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Home My WebLink About06-22-07 (3) ..:...J 15056041125 REV -1500 EX (06-05) PA Department 01 Revenue. Bureau 01 IndMdualTaxes INHERITANCE TAX RETURN PO BOX 280601 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year 2 1 0 6 File Number 079 6 Date of Birth 186121986 06282 0 0 6 013 0 1 9 2 2 Decedent's Last Name Suffix Decedent's First Name MITCHELL SR CHARLES MI W (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 00 1. Original Retum D 4. Limited Estate 00 D 4a. Future Interest Compromise (date 01 death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death D 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received D D D D 8. Total Number of Safe Deposit Boxes 2. Supplemental Return D D 3. Remainder Return (date 01 death prior to 12-13-82) 5. Federal Estate Tax Return Required City or Post Office State ZIP Code 7 1 7 2 4 3 Q-...,O 9 0 ("") 2 :n REGIST .. ILLS US~ NL Y FT. ~'::j OJ ::g C ,,- <:..-:) [TJ~. C) ;;.e -'F' -"J :1" r- ::,..:: C') c::::: m N rw' ,-h ;.;~ CJ5 ~ N :.., C~J 000 -0 ~', C) 00" :x :.. =n oc: ::::'= c) .::0 W r'o rn --t roO" , ~ W (., ell DATE FILED CJl -n H A R 0 L D SIR WIN I I I Firm Name (II Applicable) I R WIN LAW 0 F F ICE First line of address 6 4 SOU T H PIT T S T R E E T Second line of address CARLISLE P A 17013 Correspondent's e-mail address:irwinlaw@earthlink.net Under penalties of pe~ury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and beliel, it is true, correct and complete. Declaration 01 preparer other than the personal representative is based on all inlormation 01 which preparer has any knowledge. SIG F-PER N FILING RETURN DATE ~ HARRISBURG ESENTATIVE CARLISLE PLEASE USE ORIGINAL FORM ONLY PA 17013 Side 1 L 15056041125 15056041125 -.JJ --.J 15056042126 REV-1500 EX 4. Mortgages & Notes Receivable (Schedule D) ........................ 4. Decedent's Social Security Number 186 1 2 198 6 1 1 9 o 0 0 0 0 0 0 0 0 0 0 0 0 0 160 7 5 9 0 0 0 0 0 0 1 2 0 6 0 7 5 9 1 3 1 0 5 5 9 5 5 6 3 5 1 3 6 6 1 9 4 1 0 6 9 4 5 6 5 Decedenfs Name: CHARLES W. MITCHELL, SR RECAPITULATION 1. Real estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) .................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 6. Jointly Owned Property (Schedule F) D Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D 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. 1 0 6 9 4 5 6 5 TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X.O _ 0 0 0 15. 0 0 0 16. Amount of Line 14 taxable 1 0 6 9 at lineal rate X .O~ 4 5 6 5 16. 4 8 1 2 5 5 17. Amount of Line 14 taxable 0 0 0 at sibling rate X .12 17. 0 0 0 18. Amount of Line 14 taxable 0 0 0 at collateral rate X .15 18. 0 0 0 19. Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 4 8 1 2 5 5 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT D Side 2 L 15056042126 15056042126 -.J REV-1500 EX Page 3 Decedent's Complete Address: File Number 0796 , DECEDENT'S NAME CHARLES W. MITCHELL, SR STREET ADDRESS 5016 EAST TRINDLE ROAD CITY I STATE I ZIP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 4,812.55 Total Credits (A + B + C) (2) 0.00 3. InteresVPenalty if applicable D. Interest E. Penalty TotallnteresVPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 0.00 4,812.55 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (5B) A. Enter the interest on the tax due. 4,812.55 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ...................................................................... 0 00 b. retain the right to designate who shall use the property transferred or its income; ............................... 0 00 c. retain a reversionary interest; or ................................................................................................ 0 00 d. receive the promise for life of either payments, benefits or care? ....................................................... 0 00 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... 0 00 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. 0 00 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE 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)l. 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)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum 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 one-half (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 or for the use of the decedent's siblings is twelve (12) percent [72 P .S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX + (6-98) * SCHEDULE A REAL ESTATE , >" COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER CHARLES W. MITCHELL, SR 0796 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real Drooertv which is iointlv-owned with riaht of survivorshiD must be disclosed on Schedule F. ITEM NUMBER 1. 2. DESCRIPTION HOUSE AND LOT AT 5016 EAST TRINDLE ROAD, MECHANICSBURG, PA 17055 Value based on Sale Price HUD-1 attached as Exhibit B HOUSE AND LOT ON MAIN STREET, SHADE GAP, PA 17255 Value based on Appraisal Appriasal attached as Exhibit C VALUE AT DATE OF DEATH 100,000.00 19,000.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 119000.00 REV-1504 EX + (6-98) ". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSEL Y.HELD CORPORATION, PARTNERSHIP OR SOLE.PROPRIETORSHIP ESTATE OF CHARLES W. MITCHELL, SR FILE NUMBER 0796 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH NONE 0.00 TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1507 EX + (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE ESTATE OF CHARLES W. MITCHELL. SR FILE NUMBER 0796 All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH NONE 0.00 TOTAL (Also enter on line 4, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1508 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CHARLES W. MITCHELL, SR SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 0796 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. ITEM NUMBER 1. MISC. PERSONAL PROPERTY DESCRIPTION 2. TAX PRORATION ON REAL ESTATE TAX SALE 3. PEBTF Final Suvivors Benefit from Pension VALUE AT DATE OF DEATH 1,500.00 88.31 19.28 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1 607.59 REV-1509 EX + (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF CHARLES W. MITCHELL, SR FILE NUMBER 0796 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. 8 c JOINTLY-OWNED PROPERTY: LmER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENrSINTEREST 1. A. NONE 0.00 0.00 TOTAL (Also enter on line 6, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (6-98) . , ESTATE OF CHARLES W. MITCHELL, SR COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 0796 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST VALUE (IF APPUCABlE) 1. NONE 0.00 0.00 TOTAL (Also enter on line 7 Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CHARLES W. MITCHELL, SR ITEM NUMBER A. 1. 2. B. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. FILE NUMBER 0796 Debts of decedent must be reported on Schedule I. DESCRIPTION AMOUNT FUNERAL EXPENSES: MYERS FUNERAL HOME, INC. - Funeral Expenses JOHNSON FUNERAL HOME - Funeral Expenses 3,980.00 497.38 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: AttomeyFees IRWIN LAW OFFICE 5,000.00 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS - Initial filing fee at time of probate and filing of inheritance tax return and inventory Accountanfs Fees 356.00 Tax Return Preparer's Fees NELSON EBERSOLE - Real Estate Appraisal DON RAPP - Real Estate Appraisal AAA SELF STORAGE - Storage of Personal Property STEPHANIE MITCHELL - Reimbursement of Expenses Paid for Estate MARIE HUBER, TAX COLLECTOR - Real Estate Taxes SUSAN M. HARRY, TAX COLLECTOR - Real Estate Taxes IRWIN LAW OFFICE - Attorney Fees on Sale of Real Estate 250.00 275.00 315.00 101.84 1,526.24 604.13 200.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 13.105.59 REV-1512 EX + (12-03) '* SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CHARLES W. MITCHELL, SR FILE NUMBER 0796 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. CINGULAR WIRELESS Utility Bill VALUE AT DATE OF DEATH 209.00 2. PP&L ELECTRIC Utility Bills 254.64 3. PA-AMERICAN WATER COMPANY Utility Bill 92.71 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 556.35 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee{s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include Outritt spousal distributions, and transfers under Sec. 9116 (a (1.2)] 1. PHILLIP ALLEN MITCHELL Lineal 3833 Durham Road 1/3 Residue Harrisburg, PA 17110 2. JAMES D. MITCHELL Lineal 508LWE 1/3 Residue Chambersburg, PA 17201 3. CHARLES W. MITCHELL, JR. Lineal 5016 East Trindle Road 113 Residue Mechanicsburg, PA 17055 4. SHIRLEY C. STEBBINS Deceased - DOD May 3, 2006 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 TAXIS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ ,"'-"" "'. '- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CHARLES W MITCHELL SR SCHEDULE J BENEFICIARIES FILE NUMBER 0796 (If more space is needed, insert additional sheets of the same size) B3/13/2BB7 14:B5 7175415487 THE UPS STORE 2204 PAGE B5/B7 (/' , _. LAST WILL AND 1ESTAlV[ENT OF ,CHARLES W. MITCHELL I, CHARLES w. MITCHELL, a resident of Soott County, Commonwealth of Kentucky, being of full age, sound mind and memory, do hereby make, publish, and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils heretofore made by me. .EIEil= I will and direct that all my just debts, funeral expen.ses, and expenses connected with the administration of my estate be paid as soon as practicable after my death. I ful1her direct the EX9cutrlx!Executor hereof to pay all "'" ~, ~ Inheritance estate. transfer and succession taxes which may be levied or a~~ed 0:.-' , . . I-II r:"1 . , . " i:-) "~;J upon any property which is included as part of my gross estate for the purpc~ ~~ny = ~ '," :. ... ',.\ ")l:1: ..,., ~~ q~~ : .~;--I .. SECOND: I will, devise and bequeath all of my property. real. J:fersonal ~ and mixed, and wheresoever situated, to my children. CHARLES W. MITCHELl, JR., -., -,..~ ~~.::~ ':.'" :~~~1 '.~U'..:~l , ,,") I"" , . "', ; '::, ~~~ SHIRLEY C. STEBBINS. JAMES D. MITCHELL and PHILIP A. MITCHELL, share and share alike, to be theirs absolutely and in fee simple. II:If.BQ; I hereby nominate and appoint my daughter. SHIRLEY C. STEBBINS, as Executrix of this Will and if she shall pradeceass me, or if for any other ~ason she tails to qualify, then I nominate and appoint my son, PHILIP A. MITCHELL, as Exgcutor of this Will. I direct that my above named ExecutrixlExecutor shall serve without requirement of surety on the bond as such. I hereby grant to my Executrlx/Executor full power and authority to compromise. settle, and/or adjust any and all claims, charges, debts or demands against or In favor of my estate, 8S fully as I could do if living, and further, with full power, without order or Court to sell, transfer and convey any prop~rty. real or personal, WhiCh I may own at the time of my death at such price, time, terms and c~ndjtions as they may determine, and to perlenn those transactions, authorized for personal repre!lClntatives as set forth in Chapter 395 (as it may be amended from time to time) of the Kentucky Revised StaMas, for the pUrpOSes of administration, divililion or distribution In carrying out the terms of this Wilt ~ 1 C0 ~'L 03/13/2007 14:05 7175415487 THE UPS STORE 2204 PAGE 05/07 LAST WILL AND TESTAMENf OF CHARLES W. MITCHELL IN TESTIMONY WHEREOF, , have hereunto subscribed my name, by maleing my mark, to this my LAST WILL AND TESTAMENT. consisting of THREE (3) typewrItten pages, and for the purpose of identification I have initialed each such page, allln the presence of the persons witnessing It at my request on this J6.%ay of April, 2006, at Georgetown. Kentucky. ~ ' CHARLES ~CHElL (his mark) The foregoing instrument, oonsisting of three (3) typewritten pages, wa.s signed and declared by CHARLES W. MITCHEll, the Testator. by making his mark, to be his LAST WILL AND TESTAMENT., In our presence, and we, at his request and in the presence of Nch other have subscribed our names as witnesses, this ~y of April, 2006, at Georgetown. Kentucky. &~ ~Sfdng in tu(~ ' Kentucky w:ct?~ ' residingin~Kentucky I, CHARLES W. MITCHELL, the Testator. sign my name, by making my mark. to this instrument this ~y of April, 2006, and being first duly swom, do hereby declare to the undersigned authority that I sign and execute this instrument as my LAST WILL AND TESTAMENT, and that I sign it willingly. that I execute it as my free and voluntary act for the purposeslhereln eJq)rEIssed, and that I am eighteen (18) years of age or older. of sound mind, and under no oonstraln TESTATOR (h fC; ;Q.@6R ~ 2 e3/13/2ee7 14:e5 7175415487 THE UPS STORE 2204 PAGE e71 e7 LAST WILL AND 1ESTAMENT OF CHARLES W. :MITCHELL We. 8Ntrro if) (1ln It1{ and /1. P. Rez5./<.oP!-.J"~ ". the witnesses. sign our names to this Instrument, being first duly swom, and do hereby declare to the undersigned authority that the Testator signs this instnJmant as his LAST WILL AND TESTAMENT and that he signs it willingly, and that each of us, in the presenee and hearing of the Testator and in the presence of the other subscribing witness, hereby signs this Will as witness to Testator signing. and that to the best of our knowledge Ihe Testator is eighteen (18) years of age or older, of sound mind, and under no constraint or undue Influence. ~ nu-: (1~~ WI NESS . 1'1.6i!~, WITNESS COMMONWEALTH OF KENTUCKY COUNTY OF SCOTT Subscribed, swam to and acknowledged before me by CHARLES W: MITCHELL, the Testator, by making his mark; subscribed and swom to before me by ~I'j\,n ~~ and \IX. ~~!I~ . WOn""""", this aD... day 01 April, 2006. ~rt1A~4h~ NOTARY p we My commission expires: l \. s -lRo PREPARED BY: 4<'if~ RAND L. MARSHALL ATTORNEY AT LAW 198 Ea::rt Washington Street Georgelown, Kentucky 40324 [ml-d1s-lllltenonetl8l) ~ ~ d.f93?6f 3 A. Settlement Statement U.S. Department of Housing and Urban Development ~ ,r OMB Approval No. 2502-0265 B. T eolLoan 1. 0 FHA 2. 0 FmHA 3. 0 Conv. Unins. 4.0 VA 5.0 Conv.lns. 6. F1leNurrl>er 7. loan Nurroer 8. Mortgage Insurance Case Number 1320552 C. Note: This form Is fumlshed to give you a statement 01 actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked '(p.o.c.)' were paid outside closing; they are shown here for informational purposes and not included In the totals D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender LISA D. MITCHELL ESTATE OF CHARLES W. MITCHELL GRA YSTONE MORTGAGE, LLC G. Property Location H. Settlement Agent 5016 EAST TRINDLE ROAD HAROLD S. IRWIN III MECHANICSBURG PA 17050 Place of Settlement I. Settlement Date IRWIN LAW OFFICE 5/412007 CARLISLE PA 17013 Disbursement Date Lot: Block: 15/412007 J. Summary 01 Borrower's TransacUon 100. Gross Amount Due From Borrower K. Summary 01 Seller's TransecUon 400 Gross Amount Due To Seller 101. Contract sales orlce 100,000.00 401. Contract salas orice 100 000.00 102. Personal prooerty 402. Personal property 103. Settlement charges to borrower (IIna 1400) 3567.61 403. 104. 404. 105. 405. Adlustments for Itsms paid bv seller In advance Adjustments lor Items paid bv seller In advance 106. City/town taxes to 406. Cityllown taxes to 107. County taxes to 407. County taxes to 108. Assessments to 408. Assessments to 109. School Taxes 5/412007 to 6/30/2007 216.03 409. School Taxes 5/412007 to 6/30/2007 216.03 110. to 410. to 111. to 411. to 112. to 412. to 113. to 413. to 114. to 414. to 115. to 415. to 120. Gross Amount Due From Borrower 103,783.64 420. Gross Amount Due To Seller 100,216.03 200. Amounts Paid Bv Or In Behall Of Borrower 500. ReducUons In Amount Due To Seller 201. Daooslt or eamest monev 501. Excess d8DOS1I (see Instructions) 202. Princloalamount of new loan(s) 77 300.00 502. Settlement chemes to seller (IIna 1400) 205.00 203. Exlstlna loan(s) taken sublectto 503. Exlstlno IoanCsl taken sub]ectlo 204. 504. PaYOff of IIrst mortoeoe loan 205. 505. PaYOff of second mortoaoe loan 206. 506. 207. 507. 208. 508. 209. 509. Adlustments lar Items unpaid bv seller Adlustments lor Items unaald bv seller 210. Cltyllown taxes 1/1/2007 to 5/412007 127.72 510. Cllv/town taxes 1/1/2007 to 5/412007 127.72 211. County taxes ta 511. Counlv taxes to 212. Assessments to 512. Assessments to 213. to 513. to 214. to 514. to 215. to 515. to 216. to 516. to 217. to 517. to 218. to 518. to 219. to 519. to 220. Total Paid BylFor Borrower 77,427.72 520. Total ReducUon Amount Due Seller 332.72 300. Cash At SatUement FromITo Borrower 600. Cash At Seldement To/From Seller 301. Gross Amount due from borrower (line 120) 103783.64 601. Gross amount due to seller (line 420\ 100 216.03 302. Less amount oald bv/for borrower (line 220\ 77 427.72 602. Less reductions In amI. due seller (line 520\ 332.72) 303. Cash lXI From o To Borrower 26,355.92 603. Cash lXI To o From Seller 99,883.31 SUBSTITUTE FORM 1099 SELLER STATEMENT The Information contained In Blocks E, G. H, and land on line 401 (or, line 403 and 404) Is Important tax information and Is being furnished to the Intemal Revenue Service. If you are required to lIIe a relUm, a negligence penalty or other sanction will be Imposed on you If this lIem Is required to be reported and the IRS determines that II has not been reported. If this real estate Is your principal resldance, file Form 2119, Sale or Exchange of Principal Residence, for any 9aln, with your Income tax relum; for other transactions, complete the applicable parts of Form 4797, Form 6232 and/or Schedule D. Form 1040). You are required to provide the Settlement Agent (named abova) with your correctlaJcpeyer Identlllcatlon number. If you do not provide the Selflement Agent with your correct taxpayer Identnlcatlon number, you may be subject to civil or criminal penalties Imposed by law. Under penalties of pe~ury. I certify thai the number shown on this statement Is my correctlaJcpeyer Identification number. (Seller's Sl9nature) L. SeWementCha~os 700. Total SaleslBroke(s Commission based on Drlce $ @ %a Paid From Paid From Division of Commission mne 7001 as follows: Borrower's Selle(s 701. $ to Funds At Funds At 702. 'I Settlement Settlement , to 703. Commission oald at Settlement 704. 800. Items Pavable In Connection WIth Loan 801. Loan Orialnellan Fee % 802. Loan Discount % 803. ADoralsal Fee to 804. Credit Report to 805. Lende(s Insoecllon Fee 806. Morlaeae Insurence AoDllcatlon Fee to 807. AssumDtlon Fee 808. Document Preparation Fee to GRA YSTONE MORTGAGE 375.00 809. Processlnll Fee to GRA YSTONE MORTGAGE 125.00 810. Tax Realted Service Fee to GRAYSTONE MORTGAGE 75.00 811. Underwriting Fee to GRA YSTONE MORTGAGE 150.00 812. ADDllcatlon Fee to GRAYSTONE MORTGAGE 395.00 813. FAFDS Flood Certification Fee to FAFDS I FLOOD CERT 18.50 900. Items Required By Lender To Be PaId In Advance Exelude last dev In cales - line 901 901. Interest from 51412007 to 6/112007 0$12.97 I dev 28 Days 363.16 902. Morlaeoe Insurance Premium far months to 903. Hazard Insurance Premium for One vears to ALLSTATE 561.20 904. vears to 905. 1000. Roserves DeDoslted With Lender 1001. Hazard Insurance monthsO $ Der month 1002. Morlaaae insurance monthsO$ Der month 1003. CItv DroDerlY taxes monthsO$ Der month 1004. County Drooertv taxes monthsO $ Der month 1005. Annual Bssessments monthsO $ Der month 1006. monthsO$ Der month 1007. monthsO$ oar month 1008. Aaareaate Accounllna Adlustment 1100. TIlle Cha~es 1101. Settlement or claslno fee to IRWIN LAW OFFICE 200.00 1102. Abstract or IIl1e search to 1103. nile examlnellon to NIVEN BAIRD 105.00 1104. Tille Insurance binder to 1105. Document Dreoaratlon to 1106. Notarv fees to 1107. Attorney's fees to IRWIN LAW OFFICE 200.00 IIncludes above Items numbers: ) 1108. Title Insurance to PENN ATTORNEYS TITLE INSURANCE COMPANY 958.75 {Includes above Items numbers: 1107 1108 1 1109. Lende(s coveraae 77 300.00 $ 1110. Ownerscoverage 100000.00 $ 1111. Endorsements 8.1 100 and 300 to PENN ATTORNEYS TITLE INSURANCE COMPANY 75.00 1112. Closlnll Protection Letter to PENN ATTORNEYS TITLE INSURANCE COMPANY 35.00 1113. Overnlllht Mall ExDenses to IRWIN LAW OFFICE 30.00 x 82.50 ; Releases $ 101.00 e $ e $ 1204. 1205. 1300. Additional SeWement Chargea 1301. Survev to 1302. PestlnsDection to 1303. Tax CertifIcation to MARIE HUBER TREASURER 5.00 1304. 1305. 1306. 1307. 1308. 1400. Total SeWement Charges (entar on lines 103, SectIon J and 502, Section K) 3.567.61 205.00 CERTIFICATION I have carefully reviewed the HUD-l Settlement Statement and to the best of my knowledge and belief. It Is a true and accurate statement of all receipts and disbursements on my account or by me in this trensacllon. I further certify that I have recetved a copy of the HUD.l Settlement Statement. Seller Borrower ESTATE OF CHARLES W. MITCHELL LISA D. MITCHELL Seller Borrower To the best of my knowledge the HUD-l Settlement Statement which I have prepared Is a tnJe and accurate account of the funds which were received and have been or wlll be disbursed by the undersigned as parl of the settlement of this transaction. Settlement Agent 5/4/2007 Date HAROLD S. IRWIN, III WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a line and Imprisonmenl. For delalls see: Title 18 U.S. Code Secllon 1001 and Section 1010. U.s. GOVERlftll:NT PRINTING OFFICE: 1919 0-_26 DON RAPP APPRAISAL SERVICE File No. Mitchell Estate APPRAISAL OF THE PROPERTY LOCATED AT: Main Street Shade Gap, PA 17255 FOR: Mr. Phillip Mitchell 3833 Durham Road Harrisburg, PA 17110 BORROWER: AS OF: August 30, 2006 BY: Donald M. Rapp Real Estate Appraiser US Route 22, MAT Plaza, Suite 4, Huntingdon, PA 16652 DON RAPP APPRAISAL SERVICE File No. Mitchell Estate August 30, 2006 Mr. Phillip Mitchell 3833 Durham Road Harrisburg, PA 17110 File Number: Mitchell Estate To whom it may concern: In accordance with your request, I have personally inspected and appraised the real property at: Main Street Shade Gap, PA 17255 The purpose of this appraisal is to estimate the market value of the subject property, as improved. The property rights appraised are the fee simple interest in the site and improvements. In my opinion, the estimated market value of the property as of August 30,2006 is: $19,000 Nineteen Thousand Dollars The attached report contains the description, analysis and supportive data for the conclusions, final estimate of value, descriptive photographs, limiting conditions and appropriate certifications. Respectfully submitted, <:i!)mtaQ 7J(.N# Donald M. Rapp Real Estate Appraiser RL-000178-L US Route 22, MAT Plaza, Suite 4, Huntingdon, PA 16652 The purpose at this summary appraisal report is to provide the lender/client with an accurate, and adequately supported, opinion of the market value otthe subject property. Pron_ Address Main Street Gilv Shade GaD State PA lin Code 17255 Borrower Owner ot Public Record Mitchell Estate Counlv Huntinodon Legal Desaiotion Deed Book 173 Paoe 653 Assessor's Parcell 41-01-48 Tax Vear 2006 R.E. Taxes S 564.48 Neiohborhood Name Shade GaD Borounh Mao Reference 41-01-48 Census Tract 9512 IOm"""'t r lOwner r lTenent rXlVacant Special Assessments $ 0.00 I IpUD HOAS 0.00 liner vear I I oar month .. PronArlv R"'hts Annralsed Ix I Fee Slmnle I ILeasehold I I Other Idesaibe' AssianmentTvoe r 1 Purchase Trensection Ix I Refinance Transection I lOtherldescribel Lender/Client Address Is the sublect orooertv currentiv offered for sele or has it been offered for sale In the twelve months otior to the effective date ot this aooraisal? r lVes rXlNo Report data source(s) used. offering price(s), and date(s). Huntinodon Countv MLS I Odid OOdld not analyze the contract for sale for the subject purchase transaction. explain the results ot the analysis ot the contract for sale or why the analysis was not performed. n/a . Contract Price $ n/a Dale ot Contract n/a Is the nronertv seller the owner of public reOlll'd? I X I Ves I I No Data Sourcels) tax assessment . Is there any financial assistance (loan charges, sale concessions, gift or downpayment assistance, etc.) 10 be paid by any party on behaK ot the borro_? OVes ~No K Ves, report the total dollar amount and desaibe the items 10 be paid. $ n/a n/a Nohl: Rae:..nd the r.cl.1 com.....ltlon of the nalohborhood are not .0....1..1 lacler.. Nalllf1borhoad Charactarl.t1~ .. < " '.e_Unlt HoualngTr.nda .. e_Unlt _Ing .:. .,.." "'-111 Land IJaao % Location lUrt,an I X I Suburban r l Rural Pronertv Values r l inaeasinn rx l Stable Deciininn PRICE AGE One-Unit 65 % Buill-Un lOver 75% Ix 125-75% r lUnder 25% DemandlSupplv I I Shortene I X Iln Balance Over Sunnlv SlOoo) Ivrsl 2-4 Unit % : Growth l Ranid Ix 1 Stable I ISlow Marketino Time I I Under 3 mths I X 13-6 mths Over 6 mths 15 Low 50+ Multl-Familv % Neighborhood Boundaries Shade GaD Borouoh 90 Hinh 50+ Commercial 10 % . 35 Pred. 50+ Other Vacant 25 % .. Neighborhood Desaiption Sinole familv homes are of a varietv of stvles sizes and aoes. It is an older residential neinhborhood. Surroundino I orooerties are well maintained. It is necessary for residents to commute varvino distances to emolovment. Market Conditions (including support for the above conclusions) Market values have been steady to sliohtlv increasino in the neiohborhood. Suoolv and demand are in balance. Current listinos sunnort market value of the subiect. The financial market in the area is conducive to real estate sales. Minor adiustments in market value may be reouired for cash eouivalencv. Dimensions 68 X 177 "'ea 12036 Sn.Ft. Shaps rectanaular View residences Soecific Zoninn Classification n/a Zoninn Desaintion n/a Zonina Comoliance I ILaoal I ILAnal Nonconformino IGlandfathered Use\ IX INo Zonina I IlIIeaalldasaibel Is the highest and best use ot the subject properly as improved (ot as proposed per plans and specifications) lhe present use? OOVes ONo K No. desaibe. Utllltl.. Public Other doocrlbal Public Other (d..",lbo Otf..slte Imnrovements-- T- Public:: Private Bactricilv IXI I I Waler IXI I Street macadam Ixl r 1 Gas '-1 I I none Sanitary Sewer Ixl 1 All.. none I I 1T FEMA Snecial Aood Hazard "'ea I I Ves rX l No FEMA Flood Zone nla FEMA Map # n/a FEMA Map Date n/a "'e the utilities and off-site imorovements Ivnical for the market area? Ix IVes I INo K No desaibe. "'e there any edverse sile conditions or external factors (easemenls, enaoachmenls. environmental conditions. land uses. etc.)? UVes ~No W Ves, desaibe. GENERAL DESCRIPTION FOUNDATION EXTERIOR DESCRIPTION materials/condition INTERIOR p,.... m8terialsloondltlon Units Ix lOne I lOne with AcceSlWV Unit I Conaete Slab I I Crawl Saace Foundation Wails stone/DOor Aoors WOod/Door # ot Stories two xl Full Basement r l Partial Basement Exterior Wails shin<lle/noor Walls drvwall/ooor Tvoe 1 X TDet. I I All. I I S-Oet./End Unil Basement "'ea 1833 "'.ft. Roof Surface metal/averaae TrimlFinlsh WOOd/DOOr xl Exlstinn I l PrODOSed I 1 Under Consl. Basement Anlsh 0% Gutters & DownSDOUts none Bath FIoot WOOd/DOOr Dasilln ISlvIe' 2 storY xl Outside EnlrvlExit r l Sumo Pumn Window Tvps double huna/ooor Bath Wainscol drvwall/ooor Year Built 50+ Evidence or I hntestation Storm Seshnnsulated ves/ooor Car Sioreae IX I None Elfective Ace IYrs) 50+ IDemDness r 1 Settlement Saeens n/a l Drivewav # ot Cars Allie None Heatina I IFWA IIX IHWBB II 1 Radiant ",""nities WoodStov"'s\ # Drivewav Surface T Droa Stair X Stairs lOth.. I Fuel oil I Fnplacels\ # Fence lGarane # ot Cars l Aoor Scuttle Coolina I I Central />Jr Conditionlna II I PaliolOeck X Porch III Carnnrt # ot Cars T Finished Heated llndlvldual II IOther II I Pool Other If TAll. I I Del. I I Buill-In APpliances I l Retioerator I 1 RanaelOven lDishwasher I IDis~sal I I Miaowave I lWasher/Drver I IOtherldescribel Finished area above arade contains: 9 Rooms 4 Bedrooms 1 Balhls\ 2 873 Snuare Feet ot Gloss Livinn "'ee Above Grade Addilionalleatures (special energy efficient items, etc.). Insulation storm windows . Desaibe the condition at the property (including needed repeirs, deterioration, renovations, remodeling, etc.). Subject has nhvsical deoreciation commensurate with aae. The interior of the subiect has been abused bv the tenants who have vacated. This annraiser recommends a contractor to estimate the cost of refurbishinn the entire interior. The basics aonear satisfactorY. and the subiect has a ootential for remodelino. No there any physical deficiencies or edverse condi"ons that affect the Ilvebility, soundness. ot suuctural integrity ot the property? lXJVes UNo K Ves, desaibe. A comolete refurbishment of the interior would be rACIuired to make the subiect livable. The basics of the structure aooear to be satisfactorY. Does the prDperty generally conform to the neighborhood (functional u"lity, style. condition. use. construction. etc.)? OOVes 0 No K No, desaibe. F Form 70 March 2005 "'..... ACIIClftonr.. 800.2348727 WWW_Kiwllb_CClIlI Fannie Mae Form 1000( Mftb 2005 Uniform Residential Appraisal Report File No. Mitchell Estate reddieMac """' Page1016 lOOt_os 033005 Uniform Residential Appraisal Report File No. Mitchell Estate . . . . COST APPROACH TO VALUE (not required by Fannie Mae) .', , Provide adoouale Inlarmalion Iar the lender/client to reolicate the below cost fioures and calculations. Support Iar the opinion of site value (summary of comparable land sales or other methods Iar estimating site value) Huntinodon County Tax Assessment office ESTIMATED I X I REPRODUCTION OR I I REPLACEMENT COST NEW OPINION OF SITE VAlUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . = $ 5500 . Source of cost data Marshall and Swift handbook Owellino 2 873 So. Fll!ll $ 32.80............ = $ 94 234 aualilY ratino tom cost service fair Effective dale of cost data 06/2000 8smt: 1833 So.Ft. So. Ft. tlll $ 9.95....... ..... = $ 18238 Comments on Cost Acoroach (gross living area calculations, deoreciation etc.) porches 3000 RE: Estimated Reproduction Cost Taken from Marshall and Swift GaraoelCaroort 0 So. Ft. tlll$ ............ = $ 0 . Residential Cost Handbook. Remaining economic life is 40 years. 115472 Total Estimate of CosI-New ........... = $ Less Phvsical I Functional I External External depreciation due to no narkino except on highway. Deoreciation 80% I I $8 000 = $( 100 378 Deorecialed Cosl of IITlD(0vements . . . . . . . . . . . . ..... . . . . . . . . . . . . . = $ 15094 'As-is' Value of Site Imorovements . . . . .. . . . . . . .. . . . . . . . . . . . . . . . = $ 1 500 Estimated Remainino Economic L~. (HUD and VA onlv) Years INDICATED VAlUE BV COST APPROACH ..... ....".. ...... = $ 22 100 INCOME APPROACH TO VALUE (not required by Fannie Mae) , . Estimated Monthlv Market Rent $ X Gross Rent Multiolier =$ Indicated Value bv Income Acoroach Summary of Income Approach (including support Iar markel rent and GRM) PROJECT INFORMATION FOR PUDs (If applicable) Is the develooerlbuilder in control of the Homeowners' Association (HOA)? liVes I INo Unillvoe(s} I I Detached I IAttached Provide the following Inlarmation for PUDs ONL V if the develooerlbuilder is in control of the HOA and the subiect orooerlY is an attached dwellino unit. Leoal name of oroiecl T otai number of ohasas Total number of units Total number of units soid . T alai number of unils rented Total number of units for sale Data soureels) Was theoroiect aeated bv the conversion of an existing buildino(s) into a PUD? riVes I INo If Yes date of conversion. . Does the oroiect contain anv multi-dwellino units? I IYes I INo Data source/s) tve the units, common elements, and reaealion facilities complete? UYes UNo W No, desaibe the status of completion. . tve the common elements leased to or by the Homeowners' Association? UYes UNo If Yes, desaibe the rentallerms and options. Desaibe common elements and reaeational facilities. Freddie Mac Fam 70 March 2005 Produc:ad UIIIllI ACl soIwIlrI, 800.2304.8727 www.aciweb.com Pago3016 FaMle Mat Fcrm 11:llU MMch 2005 1004_OS033Cm Uniform Residential Appraisal Report File No. Mitchell Charles 21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the borrower; the mortgagee or Its successors and assigns; mortgage insurers; government sponsored enterprises; other secondary market participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions; without having to obtain the appraiser's or supervisory appraiser's (if applicable) consent. Such consent must be obtained before this appraisal report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public relations, news, sales, or other media). 22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. Further, I am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterprises. and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves anyone or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any intentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that: 1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report is either a sub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under the applicable state law. 4. This appraisal report complies with 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 at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature,' as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. APPRAISER SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature BC01a.~. /7,0 ,A:tJv Name Donald M. Rapp , Company Name Don Rapp Appraisal Service Company Address US Rte 22, MAT Plaza, Ste 4 Huntingdon, PA 16652 Telephone Number 814-641-0272 Email Addressdonrapp@Jpennswoods.net Date of Signature and Report 08/30/2006 Effective Date of Appraisal 08/30/2006 State Certification # or State License # RL-000178-L or Other (describe) State # State PA Expiration Date of Certification or License 06/30/2007 Real Estate Appraiser ADDRESS OF PROPERTY APPRAISED Main Street Shade Gap, PA 17255 APPRAISED VALUE OF SUBJECT PROPERTY $ 19,000 LENDER/CLIENT Name Company Name Company Address Email Address Fannie Me. Form 1004 Mard1200S 1004_05033005 Fredele Mac Form 70 March 2005 Signature Name Company Name Company Address Telephone Number Email Address Date of Signature State Certification # or State License # State Expiration Date of Certification or License SUBJECT PROPERTY BDid not inspect subject property Did inspect exterior of subject property from street Date of Inspection o Did inspect interior and exterior of subject property Date of Inspection COMPARABLE SALES ODid not Inspect exterior of comparable sales from street ODid inspect exterior of comparable sales from street Date of Inspection Produced using ACI software, 800.234.8727 www.acrweb.com Page6of6 Don Rapp Appraisal Service Borrower: Property Address: Main Street City: Shade Gap Lender: State: PA Zip: 17255 File No.: Mitchell Charles Case No.: FRONT VIEW OF SUBJECT PROPERTY Appraised Date: August 30. 2006 Appraised Value: $19,000 REAR VIEW OF SUBJECT PROPERTY STREET SCENE Borrower: File No.: Mitchell Estate Property Address: Main Street Case No.: City: Shade Gap State: PA Zip: 17255 lender: COMPARABLE SALE #1 11520 Juniata Ave. Mt. Union, PA 17066 Sale Date: 08/30/2006 Sale Price: $ 28,200 COMPARABLE SALE #2 East Railroad Street Mapleton, PA 17052 Sale Date: 10/05/2005 Sale Price: $ 24,000 COMPARABLE SALE #3 RD 1, Box 30 Bankstown Rd Mapleton, PA 17052 Sale Date: 02/1012006 Sale Price: $ 20,000 FLOORPLAN Borrower: File No.: Mitchell Charles Property Address: Main Street Case No.: City: Shade Gap State: PA Zip: 17255 Lender: 47.0' 40.0' b First Floor b ~ ~ b Second Floor l<i 47.0' T Porch b .. 40.0' Sketch by Apex IV Windows 1M AREA CALCULATIONS SUMMARY LIVING AREA BREAKDOWN Code Description Size Totals Breakdown Subtotals GLAl Pirst P~oor 1833.00 1833.00 Firat Ploor GLA2 Second "loor 1040.00 1040.00 39.0 x 47.0 1833.00 pip Porch 240.00 240.00 Second Ploor 26.0 x 40.0 1040.00 TOTAL LIVABLE (rounded) 2873 2 Areas Total (rounded) 2873 US Route 22, MAT Plaza, Suite 4, Huntingdon, PA 16652