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Home My WebLink About96-00059 . .~ ~' , .t,.' ".-' >, ",', ". .'/ ~ . . , " ~, , , , .'.;. ,;:.",,'-' ".>., '.-'i' PETITION HlIt It nun A TE Ilnll r;nANT 01' U~1"nms &Ial, of 4'o},0. (~'J ~ I~ __. No, ._~~'L._(I~'-_:_L.L'I a1.ro known QJ -L~,,_ .J.,~.~lo".~l.,_~~'-. 1'0: .. .__.. lIealller 01 Will, lor 11)( .J _.._, IJt(ra.lfrl, COllllly of c.:"~'lL".:.!~{....' In Ihe SO('/a/ S,ru,lty No, .L!t!L:(/~j:!l.!t/.___. COllllllonwenhh of J'enl"ylvanlo The pellllon 01 the IIndenlaned mptclflllly rtprt\tlll\ Ihol: Your ptlhloner(,)o who b/art 18 yenn 01 nae or oldtr an Iht tXtCUILL\ In Ihe lasl will of the abovt dtctdelll, dnled .~.' "...~ 7. ,/ I"'" Y' and codlcll(s) daled ~ ' named ,19_ (itltt rtlnanl circumstances. t,l. renuncllllon, dC'ath or (neuto" tiC.) Dectndent was domiciled al death in (v..... ~....>-I... ",) Counly, Pennsylvania, with " ,i, last lamily or princ'pal residence at N" , (Ii" mctl. numbtr and munclpalilY) Dccendenl, then rdb years of agc, died M . Except as lollows, decedent did not marry, was not divorced and did not have a child born or adopted after execution 01 the will offer d I r probatc; was otthe victim of a killin and was never adjudicated Incompetent: / , , " . 1.. ' Decendent at death owned property with cstimated values as follows: (II domiciled in Pa.) All personal property (II not domiciled in Pa.) Personal property in Pennsylvania (II not domiciled in Pa.) Personal property in County Value of real estate In Pennsylvania situated as follows: ., ( .q fJ,.,f07br,1- II ,19 16 s ;&.1...'. """~L7 , S S S WHEREFORE, petitioner(s) respeclfully prt<ented herewith and the grant of lellers theron. ~1~1~(~.~~,~ t~07 of the last will and codicil(s) (testamentary; admlnislration c.t.a.; administration d.b.n.c.t...) t fJ ~tM.;c. elJ.lCK. H rM-"~'~' ~~~.i.;/r... ],g ''i.:z, 'I v' H '!.z... I? at ;;f IJ.... , h, ~ /7 rr "'- 'll'_ ;0 ;; c .. Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CIJMBERLAND The pelitioner(sl above. named swear(!) or affirm(s) that the slatements in the foregoing petition are true and correct 10 the best 01 lhe knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estale according to law. Sworn to or affirmed and subscribcd t?o.-t'L< vC Ct wL. ...II c-, belore me this 14TH day 01 ~' 'U) ~L.<'k.t; a7i1J -' ~ MARY C LEWIS Register m ~ 15- 140- Id-J ~ . \ . . . . . .' J. Jrndf"ue allil oJ ~~umenf LEON SOBCZAK . ~, LEON SOBCZAK, a reuident oC and domicilod at 429 Ferris Street in the City of South Amboy, County oC Middleeex, and State oC New Jersoy, and having Cull tootamontary capacity required by law, do hereby make, publish, and declare thio inotrument to be my Last Will and Testamont as follows I ARTICLE FIRST I revoke all prior Wills and Codicils at any time heretofore made by me. ARTICLE SECOND I direct my Executrix to pay my funeral and administration expenses, the expenses of my last illness, and all of my juot debt 0 as soon as may be practical after my death. ARTICLE THIRD I direct that all estate, tranofer, inheritance, and succeosion taxes, including any interest and penalties thereon, if any, which shall become payable by reason of my death, shall be paid out of and be charged generally against the principal of my residuary estate, without reimbursement from any person. ARTICLE FOURTH I absolutely give, devise, and bequeath to my beloved daughter, PARTICIA CORDICK, all the rest, residue, and remainder of my estate, both real and personal, of every name, nature, and kind whatsoever and wheresoever the same may be situated. ARTICLE FIFTH In the event, however, that my beloved daughter, PATRICIA CORDICK, shall predecease me, or in the event that our deaths occur simultaneously, or approximately so, or in the same common accident or calamity, or under any circumstances causing doubt as to which one of us survived the other, then I absolutely give, devise, and bequeath to my beloved grandson, LEON SOBCZAK III, all the rest, residue, and remainder of my estate, both real and personal, of every name, nature, and kind whatsoever and wheresoever the same may be situated. ARTICLE SIXTH I hereby appoint my beloved daughter, PATRICIA CORDICK, p- ,.~" .... 'l~"-:' c: "'.' ;h,3~~':-":' - ;rf;~i;:'-, ~. !': .,.........., ~'.-. - ..i'-',-,' . ,...,. " ,-,' ~ -;-..' .. , . , , . . . al Bxecutrix ot this Last Will and Tostamont and diroct that sho nut be requirod to turnish bond 1n this or any othor jurisdiction tor taithful porformanco at hor dutios horeundor. I give her tull authority to bargain, sell, convoy, mortgage, 10010, encumber, and deal in any othsr way with any ot my proporty without the neod tor aut.horization by any Court in this or any other Jurisdiction. In the event that my Exocutrix shall predecease me or tor any reason shall fail to quality or be unable to complete her duties, then I appoint my bo10ved son, LEON SOBCZAK, JR., to serve as Executor, or Alternate, in her stead, direct that he not be required to furnish bond for taithfu1 performance of his duties hereunder, and give him the same authority as I have hereinbefore given my Executrix. IN WITNESS WHEREOF, I have hereunto set my hand and seal this GOth day of FEI3!l: 1/ A1t '( , 19 <ft . ,1 ,1 ';fP /ff1lV:j k/~ LEON SOBCZAK, Testator 3 This Will consists of two pages, inClusive of this page, and was SIGNED, SEALED, PUBLISHED, and DECLARED by LEON SOBCZAK, the Testator, as and for his Last Will and Testament in the joint presence of us, who at his request and in his presence and in the presence ot each other have hereunto subscribed our names as wi tnesses this '-0 th day of Fs;s~vM'-Y, 19 Cf f . ~~.,~~,./ JANB H YA \ residing at 418 Keene Street, Perth Amboy, New Jersey 08861 residing at 418 Keene Street, Perth Amboy, New Jersey 08861 102 ...WlLI. rAQ!..jtF rftOV!D . . . Ill""'"'...... !aMUllon' ftV T-I 01171 ALL.ITATE UDAL 'UrrLY CO. ONE COMMERCE gAIVE.CllII_FORO. H. J. 07011 ~':.:;~!;~' '!::;';.:..' )~:~:~--" .... .:,:c....... ",,,,,,.',, " 'It':....,.-..-., ",\",-",'" " 1-'-.... ".'"' /, LEON SOBCZAK, the testator , 19 crt ' and being dulU sign mu name to this instrumenllhis 'Z..Ot/f dauof F"BR.UR~Y sworn, do hereby declare to the undersigned authoritu that / sign and execute this instrument as mu Lost Will; that / sign it willinglu: that / execute it as mu free and voluntary act for the purposes therein expreBBed; and thai / am 1811ears of age or older. of sound mind and under no constraint or undue influence. ........~.... LEON SOBCZAK, We, JANE HOGYA and JOSEPH J. HOGYA, SR., the witnesus. sign our names to this instrument, and, being dulU sworn, do herebu declare to the undersigned authoritu that the teslator signed and executed this instrument as his Last Will and that he signed it willinglu; that each of us, in the presence and hearing of the testator ,herebu signs this Will as wilntBB to the signing thereof bu the testat or ; and that to the best of our knowledge the testator is 18 uears of age or older, of sound mind and under no constraint or undue inf/uence. Wii.~;;b~~......................................~UA:d;:~~.!!...~.J;.*.::.~.,.;:;~:.:..!!~::~~............... wii.~;;~.~t;.:.~~~.........~J~A:d;;~~.~...~~!:.;:;,.;~;~~;...~~~~.~................ STATE OF NEW JERSEY COUNTY OF MIDDELSEX } 55. Subscribed, sworn to and acknowledged before me bU LEON SOBCZAK the IeBtalor , and subscribed and sworn to before lIIe bu and JANE HOGYA JOSEPH J. HOGYA, SR. , the witnems, this 2.0'tH day of FJEI!,~ V~ Y . 19 q tf ' ...~..Q,...I.~.~...~..~.................... JOSEPH J. HOGYA, JR., ESQ. An Attorney At Law of the State of New Jersey ".t;;.J.:....t~\..~..~.~..~~~t'" J:. \.,;.r....~~ ..10.'" ",,-y.,. '''f''<,I;-~' t{'''' J~"!"""".'V~' . "'. . ~~ _ t. ~...... ";~ .. .' ,;. to.' }, 1. .,1 '"., .-""~."f_"<~'~':'^ """"~' ",'" \h' l., .~.. ><1 ~' .~, ~.~.,\ /t h \\";.t . 'I<. ~ - : \\J....".I_"I<".~> >~ ,~"," ,. "'!~.... !j~ k4 ',fl' ~. ,.. ,It,"~ ,." . / 'j,,'P'i' 1(,,,,,, & "'. ",r.t-:.. " ' '\'I:.j~':, \: em 'I'; ~ ;e~r:l,-,,..,,,..,J ..."..' .' .~;~T~)T~!;Fh~}L::: ',' I ,_.~Ir!1t_w~...":"'; t:'l"'!_"'"-~:~, ~_.. ('. ..~ "I" ~it;: '.. ~ , . t'- ~~..i. " "" hl 0\ < 1::''; . f;!~(l.; C. ',_,,/J '," -;:) ::~'r,'. .~,." ''0;/' - .' " " :(\' '/ ;?"., ,. . -.;.rf' It'l,.. .' ,. ,,~. ~ t. !'t' ~ "' '" -,'".. . ,,"'. -~, '.':- ':. "'\., ,I ., ,~/: >~,~ ~'I ~.'~~ 'I.. :;~." J':',\".';-' ." 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'(J:; "---~",, '. , ~,'~'~f(~ -";"'1-;' .." -.'.".', CBRTIFICATION OF NOTICB UNDBR RULB 5.6(al Name of Decedent. Leon Sobczak Date of Death, October 11, 1996 Will No. Admin. No. 1996-00059 To the Register, I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on December 7, 1996/ Name and Addressl Patricia M. Cordick 1429 Quail Hollow Road Harrisburg, PA 17112 Leon J. Sobczak, Jr. P.O. Box 602 Blmer, NJ 08318 Mary Szarejko 433 John Street South Amboy, NJ 08879 Notice has now been given to all persons entitled thereto under Rule 5.6(a). Datel December 7, 1996 1)JJt..- i~ William L. Adler, Esquire ADLER & CLARAVAL 125 Locust Street P. O. Box 11933 Harrisburg, PA 17108 717-234-3289 Supreme Court ID # 39844 Counsel for Personal Representative 0 !;jet - " a en ~::: - " CZ I C n> . '~ tF--- '.t_ . - I ,', Ij ':'".1 11 '. m ': ~ , v~'i .....-. a 2' .;..!.5 0 ma: P\ "'E a: 08 00 c- ~ ::0 3~ :Urn cr~ Q C'l (~ 0 - iB .n () .. c .. I " , ,-". -..J - :. ;~ ~/ -. ( 31 ."." ~"> ~, N :-?t.: ~vt. (.j iil 0 ...., - - - """ IN THB MATTBR OP . SobclIak, Sr. Leon J. ) I ) I ) I ) IN THB COURT OP COMMON PLBAS Cumberland COUNTY, PBNNSYLVANIA ORPHANS' COURT DIVISION NO. O.C. <.., -1(,' 'i1 AN ALLEGED INCAPACITATED PBRSON PBTITIONER. Patricia M, Cordick FINAL ORDER OP COURT APPOINTING PLENARY GUARDIANS 1\ND NOW, thi. ,lqrJ~,y of F-lw"(:r 1996, , heoring in thi. case having been held on February 29, 996, and it appearing to the Court that Leon J. Sobczak, Sr. was served with a Citation and h \. '> Notice of his hearing on February B, 1996, and waR pr~R~nl aL chB- hea,[;"~ {~) the Court finds that the physical or mental condition of Leon J. Sobczak, Sr. would be harmed by his presence at hearing, and further finds from the testimony: 1. That Leon J. Sobczak, Sr. suffers from Alzheimer's Disease, a condition or disability which totally impairs his capacity to receive and evaluate information effectively and to make and communicate decisions concerning his management of financial affairs or to meet essential requirements for his physical health and safety. 2. That there are insufficient supports available to assist Leon J. Sobczak, Sr. in such decisions and that there exists no other less restrictive alternative mechanism for decision making. 3. That based on the total incapacity of Leon J, Sobczak, Sr. to receive and evaluate information and to make or communicate decisions, a plenary Guardian of the Person and a plenary Guardian of the Estate are required on a permanent basis. NOW, THEREFORE, based on the clear and convincing evidence "':':",l~ ~i,fi'. ~ ~.:.,,}rt ,,~(t~'~~"',~~~,y: . ..........-~-....---- ........ supporting the foregoing findings it is ORDBRID, ADJUDCJID and DBCRBID that Leon J. Sobczak, Sr, be and is hereby adjudged a totally incapacitated person and patricia M, Cordick is appointed Plenary Permanent Guardian of the Person and Patricia M. Cordick is appointed Plenary Permanent Guardian of the Estate, If there is a safe deposit box in the name of the incapacitated person alone or in the names of the incapacitated person and another or others, said safe deposit box shall not be entered by the guardian except in the presence of a representative of the financial institution where the box is located or in the presence of a representative of the Orphans' Court Division. The representative present at the time of entry shall make or cause to be made a record of the incapacitated person's property, and said record shall be filed with the Clerk of the Orphans' Court Division. None of the incapacitated person's property may be removed until after the aforesaid inventory is completed, A reasonable fee for the services of the representative may be made and shall be payable from the estate of the incapacitated person. If the safe deposit box is jointly owned, five (5) days notice of the proposed entry shall be given to the other owners by the guardian. s,,\ \~ Inventory must be filed within ninety (9,1 ~a~. A report by - eadi Guardian shall be filed wruhi1\ ~ ~ annually tJI~~' A Surety Bond in the amount of 1.- "'. f(C Let shall be F="11-'~ within ~ /dES presented for approval by the Guardian of the Estate days. . - .. ---.....-.,,--.,....., .-~,,-'" "- IN THE MATTER OF I soba..It, Sr, Leon J. ) I ) I ) IN THE COURT OF COMMON PLBAS Cwnberland COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ORPHANS' COURT DIVISION NO. AN ALLEGBD INCAPACITATED PERSON STATEMENT OF RIGHTS UPON APPOINTMENT OF A GUARDIAN AN ORDER HAS BEEN ENTERED WHEREBY YOU HAVE BEEN ADJUDICATED AN INCAPACITATED PERSON AND UNABLE TO CARE FOR YOURSELF AND/OR MANAGE YOUR PERSONAL AFFAIRS. YOU HAVE THE RIGHT TO FILE EXCEPTIONS TO THE COURT'S DECISION WITHIN TEN (10) DAYS OF THE DATE OF THE COURT'S ORDER. IF YOU FAIL TO FILE EXCEPTIONS, THE ORDER WILL BECOME FINAL. IN THE EVENT THAT YOU FILE EXCEPTIONS AND THEY ARE DENIED, YOU HAVE A RIGHT TO FILE AN APPEAL TO THE SUPERIOR COURT WITHIN THIRTY (30) DAYS OF THE DATE OF THE DENIAL OF THE EXCEPTIONS. IN ADDITION, YOU MAY PETITION THE COURT AT ANY FUTURE TIME TO MODIFY OR TO TERMINATE THE GUARDIANSHIP IF THERE IS A CHANGE IN YOUR CAPACITY OR IF YOUR GUARDIAN FAILS TO PERFORM HIS/HER DUTIES IN ACCORDANCE WITH THE COURT'S ORDER. IF YOU WISH TO APPEAL THE ORDER OR TO PETITION THE COURT TO MODIFY OR TERMINATE THE GUARDIANSHIP, YOU HAVE THE RIGHT TO BE REPRESENTED BY AN ATTORNEY. IF YOU DO NOT HAVE AN ATTORNEY, THE COURT MAY APPOINT ONE TO REPRESENT YOU. IF YOU CANNOT AFFORD AN ATTORNEY, THE SERVICES OF AN ATTORNEY WHOM THE COURT MAY APPOINT FOR YOU MAY BE PROVIDED AT NO COST TO YOU. (To be served with order) Exhibit "A" 1~; r,.~ : ,;l . ;:1 'Ifll. IN THE MATTER OF I Sobczak, Sr. Leon J. ) , ) , ) , ) ORPHANS' COURT DIVISION NO. O.C. t..'" q" -,,, IN THE COURT OF COMMON PLEAS Cumberland COUNTY, PENNSYLVANIA AN ALLEGED INCAPACITATED PERSON PETITIONER, Patricia M. Cordick DEPOSITION BY INDIVIDUAL QUALIFIED IN EVALUATION OF INCAPACITATED PERSONS The deposition of DAVI D 6. pETKMI:t MO, ~'Ph , a witness, made on day of , 1996, at , Pennsylvania. Q. What is your name and your professional address? A. My name is 'DAVID G. pe:.TKMIJ MO ~ professional address is _\~\y ~"lr,,,, Ho~,iz:t'- 1?1"ISt~.,t ~ l+eo t-l-h Cffl.n p ,.., \tl " etl- . Q. Please describe your education, training, and background with particular emphasis on your expertise in eva}.uating individuals 'it\- @ S..rClk Vnl-rt/s,ofa- of N.y.c4- 'B1~11'-k,.t Gi.h:u,. with incapacities, IC\ S-L'M.'. ......~ ",_ I''7')L '-6-. ~ T... u",s~ vrsl~tl.O \.Ar~o("'" t- ~~~~ A. I received my college degree at 13~C;: .~ and my post-graduate training at \1NI"~s..4od p~, N'o rc!&k- SeA.o-j 01- 1l\tdt<1~ I "i7trttp"~, /'tI4.1(ll.o (c1~C=: UrJt{-6'l:/)' 56"-'818' Nt&Ii6t;4c....;, SA-"i>-/:)"I""I~'if'J D.l~d I have practiced ~~ p~r4.fea" ~JZ.r,'a.fR.IL f'~,r~ (e.g, medicine, psychiatry, psychology, gerontological social work, etc.) since 19~q, My special qualifications and training with respect to evaluating persons with incapacities consists of ~t'A:\I) J:-aclul.}~,.r~ pS~IA~. ~1~l"'J :::L~ ~S~f' 1.J SU/~tR.t.L t~~I'o.~ 'Bo,\('cJ (u'K/"Uz-b~rJ ,,., ~~ adIJlr P%v'tt:afRtJl ~I'~'c.- tS~ tA:4~) aNd CA, ~;cd ~~~ / M&~.<: Q, In your capacity as ~/l3ctRtc. p5;.~,'a*<A.s4- (e,g. physician, psychologist, social worker, etc,) have you had the opportunity to meet with, examine, speak with and otherwise become acquainted with Leon J. Sobczak, Sr., and if so, upon what occasions and in what fashion have you been able to do so? A. I first became acquainted with Leon J. Sobczak, Sr. in the month of :TPovv~ ' 19Qbwhen Leon J, Sobczak, Sr. was brought to my attention by means of a. rekrJ hrr-. L"\...w~ ~S L/V,,,s8'" (O...Jk-. ~ ha.J ~ (,J~rI\J~, bR.. ~ 19RcA;o.- I have since that time .,g: ey~,...G1 h,tr\ ~..f,-mL ~(l. (visited/spoken with~mi~d/treated) him on \'/4 HilS DrS 1/2.t:;/&lG other occasions with an average frequency of times per (day/week/month/year) . Q. Is the ability of Leon J. Sobczak, Sr. to receive and evaluate information effectively and communicate decisions in any way impaired to such a significant extent that he is partially or totally unable to manage his financial resources or to meet essential requirements for his physical health and safety? A. ~e5 Q. Please deocribe the type and oeverity of the impairments of [)1~'\SIS' P('Nltt'flv~.~"'" ~:.r, Leon J. Sobczak, Sr" A-/'arhe.....v':' ~1~f'!I OtfSLf "',."..t:l~Pt'~;J A. The impairments of Leon J, Sobczak, Sr, are as follows: (~~o~"-- 1et.1vre.{ ~s",dI qs Check One '- _ A '. A J ,,,L ~ up "()nI. !# reve .;J r~Tl.Ir.e Imoairment None Mild Moderate Severe a) on~.flo..J J [ J [ J Ai b) MttrI,,~ [ J [ J [ J M c) €Jf~..J;Jlol:l..tl [ J [ J [ J M d) ~ I~f' I.(M. [ J [ J [ J [ J e) ~J~f-/'..sStfhl- [J [ J [ J M f) 8lIevL4fl.:WS [ ] [ ] [ J N g) [ ] [ ] [ ] [ ] h) [ ] [ ] [ ] [ ] l<hs 'f',\S4-BrrJ M.t...... N.J~I ~~ o./- 12/30 piAtt( hlfT"\ w ,.l-h.,I <fk.. ("'O.~ ~t- t'-I~~~-so..rtJ\L de..vN,..,~a.. Q. Is Leon J. Sobczak, Sr. partially or totally unable to manage his financial resources? ~~ w'\1lt... A. The ability of Leon J. Sobczak, Sr. to manage his financial resources is impaired ~~ (not at all, partially, totally) as follows: -'k ~ ~ f'rt.r;I(f\a ~ to }>-J' -h.te ,p.:"~A.rrVWf- c:PA..otoJd A~ oM h I ( t\.t.Vro f'J:r-^ ;(}~ c.. ~c.'f/1 ~oc.toJ..ed w,<TL A J~lY'lfjl~ ~~4. ---'k c.a~q.. pill .tar", ",~rR~ pr<\ cd~ Q. Is Leon J, Sobczak, Sr, able to meet caaential requirements for his physical health and aafety? ~() A. The ability of Leon J, Sobczak, Sr. to meet easential requirements for his physical health and safety is ~ir~ (not at all, partially, totally) as follows: MR, 5obc.~K bM~(r41 ~I~ disorLtJtr~ ~ I'tflttL.d ,~.f--o a toJA ~I ...e..r II.,.,;) tI'lMr/ ~ Cf NO beUJrN1 ~J.p lvlt1 d ':),..sg ,f?.!)~Lt:r..J ...Jer,.,.. t () I Nil -Nt. -ho..r J I ,J~ w~ ~ <1Yi..t.d -lo t""1hS ~ ~ h I rt"\ ~ (/--.. IJe. CaN 0 oJ- pf') V I J.L ./<Jr h H ba-" ( ,...eu ~ I ("\ c. SeLl< q ,."d -e.i..k.t.4l V"e.... \')\c.n~ Q, Can you please evaluate the present condition of Leon J. Sobczak, Sr. with respect to incapacities of the type alleged in the Petition? In particular, could you please comment on the nature and extent of the alleged incapacities and disabilities and also, insofar as you are able, the mental, emotional and physical condition, his adaptive behavior, and his social skills? A. Based upon my education, training and experience, as well as my acquaintance with Leon J. Sobczak, Sr. as stated above, it is my opinion that his incapacities and disabilities are C:(O~ ~I,.J w,+-~ h,t NbtoJ<l~ bll~/,.J ..fu,J6~~~ _/q-J!. 0(/ a J.eJ IN..J....k ~ I~ M. Nt' 'I ~ ~'a.... Ik h-m d.t,$ ()1~.d ~.o"cJ pr<>bU.mJ /rr9'k.{'Itff- '1ha.J- ,j dAd..L d.d.Is"...J~f ~f \,/'(ftL o.r~ -19 ~ nil'" ~cJ. sJ-tJit "-tj' bdD~.J~' IJ.e. I,.I~(lrJ('(/~~ Ce Wd '1fA -;. re,a-o (f- N 1Nf1.J' ~ r1S- 'G, f~ rt3 c, rid I/lmfr.~14 UI4r r",kd At ~ S~1r1../ b~f- . - .'" .-----.".-.--- -.- Q. Why is it that no less restrictive alternatives would be appropriate? A. Less restrictive alternatives would not be appropriate because o/~ ~ot ~ ~1J,ve ~~~~ /.,s t-h.IS fo~t- ~I -tN ~r0..f2 .da,.cs-t". +0 h /(l'\~ (f At....d ()~3 r...{L k tf,~lA ...,J- ~"",J ,..r f} f('O~ -€J..rV',ro,r~ Q. What is the probability that the extent of the incapacities of Leon J. Sobczak, Sr. may significantly lessen or change? A. In my judgment, and based upon my training, experience and acquaintance with Leon J. Sobczak, Sr., I believe the probability that his incapacities may significantly lessen or change are ____ _tftl,.lI""J fa N\\rC~/~~q.j- dw 1-0 <fhL-- ch("l..f{{.. ~ pro~ N c1vrt' 0 { k t.1' A~....JchJ(; 1,10.,,1 cl,-t S'Jrd.luL. Q. Would the physical or mental condition of Leon J. Sobczak, Sr. be harmed by his presence in open Court? c'" ,~':,4 ..~. 'i'" A, I believe that the presence of Leon J. Sobczak, Sr, in open Court A (not) be harmful to Leon J. Sobczak, Sr. because MR.... $.LJ BLrA-1L II ~f- ~_-* h"r t:J.rol,C4~ d~~;- v~.k,.s:J~ ht.- !N Uf/l( lrorr. k fJrv'~ I IN' bit ~,,.rd t.! D rckI2. . _J4e (,u) v1J "be. P'" b6 b tv hQ.. en.. 0</, :>,.fa ~ ~ r<JIVI.r1-U +0 ~~~ h~ ~t-cJ I ~rofJ~,crk4c.. ~Gvh ~ o~ lrf c".r(!Jlcf- d.€fq" ,,..J It- (..o.m f- ~.t1/.2M-("'qJU- I verify thNt the statements made in-'tfie f~rego1ng-DEPOSITION BY INDIVIDUAL QUALIFIED IN EVALUATION OF INCAPACITATED PERSONS are true and correct. I understand that false statement herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Dated: o ';1/08 ('1b J:>Q.lfld ~ .1~Arf...1^.S> <Rf'~ 4i f~ ,.,*: f}~" f'%01:CTn..1.. Ua.WG~r1 ~ :I: c..+=Jd ooAr ~ 112.'1 ,q(, ~~ IN THB MATTBR OP I Sobczak, Sr. Leon J. ) IN THI!: COURT OP COMMON PLEAS I Cumberland COUNTY, PENNSYLVANIA ) AN ALLBGBD INCAPACITATBD PBRSON I ORPHANS' COURT DIVISION ) I NO, O,C. 1- I - q " - ct]1 PBTITIONERI patriciaM. Cordick ) APPIDAVIT Patricia M. Cordick, petitioner, hereby certifies that a copy of the Order Appointing a Guardian and the Notice of Right to Appeal and to Petition to Modify or Terminate the Guardianship has en served Q~ Leon J. Sobczak, Sr" the Incapacitated Person on oJ frio> by personal service at Country Meadows Nursing Facil ty by Petitioner in the form attached hereto (attach copy of notice) which was read to the Incapacitated Person, f~ /11. ~ patricia M. Cordick petitioner COMMONWEALTH OF PENNSYLVANIA, COUNTY OF kD~ I ~I(If('h ;\. /qq/; )SS. BE IT REMEMBERED, that on before me the subscriber personally appeared patricia M. Cordick known to me (or satisfactorily proven) to be the person, whose name is subscribed to the within Affidavit and acknowledged that she executed the same for the purposes therein contained. WITNESS my hand and seal the day and aforesaid. LD *(NOTARIZE IF SIGNED BY PETITIONER) l-----r:;;;.;;:sc-;' '., I Dabra E, Gaines. Nclnry Pulllic ' S"sq"ohnnna l'r~.. Dauphin COIlnl ~~ Commission E,plros Juno 22, \ 9~O I r.., ,".".'.l"~!".-" .-;t:)i:lt.!-=.cC;l'.jcncf~:,:" -I IN THE MATTER OF I Soba.ale, Sr, Leon J, ) IN THE COURT OF COMMON PLOS I Cumberland COUNTY, PINNSYLVANIA ) AN ALLEGED INCAPACITATBD PBRSON I ORPHANS' COURT DIVISION ) I NO. O.C. PETITIONER I Patriaia H. Cordiale ) NOTICB OF RIGHT TO APPEAL PURSUANT TO 20 PA. C.S.A. SBCTION SS12.l(HI TO Leon J, Sobczak, Sr., Respondent: 1, You have been found to be an incapacitated person, and a plenary Guardian has been appointed for your estate and person. The Guardian is Guardian for your estate and Guardian for your person. 2. The powers of the Guardian are set forth in the Final Order dated February 29, 1996, a copy of which accompanies this notice, 3. If you wish to appeal from that Decree, you have thirty (30) days from the date of the Decree within which to do so. If you choose to appeal, you would file a Notice of Appeal with the Clerk of the Orphans' Court, who is located at the Cumberland County Courthouse. The Appeal would be taken to the Superior Court of Pennsylvania, and you should obtain a copy of the Pennsylvania Rules of Appellate Procedure and follow those, The Clerk of the Orphans' Court can provide you with the address of the Superior Court, and can also assist you in making sure that the proper notice is filed with them. 4. You may also petition the Court at any time to modify or terminate the guardianship, on the grounds that your situation has changed enough to justify a change in or termination of my Order. 5. You have the right to be represented by an attorney if you filed a post-trial petition or an appeal. If you need the assistance of counsel and cannot afford an attorney, please inform the Court and an attorney will be appointed to represent you free of charge. I acknowledge being advised of the above rights, .~_ r..:: ~~cd-. Leon J. Sobczak, Sr. S . R. ....'v_,...,.....,'..."..- .'., IN THE MATTER OF I Sobc.ak, Sr, Leon J. ) I ) I ) I ) IN THE COURT OF COMMON PLBAS Cumberland COUNTY, PINNSYLVANIA ORPHANS' COURT DIVISION AN ALLEGED INCAPACITATED PERSON NO. O,C. PETITIONER I Patricia M. Cordick AFFIDAVIT Patricia M. Cordick, petitioner, hereby certifies that a copy of the Order Appointing a Guardian and the Notice of Right to Appeal and to Petition to Modify or Terminate the Guardianship has Q~en ~erved 9P Leon J. Sobczak, Sr., the Incapacitated Person on ~ Jl'fY~ by personal service at Country Meadows Nursing Faci11ty by Petitioner in the form attached hereto (attach copy of notice) which was read to the Incapacitated Person. f~ J\1, ~ patricia M. Cordick Petitioner BE IT REMEMBERED, that on ltm.f)~ I J-!Q./(I}, 01, Iqq/~ )SS. COMMONWEALTH OF PENNSYLVANIA, COUNTY OF before me the subscriber personally appeared Patricia M. Cordick known to me (or satisfactorily proven) to be the person, whose name is subscribed to the within Affidavit and acknowledged that she executed the same for the purposes therein contained. WITNESS my hand and seal the day aforesaid. *(NOTARIZE IF SIGNED BY PETITIONER) N,,'.!ri;:: Scal : L Debra E, Gaines, Notary PubUc I' Susquehanna Twp" Dauphin Counlv I,~ Commission E'plres June 22, 1 ~~r ~ t. ,': :.~ ....Jr:-:~..:::li.'f.r.::.e""-D'.icnC! ~::.:' " IN THE MATTER OF , Sobczak, Sr, PETITIONER, Patricia M. Cordick ) , ) , ) . . ) NO. O.C. Leon J. IN THE COURT OF COMMON PLEAS Cumberland COUNTY, PENNSYLVANIA AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NOTICE OF RIGHT TO APPEAL PURSUANT TO 20 PA. C.S.A. SECTION 55l2.1CH) TO Leon J. Sobczak, Sr., Respondent: 1, You have been found to be an incapacitated person, and a plenary Guardian has been appointed for your estate and person. The Guardian is Guardian for your estate and Guardian for your person. 2. The powers of the Guardian are set forth in the Final Order dated February 29, 1996, a copy of which accompanies this notice. 3. If you wish to appeal from that Decree, you have thirty (30) days from the date of the Decree within which to do so. rf you choose to appeal, you would file a Notice of Appeal with the Clerk of the Orphans' Court, who is located at the Cumberland County Courthouse. The Appeal would be taken to the Superior Court of Pennsylvania, and you should obtain a copy of the Pennsylvania Rules of Appellate Procedure and follow those, The Clerk of the Orphans' Court can provide you with the address of the Superior Court, and can also assist you in making sure that the proper notice is filed with them. 4. You may also petition the Court at any time to modify or terminate the guardianship, on the grounds that your situation has changed enough to justify a change in or termination of my Order. 5. You have the right to be represented by an attorney if you filed a post-trial petition or an appeal. If you need the assistance of counsel and cannot afford an attorney, please inform the Court and an attorney will be appointed to represent you free of charge. I acknowledge being advised of the above rights. ,.. .-......... J-VvV1/~ CA.j~ Leon J. Sobczak, Sr. ,S R. I L i I i , l ~ r. IN THE MATTER OF I Sobczak, Sr. Leon J. ) IN THE COURT OF COMMON PLEAS I Cumberland COUNTY, PENNSYLVANIA ) AN ALLEGED INCAPACITATED PERSON I ) I PETITIONER I patricia M. Cordick ) ORPHANS' COURT DIVISION NO. O,C. .../-% -s1 FINAL ORDER OF COURT APPOINTING PLENARY GUARDIANS AND NOW, this n'J4 i:h day of +.};uJO"":,, 1996, a hearing in this case having been held on February 29, 1996, and it appearing to the Court that Leon J. Sobczak, Sr. was served with a Citation and HE::' Notice of his hearing on February B, 1996, and n; L J.i~81!1l:.I,1l J.t 'l.e ft9APiny (~~) the Court finds that the physical or mental condition of Leon J. Sobczak, Sr. would be harmed by his presence at hearing, and further finds from the testimony: 1. That Leon J. Sobczak, Sr. suffers from Alzheimer's Disease, a condition or disability which totally impairs his capacity to receive and evaluate information effectively and to make and communicate decisions concerning his management of financial affairs or to meet essential requirements for his physical health and safety. 2. That there are insufficient supports available to assist Leon J. Sobczak, Sr. in such decisions and that there exists no other less restrictive alternative mechanism for decision making. 3. That based on the total incapacity of Leon J. Sobczak, Sr. to receive and evaluate information and to make or communicate decisions, a plenary Guardian of the Person and a plenary Guardian of the Estate are required on a permanent basis. NOW, THEREFORE, based on the clear and convincing evidence supporting the foregoing findings it is ORDERED, ADJUDGED and DECREED that Leon J. Sobczak, Sr. be and is hereby adjudged a totally incapacitated person and Patricia M, Cordick is appointed Plenary Permanent Guardian of the Person and Patricia M, Cordick is appointed Plenary Permanent Guardian of the Estate. If there is a safe deposit box in the name of the incapacitated person alone or in the names of the incapacitated person and another or others, said safe deposit box shall not be entered by the guardian except in the presence of a representative of the financial institution where the box is located or in the presence of a representative of the Orphans' Court Division. The representative present at the time of entry shall make or cause to be made a record of the incapacitated person's property, and said record shall be filed with the Clerk of the Orphans' Court Division. None of the incapacitated person's property may be , . " removed until after the aforesaid inventory is completed, A reasonable fee for the services of the representative may be made and shall be payable from the estate of the incapacitated person. If the safe deposit box is jointly owned, five (5) days notice of the proposed entry shall be given to the other owners by the guardian. An Inventory must be filed within ninety Sa.;c\.. l .,.~ ~a~h Guardian shall be filed wi:1;nl'R-- (90) days. HES A report by annually tll.l U i_rL _I:. .J= CO A Surety Bond in the amount of \ CD) CCG, presented for approval by the Guardian of the Estate days. shall be l,1i~ee'('\ within """" HeS IN 'l'HB MATTER OF I Sobczak, Sr. Leon J. ) I ) I ) IN THE COURT OF COMMON PLEAS Cumberland COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NO. STATEMENT OF RIGHTS UPON APPOINTMENT OF A GUARDI~ AN ORDER HAS BEEN ENTERED WHEREBY YOU HAVE BEEN ADJUDICATED AN INCAPACITATED PERSON AND UNABLE TO CARE FOR YOURSELF AND/OR MANAGE YOUR PERSONAL AFFAIRS. YOU HAVE THE RIGHT TO FILE EXCEPTIONS TO THE COURT'S DECISION WITHIN TEN (10) DAYS OF THE DATE OF THE COURT'S ORDER, IF YOU FAIL TO FILE EXCEPTIONS, THE ORDER WILL BECOME FINAL. IN THE EVENT THAT YOU FILE EXCEPTIONS AND THEY ARE DENIED, YOU HAVE A RIGHT TO FILE AN APPEAL TO THE SUPERIOR COURT WITHIN THIRTY (30) DAYS OF THE DATE OF THE DENIAL OF THE EXCEPTIONS. IN ADDITION, YOU MAY PETITION THE COURT AT ANY FUTURE TIME TO MODIFY OR TO TERMINATE THE GUARDIANSHIP IF THERE IS A CHANGE IN YOUR CAPACITY OR IF YOUR GUARDIAN FAILS TO PERFORM HIS/HER DUTIES IN ACCORD~ICE WITH THE COURT'S ORDER. IF YOU WISH TO APPEAL THE ORDER OR TO PETITION THE COURT TO MODIFY OR TERMINATE THE GUARDIANSHIP, YOU HAVE THE RIGHT TO BE REPRESENTED BY AN ATTORNEY. IF YOU DO NOT HAVE AN ATTORNEY, THE COURT MAY APPOINT ONE TO REPRESENT YOU. IF YOU CANNOT AFFORD AN ATTORNEY, THE SERVICES OF AN ATTORNEY WHOM THE COURT MAY APPOINT FOR YOU MAY BE PROVIDED AT NO COST TO YOU, (To be served with Order) Exhibit "A" " ~: ; . I ~ . ..-...... ---~.. . ~y Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized end eXisting under the laws 01 the Statl 01 Soulh Dakote, and authonzed and licensed 10 do business m lhe Slates 01 Alabame, Alaska, Anzona, Arkansas, Calilornla, Colorado, Connlctlcut, Delaware. Dlslnct 01 Columbia, Flonda, Georgia, HawaII, Idaho, illinoIs, Indiana, Iowa, Kansas, Kentucky, LOuIsiana, Mame, Maryland, Massachusetts, Michigan, Minnesota, MISSISSippi, MISSOUri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New MeXICO, New York, North Carolina, North Dakola, OhiO, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Soulh Dakota, Tennessee. Texas, Utah, Vermont, Virginia, Washington, Wesl Virginia, Wisconsin, Wyoming, and Ihe United Stales 01 Amenca, does hereby make, conslltule and appOint R. Dreesman ._._ ._ 01 _ - !;jo~t~ ..Falls ,- Slale ot. ,,,"""," uth Dakota ,Its regularly elecled Assistant secretar:y , " ~ as ~ .,,' ,lI,.t""..:."~ lull power and authonty hereby conferred upon him to Sign, execute, acknowledge and deliver lor a#Qi,.'lil ~'l1~'~ and as Its act and deed, all 01 the follOWing classes 01 documenls to.Wlt -~~ ~"':O; ~ : Ily, Surely~~rtaklngs that may b. d.....d by controct or may b. g,ven In any action or proc..dlng In any court of low or lI3l~ pOIICI.slnd.m",~1Ilf."pIOY.rs agOlnstlo.. or damage caulOd by tho mISconduct 01 th." .mploy.... OH'ClOt bOil. and surety and f~"~ot9s.J'lIl."Ill"'!Y 1 ~II cas" wh.r. ,nd.mn,ty may b. lawfully glv.n; and w,th full pow.r and authollly to ...cut. conlOnll and wliyilQllo::mSit'tfb~.ch.lll9for .xt.nd any bond or docum.nt .x.cut.d for thIS Company, and to comprom... and IOnl. any and all claims or .r"'.lhW~",,,,,,y>g against SOld Company, 11,/ '11 OP- \\,,,, w..t:III......,.Y!~mpany furth.r c.rtlf,.s that tho follOWing" a true and ...ct copy of S.ct,on 7 of tho by,la",s of w.stern Surely Company duty adopted and now In forcl. to.wlt: S.etlOn 7, All bonds, pOIICI.S, undertakings, Pow." of Attorney. or oth.r obligat,ons of th. corporallon sholl b. ...cut.d In tho corporat. nom. of tho Company by th. Pr.lldent S.cr.tary, any ASllstant S.cr.tory, Troosur.r, or any VIC. Prndent or by such oth.r offIC." os tho Boord of O".etors may authorlz.. Th. Pr.sldent, any VIC. Pr",dent, S.cr.tory, any Ass..tant S.cr.'ory, or tho Tr.asur.r may appOint Allorn.y."n,Faet or ag.nts who sholl hav. authollly to ..su. bonds. pol,c,.s. or und.rtaklngs ,n th. nom. 01 tho Company, Th. corporat. SOOllS not nec...ary lor tho vahdlly of any bonds, policl.s. und.rtaklngs, POW." 01 Attorn.y or oth.r obligations 01 tho corporallOn. Th. IIgnalur. of any such oH,c.r and tho corporol. sui may b. pllnt.d by lacllmll., In Witness Whereof, the said WESTERN SURETY COMPANY has caused theSe presents to be execuled by lis president WIth the corporale seal affixed thiS 15th day 01 March 1996 ATTEST ETY COM PAN 7': r; ?:lc/ ~ ~ts.cr.,ary By Stephen T. Pate. Presldlnt STATE OF SOUTH DAKOTA COUNTY OF MINNEHAHA \ss 15th day 01 March 1996 ,before me, a Notary Public, personally appeared Stephen T, Pale and L. Nelson who, being by me duly sworn, acknowledged that they signed the above power 01 Attorney as PreSident and Assistant Secretary, respeCllvely, 01 the sBid WESTERN SURETY COMPANY, and acknowledged said Inslrumen! to be the volunlary act and deed of said Corporation. +................................................. I I i B, THOMAS i i~NOTARY PUBLIC@i I~SOUTH DAKOTA I I I I My Commtulon Expires 6.2.2003 I ............................................... + On thIS :5 q;)'~A/ Notary Public FClfme72.".gS , I \ : o . >of, .Ie :'1,' , ,---.; ",' ',' ft ,..l .. ...: 8, :> ~Iii ,S ,~. , ~ ~ ~ ~ I ~~i":"<, ~ ~ ~ ~ ~ ~ ~ ~<ri ffi~t:l~i. ,;t:.!:/',r ,..l <<..I'.." """";,,, p . "')::~ ...:' .',;',,; . "_.,~, " r.?' ..;" -"' ..~.; 'd,\,-\: JUN 1 9 1996 bC-' ,. .1_' '. . '.... \'of , ',," , . , , , 0 Sobczak as the surviving tenant by the entirities. 6. The total value of the incapacitated person's assets as Ret forth in the inventory on the attached Exhibit "C" is $350,206,61, 7. The value of the real estate to be sold as included in the inventory is $122,000,00. 8. No unpaid creditors currently exist. A list of expenses incurred since the beginning of the guardianship are attached hereto as Exhibit "A," 9. It is necessary that the property be sold since it produces no income and incurs monthly expenses as shown on the attached Exhibit "A." 10. The incapacitated person receives total annual income as set forth on the attached Exhibit "B," 11. The property to be sold produces no income and is vacant. 12, Petitioner is not authorized to sell the real estate except by order of the Court. 13, Surety has been entered on behalf of the guardian by Western Surety Company in the amount of $100,000.00. 14. Petitioner has found a will of the incapacitated person. 15. The names, relationship, and addresses of Leon J. Sobczak, Sr.'s next of kin are; Patricia M. Cordick, daughter, 1429 Quail Hollow Road, Harrisburg, Pennsylvania 17112; Leon J. Sobczak, -2- . . . , , . COMMONWEALTH OF PENNSYLVANIA COUNTY OF 0.... . ~f "- ,'", ) 55: ) VERIFICATION patricia M, Cordick, being duly sworn according to the law, deposes and says that the facts set forth in the foregoing petition which are within the personal knowledge of the deponent are true and as to facts based on the information of others, the deponent, after diligent inquiry, believes them to be true, rP~ fit W,.;t Patricia M. cordick .. .. AFFIDAVIT The attached affidavit was sent to Mary Szarejko on June 7, 1996 by first class mail, Mary Szarejko informed me by phone on June 18, 1996 that this consent was signed and returned to me some time during the week of June 10, 1996, I have not yet received the signed consent, Mary Szarej ko consented to the sale of the property for $122,000.00. Due to time constraints of the sale, I am filing this affidavit on her behalf. ;fA/'~t~ William L. Adler, Esquire ADLER & CLARAVAL P.O. Box 11933 125 Locust St. Harrisburg, PA 17108 Attorney ID Number 39844 June 18, 1996 EXHIBIT I D .[."[J I . IJ::! ntAlIOne 1\fIJ)Dd~EXCOUNTY ASSOCIATION OF ItEAL'I'OItS CONTRACT FOR SAI.I; 01' ilEAL ESTATE J . I o , . . ,. II II U 14 II 10 11 TillS IS A I.EGAL!. V D1NIlING CONTRACT TIlAT WILL DECOME FINAL WITlIIN TUREE DUSINI\S.~ DAVS, DURING TillS PERIOD VOU MAV CIlOOSE TO CONSULT AN ATIORNEV \VIIO CAN REVIEW AND CANCEL TilE CONTRACT. S ,E SI~CTION ON ATIORNEV REVIEW FOR DETAILS, , ~I.: I. DETIVEEN SELLE/to "hu.\e .ddre\.~ I.. 1, AND BUY Ell: whose .c.dr~ ls Th, ...rdJ "BUYER" and 'SELLER" Inrlud. oil BUYEI alld SELLERS Il,(.d abo... J. AGREEMENT, SELLER '1'''' In ..1110 Ih. BUYER ond Ih. BUYER .,....10 buy from lb. SELLER Ih.lond and buildin,. ""hleh lie nlltd -the "rore,I)'- In Ihl. 'C'ff: ltftt. 4, 1118 PROPERTY Is dae ' II follnwo: u.1 on lh. Tu MIl' of of Shec!1 A\ld,w: ^rrrodmale llle of 101 1 County. New Jerlel. ,'''''," II ,. " II II IJ II Il II II II " 10 II II Il II Il " Jl " " .. " .. .. .. .. .. 5, TilE TOTAL PURCIMSE PRICE IS ,~j.t; s ' 6, MANNER OF PAVMENT I ^. Mone)'. ",Id allhl. lime for which Ihl, I. . . '.: r('~ s--L/Ja (1IJ Additional money. to be raid on or before ',' s,J..:kfh d. . eJd D. J( DUYER ilia wume Ihe ulslln, moila-ae, are .Itache. tJdentlum. f C. If SELLER II 10 lake hick. morl"le. then the aUomer fa Ihe SELLER will fllcrate ,(J # · rurchue ~rnmorl..&:e and nule .Ilhe ea('Cn", or Ihe DUYEIt. nICS (ern.. Ih.1I be: ~ M Interul R.le(..[.. (f\ "; Term - ; I'rinclraland Inleral (arrrollmalo) 10 be rlld II rOUOM: - U, IF I'ERFORMANCE DV DUVER IS CONTINGENT UPON ODTAINING A MORTGAGE, nlCl DUYER 'Irm 10 Irrly hnmcdillely ror. murtlllo !CtlI1 dnouch anT I.ndin,ln,lilulionol lh. BUYER'S c1lOi" In 1100 'IlIO\ln! 01 . . s .10<;/ (}{)t!. ()() on wholl. conunonly known II . (FilA) (VA) (Convrnllon.l) (Olher> . 6'; - rnorllllo lOin raYlblo ror '3 (J yur. with Inlereslll-=-- ". or It the inlerest rllo avlit,ble Ind ror Ihe Irrm.. or )'elr. orrered bylhe lendin,lm:tllullon r:rantlng Ihe loan. The DUYBR allO a,reea 10 ,..oopenle ami lurrly IU doeulncnll required hy Ihe Imdinl instilulion in I timely rl~hion. Eilher ra,ly may terminale Ihis 'Jreement by wlillen nollce 10 Ihe olher fl.,ly,U (.), Ihe ,oolll:'I:C lo.n has nol bt.e-n .n.nled bYlhe luuanee ~;l~"~.. ora mo,II'I.loan wr~'1 t or.iUhiacundilioll hu nol betn eliminlted rrom Ihtlllreemcnl I . 'I' . bylh. BUYER by I (b) (h. mo,II'l.loon hu bten 'l'.dO"lIy , . .' d.nltd In wrillnl by (h. I.ndln,ln IIMloo ond pr...nltd 10 lb. SELLER or SE~~S >'-'JltI' II ()dtJ, CJC) .ppolnted repreaentalive; Ihm Ihe dero.iI.hlll be rrlumed 10 Ihe nUYER. s rl (111,9. ,1('1, E. The ballnce or Ihe flurchuo price . #' -It l---.- .-J. will be r.ld .1 closin, or lille by c.~h, bank chrck, cerlified check. or IUom6y'.lrual.ecount ,. check .1 which lima SELLER will deliver I nlrClin ln~ Slle Deed rree or IUlille derecll r. I. euepl U Illletlln Ihl. Ic,ument. TIIII Otet.llh.lI conl.in I rroper leall Jescr'r1lon or Ihe l?i1~ pr"~,.l~ 7;1~;':?'!?t .lnd.vll oflill., ".. c1odnl.h,III,k. pi". on 0' before ~ !:I:J,ClJd,(J(j "'7 ' TOTAL PURCIIASE PRICE i~, ,/fI!f\l -t?~ ~ ~ 7. TITLE: The SELLER rrrresenll Ihlt Ihe buUdinl1 on the flropertYlre loelletl wilhln Iho ,101 boundarylinClj Ihlllhcro In no tnernlclunenl. nr ClilelUtnl., or lurvey or elher derect. nol mcnlionetl in Ihil 'Iftlenwnllhlt would Iqullln I bid lille. Good lilte II derined rur the rU'IKlst.l or (hi. 'Irrrmenl u tls.t which can bo InlUred by IOY or Ihe Ihle cORllMlliCllicellstd hy Ihe Stile or Ncw JerJCY. al nunnnlllnt! UIUlt flit' ,nt! wilhuut ucerllon olher Ilurn Ihosa Ihlt Ire ,IN:dlrJ In III pc!lcics .nd Ihose mmlionttl in Ihl. ^1rtC!mtfll. Utilily ea\Cmrnll Imlmlrlclions or record .hln he ICc:rptecJ bylho BUynR Wilhoul ohjcclion I',ovldcd Ihe UM! describtt!Jn rll.,lIph '1211 nol rrevcnltd. S, ATIORNEV REVIEW: II.' Stud, bl AUornrl. The BUYER or Ibe SELLER mlY chOOlO 10 hive an IUomeYllut!ylhll conlfJIct. Ir an IUomeyla con.ulled. Ihe Illomf'Y n1u~1 COhlr1ele hil or her ,evlIlW or tho conlracl wilhln _ Ihrco-dlY reriCKJ. Thl. conlr.ct will be l'I,lIy bln~lnl"lh. .nd or 11,1. Ih'.....,y period unl... on ,"om.y for Ih. BUYER or Ibo SELLER ..vlow. .n~ diurrlovu ur Ihe conlrlct. ' 8.1 CounUnR lilt Tlmf. You counllhllllur:e d.y. r,om Ihe dlle or delivery or Iho Illned conlrlct 10 the nUYI:R and Ihe SELLER. You dlJ nut Cllunl S'lurt!.y.. SundlYI or leJ:II holidl"', The BUYER and Ihe SELLER m'YIcree In w,i1inllu ulrnd Ihe lhrte-d.y f'l!liod rur ""nme)' review. 8.3 Nullrt ur Ui.~lIppru,u.I. Ir In aUorney rur (he DUYER or Iho SELLER reviews .nt! diSll'pruvCl ur Ilti. cnnlrlcl, Ihe .nomey mu~1 noUrylhe Urub,(s) Ind Ihe ulher r.lly n.med In this conlncl wllhil) Iho thrcc"'llIY ptl:OO. Otherwile Ihl. contr.ct will b. If'C.U), LindinJIt wlillen. Tne Ittomey mutt .ent! Ihe nolle. or di;,ll'prov.llo Ihe Urolm(l) by celUned mall, byletta:ram, ur by deHverlnl II rerwnlUy. The leleanrD or ce,lirietlleller will bo crfcclive upon KIIdina:. nil ('Coon.1 ddivery will be erreclive uron drliverylo Ihe Droker'. office. The .ttorney may allO, but need nOl, inrorm Ihe Orobr(.) or lny.ullellw revilions in Ihe conlr.dlllll would mue i1..ti.r.ctory. ,. INSPEI.,.ION CLAUSE: A. The Droker(.) Int! S.lt.peraon(s) who 1I11lnvnlvtd in lhi. transaction are Ir.lnnl.. Real Esllte Uctnsees undtr Ihe New hlley Real fi.lllo lIcen~ Ad. 111cYlcadily acknuwlnlle Ihe)' hlvo no 'reelll trllnln.. knowledao or upcrlenco wilh rr,slll 10 dlleaverlnl 11Id/ur evafulllng rhYllic.1 derrcll InclUlJinc Ilrucluf1Il derec:II, roor, b.semenl, mechaulcll cquil1mcnl luch u hUlini:, .Ir cundilinnlnc. rlrC'lrical. uw_,c In,1 rhlluMui: 1l)',h:ntJ. ellrrlur dlllnltJ:Cl. lerRlile llIll orher lyre' ur in~ed -- " ,.. .. 10 II II II " II " Sl " " 60 61 II OJ 61 OS .. " II " 711 71 ?- m i: ro:I ~ 1/ 1/ II II, " " II " 10 '1 " II II II It II It It " .1 II II .. II " II II " lOll 101 101 101 101 101 I" 101 101 I" 110 III III III II' III II' III III I" 110 III 121 121 0124 III III 121 III II' 110 III III III II' III III III III III I'" IU 141 IU III III "I 1",..tlll'Nto, d....... lIu...1 h, 'U4.h 'n'U..lluft_ MOflU,"",lh. O,okll(') and S""re"on(.) Ilmllll!'''..... no _pccl,tl,.J"ln,. . .ftCMl~I' 01 "r-,I.nct v.llh ft."d In IVlluallnn of 1'0111111. ,nvhnnmenl.1 tnndlllon. ~hlc;h mlchl .Hecllhl. rllJ('Cfly r.~alolo'ln IhI d...lllo.""h It IhI "lll,nu nl MAllON .", Ihho,n. ..1,..10. fII"" ..d Inllo ,h.mlcal 0' 011,,, rollo'.nl' 111M If"I, Ilr 1M Wit", ",. ", "UI,,'I ",.1,11 t. I.......lln... Tht 1I11Vn" ........Iod... Ih.I lho r'''p"l, II "'In. ",Id I. .n 'AS IS' .ondillon, ThereIn... II,. IIUVER, .1 II.. III1VIlR'll ~lla..lll.... ..",nM II .,..Iod II,. .Iahll" hm lho d...llln. .nd.1I 011,,, "reel. 01 II,. rlol"',l" In'reelod MtI.",lu.ltJ.., ......lIn....nlf*lort. rOf Ihl rurrnH of dtt"nUnln,.'" .a1.I,nel of .n1 rh)'llnl d.fecll or cnyhonnwnl.1 'oMitlMlluch .1 nulll.' ...,..... If lIu,,, rhoo...II1I1\1" IhI In'peellnn. ,.rerred In In Ihll r'nlr.ph, lueh Inspecllon. mUll hi .......1.."', .... ..,III", "ro,I, ..... I.. lurnl.hcd 10 lho SIILI.I!R .nd D,nh,(.) 1111..1 In Pml"rh 122 01 11,1. AI".,ncnl ..llhl. .J-t'- "I.nd" dll' "I lho d.l. 0111,1. A.".menl, If Ihe IlUVI!R m.1I 1.i1 10 lumllb .lICh w,III.. "ro,"lo lho SIII.I.tllt .... D/IIh,(.) "lIhln Ihall... ""Ind ."",lOrdl.lhl. r"'I"rh, 11,1. cooll.I.II<, c1.u..,h.1I he dumed ...I.rd h, IItlVIl", ....Iho p,,,,,,,I, mill he....mcd ,cccrl.loI. 1" IlUVElI. C. If the "m.1 onncl...t.. Ih"ldv,,.. rhJllul or tnvlronmental condlllon. ..1,llhll,ffod Ih. hahh,hilll)' pr lilt rmrell)'. IhI SIII.I.IIR .1,.11 hmlh. "",Ion "lcn"..II.. ..Id dol",I(,), Sm.I.E1t .h.1I n.~II, IlUVER 01 hll d",lol"n ..lIhln ...'n (1) d.,. 01 lho Snl.l.IlR 'S ,...1", nl Ih.ln."",lloo "ro,l, I. IhI "001 SIII.l.nR olooa not .hooao 10 '0"..1 "Id dol",l. 0' 1,11.10 nollly nUVER ..111,1. II,. "",d 7 d.,., II,. IIUVII" ""II h... Ih. "",Ion 01, I) A......ln.'h. rmp"I, AI IS, 2) ComcUftllhl ddtcl. II hi. 'Ipen.., It couretlon II necUllry In order 10 cloll 1111.. ') fltcl.nn. IhI ....Iracl null ond .nld and hi" .11 d'('ClIII m.u.,y. "Iumod, nUVnR m.II...... noli.. 01 1.I,nllo Snl.l,lIR _ilhln ".'n (7) ..l.nd" d.,. .n.. ,ac.lrl 01 SEI.I.IlR'S ,..ro.... If Sm.I.IIR 1.11.10 lOt""",,, nUVER .h.II...... noli.. 01 Inl.nllo SIlLLER ..lIhI. 1..,lun (14) ..I...." d.,. .n" IltlVIIR'S ,ac.l", nl ..Id I.'reellnn "1"'11, IIUVElt'S I.llu.. 10 ..nd no,l.. will ho doomed.. IlUVER'S ....rl'lI<. 0' rrnra", AS IS, 10, TP.RMITE INSrECTION. IlUVIlR Iblll hm II,. nlhllo hm .n In'reellnn b, . qu.llro... 011"'11 10 oIel..mln. Ih. p"_ 01 I.nnll.. or olh" wnooI d"'ro,ln.I....,, ..d/or d,mo.. 110m Ihem, lnareellon 1.10 ho (IO,lormed no 1.1.. Ihan ond II 10 ho raid bylho IlU VER. If 11,.10 II an, avid,"", ofl.nnll.. Dr ...00 dOlI,oyln.I",,", 0' d.mo.e rom 1M ,I"'" IhI SIlI.LER, .llh.lr 0.... "(IOn.., ""1100_1 and "r.I, II, II, POSSI!SSION, SIlLLER ..11I.1.. ro.....lon 01 Ihe r'ol"'''y 10 nUVIlR .1 olo,lnS, unl... olh.rwlMlreelrood, nUVIlR hu IhI .1.1,110 InlJ'llCllho rrol"'''yll .n, ".",n.hl. Ilmelmmedll'.I, r,lo, In cln.lnl 01 1111.. P,ol"'"y,holl he Vlcanl,l.he.l"" or c101ln. or Iltl.unlC&1 otheiwl.. .,reed. TENAI'ml, IF ANYI Thl_ ..I. I. mad. whJed 101M (ollowln,'enancic.. Th, SBLLER WI,r.nll Ihlllhuo lenanelet are nol In vlul.llon Df ,a1alln, Munlclpel, Counl,. Stale Dr Pedenl ruiN, "lull,lonl or rIWI. NAME LOCATION RENT SECURITY DEPOSIT TERM , "'-'-. - - - II lho Now Im'yllot.1 .... Mulllrl. Dwellin.IlOlhh and Saf.l, A<I'rrllOllo II,. PIOI"'''y, II,. SEI.LER rcr....nlllh.. 'h. rrnra,Iy <omrll" wllh Ih. roqul"men'. 01 II,. A'I, 12, ZONING, SELLER rcrrucnl. 11,,110 II,. ""1 nIhil knowled,. 11,1. rrnre,l, dOlI nol vlol.l. II,. loc.1 Zonlns 0' Dulldln. codOl, If. C..,Iro<lI. 01 Occur"'<, I, requl,ed "ylh. loc.1 mu.lcll"'lIly 0' II,. Lendl., In,lilullnn,lh. SIlI.LER ..111 obl.ln It, doln. wIl.IIYC' I. requl,ed b, Ihe munlclr.lllyln onl.. 10 ..1 It. SELLER .1.. ..,... 10 1011.11 Smuk. Dclltlon u required by Ih. munlclPllll)'. 1], ASSESSMENTS FOR MUNICIPAL IMI'ROVEMEIO'S. AII.....,menIJ lor rubll.lmr,o..rmn'" oomrlelod o,und.. conaINC:llnn.1 dlla 01 11,1,....._1...10 ho r.ld I. lull, 0' allowool b, Ihe SEI.LER .llh. limo 01 clolln, 1111.. 14, ADJUSTMEIO'S AT CLOSING: SEtl.ER ..111 ray 0' .lIow II,. N.I, ROIIt, Tunll.. Peo, Any..lllln~ mo'I~'IOI or lIenl"lrnat Ih, property will he paid off (rom lhe nel proccNllllh, c1osln,. Renll, Wlfer charlU, sewer charCCl, luCl. Inlmat on "" mort.I" to be IUUmed and Cuel, If In)', are 10 be pm-riled In &1110 o( paulnlllll.. 15. PERSONAL PROPERTV AND FlXTUR~1 a.. Ind electric filluru, cook In. rlnca .nd oven., bulll-indimwlShera, hoC waler hellln, linoleum andlor wail-la-Win clrpelln., KRenl, .Iorm wlndoWl and Ilorm doo,., ,hldel, blind., awnlnc., ndr'lor COvtn, healln'lnd alr-condUlonln. Ipparllu" radio Ind .el.vl.lon aerl.1 cqulpmenl, If In)', elcept where owned b)' Itnanll,lf.lncluded In lhl. tal,. Thuo.re 10 be In wolldn, order II lime o( closln.. Th lollow mo. ,I luded t. A I, 1,lon: - 0: _ D CONOITION OF PROrERTY, SELLER '1"''' In mol.',ln II" I,ounda, bulldi." .nd Imrrovemenll, In aood illon, aubjecllo ordln." wetr 100 lur. The rn:miJeJ .hall be In 'b,oom clun' cundilion Ind (ree or deb", an the dll. or Cln.ln,. SEllER rtprewnlJlhl' III tleclrlClt, rlumhln" he.lln,lnd Ilr condllloninc a)"lems (I( Jprllclbt.),lo,llher wllh.lI filluru Included within Iho lernu of Ihll ^crCllmenl now wOlk .nd all.1I bo In rrupet workln. order .llhe lime of clalln,. 17.. RISK OF LOSSI Tho nlk 01 lOll 0' domal' 10 lho rrol"'''y, eacerl onlln,'l' wea, Ind 101', I. Ih. SIlI.I.ER'S III('ClIlIlbllllYlUll1I dOlln., II. BUYER FINANCIALLY ABLE TO CLOSE. nUVIlR "r'OI.n',lh.1 h. hllluffi,lcol...h mll.ble (Ioselher will, lhe morl'I" or mort'IIN referred In Pa,..nph '6 10 complete Ihi. rurchlao. BUYER bell,va he II qUllified for Ihe ""'''.... loon deacribed I. P....""" 16, It. NO RELIANCE ON OTIIERSI 1111, ^Ireemenll. enlered 1"10 baed on Ihe knowled,. of Ihe p"dea 1.'0 Ihe Vllu. of the land tnd wbalft''' bulldin,l are upon the Properl)' and nolon In)' repruenllllon made b)' Ihe SEllER, Ih, nlmed Dmh,(.) d. Ih.lr ..enl. II 10 ch."".. 0' qUIIII" 'rillS MEAN: TnAT TnE PROrERTY IS BEING SOLD "AS IS', EKCEPT AS OTtIERWISK MEIO'IONED IN ';"i4~ I,CREEMENT. ' 20, bINDING AGREElr.llO', , Thl. A.....,WIo' .Irul, II,. ~m.LEk .... IlUVER ..d .1.. 11,.1, 1,.1" .nd 1"'''0.,1 . ~ , r~lUenllllVlln Ih. call of duth. II lIlO I. lh. enll,. and onl)' A,rttmtnt belween Ihe.plrtla IJ1d neither hu mad. .n1 '" 1<. 1<' 110 U1' III III '" III '" III "' Il. '10 III III III "' III "' 111 II. '69 110 "' 111 111 119 III 119 111 119 '19 110 III III III "' III II. 117 III '" 190 191 191 III '99 '91 '96 191 191 199 .00 901 .01 .01 109 101 106 "OnU.. or IUAnnt1"o1 coolalntd In fhl. ^"trement. II i,.11O urWt'nlood lh,' willful ,dUIII by tither 1'".,10 perfolm IhI .' plOlN.... and rrpftHnlallonl made bylhem In Ihl, ^.feemenl wlllauhJec:t luch 1'111)' 10 d.mlla and will noC d.(ullht 0,'"0":,', Illht to c:onunJulonl earned. . 21. The SIILLER and DUYUR aUlhorlze lhe lellln. Orokt','lp leethe aztd rel.ln.ll drro.1I mon.,.ln rlC,ow and to PlY lime 10 SELLER uron clolln,. taup' II ,t.led olhrrwillln Ihl, ^.,eelnt"l. 11. The SELLER doa lulhorlUl and dlrectlhe clolln.>> II' In 1"7. 'Ilhlllme of clolln. of tlllo,lhe named nroh,(.) for HOllcealn rrocurinllhl, ..te~ cV'1!nJlllon of . I or u rer' .,reemeRI, Iq bt rlld II Collowl: 10 S.lIIn, Broker --'1 /..11. . . U.llo, Fee 10 U.Una Droker 0 v, Ullln. Pee 1110 c:onunlulun ,h,1I be due Illd r.y,blollthe limo or lelUl1 clo or 11110 and 111 rurchuo monoy con.hJeullon hll been ,ee.lved b,lh. SELLER, Th. SELLER ..,... and "knowl ... 'h,I'h. doll.. .mounl of th. Illd .umndulun ",.11 be . lI.n (. 1."I.I.lm) on 'ba J'Ilreb,.. moo,'y F'oc..... derived from 'h. Ill. of 'b. .ubJeel P'O",,"y, The SELLER, by 'bl. ^areemenllulhorbaand directl Ihe DUYER'S Illome)'. or the lille Insurance company, whichever II Ihe elle, 10 pi)' 10 Iho broker(l) the rull eommiuion II Itt rorlh lbove out or the proceedl or alo. rrtor 10 tho pl)'ment or an)' runtlt 10 iho SELLER. Tho romml"lon bl1l. dul)' rcC't1r1td b)' Iho Droker or his Ilenl. Dr tho eh)!ln. IlIomo"l or 11110 Insurance comran)", check in r.yment Dr aUfh commJ..lon.lhall be deemed I releaso Il1d dlacharlo of the 11m cruled by thla rafl,Jlrh. 13. NO ASSIGNMENTI The DUYER cannot I"lln Ihll ^IINment (IJlII~rer 1110 anolher rel1y) wllhoullh. SELLER'S written toRRnl. 2.4. NOTICES, All nollcel U requiredln Ibll ConlNlc:l mull be In wdllnl. All nolleelsben be by certined mall. bylele'N1m. or b, dellverin,lI rcrlOnlll)'. Tho lelf.rlm or certlned Itller will be errecllvo uron &endln,. Tho reflOnel deliver, will be .IT.div. ul'Oll d.llvery '0 lb. olber pl"Y, EACII PARTY MUST ACCEI'f TilE CERTIFIED MAIL OR TELEGRAM SENT BY TilE OTIIER PARTY, Noll... 10 lb. SELLER .b.1I be .ddreaoed 10 Iba .dd.... lhal.ppe.ora on IIn. .ilbl (8) of 'bll Conlrad, Nolle.. 10 'b. DUYER .b,1I be .dd....... '0 lb. .dd,... 'b,l'ppe.ora on IIn. len (10) of 'bl. Conl,"I, Noll... 10 lb. Broker(.) .b.1I be .dd....... 10 lb. .dd,...(..) 'b,' .ppe.ora .1 'b. end of Ibl. Conlll<l. 25. ACCURATE DISCLOSURE OF SELLING PRICE: Th. DUYER and SELLER .erllfy Ib.I'bl. Conlrad."ural.ly ..neell 'b. ,.... Ill.. p,ic. II Indl"led 00 line fOlly-.I, (~6) of Ibla Conlrael, Th. DUYER and SELLER UNDERSTAND AND AGREE Ib,l TillS INFORMATION SIIALL BE DISCLOSED 10 Ib.lnl.m,1 R.venu. Servlc... required by law, 17. fOlNTS: Th. SELLER 'I'''' 'u F"Y up 10 nnance cherlo. 18. CLOSING COSTS. Th. SELLER "I'" 10 <redil'b. DUYER UF '0 - DUYER'S dOlin, co.ll. 19. CONSUMER INFORMATION STATEMENT ACKNOIVLEDGEMENTI By .l.nln, below. Ibo Itllenand purchuen eeknowledlo tho7 rteelved Ih. Consumer lnrormaUoa Slalement on Now Jersey Real EI e Ilonahl", from the brokefl,B rirtM Involved In Ihl.lran_llon prior to tho fint ahowin. of lhe properlr. 30. D CLA fl OF L1CEN U RELATIONSlIIP(S): ' A. I, AN A I E RE!'RESENT ~V OF AM WORKING IN TillS TRANSA AS (< 'U05. one) 5 LLE o DISCLOSED DUAL AGENT 0 T NSACTIONAL BOKER B, INFORMATION SOPPLIED BV - (nome or olher linn) liAS INDICATED TIIAT rr IS OPERATING IN TillS TRANSACTION AS A (.h.... on.) '~LER'S AGENT o BUYER'S AGENT 0 DISCLOSED DUAL AGENT 0 TRANSACTION BROKER' 31. Addendum/Addenda a'la,h.d _ ,..; ~ no. 31. ADDITIONAL CONTRACTUAL !'ROVISIONS (IF AN\'): " of tho morlalle amounllo a lemlin.lnllilullunu I , at lime of clolin,. lowartlt . (name of II.......) AS (name or II....... linn) BUYER'SAGENTONLY ~~ct&.r.ml WIln<s1: J. .Jofl Date SELLER 5,5,1 tla-......... ~, i..u. 101 101 '''Q 110 III ;.hh III Dat. /-;?/-f1,f" Dale MtJli BUVER S,S.I Dale 111 S.lIIn, Broker: Il9 Tflrphone III LlsllnR Brok.r: '" 211 MeA""",,, Teltphone ';'I"HfU.tl'I' 'I"" ....<0..\.. No lice'" To Duyer arid Seller: \ ~ MlW IkJul:pili ,Nollce D~fore Slgnll1~ 1hJ: Contract The,Supreme Coun of New 1ersey requires real ,eSlIle brokers 10 g1Y,e,y,ou the ,following Infonnadon before you .Ign thl. eonrneL II require. u. 10 lell you thaI you mUll read all of II' before you sign. Here Is the,lnfonnadon'f~r both buyer and seller:' I o I am a real eSlale broke'r. I represent dIe seller. I do not represelllthe buye;." The dde company docs ncit represent either !he seller or the buyer. Furthermore, botJi th~ seller and the buyer should know that It Is In my fmanClaI Interest that the house be sold and that the closing be completed. ' My fee Is paid only If that happens, The tide company has the same IlIlcres~ for lu Insl1r.lllce premium Is pald only If that h~ppens. , , " , @l I am not aIIo~ed, and I ~ not qualified, 10 ~ve either th~ sellcr or 'the buyer any legal ~v1cc. Neither the tidc company nor any of lu officers arc 1lI0wed 10 glvc elDler the seller or buyer any legal I!'ivlce. ,Neither of you will gel any legal advice at any polnlln this lransaetlon unless you hive your own llwyer. If you do not hire a lawyer, no one will represent you In legal mallers'elther now, or Itthe closing: I will not represent you and the tide company and Its officers will not represent you In thOlC mallers, : " " , " , , () The contract Ittaehed 10 this notice Is the most Imponant pan of Ihe sale.' It detennines your rights, )'our liabilities, and your risles, II becomes final when you sign It- unless It Is cancelled by your lawyer within three days - and whcn IE docs become final you cannot changc it. nor can any a!tomey you may hire thereafter change It In any ,way whauocyer. . ..... : '. '.. . I o The huyer especially should Icnow that If he or she hu' no lawyer, riD one 'will be able io advise him or her what 10 do If problems arise In connection with your purchasing this propcrr/. Those problems may be about various manors, including the seller's tide 10 the property: They may affcet the value of the propeny. ,If either the broker or tide company sees that there arc problems Ind that because of them you need your own lawyer, they shoul~.lell you. How~Yer, IE Is posslbl~ thlt they may not recognize the problems or thlt It may be too Ille for a lawyer to help. Also, they arc not ~ llwyers, and they may not see the problem from your point of vl~w. , , o Whether you, seller or buyer, retiin I Ilwyer Is up 10 you. Ills your decision. The PUrpolc of this notice Is to make sun: you hlye some undemanding of the tr.nsaedon,the risks, who',represcnu whom, and what their InterellS are,:when you make that declslon. The rules and rcgulation.s concerning brokers and tide companies prohibli each of them from suggesting Dlat you arc better off without a lawyer. If anyone makes thaI suggestion to you, you should carefully consider lYholC Intcrell they arc servi:ng. The decisl~n whether to hire a lawyer to represent yo~ Intercsu Is yours and yo~ al~ne. "These two lCnlCnccs conceming who lhe broker rcpresenu prcsume that Die broker rcprcsenu the seUer. They can ,be ~hanged If the broker Is a buyer-broker or a dual .genl. ", , The undersigned .cknowledge that before signing the co whIc .lUched as. ver~;;J.; I11Js COnlr.lel of Sol , SeUer SeUer Dille they ";etlved and rcad a Copy of I11Js NODet Buyer Buyer D.te ~' "- ...... . . , , , , SUMMARY OF SAUENT FEATURES I Sub/KI Addl'lll 429 Ferril Street Legll o.lcrlpllon Block: 14 Lot: 03 City south l\ITboy County Middlesex Slate NJ ZIp Code 08879 Cenlul Tracl 5015-76 Mlp Relll'lnce 8 , U-ll :Ilags Bele Prlce S o/e Date ot Sale o/e BlllTllWer , Cllenl o/e Lander Pet COrdick, Qlard1anship Size (Squire Feel) 1,150 Prlce par Square Fool S Loclllon Average Age 30+ CondlUon Averege Tolal Rooma 5 Bedrooml 3 Blthl 1 Appl'llaar Dale of Appl'llaad Value Jim Heath, SLRREA Hay 31,1996 I Flnel !lllmlla 01 Vllue S 121000 I "TOf14...............,............ ,...tIII IJ,L IILA III 6LItIIl:AI 052996-4 p, _. .""."... UNIFORM RESIDENl1AL APPRAISAL REPonT ,,~ N., , ~~__429.t'onID 6ll00t , ,.,SWU, lvtlVJ. ,.....11J .......OOu7?.._.. ~" ...._~__Dloc;kLl4 lnllOJ, .., ,"...;''':''._.l9?5.i.!.';'i~~J.2'fx1''''~:~TIO?~..-:.iA''~:~= _""..'!'_D/Q.1.oJa1 Donc, ;,:......:., . _ ........ .............._ I 0-.. t..- V.-M " PM......... ........... I "'" I Ic-....'uw....." IlIUt ..... ; ,,,w.!'-_""'."-....._"""-__.n/a _, .... ... .._,...-0 ..U-H.IlIa<JD,_'-',,'',50l507.6.. __. 1 ~~___nllL!l'''''''' n/a ._____n . .DI...-.......-......""....,.-~'-..,..,.,....n/o_______ ;....... ra~~~ck."'~~aneIUP--.:::\:~9~a~~n~E~~"..11a~3~~~1QrQ.. . ~ ......... '-"'-.x ........... ""' P,Momlnanl ''''DlI ,.",", hou.1nl ,,......, IIncI UN ,. LInd "" chen,. > ..... 0..".. nr., lNIII'"' _~upMC' ~ = r........ _60~ [iJ........ l_ ~ ( -.. - 1\ .- _ - ~- :~~. 615.. '''. 25 ....... _30.. n._ -..- -- 1\- _..... ,.... 0 'V'.~~:......... _0 "tIo.chan\lO.__ . II ..~ ........x "'..... o..~ V--'IO'" 1~'1\1 c--.. _10_ is_cu.uontly__ ~ """'...... UWr,_ Y u_ ~~ !.-!......, l15- I v"cgnt ,-;""";;':;'- " NoI.: "te. and the nclll compoltUon olUt. ",Ighbothood If, nol 'PPl"Ilul '.Clon. V --...- '1110 Dubjoct.iDl:QJrxIod.by Hain Stdo_tJ1Q tIorth._Droadwoy_t(LthQ_ I .E4itd'JlrtiutrQQt.to. tho..Swth. .andJlouth .JS~to..tho .WeDt.._.___ = ,......'*................,.....~.....,..,................,..~""--..................,.'"'....~..t · J!olQhbQrhood_oWO<Ull..ptablo. and.lTQIlt. proportice, ,awoof. to .rociQVO ,l]OnMI.JllIl!l1tcnanco_DllILaro_ a J:QnQJ.d~!l'UJLQ.vg,--l;';)rd. \'ropl;!rtloQ ,arQC01p1'iQQ<\.Ill. hq)pgonOQllQ. o1I19IQ. ferI\1ly_<;l.oQ1UI19'l. _which.. H .~Lto.~1).'lUlOnMl IMlntenanco.&.upkocp, ..ScllOlllD.. nhow!l1q, ..!JTPloyI1"e/It.,& .otl1oCQctYlcClL.. g .DJ:g_r~.l.lY_c~QllDlblo., MnrkotabUlty_hoe, historically, prO\lllCLtQ.lxl.QQtiofactory, .ll<Llld'o'orno_ D ~tlonlLar~ \<'l1lch. "9Jlr.l.affO\;\;..futuroJNlrJ<otabUity -PLvoluo .~..Qt.tln'l-P(J.n~ ',: '""-t....................,............ ~....,..,...........-dl.... '""'......................... ...............".. "" III............. ..,.......~ li...................,........~..~........."""""'....................._.........t i ~hJn;I.lCQtl'!LPl'ClpOrty _"oluoo .iJLthin.l1'drkoLaroa_aro_=..OIltlY.n~lo, JD<! J.nt!'r.cltt_ram { JIa..f~ltioU'>lr~haeln\l. .~r. .o.eluqqiDh_e<;Oncny .prl'Cl~u\llYJl'lljllr.Jn~roaO\"L1IL- ' Jwg.lnq.pr1~ee~Mt!l1q_tllreD. aro_ typlcally_3oG J1"!1nthe. ..tIo_8pOClal..f1nalJ~lnq. wncosoionlLlIr'L ;~~ova.llJng_~ruparkct,_ financing. ~~,typlcallY _ ft'Q11. Q?llventioooqc~lI9 ~~!'CCs; _lnc~usiYll_oL " t"tYm & varlablo r8te rmrTnnnn inSt:nurento. S8.1eo nrtcco nre tvntcauv ~3.:l' of llot'nn nricea . ProJclInIOflNlI'onIOlPUD. .............,....,............................."'.....O---.........ftOAj, y" U-N/A ti ..............,.,......i --..... UfId I"'fld __-P-LA-- ........... ~ --........, .... .. '" ~""--.Jl.l^--- D 0..... _.............. _.............. MIA " - ~~ x 100.. . ,_..... !i<lnor"UyJ.<!v..ll! 'I "'M' ROQ..WJT_________..,_ ""*'" D,,, iii...... .Q1nfortl'lJl/ll~ighl;1Qffi;l :,: _...._l"',...,,;-;.g...,~Ile~id,ZOnO.RA-..l=faml~ -- ,~tlYJecUlI1qlo_ f,............. lllJ"- 1.eIIl~,~'''''"_t U..... UMt....... ~ _~J'd~~t;e_ j ~...,,-"""""" ........- I 10.._1....... V'It-. j'ypicaLRo!J.1.d..,Y~ . UlIUU.. ~ or.. on..n.1mpfowtmtntl TJI'I ~ ~. ~ .Ayerege_.f.~_ ~ ......., rx ZQ.O..JI!IP_'- ,l.l~t,.o;m=tll.-~ I- --.- .Macadlrn I coo.x "- .sla..t.!! _ _.._ 1lQno_~t<<! J ..... .i ___..... ,!:on<;t;'!.:t;o PIMA....,,.. ~ ArM U y" Lx..]- :. -- .x ,...,.... Iln~9\lOI1 _ ""..... Z9no_C ...... M.6- , .-- 1- Not' An-.lTcablo ......"...34021" ono,.. Z r-.1...............-.--.-........____....;..........,f1......~...._,..J: .t9_d~OL- Ii .IDl.tY!'Y.h'\lr\Uy~l1011lo. focr""'i.... LNo.advo(so_ ~JSOOnts. _ encrQ/lc~nts , ?U1t.hor:wi~\,_ unfaWrabl&. ;/1 ""-sIte corxlltlons observo;!. The sito i9 oesthctlc.U"'nl",,eln & well S Innrovamnt9, CltHIIW. OIIC_t~ I"UIIO'l DIIClUPflClfol tol.Hl"'1ClH IAltulNT "llA.lllON ;' ......... J.J!niL '-- J;:!>.1k_ - tIo ........ J1:19_.... _~ e ........ 1 ,..."... 1\.1\11\_ c....... N9__"~ .Unfln._ ~ _Uokl- ! :::-~' ~~~::::.- ~:C&L =.. ~~c-1,~L:'- ~~k~:: _UI1kL l -- _J;:>dJl~ --- '''' \'IOQ:I_lll_....... llono..Jlot.c<;L - .=ret.Jl. - _ T "'no' ..3I2L- .-..... 1\1\111_"- tIom:..not\1CL ......,...1l2-_-_ I IIlI64'" """1 18 ........VNHooM N ......-... ;~~ oted I 'r\1n,ror area H fWXN. ,.,... ~ _~_ "'.W- 0... _ .!.'!:"t~ .....'"_. ~_ ,It,. ~ __~ M..." C; - -- - '-~ --- --.. _lL. _llJO_ _llJo , ~ --'L- _1._ .h 1_ __._.. _._..._ __, ":~L _l~.(L __ Jl~L _--1~.9 f w..I. - _ _ . h _ _ , ~",,"'__0lI'lItPa: 5 fbwol.: 3 ~11; 1....,,1; 1 150......'.....cw.lM'wAr.. ~ Mt...,.. ...~ "UTHG tlnCHOfICl.ll". ATTlC ""'INttlrI CAA.roAAOI: V -. II!'I_lV.l.n/llY'9_ '''' JIWllD_ ........ - f- -., _ - 0 I w... ~ULAyg__ ,"'" .GM_ ,.~ ..... f- P... ____ 0ttIJfI I..... = ,- ~/A'i9_ ~_I\vg,_ - ....,.... ...... ~ ....,., f;fLAvg. (00...0 ~..... ...... l.x PIlflfl J(QOt_ o.lto:t'oM j'~_ I ....,,~ O:rMJJ.&LAY'sJ,_ c:.-.tl Po_ ,""'.. "'* f-'" ....... ~,~ ..... ~.!..-- Ohw.NQ --.... HI'''' ~...... c...,.... J ~ 00 ".....0,. ~ o.t....., l'. ,..,., ..,"'" l1(IItdtI-.r ...... ....... ... t: _HonQJlQt<<)Q. . _ _ ~ ~J:!IIlof.or.2f.solo _was. noted oyer_ (>1st.Ycar ,_t/Qn:r!llll tY.lt"!,,,-,."'rfUlotsonel~cr.CIl..l.n. Y~IY!L. a c........"'......--............~~....~.....,.............~ I 4""'.........._..1 .QL~lL ~ .woctl.tlOJLo.CthQ_s...ubjoct .iD_t;'OnsidcrQ<\ ,avoraqo-,,,lthln_thiQ l1'dr~ot._t/Q.l]lOjQt:.r~l"L......e_nQt\l<;h ~ ~CJ;.epal.r9..J'l!.intlnq. .alXtqarD9o"rOQf.r~rD..J1eedcd,--~hyoiC(ll~l'PI:Q!:lotion_ta1\.OIl_foL T lIOmaL~_a!J:Lt"",",_No.JllllIlSuraQloJ:unl<!;ll1JlLoC\lXt\lml1. d~~lati\lfl--M9Y=ant.Lel!Jl!pll.cd . ...... ........--......... 1-..1\....... I'IlIf ........". "'It..... ....... "*............ ..,...........'" ~ 1ft tot ...........~.. ~..... ~, --....., 'l'hc..arPraiGor_i9.not.aWOl'o_o'-& ,hoe ,notsblcryo\tcnY.adYcrso ',. onvlronmntal t'rnYlitlon9 In tho immdi~te vl~lnltv ~t thA Gubi~ at tiJoo iit thi. ;'~rt. "~~ ,..........'-".., "TO,""................"'...I!IIIldI,... I.IOI)AlAMOOI 'AGI'IOl" '......UM,...IOl)t .n .,...,.... ...,.... UNIFORM RESIDENTlAL APPRAISAL REPORT '", No, [ "''''''O''''UH~ . I 45,000 r....m"'lntl on ~.I ~'ch lluch .I,lt)ItfU olenl'.,"m..., "t, '0 ...'..llflIN,....UI(;'....U..III.WI" ...,.,'1....'..'.11. u~,.,. Illl"'" loot UWlhon lAd In, 1100. VA. .11ft r"!tl~ !he o .... 1,1!>O ... n It 5" .00 .. (,(,,700 ....m.tlWt """W1"'l1 kCMmiC 10" ollhl p'''f!''trl , 1,130__ ..n II 14.00. 15,1120 " 01 Klt,l'l)I.lp,/lltlc 17.,'>00 = ..""c:...... 624...".. 22.00 13.nu , ,..........c.tl,... ., 100,748 ",- ....,... ,- .-.... ~ __32,62'1/ Q ~'"\'.......~ H '-, .. v.. .. ... .......-. .. IHOteAnD VALUr BY COST A""OAeH 052996-4 .. .. 32,624 ,76,124 4,500 125 624 OCl'rcclnllon ro[locto nollMl wonr &, toor_~ uolng ngo/lHo~mothed & obooIVl1blo ~ UH oHoctlvo ego. tlo !unctlOMI ~ornxlornllt oboolooconco woo oboOIVod nt timo o! Inopoctlon. IiIrx!" to vnluo rntloo in ,nxccoo or 40\ oro t Icol to hnmea In thin orono ., ., n,,, ~c, Cnu"AiIIllII' M1 I Cl'JUiII,Ul.I.IIU NO . COtot,,,,,,,,u NO J 429 Forrfo Street i24 /lUdgimtn- St.- 16 OIIrklllw St. 238 llovld St, ,~!"~- South ,"~ South hrtr7t South hrtr7t _ South hrtr7t ~~ """"'l~""""~~ I . ,liT",.;:" 1(4 Hllo ,.!I..L!:!!J-'L 5 Dlocko ~,...,...._~ '.. nln" ~~};4.l:)' l2~(~,l'h!tlr,m::41n. l)~ 00 . ~l'"*~'_ L_~_ " 90,00. 1T\ilT~. ,91.72 ., . 81.25. ...- Innpoctlon tllE Clod' 505774 HIE Clod' 410820 'HIEClI;d 1.ji2364 ~~~-~ Exterior InoECCtion Extorior Inspection .~crio~_InBpcction___ .!....~~_~_.~t.._. onell...'Ol _OfICIlIf'lION 1111............. _OIICIlI".lOH, .II.lI.'.~ __OfIC,",,'IOH....I!.n!_~_ ............ l~' 'S. Con""ntloMl ConventloMl ConvontloMl --, ' "$" :'>. lIone noted lIono noted lIone noted ....-,~~ "",II, 11/05/95, 03/11/95, 04/06/95, , ~..._-~ ,/lverago ./lvorago+6,500~ /lverago, /I',(orago ....~'"~-- ~F",!,slnplo Fee slnplo Fee slnplo ,__" _~____r!'<lBlnplo___,__,,__,~ !"---- ,62><100 I/lvg 6lx9l IAvg 50xlOO ,//lvg _ +l,lOO~!!.OxlOOj/lvg__!l'!Qo_ ... ~ ~A\(Orego /lverage.~ /I""rago ,A Co' veloran9'.:l--_' ~_~_,,'_'~.'_-__ i ..,.,.....~!_- ~RIlnch, OiLovel Cape . ia . '_~_ , A ~..~ _ . Average Average Average Average L ~ 30+ 30. 30. 30', '~~.._..~~~_~ ,,__~ : ~ -AvC~ _ AvcrlJgc_. AverlJge_ _._h_.'."._h l\~crlJgc__._n_______ """'Chtl '011I s.-. Il.~ loW ~. II.... TOIIl ~ ".... -L-_.~_~~_. g -... =5 3~' ~l 7 - 3 ~ 2 -3,500 j~ 4 'i.,o:-: -6,500 ~_6,J ~~~2 __ -2,000 .. ~~~ _1,J.59k n. 1,400~.~ . __:6,2~_0_ ___1,45Q"~_".7,~_00_ __._1,6QO....~_._~.11,2_5Q_ : -,- 1130 n/a. Full Dsmt. Full Dsmt. n --.... _Un!!n_ , ~__~ ~ ~~, ~ ._,_ Un!!n __"__,,___, _ Ji!l!1I1, __h _~.,_, ~ ~~ J\ye(~gc _ q"_ Averagc_____. .._ ____ J\vcragc___ ._. ._______ ._Av..erllgo. .____.__ o ....-.-..-- ,!jW!llI!tIono , FllA/NOno., "~ ~ ,~, FllA/CiIC ",_,:.3,500. Stoan/NOna ~,__ N ~-- _'!W,ror Aroo '!W.!ot:aroo.___.~_,~ '!W.For Aroo._..~_~__h.. ~'!}'p,!ocar""__, ___ A ~~- ,.2_-'lf>tlIched t 0/1l1.~_ ~h_t2,500_ tlo~GlIrago _,~_~H,O~QQ~ ~U:arJJetJ_._i2,~oQ.. H - ...., - Front Front Porch Front Porch Front A ~'1. tIC. None None None Nono L --~--,-~", ~-"------~" __________ ____ __"Wh__~.____ Y '_,""""'Ie. _.E~_c;:cnronc F~nccroofle__ .__. __ .___ Fence/Nonc_ .____.._ _____ .Egnc,c;NonE!___ ... 1 ~~~l"-"'I_ -....- .- s 125,250' c-...........~~,..Iut'fOCII~.--..lMf)ob'."'~,.lcl. 130 000 ;'S~--=)2;{69_ ~ :I-=~;~~O s 120 600 S~o.a~!:Llj:~~UlClj~nd1I. , s 120.350 ITI" StJIlI(CT C(lt,l'..".I.N.1 NO I COU"UIlAIllI NO , t..(lU'AIlABlt: HO , ...,-....... n/prio lIo BIllo or listing lIo BIlle or listing lIo sale or listing .....,.....- notoo 111 past year. noted in past yoor. notoo in past year. ~ ........... Droker i~!res.' Broker ires.. Broker ires.. ",..,........,-.... ....-.........~ .......,.. ~1J'IlCII"'r""~"""""'_'''IIIItpocI..............__"...,..............,.,. ~1lID;(!!lrJ;hJnc!1,""tes_1]O current or prior,salos~or listing history, t:or_the,eubject_&.~rabl"'1 ;' ~~~Lt!J!In_tho~roported BIlles. '!lased ,oq~r~oottor..J,nquires .'~no"",l,e~c!LQt!i',("..uabJLBOUrJ;~.J. . INDICATED VALUE BY SALES COMPARISON APrF'OACH . -12..11000 INDICATtD VALUE illY INCOM! APPROACH f' .l1JCllrft/ll1 r.....'-4..~,...... 'N A . . n.........."..... ~ ...... _J~b,....................~...........hlN... _ ~........-...__...IJIICIb.",. ---.- .'Ib s~nWraiBlll is being m>don~I\sIS,._,M ~1I1structoo with ,po PI'~ng <;\ln4JMQ!1ll.~noted Thi._.FPr~BIll~is~n_summary.roport~!or~~o~o,of estimati09~mar~~t_valuo._ R ....__ Princlplo arphllsls was gl""n to tho markotaWro!lch, ,which~best,rofiect. bJyer, _ ~ -=J;t.iQ..ns_~.\1!,fMr~e~ ,placo, ~ Tho ~ coot~ nWro!lch~typl""lly~sots, tho~ \IPPO~r_lll)1J.~ of..'{alYe,I1I)d,,,,a,s_ 3 J;QUe.i,\lgrllCLne_!1 chcc~ on value. ' Insu!!lclent, dIltll,was ,nvail~able,to.arpJ.<'l',1I1caoo~,nwr9!'ch._ c ~ ~..,... ..---.. b....... N ~ """..,.. ...."""""".............".. ....1'I1O'l IN.......,.. ~ ~II/'d,....-....................... f ~...,.........I.......IrtIlnoo..............h....~Id...''''''"''..M'_U..'__'''"'_IOOol..I......... I ~ IIW!)t:lnIAATETH! MARICUYALUE, ASDErINED,orTHE REAL PAOPEATYTHATIS THE SUBJECT OF THIS REPORT, ASci, ~ .M.aY._ ~ I,. 1 ~9~_ A (wHICHISTHIDATEO~INS rCTlONANOTHrUrrcnvE:DATrOFTHISREPORT}108EI _ _ .121,000___ _ ! ::I~' ~~ ~ ~ ~ :::Y1'OR"PPR'I"RIOHL"'R'~'R'OI: [I... [j..... N ~~~im ,- "'_ ._ ~P-'r I?'''~ - _Novmbcr 4, 1995 o.,,~"r" _ __ h__ __. !.~~.~___ RA-:003100 St...NJ s.."c..tb_. ..______,.... Or '''''l'-' ,.........r-JO..J I.... ()I....U._. ,.. '-'U."_'D:>II.) .,O'4.1ftW.............,..lt~.l>c tllnOAl.&.IoIOO( ""01 1 Of'I . , , , , . " ta on Ial.. "'--..4 ........ QJrpIrable 11II1.. over the preferred six IIIlIIth time QJ1del1ne were utilized which nprHent ths nOlrHt and I1'OlIt C'a1plIrable d4tl1 availabla, eroel livllllJ areal of lXIlpIIrablel edjusted at $25 per equare foot, rounded to the near..t $100, S1nce aU Cla1p prqlllrtl.. were rectange in size _Uar iota were edjulted at $100 per front foot, ~e to a ieck of limUer d4algn ranch 1nprovsnente in the subject'. 1mned1atll subMrket, C'a1plIrable 881e. d4tl1 utilized were different 1n design but very.1m1lar 1n utility, and are conaldered to I1'OlIt ec:curately reflect value of the subject prqlllrty aftar eU lIfFllpriate edjultmentll end 881.. ~--...... .-_. , , , , , , DlrH110U 0' "'''Kn VALUII The moll probatl6e price -'*h . ptopetfy IhOuId btIng In I ~ Ind open I'N"II "* II oondIIlont tequiIIN II) I I.lt '11e, f)t b.rrtf Ind ...." 11th Idng pnMWl", ~,lC~lJJg"bJr''''' "Iuming "'price II not .ff<<1edby~ .""""'. ~In'" deAnlllGrllI "'00".""''''"10''01..... I' ofllpeClfled date ."" f)t penng of... froII'l ...., II) bI.trtf..",.,., c:ondIftonI .n.tlby: el) buytt I"" ...., .,.1ypIcIJy rtIOtdtad; (2. botl partIa lit .... InfonMd or .... 1ltriItd, .nd 11th IdIng In ....1 he OOMldM hie '*" bMt 1nIIrett; (3. . ,..~ "'" II .Iowed lor .1pOtUl'I1n fit open """It; 1~1 pe",*" _ made In *"" 01 elM In US. dole" or In "'"" of InMc6II ~~flble,*",; II'ld IS) IhI pne"lpf'ttenll f)t ~COl'lIldattllon lor '" ptOpIl1r'aoId "",,,tcttdby ~ or CftItv. Wncing or ..... c:oncatllonao orl"lId by In,one .MOdI.. wilt '" llle. . A4lIiMntIlo fit ~rlblal mull be INdt lor IPIdtl or cr..'" h~ Of II'" ~ No IdfuItrNntI Ire ntCIItary lor f10H COl. tINch .re norma., pe.td by 1\1 ....,. II I ,....... 01 ndIIIon Of II. In I ma"" lit.; "'" COl. Ire fIIdIr ldantIIMlAIlInct Iht ...... PlY' fIaI. COlli In vIt\II., I_ ..'" hnuctIoM. SpadaI Of c:rtIM InancWlO adjuItmenII tin be made 10 '" ~ property by COft1)IriIonIlO ~ ltrmI oIlnd by I fWd J*tr InIftJb11land1f "'t II not ItMdr IrwoMd In '" PfOPtf'r Of 'Il'IIKttOn. Iont ~1mInl1hOuld not be tllcWttd on I "*",n/cIl doll' lor doIIl' COlt 0I1ht ....tOlQ Of concHllotl but IhI dol., .1\'IOI.WtI 01 Iny ",1mItlI1hou6d approllmale '" maltlf'. reKtlon 10 '" InancIrlg Of ClOI'ICIIIIOnI baled on !hi .ppr....,.. ).d;tmtnI. CIAnnCAnoN AND STAnMINT 0' UMmNO CONDfT1ON. ClftnncAnoH: The Jwllt... c~ ."" .HI IhIl: t. The ~II. hat no prMtnt or conlemptaled tnn Ant,,"t In the propttty .pprelted; Ind neIIher 1M tmp!o,lT.tn11Cl mak. tha appra"'~ not Iht ~allon lor Il. II con~1 '4lOA IhI apprllted y.~ of Iht ~. 2. The ~_ hat no patIOflIl Anttf"t In Of blal wIlh reapect IG the ~ man... of "'1ClCll'I1tI1 rtpOrt Of '" putIdo PlntllG '" 'I". The "fltimall 01 Mlrht Va"'" In Iht 'WIIIII repor1 " not ba,ed In whoII Of In pert upon 1M riel, ~, Of nalloMl origin of Ita ~ ownart Of OCCJ.4tIrrtI 01 '" ptOptrty ,",,*ed, or upon 1M rltI, color Of nab'lal or'vW'l of IhIIRII"t 0wnarI or flC:a4)I"" 01 the ptOptr1Itt In IN YicIn/ty of lht proptrty .pprtlltd. :I. Tho............._.. _ ..._, bolll_ tnd.... tnd... modo ...__ old ~ ..... IIIId In lht raport. To IN bett ollht AppraIHl"'I .nowIad;t Ind btItf, I_ Ita*,*", and Inlormallon 11'I .. report Ifl WI and cooect. and IhI Awllt., hat not knowingly trIIMtld ,.". IIgnIbnt InIormaIon. .. ,. _ tnd _ ~... """'''''' _ _ 0, ...,..... 01... ueI;MlIotClO'......-. 19'*1 IfttcIng IN 1,..'rtIt. opInIont, .nd c:oncUtlona oonWned In tha rtpOrI). I. ThIa appraltal rtpCNt hu bMn mech in oonform/lr wIIh I"" illI\iIfed 10 1M ~ of... Code 01 Protalllonal EflQ and Btandardt 01 Pro"'llonII CotiducI 011'1 appralul organb:ltIOnI wtlh whICh IN ~... II IrIlIatld. .. M ~ Ind ophIoN concanMg ,.. fill "talt ht lit tttlol'th In IhIIpp'IlsaI raport Wtft prapered by 1M ARwa..... whoM IlgnakQ IR*rI on '" Ipprtlt.1 raport. un.... lndIcaled II "A.... AAn..... No chlnoe of Iny """ ... .... JIlPrIlul report wi be mede by Inrone olhtr thin '" ~1IIf. and ... ,"",tltar wi havt I'G reapona,llIItr lor any """ ...........Id chonge, "-- COHnHOIHT AND LfIImHO CONDmONt: The C*tilleItion 01 !hi W'. appe."", In "''AWl.... report .. NIfact IGlhtlolowlng ~ .ndbtuthothlrlplCiGcand Im/lIng concIIont II are... b'tlby"'~lI'IlhartpOlt. t. The ARnIter IIItImII no rIIpOMtlIIty lor man", 01 I MgII naln ,"eetInO lht property ,",,*ed Of IhIIt1e ..... 10, nor doN: ... AAnIt... ren6tt I'" opinion II 10 '" lilli, 'WhIch .. .tuMd tel be good Ind marlttabIe. The proptrty II IpPI'Ilted It !hough ur'Ihr '"POf'lI1)Ia ctWftll'lhIp. 2. Ant Ikttc:h In ... ,aport ma, &how 'R'ftldnall dlmtnIIoM and II nc:IudId 10 .....t !he rel6tl wIIuaImg '" pr0p- erty. The ~1aIr hi. made no Ilnty of ... pn:l9Irty. :I. ThoAppteiNrIt...._IogJ.e,_Cl_",,,,,,,,_UH.''''''O modo..._""" "'_ to .... poparr, In queellon. unIatI In.ngemantI "''II btttl prtvioutty midi Iher1fot'. .. Ant dialrtlutlon of fit YI....llon In '" report bttwatn It"" ."" Impro.tmtl.. IClClIII onJy ..,..,., lhI lliIlIng program of ...,.Ion. The..,." nVltlOnl 'or land ,net buIlIng mutt not be wed In ~ Irllh any 0'* lAW'l1Ia11tld IfI IlwIId . 10 UNd. S. TM ~ .uumas ht lhtr. Ire no hidden or UI\IllPlrtnt c:ondltIonI of ... proparty, IUbtoI. or IWCU'ft, MIlch ~ ,.,..,., II motI Of leu n\JabIt. The Awa- II","," no ~ lor IUCh c:ondIIIonI, Of lot tI'lgn.aMg tINch m/gtlI be ~ Ii:) dltooYIr IUCh ,.dOl'I. I. InfonNIIon. "tItNI.... ."" opInIonI bnIIhad IG ... ~1t.... Ind contained In '" rIpOft. ...... obtained from toureII ccntIdtrtd reIabIa and bIitYId 10 be M .nd Cllfl'1Cl )towever, no tttpOl'll'" lot aco.ncr of IUch IIImt UnIahad ... .......... con be ........t 0, ... ......"", 7, Oitdotuq 011Mi conttn" 01 the IJlPfIltal ,eport It ptmId by lht ByII.. and ReguIa'llonl of fit proltulonallJlPrt'" cwgW'1OM wtfI which '" ~It... II Iffilattd. I. ...".... not I"Y part of '" oont.,., of IhI fepott. Of cot)'( lhtrtol (IncWino cordJIlona II IG '" PI'OPIrtr "'~. hi IdItIIl1 011\1 ~_, prot...1onaJ datlgnlllOnl, rtf",era 10 any ptOfMlbnll appralall 0tgtnU1~ Of .,. l'ml wIlh tlNeh ... ~_ II connected), ahal be uatel lor Iny putpOIH by .nyone but ,.. clint tptCIfIed In .,. fIPOt1, ,.. bonowtr . appl'I.... ... pttd by .."". hi tnClf\1IOM Of II aucteIIOl't ItId IUVnt, ~ ...... COl'lIUIIIntI. profllllonll appralaal OtgInb.\Iona, Of Iny Illite Of fed....., apprond hncllll nhltlon. .ny dlpal'tmlflf. tgIl'q, 01 nNMrltlltr of '" UnIItd StlIIIOflnylllleOflha Ditll'lclof~ wlIhouIlltprewtoua WltftanCOl'llll'lto'ItI~1Mr;1IOf1hd II be CIl)fMJtd by...... 10 ..._lIwoug/I~,_...._...., ,,"" ,,_-. """""...__ tnd _01........."", t. On.1 .,....... MbjId ICl ....tamry r:ompIttIon. f'tPI1rt, Of "'Maor., tit 1PPfI.... rIpOft I"" ...." mncMlotl 1ft ~ upon ClOft'4)Iatlon 01 tit /mprottmentlln . worlmI"". manner. INVlftONMIHTAL DlSCLAlMIA: The valli HtIm.1ed In .. ,epott II baled on fit .~ "'. lit property It no! naga......, Iflacted by fie .datence of hulrdout Mbtllt'lCft Of ~ an.'~Ol.mtnlal c:ondIIIont. The llI'pl"IIw II not I" .~ In '" ~1Ion of hIt.rdout 1UbI1Ine.a or datrlmenlll tnYIronmental ccn6rtiont. The apptIlt.,.. ~ ~ of ItId ~ about fie NlttCt proptrty eN noI ~.ny nlormation "'I Indicated Iny ~ IlgIVIIcInt hul"",,- ILtltIlI'lCtl Of datrlmatltll ",f410l.mt1'll.1 condi1IonI ~ would .fleet I'll pl"Ot)Iffy neglhotft. f1" pottll!t "'11It1l Ind IrlIpecfona made by I "".Wled hulrdout Mbtll~ .nd IfWIronmenw .Iptft tI'OIM ,...11 ,.. ....tenee of hulrdout mtIltr11l1 and M.~0l4nIMII COt'ldItiottt on Of lfOIIId Iht property "'I 'flIOUId nagafotttr' I"eet III va"". ADDmONAL ClftT1FlCAnON: The 'Wllt" ~ ctf1IfItI ht: t. Thit apprailll conIormI to 1M' UniIorm SII""ardl Of Pro'",ional ~11t.l Practic. (VSPAP') tdopted by Iht ~1taI SlIndlldI Bow of Iht ApprtIUl Foundallon, 'ICapt lh.t !hi OtparUl Pl'O'YItlotl ollht USPAP dote not apply. 2. ThtIr COl11*'IItion II nol ~ upon !hi ~ of I predtttrlNntd VI.... Of chdIor1 In ..lit Nt I.YOII .... caua. 01 the Clenl. th. lmount 01 the \'ll1ua "limit., the .ltIlnlTltrtl 01 . lliluIIted rtIUII, Of fie 0C'CUfl'tnC't 01 I ILtlttqUll'll '""" 3. TNt lpprIitIj lulgnrnanl... not baNd on I rl4*led "**"'"' va....1ion. I IC*iftC ......1Ion. 0I1h11pptOY1l of I bll\. D.,,:.,'I'!'i.~~J.l.9.~~.....,.,., ,. '!m,"H\:l,~~~"" '..,......., ...,.., ,,'.. ,.,..,.. ,......... r....... r...",.u.. "Tou..............."'."........ lIIOOIUI"" ....I.....u.. ''':-r-'~_~ _....-~_ .' ........- --. -~.-..> --- --,' IKIICII AOOENDUM ,.... IIM.J.._ , . --- .....,- ~. .".-- ...... c...o.r~ M9.:'"a.I_!__"L~._ , . - 0;;;_ 19c.M ." - 'l' ~ Jt." II." ,,{~}. II." .................. "I. ".'.n.'. "'.,........ I'''.' .... .. UlflU.., ,J......,.... n.... Itt.' D ....c...a.... Itl.' tlltd Lhl Ar.. lU'.' -..-..... .. , , PHOTOGRAPK ADDENDUM 80rT0wtr1Cltnt Pat Co c, G\h'l tin "'-'Y _MI 429 Forri. Stroot COr South Anbov Coun~ Mldllonox l pilf cOroJ.ck Guardlannhl Blal. NJ l~ Cod< 06619 Front View Rear View Street View ;'1-> , . PHOTOGn'APIl ADDENDUM , , ~!~~Lro~.CO. c, GUlt , an p__", 429 Ferrio Street .. ~ ~~Htr'dr~k~ GlInrdi=~i Klddicoex !illl. tU r" Cod. 08879 Ca1pl1rllblc It 124 Audguota St. South JInboy Ca1pl1rllblo 12 16 Barkalow St, South JInboy Carparllblo 13 238 David St. South JInboy - -, .,. -.'. l'j,',1 '" !"Il\ .,\1\ M..tu.. A~.,"~'..'. \..~4lJ.rJ J ~r...,j, ". '1Qt;,,'J,J 'ORM flE51DFNTIAL ^rl'RA~ POHI PI....!!. 1Q'111'lY , ...,.~,Sg, I~ .....~il,(... lIMM'ij-'U ., ,. :,;. .ril4liA. 501 ~ __,. " ' ..... _ . _~'l1L.t11d\;\lllJlall-.,". ,-< _"__'_ ,. .' T.. ".. 11111!i..'l,L.!.1:ll-!. 1, !l1~ ,.AL...!!&..o.,.~,....-..J.tiI^.,. ,... ." .......,,"'~.~~r.AA.. o.....n'I_~J,I"'.".W.~ . ,". .,. ' ..:J...." '" ,L. ..~......liJ:S.--L1~W.. ~"!>W!''''''"1l~~L,!l9~.uuA-.... - ....~. . ,,,. ",,~. ~.tJ" _..-. ........ ....,n"""u..J.\IlU..1I11=-.UI_.,.o,..1.u.711 -- ODD .,"", .., 0,," -l ~."'f> ",..',,1:0" ,,,. , ,,,,..n,.' ,..n ..,.'... ..nu.UC!.!J.U,J!......lr ..... Nom. .KllUwn. .. .., ......LAm ~~:;f.~~ "...-vic::.." :~~~~. '~Oft~' Main S eaba1d. w.J..,Q2UO ..,. ,...'.. .....'1... \J.".'- " \' .~... 10.' I- "...., ..,...ml"'''' .11"1". .....11' ...._In. I ~....., .,,.,, Ill.. ,. Il-.". w.. ~h."'" ....tlw K g"",7!l."" '.t '.... .....lJf1..,J.~ ..ew,,'''.'' ;r~l ~lf.' c.....tf.." _~-'lSl.CXJt.., ....,0....' 0..""" ",. ....'. ' ~' ., ... _ .>.~ ;K o~".. 08 _2J)~ ,.." _.:lo. '4 ....,,,, ... .-- Do ,...... .......",...'~. l..c'.......,:~ 1....'.. ..,. U.fo'''..... ~ ,.nlln\ 2 ?OO H...," -7~ ""'....11.'.....11., _ 1._--- o.."...."...'y .".~'.. )';' ,. ...,.. _ U",",",O, ill. v....."..", .., ........,.,... r '....m.'.... -. \0." ---- "M'''~. ,_. V""" J , .~. tii. I . . m" g... ...... 'h~' ..... n' 130 ~ .,vaCQnt, ,.Ql! No'" II... .n. 1M ...,., ....". ~".~. ;;-..... ..,.~..."".. ... .0' ."",.., ...,..., -'--'" .........,..... .......".. .., .' .,... '........ J'l~.. .~_.s..t,;. . E{;\ll.l;....JIQJ:.QQ~..AyJl' Nor:t.h....I..', 3!l.JiCi.lW-.-.,..-. livre\!' lle_&,gy.'UL... ...-- ---- - -- - .....N ..... ..n. .... m'~'''' ", YO ". ._.~.., ,,, ..., n.......'..... ,....._... " .-.,..~,.. ... ,_...,11", ...."..m..' ..........' ..,.., .. ...,..... on' UI,/) 1/ I I'll 11: :" 'llll.! '\.\11 11 Ih..",,,"." "...."'1\ L' ~2.'I..l'...,-.. tUl,I." n1001\ ,,, r ,... 0' . .... ,.j.J,..;.'" n:.1l t ~ I ~~ql-.. ~~S~ deMtrH~hl. egtAbli~h.d rftftid_;;ntia1 neinkhorhCaQ .-.--- ~nf 'Rt"fI 9 ~ '3~. ~ovm,.n'r.. _con'tf!T"!! _.!:l!! locA~ad. 'n ft ~t!!ln .- rl AU..~tJULClilI\S.Jlrl.-SAQ.s.U2.i~ l:lmL~;8ni~'ftD ..rui flmftnltiel! Are n t,.tnlk.1.nV' di!ltnus:A..a-___--~-._._-- .'---'.-' -,-. -..- ;.,~ ;~',; 1..,cl~CI", ......" tD' th. .1;1.... cDnclwllOn. nl.'." '0 \11. u.nlll .f .,.,.m yall.ln. 4.",.,...,.upph'. .,.,.- "1.~.tI; t.rr. .....,.~..,. '.' ..,. If'\ ."'. ,...I,,,,..,,,,,,od. ....."pllon of tr.. .'....I.nl:. 01 .~. encs I,".ncl~. COr'lc....Otl.. .,c I :;0\1~" J\mb('~~~.~~,;ri'~..~~n~~~~t~n::~t ~l~~~~~' ~~~8~~~~1I Qf W~~~~n~;l1q t B . i,::,_~",j1rc::'" HOUa!:" S"H A>~l1nCJ: f;;~ 9lj,5';;f t.h~ 11.a1:.. ;.-;;-';--::-,T~~ eu: ..t..:.....J.6..U_.~..ri.nd of 43 naVS !!!m:! _"18R prleft of S122~iio~ DSr ,H'..nL..Jl.A- '_ 7.~ '~A""OI wl~h '''I.OII.'OIm..". ,.. .UC" .. .,..',,, '., " 'n' ........."'..1... ,. ...,.., 0""' ,...... o~.'''' ......,..... IHO"" .----t ... 'r-!,... '" ,.".., ""';'~,... NLA..." ......,"'... ,.'01 ..."'u.., ."", I.'.... '"".. ,....~.',.., '--'NfA l.:....'..c'..". CO""".'" .., ""oue ._ _ ~.. ,....,..."'., on Grad.. . .l:i AcrflA \ c.'':~ ,"u'....':-)"" ~ s.,. ~i eal ......,DD. :.1 ,...,.i" $t'I.p. Rf'!~.n9111ar .~.--~ '.' ... ,.."..~ ~n..n'"'''''''' ...,.c:r,....' CJ M ...'no 0..,.... 'll7""ArM Adnqpace ,-.. ... ....... .... 0.,.., "".. ,..,,'.'''1 . \I...... AvftrACjiJ8_ ott..I'. ,",p,o..,.m.n" T.,p. 1'\0111,.. Pt!!.!.u L_Nl"..'nQ .AVQrana - d__ ...- bl'''' ARm)"l\:' ~ _ 011.."'.' Sut'.c:. D!~ .-. ___. \,......,y"'".. eoncr~te _ App.'."' c.._n'."'. Nnn_ Not'd:l:Sil~... -- _ .,d. ..,. Conc::r... A _ ....... ....... '00'. ....... A..' L..J.,7l::iJ~. .. _ .,.... .'..... ..Inc::..ndeSCont: __ _ '...... Z.na ~,c:, ,..... ".....ll~.~Q.!.-ll.A IA"." Uonn _ n""'''''''IM~ :\40277 Q..U.D..1,g- .- .,. ....t ....Ct'.!"lM',.I.. .F..'.' ......m."'''. ...d. .f.... 1I..u.1 Of IClil.II'IOl"c.....'mll"llill.nu... w... .'0 I. ~.h.llr n ~- rr:..(~n~.tt. flOCt'ooilcluflant". or otnCJ:-adVAra. eond\ t" ton. ..Affectina - .- ...1'!.L.\LA "n n"lt.. t.tiX m..~n.---.N" ""'....... -"".II' . tI ." r I:~<;"I""'O'" fOUNDATION .....at...lNT INIUI.ATION ,'I ......"'... ".. "'... -.. ...... aq ",. 1.21 t Roo' -_._--~. I ,h ,^.a1" ~,....I Wpal,/. t. t:"or,.to.. c.,"na " I t.u4 r r.n A..........,..., 11 C....flQ w.n. -- .,'. .UM.... .......n'.Non. " w,,,, ,...' -- ,,' . ..'. 0.""""" "'~-;;- ",:.... ,...' . ..... =:- "(. '........ .nJl-. .._ s.n\em.n1 Non~ N~d* 0...\1"'. 'nit'\' None U.........." '.. ..'.'".... ".... N, ,",....,"'.. . -;;;r.;' C4n '.~1. ".n A.o. "",. "Ofoam. . a.,na L...n..... 011".' ,..., \' -~: .-.... __0.' Co""""'"" ..,1'......,.1 .d..'.. .... LO">-noWll...~.:J{.,~ ~ .:.f~ orHlAAL ouc",""'Ot, No,.f Uno1. on~ ..... ., $to".. Onft T,~ ,00,.'A" 1 J"lifoJ'rl\ch O..'Gn ,..,&.I ~.. ~1ncI/"'01l...- .xe.a.-... Aile tY,.., .i:i.--..~ . ett_C1.,,,e A.. "ra.1 ","00""'8 h,... \J.."'" , ..... aea n. " "'.1. , .J....,Z.u -----.- ',-~ r 0,... l...i"JI ...,.. C..f\ ITO""'U, frro(Q"IO O...ae. A".c.twa o.,......a Ifht.'tl.. C.rpDftI ~ '~l::;. -. h . .b.. r.a. .....,,'::..._.. S"'".m. 3 ...."'.....~-l INTU\IOA ..."..I...,Corull";'" : - .,.... UW KITCfollN iOUl'! f'oor. ~tNnl/it!~~:nC'" ..... ~l?- ".lllg.,.,or w.u 1"'h"VWall JAt~l.---1' .. 0\ I A.nlilliO...n T,lmIf"lfl'lh ut"ol""lt'1JAva U'_.' l.","u'.'fon~VQ Do'POI.'_ ..,,,,..., ~9~lA.~9.... .n,'~r. 0..,......"., ........... ...\tow.tf'\,...t~I\J . ~,.".., ~__ ..,.''''.IlI. - Ooe,1 HQad/AVO \-..,1... ~- MJcl.""... 1-- 1. ".'''0'' w..,.."Ot'y.. ""...."lon.1 t.....,... up.,:".'.".'" .,'-"'. ,1':...... 'IC.I: .tl!J.U'l..-.n.ntP<i ~ _L--.~ ATTIC ,-;-:,,,,., -, ",--, r-- ..MINllles - ~ '11.pl.c"..I' _ ~ _ "Uk:I X o.u. - - g.,..WIV --.--- _,.:l. .....-- -,- Ynn NOl"le 1\10." (...u. ",... Ic"'"'. """0" ~ ---. ,. - ..no. - r..' - I-'" ,,-,or ,......lot J".n,.",.cs M___--. ..,... - e.....I""'".'.M .,.,,.."'........,,,. 'II.." ....1,. '. ~""r":." 1......'......1, .... ."".......1. ....". "..f... ..~.',t., ot CD".In.t\.C". '.ro104.'''"O'.....tltl..... .'e : 't _~II,,=-..n.. ....1.. h ....,.. ...... Q'...k,-"P'......t"'lof'i i~ at aveCG'j'o qua \ J t!v -.-- :t' : TllCU n",oI c"d wi"-" nn ..n"......nt: """..I..a not.ee1 II' 00" ot:;;; .t.\,)CJ,1r.. lA.at n....lft: Q.!i_hO.._ ' - - .. ".t...., 1I,,,lt.d tC'. h...,1lI0U. ......".. t"""e ,....,.",c:....Ie.1 p....,.1 In .to" omIlIO",.m."'t. u" tM ...t.. ~, '" lh. lian- knowt\ at ~hl! ~. l.Jt\L,g,L.1JIUD.Ct:.iQn " , ..~..._......,......".............r.r....'_.........I........' I.Qfo'....'.. ....r ' ,._.....Ti... )r9I.....;.,. ....'n.t., .' ,to. ...lI,.,' .. .. .-.. ,- . ullol.'. -- .- .- -- >," 0...... c.,,,.".Jl12....- '.h...IIirn.....l.....,.,... L... "",....., I ".r,,+~ ._, IM,'UI."." J~..2..6'7 L_____. _ J b.",..I.'.41 v........, "..,.., ..,...', .A..... V-'w'" 51'. "'I.,,~....'.nl. OIC_TED V fI~."'1 "..~" naM ...;,"......t:r 429 Fan- .~;' "':j'- A..,.... ... Ji.:..._... ,.,....uNty '0 .~...r~. ..... "'ko '''''.''0,... '-I.. ...,.. N... Aal. 11011'1 .. .. A41~""...B.).....,.. GI.1 ,77\ G113.13' GI 7,OP' otC.m.....'. ......__.._.__.. . ~ "). . .. 118.2' Co",,,,,........ "1,, ea....,.... .. '.'''1 u.. ''''"''1.' ~..".",,'. ..."'..1....." ,. ,.... no..nI)O"'....." I .,Due to II lltoek of C'omoll'r'abl. .Ll...nc...;.~~lln-y ttj) use 8\.t.ft....nlll~e lI~vlHR ~or .11 tilJ.lsA Bnd .x~ef!d r.ime _ ~;j\S._l1.A.t .t.'dU.....~....1..Lc.:n~!!: in So~ A..mhoy liB it 1ft 1Il IImall town:.___ Ar~ o~t 'U......'trl;.atm8nrR tl1~..u.Ltts-4II-.~ .i.nd.1~(I~or. of .thp nub;.c~. .::Lt.Sl.a...._ .___.___ G lr.,~ t'uLl.C'f NI. "d." po"'" yO<4J.. T;!!~~~J?~~.. .. INDtcATISO VALU. av i~,-..-cciM~AJUaON A,;:;QACH . . . . . . . . . . . . . . . . .-' ~~ , ICATWD VA&. Y lNCUP\/I. APP ".. 1....101 (."....... "'.,t.., ....,,, . 1M. . 0'0" ....., """".\J !le, .. Th. ....,.,.....le ....01. x: ~: ." .....,...... ,. "'. .....,. ............. 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A. 01' _ O!)=l.~=..2..6--.-. C""NleMll. "'" OA'I' Ot C' '~'U1'1 ~)V' UAU 0' ,,,,,a "..0"" 10... ."""18"", ;...... ~ ~/__., .~..iII:!!lOAW IO.{;].MQUIROO. ~ { ~ ~. ___.__ b.:..~!..Uf' _ -~.w!iU:.S::4 liC1UtE:A ___ N'Me PHLgr .....hur ~"'" ~lIorrl""'. 0) '7:..2.G... .... ___.__.__ ____ !!I1.I~Uig." .IQ....lI 03..~~_6 . If. fl:!!tLtV.:..!!jo:,., .______ .'t.11_NtL....~~. RC 001.6..1 ~~ ~1 -.. ..... _... ... ~. ..... ....~~:I:_....., ._J?...~',..::.',~~.714'..."" ",., ...... HI./l !II '1'11 . , ..,.."..."".. ~......... ..1'......"" ..,.. "'... . ." ,.M,,',n ."" "U\.ll n. . Du.tto""l_ 1 211, Ra...nltl1t , 2': , g.,. ...d.'g. v.tina.ll4ln 8""."." v....UCAO.I'.."""""". ..... 0' f,n.rw."", C.nc:...lon. Dalo.f lleJ.1TorM l.."'on L....M'.,... ........ ... \/low c..oft" .ft" ~.... .~ .f c:.............. - c.Mltlun .....".0'."'_ __..1ft Count 0,." '-'''''''Q ....". ....m.n. & .........,... ,...,.,. ~- Q.... ,,,,,,,,,ton.' UIlI"" .... 'C'.ow.c. I... 'IHl'll...., "..... 0,", "C,,,,,, "'nh. .".. 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N~ 411 Mo.ch.m fJr. JImbov. tlJ ~ COllll~"''''''.LR "0.. , Canl>ball SL, 750 . 4 K~~~ .., .. 861~1 KLS Clollod + ._.~.. . 9 iLJUU4 Clo...u 12 3~.lH . . J:~(l..L!.1l1 ~ :UOI>....'t ion . KLS '~''''j i~......'.."....". UUU::RIPYIOII ~ t... ....,.."'.....", I . Cony CISC,.,,,,.,,,, cOiiV ..I.~~~~ D'.~"I-' .nN conv~ .lh~[J&l.Ill. ... ',~'.l,:;.i~ 6ill~_ A,,~r.It(l.. ~h.~ Uit"l'lo.". :.J:I'Ji " l!I,<:."g, T..,.. ....... ..".. .. '1 ~~L~_;' , :! ~ 1..!:,_ ~I~ !-'..1 ".f in .s t:=: ~ &lon C'IlIDt1/AvQ T,ul Ad",,, a"... T.,.I ..,"'. ....... 1.1., .._. ...... -2,500 -2,000 -2,000 ",~...12r. -2,000 _ 1.400 Bot ~~. ~"ll/Prt\l' .l..n .,,,. ". Full/Pn1"1.n I. ., F\.Ill/Unfi.n -4.7: J'...&t.ilg,fL _._ ~11.{t;P'llt,:_ . L~I<1. .Z:5.i-:a.;..n ;ll"! N:'.\~ N"'It .._._. i.~~. ~;.!l_Aldj" -.n'tral.-1 =r=--- +2 Of +4. Enc:(Porc:h -2,000 "2.llJ L, . COM"A"-AaU ND Z No other .. II in one YB4r of abavu. ~ IIEDl COMPARA8&. NO ,) NO other 8ala ur-- ono yaar or 4boVQ, ~ REDI...._ . 't"'" ..,Ihon .". ,... ., I~. ".1. ..' .,... __ D Do' [Xl Do. In""~1 "'011." ___ __ ...!1!!L.J:l ..--..... ...~.~I~. Ith/ll/ l't' II. I I: 1'1 '11111".',.111.11 ',P-II "..11 1',\1.1 11"1 --~"'..-- . , h ... ~,.~t1 Mlddle,cue ~~~I~Q~rv'(;.. . ...!!tle . N.l_ _ .1'4 CDd. ~~~l 08lI/& =:J IIUtI.....,l,It.,.t .,...J1!.fl't. AUW.'-~"" ~"~I" ,',1 ~R". Ambnv ------ Tlli.. .I.. " ''!It'MMARY AiO{'RA1$Al. REPORT", tlb:l ellA"" 11',.(',1) ('OMMEtl'fll There wo"#. r.l) ad".r.. .,ccnezoic eondlL1oa.H lllarn4lQ dur.Lng this inllp.ct1"", All _..nit1.... .r.. w.\.tl\.\.1\ . r....Aonable di.tanc.. Shu.,p.\.n'j, ""'\001. ..nd reex'HAl,lnn..1 ..ra... ara .....H.by. SCOPE or APPRAl~AL Th.ia ..pp.,u....l ",..poljt i.. 1:or HOflTCAOF. LENDXIlQ PURPOSES ONLY, e~ploy1n~ ~:l applicablH appro..cha. to valu.. It:: i. .."....,...d that 1;1\.r.. ....'.. no "t.';ct=..1 d..fact::e h.\.dd..n by floor o~ H~ll coverings or ..ny oth..r hidd..n or UD.p~ar"Qt condi1:1,,"~ "'1: ~.ha prop..rtYI tbat ..ll ",.el\anic.l equJ.pmont. and applian".... un. in good workinq condition; and that ..11 ol.ctr~.: ,1 . 'J",pon.nts and t::lle roo!inq are 1n good condit.\....... I 11: th.. ,I.;'...." ha.. any 'lu...tioo. rOljl&rd.1nq tb.... it..m.., it .\... th.. 01.\.80t. ......l'"......I.h.\.l..V to orcl..r eh8 ..ppropi4ta in.p.ctj,on... Th.. appr~s..r dn... not ~ava tbo "kill or export.\..... to make .ucb inap..ct,, -.Il" 1'h. .ppralaor a.BUIlIO. no r...pon..ibility for tb.... it..mll, ENVIROIlIU:tl'I';'I. NOTte!! Th.. "..lut, QAt;,lmat. ..hown in tb1B r..port .ia b......d upon tho a..wn.,~ ,<'" ",h..t: ..bo ,prop..rty .I.n.."..ct..d i& not. na9..t.iv.ly ...ffected by the a.lat.Dca 0% hazardQu:iI auhat:.&nc.. or d.~r1m.n't.a.1. .:UlVJ rl""."lJ'UI I .1 cODdi.t.i.unu UD.loo. ot.h.l""'W'1... ytat..d in thia report. TbiB ..ppr~i~..r ill not &t> an ..xpar1: in 101\.. id..ntific..tion of Il...a.rd<..", "u.b..tanc.... or io tho iel.ntific.tion of dat.r blant...l Bnv .1..r(,)u.aH~ut<~ 1 con<U.1:,ionD. Th.. a,,[,ro01 nQr' s rout-in.. inapact.\.on of nnd inquir1... about. tb" ou.b;j..ot jHU....rty e1iet not d.."..lop any 1nform..t1o" that. indicated AJ:IY upp......."n~. o;i9nJ.f.l.cant h.."ardou& ..ub.r.AJ:Ic.... or d..tri",..nt.al .n"iro"'Ol'..l.....1 con,sil;iono whl eh would ..ffect t:h.. property n.qa1:1".' 1 ',' ""I...... otb"rw1.." atat..d 1n tbi. r.port. I Xt:: 1.. 1"'G",bl. tl\at t....tA ...nel/or in.p4lctioDIO mada by a qllEllif1..cl hazardous 6uL~t:.Q.ncQ anet fttlvlronmea.tal expex.~ wauld reveal tbe .z1.tuUt'~ I. C bazardoua .ubst4...0caQ cr dotrlmental condit:.ianB on or arOlltl:" ~ hH JJrop.~y that would QEfgatively .tf.c't. .1.t. val",.. SALES II: b'l'(,IU' Unlasy upe~jfically,notaQ 1n thiB ..ppr..i...l r..port, t-o tho Dast of thil~ apprai..r'Y'Knowl..dg., DO Bole 0: tb.. cubjact property halO tr,,,..:r,ol r.d wit::b!n OOR yaar prior to th.. data of t.bi. "ppr..iIJ"l. -' - "'.,.....:-_._........... ......,.,_..__...c._..... .....,....".. .' nfl/Ill I 'I'tt". III I 'f '.!lltl/.'I.'I';'" I,~'''j " 'If', J'_ pt\r,E "b - .......-. ;- . - . ....-.- c..apan...tlun 'a no~ lIunt1nQan" uvon tha &a,,0r-t1nQ ..t a 1'"..d..t.arn1"tld vAlue :... 'U,r.cti.... iD v41u.. th.'" r.vore th.. cau.. oC the C :.1 ""t., ton. ....oua.. 0.1: the val ua ....~a..", tb. ".......Lnmant. of a ...11'"1.....0;1 r..ul... or t.b. ocr.surr..ucCl oC a .u1>aaquant ..vent. 'I'hl. apl"'" ..'. \ a,...i'P""..n.. waa not. ba...d on . r.QuDotad J1\101111W1\ volu.tlc;, ~ .pocit~c VAluation, or t.b. 4pp~oval at Q loan. 'rbJ. appc.tonal confJ.llIa "0 th.. Un.1forlll standard. of prol...I.<ou,.1 Apprai...l pr.ct1c. ("USPAl'''), ..,d ia in ..acordatlca witb t.h.. c"lJu1at.ione d.velop..'" by tbe Lender,. Fedaral lIequlat.o.'y A",ancy "'.. ""qu~rad by FIIUU!:l\, eacapt. that tba p.partu"e l'...ovi..itlrau I. f USPA1' do no.. apply. In accordanc. with ..ho Compa..e,,"\, r'rovl.ioQ of th.. USPAP. tha .pprai..r cart.iti.. that. hi. .du,: at 1<,,., e!<peri.nee and knowl..dQ. 18 aufflciaDt. to ."prai.., t:t,.. "y1'e o~ proporty appral..d. HOtl-RI!:AI,TV T'1'EKS X" 1M Doted tnat 000 realt.y 1ta"'8 bava no~lbo.D con.id.rad in th. d..t.'/~1\1 "ation at the ~in.1. value ...tuft..a o~ t.h.. .Ilbject of ~hi. aFI:l1'ol'Il.:=.Al. S'l'''TE !'t'A'l'U'l'IUI AN!) LOCAL OIUl:tKANca;s To tb. l"'Ht. of tbe ~owlacl",.. o~ tbJ.a App".1..er, .11 ata"a atet..t"., And local Qrdinancua afractl.nc;J tba con.tructlon, and/or condit: r,~ of tho .lU>ject dwallinc;J have b....n ak>1dad by and tn8r41 ..ra no lo..QI.)wn violationD. USI!: 0" A.l'L'IlA.SAL ItEFOR'I' 'rhl.. aJ;'pra1...1. r.port baa b..n preparad for the ..cluaive benefit ~f th.. clla~~ nam.d bar..in, for mort9a9u purpc.... only. It mMY ..',r, b. ullad 9" reli"d upon by any oth.r party ~or any u~hor ' purpowli. , /~ ~~-, "_'-; _..I............ "'_......._ ..._...11._.... ...1.....'., ,- , " I I I. ~f ~ \.1. t'- ... I ~. , f:: ., i:; .... F 00 . ..~ .. ...l -0 . ,~ IN ~.;: )i~ .. .... .... II -- ,~ Qt ~~ ,: , w. H,(') .'.... ~;'i~ :So' =. ma la ...I < ~ > . ,or:' l' ~!I~J~ll Ci!~~imE~ 5<-," ,i ~ < ' ", .- " " . - . ,.~ . "'~.'" . JUL 1 5 19W< It ,-~:W ' . ,': . ':;~: ~ , '::~J. :X~~~~ "\~~~ !~~ ;'_.:', ~ :'; ~-~;'t:?~{) ff;~: ~'":,fi;';4\'- iWr,~ ~';";;';'%'i": ;'!}rt!j;:,,~ !"'"l,;rt\ ?i~~~~/5i, ,~~;;~<l' ,; ~;N. -~~~,~~ 4'Z.!il ~"7<~.'" :~:i!';, i~l~~ H}}t; ,~, ',,:\' ,'-'"f1~~~:,:t:; " "."!.,,,,., ...,~..:i~':-Y)U:\~ ,"";~4 ::,'~/j::~J~ ':;:~'I .,." '''- ::'i~ ~, '1-:'~1 , -, -" ;.~~ , -/'~:f~r ''''~t. , .,..~Hf "::'<:-,:/2~1 ' :;:".,-~":1k7f.:! . '-".,";'!l "._"ffl1ii ';:~l;~"':; :i.:t~ ;ftj{I, , ,.'q ..,:t -,,:~ ..... " .~ c.. VI. The names of all persons or entities having any interest in the said fund are as follows: Patricia M. Cordick 1429 Quail Hollow Rd. Harrisburg, PA 17112 patricia Cordick is the sole residuary beneficiary of the estate of Leon Sobczak. VII, All of said parties having any interest in said fund and any unpaid creditors of the fund have had actual notice of the filing of the account and this audit, except as follows: Not applicable. VIII. The questions which are to be adjudicated are as follows: None IX. No share of any party in interest has been assigned or attached. X. There are attached hereto the following: (X) Copy of the Order of Court making the appointment; ( ) Copy of any other Order of Court; (x) Attorney's Certificate of Notice; and (x) Proposed Decree Nisi. XI. The distributive shares of principal and income, and the persons who are thereunto entitled, are suggested as follows: 08/05/96 Deposit 09/03/96 Deposit 668.23 467.90 Total Receipts 672,575.05 CHANGES Dauphin Deposit CD Date of Death Value Inventory value Difference IN INVESTMENT HOLDINGS 51,141.92 -50,000,00 1,141,92 429 Ferris St. S. Amboy, NJ Sold on 6/28/96 Inventory Value Net from sale Loss on sale 122,000.00 -111,340.92 -10,659.08 Bankers Savings Inventory Value Closing Value on 7/24/96 Difference -10,029.00 10,090.40 61. 40 DISBURSEMENTS OF PRINCIPAL 123 3/5 Meadows Living Center 2,011.26 124 VOID 125 3/6 Wm. Adler (Attorney's Fees) 1,394.00 126 VOID 127 3/28 PSF&G (gas) 5.40 128 3/28 JCP&L 11.93 129 3/28 (X-ray) 112.69 130 4/3 Meadows Living Center 1,916.69 131 4/3 American Home Patient, medical supplies 122.73 132 4/3 Feinerman Group (Bond for Guardianship) 460.00 133 4/3 USA (water - house expense) 27.00 134 4/6 Register of Wills, Bond filing 15.00 135 4/9 IRS Taxes 226.00 136 4/9 State Taxes 121.00 137 4/19 JCP&L (house expense) 9.02 138 4/19 PSC&L 5.40 139 4/26 Arthur La Riai for Taxes 140.00 140 4/26 Tax Office 889.17 141 ' VOID 142 4/26 Allstate Umbrella insurance policy for house 45.81 143 5/3 American Home Patient, Ie,. . ':.,'." '.'rU medical supplies 132,62 144 5/6 JCP&L 6.86 145 5/12 Sewer Dept 11,83 146 5/16 A.G. Edwards, Broker, American Funds 143,000,00 147 5/16 Meadows Living Center 25,140,00 (Payment for one year in advance) 148 5/16 Meadows Living Center 8.00 149 5/21 Allstate - umbrella insurance 24.17 150 6/3 Wm. Adler, Esquire, attorney's fees 773.00 151 6/3 American Home Patient, medical supplies 189.04 152 6/3 B. Kusic 185. 0 0 153 6/23 U.S.A. 27.00 154 6/23 Comm. Dr. Torchin 24.22 155 6/23 Meadows Living Center 70.69 156 6/26 Tristan Assoc. 3.56 157 7/1 William Adler, Fee 1,225.50 158 7/1 Amer Home Patient 90.91 159 7/5 Liberty Medical Service P.A. 15.54 160 7/5 AG Edwards 64,000.00 161 7/6 Cash 10,000.00 162 7/9 Meadows Living Center 15.74 163 7/9 AG Edwards 40,000.00 164 7/13 Stephen* 63.97 165 7/15 Cash 200.00 166 7/16 South Amboy, sewer 15.95 167 7/30 Cash for account for SS 500.00 168 8/1 Boscovs 60.23 169 8/6 American Home Patient 148.78 170 8/11 Meadows Living Center 82.25 171 9/3 American Home Patient 91.89 172 9/6 Dr. Torshin 8.07 173 9/9 County Meadows 44.66 174 9/9 AG Edwards 13,000,00 175 Boscov's 58.97 201 K-Mart Clothes 46.88 202 Boscov's 57.97 203 10/8 American Home Patient 91. 89 204 10/9 Manor Health Care 4,953.72 Total Expenses as of 6/3/96 -311,882.01 RECEIPTS OF INCOME E.I. du Pont de Nemours and Company Pension received net monthly IN THB MATTBR OP I Sobo.ak, Sr. Leon J. ) IN THB COURT OP COMMON PLUS I Cumberland COUNTY, PINNSYLVANIA ) AN ALLEGED INCAPACITATED PERSON I ) I PETITIONER I patricia M. Cordick ) ORPHANS' COURT DIVISION NO. o.C."t.' -1ft,. 'if PINAL ORDER OF COURT APPOINTING PLENARY GUARDIANS ~'.' I 1 AND NOW, this cl~1 I day of ~; 1996/ a hearing in this case having been held on February 29, ~96, and it appearing to the Court that Leon J. Sobczak, Sr. was served with a Citation and I \' , f h' h' b d ~," 1'1 Not1ce 0 1S ear1ng on Fe ruary a, 1996, an W~R p~^"An~aL ~ 8- he~r~"g ~~) the Court finds that the physical or mental condition of Leon J. Sobczak, Sr. would be harmed by his presence at hearing, and further finds from the testimony: 1, That Leon J. Sobczak, Sr. suffers from Alzheimer's Disease, a condition or disability which totally impairs his capacity to receive and evaluate information effectively and to make and communicate decisions concerning his management of financial affairs or to meet essential requirements for his physical health and safety. 2. That there are insufficient supports available to assist Leon J. Sobczak, Sr. in such decisions and that there exists no other less restrictive alternative mechanism for decision making. 3. That based on the total incapacity of Leon J. Sobczak, Sr. to receive and evaluate information and to make or communicate decisions, a plenary Guardian of the Person and a plenary Guardian of the Estate are required on a permanent basis. NOW, THEREFORE, based on the clear and convincing evidence J ..__.- .. IIJJflUlllU~~ ~,j " ...., 'r ~- . , , supporting thc [orcgoing [indingll it ill ORDERED, ADJUDGED and DECRBED that Lcon J, Sobczak, Sr, bc and ill hcrcby adjudged a totally incapacitated peroon and Patricia M. Cordick is appointed plenary Permanent Guardian of the Person and patricia M. cordick is appointed Plenary Permanent Guardian of the Estate. If there is a safe deposit box in the name of the incapacitated person alone or in the names of the incapacitated person and another or others, said safe deposit box shall not be entered by the guardian except in the presence of a representative of the financial institution where the box is located or in the presence of a representative of the Orphans' Court Division. The representative present at the time of entry shall make or cause to be made a record of the incapacitated person's property, and said record shall be filed with the Clerk of the Orphans' Court Division. None of the incapacitated person's property may be removed until after the aforesaid inventory is completed. A reasonable fee for the services of the representative may be made and shall be payable from the estate of the incapacitated person. If the safe deposit box is jointly owned, five (5) days notice of the proposed entry shall be given to the other owners by the guardian. An Inventory must be filed within ninety (90) ~y.s, A report by >t.\ Ii) IJ \- -~ . . eaCfi Guardian shall be filed wruhtl ___../~,~ .'\. ~"~ annually ~~I:. cj;' 1('" A Surety Bond in the amount of \ , ( presented for approval by the Guardian of the Estate shall be ;::"'/1-( ..ea.-.r- within ~ j-/ES days. .~ ~ I IN THB KATTBR OF I Soba..k, Sr. Leon J, IN THB COURT or COMMON PLBAS Cumberland COUNTY, PBNNSYLVANIA " 'Ii" I-! AlO' ALLEGED INCAPACITATED PERSON I ) I ) ORPHANS' COURT DIVISION ORPHANS' COURT DIVISION NO. STATEMENT OF RIGHTS UPON APPOINTMENT OP A GUARDIAN I, , '. AN ORDER HAS BEEN ENTERED WHEREBY YOU HAVE BEEN ADJUDICATED AN INCAPACITATED PERSON AND UNABLE TO CARE FOR YOURSELF AND/OR MANAGE YOUR PERSONAL AFFAIRS. YOU HAVE THE RIGHT TO FILE EXCEPTIONS TO THE COURT'S DECISION WITHIN TEN (10) DAYS OF THE DATE OF THE COURT'S ORDER. IF YOU FAIL TO FILE EXCEPTIONS, THE ORDER WILL BECOME FINAL, IN THE EVENT THAT YOU FILE EXCEPTIONS AND THEY ARE DENIED, YOU HAVE A RIGHT TO FILE AN APPEAL TO THE SUPERIOR COURT WITHIN THIRTY (30) DAYS OF THE DATE OF THE DENIAL OF THE EXCEPTIONS. I . J~ I ~. \ " J~' \ .. " ~'~ "nt~ .~g ; IN ADDITION, YOU MAY PETITION THE COURT AT ANY FUTURE TIME TO MODIFY OR TO TERMINATE THE GUARDIANSHIP IF THERE IS A CHANGE IN YOUR CAPACITY OR IF YOUR GUARDIAN FAILS TO PERFORM HIS/HER DUTIES IN ACCORDANCE WITH THE COURT'S ORDER. IF YOU WISH TO APPEAL THE ORDER OR TO PETITION THE COURT TO MODIFY OR TERMINATE THE GUARDIANSHIP, YOU HAVE THE RIGHT TO BE REPRESENTED BY AN ATTORNEY. IF YOU DO NOT HAVE AN ATTORNEY, THE COURT MAY APPOINT ONE TO REPRESENT YOU. IF YOU CANNOT AFFORD AN ATTORNEY, THE SERVICES OF AN ATTORNEY WHOM THE COURT MAY APPOINT FOR YOU MAY BE PROVIDED AT NO COST TO YOU. r i", ~ '1,I'j':"" T ;'1: , 'ti ~':... ., .r . ~, , '. t. , (To be served with Order) Exhibit "A" ; ~f J:i;l t...., ,'," ..a. . , , CERTIFICATE OF SERVICE I, William L. Adler, Esquire, Attorney tor Leon J. Sobczak, hereby certify on the _.7 _day ot _.7... L.... , 1997, I served a copy of the within Petition upon'the following person by first class mail, postage prepaid, addressed as follows I Patricia M. Cordick 1429 Quail Hollow Rd. Harrisburg, PA 17112 ,;j i/ -d /} # 17 1AJ~ ~~ William L. Adler, Esquire ~. i HOL! SPIRIT HOSPITAL COMMUNITY MENTAL HEALTH CENTER CAMP HILL, PENNSYLVANIA PSYCHIATRIC EVALUATION Name: LEON SOBCZAK Date of Eva1.: 01/29/1996 Attending Physician: Dr. PETKASH, Medical Record i: --010301300000 Date of Birth: 03/06/1910 IDENTIFYING INFORMATION: The patient is an 85-year-old widowed white male, He is currently a resident at Country Meadows Living Center, He said he is a retired machine shop worker, has 2 children a son and a daughter, The patient said he has been widowed since the mid 1940's when the patient was approximately in his middle thirties. The patient is retired again as a machine shop worker. Said he has 8 years of formal education and 3 years of trade school vocational training. REFERRAL SOURCE: Dr. Torchia. HISTORY OF PRESENT ILLNESS: This patient has been referred to me for a neuropsychiatric evaluation and review of current medication. I see there is a letter from the family's attorney stating that they want a deposition regarding this patient's case in terms of an evaluation of an incapacitated person. The attorney's name is William Adler of Harrisburg, Pennsylvania. According to the Country Meadows information sheet this evaluation was also requested by the family to help prepare the legal paperwork required for guardianship. There were no family members available to ask questions of during the evaluation. The patient's children were not available to talk to on the phone during my evaluation. However after I completed the evaluation I was able to reach the patient's daughter via telephone. She stated the patient has been having many recent memory difficulties including 1 '. Name: SOBCZAK, LEON wandering behavior and delusions that other people were out to harm him and to steal his belongings. When he was moved from his former residence to the basement living quarters of his daughter, he called 911 complaining to the police he was "being imprisoned." The cognitive decline has been of a slow down hill course. He does not have a history of stroke or TIA's as far as the family knows. According to Dr. Torchia's initial evaluation, the patient has a history of senile dementia, Alzheimer's type of unspecified duration, He is also said to be status post colostomy due to colon cancer in 1988. The patient apparently was seen by Dr, Torchia for his first evaluation by Dr, Torchia on 12/19/95. Before that he was seeing his family practitioner Dr. Mueller. The patient's current medications include the following: 1. Ativan 0.5 mg. 1 p,o. q.8 hours PRN. 2. Haldol 0.5 mg, 1 p,o. b.i.d. 3. Mylanta 15 cc. p,o. PRN indigestion. The patient reports to me that his sleep pattern has been intact. He denies any problems with initial phase insomnia or early morning awakenings. Appetite is said to be good. His current weight is 158 pounds. His height is about 6 foot 1. The patient reports his normal weight is between 155 to 160 pounds. The patient said his memory is "so so." Said he has no real hobbies but does have some interest that include doing push-ups and occasionally doing gardening. He said his energy level is good. He does not complain of fatigue. Denies any suicidality or homicidality. In terms of habits the patient said he does not smoke cigarettes. Does not abuse alcohol. He said he drinks perhaps 1-2 "glasses of coffee daily." The patient denies any past psychiatric history. PAST MEDICAL HISTORY: There is no known drug allergies. 2 , i, i, .. Name: SOBCZAK, LION The limited history I have from Dr. Torchia is as described above with senile dementia Alzheimer's type and status post colostomy due to colon cancer in 1988. There is a denial of head injury to seizure disorder, PAST PSYCHIATRIC HISTORY: The patient reports to me that he has never had any former psychiatric assessments or evaluations done in the past. FAMILY HISTORY: died of tuberculosis around age 56. He was The patient's father reports somewhere in the 1950's when he was formerly employed as a mechanic. The mother died of cancer of an unspecified type about age 65. The patient reports he has one sister alive at age 75 who he sees on an occasional basis. He had a sister age 40 who passed away and another sister age 35 who also passed away. MENTAL STATUS EXAMINATION: The patient is an 85-year-old white male who appears to be younger than his stated age. His attitude is one of fairly good cooperation. His eye contact is fair. There is no evidence of psychomotor retardation or agitation. The patient is alert. He is oriented to person, not to place, partially to time. He was administered the Folstein mini mental state examination. In terms of orientation he felt the year was either 92 or 95. He got the season of the year right naming winter, He got the day of the week wrong by one day saying it was Sunday when in fact it was Monday. He guessed the date of the month would be the 28th or the 29th. He felt the month of the year was February, When asked where he was he stated that he was in state of New Jersey. He said the town he was in at the present was South Amboy, Did not know that he was in a nursing home. 3 . - . ~-, .-.....,_. _.., _~Oa Name: SOBCZAK, LEON When asked what floor he was on he said "the main floor" even though he was on the second floor. He had poor object recall with 0 out of 5 objects recalled at 5 minutes. He had trouble with serial 7's performing only 2 mathematical operations correctly. He did not show evidence of anomia being able to identify a pencil and watch correctly. He could follow a 3 stage command, He could obey a command to close his eyes, He did have trouble reproducing a geometric design and had severe problems drawing a clock face. Overall his total score was 12 out of a possible total score of 30. BRIEF NEUROLOGICAL EVALUATION: Revealed the patient to have a blood pressure of 118/74. The patient had pupils that were about 3 mm. and reactive to light and accommodation. There was equal ocular motion. The patient did appear to have some cataract formation bilaterally. Grip strength was equal in left and right hands. There was noticeable absence of the second rayon the right hand. He said this was secondary to a past work related industrial accident. Deep tendon reflexes were basically 1+ and symmetric in upper and lower extremities. When the patient stood up he did have some evidence of Romberg sway but did not actually fall over. He had some difficulties performing a heel to toe tandem gait forwards. He could not perform this at all backwards. ASSESSMENT: This is the first neuropsychiatric evaluation on this 85- year-old white male. The patient carries a history of Alzheimer's type dementia. He does appear in general to meet the criteria for a dementia and he does not have focal neurological deficits suggestive of a multi-infarct dementia. I also don' t have any laboratory studies in order to review in order to ascertain the extent to which concurrent neuromedical or metabolic disorders may be contributing to his current difficulties. 4 ~-}.~'1' . .t,','- ~-, c';1';'j f5' ~f'J ;~." '(;.;r(~: .r>,,_' !~)~. 1"'"" l....I ~t1 ",j ;11 , 1 ~.~' ..t:.~ ~.<}. '. j ;"'.'1 .n ::"j ':J 1 ., I ':1 "~'''l' ""~. . , ,~ ":'j -'\,~~ ~-:;:', :/~l ~, .1 .~. " ,1.1 ~;1 :",j :i. ~( t-::"~ ',14 ;';.4 ',q ~t] ,,~ ,:;~ :','1 '>J ~'t';! )~ '\t. ~J' ;:' f. c; ,t.". S]'~ C il ~ ,~ .. ....-'--_. , '- " ':>1; ._--_-.".-._~.. .1-... , .:-z :J~O 542 3D8 Receipt for Certified Mall No Insuranco Coverago Providod 00 nol use for Intornational Mail (SOD Aoversol ~ - .:.";t:Le~=, " ~ ',""'110 ~ L 1 ..."...., do,l '~r! P.O. Box 602 po, 51.1'" ,,"d"PClJdor 8 Elmt>er Ptl'lr. $ .55 CO M 11 C"""~,l Jo." 1 ~ S!.*<-l,I' Ur,Yp"'y ff'fl Ul a. fl,,\t'lCl..d (MI......,V ffl'e R'lu",RIIU,plSl1oWlo"'O lu WMm " 0111 Q.lrtefl!'f1 1 "-t\,tn RIIn'tIII 5"o~ 10 Whom, 01'_, af'Id olear.,,,..', Adl1r"u TOTAL PMlagt' $ or... POilma'k Of Dale ~-"'";~"-4,w:,..,,~~_. '<. ...... '0.-' ..~' .-. -- --- -. 'J-'.- . " " .' " , " 'I', " '~ "j JIA.. , I : f<',' . /" ""'~ .( . . I " " ,.. . ! ~ "'-1 :' .... I' . 'f > F:) . , , -. tI ; 'n ~. . ~ '. . r" I i",f i-~ ,.' - '. ., .', _",' t ," . "1 . ,1 . " J i" " " -, .... \. -. ~ -, .---" "...- ~. ," . l 41 r I '\ I , \ . . I I , I , f , j [ I ~';"";""I" It ~.k.' ill; (\;.. IF ,v:.': ~?;"\' \. ~:~,' ~: f:'" !;~,{; '~i" l{'\! ,~' ~}::': lc.',j r~:1 :~,-:,t1 "!.i \"'1 t"~:rl .,~ ;"1 .-. . ;;ij .;1 :".1 ,>.... ~:~:1' ~...... ~.l :~~j "'J ,,, i,' b,', ;~:; . !d .,.,., " '~'J r'\ ':-'! V~,: " {,. )f.. t',,-- :.t,J {i.:~ _.......~._~ ., .. ..h. _ "1l._,e_-:::"-_, '-.' " ':1>', .--'--"'-' Z 390 542 309 , A-,. Receipt for - x:. Certified Mall ........ No InlUlBncB COYBIBgO ProVided :11:'.\'=\ 00 not uso fOf IntolOa1ionol Mall (SOD Reverlo) i 5,ot10 - i! ~ o o ... C'l ~ ~ <II ... NJ 08879 Po". $ .55 CiI'l\.l",d fe! 1 1 Spe[lootl Oeh~"'~ fl'll fle'llItl..d [)eINef' fee "lIlumRK'ItltSflO"l'o"'9 to WhO''' , o.u' [)el...tltd Rtt.......~t5~toV.tlQm' Dall. and Addf.,Mlt" .-,01:"" TO'''Lf''O\~ $ ..'ell" pos1ma'~ I)l' Cale ........ , . C! 4Il li~ .~ . .." .. I . .. .<-,' . . I' . 'r'~ ..\.. ~~. -,'" " __---..r~-~.~-...... . .-~ ..~- -., ....,-. " ..' ~ '-.1 .' "..~, ' , .' . . .~ ~ )0 ....... .. , to. ~. It. .. 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',(i.ioliif~street::~ I,5fi;;::,l~:';':i"i\!./ ;O'~'!lII~I]' 'j1.P"J~~~g{;4~1t;~(.., ~. :h~~t~~~3NJ:io88i9:.)' ;~t: ,13~c.id~~;:;. ;,q,cR'Pi.~~~'.i~i,.)~!l , .', .,.'~I..-",.,,~,,~,,>',.c,,_u ."".,.,,<',....,' '0"& ""'''M.U 1.0RlI1lmRIceI~lot1,1! .; ~.!. ~f'!l'!1'.t.."lY!''iiil;)l.~ ,,!,~'j,-"';1,~' ./,..t, I',:':, bii- ..pr......I.' iu.,:,.: ,-,/;"Ai( l , ~'I..:1" ;,d~-~"'''""''~ f' ,." ,_ "~.y,,',, Itl .. ;"r~.'t'a'N,,'olj' . .;,-;.S': \.' , ,,.::- ;,~ ,nt'.c, 7.. 0111 01 DIU ,""....iiq.fFi',"!i~~lifi,~ f;/. ~ili<S. ";I;.';!:.,,~-,..;.~y:~t\:~.~;:f(;.l>>i:~');~')' ~., ,;,;., ,:' .,$J}!-o,~,,'!7,,;~,Ji!i,lr' " ~l' &;<; .!Add,....."l :.'./;.~,t'k';," ,:,["," B. Add_'"AddflllIDn'VIl~l't I~, ,~. ,..,;'."",,::->' ;'>"1." " .. , : ~:~lncllllllpoldIH"'li'",;,''-'>i;':';'':J.:I<i' . I' j,"_.'" ," ....., . .. ..c'; '., - ..;:', .;,".1'''-;j!~,T-,,-:\},..~:fti1!~( \ , .. _ ..' ....- t - ~~:" "- A 8. s~tureCA,,"1 ,.\~ '\;?'" .:..,:":,~;",. ',- :.v"". ,:,..:,.-,.,".::<t""""'1'il"1:-r;..(' e~'-~~~ldw.n~6{ \:. ,~.:IIl~",Il""l'rl';Ili]-:llm;: ntl-:./.RJ"E~IIi'\1':\h'ltn;.tmt::l;;;l , ~~.P,M~.. ,..Jg,,*,,~r,'8~,.\:,~~I~7,1.~:t.O EST:lC RETURN RECEllIT~~" ~ . ::'i..~,..ti~:...:":.' ~-V',>3..,,::"'.l.;.~.,I:~', ,~~.~-...:~,~~ ",-~'" t...,...:.~ \,,-:-~"'.:.)A,~,',.(':;"l~~.:;l . ~~~." . ----_..,..._-=---~. - . .~,' .', ,~j. , ' I , ( , f 0. . \ ...\. t, { #," . .' . .~ r ~ I If, , 'oJ .. , .. ~" ': ;)- -. . " } : ' \ , . ;. ., . \ i"'f /\ ~ 'n '1 .. ." 't . ~ f. ...' ~ , ., "'....-- 0.- . '." ._ _ __ --- 'T-'--~= . - ._~ .---~ ,j 1" " \. " p.' -, . :- 'f v-- -- j :' -...J IIV.llOO '1+ (""j ~ ..:5" IIlf~ ,",09 ..~.. '* .. ~-"""""'-""'-'-'" 15 - /'-10 - J z.. .01 DATil A. DIATH Ann 12'~1"1 CHICK HI" " A IrOUIAL rovn" C..DIY II CLAIMID 0 IILI HUM III INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) COMMONWfAUH O' '(NNSYlVANIA oePARTMfNT O' R(V(NUl om,2'~1 HAUISIUIO ~A 11 '14601 N' HAM fLA . I ,AN q0 0059 .21 COUNTY COO, Y'AR NUMIU M'" A l5 iii III o DAU Of DlAfH MI l IHllAll N' DAIl O' I.IIH MEADOWSLIVING CENTER 4837 E. Trindle Road cM~chanicsburg, PA 17055 ow ~OON".UCfION'1 145-05-5431 10.11.96 03.06.10 '" U'uCAIlf, I4.ItYT'tWO WOUU'1 H......' ,-.n. '11n AND ""00I.lIHI'IAtl $OCIAL lIeu.ltY HUMin 03, 05. Remalnd.r R,'u,n Ifor doll. of doolh prior 10 12.13,B2) hdltol ellal. Tax R,tur" Required o 2. Supplemental R.furn 1iI 1. Origl.ol Ro'urn o ., Umllod E.'olo lii:l 6, DKodon' Dlod T "'010 (Moch copy of Willi D.o. o 7, _ B. Tolal Numb., of Soft DepoIl1 BoxII t~ ;}!'7 ti", ""[#1 Io;:.lWr:-i,~ ; 125 Locust street, P.O. Box 11933 Harrisburg, PA 08-1933 III I;R7 47 121258,076.00 (3) I.) 151 39,568.95 (61 60,287.85 (7) :;, f' " :JJ :tJ", .""1 () , ~) :ill5 "0 "x flf x '" s I .. 1. Roal E,'olllSchodulo AI 2. 5tod.. ond Bond. (Schodulo BI 3. Oo..ly Hold S,ocIUPortno"hlp Inl..II' (Schodulo q ., Mortgogll ond No'" RKol.oblo (Schodulo D) 5. Ca.h. Bonk Dlpos'" & Mllcellaneous Penonal Property (Schodul. '1 6, Joln~y Ownod Proporty (Schodulo F) 7. Tra..fo" (Schodulo GI (Schodulo l) B. T 0101 Groll A..." ('otolllnll 1.7) 9. Funeral Expe_nses, Administrative CoslI, Miscellaneous Expon... (Schodulo H) 10, Dobl., Mortgogo Uobllilill, Uon. (Schodulo I) 11. To'ol Dod.dlon,('olol Unll 9 & 10) 12, Nol Voluo of EllolI(lIno B mlnu. lIno 111 13, Choriloblo ond Govornmo.lol BoqulI,.(Schodulo J) 1., No' Voluo Sub od '0 T..(lIno 12 mlnu. lI.o 131 15, Spou.ol Tro.oI", (for do'" of doo,h oh.. 6,3()'9.1 sea Instrudians for Applicable Percenlage on Revene Sldo, Ilndudo .01uII from Schodulo K or Schodulo M,) 16. Amount of line 14 laxable at 6% role (Indudo .01uII from Schodulo K or Schodulo M,I 17. Amount of Une 1.. taxable at 15% role (Include values from Schedule K or Schedule M.I lB, Prlnclpollo, duo (Add 10' from lInll IS, 16 o.d 17,) 19, Credill Spousal Poverty Credit Prior Payments + 18,000 I<:i "" -~ ;[j N N -;:, IJ' );. . (g) ~--- ' :;, c.~- 0 3'4'9,519."37 x ~ .. '" .. S (9) q ,ll;' I;!; (101 1,652.15 1111 11,004.71 (121 338,514.66 (13) (1.1 338,514.66 x,__ X .06_ 20,310.88 X .15_ (IBI (191 18,947.37 1201 (21) 1,363.51 121AI 1,363.51 (21BI (151 (16)338,514.66 117) + Discount 947.37 In'erest 20, If lIno 1911 grool.. Iho. U.o lB, on'" tho diH..onco on lIno 20, Thl.1I lho OVERPAYMENT. aD 21. If line 181s grea'er than line 19, enler the difference on line 21. This Is the TAX DUE. A. Enter the Inter"t on the balonce due an line 21A. B, Enl.. ,ho 10101 of lI.o 21 ond 21A on Lino 21B, Thi. i. Iho BALANCE DUE, Malee Chick Payabl. to: Rlg',ler of Will., Aglnl Chcck 11l'Je if you OIL' Jeque~lin9 (I ,efund 0' your ovelpnyment. .,; ':':' , II SURE TO ANSWER ALL QUEmONS ON REVERSE SIDI AND TO RECHECK MATH-,'"""', ".: Under penalli" of perjury, I declare Ihat I havI examined this rerurn, including accompanying schedules and slalemenll. and '0 ,h, besl of my bowledg, and beli,f, II II IruI, corred and complel.. I d,c1are ,hol 011 real ,,'ole has been reporteer at Irue morhl value. Declaration of preparer alher thon Ih. penonal representative Is based on all informatlon of which preporer has any knowledge. SIGN U O. 'U~H .n~Nsl'u ',01 fILING R(tURN. . ADORnS , ,,1/. DAIl L/-t7-17 (.1.,,_ /II. t.:;-"[.<A, ,'(II ((' ll:..l !J,_Cl,,, '/!.i N', ",.1. f'J /"/1 n. SIGHATUI( o. 'I('AI(I OlH(I THAN U'U~Y;'lIlV[ ADORUS wdtv.- f. ~~ 17.--., L07 ~'r'f r;.f .____ lth1-. ):;4 OA" /. ~ Yl7'l7 . \:JW JMB REALTY CORPORATION February 4, 1997 goo North MIChigan AVlnua Chicago, IllInoIl eoel1.1575 (312) 815-1382 WILLIAM L. AOLER ADLER & CLARAVAL 125 LOCUST STREET HARRISBURG PA 17108 Re: CAJU,YLE REAL ESTATE LIMITEO PARTNERSHIP-XV Registered in the name of: LEON SOBCZAK C15-022l86 12.00000 Interests Dear Requestor: Pursuant to a request regarding the above referenced Interests, please be advised that according to our records the indicated number of Interests are held as shown. At the present time, there is no formal market for the Interests in the Partnership, nor is one expected to develop. As there is no formal market, the sale price of the Interests would be individually established by the particular buyer and seller involved. Enclosed is a schedule indicating recent purchases and sales of Interests which have been reported to us. The prices are expressed as dollar amounts per $1,000 investment (one Interest) in the Partnership. While we request that new trade prices be reported to us, we cannot require such reporting. We rely exclusively on the information furnished to us in preparing the schedule. We have no ability to verify or confirm any of the resale prices or the completeness of the schedule. You may wish to bear in mind the fact that the Partnership's stated objective has been to sell pro~erties when that appeared advantageous in terms of the Partnership's ~nvestment objectives. The original expectations as outlined in the Partnership's prospectus were that the Partnership's properties would be sold or refinanced before or around the twelfth year after acquisition. It is important to note that the results which could be achieved if the Interests are held until all of the Partnership's pro~erties are sold and the Partnership is liquidated could differ substant~ally from the resale prices shown on the enclosed schedule. Limited partnership Interests generally sell at a substantial discount from their estimated underlying asset values. Should disposition of the Interests be considered, we suggest that Federal Income Tax considerations be taken into account. We recommend that tax advisors be consulted prior to any disposition. The Partnership is unable to offer tax planning advice to its Limited Partners. The Partnership Agreement generally requires the Partnership to distribute the net proceeds of any sale or refinancing of Partnership properties (subject to working capital requirements) rather than reinvesting such e"k ':-4" _.__..:.:._ < ._'."~'_"'."A."-._'''''_' 13 Distribution Disposition Nama I LEON SOBCZAK Sub. Dist oriqinal Total Dist. Amt. Funds Fund No. Data Contrib Dist Amt Sent Check No Disp. ---- ----- -------- ---------- ------------- ------------- --------- ------- C15X 17049 03/31/96 12,000 300.00 300.00 288249 P482043 01/31/96 0.92 01/31/95 1.08 12/31/94 96.00 06/30/94 60.00 06/30/93 6.63 12/31/91 6.00 09/30/91 6.00 06/30/91 15.00 03/31/91 15.00 12/31/90 15.00 09/30/90 15.00 06/30/90 30.00 03/31/90 30.00 12/31/89 30.00 09/30/89 30.00 06/30/89 30.00 03/31/89 30.00 12/31/88 30.00 09/30/88 30.00 06/30/88 30.00 03/31/88 30.00 12/31/87 30.00 09/30/87 30.00 06/30/87 30.00 03/31/87 30.00 12/31/86 30.00 09/30/86 30.00 ---------- ------------- ------------- 12,000 1,016.63 300.00 ---------- ------------- ------------- 12,000 1,016.63 300.00 14 ....~~.....,..._.,_,__ ~ ,-4_ CARLYLE REAL ESTATE LIMITED PARTNERSHIP-XV SCHEDULE OF SECONDARY TRANSFER SALE PRICES 02/12/97 ........................................................lrrICTIVI DATI...............4...................................... 04/01/17 01/DI/17 10/DI/II D7/01/11 D4/DI/II OI/DIIl. IO/DI/II ................ ................ ................ .................. ................ ................ .................. l1frI "1- INTS "1- INT' PPI- INT. PPI- INT' ,pt- INT' "l- INTS "1- lD.DD Sl.DD lD,DO n,DO lDD,DD IDD,OD as,DD 304.00 SD,DD 1S7.DD 'D,OO 3DO,DO I.DD I1S.0D '.DD SD.OO 30.00 SD,DD IS,DD lD,DD 25.00 3DD,DD ID,DD n,DD S,DD IDD,DD IS,.D n.DD IDD.DD n.DD aDD.DO 41.DD n.DD 47.DD ID,DD '74.00 'D,as 37.DD IO,DD 10,OD 13.0D 44.00 7.0D 31.DD au.aD 4',DD liS, DD U,DO lD.11 S4,OD 3as. DD 31.00 III.DD 40.00 lDS,DD 3I.DD '.OD as,DD '74.05 4'7.00 lD.DD n.DD I1,DO 41.00 IS,D' H.DD II,DD 37.DD 133.ID n,DD 10.DD aa.OD ",as U,DD 41.00 43.00 I.DD n,DD 11.0' n,OD II,DD 31.0D 21.00 31.DD I.DD D,DD 15." 4S.DD 55 ,as n.DD aD.DD 4D.DD 7l,DD 3a,DD as,DD 3S.DD ID.DD as,DD n,DD 44.00 30.00 U,DD 7D.DD 31,DD 4D,DD 31,DD n.DO 33,DD S,OD a',DD 3S.DD 4D,DD lDD,n 40.00 n,n n.DD IS,DD 3D,DD a',DD 3a.DO as.DD 27.00 as.DD 3S.0D ID.DD 31,DD as,DD n.DD lD,DD as,DD SS,D' 31,OD 3D.DD as.DD lD,OD 31,DD SD,DD 31,DD S.DD 3a,DD as.OD a'.DD lDD,OJ 3D.DD 3D.DD aa.DD 7.DD as.DD 13,DD n.DD 31,07 3D.DD aa,DD a7.DD 4D,DD as.DD n.DD 20.00 lD.DD n.OD 15.DD 3..00 IO.DD a',DD 3D,DD as.OD n.DD a4.DD D.3I 3.00 aD.DD aD,DD lD,DO n,DD 37.3D as,DD as,DD a3.DD sa,OD aa.DD aH. DD D.OD aD.OD II.DD IS.DD 3D.DD as,DD a3.0D 4D,n aD.DD IIS.DD n,DD n.DS 0.00 73,DD n,DD S.DD n,DD n,DD 11.00 aD,DD aD.DD aD.DD as.DD D.n aD.OD 15,DD 17.DD IO,DD II.DD IO.DD a4.DD 0.4'7 17,DD ID.DD 15.0D 15.DD 15.DD ID,DD a3.DD I.DD 15.DD 31,n D,DD 20.00 I4.DD 10.DD aD.DD 31,a. D.DD S.DD n.DD S,DD lD.DD lD,DD '.DD 4D.S3 0.00 S.DD I,DD n'.D' 0.00 14S.00 4S.7a IU.n 4S.n IS'. II 41.59 451.71 41.11 '''.n 31.7a nn.17 45.20 "1.11 31.17 ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... . PRICI fIR IN110UtST C.PPI-) i. .xpr....d al a dollar amount per $1.000 inve.tment (on. Intere.tl in the Partn.r,hip. Whil. we r.queat that n.v trade price, be report.d to U'. ve cannot require .uch reporting. We rely exclueively on the inlormation lurni'hed to UI In preparing the above .chedule. We have no ability to verily or conlirm any ol the re.al. pric.. or the co.plecene.. ol the .chedule. A .ale price at S 0.00 indicate. that .ale. at the indicated number at Intere.t, occurred. but the .ale pric. vaa not raported to u.. Such unreported .ale. price, are. therefore. not u.ed in calculating the weighted average ,ale price printed ae tha botto. of .ach PPI column. W JMB REALTY CORPORATION February 4, 1997 800 Nann MlCn~1II "wnue cnlClgo,lIIlnola llOGll.1575 (312) 91501382 WILLIAM L. ADLER ADLER & CLARAVAL 125 LOCUST STREET HARRISBURG PA 17108 Re: CARLYLE REAL ESTATE LIMITED PARTNERSHIP-XVII Reqistered in the name of: LEON SOBCZAK C17-014149 0.25750 Interests Dear Requestor: Pursuant to a request regarding the above referenced Interests, please be advised that according to our records the indicated number of Interests are held as shown. At the present time, there is no formal market for the Interests in the Partnership, nor is one expected to develop. As there is no formal market, the sale price of the Interests would be individually established by the particular buyer and seller involved. Enclosed is a schedule indicating recent purchases and sales of Interests which have been reported to us. The prices are expressed as dollar amounts per $1,000 investment (one Interest) in the Partnership. While we request that new trade prices be reported to us, we cannot require such reporting. We rely exclusively on the information furnished to us in preparing the schedule. We have no ability to verify or confirm any of the resale prices or the completeness of the schedule. You may wish to bear in mind the fact that the Partnership's stated objective has been to sell properties when that appeared advantageous in terms of the Partnership's investment objectives. The original expectations as outlined in the Partnership's prospectus were that the Partnership's properties would be sold or refinanced before or around the twelfth year after acquisition. It is important to note that the results which could be achieved if the Interests are held until all of the Partnership's properties are sold and the Partnership is liquidated could differ substantially from the resale prices shown on the enclosed schedule. Limited partnership Interests generally sell at a substantial discount from their estimated underlying asset values. Should disposition of the Interests be considered, we suggest that Federal Income Tax considerations be taken into account. We recommend that tax advisors be consulted prior to any disposition. The Partnership is unable to offer tax planning a~vice to its Limited Partners. The Partnership Agreement qenerally requires the Partnership to distribute the net proceeds of any sale or refinancing of Partnership pro~erties (subject to working capital requirements) rather than reinvestlng such , " 6xt.. "f?> ~._._-.~.....,...........-...-._-.. ~ """_...~"'-,." -"-- . ;ll't'~t~.......".....".....,~__.~_.___ __ .- . _ ,.. _.._. "'__'___~,,,,,,","", ,->>..."...,....,......_... _._ ._.,t"'."':..'"",'......,.,_...., W JMB REALTY CORPORATION paqa 2 funds in the purchase of another property. This feature in effect aakes the partnership self-liquidatinq in nature. current annual, quarterly and special reports have been enclosed and will provide all available information reqardinq the performance of the Partnership and its properties. The General Partner will recognize the transfer of Interest, as outlined in the Partnership Aqreement, upon receipt of acceptable, completed, siqned and witnessed transfer forms along with any other required documentation as outlined on the "Transfer of Interest Instruction Paqe". Should you need further information regardinq this letter or a transfer of Interests a representative of JMB Investor services department wIll assist you and can be reached at 312-915-1382 between the hours of 9:00am and 5:00pm Central Standard Time. Very truly yours, JMB REALTY CORPORATION Corporate General Partner CARLYLE REAL ESTATE LIMITED PARTNERSHIP-XVII SCHEDULE OF SECONDARY TRANSFER SALE PRICES 02/12/97 ...........................................4............eF'ECTIVE DATl4...4................................................. 01/01/17 10/01/" 07/01/" 04/01/" ai/Oil" 10/01/ts o7/01/ts ................ ................ ................ ................ ..4............. 4........4...... ................ lIlTS "I. INT' "1. INT' ppr. INT' 'PI. INT' PPl- INT. p,r. INTS PPt- U.OO aDo. 00 I,ll 111.00 o,SI an.oo IS,oo IU,OO 31,00 ISO, DO U,OO 140,00 S,OO alD. DO 1.22 110.00 IU,U 0,00 IS,oo In,oo 10,00 lU,oO as,oo I4s,oo 1.04 1,00 a.oo 133,00 131.17 0,00 ISO, DO 141,00 10,00 141,00 n,lt 144,00 0,11 0,00 10,00 U'.OO 1.14 lD,oo 0,40 140.00 1,00 111,00 s,oa 0,00 11,70 0,00 0,11 0,00 In,,, II',U 114.'71 113,00 aa3,n 141 ,as n.n 1SI,70 10'7.11 I4S ,1\ 14,55 111,'0 la.oa In.al ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... . PRICI PER I~ ..'PI.' i, expr...ed A' a dollar amount per $1.000 inve.tment (ene Inter.at) ln the Partner.hlp. While we requ..t that nlv trade pric.. b. reported Co U'. ve cannot require luch reporting. We rely exclullvely on the into~tlon furnllhed to UI in preparing the above Ichedule. W. have no ability to verity or contlrm any ot the relale price, or the compllcene.. or the Ichedule. A .ale price ot $ 0.00 indicate. that ,ale. at the indicated number of Inter.,ta occurred, ' but the .al, price VII not reported to u.. Such unreported .ale. price. Ire. therefore. not u..d in calculating the weighted '<'average ..le price prinud at the bottoca at each PPI column. ~ - ..~...~._. .---_..-'..........-~----.- ,......... ,. 1_ ,,' .... :~\.~,.i~ _.,~_'__.:_r. ~' i'. I. ~.GEdw~~~qfHJfi~ December II, I ~~() Ctllml'I'",lF.dJ' ]]J Ntll' RIIIfIJ '.i""",,,I, "'''II"),-",,,OX]11 1/)/1'/1 YI1,/XIXl Mr. William L. Adler c/o Adler & Clartlvul 125 Locust Street Harrisburg, PA 17108-1933 RE: Estate of Leon SobcZllk 101-339-238/37 Dear Mr. Adler: Per your letter, dated 12/7/96, following are the vulues of Mr. Sobczak's securities held by A.G. Edwards at the time of his death, 10/11/96: SECURITY QUANTITY PRICE DATE OF DEATH AS OF VALUE 10/11/96 Europacific Growth Fund t706 25,40 $43,332.40 Fundamental Investors Fund 1021 24.57 $25,085.97 Growth Fund of America 722 33.23 $23,992,06 Lasalle National Bank 5.95% of98 40,000 100 $40,000,00 New Perspective Fund 2459 18.06 $44,409.54 Smallcap World Fund 1577 27,03 $42,626.31 Vitalink Phannacy Services 554 23,25 $12,880,50 Washington Mutual Fund 1054 24.43 ~25 749,22 DATE OF DEATH VALUE ............... $258,076.00 Please feel free to contact me with any questions you may have ofifl can be of further assistance. Sincerely, ,J.....J ..J,~ Samuel S. Herring Vice President-Investments SSHlds E>< \,., : \,.. t "(' . III -\'. . .'/f'~',"{l;;;'L',":~~~~~!:4:~r_ ,. '''IIb.'.c-J~'''-P'l'2t ttU"....llM~&l.e~~-j~:; ..'~,::ti~~~;:r . SCHEDULE "F" JOINTLY OWNED PROPERTY .. I.tete of Leon Sobczak File Number 1996-00059 Joint TenantCs) Name Address Relationship to Decedent A. Patricia M. Cordick 1429 Quail Hollow Road Harrisburg, PA 17112 Daughter B. C. 1. Joint Tenant and Date Joint A. Description Property Total Value Asset 'II Interest Decedent Interest Item Number Dauphin Deposit Bank and Trust Co. 5/3/96 Certificate 8140253359 12/15/95 Checking 0042943345 of Deposit 51,141.92 100 51,141.92 9,145.93 100 9,145.93 60,287.85 TOTAL .: ;,'"",,-', .','";~,L.>, . c,-'_:' , .,,,...,,>', '.,...,,',. r~<'-':':;:"';'~;(+'~:'1',Y,l~>.~: _, 't_l~;V~ff?'\1";~2'Vif;if~~~~:;;'.'J~'f~::-::,':t':.~~~~...~~-~~-~~""kW~~, , . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIBNS Eetate of Leon Sobczak File Number 1996-00059 ITBM NUMBER DESCRIPTION Edgar Hathaway, Jr., Esquire Elmer, NJ Preparation for house sale Memorial Medical Center of S. Amboy, medical bill AMOUNT 721.50 Dr. Torschin 716.00 122.23 Mediq Mobile X Ray Vita1ink Pharmacy 20.18 Conn, Rib, Xeamy and Torschin 61.17 6.12 AZ Ritzman 4.95 Total Debts of Decedent 1,652.15 -- ~ .-----....'-.,-.. " , . '.-. 1, ! I 1 1 'I I I I 'I I :1 II it ,I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU Of INDIVIDUAL TAXE' DEPT.280601 HARRISBURG, PA ,7128,0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ." NO. AA 2112 r 7 REV,,,,, U ,,,..,, RECEIVED FROM: r ACN ASSESSMENT CONTROL NUMBER AMOUNT ADLER WILLIAM L. 125 UlCllST Buu:.I>.!, P 0 OOX 11933 1IARRISBllOO, PA 17108 101 $1,363.51 / fOLD HERE FCllDHERE . I ESTATE INFORMATION: FILE NUMBER 21-1996-0059 SSN 145-05-5431 NAME OF DEC~lASxk. IFIRST) ,MI) !' I : I '.1 t. , I I I I , I j , ~~~.-::;.o:--::::,,=,~--:---~-----,--- - --------------~-------r . I.' r;\-7'--~' . . ' DATE OF PAYt.,1EN1: 04/22/97 POSTMARK D~Tl' 00/00/00 COUNTY aJRRLAND TOTAL AMOUNT PAID $1.363.51 DATE OF DEATH 10/11/96 REMARKS PATRICIA alllDICX C/O WILLIAM L. ADLER I!SOOIRE SEAL ~ . 11 \ RECEIVED BY vz ./ l" ~ ) K\Rlr C. LEWIS REGISTER OF WILLsRmISl'ER OF WILIS ! , '" \' I , . , . to. . , .., .<',1 . . t I " ", ..' ~ t, ' ., , . .'. -- - ..... - - ..--" 11 '.... - --.-.- , r "' r li"""' A ~- - , . ~' ...... - - ~ ...... .- .. .... 1,----_0__--:,.,__":""_,..--__ __ 0__ ___ __ __'._ ,_~'. <i , l '; i J I I i I , I I .1 IOtD "'II ,- ,. ..., -- - -- -- -- .- '- - - - - ,j~ '~"~l~oJi.O!1.~~..)ll:i"...".l"....".(<'~.''''..".,..-'....,... -.- -'.'- "'.',',,',,.",..<,. " ..".: -"-"""'J'-'''"[;''l1''n t~tif?-:~ ....'l,s't.,:,..o.. 'i-sa, :XU' . . ~J;"..J'.<"Jl\~-:J:~' '/:'.',,'-' ~",',- '. .-' '<' " '.;',' ' ,", \' ">~' > ',,'r'..:~ :., "(.~" ::.i:"lf{;1~~l}.<:~~;~3;i!1~' . , ,;nCOMMONWIALTHOU'.NNIYLVANIA",.,.d"""'" ~ .f}A'tY,'1l"'I-(,{..+,.lii'.............'Ka.' ".__~" !,".'~.,,;""'l;'IUdj."'y,~....",~,t.~..t,",d'! -', ,':, ~,,"., ,/~~J>(~,~:I~1A:~il.+iif:~ .............", ,OP ......UI ;:'~.', ,I;',::!r~,~}:~':"(w~<~o':':,;"'~W!: }~J""''I'~ ...'. --!~n;.HNNmyANiAiNHnrrANCiANDUWI:<\"d._~;, - ~-.. " ,0< , . ,."". - . - '.", . _ ". ..' . ",. .T~]t . ", RECEIVED BY , I ~~ ' . / , \ MARY C. LE' S I V .I~"If \ REGISTER WILLS,.';~tpJlIV7: ! RECEIVED FROM: & ACN ASSESSMENT P:' CONTROL Ii:iI NUMBER \ I .1 .. )" , . AMOUNT .' ~ , .IB,OOO.OO " SlB,OOO.oO CW SEAL CHECI<.. 6 . - -, ..--- ... . ...--'" ~_.__.- --- , 'r .." --- PATRICIA CORDIel< 101 '. '--;';.-~-::=:---."'"!"""'":'..- -- - - -.- _.~ - - - - - - - - - ---- - , ;. 1429 QUAIL HOLLOW RD HARRISBURG, PA 17112 !STATE INFORMATION. B fiLE NUMBER 21-1996-0039 II NAME Of ~~AI<(~N II E Of PAYMENT iii 01/08/97 IS POSTMARK DATE ~ 0/00/00 COUNTY CUMBERLAND SSN 143-03-3431 (FIRST) (MI) DATE OF DEATH 10/11/96 REMARKS PATRICIA M CORDICI< m TOTAL AMOUNT PAID REGISTER OF WILLS :1,. . , " C': ~' . '. . I to. " , .. ~. .., -, ' ~' :- .f i , ---~.. , '-0-'; 01fll. ~ \'1' Ic.J 0 . ( y IUUAU 0' INOIVIOUAL TAlC!S IIHllIlAlltl ,All olYlIIllIl IDI. """ HAltIIIUll, " 11"1'''11 COMMONWlALTH 0' PENNSYLVANIA DEPARTMENT 0' REVENUE NOTICE 0' INNERITANCE TAX A"RAISENENT. ALLOWANCE OR DISALLOWANCE 0' OEOUCTIONI AND ASSESSftENT 0' TAX WILLIAM L ADLER ESQ 125 LOCUST ST PO BOX 11933 HBG PA 17108 DATI EITAT! OF DATI OF DIATH FILE NUHlER COUNTY ACN c., 09-01-97 SOBC2AK 10-11-96 21 96-0059 CUMBERLAND 101 AIoount R..Uted * "1-1..'"'''' U,-tl, LEON J MAKE CHECK PAYABLE AND REMIT PAYMENT Tal REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONQ THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ ii"EWi5W-iiniip-Co3':i'iY"NCir"icniF-YtiHiii'ii'AifCE-YAX-A-PPRAisiiliNT~--Ar.l"owAiicE-ijR-mmm__m_- DISALLOWANCE OF DEDUCTIONS AND ASSE~SMENT OF TAX ESTATI OF SOBCZAK LEON J FILE NO. 21 96-0059 ACN 101 DATI 09-01-97 If .n ........nt w.. i..u.d pr.viou.ly, lin.. 14, 15 Ind,or 16, 17 .nd IS will refl.ct figure. thlt include the tat.l of abb rlturn. .......d to dat.. ASSESSMENT OF TAXI 15. a-.nt of U... 14 .t Spou..l ...t. 1151 Ii. a-.nt of LI... 14 toxobl. .t Llnool/Cl... A r.t. IIi' 17. a-.nt of U... 1. toxobl. .t Coll.ta...l/Cl... I ...t. 1171 II. 'rlnclp.l Tox Ouo TAX CREDITS I 'AYIlENT OAT! 01-08-97 04-22-97 TAX RETVIlII liAS. I X I ACCEI'TEO AS FILED RESERVATION CONCERNINQ FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL RETURN 1. R..l Eot.t. ISchodul. AI III 2. Stoole. _ _. ISchodul. II 121 I. Clo..ly Hold Stockl'.rt...rohlp Int.r..t ISchodul. CI III .. IIort_oINot.. R_lvobl. ISchodul. 01 141 5. c.o_ Oopo.U.'"I.... '.roonol 'roperb lSehoclul. EI 15' i. Jointly _ '__rb ISchodul. FI Iii 7. Tr...f.r. ISchodul. 01 171 I. Tot.l A...t. APPROVED DEDUCTIONS AND EXEMPTIONS I .. F....r.l E_.../A... Co.ta,"ho. E_... lSehoclul. HI I" 10. Dobt.,"-rt_ Llobllltl../L1... ISchodul. II 1101 11. Tot.l DoduoUon. 12. Hot V.l... of Tox R.turn II. ChorltoblolGo..rnoont.l ......t. ISchodul. J' 1.. Hot \'.1... of Eot.t. SUbjoct to Tox NOTl: RECEI'T NUIIIIER AA185050 AA211207 DISCOUlT It' INTEREST/'EN 'AID 101 947.37 .00 I I CHANGED 587.47 258.076.00 .00 .00 30.568.05 60,287.85 .00 II' 9.352.56 1.652.15 1111 1121 1131 1141 .00 x,OO. 338.514.66 X.06. .00 X .1S. 1111 AHOUlT 'AID 18.000.00 1.363.51 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF 'AID AFTER DATE INOICATEO. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE I To lnlUre p.....r cNldU to your IOOOOI.I>t. oubooU tho uppor porUon of thl. fo... with your tox P.,..,t. 349.519.37 11.n04 71 338.514.66 .00 338.514.66 .00 20.310.88 .00 20.310.88 20.310.88 .00 .00 .00 I IF TOTAL OUE IS LESS THAN fl. NO 'AYIlENT IS REQUIRED. IF TOTAL OUE IS REFLECTED AS A "CREDIT" ICRI. YOU IlAY IE OUE A REFUND. SEE REVERSE SIDE OF THIS FOIlll FOR INSTRUCTIONS.) '" I " , , ,\ _l '...)c, .SOViTlCI" EIut., If ~t. dr.,.. on or be'ore Dee....,. 11, 1HZ.... 11 '"1 futuro In'are.t In the lIt1t. I. t"If'l,f.rn" In ,..N...... or onJ~t to Cl... . (ool1.t.,..U blnefloJarl.. of the dMedlnt ofter tM aqlrtlUon of MY ..t.t. fer U,. or for yet,.., the eo..onw.alth hlrebv oxpr...b r...rw.. ttw rll1ttt to ""rolM ."., ...... transfer IrftirllWlCe T.... at the I_fu! Cla.. . (IIOU.tar-aU Mlt. on eny IUCh h1tur. Int.,...t. PIIIOClSl lI" MJUCE. T. fulfill the ,.....1,...... .. SeaUon 2140 of the InhlrltMCe ."., [,ht. Tu &at, Aat Zl of 1"5. (71 P.I. IeGUon .140). PAntDlTl Detach the top ,.rtlan 0' ttlh NoUn MIll .w.1t with your p~t to the .....t.,. of Will. printed on the rllVer.. al_. ....... check or _r order "r~l. tOI REGISTER OF MILLI, &OEHT M7UND CCllh , ,..~ ef . talc credit, w.sClh .... not ,......t... on thI Tax Retum, .... be ".....tld " ..JaU.. an .....UNtI.. for ....... .f Pem"lnnle l"'-dtWlCe ... EIt.t. T.... (REV-lJlJ). ....lI~tI........ wal1l1bl. .t the Office .f the .....t.r of WUlt, MY of the U R.".,.,. alelrlot Office., or by ceUJ,.. thI ....1.1 I.-hour enwerl.. ...."lce ,...,.,.. for f....a orderS"'l In PennlYlnnl. 1-101"161-1110, DUtlhll Pemnlwnl. ... within 10C81 ~rrl~. or.. (711) 717-1094, TOD. (717) 77Z-ZZSZ (~rl", 1.,.lred Onl,). OIJ[CTIDNSI 1IrI,.,.0 In Int.....t not ..tllfled .,Ith thII IPP...I...,t, .I1DM1nCe or dl..l1~ 0' deduaUon., or .......,t of tax Unaludl"l dl.....,t or Interllt) .. IhowI on thl. NoUc. .,.t object .,Ithln .bb (61) 11II)'1 of rec....t of ttda MeUae "'1 ........Itt., prateat to the PA o..r'-'at of A8VWUII, Ioard of ""'h, ~t. 1:11IZI, Hlrrhburl, PA 17UI.1021, 01 ....lecUon to MYe tM .tt.r _tanlned .t MId.lt of the 8CCOI.I1t of the per...l riprllMntlltlve, 01 ........ to the arptwl.. Court. AIIIIIM II7UTlVE CORII[CTIOIII. 01_. 'aatual .rrore dllcovered on thll .......,t Ihould be addr...ed .In .,rIU,... tOI PA Depert.wtt of A......., au...., of Indlwtal T...., AfTlh Po.t A....~t Aevl... Unit, Dept. 110601, Hlrdlburl, PA l1UI.0601 Phone (717) 7I7.'S.I. 1M,... 1 of the bookl.t "In.trucUona for IMorH_ T.. A.tum for I ...Idlnt Docedent" (REV.IS.I) for ., ~I~tlon of ~Inl.tr.tlvel, correctabll error,. If ~ tax .. II ,.Id .,Ithln thr.. (J) ctIl.....r Minth, aft.r the decedent., ..th, a flve petC<<'lt (IX) dllOOlol'lt of tM tax ,.Id .I. all...-d. POW. TV. n. IU tax __.b non-,.rUolpetlon ....1t, II ~ted on the totol of the tax ... Intere,t ........, ... not ,.Id before ........,., II, I"" the flnt ., after the end of the t.. ....lY' ,.r1od. Thll non-,.rUo1,.tlon ....Ib .Ie .....111I1. In the ... ......r ... In the the ... tI_ period II )OW ....Id .....1 the tax ... .Inlered thet hot been .....IOCI .. .Indicated on th.le noUe.. IIITDEIT. Int.....at .Ie ..,.... ..Iml,... wUh flnt _ of .11"......" or nl,... (t) ..,th, MIl _ (I) dew f... tM dIltl of ..th, u tM dIlt. of ~t. T.... ....Ich bee.- d111.I,..,t before ........, 1, 1HZ.... Int.re.t at the ren of .1_ (61) ,.rC<<'lt par .... ctI1culated .t I dIllh ret. of .0001604. AU t.... Ifhlch ~ dIIll,..,t on ... after "..,.,., I, 1HZ .,111 bur Int.r..t at a rat. Iftth:h .,.111 VIIry fr~ cal........ rear to calander par .,IV. thet ...ta ......... by the PA Dapar'-'at of ....... Tho 1PP1.I_lo Int.r..t tit.. for 1HZ throutIh 1"7 .,..1 !!!! Int.r..t ..t. Deily tnter..t Fector !!!! Int.r..t ..t. Dally tntere.t 'ootor un zax ....141 1917 9X ....2'47 1m lOX .110411 1911'1"1 1\X ...UIl 1914 1\X .00UIl 1"2 9X .101247 1,., UX .001S" 1".'1994 n .1I00n 1'" lOX .0.1274 1"5'1"7 9X .111247 "-Inler..t I. calcul.ted .. fOl101i1'1 IIITDEIT . IAUIlCZ OF TAX VIlPAID X IRIlIBER OF DAYS DELllIqVEIIT X DAILY IIlTEIlEIT FACTOI --an, NoUoe haued after tho tax __a delinquent .,.111 r.float .. Int.rllt ctIloullUon to fin.." US) .,. berond tM dIlt. of tho .......,t. If,.,...,t 11 ... .ft.r the Int.r..t ~tot1M dltl ....... on the Notice, eddlt1_1 Intered ...t be calculatld. ,. '. STATUS REPORT UNDER RULE 6.12 Name of Decedent I LeJ~ ~" (.. C 't-4 /:. Date of Death I M /" /'/(" , Will No. lit 't" -IJO 1)'1 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate I 1. State)hether administration of the estate is completel Yes No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3. If the answer to No. 1 is Yes, state the followingl a. Did the personal representative file a final account with the Court? Yes No ~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes ~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. ....'-. -'. . 1A;;/L ~ iJ#Ch_ Signat.ure _Ll/J 1,Ir fM L, 4/1 e.r Name (Please type or print) . p.t7. &x ((~ 3~. I1q~l'-/~v~ Address rP"t:/ '7/ t:7 '8 11(;, "Z- ~l{- ~ Z-~f' Tel. No. Date: If /I/,,/~'f f'.""; (MAHlrmf/AM3) Capacity: Personal Representative ~ounsel for personal representative