The URL can be used to link to this page

Home My WebLink About07-22-15 pennsylvania 1505618627 3M464710.000 DEPARWENT OF REVENVE EX(03-14)(TP) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes INHERITANCE TAX RETURN 'County Code Year File Number PO BOX 280601 21 14 0645 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth - MMDDYYYY 06232014 05101958 Decedent's Last Name Suffix Decedent's First Name Ml GOUGHENOUR JOHN E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouses First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW F--I (date of death F F7 Return 1. Original Return 2. Supplemental Return 3. Remainder Retu prior to 12-13-82) ❑ 4.Agriculture Exemption(date of El 5. Future Interest Compromise(date of El 6. Federal Estate Tax Return Required FX, death on or after 7-1-2012) death after 12-12-82) 7. Decedent Died Testate 8. Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) EJ10.Litigation Proceeds Received F-1 111. Non-Probate Transferee Return 12, Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) F1 13.Business Assets F-1 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFOR cA ION S HOULE:BE DIR MO: C�j Name Daytime Tel6johbiie Number=- r— PAUL L . FELDMAN 215-88`.7'- 30b r,,) M I" First Line of Address C3 820 HOMESTEAD ROAD !:3 Second Line of Address r- rrl C0 C> CZ0 City or Post Office State ZIP Code JENKINTOWN PA . 19046 Correspondent's email address: PFELDMAN@FELDMAN—FELDMAN - COM REGISTER OF WILLS USE ONLY REGISTER OF WILLS USE ONLY DATE FILED MMDDYYYY DATE FILED STAMP PLEASE USE ORIGINAL FORM ONLY Side I !!VIII 1111111111 Illll VIII lull Illll VIII VIII 11111 ill!IIII 1505618627 1505618627 1505618635 REV-1500 EX(TP) Decedent's Social Security Number Decedent's Name:GOUGHEN0UR JOHN E RECAPITULATION 1. Real Estate(Schedule A) . . . ,.. .:. :. .. 1. 1501000-00 2. Stocks and Bonds(Schedule B) 2. 381864-00 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C), , , , , 3, 16,513-00 4. Mortgages and Notes Receivable(Schedule D), , , , , , , , , , , , , 4. 11-110 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E), , , , 5. 23,681-00 6. Jointly Owned Property(Schedule F) F-1 Separate Billing Requested. . . . . 6. 11-00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) F7Separate Billing Requested, 7. 0.00 8. Total Gross Assets(total Lines 1 through 7) , . . . . . . 8. 229,058-00 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. 241651-00 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1). . , 10. 129,337-00 11. Total Deductions(total Lines 9 and 10). . 1531988-00 12. Net Value of Estate(Line 8 minus Line 11) , . .. . . 12. 75A70-00 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J). 13. 10,000-00 14. Net Value Subject to Tax(Line 12 minus Line 13). . . . . . . . . . . . . . . 14, L5,0711-00 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at.the spousal tax rate,or transfers u r Sec.9116 (a)(1.2)X.tu 0.00 15. 0.00 16. Amount of Line�exable at lineal rate X. 65,070.00 16. 2-1928-00 17. Amount of Line 14 taxable at sibling rate X.12 0.00 17. 0.00 18. Amount of Line 14 taxable at collateral rate X.15 0.00 18. 0.00 19. TAX DUE . , . . .. . . . . . . . 19. 2,928-00 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is t rrect and comp) . Declaration of preparer other than the person responsible for filling the return is based on all Information of which preparer has any)(no,Aadge. SI 111RE OF PER N RE P0tWBLE FOR FILING RETURN JDATE^1 LV DR 414 OIL �N R 4 CANONSBURG, PA 15312 SiGNA E OF -THO R� ESPONSIBLE FOR FILING THE RETURN ATE ADDR �r 820 HOMESTEAD ROAD JENKINTOWN, PA 19046 Side 2 1505618635 3M464610.000 REV-1500 EX(TP) Page 3 File Number Decedent's Complete Address,.* 21 14 0645 DECEDENTS NAME GOUGHENOUR JOHN E STREET ADDRESS 210 WEST LOCUST STREET CUMBERLAND CITY STATE ZIP ENOLA PA 17075 Tax Payments and Credits: I. Tax Due(Page 2,Line 19) (1) 2,928 -00 2. Credits/Payments A. Prior Payments 0. 00 B.Discount 0 .00 (See instructions.) Total Credits(A+B (2) 0.00 3. Interest (3) 0-00 4. If Line 2 is greater than Line I +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 0 . 00 5. If Line I + Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 21928 - 00 Make check payable to: REGISTER OF WILLS, AGENT, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 N b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . . . . El 0c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 FX1 d. receive the promise for life of either payments,benefits or care? . . . . . . . . . . . . . . . . . . . . . . D FX_1 2, If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ FRI 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? 0 Ex 4. Did decedent own an individual retirement account,annuity,or other non-probate property,which -1 EJ contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FX IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, For dates of death on or after July 1, 1994, and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(1)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116 (a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a step-parent of the child is 0 percent[72 P.S_§91 16(a)(I 1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)), • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1,3)).A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. 3M4671 4,000 REV_1502EX+(12_12) SCHEDULE A pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: John E Goug enour 21 14 0645 All real property owned solely or as a tenant In common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is Jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Residence: 210 W. Locust Street, Enola, PA - see attached HUD-1 150,000 TOTAL (Also enter on Line 1,Recapitulation.) $ 150,000 2W4695 2.000 If more space is needed,use additional sheets of paper of the same size. REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER John E. Goucrhenour 21 14 0645 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, Savings Bonds - Pay on death to Bethany Goughenour (predeceased decedent) see attached 1,380 Edward Jones 2 41.34024 Shares Hershey's Food Corp. 4,084 3 15.19054 Shares Tiffany & Co. New 1,517 4 1,384.133 Shares Goldman Sachs Growth Fund 17,606 Members First Investments 5 760.69 Shares MFS PA Bond Fund 7,774 6 620.22 Shares Pimco Income Fund 7,883 TOTAL (Also enter on Line 2,Recapitulation) $ 40,244 2W4696 2.000 If more space is needed,insert additional sheets of the same size ` Estate 0fJohn File: 21 14'0645 Savings Bonds-value asof6/2O14 ' 1008267668i | 8ond $80.04 � 1008297318i | Bond $79.86 1008344845i | 8ond $79.86 1008432638i | Bond $79.66 1008432637i | 8ond $79.66 1008470692i | Bond $79.66 10085533281i | 8ond $79.408 � 1008623427i | 8on6 -74.8] 1008695186i | 8ond $74.88 100895185i lBond $74.88 c004656034i [ Bond $142.52 c0O5215271i | Qond $140.96 � � cUO5418706i | 8ond _14Of4 r006001123i | 8omJ $,140.12 1626180845ee EE Bond $33.80 $1,380.90 . ` ' . ' REV-1504 EX-(9-12) SCHEDULE C pennsylvania CLOSELY-HELD CORPORATION, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PARTNERSHIP OR RESIDENT DECEDENT SOLE-PROPRIETORSHIP ESTATE OF FILE NUMBER John E. Goughenour 21140645 Schedule C-1 or C-2(including all supporting information)must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship.See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER VALUE AT DATE NUMBER DESCRIPTION OF DEATH Classic Tours for the Travel Connoisseur Sole Proprietorship (see attached) 16,513 TOTAL(Also enter on line 3,Recapitulation) $ 16,513 (if more space is needed,insert additional sheets of the same size) 2W4697 2,000 Estate of John Goughenour Exhibit "C" Addendum File:21 14 0645 Classic Tours for the Travel Connoisseur Assets: r . Capital One 360 $15,074 Members First FCU (savings) 106 Members First FCU (checking) 8,399* $23,579 Expenses: Reimbursements for reservations and deposits $ 4,445 The Sentinel - advertising in in newspaper for Classis Tours 1,475 Income Tax preparation 520 Verizon- telephone (landline) 626 ($7,066) $ 16,513 *Please Note: Additional funds received for services rendered prior to death. Final amount includes all additional payments/deposits made to business/decedent. REV-1508 EX-(08-12) pennsylvania SCHEDULE E DEPARTMENTOF REVENUE CASH, BANK DEPOSITS&MISC. IRE"sIDENT"DEc ENNTTRETURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: John E. Goucfhenour 21 14 0645 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Automobile - Huyndai Sold back to dealership where purchased - Freysinger Huyndai. 6,500 2 Members First FCU - personal checking Account 295 3 Capital One Money Market 12,041 4 Highmark Health Benefits - refund 148 5 Verizon - refund 21 6 Members First FCU - personal savings account 601 7 MetLife refund 23 8 US Treasury - income tax refund 1,140 9 Suntrust Mortgage - escrow refund 1,532 TOTAL(Also enter on line 5;Recapitulation) $ 22,301 2W46AD 2.000 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC.NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER John E. Goughenour 21. 14 0645 This schedule must be completed and filed if the answer to any of questions I through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM 1=AJWTWWME0FTFETPAMFEPZE,TFUR RELATIONSFOP TO DECEOEW AW DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE NUMBE TWONTEOFTROGFERATTACHA00PY OF TtE DEED FOR REAL FSTATE VALUE OF ASSET INTEREST IF APPLICABLE) VALUE Decedent had IRA accounts. However he was not yet 59 1/2. They are not taxable and are therefore not listed. TOTAL(Also enter on line 7,Recapitulation)$ 0 If more space Is needed,use additional sheets of paper of the same size. 9W46AF 2.000 REV-1511 EX-(OE03) • pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER John E. Goughenour 21 14 0645 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: Funeral 13,479 2 Florist 277 Total from continuation schedules . . . . . . . . . 2,739 B. ADMINISTRATIVE COSTS: 1 Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: 4,000 3, Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 384 5. Accountant Fees: 290 6. Tax Return Preparer Fees: 7. 1 William J. Mansfield — legal advertising 271 2 Executor expenses — hotel stays for two separate trips 608 Total from continuation schedules . . . . . . . . . 2,603 TOTAL(Also enter on Line 9,Recapitulation) $ 24,651 3W46AG 2,000 If more space is needed,use additional sheets of paper of the same size. Estate of: John E. Goughenour, 21 14 0645 Schedule H Part 1 (page 2) Item No. Description Amount 3 Grave Opening 1,600 4 Luncheon 389 5 Headstone 750 Total (Carry forward to main schedule) 2,739 Estate of: John E. Goughenour 21 14 0645 Schedule H Part 7 (Page 2) 3 Obtain copy of title for car 55 4 Powerwash deck to prepare for sale of house 225 5 Homeowner's Association Fees (8/1/14 to 2/1/15) 1,020 6 PPL - Electric (from 8/27/14 to 3/16/15) 296 7 UGI - gas (from 9/15/14 to 2/23/15) 180 8 Penn Amer Water (from 8/20/14 to 2/23/15) 185 9 East Pennsboro Sewer - garbage removal (from 10/24/14 to 1/30/15) 428 10 MetLife car insurance 214 Total (Carry forward to main schedule) 2,603 REVA 512 EX+(12-12) pennsylvania SCHEDULE I DEPARTWIEWOF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES& LIENS RESIDENrDECEDENT ESTATE OF FILE NUMBER John E. Goughenour 21 14 0645 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• DCM Credit Card 1 1,262 2 Dish Network - cable 105 3 Suntrust Mortgage - paid off at time of settlement for house listed on Schedule A 95,613 4 Orthopedic Associates - medical bill 200 5 Holy Spirit Hospital - medical expense 262 6 West Shore Anesthesia - medical expense 162 7 Mortgage payments paid by Executor for house listed on Schedule A (9/2/14 to 1/30/15) 7,582 8 DCM Credit Card 2 24,000 9 Assurance Abstract - miscellanous settlement charge 25 10 Reimbursement for one-share of symphony tickets purchased with friend. 126 TOTAL(Also enter on Line 10,Recapitulation) $ 129,337 2w46AH 2.000 If more space is needed,insert additional sheets of the same size. Estate of: John E. Goughenour 21 19 0695 Schedule J Part 2B (Page 1) Item No. Description Amount 1 Bethany E. Goughenour, M.D. Memorial Fund General Bequests: 10,000 10,000 145.805 REV(9111) - LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ]Fee for this certificate, $6,00 This• , This is to certify that the information here given is correctly copied from an original Certificate of Death duly"filed with me as Local Registrar. The original r� certificate will be forwarded to the State Vital Records Office for permanent filing. 2. 0733169it L —1-cr%1ficajdj ll I�tLdt3ki;SC:1' r'iuJJJJas+lr• Local r..l .%vila i,.Cgiyte'ite 11slte iSfil1e1:3 a MMMONNEM OFPENNSMANN•05PAMMWTW 14MTH-WTAE REPuxpe ' aN e�d1NeCase Humbert,1-2014968318 CERTIFICATE OF DEATH .u7 x >at dn a t John` Edwina OouOhenaur Mete 1,165_48_9330 June 23,2014 -Mile, sh on lvani- Mey1o;s958 g aemnt >Erq.-Mmt�{&LYp j•�rCPJntlrl E..RntlMH{SnxaMMnuytdrapAq Ne.j 7t PEPp(MpMYM6M.T—AP1 . w a1EaAnt 210 W. uicust Street i awan9aaa Past Parms}5oro COmberland E=.epwex.i>Ncwl rm,daaamp*urcnamam plmeap. . 9,FwrN++..�a�Amnelarto 10 YannI SINNp1*Ym tla.NMaaled YfdexN 1,SuvMg nryWaNrne nttllw Ntv pNFbkRnultp[} O YY L Nv ❑VN+e„rY �bUdn¢tl Q NAva t9aMm 0 t/nMp•xp e>.FAexpiNerte{ren Mletln EAslS+tGl r,}t,M,AanFNAmv¢NhFMpMxd+ga,Fhq tA'aetr,L+e Edwin ermelr Mar aret MOOrB +kza empnh nb.ApiHnxPSontr P,nemr ik.aramxn YDrytA00xpat5TTa1mxKVCIky.6W.>a ) Jahn C. henour 6107 Ha Na,I R t PA 50 5; t .Pena Errca L}' tlh.'FOCR�+taiNuWtp1 QMDF9prt PMtAOacrtea HTlM.osOlixiM.NJNpN, Ejaqn n. ma i$S ❑erc..EFnnR«ixvemalpM C7 Pea.ensrvN p A>nwyw,.a;o-v nmouavawt> Qo:na Ieb.ANaaNai Nea pp,9Mtaratantl nuMbYj 9 Pna texn.9al,,na,G- t . narPAaN 21a s,r t.ocu^sv c cape P ,7925'� c,,,»be,i.,r,a tyM,9+ndNlNp9eal gI e. p o-amAmm tep.PpeentbpoUlbn ,,.,teewnatoapewrlWM.aanwq.aana.>.aeuxraM'�.p1 t, Q b pr.-exb Pmaae June 30, 2C'. OddfeilOwe ce0letery . t o n e ana a nrw. A, a e:anw wap mNa ,pxw x . 04 Coal Township, PA A ' FU- 738630 eryNtxAMax lianry Mal 52u1era2jPA 17055 ,} tetaeeemraeenxen.axrA bnAeaNprMlaaoeurM tEPewMAUpabe,Niee axrk>savp -EpeaaNEPRMOefi ram aasux,en� Nq�.uwmnaalnaaFaxam.m.aaxaeeapsre<en. oazsNF.wNn.hw r r�,'.ax.axen J13 pucpbrA4m+AMeN+n [ vkexn,np 13 FPPpa M— C,JamE pe7Naxm14Annp eepew ❑YM MaKKX,NNae M.eAAMCpk�na Alxnm9An L7 ❑AapaNxdgni{iS,MAs) QYb.Pa VB RLan - Eimrtp (� pNy,eatp�pnn eax 4/..W+I4peA.AB.eb1 QriR Cuen ".: �EMn Q eawan - 7 Q tdgataepMAipNA.NS.ikit9.Nrd.A6M,xeq [3 m.eNxswMn»ev'N+n'.,k+ a+aaab [i PW.w�elapnepr Q PbanN eat awannbMlegm 4AaeM pMt�xh1 3 JY�.Pa�s.a M wNn e.pxY rP pD tiwnneaFenexuaetl NMnla Mxe bbe. tb-PpndmhUW9iIXa Md#uLINa .ak gnerNx Q4pMaa ❑blmpM eanlaNOMeeNxpMOrdbPONDTUSEeeta®. r Q elaxxAmpN,AaMrxsY Ok.p.p ❑ma pestntr»e, Supervisor i Q MnManir Slna.NnLNWv Q,pVYexIMr ❑Peel knerNbl Bur%'e • Q AWnfaYn y eNx AYn Health Insurance CI pp na mom opewaea tgvabr Q PAte„, p Nakntdxem p owpbabYe Q PNbbN Q seANawnaa— s Paa n t'mllabfMpOaAN xpp i npne i - erleAsoNvnto wtonouxcesos i s ) >satab.s as n +.ttrxatP-1 j Approx.11:00 P.M. xacaaar arum mE3Nn CAUSE OF DEATH, Aar�tn an aaenl: A VIAL emx ftp( -aNk.Na,9MukA N<WWIutMaMndMdyapndnpaa� PONOt Werw,Mmte+emp WeR,awnlwaMft Pnwlm Onm f abanmryamRat(M�.t�tbF4tieewiMeptMv.N9W aPac9r.PPNOTA401tE1tATe,ENrsvNasgmpm FPb AaaadaNaaifibaVnanxary" pppt�,e p,�,�, � Prob»ble PMlmurery EmbMtlm -' O0arWbAaramns�Nwmgw a o exaWuencae: ea,Nl ' MUM= Pr, {NneaPngeCnRe: + . UNDEpt791ECAUSE e \ IapAan aayW Nm n rswN ww. , ffi 9wirema..FeanW,tnr adnnl tAsr. a ,Jae e, y xaatt.Eme+aNa Ivn+anxa9neaunlna�nlgws•:,mmnvnl Ii,p-4WEI I 8O Obesity - � m""9ae"�6°/A"nx�a9'a»eta' � g Q rep ® Ne >•.NfemxA: MdeTpb>tm Uie fmpWdbda,M Si NAMxralPepN £}NnidnapxM«Nao,M,u ❑res ❑w9mby ®Naxw O Naiigdi p nw,xxra,,,a epae.N [3 Ne MUm Aummp perneyaN:e>»x 1 0 Nppaeepnt bnYiOxMMYMvaaradenu SWda. QG+e mpbepMYMFae ' ❑lMlirpnifAMM}Ia7&YptrlTn.nieseaM .Pwa n ere3beA+i (7 Unrnnnn xEnp92MNW.AM peNrea pm,na Ate,. i N. Ae iW lxav;nppvenMane;nMl;aebCP a.tr1.M»a n(evaxmoxe,npea, .trnnry,9�nL> 1 >e.jan,1 erb .nTm,anen,emftftsaran at.OndapNxmAmomane: []rM dAvgaraa. U enrmba .. C3 aFsa.�e, QPYM.esreeM >9a,aMkp EVAN mnenq: Extlebq 6+rrMAn•tedx Wltlxy MbNmpa,ela6 anxeedW rAM eaeaanxeMaa'nx Wxd ®RI MM—ftMnplteYYiag apTatUt•reaxbt aMTbieMASSr.auaYaaWetl Mtte Arp.eW,mapan.,ne axbt%Nbbe(nxNxrexr WYq IntENenaulCdanx•On N awpryam axrepbM�aeaPptoaaW 11 earU+e�n.hlb.iM ehn.d0.wMMTnapU)Mlmxbe Wibd EA>wnN4ra>a: �cfi��a, 1MealraNhn..,"Ilek.�i�iUW Carnn2f Uupnn Nbnprr. ]h.pMA.Ile[naMWCAeatlPrwnCempl,anpCauwbl DeM@aMNj 1>cdN elaAx OrrDprYn MBINavF5mMtT,CnkffiWPPNCtNwter 5376I89A6Q>idIM AWP BWtR b,.MKJfMdE57tmQ.F/1,T1750 . 2s,201a Fa NeyAYtM1 PUVb Mtxb,r t1, in IyyAu,n FR.xap ntrD»x¢ASP+t'rY} . a Z F;AOTaanx.as 1049725 aeJa no,x - p'ppnifanPxMpNe. f Int RX11 Talament Lif 1, JOHN EDWIN GOUGHENOUR, of the County of Cumberland and Commonwealth of Pennsylvania, being of sound mind and memory,do make,publish and declare this to be nay Last«%ill and Testament, hereby revolting and declaring null and void any and all Wills or Codicils by me at any time heretofore made. FIRST: I direct my Executrix to pay the expenses of my last illness and funeral from the residue of my Estate. SECOND: I direct that all Estate,Inheritance and other death taxes that may be assessed with respect to property or interest passing under my Will by whatever jurisdiction imposed,shall be paid from my residuary Estate as a part of the expense of the administration of my Estate. THIRD: I give all tangible personal property owned by me at my death and all insurance policies on such property to my son.,JOHN CHRISTOPHER GOUGHENOUR,provided that he survives me by thirty(30)days. FOURTH: I give the sum.of Ten Thousand Dollars($10,000.04)to the BETHANY E. GOUGHENOUR, M.D. MEMORIAL FUND. If this institutional beneficiary ceases to exist,this gift to the BETHANY E. GOUGHENOUR, M.D. MEMORIAL FUND in this Paragraph FOURTH shall lapse and be distributed as part of the residue of my Estate as provided for herein. Page 1 of 5 FIFTH: . I give the residue ofmyEstate as follows: A. To my son, JOHN CHRISTOPHER GOUGHENOUR, if JOHN survives me IJV thirty(30)days.-,provided that if' 0H?t int{s to co g»nlyvP (Y1P but is ranresented by C�"P,SCenr�anf:S F��l20 so survive me,Finn I give the residue to such descendants,per stirpes. B. In the event there is no one living who is entitled to receive the residue of my.Estate under subparagraph A. of this Paragraph FIFTH, then I give the residue of my Estate in eaual shares to my sister,EDN4.FELLY THOTMAS,and my brother,EDS IIN?SCOTT GOUGHEN TOUR, if they survive me by thirty(3 0)days,or to the survivor of EDNA and EDWIN who shall so survive me. S1XXTH: All principal and income shall be free from anticipation, assignment,pledge r r.. r y f •i � la 7 r r .T * r or obligation Cif benef ciar es or remaindetraeli`c�d, wldle iii Site laan s of iffy Ex-rec-L:&1X u c saine shall not be liable to any levy, attachment or execution. SEVENTH: I name and appoint my sister, EDNA KELLY THOMAS, to serve as Executrix of this,my Last Will and Testament,to serve without bond in any jurisdiction in which she may act. In the event that EDNA is unable or unwilling to act as Executrix, then I name and appoint fty son, .JOHN CHRISTOPHER GOUGHENOUR to serve as Alternate Executor, also to serve without bond in any jurisdiction in which he may act. EIGHTH: My Executrix and her successors shall have the following powers with regard to the assets and liabilities of my Estate: to retain my investments, invest and reinvest in legal investments, sell,grant options for sale or otherwise convert any real or personal property or interest therein and to deliver good conveyances for the same,borrow money and secure its repayment by mortgage,pledge or otherwise, compromise claims, make distributions in cash or kind or partly in each,lease real estate and Page 2 of 5 other property,file any tax or gift tax returns that may be due on my behalf,retain such agents,accountants, or other advisors and compensate the same from estate assets, associate with them a corporate fiduciary with fiduciary powers it) the Commonwealth of Pennsylvania, delegate to said corporate fiduciary the exercise of any powers, exercise all other acts and things necessary or appropriate in the management, administration and distribution of my Estate and exercise any other powers granted to personal representatives vursuant to the anDlicable laws of the Commonwealth of Pennsylvania, including but not limited to these enumerated in Chapter 33 B and C of the -Perinsylvania Probate, Estates and Fiduciaries Code,20P.S. §§3311-3360. N—INTH: Words used in the singular may be read to include the plural or the plural 111ay ve,,�ad as the singular. 0111'Milazly, the masculine form may be mad to 1-1-ArJude the-'fer,7 iilc and ileuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day' of k 20_,a HN ED NOUR Page 3 of 5 Signed,.sealed and published and declared by JOHN EDWIN GOUGHENOUP,the Testator above-named, as and for his Will, in the presence of us, who, at his request, in his presence and in the presence of each )t r, have b reun_to g;ihsrriii-d�tT,r narpr g a.S wiM.E3S�S,hPratQ. 'WITNESSES: Signature: T Ie. �{�.��^i�2 Signature: < "r.-rs e-j </ 7?1, Print Name: 1-5 Z11 Q Py- Print Name: %��i�s r�r Address: Address: truro__P�� Page 4of5 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNT' OF r. rnr err rr}. m.. n.rr. t _ t, r.....t...t 1, Ji l2lV L!J V\'ti14 LJV VtT.t'I.t,.,1it uR.' cat 1 CJ'tfto , wfitose 1121Lt1G is SLgiltd to 'd GLiCL(1tGU or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Fast Will;xid that I signed it:Allingly and as my free and voluntary act for the purposes therein expressed. Swom to or affirmed and acknowledged before me by JOHN EDWIN GOUGHENOUR, the Testator,this day of ,i of 20-,/,?. a DWt1� UG HOUR(Signature) CGt0�11Ve+ i LTl#t htlVlleuYLV,MOR - NOTARIAL SEAL G;NA URALM,Notaty Public ni;9lCl.t.,i�q/'/rll r;!x%i!t;v^-r;�niw('.rvi,rr 1 (Signature ofNo�pfS'Public) (Seal of Notary Public) Aires'F FDA*'JIT - COMMONWEALTH OF PENNSYLVANIA COUNTY OF.4 z,rsi Y��r/,e� We, l�zlr�e t and(?, the witnesses whose names are signed to the attached or foregoin instrument,being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that.the Testator signed willingly and'executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness;and that to the best of our knowledge the Testator was at that time 18 or more years of age,of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by %f�� C'�s[f and witnesses,this/-?—day of _ 20J° Witness(Signature) t 1 itnesS(Signature) It ;i.r t-t OF P wiVN$YLVANIA ` GUM 00TARIAL scat :i:�f4fA L i3ALDt,Ptip#4ry Public f i+Sorts,CunDeriaW Ccu,ty (Signature of otary Public) q `i i:;,srn+ssr�n Exi;ir^s 1=abruary Y2.' I" (Seal of Notary Public) Page 5 of 5 COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE COUNTY OF CUMBERLAND r I, LISA M, GRAYSON, ESQ. Register for the Probate of Wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby, certify that on the 11th day of July, Two Thousand and Fourteen Letters TESTAMENTARY in common form were granted by the Register of said County, on the estate of JOHN E GOUGHENOUR Tate of EAST PENNSBORO TOWNSHIP (First,Middle,Last} in said county, deceased, to EDNA KELLY THOMAS r)rst,Middle,Last) and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the. seal of said office at CARLISLE, PENNSYLVANIA, this 11th day of July Two Thousand and Fourteen. File No. 2014- 00645 PA File No. 21- 14- 0645 Date of Death 612312014 S.S. # 165-48-9330 e ut C NOT VALIL? WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL 1 ' Diane Oakes FromDiane Oakes Sent:. Thursday, March I9, 20IE4:43 PM To: 'RA-IuheritanceTaxExt@pa.gov' Subject: ExtensionRequest - EstateofJnhnE.Goughenour Estate nfJohn E.Goughenour, Deceased Date afDeath:June 23,2O14 File No: 21'14-O645 , Social Security No: 165-4K-983O Please beadvised that this office represents the above estate. VVeare writing torequest a6'monthextension oftime in which to file the Inheritance Tax Return. We are in the process of gathering information to complete the return and will file it as promptly as possible. if you have any questions,please contact myself or Paul L. Feldman, Esquire at 215-887-5300. Diane FLOakes, Feldman&Feldman LLP 82OHomestead Road ]enkintovvn, PA,10U46 ' 215'887-5300 215-887-1060(fax) ' . ' ' ' 1 4' s OMB Approval No.2502-0265 �• A. Settlement Statement (HUD-1) . 1.Q FHA 2.❑RHS 3.Q Conv.unins. 6.File Number. 7•Loan Number. S.Mortgage Insurance Case Number. Y-37815 6800813956 4.O VA 5.❑Com.ins. C.Note:This form is furnished to give you a statement Of actual settlement costs.Amounts paid to and by the settlement agents are shown.Items marked "(p.o.c)"were paid outside the closing;they are shown here for Informational purposes and are not included in the totets. D.Name&Address of Borrower: I?.Name&Address of Seller: F.Name&Address of lender. John C.Goughenour Edna Kally Thomas,Executrix of the Estate of John Members 1st Federal Credit Union 210 W.Locust Street,En*PA 17025 Goughanour aWa John E.Goughenour,deceased 5000 Louise Drive,Mechanicsburg,PA 17055 414 Woodland Rd.,Canonsburg,PA 15317 G.Property Location: H.Settlement Agent: I.Settlement Date:03119/2015 210 W.Locust Street Assurance Abstract Corporation Disbursement Date:03119/2015 Enola,PA 17025 7929 BustletonAvenue,Phhadelphia,PA 19152 Phone:2153314200 Place of Settlement: TideExpress 7929 BustletonAvenue,Philadelphia PA 19152 Printed 03/17/2015 at 10:15 am by SG 1.100. Gross Atmiiiat Dui from Burrower:.:::',':;;: 101. Contract sales price 150,000.00 401, Contract sales price 150,000.00 102. Personal property 402. Personal property, 103. Settlement charges to borrower One 1400) 5,319.31 403. 104. 404, 105, 405. Adjustments for items paid by seller In advance Adjustments for items paid by Wier In advance 108, Ctyllown taxes to 406. C ftvn taxes to 107. Countytaxes to 407. County taxes to 108. Assessments to 408. Assessment; to 109. 409. 110. 410, 111. 411. 112, 412 120. Gross Amount Due from Borrower 155,319.31 420. Gran AmoimtDue toSeller 15%ca0.00 ?AO: Amtiunfs'Paldlryarin.BafialloiSortoiver::':;'ii i:::..c; 30U. RedusNonaloAmountDuo.toSeaeE:;:: 201. Deposit or earnest money 501. Fxcess deposit(see instructions) 202, Pi rugal amount of new loan(s) 120,000.00 502 Settlement charges to seller One 1400) 7,525,00 203. iodating loans taken subject to 503. Exisft ban(s)taken sub'ectto 204• 504, Payoff of first mortgage loan#0289284812 to Sun 95,672.89 Trust Mortgage Inc. 201 505. Payoff of second mortgage loan 206. 508. 207, 507, 208, 508, 209. 509. ustments for items unpaid b seller Adjustments for Rams unpaid by seller 210. CityAown taxes to 510. CltyAowo taxes to 211. County taxes to 511. Cotadytaxes to 212. Assessments to 512. Assessments to 213. 513. 214. 514. 215. 515. 216. 516. 21L 517. 218. 518, 219. 519. 220• Total Paid /for Borrower 120,000.00 520, Total Reduction Amourd Due Seller 103,197.89 300: CabhafSelaamentfromAbSorin"w"e"r:;=.:;?i::;'c::::as c°;::":; ;;: ::;' 600.:: CashatSaftiemeettoRrom8e11a.::::'.I:: 301. Gross amount due from borrower One 120) 155,319.31 601, Gross amount due to seller(lino 420) 150,000.00 W2, Less amounts paid by/for borrower One 220) 120,000.00 602. Less reductions in amount due seller One 520) 103,197.89 303. Cash From To Borrower 35,319.31 603. CashX❑To From Seller 46,802.11 tni�rdm unn.rca.per.aanenWw ncwemvroinum�..rro�ee "Wn°a'"+wmnenvp,emmp oa..rown .ma. us yncy m+r nawavw w".,.,v 2au,n e �n.aeM G.a.+u nG+IXri¢¢ ,NnO%b+mObmnnN!ary.aY,4deaYnNwpwiu+V:+pMlnp�sRESPA ro.E,aE 4a,uclbn w9,wwm+tbn aurin#th m Previous editions are obsolete Page i of 4 FNDd 700.:.::?otal;Rdal!.state Broker Fees:==::;:::_�:: ..,: :;i�:•r�:"=r,.::.. ... Id'From':;:;; ;:;;Paid From'::;' ........ . ........... $etlees::` 701. ag.g0 to Funds at 702 _..,,r:.....; .>. 30.00 fo _::5eENerrien == •`°Settlement=:= 703. Commission paid atsedJemeM .800:•:-fleme. ab a M ConnecBoeWNli Loin::: """""- - ....... .. .. 801. 'Ourodlil 6oncharge pmdudesOdginationPo4t0.000%orS0.00) 564500 (fromGFE41) 802. Your credit or charge(polios)for the specific frierest rate chosen $ (from GFE#T) 803. Your ad)uswd ertgrnafwn charges prom GFE A) 845.00 804. APprald tea to Members 1st Federal Credit U $425.00 P.O.C. '(from GFE#3) 805. Credit report to from GFE#3) 806. Tax Service to - (Rom GFE#3 807, flood certification to Members 1st Federal Credit Union prom GFE 113) 1250 808. to qQ0,,:-:.!tirEi.RequIred by LendortotiePaid inAdvance.;:`�;:::::::' :.. .-:.::=:1::;.:":•:•• °:. ...,.._. .. . 901. Daily interest c • barges from from 0311912015 to 04!0112015 59.70001day (from GFE#10) 126.08 902. kloqatieinsurance premium months to ifrom GFE A3 903. Homeowners Insurance Por 1 years to Med.Ae (from GFE 011) 135.00 904. mongts to fkornGFE9111 De oeftedwith Lender:,::-:... ._::..--'i:::::........ :.......::•.:-:°..........: . .. .::,.::.::-.:,._. ; ;:;1:: ......... : _ 1001. Initial depocittor your escrow account (from GFE#9) 1,476.15 1002 Homeowner's insurance 4 months g 11.251month 545.00 1003. Mo4age insurance months $ !month 1004. Property taxes 2 mantis S 51.381morah $10276 1005. School Taxes 10 months S 160.10rotdh 31,601.40 1008. Assessments months @S 0.01Hmonth $ 1007..AggMate Adjustment $-273.01 :. 1101. Tiffs ser*es and lenders fids Insurance 5 from GFE 94) 1,552.00 1102. Seldemerdordosing fee toKandiLenker $150.00 1103. Owner's Weinswance-AssuranceAbstractCorp.• $ from GFEit!i160.00 1104. Lender's 60eInsurance-Assurance Abstract Corp.• $1,325.00 1105. Lends He poky&rat 5120,000.00 Lenders Poky 1106. Owners Ode pet-y umit 5150,000.00 Owners Policy 1107. Agent's portion of the total fife Insurance premium 51,147.50 1108. Undenuritees portion offt total fide insurance premum $327.50 1109. "Llnef07Payee to Assurance Abstract 1110. "Line 1108 Payee to First American Tile Insurance Co." 1111. Wire fee(Payo1 to Assurance Abstract Corp." 2500 _ M staid! andTtarlsfe C es.�:;-:�::::.:: :.:::.:.:-:,:_"?;_-;;:::-;=:;;:...,::::::•.o:..�:.__,:,.;�..::;:;:::::::::::=�:; �;:;;.;;:: . ..::;::: ; 1201. Govemmentreeordingcharges $ (from GFE#n 166.00 1202 Deed 364.00 Mortme$102.00 Releases 1203- Transfer taxes S (from GFE 1M) 1204. CitylCounty taxlslamps Deed S Mortpga S 1205, State Taxfstamps Deed$ Mortgage$ 1208. Deed$ Nlogage S 1207. $ .1300:�Jtd�on e'.... ...................................:::>.....:...,,.,.r.::;..... ........::::::::,�::::,:.,..:.....,.;....,;..�::::. 1) al SettlementCtiarg..s::;="::..::::a::.::::;::::':::-f;`i''-i:,•.::.:::..:.....:::::::::::::::°::t:•;:.....,.._,.:::::::.:::.:: ..,:��.: 1301. Requhed services that you can shop for (from GFE#6) 1302 to 1303. March Association Fee to Locust Woods Homeownef s Assodation 130.00 1304. Capitol Contribution to Locust Woods Homeowner's Association 260.00 1305. Resale Certificate Processing Fee to Locust Woods Homeowners Associa8 50.00 130& Eamwfor Inheritance Tax FOfing to Assurance Abstract Corp,- 7,500.0 1307. 2015 Cly E Twp Takes to Debbie Lupeld,Tax Collector 616.58 'rr r I 5,319.31 752500 'Paid outside of dosing by(B)ortower,(S)eller,(L)ender,(I)nvester,Bro(K)er."Credit by tender shown on page i.-Credit by seller shown on page i. Prevlous edltlons are obsolete Page 2 of 4 HUD-I n . adsotrot`:AmdFailh'$afirtsato G.. 'iiodNUD,1:C '.. -.... ...... �„ .._Com ,.,...;,._...... ... ......___. -Good'FlitltEsBirfate's - _ - -_ n otf _,....r _ Ch 645.00 .r. _.,.. ,..: _..._..._.,.., ::_t..:.er,:...fy;:-3C;duvu:�:;:.::Sixr:_:•..•:r.�c naixM.6tia ge c:,.cc u,}:!%}!C i>E.;gym) ^<}; - '1pu(;otig... .. .. ........ -- .... . '; -V 845.00 }... i: interestXau ._..... a 0.000.00 d'ad9ina9anehargest;:r.;:•-_.:-.-'== �c:-...,.._._............. 1aY:it-- ...ter,..... ........�;:..^- ;"€i€=ar;:r: 645.00 645.00 , - rangy'leads:.::::::::......:.:.::.• �`+------- ---..t......•,.,.;'r�st_�}:.-�:: 6r,#i1203s�,F .:;;a:�`:��;� 1,500.00 :: .:"'�":Tha17n7ot¢LCannofincroas -.:ix•:i;...;::: .-:>-':-,-,:.-;_,:.a. es aMonthed 0,6��_:!�t!;� fd�•:.. );;<:::r•::.•:�..._ri• ,;::::' _ _ - - : odFaltli'Esdriiefe.i_i�� - - -xc".`t ,:GoQ2mme!d, v, - - 238.00nli 8.00 -, :<::!set:c:;:rnn:.., ti5ei_S 3i!iiiFF �:_t;..._[r:.... 425.00 425.00 < afRdn �, �•t. ,fJOo .. ,::),,,......_,::_,;.,.•..._,;!g:BpT!r -- - - 1250 .....:::.: ..r.._......._ ...r..,_. ...::_::.-_._...,,•..rr,;..... 1250 < • ..::::'::. .... ::::::_:,,....r:r<;::,...•__..::._.__._.,,,.zr,..,•,r-v:•.4:,i ''I:i -'ffe� i:i•: 1 „Y. 675.50 603.50 ¢ S-7200 or -10.6588% 'hof¢a .r.,+:+-.•,•�:,_•a:_ ..,•,,r.:::----'......u.._ )......._...__...:c::s:er:r.! jtii:;� -Gp" F" - �I! ',iE1�:r-_:_:: _ ................ . ._.._.... :._.....:__.t.......:._........_r...---•�--- oil oath EsBinate!;:!-,.- :::'Eilld;r!'=. �s... y. Initial'depgsif:fatybuleSWy7acfAOht,_F =''t :;Ii; 1.476.15 c tat:.:zsY1�.o01 €ca;:a-;:;yii = '!° 299i :...-_......,......_.._._...._ . .... .53 x D ty1(lfeiCStCliPlgeShOm 145.48 ai. ,_... .:::::... 126.08 400.00 135.00 1,770.00 1,552.00 Jiriters.bUa'In irante :MiraiiceAbs$ad.Carp;.:!si it;t;;;};a;;:i;[: ::''r ^!`ir:;: :1:103::::;6,,:;::`;•`:;:s;'€i 3:;-i 150.00 150.00 t . _ Loan Terms Ydur,�ppatloan0rnauMis,: - _a:ii - "`'i'! S120,000.00 y Y`}u5oaotin5'tsSi 15.years o _ _ - _ ,• _ r fi tY' - -- �{ •ai`rr,SnitlaiJnte[e��t'taib_ls�s; - _ _ _ 2,9500k OUf�1�11A1'AiOnlhly !! OWEd(OKn-dnClfB!fidaiesf`.aiiA` ':tndrfgSge ` $825.82 Includes . `iS3W. X PAWP al cit= !Li"h' ..nx.', r.::3kd:�e�'�'-tG:�g:::�;Ei't'i.ie=;S4:•r'�C`a.iC. "1:�- _ - -- •r`v. K.•< i?i;%i - _ - __ x!:1!c. :p?;cj-2r.`.�.yr;cU:c ..:}w't k.::❑MOg a interest:interest:.y^^, _ _ x-cru_is�f2 - : -S2T:: 5'1_�af�;r.;:g_•; o in Lh'ance .:a �r_ _.r, •i:Lf - - _ 's ".IflfCi@9krZft�SO'1a`= .<f_:'cn'):• `�'''?'_;_ X 3n;YuL.. " -�.,r:- �'is�--`-�;'-`!::: ❑Na, ❑Yes,it can rise to a maximum of V.The first change �5!=R' ! ::;: 7!qi�' - - :�ceniic7i:c•=i;�.:c:: �! - "= :_ Kt8 bean t r and can change again every years after I ! .vs��?i'i�" -- r��`y:�ii?i:.:�:y:�:ii^Frtter5ie.� ; Every - `!''' _i••s'I li_ -t••t;c_::_q:_,...v.,Au_::a:.:::,!.:.e;,.:,-:::: - change date your interest rate can V.Over the Ufa ,,�'• 4ar.:zF�r_ _ - - _ =m{pE:iESg,.... �:n),::r ,.i��?:5. byOf the loan,your Interest rate is guaranteed to never be lower then %or higher than- ., , i;i _ et:rp:•;.;,:;:or veAifyoir'_ t aEsniirii 'saiiyiiii•loanyalaneerisa'vi J''f !:i X No. Yes,ttcan rise toamaximum ot5 ..-- .....,,..,.r..._ •EL::-y-:c;t::;:::air.ii,:;j�, . No. Yes,the first lnaease can be on f 1 and the month) ofriter@sAdjhBrtga 'losurai ce'rl S? - p•. iT_ amount owed can rhe to S Lei= : um z....- .. =! jz ---- _-- =ERE ?v uai i:e ,=The maximIt can ever rise to is S �2ira'PE {y •4�L'IIaV00 ,,•,alit _ __ 9 iilni �i!....,,,,, ::.�•:��;:�� . • :.� No Yes,your maximum prepayment penalty Is 5 :i..'..... pgtrUdlOenhass_ahatlodn'; ytiprd2r T ul - X❑No. Yes,you have a balloon payment of due in 2.-E:: - -- . aas.,,;ca....;,;.;p'. r.6:c5ac'(;_•'s!:_,.;}::•)�{.c YBSfB 0n 7 7 + Tal5fmomh(yLamountpwediddu�ng'adupwacopirit`ayrognls;: ;;c' ys;_; ;;QYoudonothaveamonthlyescrowp payment taxes . ,.:-:.--'-::...........,....')-r:,--P- ----- ayme Property - - 4.4,._ �:?-.!.• - _�''�''�-I"i��'- � and homeowner's Insurance.You must thesBitems directly ,self. - Ipi?.::'•:'a:,.. _ _ :ec:::::;i,!` v'gSj��5�_;':i:�::" Dal` �!y Y� _ - i�Lniil•(c•:!:;r.;:;:=„-yt1,;7ni_Lia::;_::r::.,.<',_r:::a.a_::....; -- ❑You have an addi0onal monOtty esrmw payment of 322277 that results in a total inl9ai month amount owed of$1,048.59.This Includes ty ,iv -_,❑. ........._.-i.?.-?. principal,interest,any mortgage insurance and any items checked below; -='� as=s's;i- i'ilix �.:�:;,,!�,:: _ - -:i;,!`;::i�;❑ProDedYtaxes ❑X kmeowre'sinsurance ..... :�_�i,,-:::r:f.::;,.:.:........::.,:•: Flood irrsurance X School Taxes 5Li El �-� - Rota: If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your tender. i. y• s ` Ss�:sevio��obsolete Paae 3 Of 4 HUD-1 r f'iE-4 HUD CERMIRCAVON OF BUYER AND SELLER I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowfedge and belief,it is a true end accurate statement of an receipts and ' disbursements made on my account or by me in this transaction.I further certify that t have received a copy of the RUD-1 Settlement Statem onL John C.Goughetmur r ,,'`Edna K*Thomas,Exec of the EsoofJohnGoughemuraWa John E.Goughenout,deceased The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction.I have caused or will cause the funds to be disbursed In accordance with this statement. SMI.EMFMAGENT DATE r WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS Td THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 16:U.S.CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1 ?11irvi Pro stP55."c'k'�'JP•7 Edward nes Account number: 896-12214-1-8 raFar;,T,, .Statement type: Preferred twnr;.odward.iQ nes.cQm May 31 -June27;2014 Your Assets at Edward Jones f Stocks Asset Categoryr Current Current Current Amt Invested Amt.withdrawn Research Opinion price shares value since inception since Inception HERSHEY FOODS CORP Growth&income 96.920 41.34024 $4,006.70 $1,572.15 Symbol:HSY Sell TIFFANY&CO NEW Aggressive 100.510 15.19054 1,526.80 800.00 r Symbol:TIF Hold Total Stocks $5,533.50 $2,172.15 The Edward Jones'Research Opinion referenced In this document does not take into account your particular investment profile and Is not intended as an express recommendation to purchase,hold or sell particular securities,financial Instruments or strategies.You should contact your Edward Jones Financial Advisor before acting upon the Edward Jones Research Opinion referenced In this report. Mutual funds Asset Current Current Current Amt.Invested Amt withdrawn Category price shares value since Inception since inception GOLDMAN$AGNS GROWTH AND Growth&Income 12.70 1,384.133 $17,578.49 $15,172.85 INCOME STRATEGY FUND CL A Ouate Symbol:GOIAX Total mutual funds $17,578.48 $15,172.85 - Total estimated asset value $23,111.99 �i ��✓ a l i (Single account) June 2014 page 3 Capital July 16, 204 Edna Kelly Thomas 414Woodland Road Canonsburg, PA15317 Dear Edna, Per your request, our records show the following Capital One 3GU,~acunurd(s)for John Goughenour Account Type: 36OSavimgm~~ . Account Ownership, Individual Open Date: 01/02/ 3 Balance annfO6/23K14: $15.074.34 Account Type: Money Market Account Account Ownership: Individual Open Date: 11/12/04 Balance asofO6/23/14: $12.04112 Questions? Call uoet1-8M8-4G4-O727from 8AMtoWPM, 7days aweek. Thanks. ' , � ! { Pagel of St MEMBERS V FEDERAL CREDIT UNION Account Statement CLASSIC TOURS FOR THE TRAVEL CONNOISSEUR For Account: 0000449674 CLASSIC TOURS FOR THE TRAVEL CONNOISSEUR JOHN E GOUGHENOUR '210'W LOCUST ST ENOLA,PA 17025 Reporting Period-. 6/02/2014 to 8/01/2014 0000 CLASSIC TOURS TRAVEL SAVINGS Balance $105.56 0007 BUSINESS CHECKING Post Date Transaction Description A o En New Balance 6102/14 Deposit Check $1,320.00 $7,636.09 Check Received 228,00 Check Received 83.00 Check Received 83.00 Check Received 225,00 Check Received 110.00 Check Received 110.00 Check Received 124.00 Check Received 123.00 Check Received 124.00 Check Received 110.00 6/02/14 Withdrawal Transfer $124.00- $7,512.09 To GOUGHENOUR,JOHN 6103/14 Deposit Check $742,00 $8,254.09 Check Received 742.00 6104/14 Deposit:PAYPAL $528.59 $8,782.68 TYPE:TRANSFER ID:PAYPALSD1 I CO: PAYPAL DATA:TRANSFER 6/04/14 Deposit Check $ 161.00 $8,943.68 Check Received 65.00 Check Received 106.00 6/04/14 Withdrawal:CHASE $4,000.00- $4,94168 8/l/2014 Page 2nf3 TYPE EPAYID:5760039224co:CHASE 6K05114 Deposit Check $870.00 $5,613.68 Check Received 11U.O0 Check Received 110�00 Check Received 225.8V Check Received 225.0} 009V14 VVbhdxawo|:GOUGHENOUR.J0HN $4.500.00' $1.113.68 TYPE:CAP!TALONEID: 151O38477S CO:GOUGHENOUR.JDHN ' 8111/14 Deposit Check *975-00 *2.008.68 Check Received 1D6.0O Check Received 2G5.0O Check Received 4g4.0Q Check Received 110.00 0/12/14 Draft:001068 $-!06.00- 1.982.68 0/1.6V14 Deposit Check $2.834.00 $4.816.68 Check Received 1OG.DO Check Received 1.232.00 Check Received 8UOUU Check Received 220.UO Check Received 150.00 Check Received 300.08 Check Received 150.00 Check Received 110.0U Check Received 2G6.0O 6/16114 Withdrawal:CHASE $1.5OOM- *3.316.68 TYPE: EP/A/MOBIL ID:5760039224 CO:CHAGE 6M6n4 Draft:001088 *100.00- $3,21U8 8/16K14 Draft:001070 $120.41' *3,090.27 6V18/14 Draft:001069 $30.00' $3.080.27 8/19/14 Deposit Check $758.00 *3.819.37 Check Received 494.08 Check Received 265.00 6119/14 Withdrawal:GOU8HENOUR.JOHN $2.132.00- $1.687.27 TYPE,CAP|TALONE(D: 151O384779 CO:GOUGHENOURJOHN 6120n4 Withdrawal:CHASE $282.00- *1,405.27 ` TYPE: EP/ryMOBIL ID:5780038224 ` CO:CHA8E 6/23/14 Draft:001087 $0&00- $1,32027 6/28114 Deposit Check $163l0 $1,483.27 Check Received 123.Oo Check Received 4&O0 . 6g014 Dividends:0.050% $.12 $1.483.39 � 7@814 Deposit Chock $886.00 $2/#6R38 Check Received 4S4.O0 ' Check Received 482.00 7n5/14 Deposit apoe $222.00 $2.691,39 ! Check Received 229.DU .7U8U4 Deposit Check $48400 $3,175.39 Check Received 34.0V 8/1/20l4 / / Page I of 2 St MEMBERS 1' FEDERAL CREDIT UMON Account Statement JOHN E GOUGHENOUR For Account:0000208798 210 W LOCUST ST ENOLA, PA 17025.3041 Reporting Period: 6/11/2014 to 7/11/2014 0000 REGULAR SAVINGS Post Date Transaction Description Amount Now Balancp, 6113/14 Deposit Transfer through Home Banking:From Share 0011 $200.00 $978.86 6118/14 Withdrawal Transfer through Home Banking:To Share 0011 $252.00- $726.86 6f20/14 Withdrawal Transfer through Home Banking:To Share 0011 $126.00- $600.86 6130/14 Dividends:0.100% $.06 $600.92 0011 CHECKING Po g Date Transaction Description Amount New Balance 6/11114 Withdrawal:CHECK CARD $13.63- $2,419.57 SUBWAY CAFE`HARRISBURG PA TRANSACTION DATE-06/10/14 6112/14 Draft:001377 $15.00- $2,404.57 6/13/14 Withdrawal:CHECK CARD $ 16.62- $2,387.95 ALS OF HAMPDEN 717-7283840 ALS OF HAMPDEN TRANSACTION DATE-06/12/114 6/13114 Deposit:CAPITAI-1 $1,012.00 $3,399.95 TYPE:TRANSFER ID:1088850003 DATA:00000000000321072001 CO:CAPITAL1 6113/14 Withdrawal Transfer through Home Banking:To Share 0000 $200.00- $3,199.95 6/13114 Withdrawal Transfer through Home Banking:Visa Payment $1,000.00- $2,199.95 To Loan 6/16/14 Deposit Check -$199.13 $2,398.08 Check Received 198.13 6116/14 Withdrawal: EDWARD JONES $200.00- $2,198.08 TYPE: INVESTMENT ID:3430345811 CO:EDWARD JONES 6116114 Withdrawal:SUNTRUST MORTG $541-18- $1,656.90 TYPE:MTG PAYMNT ID-9297577002 DATA: 1630003535 EOAPA1 7/11/2014 Page 2 of 2 CO:SUNTRUST MORTG 6/16/14 Withdrawal:CHASE $1,000.00- $656.90 TYPE: EPAY MOBIL ID:5760039224 CO:CHASE 6/17/14 Withdrawal:CHECK CARO $13.95- STOCK'S ON 2ND/CAR HARRISBURG PA TRANSACTION DATE-06/16114 6/17/14 Withdrawal:PPL EU $69.88- $573.07 TYPE:ELEC SVC ID: 1230959590 CO:PPL EU 6/11B/14 Withdrawal:CHECK CARD $8.44- $564.63 RITTERS TRUE VALUE HARDW LEMOYNE PA TRANSACTION DATE-06/17114 6118114 Deposit Transfer through Home Banking:From Share 0000 $252.00 $816.63 6118/14 Withdrawal:CHECK CARD $5.00- $,811.63 SHULER'S ALL PRO CAR W ENOLA PA TRANSACTION DATE-06/17/14 6/18/14 Draft:001378 $126.00- $686.63 6/19/14 Withdrawal by ATM:#004626 $120.00- $566.63 MEMBERS 1 ST FCU 392 E PENN DR ENOLA PA 6/19/14 Withdrawal:CHASE $252,00- $314,63 TYPE: EPAY ID: 5760039224 CO:CHASE 6/20/14 Deposit Transfer through Home Banking:From Share 0000 $126.00 $440-63 6/23/14 Withdrawal:CHECK CARD $8,32- $432.31 E SPEEDWAY GRI 12205423 CHARLOTTE NC TRANSACTION DATE-06/22/14 6123114 Withdrawal:MET CAS INS CO $82.00- $350.31 TYPE: INS PAYMNT ID:9025432002 CO:MET CAS INS CO 6/24/14 Withdrawal:CHECK CARD $.14,48- $335.83 STOCKS ON 2ND/CAR HARRISBURG PA TRANSACTION DATE-06/23114 6/24/14 Withdrawal: UGI UTILITIES $26.00- $309.83 TYPE:UGI BILL ID.,3231174060 CO:UGI UTILITIES 6124/14 Draft:001381 $15,00- $294.83<- 6127/14 Deposit:CAPITALI $1,012.00 $1,306.83 0002 HOME EQUITY Balanc $5,282.72 7/11/2014 MFS Pennsylvania Municipal Bond Fund;A, MFPAX Historical Quote - (MFD)MFPAX,... Page 1 of 1 i -M 1 �f Charts From MarketWatch mfpax Basic Chart Advanced Chart Interactive Chart _._.......... ...__._...... ....._.,......__........................_....._.. .-.._.......__._...__........_.................._..._..__..._.._.............___.................._..._....--- _.._....._....__...._.. ........._..._.._......._......... ...._........... - - i Rome Quotes Nevis Industries t:Sarkets HiVrAl A Owlets BigRepwts MarketWatch Search Enter Symbols Qr KeywordsT �i This Historical Quotes tool allows you to took up a security's exact Closing price. Simply type in the symbol and a historical date to view a quote and mini chart for that security. i` Enter Symbol: imfpax Enter Date: 6/23/14 MFS Pennsylvania Municipal Bond Fund;A I , f4an.Jtm 23,2014 Cl rileg p,ca: 10.22 10.22 nigh 10.22 r cw: 10.22 'lellrra: Wit No Splits Sponsored Units 1. Top Penny Stocks to Buy 6. New Hybrid Car Prices 2. Best Solar Energy Companies 7. Fuel Efficient Cars 3. Retirement Income Funds 8. Equity Index Fund 4. Hottest Penny Stocks 9. 2015 Hybrid Cars 5. Invest in Index Funds 10.Tax Free Savings Account Find a broker MWrlre'6Yat A Sector C.W 11C/{ytd�tLtY BnIttK DMSer a AI ' �TAt:f.ArfGebK TAw6iKG� Home I About I.rob Opportunities I contact us I Feedback i Help Copyright 2015 MarketWatch,Inc.All rights reserved. By using this she,you egtee:a the Tomes of Use,Prt"ey Pocky(Updated 5WO15).end Cookie Policy(Updated!aW01S). Intraday Data provided by SIX,Financinl Information and subject to terms Of use. Historical and cumand ond-of-day data provided by SIX Financial Information.Intraday date delayed per exchange requirements.S&P/Dow Jones Indices(SfA)from Dow Jones&Company,Inc.AN quotes era in local exchange time.Real time last sale data provided by NASDAQ. Rion Information on NASDAQ traded symbols and their cement financial status. Intraday data delayed 15 minutes for Nasdaq,and 20 minutes for other exchanges. S&pfDaw Jones Indices ISM)from Dow Jones&Company,Inc. SEHK Intraday date is provided by SIX,Financial lelormetion and is at least 60minutes deloyed, All quotes art in local excrwrige time. (AP O (00k '3 rt S http://bigeharts.marketwatch.com/historical/default.asp?symb=mfpax&closeDate=6%2F23... 7/18/2015 PIMCO Income Fund;A, PONAX Historical Quote - (MFD) PONAX, PIMCO Income F... Page 1 of 1 "0 ffloCharts From MarketWatch ponax Basic Chart Advanced Chart Interactive Chart ..................... ........ ... ......... .. _........ ......... ........... ....... ............. . ..__. ........ .. ........, 1'i me Qt:otes News Irdustr e t9arkeis FlistNip 1 OvoWs 3iuFeperts islarkettiValchSearch� Ens=.>r Sy^?t ;Is or KaywDrds This Historical Quotes tool allows you to look up a security's exact closing price. Simply type in the symbol and a historical data to view a quote and mini chart for that security. Enter Symbol: ponax Enter Date: 6/23/14 PINICO Income Fund;A I '.for,,Jun 23,2014 l . I�io!.nyi>::::,. 12.71 pa:m: 12.71 s � 12.71 12.71 nta _._............__ __ ...._... —_. ..______....... ,_.... ...__ _ No Splits Sponsored Links 1. Top Penny Stocks to Buy 6. New Hybrid Car Prices 2. Best Solar Energy Companies 7. Fuel Efficient Cars 3. Retirement Income Funds 8. Equity Index Fund 4. Hottest Penny Stocks 9. 2015 Hybrid Cars 5. Invest in Index Funds 10. Tax Free Savings Accounts Find a broker TRADE XREF MutreE'Natd Broker CCnte S ArOR 60 DAi tnfRl/radR .P'fiPP yf YfSlAI{-yxlW�ilw;'; 3Y,im ...max.. .. _ _ r ,W�. Home I About I Job Opportunities I Contact Us I Feedback 1 Help Copyright 2015 MarketWatch.Inc.All rights reserved. By using this site,you agree to the Terms of Use,Privacy Policy(Updated 5/580151,and Cookie Policy(Updated 5152015). Inaaday Data provided by S'X Financial Information and subject to terms of use. Historical and current end-cfAiry data provided by SIX Financial Information.intraday dela delayed per exchange requirements.S&P/Dow Jones Indices(SM)from Dow Jones&Company,Inc.All quotes are in local exchange tEmo.Real time last safe data provided by NASDAQ. More information on NASDAQ traded symbols and their current financial status. Intraday data delayed 15 minutes for Nasdaq,and 20 minutes for other exchanges. S&P/Dow,Jones Indicas(SM)from Dow,lones&Company,Inc SEHK inaaday data is provided by SIX financial Information and is at least 80-minutes delayed. All quotes are in focal exchange urns. (0Z-C> .22 S1.`q�as http://bigcharts.marketwatch.com/historical/default.asp?symb=ponax&closeDate=6%2F23... 7/18/2015