HomeMy WebLinkAbout06-18-15 J ��g � a�.a 1505638403
L:, �.....zs..�.€,�ros-„i
REV-1500 OFFIGIAL USE ONLY
CounryCotle Yeer FIIeNumber
Bureau oi Intlivitlual Taxes INHERITANCE TAX RETURN
Poaoxzeosai 2y 14 0985
Harrisbu PA 1�128-0601 RESIDENTDECEDENT
ENTER DELEDENT INFORMATION BELOW
Social S¢wn�y Number Ddle of D22�h MMDDYYYY patE Of BiNh MMDOVYYV
10 ❑5 2n14 OS 18 1924
DeceGenfs Last Name Suflix DecetlenPs First Name MI
THOMPSON BETTY M
(If Applicable)En�er Surviving Spouse's InfonnaYon 6elow MI
Spouse's Las�Name Suffa Spouse's Firs�Name
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
O t OnginaleeNm � 2. SupplemeMalReWm � 3. RemairderReWm(tla�eof0ealh
priarlo iD13-82)
� 4. AgnculWral Exemp[ion(Oate of � A FNure In�ereat Compromise(tlate ot � e. Fetleral Eetate Tax ReWrn Repuiretl
Eeath on or afler 1-b2012) aeam arter iE42-82)
O ]. DercUer�t Dietl Testale � e. DeceCen�Maln�alneJ a Gving Tmsl � 9. Total NumOer of Sale�eposit Boxes
❑ (Attach copy M wlll) (AttacM1 wpy ol Wsq
tO. LitigationP�oceetlsReceNetl ❑ ��' �SCM1eEuledFarMG'AvseLSOnly) � �� DetertallEletliono�5pousalTmsts
� 13 Buslne55As9e�s � �<. SpOuS¢iSSol¢BEne(Iflary
(No Wst invoNa07
CORRESPONUENT-THIS SECPON MIIST BE COMPLETEU.ALL CORRESPoNDEHCE ANO LONFIpENiIAL TF%INFORMAlION SXOUL�BE MRECTED T0:
Name Daytima Telephona Number
LAUREN E KAYS 717 737 8761
Fint Line of Addresa
ONE WEST MAIN STREET
Secontl Lina of AOeress
pyorPmtOftice Sb[e 21PCode
SHIREMANSTOWN PA 17�11
CorreSpontlenfsemailaEtlress: Ik Ys�b q d
REGISTEROFWILLSV$�ONLY a
C� a.i Cp n
REGISTEROFWILLSWEONLY � O �_ ' n
OATE FILEO MMODYYYY -� �� _ � �
�_ J
I�. -
. _ - _ �—' �; I
�� CYJ �
DMEPALEO STNYd ��
CJ �1
�I ��
� J �1
Side 1
L IIIIIIIIII'�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII y5 0 5 618 4 03 � �
J1505618411
REV-0500 EX Decetlenfs Social5ewrity NumEer
o�aemsHame� Thompson, Beriy M. _ _ _
REGAPITULATION
1. RealEsta�e(ScheduleA)... .......___. 1. 145,000 . 00
.......... ...____.
2. SmcksantlBontls(ScheOulee) ......._.. ._...... .____.. 2� 82'441 '14
3. Glosely Held Coryoretion,Patlnership or Sole-Pmprietors�i015chedule C)....._.. 3.
4. Mortgages antl Noles Receivable(Schetlule D) __._.. .......__. 4.
5. Cash,BankDeposdsandMiscellaneousPersonalPmDerty�SchetluleE)..__._. 5. 133.248 • 70
6. Jointly Ownetl PmpeRy(Schetlule F) [� Sepa�a�e Billing Reques�ed_.._...._ 6. 6 +916 • 6❑
'!. Inter-Vivos T2ns(ers 8 Miscellaneous Non-Pmbale Property
(SchetluleG) � $epa�ateBillingRequested_......... ]. 182,269 • 27
8. Total Gross AsseLs(total Lines 1 lM1mugh�J _.... . 8. 5 49.875 •71
9. FuneralExpensesantlAtlminisira�iveCosts(ScheeuleH)...._ .�__.... � 9. 41�657• 76
10. DebisofDeceCenl,Mortga9eLiaCilAiesantlLiens(Schetlulel).__._....._.._____. 10.
it. To�alDeductions(rotalLines9anato)._._ __..... ............ 11. 41 ,657 • 76
12. NelValueotEstale(LineBminusLinell) ......_._ ........__. 12. 5�8+217 •95
13. ChanlableantlGovemmenlalBeQuestslSec9113Trustsforwhich
an elec�ion lo tax has not been made(ScheOule J)..............______.......____...... 13.
14. Ne[ValueSubjectroTaz(Linel2minusLinel3) ..___. ....._...._.. 14. 508+217 •95
TA%CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES �
15. Nmomt of Line 14 taxable
at t�e spousal lax rate,or
[ransters untlerSec.9H6
(a)I12)X.00 15. � . 0 0
16. Amount ot Line 14laxable
a�linealraleX .0a5 508�217 • 95 �6. 22.869 .B1
1'/. AmountofLinel4t�able
atsiblingrate x.12 0 . 00 ��. 0 . 00
18. Amounl of Line 14laxable
at collateral rate %.15 0 • 00 18. � • ��
19. TAXDUE . .._._.. _..._._. ......_.. _.........._. 19. 22.869. 81
20. FILL IN TME OVAL IF YOU ARE REpUESTING A REFUND OF AN OVERPAYMENT �
UnOer penal�as oi pe�ury,I tleGare I�ave eraminetl Mls reWm,inUu0lnB acco�M�^9��ed ges an0 e�a�emenR,antl b Ne bas�IN my knaNv�anU Eellei,
IIR�NG,W!lCLlBlIdN10PINP.CGL18f8�10110�0lEp3RlONBl�IId001G�2lWlIRS OSiEIGIOlfl110 MGRIYT13085EUO�dIIIfIlO1111d�1�fIMWhIC11 Rf1135
any k�wMeEge.
SIGunT� RE OF P PONSIBLE FOR FlIING RETURN Edward J.Thompson �AiE
b / � li�i /S
1
ADDRE55
709 Nikelle Lane,South Abin ton Township, PA 18411
sl�+nrursE oF vaEanREa orHEa rw.N aEaRESEHrnnvE Lauren E.Kays 9"�E
-ty�{�M1y IO/l/�/.J
NODRE55
One West Main Street,Shiremanstown, PA 77011
I IIIIII IIIII IIIII IIIIIIIIII IIIII IIIIIIIIII IIIIIIIIII II�I IIII Side 2
L1505618411 150561E411 �
PA Inheritance Tax Return
Signature of Additional Fiduciaries
ESTATE OF FILE NUMBER
Thompson, Betty M. 21-14A985
Under penapies o(perjury,I declare lhat I have examineG��is retum,inclutling acwmpanying schedules anC s[atements,antl to�he besl of
my knowletlge antl belief,il is Vue,corred and comple�e. Declaration af preparer otherthan lhe personal represen�a�ive is based on all
infortna[ion of which preparer has any knowledge.
Signature#2 (y/.p li✓ �
Name oav'aw 7nomcaon
Add�e551 1'!North Broatl Stree[
Atldress2
City, State,Zip wa n boro PA il]68
oate � � -5�
REV-1500 E%Page 3 File Number 21-14-0985
Decedent's Complete Adtlress:
DECEDENT'S W1ME
Thompson,Belty M. . . . . .-- � — � - -
STREETADDRE55 � �
5216 Cobblestone Drive _ _. - - — -- -
— _ - _—. . _— _ . . . . � I STATE ZIP � . ..
CITv pp 17055
Mechanicsburg
Tax Payments and Credits:
1. Tax Due(Pa9e 2,Line 191 (1� __ 22,869.81
2. CreditslPaymenis
A. Prior Paymenis 22•y��'�B
B. Discount 1.143.49
Total Cretllts(A +B) (2) __ __T3,473.57
(3)
3. Interesl — —-�
q_ If Line 2 is greaterthan Line 1�Line 3.enier t�e diRerence. This is ihe OVERPAYMENT. (4) . _ 60376
Check box on Page 2,Line 10 W requesl a refund
5. If Line 1 i Line 3 is grealer iM1an Line 2,ente�the tlifference. This is the TAX DUE. (5) _ _ _ _ .._.
Make Check Pa�able to. REGISTER OF WILLS, AGENT
�e-� -�-� �;.�;� *.. :��� �� , � . �x _ , �� _�.>'
-_ _ � _ � � . .. � . ��,. ,-
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. DitlEecetlenimakealransferand-. ves No
�
a. retainMeusearinwmeoflhep�operty�ransteiretl ....__. ��.. �— � �x
b. retalntherighltoEesignatew�oshalluselhepmpertytranskrtetlonts ncome ... ��- r I rJ
c. re�ain a reversionary interesC,or --...... --�� "' x
j 1 x:
tl. receivethe0romiseforlrfeafeilherpaymenls.beneffisorcare�._.. __ -��� — �
2. If Eeath acwrteE afle� Oec. 12, 1982 tlitl decetlen� transfer propeM �'ith n one year of tlealh wi��out u LF I
receivingadequateconsideralion9_._ __...... .__...... ._. __. __.
3. Oid tlecetlenl own an"in tmst for' or payable u0on tleath bank account or securfty al his or her deatM....... 'x�. -.
4. Ditl tlecedent own an intlividual relirement accoun�,annuM1y,or othe�non-pm0ate property which � r I
wMainsa0enefciarytlesignation2... ........-. .......--- ......... L
....._....
IF THE ANSWER TO ANY OF THE ABOVE�UESTIONS IS YES,VOU MUST COMPLETE SCHEDULE G ANO FILE IT AS PART OF THE RETIIRN.
� . . . ��_�. ' .,.:` '. , . . ,' ��.; _ . `,:. ,::�. ..L:x � l. . .
For tlates M tleet�on or afler July 1 1994 antl before Jan 1.1995 ihe�ax rzte Imposed on Ne ne�value of Varefers�o ork���e use of ihe survrving spouse
is 3 percent I��P.S.§91761a)(1 A 1(i)1�
For tlates of death on or afier January 1,1995.the�ax rate imposed on t�e nel value of Vansfirs to or for Ue use of the surviving spouse is 0 percent
�12 P 5.§9716(a)(1.1)(ii�]. T�e staWte tices not exemp�a txnshr�o a surviving sDouse from�ax,and�he staWtory requiremeMs(or disclosu�e of assek and
filing a Iv reWm a�e siill applicaDle even if Ihe surviving spouse is Me onty benefivary.
For tla�es o�death on or afler July 1,2000'
. Thetax2teimposetlonthenetvalueotVanskrsfromaderRasetichild2l yearsotageoryoungerattleathtoortoriheuseofanaturalDarent,en
adoptive parent,or a s�ep-parem Mihe c�iltl is 0 percem I��P-5.§9116(a)(1211
• T�e tax rate imposed on the net value ol i2nslers to ar�or Ne use o/�he tlecetlenfs lineal Gene(idanes is d5 pe�cent,ezcep�as notetl in(]2 P.S.§9116(a)(1 j].
. The tax rale imposee on ihe net value of t2nsfers to or fo��he use of Ue Cecetlenfs siblings is 12 percen��72 P S.§9116(a)(13)]. A sibling is tlefineQ
under Section 91a2,as an inGivieual wAio has al least one parent in common wilh Me tlecedent whe@er Ey blootl or atlop4on.
0.er-1W2E%��13-131
SCHEDULE A
pennsylvania REAL ESTATE
oevna.rneHr oc Reveuue
INXERIiPNCE iA%RETVkN
REsioEN1 oEceoenl
ESTATE OF FILE NUMBER
Thompson Betty M. 21-14-0985
ai,wio,o�^°w�a.�d`Mwuiireo�v�:�a�,`.�iim��ie�`�.ine�w•a•�r•�naeme••w•.i.eo�nn'i�ai�e�ieaeeiai'owi'ao•�or'uerei.�a��na�•n�ieee
e� � qqlpropeMMallafWMlyromwEwll NgMalaurvlvwMpSmutlEeEla[IauOonec�etlubF.
Ptb[M1�capY e���eMem�M MN1 HM�pMryhy�n Uxn�OIJ
mnw..�opy wm.a..a.iw�..�y awwenr.ims�a.wow�.a..�.nam m�om,�o�.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
7 Real Esfate-All that cerfain piece or parcel of real esfate having thereon e�ected a dwelling t45,000.00
unit known antl numbered as 5276 Cobblestone Orive,Mechanicsburg, Pennsylvania. 7he
properry was acquiretl Oy Ralph W.Thompson and Betty M.Thomspon,husbantl antl wife,
by tleed dated August 13,2009 antl recortled September 3,20�9 in the CumbeAand County
Recorder of Deetls O��e at Instrument No. 200927098,a copy ot said deetl is attathed
hereto and incorporatetl herein. The said Ralph W.Thompson died June 22, 2014,
whereupon tull antl complete tiLe to the within tlescribetl property became vestetl solely in
BeHy M.Thompson,the decedent herein. The above-0escri6ed real estate was soltl
pursuant to an Agreement of Sale tlatetl April 26,2015,a copy of which is attached hereto
antl incorporatad herein. Final seHlement took place on May 29,2015. A copy of the deed
conveying thia real estnte,along with a copy of the Settlement Sheet are attached hereto
antl incorporated herein. The sale price of the real esGte was E145,000.00.
TOTAL IAlso enter on Line 1, Recapitulatlonl 745,000.00
Qt more space Is neeEeO,aaai�ional pages ot pie same srse)
CapyrigM(c)2072 bnn soMxare only The Lackner Group,Inc Portn PA-1500 Schedule A(Rev. 1242)
.- _-- � --------
� � :� io4 �
`,.�.`" II�II���II�
0001UN
Tax Parcel No. 13-24-0793-162-U5216
THIS INDENTURE,
MADETHE /✓�" day of /lu,7u5� , two thousand nine
(2009) �
BETWEEN MICAELLE THOMAS, F�cecutrix of the Last Will
and Testament of EUGENE E. HEERS, late of
Mechanicsburg, Cumberland County, Pennsylva-
nia, party of the first part,
altd RALPH W. THOMPSON and BETTY M. THOMPSON,
husband and wife, of Mechanicsburg, Cumber-
land County, Pennsylvania, parties of the
second part:
WId+REAB, the eaid Eugene E. Beers by his Last Will and Teatament,
duly proved and recorded in the Cumberland County aegister of
Wills Office, Pennsylvania, in Docket Book 21-09-0567, Letters
Testamentary being issued on .Tune 18, 2009, provided, in perti-
nent part, as follows:
gOmtTH: In addition to all powera granted to them by law
and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all
property, exercisable without court approval and effective
until actual distribution of all property:
(A) To sell at public or private sale, or to lease,
for any period of time, any real or personal pzoperty and to
give options for sales, exchanges or leases, for such prices
and upon such terme (including credit, with or without
security) or conditions as are deemed proper. Thia includes
the power to give legally sufficient instruments for trans-
fer of the property and to receive the proceeds of any _
disposition of it. . .
SIRTA: . I nominate and appoint my niece, MICHELLE THOMAS,
sxecutrix of this, my i,ast Will and Testament. . .
_.__.__ _ -- ---�- _ ___ . _ __ ---- -
DIOw THI9 IpDENTORE 4PITN8S8ET6, that the said party of the first
part, by virtue of the power and authority aforesaid, in said
Will contained, and in consideration of the sum of One Hundred
Sixty-Four Thousand Dollars ($164, 000.00) to her paid by the said
parties of the second part, at and before the ensealing and
delivery of these presents, the receipt whereof is hereby ac-
]mowledged, has granted, bargained, sold and conveyed, and does
hereby grant, bargain, sell and convey to the said parties of the
second part, their heirs and assigns forever:
ALL THAT CERTAIN Unit, being Unit No. 5216 (the 'Unit") of Wesley
Mews Condominivm (the 'Condominium' ) . located in Lower Allen
Township, Cumberland County, Pennsylvania, which Unit is desig-
nated in the Declaration of Condominium of Wesley Mews Condomin-
ium (the "Declaration of Condominium" J and Declaration Plats and
Plans as recorded in the Office of the Recorder of Deeds of
Cumberland County in Miscellaneous Book 554, Page 902 and in
Right of Way Plan Book 11, Page 95, respectively, together with
any and all amendments thereto.
TOGETHER will an undivided percentage interest in the Common
Elements as more particularly set forth in the aforesaid Declara-
tion of Condominium and Declaration Plats and Plans, as last
amended.
TOGETHER with the right to use the Limited Co�¢non Elements
applicable to the Onit being conveyed herein, pursuant to the
Declaration of Condominium and Declaration Plats and Plans, as
amended.
BEING the same premises which Wesley Mews Limited Partnershi8. a
Pennsylvania Limited Partnership, by deed dated March 9, 1998 and
recorded March 27, 1996 in the Cumberland County Recorder of
Deeds Office in Deed Hook 174, Page 225, granted and conveyed
unto Eugene E. Beers and Violet D. Beera, husband and wife. The
said Violet D. Beers died March 27, 2006, whereupon full and
complete title to the within described real estate became vested
solely in Eugene E. Beers, surviving spouse, the Decedent herein.
The said Eugene E. Beers died June 19, 2009.
UNDER AND SUBJECT to any and all Covenants, ConditiOns, restTiC-
tions, rights-of-way, easements and agreements of record in the
aforesaid Office, the aforesaid Declaration of Condominium and
matters which a physical inspection and survey of the Unit and
Co=mnon Elements would disclose.
_.___ _,___� ,--- _ --______ .
The Grantee, for and on behalf of the Grantee and the Grantee•s
heirs, personal representatives, successors and assigns, by the
acceptance of thie Deed, covenants and agrees to pay such charges
for maintenance, repairs, replacements and other expenses in
connection with the Coimnon Elements, and the Limited Coimnon
Elements appurtenant to said Unit, as may be assessed against
him, hez, them, it or said Unit, from time to time by the Execu-
tive soard of the Wesley Mews Condominium Association in accor-
dance with the Uniform Condominium Act of Pennsylvania, and
further covenants and agrees that the Unit conveyed by this Deed
shall be subject to a lien for all amounts so assessed except
insofar as Section 3407 (c) of said Uniform Condominium Act may
relieve a subsequent Unit Ovmer of liability for prior unpeid
assesaments. mhis covenant shall run with and bind said Unit
hereby conveyed and all subsequen[ owners thereof.
TOOETIBR with all and singular the rights, liberties, privileges,
hereditaments and appurtenances whatsoever thereunto belonging or
in anywise appertaining, and the reversions and remainders,
rents, issues and profits thereof, and all the estate, right,
title, interest, property, claim and demand whatsoever of the
said Eugene E. Beers at and imnediately before the time of his
decease, in law or equity or otherwise howsoevez, of, in, to or
out of the same:
TO SAVB 11ND TO 80LD the said granted premiaea to the said parties
of the second part, their heirs and assigns forever.
]�D the said party of the first part, does covenant, promise,
grant and agree, to and with the said parties of the second part,
their heirs and asaigns, by these presents, that the said party
of [he first part, has not done, committed, or knowingly or
willingly suffered to be done, any act, matter or thing what-
soever, whereby the premiaes aforesaid, or any part thereof, is,
are, shall or may be charged or encumbered, in title, charge or
estate, or othenvise howsoever.
IN 7iITNE88 WHEREOP, the said party of the first part has here-
unto set her hand and seal the day and year above written.
eiqned, Soslo9 eaE Dalivared
ia the Preaenee of
'"�Y�zch.,-� � rn� cs�.�
MICHELLE THOMAS, Executrix of the
Estate of Eugene E. Heers
STATE OF MZNNESOTA .
. SS.
COUNTY OF FJ`Q¢,IooY'r .
On this, the �J�day of au' 2009, before me,
the undersigned officer, personally a eared MICHELLE THOMAS,
Executrix of the Estate of Eugene E. Beers, known to me (or
satiefactorily proven) �to be the person described in the forego-
ing instrument, and acknowledged that she executed the same in
the capacity therein stated and for the purposes therein con-
tained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal .
;Y�Gk� 111aac (�la��u.��sE�,,
mota eublic
My Co[mnission Expizes:
�YRWE N�ERNER
NOfMYR611C•MINNESOU
� �rc�r,p�sx,,.m.m�o
CERTIFIGTE OF R88IDENCE
I do hereby certify that the precise residence and complete
post office addreas of the within named grantee is:
5z�� c�S�r.�,4. Q�w-
I�Rt.�N1c1, d0.. \'��}�
�� ,_` � 2009
�!'� >
Attorney/Agent for Grantees
� � --- -
ROBERT P. ZIEGLER
RECORDER OF DEEDS
CiJMBERLAND COUNTY
ICOURTAOUSESQUARE
CARLISLE, PA 17013 � '
717-240.6370 - � • ' -
—�...,..<.-
Instrament Namber-20093I098
Recorded On 9/3/1009 At 2:53:00 PM •Tohl Pagee-5
•lostrament Type-DEED
InvoinNumber-51773 UurID-JM
*Gnntor-BEERS,EUGENE E
•Gnntre-THOMPSON,RALPH W
•Cmtomer-REAGER
�FSES
ST71T& TRTN38ER TA8 Sl,e<o.00 Certification Page
STATE 9Rt2T TAR $0.50
STATE �csiuczss xo gio.00 DO NOT DETACH
JUSTICE
RECORDING FEES - $11.50
RECORDER OF naens This page is now part
PAItCEL CBRTIPICATION gio.o0 of this legal document.
I+'SES
AFFORDIIBLE HOUSING $11.50
COUNTY ARCHIVES FEE $2.00
AOD AAC8IVS8 FEE $3.00
WiST SHORE SCBOOL $820.00
DISTAICT
LOpEA HLLEN TOtiN3HIP $820.00
TOTAL PAID $3�328.50
I Certify this to be recorded
in Cumbedand County PA
R�/ �
•-Idorvution dnofed by on�Ntruk wy tbaoge dudng
the verifiution procese nd nq nat be reOevtM oa Ihe p�ee.
00n0tl1'UN II
IIIIIIIIIOn�Ntll�
uocuaign cnveiope iv.�nwnyia�aino�ecz<-nare-eeccn�.onn�r
STANDARD AGREEMENT FOR THE SALti OF REAI.FSTATE ASR
Tii+fortn acommvn4M enl.qncved lx,W i no�mbineG m we E..LL¢mem6en u(Ne Penrsyirmia n�emiatianatRulmnB(PA0.1.
PARTIAS
BWER(S):Joa�ne M. Failor � � — S6LLEN(S): 7{„ p�¢•� GJ 4-
Rs,FI- - l�-� Th s
t �L'�u�— �_—
!
96�YER5 MAiL[NG AODRFSS: SELLER'S�fAI61IiG A�DRESS: ��� �
4'! Syoamoxe ➢r. , Machanicsbvrg,PA ' '� �
_ _— .
PHOP6RTY
ADDFtFSS(ivdudingposhlciry) 5216 Cobblasconr_ Dr Mechanicsbvcg PA __
Z.II' 1Y055
io the mwicipatlly o( Lovec Allan , _,Cnnr,ty of Cunbexland _
inlheSchoolDisVic[afWest Shore i�rAeCommonweelNofPwnsyl•w�ia
TM���1�6�� _ A11�/O!
IAentificaiion(e_g.,ParceiM:Loc.Hlock;IRed Book,Page Rccortling Da¢):___ � —. _
_ _...�
SUYER'S ARLAT[ONSHIP WITH PA LICENSED BAOAFR
�Na Bvsi�ess Relationship(Buyer ic not represented by e broker) _
tlmFu(Company)O_Anvelo Rea1ty Gxoup Li�veep)(Kartu;)Suzanve R. Colacicco_
CompanyAdEras fite eciave se. xev cwbezlann, ea Di�m�Phone(s) (71'!)939=5969 ,_ _
lvaio Ce1i Phone(s7
CompznyPlwne ('/19)'1'!G—"I'/91 _ Pax
Company�az _ Emails colaciccoPcomcast.net
Bmter ie(eheck mly one):� Licen.ee(s)un(check anly one)�
�BuyerAgwqEtmk^.raprusemsDuycroulyJ � RuyerAgu¢(illcompanylimn.ueueprexmHuyc)
❑DualAgenr(SceDualmd/orDesignamdASm�boxbelnw) IOltuyerAgentwi�iDesiyretedA6encylontyLicense<lslnvned
a�ovc mprurn�euycr)
❑Duel Agent(See Uual¢oAlor Ihe'igna¢a Agrnt box beiow7
� ❑Tnnmdion Liceusa(Bmk�r.nd Licen�ee(s)pra.ILe rtal anm scr.i<es bvl do nocreprcxm Buycq
SELLER'S RN I,ATIONSHIP WITH PA I.ICF:NSED BAOKF.R � �
❑Na B�aivess Relatioaship(Sclleris no[mpreunled by a broker) _ ___ —J
Amkcr(Company) Coldwell Ba�ex Licensm(s)�Yanm)1M.ttheK Gz ee ne _ _. I
CompaoyAtl@ecs � D'urciP�ane(s) (719)920-8;656 _
Cdl PM1onc(s) '
CompanyPhone (019)963—"1500 Paz _ __ _
COI[I�1NYI'dS _ EIIILI __ _
��oker is(chttk ony one): Licensee(57 is(c�wk only ane)-
0 ScilerAgenl(Hmkercepcesenb Selfu oWy) �Seucr Aymt(ell company licens�sx rcprecen�SrLu)
❑Ou.lAgme(SeeDaal>nNmllmignatrdAgemtwxbelow) ❑StllvAgmtwi�M1lleeigmtctlA¢<ncy(oNyLicrssqs)namW
- ebovc repreunt Sclkq
❑Dud A6�^�(See Dual aud/or DesiR���ed Agent boz klow)
❑7nnsactlon Ci<ensee(HroYer md I,icenscc(s)pmviAc rcal atate smices bw do no�mpcesent Seller)
DUAL AND/OR DESiGNATED AGENCY
A Bmker is a Duat Agent whcn a Bmk<r rzpro'ents boN 8uyer aod Seller in the same crosaetim. A I.icenem is a �ual .4gcm when a
licensec rrqrrsen6 Huycr and Seller in �he sv�w rcansactlon. All af Brok�i s Gcenuss ue elso Dual Ak<nu fJNLESS �here are sepuaa
DesignatW Agen�a fur Buyer anE Seller.If @c sune Licenuc is designa¢d far Buycr end Sella,Ne i icensec is a Dual AgeN.
By signing Mis Agrzrmen4 Buyer nnd SeOer uch acknawicdge haring b¢n previo¢sty inmrmed of� and consentrd lq dual agency,
JapPliw6le, _'" np��sr os
Barerinitfab. � /_ ASRPcgelo�U ��vW '�t=1—� C T
�/ I Pennsylvania Association of Realtors` cnrrucx�rrF;nrvsvi,vnv�nnssocasrm. o0.se JIs—
�'�XLF10.�k4TYGMOIIPIMC.0I�BPICGESiNEWNAfAFRt�ND.P.\tlUl4 FNrtnJI]-0YSWI I'n: lll.A<.1l]: I�wneMFiiln
+u.m.RCdriw RMCM�itlialcm6pytpbpi�lp]]OFM1mnIN�PpM.Fiss.Alrliqan�9016 'xi-ii='rt_T..
rveoibn nvc M �v.�v.v..�i��o�o-...........��� �....�...�... ...�. ��
, t. By this Agreemenk do+� ==1 zc zois
Shcv hereEy agrta to 5eL aod eonvey to Buyer,wha egrees tu purchau,the Idmtified PropeR'y.
3 2. PURCAA9E PRICE AND DEPOSITS(414)
4 (A)PurC�esePrim55145 000.00
5 ( One Hundsed For -Five Thousand U.5:Dollars).robepaidbyBuyerasfallaws:
� de s 5 if m[s ecifed)of Faecuuon DMe,
] L Initlal Deposit.wilhin Y ( P s 5�000.00
g if�wt included with�his Ag�eement: E . .
9 Z. Additional Deposif wilbin�daya oC�he Cxecution Da[e: 5 .
10 7.
I I Remaiuing bslence will be paid at seNemenL m�l be aid bY �� ��r's cM1ak or':wiretl tunds. All fw6+Pald bY BUYer
12 B)All Nnds Psb bY HuY<*�indvdtng deposib� P
�� aifhln 70 days of settlwen4 M��uding funds paid al seHlemen4 Mn be b}' os�'�er's check or xir�d fund& but not y p«'
�a sonalchttk.
15 (C)Ihposi�a,rega[dless of the fonn of paymea[,Wi116e pe3d in U.S.Dollers co Bmker for Sella(ueless otherwise stated erc:
16 licable Iaws and rcgulatimvs until mns�mmation a ten
1'1 who will tetmn deposiLs in en escrow account in wnPocmity with e�� �PP
IN mivelion af ihfs ASumuM1� Only rtd utaa brokers e+e ttqu'v'A to hold deposib in ncwrdence K"� �N^'�e uecuhov ot Nis
�g �e SW[e RW &tam Comrttissioa CLecks mnder� as dcposit moNes may be held uncushed p�nd� B
20 A6�mcnt.
21 3. SELLER ASSIST Qt App4ca�le)(1-t0) Qi %of Pu¢M1i e Price(0 if mt apecif7W)roward
22 Sellu will pay$
23 Buyefs ewsta. es Pam�tted by �e mongage lender. i( my. Sdia le only obligeted to pay up to �e amoun[ or pucen[age wNe �s
]p aPProved py m�rt8a6c lender. .
z5 4. SE7"CLEMC�Nf A1tlD POSSFSS�ON(4-16) ,or befoa if Buyw and SeLLet ag[ee.
?6 (A)SettlemenlDamuMa 29 2015 Y nom�al busines houw, udess
2] (0)SeNemen[ will occur N 1�e rouvty w'he�e We Propeory is located or in en adjecen[ coun� !during
2g Buytt and Seller egee oNe[wiu.
�q (C)A/ time of scttlemeN, �ha following will h P�o-m� °n a daify bosis belweeu Huyer and Sella. rcimbuvsinW���Lsewer
�p �yRept fyces; renw; intamst an mangage essumptlons; coudomi�tium hea md homeownw� associatlon feu:
31 fxs, roBeNer witli my othu Iienable municipal se�vice fas. All chugee will h procazad fan the p�+ioe(s) covercA. Sellu wBl pay
R up to aM���uding Ne dam of aeWemenl end Buya wiil pry for all days following settlemen4��ss oNernise sLLled hett:
a7
36 (D)Por W opous of pmnting aal utare tuu,lhe"periods wvemd"are az follows:
35 l. Municipal tezbills foc allcounfies avd munidpal��d Samton'Schao D�str:cts ere for Hie �uiod fmmU7e^uary I m December 31.
DG 2. Schoal tu btlls far the PhiladdPhia. Pitaburgh
3] School tex bills Por aLL ather school disWe[s aze Cor Ne peciod trom luly 1 ro Iune 30. —_
3E _ (E)Conveyance from Seller will be by fee simple d«d of special wartanlY unless o�he�wise s[flkd hue:
3Y
40 (I� Payment of vensfer texea will be divided rqually be[ween Buyer a�d Shcer unless othe[wue sts¢d hcm: �--
41
42 (G)Possession is to be delivUed by dceJ, e�tisting keys and physicel possession m a vacam PmPetty frce of debris, wi�h aR st[ucWres
a[ da and fime of settlement unless Selleq befatt signing this Agreemenq ha's identified �n w��o6�et tAe Pmputy
43 broom-dea�, Y
y¢ is svbjeeo ro�Iesse-
45 M)If Seller has identified in wdtin8 tAet N� P�°Pe'�Y is subject to�lea� possession is �o �Y at dacdend tlmeot 6ettlem ntYSeller
E6 assignment of existio6 leases fw Ihe Property.rogaMs with secu tor�the Pro ett l without �he wdttenYwnsent of Buyu. Huya wiil
p7 µ911 pot enter inm any new �usu, eor exlmd uis4ng leases. P 9
aX acknawlWge existing leau(s) bY �wna�^g �e leue(s) at fhe execution of fttis Ag[eement uNess o�fierwise s[attd 'm Wis Ageement.
49 ❑TenanbOccupied PruP�KS Addendum(PAR Form TO�is atfarLed and made p�rt a[teis Agceement.
sn 5. DATFS/fU1L+LSOPTHEESSENCEp-10)
51 (AJ Written ecceP�°"a�°��P�u w��be on or bePore: ril 27 2�15 �e of eu obligations M ��s Ag���nt are of Ne
52 (H)'[iro Settlemen[ Dffie md ell oNer da[es and limu idevlified tor fie perfomi Y
53 essenceandorebiuding.
55 (C'geend/or�ini�a�inB lt For P�uposese^of �his Atga�entBtL n�m�e1of deYsewJl be munredefr m We�Fsecu onreDate�ez 1 dn6 .
56 Ne day this Ag�en[was execumd and iocWding Ne lut day of the tlme period. A➢ �hanges to t6is Aqree���e^t ahovld be lnl-
57 tla1W and dated.
58 (0)'Che Senlement Date is not exrended by any olhe[ proviaou of this Agreement and may onty be exmndW by muNal wnlmn agrec-
59 ment af ihe psnlu�
y� �E� � time pedodsdare neg ti ble and�ma 6e�chengW� Y�k�6 out iho pm prinud re�� e�d nsenin8ediffemnt romu ecceptable
62 m eIl paztius.excep[whue reso-icred by law. �
os os
� Sdkrld : B�/�
63 evlerinWde��__
ASR PoSe 2 N I3 l_
vraeucetlwiN:4�^bMelp�g' �BONFlXeanhYeRoadFraur.Msnigan1002B >i ��.:f_n:'!ca�. M.T�R�
,.,� ��a�� ��. ,.v��....,,.�.,.,�,.-.,,.,,.�....-.,,.��-�,..,�....,,. ...,�
l 6. 7AMNG(414)
Paiture of �his Ap{xment [o conevn the wning classification (excep[ in cuu whca Hie proµ+rtY i�d each parcel Nercof, if mbdl-
vidable� is mned solely oi primarilY m pamit sivglo-farniiy dwellings) will ttndu this Agmement voidable ae Buyer's option, end, if
r voided,eny depusits mnderzd by tM1e Buyer will be rcwrned m We euyw witham eny«qu'uemeo[for court ec6on.
i Zoning Classlllcatioo,va sM foAh in Ne loeal wning ordloance: Residential
� 7, pqX7'pRFS AND PERSONAL PROPERTY(414)
l (A) INC[.ODED io this sele, unlese oNuwise s�sted. aze ail e�tisbng imms penreneuuy instWled'�in or on �he Property, f�ee vls',spu
end o(ha items including plumbing; 6wting, rediato+ covers; �ighung fixNros (including chandeliers end ceiling fans); p
and hol lubs (induding covers and clenning equipmenp; elecme animal tencing systems (excluding colle�z); garage door openers
� and VensrttiRe`s: [devision mhenes; mowtlng brecke¢ aM herdwace Eor mlevision and souvd equipmw4 unpotled slwbbery.
t plentings aud trces; smoke detarors and carbon monoxide demerom; sump pumps; amag< sheds; frnces; mailboxes: well a we11
caryeung; evsting window screens, sto�m windows end ecrceNswrm doors; window mv,erinB hardwaee O��uding rads and
� brecketc), shades and blinds: ewnings; buil[-in eir conditioners; built-in applimces; the rmi6dovm; any rt�vning heeGng end
I cooking fuds smrcA on th<Property at @ie time of uMemenk end, iY owned. wamr Veatmenl�ys�ems,propvm tenka,catdlite dish-
S esendsec�vitysys[ems.Alsoinclueed:all existin a liances
)
) (e) '@e following ihms are LEASE� (not awned by Sella). Contact fie providu/vendov fmlmbre +�Ca�etion (�.g.. watu o-eatmen�
I sysmrtu,propane wNca.sstelli[e dishes and securily systana): .
2 (C) P.7CCLUOEDfixlurcsandi¢ms: �
3
s q, MORTGAGE CONTINGENCY(41G) �
5 � WAIVED. 7'his sele ic NOT wnfingent on mortgage fiuencing, aLhough Buyw may ob[ain mottgage ftnavcing avd/or Ne paz-
5 fies may inciude en appraisel rontingency. '
7 ❑ EI,EGIED.
e (A) This sale is eonlingeN upon Huy<r obinining mortgage finmcing eccarding ro Ne following mrms:
9 FSrst MoRp6e on 1he ProPer[y Second MortgaB�ou tM1e Psoperly
p Loy�Amaunl$ Losu Amount S
I Mioimum Tern yeers Midmwi Tertn �.years
2 Type of mortgage Type of mcetgage
3 Por cromentlonil loans, We Loen-To-Veiue (LTV) relio is nol m For ronvenGoml �oens, % Loan-To-Vffiue (LN) �aVo is not W
4 exceed % exceed
5 2viatgage 1<nder Mongage Iend«
6 %'�howeva.BuyeH�u+to accepl Ihe
] Imems[m[e %:howevc.BUY�'vg[eea to atap[Ihe Ime2s[tate
g ����}e m may be rnmmitted by Ne mortgage lender,nM m[erest ole as may be cammilted 67 th< mortgage knder, not
9 m exceed a ma�imum iororest ra[e ot %. to exceed a ma<imum inarest rem of
W Dismunt poinn, ben wigination, loan pIs«m+.vt and o�her hea Diswunt po�n¢, lom origivalion, loan p�acement and oWu fees
0� eAarged by Ihe lendec az a pucenlage of�he mottgage loen(exclud- chazged by�e lendv as a percentage of ihe mortgage Ioan(exeWd-
o2 ieg any mortg�ge inswsnm pttntiums oc VA Ponding f¢) not w 1n6 anY mortgage i�umence pmmiumv or VA funding he) not lo
m exced %(0%if na specified)of the mortgage loen. exaed %(0%if'aot spec�ed)of Ne mangage loan.
04 (B) Mortgage Commitmmt Dale
OS Upon receiving a mongege cavuvitlnurt(s).Buyu will pmmPllY deliver a copy of Ne commibuent(s)ro Seller.
oa (C) 7be Loan-To-Velue retio (L'M is used by levde�s es aoe �oo� a b�1P �aess the'v porontialirisk of n mo[tgage laen. A peeucu�e�
o7 LTV Nay be�aess�Y � quelity for cenain loans,or buyas miBht be rcqurzrd ro pay addiiional fees if thc LN exexds n specifi<
OA IevN. 1Le appmisW vaWe of �he Property may be used by levders to demrmine ihe mezimum amowl oF a mortgage loan 7'he
W appreised velue is dewmined by an independmt appeaisu, subjea ro �he mongage Iender"s underwdmr roview. and may be Aig6er
l0 or lower t6en the Purchaze Priae anNor market price of 1he prope�ty- .
I I (D) The in[erest ra�e(s) and fa(s) pmvisions in Paregreph 8(A) are sariafied if�he mongege Icnder(s) &vea Buyer r�e right ro gueo-
�p y�ree Ne intuu[eate(s) and fee(s) at or below ihe maximum levels s�a�ed. If lenda(s) givea B�yer �he eight m lock in We inmr-
�3 est ram(s),Buyer wiLL da so az leest IS days bePom Settlement Dale.Huyer givn Sd(er fhe righ4 et SeLLer's aole oPtion and
iq ¢s permitmd by law and We mortgege Icnda(s), ro roniribute financially, wiWwt pmmise df roimbu[semev4 �o Ne Huyrr and/or
15 the mortgage kMer(s)to meYe the above mottgage rorm(s)availeble ro Buyer. � �
I6 (E) WiWin days p it mt spec�ed)hom We Ezecutlan Date of ihis Agmemenl Buyer'i.will make a completW,written mortgage
I7 applicalion (incWding payment for end orduing at appreisal and credi[ c<poas without delay) for the mortgage temis and m the
IB moRgage lenda(s) identified in Pare@aph 8(A), it any, othernise to a rosponsible mo�tg'�ge lendeds) of Buyds choice. Brotrr
19 for Buyer, if any, othuwlse Broker for Seller, is nuNorized m cortununicam with the m�age lendeqs) ro assist in the mongege
20 loen procws. Bmker for Seller,if eny, is pumitted to contact iLe mMg�ge 1<nder(s) at any Itlme to delemtine Ne stWs of�he mort-
21 gage loan epplication. I
22 (F� Buyer will be In ddaalt o(Wk Agreem�nt V Buyer forniahrs false io[ormalioo to enyone concwing Buye�s finmcial anNor
27 employmen[ steNs, fails to coope�ate in good faith wiW proce.+sing the mortgege lom applicafian (includ'wg delay of Ne upprais-
:a �d), feils ta lack in inrorut ale(s) u steted in Pazagraph 8(D), or otfic�wise causes We lendw m aject. or reWu ro approve or
25 issue.a mortgagc loan cammitm�m.
os os
1fi eu)erinitlals\\ 1� �_ ASRPage3of13 5eIkrIN' :B�! �T
J l
pioJ,tep wiM zlpFmmOby xplopx IAON FlM1ean We Po�q fnw,Mtlipm�9�26 ON�e M r"alter'
,o� ��y�� ��.a��vo�,,...��.,o�,»-.��„-..,.�-�..�.�.,,,�,,..�, �.,,� ,
Z] (G) I. If Seitrr does not receive a copy of�he mongage commitmem(s) by We Mongage Commi,went Daro, Seller may a�minam Ihis
Ee Agreement by wrinen notice ro Buyu. Sellu's right ro atmina�e continues unfil Buya�IdeGvers a vrongage commivnevt to
Zy $ellec Until Seller mtmi+w�az N�s Ag�ermeu� putsuml to lhis Pacagmph, Buycr masl contlnue lo muke n 6�d filt6 effon ro
IO obtainmongagefma�cing. -
71 2. SeOer may tt�miuele 1Ais A6�men[by written mGce m Huyer efter the Mortgaga Commi�men[Dah if!he monBaBe commiunenL
77, a. Dces not u[idy th�iums of Paregnph 8(A).OR � .
�) b. Canroins any condition m[ speciCieA in tlils Agrtenwnt (e.g_ 8uyer must sen�e on anolher pmperty. an appnisal must be
34 received by �he Imda, or 'he mo�tgege commim�ent is not valid tivough the Settlement Dak) fiat is vot salisfied end/or
35 mmoveA in writing by IM1e mortgage lender(s)wi�hin 7 DAYS aRer Ne Mortgege Commi�nem Dem in Pazognph 8(B).
3e or my eztemion thueot, oNa �han tlwse condifiovs rhaz aze cusiomazily ea6sfied at m near seNement (e.g.. obteining
3y insurence,confi�ming employmenq. I
3a 3. If�his Agreement ia tertuinated pursumt ro PanyJsphs 8(GH�) W (2�� ��� �RgagE IOBn(s) 36 not ob[ained [or seNemmt,
3v all deposit monies will be remmrd w Buyer accocdinS ro �he tams o(Puep{aPh 26 and tltis Agreement will be VOID. Huyer
pp will be rcspnnsibie fot eny cosb incu¢ed by Buyer for eny inspections or �cafions oblein<d accoNing m We tams of
41 ILi.e Agrxment �d ony rosts incu[rtd by Buyer for. (1) TiLLe seuch, lit�e inamance and/or mechan��s' lien incucenre. o� any
q2 fee fot cancelladon; (2) Flood ivswaz�cq f¢e insuravce, hezaed �surmce, miu subsiden�x insureoce, or any fw (or cancel-
4l la6on;(3)Appcaise�fecs end charges peid in advenco lo mortgage lende[(s).
44 (N) lf fie mottgege lendu(s), or a prop«ty ard �asuelty insurer p+m'idinB innur'°� requ'vedl by We mortgage levdeKs), aquiru
45 ropeirsrothePmperty.Buyerwill.upouroceivingtherequimmems.delivuacopyoftheroquiceruemamSeller.WiNin 5
M� DAYS o(�eceiving 1Le copy of�he �equ"vements, Sellu adll notify Buyer whelhu Seller will make the ttquirtd rcpairs al Seller'S
av ezpense. q is iM1e Pro and
ae L If Sella mekes We m u'ved repairs ro Ne selisfflction of the mortgage Icndn euNo� inaurer, Buyer ump P�Y
49 egrtta m the RE[-P.ASE in Pengreph 28 of 11tia Agrcemeot.
50 2. ff SeLLc will not mnke Rie roqu'ved repaira,or i!Selle[fails[o respond wilLlu the etekd t4ne.Buyer wi11.wlthin 5
S I DAYS,nofify Sella of Buyei s choice to:
52 a. Make 16e rcpa'udimpmvemenu et 6uyer's expense. witb permission md eccess ro� Ihe Propetly e�ven by Shceq wNch
53 wi0 not be wueasonnbly wi�hheld�R
5p b. Taminaa Wis ABeement by wrinrn noftce m Sellv, witL al� deposi[ moniu remmed eo Buyer according ro tLe tecros of
55 Perag+aph 26 aF this Agrtemm[.
56 If Buyer 6ils to respand within the Gme s[ated in Puegraph S(}1)(2) or taJs ro rorminaYe tliis Ag[ttment by writtev notice to
5'I Seller within thel time.Bay<r will �erspt We Properly, mdce�M1e requ¢M reparsfimprovements at Buyds expenu and agrte
58 m Ne RF'l EASE in Peregnph 28 of Wis Agwement.
59 FHA/VA�tF APPLICABLE
bo (I) It is exprcssly agreed [het mtwiNsronding evy othv proviaions of this wotrec4 Buyer witi not be obtlgem�l w wmplea �he purv
a� chese ot thc Propeny deacribed herein or to incur any pennity by forfeimre of eameat money, depo%ita or oNerwise unlas Buyer
62 has been given, in accordance wiN k3[JD/PHA or VA requucmene�, a wrilten s[ammcnt by iM1e Fcderal I7ousing Cbmmissioner.
G3 VNersns Adminisaadan, ar a D'vect endoraement [.eudcr xe[ting fo�th the appniscd value ot 1he Propetty of mt le5s than
� s (ttie Pu2hase Price as slated In this AgreemmB.Buyei w01 have 1he pdvilege md opGon of
65 p�oceeding wilh wnsumma6on of tha cono-act wie6out rogeN m tfie amount of the appmiseA veWation. 7fin eppmiaed veluauon
66 is errived at w detwmiM the muimum mortgege IAe Depemnenl of Housing end Urbm Qevelopment wil� insure. FiUU das
5i pot warten[ ihe volue nor the condition o( ihe RoOerty. Buye� should wtisfy 6imself/herself thet the price and mnNtion of the
6B Property ett fleceptable.
(�g Wurnivg: SeMion 1010 of Title 18. U.S.G. Deparunert of Hausing and Urbev Development end FrAual HouFing
']0 AdministraGon Trensactions, provida. "Whoeva for �e pu[pose of. . . inHuencing in any'�a'ay �he action of such Oepuimwt
pi mekes, paases, utters or publishca avy staromen4 Wowing tl�e seme ro be fal5e shall be fined undu Ihis fitle or imprisoned not
n more than�wo years,or bot6"
77 (1) U.S. D¢pa[M1nenl af HouSing wd U[6ao Developmmt (NOD) NOTICE TO PURCNASERS: Buyer's Aeknowledgemrnt
�q ❑ 8uyu haz mceived the HUD Nofim "For Your Pmac�on: Get a Aome iuspecdon." Buyer unde[sunds the imporia�ce o�
.�5 geving an independent home inspection svd has ihought about ihis before signing N�s�Agreement Buyer uMustmds �M1et
�F FFIA wiLL no[pertorm fl home inspection ror gua[an[w Ne price or cordiHon of ihe Prope[ty.
�� (g) Ce�pfialiop We the undersigned. Selle[(s) and BuyeK%) Pu�Y �o tliis Vensaction each certify 0a[ �he lums of this contrx[
��.'1R foc purchase a¢ true a �� best of our knowleAge and belief, and Uat eny onc�r agreemrn�i enared inro by snY of fieu paniea
�,79 im m�cectian with thls rtensecfion is auached ro this Agreemeot
��.ea 9. CNAA7GE IN BUYF•B�S FQiANCIAL STATUS(4t4)
�.el In the event of a change in Huyds fmmcW smws effecring Buycls abdiry ro pure6ase, Buyu shali piomptly noofy Seller and
'�81 lendec(a) �o whom tM1e Buyrr subroitted a matgage applicatlon, if any, in writlng. A chanBe in finevcial stama indudes, but u not tim-
ie9 irod to, loss or a chevge in employmmr, fuWa w loss of sale of B�yefs hame; 9uyds having incuaed a new Cmmaal obtigation;
18a enVy af a judgmeni against Buyu. Buyer nnders[euds Wat applying for and/or incurring ari addNional fwntinl ablignflon moy
185 �tatBuya'sabWtympurchasa
I A6 30.SBLLER REPRESENTA770NS(4-14)
iB9 (A) ShtusofK'��v
ixB Sellu represents tM1at the Pmpetty is served by:
189 � PubGc Weler ❑ Community Weter ❑ On-site Wamr ❑ None ❑ �. os os
(� ASRPa6e1o/13 SellerlN :R'� ��
I90 BUY�+In11W�'�\� /_ ..
UPraa.G�er�n�o,�mh*4�m: 'emoraemu�ao.a.Fr,:�r.rsM�woze =W.oi— oenceM
- _ - - - _ _ _ I
9I (B) StvtvsofSewer ��
92 I. Seller repr�unls thet Ne Property is seived by:
g9 � PublicSewer ❑ CommunitySewageDisposalSystem O TemAcrcPumitFaeemptim(seeSewageNoutt2)
yp ❑ Individuil On-Iot Sewege Disposd S}rstem(see Sewege Nofia I) ❑ Holding Tank(u<Sewaga No�3���ble
95 ❑ Individual Oo-lol Sew¢ge Disposal System in Proximity m Well(ew Sewage NoGce 1:see Sewage NoG¢4,' epp' )
96 ❑ None(stt Sewage Nafic<1) ❑ Nove AvoilebldPemtl[Limiletioos in ERcct(sm Sewage Nafia 5)
9/ ❑
98 2. Notices Artsuant lo the Pennsylvwia Sewage Fadlifiev Act '
99 Notlee t: Therc is no currenUy edaling mmmenity sewage syatem nvdlable Por the avbJect property. S«tim 7 of �e
po Pennsylvwia Sewege Pecilitiea Ac[ provides Nat na person shall inerell. conswet requut bid pmposals for cvnslmction,
p� ¢��rs, apeir or occupy eny building or shuclwe far wLich en iedividual sewage sysUm is m be inslalled x'��out fust oblein-
02 ing e permil Huyu is adviud by tlus mtice ihe4 beforc sig�ing this Agmemen4 Buyer should contact Ihe local agrncy
o} fivged wi�h administeriug iM1e Aet lo delemtine the procedum aod ttquiremems for qblvNng a pemtit far an inditidual
pq scwage syshm, 7lie local egem.y c6arged with sdmiuis[uing jhe Ac[ will be �he municipility whne 1he Propvty is IocaRA
os ar Net municipslily working coopendvdy wi�h o16us. �
W Notice 2:TAis PropeM1y is xrviced 6y nn fodivitlual sewage system insmlled under the ten-acre parmi[exemptlov provlsions
0'1 af Seetion 7 of the Pmvsyivaoia Sewage Rve71i8n AM.(Sec�on 7 pxovidea @at a permn meY���T���fore insmiling,
OB constructing,flwazdin6%�ontact foc rnnswctiaq tlterivg.rcpairing ot wmating lo an indiyiduel aewege sys¢m wM1ere a ten-aae
pn percel or lot is subdivided fcom n parent tna aRer Jenuuy 10. 1987).Buyer is adviud thet noi4s+nd airo msting wem rwt coMuc[-
10 ed md tlu4 should the system melfun<tloq the owner af the Pmputy oc propen�es suvi«d by 1he systuv az the time of a mal-
11 fmc0onmaybe6e1d1iableforanymnteminatio4pa11uUoo,publichea��h6uaMornuisancewhichoceursasarault.
�p Notice 3; 17�y p�opel(y ts serviced �y h hotNng lank (pemmnen[ or lemponq) to whfe� sewage is eovveyed by a
i7 water cartying ryettm and whicL is daigned avd comtn�chd tn [eci7lfate ultlrtuh'd'upow� of We cemge vt aoother
�4 m[a Pursuant ro tLe Poonsylvania Sewage Fecili¢es Act Seller must provide e Nsrory uf the ammal wst of maintaining the
�5 bok fmm 16e daro of ih installa¢on or December I4, 1995,whicheva is la[er.
16 Natice 4� An Odividual eewege system has been Im�tnOcd nt an isokifon disfsnm Irlm a nell that u kas thnn Ne dis-
�7 �ynw spa111ed 6y reguleliw. The regulations at 25 Pn. Code §73.I3 perteining m mi,nimum horizonW ieolatioo dietances
itl provide guidance. Suhsation (b) Of 473.13 sfetes Ihaz Ne mioimum horizontnl isolation 'dislance behveen w ivditidud wattr
�9 supply or weter supply system sucGon line and treatmm[ tanks shaR 6e 50 fxL Subaecdou (c) of §7313 stazu Ihet ihe hori-
qp wnbl isolatlon distsuce between Ne individuel water supp�y or wemr supply sys[em siuc[ion line and 0e perimemr of the
z� absorytion uw shall be 100 ftet.
� Natice 5:7'his lot is wifhte an area in whlcL permit WntWtlons are in eRecl a�d is rvbJect to thase Wnitatiam.Sewage fazili-
23 fies aze not evailnble fw this lot and conawc6an af n swc[urc ro be secved by sewage feci4ties may mt begiv wb�W�muvicipelity
24 completes¢mejm plenning Irquimmeot pu�sumt ro Ihe Pennsylvania Sewage Faciiities Act and RgulaGona promulgaxd Nemmder.
25 (C) HistodcPraervatlon
1b Seller is vo�ewue o[�iatoric pmsuvation ros�riaions reguding�he Pmperty unW s otherniw s[aled hr+e:
2]
ze (D) LavdUxReshictioos '
2g �. � Pmputy, or a poNon of iq is subjxf to land use mstricfions and may Iw preferenGally assesseA fo[ [u pmposa undu the
30 following A<t(s)(see Notices Regarding Iend Ose Reslrictians below):
SI ❑ Agriwlmrel Nea Security Law(Right-m-Fazm Acp Act 43 of 1961;3 PS.§90l et seqJ
J2 ❑ Fazmlmd md Foiest Lend Asseasmcnt Act(Cleen end Green Program;Act 319 of I974:72 P.S.§5490.1 et uqJ
33 ❑ Open Space Act(Ac[4d2 of I967;32 P.S.§5001 et seqJ
yq � Conservarton Reurve Pcogrem p 6 0.5.C.$3631 et seq.)
3s ❑ OWer
)5 2. Notlen Regarding Gnd Use Restrictions
�i e. Pennsyhaoia Righ4To-Farm Act: The property you ue buying maybe locazed in an azea where egdculmrel ope�ations
]B take plaee. Penusylvania proacu agriculturel ¢soucces fw the pmductlon of food and agrialtu2l producis. 1Le law lim-
39 i�s circumSteMcs whwe no�mal agriculwrel operelions may be subject m nuise�wc Iswsvits',,or restr:ctive ordinances.
ao b. �nn a�W Grcen Pragnm: Properties ekoLLed in We Clean end Green Prop{m� recerve pafuenual pmputy 1u as%ess-
4I meu� Huyu and Seller have bcen edvisrd of ihe need m <onmct the Cowty Tex Aaussment OCfia befaro the execution
42 0[ �his Apfeemmt ro determine the prop�xy �sx implications ihat will or may resWt from Ne sale of Ihe RapenY, o� �ho�
43 may asult in tlm futme as a cesult af any change in use o!ihe Pmperty oc ihc land from which it is being separered.
4q c. Opm Spatt Atl: This Act enabfes counties ro enrer into covenana with awnvx of lend designeted es fami, forest, wamr
a5 supply, or opeu space land on m adopkd municipal, wunty or regional plan Por fhe puryose o� p�est+�'�6 �° �^d as
a6 open apaa. A covenant bettveen �he owner end couvty is binding upon eny Buyer�;of t6e Prapeny during the period of
e7 time that the mvmant is in effect (5 or 10 years). Covena�tt sutomatically anew at ttie end of the covmant period unlus
ae speeific mrminnuon mtice procedures are follawed. Buyer haz bwn advised of ihe rieed eo ducruune ihe eesMcuons �het
y9 will apply (rom We aWe of ine Pmputy ro Buyu md We propeny ux impliceGons that will or may resdt from a <henge
5p in use of the Prope�ry,or any portion of ic Buyer is Ponhw advised m demm�ine 1he tesm of my cavenmt now in eHxt.
' !I us os
51 Bvyerinitf.ls:\\t" /__ ASRPage5oflJ , Se11erIN s:Q� /�
JPm1uMVMiIFFam�Tb/�x 1BS/OFlIIemMiaPdl.Fnsa�.MiCY1�m�BKK MM.
+ocuaign nvmyaiu...oivov�.-.00�-...cav..ic�a�vo..�, �o»� ,
52 d. Conservalion Reserve (Enhmaemmt) Prognm: PropMlea wvolled in the Cn�s�+n'.+���� Reserve Prob'mm or CRFP oce
53 emironmentdly-sensitive areu, Ne owners of which Rceive compensa6ov in exfimge for av agrcement w maimun the
54 land in i[s naNrel slrta Convacls lazt hom 10 m l5 yws a�d carry pendfies m Sellei if rocmineted wly by Buyer. Buyec
55 ha¢ been advisW of Ne viced 10 dc[ecmine the reshicuavs on development of t6e Property md the [ttm of any rnntrecl now
sa ln effect.SWler is edvised ro dercrtnine the finevael implications that wdI or mey asult fiom the sele of the P:opury.
59 (E) Real Fstate Seller Dise7aaurc Law
58 GenereLLy. Ihe Real Fstam Seller Dicclosure Law rcqu'ves Nal befort an ag[eemen[af sele is isigned, the stller in a residcntial real
59 estece vensfer must make ttrtain disclosuas regaNing �he propeety ro potenval 6uyers in a Ifo`m defined by the law. A �esiden-
Gp ryy� real es�ate Vansfa ix defined av e selq exchange, inebllrtwnt sales contrac[, leaw with �i� option [o buy, gnnt or alher traos-
61 fec of en inteact in rW p�oputy whue NOT LESS Tf[AN ONE AND NOT MORE 1'HAI�' FOUR RFSIDENTIAL
52 DWH.LMC ONP1'S are involvW. Discfosurts foc mndomwums end wopua�ves ece limited to IAe sellefs particulu uN�(s).
53 Discloswes regarding commoo veax or facilitiea am �w� +Ww�ed. az Nose demen[s aze al�eady addmssrA in the laws �hat 6ov-
54 em[be recele of condomivium ud coopentive inromsts.
55 (F) Pob1lcmNorPrlv�teAasessmmfs
56 I. Seller repasenh Ihal, u of We dete Sellu cigned tLis Ayttment �o p��� �mprovuncqt, condominium or 6omeowner asw
59 ciavon assessmenu hare brxn made against �he Pmpeny which remain unpaid, and that no noHce by eny govemmrnt or pub-
yg Gc ¢uthority (excluNng asussed vaiue) has bmn served upoo Sella or anyone on Sellu's behalf, including noUea relating
59 m violetions of zoniug, housing, butlding, sefely or Fue ordinances lhat mmairt wcrortecmd, ond Wat Sellu knowe of na coo-
10 dition thfltwould consfiWm a violation of my such ordimncu Nat remvn wwrtec[ed,unllssloNc[wix specified hue:
11
tt 2. Seller luiowe of no othn pomnGal notices(incWding viola6ons)evd/oc essusmrn�e[cept 8s follows:
)3
'la (G) HfghwaY�epancy Pecmit � ..
8 Mcess ro a pubGe mad may roquirc issuence of n highway occupency per.n�t Crom the Depenmeni af 77anspottetion.
]6 11.WAIVER OF COMI7NCENCIFS(9-05) �
]"! If this Ageement is canfingeul on Buyrfs righ[ lo inspcct end/ar ttpdr Ihe Property, or m ver,ify inawsbil3ty. environmenlal condi-
]e tiovs, bouvduirt. aertificeGons, zoning clusificetlon or usc, or eny o�her info[matlon ttgazding tlw Property. Buye�r�dlB u+e t�ocree�
�n ciu my o! Buyer's optlo� wi[IJn Ihe tlme+ set fort6 In fhis Agreemmt �e a WAIVEA of ih�t conHngeay Y P
g0 the Prapeety snd agreo to fLe REL&ASE in Pengraph 26 of thtc Agreemmt 'I
91 12,BUYER'S DUE DQ.IGENCFlA15P6CC[ONS(d-14)
82 (AJ Righta and Rccponsibliltlm
83 I. SEIICf WIII P�VICO 9CCG55 10 1➢30[WS mp�umufives md. az may be required by this ApJ'ce����� or by moagage lenderts), io
gp surveyars,m�oicipal officials,app�aise�s and inapeuas.All parties end Iheu ceel esrnm Gcrosee(s)mny atmnd any iespectiovs.
BS 2. Buyer may m�ke a pa-settlement wulk-thmugh inspection oS the Pcope+ry. Buyer's rigM1�t ro Hti% i�specGon is not waived by
86 anyothrlpmvisiauoffhisAg�eemenL �
R] 3. Shcer wIR hnve 6euBng and aIl utllities(induding Nel(s))on fm all iospatioas/nppni9als.
yg q, pll ivspeerors,inclWing home inspecrora,aze aulhoriad by Buyu[o provide a ropy of my inspection Report[o Bwker for euyu.
99 5. Selier Aec 16e rig6t,upon reques6 ro receive a frce mpy of aoy insputian Repon fiom tLe perty for whom it was preparcd-
a�d invesR arions (relererd ro es
30 (B) Buyer wuws ot decta xl Buyer'¢ expenu ro Mve Ne followlvg inspections, certificafions, 6
31 "Inspeccioo' or "Inspecuons") per(ormed by pro(e�sionel wvtrac[ors, hame inspecrors, engineers,
erchiMqe and athu prop��Y
ri licensed or oWer.vise quai�ed proPosaionals. AII iospecoons shelf be non-invmive, unless!oqmrvise egrced in wri6ng. If fie semc
i] inspec[or is inspectlng mott Nen one sysUm, tLe inspec[ov must comply with tLe Home Ivspecuan Ls�v. (Sw Pangaph 12(D) for
x Notices Regarding Property snd Envi�onmentai Lispecdo�s)
as (C) For eleckd InspxOon(s), Buyu will, within the Contlngency Period smttd in Puapfeph 13 (A), wmplele Lispec[ious, obinin eny
76 Inspecfion Repons or reSWts (rehrtrA ro as "iteport" or "Repwts"), end accep� We Properry, telminaze Nia Ag.ccment or submit e
)'! wrincn werective propesel la Sellcr,according m�he terms of Peregnph 13(B).
3x Home/Prope�ty inepecdoos and EnMron��Nevrds(mold,eta)
N E/ec[ed Buyu may conduct en inspectlon of We Pmperty's sVuctural wmponents; mof; extuior windows and exari Waived
p _/__doors:exh�or building mehrial, faacie, gutters and downspoutc:sxvnminB Pools,ho[Wbs aud spaz; appliances: /_
]I daviwl systemc;inrorior and eztwior pWmbing;public xewes syahms;heating and woGng sysums;watu penF
)a VaGon;elMromegnUic fidds;wertmds and flood p�aiv deGneation;swclure square footagc'mold end olAu envi-
)3 mnmentnl hazacds (e.g., fungi, indoor vr queliry, asbesmx, undergrouod srocege unks,e(cJ: evd eny otliu ittms
K Buyer may aelecL If Buyer elecu ro havic e home inspecUon of the Pmperty,es defined in the Home Inspeclion Law.
)5 ihe home inspecdon must be pedormed by a PoII member in 600d stmding of e navonel Home inspatioo uwcia-
16 6on,or a pusm supervised by a fuil membu of e natlanal home inspectlon essociation,in�accoNanca wiW t��e�h-
n ical stmdards md code of conduct or prac6ce of that associeGon,or by a propedy Gcensedlor registned cngineu o�
� anchitect.(See Ndices Regarding Propeny&Eovironmental Inspectlons) �
p Woodlnfestetion
10 FAttted Buyer may obtein a wrinen"Wood-Destroying�osect InfesteUon Iuspecfion Repott"fmm::en inspecror cenified°� ,�Waived
I I _/_e wood-0estroying pes[s pesricide applicatrn and will deGver it and all supporting documents and drawings provid-\\F�_.
iz ed by the inspecLor m Seller.The Report is to be made sausfecmry ro and in wmpiience�with appliceble lews,mat- �
I3 geg<lender�equiamenev,anNor Pedwal Insuring end Guazanceeing A6�ry requi�emevta..The[nspectian ia m h
os os
ASRPage6M13 Seller]nitlas:Q� / "r
!4 BUYer1nIW�/_ ..
PioEireEM�WFom6CyzpLopkle4]af1MmMYeFmE,Frazx.M'cliipmlB036 �EM, a�of
i IS limi[ed m all readily-visible and accauible azeas of nll swcWres on ILe Pmperty. exr?P�fences.I y�s���n
'��6 reveils x�ve io(ulauon(6).Buyer, ut Buycr's expense,may obtain n Pmpasal from a woqd-dwuo � F-
❑� dride applicalor lo veat We P[operty.If Ne Inspeclian reveals damage fmm acliva or previdus infesleGon(s),Buyu
utl mey obtein e wrinen Rcport&om e pmfeseionN contrncroq home inspeetor or svuctwnl enginea Nat is IimitW ro
�,�9 struttural damage to @e Pmperty caused by wood-desimying orgenisms and a Pmposel m repait 1he PmPertY.
i2o Deeds,ResMctlam and ZONng
i21 F.keted Buyer may invufigete usementt.decd end use�esvi<fions(including eny hisroric preservation rcsvictions or ordi-(((��� Weived
iZp __/_nauces)tha[epply ta the Property md review lonl zoning ordinancea.Buyu mey vecifylhlt�he present use of IAe�/_
iZ7 p�ppe[ty(Suth aa in-lflw quarkrs,aperlments,M1ome office,day ca[e,rou�merciil m acreertonol veFtide pehing)ie
I24 permitfed und mey elect to make�he Ageemem contingen[upon nn anricipated use.Presmt use:
i2s
�2a WalcrService
11] Elec[ed Buyer may obtein an InspecVon of Uce quality end quenti[y of the watu nys[em l�om a properly Gcensed or othe Welved
�Zg _/_wise quali[ed wfl¢dwell tsting rnmpmy. if and as [equittd by �he lospectim company. Seller, al Selkl��_
IS expe�ue.wJl lacate md provide access m the on-site(or individual)wa[er syatem. Seller will resrom the PmPury
qp m its pmvlous conditlon,et SeLLer s upenw,ptior m utticmenl
131 Radon
it2 Elecled Buyer may obLtin a fadan lest of 16e Property ftom a ceRified ituprcmr. 1'he U.S. Pnvironmen[al Promction Wa r
�3� _�_pq�ncy(EPp) advues wvecGve aclian if the nvenge ennual ezposure ro mdan ia equal m a higher tM1an 0.02�1_
❑6 working levels or 4 picoCurie�li¢r(4pCilL)�1Gdav is e nflNril,radioactive ges�hat is produced ie ihe gmund by
�35 �he wrtnal decey of uraNum md rMium.Smdies indinh tM1at exlended uposum ro high levela of redon g.s un
136 �naease Ihe riek of lung emcer.Aodon can find ita way inm any vrvspace md can pemw�e e swctuce.lf a hause
f3'I h�s a radon pmblem,it usually can be cuced by ivacesrd venlilation md/w by prtventing radan mtry.AnY Pu-
f78 son who msta,mi6geros w sa&6uudx a buiiding for radon i�Pennsylvenia must 6e certififA by the Depaztmem af
y�g p,nvimnmenmt ProlxGon. [nto�mauoo ebout mdon end about ce�ti(ed msring or �bgalion fim¢ is eveilahle
yp tivough Depenment at Enviranmwfal Protmtion,Bureeu of RadiaLon Protecfiun, 13th Fldor,RacLei Cuson Stue
s41 Office Buildivg,P.O.Bax 8469,Harzisburg. PA 17105-8469,(H00)23FCADON o�O»)�g33594.www.epa.gov
t42 On-IotSewage(IfAppllrnble) '�
1p7 pected Buyer may obtain an Inspection of Ne i,Wividual on-lot sewage Nsposel system f[om a quelified. proFessionel Wabed
�yy _/_inapecroe If md as iequiad by Ne inspection company.Selleq ot Shce['s expeose, will locete.provide eccess to,�/_
µ5 and empty Hm indiv;rio m seMemeo eSxs paragaphal3(C)for morc info�msfon��g din6[we Ind'viduel On-lot
yW al Scllei s expenx.p
yp SewagelospeetionConfiogenry.
)48 R'opeRy md N7ood Imv�snce d casualt iaaurance for Wn(vM
ipg Elec(ed Buyu may de[umine the insurability of�hc Pmpecty by meking applicafion for prope«y u' Y
�5p _/__,�he Property to.a responsible insuml.Bmker fm Buyeq if any.aW��N'�st Broku for Seller,may communicah wit6�/_
�5� ivsurer ro essia[in t6e insmenm pracesx.If Ne Propeny is tace¢d in a specialty-desigoate(1 flood wne,Buya may
Ssz be required m cany flood insu[ance a1 Buyer's espense,which mey need to be ordeced 14 days or vroa pdor ro
357 Senlcment Date.Revis�d Flood maps and chengea ro Aeduaf law mey subxtanaeLLY�ncrea5e Powre�ood�sureoa
�54 premiums or[equiro ivsurenre for fotmerly exempt pmperties.Buyer should consul[wi�h one or ma¢�ood inmo-
y55 ance aqenes regerding the need for fload insuance and po,csible premium ineceases_
�56 propertyBonndarfea
150 Elected Buyer mey wgage Ne suvices o(a surveyor, utle ebsvsclw, or oWu queliEed profusional to assess the leg Waive
+5a ,_/_descripdon, cetteivty aod focatiou of howdazies and/or qumwm of lend. Most ullm have not had fie Propeny��_
)59 surveyed es it is nat a rcquircment of proputy o-ens(er in Pemsylvania MY t�as�h�Su,wslls a¢d otiier netwel
�yp or wnstructetl barrien ouy or may not rcpmsrnt ihe we boundary linav of the Prope[ty. Any numuiW rcpresen-
36 i �arions of eize of propeny em epproximations avly and may be inaaursro.
162 Lead-Based Paint Hewrda(For Properdes 6aik Pdor to 1978 oNy)
W3 Elecled Befo[e Buya is obHgakd to pu¢hase e rosidenfial dwelling built pdor m 1979,Buyer hap the opriov m conduq Waived
366 _/_risk ususmen[end/or inspecuon of the ftoperty for tbe pmsence of leed-bazW pvn��d�or lead-based pevrt haz- �__
36S e+ds. Rega*dlos af whether this inspecllun le ehcled u�wehed, the Residmtlal Lead•Based Paiol Hazerd
i�, Reductlon Act requires a eelier ot property built pdor to/978 b proNde the BuyerIwilh an EPMpproved
�6'1 Nad haurds Intom�atbn pamphlet titled"Prolect Your Famtly trom Ixad Iv Your Homq"alooH��a 5°P'
3ve ant<form, attachcd to Ibk Agreemen4 tlivclosing Stller's knowled$e of k'+d-bnsed',paint haztrds a�d a�y
769 le�d-based Palnt recards regaNing the PropeAy.
na �v Waired
3]I pJec[ed —�—
i2 _/__
i/l
374 7Te inspetfions elecled above do na[upply ro the fallowing existing condi6ons and/o�items:
175
1]6
)P (D) Notias Regardiog Propuly&Environmmh�inspecNoue .
398 I. Feterior Bulding Mrierials: Poor or improper ieslellation of exroriar building matt�als may resull in moisNre penetrafing
)74 Ne sufiace of a structu¢w6em i[may cause mold end damage to 1he building's(came. os os
ASR Page 7 of 17 $e�r W4 �� / EJT
aeo s�r.�idn.a�.�y�C_i_ ��
�, v�m�.a.mavFo�mep:4�w. +ea�oemwnrnbw�a.F�aze�.iac�:a.nebr� �' omxM.l�nior
�ocwign nviopeiu."owonir-roeo-��.ce-enic�o��o..oiio�r ��
�P I 2. Asbeatoa:Asbextos is linked wi�A�everal advecse heW�clfcc�a,including various foems af c I cef.
182 3. Euviroomeu�al Harards: The U,S. Evvirommcnlsl Prokction Agwry haa e lis[ of hezardous substances, Ne use end dispos
ie:f al of which ere msvicted by law, Qenenlly, if hazerdous substences are fou� on o pmperry• il is the property owneta rcspon-
Ie4 vbiGty ro dispose of Ihem pmpedy. i
�tl5 4. Wetlands: Weelends are proleckd by We fedewl and slnro govaumenu. Buyu may wisfi ro M1ire en envi[onmental engineer
�86 ro investigam whether iIw Pmpe�ry is loraad in a weNmda arm m demmtine if permi6 for plaus to build, impmve or develop
SB'/ the pmpeRy would be affechd or denirA because of iis loradon in a wetlands area.
iee 5. Moltl, Etngl and Indoor Air Quality: Ndoor mold wnrnminetlm end Ihe inhalaGon of bioaemsols @acmriq mold sporos,
t89 pollev end v'vuses)have been usociered wiW allergic responses. ��
iv0 6. Addidomi Informatton: Inquiriec or rzquestt for mom information about aabesms end oNa hueidous subsmnca r�n be
191 direcled m the U.S. Emironmennl Protecfion AgeMy, Ariel Riw Bvilding, 12(q Pennsylvnnie Ave.. N.W.. WMWngtun. D.0
i92 20460, (202) 2720167, and/or the Depmment of HeeIN, CommunweLLN of Pemsylva�a, Division of Environmen[LL F7enllh,
i93 Hemsburg. PA l7@0. Infocma6on a6out indoor vr qualiry isaues is avvlable Nmugh Ne Pemsylvania Oeparlmen[ of Hwlth
�94 and may be obinined by con[acting NesltL & Welfue Building. BN Flaor Wesq 625 Porlmr SL, Hvrisbu�g, PA 17I?A. or by
195 calling I-877-727-3258.
�9e l3.IN5PECTWNCONTINGENCY(4d4)
t9�/ (A) Tne ConUngency Period is days(IO if not sprsiLed)from the Execufion Dam of Wis Agreement for each Nspection Neco-
196 ed in Paregaph l2(C).
199 (B) 6xeept a5 sta[ed in Puagnph l3(C), if the ttsult of any Inspectian elected in Parag�aph @(C) ia uns¢tiefa[ory 10 Buyac Buy<r
100 will.withiv the ehtM Cantlnge�9 Period: �
WI ]. Accept We @operty wiih Ihe infomution stamd in Ne Repat(s)end ag�w ro We RELeASE in PareSmph 28 ot�his Agreemee4 OR
W2 2. TenufoaG thls Agrtanml by written noua ro Seller, witM1 alI deposi[ monies rtWrved W Buyer according to the [emis of
iO3 Pe[agmph 26 0!Wa ApeemenL OR
IOM1 3. PrwntWeReport(qWSe14rMN�Wr�ttmCorrativeProposnlf"�opovl"1�sWg<orcecllomand/orcredkadesiredbyBoyer.
105 The Proposal msy,but is not requued m,iuclude the name(s)of e properly licenud or quelified prokssianil(s)b pufotm fhe coo-
106 rections cequcsmd in the Proposd, p�ovivons for psyment, including roturs, and a pmjaied dete for romplefian of the coerec-
107 lians. Buyer �grees thnt Seilc wiR not be held liable foc corrections Net do not comply 'vri�h mortgage fenda or govemmen[al
1oe �equiremeets if performed in a workmenlike menner uwrding ro Ne tums of Buy<r's Proposaf.
109 a. Pollowing the wd af Ihe Cootingenry Periad,Buyv and Sellu will have daya(5 if nat specified)for a Negotiatiov
110 Period. �
I❑ (l) During the Ne&a�[ian Prsiod, SeOu wiLL either agce m setisfy ell the le`ms of Buyer's Propaeal or negoliatq by wtio-
R2 [en o[ ye[bel COmmuniufion, iOoNa muNeLLy ucepmble wriuen agmmenS pA�Jing for any repa'us oc impmvementa
t13 to the Propuly end/or my credi[w Buyc a[settlemev4 es acceP�eble ro Ne mortgege lyndu,��eny.
;Ia (2) /f Sellu agr� ro satisfy all We wms of Buyer's Pmposal. or Buyu and Seller ema into anotlter muNelly acceptnb�e
IIS wrinen egreemen[, Buyu accepts Wc P(operty end egrtu to �he RELEASE iu Peragreph 28 of �fiis Agreenr,nt and �he
❑6 Nego6atlonPeriodcnds. I
u� b. 6 no muNelly acceplebl< w�trcn agrcemen[ is reached, or it Sellu fails �o respood,�during We Negotiatlan Period, with-
'�IB in days(2 iF nol�ed)folbwing Ihe end of the Negotiatlon Period,Buyer�iwill:
.IY (t) Accept the Propccty with Ihe informarion s�ao-A in the Repon(s) and agrce m the RELEASB in Paregroph 26 of this
¢0 Agament,OR
.2I (2) Teemiva[e Ihis Agmment by written no6ce ta Seller, wifi W deposit monies mNlrned to Buyer ecca�ding ro fhe mrtns
.z2 of Puegreph 26 of tltis Agrce.nent I
2] If Buyer aud Seller do �rot reaeh a mutvally aecepfable writ[ev agreemenq and Buyer does eot terminate thls
24 Agreemmt by wriltm na6ce to Selier xit6in the time allatted In Paragnp6 13(B)(3�@� B�yar wID atteP�W� P�'^PenY
25 vnd agree W the RELEASE in Pangnph 28 0(ihLs Agreement Ovgoing negotietiow ao not sum.�etlnlly .r.rend the
w Negotia�onPedod.
2'1 (C) If a Report reveaLv t6e need ro ezpend or roplace�he exisfing iodividuel on-lot sewage disposW syxtem,Seller may,within
dx daya (25 i(not specified) of receiving Ihe Report, submit e Propoaal ro Buyer.7Le Proposa(will incWde, but mt be limited to. �he
29 name of We wmpeny to per(orm �he expansio� or mplacemenr, pmvisions for paymeu4 �cluding a�esrs; and e pmjedrd com-
30 pletian dero for mrzcctive measuas.WiWin 5 DAYS of nceiving SeOcr s Proposd,ai i(no Proposal is proNded w(W1n Ne
3 i 4ated tlmq Buyu will ndiPy Sellu in wriling of Buyer's choice to:
32 I. Agme ta the tecros of fhe Proposal,eccept the Property and a�¢to fie RELEASE in Peregrsph 28 of Nis Agreement,OB
�37 2. Taminate Wis Ap{eement by written notice m SeRu, with all deposi[ monies �aumed m Buyer according ro the tums of
34 Puny�nph 26 oF tAis Agreement,OR
35 3. Aaept tLc hoperly end Ne existing sy¢tem and agae ro Ne REI.EASE in Paregraph 26 mf Ifila Agreement If rzquired by any
w mortgage lendec end/or eny govemmentel amhority, Buyu will co�rect the defrets befo�e�jsenlemeut or within �he time aqu¢ed
3'/ by the martgege lendc ond/or govemmentel auNority, et Buyer's sole expense,with pumtasion end accus ro Ne Property given
3R by Selleq which may mt h mueaaonably withheld. If Seller denies Buya permission and/or access to m�ct the defects, Buyer
39 may,wiRiin 5 DAYS of Seller's deoial,romtinate Ni6 Agrcement by writ[en nofiw ro:5dlcr,wiN a�l deposit manies rewmed
40 ro Buyw according W fhe te�mx of Pazap{ap6 26 ot ttis Agreemene '
4I 1( Buyer fWls fo respond willtin ihe time staeed in Paragaph I3(C) or feils w telminefe tltis Agreement by written naVice ro-
42 Sellw wii6in Ihat�ime,euyer wfll acupt We Ptoperty ond agree to Ihe RELEASE in Peragraph 29 of t6is Agreement.
os os
4;t Huyerin�Hals�/_ ASRPageeof/3 '�. Se1krlNf s�l� E.�`r
cramrmcin:'iPFom�oM�w� �mroFn�rnrnrxostl,Fver.w+r/+om.aoze .xwao�mi,mm oanmM. ai«
44 14. REAL FSTATE TAXFS AND ASSFSSED VALUE(Gdd) �
WS In Penne Ivenie, ta�in auNoritles (achool dixtric6 aM munici elities) aM ro c ownem m�y appeal the azsauA value of a prop-
Y 8 P P P nY
� erty a[ tha time of sale, or nt eny time Naeefter. A succeasPol eppnl by a texing authoriry may rosult in a Ligher esussed value for
V'/ the proputy and m inacase in propeay [axec. Alio, perzodic county-wide property aassessments may cheage the exsvsed value af
��atl Ne propeny md msul[in e chmge in property[u.
k9 15.N077CFS,ASSFSSMEN7'S AND MUYIC[PAL REQUIRF.MENTS(41d)
�50 (A) Iu the event any mvices of pubGe md/ar privete eaxasments as described in Po�sgraph 10(F') (excluding assessed velue) are
51 ¢ceived atter Seller 6as agued 11us Agreemenl and beforz st(tlemrnt,Sellu will wit6in 5 DAYS of rxeiving Ne m�ices
52 and/or asseasments provide a copy of ihe no&es anNor asseumens ro Buyer and will nafify Buyer in writing that Seller will:
i� 1. Pully compty with �he noticet mNar assessments, ut Seller's expence, be[ore seMemept If SNIer luLLy wmpliu vriN the
54 nofices an0/or aasesamen[s, B�yer acapb ibc Prope[ly and ag¢es m W< REf.P.ASS lu Paregreph 28 of Hiis Agramrnt, OR
55 2. Nat rnmply wiN the natices and/or ssseesmena. If Seller chooses not lo mmply wiN th�e noticu and/o� aesusmenls. or fa16
56 wlthln the smled tlme to notifY Bayer whefher Seller will comply�Buyer will nou(y Sellv in wriling wilhin 5 DAYS
�5� WCf BYYU'wiLL: �'.
Sx e. Comply wi� the noVecs end/ac azsessmrn¢ at BuyerF expense, ecccpt the Pmperty, end egree m �he RELEASE in
S9 Pazegmph 28 af tltis Agreemen4 OR '��
60 b. Tuminete Wis Agmemen[ by Written �rotice fa Selleq with all dcposil rtwnies relumed ro Buyer according ro Ne te�ms oF
61 Pvegaph 26 of this Agumeot
61 If Bvyer fails to revpond wiihin the time stated in Pazagraph 15(A)(27 or hils to hcMna,{e�hiR Ag�cement by wrinen notice m
63 Sellw withio Nal�ime,Buyer will accept the Praperty and agree(a iLe RELFASE in Pang�qph 28 of Nu A�reement.
E4 (g) If requvM by law,within 30 DAYS fmm�6e Execufion Dem of this Ag¢unmr,but in no�cace lerec�han IS DAYS priar ro
n5 Senlement Date. SWler will oNer ef Seller'a rxpense a<utificatiw from tlw nppmpriam mumc�pal Aepenmenqs) disclosing uotice
G6 of any unmrzecled violffions of zoning, housing, building, safery or fire ordi`unces enNor a ceitificate pe�mlttivg occupancy of�hc
fi] Prope¢y.If Buyer receives a nouce of any rtqui[ed repa'us/'unprovanevis. Buyu will pmmptly deliva e copy of Ne navtt to Seller.
GB 1. Within 5 DAYS of aceiving notice fiam Ne municipsliry Waz repaiymprovements ere cequired, Sallu will d<Gver e
69 copy o(Ne notice ro Buyw and notify Buyer in writing that Seller will: .
7o a Meke Ne aquued rcpai�mpmvemenls ro the safisfecGon of We mmticipality. If Sell'er makw fhe rtquittd cepairslunprove-
4� ments,Buyer eccepte fie Pmperty and egrees m Ihe RFLBASE in Pazegmph 28 of Ihis A�mrnl,OR
]2 b. Not vuke Wc «qu'ved rcpaiNimprovementa. If Sellec chooses mt ro make the requircd rcpe"vslmprovemen[s, Buyer will
a] mdfySellerinwritivgwiWin 5 DAYStha[Huywwill: '
�4 (1) Makc We apa'vs/impmvemenLt et Buyer's expenae, wi�h perrtti¢sion end acceu to the Pmpetty given by Sellw, whicM1
75 will vot be unreasonably wilhheld OR
46 (2) Tetminete fhis Ageement by wriuen nofice to Selleq wiN all deposil moniu retumed�m Buyer flcroNiog to the mm�s
�] ofParagraph26o(UtisAgrtemevt.
lR If Buyer fafls to reapond wiNin We Gme stn�<d in Paregraph 15(B)pxb) or (alls to te'mimh tlJs Agrcement by w[i4
]9 ten noticc ro Sellu wiNin tha[tlme, Buyer wW accepf the Prope[ty and agree ro the RELEASS iu ParngnpM1 28 of this
80 Agreement md Buyer �axpb the responsl6ility [o peiform Me repatN(mpmvemeo6 eccotdivg w me ¢mu of Ne
el ooUa pmvided by the municipality.
82 2. If SeLLQ denies Buyer pemussion �o makc Ihe requirtd apairsfunprovementa, or does m[ provide Buyu accus befoa
87 Se�Uemem Date ro meke the requ'urA rcpe'vs/improvemenk,Huyer may,witltin 5 DAYS,mmtinam tAis Agaement by
84 wnthn notice m Sella,wi�h d]deposit monies ttluined to Buycr according W Ne arms of Pdmgraph 26 of Nis AgrtemenG
85 J. If repe'va/impmvemevrs are requireA end S<Ila feils to provide a copY of the no�ce to Buy'u as requimA in ihie Pamgraph, Selte�
86 vrill perform all repai�s/impmvewenu ns�equirW by We notice et Sellels expenu. Parngfeph t5(B)C3)will survive settlemmR
e� 16. CONDOMIMUM/PI.ANNED CObAfUNITY(NOMEOWNER ASSOCIATTONS)RESALE NOTICE(I-10)
e& (A) P�openy ia NOT a Condominium or part of a Pienned Community unlecs checked below.
69 � CONDOMINIOM. 7Le Pmpetty is fl unit o(e coMominium Wt is primerily rvn by a uni[owners' easociafion. Sectlon 34W of
90 the Uniform Cavdominium Act of Penosylvania requirea Seller ro [umish Huyec with a Certificarc of Resale aod copiea of ihe
91 wndaminium declarefion(other then plala end plans),Ne hylaws and Ihe rules end regulations af the associalion.
92 ❑ PLANNEO COMMUNI7Y (HOMEOWNBR ASSOC7ATTON). TAe Pfvperty is part oL a plvmrA communiry az defined by
9� the Uniform Planned Community Act Section 5407(a) of ihe Act requues Sellu m fumSs6 Buya wiW a copy of the da:lars-
W 4on (ofher Ihan pleta and plans), the bylews, Ne �ulea end ¢guletions of 1he association, and �Ceftificaze con�flining the pm
95 visions set forth in Section 5407(a)of Ne Act. -
96 (B) TfIEFOL[AWINGAPPLIESTOPROPER'C[F.STHATAREPARTOFACONDOMINIUMORAPWNNEDCOhUfUMTY:
v] I. WiWin 15 DAYS from the Ececutlon Dem of Nia Agreement,Selleq at SeOefe enpevse,will requathom @e essocia-
98 Gon a Certifiwm of Raale and eny other dceumeutt naessazy to wable Seller m wmply wiN We alevent Aa. ite Act pco-
'19 vidu that We usociauon is reqitired ro provide these documents wi�ltin 10 days of Sellets mQuest.
� 2. Shcer will pmmptly delivu Lo Buyer eIl documenLt received from 11w associafial. Undn Ne Ac4 Seller is irot lieble m Buyv
01 . for Ihe failua of the azsaiation lo pmvide I�e Cenifiwle in a timely mamer or for any incortect info�meGon provided by Ihe
02 azsocietlon in ihe Certifiwta '
o3 3. 'ILe Act pmvides that Buycr may declare t6ia Agreement VOID at any Gme beforo Buyer ecceives the ueociaoon documenu and for
04 5 daya athr receipt, OR unfil seNemenL w6ichever accurs£ust Huyer's nofice to Seller must be in wrifing;upou Buyer declazing
OS this Agreement vaid,eil deposit movies wi116e reNmed to Buya according ro the tenns of Paregaph 26 of ttiis Agreemcnt.
os os
06 Bu�er�r`'t'` /_ ASA P�e 9 of 13 I Seller InI .Q�/��T
v croaumwimz�pre�mq��ioy. iemorinnnuaxme.r�aca.uu:i+yn�eoze +vw++mi+mm MPellar"—
.o� o�y�� ��. �ovr��.�o��o�,.-.���-..,«-,,.��-«..�o,.�„�,�
�9 4. If Ihe associalion hav Ne righl ro buy the Pmperty (righ� of firs� ¢fusal), and ihe usociafion exercives �hm right, Scller will
oB mimburse Buyv for eny rosts incvrted by Buya for any in�pecRons or certifiwtio�u iotitninW acmNing m Ne tams of Ne
D9 Agr¢ment and any rnsts ivcurted by Buyer for. (l) 75tle snarch, dtle fnsurance ond/ot �nechanics' Gen i�uurance, or eny ke
�a for cmcellation; (2) PIwO insumuce, fro inewance, ha aN inswance, mine subsidrnce irisurwrcq or any fee for cevicellation:
i I (3)App�aisel fees end chazges paid in advmce to martgege lender. �
�Z 17.TITLFS,SURVEYS AND COSTS(414)
U (A) The Pmper[y wID be comeyed wilh goad and mmkevble utle IAat is insuable by a repula6le ri�le insurence compmy at We ag-
14 ular retes, tae and clear of all liena, enwmb`snces, and wsemenls, esceptlng hawever We�following: eusfing deed cuhictions;
15 hismric precervation restricYions or ordinancu; building restri<Gons; ordinanas; easemenft of roaCs; eesemants visible upon Ihe
16 gmund;eeaemevts of mcord;and privileges ot righb oFpub6c eema rompaniu.if eny.
�9 (B) Buyer will pay for Wc following: (1) Titlt search. titic insunnce and/or mechanics' lien inswance, or any @e for ca�ellaUon;
IB (2) Plood insunnce, fue insivancq hezard insurance, mine suhsidence irtsurunce. or any fee for canullaLLon; (l) Appraisal f¢s
�9 and cha�gea paid in advance ro mortgage lendu;(4)Buyets cusmmuy seulement cosh md unuals.
20 (C) Sellcr has We rig64 upon rtquesq ro rvxive a frce copy of any uLLe abstru[Por ihe Pmperty from Ne party tor wAom it was prepeced.
Ll (D) My suevry or tu[Vrye required by Ihe 6ele inswence company or ihe abs�racGog compeny for przparing an adequak legal
� ducnption of fie PropeiTy (or the m�recGon Nerco� will be obtainW and paid for by Seller. My survey or surveys desired by
?l Buyer or required by the modgage Iwder will6e obtained end paid for by Buyu. i
?4 (E) In ihe event of n change in Sellefs finantial s�aNs nffeIXing SUlers ability ro wnvey ritk [o ihe Property on or befom the
t5 Senlement De�e, or any exmnsian fheaof, Sellv shall promp0y �oary a�ru in wriung. A� chmge in fimociel smma iMludes.
?6 but is vot UmireA �o, Scllcr filing benkmptcy; filwg of a fomebsiue lawsuit egeinst Ne Proputy; entry of a monefary 'rydgmen[
d0 agaivst Seller; notice of public Iu sale e(Fecting Ihe Propeny; and Sellv learning Wat ihe sele pdce of the Propaty is na Ionger
!B sufficievt W s¢tisfy all lirns and encumbrences flgun�[NeRopcny. '
!9 (F7 If Seller is unable to give gaad and marketeble GU< Nat ia inawable hy e repumble tltle insivance wmpany az the mgular ntes, es
io apecified in Peragraph 17(A), Buyn may tuminate Iltis Ag�eemem by written noHa to Sellu, with sil deposit moniea mmrned ro
n Buyer accarding ro Ihe twms of Pamgraph 2G o( Wis Agreemevt Upan rofminarioq Sellu will reimburse Buyer for any costs
Is incurted by Huyu fw any inspxuona or cerGfic9tions dtvned accorNng to Ihe tums of Nis Agrcemwt, end for Nose ihma speo-
i3 Sied in Pareg�aph 17(B)imma(q.(27,(3)and in Pvegreph 17(0).
✓. (0) Oil, ges, minail, or otha righb of this RopeRy may have been previwsly comcyed or lelsed, and SeOers meke no apmunh-
15 uon abou[IAe ataNs af those righk uoless i�icehd elsewhea in this Agreement. �
�6 ❑ Oii�Gas aetl Mln'ral Righq Addendum(PAR Form OGM)is atlached to avtl made part of this Agreement
i� (H) COALN077C6(WhereApp&able)
IN 'IFpS pp(,yA�N'1'MAy rypT S&1,CONVEY,TMNSFOt WCLUDA OR INSUASIHY t(ILE T�T32 COA4ANO RIGHiS OF SUPPoRT UNDPANPA'[H
19 ]}1E SUqFA4:IAND OFSIXIBPD O&RH�L�RW�D TO HOtGP1,ANI] 'IHG OWNPR OR OWNFRS OF SU�1 CDAL MAY HAVE THF.COMA,618 LLOAL
10 p1pF(�"Tp AFMOVG ALL SUCii CtlAL ANO W IHAT CONNFLIION, DAMAGC MAY RFSULT'10 THE SIIRFA(£OF tHE L1N� AND ANY NOUSE
��� stm.DINaoRrnimxsrrsoCnntx0.NoxwsuCHLvr�. [fhis mtim is set fonh in �e �oennw p�vvided in Sec4on I of the Aet of
2 July 17, 1957, P.L. 964J "Huyv acknowledges tha[ he may nof be obtainiog 1he righl oE pioleclion against aubaidenee rcsulting
� fiom coal mining operarions, end Nat Ne propeay d�saibed herein may be pmmcmA from Aamage due m mine subaidenm by a
4 privete wnhacl wiW the ownus of the economic inmrests in the coal. 7Lia acknowleGgement is made for �hc µ�ryose of wm-
5 plying with Me provi.�ovs of Sec6on I4 of Ne Bitvminous Mine Subsidence and the Land Co�ervaGon Act of April 27, 1966."
6 Buyu egrees lo sign We deed fmm Sellu w6ich dad wili contein the efortsud provision. �
'1 (I) The Property is not a"recrtationel cabin'ss defined in tlte Pennaylvenia Cons�vcGon Code Ac[unlus otherwise sumd Eem:
8
9 (J) I. 11us property is�wt subjec[to a Private Trensfer Pee Obligation unlua othenvise shted hero;
0 ❑Priwte Tnosfer Ftt Addendom(PAR Form PI'F)is attetLed b vW made paR of this�pgreement
� 2. Notlrea Regerding Ptiva[eTransfer Feea: In Pewsylvmia, Privah heusfcr Fees ve defipetl and agulatcd in Ihe Puve¢Transfer
Pee Obligafion Act(Act 1 of 1All;68 Pa.QS.§4 bI01,et.xeqJ,which definea a Privae 7tansfer Fce es"a fce Wet is payeble upo�
3 tLetransfaofaninterutinrealpoperty,orpayableforWerighttomakeaarceptthetransfer;iftlieabGgariovinpaythefaorcharge
a euns with Htle lo the propelty or o�he�wiu binds subsequent ownus of p�operty, �egardless of wheWer Ne fce or charge is e fued
5 amount or u deromtined as a percen�age of ihe value af Ne property,[he pwchese price or oNer conaiderazion givm fw the trvuRs."
6 A Privem lkansfu Fee must 6e properly recorded ro he binding,and sellera must diwlou ihe eustence of We fees m prospecrive buy-
'1 ers.Where e Privale 1}snafer Att is vot properly recwdeA or disUosed,Ne Act gives certainrights end pmtec6ons fo buyecs.
e ]g,MAINTENANCEAN�RLSROFLOSS(1-74) I
3 (q) Sellu will rtwntain We Prope�ty (inUuding, but m[ limiied ro, swcwrea, gmunds, fixtu[es, appGv¢cs, and personal prope�ty)
1 s�cally tisttd in Ihhis Agaemeut in irs presen[condi�on,no�mel wear end har excepted.
I (B) If eny pazt af�he Pmputy included iv We sale feils betore uttlemm4 Seller wilL �i
? 1. Repvr or¢place Ihat part of We Property heforo senlement,OR
; 2. Provide prompt writlen noett to Buyer af SeLLer's decision w: ��
� a. Credit Buyu az settlemenl for 16e fvr market value of tho ftiled part of Rie PrapeIIy.'I as acceptable to IM1e mongege lender,
7 if any.OR
b. Not repeir oc aplace Ne failed pert of the Property, and not credit Buyer a[ seulemenl for �e fair mazket velue of ihe
� failedpenofWeProperty. �
S 3. If Seller does wt�vr or replaee fie faile� pert of the Propeny or agree to credit Huyer for ik fvr merket vdue, or if Shcer
� tails m notlty Buyer of Seller's eLoicq Buyer wiil notify Seller in wriGng wit}tin S ' DAYS or befo¢Settlement Daro,
� whichever is ear&r,Ihat Buyer will: 'i ps og
BoyerwtiLLv�/_ ASRPage]Oo(13 i S¢Ilerinitlae;Q� / E T
r�muoee.wna`amiIDM�ei+ �BamFeu.nuaexwa.rru.r.MFNB�naeres w«w:dmi..wm oenneM.
_____.,.._..."'_„""__'_. . .___ "__ '_._ ___'_._. ._ _ i
5]2 a Amep[�he Propetty enA agree�o Ne RQ.F,ASE in Paregraph 28 0(ihi�Ag¢ement OR i
593 b. Yuminaro tAis Agaemmt by written notice to Seller, wifi nll Aeposit moniav reWrned m Buycr acco[ding �o Ne M`ms of
5]4 Pangraph 26 of this AgrmmenL �
5]5 If Buyet fdls W mpond wifiin fie time s�emd in Peregraph I8(9)(3) or h1ls to tamimh Ihis Ag[mmen[by writteo no6ce
5]6 m Sella wiNin ths[[ime,Buyu will accept ihe Prvperly and ag[w m tAe RP1.CA58 in Parigaph 26 of Nis Agrecment
5'll (C) Seller benrs ihe riak of loss from fue or othu cesualGea until seitlement. if any propeery incLded iu tltis aale is deatroydl and not
ne rcp(ecedpriorwseWemen4Buyecwill: I
5"/9 1. Acapl Ihe Pmputy in ib then cmrtn[condiuon logelher witl��he pmceeds of sny incwance�movety ob�einabl<by Sellu,OR
58o Z Temtine[e �his Agrament by written nofice to Seller, with aIl deposit monies relumed'eo Buyet according M 1he Iums of
sui Pengrep626ofihisAgmemem. �
592 79,[IpME WARRANTIES(t-10) I
583 p[ or before sWiemrnC eithcr pa[ty may purchase a home wertnnly fo� t6e Property from a Rtird-pa[ty veodor. Buyer aud Sella under-
584 stand that a home warranty for the Property does not alter any Nadasurc roquir<ments of Selleq will eot mvu o[ wartant my pre-
SCS existivg defmfa of tLe Pmpaty, and will not �Imr, weive or exWd any pmvlsiou of this Agaemmt regerding inspecbons or certifi-
SBG cetiona Nai Buyer hes elected or waived as pert of lhis AgreemenL Buyer and Seller unAustend ttiut a broker wLo recommendn a home
Se'� wurmty mny have a business rolefionahip with We 6ome wazrenty rompany Wat pmvidea a finenciil benelt ro We broku.
SPA 20.BECORDQiG(9-05)
5N9 7tis Ag[eement will not be recorded in �M1e Office ot ihe Recorder of DuAs or in eny othu office or place of public record. If Buyer
590 cnusea ot pumitt tlus Agreement�o he rtcarded,Shcu moy Wec[ro lreat such ea w a defeult of Ihis Agreement.
591 21.ASSIGNII'IEMf(I-10)
Ss2 7fiis Agreement is bindivg upon ihe parties. rheir heivs. persanal apreaentatives, guudians md successors, and ro rhe extent asR�Baa-
593 ble, on the aasigns of �he panies huem. Buyer will m[ transfu or usign this Agrcement wiNou[ We w�ttcn covsent of Selltt unlus
594 o�M1envitt sWted in�his AgmmenC Assignment of ilds Agmement may rcsWt in addiGonal vansfa fazes.
595 22.COVERNING LA W,VENOE ANU PERSONAL NRISUICTION(9-0�
596 (A) 7Le validity end conshucvon of Nis Agrtemenq and Ne righb and duues of the paniu, will be govemed in accoMance witl� the
59'! IawsoftheCommonwWNofPennsyfvania.
598 (B) The partles egrte tliat my dispu[q conuoversy o�clvm uising undet or in connectlon with Wis Agramen[or it pertormence by ciNa
S9v pazty submlttrA lo a court ah W be IDed exclusively by vd in Ne stam or feLual cou�tt aining in fhe Commonweelfi of Pennsylvania.
soD 23. FOREICN INVE$TMEN'f IN RP.AI.PROPERTY TAX ACI'OF 1980(F[RPI'A)(414)
wi The disposidon of e U.S. mal property in[unR by a foreign pason (iLe �cans(emt) is subjmt ro U�e Powign Investment in Real Property
So2 Tu Act of 1960 (PIRP'I'A) uvume u: wllhlwlding. PIFtPPA wlholized the VnitW Surcs �o ta� fo�eign pasons o� dispoaiuons of
�3 600 U.S. rtd pmperty inmrcsts.'ITis ivcludes but is�mt limited�o a aale or exchmge, GquidaGoq redempfion,gi8,trenefus, ac.Pasons
iOi pwchasing U.S. �ul prope�ty inarests (ftansPoree) (`vm foreign perso�u, ce`Iain purcM1nsess' egents, and seeLLement officm ve
i05 requittd ta wilhhold IO percrnt of the emomt ¢alized (special rvlrs for fomign capoverions). Wi�ltholding is in¢nded W ensure U.S.
i06 taxauon of gains realizsd on disposl4on of such inroreau. The wnsfe�edBuycr ia ihe wid�olding agent If yw aze Uu
iW vansfaee/Buyer yav must fmd om if 16e vansfemr is u fomigv person u �ncd hy 1h< Act If Hm nnnsferov is a fottigv percon end
i0X you fail[o wiW�old,you mey be held liable for Ne tax. �
�s 24. NOTICE REGARUINC CONVIC7ED SEX ORFR,ND6R5(MECAN'S LAW)(Od4)
IIO The Pennsylvania Cmwal Assembly 6as passed legislatlon (otten mfurcd to az "Megan's Isw,"142 PxC.S. $ 9791 u seqJ ploviding
11I for communiry no6firaGon of the prosence of certaim m�viMed su offendera. Buyen are eceounged to eonbM the mmiclpal
�12 polim depulmmt or rhe Pem�sylvanie Stnte Poiitt for infortnntion felaling to t6e presence of sex offenders neu a pazticular prop-
�U erty,w ro chak Ne info`mation on�Ac Pennaylvania Stale Police Web siro at www.pamegaoslawsmte pe.ua.
��4 25. REPIteSENTA170NS(3d0)
d5 (A) All roprtsenla4on5. elaims, advenising, promotionaf ecfivities, bmchures or plms of any��ltind made by Selleq Bmkets. Nur
�16 (icenseec employ<ea. officaa or parNers ere mt a pnrt of Itiis Agreement unless meP��Y ���W�ated m atated in Ihis
ll Ag(eCmwl "1Lis AgRemenl conitins Ne whole egreemen[ beRvem Seller md Buyer, eM pbesa sm no oihu twms, oblige6ons,
IB covenanu, rtpresentatlo`u, stemmcn[s o� conditiona, arel or othervrise, of euy Itind whetsaever rn�eming ihis sele. 'ITis
I9 ASreement will aot be altercA,amended.chmB�w'��ied ezccpt in wriMg executed bY�he perties.
20 B) VNess othttwise suttd in this Agreemml, Buyer hns mspreted Ne Property (iocluding fixNres and any personal prvpeety
21 specifically lisfed herein) before sigldng t6p Agreement or has wdved the dght ro do so, end agrees w purrl�ase tne
22 Property IN I'1'S PRESENT CONDTTION� subjec[ to inapeclion conGngenries elecled in; tlils Ap�eement Buya ecWowledges
v that Broken, the'v licensees, employees, office�s or partners have not mede an independent aeaminelion or demrminafion of th<
34 sVucmrei sounMess of fhe Propeny, 1he ege or condition of We camponenu, env¢onmenlal condifions, Ne pmmitted uses, ,ror
?5 of condiRons rziafing in �he locde whcro '6e Property is siNa[ed: not have ihey made a mecheniW inspeclion of any of 16e sys-
26 tems contaived�herein. �
�'/ (C) Any rcpairs required by this Ap{eement will be compkted in e workmevlike manner- �
=B (D) Bmker(s)have providW or may pmvide services ro assist unrepreseuled par6es in romplying with[his Agreement.
'-9 26. DEFAULT,TERMINATIONANDREfURNOFDEPOSITS(F14) �
30 (A) Where Huya taminetes i6is Agleeme�[ pursuent W any right gtanted 6y Ihis Ageemem, Buycr will bc entided �o a mtucn of all
�I deposit monies paid on account ot Purchese Price pwsuan[ ro the mrtns of Pazagaph 26(B), and �his Agreement will be VOID.
12 Twmination of tltis Agrcement may occur for other roesons giving rise m cleims by Buyu and/o j Sellvfor the deposit monies.
37 (B) Regardless of Ne apparen[ entiLLement to deposit monies, Pennsylvania law does [w[ alloW a Brokv holding deposi[ moniu to
14 detwtine who is evWed ro tLe deposit monies when settiement dou nol occur.Broker can oWy ielau the deposit monies:
35 1. If this Agrament is ttnninamd prior ro seNement end thue is m dispute over en[illement ro Ne depoait monies. A wri¢en
16 ((��agreement signed by both pattiu is evidence Ifia[Ihere is no dispum regazding deposit monies. o% �
q BUYmINWb�/_ ASAP�gellofl3 I Sr➢erhn Ir.Q� �_'r
PRCu[MMMrI[Fom@byalpLopl� l�]OfMleanA6eilo�L,Flaw.MeiY�jan1902b 'eti alo!
.w o�y�� ��.��..v� �.,...��..�.,,.�����....���.-...,..�,....,. ..,�� ,
3R 2. II, aftet Brokm has received deposi[ moniea. Broker rcmives a wrillen egreement Nat ia signed by Buyer end Shcer.
79 dimcting Broker how lo distribme Some or all of Nt deposi[monies. .
40 7. Acmrding ro the termt of a final oMec of coun.
61 4. According [o the mrzm of a priw written egrwmen[ between euyer end SNler Wet direc6 Ne Brolcor Low m dislribute
41 the deposit monies if Nue ia a dispule between the puUa that is noi resdved.(See Pongmph 26(C))
43 (C) Buya aM Seller egree that if t6erc is e dispute ovw IAe eedtlement m deposi[moNce fhU is o�ueaolved i days Q90 if
44 vo[ speci6ed) aRer Ne Seltlement Dam sla[cd in Parag[nph MA), or any wrinm ulensions theroof, the Broker holding Ne
45 deposit moni<s will, within 30 days af receipt of Buya's wriGen rcquceq Nsaibule the �deposit monies m Buyv uNess Ne
4fi Hroker ie in receipt of verifiable w�itlen noua Ne� the dispute is the subject of li6gerion lor mediatioa lf Brokx hes received
4'1 verifiable writlen noti¢ of litige[ion prior ro Rm mceip[ of Buyric ¢queat for diWibutlon, Bmker wiLL wnti�m ro hold Ne
46 deposif monics until aaip[ of e writren dis4ibueon ag¢ement 6etween Huya and Selltt or.a find wurt ordu. Buyc and Sellet
49 are adviaW �o iNtiue Gtlge4on for any po`tiou of We deposit manies priot ro my d'uaibutioa made by Bmker pursuanl in Ihis
50 paragreph. Buya md SeLLu agree Nat Ihe d'ufributlov of deposit moNes basW upon the peseage of ume daes not legnlly detu-
51 mine en4tlement m depoait monies, and 9iat Ne parUes maintein Weir Icgal dgl�te m punue 6figadon even aRa a disuibution
52 ie mede. �:
53 (D) Huyu and Sellu agee Nat e Brokv who holds or dixfributu deposi[ monies pursumt w the ta�us of Pueg�eph 26 or
54 Pennsylvevia law will not be Geble. Buyer end Sella agae Wat if any Bmker or �Klirted licenue is oarned in titigaoao
55 regarding deposit vwnies, Ne atromeyi fees and coaes of Ne 6[okee(s) and licemee(s)� aNl ba pvd by 1he puty naming
56 thun in/itlgnGon. �
57 (E) Seller hu 1he opuon of reuining e11 sum.s paid by Buyer,including ihe depasit moniu,shoWd Buyv.
SB 1. Fail in make any addiGoml paymenLr es specified in Paza�aph 2,OR �
59 2. Fumish Blse or Incomplem infmmation ro Shccr. Broke�(s), or my othv perty identified in Ibis Agaement concerning
6o Buyer's kgel or Financial atame,OR '.
61 3. Violale or fail m fulfill and pufoem eny otha iums oc conditions o(this Agceement ,
62 (E7 Unlm otheMise cheeked in Pangnph 26(C),Sellu may elect to retvn�hox sums paid by Buyeq imluding deposi[monies
63 1. On aaowt ot purchese prim.OR
ba 2. Aa moniu ro h appfied to Seller's damagu,OR . �
65 3. As liquide[ed demages for euc6 de(nule
5a (0) � SELLER I9 LIMITED TO RETAINRJC SOMS PAID BY BUYE[t.INCLODWC DEPOSIT MONIES,AS WQU[DATED
5'! DAMAGFS.
ss (H) I( Sella rc�vns all sums peid by Buyer, including deposit monies, as liquidated damages pucsuent to Paregreph 26(Fp or (G),
59 Buyer flnd Selkr are mleased from fiuiha Iiabiliry or obligafion and lhix Agrtement is VOID.
10 p) Bmkas md licevurs ere not reaponaible Por unpud deposiu.
11 27.MEDIATION(Id0) I
)2 Buyv md $eller will su6mi[ ell dispu[es ar cleims Naz uise fmm this Agr<emeu4 including dispv[es and claims over deposi� monies.
13 ro media6on. Medieuon will be wMuchd in aaordeoce wi16 Ne Rvks and Procedurea of tfie Home Shce�s/Home Buyev Dispute
1a Rewlufion Syslem, unless it is �wl evdable. in whic6 case Buyer eM Shcer will mediete ucording to the �e�ms of Ihe mediation sys
15 [em oHaW or cnAwsetl by the bcel Aaaocistiou o[ Reattors�. Mcdieuon fees, comained in'��We mediazoia fa schcdule, will be
]G divided equelly among Ne parties and wflf be paid before Ihe mediavon con&�ence. Thia mediehon pmttss mual be wncluded befom
n any pvty to Ne dispute may initlate legal pmceedinge in any coumoom, with Rie exception o(filing a summom if it is necessary ro
78 slop any atetute of limitadona from expiring Any agreement reecheA tLmogh mediation and signed by Ihe pazfiu will be bivding. Any
79� eg[eemen[m mediem dispuvs or clums uising Crom�his Agreemcnl will survive settlement.
30 28. RELEASE(9-05)
tl Buyer releases, quit eleime avd forcver dischargea SELLER, ALL BROKERS, thelr LICENSEES, F.MPLUS6E5 md any
32 OFF[CEB or PAR1T'ER Of eny one Of thrm end any othv PERSON� F71lh1 or CORPO�2ATION w6o may he 6able by or
13 tl�rough Nem, hom any aed alI rJaime, losses er demands� includiug, but m[ limiled [o, personal injury aM property dem-
tt ¢ge end ail of �he cansequeacea tAereot, wheNer Wown oc nol which mey azise from Ne presen<e of �ermiles or o�her wood-
t5 boring insecfs. 2don, lead-besed paint M1aznrda, mold, fungi or indoor air quality, enviro�unentel huards, eny defccts in Ihe
i6 �vdividual ov-la sewage disposd sysmm or deCtciencies in [he on-site waret servi¢ sys¢m,lor enY defecn av mndirions on the
17 Property. Should Sellu be in ddaul[ unda the rom�s of Utis Agrcement or in violafion of�my Sellu diaclosure Iaw or regula-
ie tion, tLis �deese does not depme Huyer of eny right m pursue my mmedies thet may be'.available under law or equity. 'ILis
�9 tt�WbCWIV6YryryC5Cf1�CNG1l.
b 29. REAi.FSTATE QECOVERY FUND(9-OS)
�1 A Real Fstate Recovery Pond exists m reimburse any peraons wlw have obtained a fnal civil�udgment agvnst e Pennaylvanie +eal
n eatnte Gcensee (or a licensee's affilinlcs) owing to freud. misroprcuntadoq or deceit ia a aaI 'iestare transacfion and who have been
�3 uneble ro m1lec[ the judgment ef[er exhausting all legsl end equimble remedies. For wmplete details abou[ the Fund, cal] (717) 783-
�4 3fi58 or(800)822-2I13(wiNiu Pennaylvcnia)md(717)783-4854(ouuide Pennsylvavia).
�5 30. COF¢fONICATTONSWITHBUYERAND/ORSEGLER(1401
� Whe¢vee Nis Agieement contains a provisian thaL requircs or allows communicaGoddeGvcry�, to a Buyu, tiiat provisiov shall be
'9 satisfled by cammunicafioNdelivay ro �Ite Broker for Buyeq if any, e.zttpt [or documenk reQui�dl to be delivertd pvrsuant Po
9 Paragnph 16. If Nae is no Bmku for Buyu, �hose provisions may 6e sa[isfied only byj commuvicatioddelivery being made
9 dirocily ro ihe Buyu, unless otherwisa egreed ro by Ihe panies. Wherevu this Agreem<nt contuna a provision iLat mquims or ellows
os os
I
o BuluW�: /— ASRPege12of13 i SrLerl�iti �Y[_/ F�'r
� rmaueert.anapFomoM=iy�oqw �aoroFlirc«,�r.w.Ao.a.rm,.r.���eres ..w:inml.� �cM.�
�01 communicfltioNdelivery la e Sellu. Nat provision shall be ztisfied by commwintioNdc4very to thc Bmlar for Sd4r, if my. If
70? there is no Hmkw far Seller, those pmvuions mey be cstisfied only by communicauoNdelivery being msde dirctlly ro the Shcer.
'/o] uniws otLervriu agrteA ro by the pvties.
voa 31.HEADINGS(F14) .
705 The Secdon and pamg[eph headings in Ihis Agmement are for convenience only and are m[IiMended m indiculc efl of Ne ma4
]06 ler in Ne seclians w6ich follow Nem. 'Ihey shall hnve no effect whancever in de[umining We rigM14s, obligavooa or imenl of
]al tbepazties.
7oa 32.SPECIAL CLAUSPS Q-10)
��ro (A) The[olloxing are alached to and made part af t6is Agrremwt if checked:
]lo ❑ Sale&Settlement of OWer Propaty Contingency AddenCum(PAR Poun SSP)
]i i ❑ Sale&Sedlement of Other Propeny Canringenty wiW Right to Continue Mazketing Addendum(PAR Pa�m SSPCM)
]�2 ❑ Sale&Sedlemen[ofOWerPropertyContlngevcywithlSmedlfickoulAdd<ndom(PARFoimSSP'fK0)
l I3 ❑ Settlement of Olhc Pmperty Contingency Addendum(PAR Form SOP)
a w ❑ APPrvsal Gbndngency Addendum fPAR Pocm ACA)
]i5 ❑ ShottSeleAddwdum(PARF«mSHS) "
]16 ❑
717 ❑
]IB ❑
'l19 (B) Additionel7erms:
;2° Gaa-�cTe �o-e -� be �e�:�,��V � �b-�-
,z� d�,o er -Fn �.� n¢- � ���- �.
1;.� � -�n-t- P os o, r°.�.
�za E�-�- � BWf �TF
ns V
116
'1D Buyer avd Sellu acknowledge rtceipl of fl capy of Ihis Agreemen[at It�e time of cigning.
]28 Tbls Agreemmt may be eKecuted in one or mo'e rount¢rparta, cflch o( which shall be deemed to be an origi�ul and x'6ich coun-
]2v tupaM rogether shell conatiNre one and Ne suve Agecmem af Ihe Perties. ',,
'!l(1 N077CE TO PARTIES: WHEN SIGNED� THIS AGREEM6Nf IS A BINDWG CONCRAC7'• Pades m Nia vansacfion are
)L edvised�a wnsul[a Pemsy(venia real ea[am e¢ornay before sigving if�hey desirc legal advice. i
"/�Z Rewm of this Agreemw4 end any addend6 end amendments, including amrn by electmdd(nus�Nsslon, beazing the signamms
'I33 of aIl partes,constimtu acceptance by Ne partiw.
�94�(_ Buyer haz receiveA Ne Consvmu No�ice es edopled by tAe Sla�e Real Estete Commiasion at 49 Pe.Code§35.33fi.
7]5�/_ Buyu has aceived n stemment of Buyer's esumamd doxing cos�s hfore signing fiis Agteemmt.
]3G /_ B�yer haa received Ihe Depusit Money NoGce (for cooperative sales when Bmka (or Sellu i% holding deposit
]3]��/ money)beforo signin8�x Agreemevi ��.
9]B =1L_ Buyer has received Ne Lwd-Based Peint Haurds Discloxure, which is attache'd to this Agaemevt of SNc. Buycr
'I�9 has received the pamphlet Pmtect Your Pamily finm Lead in Your Home(for pmperUea built pdor[0 1978).
� Bw�R DATE 04/26/2015
ne M. Failox
DATE
74I BUYER
vaz BUYER DATE �.
743 Seller has received�he Consumer Natice as adopted by We Stare Rcal Psum Commi¢sion at 49 Pa.Code�§35.336.
714 Seller has rtceive$a s�o���yt of Sellds estimated closing cosrs hePore signing i6is Agroement.
4/27/2015
�a5 SELLER �Dn :.,( t9 T[...�.L — °A�
�oeaseeoenza �=�sie��M� 427/2015
74A SELLER �1 � i -ri _ DATE �,
wremanen.sx.. DATE '.
747 SELLER
ASR Page 13 of 13
wm,�ea.�nnm�a^^sM4�Pi �w�omwnMuaia.e.k.s�.tnwpan�eoxs :�'.mm JoanceM.Failor
Tax ParceL P;c . 1� � ?4 - 0�93-1"v2-U52i6
THIS INDEIVTURE,
;�
as.u�r, r,r� � " �.�y �^ �=r , c,.o rh���n-a
t 'Lteen (2�15;
RF.'7'VYF.'h:1' FDb1T:RD J . Tt?^MPvCiP7 a-d PAC'TP. 9t- 'HOI4FSON, �o-
t�xec��tux'� oY the Laet Will and Tescament of
3eL!.y id . Thontpson, late oF Lo'aer nl:en
:'ownshtp, Cumberlar.d C�unr-;a, E'enusy_vania,
pa+'t'y of the _`irst narc ,
r�i��j „cA?It:e [a. F'A?;.oR, �in41e iadividUal., o�
�!echani�sbi_ry. Cumberlahd Co•,1C:Cy,
?enncylvania, parties cf the eeccnd part �
WHERSAS . the said 5ettj� M. ^IlL•Ti.loon }�y her La�i Will a.^.d
'pes*a-ne�t , da[ed ��:mc 19 , 2014 , luly proved and :ecorded iu ttie
C�inberlanc Coi�r.[y T<egister :�E 'niills �J`fice . Pemicyio�ania, ia
JocY.e: Beok 21 - 14 - v98S , Letter4 Testamentary boirg i�sued cr.
octcaes 1? , 2�14 , provided, ir percinen[ part, as `-cllows :
FIFTH: -Tii �+�yiLion Lo all n0'deT3 gi'aRteCi to Lhe� iy lau and
by o=?ier provi�ior.� c` this tiill, 7 give t�e fi1�.:c�a_ie�
ucLinq rieceunder Lhe _`o:lnwina poa'eir„ ap�licable to nll
�,rr,p.=rc.y, exercisahle '.v:t�.hout c��urL appro:'.1 an3 e=fec�i�e
until actual dietribuci.on cf al : p-operty:
!A) Tc; eel_ +�L publiC oe' psivate saSe , or to leasc,
fcr ar.y nPriod of T-in.=, ar.}� real o: ye�-yor.ai prcyerty and to
gi:�e o�tion� foz �ales, exchar.ces or ]easzs , tor su�_h prices
and vper. :;uch terme lir,cludin� czedi[ , '�ri[]1 or withoi�t
=.ecuritVi or cenrii.tione aa are deeemed pceper . Thi� ia^ludes
che power to cive '_egally suPf::ienT ir.etrum�nts for
�ra�isfer of che property and :e _'eceive t-he pr:.cee�s of a�iy
discas-ati�u of i: . . -
3EVENTH: I nnm;n.�:-� ar.d a�poin- my h•asbar.d, RAI,FFF W.
'PitUMP5J17, P'/.eCutoY �f L11i�, 1[I'y LasC W: 11 and Tes!.atnen[ . In
,..`:c eVCIIC O` tt1C CC.1�11, Ce5lgriatiDll ol' innk>iliCy C� 9erve
f;,x a::v ie�=<`r� �Nhatgpev?r Of th= 5a:d Rl'.GH i7. YHQM�$CIJ. '
nomrnare ailc ap�olrt m'y' ChildI'AR, 7F.'r':D n. :HUf-0?SGK and
L:li•WA.}:U �l . THGh!P�ON, L7a � F.r.er.utcrs cS Lt'.i.=„ my �a9L Kil: a:id
Tl'S�_i3f1'.F.TI t . . .
NCW THI3 ZNUENTURF. WITN&SSETH, tllat th2 said �aZty of Che fiZs:.
p�:r , '.�y virCue o.` the pp•aar and a.:Chcri.ty af.oresald. :n sa.d
Yl: ll cvr.ta_ned, and ie: ce:�cideration e- the oum of iine �iimdred
Eort�,.•-Five T�cusdnd Doliar5 1$79i , 09U . 00) Lo tier E;ai1 by the saic'.
car�t.ies of th.e second part , a: ar.d 5ef�re the ensealing and
deliver,� of tlzese picsen[s , tkie i�eceipr whcrcoi is hcreby
acknewledned, hae g�-anted, bargained, �o7d ar.d conveyed, aad does
^.ere:y grant , barcain, sel: and convey tc [he �aid partiee o` the
:econd p3rt, ihei�' :^.esr's a::d ay.=,igne fcrevez '
AI.I� "I'}{FCP '.'LN.':F:T Uni[ , Jciny Unit Ldc . 52=9 ;Ci]e "Unit " ? of 47eeley
Meu's Condcmi:�ium. ithe "Cc>.^.domini�.:m" I . lorated in Loxer Allen
To��+�.^,Rhi�, Cumberiand '.'ounty, Lennoylvania, which Uai.t is
desia�ated in tkie Declac�atior� of Condominiun�. vf wecley i4ews
Contic,niniurr. (tke "Oerlaration of Condominium" 1 a;d Peclaration
placs and ?=an� as recorded in the office of c.� Reccrder of
Ueed_ oF Cumberlan3 County ir, Miecellanrcus Bcok Ssa , ?�5e 902
auu _n RaqhL 'uf iia'd Pian iinCk 1 '. Fnge 95, respectiveiy, tngether
w.!.h an•y and all am.ertdrz�.eRt� the:e[o .
1'OG�:'I'HEH 'ail_ uc� undi•rided pPrcentage interest :n Ltie Cccin;on
E1:�¢iente ae mc>re particular:y �et _orCt .n the afore��id
CPc: a:aticn of �oncominium and Declaration Plar� ar,d Piar.e, as
1a�i are.endcd.
7GGE'fNGR aith [l�e right Lu use Lhe Li!nited ��Ommon B'lemenL.
appLcak�lc [o t}�F SJnit being c4nveyP� herein, pursuauL Co ti�e
Declarac.ion c:. Condomii:ium� asd Ueclaraticn Plot�. and Ylan., a9
amenr:e�: .
EEI`d; t.he sane prert�-ises i•�hich Ki^he1=e 1'homas . Executrix ni the
b� deed dated +�uqust
?�ast rtil: and 7es[aniet7_ cf Euqc::e E . Heer� , J
l� , 20�79, and �ecorde3 Se�CeRber 3, 20C9 in !1�t C'.:nik+crlan3 Co'�nC�y
Y.c�order c: f7eeds CfYice at I.^,�tivm=nt 7do . 20C937Q98, granlra aiid
c�nveyed unto Ralpii a1 , Tliomp�on an3 Betty tA . 'Phompson, husbar.d
and wife . The saia ;calph yr. Tii�inps�n 3icd Juae z2 . 2014,
wkt�reuyo❑ Lvl? and coR.ple`e titLP ro the w�thin desc-it�ct3 r�eal
<^wrate h.=. ca^�s veseed snlely in !�et[y t4. T'hom.^scr., �urv:v:ng
spr_�ue�e, [he Le��den[ ]�eici:s. :tiu aei� 3etty K. 7'hornpson died
OCtCJ92 � , 20-+ -
Jt7L'PN. .'vlfJ SU2JECT to auy an3 � �il covcnants, cv::d'_tirns,
- es�x:c�::en:, r:ghre-ef-vray, easemenc:: and agreements ot =�«rd
:.n the •s�ere�aid Cffi�ce, t},e .�`_eresaio �eclaration of �onC��.ir.ium
❑n�3 n�.a_Ler:: '.rturh a phys: Cal ir.�pPctinn and s�r:•Py oE C::C 7nit
anc COT.nc;: L�lenent❑ v:eulc ci�clooe .
T:ic Grar.LeF, f?r nnd on behalt of t.hE Gcante? a.^.�i t.hP GranLcc ' S
heirs , perscr.a'� repre�en�atzvec, ❑ucce��or� and a�,icns, by the
acceptance oL :his need, ce•recauLs and agrces �� pay �cch cY,argea
Loi -na:ntenance , repairs, renlareR.ent� ar.d ot.her experises ii:
conr,ection �..�ith tne Cenmon ?iemer.cs , and che i.imited Com:non
Elemc�t: appurGenart t.o said l;r.it, av m.ay be aasessed anainst
r.;,,, r,er, c:em. ie or �aid Ur.it , from time to ci�nz by che
iixecccive B�ard e`� the Wesley N.ews ror:dom:_cuun Acscciacion i.�
accor:ance H^. ih th.e IInifnrm Cr.ndcnir.ium T�cC. nf Per�nSylvania, and
f�,�r�her covenants ar,d arree� thac the Unit ccaveyed by this oeed
�'.ial'_ Le subjecc !�o a lien f.or a11 anounts ac assesse3 except
ir,vcfar as Section 3407 (cj of said UniPo:m Cor.d;,minium Ac� may
relieve a aubsequc:�t Lnic. own�r oE liability for prior unpaid
u�-sessmeaGo _ This co•✓e%ar.t ehall run with anci bz�1u sa.d tini�
hereby convzred an3 all �ubeeq�aer.�[ cwnexe thereof .
TOGRTHBR with a:l an3 singvlar c'r.e righte , liberties, privi :e�es,
t:v�edir.aments ar.d apPt'=-:.enances whatsoever rhereuncc hel�ny-ng or
in arryw:�e a�pertai:�ing, and tY.e zever�ieno and re-nair,�ers,
icCtS, _»ue=: aud crofiLa LherecL , and all Lhe eetaCe. Tiaht ,
C� tle, interest, property, claim and demand Whd:-90P.✓P.� OL Che
said �E:ty ?t. 'Phom,��c^ a[ an3 imir�.ediacely Uefore the time o`_ :�eT
deceaoe, i: law oc' eyuiL,v �r ot:^:er.rise 2�owsoe.•er, e`_ , i�, Co or
oc� oi ._.._ same :
TO HAVE AND TO }SOLD Che �aid grantEd premises r.o rhe said p�•_'ty
oL Lhe Se:c.ond pat�l., her heirs; erd aeaiyns `orever .
AN� tF:e saic pa.ty oE t.he fi.rek parT, doeR ^nvPnant, yromisc .
gL�1r.t aid a:asec, Lo and wiLt� ^_ne sai3 par�r ot -h� se�ond �ar� .
he.� heirs and ass:g;e, by these presents, t.hat the yaid pa�'t/ of
che fir�t pazt , ha❑ noc done, committed, or knowinglv or
Wllliri�l% SuLEC1'ed Lo �e (�OriL, d[1'y dct, nldLLCT �r thing •Nhat -
coever, wt!ereby �-he premises a'oreaaid, n:- au}' pact thei'ee` , i�,
:,re , �hali e:- may �e chai-ged or enc�•:mberzc., i.n r. it.le, charye o��
_ac3te , or etlxerwise '�o�.;�ocvc� .
IN W:TNESS WHEREOF, the said F.3rty of thc �iz�t p3-�c ha9
kicxc'..c�_o se.'. -.1'ieir ha'�ds ar.� -��.al , the d-aj' and year ahnve
,::-i r.[en ,
Signed, saalcd aad nelivered
i:n the Presnnce af
C� .
-.�� �!'whi' (S�ALi
_..__ . __—_—_ '._ _.__—____ . ...._
� - ED77RHll � . 'I'HL'+[YSON, c. BXPcut.^r o�
C}!e ESP.aLe of Bet.Ly I-0. Tllompson
, � C� . /'
�CN4/N`ISEAL}
._.. .._—_ __. ._� . _
-- � � ��- � � � b.'vVTU W. '1'Hp,v,pg N, Co-�xecutor of
the cS?.a!'.e oL HeLty K. Tk:GIDg5ol1
:0I4'<CItNEFLTE: J: �ENf75'iLVHTIIR .
SS .
C:.:U;1''Y Jt ��C�C/'�dnL�- .
G� th: s � the 7� day �f �ay 2�115 , t>efore nie,
tf:e uncers_g:ec uf£icer, pexconal�°�+ �ppeased ^nL'iCaftD J . T([GMFSGN,
�p -gve-�utor o1 �:^e Es:.aLe �+k 3�tt� 7Q. Thcmi:eort, b.nawss rp me (Cr
eal.slactoril ,v p:over,) to be the person descriYied in the
`oregoing in�trumer.t , and ackr.e�ale�3ed tliat :,e executed the same
in tlie capacity thexei❑ sla".cd at�d foe :}ie puzpcses thCresn
Ca:�_a'_ned .
i7.1 'rr_'Pr:E55 Y7�F8EOF, I hc_reuy� � �^C my Yia�r•3 a fficial
i
yFe 1 . /���
� _ � . (SEAL;
____ _— _
ar• lic
CCRINONi ;LTk QF PE �H9YLVANIR Y � -�+�1G❑ EX =e� : dS/�,��
� �E__ � __
\�iFRL'L 9EAL I
Sciannr L,Gemer,N�lary PuG�.c
HamWEnT.p Cucovr%n:ICoun�' I
L MyCemr�ee.uv€ipnecf�bY'r' 2�19
YEY?.pT e(V�Akln A9't:lliiu�' Nl':...'.
;'C�h71dON'hFFLl9: Gr YLNIJSYL'lf�lh .
� Sd
i.
C::[i*i7"i OS ��.'r�lY,� f�'ll'�'�li.�. �
� i :�
On tttie � Lk:e �{� daj o: �l��Cli�ti� � 2015 , b��fore nte,
th.= �.:nder�: -7ned officer, Per�cn��l�i: appeared Ci,'✓I^ 41. 'Cf{014PSON,
Co-lxFcutor uP ci�e as!.atc o[ Be_�Ly n:. '"hom�saxi, kno�.rn to ae ior
S�L_flfacYori ;y nmv^�} to he the PPrec❑ describe.d in t::e
icregoing instivmert , �+nu ac�nowlcl�}�d �:;at hc exe�_�.:ted the �anP
i:i t}it. caLaciLy t.herei .^. stated ar.d f.-.r t'-F:e puYpUee'v L'aeYei^:
cor.�-a:.ne�7
IV S_TNF.rS iIEiEAG'0''. : �eYetmtC geL my k:ar.t: and c��f-�cia�i
seal . f'., , '���' i '�,
� �� �+/ -i � . '��
i t'. �i'"L��A'i�11���\� ' t���` ��F.AL)
ppY�ilM'�KTMa�x�� t7�Lar� Publi`� '+.
M�T��' �k My �'cmmiv=inn �;Ei_,es: f �t
yW�p/i�.111�G1L.MntJ�Y .,
"�tea,,,�,��i.�+
w
C6RTZ8ICAT£ OP RESIDENCE
= r]o `Pr=hy r,ertify r:at t�fle piecise resid=nce anC com.ple[e
pn�c office addr��s of ti:c •aithir. named grantee i� :
20L'
ACte_ncy;:,aen� for Granceee
� �q OMBApprovalNo.0501-0265
� �I�I��IrL
�=�, I��Il�ll9r° A• SettlementStatemenY (HUD-1)
e. rype or�oan �
6. FlbNumba[ ]. LoanNumhec � B. Motlgagel^su�an¢CaseNumbe[
1.❑FHA O,QRHS 3.QCanxWNs. 20ll090001
a.��A s.p�o��.��.. �Fi�� 15-03 �
c. rvam�. rn¢i m�wm�neema�w�+.�rementoraaua�.,�ma�rentaea a��nnomne�eey�na...m�e�tefl.�eeie,.now�.
imms marAsa'fP.o cPwere Peuoutail.me�osina:meran.awwn nen krm/wmemnaln�m�a:nnaen notma�eee�n me mreb
o, Nameanan�are5.oiarcyev - . e. Nam.a�emaressorsaa.,� r Nanaananeareuortenaer.
J(W1NEM.FNLOR ESTpTEOFdETttM.THOMP50N
szia caea�esrauE oRrve r'!6h�2
MECHANILSBORG.PF1ID55 , �
G, p�opeM��lion: H. SnliementApen�'. PSqB022fid L SaXlemenl0ele:
5316CO6BLESTONEORIVE CM1esepeabMY�etlCompacy
MECHANICSBURG,R11>O55 1]S.Sewntl51rea1 May21,3015
Q'mbetlanECounty,PennayNania Martl¢bury,Pq 1]1pt pry (p���2y}��QQ
au�m sanmmem:
n s,sero�a svaet
Harrbbu ,Pq 1]f01
J. SummaryofBuyeM1tnnucllon K. SummaryofBelle�slnnmcCon
100. G�m¢Nnounl�uehom �00. CuauqTouMOue[o5elbc
101. ConVedvb I� t450YJ.00 qpt. Conlntlsakc �i¢ 1p5,OW.00
t@. R�wnalp e E02 Perwnal m
103. Settbn¢nICM1u w�aB � lNet<0 2961.00 q03.
t�. 904,
105. d05.
PGueVnenbPordema altlb SeOerinatlnnce Pduatme�p}oribme alEb Sellarinapvanve
106. C ?awnTvxe 0521H6 Io OtbiH6 �bBH We. C cwnTemy OSRy�S �0 01NV16 1593f
10]. Caun imef la CO]. Loun Tuas �o
106. SMoolTapas OY1]tl5 �0 0]Ni/15 193.)6 C08. 5`hoolTams OSQ}/f5 �o OPo1H5 1]3]6
100. ConEoqaoti�fwnEueiaS@/151oC9/p1tl5 fi].00 <OB. Contlo/wpWCwnEue505R]115toC6V1/t5 63.90
fl'. Sswx/RMusepS(L]115�o09N1M5 58.)3 40. SmatlqeNse05(Ly15�a%01R5 56]3
na an.
511.
100. GmseAmounlOmfromBuyar 1q9,803.80 GIO.Gmsgpmoun[�wto5elbt 10.5,]52fia
200.pmounbPaltlO orinBehalfofBue� S�O. ftetluctlonvinNnount�mSepec
1�1. ce wXo�earnaffimon S,Opp.W W1, Exqyda aN seeinSVutlbps
201. P�F alvnwn(ofnawbenn 542. SeXkm¢nlcfi aebSeJe� Lme1p00 t0235W
3111 E✓nfn bena Iabnsub Qto W3. EnIT bvn� 1aFensybatlto
2W.
305. SM. PayaHOIRa1Mo�gege
ROfl 5�"� P mnEMoh
20]. 5�. ev a
208. 50I. �e osdtl:b.0 roreetle
2� 608.
AEUMnenbM�ibmaun alCb SNlat 509.
21C. C ?wmTa� �o AEuatman4tarl[emeun alEb belle�
21t Caun Tema 510. C' ?ownTama lo
l0 511. Caun Txvee lo
212 SGwolTame l0 513. SrAoaRams �a
213. 513.
214. SM,
215. 515.
2�e. 5ie.
��� 51LEsvvrv,'orSotlnWerSSlemloLM1esaealsA6�(ntl 0p9p.Cp
�18' StB.bvwforGaree�wrbCEeaamkeAbsVatlCom SQO.W
219. 519.
3RO. toWIPalEhllor9uer 5,OOO.W SR�. To�alReEuctlonPmoun[DueSelle� :3,21500
300. GasM1at9eHlementhomlto9ua� BO�. Cashatee�0ementtolfmm6eller
30t GrosscmawlGmRamB r Iee130 169603.60 601. G�oaamoun�EvetoSaPe� fned20 105)52.fi0
302 lessamounlpaqbyHarBvyet 'nc230 ( S.00OW) 802. le¢aretluqbn�EuaS¢le� I'ne520� ( ���y�5,
30]. Caeh �X From � Ta9uye� 113,�3.60 60J. pah �To � FmmSelle� I 13253]60
TM1a uMe�el�nM h¢leEy acWawleEge�e¢y�M a Wmple�etl wpy olN'¢ra�emeM 6 any apatltmenis referted lo herein
ByT���y�(v. Seller �� .
NEM.FqILOR ESTATEOF9 M.THOMP N
�-�Xf�2,
.ww�.,�.w.mi�mdw.,.,,i..<m.d.s.i,,..�-,.w..n..�.n�m,Mw�.a,.w��o.�.:..4...,,..n�..�i.,w.i�mva.a„
v�-.. .i aw..,,,.e�..yoM.�a�,.�e...,�mr.ni.e.,mmamm..i.m.�r..r.i.�P.�dwwima.o-+.m.nr..m�..a..,.:�awli�m:m���'�n°.n°.,�°°..
. . wv.�oia Huo.i
(aoizoscam arorzoizosoomre)
L.SEfTLEMENT CHARGES
T��,TOTPLCOMMISSIONBa6etlonPtica g iC5,�00.00 80000% 9p0000
OMvona{Cwnmissen /me]00 esFallowx
]O1 5�.350� �o CadwallBankerReaWenWlBmkarege
]02.4<,35000 lo D'Aigeb Really snit[rs��i
103.CommWbn Pal�a�Sal�lemenl
i05. �0 8]00.00
9�O.ITEMS PqTABLE W CONNECTION WRH LOPN
em.i.wn a ma�ron Fee toxo x m
eoz�o�oumun� � � �o
9IX1. q pnlulFee lo
9�f. CiatlilFepOrt ��
eos.tcnaersin5oaamn�ee �o
BC6. M1y� a e Ru.q .Fee �e
BW.Aagumplion Fee �o
BO0
BO9
B:p,
811.
900.ITEMS RECp12E�9Y LENpE0.T06E PNp INAOVMICE
801.IMe�ealPoom �o S I�ay ( tlrys 15)
902. MIPTatliw,(orL br monlM1alo
90].XazaklnwranrePremAunhr 10 rs to
BW
805
1000.RESERVES OEPOSITEO WITH LENDER
1001.HauNlneuranm on(M15 E onlM1
fW2.Motl a elneurena antFs 5 onl�
f003. L ?wmTamf mon�An 5 monN
10p6. Coun Tazes manNc er monlM1
iW5.5diwlTeree montpa � 5 per moMM1
1006. man0e 5 manU
ioo�. momm � 5 �er monm
��0' moMls 5 monl�
fl00.TITLECHMGES '
nai. se:uememarce.m. F.e �o
noz. ne.o-anarrnb�.�u, �o
110J. Titb Fnminelbn �o �
1�W. TAkl�manreBNEe� pp
ros. oaam.mw arman �o
flCB. Nota Feef �a
fl0]. qHame�[Fees �a
eaeEo�eRemnumpers: �
1�OB. TAYInsuronm IOF'rs;PmerFanT;bCompan
18125toP' e( T1 Cwn an 83195taCM1eu eakeqpsln Com �'�25�
�ntlutlef e[an Ifem numper¢'
flOd.lantlefeCaronge �
flia.amar.cawr e
i���. s us.aoo.oa i.izsao
nz
1113.
1200,fAVERNMENT RECOqpIN�qNO TRpN5FE0.CNARGES
t20f.RemNingFeee: �eeC 5 81.00',Mo age t Re'aases S
izoz,c n rws�am a: oee ai.00
1zo3.5Werawslams Rarenuestam ;'y,e` g iaso.00 1,¢s000
120d.
1205.
1]OO.AD�ITIONALSEffLEMEN�CHAf1GE5
t30t Surva lo
1343.Pep I bn � la
1303.ConEoqsmtlf�ionFee la Wasle MewaContlominhmlamc4lon UnM.5a1b-June 1g500
'30l.qemkCe� la Wesla MewsCOntlomFLmASmtlaCpn IJnIt5l16
1305. ]5 p0
tlOa.TOTqLSETTLEMENTCHARGES Fn[eranLines103,9ecponJantl50;SectionK
w�ww+ew.w..n...o-.��..,w.m.,..na..o.�nm�a�.�,.,�.mw..�.. z.eei.ao iqzssoo
(��`/c'�"( ���
�ne oee.��=„ab�omP.�v
canrc�e m ne a�me moy senbmem,�qem
"•""'°"`.�pB1� gCHEDULE B
pennsylvania STOCKS & BONDS
�EPARTMENTOFREVENUE
INMERITPNCE TA%RELORN
RESI�ENT DECE�ENT
FILE NUMBER
ESTATE OF 21-14-0985
Thompson Betty M
aicbwnrwmuyb..�.awmnemo�.�rvi�nnivm�••�e.a;.�io..a o�xn.e�w v.
VALUE AT DATE
ITEM CUSIP DESCRIPTION UWTVALUE OFDEATH
NUMBER NUMBER
� Morgan Stanley -Individual AccountNo.347-012001-557 39.562.45
AAA. Date ofdeath balance 538.562.45.
p 721 shares of Prudential Stock 87.09 10,537.89
} Saries EE US Savings Bonds-valuas per attached Savings 32.340.80
Bond Calculator
TOTALIAIsoenteronLine2.Rewpitulation) BZ•44�.�4
(tt more space is nee0eq aEOillonal pages ot Ne same size7
CopYright(c)2�12 form sofiware only The lackner Gmup,Ina Fomi PA4500 ScheOule B(Rev.0842)
Wevivh Mamg�m��
214 Scva�c Ave
��h Ploo�
Camp Hill.P/ 1'01 i
cel �IT i3n 1800
hx JI?J30 LN94
MOfC]8f1 .Stdll�2y �ou�re� xaaz3� noo
October 28, 2014
James D. Bogar
Attorney at Law
One West Main Street
Shiremanstown, PA 17011
Re: The Estate of Betty M. Thompson
Dear Mr. Bogar:
Per your request, please find the enclosed date of death valuations for the
accounts of Betty M. Thompson. Both of these accounts were opened on
6/24/2014.
If you have any additional questions, please call me at (717) 730-1816.
Thank y u,
La a R. Washburn
Senior Registered Associate to:
Mariiynn R. Kanenson
Vice President
Financial Advisor
Lrw
enclosure
i�lmgae.�unlry Smiih 6amuv I I C.M.mba SIVC
� o ? c " _ _ _ " _ " _ _ _ ' _ ' _ _ H o o _ " a o o : - q �
O rt I A F A A _ � A P �S O ` 3 �
� - N
� � f � � 3 3 3 3 N � �
3 3 � a a ' _ _ � � , C
. t ' ' _ _ ' _ . _ - _ " _ _ _ ' ' ' ' _ _ m 'n
' - , u
; _ n w N
_ = 6
_ s � �_ �
� � �m - _ '� s a
= - _ a �, = _
` � :
- = y - zo
_ - _ _ - o
3 b' 'e� i
£ o d a � u w �' o v i.a n m o n a. o m a m m � S a � o m + + o r m o v �
- _ _ _j R! � N �
� a � - � 9
3 - � . DOPo , o „ so .� . . o . o _ e _ � � . � oa _ g �
_ ' P _ _ N u
m m a a m m m m _ . m a . n s � i _ o o m o � a m m _ m m m . -
3
y ➢ D > D > D S ➢ ➢ D � D D D m ➢ ➢ > ➢ D ➢ > >
_ _ nm
_ A � - - � �
� c (, � 3
iC0
< � .n m -� n c� -i n c � _ m v o �n o � u -� o m a m 'n `8 'm a �n m o ra m .. � �
3 = _
_ � . o- c .. w � c o o c - 3
� o f�. _
� - � Q
� SV
_ �
.i � � � ,. � -� -i � -r . -. v � � � -r � -+ r � -i -i -r „ � � � � a �
N
' �
� J O J . O O � - �
tly P A A F � C 9 �
� ; N
^ � � � � 3 3 3 3 3 � 3 3 � - 3 3 9 3 3 �➢ 3 y C
_ _ _ " _ _ _ _ _ _ _ _ � _ _ _ - - _ _ _ _ _ _ _ _ _ ' ' _ _ '_ _ _ _ _ >
_ ' y
" " _ - - m
� ' - = n
3 ' 3 0 � _
- :' - ' - ; 3 �i
_ ' ' "a � _ '
= tly� � � c � 3� - �
' � � - _s
3 - �
a % s ��i � n a .r o - �n . m z
R ��� � -� � � o � � ° 7
� a � � � �� �� a � � t � a o o a a e a e e > ,. o e o o � .. e a a � .. a < a P ._ o o � 3
' _ _ ' " - 7 �'0�%
�s -
a am ., � � maa � r _ .� _ .� rxm � mo �, . we = o _ em �=
_ 3i
�
3 - y >
m� > > 9 ➢ Y > _ D � D D > _ Y >' P
_ �I
m
_ - ` o'
- j
_ � � �� �
3 ,� > I y . � ., a � _ o o � � c+ m .� m u o o o m r. �+ a � m � .+ .n m o v � c_
D
' 3
�� � ti � . - m .,. . - ._ � � � � n m .� v m n �u - n � r m n o > > - -
a �i
;
- E
I _ �
� i ' n �
I - �Ni.
II . � . . � � � � � � � . . � . . � � . � � � � . � � � � . � �
K
� c o - - - - o 0 0 0 0 _ _ o 0 0 0 _ _ o o ^ = c o „ �
O _ � � P A A A A F F A a � s �
3 � 3 3 3 � 3 q 3 S ] 3 3 � 3 ➢ ' N N
- � C
_ _ _ _ _ _ � _ _ . _ _ _ _ _ _ _ " „ � � o >
= �' < a a
' ' - ' � ' a
_ - � 3q = = - 03 m
_ _ _ ' = oi
_ _ � 'a
no _ -
3 - 8 �� � �i ti o a m � v � '� e m o u e -, � v � _ o ,� a s w v .,, v � a �
e z�
_ _ " ' °nAi � o �
3 � �' ..s '� � a
' _ o _ o � � a e .. no � � > oee � n � , , a � a > oa � n o g �
T A 3 2 I
_j -
2 'u ^�
➢ � D D D A � + D ` . ➢ � ➢ D J ➢ D `
� �� .. o m m � .: u � m v .� - v o � ¢ -+ v+ o � m c� m o � � r r c w �
✓ NI
3'
' � � �
- � .. - o m .. .. o ¢ c v n .n v c m ti ..� o � - i. m �n a m m -
- �
l �
O �
� � � � � � � � � � � � . � � + � � � � � � � �. �
k
. - o o � o o - , � o ' _ _ = N �
w
' : �
A r > w
y ^ r
j _ .. . . K . 3 O
- 3 3 3 9 3 3 � 3 3 3 3 = 3� � 3 � 3 3�
H �
_ � _ - . _ . . _ _ . . _ _ . _ _ _ .. . . _ _ _ . . .. _ _ .. >
] _ �
i � � F _ _ a
3 __ _ _ - _ ' $6 .
= �a .' i� o 'o _
_ao _ _ _
� � 3 �� 3 e � � _ ., � .. � - „ _ � . . � . � v . N .. � -a, � . _ o.o � o. � , j
_ _ ' _ _ ' ' - � ,��, �
c � � '^ v
' ' > __ . ,. � n _ a � en . „ , ,. � . . .. _ e .� _ o o ,, .. ,, � o no
_ g,� c s " �'��. _
- 3 . _ � . _ _ _ . _ _ _ _ _ v , _ _ ._ „ _ , _ � _ � , . � _
z = _ s & '
� I n a > n > > n n n n n n a n a s _ n
_ _ _ ,$'� - - . . _
�I
_ _ '-a�3�, . .
_ T _
_ < � � � _ o � � __ � � _ a � ._ _ � o v �� ._ v � v _s ,. �, _ � .. . s � � .. � ., _ � _
_ x
- � . � � � ,. .o = �. _, _, . . _ � � r o , a > . - �
;
°
_ _ _ ' o O
� o
� ' �
� o
� v � r ti
- . � _ . a.. . . = _ . _ a
= �
� - �
� � , . . � � � . . � � . . - . � . . � � � . , . . , . � � � � , � , . �
U �
_ g � � ^ " �'
� - 3 � �I , CFl ; �n G � 3 O
= 2 ' - R � �
ffi " , 'u
- ac '° < rv'
' n
� � a � _
� $. o g _ _
R � _
8 __ _ -
= rv5i
3 - -
- ]
� s - ' 7
_ � o � _ o0
3 � ' � g
a „ � g �
" � ��'' -
� - f .
_ „ ue
- 3 - _ -
- � - " -
�
3 _ _ > o - �
_ - - a
- - �'o
a
- �
- o �
�
m
�, �
PRU Historica] Prices � Pmdential Financial, Ina Comm Stock - Yahoo! Finance Page 1 of 2
Fom[ AFdil Navs ..:w�s Gmence Weathar Gem¢z ouu�u Pnzwers Scneii Flickr MobAx � Mo v
. . ... . _ ._ _.__ . __. .. _. . . _. .
..emtliFnance Se$y�'(�kG �dap
Finanw Home My POMolio MaMet�a�a Va�oo Originals Business 8 Finance Personal Finance CNBC Con�n�ulors
�r JSV�a.c
en2 v ��<Jp_ .n� .. n. u _ . anes.,.s xwenan av.e
uaw b-...- imN4�6'.
rau �_ A���„ PRU ��� E�,rcv.oe
� o�o � �E�w��WM
,
PrudenllalFinanclal,Inc.�PRU) �Nvse iw.mnr.�
78.�J8 a1.67(2.08%) �a:osnmeor-Nvseneairmean�e
HisloricalPrices a.�rv�,�on=.ir.k..re..r_ � c0
s.i ma a.�y.
p.oaor
Sun o b: Od V�5 ] 101C Ey�an t 3010 py�qekry
ena o e: Oq v�0014
OMomnry wY „�Nf�,,;<.
OommanesonN
GelPnces i
F e I v. .���.I rvc.,I i�.i
Prbe:
Oe�e Opn Hig� Lou Clau Volume PEjClose'
po3,401d B]O4 BZ6] W.S 9Z09 3.<0IE00 9]04
ClmepnuWl��a<io�Ei�Eenmandaoute I :IPmmni¢INn�le�
Downlwtl�o5pmad5�eet
c��azn�uso.
$87.09 Median Price
X 121 Shares Owned �
$10,537.89 Date of Death Value
����VN1$Udfd
�p_�. .i . � , 'Iahoc i�flCNco�SNNYr�4
http://fmance.yahoo.com/q/hp?s=PRU&a=09&6=5&c=2014&d=09&e=5&f=2014&e=d 10/15/7014
iiiiiiiiimiiiuiiiiiuiiiimiiiiiiiiiiiiiiiiiiiiiiiiiiiii
� Prudential �Omputershare
Cortqu�ershare
PO Ba 30170
College S+a�im,TX 77842-3I70
� WthinUSA,USterri�aiesfiGnzda 8003059404
. OutsideUS4,11$territaiesfiCaraaa 73P5123782
000519 www.compurershare.com/nvestw
�u�iupiq,muuPpu�p,�w���i��li�hdqi�n^Id�i�nd
BETTYJTHOMPSON
5216 COBBLESTONE�R
MECHANICSBURG PA 170554489
Date 24 Oc�2074
Re: BETTYJTHOMPSON
Canpany Name: Pruden' inancial,Inc. Accoun�Number:0028857829
'ORS book-entry sheie :121 "'Closing Price per Share as of 24 Oct 2014:$84.58
••Certificated Sheres:0
Oear Sir ar Madam:
� k you for notifyiry us that U�e owner of ihe Pnidential Financial slodc account noted above has passed away.On behaX of Pndentlal arid myseN,I would
i�...�a express my sincerest o�nddences far your bss.
I uMerstand ihat this is a difficult time and the process of transferring tlre assets ol a loved one who has psssed away can seem ove�whNmiig al times.We xant
lo help in any way possible and have endosed tlie fams you will need to transhr Ne Vndential shares to a new awner.We hare alw induded detailed
inst�uc6ons,as well as a set ot Frequently Asked�uesfims,to guide you Ihrough ihe qaess.I hope Ihis informatlon will be helpfW as you make decisbns
regazdirg this accoun�.
Mwl of Pn'denfial's regisleied sharelwldeis receNed�heir shares as a resul�of Pn�tlenfial's demuWalirafion in December 2001.Altlwugh some iiMNiduals weie
givan shares as a rewlt of iheir policy mvnership,ihe shares are canO���Y separata hom tlre policy and Mey must be transferted to a new owner,even il you
hare already daimed tlie pdiq benefits.
We uMerstand ihat,in some siWafions,Ne new ovmer may wish in sall tlre shares as saon as ihe transfer is completed.Il lhe new owr�er xvshas b sell d�raugh
Compulershare,i�ofiers a vduntary sales fadliry for elgible shareholders to canveniently liquidate their shares.A mpy of ihe�erms of�is saks tadliry will be
endosed vn�h Ihe new aaount statemant Ihat will be mailed once�he transix is completed.Once tha transier is complete and tlia new aarount matenals are
received,sharehdders wishing la sNl ihek shares may do w by contac6ng Canputershare d'rcectly at the numher conhained xilhin Uwse ma@nals.
Please Oo not hesiGte to contad us tl we can be of any help to you durirg Nis diRalt time.H yw have any questions regarding ihe transfer praess,please call
800.3059404 and select menu op6on 4.ARer ihe automated massage,you may ihen press 2 to reach a ComOutershare represenhtive fa assistance.
Again,pleasa accepl our si�are conOdences.
Sincerely,
n�,,��, rn� ��/
Margare�M.Faan
Chief Govemance Officer,
Uke President and Corpo2te Secrehry
'DRS bookentry sAares-a recwdkeeping opiion la yw lo recoN your mmership electrani�lly on Me bool¢d Ihe rornpany
"Shares br wAkh a physkal sta1�ceNficale has been rssued.
"'Aanunl value wbjecl b markel fluclwlion.
Calculated Value of Your Paper Savings Bond(s) Page 1 of 1
Calculated Value of Your Paper Savings Bond(s)
Calculator Results for Redemption oate 10/2014
Total Price Total Value Total lnterest VTD Interest
$14 5�0.00 32 340.80 17 840.80 1 044.00
Bonds: 1-9 of 9
Issue Next Final Issue Price Interest Interest Value Note
Serial # Series Oenom Date Accrual Ma[uritY Ra[e
M63581240EE EE $1,�00 07/1994 11/2014 07/2024 $500.00 $615.20 4.00% $1,115.20
M63581239EE EE $1,000 07/1994 11/2014 07/2024 $500.00 $61510 4.00% ;1�115.20
M63581238EE EE $1,000 07/1994 11/2014 07/2024 $500.00 $615.20 4.00% {1�115.20
M63581237EE EE $1,000 07/1994 11/2014 07/2024 $500.00 $615.20 4.00% $1,115.20
V5074604EE EE $5,000 07/1994 I1/2014 07/2024 $2,500.00 $3,�76.00 4.00°/a 55,576.00
V5074603EE EE $5,000 07/1994 I1/2014 07/2024 52,500.00 $3,07fi.00 4.00Mo 55,576.00
V5074602EE EE $5,00� �7/1994 11/2014 07/2024 $2,500.00 $3,076.00 4.00% ;5,96.00
V5074603EE EE $5,000 07/1994 il/2014 07/2024 $2,500.00 $3,076.00 4.00% ;5,576.00
V5074600EE EE $5,000 07/1994 I1/2014 07/2024 $2,500.00 $3,076.00 4.00°/a ;5,576.00
Totals for 9 Bonds f14,500.00 $17,840.80 ;32,340.80
Notes
NI No[ Issued
NE Not eligible Por payment
PS Includes 3 mon[h interes[penalty
MA Maturetl and not earnin interest
http:l/www.treasurydicect.gov/E3GSBCPrice 5/8/2015
i"VI'1lLUS111hS �r��I�CFsliUYb � �
,�OO� � � � � � ; J bY��,� �
�� .� �� �_����� .� ; � � � �-��,��� �� � °
� � � ��r,
ff � �� � ��� �`� � �� �
� � ��z �
�TarCfxz55�4;�a�� `'ilrq '� `�� r '��
� . a w,. � , � Toa.�i, '3v .. 3.° � i
t t� ,�`a ?�?�•r,�r.�" s'ps,: ]'. i z . �
� �
.o� ,:� S�Y,�Y��c ����`���[�`�y � ���'q�g r _�I
� k � A Y �j ��C >� �Ws� � �Sk � I
W
'�a aM : �� }�S r.� ibs�' ?��� 4 �" z a '' �
t`� e Y '�➢ 7 ! ri , < }�
C ,�r ���
��v. �" �s�. f�� `R" � � � X r� .„r�+1�*� "
lFj �d■ � �� �� �p i �y � _
� �g� �i � .:.. �§..��5i� i� � w {
. i f ��°.`_£#��e r'w�"� %'{.Gru°'�� F g m 5 1<
- a i� t 9 � �,� +� � r�� ,e w a � � �s�. h
. _ t �„��'x3c� ��riv .65.l,. �a�-� e>s, .
� i\IT1n�3CfA`) h �il�'I\fh )30Y11 � �� �
�1000 \ + � vz Y . E £ } s T�4�y u :.��I
t 1 q� E , A �rt.P�,z ,pN'1 �ki3� ' {
* "��t� k �S,� a \ h�v�.a*h}. ''�f`�n ti , �
�a x.i k � a 'b t
� � �, a �' ' � If � � �.�'Si���a� �`�',�r�i • �
�+. � t �'�*<�'�`'�a�',i t� k � �� ' 14 � r
} T � �%`
I y�
� �� � � � �r+,� ��� ����� � ���� � b� '�� �i 5'� S ��I
�„t %R � 2 i �+1 � 'i k � # � ,"���F��S � ; S y < t I
2 4 �. � ��I�'� t�s F�r. t f�wL A�����q� ��}�. °'^ -I
' .�y ' �-s �' "Yy� ui? �� � �. �:�
�e hr ' ai
i � � ' e � � � � �
g "f i �` `�nS�r � ukar ' 6�, �.��' &. ; ,
g � .�§ � �, g ��
c�`���b@k �� �� s59�' s a��� ���r �. rr£ z-c�R �;. �
�
� ��� � r� � � � �i���`t.'� �� � ` I
. Qu., �. t ,?)ck�tF �s � �
� . �
� ,.:' " �
� Ph[1l�1)3P\1`[ b Y 1�'IV( Y]l0A'D
��OO, � 'S' .� Tt x +� t ,4}�'�, rt --� t !
�+
�,, � � °v'� rr ,i� g �, .r:."�€'fi'i�$� , �_ �r �
:"
2 � .0." r sa �am�5`�'{a� rt i' �e� s ,
�
3 Ay � b� �', I� ���'� ���_ , �;,,t�x �6e
�� Y i � '(,g 2 � �,} ��y�k' �`R �'�$j,"
� � Y � ' �I
�" � �b � � ��'db'���F'a
�� �t � R �� � ' I
�-sfi� �t .�, kn z� ta.�i' �PL� 1F�� }
� aYi '�y x p �{,$ y'S* " t
� 'S ����'�� 1T$��`"f��� ��� �4k
ffi�` �
� V t;�� A�� E K`�{�� � . qqq
t a ��
s`'�'�S4 �.�,`�° �'� � k � i
. � � ��
� ia e« v� � i ['�,.s` � s xc
�Y5,� �9 ����4 �.�� I�� � .;.� �`� �����y�^ �
A3 F F�� �q3 viet . "'g'�( ����,�p�,�1 I . Y
� "5.� &-�it ig}`� t�$ ��,��l.zf�.ti'...r�b'sn""''� 1 �i
a t�, i t ` r.� E.SL s € n'�'
��._� -2��*c+�.:c�s ,rr2s1F� � �$-�rz- �-Sk��'{.�..�,:'
�,� f
r�ia�n»c.i ui •.v,saix��v i�u��i � , .
i` �` e�nw6R.dk� r yYi xx 2rv'�"�s� � t4rzae g^sl a:: :�
���oO ;.1 $ "`�T. A py��£4 Hi'c «'SY£13� �fY"1dd���#F§..d' �� N `Y
� �fY j . "�� Y� '.
�4z � K ��'.��"'��BY�.�6.��4�3''�. . ay � 7 t �
��.5�. "���`°°�iri � �l�r�{y „ �y? �; ; s . �.
� � s���o. � y � h .
g.Y`��� d � w'�"�",�� � i
� �'� � `���� � �} .r� �� �� � 3.
,x �� a +�.
'.ca a a'C �`� ��;�� +f�'�� '"� ' � _ �°
`,a� ry�y�t . �y ah ''fjdi� ,��l�gG� �� '� � ,�,°� �' ��� t5 '� ` '
� R�.���s� ��R� � � .�. +� F � � i ��
e $ SsbR �� � ��` c � �� � .�
;i����n�� 't i 1 $����a � y �� y �� � ac
� .� T �x'�. e7 'R � "4 i 2'.�'�w . �¢�y�S �4�' x i °s.��
� �``�
, ������� #��.,. t��` �,�'��� � � � �F „ i
� �' �� ,. .,... , ., %��. �:..�.#e>.� � ..€s� ,�x.en . ;�a,,.rE< ,. . ti *a.. ;� .��i
� � , �, �han-r.v�f-.� ��c� e. �vcic.c,�cuvy
����. � �, : «� . � �c , � .ya �rn.'+ r , €�_ � � �� :c i
e 1 ,� ���S.� c5. z: �` `��( l s=s,�� i ¢ . i.
. �� � �e . �..�L ."+ ' �e �' �I
�� � �� �� ��� ��� ti�i � =,v�{+t . � I
.-: �[�'��t k�€3�'"4 "$y I � � 'ze
.. � "�' r n x � �,I
� � � �` �'6a���� S�' c` � ���.,, � �-
{i�-e� ' a ��+it�,t�4� � a �� ���'`�''Ch..�. �YR'fi a ,K � ���
z *c'�'� � y �< �.E .. s "�y � s � < .I
,.. D+. ,� l .�, +� � '}3�� 1 ��" r ' x..a� � � s = �
`� �� " a °° `'_`�6� ���°�^�� 6 ¢� �a�"" a' ^ `��'- s �
E
2 -°�c� t ' ��� � ' �i
� ;� � x��
.
„ � � � � � x �
.
}{��� �y� ir � y s� � �f�" +
C��� �aff� s i ■I11 �-y����I�����3J1�
esT l '• t� ttn�f:,i?n YA.a � c$
�P.i ii 9 � � �Z� {l f������ I kv
,,,�� "� x � � '
`v . � : ..,S�2t� 4.H ..e,L,x: ' ,.�t'$ik �aW,+ t� .� . � . ,. .•� . �.
' � � Y�\1TEl)bdll•IESSi1tYVGfi)T(l�il) � �
,�4 r,; S i k - d a �+R�( d a',�3�,y {�' '�' a �- m�c.
����� �.� x ati# a i �''' 1 $ � ��
� �e's' k � I �` � �ar����� � e .
�a ������ � ��� s� �� �-7 �� � � � � - � z i
� : �a x r6� � s ,� ,+ x3��S^S
i
i � ° 't`� }aix.+. 6 }�4� �F'` i '.1 ye �, �
i�q �e-
y, � a si� �#,�y x $.9'�F5'� yE}.. A� '��'�' 3 s� . I
!M k \ e+�q iG �4 �t �. �i-+. +.Y 4 �}. `.��' `+? I
� �i � �--}�
t
t �
i' Fr ,� 4k�}�` �*� ���� � ��} �'�� a� � �
� t�q c v `�i+§�i i��� �� � t� � � � �� � -
� ,i
,Q,n�?
-x �g4+5"qy' � � L �
3 �� �` �GJ �5 �§i� �FL�: . �.
.h � ��`� .i�p� � �3�� °i Y: 1 c
� ���d� .��k �� . �` ��$���I� � . �
i
x� 'L2 & .a ,s a d
s�������. c`�X;, ��t�'4 '����4 '�� 5 �+ - � �
�
i y �r
� . '
., � �. , . �,.-��Aac�.��,sa�� � $s�'.���rsA�:?.Et�. '-efh`vf:= m i r-�„ :'
1 [t�1`FD EtL1Z126 6L14IP'( N l30\D l
���./��� Sy!� R �F. "§�`kTRbg#14 i'kS#1 TiFy�t S � tr l S �
V 431i I I �„.y y � :�d y�����
� -�h6•r�„'�+i� -s vY{•x''� �b+'p� : �y�� � �', 3,
� ;
I
� � ��'�S."`^M. ar� �; � e =.,,i-., z ya.� � � � � � s g .
�
a„i���,� ..��'il� �� [ ,k { ,
�
�t '�r . T'�hF'-tFF �� � ,� 5 ,P L[� `
a�' .��, � .� p � fw�� 2b � .��
. t , 4� � A [ � ,p: �g
t� �� i ��k� � �.m*4 � .�h t,NL� ���� q 3.,y � A .
. � � � rF ; � � �y as
�� �'�� �� , �„, �1l Y����,�''��� �A��°� �,w�'�„ ' ,�U '
� �'v�� a ai�' � � i ��'�� � �t � ' � _.�
W R rs � sm. s i
�x��i.�F i 4 �` 'i�_` +vy���1� �' 'C�F��3�1���1�� °� a �r �
�
�, e �rs , a .; 6 *� �� ��p ��s ,
�
, . ` . ' : ' � . ,
, � � . � , .. ..
� ''
: r� � �
* = I
. 3_'�.. 3 �'f 6 � ,'� w'. !`� i � ':-g t 7e b_
. . - � < - . , . � � , : r� , �:�.
� ' r ' l'VITSOhT.fY`1LSliAVI.\( Fi1Is0\'I) i �
1��� � � �i" � ¢t w � x?� e j � x k*W"b4 �� � q z s��
e � c a , at.q.- si,i '4.X s *9'�w'%" 4k5g�*yd�4�'.`�`g'�"Y
/ �. � x-�i'x M 9. a � '�
� � ) ����.. ������`r� }
� ��'� 'y�0�����1��= � � i� i �� 'S �� ��
. � ������ �� . � k���f"} ti'. .
� � t 9 4� d� � b �} {'t t� 1
J
�k�� ` ���� �x � .
s '�; ?�"� `�' �, {y�,g��;� � � ��� � � '
J. SE�.r ° i '4�`E' t� �€ *ii��H iY*EfY���� ��# { Yi � i� �
� � e
Y a .�F'� n 7 "t�F�.r� I
. � �r s �$ ��! � � n�„ " � �^ �
. � � `: �x*��q�-�,� € �t�-. 6 °��
� s �. b�x i �4 � `£� r j
y ✓ F� �� �7
` � i ii r � ax. V
- , � d �, i ���� .�s�i � . �'Tro��."(���`�C
�. - 3 .s"` -- �* .� � c
� v�� � ,� 4� t.� a tT���y',Y.�s-q�1�.�s.. :� s ''. xz
. . . i °�i', -r�h;a! �fiFt'.���i�`t?a ,�x �`< . :� _ —
.
� =I
{ jl
---- tr}�I'1`EDF3TafT1Cti,Fs.1V[iVl'.fili/l:Vl) l �
y � aa'� E^se Ys •-e°" .iea"�➢v^���+iavz�"F.Y ;#',�y�Pl � . Sn"; -
a�0�� S ��'sA`^M{A EY�1 `"K i�°�. ,i'�"Aid�!^�+�}{ �' �s �
� ���$�St :k�tt�artakk � A.�.iSd.�. F 3
� �
,� v,�,�3y T n d� ( ���¢r�' r���� w�t�s-
r, ��#`,��� A ��'�,Ex U '� x S,.' y � '..
'�E�i a eF��a�,,.'���'� A��, � �,�y'� � �aa�� � C � �
'� �� s 3 ��� ��.e�'t��i���,g���,� .., �t �, �in �� e�, t
, ��'��y�,���$������ ' > �g �:<��� '�
s
� � r 't�6'�� �#f�� '*�1�F = `t"�6 a��� 'z'�'"4�s �
t
� C x w k r' P� 4
is `�d.a�e s �`t` �' rttY r�� r ,� p
y n�r�w�Ar�� �s� �+�v r� � '����Ik��C�� �� � � R
�F v`��1t'.�s� ���� � �.
*.- �* , xc . �, ; � `�.' �,::.q � +# .. �
.
.�� 5 '�� t�, ri� � I�,� �,���^ �' a .; j
.�..we�4��r�� � . � Po k ryq�3.�°��.'��i. � ., y ` t
Rev450B E%��O!-02�
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
oeraRrMe�v�orr+e�uuE PERSONALPROPERTY
INMERITANLETP%FETUIiN
RESIOENTDECEOENT
ESTATE OF FILE NUMBER
Thompson, Beriy M. 21-14-0985
ma�ae ine a�•as m noe•�io�a�o ina are rcb vro�a.o:�.rere r«en,ee ey in.a:a�e.
a�p�^V.Mlanayown.e`nM�n.num of surviranMv muat e.ai.tlaew on wn.om.F.
ITEM VALUE AT OATE
NUMBER DESCRIPTION OF DEATH
7 Americhoice Federal Credit Union-Savings Aceount No.36766-0007. Date of tleath balance 17,448.59
E77.448.59.
P Morgan Stanley-Cash portion of single account no.347-U12001 14,866.75
3 PNC Bank-CertiF�ate of Deposit No.31800329025. Principal balance at tlate of tleath 7.122.71
57.122.56;accrued interest 50.75.
4 Pruda�tial Alliance -Account No.87901001020485. Date a(death value E72,984.47. 72,987.47
5 2001 Mercury Setlan-VIN#iMEFM53U31G631262. Sold at private sale. 500.00
6 Personal PropeM1y-sold at private sale 1,500.00
7 Highmark-3rtlquarterpremiumrefund 775.60
8 Highmark-4thquarterrefuntl 627.80
9 HolySpiritHospiUl-refund 225.00
10 SGteFarm -refund g7.5q
77 Ameriwn General Life Insurance Company-Western National Life Insurence Company 7,Bt4.82
Annuily No.WY011797. Date of tleath balance$7,814.82.
12 Genworth -Annuity No. GA0075782. Ralph W.Thompson died June 22, 2014. Betty M. 9,352.62
Thompson,the Decetlent herein,was the named beneficiary of this account.
TOTAL(Also enter on Line 5. Recapitulationl 733.248.70
pl more space is neeCeq atlJitional paBes oRM1e same size)
Copyright(c)2012 form soflware only The Lackner Group, Inc Fortn PA-1500 Schedule E(Rev.0842)
� AmeriChoice�
� F E D E R A L C R E D I T U N I O N
Ocrober 28,2014
James D. Bogaz
Attorney at Law
ATTN: Lauren E Kays
One West Main Street
Shiremanstown, PA 17011
Re: Esta[e of Betty M. Thompson
Attorney Kays,
The decedent had one member number, 36766; titled Betty M Thompson. This was an individual
account.
Account 36766
Regular Savings (suffix 0001)—opened 11/04/2004
Date of death balances are as follows:
Balance Dividends earned from I/1/14 to DOD
0001 - $ 17,448.59 $ 73.07
Mrs. Thompson did not have a safe deposit box or IRA sha�es with AmeriChoiee.
This account was odginally opened as a Join[account. Mr. Thompson was removed from this
account on September 15, 2014. Affer that date this account will be�eported u�dcr Betty's SSN.
For this reason the following may be needed. Dividends from January I to Sepmmber 15 were
S I I.57 and October dividends were$1.44.
Please feel free to contae[me direc[ly with any ques[ions you may have.
Sincerely,
�� ,�,5 ��
Bonnie R. Seagraves
Operations Specialist
Phone (717) 591-1282
Fax (717) 697-3713
Email bsca�aves(a�zmeriehoice.ore
Main Ofiice 2175 Rumble Ree Hollow Road • Mechanics6urg, PA 17055 • Phone:p177 697-3474 • Fax:p7 7)6973713
Webaite:www.amenchoice.org � �
NCUA_ .... .�
. i�xncn roonm�in��nvc•
Wealrh Ma�agen en�
21§tienau-Ave
'�h 1'loor
Camp Hill.PA ROu
ml :°�i Siu �800
MOfg81l St811�2y dn�a 'v?so �n�o
�,. n��eo ia�„
��u rc�e xoo zv nno
May 22, 2015
James D. Bogar Law Offices
Attn: Lauren E Kays, Esquire
1 West Main Street
Shiremanstown, PA 17011
RE�. Betty Thompson. deceased on 10/5/2014
Single account# 341-012001
Ms. Kays:
Please be advised that the cash portion of the above referenced account totaled
$14,866J5 on the date of death.
If you have any questions, please call me at (717) 730-1816.
Thank y u,
Lan R. Washburn
Senior Registered Associate to:
Marilynn R. Kanenson
Vice President
Financial Advisor
1�y„n S[., �ey a-.d its �9 a :ia',",d�l;o.s c,. ,., s"i r .. , ..Ic�. '.r �!�✓'„�als sho.,.n �o^su't'-e r ,,.�.�n��
tax acv�mr be(nre making any taz-related '�nvestmeni decsio��s_
—his �Tiatei al was no;�rtended or wrlten to oe �sed, and it canrot be used by any taxpayer, .`or[he
purpose cf avoidirg penalTics mat may he ��mposed cn [he caxpaVer��de�US. federal [ax laws.
Vlorpnn SnNeY 1mnM1 Namey I I C.Membo SIPC.
Nov. 7. 2014 1 :40PM PNC eaok No. 7194 E 1/P
(� PN�
November 7,2014
Lauren E Kays Esq.
One'West Main St
Shiremanstown,PA 17011
RE: BettyMThompson
SSN: 360-12-0163
DOD: 10-OS-2014
Aeaz Ms.Kays:
Tn response lo your request for Date of Death(DOD)balances for ffie customer noud abovo, our
:ecords show the following:
CertiTicate of Deposit
Account#31800329023 Established: 07-02•2006
SBTIT M THOMPSON
DOD balance: $ 7,122.56+0.15 accrued iaterest
Tnterest paid OI-01-2014 thm 10-OS-2014$ 14.81 YTD
Checicing Accou¢c
Account#5140064199 Established: 03-21-2012
BETTY M THOMPSON
� EDWARDITTiOMPSON
DOD balance: 8 13,883.07+012 accrued interest �
Tnterest paid Ol-DI•2014 thru 10-OS-2014$0.97 Y1'D
IT2A Aceouat
Account H 75500036013 Established: 11-26-2007
BETTY M THOMPSON
DOD 6alsace: $2,634.45 + 1.17 acctued iaterest
Interest paid 01-01-2014 tkvu 10-OS-20 L4 S 35.13 Y1'D
For beaeficiary infoxmation,please call 1-888-762-4727.
Please note that this office provides date of death balences for deposit accounfs(IHAs,CDs,Checking and
Savings). We do not process a¢y iinanciel transactlons ot provlde etatemeots. Ifyou nud assistauce with
eny of these items,please call 1•886-PNC-BANK(1-888-762-2265)ar stop by your loce]PNC Benk b�anch
offia.
Sincerely,
1Vational Fiaancial Services Center
PNC Bank,N.A.Member FDIC
Page 1 of2
No�. 1. 2014- 1 :40PId P4C Bank
_..._ _.._.... _ _..No. 1194 _..o, 2/1 _ _ . .
This message is rntended jor the use of the individual or entity to which it is addressed and may
contain info,mation that u privileged, confidential and exemptfram d'uclasure under applicab/e law.
If rhe reader oj�his message is not the intended recipient or rhe employee or agent responsible jar
delivenng thic message ro the intended recipient,yav are hereby not�ed that ar�y disseminadon,
duhib�tion or copying of this communrcations is stricNy prohibited. Ijyou have received thir
communication in error,pleose notify me immediately by reply or by felephone ar 800-762-1775 and
immedia�ely destroy thu fazed document.
Page 2 of 2
�7 ,�1 Prudential Alliance Accoun[ Services
� PI'UUen�lcu The Prudential Insurance Company of Ameriea
PO Box 535486
Pittsburgh, PA 15253-5486
I-877-255-4262
www.pruden[iaLcom
November 10,2AI4
Lauren E Kays
One Wes[Main Street
Shiremanslown,PA 17011
Re: Esta[e of Beny M Thompson
IJear Lauren E Keys:
The balance for the above listed Prudenual Alliance account as of[he da[e of dea[h, 10/5/2014 is$72,984.47.
If you have any queslions, please con[ae[[he Pruden[ial Allianee Cus[omer Serviee office at ouc toll-free
number, 1-877-255-4262. We are available Monday through Friday from 8:00 AM ro 7:00 pM (EST).
Sincemly,
Prudential Alliance Account Services
The denk of New York Melb�is[he Adminislralor of�he Prudemial Alliance Accoo�[Se�llemcnl Op�ion,a rom�acmal obliga�ion
of 7Te PrudeNial I�so�a�ce Company oCAmeeia,lucnted at 751 Broad S�reeL Newark,Nl 071023777.DraR eleazing and
pmcessing su00on is pmvidcd by 7t�e Bank of New York Melloa Alliance Accounl halances are nol insured by Ihe Federal
Deposi�Insurance Curponliun(FDIC). Thr eank o!kew Yurk Mellon is no�a Pruden[ial Financial wmpany.
1 1 � 1 � �
.
'"`:al.�t ��� ��'�,�.� ;�� CAYE OF 7'lT��A � � .
��„
Y� k
, Ot�Q246F#�1tYl��it�-3.�'^�it9fi. '
��'���„����' ' i ���� �#���;'4
sat,r 1 "� _ _ ��"t��*k�
-:� ;
�� *�r `� �'� �rh�'.i.P � ��#i. �_ � � ,. ����'0� ��5�
1v±�S8fQE � -, 2�'33,�,�..,,a,; � " " ` �
�on,�a,n,« ,����.. ,���i � - .:`�
�,�,��a;, �%�- �t_ .
n,��
`� - ; �;: ��a�:.;.�
y' .: . xy �: o--+�e.�
��':�:; � . a . '°a���.���
., �z; � �.�.,w.,�,.�,.F.e
•.'�. .. . �::,e�" .e,,�`''� e.:�ro.�e'w'r�.en"°�:amu,.n
s��e° . ! � �.a�vrmc«aare+tn.wscroswe =
�'n �
� nr.
� � .: ;a""$i�' � t"' ' �ro...«r
. T� �
.�14'�a�� AF�.•.ylObzS aq�g. i C'w: �
ALq. Y P.
a�..
� � � ��� � � �� � �� � roi�
«�..,��>: " �r, ":�"� �,ffi���,
.'r_... .. . �
.� �: . . � S �y�
ansruEv . �"X' t�iwe yp„wcew� u�m. ma ibo m. me
- � �^�'�M tM ra.u r&4.wv a xonr v.ra,v.wm w
.. �4� �� �� .
t ANXIWY.KVPE88 .. .fl�TFEBE1rtAlWE . . E0.Wpl�p�ya�p �:
M16
� 033007 .mwx�nAE;�E„,q„�E
��RALPH �N� E . BEiTY M �
�� :TMANP.SflN � � � - � � ,
.. ��,5 CIRC4�--pR .. � .. �
. �NE'tNApitS9(Nt� PA 17U55� - �
�
��:a�`��.nn w"�mr.. . m.ama.wa.a n.a-.m�y b.o�.�.n� d
e�..,�,cn,.�o.�..w+�wn.m..n..rraa.�. . EJiOCE� L MIIIIDRY
� ,.. .� �._. '. ' . .; .' .�:� ' , .�. . ;', smamwn.�wn.ew
� • � �
'�P ' ue eeernmwt &��lWeaidwuxvrn.�en.ro -
w sr`,Mm.Tmvm ,� � ���
� �..,� M1. AH. , o
m ..} . aiuret :rt �
. `Fn r•R• �-iei4tll W�: . . �
. . .MOLYpf.�C'M .
A > i4LIFlyqpgj.-. ♦ �. : .. . .
� ��'e;�4 Y�an�,��'i x a�., BW �¢ �--_—_.
�. o- . ti��
1� LP
Y+ Y,3. f°�'��; Nu1.IBR '
CD e..'�e.w�a.�. v.+.�.�.,�. .n ... w '"°Y,e.',w+e . '-� uwuen.cnea
i (n .•�•�m,.�,�,�.. .. �M�;� ..
N
O) � . .. a'w�.."r �
O7 . � . . �m;:. ...... - �^� —_
'�'SueinaRirtwx�uMeen � ..
American General Life Insurance Company
The United States Life Insurance Company in the City of New York
October 29, 2014
LAUREN E KAYS ESQUIRE
ONE WEST MAIN STREET
SI IIREMANSTO WN PA 1701 1
Re: AnnuityContract WY011797
Contract Owner BETTY M THOMPSON, Deceased
Deaz Ms Kays:
The Intemal Revenue Service(IRS) requires �eporting oP all death benefits for federal estate tax
purposes. Please note that Form 7]2 is only prepared for regulaz life insurance con[racts. Since this
contract is an annuity held with Western National Life Insurance Company, the Form 712 is not
applicable consequently we are unabie to issue it for this annuity.
As such we are providing the requested information in a� altemative format. Listed below is the
relevan[ death benefit information for the above-referenced a�nuity contract.
Cuntract Number WY911747
T e of Annui Contract: Qualified-Sin le Pcemium
Date of Issue: 6/23/2008
Contract Owner's Name s : Bett Thom son
Cost Basis $9,500.00
Accumulated Value as of $� g14.82
Date of Death on 10/5/2014:
Proceeds made payable to Ralph W Thompson
Benefici
Ms Kays, we appreciute the opportuniry to assist you. Should you have any questions, please
contact our Clien[ Care Centec at 1-800-424-4990.
Spincerely, ��/
J�& 7'{..������Cn-�-/(�
Teresa Kirkpat�ick
Annuity Claims Department
Annuity Servica Center• P.O. Box 871 •Amarillo, TX 79105-0871
Administrator for Renaissance Life 8 Health Insurance Company of America • Adminisirator for John Altlen Life Insuranw Company
LH-Af.LNSL
����� Information regarding claim
Genworth ;�� November12, 2014
PO Bo�15T2
31�0 Alberl LanMatl Dnve Deceden�Name
LyncM1burg VA 20.50515]2
Ralph W Thompson
Contract Number Phone:
James D Bogar GA0075762 888.325.5433
Attorney at Law Fax:
One West Main Street 434.948.5783
Shiremanstown PA 17011 Website:
Genworth.com
Dear James 0 Bogar:
This letter is in respanse to your request for Date ot Death value on ihe above referenced conlracL The value as of
O6/22/2014 is listed belav.
Coniract Number Contract Value B i Taxable Amount
GA0015762 $9,352.62 $0 $9,352.62
Although we have determined Ihis date of dealh value at your request, you should seek Ihe advice of a tax advisor
concerning what amount,N any, is to be inGuded in Ralph W Thompson'S estate with regard to this particular annuity
contract.
Genworth is not responsible tar any tax consequences,which may or may not occur as a result of our submission of
ihis irtlormation. The contract tices not contain any provision that woultl allow the right to advance, commute,or
otherwise receive unscheduled payments.
If you have any questions about this information or the claim,please contact us at 886.325.5433 x8124729.
Sincerely,
Claims Department
99P
Fifiktl kJ fqmpyips�.GenwM lile aM Rnnwry Insurarta fqmpa�y,GmwaM LAe InsuiaM.e Compa�y,G¢nwMll¢F[ura�[e Company o�NewYork
���/ Information regarding claim
Genworth /f'� November04, 2014
PO Bo�15]2
3100 Albqt LanMwtl Dnve
�yncnou�q vn zasosis�z Decetlent Name
Ralph Thompson and Betty Thompson
Policy Number Phone:
James D Bogar GA0015762
888.325.5433
Atlorney at Law F�.
One West Main Street 434.948.5783
Shiremanstown PA 17011 Website:
Genwonh.com
Dear James D 0ogar:
We are in receipt d your letter dated October 17,2014. The above annuiry contrad is the only contractwith us in
the name oi Ralph Thompson. Betly Thompson was the named beneficiary. Upon her death the Estate of Betly
Thompson became the beneficiary. The initlal premium wbmittetl was$24,462.69. The comract does rat accrue
interest This is an IRA account The requestetl date of tleath value will follow under separate cover. The coniract
was opened 17114/2pi2 in ihe name of Ralph Thompson.
If you have any questions,please feel free to contact our oRice at 888.325.5433 x8124729.
Sincerely,
Claims Deparimenl
99P
nmwma com�n�es�.ce�wonn weam nn�uM m:�a�a camoanr.ce�wm,�ne ins�,a,c,cwno�r,aem�m ue nsva�c>cam���o�rie.v�
0.rv-0WB EX�I0�-�0)
pennsylvania l SCHEDULE F
oeanRrMenroraEveuue ,JOINTLY-OWNED PROPERTY
INHERIiPHCE TP%REiORN
RESI�ENTOELE�ENi
ESTATE OF FILE NUMBER
Thompson Betty M. 21 74 0985
nan....�ra m.xpim.nmm on.va..oi ue a.c.xm�.ena or a.nn,n mu.i e.�e�n.e on.�nsai.c.
SURVIVINGJOINTTENANT(S)NAME ADORESS REIATIONSHIPTODECEDENT
A. Edward J. Thompson 109 Nikelle Lane Son
South Abington Township, PA 78477
B.
C.
JOINTLV OWNED PROPERTV:
LETTER DATE OESCRIPTION OF PROPERN ^/o OF onie oF oenin
ITEM FORJOWT MADE �^'cwoervaneorFiwwcwur�smurianarvoenrKaccouNr DATEOFDEATH �aweoF
NUMBER NUMBERORSIMRPAIOENTIFVINGNUMBERATfACHpEEOFOR yq�UEOFFSSE DECD�S OECEDEM'SIMEflEST
TENANT JOINT �ownv-ne�oeea�eSrnie. INTEREST
1 A 03/21/2012 PNCBank-CheckingAccountNo. 73,833.19 50.000°/, 6.916.60
5740064799. Principal balance at tlate of
tleath 313,833.07;accruetl Interest$0.1Y.
TOTAL(Also enter on Line 6, Recapitulation) 6,916.60
(II more apxce is iree0etl.aCEitional pxges of qe same slze)
CopyngM(c)2070(orm software only The Lackner Gmup,Inc Fortn PA-1500 ScheEule F(Rev. 01-10)
Nov. 1. 2014 1 :40pM PNC BaoR No. 7194 P, 1/P
4� PN+�
November 7,2014
Lauren E Kays Esq.
Oae West Main St
Sh"vemaasmwn,PA 17011
RE: Betty M Thompson
SSN: 360-124163
DOD: 10-OS-2014
Deaz Ms.Kays:
In response to your request for Date of Death(DOD)balances for t]�e customer noted above,our
records show ffie following:
Cettificate of Deposit
Account#31800329023 Established: 07-02•2008
BETCP M THOMPSON
DOD balance: � 7,122.56+0.15 accrued interest
Interest paid Ol-01-2014 thru 10-OS-2014$ 14.81 YTD
Checking Accnuat
Account N 5140064199 Established: 03-21-2012
BETTY M'IFTOMPSON
Fnwnxn r�oMrsox
DODbalance: $ 13,883.07+p,12accruedinterest �
Interest paid 01-01-2014 tkuv 10-OS-2014 S 0.97 YTD
II2A Account
Account#75500036013 Established: 11-26-2007
BETTX M THOMPSON
DOD balance: $2,634.45+ 1.17 accrued interest
Interest peid OI-01-2014 tivu 10-OS-2014 5 35.13 Y1'D
For beneficaary infoxmation,please call 1-888-762-4727.
Please aote that tlils of&ce provides date af death balances for deposit accounts(IRP.s,CDs, Checking and
Savings). We do not proass any fi¢audal aansactlone or provlde statemeots. Ifyou nud essistana with
eny af these items,plwse ca111-868-FNGBANK(6688-762-2265)ar stop by your local PNC Benk brench
office.
Sincerely,
National Financial5ervices Center
PNC Bank,N.A.Membet FDIC
Page 1 of 2
Fo�. 7. 2014 . ., :40PM__...PNC Bank._ .. .... __ _.. . _.._ _ _. _..Ro. 1194 .P. 2/2._ _
This message is inrended for the use of the individual or entiry 7o which it is addressed and may
contain injormation that is prn+ileged, confidentlal and exemptfrom disc[osure under applicable law.
If the reader of this message is nor the inrended recipient or rhe emp7oyee or agent responsible jor
delivering this message�o the in�ended recipient,yov are hereby not�ed thnt any disseminafion,
disntbuHon or copying of this cammunications is snict[y prohibired. Ifyou have received thir
commwication in error,pleose notify me immediately by reply or by telephone ar BOOJ62-7775 and
immediately desnoy rhis faxed document.
Page 2 of 2
nw-ism ex.iaeas�
SCNEDULE G
pennsylvania lNTER-VIVOS TRANSFERS AND
OEPPRTMEMOFqEVENUE
ir�HeanrwcerrxaeruaH MISC. NON-PROBATE PROPERTY
aEsmENroeceoeHr
ESTATE OF FILE NUMBER
Thompson, BeHy M. 21-74-0985
rm:.rnaama m�:�ea�mv�mea am niea n�ne a�:.a�io a�v oi a�esno�:+m.o�sn a o0 oeea�n��wma eev-+sao��:re:.
ITEM DESCRIPTIONOFPROPERTV OATEOF�EATH xaroecos Excwsiorv TAXABLE
NUMBER 7ryE��AI£OFTR�ANSFERSPTfACHACOPYEOFi�HEDEEOFORREqLESiFi�. INTEREST IFAPPLILABLEI
VALUEOFASSET � VALUE
1 MorganSWnley-IRAAccountNo. 341-012002-557 44,450.49 42,650.49
IRA. Date of tleath balance$42,450.49. Edwartl and
David Thompson are the nametl beneficiaries of Mis
account.
Y PNCBank-IRAAccountNo.75500036013. Principal 2,635.62 2,635.64
balance at date of death 52,634.45;accruetl interest
51.17. Etlward and Uavid Thompson are the nametl
beneficianes of this account
3 Prudentlallnvesfinents-MulualFuntlNo.0084- 16,856.11 16,856.11
XXXX%X3953. Dateo(tleathvalueS16,656.t7.
4 EdwartlJones -AccountNo.242-�0076-7d. Dateof 98,721.89 98.721.89
death balance 598,721.89. Edwartl Thompson and
David Thompson are the nametl benefltiaries of this
account
5 SfateFarmBank-MoneyMarkatAccoun[No. 77,325.72
17.325.7T
2037377694. Date of death balanee E77,325.72.
Etlward and Davitl Thomspon are the POD
beneficiaries of Nis account
6 SGte Farm Bank-CeMiFcate of Deposit No. q,Z7g,qy q Z�y yd
1020686937. Date oi tleath value$4.279.44. Edward
antl David Thomspon are the POD beneficiaries of Nis
account
70TAL(Also enter on Line 7.Recapitulatlon) 782,269.Y7
Qf more space is neetletl,a00iGonal pgges o/iM1e same slze)
CopY�igh�(c)2009 form soflware antyT�e Lackner Group,Inc. Fortn PAq500 Schetlule G(Re¢0&-09)
����i�i,ma��age�,<���
�ia se�,��e s.r
�vh 19mr
Camp HiIL PA q01t
cel ��I;Bo t8uu
!ox 'IJ?3U I894
Morgan Stan ley ,�„�,« H���3, ,;�o
Octaber 28, 2014
James D. Bogar
Attomey at �aw
One West Main Street
Shiremanstown, PA 17011
Re: The Estate of Betty M. Thompson
Dear Mr. Bogar:
Per your request, please find the enclosed date of death valuations for the
accounts of Betty M. Thompson. Both of these accounts were opened on
6/24/2014.
If you have any additional questions, please call me at (717) 730-1816.
Thank y u,
La a R. Washburn
Senior Registered Associate to:
N7arilynn R. Kanenson
Vice President
Financial Advisor
Lrw
enclosure
No�gan Aanlp GmhF Hemo I I(I.Mcmba CI Pt�
_ - _ " _ ' R D ��
_ _ _ z - ;' $ � � ,
P a 3 3 3`- 3 3 ; t�i �:
I . .� � � . � o 'J
1 p m q
� u d
3 r�6 '. N
- - ¢
- - - 30 - � _ � al
- _q8a ; ' - ' Sr'.
e i � ' ' T � '3 ` -
es ^ dk � � � =1
�o _ _ _
- �� � - _ _ - _' _ . .
_ _ - "�
� m � Uw _ � .� � � a _. � _ mr � y _ e; � � ,� _ � � � o � m � mmo
- - ' m �
- e a _ - e � m
� _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
_ �' o "
_ o o. o � o o c c c o 0 0 0 0 0 � 3
� o a O �l R�. �I � O
_ - o _. .. _ .. _ � .. � .. ,. .. o ., o > .. > ' _ .. > o e > oS e � e .. 00 _ o - a
o _ _ - _
- AF - _ e�l . �
3 c _ ... a „ ti ., _ v v v _ ., ti _ ., � � _ ti _ _ �. v u . .. . vv „ _
_ �
W1 -
_ ' �'. _ � n > n n v n a � > > > n n n � � x.
- " ' _ . _ . . I; Cym
� n3T
' - _ - � ._ j G _
- � � 3. m u + � - � � o n � v o m . � o - m m e > > � .. 1 D v -
� n m �o v m o = .a .c m a m m .. v n ,a �. m �, = $ m u o _ c
� $ � �
i n ' � �
_ � a
- �
� -. . � . . . � � � � � � . � _ . � . � � ., � � � � � . � � �
s K
_ _ _ _ _ _ _ _ _ _ � O _ y �
` P �
s iJ . — ' : � > >
O m � G � 5 .�1 A 4 A c p ib
_ _ 3 � � - � ; N
n �4 . - 3 P _ 3 � m N
_ — _ ' ' j
m ry
� N
� � N.
_ � - n
' - ' - - 03
Y �a
' '� o _ _
3
_ � , m U � ., „ a m w � y v � ,. m r ,� _ e P „ � ., , ,, ,. � � A . ,� ,� � -, . _ �
3 � � 3 �' � s 3II � 3 n
' I � � a a v a 3 y a a _ y =
_ o .+ o > > o o a .. < e o e e e e o 0 o n n e e > e �. .. n > > > o o > _ � n
' � "ol
�3 3 3ij
_ � a " a ; S. d -
'� � .. o a y . o � u n a 6 m U , � .o s a _, _
0
� f i,
_ � � '
� � _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . .
- a ` ,,. � � y . �, � � �, � � v o a � � � � o a v � „ m v _ _ e ., a _ _
< < '
o��
_ � a ,
_ _ i _ _ < „ rm u „ - . � _ _ U v .� ou _ vv � mHvsm . m �, s � m � .� ms __
_ o
3 _ _ _ _ . . . _ ' �
' _ O
. �
_ _ �
7
N
� P
� � � � d
� � � � . � � -. -, � � � � � � � � , . � . , � . . � . . � � . �
N
m „�
' _ _ _ _ _ _ _ _ ' _ _ _ _ ' _ " ' _ _ _ " _ " " _ _ _ _ m o c o o m : �
- y
2 �
. 3 = � � 2 A A A A A a A P A A A A A A A �+ � •
� � _ m N
� 3 3 3 3 3 3 3 3 - 3 3 p - N
� C ~ _
u O1
� � A
_ - ' - 6
` � � � �o
yGo _ _
a � U w .. .. > > m ., v v . o o � e a. m v m k o o m > > w o P k c .., a � . X'
- g � _ 3 - - � N � m
„ § I N'. - o " ' T
- x II v �, , N . vN a �, :, ;, _ � o
e _ , _ . , . , ,. � � ,, .. o . , � , ynon aa - o ° ° �
_ x " - - 3 �
_ � a :� _
" � - m � � , m � � m � m � � � � , a _ _ . s � � modea _ mam . . . v �
' - . g �
s3 � � � ; _' ��, �e . �
_ - . = n a n n r n r n n . v > n a ,. n s _ _ _ _ _ _ _
�
- % «
_ ` �1 _ ., m s .� �, � m v .� _ � _ m � » e o m - o u . � �, e � .. m m _
= ., �
� 3
� Q
_ � �
_
N
N
-, -, � . . � i � � , . . � � -. � � � � � -, � � � . � � . � � � � -, � , . � �
o `G
� � ;: � .. 00 _. � � . o N
p 3� � � �� � � A A p A A A A A A A R
- a � " o � a . � . : a �
� P � ' , '. . � � ' 3 N
3 e,N 3 q 3 3 3 3 J 3 3 3 3 - 3 3 _
_ jn _ _ .. : . _ _ . . _ .. _ = a _ _ _ _ < e �
" ' : m
' - ao 'a ' m ' w
- - ' 3o ' ' F _ � a
- _ - - _ = - � 3 = 6 .
n g
' ;$ ' ' s ' �
� _ _ _
_ � a � � g � „ � m ., m � > o � A m � , � ,. _ � � � a o ,. v . u s m U d m � _ � y
i ' 8A � 3a �' '�3 � 3I � � mN
� 3 ' N z 6 . N o a . t 3 � o N � 3 T
. _ . � .. i a n c .. .. � n . a a a .. c ., �. a n n _ .. n n � n .. o > i
� a 3 2 I
e 3 _ .. a � a � °� w k.' � �n n `� �n
3 = _ . -+ o o . o - c o 0 0 � o 0 0 0 0 � . a = .� � ,a _
� I m � n � Y O
� o I . _ _ _ . _ _ _ n T ..
_ _ ��,.
' _ � y ms � _ � .. �, .� m _ ... �. � ro . � _ v � � -, , w�
' 3
.� � N �., � a � o '
� I o � m a � v , ,. _ o _ v m U , s � m A o v . ; i , _
- $ ,'� V - _ ' . ' O
' ' _ ip
i ?
_ _ �
� . ,. � . . � � -. � , � � „ -. . -. . _, �
m �D
�
o a - - o . _ � ° �
0 0 0 � o a
� > �: ns �� x � � ' �
z � _ a a r
- I 2 � � � ' . .. 3 N
3 " 3 3 3 H N
_ e 3 3 3 q 3 3 3 3 3 3 3 _ '� �
> � � ^ i �
- � 3 _
_ _' - _ _ _ � ' ¢
_ ] 'm �
� - - = - � se x
= - - _ _ - ��
" _� o � � o _ Ni
�o _ _ _
so - = - =- _
� � - � o r � � . � �, � � _ �� - > ov � mm _ _ m3
- = - - _ ' ' o " ^
_ - - � vor
s � �
no
_ - - > �
- 3 < -
= 8 _ _ : � -
_ _ _ _ > _
� _ _
I' _ a v 3
� � � _ - _ _ _ _ _ - - _ _ _ -
_ > n -
p _ _
m
� m m a � an -i rv � u �. � . v s .o c. m v ..+ rv m o c . �� �
� �
_ � o o Q
' m a 3 � ' �
- _ _ N
� �
_ _
� � � �
�c
n �
� � o a o � � . - � o _ o - -
^ A A A p A p � ; �
3 s 3 � 2 3 3 3 3 3 3 a 3 3 C
o _ n
o T � .
— . _ _ _ ' _ _ . _ _ _ � _ . . — _ _ _ _ _ _ _ . . _ _ _ _ . _ — m
_ _ v L
3 n _ 6
3 _� _ � _
— v _ ��. 3 � i'
- _ a ', _
�_ � ' _
� -a � _ = - = - -
- - ' E _ _
_ a . o � o � vm �, „ � .rv ., _ . . m � ., . ,,, � .., eT - m3
' " ' - e o�
_ - _ " _ �i ,'e, a r
� � 8 _ _ � o _ a � � > > > a � a < a � a Y > e a < e .. a . > o a . o _ o �S z
3 a Ili _
^ 3 _
" 3 � _ _ _ _ _ _ _ _ _ _ . _ _ . - .. _ _ � _ _ . _ _ _ _ _ _
3
_ . > n . n > > > >
_ _ _ _ _ � _ � � _ _ _ _ _ _ - _
' 4I
S
P
_ ` j' a u � . � s � s G _ . ... �. .. �. � . . � .,. ,�. > >, -. ., .. s ,. � _ � � -. _
_ ' - _ - O
� - N
� _ _ - - �
�
N
, . .. . � � . . -, � . � -. � -, � -. � -. � . - � . � . . ' ' .' �
Y
3 V V J _ N �.
� — - � � � � f A A �
N
_ � u G 3 3 3 3 3 3 3 3 3.- C
_ _ — - _ ^ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ . - o
� q
v G
v n �' i N t _ '^
3 _� S� — _ R O.
a _ 3 �I _
a
1 3
- _ ' o g - - - . �
� `s' _ - -
_ s ' -
3 n m c. -r m v o c. ._ n , m .v o iv c m n � ' ' � m 3
� r I
3 c 3 � � S i.t ^' c o c \ � � O T
_ � I �. ...c c c � a a r c c a w c e - a .. . _ a > n v
R -
� � _ � _ � _ . _ _ _ _ _ > > _ .. _ > > _ � _ _ .. _ _ . . :
3 - ' - -
- Y �
� o > > > > J > n > n n a n � _ V� a >
= c
' v _
- � � _ _- _ „ > > _ o o � � . mao > - ,. .,. s P, _ _ . � h � ., .
3 r
- '� � K o . � , r � r . � o C � ,. _ . _ „ . ; .� _
0
j P � _ _ _ - O
z ^ ' - - �
- �
' � � , . , � � � � � . . . � , _ - + �
` K
D �
� �
J ➢ e - y �
; N
�� mq
_ Y
3 6
3 v � x �
a8a ' ° 3 �
�
�o ' _
3 _ 3 _
a s
3 � � v Q n
j ➢ 9i' ua
3 - P O
nPu DZ
m 3
�v 3 -
N - - 3 _ ' r .. _
3 - �
_ �
�
� �
�
3 ' �
� - n ln
' i OI
�
�
�� J .
m K
Nov. l 2014 ' :40PM PNC eank No. 7194 °. 1/2
� Pl`�I�
November 7,2014
T,auren E Ksys Esq.
Oae West Main St
Shiremanstown,PA 17011
RE; Betty M Thompson
SSN: 360-12-4163
DOD: 10-OS-2014
peaz!�Is.Kays:
In response to your request for Date of Death(DOD)balances for the cuswmer noted above,our
records show tho following:
Certificate of Deposit
Accouat#31800329023 Established: 07-02-2008
$$TI'Y M THOMPSON
DOD balance: $ 7,122.56+0.15 accrued iaterest
Interest paid Ol-0 L2014 Uuu 10-OS-2014 S 14.81 Y1'D
Checkfng Account EstabGshed: 03-21-2012
pccount#5140064199
BBTTY M THOMI'SON
� EDWARDITHOMPSON
DOD halance: S I3,883.0'/+0.12 accrued interest
Interest paid O1-01-20141h[u 10-OS-2014 S 0.97 YTD
IT2A Account
Account N 75500036013 Established: 11-264007
BETTX M't'iIOMPSON
DOD 6alaace: 5 2,634.45 + 1.17 accrued interest
Interest paid O1-01-2014 tluu 10-OS-2014 S 35.13 Y1'D
For beneficiary information,please call 1-888-762-4727.
Plea&e note that tlus ofSce provides dete of death baleaces for deposit accounfs(IRAs,CDs, Checking and
Savings). We do�olease esll 1-88 PNC•BANKS(1 8889762 2265)or stop by your loce]PNC Bank becench�
any of these items,p
office.
Sincerely,
Natioaal Financial5ervices Center
PNC Hank,N.A.Member FDIC
Page 1 of 2
_ __.._ _. .__.__
_._�o. 1'9c ;. 2/2 _ _ . ....
No�. 1. 2014 1 :40PM PNC Bank"
This message is intended for the use of ihe individual or entlty ro which it is addressed and may
contain informarian thaf is privileged, ronfdenHal attd exemptfrom d'uclosure under applica6le law.
If rhe reader of this mesrage is nor rhe inrended reciptent or rhe employee or agent responsible for
delivering rhis message ro the iniended recipient,you are hereby not�ed that arry disseminallon,
dishibution nr copying of this communications is stricdy prohibired. IJyou have received thir
communication in error,pleare not�me immediately by reply or by telepho�e at 800-762-]775 and
immediately destroy thu fmaed dncurnenr.
Page 2 of 2
Jtn 14� [VIh IU:49AM Nm �d�? �. �/'
��� Prudenti:al
7anuary I3,2015
PRUCO SECURI7TES LLC
AT7N 7ASON R MII.LER
VIA FA7C:717�763-6974 �
RE: P:udeatiai
Reference Number: 6330631562/4609688
S+¢nd/Acccuat 0084•7IX?CY.XX3453
Registratlon: BPTTY J THOMPSON
SUBJBCf TO STA TOD RULES-NJ
Deu 7eson R.Ivfiller:
T'Ive lettar ie in rogard to cLa above roferenaod accowt
As of the close of businoes on Ocbber 03,2014,the ebove reFaenced a000urt wae valued at .
S16,856.11. This wdue ie bseed ao a belenca of 1,952.194 sheree et Ne Net Aceet Valuo(NA�
price of$9.62 por eMre. Ae ahm8ing mrzket coaditione may cauae tha NAV price to fluetiate on
a deily baeis,tl�e accoimt vahw ic eubJact ta change.
October OS,20t4,wea not a valid bueine6e dey. 'Ihe price we gave wae for the previoue elose of
bueiness,October 03,2014.
If you bave questlona a aeod fi+rtber melatauee,plaaee coatact the Prudentlai Mutuel Fmd
Serviae Centm at(800)225-1852 Monday thmugh Psiday behveeu 8:00 sm end 6:00 p.m.
Eeetem 19me. For seeount infbrmetio¢thet it avoileble 24 Lrnue a day,7 daya a weok,you may
eecess yow aeeount odine et www.prudmtiilflwda.com.
Sinca,ely,
Bhamt Karia
CuaWmer Service Repreaootative
Hua�ntld Ma4Mn4
� PiudeMul MNwI Fw0 Sarvloac LLC
F 0 6oz 90.53
Pqrywlp,Rl 02D40
�800)22S1A91
www.ONdaMiaNu�ks.wm
3Nm m
� m o � m � m � ❑ � o o � �3 $ �
y � a �c m o � m cn a q �u ro - m � � m 3 S ' 'v � � �
Ya � s
m a 5 � � � f� G �' 3 a � y �', � � � � � � mo q S � m 3 m tl1
> • � o $. � c
� � p � m �' � 6 m � w w � n '� � > > � m s � � � � g =
m _ c T s � � S .. p� m < W e �y (11
� ; 4 w .�
0 3 p m � � � °� � $ Qi �n s m n g � � c o � ? , f1
'� �9 � .�. N g^ S � � m m � m p1
m�°c . 4 '- T m w • m ' � � m 4 � m O
�' � Q m �'1 � �, n ;. � �O u m C�
m a �� 7 w ffi m g ITD
n n � `a �,'� f � r
�C � w
N � N M b9 H W di H fn fn bf » fn °� N o� �n . O
O p� � ID
�E` o"' o o Ol
�.� 3 ° a > S
�-� �-�
m 3 D <
B �
ga �� �p � d
0
�
5 01 Z �'
3� � � m p' m- ^ 3 3
f��e 4. N o m �' � P a�' � m �{'
aS m m O N O f�ll � n� O O
_'� � a m � a N
'r�� �c N J(p
O� ; $ � g +
m � � a V a
r �
o s m m'Q
a y _�j �
N O �� m
u � m
O �p m O �
�
W J � O �
n�� 3n _
-�� Q e � ro
m m - o
� � m Q a
< �
O � 6
� m w
�,p a
^ p1 3
�.m c
n c � �
� '
e' �
m �
N N
S
b d �� �
y � m �
g a a 0
� n =
� � �
o �'
= n �
0
4T/ST 39tld 53NOC @1VMQ3 BbZB99LLIG bO�Zi bSOL/ZL/0T
R � � ' ... � m� � . e W
`3 O Q C� V� G 41 N O f0 0 �l N N A W N � �S a � �
0 a !f '�` " � m
� p � m ' �p�ID tll
m � Cq .�j � N �-C. � 1
m w' S w � g � �rS'{ %
O N O
�J O . m':S � �Y
� � H � ; 0
ma � � � n
C`QG � ; rQ y yy � �
�S y � (E N -1 ' .� .�.��� �
� 3 � a v
nn � � �j6 F 4. ���s d
o y � W S� 3 0 ��- � 0
O Q ' —
� $ s 3 3 $ '�
�h @ o e g `v ' j O
$"wG � g Z � 9 � S� i
Si � < n m
m
� n b D 7 �
� � Y m C
a m
g $ 3f N c
,9 C � � � � ..��� O
�g � 2_ � `c� � ,a ' 3
8 � $ � �L
o � 0
y�c c s �� y �
om 'o � o � S
o� 8 6 �,�.. � IC
� 2 � � � �
� s � � s
�
o � , s
a � o � y a
� o � G N
�'m P O O� � . G:O �
N � m � 6 �� �
g4 � � m � � � � �' �:e A
O
$ � 3 m' 'i°�o a m - :3
?_m � 8 � � � m .
`� o � n tn w ui tn Fn w w w xs w �n ci vi u da a. w , ..
v
� Q � L �.-1
u Q ? � a o8
$ m q n x
�p � N � .. x s O
M m � m �O� � (n � �
Ol Q N � �O � m � �� m
� :. o u o rn u� A . � �
. „- a � a $ $ � +
� dl M f9 flf N fA fA f9 W dl (9 (A fI� K N - ' I
O �J `
C � O �]
�
'`� �3 ' ¢
D
� Q �A �
� S" O
N Iq pJ a
� � � J ONI T '. �$ �
NN N iT N �
bi/LZ 3'Jtld 53NOC 42MVA3 BbZB99LLtL bB�L1 bSOZ/LZ/0I
a m
� m � � � �' . � � .
� .i a u� p u� w ,'o m m .i m �n a �u N , g �'
' � N
m� y � N
� � 'a Pn xi � � . r 2
�
m !'. � m o ...g. �
� m^ � �n
� � �
t0 Y 2 T T -�� Ol
m �' v
ms e s a
8�. a s s' s, m,
a e >' .c; io
n � e.
? m � p T O .a
a s � x �
��. � $ m 9_ .
§.g, c � � 4J .. S
� � D O C
� � d
� g c
, . m
� = F � � � o
30 �
� g. � � g O �
`" � o
s.� aec� �
� � d V �
�� "�.�3' �� � �
� � � ' 2
°' 3
32
� 8 �' _ S
O y Ny
?m y �1 W (A N f9 M H !A (A f9 H b1 H H fA fA M . , _ S �' f�
W O � ' •.;C' �
O�Vi
m � % O }
2y c ''
�g �y m m o .�.'�3 .�
O t�� 6 � {�J� N .
� <
gS. En en w sn �w u c» ui en en w w w w r» <�-� .
� O' �� .��y� �
� m �
�.mp O
wY a � > m '� C Y
- m > :n in e . m: � m
m � �i �,No m � .� � M
O _ N lJl y �
J � ' �J
. N+ N �
� .» w er u w w w w vi w w w w w F» w a � ..,..�o :
� q�y o
� �'_ ` a.,
D � ��Q `
a ° gg� O
o, g:• c �
� o � ° �
o y
er/rT a�e.+ S3NOC aatlMa3 � BbL099LLTL V0 ZL bTOZ/LL/0T
� m A 3C N .
o � � ffi m '
m � � O � O � m g J O� N A 6 W N � S C u lp
6c_ � 'y 3 $ m o o � 5 0 ;p, ; �u q ° u �-n w
w � o g � @ P^ �i`i d � m �i'i 6 m 8 � _ = m B %
m _. g � o+ T a 3 � T� � m '� • nOp .r
m m' w ^ � � � � a � � O � s S ' y -�i
� 3 � m � ya ? � � �. w � O � . � � �
C 9 6 O d � � w y A � m j �
� m Sb � Q m � � � �. � m 0
� $ � S n � = n �no_ w
� ' '^ �r� re �2 N
nn ' Y $ � O
9 �'
n� � o �
� � p «i (n �n v, � w tw «. cA .n cn ffi 3
� m A
=m g m 01
f.m i `� o S
c Z.
mo w � c y�
m � ��¢ C
� � � � $ .�i
�a � m A � `n � ' 7
� � w °: o a � � C
�b N O 'D � ie � .b.. G
m Wy � O N O N �O 0 � O
m'X m_y � �
=� � �' 5 m
° ' m " �
='m �Q z
o � Ym �
� � m � �
y M N
� Y = m N
vw � m g
�_.
m 3 c° o .i
�. � � � P
a �
� O, n� a
m y o m
g" m�
mm ma
� < 3.z.
s
'� a � m'
. o m �
m g
�
m
_'m d m a
�m - � m
N m ^2 n �
� C
�5 � y $ R+
N • �
aQ � O N
�` <y ..Fi 's
� � n '�"+
m
y m O ��
Z 6 o O
� N �
m y �
� n y
N
0
ryT/«T 7C1MJ
c�NM nNtlM(17 8bL099LtiL bO�LS bIOZ/ZL/0T
�StafeFarmBank�V
State Farm Bank
P 0. Bor 2316
Bloomington, Illinais 6ll02-2316
October27, 2014
Lauren E. Kays
1 W Main St
Shiremanstown, PA 17011
Re: Betty M Thompson, deceased
DearLau2n:
We recenUy received your request regarding the account holder listed above. Our records
indicate her date of death as 10/5/2014. Below is a list of all State Fartn Bank deposit accounts
owned by Betty M Thompson, along with the date of death balances and interest eamed by(but
not paid to) the accounts, as of that date.
Account No. Tvoe Balance Interest ENP
2037377694 MMA $17.325.72 $4.75
Opened: 9/10/2010 Ownership: Betty M Thompson, Sole with Edward and David Thompson
POD beneficiaries.
1020686937 CD $4,279.44 $2.57
Opened: 5/14/2009 Ownership: Betty M Thompson, Sole with Edward and David Thompson
POD beneficiaries.
If you have any questions, please conlact SWte Farm Bank toll-f�ee at 1-877-SF4-BANK (1-877-
734-2265).
Sincerely,
Dawn Matthews
State Fartn Bank Operations CeMer
�
MEMBEN
FDIC Home 0/fice, Bloominglon, IL iixoEn
REV-0SHEx�Ia'��) I gCHEDULE N I
pennsylvania FUNERAL EXPENSES AND
oEvutrMexr oF aEveHUE
ADMINISTRATIVE COSTS
FILE NIIMBER
ESTATE OF p�-�q-0965
Thom on, Be M.
Decedent's debts must be reported on Schetlule I.
ITEM DESCRIPTION AMOUNT
q. FUNERALEXPENSES:
9,911.73
See continuation schedule(s) attached
g. ADMINISTRATIVE COSTS:
1, PersonalRepresenlalive'sCammissions
Name o(Personal Representative(s)
SVeetAtltlress
CiIY Sta�e __ Zio
Yea�(5)Commission Paid
9,450.00
p_ Atlomey's Fees Bogar 8 Hipp Law Offices
g, Family Exemplion'. Qf tlecetlenfs atlOress is nol Ihe same as claimanYs,aflach explanalion)
Claimant
SlreelAddress
CitY State _ Zio
Relationshio of Claimanl to Decedenl
505.50
4. Proba�e Fees
5. AccounlanCsFees
6. Tax ReWm Preparer's Fees
27,79743
]. Other Atlminis�rative Cos�s
See continuation schedule�s)attached
TOTAL(Also enter on line 9,Recapitulation) 47.657.76
Copyrig�t(q 20t3lorm soRware only T�e Lackner Gmup,Ine.
Fortn PA-0500 Schetlule H(Rev.OB-13)
SCNEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
FILE NUMBER
ESTATE OF 21-14-0985
Thom son, Be M.
ITEM DESCRIPTION AMOUNT
NUMBER
punerel Exoenses
9.37t.13
� Myers Buhrig Funenl Homa-funeral bill
600.00
p StPeterELCW-cateringforfuneral
H_p 9.917.13
Othe Admin'strative Gost
12.69
3 Alert Pharmacy-p�escriptions
708.17
q Andrews&Palel-medical bill
5 8onnie K.Miller,Tax Collector-2074 CounrylTownsM1ip Taxes
768.59
4,350.00
6 CaltlwellBanker-realtorscommission
7 Chesapeake Abstact Company-funds heltl in escrow for repairs to sprinkler system antl
2,990.00
gange tloor
175.86
g Comcast-cablebill
775.86
9 Comcasl-cablebill
34.87
10 Comcas[-cableblll
23.94
�7 Comcasbcablebill
75.03
12 Comcast-cablebill
4,350.00
13 D'Angelo Realty-realtors commission
Copyright(c)2002 fortn soffware only The Lacknar Group,Inc.
Form PA45D0 Schetlule H(Rev.6-98)
SCHEDULE N
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
FILE NUMBER
ESTATE OF 21-14-0985
Thom son, Be M•
ITEM DESCRIPTION AMOUNT
NUMBER pZ5.00
14 HolySpiritHospiWl
77.37
15 Holy 5pirit Mospital
7P9.07
i6 LowerAllenTownship-sewerandtrasM1
729.07
�7 LowerAllenTownship-sewerandVash
105.00
7g Mechanicsburg Meals on Wheels
7,079.90
19 Messiah Liteways
75.00
20 Messiah Lifeways
21 Nancy L.Thompson-reim6ursement for costs advancetl for cleaning,U-Haul renWl and
429.38
miscellaneous maintenance
58.64
yp PAAmericanWater-waterbill
40.26
y3 PA American Water-water bill
36A7
24 PA American Water-water bill
3810
25 ppAmericanWater-waterbill
45.35
p5 ppAmericanWater-waterbill
46.38
27 pAAmerieanWater-waterbill
3715
pg ppAmericanWater-waterbill
32.13
29 PA American Water
Copyrighl(c)2002 form soNware onlyThe Lackner Group, Inc.
Form PA-1500 Schetlule H(Rev.6-98)
SCHEDULE N
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
FILE NUMBER
ESTATE OF 27-14-0985
Thom son, Be M.
ITEM DESCRIPTION AMOUNT
NUMBER
733.00
30 PA Department of Revenue-20t4 Personal Income Tax
250.00
37 Pinnacle Health
200.00
3p Pinnacle Mealth Hospitals
�5.00
33 PNCBank-servicefee
69.73
3q PPL-electricbill
38.95
35 PPL-electricbill
39.98
36 PPL-electricbill
40.56
37 pPL-electricbill
42.44
38 PPL-eleclricbill
46.72
39 PPL-electricbill
39.31
qp ppL-electricbill
33.76
47 PPL
19.63
qy PPL-Flnalbill
1,450.00
43 RecorOer of Deeds-realry transTer tax
q4 RESERVES: -Costs to conclude adminisVation of estate,including prepantion and filing of
7,500.00
Fltluciary income bx returns and related
112.00
45 SWteFarm -PLumbrella
Copyright(c)2002 torm soflware onry The Lackner Gmup, Inc.
Fortn PA-1500 Schetluk H(Rev.698)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
FILE NUMBER
ESTATE OF 21-14-0985
Thom son, Be M.
ITEM DESCRIPTION AMOUNT
NUMeER 55.00
45 State Fartn -vacancy endorsement
20.44
47 UGI-gas bill
52.24
48 UGI -gas bill
66.97
49 UGI -gas blll
97.54
50 UGI -gas bill
100.02
51 UGI-gasbill
78.32
54 UGI -gasbill
48.07
53 UGI -gas bill
t4.73
54 UGI -final bill
191.00
55 Wesley Mews-contlo association fees
56 WesleyMews-condominiumasaociationfees
797.00
57 WesleyMews-condominiumassociationfees
795.00
58 WesleyMews-condominiumasaociationfees
195.00
59 Wesley Mews-condominium association fees
195.00
60 WesleyMews-condominiumassociationfees
195.OU
61 Wesley Mews-condominium association fees
195.00
5p Wesley Mews Condo Association-resale certificate
75.00
Copyright(c)2002 form sottware onty The Lackner Group, Inc.
Fortn PA�'1500 Schetlule H(Rev.6-98)
SCNEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
FILE NUMBER
ESTATE OF 21-14-0985
Thom son, Be M.
ITEM DESCRIPTION AMOUNT
NUMBER 172.00
63 Zimmerman Plumbing
H-87 21,791.13
Copyright(c)2002 form soflware onty The Lackner Group,Inc.
Portn PA-0500 Sc�edule H(Rev.6-98)
0.EV-151]E%��01-00� I I
pennsylvania SCNEDULE J
oeana�MEr+ror aE�HUE BENEFICIARIES
INHERITANCE TA%RETURN
ESTATE OF FILE NUMBER
Thom son, Be M. 21-14-0985
RELATIONSHIPTO SHAREOFESTATE AMOUNTOFESTATE
NAMEANDA�DRESSOF �ECEOENT
NUMBER PERSONISIRECEIVINGPROPERTY (Wortls) (88S)
TAXABLEDISTRIBUTIONS [inclutleoutngh�spousal
j. tlislribWions,antl transfers
untlerSec.9116a 12
David W.Thompson Son 1/2 of rest,
17 North Broatl Street rasidue and
Waynesboro,PA 17268 remainder
Edward J.Thompson Son 7/2 of resR
709 Nikelle Lane resitlue and
South Abinglon Township,PA 18411 remaintler
Total
Ente�dollar amounls for tlistribu�ions shown above on iinas 15 throu h 18 on Rev 1500 wver sheet as a m ria�e.
NON-TAXABLE DISTRIBUTIONS'.
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TP%IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL OISTRIBUTIONS
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010(orm soRware onty The Lackner Group,Ina Portn PA-0500 ScheOule J(Rev.Ot-10)
LAST WILL AND TESTAMENT
OF
BETTY M. THOMPSON
I , BETTY M. THOMPSON, of Mechanicsburg, Cumberland
County, Pennsylvania, make, publish and declare this as and for
my Last Wi11 and Testament, hereby revoking al1 other Wills and
Codicils heretofore made by me .
FIRST: I devise and bequeath all the rest, residue and
remainder of my es[ate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, unto my husband,
RALPH W. THOMPSON, provided he survives me by sixty (60) days .
SECOND : Should my husband, AALPH W. THOMPSON,
predecease me or die on or before the sixty-first (61st) day
following my death, I devise and bequeath all the rest, residue
and remainder of my estate of whatever nature and wherever
situate , including any property over which I hold power of
appointment and together with any insurance policies thereon, in
equal shares, to my children, DAVID W. THOMPSON and EDWARD J .
THOMPSON.
TxiRD: Should my son, DAVID W. THOMPSON, predecease
me, 1 give and bequeath his share under this, my Last Wi11 and
� estament, to his wife , JOYCE S . THOMPSON.
r �, redecease
FOURTH: Should m son, EDWARD J. THOMPSON, p
� me, I give and bequeath his share under this, my Last Wi11 and
)1
Testament, to his wife, NANCY L. THOMPSON.
�
FIFTH: In addition to all powers granted to them by
1aw and by other provisions of this Wi11 , I give the fiduciaries
acting hereunder the following powers, applicable to all proper-
ty, exercisable without court approval and effective until actual
distribution of a11 property:
(A) To sell at public or private sa1e, or to lease,
for any period of time, any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition of it .
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement , zoning or management of real estate and to
impose or extinguish restrictions on real estate .
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value .
(p) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments .
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited tc, personal income, gift and estate or inheritance tax
1aws .
(G) To make distributions to my herein r.amed benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
� to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will , and for
' nvestment purposes .
(I) To select a mode of payment under any qualified
retirement plan (pension p1an, profit sharing plan, employee
z
stock ownership plan, or any other type of qualified plan) to the
extent the plan or the iaw permits them to do so , and to exercise
any other rights which they may have under the plan, in whatever
manner they consider advisable .
SIXTH: I direct that all ir,heritance , estate,
transfer, succession and death taxes, of any kind whatsoever,
which may be payable by reason of my death, whether or not with
respect to property passing under this Will, shall be paid out of
the principal of my residuary estate .
SEVENTH: I nominate and appoint my husband, RALPH W.
THOMPSON, Executor of this, my Last Wil1 and Testament . In the
event of the death, resignation or inability to serve for any
reason whatsoever of the said RALPH W. THOMPSON, Z nominate and
appoint my children, DAVID W. THOMPSON and EDWARD S. THOMPSON,
Co-Executors of this, my Last Will and Testament . I direct that
my Executor, Co-Executors, and their successors , shall not be
required to post security or a bond for the performance of their
duties in any jurisdictior..
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this �9 day of
� , 2014
} ��fo-. .� (SEAL)
BETTY . THOMPSON
�
3
Signed, sealed, published and declared by the above-
named Testatrix as and for her Last wi11 and Testament in our
presence, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses .
�.D�
Address
;n, . v
U.W
Address
4