HomeMy WebLinkAbout06-30-08REV-1500 EX + (6-00j
' , COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
__ -
FIILE NUMBER
2 1- 0 7 0 1 0 6 7
COUNTY GOOE YEAR NUMBER -~
SOCIAL SECURITY NUMBER
Z MCKAY EDITH S 1 6 0- 5 4- 1 4 7 8
tJJ
•~ DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
V 11/15/2007 08/19/1910
0 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIALI SOCIAL SECURITY NUMBER
w
t- ~ 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to l2-13-82)
Q
~ a ~
~ 4. Limited Estate
~ 4a. Future Interest Compromise (dace otdeath after 12-tz-riz)
~ 5. Federal Estate Tax Return Required
~ a m ~ 6. Decedent Died Testate (Attach copy of wltq ~ 7. Decedent Maintained a Living Trust (Anacn copy osT~c51) _ 8. Total Number of Saie Deposit Boxes
a
a
~ 9. Litigation Proceeds Received
~ 10. SpoUSal POVerty Credit idate of death between 12-31-91 and 1-i-95)
~ 11. Election to tax under Sec. 9113(A) (Attach son o)
r THIS SECTION MUST BE COMPLETED. ALL
w NAME
°z MARK A. MATEYA
y FIRM NAME (IfApplicablel
~ MATEYA LAW FIRM
~ TELEPHONE NUMBER
0
717-241-6500
Z
O
F-
Q
J
H
a
4
V
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Z
O
4
H
a
O
!C
a
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G orL)
AND
P.O. BOX 127
ADDRESS
BOILING SPRINGS PA 17007
? OFFICt¢~t;USE ONLY
000.00
204
(1) _
,
. ~ ti ,
(2) 'T7 ~
tr
•_
. r
i
_ .,`
(3) _ c,.;
~
(4) - ~ ~
-
~
{5) ~~' -~ --
87,199.54 _, ~
aU ~~
--, - --I
(6) i.a ~
(7) 15,783.45
8. Total Gross Assets (total Lines 1-7) (g) _ 306,982.99
9. Funeral Expenses & Administrative Costs (Schedule H) (9) 1:1,543.70
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 1, 834.31
11. Total Deductions (total Lines 9 & 10) (11) - 14,378.01
12. Net Value of Estate (Line 8 minus Line 11) (12) _~ 292,604.98
13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been (13) _
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14) _ 292,604.98
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
0
00
0.00
.
X
rate, or transfers under Sec. 9116 (a)(1.2) (15) _
16. Amount of Llne 14 taxable at lineal rate 292,604.97 X .045 (16) _ 13,167.22
17. Amount of Line 14 taxable at sibling rate 0.00 X .12 (17) _ 0.00
18. Amount of Line 14 taxable at collateral rate 0.00 X .15 (18) = 0.00
19. Tax Due (19) _ 13,167.22
> > BE SURE TO ANSWER ALL QUESTIONS_ON REVERSE SIDE AND RECHECK MATH < < _ \l~
Decedent's Complete Address:
STREET ADDRESS
333 W FIRST STREET
CITY BOILING SPRINGS srarE PA ZIP 17007
Tax Payments and Credits:
~. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. Interest/Penalty if applicable
D. Interest
E. Penalty
(1)
13.167.22
Total Credits (A + B + C) (2) 0.00
Total InteresUPenalty (D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(3) 0.00
(4) 0.00
(5) 13,167.22
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 13,167.22
Make Check Payable to: REGISTER OF WILLS, ACryENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : ........................................................................... ^
b. retain the right to designate who shall use the property transferred or its income : ........................................ ^
c. retain a reversionary interest; or ...................................................................................................... ~ ^
d. receive the promise for life of either payments, benefits or care? ............................................................. ^
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? ............................................................................................... ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. ^ 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G APJD FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PER 0 RESPONSI E FOR FILING RETURN DATE
~, ~~ ~Yl ~ ~l~-r Zo~~'
ADDRESS 317 EDEN BR OK DRIVE T 706 --~
C LUMBIA MD 21046
SIGNATURE OF PR PARR OTHE THAI)1~EPRESENTATIVE DATE
ADDRESS p.O. BOX 127 ~
BOILING SPRINGS PA 17007
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 3%
[72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)].
The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5°f°, 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 12% [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
Decedent's Complete Address:
srREEr,aDDRESS 333 W FIRST STREET
clrv BOILING SPRINGS STATE PA zIP 17007
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InteresUPenalty if applicable
D. Interest
E. Penalty
(1) 13,167.22
Total Credits (A + B + C) (2) 0.00
Total InteresUPenalty (D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(3) 0.00
(4) 0.00
(5) 13,167.22
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 13,167.22
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : ................................................................... ........ ^ 0
b. retain the right to designate who shall use the property transferred or its income : ................................ ........ ^
c. retain a reversionary interest; or .............................................................................................. ........ 0 ^
d. receive the promise for life of either payments, benefits or care? ..................................................... ........ ^ 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ........ ^
3. Did decedent own an "intrust for" or payable upon death bank account or security at his or her death? ......... ........ ^ 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ............................................................................................... ........ ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDRESS 333 W FIRST ST ET cY
BOILING SPRINGS PA 17007
SIGNATURE OF PREPA R H TH REP TATIVE ~ ~A~
a
ADDRESS P,O. BOX 127 ~
BOILING SPRINGS PA 17007
For dates of death on or after July 1,1994 and before January 1, 1995, the tax rate jmposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. §9116 (a) (1.1) (i)],
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0°/° [72 P.S. §9116 (a) (1.1) (ii)].
The statute does not exempt 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 childtwenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)}.
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §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 12% [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
Decedent's Complete Address:
sTREErA~DRESS 333 W FIRST STREET
clrv BOILING SPRINGS STATE PA ZIP 17007
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. Interest/Penalty if applicable
D. Interest
E. Penally
(1)
13,167.22
Total Credits (A + B + C: } (2) 0.00
Total Interest/Penalty (D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(3) 0.00
(4)
0.00
(5) 13167.22
(5A)
B. Enter the total of Line 5 +5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : ........................................................................... ^
b. retain the right to designate who shall use the property transferred or its income : ........................................ ^ 0
c. retain a reversionary interest; or ....................................................................................................... ~ ^
d. receive the promise for fife of either payments, benefits or care? ............................................................. ^
2. ff death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ............................................................................................... ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. ^
4, Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... ^
13.167.22
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN, _ DATE
ADDRESS 18 E. LOCUST STREET O~ ~ '
MT HO LY SPRINGS PA 17065
SIGNATURE OF PREPARE TH T~1AN R PRE NTATIVE ~ /~ATE%
,ai CC.~.
auuHt55 P.O. BOX 127
BOILING SPRINGS PA 17007
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 orfor the use of the surviving spouse is 3%
[72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to orfor the use of the surviving spouse is 0% [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 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 childtwenty-one years of age or younger at death to orfor the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. §9116{a)(12)].
The tax rate imposed on the net value of transfers to orfor the use of the decedent's lineal beneficiaries is 4.5%, 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 12% [72 P.S. §9116(a)(1.3)]. Asibling isdefined, 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
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
MCKAY EDITH S 21 07 01067
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined a:s 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 orooertv which is iointlvowned wkh right of survivorshio must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 333 2. FIRST STREET 204,000.00
BOILING SPRINGS, PA 17007
APPRAISED VALUE -SEE ATTACHED APPRAISAL
TOTAL (Also enter on line 1,
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
SCHEDULE E
BANK DEPOSITS
& MISC.
CASH
COMMONWEALTH OF PENNSYLVANIA ,
,
N
IN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MCKAY. EDITH S 2'I 07 01067
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointlyowned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. F & M TRUST 508.31
SAVINGS ACCOUNT 08-00086
INCLUDES ACCRUED INTEREST OF $8.31
2. M & T BANK 11,192.88
CLASSIC CHECKINGICLUB 50 CHECKING
ACCOUNT NO. 000000000000427675
3 M & T BANK 72,812.27
PERSONAL SAVINGS ACCOUNT
ACCOUNT NO. 000015004200938122
4. BUICK -PARK AVENUE AUTOMOBILE 1,070.00
1992 - 61,100 MILES
FAIR CONDITION
5. WASTE MANAGEMENT 30.08
REFUND ON TRASH SERVICE
6. PERSONAL HOUSEHOLD GOODS 1,000.00
7. HARTFORD INSURANCE 24.00
REFUND ON CAR INSURANCE PREMIUMS
9. FEDERAL INCOME TAX REFUND 562.00
2007 PERSONAL FEDERAL INCOME TAX
TOTAL (Also enter on line 5, Recapitulation) I $ 87,199.
(If more space is needed, insert additional sheets of the same size)
REV-1510 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS 8~
MISC. NON-PROBATE PROPERTY
ESTATE OF
NUMBER
MCKAY. EDITH S 21 07 01067
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER. ATTACHACOPYOFTHEDEEDFORREALESTATE
DATE OF DEATH
VALUE OF ASSET
°1° OF DECD'S
INTEREST
EXCLUSION
(IF APPLICABLE)
TAXABLE
VALUE
1. F & M TRUST 15,783.45 '100. 15,783.45
SAVINGS ACCOUNT NO. 08-00086
TRANSFERRED TO ACCT HELD BY ROBERT G. MCKAY
TOTAL (Also enter on iine 7 Recapitulation) I $ 15,783.45
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES 8~
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
MCKAY. EDITH S 21 07 01067
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. HOFFMAN-ROTH FUNERAL HOME & CREMATORY, INC 3,316.48
2. CARLISLE MEMORIAL SERVICE -INSCRIPTION ON GRAVE MARKER 170.00
B
1
2.
3.
4.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)lEIN Number of Personal Representative(s) _
Street Address
City State
Year(s) Commission Paid:
AttomeyFees MATEYA LAW FIRM
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State _
Relationship of Claimant to Decedent
Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS
5 Accountant's Fees
6. Tax Retum Preparers Fees
Zip
7. CUMBERLAND LAW JOURNAL -LEGAL ADVERTISEMENT
8. THE PATRIOT NEWS -LEGAL ADVERTISEMENT
9. DIVERSIFIED APPRAISAL SERVICE -REAL ESTATE APPRAISAL
8,000.00
364.00
75.00
293.22
325.00
TOTAL (Also enter on line 9, Recapitulation) I $
Zip
(If more space is needed, insert additional sheets of the same size)
REV-1512 fiX + (6-98)
SCHEDULE 1
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT,
IN ft SIDENTEDECEDENTRN MORTGAGE LIABILITIES & LIENS
ESTATE OF FIILE NUMBER
MCKAY, EDITH S 21 07 01067
Include unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. DR. LEONARD'S HEALTH CARE 101.80
MEDICAL SUPPLIES
2. WASTE MANAGEMENT 44.88
REFUSE SERVICE
DECEMBER 2007
3. SHIPLEY ENGERGY 528.00
HEATING FUEL OIL
DECEMBER 2007
4. WEST SHORE EMS SERVICE 174.25
AMBULANCE SERVICE FOR 1/6/2007
5. EMBARQ 71.12
TELEPHONE SERVICE AT RESIDENCE
6. ARMED FORCES INS. EXCHANGE 60.00
PERSONAL PROPERTY INSURANCE
7. MET ED 83.25
ELECTRIC SERVICE AT RESIDENCE
8. WESTFIELD INSURANCE 599.00
HOMEOWNERS INSURANCE ON RESIDENCE
9. EMBARQ 47.21
TELEPHONE SERVICE AT RESIDENCE
NOVEMBER 2007
10. EMBARQ 18.00
TELEPHONE SERVIVCE AT RESIDENCE
DECEMBER 2007
11. EMBARQ 13.45
TELEPHONE SERVICE AT RESIDENCE
JANUARY 2008
12. MET ED 93.35
ELECTRIC SERVICE AT RESIDENCE
DECEMBER 2007
TOTAL (Also enter on line 10, Recapitulation) I $ 1, 834.31
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (P-nni
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
M KAY EDITH 1 7 1 7
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 outright spousal distributions, and transfers under
Sec. 9116 {a) (1.2)]
1. PATRICIA ANN MCKAY Lineal 97,534.99
18 E. LOCUST STREET
MT HOLLY SPRINGS PA 17065
2. JOHN S MCKAY Lineal 97,534.99
7317 EDEN BROOK DRIVE APT 706
COLUMBIA MD 21046
3. ROBERT G MCKAY Lineal 97,534.99
333 W FIRST STREET
BOILING SPRINGS PA 17007
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART tI -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
SCHEDULE J
BENEFICIARIES
(If more space is needed, insert additional sheets of the same size)
APPRAISAL OF REAL PROPERTY
LOCATED AT:
333 W. 1st Street
Deed Book 21 G Page 273
Boiling Springs, PA 17007
FOR:
Estate of EdRh McKay
333 W. 1st Street, Boiling Springs, PA
AS OF:
November 15, 2007
BY:
Susan B. Burkholder
State Certified Residential Appraiser
This appraisal was completed to establish value.
Summary Format
Form GA1 - `TOTAL far Windows' appraisal software by a la mode, inc. -1-800•ALAMODE
Diversified Appraisal Services
Uniform Residential Anoraisal Report ~,u w
The u ose of this summa a raisal re ort is to rovtde the lender/client with an accurate, and ad uate su orted, o iniori of the market value of the sub ect roe
Pro Address 333 W. 1st Street Ci Boilin Sri s State PA Zip Cade 17007
BOnower n.a. Owner of Public Record Estate of Edith McKa Coun Cumberland
L al Descd don Deed Book 21 G Pa a 273
Assessor's Parcel # 40-29-2484-028 Tax Year 2008 R.E. Taxes $ 2,296.67
Nei hborhood Name n.a. Ma Reference 29-2482 Census Tract
Occu ant Owner Tenant Vacam S eciai Assessments $ PUD HOA $ er ear er month
" Pro a Ri Ms A raised Fee Sim le Leasetroltl Other describe
Assi nmem T e Purchase Transaction Refinance Transaction Other describe To establish value
Lender/Clierd Estate of Edith McKa Address 333 W. 1st Street Boilin S rin s PA
Is the sub ect roe cunent offered for sale or has it been offered for sale in tfre twelve months rior tc ttre effective date of this a raisal? Yes No
Re ort data sources used, otteri rice s ,and dates . The sub'ect ro ert was not listed in the Central Penn ML;i in the ast ear.
I ^ did ^ did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the cordract for sale or why the anaysis was not
erformed. n.a.
Contract Price $ n.a. Date of Contract n.a. Is the roe seller the owner of ublic record? Yes Mo Data Sources n.a.
Is there any financial assistance (loan charges, sale concessions, gift or downpayment assistance, etc.) to be paid by any parry on behalf of the bonower? ^ Yes ^ No
ff Yes, re ort the total dollar amount and describe the items to be aid. n.a.
Note: Race and the racial com osition of the nei hborhood are not a raisal factors.
ttotttgodCtrerat~isUcs Otte-UrtitHo irantls Orue-lpdtHausl ' PreaentL~tdttse96
Location Urban Suburban Rural Pro a Values Increasin Stabk: Oeclinin PRICE AGE One-Unit 70 %
Buitt•U Over 75% 25.75% Under 25% Demand/Su I Shona a In Balance Over Su I
Growth Ra id Stable Sbw Marketin Time Under 3 mths 3.6 mths Over 6 mths
Nei hborhood Boundaries The sub ect ne' hborhood is bordered b Park Drive Petersbur Road $ 000 rs
150 Low New
500 Hi h 250 2-4 Unit %
Multi-Fami %
Commercial 10 %
„ Lindse Road and For a Road
Nei hborhood Oescd lion Established residential area wRh stable ownershi attems within reasonable co 200 Pred. 40
mmutin distance to s Other 20 %
chools laces of
worshi , sho in and trans ortation.
Market Conditions includin su ort for the above conclusions Marketin condition are pod. The avera a marketin time is three to six months.
Dimensions Irre ular Area 2.83 acres Sha a Irre ular View Avera e
S ecitic Zoni Classification Residential Zonin Descri lion Existin use is ermitted in this zone.
Zonin Com liance Le al L al Nonconiormin Grandfathered Use No Zonin III al describe
Is the hi hest and best use of subject roe as im roved or as ro osed er tans and s ecifications the resent use? ®Yes No If No, describe
Utilities Public Other{describe) Public Other{desabe) Off-siteimprovemertts-T pe Publk Private
'
Electdc
Water Well Street Macadam
Gas n.a. Sanita Sewer On site Alle None
FEMA S ecial Flood Hazard Area Yes No FEMA Flood Zone X FEMA Ma # 420371 0020 C FEMA Ma Date 1-5-96
Are the utilities and off-site im rovements ical tar the market area? Yes No If No, describe
Are there an adverse site conditions Or external factors easemerts, encroachments, emironmemal conditions, land uses, etc. ? ]Yes ®No If Yes, describe
GeneratDeeai on
Units ®One ~ One with Accesso Urut Foundation
^ Concrete Slab Crawl S ace ExteriorDespi ion niateriets/cortditiort
Foundation Walls Conc block/Av 1n6erior m~eti~g/c~{;lion
Fbors Hdwd/Av
# of Stories 1.5 Full Basement Partial Basement Exterior Walls Alum/StonelA Walls D II/Av
T e Det. Att. S-DeUEntl Untt BasemerttArea s .tt. Roof Surface Shin les/A TrirNHnish Wood/Av
6dsti Pro osed Under Gonst.
Desi n S le Ca a cod Basement Finish %
Outside Ent !Exit Sum Pum Gutters & Dawns outs Alum/A
Window T e Dbl-hun !A Bath Fbor Vin ~lelAv
Bath Wainscot Tde/Av
Year Built 1967 Evidence of Infestation Storm SasfVlnsulated Storm sash/Av Car Stora a None
Effective A e rs 20
Attic None ^ Dam ness ^ Settlement
Heatin FWA HWBB Radiant Screens Yes/Av
Amenities Woodstove s # ®Ddvewa # of Cars 2
Ddvewa Surface Stone
Oro Stair ^ Stairs
Fbor Scuttle Other Fuel Hot wtr Oil
Coolin Central Air Conditionin ~ Fire laces # 1 Fence
Patio/Deck Porch Covered Gara e # of Cars
Car ort # of Cars
^ Finished ^ Heated ^ Individual ^ Other ^ Pool ^ Qther
^ Att. ^ Det. ^ Built-in
A liances ~ Refri erator ~ Ra eJOven ^ Dishwasher ^ Dis osal ^ Microwave ^ Washer/D er ^ Other describe
Fnished area above rode contains: 8 Rooms 4 Bedrooms 2 Baths 2 115 S uare Feet of Gross Livin Area Above Grade
. Additional features s ecial ener efficient items, etc.. Lar e front orch.
Describe the condition of the roe includin needed re airs, tletedoration, renovations, remodelin ,etc.. All im rovements are considered lobe in avera e
condition on the interior and on the exterior.
Are there an h sical deficiencies or adverse conditions tflat affect the livabili ,soundness, or structural int ri of the roe ? Yes No tt Yes, descdbe
Does the roe eneral comorm to the nei hborhood functional utili , s le, condition, use, construction, etc. ? Yes No Ii No, describe
Fredole Mac Form 70 March 2005 Page 1 of 6 Fannie Mae Form 1004 March 2005
Form 1004 -"TOTAL for Windows' appraisal software by a la mode, inc. -1-800-ALAMODE
Uniform Residential A~oraisal Report cep M,~~R~~
There are 0 co arable ro elties current offered for sale in the subject nei hborhood ran in in rice from $ 0 to $ 0
There are 3 com arable sales in the subject nei hborhood within U{e ast twelve mordhs ra in in sale rice from $ 1Et0 000 to $ 23 250
FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3
Address 333 W. 1st Street
Boilin S d s PA 17007 401 Walnut Street
Boilin Sri s 325 W. 1st Street
Boilin Sri s 802 Holly Pike
Mt. Holl S rin s
Pro>umi to Sub'ect 0.25 miles 0.00 miles 3.57 miles
Sale Pdce $ n.a. $ 219,000 $ 232,500 $ 180 000
Sale PricelGross Liv. Area $ s .tt. $ 95.26 s .tt. $ 109.41 s .tt. $ 113.35 s .h.
Data Sources Courthouse Courthouse Courhtouse
Verification Sources Files MLS MLS
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $ Ad'ustment DESCRIPTION + - $ Atl'usmrent DESCRIPTION + - $ Ad'ustment
Sales or Flnancing f
Concessions None known
Conventional None known
Conventional Closing cost
FHA
-8 000
Daieot5alelTime 1-16-07 8-18-06 8-31-07
Location Avera a Similar Similar Similar
Leasehold/Fee Sim le Fee Sim le Fee Sim le Fee Sim le Fee Sim le
Site 2.83 acres .25 acre +12 900 1.47 acres +6,800 .50 acre +11 700
Vew Avera a Similar Simifar Similar
Desi n S le Ca a cod Ca a Cod Colonial Colonial
Quali of Construction AIumlStone Brick -10 000 Brick -10 000 Alum sidin
Actual A e 41 ors 87 ears 57 ears 71 ears
Condition Avera a Similar Similar Similar
Above Grade Total Bdrms. Baths Tots{ Bdrms. Baths Total Bdrms. Baths Total Bdrms. Baths
Room Coun< 8 4 2 8 4 2 8 3 2 7 3 2 +2 000
Gross Livi Area 2 115 s .ft. 2 299 s .tt. -8,400 2 125 s .ft. 1 588 s .ft. +21 100
Basement 8 Finished
Rooms Below Grade Full bsmt
None 75% bsmt
None Futl bsmt
None Full bsmt
None
Functionalllbli Avera a Similar Similar Similar
. Hearin Conlin Hot wtr Oil Hot wtr Oil CA -5,000 Fha Oil CA -5 000 Hot wtr Oil
Ener Efficient ftems None None None None
Gera e/Car art None 1-car det ar -4 000 L 2-car det ar -10 000 2-car det ar -8 000
• PorclVPatio/Deck Lar a orch Porch deck Porch Ir deck -1 000 Porch olio
2 sheds Fr Ic fence Fire lace +1 ODO Deck Shed
None None None Fence -1 000
Net Ad'ustment oral + - $ 14 500 + - $ 18 200 + - $ 17 800
Adjusted Sale Price ~
_ of Com rabies i Net Adj. 6.6 %
Gross Ad . 18.4 %
$ 204 500 Net Adj. 7.8 %
Gross Ad'. 14.5 %
$ 214 300 Net Adj. 9.9 %
Gross Atl'. 28.8 %
$ 197 800
I did did not research the sale or transfer histo of the sub ect roe and com arabl e sales. If not, ex lain
M research did did not reveal an rior sales or transfers of the sub ct roe for the three ears rior to the effective date of this ap raisal.
Data Sources Assessment records
M research did did not reveal a rior sales or transfers of tfie cam arable sales for the ear dor to tfre date of sale of tf>e com arable sale.
Data Sources Assessment records
Re ort the results of the research and ana sis of the dor sale or transfer histo of the subject roe and com arable sales re art additional rior sales on a e 3 .
ITEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3
Date of Prior Sale/Transfer Title last transferred 1-4-01 8-19-97 6-15-95
Pdce of Prior SaleJTranster on DB 21 G a e 273 $1.00 $107,255 $1.00
Data Sources Courthouse Courthouse Courthouse Courthouse
EttecGve Date of Data Sources 4-OS 4-08 4-08 4-08
Ana sis of rior sale or transfer histo of the subject ro and com arable sales No sale has taken lace in the ast three years for the subject ro ert
or the com arables in the ast ear.
Summa of Sales Com orison A roach A 2 000 er room ad ustment was made for the total number of rooms 2 000 er bath and 1 000 er half
bath.
Indicated Value b Sales Com orison A roach $ 204 000
Indicated Value b :Sales Comparison Approach $ 204 000 Cost Approach (if developed) $ n.a. Income Aploroach (if developed) 3 n.a.
The Sales Com orison a roach bein considered the most accurate in arrivin at m final o inion of value. The Income a roach was not
considered since this is an owner occu ied sin le famil dwellin .The Costa roach was considered to be unreliable since this is not new
construction and ma be misleadin to the reader.
• This appraisal is made ®"as is", ^ subject to completion per plans and specifications on the basis of a hypothetical condition that ttie improvements have been
completed, [! subject to the following repairs or alterations on tfre basis of a hypothetical condition that the repairs or alterations have keen completed, or ^ subject to the
followin r aired ins lion based on the extraordina assum lion that the condition or deficienc does not re uire alteration or re air: A raised in current condition.
Based on a complete visual inspection of the interior and exterior areas of the subject property, defined scope of work, stah:ment of assumptions and limiting
conditions, and appraiser's certdiption, my (our) opinion of the market value, as defined, of the real property that is the srabjed of this report is
$ 204,000 as of November 15, 2007 which is the date of ins coon and the effective date of this a ra~isal.
Freddie Mac Form 70 March 2005 Page 2 of 6 1=annie Mae Form 1004 March 2005
Form 1004 -'TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
Uniform Residential Appraisal Report Filed 042208M
See addendum.
COSiAPPROACHI'OVALUE(not ufred FannleMae _
Provide ode uate irdormation far the Ienderlclient to re licate the bebw cost fi ures and calculations.
Su ort for the o inion of site value summa of co arable land sales or other mettads for estimati site value Land value oi' $40,830 was obtained from
assessment records. The Costa roach was considered to be unreliable since this is not new construction anci due to the lack of land sales.
ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE _..._ _...._......___.___....._._...._ _... __..._ _$
Source of cost data DWELLING S .Ft @ $ ___.... _$
Ouaf ratio from cost service Effective date of cost data S .Ft. @ $ ___.. _$
Comments on Cost A roach ross livin area calculations, de reciation, etc. _ _....._ _$
Cara e/Car ort S .Ft. $ _$
Total Estimate of Cost-New _$
_.
Less Ph sical functional External
De reciation =$
De reciated Cost of Inv rovements ..___.....__....._.._...._ ..... __....._ _$
^As-is' Value of Site Inv rovements ....._.....__......_.......__...._ _......_ _$
Estimated Remainin Economic Life UD and VA on 40 Years INDICATED VALUE BY COST APPROACH .._......._ ...............__ ___... =5 ..
INCOMEAPPROACHTOYAt,U E(not ' uiredb ~annieNlae)
Estimated Month? Market Rent $ X Gross Rent Multi tier = $ Indicated Value b Income A roach
Summa of Income A roach includin su ort for market rent and GRM
PROJECT INFOANtATtON FOR PUDs (it applicable?
Is the develo erlbuilder in control of the Homeowners' Association OA ? Yes No Unit e s Detached Attached _
Provide the tolbwin information for PUDs ONLYd the develo er(builder is in control of the HOA and the sub'ect r is an attached dwellin unit.
Le al Name of Pro ect
Total number of hoses Total number of units Total number of units sold
~
Total number of units rented Total number of units for sale Data source s
_
Was the ro'ect created b the cornersion of existin builtlin s into a PUD? Yes No If Yes, date of conversion.
Does the ro ect contain an mufti-dwellin units? Yes No Data Source
Are the units, common elements, and recreation facilities com lete? Yes No If No, describe the status of com letion.
Are the corrxnon elemerts leased to orb the Homeowners' Association? Yes No If Yes, describe the rental terms and o lions.
Describe common elements and recreational facilities.
Freddie Mac Fomr 70 March 2005 Page 3 of 6 Fannie Mae Form 1004 March 2005
Form 1004 -'TOTAL for Windows' appraisal software by a la mode, inc. -1-800-ALAMODE
Uniform Residential Appraisal Report Fika 042208M
This report form is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit
including a unit in a planned unit development (PUD). This report form is not designed to ri;port an appraisal of a
manufactured home or a unit in a condominium or cooperative project.
This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value,
statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended
use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may
expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal
assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do
not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's
continuing education or membership in an appraisal organization, are permitted.
SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the
reporting requirements of this appraisal report form, including the following definition of market value, statement of
assumptions and limiting conditions, and certifications. The appraiser must, at a minimum: (7) perform a complete visual
inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the
comparable sates from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources,
and (5) report his or her analysis, opinions, and conclusions in this appraisal report.
INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the
subject of this appraisal for a mortgage finance transaction.
INTENDED USER: The intended user of this appraisal report is the tender/client.
DEFINITION OF MARKET VALUE: The most probable price which a property should bring iri 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 stimulus. Implicit in this definition is the consummation of a sale as of a specified date and
the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both
parties are well informed or well advised, and each acting in what he or she considers his or pier own best interest; (3) a
reasonable time is allowed for exposure in the open market; (4) payment is made in terms of c<rsh in U. S. dollars or in terms
of financial arrangements comparable thereto; and (5) the price represents the normal considf:ration 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 of 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 terms 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 of the financing or concession but the dollar amount of any adjustment should approximate the market's
reaction to the financing or concessions based on the appraiser's judgment.
STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is
subject to the following assumptions and limiting conditions:
1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title
to it, except for intormation that he or she became aware of during the research involved in performing this appraisal. The
appraiser assumes that the title is good and marketable and will not render any opinions about the title.
2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements.
The sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determination
of its size.
3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency
(or other data sources) and has noted in this appraisal report whether any portion of the subject site is located in an
identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makers no guarantees, express or
implied, regarding this determination.
4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question,
unless specific arrangements to do so have been made beforehand, or as otherwise required by law.
5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the
presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or
she became aware of during the research involved in performing the appraisal. Unless otherwisr: stated in this appraisal
report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the
property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances,
adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such
conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such
conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist.
Because the appraiser is not an expert in the field of environmental hazards, this appraisal report: must not be considered as
an environmental assessment of the property.
6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory
completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will
be performed in a professional manner.
Freddie Mac Form 70 March 2005 Page 4 of 6 Fannie Mae Form 1004 March 2005
Form 1004 -'TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
Uniform Residential Appraisal Report Fiie+F 042208M
APPRAISER'S CERTIFlCATION: The Appraiser certifies and agrees that:
1. I have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in
this appraisal report.
2. I performed a complete visual inspection of the interior and exterior areas of the subject property. I reported the condition
of the improvements in factual, specific terms. I identified and reported the physical deficiencies that could affect the
livability, soundness, or structural integrity of the property.
3. I performed this appraisal in accordance with the requirements 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 at the time this appraisal report was prepared.
4. I developed my opinion of the market value of the real property that is the subject of this report based on the safes
comparison approach to value. i have adequate comparable market data to develop a reliable sales comparison approach
for this appraisal assignment. I further certify that I considered the cost and income approaches to value but did not develop
them, unless otherwise indicated in this report.
5. I researched, verified, analyzed, and reported on any current agreement for sale far the subject property, any offering for
sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject
property for a minimum of three years prior to the effective date of this appraisal, unless othervise indicated in this report.
6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior
to the date of sale of the comparable safe, unless otherwise indicated in this report.
7. I selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property.
8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that
has been built or will be built on the land.
9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject
property and the comparable sales.
10. 1 verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in
the sale or financing of the subject property.
11. I have knowledge and experience in appraising this type of property in this market area.
12. I am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing
services, tax assessment records, public land records and other such data sources for the area in which the property is located.
13. I obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from
reliable sources that 1 believe to be true and correct.
14. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject
property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I
have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the
presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the
subject property or that I became aware of during the research involved in performing this appraisal. I have considered these
adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and
marketability of the subject property.
15. 1 have not knowingly withheld any sign"rficant information from this appraisal report and, to the best of my knowledge, all
statements and information in this appraisal report are true and correct.
16. 1 stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which
are subject only to the assumptions and limiting conditions in this appraisal report.
17. 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 base, either partially or
completely, my analysis and/or opinion of market value in this 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.
18. My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not
conditioned on any agreement or understanding, written or otherwise, that I would report (or present analysis supporting) a
predetermined specific value, a predetermined minimum. value, a range or direction in value, a value that favors the cause of
any party, or the attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending
mortgage loan application).
19. I personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If I
relied on significant real property appraisal assistance from any individual or individuals in the performance of this appraisal
or the preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks performed in this
appraisal report. I certify that any individual so named is qualified to perform the tasks. I have not authorized anyone to make
a change to any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and I will take no
responsibility for it.
20. I identified the lender/client in this appraisal report who is the individual, organization, or agent for the organization that
ordered and will receive this appraisal report.
Freddie Mac Form 70 March 2005 Page 5 of 6 Fannie Mae corm r uuv marcn ~uuo
Form 7004 - TOTAL for Windows' appraisal software by a la mode, inc. -1-S00-ALAMODE
uniTOrm Kesiaeniiai Appraisal Report Filelt oa22oaM
21. The lenderlclient 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 t0 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 lenderfc:lient 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 any one 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 re:;ult 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 certrfies 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 asub-contractor or an employee Of the: supervisory appraiser (or the
appraisal firm), is qualified to perform this appraisal, and is acceptable to pertorm 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
Signature -~P
Name Susan $: eurk~de~r
Company Name Divers~ed Appraisal Services
Company Address 35 E. Fligh Street Suite 101 Carlisle PA
17013
Telephone Number 717-249-2758
Email Address sue.burkholder(a~gmail.com
Date of Signature and Report April 22 2008
Effective Date of Appraisal November 15, 2007
State Certification # RLA00659-L
or State License #
or Other (describe) State #
State PA
Expiration Date of Certification or License June 30, 2009
SUPERVISORY APPRAISER (ONLY IF REQUIRED)
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
ADDRESS OF PROPERTY APPRAISED
333 W. 1st Street
Boilinn Springs PA 17007
APPRAISED VALUE OF SUBJECT PROPERTY $ 204,000
LENDER/CLIENT
Name
Company Name Estate of Edith McKay
Company AddreSS 333 W. 1st Street, Boiling Springs PA
Email Address
^ Did not inspect subject property
^ Did inspect exterior of subject property from street
Date of Inspection
^ Did inspect interior and exterior of subject property
Date of Inspection
COMPARABLE SALES
^ Did not inspect exterior of comparable sales from street
^ Did inspect exterior of comparable sales from street
Date of Inspection
Freddie Mac Form 70 March 2005 Page 6 of 6
Fannie Mae Form 1004 March 2005
Fonn 1004 -'TOTAL far Windows' appraisal software by a la mode, inc. -1-800-ALAMODE
Supplemental Addendum File N0.04920RM
Borrower/Client n.a.
Pro a Address 333 W. 1st Street
Ci Boilin Sri s Cou Cumberland State PA L Code 17007
lender Estate of Edith McKa
Additional Comments
The subject is older than five years old. All mechanical systems including heating, electrical an<f plumbing systems appear to be
working adequately. No warranties are implied in this statement.
The subject property has an on site well and septic system. This is common for the area and have no adverse impact upon the
marketability or the home.
One or more of the comparable sales are older than six months old. Although there are comparable properties in the subject's
area, none have sold recently, therefore, sales in excess of six months ofd have to be used. All three comparables used were
the best available.
Although there are other similar home in the subject's neighborhood, none have sold recently. Therefore is was necessary to use
sates further than one mile from the subject property. The sales used are the best available.
The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of
the propertes highest and best use and the consideration of ag three approaches to value and the application of those relevant to
the valuation of the subject property.
The Intended User of this appraisal report is the Lender/Client. The Intended Use is to evaluate'[he property that is the subject of
this appraisal for a mortgage finance transaction, subject to the stated Scope of Work, purpose of the appraisal. reporting
requirements of this appraisal report form, and Definition of Market Value. No additional Intended Users are identified by the
appraiser.
Privacy Notice
Pursuant to the Gramm-Leach-Billey Act of 1999, effective July 1, 2001, appraisers, along with all providers of personal financial
services are now required by federal law to inform their clients of the policies of the firm with regard to the privacy of the client
nonpublic personal information. As professionals, we understand that your privacy is very importaant to you and are pleased to
provide you with this information.
In the course of performing appraisal, we may collect what is known as "nonpublic personal information" about you. This
information is used to facilitate the services that we provide to you and may include the information provided to us by you
directly or received by us from others with your author'¢ation.
We do not disclose any nonpublic personal information obtained in the course of our engagement with our clients to nonaffiliated
third parties, except as necessary or as required by law. By way of example, a necessary disclosure would be to our independent
contractors, and in certain situations, to unrelated third party consultants who need to know that information to assist us in
providing appraisal services to you. All independent contractors and any third party consultants we engage are informed that any
information they see as part of an appraisal is to be maintained in strict confidence within the firm. A disclosure required by law
would be a disclosure by us that is ordered by a court of competent jurisdiction with regard to a legal action to which you are
party.
We will retain records relating to professional services that we have provided to you for a reasonable time so that we are better
able to assist you with your needs. In order to protect your nonpublic personal information for unauthorized access by third
parties, we maintain physical, electronic and procedural safeguards that comply with our professioinal standards insure the
security and integrity of your information.
Signaure ,~
Name Susan B. urkhol
Date Signed April 22, 2008
State Certification # RL-000659-L State
Or State License # State
Signature
Name
Oate Signed i
State Certification #
Or Slate license #
State
State
Divers~ed Appraisal Services
Form TADD2 -'TOTAL for Windows' appraisal software by a la mode, inc. -1-800-AIAMODE
LOCatlnn Man
Borrower Client n.a.
Pro a Address 333 W. 1st Street
Ci Boilin S rr s Cou Cumbedand State PA Zi Code 17007
Lender Estate of Edith WkKa
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Form MAP.LOC - •TOTAL for Windows' appraisal software by a la mode, inc. -1-800-ALAMODE
Building Sketch (Page - 1)
Borrower Client n.a.
Pro a Address 333 W. 1st Street
Ci Boilin Sri s Cou Cumberland State PA Zi Code 17007
Lender Estate of Eddh McKa
12.0' 28.0' 13.0'
22.0'
25.0'
28.0'
28.0'
25.0' 25.0'
5.0' 4.0'
SKETCH CALCULATIONS
Ai Al : 53.0 x 22.0 = 1166.0
A2:40.Ox3.0= 120.0
A3 : 28.0 x 3.0 = 84.0
First Floor 1370.0
A4:5.Ox5.0= 25.0
AS : 28.0 x 25.0 = 700.0
ws A6:4.Ox5.0= 20.0
Second Floor 745.0
Total Llving Area 2115.0
Form SKT.BIdSkI -'TOTAL for Windows' appraisal software by a la made, inc. -1-800-ALAMOC~E
Subject Photos
Borrower Glient n.a.
Pro Address 333 W. 1st Street
Ci Boili 5 ri s Coun Cumberland State PA L Code 17007
Lender Estate of Edith McKa
Subject Front
333 W. 1st Street
a
Subject Rear
:iubject Street
Form PICPIX.TR -'TOTAL for Windows' appraisal software by a la mode, inc. -1-800-ALAMODE
PHOTOGRAPH ADDENDUM
Borrower Clierrt n.a.
Pro a Address 333 W. 1st Street
C Boili Sri s Coun Cumberland State PA Zp Code 17007
Lender Estate of Edith McKa
Form GPICPIX -'TOTAL far Windows" appraisal software by a la mode, inc. - i -800-ALAMODf:
Comparable 1
401 Walnut Street
Prox to Subject 0.25 miles
Sale Price 219,000
Gross Living Area 2,299
Total Rooms 8
Total Bedrooms 4
Total Bathrooms 2
Location Similar
View Similar
Site .25 acre
Quality Brick
Ago 87 years
Comparable 2
~,i`
325 W. 1st Street
Prox. to Subject 0.00 miles
Sale Price 232,500
Gross Living Area 2,125
Total Rooms 8
Total Bedrooms 3
Total Bathrooms 2
Location Similar
View Similar
Site 1.47 acres
Quality Brick
Age 57 years
F :"~
~~
(:omparable 3
802 Holly Pike
Prox to Subject 3.57 miles
Sale Price 180,000
Gross Living Area 1,588
Total Rooms 7
Total Bedrooms 3
Total Bathrooms 2
Location Similar
View Similar
Site .50 acre
Quality Alum siding
Age 71 years
Form PICPIX.CR - ^TOTAL for Windows" appraisal software by a la mode, inc. -1-800•ALAMODE
Comparable Photo Paee
INVENTORY
Estate of EDITH S. MCKAY
also known as
EDITH S. MCKAY ,Deceased
No. 21 0 ",~'h0~' I`,17 i2: Q 1
Date of Death 11 /15/20 7 r-,-- , ; , _
Social Security Nvi.`~r$'~' ~`~ 147~~;1~?~
PATRICIA ANN MCKAY, JOHN S. MCKAY, AND ROBERT G. MCKAY
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attorney: MARK A. MATEYA
I.D. No.: 78931
Address: P.O. BOX 127
BOILING SPRINGS PA 17007
Telephone: 717-241-6500
Description
REAL ESTATE LOCATED AT 3332 FIRST STREET
BOILING SPRINGS, CUMBERLAND COUNTY, PA
F & M TRUST
SAVINGS ACCOUNT 08-00086
M&TBANK
CLASSIC CHECKING/CLUB 50 CHECKING ACCOUNT
ACCOUNT NO. 7675
M&TBANK
PERSONAL SAVINGS ACCOUNT
ACCOUNT NO 8122
BUICK PARK AVENUE AUTOMOBILE
1992 WITH 61100 MILES
FAIR CONDITION
WASTE MANAGEMENT
REFUND ON TRASH SERVICE
(Attach Additional Sheets if necessary)
Personal Representative:
'cl.tdtld6ae2 ~ I AiYLA't~ ~/{ ~G
G
Dated ~~, z 1 d ~
Value
204,000.00
508.31
11,192.38
72,812.27
1, 070.00
30.08
Total
306, 982.99
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election cif the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
,M
INVENTORY
Estate of EDITH S. MCKAY No. 21 07 01067
also known as Date of Death 11/15/2007
EDITH S. MCKAY ,Deceased Social Security No. 160-54-1478
PATRICIA ANN MCKAY, JOHN S. MCKAY, AND ROBERT G. MCKAY
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the follov+ing inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum <rt the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/VVe understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of r _
Attorney: MARK A. MATEYA
I.D. No.: 78931
Address: P.O. BOX 127 Dated ~ / ~..,~ Z ~~~ rP
--,
BOILING SPRINGS PA 17007
Telephone: 717-241-6500
Description
REAL ESTATE LOCATED AT 3332 FIRST STREET
BOILING SPRINGS, CUMBERLAND COUNTY, PA
F & M TRUST
SAVINGS ACCOUNT 08-00086
M&TBANK
CLASSIC CHECKING/CLUB 50 CHECKING ACCOUNT
ACCOUNT NO. 7675
M&TBANK
PERSONAL SAVINGS ACCOUNT
ACCOUNT NO 8122
BUICK PARK AVENUE AUTOMOBILE
1992 WITH 61100 MILES
FAIR CONDITION
WASTE MANAGEMENT
REFUND ON TRASH SERVICE
(Attach Additional Sheets if necessary)
Total
Value
204, 000.00
508.31
11,192.88
72,812.27
1,070.00
30.08
306,982.99
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
INVENTORY
Estate of EDITH S. MCKAY
also known as
No. 21 07 01067
Date of Death 11/15/2007
EDITH S. MCKAY ,Deceased Social Security No. 160-54-1478
PATRICIA ANN MCKAY, JOHN S. MCKAY, AND ROBERT G. MCKAY
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the follovving inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum gat the end of this inventory. I/VVe
verify that the statements made in this inventory are true and correct. I/VVe understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of
Attorney: MARK A. MATEYA _ ~~~7J~~~s ~~~N
I.D. No.: 78931
Address: P.O. BOX 127 Dated E~~/~=t~
BOILING SPRINGS PA 17007
Telephone: 717-241-6500
Description
REAL ESTATE LOCATED AT 3332 FIRST STREET
BOILING SPRINGS, CUMBERLAND COUNTY, PA
F & M TRUST
SAVINGS ACCOUNT 08-00086
M&TBANK
CLASSIC CHECKING/CLUB 50 CHECKING ACCOUNT
ACCOUNT NO. 7675
M&TBANK
PERSONAL SAVINGS ACCOUNT
ACCOUNT NO 8122
BUICK PARK AVENUE AUTOMOBILE
1992 WITH 61100 MILES
FAIR CONDITION
WASTE MANAGEMENT
REFUND ON TRASH SERVICE
(Attach Additional Sheets if necessary)
Value
204,000.00
508.31
11,192.88
72,812.27
1, 070.00
30.08
Total
306, 982.99
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
Continuation of Inventory
ED17H S. MCKAY 21 07 01067
Page 1
Description of Inventory
MATEYA LAW FIRM
A PROFESSIONAL CORPORATION
P.O. Box 127
Boiling Springs, Pa 17007
Phone 717-241-6500 Fax 717-241-3099
www.mateyalaw.com
June 27, 2008
Cumberland County Register of Wills
Cumberland County Courthouse
Hanover & High Streets
Carlisle PA 17013
Re: Estate of Edith S. McKay
No. 21-07-1067
To Whom it May Concern,
Enclosed herewith, please find an original and two (2) copies of the Inheritance Tax
Return and Inventory along with the appropriate filing fee and payment in the above-referenced
matter. Please accept the original for filing and return the remaining time-stamped copy to me in
the enclosed self-addressed stamped envelope.
Thank you for your usual fine service. If you are in need of additional information or
have any questions, please contact my office. I may be reached at (717) 241-6500 or by e-mail at
mam!u;matevalaw.con~.
Sincerely,
~~~
Mark A. Mateya, Esq.
MAM/aa
Enclosure
cc: Patricia A McKay, Executrix
John S McKay, Executor
Robert G McKay, Executor
Leave A Legacy
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