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11-21-14 (2)
150TJ'b101U11 REV-1500 °`X011 PA Department of Revenue pennsylvania OFFICIAL USE ONLY DEEANTMENTOFREVENOE County Code Year File Number Bureau of Individual Taxes PO BOX 280601 INHERITANCE TAX RETURN Harrisburg,PA 17128-06oi RESIDENT DECEDENT it M/ � ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY Decedent's Last Name Suffix. Decedent's First Name-e. MI RdlY=4: L (if Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI 14 a Spouse's Social Security Number E THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ® 1. Original Return O 2.Supplemental Return O 3. Remainder Return(date of death r prior to 12-13-82) C=D 4. Limited Estate p 4a. Future Interest Compromise(date of p 5. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) C=3 9. Litigation Proceeds Received Q 10.Spousal Poverty Credit(date of death p 11. Election to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch.0) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number REMT OF WIL6S.USE mNL co O G 1 O First line of address tom— N i yei� � ��IJ�J❑l�» Second line of address u j _C U lJL,Ll0iJJJiJDO]JJ'Ji��J 4 �� =; City or Post Office State ZIP Code cp DATE F D r"' '�I�J����B�u},� �I�JiJJ P1 l�l]!]'�sil_- Ja _ Correspondent's e-mail address: CeshJ#`elCfs 6o/f ea.5f,wet Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU• O PER�Obi RES NSIBLE FO FILING RETURN DATE lel ADDRESS L- 4'S TNF/ /y �jI/,Q,¢p ((,/ B/'iS6R•h SQA@j E,7,0 A*, A4 SIGNATURE O P EPAR R OTHE THAN P5E ENTATIVE DATE - ADDRESS �IN�/1LE'$ E.•S/�/EZ�S?�'� (� C/oNser R� /�leeha�i�s u�, /�/� l7oss v PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101 1505610105 REV-1500 EX Deceddeent'' ���� RECAPITULATION 1. Real Estate(Schedule A). ...... .... ..... ...... ............... .......' 1. ❑G '49�o l o i'O '�"I;�' 2. Stocks and Bonds(Schedule B) .........'........ ........... .... .... ... 2. 9 L Q��• 4 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ... ... 3. �� 4. Mortgages and Notes Receivable(Schedule D).. .... .... .... ... .... ...... 4. LJI__tjL _I '�L_ QIP 1 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5. DLJ� 9 9 3 $�z •0 6. -Jointly Owned Property(Schedule F) O Separate Billing Requested .. .. ... 6. 00XIJj � .JDJOIA� 7. -Inter-Vivos Transfers&Miscellaneous Non-Probate Property --" --,- (Schedule G) p Separate Billing Requested... ..... 7. + 1 J���E. _o.LoJ 8. Total Gross Assets(total Lines 1 through 7)........ ............... .... .. 8. 00 22 0 0, 57 9 7 9. Funeral Expenses and Administrative Costs(Schedule H)...... .... ......... 9. �O; L� J512'�8T •51i� 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I)..... ........ . 10. JSlJ ' •�:� I o l� 11. Total Deductions(total Lines 9 and 10).... ..... ... .... ... . .... .. ..... .. 11. LO Loi i 12. Net alue of Estate(Line 8 13. Char table and GovernmentalnBequests/Sec 9113 Trusts for which 12. �� �{"�i , Q J��.iI ' an election to tax has not been made Schedule J . .... ...:.....:. ..:.. .. 13. uuxol. 11 IIDU.��� 14. Net Value Subject to Tax(Line 12 minus Line 13) ....... ... .... .... ...... 14. L I Jj�E7)1? D 131'071 ,.'1� TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 min{ (a)(1.2)X.OlZ �u' �j J1 !I .! Q�'� 15. 16. Amount of Line 14 taxable at lineal rate X.0 i 7 0 7 .meg IJ 17. Amount of Line 14 taxable at sibling rate X.12W�� •�v. 17 18. Amount of Line 14 taxable at collateral rate X.15 `� �' 18. • © 0 19. TAX DUE .... ... ....... .... ........... ............ ....... ..... ...... 19. 7 16 7 f 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p Side 2 1505610105 1505610105 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU INDIVIDUAL TAXES DEPT.28060601 X"-e 5�-2 71/4 HARRISBURG.PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 019201 SHIELDS CHARLES EDWARD III SIX CLOUSER ROAD MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold 101 $5,700.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2114-0284 DECEDENT NAME: BAER ETHER M DATE OF PAYMENT: 05/23/2014 POSTMARK DATE: 05/21/2014 COUNTY: CUMBERLAND DATE OF DEATH: 02/25/2014 TOTAL AMOUNT PAID: $5,700.00 REMARKS: RECEIPT TO ATTY CHECK# 1010 INITIALS: WZ SEAL' RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS TAXPAYER REV-1500 EX Page 3 File Number zI—ly- Z,? Decedent's Complete Address: DECEDENT'S NAME STREETADDRESS &8k! Werfzv.� CITY C4ola STATE �A ZIP Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 74 q64. ?/ 2. Credits/Payments b O A.Prior Payments B.Discount 3 o D.e� Total Credits(A+B) (2) 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the'OVERPAYMENT. D Fill in oval on Page 2,Line 20 to request a refund. (4) 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 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;.......................................................................................... El 76 b. retain the right to designate who shall use the property transferred or its income;............................................ Elc. retain a reversionary interest;or.......................................................................................................................... ❑ ,c,�►, 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 receiving adequate consideration?.............................................................................................................. ElK 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 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 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 Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116(a)(1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing'a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the,use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defined,under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ��iel /I>• �a�r z/-�s��z�y All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. A// Ll'12t CC�1�a�r1 aGf k4al !/1 v2r s�/rn 7w17,s4�9� egWk,11anat eO � r " rtSS B� deans 14a , harm a a�l,n acl� ,�O a f'./ 17o xs, J01W t z°ey ,bona/oi �/ �l�, 060• � �lol/2r�s. �en� �r /Yhc� Tholt�sua lee A'e �e /�irlerlJ'� s4eel' ,r7)' c6lea�J TOTAL(Also enter on line 1, Recapitulation) $ gD OOD• �� (if more space is needed,insert additional sheets of the same size) REV-1502 EX+(6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of gurvivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. ko et oto' 44W d'Zj/ r s�/rn awns Li�� �4oy aacf✓ (.o ferns /✓u�%a, Karn �no7¢ /.e iToxs, dela/ t a , �Y.hc 77,oNsa4d 141,-• opo• ,dol/Qrs. �S'ee h*e an,/ 601'red c4wy W 'qle e al a.t� 5ell/emewl .5-4eef a7 -44ch-vW) TOTAL(Also enter on line 1,Recapitulation) $ 49 oaq (If more space is needed,insert additional sheets of the same size) r .rRy OMB Approval No.2502-0265 A. Settlement Statement(HUD-1) B.Type of Loan 11.0 FHA 2.❑RHS 3.0 Conv.Unins. 8.File Number: 7.Loan Number. 8.Mortgage Insurance Case Number. 4.0 VA 5.0 Conv.Ins. El Other 20140885 4600077609 C.Note: This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agent are shown. Items marked"(POC)"were paid outside the closing;they are shown here for Informational purposes and are not included in the totals. D.Name&Address Donald C Lenk,Jr,924 West Trindle Road,Mechanicsburg,PA 17055 of Borrower: Tammy B Lank,924 West Trindle Road,Mechanicsburg,PA 17055 E.Name&Address Estate of Ethel Baer,6881 Wertzville Rd.,Enola,PA 17025 of Seiler: F.Name&Address American Neighborhood Acceptance Company,LLC and/or The Department of Veteran Affairs,700 East Gate Dr,Suite 400,Mt. of Lender: Laurel,PA 08054,Loan:4600077609 G.Property Location: Property Address 6881 Wertzville Rd.Enola,Pennsylvania 17025 PIN 38130988007 H.Settlement Agent: Great Road Settlement Services,LLC,6 S.17th Street,Camp Hill,PA 17011,(717)731-1040 Place of Settlement: 6 S.17th Street,Camp Hill,PA 17011 1.Settlement Date: 7/1/2014 Proration Date: 7/1/2014 Disbursement Date: 7/WD14 ..,�,SL7 ....� b}'BOk►oNeY'5s:fla }I t"}�,r `$'�dvfz ssf ` .<. a14 1S1(I:.i.Grb55 AfrlDUnt Dtle}Rbfl1 I,fO�N@rz r�e a ="InAS8 p[TnO" 101. Contract sales price $90,000.00 401. Contract sales price $90,000.00 102. Personal property 402. Personal property 103. Settlement charges to borrower(line 1400) $1,860.50 403. 104. 404. 105. 405. A I1t�Y"rii�",ttt'S'f,&r"It?eit�<5; ,1�i"�!;sblle��r1< >5'►aaer">;'�i��:�`a .�.�st����, .�- �:a i�lfy` ��adi�a, �:+�,��,��~ � y F� 106. City/town taxes 406. Cityltown taxes 107. County taxes 7/1/2014 to 12/31/2014 $268.04 407. County taxes 7/1/2014 to 12/31/2014 $268.04 106. Assessments 408. Assessments 109. 409. 110. 410. 111. 411. 112. 412. 120. Gross Amount Due from Borrower $92,128.54 420. Gross Amount Due to Seller $90,268.04 aN 2'QO<;14"rrlbur�tSEF?g1d.tS'yor�{rt�t3�►i8�ffFl:;rrow§r,,� ..S1<.rY�t1."�,: '��-�,', ..nRi�'d"`y�Sns'�f1�'n�"31i8't�;,'ri,§�t6'��e`Cfl�r.,,''� ,,., 5;, 201. Deposit or earnest money $9,000.00 501. Excess deposit(see instructions) 202. Principal amount of new loan(s) 502. Settlement charges to seller(line 1400) $900.00 203. Existing loan(s)taken subject to 503. Existing loan(s)taken subject to 204. 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan 206. 506. Deposit or earnest money $9,000.00 207. 507. . 208. 508. 209. 509. 210. City/town taxes 510. City/town taxes 211. County taxes 511. County taxes 212. Assessments 512. Assessments 2.13. School RE TAX 7/1/2014 to 7/1/2014 513. School RE TAX 7/1/2014 to 7/1/2014 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. Total Paid by/for Borrower $9,000.00 520. Total Reduction Amount Due Seller $9,900.00 3tlnl£$...... rbW �i.x,5 Isi-r,.S. Y ;CY Sir tit rtt'_ 1n 11 jrf 301. Gross amount due from borrower(line 120) r $92,128.54 601. Gross amount due to seller(line 420) $90,268.04 302. Less amounts paid by/for borrower(line 220) ($9,000.00)602. Less reductions in amount due seller(line 520) ($9,900.00) 303. Cash 0 From❑To Borrower $83,128.54 603. Cash®Too From Seller $60,368.04 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting,reviewing,and reporting the data. This agency may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB control number. No confidentiality is assured;this disclosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the set8ement process. Previous editions are obsolete Page 1 HUD-1 SUI3STITL(,TE FORM 1099 SELLER STATEMENT- The information contained in Blocks E,G,/H and I and on line 401(or, if line 401 is asterisked,Jines 403 and 404);400,407 V sand 408-412(applicable part of buyer's real estate tax reportable to the IRS)is important tax information and is being furnished to the Internal Revenue Service.If you are required to file a return,a negligence penalty or other sanction will be imposed on you 8 this item is required to be reported and the IRS determines that it has not been reported. SELLER INSTRUCTION- If this real estate was your principal residence,file form 2119,Sale or Exchange of Principal Residence,for any gain,with your income tax return; for other transactions,complete the applicable parts of form 4797,Form 8252 and/or Schedute D(Form 1040). You are required to provide the Settlement Agent with your Correct taxpayer identification number. If you do not provide the Settlement Agent with your correct taxpayer identification number,you may be subject to civil or criminal penalties. ESATE OF ETHEL BAER Esther M.Conrad - Executrix Previous editions are obsolete Page 2 HUD-1 700. Total Real[Estate Broker Fees Paid From Paid From Division of commission(line 700)as follows: Borrowers Seller's 701. Funds at Funds at 702. Settlement Settlement 703. Commission paid at settlement 704. g� ..........11110. 801. Our origination charge (from GFE 01) 802. Your credit or charge(points)for the specific Interest rate chosen (tram GFE 92) 803. Your adjusted origination charges (from GFE A) 804. Appraisal fee (from GFE 93) 805. Credit report (from GFE Q) 806. Tax service (from GFE 43) 807. Flood certification (from GFE 03) 808. A7 Off 901. Daily interest charges from (from GFE 410) 902: Mortgage insurance premium for (from GFE 03) 903. Homeowners insurance for (from GFE 411) 904. 905. ,r;q em 1001. Initial deposit for your escrow account (from GFE 49) 1002. Homeowner's insurance 1003. Mortgage insurance 1004.City property taxes 1005.County property taxes 1006. 1007. 1008. 1009. 1101.Title services and lender's title insurance (from GFE 94) 1102.Settlement or closing fee 1103.Ownees title insurance to Great Road Settlement Services,LLC (from GFE 45) $845.00 1104. Lenders title insurance to Great Road Settlement Services,LLC 1105.Lender's title policy limit 1106. Owner's title policy limit$90,000.00 1107.Agent's portion of the total title insurance premium to Great Road Settlement Services,LLC $645.00 1108.Underwriter's portion of the total title insurance premium to Stewart Title Guaranty Company $0.00 1109. 1110. 1111. 1112. 1113. Erecording/Recording Services Fee to Great Road Settlement Services,LLC. $50.00 1114. 1115. 1201.Government recording charges (from GFE 47) $65.501 1202. Deed$55.50 Mortgage Releases $55.5 1203.Transfer taxes (from GFE 48) $900.00 1204.City/County tax/stamps Deed$900.00 $900.00 1205. State tax/stamps Deed$900.00, $900.00 1206. UPI Certification Deed$10.00 Mortgage i10.00 $10.00 1207.E-Recording Fee 1301.Required services that you can,shop for (from GFE 46) 1302. 2013-14 School Tax on 7/10/2013 to Debra Basehore West,Tax Collector POCS$1.426.14 1303. 2014 County/Township Tax on 312912014 to Debra Basehore Wiest,Tax Collector POCK$534.62 11304. 11305. 11400.Total Settlement Charges(enter on lines 103,Section J and 502,Section K) $1,860.50 $900.00, Items marked"POC"were paid outside the dosing by:Borrower(POCB).Lender(POCL),Mortgage Broker(POCM).Other(POCO),Real Estate Agent(POCR),or Seller(DOCS). CERTIFICATION: I have carefully reviewed the HUD-1 Settlement Statement and to Oft best of my knowledge and belief,it Is a true and accurate statement of all receipts and disbursements made on my account of by me in this transaction.I further certify that I have received a copy of HUD-1 Settlement Statement The Settlement Agent does not warrant or represent the accuracy of information provided by any party.Including Information concerning POC Items and information supplied by the lender In this transaction appearing on this HUD-1 Settlement Statement pertaining to*Comparison of Good Faith Estimate(GFE)and HUD-1 Charges'and'Loan Terms%and the parties hold harmless the Settlement Agent as to any inaccuracies in such am. cu ESATF_PF ETHEL BAER gornild C Le-nk.Jr Esther M.Conrad Tommy B Lank Executrix To the best of my knowledge,the HUD-1 Settlement Statement which I have prepared Is a true and accurate account of the funds which were received and have been of will be disbursed by the undersigned as pan o e se lament of this transaction. 711hy James A.Miller.EDate WARN' nowl -�-..Ok'- ti6ty make false statements to the United States on this or any other similar form.Penalties upon conviction can include a fine and imprison tvtiie.Title 18:U.S.Code Section 1001 and Section 1010. Previous editions are obsolete Page 3 HUD-1 7/1/2014 11:01:57 AM OMB Approval No.2502-0265 „ �*p A. Settlement Statement(HUD-1) '4iv DO B.Type of Loan 1.0 FHA 2.❑RHS 3.0 Conv.Unins. 6.File Number: 7.Loan Number. 8.Mortgage Insurance Case Number: 4.0 VA 5.0 Conv.Ins. [I Other' 20140885 4600077609 C.Note: This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agent are shown. Items marked"(POC)"were paid outside the closing:they are shown here for informational purposes and are not Included in the totals. D.Name&Address Donald C Lank,Jr,924 West Trindle Road,Mechanicsburg,PA 17055 of Borrower: Tammy B Lank,924 West Trindle Road,Mechanicsburg,PA 17055 E.Name&Address Estate of Ethel Baer,6881 Wertzville Rd.,Enola,PA 17025 of Seller: F.Name&Address American Neighborhood Acceptance Company,LLC and/or The Department of Veteran Affairs,700 East Gate Dr,Suite 400,Mt. of Lender: Laurel,PA 08054,Loan:4600077609 G.Property Location: Property Address 6881 Wertzville Rd.Enola,Pennsylvania 17025 PIN 38130988007 H.Settlement Agent: Great Road Settlement Services,LLC,6 S.17th Street,Camp Hill,PA 17011,(717)731-1040 Place of Settlement: 6 S.17th Street,Camp Hill,PA 17011 1.Settlement Date: 7112014 Proration Date: 7/12014 Disbursement Date: 7/1/2014 >:.J 8�mrrra..ty.�bf��orr��e�,s�:5.:raq�a¢tl�nf�..1�a'`.'` _�;^!&�'c�,s?e�:�,�������3�k �»tii�i'a"";,' ltei�s"�1` ,`�t�°`�"�'u�=��:;M,+ssY�r�,�ss�-�,x,."•` 1t10x Gfdss 34 ttnib.... rbr15tf3orroWer: µ a *`rz zip"sdGr b1a F�t�r#t_ #x Unulff 101. Contract sales price $90,000.00 401. Contract sales price $90,000.00 102. Personal property 402. Personal property 103. Settlement charges to borrower(line 1400) $1,860.50 403. 104. 404. 105. 405. 106. City/town taxes 406. City/town taxes 107. County taxes 7/12014 to 12/31/2014 $268.04 407. County taxes 7/1/2014 to 12/31/2014 $268.04 108. Assessments 408. Assessments 109. 409. 110. 410. 111. 411. 112. 412. 120. Gross Amount Due from Borrower $92,128.54 420. Gross Amount Due to Seller $90,268.04 tt'bd'%Auui�pljpt§,:f3aYd`�iy,;of;C�Bek�fl';?o ��nower�"" w .`�.�,'�';,.,'�"' `,t 0'�`' o v'1,1m�5Y'„iZ ►'9�' �5,'e"ll�;�`%��`�t,��� �: �°�„• 201.*Deposit or earnest money $9,000.00 501. Excess deposit(see instructions) 202. Principal amount of new loan(s) 502. Settlement charges to seller(line 1400) $900.00 203. Existing loan(s)taken subject to 503. Existing loan(s)taken subject to 204. 504. Payoff of first mortgage loan 2051. 505. Payoff of second mortgage loan 206. 506. Deposit or earnest money $9,000.00 207. 507. 208. 508. 209. 509. 210. City/town taxes 510. City/town taxes 211. County taxes 511. County taxes 212. Assessments 512. Assessments 213. School RE TAX 711/2014 to 7/1/2014 513. School RE TAX 7/1/2014 to 7/1/2014 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. Total Paid by/for Borrower $9,000.00 520. Total Reduction Amount Due Seller $9,900.00 300>"�Ca`slfat�S�'t!)srn'�'Lt't°frgt�%Yo��ziE>•bwer `ra � r s r�,4�(G0�',,Gh�" � .t�f> 1e.�":.* �"*� �$; f °' 301. Gross amount due from borrower(line 120) $92,128.54 601. Gross amount due to seller(line 420) $90,268.04 302. Less amounts paid by/for borrower(line 220) ($9,000.00)602. Less reductions in amount due seller(line 520) ($9,900.00) 303. Cash 0From 0To Borrower $83,128.54 603. Cash 0 Too From Seller $80,368.04 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting,reviewing,and reporting the data. This agency may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB control number. No confidentiality is assured;this disclosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the settlement process. Previous editions are obsolete Page 1 HUD-1 7/1/2014 11:01:57 AM File Number:20140885 SUBSTITUTE FORM 1099 SELLER STATEMENT• The information contained in Blocks E.G,H and I and on line 401(or,B line 401 is asterisked,lines 403 and 404);406,407 and 406.412(applicable part of buyer's real estate tax reportable to the IRS)is important tax information and Is being furnished to the Internal Revenue Service.If you are required to file a return,a negligence Penalty or other sanction will be imposed on you If this item Is required to be reported and the IRS determines that it has not been reported. SELLER INSTRUCTION. If this real estate was your principal residence,file form 2119,Sale or Exchange of Principal Residence,for any gain,with your Income tax return; for other transactions,complete the applicable parts of form 4797.Form 6252 and/or Schedule D(Forth 1040). You are required to provide the Settlement Agent with your correct taxpayer identification number. If you do not provide the Settlement Agent with your correct taxpayer identification number,you may be subject to civil or criminal penalties. 'ESATE OF E,THEIL BAER C �A Esther M.Conrad Executrix Previous editions are obsolete Page 2 HUD-1 7/1/2014 11:01:57 AM File Number:20140885 ^,.'.Zr c(rvd'@tt76R1@nt �SdS.. ._,a:,.�, ". -nuc sW; :..'kssf + _^`k 1 ,'. gF•5.F„sa 1? ra a .r a ems:-' s s a+Ftv3' �..v1' ..,..:.. .. tr .+, <..E:'�.. a..r.'.du .�. 2;:.uY .- :r;'�,�r ? .s. •r<•. .e.�.H P S ,.'u�s� .,c.F: 700. Total Real Estate Broker Fees Paid From Paid From Division of commission line 700 as follows: Borrowers Seller's 701. Funds at Funds at 702. Settlement Settlement 703. Commission paid at settlement 704. 800'.CtF3nisihonn`entir .,.& ..y 801. Our origination charge (from GFE#1) 802. Your credit or charge(points)for the specific interest rate chosen (from GFE#2) 803. Your adjusted origination charges (from GFE A) 804. Appraisal fee (from GFE#3) 805. Credit report (from GFE#3) 806. Tax service (from GFE#3) 807. Flood certification (from GFE#3) 808. 80@ 1; ei1ylltt 6nF1@O' )y (PS1iinGg ;vpr n., arZ ;5 901. Daily interest charges from (from GFE#10) 902. Mortgage insurance premium for (from GFE#3) 903. Homeowner's insurance for (from GFE#11) 904. 905. •. 'r '• Y y C "5 .."":Y. ria K 'S A.Y S. 1001. Initial deposit for your escrow account (from GFE#9) 1002. Homeowner's insurance 1003. Mortgage insurance 1004. City property taxes 1005. County property taxes 1006. 1007. 1008. 1009. .,v. q, t @..., r v ✓l'E r•'1' ti S L r m,;i; r +4"��ti` x' u x f" c"``";. 1�11b�TitfeGT�"arg8s. ;.$�".j . .f �.,.,�`.... .• � ..:,'S.. ,a 's , '�';M,.:� ,a: ��:r.�r+ 2 1101.Title services and lender's title insurance (from GFE#4) 1102. Settlement or closing fee 1103.Owner's title insurance to Great Road Settlement Services,LLC (from GFE 95) $845.00 1104. Lender's title insurance to Great Road Settlement Services,LLC 1105. Lender's title policy limit 1106.Owner's title policy limit$90,000.00 1107.Agent's portion of the total title insurance premium to Great Road Settlement Services,LLC $645.00 1108.Underwriter's portion of the total title insurance premium to Stewart TRW Guaranty Company $0.00 1109. 1110. 1111. 1112. 1113. Erecording/Recording Services Fee to Great Road Settlement Services,LLC $50.00 1114. 1115. 12DO:CaIVerrMrnent 1201. Government recording charges (from GFE#7) $65.50 1202. Deed$55.50 Mortgage Releases $55.50 1203. Transfer taxes (from GFE#8) $900.00 1204.City/County tax/stamps Deed$900.00 $900.00 1205. State tax/stamps Deed$900.00 $900.00 1206. UPI Certification Deed$10.00 Mortgage$10.00 $10.00 1207. E-Recording Fee 1301.Required services that you can shop for (from GFE#6) 1302. 2013-14 School Tax on 7/10/2013 to Debra.Basehore Wiest.Tax Collector POCS$1,426.1 1303. 2014 County/Township Tax on 3129/2014 to Debra Basehore Wiest,Tax Collector POCB$534.6 1304. 1305. 1400,Total Settlement Charges(enter on lines 103,Section J and 502,Section K) $1,860.501 $900.00 Items marked"POC"were paid outside the closing by:Borrower(POCS),Lender(POCL),Mortgage Broker(POCM),Other(POCO),Real Estate Agent(POCR),or Seller(POCS). CERTIFICATION: I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,It is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction.I further certify that I have received a copy of HUDA Settlement Statement The Settlement Agent does not warrent or represent the accuracy of information provided by any parry,Including information concerning POC items and information supplied by the lender In this transaction appearing on this HUD-1 Settlement Statement pertaining to'Comparison of Good Faith Estimate(GFE)and HUD-1 Charges'and'Loan Terms',and the parties hold harmless the Settlement Agent as to any inaccuracies in such ers. Wald C Lenk!Jr ESAT OF ETHEL BAER Esther M.Conrad Tammy B Lank Executrix To the best of my knowledge,the HUD-1 Settlement Statement which I have prepared is a true and accurate account of the funds which were received and have been or will be disbursed by the undersigned as part o se ement of this transaction. all, James A.Miller,Es Date WARNING: a crime to knovnhgly make false statements to the United States on this or any other similar form.Penalties upon conviction can include a fine and imprison�or d2[aile'see:Title 18:U.S.Code Section 1001 and Section 1010.. eee�� Previous editions are obsolete Page 3 HUD-1 Tax Parcel Number: THIS INDENTURE MADE THE day of , in the year of our Lord two thousand and seven(2014). BETWEEN ESTHER M. CONRAD formerly known as ESTHER M. STRADER, as Executrix of the Estate of E'THEL M.BAER,deceased, late of the Silver Spring Township, Cumberland County, Pennsylvania, Grantor, and DONALD C.LENK,JR. and TAMMY B.LENK, husband and wife, currently of 924 West Trindle Road,Mechanicsburg, Cumberland County, Pennsylvania, Grantee. WHEREAS,the said Ethel M. Conrad,was vested in her lifetime with title to the premises hereinafter described, in the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania; and WHEREAS, the said Ethel M. Conrad, departed this earthly life, testate, on the 251h day of February,2014, and Letters Testamentary were duly issued to the said Esther M. Conrad formerly known as Esther M. Strader,by the Register of Wills of said Cumberland County, docketed to No. 21-14-0284;and WHEREAS,the lands herein-mentioned were not specifically devised: NOW,THEREFORE,THIS INDENTURE WITNESSETH,that the said Esther M. Conrad formerly known as Esther M. Strader,Executrix, as aforesaid, for and in consideration of the sum of NINETY THOUSAND and No1100ths($90,000.00) DOLLARS, and other good and valuable considerations, to her in hand paid by the said Grantees, at and before the ensealing and delivery hereof,the receipt whereof is hereby acknowledged,has granted,bargained, sold, aliened, released, and confirmed, and by these presents, by virtue of the power and authority in her vested by the Fiduciaries Act of the Commonwealth of Pennsylvania, does grant, bargain, sell, alien, release, and confirm unto the said Grantee,his heirs and assigns: r ALL THAT CERTAIN tract of land situated in Silver Spring Township, Cumberland County,Pennsylvania,bounded and described as follows,to wit: BEGINNING at a point in the center line of the Wertzville Road,known as State Highway Traffic Route#944, said point being situated forty (40)feet West of the Morrow property line;thence in a Westerly direction along the center line of the said Wertzille Road,a distance of one hundred (100) feet to a point at property line now or formerly of Lawrence L. Brown and Ruth C. Brown,his wife; thence along said property line now or formerly of said Browns, in a Southerly direction a distance of three hundred (300) feet to a point;thence Eastwardly a distance of one hundred (100) feet to a point at the Western side of a proposed forty (40) foot road;thence along said Western side of said road in a Northerly direction a distance of three hundred (300)feet to the place of BEGINNING. BEING the same premises which Lawrence L. Brown and Ruth C. Brown, his wife, by their deed dated April 25, 1949, and recorded in the Recorder of Deeds Office in and for Cumberland County, Pennsylvania in Deed Book B,"Volume 14, Page 158,granted and conveyed unto Curtis H. Baer and Ethel M. Baer,his wife. The said Curtis H. Baer departed this earthly life on February 16, 2013, whereupon full and absolute title to the said premises vested in the said Ethel M. Baer,his widow,by the laws of the Commonwealth of Pennsylvania incident to tenancies by the entirety. Her said Estate is the Grantor herein. SUBJECT,NEVERTHELESS, to the following restrictions: 1. No buildings,or parts of buildings, shall be erected within fifty (50) feet from the Southern side of the said Wertzville Road. 2. "THIS RESTRICTION WAS A RACIAL RESTRICTION WHICH IS NO LONGER APPLICABLE NOR ENFORCEABLE SINCE HAVING BEEN DECLARED UNCONSTITUTIONAL BY THE SUPREME COURT OF THE UNITED STATES OF AMERICA." 3. No dwellings shall be erected upon the hereinbefore described tract of land which shall cost less than Three Thousand ($3,000.00)Dollars above foundations. 4. There shall be no obnoxious business permitted on the hereinbefore described tract of land. 5. No buildings shall be erected within ten(10) feet of the adjoining property lines. 6. All sewage disposal must be done by approved septic tanks. TO HAVE AND TO HOLD the said messuage or tenement and tract of land, hereditaments and premises hereby granted and released,or mentioned and intended so to be, with the appurtenances,unto the said Grantees,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 GRANTOR;Executrix, as aforesaid,her successors and assigns does covenant, promise and agree to and with the said Grantees, their heirs and assigns,by these presents,that the Grantor has not done,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, or otherwise howsoever. IN WITNESS WHEREOF, the said Executrix of the Estate of Ethel M. Conrad, deceased, Grantor herein,has hereunto set her hand and seal the day and year first above written. Signed, Sealed and Delivered in the Presence of: (SEAL) ESTHER M. CONRAD,Executrix of the Estate of ETHEL M. BAER, Deceased (SEAL) f.k.a. ESTHER M. STRADER,Executrix of the Estate of ETHEL M. BAER,Deceased COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF CUMBERLAND ) On this,the day of ,A.D. 2014,before me a notary public, in and for the Commonwealth of Pennsylvania,personally appeared ESTHER M. CONRAD formerly known as ESTHER M. STRADER,known to me (or satisfactorily proven) to be the person whose name is subscribed as Executrix of the Last Will and Testament of Ethel M. Baer, and acknowledged that she executed the same in such capacity. IN WITNESS WHEREOF, I hereunto set my hand an official seal. Notary Public My commission expires: (SEAL) CERTIFICATE OF RESIDENCE I do hereby certify that the precise and exact post office address of the within Grantee is: Attorney for Grantee REV-1503 EX+(6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER >; ie� lYl. BGer ,2/-/1(- 2 b'S� All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 31(o Acres B cernnr%on s+ck 4 manu-Gfe hi l4.2 3 +-too fl 9.o S :,2 = /9,�� �G� oy8, 711 CSeG ✓4/u.alf-,lo0 611etf Ckltaehed) I ao,aSu snares' q.S. Global lead eta l;rowK �Pwnd A held aL- Tohri Haneoek Q Ifg2.&9 e.-ti. �3. 157. 69 (see !eft 1'ua.A G TOTAL(Also enter on line 2,Recapitulation) s 1/A 2 o 5. 93 (If more space is needed,insert additional sheets of the same size) MFC Historical Prices I Manulife Financial Corporation Stock-Yahool Finance 10/27/14 2:16 PM Home Mail flews .$ports. Finance Weather Games Groups. Answers, Screen Fiickr Mobile .I More Search Finance "l 361gotirWeb Mail Finance Home My Portfolio Market Data Yahoo Originals Business&Finance Personal Finance CNBC Contributors Enter Symbd Look Up Mon,Oct 27,2014,2:i 5PM EDT-U.S.Markets dose in 1 hr 45 mins Report an Issue Dow 0. z ©wt..aea.f.o Mannulife Financial Corporation(MFC) -NYSE *watchlist 18.26 0.01(0.03%) 2:15PM EDT-Nasdaq Real Time Price Historical Prices Get Histerkal Pdoes for: Set Date Range ®Daily Start Date. -Feb C• 25 2014 Eg.Jen 1,2010 OWeeky End Date: •FZb 25 1 2014 1 QMonthy QDividends Only Get Prices First I Previous I Next I Last Prices Date Open High } Lav `111 Close Volume Adj Close' Feb 25,2014 19.12 19.23 j" 19.05 �;t 19.10 1,820,500 18.85 Crose�pdce adjusted for dividends and splits. '2 -/�/ First I Previous)Next I Last ADownload to Spreadsheet J tt Currency in USD. 3j. (_ w 'e p r 1 t ( ¢/ ' p G/ ., �T I i Venus of Cortland Open Bottom Girdle i r.= http://finance.yahoo.com/q/hp?s-MFC&a=O1&b=25&c=2014&d=01&e=25&f-2014&g=d Page 1 of 2 Investment Operations John Hancock Signature Services,Inc. P.O.Box 55913 Boston,MA 02205-5913 (800)225-5291 N V E S T M E N T S www.jhinvcstments.corn May 29,2014 Charles E Shields III Attorney at Law 6 Clouser Road Mechanicsburg PA 17055 Reference: 01248872 Account Number: 00312157100 Curtis H.Baer Ethel M.Baer Dear Mr. Shields: Thank you for contacting John Hancock. We are writing in regard to the John Hancock mutual fund Joint Tenants with Rights of Survivorship account listed above. The account value on February 25,2014,was$5,157.69. The net asset value per share of the U.S. Global Leaders Growth Fund A was$42.89 and there were 120.254 shares in the account. Please remember that the share price fluctuates daily and the share price does not have high and low trade values. To transfer or redeem the share,please refer to the enclosed Non-Retirement Account Transfer Rejection Form for further information. Please note that any change in registration affects the legal ownership of the account. As a result,once we receive the requested documentation,it will be necessary for us to transfer the shares to a new account. John Hancock Signature Services,Inc.,30 Dan Road,Canton,MA 02021 We will keep the documentation we have received on file for future reference. For your convenience,a postage paid envelope is provided. If you have any questions,please call our customer service center at 1-800-225-5291, Monday through Thursday between 8:00 a.m. and 7:00 p.m.,and Friday between 8:00 a.m.and 6:00 p.m.,Eastern Time. For additional account and product information,please access our Web site at www.ibinvestments.com. Sincerely, Valerie Allen Correspondence Associate cc: Signator Investors Inc Enclosure Non-Retirement Transfer Rejection Form Non-Retirement Accnt Change of Ownership Non-Retirement Account Application Postage Paid Envelope REV-1508 EX+(11-10) I MRip pennsyLvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: EfAel A. Baer .2 A( Include the proceeds of litigation.and the date the proceeds were received by the estate. ,All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE —NUMBER DESCRIPTION OF DEATH I. Pry ra J)o n of ep If.7 y ;ro,Ka dra %$-ale ax, te4/esha fe (See, 1;01 itol- an Chee-1 WyAche4l) ;U 4'PI/ i!/r/Z ENS �01 N A Cheekl'nq 0 93,860.9.'z 8. o4c co. Wce,4 No. 746 d. 2 k 4c,c 3, jate pt per5olllaffY b Mork Keller, ftwth'ontcr sIt.00 (W ree4t W bruK6ww dtadvJ) S-, a,.5, Treasury, kW. X4 C. t 1Pe4,nd o3-vo ;?Sp.00 7^K qe't#4 k.5wr. TOTAL(Also enter on Line 5, Recapitulation) $ 0 q If more space is needed,use additional sheets of paper of the same size. e.ns. 1:0..:.,an.�k, One Citizens Drive ROP 112 Riverside,RI 02915 June 9, 2014 Charles E. Shields,III Attorney at Law 6 Clouser Road Mechanicsburg,PA 17055 Estate of Ethel M. Baer Date of Death:Feb 25, 2014 SSN: Dear Sir/Madam: In accordance with your request,the enclosed information sheets have been provided in the above decedent's name as of his/her date of death. According to our records,the decedent did not have a safe deposit box with our institution as of the date of death. Should you have any questions,please call 1-877- 579-2667, option 2. Sincerely, Heather Medeiros Decedent Account Processing REF#: 646534 z Account Number 6100702367 Account Title Curtis H. Baer, Ethel M. Baer Date Opened 6/28/1976 Account Type Checking Principal Balance as of DOD $23,860.92 Interest from Last Posting to DOD $ .19 Account Balance as of DOD $23,861.11 YTD Interest to DOD $ .81 fizens. Bank Account Number 6219041503 Account Title Curtis H. Baer, Ethel M. Baer Date.Opened 5/30/2007 Account Type Checking Principal Balance as of DOD $66,865.03 Interest from Last Posting to DOD $1.28 Account Balance as of DOD $66,866.31 YTD Interest to DOD $5.77 Account Number 6248669126 Account Title Curtis H. Baer, Ethel M. Baer Date Opened 11/29/2005 Account Type Time Deposits Principal Balance as of DOD $ .00 Interest from Last Posting to DOD $ .00 Account Balance as of DOD $ .00 YTD Interest to DOD $ .00 REV-1511 EX+(10-06) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OFFILE NUMBER iFfhe I m' 13aew Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 M��haol ll7urray, Funeral D�redar.1 Emla, PA — Prem gel — a. hl,;w 4vor/ey, 3. Fwrl /mta/ you,�ys un;hd metWa:st Chillmh '�3SM97 lReNOr/c fsi Ae4N /lei e�G• ,' 9,00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) S -her m. Con r4 d Street Address b 1 Brix k1,.r) L-a vie, City k not A, State 1�� zip 170 5 Year(s)Commission Paid: 2. Attorney Fees eharl e6 JE. S},iGtds 3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation) Claimant gyp O/YE. ,�L/G/�3 L E /VOW Street Address City State Zip Relationship of Claimant to Decedent r 4. Probate Fees Wnel 0r1 gineV1 �53kC B� ShorI1. Ce.rh'V �Ca.-S, er . "IC�B'. 5. Accountant's Fees (J , -50.n*-r bracgb�0I , H I(t��7-, lock of Me,4)";esbu 6. Tax Return Preparer's Fees �• 10}0, OoSw J 1 o 9 0 P4 40,e.IoSe b L; P.4 Z Q /(j� X9&0,6D 7. R ea,l+y -'ra.n 3¢er &n eSa le e f /?e al+y /W9'00. 00 (se` Liht 1:.05 oh Se fffernent Sheet- aftcsw-d) 8. �u e�i'ohEer 91')ark >�e lle•-s �111 M i�S i o n �+► �a.�e o'� /�ea.1 esfne a� 3 _ �.21 70 0. o �.Z,7DO.o0 g- Kd ilefh's,'Aj /h oo /d. /4 dver/i'sih9 •h Ca�1is/e n15 neI Nuts warn" d X37y Stc a inuahoy \3heel a ached TOTAL(Also enter on line 9, Recapitulation) $ (It more space is needed,insert additional sheets of the same.size) �a�e�• SHE�. N, e��- QST e� Ee� ►yl 1. rn ru 1a—mm;ss;on t l,buic .,An�1r Manes-Lr'�cs�ta►,as )52,V ! c ' �cr eye k111.5 /o. 00 /.3 PL S 1l1 S n �'ha rles E. �h ic�ds ►+ f9ado'no.s. posAgc' Jon t Cir Shue C"Isi aL1VQaOL reX-46) Y f�uCli'on c,� t-K Wlexi dmwissl'on s e orf F t-ap g CBn1/�Ji ss ior►J Z,a/2,�O _� Sea ms�L aha�l+edJ lS /pDuhSb �o �uylGS Jf?rrPilgS �r Cl��i/ • Si�O// t/'/J_ /D•bG Cheas ..___�_�i�c,r?q�s�lL��f __�..�!,ff (/1ara�, - �oa� � du�✓ier! s�/e _ �lIS oo _ I ------------------------------- - - -......__..._._... __1 ....._.___._.-._...._..._.. _---_..__....._..- _ -- .......... - — ._..._............. -._.. ---.---- - . ._.-- I _.,..__.._,__..... -_...._{_...__..._..._..--..........- - ....-_..............._..._........._............_...--------------- -- - -._--.... _.....-.._.-----.._.._......._............. - ---- ... ....-..........................----- i I RECEIPT FOR PAYMENT ------------------- ------------------- LISA M. GRAYSON, ESQ. Receipt Date: 3/26/2014 Cumberland County - Register Of Wills Receipt Time: 14 :20 :07 One Courthouse Square Receipt No. : 1077415 Carlisle, PA 17013 BAER ETHER M Estate File No. : 2014-00284 Paid By Remarks : CHARLES E SHIELDS III DMB ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 90 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN RENUNCIATION 10 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 25 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# \531 $90 . 00 Check# 3531 $108 . 50 Total Received. . . . . . . . . $198 . 50 Contract or Agreement To Terms of Auction This agreement made o L < O Between Mark K./Keller,Auctioneer,(or Authorized Representative) and ,�rr�T��;P Enye�—.D�t,E,� ,Owner or Authorized Representative. We hereby engage the services of Mark K_Keller,Auctioneer,to conduct a pub auction of livestock,personal property,machinery,real estate or other on at fig$/ r�►rz�� �:o (location). Owner certifies that all property dersonal or real)to be offered for sale is free of all liens, or that documents verifying liens have been presented to Mark K.Keller,Auctioneer. Owner releases the Auction Company from all liability for damages to property during public inspections of same,or on auction day, or during auction preparation. Owner certifies that property or merchandise offered for sale has been represented correctly and any misrepresentation will be the responsibility of the owner. Unless by prior agreement,merchandise withheld by reserve will be subject to a fee for Auction Company's effort to sell,and for any expenses incurred for those items, such as advertising, etc. Mark K. Keller,Auctioneer,willrepresent his client to the best.of his ability, fair market value for merchandise,selling will be his objective, taking into consideration the time, frame of the auction,and the condition of the merchandise being sold. Mark K. Keller,Auctioneer,agrees to pay the owner for proceeds of the auction within 24 hours or less,or within 3 business days,as agreed upon by both parties. Terms: Percentage of gross aucti n ceeds paid to Auction Company Real Estate_ a5�51_41rersonal Property Other ZNo Sale fee Advertising: (to be paid by)�St'ZLt� sd'n 1 Other ExpensesiF A/EFaE� M Keller Owner or Authorized Representative 1 PROFFSSIONA1 FIFS �• _/r o v AUCTIONEER $_ �. �a_ CASH CLERK $ CHECKS $ — CASHIER $-_—_... _ �)JH R RF(`FI-PTS / 01TIER FXP1 NSF5 10 $ .__ TOTAL RtiCLIP/T5 �o - -- -- -- - -- --- - $- --— - LESS TOTAL EXPEN.S� ; $ v� 1 (or we), the seller, accept this settlement and acknowledge receipt of the above specie net prxeeds from the auction of my goods and property sold on the above date. 1 accept all resppoorsibility for providing merchantable title to all goods,and property sold, and for delivery of title to the purchaser. ---- — r) - — Date-5L7 A cf°oneer or Cashier's Signature (Sellers Signature) --_-- -- -Date _ -- -- -- _ Date--- - (Sellers Signature) SELLER'S COPY SETTLEMENT". Y SELLER NAME d � � �. (�.Q�_ — DATE ,OF,SALE t / r PHONE ZIPS a LOCATION OF SALE AUCTIONEER— _1_L. '�' PHONE ---- — Z^r'''�.,.' PROFESSIONAL FEES x/ry CASH CLERK $ CHECKS ;- $ CASHIER $ _ . OTHER RECEIPTS OTHER EXPENSES S _ - - - $ $ $.._.-- __ -_. TOTAL RECEIPTS LESS TOTAL.EXPENSES $ ' I NET PROCEEDS PAYABLE-:7C7 SELfE1� $ s ,- TC7TAL EYPENSES $ I (or we) the seller, ace�pp# this settlement and acScnowledge receipt of the above specified net proceerfs from the auction of my gpoc#s and property sold on the above date. f�accept all respprczznsibillty for providing rnerchctntcrlale title#o all goods,.aincl property sold, and for delivery of title to the purchaser. Bate ri 7 • — 5- - - _- t �/ c neer�or Cashier's Signature (Seller's Signature) Date _—__ -Date- (Seller's Signature) SELLER'S COPY s REV-1512 EX+(12-08) pennsylvania SCHEDULE .I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH L e,v►ri g l rd'er Cary(•% / fps. "o?s' 00 .2. P;nnacle IKea#A �1'1ecl;cam/ 6'"V �Fy,o0 3. V.' l e4rd o ✓aSr, t la r lkSoGS. X:3 .J, Pinga��� /lea/f�i /lleaf,Ga,l �r-dKp oZ. ��.&S 6 . Weill bursement t G-'� r- 1%,nfe c( �nr QU4nfiurn �► n n a�!e hl�a/th �- C2mp f/,%� �8/�UIL% �l'ys•�ratiS - ��.?D. y�Q TOTAL(Also enter on Line 10, Recapitulation) $ ! 512Y, 13 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: �,De/ �. FILE NUMBER: RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1 Jn�G or)a� IV,& Re Ti'z ,G+rf;s K. 13aar predeuased deeede,»t; 9 P3 it. G"-,m4414ers C/c�k al rcad y ' -R vr'n t son. ua/� a/mff dec u�is `1 &eAL;II ay't K&tA -yn d a,r lif-ar- Y3 $reC1,b.11 3 qPo Aran e/. Lane , C4/relerf*Ile, tQ /9Y26 CB)E.SI�I�,r- In. ft4 Cmnr'ad, . �'s�t,►- sf n�d er- of a rt„h ft�r• >0'3 C6/ iS�n;r, Lancs End/4, )OW r70ZS Baer n %3 I9ID& KeysInne $luf'F, �n A+�ion:o,-r'x 78',2 s8. ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX.IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II — ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500.COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. LAST WILL AND TESTAMENT OF ETHEL M. BAER I, ETHEL M. BAER, of the Township of Silver Spring, County of C�iynberland and State of Pennsylvania, being of sound .and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done, 2. I give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and. wheresoever the same may be situated, to my husband., Curtis H, Baer, absolutely and unconditionally, 3. in the event that mY husband, Curtis H. Baer, should predecease me, or should he die at about the same time as I do, such as in an accident common to both of us, then in such event, I direct the settlement and distribution of my estate to be made .in the following manner, to wit: (a) I give and bequeath my "Peter Grumbine" Grandfather clock, which belonged to my husband and which came down to him from his family, and which was originally the property of his great- grandfather, to my son, David E. Baer.. -1- (b) I give and bequeath all the rest, residue and remainder of my estate, Teal, personal and mixed, whatsoever and wheresoever the same may be situated, to my three children, to wit, Kathryn L. Brechbill, Esther M. Strader and David E. Baer, share and share alike, per stirpes. LASTLY., I nominate, constitute and appoint my husband, Curtis H. Baer, executor of this my Last Will and Testament, and in the event that my said husband should predecease me, or should he be unable or unwilling to serve, .in such capacity for any reason, then to such event, I nominate, constitute and appoint my aforementioned three children, to wit, Kathryn L.. Brechbill, Esther M. Strader and David E. Baer, co-executors of this my Last Will and Testament, in his place and stead. IN WITNESS WHEREOF, I have he^eunto set my hand and seal this � day of October, A. D., 1976. _(SEAL). Ethel M. Baer Signed, sealed, published and declared by the above named, Ethel 1,11. Baer, as and for her Last Will and Testament, in the presence of iis, who have subscribed our names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. -2-