thence along lands now or formerly of Jonas W. Noit South 59 degrees 15 minutes West 1052.70 feet to a point the place of BEGINNING. CONTAINING 64 acres and being the remaining lands of Kenneth E. Rockey as shown on plan for Kenneth E. Rockey. BEING the property which S.E. Rockey & Son, a partnership, by their Deed dated July 29, 1982, and recorded in Cumberland County Recorder of Deeds Book 'V", Vol. 29, Page 948, granted and conveyed unto Kenneth E. Rockey. THIS TRANSFER IS BEING MADE FROM ESTATE OF FATHER TO CHILDREN AND IS THEREFORE EXEMPT FROM REALTY TRANSFER TAX. TOGETHER with all and singular ways, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever thereunto belonging, or in anywise appertaining, and the reversions and remainders, rents, issues and profits thereof; and also, all the estate right, title, interest, use trust, property, possession, claim inx 258 PACE 203 2 and demand whatsoever, in law, equity or otherwise howsoever, of, in, to or out of the same. TO HAVE AND TO HOLD, the said hereditaments and premises hereby granted and released, or mentioned and Intended so to be, with the appurtenances, unto the said GRANTEES and their heirs and assigns, to and for the only proper use and behoof of the said GRANTEES their heirs and assigns, forever. AND the said Executor of the Estate of Kenneth E. Rockey, deceased, covenant, promise, and agree to and with the said GRANTEES their heirs and assigns, by these presents, that he, the said Executor has not done, committed, knowingly or willingly suffered to be done or committed, any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or encumbered, in title, charge, estate, or otherwise howsoever. WITNESS the due execution hereof the day, month and year first above written. Signed, Sealed and Delivered Estate of Kenneth E. Rockey in the Presence of: 3. MI Y N O KEY, Executor COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLAND ) he 4 day of May, 2003, before me, the undersigned officer, ~' � orr&Nebred Mickey an Rockey known to me (or satisfactorily proven) to be name is subscribed to the within instrument, and acknowledged that e tF s a as Executor for the Estate of Kenneth E. Rockey for the purposes :<°• NESS WHEREOF, I hereunto set my hand and official seal. BpOK 258 PAGE ' Royt . ��NOMY Public uconv h o"-c3% ,,pe,rs�tvrrnrocwnn d woarkes 3 . I do hereby certify that the precise residence and complete post office address of the within named Grantee is: 392 Peach Glen Road Gardners PA 17324 Date Nee, Lam- Irwin McKnight &-pHughes Attorney to •e. /a-r.s./ 1 ' t L" J W 2 C'� ® lkis to be recorded a °' In C u?ur:�-rEa d County PA J J O'j Recorder of Deeds IRW/N, mcmmw& HUGHES Attorneys eooK 258 PAGE 205 4 sntttute.rsi RECORDERZ USE ONLY s tar,Tax PQ REALTY TRANSFER TAX sea Nv,, ., COMMONWEALTH OF PENNSYLVANIA STATEMENT OF VALUE VEPARTM(NT OF REVENUE Tag, IUtEAU OP tHMIDUAL TAXES DEPT.200607 Dout es•r HARRMES,PA 17120-0603 See Reverse for Instructions Complete each section and file In duplicate with Recorder of Deeds when (1)the full valuelconsideration is not set forth in the deed,(2)when the deed is wgist mnsideralion,or by gift,or 3) o tax exemption is claimed.A Statement of Value is not requEred if the transfer is wholly exempt from tax based on: (1) fam'I relationshtp or(21 public utility easement If more space is needed attach additional sheet(%) A CORRESPONDENT - All inquiries may be directed to the following person: Nam Telephone Number: ROGER B. IRWIN, ESQUIRE Arco Cede( 717 ) 249-2353 Street Address City Store zip Gre 60 WEST POKMET STREET, CARLISLE, PA 17013 B TRANSFER DATA ate of Attaptamsa of Document 55729/2003 Grenro s)flessor(s) Gramw s Lnsw(s) KENNM E. ROCKEY ESTATE MICKEY D. ROOM, ET AL. Address 'Sue—st—Agilress 60 WEST POMPRET STREET 392 PRACH GLEN ROAD City State Zip Code Cnty State Zip Code CARLISLE PA 17013 GARDNERS PA 17324 C PROPERTY LOCATION erwf Address 7y,Township,Borough CENTERVILLE ROAD HEST PENNSBORO County School District Tax Perot Number CUMBERLAND BIG SPRING 46-09-0517-030 D VALUATION DATA 1.Actual s • waiton 2.Other Consideration 3. Total Consi eraHon 0.00 + 0.00 0.00 A.County Assessed o ue 5.Common tar a5o actor K Pair market a w X m E EXEMPTION DATA la.Amman of Exemption Claimed i b.Percentage of Interest Conveys 100% 1002 2. Check Appropriate Box Below for Exemption Claimed ® WiII or intestate succession KE�TRTH E. ROCKEY 21-02-0539 caw 0 Mud�m)— IE'aih �m .r ❑ Transfer to Industrial Development Agency. ❑ Transfer to a trust. (Attach complete copy of tent agreement identifying all beneficiaries.] ❑ Transfer between principal and agent. (Attach complete copy of agencylstraw party agreement.) ❑ Transfen to the Commonwealth,the United States and Instrumentalities by gift, dedication,condemnation or In lieu of condemnation. (If condemnation or in lieu of condemnation, attach copy of resolution.) ❑ Transfer from mortgagor to a holder of a mortgage in default. Mortgage Book Number ,Page Number ❑ Corrective or confirmatory dead. (Anoch complete copy of the prior deed being corrected ar confirmed.) ❑ Statutory tat porate consolidation,merger or division. (Attach copy of onides.) ❑ Other(Phase explain exemption claimed,it other than listed above.) Under pessaftles of law,I declare that t have examined thls Statement,Including accompanying information,and toffee best of my iasowfedge and Well, H is true, torred and complete. nett. t a. •Party , 9oox 258 PAGE 2206 05/29/2003 FAILURE TO COMPLETE THIS FOnOPIERLY OR ATTACH APPLICABLE DOCUMENTATION MAY RESULT IN THE RECORDER'S REFUSAL TO RECORD THE OEEO. Bill No: 4963 VIII VIII III IIIIIIIIII II III 2013 Statement t of ReaR E COPY state Taxes Bill Date: 7/01/2013 Control No:040-005052 ky . Assessed Preferred Land Improvement Rineral Tote' Y Values 2.600 0 0 2,600 __ ROBERT C CAIRNS TAX COLLECTOR SOUTH MIDDLETON S.D. Discount Face Penalty IPO BOX 40 z 1 10 a BOILING SPRINGS PA 17007 0040 Races .00900810 SCHOOL R E 23.62 __ 25.76 =sc: MAP NO: 4 -16- 028-0 TAX AMOUNT DUE----> $22.95 23.42 $25.76 MAP NO: 40-16-0208-005. MEALS ROAD -- ACRES 25.500 DEED 258 !198 if Paid on or After -1/01/2013 11/01/2013 If Paid On or Before o1/z01 —40/31/2013 12/31/2013__ IF TAXES ARE IN ESCROW FORWARD LAND APPROX 26 ACRES TO MORTGAGE CO AGRICULTURAL WITHOUT BUILDINGS IF NOT PAID BY 12/31/2013 THIS BILL WILL BE RETURNED TO TAX CLAIM BUREAU FOR COLLECTION « ROCKEY ET AL, MICKEY D AYER & MARIANNE R BESAW 392 PEACH GLEN RD GARDNERS PA 17324-T68 Ca 1 WRCE MON-TUE-WED AM-3:30 P,,pM�1 '�Lrq 'nom 1' ouRs: 520 PARK DRIVE WNggHIP 6LDG CLOSED OCT 7-1r�EN-`JAN 3 PHONE:717-258-555333333 4 EXT 247 � . If paying in installme 1f is use the coupons below to submit payments.If paying in full use ONLY the 1ST coupon below to submit payment. rl—d c0 00 i CUMBERLAND COUNTY AMENDMENT TO AN APPROVED CLEAN & GREEN APPLICATION The sole purpose of this document is to amend a previously approved Clean & Green application. A $17.00 recording fee,made payable to the Recorder of Deeds,must accompany this amendment. SPLIT OFF SEPARATION TRANSFER-1_TERMINATION Definitions Split off - A division by conveyance or other action of the owner of land preferentially assessed under the act into two or more tracts of land, the use of eligibility for Clean &Green. Separation - A division by conveyance or other action of the owner of lands preferentially assessed under the act into two or more tracts of land, the use of which continues to meet the requirements of m't� eligibility for Clean &Green. w :4 Transfer - A conveyance of all of the enrolled land described in a single nr;,_ c°0 application for preferential assessment under the act. 2 tic in Termination - The right to terminate preferential assessment of enrolled land LLJ a subject to rollback taxes even when it continues to meet the is z cn requirements of eligibility for Clean&Green. w : `APP@VED ACREAGE as' SU AMENDED ACREAGE_ AMMENDED LAND USE APPROVED LAND USE AGRICULTURAL USE RECEIVE 0 AGRICCUULL,TURA't,RA L RESERVE AGRICULTURAL T RESERVE RESERVE 2 8 2(103 FOREST RESERVE FOREST RESERVE Definitions. purpose of producing and agricultural Agricultural Use - Land for the pure commodity. lands used for outdoor Agricultural Reserve iec eation enjoyment of scenic or natural beauty and open to the public for that use,without charge or fee. forest trees of any Forest Reserve - Land, 10 acres or more, stocked by size and capable of producing timber or other wood products. RECORDED IN BOOK pAGE APPROVED CLEAN&GREEN DOCUMENT APPROVED PARCEL NUM3ER� �� 0 NEW PARCEL NUMBER PRESENT OWNER(S)ACKNOWLEDGEMENT STATE OF PENNSYLVANIA SS, COUNTY OF CUMBERLAND On this the day of X200_,before me known to me(or The undersigned officer,did personally appear is/are subscribed to the within instrument and satisfactorily proven) executed the same for the purpose acknowledge that(h Y) Therein contained. IN WITNESS WHEREOF,I have hereunto set my hand and notarial seal. My Commission Expires NEW OWNERS)ACKNOWLEDGEMENT STATE OF PENNSYLVANIA SS; K,O��` '�.ZL'�I>•'�R s�,YyF Q. QEfMwI 91MY,t L. t,,,{,v•MAMA��j.�� COUNTY OF CUMBERLAND l before me +' r i nOf Ffti l On this,the LB' day of d��200 3 known to me(or The undersigned officer,did personally appear satisfactorily proven)to be the persons)whose name(s)is/are subsell to the within instrument and acknowledge that(he/she/they)executed the same for the purpose Therein contained. IN WITNESS WHEREOF,I have hereunto set my hand and notarial seal. Notarial Seel Publk�yyp� ldyCoosoWba�Cr"- My Commission Expires Oct. 3, CUMBERLAND COUNTY ACKNOWLEDGEMENT Men++R,tawrMaaa paotwlm aNOtaaea COUNTY OF CUMBERLAND AUTHORIZATION SIGNATURE STATE OF PENNSYLVANIA SS; COUNTY OF CUMBERLAND 200 before me n lhu this,the_�Y of_ I lmBivatq�me O U The undersigned officer,did personally appear Q satisfactorily proven)to be the persons)`whose names)is subscribed to the vrithi�anme O executed the same for the urpose v P acknowledge that(hdshc/they) � J 4 '[herein contained. V o, l� \ O U t CL �� 359105 � Parcel #40-16-0208-005 THIS INDENTURE MADE this Z9� day of May, 2003. BETWEEN m LD MICKEY DEAN ROCKEY, Executor of the Last Will and Testament of Keget Rockey, late of Dickinson Township, Cumberland County, Pennsylvania; GI c `Tn zr*+ r AND —"^ ^ co MICKEY D. ROCKEY, a married man of Gardners, Pennsylvania, MARIANNE `ft. BESAW, a married woman of St. Manes, Idaho, JENNIE L. ROCKEY, a single woman of Gardners, Pennsylvania and WINIFRED S. ROCKEY, a single woman of York, Pennsylvania; GRANTEES WHEREAS Kenneth E. Rockey died May 15, 2002, testate seized of certain land situate in South Middleton Township, Cumberland County, Pennsylvania; and WHEREAS the Will of the said Kenneth E. Rockey dated June 3, 1999, was duly probated in the Office of the Register of Wills in and for Cumberland County, Pennsylvania, on June 6, 2002, and Letters Testamentary were granted to Mickey Dean Rockey, the above named Executor to#21-02-0539; and WHEREAS Section 3351 of the Probate, Estates and Fiduciaries Code (20 PS. 3351) confers upon Executors) the power to sell at public or private sale, any real estate not specifically devised; and WHEREAS the hereinafter described premises were not specifically devised; and WHEREAS the said Executor was not required to file any bond to secure faithful performance of his duties. NOW THIS INDENTURE WITNESSETH that Mickey Dean Rockey, Executor of the Estate of Kenneth E. Rockey, deceased, for and in consideration of the sum of One and 00/100 Dollars ($1.00) in lawful money of the United States, to him in hand paid by the said GRANTEES at and before the sealing and delivery hereof, the receipt whereof is hereby acknowledged he has granted, bargained, sold, aliened, released and confirmed, and by these presents does grant, bargain, sell, alien, release and confirm unto the said GRANTEES, their heirs and assigns as tenants in common: rn�,r 25 ear_ I98 ALL THAT CERTAIN tract of land situate in South Middleton Township, Cumberiand County, Pennsylvania, bounded and described as follows: BEGINNING at a paint on the northwest side of Township Road no. 527 at line of land now or formerly of Nailor; thence along said land, North 27 degrees West 20 perches to a point; thence by land now or formerly of Sylvester D. Bream and Cecile E. Bream, North 13 degrees West 89.4 perches to a white oak; thence by land now or formerly of H. Russel Grove and Roberta D. Grove South 56 degrees East 24 perches to a point; thence by the same South 85 degrees 30 minutes East 27.8 perches to a point; thence by the same South 70 degrees 45 minutes East 23.5 perches to a point on line of land now or formerly of Paul W. Meals and Nora M. Meals; thence by said land South 44 degrees 30 minutes West 30.6 perches; thence by the same South 47 degrees 45 minutes East 38.8 perches to a point in the aforementioned public road; thence along said public road by land now or formerly of John Peters, Nailor and Ralph Miller, South 37 degrees West 66.7 perches to the Place of BEGINNING. CONTAINING 25.5 acres, more or less. BEING Tract No. 5 which Kenneth E. Rockey, Executor of the Estate of Ruth E. Rockey by Deed dated March 12, 1985, and recorded in Cumberland County Recorder of Deeds Book 31 "D", Page 556, granted and conveyed unto Kenneth E. Rockey. THIS TRANSFER IS BEING MADE FROM THE ESTATE OF FATHER TO SON AND DAUGHTERS AND IS THEREFORE EXEMPT FROM REALTY TRANSFER TAX. TOGETHER with ail and singular ways, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever thereunto belonging, or in anywise appertaining, and the reversions and remainders, rents, issues and profits thereof; and also, all the estate right, title, interest, use trust, property, possession, claim and demand whatsoever, in law, equity or otherwise howsoever, of, in, to or out of the same. TO HAVE AND TO HOLD, the said hereditaments and premises hereby granted and released, or mentioned and intended so to be, with the appurtenances, unto the said GRANTEES and their heirs and assigns, to and for the only proper use and behoof of the said GRANTEES their heirs and assigns, forever. AND the said Executor of the Estate of Kenneth E. Rockey, deceased, covenant, promise, and agree to and with the said GRANTEES their heirs and assigns, by these presents, that he, the said Executor has not done, committed, knowingly or willingly suffered to be done or committed, any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or encumbered, in title, charge, estate, or otherwise howsoever. saoi 258 PACs: 199 2 WITNESS the due execution hereof the day, month and year first above written. Signed, Sealed and Delivered Estate of Kenneth E. Rockey in the Presence of 3. � KE EAN FktiCK Y, Executor COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLAND } On this, the = q day of May, 2003, before me, the undersigned officer, personalty appeared Mickey Dean Rockey known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed same as Executor for the Estate of Kenneth E. Rockey for the purposes t44n contained. .r cad`'''"';;;�,.'`�'✓j 'C', �fVESS WHEREOF, i hereunto set my hand and official seal. Notarial Seal ,/{,/f '.'�^:.::,'`;,? ,„y,•+5, ,-` ..:Boiler S. Irwin, Notary Public .Carlisle Boro, Cumberland County „'•.�..,::: .K„ y„ip._, My Commission Expires Oct. 3, 2004 Memtser.PennsyMaMaAatbnotNotarfo9 1 do hereby certify that the precise residence and complete post office address of the within named Grantee is: 392 Peach Glen Road Gardners PA 17324 Date �"q 1/ Iml IRWIN MCKNIGHT AND HUGHES 2 '3. cam.- Attorney for 4e. - lvt i l u Y i Certify this to be recorded == 4; In Cllir7i7erlar�d County ty PA IRWIN, MCKNIGHT& HUG ?j >.W Aftomeys ' -, C-15 box 256 PAGE 200 Recorder of Deeds 3 srv.us p Haa RECORDER'S USE ONEY Stur,Tot Few .� REALTY TRANSFER TAX 1.4 tz,-,bK GOASMONWEAtTN OF PENNSYLVANIA STATEMENT OF VALUE DEFARSMENT OF REVENUE Pop.Nwow c+! SUUAU at INaIVtaU"TAXES D HARRISBURG.PA171712e-06D5 See Roverse for instructions m' Roosf Complete each section and file in duplicate with Recorder of Deeds when(1)the full valuelmnsidemtion is not set forth in the deed,(2)when the deed is without,consideration,or by gift,or(3) a tax exemption is claimed.A Statement of Value is not required it the transfer is wholly exempt from tax based on 11 family relationship or(2) public utility easement If more space is needed attach additional sheet(sl• A CORRESPONDENT - All inquiries may be directed to the fallawina person: Name —' —' biephone Number. ROGER H. IRWINt, ESQUIRE Arw Cods(717 ) 249-2353 trust Ajdan, Cry Stot. Zip G 60 WEST POMFRET STREET, CARLISLE, PA 17013 B TRANSFER DATA Ov0s a crxitton"of Document 05/29/2003 Gronim a)ltnsn{s} GrontN s)ILeaN(s) E. II. ROOM ET AL. Sneet A t Sant A rea 0 2 PEACH GLEN ROAD lt7 Slats ip C e City Slav zip CO JO PA 17013 GAM PA 17324 C PROPERTY LOCATION Street nu ity,Town.hip, rovg MEALS ROAD SOUTH MIDDLETON TOWNSHIP aunty 5 oo District oz Forest Number COMB SOUTR )CIDDLETOR o-16-0208-005 D VALUATION DATA I.Actual s " •ration 2.Onto,I omidwation 3, ota Conti nation 0.00 + 0.00 as 0.00 A.County Asseand Volvo S. O.Few Ma et VON* Ix E EXEMPTION DATA o.Amount of zempaen aim to.re'"Atogs,if interne tm"yr 1002 1 100% 2, Check Appropriate Box Below for Exemption Claimed Will or intestate succession KENNETH E. ROCKEY 21-02-0539 { o. f (En i.NV ❑ Transfer to Industrial Development Agency. ❑ Transfer to a trust. {Attach complete copy of trust agreement identifying all beneficiaries.) ❑ Transfer between principal and agent. (Attach complete copy of agencylstrow party agreement.) ❑ Transfers to the Commonwealth,the United States and Instrumentalities by gift,dedication,condemnation or in lieu of condemnation. (II condemnation or in lieu of condsmooHon, attach copy of resolution.) ❑ Transfer from mortgagor to a holder of a mortgage in default. Mortgage gook Number , Page Number ❑ Corrective or confirmatory deed. (Attach complete copy of the prior deed being corrected at confirmed.) ❑ Statutory corporate consolidation, merger or division.(Attach copy of attidas.) ❑ tither(please explain exemption claimed,if other than listed above.) Under penalties of law,I declare that I hero examined this StatenmNn.Including accompanying irderination,and to the beet of my knowledge and belief, it Ie true, correct and complete. M n rope a oty " � 05J29J2003 711AILURETO PLETE THIS FO RM PROPE Y R ATTACH APPLICABLE bUGUM DEED. GOOK 2 PACE ;ZOi Account# 2197987 Statement Date 06130114 Page 1 of 1 KEN FOUR PARTNERSHIP Sae a or important information tion about managing 392 PEACH GLEN RD your account. GARDNERS PA 17324 1 14th Interest Partners: Mickey D. Rockey Marianne R. Besaw Jennie L. Rockey Winifred S. Rockey START PROTECTING YOUR BUSINESS NOW! Don't et counterfeit and fraudulent checks impact your business. Protect your accounts with Positive Pay! ACNB Bank's detection service monitors your business's checks and rejects unauthorized transactions. Talk to a Treasury Management representative today. 1.888.334.ACNB Free Business Checking Account # 2197987 Beginning Balance on 04/30/14 $4,77533 + Deposits &Other Credits $3,00000 -Withdrawals&Other Debits $0.00 -Service Charges $0'00 + Interest Paid $0'00 $7=775.33 Ending Balance on 06/30/14 Days in Statement Period Account Activity Date Description Deposits/Credits Checks/Debits Balance 04130114 BEGINNING BALANCE ,,4,775.33 06130714 CUSTOMER DEPOSIT $3,000.00 $7.775.33 END OF STATEMENT r ACNB BANK. June 5, 2014 Salzmann Hughes, P.C.Attorneys at Law Attn: Roger B. Irwin, Esq. 354 Alexander Spring Rd,Suite 1 Carlisle, PA 17015 RE: Estate of Winifred S. Rockey Dear Mr. Irwin: The following information is being provided as per your request: Acct. Type Account No. Balance at Interest to Opened/Joint d Date Ownership D.O.D. D.O.D. 07i29t2011 Statement 9000231485 $427.27 $0.00 Individual Savings Acct Inquiries concerning ACNB Company at 1-800-368-5948. ICorporation ou eedtany additional nformation,dplease contact Registrar e at (717)339•-5116• Sincerely, Lois A Kime ACNB Bank Deposit Services Supervisor 1.888.334.2262 { imb.mm I imbbusinas.com Jun, 1 2414 10:55AM PNC Bank No. 4304 P. 212 Q .0 . t.�titi111i?Vriy June 3,2014 Carta Crozier PNC Bank Mount Drolly Branch RE: Winifred S Rockey SSN: DOD: 05-08-2014 Dear Ms. Crozier: In response to your request for Date of Death(DOD)balances for the customer noted above,our records show the following: Checking Account Account#5112933932 Established: 01-03-2013 '46'ISURED S ROCKE'Y DOD balance: S 6,633.85 non interest bearing Savings Account Account#5114287129 Established:01-03-2013 W1MFRED S ROCKEY AOD balance: S 840.10+0.00 accrued interest Piease note that this office provides date of death balances for deposit accounts(IRAs,CDs,Checking and Savings), We do not process any financial transactions or provide statements. If you need assistance with any of-these items,please call 1-888•PNC-DANK(1-888-762-2265)orstop by yovrloeal PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank,t3.A. Member FDIC This message is intended for the use of the individual or entity to which it is addressed and may contain information that isprivileged, confidential and exemptfrom disclosure under applicable taw. 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 not ied 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. Page 1 of i