HomeMy WebLinkAbout01-0480
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Henrietta L. Jamison
also known as
No.
.;J } - 0 ) - If fo
, Deceased
Social Security No. 190-26-6833
Carol L. Eagle, formerly Carol Lee Hendrix
Petitioner(s), who isfare 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
[!] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut r ix named in the last Will of
the Decedent, dated 05/09/1985 and codicil(s) dated None
Charles L. Jamison, Executor named under the Will, died September 29, 1986.
Petitioner hereunder 1s named as successor Executrix.
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for probate; was not the vidim of a killing and was never adjudicated incompetent:
n/a
D B. Grant of Letters of Administration
(c.t.a.; d.b.n.c.t.a; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spouse (if any) and
heirs:
I
Name
Relationship
Residence
I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland
County, Pennsylvania with hislher last family
or principal residence at 5 Wayne Road, Lower Allen Township
(list street, number, and municipality)
Decedent, then ~years of age, died 05/05/2001 at East Pennsboro Twp., Cumberland Co., PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
5,000.00
$
$
$
$
76,000.00
situated as follows:
5 Wayne Road, Camp Hill, PA
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of
letters in the appropriate form to the undersiqned:
I Siqnature
(---\(1 i (; Q. 1.- <t n< I ~
c........
('CL.' C. \L 1-. 9-<- ~ 9/n) /11;><
Typed or printed name and residence
Carol L. Eagle, formerly Carol Lee Hendrix
4113M Beechwood Lane, Harrisbur~, PA 17112
I
/6~~91-~
Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems.lnc.
Form RW-1 (1991)
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) or affirrris) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of
the Decedent, Petitioner(s} will well and truly administer the estate according to law.
r . C'
Sworn to or affirmed and subscribed \.. (~?(.. 5L 1--, c (t ~~
Carol L. Eagfe,- fonnerly Carol Lee Hendrix
before me this.-.l..2- day of C (L, (.. Q. )--. QJ(...' J-I r;:Vn cI7 l)x
MAY , 2001
~~=-.kv-JM4
F the Reglsttr
No.
21-01-480
Estate of Henrietta L. Jamison
Deceased
Social Security No: 190-26-6833 Date of Death: 05/05/2001
AND NOW,
MAY 16,
, 200 1 . in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters rn Testamentary D Of Administration
(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to
Carol L. Eagle, formerly Carol Lee Hendrix
in the above estate and that the instrument(s) dated
05/09/1985
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Short Certificate(s).
$
18.00
~~y~'?:f-"<'/,A/.J ~~~'d(/
Register of Wills
Letters. . . . . . .
$
200.00
Renunciation.
$
Attorney:
James D. Bogar, Esquire
Affidavits (
$
I.D. No:
PA 19475
Extra Pages (
) .
$
6.00
Address:
One West Main Street
Codicil. .
$
Shiremanstown, PA
17011
JCP Fee.
$
5.00
Telephone:
717/737-8761
Inventory.
$
~6
~7
Other . .
$
TOTAL. . . . . . . ., $ 229.00
Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems. Inc.
Form RW-1 (1991)
21-01-480
REGISTER OF WILLS OF r'TTMRRRT.Jll\Tn COUNTY
OATH OF SUBSCRIBING WITNESS
James D. Bogar
OOiticil ,
(DCk) a subscribing witness to the will presented herewith, (eaabJ being duly qualified according to'
law, depose(s) and say(s) that he was present and saw
Henrietta L. Jamison
the testat r ix, sign the same and that h p- signed as a witness at the
request of testatrix in her presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
Sworn to or affumed and subscribed before
me this 15th day of
Ma~ ... 2001 One
~'~?'t2~p /E jAu_/AJr /.iJ.ouYj/
RegISter
ame)
., Shiremanstown, PA 17011
(Address)
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Carol L. Eagle
(~R) a subscriber hereto, (~R) being duly qualified according to law, depose(s) and say(s) that
she is familiar with the signature of Henrietta L. ,Jamison,
~KK
testat rix of (~xo:fx:thex~~\Sribm€>oM~tg~ax~) the will presented herewith and
~~jl
that she believes the signature on the will is in the handwriting of
Henrietta L. Jamison
to the best of
hpr
knowledge and belief.
Sworn to or affirmed and subscribed before (~,~.i 1.-. t-q 'fl4.,
me this 15th day of Carol L. Eag.l(Namej
May 2001 4113M Beechwood Lane, Harrisburg, PA 17112
~Hj~() ~'~t'+/jA!t7/?""JY (Address)
RegISter
(Name)
(Address)
jJ O'iSW; kF\' ')/S(,
This is to cenib,' that the information here given is correctly copied from an original certificate of death dul): flIed with me as
Local R~gistLH.' The original certificate will be forwarded to the State Vital Records Office for permanenr tilmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Fee for this cerritlcate, $2.00
P 7386414
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Date
21-01-480
H105 i4JAe\l 2.'87
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
;YPEJPRINT
IN
PERMANENT
Bl.ACK INK
lID. )JtAl-40Q &At.
DECEDENT'S
ACTUAl.
RESIDENCE
lSee If"lsllUC11OO5
on Olhe, SK1e>>
hoop
'1D. Coon
~ en. 0
c..,_
DATE Of' DISPOSITION
Remov.. from Sial. 0 (Month. Day. '1il8af)
. l~O 0 lIb. h1, q. Zool
~ SIGNATURE !Z.JJ1l:fW. SERtlCE L~S<r PERSON ACTING AS SUCH LICE. NSE NUMQCR _
~ ~ ~..... . 22bc)IVJ'/~ L-
Complete ..em. 23.i:-c on.y wnen certiFyIng To 1M best 01 my knoloWtectg4l. death OCCUlred althe lime. dale.1ncJ place Slaled
.. ~.an IS oaf avaubfe alllm. of dearh 10 ($goall.Jfe and Tide)
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DATf SIGNED
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W/lS CASE REFERRED TO ::DOL EXAMINfRICOAONER? No ~
21.
, AppI'oxunal.
: PIH'VM between
: onMI and dee&h
:
PART II: 0..... s'9"lflCanl condilions CORlfobul"'lllO deatn. llul
nul ......ing.. 1M ~ ca.... _.. PART I
14. M 2S.
21. PART I; Enter lhe diseases. ulIunes 01 complecahons which caused lhe deaU' 00 noleill., Ihe mode o' cJyi ,SlIe a - ardiac or resplralory afl8sl. shock 01 near1 'allu..
ll51 ooty one cause on each hoe
(3~ W ~ l_~~g CU' ~~_~~~._____
DUE 10 (OR AS A CONSEQUENCE Of)'
DUE 10 lOR ASA CONSEOUENCE Of)
I
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-~------I----
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:
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C,___ _______,,_~ _________________ _______
DUE 10(00 AS A CONS[QUENCE Of)
d
WERE AUlOPSY FINDINGS
AI/AIV>BlE PRIOR 10
COMPLETION 01' CAUSE
OF DEATH?
MANNER OF DEAl H
DAlE OF INJURY
(Monltl Oav. Year)
TIME OF INJURY
INJIJRY AT WORK?
DESCRIBE HOW INJURV OCCURRED
\..
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HalutaJ lir
AccKienl n
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Hom>(.>>oe
o
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building. .,c lSpac,tll)
30.
o No[]
PendIng In....sttyallOO
COuld nol bt1II uetlllfmlollld
~. Joe.
2... 21b.
CERTIFIER IC"<<k ON.,. one.
.CEATJFYING PHYSICIAN IPtlySICodo cendVlI1(j CdUf>e 01 ~aln ....hep.lnOltlet ~y~,arl haSPfOfl~Jnced dedlh ,1t\~J cOfnplo:.'lt:d IIcrn 2Jl
To &he t>>.1 or "'y kno.'-dge, cfe_th Of;c;un-.d due 10 me cauI.(I) and m,ilnner a. stated
"PRONOUNC'NG ANO CEATlFYING PHYSICIAN ,Phys.cldo tlUlt'. iJl~I\Ulll)(.lnl.J Ol.'dUI dfld ~e!t"v,ny 10 Ldll~ ut dCdlll1
To Ihe ~t o' mv knowl.dgllt. death occulted.1 tbe lIm., dAle, ~nd plaICe, .lnd due to the cause,.} and manoer... st.led
"MEDICAL EXAMINER/CORONER
~~~~~~::i:t::.::~mln.tion andlOf \nlll'eshgauon. in my opinion, death occurted at the lime, date. and plact!. and due to the C8U$e(s) and [J
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3Easl JlIill aub mtslamtul
OF
HENRIEITA L. JAMISON
I, HENRIE'ITA L. JAMISON, of Lo~r Allen Township, Cumberland Cotmty,
Pennsylvania, make, publish and declare this as and for 110/ Las t Will and Tes tarrent ,
hereby revoking all other Wills and Codicils heretofore made by Ire.
FIRST: I direct the payrrent of all 110/ just debts and ftmeral expenses,
including 110/ grave narker and all expenses of my last illness, shall be paid from
my residuary es tate as soon as practical after my decease as a part of the ex-
penses of the administration of my estate.
SECOND: I devise and bequeath all the rest, residue and remainder of my
estate of whatever nature and wherever situate, together with any insurance
policies thereon, unto my husband, CHARlES L. JAMISON, provided he survives Ire
by sixty (60) days.
TIIIRD: Should my husband, Charles L. Jamison, predecease TIE or die on
or before the sixty-first (6Ist) day following my death, I devise and bequeath all
the rest, residue and remainder of my estate of whatever nature and wherever
situate, together with any insurance policies thereon, unto my daughter, CAROL
LEE HENDRIX.
FOURrH: Should my daughter, Carol Lee Hendrix, predecease me, I devise
and bequeath her share tmder this, my Last Will and Testament, tIDto my grandchild
).
'"
'~
"
':'
OOUGU\S S. HENDRIX.
FIFrH: In addition to all powers granted to them by law and by other
.": provisions of this Will, I give the fiduciaries acting heretIDder the following
,.._.._..-....~ ........
.! ~~, powers, applicable to all property, exercisable without court approval and
"" /
-~
effective until actual distribution of all property:
(A) To sell at public or private sale, or to lease, for any period of
-l\(
t,~
ti.rre, any real or personal property and to give options for sales, exchanges or
leases, for such prices and upon such tenns or conditions as are deemed proper.
(B) To partition, subdivide, or improve real estate and to enter into
agrearents concerning the partition , subdivision, irnprovenent, zoning or managerrel t
of real estate and to impose or extinguish restrictions on real estate.
""
(C) To compranise any claim or controversy and to abandon any property
which is of little or no value.
(D) To invest in all forms of property, including stocks, carmon trust
funds and nortgage investJ:nent funds, without restriction to investJ:nents authorize
for Pennsylvania fiduciaries, as are deerred proper, without regard to any princip e
of diversification, risk or productivity.
(E) To exercise any option, right or privilege granted in instILance
policies or in other investJ:nents.
(F) To exercise any election or privilege given by the Federal and
other tax laws, including, but not necessarily being limited to, personal incorre,
gift and estate or inheritance tax laws.
(G) To make distributions to my herein narred beneficiaries in cash or .
kind or partly in each.
SIXTH: I direct that all inheritance, estate, transfer, succession
and death taxes, of any kind whatsoever, which may be payable by reason of my
death, whether or not with respect to property passing m.der this Will, shall be
paid out of the principal of my residuary es tate.
SEVENTH: All interests hereunder, whether principal or incorre, while
undistributed and in the possession of the fiduciaries acting heretmder, even
though vested or distributable, shall not be subject to attachrrent, execution or
sequestration for any debt, contract, obligation or liability of any beneficiary,
and furthemore, shall not be subj ect to pledge, assigrnrent, conveyance or anti-
cipation.
EIGHTH: I nominate and appoint my husband, rnARLES L. JAMISON, Executo
of this, my Last Will and Testanent. In the event of the death, resignation or
inability to serve for any reason whatsoever of the said Charles L. Jamison, I
nominate and appoint CAROL LEE HENDRIX, Executrix of this, my Last Will and
Testmrent. I hereby relieve my Executor from the necessity of posting security
in connection with his duties as such in any j tILis dict ion in which he IIE.Y be
called upon to act insofar as I am able by law to do so.
IN WITNESS WHEREOF, I have herem.to set my hand and seal to this, my
Last Will and Testanent, this
day of
, 1985.
\,:.;-,/ l-/.I' ) ,,' ,"
/ J(~. / < .: {;l",-../~.. . ..c.:' "i'~ L .:..< 1\,.
I H~n'rietta L.' Jarirl.son
(SEAL
-2-
T
'r
Signed, sealed, published and declared by the above narred Testatrix as
and for her Last Will and Test:clImnt in our presence, who, at her request, in her
presence and in the presence of each other, have hereunto subscribed our narres as
attesting witnesses.
Address
",
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" /lr{,-<.iul U 1/> L~rl1' .-'
,~~~j;~ ii Ji/i,?//I~
~.' /1
Address
J/
-3-
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----
CERTIFICATION OF NOTICE UNDER RULE 5.6 (a)
Name of Decedent: Henrietta L. Jamison
Date of Death: May 5, 2001
will No. 2001-00480
Admin. No.
To the Register:
I certify that notice of estate administration required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed
to the following beneficiaries of the above-captioned estate on
May 15, 2001:
Name
Address
Carol L. Eagle
(formerly Carol Lee Hendrix)
4113M Beechwood Lane
Harrisburg, PA 17112
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except:
None
/
Date: May 24, 2001
r, Esquire
One West Mai street
Shiremanstown, PA 17011
(717) 737-8761
Capacity: Personal Representative
X Counsel for Personal
Representative
Register of Wills of
CUMBERLAND
County, Pennsylvania
INVENTORY
Estate of Henrietta L. Jamison
No. 21-2001-0480
also known as
Date of Death 05/05/2001
,Deceased Social Security No. 190 - 26 - 6833
Carol L. Eagle,
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned
no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this
Inventory. I /We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein
are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of James D. Bogar Esquire
Attorney:
1.0. No.: 19475
Address: One West Main Street
Shiremanstown, PA 17011
Telephone: 717/737-8761
Personal Representative
00-'" \U ~- ~
Carol L. Eagle
Signature:
Signature:
Address:
4113M Beechwood Lane
Harrisburg, PA 17112
Telephone: 717/540 - 9966
Dated:
01/30/02
Description
;:10
...._ (f"
g ~:
d Value
N
JJ
CD
~
'" -r"l
fTl
c:J
I
--
(See continuation page(s) attached)
-0
~"'.) '.
.:.:.
\.0
(Attach additional sheets if necessary)
Total:
151,326.52
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
Prepared by the Pennsylvania Bar Association
Co~yright (c) 1996 form software only CPSystems,/nc.
Form#RW-7 (1992)
INVENTORY
Estate of:
Date of Death:
County:
Henrietta L. Jamison
05/05/2001
Cumberland
CASH:
Distribution from Estate of
Louise V. Nagle. (per copy
of Report of Trustee)
52,033.00
Distribution from Estate of
Louise V. Nagle - final
(per copy of Final
Report of Trustee)
543.15
MBNA Procurement Services Inc.
. Refund
4.96
Waypoint Bank - Savings
Account No. 50062513, date
of death balance $7,804.62,
accrued interest $1.69
7,806.31
Waypoint Bank - Certificate
Account No. 556173210, date
of death balance $9,002.03,
accrued interest $4.63
9,006.66
Waypoint Bank - Certificate
Account No. 556248978, date
of death balance $688./8,
accrued interest $10.97
699.75
70,093.83
-1-
PERSONAL PROPERTY:
1994 Dodge Sedan, Vehicle ID
No. lB3AP28D6RN2l482l - Sold
at private sale
4,000.00
Contents of home and personal
property - sold at public
and private sale
703.07
Graham Oil Transports -
Interest in oil well
60.00
STOCKS/LISTED:
18 shares UGI Corporation -
Common stock
469.62
REAL ESTATE/PA:
All that certain piece or
parcel of real estate having
erected thereon a dwelling
house being known and
numbered as - 5 Wayne Road,
Camp Hill, PA
76,000.00
TOTAL RECEIPTS OF PRINCIPAL...............
-2-
4,763.07
469.62
76,000.00
151,326.52
" /0--~/- ~
~ BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
JAMES D BOGAR ESQ
1 W MAIN ST
SHIREMANSTOWN
'02
I\Pi\ -1
:CJ2
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-18-2002
JAMISON
05-05-2001
21 01-0480
CUMBERLAND
101
*'
REY-1S47 EX AFP (01-02)
HENRIETTA L
Allount Rellitted
PA 17011
\j, :.:
Ct;rnu
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-Y=is4-j-Ex-AFP--co1-:o21--NorIcE--OF-orNHEifITAifcE-TAX-A-PPRA-ISEMENT~--ALLowAircE-crR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF JAMISON HENRIETTA L FILE NO. 21 01-0480 ACN 101 DATE 03-18-2002
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(lJ
(2)
(3)
(4J
(5)
(6)
(7)
76,000.00
469.62
.00
.00
74,856.90
19,714.68
1~907.04
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule HJ
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule JJ
14. Net Value of Estate Subject to Tax
(9)
(10)
18,153.77
.00
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
lS. Allount of Line 14 at Spousal rate (15J
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
NOTE:
.00 X 00 =
154,794.47 X 045 =
.00 X 12 =
.00 X 15 =
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
172,948.24
(11)
(12)
(13)
(14)
18.153 77
154,794.47
.00
154,794.47
(19)=
.00
6,965.75
.00
.00
6,965.75
r".nE;nl IU:"'E:~r" I T (+J AMOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-J
08-02-2001 CDOOOI07 247.50 4,702.50
02-01-2002 CDOO0819 .00 2,015.75
TOTAL TAX CREDIT 6,965.75
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BOGAR JAMES 0
1 W MAIN STREET
SHIREMANSTOWN, PA 17011
_u_____ fold
ESTATE INFORMATION: SSN: 190-26-6833
FILE NUMBER: 21-2001- 0480
DECEDENT NAME: JAMISON HENRIETTA L
DATE OF PAYMENT: 08/02/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 05/05/2001
NO. CD 000107
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
I 101 I $4,702.50
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$4,702.50
REMARKS: CAROL L EAGLE
C/O JAMES 0 BOGAR
CHECK# 8
SEAL
INITIALS: AC
RECEIVED BY:
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX{ 11-96l
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BOGAR JAMES D
1 W MAIN STREET
SHIREMANSTOWN, PA 17011
n___n" fold
ESTATE INFORMATION: SSN: 190-26-6833
FILE NUMBER: 2101-0480
DECEDENT NAME: JAMISON HENRIETTA L
DATE OF PAYMENT: 02/01/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 05/05/2001
NO. CD 000819
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,015.75
I
I
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TOTAL AMOUNT PAID:
REMARKS: JAMES 0 BOGAR ESQUIRE
CHECK# 9
SEAL
INITIALS: AC
RECEIVED BY:
REGISTER OF WILLS
$2,015.75
MARY C. LEWIS
REGISTER OF WILLS
tV"
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Henrietta L. Jamison
Date of Death:
05/05/2001
Wi 11 No. 21- 01- 0480
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes x No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No x
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes x No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date: 06/14/2002
James D. B r, Esquire
Name (Please, type or print)
One West Maln St.
Shiremanstown, FA 17011
Address
(717) 737-8761
Te 1. No.
Capacity: Personal Representative
(MAH:rmf/AM3)
x Counsel for personal
representative
c.
OFFICIAL USE ONLY
REV-1500 EX + (6-00)
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
/b-~/-:V
FILE NUMBER
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128-0601
DECEDENT'S NAME (LAST, FIAST, AND MIDDLE INITIAL)
Jamison Henrietta L.
DATE OF DEATH (MM-DD-YEAR)
21-2001-0480
DATE OF BIRTH (MM-DO-YEAA)
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
190-26-6833
THIS RETURN MUST BE ALEC IN OUPUCATEWlTH THE
NUMBER
05 05 2001 08/29 1920
IF APPLlCABL SURVIVING S OUS '5 NAMEtLAST, FIRS, AND MIDDLE INlTlAL
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
X 1. Original Return
4. Umited Estate
X 6. Decedent Died Testate
2. Supplemental Return
4a. Future Interest Compromise (date of death after 12-12-82)
7. Decedent Maintained a Living Trust 0
3. date of death
. Remamder Return prior to 12.13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
(Attach copy ofWlIl) (Attach copy of Trust)
o 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit 0 11. Election to tax under Sec. 9113(A)
(date of death between 12.31-91 and 1-1-95) (Attach Sch 0)
. THIS SECTION MUS1! BE CoMPeETEIlJ A'LL CORREsHNDE~CE:&lCOHl;lIfEN'trAIL:rAX:INFORMATlONiSIilOUl:J)'BE'D)REe;' J;ll~!fli
NAME COMPLETE MAILING ADDRESS
James D. Bo ar
FIRM NAME (If Applicable)
One West Main Street
Shiremanstown, PA 17011
TELEPHONE NUMBER
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-8 6
1. Real Estate (Schedule A) (1) 76,000.00
2. Stocks and Sonds (Schedule B) (2) 469 rer;
3. Closely Held Corporation. Partnership or (3) NOil.~'
Sole-Proprietorship ~J-
4. Mortgages & Notes Receivable (Schedule D) (4) None
5. Cash. Bank Deposits & Miscellaneous Personal Property (5) 74,856.90
(SChedule E)
6. Jointly Owned Property (Schedule F) (6) 19,714.68
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 1,907 :.,04-
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7) (8)
9. Funeral Expenses & Administrative Costs (Schedule H) (9) 18,153.77
10. Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I) (10) None
11. Total Deductions (total Lines 9 & 10) . (11)
12. Net Value of Estate (Line 8 minus Line 11) (12)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13)
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14)
154,794.47
OFFICIAL USE ONLY
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18 ,153 . 77
154,794.47
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116(a)(1.2)
16. Amount of Line 14 taxable at lineal rate 154 , 794.47
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
(15)
(16)
(17)
(18)
(19)
.0 0
.0 45
.12
.15
0.00
6,965.75
0,00
0.00
6,965.75
x
X
X
X
. . ESTING, A.IlI;FUNllfQF'AlifOVlERPAYIilEN1\'
R AiJi QUESTIONSON:RSVERSEtSIDEfAND'TO RECHECK MATH.1i '<:' :":" ;:,m'l~h i~H'
Copyright (c}2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
5 WaYne Road
CITY I STATE I ZIP
Garno Hill PA 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CredttsIPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
6,965.75
4,702.50
247.50
Total Credits ( A + B + C) (2)
4,950.00
3. Interest/Penalty jf applicable
D. Interest
E. Penally
Total Interest/Penalty ( D + E) (3)
4. If Une 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Une 1 + Line 3 is greater than Line 2. enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA.)
B. Enter the total of Line S + SA. This is the BALANCE DUE. (5B)
Make c,~~,~,~,,~,~!able 10: REGISTER OF ,WILLS, A?:~NT
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. PLEASE ANSWER THE FOLLOWING QUESTiciNSBY PLACING AN "X"iN THE APPROPRIATE BLOCKS
1.
0.00
0.00
2,015.75
0.00
2,015.75
Did decedent make a transfer and:
a. retain the use or income of the property transferred; . . . . . . . . . . . .
b4 retain the right to designate who shall use the property transferred or its income; .
e. retain a reversionary interest; or. . . . . . . . . . .
d. receive the promise for life of either payments, benefits or care? .
2. If death occurred after December 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?
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.
Ves No
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D
D
[]]
[]]
D
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Under penalties of perjury, I declare that I have examined this return, IncludIng accompanying schedules and statements, and to the best of my knowledge and belief, it Is true,
correct and complete. Declaration of preparer other than the personal representatIve Is based on aJllnformatlol'l of which pre parer has arry knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR fiLING RETURN
(\.oD i ~
A OTHER THAN REPRESENTATIVE
Carol L. Eagle
4113M Beechwood Lane
- - Harr-{sb;'-rg; - -PA - - Y7hi - - - - - - - - - - - - - - - - - - - - - - --
James D. Bogar Esquire
One West Main Street
- - -shirema~-';to;.;n; - PA - - noD.- - - - - - - - - - - - - - - - - - - --
DATE
01/30/02
DATE
For dates of death on or a er July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (in.
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%
[72 P,S. 9116 (a) (1.1) (ii)]. The statute does not exemot 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 twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S, 9116 (a) (1.2)J.
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5''10, except as noted in 72 P.S. 9116{1.2)
[72 PS. 9116(aX1)).
The tax rate imposed on the net value of transfers to or 10r- the use of the decedent's siblings is 12% [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.
Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV..1500 EX (Rev. 6-00)
AEV-1502 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INH ERIT ANCE TAX RETU AN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Henrietta L. Jamison SS# 190-26-6833 05/05/2001 21-2001-0480
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
knowledde of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
DESCRIPTION
NUMBER OF DEATH
1 All that certain piece or parcel of real estate having erected 76,000.00
thereon a dwelling house being known and numbered as 5 Wayne
Road, Camp Hill, PA. The property was acquired by Charles L.
Jamison and Henrietta L. Jamison, husband and wife, by Deed datec
03/02/1950 and recorded in the Cumberland County Recorder of
Deeds Office, a copy of which is attached hereto and incorporatec
herein. Charles L. Jamison died 09/29/1986 whereupon full and
complete title became vested solely in Henrietta L. Jamison, the
decedent herein.
The above-described real estate was sold pursuant to an Agreement
for the Sale of Real Estate dated 04/19/2001, a copy of which is
attached hereto and incorporated herein. Final settlement took
place on OS/24/2001. A copy of the Deed conveying said real
estate, along with a copy of the Settlement Statement, are
attached hereto and incorporated herein. The sale price of said
real estate was $76,000.00.
SCHEDULE A
REAL ESTATE
TOTAL (Also enter on line 1, Recapitulation) S 76,000.00
(If more space is needed, insert additional sheets of the same size)
Copyright (e) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1.97)
1'..... N... 27_DBBO FROM A CORPORATION, Ac. 190.
n- 2'4-01<(1_122.
A. K. a.",ono, c..~.. Ub'..,. H..ri.b~..
IDbi!i lfnbentufe,
f?.ct
J,ulldred and fiftJ,y (1950) between tile Corporation Ly the u:ulle.
style and title of ALLEN PARK DEVELOPMENT CORP 0 ~ a corporation duly organized
and lawfully existing under and in accordance with the laws of the
Commonwealth of Pennsylvania, having its registered office in the
Borough of Carlist~k Coun~~ 2f Cumberland and Commonwealth of
-Pennsylvania, . ... p" n CHARLES L. JAMISON and HENRIETTA L.
JAMISON, his wife,
.f
day 01
/ ;11"''''04
A. D. one lllOlIsond nine
~abe lbe
Lower Allen Township~
County of Cumberland ~
In the State of Pennsylvania ~
of tile gther pllrt 8titnt5sdb:
That the laid party of the first part, for and in con-
sideration of the lumof One ($1.00) Dollar~ and other good and valuable
considerations
~.. lawful money of the United States, to it in hand paid by the said
parties of the second part,
at the time of die execution hereof, the receipt whereof is hereby acknowledged, has grallted, bargained, sold,
aliened, enfeofJed, released and confirmed, and by t1lese presents does grant, hargaln, Bell, alien, enfeoff, re-
leue and confirm unto tbe .ald parties of the second part, their heirs
and a.llgJU,
all that certain piece or parcel of land,XlllltlI:X with the building and improvements.
thereon erected being known as Lot No. III on revised plan of Lots
laid out'..for,,,Alien, Park Development Corporation, called rrCumberland
Park", as recorded in Plan Book 4, Page 86, Cumberland County records,
situate on the Westerly side or Wayne Road (formerly Avenue "LU),
Cumberland Park, Township of Lower Allen, County of Cumberland and
Commonwealth of Pennsylvania, bounded and described as follows, to-wit:
BEGINNING at a point on the Westerly side of Wayne Road
(formerly Avenue "L") _ (50 feet wide) at a distance of four hundred
fifty and two one-hnndredths (450.02) feet measured South twenty-six
(26) degrees twenty-six (26) minutes thirty ()O) seconds East from
the intersection of the said side of Wayne Road (formerly Avenue "LIt)
with the Southerly side of Cumberland Drive (formerly Avenue "F")
(50 feet wide) (both lines produced); thence along the Westerly side
of Wayne Road (formerly Avenue "L") South twenty-six (26) degrees
twenty-six (26) minutes thirty ()O) seconds East a distance of one
and thirty one-hundredths (1.)0) feet to a point of curve; thence
still along the said side of Wayne Road (formerly Avenue "L") in a
Southerly direction along a line curving to the right having a radius
of two hundred thirty-nine and forty-four one-hundredths (2)9.44)
feet the arc distance of seventy (70) feet to a point; thence along
Lot No. 112 South sixty-eight (68) degrees fifty-five (55) minutes
thirty (30) seconds West a distance of one hundred ten and thirty-two
one-hundredths (110.)2) feet to a point; thence along other lands of
Allen Park Development Corporation North twenty-six (26) degrees
twenty-six (26) minutes thirty ()O) seconds East a distance of sixty
(60) feet to a point; thence along Lot No. 110 North sixty-three (6))
degrees thirty-three ())) minutes thirty ()O) seconds East a distance of
one hundred twenty (120) feet to the first mentioned point and place of
Beginning.
UNDER AND SUBJECT to said Reservatlons and Restrictions as
contained in prior deeds.
BEING part of the same premises conveyed by Mark E. Garber
and wife to the party of the first part hereto by dEled dated October ll~
1949, and recorded October 20, 1949, Cumberland County records in Deed
Book "Fit, Vol. 14, Page 439.
Togetber with aU and .Ingular tile buildinp, privilege., hereditament. land ',appurten.ncelll ....b,.uoevcr
thereunto belonging, or In anywlle appertaining, and tile revenlon. and remalnden, renll, j',ue. and
profit. thereof; and all the Cltate, right, title, intere.t, property. claim and demand whaboever of It,
tho ..Id part y of the first part
eJUleJ' .In law 01' equity, of, in and to the lame.
lila' 6~btanl'J iii'f}oftt" ;;;;"Id ......... ...",.w""
piece of ground ahove deacrlbed, heredltamentl and premile. bereby
lold, or mentioned, or Intended 10 to he, with the appurtenance., unto the laid
and l~t Or
granted, bargained and
parties of the
second part, their heirs
and aulgos, to alld fur the only propcr use and behoof of the ,aid
part, their heirs
IInd 88.iSn. forever.
parties of the second
Aod the uid party of the lint pllrt' for, it/idf Dnd illl BllcceSSOfll, does hereby covenant and
agree to and with the laid parties of the second part, their heirs
and auigns, that it
the said party of lIle tint part and its succe~sors, aU allll
premises, with the appurtenances, unto the Ilaid parties of
.inguJIll' U~ ".11M bereh] granted,
tne second part, their
heirs
and assigns, agaiust it tile said l)arty of tile 6rst pll-rt and its BUCWeIlJOI'II, and againBt aU and ever,
otllel' persoll 1l1U] persons W]lOffilloever lawfully claiming or to claim tllC same or any part thereof
~ball aUII _ill "arrunt anll jfnl'~\I~r :m~f~uII
hy tJlue pr~sent~i
I I I'
"
!anll
the laid
ALLEN PARK DEVELOPMENT CORP.
if'l "
doUI
Ilereby cQnslitute aud appoint Edward A. Refsen
to be its attorney, fot it and,in its nume, and as and for Its corporate act and deed to ackmnvled,e tbJ,
deed Lefore tiny penon baving authority by the laws of the Commonwealth of Penn,yInnia to take luch
acknowledgment, to tile intent tllat th~ same may be duly recol'ded.
1111 lilell,timouy _befeof t1" .oId ALLEN PARK DEVELOPMENT CORP.
/
J
lias ellused this Indenture to he signed hy ita President, aUelted by 1\1 Sell-
--' retary and affixed,'lereunto the cornman .ndcorporatc leal of tbe ..id COlpo-
-,I.
-, ration, that tbe sea] affi~ hereto il the leal of IBid Corporation, that It was
j I .0 affixed by order ot thq$Board of Directors of .aid Corpol'atJon, and tb.lt
Sealed Ilud DeliV:::: .::ned their namel herelo bYC'?'J ~~:and~~;t above written.
th..p,,,.n,,.f l::...;.. .X~..'...d.=t.
---=...~..../'!/i?~m ........
~..f.'~eerd.rl.
Signed,
day of
hund<<d .nd fifty (1950)
the subscriber 1 a Notary Public 1 peuonally
appeared Edward A.. Refsen . the attorney named in the foregoing Deed, and hy
virtue of and in puuuance of the authority therein conferred upon
him, acknowledged the .aid deed to he the act and deed
ALLEN PARK DEVELOP~ffiNT CORP.
State of
County of
On thl., ti,e
I'elore me
I\ersollally appeared
day o(
a corporation, and
instrument for t11l~
.f
tllllt lie as such
purposes therein contained hy
In
State of
PENNSYLVANIA,
DAUPIIIN,
County of
I herehy certify that on this
in the year of our Lord, one thousand nine
of the .aid
Witness my hand and
Notarial
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CUMBERLAND
'I
Recorcletl 011 tlJis 3RD
A. I). 1950" ill tI,e Hecorc1er'lI office of snid
\'01.. 14 , P!'ge 263
(jiven IUlIler my hnnd llIlti !leal of the
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the undersigned officer,
, who acknowledged hlmsell to be tbe
, being authorbed to do 80, executed the foregoing
signing tile name of the corporaUon by hlmaeJl al
witness whereof, I Ilereunto let my hand and official aeal.
TiIllI of Officer
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/Z1~
before me,
.cal the day and year .forcnid.
m'~/d,~",~~';~
T;IIt>f~AlIT"'.L1C . i "
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MAY-09-2001 12:48
JACKGAUGHEN D8G.
717 432 0042 P.02/20
STANDARD AGREEMENT fOR THE SALE Of REAL ESTATE
Ttli, rorm l'ICOn1rt'l(t}t1ed and IpprO\lcd ror, but not r~tricll::d 10 \tit! by, mcmbtts ortbe Pen.ylvanil ~i"ion orRl1^1. TOR~ (PAR),
AlS - 2K
PA LICENSED BROKER
LISTING BROKER (Compaay)
PA LICINSED BROKER
SELLING BROKER (Compaay) DYNAMIC REALTY INC.
PH
DESI
ADDRESSS001 CAP-LIS!.&: PIKI!;
MECHANICSBVP-G PA 17055
PH 717-737-9494 FAX717-932-3958
DESIGNATED AGENT FOR BUYER (If applicable)
THO~AS M STEWART
FAX
SELLER (If .pplieable)
I.
This Agreement, dated
SELLER(S):
?/- /9- Of
, Is between
caned "Beller I tI and
BUYER(S):
_c.4t? L jloLf Il}js7/,Joll.Th
called "Buyer. n
2. PROPERTY (1-98) SeUer bereby allrees to seUaad eoavey tu Buyer, who hereby agrees to pURha",,:
ALL THAT CERT AIN lot or piece ofllround w' h buiklinp a d)mprovemenlS thereon erected,ltaay, known II:
,; t.~
In Ibe of
County of r llMII6'~ LMJ /) la the Commoawealth ofPcoos)'lveoia, Zip Code
Ide'IIl'le.llon (e.g., Tn 11>*; Plrcel II; Lot, Bloek: Deed Book, Page, Reeord!ag Date)
~ Dolla"
3.
TERMS (1-00)
(A) PUlch..,e Price
-I7~0C1()
which will be paid to SeUer by Buyer as follow.: I
(8) CashorcheckIllSill"ingrhisAgreemcol: By SeileR,
(C) Cash or check within days oflhe execulion orlhis Agreement:
(D)
(ll)
Cash, cashier's or emi licd check at time of senlemenl:
(F) Deposits paid o. account of purchase price to be hel
(0) Seller's written approval to be On or before:
(H) Selllcmenllo be made on or before: - "
(I) Conveyanc~ from Seller will be by fee simple deed of special warranty unless oth~rwi" stated here:
(J) poymem of transfer taxe., will bc divided equally between BU)'cr and Seller unl... otherwise stated here:
(K) Al lime of se\tlement, the fullowhlg will be adjulted pro-rata on . daily basis between Buyer and S.lltlf, reimbursing where
applicable: taxes; rents; interest on mortgage assunlPtions; condominiwn fees and homeowner association fe.... if any; waler
and/or sewer fees. if:my, togelher with any olher licnabie municipal service. The charges are to be pro.rated for the period(s)
covered: Seller will pay up to and including the dale of .ettlement; Buyer will pay for all days followln& senl""'en~ ani..s
otherwise st.ted here:
4. FIXTU RES &< I'ERSONAL PROPERTY (1-00)
(A) INCLUDED in this s.le and purchase price are all existing items pl!lTlUlJ1ently installed in the Property, free of lien.,
Including plumbing: hC3ting: lighting flXlUres (including chandelie.. and ceiling fans): water treatment systems; pool and .p.
equipment: garage door openers and transminer.: televiaion &nleMas; shrubbery. planlini' and unpolled trees; any remaining
heating and cooking fuels stored on the Property allhe time orscttlcment; wan to wall carperini; window covering hardw8n:,
Al5-2K . $tancurd Agreement For lh. 9.1. Of R..t e.tIt., 1JOO COPYR1GHT PENNSYLVANiA A.5SOCIATlON 0" "~10"58 19ge
VIf"IIQn e,a7/5,5l, lltaalfl'ASTe Sottware Publishing Inc., (el :2001 Reg# XPAPAR23020o. ThOrPI.1 Stewan, OynamiCl RlNllty. Inc.
Suyer's) Inifull. ~ ~, 04/17/01 16;21;36
Pag~ !.,O~l'
SeII..t.) I~.ob fI-bl-
MAY-09-2001 12:49 JACKGAUGHEN D8G
~ 717 432 0042 P.04/20
shades, blinds; built.in air condilioners; bullt.in appliances, and lbe l'8/IgeJoven un,.... u..,..~... --.--. --...
(8) LEASIlD llems (items not owned by Seller):
(C) EXCLUDED f"<lures and items:
5.
SPECIAL CLAUSES (1.00) . .
(A) IlSI Buyer I\IId Seller have ~eived the Consumer Notice as adopted by the Stale Real Eslale Commission at 49 Pa. Code
~)~.3)6.. . r. I' tho
(B) ~ Buyer and Seller have received a statement of their mpective estimated elosmg costs be ore s gRlng IS
. A&reement. . h' A 'f' cd b
ail Buyer h... received lb. SeUer's Property Di""losure Stalement before Signing I IS greemenl, I reqUIt Y
law. (See: Nolice, Information Rcgwdin& Ill. Seller's Property DIsc:10811:"e Act.) . . .'
o . Buyer has received the Deposit Money NOlice (for coopcntlve sal... when LISting Broker IS holdllli
deposit money) before signing this Aareemcnt.
Tbe !oUowlnlllre parl of Ibis Allreemeal if checked:
o Sale 81. Settlement of Other Propeny
Continiency Addendum (PAR Form 130)
CJ 5.1. &: Settlement of Olher Property Contingency
with Right to Continue Marketing Addendum
(FAR Form 131)
CJ Settlement of Other Pr<lPerIY Contingency Addendum
(PAR Form 133)
(C)
(D)
(E)
D
D
CJ
D
Tenant-Oocupied Property Addendum (PAR Form TOP)
6.
MORTGAGE CONTINGENCY (1-00)
Cl W AlYED. TIll, salo I. NOT ~n1in&ent on mort&"g~ fin_ing.
~ ELECTED
(Al This s.le is cantingent upOn 8uyCl' obraining mol'liBZc finlllcin& lIS follows:
I. Amount of mortgage loan $ 7 'IJ~" r. . fM
2. Minimllm Term J years
3. Type of mortsagc C.D P
4. Interesl rate %; however,BMyer allre.. to ac..pt tbe Int....t rale as ....y be committed by th.
mortglle lender, nol to exceed a maximum IntMest rate of 1".42 Y %.
5. Discount poinls, loan origination, loan placement and other fees charged by th. lender lIS 8 percentage of the mortgage
loan (el<cludine any mongage insurance premlwns or VA fundine fee) not to exoeed % oflhe mortgage
IU8n.
The interest rate and fe.. provisions required by Buyer an: satisfied if e mortgage lender makes available to Buyer the right to
guarancee an incerest nlte al or below the Maximum Interest R.ate specified herein with the percerll8ge fe.s at or below th.
amount specified herein. Buyer gives SeUer the right, al SeUer'. .ole option and lIS pennilled by the lendlnll institution III1d
applicable laws, co conltlbute l1nancially, wilhout promise of r.imb\l1Semcnt, 10 the Buyer andlor lender to make the above
terms available ro Buyer.
(8) Within 10 day. of the "".culion of this Aareemcnt, Buyer will make I completed, wrinen mortgage application to a
resJlQnsible mortglge I.ndillg institution. The SoUlal Broker. if any, otb.rwlse the Llstlag Broker, Is .utborized to
c.mmunicate wltb tll. leader for tbe purpoJes of ."Istillela tbe D1orlpi" IoID proces..
(e) I. Upon receipt of a mortgage commitmenl, Buyer andlor Selling Broker will promptly deliver. copy ofd", comulilmcnllu
Listing Broker, if allY. otherwise to Seller.
2. MOrlgag. cornmitmmc date S'"- 1$"'-1:> I . If. wrillen co,nmitmenl is 1101 reoeived by Listing Broker.
if any, othcnvise by SeUer, by the above d.te, Du,.er and SeUer .1.... to e.lend tbe cODlmltm.nl dale oaril
S.lIer terminal" Ihi. Agreement in wrllinll-
J. Scllcr h.. the oplion to lenn;nale this Agreement in wrillng, Oa or aner the mortgage eommitm.nt dale, if lhe
mnrtgage commitment:
a. Is nol valid unIil the date of settlement, OR
b. I. conditioned upon the sale and s.ttlement of aay other property, OR
c. Cantlins any other condition nol specifled ia this Agreement.
4. In the event Seller does not lerminal. this Agreement as provided above, Buyer h... the option to terminat. this
Agreemenl in writing if the mortgllgc commitment:
a. Is not obtained by or valid untlllhe date of settlement, OR
b. Is <:anditioned upon the sale .nd ..ltl.ment ohny otb.r properly which do not occur by the date of settlement,
AlS-211 . SlOIId8,d __I For Tho 8o1e 01 Roollia_, liDO COPYlllGHT PENN$Yl.VAHIA ASllOClllTION OF REf-L TORse 10M
Vtl'$ion 8,07(5.5), RealFAlTe Software PuD!ill'\ing Inc., (e) 2001 R~ XPAPAf':23Q200. Thomu StewltC. Dynamic R.~, InQ.
11 r::: 1'- Pa.',a m'
".Y"")'niliaJl ~ 'T. D4l1Tla11S'27:36 SalIe,a)lI1ItIol, 'lI...I"t
M~Y-09-2001 12:48
J~CKG~UGHEN DBG.
717 432 0042 P.03/20
OR
c. Conlains any other condition not spedfied in this Agreement which Buyer is unable to satisfy by the dale of
senlement.
S. If this Apment is terminated as specified in parallJ'llphs 6 (C) (2), (3) or (4), all deposit monies plid on account of
purchase price will be returned to Buyer. Buyer will be ~ponsible for any premiums for mechanics lien insurance
and/or tille search, or ree for cancellation of same, If any: AND/OR any premiums for nood insurance lIltd/or fire
insurance with extended coveraie, insurance binder charllllll or cancelliuion fee, if any: AND/OR any appraisal f..s
and chal'lles paid in advance to mortgage lender.
(lJ) If Ih. mongage lender requires repai.. to the Propcrty, Buyer will, upon receipt, deliver a copy of the moneaae lender's
requirements to Listina Broker, if any, otherwi.e to Seller. Seller will, within 5 days of receipt of the lender's requiremenls,
notify Buyer whethcr Seller will make the raquired rep.in at Seller's expense.
I. If Seller choose. 10 make rcpairs, Buyer will Rccept tho Property and agree to the RELEASE set forth in p....ll'aph 2S
of this Agreemcnt.
2. If Seller chooses not 10 make the required repairs, Buyer will, within 5 days, notify Seiler in writing of Buyer's choice
10 tonninate this Agreement OR make the required repairs at Buyer's expense and with Seller's premiss ion.
which will not be: unreasonably withheld. If Sell.r denies Buyer permission to mllke the required repairs, Buyer may,
within 5 days of Seller's denial, tenninate this Agreement. if Buyer tenninat.. this Agreemen~ all depo.it monies poid
on accounl of purchase price will be returned promptly to Buyer and this Agreement will be VOIO.
(E) Seller As.ist
D. NOT APPLICAIlLE U1
~ APPLICABLE. Sel er will pay:
\\.),1 .,." ~' , mo."r Urn. toward Buyer'. costs as pmnltted by the mortgage lender.
'f." FHA :4., IF APPLICABLE .
(F) It is expressly "IIrecd thai notwithstanding .ny other provisions of this contract, Buyar will nol be oblipted 10 complete the
purchase of the Property described herein or to incur any penalty by forfeiture of earnest money deposils or otherwise un I...
Buyur has been given, in accordance with HUD/FHA or VA reQuiremenls, a written .tatement by the Federal Hcu.ing
Commissioner, Veterans Administration, or a Direct Endorsement Lender setting forth the appraised value of the
Property of not less than $ (the dollar amount to be insened Is the sale. price as staled in the
AlIreemenl). Buyer will have the privilege and option of proceeding with consummation of the contract without regard to dlC
amount of Ihe appraised v.luation. The appr.ised valualion is arrived at 10 detennine Ihe maximum mong.ge the Departmenl
of Housing and Urban Deveiopment will insure, liUD does not warrantlhe value nor the condition of Ihe Property. lIuyer
should satisfy himself/herself that the price and condition of Ihe Property arc acceptable.
Wornl..: Section 1010 or 1'llIe 18, I.S.C" oep.rtment of Housinll and Urban Development provides, "Whoever for the
purpose of. . . influencing in any way the action of such departmenl . . . makes, passes, utters, or publishes any slatement
knowi,,~ the same LO be false. . . shall b. lined not more than $5,000 or imprisoned not more than two years, Or both."
(0) U.S. Uopartmenl oFHou.ing and Urban D.velopmeut (HUD) NOTICE TO PURCHASERS:
Buyer'. Acknowledgemcul
o Buyer h.. received the HUD Notice "For Your Protection: Oct . Home Inspection" (see Notices and Information on
Properly Condilion Inspections). Buyer understands the importance of gelling an independent home inspection and has
dlought about ulis before signing this Agreement.
8uyer's Inilials Dal. _
(H) CertlnClltlon We the undersigned, Seller(s) and Buycr(s) pSrty to this transaction each certify that the lerms of this conlraCI
ror purch..e are tnle 10 the best of our knowledge and belier, and that any other aareemenl entered inlO by any of these panies
in conn":lion with this transaction is an.ched to this AllTecmcnt.
7. INSPECTIONS(I-98)
(A) Seller hereby agrees to permit inspection. by authorized appraisers, reputable certiliers, insurer's n!presentatives, ~ul'\leyors,
Inunicipa' omcials and/or Buyer .. may be required by the lendina inslitutions, If any, or insuring agencies. Seller funher
agree. 10 pennil any other inspcctions required by or provided for in the lerms of this Agreement.
(A) Buyer reserves the right to make a pr.-senlement walk-through Inspeelion of the Property. Buyer's right to make this inspeelion
is not waived by any olher provision ofthis Agreement.
(C) Seller will have heating and all utilities (including fuel(s)) on for the insp..lions.
8. PROPERTY INSPF.CTlON CONTINGENCY (1-00)
!J. WAIVED. Buyer understands that Buyer has the option to n!quest inspections of ule Property (see Property Inspection a1,tl
Environnu'lIIal Notices). Bl.1YER WAIVES THIS OPTION .nd agr= to the RELEASE set forth in paragraph 25 of this
Agreement.
o ELECTED
(A) Within days of lhe execution of this Ag...men~ Buyer, at Buyer's expense, may choose to have inspections and/or
certlficalions compleled by licensed or otherwise qualified profe.sionals (s.. Property Inspection and Environmental
Notices). This CDnlingcncy dOe$ nol apply to the tollowing !:x.fsting conditions and/or it=ms:
A11-'Z1\ - Sland,reI Ag~m_nt 'or The It,_ Of Rul l.w_, 1100 COPYRIO..-rr PENNSYl vANtA ASSOC\ATrOI't OF REAL TORse 19M
Veraion 6.07(5,5). ~dIFAST. Sof'twll'l Publllrur'lg lne., (c) 2001 ~. XPAPAR230200, Thomas S!ewal'c, Ov"ImK: RAtty, l!'\e.
lluyet(.lln".... c.J;: ~ .
OoiJ17101 t':27:38
Pllg,t,3..ff~
Sel1er(5)lnitial,.~
" MAY-09-2001 12: 49
JACKGAUGHEN DBG.
717 432 0042 P.05/20
(B) Other provisions of this Agrmllent may provide for inspections andlor certifications that are not waived or altered
by Buyer's election here.
(C) If Buyer is nOl satisfied with the condition of the Property as stated in any written report, Buyer will, within tbe tilllc alven
ror co...plotlnlllnspeetlons:
I8l Option I
I. Accept the Property with the infonnatlon slated in the report(s) and agree 10 the RELEASE set forth In paragraph 25 of
litis AllfOCmenl, OR
2. Tenninate the Agreement in writing by nOlice \0 Listing Broker. if any, otherwise to Seller, within the time
given for inspeclion, in which case all deposit man leI paid on account of purchase price will be rctwned prompUy 10
Buyer and this Agreemenl will be YOlO.
o Option 2
I. Acceptth. Property with the information staled in the report(s) and allree to the RELEASE set forth in paragraph 25 of
. this Agreement, UNLESS the total cost to correct the conditions contained in the rcpoR(s) is more titan
5 .
2. I I' the total cost 10 correclthe conditions conll\inod in the report(s) EXCEEDS the amount Ipocilied in paraaraph 8(C)
(Oplion 2) I, Buyer wUI deliver Ihe reporl(s) 10 Luling Broker, If any, olh,""lse 10 Seller, ",ilhia the time
liven for lospecllon.
a. Seller will, within days of receiving thc report(s), inform Buyer in writing of Seller's choice to:
I) Make repairs before settlement so tbat the remaining cost to repair conditions contained in the report(s)
is IlllS than or equal 10 the amount specified in paragrapb 8 (C) (Option 2) 1. ,
2) Credit Buyer at settlement for the difference between the estimated cost of repalrinll tbe conditions
contained In Ihe report(s) and Ihe amount specified in plll8graph 8 (C) (Option 2) I. Thi5 option must be
scceptable to the mongaae lender,lfany.
J) Not make repairs and not credit Buyer al scltlorncnt for any dcfccb in conditions contained in !he
report(.).
b. II' Seller chooses to make repairs or credit Buyer at settlcment as specified in paragraph 8 (C) (Opllon 2) 2,
fluyer will accept the Property and agree to the RELEASE set forth in psragraph 25 of this Agreement.
c. I r Seller chooses not to make repairs and not to credit Buyer at settlement. or If SeUer falb to cboose aoy
opdon within lhe time aiven, Buyer wil~ within days:
I) Accept thc Property with dle informallon stated in the repon(s) and agree to the RELEASE sel fonh in
paragraph 25 of Ihis Agreement. OR
2) Tmninsle the Agreemenl In writina by notice 10 Listing Broker. ir any, otherwise 10 Seller, in
which case all deposit monies paid on aecount of purchase price will be returned promptly to Buyer
and this Aireement will be YOID.
9. WOOD INFESTATION CONTINGENCY (1-00)
o W AIYED. Buyer undcrstands that Buyer has the oplion to requcslthal dIe Property be inspected for wood infestation by a
certified Pest Control Operator. BUYER WAIVES THIS OPTION and agrees 10 the RELEASE set forth in paragraph 25 of
-' this Agreement.
IJll ELECTED
(A) Witl,in I () days of the execution of this Agreement, Buyer, at Buyer's expense, will obtain a wrincn "Wood.
Destroying Insect Inrestation Inspection Report" from a certllied Pest Control Operator and will deliver il and all
supporting documents ""d drawings provided by the Pest Control Operator to Listing Broker. if any, otherwise to Seller. The
report is to be made satill'actory 10 and in compliance with applicable laws, mortgage and Iendina institutions, and/or Federal
Insuring and Guaranteeing Agency reqnirements, if MY. The inspection will include all readily vi,ible and accessible areas
ul all structures on Ihe Property eKcept the following structures, which wfli not be inspeclcd:
(ll) If the inspection rcveals evidence of active infestation(s), Seller agrees, at Seller's expense SlId before ..nlement, to <real for
aClive Infestallon(s), In accordance with applicable laws.
(e) Irthe inspection reveals damage flom aCllve infCStlltion(s) or previous infestation(s), Buyer. at Buyer's eKpense, has the option
10 obtain a writlen report by a professional conhclor, home inspection service, or slructU/'\lI engineer thai is limited to
structUral damagc to the Property caused by wood-dosuoytng organisms and a proposal to repair the damage. Buyer will
deliver Ihe structural damage report and corrective proposal to Listing Broker. if any, otherwise to Seller, within . ?
usys of delivering the original inspeclion report.
(D) Within 5 days of receiving die structural damsge report and corrective proposal. Seller will advise Buyer whether Seller will
repair, at Seller's expense and before settlement, any structural damage from active or previous infestation(s).
(E) II' Seller chooses to repair structural damage revealed by the report, Buyer aKJ'CCS to accept the Property as repaired and agrees
to the RELEASE set forth in paragraph 25 of this Agreement.
(F) IrS.II.r chooses not to repair ,tructural damage reveal.d by the repon or falls to respond witblll the lime liven, Buyer.
wllhin 5 days of ....eeivlog Seller's notice, will notify Sell.r in writing of Buyer's choice to: .
A1S-2K . ."'nal'" Ag.......nl '0' Tha ..I. 01 R.al ..tat.. 1100 COPYRIGHT PENNon VANIA ASSOCIATION OF REALTOR" 10aa
Vllt'llon SCl1(5,5l, Re.tFASTe Softwal'l Publishing Inc.. (c) 2001 "eg# XPAPAR230200, ToorMl Stewart, Oynlmic ~"IIy. Inc.
. Sklywlr(sllnilials ~. H-. 041"101 16:21:36
P'8~t4l~
Setlef(.)lni<<i.~
MAY-09-2001
12:50
JACKc;AUc;HEN DEC;.
10.
717 432 0042 P.06/20
Accept thc Property with the defects revealed by the inspection, without abatement of price and agree to the RELEASE
set rOl'lh in paragraph 25 of this Agreement. OR
Make lhe repain before "'lllemenl, if required by the mortgage lender, if any. at Buyers .mpense l\Ild with Seller',
permission, which will not be unreasonably withheld, in which case Buyer accept. the Property and agrl:C$ 10 Ihe
RELEASE set forth in paraaraph 25 of this Agreement. If Seller denies Buyer permission to make dIe repairs. Buyer
may. within' days of Seller's denial, tem,ina'e this Apement, If Buyer terminale. this Agreement. all depo,ir monies
paid on eccount of purchase price will be returned promptly 10 Buyer and Ihis Agreement will be YOlO. OR
Terminate this Agreement. in which case all depOJlit monies paid on account of purchase price will be relumed
promptly to Buyer and this Agreement will be YOlO.
RESID!NTIAL L!AD-BASED PAINT HAZARD REDUCTION ACT NOTICE REQUIRED FOR PROPERTIES 8UILT
BEFORE 1978 (1-00)
o NOT APPLICABLE
(8. APPLICABLE
(A) S~r represents that: (check I OR 2)
~ i. Seller has nO knowledie concerning the presence of lead-based paint and/or lead-based paint haza,ds ill or
about lhe Property.
Seller has knowledge of lhe presence of lead-based paint and/or lead-based paim hazarlb in or abour U,c
Property. (Provide lhe basis for delenninlng thaI lead-based paint andlor hllZlll'lb exisl, the location(.), lhe
condition of the painted surfaces, and other available Information concerning Selle,', knowledl\e of the
presence orlead-based paint and/or lead based paint hazarlb.)
I.
2.
J.
o
2.
(8) ReeordslRepurls(check I OR 2)
o I. SeUer has no reports or n:cords pertaining to lead-bl!ed paint andlor lead-bll$ed paint hazards in or .bout Ihe
Property.
o 2. Seller has provided Buyer with all available records and reports pertaining to lead-based paint andlor iead-based
paint hazards in or about the Property. (List document:s)
(Cl Buyer's Aeknowledgmenl
IK 1. Buyer has received the pamphletProleCI YOllr Fantllyfrom Lead in Your Home and has read the LKd Wanling
Stalement contoi din th A reement (See Enviroon1ental Notices).
Uuyer'slnllills ,,:;;rk Dale. ll-/f-07 ____
Buyer has reviewed Seller's disc osu orknown lead-based paint and/or lead-ba3c:d paint hazarlb. as identified
in paragraph 10(A) and has received lhe records and reports pertaininll to lead-based paint andlor lead-base"
paint hazards identified in paragraph 10(B).
Buyer's Inidals Dale
(0) RISKASSESSMENT/INSPECTION: Buyer acknowledg.. thaI before Buyer is obligated to buy a residenlial dwellinll
built before 1978. Buyer has a 10 day period (unless Buyer and Seller ag= in writing to a different period of time) to conduel
a risk assessment or inspection of the Property for d,e presence of ICIld-based painll\lldlor lead-based paint ha2lll'ds.
~ W A I YED. Buyer undL'TStands thaI Buyer has the righllo conduct a risk astessmen! or inspection oflhe Propeny to determine
Ihe presence of lead-based paint andlor I.ad-b..cd paint hazards. BUYER WAIYES THIS RIGHT and agrees 10 the
RF.LEASE SeI forth in p.ragreph 2S ofdlis Agrecn'em.
o ELr::CTED
I. Buyer, at Buyer's expense. chootes to obtain a risk assessment and/or intpectlon of the Property for I.ed-based psinl
andlor lead-based paim h=ds. The risk assessment andlor inspection will beeompleted within
days of the execullon of this Arement (insert "10. unless Buyer and Seller aaree to a differenl period nf ,ime).
Wilbin Ille lime sel forlh above for oblalniae lb. risk aSlessmcnl andlor In.pocllon of Ibe Property for
lead-based palnl andlor lead-bued paint hazards, Buyer may deliver to Lisling Broker. if aay. olherwise 10
Seller,. written list uf the specific hazardous conditions cited in the repol'land those correctiolls requested by Buyer.
along witll a copy of Ih. risk assessment andlor inspection report.
S.lIer may. wilhin days of receiving thelisr and report(s), submit a written corrective proposal 10 Huyer.
The corrective propusal will include. but not be limited to. the name of the ram.diation company and a complelion dale
for corrective mc:asurcs. Stiller will provide certification from a risk asSeMor or inspector that eorrcctiVl!:me8Sltre~
have been made satisfactorily on or before the completion date,
Upon receiving the corrective proposal. Buyer. within S days. will:
a. Accept the correcrive proposal and the Property in writing. and agree 10 the RELEASE sel for1h in paragrnph
25 of this Agreement. OR
Temlinate dlis Apment in writing, in which cBSC all deposit monies paid 011 eccounr pfpurehase price will
be returned promptiy to Buyer and this Agreement will be YOID.
Should Seller f.Ulo submil a ..rllleD eorrective prOposalwilbln lbe time .el forth in parallflph 10(D}J or Ihi$
AlI"eemenl. Ihen Buyer. within $ days, will:
.. Accepl the Property in wrilina. and agree to the RELEASE set forth in paragraph 25 of this AllI'eement, OR
N$-2K . Sblndatd ....,.."'..,1 Far The S.I. Of ftHIIIlIll. 1100 COP'rRIGl1T PENNS'1L VANIA ASSOCIATION OF ReALTORS. 100&
"mlon e.07($,~1, ROlllfASTtl $o,""",r. Publitl'ling Inc-, (C) '2001 "-eg. XPAPAA2:J0200, Thomllll Stewaf1, Dynamic ~.IIfy, 100.
Buyur(a) Ir'litlll. C. G ~, 04111101 1a:21;3e
o
2,
2
J.
4.
b,
5.
p'9r~~
S.hr(.) Inii~.1
717 432 ~~42 P.~7/2~
Tenninate this Aereement in writing, in whieh ease all deposit monies paid on account of purchase price
will be returned promptly to Buyer and thi:J Aemllllent will be VOID.
(E) Ccnificalion By silPling this Aereemenl, Buyer and Seller celtify the lceuracy of their respecti.e statements, to the best of
their knowledge.
RADON CONTINGENCY (I-l10)
(A) ~1I.r rcprcsenl3 that: (cheek appropriate raponse(s))
IS I. Seller has no knowledge concerning the presence or absence of radon.
o 2. Seller has knowledge that the Property was lelIted on dIe dates, by the methods (a.g., charcoal canister, alpha track,
etc.). and with the results ofalltes19 indicated below:
DATE TYPE Of TEST RESULTS (picocurieslliter or working I..cls)
M~Y-~9-2~131
If.
12:513
J~CKG~UGHEN DBG.
b.
COPIES OF AL/. A VA/LABLE TEST REPORTS will be delivered 10 Buyer with this Agreement. SELLER DOES
NOT WARRANT EITHER THE METHODS OR RESULTS OF THE TESTS.
o 3. Seller has knowledge that the Property underwent radon reduction measures on the date(s) and by the methodes)
ind icated below:
DATE RADON REDUCTION METHOD
.
WAIVED. Buyer und....tands that Buyer has llIe option to reqllCSt that the Property be inspected for radon by a certified
inspector (see Radon Notice). BUYER WAIVES THIS OPTION and allfO" to the RELEASE set forth in paragraph 2S of this
Agreement.
ELECTED
Buyer, at Buyer's expense, has the option to obtain. &om a certified inspector, a r2don lest of the Property and will deliver a
copy of the test report to Listing Broker, if any, otherwise to Seller, within days ofthe execution of this
Aareement. (See Radon Notice.)
I. If the te.t report reveal. the presence of r2don below 0.02 working lev~ls (4 picocurleslliter), Buyer accepts the
Propeny and agrees to the RELEASE set forth In panl8flIph 2S of thls Apement.
If the test report reveals th. presence of radon at or exceeding 0.02 working levels (4 picocurlesl1iter), Buyer will,
within days of receipt of the test results:
Option I
a.
b.
"
o
(B)
2.
i:l
o
Option 2
a.
b.
c.
Accept rhe Propcrty in writing and asree to the RELEASE set forth In paragraph 2S of this Agreemcnt, OR
Tenninate this Agreement In writing. In which case all depo.it monies paid on aecount of purchase price will
be retUrned promptly to Buyer and this Aareement will be YOlO, OR
Submit a written, corrective proposal to Listing Broker, if any, otherwise to Seller. The cOlTectlve proposal
will include, but not be limited to, the name of the certified mitiption company; provisions for payment,
including rct..ts; and completion date for con-eclive measureS.
I) Within S day. of reeeivini the corrective proposal, Seller will:
a) Agree to the terms of the cometive proposal in writing, in which case BUyer accepts the Property
and agrees to the RELEASE set forth in paral\l'lph 25 of this Agreement, OR
b) Not aaree to the terms of the cOlTective proposal.
2) Should Seller not asree to the terms of the cOlTective propo.al or ralllorespond..ltbilltbetlme~iven,
Buycr will, within 5 days, elect to:
a) Accept the Property in w,'llIng and agree to the REj..EASE ..t forth in paragraph 25 of rhis
Agreement, OR
Tcnninotethi. Agreement in writing, in which cas. all depo.it monies paid on account ofpllrchase
price will be returned promplly to Buyer and this Agrccmcot will be YOID.
h)
Accept [he Property in writing and ail'Oe to the RELEASE set forth in paragraph 2S ofthi. Agreement, OR
Submit a wrinen, corrective proposal to Listing Broker, if any, otherwise to Seller. The correctlve proposal
will include, bul not be limited to, the name of the certified mitigation company; provision. for paymem,
including retests; and completion date for corrective mea.ure.. Seller will pay a maximum of $
loword the Iotal cost of remediation and retests, which will be compl<!lcd by settlement.
I) If the tOLaI cost of remediation and rete.ts EXCEEDS the amount specified In panlgraph II(B) (Option 2) b,
Seller will, within 5 days of receipt of tha cost of remediation, notify Buyer in writini of Seller's choice to:
(a) Pay for the lotal cost of remediation lIIld retests, In which case Buyer acceptS the Property
and aerees to the RELEASE sel forth in plU1Jgrsph 25 of this Asrcoment. OR
(b) Not pay for the total co.t of remediation and ret..La.
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. MRY-09-2001 12:51
STATUS OF WATER (1-00)
(A) Seller ~resenls thalthi. property i. served by:
Ii/:S. Public Waler
o On-site Water
o Community Waler
o None
D
(B) WATER SERVICE INSPECTION CONTINGENCY
Ol WAIVED. Buyer acknowledges Ihat Buyer h.. the option 10 request an inspection of lhe water service for th. Property.
BUYl!R WAIYES THIS OPTION and airee. to the RELEASE set forth in paraifaph 25 onhis Agreement.
o ELECTED
I. Buyer has the option, within days orthe execution of this Agreement and at Buyer'. expense, to deliver
10 listing Broker, if any. oth.......i.e to Sellcr, a written inspection report by a qualified, professional water testing
company of the quality and/or quanllty of the water .ervice.
Seller agrees to locate and provide a~ess to the on-site (or individual) water 9)lstem, If applicable, at Seller's expense.
if required by tha Inspection company. Seller also ai"'es [0 .....tor. the Proporty prior to settlement.
I I' the report reveals that the water service does not meet the minimum slalldards of any applicable govemmenlal
authority and/or fails to satisfy the requiremento for quality and/or quantity set by the mortia~e lender, if any, then
Seller will, within days ofreceipt of the report, notify Buyer in writing of Seller'S ehoice 10:
a. Upgrade the water service 10 the minimum acceptable levels. before settlemenl, in which cue Buyer accept! the
Property and agrees 10 the RELEASE set forth in p....graph 25 of this Agreement. OR
b. Nol upBJ1lde the water service.
If Seller chooses nOI to upgrade the W.leT service [0 minimum scceptable levels. or rails to .....poad within the. time
given. Buyer will, within days, either:
a. Accept the Property and the Waler service and, if required by the mOMgage lender, if any, and/or any
governmenlal authority, upifada the water service before settlement or within the time required by the mOr1~alle
lender. if any. and/or any 1l0~ental authority, at Buyer's expense and with Seller's permission, which will
not be unreasonably withheld, and agree to the RELEASE set forth in pllnlgrapn 25 oClltis Ai"'ClrtCnr. IfSollcr
denies Buyer permission to upgrade the water service, Buyer may. willlin , day. of Seller'. denial, tenninote
this Agreement. If Buyer terminates this Agreeement, all deposit monies paid all account of purchase price
will be returned promptly to Buyer and this Agreement will b. YOlO, OR
Temlinale Ihis AgreemCl1~ In which case all deposit monies paid on accounl of purchase price will be returned
promptly to Buycr and this Agreement will be YOlO.
STATUS OF SEWER (1-00)
(A) Seller lesento that property is served by:
Public Sewer
Individual On-lot Sewage Disposal Systom (Se. Sewage Notice I)
D Individual On-lot Sawaee Disposal Syslem in Proximity 10 Well (See Sewage NOlice ,; see Sewa~e Noti"" 4, ir
applicable)
Communily Sewage Disposal System
Ten-aere Permit Exemption (See Sewaee NOlice 2)
tlolding "ank (S.. Sewage Notice 3)
None (See S.wsge Notice I)
None Available/Permit Limitations in Effect (See Sewage Notice S)
12.
IJ.
2.
3.
4,
JRCKGRUGHEN DBG.
2)
717 432 0042 P.08/20
If Seller chooses not to pay for lhe total cost of remedialion ond retests, or If Seller
falls to choost either option wllhlD the time liveD, Buyer will, within S days. notify Seller
in writing of Buyers choice to;
Pay the difference between Seller's contribution to remediation and retests and the aClUal cost
thereof, in which c:&!e Buyer accepts lhe Property and agrees 10 the RELEASE set forth in
pST1lgraph 25 of this Allreem.n~ OR
Terminate Ihis Aileemen~ in which case all deposit monies paid on account of purchase price
will be returned promptly to Buyer and this Agreement will be VOID.
a)
b)
b.
D
D
o
D
D
D
INDIVIDUAL ON-LOT SEWAGE DISPOSAL INSPECTION CONTINGENCY
W AIYED. Buyer acknowledges that Buyer has the oplion to request an individu.1 on.lot $swage disposal irlSpection or the
Property. BUYER W AIYES THIS OPTION and agrees to the RELEASE set forth in Pllrllgraph 25 orlhi. A&reament.
ELECTED .
I. Buyer has the option. within days or the execution of this A/lI'eemcnl and at Buyer's ""pcnse, to deliver
to Listing Broker, if any, otherwise to Seller, a wrillan Inspeclion reporl by a qualilied. professiorulllnspector "f the
individual on-Io( sewaee disposal .ystem.
~)
o
NS-ZK. Sland",' AlI,"...n< Fo. Tllo Sole or RH' .._. tlOO COPYR,a"T PINNSYLVAHIA ~OCIATIOH OF RW TORse 1.9D
val'tion &.07(5,!), "oeIFAST~ Software Pl,Iblillhing Inc., (~1200' ~og# XPAPAA230200, Thomes sllWI8n. Dyl'\lmlc A.atty, Jne,
&'tor(s) 11'IiUa11 ~ Ii. 0,,/17101 11:57:43
F~lri
SeIler(.) lnit\M
MAY-09-2001
12:51
JACKGAUGHEN DBG.
14.
717 432 0042 P.09/20
Seller agrees to locate and provide access to the individlllll on-lot sewage disposal syslem, and, if required by lhe
inspection company, empty the septic tank, at Seller's expense. Seller also agrees to restore the Property prior to
settlement,
I f the report reveals defeets Ihal do nol require expansion or replacemenl of (he existine sewalle disposal system, Seller
will. within days ofreeeipt of the report, notify Buyer in wrilinll of Seller's eholce to:
.. Correel the defects before settlemenl. including retests, at Seller's expense, in which case Buyer aeeepts U,e
Property end agree:! to tho RELEASE set forth In paragraph 25 of this Agreement, OR
Nol correct the defeCls, or If Seller rails to rapond ",illlin Ibe lime e1nn, Buyer will, within
days, either:
(I) Accept the Propeny and the system and. if required by lhe mortgage lender, if any, andlor any
govonunental authority, correct the dofoclS before selllement or within the time required by the mortgage
lender, if any, andlor any governmental authority, at Buyer's sole expense and with Seller's permission,
which will nOI be unreasonably withheld, and Igree to the RELEASE set forth In plraaraph 25 of this
Agreemenl. I f Seller denies Buyer permission to conecl the defects, Buyer may, within 3 days of Seller's
denial, terminate this Aareamenl. If Buyer lerminates this Agreemenl. all deposit monies paid on account
of purchase price will be returned promptly 10 Buyer and this Aarccment will be YOlO, OR
(2) Terminate this Agreement in writing, in which ClISC all deposit monies paid on account of pun:hase price
will be relurned promptly to Buyer and Ihls Aareentem will be YOID.
If lhe report rovoals lhe need to expand or replace 1110 existing individual on-lot sewage disposal sY"tem, Seller may.
within days of n:cc:ip.t of tho report, submil I correctivo proposallo Sellin, Broker, if any, olherwise
to Buyer. TIle corrective proposal WIll Include, but not be limited to, tho name at the remed,ado" company; provi.ions
for P'lymcnl, including retests; and compietion date for corrective measures. Within ~ dlY" of receiving Selle"s
corrective proposal, or if DO comolive propo.al is .....i..d ",ithia lb. time give., Buyer will:
I. Agree 10 the terms of the correetlve proposal, if any, in writing, in which case Buyer accepts the Propeny and
agrees to lh. RELEASE set forth in paragrTiph 25 of this Aareemcnt, OR
Accopt the ProperlY and the sylilem and, if required by the mongage lender, If any, andlor any &ovemmental
aUlhority, correct the defects before settlement or willlin the time required by the mortgage lender, if any, and/or
any governmental authority, at Buyer'. solo expen.e and with Seller's permission, which will nOI be
unreasonably withheld, and agree 10 the RELEASE set forth In pll'lS"lph 2S of this Agreement. If Seller denies
Buyer permission to correet the defects, Buyer may, within 5 days of Seller'. denial, tenninale this Agreement.
If Buy"" terminates this Agreement, all depolit monies paid on account of purchase price will bc relumed
promptly to Buyer and this Agreement will be VOID, OR
Tenninale \hi. A&reement in writing, in which case .11 deposit monies paid on aceounl of purchase price will
be returned promptly 10 Buyer and this AifeCmenl will be YOlO.
NOTICES, ASSESSMENTS & CER1'IFlCATES OF OCCUPANCY (1..00)
(A) Seller represents as of Seller's execution of lhls AifOCDIent, that no public improvement, condominium or homeowner
association assessments have been made aguiJullhe Property which remain unpaid and thai no noliee by any government or
public luthority has been served upon S.lIer or anyone on Selle~s behalf, including notices relaling to violatlolls of zoning,
housing, building. safelY or firo ordinances which remain uncorrecled, and that Seller knows of no condition thaI would
eonslitute violalion of any such ordinances which remains uncorreeted, unless otllcrwise specified here:
2.
3.
b.
4.
b.
e.
(9) Selier knows of no oU,er potentill notices (includlne violations) and assessmenlS except as follows:
In tho e.ent any notices (Including violations) and assessments are received after O)l.ccution of this Agreement and before
sculement, Selier 1'111I notify Buyer In writing, within 5 days of rocoiving the notice or as.sessment, thaI Seller will:
I. Comply with nOliees and assessments at Sellor's e.pense, in which case Buyer accepts lhe Property and agrees 10 Ihe
RELEASE set forth in paralPph 25 of this Agr.ement, OR
2. NOT comply with notices and assessments at Seller's expense, in which case Buyer will nolify Seller within 5 days ill
writing that Buyer will:
a. Comply with the notices and assessments a1 Buyer'. expense and agroe to the RELEASE set fonh in pal'llgraph
2~ of this Agreement, OR
b. Tenninatc: this A&reement, in which case all deposit monies paid on account of purchase price will be rerumed
promptly to Buyer and this Agreement will be VOID.
If Buyer fails to notify SeUer witbl. Ibe Ilrno glVOD, Buyer aceepts Ibe Property Ind agrees to lbo
RELEASE set rortb in paragraph 25 of Ibis Aa_meaL
Buyer is advised lhal access to a public road may require Issuance of I highway occupancy permit from tha Department of
TranspoMation.
If required by law, within /0 days of the execution of this Agreement, Selier will order for deHveiy to Sellina Broker, if
any, otherwise 10 Buyer, on or before settlement,
I. ^ certification from the appropriate municip2d department or departments disclosin2 notice of any uncorrected violarion
of zoning, housing, building, safely or I1re ordinances, AND/OR
(C)
(I))
(E)
A15-2K . 8tanda..t A._mont Fo, Tilt Salo 01 ~... list.... '100 COPYRIGHT ?ENN5YL VANIA ASSOCIATION OF RI:Al. TORS. 'S..
V8l"SlOl"l &,07(5,5), AulFA$TC SOftwel'e Publllhlng 1nQ'., (el 2001 RIQI XPAPAR.2302QO, Tnomlil Slewart, Oyn.mic Aulty. Ine.
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MAY-09-2001
717 432 0042 ~.10/20
A ccrtineate permittins occupancy orthe Property. In the event repairs/improvements are required for the issuance of the
certificate, Seller will, within S days of Seller's receipt of dIe requirements, notify BUYl'r of the requirements and
whether Seller will make the required repairs/improvements at Seller's expense.
If Seller choOSOl; not 10 make the required replllrslimprovements, Buyer will, willlin S day., notify Seller in wriling of Buyer's
choice 10 tanninale this Asreement OR make the rcpairslimrrovements at Buyer's expense and with Seller's permission.
which Willllol be unreasonably wlthheld. If Seller denies Buyer permission to make dIe required repain, Buyer may, wilhin
5 d~y. of Seller's denial, terminate litis Ag=:ment. If Buyer termlnat.. this Agreement, all deposit monies paid on aceuunl
of purchase price will be returned prompdy to Buyer and tlti. Agreement will be VOID.
12:52
JACKGAUGHEN DBG.
2.
15. TITLE, SURVEYS, & COSTS (I..qO)
(A) The Property is to be conveyed tree and clear of all liens, encumbrances. and easemenll, EXCEPTING HOWEVER Ihe
following: exlsllng deed restrictiono, historic presemlllon restrictiOn> or ordinanca, building restrictions, ordinances,
eMements of roads, easements visible upon the ground, easements of record, privileges or rights of public service companies,
if any; otherwise the tille to the above descnl>ed real estate will be good and marketable and such as will be Insured by n
reputable Title Insurance Comp""y at the nogular rates.
(B) In th. evenl Seller i. unable to give a good and marketable title and such M will be insured by a reputable Title Compauy at
the regular rates, .. specified In paragraph 15(A), Buyer will have the option of taking such title as SeUllf can give without
changinll the price or of being repaid all monies paid by Buyer 10 Seller on account of purchase price and Seller will
reimburse Buyer for any COSIS incUlTed by Buyer for those items specified in paragraph IS(C) and in paraaraph 15(0) il"'IllS
(I), (2), (J); and in the lauer event there will be no furthar liability or obligation on either of the parties hereto and this
AllfCement will beeome VOID.
(C) Any .urvcy or surveys which may be required by the Tille Insurance Company Or Ihe abstracllng auorney, for lhe prcpanlllon
of an adequate legnl description oCtile Property (or the correction thereof), wlll be secured and paid for by Seller. However,
any surveyor surveys desired by Buyer or required by the mortgage lender will he secured and plIid for by Buyer.
(0) lIuyer will pay for the following: (I) The premium for mechanics lien illSlll\lDCC andlor title search, or fee lor cancellation of
same, if any; (2) The premiums for flood inS\ll'lUlce and/or fire insurance with eXlended coverage, Insurance binder char~e. or
cancellation fee, if any; (3) Appraisal fe.. and charges paid in advance 10 mortgage lender, if any; (4) Buy....s custonts')'
seltlement costs and accrual..
16. ZONINC CLASSIFICATION (1-00)
Failure of this Agreemcnlto contain the zonina classification (except in cases where the property {and each parcel thereof, if'
subdividable} is zoned solely or primarily to permil slnsle.family dwellings) will render this Agreement voidAble II the option
of the Buyer, and, If voided, 8Jly deposils tendered by the Buyer wllJ be returned to the Buyer without any requirement fur
court action.
Zonlllg C1a"IFlulioll: R - ,
o ELECTED. Within dsys of the exec:ulion of this Agr..men~ Buyer will verfIY thallhe exislina use of the Property
as is penult/ed.
In the event the use is not permilled, Buyer will, within lh. IIl1to aive. for verificalloD, noli~ LIsting Broker, if '''y.
otherwise SeUer, in writin~ thaI the eltisllnll use of the Property is not permitted and this Agreement will be VOID,
In which case all deposil monies paid on account of purchaS<! price will be returned promptly to Buyer. Buye"s rallure 10
respond ..llhin Ih. lime Iliv,. will conslllut. a WAIVER of Ibis contlnle.ey and all olber lonnl of Ibis AI....melll
remain in full force alld eff.ct.
17. CO"L NOTICE
181 NOT APPLICABLE
o APPLICABLE
THIS DOCUMENT MAY NOT SELL, CONVEY, TRANSFER. INCLUDE OR INSURE THE: TinE TO THE COAL AND
IUOIJTS (IF SUPI'ORT UNDERNEATH nlE SURfACE LAND DESCRIBF.D OR REFERRED TO HEREIN, ANI) THE
OWNER OR OWNERS Of SUCH COAL MAY HAVE THE COMPLETE LEGAL KlGHr '/'0 RfMOVE ALl. SUCH COAL
AND IN THAT CONNECTION, DAMAGE MAY RESUL l'TO THE SURFACE Of THE LAND AND ANY HOUSE, BUll.DlNG
OR OTHER STRUCTURE ON OR IN SUCH LAND. (1111s nolice is set forth in the manner provided in Section I of tile ACI uf
Jllly 17, 1957, P.L. 984.) "Buyer aclc.nowledges tlta! h. may not be oblaining the ri!lhl of protection against subsidence resulling
from coal mining operations, and that the property described herein may be protected from damase due to mine subsidence by a
private conlract with the ownen of Ihe aconomic interests in the coal. This acknowledgment is made for the purpose of complying
with the provisions of Section 14 of the Bituminous Mine Subsidence and 1JI0 Lsnd Conservation Act of April 27. 1966." Buyer
agrees to sign the deed from SeUer which deed will contain th~ aforesaid provision.
18. POSSESSION (1-98)
(M Possession is to be delivered by deed, keys and:
,. Phy.ical possession to a vacant building (if my) broom-clCllll, free of debris at day and lime of I.lllement, ANOIOR
2. Assignment of exisling lease(s), together with any security deposits and interest, at time of Senlement, if Property is
tenant-occupied at Ihe execution of this Agreement or unles. otherwise specified herein. Buyer will !cknowledge
..Isting '"sc'(<) by initialing said I-.(s) at time of silll1lng or thil Agreement, if Property is lenantoOCCupied.
(Il) S.llcr will not enter Into my new leases, Wlillen extension of exisling leases, if any, or additionallcases for the Property
.AJ$_2K . Stand,rd Agreement For The a.I.- Of R_I E.brt.~ 1100 COpmlGHT PENNSYL.VAN1A ASSOCIATION OF ReAl. TORse 19ge
v"'"'" a.o7('.5). R..I'AST... Sollwlro Publlohino Ino.. (e) 200' RtgIt XPAPAR230~OO, Thomas SIlIWIII. Cyrnlm;c R..Ity, Inc.
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().4117101 18:57:.43
Page t of l'
SeU-i:t) 1"11..1& _
MAY-09-2001 12:52
JACKGAUGHEN D8G.
717 4320042 P.l1/20
19.
without expressed wrinen consent of Buyer.
RECORDING (3-8!) This Agreement will not be recorded in the Office for the Recording of Deeds or in any other office or place
of public rccord and if Buyer causes or pennils Ihis Agree.nen! tll be recorded, Seller may elect to tre.t such act as a breach of !hi,
Agreemenl.
ASSIGNMENT{J-8S)This Agreemenl will be binding upon the panics, Iheir respective heirs, personall'llpresentatives, guardians
ano successors, and 10 Ole extent assignable, on the assigns of the parties herelo, it being expl1:$sly understood, however. thai Buyer
will not transfer or a..ign this ^i""mont without the written consenl of Seller.
DEI'OSIT &. RECOVERY FUND (I-OO)
(A) Deposits paio by Buyer within 30 days of senlemenl will ba by cash, cashier'. or certified check. Deposits, regatdlOl$3 ur the
fonn of payment and the person deoignated .. payee, wtll be paid to Broker or pany identified in paragraph 3(f), who will retain
them 1" an escrow account until consummation or termination or thi3 A&rcen1ent in c:onronnity with all applicable lows Ilnd
!e2ulalions. Any uncashed check lendered as depasil may be held pending the acceptance of this ofTer.
(ll) In the ovenl of a dispute over entitlement to deposit monies, a broker holding the deposit is required by the Rule, amJ
Regulations of the Stale Real Estate Commi..ion (49 Pa. Code 135.327) to retain the monies in escrow unlilthe dispute Is
resolved. In the event of litigation for the relorn of deposit monies, a broker will distribute the monies as directed by n final
ord~.,. of cOlin or the wrillen Agreement of the parties. Buyer and Seller agree that in the event any broker or affiliated Iicens""
Is joined in litigation for the relwn of deposit moni"", the attorneys' f."" and cost! of Ihe broker(s) and Iicensec(s}
will be paid by thc party joining them.
(C) A Real Eslate Recovery fund e~Isu to reimburse any persons who have obtained a final civil judgmenl again't a
Pennsylvania real estate licensee owing to fraud, misrepresentation, or deceit in a real estate transaction and who have been
unable 10 collect the judgment afler exhausting all legal and equitable remedies. For complete details about Ihe Fund. call
(717) 783.3658, or (800) 822.2113 (within Pennsylvanie) and (717) 783-4854 (ouulde Pennsylvania).
glNI)OMINIUM I PLANNED COMMUNITY (HOMEOWNER ASSOCIATION) RESALE NOTICE (I-DO)
ag NOT APPLICAElL.E
o APPL.ICABL.E: CONDOMINIUM
Buyer acknowledges that the Property is. unit ofa condominium that Is prUnarily run by a unit owners' association. 13407 urthe
Uniform Condominium Act of Ptnnsylvll/lia requirft Seller 10 furnish Buyer with. Certificate of Resale and copies of
the condominium decl"",tion (other than plat! and plans), the bylaws, and the rules and regulations of the as'ociallon.
o APPLICABLE: PL.ANNED COMMUNITY (HOMEOWNER ASSOCIATION)
Buyer acknowledges thar the Property is part of a planned community as defined by lbe Uniform Planned Community Acl.
(See Definition of ptanned Community Notice for the definition contained in the Act). ~S407(a) of the Act I'llquires Seller to
furnish Buyer with a copy of lhe Declaration (other than plats and plans), the bylaws, the rules and regular ions <If the
..sociation, and a Certificate containing the provisions set forth in 15407(a) of tile Act.
(A) Within days of the execulion oflhls AlUeement. Seller will submit a requost to Ihe association for a Certificale of
Ressle snd (he documents nceoss8" 10 enable Seller to comply with the Acl. The Act provide. lhat the usociation i. required
to provide thes<: documents within 10 days of Seller'. requcst.
(R) Unde! the Act, Seller is not liable 10 Buyer for the failllre or delay of the association to provide the Certificate in a rimely
manner. nor i. Seller liable to Buyer for any erroneous information provided by the association and included in the Cenilieate.
(C) I~uyer may declare this Agreemenl YOID at any time befol'll Buyer's receipt of the as,ociation documents and for 5 days
therealler, OR until settlement, whichever occurs first. Buyer's notice declaring the Agreement void musl be in writln~:
Ih.re.ller all deposit monies will be returned 10 Buyer.
(0) In the event the association has lbe right to buy the Property (right of first rcfusal), and the IISsociation exercises that right.
Seller will reimburse Buyer for all monies paid by Buyer on accowll of purchase price and for any costs incurred by Buyer
for: (I) The premium for mechanics lien insurance andlor title ,earch, or fee for cancellation of same, if any: (2) The
premiums for flood insurance andlor rlfC insurance with extended coverage, insurance binder charges or cancellation fee. if
IIny: (3) Appraisal fees and charges paid in advance to mortlllge lender, if any: (4) Buyer's customary settlement cosls and
act..i\lals.
MAINTENANCE" RISK OF LOSS (1.00)
(A) Scllcr will maintain the Propeny, ground" fixture'. anO MY persona' property speclflcally scheduled herein in its presenl
condition, nonnal wear and tear ""cepled.
(Il) In the event .ny 'ystem ur appliance included in the ,ale of the Property fails and Seller does not repair or repl.ee Ole ileOl.
Seller will promptly notify Buyer in writing of Seller's choice co:
I. Repair or replace the failed system or appliance before settlement or credit Buyer at senlement for Ole fair marker value
of the failed system or appliance (this option must be acceptable 10 the mortgage lender, if any). In each case, Buyer
aecep" the Property and agreeo to the RELEASE s.. forth in paragraph 25 of this Agreemenl, OR
2. Make no repairs or replacements, and not cl'lldit Buyer at settlement for the fair market value of the failed system or
appliance. in which case Buyer will nollfy Seller in writing within 5 days or before sOlllernent, whichever is 500ner,
that Buyer will: -
a. Accept the Property and agree to the RELEASE set forth in paragraph 25 of this Agreement, OR
b, Terminate this AgreemCOl~ in which cue all deposit monies paid on account of purchase price will b<l rehlNled
promptly to Buyer and this Agreement will be YOID.
20.
11.
12.
23.
AIS-IK . 3t1ndard Ai'"""'"t !lor Tho Sa.. Of RNI EllUl". 1/00 COPYRIGHT PENNSYt.VANIA ASSOClATION 0' R!AL TORSII19$JO
V.tSlOfl e 07(5.5), RlMlFASTe Software ~ubli.hlng Inc., (e) 2c01 A:ega XPAPAR230200, Thorn.. Stew8rt. Oynamie Roslty, Jnc:
8uyer(I) Initial. tt. rt. 01111710118:58:08
P... y..' ~s
SeIlef(I) Inm..
14.
MAY-09-2001 12:53 Jf'lCKGAUGHEN DBG.
717 4320042 P.12/20
(e) SeUer will bear risk of loss from fire or other casualties until lime of settlement. In the event of damage by lire or orner
casualties to any property included in this sale that is not repaired or replaced prior to ..ttlement, Buyer will have the option
of rescinding ulis ^areement and promptly receiving all monies peid on account of pur<:lIaH price or of aceeptinB the Property
io its then condition logether with !he proceeds of any insurance recovery obtainsble by Seller. Buyer is h<<eby notified Ihat
Buyer m.y inlur. 8u~r's equitable interest in this Property as of the time of exec:ution of this Agreement.
WAIVER OF CONTINCJi:NCIES (1-00)
In the eWllt thi. Agreemcol is conlingent on Buyer's right to inspect andlor repair the Property, Buyer's f.lIure 10 tllorcise .oy
of Unyer's opltoos witbin Ibe lime lImilll spoemed iu Ibe eonllngeoey provt.slon(s) ...iII eoa.lllure . WAIVER of 'b.t
con/lnceney and Buyer aeceplS Ihe Property end 'Cre., 10 Ihe RELEASE set Cortb ia paraarapb 1! of Ibis Ag_meat,
RELEASF. (1-00) Buyet bereby relea.ea, quit claim. and Cor.....r discharllS SELLER, ALL BROKERS,lb.lr LICENSEES,
li:MI'lOYEES, and AOY OFFICER or PARTNER of Iny one DC Ibem and I.Y olb.r PERSON, FIRM, or CORPORA1'ION
wbo mAY b. 1I0bl. by or Ihroup Ih.m, from Iny a.d III eleim., lo..,s or lI....nd., llldulllllg, bul 00' 11m lied 10, pe""oual
Injuries MIld properly dlmllle ..d all of lb. eoasequenee. Ibereof, wbether now kaowa or aol, wblcb mlY iris. from lh.
pres.nce of lermiles or olber wood-borial in.."ts, ",don, I..d-based painl baznds, eavlrollmOJltal blZard.. lay d.f.cl. In
Ih. iadlvlaull au-lot ,.wllc dispo,"1 sy.lem or deflciencie. In Ibe 00-111. waler son-lee sy.tem, or..y deC.cls or eoadition.
00 Ihe Properly. This rel.ls. will survive teltlcmeal.
REI'RESENTA'fIONS (I-OU)
(A) Buyer underslands lhat any rep""entalions, claims, advcrllsins, promolionll acllvilies, broehura or plans of ony kind made by
Seller, Brokers, their license.., employees, officers or partnern are not a part of this AlP'eemenl, unl..s expressly
incorporated or .1IIted in Ihis Agreemenl.
(B) II Is undcnlood Ibat Buyer bn. In.pected Ibe Property before aiplna Ibi. A.reemenl (Iueludial fixtures and
.ny ,)Orson.l propcrty .p..m.."y .cheduled berein), or u. waived Ihe r1llhll0 do .... aad ba. _creed to purcb..e it ia
its pr.senl coadllion unless olhel1l'isc staleella Ibis Alreemeal. Buyer aekllowled.fI Ib.1 Brak."" Ibeir liceas...,
employees, omc.n or p.rtners bav. aol mlde aa ladepaad.al oumlnation or det.rmlallloa oC lb. .Iroctural
.oundness of Ihe Property, the .,. or caudllloa of Ih. compaueals, envlroatn.atal oollditio.... the permitted IlS01, or of
eondUlon. "fsUng in tbe loaIf. whe.. Ihe Property Is situ. led; lIor Itavo tltey made a mechanlc.fln.p.clloa oC .ny or
lb. .yst.ms conlalard IlIerei..
(e) It is further undenrood that dlis Asr=m1nl conlains the whole agreement between SeUer and Buyer and there at. no other
terms, obligations, covenants. rlpresonlllllons, .tatements or conditions, ond or otherwise of any kind whatsoever cancerning
this ..t.. Furthemore, this Agreement will not be alterl!<l, amended, changed, or modifled excepl in writing executed by
th. parties.
(0) The headings, captions, and lin. number> In llli, Agreemcnt are meant only to make il casler 10 find the paragraphs.
TIME OFTHE ESSENCE- DEFAUL l' (1-00)
Thc said time for selllemenr and all other limN referred to lor the 'pcrfonnanco of any of the obligation, of lhis Agreement .r.
hereby agreed 10 be of Ille ess.nce of this Agreement. For the purposes of this Agreement. number of dlYs will be counecd From r/le
date or e."""Llon, by excluding tll. d." thi. Agreement was executed and including the last day of the time period. Should Buye,':
(A) Fail to make allY additional payments as .pecltled in paralP'aph 3; OR
(S) Furnish false or incomplete informalion 10 Seller, Listing Broker, Selling Broker, or the mortgage lender, if any, conc.mini
Buye~s le&"I or nnanciai S"'tUll, or fail to cooperate in !he processing oClhe mongaseloan applicalion, which ael! would ",s.lIt
in the failure 10 obl.in the approval of a mortS-Se loan commitment; OR
(C) Violate or tail to fulfill and perfonn any other t.rms or conditions afthi. Agreement;
then in such case, SeU.r has the option of rctaininll .11 sums paid by Buyer, including the deposit monies, I) on accaunl of
purchas. price, or 2) as monies to be applied to Scller's domalles, or 3) as liquidated damages for such l>rcach, as S.lIer may
elect, unl... olb'l1I'lse checked below.
I8l Soll.r is limited to retaining sums psid by Buy.r, including deposit monics, as IIquidaled damages.
II' Sell.r .Iccl. to retain .iI sums paid by Buycr, including deposit monies, as liquidated dllllaies. Buyer and Seller will b.
relellSod from turthe,liabiHty or obligation and this Allreement will be VOID.
IIUOKERS (1-00) The Bu'in.... Retation,hip. betw= lIle Broker(s) and Seller and Buyer lU'e.S follows, UNLESS a diFrcrent
relationship i. ahecked below.
(A) The Listinll Broker is Ageot For SeUer.
(ll) The SelUng Broker is Agenll;,r Buyer.
(e) When the I.isling Broker and Scllinll Brok<< are the same, lIle Broker is . Dual Aacnt. Dual Agency applies to .11
licens..., UNLESS there is a D.signated Agcnt(s) for Seller and a Designated Agcnt(s) for Buy.... If the sam. licen.ee i.
de.il!l1ated for ScUer and Buyer, lhelicensee is a Owl Agent.
A Ilu.I...a Relalion.hip .ltiat.lhal is dift'.reul from lbove, as folluws:
o The Selling Broktl' is the AgenVSubagent far Seller.
o The Selling Broker is a Transaction licensee.
o The Listitlg Oroker is a Tl11nsaclion Liccn.ee. .
(D) Broker(s) may perform stn'ices to assislllnrepresented parties in camplrin~ with the terms of thi. Agreement.
MEDIA TION (7-96)
o NOTAVAILABI.E
25.
26.
27.
28.
29.
AlS-'2t'. . SUindard Aireemem For 1M h'. Of A..' Eatale. "M COPY~IGH1 PENNSYLVANIA ASSOClAT10N 0' "EAl TORS* 1,ae
Vtmen 6 07{!U), Rea1F~1e SOftwlre Publishing InC., (e) 200\ ""- XPAPAA230200, 1hcmlQ Sl....,,, OyMrrttc ~Hlty, Inc.
Buyer!s) ll\il.ala c.E: ti . Q.4f17fO' '6:27:38
PI90 lVlf&'
s.t1et(')lnilillll;~:....
. MAY-09-2001
71'(' 4..jC::: 1:::llO"'fO:::::: r. J.....'.c:......
WAIVED. Buyer and Seller understand that they may choo.eto m.dia~ at a later date, should a di.pute aT;..e, but dIal theN!
will be no obligation on the part of any party to do '0.
ELECTED
(Al Buyer and SeUer will try to resolve any dispute or elainl that may arise from this Alireement through mediation,
in accordance with the Rules and Procedures of the Home SellerslHome Buyers Dispute RllSoluliun System. Any
agreement reached through a mediallon conFereoc:e and .igned by the parties will be binding.
(B) 8uyer and Seller acknowledge rhal they have received, read, and understand the Rules and Procedures of the I lame
Sellers/Horn. Buyers Dispute Rosolmion Syst.m. (See Medillion Notice.)
(C) .l1li. Igreement co mediale dispute. ari.ine from this Agreement will .urvive settlement.
12:54
JACKGAUGHEN D8G.
o
I8l
lIuy.r and S.Uer a.knowlcdc. Ihat Ihe" bun re.d and 1I0d....t.od III. ooli... and uplan.lory inform.lion ,el forlh In chis
Aereemenl.
Buyer aeknowle.dges reed'vlng a copy or IhD AJroemebl at Ihe limo of slRnina.
NOTICE TO PARTIES: WHEN SICNED, THIS AGREEMENT IS A BINDING CONTRACT. Retum by faesimile
lransmlsslon (I' AX) of Ihis Agreemenl, aDd all .ddenda, bearing lbe sllo.tv..... of all parties. eoa.ll\ules ICeeplan..
or tllis Aer.emenl. "arlios 10 Ibil tranuetion are .dvised 10 eonsult an allorney befo... alebln, if Ihey desire Icpl advie..
WITNESS 7'r--r-':W--.t.. _~,Y-BVnl'. Ca...) {}\-\ad.rv~L.... Ol\"~
q-/?-C?!
Email
~.I\et. hereby 3pproves ch. above conrract this (d.te)
and in consideralion of che services rend.red in procuring the Buyer, oller "l!"'e.to pay e named Listing Broker a fee of
olffroll1 the herein specified sale price. In the evenl the auyer deFaults hereunder. any monies paid on account will be divided
, Sell.r, , Listing Broker, bul in no event will the sum paid to Listing Broker be in excess
of,he above ,pecified Broke(s Cee.
()
\ill'NESS
;",u/&uud
()
SELLER
Y-~i no.. . ..(fA. ;t Q. ...........~TE:
f
y/~~/IJL
EmaU
Orokors'/Li.en...s' C.rlinealions (check .1I1h1la.. applicable),
o Rq:ardlnc Lead.Baud Painl Hazard. Plseloaure: Raquired If Properly Wat bullllldore 1978: The undersigned Licensees
involved in this Iransaelion, on behalF of Ihem.elves and Ihelr brokers, cortify thaI their slatements lII'e true 10 the best of their
knowledge and belief.
Acknowledglllont: The Licens..s invol_ed in this transaction h.ve informed Seller of Seller's obligations under lh.
Residenlial Lead Paim HB2lIrd Reduction Act, 42 U.S.C. 48S2(d), and are aware of their responsibility 10 en.ure compliance.
o Reprding FHA MOrles,os: The undersigned Licensees involved In this transaction. on behalf ofthemaelves and their brokers,
certify that the term. of this contract for purchaie are true 10 the best of their knowledge and belieF, and lhat any olher
agreemenl entered into by any of tho.. parties in eOllneetion with thi.tTan....tioll is allached to this Allreemenl,
I8l Regardlne Modi.lIon: The undersigned 0 Listing Broker ~ Selling Broker agree 10 submit 10 mediation in a.cordance
with paragraph 29 of this AgreemenL
e.f.</J
DATE
b I
'-I) fj tJ!
LISTINO BROKER (Company Name)
ACCEPTED BY
AJS-ZK . S'-ndA,d Agf'Ml'Ytent For Tho Sale Of "..I "gte, 1 COINRIGH1' PENN~t. VAH\A A$SOClAT10N Of REAL TORM! '196
VerSJon 6,07('.5), RealF AST. SofMre Publil1'ltn9 Inc" (c.) 200' RtgIi X,=aAPARZSOZOO, Thom.. SWwart, D)loamlc R.QlIY, In.;:.
OAn710118'21:'3e
Pig, 12 of 19
Tax Parcel No. 13-24-0797-122
THIS INDENTURE,
MADE THE d L./~ day of fI7/LY
(2001)
, two thousand one
BETWEEN
CAROL L. EAGLE, formerly CAROL LEE HENDRIX,
Executrix of the Last Will and Testament of
HENRIETTA L. JAMISON, late of Lower Allen Town-
ship, Cumberland County, Pennsylvania, party of
the first part,
and
CARL E. HOLLINGSWORTH, single person, of Camp
Hill, Cumberland County, Pennsylvania, party of
the second part:
WHEREAS, the said Henrietta L. Jamison by her Last will and
Testament, duly proved and recorded in the Cumberland County
Register of Wills Office, Pennsylvania, in Docket Book 21-01-
0480, Letters Testamentary being issued on May 16, 2001, pro-
vided, in pertinent part, as follows:
FIFTH: In addition to all powers granted to them
by law and by other provisions of this will, I give the
fiduciaries acting hereunder the following powers,
applicable to all property, exercisable without court
approval and effective until actual distribution of all
property:
(A) To sell at public or private sale, or to
lease, for any period of time, any real or personal
property and to give options for sales, exchanges or
leases, for such prices and upon such terms or condi-
tions as are deemed proper...
EIGHTH: I nominate and appoint my husband,
CHARLES L. JAMISON, Executor of this, my Last will and
Testament. In the event of the death, resignation or
inability to serve for any reason whatsoever of the
said Charles L. Jamison, I nominate and appoint CAROL
LEE HENDRIX, Executrix of this, my Last will and
Testament. . .
NOW THIS INDENTURE WITNESSETH, that the said party of the first
part, by virtue of the power and authority aforesaid, in said
will contained, and in consideration of the sum of Seventy-six
Thousand Dollars ($76,000.00) to her paid by the said party of
the second part, at and before the ensealing and delivery of
these presents, the receipt whereof is hereby acknowledged, has
granted, bargained, sold and conveyed, and does hereby grant,
bargain, sell and convey to the said party of the second part,
his heirs and assigns forever:
ALL THAT CERTAIN piece or parcel of land, with the building and
improvements thereon erected, being known as Lot No. 111 on
revised plan of Lots laid out for Allen Park Development
corporation, called "Cumberland park", as recorded in Plan Book
4, Page 86, Cumberland county records, situate on the Westerly
side of Wayne Road (formerly Avenue "L"), Cumberland Park, Lower
Allen Township, Cumberland county, Pennsylvania, bounded and
described as follows, to wit:
BEGINNING at a point on the Westerly side of Wayne Road (formerly
Avenue "L") (50 feet wide) at a distance of four hundred fifty
and two one-hundredths (450.02) feet measured South twenty-six
(26) degrees twenty-six (26) minutes thirty (30) seconds East
from the intersection of the said side of Wayne Road (formerly
Avenue "L") with the southerly side of Cumberland Drive (formerly
Avenue "F") (50 feet wide) (both lines produced); thence along
the westerly side of wayne Road (formerly Avenue "L") South
twenty-six (26) degrees twenty-six (26) minutes thirty (30)
seconds East a distance of one and thirty one-hundredths (1.30)
feet to a point of curve; thence still along the said side of
Wayne Road (formerly Avenue "L") in a Southerly direction along a
line curving to the right having a radius of two hundred thirty-
nine and forty-four one-hundredths (239.44) feet the arc distance
of seventy (70) feet to a point; thence along Lot No. 112 South
sixty-eight (68) degrees fifty-five (55) minutes thirty (30)
seconds West a distance of one hundred ten and thirty-two one-
hundredths (110.32) feet to a point; thence along other lands now
or formerly of Allen Park Development Corporation North twenty-
six (26) degrees twenty-six (26) minutes thirty (30) seconds East
a distance of sixty (60) feet to a point; thence along Lot No.
110 North sixty-three (63) degrees thirty-three (33) minutes
thirty (30) seconds East a distance of one hundred twenty (120)
feet to the first mentioned point and place of BEGINNING.
BEING the same premises which Allen Park Development Corp., a
Pennsylvania corporation, by deed dated March 2, 1950 and re-
corded March 3, 1950 in the Cumberland County Recorder of Deeds
Office in Deed Book l1Jl1, Volume 14, Page 263, granted and con-
veyed unto Charles L. Jamison and Henrietta L. Jamison, husband
and wife. The said Charles L. Jamison died September 29, 1986,
whereupon full and complete title to the within described real
estate became vested solely in Henrietta L. Jamison. The said
Henrietta L. Jamison died May 5, 2001.
UNDER AND SUBJECT to said Reservations and Restrictions as
contained in prior deeds.
TOGETHER with all and singular the rights, liberties, privileges,
hereditaments and appurtenances whatsoever thereunto belonging or
in anywise appertaining, and the reversions and remainders,
rents, issues and profits thereof, and all the estate, right,
title, interest, property, claim and demand whatsoever of the
said Henrietta L. Jamison at and immediately before the time of
her decease, in law or equity or otherwise howsoever, of, in, to
or out of the same:
TO HAVE AND TO HOLD the said granted premises to the said party
of the second part, his heirs and assigns forever.
AND the said party of the first part, does covenant, promise,
grant and agree, to and with the said party of the second part,
his heirs and assigns, by these presents, that the said party of
the first part, has not done, committed, or knowingly or
willingly suffered to be done, any act, matter or thing what-
soever, whereby the premises aforesaid, or any part thereof, is,
are, shall or may be charged or incumbered, in title, charge or
estate, or otherwise howsoever.
IN WITNESS WHEREOF, the said party of the first part has here-
unto set her hand and seal the day and year above written.
Signed, Sealed and Delivered
Jz1he Pre8en~~Or
/. kJ' I] f1x~'V
~ _--(1..1..: / .-
( /
~
-, 'I r '7 f. '
I. J -<..~ ~~~\\.1' h':dHC",,\,',!
\. It,,c. '..f _ >~ . .:;---" _ r---\'
(\".(,<J L'e,. '/1,.",);,,-...
(SEAL)
Carol L. Eagle, formerly
Carol Lee Hendrix, Executrix of
the Estate of Henrietta L. Jamison
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
On this, thed,.(i!:-day of ~ , 2001, before me, the
undersigned officer, personally appeared Carol L. Eagle, formerly
Carol Lee Hendrix, known to me (or satisfactorily proven) to be
the person described in the foregoing instrument, and acknowl-
edged that she executed the same in the capacity therein stated
and for the purposes therein contained.
IN WITNESS WHEREOF, I
seal.
Nolalial Seal
Suzanno L. Cramer, Not~lry Public
Hampden Twp.. Cumberland Coun{y
My Commission Expires May 20. 2002
r..'lomber, r8i,f'lS"r"\/2.!1iil l\~;:;cc;a::cll 01 Not:.J.IIC:S
(SEAL)
0'$;/2. Old 'L
CERTIFICATE OF RESIDENCE
I do hereby certify that the precise residence and complete
post office address of the within named grantee is 5 Wayne Road,
camp Hill, PA 17011.
2001
Attorney/Agent for Grantee
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
RECORDED on this day of
200 , in the Recorder's Office of the said County,
Deed Book , Volume , Page
Given under my hand and the seal of the said office,
the date above written.
,
in
, Recorder.
A US DEPARTMENT OF HOUSING and URBAN DEVELOPMENT OMBNo 2502-0255
SETTLEMENT STATEMENT \\\\\1'\\0
1..1M.p,j,,1
CORNERSTONE
LAND TRANSFER, INC. B. TYPE or LO^N
4705 East Trindle Road 1.1 [FHA 2.[ JFMHA 3:X I CONY, UNINS
Mechanicsburg. PA 17055 4_1 jV'" 5.l1CONV INS
6. FILE NUMBER I 7 LOAN NUMAEI1
Phone: (717) 730-9664 Fax: (717) 730-9665 10239 215032
8. MoAT, INS. CASE NO:
C, NOTE' This lotlll ~ \umished \0 give-you a sla1emen\ 01 actual sememenl cosls Amounts pa'ld \0 and by Ihe, salllement agent ale shown I!ernsrnarked
'(p DC)' were p8ld outside the closing: lhey ale shown here lor informational purposes and are nollncluded in the lolals
o NAME AND ADDRESS OF BORROWER E. NAME AND ADDRESS OF SELLER- F. NAME ANI) ADDRess OF LEN()En
CARL E. HOLLINGSWORTH ESTATE OF HENRIETTA COUNTRYWIDE HOME LOANS,
JAMISON, CAROL L. EAGLE INC.
EXECUTRIX 4830 CARLISLE PIKE
MECHANCISBURG Pl\ 1705S
--
r..I'IIOPEIlIY LOCATION H. SEHLEMEN! AGENT' I. SETILfMENI (lAIr
CAMP HIIJL
5 WAYNE ROAD CORNERSTONE LAND TRANSFER, INC. OS/24/01
LOWER ALLEN TOWNSHIP PLACE OF SETTLEMENT: Pr
CUMBERLAND COUNTY 4705 EAST TRINDLE ROAD, MECHANICSBURG
J. SUMMARY OF BORROWER'S TRANSACTION: K- SUMMAAY OF SELLE-R'S iRANSACTlOl'l'
1O(). GROSS AMOUNT DUE FROM BORROWER 40ll GROSS AMOUNT DUE TO SELLER
IOLConlract sales price 76000.00 401,Conlracl sales price 76000.00
102, Persona) prope~ 402Personalprope;~
103, Selllemenl charoes to borrower (line 1400) 3235.19 '"
'" ,,.
lOb ".
Adjustments lor items paid by seller in advance Adjustments for items paid by seller in advance
IOG,Gily!Townlax '0 406 CllyfTowll lax to
IOI.Counlyla.x 05 24TOlto 12 31/01 197.72 407COUtltylax 05 24/011012/31/01 197.72
1011. Assossmonls '0 ~08,Assenmenls to .
109. SCHOOL OS/24/011006/30/01 48.23 '"' SCHOOL OS/24/011006/30/01 48.23
'" to '" '0
'" SWR/REF:$67.50IQEND7/1/01 27.37 '" SWRIREF:$67.50 QEND711/01 27.37
II:> '"
1:>0 GROSS AMOUNT DUE FROM BORROWER 79508.51 ~20 OROSS AMOUNT DUE TO SELLER 76273.32
~oo AMOUNTS PAl\) BY OR ItlBE:HAl.F OF BORROW'l1.R 600 REDUCTIONS IN AMOUNT DUE TO SELLER
201 LJoposilorcmnestmoncv 500.00 60lExcessdeposit (see inslruc1iolls)
202 rtincipal amounl of new loan(s) 60800.00 502 Setllemenl c:hal<1es toseltet (line \400) 6190.00
:>0:1 Existillnloan(s) taken subjcc:llo 503 Exislinn loan(s) taken subjecllo
:>01 5M,Payoll of First Mortgagn Loan
2ND MTG. COUNTRYWIDE Hm E 15200.00
'0' 50spayoU of Second Mottgage Loan
206 '0'
'0' SELLERS CONCESSION 4400.00 '0' SELLERS CON CESS ION 4400.00
'0' W,
209 '0'
Adiuslmenls 101 items unpaid by sellel Adjuslmenlsforilernsunpaidbvseller
:>1O,Cily/Townlax to 510.Cily/,Townlax to
211 Counly la~ to !ittCo1Jnlvlal< 10
:>12 Assessmenls to 512 Assessmcnls '0
213 SCIlOOL to ", SCHOOL '0
:>11 '"
215 '"
,,, '"
'" 511
". '"
?llI '"
220. TOTAL PAID BVIFOR BORROW'I1.R 80900.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 10590.00
300, CASH AT SETII.EMENT FROM OR TO BORROWER 600, CASH AT SETTLEMENT TO OR FROM SELLER
31lt. Gross amolK\\ due (mmoonowGI {line 120) 79508.51 60lGmss amount due to seller (line 420) 76273.32
302. Less amounMid ~ror borrower (line 22m 80900.00 602.Less reduction amount due seller (line 520) 10590.00
3113. CASH (l J FROM) U litO} BORROWER 1391. 49 603. CASH U XTO) ([ J FROM) SELLER 65683.32
(It,JC''H,./L',,, ,,,,Sbtr C',,,u10 l. '(.....l~-I ?1<eC(.I-uK
(<:':
'f
-+
;c::l
BllyOIorBo"owor'sS"ynalura
Scl1a,'sSlgnaluro
HIID I [1"v fil6ll
U.0 UU'NlIML:Nl Uf-llUUSll\l(; ^ND UI\H(\I~ Ulll\_LUI'l''I\\-I~\
SEI rLEMEN! SIAIEMLNI
OI-,1II1.n, ',!~JI.}'! U;I):,
l. SETTl;";MENT CHARGES 1 0 2 3 9
lOa TOTAL SAlEs/BAOKER'S COMMISSION based on price $
Division 01 Commission (tine 700) as follows
11)1 $ 2685.00 10
702 $ 2635.00 to
703 Commission paid al Selllement
70.
800 ITEMS PAYABLE IN CONNECTION WITH lOAN
BO I Loan Origination Fee %
802 Loan Discount %
603 Appraisal Fee to
804. Credil neport to
805 Lenders InspeclionFee
800 Morlga e Insurance Application Fee 10
807 Assumplion Fee
B08 TAX SRV.
B09 FLOOD CERT
610 DOC PREP
8"
76000.00 7.0
Total: 5 320.00
JACK GAUGHEN REALTOR ERA
DYNAMIC REALTY
LANDSAFE APPRAISALS
COUNTRYWIDE HOME LOANS
300,00
25,00
COUNTRYWIDE HOME LOANS,
COUNTRYWIDE HOME LOANS
COUNTRYWIDE HOME LOANS,
90.00
25.00
350.00
'"0 ITEMS REQUIRED BY lENDER TO BE PAID IN ADVANCE
90' Interesl'rom 05 24 01 \005 31 01 @, Id,
902 Mortgage Insurance Premium lor mo \0
'"' Hazald Insurance Premium lar " 10
90' y" 10
905
109.92
39.65
Imo
Imo.
Imo
Imo.
Ima
Imo
Imo
{mo
lOOO_ RESERVES DEPOSITED WITH lENDER FOR
1001 HazardlnsUfance 3 mo_@$
1002 Mortgage Insurance mo, @$
lOOJ Cily/lown tax mo,@$
lOO~ Counly lax 5 mo. @$
1005 Assessmenls mo.@$
1006 SCHOOL TAX 13 ma,@$
1007 ma.@$
lOOS AGG. ADJ mo.@$
1100. TITLE CHARGES
1101 Soltlenle!llorclosin 'eo to
\ \(12 Abstract CI lilla 56mcb 10
1\03 Iilleex[lrninalion to
1104 Tille insurance binder 10
1105 OocufT1onl preparalion 10
1106 Notary'eos to
1107 A\\orney'slees 10
(includes above items No,:)
1108 Tille Insurance 10
(includes above items No.
Lender's coverage $
Owner's coverage $
WIRE FEE
C.S.LET'l'ER
TAX CERT
GOVERNMENT RECORDINQ AND TRANSFER CHARGES
Recording lees: Deed $ 25 . 50 Mort age $ 55 . 50
City/county lax/stamps Deed $ 760 . 00 Motl a e $
Slalelax!slamps: Deed $ 760. OOMortga e$
2ND MTG. RECORDER
24.42
73.26
27.21
-157.74
JAMES BOGAR ES
NOTARY PUBLIC
POC
14.00
6.00
CORNERSTONE LAND TRANS FE
FIDELITY NATIONAL TITLE
CORNERSTONE LAND TRANS FE
4.00
1109
1110
ltll.
\\\2.
1113
1200.
1201
1202
1203
1204
1205
1300, ADDITIONAL SEnlEMENT CHARGES
1301 Survey 10
1302 Pestlnspeclion 10
1303. TRANSACTIO
""
1305.
\400. TOTAL SETTLEMENT CHARGES (enler on IInos 103 and 502. Sections J (U\d K\
1102
60
76
1103
800
000
CORNERSTONE LAND TRANSFE
1104 100 300 81
Mise. $
81.00
760.00
760.00
OF DEEDS
33.50
JACK GAUGHEN REALTOR ERA
100.00
3235.19
6190.00
1'~,li~. ~ll'M l"~1 nn IlnbllHy", n..umnd by S.,""'m..nl ^g....t hJf lh~ accu(.c~ 01 i..lo,,,,.lIon lu,..i.h..d by olh",. D. 01""... on th~ 11\)0-1 s~llI",..'",1 slal.."''',,1. s..III~",,,,,t
^g",,1 fl"'cby ".p,....l~
"'.~"'.,. Itm 'illhl1n <:fr.poall "n~ amounl. cnn"clnd 1<>. dfllbu,.nmnnlln Itn Inler".1 b...'lng ,ccou"lln 8 f8do>,.11y In!lll,..d b,.lIlutlon nnd 10 c,ndil nnv 1"1"'0.1 .0 ""mod In
il. oWn Dcco",,1 n' ~drlllio..81
cn"'I'''''','Unn rm il. """,lcn.u, ",I.r'''''8Rcllnn
HUD CERTIFICATION OF SUYERS AND SEllERS
I '''we carclully reviewed 1M HUD.l Settlement Statement and 10 the beslof my knowledge and belle', Ills alrue and accurale slalement of all recoipls and disbursomonls
mad" on my i1CCOllnl by me In this transaction. I furlhof cerlify thai I have fecelved a copy ollhol HUD.t S<lutemel'l\ S\a\em{\\'\\
~ Obvl {I t-/~,,~...,~ ~ Oo,cL J-. ";-:tc.~ i ?~Hd,,"
Buy.., c, 1l0""W&,'8slgnolurn
Snll8"8Signo!u'e
Seller"sNew^dd,"'s&Pt"",,,
Ruvor'.^ddro.o!\.I'l'oM
l'U"8ndoccu'ol..ccounlclt~I'1r8n8.clion_lhaveC8u.od orwillc8"..,1I1"lund.lobCdlsbur."di"occo,d"<lcewllhlhi..laloInonl
..s- d '1--0 J
Oal" '
I ~~,I~'k:~I\~::,~~li'olo Iho Unil"d 5101". on Ihl$ n' 8n~ 'lmlta, lorm r"M~'" upo" ccnvic!ion can Include 0 lino 8n<1 imp,i.""n'ont ror d..18ilo Soo
1l\J1)-lHov"lA6
REV-1503 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
Henrietta L. Jamison
SSlf 190-26-6833
05/05/2001
21-2001-0480
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 18 shares UGI Corporation, CUSIP #902686104 - Common 26.09 469.62
stock
TOTAL (Also enter on line 2, Recapitulation) 469.62
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc:.
Form REV-1503 EX (Rev. 1-97)
REV-1S08 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Henrietta L. Jamison
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
SSII 190-26-6833
FILE NUMBER
21-2001-0480
05/05/2001
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
NUMBER
1
DESCRIPTION
Distribution from Estate of Louise V. Nagle - (copy of Report of
Trustee attached)
VALUE AT DATE
OF DEATH
52,033.00
2
Distribution from Estate of Louise V. Nagle - final (copy of
Final Report of Trustee attached)
543.15
3
MBNA Procurement Services Inc. - Refund
4.96
4
Waypoint Bank - Savings Account No. 50062513, date of death
balance $7,804.62, accrued interest $1.69
7,806.31
5
Waypoint Bank - Certificate Account No. 556173210, date of death
balance $9,002.03, accrued interest $4.63
9,006.66
6
Waypoint Bank - Certificate Account No. 556248978, date of death
balance $688.78, accrued interest $10.97
699.75
7
1994 Dodge Sedan, Vehicle ID No. lB3AP28D6RN2l482l - Sold at
private sale
4,000.00
8
Contents of home and personal property - sold at public and
private sale
703.07
9
Graham Oil Transports - Interest in oil well
60.00
TOTAL (Also enter on line 5. Recapitulation) $ 74,856.90
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-15GB EX (Rev. 1-97)
DAVID A. DUNKIN, P .A.
Attorney at Law
170 West Dearborn Street
Englewood, Florida 34223
Telephone 941-474-7753
Fax 941-475-1954
E-Mail-ddunkin@ewo1.com
November 2,2001
James D. Bogar, Esquire
One West Main Street
Shiremanstown, P A 170 II
Re: Louise V. Nagle
Dear Mr. Bogar:
For your information, all of the affairs of Mrs. Nagle are almost completed. All that remains is
for her final tax return to be filed with the Internal Revenue Service and the taxes, if any paid and
therefore I am happy to enclose a check to the order of the Estate in the amount of $52,033.00,
which represents one sixth of the balance of the assets remaining in the trust. This represents the
overwhelming majority of the share of the estate to which the estate is entitled to receive. After
the tax return has been filed and assuming there is no refund or additional taxes, the balance
remaining will be distributed.
I enclose for your information a Report of Trustee that summarizes the assets that were in the
Trust at the time of Mrs. Nagle's death, the expenses that have been paid and the amounts
available for distribution to the beneficiaries of her trust. In her later years, Mrs. Nagle's only
worry was that she would run out of money before her passing. Obviously this did not occur and
I am sure that she is happy that each of her beneficiaries will be able to put the funds received to
good use.
Assuming there are no objections, please have Carol L. Eagle, Executrix of the Estate of
Henrietta L. Jamison, sign and return the endosed Receipt in the envelope provided for that
purpose.
Should you have any questions, please do not hesitate to contact my office at your convenience.
Yours truly,
DAVID A. DUNKIN, P.A.
"
/" .- -<<~~/
/... /L
'~____~-.oc-~~
David A. Dunkin
DAD/ns
enclosures
REPORT OF TRUSTEE
LOUSIE V. NAGLE TRUST
(Date of Death - November 7, 2000)
As of the date of Mrs. Nagle's demise, her assets consisted of a Checking Account
maintained at SunTrust Bank for the benefit of the Trust, Account Number 0298003108015, and
as of October 3 I, 2000, the balance in that account was $36,575.22; a Merrill Lynch Investment
Account, Account Number 722-32078, and as of October 3 I, 2000, the balance in that account
was $325,308.16; her home and personal possessions in the home. I have attached copies of each
of these accounts for the period ending October 31, 2000. For the last several years, Mrs. Nagle
was able to stay in her home with the assistance of home health aides. She passed resting
comfortable in her home on November 7, 2000. During the course of the Trustee's handling of
this Trust, all funds have been earning interest and have just recently been removed from an
interest bearing status in order to aide in the final distribution of the assets of the Trust.
Under the tenus of her Trust, the possessions in the home were sold and the proceeds
received ($1,777.23) were given to her church. Also under the tenus of her trust, the home was
sold and the proceeds divided equally between the persons named in the trust to receive the
proceeds from the sale of the home.
The probate of Mrs. Nagle's Estate has now been completed, all of the expenses with the
exception of the final accountant's fee and my fees for service as the Trustee of the Trust for the
three years prior to her death, tenuination fees and attorney fees, have been paid. There are no
known expenses remaining to be paid or dealt with.
Description
Amount
Merrill Lynch Account - 10/31/00
$325,308.16
SunTrust Account - 10/31/00
$36,575.22
Costs and Expenses paid during the administration of the estate
$44,975.82
Assets remaining on hand as of 11/2/01
$329,201.44
Attorney and Trustees Fees of David A. Dunkin. P.A.
-$15,923:00
Accounting Fees
-$500.00
Reserve to be disbursed when final ta.'{ returns have been filed
-$580,44
Current amounts to be distributed
$312,198.00
DAVID A. DUNKIN, P .A.
Attorney at Law
1 70 West Dearborn Street
Englewood, Florida 34223
Telephone 941-474-7753
Fax 941-475-1954
E-Mail -ddunkin@ewo1.com
January 14,2002
Carol 1. Eagle
c/o James D. Bogar, Esquire
One West Main Street
Shiremanstown, Pennsylvania 17011
Re: Nagle Irrevocable Trust Dated October 26, 1995
Dear Ms. Eagle:
For your information, all monies have been received and all expenses have been paid on
the Louise Nagle Estate Trust. I enclose with this letter a letter regarding your Schedule
K-l, Beneficiary's Share ofIncome, Deductions, Credits, etc. for 2000.
At this time, as Trustee, I am making the final distribution to each of the beneficiaries
under the trust. Enclosed please find your check in the amount of $543.15. Also
enclosed please find a Receipt that I ask that you sign and return in the enclosed
envelope.
Should you have any questions, please advise.
Yours truly,
DAVID A. DUNKIN, P.A.
/
~
David A. Dunkin
DAD/cas
enclosure
FINAL
REPORT OF TRUSTEE
LOUSIE V. NAGLE TRUST
(Date of Death - November 7, 2000)
With the previous report, the sums of$500.00 were reserved for the accountant's fee and $580.44
was reserved for miscellaneous expenses. The following is a summary of the final amounts under
the control of Trustee.
Description
Amount
SunTrust Account Balance from prior Report
$1,080.44
$2,216.41
$287.07
Final Amounts Received from Estate
Additional Deposits Since 11/2/01
Accountants Fee Paid
-$325.00
Final Distribution Amount
$3,258.92
Y'l WaYRqipKt
LOOK FOR U5. WEU GET YOU THERE.
JAMES BOGAR
ONE WEST MAIN ST
SHlRESMAL'\lTOVv'N P A17011
The information which you requested on the HENRlETTA JAMISON ESTATE
(Social Security Number 190-26-6833) is as follows.
Account Ownership
500062513 556173210 556248978
SAVINGS CERTIFICATE CERTIFICATE
031775 052190 051694
7804.62 9002.03 688.78
1.69 4.63 10.97
7806.31 9006.66 699.75
SOLE SOLE SOLE
Account Number(s)
Class of Account
Date Opened
Principal Balance
Accrued Interest
Balance at Date of Death
Name of Joint Owner, if any
Date Ownership Was Established 031775
052190
051694
Additional Information Requested PLEASE COMPLETE W-9
Sincerely,
Irzttr:l 0017
Kathy L. Young
~Qn;l""\~ C::.or'f7i~QS' PQP
P.O. BOX 1711. HARRISBURG. PENNSYlVANIA 17105-1711
Toll Free 1-866-WAYPOINT (1-866-929-7646) . www.waypointbank.com
REV-1509 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Henrietta L. Jamison
SCHEDULE F
JOINTL V-OWNED PROPERTY
SSf! 190-26-6833
05/05/2001
FILE NUMBER
21-2001-0480
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
A.
SURVIVING JOINT TENANT'S) NAME
Carol L. Eagle
ADDRESS
4113M Beechwood
Harrisburg, PA
Lane
17112
RELATIONSHIP TO DECEDENT
Daughter
B.
c.
JOINTLY-OWNED PROPERTY,
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE Incrude name of fInancial InstitutIon and bank: DATE OF DEATH DECD'S VALUE OF
account number or sImilar Identifying number.
NUMBER TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S-INTERES
1 A 11/01/61 PNC Bank, N.A. - Checking 39,429.36 50.00% 19,714.68
Account No. 5140031821,
date of death balance
$39,429.36
TOTAL (Also enter on line 6, Recapitulation) $ 19,714.68
T
(If more space is needed insert additional sheets of the same size)
CopyrIght (c) 1996 form software only CPSystems.lnc.
Form REV-1509 EX (Rev. 1-97)
, JUL -06-2001 08: 24
PNCBANK CIF DEPARTMENT
412 705 0057 P.01/01
QPNCBAN<
Deeedent Reporting
Firstside Center
P7-PFSC-4-F
500 First Avenue
Pittsburgh, PA 15219-3128
ISCP
July S, 2001
James D. Boaar
One West Main Street
Shiremanstown, P A 170 II
RE: Estate of Henrietta L. Jamison, Deceased
SSN: 190-26-6833
000: 515/2001
Dear Mr. Bogar:
Please find the datc of death balances you have requested listed below.
CHECKING ACCOUNT
#5140031821
Established 1lI0 1/1961
HENRIETTA L JAMISON
CAROL EAGLE
000 Balance: $39,429.36 (non-interest bearing)
Our office only provides date of death balances for IRA's, CD's, Checldna and
SaviDlsllt:COuuts. We do l:iQ Flnanetsl Transactions or Statement Orders. For
Further Informatiou please ~ 1.800-4-BANKER or your local PNC Branch and
ask to speak with a Flnanetal Services Representative.
~~~
Rachellc Sciullo
1-800-762-1775
A m.mller of no. I'NC Flnonelol Servi= Group
On~ PNC Plaza 249 Firth Avc:nuc Pittsburgh ~Msyfv..nia 15222 2707
TOTAL P.01
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Henrietta L. Jamison
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
REV.'S'OEX "'('-97)
SSil 190-26-6833
05/05/2001
FILE NUMBER
21-2001-0480
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
DESCRIPTION OF PROPERTY % OF
ITEM INCLUO~ TH't,NAME OF THE TRA~SFE!'o:EE THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
AELATIONSHI TO ECEOENT AND TH OAT OF TRANSFER.
NUMBER ATTACH A COpy OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE)
1 Prudential Investments - 1,907.04 1,907.04
Annuity Contract No.
A2014036, Beneficiary:
Carol Eagle (daughter)
TOTAL (Also enter on line 7, Recapitulation) $ 1,907.04
(If more space is needed, insert additional sheets of the same size)
COJ::yrfght (e) 1996 form software onty CPSystems. Inc.
Form REV-1510 EX (Rev. '.97)
JUN 18 '01 12:33 FR PRUDENTIAL INUESTMENT215 784 2529 TO 917177372086
P.01/02
Ci$ Prudential
Prud.nllallnveetm.nts
P",~.ntl.1 Annuily $$rvlQos
P.o. Box 13379 Philadolplrio. PA 19101
Pox It. (21') lltI_11 Phon. *' (~1')784-8737
FAX COVER SHEET
SENDING TO
DATE: June 18.2001
NAME: James Bogar
FAX #: 717-737-2086
PHONE #:
FROM: Roger Pluff (877) 778-2329
(2IS) 658-5611 FAX
TITLE: POST ISSUE APPROVER
MESSAGE: RE:
Enclosed please find a letter concerning contract number A2014036
held by Henrietta Jamison. If you bave any questions please feel free
to contact the Dumber listed above.
NUMBER OF PAGES"': 2
IT there is a problem with this transmission, please call sender
A DiYiIien of
f"NOenllllnalU'lnco GonlfJMr of Amartc:i11
JUN 18 '01 12:33 FR PRUDENTI~L INVESTMENT21S 784 2529 TO 917177372086
P.02/02
l.8 Pmdential
Prvdentlallnvntments
Prudential Annuity Services
PO Box 645
Fort WashIngton. PA 19034
(888) 778-2888
JAMES BOGAR
AITORNEY AT LAW
FAX 717-737-2086
Contract Number: A2014036
Payee: HENRIETTA JAMISON
Date' June 18, 200 1
Dear Mr. Bogar:
We have been received your letter dated June 4,2001, in which you requested information
regardin: the above listed policy. I would like to infonn you that the claim bas been processed for
this contract with payments continuing to the beneficiary, Carol Eagle.
As per your request the value of this annuity contract at the time of Henrietta Jamison's date of
death was $1,907.04.
If you have any questions or concerns, please do not hesitate to call our Customer Service Center
at (888) 778.2888 between the hours of 8:00 a.m. and 9:00 p.m., Eastern time, Monday through
Friday.
Sincerely,
~p#J
Roger J. Pluff
Admin Services Rep
Periodic Payment Center
A Ofvflk:ln of nse PrudAnUllnsuranoe Ccmparly Q( ~
** TOTAL PRGE. 02 **
REV-1511 EX ~(1-':m
COMMONWEALTH OF PENNSYL.VANIA
INHERITANCETA:x. RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Henrietta L. Jamison
5511 190-26-6833
05/05/2001
FILE NUMBER
21-2001-0480
Debts of dec.edent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
1.
AMOUNT
DESCRIPTION
1
FUNERAL EXPENSES:
Neill Funeral Home
Funeral billjbalance due
189.00
ADMINISTRATNE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City State _ Zip
Year{s) Commission Paid:
2.
3.
Attorney's Fees James D. Bogar Esquire
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
5,950.00
City
Relationship of Claimant to Decedent
State
Zip
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
I
Other Administrative Costs
Carl E. Hollingsworth - Contribution towards costs of real estate
purchase (as set forth and agreed to by decedent in Item 6(E) of
Agreement for the Sale of Real Estate, a copy of which is
attached hereto)
4,400.00
2
Cornerstone Land Transfer - Tax certification
4.00
3
Dynamic Realty - Commission re sale of real estate
2,635.00
4
Home Helper Services - Services rendered
86.92
5
Jack Gaughen Realtor ERA - Commission re sale of real estate
2,685.00
Total of Continuation Schedule(sl
2,203.85
TOTAL (Also enter on line 9. Recap"ulal;o") $ 18,153.77
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97)
Estate of: Henrietta L. Jamison
Soc Sec #: 190-26-6833
Date of Death: 05/05/2001
Continuation of Schedule H-B7
(Other Administrative Costs)
Item
If
Description
Amount
6
Jack Gaughen Realtor ERA - Transaction fee
100.00
7
Notary Public - Fee re sale of real estate
6.00
8
Patriot News Co. - Advertisement to sell auto
17.00
9
Recorder of Deeds - Realty transfer tax
760.00
10
RESERVES: Costs to conclude administration of Estate including
filing fee for PA Inheritance Tax Return, Inventory and First &
Final Account; preparation of Personal and Fiduciary Income Tax
Returns
750.00
11
Smart Move Makers Inc. - Services rendered
270.00
12
UGI Utilities - Gas bill
300.85
2,203.85
F1EV~ 1513 EX + (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Henrietta L. Jamison
SSfF 190-26-6833
05/05/2001
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [Include outright spousal dlstributrons, and
transfers under Sec. 9116{a){1.2)]
1 Carol L. Eagle (fka Carol Lee Hendrix)
4113M Beechwood Lane
Harrisburg, PA 17112
RELATIONSHIP TO DECEq~NT
Do Not List Trustee(s)
Daughter
NarE: Charles L. Jamison predeceased
Henrietta L. Jamison, having
died on September 29, 1986.
FILE NUMBER
21-2001-0480
AMOUNT ?~. SHARE
OF ESTATE
Rest, residue
and remainder
of Estate
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18. AS APPROPRIATE. ON REV 1500 COVER SHEET
II. NON- TAXABLE DISTRIBUTIONS,
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
C.)pyright \c) 2000 form software only The Lackner Group, Inc.
0.00
Form REV-1513 EX (Rev. 9.00)
1Enst Bill nub Westnuuut
OF
HENRIEITA L. JAMISOO
I, HENRIE1TA L. JAMISOO, of J..m...:r Allen Township, Cunberland County,
Pennsylvania, make, publish and declare this as and for my Last Will and Testarrent.
hereby revoking all other Wills and Codicils heretofore made by TIE.
FIRST: I direct the payrrent of all my just debts and funeral expenses.
including my grave marker and all expenses of my last illness, shall be paid from
my residuary estate as soon as practical after my decease as a part of the ex-
penses of the administration of my estate.
SEcaID: I devise and bequeath all the rest. residue and remainder of
estate of whatever nature and wherever situate. together with any insurance
policies thereon, unto my husband, a-IARlES L. JAMISON. provided he survives TIE
by sixty (60) days.
THIRD, Should II1Y husband, Charles L. Jamison, predecease rre or die on
or before the sixty-first (6lst) day following II1Y death, I devise and bequeath al
the rest, residue and renainder of my estate of whatever nature and wherever
situate, together with any insurance p.:>licies thereon, unto my daughter. Q\ROL
LEE HENDRIX.
FOUR1H: Should my daughter. Carol Lee Hendrix, predecease Ire, I devise
and bequeath her share \.D1der this, my Last Will and Testament, \.D1to my grandchild
lXlUGlAS S. HENDRIX.
FIFTIl: In addition to all powers granted to them by law and by other
provisions of this Will, I give the fiduciaries acting hereunder the following
'::,. powers, applicable to all property, exercisable without court approval and
'}.{
effective until actual distribution of all property:
(A) To sell at public or private sale, or to lease, for any period of
J<.
ti.rre:, any real or personal property and to give options for sales, exchanges or
leases, for such prices and upon such terms or conditions as are deemed proper.
(B) To partition, subdivide, or irrprove real estate and to enter into
agreerrents concerning the partition, subdivision, :irrpravenent, zoning or managene t
of real estate and to i.rrpose or extinguish restrictions on real estate.
(C) To ccrnpranise any claim or controversy and to abandon any property
which is of little or no value.
(D) To invest in all fOI11E of property, including stocks, conmm trust
funds and nnrtgage invest:lrent funds. without restriction to mvest:Irents authorize
for Pennsylvania fiduciaries. as are deened proper, without regard to any princip e
of diversification, risk or productivity.
(E) To exercise any option, right or privilege granted in insurance
policies or in other investm.mts.
(F) To exercise any election or privilege given by the Federal and
other tax laws, including, but not necessarily being limited to, personal incone,
gift and estate or inheritance tax laws.
(G) To make distributions to my herein naned beneficiaries in cash or
kind or partly in each.
SlXIH: I direct that all inheritance, estate, transfer, succession
and death taxes, of any kind whatsoever, which may be payable by reason of my
death, whether or not with respect to property passing under this Will, shall be
paid out of the principal of my residuary estate.
SEVEN'lll: All interests hereunder, whether principal or incorre, while
undistributed and in the possession of the fiduciaries acting hereunder, ~ven
thJugh vested or distributable, shall not be subject to attacl.1m;;!nt, execution or
sequestration for any debt, contract, obligat1on or liability of any beneficiary,
and furthenrore, shall not be subject to pledge, assignrrent, conveyance or anti-
cipation.
EIGlnH, I noorlnate and appoint nv husband, ClIARLES L. JAMISON, Executa
of this. my Last Will and Testanent. In the event of the death, resignation or
inability to serve for any reason whatsoever of the said Charles L. Jamison, I
nominate and appoint CAROL lEE HENDRIX, Executrix of this, my Last Will and
Testatrent. I hereby relieve my Executor frool the necessity of posting security
in connection with his duties as such in any jurisdiction in which he nay be
called upon to act insofar as I am able by law to do so.
IN WI'lNESS WHEREOF, I have hereunto set my hand and seal to this, TT!Y
last Will and Testanent, this '7 day of
71L{l.~j
, 1985.
'7L"" tLt' ~, ,,<an:
, Henrietta L. J son
(SEAL
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Signed, sealed. published and declared by the above naned Testatrix as
and for her La.st Will and Test:anent in our presence, 'Who, at her request, in her
presence and in the presence of each other, have hereunto subscribed our narres as
attesting witnesses.
Address
,~7a<""tf) ,,1 '-"'iU .
U .
q2fL/( J:fi!)Oi~
Address
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