HomeMy WebLinkAbout12-04-08
J 1505607121
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REV-1500 EX
06
05
(
-
)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
Po Box zaosot INHERITANCE TAX RETURN
Hamsbura PA 17128-0601 RESIDENT DECEDENT 2 1 0 8 0 1 0 5 8
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
0 9 0 7 2 0 0 8 0 2 0 4 1 9 3 1
Decedent's Last Name Suffix Decedent's First Name MI
M O R R I S O N B E V E R L Y A
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffx Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
^X 1. Original Return
4. Limited Estate
® 6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
tESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Daytime Telephone Number
E S Q U I R E 7 1 7 2 4 9 2 3 5 3
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Return
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CO
Name
R O G E R B I R W I N,
Firm Name (If Applicable)
I R W I N & M c K N I G H T
First line of address
6 0 W E S T
Second line of address
city or Post office
C A R L I S L E
Correspondent's a-mail address:
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Retum Required
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
REGISTER OF WILLS USE ONLY
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RESPONSIBLE FOR FILING RETURN
State ZIP Code L
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hedules and statements, and to the best o'
based on all information of which preparer
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5 MEMORY LANE ENOLA PA 17025
SIGNATURE'pF PREPARER OTI-I~R THAN _REARESENTATIVE DATE ~ _
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PLEASE USE ORIGINAL FORM ONLY
Side 1
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REV-1500 EX gage 3
Decedent's Complete Address:
File Number
21 08 01058
DECEDENTS NAME
BEVERLY A. MOR_RISON _ _
STREET ADDRESS
27 SOUTH 29TH STREET ,
CITY
CAMP HILL STATE
PA ZIP
17011
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount 307.01
3. Interest/Penalty if applicable
D. Interest
E. Penally
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
(i) 6.140.14
Total Credits (A+g+C) (2) 307.01
Total Inlerest/Penalty (D+E) (3) 0.00
(4) 0.00
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.
(5) 5.833.13
(5A)
8. Enter the total of Line 5 +5A. This is the BALANCE DUE. (5B) 5.833.13
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 Iransfened : ................................................................ ...... ^
b. retain the right to designate who shall use the property transferred or its income : ......................... ...... ^ ^X
c. retain a reversionary interest; or .......................................................................................... ...... ^ ^X
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? ................................................................................. ...... ^ Q
3, Did decedent own an "intrust 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? ............................................................................................ ...... ^ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent (72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (O) percent [72 P.S. §9116(a)(1.2)].
The lax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) ]72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or (or the use of the decedent's siblings is twelve (12) percent [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.
REV-1502 EX +~(6-98)
SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
OF
FILE
BEVERLY A. MORRISON 21 08 01058
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defned as the pdce 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 fans.
ITEM I VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
27 S. 29TH STREET, CAMP HILL, PENNSYLVANIA
APPRAISAL ATTACHED
.00
TOTAL (Also enter on line
(If mom space is needed, insert additional sheets of the same size)
REV-1508 EX 8 (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
BEVERLY A. MORRISON 21 08 01058
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 I VALUE AT DATE
NUMBER DESCRIPTION
OF DEATH
1. PERSONAL PROPERTY -APPRAISAL ATTACHED 820.50
TOTAL (Also enter on line 5,
(If more space is needed, insert addilional sheets of the same size)
REV-1509 EX w (6-98)
' SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
BEVERLY A. MORRISON 21 08 01058
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
A. DAVID E. MORRISON 5 MEMORY LANE
ENOLA, PA 17025
C
JOINTLY-OWNED PROPERTY:
ADDRESS (RELATIONSHIP TO DECEDENT
ITEM
NUMBER LETTER
FORJOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANKACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER, ATTACH DEED FORJOINTLY-HELD REALESTATE.
DATE OF DEATH
VALUE OF ASSET %OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTERE81
1. A. MEMBERS 1ST FEDERAL CREDIT UNION 547.41 50. 273.71
ACCOUNT NO.: 32846-11
2. A. MEMBERS 1ST FEDERAL CREDIT UNION 1,439.61 50. 719.81
ACCOUNT NO.: 32846-OS
TOTAL (Also enter on line 6, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX * (10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
BEVERLY A. MORRISON 21 08 01058
Debts of decedent must be reported on Schedule i.
ITEM
NUMBER DESCRIPTION
AMOUNT
A. FUNERAL EXPENSES:
1. MUSSELMAN FUNERAL HOME 7,083.57
2. ROLLING GREEN CEMETERY 5,028.00
3. PASTORAL SERVICES 125.00
4. FUNERAL LUNCHEON 188.25
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) DAVID E. MORRISON
Street Address 5 MEMORY LANE
City ENOLA State PA Zip 17025
Year(s) Commission Paid:
2, Attorney Pees IRWIN & McKNIGHT
3. 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
4• ~ Probate Fees REGISTER OF WILLS
5. I Accountant's Fees
6. ~ Tax Return Preparers Fees PATRICIA A. ROSENDALE, CPA
3, 200.00
8,200.00
290.00
350.00
7. REGISTER OF WILLS -FILING FEE 30.00
8. NOTARY 25.00
9. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 75.00
10. THE SENTINEL -ESTATE NOTICE 166.60
11. STEVEN W. BARRETT -APPRAISAL ON REAL ESTATE 325.00
12. EDWARD J. SHULL, AUCTIONEER -APPRAISAL ON PERSONAL PROPERTY 100.00
TOTAL (Also enter on line 9, Recapitulation) $ 25 186.42
(If more space is needed, insert additional sheets of the same size)
Zip
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
BEVERLY A. MORRISON 21 08 01058
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PENN WASTE -TRASH 48.75
2. IUGI -UTILITY
3. APP&L -ELECTRIC
4. IPA AMERICAN WATER -UTILITY
5. IVERIZON -TELEPHONE
32.52
62.15
27.00
9.72
TOTAL (Also enter on line 10, Recapitulation) I $ 1
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (9~0)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ca I w r c yr FILE NUMBER
BEVERLY A.MORRISON ~~ nn n~n~n
RELATIONSHIP TO DECEDENT V AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outfight spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. DAVID E. MORRISON Lineal 136,447.46
5 MEMORY LANE 1/3 REMAINDER
ENOLA, PA 17025
2. CAROL D. RENARD Lineal
4101 SPRING VALLEY ROAD APT A-1 1/3 REMAINDER
HARRISBURG, PA 17109
3. KATHRYN E. MORRISON Lineal
151 EASTERLY DRIVE 1/3 REMAINDER
MECHANICSBURG, PA 17025
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
LAST WILL AND TESTAMENT
I, BEVERLY A. MORRISON, of the Borough of Camp Hill, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament, hereby expressly revoking all Wills
and Codicils heretofore made by me.
1. I direct my Executor to pay all of my debts, funeral and administrative expenses as
soon as maybe done conveniently after my decease.
2. I authorize and empower my Executor to sell any realty owned by me at my death and
not specifically devised herein at either public or private sale, and to give good and sufficient
deeds therefor, in fee simple, as I could do if living.
3. I give, devise and bequeath all of my estate of every nature and wherever situate to my
three (3) children, share and shaze alike, the child or children of any deceased child taking the
share their parent would have taken if living.
4. I nominate and appoint DAVID E. MORRISON to be the Executor of this my Last
Will and Testament; he is to serve as such without bond. Should he die before my death,
renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I
nominate and appoint CAROL D. RENARD and KATHRYN E. MORRISON as substitute
Executrices, also to serve as such without bond and with the same powers as are given herein to
my Executor.
5. I hereby suggest that my personal representative retain the services of Irwin,
McKnight & Hughes as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this l''f day .of
July; 2003.
~~~~e...~~-~~~ ~1^;~~n ~Hi (SEAL)
BE1/ERLY A. MORRISON
Signed, sealed, published and declared by BEVERLY A. MORRISON, the Testatrix
above-named, as and for her Last Will and Testament, in the presence of us, who, at her request,
in her presence and in the presence of each other have subscribed our names as witnesses hereto.
1
7 , ~~ ~
1
i
2
ACKNOWLEDGMENT AND AFFIDAVIT
WE, BEVERLY A. MORRISON, JACQUELINE L. DRAWBAUGH and
SHARON L. SCHWALM, the Testatrix and witnesses respectively, whose names are signed
to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument as her Last Will and Testament,
that she had signed willingly, that she executed it as her free and voluntary act for the purpose
herein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix,
signed the .Will as a witness and that to the best of their knowledge the Testatrix was, at that
time, eighteen years of age or older, of sound mind and under no constraint or undue influence.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
Subscribed, sworn to and acknowledged before me by BEVERLY A. MORRISON,
the Testatrix herein, and subscribed and sworn to before me by JACQUELINE L.
DRAWBAUGH and SHARON L. SCHWALM, witnesses, this 1st day of July, 2003.
~~!~=U~ ~ j. ~1~~
Public
~ -Tlptarinl Seal
Roger B. Irwin, Norary Public
Carlisle Bom. Cumhedand County
My Commission Expires Oct. 3, ?004
Member, Pennsyn~ama Assooiatlnn of Notaries
~e~c ~< ~` ;tic
L~ "fi~~iv`~.,
SHARON L. SCHWALM
S. W. Barrett Real Estate R Appraisal Services
SUMMARY REPORT
File Nn ORATdO
APPRAISAL OF
LOCATED AT:
27 S. 29th Street
Camp Hill, PA 17011
FOR:
Dave Morrison
5 Memory Lane
Enola, PA 17025
AS OF:
September 30, 2008
BY:
Cassandra J. Crockett
Certified Residential Appraiser
S. W. Barrett Real Estate 8 Appraisal Services
SUMMARY REPORT
10/O6I2008
Dave Morrison
5 Memory Lane
Enola, PA 17025
File Number: OS-0340
In accordance with your request, I have appraised the real property at:
27 S. 29th Street
Camp Hill, PA 17011
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 September 30, 2008 is:
$160,000
One Hundred Sixty Thousand Dollars
The attached report contains the description, analysis and supportive data for the conclusions,
final opinion of value, descriptive photographs, assignment conditions and appropriate certifications.
Certified ResidentialvvAppraiser
Residential Appraisal Report
SUMMARY REPORT
File No. 08-0340
The purpose of this appraisal report is to provide the client with a credible opinion of the defined value of the subject property, given the intended use of the appraisal.
Client Name/Intended User Da Ve Mgrrisgn E-mail
Client Address 5 Memo Lane ci Enola State PA zi 17025
Addaional Intended Users The Intended User of this a raisal re ort is the Client. No additional Intended Users are ermitted without
the ermission of the a raisers .
Intended use The Intended Use is to evaluate the property that is the subject of this appraisal to provide the Client with an
accurate and ode uatel su orted o inion of value.
Pro er Address 27 S. 29th Street ci Cam Hill slate PA ZI 17011
Owner of Public Record Morrison Beverl coup Cumberland
Le aI Desai lion Deed Book 26-V• Pa a 658
" Assessor's Parcel # 01-21-0273-322 Tax Yf1ar 07/08 R.E. Taxes $ 2,451.00
Nei hborhood Name BOfOU h Ma Reference 21-0273 Census Tract 0104.00
Pra er Ri htsA aised X Fee Sim le Leasehold Other desaibe
M research did X did not reveal an rior sales or transfers of the subject ro er for the three ears rior to the effective date of this a raisal.
Prior Sale/Transfer: Date 10/1311976 Price 1 Sources COUrthouse records
Analysis of prior sale or transfer history of the subject property (and comparable sales, if aDPlicable) No recent recorded transfers were found.
Offerings, options and contracts as of the effective date of the appraisal None known
Neighborhood Characterletlcs- - -0rre-Unit Housing Trends 'One-Unit Housing Presan4 LandLSa%
Location Urban X Suburban Rural Pro er Values X Inaeasin Stable Declinin PRICE AGE One-Unit 75
Built-U X Over 75% 25-75% Under 25% Demand/Su I Shorta e X In Balance Over Su I $ 000 rs 2-4 Unit 8
Growth Ra id X Stable Slow Marketin Time Under 3 mlhs X 3-6 mths Over 6 mths 90 Low 20 Multi-Famil 2
-Neighborhood Boundaries Subject is bounded on the north and west by Rt. 11/15• on the 400+ Hi h 100 commercial 10 %
south b Rt.581• and on the east b 21st Street. 180 Pred. 70 other Instit'I 5 %
Neighborhood Desaiptlon Subject property is located in an established neighborhood of homes both detached and attached within
" the Borou h of Cam Hill with a mix of residential and commercial use e. Sho in and other amenities are within welkin
or short drivin distance. Schools stem is Cam Hill District and school com lex is within .25 mile. SMSA 42-3240.
Market Conditions (including support for the above conclusions) See Attached Addendum
Dimensions See le al descri tion/tax ma Avea 0.17 Acre M/L she a Rectan ular view Residential
5 ecific Zonin Classification LDR Zonin Desai lion LOW Densi Residential
Zonin Com Hance X Le al Le al Noncontormin Grandfathered Use No Zonin Ille al desaibe
Is the highest antl best use of the subject property as improved (or as proposed per plans and specifications) the present use? X Yes No If No, desaibe.
Utilities Public Other (describe Public Other (describe) Off-site Improvements-Type Public Private
Electrici X Water X Sheet Asphalt X
Gas X Sanitar Sewer X Alle TO rear X
sue comments There are no a arent adverse easements encroachments or other adverse conditions.
GENERAL DESCRIPTION FOUNDATION fXTERIDRDESCRIPTIONmatenals INTERIORmaterials
Units X One One withACCessor Unit Concrete Slab Crawls ace Foundation Walls PouredCOne/Av Floors HW/Car /Vin I/F
# of Stories TWO X Full Basement Partial Basement Exterior Walls Vin I/AV Walls PlasterlAv
T e X De[ Att. S-Def./End Unit Basement Prea 672 s . H. Roof Surface Shln IeIAV Trim/Finish WOOd/AV
X Existin Ro osed Under Const. Basement Finish ' 0 % Gutters & Downs outs AIUminumlAV Bath Floor TIIeIAv
Desi n 5 le 2 Sto X Outside Entr /Exit Sum Pum Window T e DbIHn /Av Bach Wainswt Plaster/Tile/Av
Year Built 1921 Storm Sash/Insulated StOrmS/AV Car Store e X None
EffectiveA a Yrs 15-2
Attic 0
None Screens Yes/Av
Heatin X FWA HWBB Radiant Amenities WoodStovas # Drivewa #ot Cars
Drivewa Suriace
Dro Stair
Floor Stairs
X Scuttle Other Fuel Oil X Fire laces # 1~ X Fence Wooden
Coolin Central Air Condilionin Patio/Deck X Porch TWO Gara e #of Cars
Car ort # of Cars
Finished Healed
A liances Refri erator X Ran a/Oven
Finished area above rode contains: Individual X Other Window Pool Other Att. Del. Built-in
Dishwasher X Dis osal X Microwave Washer/D er Other desaibe
6 Rooms 3 Bedroems 1 Bath 5 1 344 S uare Feel of Gross Livin Area Above Grade
Addifionai Features Two sto in avers a condition• ceramic the in bath, u -dated kitchen• front and rear orches; rivac fencin
alon rear alle could be removed for off-street- arkin .
Comments on the Improvements Improvements are in average condition with no functional inade uacies a arent. 'Prior finish in
basement had received water dame a Burin 1972 hurricane er famil member and was never re aired/removed
com osition floorin disinte rated no additional value iven in this re ort.
`-\ari1n aYrq M:i,r,TMY,. tPV-.ZN.9]}I MwW.M1M.afvn iii, NTLWYN9MGIMS.N.'S ACI n.W;m M150aia s ,Inc., NIR191YS P.u,v.E.
N Paga1W2 (GPAR•")Generale po AOpaisal RepM 12IID05
.~n. n - - - GPMtWa O5 w1i2Wfi
nnnl=Nnl Inn
Borrower: Beverly MORRISON (Estate) File No ~ 08-0340
Propeity Address: 27 S. 29th Street Case No.: SUMMARY REPORT
City: Camp Hill State PA Zp 17011
Lender: Dave Morrison -
Neighborhood Market Conditions
Property values have continued to appreciate in 2007, although at a slower pace than in previous years. Local
multi-list data indicates an appreciation rate of 2%, for the past year in the subject's market area, with an average
marketing time of 90-180 days. Economic trends and lending rates have remained favorable. Sales concessions are
occuring more frequently. There are new homes under construction in surrounding developments, as well as
resales available in the neighborhood.
Addendum Page 1 of 1
SUMMARY REPORT
Privac Fencin v
Net Ad~ustment Total + X - 8 16 130 X - $ 27 925 + X - $ 26 500
Adjusletl Sale Price Net Adj. -8.9 % Net Adj. -15.1 % Net Adj. -14.6
of Com ambles GrossAd'. 14.3% $ 165 870 13ossPd~. 15.1 % $ 156 975 GrossAd'. 14.6 % $ 155 500
summa or Sales com orison roach All com ambles are similar in utili and location to the sub'ect roe are verified closed
sales and are the best current) available. Limited sales of homes in sub'ect's value ran a have recent) occurred re uirin
an ex ended search. Ad'usted ran a of value is $155 000 to $166 000.
COST APPROACH TO VALUE -
site value comments Site value from current assessment data and recent local land sales.
ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE ....................... .......... _ $ 40 000
- Source of wst data Dwellin S.Ft. $ ....,..,..._$
Ouali ratio horn cost service Effective date of cost data _ Sg. FL $ _ $
Comments on Cost A roach ross livin area calculations, de reciation, etc.
• Cost A roach from Marshall/Swik Valuation Service
handbook and local cost anal sis was considered but
deemed not credible due to the a e of the im rovements.
Site value from Market Data. De reciation based on a ellife
observed condition and Market Data Anal sis. Estimated
remainin Economic Life is 40-45 eaB• Gera altar ort s . R. $ - $
Total Estimate of cost-New - $
Less Ph siwl Functional External
De reciation , g
De reciated costonm rovements ................................ _ $
"AS-is'"Value of Site Im rovements,........... - $
INDICATED VALUE BY COST APPROACH ...................... _ $ N/A
INCOME APPROACH TO VALUE -
Estimaled Month) Market Rent $ NIA X Gross Rent Multi tier N/A _ $ N/A Indicatetl Value b Income A roach
Summary of Income Approach (including support for market rent and GRM) NIA
Indicated Valuab Sales Com arisonA roachf 16000U CoatA oath it tlevelo ed E N/A IncomaA roach (if develo ed)E N/A
Market Anal sis consistent) su orts m estimated market value. Cost A roach and GRM anal sis were found
Ina ro riate for this anal sis. Greatest wei ht is a lied to the Market Data Anal sis. Su ortin file information
substantiates these estimates.
• This appraisal is made X "as is," subject to completion per plans and specifications on the basis o/ a hypothetical condition that the improvements have been completed,
^subjecf to the following repairs or alterations on the basis of a'hypothetiwl contlition that the repairs or alterations have been completed ^ subject to the following:
A sisal is for client onl nontransferable.
t
...... Based on the scope of work, assumptions, limiting conditions and appraiser's certification, my (our) opinion of the defined value of the real property
hat is the subject of this report is E 160,000 as of 9130/2008 ,which is the ef/eclive tlate of this appraisal.
'J-Nan.',. _....,
PeYS P of 2...............,..........
boppgnl v sw}[~aq x;l umsl[n of ISO Claims e«riras. Inc, wl Rlgpb Rnema
(GPAR"')Gen«alPmpasa Appraisal Report 1L1g05
PARIppI OS MIIaC6
S. W. Barrett Real Estate 8 Appraisal Services
Residential Appraisal Report Pile No. oa-o3ao
SUMMARY REPORT
File No, OS-0340
Scope of Work, Assumptions and Limiting Conditions
Scope of work Is definetl in the Uniform Standards of Professional Appraisal Practice as "the type and extent of research and analyses in an
assignment." In short, scope of work Is simply what the appraiser ditl antl did not tlo during the course of the assignment. It includes, 6ul is not
limited to: the extent to which the property is identified and inspected, the typ¢ and extent of data researched, the type and extent of analyses applied
to arrive at opinions or conclusions.
The scope of this appraisal and ensuing discussion in this report era specific to the needs of the client, other identified intended users antl to the
intended use of the report. This report was prepared for the sole and exclusive use of the client and other identified intended users for the identified
intended use and its use by any other parties is prohibited. The appraiser is not responsible for unauthorized use of the repoR.
The appraiser's certification appearing in this appraisal report is subject to the following contlitlons and to such other specific conditions as are
set forth by the appraiser in the report. All extraordinary assumptions and hypothetical conditions are stated in the report and might have affected the
assignment results.
7. The appraiser assumes no responsibility for matters of a legal nature affecting the property appraised or title thereto, nor does the appraiser render any opinion as to the title, which is
assumed to be good and marketable. The property is appraisetl as though under responsible ownership.
2. Any sketch in this report may show aDOroximate dimensions and is included only to assist the reader in visualizing the property. The appraiser has made no survey of the property.
3. The appraiser is not required to give testimony or appear in court because of having matle the appraisal with reference to the property in question, unless arrangements have been
previously made thereto.
4. Neither all, nor any part of the content of this report, copy or other media thereof (including conclusions as to the property value, the identity of the appraiser, professional designations,
or the firm with which the appraiser is wnnected), shall be used for any purposes by anyone but the client and other intended users as identified in this report, nor shall it be conveyed by
anyone to the public through advertising, public relations, news, sales, or other media. without the written wnsent of the appraiser.
5. The appraiser will not disclose the contents of this appraisal repot unless requiretl by applicable law or as specifed in the Uniform Stantlartls of Professional Appraisal Ractice.
6. Information, estimates, and opinions furnished to the appraiser, and wntained in the report, were obtained ham sources considered reliable and believed to he true and wrrect.
However, no responsibility far accuracy of such items furnished to the appraiser is assumed by the appraiser.
L The appraiser assumes that there are no hidden or unapparent conditions of the property, subsoil, or structures, which would render it more or less valuable. The appraiser assumes
no responsibility for such conditions, or for engineering or testing, which might be required to discover such factors. This appraisal is not an environmental assessment of the property and
should not be wnsidered as such.
8. The appraiser specializes in the valuation of real property and is not a home inspector, building contractor, seuctural engineer, or similar expert, unless otherwise noted. The appraiser
did not conduct the intensive type of field observations of the kind intended to seek and diswver property defects. The viewing of the property and any improvements is for purposes of
developing an opinion of the defined value of the property, given the intended use of this assignment. Statements regarding condition are based on surface observations only. The
appraiser claims no special expertise regarding issues including, but not limited to: foundation settlement, basement moisture problems, wood destroying (or other) insects, pest infestation,
radon gas, lead based paint, mold or environmental issues. Unless otherwise indicated, mechanical systems were not activated or tested.
This appraisal report should not be used to disclose the wndition of the property as it relates to the presence/absence of defects. The client is invited and encouraged to employ qualified
experts fo inspect and address areas of concern. If negative wnditions are diswvered, the opinion of value may be affected.
Unless otherwise noted, the appraiser assumes the components that constitute the subject property improvement(s) are funtlamentally sound and in
working ortler.
Any viewing of the property by the appraiser was limited to readily observable areas. Unless otherwise noted, attics and crawl space areas were not accessed. The appraiser did not move
furniture. Floor coverings or other items that may restrict the viewing of the property.
9. Appraisals involving hypothetical wnditions related to wmpletion of new wnstruction, repairs or alteration are based on the assumption That such wmpletion, alteration or repairs will
be wmpetently performed.
10. Unless the intended use of this appraisal specifically indudes issues of property insurance coverage, this appraisal should not be used for such purposes. Reproduction or
Replacement cost figures used in the cost approach are for valuation purposes only, given the intended use of the assignment. The Definition of Value used in this assignment is unlikely
to be consistent with the definition of Insurable Value for property insurance coverage/use.
11. The ACI General Purpose Appraisal Report (GPARTM) is not Intended for use in transactions that require a Fannie Mae 7004/Freddie Mac 70 form,
also known as the Uniform Residential Appraisal Report (URAR).
Additional Comments Related 7o Scope Of Wark, Assumptions and Limiting Conditions
{''~ Roauwa uW05CI ro9wwe. ppp,}y 9111 wxw,ranab.mm iMS bm GCpyrIpM 01005~30ce ~1Gl ervfi'wn of l50 Cd
parr (GPAR^')Gmnal
.nr,,.rrv..n .,d,w..,
SUMMARY REPORT
File No. OS-0340
Appraiser's Certification
The appraiser(s) certifies that, to the best of the appraiser's knowledge and belief:
1. the statements of fact wntained in this report are true and correct.
2. The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are the personal, impartial, and unbiased professional
analyses, opinions, and conclusions.
3. Unless otherwise stated, the appraiser has no present or prospective interest in the property that is the subject of Ihis report and has no personal interest with respect to the parties
involved.
4. The appraiser has no bias with respect to the property that is the subject of this report or to the parties involved with this assignment.
5. The appraiser's engagement in this assignment was not wntingent upon developing or reporting predetermined results.
6. The appraiser's compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value Ihat favors the cause of
the client, the amount of the value opinion, the attainment of a stipulated result, w the occunence of a subsequent event directly related to the intended use of this appraisal.
7. The appraiser's analyses, opinions, and Conclusions were developed, and this report has been prepared, in conformity with the Uniform Standards of Professional Appraisal Practice.
8. Unless otherwise noted, the aDDraiser has made a personal inspection o(the property that is the subject of this report.
9. Unless noted below, no one provided significant real property appraisal assistance to Me appraiser signing this certification. Significant real property appraisal assistance provided by:
Additional Certifications:
Definition of Value: OX Market Value Other Value:
Source of Definition: USPAP
The most probable price in terms of money which a property should bring in a competitive and open market under all
conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not
affected by undue stimulus.
ADDRESS OF THE PROPERTY APPRAISED:
27 S. 29th Street
Camp Hill, PA 17011
EFFECTIVE DATE OF THE APPRAISAL: September 30, 2008
APPRAISED VALUE OF THE SUBJECT PROPERTY $ 160,000
APPRAISER
Signature:
Name: Cassandra J. Crockett
State Cerhfication # RL001348L
or License N
or Other (desdihe): State p'
Stale: PA
Expiration Date of Certification or License: 06/30!2009
Dale of Signature and Report: 10/06/2008
Date of Property Mewing: 9/30/2008
Degree of property viewing:
Interior and Exterior ~ Fx[eria Only ^ Did not personally view
SUPERVISORY APPRAISER
~_~~.~ ~-
Signature:
Name: Steven W. Barrett, SRPA SRA ASA
Stale Certification # GA000298L
or License # R6026921 A
State: PA
Expiration Date of Certification or License: 06/30/2009
Date of Signature: 10/06/2008
Date of Property Viewing:
Degree of property viewing:
Inferior and Exterior
~par~
^ Exterior Only XO Did not personally view
..•••• .,arr.. roar caiace a rppratsat aervtces
SKETCH/AREA TABLE ADDENDUM
Case No SUMMARY REPORT File No 0E-0340
Property Address 27 S. 29th Street
City Camp Hill County Cwnherland Stato PA Zlp 17011 ~~~
Borrower Beverly MORRISON(Estate) '~
Lender/Client Dave Morrison UC Address 6 Memory lane
Appraiser Nzme Appr Address I
-.- _-._ -___ _... ii
24.0'
2nA Floar
Bath Be~Sroom
-_--
f ~
Bedroom Bcdraorzi
i.
120'
III I, , I~~II Po¢h
o
Nrtchen ~~
Office
~, 0'
LiNny FOam.
2d u'
?orch
~..
Comments:
AREA CALCULATIONS SUMMARY
Gode Description Size Totals
6L11 First Floor 672.00
Second Floor 672.00 1394.00
P/P Porch 240.00
Porch 72,00 i 312.00
Scale: 1 = 12
LIVING AREA BREAKDOWN
Breakdown Subtotals
First Floox j
29.0 x 29.0 ~ 672.00
Second Flooi
29.0 x 29.v 67z.G0
TOTAL LIVABLE (rounded) I 1344 ~ ~ 2 Areas Total (rounded) ~ 1344 ~ II I
avex soriwnaeana~mss :o.arm~<„„ai
SUBJECT PROPERTY PNO i v rwutrvuurv~
FRONT VIEW OF
SUBJECT PROPERTY
Appraised DatF;September 30, 2008
Appraised tlalue: `~
REAR VIEW OF
SUBJECT PROPERTY
STREET SCENE
SU
1701
COMPARABLE PROPERTY PHOTO ADDENDUM
SUMMARY
COMPARABLE SALE #1
2923 Maple Road
Camp Hifl 1701T
Sale Date: S/08
Szle Price: $ 182,000
COMPARABLE SALE#2
131 5. 31st Street
Camp Hill 17011
Sale Date: 3(08
Sale Price: $ 184,900
GOMPARABLESALE#3
3008 Chestnut Street
Camp Hill 17011
Sale Date: 1/08
Sale Price: $ 182,000
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LOCATION MAP
File
NropertyAddress:27 5. 29th Street Case No.: SUMMARY REPORT
..,. ~~ .., .. ~. ~..=.:„ ,... cai rou n t. hnPr, ._ v, . l r l r )1'13 ti6^. F
ID ~ ~~:<Address:. •... ~. ~ ~ 'Datti ~ ,+ Pnco-~ ~. -~~~ - RM'BR`~ Bath '-'S Ft Proximi
5 27 5 29th St 6 3 1 1349 0.00 F]I '
1 2923 Maple Rd 5/U8 182000 6 3 1.5 1245 0.42 NI NN47
2 131 5 31st St 3/08 189900 6 3 1 1900 G.21 P1I SiV ~
3 3008 Chestnut St 1/OB 182000 7 9 1.5 1612 0.10 74I SW
File No,
********* QUALIFICATIONS *********
SUMMARY REPORT
The following checked items are SPECIFIC SPECIAL CONDITIONS that were identified by this appraiser during the
inspection of the subject property, the comparables sales, and their neighborhoods and locations. Unless otherwise
noted, the conditions that apply to the subject property or the comparable sales used DO NOT AFFECT THE MARKET
VALUE OR THE FUTURE MARKETABILITY OF THE SUBJECT PROPERTY BEING APPRAISED. This is not a home
inspection service. This is an appraisal to estimate market value.
_7. The subject is located in a rural area and is less than 25% built-up.
_x_2. Commercial/Industrial uses are located within the subject's neighborhood. These uses are typical of similar
neighborhoods.
_3. Vacant and undeveloped land uses are located within the subject's neighborhood. These uses are typical for
the area.
_4. The predominant value in the neighborhood is less than that of the market value of the subject property. This
is due to the very wide range of value of properties in the area and superior quality of the subject property.
_5. The subject property is located in a F.E.M.A. Identified Flood Zone. Flood insurance coverage is required and
suggested.
_6. Dampness is noted in the basement of the subject. Standing or running water was not present on basement
floor. This condition is considered typical in dwellings of this style.
_7. The subject property is serviced by private well andlor septic systems which is common for the area.
_x 8. The subject is older than five(5) years. All mechanical systems including the heating, electrical and plumbing
systems appear upon a visual exterior inspection to be in working order. No warranties are implied in this statement.
_9. Repair items were noted in the comments section of the report. These comments on repair items are for
descriptive purposes only and are not required repairs. The items listed are cosmetic in nature.
_10. The basement floor is a dirt floor. This condition is common and typical for the area. and does not pose a
health or safety hazard.
_11. The subject property does contain functional obsolescence as noted in the report. This condition is
considered typical and common for the area and this style dwelling.
_12. The land value exceeds 30% of total value due to the high demand for vacant land in this neighborhood. This
condition is considered common and typical for the neighborhood.
_13. The land value exceeds 30% of total value. This is due to the large size of the site. This condition is
considered to be typical and common.
_14. Individual adjustments were required that exceed 15%. These adjustments were required due to lack of more
similar comparables on that individual rating. All comparables used are the best available.
_15. Total adjustments exceed 25%. This is due to the lack of comparable sales that were more similar in the
subject's market area. All comparables used are the best available.
_x_16. One or more comparable sales are older than six(6) months. Although there are comparable properties in the
subject's area, none have sold recently; therefore, sales in excess of six(6) months have to be used. All comparables
used are the best available.
_17. One or more comparables used were in excess of one (1j mile from the subject property. Although there are
comparable properties in the immediate area, none have sold recently. Therefore, it was necessary to use comparable
sales outside of the immediate area. All comparables used are located in similar neighborhoods and within the same
marketing area. All comparables used are the best available.
_18. The electrical system was not connected during inspection.
_19. The water service was not connected during inspection.
_20. The heating system was shut down during inspection.
_21. Roofing_Plumbing_Electrical_Heating_certification(s) is/are suggested.
_22. Inground swimming pool-, out buildings are included ,not included according to lender's
guidelines.
_23. According to lender's guidelines a maximum of_acres were considered for this valuation. Remaining
acreage was given no value.
SUMMARY REPORT
********* QUALIFICATIONS *********
_24. The subject property is located on a private road.
_25. Wood infestation inspection is suggested.
_x_26. Last recorded deed transfer: Date_10/1311976_, Consideration: $_1.00
_27. Proposed construction/renovation in accordance to plans and specifications to be completed in a workman-like
manner.
_28, Seller is paying part or all of closing costs.
_x_29. All comparable sales are verified closed sales.
_x_30. There are no special conditions or other requirements that would affect market value or future marketability in
the Appraisal Report.
SUMMARY REPORT
File No. 08-0340
*******"* QUALIFICATIONS *********
Confidentiality and Security Policy
We consider privacy to be fundamental to our relationship with clients. We are committed to maintaining the
confidentiality, integrity and security of clients' personal information. Internal policies have been developed to protect
this confidentiality, while allowing client needs to be served.
We restrict access to personal information to authorized individuals who need to know this information to comply with
federal standards [o protect your nonpublic personal information. We do not disclose this information about you or
any former consumers or customers to anyone, except as permitted by law. The law permits us to share this
information with our affiliates. The law also permits us to share this information with companies that perform
marketing.
When we share nonpublic information referred-to above, the information is made available for limited purposes and
under controlled circumstances. We require third parties to comply with our standards for security and confientiality.
We do not permit use of consumer/customer information for any other purposenor do we permit third parties to rent,
sell, trade or otherwise release or disclose information to any other party.
Education
As of the date of this report, land/or Steven W. Barrett, SRPA, SRA, ASA have completed the requirements under the
continuing education program of the Appraisal Institute.
COMPLETE SALE SERVICE
PHONE: 789-4100
EDWARD J. SHULL
AUCTIONEER
R.D.1, LANDISBURG, PA. 170E0
November 30,2008
David Morrison
5 Memory Lane
Enola Pa. 17025
Mr. Morrison
Enclosed please find the appraisal of the personal property you requested me to
make on the Beverly A Morrison Estate
This property is located at 27 South 29th Street in Camphill Pa.
I further certify that I have no present, nor contemplate any future interest in these items.
The fee for this appraisal in $100.00. Thank you for letting me be of service. If you need
anything else, or have any questions, please call.
Sincerely,
Edward JShull- Auctioneer
5239 Waggoners Gap Rd.
Landisburg Pa. 17040
Phone-789-4100
COMPLETE SALE SERVICE
PHONE: 789-4100
EDWARD J. SHULL
'~~"~j'
AUCTIONEER
c
~
~
{~_,
a
.
~ ~ R.D.1, LANDISBURG, PA. 17040
Personal property -Estate of Beverly A Morrison
Sharp cazousel microwave oven .......................... $ 10
............................
Westinghouse electric range ...... ...
.00
.....................................................
Riva] Crock Pot .. .. 25.00
.......................................................................
Canister set ....... ... 2.00
........................................................................
Electric toaster .. ... 2.50
.........................................................................
Frigidaire Refrigerator ........ ... 1.50
..........................................................
Blender ..... .. 27.50
..............................................................................
Misc. pots, pans, dishes in kitchen cupboards ........................................ ... 3.50
. 17
50
Electric coffee pot ............... .
............ .............
................................
Ironing board ...:........... 2.00
..............................................................
Electric iron ... . 3.50
...........................................................................
Compac computer ......... . I.50
..............................................................
Kneehole desk .... . 15.00
.......................................................................
9 pc. Dinette set ...... 5.00
....................................................................
Electrolux Sweeper .............. 75.00
........................................................
Small Magnavox stereo .... 12.50
.............................................................
Deacons bench 3.00
...........................................................................
Serving Trays ................... 8.00
..........................................................
Kerosene light ................... 3.00
..............................
...........................
Misc.dishes in china closet 5.50
..............................................................
Other kerosene light ............. 12.50
.........................................................
Old baskets . 4.00
...............................................................................
RCA television ..
. 25.00
.
.......................................................................
TV stand ......
. 12.50
.
...........................................................................
Misc. pictures ............ 5.00
.................................................................
Old piano ................... 7.50
............................................
...................
Misc. lamps and pole lights ....... 25.00
......................................................
Upholstered chair .... 12.50
....................................................................
2-end tables
. 7.50
.
.............................................................................
Small stool ... 6.00
.............................................................................
Bar stool ........ 3.50
...................
........................ ...............................
Fireplace screen and tools 2.00
..............................................................
Mantel clock
. 6.00
.
...........................................................................
Misc. plants ............. 4.00
.................................................................
Maytag auto. washer .... 3.50
...............................................................
Whirlpool dryer ...........
. 32.50
.......
......................................................
Portable humidifier 27.50
...................................................................... 6.00
Total Page#1 .................. $425.00
~ COMPLETE SALE SERVICE
PHONE: 789-4100
EDWARD J. SHULL
I ~ AUCTIONEER
;=
R.D. 1, LANDISBURG,
PA. 17040
Personal Property -Estate of Beverly A Morrison
2 Push rotary mowers .......
..............
Metal cabinet .............. ........................................ ....$ 30.00
.................
Kerosene heater .............. ....................................... ..... 3.00
..............
Weight set ........................ ........................................ .... 4.00
..........
Step ladder ...................... ..................................
......
..... 5.00
............
Wooden extension ladder ..... ..............
..........................
.... 4.50
............
Misc hand tools .............. ........................................ .... 10.00
..............
Lawn furniture ............... ........................................ ..... 7.50
...............
Bicycles .........................
.....................................:.
..... 4.00
.............
Misc. lawn and gazden tools ........... .....................
..................
.... 12.00
...
Old radios ................ ........................................ .... 4.00
....................
Old wringer washer .................. .....
..................................
... 3.50
......
Misc. books .................. ........................................ ..... 2.00
................
Croquet set ........................ ........................
...............
..... 5.00
...........
Crock .................. ........................
...............
..... 3.50
..............
.........
Pc. Bedroom suite ...........
................... ..
..... 3.00
...........
..
2 Window air conditioners ......
........................................
..... 12.50
...........
Rocking chair .................... ........................
...............
..... 17.50
............
Coffee table ................ ............
............................
.... 10.00
..................
Typewriter and stand ......... ........................................ .... 8.00
...............
Old sewing machine cabinet ...... ....................................... ..... 12.OU
.........
Misc. games and puzzles .............. ............
............................
... 5.00
.....
Comforters, sheets and other linen . ........................ 4.00
.......
Book shelve ............... ........................................ .... 22.50
....................
Dresser .................... ....................................... .... 5.50
....................
Double bed ................ ........................................ .... 7.50
......
..............
3 Pc. Bedroom suite .............
.......................................
..... 5.50
............
Small desk ................. ............................
............
.... 95.00
....................
Nghtstand ....................... ....................................... .... 6.00
...............
Misc. fans .................... ....................................... .... 5.50
..................
Cedar blanket chest ............. ....................................... .... 7.00
..............
Misc. phones and clocks ......... ....................................... .... 35.00
............
Old records ................. ....................................... .... 6.50
...................
Misc. chairs ................... ............................
............
.... 7.50
.................
Daewoo TV ............. ....................................... .... 12.50
....................... .......................
.................
... 10.00
Total Page#I-$425.00
Total Page#2-$395.50
Grand Total-$820.50
a sCOMMONWFALTN OF PENNSYLVANIA
BUREAO DFTINDIVIDUALETAxES I N F O RMAT I ON N O T I C E
AND FILE
DEPT. 280601
RABBIS BURG, PA n12 H-ocol TAXPAYER RESPONSE ACN
aEV-~su sx up cos-oo: DATE
DAVID E MORRISON
5 MEMORY LANE
ENOLA PA 17025 `
EST. OF BEVERLY A MORRISON
S.S. N0. 217-28-1421
DATE OF DEATH 09-07-2008
COUNTY DAUPHIN
N0. 22
08143652
09-18-2008
TYPE OF ACCOUNT
® SAVINGS
CHECKING
^ TRUST
CERTIF.
REMIT PAyNENT AND FORNS T0:
REGISTER OF WILLS
DAUPHIN CO COURT HOUSE
HARRISBURG, PA 17101
MEMBERS 1ST FCU has provitlmd kha Department with the inf ornation listed below which has bean usetl in
calculating the po tanti al tax tlue. Their recortls intlicate that at the death of the above tlecetlent, you ware a joint owns r/beneficia rv of
this account. If vpu feel this information iz incorrect, please obtain written co rract ion from the financial institution, aktach a copy
to this form antl rat urn it to the above atltlress. This account is taxable in accortlance with the Inheritance Tnx Laws of the Commonwealth
of Pmnnsylvania. Du estions may be anew erect by calling [717> 7B]-832].
COMPLETE PART 1 BELOW ^ ^ ~( SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 32846-05 Date 02-10-1990
To insure proper credit to your account. two
Es tahllshed (2] copies of this notice must accompany your
AeeoUnt Balanea 1 ~ 439.61 pavnent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Percent Taxa6la X 50.000
Amount Subject to Taz 719.81 NOTE: If tax payments era made within three
(3) months of the decedent's tla to of tleath,
Tax Rate X . 0 G5 You nay deduct a SY. discount of the tax due.
Potential Tax Due 32.39 Anv inheritance tax due will bacons delinquent
nine (9) months after the date of tleakh.
P~r TAXPAYER RESPONSE
A. ^ The above information and tax due is correct .
1. You may choose to remit paynent to the Re pister of Wills with two copies of this notice to obtain
C H EC K a discount or avoitl interest, or you may check box "A" antl return this notice to the Register
f
~
ON E Wills and an official assessment will be issued by o
the PA Department of Revenue.
BLOC K
ONLY B. ~ The above asset has been or will ba reporked
t and tax vaitl with the Pe nnsvlvania Inhe rikance Tax retur
o be filed by the de cedenk's representative. n
L. ~ The above information is incorrect and/or tlabts antl tleduc loons we ra paid by you.
You oust complete PART ~ an tl/or PART ~ below.
PART If yeu indicate a different Yax rate, please sta to your
relationship to tloeedant: _.
TAX RETURN - COMPUTATION OF
LINE 1. Data Establlshe0 1
2. Account Balance 2
3. Percent Taxable 3
4. Amount Subject to Tax 4
5. Debts antl Deductions 5
6. Amounk Taxable 6
7. lax Rate 7
e. Tax Dua a
PART
DATE PAID PAYEE
TAX ON JOINT/TRUST ACCOUNTS
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
(Enter on Line 5 of Tax
AMOUNT PAID
Untler penalties of pe riury. I declare chat the Pacts I have reported above are true, correct and
complete to the bast of my knowledge antl belief. ,,,,,,~ - -
WORK
iTRNONWEALTN OF PENNSVLVAN IA
+ DEPART .,i OF REVENUE
BUR a OF INDIVIDUAL iA%ES
D T. 280601
WARRISBURG, PA 17128-0601
aevasm ex xse rw~om
DAVID E MORRISON
5 MEMORY LANE
ENOLA PA 17025
REMIT PgyMENT AND FORMS TD:
REGISTER OF WILLS
DAUPHIN CO COURT HOUSE
HARRISBURG, PA 17101
MEMBERS 1ST FCU has pro vitled the Dvpertmant with the inf a rm atipn listed below which has been usatl in
emleul sting the potential tax tlue. Their records indicate that at th
tl
thi
s aecoun t. If you feel this inf ornati
to this fore and return it e
eath of the above decetlent, you were a joint owner/beneficiary gf
on is incorrect, plc ass obtain written correction f
rom She financial institution, attach a copy
to the above adtlrass. This accounk is taxable in accordance with the Inheritance Taz Laws gf th
of Pennsylvania. Quash ons may be answa ratl by callin
C
(]17
COMPLETE PART 1 BELOW K
g
e
onmo rnrealth
) 787-8327.
^ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS '
Account Na. 32846-11 Data 09-07-1999
To insure Drgpar cre tlit to your account, two
Establls hed C2) copies of this notice mu
t
Account Balance s
act om an
p v vour
54 7.4 1 Davm ent to the Register of Wills. Make check
Percent Taxahle X Day able to: "Re pister of Wills, Agent".
50.000
AmpunL Sub7eet to Tax 273 71 NOTE: If taz paynents are matle within three
Tax Rata x (3) months mf the de ce da nt's dale of death
Potential Tax DUe ,
. 0 45 You may deduct a 5Y. di scpunt of the tax due.
12.32 Anv inheritance taz due will became tlelinouenY
P
RT nine (9) months after the tlate of death.
A
I TAXPAYER RESPONSE
idg f a.(..
A. ^ The above inf mrmetipn and tax due is correct
1. .
Vou eay choose to rani[ payment to the Register of
Wills with tw
i
n
CHECK a discount or avoid interest, or ypu nay check bo o cop
es of this notice to obtai
"A"
ONE
Wills antl an official assessment will b x
i and return this notice to the Register of
~
BLOCK e ssued by the PA Department of Revenue.
ONL V B. ~ The above asset has bean or will be repprtetl antl tax
a
id
i
to be filetl by the tlece dent's representative. p w
th the Pennsylvania Inheritance Tax return
C. ~ The above information is incorrect and/or debts and detlucti ons were
You must complete PART 2^ and/or PART 3^ below. paid by you.
PART If you Sndi cafe a differen
relationship to de cedant:_
7AX RETURN - COMPUTATION OF
LINE 1. Date EstaGlished 1
2. gecount Bal ante 2
3. Percent Taxable 3
4. Amount Subject fo Tax 4
5. Debts and De tluctipns 5
6. Amount Taxable 5
7. Tax Rate ]
8. Tax Due
PART
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
(Enter on Line 5 of Tax Computation) p
AMOUNT PAID
Under penalties of pe r5ury, I declare that the facts I have reported abpve are true, correct and
complete to the best of my knowledge antl belief. „_„_ _
tax rate, please state your
TAX ON JOINT/TRUST ACCOUNTS
INFORMATION NOTICE FILE NO. 22
TAXPAYERNRESPONSE ACN 08143651
DATE 09-18-2008
TYPE OF ACCOUNT
EST. OF BEVERLY A MORRISON ~ SAYINGS
S.S. N0. 217-28-1421 ® CHECKING
DATE OF DEATH 09-07-2008 ~ TRUST
COUNTY DAUPHIN ~ CERTIF.
ravma or-m .. ,,..,.r„~~ WORK C ) --
• BaUdiN(i (}REST C~6'PtrBY 00]1P'I4ZTY
. 1811 ca.r~d. Blo.d • f~u1y 8tua PA 17011.717/781-~o6a ~ ~ $ 0 4 3 8$
Contract
File Folder Name/Number
6Z4•
CEMETERY INTERMENT RIGHTS, MERCHANDISE, AND SERVICES PURCHASE/SECURITY AGREEMENT
THIS AGREEMENT PROVIDES FOR PERPETUAL/ENDOWMENT CARE.
The undersigned, referred to as 'Purchaser', hereby agrees to purchase the Interment Righls~MaSdp ise and Services described herein, subject to acgepf~xe, a ap roust of
ll
C jj
'
Seller :
the above named cemetery, bereafler referred to as (
~
Purchaser: Last Name: (~~\li Ie II I~ I'~I'I~I I I I I I I `
I Middle: I I I I
I I I First:~~_~zgy+t..kfl..~•~.1J t d`'
Telephone: !l ~ ~ SSN: DOB: Email:
Address: V ,, r 1 1 I I I I City: 1 t I^IOI\ F I 1 1 1 1 1 1 1 Slate: (} I Zip: ~ 1~
Co-PUrchacer: Last Name: I I I I I I I I I I I I Porst. 1 1 1 1 1 1 Middle: I I I I
Telephone: SSN:
(_) DOB: / / Email:
Address: I I I I I I I I I I I I I I I I I I I I I I I I I I I State: I I I Z'p'
I q'ty' I I I I I I I I I I I
Deceased: Last Name: \I• d hlt IC I t hI OIC'h I I I I I I tt
I I I First: ~~ ~ It I C A F.JI I I I I I I Middle: I I I
DOa: ~/~/ , ? , DOD: ~/~/ (~; ~
~-a`
- Burial Date: ~/ f, / (1~, Veteran:
e
s
~
~
~
Description of Interment Righla to babe used: ~~ , t ~ \ ~
~
3 ori
al
iza
tion Rights:
Mem
Issue Certi&ate of Intennem Rights to:
Address: City: State: Zip:
INTERMENT MERCHANDISE & SERVICES
$ C~ tJ U Urn
• Interment Rights
~~77
(Includes Perpetual/Endowment Care of $~!-~._,1_~) Supplier
~U ~
• Interment and Recording Fees Type/Color
-
• Outer Burial Container Design/Size
Supplier ~~ (~ ~j' ~ ~~~-~~~~~~
Admin/Processing Fee
J.~-y~
Model/Design Other ~ _
Material/Color Other _-
• Outer Burial Container Installation `~•~~~ - Other ~~ _
MEMORIALIZATION Other --
• Memorial Other _-"
Supplier Other ~-
Type/Color TOTALS, ALLOWANCES & TAXES
Design/Size Interment Rights ............................................................... ( )
• Memorial Base Reason
Supplier Merchandise/Service........_ ............................................_ ( )
Type/Color Reason
Design/Size Apply to
• Memorial Perpetual/Endowment Care ~"" " Merchandise/Service ........................................................ ( -' )
• Memorial Installation Fee --~ Reason
• Memorial Inspection Fee -'~ -~~ Apply to
• Nameplate/Scroll - UC7
~ ~ Sub Total ~ ~, ~.-/~
• Lettering ~ Total Taxable _
• Flower Vase -~'' Sales Tax (if applicable) ................................................... -~
Supplier -~ '~ i p
TOTAL CASH PRICE $ l~ '.
Type/Color Less: Down Payment~~ `~S jZ~fl _,U
Design/Size Other --
.~,. 2 e.t~
• Vase Base Total Down Payment (.l
j
~ )
Size/Material ~
~'y
Unpaid Balance Of Total Cesh Price $~„~_
Notes & Payment Terms (where applicable):
TERMS
The Total Cash Price is due and payable as of the date of this Agreement. A delinquency charge of=___ percent will be assessed monthly on any balance no[ paid within
30 days of the date of this Agreement. If less than full payment is recei ved, Seller shall deduct the accrued delinquency charge from the amount received and credit the
remainder of the payment to the Unpaid Balance.
Security Interest: Seller (or its assigns) will have a security interest in the Interment Rights and Merchandise being purchased as described above. Seller will retain title to
said Interment Rights and Merchandise until the Total Cash Price, together with any delinquency charges thereon, have been paid by Purchaser to Seller.
NOTICE: By signing this Agreement, Purchaser is agreeing that any clai m Purchaser may have against the Seller shall be resolved by arbitration and Purchaser is giving up
his/her right to a court orjury trial as well as his/her right of appeal.
I Signed this C~ day of ` l~rt,~,~ , 20~
/
Purchaser: •' "'"""`-~- Relationship: ~ UI'1
ae1 rei•Iramv~NU ruNERAe seavicza, INC.
dba RQLIiNG C3R6ETt CEMETERY
fln>f sat+tstc ItD• r wd- ttwr ri- IT011
Accepted by:
1 anes~ Thal l have reviewed this docamem for accuracy and completeness.
Date: / /
SM
/ /
~-
Other Side Ior Additional Terms and Conditions which are Part of This Agreement
Form: 220-PA (05/07) Distribution Schedule: White =Cemetery Copy: Yellow =Customer Copy
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