HomeMy WebLinkAbout12-02-14 � 1505610143
REV-1500 EX`°Z.,,, �
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania co„n�y code vear File Number
Bureau of Individual Taxes �°""*'�"*°'"�'°"�
Po Box.28oso� INHERITANCE TAX RETURN 21 13 014 0
Harrisburg,PA 1712&0601 RESIDENT DECEDENT
ENTER DECEQENT INFORMATION BELOW
Social Securiry Number Date of Death Oate of Birth
12 05 2012 05 01 1922
DecedenYs Last Name Suffix Decedent's First Name MI
WARD RICHARD B
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Su�x Spouse's First Name MI
Spause's Social Security Number �
THIS RETURN MUST BE.FILED IN DUPLICATE WITH THE
. .. � FtEGlST�E? QF !h!lLLS
FILL IN APPROPRIATE OVALS BELOW
� t. Original Retum O 2. Supplemental Return � 3. Remainder Return(Date of Deach
Priorto 12-13-82)
� 4. Limited EsWte � 4a.Fulure Interesl Compromisa � 5. Federal Estate Tax Return Required
(da�e W daaih afler 12-12�82)
a g. Decedent Dietl Tesw�e � �, pecadem Mai��nea a uving 7rusi 8. Total Number o(Safe Deposit Boxes
(AltachCopydWill) (AllachCopy rusq
� 9. Litigation Proceeds Received � 70.���?S����e���(oa���f Dealh � 11.EIecGon to tax urtder Sec.9113(A)
(Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONPtDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Oaytime Telephone Number
LINDA J OLSEN 717 540 4332
REGISTER OF WtLLS USE ONLY
N
C:�
First Line of Address � -� �
� � � �
2000 LINGLESTOWN ROAD ,._
� � r*y
c�7 Ua
Second Line of Address ,-.��7 � r ""j
c�t
SUI TE 2 0 2 .'�'�* ""'� � N ~'-' '
�.. �n T. �
;:, ATE Ft�ED �''� '
City or Post Office State 21P Code
,...� ;� ,-,.� � .� -n
HARRI SBURG PA 17110 M-�,-7 � � � �
F� --� r
�„ N CfJ ,a
CorrespondenYs e-mail address: lolsen@hazenelderlaw.com -�
Under penalGes oE peryury,I dedare that I have examined this retum,inGuding accompanyi.ng schedules a�d stalements,and to the best of my knowledge and beliet.
it is Uue,cortect and complete.Declaration of preparer other than ihe personal representaLve is based on all iMormaGon of which preparer has any knowledge.
�nTUR 0 P SO RESPONSIBLE FOR FILIN RET N DATE
(i' ' `� Clifford Allan Ward,Sr. � �— 2U- i�-�-
ADO S
460 E Mount Airv Rd,Dillsburq, PA 17019
SIG U OF PREPARER HER T R PRESENTA7IVE DATE
Linda J.Olsen Esq. li a� /
s
2000 Linglestown Rd. , Harrisburg, PA 17110
Side 1
� 15056Z0143 1505610143 �
!
J 1505610243
REV-1500 EX
DecedenYs Social Security Number
DecedenCsName: Wa�(�� RIChaPd B.
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.
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4.
5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5.
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous -Probate Property
(Schedule G) � Separate Billing Requested............ 7. 218 , 8�0 . 0�
g. Total Gross Assets(total Lines 1 through 7)........................................................ g. 218 , 8 0� . 0�
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 12 , 872 . 7 0
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10.
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 12 , 8 7 2 . 7�
12. Net Value of Estate(Line 8 minus Line 11).......................................................... �2. 2 O$ , 92 7 . 3�
�3. 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. 2 O S , 92 7 . 3�
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 0 . �0
(a)(1.2)X.00 15.
16. AmountofLine14taxable 205 , 927 . 30 16. 9,266 . 73
at lineal rate X .045
17. Amount of Line 14 taxable 0 . ��
at sibling rate X.12 � . �� 17.
18. Amount of Line 14 taxable � . ��
at collateral rate X.15 0 . 0 0 18.
19. TAXDUE........... ................................................................................................... 19. 9,266 . 73
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �
Side 2
� 1505610243 150561�243 J
REV-1500 EX Page 3 File Number 21-13-0140
Decedent's Complete Address:
DECEDENT'S NAME
Ward, Richard B.
STREET ADDRESS
1844 Sheepford Rd.
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 9,266.73
2. Credits/Payments
A. Prior Payments
B. Discount
Total Credits(A +B) (2)
3. I nterest �3�
q. 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) 9,266.73
Make Check Pa�rable to REGISTER OF WILLS, AGENT
" t! s� E� � s E�-. � , �a u � Gy� i� .�"�� �SF ��� €E ��
�„ �b,
,,,,,,.`u�,. �.. ......... .. ..�cs.nd`����€ �.� .s ii%�'�` . . �;., -_ �` ...... €� �i„�;a .. �,.,,..� ���`-.,�',aa s�''��_ ���,u.,.�.�� .
„E„a., ,... �. :.:ii„&,.,s,a. ,/NI..;,x�, ,...�.�.� __. ,s„E,,,, ,,,,,,,,,, '.�i .,,;
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................................................................. .............................................
. x
d. receive the promise for life of either payments,benefits or care?............................................................ ❑ �
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without ❑ ❑
receivingadequate 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.
� , � s, ;,.. �,� � �
- �,y.. , , � � ..._... "� � .:a�.;ruy� ��i <.. ,,;,,,,�",... <... ,,,.� ..�..,€„�
t�....;:... �,�k��'�. �k-�.<.. . . .,... _.. ; .,,��\. � -...i�a.. .��a.. .. _. .<,. fE ,«,,,.�..;.. . ._. ,.aui�.. ,,,.. � . ._,..,,,,,, ._ . -. -i
For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are stili appiicable 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 decedenYs 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 decedenYs siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
Rev-1510 EX+�OS-09)
SCHEDULE G
pennsylvania lNTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Ward, Richard B. 21-13-0140
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH �OF DECD'S EXCLUSION TAXABLE
NUMBER HE DATE OF TRANSFERSATTACH A COPYEOF Ti�HE DEED F�OR REAL ESTAT�E. VALUE OF ASSET �NTEREST (IF APPLICABLE) VALUE
1 Ward Irrevocable Grantor Trust- -includes real 218,800.00 218,800.00
property located at 1844 Sheepford Rd.with lot. The
property has been listed for sale since shortly after
date of death. The property has now been sold to a
bona fide third party purchaser for$186,000 and
closing will occur on November 24,2014. Because
the sale was more than 15 months following
decedenYs date of death,the date of death value is
being calculated using the assessed value x the CLR
($218,800 x 100%)pursuant to 72 P.S.9121(a).
TOTAL(Also enter on Line 7, Recapitulation) 218,800.00
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev. 08-09)
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE F U N E RAL EXP E N S ES AN D
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Ward, Richard B. 21-13-0140
DecedenYs debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
q. FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip
Year(s)Commission Paid
z, Attorney's Fees
3, Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation)
Claimant
Street Address
City State Zfp
Relationship of Claimant to Decedent
4. Probate Fees
5. AccountanYs Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 12,872.70
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 12,872.70
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
Ward, Richard B. 21-13-0140
ITEM
NUMBER DESCRIPTION AMOUNT
Other Administrative Costs
1 Allowable Deductions-All deductions listed on Schedule H are deductions attributable to
Asset set forth on Schedule G and were not taken on initial Pennsylvania lnheritance Tax
Return filed on September 4, 2013.
2 Cliff Ward-paint for interior and exterior of real property 1,780.25
3 Cliff Ward-yard maintenance-for mowing,trimming,cost of mulch and snow removal. 3,280.00
4 Culligan-install ultraviolet light for water correction 977.00
5 Culligan-water test 41.34
6 Dillsburg Excavating 8�Septic Inc. -Inspection of septic system 360.00
7 Doug's Dri-Masters-carpet cleaning for sale 84.80
8 Hazen Elder Law-disbursements 17.52
9 Home Depot-Replace flooring in 2 bathrooms and 1 bedroom 1,150.00
10 Home Depot-replace light switch and electric plug covers 14.24
11 Jeff Norford-Furnace Cleaning 11/2013 125.00
12 PP8�L Electric-Aug. -Dec. 2013 171.02
13 PP8�L Electric-Jan. -May, 2014 221.42
14 R.F. Fager-plumbing supplies/replace toilet in basement 1/2014 1,300.84
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Ward, Richard B. 21-13-0140
ITEM
NUMBER DESCRIPTION AMOUNT
15 Register of Wills--filing fees for Inheritance tax return and inventory(not taken on original 40.00
return)
16 Register of Wills--filing fees for Supplemental Inheritance tax return 15.00
17 Sac Fuel Oil -Jan/Apr/May 2014 1,490.00
18 W.S.Carey Electric-new service/box installed 4/2014 1,864.27
H-B7 12,872.70
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Ward, Richard B. � 21-13-0140
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not List Trustee s
I� TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116 a 1.2
1 Clifford Allan Ward, Sr. All of the
460 E Mount Airy Rd residue.
Dillsburg, PA 17019
Tota I
Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate.
NON-TAXABLE DISTRIBUTIONS:
II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 01-10)
NOl"�CE OF INNERITANCE TA�: �; "�.�.'� ��"['�}"���/'�,'�t''�("���
$UREAU QF TNpFVTAUAl. TAXES APPRAISEJ"IENTr AL.I..OWAF2CE QR L1ISA�[.tJ�+IANCE p�r�RTt�sE?<�TC3'rREVE�dltc
tN��rt��ntec� TnX ntvisrc� �F D�DUCTIONS kNQ ASS£SSMEN"i` OF TAX
arv-�i��7 ��,�nrr� <a�t-����
�a eax taasoi
kAitttlS�t7CtG PX+ 17'i78>06�3
�arE ��-Q�-2o��
�s��r� o� s���� R�c�tn�� s
l?ATE OF I3EATN 12-�D�5-20I2
FILE NUMB�R 2I I3-a140
COUFITY CUM&ERLAHD
OLS�N LIh1�A J
ACN 1O1
STE 202 AFP�AL �Ai`E: Q2-07-2C31�«
200[1 LINGLESTCIt+tfii Rti (Secrr•e�v��rsctticic rrtirler+l�tajcctir�r+sJ
HARRISBURG FA 172It1a934? A�tsaunt Remitted� �
MAKE CHECF� PAYABi.E AND REMIT pAYMEl+IT T0;
REGISTER OF WILLS
1 COUaTWOUS� SQUARE
CARLISL� I'l� lTt}13
CllT ALCING 'fHIS LINE —t RETAIN LOWER PORTIQN FOR YC1UFt RECpRDS �--
REY-I547yFX�AFP (!}8-I3) NClTZC£+Q�rYNNE�tT7'ANGEWTAX'APPftAIS��#EF!'t,�A�.t,04Jl�NCE�flR ________------
I7ISAl.i.O�tAN�E ^= TIETIUGI"IQNS AhID ASSESSh{ENT flF l`AX
ESfiAT� OF; 1�1ARD RIGHARD BFILE N0. :21 13-R1�iCJ AChl: IC7l DA7E: 1�-0�-2�13
TAX l��7URN �VAS; (��3 ACC�Pfi�b �lS f3L��tJ ( a CFEANGEf3
APF'�tAIS�D VALU� 4�F' FtE7ClRN BA5�T7 OFt: QRIf INAI; R�TU€2N
L. Raal Esta�e fSchodu�a A� ti7 ,00 ��pTE: Tb �nsure �rrrrptr
2. Sto�ks ��3�d Ba�sds CSch�dt�l� 8�)� {2) 1:6��.7�� �re�lft to yaur atccuMt,
3. ClosnlY No].d��8t�ckfpartr��rshiP tntoraWt CSshe�dula C9 �3� .�Q� ��ubm'i2� �hr� u�aer na�rt3tsn
of thSs form xith yotir
4. MnrY�a9orlHat�s Receivabla {ScMt,dule D} tti) . 0� tax ts�Ym�nt.
5. Cashl8�nlc agpas345ltffSc. Persoflal Proi�art� {Schedu�.e E1 tfi) 15r�b�3.�0
G. ,IuinY2y Ounrrd t�raAcrCy {Schedu3o F� tG) nC3
7. Trans;furs CSCh�dUle �) (7] ,OD
a. Tatal as��cts [s3 _ 1,7:?24,�3
APF'ROY�'E3 DEI}UG1'I4HS AN€1 EXEMP3'Tt}NS c
9. Funeral �xprsn�asfAdm. GcStsftii�c. Exn�nse� tSchcrctula li) 4�? 7 118.�i ,
lp. ➢ebtstFtort§age �iabilitieslt�icRs dSt#ia@u2n i7 tiR}- — 23.G4?_.�8
lt. Tata� T}aductfons C11} 30,5£r1 . 19
]2'. Net i"�3un of Tax Ruttt�n f123 I3r336.25-
13. Charitab3aJGavurnr�enk�1 &aquestw; Non-a7,�atn� 9115 7rusE� (Srhedu2u J} C13} .t1D
14. Net Va2u+a o� Estata 5�bja�i to 3'7z C243 I3.'a�fa.2{,-
hf4TE: Tf an ass�ssment �ras issued prev3.nns1Y, Lihes 14, 15, 16: 17, IS andlor 19 wall
rcflett figuros that 3.ntlude th€� total of ali roturns assessed to Qate.
ASS�SSHENT 0� TAXs
I'�. Arac�un: :f LSnc 14 at ::pous.:2 r�tn ti:.S .D� � S�4 � .t10
24, Amaunt nf l4n¢ i4 iaxabla at �3n�a1 rate t161 _flCt j� (145 = .(}Q
17. Ams�unt af (.ih�n 14 at sibling ra�ta ti71 QQ X I2 = .Q(1
18. kmnunt c�f Lir�a l�r tax�bla at col2afier�l ra#�a #18') .00 X 15 = .QD
19. ?rinci.nml 7ax pue E1*�]= .��
�`ax ���nxrs:
P�YH6WT � �RECEIPT DT�S�CAEit1T C+)
D117E NUM�ER tHTE�i€5'CJ#'Ett PAtG t_} At!011tiT F�1�ID
...�
`rorr�t� t�ax �a�r��w� � .ao �
BAl.hiJC� D� TAX LlUE .��
It�TEREST AND PEt�. .p0
TOTAL DUE .pQ
� �
+ SF pkYiD AF�ER 3�ATE �NDTCATED, SEE R�YERSE YF TpTAI DUE TS R€FL�CTEU AS A CREISIT {�RSr YpU K�,Y a� ��tt
FOR CJ+LCULkTIQN dF AdtSITiQlIAL INTERE5T. ,� REFUNI7. ��� R�YERS� SITf� FpR TN5TRi1GTTC3MS,
�� Y V����L' 11.1.Vc� 1 �l.x.C�LI'ilYl�r��
�'4',�I�I� [;i�:t�'�'(7►C��L�
�I2��+T�R TRUS"�
��C�AT�►T�.'1?��TZT�!.
S�ttlar
�nc�
�LI��'t?�2.0�+#.I.Lr�N Wt1R�,STt.,
'�'rus�ec
,�n�st fl�ce af h��reelle.�,�la��err
�f�tt{?i�.ixr�lestc��ti4er�tnr�d,Sr�it�2�t2,Hr�rrisbur�Y t�'.� 1�'Il�
71 i Sd�-d�3.�
��,:
IT2FiTa:'�°C7�C::�.I�L,C" "T"�2�Ltv'�' :�1,GR,I�I:t�'I�:t�T'
This �`rust �1;�r�n�cnt is ej�tcr�:cl inz� tlus ���__ d�� c►1'����aruar�E, Zt}t�7� �y RIC.Ii�1RD t3.
"VG�#�I2.I�.cvh�curr�n�i}� r�:�icie��i t�i�� �I��epf�r�i TZs���3, i���cit€�ni�s��ur�, t'�nnsylvan�u i?t�5�,��
�cktlor�a#'t1��"I'rust,t�ere�al`er r�:i"crrcc� ta;�.�"S�stlor,"
.�
t�i
T.�
�LII�I�CJi� �LL,�i� �fi'AT�.L�4 Si�.t ti••ti�a curr�ntly rc�ides t�t �t'iU I��st 1�c�unt Ai�� �tc�ad,
Dillsbur�,Per�s�°t��ani� 17�1 I�?,as'I'rusc�:�c��tlx�Trejst,�cr�afi�c:r ref�cnti to as"'Cn�st�e.'�
�►RT1�C'I��)
�ItL�A`CI`{]I�t QT�Ti�US'T"C�T°�T�
�.f�1. N,A,3�����"�'IttJ�'t'
"�'�xc��anz�af�i��Trust��fitl bc the 4�,'�.ItD I�:R�:�Tt'3!�a�I�L�GItA�i`I"�t�.'�'1°�i.�ST_
�ri12. 'TIt�1.i���G� tP`�T�tU�T
The S�tt��n c�rcby transi'ct�s tli� �r��crt� listed ir� ��hedulc� �C this Trust��;n��ent tc�th�
T��t� snd acc��t�nc� csf t1ai� �rt�p�rty is her��a�£ �cl:ztc���=�edged �;� tlze 'I`rust�. 'Cl�c Settic�r
intt�ncis tt�tra�sf�r ad�iiiic�na!�ro@Grcy tc�t��Tnist�r��r tir�c.Said �r�pert�und alt oth�r prc��cr�y
c�
tr�nsfcrrcd ta and rec�iv�d 1��� thc 'Cru�tce tc� b� h�C�l pu�yu�nt tc� �tyi� Tru�t s�all c�ns�itut� tl��
"Tcust �`..stat�'" and shz�Il kze t��ld. ad�x�ii�ist�rcd, �n�# distri�a�ted l�y thc Trus�ee �;� l�er�in�fi�:r
prt��ridcci.
1.{1�, A:�UI'I`iC)�S Tt�1'L�.E T`I�U�T�S'�'AT�
"[`�e S�ttit�r�cst��r�9ttrir��Ii�'�tar by ��ili,a�anv c�thcr�a�rsar�s�a�.11 ���'e t��ri�ht�t��}'tira��
�� �dd �rag�rt�x accept�bl+� t� the Tru�t�e t� this Tt���. �uc3x �ro�crty, ��her� r�e�ived l�y tl�c
Tn�ste�#sl�ali �ecc�nl���z�a�'the"Cn�st �statc.
1.��. 1VIANt���dt�L+'�T C}�TIZ[.TST T�;'VE�TiYi���"�
Th��t�rsc�n or�acrsuns s�r�;in� Yn the�.tpacit�af��ru�t�e n���.in�vritin�d�si�n�tc c�ne c�f saici
persc�ns oc a th�rd perscsn t�C his c�r her or tt�eir clloc�sin� tc� u�i �s tl�� �tstl�c�rized a��nt s�f tl��
t:�
Trust�e�'nr purposcs oi`perCt►rn31n�;ir���c.��tme_nt and r�ih�r prc����ty a���n����nc�C d�ci�i�n rr�a�i�a6
attd serc�c�s�nd�xercisin�t]�e�c���'cr�s�}eci�"ic�i in ihi�'Tr�si��;r�c���ent.
AI�'I'"�GL��
II'tR�'1tUC,�,I3iLiT"Y t:�F TF�US'1'
�.�1. ��2:l2EVUC�3IL1Ti'OI�TRUS'T
This is an Irrcu�c�btc Trust. This Tnxst canncrt in any c�a}r b� re��a�.cd b}� th� Setitar. Th�
�etttar l��eb�' �'K�lF�SSD� kIC�It)1�i'i�d�r�thnt t�c ���tl�sr s�ta��! nat h�v� �n}�ri�ht �r pca}x��r, either
�lc��e or in �onjunctian tivith ath�rs, ar �n un�t c��ac�ty �crhats��ver, t�r alter� arncn�, rnodif��,
revo�e,c�r terrninate tl�is Trust c�r��r c�f th�t�rins�f tlyis'Cru�tt A��err�ent i,��+<�al��r ir�pa�rt,r�r
c�th�ez��is�ta ca�ts��zs}�ttf tl���rinci��l�f th�:T°rust tr�tae p�id 1r�or ath�r��is�r����rt tc�the S�ttlor
�r tn any s�wusc o��h� �etticar ar t� t1�� Scitlo�'s cstat� �r tt� ihe �statc of tt�y s�sa��ss� saf tt�e
Se�ttc�r, c�r to th� er�dii�rs c��th� S�ttt�r ar aczy sp�ouse o�` t11e S���t�r �r ik�e crediCars of��eir
cstat�s.
��rr��,�c�
���r��u�r�rc�r����°r�����us�����z������rrz�t��z��,��z?v�
�.o�. rtirF��ra��o���rQ s��rrL+�►�.
Vdhile ti�e��itic►r i�livin,�, the Trus€ee�h�11 pa�� tc►c►r u�ply fcrr th�ben�fit of�l�e��ttlor,in
c�us�erly or sucfi c�th�r conv4rtic�nt an�l r�as�r��bl�in�talim�nts as the S�ttE�r shatl r�quir�, all of
t�i�n�t i�ncome�rt�m t#��'i'ru�t E�tate, unless ot�ier�vzs�dir�cted ta�#���e�tl�r. ��zpital �ains sh�J1
z��E be treat�d as incornc for purp�as�s of distributaon��d ure r�at distrit�ui�bi� tt� th� Se�tlt�r an�
n�ust b�r�etai��:ct b�the'Trust.
r'�TtTICT.�F�
tY�AN�+C�M�1�T C�F TRUST�Pt��1 D���.'�'I-i t}�'SETTI��R
4.01. �ISI'�'1SI�'�4��ht C3�+ T'i�.U�T' �STAT� UT'Qi'+� TH� D�r�TH t?T� THT
aET�TLUTt
Upon tl�e d�atl� c�f" tl��; Settlor, tlte Trustc� sl�all �istri�ut� atl of �tc: �rinci�al an�
�ccutrsul�ted incpnne of tk�e"Crtast�state to r�y son� �LT�F't3I� r1.LLt�i�+i '4�'�iI3Il,SI�of Yark.
Ct�tanty,Fcnn�yivanis,���rstir��cys. In tt�e �v�nt tli�t CLIFF{J�A ALLAN VVAI2I7, �It„
�arcc��c��se��c c�r f�ils tcs succ�ri�e znc� b� tlairty (.a�} da�s, T gi�e, devis�, �nd b�q��e�th the rests
rc�idue and r�mainc�er nf my �stat�, af ��rhaiso��ct ��►�zt�urc �r�d �vh�reso���er �icuat� t�t my
c��u�h#cr-in-1��v� �'r�.TT�.I+Ci� �i, !��'��;�Zllr of�rc�rk C�auur�ty.F'�n�s}°i�atti�t�,�+��r x�ir��s.
1n ihe�vent thut�y c�f c3se Settlopr's natur�l nz�dlcsr��xdc�pt�d ct�ild�en�r�nc�c li�ic��at th�
tint��f+distributian, th�n l�i� or her�har�o�`tl�� 'F"n�3t �t�t�s�a�! be p�i�t to t�aos� caf Exis �n c�r
�hi�dr�n wl�o�re li�ir���tt C��tinlc of distribution.
4.i}2, �I'�+�'Ie�L P�3'4itr�R t��'r1.I�Pt���`i"�k3 '�ENT
"I'�e pr�visic�ns csf t�.rticle �.�1 herczz��bc�ve nat��ithstanc�in�;, tt�e Settior reser�res the �o�vLr,
��ercis�£�I� �a� ��= tim� c�r frorr� tim� tu tirr�c�, by �vritCen it�strun��nt ci�lir�cr�d tt� thc Truscc�
d�rin�t�►e�etttttr''s Iif�tirr�c or by�pro�risic�n in tl���ett�ctr's ��ill or any Coclicil lhere�to r�ttt�it��
cxpress refcrence t�a 3his p�ae�cr, tc� �g�aint �ny p� or a11 �f ihe principstl ati�ltar inct�me c�f the
Ttt�t fund, c�utri�;lzt ar uprrn trusts, c:��nditions or timitati�rris a�mc�n� t�e follatvin� p�r�ns:
MA1tT.ti IRE�tE I.A,tJti►�I�,A�t, I2ICHr11t�3 BC�'!`Z} ��4'ARI3, �,, CLIF�{�RI} �#LI.�i
�'Y�.RD, �t3YI} RIC1��S�? '�'�'�ItD, LUIS ELAI�E SN�'��R. J#J►�tY I2E�SEIt�""�4�AR,�,
T'AT�TCTtS, J�Alrit l�.e'�,�`TUN,J�i� �GAItf�LYl��QNL�Y, F�t#;B�ItT I'.��L.'��J�D,�►�td
IR�I�fE CLI��BETf�S��'IPSUN, tti�: c�iale�r�z�c��t�e 5�ttic�.r, �n� ih�childrect ot'th�a�vres�id
ct�il�r�n of`th� S�ttic�r��.�,, the�randch'ridt�n s�f'tiac 5�tticrr.). �hc p�a���r speci��d`�n thais Article
4.{?2 shall nr►t b���:ercis�ci in a rnanrie�r th�c t+�uld perr�it�n�f �is�rit�utic�n�f'C�t priz�cip�l be
m�c�+�tc�or�'c►r t�+� Seitlor+sr �an}� spr�cisse c�#`the �ectirar, or to th� �ettlsar*s �strtt�or th+�csEat� o�
z�n��prau��c�f`tt���et#lt�r>c�r tt� xhe cr�ditors afi�h��ettl�r c�r o#'��}� �p�us��f t�e S�ttt�r� ar€he
cr+�itors+�f the S�t#Ic�r's�stai�ar c�f th�estaEe c�f ar�y s�ous� nf t1�� ��ttlar. U��tess r��ithi� ttrir�y
��U�d�ys�fEer tt�+�d����of tbe S�ttt�ra the T'rtasc�tu��ctuat r�vt'tc�of`th�e�st�nce c�f a�'i� c+r
�tl�er�vritin�rvherein this speci�l �o�er t�f a��ointment c��e��crcised, ii��r�ll be c��e�txed for a1I
�urFoses#�crcundcr th�tt su�h pow�r trf a�p�i�ntment�+ras nt�t�x�rciscd,
��.�'I�L��
G�T'�12.�.L At?h1ll�i`�"�"�:'TI''�E AT�t:CTIfJJNS
�.tlla I'�i3�'�ENTS�`t7�t T�ZZ�BEa'`wI��IT QF,�,I3E���I+CIA.ItY
if�t any time�y benc�ici�r�entiticd to nc�i�e incc���e:or princip�l fsarr� the Trust�st�te is
t� mi�»r c�r at� ineo�rtp�tcnt ar � per��n ��honi the Truste� in t1�� T�.rste�'s discar�#ivt� d�ms
unatale ta handl� �'unds �raperly �r 1�-i�cs�y if��id �ir�ctl}d to th� �a�n��cz�ry. t�ae Trustce i�a the
Trust+e�'s sot�dis�r�tion rnay mat;�e pu}��ncnts irt an�c�ne or n�r�re c�f t;h� fott��v°ir��tvtt�}s:
�. IJir�ctly�o thc�er�c�ici�,
b. T€� the t��twa! �'ivardi�n ar Ie:gally �ppc�inted �u�rr�ian c�f �h� �'ecsor� �r E�tate uf' the
benetici�ary:
c. By nn��in,� �x�aendilur�s di:rectly fc�r thc c�re, s��spor�, rta�inten�nr:�, 4r �tluc�tinn �f t��e
b�nefieinr�;rar
d� Tc� any �erson �r org�i•r.ation fiun�ishin� care, supp�rt, z�lai:nt�n���, or �duc�tion fc�r the
b�n�fi�i�;
c. T� � C�fadian fe+r t1�e t�eneficiat�y u»der ��t;�t E�t1� relat�d tc� �,if�s �r transfcrs t�a rrii�ors,
incltsdir�g tv th+�'T"nx.�t�e in tl�t�t c�pacity;
� Ta� � �itsly�p�inted �1�er�t c�f�fx+e he�seficiar� ac�tharizL�l t� r�ccivc� ;�ueh p�ym�nts pursct��
ta r�t�urabl�Po�v�r�f�ttc�rne}�.
"E'he Trusf�e sh�ll nat b�rc�uiccd ta sec t+�rh�z��plicution c�fan�� Cunds p�ici or a}�plie�I ir��y
r�f itzc af�rcenentioned ��=a;�is and ti�c:r�ei�t a�tltc �yc� sh�ll b� t"uIl ��quittancc p�the Trust�.
Th�d+e�i�i�arz cafthe T.cnste�ti�vatli cc��rd to thc s�:l�ct��n a�`��=hich af th�ttt`�s�nien�ic�n+cd rn�thvr�s
sl�outl�3 be us�d in mal:ing p��m�nt�s�aii be�onciusi�fc�uad binding on all��trties eanccrrr�d.
�.02. C{)�tT+'LICfiI1�+I�CLr+►;IMS
Wki�nev�r tlt�r��t'e contlict�n�elairt�s as t�ttsc p������entitled io a��y payment ort�:i�tributian
£rc�n�t�e'1'rust Est�t�, tl��Trust�� nz�� in th�Tr�stce's disc�e�inn���"�thhs�lci,vwit3�c�ut the�ayrricnt
of ir�i+�resi, �ll or �n� gart t�f arty di�putrd p�yrr3cnt c�r di�tribut�on until atte n�att�r h�� b�c:n
ad,�udics�tcd�nzi fit�al�ud�me�t+�a�t�r��i b}`an���rr��ri�tc�court.
a�..03. SI'E�DT��21FT PTti��'I�IC�N�
I�a �en�Cciary�r rernaznd�rn��an �f any interest in �nv trust cr��t�d by tk�i� instrument sh�tli
It�v��t�y ri¢;l�t t�aliezt�tc�,eneumbcr,or hy�goth�c�t�liis t�r�er int�rrest in th��rir�cipaE c►r incazn�
c��'t�ic T"nrs�in�n�*xn�.utnexT n�r sl°�all �y int�re:ct of�n� b�n�f�ciary ar r�m�ind�rrnan b� sub,�e�t
tu�i�iins o�'hi�tsr"h�ar creditc�rs�r liabte t� �tt�chmcnt�executir�n, or at�t�r�r�c�ss c�f l�rv. 'l�ti�
a��i�le s1�a11 �ta� r�s�aet the ��erc�se t�f any �c�cr���r t�f appoir�tm�z�t spe:ciii�d in #his Tna�t.
,�,r��men�.
5,t1�. t'�C?Tt�G+C3�'T��
I'�otocctpies c��this Trust A�r�nt�e�t�h<�I! t����:th� s�,m�:f�rc�and effeci as th�:ori�ir��t �tnd
si�all b��cc�pt�t bY any Part}��s bc�in�of fh�strr��fc�r��anci e��ct� t��.�ctri�in�.I.
S.D�. C��fi(}R Tk�U�T
it is t�� 5�ttlar's �nt�r�cit�n E��t this trust b� cr�r��tzuu�� as a`'�r�tr�r trust" u�ci�r the Int�r��t
Rev���� Cod�§ 677(a�. �'t.11 i�cc�m�: shatl be t��b1� tc� i�� �cetic�r$ +�hether distr�bute� or
a��ua�ulatcd�y tl�e t�rust,
�.�6. ��"RU�T��'��'t�?+tTIN��NT f'()1'V�RS
tt thec� is m change in relev;ant tecler�! or st:�tc; las�vs, r�r�cs, ar pc�Ii�ies coiyc�rnin�, It���t►�te-
C?nly Trcts��� th�n th� 'I'r�t�tee is it3st�:i�teci ta �c�:ninistcr �n�{ r��strxbut� t�ie `�'rrust �ssets �anci
z��corne�zc��r�3in�to such re�ris�d t��vs,rut�s,a�aci��ici�s, unl+�ss sucti chatr�e is mu��rc»strictiv�
tt1�n curr��t lar��a�►d if this Trust A�r�en��n��v�c���i k�e:xcmpt Fr�m s���h ch�nge.Thc"�rust�is
authari�d ic� �rn�nd this Tr!u�t c�c��un�ent ta canfc�rrn �viith r,�an�c� m�d�k sub�cqu�nt tc� t�t�
�+�e�utit�n c�� this Tntst, in fcd�rat rsr state l���s, r��l�:s, r�gu[a�i�ans, car �t�li�ies, tc� eff��l t'he
ptrrpt�s�e��thi�TrusE�if this Trust is nra� �c�c�df€�t�a�r�d Cron�t such eh�n��s� c�r tc�rnak�tl��7"rust
cnrnply t�titl� irtt�r�aret��ian5 �af' f�dcr�I qr stat� l��v sc� k.hat ��#�lvx's �Ii�i�iility �'or Mcdic�ici
6cnc�it� is preserv�rY. Ho�v�e�Fer, in no �:vcrzt n��yf an}� pay�rt��t�t of ch� przr�cipal v�t��e tcusC b�
��de to or f�rr the ben��t caf citt�c�r t�y� 5�tt�t>r c�r an}� �pt��s� �f thc S+�tt�ar ar tc� tl�� �ctttor's
�st�tc or t�s th+��state�f a�}�spous��►f tl�c: Setttar c�r to tlie cr�dittars t��thc 5ettl�r or�ny s}aiaus+�
c�f the��ttlar�r€t��crcctitars af their est�tes. tf��t�I+�r is de:nied Nic�icaid,tlze 3'rustec may tak�
suc� leg�l acti�rn by wv�}� af�air I�e�rirrg or�iitt��n aciia� uriih or a�pet�iing to �rty ctrurt af
comp�tt�t�t jurisdictic�n ta cnfc+rc+��ctfIc�r's r��il�ts,
5,A7. Nt}PA"k'�NT QF i*I�ITr�CIP�L TtJ SETTLC°�R PEI2MITT'TEED
Any r�th�r �r�visicrn csf t��is Tru�t A�r�eem�nt t�r of il1e i��v� of the Camr��anx�°�Ith of
Pcnnsylvania c�r �n}� c�iher jurisciictior� nrat��.�ithstandin�, tl�ere sh�rll bc na circu�nst�nc�:s un�ler
tvhich a��g�}�m�n1 frc�m th�principal (cor�us)of ihe truust�outd b�m�de ta c�r fQr the bene�t r�f
th�S�tilar c�r t�a ar fiar the b��efit�►f�n��spouse c��tl��"�cttlo.r.
AItTI�I.E G
���a��s��rrnuc��.�r�s
+�.�r�. r���� �,��i�uc��.�z�s
Th�T`rust�,unci�ny�uce+�ssar'I'n�.�[�,sh�tl have tlYc fallo��in�ga��ers in add�tion tc�tha�e
v�ted i�th�m b���w and t�y other prQvisit�ns of thls Trust t�.�reem�nt,applicable tu a11 property
�vhether princ�p�o�incc�me, �nclu�in�pr��er�y k��ld 1`or min�rs ar 'tnccarnpetcnL�, w�ich po��r�rs
s�ll b�r:��rcis�bl�witliaut court appro���l,anei si�all't��et'f�ctiv� untit ��tual distributian of�ll
P����'�
a. T'o ir��t i� a1.1 Corms raf�ttl �ncl per�an�i �r�s�aert}� (in�lud.in�� ��ithout limita�i��, st�rck,
c��a�i�t�� or ott�er s�uriii�s, ct�rnnnc�r� tncst funds, ar��i ��Rg��� inti�estment fu»ds}, ��vithout
restrect�c�� t� it�vestmeats auitic�riz�d fc�r �'�duciari��, as t�e '�"ru.�tce �h�Il deem prc►per, ti�it�sa��
re�,�ud i�o�€n�pran�iplc c�f di�fersifcati�n ar risk.
ta: To p�y �€Il ta.��s, �ssc:ssnz�nt�, car�a�pens�kion c�f the'�`rustec, �d s�ll ot�cr e+:�cnse� iitcti�rred
i��hh�callecti+�n,c�r�y adr��ini�tr�ti�n,and�rc+tection o�'an�Trust ��tate.
c. To s�11 z�t publi� t�r private s�l�, tca exchan�e, oc ta l�� f�r any p�riat�of tirr�e, �y real nr
}�rsnn�l pra�rty�nc1 tz� �;itRe optians fr�r sates, �:�chan�es c�r teasc�, tivith suc;h �ric�s and u�n
sucFt t�rms c�r�an�litit�rts tts th�Trust�d��ms�rop�r,
d. 'Tc�allacm#�reCcipts a�►d �x�ens�s tc��rinci�ul c�r ineor�te or p�tr�ly ia each as ihe Truste�from
tame ta titr�c t��inks pr�a�a�r.
+e_ To borra�v fr�m, �r tc�scl! t�,any�iducaar��v��� ch�u�ti tt�� �iduci�ry Is ttYe 'Tru�t�c,r��ent,
�uu�rrdi�,t�r�'a:��zitor.
f. T`o h�f�i pr€�per�y irt tl�� 'I'�vstce's n�m�without �i�si�;nntior� c�f�r�y �'iduciary capa.city or in
tl�c n�nne q�'a rcamenc�pr unre�,ist�r�d.
�. To�nCer i�tc� ir�nsacti�+n� �vit13 otlaer f�iduei�rics it�cludin�the T"r[�stc�s or��ecutors pf attaer
iru�anri�states iz� Svlti�h any t�ne�cit�ry under this in�trt�n��nt h�s �ny i�t�rest� mnd in�ludin�
th�m��lv�s �s ��du�i�x°ies far c�tl�er estates �nci trusts, and in �uch transactions t4 �ur�has�
prc�p�rty, ar t��� Ic�an�c�r n�tes securcci l�y prop�rty: �vest ttapu�z�imil�r�r�perty c.�t�sfi��c+�s s
�ar�e portion t�!'ii�e Trusi grapertyr,an�€tca r4tain an}°s�ch prr�pett�>ar not+�s ks iCthey h�d b��n an
ari�inal part of the�stc►tc ar Lru�t,
l�, "l"n �:��reis�4 r�s}�tin� secc�ri[ies tic*Icl t�y thc '�rusE �st�tc; a!i thc r��hfis,< �cacvers, and
grir�il���s c►��oc�mer, incln�iin�, i�ithr�ut litnitatic�n?���Z�at�r�r tc� ��at�, �i��prc�xies��s��d ic�puv
ass�ssment�and rrthcr sutns dcen7eri by ttY�'I'rustee to be ncc�sary fQr th�pmtec�ic�n of the Trust
Estate,
i. To continta��anr�a�e�t�, tv sci� vr tc� liquidat�;,�s c�e Txczst�:�d�:cnas ad��isabiG,at th�rist�of
tk�c'�'ru�2��tatc,an�r bu�it�ess�r p�rtn�r�hi�iat�r+�sts receivc+�b�t i1��Tn�st�'staEe.
j. To s�11 �'vr ct�sh c�r an tlef�rn�ti p�yr»ent�at�atibt:ic Qr private sa�e,tt� c»h�n�e and t�a conv�y
�n�gr�perty c�f tl�e T"rust �state.
k. �?n any�iirri�ia�a c�t`th+�Trust�sst�t�into sep€�t�sh�res or��t�,tv��portic�n�nd�I��:�t�th�
assets c��`th�'Tn�st�statc in�sl�or in l:in�,e�r partiy in cash�nd ��a�y in�ind� or in undi�ided
inter�sts i� �hc zr��nn�cr d��med �dr�isat►lc ir�the �is�r�tac�r� of th+� �`n�t�e. Aft�r an}: division �f
th� T�u,t�state, the "�`rustee m�y m�:e j�i�t in��estments ��th func�s frc►m sc�mc or �tl af the
scverr�il sh�r+�s or�ru�t�,but th�Trustre�hall k�eep sep�ratc ac��unts 1"or�acl�sha�c c�r trust.
I. T�abt�da��n�fCltlSt�SS�t�fi 11'I��CC��1�1`�l'T1 lil�3�tIdSCI`GtibF�Ct�C�IC"Trsastce.
m, To g�nt �t�i optian in�*c�l�f�n� clisgo�it�c+n a�' a Tnzsc �ss�t and tc� tai+.� �n c�ption f�r t��
ac+�u;i�itio�c�fany a���t�v tt3e Tr€�si ��tat�e,
n. To tease �ny rcal �sr �s�:r�anu! pru�rx�r af €h� �`rust f�ar �n�' Purpc��c for t+�cnns ia�itl�in ar
�.�t�nding bey��d tllc dur�ti�n�f tlt�Ttust.
c�. Tcr m�►n���, contral, in�provc, ��d r�pair r��l and persc�z��t �rc�p�rty belon�;i�g tc� the Trust
�stztfie,
p. fio emplo���tt�m+ey�=inv�str�a�nt a�lvis�r�acc�untar►ts, bratccrs,t�spcciutists,arict�ty�t�th�x
A,��nt d�e�ed appr�►pri�te i�a the dis�r�tio� c�f ibe Tnn�st�, inciudin�per�c�ns �s��i�t�d t�ith€�r
employed by �n� Trustce? �d tc► g�y �'rc�m thc Trust �t�t� ar��ist�n�bl� campcns�tian, far �11
s�rvice,��►�cforn��d�ay�y of iheni.
q. T�a barrcaw mc�ncy f�r ut�y"t"rust�i1r��ase f'ron�,any p�rsc�n. C.r�z,r�r crsr��rr�ti+ar�, ir�ctutiita�;ane
�ct`tn� as a Tz�fce h�r�.un�i��, an thc lerms anci canditic�ns d��m�d ap�ro�ri�t� by tii� Trust�c
and ta a6ii��t� 'Tru�t �s�ts fc�r rcpay�rn�nt, tc� en�u�tb�r tlY� firust ar �ny �ar��rt�� th�c�+a#"by
r�ori���;�,d���3 c�f t�rust car�ti��nvise, �asin� ��fhzt�ver prvc�cit�r�s ic� �cans�mcn�E� t�� tr�t�s��ti�sn
d��cned�duisablc b}�thc; "(°rust��;�n�t Ca re�lr�ce:, rene�tF,arzd��;ien�z�n}r�nc�mk�r�anc��nd to pa,y
a�y lca�ns ar+at��r tabli��tir�ns caEtt�e'�rust d��rr�ed arlvis�ble by the'I"rust��.
r. To �rocure �nd c�rry�t ttae ��punse c�f tt�+c Trust instxranc� af th� kincis;�`c�crns� �nt� aEn�unt�
dec�aed advis�blc by the Trust�e a��inst�ny h�zard,
s. Ta comprs�misc, �ubn�it to �rl�itratit��Y, release ���ith ar �vitl�atic �onsicicr�tzan, �r ott��rt��rise
adjust cl�ims it� f�°�«ar c��`�r a�ainst cn�st� tc�cc�mrn�ncc�r dcfeud ti�i��tzt��t�f�cc�in�;tl��Ttust t�r
any prc�p�cty tl�ercr��'as dcem�:ci advisat�te b�f�lie"I'rus€��.
t, To dca �ll thc �cts, ta tak� al1 ti�+e prac�eclin�, anr3 t� cxcrc`rsc atl tli� ri�ts, prs�vers, anct
privilc��s th�t�n absn3ut�r�����r of tt�e prapeci}"14't�1,�I� �c1Yt*,a �LiIJ��Ct 21Ji5��'}r8�Q E}1lC t�1'SGIlc'i2`�C C1�
�iduciary ct#ali�z�tians;chc enumeratic�n af certain pn����rs ir� thi� 'Cru�t�t�r�emc�t sh�ll n�nt li�nit
ihe ��neral or imp�i�ci pt���rera� o�the Txv�tec. �"he 7'n�stee si�«�It iY�s� atl add'ztivnal go«crs th�t
�}£tzo�w 4r h�r�rftcr bc�con.f�:rr�d on ttle Tru�te� ta}-ln��=+ar t1�t n�ay �ae n�eess�rr}t t��a�ble the
Trustee ta adm�nist�r ih� Trust � �cresrdancc ��t�ith tt�e pr��isians af �i� 'Crust A�rc�rn�nt,
subj�t tra�n�f�iznit�tions spcci���f in th�s T�vst A�r��n�ent.
u. Tc� pay�1l i�.�c�s��s�ssmcn�s, c�rupensati�n oF th� Trust,��, �nd �II oitYer���t:nses inc�rrcd
in t�e collecuon�e�re,adrninistrazic�n,and prolectira��f zu�ay T�s��t Cst�te.
��. 'T't� r�t�in in tiyc T`rt�st fcrr s�c}� tinie as t��c 'L'r��sic� may dcem aclvisabie az�y prc�perty,
irscluciin��h�s ra�'tlxe'�rrust��°s t�tim �tpck�raotes,�rccounts, c�rtificz�t�s�or c�tiser invesstn�en�ts i�
��vhich th�Trust�rc h� �a ir�t�rest, recei�e�i b� th«; 1"ru�tc� �`r�rn t31� �cttlar,�a�eth�r or not suc1�
prvper�y is of the ch�r�cte�permitcer� by lak�K �ar th�in�estzncnt of��n�st fi�nds� �nd to a��rmte�st
ch�risk�f thc Trust�Stacc��y�busir�e�vr pro�cr��rce�ived by t�»Trust�e>fron�the Setllur.
�,RT`ICLE'7
?1�I��C�LL,��`EfJt1��'RUi'"I�IC33��
7.UI. I44����'�LL.,�I+IEt?US P�t}�'ISttJN�
a. N�ither tl�c Truu�Cec n�r �ny other ger�an actin� h�rcunder ��►�II b� requir�s3 ca �ivi
bcrnci fc�r tt��'f�it1�#"ul�erf�r�nane�af�ais or��r c�ut�cs it�an�jcu-isclicti�n.
b. N� p�rsan dc.�lir�� �vit�a th� Tn�stc�, or thc Trustc.xc'� suc�ess�rs or survivs�rs, sl�alt b�
�und tt� se�tc�t�����li��tic�r� af any purct�ase rnoz��y�ar c�t�er�ansidcratic�n ar t� it�qui�c iz�€o
t�ie v�lidity,r�ec�ssity,or�r�prict�t of�n}�tr���ctic�n itr��tt�i�h s�ch�"�duci�z-ic���v h�p�irt�es.
e. �ny Trusc��sh��I b��ntitle�f�t��s timc to��c�;�j�rc�ici�l s�ttl�m�nt c�fac��unts in�zy
��urt of cr�n�pcl�nt jurisdi��vn sel�ct�ti by rrxy Trustec.�s�n alt�rnati�e,tltc�'rust�e ma}��t any
time sectle tl�c accvunt af th�e Trust �r 'I`r�st share �er�u���3er by ��rr�e;e�aent ��vith tl�� in�c��r�+�
ben�f�ci��ry c�r b+ene��i�ri� of t�at Trust c�r Trtrst �It�r+��vt�a �r� n�rt un+��r�rty Ie��l dis��ility,
aa�td suc�t r��recrrt�nt sI�n1E bind �il person� �vhethc:r �r n�t th�r� in b�ia�; c�r su��uri�, or thcn or
thcr����r entitl��i i� ru�y �t�rCic�n af th+� 'Crust c�r Trust shure, �snd st�sill ��ecti��ly rciem;s� �nd
disc�y�r�e th�"Cntstec t`t�r til�e�ct��n+d pr�ceetii��sc��x��ouiited �'+�r.
d. 'i`!t�"I'rust�c:s�nll �ie c���utled tc�rec�ive r��sc���bl��o�n��°ns�ti�ar�. �1`ny Trc�stee sh�ll b�
entiiletl tt� be r�irr�;�iurs�rtf t`c�r re�sanabl� exp�n��s it in�trrs that �rc n���satr� tc� ��rry aut iis
dutics as'T'rustc�h�reur�d�r.
e. W#��ncw+;r�ppro�ri�t� in chis Tr�ast r1�;n:c:t�tent, t�c� sir►�u1ar s}��ll be d�eemecl to is��lud�
tlz� p�ural �nel �r�ce v�rsa; azari ttae rr��sculinc sta�I1 �ie d��m�d tc� includ� �hc �cmi�air�e,�ci �ric�
��csa,ant��t�c�o�'���n°�ca in�tude th�ne�c�r,an�i �•icc:t�i�r:;�.
� F`t�r a!l purpt�ses h�ccundcrti th� �rard "proper�y" shall be de�ct�ted te� inelude r��l �nd
g�rsc►n�I pr�p+�rty �nd �y ir�tc�r�st c��`an�R kind i� an}� �:a] ar perst�n�t �arc�pert}z� �nd th� tivord
"�i�=e" sha!] b� tak�n t� includ� thc ��=�ards "cievis�" �nd '�b�que�-��}�" wh�r�ver �ppr�pri�t+� in
arci�er to e�'�ctuat�th�trxu�sf�r c�f"r��t�r��rs�s�al pmp�rt�.
�. �t�r �ll puz�c���.s I��r�und�r, ihe t€�rms '�P�rs�anaI R�gres�nt�ti��s,�, •`C:v�irnitt��
'L�'�£`fi1�7E".IS��,z•"c�C1lS��i:;��a:`��tUEiXC�i+�15'a'••�'.�C`11�5„t'1llt�cs�t{��G3i11`1�,5�'a e`3Cft�I�IC'St12�it�c11>+a'�.�?CT�'_�{�S�i��
appiy� r�sge�c�i��ly�,tt�t�t�►�ti�k�+a��t�en entitled�nd c�uatifieci to a�t�su�h���hethcr ori�i��l�y
�pp�i�t�d,r�m�inin�, �ubstitut�d, vr succ�ediz��. Th� t�rm "carpt�rate Tn�stce,�, af��ses� hercin�
s�a11 cn�� st cr�rp�rr<z�ian t�.�t is in ch� business �f�ctin� � a Fiadu�i� �nd i� duly �uthtsrize,�
und�r the 1'ati�af t��e silus of t��e Trust to s�n=��s Tr��te�.
h. '['h�Trust��sEi�zll h�v�: th�:�;��*r, in the Trusts�'s discr�i�rrn, tc���l�ct�set�t�be sald
by tl�e Trust Esc�►tc t`car il�e ��yinent �f d�bis� �d ta,ces in a n�ar�n�er th�t �vi11 minirn�z� th�
r��o�n�tion v��;nizt f�r fecler�! incc�tnc ti�.�c p�ses. Th�'I'n�te�s���li ��t��e tlxe ri�t to�xercise
an� options �td el�cti+ans und�r tl�c: t�:� lar�s �pp�licablc tv the Trust 1:.st�t� �ts th� "S'rrustee
deterit�ir�+�s sh€auld ta�e rc��d�, Ncr ecarn�ins��tian adj�tmet�ts bet�ve�n incctrn� �t�td ;�arincipal sha11
h�n�nde cv�r� 1hut��,lt tt�c:�:1�ctit�r�s �ay�:�"cct the irtteresis o#"Lhe b�nefici�°i�s.The�ctior� o�t�tc�
Trust�e ��ril�t rc�pect to vptic�ns a�a+� +�l���ians n��de s�all be ct�n�}u�iv�: �rnd tsi�dir�� tYpon r�1i
he�+��iciarirs.
i. Th�r�-st�all be�o dat�c�n it�� �'ruste�to pay or sc�ta the paynxent af a�x�� �rem,iurtzs c�n
�ny polici�s t��iif� ins�r�nc� ar io t�tl�e> ar�v steps to t�eep thcn� zn fore�, until �tzch €irne a� ih�
Truste�holds title t�,�ny insczranc��lici�h�r�und�r as a p�rrt of th� cc�rpus c�f�r��x"1'rust�statc.
"i��Tn�t� �uc�th�mtc�rc �surnc� no respc�r�sibilit�s��c�ith xe�peci tt� t�ae vs�li�ity�r�r�forc��bility
af s�zd policies. i���c��v�rm:�.s st�c�n�s prmctic�#�Ic a��r r�ceiving nntic�c�f th�ci��tlt c�f t�ie instu�d
watier any�f"suct�p�ti�ic;s, �hc Trustec:shatl pr+�ceLct t� collect all �ctxoc�n�5 pu�abtc ih�reun�icr.
Th� '�rcut�e s�ali ha�t� �ull and �ampl�t� a�ch�ri�y tci c�iCect �►nd rec�it��e �zt�}� and �!� �uch
an�e►un�s and iis rc:cei�t �lr�r��s�r�h�ti b�:� ful�and eorr�plet�mcquittaac�tc�any it�surcr or p��ar,
��hc�shatt la�ut�der nc�obli��t�pnto see tc�thc proper a�plicati�an iher�c��'b}�the Trustec.
j. I�rat�vithst�r►di�� �}�thirtg ta t�1e �ont�ar�, na Trust her�und�r sit�Il ��t�:nc� b�yc�nd
tr�v�caty-one(21) �,'e�r� �tl�r t�ac d�ath ��thc tasc survi�ror of the ��ttl�r �rtd thas� c�i��ir�n �.nd
�ndchi�dren tti=t�t��ettl�r r�hc��r� li�ir���t the c��ic af t�►+� �ettt�ar�s�Iettth, �t the cxpu�tion�f
ihat peri�d, chc Trustc�e sha11 distri�iute th� reranainitt� pvrti�n of" �ny 'T`rust prc��erty to tlze
benef�c�ariies �ntitl�d tc� it�cc�rm� at t���t time! prra�idcd� hc�we��er, that i�a nc� ev�nt m�� �ny
dis�ri:bu�i�ns e��'pr�ncip�J t�� ��t�� ta� ar Cor th� �enefit af eith+�r thc �ettt+�r s�r�n}���+�us�c�f the
��ttlar s�r t� th��cttlor'�east�t��r ttt t}��;��tate c�f�z�y s�ou�of th� �ettlar rar tr� the cr�ditors�f
E��e S�ttlor or t�y��aust�c�f"t1���+�ttic�r cac�t�e c�ecii�ors+�f thcir�states.
�. 'I`��7'n�stec sh�11 �r�rad�r an accc�unt af tl�e admznistratic�n c►f`the ttr�n�st tra the th�rt-livit�g
�dult incorn� b�ncfi�i�rie� anci r�c#ult re;m�inderrz�ar� a�z r�yu�st b� any arlu[t i�zcvnat� b�nefxci�ry
or adult r�mainc�c�rrt��, �ct thc �p�ra�=ai t�ercof �ay th�; l�ti�in� aclr�lt b�ne��i��s �nd
rem�is�d+���► s�i�tll b�c�trtclusiv�Iy bindir�� on all pa�2ses in in2er+:si ut�d�:e �l�i�r�.�rc:er[�en�,Tt��
�'c�rem�n�is�ned adult b�nc��i�ri+�.� ar �dult r�mainderr��n, as the cas� may �ae, shal� t�
cc�n�lusivcly presunne�i tr�►a�v� �,��r�v�d �:�ch su�h �cr�unt u�t�ess hes s1i�c, �r t���y �il� cvritt�r�
cxc�ptior�s there�c� cviih th� "1 i�ust�e �vitltin thirty (3(I} da�s a�ter thc< r�c�i�t c�i'c�cl� a�cco�t.
l��thir��;h�reirt shall limic tlt+� ri�i�t of`t�e Trustee t� �te �n �cr�untin� ir� z� ���rt of ca�mpetent
jurisdi�ctitan at�pprapr'ratc times.Thc r�cords�f the Trust�h�ll bc�ap�n�:€t�t ail r�aso��ble tin��
tcr#�e insp�c�on�fthc bcnefi�i�ies vf the T�t und thcir ap�ointeci r��r��ent�tittes,
�RTIGL�8
r�L,TER�"�tr1T'L �'.CDUCIAI2I:ES
�,01. SL1C'C;'�SSC?�Tlt�.l�S'I'E�a
I��LIF.Ft?t�D ALL.AI� 1�r�RD, SIt., �fac�utt� �ae �nabl� or �tra�villin� t� ��t ar co�tin�e a�
Truste� for�p r�ason ��haz�c����er, �'t1TRi�I�1 A. 't�'�.ItD sh�t1 �� th� suc�ess+�r'T'rc��tee ��€ith
futl pa��r�+�r and aut�arity as sp�ci��d hc�rein.In th��L��rat thut bath G�.tFFQ��1I,Lt�lhi 1�ARI?,
�It. �rT�3 P�TRTCIA A. ����RI� sh��id t�vth he un�trle �r un�villin� tc� �ct c�r �ntinu� a�
Tru�te� for �n� reason v�hatsoever, � sur,��sst�r �"rust�e sh�I1 b� �t���� kay a maj�rily of ihe
n�t�ural�hi3dzen of ilze scttlr�r ti�;t�o�re tizen Ie�a�tp ct�rnp�tent.
B.QZ. llE"T,�F��TN�TZC11'��F��fC�1.��1.C�TY,i�ES��NATi{7�I�,C3T2 UTI�R
I1�A�IL�"T'Y`C�T�.UN't�ILL�3�Tt�t`+t�SS'�''Ci�CT I3��'E��t'�tV S�II2..VTN+��►�'I'TtU�T��
a. Th�ina�iiit��r�rt�vill�n�ncss cr�'r�ay p�cr�car� t� act€�r c�nti»�e�'Crust�e ar co-Truste�
s�a1l t�e c�nclusiv�Iy �r�sum�+� fi�r a11 pur�c�s�� u�n executic�n by th�c ��t�1or of u ��rrict�n
�t�t�tn�n#��rt�f��ir►�,th��a�st�nc�a�s�d incap�city or un��illi��;ne�s. Alt �er�ons shall r�Iy upon
suc�i a c�rt�fi��tit�n and � h�r�Y�y r�l��ed fran� any�nd all ti��iiity c���arry nature in rc�ard tc�
t��e'�'rust Estat��nd t�e benc��i�ries c��'the"1`r�st r�s�tltin�fmr�� �e rcliancc+�n��id ce�ti�cation.
b. �n th� �lt�rnati�c, tl�� inabitit�� c�f any persar� tt� act ur can#inu� �s Tru�t�e sh�11 �
cc�neiusi�ly pFresurned by r�t! ����rs ii` a physici�t, �ul�r licenscd tv �aractice in i��
�om�nc�n�ealth caf Penns}�lva,�aia ar anc�thcr c�f th� tJz�ii�d Statcs, sl��ti k�}� ��ritt�en statexnent
de�i� t�at in the physician's c��inion the�ersan is un�`bl� t� s�ruc� � Tr�tst�c duc ta i�l health�
disabi�il}x,inc�pa+�ity,deatI�„ ar fvr�ny catl��r rc},�s�u.Ail p�rsa��s�h�f I rc:iy u�� �uct��statc�nent
b�s�id physici�n a�ad the S�tt1+�r h�r�by r�:lr:�,s���l�e�rso�s�ctin�;in r�li�€�c:c tl�et+eu:pt�n and��
said ph�sici�r� f��am anv and �lI li�bility of�ny �n�tw��n rc�ard ta �}�� m�lti��� c�r r�lyir�� up�z�
s�ch a st�t�m�nt,
B.Q�. �i1�tt3V';�i,L#'��`fiRLJSTEG
1�e S�ttic�r shs�l ha�+�th���ar�=�r to r�.�c�ts��ny�il����c�in�,T�i���r cca-Tr�ste�af th�Trust
tv��n��tr�r in zhe S�ttivr's j�d�rn��t it is �x� tM� � int�r��t t�f'the'Crust �ne� io���r�int in�is ca�
���r t�� its p1�€c�: an inciividual ur cc�rpc►rratc� trust caim�any `t� act r�s s�1c� T'rust�e ��°itta �Il ��
�atv�rs aa�d auc�zoritias �iv�s h�r�in, �arc�vid�R��v��c��cr, that ttcither cli� �t�ttlor nor�n�� ��ousc
of'th+��ettl�r s�Il b�cs��ne � Tru�te�. ��n;�� resn�a��:�l �f� Tr�ts€e��r ��-7`�u�te�, �p�painim�r�l of
Tt�ust�e c�r c�-Trustee�sha11 be tay insicur�a�nt in L�rritin�,,si,�n�d,�etd�cknc��silecl�,ed�nd deli�ered
it�th�"�'rtxste�sn remav�d�d thc`�'rust��so�pp�int�c�,�r�a�id�r�tl��t t1z� Ct�ittare ta�!c ar deli�acc
such i�strument sl�all n�t rn�1:�it in�i�`�etive.
e � �
�KTICI.o�9
T2E.ALT�'TR,�N�FER TA�
5�,b1. R��L'I'��'I't�tNS�'�� Tr�?�F�CLi:I�I��f
t�th�r prc��¢i�ic�zts �af this "1'ru�t ��eer�a�nt nc�tt�rithstanda`ne, iz� th� e�cr�t tt�t rc�1 estatc 'ss
cr�a�sf�rred t+�th�Trust by the ��ttlar. n�s diszrit�utic�ns o�`ihe prir�ci��l, ir�conte,�ar athcr€�.:�s+�ts of
t�ais Trust sha�l ev�r bi n�ade fra�m th� Tntst ta anyy ,p�rst�ns �vl�c� t�c�uld f�it ta rr���t the
rcquir�rnents i�eccss�ry tr� c�x�Euiie t��� ��n�f�r cr�'r��C e�tate t+a thi':s 'T`cust frc�ni ec�lty trat�sfer
t�x��it�r� unrtcr the ��ction �1Q?-�.3 af thc Feruns��ivarxi� Remit� Trransf�r '!'�x Act �73 T'.St
� �It�2-C.3) a� th�t lr��v i� in �1�'ect �t tlae tit�c a�`the cran�f�r taf the rc�l cstute ini4r�si tc� tt�c
firust.
St�
I�1��'IT�t�S� "4'VIIT'R�t�T',i 1����here�u�to sct xn}�h�nd�d se��i this�d�y af
F'ebrtt€ary,�.O�q'l.
1�Vitn�ess:
� �'� �. �� ���
� ��������� �c��,-�r
����c��tt����t��r��r�c�s��..v��i¢� .
: ss
�ot��������u������
�
C}N �'k��5¢ the � ciay +�f '� r `� � .. � , ZOt}7, tt�ks�rc �e, t�Yc ur�dcrsi�aet3
nf�ic�es-, ��r�t�n�ily app�tar+�dd RI+CI-i�RI� II. ���RL� kn+��vn t� c��c or satisfactc�rily �ra��n Eo be
th��rsrr��c�hc�s� nart�c i;�sub�crit�ect tc� t1�e ��rit�rin in�crun��nt, �� �cl�c�r��i�d��d thc� e�.�e�t�ti�n
t��s��e �'c�rtY�e pt:�c�ta��thcr�in c�ntair�ecl.
IP�I V1'I�'1�I:�� t�IER�C3�,i ha�•�:h�reunec�s�t rny h�nd��nc�scal.
�f'AMIMc�1�21YEltl.ttl�F PHKNSY1.VAi�ttA ""'F
Notari�l Sca! �...........�.�...
����t�,,�v�Pn�t� I�;a �ry �'i�bli�
My Ccxnm3ssion�tnss se�t.z3�,2�to
���-��,��` �� � o,��
�1�-�'c�mrnissian�:��air�:s
�
SCIi�DT.1LL,,=t
1��;.�,T�S� II�I��'t�C?C�iI�L�GI2�.�°Tf�id TI�L.��T
.J1�
'I'i��f'n1lc�cving�asscis I�av��+cc.n c+ar�vc��eci tc�t1t��'n�st tt�i��d�y r�f F�ct�ruary,2t�U7.
1. Ten I7vll�rs(�lD.�ti}.
�, '� "�--�-*��
Ri�ltartl�'� t�ctrrl
1�}� executin� 3his Sct�edul� � a!'t��c� ��'AItI� TR.I�C�'C3C���� G��I'G�It'�'ItTJ��, th� p�r�e+�
n�rr�ed bels���a�rces to ac���t the pt�sitian o!'Trustee anc� furtl�cr��+���3ts tt�e Trust�ss�ts hercl�y
c�nueye�.
A���I'T�1�I3Ya
�� G� +���*�
�1� d'r�Ilcrra ���arrl,.�r.
i � OMB Approval No.2502-0265
;,t;�jj��;,� A. Settlement Statement (HUD-1) �
a- . ..
1.Q FHA 2.❑RHS 3.❑Conv.Unins. 6.File Number: 7.Loan Number. 8.Mortgage Insurance Case Number:
14-01-36225 910290520 10-10-6-0666320
4. XQ VA 5.Q Conv.Ins.
C.Note:This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agents are shown.Items marked
"(p.o.c)"were paid outside the closing;they are shown here for informational purposes and are not included in the totals.
D.Name 8 Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender:
William Allen Cook,Jr Clifford Allan Ward,Sc,Trustee of lhe Ward Irrevocable Fairway Independent Mortgage Corporation
810 Front Street,New Cumberiand,PA 17070 Grantor Trust dated February 1,2007 3560 Gettysburg Road,Camp Hill,PA17011
1844 Sheepford Road,Mechanicsburg,PA 17055
G.Property Location: H.Settlement Agent: I.Settlement Date 1 t/24/2014
1844 Sheepford Road Barristers Land Abstract Company Disbursement Date: 1 V24l2014
Mechanicsburg,PA 17055 3310 Market Street,Camp Hill,PA 17011
Lower Allen Township
717-761-6190
Place of Settlement: TitleExpress
3310 Markef Streel,Camp Hili,PA 17011 Printed 1'V23/2014 at 4:19 pm
by LM
. � ,
100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller
101. Contract sales price 186,000.00 401. Contract sales price 186,000.00
102. Personal ro ert 402. Personal ro ert
103 Settlement charges to borrower(line 1400) 9,596.11 403.
104. 404.
105. 405.
Adjustments for items paid b seller in advance Adjustments for items paid by seller in advance
106. Cityltown taxes to 406. Cityltown taxes to
107. County taxes 11/24/2014to 12/3112014 109.07 407. County taxes 11/24/2014to 12/3112014 109.07
108. School Taxes 11124/2014 to 06130/2015 1,221.59 408. Schooi Taxes 11/24/2014 to 06/30/2015 1,221.59
109. 409.
110. 410.
�>> 411.
112. 412.
�Zo• Gross Amount Due from Borrower 196,926.77 420. Gross Amount Due to Seiler 187,330.fi6�
200. Amounts Paid by or in Behalf of Borrower 500. Reductions In Amount Due to Seller
201. Deposit or earnest money 1,000.00 501. Excess deposit(see instructions)
202. Principal amount ot new loan(s) 189,999.00 502. Settlement charges to seller Qine 1400) 27,gZg.�g
203. Existin loa s taken sub'ect to 503. Existin loan s taken sub'ect to
204. 504. Pa off o(firs�mort a e loan
205. 505. Pa off of second mort a e loan
206. 506.
207. SellerAssist 6,500.00 507. SellerAssist 6,500.00
208. Seller Reimburse-Pest Insepction-VA Requiremen 50,00 508. Seller Reimburse-Pesl Insepction-VA Requiremen 50.00
209. 509.
Adjustments for items unpaid b seller Adjustments for items unpaid by seller
210. City/town taxes to 510. Cityllown laxes to
211. Couniytaxes to 511. County taxes to
212. SchoolTaxes l0 512. SchoolTaxes to
2�3. 513.
214. 514.
215. 515.
216. 516.
21 517.
218. 518.
219. 519.
ZZ�• Total Paid bylfor Borrower 197,549.00 520. Total Reduction Amount Due Seller 34,476.19
300. Cash at Settlement fromlto Borrower 600. Cash at Settlement tolfrom Seller
301. Gross amount due from borrower(line 120) 196,926.77 gp�. Gross amount due to seller(line 420) 187,330.66
302. Less amounts paid by/for borrower(line 220) 197,549.00 602. Less reductions in amount due seller(line 520) 34,476.19
303. Cash � From QX To Borrower 622.23 603. Cash X❑ To ❑ From Seller 152,854.47
I�Is lorml unless II d195 le en o� �s Yo�ec on o in orme ion is e ima e a minu es perresDonse or co ec ing,revrewing,an e a a. i y may no co ec is in onna on,a you ara no requi�e o comp e a
se111emen10�ocass. �Ys a cuirenll 114 OMB conlrol num�e�s No conlldenllellly Is assuretl�,lhls alsclosure Is mandalory.Thls Isedeslg ed lo provltle Ihe parlles lo a RESPA coveretl Iransacllon wll�Inlormallan tluring IM1e
Previous editions are obsolete Page 1 of 4 HUD-1
700. Total Real Estate Broker Fees $11,385.00 Pald F�om Pald FrOftl
Divisionofcommission Iine700 asfollows: Bol'I'oWer's Seller'S
�0� $5,805.00 to Coldwell BankerResidential Brokerage Funds at FUnds at
��2 $5,580.00 to Howard Hanna Camp Hill Settlement Settlement
703. Commission paid at settlement 11,385.00
800. Items Payable in Connection with Loan
801. Our origination charge Qncludes Origination Point 0.000%or$846.00) $961.00 (from GFE#1)
802. Your credit or charge(points)for�he specific inlerest rate chosen $-1,772.69 (from GFE#2)
803. Your adjusled origination charges (from GFE A) -811.69
804. Appraisal fee to T Eb Real Estate A raisals (from GFE#3) 415.00
805. Credit report to FIMC fbo Kroll Factual Data (from GFE#3) 10.94
806. Tax service to from GFE#3
807. Flood certification lo FIMC for FLS (from GFE#3) 9J5
808. to
900. Items Required b Lender to be Paid in Advance
901. Daily interest charges from from 11/2412014 to 1 2/0 1120 1 4 @$23.4243/day (from GFE#10) 163.97
902. Mortgage Ins.Premium for months lo (from GFE#3)
903. Homeowner's insurance for 12 months to Gieseler&Jo ce Insurance A enc (from GFE#11) 706.00
904. VA Funding Fee for months to De l.of Veterans Affairs (from GFE#3) 3,999.00
1000. Reserves De osited with Lender
1001. Initial deposit for your escrow account (from GFE#9) 1,188.84 I
1002.Homeowner's insurance 3 months $ 58.83Imonth $176.49
1003.Mortgage Insurance months $ O.00lmonth $ I
1004.Township Property Tax 10 months $ 44.671mon�h $446.70
1005.County Properly Tax 10 months $ 42.631month $426.30
1006.School Taxes 6 monlhs $ 169.671month $1,018.02
1007.Aggregale Adjustment $-878.67
1100. Title Char es
110L Title services and lender's tille insurance $ irom GFE#4 1,810.00
1102. Settlement or closing fee to $
1103. Owner's tille insurance-First American Title Insurance Co-Hbg $ from GFE#5
1104. Lender's title insurance-First American Title Insurance Co-Hbg $1,810.00
1105. Lender's title policy limit$189,999.00 Lender's Policy I
1106. Owner's title policy limit$186,000.00 Owner's Policy I
1107. AgenPs portion of the�otal title insurance premium $1,516.50
1108. Underwriter's portion of the tofal title insurance premium $293.50 I
1109.
1200. Government Recordin and Transfer Char es
1201. Government recording charges $ (from GFE#7) 224.00
�Z�� Deed$81.00 Mort a e$111.00 Release$
1203. Transfer taxes $ (from GFE#8) 1,860.00
1204. City/Coun�y tax/stamps Deed$1,860.00 Mort a e$
1205. State Tax/stamps Deed$1,860.00 Mort a e$ 1,860.00
1206. Deed$ Mort a e$ Release$
1207. Record Spousal Waiver $32.00
1300. Additional Settlement Charges
1301.Required services that you can shop for (from GFE#6)
1302. Nolary Fee to Linda McBeth 12.00
1303. Pest Inspection lo The Virius Grou $50.00 P.O.C.B"
1304. Tax Cert/Postage Reimbursemen( to Barristers Land Abstract Cos�-Hb 10.48
1305. 2014 County/Township Taxes to Bonnie K.Miller,Treasurer 1,152.39
1306. 2014-15 School Taxes to Bonnie K.Miller,Treasurer 2,239.59
1307. Trash-11/24-12/31H4 to Lower Allen Townshi Authorit 20.30
1308. Home and Water Testing to The Virtus Grou $450.00 P.O.C.B'
1309. Payment on inheritance taxes to Re ister ot Wills,A ent 9,266.73
1310. Escrow for additional inheritance taxfto Barristers Land Abstract Escrow-Hb 2,000.00
'�� � � . � � � 9,596.11 27,926.19
'Paid outside of closing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er.""Credit by lender shown on page t."`"Credit by seller shown on page t
Previous editions are obsolete Page 2 of 4 HUD-1
Com ar(son'of Good'Faith Estlmate GFE and HUD•1 Cliar es Good'falth Estimate HUD•1
Ghar es 7hat CannotJncrease HUD-1 Line Number
Guroriginationcharge # 601 961.00 961.00
Your credif or charge(polnts)for thespecific interest rate chosen # 802 -1,772.69 -1,772.69
Your adjusled origlnation charges # 803 -811.69 -811.69
Transfertaxes # 1203 1,860.00 1,860.00
Char es Thatin Total CannotJncrease MoreJhan 10% Good Faith Estimate HUD-1
Govemmentrecording charges # 1201 200.00 224.00
Appralsal fee q 804 475.00 415.00
Credit reporl # 805 50.00 10.94
Flood certification # 807 9.75 975
VA Funding Fee # 904 3,999.00 3,999.00
: #
` #
_.
#
, . 4,73375 4,658.69
� $ -75.06 or -1.5856%
CNar esThat Can Chan e' Good Faith Estimate HUD•1
Initialdepositforyourescrowaccount # 1001 1,188.84 1,188.84
Daily fnterestchargesfirom' g 901 $23:4243/da 163.97 163.97
Homeowner's Insurance # 903 705.96 706.00
Title services and lender'stitle ihsurance # 1101 1,645.00 1,810.00
OwnePs title insurance # 1103 0.00 0.00
#
#
Loan Terms
Your initial loan amounCis $189,999.00
Your loan term is 30.years
Your initial interest rate is 4.5000%
Your initiai monthly amount owed for principal,interest,andany mortgage $962.70 includes
msurance is : QX Principal
QX Interest
❑Morlgage Insurance
Can your inte�est rate rise?" QX No. ❑Yes,it can rise to a maximum of %. The first change
will be on / / and can change again every years a(ter ! I Every
change dale,your interest rate can increase or decrease by %. Over the lite of
the loan,your interest rate is guaranteed to never be lower ihan %or higher
than %.
Even if youmake payments on lime,can your loan 6alance�ise7 X❑No. ❑Yes,it can rise to a maximum of$
Even if you make payments on tfine,can your monthly amountrowed for' X❑No. ❑Yes,the first increase can be on I / and the monihly
p�incipal interest,and mortgage Insurance rise? amount owed can rise to$ .
The maximum it can ever rise to is$
Does your loan have a prepayment penalty� ' ❑X No. ❑Yes,your maximum prepayment penalty is$
Does your loan have a balloon payment? ❑X No. ❑Yes,you have a balloon payment of$ due in
years on / I
Total monthly amount owed including escrow account paymenls. ❑You tlo not have a monthly escrow paymeN for items,such as property taxes
and homeowner's insurance. You must pay these items directly yourself.
X❑You have an additional monthly escrow payment o($315.80
lhat resulls in a total inilial monthly amount owed of$1,278.50. This indudes
principal,inlerest,any mortgage insurance and any items checked below:
Q Property faxes ❑X Homeowner's insurance
�Flood insurance ❑X Pa Township Tax
, Q Pa County Tax �
Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender.
Previous editions are obsolete Page 3 of 4 HUD-1
• � • �. • � �-
Name of Borrower: Name o(Sellec File Number.
William Allen Cook,Jr Clif(ord Allan Ward,Sc,Trustee of the Ward Irrevceable 14-01-36225
Grantor Trust dated February 1,2007
Prepared 11l20/2014 at 3:45 pm
Note:This page displays an itemization of the adjusted origination charges shown in section 800 of the HUD-1 Settiement Statemen
This page accompanies but is not a part of the HUD-1 Settlement Statement.If a discrepancy exists,the information on the HUD-1
Settlement Statement applies.
Your Loan Origination Charges Borrower Seller
801. Our origination charge (Includes Origination Point 0.000°/a or$846.00;
Our origination charge (Includes Originaticto Fainva Inde endent Mort a e C$ 846.00
Doc Prep Fee-Docs Direct to Fairwa Inde endent Mort a e C$ 115.00
802. Your credit or charge(points)for the specific interest rale chosen
Your credit or charge(points)for the specifito Fairwa Inde endeM MoR a e($ -�,��2.69
803. Your adjusted origination charges -811.69 0.00
Previous editions are obsolete Page 1 of 1 HUD-1
HUD CERTIFICATION OF BUYER AND SELLER
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 trensaction I fuRher certify that I have received a copy of the HU0.1 Settlement Statement.
__
,1/���,/��'���`��.? �
, ,
<William Allen Cook,Jr ��
CLIFFORD ALLAN WARD,SR.,TRUSTEE OF THE WARD
IRREVOCABLE GRANTOR TRUST DATED FEBRUARY 1,2007
L1����� �Ct'/�<�ll � �-�t
Cliff Alian Ward,Sc,Trustee,
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction I have caused or will eause the funds to be
disbursed in accordance with this statement.
�
` -..� �r.��'�,�'� �l ,�y �
SETTLEM�NT AG, T DATE
WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON TH�S OR ANY SIMILAR FORM.PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010.
Previous editions are obsolete Page 4 of 4 HUD-1
• 1 1 . 1�
Jame oi Borrower: Name of Seller: File Number
William Allen Cook,Jr Clifford Allan Ward,Sr.,Trustee of the Ward 14-01-36225
Irrevocable Grantor Trust dated February 1,
2007
TitleExpress
Prepared 11/19/2014 at 430 pm
aote: This page is furnished to give you an itemization of the amounts shown on Paldfrom Pald From '
Lines��01, 1�03 and 1104 of the Settlement Statement(HUD-1). This page Bo[fowef's Selle�'s
accompanies but is not a part of the settlement statement. If a discrepancy Funds at Funds at
exists,the information shown on the Settlement Statement(HUD-1)applies. Settlement -Settlement
1100. Title Charges Amounts Included
` initne 1101
1101. Tille seroices and lender's title insurance 1,810.00
a
b.
c.
1102. Settlement or closing fee
1103. Owner's title insurance
1104. Lender's tille insurance (policy) 1,485.00 $ 1,810.00
a. Closing Service Letter 125.00
b. Exp Cov Res Short 200.00
(Total 1103+1104)
1105, 'Lenders title policy IimiC$189,990.00
1106, 'Owners Gtle,pollcy IImIt 5186,00Q.00
110Z 'Agent's portion of the tolal Utle insu�ance premium $t 1,516.50,
1108. Underwriters porlion of the total title insuranceprem. 293.50
(Total 1107+1108)
1109.
1110.
'1111.
'1112.
� .. . . . . 1
„ ' ,, Total Borrower Borrower Seller
1100.iTitie'Char es with Ra ee Char e POC or Credit Line 1101 Peid
t 101. Title services and lender's title insurance $
1104. Lender's Yitle insurance to Barristers Land Abstract Company 1,810.00 1,810.00
$ 1,810.00 1,810.00