HomeMy WebLinkAbout04-02-07
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15056051058
REV-1500 EX (06-05)
PA Department of Revenue *
BureaUctlndivilbllT8X8S .
PO BOX 280601
Hani9burg, PA 17128-0601 .. ....
ENTER DECEDENT INFORMAnON BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
INHERITANCE TAX RETURN ~.~ Year
RESIDENT DECEDENT 21 01
File Nuniler
0002
165-24-7237
12/27/2006
Date of Birth
12/21/1928
DecedenfsLast Name
Homer
Suftix
Decedent's FIrSt Name
Theda
MI
J
(If Applicable) Enter Surviving Spouse'. Information Below
Spouse's Last Name Suffix
Horner
First Name
MI
Delno
R
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPlICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
(8) 1. Original Return
~
'--"
<=:l 4a. Future Interest Compromise (date of
dealh after 12-12-82)
<=:l 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
CJ 10. Spousal Poverty Credit (date of dealh c:::> 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SEC110N IIUST BE COIIPLETED. ALL CORRESPONDENCE AND CONFIDEII11AL TAX INFORMATION SHOULD BE DIREC1ED TO:
Name Daytime Telephone Number
c::>
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c:::l
2. Supplemental Return
c:::l
c:::l 4. Limited Estate
ctl
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
John M. Eakin
Firm Name (If Applicable)
(717) 766-3172
........___. _~~_._-"._,__.....__,_..."._'<:_~ .. _. .-0. . _ ." ,
: REGIS~,~W1LLSU~NLY-. ,',
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First line of address
I
f".)
Market Square Building
-":'1
Second line of address
r'-)
City or Post Office
Mechanicsburg
State
ZIP Code
DATE FILED . .
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PA
17055
Correspondent's e-mail address:
Under penalti ry, I declare that I have examined this return, including accompanying schedules and statemen1s. and to the best of my knowledge and belief,
it is true, COI1'8Cl and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
StG":l.f1::.:a<scN~ FILING RETURN o.<rE
, J1 :J /701[;7
ADDRESS ' (- /
137 Salem Church Road, Mechanicsburg, PA 17050
SIGNATURE F~:" REPRESENTATIVE
ADDRESS
Market Square Building, Mechamcsburg, PA 17055
PLEASE USE ORIGINAL FORM ONLY
OJ;
J( e/ a7
Side 1
15056051058
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15056051058
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15056052059
REV-1500 EX
Decedent's Name:
RECAPITULAnON
Theda
J Homer
1. Real estate (Schedule A). ............................................ 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) c:::J Separate BiDing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c::; Separate Billing Requested.. . . . . .. 7.
8. Total Gross Assets (total Lines 1-7). . . . .. . . . . . . . . . . . . . .. . .. . . . . . . . . . . .. 8.
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . .. . . . . . . . .. . . 10.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) . . . .. . .. . . . . . . . . . . . . . . . . 14.
Decedent's Social Security Number
165-24-7237
213,600.00
204,567.02
0.00
0.00
105,782.18
523,949.20
10,918.00
0.00
10,918.00
513,031.20
0.00
513,031.20
. _~~.'_.~=~==--.'__--=-=-"'''''''''''''_~..'''.~.w'''","","_
TAX COMPUTAOON - SEE INSTRUCnONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under See. 9116
(a)(1.2)X.0_ 513,031.20
16. Amount of Line 14 taxable
at lineal rate X.O_
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059
Side 2
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15056052059
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REV-1500 EX Page 3
Decedent's Complete Address'
flit N~lI!b4Ir
0002
. i i' !
DECEDENT'S NAME DECEDENT'S SOCIAL SECURIlY NUM3ER
Theda J Homer 165-24-7237
STREET ADDRESS
137 Salem Church Road
CITY I STATE I ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
Total Credits (A + B + C ) (2)
3. InterestJPenalty if applicable
D. Interest
E. Penalty
TotallnterestlPenalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
FII in oval on Page 2, Une 20 to request a refund. (4)
5. If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of line 5 + SA. This is the BALANCE DUE.
(58)
0.00
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN T IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 ~
b. retain the right to designate who shan use the property transferred or its income; ............................................ 0 ~
c. retain a reversionary interest; or.......................................................................................................................... 0 [i]
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 ~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Ind'tvidual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 ~
IF THE ANSWER TO ANY OF THE ABOVE QUEsnONS IS YES, YOU MUST COMPLETE SCHEDUlE G AND ALE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)).
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)l. The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. ~9116(a)(1.2)).
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and onHtaIf (4.5) percent, except as noted in
72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)).
The tax rate imposed on the net value of transfers to orforthe use of the decedent's siblings is twelve (12) percent [72 P.S. S9116(a)(1.3)}. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
R"'~1502 ~. '.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Horner Theda J. 21 07 0002
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller. neither being compelled to buy or sen, both having reasonable knowledge of the relevant facts.
Real oroD8rtv which is iolntlv-owned with rioht of survivorshiD must be disclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
9.05 Acre tract improved with a dwelling and other buildings situate in West Beaver
Township, Snyder County, Pennsylvania, see attached appraisal
VALUE AT DATE
OF DEATH
203,000.00
2.
3.20 Acre unimproved land situate in West Beaver Township, Snyder County,
Pennsylvania, see attached appraisal
10,600.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheels of the same size)
213.600.00
SUMMARY OF SALIENT FEATURES
Subject Address 543 Old New Lancaster Road
Legal Description Refer to Deed Book:137l3oo
City Milroy
County Snyder
State PA.
Zip Code 17063
Census Tract 9805
Map Reference Tax Map #14
Sale PrIce
$ 14,210
0610677
Date of Sale
Owner
Estate of Theda Homer
Client
Size (Square Feet) 1,918
PrIce per Square Foot $ 7.41
Location Rural/Ave.
Age 28 Years
Condition Average for age
Total Rooms 5
Bedrooms 2
Baths 2
Appraiser
Date of Appraised Value
George C. Saylor
March 10, 2007
Rnal Estimate of Value
$ 203,000
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N/A
or PrniAct Name 1371300
Sales Price -t14 210 nate 01 Sale 0610677
lJrnnortv rinhls .rvvoIurl I'Xl Fee Slmnlo I I Leasehold
.....:
Location 0 Urban 0 Suburban IZI Rural Property values 0 Increasing IZI Stable 0 Declining
Buill up 0 Over 75% 025-75% IZI Under 25% Oernand/supply 0 Shortage IZIln balance 0 Over supply
G"'"""' rate n RanId 1)(1 Stable n !:Iow M.rlcolinn time Fi Under 3 mos. rX'i 3-a mos. Fi Over 6 mos.
Nelghborhood boundar1es Sub'eel is situated at the north base of the Jack's Mountain in an area known as New
Lancaster Vallev. It is bound on the south bv Wolf Gan Road on the north- east and west bv woodland.
The site has two lame sorino fed oonds and a securitY aate.
Dimensions Irregular: refer to attached deed: SiI1l area 9.05 Acres
Speclllc zoning ciasslllcation and descriplion No zoning in this Township
Zoning compHance 0 Legal 0 Legal nonconforming (Grandla1hered use) 0 megal, attach description IZI No zoning
HIPsI and best use 01 subjecI property as inpro'Ied (or as proposed per plans and spedflca1lons): IZI Present use 0 Other use, attach desCl1ption.
UtII1tIll Public Other Public Other 1000..lmprovements Type Public
EIec1rIcIty IZI Water 0 On site well Street Gravel IZI
[.l.. rX'i Prooane Sanm sewer F1 On site seotic I A1lev None deeded n
Are 1here an e sil1l conditions (easements encroachments snAclal assessments 'lide areas etc.l? il Yes r5(\ No K Yes attach descriotion.
Sou~(s) used ~ physical charact8r1stics 01 pro~ ~ Interior and ~rior Inspection 0 ExlBrior Inspection from street U Previous appraisal flies
I I MlS IXI Assessment and tax records I I Prior inslUlMlnn IXI PrnnArtv owner -fl Other lDescribel;
No. 01 Stories 1.5 Tvno IDet /Att.1 Detd Exterior Walls Loa Roof Surface Wood Shakes Manufactured Housinni 1 Yes LXI No
eneraliv confmm In the nelnhhnrhnntt In i.nn. of sMe condition .nd construotion materials? I'Xl Yes I I No K No """ch deocriniiOn.
Are~ any ~ physical deliciencIes or conditions that would affect the soundness or structural Integrity of the Improvements or the IlvabUlty 01 the property?
I I Yes IXI No K Yes attach descrinllon.
Are ther8 any appannt adverse environmental conditions (haZardous wastes, toidc substances, etc.) present In the improvements, on the sil1l, or In the immediate Vicinity of
the subject property? 0 Yes IZI No K Yes, attach description.
I researched the subject mark8I area for comparable Iis1Ings and sales that are the most similar and proximate to the subject property.
My research revealed atollllof 4 sales ranging In sales price from $ 60,000 to$ 125,000+
My research revealed a tollII of 4 listings ranging In list price from $ 60.000 to $ 125.000+
The anaIvsis of the cornoarable sales below reflects mark8I reaction to slonllicant variations between the sales and the sub'
FEATURE I SUBJECT SALE 1 SALE 2 SALE 3
543 Old New Lancaster Road 4934 Ulsh Gap Road 281 Deibler Lane RR 1 Box 715
Address Milrov McClure PA. 17842 Middlebum PA 17842 Mifflintown PA. 17059
ProximllvtoSubloctj, ,,1.58milesS 1~ ~.74 sS
Sales Price 14210 .1$ 133000 "'.".~ 158
Price/Gros.UvlnoArea 7.411t1 $ 57.281t1 L ~ 107.341t1 111.611t1\
lJa1a & Vedtlcallon $QJces .., Co/RecordlDrive-bv insoection CoIRecordlDrive-bv insoection CoIRecordlDrive-bv insoeclion
VAlUEAOJUSTMENTS DESCRIPTION DESCRIPTION I +H$AdIust. DESCRIPTION I +C":I$Adlust. DESCRIPTION I +(-\$Adiust.
Sales or FInanclng Conventional Conventional Canventional
Concessions.x.' Sell Concession -3990 None known None known
nate of SaJ..mmo . .'{ 021/06 : 10/06:58 : 10106:79
I oc~ Rural/Ave. Rural/Ave.: Rural/Ave.: Rural/Ave.
SiI1l 9.05 Acres .60 Acres : +16500 12.19 AclAve : -e 280 2.64 AclAve
VIew Wooded Wooded : Wooded : Wooded
Deslnn /!:Me' 2 Stone /loa Ranch/Frame +5000 2 Stone /loa: 1.5 StorY loa
~elVrs~\ 28 Years 42 Years +2000 107 Years +5500 27 Years
I r.nndilloo Averace for ace Averaae for ace Averaae for aae Averace for aae ,
Above Grade T ntol : Bdrrns: 8aths Total; Bdrms: Baths I T olal : Rdrms; Baths I T 01.1 : Rdrms; -~s I
Room Count 5 2 2 6: 5 : 2.75: -3,000 6 : 3 1 +2,000 6; 3 : 2 :
Gross Uvinn Anla 1 918 So:Ft 2322 So. Fl. ; -4040 1 472 So. Fl. +4 460 1 660 So. Ft ;
Basement & Finished Full/Finished Full/Part Finish PartlNone +5,000 Full/Part Finish
Rnnmo BoInw Grade 2 Rooms 2 Rooms None 2 Rooms
r..I3II8iCamort 3 A TTD +4 CAR 4 DETDlBam : +1 500 2 DETD/Shed. : +6 000 2 Int./Shed
HeatinolAc EBB/No ACIFP OHA/No AC/FP : OHA/Cent AC : +4 000 OHA/No AC
Porches DecklBrzwevlPon EFP/OFP ; +20 000 OFP/Patio : +20 000 OFP
Net Adl. IInIoII LXI + r l - : ~ 33970 r5(\ + il - : $ 40680 r5(\ + r l - : ~
AdPJSlBd Sales Price ., Nel25.5% I . Net 25.1"1 Net 27.3%
of Comparables . > Gross 42J%c1s 166 970 Gross 33.7% I $ 198680 Gross 28:4 %1 $
-ri"", of Prior Sale 06/06107 02106 10/06 10106
Priceof~ $ 142101$ 133000 $ 158000 $ 187000
Analysis of any current agreement of sale, option, or listing of the subject property and analysis of the prior sales of subject and comparables: There are no known oendina
sales AlIreement.
Summary of sales comparlson and value conclusion: All comoarable sales are similar and closed within the dates shown.
The indicated ranee of values brackets the value of the subiect.
Connnarable sales data was from the local Multi-listina service and drive-bv insoectlons. All sales were in the same market area.
Lack of recent local sales nonuired evnandina time and distance parameters that may exceed underwritina auidelines.
Tax Year 2007 R.E. Taxes"$ TBA 0
r.urrent 0- Estate of Theda Homer Occunant LXI Owner . iTTonont fl Vacant
Proiect Tvne r l PUD r l Condominium HOA ~ /Mo.
Descrintlnn / $ amount of loan charn"'/concesslons to be naid bv seller None Known
I Mao Reference Tax Man #14 Census Tract 9805
=EIImIy~ ~~E
$(000) (yrs) $(000) (yrs)
45 Low 5 Low _
200+ Hloh 100 Hloh
J Predominant [[Predominant I
75 50 I
Shape Irregular
Private
R
187500
+12820
+500
-1,000
+2 380
+6 000
+5 500
+25 000
51 200
238 700
This appraisal is made IZI 'as-is', 0 subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed, or
o subject to the following repairs, aItBralIons or conditions
BASED ON AN 0 EmRIOR INSPEC1lON FIlllII THE S1JlEET OR AN
PAOPEIlfY lIlAT IS 1ltE SUBJECT OF TlIS REPORTTO BE $ 203.000
IZIINTEl10R AND EmRIOR INSPEC1lON , I ESTIlATE THE IWIKET vALlIE, AS 1lERNED, OF TIlE REAL
,ASOF March 10. 2007
PAGE 1 OF 3
Form 205 -'WinTOTAL' appraisal software by ala mode, loc. -l-800-ALAMODE
Fannie Mae Form 2055 9-96
lS
Are any common eIemenls leased to or by 1he Home OWners' AssOCIallOll?
Descrlbe common eIemenls and recreatlonallaciliUes:
Dyes DNo
II yes, allach addendum describing rentaJ tenns and optIOllS.
ProjIct InforIIIIIIon far CondomInI_ (II applicable) - - Is 1he deveIoper/bullder In control 01 the Home Owners' Association (HOA)? D Yes D No
Provide 1he IoIIowing information lor aD Condominium ProjecIs:
Total number of phases Total number 01 units Total number 01 units sold
Total number of units renIBd Total number 01 units lor sale Data Source(s)
Was 1he project crealBd by the COllverslon oIeJlistlng buildings InlD a condominium? D Yes D No II yes, data 01 COllverslOll:
Project Type: D PrImary Residence D Second Horne or Recreational D Row or Townhouse D Garden D Mldrise D Hlghrise D
Condition of 1he project, quafily 01 construction, unit mix. etc.:
Are 1he common elements completed?
D Yes D No II No, describe status 01 completlOll:
Are any commOll elements leased to or by the Home Owners' Association?
Descr1be common elements and recreatlonallaclllties:
DYes D No II yes, allach addendum descr1blng rental terms and options.
PURPOSE OF APPRAISAL: The purpose 01 this appraisal Is to estimate the market value 01 the real property that Is the subject 01 this report based on a
quantitative sales comparison analysis for use In a mortgage finance transaction.
DEFNT10N OF MARKET V AWE: The most probable price which a property should bring In a competitive and open market under all
conditions requisite to a fair sale. the buyer and seller. each acting prudently. knowledgeably and assuming the price Is not affected by undue
slIrnulus. Implicit In this definition Is the consummation 01 a sale as 01 a specified date and the passing 01 title from seller to buyer
under conditions whereby: (1) .buyer and seller are typically motivated: (2) both parties are well Infonned or well advised, and each acting
In what he considers his own best Interest; (3) a reasonable time Is allowed for exposure In the open market: (4) payment Is made
In tenns 01 cash In U.S. dollars or In tenns 01 financial arrangements comparable thereto: and (5) the price represents the normal consideration
for the property sold unaffected by special or creative financing or sales concessions" granted by anyone associated with the sale.
.. Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those
costs which are normally paid by sellers as a result 01 tradition or law In a market area; these costs are readily Identifiable since the
seller pays these costs In virtually all sales transactions. Special or creative financing adjustments can be made to the comparable
property by comparisons to financing tenns offered by a third party institutional lender that Is not already involved In the property or
transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost 01 the financing or concession but the dollar
amount 01 any adjustment should approxlmate the market's reaction to the financing or concessions based on the appraiser's judgment.
STATEMENT OF UMmNG CONDIT10NS AND APPRAISER'S CERTIFICATION
CONTINGENT AND UMITING CONDITIONS: The appraiser's certification that appears In the appraisal report Is subject to the following conditions:
1. The appraiser will not be responsible for matters 01 a legal nature that allect either the property being appraised or the title to It. The appraiser assumes
that the title Is good and marketable and, therefore, will not render any opinions about the title. The property Is appraised on the
basis 01 It being under responsible ownership.
2. The appraiser has provided any required sketch In the appraisal report to show approximate dimensions 01 the Improvements and the sketch
is Included only to assist the reader of the report In vlsuallzlng the property and understanding the appraiser's detennlnatlon 01 Its size.
3. The appraiser will not give teSUmony or appear In court because he or she made an appraisal 01 the property In queSUon, unless specific
arrangements to do so have been made beforehand.
4. The appraiser has noted In the appraisal report any adverse conditions (such as, but not limited to, needed repairs, the presence 01 hazardous
wastes, toxlc substances, etc.) observed during the Inspection 01 the subject property or that he or she became aware 01 during
the normal research Involved In perfonnlng the appraisal. Unless otherwise stated In the appraisal report, the appraiser has no knowledge
01 any hidden or unapparent conditions 01 the property or adverse environmental conditions (including the presence 01 hazardous
wastes, toxlc substances, etc.) that would make the property more or less valuable, and has assumed that there are no such conditions and
makes no guarantees or warranUes. expressed or implied, regarding the condition 01 the property. The appraiser will not be
responsible for any such conditions that do exist or lor any engineering or teSUng that might be required to discover whether such conditions
exist. Because the appraiser Is not an expert in the lield 01 environmental hazards, the appraisal report must not be considered
as an envlronmental assessment 01 the property.
5. The appraiser obtained the Inlonnatlon. eSUmates, and opinions that were expressed In the appraisal report from sources that he or she considers to be
reliable and believes them to be true and correct The appraiser does not assume responslbUIty for the accuracy 01 such Items that were fumished by
other parties.
6. The appraiser will not disclose the contents 01 the appraisal report except as provided for In the Unlfonn Standards of Professional Appraisal Practice.
l. The appraiser must provide his or her prior written consent belore the lender/client specified In the appraisal report can distribute the appraisal
report (including conclusions about the property value, the appraiser's identity and professional designations. and references
to any professional appraisal organizations or the finn with which the appraiser Is associated) to anyone other than the borrower;
the mortgagee or Its successors and assigns: the mortgage insurer; consultants: professional appraisal organizations: any state or
federally approved financial Institution; or any department, agency, or Instrumentality 01 the United States or any state or the DIstrict 01
Columbia: except that the lender/client may distribute the report to data collection or reporting servlce(s) without having to obtain the
appraiser's prior written consent. The appraiser's written consent and approval must also be obtained before the appraisal can be
conveyed by anyone to the public through advertising, public relations, news, sales, or other media.
8. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that Is subject to completion per plans and specmcatlons on
on the basis 01 a hypothetical condition that the Improvements have been completed.
9. The appraiser has based his or her appraisal report and valuation conclusion lor an appraisal that Is SUbject to completion, repairs, or alterations on the
assumption that completion 01 the improvements will be perfonned In a worlonanllke manner.
PAGE 2 Of 3 fannle Mea FoI1n 2055 &-96
FoI1n 205 - 'WmTOTAl' appraisal software by a la mode,lnc. -l-8lJO.ALAMODE
. . ..... .. .. no;
, 'my' 'peC:tiOO' and analysis In this suml118/Y appraisal
" the physICal characteristics of the subject property and the comparable sales to develop
2. I have researched and analyzed the comparable sales and offerlngs/llstlngs In the subject market area and have reported the
comparable sales In this report that are the best available for the subject property. I further certify that adequate
comparable market data exists In the general maJl<et area to develop a reliable sales comparison analysis for the subject property.
3. I have taken Into conskl8t'allon the factors that have an Impact on value In my development of the estimate of market value In
the appraisal report. I further certify that I have noted any apparent or known adverse conditions In the subject Improvements, on
the subject site, or on any site within the Immediate vicinity of the subject property of which I am aware, have considered these adverse
condiUons In my analysis of the property value to the exient that I had market evidence to support them, and have commented about the effect of
the adverse conditions on the maJl<etabUIty of the subject property. I have not knowingly withheld any significant Information from the appraisal
report and I believe, to the best of my knowledge, that all statements and Information In the appraisal report are true and correct
4. I stated In the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are
subject only to the contingent and limiting conditions specified In this form.
5. I have no present or prospective Interest In the property that Is the subject of this report, and I have no present or prospective personal
Interest or bias with respect to the participants In the transaction. I did not basa, either partially or completely, my analysis anltor the
estimate of market value In the appraisal report on the race, color, religion, sex, age, marital status, handicap, familial status, or national
origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties
in the vicinity of the subject property or on any other basis prohibited by law.
6. I have no present or contemplated future Interest In the subject property, and neither my current or future employment nor my
compensation for performing this appraisal Is contingent on the appraised value of the property.
7. I was not required to report a predetermined value or direction In value that favors the csuse of the client or any related party, the
amount of the value estimate, the attainment of a specific result, or the occurrence of a subsequent event In order to receive my
compensation anlVor employment for performing the appraisal. I did not base the appraisal report on a requested minimum valuation,
a specific valuation, orthe need to approve a specific mortgage loan.
8. I estimated the market value of the real property that is the subject of this report based on the sales comparison approach to value. I
further certify that I considered the cost and Income approaches to value, but, through mutual agreement with the client. did not develop them, unless
I have noted otherwise In this report.
9. I performed this appraisal as a limited appraisal, subject to the Departure Provision of the Uniform Standards of Professional Appraisal
PractICe that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were In place as of
the effective date of the appraisal (unless I have otherwise Indicated In this report that the appraisal Is a complete appraisal, In which
case, the Departure Provision does not apply).
10. I acknowledge that an estimate of a reasonable time for exposure In the open market Is a condillon In the definition of market value.
The exposure time associated with the estimate of market value for the subject property Is consistent with the rnaJI\8tIng time noted
In the Neighborhood sectton of this report. The rnaJI\8tIng period concluded for the subject property at the estimated market value Is
also consistent with the rnaJI\8tIng time noted In the Neighborhood section.
11. I personally prepared all conclusions and opinions about the real estate that were set forth In the appraisal report.
further certify that no one provided significant professional assistance to me In the development of this appraisal.
SUPERVISORY APPRAISER'S CERTFlCA11ON: If a supervisory appraiser signed the appraisal report, he or she certifies and agrees that
I directly supelVise the appraiser who prepared the appraisal report, have examined the appraisal report for compliance with the Uniform Standards
of Professional Appraisal Practice, agree with the statements and conclusions of the appraiser, agree to be bound by the appraiser's
certifications numbered 5 through 7 above, and am taking full responsibility for the appraisal and the appraisal report.
APPRAISER: George C. Saylor
Signature:- ~ - d'tif'==
Name: Georae C. ~ffor
Company Name: Georae C. Saylor
Company Address: POB 247
Beavertown. PA. 17813
Date of Report/Signature: March 10. 2007
State Certification #: RL-000637-L
or State Ucense #:
State: Pennsylvania
Expiration Date of Certification or Ucense: 6/3012007
SUPERVISORY APPRAISER (ONLY IF REQUIRED):
Signature:
Name:
Company Name:
Company Address:
Date of Report/Signature:
State Certification #:
or State Ucense #:
State:
Expiration Date of Certification or License:
ADDRESS OF PROPERTY APPRAISED:
543 Old New Lancaster Road
Milroy. PA. 17063
APPRAISED VALUE OF SUBJECT PROPERTY $ 203.000
EFFECTlVEDATEOFAPPRAISALIINSPECTION March 10. 2007
LENDERJCLENT:
Name:
Company Name: Delno R. Homer Jr.
Company Address: 141 Salem Church Road. Mechanicsbura. PA
17050
SUPERVISORY APPRAISER:
SUBJECT PROPERlY
o Old not inspect subject property
o Did Inspect exterior of subject property from street
o Did inspect interior and exterior of subject property
COMPARABLE SALES
o Did not inspect exterior of comparable sales from street
o Did inspect exterior of comparable sales from street
PAGE30F3
Form 205 - 'WlnTOTAL' appralsaI sollware by a la mode, Inc. -1-8QO-ALAMODE
Fannie Mae Form 2055 9-96
IAle No. 455881 Paoe #1 ,
APPRAISAL OF REAL PROPERTY
LOCATED AT:
New Lancaster Valley
Refer to Deed Book:1381260
McClure, PA 17841
FOR:
O8lno Homer Jr..
141 Salem Church Road
Mecanicsburg, PA 17055
AS OF:
March 10. 2007
BY:
George C. Saylor Cert. # RL-000637-L
ESTATE OF THEDA HORNER
PARCEL 45
Form GA6 ~ 'WInTOT AL' appraisal software by a fa mode. Inc. - 1.800-AlAMODE
-l-
RT
~~.#~
45sas
Ale No. 45588
Map Reference Tax Ma #14
Census Tract 9805
State PA
Zip Code 17841
PA 17055
raisal
Up
Growlh Rate
PropeIty Values
DemamVSUppIy
MartelIng Tillie
Present land Use
Rural
C8:J Under 25%
o Slow
o DecUn/ng
o Oversupply
Employment Stability
ConvenJe/ICB III Employment
Convenience to Shopping
Convenience to Schools
Adequacy of Public Trans/lOffllllon
Recreational Facilities
Adequacy.of Utilities
Property Compatibility
Protection from DlIl1imental Conditions
Police and Are Protectfon
General Appearance of Properties
Appeal to Market
Good Avg. Fair Poor
OOC8:JO
OO~O
OO~O
OOC8:JO
OOC25JO
OC8:JOO
OOC8:JO
0(8J00
OOC8JO
OOC8JO
00(8J0
0(8J00
Pr8dominant Occupancy
Single FamUy PrIce Range
SIngle Family Age
o Taking Place (*)
Comments including 1I1ose factors, favorable or unfavorable, affecting ITIaI1l8labIIIty (e.g. public parl(s, schools, view, nO/se): Sub'ect is situated at the base of the Jack's
ntain borderin on stateland. The area is known locall as New Lancaster traverses throu h the Valle and connects the site via Wolf Ga
Closest schools sho ; banks and other amenities are in McClure and Milro .
50 yrs.
3.2 Sq. Fl or Acres Comer lot
Present Improvements C8:J do 0 do not conform to zoning regulations
C8:J No 0 y"
\
-9 600 ~
)~
-9 600
12900 ./
'lIents and CllIIditions of AppraIsal: The Mure develo ment of this site could not be determined. Develo ment and sub-division have been slow in
area.
---.....
ndin time and distance search arameters
MATI TNIMAIICIT VALUI, AI IIFlIID, D. IUIJICT ..IDPlIlTT AI D' March 1 0 20~ to be $ 10 600
'lIi~ n~~alue of the timber crop on the site. Crop should be estimated by certified forrester
lie C. Savior ~; ~L-000637 -L 0 Did 0 Did Not Physically Inspect Properly
ier s
Review
George C. Saylor
FoonLND - "WInTOTAl' appraisal software by a Ia mode, Inc. -1-800-AlAMODE
i
REV-'503 EX' (6-.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Homer. Theda J.
FILE NUMBER
21 07
AU property jointly-owned with right of survivorship must be disclosed on Schedule F.
0002
ITEM
NUMBER
1.
DESCRIPTION
100 shares Medco Health Solution Inc. @ 53.865
VALUE AT DATE
OF DEATH
5,386.50
2.
2550 shares Artesian Res Corp @ 19.555
49,865.25
3.
1845 shares Allied Irish Bank @61.095
112,720.27
4.
750 shares, Duquesne Light Holdings @ 19.92
14,940.00
5.
500 shares Merck & Co. @ 43.31
21,655.00
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed. insert additional sheels of the same size)
204.567.02
REV-1508 6X + (6-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Horner. Theda J
FILE NUMBER
21 07
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
0002
ITEM
NUMBER
1.
DESCRIPTION
1st National Bank of Greencastle, Certificate of Deposit Account 4-2318358
Dated 12/13/06,8 months 5% interest Compounded quarterly Principal $10,000.00
Interest $ 163.01
2.
M& T Bank, Account 4573801, See attached
3.
M& T Bank, Account 3922398, See attached
4.
M& T Bank, Account 4588058, See attached
5.
M&T Bank, Account 5257371, See attached
6.
M&T Bank, Account 3394505, See attached
VALUE AT DATE
OF DEATH
10,163.01
26,504.33
16,009.12
15,022.90
6,018.47
32,064.35
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheels of the same size)
105.782.18
Page 1 of 1
Date: Fri, 05 Jan 2007 13:53:37 -0500
From: "DATE OF DEATH REQUESTS" <emabx4@mandtbank.com>
To: "SILVIA FOLEY" <SFOLEY@mandtbank.com>
Subject: Re: prod - Date of Death Request
To: Silvia, 1/5/2007
Please find the date of death balance you had requested on the below
account for decedent
Name of decedent: Theda Homer
Social Security # 165-24-7237
For the Date of Death: 12/27/2006
Records Management / DOD Unit
M&T Bank- "Understanding what's important."
>>> <SFOLEY@mandtbank.com> 01/03/071:30 PM >>>
Account Information
Date of death: 12/27/2006
Account Number: 31003914573801 Balance $26,488.00 + $ 16.33 =
$26,504.33 Total
Product Type: Deposit Account
Account Number: 31003913922398 Balance $16,000.00 + $ 9.12 =
$16,009.12 Total
Product Type: Deposit Account
Account Number: 31003914588058 Balance $15,000.00 + $ 22.90 =
$15,022.90 Total
Product Type: Deposit Account
Account Number: 31003915257371 Balance $6,000.00 + $ 18.47 =
$6,018.47 Total
Product Type: Deposit Account
Account Number: 31003913394505 Balance $30,691.35 + $ 1,373.00 =
$32,064.35 Total
Product Type: Deposit Account
Have a great day!
Request Details
Deliver to: Requestor
Delivery Options: Mail
Delivery Details: Hampden
REV-1511 ~+(12-99)
.
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Horner Theda J.
FILE NUMBER
21 07
0002
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Myers Funeral Home 3,410.00
2. Funeral Reception 1,000.00
3. Gingrich Memorials, Marker 1,350.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social SeaJrity Number(s)/EIN Number of PeIsonal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees John M. Eakin 500.00
3. Family Exemption: (If decedenfs address is not the same as claimants, atIach explanation) 3,500.00
Claimant Delno R. Horner
StreetAddress 137 Salem Church Road
City Mechanicsburg State P A Zip 17050
Relationship of Claimant to Decedent Husband
4. Probate Fees 318.00
5. Accountants Fees
6. Tax Return Preparer's Fees
7. Robert Bolash, Real Estate Appraisal, Silver Spring Township 300.00
8. George Saylor, Real Estate Appraisal, Snyder County 425.00
9. Peter DeMarie, Real Estate Appraisal, Delaware 100.00
10.. Register of Wills, filing fee 15.00
TOTAL (Also enter on line 9, Recapitulation) $ 10918.00
(If more space is needed. insert additional sheets of the same size)
REV-1512 EX + (6-98)
.
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Horner Theda J.
FILE NUMBER
21 07
0002
Include unreimbuned medical expenses.
ITEM
NUMBER
1. None
DESCRIPTION
VALUE AT DATE
OF DEATH
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert addiIionaI sheets oflhe same size)
""'.'''''''.' ".
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Horner Theda J. ?1 07 0002
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Ust Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [mcIude oubight ~ disbibutions, and transfers under
Sec. 9116 (a)(1. )]
1. Delno R. Homer, Jr. Husband Entire Estate
137 Salem Church Road
Mechanicsburg, PA 17050
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART n - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
""""-,;':.';i_..":"O,:,.-."' ,
, ..,~.,t~
LAST ,WILL AND TESTAMENT
OF
THEDA J. HORNER
I, 'l'IlEDA J. HORNER of Shippens19urg, ~erland 0 county,
pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I. I devise and bequeath all of my estate of
every nature and wherever situate to my husband, DELNO R.
HORNER, JR. , providing he shall survive me by thirty days.
ITEM II. should my husband, DELNO R. HORNER,JR. pre-
decease me or die on or before the thirty-first day following
-, 'my death, I devise and bequeath a1:1 -o'f-'-my- e-S't"a.'te M---e--very-na:tur
and wherever situate as follows:
A. One-half thereof to my husband's sister, ADELINE
TARANTO or her heirs, per stirpes.
~. The remaining one-half thereof to my sister,
SYLVIA HOLLINGSHEAD or her heirs, per stirpes.
ITEM III. All taxes that may be assessed in consequence
of my death, of whatever nature and19y whatever jurisdiction
imposed, shall be considered a part of the expense of the ad-
ministration of my estate, and my exeautor or executrix, as
the ease may be, shall have the absolute power in his or her
ci1se'f'~t.ilo)j...'6o,;;,'_~~:~~;;.~:.[[_ii:~U"..~~~~iJl1!r__~~.l_~~I'_'"
.. .'- " ',-- .;. . - '. .,.... , .... "'-.'. '..' ", '.. .... ...... '. . ..
LAW 0".'",
HUMAKER, PLACEY;
SMELTZ a WATERS
which they are imposed permits the postponement of payment of
IRI'IU.G, PlNNITLYAlllA
all or)part of them to a later time.
~'/J. ~
f
uworne..
HUMAKER, PUCEY,
SMELTZ a WATERS
RRISlURG, P1tKKIY~VAKU.
ITEM IV. I appoint my husband, DELNO R. HORNER,' JR.,
executor of this my last will. Should my husband, DELNO R.
HORNER, JR. fail to qualify or cease to act as executor, I
appoint my sister, SYLVIA HOLLINGSHEAD executrix of this my
last will.
IN WITNESS WHEREOF, I havehereunto set my hand this
d 7~ay of september, 1961.
~ (j, ~~V
I"
The preceding instrument, consisting of this and one other
typewritten page, identified by the signature of the testatrix,
was on the day and date thereof signed, published and declared
by Theda J. Horner, the testatrix therein named, as and for her
last will in the presence of us, who, at her request, in her
presence and in the presence of each other, have subscribed our
names as witnesses hereto.
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:hlJ>/J. -7A~/
~~
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