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HomeMy WebLinkAbout07-30-15 J pennsylvania 1505618403 DEPARTMENT OF REVEN =X(03-14) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburq, PA 17128-0601 RESIDENT DECEDENT 21 13 0070 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 01 02 2013 06 13 1946 Decedent's Last Name Suffix Decedent's First Name MI RILL MARTHA S (if Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI RILL MORRIS E THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW RX 1. Original Return EJ 2. Supplemental Return 3. Remainder Return(date of death prior to 12-13-82) 4, Agricultural Exemption(date of 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) n7. Decedent Died Testate �' 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes (Attach copy of will) (Attach copy of trust.) .10. Litigation Proceeds Received 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) 13. Business Assets 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT.THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number IVO V OTTO III 717 243 3341 First Line of Address 10 EAST HIGH STREET Second Line of Address City or Post Office State ZIP Code CARLISLE PA 17013 Correspondent's email address: lotto(cD_martsonlaw.com c _ ^ M rn M C_ c T� REGISTER t7 t WIULS�USE OIKY REGISTER OF WILLS USE ONLY _" W C ) !T1 DATE FILED MMDDYYYY Cn DATE-FILED STAMP r" C!) C.O Side 1 I IIIIII VIII I III VIII VIII II II VIII II II VIII II II I II IIII 1505618403 1505618403b� lJ"- J 1505618411 REV-1500 EX Decedent's Social Security Number Decedent's Name: Rill, Martha S. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2 ,0 8 8,6 21 . 6 0 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages and Notes Receivable(Schedule D).................................................... 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).......... 5. 8,500 - 00 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested............ 7. 8121526 - 15 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 2-1909 -1647 - 75 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 2,909 -1647 - 75 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 2-v909-,647 - 75 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.00 2 ,909,647 . 75 15. 0 . 00 16. Amount of Line 14 taxable at lineal rate X .045 0 . 00 16. 0 . 00 17. Amount of Line 14 taxable at sibling rate X.12 0 . 00 17. 0 . 011 18. Amount of Line 14 taxable at collateral rate X.15 0 . 00 18. 0 . 00 19. TAX DUE................................................................................................................ 19. 0 - 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Under penalties of perjury,I declare I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the person responsible for filing the return is based on all information of which preparer has any knowledge. SIGNA F PERSON RES 0NSIB,6GfQ.7FVNG RETURN Morris E. Rilln �TE I ADDRE S 4025 Srooked Hill Road, Harrisburg, PA 17110 SIGNATUR ,�R R OTHrHAN REPRESENTATIVE IVO V. Otto III ATE ADDRESS 10 East High Street, Carlisle, PA 17013 I 111111111111111111111111111111111111111111111111111111111111 Side 2 1505618411 1505618411 REV-1500 EX Page 3 File Number 21-13-0070 Decedent's Complete Address: DECEDENT'S NAME Rill, Martha S. STREET ADDRESS 100 Chamberlin Road CITY STATE ZIP Shippensburg PA 17257 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +B) (2) 0.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2,Line 20 to request a refund 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 0.00 Make Check Payable to REGISTER OF WILLS, AGENT p-� ,:s. .✓� � �. .,,..a a „tr' ...' .uCx �.:: .�...srma..m«_...,...,.. ,..� x.�s. ,.`�� `s'.. rc. � •44?t "., �.w_ � „z�-,..,.�.. ��,....•,. .. ,,,,�. �'^. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X” IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;............................................................................... ❑ ❑x b. retain the right to designate who shall use the property transferred or its income;.................................. ❑ ❑x c. retain a reversionary interest;or............................................................................................................... ❑ d. receive the promise for life of either payments,benefits or care?............................................................ ❑ ❑x 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?................................................................... ❑ ❑ 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?........ ❑ ❑x 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................................................................................................. ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Ci.. ... '"r FF�,..•� n�.,r .a. ...; ., �""mauwxs�w.e'.�•.•'..�u"S ,,..3,� ..wY' .�� ,,•..' •�• � �N„u� ,^�3. For dates of death on or after July 1,1994 and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are 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 21ears of age or younger at death to or for the use of a natural parent,an adoptive parent,or a step-parent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined, . under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. Rev-1502 EX+(12-12) SCHEDULE A pennsylvania REAL ESTATE DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rill, Martha S. 21-13-0070 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 Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate-Located at 5505 Carlisle Pike, Hampden Township, Cumberland County, 1,100,000.00 Pennsylvania,known as Tax Parcel No. 10-20-1842-075C, being described in Deed dated May 9,2012, recorded in Cumberland County Deedbook 201213918,being conveyed to Martha S. Rill,decedent herein. See attached Tax Assessment Sheet and Deed. (Assessed value $1,100,000 times common level ratio 1.00) 2 Real Estate-Located at 2721 South Queen Street,York County,Pennsylvania, known as Tax 988,621.60 Parcel No.54-000-HJ-0258.A0, being described in Deed dated May 9,2012,and recorded in York County, Pennsylvania, Deedbook 2173, Page7871,and being conveyed to Martha S. Rill,decedent herein. See attached Tax Assessment Sheet and Deed.(Assessed value $852,260 times common level ratio 1.16) TOTAL(Also enter on Line 1, Recapitulation) 2,088,621.60 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule A(Rev. 12-12) Rev-1508 EX+(08-12) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Rill, Martha S. 21-13-0070 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 2004 BMW 330-Good condition-Kelley Bluebook value 8,500.00 TOTAL(Also enter on Line 5, Recapitulation) 8,500.00 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev.08-12) Rev1510 EX+(08-09) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Rill, Martha S. 21-13-0070 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTYINCLDATE OF DEATH OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE ODE F TRANSFEOF RS ATTACH A COFEREE THEIRPYOFTHE DEED OR SHIP TO REAL ESTEDENTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 Ameritrade IRA-Beneficiary: Morris E. Rill (spouse); 315,808.00 315.808.00 100%. See attached. 2 Public School Employees' Retirement System - 496,718.15 496,718.15 Beneficiary: Morris E. Rill (spouse); 100%. See attached. TOTAL(Also enter on Line 7, Recapitulation) 812,526.15 (If more space is needed,additional pages of the same size)' Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09) SCHEDULE J BENEFICIARIES (Part I,Taxable Distributions) ESTATE OF: Martha S. Rill 01/02/2013 199-40-0678 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 1 Morris E. Rill Spouse 100%of residue 2,707,478.15 4025 Crooked Hill Road Harrisburg, PA 17110 Total 2.707.478.15 1 F:\FILES\DATAFILE\W I LLS\9%2.w.wil l . LAST WILL AND TESTAMENT I, MARTHA S. RILL, of Hopewell Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make,publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made. ITEM ONE I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all inheritance taxes shall be paid to the extent possible from the assets held or passing under ITEM FIVE hereof as soon as practicable after my decease and as part of the administration of my estate. ITEM TWO In the event my spouse shall predecease or fail to survive me by thirty(30)days,then I give such items of personalty as are itemized in a certain list attached hereto to the persons named thereon, which list is signed and dated by me at the end thereof. ITEM THREE If my spouse,MORRIS E.RILL,is living thirty(30)days after my death,then I give,devise and bequeath all of my estate,both real and personal property,unto my said spouse, absolutely. If my said spouse does not so survive me, then I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal property, unto my Trustee to be held or distributed by such Trustee under ITEM FIVE hereof. ITEM FOUR In the event my said spouse shall disclaim all or any portion of any devise or bequest made to my spouse under the foregoing ITEM THREE;then the amount otherwise payable shall be held by my Trustee under ITEM FIVE hereof. For purposes of the Trust established under ITEM FIVE hereof, my said spouse shall not be deemed to have predeceased me by virtue of my said spouse's exercise of the right to disclaim set forth herein. S.R. Page 1 of 7 Pages ITEM FIVE RESIDUARY AND DISCLAIMER TRUST My Trustee shall hold the assets received under ITEMS THREE and FOUR hereof, if any, for the following purposes: A. My Trustee shall pay the net income, at least quarter-annually, to my spouse, MORRIS E.RILL,for life. In addition,my Trustee in my Trustee's sole discretion,may invade the principal of the Trust for the proper and adequate support of my said spouse. B. My Trustee shall further pay to my said spouse,annually,such sum from the principal of the Trust as my said spouse may request in writing, provided, however, that said sum may not exceed the greater of Five Thousand Dollars($5,000.00)or five percent(5%)of the aggregate value, at the time of said request, of the principal of the Trust hereunder. C. Upon the death of my said spouse my Trustee shall distribute the principal of the Trust to my children, in equal shares, absolutely. D. In the event that any of my said children shall fail to survive my spouse and me,but shall leave issue surviving, then such deceased child's share shall be held by the surviving spouse of such deceased child and the net income therefrom shall be used for the support,maintenance and education of the issue of such deceased child. The trustee shall use as much of the principal as it shall deem desirable for said purposes. The trustee shall distribute absolutely the principal of such share of such deceased child to the issue of such deceased child per stirpes as each shall attain the age of twenty-five (25) years. In the event that any of my children shall fail to survive my spouse and me and not leave issue surviving, then such deceased child's share shall be added to the shares of my other children as if originally a part thereof. ITEM SIX POWERS OF,EXECUTOR AND TRUSTEE In addition to the powers conferred by case law,by statute, and by other provisions hereof, my Executor and Trustee and their successors, shall have the following discretionary powers applicable to all property held by them which powers shall be effective without order of any court and shall exist until final distribution. M.S.R. Page 2 of 7 Pages A. To retain any property of any nature received by them for whatever period they shall deem advisable; B. To invest and reinvest all or any part of said property in such stocks,bonds,common trust funds, securities,accounts,certificates of deposit(including,but not limited to,stocks,bonds, common trust funds,securities,accounts or certificates of deposit of the Trustee)or other property, real or personal,as in their discretion they shall deem proper,without regard to statutes limiting the property which a fiduciary may purchase; C. To sell,transfer,exchange or otherwise dispose of,any part of said property,for cash or on terms,publicly or privately,or to lease,even for a term exceeding five(5)years or the duration of any trust herein, without liability on the purchasers or lessees to see to the application of the proceeds, and to give options for these purchases without the obligation to repudiate them in favor of a higher offer; D. To execute and deliver any deeds, leases, assignments or other instruments as may be necessary to carry out the provisions of any trust hereunder; E. To borrow money, including the right to borrow money from any bank and to mortgage or pledge any asset of the estate as security; F. To assume continuance of the status of any beneficiary with regard to death,marriage, divorce, illness, incapacity and the like in the absence of information deemed reliable without liability for disbursements made on such assumption; G. To pay from the trust,or the income therefrom,all debts or claims against my estate, or any taxes or similar charges on my estate; H. To make any distribution hereunder either in kind or in money, or partially in kind and partially in money. Distribution in kind shall be made at the market value of the property distributed,and my Trustee,in my Trustee's absolute discretion,may cause the share distributed to any distributee to be composed of property similar to or different from that distributed to any other distributee; I. To exercise any subscription right in connection with any security held hereunder, to consent to or participate in any recapitalization, reorganization, consolidation or merger of any Page 3 of 7 Pages corporation, company or association, the securities of which may be held hereunder, to delegate authority with respect thereto, to deposit investments under agreements, to pay assessments, and generally to exercise all rights of investors; J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries of any trust hereunder; K. To continue in any partnership, joint venture, joint ownership or other business enterprise of which I am a part at the time of my death; L. To compromise claims; M. To continue for whatever period of time as they shall deem necessary any ownership as a tenant in common or as a partner,in real estate or other property and to act as I could have done had I been living; N. To lend money to my estate or to any trust created hereunder or to purchase from the estate or from any trust created hereunder, at the market value thereof at the time of purchase, any securities or other property tendered to them by my estate or any trust created hereunder at any time and from time to time within a period of nine (9)months after my death; O. In the event that any amounts are payable hereunder or under any trust created hereunder to a minor, or to a person otherwise under legal disability,or to a person not adjudicated to be an incapacitated person,but who,by reason of illness or mental or physical disability is,in the opinion of the fiduciary(ies)hereunder,unable to properly administer such amounts, such amounts may be paid by the fiduciary(ies)hereunder in his,her or their sole discretion in any of the following ways as he, she or they may deem best: 1. Directly to such beneficiary; 2. To a legally appointed guardian of such beneficiary for the benefit of such beneficiary; 3. To a person having custody of such beneficiary for the benefit of such beneficiary; 4. By the fiduciary(ies)hereunder using such amounts directly to the benefit of such beneficiary. Page 4 of 7 Pages Evidence of the application of payment of an amount in such a manner shall be a full and complete discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This paragraph shall be applicable to payments of income as well as principal. P. To employ agents, attorneys and proxies and to delegate to them such power as my personal representatives and Trustees consider desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; Q. To conduct an inventory of any safe deposit box necessary to the administration of my estate. R. To do all other acts in their judgment necessary or desirable for the proper management, investment and distribution of my Estate. ITEM SEVEN PROTECTIVE PROVISIONS All income or principal held for the use and benefit of the beneficiaries of any trust hereunder shall not be in any way or manner subject to anticipation, assignment,pledge, sale or transfer, nor shall any such interest, while in the possession of my Trustee,be liable for or subject to the debts, contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or sequestrations under process of law. ITEM EIGHT APPOINTMENT OF EXECUTOR AND TRUSTEE I nominate,constitute and appoint my spouse,MORRIS E.RILL,as Executor of my estate. In the event that my said spouse shall predecease me or fail to act as Executor,then I appoint IVO V. OTTO III as Executor of my estate. I nominate, constitute and appoint my spouse, MORRIS E. RILL, as Trustee of any trusts created under ITEM FIVE, A-C, hereunder. In the event that my said spouse shall fail or be unwilling to continue to act as Trustee, then I appoint IVO V. OTTO III as Trustee of any trusts created under ITEM FIVE, A-C,hereunder. M.S.R. Page 5 of 7 Pages ITEM NINE WAIVER OF BOND I direct that neither my Executor nor my Trustee or their successors shall be required to file any bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be required to obtain any order or approval of any court for the exercise of any power or discretion set forth in this Will. IN WITNESS WHEREOF I have hereunto set my hand and seal this qk day of (SEAL) Mar&_ S. Rill SIGNED,SEALED,PUBLISHED AND DECLARED by the above-named Testatrix,as and for her Last Will and Testament,in the presence of us,who at her request,have hereunto subscribed our%e a witnesses thereto, in the presence of the said Testatrix and of each other. Page 6 of 7 Pages COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We,Martha S.Rill, /Vi U. 7-7-D 1-J/ ,and --7-/�-iyq f�prr�S d h the Testatrix and the witnesses,respectively,whose names are signed to the foregoing instrument, being first duly sworn,do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her last Will and that the Testatrix has signed willingly, and that the Testatrix executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Q 'd ZC�zg Te tatrix Witness Witness Subscribed, sworn to and acknowledged before me by Martha S. Rill, the Testatrix, and subscribed ,end sworn to before me by w() V. OT-To ZTL and �nG /�Di'/Y,Sl3Y1 , the witnesses, this /3j�lay of72001. r ' Notary Public NOTARIAL SEAL CORRIN£L.MYERS,Notary Public Carlisle Boro,CumberlandCounty My Commission Ez ires May 27,2003 Page 7 of 7 Pages Property Cumberland County, PA 74 3.35 ac. a t I `N F, 1 Silte..-".ddress: 55135 CARLISLE Pl�,.E ' u Deedbook: 20121-'918 'ILL, MARTHA G Land Use Code: 322 ��. s 80 Property Type: (--R a � Ac 1,56v 40m q r Tax rEY S' " 101eftOr �-� 4 r Copyright 2011 Esri. All rights reserved. Thu ]an 3 2013 03:44:58 PM. 10-20-1842-075C Site Address: 5505 CARLISLE PIKE Deedbook: 201213918 Owner: RILL, MARTHA S Land Use Code: 322 Property Type: CR .Acreage: 1.56 Square Feet: Taxable Status: T Clean & Green Status: Land Assessed Value $: 333600 Building Assessed Value $: 766400 Total Assessed Value $: 1100000 Sale Price $: 1 . Sale Date: Wed May 9 2012 08:00.:00 PM Year Built: Municipality: HAMPDEN TOWNSHIP Height in Stories: Type of Dwelling: -- cy-� Primary Exterior: e-D 13WW F IFILE5\0ienW.9962 Ri11\9962.21\996231 Deed Main 003N KY Parcel No. 10-20-1842-075C DEED MADE THE ?� day of /�GL , 2012. y BETWEEN MORRIS E. RILL and MARTHA S. RILL, husband and wife, of Hopewell Township, Cumberland County, Pennsylvania,hereinafter referred to as: Grantors, AND MARTHA S.RILL,married,of Hopewell Township, Cumberland County,Pennsylvania, hereinafter referred to as: Grantee, In consideration of ONE DOLLAR AND 00/100 ($1.00), the receipt whereof is hereby acknowledged,the Grantors do hereby grant and convey to the Grantee,her heirs and assigns: ALL THOSE certain tracts or parcels of land situate in Hampden Township, Cumberland County, being known as Lots 4A and 4B on that certain Final Subdivision Plan for Pike Development, prepared by Michael C. D'Angelo, Registered Surveyor,dated August 14, 1978,(the"Subdivision Plan")recorded with the Cumberland County Recorder of Deeds Office in Plan Book 34,Page 132, said Lots 4A and 4B being more particularly bounded and described as follows: Lot 4A: BEGINNING at a point on the northern right-of-way line of Carlisle Pike(U.S.Route I 1 -L.R. #34)at the intersection of Lot 3 and Lot 4A as shown on the Subdivision Plan;thence North 27 degrees 57 minutes 00 seconds East a distance of 253.80 feet to a point at the intersection of Lot 4B on the Subdivision Plan;thence along said Lot 4B,South 62 degrees 03 minutes 00 seconds East a distance of 194.94 feet to a point along the right-of-way line of Crossgates Drive;thence along same,South 28 degrees 02 minutes 00 seconds West a distance of 224.39 feet to a point;thence along a curve to the right having a radius of 30.00 feet a chord bearing of South 79 degrees 17 minutes 06 seconds West and a chord length of 47.12 feet;thence North 61 degrees 58 minutes 00 seconds West a distance of 7.80 feet; thence South 23 degrees 08 minutes 00 seconds West a distance of 44.77 feet to a point on the Carlisle Pike; thence along same, North 61 degrees 58 minutes 00 seconds West a distance of 106.19 feet to a point; thence North 68 degrees 03 minutes 00 seconds West a distance of 54.33 feet; thence North 27 degrees 57 minutes 00 seconds East 45.00 feet to the point and place of BEGINNING. BEING shown as Lot 4A and CONTAINING 1.29 acres,more or less,according to the Subdivision Plan. Lot 4B: BEGINNING at a point at the northwest corner of Lot 4B as shown on the Subdivision Plan at the intersection with Lot 2;thence South 70 degrees 47 minutes 30 seconds East a distance of 197.34 feet to a point on Crossgate Drive;thence South 28 degrees 02 minutes 00 seconds West a distance of 76.19 feet; thence North 62 degrees 03 minutes 00 seconds West a distance of 194.94 feet to a point at the intersection of Lot 3 on the Subdivision Plan;thence North 27 degrees 57 minutes 00 seconds East a distance of 46.20 feet to the point and place of BEGINNING. CONTAINING 0.273 acres,more or less, according to the Subdivision Plan. UNDER AND SUBJECT,nevertheless,to all easements,restrictions,encumbrances and other matters of record or that a physical inspection or survey of the premises would reveal. TOGETHER with the right to use Crossgate Drive as shown on the Plan. BEING the same premises which Cumberland County Industrial Development Authority,by its Deed dated November 3, 1999,and recorded November 12, 1999, in Cumberland County, Pennsylvania Deed Book 211, Page 489, granted and conveyed unto Morris E. Rill and Martha S. Rill,husband and wife,Grantors. This property is being conveyed under and subject to two existing Mortgages with Centric Bank dated January 12, 2011, recorded January 13, 2011, in Cumberland County,Pennsylvania,at Instrument Number 201101862 and at Instrument Number 201101863, each in the amount of$500 ,000.00; Assignment of Rents recorded at Instrument Number 201101864. AND the said Grantors hereby covenant and agree that they will warrant specially the property hereby conveyed. THIS CONVEYANCE IS FROM HUSBAND AND WIFE TO WIFE AND IS THEREFORE EXEMPT FROM REALTY TRANSFER TAX. IN WITNESS WHEREOF,said Grantors have hereunto set their hands and seals the day and year first above written. SIGNED, SEALED AND DELIVERED IN THE PRESENCE OF /J� r 0���.�.- 9 !2 � SEAL Morris E. Rill (SEAL) ' Martha S. Rill COMMONWEALTH OF PENNSYLVANIA } ): ss. COUNTY OF CUMBERLAND ) On this, the Y day of , 2012, before me, the undersigned officer, personally appeared MORRIS E.RILL and MARTHA S.RILL,known tome or satisfactorily proven to be the persons whose names are subscribed to the within instrument,and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF,I hereunto set my h and o i ial seal. (SEAL) Notary Public COMMpNWFALTH OF PElQ4 &VM4A NOTARML SEAL Victoria L Otto,Notary Public Carlisle Boro,Cumberland County my wmmission expires Decemba 10,1014 I hereby certify that the precise residence and complete post office address of the within Grantee is: 100 Chamberlin Road, Shippensburg;,PA 17.257. A rney for Grantee MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER MARTSON LAW OFFICES 10 EAST HIGH STREET CARLISLE,PENNSYLVANIA 17013 TELEPHONE 717-243-3341 FACSIMILE 717-243-1850 INTERNET www.martsonlaw.com ROBERT P. ZIEGLER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 ' 717-240-6370 Instrument Number-201213918 Recorded On 5/10/2012 At 10:37;14 AM *Tota!Pages-5 *Instrument Type-DEED Invoice Number-108036 User ID-KW *Grantor-RILL,MORRIS E *Grantee-RILL,MARTHA S *Customer-MARTSON *FEES •— STATE WRIT TAX $0.50 Certification Page STATE JCS/ACCESS TO $23.50 JUSTICE DO NOT DETACH RECORDING FEES — $11.50 RECORDER OF DEEDS Thisa e is now art PARCEL CERTIFICATION $10.00 p g if FEES of this legal document. AFFORDABLE HOUSING $11.50 COUNTY ARCHIVES FEE $2.00 ROD ARCHIVES FEE $3.00 CUMBERLAND VALLEY SCHOOL $0.00 DISTRICT HAMPDEN TOWNSHIP $0.00 TOTAL PAID $62.00 I Certify this to be recorded in Cumberland County PA RECORDER O *-Information denoted by an asterisk may change during the verification process and may not be reflected on this page. 003N" IIl lllilllll II IA ILII Illi 111 <Title> 0270 0270 Parcel Key:54000HJ0258A000000 Parcel ID: Location:2721 S QUEEN ST Owner:RILL MARTHA S Land Value:$308060 Building Value:$544200 Total Value:$852260 02 5 7A Deed Book/Page:2173- Grantor:RILL MORRIS E&MARTHA S Clean&Green:N 0()fi Acreage: 1.720 0258 Land Class:348 Sale Price:$1 Sale Date:Thu May 10 2012 Homestead Code: Homestead Approv.: Homestead%: 0253 Farmstead Code: Farmstead%: Copyto Clipboardi.....-I..', ......... f1258A n. % , 4 Vl 0260 00018 0001B 021:} -.5 IYorkRoad Colun Municipalities Rail i lAssessufte 100 Yr Floodplain Parcels ,office, Easements) Soils) 01/03/2013 N-13p: Ric not front actual swl-cy Scale 1:12001 FAF1LES\C1i"tst9962 Ritt19962.20%9962.20.D=d fl YOR1t COUNTY ASSES$MIENT OFFICE d 1037931 Parcel No. 54-000-HJ-0258.A0 Address: 2721 S. Queen Street DEED MADE THE Pf� day of � - ,2012. BETWEEN MORRIS E. RILL -5—nd MARTHA S. RILL, usband and wife, of Hopewell Township,Cumberland County, Pennsylvania,hereinafter referred to as: Grantors, AND MARTHA S.RILL,married,of Hopewell Township, Cumberland County,Pennsylvania, hereinafter referred to as: Grantee, In consideration of ONE DOLLAR AND 00/100 ($1,00), the receipt whereof is hereby 1!� acknowledged,the Grantors do hereby grant and convey to the Grantee,her heirs and assigns: 77 ALL THAT CERTAIN tract of land situate in York Township, York County, Commonwealth of Pennsylvania as shown on a Final Subdivision Plan Lot #1 for 2719 South Queen Street prepared by First Capital Engineering dated June 1, 2000, recorded December 28,2000, in Plan Book RR,Page 100 more particularly bounded and described as follows,to wit: BEGINNING at a point on the centerline of L.R.216-S.R.0074,aWa South Queen Street at the dividing line between lands described herein(Lot 1,Plan Book RR, Page 100)and lands now or formerly of John S.and Margaret R.Rockelman(Deed Book 58-Z,Page 298); thence through the bed of South Queen Street and along the line of lands now or formerly of Rockelman,North forty-nine degrees twenty-seven minutes thirty-seven seconds East(N 49 degrees 27 minutes 37 seconds E),a distance of thirty-three and twenty-nine hundredths (33.29) feet to an iron pin to be set on the westerly right-of-way of South Queen Street; thence continuing along said lands now or formerly of Rockelman,North forty-nine degrees twenty-seven minutes thirty-seven seconds East(N 49 degrees 27 minutes 37 seconds E), a distance of two hundred nine and thirty-five hundredths(209.35)feet to an iron pin to be set at line of other lands now or formerly of 2719 S.Queen Street,Ltd.shown as Lot 2 on said Plan;thence along the dividing line between Lot 1 and Lot 2 South thirty-eight degrees twenty-one minutes fifteen seconds East(S 38 degrees 21 minutes 15 seconds E),a distance of three hundred seventy and twenty-one hundredths(370.21)feet to an iron pin to be set at line of lands now or formerly of David D.McDaniel(Deed Book 87-D,Page 908);thence along said lands now or formerly of McDaniel,South sixty degrees twenty-three minutes fifty-seven seconds West (S 60 degrees 23 minutes 57 seconds W), a distance of two hundred four and seventy-one hundredths(204.71)feet to an existing concrete monument near the westerly right-of-way line of South Queen Street;thence continuing along same and through the bed of South Queen Street,South sixty degrees twenty-three minutes fifty-seven seconds West(S 60 degrees 23 minutes 57 seconds W),a distance of thirty-three and zero hundredths(33.00)feet to a point in the bed of L.R.216;thence through said roadway bed by a curve to the right having a radius of six hundred seventy-one and twenty hundredths (671.20)feet,an arc distance of seventy-eight and fifty-five hundredths(78.55)feet[chord bearingNorth forty-nine degrees twenty-eight minutes nineteen seconds West(N 49 degrees 28 minutes 19 degrees W)chord distance seventy-eight and fifty-one hundredths(78.51) feet)to a point;thence continuing along same by a curve to the right having a radius of six hundred seventy-one and twenty hundredths(671.20)feet,an are distance of one hundred forty and eleven hundredths(140.11)feet[chord bearing North forty degrees eight minutes nineteen seconds West(N 40 degrees 08 minutes 19 seconds W)chord distance one hundred thirty-nineand eighty-sixhundredths(139.86)feet)to a point;thence continuing along same by a curve to the right having a radius of six hundred seventy-one and twenty hundredths (671.20) feet, an are distance of twenty-two and eighteen hundredths(22.18)feet [chord bearing North thirty-three degrees twelve minutes forty-three seconds West(N 33 degrees 12 minutes 43 seconds W)chord distance twenty-two and eighteen hundredths(22.18)feet] to a point on the centerline of South Queen Street; thence continuing along same North thirty-three degrees nine minutes forty-one seconds West (N 33 degrees 09 minutes 41 seconds W),a distance of eighty-six and fifty-five hundredths(86.55)feet to a paint,the place of BEGINNING. BEING Lot No.1 on Final Subdivision Plan Lot#1 for 2721 South Queen Street recorded in Plan Book RR,Page 100. BEING the same premises which 2719 S.Queen,LTD.,a Pennsylvania limited partnership, by its Deed dated April 25,2001,and recorded April 30,200 1,in the Office of the Recorder of Deeds in and for York County, Pennsylvania, in Deed Book 1434, Page 4908, at Instrument Number 2001022576,granted and conveyed unto Morris E.Rill and Martha S. Rall husband and wife,Grantors herein. This property is being conveyed under and subject to an existing Mortgage with Centric Bank dated October 28,2010,recorded November 16,2010,in York County,Pennsylvania Record Book 2101, Page 4760, at Instrument Number 2010055822, in the amount of $950,000.00;Assignment of Rents recorded in Record Book 2101,Page 4772,at Instrument Number 2010055823. AND the said Grantors hereby covenant and agree that they will warrant specially the property hereby conveyed. THIS CONVEYANCE IS FROM HUSBAND AND WIFE TO WIFE AND IS THEREFORE EXEMPT FROM REALTY TRANSFER TAX. IN WITNESS WHEREOF,said Grantors have hereunto set their hands and seals the day and year first above written. SIGNED, SEALED AND DELIVERED IN THE PRESENCE OF deW_(SEAL) Morris E. Rill Jk Y (SEAL) Martha S. Rill COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND On this, the (7� day of %N A 2012, before me, the undersigned officer, personally appeared MORRIS E.RILL and MARTHA S.RILL,known to me or satisfactorily proven to be the persons whose names are subscribed to the within instrument,and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF,I hereunto set my haiqd-&—d—o-ftte�al seal. (-7- 4— /C- 17e1L4,cL ,� — (SEAL} Notary Public COMMOMALTROF PENNMVAM NOTARIAL SEAL victoria L Otto,Notary Public Carlisle Boro,Cumberland County My commiWas expims Deazalm N,20141 I hereby certify that the precise residence and complete post office address of the within Grantee is: 100 Chamberlin Road, Shippensburg,PA 17257. Attorney for Grantee MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER MARTSON LAW OFFICES 10 EAST HIGH STREET CARLISLE,PENNSYLVANIA 17013 TELEPHONE 717-243-3341 FACSIMILE 717-243-1850 INTERNET www.martsonlaw.com YORK COUNTY RECORDER OF DEEDS 28 EAST MARKET STREET YORK,PA 17401 Randi L. Reisinger-Recorder f -Deputy G. Daugherty Instrument Number-2012023145 Book-2173 Starting Page-7871 Recorded On 5/11/2012 At 1:39:16 PM *Total Pages-5 *Instrument Type-DEED Invoice Number-986711 *Grantor-RILL,MARTHA S *Grantee-RILL,MARTHA S User- MAG *Received By: MAIL *Customer-MARTSON LAW OFFICES *FEES PARCEL IDENTIFICATION NUMBER STATE WRIT TAX $0.50 54000HJ025SA000000 JCS/ACCESS TO JUSTICE $23.50 Total Parcels: 1 RECORDING FEES $13.00 AFFORDABLE HOUSING $11.50 PIN NUMBER FEES $10.00 COUNTY ARCHIVES FEE $2.00 ROD ARCHIVES FEE $3.00 TOTAL PAID $63.50 I Cert*This Document To Be Recorded In York County,Pa. y, SER R C� N Rv¢o�dDaeda ArCou THIS IS A CERTIFICATION PAGE PLEASE DO NOT DETACH THIS PAGE IS NOW PART OF THIS LEGAL DOCUMENT *-Information denoted by an asterisk may change during the verification process and may not be reflected on this page. Book:2173 Page: 7875 ® Ameritrade Statement Reporting Period: 01/01/13-01/31/13 800-669-3900 Statement for Account#864-965402 TD AMERITRADE MORRIS E RILL BENEFICIARY IRA OF DIVISION OF TD AMERITRADE INC MARTHA S RILL IRA PO BOX 2209 TD AMERITRADE CLEARING,CUSTODIAN 100 CHAMBERLIN RD OMAHA,NE 68103-2209 SHIPPENSBURG,PA 172579713 TD Ameritrade Clearing,Inc.,Member S1PC Portfolio Summary Current Prior Period % Estimated Estimated Investment Value Value Change Change Income Yield Portfolio Allocation Cash $4.37 $ - $4.37 - $ - - Insrd Dep Acct 100,848.29 - 100,848.29 - - 0.01% Money Market - - - - - - Other Short Balance - - - - - - 7.1% IDA Stocks 212,747.52 - 212,747.52 - 4,455.70 2.1% _ 29.9% l t� Short Stocks - - - - - Fixed Income 12,990.00 - 12,990.00 - 1,045.50 8.0% �-- Options Short Options (10,782.06) - (10,782.06) Mutual Funds - - - - - ` Other - _ _ _ Stocks Oth _ _ - 63.0% Total $315,808.12 $ 0.00 $315,808.12 - $5,501.20 1.7% Margin Equity 100.0% Cash Activity Summary Retirement Account Summary Performance Summary Current YTD 2013 PTD 2013 YTD 2012 YTD Opening Balance $0.00 $ - Contributions $ - $ - $ - Cost Basis As Of-01/31/13 $143,132.50 Securities Purchased (61,230.27) (61,230.27) Distributions - - - Unrealized Gains 16,274.58 Securities Sold 19,285.97 19,285.97 Plan Contribution - - - Unrealized Losses (29,211.62) Contributions 142,755.58 142,755.58 Rollover - - - Funds Deposited/(Disbursed)YfD 142,755.58 Distributions - - Direct Transfer 319,084.70 319,084.70 - Income/(Expense)YT" 40.91 Income 40.91 40.91 Tax Withheld - - - Securities Received/(Delivered)`TD 193,326.66 Expense - - Recharact - - - Other (100,847.82) (100,847.82) Roth Conv. - - Closing Balance $4.37 $4.37 page 1 of 12 07/2212015 13:34 Smith Elliott Kearns&Co.,LLC OAX)717+243+1177 P.0021002 CowucTcv ircebAtO Payer's Name,Shed Addross,City,State and ZIP Code 1 Gross Distribution A 1805 OMB NO.1545-0119 P Distributions From tong,Anon" 01 Retirement or Commga"iGeallb dfPenosytwrda Za Taxable Amount ProfitrSharinX Plaas.IRAs, A(lbll;Schaal EmplpyM'Re"Mert System495718.05Insurance Contracts,etc. ep B N 51d str R�PA 17101-M 2b Total Distribution ® Form J099-RRort this COPY B Payees Federal ID number Recipient's ID twmber 3 Amrrnouettal tiinnBox clection 2a ligible for 4 Federal income Tex Withheld income on your 23-1739125 g .0p turnFeditTa return. If this S Recovered Tbts Year faem shows Recipient's Name(first,middle,las N Street Address,City.State and ZIP Code 00 Federal laeame Tax withheld in MORRIS E RILL 7 Diat,Cods 91 YourtiorT.W r) t. Box 4.attack 10.0 CHAMBERLIN A4 4 this copy to SHrEpEasBvxCa PA 17257-4713 ywr sura. Depertom of the Timm". This iafbmltHor Uae,o,l Rc.awe Service is heir'' furnished to ibe b=Ml Revenue service. Form IOct/-R COastl'Crto pr eerelee) Payers Name,street Addceaa,City,State and ZIP CodeI Gross Dbtrlbutlost 896718.05 OMB NO.1545-0119 ��bu�ides, Commonwealth of Pepnsylvenie 201 Aetlrnt,IRepscut or Public School Employees'Redretrsent System =a Taxable Amount l P'I��uaee C ntrnaets,� 5 N 5th Street 4BB718.05 Harrisburg PA 17101-1905 2b Total Distribution ® Faro 1099-R COPY C Payer's Federal IP number Recipiont's 113 number 3 Amwnt In Box 2a eligible for 4 Federal Income Tax Withheld capital gala election For 23-1739115 �3'►4.00 R Records Recipitart'a New(Tint,middle,Nat).street.Address,City,State and z!P Cods 5 Recovered This Year .00 MORRIS E RILL 7 DISLCode 9a Yoar%ofTawmn. 100 CHAMBERLIN RD 4 SHIPPENSBURG PA 17257-9713 tkpettetral or as Tternrr• This information tato.'Rer�w9tvke is being thmished to the Internal ltevemte Service. ' Form 1099-R To comply with IRS regulations,the Public School Employees'Retirement System(PSERS)is required to produce separate 1099-R's for each distribution type. if you received multiple distribution types(example: monthly benefits,partial lump sum withdrawal,death benefits,direct rollovers,etc.),you will receive multiple 1099-R's. Be sure to include all of your 1099-Ws when Sling your Federal income tax return. a.aonllo5osasrsanuloro 1