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HomeMy WebLinkAbout06-05-15 (3) 1505614134 EX(03-14)(FI) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 3 0 9 9 1 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 9 0 5 2 0 1 3 0 1 2 5 1 9 4 1 Decedent's Last Name Suffix Decedent's First Name MI M E L V I N K A R E N L (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Q 1.Original Return ❑ 2.Supplemental Return ❑ 3. Remainder Return(date of death Prior to 12-13-82) ❑ 4.Agriculture Exemption ❑ 5. Future Interest Compromise(date of ❑ 6. Federal Estate Tax Return Required (date of death on or after 7-1-2012) death after 12-12-82) ❑X 7. Decedent Died Testate ❑ 8. Decedent Maintained a Living Trust 0 9.Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) ❑ 10. Litigation Proceeds Received ❑ 11. Non-Probate Transferee Return ❑ 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets only) ❑ 13. Business Assets ❑ 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number D A V I D H S T O N E E S Q U I R E 7 1 7 7 7 4 7 4 3 5 First Line of Address 4 1 4 B R I D G E S T R E E T Second Line of Address City or Post Office State ZIP Code N E W C U M B E RL A N D P A 1 7 0 7 0 Correspondent's e-mail address: D S T O N E a9 S T O N E L A W • NET � REGISTER OF— 'IhS USE ONLY —1 M REGISTER OF WILLS USE ONLY '-•' Gji 3 DATE FILED MMDDYYYY --rt ,) y'E n _ -. CJ Cf3 p DATE"FILED STAMPW PLEASE USE ORIGINAL FORM ONLY Side 1 1111111111111111111 IN J 1505614134 1505614134 1505614234 REV-1500 EX(FI) Decedent's Social Security Number Decedent's Name: KAREN L - M E L V I N RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 3 7 0 9 0 0 . 0 0 2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. 4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. 0 . 0 0 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 2 3 2 5 2 . 3 5. 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property 4 2 7 7 0 8 . 2 3 (Schedule G) ❑ Separate Billing Requested . . . . . . . 7. 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 8 2 1 8 6 0 . 5 8 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . I . . 9• 1 0 1 0 3 6 . 0 0 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) . . . . . . . . . . . . . 10. 3 0 2 . 7 3 11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 1 0 1 3 3 8 . 7 3 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 7 2 0 5 2 1 . 8 5 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . 14. 7 2 0 5 2 1 • 8 5 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0 _ 0 . 0 0 15. 0 . 0 0 16. Amount of Line 14 taxable at lineal rate x.045 7 2 0 5 2 1 . 8 5 16. 3 2 4 2 3 . 4 8 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X.15 0 . 0 0 18. 0 . 0 0 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 3 2 4 2 3 • 4 8 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Under penalties of perjury,I declare 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 person responsible for filing the return is based on all information of which preparer has any knowledge. SIG TURE OF PERSON)S�AIBLE FOR,F.U,,ING RETURN // DATE 10 S D CHA - ROAD CAMP HILL PA 17011 F GNATU REPAIRER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE 6- L/5 ADD 414 BRID E TREET NEW CUMBERLAND PA 17070 1111111111111111111111111111111111111111111 Side 2 1505614234 1505614234 REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: 21 13 0991 DECEDENT'S NAME KAREN L - MELVIN STREET ADDRESS 4 OAKWOOD CIRCLE CITY STATE ZIP CAMP HILL � PA 11?011— Tax Payments and Credits: 1• Tax Due(Page 2,Line 19) (1) 3 2,4 2 3- 4 8 2. Credits/Payments A.Prior Payments 2?10 0 0 . 0 0 B.Discount 11421 - 05 (See instructions.) Total Credits(A+B) (2) 281421-05 3. Interest (3) 0 .00 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 0 . 00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 4 ,002 - 43 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred ...................................................................... ❑ ❑X b. retain the right to designate who shall use the property transferred or its income ............................... ❑ 0 191 c. retain a reversionary interest ..................................................................................................... Eld. receive the promise for life of either payments,benefits or care? ....................................................... ❑ 21 2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ 0 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ 0 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. ❑X ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 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 step-parent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in [72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(12-12) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: KAREN L . MELVIN 21 13 0991 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 Property located at 203 April Drive Camp Hill PA 1241000 . 00 sold to Errin W . Crowell and Kathryn R . Crowell , husband and wife on September 16, 2013 2 Property located at 4 Oakwood Circle Camp Hill 157,000 . 00 Cumberland County, PA sold to Devin Q Langan on March 25, 2015 3 Property located at 835 Erford Road Enola 891900 . 00 East Pennsboro Twp - , Cumberland County, PA sold to Nadia Madini on May 23, 2014 TOTAL(Also enter on Line 1,Recapitulation.) $ 370,900 - 00 If more space is needed,use additional sheets of paper of the same size. REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: KAREN L . MELVIN 21 13 0991 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 t. 2006 Honda CR-V at Kelley Bluebook value 121969 . 00 transferred to Trent Gottdiner as per note written and treated as part of the will 2 Cardiology-refund 11 . 27 3 Cincinnati Insurance-rental prop insurance refund 2,198 . 00 4 Citi-creditcard refund on prepaid trip 145. 48 5 Insurance refund received 225 . 00 6 Members 1st FCU-Checking Acct #475141-11 5,251 . 49 Princ $5,251 . 49, Int $ • 03 7 Members 1st FCU-Checking Acct #475141-11 - Accr Int 0 . 03 , 8 Members 1st FCU-Savings Acct #475141-00 48 . 63 9 Metro Bank-Checking Acct #536738347 1,313 . 94 10 Personal property in residence 11000 . 00 11 The Patriot News-refund 15. 34 12 UGI-refund 7 . 50 13 Unclaimed property received .50 . 48 14 Verizon-refund 16 . 19 TOTAL(Also enter on Line 5,Recapitulation) $ 23,252 - 35 If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER KAREN L . MELVIN 21 13 0991 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. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. Hartford Life-Annuity #00711007751 1,436 . 78 100 . 00 11436 .78 benef are Larry J Melvin, Jr - , Laurie M • Gottdiner, and Lisa L . Cramer 2 Hartford Life-Annuity #00711684909 71,518 . 86 100 . 00 71,518 . 86 benef are Larry J Melvin, Jr - , Laurie M . Gottdiner, and Lisa L • Cramer 3 Susquehanna Fin-IRA Acct #464963 244 ,399 . 41 100 . 00 44 ,399 . 41 benef are Larry J Melvin, Jr - , Laurie M . Gottdiner, and Lisa L • Cramer 4 Lincoln National-Non Qual Annuity 110,353 . 18 100 . 00 10,353 . 18 #929722659 benef are Larry J • Melvin, Jr - , Laurie M . Gottdiner, and Lisa L • Cramer r TOTAL (Also enter on Line 7,Recapitulation) $ 427,708 - 23 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(08-13) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER KAREN L . MELVIN 21 13 0991 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 Myers Funeral Home-funeral expenses 11,88? • 00 Laurie Gottdiner-Reimb for flowers for funeral ?6 . 9? Laurie Gottdiner-Reimb for death certificates 48 . 00 Larry Melvin-Reimb for Rolling Green Cemetery exp 1,495 .00 Larry Melvin-Reimb for after funeral meal 515 . 02 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. AttomeyFees: David H Stone, Esquire 20,000 . 00 3, Family Exemption:(If decedents address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: See *14 below 5 Accountant Fees: 6. Tax Return Preparer Fees: 7. Enders Insurance-ins for Oakwood Circle property 494 . 49 2 Goodwille Insurance-ins at Erford Rd property ?4 . 00 3 Enders Insurance-ins for Erford Rd property 501 . 09 4 Goodwille Insurance-ins for Erford Rd property ?4 . 00 5 Enders Insurance-ins for Oakwood Circle property 510 . 9? 6 Stone LaFaver & Shekletski-Reimb for advertising 264 - 54 ? Stone LaFaver & Shekletski-Reimb short cert etc 2? • 22 8 Laurie Gottdiner-Reimb for stamps 10 .00 9 Susquehanna Financial-prep of 2012 income taxes 3?5 .00 10 PA Dept of Transportation-fee to transfer Honda 58 . 50 11 PA American Water-service at Erford Rd prop 3. 95 12 Debit card auto withdrawal 22 .86 TOTAL(Also enter on Line 9,Recapitulation) $ 101,036 - 00 If more space is needed,use additional sheets of paper of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent KAREN L. MELVIN 21 13 0991 Decedent's Name Page 1 File Number Schedule H - Funeral Expenses &Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 13 Check written by decedent but not cleared 1,380 . 62 14 Laurie Gottdiner-Reimb for probate & filing ITR/Inv 713 . 50 15 Laurie Gottdiner-Reimb for stamps and mailings 19 . 40 16 Laurie Gottdiner-Reimb for Penn Waste & PPL 59 . 16 17 Larry Melvin-Reimb for verizon & PAWC sery 346 . 84 18 Larry Melvin-Reimb for entry locks for 835 Erford 95 . 30 19 PA American Water-service at Oakwood prop 33 . 72 20 PA American Water-sery a Erford $15 Oakwood $34 . 51 49 . 51 21 UGI-gas service at property 13 . 24 22 Laurie Gottdiner-Reimb for stamps and gas 20 . 00 23 PA American Water-service at property 34 . 51 24 Hampden Twp-sewer and trash at Oakwood prop 155 . 05 25 PA American Water-service at property 83 .72 26 PA American Water-service at property 34 . 00 27 Hampden Township-sewer and trash at Oakwood 115 . 05 28 PA American Water-service at Oakwood property 34 . 06 29 Steve Johansen-sery for cleaning up Erford Rd 3,795. 00 30 Lezzer Lumber-maintenance at Erford Rd property 1,579 . 40 31 Touch of Color-flooring at Erford Rd property 1,275 . 00 32 Touch of Color-flooring services at Erford Rd prop 2,800 . 00 33 Duke-weedkiller for lawn at property 20 . 00 34 Curtis-lawn maintenance at property 100 . 00 35 Curtis-lawn maintenance at property 25. 00 36 Curtis-lawn maintenance 100 . 00 37 Hampden Twp-real estate taxes on Oakwood prop 1,526 . 70 38 East Pennsboro-real estate taxes on Erford Rd prop 1,016 . 89 39 Michael Largon-real estate taxes for Oakwood prop 453 . 41 40 Cumberland Valley-real estate taxes at Oakwood 520 . 16 41 Michael Largon-real estate taxes for Oakwood prop 1,092 . 31 42 Selling costs ($14040 . 12) less reimb ($1658 . 82) 12,381 . 30 43 Errin Crowell-add ' 1 closing costs on 203 April Dr 11100 . 00 44 Selling costs ($8940 . 14 ) less reimb ($362 . 16) 8,577 . 98 45 PAWC-service at Oakwood Circle property 40 . 37 46 PPL-service at Erford Rd property 4 .14 47 UGI-service at April Dr property 86 .71 48 Hampden Twp-sewer and trash at Oakwood Dr 155 . 05 49 East Pennsboro-sewer and trash at Erford Rd prop 138 . 00 50 PPL-service at Oakwood Circle property 70 . 36 51 PPL-service at Erford Rd property 16 . 43 52 PAWC-service at Oakwood Circle property 34 . 01 53 PAWC-service at Erford Rd property 19 . 37 54 PPL-service at 9 Oakwood Circle property 157 . 91 55 Verizon-service at Oakwood Circle property 3 . 33 SUBTOTAL SCHEDULE H-B7 40,276 - 51 Continuation of REV-1500 Inheritance Tax Return Resident Decedent KAREN L. MELVIN 21 13 0991 Decedent's Name Page 2 File Number Schedule H -Funeral Expenses &Administrative Costs -67. ITEM NUMBER DESCRIPTION AMOUNT 56 PPL-service at Oakwood Circle property 92 . 42 57 PPL-service at Erford Rd property 41 .17 58 UGI-service at Erford Rd property 86 . 77 59 PPL-service at Oakwood Circle property 149 . 98 60 PAWC-service at Oakwood Circle property 67 . 06 61 PAWC-service at Erford Rd property 16 . 49 62 PPL-service at Erford Rd property 16 . 31 63 UGI-service at Erford Rd property 55 . 83 64 Hampden Twp-sewer and trash at Oakwood prop 155. 05 65 East Pennsboro Twp-sewer and trash at Erford prop 138 . 00 66 PAWC-service at Oakwood Circle property 33 . 00 67 PPL-service at Oakwood Circle property 183 . 94 68 PAWC-service at Erford Rd property 31 . 90 69 UGI-service at Erford Rd property 95 . 98 70 PPL-service at Erford Rd property 19 . 89 71 PPL-services rendered at Erford Rd property 3,040 . 94 72 PPL-service at Erford Rd property 22 . 05 73 PAWC-service at Erford Rd property 3 . 87 74 UGI-service at Erford Rd property 108 .17 75 PAWC-service at Erford Rd property 15 . 00 76 PAWC-service at Oakwood Circle property 32 . 97 77 Hampden Twp-sewer and trash at Oakwood prop 155 . 05 78 East Pennsboro Twp-sewer and trash at Erford prop 138 . 00 79 UGI-service at Erford Rd property 71 . 54 80 PAWC-service at April Dr property 33 . 75 81 PAWC-service at Erford Rd property 1 . 91 82 Verizon-service at Oakwood Circle property 56 . 33 83 PAWC-service at Erford Rd property 16 . 49 84 PAWC-service at Oakwood Circle property 34 . 01 85 PAWC-service at Erford Rd property 151 - 00 86 PAWC-service at Oakwood Circle property 33 . 49 87 UGI-service at Erford Rd property 28 . 15 88 PPL-service at Erford Rd property 18 . 25 89 PPL-service at Erford Rd property 18 . 12 90 PPL-electric service at Oakwood property 272 . 29 91 PPL-electric service at Oakwood property 272 . 29 92 PPL-service at prop 411 . 00 93 PPL-service at property 47. 15 94 PPL Electric-service at property 54 .94 95 PPL Electric-service at property 93 . 49 96 PPL Electric-service at property 66 .71 97 Register of Wills-add ' 1 short certificates 10 . 00 98 Selling costs ($16689 . 34 ) less reimb ($759 . 21) 15,930 .13 SUBTOTAL SCHEDULE H-137 22,320 - 88 Continuation of REV-1500 Inheritance Tax Return Resident Decedent KAREN L. MELVIN 21 13 0991 Decedent's Name Page 3 File Number Schedule H - Funeral Expenses &Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 99 Reserve for prep of income tax returns by Susq Fin 11000 . 00 100 Reserve for closing expenses 11000 . 00 SUBTOTAL SCHEDULE H-B7 2,000- 00 REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER KAREN L . MELVIN 21 13 0991 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 1 Secure RX-debt of decedent 122 . 40 2 Cardiology-debt of decedent 11 . 27 3 Laurie Gottdiner-Reimb for QVC expense 49 .11 4 Larry Melvin-Reimb for Internists of Central PA 90 . 00 5 Life Alert Emergency-monitor 29 . 95 TOTAL(Also enter on Line 10,Recapitulation) $ 302 - 73 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: FILE NUMBER: KAREN L . MELVIN 21 13 0991 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. LARRY J MELVIN JR 1/3 of Sch G and Lineal 2121530 . 56 113 BUNKER HILL ROAD 25% residue NEW CUMBERLAND PA 17070- 2 LAURIE M GOTTDINER 1/3 of Sch G and Lineal 212,530 . 57 2113 ORCHARD ROAD 25% residue CAMP HILL PA 17011- 3 LISA L CRAMER 1/3 of Sch G and Lineal 212,530 . 56 307 WIDDERS DRIVE 25% residue MECHANICSBURG PA 17055- 4 CURTIS GOTTDINER 1/6 of 25% of res Lineal 11,660 .19 1401 MAIN STREET MECHANICSBURG PA 17055- 5 TRENT GOTTDINER Sch E 1 and Lineal 24 ,629 . 19 38 MALLARD COURT 1/6 of 25% of res MECHANICSBURG PA 17055- 6 LAUREN MELVIN 1/6 of 25% of res Lineal 111660 . 20 113 BUNKER HILL ROAD NEW CUMBERLAND PA 17070- 7 RACHAEL MELVIN 1/6 of 25% of res Lineal 11,660 .19 113 BUNKER HILL ROAD NEW CUMBERLAND PA 17070- 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 I1 -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. Continuation of REV-1500 Inheritance Tax Return Resident Decedent KAREN L. MELVIN 21 13 0991 Decedent's Name Page 4 File Number Schedule J -Beneficiaries - 1 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).] 8 ZACHARY CRAMER 1/6 of 25% of res Lineal 111660 . 20 307 WIDDERS DRIVE MECHANICSBURG PA 17055- 9 NICHOLAS CRAMER 1/6 of 25% of res. Lineal 11,660 .19 307 WIDDERS DRIVE MECHANICSBURG PA 17055- STONE, LAI' & STONE ATTORNEYS AT LAW' 414 BRIDGE STREET NEW CUMBERLAND. PA 17070 LAST WILL AND TESTAMENT OF KAREN L. MELVIN I, KAREN L. MELVIN, of Hampden Township, Cumberland County, Penn- sylvania, declare this to be my last will and revoke any will previ- ously made by me . ITEM I : I bequeath all of my tangible personalty (not including cash or securities) and insurance thereon to such of my children, LAURIE M. GOTTDINER, LARRY J. MELVIN, JR. , and LISA L. MELVIN, as are living at the time of my death which shall be divided among them by my Executrix with due regard for their personal preferences in as nearly equal shares as practical . ITEM II : I devise and bequeath the residue of my estate of every nature and wherever situate as follows : A. One-quarter thereof to my daughter, LAURIE M. GOTTDINER, or to her issue, per stirpes . B. One-quarter thereof to my son, LARRY J. MELVIN, JR. , or to his issue, per stirpes . C. One-quarter thereto to my daughter, LISA L. MELVIN, or to her issue, per stirpes . D. One-quarter thereto to be divided between my then living grandchildren. ITEM .III : Should any person entitled to a share of MY estate not have attained the age of twenty-five (25) years at the time for Page 1 of 5 t distribution to him or her, I devise and bequeath this share of each such person to my trustee hereinafter named, IN SEPARATE TRUST, to hold, manage, invest and reinvest the share so received, and the accumulation of income thereon, and to use and apply the income or principal, or so much thereof as, in trustee' s discretion, may be necessary or appropriate for the beneficiary' s support and education, (including college education, trade school and graduate school) without regard to his or her parent' s ability to provide for such support or education, or to make payment for these purposes, without further responsibility, to such beneficiary or to such beneficiary' s parents or to any person taking care of such beneficiary. :Any princi- pal or income not so applied shall be distributed to such beneficiary absolutely when he or she attains the age of twenty-five (25) years. If the said beneficiary dies before attaining the age of twenty-five (25) , the trust shall terminate and such share shall be distributed to his or her issue, per stirpes, and in default thereof shall be dis- tributed to my issue, per stirpes . ITEM IV: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. ITEM V: With respect to any trust created for a grandchild of mine under Item III herein, I appoint the parent of such child who is my child the Trustee thereunder; and in default thereof, I appoint my Executrix and her successors Trustee of such trust . ITEM VI : I appoint my Executrix and her, successors guardian of any property which passes, either under this will or otherwise, to a Page 2 of 5 minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this ap- pointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor' s benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor' s support and education (including college education, both graduate and undergraduate) without regard to his or her parent ' s ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor' s parent or to any person taking care of the minor. ITEM VII : I appoint my daughter, LAURIE M. GOTTDINER, Executrix of this my last will . Should my daughter, LAURIE M. GOTTDINER, fail to qualify or cease to act as Executrix, I appoint my son, LARRY J. MELVIN, JR. , and my daughter, LISA L. MELVIN, as Co-Executors of this my last will . ITEM VIII : No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his/her duties in any jurisdiction. IN WITNESS WHEREOF, I, KAREN L. MELVIN, have hereunto set my hand and seal this day of 1996 . KAREN L. MELVIN Page 3 of 5 SIGNED, SEALED, PUBLISHED and DECLARED by KAREN L. MELVIN, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the 0ese ce of a c, other, have subscribed our names as witnesses . -/- , --, &_l I 6 ess Address ,,� 6�A J Witness Address COMMONWEALTH OF PENNSYLVANIA: .SS. COUNTY OF CUMBERLAND I, KAREN L. MELVIN, the Testatrix whose name is signed to the at- tached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. KAREN L. MELVIN Sworn to or affirmed to and acknowledged before me by KAREN L. MELVIN, the Testatrix, this day of 1996 . Ni-3(ARIAl_ SEAL ,;;; Notary Publ c Page 4 of 5 x�.'Ps6f'�',=. rts'n�*£-'�'rJtt��d�' :C,7'A.'-�rc¢C+¢b. �.ru�.ueesA:i N.h'1.�G.das+az9r•HV�'�•rwie,:.s .••.. r:.i:�.-.:v:.-w.,...,.w�:aa+.J.aceae�xarar.sa,w.r=-'' COMMONWEALTH OF PENNSYLVANIA .SS. COUNTY OF CUMBERLAND We, 2LIa and the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of - the Testatrix signed the will .as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence . n—es s Witness Sworn too/ or affirmed to and acknowledged before me by and W7• l witnesses, this day of 1996 . e3P L Notary Public) `G Page 5 of 5 r. t i i v T t 3 '~ A special note from Ms: Karen Melvin cwo F � ' �- I a�� f f'o �c�t. v� H•1 y , Car. Qvie- yo cry r c>-� 1� ' N,c� o �fi ��-� 1. • Wl ��v� n AUM •eo1S iFo , Take Control.We Can Help' www.arthiitis.org 1.800-283.7800 STONE LAFAVER & SHEKLETSKI ATTORNEYS AT LAW 414 BRIDGE STREET DAVID H. STONE POST OFFICE BOX E OF COUNSEL GERALD J. SHEKLETSKI NEw CUMBERLAND.PA 17070 CHARLES H.STONE www.stonelaw.net JON F.LAFAVER TELEPHONE(717)774-7435 May 21, 2014 FACSIMILE (717)774-3869 PA Department of.Revenue. Bureau of Individual Taxes Inheritance Tax Division-Ext PO Box 280601 Harrisburg, PA 17128-0601 RE: Estate of Karen L. Melvin Cumberland County File No. 2113-0991 DOD: September 5, 2013 Social Security No. To Whom It May Concern: I represent the Estate of Karen L. Melvin in which Laurie M. Gottdnier is Executrix. Please be informed that I am requesting an extension of six months on the filing of the Inheritance Tax Return and Inventory for the following reason: The real estate situate at 4 Oakwood Circle, Camp Hill, Cumberland County, Pennsylvania is being considered by a potential buyer. If the negotiations fail, we will put the property on the market in the next month or so. This is after eight months of preparation and selling of two other properties in the decedent's name, the one being sold in September, 2013 and the other taking place next week. Please note that the prepayment of tax was made in the amount of$27,000 on December 4, 2013. We do not anticipate any further inheritance tax being due. Your attention and cooperation to this request is greatly appreciated and should you have any questions, please do not hesitate to contact me. Very truly yours, STONjaFV & SHEKLETSKI David DHS/tmb cc: Laurie M. Gottdnier, Executrix STONE LAFAVER & SHEKLETSKI ATTORNEYS AT LAW 414 BRIDGE STREET DAVID H.STONE POST OFFICE BOX E OF COUNSEL. GERALD J. SHEKLETSKI Nzw CUMBERLAND.PA 1,7070 CHARLES H.STONE www.stonelaw.net JON F.LAFAVER TELEPHONE(717)774-7435 December 3, 2014 FACSIMILE (717)774-3889 PA Department of Revenue Bureau of Individual Taxes Inheritance Tax Division-Ext PO Box 280601 Harrisburg, PA 17128-0601 RE: Estate of Karen L. Melvin Cumberland County File No. 2113-0991 DOD:.September 5,2013 To Whom It May Concern: I represent the Estate of Karen L. Melvin in which Laurie M. Gottdiner is Executrix. Please be informed that I am requesting a second extension of six months on the filing of the Inheritance Tax Return and Inventory for the following reason: The real estate situate at 4 Oakwood Circle, Camp Hill, Cumberland County, Pennsylvania has not been sold at this time. The Executrix has made several improvements to the property for purposes of resale and no perspective buyer has come forth. The house is actively listed for sale with Remax Realty Associates of Camp Hill, Pennsylvania. Please note that the prepayment of tax was made in the amount of$27,000 on December 4, 2013. We do not anticipate any further inheritance tax being due. Your attention and cooperation to this request is greatly appreciated and should you have any questions, please do not hesitate to contact me. Very truly yours, TONE AVER & SHEKLETSKI vid . Ston DHS/tmb cc: Laurie M. Gottdiner, Executrix I( Z:\REMEDWelvin.Karen—203 April Drive { 'rax parcel#:01-22-0531-077 Address:203 April Drive iCamp Hill,PA 17011 DEED THIS INDENTURE made the 161' day of September, in the year 2013, between LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN, late of Hampden Township, County of Cumberland, and Commonwealth of Pennsylvania, of the first part, hereinafter called the Grantor, - AND - ERRIN W. CROWELL and KATHRYN R. CROWELL, husband and wife, of the second part, hereinafter called the Grantees; WHEREAS, the said KAREN L. MELVIN became in her lifetime seised, as of fee, of and in a certain tract of land, together with the improvements thereon erected, situate in the Borough of Camp Hill, County of Cumberland, and Commonwealth of Pennsylvania, and more particularly described hereinafter; and being so thereof seised, died on September 5, 2013, having first made her Last Will and Testament in writing dated February 7, 1996, duly probated and registered in the Office of the Register of Wills of Cumberland County on September 16, 2013, wherein and whereby she appointed as Executrix, the said Laurie M. Gottdiner, to whom Letters Testamentary were duly issued by said Register of Wills on September 16, 2013, wherein and whereby said premises hereinafter described were not specifically devised, all as in and by said Will and the records of said Register of Wills, recourse thereunto being had, appears: NOW THIS INDENTURE WITNESSETH, that the said Grantor, for and in consideration of the sum of ONE HUNDRED TWENTY-FOUR THOUSAND and NO1100--------($124,000.00)--------Dollars, which has been paid to they by the said Grantees at or before the sealing and delivery hereof, receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened, released and confirmed, and by these presents does grant, bargain, sell, alien, release and confirm unto the said Grantees, ALL THAT CERTAIN piece or parcel of land, with the buildings and improvements thereon erected, situate in the Borough of Camp Hill, County of Cumberland, Commonwealth of Pennsylvania, bounded and described in accordance with a survey and plan thereof made by William B. Whitlock, Professional Engineer, dated February 15, 1960, as follows: BEGINNING at a point on the northeasterly side of April Drive 89.26 feet southeasterly of the corner of April Drive and March Drive and said point being also at the division lines of Lots Nos. 123 and 124; thence North 65° 35' East along said division line 128.05 feet to a point at the division line of Lots Nos. 124 and 125; thence South 30° 56; East along said division line 46.50 feet to a point at the division line of Lots Nos. 124 and 213; thence South 35° 22' West along said division line 103.89 feet to a point of a curve on the northeasterly side of April Drive; thence northwardly in an arc to the right with a radius of 252.53 feet, a distance of 107.60 feet to a point, the place of BEGINNING. "1` IT BEING Lot No. 124, Block "I"', Plan of Trindle Village, Section No. 3, said plan is Irecorded in Plan Book 10, Page 54, 55 and 56, Cumberland County Records. HAVING THEREON ERECTED a one-story brick and frame dwelling known as No. 203 April Drive, Camp Hill, Pennsylvania. I . BEING the same premises which Royce L. Worthington and Joan M. Worthington, his wife, by Deed dated October 15, 1987, and recorded November 5, 1987, in the Office of the Recorder of Deeds of Cumberland County in Deed Book 33, Volume "A", Page 579, granted and conveyed unto Larry J. Melvin and Karen L. Melvin, his wife. Larry J. Melvin died on April 24, 1988 , thus by operation of law vesting title in Karen L. Melvin, deceased. i TOGETHER with all and singular the buildings, improvements, ways, streets, alleys, passages, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever, thereunto belonging or in any wise appertaining and the reversions and remainders, rents, issues and profits thereof,'and all the estate, right, title, interest, property, claim and demand whatsoever of her, the said KAREN L. MELVIN, at and immediately before the time of her decease, in law, equity, or otherwise howsoever, of, in, to or out of the same. TO HAVE AND TO HOLD the said lot or piece of ground above described, with the buildings and improvements thereon erected, hereditaments and premises hereby granted or mentioned, and intended so to be, with the appurtenances unto the said Grantees, to and for the only proper use and behoof of the said Grantees, forever. AND the said Grantor, for herself and her respective heirs, executors and administrators, does covenant, promise and agree to and with the said Grantees, their heirs and assigns, that they, the said Grantor, has not heretofore done or committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged, or encumbered in title, charge, estate or otherwise howsoever. IN WITNESS WHEREOF, the said Grantor has hereunto set her hand and seal the day and year first abo a written. Signed, Seale , a d livered t res ce f 4210^ ''Lc.0 I�� (SEAL) W� LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN -2 " I COMMONWEALTH OF PENNSYLVANIA : SS: COUNTY OF On this, the day of , 2013, before me a Notary Public, the undersigned officer, personally a peared LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN, known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereto set my hand and notarial seal. Notary COMMONWEALTH OF PENNSYLVANIA Public NOTARIAL SEAL JENNIFER A. MEARKLE, Notary Public New Cumberland Boro.Cumberland Co. My Commission Expires July 7, 2016 I hereby certify that the precise address of the Grantees is DATE: Attorney for _3' I LIMITED POWER OF ATTORNEY ` I KNOW ALL MEN BY THESE PRESENTS, that 1, LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN, do hereby constitute, make, and appoint STEPHEN R. JOHANSEN, JR., as my true and lawful attorney-in-fact, for me, and I in my name, place, and stead, to do and perform every act and thing which my said attorney-in-fact may deem necessary or proper, in his sole discretion, to sell and dispose of the real estate located at 203 April Drive,Borough of Camp Hill,Cumberland County,Pennsylvania, including but not limited to the execution, acknowledgment, and delivery of sales contracts, deeds, affidavits, settlement sheets, and any and all documents of any kind which may be required by any party to a transaction in order to sell and dispose of the aforesaid property. This power of attorney shall not be affected by the disability of the undersigned. IN WITNESS WHEREOF, we have hereunto set our hands and seals this 13`h day of September, 2013. -Ak {SEAL} URIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND On this, the 1 day of�Ofj- , 2013, before me a Notary Public, the undersigned officer, personally appeared LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN, known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, and acknowledged that she executed , the same for the purposes therein contained. IN WITNESS WHEREOF,I have hereunto set my hand and official seal the day and year first above written. t Notary Public 'COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL F NIFER A, MEARKLE, Notary Public Cumberland Boro.Cumberland Co.Commission Expires July 7, 2016 I Z:\RE\DED\Melvin.Karen to Langan.Devin-4 Oakwood CH. Tax Parcel#:10-21-0277-255 Address:4 Oakwood CO. Camp Hill,Pa 17011 DEED THIS INDENTURE made the 4' tO-day of, ��'L� , in the year 2015, between LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN, late of the Township of Hampden, County of Cumberland, and Commonwealth of Pennsylvania,of the first part,hereinafter called the Grantor, -AND- DEVIN Q. LANGAN, of the second part,hereinafter called the Grantee; WHEREAS, the said KAREN L. MELVIN became in her lifetime seised, as of fee, of and in a certain tract of land, together with the improvements thereon erected, situate in 4 Oakwood Circle, County of Cumberland, and Commonwealth of Pennsylvania, and more particularly described hereinafter; and being so thereof seised, died on September 5, 2013, having first made her Lash Will and Testament in writing dated February 7, 1996, duly probated and registered in the Office of the Register of Wills of Cumberland County on September 16, 2013,wherein and whereby she appointed as Executrix, the said LAURIE M. GOTTDINER, to whom Letters Testamentary were duly issued by said Register of Wills on September 5, 2013, wherein and whereby said premises hereinafter described were not specifically devised, all as in and by said Will and the records of said Register of Wills, recourse thereunto being had, appears: NOW THIS .INDENTURE WITNESSETH, that the said Grantor, for and in consideration of the'sum• of ONE HUNDRED FIFTY SEVEN THOUSAND AND 00/100 ($157,000.00) Dollars, which has been paid to they by the said Grantee at or before the sealing and delivery hereof, receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened, released and confirmed, and by these presents does grant, bargain, sell, alien, release and confirm unto the said Grantees, ALL THAT CERTAIN piece or parcel of land situate in the Township of Hampden, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point on the northerly line of Park Circle, said point being the dividing line between Lots Nos. 16 and 17 on the hereinafter mentioned Plan of Lots; THENCE along said dividing line North sixteen(16) degrees twenty-four(24)minutes East, a distance of one hundred twenty-three and twenty-four hundredths (123.24) feet to Lot No. 11 on said Plan; THENCE North seventy-two (72) degrees fifty-two (52) minutes East along said Lot No. 11, a distance of sixty-five (65) feet to Plan of Oakwood Park; THENCE southwardly along Plan of Oakwood Park, a distance of one hundred twenty-five and twenty-nine hundredths (125.29) feet to Lot No. 18 on said Plan; THENCE along said Lot No. 18, South sixty-seven (67) degrees twenty-seven(27) minutes twenty-eight (28) seconds West, a distance of one hundred thirteen and sixty-four hundredths (113.64) feet to Park Circle aforesaid; THENCE Vlv northwestwardly along Park Circle on a curve to the left having a radius of forty-five(45) feet, an arc distance of forty and one tenth(40.1) feet to Lot'No. 16,the place of BEGINNING. BEING Lot No. 17 in the Plan of Addition No. 1 to Oakwood Park, recorded in Plan Book 10,Page 11, Cumberland County Records. HAVING THEREON ERECTED a one story brick dwelling known as No. 4 Oakwood Circle. BEING the same premises which Jack C. Beitzel and Carol A. Beitzel, his wife by Deed dated July 11, 1969 and recorded July 11, 1969, in the Office of the Recorder of Deeds of Cumberland County in Deed Book H23, Page 372, granted and conveyed unto Lary J. Melvin and Karen L. Melvin. Lang J. Melvin died on April 24, 1988, thus by operation of law vesting title in Karen L.Melvin,deceased. TOGETHER with all and.singular the buildings, improvements, ways, streets, alleys, passages, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever, thereunto belonging or in any wise appertaining and the reversions and remainders, rents, issues and profits thereof, and' all the estate, right, title, interest, property, claim and demand whatsoever of her, the said KAREN L. MELVIN, at and immediately before the time of her decease,in law,equity, or otherwise howsoever,of, in,to or out of the same. TO HAVE AND TO HOLD the said lot or piece of ground above described, with the buildings and improvements thereon erected, hereditaments and premises hereby granted or mentioned, and intended so to be, with the appurtenances unto the said Grantee, to and for the only proper use and behoof of the said Grantee, forever. AND the said Grantor, for herself and her respective heirs, executors and administrators, does covenant, promise and agree to and with the said Grantee, his heirs and assigns, that she, the said Grantor, has not heretofore done or committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged,or encumbered in title, charge, estate or otherwise howsoever. IN WITNESS WHEREOF, the said Grantor has hereunto set her hand and seal the day and year first above written. Signed, Sealed, and Delivered in the Presence of /9. J� (SEAL) Witness : LAURIE M.GOTTDINER,Executrix of the Last Will and Testament of KAREN L.MELVIN 2- COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF On this, the day of `carz`� , 2015, before me a Notary Public, the undersigned officer, personally appeared LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN' known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereto set my hand and notarial seal. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SF1U. Notary Public CAROL L.TROXELL, Notary Public New Cumberland F3oro.Cumberland Co. My CommissionExpires Dec.27, 2017' I hereby certify that the' precise address of the Grantees is: DATE: Attorne0for y3v zust. 4 201*11011 ' eaoc z of * CERTIFIED PROPERTY IDENTIFICATION 14MMFRS 09-17-1044-035 EAST PEWNsBOR0 CCGIS REGISTRY 05/28/2014 BY TB` c*ZemEoxwm.uxart-n-ooemmduuad Tax Parcel wmo /wow-035 Address:mms,m, Road Camp Hill,n^/m// DEED, THISINDENTURE made the day in the year 2014, between LAURIE,M. GOTTDINER, Executrix of the Last Will and TestYmentof KAREN L MELVIN, late ofHampden Township, County n[Cumberland, and Cumnnnonvvuakh of Pennsylvania, of the Ont part, hereinafter called the Grantor, -AND- NADiA M/\DlNl, of the second pad, hereinafter called the Grantee; WHEREAS, the said KAREN L. MELV[M became in her U{edmu seised, as of fee, of and in a certain tract of land, together with the improvements thereon erected, situate in East Pcnnobono Township, County of Cumberland, and Cn,noxonweobb of pennsvlvuniu, and more pooiou|udy described hereinafter; and being so thereof seised; died on September 5, 2013, having first made her Last Will and Testament inwriting dated February 7^ \996,duly probated and n:giu1crcd in the Office ofthe Register n{Wills ofCumberland County nu September 18, 2013, wherein and whereby she appointed um Executrix, the said Laurie M. Gottdincr, to whom Letters Testamentary were duly issued by said Register of VYi||s on September 16, 2013, wherein and whereby said premises hereinafter described were not opcuiOc4||y devised, all as in and by said Will and the records of said FlmQ|mter of Wi\|n, recourse thereunto being had, ' appears: NOW THIS INDENTURE WITNESSETH, that the said Grantor, for and in consideration of the sum of EIGHTY-NINE TB{)DS&NQ NINE HUNDRED and N[)/{O0--------($89,9OO.00)--------Dollars, which has been paid to they hythe said Grantee utor before the sealing and delivery hereof, receipt whereof is hereby uukouvv(edgcd, has granted, bargained, oo|d, aliened, re}uuocd and confirmed, and hythese presents does grunt, bargain, yc||, alien, release and confirm unto the said Grantee, ALL THAT CERTAIN piece or parcel of land situate in the Township of East Ponnobuom` Cumberland County, Pennsylvania, more particularly bounded and described as Oo||ovvm, to wit: BEGINNING at a point on the northeastern line ofErford Road at the )inc dividing Lots 9X and 10 on the hereinafter mentioned Plan of Lots; thence along said dividing line North forty-three /43\ degrees ten (|U) minutes Bust one hundred thirty-five (135) feet to, a point u1the line o[ |OX; thence along same South Fifteen (|5) degrees thirty (30) minutes West one hundred thirty-five (|35) feet Luthe northern line ofBrford Ruud; thence Westwardly along the same by an arc curving to the right having u radius of one hundred ihirty'Five (/35) feet sixty'Dvcand nineteen hundredths/d5.|A\ feet tnthe point o[BEGINNING. BEING Lot No. \O, B|k. 'L. on Plan No. \W of Ridley Park as recorded in the Cumberland County Recorder's Off-ice in Plan Book 2|, Yu8u 97. -l~ Inst. # 201411011 - Page 2 of 4 HAVING THEREON ERECTED a dwelling house numbered 835 Erford Road. BEING the same premises which Larry J. Melvin, Jr. and Karen L. Melvin, as joint tenants with right of survivorship, and not as tenants in common, by Deed dated June 22,.1993, and recorded July 15, 1993, in the Office of the Recorder of Deeds of Cumberland County in Deed Book 36, Volume"K",Page 136, granted and conveyed unto Karen L. Melvin,deceased. UNDER AND SUBJECT, NEVERTHELESS, to easements, conditions and restrictions of prior record pertaining to said premises. TOGETHER with all and singular the buildings, improvements, ways, streets, alleys, passages, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever,thereunto belonging or in any wise appertaining and the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever of her, the said KAREN L. MELVIN, at and immediately before the time of her decease, in law, equity, or otherwise howsoever, of, in, to or out of the same. TO HAVE AND TO HOLD the said lot or piece of ground above described, with the buildings and improvements thereon erected, hereditaments and premises hereby granted or mentioned, and intended so to be, with the appurtenances unto the said Grantee, to and for the only proper use and behoof of the said Grantee, forever. AND the said Grantor, for herself and her respective heirs, executors and administrators, does covenant, promise and agree to and with the said Grantee, her heirs and assigns, that they, the said Grantor, has not heretofore done or committed any act, matter or thing whatsoever whereby the premises hereby granted,or any part thereof, is,are, shall or may be impeached, chaiged, or encumbered in title,charge, estate or otherwise howsoever. IN WITNESS WHEREOF, the said Grantor has hereunto set her hand and seal the day and year first above written. Signed, Sealed, and Delivered in the Presence of )PY (SEAL) Witness LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN '2- Inst. # 201411011 - Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF C�`�v,k;�Ls���`�� On this, theday of2014, before me a Notary Public, the undersigned officer, personally appelired LAURIE M. GOTTDINER, Executrix of the Last Will and Testament of KAREN L. MELVIN, known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereto set my hand and notarial seal. Y� r-A-4 .1 N r P b 'c COMMONWpALTH OF PENNSYLVANIA NOTARIAL SEAL JOLENE M.GEORGE,^'otary Public Hampden Twp.,Cumbea_ind County M' Commission Expires March 1212015 I hereby certify that tpre c a address of the Grantee is �d35 r��cu 6�1c.� acrno f�c tl P� 1401 i DATE: 15,-)L t or V3" rOMISSOry Note Installment Payments with Interest Name of Borrower 1: _ 00 ivcJ _� am - e of Borrower 2: l I ;O_A V tvaaa_� G Name of Lender: 1h UA= r 1. For value received, Borrower promises to pay to Lender the amount of S --on at he rate otl1/ %per year rom he date this note was signed until the date it is: japaid in full(Borrower will receive credits for prepayments, reducing the total amount of interest to lie repaid). vl,m due or paid in full, whichever date occurs last(Borrower will not receive credits for prepayments). t 2. Borrower agrees that this note will be paid in installments, which include principal and laver f not less than rnonthdue on the l per , day of each month, unfit the principal and interest are paid in full. 3. If any installment payment due under this note is not received by Lender within _ !� days of its due date, the entire a nount of unpaid principal will become immediately due and payable at the option of Lender without prior notice to Borrower. d. if Lender prevails in a lawsuit to collect on this note, Borrower agrees to pay Lender's attorney fees in an amount the court finds to be just and reasonable. The terra &>rrower re%r•s• to One or•more borrowert�. Ijthere is snore than one .borrower; they agree to he jointly one/ cower aUy liable. The term Lender re rs to unv person who legally holds this note, including a bt1!.ver in chre course. B( ower i'ssigna re Borrowet Date rate Prin ya1ne Print nan- City&c(,),frfy where signed City&el'-_ Address ) 7O 7 r Address I F293 Promissory Note 1 1.09 Olwolo www.nofo.com 2006 Honda CR-V EX Sport Utility 4D Trade In Values - Kelley Blue Book Page 1 of 2 ZIP CODE:17070 I Sign in for Sign up) ' Home I Car Values ( Cars for Sale I Car Reviews I Awards b Top 10s I Research Toots Popular at KBB.conn 10 Best Midsize SUVs , h, Ch1EVR0 I Advertisement Why ads? 2006 v Go�} Home>Car Values> Honda> CR-V> 2006>'Style> Options>EX Sport Utility 4D I Honda �_-_�__Q,_,__Nv0 ri Your Blue BookO Value Show Used Car Prices I Price Your Next Car 3 2006 Honda CR-V Style: EX Sport Utility 4D v ._ '- Edit options Check specs j i l Mileage: 58002 Cnange Uw-Tti" j 2015 CHEVROLET EQUINOX Let SIRI do the taxiing so you can do the driving.SIRI Trade In Get an Instant 1 Sell to a I eyes-free*technology keeps your hands on the wheel to a Dealer I Cash Offer t Private Party Print report and eyes on the road. Build&Price Reouest A Quote Locate A Dealer Price a New Car hon ( Then browse reviews,photos, l Advertisement why ads? CodiFair $12'969 v 000d I specs and more. I en on { cO1aO° conati See what you should pay Fai>lhler t. r -condition lr'!J Honda Sell - ! Sell Your Current Car Reach millions of buyers on { f V., KBB.com and AutoTrader.com -""_,• 11 i Place an ad Good Condition Private Party Values valid for your area through ' Ajdvertisement Why ads? 11/20/2014 I _ Track this car's values EXPERIENCE THE NEW BUICK Tell Us About This Car _.m ._.,_. . .... � Owners like you rated the 2006 CR-V 8.9 out of Write your own review . 2014 BUICK ENCORE 10. _._..___..._ .... o% FaR 60 PtuS $500 Nit ,��•=oa. '�9%AII/ED BIf(°R'. I :O:AL M;7r�N1Cr' Next Steps to Selling Your Car Powered by Get an Instant Cash AutoStart your offer +--���6a Offer ?}aderr Find dealers ready to buy or trade in your car-today! ' i Benchmark Local Prices See listings 41 _ See what dealers and private sellers In ' ,. . BEST BUYS Irea are as ng Tor your car. "for 2015'-(1 , Recently Viewed Cars I My Saved Cars Save car I , http://www.kbb.com/honda/cr-v/2006-honda-er-v/ex-sport-utility-4d/?condition=good&v... 11/20/2014 Kelley Blue Book Page 1 of 2 Kelley Blue Book The Trusted Resource" 1 t?. Advertisement Why ads? Sell To Private Party 2006 Honda CR-V Pricing Report Style:EX Sport Unity 4D A l Mileage:58,002 r Vehicle Highlights-+.��~_---.__......---�- ^�___...__._..�_-�,_..__.. . Fuel Economy: Max Seating:5 City 20/Hwy 25/Comb 22 MPG Private Party Values valid for your area through Doors:4 Engine:4-Cyl,VTEC,2.4 Liter 11/20/2014 Drivetrain:4WD Transmission:Automatic EPA Class:Sport Utility Vehicles Body Style:Sport Utility Country of Origin:Japan Country of Assembly:Japan Your Configured Options Our pre-selected options,based on typical equipment for this car. Options that you added while configuring this car. Engine 4-Cyl,VTEC;2.4 Liter Transmission Automatic Drivetrain 4WD Braking and Traction Traction Control Stability Control ABS(4-Wheel) Comfort and Convenience Air Conditioning Power Windows Power Door Locks Cruise Control Steering Power Steering Tilt Wheel Entertainment and instrumentation AM/FM Stereo Cassette CD(Multi Disc) Safety and Security Dual Air Bags Side Air Bags Roof and Glass Moon Roof Privacy Glass Wheels and Tires Alloy Wheels http://www.kbb.com/honda/cr-v/2006-honda-cr-v/ex-sport-utility-4d/?condition=good&v... 11/20/2014 Kelley Blue Book Page 2 of 2 Glossary of Terms Tip: Kelley Blue Book®Trade-in Value-This is the amount you can expect to receive when you trade In your car to a dealer.This value Is determined based on the style,condition,mileage and options It's crucial to know your car's indicated• true condition when you sell it, Trade-In Range-The Trade-In Range Is Kelley Blue Book's estimate of what you nso that you can price it n reasonably expect appropriately.Consider having to receive this week based on the style,condition,mileage and options of your vehicle when you trade it In to a dealer.However,every dealer Is different and values are not guaranteed. your mechanic give you an objective report. Kelley Blue Book®Private Party Value-This is the starting point for negotiation of a used-car sale between a private buyer and seller.This is an"as Is"value that does not include any warranties.The final price depends on the car's actual condition and local market factors. Private Party Range-The Private Party Range is Kelley Blue Book's estimate of what you can reasonably expect to receive this week for a vehicle with stated mileage In the selected condition and configured with your selected options,excluding taxes,title and fees when selling to a private party. Excellent Condition-3%of all cars we value.This car looks new and is in excellent mechanical condition.It has never had paint or bodywork and has an Interior and body free of wear and visible defects.The car is rust-free and does not need reconditioning.Its clean engine compartment Is free of Fluid leaks.It also has a clean title history,has complete and verifiable service records and will pass safety and smog inspection. Very Good Condition-23%of all cars we value.This car has minor wear or visible defects on the body and Interior but Is in excellent mechanical condition,requiring only minimal reconditioning.It has little to no paint and bodywork and is free of rust.Its dean engine compartment Is free of fluid leaks.The tires match and have 75%or more of tread.It also has a clean title history,with most service records available,and will pass safety and smog Inspection. Good Condition-54%of all cars we value.This car is free of major mechanical problems but may need some reconditioning.Its paint and bodywork may require minor touch-ups,with repairable cosmetic defects,and Its engine compartment may have minor leaks.There are minor body scratches or dings and mirror Interior blemishes,but no rust.The tires match and have 50%or more of tread.It also has a dean title history,with some service records available,and will pass safety and smog Inspection. Fair Condition-18%of all cars we value.This car has some mechanical or cosmetic defects and needs servicing,but is still In safe running condition and has a dean title history.The paint,body and/or interior may need professional servidng.The tires may need replacing and there may be some repairable rust damage. p 19952014 Kelley Blue Book Co.',Inc.All rights reserved. 1�2014 Kelley Blue Book Co.,Inc.All rights reserved.11/14/2014.11/20/2014 Edition for Pennsylvania 17070.The specific information required to determine the value for this particular vehicle was supplied by the person generating this report.Vehicle valuations are opinions and may vary from vehicle to vehicle.Actual valuations will vary based upon market conditions,specifications,vehicle condition' or other particular circumstances pertinent to this particular vehicle or the transaction or the parties to the transaction.This report is Intended for the individual use of the person generating this report only and shall not be sold or transmitted to another party.Kelley Blue Book assumes no responsibility for errors or omissions.(v.14112) http://www.kbb.com/honda/cr-v/2006-honda-er-v/ex-sport-utility-4d/?condition=good&v... 11/20/2014 A MEMBERS 111 FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 475141-00 Date Account Established 08/27/2012 Principal Balance at Date of Death $48.63 Accrued Interest to Date of Death $0,00 Total Principal and Accrued Interest $48.63 Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 475141-11 Date Account Established 08/27/2012 Principal Balance at Date of Death $5,251.49 Accrued Interest to Date of Death $0.03 Total Principal and Accrued Interest $5,251.52 Name of Joint Owner None MEMBERS 1$ T FEDERAL CREDIT UNION Tessa L Klugh 47 Lending Insurance Support Specialist September 25, 2013 Estate of: KAREN L MELVIN Date of Death: 09/05/2013 Social Security Number: 209-30-2044 5000 Louise Drive P.O. Box 40 Mechanicsburg,Pennsylvania 17055 (800) 283-2328 www.memberslst.org METRO BANK 3801 Paxton Street 888.937.0004 Harrisburg, PA 17111 mymetrobank.com 9/30/13 David H. Stone, Esquire Law Offices of Stone LaFaver& Shekletski 414 Bridge St. P.O. Box E New Cumberland, PA 17070 RE: Estate of: Karen L. Melvin Tax Identification Number: Date of Death: September 5, 2013 To Whom It May Concern: This letter is in reference to decedent account information you requested for the individual listed above. We are able to provide the following: Account Type: CK Account Number: 536738347 Date Opened: 07/16/2004 Date Closed: 09/25/2013 Primary Owner: Karen L. Melvin Date of Death Balance: $ 1,313.94 Please feel free to contact us at 1-888-937-0004 if we may be of further assistance. Sincerely, JenniferJacobs Research Associate Metro Bank Holdings by Investor Karen L Melvin Edward P Gormley CPA,CFP® Combined Account Portfolio 4 Oakwood Cir Susquehanna Financial Advisors Date: 09/05/2013 Camp Hill,PA 17011 LLC Created:09/13/2013 ST SGLLW 4999 101 DRIVE l� F»mancialAdvismuc SUITE 101 MECHANICSBURG,PA 17055 717-506-2100 Karen L Melvin Acct Name:KAREN L MELVIN 4 OAKWOOD CIR CAMP HILL PA 170114135 US CAMP HILL PA 170114135 US Acct No:929722659 Acct Type:Non-Qualified Rep. No:934238 AasetNams " . '. cker* s Assam' _ }; :MgN m ., QustttiP t {$ "Yalu S LVIPMANAGEDRISKPROF.iLEx�'r;� , �� ,� GROWTH SV GL= + T�7: t +`� ryt�' �ijfNON-CLASSIFED� x LINCOLNti+ ' 10182 }'10 841x" �jftl 35351 . r . .,�. s�� _ � F ;h,�ra3iti �`NATIz �Fez� � ' 3v,tsr„a Account Total: $110,353.18 Acct Name:KAREN L MELVIN 4 OAKWOOD CIRCLE CAMP HILL, PA 17011 y Acct No:00711007751 Acct Type:Private Annuity Rep.No:ABK3795 P1, a , r VaYiue".{ AMR BWTU CHIP IN�COME'AA 13 j" y x: 7 US STOCKS. NR,-L A rFORi}'; ,*± "X11892 y y ; 1L k x # x <r151 8 w,..ti.::►',w'�yl� 'GJw�i �'.Flr H+ �� � iE:'✓f'4f,�:i+'?NLa+rrJh".E<,,.f''u�.Y`.....Sr'�'1.•" AMR GL08AL SMALLt t t NOW. 9 US STOCKS# HARTFORD w' `: 4 57tr 16 31 " r -4-74'444& CAPITALIZATION {d} LIFE }t LZ fi t at AMR GROWTH :;�" ? NI Zr y7! �� n Mq r4 t s. 7MA+RtFh �� cl =3 tr.AF." aM w_44 tW^, .. 1' , ME, H US'STOCKS� HARTFORD. y yX139!'k' t�,��,1',11 51a`�' �'.', z160.'f, ,AMRGROWtT INC01.1_ � , `�;.5�� US,STOCKS'-O �,�"� HARTFORDStrijx; a "LIFE 93W 7 4 r r '�} `� t, Rs r7 so.�h A".T''r��J a. �� j • AMR WTERNA11ON r "�Ell AL , {t NON USS OCK , LIF HARTFORI7xA*�'9 38'., - i2 2E># 114 38� FIXED ACC 3%MINIMUM;ir a° "+ OTHER"T 's HARTFORt9.c�"..,M f'. 249 22`l ey „ 1 00 + u k r 249 22i ri�.i+afwpr 4FR �. 2.. ` � _ FRANKLIN STRATEGIC INCOME ' " ' BfJNDS�+ �r }}+, 1"HARTFORD 3 k e i'r 11 OSt: psi`19 23 212 5� SECURITIES�';7a Yt `'' w17 3 �a°S.ax*+,. f LIFE:." J'1•�+ ,t"p+ 'px�':�' tf y � ..� ,v rr.w.+L.r * e av�hel 4?a it MFS VALUE SERIES', t `{' US.STQGKS ¢' HARTFORI?Y 8.10 20 63s 167.19. MK3ECARSUR T1N � � t4ONS.rO L FEt��stt ' '� 4isa` 4�:1 TEMPLETON FOREIGN SECURITIES, NON-US STOCKS'' HARTFORD 7.98 13.42,, 108:781 FUNDI LIFE Account Total: $1,436.78 Incomplete if presented without accompanying disclosure pages Page 1 of 4 Holdings by investor Karen L Melvin Edward P Gormley CPA,CFP® Combined Account Portfolio 4 Oakwood Cir Susquehanna Financial Advisors Date: 09/05/2013 TT� Camp Hill,PA 17011 LLC Created:09/13/2013 11SUSG IZU SUIT4999 101 DRIVE FLtU2ncitlit r4duiSanuc MECH 101 MECHANICSBURG,PA 17055 717-506-2100 Acct Name:KAREN L MELVIN 4 OAKWOOD CIRCLE CAMP HILL, PA 17011 Acct No:00711684909 Acct Type:Private Annuity Rep.No:ABK3795 As1Nt.Netn -.+r- a C..r..•'°" •s !'� Tl�cke � -set. ,.. M ;Nams..t�« ��� Ifs t[� � ',P(�Cs x 5' 'Y$U ( AMR'BLUE CHIP,INCOME US STOCKS N i4t i HARTFORD'Sllrx 6 417:84'r GRGti.=..*a..,�i.r.oLw-r`t...F'F..Jr�.(.o++*iL..i,•c..:+t.'Ca-..:"w#,rr+eaw!L.e��f'�.'w��r.'.snr��v°*Rsa,,A".'-�'f,s'C4`'�.;�4�'�at<'y{+I��';>...r'�,Ier w;.#:'a'C1�i 7t•r3 f'.-•1.wF-•'+t v�`<aL. wr:y�s•••+w.'iar.'.,>,45,.i(,hw,;`Y. t i+TrY�X r r9ri �x. 2.•,a�2•tl'.x.u1L:e`.+ar, 7t 806 7'. 6 IFE;`, S. w2 296 53AMFrGLOBAL SMALL OrD ' ':. CAPITALIZATIONj, f at x t•y i" ,r « r LIFE �tk r z w x.r` cctl',t n Ori c`*xa w r AMF2 GROVVM, fi i- °' :�� 'U.S ST,,,��C},�CK.S ,'�+r* kHAR F-�ORD�j, " 89421 1 s� 4 7 637 3 r xs^X "k t «t±t1 ?I.�•ti:`i�t:+ANiIw r1a .:ac,..,,? y c►'+a:,,tt AMR GROVVTH=INCOME; LIFE US STOCKS HARTFORD +. 520:22,n ; +1493 ++ 7,766.911 t �r.t+� .4 { `s-}�+. ` � �.• �,!ns ' AMR INTERN/1TIONAL y;; t, k�* x,NON US STOCKS;�WAR1 FORD: f 464 98 ,L,10 8�2t �+ ,» . � «+rt Esq err, w " cz 1 t 939 77' •••_ ''• -'�'`. ;'1..«i #; :t4•+`x'Y {. t K:Y.q,,r rite; .• r a a gi F 'r >• i «.-. ■ si + '' .,, r6 r-+'� w c.!a,• i.. F I x r a 5 ..Ix..+..--.^P3•r:t>ry:r !aT:+.s.x.., �.w'`x..s5e...cfi+.; �r..Yti.-�n...04Y�I.R'�.•�53� 3we..i �:1:( FRANKLIN STRATEGIC INCOME_ BONDS,"z* �:HARTFORD�,' -'1'422461'. F 1844 �� x 26 223.38,1 SECURITIES , •` LIFE: MFS Vi4CU6 SERIES=i+ � US STOCK'S"_- ' 'IiAftTFORD�"' �",` ,402 59?} i�rr1yyh. 19 X1 + '' 7 933 7 .�rx,-� •h get '' ! r u ,M„L t o,pN i LIFE,' 3•rl,tirisr«.. :c��}�tb.a�». .M v.�ar; �r..,�ttfc .».,.�"�.a�ij�f��:'>�.�•i,.r�c.:t��a.+F:,... TEMPLETON DEVELOPING : ,_ , , NON=US STOCKS"* HARTFORD`.4` 94.28Y s ` 18 98 1,790:23.` MARKETS SECURITIES,, .-. LIFE atL�K ° .� r • w t ti.l G" i_ * �s+"; TEMPLETON FOREIGMSECURITIES'_141 ,141rA NON`-US STOCKS,-, NART ORD 'x 400 87. � t#12 T&��; 5124 0 FUNgs% # 4 i e fk�� yt 6h x r� LIF 4 x a f tics t�i xt. X r f?y� i x ..;u-.n +dav: •+ 3:'f t-, .�•t'i.�.e:::i - ! ..r iYK =��� �lSwi««fiw- '�+;.: teN•t ks.c:L;.'`f '_SaiP axgar.a`�x.k :.:`0!'+« faF': 6)'C�n`r Account Total: $71,518.86 Acct Name:KAREN L MELVIN KAREN L MELVIN IRA 4 OAKWOOD CIR CAMP HILL PA 17011-4135 Acct No:464963 Acct Type:Individual Retirement Account Rep.No:11972 Assyri.Nam ti .;, ' _ f . ;Tickse^.; f AssstT •• , , Mgt Nam -qusnti PHes(S+�RvrV�(w SEI►NST.MANAGED LARGE CAP-' TRMVX US STOCKS,x } `.'SEt ASSET r; Ga 2 400.561 R t,0 21 70y3 � ;x.52,092 VALUE FUND .. n ..>+ ' .. , t.xu , sc :n *, -. " s MANAGEMENT• r {g .r 'rr �r r .M ,. PROGRAMS}-'". `°rr'"'i r� k..r..r..c:.�r�w - � .3a. � »...-... -moi-+ ....k•;.ifi:�w.•,.•-x�'i�"',d_#.»�- M.�It..r�. .-t..rv..+,...s SEI INSTITUTIONALLY.MANAGED`%. TRLVX" BONDS` SEI ASSET'''-`` 4,033:15 ; 11.02. 44,445.26 CORE FIXED INCOME FUND MANAGEMENT";' PROGRAMS" _ H GH INSTITUTIONALLY. IE p BONG FUMA AGED "SITYAX BONOS"3+s 'SEtABSET�" I d saw 948 5 1,•It 77163,V.' i,7,237A8 ^ 3 f t MANAGEMENTS 3� # + .d tyr Z v M"° 'PROGRAMS z' ' 'w' 's �w r..�,il, SEI INSTITUTIONALLY MANAGED: SESVX US STOCKS SEI ASSET:'" 370.71' 22.40: 8,304.22 SMALL—CAP VALUE FUND-,•• MANAGEMENT;• PROGRAMS: SEI INSTL'MANAGED YR-LG CAP:t;; SELCX"r, US STOCKS&sl ,- SEI ASSETI�1 182 ,8 .04` �� 29.34-W, 55,219:111 GR A'� T';;MANAGEMEN ; •� ' r PROGRAMS, . SEI INSTL MANAGED TR-SM CAP, SSCGX- US STOCKS',__� SEI ASSET'' ___.__._366.38,______23.58_. 8,639.26-, GR A MANAGEMENT PROGRAMS' SE!INTERNATIONAI:EMERGINai..._.SITEX:-•.:T BONDS,-.—.-' __.,,_, _SEIASSEf-4 :_ --628:71:v _.-.,;10,01.::-_.,.. 6,293.36 MARKETS DEBT FUND'. - MANAGEMENT-:'`7 PROGRAW.,k:,` t SEI INTERNATIONAL EMERGING SIEMX NON-US STOCKS SEI ASSET:, 1,502.57 10.13 15,221.04 MARKETS FUND MANAGEMENT PROGRAMS` incomplete 0 presented without accompanying disclosure pages Page 2 of 4 Holdings by Investor Karen L Melvin Edward P Gormley CPA,CFP® Combined Account Portfolio 4 Oakwood Cir Susquehanna Financial Advisors Date: 09/05/2013 ST r Camp Hill,PA 17011 LLC Created:09/13/2013 4999 L ST TOQQ E� SUITE OOUISE DRIVE F"zrtcncialAdzrrns`a MECHANICSBURG,PA 17055 717-506-2100 Asse!N'amer `Tli�u' AsseLTyprMgtaNamiy�" _ Clttantl� r P�(5)17� Valuw(? SEI INTERNATIONAL EQUITY FUND SEITX._. NON-US STOCKS' MANAGEMENT 31865.8t 9.29. . 35,913.34i PROGRAMS; SEI INTLTR-INTL FIXD INCOME SEFIX . BONDS SEI ASSET 1,029.44, 10.30• 10,603.19x TRUST MANAGEMENT PROGRAMS SEI LIQUID'ASSET PRIME OSL TPRXX CASH+• SEI FUNDS 431.00! 1.011: *ptNRNsy�,M OMB Approval No.2502.0265 is f O� d - � A. Settlement Statement (HUD-1) icy CNet B. Type of Loan 1.❑FNA 2.❑RHS 3.0Conv.Unins. 6. File Number: 7. Loan Number; 8. Mortgage Insurance Case Number: 4. VA 5.0 Conv.Ins. 1CROWELL-APRIL DRIVE 5701701380 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'(p.o.c.)'were paid outside the closing,they are shown here for Informational purposes end are not included in the totals. D. Name and Address of Borrower: E. Name and Address of Seller: F. Name and Address of Lender: Errin W.Crowell and Fulton Bank,NA. Kathryn R.Crowell Laurie M.Gottdlner,Executrix One Penn Square,Suite 304 106 Turtle Hollow Drive of the Last Will and Testament of Lancaster,PA 17602 Lewisberry,PA 17339 Karen L Melvin G. Property Location: H. Settlement Agent: 1. Settlement Date: 203April Drive Charter Settlement Company Camp Hill,PA 17011 1200 Camp Hill Bypass,Suite 205 September 27,2013 Cumberland County,Pennsylvania Camp Hill,PA 17011 Ph. (717)2343289 Place of Settlement: 4075 Market Street Camp Hill,PA 17011 J. Summary of Borrower's transaction K. Summary of sellers transaction 100. Gross Amount Due from Borrower: 400. Gross Amount Due to Seller: 101. Contract sales price 1 124.000.00 401. Contract sales price 124 000.00 102. Personal property 402. Personal property 103. Settlement Charges to Borrower line 1400 5,674.13 403. 104. 404. 105. 405. Ad ustments for Items paid by Seller In advance Ad ustments for items paid by Seller in advance 105. School Taxes 09/28/13 to 07/01/14 1,451.1 406. School Taxes 09/28113 to 07/01/14 1,451.12 107, Court Taxes 09/28113 to 01101/14 200.97 407.CountyTaxes 0928/13 to 01/01/14 200.97 108. Assessments to 408.Assessments to 109. 3rd Quarter Trash 0928/13 to 10/01/13 1.35 409. 3rd Quarter Trash 0928/13 to 10/01113 1.35 110. 3rd Quarter Sewer 0928/13 to 10/01/13 5.38 410. 3rd Quarter Sewer 09128113 10 10/01/13 5.38 111. 411. 112. 412. 120. Gross Amount Due from Borrower 131,332.95 420.Gross Amount Due to Seller 125,658.82 200. Amounts Paid by or in Behalf of Borrower 500. Reductions In Amount Due Seller. 201. Dee2sil or earnest money 3,000.00 501. Excess deposit see instructions 202. Principal amount of new loans 93,000.00 502. Settlement charges to Seller Line 1400 14,040,12 203. Existing loans taken subject to 503. Existing loans taken subject to 204. 504. Payoff First Mortgage 205. 505. Payoff Second Mortgage 206. 506. 207. 507. (Deposit disb.asproceeds) 208. 508. 209. 509. Ad ustments for Items unpaid by Sellar Ad ustments for Items unpaid by Sellar 210. School Taxes to 510. School Taxes 10 211. County Taxes to 511. County Taxes to 212. Assessments to 512.Assessments to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. Total Paid by/for Borrower 98,000.00 520. Total Reduction Amount Due Seller 141040.12 300. Cash at Settlement from/to Borrower 600. Cash at settlement tolfrom Seller 301. Gross amount due from Borrower line 120 131 332.95 601. Gross amount due to Seller Ifne 420 125 658.82 302. Loss amount paid by/for Borrower line 220 ( 96,000.00) 602. Less reductions due Seller line 520 ( 14,040.1 303. Cash XO From To Borrower 35,332.95 603. Cash O To 11 From Seiler 111,618.70 Paid outndeol dosln yboriower(8),s Ilots),Iender(L).or third,-party(T) The undersigned he ckaew receipt of a plated copy of this statement&any attachments referred to herein Borrower ___ Seller Laurie M.Gotidlner,Executrix of the Last Will and Errin VyCrowell Testament of Karan L Melvin 11 a BYZtP 2 fl Kathryn R.Crowell The Public Reporting Burden for This collection of information is estimated at35 minutes per response far collecting,reviewing,and reporting the date.This agency may not called this Information,and you are not raquirod to complete this form,unless it dlepfays a currency valid 0118 control number.No confidentially Is assured:Ibis disclosure is mandatory This Is designed to provide the parties toe RISR4covered t snudionwilt Information during the sotdomentprocass. Page 1 of 3 HUD-1 (CROWELL-APRIL DRIVE.PFD/CROWELL-APRIL DRIVE/11) L.Settlement Char,es u Y.Y}DtJ i / .{I J't} Y 4/ NYf�,l i:42• :.'7R: Y} 1�#k1,;Cri45a x+55..1X.1.?"i;r 744;4.(tics'tlRdeltattite,�rol(�xiFea§a(4: .i.,�i <�.$.,'��u�,'�??�.��.�'j� �t,iia.+;�.R�e;��,�.�r'�tti��...,t...�'.n� .+'� 7'(:� Paid From Paid From Division of commission(line 700)as(shows: Borrowers Seitaes 701.$3,720.00- to Coldweli Banker Homestead Funds of Funds at 702.$4.115.00 to RE/MAX Resqy Associates inn, Settlement Settlement Note:Line 702 Includes Adjustment of 395.00 For Broker Fee 703.Commission paid at settlement 7 835.00 704,Broker Fee to Coldwelt Banker Homestead Group 325.00 705. 'r11 8e01i iaWtl;PeiB ti n Oo B2stlon,Wtt L3 o a yl 7 tJ �4L4 "4 tt t`totf"zlanj F * F!7q q �"v 801,Our origination charge S 695.00 from GFE#1 802.Your credit or charge(points)for the splacific interest rate chosen 232.50 from GFE#2 803,Your ad'usted origination charges (from GFE#A 927.501 804.Anarvisal fee to Mark Heckman Appraisers from GFE t#3 50.00 PO -B -15.00 805.Credit Report to Credslar from GFE#3 43.94 806.Tax service to from GFE 03 807.Flood certification to Coreloalc Flood Services• from GFE#3 11.50 08. from GFE#3 809. from GFE#3 810. from GFE 03 811. (from GFE#3 „ ...,..,s ,�., ✓. 1 L -t 5�'4 b r rty� ,,1*a�M h k ,�:, 7 '? 4.�' sit 4�a,',�''}>4�.• , 4 L 9 �Db,Itfamts;Reg�1,• �bj�pLehdifrto6�-,Pal 1h,ArlvaKr�.; �' ';.; � 1�.�,Ts�r.haT:.�rati���': : ��� ,.tr '.<. t1n �.a�« ,a;n�� 11• 'i �` ;ter 901.Daily Interest charges from 09/27/13 to 10/01/13 4 $12.1027401da from GFE#10 48.41 902.Mortgage insurance premium for months to (from GFE 03) 903.Homeowner's insurance for 1.0ars to Erie Ineurence (from GFE#11) 756.00 904. (from GFE#11) 905, (from GFE#11) wbisR�d0rJr7s Q iiifAit} h ail )ar M1 h> wr t a l:} tih%Eft �yi, ,MSI' 1001.Initial deposit for your escrow account (from GFE#9) 861.78 1002.Homeowner's Insurance 3.000 months @ $ 63.00 per month S 189.00 1003.Mort a e Insurance months @ $ par month $ 1004.Property taxes $ 1,154.48 CountylTownshle Taxes 8,000 months 0 $ 64.35 pot month School Taxes 4.000 months @ $ 159.92 per month City Taxes months ® $ per month 1005. $ School Taxes months Q $ per month County Taxes months r month 1006. months $ per month $ 1007. months per month $ 1008. $ 1009,AggregateAdjusIment $ -4811.70 110Q t i�+t18,r t�S r '�'.y.Kr1t? w w.• itF 4 p f t p:..i e'u'Rr JT.n�ui P} , dr 1101. Title services and lender's title Insurance (from GFE 04) 1,292.001 10.00 1102. Settlement or closing fee $ 1103. Owner's title Insurance to Old Republic National Title Insurance Coma (from GFE#S) 1104. Lender's title Insurance to Old Republic National Title Insurance Company $ 1,170.00 1105. Lender's title policy limit $ 93.000.00 1106. Owner's title policy limit S . 124,000.00 1107. Agent's portion of title Insurance premium to Charter Settlement Company $ 1,006.20 1108. Underwriter's portion of title premium to Old Republic National Title Insurance Com $ 163.80 1109. $ 1110. Charter Settlement Comps $ 1111. Charter Settlement Company $ 1112. Charter Settlement Coma $ 1113. $ 300 t3oi mmgn")tbcoriiltt eR'(('r7? ftsfet.Gli#' "e>1 it Ht i�+°n f?1°i C� wL. dayr r�RIP t��tiii,r,.I" n �1€fit �. � ' a'•' 1201.Government recording charges to Mid-Penn Records from GFE# 183.00 1202.Deed $ 71.50 Mortgage $ 111.50 Releases S Other $ 1203.Transfer taxes to Mid-Penn Recording (from GFE 08) 1,240.00 1204.City/County City/Countytax/stamps Dead S 1,240.00 Mort da e$ 1205.Slate taxtstam s Deed $ 1,240.00 Mortgage$ 1.240.00 1206. 1207. ....,. ....,, v 1 siy'b.rr:,;i k;trvkttr+S r�, x 7_ i.l`tit'itc'rf„+"is h. r , .. .� '�ye ,i t �a,.1�v�• y g � i W *iz�' ,"'.N'fr 1301.Required services that you can shop for (from GFE#6) 1302. Home Warranty to American Home Shield S 460.00 1303.Termite Treatment to Know Swett $ 742.00 1304. Repairs to Joseph M.Greer Construction $ 515,00 1305. Interior Painting to AAAPalnting Group $ 2,300.00 1306. Drywall Patching to Miguel Zopeda $ 300.00 1307.Appliance Reimbursements to Steve Johansen $ 638.12 �aggsyTa�;tsi>ttr•-.r�,�t7a �i �/a�taron�ut�fi�rga s�atib�t�,lo E:4�. i. 11:Q. K)x:��� ����'�ya" �' "���` '� '�;(�, ^�;;g''w� 6Z4,1�.�, u1 ry.�r�n;�: •PaW outttde oitlosinQby ecttower(6},sai3ertS},tendo-r(Ly.or L�IM-partytl} y //�i'.�///� 9yslgningpoge t of this slemment Uro signalorles stlmowledge receipt or a completed copy of oege 363 of this titres psae sminmerlL ell Charter Settlement Company,Settlement Agent Page 2 of 3 HUD-1 (CROWEL-APRIL DRIVE.PFDiCROWELL-APRIL DRIVE111) Comparison of Good Faith Estimate(GFE)and HUD-1 Charges Good Faith Estimate HUD-1 Charges That Cannot Increase HUD-1 Line Number Our origination charge # 801 695.00 695.00 Your credit or charge(points)for the specific rate chosen # 802 232.50 232.50 Your adjusted origination charges # 803 927.50 927.50 Transfer taxes #1203 2,480.00 1,240.00 Charges That in Total Cannot Increase More than 10% Good Faith Estimate HUD-1 Government recording charges #1201 290.00 183.00 Appraisal fee # BW 600.00 435.00 Credit report # 805 40.00 43.94 Flood certification #807 11.50 11.50 Total 941.50 673.44 Increase between GFE and HUD-1 Charges $ -268.06 or -28.47 Charges That Can Change Good Faith Estimate HUD-1 Initial deposit for your escrow account #1001 2,912.46 661.78 Dally interest charges # 901 $ 12.102740/day 133.13 48.41 Homeowner's Insurance #903 650.00 756.00 Title services and lender's title Insurance #1101 1,380.00 1,292.00 Loan Terms Your Initial loan amount Is $93,000.00 Your loan term Is 20.00 years Your Initial Interest rate Is 4.7500% Your Initial monthly amount owed for principal,Interest and $600.99 includes any mortgage Insurance Is ❑X Principal ❑X Interest ❑ Mortgage insurance Can your Interest rate rise? ❑X No ❑ Yes,It can rise to a maximum of %. The first change will be on and can change again every_months after Every change date,your interest rate can increase or decrease by %. Over the life of the loan,your Interest rate is guaranteed to never be lower than Yo or higher than %. Even If you make payments on time,can your loan balance rise? pX No ❑ Yes,it can rise to a maximum of$ Even If you make payments on time,can your monthly ❑X No ❑ Yes,the first Increase can be on and the monthly amount owed for principal,Interest,and mortgage Insurance rise? amount owed can rise to$ The maximum It can ever rise to Is$ Does your loan have a prepayment penalty? Q 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 Total monthly amount owed Including escrow account payments ❑ You do not have a monthly escrow payment 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 of$267.27 that results in a total Initial monthly amount owed of$888.26. This Includes principal,interest,any mortgage Insurance and any items checked below: ❑X Property lazes 0 Homeowner's insurance ❑ Flood insuranceX❑ School Taxes Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender. 14 ,a�.crD j • i C,as ly, Page 3 of 3 HUD-1 (CROWELL-APRIL DRIVE.PFD/CROWELL-APRIL DRIVE/11) HUD-1 Attachment Borrower(s):Errin W. Crowell and Kathryn R.Crowell Sellel(s): Laurie M.Gottdiner, Executrix of the Last Will and Testament of Karen L.Melvin 106 Turtle Hollow Drive 4 Oakwood Circle Lewisberry, PA 17339 Camp Hill, PA 17011 Lender:Fulton Bank, N.A. Settlement Agent:Charter Settlement Company (717)234-3289 Place of Settlement:4075 Market Street Camp Hill, PA 17011 Settlement Date:September 27,2013 Property Location:203 April Drive Camp Hill,PA 17011 Cumberland County,Pennsylvania Additional Adjustments For Items Paid By Seller In Advance(Borrower Debit) Description Amount From/Through Prorated Amount 3rd Quarter Trash 41.55 07/01/13 through09130/13 1.35 Total Line 109/409 1.35 3rd Quarter Sewer 165.00 07/01/13 through 09/30/13 5.38 Total Line 1101410 5.38 Adjusted Origination Charge Details Origination Charge Origination Fee 695.00 to Fulton Bank,N.A. Total $ 695.00 Origination Credit/Charge(points)for the specific interest rate chosen Credit/Charge 232.50 to Fulton Bank, N.A. Total $ 232.50 Adjusted Origination Charges $ 927.50 Reserves Deposited with Lender Homeowner's Insurance 189.00 3.000 at 63.00 per month County[Township Taxes 514.80 8.000 at 64.35 per month School Taxes 639.68 4.000 at 159.92 per month Aggregate Adjustment -481.70 Total $ 861.78 Title Services and Lender's Title Insurance Details BORROWER SELLER Incoming Wire Fee 15.00 to Charter Settlement Company Notary Fee 20.00 to Capozzi Adler, P.C. Closing Protection Letter 75.00 to Old Republic National Title Insurance Tax Certification Fee 10.00 to Charter Settlement Company WARNING: It Is a crime to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can Include a fine and Imprisonment. For details see: Title 18 U.S.Code Section 1001 and Section 1010. (CROWELL•APRIL DRIVE.PFO/CROWELL-APRILDRIVE/11) HUD-1 Attachment- Continued Federal Express Charges 12.00 to Mid-Penn Abstract Company - Lender's title insurance 1,170.00 to Old Republic National Title Insurance Company Total $ 1,292.00 $ 10.00 Lender's Title Insurance BORROWER SELLER 'fees also shown above in Title Services and Lender's Title Insurance Details Lender's Policy Premium 1,020.00 to Old Republic National Title Insurance Company Lender's Endorsement Charges 150.00 Endorsement Endorsement Charge PA Endorsement 100 50.00 PA Endorsement 300 50.00 ALTA Endorsement Form 8.1 (Environmental Protection 50.00 Lien) Total $ 1,170.00 $ 0.00 WARNING: It Is a crime to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can Include a fine and Imprisonment. For details see: Title 18 U.S.Code Section 1001 and Section 1010. (CROWELL-APRIL DRIVE.PFD/CROWELL•APRILDRIVE/11) '���� A. Settlement Statement (HUD 1) OMB Approval No.2502-0265F(NAL 1.®FHA 2.❑RHS 3.❑Conv.Unina 6.File Number 7.Loan Number. Ia.Mortgage Insurance Case Number. 14-0726GC 27014994 r 6,2093843.703 4.E]VA 5.C]Conv.Ina C.Note:7his form to furnished to give you a etatement of actual settlement costa Amounts paid to and by the settlement agents are shown Items marked "(p.o.cr were pale outside the closing;they are shown here for Informational purposes and are not Included In the totals. D.Name&Address of Borrower. E.Name 8,Address of Seller. F.Name&Address of under. Nada Medini The Estate of Karen L McMn GMH Mortgage Services LLC 155 Salem Church Rd.,Mechanicsburg,PA 17050 2113 Orchard Road,Camp 100,PA 17011 625 West Ridge Pike,BLDG C,STE 100, Conshohocken,PA 19428 G.Property Location: H.SettlamentAgent I.Settlement Date:05123/2014 835 Erford Rd. Guardian Transfer Corporation Disbursement Date:06 x2014 Camp HIO,PA 17011 4075 Market St,Camp Hill,PA 17011 East Pennsboro Township 717-909-4700 Place of Settlement: TMeExprasa 4075 k4wW Street,Camp HN,PA 17011 Printed 05/23/2014 at 2:06 pm by JMG FAMMIMMMITIF M-M,M- IFTIM-MIZE K.Summary of Seller's Transaction 100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller 101. Contract sales price 89,900.00 71. Contract sates price 89,900.00 102 Personal property 402. Personal property 103. Settlement charges to borrower(line 1400) 7,988.43 403. 104. 404, 105. 405, Adjustments for Nems paid by seller in advance Acoushrients for items paid by seller in advance 106. City/town taxes to 406. Cflyf m taxes to 107. County taxes 0923/2014 to 12131/2014 194.31 407. County taxes 0512312014 to 121312014 194.37 108. School taxes 05232014 to 06!302014 108.65 408. School taxes 05a3a014 to 081302014 108.65 109. SewerA(WJuns 051=14 to 08/302014 59.14 409. SewerA/6Wuns OMM014 to 06130014 59.14 110. 410. 111. 411, 112. 412 120. Gross Amount Due from Borrower 9890,59 420. Gross Amount Due to Be9er 90,262.18 200. AmourHs Paid b or In Behalf of Borrower 500. Reductionsln Amoutd Qua to Seger Od. Deposit ar earnest money 1,600.00 501. Excess deposit(ase ns. 202 Principal amount of new loan(s) 85,984.00 502. Settlement charges to seller(line 1400) 8,940.14 203. Existing loos)taken subject to 503. Existing s taken subject to 204. 504. Payoff of first a ban 205. Borrower paid fee 495.00 505. Payoff of second mortgage ban 206. 508, 207. 507. 208. 508. 209. 509, Ad ustments far items unpaid seller Ad uMo, for Items unpaid aefbr 210. Cdyftown taxes to 510. Gtyflortim taxes to 211. County taxes to 611. County taxes to 212 School taxes to 512. School taxes to 213. 513. 214. 514. 215. 515. 218. 516. 217. 517. 218• $18. 219. 519. 220• Total Paid by/for Borrower 88,079.00 SM. Total Reduction Amount Due Seller 8M.14 300. Cash at Settlementfromlto Borrower 600. Cash at Settlement to/from Soper 301. Grass amount due from borrower pine 120) 98,230.59 601. Grose amount due to seller(Ina 420) 90,262.16 302. Less amounts paid by/br borrower(line 220) 68,079.00 11 602 L-reductions in amount due seller pine 520) 8,940.14 11 � 9( From ElTo Borrower 10,15159 603, Cash X❑ To ❑ From Seller 81,32202 fY Ge. Pu cAase P 1 g = 1 u,m+.moaemmm,.mmr,tro�ua.+rar...,.awm,m.o.rm.mwy. r ,rer�vne.e.cr«m�reea�m,wwwr.aa r�a,�m�maom. Cosf; 8'R qo-t q cess 34a.16 D-18S (e obsolete Page 1 of 4 HU671- 8"S-7 -7 700. Total Real Estate Broker Fees 6,189.0 Paid From Paid From Division of commission lne700 as follows: Borrowers Seller's 01. 53,092.00 to RamaxReatillyAss6clates Funds at Funds at 702. $3097.00 to Coldwah Banker Homedsad Group Settlement Settlement 703. Commission paid at settlement .00 5,789.00 800. Items Papble In Connection with Loan 501. Our ortginaWri charge (In es Orlgirstion Pclnt 0. 0 or$0.00) from GFE 91) 802. Your credit or charge points for the specific ritarest rate diosen $605.13 (from GFE 42) 803. our adjusted origination charges m GFE A) ,60 804, Appsfee to Rogers Appraisal Service inc (from GF ) 400.00 805. Credit report to Credit ply FE 61.39 806, Tax servka to from GFE#3 807. Flood certificatlon to from GFE#3 808. to 900. Items Required by Lender to be Paid In Advance 901. Daily Interest charges from from 0VM114 to 06101 14 @$9.71741day (from GFE 410) 87.48 902. Mortgage insurance premium for months to HUD (from G E 1,478,851 903 omeownere Insurance for 1 years to State Fenn Insurance from GF 1) 4 904, months m from GFE 011 1000.Reserves Deposited with Lends 1001.InItial deposit for your escrow a000um (from GFE W) 1,016.89 1002.Homeowners insurance 3 months 40.42/month $12126 1003.Mortgage insurance months $ 90.83/month $ 1004.Property taxes months A$ _ 0,001morth S 1005.County taxes 4 months @$ 28.0month $106.08 1006.School taxes 13 mantis Q$ 84.74/month $1,101.82 1007.Aggregate Adjustment $-312.07 1100.;;Ch ea 1 W. i servuces and lenders UUe insurance m GFE 04 48.00 40.00 1102.Settlement or closing foe to $ 1103.Owners title insurance-Fast American Title Insurenoa ComM $ from GFE M 106.50 1104.Lenders title insurance-First American Title Insurance Company $823.00 1105.Lenders Utle policy 11mit$85,984.00 Lenders Policy 1106.Owners tide policy omit$89,900.00 Owners Policy 1107.Agenfs portion of the total title insurance prendum $790.07 to Guardian Transfer Corporation 1108.Underwriters portion of the total title insurar>ce premium $139A3 to First American Title Insuasrncs Company 1109. 100 No Vio11100 to Fkst Ams&m Title $50.00 Insurance Comparry 1110.300 Survey1300 to First American Title $50.00 Insurance Company 1111.900 EPL-ReaW.1 to First American Title $50.00 Insurance Com 1112.ClosingSvdWA to Fiat American Title $75.00 Insurance Company 1200.Government Recording and Transfer Charges 1201.Government recording charges $ (from GFE fi'7) 150.00 1202 Deed$67.00 Mo $83.00 Release 1203.Transfer taxes $ (from GFE{t8) 899.00 1204.City/County tax/stamps Deed$899.00 Mortriage 1205.State Tax/stamps Dead 9.00 Mortgage S 899.00 1206• Deed Mortgage 1207. $ 1300.Additional Settlement Charges 1301,Required services that you can shop for (from GFE 1302 2014 County Twp to Debbie Lupold 4 1303.Deed preparation fee to Stare LaFaver&Sheldeetald 150.00 1304.Electrical repairs to W.S.Carey Electric _ 744.00 1305.Root Cert to Fskas Building&RodM 125.00 1306.Project Management fee to Steve Johansen 1,000.0 1307.Sewer cert fee to EastPertnsboro TownshipAuthority10.00 •c u .,_ u n 7,968.03 8,940. 'Paid outside of closing by(8)arowsr,(sister,(L)ender,p)nvesar,Bm(lQer."Credal by lender shown on page 1.-Credit by seller shown on page 1. Previous editions are obsolete Page 2 of 4 HUD- 77 Com;arFsap:btGaod,Falth Estlriiata GF ancl:HUD4jCharaW Line W6 b4`i--: 1,80 � 995.00 995.00 M5.33 W5,33 'You 9justKIC119" 1,80033 11,600,33 ::1203zr899.00 899.00 -Char js47hstln Total a 4-T-h PqVaMm8Rt.MDDrdI 'AMe 20 150.00 n pPP476 E5,00 .5 .00 p .......... 50.00 61.39 1,478.86 NO 946. 1,47&00 2,203.00 2,090.25 $ -112.751.1180% 'Odid Initlaldeposit' . res777: .8 Cc d unti. 900M 1,015.89 Jj a) 9. -7,414 29.15 87. 540.E 485.00 VloInsurance` 1,613.45 1,148.00 Owndft ti 9:lr;surar&de.'-,'FlrrW q*-TJds '- 1100.00 108.50 511-1 511�,�4�, Loan Toms 30,years Y 4.125D% ou ny e i: $50755 Includes _ u no"'SC' Y Principal 51 Interest Morigilge Insiunuice X Na Y,% Ca" It can rim to a rawdmum of The Wcharge A be on Mulcancharipagalnevery yearsaft Every chop data,your holiest rate can hicresse at decrease by %. 01forthe rh of the IM,Your IIIIII)COSt nft 19 9=1111190d to never be lowr UM %or higher ®Na C3Yea,Ilcon rise tDamaxIMLVnof u "bra R]No. E]Yes,the ftiraeasecan ti..n I I and the monthly amount owed can rim to The tnaxlmum it Can ever dee 11DISS No. Yes,your maidmum prepayment pen"is A-M. fiq--jgy— t?-' ©Ala []Yrs,you liMebalimpaymertefli due in years on I ToWfiift' thl',,amouh AW _t�tm -Indudin.'escrow iiid,o 0 You do rd have a monthly escrow payment for items,such as property tsom g -O000 .WM_ and homeowriiefs insurance.You must pay III=hams(firectly yoursaff. You have an additional mcniNly estim payment of$161.68 ...... that results In a total Initial monthly amount owed of$65123.This Includes pWpd,Intaxesk any mofVp Insurance and any Its sr dwYA below Property taxes [XI Homeamisee Insurance Flood Insumice Note: If you have any questions about the SaMement Charges and Loan Tom listed on this form,please contact your Wider. Previous editions are obsolete Page 3 0f 4 HUD-1 e Name of Borrower: Name of Seller. File Number. Nadia Madird The Estaia of Karen L Melvin 14-0726GC Prepared 05/2312014 at 2.06 pm Note:This page displays an itemization of the adjusted origination charges shown In section 800 of the HUD-1 Settlement Statemen 1s page accompanies but Is not a part of the HUM Settlement Statement.If a discrepancy exists,the information on the HUD-1 Settlement Statement applies. Your Loan Origination Charges Borrower Seller 801. Our ariginatbn charge Includes Origination Point O.ODO%or Origination Fee to GMH Mortgage Services LLC $ 995.00 802. Your credit or charge Oft)for the specific Interest rete chosen Credit charge to GMH Moftqo Services LLC $ 605.33 803. Your arf usted originatlor,charges 1,600.33 0.00 r Name of Borrower. Name of Seller. File Number. Nadia Madini The Estate of Karen L MeW 1"728GC Pre red 05!2312014 at 2:08 pm Note:This page displays an Itemization of the charges shown on line 1101 of the HUD-4 Settlement Statement.This page accompanies but is not a part of the HUD-1 Settlement Statement.If a discrepancy exists,the Information on the HU04 Settlement Statement applies. 1100.Title Charges Total Charge Borrower Seller 1101.Title semces and lenders title insurance to Wire In to Guardian Transfer Corporation 15.00 15.00 Notary Fee-Purchasers to Guardian Transfer Corporation 35.00 35.00 Courier fee-Purchase to Guardian Transfer Corporation $ 15.00 15.00 Electronic Document to Guardian Transfer Corporation S 35.00 35.00 Notary Fes-Sailers to Guardian Transfer Caporation, $ 15.00 15.00 Courier Fee-Sellers to Guardian Transfer 2922MEn S 15.00 15.00 Tax Cert Reimbursement Fee to Guardian Transfer Corporation 10.00 10.00 1102.Settlement or closing tae to $ 0,00 1104.Lenders tills insurance-First American Td to First Arrmnican Title Insurance C 83.00 823.00 1109.100 No VIo11100 to First American Tills Insurance C( 50.00 5040 1110.300 Swmy" to First American Tide Insurance Cr$ 5000 50.00 1111.900 EPL-Res18.i to First American Title Insurance G$ 50.00 50.00 1112.ClosingSvcUACL to First American Idle Insurance Cr 75.00 75.00 Totalr. 1, 88.00 040 1,148.00140.00 SelledLender credits shown on a 1 POC•Paid Outside Closin CR-Lender Credit Previous editions are obsolete Page I of 1 HUD-1 HUD CERTIFICATION OF BUYER AND SELLER I havo camfulty ravl&mW the HUNT.Sat@ement Statement and Wthe best of my kitawteege;and be1lef;tttti a Uue titid t3ccitmtc s atomont of atI�ecalpta and disbursements made on my socount m.by main this transactiml furthar cortify that I'hsve rec fU ed'a-copy,of the HU Dd Seitlernarit Statorriorlt Nadia Madini THE ESTATE OF KAREN L MELVIN Laurie M.Gottdiner,Executrlx, The HUD-1 Sattlemwu 5mrameat wnten I neve prepared is a true and accurate account of this transaction.I have caused or will cause the funds to be disbursed In accordance with this statement S1Z31� rti} SETTLEMENTAGENT DATE WARNING IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1. AFA. Settlement Statement (HUD-1) OMB Approval No.2502-0265 1.❑FHA 2.❑RHS 3.[3]Conv.Unins. B'File Number. 7.Loan Number 8.Mortgage Insurance Case Number. 32863LANGAN 402503404 4.❑VA 5.❑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&Address of Borrower: E.Name&Address of Seiler. F.Name&Address of Lender. Devin C.Langan Estate of Karen L Melvin E Mortgage Management,LLC 841 Mandy Lane,Camp Hili,Pa 17011 4 Oakwood Circle,Camp Hill,PA 17011 3 Executive Campus,Suite 520,Cherry Hill, NJ 08002 G.Property Location: H.Settlement Agent 1.Settlement Data.03/2512016 4 Oakwood Circle Cedar Cliff Abstract Agency,Inc. Disbursement Date:03/25/2015 Camp Hill,PA 17011 414 Bridge Sbeel,New Cumberland,PA 17070 Hampden Township Telephone:717-774-7435 Fax:717.774-3869 Place of Settlement TitieExprens 414 Bridge Street,New Cumberland,PA 17070 Printed 03120/2015 at 2:34 pm by CLT 100. Gross Amount Due from Borrower 400. Groes Amount Due to Seiler ' 101. Contract sales price 157,000.00 401. Conhact sales prka 157,000.00 102. Personal Property 402. Personal propefty 103. Settlement charges to borrower(line 1400) 6,033.49 403. 104. 404. 105. 405, Adjustments for items paid by seller In advance Adjustments for items paid by seller in advance 106. City/town taxes to 406. Cityhown taxes to 107. County taxes W5120151012l/MI5 342.08 407. County lazes 03/25/2015 to 12/31/2015 342.08 108. Scholl Taxes 03/15/1015 to Ofit30/2015 406.41 408. Scholl Taxes 03/2512015 to O6/30I2015 406.41 109. 409. 110. 410. 111. 1st qtr scwverArash 03125/2015(o=1015 10.12 411, 1st qtr sewerMash 03125015 to 03131/2015 1012 112. 412. 120• Gross Amount Due from Borrower 163,79270 420. Gross Amount Due to Seller 157,759.21 200, Amounts PaW b or In Behalf of Borrower 500. Reductions b Amount Oust to Ballet 201. Deposit a earnest money 2.000.00 Excess deposit(see instructions) 202. Principal amount of new loan(s) 125,600.00 502. Settlement charges to seller(line 1400) 11,689.34 203. Existing s taken subject to 503. Exis s taken subject to 204 504. Payoff o4 first mortgage loan 205. 505. Payoff of second mortqN2 loan 206. 506. 207. Credit by Seller 5,000.00 507. Credit by Seiler 5,000.00 208. 508. 209. 509. Adjustments for items unpaid by seller Adjustments for items unpaid by seller 210. Citynown taxes to 510. GtyRowntaxes to 211. County taxes to 511. County taxes to 212. School Taxes to 512. SchoolTaxes to 213. 513. 214. 514. 215. 515. 216. 516. 217, 517. 218. 518. 219. 519. 220. Total Paid by/for Borrower 132,600.00 $20. Tota)Reduction Amount Due Seller 16,689.34 300. Cash at Settlement fromito Borrower 6011 Cash at Settlement taftm se8er 301. Gross amount due from borrower(line 120) 163,792.70 601, Gross amount due to seller(line 420) 157,759.21 302. Less amounts paid byAa borrower(line 220) 132,600.00 602. Less reductions in amount due seller(line 520) 16,689.34 303. Cash Q From ❑To Borrower 31,192.70 603. Cash g To ❑ From Seiler 141,069.87 UM{O.flaYn YR1YYIYd..ir-MO..�IIWb(If11Vtl.M Or WIq.NEBVAaM.Obw.[lio.If11 YMOtmMgn J.^Y VM Set 11 n5 Prue. 4 -S 7'0X.t,D CUs�s 4a(4�1 (-W9. 3 q Page 1 of 4 HUD-1 s 759 . a l ;yah. 700. Total Real Estate Broker Fees 9,120.00 Paid From Paid From Division ofcommisslon line 700 as follows: Borrower's Seller's 701. $4,560.00 to Re/Max Realty Associates Funds at Funds at 702• $4,560.00 to ReMax lst Advantage Settlement Settlement 703. Commission paid at settlement 9,120.00 7D4. Broker fee to RelMax Realty Associates L 395.00 800. Items Payable In Connection with Loan 801. Our originations charge (includes Orfginatron Point 0.00046 or$0.00) $3,140.00 (front GFE#1) 802. Your credit or charge(pants)for the specific interest rate chosen $-2,249.50 (from GFE#2) 803. Your adjusted origination charges (from GFE A) 890.50 804. Appraisal fee to Young Residential Appr Set $425.00 P.O.C.B (ham GFE#3) 805. Credit report pass thru fee to Cody Franca!Mortgage Services Inc. (from GFE#3) 26.42 806. Tax service to hom GFE#3 807. Flood certification to from GFE#3 808. to 900. Items Required by Lender to be Paid in Advance 901. Dairy interest charges from from 03125/2015 to 04/01/2015 @ 12.9041/day (from GFE#10) 90.33 902. Mortgage insurance premium months to from GFE#3 903. Homeownees insurance for 1 years to CSAR Insurance Group $392.00 P.O.C.B (fmm GFE#11) 904. months to iron GFE#11 11000. Reserves Deposited with Lender 1001. Initial deposit for your escrow account (from GFE#9) 1,159.49 1002.Homeowners insurance 2 months 32.671month $65.34 1003.Mortgage insurance months A S /month 1004. Progn taxes months /month 1005.County taxes 1 months $ 37.781month $37.78 1008.School Taxes 9 moths S 13D.04/month $1,170.36 1007.Aggregate Adjustment $-113.99 1100.Title Charges 1101.Title services and tenders Ode insurance from GFE#4 1,430.00 1102.Settlement or closing fee to $ 1103.Owners title insurance from GFE#5 155A0 1104.Lender's title insurance $1,305.00 1105.Lenders title policy limit$125,600.00 Lender's Policy 1106.Owners Otte poky limit$157,000.00 Owners Policy 1107.Agent's potion of the total fifie insurance premium $1,14810 to Cedar Cliff Abstract Agency,Inc. 1108.Underwriters portion of the total fiOe insurance premium $311.90 to Cornmonweafih Lara!Title Insurance Company 1109. 1200.Government Recording and Transfer Chagas 1201.Government recording charges $ (from GFE#7) 186.00 1202-peed$79.00 Mortgage$107.00. Release S 1203.Transfer taxes S (from GFE#8) 1,570.00 1204.CitylCounty tax/stamps Deed$1,570.00 Mortgage S 1205.State TaVstamps Deed$1570.00 Mortgage S 1,570.00 1206. feed$ Mort $ 1300.Additional Settlement Ch es 1301.Required services that you can shop for (from GFE#6) 1302. to 1303.Home InspectiomPest to Central PA Home Ins ions,LLC $4som P.O.c.B' 1304.2015 County taxes to MICHAEL LANGAN' 444.34 1305.2014 School taxes to MICHAEL LANGAN• $1,529.26 P.O.C.S 1306.Tax cart fee to Stale LaFaver&Shekietski 10. -00 1307.Deed prep fee to Store Waver&Shekletski 150.0 1308. 1st&2nd qtr sewerArash to Hampden Township $160.75 P.O.C.(Sj 160.75 1309.Home Warranty to First American Home Buyers Protection 365.00 r+ r r 6,031.49 11,688.34 'Paid outside of dosing by(B)orower,(Sla0er,(L)ender,(Qnvestor,8m(K)er."Credit by lander shown on page 1."'Credit by sellar shown on page 1. Previous editions are obsolete Page 2 of 4 HUD-1 -Comparison of Good faith Estimate GF and HUD-1 Charges Good Faith Estimate timate HU0.1 Ch es That Cannot Increase- HUD4 Line Number Our origination charge 5801:., 3,140.00 3,140.00 Your credit or charge(points)for the specific Interest fair;chosen #. 8Q2,-" •2,249.50 -2,249.50 Your adjusted orglna#iat charges: t 803 °` 890.50 890.50 Transfer taxes # 1203 1,570.00 1,570.00 Charges That in Total Cannot Increase Hort Than 1ff14-, ' Good Faith Estimate HUD-1 Goverment recording chargee 7: 210.00 •• 186.00 Appraisal fee >x> "., 455.00 _ 4200 Credit report pass thru fee -, •f. 805 50.00 26.42 N 715.00 637.42 Increase betmen GFE and HUD-1 $ 77.58 •10.8503% Charges That Can Chane Good Faith Estimate . HUM In! deposit for your escrow account.;. loot �*_i• - 233.33 1,159.49 Qaily interest charges,from ' ;Sof ,'r 512.90441da 593.56 90.33 Hameoomers insurance ; 903 s" 600.00 392.00 Title services and lenders title Insurance 110t`w 1,390.00 1,430.00 Chtmeratitle 1psuran(va p 1103 ' ' 155.00 155.00 Loan Terms Your initial ban amount is $125,600,00 Your loan term is _ - i` 30.years Your initial Interest rate Is i ' y 3.7500% Your initial monthly amount arced fq primtdpat`ktterpst;aatd anjr mprt�ar�e $581.67 includes insurance is. `• +'_r,` , ©Principal Interest ' ' ❑Mortgage Insurance Can your Interest rate rise? -,' : '•{ , r.<st + ` QX Na. ❑Yes,it can rise to a maximum of The first change i` '•; +a', will be on I I and can change again every years after I ! Every • r• Sr�' . ;?:, change date,your interest rate can increase or decrease by 96. Over the life of the loan,your interest rate is guaranteed to never be lower than %or higher than %. Even it you moire payments on time,can your loan balance riser, '`' ❑X No. ❑Yes,4 can rise to a maximum of$ Even if you make payments on time,can your mon�iy d awed fq•, ©No. ❑Yes,the first increase can be on I I and the monthly principal,Interest,and mortgage insurance tfsrg� ;N ., amount awed can rise to$ • The maximum it can ever rise to is$ Does your ban have a prepayment penalty'; ©No. ❑Yes,your maximum prepayment penalty is$ Does your loan have a balloon payments s ❑X No. ❑Yes,you have a balloon payment of$ due in ' years on I I Total monthly amount owed Including esctpM o count payments""t~`4: ❑You do not have a monthly escrow payment 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 of$200.49 that results in a total initial monthly amount owed of$782.16. This includes principal,interest,any mortgage insurance and any items checked below: X❑Property taxes Q Homeowners insurance Flood insurance nX School lax ❑ ❑ 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-; +{ 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 transactiott I further certify that t have received a copy of the HUD-1 Settlemerit Statement Devin 0.Langan ESTATE OF KAREN L.MELVIN k.aurW Gottdiner,Executrix Sc"Iernent Agent The HUD.1 Setttement Statement wh the Is a We and accurate account of this transaction,I have caused or will cause the funds to be disbursed in accordance with IN at ant SETTLEM DATE WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1 Name of Borrower.. Name of Setter: File Number Devin Q.Langan Estate of Karen L.Melvin 32863LANGAN TideExpress Prepared 03/20/2015 at 10:35 am Note: This page is furnished to give you an itemization of the amounts shown on � t � ,c 31d`• f �,: Lines 1101, 1103 and 1104 of the Settlement Statement(HUD-1).This page e I in accompanies but is not a part of the settlement statement if a discrepancy .Un '�lfl� ;iR±r exists,the information shown on the Settlement Statement(HUO-1)applies. { p rr. Wt al 1101. Title services and lender's We Insurance 1,430.00 a,ETF Fee $ 50.00 b.Fed-extwire fee 40.00 c.Notary fee 35.00 125.00 1102. Settlement or closing fee 1103. Owner's We insurance $ 155,00 155.00 1104, Lender's title insurance 1,030.00 $ 1,305.00 a Endorsement 900 EPL-Residential 50.00 b.Closing Service Leiter 125.00 c.ALTA Short Form Loan 100.00 (Total 1103+1104) 1105,Lenders We policy Umit =lttt:r`iS,'Nr,:`:i'«'•r`.,sny:Pstil:. 1708, Owners 08 ST 000. 1107:' tt �of thaaatal dde`(nstirartca' .- .t' 41:40: 1108'Undenviiierii of the ftitai ti 7nautance `:31t 04 1109. 1110. 1111. 1112. I,4� *4"i r � �;. 6ii 1101. Title services and fender's title insurance $ a.ETF Fee 50.00 50.00 b.Fed-exAvire fee to Stone LaFaver 8 Shekietski 40.00 40.00 c. Notary fee to Cash 35.00 35.00 1104. Lenders title insurance to Cedar Cliff Abstract Agency,Inc. 1,305.00 1,305.00