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OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128.Q601
REV.1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
2.1 2006
COUNTY ODe YEAR
SOCIAL bt:CIJRITY NUMBER
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Milliken, John B.
DATE OF DEATH (MM-DD-YEAR)
204-01-9337
0649
NUMBER
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
4a. Future Interest Compromise (date of death alter
12-12-82)
7. Decedent Maintained a Living Trust(Attach
copy of Trust)
10 SpOUsal PovertY Credit (date 01 death between
. 12-31-91 and 1-1-95)
o 3. RemainderRetum (date of death prior 10 12-13-82)
o 5. Federal Estate Tax Return Required
1 8. Total Number of Safe Deposit Boxes
o 11. Bectlon to tax under Sec. 9113(A) (Attach Sch 0)
~ 1. Original Return
o 4. Limited Estate
~ 6. Decedent Died Testate (Attach
copy of Will)
o 9. Litigation Proceeds Received
o
o
o
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2. Supplemental Retum
DATE OF BIRTH (MM-DD-YEAR)
b7-15-2006
09-19-1922
COMPLETE MAlUNG ADDRESS
One West Main Street
Shiremanstown, PA 17011
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. JoinUy 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)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
(IF APPUCABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
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IS
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NAME
James D. Bogar
FIRM NAME (If applicable)
Bogar & Hlpp Law Offices
TELEPHONE NUMBER
717- 737-8761
(1) 140,000.00 OFFICIAL USE ONL Y
(2) 55,842.77 ("') ~
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(3) None c;:r'\
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(4) None in ("') (-
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(5) 12,230.51 0 rn
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(6) 107,246.08 oo~ -0 Cr20
PS :x ii~~
(7) 19,258.00 :o-i -
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(8) :W4,577.i~;
(9) 29,072.45
(10) 1,537.91
(11 )
13. Charitable and Governmental Bequests/See 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)
(12)
(13)
(14)
12. Net Value of Estate (Line 8 minus Line 11)
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 (16)
~ 16. Amount of Line 14 taxable at lineal rate 303,967.00 x .045
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a. '7. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
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0
(.) 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18)
)( x
~ 19. Tax Due
(19)
11. Total Deductions (total Lines 9 & 10)
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPA YMENT.
30,610.36
303,967.00
303,967.00
0.00
13,678.52
0.00
0.00
13,678.52
Copyright 2002 form software only The Lackner Group, Inc.
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Form REV-1500 EX (Rev. 6-00:
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Decedent's Complete Address:
STREET ADDRESS
312 East Coover Street
...
CITY Mechanicsburg
ISTATE PA
I ZIP 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
13,678.52
10,204.43
537.08
Total Credits (A + B + C)
(2)
10,741.51
3. InterestlPenalty if applicable
D. Interest
E. Penalty
TotallnterestlPenalty (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4)
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. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58)
2,937.01
2,937.01
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;................................................................................ ~ ~
b. retain the right to designate who shall use the property transferred or its income;................................... x
c. retain a reversionary interest; or............... ...... ........ ................................................ .................................. x
d. receive the promise for life of either payments, benefits or care? ............................................................. x
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? ......... [!]
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
COrlllIeI8. Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FlUNG RETURN ADDRESS
Kathy A. iIIik n Q ~
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DATE
68 Oliver Road
Enola, PA 17025
II/'llata
ADDRESS
DATE
420 N. Scenic Road
Harrisburg, PA 17101
" 11'11 D (0
ADDRESS
DATE
One West Main Street
Shiremanstown, PA 17011
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For dates of death on or afte uly 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. ~9116 (a) (1.1) (ii)). The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a
natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S.
~9'16 '.2)[72P.S.~9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P .S. ~9116 (a) (1.3)]. A sibling is
defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
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'....J REV-485 EX (05-04) .~.
SAFE DEPOSIT ~
BOX INVENTORY
PA Department of Revenue
s,~~~~.~~.~,?r, Death~~~~~,~~~~er Date of Death
j 2I1.: gL1r\2Jl )~': 9. ~L. 3' 71
48500041046
PLEASE USE ORIGINAL FORM ONLY
County Code Year File Number
j 2!j ]"
ADDRESS OF DECEDENT STREET: CITY:
312 East Coover Street Mechanicsburg
NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX
NAME: James D. Bogar, Esquire
STREET ADDRESS: CITY:
One West Main Street Shirananstown
· NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING
a. NAME: RELATIONSHIP:
James D. Bogar, Esquire None
STREET ADDRESS: crN:
One West Main Street Shirenanstown
b. NAME: " 'RELATIOIllSHJR:. ,..
Kathy A. Milliken Daughter '
STREET ADDRESS: CITY:
68 Oliver Road Enola
c. NAME: RELATIONSHIP:
~enA. Yo~g Daught&
STREET ADDRESS:, , , CITY:
420 N." Sceni "Rbad" .' .' ,~ '. HarrisbUr'
Ill.AME ANQ.ADDRE~~ OF F,INANCIAL INSTITU~ION WHE,RETHE SAFE,DE;POSI;T. BO~JI~ lOCATED
NAME:
PNC Bank, N.A., ,', · . ." ; ',. . .:' 4. ,.'.
STREET ADDRESS; " .. . " ." ".~. : .
STATE: ZIP CODE:
PA 17011
STATE:. ZIP CODE:
, FA 17011
STATE: ZIP CODE:
PA 0 f' : 17025
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'~T~TF: ZIP CODE:
PA" <....~i 17101
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ZIP CODE:
b. NAME:
STREET ADDRESS:
~TE:
ZIP CQQ~,'
nD~
CITY:
STATE:
ZIP CODE:
NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY
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WAS A WILL IN THE BOX? D. YES B'i NO If yes, a. Date of will:
b. Name and address of personal representative, if named in the will
NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
c. Name and address of attorney, If any
" NAME:' ,or
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
.
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48500041046
48500041046
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REV-485EX SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS
Page
of
-.
(1) Cash: Report total only. '
(2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by
name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock.
(3) Obligations of U.S. Government: Number of items, date of issue, face value, names in which registered and type of ownership,
Le., jointly held, payable on death, etc.
(4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds)
(5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank
and branch, and balance.
(6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible.
(7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible.
(8) All other contents.
(9) Return completed form to: DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
ITEM
NO.
ITEM DESCRIPTION
PERSON RECEIVING COPY OF
SAFE DEPOSIT BOX INVENTORY:
SIGNATURE
PRINT TITLE
DATE
ATI'ORNEY
cet~(f)G?
o Joint owner of safe deposit box
NOTE: Attach additional 81/2" x 11" sheet(s) if necessary or use duplicates of this page of form.
The Departmenl is authorized by law, 42 U.S.C. ~05 (c)(2)(C}{i), 10 require disclosure of Social Security numbers in connection with administering state tax laws. The Department uses the
Social Security number to identify the decedent and personal representatives of the estate. The Commonwealth may also use the information in exchange of tax information agreements
with Federal and local taxing authorities. The state law prohibits the Commonwealth's personnel from disclosin confidential tax information exce t for official purposes.
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Rev.1502 EX+(H8)
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SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RET\JRN
RESIDENT DECEDENT
ESTATE OF
Milliken, John B.
FILE NUMBER
21.2006-0649
All real property owned 1008Iy or al a tenant In common mull 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 01 the relevant facts.
Real property which II JoIntly-owned with rlght of lurvlvorahlp mull be dlacloaed on Ichedule 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 140.000.00
dwelling house being known and numbred as 312 East Coover Street,
Mechanlcsburg, Pennsylvania. The property was acquired by John B. Milliken and
Mary Ellen MIlliken, husband and wife, by Deed dated November 2, 1956 and
recorded November 5, 1956 In the Cumberland County Recorder of Deeds Office, a
copy of said Deed being attached hereto and Incorporated herein. The said Mary
Ellen MIlliken died October 7, 2002, whereupon full and complete title became
vested solely in John B. Milliken, the Decedent herein. The above-described real
estate was sold pursuant to an Agreement for the Sale of Real Estated dated
September 13, 2006, a copy of which is attached hereto and Incorporated herein.
Final settlement took place on September 29, 2006. 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 $140,000.00.
TOTAL (Also enter on Line 1, Recapitulation)
140.000.00
(If more space is needed, additional pages of the same size)
Copyright (0) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule A (Rev. 6-98)
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Made dae I 2 IV D day 01 ~ "'IF' '" IJ 61t. ia ... Jwr
_ ehouuad aiDe &IIIIdnd ud titty-ais (1966)
Betwcea JOD 11'. cmuSDIAS and DOllS L. ClIRIS1'IIAS, ~ wite, of tbe BorOlllh or
JIeohan1oablU'<<. County of CUIIlberlud aDd. st&te ot P,ulM11nnh, GrutOI'8,
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JOBtl B. JaWDJI u4 KART E1J.D lIILLIU1'I. hia wite. 01' tbe Borough ot Shlre...tcnm,
County ot C1DIberlaDd and state ot Panll81hani.., Grantee..
.
Wbeucda. dIat ill couidendoA of (t1S,500.00)
'rhlrteell !houaallll 1'1.,. BUIldred DoJIan.
ill Iwad paid. the receipc whenoE ia hereby acbowIedaed. me aLl ca... ' do
II..., JNDC ad CIlIIlfty ., me laid Gna..- :
ALL .1lha1l oertain hou.. aDd lot at ,rowId dtu&.te in the Sorough ot J1NhaDioaburr:,
County of Caberllllld aDd State ot P8Dn8ylvmla, boaadeddd d..orlbed ..a tollon.
BEGIDUG at a point' Oil the South ald. ot Bas1l CoOftr Street (10 t..t wide) at
the dhld1Dg 11_ betwaell Lot. 110. 15 and 16. Seotion "A" on the beniaatter _Jlt1cm.d
Plan ot LotaJ tbltllOe along add dbidiag I1D8 South 17 decre.. 12 11111II.. Baat 0_
hUDdJ'ed .1zt7-0118 and .f'1tty-dx hundredth. (161.66) teet to a poillt, .tbelloe South
12 de,ree. .a IIillutea lItllt sixty-the (6S) !'eet ,to tot 10. 14, SeotlC111. "A", theaoe
..loag aaid Lot Ho. 1". Seotion "A", Jlor1:h 1'1 de,re.. 12 mau10ea West OM hUll4red
.b:b7-0118 Ud t11't7-.ix hundredth. (181.&6) f.et ~io tbe ,South dde ot Baat Coowr
Btree1l, thenoe ..long the South .1a. ot Baet Cooni" Street lortdl '72 "lne. ~8 maut.. I...t
ab:tr-tlft (56) t..t to Lot )foe .16, Se~t1C111. "A", ..t ~he' plaoe ot UGII1IDG. '
Bma Lot )fOe 16, Seotion "A", 111 the plq of Blao~V1I. Vlllac_ u reoorded in
the CumberlaDd County Recorder'. Offioe 1.11. Plan Book 6, atpac__"
BAVI1IG thereon erected a slagl_ briok dwll1nc houe known aDd D..erect
a. Sl2 East Coover stnet, Keoh&ldo.burg. ..JlJl811....1l1... IlliG the ..... praiae.
whloh llit!bUt H~., Ino., 'b7 ita n.ed dated JUDe 2", 1962, ad recorded in the
attioe of tm Reoorder of Deeds ~Il aDd tdr C~r1aDd Co1Ult7, h., 1.11. DaM Book
-A-, Vo1u. lS, ~e 21&, ,ranted ..lid oOllTe;ped uto John W. Chris_. and Dons
L. Chri~.. his wite, the parti.. of the first part, a~ raatora unb.
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2J DOLLARS
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AND the Aid Grantor . WiI1 WalTaDC pacraUy the JlIDPCftY hereby COJl~
'. IN WITNESS WHERBOP, dIe..id G:.mor. UTe Js-to let the1.r haad.
the day and year 6ntjabovc writteIL
: ~~~u<d !ft5 ~-
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A. D. l' 51 w.e ac
_....1 '".-t ot_, ~
. .....~ Johl1 1r. Chrhtmal al1d Dor18 1.. Chrll~I, hb wife, ,
...... t t' .. """ -- eo me, (- ..a.EaCIDZil,
.' 0 ~ ... ~v&r~ be the penon . whose name I are ~ co the widUa WtrulaCftt, ad
:' ...~ . J .?wWdpd that ...~ executed the _ for the JlIIrIlOMi t&aela CIOIltaiMd.
:.:t - 'J 1 # ... . 14 '\VlTNBSS '\VHBRBOP, I hcreaneo let my hand md offidal ..I. "
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: ~ '. l' III l." '.' __E~ A I #.A flY.' T..AII7 ~_~
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..... ...... ~. \I."'.... NOTARY PUBLIC
. >/",,~,~,~,~ .' Tide of Ofiew My Commission Expires Feb, 16. 1957
. , I HEREBY CERTIFY, that the pnciIe raidasce ';;1 the Gramiee . 181 312 Jut COOTer St'.,
Meoblnlo.burg,.Pa.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY Oil
CUllber !aDd.
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(SBAL)
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COMMONWBAL'lH OP PBNNSYLV,? t
COUNTYOF e.c.~..' ./n.&-~ ~ SSI It..
Reeordccl OJI du. .s- d day of ~~.... ~
A. D. 1'S:, ia _
Pap 21ft
Recorder'. OfFiee of the Aid Clowaty ia Deed Book In Volume '?
Given under my hand and ahe .eal of the ..icl OfFice, the dale above writtea.
,,~cu~..~tJ.OfFICE Of THf
CllR~ OF COURTS &
~ECORDER OF DtEDS
1/:1' ~1f'I
C'~../- .',. t!f
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Recorder
CUMBERLAND COUNn'
PE""SYf.V~N'"
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STANDAIlD AGIl.D'MENT 1'0. T.B:ISA.L'& 0)1 RIAL JrBI'Aft
DI....Ul .. ,.........._."""'_--.aID__.ao.....aC'Gll.F~....,. I f 4BIW.'IOR"cr~
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S&U..ER'S BtlSIN&SSbLl"11ulWiurWlDl PA LI~D aOB:lll
BllOlCBR cc-,a,) - t-.lr Qauahan ~...... ERA
A.DDDM 4800 MarUt... C8mD HI.. PA,17011
~. BIWIIMr Bowar
DODlt JS TJl'e ACDKr JrOtt Il2ftRD OM OtcIIccW .......):
Bnla'IIMOT ..Ae-t.... ~..II.,.. 0 AGBNT POR J1JYBR 0 'l'tiNSA.C11OftLICIIMSD
PRONiIe 717-?81-41OO
PAX 717...781..tA115
It \. lJ,,- Oy. Dfto
B13YJtR'I ~ BEU.T1~wrmP'" LlCl.'NSlDBRODa
lJROaa~) RMtAX.REALTY ~TE'.INC ftI01a 71~;:1.e300
ADDRa18 342S r.t.bt StnIIt C8mD HI. PAr ~AX 717- 1.1455
~ J.- W ......... D ~~ . I qat 0 Ya D..
JDtODR IS TJIIAGBN'J' JIOR.1WJYU.. OR (ltdldlll WDw)
..... NOT_A........ Ba;twr- it.,.. 0 ACBIn'IORS&UR 0 IDMCll:L'lTlOIIlsa.r.&ll 0 ~~ ~
................11:.... ..........Aa-t.................. k. DaI...... fIIJnaan -..- ....1... DulApIdI UNLU5
.... 1ft ......11' .~ -.. ................. .............. Llcaltclt"''' t ............ ~J IDe lLIeI8MetJa hlAemf.
. L qtf ..(ftIf~. - mf~ ...-
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--' ~ .........
BOYRR(S)=
o.mthI8 J Mu.er
-" eaW.~..
:z. rROftR'I'Y (,9.15) 1r:Iet...., ............., It.............,......_._ . :
ALL 'ftIATCBRTAlN lIterplecee(~""""""'. ~""'cadal.ar...~~..
312;:'-~ SbIt
II .. fbauaI\ ., Mectl8l1il1!lQ r
ta .. (' L _....... at r*-v...... W'" -- II _ <..... Ta m ~.....If;
c...rret CumI:I.....d
r..e.-...;............~~
3.. UItID(M5)
(A) ~A...L Prb 0niIWIIIIIhd fcIrIy thouI8nf
,.............. "8i*r., -.... ~
I. CatIa ell' cIIIct at.... dill A~
2.. c.1l..-..et ... _ ~ on. ...a~ca or... A....-:
I.
4. Cull. cu1Ilcn or -'Bed...." lb. oflelllllllCet:
l1<<tJIIO.O
us.~
10.000.00
$
a
,
$' 13O.0D0.00
TOT.AJ. '...... 1~O.OOO.OO
(Il) DtpoIits paid ~. Bu~w \\ithUa --1Q. DA 1"S ot scttIDltDt \\'ill be b~. d or wlkicrs ~ Dtf>>8it&. reprdleSlI Nthe tom. of ~1Il.ca.t and
. penoia desipated ItS ~..... mIl he ,.fcf 11 ('.S. DoIIIft to 9roter 1bt Seller C1III1e. cGcnrisc _teet He)..
. who win ~tAiD
ch,oeita is III escro", Icc:awatUlldl ~~on or 1CI:DlAe1i0l oftbia .A~t ill ~ widlaU applkabte In'llUld n.gabt!OIU, .~~
dtect t:l:ldend a depoItt.....~. bet IlQcf _CtSMd pendq ~ lcc:eptJltcc otlhk~t.
(C) StIIetII....apprcMI... oa..WOre: S.,.Mr ,~. 2cm
(D) If" "_110_ ~_2Q. 2DOB _ ar1M:bc:...,..... s.a.r....
(I) S<<tta_, ~iU occur in 1M CG_ar whftlt tile ~. is ~ or ill lilt adjaceat COIIIl~.. dariq DO(1IlIll b\\.~ hem. e1tIS ~"dt aad
s.IIet a,rce othc\\w.
(P) 0-..1-..... lWrIr.1Mt fly" .,teclled of.... ....tr-... ~.......:
(0) ,...offnlldt...... bo.Jjftlcd eqMII)rbtt.- BI)er...........~ IIIIe4 hIa:
(H) .-\t" 6f~t. .. foll9,,-iac mil b. ~ pro-ratl OD I cbUy ~ ~"Oell ~.tr lAd Setltr. Rimkrsin: 1\"hae .~&lc: cuueo.l
tins (Me 1r.Uorma1iOA teprdll, R.eaJ Ealatd TGN):. Nail: io__ OA ~ 115.sumpQoar. coadoa1um ti=os 1A4 ~cr _clation
~ -ntcr aDd or ~ fees. togell\er mua ~. other liealtble lD11Dicipal~, All c~ "in h pr(lo.l8tld fw itle pciod(s) C\WeN4.
Sl!lffltt \till ~"Up to gel iDeNd., the elate of .c:tdem=t Iftd ~y \\ill J'A:!o' for ftU ~~ foll'Oma, ..~ tileSCII ~i..'IC! stated
"-rel:
tt __~ .t.J.M
AJ$.Jt p. t 01'10
RnIred M5
SlkWlllll:
II ~ - -Tln'-l."
....----..~
~......._TJaFaaa&'" --~COCft
8~2
....
"t:.l':> I UN
PAGE 133
. 42 4. P'JXTUItBS.. rBItIONAL PItOPDTY ('-G)
G (.0\.) INCLl1DED ia *is .. ate aD GtetII.C 1ItiM ~lUlCIII~' iutaltcd ia1be~. he otJlW. ~ ,bJaabme: ~ lithu, ~
4f (iDc&ada.'.adthrs ad tdoo, fusk .-criteS.., ~""r. poot ud &fa .....t; ...... doclr OpCQcn' _1nDIID~ ~
~ ~ _pohl.....~.. .....p _ tNtC:. ..~. ..........1MMia,...' eookID,,.. ... .. tbe ProP:rtr at &c tf8\c of Mtl>>moeat
48 IDIR.P PI&QpS: trlmtle rIwds. ~ .."ItS w ~ cupttiD.~ e:dstIae "ia<(ot\' ac:n.u. IItona ~ ICKI l.crcd mrm ctGOd:.. ~dQ\\'
n ~''''.ve. shades aDd bDD~ .\\1dQ~ ~"iIl. aoMltiOMl8~ ~ .,pIilacec uct tic nap (1\.-' ttDIta ~ac IIbded. .~ls(l
a lac1lIded: RtfriaeraIDr. W__. Cr.. Deh.......
..
50
51
52
53
81
..
Si
SI
.
.
.
it
f2
~
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f1
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70
71
n
73
74
75
76
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71
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et
12
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.
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III
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92
93
II
.
98
lit
III
99
100
'IlK
ftI2
fOI
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t05
108
(B) LlABED _8 (DOtowDCd" ~
(C) EXa..t1DID............
So. DA'DIII'IMa L'9" 'I'D bSDfa('-45)
(A) Tbe MtleIMQt dQt~uD4 an Cltler datu lAd times ~ to fer the pc!f1ormW:lt of All:' o(tt. obligaUou of.. Asr...t art ~fU1. ~lWIet
aMQN biadlDJ.
(8) Far )CpOs" of'!b1a .~~t the _bee of da~'I \rill be e0Qte4 hID Ibc __ ('I( tse:1Iloa. ~cliDa tic- ... tais ~ 1\'l1'
G'CCWted _ iAd1IdiD81fte .last d~' c)[1bcll tialc perioct. !hi! E~oa DIrttt ()f1bia.~ is tile ctatc wIleD BD,w. SdIt Ilao:e i_ialt~
tbIl acct~ atab ~ by alpiQa D8d.or iRiiaIiftl il.-\U ehcuaps to 1bis ~ sh.o8hI be iDltWed _ dated.
(C) no ~ctaae iI..,t a.tIad.d~' ~ oCher JII'OVisioll of Chis ~et:\c -mar mltyblt~~.... wrLt1a tan-eat oftbe pIltjes.
(I>> c.taiD time ptt~ arc pre-Jlriat<:d iA 1b1s.a\p'MDat as a GOft'\'eoL!ace to tit ~'et' wi StUtr. ..uI pe-,priatarf .It periods arc: bCJOtimlt
IOct IDI,. bfJ ahaqell by 1ridII~ oat th. IIN-ptiucd test aid lDNrtmt . di.ftCrcat till. pottiod w:cpt&bte 10 all ,.nit~.
" MOJaGAC& COII'IIKCDlCC:Y (N5)
. W' Al\'!D. 11* taIII!:.If NOT co",t OQ DJrtpee-filNaclq. al~p ~"l:r~' still obtain m.~ fiDau.cIDit.
o BL8CtED
(A) 1lIiI_1c Is CDltillpC.. B.,.r CIbIIiJduC martp&l ~ IS Mows::
lItat 1\1..,... UIf JlJoptotty SecoD4 ~ OIl" rrt.ptI'f.r
L....AMo..t $ LoaD AmoaItt $
~&aan. Tam ~ ~D1 teal
T~.,.ot~ ~-pe of'.~
~.4IlItS
~~ la.dcr
CASH
Uortpae 1~
Jatlrcst,. ~..: Jt~. JIqyft~.. aft. a. ~ r. ec ~.. &.tm'~ to.cnpt tJat
Iataat..... -1DllY" ~Jted'" at .~.,. 1enftI'. D\\I t() ~ nit --1" c~II"'. ...... ~. aol to
~. ma.iDMIt iRlI:rest.. of I.. ~. ~ iIIwtIt rate of t..
I)i,c0GDt poin1s.lou 0IIIIutica. Iou jUc:em...t _d o8Ier b$ ~ Diacvtd poiats. _ DriciaaIlQIL bat ~.. ow t<<:1 cbrgcd
~'dle __., a percalate of.. ~... (aclwdiaa ~ mort- \lo: Cbt 1tHer as.~. of1bt ~ ao.. (qJ:a..tJq~. mort-
I. ~ premiums (If YA ..... lit., Qat ~ ~ .. iMUnBCC prcmiDml Or \".-\ ..r1Dl fi:e) aOf \t) =~
o -.to"'- if'1lQI .~) ot1be .~clom. .o(Ote Waot sped6Mll Qt.... ~ to..
~.in.,. ....., .. ft.s) pmisioRa.. pIIIacraph 6 (A.l IR c:nlsficcl if IM.~ bct'l'\J) P" ~'cr." rl:eht to parta'" Iht ~,
fttet.) ucI ~..) .t or 'u:lo1r die mmmam lev. .... ~ IiWi Sllhr1lw: riPe. lit SeOtfs sole oplioa .... '" pati.tted b~.In." tflc lDortprt
lauler,$.). to CCID1dimle fiDlDdaJI:r.'. ".~t ~ 0( _~ 10 Ibc: ~'q'." or 1H moc1pp la.da(~) 10 aulb..., atN;m monpp tDIs
n.u.w. eo ~C!t.
(B) W'idUa d.,.., (to Ifaot .pecifitd) ~ b L'9ClJticla. Dale or tIais ~t. Ju:cr will make a completed.. \WilteD m~
appUcstiaa far De ~Qf'tpp tltnD. .taW AbOT' to .. ~ leadCl(') iclcndtatcf )a puapplt 6 (A). it -:.. otMn\1Jt 10 . reaJH.1n'i"lc
.-Mltt. *clcn.s) of'~...n thoice. Bl'Gktr lor BDrtr. If~, .Ih~ 8Joo~r hi' St'IJel', ts ...th.~11 t. e......... witll th~
~ bla(s)........ .................
(C) a.J4~IaI'IdIa.IIIlw""_"""'It~"Mer~ ~s). erCM"M~t IIB*I(.) tI"t,~""", lepI 01"
............ or WI Co e..)tt'ntt .. pad taltIl fI. prK . g the..... __ _"....... wWda ........ ~ Wttt.)
~to.""" ~~""J.l ..-:a.. ..trw:lllhlD....r_~L..l..
(D) 1. ..1..... ~_..... "h: Seem_ t2i ~ . IfSeD:r tkIc:s DOt ..Iv. . CGP.-' ot~.. mortpac' c~iatc:8t(J)~' tb1a dati.
BII;1er...IMItt-~*-ata4 datlla'tpgt ......~ .......,... ""1 ..... -~..~ '-:f~"" c. 'Buycr'.
2. ttport reedTiala aa1p~ comIDitIaeat.. ~. wW"..JI4ly'eliver t ~. ottfaa flOtIIIIthmeat1O Sdb'.
l. Sd1.er~' __._~ 1btI ~I.ia "A"litiq de da." l,Ilonpp commilmc:at.... .It.. JD.~ commlClDta1(l):
e. Is .ot 'fttid'IAta Chc lbte of lettS__I. oa ",
b. Is Il:OIlCIiIil:tD 1IpOlI-" .-It....~ ef aD)' ...,.~. OR.
IL Does.llOt 1:IIi~ .U 1M 1l0l'tl*1F h:tms., stat:d ill"""'" I) tA). O~
4. COIdaiIl_ aa.y otber con.itha aot rpeci&d .at ~ .~eIl1 last is MC lltided a.ut 'or .removed iD "'ritiHs ~ tho mor1pp ludUl,')
whIda -...! DA '\"8 ~.1be...... ,~ a. III ...=.n" '(D) (I), oM ... Ih.QIe CI!IIl'1tlou lIat ere CUOG1Iril."
..tisfiJId at.. DatI' senhmeDt. sadl as ~WDiq....~ 1M o~ eaapJoraw aI'alUs.
-l. Iftlis_~tis ~1ed punuantto pAnnJls6 (0) (1) ot(3). orth.llorClalr:loq(s)J..otobUsed for ___AU dtpol1tmQlll~lI
1riU he mlamtd to ~u accor6&: ~ the terms ofJQrlllrllPb)O ADd dak ~t will.. YOID. .~'Ct ~ ~ ~ far~' o.....~
iacUrredby Buy.,. fOr ...,.. i~tio~ or ccrfdcatiClllS ohtAiDMt ucorcra, 11> 1M .... or... A.8MtGleat.. ud 8IIYaaota iDcDlftd ~. ~'CI'fcIr.
(1) Tide .-.rch.. title iasunAcc and., or mecbaDiu' lieD ~ tit lIlY" t\\r ee.aotII~ (2) flood ialllClllCC and. fit 11M ~ \\;th
~ ~C.IIUn* mblideQet: JDsurace. <<ARr~fortallcelhdioD: 13~ Appl'lillr&smdchlrp,.idJD .clvlll JDOttpfclea4cr, I.
. ............
~~
FarlltQllllGtld. .......Fonns'"
WWW.~COft
AJS.R..... 20118
RedIal tm5
too..4u.Ge12
....... ........:
r.1:. T ;:I 'I.JI''I ;
PAGE 84
..
111 .' (E)
,.
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111
m
113
1M
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tIS
t17
118
t1t
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~
t22
=
Itthc ..q. lcDdcrt..). or AI! ia~ ptOVicIilI&~. .cl euul1y ......co lIS Rquited~. &.1: moEtItIe l~dctc,ll. rc:qulra replli.r& (U the
~'. Bcn,u. upoa reedY" the ~ls. clltliv<<,. cov.: oftle requiremcats to w.. "... s DA.'YJ ~fre~iViIlJ ttM ~.
oUst f'<<lUireIlilllw. Sdtr' \\'ill1Klt1t. _v wbc1Jaer ~lcr wW JDIlcc tht t'lICpliftd "pUt lit selW. t2tpau.
I. zrSeUer -lbalbe Nqulttd tepair:t io ihe RtisflctioIl otth. monpse ~J) or iIIJat<<. Bu)w ac~la Ihe Propertr and. qreeJ fI) the
I:ELE.ASE in parqraph 27 of'iU ~.
2. II SeUer 1\iH DOt,.* .. recprired repGlrs. or if Srller flail to mpoad w.lChtn dtt u.. ~ ~'eI' wiB. "itldD ---A 1M. YS. A~'
Se1Jcr of~"'s ch6i.ce to: . .
.. 1.Iabl tile rcqaJNcrNpain. .t Ba~""a r.t:paue. 'Withpcrmiuloll met a~ l\) lite Pro~- 1m. ~. SdJer. p.IftI1isIi~ aM ac<:dS
mo,y DOt MbrelSoeabt-. widlbelcl br Seller. 01
... T.....te tbi4 .~t ~. ,,'ri1ten aod'cc to S"ler. witb. all dllpl)llt SIIOIiflI rctmltd ~ B8)" IKll:Clwml ~ the =as af ~r:lgnph
.3C) ~ftbis AlfCCmcllt.
(JI') ..... ~
II )100' AmlC..-\BLE
o APPLICABLE. s.- wi! pIQ':
Os ..tit
o
"at~ ~ maitml& towm1 BaJalJ CGIfId .......l6Il>..1DCIIIpJe SeHer(s).
......
124 PlWYA. D' .t.PI'UCOLIt
125 (0) It Js ~ apeed tbatawt.;lbs1Iddill,~. otkcr pmisiau or ab ooanct. JhIyclr will 1lCtt" ~ to compl* tie !Afthaslt' of'tI1f
121 p~- ...iNd Iterda or 18 me.. ..~ ,.~. by MeA.. of ...at ~ dtfl108iu Or othertriJe aaloll DarCf Ala. '-sl!1\'eI1.. ill
127 ~... BlTJ> FH..~ or \-A ~t& & wria....... ~.. F__l &.liD, CGmalialoDcr. v...... Ma.ilWtratloD. or 4
m Direct EDdocsamflftt 't...eMtt MniDI....~ apprtitld vallie Wt&e Profert'Y \'tact lw.. S -.ltke cl()lW' amOQllt tt'> '-It
12t I...... is _ .... ,rict as .ilIW JD Cltil _-\.~t}, Bv)'. \TiD bin the priYlMge _d opel_ of JI"ClOtCcllq 'If)1l e\'l8f1JIUlafi\'l1l of the
GCI COI$:act 1I'UIaoef I'IiIpnI to .. IIDOO.t oftk- appnilcd nIad.. n. ~ ~tlaD j, aniWd ~ 10 dttaliM Ihe ~ IDO",II~ tbc
Bt Departaa-* ofBouaiq _d Un. DCftIopm-* 'dl WIn:. Hl'D does ACIt,....t tilt vaIot aor 1he ~tiOll. of1be ~_ 8~:... should
132 .aty hinuldthase!1'tbat lite pd.. _ ~ oftlw ProJItnY In ao~.
1lS3 W'an1a&2 Sectloa 1010 oCTitle U. tT.s.C~ Dt:pntmeat ofHwaie,.cS ttrbu DcYtlop1Uat lad Fed.-.( H08Q,.-\.dmiDlnntiClll
1M Tmuactioa.. pI'O'\oid-. "~1lo"'...1ot the fJ'IfPOJe of . . . idacllCiog 1A o.~' '\\~. _ .etloca of ft. DepIIrtmat. matts.. ,UHt. Ittten I)f
135 pi..... _.... bowiq tile ICIIIIC tD be AIle.. ... be ... __ tWs tiIe<< _...... Bot.art'" two ~ ork1h."
131 (H) us. ~~ ,j,~.r......... Or"- bwI~. rr--' (lnJDJ JIOTICB '10 ff.Ilal.t......aa. ..,... J\_"R1Ie.aO .
fIT 0 ~wIlu1llCetnd1lMl'Rt.'t>>No" "For \"CllIr p.~ Get. JIcDt ~"'1hrya'1IDIIItrIfud&1ae..portulccoofpttillrllA
13t ~... irtapeatloa ad tw lIlIoaptahat.. ktbre ~Itbis ~_ ~........ tIlatPlt-\ mY Dot pcrfurm a
.. honIe- iupcdioIa aor ...... 6e JXb (II; ecaelOD Cll'1be ""'per1)'.
.yo (I) n..~ 1A-.. ., wo........ Sellclf(s) .tM ~'tI(')..-tr1o ti. I'IIUIcdan each~' 6d Itae __ (\'(GUI C(lIdI'M:t*'r plll'l:bUUft
14. tnt to Ibe bot oftl8r ~witd8t uti I1did. .14 tbat....,.. other IgrHmMt _tered mto ~ IA'" oftb<<se ptrtltl ia ~l:'I1 ,,-ifh this
Wf tnutctioaia a~ to dlit ~
US ? '\rAnDOJr('~(~
i# If"''' ~.. ~ 8ft h,yao's rtpt.. blspea D/JIer~ '" Pro"",,. ... to ~nIIY ~-f. ea\1nnmmt~ maDilNlS.
· ~ catlllado1ts..z..... dMIItImtto. or..., OJ ""'Q'" W..... ~... rr.p.n" h1ll'1"~"~ to ~et.. ~ or
1.. B1I.",-"'.pdeId wtt1B a.e tIIaH... f........ dds All 4..'",~ b . "'"An"l...,thIt ~1 ... ~r MCtJtI tft ~ .. CftfI to
147 ~ aLEASE Ia ~l1..tlllaA.pttllMDt.
14 .. PR.OtEllT\" J1'Gt.'IICANCI A.'~A.&ABILI'f'l" t'-'$)
'10 III "'Al\"iD. 1'hb _~t is NOT CODbautopJO ~_.... ~. aad CIftd: ~ tbr the PR.~'. aItboaah Ba,w m~.,till
150 ~ (IfO~. -__~-ia:Mnnce.
1&1 0 ELEC'DD. CQDtiIa,cac~; hriOO:_DA\~ (IS ibohpcciied) &\'1m the ~tio&DMc oflhll.~'"
~ '\Tftlda ~ C'~ hrio4l. h,-er..-ill mate ap,UCId1oD for ,property _d euuaJrr ilu'Ga.ce fot~. ~ to . respoasiblt Duv.rar.
153 BnbrforBw)>tr, IhllY7 otllawtR Bnbr for SrDrl'. ~~................... ~ ".A"e pTOCtQ. IfBu,.tr
t54 ctIUlot obta, pro~" aJld cuaa1ty iInnac. ~ tile Pro~' 0.1 tI!lnas ., coaditioas reuaubt:. acceptllble to h~..... ~w wJlL ~ h
1& Orll.v~PtrItC:
- (Al ~ 1M Pmperty ad spec to ** Ut.!AS:E in P'fI\PpJa Z7 or... AIrc.-t. OR.
., (8) Tamiutc this ApIIIeIIlt 1I)" \\~ a01ice to Ner. with.. deposit moaies retuned to awy.lCCtlI'dbl~ t(I lb. t.lnu or.,....... 30 of1h1J
1S8 ~Id. 01.
S te) ular.to. .a~' ~ ~ .1 ,.eat \\1tb SeJl<<.
· ltBa:rer'" Wfr4k........ wrffttB .~t....,.. ~ PerieII, .c~..._ ~.It dIit.A~_ b)'
181 ~-"ke toMtT'WItIIID..c...Ba7tr...~...PIoftrt;r..... __..MJ.lASlIII~"'1711t"~
1ft t. n.r~O. ('-e5)
113 <A) Seller ",ill pNVide 1IleC.... 10 _r<<s' ~.tative" mil. u .DIa~' IHl required by Iti" "~l to lI!11Teyorl. llIIDicipal officials.
· aIlCI ~.lfB~'" it ClbtaJaiD,mortpp tA:lIlciDg. Si&Jlef \\'W provide ace_ to tIl. ~. 10 tppni., ad GIbers fClUCmb~' rcqultti
· by DlOI'tpp 1eldcr(S). BIIyer ...~. dtacI GY iaspoc1ioQa.
.. (8)~.... .a)' mal-c II )IN-HlIhlIJleat l\llIk4roq!l iD3pd~ of"" hopmy. ~-atl <<tbt to ibis iupediOll it D(lt '\\'lived It}" .~. oth.:r pn'IVlsiOD
S1 ofdd& ~CIlt.
ftIII (C) S. will Un ....z;.g aad . dlitiea (iQcbrcliar _en CIft for aU ~.
111 (1)).AJt IB&pMton.. ~ t.ome ~ ~ IMI.~~'~" to ~-u. . COPY' o(~.....h teport to :Blaker {Qr Ba}"C1,
110 ('1:) St1lct .... Ul. ria:bL lIpaQ rell"est. to tcedYe witboat d1arp 1\ ~. Qrany ~J*1ioA rctJlOrt ~ the ~. for Moaa It'\W ,"paNdo
ram~.1'ber'at._--
tftIIAr.~C:aIft
AIS.a !'IIpSef'.
...... MIS
~2
960r IIIIt.IIu
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".
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171
fT1
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180
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ie, INSn:rnON CONTINGENC\" omoN.S(~
ne ~ cadDplldes ....1r1 ~~ In. ..........11-15 aJT coattoDe11" ChI 0"" At foJ1Ik Wew. The tim. I*i* stab! in
thae Op1{ODS will '!'Pt" to" iDspectiaa llOIltiqeacia m ~ 11.1$ ~*.. e>tMwlN Ita1ad in IUs _~cnt.
Option t. l1"aiR tm C~ r.nod,...... perqnplu U..l~ a.rerdl:
1. Aca:pt die PnI*'IIW* faa iIdbcblctIaa... fae....1O ad...... _JJII.IAS&. (lInIJIIfI71 Dftlil Ap "':. OR.
2. rtBu)WiI_IdJ&Icl...~"'iD fac lCpCllI(l),....... ....... AF_'M by writt.. DlIIIoo to 8dlcr. wbh all
...................,. ~ .. ..tc_or....... 31DofMAp l..1It 01.
:I. ..........1t.A~ r .J" ~.......... -~IeIIr.'MI~jbr..r..SGr ....~fQ'DCllts1D ... Plopedy ~f:frlf1
OIilIlIitta s.,er at 'V""" 9.., lIL~~r Wa. ........~ it.,.
U..,.... ... .................. . ............."7 rt _ I~'" ..,......... . ..-...
... ~ .,..... ................. ................. ....,..,...ItCM.....,..'ME.. ,....~ 27
--All' · .
0pfIGD L "........ C....."alCY pntoeJ.. IS stated tIt....pk 1I-:tS. Ba1er wID:
1. Acu-pt'" ~ ,,'itl\ the iDfoauttoa stat.d Its 1M HporCt~) md qree to 6e RELEASE in parapapb:L7 I,fthls .~t. OR
.2. If ~..r is _ ..tiB1W wltQ !be 1Df<lmlatioa stated ill 1Iae nport(s). prt.HDt" ...,.rt(s) te s.Itr dill. WrlfttIl C~ Propesll
(-Proposal") ._ c.lftdRm _d/or CI'tfia dldrt4 ..y ..,.er. n. PropOQ} my_ but is Dot FOqlla:ed to. iacbllk the .l\Dlt cd Q
propetl'\" !ic:eu:d tIC: qu,Ei1iecI probloul to 12edbmt !be- 1lOfttC1ioa. reqa.ne4 ill. .. ~posC, pmiJiou for ~m..t iacl1ldi&lS rete...
met I proJcded dete for comp1etlOll Df ill" c;omc:tiQD.s. ~'Cr a:rec& 1b., Seller "iUaot H IacIct U.bDe for Cloueat!ou daat do not comp~'
~1lIt m0tf$8ee 1M... ot F'~ ~ if ~ed ill a 'Vo'QIb:ttlDlib .... acoortllot ~.., term.. of~'or'. Proposal. or
t.,... coan.."1Ot letected ~. _et.
a. \\1ttUn _ ~ (7 ihot "eci6cd) otNC.ivittJ :e-~"CI's ProposaL SeUtr "illlDfOOll B\1}-et la .,.,liIia, of~U"s cllo&c. to:
(1) Slni~. the tenDs of"h~"e(. PropottL OR.
(2) er.4it1\1r.~'.rftt..1tl<<Dea.tforth.costafo setistdhe1mUoBlI}w'sPropo8A!. .,aec..,tatt"lOthcJQO,.,.ltHtr('). if ..~.. Ok
(3) Not ll&distY 1M1CaU ofEluyct's Proposalllld DOt c:rHit ~'G' &1 MUletlCDt for the colli to.tWy ibe tena.I ot~'Ct'a Proposal.
b. ItSeu~ apeel EO lIeIiBfr" -.. oflN}..... Pro9CJsal or to ~dit BlI)'U At MtIlemeId 8lI 8p.dfitcl ~,'e.. 9ur~ ~pt. tht ~.
III!J aptellO tile RELEASE j,q 'lRJRpb %7 oftbls ApmtDt.
c. l1Sdkt OOOlRll DOt to .ti~' the Wml of:hyet. ProJOlClltad ~ to CftcIit ~_ It settlemeat u spec.' .bov.. Of If &.r radii
to chtON _ny .,tIIIlW'(CaCn Ch" dIM-~ !N)v'WW.. "'idUn _cl~"I ~5 itaot 1JNdfied):
(1) A~pc 1M ~ wi1b tile iAfaautiOll sta.td iA. _ RJmI1(') _lIpCl to dM RELJUSX In l*'Offt:Pl\ 17 of dWl.~mea.t. OR
(2) tcrmi&\ak thls A,mment b;V \\T1.......,tice 10 Sdtc. wltb aU "eposit JDODi. rehrmect 10 ~'fO.t acc<<dittg to ell. tems or
panlPph 30 OCUli, A~_ OR
(3) Inter tate) 4 m~" .oecptab1e ",'rittCD .,....r \\'~ SelNr proviGillJ for .~. r.paira at lm.pt'OVeateIlU to 1bc Pro~' :IIIc1 or
l'lQ}. eMit Ul Bu)-cr :at Mid_eat. aallcellp1lllbN to ffw mortp:* ~.). if-:-",
It ..,...... .... Stlu 4e .et 18ch * 'Wl'ltttb .~..mC ~ tkt tIIII\e sptdfld III OpUOD 2, 1. ~" "Del J1QyI'l' d... not
k-nniMft tbls ~l'nlt!lli try wriItttt Ilotkt t. s.UO' ~ em elIDe, ..,..... w8J a<<QC flle tr-JUf1_ a,..tC' fO tlat
ltELLlSE in ,.,..,h t7 ertltlfA~
t1, ~Dt.W'ECDO" CO~ ~ (See Pro,pcrty md EDvlruameD~ bl8pectiOll NoticH)
BII~-er udtntutb ibllt JII'OP<<tr ift.pcctloDl. clInif'lCatlocl$ aDd or ia:v18Ci,ate,,,,,. Ctul H l'\JS'tl)ra\ad br pro'=ssio.a1I:Oft~lors. home mspectotl.
~..1lCWtccts _ o.th. pro~'l1c_ct 0.. oflfmlH ~llfied prot.ssitUls. nd mAY laclude. but .ce Dot lliLltltd to: .tmcl\ltal cOmpoDfDU:
roof. ~ 'V.cfa\\"S IlIlcf exterior dO<rt. e:d'erior sidiDI- fascia. ptWS lad dC)\'l,lI11PO* 1\\"",,llIoiq pooI& hot tab. ";lei 'PIs:. nppI_ces~ electricaL
pl\tIMiq. ~ Ulcf illOOlia. ~.1tcIaI:. l\'MIr ,...b.tI.OQ~ caviroemtntal ~ (..,_ Da(lld. fBqi. iD4o<< 4ir cpItlt;v. .~&. UDd~ stora,e
tIWa. ~.):. elctrom~e Geld.: 1\-ettNtcl. iu.p=tion; flood ~ vcritlCl.tlo.~ propcrh,' boIDdaI')' .. too. v.riflcl~~ 1tl4 tor o1her htms
'Etu:-- ma,.' adeet. ~,.'.. is ...fvised tG hmttipk ..__ deCid AIl4 .... restriatWu (iDdu4JI.a ~. historic pttMI'Yadoa rcatrictioas ct' MliAD.acCS)
tIl., a~ly to the 1'ropc,~.. and: to revit"-" local ;aoamg otclill&ll~I. Othtf prct\"illion, of this .~arecmctt.t 1D4~' prO\"ide for .illpectloas. cttfifiC&tiOl\'
ud or ia-w:ttiptiou thAt are AC>1 "''8i\.~d or ldw.d~' BlJ)'lsfs elecUolL here.
H \r.\I\"ED. B\1~'.r AU tht optiDl1 tt\ c01lduct propt~. iIls~crloru. eltrtificlltiOt\lt 1UI<!'or iao;tsti;atiOllll. Bu)-er W..uYES '!1I!S OmON ud
.~ ttJ tbc Rm.EA.SE III p:ar:lppll rT oflfab Afrt...t.
CJ lLECTIiD. COll~ Period: _~.. US allot S\*ificdl tom,1be hcuti<lCl Date of1bit ~t.
(A) w.... tht Contiltccaq PC'I'IoC, Bu~'cr. at ~"ds .ose.'~" haw lupcetkas. orif'ltati0D8 wi or iavclti.llttioas c~ b~. prClpl:r~'
li=ued or otbcrn.... qoanraec! profesaiouJs. U'~'w .wCU to ha\'e a home illlpcctioa. ottbt PrD~. aldlc&.d in !be Peao-rl,.."aJlI Helm.
Ia$(*tioa Law (set .rormatloa Retardiq lac HOlD': WpcctioD Law). the home .iDJptC1i.t'8 II-.t "" pcdOrDUM by a NU member iD 10lXl
It&Illlme of a aUiow bome iupecliClD llssoc!Aliofr or Il ,....'OiIl .., pervle.4 ,,~- eM GiQDber of I .moDal ho:oe ....-ctiOJl aaaciatic,'ll1.. In
ac:COl'lf=ce wi. tbo c1b1c;ll ~dacd.8 aael code o( cOId\Jct or f)tilctice of that wociGtiO.IL. or b:' a plO,etl~. Ijpcuecl or "JitHnd ~i\'llllll
lIL,@ineet. or . Pl"O~' Ikeued Qf re:istftd 1r'Chit<<t. Tbis CClD.fiIIfCnc~. does Dot appty ~ UN follo\'\iDg ~ .~ooditioa.a and..<< items:
(Bl ~ iJ aot .tisW wi1Il tile- COIlCIiti. otthc Properly' U Itldcd ill 1h6 '\\lrIft= insptCti~ (ItpOd(s>. ~.~ "ill pC'Oe&eCt UDder I)M ~'1he
foIknvlDe ~tiO&1S IS Iis1ed in. px:tp'lpb 1& wit'" tilt C~ Ptri041
B Optt.-I
Opdea 2 r. tile JNl1MllIe'$ oIPanp-llph 110lIl1, ~.<< a!Nu to ~pt" Propq' with th NdttltB of.ar~I) aad.~ to the
m.E..-\8Eiapanp1ptL27ot1bis.~~tlf~totllco.. Itt comet the ~aditiOllS SIItOC ill tbc NpotI(~) lc... tblm
$ (10 ~not 1plKified) (tIw "Dtdbtible AmOltll.t"). Otbert\.iM..U (JfOV1a1olll of~l'IIph 10. ~ti0l11. shall
app!,', G:Cept dast $en.r \\iIJ &0 deem" 10 have: lJIIfilfied tbe tcnM ara.,."er"1l ~pot.e11fS4U<< .... ~ ~ ~IU
at oar credits IUdl ....t Ibe cumuJAtive CM or .~'lQ\conec:t=d or un.::Ndj.... Caud1~OD($l i, .., to .. . Ie .oUQl;lUQt.
a 'BIII1w~
c.;rM
FonnIllNClWbr:'baeF~
......n.Fonns..aom:
AB-lI.v. 4.,11'
..... !MIS
~"12
....l1IIIIU:.
~
._,....,....., .
I""Fll,:Jt:, ~b
l2. WOOD INhSTATlON UfS8CID)N COJrl'lNOlltCY t'-G5)
B ~'.U\ ~D. Bla~... bas d1e opdoa to k\VI:' Cb.e~' "p;c~ :itr ",,,ocI ~ br ... iDII*Ios cc:rtifi=:t IS a \\'OO6-ctl:~'m., I*tl
)Wldticicfe appIicalor. Dl'f\"'IR \t'..U\ "ES THl.S (JP't!ON NlId "Feel to ..1tELE.~ ill pea.,." 27 oflWs ....Ilt.
o !LECTED. C~'PerW~__ da:-" (IS if_ flJtCifW) ft_ the ~ OIteof'lbir .~l
(.-\.) mthIadae(~PaW. B~... at 9IJ:Iv'S<<qleftIC, ~'ob_.\\'IitNn 1'~,1Meet:1aftItatioDl88pec:tioDltp<<f-
f);'OQl Q iatpectQf een1fiH U a: Wtlod~iar,c-u pcstlti4. applicator tIDd ",in dtlft..lt", .Utupposrdq (OClmlCQQ IUd clraw.in,J
ttO\"idect IW" iadpactor to. Soller. The report l& to be D\aclll: 8Qtlshetol1' to qd ID cOID,llaDc-t with .pp'iubJe llWJ. mortt.,c kad<<
~enta. ... (11 Fcdcnt lDsudAg .... o..n.~ ~. rcq1l.......... if' "}'. n. iDspcGtiea is to be ti-*cl to Illl md~' ~isibl.~ ADd
.c:eessi&k &rex of All uruClbhl OIl the 1'ro~ ~pt feDcts ...d 1he JbnO't\-me strictum. ,..ct.1riU Dot bt -I*'*f:
"81
a
'.
".
241
7A2
243
ZtI
24&
ac
'JA7 (It) IttM iupectioD meela acth-e iafestItioct.), :B~"fr. atBa!ow'I~. ~. ft_ flat C~leJ1f"" ott-.in .. ~ ~. II
~ "''OOCI..ftstn~_ ~ pesticide .pplia.tor to at '1M ~'.
* (0) If .. ~Oll rcvcaJs ..... ftom acti\'e Of pPVioas il.!bltalioll(s'). BDrtr.. at ~'al', ~ -r w:l1Mt till ~ Per164.
25&1 oIttaia I "'Iiaal r=port fl:om. & ~ CODftctor. )a0lllC ..,.clOt Of mJc.... eqiBeer ..t 15 1imite4 to stnIc1Dra1 d_se 10 1b~ J'{I)~
25f caused b~' "'''OOd~'ilI. CII'pIlimu ud . PrtIpOSII io Rpair .if or treat tile ~'.
252 (0) rt~.et inot ....d~ \\~ tbc cODdib ofllld'fop:rey luta1td in ~ \\DtWa Iup.ctitJIlr~'). ~.tt wiD ~caf und<<r one ~flk
253 ~ ~ .. Jisted ill JlUII1'Ipb 10'll1Cldll the C~ h$d:
254 O~l
. O0pdeD2
2S& 1.1. STA n'loJrlUDON (J-8S) (NtlAf'Mutioa ~It&~)
'J5I (A) ,.,1.u M ~ CODccmbtJ tta. presence or .bN8ce oltadoa. ~ clloecbd I>otlcm:
. 0 1. SttUtr Au ~i~. trMt ee PIopt:ft). 'QI ttlMd oa !be dates. by tile medlocb (c.g~ cbllrcloal CIIlister. ......1fMlk. etc.). Md \\"'ilh IIw
2!iI r.....ta of All..." iadicahd hclO"r.
2M DATE 1'YPS OJ 'l'.!ST
Xi
.
..
*
.
2IIB
1111 CQl'tIS OF ALL .A '" .AlL.~BL! TEST REPORTS will ,e d~UYcre4 to B~'cr with. mis _\.g~tmeDt. SlL1.IR DOES NOT
2IJI \t; ARR-.u.IT EITHER THE METHODS OR RE$tlLTS OF THE TiS.TS.
at @ IlADOti JJ4SnCIION <.'OI.'n1NGatCi'
118 III \\'A!\'ID. ~.. ball tbt: optioA to UV~ tf1t 1'ropert: iasptcted for tlClon b)- . certified iAIpe&:taf. 8t.f'\tt WAI\'ES nus OJl1'I()~ Ind
Z'1 apt to UlelELEASE .. ~ ~7 of IbiS .~ea.t,
lt2 0 iLICTID. CoatiDlm:r Periocl: _ ~., US iraot Itptc:lf1ect) &om 1b. E.~tB)n.1)de of1ll11 Alf"lDID.t.
2ft W'khba tft C~ Period, B8~"CI', at BlI.~'*"~ ~. m~- \.lMa1a . tac!oa fitA' ottbc Pro~' ft<tm a ctttifiod mapcct\'K'.lf Setter
21_ pcrfonu tUl~' nMklD. mnecliat1oa. S~ler ",ill previdt B~...r & ttrtitieatl(lll that tM r.media1i~ WI!I ped'CII1ned by a PlOpet~. UCtJlS~ and
2ft. certi11ect radoalliti811tioft cOJllPNlY,
. 1_ Iftle- '\'\1itttD tut report ~ the prcseac:c of' carlon be1ot\. () .02 ,,"tIttitr,g ~et.. Qf 4 picoCuritl.11ter (41'0 ll. B~"CI' RCCpts tbt
%11 Pro~'" aP'"' to !be ltEL~.AS2la JlftI1IIflllIh n C)t~ia ~Dl...t
21'1 2, tttlle '\\TittOG le&ttl:port m."tafJ die ~ ofRdoll at or t'XCeeltica 0.02 'Pt"Oddae a.v.rs Of -l ,.ec;.e..ias litar ~4 pCi Ll. Buyer ,,'ill
2ft pmaecd \Uldu OM of the tbU~ Op1iou M }iA,d ill JIlOzrapb IG 1t'1tIda tJu. CuatblpJK1 rft'lo4:
2IlO B Optta 1
2M Opda 2
. 1-. S'l'ATIJIOl\l'ADR(!-06)
~ ~l r~i:-B_~
. @) WATD.DR9ICSinol....-...1JOl9COJJt'lllffCDK:Y
aD ID "-AI\'ED. Baret hu tlt ~ tohnc /Ill iDs~ ot.cquaU~'" or ~' .flhc 1\;":1." ~ 1<< 1It,d ~~', Btf\"ER ~.m'ES
at TBJS OP11ON..d.pees to Ih<< m.EASE ia ,...ph 'J" of"~.
- 0 E1J!C!1'It).~'~; _~.. (t5lf:aot .~1fhct) &o.tfae E:ac.vtica DIte of." AIf"lDGlt,
?J3 1. ltltldllllllt 0laCfIe'MY ~ ~. It Bayert. ~ mar ~t.ain .. _~ of1bt ..1di~'1JlCI ~~. ofdLt water s~*11\
,. fna II ~'Ii:eascd ex o4IwwlM ....&ead ".." w.U 1IJStiq com"IIY, .
29$ 2. Itrequired br _ -J*tloa COIII,.,-, ~, at ~hr'lr ctqIQJe. mil locate and ptOVid. .~ to De OIWite {(ll' lD~lIal) ""lt~
2!l8 ~. Sdkr Idst\ apoees to ~ tIae lroJ*l:o'. It SeD", ~. pri<< 1e ~t.
. 3. !f~'er is.D<< alldielf db 1'* COII,dib or.. WI1Il ~'*m II staW ill .t writlI:QlaspectiOlllqlorl(t\. E~'Cr 19iD ,procted UIId., On~
a ot1be fbIlowiIle' Oprklu It! .Iietcct in perqraph lO W'itIdD tbe c~ hrIod:
a 0 o,tt-.l
SIlO LJ Optleb Z
3M"""'1lIIlIIIII: ~ 1\1\
UWl.1'S.~.watiIta..)
o 2. Sdl~ hu kao\\1t6p 1M! 1be Propeny 1IlW\\'at rac/.oQ ~etioa.___ OIl dlo data(,).. ~y lb. m~lI) 1udIcaW belo",:
OAT! RADON RiI>UC1'JON WBt'BOD
~=:t.
8~812
!eIIr 1aIIIk:
.........1Ir:r. ......~
www.TcueF:o-.cotn
(.
"C.T::lIUN
PAGE e7
3112 U. ST~TU8OPSIIIW.BR ~
3111 (A) Wc:r ....1bat_~ iI~ by:
384 R l'aNo B'na'
. 0 JllditiftIJ ~~ DIIpOItI.,.. (M SnwpNab 1)
- ~ IIl'I If l' 0IHIt......DiIJOMl8JsIDiaPftl. ~ ~.. <-eIcwaFNadct I. -... ~ 'I. if'1pp1tcUlo)
IR O~ r- r ., ... DiIIIM-I.,.. ,
· Tc8-Iae"-lt.... ~ (IIt.........2)
lit H....,... C- .....RaIie6~)
,., Naa(.....1Wcci)
311 N-= A~..a' ~ fa Eact(...s....,.Notioc J)
m 0 .
m (Il) UtkyUIIUALON-LOT IIWAcaJ)JS1lOIA1, h<itraC'l'lOl'I c::oao:~
St4 0 WAJYBD. a.,.w .... Cae optio&l to l\Irft CII ..peetion of.. iDdiv_l co-lot ~ cUtpal ~"JtI. Ibr .. JlrQp~'. Btll."ER
3f5 "'JJ\-SS THIS OPTION aDd ~ to ttac RELE..\SIJa ...... ~ ofttUs~. ,,' .
311 0 ELECTED. Ooatiapacy PI:rlDc!: _ da~ (l~ ltDOtIptCi1ied) I'oallw EstcatioIl 0. oftbis ,o\.,..<<ct.
!n 1. "ldda.C~~ Buyer. It _..IS ~ ~ oIlbla llIl iupto1:iaa or .....~oa-lottcnl..dI.spOSQl
3f. ~""I'oIR. ....... ~ i&t.spector.
. 2.. If aad II ~ ~ ti. ~ ~'. SeDer.:at ScIlet's espIUL \\illloaate. JII'O'ridt __ to) ad _pt" the ilclividuAI 00-
320 tot ~ 6JpouI ~...... SeIJer "-"Il_resat ae l"ropcrtr. It StUds ~ I'ri<< to ~l
3rt 3. Iftb: mpllC1iL'lD ~pOIt rev_ 4f1tQtI tlatllo lOt NI1IiN <<.'Cl'M1ioa (11" ~t of.... e:dstIA. JIAIi\.idDal on-4ot~. 4is~
: 8 5r"'llU"'-'--ot"'~o""'''_.''''''''''10_'''~-
125 "', 1f'1Iatt iDspec1ioa report rcwaIs Ibe ftM to c::..-pud <<." 1hft .stiIt, iadividHl oHot lilC'Wqt ~liIpoaaJ 'Y1tcaa. Seller 1l1ft~..
. mthia --.J1....D41"S qf~" ~ IClport. Illb..ic. ".~ Con=1ift l'fopoW (-.ro,osan to BIt}'Cr. Tk Pr0f081l
111 wJU UtctD4~ but 40t k a.lted to. 1M .... ofttte com,uy 10 pcrtbn:D tho ~1DSi0D, or ~"'a_.Qt prOVWNI. for pa,1IleDt.
. IDcladial... .. IllfO.iMbt compIetiOlltl. Ibtcocm:tlve~. \\-..........J. DA."fS ofned..., s.JIcr'. PN.l'*l- l'lt ir..
sa Php...J Is~. wItIIIIl Ck dIaf .....lNyer 1VUl.ad:l\' Sellar III \rlIdDI C1CBa).... aboice to:
. I. -~arec 10 lac tcms o.f'~ Proposal. If laY. v.1lefto,. an.'. ncctptl 1bb Pf<tperly Md aIf"S to ~ R.ELE.o\SE 10 pu'llraph"" of
* tbis ~t. ($.
m II. TemaiDaw Gd.s Apm_t br \\"tItWl&l atltice to Seller. 1\ith aU .posl1 moeies temaacd. 10 lay. lCotlfdiDIlO lie kmu I)f
3D ....,. )0 of tis .o\zramue.at.
!M c. ACCfpt 1It. Propcrtr.. lie C'SiItiaJ~"Itcm md .,.... II) tM QUASH .....1.7 ot'tbit .~t. 1Dcl.. jf'required tt.r
335 any JJlortal~ laM lId'or~. to'ftIIIIDiIIltallU~. COlftCt Ii. cltftcV before ~ta1 or wi'" the time ~Iml ~. the
. 1DCldpp.... ad<< ~1al8tlloritr. .. ~.... J. ftpCDH._.-iILpamisskln ..II accctl to the~. tA'tIl by
m Sf:JIer. l'ermlNloa ad acceM IMY aot" ~~ 'Wi1bheld by Seller. Jt Seller". ~ p<<ai"~ aRd or lIceeSJ to
a ~ !be def'cds. ~"tt "~', wiihiI....,L D.U'! oCSdlcr's deDbL ~ 1hia 4~ b:> mlttta 80tiw tl) SoeDer. ''''ita
SIt .u deposit JDonies ret\1nLed 10 -... accordiDr to tbt tenD. of.......pb 30 rX(hls AjN...l
. 1'. BOm '\\".umANrI!S ('-OS)
841 At or ~ aettta_" .~.. put: D\I! ma tbe ClPP(lrIaDlty ~ porcbuc . home "IIlIIIUty for the PJOJICI1r tom I ibird-~' ,'dCllX. B\t)'" Illd
312 ....~ "'.- alL-. w.n~.fot tIlt~. cbsllOt.td\er~. dilc~ ~ otSeIler. 'nil fJ.Qt C(tVC'0I' wamat .~. p~'r
,. detects oftll. ~. ... w.iIl aot ..... 1\~ or emed aar proml08$ of mil ~t rcprdJDa iUpec110III Of cartttlcatiou mat~.... itu
3M e!'" or Waived . Jltd oftlWl.-\.creemeat. Buyer IIld Sttler uddrftaDd lb.t tbe ~ blt'ter Of .ortpze ltIl4cr \\~ orders lIIe home \\"lll7Q1l~'
.. ...,. ~~.l'CCdw:. fee paid b~'.1I: home murlD1!' CClGtpuar.
.. 17. ZON1!tG a..\.SSIFIC"..\ nON 4: '~CA.'IIOllT OJ' llSl. ~GEN('"1' <'-85)
347 (A) FaiblreofdU Asreem-tto COIl" ".1OIdac clauificl.tiClD.{~ept in cuesm.= tbc,property {dCreach parClll1hereot. ifAbdividabl.l i.t
S4t ZODIId ~. or prJaarily Ill> permit liDt.f~ .a".,,) \1iII1CGClcr *1r .~ ~~ at 9uret. op(MlD. ... if"NiAed.~'. ck~ts
,. ~ b)11bt Barer nilI be relSnad to UIe _-er ~t BY nquirelDent tof C10wt a~O&.
- z....., a.--_ta.- D_'" ....
.1 {B} CoatiDpacy PerW: _ d~'. (7ltl\4t sptKifitd) IoIa ibe .acutiCl4 Dat.. o(this ~-\p'eeIDcDt.
3S2 WICIda.. C....,t~ hdM. h)"el'. At Bvyen ~~ -r "m'if! 1tIat tie JlI'*ftt.. f 1
. of tM ltt~. .is permiftcd,m .. tveat the- preseat 11 Ie is Dot pc:smittltcL ~r will, 1S'lIWn ... ~~ ""'eel, en.. S.Utt' \'\'rittoflG
. Do<<Ioe IW .0 }lfIlMIt 1IR' oldie Pr~. is DOt pcmUItat aDd tba1 Buya- \'rilt
!S5 1. .~ ibi:~' and.. to ta. RELIASt Ie ...~ ~7 oftlUs.Apttmtrat.. OR
- ::!. TaaiDatc Ibis .~c br'tSJitrft D.Oticc h> Selkr. wi1h a114tpOsit m<llllie5 rctunacd to ~ ICCMIIDt 11> "die IeDU of paI'A!l'llph 30 or
. tflU Ap:cqleIlt
. ItlMlyfl' falls fa l'ltt......1I1daiIa tilt C~'erloll .. 4tca 80f temllaate tNs ~ .,.1n1fttIIUIOti~ to s.....1fItIdD th4t
.. ~ Bw)'U'd aec:tpto. Prepft'Ir ..... aam CI tlwULL\Sl: . p*....... 27 .r... ~
. II. :tfOTJCIS.~"'CIR~ftSOtrOCCOP.u'CY ()45)
.t (A) Seller 1'eJftSU~ . of 11M date $!IltIr Iiptd dba .-\IRa- did' 11(1 pub.llc aprowm.e&\f. ~ or "eot\'1lcr a~-=iatJoIl
3&2 ....-.eata bY. ~ lUCk "fmst lbe ~ 'nhicIt remaia ..paid. dd Ibat.QQ noti~ ~ ..~ ,IWcmJM(lt or pWic au"oritr Jm been
· terTecl apoIl Seller or DyoGC an Sdle(s bdaaJt. iDclad., D01icea relltiDI to violaticM ofZODiq. ~ b.at.diac. ~. or tire ordia~
3M dlat rea... acorrected. ad 1bat Sdler 00",'1 of IlO ececlitiOft that 1MIU COGlSfi1btla . vi.ol<<<<ioa of' .... .dI ordkwac.. Ibat ~4m
. 1I8COft'edCd. antess c.6c'\\i.Ie ~ Mn!:: ftft.lll ~b. '
,. (8) ......._GtIlOOIhc~ DOIicea ~ liolld[DM).... ~J ~ ClCII:qIt. toJIowa: IIOIla Ia\awn
Sf
sa ........
c..J"1'-\
Porm .........Tna~
'MIW.~1 ~
AI8-R", fi.tit
...... MJ5
1QO.4-...a
9IIIa' 1IIItIIr.1.
-,
..
In
. lit
!12
3'13
37"
R
..
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m
..
380
.,
.
3a
..
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-
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.
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3!JO
1ft
.
-
3IJ4
.
.
.,
-
..
..
..
.
-
...
-
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111
-
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4tI
41'
m
et3
4M
115
tte
ff1
4'11
,.
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as 2..
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"........,1'-"' .
I"'AGE 68
(el 1A Ihe I'WDt ~. ao6,ces UachadillJ violAti.oD.).IlDd or 4Mc1!llU1f.ll1i1 are recdvccl* StI1It... .vlf,Dltd ~ A.JrCelDeet '" btM eatt1cIneat.
S. will ,mitH.. ~'Q(~ lloticttllDcI or usessm=IS to~r .Illf~ aotlf:..B~.tr iA "'6, wi1IUa .-L D,.\\,S ofreo:h'iAJ ~
Sl~ .'Of us8llSlllQls 1ht Sell<< will:
1. hlly caro,t.v with tie aoticcs aDd' or astiWIDG,,18 Qt Met'. ~ W\ti MttJ.cmCDt. If Seller *I~' CO&llp1ifs with Iht notices and or
ItlIIl:SRDcaV. Barer :acccptJ 1M ~~..ad 4Ifttt 11) 'Ibo mEASE ill ~1l17 otdda ~t. ~
2. Not comply _itb tbe Doncell .ad or I$NUIIleIlD. USfn.r~. not to COIDp~' witb .. DOIice.: _d<< 1S1eIIIDIIIlU" OC' fIdIs wttldn ell.
diu p-_ .. bDfIt! ~ whttbft' Mer d ....1)". ~'cr v..iD ~. sea.r JIl-"TiIiq witia --LD.~ \-S tbltB~.., wilt
L CoIIlpty 1d1h 1he notices aIl4 Of uae#DlCllts at ~'erl ~pease. accepl 1h,e ~~'. I6d ailCO to Ole lELE..-\R m parlIp"ph 'J7 of
th.iI ~ OR
" Tendute this ~ll'II.t ~. ~n,* DCltiec to SeUct. '\Vi. aD cIepo,it IIM1IIiu r=tumc:d to ~.. ICClOl1lb\@ 10 1be teftU of J*aSra.ph 30
ortbis,~t.
It lhII:r<<' fltlls to ~ 1JitIIta tht tiDH' _led bL para..-pIl18 (C) (2) _.. t9 ttmdMtt" ~ ..,. mctea..~
to Sdtr~ W..... ~r'" acctpt. I'bptrSy _ ~.. 1M JtI'.LLlSlIll,....~I, Z7 or.. AtP&'..--..
CD) lfl'tq1ltM &)'law. 1\iCbin--L DA i-S ~ 1lae bwtlOft DDIe ortLII_~~ ~ ill DO cue later tUlI 15 da~'S Friar 10 ~mont.
StUer \ViII onl=r at !diet's apea.. a ~,tioa jtom, ~ IpJllOlll'latlt -.iaipll deparllacat(s)diacIoaiaS IlOtict ot _>. ~ec1ed violatiou
olIO"" Jl.0tId0.s. building.. ~ or 1ire OIdia.aa ADd:Ol. oedi6._ p:aDiltiAJ ~. ora. ~opert:~. Jf~.... ~ a 1l\')t1.:. ~
ear rcqubeclNpau, lmpa'ovtlDGta. ~"in .,-pdr dcllv...1 col')' oftlJc- aoclc.1O s.u..
. 1. Wltblll.-L D.:\ YS of rcc:eiviq llOtice &om tilt m._cipaill~' .at tepanimprovtmall tnl ~ SefJ<< wilt uotlt. ~:-"=f ill ,,'rhin.
1baf Sak 'lViIl:
.. lW:c the ~ repab.tmprov... i) *.e .~ oU,a .lIIIicipUi!J', 1! Sdler m....... th<< II:qt1Jrll6 JepairJ lmpro\'4lfttdUu'
~'.lOCl!lp lb.. Propeny alIA aJS'ftS to ,. RElE..\SE ill para:mpb n oetbls ~ OR.
b. N~ mal.. .. ~q&drccl Npairs ~emells. If Seller chooses Dot to mGb Cb.c requ1Ncll'tpoft in~cnts. Blt)'tr \\ill Aodt'
Stilet' ill writiDl '\\i1bill--L D..~SS tba, ~"t( ~11t
{I} Nate dlo repairs. iaprt'lVemeo.ts .. ~....... ~. ~itb p.II'Dl1s&iOllad lIIlClI!SlS t(I tile ~. ,JJ'VaJ by Stller. \Wid! ,,'ilI DOt be
~b~. \\idtJaclcl. OR
(2) Tenniqate tbls AIA..,.t by mittat DOticlt to SeUer. ".itb aU ckpolit monies rtnImtcl to ~~'cr lQCordiDl tQ lilt ttnIU ~
....pIl30 otlhil.~ClLl
ltBa1er .... respcad wIdda die tbnt If*'" ,....p.ph 11(0) (1) (h) or'. to temaun- this A.,rttlllat fly ..mtttft ROtlcr- tt
S6r~ tJW...... Ba)"ff1dD atftP'..hDpmy ...... M ftlt RU.JU.G.. paapapll17 at"'~. ad Bu.rtr
acapts1be- ftI~. Co ptJ10na Cbt .~ ..a:onlIDrh tJat-1mII1 tlthlt DOtf~ prtnitC!Cl by tbe ......,..
2. It ~ ~ ~tr perminiOD toJDIIb 1M hqUitad repnin.imJlOVCS_ts. m does aat pte>Vide ~ lie.. HfON .tUlcotUt ~ lOW
the Nqa1red repalp improv._.. Bu)'<< m.,:. wi~ -J. 1).0\ .1"8. ~ tItiI ~t b~' ,,'Iitrt~ DOticc to Seller. wi1b aU ~,lt
eGlies ~ed to Btt~"er ICcorlUq to dMlK1D.I ofpart\lraph 30 ot1hia ~etat.
). If I\!PIin lm.pco~lDts are feCI.ired DQd Setler tan. to prcwhtc I ~. of.. ~c to a.yer IS ~quimt in )lU'ql'apllll (1)). Seller ,,'m
pedbrm :aD repain.im~ Nte~ ~,.Ilo ~~ l\t SfIlt(I ~.I'uII~ II (1)) (3) wIII_t'Tin Ieftletntm.
(E) .~ to a pubJie J'QId ~. requiN nanoe ofn h1P~' occu~ peaait:froaa 1he .Dcpa1m.t a!TIUJJlClf1IIi:ul..
... "JnI.&,....nna C08'I'8(9-415)
LA) Tb Property will b6 COll..;~-ecr ""ith JOM IILd awbtabf. title AI ~ iasunble by. N,utAbf,e title Wul'llDCt COlIlpllIl:" at the "'r Rtq. fr~ and
oW W aUU.., CAC:UlbrAt1.ccs. IDd eas.m_b. ~CEnmQ HO'\\"E'\ "Elt tile foU&)"W~: ~iq <led RStrictiOftl: biltoric pr~~tlOJ1
restrittioas (IF ard1D"C~ bUlldba, fCIItrlctloalo: otdiJlqca: eulNlltats 6f ((lDd1F. tlUClIlerds visibkc upon the- !romd~ ...."t.: of ~aord~ IlQd
pl~!ItI ttt risQb ofpubli~ Mt'Vict c~ If aI1}'.
(B) ~w",'ill~.torfhefo~iIl:: (1)Titl.csearch. ti1leiluur:mceaacJor mecbaQict lil!D. bmlraDce.. at' 4l\~' fee for caotel1atlOll: (:!) Flood
.nact. fire iu.uaace wi1lt aleIlc!ed ~.....,e. IIliIIt: MlMId4tflCll! iMutaAce. or ~. fet for Cft6_llatioa.: (3) Ap/w_ r... aIlCI cIaIrpa paid in
.d\oqw:= to .IDortpIc Icnctcr(s): (~\ ~'e('4 ~1I1lIIY ..t1leeDt e_ and 4CC'lU8l8.
(C) Ally ftt'\'~. or turVey. required ~. the Utle i4s1lranec C08l~' (It the a~trztiq .~' for prcpariDg All. adllqDaIfl ~ dctcdption t;i tht
hopenr (M the cometloll da_tCIf) will b-e obtDintd ibd .-icl (or b~' ScHer. ~' aarv~' or lurveyS cW:sitcd by ~..r or Nquirfd b~' ~ D1l.1rtp~
lucW \\"iU be ob1alM4 lad plied for by ~'tr.
(D) lfStlltt ia Ul\ahle 1l:' th'e Il sood lIDCI marbtablf tirl~ 4Dd neb AS ic iI1cUrftble b:-' _ Npotnbl. title inStlZ1lllClt ~ puy at tb.e zcpw r-lte$, .,
sptCiW ill pamlt~ 19 (A). Buyer wiD:
j. Accept tbc: tro~. ,,1m meb tltb! ~$ s.u. C4Il ,hrc. with 8(1 chup to the prdwc price. lIact IgrH to me RELEASI ~ panIIJ'lph Z7 "t
this .o\p'eemllllt, OR
:t. TerM;''- &is .~otbr ~ A_C to Seller. willllll Gt.POBlt moaiu N1UI'Dert \I) ~-.r accordift& to !be .... ofpvqrapb 30 (lftbis
.-\IN_anl. (TpoD termiDatioa. 8cU.".\\iD rt~ ~.. rot ~' 1\'0'* ~ ~ 8\1).. fIX ItIlY .iaspediODI 01' cot1iticatroa.s obt:llAecl
ac,confial totbe t=nu orthls Apalclllld tcx'ttlose ittJDa .pacifled II parqr&fb 19 <B).item.s (11.(%\. (~):\Dd In ~pb 19<C),
(S) The Pr~. ia DOt. ~ caltiD" .. 4da8d iA ~ P_~'l\..tl Coastn1dioa Code Att Wllecs ollhln\"kt..tI!ld hll{e (ece fd.'l'Durtk'll\
lcprdigg Rec:reatiOiW, C..,ia.):
CON'J)()t.~D comnrmn' (BOl\aO\'\'1'f.ERASSOCUTlOt4) RESA.LE NonCE ('-85)
~ NOT APPlJC_~U: .
o AP"-IC.-\BLE: eONDOMINlt.'hl. ne Pto~' U I,ualt of a cOlul_u.Pzm ibid is ~I)' rall "r a uit G'nIUlf usoelatloa. iJ407 ottb.t
tTllitOcm COI1dQodnbml Act t't Peunay!vula (see Wonnatioa. le;:an:lm, CondomiD:ium, aact ~1.uAttd Conuuunitles) rcqulrts S.lw to t\nillh
8o~'etwitb .CertIficat. ofIteu1e ud coptes of the cODdoIDl~ium "<:latttlon (other tlwl plata ami plans). tbe brbl.s :lAd the rul~, amd
fetlI..tiOllI ofCl1e assoeiAtion.
o .r\.PtLlCABLE: t'L:\NNED COMMt1NITI- (HOMEOWNER AS4OCL~TI~). 'the P:r~. is pitt of. plftDDl4 comtl\uliity III defined b~'1b.
ttDltona P'k1~ CoallZuan.l~. Act (leI! hdbrmlUCIA Rt8ardi.nr COIldomUbuInS JWt Plasmed Commuities).IS.aD7':Il) oftbe Act ftquu-e. S~Uo:r 'k'I
.ruish ~'CI' wi1h A COP}. ot tb,e 1)ecluatJoD (otb.<!f \bAa plllhl -IllS P!llDlI).. t!r.c: ~1a~'S 11M: nrles and regulfttlODs or Ile usociat101l. ud 4
Ccrtl1ie:tN QOllf4fnJn. tile )ltOvilJiOQ1l s.t f\'lt1b in fs.fI)'7(4) r>f die .4.ct.
JJS.R~' all.
Jt.etoW ~
IlOO . 8812
~....
G5 .... WcbIa: tr-TM
FClftII ~ by: 1MFonfts'l'
_.1lueF..........
~
N:..T::l1 UN :
PAGE a9
. . G TBI J'OLL01\'1NG: 4.l'PLJES TO 'PROI'IRTIlS THAT AU l' ut Of A. (~ONJ)()~mm.1!.1 OR A PLANNED C(t!.WllNlT\',
ItJ1 (A) ""ilbill. --11 D.;' is tom the Executioll Date ot1bil,~CCJIlCIlt. SeDer. at SaWs .xpellCf.. 1riJ1 teq1l~ tom die aaoclatioD . CertifiCAte of
. D ~le ltIICf. aar otltt docvmClltJ ncccll&\~' lo Mae s.lIc to com~ wi. 'the refeoI;llI\t Act..n. Act ~s dut aw N1~ci&1iOD. i. ttqu~ Co
G provide lb~ clClcwncnts \\'lthiD 10 ~'c ofS6r'~~.
... (8) Sellcr will prOl:Q~' ,**!h'u to :e~'ar aU docum.oa.tll f~lved fiom lb. ItllOCiatioa. U!lclor the: Act. SeDer iellot l:Abt. to B,*v {(\r ib. failurt \\f
AI' the .s80datlOll to p(O'\ide !be CcrUficatt ill a tiJa.ly .DIUMr. .Of ilt Seller lillble to Bv~'V fO! aJlY iDCorrect iIlfotlD4tiOD pro,,'idcd t.~. the
_ ukleHltlon in .. CctiAC&t$.
40 (C) ne Ad provicltJ 1bAt ~-er mcy declare ~ .r\fl=Dcat' 'om at llIlr time bcin ~_ mti\.'ltS 1M HIOCialioo doawaalt aDd for ~ dAYI
M; atlrr ~c:ipt. OR until SeCt1cmdBt. ~1chcvef oecun fir.t. :e~'". lOti.ce tI,'l Sellar mutt b,1D. ~l11iD~ "poll B:f}W ~tclar!DI uu. AJlWmfDt
. \'Oid. aU.posit mOAiet Wilt \M: ~ to ~....~ to.. 'OrmD1 ofpanlln])h ~O o!1bis AlN'tlM8t.
. CD) Ittfle usol!ia.tioa!au tilt riIllt to btr,.' tLc Prop~' (npt offit.st Nfirw). and the usociali.cto. ~cfscs 1hat rjpt. 9c:&r "ill mmbum ~'er for
"' 1Ifl'." ootU iDclurtM~. ~ po ~'1up:ctiNs or ecrtifsc.ItLaM obtained =:ordiD,totUtemlsoftbt ~l1L .M u~'cosu1ncumd b~''BU)'er
_ for: (n tide $CII't1a. tide inJarmcc mcI or m.cdwllcs' n. .lMw'1IlC.. or ~. fee ibr ~~ (~) Plood lDsuc .ee _ or tlrt 1Asurane.. wl1h
C4t e:Ul:DClcdcovcn.... subdd.ace iDaurAnoll., O(IIl~.t"eefoc llllQCelt.vloa: (3) AppnlldtlNUDd cUrl" {)Sid i4 Ilh..,lO snortaaI~ leadel1'),
.. 21. ~L\JN'TEN~c.'I..t 1tlS~ or LOSS ('..o~
.s1 tAl $ener mil m.ai!2taill tb.e P.,t9pc.-t:.'. erounds.. fix1ures aDd JlCftOda1l'ro~' .pcemcaUr llsted 11 Chis ,;\peement in iU pre.enl cOstditiOIl. notnuJ
8 ""laM aad t_ ~sptad.
G (B) If ~. .,."StOII or appliaace meWed in the We oftht Proflttt). fiIJb beJbtlt Mrdemenl. SeUjSf \\"iU;
... l. :Repair or replace .. filil_ ~..... or appUQae before JctdcmtDt. OR
e 2. p~~ JKOGIJ't ~ ACItlct to. Buytt ofBtlW' 4dCi1iOll. to:
458 L er.dit Bu~ thetttcUlCBt for the fair m.tetygiue ofthdulcd ")"Sta aup,limee.. u acc.ltle to tk mortlllffJ leac:le:n,,). if 1.11". OR
IIf1 It. Not repair or rcplnt:e the &iled ~'stCllllX appUlII\Ct:. .r.t Dot eredlt B\trer at settlement for .. fait mttbt value or di. fill<<l ~'NI1\
4SI or tpplLIDeo,
.. 3. ltSclllll' dl3lK Dot repair 0(' ~taee tile f1alle</. s:"tcm or app1W1~ or ClInt to cNdlt ~w fbt iu. air 1llad:4t 'valut. ~ if s.n. ~ to 111>~'
.. ~.<< of Seller'. cholet. ~-.rmn D~' SfDtr ill ,,'t'itinJ \\'itU\ --L. DA \'"8 or ~e{orI! tettlCIMIlt.1\'hicbc\'", is ear1ltr. dun Burtr '\\'IU;
<<1 .. .~cc.,t dw Pro~' lad lIJtOC 10 the nu.J,.SE iD pQmemPb rT of1bis_~CDt. OR.
IIfl I., i e:mtiDA1e 1hb .-\ermDcat by "Tinea IOti.ce to Sel1er. ",,"lib..U ~t monies retamled to a~'er acc<<dil! I to. tbtt terms or paraaraph 30
4S3 of6ia.~t,
.. (C) Seller bem thtt r.ls&: of lote loom fite 61' CIth<< CllaIaItlelll\l,CU 8dtlcmcDt, If llD~' p~- mQiuclcd III Ulls $IIi' is 4cscr~'ed 04 not rcploeed,
4&5 Bu\'" \,'ill:
.. 1. . Accept 1Jalt~' ia ht h CWI1lQt cOllclition tocctbc 1\ith tb. JlFO'CftfIs of IDJ iaJunlDGe recO\"ety obWDl.bl. by stUct. OR.
., 2. Tenniantc 1his .-\Jrcement "', writtcD !lOace to SelLer. with III depocit mollltts retarned to Du,'er accorcllng to lbl! t.mu ofpuqroph ~o 01'
. this AJl'=Ilent.
4&8 12. CO~ NOTICE ~.n .l,.........)
40 'l'IUS~MA\'t<<:r't'SIlLL. C'01'f'llT. 'tIANsnLlNC't.tf1)I or. tNStTU TH2Tm.1 TO TID! C'OAL A.NDl.IOln'IOI-' JUJIIlC)I.TT.I1CSINEA'tHTRUUUAC'lLANC
471 DanuaD ~ Ul!2Ut!tll'O fI!DJN. AM:) 'fH! OWWU 01. OWNDS or IUOI cnAL MAT HA \"1 'nil C'OlJIU'I'R LIG.,u. tlJORTTC. RltJO" A.LL 1UC'K ('OAt. .UlD IN
0. THAT CONNICTION, D,U.[AlJl:?fA ,. UlIlT1. T TO T1IIIUUAC'I 0' nm LAND.ANt) AN\" Hot'll!. Dtlu.DING OR ~ llfttlCT'J1Ul ON CJJl IN SIJ~ LAND ITb.ts
(IS llot1~ is ut forth .lbe.mMAet }WU'~CI iI\ SectiG2 1 ofttl.e .\c:t of1vJl' 17. 1957. P.t. 914.) ..~~r 1l&$no,,1cdpa tMt be m(1)'l1Ot be obtaiainl1he
1114 riPt of protcwoa a:aiu1 _aidell~ rttuJtisq &val 00111 mia.iq OPQOD$, lad tblri the propert:\- d~eribecl her. Ill,,=,' be proketad. Uvm dalUa.~
m due to m.inc IlIbsideAce ~. 4 private C:ClftlrKt wl. itle tIWIICD cithe eeoaomit: interests in the coal, nil acI::IlOmqe1eGt is mode for the pa"p~"e .;tt'
~ co~pltirll with ibe prtW\'Uioas of Sectioa14 of the Bihlmia.CN8 ~!iDe Sub$Wcu= u.d the taIUf Coucrvatioa .1.I:t of .J.pril '1.7. 1966." Bu}"a' ape'. t~,
m aID the deed WID Scller which deed ,,'iD COQt:am k a.fcrcI:Ild provision.
a 23. fOBSSION ('-05) .
Gt (A) ~ . II is to ... ~ !ly deed, 1I:eyt ..d:
.. I. Pbyslcal p~OI1 to "ae_ Pro~.1'tt of4*is. whb II1luuct\1ret b(OOll\-Cleoa. ..~' aQd _ ohdtlCQ\Cl\t..-'.Nt> OR
at 1. AldIu\ea.t of....... Gistae liMMl'). 1(IRdaet \\'lth lilY toc'lttit)' dcposif4 ...d iab\:sl at ~. _ time of se1t1emat. ifProperh.' is lased (It
.tI2 tblt CStClltklA of ai. A~IIlaat.. ualc:ll vth.crwicIe ~ ia un, A.,recm=t.
.c (B) B~~ \\'iU AckDo~i~ ~ lcase(s) by mitialiDl tho 1lWe(1) st the c:o:cutioa of'thIa .~alt. UDlw otblD"\\iJe speclfttd hcrda.
at (C) Seller ",i11aot ea_ iIlto IAr DC\\' lcuts. cctculOl1S ot mstms"ltS or acJcUti.oe4l.lltMt& for Cbe Pt~' '\\'illallt the '\\nftaD canaeat af'B~'er,
. 14. UCOItDUfC ~ tbls AgNCtDt will a,OI b& teC~ tJJ. \fso Offll:e ofik Recorder ofDt<<l. or In IDr otbtt ottlcc or pllCt at public I'f\>>t~. It
.. BurIIf ~. Of' 1*8'i" ~ J.arcelDent to be ~or.d.. s.n"lI~ tl4td Co WAt such Mt III t btetoh cftbie .~l
. 15. ASSIGrwENT ('-OS) nis .~~.t it bittdm, ~. the p*rties. their bQn. persoaal repra=tlIdves. .....,dims Dad sace=ors. IDd to tho:- mcnt
. aaitDAhle. oe the ."ips ofiM parties heteto. Bu~'Ct -mil DOt trilllib' or mip fli,. All'CCDlmt w11hwt tbI wrltteI1 cement of Seller unl.ss othtrnislt
.. st*d ill this Aa:r==al.
.. 1'. GO''UNlNG L..l W". TErn:1E a nRSON.u. .lVlUSDICUOt'( <'-OS)
ltt (oA) n. '....ictit-.lDcI.coutNCtiOD oftbi. ^~nt, 1lDd... nptt IDd clutits ottht padkL win ~ jOVaud in accor4aaco mth the 1.~'8 of the
4!lI2 Q)amow...Jtb f>f PelD8o}1vIDk.
. (8) The parti., ~ ~ a1\~' fiapts"'- tOIl~' Of c..im .riulucIet or ia C:OUectiOA ",'itfl thi& Apmca.l or' ia pcrlbrmancc b~' either .PAIt'
.. sboJ1 " decided cxc11Jsivdy ~-lUld fa\ the state Of f'ede!ltl eourtJ sltdDg in k CommOIl't\WlI1b o~1\'mia.
. rl. H'R~ ~
.. ~.r n........ _ ....... and lore'FU' diK~tS SELL!.R, ..u.L BaODlt$. tltetr LI~SEKS. DU'LC'\"EES - ~. OFFICER or
_ paTNER .r.aay oat of CIMm aaa QQ' other PERSON. SlRttI.r t'ORPORAnON wJao ma1-- Jlal* ,,.or tI~ fh:.... from m..v an4 all
. ....losMt 01' ....... ..~ .... lIot JbDlttcI te. ,menaJ tftla17 aad prape~'" od;" or flae trmstqastfS ~~.r, whether
. _-.aIR' not, wJdch IDly...., from eM pl'tlUllte ef'ttl'lftlttf. 01,' ~ ........HrtnrinMds, ra4on, IeH-Msect paI1at "'rdI, _lll, t'1II\f;I 01'
D m'oor'" 4pldty. tltvIUmat.bI......nb. ...,. cltt.cts III * ...~ oIl-lut R'Wace I:&pOSId systdt or ch'lIckDcla In. tilt ......itt .....kt
5t1 Rniee ~ ... any *Ao~ ... evadltt4lUl .D tI\. l"npeny, ShMl1cl Sdl<< ~ ib de-III. _icr da~ tmas of tills ~t. or JIa 1tobtian. of
102 mr_DH' ~ law or reptat'lcm.lbI' rtha... dotS AOf ~me h:rcr of u"... rIIhC t. punDt aay I'ftftUhIJ thllt m:l)' be -,,,aIlable DelK
b Jaw or ~. TI* nhA.-.... nni"~ addmu:ut.
SOC JJu:,er.......
e..:JM
AJS.ll PIle' .r II
.... MS
~
seo..llllllak
'.
~ 1 ;:) I WI'!
PAGE la
. ... n. 'RU'RUENTATlOrcs (J-05)
.. (-A) .\ll repRSeDt.lt_~ claims. Il<k'ertlslna. prolDotioul acthitics. brochures or pllftS 0{ .Y I:JAd 1Il_~. Seller. Brokers. tM1r Hetl1"es.
- "" eml'~.ees. otrCCCfI or ,.no.. are D01 . part oft2U$ .~.f 061... ~~. uorporatecl oratltte4lD this .~ltII1tJit. niB .-\.Jnsancnt
. c:OItaiDs lie whole lpeeawar bM\\'Hn SeUef qd ~~-.r. .6 1htrt ... DO Ok _no.. obUptioa.. cov..uta. n.....atldions. atataa\enb or
- cottdlbs. atal (l( ochenisc. of u~. kind \\'batIoe'Ve{ CQl\CC{D.la~ tills salt. ThiI.Asr-neat wlll1\ot bll' .ltci'd. Im.~d. cba&.4 \)t mt'dUied
All ~pUD "'lilia. ~ b~'1Ile pmios.
$11 (It) t,*- ~ .-.4.. -AcmmtJIt. Bayer"" ~ the Pnpnty ~1sean.1bCI an, penau1 ,~perc., specUIaUy
iQ listed 1ImIIl) ....... ....... ct.ia ~_ er hit, waIn4 rite rtpt to th I.. .. apws to pudauto tile Pnpen,- IN ns PU$!N'l'
5'r3 C.~ND1TION. Buyer ."b"kdtc. thIt Broten. their liens.... dlfloy"" ofGl!~l'S e.. .....JleJ:'....... t aot 1U<<- alDGtpmclftlt
. ~undaaUOlt er .e~l'RIIMtiOll"tM atractaraI.o1llUlDeJ& .ffb.e ~pt~, tIl".. er CODdIChD .ftllt f!_I*l_U. fll\'tronanc:Jlt.'
.. t...... the ptdIIIttttl .... ft .r eo"...... ~ In h _r. wIltft.. heterl1.~; Jl9f hIT" ell.,....... I medllmitlll
&Ii .......11 or., or....,..... ceat.... therdla.
$t1 te).J..1Iy ApAiu setl'lired ~y 1hia ~t 'Will be completed ia & workmmQb: Illllancc.
SIt (D) Brobr(8) have provided or Dl~ provide eniccs to uslat 1IDNJlftS'Mlttd pn. it! CCIIQP~io! "11h this .-\.p'tI.lJIl1 .
S1I 2f. J)2fAt'LT (HS)
.. fA) Sctlcr bas 1be optioll or~ aU aau pa4d b~' ~.Qo iDClucf'1DJ lb. dtposh monies. sb.Olttd B1n,-cr:
R1 J. J'1IiI. Me _y......~.1pICiIW ill ~ 3.. OR.
522 2. Pa.1l falae or ~ idxDI.atiOB to SeDer. Brokc:r(s). or M~' ok pan,.'ldcntitlGd m 1I1i& "~.1 ocacemh18 ~U:"(31egat Qr
m fiDtRcW .ms. OR
&lZ4 3. ,oJolate or mb CO tltICsU m4 pcdorm u~. oib. WIIU at Cl~dltlOll/ll ofdlis Ape.t,
sa (8) I'.- ~ e'hICW m panpapta 29 (C). Sdler~..wet tl\...talD daOSe 8WM p*id ~. B~.... inchtd.mc d~sit monits:
15 I. OQ ~OIfJlMl-;)Ithxt. OIl
527 2. A.t__tobe~ftI""~ OR
$28 3. M~ __ps" IUCIa braci. .
S29 . fCl II SELLlltJSliDJITIJ) TO ~imUS l'.uDBY JKl\n.1Na.tTDINQ Da'OSII NotClIS. AS LlQmDAtD DAMAGES.
53D (0) IfSeU<< retaU1& all ... paid~. ~....IDd\1_ dtpoIit moaics. .. tiquidaW cltmaces punMt ftot ......... 19 (B) or eel. lhQ-ct lIllcl Seiter
at .......... ... flriltr Iiob~ or oIrGptiaa /till! this .~ is YOID.
at .JI. TS:IUtUNADON a: REnrRN OF DIPOSl'ES <'-'~
m (Al \l"here ~~t\aUDates IUs ~_ purnut to~. ri!llt 8fID1ed b~' 6ia Agt.,..t. an ~ __, ":1_ .C:COIDtot~ Jltl~
DC 1\iU be retum-=d to ~'Cf Met tb1s Ap...tJlt '\\111 hll '\-oll>. The kokCl[ laold'" the d.posi.t mODi....~ Oily relede 1be _poIi'! ~~
as accmlma ~ tilt lenDs ofl tid.tr 1IDCltf*' \\'ritMI. ~t ~"lli1!R B~er and s.D....d II (*IIlitfed b~' tbe Jh!Je. aDd I.~.nas 0( the
B Bta1t RMlEIIId ~
&:1l (Bl J:f'1Itere i. II db,. (IV" .Ii~ to dcpoHtmoafts. "llrobt inor I$Uy,pemtitW eo cidaml_ if" bl'ClIda oer:anw OI''VbidlPftl'tl" is mtitled t<I
531 depolttm.... A broker holdiDr*' ieposit JDC)aie, is ~ by. l*s -' RepJatiou of~ State bII E"* Ct>Cr.~;-_ 10 Ub the
- IBOIlits III esotO'f\' BIdilIhe dispute is resolYed.m lilt: everat f1t titiptiOll. ewer dqJosft lIlOI&ieI. a brobr 1\iIl dildRlte die IlClGics Iccudb1, \II) the
50 tfftU ota final order ti cow:t or Ie 1aita asrc== olthe ,.,... Buyer oM StDer a~ dw. it ~'1Irok<< or aSiakd u...e.: IsJoIDcd III
aft lititati.<ta ~ cIqIosit 1DCIIries..1be attomc:rs' fas and ,om of dae brobr( &) aacf 1i,cauIee(1I) \\ill k ""4 ~. ~e ~. JoAoiq Uacm.
50 oU. nu.ISTATE RECO\"Ell\" Pt'ND (t.05)
sa .\ leal Es1ate Reconn' Puad ate to .tmru aD\. ptntlCl \'dtQ '-.VII obGiaed -ADa! clvilj\1demtDt .piut. P"J:-'lvuia nal ~ l~
5M O'I\iDg to fraud. milreprC$CUfatioo. or dteelt 18 . .retIein.ir.tl'lUftetioD \IGd '*> bin" Ma ..It to coUter" jadphW ......... aU &ea,al aI\tl
M5 tqllJ1abJe nmadlf$. For CODlploN..1&. ab<nlt the Fncl. WI (7l'1) 78J.)~5B at (&00) 812-2113 (witbin P~iTDllia) auad (717) 783-48S4 (outside'
5G ~~).
641 n. JUDLlTlO)f (t"5)
541 (A) t'rnles, odlenvi8o cbecb:d ill ~ 3: (D'). ~w aad Seller mllll1bmit aU cUapaW or claimS Ib&t.m. ~.. this ~ 10 mediati..
58 ill ICCorQIlce wi1Il me ltnIea fill' 'roc:cdares ofdM HOlM S.n.r11l~6 -,.... tJlepd Re.o1\Jtlon S~'JtD. _~Il~. .Jl'HGl"U MCbtd tbNnp
.. JIlfdialioa .ad .lpaf ~. ~ pdtI will M biDdlDJ (1tfI WbnaItlOll ~ M~).
Ii61 (8) tJa:.-cr uel SeIhr baye recelwl.11*f. aad adda4d the a,,* au h~4\.A~ of1bc Home Sdlers.HOIDe ~"Cr" Dupzlt J.esalu1i0ll S~'Itm,
. (C) ..u~' ........lIlQt to ..._ 4iSJIQtIK Or' aL.batt lfiliDg &0. flUs .\peaDCIlt will ..me sc:ttcm.cm.
. (Dl 0 MEDIA nON IS W' AJ'\"!1), Bu,-er .. Sdkt 1InCIersaD.d thai tbc}. m:If cbOOlf to JIMd'.latlt at 4 law ~Il!: sl1aald &IUllpl8te or CllllaJ, .r,lSle.
81M bat ttlAt..... v.i11 be DO obBpIIoG for ~ ~'to do 10.
656 n lWlD)l1vrtAL ~JUSED FAINT H.-\.LUtD RlDt1C11Ol'f ACll'fOna (R~'" ,ropmhl RUt helol'llJ78)(M5)
.. LeaC-'8ded r.t B.... Dit~ It.ertlllflocmmb: no ResUlcatW1..cad.1)and ,.iIlt Razerct Redactioll.A1Jt ..._ ~o HIler of '['l)~.
557 Indlt ~ J978 t.\ pnMdo fae ~-er 1filb 1ft EPA...~ Ic:t4 bazluds fDfomaalioll. ~ IttW ~t Tottr Ftllnt'fJ../i'Om L64d 711 r Qftr Ro",..'
!III lad to dbcIose to Ile- ~"Cr and tfw IJrobr(c) .. bloM ptMllDce of"~ palat IIl4 Of ~1JI4 ....( hUld. Kl. (II' 011 tho propaJtr)em, I<'Id.
iii ~ \\illllh..t b.1s ... :fbt ~u.$ that tile bawds Gist. .. locati.ou of........ aud ftK cC'llditiOll ofp.ilrtcd ~. _~" ..U. of'lI ,prt-
. 19'7t ....~e IIUlIt u.o prnide tbe b~..... ww. lIlY rectwd,<< reports .VI'lllable to tile ICUer rcpnliq lcad-&uctl ,.at ~ or Iad..bascd 9~ t
Ii6t IlIZUds ill oc: abQut tile Pto.PUtr Miq ~d. the ooaaIIlOllIl'W. or other retidaatiat dwdIblp .lzl81Gltl4uD~. hoaslal. aitbn . bu~ is ~>>d 10
. ,......I!l w.oy h01lSiat ~ ,rior to 1'78. 1bc Act tClqttlrcs the ... to glTe tll.e ..~w 10 ~.. ('liDless bur.s' ad sea. III'" m v,Tlda, t..,
!iIi3 another time period) to eOIIdDet . rill: _cnt or lDcpactiOll fbr the preMlUlCl of \ad-b1PCl p.mt 1Il4!ar ..14.... ,paiI\t htZanli. tbe opportllai~.
.. to cOJlChlct I ris1: aaesaaaear or iupedioft ..~ be \\~ ~. tIN ~"eC. 1ft "lit"-a. Nei1h~ testiD: DO[' abatnleot is required of lbc seUer. S"'MIsiq
. built ill97t or _ lJ.DOt Mject to fa<< Act
liIi& H NOT. A1'PUC:_~ ~. WJIS built ill 1911 or lIa.
S! D ~-\.B1.E. ~ WM b8Ut before 197" :ar.br __ ....0 .. LBlil-BaM PaIDt B..... ~ ... lMpttliOl\ ,
. ~c:or A4~_.. (PAR lena LPA)...........~ l'ona wa.. 1iIIl~_ nqGIftcl \'1 Gat Ad. udpr8\1dfo Buy....
- .. ~ Pr.Ittct T_ F..qr.J'rwtt 1.~1Ifl'" r..". HtIIIMt. BII1I1'($)..... ........w ... __...... ~ .... ~b;
570 ~ C!J".Ao\ L_-Bucd PaiAt Baz:srdc Disfllollue qd Bisp.cticc C~ .-\.Ucada (....dad M)*I1"'" Apeean:nt).
sJt ... c:r.M. hot~# r (>tlr F QIfII{\" frDttt l.nd 1ft rOUT Home
52 Bupr ~ 4T M. AJS.lt ~ ~.rlo · ....1nBia..:
R..... !n5
FIaln.......rar.'Tr8eFanns"' www.nu.r_ ~Ift 800049N812
. . sn 3L M.C!L\LCLA.USU (14)
614 (Ii) .........putotdlkAr tH'~:
'n 0 ..1A&.........ot~~ !........ll1totOk. """-;11~""~. (;t,U. JrIl(8l~
511 G........" ,4.11 .... O'AA~ ISP) ~pled ~,...... (pAll PoI:m TOP)
5Tf 0 Bale. '1~ .l1l\101''O..ed'....,edJC 1" ~ r?l r=-~ t-Mtar.W.jlll'l
91 ... ~tDCaaIlaacNIItc:dDg ~
511 (p.AJt PGaaIR.Q()
.. (8) ~ at SeIfh -..-- wi ~ 'I..Home ~for BlMr.
S1
IB2
513
.
515
511
.,
S88
.
III
.,
5lI2
.,
51(
.
..
117
.. .,........n "- ~ ~ .....e(.-W.,...~..t1Ic.-e.r~
. NOTICI: TO PAR.TDS: \\"JDN SlCNllJ. tSU AGltJ!IJ\IEJST IS A BINDING CONTJlct.CT. .utkI to t.... '.....~dloD ftrt' ad'rlMd t. t~hId
. .. ~ ~~Jl'" tItart~ ad'ritt.
lOt ReI1Im.,....... InIltlldsslMt. (J"A.~ or tis A~Id, .... MI! Mddllla mill........... ...~ Oat ~tIIJI'W _hi,...... I:....a.t.ll
. ~ 1Iy... putlfs.
.1...... ~ ~ ~1J~r JfeCIce...... .,. lie Blatt RftI..,. C .-..~ "''''!L c.lt iJS.JK
. 1M ..,....~. ".11. .,......estt-fel "'CWIIs..,..,~.... ...
Il5 Ba:Jer'" .... 1M ........ ..1IGItk81a4 tTI- ;-r............,...... .....,....
.. Ba1tt'....1NCtIftC a Sellen ~ ~ ltafDaf Waft........ ApI_ ""AI.......... .,...... (.Itt JdoiI, .... ~
., .. ............ DlJ ,llnriL Ln).
. 181 a.,er Ills ncdftd * ..,.. )l--t MIItIn (lor COOP'raCb'e ..... wIata Brebr,.. ~JIaoIs.."....,.... 1UIlf1) Idn...... tbIJ
D AIr r.. l:1li
810 BlJYKRIS MAlUIIC AJ)J)1tI8I;
hi .. (\Ju=L 1.
...~~~~
1'13 'WlTlO'.S8
.
.
III W1'I'NBSIS
1122 W1'l'JtIBSl9
"C.:(:::> 1 UN
PAGE 11
Q5 0rt!erPN0ad CftIe WoImtfMIbura PA. 17043
BUYD.
~~~~
0QfI3I2OO8
DAD
BIlYD
M'I'E
BURR
nA'B
Nadctu.................. C ~ h st.'" c:.a ps.Di.
1.,...... - tit ....................~
. rj~ - IIL.....\p ~
DAti
~~
9/11/ Jf) ~
I ,
DAft
$I.'U.D
DAD
ASa.....ID al10
...... was
FIlnD""""a.,; TraFenM.'" WIlIW.TftfePamls.CDIft ~2
r~1X:. .I. ~
.
In rcfaence to Agreement of Sale betWeen Cyatllia J. MllSler, the Purchaser, aDd ne Estate
of John B. ~ the Seller, Dated September 13, 2006 coverina real property commonly
known as 312 E.. Coover St Meehaniesb.... PemasylvmIa, the undersigned Purchaser and
Seller heJ'eby agree to the following:
1. If Sell<< is 0Dtcrtaining competina oft'ers within the time frame of Seller.s acceptance of tis
offer, Purchaser agrees to pay S 250.00 over the highest offer plica (proof ofhiJhef1t offer
requircd), up to a "net purchase price" not to exceed $147, 900.00. Purchaser wilt not oompete
with Purchaser's offer if Purchaser's offer is the highest ofret. "Net purchase price" is defined
as the purchase price less Purchaser closing cost assisCance Cd' any).
2. The property must appraise at or above the final agreed upon purchase price. If property does
not appraise, Purd1aser and Seller agtee to nCJOtiate. If Purchaser and Seller cannot reach a
decision regardIDe a muIU81ly acceptable purchase price, either party ruy ~ this
agreement null and 'VOid, and all monies paid 011 account ofpurchase price shall be returned to
Purcl1ase1', with DO f\uther obUption on the part of either party.
ALL OTHER TERMS AND CONDmONS'RBMAIN mE SAME.
The herein agreement, upon its execmion by both parties, is herewith made an integral pm of the
aforementioned Agreement of Sale.
'l/13/04
l~ xec,
Dam
7~ jA1w~
Pln'ch8set
Seller
~~
.
.
.
Tax Parcel No. 17-24-0787-078
THIS INDENTURE,
MADE THE
c2 9~ day of -
two thousand six
BETWEEN
KATHY A. MILLIKEN and KAREN A. YOUNG, Co-
Executrixes of the Last Will and Testament of
John B. Milliken, late of the Borough of
Mechanicsburg, Cumberland County, Pennsylva-
nia, parties of the first part,
and
CYNTHIA J. MUSSER, single person, of
Mechanicsburg, Wormleysburg, Pennsylvania,
party of the second part:
WHEREAS, the said John B. Milliken by his Last will and Testa-
ment, duly proved and recorded in the Cumberland County Register
of Wills Office, Pennsylvania, in Docket Book 21-06-0649, Letters
Testamentary being issued on July 20, 2006, provided, in perti-
nent part, as follows:
FXRST: I devise and bequeath all the rest,
residue and remainder of my estate of whatever nature
and wherever situate, including any property over which
I hold power of appointment and together with any
insurance policies thereon, in equal shares, to my
daughters, KATHY A. MILLIKEN and KAREN A. YOUNG...
FOURTH: In addition to all powers granted to
them by law and by other provisions of this Will, I
give the fiduciaries acting hereunder the following
powers, applicable to all property, exercisable without
court approval and effective until actual distribution
of all property:
.
.
.
(A) To sell at public or private sale, or to
lease, for any period of time, any real or personal
property and to give options for sales, exchanges or
leases, for such prices and upon such terms (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...
SEVENTH: I nominate and appoint my daughters,
KATHY A. MILLIKEN and KAREN A. YOUNG, Co-Executrixes of
this, my Last Will and Testament. I direct that my Co-
Executrixes, and their successors, shall not be re-
quired to power security or a bond for the performance
of their duties in any jurisdiction.
NOW THIS INDENTURE 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
Forty Thousand Dollars ($140,000.00) to them paid by the said
party of the second part, at and before the ensealing and deliv-
ery of these presents, the receipt whereof is hereby acknowl-
edged, have granted, bargained, sold and conveyed, and do hereby
grant, bargain, sell and convey to the said party of the second
part, her heirs and assigns forever:
ALL THAT CERTAIN house and lot of ground situate in the Borough
of Mechanicsburg, Cumberland County, Pennsylvania, bounded and
described as follows:
BEGINNING at a point on the South side of East Coover Street (50
feet wide) at the dividing line between Lots No. 15 and 16,
Section "An on the hereinafter mentioned Plan of Lots; thence
along said dividing line South 17 degrees 12 minutes East one
hundred sixty-one and fifty-six hundredths (161.56) feet to a
point; thence South 72 degrees 48 minutes West sixty-five (65)
feet to Lot No. 14, Section "An; thence along said Lot No. 14,
Section "An, North 17 degrees 12 minutes West one hundred sixty-
one and fifty-six hundredths (161.56) feet to the South side of
East Coover Street; thence along the South side of East Coover
Street North 72 degrees 48 minutes East sixty-five (65) feet to
Lot No. 16, Section "An, at the place of BEGINNING.
BEING Lot No. 15, Section "An, in the Plan of Blackburn Village
as recorded in the Cumberland County Recorder of Deeds Office in
Plan Book 5, Page
I
.
HAVING erected thereon a single brick dwelling house being known
and numbered as 312 East Coover Street, Mechanicsburg, Pennsylva-
nia.
BEING the same premises which John W. Christmas and Doris L.
Christmas, his wife, by deed dated November 2, 1956 and recorded
November 5, 1956 in the Cumberland County Recorder of Deeds
Office in Deed Book OM", Volume 17, Page 214, granted and con-
veyed unto John B. Milliken and Mary Ellen Milliken, his wife.
The said Mary Ellen Milliken died October 7, 2002 whereupon full
and complete title became vested solely in John B. Milliken, the
decedent herein.
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 John B. Milliken at and immediately before the time of his
decease, in law or equity or otherwise howsoever, of, in, to or
out of the same:
TO HAVE AND TO HOLD the said granted premises to the said party
of the second part, her 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,
her heirs and assigns, by these presents, that the said parties
of the first part, have not done, committed, or knowingly or
willingly suffered to be done, any act, matter or thing what-
soever, whereby the premises aforesaid, or any part thereof, is,
are, shall or may be charged or encumbered, in title, charge or
estate, or otherwise howsoever.
.:
.
IN WZTNESS WHEREOF, the said parties of the first part have
hereunto set their hands and seals the day and year above writ-
ten.
Signed, Sealed and Delivered
in the Presence of
e-"~~ (SEAL)
Co-Executrix of
B. Milliken
tXEe, (SEAL)
Co-Executrix of
000 B. Milliken
COMMONWEALTH) OF PENf'sYftV:;J}; SS.
COUNTY OF C ~(J., :
On this, the).?;! day Of~ 2006, before me, the
undersigned officer, personally appeared KATHY A. MILLIKEN, Co-
Executrix of the Estate of John B. Milliken, known to me (or
satisfactorily proven) to be the person described in the forego-
ing instrument, and acknowledged that she executed the same in
the capacity therein stated and for the purposes therein con-
tained.
NOTARIAL SEAL
VICKIE, R. WELKER, Notary Public
Camp HfI,' B~ro" Cumberland County
My CommIssIon Expires March 4, 2007
hereunto set my hand and official
'0~JCVJ~ (SEAL)
Notary Public
My Commission Expires:
IN WITNESS WHEREOF, I
seal.
,
.
.
COMMONWEALTH OF PENN~VANI~ SS.
COUNTY OF C GL.~ .. ~
On this, thec9.1H day of r!JliJ,h~ , 2006, before me,
the undersigned officer, persorlally appeared KAREN A. YOUNG, Co-
Executrix of the Estate of John B. Milliken, known to me (or
satisfactorily proven) to be the person described in the forego-
ing instrument, and acknowledged that she executed the same in
the capacity therein stated and for the purposes therein con-
tained.
hereunto set my hand and official
yJ~/t Lf/JLM (SPALl
Notary Public
My Commission Expires:
IN WITNESS WHEREOF, I
seal.
NOTARIAL SEAL .
VICKIE R. WELKER, Notary Public
Camp Hill Boro., CU,mbertand County
My Commi~~~:~~~D!!~~~arch 4, 2007
CERT:IFICA'l'E OF RES:IDENCE
I do hereby certify that the precise residence and complete
post office address of the within named grantee is A'" I. n 1/ /70:;;
3 / ~ e. c tH)-1J-€4-/ _.~~ , (lJJU:h O/}1.l~a.A.~ It"
YlA-k/t'tJuA-
AR i c2?,
~'p
2006
~ney/Agent for Grantee
..
OMS NO. 2502-0265 :fr
A. B. TYPE OF LUAN:
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1-DFHA 2.oFmHA 3.0CONV. UNINS. 4. OVA 5.I!ICONV. INS.
III. I 7. LUAN "UMa~:
SETTLEMENT STATEMENT 08532
Ill. :
C. NOTC:'7'1iI&fomI'- t.._I,.)U.,I1o give JIDU 1I1ll1tement of actual settlement coati. Amounts peJd to and by the settlement /Jf18IIt IIIlI shown.
nema marked -fPOCf WllI8 p8Jd outside the c:IoU7g; they lII8 ahown heI8 for InfDnria/ional putp0S8l1 tmd lII8 not IticIuded In the total&.
1.0 l1li (QllII2IDII32I17)
u. : E. '~t:~ IF. ; LENDER:
Cynthia J. MUSlI8r Estate of John B. Milliken CASH
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1878915 I. SETTLEMENT DATE:
312 Elllt Coover Street Keystone Land T/BIIafer, lid.
MechanIcIIburg. PA 17055 Sepl8mber 29. 2006
CUmberland County, Pennsylvania PLACE OF SETTLEMENT
3421 Market Street
Camp HIlI, PA 17011
.I. ~UMMAKY ..... ,-
lUU. "'KUZUI_UUNI 11111: I 4Uli. UUI: :
lUl. ce
I 1 ITL t'8I'IOI'lBl t ropenv I 4O:i!
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11115. 14U:l.
ma t'1I1C1 "'Y MIIfN /11 aavance ~ SfJIter m aavance
11Ull. ~lIownTaxes 10 4llti. ~tyfTown axes 10
11U7. ~IY laxes Ul:II~UO 10 UlIU1IUI . l;(U11Y 1 axes UlIr.al/Ull 10 U11U1IUf HI1.1IlI
I lUll. ~alOOI I ax Ul:II~Ull 10 UIIU1/UI .:lCIlOlII ax UlIr.al/Ull 10 UflUl/U7 ,U72.1l3
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120. GROSS AMOUNT DUE FROM BORROWER 143.961.19 420. GROSS AMOUNT DUE TO SELLER 141,206.94
IAluo. t"1'IIU aT . UI" llUU. .....UUN I IIUI: :
[;lUl. UIIIXIBIl or emnMl money lU,UUU.W tIUl. t:XC8IS I1IVUCl101111)
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21U. ~fTown axes 10 111U. UlY/lown Taxes to
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220. TOTAL PAlD BYIFOR BORROWER 10.000.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 10,414.00
;wo. toA5" AT "I: I I LeMl:n I ...... ......n" I "I: I I ~.I:n I
aul. rom \_~ 12U) 1~.lItll.111 lIUl. 10 tleIIlI' (Une 42U)
.1IU. aID tsY/..or tlOI1tlW8r (une au) 10,000.001 1IlU. LeSS 1 U,414.UU
303. CASH ( X FROM) ( TO) BORROWER 133,961.19 603. CASH ( X TO) ( FROM) SELLER 130,792.94
The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of Ihls statement & any attachments referred to hel8ln.
Borrower Cyn~ 'I- )If~
---5~- -
BY: eye (!
, E)Q;:~
.
L SETTLEMENT CHARGES
100. , ISasea on ,"nee $ 140,000.00 Cil 6.??oo % 8.400.00 PAID FROM PAlO PROM
UN"""n Ut ~ IIEI..LER'S
(Ul. t ".Uo.uu to ...............-.".... ruNIlSAT I'UNDS AT
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lIU4.
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1002. MOnlliIg& Insurance per
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1 UU:l. l)I:IlOOI I ax per
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,1100.
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. NOtary ..ees l;AlSM O.U~ 10.UIJ
. AllDmey's Fees .
I numoe~; )
11 UO. IlDe nBUI'8flC8 to "eyswne UlIlQ ralllller. LJD. 1.U:!lI.
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1201. RecIlrdIng....: Deed ~ 40.50; Mortgage $ ; Releases $ 40.50
'",UL l,4UU.UU; MongiIIl8 1.4UU.W
, 1203. l:i1ll1B : Revenue 518mps . ,....u.uu. ""'''lI''ge 1,400.00
,1204.
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Certified to be a bue copy.
SeWement Agent
(01532 (01532' 17 J
.'
Aev-1503 EX+ (6-98)
*'
SCHEDULE B
STOCKS & BONDS
COMMC>>IWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Milliken, John S.
FILE NUMSER
21-2006-0649
ESTATE OF
All property jolntly-owned with right of survivorship must be dlaclond on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 6 shares of Agere - Common Stock 12.64 75.84
2 57 shares of AT&T - Common Stock (these 57 shares 26.58 1.515.06
were originally 74 shares of AT&T-AT&T now owned
by SSC-SSC now trades under the name as
A T& T -original 74 shares were converted for these 57
shares)
3 57 shares of AT&T - Common Stock (these 57 shares 26.58 1.515.06
were originally 74 shares of AT&T -A T& T now owned
by SSC-SSC now trades under the name of
AT&T-original 74 shares were converted for these 57
shares)
4 876 shares of Bell South - Common Stock 34.42 30.151.92
5 644 shares of Lucent Technologies - Common Stock 2.06 1.326.64
6 Wienken & Associates - American Funds TOO 21.258.25
account, Account No. 64743951, date of death balance
$21 ,258.25
TOTAL (Also enter on Line 2, Recapitulation) 55.842.n
(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 B (Rev. 6-98)
,
Rev-1508 EX+ (6-98)
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALnl OF PENNSYLVANIA
INHERITANCE TAX RETlJFlN
RESIDENT DECEDENT
ESTATE OF
Milliken, John B.
FILE NUMBER
21-2006-0649
Include the proceeds of litigation and the date the proceeds were received by the eatete.
All property Jo/ntIy-owned with the right of aurvlvorahlp muat be dlecloaed on achedule F.
ITEM
NUMBER DESCRIPTION
1 Nationwide Mutual Fire Insurance Company - Refund of Homeowner's Insurance
VALUE AT DATE
OF DEATH
19.00
2 Nationwide Mutual Insurance Company - Refund of Automobile Insurance
290.20
3 UGI Gas Service - Refund of Overpayment
72.73
4 United Healthcare Ins. Compo - Reimbursement
9.19
5 United Healthcare Ins. Compo - Reimbursement
58.53
6 Verizon - Reimbursement
0.86
7 Jewelry - Value as listed on attached appraisal
3.036.00
8 Personal Property - Sold at public sale-Including 1997 Chevrolet Truck, VIN
1GCCS14X9VK212220, 1992 Chevrolet, VIN 1G1BNSJEONW120649 and household
Items
7.519.00
9 Personal Property - Sold at private sale, value as listed on attached appraisal.
1.225.00
TOTAL (Also enter on Line 5, Recapitulation)
12.230.51
(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)
..
~l!a~
J
..
MUNN'S DIAMOND GALLERY, LTD.
Leading In Diamond Styles
1203 Market Street
LEMOYNE, PENNSYLVANIA 17043
(717) 761-8310
TO WHOM IT MAY CONCERN:
This is to certify that we are engaged in the jewelry business, appraising diamonds, watches, jewelry and
precious stones of all descriptions.
We herewith certify that we have this day carefully examined the following listed and described
articles, the property of:
Estate of John Milliken
NAME
ADDRESS
We estimate the value as listed for insurance or other purposes at the current retail value, excluding
Federal and other taxes. In making this Appraisal, we DO NOT agree to purchase or replace the
articles.
. FormI MDG-OlI
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MUNN'S DIAMOND GALLERY, LTD.
Leading in Diamond Styles
1203 Market Street
LEMOYNE, PENNSYLVANIA 17043
(717) 761-8310
~
TO WHOM IT MAY CONCERN:
This is to certify that we are engaged in the Jewelry business, appraising diamonds, watches, jewelry and
precious stones of aD descriptions.
We herewith certify that we have this day carefully examined the following listed and described
articles, the property of:
Estate of John Milliken
NAME
ADDRESS
We estimate the value as listed for insurance or other purposes at the currcntretail value, excluding
Federal and other taxes. In making this Appraisal, we DO NOT agree to purchase or replace the
articles.
~"
The foregoing App~_~~ made with the understanding that the Appraiser assumes no liability with respect to
any actio:0that1JZ~. ~n on the basis of this Appraisal.
.~ / /7 i'JA August 24,2006
~U~ {f'., "bj.~ ~
c~: Munn APPRAISER
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MUNN'S DIAMOND GALLERY, LTD.
Leading In Diamond Styles
1203 Market Street
LEMOYNE, PENNSYLVANIA 17043
(717) 761-8310
TO WHOM IT MAY CONCERN:
This is to certify that we are engaged in the jewelry business, appraising diamondst watche5t jewelry and
precious stones of all descriptions.
We herewith certify that we have this day carefully examined the following listed and described
articles, the property of:
Estate of John Milliken
NAME
ADDRESS
We estimate the value as listed for insurance or other purposes at the current retail value. excluding
Federal and other taxes. In making this Appraisal, we DO NOT agree to purchase or replace the
articles.
.'
ROWE'S AUCTION SERVICE
2505 RITNER mGHW AY
CARLISLE, P A 17015
717-249..2677 249-1978 697-4794
September 18, 2006
To: James D. Bogar, Attorney
1 West Main St.
Shiremansto~ P A 17011
From: Rowe's Auction Service
2505 Ritner Highway
Carlisle, P A 17015
Re: Estate of John Milliken
312 Coover St.
Mechanicsburg, P A
Auction Total Household Items $3369.00
Less 35% commission -1179.00
Net $2190.00
2 Vehicles $4150.00
Less 20% commission -830.00
Net $3320.00
Total Due $5510.00
Thank you,
( .. - - - .... --",~
William G. Rowe
To: James D. Bogar, Attomey
One West Main Street
Shiremanstown, PA 17011
From: Rowe's Auction Service
2505 Ritner Highway
Carlisle, PA 17015
Re: Personal Property Appraisal
Estate of John B. Milliken
312 E. Coover Street
Mechanicsburg, PA 17055
Date: August 3, 2006
ROWE'S AUCTION SERVICE
2505 RITNER HIGHWAY
CARLISLE, PA 17015
717-249-1978
Mahogany table
Mahogany desk
Bedroom set
Mahogany night stand
Small table
Costume jewelry
Prints
Collection Longaberger baskets
PISRk Bt:lair
CRFi&t~aE it9!;1s
Oak medicine cabinet
Books
Set flatware - incomplete
Cabinet
Milliken Appraisal
$110.00
$125.00
$150.00
$40.00
$10.00
$200.00
$40.00
$450.00
~ IO'~~)50Jd @ Ci.ud-lon
!16.
$65.00
$10.00
$15.00
$10.00
Total $1,l45.60
I, 2 25 ~O"'\.
\....._--....~~........._~ \~
William G. Rowe ~
1
08/0312006
-'.
Rev-1509 EX+ (6-98)
*'
SCHEDULE F
JOINTL V-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Milliken, John B. 21-2006-0649
If an ..881 was madtllolnt within one year of the cIececlent', date of death, It mutt be reported on ,chedule G.
SURVIVING JOINT TENANT(S) NAME
A. Kathy A. Milliken
ADDRESS
RELATIONSHIP TO DECEDENT
Daughter
68 Oliver Road
Enola, PA 17025
B. Karen A. Young
420 N. Scenic Road
Harrisburg, PA 17109
Daughter
C.
JOINTLY OWNED PROPERTY:
DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM LETTER INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH
FOR JOINT MADE DECO'S VALUE OF
NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENrSINTEREST
JOINTLY-HELD REAL ESTATE.
1 B 12/112002 Belco Community Credit Union - Regular 64.657.14 50.000% 32.328.57
Savings Account No. 11780, date of
death balance $64,344.00, accrued
Interest $313.14
2 B 12/112002 Belco Community Credit Union - 790.18 50.000% 395.09
Checking Account No. 11780, date of
death balance $790.18, accrued interest
$0.00
3 A 612012003 120 shares of Comeast - Common Stock 3.726.00 50.000% 1.863.00
4 B 6120/2003 120 shares of Comeast - Common Stock 3.726.00 50.000% 1.863.00
5 A 12/1/2002 PNC Bank - Checking Account No. 2.272.26 50.000% 1.136.13
5070082622, date of death balance
$2,272.10, accrued Interest $0.16
6 A 12/112002 PNC Bank - Savings Account No. 21.164.70 50.000% 10.582.35
5004916393, date of death balance
$21,139.15, accrued Interest $25.55
Total of Continuation Schedule(s) ~ee attached page
TOTAL (Also enter on Line 6, Recapitulation) 107.246.08
(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)
..
.
Rev-1509 EX+(6-98)
*'
SCHEDULE F
JOINTL V-OWNED PROPERTY
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX REnJRN
RESIDENT DECEDENT
ESTATE OF
Milliken, John B.
FILE NUMBER
21-2006-0649
If an asset was made joint within one year of the decedent's date of death, It must be reported on schedule G.
JOINTLY OWNED PROPERTY
DESCRIPTION OF PROPERTY %OF
ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEAi~ DATE OF DEATH
FOR JOINT MADE DECD'S VALUE OF
NUMBER NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASS
TENANT JOINT JOlNTL V-HELD REAL ESTATE. INTEREST DECEDENrS INTEREST
7 A 12/112002 PNC Bank - Savings Account No. 43.361.01 50.000% 21.680.51
5030061309, date of death balance
$43,322.22, accrued Interest $38.79
8 B 6/20/2003 683 SBC (now known as A T& T) - shares 18.154.14 50.000% 9.077.07
of common stock
9 A 612012003 682 SBC (now known as A T& T) - shares 18.127.56 50.000% 9.063.78
of common stock
10 A 6120/2003 609 Verlzon - shares of common stock 19.256.58 50.000% 9.628.29
11 B 6120/2003 609 Verlzon - shares of common stock 19.256.58 50.000% 9.628.29
TOTAL (Also enter on Line 6, Recapitulation) 107.246.08
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule F (Rev. 6-98)
. '~~'-,.~> , ~
~ :~,":~': :/
;;~-~.<:,;;
)f:.;
August 11, 2006
f'
James D. Bogar
One West Main Street
Shiremanstown P A 17011
RE: Estate of John B. Milliken
S.S.#: 204-01-9337
Dear James,
Here is the updated information for the above referenced account. If you need
any further information, please call me at 717-720-6407.
Sincerely,
0-p;J
April Johnson
Electronic Services
Belco Community Credit Union
403 N. 2nd Street, P.O. Box 82
Harrisburg, PA 17108
717-232-3526 in Harrisburg area; 717-393-1116 in Lancaster area
800-642-4482 outside of calling area
BELCO COMMUNITY CREDIT UNION
1. Name(s) in which the account was held:
DECEDENT ESTATE INFORMATION
JOHN B. MILLIKEN AND KAREN A. YOUNG
2. Account number: 11780
3. Balance as of date of death: 7/15/2006
Balance
Accrued Dividends
For 7/15/2006
YTD Dividends
Regular Savings:
Christmas Club:
Whatever Club:
Checking:
Money Market:
$ $64,344.00
$ $0.00
$
$ $790.18
$
$ $313.14
$ $0.00
$
$ $0.00
$
$367.76
$ $0.00
$
$ $0.00
Certificates:
Balance
Accrued Dividends
YTD Dividends
Certificate Number
For
$
$
$
$
$
$
$
$
$
4. Date the account was initiated:
2/21/1963
5. Name(s) in which Safe Deposit Box was held: N/A
6. Date the box was initially rented: N/A
7. Branch address at which the box is located:
8. Loan Information:
B. Secured Loans
Balance Accrued Interest Per Diem Int
$0.00 $0.00 $0.00
$ $
$ $
$ $
$ $ $
$ $ $
L6-Line of Credit Unsecured Loans:
C. Mortgage Loans:
Miscellaneous:
. I .
o PNCBAN<
July 31, 2006
James D Bopr
Attorney at Law
One West Main St.
Shiremanstown, P A 17011
Iscp
RE: Estate of John B Milliken (Deceased)
SSN: 204-01-9337
DOD: 07-15-2006
DearMr. Bogar:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Checking Account
Account #5070082622 Established 07-23-2003
JOHN B MILLIKEN
KATHY A MlLLlKEN
DOD balance: $2,272.10 + $0.16 accrued interest
Savings Account
Aooount #5004916393
Established 04-11-2006
JOHN B MILLIKEN
DOD balance: $21,139.15 + $25.55 aocrued interest
Account #5030061309 Established 07-22-2003
JOHN B MILLIKEN
KATHY A MILLIKEN
DOD balance: $43,322.22 + 538.79 aeemed interest
Safe deposit box
The decedent maintained safe deposit box #868. It was in one name only.
JOHN B MILLIKEN
It is located at:
MECHANICSBURG BRANCH
2 East Main St.
Mechanicsburg, PA 17055
717-691-4011
Page 10f2
Please note that this office only provides date of death balances for deposit accounts
(IRAs~ CDs, Checking and Savings accounts). We do Dot process allY financial
transactio.". or provide statements. If you need assistance with any of these items,
please call1-888..PNC-BANK (1-888-762..2265) or stop by your local PNe Bank branch
office.
Sincerely,
e..<~df- -:1_ ~
Erica L SchIeael
1-800-762-1775
P7..PFSC-04-F
500 Pirst Ave.
Pittsburgh PA 15219 MembcrFDIC
PaJ; 2 of!
TOTAL P.02
. I .
Rev-1510 EX+ (6-98)
*'
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RET\JRN
RESIDENT DECEDENT
ESTATE OF
Milliken, John B.
FILE NUMBER
21-2006-0649
ThIs schedule rnJSt 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 ...._.......... ..... ",r r ,,,,pl:RTV DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1 Wlenken & Associates - American Funds IRA 19.258.00 19.258.00
Account No. 64951927, date of death balance
$19,258.00
TOTAL (Also enter on Line 7, Recapitulation) 19.258.00
(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 G (Rev. 6-98)
100 Corporate Center Dr., #201 \
. I 'I I Camp Hill, Pennsylvania 17011
717-763-7365 ext. 320 · 717-763-7684 Fax
717-763-9834 Residence
bspuhler@finsvcS.com
,,-"
WIENKEN&ASSOCIATES
Mary Beth Spuhler
Chartered Financial Consultant
Qua11fying
Life
Member
o
MDRTe
Financial Services
July 31, 2006
James B. Bogar
Attorney at Law
One West Main Street
Shiremanstown, P A 17011
RE: Estate of John Milliken
Dear Mr. Bogar,
I have enclosed forms and letters of instruction that will need to be
completed (or you can do your own letter). I do not know whether Karen or
Kathy will reinvest the money or liquidate the accounts. If they do keep the
money invested, there is no sales charge. I will call and schedule an
appointment with Kathy to find out what she wants to do. I would be happy to do
that for Karen, if she would like -to meet, otherwise, I assume Karen will handle it
herself.
A:, \
IRA
With the IRA, the ladies have 2 options:
. They can take the IRA all in one lump sum, and pay taxes all in one year
. They can run distributions (withdraws) over their life expectancy.
Since John was over age 70 112, they cannot take the money out within a 5-
year period. If the ladies take life expectancy they can hasten withdrawing
the IRA money and take all the money at sometime in the future. It would all
be taxable when withdrawn.
TOO Account
I just had a death claim in the last couple weeks and I have endosed, for your
convenience, the form that is needed by Dept. of Revenue.
The letters of instruction to American Funds need to be signature
Mary Beth Spuhler is a registered representative of and offers securities and investment advisory services through MML Investors Services, Inc.
I . I .
.
Guaranteed. Please note I did 2 sample letters for each daughter. One is if they
are going to keep the funds invested. The other is if they are going to liquidate
the TOO account.
. Kathy and Karen can get the "letter of instruction" signature guaranteed on
their own, or
. They can sign the cards, get them notarized, and return the letters and
cards to me and Mass Mutual will signature guarantee the letters for
American Funds.
As far as the date of purchase for the assets, the IRA was opened
7/31/2000 and the TOO account was opened 6/14/2000. Also enclosed is the
date of death value.
Please call me or e-mail meatbsDuhler@finsvcs.com. if you have any questions
Sincerely,
Ma~~P~
Chartered Financial Consultant
Enclosures
cc: Kathy Miliken
Karen Milliken
American Funds - Historical Account Balance
Page 1 of2
~ 1. .
Historical account balance
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As of July 15, 2006
Total value: $40,516.25
Non-retirement accounts: $21,258.25
Retirement accounts: $19,258.00
Select a different date
A balance could not be returned for one or more of your accounts.
JOHN B MILLIKEN Account: 64743951
PAlTOO
KATHY A MILLIKEN 50%
KAREN YOUNG 50%
Fund Name Shares NAV Market
July 15, July 15, 2006 Value
2006 July 15, 2006
, FUNDAMENTAL INVESTORS - A (10) 26.477 $37.38 $989.71
THE GROWTH FUND OF AMERICA - A (05) 206.412 $30.83 $6,363.68
THE INVESTMENT COMPANY OF AMERICA - A 6.902 $32.31 $223.00
(04)
NEW PERSPECTIVE FUND - A (07) 332.893 $29.48 $9,813.69
WASHINGTON MUTUAL INVESTORS FUND - A 122.760 $31.51 $3,868.17
(01)
Account $21,258.25
Total:
Retirement accounts
CB& T CUST IRA/ROLLOVER Account: 64951927
JOHN B MILLlKEN/OEC"O
Fund Name Shares NAV Market Value
July 15, 2006 July 15, 2006 July 15, 2006
FUNDAMENTAL INVESTORS - A (10) 160.327 $37.38 $5,993.02
THE GROWTH FUND OF AMERICA - A (05) 195.125 $30.83 $6,015.70
NEW PERSPECTIVE FUND - A (07) 245.905 $29.48 $7,249.28
Account Total: $19,258.00
As of July 15, 2006
Total value: $40,516.25
Non-retirement accounts: $21,258.25
Retirement accounts: $19,258.00
View the historical balance for a different date:
https://accounts.americanfunds.comltf/FANWeb
7/25/2006
;. .. I )
REV-1151 EX+(12-99)
*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Milliken, John B.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-2006-0649
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 1 ,808.57
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attomey's Fees Bogar & Hipp Law Offices 11,000.00
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 414.00
5. Accountant's Fees
6. Tax Retum Preparer's Fees
7. Other Administrative Costs 15,849.88
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 29,072.45
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
I ~ It J
Rev-1502 EX+ (6-98)
'*
SCHEDULE H-A
FUNERAL EXPENSES
contin ued
COMMONWEALlli OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Milliken, John B.
FILE NUMBER
21-2006-0649
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
East Waterford Cemetary, East Waterford, Pennsylvania - FuneraVBurial
100.00
2
Hoss's Steak and Seafood - Funeral Luncheon
166.30
3
Malpezzi Funeral Home - Funeral
1.242.27
4
McCulloch's Mills Cemetary, McCulloch's Mills, Pennsylvania - FuneraVBurial
100.00
5
St. Mark's Lutheran Church - FuneraVBurial
100.00
6
Tree of Life - Honorarium
100.00
Subtotal
1.808.57
Copyright (c) 2002 form software only The Lackner Group. Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
;"1.,..*
Rev-1502 EX+ (6-98)
~
*
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALlH OF PENNSYLVANIA
INHERITANCE TAX RElVRN
RESDENT DECEDENT
ESTATE OF
FILE NUMBER
21-2006-0649
Milliken, John B.
ITEM
NUMBER
AMOUNT
DESCRIPTION
16
1
Allstar Lawn Care - Final Bill
481.00
2
AON - Home Warranty
429.00
3
Cingular - Final Bill
38.51
4
Clouser Real Estate Appraisals - Real Estate Appraisal
325.00
5
Comcast - Final Bill
47.84
6
Dirty Dog - House Cleaning
350.00
7
ERA-NRT, Inc. - Broker's Administrative Fee
165.00
8
Keystone Lane Transfer - Notary Fees
15.00
9
Keystone Lane Transfer - Tax Certifications
5.00
10
Munn's Jewelry - Jewelry Appraisal
310.00
11
PPL - Final Bill
108.15
12
ReJMax - Real Estate Commission
8.400.00
13
Recorder of Deeds - Realty Transfer Tax
1.400.00
14
RESERVES - Cost to conclude administration of Estate Including filing of Pa.
Inheritance Tax Return and Inventory and personal and fiduciary Income tax returns
1.500.00
15
Rowe's Auction Service - Commission. Household Items $1,179.00; Vehicles
$830.00
2.009.00
Spit Spot - House Cleaning
127.20
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
..a....I
Rev-1502 EX+ (6-98)
.
*'
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Milliken, John B.
FILE NUMBER
21-2006-0649
ITEM
NUMBER
DESCRIPTION
AMOUNT
17
UGI - Final Bill
103.03
18
United Water - Final Bill
26.32
19
Verlzon - Final Bill
9.83
Subtotal
15.849.88
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
".."
Rev-1512 EX+ (H8)
~
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALlli OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Milliken, John B.
FILE NUMBER
21-2006-0649
Include unrelmbul'Hd medical expen....
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Barry L. Heckard, Tax Collector - Real Estate Tax (School) 1.424.07
2 Barry L. Heckard, Tax Collector - Real Estate Tax (School) 9.80
3 Health South - Telephone Bill 39.22
4 Internists of Central Pennsylvania - Medical Bill 9.19
5 West Shore EMS - Ambulance 55.63
TOTAL (Also enter on Line 10, Recapitulation)
1,537.91
(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)
..lkM.J
· REV-1513 EX+ (9-00)
*
SCHEDULE J
BENEFICIARIES
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Milliken, John B.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
aistributions, and transfers
under Sec. 9116(a)(1.2)]
I.
Kathy A. Milliken
68 Oliver Road
Enola, P A 17025
Karen A. Young
420 N. Scenic Road
Harrisburg, P A 17109
RELATIONSHIP TO
DECEDENT
Do Not LIst TruatIlIlI'.\
Daughter
Daughter
FILE NUMBER
21-2006-0649
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
One-half (1/2)
of rest, residue
and remainder
One-half (112)
of rest, residue
and remainder
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
Copyright (c) 2002 form software only The Lackner Group, Inc.
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Form PA-1500 Schedule J (Rev. 6-98)
0.00
t .. -...
"'l
LAST WILL AND TESTAMENT
OF
JOHN B. MJ:LLJ:KEN
I, JOHN B. MILLIKEN, of Mechanicsburg, 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.
FJ:RST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, in equal shares, to
my daughters, KATHY A. MILLIKEN and KAREN A. YOUNG.
SECOND: Should my daughter, KATHY A. MILLIKEN,
predecease me, I give and bequeath her share to my daughter,
KAREN A. YOUNG.
THJ:RD: Should my daughter, KAREN A. YOUNG, predecease
me, I give and bequeath her share to her husband, BARRY A. YOUNG.
FOURTH: In addition to all powers granted to.them by
l law and by other provisions of this Will, I give the fiduciaries
.i
.~ acting hereunder the following powers, applicable to all proper-
n.
~
.J ty, exercisable without court approval and effective until actual
~
~ distribution of all property:
....J
~\ (A) To sell at public or private sale, or to lease,
\,;
~ for any period of time, any real or personal property and to give
: :-
:~ options for sales, exchanges or leases, for such prices and upon
. \ .
~, such terms (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.
'..... \.'
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(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(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 orin 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) 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 other rights which they may have under the plan, in whatever
manner they consider advisable.
2
_11-...
AI
FIFTH: I direct that all inheritance, estate, trans-
fer, succession and death taxes, of any kind whatsoever, which
may be payable by reason of my death, whether or not with respect
to property passing under this Will, shall be paid out of the
principal of my residuary estate.
SIXTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distribut-
able, shall not be subject to attachment, execution or sequestra-
tion for any debt, contract, obligation or liability of any
beneficiary~ and furthermore, shall not be subject to pledge,
assignment, conveyance or anticipation.
SEVENTH: I nominate and appoint my daughters, KATHY A.
MILLIKEN and KAREN A. YOUNG, Co-Executrixes of this, my Last Will
and Testament. I direct that my Co-Executrixes, and their
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 set my hand and
seal to this, my Last Will and Testament, this?1/ day of
,:JPt?, L. I 2003.
ld/J . ~I'! J
. ?-r7 I~. 7:rW-G~&-'"
~~HN B. MILLIKEN
.~/
(SEAL)
3
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...
'"
Signed, sealed, published and declared by the above-
named Testator as and for his Last Will and Testament in our
presence, who, at his request, in his presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
Address
Address
4
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