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HomeMy WebLinkAbout10-21-08~ J REV-1500 EX (06-05) 15056051047 OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN 2 1 0 8 0 7 1 3 PO Box 280801 RESIDENT DECEDENT Harrisburg, PA 17128-0801 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 7 7 V2 4 3 0 3 0 0 6 2 3 2 0 0 8 0 6 1 8 1 9 2 8 Decedents Last Name Suffix Decedents First Name MI S H E R I F F ~ D O R O T H Y ~P (If Applicable) Enter Spouse's Information Below S ouses Last Name Suffix S use's First Name MI Souse's Social Securi Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW - 1. Original Retum O 2. Supplemental Retum O 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death afterl2-12-82) - 8. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number of SDB's (Attach Copy of Will) (Attach a Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHALL BE DIRECTED TO: Name Daytime Telephone Number R O N A L D E J O H N S O N 7 1 7 2 4 3 0 1 2 3 Firm Name (If Applicable) r.,,, LA I N I D I R I E I W I S I ~& ~ I J I O ~" I " ~ S ~ O I N I I I I I I I I I I I ~~~~~ ~ ~ry~~ .~~~~~ ~~~.~r _ `=- O ° ~ 0 First line of address C-) i_ ~ ~ 7 8 W E S T P O M F R E T S T R E E T ~;r, Y N _. Second line of address ~ ,; ; `~ - _ .. ` ,,~ J ~~ - FILED - -; c ' City or Post Office State Zi Code - „ _ ~ ~ C A R L I S L E P A 1 7 0 1 3 GO correspondent'se-mail address: reiohnsonCcr)Da.net n er pena ies o pequry, are ave examm is r um, in u ing accompanying s u es an emen s, an o e e my ge an a ie , i is rue, corr and complete. Declared f preparer otherthan the personal representative is based on all the information of which the preparer has any knowledge. NA RE OF PERSON RE pNSIBLE FOR FILING RETURN d _ DATE 78 West Pomfret Stre'~>j/Carlisle, PA 1 .~wc i 15056051047 15056051047 REV-1500 EX Name: Dorothy P. Number 1. Real estate (Schedule A) 1. $120,000.00 2. Stocks and Bonds (Schedule B) 2. $0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. 4. Mortgages & Notes Receivable (Schedule D) a. $0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 5. $21,053.18 6. Jointly Owned Property (Schedule F) Q Separate Billing Requested 6. $0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Q Separate Billing Requested 7. $27,653.16 8. Total Gross Assets (total Lines 1-7) 8. $168,706.34 9. Funeral Expenses & Administrative Costs (Schedule H) 9. $20,395.80 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 10. $9,916.39 11. Total Deductions (total Lines 9 8~ 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax TAX COMPUTATION -SEE II 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 _ 16. Amount of Line 14 taxable at lineal rate x .0 17. Amount of Line 14 taxable at sibling rate x .12 18. Amount of Line 14 taxable at collateral rate x .15 19. TAX DUE 12 minus 15056052048 RA 74 11. $30,312.19 12. $138,394.15 13. $0.00 1 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056052048 00 19 $6,227.74 15056052048 r REV-1500 EX Page 3 File Number 21-08-0713 Decedent's Complete Address: Decedent's Name Dorothy P. Sheriff STREET ADDRESS 507 North Walnut Street cITY srATE zIP Mt. Holly Springs PA 17065 Tax Payments and Credits: 1. Tax Due 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discounts Total Credits (A+B+C) (~> $6,227.74 3. Interest/Penalty if applicable D. Interest E. Penalty (2) $0.00 Total Interest/Pentalty (D+E) (3) $~•~~ 4• If Line 2 is groater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Fill in oval on Page 2, Line 20 to request a refund 5• If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $6,227.74 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) $6,227.74 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 r10 a. retain the use or income of the property transferred: b. retain the right to designate who shall use the property transomed or its income: c. retain a reversionary interest: or d. retain the promise for IAe of either payments or care? 2. If death occurred after December 12, 1982, did decedent transfer property wkhin 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 disignaGon? IF THE ANSWER TO ANY OF THE ABOVE pUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ,, ,~ . _ , ~ .._ ~ y. - ~.~ ~ _ . 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% [72P.S. Sec. 9116(a)(1.1)(I)J. Far 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. Sec. 9116(a)(1.1)(ii)). Tha statute does net exempt a transfer to a surviving spouse from tax, and the statutory requirements for disGosure of assets and filing a tax return are still applicable even if the surviving spouse is the only benefiaary. For dates of death on or after July 1, 2000: The tax rats imposed on the net value of transfers from a deseaaed child twenty-one years of age or younger at death to or far the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% (72 P.S. Sec. 9118(a)(1.2)]. The taz 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. Sec. 9116(1.2) [72 P.S. Sec.9116(a)(1). The tax rate imposed on the net value of trensfere to or Tor the use of the decedent's siblings is 12% [72 P.S. Sec.9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who hes at least ons parent in common with the decedent, whether by blood or adoption. LAST WILL AND TESTAMENT OF DOROTHY P. SHERIFF I, DOROTHY P. SHERIFF, of the Borough of Mount Holly Springs, Cumberland County, Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codicils. FUNERAL EBPENSES FIRST: I direct the payment of my funeral expenses, including my gravemarker, as soon as may be convenient after my death. PAYMENT OF DEATH TAKES SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of administration of my estate. DISTRIBUTION OF RESIDUE THIRD: I give the rest of my estate to my son, RONALD E. SHERIFF, providing he survives me for a period of thirty (30) days. If he shall not so survive me, I give the rest of my estate, per stirpes, to my issue who survive me for a period of thirty (30) days. MINORS AND INCAPACITATED BENEFICIARIES FOURTH: If any income or principal shall be payable to any person who shall be a minor or who shall be incapacitated for any reason, my executor as trustee shall hold such income and principal during minority or incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person during minority or incapacity without the appointment of any guardian or committee or any authority of court. My executor as trustee shall be entitled to make direct application hereunder or to make L~..~ initials application by payment of income and principal to the parent or other person in charge of such minor or incapacitated person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be distributed to such person upon the termination of minority or incapacity. My executor as trustee shall have the same powers as my executor and shall serve without bond. POWERS OF E%ECIITOR/RI% FIFTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and upon such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof, without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so- called ~~legal investments;~~ to make distribution in cash or in kind; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF GIIARDIAN OF ESTATES OF MINORS SIBTH: I appoint my executor as guardian of the estates of minors with power to hold all property payable by law to a guardian appointed by my will and to use it for the minor's health, maintenance, support and education, either directly or by payment to any person selected by my executor to disburse it whose receipt shall be a complete acquittance. Guardian may, in discharge of all the guardian's duties, pay any minor's share deemed impractical of administration to the parent or other person in charge of the minor or to his or her guardian or to a custodian for the minor under the Uniform Transfers to Minors Act. My executor as guardian shall have the same powers as my executor, and shall serve without bond. initials APPOINTMENT OF S%ECIITOR/RIB SEVENTH: I appoint RONALD E. SHERIFF, Executor of my will. If RONALD E. SHERIFF is unable or unwilling to qualify as Executor or having qualified is unable or unwilling to act, I then appoint FARMERS TRUST COMPANY, Carlisle, Pennsylvania. I direct that my Executor shall not be required to furnish security in any jurisdiction. INTERCHANGEABILITY OF LANGIIAGE EIGHTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the aasculine and feminine. HEADINGS NINTH: The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have signed this will this IJ day ofS~~~~~~, 1994. Dorot P. Sherif Robert R. Black `~Q.~--~. G' witness ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, Dorothy P. Sheriff, the Testatrix in, and Robert R. Black and C A-2~c. ~-~ iv ~. I~UTi~-E,Q~C~ the witnesses to the last will, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the Testatrix, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the Testatrix sign and execute the instrument as her last will, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as a witness and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. a Testatrix, ro y P. Sher Witness, Robert R. Black 0 Witness No ary Public NOTARIAL SEAL SUSAN K GUYER, Notary Public Carlisle. Cumberland County My Commission Expires Sept. 4.1995 SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Dorothy P. Sheriff 21-08-0713 All real estate owned solely or as a tenant in common should be reported at fair market value with is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to sell, both having reasonable knowledge of the relevant facts. Property jointly-owned with Ri ht of Survivorshi must be disclosed ou Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 ALL that certain tract of land with the improvements thereon erected situate in the Borough of Mt. Holly Springs, Cumberland County, PA. Having thereon erected aone-story home known and numbered as 507 North Walnut Street, Mt. Holly Springs, PA 17065. See Deed Book V, Volume 13, Page 58 (see appraisal attached) $120,000.00 Total (also enter on Line 1, Recap) $120,000.00 S. W. Barrett Real Estate 8 Appreleal Services 07/24/2008 R. E. Johnson, Esquire 78 West Pomfret Street Carllsla, PA 17013 File Number. 08-0257 In accordance with your request, I have appraised the real property at: 507 N. Walnut Street Mt Holly Springa, PA 17065 The purpose of this appraisal is to develop an opinion of the defined 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 defined value of the property as of June 23, 2008 is: 5120,000 One Hundred Tvwnty Thousand Dollars The attached report contains fhe description, analysis and supportive data for the conclusions, final opinion of value, descriptive photographs, assignment conditions and appropriate certifications. Respectfully sutxnitted Stan A. Skowronek Certified Residential Apprelser Summary Residential Appraisal Report Fte-b. o8-o2a7 TM pupow d ids apprehr spat h b proWda the dent with a aadeh aphbn a iu de4wd vaArs a irs aubJeq PropeN. Wren tln Mended me a tM CledrhlrrelNleadedlWr R_ F _Inl.nen.. e~....r~ aPPraleal wa,, e.r.rr.... ~ ~ ~_- --- - ar oN OrN are b Me aaetlhrs date of tide aDaahat --- -----°--°~ ~.~ ~.nnnareen s l:OYRhOUBe ~• a alar'r° •r t°"a1f ~' a ~h• aubled ProPer7 (and aonparabh area. iapptirabls) Sub ect has bean owned for man decades the Sheriffs no Hor transfer data found on the tax assessment records. ~qe. oP~ne and aordrada w a Srs ssemvs ore a the apprahr N/A Locatlon Bua• GravAh rkgld>adraad taelyh6erheed Cher .^IWer `:~~L lhWn X 9ebrrban Porn Oear 75% 25.75% lkrde 25% X Stabh Sloe Boundeiee The sub ect is bou d _f:.11+*r iTP_ '~.`Virillnlt.~~t':,,t~h'r> ueAe.Ur~11ge~Nq r. ~ Vahw has X Stable PRICE AGE e h Balrrp Over Time llndr 3 mta X 38 mM Orar S m1M 90 Law 2S d h R~preeMe ~llee %~,' Orral)rri 78 % 21 list 3 % MuIBF 0 % n e on t e north b Walnut Bottom Rd oa the • east b route 74 on the south b Pine Grove Rd and on the west b route 34. nrilrbahood Daaiptlon TM sub ect is locat d i 17S 100 140 Pod. 60 CorrmrarrJal 6 x Onrr Vac 16 % e n an estblishsd residentlal area of the Borou h of Mt. Hol S homes of va n sits ands le. It is within close ximi to ammenitles such as schools sh n and n s amon st em to ent. Yerkat Camaow (b~q egpat tr the stew mndwbns) Pro sales records and MLS sttlstles show a sba modenb increase in roe values over the ast ar. Avers a markets dme of 90-180 da shows a ood balance of su I and demand. Few sales and flnancln concessions are needed in the nei hbofiood. ohrnrae Sae I al descri lion Ara .23 Acre m/1 Recto ular VNw Residentlal CheaMcadon R-1 Rssidentlal X L r tbmm~ c~arrar.5area the no r deceits b Bre hlpher and her uw a lM aub)ect praparly w iapowd (a w prapoaed pr Pine and Wweatlow) tln prwerd uw7 X Yw No ti No, desalts. UIiINNe Futile Ocher deeaare P•Wb gher deevire OIFNh ww~rnb-T -Pu6Me PrlvaN X w•h' X Stsr Macadam X G '• sees X Norts Sic Comlwde Then aro no a root adverse easement encroachment or other adveree conditlons. '•:CENER/~L:p~CktSTpM:, a -_: ,~ „y,-.f, ~~-.y _._ .„...,,.,.. raT' *Y~ ;~ :..e. tlllie X one one rritll Unit Canwte slab Qawl ~Foudatbe Web Conc Blk/Av :~., .: Floors ~.~ FIW/C tMnJAv >r a stales 1 FuN Bawnlell Parer Bewnrrd hxtefa weh Aluminum/Av wak D alUAv T X Dst AIL S-DeUfild Uni Bawlwd Mee 872 R Raa Sunc~e COm h k/AV TrYrvFBhh WOOd/Av X tkldar Conat 8aeenwd Fadeh 0 % Guasra a Aluminum/Av Batll Floor Vin Av 1 Sto Yser Bus 1848 Ethctlw s n 20-25 oulaHe wlndowT Wood Fnme/Av BrbwehaaX IUAv 9brm SedJheuhled Yes/Av ~ SMOr Mona Altlc N Sasew Yea /Av t: a Can Stet X Fl0°r FYdthed uns Stab SaYa ~~ X FWA FiwBB Radhnt Otller Fur OII Cee'aIAY h Am aatlw Ft a i Patlaoack X s i Fens X Pads Encl. Surfics i s Cara 1 idCan X ai°"°" dtddur lllhar Pool Odlar Att Dr. Boil-in r laaoeravs Washer Otllsr deaa6s Fhhhad aces stow ads mntrne: 4 Raoma 2 Bsdmorw 1 s 896 • Fsr a Grow Arw Abors Grade AddiUeanr Fwhrw Side enclosed oroh. Rear wood deck. comnlew n tlla bwor«nnh Im vement aro in avers a condition with no h ical Inad uncles noted, A funetlonal roads uac exist for the two bedroom flo lan. tT'ti8"1!1M"' nos.ww~a.r..eeawsa.r...~.~ ....- ~~~ --~~')osrelPrPereAPrnY~ ta2ooe pr.nNprya.yrrMy~~ ~plp1r7101 Summary ResidentialAuDraisalReoort ~~ etutsT;v FEATURE SI~JECT COAtPARAeLE SALE NO. t COIAPARABLE S,4LE N0.2 COMPARABLE SULE N0.3 507 N. Walnut Strwt Addren Mt. Holt S Nn s 20 Valley Street Carlble 373 Old Stab Road Gardnere 211 W. Sprlttyville Road Boilin 3 n a ~". 5.4 MI NNE 3.4 MIS 3.2 MI NE 9aq Prics S WA ~~± ~-" S 118000 ~ . - . °+~~7i"'. 104 000 { ~ i 119 000 SdePdoeK3onLh.Aroa S 0.00 .R i 142.88 R `g?~4 N^~a; 118.72 R ;:,'`"x~ '' `~ 106.25 R '' Dap . (ns ' : lion MLS MLS MLS VerNcallon a COUrfI10UW '_"' COUI'thOUe9 COUrthOUee COUrthOUfe VALUE ADJUSTMENTS DE9CFtIPTtk1 DESORPTION - t DESCRIPTION - r DE9CRIPf10N - s 9ale.a Fhwtrig Conwa6rn -;. None,Conv None,Conv Nona,Conv DOM 11 DagofSWdfima WA -~ _ ~-`~ 11/30/2007 09!28/2007 12/18!2007 Locator Suburban Suburban Suburban Suburban LaeeeholMFa Fee 31m le Fw Shn ki Fee Sim le Fes Slm la 9Ns .23 AGAv .25 AclAv .28 AGAv .34 AdAv vhw Residential Residential O n cows Residential 1 Sto 1 Sto 1 Sto 1 Sto of Conatuciion Avers a Averse Avere • Avers ,• Aqua) s 62 Yeare 53 Yeare 78 Ywre 24 Yeare CaWWon • Avora a Avers Avers a Avere Above Grade TW an. Taw er. TaYI &ae TaY sre aam Caw 4 2 .1 4 2 1 5 2 1 5 3 1 -Gran Arw20.00 896 R 826 R 1 400 876 R 0 1 120 . R -4 480 Batarwd6Fadehsd RoanaBekwtrads Full Bsmt Unflnished Full Bsmt Unfinished Partial Bsmt Unflniahad 2,500 Full Bsmt Unflnished Functlonal 2 Bedroom 2 Bedroom 2 Bedroom Avere a -2 000 FHNNone FHAICA -4 000 FHAlCA -4 000 EB&None EMderd tan. T ical T ical T ical T ical 1 Car Gan e 1 Car Gan None 5000 None 000 aacNPetaDsdc EnclPorMldDck PoroNPatlo 2 500 PorohlPatio 2 500 None 5 000 2 Metal Sheds None 2 500 None 2 500 None 2 500 Nd t T X+ S 2400 X+ 8 500 + S 8 020 Ad}ated SeM Fries - ~ ~~ Nei Add. 2.0% Nst Ad). 8.2% Net Ad). 5.1 % of +bqa ~ -=` "'; (4on 8.8% 120 400 Croaa 15.9% 112 500 trove 15.8% 125 020 dSaga O anion of value ran a Is 113 000 to 125 000. Lack of suibble com ambles within the sub acts immediate vicini wired an ex nded swroh area. Thew are the best sales com rabies known to be available. CWTAMaOACN TO VALUa _ _ ~xrt~d;~o . f"~ $ -,.:3-; '~ 't. F'Fi~'^~ ,y„~,s ;i~3 i9; - ,.. .. r .., .... See veW Camiera A two ar review o/ land sakes did not loeab an sales within the su ecb marks thereforo ties o anion of value for the sib is based u on the 2004 tax assessment ad trsted for time . 2004 tax assessment - 20 000 111% 22 200 105% = Z3 310 102Y. = 23 778 -SAY - 24 000. E9TtMTED REPRODI1CTpN OR REPLACEMENT C08T NEW OPte0l1 OF 911E VALUE ........................................ = 24 000 9asa al aas dap FL ............ = 0 ~ tan aoet aerrtea Elgctlve date d oad dap FL ............ = 0 ~_ CamraNS m Cad raa adadetlaw d etc. Cost A roach deemed a oor indicator of vaiw due b a FL ............ = i 0 of the im rovemenb. Estimated Remainin Economic Life - TaW Eaumsgacoet-New ,...........= s p 35-40 are. Lsu FunctlaW Ebend ~~ = t 0 Cmt of q ................................ = S 0 'Asia- Veto of Silo ................................ INCOtaa APPROACH TO VAtJJe , y'° t P,,')' -r~, r~~ ~-:'t~ ~.~r.T1 tWICAT~vALUE6YCO9TAPF'ROACH ...................... = WA 4h ..1~' °'x'`~a2 ! ~> ~`...- ! .: t Eetlmagd MerkN aunt S WA x trop Rant NIA = S WA tdkMad Vales Ytcarr • Samwy of tioorrr Approedr l~W =WPar1 b nrrgl rant end GRM) WA lnderw Valve ave. peon wont 120 000 cos oerh a dew i WA tneewr Dash i WA The Market Data Anal Is su orts m o anion of value for the sub act The Cost roach was not deemed an a ro riate Indicator of value due b the a of the sub act and therefore was not included heroin. The tncoms A roach was also • deemed Ina ro rash for this anal Is. Thr eppniW k made 'ae N; wbd q mrpgtlon p= pans and epeWcatone on Na bseb d a hypolhetcal mndllbn that to imprwerwtq beta been aanpMed, ^aub(ed q to bbwtp repots a ataratlaa on tlw beep of a hypolMtlpi caidliart that Iha repair or ataatlona haw boon aaripetW ^aubjeo b tr btori~ • The ro has been a raised in current condition. This is for the elienb use onl . Baasd on the seope of work, aaeumpGons, IIm1One eondabm and appraiser's eertHleation, my (our) ophrbn of the defined vales of the rW property that q the subject of this sport Is = 120.000 as of 08/23/2008 , tehiclt q the et-edlw dale d this appraisal. /~Y"\ANTM Ro•o/rbt lClsa,.._aonawn.w.wm, scars.cgMpraaoem~pa,~r,rnoars=w.a r.~awrre..r I~M9 ~" R,~ ~M%N ONAm a~"~~~-^*"~ S.W. Barrett Real Eabb b Appreisal Services tea ~ OS-0257 Appraiser's Csrtifleatlon T~ appraiserle) wrtMp that. to the bnt N the app'MaarY knowledge and bNIN: 1. The abtemenb a ba ooaahad h fhb report:e ser end coned 2 TM reporbd analrws, ophbrr, end coiMuabrb en lnaad any br du reppbd wnanpypy s„d ~q y end w tlw psaaW, Mapertlal, end unbbad prolpdonel anaryw, ophbm, aid antLedona „ otherwYa Wbd, dr appaber Aaa ro pease a pospadNe hbrrl h Yle popery dbt V tM aublerd d this repot end hr m pnonY htereet aNh reaped b the prtla t. TM appahr her m hba aWt rasped b tlb prepelr that b the alblea a th(s report ar b the prtlss hniolved aitlr tNa aWpimnlt 5. TM appalwh argopanleM h dlia arprarbrd ass not mntlnuent Wa dawbpYp ar repxlkp pedawmnd resat. & TM aPDrabar•a mnpewelfon br oompbaq tlde aafpnpnt b not oondrpaM Won tlra dawbprrwtt or repxap a a padeWmhad wiw v dtaetlon h wire diet kfvora tlb awe a the rJiard. the mglad a tlr wAw opkaa, tM apahmed a a etlpulebd rawN, a tlw omnana a a wbaaquslt awM 4adry rNebd b tM httedad uw a this appalW. 7. TM appnbela anayete, ophbns, and cenWabns rsra dawbpad. end tlds sport hr been papered. h ardonryty ash the tkdlorm sbidarM a Rolatabrlal Appy„ i PfeCya. a Ilnlae olhwWta noted, Me apprahw has mWs ^ preaW hrpwdbt a tM popery tlIW b tlla sublad a fhb report 9. IAdew nand babes. no one poWded egnaant rW pWrry atlPrahal atibWra b lha ePPrabar agrilp tlib artllcaWn SlgYtant ~ popery app~d aaWterta porkad br. Additional CartlfleNbna: None DNIniUon N Vdw: ©MarkN Vales QOlher Vales: Sours a Dstdtlon: USPAP The most probable price in terms of money which a property should bring In eompetltlve and open market under all conditlons requbite to a fair sale, the buyer and sNler, each actlng prudently, knowledgably and asstuning tM price is not affected by undue stlmulus. ADDRESS aF THE PROPERTY APPRASED: 607 N. Walnut Street M_t. Holly Sorinus. PA 17066-1810 EPFECTNE DATE OF THE APPRAISEL• June 23, 2008 APPRAISED VALUE OF THE SUBJECT PROPERTY = 120.000 APPRAISER SUPERVISORYAPPIWSER Nanlc Stan A. Skowronek ~~ L9.~f~d Nanlc Shwn W. Bat»tt SRPA SRA ASA stw crtaada s RL001572L sbb Crtfcalbrr t: GA000298L a Llansa = ar llanw t RB026921A ar OMIr (dsraas); Slats t. Stab: PA State PA Expiratbn Deq a Certacalbn ar tkerea: June 30e 2008 Expiratlon DNa a Cxlaatlal ar Lbtnea: June 30, 2009 Dab a Siplabra: 07/24/2008 Dab a Sgnadra and Report 07/24/2008 Dab a Praperry VInWp: 07/1 B/2008 Dab a Raprry Vbwhp: 08/23/2008 rp-a-~~.._ a ~~ gyp: ~D. ra °`pf0p°'ry"~'a t~( hhbriar area Ealrfor QEN.w oar ®Dld na I~Pubabr rtd Etbrbr ^Edarlar any pDb ~ peiabh,,~,a, Pr+en.b Wes ne`reraraser..eaaesn...rwa. M/o~Cq~yYlelm{iorAO0YY4~deotYY~er~Y~,.K NlyYll~wt (dpARh 0auu1 Paver hw Wp~M~.l 170er °"'°"'""""""""""~'°" S.W. Barrett Raal Estate 3 A rrrrrr ppralsal Services SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANIOUS PERSONAL PROPERTY ESTATE OF FILE NUMBER Dorothy P. Sheriff 21-08 0713 Include the proceeds of litigation and the date the proceeds were received by the estate All ro erty jointly-owned with Ri ht of Survivorshi must be disclosed on Schedule F ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 Checking account no. 9840523121-M&T Bank (see letter attached) $78.13 2 Checking account no. 9843927642-M&T Bank (see letter attached) $146.12 3 Certificiate of Deposit no. 031003911878535-M&T Bank (see letter attached) $1,874.71 4 Checking account no. 5215-Wachovia Bank (see letter attached) $58.11 5 Savings account no. 0115-Wachovia Bank (see letter attached) $23.10 6 Certificate of Deposit no. 3721-Wachovia Bank (see letter attached) $1,566.96 7 Certificate of Deposit no. 4544-Wachovia Bank (see letter attached) $10,127.99 8 Commonwealth of Pennsylvania -Revenue rebate check $500.00 9 AIG - encashed annuity check $132.29 lt) AIG - encashed annuity check $49.87 11 1999 Ford Taurus SE 4 door sedan with 88,500 miles (see attached) $2,700.00 12 Net proceeds from public sale of personal property, furniture, etc. (see attached auctioneer statement) $3,377.50 13 AAA auto association -refund $66.88 14 Blue Cross -Blue Shield -premium refund $351.52 _ TOTAL (also on line 5 Recapitulation) $21,053 18 © l~~I&TIEi~.LU~ 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302)934-2955 July I5, 2008 Andrews & Johnson Attorneys At Law 78 West Pomfret Street Carlisle, Pennsylvania 17013 Re: Estate o : Dorothy P Sheri„ Social Securitv.• 177-24-3030 Date of Death: June 23, 2008 Dear Sir or Madam: " Per your inquiry dated July 08, 2008, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 9840523121 Ownership (Names o~ Dorothy P Sheriff Opening Date 10/OS/OS Balance on Date of Death $ 78.13 Accrued Interest $ 0.00 Total ---------------__..__-__..._..-.__-----._.____---•----- -._ _ $ 78.13 - - - 2. Type of Account Checking Account Account Number 9843927642 Ownership (Names o~ Dorothy P Sherff Opening Date 10/03/07 Balance on Date of Death $146.10 Accrued Interest $ 0.01 Total -- --------------------------------- $146.11 ------------------------------------------------- 3. Type of Account Cert~cate of Deposit Account Number 031003911878535 Ownership (Names o,~ Dorothy P Sheriff Opening Date 03/14/02 Balance on Date of Death $1,872.56 Accrued Interest $ 2.15 Total $1, 874.71 Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, etc., please contact our Mount Holly Springs Office # 717-486-3038. Sincerely, G G ~ ~: Nancy Clagett Records Management __ _ _ __ rax •rran4mittai 7l24/2~J08 1:46 FM PAGE Z/003 Fax Server Wa:twvia Bank N.A. Balance Crnfirenati~ Services P C Box L0028 F.oanc~kc, VA24022-7313 July 2~, 2008 ANDREWS & 70HNSON ATTN: RONALD B JOHNSON ATTORNEYS AT LAW 78 W POMFRET ST CARLISLE, PA (7013 Retetmcc ID: 2316947 SUBJECT: Verification / Canfirrnation of Account and Balance Infornntion provided for: Customer. DOROTHY P SHERIFF (SSN# XY.Y XX_3030) Date of Deatb: June 23, 2008 Deuosit Account Information Account Acmuat E N T Dace olDeath Average Date Maturity ln[erest Accrued YTD late umbw y9 Balance Balance' Opened Date Rate Interest IatetestPaid Closed CERTIFICATE OF 71aCKX7s:7WL~X3727 ' 37,564.29 1?127i2007 9/27/2005 32 67 7G S16 DEPOSIT . . LEGAL T1TLE: DOROTHY P SHERIFF CERTIFICATE Or Y}DpD~,iQ{X3:17(4544 510,117.37 8l12'?002 4!12/2009 31Q62 ;249 96 DEPOSIT . LEGAL T1I'L5: DOROTHY P SHERIFF CI~CKTNO ?I?QC<~iX5LXX3215 553.11 314/1985 NA LEGAL TITLE: DOROTHYP SHER¢'F SAVII+TGS 7L~Qi7C}CXX0115 323.10 S/l/1997 30.00 50.05 LEGAL TITLE: DOROTHI' P SHERIFF Rzvolving Credit Information Account Account Date of Death Credit Date Date Times Legal Tirle T3"Je Number Balance Limit Opened Closeai Late VISA XX7GYXX~t~C0702 54,619.19 3122005 DOROTHY P SHERIFF Otber Account Information ran 1Z-LLIlC3A11LL811 f/'L4/'L00~ 1:46 PM PAGE 3!003 FSx Server RrSermce.ID: zsle4a~ Account Accecnt Date ofBaiance Dato Data Ledger Collected TyFe Number Opened Closed ANNUI'['Y 7~C70c'Y~IXYX0020 8112/7002 LEGALTlTLL: DOROTHY P SHERIFF No Safe Deposit Bax.:ooni fa customer. 'Date of death balance does not include accrued iztterest. ` If date of death cx:cuIIS on a weekend ca' a holiday, date of death balance does net include any transactions that were made during that tune pseud. yr.,U~ Amy Graylaill Ser~iceatsr Associate Phorbc: (54Uj563-?323 Wd~ 3g Kelley Blue Book -Private Party Pricing Report -Ford, Taurus -Official Kelley Blue Bo... Page 1 of 2 ~~ "'L'Flic ~RUST6D ltE3Ql~RCE Se advertisement ~ !' ~ Enter a YIN #a get s#~arted: Enter a VIN 1999 Ford Taurus SE Sedan 4D BLt~E SO~K~' PRlYA3`E PARTY YALl1E Condition rl" Excellent (Selected) Good Fair Value $3,050 $2,700 $2,275 Average Consumer Rating (231 Reviews) Read Reviews i 3 '~''~ 4.1 out of 5 Review This Vehicle t Vehicle Highlights Mileage: 88,500 I Engine: V6 3.0 Liter Transmission: Automatic j Drivetrain: FWD 1.~~~.~,~.._..~.~..._.__.._~..~_.....~~.~.._._~..~.._~~~_..._~w~_~_.~..~...~~..~~.._._._._......~_.._~..~~_~...~.._.._............_,_....v,.,.._.._._ ._.~...._~~..~._.......~_._..._ i i Selected Equipment 1 Standard Air Conditioning Power Door Locks AM/FM Stereo Power Steering Tilt Wheel Cassette ~ Power Windows Cruise Control Dual Front Air Bags Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This advertisement - http: //www.kbb. com/KBB/UsedCars/PricingReport. aspx?Yearld=1999&Mileage=88500&... 8/18/2008 Close Window • ~~' Cs~ ~gvc~or~r ~ h"~ t FINAL SETTLEMENT Date OWNER `- Address Date of Sale Sale Location Auctioneer Clerk Cashier Other PROCEEDS OF SALE: Cash .---------------------------------------------- $ f ~~~^; Checks -------------------------------------------- .~T C1 Other ____ --------------------------------------------------- Miscellaneous (see attached list) ______ LESS SELLER'S SALE EXPENSE: Auctioneer's FeeJ__1(,~-------------.--------------•---- Other Seller's Expenses Advanced by Auctioneer: TOTAL PROCEEDS OF SALE ______________________ $ __'~~~~~ - Miscellaneous (see attached list) ~'o . cb x oc~X tea, a'# DEDUCT TOTAL SELLER'S SALE EXPENSE TOTAL NET PROCEEDS TO SELLER ______________________________ $ ~ ~~ ~~`~ l I, (or we), the seller of goods, merchandise, and/or property sold at public auction on above date and location, acknowledge and accept this settlement of proceeds of sale. I (or we) agree to accept all responsibility for providing merchantable title to all goods, merchandise, and/or property sold, and for delivery of title to the purchaser. (Date) (Seller's Signature) Auctioneer or Cashier's Signature (Seller's Signature) Forrn No. FS Reorder from: MISSOURI AUCTION SCHOOL Phone 1-800-835-1955 SCHEDULE G TRANSFERS ESTATE OF FILE NUMBER Dorothy P. Sheriff 21-08-0713 This schedule to be completed and filed if the answer of the question on the reverse of the cover is ves. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE. TOTAL VALUE OF ASSET DECD.% INT EXCLUSION (if applicable) TAXABLE VALUE 1 AIG Annuity Insurance Co. Contract policy no. FJ230020 $17,042.79 $17,042.79 Beneficiary: Ronald E. Sheriff 2 AIG Annuity Insurance Co. Contract policy no. AN204050 $10,610.37 $10,610.37 Beneficiary: Ronald E. Sheriff (see letter attached) TOTAL (also on line 7, Recapitulation) $27,653.16 AIG Annuity Insurance Company P.O. Box 871 Amarillo, Texas 79105-0871 800.424.4990 September 2, 2008 Ronald E. Johnson, Esq 78 West Pomfret Street Carlisle, PA 17013 RE: AIG Annuity Insurance Company Dorothy Sheriff, Deceased Contract/Policy #AN204050 and FJ230020 Deaz Mr. Johnson: The Internal Revenue Service requires reporting of all death benefits for federal estate tax purposes. We would like to take this opportunity to respond to your request for the date of death value as of June 23, 2008. Listed below is the death benefit information for the above-referenced annuity contact. Policy #- FJ230020, Cash Value as of Date of Death on 06/23/08: $17,042.79 Policy #- AN204050, Cash Value as of Date of Death on 06/23/08: $10,610.37 Primazy beneficiary for both policies: Ronald E. Sheriff Policy #AN204050 contract establishment date: 10/2/07 Policy #FJ230020 contract establishment date: 8/12/02 If you have any questions or require further assistance, please contact our Customer Care Representatives, available Monday through Friday, 8:00 AM to 6:00 PM Central Time, at (800) 424- 4990. We appreciate this opportunity to serve you. Sincerely, ~-~ ridgette t iffe, Annui Claims E e Annui Insurance Company A/G Annuiry Insurance Company Member of American li:ternationa! Group, Inc. SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE OF FILE NUMBER Dorothy P. Sheriff 21 08 0713 Debts of decedent must be re orted on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A B Funeral Expenses: 1 Hoffman-Roth Funeral Home & Crematory, Inc. $8,553.88 2 Cumberland Valley Memorial Gardens-open & close grave site $1,270.00 3 Hoy Greenhouse -funeral flowers $149.46 Administrative Costs: 1 Personal Representive Commissions Name of Personal Representative(s) Social Security Number of Personal Representative: Street Address: City: State: Zip: Year(s) commissions paid: 2 Attorney fees to Andrews & Johnson $6,800.00 3 Family Exemption Street: City: State & Zip Relationship of Claimant to Decedent: 4 Probate Fees to Register of Wills $306.00 5 Accountant Fees to Patricia Rosendale, CPA 6 Tax Return Preparer's Fees 7 Woodforest National Bank -estate check charge $16.85 8 Nationwide Insurance -homeowners insurance $169.00 9 Barrett Real Estate -real estate appraisal $325.00 10 Mable R. Satteson, Tax Collector-2008 county and school real estate taxes $1,542.44 11 Lowe's -miscellaneous for public sale $48.17 12 Garbage bags, clearners & mist for public sale $100.00 13 The following individuals helped at the public sale and were paid the amounts indicated: Helen Walker - $50; Devin Sheriff- $50; Nathan Sheriff - $50; Faye Adams - $50; Ronald Adams - $50; Wynedia Eshelman - $50; Mark Eshelman - $50; Spencer Ciuffo - $50; Gerald Trego -$50; and Rosie Klose -$50 $500.00 14 Reserve for Closing and Accounting $600.00 15 Register of Wills -filing fee for PA. Inheritance Tax Retum $15.00 TOTAL (also on line 9, Recapitulation) $20,395.80 SCHEDULE I DEBTS OF DECEDENT MORTGAGE LIABILITIES AND LIENS ESTATE OF FILE NUMBER Dorothy P. Sheriff 08 21 0713 Report debts mcutred by the decedent poor to death wFuch renamed unpaid as of the date of death, mcludmg unre~mbursed medical expenses, ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH I Borough of Mt. Holly Springs - water,sewer and trash bill $152.26 2 Discover Cazd -compromise payment of balance due $1,300.00 3 Embazq -telephone bill (overdue) $147.29 4 Met-Ed -electric bill (overdue) $244.82 5 Koughs Oil -heating oil bill (overdue) $1,834.47 6 Comcast - TV cable -final bill $77 37 7 Seazs Credit card -compromise payment of balance due $900.00 s M&T Bank -line of credit payoff $144.99 9 Walmart credit card -balance due $496.00 1 o Wachovia visa credit card account no. 4312-4347-7211-0702 $4,619.19 TOTAL (also on line 10, Recapitulation) $9,916.39 SCHEDULE J BENEFICIARIES ~~ ~ a I ~ ur~ FILE NUMBER Doroth P. Sheriff 21-08-0713 ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE NUMBER Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spaud distributions, v~d uaostee under Sec. 9116(aX1.2)] I Ronald E. Sheriff 128 Wynnwood Drive, Carlisle, PA 17013 son 100% II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE Charitable and Governmental Bequests: TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (also enter on line 13, Reca itulation) $~