HomeMy WebLinkAbout01-25-06 (2)
REV-1500 EX + (6-00)
OFFICIAL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
'*
FILE NUMBER
2.1 05
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
0677
NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Koch, Margaret J.
DATE OF DEATH (MM-DD-YEAR)
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172-01-0141
DATE OF BIRTH (MM-DD-YEAR)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
06-23-2005
03-04-1908
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL)
01 Original Return 0 2. Supplemental Return 0 3. Remainder Return (date of death prior to 12-13-82)
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I- 04 0 0
~~(/) Limited Estate 4a. Future Interest Compromise (date ot death after 5. Federal Estate Tax Return Required
oll:~ 12-12-82)
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:rOO [!J 6. Decedent Died Testate (Attach 0 7. Decedent Maintained a Living Trust(Attach 0 8. Total Number of Safe Deposit Boxes
011:....
0.01 copy of Will) copy of Trust)
0.
c( 09. Litigation Proceeds Received 0 10 S:p-ousal Povert~ Credit (date of death between 0 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
. 1 -31-91 and 1-1- 5)
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NAME
Jennifer B. Hipp
FIRM NAME (If applicable)
Bogar and Hipp Law Offices
TELEPHONE NUMBER
717-737-8761
COMPLETE MAILING ADDRESS
1 West Main Street
Shiremanstown, PA 17011
1. Real Estate (Schedule A)
(1 ) 154,500.00 OFFlqAL USE ONLY
(2) None
(3) None r"'.:1
(4) None c... '
. .
(5) 4,404.00
(6) 7,007.54
(7) 9,349.42 ',-~',:"';
(8) 175,260.96
(9) 37,278.74
(10) 5,778.35
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) 0 Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
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10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
(11 )
43,057.09
132,203.87
0.00
12. Net Value of Estate (Line 8 minus Line 11)
(12)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has
not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(13)
(14)
132,203.87
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15)
z or transfers under Sec. 9116(a)(1.2)
0
i= 16. Amount of Line 14 taxable at lineal rate 132,203.87 x .045 (16)
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D.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
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0
U 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18)
>< x
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I- 19. Tax Due
(19)
0.00
5,949.17
0.00
0.00
5,949.17
Copyright 2002 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00:
RK.
Decedent's Complete Address:
STREET ADDRESS
106 South Stoner Avenue
CITY Shiremanstown
I STATE PA
/ZIP 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
5,949.17
5,961.44
297.46
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
6,258.90
TotallnterestlPenalty (D .... E) (3)
4. If Line 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
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(4)
309.73
(5)
(5A)
(58)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;................................................................................ 0 ~
b. retain the right to designate who shall use the property transferred or its income;................................... 0 ~
c. retain a reversionary interest; or............................................................................................................... 0 ~
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .................................................................................................................... ~ 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... ~ 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ................................................................................................................... ~ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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 all information of which preparer has any knowledge.
ADDRESS DATE
103 Quark Court
Kill Devil Hills, NC 27948
iI14/"
DATE
ADDRESS
ADDRESS
1- / Lf ~(1b
DATE
For dates of death on or after July 1, 1994 and before January 1, 1
surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate impos'
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot a trans
of assets and filing a tax return are still applicable even if the sur\!
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a decea~
natural parent, an adoptive parent, or a stepparent of the child is
The tax rate imposed on the net value of transfers to or for the u
991161.2)[72P.S.99116(a)(1)].
The tax rate imposed on the net value of transfers to or for the I..~_ _
defined under Section 9102, as an individual who has at least one parent in commUII v..... _.
1 West Main Street
$,/ ---~tt'\wn PA
~\:,~ \> ~ .
~ - ~ ~ \J
17011
e net value of transfers to or for the use of the
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to or for the use of the surviving spouse is 0%
3.X, and the statutory requirements for disclosure
;iary.
)e or younger at death to or for the use of a
,ficiaries is 4.5%, except as noted in 72 P.S.
, 12% [72 P.S. 99116 (a) (1.3)]. A sibling is
jecedent, whether by blood or adoption.
Rev-1502 EX+ (6-98)
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
FILE NUMBER
21-05-0677
All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which Is jointly-owned with right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Real Estate - - All that certain piece or parcel of real estate having erected thereon a 154.500.00
dwelling house being known and numbered as 106 South Stoner Avenue,
Shiremanstown, Pennsylvania. The property was acquired by David H. Bryan and
Margaret J. Bryan, husband and wife, by deed dated January 3, 1950 and recorded
January 13, 1950 in the Cumberland County Recorder of Deeds Office, a copy of
said Deed being attached hereto and incorporated herein. The said David H. Bryan
died March 7, 1960, whereupon full and complete title became vested solely in
Margaret J. Bryan, surviving spouse. The said Margaret J. Bryan, is also known as
Margaret J. Koch, the Decedent herein. The above-described real estate was sold
pursuant to an Agreement for the Sale of Real Estate dated June 22, 2005, a copy of
which is attached hereto and incorporated herein. Final settlement took place on
August 31, 2005. 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 the real estate was $154,500.00.
TOTAL (Also enter on Line 1, Recapitulation)
154.500.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule A (Rev. 6-98)
FEE.SIMPLE DEED-Typewriter
Clarion Press, Harrisburg, Pa.
ml1ia 3Ju~cuturr,
j$labe tfJe
.____.__. 3rd ---.--....Jay of._.......... . . January .--..-." -, in the year of 0lIl' Lord On.
Thousand Nine Hundred mul Fifty (1950)
~dtuttn DA.VID H. BRIA.N. married man. of the Borough of Shiremanstown,
County of Cumberland and state of Pennsylvania, Grantor, hereinafter called
the party of the first part,
A ~. 'D -
DAVID H. BRIAN and ~ARET J. BRYAN.. his wife. of the Borough
of Shiremanstown, count.1and state aforesaid, Grantees, hereinaftex: called
the parties --- . ~
..---,~_.._..---"--'---
-'-
~.."......_oJ""------
,.................,..,.-.
",...... -.'
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of the second part, _itllt.55ttb, That the said part y of the first part, for and in consideration
of the sum of One ($1.00) Dollar, and natural love and aUectton
:Dilibot, lmvftil nl~ney of the United States of America, well and truly paid by the said parties of the second
part to the said part y of the first part, at alld before the sealing and delivery of these presents, the receipt
whereof is hereby acknowledged, has granted, bargained,
sold, aliened, enfeoffI'd, released, conveyed, und confirmed and by these presents do es grant, bargain, sell,
alien, enfeoff, release, convey, and confirm unto the said par~ies of the second part -. their. ..----
heir.. and assigns,
~U that certain lot or piece of land 8i tuate in the Borough of ShiremanstOll1l,
County of Cumberland and state of Pennsylvania. bounded and described as follOWS,
to wit:
..13EGINNING at a point on the western line of stoner Avenue at the
northern line of a proposed street to be known as Walnut street; thence west-
wardlyalong the northern line of Walnut street one hundred forty-nine and
sevenw-seven hundredths (149.77) feet to a point,; thence northwardly parallel
wi th the western line of stoner Avenue seventy (70) feet to a point; thence east-
wardly pavallel with the northern line of the proposed street to be known as
Walnut street one hundred forw-nine and seventy-seven hundredths (149.77) feet
to a point. the western line of' stoner Avenue; thence southwardly along the .
western line of stoner Avenue seventy (70) feet to -a point, the place of beginning.
Together with the right ?f ingress ani egress to said land hereby
conveyed on that portion of Walnut street beginning at the eastern line of Stoner
Avenue and extending westwardly to a point one hundred forty-nine and seventy--
seven hundredths (149.77) feet from the western line of Stoner Avenue.
BEING the same prem\.ses which Clarence G. stoner ani Blanche V. Stoner,
his wife. by- their deed dated June 2. 1949. granted and conveyed unto David H.
Bryan. Grantor herein. which deed was recorded June 3, 1949. in the office of
the Recorder of Deeds in and for Cumberland County in Deed Book "D" , Volume 14 .
Page 427.
(over)
. This deed is executed under and pursuant to the Act of Assembly
No. 474 P L 984 enaoted into law on lIaY' 13, 1927 and all of the amendments
theretO of which the Act of Assembly No. 161 P L 353 enacted. into law May
31, 1947 is the latest thereto.
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COMMONWEALTH OF PENNSYLVANIA }
ss:
COUNTY OF .... P.A.l,lfll.J;yt.. . .......... ........
On this, the .... .3+9.. . . .. dtzJ of .............. .o1~~<H7. . . . . . . . . . . . . . . . . . . ., 19~9. ., before - .
. . . . . . . . . . . . . . . . . . . . . . . NQta.r;y: ..t'ubllc. . . . . ',' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .., the ,,,,IknigJNd.
on-leer, reNonal1y appeared. .. .. . .rl~Y;IR .I;I!. .~I!-r~~,. .D)l!.~;r.i:E!c;l.~. . .............. .................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . .; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,
knllwn to me (or satisfactorily proven) to be the person...... ....hose _ ... ~l'......... subscribed to tlN
with... iKstnlment, msd acknowledged that . . . . . . he ... . .. executed the same for the purposs therein COIItlriMJ.
Tn WITNESS WHEREOF, 1 hereunto set my ha~~ ~~.~ ~~L. . If. . ;"~(;,;:\, /~..;,,!!'... . . . .
r1., fi~.9 y ri..: ,j. . ',,:
My commi5sion expires: ........... \!'i.fi'l'''", "';,\'. h~i< ".~J'(i'. H: ~?'JJ
.I Ilereby certify that the Precise Residence of the Grantee, in ths within Deed, is . . . . . . . . . . . . . . . . . . . . . . .
106 Stoner Avenue '
................................................ .....J...........................................
... ~M~~~~~~,. r.~~~:................:... ....................... .,........................
-;;(; <J /.~j ).~, ...<.~:_---..
,; . . . . . . . . . . . . . t:(~ . . ~)~y~ . . . . . . . . . . . . . . . . . . . . . . .
(/ Attorney for Grantee.
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COMMONWBALTH OF PBNNSYLVANIA }
55:
. . . . . . . . CUMmlRLAND. . . . . . . . . . .. COUNTI,
l\ccorbcb In the Office for Recording of Deeds, Mortgages, etc., in and for the County
liE II , 14 J:; ~ 6
of .. . , . .CUII1oQrland.. .. .. .. in Deed Book.. .. .... vol. .... ....... Page. 0.. .. .. .. ..
'il1mlitnc55 My Hand and Seal of Office this... .. , . , . .. .. ..13.1H .. .. .. , .. .. , , .. .. .. day of
....,...."...-1 ~l)A~..............,..... Anno Domini 1950
() -2 . /' .. '-;'h /~~-;;?
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~ogetber with all alld singular, the tenements, hereditaments and appurtenances to the same belong-
ing or in anywise appertaining, and the reversion and reversions, remainder and remainders, ren.ts, issues alld
pro~ts thereof; ~lIb al~o all the estate, right, titJr., interest, property, claim and demand whatsoever, both
in law and eqllity, of the said part y of the {lrst part, of, in, to or Ollt of the said premises, and el'ery' paTt
""" """, 'h'~f---- _~=____=~-==:==-
-"'-'~-
---.----- .
-atO ~nbe nub to 1!}olb the said premises, with all and singular the appurtenances, unto the said
part ies of the second part their heirs and assigns, to and for the only proper use and
behoof of the said parties of the second part, their heirs and assigns forever.
~ttb
THE SAID party of the first part, for
himself', his ., ~
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heirs;'~ecutors and administrators, do es
smd part lea of the second part their
he the said party of the first part, his
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by these presents, covenant, grarlt and agree to and with tlu
heirs and assigns, thai
.-..---..-------
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...._~..~..H'-....~.. ~.~
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-....................---
heirs all cilld singular the hereditaments and premises hereinabove described and gramed or mentioned, and in-
tended so to be, with the appurtenances, unto the said part iea of the second part, their heirs
Ilnd assigns, against the said part l' of the ~rst part and hi S heirs and against all and every other
person or persons whomsoever, lawfully claiming or to claim the same or any part thereof,
shall and will, by ";Ies.: presents, WARRANT AND FOREVER DEFEND
. hereunto set
3Ju WittttssWbtteof
hi S hand
the said part y
and seal
of the ~rst part ha s
the day and year ~rst abov..e written.
qL~.d~~M.<--
............................t/.......:/:~
. . . . . . . . . . . . . . . . . . . . . . . . . . . . ~: . . . . . . . . . . . . . . . . (SEAL)
Signed. Sealed and Deliv~red
in the Presence of
.k.;f....~...........
.... ......................................... . (SEAL)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (SEAL)
r qq..... qqq .qq.. q q q q.q q. .qqqq(SML;
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (SEAL)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (SEAL)
. . : . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (SEAL)
... .. ....................................... . (SEAL)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (SEAL)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (SEAL)
1401
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3IMl5
15857
BUSINESS SERVICES FOR REAL ESTATE (800) 555-3390
STANDARD AGREEMENT FOR THE SALE OF REAL ESTATE
This fonn recommended and approved for, but not restricted (0 use by, the members of the Pennsylvania Association ofREALTORSi!I (PAR).
A1S-2K
o AGENT FOR BUYER
o TRANSACTION LICENSEE
BUYER'S BUSINESS RELATIONSHIP WITH PA LICENSED BROKER
PHONE
FAX
BROKER (Company)
ADDRESS
BROKER IS THE AGENT FOR BUYER. Designated Agent(s) for Buyer, if applicable:
OR
Broker is NOT the Agent for Buyer and is alan: 0 AGENT FOR SELLER 0 SUBAGENT FOR SELLER
o TRANSACTION LICENSEE
When the same Broker is Agent for Seller and Agent for Buyer, Broker is a Dual Agent. All of Broker's licensees are also Dual Agents UNLESS
there are separate Designated Agents for Buyer and Seller. If the same Licensee is designated for Seller and Buyer, the Licensee is a Dual Agent.
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1. m;bi~ ~greement, dated
SELLER(S): M^IJ-'.1'f-IL~i.
,,~ \ Leo cz.,^
/ -lJor.J ~ ~\
I
, is between
\r>. o. A-.
'" , called "Seller," and
tn. DA/LIL-
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DA-fL.-A...
" PA-M.~ LI'r-
Dbl ~J'~ A
BUYER(S):
, called "Buyer."
2. PROPERTY (1-98) Seller hereby agrees to sell and convey to Buyer, who hereby agrees to purchase:
ALL THAT CERTAIN lot or iece of round with buildings and improvements thereon erected, if any, known as:
tV g
~MD.
II~[I
jt I.SLf , r;;DO
U.S. Dollars
which will be paid to Seller by Buyer as follows:
L Cash or check at Signin~iS Agreement:
2. Cash or check within days of ~ution of this Agreement:
3. ~ . L+1:"1.-P
.,
4. Cash, cashier's or certified check at time of settlement: .
$
$
$
$
TOTAL $
(B) Deposits paid on account of purchase price to be held by Broker for Seller, unless otherwise stated here:
)-;~:a'>
"I ROO
{c..t:'r'J S'bO
(C)
(D)
(E)
Seller's written approval to be on or before: .
Settlement to be on A-t.l ~ .3 I ~-r
.
Conveyance from Seller will be by fee simple deed of special warranty unless otherwise stated here:
(F)
Payment of transfer taxes will be divided equally between Buyer and Seller unless otherwise stated here:
(G)
At time of settlement, the following will be adjusted pro-rata on a daily basis between Buyer and Seller, reimbursing where applicable: taxes
(see Information Regarding Tax Proration); rents; interest on mortgage assumptions; condominium fees and homeowner association fees, if
any; water and/or sewer fees, if any, together with any other lienable municipal service. The charges are to be pro-rated for the period(s)
covered: Seller will pay up to and including the date of settlement; Buyer will pay for all days following settlement, unless otherwise stated
here:
4. FIXTURES & PERSONAL PROPERTY (1-00)
(A) INCLUDED in this sale and purchase price are all existing items permanently installed in the Property, free of liens, including plumbing;'
heating; lighting fixtures (including chandeliers and ceiling fans); water treatment systems; pool and spa equipment; garage door openers
and transmitters; television antennas; shrubbery, plantings and unpotted trees; any remaining heating and cooking fuels stored on the
Property at the time of settlement; wall to wall carpeting; window covering hardware, shades and blinds; built-in air conditione -m
appliances; and the range/oven unless otherwis stated. Also included: LL M I' 1..1 ~
t2..e IV.() C.
(B) LEASED items (not owned by Seller):
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(C) EXCLUDED fixtures and items:
S. DATESrrIME IS OF THE ESSENCE (1-02)
The said date for settlement and all other dates and limes referred to for the performance of any of the obligations of this Agreement are
agreed to be of the essence of this Agreement and are binding.
For the purposes of this Agreement, number of days will be counted from the date of execution, by excluding the day this Agreement was
executed and including the last day of the time period.
The date of settlement is not extended by any other provision of this Agreement and may only be extended by mutual written agreement of
the parties.
Certain time periods are pre-printed in this Agreement as a convenience to the Buyer and Seller. Any pre-printed time periods are negotiable
and may be changed by striking out the pre-printed text and inserting a different time period acceptable to all Parti~
'" . ~~~"'- . ,- --- - - -- -.. _.. r . \ l...W
(A)
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(D)
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6. MORTGAGE CONTINGENCY (1-02)
o WAIVED. This sale is NOT contingent on mortgage fmancing.
k ELECTED
{A) This sale is contingent upon Buyer obt~lj mo~e fmancing as follows:
1. Amountofmortgage~6 ~Sl
2. Minimum Term ~.,:)C years
3. Type of mortgage ~C.O M\.I~JJ"fIOt-},,\-L-
4. Interest rate ~ %; howev~r. Buyer agrees to accept the interest rate as may be committed by the mortgage lender, not to
exceed a maximum interest rate of \q 'roo
5. Discount points. loan origination, lo~n placement and other fees cbarged by the lender as a percentage of the mortgage loan (excluding
any mortgage insurance premiums or VA funding fee) not to exceed _')'0 (0% if not specified) of the mortgage loan.
The interest rate and fees provisions required by Buyer are satisfied if a mortgage lender makes available to Buyer the right to guarantee an
interest rate at or below the Maximum Interest Rate specified herein with the percentage fees at or below the amount specified herein. Buyer
gives Seller the right, at Seller's sole option and as permitted by the mortgage lender and applicable laws, to contribute financially, without
promise of reimbursement, to the Buyer and/or the mortgage lender to make the above terms available to Buyer.
(B) Within ~ DAYS (10 days if not specified) of the execution of this Agreement, Buyer will make a completed, written mortgage application
for the mortgage terms specified ahove to a responsible mortgage lender. Tbe Broker for Buyer, if any, otherwise the Broker for Seller, is
authorized to communicate with the mortgage Ieuder for the p~oses of assisting in the mortgage loan process.
(C) 1. Mortgage commitment date -\1..1 ~ I '"r 2..CIU"\ If a written commitment is not received by Seller by the above date, Buyer
and Seller agree to extend the mortgag commitment date until Seller termlllates thIS Agreement III wnting by notIce to Buyer.
2. Upon receipt of a mortgage commitment, Buyer will promptly deliver a copy of the commitment to Seller.
3. Seller has the option to terminate this Agreement in writing, after the mortgage commitment date if the mortgage commitment:
a. Is not valid until the date of settlement, OR
b. Is conditioned upon the sale and settlement of any other property, OR
c. Contains any other condition not specified in this Agreement that is not satisfied andlor removed in writing by the mortgage lender
within ~ DAYS after the mortgage commitment date in paragraph 6 (C) (1).
4. If this Agreement is terminated as specified in paragraphs 6 (C) (1) or (3), or the mortgage loan is not obtained for settlement, all deposit monies
paid on account of purchase price will be returned to Buyer. Buyer will be responsible for any premiums for mechanics' lien insurance and/or
title search, or fee for cancellation of same, if any; AND/OR any premiums for flood insurance, mine subsidence insurance and/or fire insur-
ance with extended coverage, or cancellation fee, if any; AND/OR any appraisal fees and charges paid in advance to tlle mortgage lender.
(D) If the mortgage lender requires repairs to the Property, Buyer will, upon receipt, deliver a copy of the mOltgage lender's requirements to Seller.
Seller will, within ~ DAYS of receipt of the mortgage lender's requirements, notify Buyer whether Seller will make the required repairs
at Seller's expense.
I. If Seller chooses to make the required repairs, Buyer will accept the Property and agree to the RELEASE set forth in paragraph 25 of this
Agreement.
2. If Seller chooses not to make the required repairs, or if Seller fails to respond within the time given, Buyer will, within ~ DAYS,
notify Seller in writing of Buyer's choice to terminate this Agreement OR make the required repairs at Buyer's expense and with Seller's
permission, which will not be unreasonably withheld. If Seller denies Buyer permission to make the required repairs, Buyer may, within
~ DAYS of Seller's denial, terminate this Agreement, in which case all deposit monies paid on account of purchase price ",ill be
returned promptly to Buyer and this Agreement will be VOID.
(E) Seller Assist
o NOT APPLICABLE
~ APPLICA E. Seller will pay:
o $ &00.., maximum, toward Buyer's costs as permitted by the mortgage lender.
o
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(F) It is expressly agreed that notwithstanding any other provisions of this contract, Buyer will not be obligated to complete the purchase of the
Property described herein or to incur any penalty by forfeiture of earnest money deposits or otherwise unless Buyer has been given, in accor-
dance with HUDIFHA or VA requirements, a written statement by the Federal Housing 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
inserted is the sales price as stated in this Agreement). Buyer will have the privilege and option of proceeding with consummation of the con-
tract without regard to the amount of the appraised valuation. The appraised valuation is arrived at to determine the maximum mortgage the
Department of Housing and Urban Development will insure. HUD does not warrant the value nor the condition of the Property. Buyer should
satisfy himselflberself that the price and condition of the Property are acceptable.
Warning: Section 1010 of Title 18, U.S.c., Department of Housing and Urban Development and Federal Housing Administration
Transactions, provides, ''Whoever for the purpose of . . . influencing in any way the action of such Department, makes, passes, utters or pub-
lishes any statement, knowing the same to be false. . . shall be fined under this title or imprisoned not more than two years, or both."
(G) U.S. Department of Housing and Urban Development (HUD) NOTICE TO PURCHASERS: Buyer s Acknowledgement
o Buyer has received the HUD Notice "For Your Protection: Get a Home Inspection" (see Notices and Information on Property Condition
Inspections). Buyer understands the importance of getting an independent home inspection and has thought about this before signing this
Agreement. Buyer understands that FHA will not perform a home inspection nor guarantee the price or condition of the Property.
Buyer s I~itiaIs Date
(H) Certification We the undersigned, Seller(s) and Buyer(s) party to this transaction each cerrify that the terms of this contract for purchase are
true to the best of our knowledge and belief, and that any other agreement entered into by any of these parties in connection with this transac-
tion is attached to this Agreement.
7. INSPECTIONS (1-02)
(A) Seller agrees to permit inspections by authorized appraisers, reputable certifiers, insurer's representatives, surveyors, municipal officials and/or
Buyer as may be required by the mortgage lender, if any, or insuring agencies. Seller further agrees to permit any other inspections required by
or provided for in the terms of this Agreement. Buyer has the right to attend all inspections.
(B) Buyer reserves the right to make a pre-settlement walk-through inspection of the Property. Buyer's right to make this inspection is not waived
by any other provision of this Agreement.
(C) Seller will have heating and all utilities (including fuel(s)) on for the inspections.
(D) All inspectors, including home inspectors, are authorized by Buyer to provide a copy of any reports to Broker for Buyer.
8. PROPERTY INSPECTION CONTINGENCY (7-04)
Other provisions of this Agreement may provide for inspections and/or certifications that are not waived or altered by Buyer's election here.
o WAIVED. Buyer understands that Buyer has the option to request inspections of the Property (see Property Inspection Notices and
~~nvironmental Notices). BUYER WAIVES THIS OPTION and agrees to the RELEASE set forth in paragraph 25 of this Agreement.
~ ELECTED --
(A) Within ~ DAYS (15 days if not specified) of th~ execution of this Agreement, Buyer, at Buyer's expense, may choose to have inspec-
tions and/or certifications completed by licensed or otherwise qualified professionals (see Property Inspection Notices and Environmental
Notices). This contingency does not apply to the following existing conditions and/or items:
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(B) Should Buyer elect to have a home inspection of the Property, as defined in the Pennsylvania Home Inspection Law, (see Information Regarding
the Home Inspection Law) such home inspection shall be performed bv a full member in good standing of a national home insoection associ-
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(,9 }f Buyer is not satisfied with the condition of the Property as stated in any written report, Buyer will:
.,PI( Option 1. Within tbe time given for completing inspections:
1. Accept the Property with the information stated in the report(s) and agree to the RELEASE set forth in paragraph 25 of this Agreement, OR
2. Tenninate this Agreement in writing by notice to 'Seller, in which case all deposit monies paid on account of purchase price will be retuI'n:ed
promptly to Buyer and this Agreement will be VOID, OR
3. Enter into a mutually acceptable written agreement with Seller providing for any repairs or improvements to the Property and/or any credit
to Buyer at settlement, as may be acceptable to the mortgage lender, if any.
Should efforts to reach a mutually acceptable agreement fail, Buyer must choose to accept the Property or terminate this Agreement within
the time given for completing inspections and according to the provisions in paragraph 8(C) (Option I) I and 2.
o Option 2. Within the time given for completing inspections:
I. . Accept the Property with the information stated in the report(s) and agree to the RELEASE set forth in paragraph 25 of this Agreement,
UNLESS the total cost to correct the conditions contained in the report(s) is more than $
2. If the total cost to correct the conditions contained in the report(s) EXCEEDS the amount specified in paragraph 8(C) (Option 2) I,
Buyer will deliver the report(s) to Seller within the time given for inspection.
a. Seller will, within ~ DAYS of receiving the report(s), inform Buyer in writing of Seller's choice to:
(1) Make repairs before settlement so that the remaining cost to repair conditions contained in the report(s) is less than or equal to
the amount specified in paragraph 8 (C) (Option 2) 1.
(2) Credit Buyer at settlement for the difference between the estimated cost of repairing the conditions contained in the report(s)
and the amount specified in paragraph 8 (C) (Option 2) I. This option must be acceptable to the mortgage lender, if any.
(3) Not make repairs and not credit Buyer at settlement for any costs to repair conditions contained in the report(s).
b. If Seller chooses to make repairs or credit Buyer at settlement as specified in paragraph 8 (C) (Option 2) 2, Buyer will accept the
Property and agree to the RELEASE set forth in paragraph 25 of this Agreement.
c. If Seller chooses not to make repairs and not to credit Buyer at settlement, or if Seller fails to choose any option within the time
given, Buyer will, within ~ DAYS:
(1) Accept the Property with the information stated in the report(s) and agree to the RELEASE set forth in paragraph 25 of this
Agreemen~ OR
(2) Terminate this Agreement in writing by notice to Seller, in which case all deposit monies paid on account of purchase price will
be returned promptly to Buyer and this Agreement will be VOID.
9. WOOD INFESTATION INSPECTION CONTINGENCY (1-02)
o WAIVED. Buyer understands that Buyer has the option to request that the Property be inspected for wood infestation by a certified Pest Control
Operator. BUYER WAIVES THIS OPTION and agrees to the RELEASE set forth in paragraph 25 of this Agreement.
.'Ji;I(ELECTED "..-
'(A) Within ~ DAYS (15 days if not specified) of the execution of this Agreement, Buyer, at Buyer's expense, will obtain a written "Wood-
Destroying Insect Infestation Inspection Report" from a certified Pest Control Operator and will deliver it and all supporting documents and
drawings provided by the Pest Control Operator to Seller. The report is to be made satisfactory to and in compliance with applicable laws, mort-
gage lenders, and/or Federal Insuring and Guaranteeing Agency requirements, if any. The inspection will include all readily visible and
accessible areas of all structures on the Property except the following structures, which will not be inspected:
(B) If the inspection reveals evidence of active infestation(s), Seller agrees, at Seller's expense and before settlement, to treat for active infesta-
tion(s), in accordance with applicable laws.
(C) If the inspection reveals damage from active infestation(s) or previous infestation(s), Buyer, at Buyer's expense, has the option to obtain a writ-
ten report by a professional contractor, home inspection service, or structural engineer that is limited to structural damage to the Property caused
by wood-destroying organisms and a proposal to repair the damage. Buyer will deliver the structural damage report and corrective proposal to
Seller within ~ DAYS of delivering the original inspection report.
(D) Within ~ DAYS of receiving the structural damage 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) If Seller chooses to repair structural damage revealed by the report, Buyer agrees to accept the Property as repaired and agrees to the RELEASE
set forth in paragraph 25 of this Agreement.
(F) If Seller chooses not to repair structural damage revealed by the report or fails to respond within the time given, Buyer, within ~ DAYS,
will notiry Seller in writing of Buyer's choice to:
I. Accept the Property with the defects revealed by the inspection, without abatement of price, and agree to the RELEASE set forth in para-
graph 25 of tltis Agreement, OR
2. Make the repairs before settlement, if required by the mortgage lender, if any, at Buyer's expense and with Seller's permission, which will
not be unreasonably withheld, in which case Buyer accepts the Property and agrees to the RELEASE set forth in paragraph 25 of this
Agreement. If Seller denies Buyer permission to make the repairs, Buyer may, within ~ DAYS of Seller's denial, terminate this
Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned promptly to Buyer and this
Agreelnent will be VOID, OR
3. Terminaie this Agreemen~ in which case all deposit monies paid on account of purchase price will be returned promptly to Buyer and
this Agreement will be VOID.
10. RESIDENTIAL LEAD-BASED PAINT HAZARD REDUCTION ACT NOTICE REQUIRED FOR PROPERTIES
BUILT BEFORE 1978 (1-02)
o NOT APPLICABLE
~PLlCABLE
(A) Seller represents that Seller has no knowledge concerning the presence of lead-based paint and/or lead-based paint hazards in or about the
Property. unless checked below.
o Seller has knowledge of the presence of lead-based paint andlor lead-based paint hazards in or about the Property: (P,rovide the basis for
determining that lead-based paint and/or hazards exist, the location(s), the condition of the painted surfaces, and other available informa-
tion concerning Seller's knowledge of the presence of lead-based paint and/or lead-based paint hazards.)
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(B) Records/Reports: Seller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in or about the Property,
unless checked below.
o Seller has provided Buyer with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in or about
the Property. (List documents)
(C) Buyer's Acknowledgement: Buyer has received the pamphlet Protect Your Family from Lead in Your Home and has read the Lead Warning
Statement contained in this Agreement (see Environmental Notices). Buyer has reviewed Seller's disclosure of known lead-based paint and/or
.~ lead-based paint hazards, as identified in paragraph IO(A) and has received the records and reports pertaining to lead-based paint and/or lead-
7" based paint haz . . led in parag IO(B)
Buyer's Initials Date (..., -,;l.d.- O~
(D) RISK ASSESSMENTIINSPECTION: er acknowledges that before Buyer is obligated to buy a residential dwelling built before 1978, Buyer
has ---1Q...... DAYS to conduct a risk assessment or inspection of the Property for the presence of lead-based paint and/or lead-based paint hazards.
o WAIVED. Buyer understands that Buyer has the right to conduct a risk assessment or inspection of the Property to determine the presence of
lead-based paint and/or lead-based paint hazards. BUYER WAIVES THIS RIGHT and agrees to the RELEASE set forth in paragraph 25 of
this Agreement.
o ELECfED
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235 2. Within the time set forth above for obtaining the ri5k assessment and/or inspection of the Property for lead.based paint and/or 235
236 lead.based paint hazards, Buyer may deliver to SeUer a written list of the specific hazardous conditions cited in the report and those 236
237 corrections requested by Buyer, along with a copy of the risk assessment and/or inspection report. 237
238 3. Seller may, within ~ DAYS of receiving the list and report(s), submit a written corrective proposal to Buyer. The cnrrective proposal 238
239 will include, but not be limited to, the name of the remediation company and a projected completion date for corrective measures. Seller 239
240 will provide certification from a risk assessnr or inspector that corrective measures have been satisfactorily completed on Or before the 240
241 projected completion date. 241
242 4. Upon receiving the corrective proposal, Buyer, within ~ DAYS, will: 242
243 a. Accept the corrective proposal and the Property in writing, and agree to the RELEASE set forth in paragraph 25 of this Agreement, OR 243
244 b. Terminate this Agreement in writing, in which case all deposit monies paid on accnunt of purchase price will be returned promptly 24'
245 to Buyer and this Agreement will be VOID. 245
246 5. Should Seller fail to submit a written corrective proposal within the time set forth in paragraph IO(D)3 of this Agreement, Buyer, 246
247 within ~ DAYS, will: 247
248 a. Accept the Property in writing, and agree to the RELEASE set forth in paragraph 25 of this Agreement, OR 248
24~ b. Terminate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned promptly 249
250 to Buyer and this Agreement will be VOID. 250
251 6. Buyer's failure to exerci5e any of Buyer's options within the time limits 5pecified in this paragraph will constitute a WAIVER of 251
252 this contingency and Buyer accepts the Property and agrees to the RELEASE set forth in paragraph 2S of this Agreement. 252
?5J (E) Certification: By signing this Agreement, Buyer and Seller certify the accuracy of their respective statements, to the best of their knowledge. 253
254 11, STATUS OF RADON (1-02) 254
255 (A) Seller represents that Seller has no knowledge concerning the presence or absence of radon unless checked below. 255
25S ~l. Seller has knowledge that the Property was tested on the dates, by the methods (e.g., charcoal canister, alpha track, etc.), and with 256
257 the results of all tests indicated below: 1.57
25B DATE TYPE OF TEST RESULTS (picocuries/liter or working levels) 25B
259
COPIES OF ALL AVAILABLE TEST REPORTS will be delivered to Buyer with this Agreement. SELLER DOES NOT WAR.
RANT EITHER THE METHODS OR RESULTS OF THE TESTS.
D 2. Seller has knowledge that the Property underwent radon reduction measures on the daters) and by the method(s) indicated below:
DATE RADON REDUCTION METHOD
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(B) RADON INSPECTION CONTINGENCY
D WAIVED. Buyer understands that Buyer has the option to request that the Property be inspected for radon by a certified inspector (see Environ.
mental Notices: Radon). BUYER WAIVES TillS OPTION and agrees to the RELEASE set forth in paragraph 25 of this Agreement.
~ECTED. Buyer, at Buyer's eXp';ns~ the option to obtain, from a certified inspector, a radon test of the Property, and will deliver a copy
"'\ of the test report to Seller within -+--=:>- DAYS (15 days if not specified) of the execution of this Agreement. (See Environmental Notices:
Radon)
I. If the test repOlt reveals the presence of radon below 0.02 working levels (4 picocuries/liter), Buyer accepts the Property and agrees to the
RELEASE set forth in paragraph 25 of this Agreement.
2. If the test report reveals the presence of radon at or exceeding 0.02 working levels (4 picocurieslliter), Buyer will, within ~ DAYS
of receipt of the test results:
~ Option 1
~ a. Accept the Property in writing and agree to the RELEASE set forth in paragraph 25 of this Agreement, OR
b. Tenninate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned promptly to Buyer
and this Agreement will be VOID, OR
c. Submit a written, corrective proposal to Seller. The corrective proposal will include, but not be limited to, the name of the certified miti-
gatio~ company; provisions for payment, including retests; and a projected completion date for corrective measures.
(I) Within ~ DAYS of receiving the corrective proposal, Seller will:
(a) Agree to the terms of the corrective proposal in writing, in which case Buyer accepts the Property and agrees to the
RELEASE set forth in paragraph 25 of this Agreement, OR
(b) Not agree to the terms of the corrective proposal.
(2) Should Seller not agree to the terms of the corrective proposal Or if Seller fails to respond within the time given, Buyer will, within
----2- DAYS, elect to:
(a) Accept the Property in writing and agree to the RELEASE set forth in paragraph 25 of this Agreement, OR
(b) Terminate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned
promptly to Buyer and this Agreement will be VOID.
D Option 2
a. Accept the Propelty in writing and agree to the RELEASE set forth in paragraph 25 of tllis Agreement, OR
b. Submit a written, corrective proposal to Seller. The corrective proposal will include, but not be limited to, the name of the certified miti-
gation company; provisions for payment, including retests; and a projected completion date for corrective measures. Seller will pay a max-
imum of $ toward the total cost of remediation and retests, which will be completed by settlement.
(I) If the total cost of remediation and retests EXCEEDS the amount specified in paragraph II(B) (Option 2) b, Seller will, within
~ DAYS of receipt of the cost of remediation, notify Buyer in writing of Seller's choice to:
(a) Pay for the total cost of remediation and retests, in which case Buyer accepts the Property and agrees to the RELEASE set forth
in paragraph 25 of this Agreement, OR
(b) Contribute toward the total cost of remediation and retests only the amount specified in paragraph II(B) (Option 2) b,
(2) If Seller chooses not to pay for the total cost of remediation and retests, Or if Seller fails to choose either option within the time
given, Buyer will, within~ DAYS, notify Seller in writing of Buyer's choice to:
(a) Pay the difference between Seller's contribution to remediation and retests and the actual cost thereof, in which case
Buyer accepts the Property and agrees to the RELEASE set forth in paragraph 25 of this Agreement, OR
(b) Terminate this Agreement, in which case all deposit monies paid on account of purchase price will be returned promptly
to Buyer and this Agreement will be VOID.
12, STATUS OF WATER (1-02)
(A) Sell~r represents that the Property is served by:
l!(' Public Water
D On-site Water
D Community Water
o None
D
(B) WATER SERVICE INSPECTION CONTINGENCY
~ WAIVED. Buyer acknowledges that Buyer has the option to request an inspection of the water service for the Property. BUYER WAIVES
TillS OPTION and agrees to the RELEASE set forth in paragraph 25 of this Agreement.
D ELECTED
I. Buyer has the option, within _ DAYS (15 days if not specified) of the execution of this Agreement and at81ivlr's exvense. to deliver
2. Seller agrees to locate and provide access to the on-site (or individual) water system, if applicable, at Seller's expense, if required by the 323
inspection company. Seller also agrees to restore the Property, at Seller's expense, prior to settlement. 324
3. If the report reveals that the water service does not meet the minimum standards of any applicable governmental authority andlor fails to 325
satisfy the requirements for quality andlor quantity set by the mortgage lender, if any, then Seller will, within--L DAYS of receipt of 325
the report, notify Buyer in writing of Seller's choice to: 327
a. Upgrade the water service to the minimum acceptable levels, before settlement, in which case Buyer accepts the Property and agrees 328
to the RELEASE set forth in paragraph 25 of this Agreement, OR 329
b. Not upgrade the water service. 330
4. If Seller chooses not to upgrade the service to minimum acceptable levels, or fails to respond within the time given, Buyer will, within 331
-L DAYS, either: 332
a. Accept the Property and the water service and, if required by the mortgage lender, if any, andlor any governmental authority, upgrade 33.
the water service before settlement or within the time required by the mortgage lender, if any, andlor any governmental authority, at 334
Buyer's expense and with Seller's pe1mission, which will not be unreasonably withheld, and agree to the RELEASE set forth in para- 335
graph 25 of this Agreement. If Seller denies Buyer permission to upgrade the water service, Buyer may, within-L DAYS of 336
Seller's denial, tellTlinate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be 3:17
returned promptly to Buyer and this Agreement will be VOID, OR 338
b. Terminate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned promptly 339
to Buyer and this Agreement will be YOID. 340
13. STATUS OF SEWER (1-o2) 341
(A) Seller represents that the Property is served by: :J42
:R.. Public Sewer 343
o Individual On-lot Sewage Disposal System (See Sewage Notice I) 344
o Individual On-lot Sewage Disposal System in Proximity to Well (See Sewage Notice I; see Sewage Notice 4, if applicable) 345
o Community Sewage Disposal System 345
o Ten-acre Permit Exemption (See Sewage Notice 2) 347
o Holding Tank (See Sewage Notice 3) 348
o None (See Sewage Notice I) 349
o None AvailablelPermit Limitations in Effect (See Sewage Notice 5) 350
o ~
~!,IfNDIVIDUAL ON-LOT SEWAGE DISPOSAL INSPECTION CONTINGENCY 352
~ WAIVED. Buyer acknowledges that Buyer has the option to request an individual on-lot sewage disposal inspection of the Property. BUYER 353
. WAIVES THIS OPTION and agrees to the RELEA~E set forth in paragraph 25 of this Agreement. . . 354
o ELECTED 355
1. Buyer has the option, within _ DAYS (15 days if not specified) of the execution of this Agreement and at Buyer's expense, to 356
deliver to Seller a written inspection report by a qualified, professional inspector of the individual on-lot sewage disposal system. 357
2. Seller, at Seller's expense, agrees, if and as required by the inspection company, to locate, provide access to and empty the individual on- 358
lot sewage disposal system. Seller also agrees to restore the Property, at Seller's expense, prior to settlement. 359
3. If the report reveals defects that do not require expansion or replacement of the existing sewage disposal system, Seller will, within 360
--L DAYS of receipt of the report, notify Buyer in writing of Seller's choice to: 361
a. Correct the defects before settlement, including retests, at Seller's expense, in which case Buyer accepts the Property and agrees to 362
the RELEASE set forth in paragraph 25 of this Agreement, OR 363
b. Not correct the defects. 364
4. If Seller chooses not to correct the defects, or if Seller fails to respond within the time given, Buyer will, within,--L DAYS, either: 365
a. Accept the Property and the system and, if required by the mortgage lender, if any, andlor any governmental authority, correct the 366
defects before settlement or within the time required by the mortgage lender, if any, andlor any governmental authority, at Buyer's 367
sole expense and with Seller's permission, which will not be unreasonably withheld, and agree to the RELEASE set forth in para- 368
graph 25 of this Agreement. If Seller denies Buyer permission to correct the defects, Buyer may, within -L DAYS of Seller's 369
denial. terminate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned 370
promptly to Buyer and this Agreement will be VOID, OR 371
b. Terminate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned 372
promptly to Buyer and this Agreement will be YOID. 373
5. If the report reveals the need to expand or replace the existing individual on-lot sewage disposal system, Seller may, within ~ DAYS 374
of receipt of the report, submit a corrective proposal to Buyer. The corrective proposal will include, but not be limited to, the name of the 373
remediation company; provisions for payment, including retests; and a projected completion date for corrective measures. Within 376
-L DAYS of receiving Seller's corrective proposal, or if no corrective proposal is received within the time given, Buyer will: 3n
a. Agree to the terms of the corrective proposal, if any, in writing, in which case Buyer accepts the Property and agrees to the RELEASE 378
set forth in paragraph 25 of this Agreement, OR 379
b. Accept the Property and the system and, if required by the mortgage lender, if any, andlor any governmental authority, correct the 380
defects before settlement or within the time required by the mortgage lender, if any, andlor any governmental authority, at Buyer's 381
sole expense and with Seller's permission, which will not be unreasonably withheld, and agree to the RELEASE set forth in para- 382
graph 25 of this Agreement. If Seller denies Buyer permission to correct the defects, Buyer may, within -L DAYS of Seller's 383
denial, terminate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned 384
promptly to Buyer and this Agreement will be YOID, OR 3115
c. Terminate this Agreement in writing, in which case all deposit monies paid on account of purchase price will be returned promptly 386
to Buyer and this Agreement will be VOID. 387
14. NOTiCES, ASSESSMENTS & CERTIFICATES OF OCCUPANCY (7-Q4) 383
(A) Seller represents, as of Seller's execution of this Agreement, that no public improvement, condominium or homeowner association assessments 389
have been made against the Property which remain unpaid, and that no notice by any government or public authority has been served upon 390
Seller or anyone on Seller's behalf, including notices relating to violations of zoning, housing, building, safety or fire ordinances which remain 391
uncorrected, and that Seller knows of no condition that would constitute violation of any such ordinances which remains uncorrected, unless 392
otherwise specified here: 393
394
(B) Seller knows of no other potential notices (including violations) and assessments except as follows: 395
396
(C) In the event any notices (including violations) and assessments are received after execution of this Agreement and before settlement, Seller will 397
notify Buyer in writing, within ----2- DAYS of receiving the notice or assessment, that Seller will: ass
I. Comply with notices and assessments at Seller's expense, in which case Buyer accepts the Property and agrees to the RELEASE set forth 399
in paragraph 25 of this Agreement, OR 400
2. Not comply with notices and assessments at Seller's expense. 401
3. If Seller chooses not to comply with notices and,assessments, or fails within the time given to notify Buyer if Seller will comply, Buyer 402
will notify Seller within -L DAYS in writing that Buyer will either: 403
a. Comply with notices and assessments at Buyer's expense and agree to the RELEASE set forth in paragraph 25 of this Agreemenl, OR 404
b. Terminate this Agreement, in which case all deposit monies paid on account of purchase price will be returned promptly to Buyer 405
and this Agreement will be VOID. 406
If Buyer fails to notify Seller within the time given, Buyer accepts the Property and agrees to the RELEASE set forth in para- 407
14U1
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(E) If required by law, within --1L DAYS of the execution of this Agreement Seller will order for delivery to Buyer, on or before settlement:
L A certification from the appropriate municipal department or departments disclosing notice ofany uncorrected violations of zoning, hous-
ing, building, safety or fire ordinances, AND/OR
2. A certificate permitting occupancy of the Property. In the event repairs/improvements are required for the issuance of the certificate, Seller
will, within ...2..... DAYS of Seller's receipt of the requirements, notify Buyer of the requirements and whether Seller will make the
required repairslimprovements at Seller's expense.
If Seller chooses to make the required repairs/improvements, Buyer agrees to accept the Property as repaired and agrees to the RELEASE set
forth in paragraph 25 of this Agreement. If Seller chooses not to make the required repairs/improvements, Buyer will, within...2..... DAYS,
notify Seller in, writing of Buyer's choice to tenninate this Agreement OR make the repairs/improvements at Buyer's expense and with Seller's
permission, which will not be unreasonably withheld. If Seller denies Buyer permission to make the required repairs or if Seller fails to respond
within the time given, Buyer may. within ...2..... DAYS, terminate this Agreement in writing. in which case all deposit monies paid on account
of purchase price will be returned promptly to Buyer and this Agreement will be VOID.
(F) The Property is not a "recreational cabin" as defined in the Pennsylvania Construction Code Act unless otherwise stated here (see Notice: Regarding
Recreational Cabins):
15. TITLE, SURVEYS $.>; COSTS (1-Q2)
(A) The Property is to be conveyed free and clear of all liens. encumbrances, and easements, EXCEPTING HOWEVER the following: existing
deed restrictions. historic preservation restrictions or ordinances, building restrictions. ordinances, easements of roads, easements visible upon
the ground, easements of record, privileges or rights of public service companies, if any; otherwise the title to the above described real estate
will be good and marketable and such as will be insured by a reputable TItle Insurance Company at the regular rates.
(B) Buyer will pay for the following: (I) TItle search, title insurance and/or mechanics lien insurance, or fee for cancellation of same, if any;
(2) Flood insurance, fire insurance with extended coverage, mine subsidence insurance, or fee for cancellation of same, if any; (3) Appraisal
fees and charges paid in advance to mortgage lender, if any; (4) Buyer's customary settlement costs and accruals.
(C) Any surveyor surveys which may be required by the Title Insurance Company or the abstracting attorney for the preparation of an adequate
legal description of the Property (or the correction thereof) will be secured and paid for by Seller. Any surveyor surveys desired by Buyer or
required by the mortgage lender will be secured and paid for by Buyer.
(D) In the event Seller is unable to give a good and marketable title and such as will be insured by a reputable TItle Company at the regular rates, as
specified in paragraph 15(A), Buyer will have the option of: (I) taking such title as Seller can give with no change to the purchase price; or (2) being
repaid all monies paid by Buyer to Seller on account of purchase price and being reimbursed by Seller for any costs incurred by Buyer for any inspec-
tions or certifications obtained according to the terms of the Agreement, and for those items specified in paragraph 15(B) items (I), (2), (3) and in
paragraph 15(C). in which case there will be no further liability or obligation on either of the parties hereto and this Agreement will become VOID.
16. ZONING CLASSIFICATION (1-02) Failure of this Agreement to contain the zoning classification (except in cases where the property {and each
parcel thereof, if subdividable} is zoned solely or primarily to permit single-family dwellings) will render this Agreement voidable at the option of
the Buyer, and, if voided,' . po~ tendered by the Buyer will be returned to the Buyer without any requirement for court action.
Zoning Oassification: t::::.:~ f 4> ~ NIl A-L-
o ELECTED. Within --..lL DAYS of the execution of this Agreement, Buyer will verify that the existing use of the Property as
is permitted. In the event the use is not permitted, Bnyer will, within the time
given for verification, notify Seller in writing that the existing use of the Property is not permitted and this Agreement will be VOID, in which
case all deposit monies paid on account of purchase price will be returned promptly to Buyer. Buyer s failure to respond within the time
given will constitute a WAIVER of this contingency and all other terms of this Agreement remain in full force and effecl.
17. c:O~OTICE
~ NOT APPLICABLE
o APPLICABLE
THIS DOCUMENT MAY NOT SElL, CONVEY, TRANSFER, INCLUDE OR INSURE THE TITt.E TO THE COAL AND RIGHTS OF SUPPORT UNDERNEATH THE SURFACE LAND
DESCRIBED OR REFERRED TO HEREIN, AND, THE OWNER OR OWNERS OF SUCH COAL MAY HAVE THE COMPLETE LEGAL RIGHT TO REMOVE ALL SUCH COAL AND
IN THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE, BUlWING OR OTHER SlRUCTlJRE ON OR IN SUCH LAND. (This
notice is set forth in the manner provided in Section I of the Act of July 17, 1957, PL. 984.) "Buyer acknowledges that he may not be obtaining the
right of protection against subsidence resulting from coal mining operations, and that the property described herein may be protected from damage
due to mine subsidence by a private contract with the owners of the economic interests in the coal. This acknowledgement is made for the purpose
of complying with the provisions of Section 14 of the Bituminous Mine Subsidence and the Land Conservation Act of April 27, 1966." Buyer agrees
to sign the deed from Seller which deed will contain the aforesaid provision.
18. POSSESSION (1-02)
(A) Possession is to he delivered by deed, keys and:
I. Physical possession to vacant Property free of debris, with all structures broom-clean, ai day and time of settlement, AL'ID/OR
2. Assignment of existing lease(s), together with any security deposits and interest, at time of settlement, if Property is leased at the
execution of this Agreement or unless otherwise specified herein. Buyer will acknowledge existing lease(s) by initialing said lease(s) at
time of execution of this Agreement.
(B) Seller will not enter into any new leases, written extension of existing leases, if any. or additional leases for the Property without the written
consent of Buyer.
19. RECORDING (3-85) This Agreement will not be recorded in the Office for the Recording of Deeds or in any other office or place of public record
and if Buyer causes or permits this Agreement to be recorded, Seller may elect to treat such act as a breach of this Agreement.
20. ASSIGNMENT (3-85) This Agreement will he binding upon the parties, their respective heirs, personal representatives, guardians and successors,
and to the extent assignable, on the assigns of the parties hereto, it being expressly understood, however, that Buyer will not transfer or assign this
Agreement without the written consent of Seller.
21. DEPOSIT & RECOVERY FUND (1-Q2)
(A) Deposits paid by Buyer within --1L DAYS of settlement will be by cash, cashier's or certified check. Deposits, regardless of the form of
payment and the person designated as payee, will he paid in U.S. Dollars to Broker or party identified in paragraph 3(B), who will retain them
in an escrow account until consummation or termination of this Agreement in conformity with all applicable laws and regulations. Any uncashed
check tendered as deposit monies may be held pending the acceptance of this offer.
(B) Upon termination of this Agreement, the Broker holding the deposit monies will release the deposit monies in accordance with the terms of a
fully executed written agreement between Buyer and Seller. '
(C) In the event of a dispute over entitlement to deposit monies, a broker holding the deposit monies is required by the Rules and Regulations of
the State Real Estate Commission (49 Pa. Code ~35.327) to retain the monies in escrow until the dispute is resolved. In the event of litigation
for the return of deposit monies, a broker will distribute the monies as directed by a final order of court or the written Agreement of the parties.
Buyer and Seller agree that, in the event any broker or affiliated licensee is joined in litigation for the return of deposit monies, the attorneys'
fees and costs of the broker(s) and licensee(s) will be paid by the party joining them.
(D) A Real Estate Recovery Fund exists to reimburse any persons who have obtained a final civil judgment against a Pennsylvania real estate licensee owing
to fraud, misrepresentation, or deceit in a real estate transaction and wbo have been unable to collect the judgment after exhausting all legal and equitable
remedies. Fer complete details about the Fund, call (J 17) 783-3658, or (800) 822-2113 (within Pennsylvania) and (JI7) 783-4854 (outside Pennsylvania).
22. ~NDOMINIUM/PLANNED COMMUNITY (HOMEOWNER ASSOCIATION) RESALE NOTICE (1-02)
.,.. NOT APPLICABLE
o APPLICABLE: CONDOMINIUM. Buyer acknowledges that the Property is a unit of a condominium that is primarily run by a unit owners'
association. ~3407 of the Uniform Condominium Act of Pennsylvania requires SeUer to furnish Buyer with a Certificate of Resale and copies
of the condominium declaration (other than plats and plans), the bylaws, and the rules and regulations of the association.
o APPLICABLE: PLANNED COMMUNITY (HOMEOWNER ASSOCIATION). Buyer acknowledges that the Property is part of a planned
communitv 3.<;: defined hv the T Tnifonn Phmm>n rnmmnnitv Art fS,pp npfinitinn nf Pbnnp" rmntTll1n;t" Nnti......'1 R4\LltY7I.,.) nf t1-o.,. A..t .....,.,..;..""..
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THE FOLLOWING APPLIES TO PROPERTIES THAT ARE PART OF A CONI:lOMINIUI\I OR A PLANNED COMMUNITY.
(A) Within ~ DAYS of the execution of this Agreement, Seller will submit a request to the association for a Certificate of Resale and the doc-
uments necessary to enable Seller to comply with the Act. The Act provides that the association is required to provide these documents within
10 days of Seller's request.
(B) Seller will promptly deliver to Buyer all documents received from the association. Under the Act, Seller is not liable to Buyer for the failure or
delay of the association to provide the Certificate in a timely manner, nor is Seller liable to Buyer for any erroneous information provided by
the association and included in the Certificate.
(C) Buyer may declare this Agreement VOID at any time before Buyer's receipt of the association documents and for 5 days thereafter, OR until
settlement, whichever occurs first. Buyer's notice declaring this Agreement void must be in writing; thereafter all deposit monies will be
returned to Buyer.
(D) In the event the association has the right to buy the Property (right of first refusal), and the association exercises that right, Seller will reimburse
Buyer for all monies paid by Buyer on account of purchase price and for any costs incurred by Buyer for: (I) Title search, title insurance and/or
mechanics lien insurance, or fee for cancellation of same, if any; (2) Flood insurance and/or fire insurance with extended coverage, mine sub-
sidence insurance, or fee for cancellation of same, if any; (3) Appraisal fees and charges paid in advance to mortgage lender, if any.
MAINTENANCE & RISK OF LOSS (1-02)
(A) Seller will maintain the Property, grounds, fixtures, and any personal property specifically scheduled herein in its present condition, normal
wear and tear excepted.
(B) In the event any system or appliance included in the sale of the Property fails and Seller does not repair or replace the item, Seller will promptly
notify Buyer in writing of Seller's choice to:
I. Repair or replace the failed system or appliance before settlement or credit Buyer at settlement for the fair market value of the failed sys-
tem or appliance (this option must be acceptable to the mortgage lender, if any). In each case, Buyer accepts the Property and agrees to
the RELEASE set forth in paragraph 25 of this Agreement, OR
2. Not repair or replace the failed system or appliance, and not credit Buyer at settlement for the fair market value of the failed system or
appliance. If Seller does not repair, replace or offer a credit for the failed system or appliance, or if Seller fails to notify Buyer
of Seller s choice, Buyer will notify Seller in writing within ~ DAYS or before settlement, whichever is sooner, that Buyer
will:
a. Accept the Property and agree to the RELEASE set forth in paragraph 25 of this Agreement, OR
b. Terminate this Agreement, in which case all deposit monies paid on account of purchase price will be returned promptly to Buyer
and this Agreement will be VOID.
(C) Seller will bear risk of loss from fire or other casualties until time of settlement. In the event of damage by fire or other casualties to any prop-
erty included in this sale that is not repaired or replaced prior to settlement, Buyer will have the option of rescinding this Agreement and
promptly receiving all monies paid on account of purchase price or of accepting the Property in its then condition together with the proceeds
of any insurance recovery obtainable by Seller. Buyer is hereby notified that Buyer may insure Buyer's equitable interest in this Property as of
the time of execution of this Agreement.
WAIVER OF CONTINGENCIES (1-02) If this Agreement is contingent on Buyer's right to inspect and/or repair the Property, Buyer s failure
to exercise any of Buyer s options within the time limits set forth in this Agreement will constitute a WAIVER of that contingency and Buyer
accepts the Property and agrees to the RELEASE set forth in paragraph 25 of this Agreement.
RELEASE (1-02) Buyer hereby releases, quit claims and forever discharges SELLER, ALL BROKERS, their LICENSEES, EMPLO EES,
and any OFFICER or PARTNER of anyone of them and any other PERSON, FIRM, or CORPORATION who may be liable by or through
them, from any and all claims, losses or demands, including, but not limited to, personal injuries and property damage and all of the con-
sequences thereof, whether now known or not, which may arise from 'the presence of tennites or other wood-boring insects, radon, lead-
based paint bazards, environmental hazards, any defects In the individual on-lot sewage disposal system or deficiencies in the on-site water
service system, or any defects or conditions on the Property. Should Seller be in default under the terms of this Agreement, this release does
not deprive Buyer of any right to pursue any remedies tbat may be available under law or equity. This release will survive settlement.
REPRESENTATIONS (1-02)
(A) Buyer understands that any representations, claims, advertising, promotional activities, brochures or plans of any kind made by Seller, Brokers,
their licensees, employees, officers, or partners are not a part of this Agreement unless expressly incorporated or stated in this Agreement. It is
further understood that this Agreement contains the whole agreement between Seller and Buyer and there are no other terms, obligations,
covenants, representations, statements or conditions, oral or otherwise of any kind whatsoever concerning this sale. Furthermore, this
Agreement will not be altered, amended, changed, or modified except in writing executed by the parties.
(B) It is understood that Buyer has inspected the Property before signing this Agreement (including fixtures and any personal property
specifically scheduled herein), or has waived the right to do so, and has agreed to purchase the Property in its present condition uuless
otherwise stated in this Agreement. Buyer acknowledges that Brokers, their licensees, employees, officers or partners have not made
an independent examination or detennination of the structural soundness of the Property, the age or condition of the components, envi-
ronmental conditions, the pennitted uses, or of conditions existing in the locale where the Property is sitnated; nor have they made a
mechanical inspection of any of the systems contained therein.
(C) Any repairs required by this Agreement will be completed in a workmanlike manner.
(D) Broker(s) may perform services to assist unrepresented parties in complying with the terms of this Agreement.
(E) The headings, captions, and line numbers in this Agreement are meant only to make it easier to find the paragraphs.
DEFAULT (1-02)
(A) Seller has the option of retaining all sums paid by Buyer, including the deposit monies, should Buyer:
I. Fail to make any additional payments as specified in paragraph 3; OR
2. Furnish false or incomplete information to Seller, Broker(s), or the mortgage lender, if any, concerning Buyer's legal or fmancial status,
or fail to cooperate in the processing of the mortgage loan application, which acts would result in the failure to obtain the approval of a
mortgage loan commitment; OR
3. Violate or fail to fulfill and perform any other terms or conditions of this Agreement.
(B) Unless otherwise checked in paragraph 27 (C), Seller may elect to retain those sums paid by Buyer, including deposit monies, in one of the
following manners:
1. On account of purchase price; OR
2. As monies to be applied to Seller's damages; OR
3. As liquidated damages for such breach.
(C) 0 Seller is limited to retaining sums p~id by Buyer, including deposit monies, as liquidated damages.
(D) If Seller retains all sums paid by Buyer, including deposit monies, as liquidated damages pursuant to paragraph 27 (B) or (C), Buyer and Seller
will be released from further liability or obligation and this Agreement will be VOID.
MEDIATION (7-96)
o NOT AVAILABLE
o WAIVED. Buyer and Seller understand that they may choose to mediate at a later date, should a dispute arise. but that there will be no obli-
~tion on the part of any party to do so.
. :-:\ ~LECfED
(A) Buyer and Seller will try to resolve any dispute or claim that may arise from this Agreement through mediation, in accordance with the Rules
and Procedures of the Home SellersIHome Buyers Dispute Resolution System. Any agreement reached through a mediation conference and
signed by the parties will be binding.
(8) Buyer and Seller acknowledge that they have received, read, and understand the Rules and Procedures of the Home
Dispute Resolution System (see Mediation Notice).
(C) ~~nt~edia~.disputes arising from this Agreement will survive settlement.
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~
587 29. SPECIAL CLAUSES (1-02)
588 (A) The following are part of this Agreement if checked:
589 0 Sale & Settlement of Other Property
590 Contingency Addendum (pAR Form SSP)
591 0 Sale & Settlement of Other Property Contingency
592 with Right to Continue Marketing Addendum
593 (PAR Form SSP-CM)
594 (B)
595
596
597
o Settlement of Other Property Contingency Addendum (PAR Form SOP)
o Tenant-OccupiedProperty Addendum (pAR Form TOP)
o
o
o
. 587
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592
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594
595
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597
~ 5~
m m
~ ~
601 001
~ ~
603 Buyer and Seller acknowledge receiving a copy of this Agreement at the time of signing. 603
~ ~
605 NOTICE TO PARTIES: WHEN SIGNED, TIDS AGREEMENT IS A BINDING CONTRACT. Return by facsimile tra""mission (FAX) of this 61lS
606 Agreement, and all addenda, bearing the signatures of all parties, constitutes acceptance of this Agreement. Parties to this transaction are advised 506
607 to consult an attorney before signing if they desire legal advice. 607
~ ~
609
610
611
BUYER'S MAILING ADDRESS:
~.:2
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BUYE~'SCO,NT~~NUMBER(S): ~ (pSH (~ .
WITNESS ~/f-~ BUYER ~ ~'""'......
~-- SS# 1"1 ~- ''3.''" 1.1 ~ II
WITNESS ~S- B~~~~
SS# \ - 4 -., .
DATE b-d~-a'-
DATE6~bl.::(..6S
619
620
621
622
623
62.1
625
626
627
628
629
630
531
632
633
634
635
636
637
638
639
WITNESS
BUYER
SS#
DATE
Seller hereby approves the above contract this (date)
. and in consideration of the services rendered in procuring the Buyer, Seller agrees to pay the named Broker for Seller a fee of
of/from the herein specified sale price. In the event Buyer defaults hereunder, any monies paid on account will be divided
Seller, . Broker for Seller, but in no event will the sum paid to the Broker for Seller exceed the above specified Broker's fee.
o Seller has received the Consumer Notice as adopted by the State Real Estate Commission at 49 Pa. Code ~35.336.
o Seller has received a statement of Seller's estimated closing costs before signing this Agreement.
o Seiler has read and understands the notices and explanatory information set forth in Ihis Agreement.
SELLER'S MAILING ADDRESS: ~~ ~~:;: ~~~~ NC
SELLER'S ~ER(S):
WITNESS ,;tA.."", r--
640
'-71 tJ..ft
640
641
642
643
644
645
646
647
648
649
650
651
652
553
654
655
656
657
658
659
660
661
662
663
664
565
666
667
668
669
DA'IE 1.s./~1-/ !J
,
641
642
643
644
545
S45
647
648
6<19
650
651
652
053
654
655
656
657
658
659
660
661
662
663
664
665
666
667
666
669
SELLERJlll\.L...~ Q, ~.~
SS# 1~f.-z.t-rOtf7.)T ~
WITNESS
SELLER
SS#
DATE
WITNESS
SELLER
SS#
DATE
Broker'slLice""ees' Certifications (check all that are applicable):
o Regarding Lead-Based Paint Hazards Disclosure: Required if Property was built before 1978: The undersigned Licensees involved in
this transaction, on behalf of themselves and their brokers. certify that their statements are true to the best of their knowledge and belief.
Acknowledgement: The Licensees involved in this transaction have informed Seller of Seller's obligations under The Residential Lead-Based
Paint Hazard Reduction Act, 42 U.S.c. ~4852(d), and are aware of their responsibility to ensure compliance.
o Regarding FHA Mortgages: The undersigned Licensees involved in this transaction, on behalf of themselves and their brokers, certify that
the terms of lhis contract for purchase are true to the best of their knowledge and belief, and that any other agreement entered into by any of
these parties in connection with this transaction is attached to this Agreement.
o
Regarding Mediation: The undersigned 0 Broker for Seller
paragraph 28 of this Agreement.
BROKER FOR SELLERjCo~Name) ~ S. 12.
ACCEPTED BY . ~ 6 :rl/c-..... _
BROKER FOR BUYER (Com~ame) ~S~ ""12.~ ~ f\...S
ACCEPTED BY (A~rL..r.-,^" r-
o Broker for Buyer agree to submit to mediation in accordance with
1L~I\t..--~ tt-s,
t{.1 /.
(2-2.-- / c" "\
I
DATE
c.c /'"L'"L.. /1",,<:,,_
DATE
OMB NO. 2502-0265 ~"'r
A. B. TYPE OF LOAN:
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT l-DFHA 2.DFmHA 3. [RJCONV. UNINS. 4.DVA 5.DcONV.INS.
6. FILE NUMBER: 17. LOAN NUMBER:
SETTLEMENT STATEMENT DARR295-05 921000273107
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is furnished to give you a statement of actual saN/ement costs. Amounts paid to and by the settlement agent are shown.
Items marked "[POCr were paid outside the closing; they are shown here for informationai purposes and are not included in the totals.
1.0 3/98 (DARR295-05.PFOIDARR295-05l10)
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
DENNIS A. DARR and ESTATE OF MARGARET J. KOCH FREMONT INVESTMENT & LOAN
PAMELA G. DARR 106 SOUTH STONER AVENUE P.O. BOX 658
222 E. MAIN STREET SHIREMANSTOWN, PA 17011 AMELlA,OH 45102
MECHANICSBURG. PA 17055
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1619811 I. SETTLEMENT DATE:
106 SOUTH STONER AVENUE TRI-COUNTY ABSTRACT SERVICE
SHIREMANSTOWN, PA 17011 AU9ust 31, 2005
CUMBERLAND County, Pennsylvania PLACE OF SETTLEMENT
3414 CHESTNUT STREET
CAMP HILL, PA 17011
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
101. Contract Sales Price 154,500.00 401. Contract Sales Price 154,500.00
102. Personal ProperlY 402. Personal Prooertv
103. Settlement Charoes to Bonrower Line 1400) 6,809.15 403.
104. 404.
105. 405.
Adiustments For Items Paid Bv SelJer in advance Ad"ustments For Items Paid BY Seller in advance
106. CitvlT own Taxes 08/31/05 to 01/01/06 153.87 406. CitvlTown Taxes 08/31/05 to 01/01/06 153.87
107. Countv Taxes to 407. County Taxes to
108. SCHOOL TAX 08/31/05 to 07/01/06 i 1,262.10 408. SCHOOL TAX 08/31/05 to 07/01/06 1,262.10
109. SEWER BILL 08/31/05 to 10/01/05 10.11 409. SEWER BILL 08/31/05 to 10/01/05 10.11
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 162.735.23 420. GROSS AMOUNT DUE TO SELLER I 155,926.08
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deoosit or earnest money 500.00 501. Excess Denosit (See Instructions\
202. Princioal Amount of New Loanls) 123,600.00 502. Settlement Charoes to Seller (Line 140m I 12,493.35
203. ExistinQ loan(s) taken subiect to 503. Existino ioan s taken sub'ect to
204. 2ND MORTGAGE PROCEEDS 30,649.27 504. Payoff of first Mort9age I
205. BROKER CREDIT 1.164.00 505. Pavoff of second Mortoaoe
206. 506.
207. 507. lOeooslt disb. as oroceeds)
208. 508.
209. SELLER ASSIST 6,000.00 509. SELLER ASSIST 6.000.00
Ad'ustments For Items Unoaid Bv Seller Adiustments For Items Unnaid Bv Seller
210. CitvfTown Taxes to 510. CitvfTown Taxes to
211. Countv Taxes to 511. CountvTaxes to
212. SCHOOL TAX to 512. SCHOOL TAX to
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. I 519.
220. TOTAL PAID BY/FOR BORROWER 161,913.27 520. TOTAL REDUCTION AMOUNT DUE SELLER I 18,493.35
I
300. CASH AT SETTLEMENT FROMfTO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross Amount Due From Borrower Line 120 162,735.23 601. Gross Amount Due To Seller Line 420) 155,926.08
302. Less Amount Paid By/For Bonrower (Line 220) I( 161,913.27\ 602. Less Reductions Due Seller (Line 520) ( 18,493.35
303. CASH ( X FROM) ( TO) BORROWER 821.96 603. CASH ( X TO) ( FROM) SELLER 137,432.73
...,.,
The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein.
I HAVE CAREFULLY REVIEWED THE HUD-l SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS A TRUE AND
ACCURATE STAT MENT OF ALL RECEIPTS AND DiSBURSEMENTS MADE ON MY ACCOUNT OR BY ME IN THIS TRANSACTION. I FURTHER CERTIFY
THAT i HAVE RE IDA COPY OF n~UD-l SETTLEMENT STATEMENT.
. .. ~~~ Seller
DENNIS A. DARR ~
~-.,"~,~~ ~
PAMELA G. DARR .
TO THE BEST OF MY K WLEDGE, THE HUD-l SETTLE T ST ENT WHICH i HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE
FUNDS WHICH WE E IVED AN AVE BE NIL .BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS
TRANSACTION. "
SETTLEMENT OFFICER
/SettJement Agent
WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND iMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 & SECTION 1010.
L. SETTLEMENT CHARGES
700. TOTAL COMMISSION Based on Price $ 154.500.00 @ 6.0000 % 9.270.00 PAID FROM PAID FROM
Division of Commission line 700 as Follows: BORROWER'S SELLER'S
701. $ 9.270.00 to RSR REALTORS FUNDS AT FUN~S AT
702. $ to SETTLEMENT SETTLEMENT
703. Commission Paid at Settlement 9.270.00
704. ADMINISTRATOR FEE to RSR REALTOR 125.00 150.00
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Orioination Fee 0.3956 % to FREMONT INVESTMENT & LOAN 489.00
802. Loan Discount % to
803. Appraisal Fee to BAY CAPTIAL CORP 350.00
804. Credit Report to BAY CAPTIAL CORP 35.00
805. Lende~s Inspection Fee to
806. Mortoaoe Ins. Aoo. Fee to
807. Assumption Fee to
808. BROKER FEE to BAY CAPTIAL CORP 1,164.00
809. UNDERWRITING FEE to FREMONT INVESTMENT & LOAN 405.00
810. TAX SERVICE FEE to LAND AMERICA TAX AND FLOOD SERVICES 60.00
811. FLOOD CERT FEE to LAND AMERICA TAX AND FLOOD SERVICES 9.50
812. PROCESSING FEE to BAY CAPTIAL CORP 495.00
813. LOAN SET UP FEE to BAY CAPTIAL CORP 195.00
814. YIELD SPREAD PO BY FREMONT BAY CAPTIAL CORP POC: $2,472.00
815.
816.
817.
818.
819.
820.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From 08/31/05 to 09/01/05 @ $ 25.400000/day ( 1 days %) 25.40
902. Mortaaae Insurance Premium for months to
903. Hazard Insurance Premium for 1.0 years to
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance months $ oer month
1002. Mortoaoe Insurance months $ per month
1003. City!Town Taxes months $ Der month
1004. Countv Taxes months $ Der month
1005. SCHOOL TAX months @ $ per month
1006. months ((j) $ Der month
1007. months @ $ per month
1008. AGGREGATE ESCROW ADJUSTMEI months ((j) $ Der month
1100. TITLE CHARGES
1101. Settlement or Closino Fee to
1102. CLOSING PROTECTION LETTER to FIRST AMERICAN TITLE INSURANCE COMPANY 35.00
1103. Title Examination to
1104. Title Insurance Binder to
1105. Document Preoaration to
1106. Notarv Fees to CASH 12.00 8.00
1107. Attomey's Fees to
{includes above item numbers: J
1108. Tille Insurance to TRI-COUNTY ABSTRACT SERVICE AGENT 1133.75
fincfudes above item numbers:
1109. Lende~s Coverage $ 123.600.00 104469427
111 O. Owne~s Coverage $ 154,500.00 1,133.75 104485077
1111. ENDORSEMENTS to TRI-COUNTY ABSTRACT SERVICE 100,300,8.1,710 200.00
1112.
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 38.50; Mortgage $ 72.50; Releases $ 111.00
1202. Cilv/Counlv Tax/Stamps: Deed 1,545.00' Mortgage 1,545.00
1203. State Tax/Stamos: Revenue Stamos 1,545.00; Mortoaoe 1,545.00
1204.
1205. OVERNIGHT/COURIER FEES to TRI-COUNTY ABSTRACT SERVICE 14.50
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Survey to
1302. Pest Inspection to BIECHLER & TILLERY, INC. HOME/RADON/PEST 405.00
1303. TAX CERTIFICATION FEE to TRI-COUNTY ABSTRACT SERVICE 5.00
1304. 2005 SCHOOL TAXES to JUDY C. PROWELL, TAX COLLECTOR 37-23-0555-258 1,515.35
1305.
1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) 6,809.15 12,493.35
By ,i,nin, P'9' I of thi. "".m.nt "" '~"'o"" ,"'.oowi.d,. "'"'pI oi . ,0mp,.I.d ooPY of p.g. 2 oi Ihi. two pay1)~ J -P'IA Jh //1
JJt ii' j J J L------'
SETTLEMENT OFFICER (J
Settlement Agent
Page 2
Certified to be a true copy.
(OARR295-05/ DARR295-05/10 )
S~P-01-2005 15: 21
FROM-
T-210 P.C02/005 F-3S1
Tax ~arcel 37-23-0555-258
THIS DEED,
MAlJETHE
Jf
..3 I ~ day of August in the year two
thousand five (2005)
BETWEEN
DONALD C. MEALS, Executor of the Last Will and
Testament of Margaret J. ~och, also known as
Margaret J. Bryan, late of the Borough of
Shiremanstown, Cumberland County, Pennsylvania,
party of the first part,
and
DENNIS ~. OARR and PAM~LA G. DARR, husband and
wife, of Mechanicsburg, CUmberland County, Penn-
sylvania, party of the second part:
WHEREAS, the said Margaret J. Koch by her Last Will and Testa-
ment, duly proved and recorded in the Cumberland County Register
of Wills Office, Pennsylvania, in Docket BOOk 21-05-0677, Letters
Testamentary being issued on July 29, 2005, prOVided, in perti-
nent part, as follows:
SECONQ: 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 sale, exchanges or leases, for such prices and upon such
terms (including credit, with or without security) or conditions
as are deemed proper. This includes the power to give legally
sufficient instruments for transfer of the property and to
receive the prOceeds of any disposition of it...
FODRTB~ I nominate and appoint DONALD C. MtALS, Executor of
this, my Last Will and Testament...
S~P-01-2005 15:21
FROM-
T-210 P,Q03/005 F-361
NOW THIS rNDENTORE WITNESSETH, that the said parties of the first
part, by virtue of the pOwer and authority aforesaid, in said
Will contained, and in consideration of the sum of One Hundred
FiftY~Four Thousand and Five Hundred Dollars ($154,500.00) to
them 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, have granted, bargained, sold and Conveyed,
and do hereby grant, bargain, sell and convey to the said party
of the second part, their heirs and assigns forever:
ALL THAT CERTAIN piece or parcel of land situate in the Borough
of Shiremanstown, Cumberland County, Pennsylvania, being more
fully bounded, limited and described as follows, to wit:
~EGrNNING at a point on the western line of Stoner Avenue
at the northern line of a proposed street ~o be known as Walnut
Street; thence westwardly along the northern line of Walnut
Street one hundred forty-nine and seventy-seven hundredths
(149.77) feet to a point; thence northwardly parallel with the
western lien of Stoner Avenue seventy (70) feet to a point;
thence eastwardly parallel with the northern line of the proposed
street to be known as Walnut Street one hundred forty-nine and
seventy-seven hundredths (149.77) feet to a point, the western
line of Stoner Avenue; thence Southwardly along the western line
of Stoner Avenue seventy (70) feet to a point, the place of
beginning.
Together with the right of ingress and egress to said land
hereby conveyed on that portion of Walnut S~reet beginning a~ the
eastern line of Stoner Avenue and extending westwardly to a point
one hundred forty-nine and seventy-seven hundredths (149.77) feet
from the western line of Stoner Avenue.
BEING the same premises which David H. Bryan, married man,
by deed dated January 3, 1950 and recorded January 13, 1950 in
the Cumberland County Recorded of Deeds Office in Deed Book E,
Volume 14, Page 536, granted and conveyed onto David H. aryan and
Margaret J. Bryan, husband and wife. The said David H. Bryan
died March 7, 1960, whereupon full and complete 'title to the
within described property became vested SOlely in Margaret J.
Bryan, surviving spouse. The said Margaret J. Bryan, also known
as Margaret J. KOCh, died June 23, 2005.
SEf-Ol-2005 15:21
FROM-
T-210 P.004/005 F-361
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 Margaret J. Koch a~ and immediately before the time of her
decease in law Or equity or otherwise howsoever, of, in, to or
out or the same;
TO HAVE AND ~O BOLO the said granted premised ~o the said party
or the second part, their heirs and assigns forever.
AND the said parties of the first part, do covenant, promise,
grant and agree, to and with the said party of the second part,
their heirs and assigns, by these presents, that the said party
of ~he first part, has not dons, committed, or knowingly or
willingly suffered to be done, any act, matter or thing whatso-
ever, whereby the premises aforesaid, Or any part thereof, is
are, shall or may be charged or enCumbered, in title, charge or
estate, Or otherwise howsoever.
IN WITNEsS WHEREOF, the said party of the first part has
hereunto set his hand and seal the day and year above wri~ten.
Signed, Sealed and Delivered
y~~re~u:c.~~~ . .
\~c.. fiA hOt (SEAL)
DONALD C. M1:AALS J
~xecutor of the Estate of
Margaret J. Koch
SEP-Ol-2D05 15:21
FROM-
T-21D P.OD5/DD5 F-361
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~J SS.
On this, the ~/~ day of 4v-J('~, 2005, before me,
the undersigned officer, personally appeared DONALD C. MEALS,
known to me (or satisfactorily proven) to be the person whose
name subscr~bed to the within instrument, and acknowledged that
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
NowiaI5eaI
Gtenda M. W8tI'lIngtC#l,~
camp HftI Bolo. CUmb""tal"" ""'* I
My CQnmsslOI'1 ~~. '1.7, &.\IUQ
Mem\)$r. PeMsylvrmia As$OdatiOn Of Nolllries
Cer~ifioate of Residence
(SEAL)
I do hereby certify that the precise residence and complete
post office address of the withi~ ~amed grantees ~
JOt, 6: 6' ~ ,4 v-e- / S /J 11" C rVllJ. /lS kWJ VI f/a.... 170 II
fiSt / ll~- 2005 ~ .rfA..,.b; -JfQ . ~
or Grantees
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
RECORDED on this day of , 2005,
in the Recorder's Office of the said County, in
Deed Sook , page Given under my hand and
the seal of the said office, the date above written.
, Recorder.
Rev-1508 EX+ (6-98)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETU RN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
FILE NUMBER
21-05-0677
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Commonwealth of Pennsylvania - Property Tax Rebate 500.00
2 Penn National Insurance - Premium Refund 165.00
3 1985 Chevrolet - Value as per attached appraisal 200.00
4 Gold Bracelets - Value as listed on attached appraisal 50.00
5 Pearls - Value as listed on attached appraisal 250.00
6 Personal Property - Sold at Public Sale 2.239.00
7 Personal Property - Sold at private sale 900.00
8 Vintage Costume Jewelery - Value as listed on attached appraisal 100.00
TOTAL (Also enter on Line 5, Recapitulation)
4.404.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
.....
I-DTlJe$
CHEVROLET
CHEVROLET, INC.
3400 HARTZDAlE DRIVE AT
CAPITAL CITY MAll DRIVE
CAMP Hill. PA 17011
NO.
SURVEY AND APPRAISAL FORM -. THIS IS NOT AN ORDER
~~~ C::: 1.-
NAME \i-v, ~ ~ ~~~ ~ \~ ~'--
\ ()
CITY S\,..,.v-...e....'-"--'-.....~~-.........- STATE y'- AGE
STREET
ADDRESS
\ 0 ~
s
~~~,
DATE 1-1.. oS
PHONE NO.
RADIO
TELEVISION
FRIEND
REASON FOR VISITING US:
WEST SHORE SHOPPER'S GUIDE
PATRIOT
OLD CUSTOMER OTHER
YEAR Be; MAKE ~~~ MODEL~~<,-.:..<.- BODYSTYLE ~~
MILEAGES5 L( 'L-O AUTO TRANS. ~ <f2S?_6JB.'_ PIW _ P/S~~DTc0 ~:
CYL\J ,. .~ COLOR \ ;;...~
PAINT
INTERIOR
GLASS
TIRES L.F.
R.F.
L.R
R
SPARE
FENDERS L.F.
RF.
L.R
R
DOORS
~~~~~
WHOLESALE V ALOE: ;Z 00. c 0
APPRAISED BY
MOTOR REAR. TRANS.
FOLLOW DATE
REMARKS
C.t'''-~
'\S 2- C)\ \:-{ ~
o\~ . \
PHYSICAL DAMAGE REPORT
YOU KNOW ANYBODY INTERESTED IN YOUR TRADE:
60.,",,-,- ~"V- ,-;t
SALESMANC~ .
--:-'
TO NAME
CHECKED IN BY
mUZ~te's
..J{ntiqu~E
;8:388~
~;:: ~l./-O.5
SOLD TO
ADDRESS
CASH CHARGE C.O.D. PAID OUT MDSE. RETD. BAL. FORWARD
QUAN. DESCRIPTION PRICE AMOUNT
I~ - c.l....z." '-/7 ('.C I{JO -I--
". f cJ./.r >- ~CA..A ..,
r:J>~rr; r Jl~,.., ._..f'.. cJ
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!/
SIGNATURE
ROBERT HAM ASSOCIATES 1-800-334-6965 199460.B5
DG 9/99
Rowe's Auction Service
2505 Ritner Highway
Carlisle, P A 17013
717-249-2677 249-1978 697-4794
To: James D. Bogar Attorney
1 West Main Street
Shiremanstown, PA 17011
From: Rowe's Auction Service
2505 Ritner Highway
Carlisle, P A 17013
Re: Margaret J. Koch Estate
Shiremanstown, P A.
Personal Property Sales
Less commission (35%)
Net to Estate
$2239.00
- 784.00
$1455.00
~/\~
William G. Rowe
Rev-1509 EX+ (6-98)
.
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
FILE NUMBER
21-05-0677
II an asset was made joint within one year 01 the decedent's date 01 death, It must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME
A. Donald C. Meals
ADDRESS
RELATIONSHIP TO DECEDENT
103 Quork Court
Kill Devil Hills, NC 27948
Son
B.
C.
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEAT~
FOR JOINT MADE DECD'S VALUE OF
NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSE INTEREST DECEDENT'S INTEREST
JOINTLY-HELD REAL ESTATE.
1 A 2/811989 Citizens Bank - Account No. 6140894239, 3.164.52 50.000% 1.582.26
date of death balance $3,111.91, accrued
interest $52.61
2 A 1/21/1999 Sovereign Bank - Account No. 1.524.36 50.000% 762.18
0575131388, date of death balance
$1,520.53, accrued interest $3.83
3 A 8/19/1996 Sovereign Bank - Account No. 2.004.72 50.000% 1.002.36
0575137922, date of death balance
$2,000.00, accrued interest $4.72
4 A 4/2/1996 Sovereign Bank - Account No. 1.503.88 50.000% 751.94
0575139159, date of death balance
$1,500.65, accrued interest $3.23
5 A 11/25/1996 Sovereign Bank - Account No. 1.804.19 50.000% 902.10
1685138016, date of death balance
$1,800.00, accrued interest $4.19
6 A 2/29/2000 Sovereign Bank - Account No. 4.013.39 50.000% 2.006.70
1685271544, date of death balance
$4,000.00, accrued interest $13.39
TOTAL (Also enter on Line 6, Recapitulation) 7.007.54
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule F (Rev. 6-98)
.J:.:E Citizens Bank
Account Number
Account Title
Date 0 ened
Account Ty e
Principal Balance as of DOD
Interest from Last Postin to DOD
Account Balance as of DOD
YTD Interest to DOD
6140158958
MARGARET J KOCH
11/26/1974
Savin s
$.00
$.00
$.00
$2.76
I~Citizens Bank
Account Number
Account Title
Date 0 ened
Account Ty e
Principal Balance as of DOD
Interest from Last Postin to DaD
Account Balance as of DaD
YTD Interest to DaD
6140894239
MARGARET J KOCH OR DONALD C MEALS
2/8/1989
Time De osits
$3111.91
$52.61
$3164.52
$68.55
Court Ordered Processing / MAl MB3 02-10
P.O. Box 841005
Boston, MA 02284
August 9, 2005
James D. Bogar
Attorney at Law
One West Main St.
Shiremanstown, P A 17011
RE: Estate of: Margaret J. Koch
Date of Death: July 23, 2005
Dear Ms. Hipp:
Per your request, enclosed please find the account information as of date of death for the
above-named decedent. Please note the balances do not include accrued interest.
If you should have any further questions, please do not hesitate to call.
Very truly yours,
~
Linda Spavento
OAG Team Leader
( 617) 533-1789
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #:
DA TE OF DEATH:
Margaret J Koch
172-01-0141
June 23, 2005
Account #: 0575131388 Type: CD
In the name of: Margaret J Koch or Donald C Meals
Date of Death Balance: $1,520.53
Int.(YTD) from 1/1/2005 to 5/31/2005
Accrued interest to date of death: $3.83
Other Info:
Open date: 1/21/1999
$22.80
Account #: 0575137344 Type:
In the name of: Margaret J Koch or Donald C Meals
Date of Death Balance:
Int.(YTD) from 1/1/2005 to
Accrued interest to date of death:
Other Info: closed 4/1/05 -POl $ .3, GOd, 10
CD
Open date: 2/24/1997
$0.00
4/1/2005
$0.00
$17.73
Account #: 0575137922 Type: CD
In the name of: Margaret J Koch or Donald C Meals
Date of Death Balance: $2,000.00
Int.(YTD) from 1/1/2005 to 5/31/2005
Accrued interest to date of death: $4.72
Other Info:
Open date: 8/19/1996
$34.22 "-
Account #: 0575139159 Type: CD
In the name of: Margaret J Koch or Donald C Meals
Date of Death Balance: $1,500.65
Int.(YTD) from 1/1/2005 to 5/31/2005
Accrued interest to date of death: $3.23
Other Info:
Open date: 4/2/1996
$23.44
Account #: 1685138016 Type: CD
In the name of: Margaret J Koch or Donald C Meals
Date of Death Balance: $1,800.00
Int.(YTD) from 1/1/2005 to 5/31/2005
Accrued interest to date of death: $4.19
Other Info:
Open date: 11125/1996
$30.35
Page 1 of 2
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Margaret J Koch
172-01-0141
June 23,2005
Account #: 1685271544 Type: CD
In the name of: Margaret J Koch or Donald C Meals
Date of Death Balance: $4,000.00
Int.(YTD) from 1/1/2005 to 5/31/2005
Accrued interest to date of death: $13.39
Other Info:
Open date: 2/29/2000
$97.00
Page 2 of 2
Rev-1510 EX+ (6-98)
*'
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
FILE NUMBER
21-05-0677
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) V ALU E
THE DATE OF TRANSFER. ATTACH A COpy OF THE DEED FOR REAL ESTATE.
1 Prudential Financial - Contract No. ROS861948 3.383.21 3.383.21
2 173.428 shares of PPL - Stock-Transferred to 5.264.41 100.000 3.000.00 2.264.41
Donald C. Meals on June 6, 2005
3 Ameriprise Financial - Account No. 01053645559 3.701.80 3.701.80
4002
TOTAL (Also enter on Line 7, Recapitulation) 9.349.42
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule G (Rev. 6-98)
Prudential ~ Financial
The Prudential Insurance Company of
America Annuity Services
PO Box 7960
Philadelphia, PA 19176
(888) 778-2888
LA W OFFICE OF JAMES D BOGAR
A TTN JENNIFER B HIPP
ONE W MAIN ST
SHIREMANSTOWN PA 17011
Contract Number: ROS86l948
Payee: Margaret J Koch
August 9,2005
Dear Ms. Hipp:
Weare writing in response to your recent request for information on the contract shown above.
This contract is the only one that was found in Margaret Koch's name. It was effective September
10, 1992 and provided Margaret J Koch with annual accumulating interest. The value of the
contract as of the date of death was $3,383.21.
Under the terms of the contract, at the death of Margaret J Koch, the death claim proceeds were
paid to Donald C Meals, son.
If you have any questions, please call the Prudential Annuity Service Center at (888) 778-2888.
The Service Center is open Monday through Friday between 8:00 a.m. and 8:00 p.m. Eastern time.
If you are using a telecommunications device for the hearing impaired, you may call (800) 654-
7637. Monday through Friday between 8:00 a.m. and 8:00 p.m. Eastern time.
Sincerely,
-11 lit ~cLu-
J-JeIT Bailey d-
Annuity Death Claims
A Prudential business
Corporate Office: 751 Broad Street, Newark NJ 07102-3777
PPL CORPORATION
Two North Ninth Street
Allentown, PA 18101- I 179
http://www.pplweb.com
\ I I
\ \ I , I
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ppl.!~~:
, TM
Investor Services
1-800-345-3085
November 29, 2005
James D. Bogar
Attorney at Law
One West Main Street
Shiremanstown, P A 17011
Re: Estate of Margaret 1. Koch
Dear Mr. Bogar:
In reply to your recent letter, we do not have a PPL stock account registered in the
name of Margaret J. Koch under social security number 172-01-0141.
According to our records, there was a joint account in the name of Mahlon C.
Koch and Margaret 1. Koch as Joint Tenants, under social security number 172-01-3482. The
shares held in joint names (4 certificated shares and 169.428 shares held in a Dividend
Reinvestment Plan), were transferred to Donald C. Meals on June 7, 2005.
We hope this information will be helpful to you. Please do not hesitate to contact
our office on the toll free number shown above, or you can call me direct at 610-774-4235, if you
have any questions.
Sincerely,
~Q-~
(Mrs.) Cynthia A. Buchman
Sr. Investor Services Representative
Mary L Chaffee
To: Chad X Price/Field/WH/AEFA@AMEX
12/12/2005 11:43
cc:
Subject: 12823078
6 001
MARGARET J KOCH
Date of Death values
IDS Life Insurance Company
RiverSource Funds
Ameriprise Certificate Company
Ameriprise Brokerage
Ameriprise Financial Center
Minneapolis, MN 55474
December 12, 2005
CHAD DAVID PRICE
AMERIPRISE FINANCIAL SERVICES
3500 MARKET ST STE 200
CAMP HILL, PA 17011-4353
Dear CHAD DAVID PRICE:
Thank you for your recent inquiry regarding MARGARET J KOCH's accounts. These
are the values of the accounts as of 06/23/2005.
Mutual Funds
Account Number
Total Value
# of shares
Asset Value Per Share
01053645559 4 002
$3701.80
425.494
8.70
The date of death values provided are for estate tax purposes and are not a
value to be paid. Accounts may be subject to market fluctuation as governed
by each product. Values for any proprietary mutual funds include accrued
dividends as applicable.
We appreciate the opportunity to be of service to you. Please contact us if
you have any questions.
Sincerely,
Mary Chaffee
Death Settlements Processing Team
70100 Ameriprise Financial Center
Minneapolis, MN 55474
1-800-862-7919, Option 5,1
REV-1151 EX+ (12-99)
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-05-0677
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 7,596.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees Bogar and Hipp Law Offices 7,800.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 318.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 21,564.74
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 37,278.74
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
FILE NUMBER
21-05-0677
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Myers Funeral Home, Inc. - Funeral
7.396.00
2
Pauline Rife - Funeral Luncheon
200.00
Subtotal
7.596.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
FILE NUMBER
21-05-0677
ITEM
NUMBER
AMOUNT
DESCRIPTION
13
14
15
16
1
ATT - Telephone Bill-Final
69.87
2
Comcast - Final Cable Bill
46.70
3
Dennis A. Darr & Pamela G. Darr - Seller's Assist-Sale of Real Estate
6.000.00
4
Dennis A. Darr & Pamela G. Darr - Radon Remediation
665.00
5
J. S. Norford - Plumbing Repairs
83.80
6
Judy C. Prowell, Tax Collector - 2005 School Taxes
1.515.35
7
Lower Allen Township - Sewer
30.00
8
Notary Fees - Sale of Real Estate
8.00
9
Pa. American Water Co. - Final Water Bill
100.47
10
PPL - Electric-Final Bill
137.96
11
Real Estate Transfer Tax - Sale of Real Estate Expense
1.545.00
12
RESERVES: - Costs to conclude administration of Estate including filing fee for Pa.
Inheritance Tax Return and Inventory; preparation of Personal and Fiduciary
Income Tax Returns
850.00
Rowe's Auction Service - Commission for sale of personal property
784.00
RSR Realtor - Commission on sale of real estate
9.270.00
RSR Realtor - Administrator Fee
150.00
Suburban Gas - Gas Bill-Final
246.62
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H-B7 (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-87
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLV/JJ<4IA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
FILE NUMBER
21-05-0677
ITEM
NUMBER
DESCRIPTION
AMOUNT
17
Tri-County Abstract Service - Tax Certification
5.00
18
Verizon - Telephone Bill-Final
25.32
19
WSI - Trash Removal
31.65
Subtotal
21.564.74
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Koch, Margaret J.
FILE NUMBER
21-05-0677
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Church of God Home - Rent
VALUE AT DATE
OF DEATH
3.223.40
2 Dr. Howard Burkett - Final Bill
30.00
3 Links Care - Private Duty Nurses
2.514.00
4 Pace - Prescription Co-:ay
10.95
TOTAL (Also enter on Line 10, Recapitulation)
5,778.35
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV 1513 EX+ (9-00)
*'
SCHEDULE .J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Koch, Margaret J.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-05-0677
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
See attached schedule
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
. .
SCHEDULE .J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Margaret J. Koch 172-01-0141 06/23/2005
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
1 Bryan K. Meals Grandson One-fourth (1/4) of 0.00
2924 Replica Court rest, residue and
Portsmouth, VA 23703 remainder
2 Donald C. Meals Son One-half (1/2) of rest, 0.00
103 Quork Court residue and
Kill Devil Hills, NC 27948 remainder
3 Robert C. Meals Grandson One-fourth (1/4) of 0.00
48 Bald Eagle Road rest, residue and
South Weymouth, MA 02190 remainder
Total
1
.
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illast JIIill anu Qftstatttent
OF
MARGARET J. KOCH
I, MARGARET J. KOCH, of the Borough of Shiremanstown,
Cumberland County, Pennsylvania, make, publish and declare this as
and for my Last will and Testament, hereby revoking all other
Wills and Codicils heretofore made by me.
FIRST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, as follows:
(A) One-half (1/2) thereof, to my son, DONALD C. MEALS.
Should my son, DONALD C. MEALS, predecease me, I devise and
bequeath his share, in equal shares, to my grandsons, BRYAN K.
MEALS and ROBERT C. MEALS, provided that should any of my grand-
children predecease me, I give and bequeath such grandchild's
share unto his issue per stirpes by representation, and if there
be a failure of same, then I give and bequeath such deceased
grandchild's share to my surviving grandchild as provided herein.
(B) One-half (1/2) thereof, in equal shares, to my
grandsons, BRYAN K. MEALS and ROBERT C. MEALS, provided that
should any of my grandchildren predecease me, I give and bequeath
such grandchild's share unto his issue per stirpes by representa-
tion, and if there be a failure of same, then I give and bequeath
such deceased grandchild's share to my surviving grandchild as
provided herein.
-)
SECOND: 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
.
)
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, )
.~~
options for sales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or condi-
tions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and to
receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate and
to enter into agreements concerning the partition, subdivision,
improvement, zoning or management of real estate and to impose or
extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes.
,I
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j
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee stock
ownership plan, or any other type of qualified plan) to the extent
the plan or the law permits them to do so, and to exercise any
'J
other rights which they may have under the plan, in whatever
2
r
manner they consider advisable.
THI"" , 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 princi_
pal of my residuary estate.
~: I nominate and appoint DONALD C. MEALS,
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 DONALD C. MEALs, I nominate and appoint BRYAN K. MEALs
and ROBERT C. MEALS, CO-Executors of this, my Last Will and
Testament. I direct that my Executor, and his successors, shall
not be required to post security or a bond for the performance of
their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto
to this, my Last Will and Testament, this~1
set my hand and seal
)
day of ".I'll 'V-,--,{lh"1
J (' j
1993.
"Jg~~~"K!~
k'
./ .
, ' Q.(~ J/.~
,
(SEAL)
Signed, sealed, Published and declared by the above-
named Testatrix as and for her Last Will and Testament in our
presence, who, at her request, in her presence and in the presence
of each other, have hereunto subscribed our names as attesting
witnesses.
/ A) '/"
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cz;Tz1P4 ~1-..,:;,p j)_ / -j tZ4/2A1_
Address
Address
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