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Home My WebLink About01-02-09 (2)~ 15056051058 J REV-1500 5 EX (06-0 ) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number INHERITANCE TAX RETURN PO BOX 280601 Harrishura PA 17128-0601 RESIDENT DECEDENT 21 08 0399 "" ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 9-46-2056 April 2, 2008 May 28, 1955 Decedent's Last Name Suffix Decedent's First Name MI Dum ~ ~ JoAnn F^ (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return c~ 2. Supplemental Retum c~ 3. Remainder Return (date of death prior to 12-13-82) c~ 4. Limited Estate c~ 4a. Future Interest Compromise (date c~ 5. Federal Estate Tax Return Required of death after 12-12-82) c~ 6. Decedent Died Testate c~ 7. Decedent Maintained a Living Trust g. Total Number of Safe Deposit Boxes (Attach Copy of will) (Attach Copy of Trust) c~ 9. Litigation Proceeds Received c~ 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) c= (Attach Sch. O) between 12-31-91 and 1-1-95) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Barbara Sumple-Sullivan, Esquire (717) 774-1445 Firm Name (If Applicable) REGISTER OF WILLS USE ONLY ~ rU First line of address `!_? O ~ 549 B id S v ~ ~' ~ r ge treet ~ ~ r__ . - ~ Second line of address ___ I ,r `, N - _ DA7tEFfL-~D ~ _. City or Post Office New Cumberland State ZIP Code _ ~ ._. - re'> PA 17070 -'' ' w Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ,~ _ '~ Creedon J. Fertenbaugh, Executor h, l ~~ _ ADDRES 15 S or Str Mecha icsburg, PA 17055 6 _ SIGNdTU P PA ROT THAN REPRESENTATIVE D TE~ Barbara Sumple-Sullivan, Esquire ~~2~1 549 Bridge Street, New Cumberland, PA 17070 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 J ~ 15056052059 REV-1500 EX Decedent's Social Security Number decedent's Name: JoAnn F. Durn 209-46-2056 RECAPITULATION 1. Real estate (Schedule A) 1. $86,800.00 2. Stocks and Bonds (Schedule B) 2. $ 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. $ 0.00 4. Mortgages & Notes Receivable (Schedule D) 4. $ 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 5. $47,942.11 6. Jointly Owned Property (Schedule F) c~ Separate Billing Requested 6. $ 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c~ Separate Billing Requested 7. $ 0.00 8. Total Gross Assets (total Lines 1-7) 8. $134,742.11 9. Funeral Expenses & Administrative Costs (Schedule H) 9. $19,061.59 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 10. $100,337.51 11. Total Deductions (total Lines 9 & 10) 11. $119,399.10 12. Net Value of Estate (Line 8 minus Line 11) 12. $15,343.01 13 Charitable and Governmental Bequests/Sec 9113 Trusts for which . an election to tax has not been made (Schedule J) 13. $ 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) 14. $15,343.01 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X 0. 16. Amount of Line 14 taxable at lineal rate X 0.045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 16. 17. 18. 19. TAX DUE 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT c~ 15056052059 Side 2 $ 0.00 $ 690.43 $ 0.00 $ 0.00 $ 690.43 15056052059 REV-1502EX + (6-98) ~ f /1~~P COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF JoAnn F. Dum FILE NUMBER 21-08-0399 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 1521 Main Street, Mechanicsburg, PA 17055 (Formal Appraisal by Mark W. Heckman dated May 1, 2008) $78,000.00 2. Time Share (estimated value as of 4/10/2008 based on purchase price and comparable sales) $8,800.00 TOTAL (Also enter on line 1, Recapitulation) ~ $86,800.00 more space is needed, insert additional sheets of the same size) Mark Heckman Real Estate Appraisers ~ ~ ~ ~ 1309 Bridge Street, New Cumberland, PA 17070 APPRAISAL OF Single Family Residential Dwelling LOCATED AT: 1521 Main Street Mechanicsburg, PA 17055 FOR: Barbara Sumple-Sullivan, Esq. 549 Bridge Street New Cumberland, PA 17070 BORROWER: wA AS OF: May 1, 2008 BY: Mark W. Heckman, General Appraiser GAOOO666t. No. Phone: 717-7747202 Fa~c 717-7740383 Mark Heckman Real Estate Appraisers UNIFORM RESIDENTIAL APPRAISAL REPORT FIkNo. 1521 Main •ro s ~•.cr. ...... Pro AddrAes.1521 Mtaifi Street C' Medtanicsbu She Cumberland • lion Deed Book Volume: 00264 Pa e: 00728 Coun Tax Year 07/08 R.E. Taxes S 1484.00 S ' I Assessments S None ICnwn 'Assessors Parcel No. 1331-2136-012 Crxrerrt owns Jo Ann F. Dum Otto ant: Ownx Tenant X vacant Borrows WA WA into. x ~ LeesehoW 'ed T PUD Condomhium HUDNA o HOAS . ~ ~ ood a Pro'ed Name Lower Allen Towrtshi Ma Reference See Asses. Parcel # Census Trail 2002 rt • t b • r r o Sale Price S WA Date of Sale NIA and S amount of ben es/cona>ssions to be seler WA Cumberland PA 17070 N ew Lsnds/CGard Barbara Sum le-Sullivan Fs . Ad~ess 549 Grid a Str Address 1309 Brid a Street New Cumberland PA 17070 Mark W. Heckman General raiser dominant Singes faintly housing Present land use % Land use change P re Lpgbpn Urban X Suburban Rural occupancy PRICE AGE o~ ~~, 75% X~ Not Bkery ^ Lkely Bu91 up X Over 75X 2575% Unds 25% s tcon 5"'I 3% D In process X owner 100 Low New 2~ famly Grown, rate Rapid X Stebb saw X Stablo Dadirring Tenant 350 h 100+ MuAi~artiiy 2% To: Increasin l g ues property va DerrendfauDDly Shata9e X hbetaroe Oasskppy X Va®rd(D996) predomineM Comnsdal 5% 125-175 50+/- Vacant 15% • time Lender 3 mos. X 3.6 mos. over 6 mos. v.v. •. ss Note: Rase and the racial composMion of the neighborhood aro not appraisal factors. cated in Lower Allen Townshi . Insl>ffideM sales in dose roxim' to l i ' s o ed Neighborhood boundaries and characteristics: The sub the sub' ro uire the a Tsar to extend search ammeters. ment and amenities, employment stabll'dy, appeal to market, etc.): lo to em it i y p m y Factors that affect the marketability of the properties in the neighborhood (prox burban nei htxxt-ood has relative) ens accPSS to acre to ant and servikx3s and is can ' ' e with other nei hborhoods in the Th e su Most have similar amenities. Market activ' indicates avers a or better a lance in the market lace. No urtfavoreble neral area . e fedora were observed which would adverse) affect marketabil• Market conditions in the subjed neighborhood (including support for the above conclusions related to the trend of property values, demerWlwpply, and marketrng time erties for sale in the neighborhood, description of the prevalence of sales and financing concessions, etc.): o titi ve pr p - -such as data on compe See Attached Addendum Protect Information for PUDs (If applicable) - - Is the developerlbullds in control of the Home Owners' A ssociation (HOA)? YES NO Approximate total number of units in the subject project Approximate total numbs of u nits Ta sale in the subjed project Desalbe common elements and recreational fadllties: Level Dimensions See L al Descri 'on Topography T Tsai for the area sne area .48 Acre Coins Lot Yes X No Spedficzoning classification and description R-1 Sin le-famil Established Residential size Shape Rattan ular t Zoning wmp6ance X~ Lega1 ^ Legal ronmrdartirg (Qardfathered ~) 1~9~ No zoning s Drainage ors ode oa hest & best use as veil: X Presard use Oths use a lah Yrew Avers e rs e A rovements Type Public Private Im H O}f ve Larxlsrapag p e s Utllkles Publa Ottror X Driveway Surface Stone/Grass Ebetridty X Street Asphalt halt X As Apparerrt easements T iql utili easement p Grblgutts Gas Well Sidewak None FEMA Spedal Flood Hazard Area Yes X No Wets X Street Ights Standard X FEMA Zone C Map Date 09/30/1977 Sanitary sews None Alb FEMA No. 42101600046 . Storm sews X illegal or legal no slide areas ssessments l d nconforming zoning, use, etc.): See Attached , , a a Comments (apparent adverse easements, encroachments, spe Addendum GENERAL DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION BASEMENT INSULATION of Units 1 No Foundatbn Stone Slab NIA Area Sq.Ft. 465 Roof . No. of Stories 2 Exterior walls naesmsm~ese aw~a Oael Space 35% % FlnLshed Unfinished Warily Type (DetlAtt.) Detached Roof surface Arch. Shin le Basement 65% CeNing Stone Fan Design (Style) 2 Sto Gutters 6 Dwnspts. Aluminum DH Dlnsulat Sung PrxrV None Damprress Unknown wets Floor t•,onc/Dirt Nona ExisdnglProposed 6dstin 158 . Window Type 5tomrlScreens Some/Some Settlemerd Unknown outside Entry None x u+~ Age (Yrs.) 20 i - Manufactured House No Irdestetbn Unknown ve rs. lfed C ~ ROOMS F LNin Din' gtchen Den Fa Rm. Rec. Rm. Bedro oms # Baths Lau Oths Mee .FL Basement 747 Level 1 1 1 1 3 1 7~r • Level2 • Finished aroa above de contains: 6 Rooms' 3 Bedroom s ~ 1 Be s • 1 482 S u are Feet of Gross L'm Mee • INTERIOR MetrrfalslCondltlon HEATING KRCHEN EQUIP. ATTIC AMENRIE5 1 X CAR STORAGE: None XQ Fbors Hdwd/Fair Type Bseboard Refigeretcr None X Replace(s)p P ti Garage # of cars • Walls PlasterlFair Fuel EledflC RangeKlven Staffs a o Attached TrkrJFmsh Wood/Fair Cor,dltronAvera a Disposal Drop star Deck d hvrastrer Di SaAtle Porch Front X Detache Bent Fbcr Vin /Fair COOLING s Fence Built-In Bsth Wainscot Unknown Central None FanMood Floor Doors Wood/Fair OMs WA Microwave Heated Pool CsPcrt Drivewa CondltlonWA Washy x Finished Additional features (spedal energy elfident Items, etc.): See Attached Addendum Condition of the improvements, depredation (physical, functbnal, and external), repa'vs needed, quality of construction remodelingladditions, etc.: See ~~~ Addendum • Adverse environmental conditons (such as, but not limited to, hazardous wastes, toxic subs[ences, etc.) present in the improvements, on the seta, or in e l conditions were observed in the im rovements on the site or in the t i a ronmen immediate vicinity of the subject property: No adverse env tmmearete VIC:Inr m me auuaw ~~ r•.»ra.wm+mr sw ;.ea.rr.cF•~r,n say PAGE 1 OF 2 vAeea u++r rte .erw•, eroz+raro .w.ene.m• Mark Heckman Real Estate Appraisers r uuCA~aa oCQi11CAITIAI eDPRAIC01 QFP~QT vu_u.. 1ri9~aAain rsluation Ssction v.... v..... . ~~~.__. _ ... -- - -- ESTIMATED SITE VALl1E . . . ........................ = S ESTIMATEDYiEPRODUCTION COST-NEW OF IMPROVEMENTS: ' Dwelirq Sq. Ft @ S = S 0 S = 0 Ft 5 _ - - Comments on Cost Approach (such as, source of cost estimate, site value, square foot calculation end for HUD, VA end FmHA, the estimated remaining economic life of the property): In the view of the a e of these im rovemerlts the Cost q. ~ = roach cannot be considered an accurate indicator of S = Ft value. ~ ~ ~ = S 0 N ew Total Estimated Cost l i ....... al F ti ......... Ufa: 0 Remaining Ecar External Est ca Leas Phys on unc . . - S 0 Depredation f In d v l rovemerrts = 0 s . .................. g a ue o Depredate = S rovements I f Sh i " V l " ........ mp ue o e a As• a INDICATED VALUE BY COST APPROACH ........... • • • • • • • - • • • = S 0 fiEM SUBJECT COMPARABLE N0. 1 COMPARABLE N0.2 COMPARABLE N0.3 1521 Main Street Addreac Mechanicsbu 704 Grantham Road Grantham 21 W Siddonsburg Road Dillsbu 315 E Front Strut Lis . ~ act . ; ~ ;• ` 4.08 Miles 2.92 Miles 4.04 Miles Sales Prbe S WA S 101 000 S 75 200 S 105 200 RioelOcas LiW. Nee pats arMlor vMfsation Sources S 0.00 ~ Inspection AssesRec 8~ MLS S 67.65 ~ Assessment Records &MLS Assessment Records &MLS S 53.41 m " ' Assessment Records &MLS Assessment Records &MLS S 79.28 m Assessment Records 8 MLS Assessment Records &MLS VALLEAQlb'1MB1T5 DESCRIPTION DESCRIPTION ~ - s DESCRIPTION . - s DESCRIPTION * - s Sobs v Fktancirtg Catceasiors NiA Cash None Known Conventional None Known Conventional Seller Assist -3 156 Dtste of Sab/T'rne 1+NA 8/31 Y1007 4/30/2007 6!28/2007 Location LeeedrotliFee Sfle View SuburbaNAv Fee Sim le .48 Akxe Averse SuburbaNAv Fee Sim le .28 Acre +2 500 A e SuburbaNAv Fee Sim le .98 Acre -5 000 Averse SuburbaNAv Fee Sim le .22 Akxe +2 500 Avers e n and 2 /Averse 1.5 /Av 2 Sto /Averse ~ 1.5 St /A afCaslttction Fair Avers a -5 000 Fair Avers a -5 000 158 Years 88 Years 108 Years 60 Years Conditlon Poor to Fair Better than Av -10 000 Poor +5 000 Better than Av -10 000 Above Grade Tar ' aams ' ern. TaYI ' Btlmr ' BrM ~ TaW ' emro ' 6.ee ~ Tar ' cam. ' arse RoomCourrt 1 6~ 3~ 1.00 6~ 3~ 2.00' -2,500 6~ 3~ 1.00' 6~ 3~ 1.00' Gross ~ Area 1 482 .Ft. 1 493 .Ft. ~ 1 408 S .Ft. ~ 1 327 S .Ft. ~ +1 600 BaaettsrR3Fir'sfted RoomsBeknvGrede Partial Basement Unfinished Partial, Expwlkout -3,000 Unfinished Full Basement Unfinished Full Basement Unfinished - Functional Averse Averse Averse Avers e Ettidatt !bars Electric Bseboard T ical for e EBB No CAir T ipl for e Oil FA No CAir T ipl for e Oil FA CAir -3 000 T ice! for e None 1 Car Btt-In Gar ~ -3 000 2 Car Det. Gar 0 2 Car Det. Gar -6 000 . Porch, Patio, Deck, s ,etc Porch 1 Fire lace Covered Porch Wood Stove Covered Pordt 1 Fir lace Covered Porch None +2 000 Fence, Pod, etc. None None None None Other None None None None Net Ad'. tote + X - ' S 21 000 X + ' E 0 + X - ' S 21 056 Adlusled Saba Price of t3oes 25.:7% `Alet: -24.8% E 80 000 ( 13.3% _ Net lJa)% S 75 200 Crr>as: 31.69(0 ' Net -20.0% ` S 84 144 Comments on Sales Comparison (inducting the subject property's compatibility to the neighborhood, etc. ): After a thorou h search of all available market data the three sales used are considered to be the best indicators of value. All three sales are considered to be reliable indicators of value and are wei hted similar) in the final reconcliation. In order to find corn rable sales tt was necessa to use less recent sales. ro riate ad•ustments have been made for ali d'rfferences. Insl>Ffident sales in dose robm• to the su 'ect ro r uire the a raiser to extend search rameters. Com arable No. 2 was a bank r ion in r condition therefore no value was iven for the iwo-car detached era e. ITEM SUBJECT COMPARABLE N0.1 COMPARABLE N0.2 COMPARABLE N0.3 Date, Price and Data None within the None within the prior year of 1/12/2007 None within the prior year of Sasrcetrpriorsabs past 3 years. above sale date. $2,383/Bank Repossession above sale date: wYHn d Cou Records Cou Records Cou Records Coun Records Analysis of arty pmeM agreement of seb, option. or listing d the subject property and analysis of arty prior sales of subject and conparebles wttim ore year d the date aF epprrssal: See Attached Addendum INDICATED VALUE BY SALES COMPARISON APPROACH . . . . ................................................. S 78 ODO INDICATED VALUE BY MCOME APPROACH Estimated Market Rent S N/A Mb. x Grass Rerd N/A = S N/A Thb appraisal b made X 'as is' abject to the repays, aMeratiors, s ar mnditiors fated t>abw sutyed to mrtgblion Gar Plats and spedkxitiors. CoMitiorsdApprabel: See Attached Addendum Final Recondbtion: See Attached Addendum e The purpose of this epprebal b to estimate the market value of the real property that is Me subject of thb report, based on the above conditions and the mrtl6®tion, mn6gerd and Nrrdtlng corxtttiors, and rrtarket value defintdon that are ste<ed'n the attadted Freddie Mac Farm 439lFamb Mae Fenn 11)048 (Re+ised } I (WE) ESTIMATE THE MARI~T VALUE, AS DEFINED, OF THE REAL PROPERTYTHAT IS THE SUBJECT OFTHIS REPORT. AS OF Ma 01 2008 ~ (NMICH IS THE DATE OF MSPECTION AND THE EFFECTNE DATE OF THIS REPORT) TO BE S 78 000 APPRAIS R: ~ Q,, SUPERViS ~RAIS R(OSI ~):` ^DidNot -' slue rlfr~Fro(-~ S' nature !Ly Name Raette Souders Asst. to Certified Appraiser Name M W. Hedkman, General Appraiser Inspect Property Dela Repot Signed 05/27!2008 Date Re S ned 05/27/2008 State Certification # Assistant to the certified appraiser. State PA State Certifirxtfion # GAOOO666L State PA Or State License # State Or State Ucertse # State i.axe trc ~ m taT PAGE Z OF Z ""' ~"°"' ""^ °"' rioeuue ~r.r ~a.eMw. rantuarn...aaee~ Mark Heckman Real Estate Appraisers Fie No.: 1521tdafn Bortower. WA p less: 152 Main Street Case No.: . tuledianicsbu State: PA Zi :17055 Lender. Barbara Sumple-Sullivan, Esq. Neighborhood Market Conditforts Market wnditions in the subject's neighborhood has been favorable in recent years due to consistently low mortgage interest rates. Housing values have appreciated at a moderate rate as a resuR The market appears to be stabilizing and while housing prices on a national basis are said to be declining, the Central PA market, in general, has not seen this type of depreciation. However, the marital in this area has slowed and residential dwellings are being marketed for longer periods; typically 120 days or less. Appraisers have also encountered more seller concessionslassistance than in recent years. If interest rates stay at a moderate level and the local economy remains the same, home prices should continue to remain stable. Site Comments Site has average site improvements, averege landscaping, and typical maintenance. The site improvements and services to the site are adequate and acceptable in this market There are no apparent adverse easements, encroachments, or other adverse conditions on this site. Private wells are common in this area. Additional Features The subject has a new roof, new replacement windows on the front of the house; asbestos siding was removed from the front of the subject and pressed board is in place for vinyl siding; new front porch and first floor bow window. Condition of Improvements This franca house Is of average quality, and has had poor to fair maintenance. Due to the significant amount of personal property, the appraiser was unable to visually inspect the interior of the subject Therefo d th~amoo~t of deferred maintenance and fhe habitability of the subject are uncertain. The personal property removed from the interior prior to the subject being listed for sale. H the subject were to transfer, there would likely be a professional building inspection and deficiencies would be identified. The detached shad is in fair condition and adds no value to the subject Analysis of Current Agreement Acxording to the records provided by the county assessment office, the subject property NOT transferred in the past three years. According to the information in the regional mutfi-list system, the subject properly has not been listed for sale wdhin the past three years. Conditions of Appraisal This appraisal report has been prepared with the property in "as is' condition. The appraiser considered only those items that were permanently attached to the properly as really. Any items not so effaced, such as refrigeretors, washers, dryers, above ground swimming pools, etc., ware not incuded in the estimate of the market value. No personal property has been included in this valuation. Final Rewnciliation THE APPRAISER HEREBY CERTIFIES THAT THIS REPORT HAS BEEN PREPARED IN COMPLIANCE W ffHIN THE UNIFORM STANDARDS OF PROFESSIONAL APPRASAL PRACTICE(USPAP), THAT THE APPRAISER IS A DISINTERESTED PARTY AND THAT THE VALUE STATED IN THIS REPORT IS ACCURATE TO BEST OF THE APPRAISER'S ABILITY, AND THIS VALUE HAS NOT BEEN PREDETERMINED. The Sales Comparison Analysis reflects recent activity in the market place and is given the most weight The Income Approach is inappropriate because few single family houses are rented in this market In the view of the age of these improvements, the Cost Approach cannot be considered an accurate indicator of value. This appraisal is based on readily observable conditions and is not to be considered as a thorough home inspection to analyze or warrant the subject property and/or its mechanical systems. Refer to the attached Commonwealth of Pennsylvania State Board of Certified Real Estate Appraisers "Approved Checklist For Assistants" for a detailed description of assistance provided to the state certified appraiser. This checklist is an integral part of this report, and its inclusion in this report is mandated by regulation of the State Board of Certified Real Estate Appraisers. Assistance as described on checklist was provided by Raetta Souders. Addentlum Page 1 of 1 Borrower NIA FteNo. 1521 Main Pro Addreat 1521 Main Street Code 17055 ' Mechanksbu ~ Coun Cumberland State PA gender Barbara Sum le-Sullivan r..r•r~n w rnu Mr'rRNL~/~L nnrr nor v.~ . •..~...... ~.... _ . _ -- This Appraisal Report is ong of the following types: ^ Self Contained (A written report prepared undar Standards Rule 2-2(a), pursuant to the Scope of Work, as disclosed elsewhere in this report.) Q Summary (A written report prepared under Standards Rule 2-2(b), Pursuant to the Scope of Work, as d'~stiosed elsewhere in this report.) Q Restricted Use (A written report prepared under Standards Rule 2-2(c), pursuant to the Soope of Work, as disclosed elsewhere in this report, restricted to the stated intended use by the spedfied client a intended user.) Comments on Standards Rule 2-3 I certiiy that. ib the best of my knowledge and belief: • The statements of fad contained in this report are true and correct. • The reported analyses, opinions, and conclusions are Bmi[ed only by the reported assumptans and 6mifing conditions, and are my personal, impartial, and unbiased processional analyses, opiniars and conclusions • I have no (a the speafied) present a Prospective interact in the property that is the subject of this report, and no (or the specified) personal interest with respect to the parties involved. • I have no bias with rasped to the propely that is the subject of this report a the parties involved with this assignment. • My engagement in this assignment was not contingent upon devebping a reporting predetermined resuRs. • My compensation for completing this assignment's not contingent upon the devebpment a reporting of a predetermined value a d'rectbn in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, a the ocr;tarence of a subsequent event directly related to the intended use of this appraisal. • My analyses, opinions and rbrtduswns were developed and this report has been prepared, in conformity with the Unifam Standards of Professional Appraisal Practice. • I have (or have not) made a personal inspection of the property that is the subject of this report • No one provided signficant real property appraisal assistance to the person signing this certification. (If there are exceptions, the name of each individual provid'mg significant real property appraisal assstance is stated elsewhere in this report) Comments on Appraisal and Report identfication Note any USPAP related issues requiring disclosure and arty State mandated requirements: this APPRAISER: Signahre: Name: Beetle Souders Asst to Certified Appraiser Date Sued: 05!2712008 State Certification t Assistant to the certified appraiser. a state Cleanse ~: State: PA F~ation Date of Certification a License: SUPERVISOR PPRAISER long if requk Sgnahre: Name: MaRc W Heckman General Appraiser Date Signed: 05/27/2008 State Cerdfiration ~: GAp00668L a State Ucerise #: State: Pennsylvania F~ation Date of Certification a lionise: 08/30/2009 Supervisory Appraiser inspection of Subject Property: eel X^ I terror end 6daior Ftcetihe Date of Appraisal: May 01 2008 ^ Dd Not ^ F~dena~ariy from str n uevaao®oe nme,rv ~u s.... so~mr.w.o~mm~ FLOORPLAN File No.: 1521 Main Borrower: wA Case No.: pro Tess: l 1 Main Street State' PA Zip: 17055 Cihr Mechanicsburg Lender: Barbara Sum le-Sullivan ketch by Apex IV ~ndows^' rn ore.. ororoe ss.a o. r~aeir. °w"~"""' AREA CALCULATIONS SUMMARY Cods Dsaerfptfon tae Totals GLAl First Floor 735.00 F1ret Floor 12.00 747.00 6LA2 Second Floor 735.00 735.00 TOTAL LIVABLE (rounded) 1482 LIVING AREA BREAKDOWN Brsskdosm Subtotals First Floor 21.0 z 35.0 735.00 2.0 z 3.0 6.00 0.5 x 3.0 x 2.0 3.00 0.5 x 3.0 x 2.0 3.00 Second Floor 21.0 x 35.0 735.00 5 Areas Total (rounded) 1482 Phone: 717-774-7202 Fax T17-774-0383 EMAIL heckmanappreisers~comcast.net DIMENSION LIST ADDENDUM GROSS GROSS BUILDING AREA (GBA) 1.482 LIVING AREA (GLA) 1.482 Area(a~ Area % Of GBA ~8 1,482 100.00 Cavell 747 50.40 Leval p 735 49.60 Level3 af1Br 0 o 0.00 o.oo ~,,,,,~ o o.oo o o.oo Area Meastuements Area TYPE Measurements Fedor Total L.evsll Lsvsl2 l.evel3 Other Bsmt. Garage 35.00 x 21.00 x 1.00 = 735.00 X ^ 35.00 x _2.1 QQ x ~.QQ = 735.00 X ^ 3.00 x 2.00 x 1.00 = 6.00 X 2.00 x ~.~ x ~ `.~ = 3.00 X 2.00 x ~ QQ x Q`,~ = 3.00 x x _ X x x _ x x _ x x _ x x = U x x _ x x _ x x _ x z _ x x _ ^ x x _ x x _ ^ ~ ^ ^ _ ^ x x 8 x x = z x _ x x _ x x _ x _ D _ x x x _ ^ O _ ^ x x x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ _ ^ x x x x _ x x _ x x _ ^ _ ^ x x x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ x x _ SUBJECT PROPERTY PHOTO ADDENDUM FRONT VIEW OF SUBJECT PROPERTY Appraised Date: May 1, 2008 Appreised Value: S 78,000 REAR VIEW OF SUBJECT PROPERTY STREET SCENE Detached Shed Fair condition adding no value. Asbestos siding has not been removed from the sides of the subject. Detached shed in fair condition no value added. COMPARABLE PROPERTY PHOTO ADDENDUM COMPARABLE SALE #1 704 Grantham Road Grantham Sale Date: 8/31!2007 Sale Price: $ 101,000 COMPARABLE SALE #2 21 W Siddonsburg Road Dillsburg Sale Date: 4/30/2007 S816 Price: $ 75,200 COMPARABLE SALE #3 315 E Front Street Lewisberry Sale Date: 6/28/2007 Sale Price: $ 105,200 PI OT MOP BpltowerMUA Address:1521 Main Street C'" Mechanicsburg Flle No.: 1521 Main Case No.: State: PA ZID: 17055 Lender. Barbara Sum le-Sullivan Es . J m D ~ ' N 0 ~• ~ Sub'ect ~ -~ i~- Z~ D A n ~ J ~ J J Ln C -t N o Phone: 717-7747202 Fax 717-7740383 EMAIL heckmanappraisers~comcast.net LOCATION MAP Borrowen~,NlA File No.: 1521 Main r.,..e u.. y ! ._< Ii' h _ r~ ~~ ,~ ~ ~ __ f. •,, Subject -~ r a ~ ~ - _ ,,. Comp 1 - , - ~ - _ _ _ - ~... J ~`~yb _ . 1 /~ ._ ~ 3C] . ~ _„ `~ ,. m,.iu+B ~ ,s ~¢ Ph~na 777-774-7202 Fax 717-7740363 Barow~' wA File No.: 1521 Main Case No.: Pro Address:1521 Main Street State: PA Zlp: 17055 City Mechanicsburg Lender. Barbara Sum Io-Sullivan ATTACHMENTS BOARD APPROVED CHECKLIST FOR ASSISTANTS THE BOARD HAS APPROVED THIS CHECKLIST FOR USE BY ASStSTANTSITRAINEE$ WHEN ASSISTING IN THE PERFORMANCE OF APPRAISALS FOR QUALIFYINti EXPERIE NCE A COPY OF THE CHECKLIST 18 TO BE INCLUDED IN ALL APPRAISAL REPORTS COMPLETED BY ASSISTANTSITRAINEES. THE CHECKLIST 8HOULD BE RETAINED IN YOUR WORK FILE AND INCLUDE D WITH THE APPRAfSAL REPORTS THAT ARE REQUESTED B Y THE B OARD Of'F1CE• 'ryE GNEC u! r T I g TO gLe I~¢rn . , n f dy rq pDmDp ~ ~E R ry nniear~rrr n uw ~ f?fOlbn INHICl~ ~AN~AT~ TNIT 77th 0. J SWERVlSINQ CE~T~eA eoenerren r. -- -•-- PSTA7'J< ef¢ ~___ER' AND TN T THE ASSISTANT MII¢r ¢r r °h ~' "CERTIFIED /~ ~ t:sra7E AP err:cie . YOU MAY COPY THE CHECKLIST AS NEEDED. T TIME C vrrsv~ ~~ SUBJECT PROPERTY: t., C ,~ ' L . ~ .c. '~c c ~i. 7 DATE OF lNSPECTK)N: / ,., ;~c.~' Ths assistant to the state certified real estate appraiser for this report has assisted in tha following: ..~, 8st up the flh wfth all fomra and general information for this report. ~ Assisted in gathering and entering date as fopoura: Tax Assessment information and map, Flood Hazard Inf°miatlon and map, 7.onine information a d n map, location map and similar informaNe~. Acco i mpan ,G, ed and assfsted fn ttre inspection of the subject properly. Assisbd in analyzing the Highest and Beat use of the subject property. l~ dsta~ind~ Bring information for comparable lend sales data, verlTred and analyzed the comparable Assisted in gathering infonnatfon for the Cost Approach data, analyzed and selected the cost amounts . .~ Assisted in gathering Information for the Income Approach data, verified and anayz~l the rental data. ~G A>ukted In gathering Irrfomsation for comparable market sales date, verified and analyzed the comparable market sales data. ..~ Assisted in verifying data at the Tax Assessment Office, Recorder of Deeds OEflce, County STETS monthly report, County microfiche service and/or loca- MLS Service. Assisted in the exterbr inspection of the sales, rerrtafs, land and other eomperebiea. .,~ Assisted in sketch drawing. Assisted in entering sub)sct and comparable data on the form and the data in the corn marrt areas, Assisted In final reconclihrtion and final estimate of value of the sutry'sct Properly, •~ Assisted In the flrtal review of thh: report. k Assisted In puWng together and packaging the final report SIGNATURE OF ASSISTANTJ'rRAiNEE: _~ J~s~~~7"* -~1v1 si' The supsrvisfng state certified r~I estate appraiser did review all work done by the assistarrYltralnes and verifies the assistant/trainae did paint with the items checked above. i SIONATUR~F S~~N SATE CERTIFIED REAL ESTATE APPRAISER: Phone:717-7747202 t87C /7/-//4-UStf3 tNViIL necacmanbpprrnsnr~~w~~~c.aa..~~v~ ~11/24/?008 ^ ^ ~ ^ ^ 50231 ~ 01/03 Facsimile Cover Sheet To: Barbara S. Sullivan From: Tim Hill Com an Com an Davidson Countv TN Re ister Department: Department: Fax: 917177747059 Fax: Phone: Phone: Pa es includin this cover a e: 3 Sent: 11/24/2008 1:09 PM Memo: Deed for Mr. Fertenbaugh 11:40 PM 6489 11/24/2008 1:12:21 PM 50231 ® 02/03 NASHVILlEU0L P1uIsE~, eaLDiNG t. Conired No• lfaobna4lc - Davidson County DEEDtJARR THENAMEa AODP,E580F ATAX PAYER IS Sales Pdce ~ Reevd: 11/!Z/d4 12:3 2pQs THE GRAe(TEE AT THE GRANTEE'SAGDFi<SS Ti,iayne7rumerrpaps*e er. ~ FeMMas :13.00 Texea : 3~r~nII2.66 IMIL TAx eltt5 TO. THE MUSIC GTY US.A, POA. INC. FAIRFI_ED RE90RTSNC• Ill~lwll~l`~II'IIII~IIIII~II~IIIq IIII 101 N9191C QN GIICLE SIMTEPDO, NASHNLLE,TN 3721• r.® aouu, -.rk 6rd~ If3t0 I I^I I' THEILIME6 ADDRESSOF THE MOFrrG11GEE IS Orl~nao, 0. 93'79 FAIRRl1.D RE.40rRS,INC. ~`~ ~ 20041102-0131640 "" `°""'"` """ "~°°~ °"'"°' -` '~"'' A1AP N0.~d6 PARCEL nip. d6 )CORPORATION DEED THIS DEED, Mede this 28th say of SweteT~4L_ A.D. ~4_. by and between Fairfield Resorts, Inc., a Delaware corporation, as tlenetidel owner, and lawyers Tithe Insurenq Corporaton, a Virginia corporation, as nominee br Fairfield Resorts. Inc., under the tsmu M a Title Cbarinp Apre~ment da~ January 27, 1983, as amended, '+Granmra,' .,., a n,......w 7n eon C Mira Husband and Wile ~ `Grantees," whose address Is 2415 IAOGAVOCK PIKE NASHVILLE TN 37214 WITNESSETIf: That he Grantors, !n conslderetbn of Ten Dofiers and other pond and valuable conslderetron m them paid by the Grantee(s), the receipt of which is hereby adtnowbdpsd, have barpekted and sold. and by these presents do grant, bargain, sap and convey, subject b the previous arsipnmeM d use, possessory and oocupencY ttphts m Fairahare Vacation Owners Assxietlon, Trustee, recorded in Book 9876, Pepe 307 at seq., Pursuant to Ute terms and cordltlone of trte Felrshare Vaeatan Plan Use Marrapement Trust AprMment ("Trust Apreement~ recorded in Book 9x89, Pepe 961, as racy bs amended from time b time, end the reatrkions, sasenwnts, and other condltlons contained In the pedaretlon ct Cwenents, Conditbrts end Restrbtlons for Fairfield NeshvilN at lAucic City l1SA, the Amended end Restated Dedaratlon of Horisontal PmpeRy RepYne Cbverlants, COfWYdOn9 and Resmtxlone for Fairfield fJaslwille et Music City USA, aPpNCable Ihereq ell as recorded In the puDNc records M Oevldson County, Tennessee, 1at10 the aforesaid GrorNee(s), (heir heirs exeartors, admlNstrabrs, sttcrressors and astipna the (dlor+rirq dest»tbed progeny: A 105.000 /135.?27,000 undMded fee simpN ebedu[e interest in the Units in Buildrp 11, es bnsnta n common with the other undMded Merest olMnen of said Urdta, mpetlrer with an appurtenant undivided interest In the corrorwn areas es may be described and depicted on a plat of Phase I, BuNdirep 11; of FeiAiskl Nashville at Music City USA, as may be lurthet ditauihed in the aloresak! DecNretlon of Covenants. Condaions and RestricUwrs br Fatraeld NflshviAe el Musk Cly USA, apptcabN hereto, es recorded m Book 9546, Papa 213 st ceq., the Third Suppbmentel Dederetion m Amerrded and Restated Dedaretlon d Fbdmnlel Progeny Rapine Cwenentt, Conditions Reatdetiorls for Feirfidd Nashville at Musk: City USA, epplioabb tltereb, s recortkd M Book 50456, Pape 597 et seq., and nny amentlmeras and supplements theeem, efi in the Registers OSfoa of Davtlsan County, Tennessee, wNCh undivided interest has been assigned 1 G5.000 Fairshflre PWS Points dymbosc d said Properly Interest. LESS AND IXCEPT Ofi, Gas, and otller minerals. Said trod or parcel of land being a pen of the same property conveyed to Fairfield Resorts. Inc., herein by virWe of a deed doled 18tr1 day of November, 1994, hom Jm B. Smith and Dpothy P. Smith of record M Deed Book 8524, Pepe 316.320, et seq., Ftepisders OIfIx, Davidson Count', Tennessee. The property desaibed above Is also ANNUAL ownership interest as descdbed in trre DecNrotron and such ownership interest has been allocated 10.5.000 Points (fie defined l1 the Dedarotion) br use by the Grantee(s) In Each year. This conveyance is subject to end by accepting thb Deed trio Grantee(s) do(es) hereby spree b assume the tollowlnp: t. Taxes for trre current year and wbsequent years payable as pen of the maintenance lee or Fairshera Plus Assessment, eb eppficable, 2 Conditlons, rcstddtlons, smitations, reservatlorts, eeaemertts, end other masers of record inducting f~daretlon of Covenerttt and Reatrfctians; 3. $upplementnl pederation of Covenants and Restrictions and any supobmems and amendments herearter filed; a. Fairshare Vacation Ownership Aasipnment Agreement and Use Restrictlort5 and Fairshare Vanafion Plen Use tulanapemenl Trust Agreement end any amendments trlereb; S. Any conveyance of an undivided irttsrsst made Prior m tree recordatlon of a final es-butlt plat shell be deemed b have been subject to such recorded plat and all plat ropes end reatnctlogs thereon. TO HAVE AND TO HOLD unb Grantee(s) and Grtntx'S ttek5, executors, admiNSlrebrs, weosssors and aESipna braver, subject, however, b the restridbns, easemsnte end other oondidor» hereinabove contained. Fairfield Resorts, Inc„ does hereby fully warrant the title of ell of the prerttises hereby conveyed and wN defend tr1e same apairtst the Ia7MfW claims of aA persons whomsoever, And lawyers Tlee Irewrarrce Corporation doe hsreb-t trensfer, convey and qultctaim Yob the saki Gremee(s) and his, her, their, hs heirs successors and esslpru mrever, ell of ib right, tftk, hk:rest, equfly end estate n and b said lards TM plural number as used herein shah equally inckrde Ure s-tptdar end vks verse. fhe masculine or feminlrre pander u used herein shell equably Irrelude the neuter. IN WITNESS WHEREOF, Fairfield Resona. Inc., has this ~9 _ day of _ saotember s~ caused bs name m be sipped hereto by its dully authorized officer. In ®recutirtp this Deed, b1e beneflcYl owner hereby authorzes end requests Lawyers TRIe Irrsurance Carporetfon by It Attorney In Fect m execute thw Deed for the purpose of eortveylnp legal title b tr1e above- descdbed property. 6489 11/24/2008 1:13:40 PM 50231 ® 03/03 ieetre„,t~Srr'"~,. FAlitF1II.DRPS ,INC. AS BII~lEF7C1AL WNER a ~ ~a r1 ~j4~. ~q~`~VV0~.~~fF ~Z° By: sLL ~3:1! ~~ ~- LAWYER' n-rn,rFdl ~t cB.4C;UKP ~ a By: Attorney is Pact STA'IL OP FLORIDA ) ) SS. COUNTY OP ORANGE ) Before me, the undersigned anthority, a Notary Publ'a in end for said State and Couny, pcrscma0y appeared Yice Fresidern-Title Services ,with whom I em personallyacgcainted, and who, trpOn oath, aClmwVlnigedhimsdito be an offices of FairfieM Reports, }nc.. the within to®rd haigainor, a caipotetian, atui Ural he or she as sum officer. being authorized tv do. executed the foregoing instrument for tan ptuposes therein onMainedby atgrungdn name of the corporation by himselfor herselfas such officer. WI1Nk53 my ]wed and seal of offitx vn this 28th day of 5ertemba ~_ My Ccrmmicsion Expires: Od~UB,~Dfl ~.~ I OD d ~a :AN10.LF BARCA Notary Public ~~` Commissio.~f CD0308796 .~,~ ;y E~u~ Aoril 8, 2008 Barka moor f kwua. ekkrY ~~. Ire. STATE OF FLORIDA ) SS. COUNTY OF ORANGE ) Bcfon: mc, the Imdasigncd authority, a Notary Public is Ind fbr said Stale aad County, personally appeared Yrce Preaideat-Title Services ,with whom I am personally acqusiobd, and wlro, upon oath, aclaoaledgcd bimselfto be Attomcy in Pact for Lawyers Title Iastnance Corporation, a Yirgmia corporation, dniy appointed by instrtcm~t of escord in Misce]laneoucBvok 9863, Page 122-125. Register's Olfice, Davidson County. Tennessee. and that he as such Attorrey in Fact. bei~ authorized tv do, rrcecvted the foregoing instrument far the purposes therein contained by signing the name of the co¢poradan by lrimselfand such officer. WI'iN1iSS my hand and seal of office on this 28th day of ~• My CommissionEzpires: Q U4,96i96 t~.~\~ DANIELLE IiARCA ~ NUTARY PUDLIC Corrrisaor ~ DDC3,16786 STATE OF FLORIDA) vo o,~: Erpres Apd E, 2008 $$. amaec uraugn hbn~]u NuW~' ~ , I^C CUUN'1'Y OF ORANGE ) I, nr ue, hereby swear or affirm that the actual considaatien for this Cansfer nr valtn n f the • ttansfeaed, whichever is greater is S 6.800.00 Amutml'1'azYaidS 32.SG Affiant Subscribed and sworn to before me this S b 2004 ~` "~+r 1.4NIELLc 9AACA ' My CommisdvnExpin.•s: p~`~" Cwnms;on i DDD30876E 04,'08/08 ~~\''- ExpnesAprl8.2008 NOTARY PCJBLIC e4nfna nmupn :brine NOiGw bin., Fie STATE OF TENNESSEE, DAVmSUN 1 The foregoing insCVmem and mtifirrte were nnted'm Nnte Aonk .Page . ri O'clock _ M, _ .and racurded in heed liovk Page ,Slate Tax Paid S ,Fee 5 ,Recording Pee S .Total S WitncssMy Hand. ReceiptNo. Registu germ NA9ACI( Lar c5489 Buy Wyndham Nashville Timeshare -Nashville, Tennessee - 2 Bedrooms, 2 Bathrooms, ... Page 1 of 1 Wyndham Nashville Nashville, Tennessee Ad #038988 Owner L. Stanfield ( View Area Video } On your Nashville vacation revisit the excitement of turn-of-the-century travel at Union Station, A Wyndham Historic Hotel. This stunningly restored 100 year-old railway station is a pertect setting for your next vacation. BuyATimeshare.com knows how sought after this vacation destination is. With various packages available there is literally something for everyone. Among downtown Nashville hotels, Union Station is a shiny gateway to the past, blending modern conveniences with historic elegance in the heart of Music City. Marvel at the Romanesque architecture with an original 65-foot barrel-vaulted Tiffany-style stained glass ceiling with gold leaf mirrors and a rare bas- relief sculptures. Ideally located, this resort places you near famous cultural icons, fine restaurants, live entertainment and recreation. Owners and guests enjoy access to Music Row, Opryland, and the Ryman ~ Ni Auditorium, the Grand Ole Opry, and the famed Nashville Convention Center and the beautiful Vanderbilt University. There is well ove feet of flexible meeting space, exquisite culinary selections and the latest in technolol a pertect for hosting your vacation ahigh-end conference, or a wedding, with ample r. of your families. Asking Price: $9,000.00 Negotiable Rental Price: $800.00 Negotiable L.I elf ~:' ~ ~~. .: w:~.;::~s:.~ s Live Chat by Live Person Unit Information P ~p m~°~I S/~`~ ~~,~ ~ Bedrooms: 2 Bath rooms: 2 Occupancy: 4-6 Unit: Float Unit Type: Points Timeshare Ownership Information Week: Float Season: Type of Ownership: Deed Maintenance Fees and Taxes: $55: Points: 105000 Usage: Annual http://www.buyatimeshare. com/Wyndham-Nashville/Nashville-TN/Ads/3 8988.htm 12/29/08 Buy Wyndham Nashville Timeshare -Nashville, Tennessee -Any Bedrooms, Any Bathro... Page 1 of 2 Wyndham Nashville Nashville, Tennessee Ad #NH023355 Owner L. Duren ( View Area Video ) On your Nashville vacation revisit the excitement of turn-of-the-century travel at Union Station, A Wyndham Historic Hotel. This stunningly restored 100 year-old railway station is a perfect setting for your next vacation. BuyATimeshare.com knows how sought after this vacation destination is. With various packages available there is literally something for everyone. Among downtown Nashville hotels, Union Station is a shiny gateway to the past, blending modem conveniences with historic elegance in the heart of Music City. Marvel at the Romanesque architecture with an original 65-foot barrel-vaulted Tiffany-style stained glass ceiling with gold leaf mirrors and a rare bas- relief sculptures. Ideally located, this resort places you near famous cultural icons, fine restaurants, live entertainment and recreation. Owners and guests enjoy access to Music Row, Opryland, and the Ryman I Ni Auditorium, the Grand Ole Opry, and the famed Nashville Convention Center and the beautiful Vanderbilt University. There is well ove feet of flexible meeting space, exquisite culinary selections and the latest in technolol a pertect for hosting your vacation a high~nd conference, or a wedding, with ample r. of your families. Asking Price: $8,295.00 Timeshare Negotiable ....................... ___ L.I ~t~ ~-I ~t ~ >: Live Chat by Live Person 5~~ ~P ~ Unit Information Bedrooms: Any Bathrooms: Any Occupancy: Any Unit: Floating Unit Type: Any Comments: Price Just Reduced! MOTIVATED OWNER FORCED TO SELL DUE TO II ALL OFFERS CONSIDERED! Buyer will consider all offers! BUYER FINANCING AVAILABLE Don't miss out! Ownership Information Week: Float Season: Type of Ownership: Deed Maintenance Fees and Taxes: $50( Points: 105000 Usage: Annual http://www.buyatimeshare. com/Wyndham-Nashville/Nashville-TN/Ads/233 S S .htm 12/29/08 Buy Wyndham Nashville Timeshare -Nashville, Tennessee -Any Bedrooms, Any Bathro... Page 2 of 2 MAKE YOUR OFFER NOW!!! Check out our other property See ad # 23357, buy both for $11,000 MAKE YOU'RE OFFER NOW 105,000 points received every other year. http://www.buyatimeshare.com/Wyndham-Nashville/Nashville-TN/Ads/23355.htm 12/29/08 REV-1508 EX • (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF JoAnn F. Dum FILE NUMBER 21-08-0399 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Miscellaneous Personal Property (Per Appraisal of Robert A. Ensminger as of 6/28/2008) $4,800.00 2. 2004 Honda Accord (Per Appraisal of Robert A. Ensminger as of 6/28/2008) $15,500.00 3. 1993 Dodge Dynasty (Per Kelly Blue Book 11/25/2008) $730.00 4. 1995 Dodge dynasty -Salvage $0.00 5 1999 Pequea Dodge Truck -Salvage $0.00 6 1989 Dodge Sedan -Salvage $0.00 7 1983 Mazda Pickup -Salvage $0.00 8 NCFCU, Checking Account, Acct. No. 081624 (as of 4/9!2008) $23,618.71 9 PNC Bank, Checking Account, Acct. No. 5140019865 (as of 4/3/2008) $3,293.40 TOTAL (Also enter on line 5, Recapitulation) ~ $47,942.11 (If more space is needed, insert additional sheets of the same size) ROBERT ENSMINGER APPRAISERS 3557 Elmerton Avenue Harrisburg, PA 17109-1132 717-652-4111 Voice 717-835-0638 Fax 717-877-7350 Cell threecomns(a~comcast.n~ or Robert(a~Ensznu~g ~vwlv.Ensminaers.net REAL ESTATE and PERSONAL PROPERTY July 9, 2008 Creedon Fertenbaugh 615 S. York St. Mechanicsburg, PA 17055 RE: Estate of Jo Ann Dum Dear Mr. Fertenbaugh: In accordance with your request, I have appraised the listed personal property of J~ Ann Dum, Deceased. The property is located at 1521 Main St, Mechanicsburg, Pf 17055. Some items were also located at Space Mart Self Storage, 4751 Westport Dr., Mechanicsburg, PA 17055. I have made a physical inspection of the items listed in the attached report on June 28, 2008. It should be noted that many items were packed in boxes and in very cramped quarters. The value of many items wa: based on representative samples of readily visible items. I believe it to reflect a true measure of its estimated value as of June 28, 2008. The intended users of this report are the executors of the estate, estate attorneys and the PA Department of Revenue. The intended use of this report is for estate purposes. Estimated value is defined as the appraiser's professional opinion of the estimated gross amount, expressed in terms of cash, which the listed assets would typically realize if exposed for public sale at a properly advertised and professionally managed orderly liquidation at a listed or negotiated price usually within a short period of time of the effective date of this report. Further consideration is given to the ability of the assets to draw sufficient prospective buyers to insure competitive offers are considered. All items are valued on a per item basis, in "as is" condition. Any deletions or additions to the total package could change the psychological andlor monetary appeal necessary to gain the price indicated. Taking into account all of the factors set forth in the pages that follow, it is the opinion of the undersigned that the estimated value of the listed personal property Twenty Thousand Three Hundred Dollars ($20,300.00.) Employment in and compensation for making this appraisal are in no manner contingent upon the value reported and I certify that I have no financial interest in the property appraised, present or contemplated. Very truly yours, r~~i~G~~ A. Ensminger, GPPA -~ Scope of Work The following comments expand the Scope of Work to include any additional research or analysis necessary, based on the complexity of this spec appraisal assignment. The scope of work explanations discussed here and within the body of the report further define, clarify and document what the appraiser did (or did not do] in order to develop the appraisal and report the value opinion, based on the complexity of this appraisal assignment and/or as a result of a supplementary Agreement or Engagement Letter ` as accepted by the appraiser, Robert A. Ensminger and his client. * If no written specific and or supplemental Scope of Work was agreed upon with the client (prior to accepting the assignment, by forma! enga_gement letter and included in this report) the Scope of Work outlined here and within the report, is considered to be representative of what typical users of appraisal services would require and in general, what appraisers would provide as reasonable, acceptable and sufficient for the stated intended users needs. VISUAL INSPECTION: It should be noted that the Appraiser conducted a visual inspection of only the readily accessible areas of the assets, viewing only those components of the assets which were clearly visible. Please note that many of the items appraised were not clearly visible. Many of the estimates as to content and value are based on the appraiser's experience in estimating contents and value of such items in similar situations. No tests we made of any mechanical, electrical or electronic systems as such tests are not within the Scope of Work. Comments on the condition of the asset are based on a casual observation only and which may have been limited by the placement of assets so as to preclude observation of the items blocked by same. Although the report may cite a general rating of the adequacy and or condition (based on observation only) it should be Geariy understood that these statements are a general guide for comparison purposes (as part of the valuation process) and are not a detailed report on the physical and or operational condition of these items. The appraiser is not an expert in these matters and any opinion stated is advisory based only upon observation. While others may choose to rely on the report, they should not rely on it to disclose condition and stated defects. Such knowledge goes beyond the scope of this appraisal and as such, comments on observed conditions given in this report should not be taken as a guarantee that a problem does not exist. REPAIRS/DETERIORATION: An effort was made to report those repair items that, in the appraiser's opinion, will affect safety, adequacy, and marketability of the property. The Market Data or Sales Comparison Approach to value compares recent sales of similar assets to the subject assets being appraised. Adjustments may be made to the comparable sale for such items as condition, age, provenance, obsolescence and time of sale to arrive at an indication of the most probable selling price of the asset The Market Data Approach is based on the premise that the asset is easily substituted in the market place for a similar asset of similar quality and price. The market is an established means of buying and selling assets through established channels including auctions, second hand dealers, public and private sales. Auctions are the prefen'ed method of marketing when a liquidation value is being sought. Auctions are usually properly advertised and professionally managed and assets can be liquidated in a relatively short period of time. The orderly liquidation value as reported herein is not consistent with the definition of "insurable value" and should not be relied upon for insurance purposes. The Cost Approach measures value by determining the current cost of an asset and adding for appreciation or deducting for depreciation. Several types of depreciation can be associated with an asset including, but not limited to physical deterioration, functional, economic and technological obsolescence. Since depreciation is very subjective and sometimes difficult to prove, use of the cost approach and reliability on the same as a value indicator could be misleading. In most cases the Cost Approach is not deemed necessary to the development of a reliable value opinion, therefore the Cost Approach has been excluded and was not used in this report. Scope of Work (Concluded) The INCOME APPROACH is typically developed when the value is related to the economic return that an asset can produce. It is usually not applied to individual assets due to the difficult task of identifying individual income streams. The Income Approach is typically used with assets that produce rental income, especially large, movable construction equipment, and commercial transportation vehicles. The appraiser has determined the Income Approach was not appropriate and meaningful to the analysis and value opinion. For this reason, the Income Approach was not employed as a valuation tool. EXTENT OF DATA RESEARCH: Sales and listings of assets comparable to the assets being appraised have been researched, verged, analyzed, and reported. Sales data of assets geographically, physically, functionally and economically similar to the subject assets and that are sufficiently recent to reflect current buyer and seller actions were researched and considered. If necessary and applicable, the appraiser also researched data on comparable income and expense information and replacement costs. Depending upon the availability and reliability of various data sources, the appraiser used any combination of reasonably available information from owners comments; buyers descriptions; manufacturer's and dealer's web sites; brochures; Internet auction sites such as eBay or Auction Arms; informational web sites such as Kelley Blue Book, NADA, Edmunds, Machinery Trader, Art Facts, Prices for Antiques and the like; posted auction prices of other auctioneers; the appraiser's own experiences selling similar type assets at public auction and the appraiser's personal library. When and where possible, the applicable information was verified with sources deemed to be reliable and from a disinterested party or corroborated with a 3'~ party source. In some cases, the motivations of the parties and other factors (terms, arms-length transactions, etc.} may not have been available and the data was used at "face value as factually accurate." DISCLOSURE/DISTRIBUTION: Regardless of who paid for this appraisal report, the intended user is only the client stated within the report. The appraisal and report may be inappropriate for use by parties other than the intended user(s) and could place them at risk. Despite the means of possession of the report, this appraisal should not be used or relied on by anyone other than the stated intended users and for the statedrntended purpose. The Intended User of this appraisal report is the Client. The Intended Use is to evaluate the assets that are the subject of this appraisal for reasons stated elsewhere in this report, subject to the stated Scope of Work, purpose of the appraisal, the developmental and reporting requirements of the Uniform Standards of Professional Appraisal Practice (USPAP,), and the Definition of Value. The nature of the assignment may infer Additional Users of this report. Examples would where this appraisal is to be used for (a.) legal purposes whereby the client's attorney and author'¢ed court personnel become users of this report on behalf of the client; and (b.} estate purposes whereby the client's attorney and authorized taxing authorities become users of this report. This report is copyrighted by Robert A. Ensminger, ©2008, and may be registered in the U.S. Copyright Office. Any reproduction, electronic or otherwise, of analyses, drawings, photographs, contents, representations or opinions of value made in this report for purposes other than those stated in this report, is not permitted. THE VALUE OPINION: The value opinion stated in the report is based on my analysis as of the effective date shown in the report The value opinion considers the productivity, economic and physical conditions of the assets only as of the effective date of this appraisal. As market conditions are constantly changing, this value opinion may not be valid in another time period. Statement of Assumptions and Limiting Conditions 1. in preparation of this appraisal report, no investigation was made as to the actual ownership of personal property herein appraised. Unless otherwise stated, the personal property has been valued in fee simple, unencumbered by liens and fractional interests. 2. All opinions as to values stated are those of the appraiser and are based upon the facts and data made available to me. The appraiser assumes no liability or responsibility for changes in the market place or in technology, which may in some way, alter or change the stated values. 3. No responsibility is assumed for information furnished by others and the appraiser assumes no responsibility for matters of a legal nature. 4. This appraisal was made for the purpose stated and is not to be used for any other purpose. 5. Possession of this appraisal report, or a copy thereof, does not carry with it the right of publication. It may not be used for any purpose by any person other than the party to whom it is addressed and the stated users without the express written consent of the appraiser. 6. The appraiser, by reason of this appraisal, shall not be required to give testimony as an expert witness in any legal hearing or before any court of law unless advance arrangements have been made with the appraiser at an additional fee. 7. Leasehold improvements have not been taken into consideration unless specifically noted in the appraisal report. 8. The appraiser has used his best professional judgment to accurately value the subject according to the specified definitions, and the values reported in the appraisal documents represent the opinion of the appraiser as of the effective date of the appraisal. Such values are subject to significant alteration and will be affected by time, changes in condition, obsolescence, changes in the market place or in the economy and many other factors beyond the control of the appraiser. Reliance upon stated values for any purpose, beyond the effective date of this appraisal is inadvisable. 9. Authenticity of paintings and art work and provenance of antiques and decorative arts is assumed, but not guaranteed. Paintings and art work under glass were not examined out of frames and are assumed to be as identified and in good condition unless otherwise stated. Statement of Assumptions & Limiting Conditions (Concluded) 10. Services containing multiple pieces may or may not have been completely examined, and are assumed to be complete and in good condition, unless otherwise stated. An individual piece is assumed to be representative as to condition. If values are given per set or per lot, the value is for the set or the lot, and no opinion is given as to an individual value, or to proportionate values. 11. Porcelains, pottery, ceramics, and other fragile items have not been examined to museum standards or methods, for repairs or hidden damage, and are therefore subject to further examination. 12. Colored stones and diamonds may be enhanced by using one or more techniques including, but not limited to, clarity enhancement, resins, and heat treatment. In many cases, it is impossible to tell whether a natural stone has been enhanced without a detailed report from a qualified laboratory. The value determination in this report assumes that no major enhancement has taken place unless so stated. 13. Ivory, jade, bronze, gold, sterling silver, and similar materials have not been tested by laboratory standards, or methods for purity and authenticity, and are subject to further examination. 14. Machinery, equipment and vehicles were not operated and are assumed to be in working condition unless noted. 15. Electronics and computers were not tested and are assumed to be in working order unless noted. 16. Firearms were not examined internally and were not fired. Various component parts were not checked for matching serial numbers. All firearms are assumed to be in working order unless noted. 17. Measurements and weights are approximate. Wood identity is not guaranteed without further research. 18. It should be noted, that any additions or deletions to the total assets could change the psychological and or monetary appeal necessary to obtain the values indicated within this report. Certifications I certify that, to the best of my knowledge and belief: • The statements of fact contained in this report are true and correct. • the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions. • I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved. • I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. • My engagement in this assignment was not contingent upon developing or reporting predetermined results. • My compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. • My analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform Standards of Professional Appraisal Practice. • I have made a personal inspection of the property that is the subject of this report. • No one has provided significant personal property appraisal assistance to the person signing this certification. ~~~ Robert A. Ensminger, GPPA ]uly 9, 2008 Estate of Jo Ann Dum Item Description Value sofa $ 100.00 Love seat & chair $ 50.00 End tables $ 30.00 LazyBoy recliner $ 75.00 Hall tablle & Mirror $ 40.00 Organ - no value $ - ~ $ 5.00 Misc. in Living Room $ 20.00 Grandmother clock $ 200.00 Table & 4 chairs $ 75.00 Dry sink $ 60.00 Serving table $ 10.00 Bar back $ 10.00 Hutch $ 60.00 Noritake china, Blue Hill pattern, service for 18 $ 600.00 Glassware $ 10.00 Misc contents of hutch $ 10.00 Dishwasher $ 50.00 Paint $ 25.00 Misc. in kitchen $ 10.00 Craft supplies, packed in boxes and totes, first floor $ 100.00 Second floor bedroom -jammed pac ed with oxes an totes o cra supp ies and household items -estimate only based on representative sample $ 500.00 New c othing, s oes an accessories angmg an stac a in attic area a secon floor -estimate only based an representative sample $ 1,000.00 ttic area o secon oor -pace wit totes an oxes o cra supp Ees, trEn ets, novelty items, household goods, etc. -estimate only based on representative sample $ 300.00 Tilt-top table $ 25.00 Misc contents of Pod $ 50.00 an a ccor mi es, - engine, automatic transmission, PS, PB, PW, PL, 6 way leather seats, side air bags, sunroof, dark blue, good condition $ 15,500.00 Lighted curio cabinet $ 150.00 Folding ladder $ 40.00 Folding chairs $ 20.00 36" TV $ 50.00 Cabinet $ 75.00 Holiday Time Christmas Collectibles $ 300.00 4 bookshelves $ 100.00 Misc contents of small storage locker $ 250.00 Misc. Contents of Large storage locker $ 400.00 TOTAL 20 300.00 Page 1 of 1 PHOTOGRAPHS TW VTJ VMJ W -'p -p s 't~ C'ERTIFICATE OF TITLE FOR;~A ~EHiCLE _.___ -- _ - -- ~- ~ - ,: - _. - ._.-...~.._.,._m,,._ _~~ -~ ,.,. ~...,..-..,~W~...w. ' ,.. , M .,~- ._.M "~... _...m..,.... ,_. VEHIC.E iDENFffICATtON NIAVIBER ~ YEAR ~ ~ MAKE OF V611CLE ~~ TRLE NUtdS~Fl ~~ ' HDDY TYPE ,. ~ ..:.-DUP ..~.,~SEAT CAP ~~PflIOA:TfiLE RTE "~~~' ODON_~PROCD: DpTE~~ ODl7M. hUL.FS•~~ -,.ODOpd #STATUS W Q -, ~ Vii. ~ ,r ~3 ~ '~ ~ t^..~ ~a"xa sa ~. £ DATE PA TITLED •» ~ DATE OF ISSUE I~~ UNLAD~t WEIGHT ~ GVWR - ~• ~ : G"WR ~ ,. • ~ . ...:7TfLE BRANDS - - UpOItETER STATUS ~.. a=Al:7UliL'fdLL.EAGE - 1=M6EAREEKCEEDS Tf~ltECFiAtJICAL ._ ..r ~ . UMfiS '.-. ~ 2=WOT `Ri ACTUAL Unc rE ,~ ~ 3 = IeDT7HE ACTUAL ->II..EAGE-0DlX7ET~ x` ~ TA1dPFAM6 YEWF7ED . ~ '~II~''i 5 = Dm.PiFPON ODOMETER DISCLDSUHE 9. ~, - I: %E?cGL52'"7a ED OtVNc'R(5) 5~" -,.. _.•,.,,~ ~~ T7lE BFAM1IIJS '-: / ,,.- ~4 a , ~ - A :AtJi70t~VE!•IILiE - rt~ ~E+~~~`~.__~ ~_ T ~ 'FT~ropJynri~ ' _ P =COU.L~Stm:EVSUCLE ~'. ;, .. - j G - ~i1GNWH.L . Ff7R NDN~U S. --~ --tt 4 t~ _src ~~`.,"'~~`~ ,~~ - DIS7FO8Ut1DrJ ~~'t 3.'.3 ~J Ir ~ 1SR .;d. S - ~~r ~ - ~ H x ALiR(CIR.7tJRAL VEA/C.F -•. - - L =LOGGING V99d ~ ~s~Q.EL:fI$~~f ~,~:$B UP,~ pal 1 7 C) 5 ~a P =ISmras/1POtJOEITJnC~'E - ~ R = i(RIICIED - T = iECOVEflEO THEFT VEHICLE `, :. _ V =VB{ICL=COM'AlNS RE1SSUE77YW -. W = RAOD VEHICLE . FlR57 UeN FAVOR OF ~ SECOND LIEN FAVOR:QF X=l.SNYAS ATAXI.~ fl a sewnd GeNwlder is fisted Tgwn aflsfectionm the fir3 ken, the first ,: ' 6enhddeT must fonsmd tidy Idle to ttre Bureau of Motor Veidetes mth the- ~F7RSfLI~JR~ ~ncai. ~ "ePP(aim arltl Tae. DATE BV SEC.O7m LIEN R.1~ EASm ~g AUTHDAIZED REPRESENTATIVE - DATE rALAfllNG ADDRESS. BY ~ ~ ~ ~J AUTHOfl® F~PRESEMATM K ~}2fi£NBJ?~ ~i GFi £Y5 ~ ~O~K '~T 34 ~. C~I.~iNI X 8 5 UFO' G .E'J?i 7 7 c3 5 S c~lih' ~ df the daze m Lswe. the mfida{ ramr~ of iha r-ernsyrvaraa Depamrem- -~ _~- '.~~L F - - -~~''}- ^'-..'. • m S reflect lhet the person(si or tampeny named hermn is fire lawful owner of thesud vehicle: - - r ... -...:. :: _ ,. ,< Seaetnc3~_aC TrmtspurtuCio¢ 7lND SWORTJ ~• ~7AE wv vE;nn ~ TF8 Co-pDtdi3$Bf f]II be .lWN!_~ - tTNfltjoes't0..,. ' . -. -wll be fss~ed-.RS?e tiect~asea°owrier ga il1nE OF A-/ OKfN - ;: .. -_ 1ST tgT! DATE 'Y7 ~. ~ " 75TLIENHOLDEA - ,t _~ _. .' STREET _. ClfY _.. _ . n IF THIS IS AN ELT, CM Nor Fire REOUIREn The M,vey mslms n fa CmOTOm d Ttlb m me rehclc domed zuD L~+ anrE: . nm+e s~tiec+m me erioertrmms ane dher ~agat tlenaaN lulu nva. i ~ 7PID ILRdHf3l~ui -.. - - ' S1pitATiJRE OFA?PUCANT OR AUTHOAI2$y 9GDIER STREET - ~,, -. srmrATta~ aF caa?r~r~rrrmnE of nvrrmra~ 91D+~[-T+ u -._ _.. - _,~_:.. - __ .. - ,,..-. _ >F THLS Is ma ELT. CFiE .NOTE AN~ F .. _ ....,_ 3fE_QUIflED_ ~OtIT SpOlJSl3 LS ~uS~B~B kith Fiigttt ~ Surm!ot: rmer} CFLCK HERF rer hairs tx esG STATE FlNANCIAL -, tNSTrturJON'. --R` ~ sTnTE i 1 ~i ~ FF i Y 1`~~5~ 1993 Dodge Dynasty -Private Party Pricing Report -Official Kelley Blue Book Site Page 1 of 4 ~~ ~~ ~~ . , - T1fPTRU~U [IESOURI rt advPrticamant Home New Cars Used Cars Research 8i: Explore News >?< Reviews Ready To Buy Ctassifie Used Car Prices I Search Used Car Listings I Certified Pre-Owned I Compare Vehicles ( Perfect Car Finder { Most itesee Welcome Back ~ Sign in (Create !?ccou^t ~ :~y i:es ZIP Code: 17fl50 Mome > Used Cars > 93 > Dodoe > Dynasty > Sedan 4D 1993 Dodge Dynasty Sedan 4D s rade-in Value -- ___~_~.. _~~..._ Private Party Value Suguestecl Retail 'v'alue ___ t l;ota GeSlery - Slue Book Review Cor<;urner Pati€~~s Firtt# Vour Next %ar ~13eCiilCatE~Jr15 Shopping Toots Free C.4P,F~tr': Pecord Ch~ci: FP_Ec Credit Score £L• RePcrt Cornpara insL~rance Rntes ?ayrnent CGlcuiator Extended 4Narranty Q~aete ?tint Far Sale Sign l~ ~ ~~~ on Btue Book Classifieds'^ DodgeT.~__.~.~_,_.~_'~T~ Dynasty ~____ ~~_~ { 30 Miles or less 2IP Code 17050 To View Ads, Click Spec~l Package Offer! Recent4y ~~"re~Mted ~~it~~ ~td~11,~ d ~ ii~! 7 ~ R 3 T4~ i lUHf4TS THE_? More ?hotos Candition <~,~+flT•~ TM_ = ~ilaiue Excellent $1,280 GOOd $1,080 Fair $~3a ~~ "° ~ s=ree Cr~,`r3t=,~X racor~ check ~~ ~ ~~¢ ~ ~ ~ ~ search I.Ised Cars Average Consumer Rating (Z5 Reviews} ~cead Re;,ia~c '~~ 3.7 out of 6 Re~,~iew this ~Jei~icle Vehicle Highlights http://www.kbb.comfKBB/UsedCars/PricingReport. aspx?Yearld=1993&Mileage=17500... 11/25/2Q08 1993 Dodge Dynasty -Private Par€y Pricing Report - Qfficiat Kelley Blue Book Site '-_ -' For one low price you <` • `• j can reach millions of used car shoppers. learn more now ~~€ TII~ ~1~~~ ~~~ Compare Used vs. New Under $5,000 s Both New and Used ~„ ': Sedan ': To mew Lest, Click ~~~ i~.~~~P~~~ ~~~~ Select Year... ` Select Make... Select Model... Qr Sszrci-, '~y Cate;~ry Ur Cha;~g3 ?IP Coda Ffiteage: ~~~ '=~„ Engine: 6 3.0 lrter Transmission: Automatic Drnretrain: FWD Page 2 of 4 ~_..__..~,~~ ..-,..~:.~-_.. ..+......~.... ...-n~w.rsL ~,__..:...._,.,~..-. .a.x.:xc:- 'y..,..:::^S+..Y-..'.i,~'rv. h~.c¢......C»'..+..Jf~-~.,: Selected Equipment ~hara~a Eci~ipnarrt Standard Air Conditioning Power Steering AM/FM Stereo Optional Power Windows Tift Wheel Cassette Power Door Locks Cruise Control l3lr~e 8€~e~k lal-l~~te t~acty ~a4~e 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 Erna! sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehic{e donation purposes: E{Elaicl~ ~s€md"€ti®~s i~atirsgs Lheci; irehicle 'i~:Ie ~=story Excellent $1, 280 • Looks new, is in excellent mechanical condition and needs no reconditioning. • Never had any paint or body work and is free of rust. • Clean title history and will pass a smog and safety inspection. • Engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. • Complete and verifiable service records. Less than 5°l0 of ail used vehicles fall into this category. Go®d '~~ $1,080 • Free of any major defects. http:/Iwww.kbb.coln/KBBf UsedCarslPrfcingReport.aspx?Yearld=1993&~ileagc~175©0 11/25!2008 1993 Dodge Dynasty -Private Party Pricing Report -Official Kelley Blue Book Site Page 3 of 4 • Clean title history, the paints, body, and interior have only minor (if any) blemishes, and there are no major mechanical problems. • Little or no rust on this vehicle. • Tires match and have substantial tread wear left. • A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fail into this category. -._ - Fair .;a: $730 • Some mechanical or cosmetic defects and needs servicingf;-ut is still in reasonable running condition. -_ • Clean title history, the paint, body and/or interior need work ~. performed by a professional. "~; • Tires may need to be replaced. • There may be some repairable rust damage. POOr _~ .~w~ ~'~' NJA • Severe mechanical and/or cosmetic defects and is in poor running condition. • May have problems that cannot be readily fixed such as a damaged frame or crusted-through body. • Branded title (salvage, flood, etc.) or unsubstantiated mileage. Kelley Blue Book does not attempt to report a value on a "poor" vehicle because the value of these vehicles varies greatly. A vehicle in poor condition may require an independent appraisal to determine its value. * Pennsylvania 11/25/2008 Accurate Condition Appraisal Cl-~ange Cor:diti~rr Accurately appraising the condition of a vehicle is an important aspect in determining its Blue Book value. Taking our 16 question condition quiz will ensure you know the correct condition rating. ~Y~'~ `~j.~'s ~r~~ 4~P"F.[FF 2'S.A ~~ii4rEf ~.3i~wE`e 4l y ~` ~ Search f,~sed ~:ars a~~ ~~t ~ ®2008 Kelley Blue Book Co., Inc. All rights reserved. Sep-Dec 2008 Edition. The specific information required to determine the value for this particular vehide was supplied by the person generating tlris report. Vehkle valuations are opinions and may vary from vehicle to .vehicle. Actual valuations wtN vary based upon market conditions, sperrfications, vehicle rnndition or other particular cin~rmstances pertinent to this particular vehicle or the transaction or the pars to the transaction. This report is intended for the individual use of the person generating this rzport only and shall not be sold or transmitted to anotherparty. Kelley Biue Book assumes no responsibility fvr errors or omissions. (v.08114) http://www.kbb.com/KBB/UsedCars/PricingReport. aspx?Yearld=1993&Mi]eage=17500... 1 I/25/2008 _ . ., ~ ~, I;_ - ~~' = ER.TIFICATE OF SALVAGE FORA' ~IEH LE-- -- _ - - .. - REGISTF3ATION NOT TO BE ISSUED - ,A _~., _ .~ '~" r~ ,_,.._....~....._ . ~~ E __._,,..,..,..,.., .......,..,...,_.. _. ~a LEZ,o~~~8.~~~x7~. i 745' ~ f3OI3CF• _ ~ E`I6•'~~r~radOr 3' gr._,;'~ r., II ... .. -. ...~ .,. -~- M.,..,. ...,.,.,. _ • _ VEHIGL TITLE NUMB I VEHICLE IDENT7FlCkTON NU53BER . .. I '- r=AA - ~ ttAtC~c OF'.. ~. V, .• ~ -;- a T K ~, ~, Z ' h ~~ 3TY -.d ~€~ I a ~LI 8 EKEi3F~` - . _ `tJ 4 BODY TIDE ~ DUP 1 SEAT CAP ~~P-(i10R TITLE TATS ~~ODDI+L PaOCD 70.TE ODOM MILES OOG ~. .:~ ~~~~Y- -' ¢ a..s is ~ s ~ ~ ,,~;~-r z ~ ~-d~ , , ~ a, ~ s ~ ~ ~,~H~= .. F ~-~ $' - ~..~ DATE PF. TfiLID ••.~ DATE OF ISSUE ~ UNLADEN'WEIGHT ~ ~ ..~ ~h C~v/R~ ~_.... .. 77TLE BRANOS , 'ODOMETEF2 DISCLOStTRE E%EP.Ti~T BY F'EIIERAL LAhT. ~~ -.. ~, TITLE BRANDS - _ _ DDO.+ErR sra-rus `~'= 55 ~ ART]C'JE V~J-11r.'LE L ~.LOGGMG VENIJLE 0=A."1UAL 3AP~lGc . -C aCtF.S~'!TE-uCLE P=.iSM{ASA PDLICEVEFIICLE 1 ]UL~iGE E(..rT~DS.?Ic {AE _' n-=caL_Jne~v>=ruc`c:, a -n~orsraucr-=n !~+~ -:. ._ _ "F =OUT DPCWN7AV 5 =STR~'f flOD - 2-NOT i}L ALi1J.iL M4f~lDc u =ORIGINALLY-NRGD FOR NON-U 5, i -P "OV=R9 iT-L--T VEHIC E 3- NQT TH=-AGTUAL WLL.~L~E-0DCMETE9 _ _ ..D.SiATdUiIDN- V =. VE I ' CDNTAINS RG$SUIH1 Y7N TA61r'ERING V~1 IEC _- 4~RGRICJLTLRALVE!iv..'eW- ~CDD '.211JL4=c-(Ed~i~OG1DD~Dti..~GAI'~c~ X'> IS'WAS-a TAX: l11 4 - I!~iR03TA_~3'T' NOTICE. - F~7P.tS !SU-d2oB !~US~ BE CS ED ~?F-~EN ?4?ALYI3~LG_ ~ :~- ~y FOR A 'sREC~7~i$3'~ZUCTELs; nr.?`I?vS~ LG'~ivlt? CERi IFICP:TE OF TI?'L£. '= ~FII.S SALkAd;E 4£H?CLE rSAY _~30T SE ORERATEII ON".. TFI: _ `- ._~ EiGiiidAY UNTI.L• A :sP..EC4NSTRFJCTEDrs TITLE IS iS,Si"3nE3 ,`:' °" E- - _ ~ - - SALVAGE VEHICLE OWNER(S) ~~ z ~: ~ ddd000 ~ - ~ CREEDd3~7 J FE,~RTEi3HAUGF_T ~``r - t: ~ bi5 S YORYt ST _ - MECHAAiIC£HJ2G FA i7d57 € __ C _ AL1£~i B BIE;iL£R ® I certity as of me tlate of 'sslre. me otfmal .ierortls of ma Penr~syrvania Deoanment d TfdnSponatim reflect mat me:person~s)-or company named 1+erem ¢ the IaMul~ Omer ~ - . `. • ~ • of mend "~~ v yllcle. Secretary of Transpnrtahan - _ ' _~ , ~~; _ ~~ ~. ~ ~ _ _ ~ ~~ ~ ,~ ~~ "~ "` ~ ~ ~` `fir-"'.~z-----•: ,s I F-. a _ - .' ~ ~yqH ~_;-% , ~- • •~ • ~ • •- - e ^ ~ d y; - - i ~, -f- l~A 13 ~, ~': r" o f G m /" _ `" o ~ .^ ~~-~ry .- - ^W, i ~ !. om V ~`- -- - ~~:_ ( ~ERTLFIGATE OF SALVAGE FOR A V HFCf E' _. - - ~ ,~ ` r~EGiSTR,nTtQ[~J NOT TO Bc ISS!!EQ . ,. ~ -1 i ._. ..... ... .... ....:. ,... ..... .: ................,...rte - - 5.7.A flS°~z3" ~.fi~~Qfi tF 13 ~ _ : ~ ° Y AF1 ~ ' .F~ ...,.. ~ S`33`'~57 ~a4 O 7 F ...-~...... ....~ ,, .... .,., ',.., ..~ ~".'~~~ ~~~}i '~MA}~OF Y'~-11wLE I' ~ TITLE NJM9~i Ja-fIC IDENtIFiCA7lOM17.NUAAOEP _ CRL ~ 2 xxx ',- ~z~~os' ~xE~~~r~ - ~- ~. :::. _.. ... ... D ..~..._. . ,W. „ .. ,.. „k. _ , BODY TYP OUP { Su:T CAP ~ ?riIDA T7T $TAi~ ODOI.1_ PROCC DAT- ~ ODOh AmL_ DOrd 5 A'U _,........,. _um+m ._. .. ...~ .~. OAT= Or ISa:IE D .,. ,..., ,.. UNLADEN ~IGHI' G~fl GGWR Tf11E 69AND5 . DATE PATfTLE QIIOIIt.TEF? LIISCLOSC3RE ExEi3PT B~; FEl'7ERAL LAi~7 - _ ODOY~~rsi STA'NS ~ ' " 'ALE 5nANDS . - , - 0=A~'iUA_MREAGE ~ - c =.'.OGGING;VEflICLE ;:.} ANPDU- VEMIQE. - GSN~AS A POIJ:EVc!~1~J_E - 1 = G11L~1G ~XC~~IJE'FL:A'~ANIOAf_ ' - ~ . G ~ DLCSSIC VE,-IiGL p = COLI_z'Tffi t V_l{ICi.E R Pr_'„'DI.STAllC1ID .: IIMR> _ . . '? = NC~ THE ACTIIAL.IAUdi E ~ OUT fJF CDDh'TAy.' S S"A--rte ROD - G 09i"TALLY MFr.~D- -JR NOfFU. T ftECOVEP~ TH `T VEFIi.;`E INCGLISCL1Ep Vit: ~ 3 = NOTTHE ACTUAL. G'tls..G 3111 ~ _ TARP_i1NG `IEVIR77 _" ~_ 1-A:,L CD~A ~,:D.51~IeUTDP.. -~ V ~V H ~~AGPI:.J TJFA'_V~41.:..E _ N~'='L'JCD V='-IIC_ , i=cCc~.1?L raJ61 ODDfAE7~D15'C!_v~9E ' - K ='I$NYAS A TAXI - - . '{ ~~ AV i (. ~ - ~ ~ Z APPLYINE ItrZ~QRTAN3 NOTIC£ - FOi~?`i ¢IV-d25B I3LTST EE GSEII i~HEI~ a ';R£C03~ISTI~LTCT£D" 'PENISSY"LvA3~IIA CLRTI EIi:ATE Or TrTLE. FOE iIAG£ Vs3ICLE 34AY 310T 3E C7?~i'~TED 03~i Tar. SAi T . HSS FIIGHi~??1s' I3iYT.IL A ;"REe:.t~PISTR[ii:.TEIIsr TITLE =5 'ISSC3nT~_ ` `SALVAGE VEHICLE OWNEr~(S) ,~ OOQO00 ~, e~yJIIISi1 v gERTE2d3ALJ~H I 6IS S ?ORK S.T LK_.::r.'_A.KICSBCTRG PA I70'S5 r -, a `- ALLE23 II $IEHLER - i ~ ®I eeAify as of ttre tlate of issue, the ofFaal retools of the Pennsylvania Deparnnem ~ Tanspotlaocn nNlect that the persons} or company nametl herein ¢ the lar+fiil o"'^er - - - l L T EE N, - o: me'saiC sal+rage:reFrde- f~ , zar9 5~~~ on ranspur a of ~ ~. to ~ ~ 7B ~. T T o y ©"". ~ .~ ~- ~L~~ CREEDON J F£RTENHAUt3F? fi IS S FORK ST ~IE~:.FIANICS$URG PA 17055 ®. I ceddy as of the tlate of Lssue, the otfidal records of the Pennsylvania Deparimem of TfaM1SPOrfaUOn repast tlrat the Persan(sjor company named herein ¢ the lawful owner otthe atl salvage.!tehide. ~.-+.srmc~nn '~-:.. ~` R~~ 1 ~./ ® _. ~p C /^ ~ . a I 2{TC.2?IrB073.91.42 145 23Ac.DA= 3M ~ 3538'~30+~00Z FE ~ ~~ , ~' MAKE OF VEHIGL VEHI C~.E DEYTIFI..A iION NUMBER ~ ~ YEAR ~ TITLE NUMBER .. ~~ }( XXX . ~ ~ 1 4 /i~ S 1 ~ ' ~¢ F•X E~'IP~~ :~ - ~~~ ~ ~~ BODY TYPE ~ ~~ DUP ~~ _ { . cAP I ic l -OROCD DA .. :. -1TLE STATE t OGOM PRIOR ODOM MI!EB ODOM STATUS ~ ~ ~ $ : ~ ~G { ~ ~ . t . T~ .'' iT 1 GVWR . UNLADEN WEI DATt OF I SU c ~. DATE PA TRLED _ BPANDS GCWR I Ti ODOMETER DISCLOSURE E3fEMI'T $Y FEII'ERAL LA Ff TRLE BRANDS - cpor.IE rER S-aTU_ '.A = FtfiCt:E VEHICLE L =.LOGGING VEH10.E 4'= ACTUAL MILEAGE - t.LISg6E O;L=_LS T4c M=GH4NIGL t G = C 4SSIC VEHICLE: P = ISMYAS A POLICE VEHICLE .. LIMT"5 -.RECONSTRUCiEO p =COLLECTIBLE VEHICLE R _ _ `!OT THE ACTUAL MI~EAGc '. F. _= OUT OF COUNTRY. S = STAEFf ROD G = DaIGINA:IY MF aD~-EDR NON-U.S. T = REGOVETED'THEPfVEHICLE ` NOT THE ACTUAL MILJ.:~E-0pCAlETrA ' 'JIETR!EUTION ~ V =VEHICLE CONTAINS REISSUED VIN' TAMRERIlJ6VEaIFI~ - Y 4 RIU:i_TURAL VJi1CLE W = FLDOD VEHICLE '. 4 = EX@J,PT F'.iON ODOMETER D SCLCSURE X = IS/WA5 A TAXI ~J IMPORTANT NOTICE - FORM MV-~425B MUST BE USED §{H EN APPLYING FOR A "RECONSTRUCTEI3;s F£NNSYLVAi~IIA aERTIFICATE OF TITLE_ 'THiS SALVAGE VEHICLE MAY NOT BE OPERATED ON THE HIGHi7AY (INTIL A nRECONSTRCTCTEIIs' TITS IS IS.SUEII _ SALVAGE VEHICLE OWNER(S) 000000 CREEDON J FERTENBAUGH 6 1 5 S YO R~ `ST MECfiANICS$URG PA 17055 1 celtily as d the tlate of issue, Me official records of the Penraylvania Departrnem ol. Transportation relied Hal the person(s) or company rumetl heRin ¢ the lawful owner of pre saitl salvage vehide. MLLE"~t D f3IEHLER WJ ~' ~r(ao' V +,,,1 d,, `J I ~J ~~ aar(uona~u~zg3u,xq :Ii¢m-a 9S8L-bLL ~L I L) ~3 9 [Z :zxg gOLL-bLL ~L I L) auogd .taSeueY11 q~ae.zg ~q~«~ •p e.~gaeg OLOL I dd `P~Ija4~n0 maH 8S9 Xog Od peog ,Cuagsz,xa7 Sb£ aoI¢n »pu0 ,fsmnmwo~ ~o~ noeun 7!Paa~ Iex~~ ~°Cf~4~~ aa~ ~~ ~s r- ,-- - - _ _ ~ ~~ ! Z ~ ~ '. ! ~ \~ ! ~ j O O~ M I ! E- Q O t~''S fR g ! U Q ! Q O, Q ~ ~ 00 ! O ~ ~ M p ! ~ Vr ~ 'J41\ rj, O ! Q Q ~ ~ O N I~ ! O ~ ~ ~ Q' G ! t~ N ~ <"'! O ~ t O ~ ~' ~ l~ U ~ ! fri [~ O [~ ~ ~ '-* CJ O t ~~ ~ Oa U£C f ~~ ^~ \1~L~" m LL p Lfi3 1 Q t, ~ M ~ lt1 O ~ ! O cY- O Z O O= U ~ O Z W Z E O r d ! O O p i X ,.,~ _ ~ ~~ O Q O ~ ~ ~ ~ LL' G.3 } LL O p aai ZO~~u ~ ~ Oo > c _ _ °' =' ~ 3 O' > U 3 ~ 0 0 00 ~ 3 3 '-' rYs `~ a~ ~ a z - >Y 2 * * ~ 1 Lif £L Q m ~ C:t Q O O ~ ~ Lt3 ~p ~ ca } 3. g\ O Q -a r ~+~ Q ~ Q.rt m ~ ~- ~ O O o U ~ ~ t1 Z ~-..e Q ~ ~ ~ ~ O O ;i.. ~ _{ z ~ ~ ~ E~ LCY ~ O O . ~, z ~ ~ O ~~ ~00 ~~ '~ ~ i Cwt ~-r ~ - ~'. ~ ~ ~N` ~ ! •• ~ b~ O i--i N w A ~ ~ V + ~ Z _ '~ -t C£3 O r-E O a ~'' Z Q ~ ~ °- ~ o~ ~ *~ .-~ rr ~ ! e :~ U ~ ~ e ~ ! ~ E~ ~C F U i. ! co o '- t t •~ P' Z ~ ! u ! ~ N ! ~ ~ Cf7 ~E _..! t -~ _ OOLO-bbE (OL9) NOISIAIO 3:iV~iF13}I/303FJI0 OFiSf(1~Ny~ NEW CUMBERLAND FEDERAL CREDIT UNION }your Community Credit ZZnion CO. Box 658. New Cumberland, PA 17070. www ndcuontine.org (717) 774-7706. (800) 716-2sz8 . Paac p171 744-7996 STATEMENT OF ACCOUNT PAGE 1 VLSA'RATES`AS LUW AS 6.9%. TRANSFER YOUR CREDIT CARD BALANCES-T0 NCFCU TODAY! SPREAD THE WORD,. NCFCU HAS FIRST MORTGAGES AVAILABLE! r s-w x~~ . ' ~ `COUNT NUMBI~ ff Joint Owners "~Q_81624 so v unty~ r uut•1 1 521 MAIN STREET LISBURN STATEMENT PERIOD RD 3 MECHANICSBURG PA 17055 Faorr To 04010 043001 TRANSACTION oATE EFFECTIVE ~ DATE -~ DESCRIPTION - AMOUNT FINANCE FEES/ BALANCE CHARGE .FINES 301 PREVIO'.fS--BALANC-E -5-1-PR-IMRcf~lf-SH-ARE~S----- ------ _~_- -- ---- -- _ _._ ---_. _-_ 53~7 ~ -t 0404 TRANSFER 18296 1 23623 ] 0409 TRANSFER 088692 -5 0 23618 ] 0409 WITHDRAWAL CHECK -10905 0 12713 ] 0409 WITHDRAWAL CHECK -860 0 11853 ] 0410 WITHDRAWAL CHECK -252 0 11601 7 0414 TRANSFER -539 4 11062 i 0415 LOAN LIFE INSURANCE 17 9 11079 E 0430 DIVIDEND 7 0 11087 E THE ANNUAL PERCENTAGE YIELD EARNED IS 0.7 . 0430 NEW BALANCE DIVIDEND IS CALCULATE 11087 E USING A DAILY BALANCE METHOD. 0401 PREVIOUS BALANCE S4-SHARE DRAFTS 18296 0404 TRANSFER -18296 1 ~ 0430 DIVIDEND 5 ~ THE ANNUAL PERCENTAGE YIELD EARNED IS 0.5 . 0430 NEW BALANCE DIVIDEND IS CALCULATE le; USING AN AVERAGE DAILY BALANCE METRO 0401 PREVIOUS BALANCE L3 2ND MTG-15 YRS 50611 8 0414 TRANSFER -539 4 50071 4 0430 NEW BALANCE-PERIODIC RATE.000000% 50071 4 __ __ -~ _AN.N_llAL P_ F R CEdIAG.E~AT_E_ _.~_.._0 QOJ« 0401 PREVIOUS BALANCE L4 ADJ SCORE/USEDCA 17683 9 0401 LOAN LIFE INSURANCE 6 0 17690 9 0415 LOAN LIFE INSURANCE -17690 9 14 ~ 86 0 NEW BALANCE-PERIODIC RATE.000000% 0 » ANNUAL PERCENTAGE RATE 0.000% « **CONTINUED** TOTAL DIVIDEND YEAR-TO-DATE for all savings except IRA savings. TOTAL FINANCE CHARGE YEAR-TO-DATE Dividends shown, if over 510, will be reported for all loans to thelnternal Revenue Serviceforthis nla.•A- 'INDICATES EFFECTIVE DATE NOTICE: See reverse side for important information 0811876 RegWlar checking Account Statement : PNCBANK PNC Bank " For the period 03/06!2008 to 04/03/2008 -- ~ JOANN F DtJM -=I`~ I M I FI ST MECHANICSBUR6 PA 17055-5942 Primary account number. 51-4001-9665 Page 1 of 5 Number of enclosures: 0 p For 24hour banking, and transaction or interest rate information, sign on to ~ PNC Bank Online Banking at pnc.com. For customer service call 1-888-PNC-BANK between the hours of 6 AM and Midnight ET. Para servicio en espaiiol, 1-866-HOLA-PNC Nioving~ Please contact us at 1-888-PNC-BANK ® Write to: Customer Service PO Box 603 ' Pittsburgh PA 15230-9738 __ -- -- _ ~VisR[e~"8Z•r,i1c'fxfr, - -- TDD terminal: 1-800-531-1648 For hea*ing impaixaed riirnu only Traveling Outside the United States? Stop by your local PNC Bank branch to order foreign currency before you go. - Convenience -carry currency with you for immediate expenses such a.s tzxi fazes, tips and meals. - Avoid delays and save time when you travel. -Having local cluiency for your destination will give you added peace of mind. - Competitive rates and no transaction fees. - When you retiznt with excess currency, PNC can buy it back for U.S. dollars. Visit azfv PNC Bank branch for mole infomation. Regular Cb~~ACCOlRi1~ St~tltiary Joann F Qum Account num 'r. 51-4001-9865 "'`~. BaEance Summary Beginning Deposits and balance other additions 6,095.79 3,410.71 Transaction Summary Checks paid/ withdrawals 21 Total ATM transactions 0 Checks and other Ending deductions balance 6,213.10 3;23.40 Average monthly Charges balance --- and fees _- 3, 17 7.83 _ 2.00 Check Card POS Check CardBankcard signed transactions POS PIN transactions 0 0 PNC Bank Other Bank ATM transactions ATM transactions 0 0 Please see the Activity Detail section for additional informat~on.~~ ~ Activity Detail Deposits and Other Additions Date Amount Description 03/17 200.00 Branch Deposit Tel 0400010110 0175 03/24 200.00 Deposit Reference No 026240648 03/31 ~ 3,010.71 Direct Deposit -Annuitant ~- PA Treasury Dept 4978 There were 3 Deposits and Other Additions totaling $3,410.71. FORM953R-1005 EZeg~lal• ~~iecking Account Statement Ptor ~. Ps.iod o~06/2oos to 04/03/2oos For 24-hour information, sign on to PNC Bank Online Banking -•' on pnc.cont. Account number: 51-4001.98fi5 -continued JOANN F pUM Primary account numt)er. 51-4001-9865 Page 2 of 5 checks and Substitute Checks :hecY, Date Reference Chec)-. Date Reference ;umber Amount paid number number Amount paid number '~(ti Ilt-.~?~l 03;'(0 g2t;t7gt3( i.:l:t3 17.46 ~ OS/21 o87n5t><~z?n ~K2 I * 1, X00.0(1 03% 10 tt.4~Yi1132 ~ ! 1:;~ * 3*i,92 ''03i 27 0$33~33~t5 '~`/`) ~i00.0O 0;i,%1O o?'e~tl3'?t i~341 28.9$ 03/`,7 O[Z3358397 ':~":t IO1.n8 OR! 18 its>rz;g3)~ 7841 ~` ri44.31 03/2~i o Y:i 13 i i 53 '~~)•1 •1•~().~() ();;! 1! tl,\~.11'r1,1411) /i"f`~ 162.(`Z.(/ ns/`~.1 ox41:a5t7i `N2a 169.4)'.' 0:1;'.)O o~> ~t;,trt F7` i5t3 9 60.00 ( 03/ I J o282tnt8Y6 `12ti 33.4-(} O:Z;'20 n2t72~~2:f'? 7s~1~1 3~i.O0 03/2~i 0.4$ti.4~i9ii9 +~oq * nrt,OU 03%2 tt~ttk:133tt i~1a 36.86 OS/2~i t o 0_6t8.53i ';i3O 2O,OO 03121 11,CSit;q?n, 716 1,0£t2.73 03/23 02.55.4694 '~3 t s.OO 0:~i2> f ns„ rz`~ss i B i i 1,5.00 os/2G ozaszom '332 2?.(N) O:tJ2~1 ti~.4it;5j0 'Gap in check sequence There were 21 checks fisted totaling $5,4s2.46. saline a>s3c! Electaonic Bairekitng Deductiosss Tltere were 12 Online or Electronic Banking late Amount Description Deductions totaling $728.64. I:t ~ 1 l I(x).a) Pa\~nent,L'-C:hcrk Check Pcntt (:iticard i)a\•nteut 7819 )3! 1 1 10(1.00 Paylncnt,E-Check Check P}-tnt (:itirar(1 Pa\•mcnt 7817 )3.' 12 ~iO,00 P:tl'lnfnl,F.-(a1eCk (:hCC ki)a\'lti) L(tl1'CS; ~(.(Mltit %\I$ )`.;% 1`> rl[].nn Pa}'tllelll, L'.-(.hCfk (alefkll:l\-ttll 1,0\t'(`S,'(.ftlllt %12O ):z;'21 to6.o1 ra~•tllent,E-caleck :\l:c: ~~7 ~\'il(ae.:~ :\I:c: ; ~_~; )?'2l 87.8.1 Pa}•ntent,E-C:Leck Check I't•tnt \'erv<tn .\RC i8`~ +:).i:'a 4,.52 [':t~•meut,E-Check Check R(tdclle Inc. I3~a~ks 7331 )3,"?'t 42.3'1 Pat•tncnt,E-Check C:hcck P.oda)r Inr I?:~x,ks 783;t )3%', 1 41.28 Pa~•ntent,E-Check Check Ro(I;IIc lue• P<<>„ks iR3li )3~ ).t 34).i(t Pa5'lllCnt,E-(:IICCk Check L'U(I:Ile IttC i;t tr tks f1.i-1 )3!2G 19 Q7 Paputcnt,E-Check gn0;:1360iO I'rrvention ~1a~; ; tr) )3/31 4li.:i2 I)ircet P:tnnet-t-~Citneshare Fairsharc Pln. •1703221 Dther Deductions Tltere was 1 Other Deduction totaling )ate Amount Description $2.00. )1,'03 2.00 Check Inca;es Itt Statement E:ce daily Balance Detai! )ate Balance Date Balance Date Balance Date Balance )3,~O(i (e,Ou;~.7d O3 Ali ? ;l_,li.2a (!')!`.1 `? ,,7q t.l n3 io7 t 4:3$.d.l )3/(() 3,93,.55 U3i 18 3,a:rt.`?i 0'./`L•1 _),~{77.8•t 03/23 ~~331:31 ):~; 1 I 3,i83.5~i O:i;~l9 `? 901.27 U:;: `)5 I,li<18.$1 03/41 3,29,.40 >3/ 1'2 3,ti85.~i~i 0~; 20 2.74)0. 1_t 0 3; 2ti I, 103.8=1 04/03 $,93.40 1t PNC, \t•e'tr committed to protecting the em°ironmcnt. that's \\-hy your P\C Rank Visa Check Card is made from 100% recycled materials. 4'ou can help protect the envimnntcnt too by trdtttin_ the number oPchecks you \\-rite and limiting the amount of driving you do. Just use your carts to ;na~~ rrcutrins or one-tintr hills or make pun:hascs fmm >•our home cmm~tdcr. 1:ren• little bit helps. Use your PNC Rank ~'isa:kt Check Canl ai :\-Ills in select \IcDonald's frtncllisc restaurants across Manhattan and receive ,surcharge-fine ransaction. For locations, visit pnc.contflocatcpnc. Member FDIC' REV-1511 E5(+(1646) ~ 14+`.M1 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF JoAnn F. Dum FILE NUMBER 21-08- 0399 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Parthemore Funeral Hone $10,905.00 Office of Catholic Cemeteries $860.00 Catholic Cemeteries -Burial $850.00 g_ 1. . 3. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 3,500.00 Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Open Estate ($252.00); Cumberland County Law Journal ($75.00); Patriot News ($290.70) Additional Short Certificate ($12.00) $629.70 5. Accountant's Fees (Estimated) $750.00 6. Tax Return Preparer's Fees 7. Mark W. Heckman Real Estate Appraisal $350.00 8. Robert Ensminger Appraisers -personal property appraisal $200.00 9. Postage $19.27 10. York Waste ($50.00, $50.00, $50.00) $150.00 11. Space Mart -Mechanicsburg $243.20 12. UHaul ($32.35, $95.07) $127.42 13. Wyndham Vacation Resorts transfer fee $100.00 14. Davidson County Register of Deeds recording fee $12.00 15. Inheritance Tax Return filing fee $15.00 16. Tax liability (income) $350.00 TOTAL (Also enter on line 9, Recapitulation) $19,061.59 (If more space is needed, insert additional sheets of the same size) ~,, I ,,/ a / radition ®f Caring`' ~ ~ ~ Family T ®~]~ Funeral H " Crern~.tion Services, Inc. PARTHEM Mr. Creedon J. Fertenb ~ 4/4/2008 615 Soutli York Street Mechanicsburg, PA 170 1 303 Bride Street P.O. Box 431 Neer Cumberland, PA 17D70 (717) 774-7721 (Fax) 774-556 ~~-w.parthemore.com Gilbert W. Parthemore, Founder Gilbert L Parthemore; Supervisor Stephen K. Parthemore, CFSP Bn~ce R. Parthemore,. Pre-Need Coordinator, CPC Professional Memberships: NFDA•PFDA DCFDA•GCFDA ,,~,~.e.•~ o~ ,rte G ~`~ ~~lv ULE Tree Rule You ICno+r. The People You Trust For the Services of 3oAnn Dum w e sincerely appreciate the confidence you have placed in us and wi'IT continue to assist you in every way we can. Please feel free to contact us if you have any questions in regazd to this statement. The following is an itemized statement of the services, facilities, automotive equipment and merchandise that you selected when making the funeral arrangements. Terms Due Date Account # _ Net 30 I' 5/4/2008_ j 2008037.0 Description __~ SERVICES & MERCHANDISE Traditional Funeral Service Brushed Stainless Steel Casket 12 Gauge Standard Steel Vault "Spring Garden" Stationery Set Total Services and Merchandise CASH ADVANCE ITEMS Death Notice,l-Iarrisburg Patriot 20 Certified Copies of Death Certificates Hairdresser Hairdresser -.refused payment Tent & Cemetery Equipment Clergy Honorarium Flowers, Casket Spray Total Cash Advances Immediate Pay Discount -Thank you! Overpayment Refund (check enclosed) - ~~_ ~ - Totat Payments/Credits r---- ~ ~aiance Due Amount 5,595.00 x,795.00 ] ,345.00 135.00 9,870.00 294.27 120.00 40.00 -40.00 175.00 150.00 200.00 939.27 -197.40 293.13 I i $10,905.00 $-10,905.00 $o.oo y ~ Qt r I O L N J ~_. ~ _ w ff _M - ~ ~y r..f - ~ ~. 0 ~ K II : - ~ .c ~ D ~# ~- _ F- =' o a b iFj . C- f1: o o :.3 ~ ~. ~ ~., ~ 'd` Z n o ~ _ ~'' ~ -~~n ~ ~ ~ r-+~ ~ , _. n " fi ~ ~~Q~ Q : T .Z n T.q ~ - _ Ltl : Q ... cf1. -~° _ ~3yli.~- 8=- tY ~ ~ ~ .~' i Lt! tL1 t7t s: ~~~~~' O_ ~ rt C> 2tL,.~ £3 t~ ~ YLi ~ ~ ~ o ~ ~ 4i$ ~°~9 GCS ~ - z ~ ~= S+l . iu a:~t -L17 ~_~` tip c'~3 iaJ . _. v ,~. ~ ~, d L~ ~--i ,4, . ~. - ~ ~ H. } oq ~ t11 . Q o ~ r.. " ~ ~ ~ ~ ~ iv 2- .x.c,.r- > ~ ~ n.Q_~ boo Office of Catholic Cemeteries Diocese of Harresburg PO Box 3651 ' Harrisburg, Pennsylvania 17105 Phone (717} 657-4804 NAME t E~~'Idr~ ~3/LL~fi~ ~ sr~ SALES CONTRACT DATE ~.R`"EF i~ , ~ ~` CEMETERI~C' ~"r~a~' CEMETERY# ~ A/N P/N A/R ADDRESS ~~~~`~ ~ C1-rY -i~~~~'// STATE f ~` ZIP CODE /~ ~~~~~ ~~~ Interment Spaces ...~... @ ~ ~ s $ ~ 1. price ................. $ c. Bronze Memorials....... @ $ Size Granite Foundation...... @ _ $ Burial Vaults ........... @ ~ ~ $ Crypt Spaces .......... @ $ Niche Spaces .......... @ $ Other $ Section ~ Loth Grave(s) Building Side Crypt or Niche ~~~6ref~! ~'d 2. Down Payment ~~~~ ~ ~' 3. Unpaid Balance(1-2) ..... 4. Finance Charge......... f__.. 5. Deferred Payment (3+4) .. P`" 6. Tota{ Price (1+4) ....... . ~~ 7. Approx. Monthly Payment 8. Number of Payments ... . 9. First Monthly Payment Due Selection must be made within 30 days or cemetery will make choice. 10. Annua{ Percentage Rate f l / ~ ~wfi Th~ ~~r~~ G `~/ ed above and the remaining payments on the same day of each succeeding month: J / ~ yet gu, r S~t II amount;due without penalty and will be entitled to a proportionate refund of the unE ~ W Up, ~~~°~ installment due hereunder for a period in excess of one .hundred twenty (120) days, Sell ~~9~~ 'cement and retain all payments made by Buyer as liquidated .damages. Buyer hereby acknowledges receipt"of an exact executed copy of this agreementat the time of execution hereof. Before any burial is permitted in this lot, or any memorial placed on this lot, the price of the grave and memorial must be paid in full The Purchaser(s) agree(s) to abide by .all rules and regulations of the cemetery now in force as wel{ as any rules and` regulations which may hereafter be adopted: Said rules and regulations maybe seen upon, request at the Seller's office. Upon fulfillment of fhe conditions of this agreement and receipt of all the above described payments, Seller agrees and binds itself to convey to the Buyer, by its cemetery easement, for interment purposes only, the above mentioned number of sites. YOU, THE PURCHASER, MAY CANCEL THIS TRANSACTION BY WRITTEN NOTICE AT ANY TIME PRIOR TO M}DNIGHT OF THE THI D BUSINESS DAY AFTER THE DATE OF THtS TRANSACTION. / - (Authorized Representative) (Purchaser's Signature) ~`- NOTICE: See other side for additional information: (Co-purchaser's Signature) ` Z ~ m fA C ~ m r~ O ~J ~ 't 'r ~ p c o ~~~ O Y R ~ I ~ ~ ~~ t= ~ U Q. _ ~. ~ ~'~ .e `~ ` ~ ~= ~ :~,; '~'~ ~. m o ~ O \~ ~ti ~ ~ p J m °f ~ : ,~ i. "~. =' a E . \; j C ~«_ ~ 41 O l = ~ ' r~ m , o ~. ~, v ;,.. ~ .r `.` s a ~ _ -0.. ._,.. . ,~. ~. Q. ..._... J r J J ~ ` ~i ` ~'' 4 ^ Z . ~ a ~` t ° ~_° ` ~~ w ~, ~; ~- m m .-. m m ~ m ~ U U > t!1 ~F ~ . ~ m = T m ~}` ~ t i ~ `I ~ L ~ ~ p ~ m~ m O Y ~ f I ~.- ~ s ~ 1 'a ` ~ Q E -S z O UP 4 ` o = m ~ N O _ F ~ ~ E ~ ~ ^^ c (O =ZZ , m ~- U J~ ~~ Cn Y' ~ U £1 p m m > m Q _ -- ~ E-a _m -~ ~ 3 x S mU > v m ~t> ~;: o o ,~ a ~° J ~ ~ ~ z O ~ `"~, o ~, Z ~ Z __ ~ 0 i ~ ~ ti ~~ ~ c m ~ ~' ~ m` ~~ ~ ~ O '~ !2J V ~ ~ ~ m m ~ .~Y O ~9 tL. ~- ~ ~ ~ 7 m ~ r .:~ `a - ~ o ` 4 -,,, 7 O ~` ~~. ~ ~ ~ ~~ ~. ~ Z ~: _ O Lm i ~ ~ '~„~ W R "c '~, N ~ m CC m 0 ~ p ^,, ,~ ~ =< c ,, m c ~ ~ E O ~ 1t i .i m ~ t~ ¢ m O d ~ O C~ 7> m o ~: ~ ~ ~~ E `4v m Q. E ~ E ~ O ~ ; ~ m _~,v ~ a, _`o 0 0 i ~ 7 L C t 'L ~ m ,.C ~'. C U m m ~ ~ m LL ` `m ~ V N ~ O d ~ Q ~ E o o ~ ~ cn ~ m~ O m~ U m Y V m L U 0 m Q ~a U a >, E E E ` m ~ U ~~ Q o It ~ ~ E m U O O E a ami c ~ m ' m ~ .°~ . O ~ LL m ~ ~ en m 1- a m > O O ^ ~ ~ O^ ~ ^ ------ ~ cu~s~~. ~Q. 2 3 4 411 VOIDAFTER gi ~i ~~4`[~ Qj, 90 DAYS ~~~~~.~, ~~1~~ 60-8255 2313 ? DATE- CHECK NO. P.O. Box 6513, NEW CUtJBERIAND, PA 17070 ~~~.~$ ~~~~~,~~~. PHONE(717)Ti47706 Af~iOUNT Y ~:~::x~::2s7.f}Q ~#t~~~~~ ~ERI~NSA~6~i TOTHE ESE: E'~E6T$TER ELF p~I~~S ORDER OF .~ E ~` i ~.AtJTH ~I2.ED SF 'AT:.1RE ~` 2 3 4'4 3~ ~~~• >i; 2 3 ~ 38 2 5 5 ~jl,~r 90OOOtJ0 7tt``~r 8 ~' °° ~. r~~ ~ ~ ~~~ ~`~ ~' ~~¢p tomes >^ ~a ~~~ °~ uJ~ // .,,1=- ~e-r ~ ~-~3 ~~~ ~ lDi~ r~ -r-~ _ S:~ bsf .~ mac! ~ ~ .~ .~ r/v~e ~ u r s ~`! RECEIPT_FOR_PAYMENT GLENDA EARNER STRASBAUGH Cumberland County - Register Of Wills One CourtY?ouse Sqquare Carlisle, PA 17ff13 DUM JOANN F Estate File No.: 2008-00399 Paid By Remarks: CA~EDON J FERTENBAUGH ________________________ Receipt Distribution Receipt Date: 4/18/2008 Receipt Time: 08:52:05 Receipt No.: 1052371 Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 12.00 CUMBERLAND COUNTY GENERAL FUN _-------$12.00 Check# 2 $ Total Received......... 12.00 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 May 23, 2008 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Barbara Sumple-Sullivan, Esquire RE: Joann F. Dum Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: May 9, May 16, and May 23, 2008 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director The Patriot-News Co. ' 872 Market St. Harrisburg, PA 17101 Inquiries - 717-255-8292 BARBARA SUMPLE-SULLIVAN 549 BRIDGE STREET NEW CUMBERLAND PA 17070 ~,he~latriot News Now you know ' ~ ~O' ~ ~ ALL CHARGES ARE NE ACCT # NAME AD ORDER # DATE EDITION ADDTL. INFO. TYPE OF CHARGE AMOUNT 13197 BARBARA SUMPLE-SULLIVAN 0001841232 04/23/08 REGULAR BOLD TEXT CHARGE $4.00 13197 BARBARA SUMPLE-SULLIVAN 0001841232 04/23/08 REGULAR BASIC AD CHARGE $93.90 13197 BARBARA SUMPLE-SULLIVAN 0001841232 04/30/08 REGULAR BASIC AD CHARGE $93.90 13197 BARBARA SUMPLE-SULLIVAN 0001841232 05/07/08 REGULAR BASIC AD CHARGE $93.90 AFFIDAVIT CHARGE $5.0( TOTAL: REMITTANCE ADDRESS The Patriot-News Co. 23794 Network PL Chicago, IL 60673-1237 $290.70 Please include the Account # or Ad Order # (above) with your remittance--Thank You NOTE: This Invoice replaces the Order Confirmation which we previously sent with Proofs of Publication Mark Heckman Real Estate Appraisers 1309 Bridge Street, New Cumberland, PA 17070 No. 1521 Main ********* INVOICE ********* File Number: 1521 Main 05/27/2008 Barbara Sumple-Sullivan, Esq. 549 Bridge Street New Cumberland, PA 17070 Borrower : N/A Order Date : April 24, 2008 Reference/Case # 1521 Main Street Mechanicsburg, PA 17055 Single Family Appraisal Report Invoice Total Deposit Deposit Amount Due $ 350.00 -------------- $ 350.00 ~$ ) ~$ ) -------------- $ 350.00 Terms: Net 30 Days: A finance charge of 1.5% per month will be added to outstanding balances over 30 days Please Make Check Payable To: Mark Heckman Real Estate Appraisers ___ ,:-- -:,_ ROBERT ENSMINGERLAPPRAISERS REAL ESTATE and PERSON FEDERAL TAX ID #23-249038 ROBERT A. ENSMINGER GPPA, CBA, CRREA 3557 ELI`QERTON AVENUE H?.RRISBURG, PA 171U9-1132 PHONE 717-652-4111 FAS 717-835-0638 CELL 717-R77-7350 E-MAIL: ti1TZeCOIILP~~'cAnlC2st_nc'L or Robert.~Ensmin°_ers-net wEB SITE: w~vlv.Ensminsers.net INVOICE July 9, Zoos Creedon Fertenbaugh 615 S. York St. Mechanicsburg, PA 17055 Professional Appraisal Service: Personal Property ~' Estate of Jo Ann Qum 7j~ 1521 Main Street Mechanicsburg, PA 17055 l ) ~~ ~~ !i ~~ a ~~~~ i ~ ~ ~ V/ t~~ ~ ~ ?00.00 (Includes contents of storage lockers at 4751 Westport Dr. Mechanicsburg, PA 17055) ,,xe~'xc,l~,~crs~-- . ~~ /v r v~ ~~,ct Gcr NEVI CUMBERLAND PO NEW CUMBERLAND, Pennsylvania 170702163 4134870070 -0096 cBOD)275-x777 12:57:37 PM 04i17i2oos Sales Receipt Sale Unit ----'`- Final Product Qty Price Price Description 17070 c M ~ ~~ $0.41 lass Z ~ O F t Letter 0.70 oz. Return Rcpt SGreen Card) $2.15 $2 65 Certified 70080150000252892267 Label #: -$0.58 Customer Postage $4.53 Subtotal: ________ $4.63 Issue PtfI: $D.41 WARWICK RI 02887 Zone-3 First-Class Letter 1.00 oz. Return Rcpt tGreen Card) $2.15 $2 65 Certified 7008015000Q252892274 Label #: -$0.99 Customer Postage $q.22 Subtotal: _______- $4.22 Issue PVI: Post S U al Ser vice-,: . . ECE[PT RT1F lED MAIL.,: R CE nce Coverage Provided} M ti ai! Only ; Na /nsura c (Domes • site at wvrw•us - ps com~ in ~ mar d~ti~~rY .rr.h tormatia ~tiSe'Z{llf visit our web n ~;T.1 4 _ _ ~ ~m g 4 m ~ ~ Postage Ced3tied Fee R L7 arsemetrtAegW~1 ~d n Restrt~ted DeHvety Fee ant Aequlred) Q (Endmsem a Total Postage a Fees a , 0 O Se ~ or $~_ Total: Cash by. $$1.~5 Change Due: Drder stamps at Go tocLlSPsS com/clicknship 1-8p0-Stamp24•in labels with postage. to print Shipp g For other information call 1-800-ASK-LISPS. Bill#: 1000401855829 Clerk: 03 All sales final on stamps and postage- Refunds for guaranteed service~ssonly. Thank You for yDUr bus x~xx**xxri*x~c~~cxxrcx*x~c~r>tixx*yr~~ycxxx*xx*x~cx HELP US SERVE YOU BETTER Go to: http:~~gx•gallup.com/pos TELLPOSTAL UExPERIENCECENT YOUR OPINION COUNTS .._...--~.+,rr]C*X7C XYCXYL,IC X,RX7C~t Xy(X7C7r y(7(X7f X7Cyr ..'v-•xt ~- ,, _ • r~- ~ ~ _ tv _ a- ,,_ ~ , i11 Postage » Ceriilied Fee ~ ~ Fee Aetum RecaiPt t~ . (Errdorsament Requrredj n Amsted Delivery Fee p (Endorsement Required) s.t'1 ~ Total Postage & Fees ~ Sent 70 O O S7reei,~pi No.c-____ ('+- or PO Burt No. __~ t3:1}?- F~~Qti` irt~i G~~~~ ~ - __ '~ rf 1 i . ~r.~l ~[9'(tf~?~~1r11~ l~I. . .,~~~ Hera. `~ ~~ ~ ' ~~t ' ~_~ .r~¢I17I~8' _ " `-.__._ __ __ YORE WASTE DISPOSAL, INC• 373© SAND1iURST DRIVE YORi{, PA 17405 • •' : • _ , ••- • • • • •~ CREEDON FERTENBAUGH 09/02/08 1110956 13811 30 040121 C800) 210-9675 1521 MAIN ST FOR PERIGD: MECHANiCSBURG PA 17055-ENF1 ~' PAGE NO. 1 AUGUST 2008 • • • • s •' - 50.00 1.00 1 9/02/08 SDYD aPEN TOP RENT . i i ~~ ,~ ~ ~~ T;~~- ~~ ~: ~~ ~~ BAP~RCMTHLFINANCENCHG ONY7/2/07 **CUR 1.5 PAYMENT TERMS: DUE UPON RECEIPT Please visit our website www.Yarkwaste.com The environmental compliinc2008rtiThisfishnotFaetaxnPayablentoltheegovernmentnge October ~ fiance costs. ctive compl to 4% effe our environmen~al rather it is used to defray • ACCOUNT STATUS • ,~ ~, •~ .• .~.~ • ~ n n n --------------------- 50 . 50. YORK WASTE DISPOSAL, INC. 3730 SANDHURST DRIVE YORK, PA 17405 10/01/08 1121778 3811.30 040121 C800) 210-9675 FOR PERIOD: PAGE NO. 1 SEPTEMBER 2008 10/01/08 30YD OPEN TOP RENT ~,~,~ ~o~ ~~~ CREEDON FERTENBAU6H ~~~ _ . Ct1ANICSB PA 17055-ENF1 .. _- 1.00 50.00 PAYMENT TERMS: DUE UPON RECEIPT Please visit our website www.yorkwaste.com The environmental compliance portion of the nFuel/Environmental Fee° will change to 4% effective October 1, 2008. This is not a tax payable to the government; rather it is used to defray our environmental compliance costs. ACCOUNT STATUS 50.00 b0.00 002466.000001-002491 2021455 2240ST011 3 York Waste Disposal '3730 Sandhurst Dr York, PA 17406 CREEDON FERTENBAUGH 615 YORK ST S MECHANICSBURG, PA 17055 ~~ J_ ~'1 ~L \\ l~(}RK i6~TE DIS~OS,~L ~~= a strc ~~~~ ~~ INVOICE invoice Date 11/03/2008 Invoice No 1133618 Account No 3811 30 0 40121 6 Service Period OCTOBER 2008 Page No 1 of 2 Due Date 11/18/2008 Current Charges_ Total Amount Due $50.00 1$50.00 ~ _ _-~ - Please Pay Total Amount Due Billing Questions? Call 800-210-9675 sit us at our we6site~ www vnrkwacta ~~,., A finance cf~arge of 1.5% will be assessed to all outstanding - balances aged 60 days or greater Service Address~EDON FERT~NE QATE l1~E13 f 2QQ8 ~. _ 3 QYCk-:OPE1+1: SOP REittl ~ ; - IUIHL 1.00 50.00 Total Current Charges =______=__> 50,00': The environmental compliance portion of the "Fuel/Environmental Fee" will change to 4% effective October 1, 2008. This is not a tax payable to the government; rather it is used to defray our environmental compliance costs. 1521 MAIN ST, (LISBURN RD), MECHANICSBURG, PA 17055 LION ..- QllAiVTITY RATE _ ______~___~_'~_Piease--refurn~~e portion ~elowwit our --- - --- ----- _ _ __ y payment. Do not attach check to stub. J~ J~ _ Space Mart -Mechanicsburg 4751 Westport Dr Mechanicsburg, PA 17055 717-790-9100 Tenant Joann Dum i,nnp~nv cio: Creedon Fertenbau~h .aaaress 615 S. York Street City, State> Zip Mechanicsburg. PA 1705 Date Unit Description 05/25/08 D932 Rent 5/25-'c 05/30/08_ D932 Lame Fee Payment Receipt Date Printed May 30, 2008 Payment Date May 30, 2008 8:52 AM Unit D432 Available Credit 0.00 Current Balance 0.00 Paid Thru Jun 24, 2008 Receipt Number 40281 By PW Tax Total Payment Meth aarge Discount ,3 20 X33.20 233.20 Chec 97.GG 27.00 0.00 G.00 10.00 10.00 Cred lO.OC 13.20 Tax°es 220.00 Payment (less tail 233.20 Payment Subtotal 10.00 Credits Applied 0.00 Refunds Avol_ed 293.20 Total App'-led to P.ccourt 0.00 Current Accoun*_ Balance Check 109 Paid 3y Jun 29, 2008 paid Thru Date ' WebBEST Receipt - U-HAUL EQUIPMENT CONTRACT Contract Number: 00318783 Monday 9/22/2008 9:28 AM Customer Name: creedon fertenbaugh 615 5 York st Mechanicsburg, PA 17055 U-HAUL MECHANICSBRG (811055) Cust Ph -Email: 717-364-9003 ~- In-TOwn Return 4725 OLD GETTYSBPAG17055 MECHANICSBURG, Page l of (717)763-767 Rental Date/Time: 9/21; 2008 10:45 AM Return Date/Time: 9/22/2008 9:28 AM _~.--- -----,-,- ea r Ch ble Rental Penods: 1 __ ._.~~- .~ m----- Rental Rate =Rental Charge _;Actuai -----°-•---- Damage C arge: Charges ' g a .._ ,w~ "" ..~ --.--.>------- ----°- a Coverage Missing 'MI In MI Rate MI Charg _ or 2 5' $0.00 29 95' $ - Equipment _-__ . _ .. „. _. MI Out _ _ $0.00 12' OPN TANDEM TRAILER Pla[e: 82R466 .._ _.___._.~.__ .~..~ ~.-.-.~m -----°~ ..._._.w . -w°°_'."M.."""_`"`~,-.,.....~...,. _...~~_.._ _ ~._ SubTOtal: $29 Mate: TX _ _- .. ~ _,,, - .~..._..._.__.___, ____... Tax: Rental Charges: $32 ~. Previous Paid: S~ i! t Check Payment: S3~ i Auth: Check #: s739i Net Paid Today: 53. 1063 uthorize the payee [o electronically debit my account for the check amount and a fee of $25.00. To revoke this authorization call: (7N0 e 7E If this check is returned unpaid, I a 6600 ext. 3 ment and no incidence where this equipment struck or of er There was no injury or damage sustained by me or any other drivers or passenge • I confirm that during the term of my rental there was not an accident invor vlatetp opertyd U-Haul equip caused damage to any person or property either while on a public road or p of this equipment. v~ { ti t--, ~ `~J~~ JASON TURNER i' •{, ~.~ ~ ~ l Customer Signature - (creedon fertenbaugh) ~~~' t7~ ~ ~.~j 1~ "Y~ i ,'r_ '~ .. • ~_nT~c7~oQR_T1R(`A-4 9~~. WebBEST Receipt ,* U-HAUL MECHANICSBRG Contract Number: 03585422 (811055) Tuesday 9/23/2008 8:34 AM CuSt Ph -Email: Customer Name: 717.364-9003 Credon Fertenbugh 615 s York st Mechanicsburg, PA 17055 Rental Date/Time: 9/21/Z008 9:10 AM Return Date/Time: 9/23/2008 8:34 AM "' Chargeable Rental Periods: 2 .___ ~.-_ Equi ment MI Out P MI In MI Rate ~~MI Charge Coverage _w. _ - g0 _ _ 1T TRUCK ~~~ 148148.0 . 148186.0 .60.59 X 38.0 $22.42 '.EL 4108H .Plate: AB18380 ~'~ 'State: AZ _~-~ E Page 1 of in-IOwn ecewn. ~.~~~ 4725 OLD GETTYSBURG (717)763-7E MECHANICSBURG , PA. 17055 ~^ $59.90 $8 Environmental Fee: $ subTotal: $8 Tax: $ Motor Vehicle Tax: ; Rental Charges: $~ 'i Previous Paid: `- Auth: Check Payment: $` Check #: 13842 1064 Net Paid Today: ~' ~I' If this check is returned unpaid, I authorize the payee to electronically debit my account far the check amount and a fee of $25.00. To revoke this authorization call: (703) I~' 6600 ext. 3 li • I confirm that during the term of my rental there was not an accident involving the rented U-Haul equipment and no incidence where this equipment struck or otherwise caused damage to any person or property either while on a public road or private property. There was no injury or damage sustained by me or any other drivers or passeng of this equipment. ~~ IF , ;: f , JF-- t ~ J ~~ Customer Signature - (Credon Fertenbugh) ~ ~~ ~, _ - ~ ~~ ~ '~0~~ ~ ! ~s2~=~ . 'j ;:?,LZ~ ~ (I ~~l ~ L ~l Ji,l ~ . li 1/ ~~Z~, ~~~ JASON TURNER o/receipt.aspx?source=printing_obj ects& quid=OOE67F 00-D973-4E0... 9!2 ....r..... ---- -- t , _ . -_ ~~ WYNDHAM VACATIC3N RESORTSr~ June 10th, 2008 ESTATE OF JOANN DUM CREEDON FERTENBAUGH, ADMIN. 615 S. YORK ST. MECHANICSBURG, PA 170550000 Re: Contract # 000199608415 Dear Valued Wyndham Owner(s): This letter is in response to your request to transfer ownership of the above-referenced contract. In order to transfer title on property that has been previously deeded to you, you will need to do the following: 1. Prepare a new deed. It is the responsibility of the owner to have this document prepared. ***Wyndham Vacation Resorts cannot prepare a deed transferring ownership between other parties. We suggest contacting a local title attorney or title company should you need assistance. If you do not know someone who performs such services, Wyndham can recommend some agencies or firms that routinely pertorm these services. 2. This new deed must be recorded in the public records of the county where the property is located. 3. When recorded send Wyndham a legible copy of the newly recorded deed along with the following information about the new owner: New owner(s) information (The new owner(s) may provi~'the following information directly to Wyndham; however, the ownership change will not be completed until all information is received. Wyndham is not responsible for collecting such information.): 1. address 2. phone number 3. social security number 4. date of birth 4. if your aor>~ i~_add-of.ttze.Fai~Staace~l?htssystem, please also submit anon-refundable processing,fee. of $iQO.QQ payat~ltltyndham Vacation Resorts, Inc. -lease sen above items io: Wyndham Vacation f2esarts, Inc., Title Services, 8427 South Park Circle, Orlando, Florida 32819. Upon receipt of the information and documents requested above, Title Services wi[I process the ownership change. The entire process involves offices in both Orlando and Las Vegas and may take up to 30 days to complete. Thank you in advance for your patience. Please contact Title Services should you have any questions at (800) 251-8736, option 2 then option 3, or by fax at (407) 248-4417. Sincerely, Wyndham Vacation Resorts, Inc. Title Services Wyndham Vacation Resorts, Inc. (800) 251-8736 ph Title Services (407) 248-4417 fax 8427 5otrthPark Circle Orlando, FL 32819 REV-7512 EX + (12-03) ~, , , ~ ~h COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT TATE OF JoAnn F. Dum 21 Record debts incurred by the decedent prior to death which remained unpaid as of the date of death, include unreimbursed medical expenses ITEM NUMBER DESCRIPTION AMOUNT 1. NCFCU Home Equity Line of Credit, Acct. No. 081624(L3) (As of 4/09/2008) $50,611.18 2. Promissory Note to Parents (8/18/2004) (No payments ever made) $30,000.00 3. NCFCU Auto Loan, Acct. No. 091624(L4) (as of 4/09/2008) $17,690.00 4. Choice Citibank Visa, Acct. No. 4428135230838856 (as of 6/12/2008) 5. Lowe's, Acct. No. 81923390648097 $788 49 6. Verizon Wireless $411.88 7. Verizon ($68.96, $47.58) $161.59 8. PP&L ($41.98, $26.97, $31.47, $35.67) $116.54 9. Lower Allen Township -Sewer and Trash $136.09 10. Cardiology Diagnostic, LLC $183.75 11. Quantum Imaging $35.00 12. York Waste $50.00 13. Pinnacle Health $102.99 $50.00 SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES. & L TOTAL (Also enter on line 10, Recapitulation) I $100 337 51 more space Is needed, insert additional sheets of the same size) --- -- - ---- -- - f , ------ - - E Z ------- ~ g ----.-. 1 O \\ 1 >-~ O O V' m g E t_.3 Q- , ~ O O C71 a--1 O t D M M ~ O t W t.fl ~ ~ ~ C)1 i O D ~ ~ ~ O t O O N [~ N ~ Q t- '~' [ N ' ~ i0 1 U m ~ ^ O ~ f- OD i l~ O V O1 4- S.Lf ! -- U ~~ O U tY , D Q p ~p ~ ~ LL ~ E.E.1 1 ~ f, 1` m o ..,~ : m r u oc ~ Eu o ~ E ~ z o o i 0 oztX'i z , ~ orn i -•0 0 Oo o ~csc~o>-- , Zrn ,r, a. c ~.. cn c o E ~ .~ ~ o o .. o 0 o c ~ crv ~c~ }n.o 0 00 ~ ~ v , __ ZOZ~t~ ~ ~ ~ cil `+. ~ ~ O m a U 0' ~ 3 z o 0 00 3 .~ m 3 -• . ~ V ~ ~ x ~ N tiI ~ pp ~p a E7~ U' O O `n g ts.1 l0 l0 w ~ ~ } O O O a a~ ~¢n v~r [i O O o a E, Z i-r Lim Cn 1J_f Q O N ,~ ¢ ~ Q >~ ~ !~} ~ m ,~ m . . d = z ~ cn o ,r, ¢ o o ~ cn O O .-~ „ E o~ ~ n o ~ tt.t ~ i ¢ I I rr~r ~ !Y U' i = U :- rr , i- i ,~ ~ ~ cn o E L3C W ~--t O OD rn a V o m , ~.-•v ~o~N s~, nZ cn E mZ - ° E ~ u ~ r-t rn a ~ ~ z , ¢ ~~ ~co o W z ¢ E d3 m o r. ~ ~ z ~ z~tm= E N tt~~ ~ ¢N u , \ ~ O tl) O Lt! E ~ ai C. 7 ~ ~ a--1 tY ~ E W E ~ U E ¢ J e--1 G" ~' ~ ~E, o0 J i ~ m ~ , .. R 3 E v ~_ ~ ~ , ~Q ~--~~mQ ~Q i -.,~ Q~ E ~ ~~~~ I I N ~~ _ -2 __~ ~. ;~' -~~ . OOLO-bb£ (OL9) NOISIAId 3JtlIla3H/1D3tl10 OaVfl'JNVA ~.. ~ = v -~ _, Promissory Note ....................................................................... ec~ Principal Amount _ ~G; UOQ ........................................................ Dated: ~ ~s ~ /~ , 20~_ State of: ,~ ~ nosy ~~~ n, ~ [[~~ FOR VALUE RECEIVED, the undersigned herebyjointly and severally promise to pay to the order of Crez~on S 4- ~'Tr,Y,i (l~li ~ ~~~e~~L~~~ e sum of ~/r,-F -f~.F.~: s~~l together with interest thereon at the rate of Dollars ($ .?q ~. oo j per annum on the unpaid balance. Said sum shall be paid in the manner following: o~ All payments shall be first applied to interest and the balance to principal. All prepayments shall be applied in reverse order of maturity. This note may be prepaid, at any time, in whole or part, without penalty. This note shall at the option of any holder hereof be immediately due and payable upon the occurrence of any of the following: 1. Failure to make any payment due hereunder within .days of its due date. 2. Breach of any condition of any security interest, mortgage, pledge agreement or guaranty granted as collateral security for this note. 3. Breach of any condition of any security agreement or mortgage, if any, having a priority over any security agreement or mortgage on collateral granted, in whole or in part, as collateral security for this note. 4. Upon the death, dissolution or liquidation of any of the undersigned, or any endorser, guarantor or surety hereto. 5. Upon the filing by any of the undersigned of an assignment for the benefit of creditors, bankruptcy or for relief under any provisions of the Bankruptcy Code; or by suffering an involuntary petition in bankruptcy or receivership not vacated within 30 days. In the event this note shall be in default, and placed with an attorney for collection, then the undersigned agree to pay all reasonable attorney fees and costs of collection. Payments not made within five (5) days of due date shall be subject to a late charge of % of said payment or $ .All payments hereunder shall be made to such address as may from time to time be designated by any holder hereof. The undersigned and all other parties to this note, whether as endorsers, guarantors or sureties, agree to remain fully bound hereunder until this note shall be fully paid and waive demand, presentment and protest and all notices thereto and further agree to remain bound, notwithstanding any extension, renewal, modification, waiver, or other indulgence by any holder or upon the discharge or release of any obligor hereunder or to this note, or upon the exchange, substitution, or release of any collateral granted as security for this note. No modification or indulgence by any holder hereof shall be binding unless in writing; and any indulgence on any one occasion shall not bean indulgence for any other or future occasion. Any modification or change of terms, hereunder granted by any holder hereof, shall be valid and binding upon each of the undersigned, notwith- standingthe acknowledgment of any of the undersigned, and each of the undersigned does hereby irrevocably grant to each of the others a power of attorney to enter into any such modification on their behalf. The rights of any holder hereof shall be cumulative and not necessarily successive. This note shall take effect as a sealed instrument and shall be construed, governed and enforced in accordance with the laws of the State first appearing at the head of this note. The undersigned hereby execute this note as principals and not as sureties. www.sovates.com Page 1 © 2004, Socrates Media, LLC Lf293 • Rev. 04/04 Signed in the presence of: - -------------- l ~~ Witness: Born er: ~ ''~ Witness: Borrower: GUARANTY We the undersigned jointly and severally guaranty the prompt and punctual payment of all moneys due under the aforesaid note and agree to remain bound until fully paid. In the presence of: Witness: Guarantor: Witness: Guarantor: (Seal) Notarized by: Page 2 wwwsoaates.crnn ®2004, Soaates Media, LLC LF293 • Rev. 04!04 --- ---- " Illllllllll~lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll Phillips & Cohen' g~sg dates, Ltd. ~~ Ph 866-46 P.O. Box 48458 ~ Fx 302-368-0970 Oak Park, MI 48237 Return Sen~ice Requested Office Hours: M - Th: 8am - 9pm 06!10/08 Fri: gam - 6pm Sat: Sam-12pm J DUM 258 Chapman Rd 1521 MAIN ST LISBURN RD #3 Suite 205 MECHANICSBURG PA 17055 Newark, DE 19702 Account #: 4428135230838856 ,- Balance: $788.49 _ ~G'~J ~=~"'l` _ _ _ _ _ *** PI.F.,ASF. DETACH AND RETi?R*1 IN THE ENCLOSED ENVELOPE WITH POUR PAYMENT *** Citibank ! J ~ ~J ~ , ~~ t,~~ Client: 8856 9 ~ -.°' L/ '' Client Account: 442813523083 ~~ ~i'- ~ Our Account: 12234618 /1 ~~!~,T'~' ~ (~~/ - Balance: $788.49 U i ~ `~ ,,,~ ~ v To The Estate of J D ' reference to an count in the nam ~ J DUM. We have teamed that J DU Our company represents Citibank In who was a valued customer, has passed away. Please accept condolences from our client and our company. There is an unpaid balance on this account. Please accept this letter as a Notice of Claim on behalf of our clien This letter is sent to you solely in your capaciti tionaoP this matterrand payme t ton thisaaccount D If you! areenotlltl office toll free at 866-463-8458 to discuss reso personal representative, please contact us with the name and address of the personal representative or attorney ~ is handling the estate. Cordially, Phillips & Cohen Associates, Ltd. ** IMPORTANT CONSUMER INFORMATION ** Unless you notify this office within thirty (30) days after receiving this notice that you dispute the validity of this c any portion thereof, this office will assume this debt is valid. If you notify this office in writing within thirty (30) d~ from receiving this notice, this office will: obtain verification of the debt or obtain a copy of a judgment and mail copy of such verification or judgment. If you request this office in writing within thirty (30) days of receiving this i this office will provide you with the name and address of the original creditor, if different from the current credito communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be for that purpose. Phillips 8~ Cohen Associates, Ltd. • 258 Chapman Rd, Suite 205 Newark, DE 19702 866- 46,3 8 (QESP)45:T070:009641:001:1000:08162:PU01: PCAL041:01: Account Number 4428 135C 3083 8856 Customer Service: 1-800-388-2200 Total Credit Line Available Credit Line Cash Advance Limit Avail able Cash Limi t New Balance BOX 6248 $1320 $531 $1000 $531 $788.49 SIOUX FALLS, SD Statement/ Amount Over Closing Data Credit Line Past Due Purch/Adv Minimum Minimum Due Amount Due 57117 05/20/2008 $0.00 + $81.81 + $64.80 = $146.61 Sale Date Post Date Reference Number Activity Since Last Statement amount Standard Purch I 0 ~ % ~ U C A NA E Y H R 5 2 P R H S S*FI NCE C A 6E*PERIODIC RATE I 18.80 Extra Cash Extra Cash Total Extra Cash Extra Cash Transferred To Your Earned Thts Period Adjustments This Period Earned Thls Pertod Extra Cash from Cttt Account 0.00 _____0.00 0.00 n_nn f No Extra Cash was transferred this month to your Extra Cash from CItI aceount. Th(s may be because you made no eligible I purchases or because a cred(t/adjustment/dispute exceeded the amount of eligible purchases. Your late fee was based on your account balance as of the payment due date (05/13/08}, which was $730.69. Your account is two months past due and your credit privileges have been susaaeZd~i~. Pica;` :,all the-tnl'-fires-number--shown above, Wonday - Friday,_7_ am-- _ to 9 pm, or Saturday, 8 am to 5 pm, Central Time. If you have already sent us this payment, thank you. ~ ~~~ ~~ ~~ ~~/ Attount Summary '""'~' Baiance `'~ ~"' "1Q'QD t-t raymenrs & Advances 6 C dit t+/ t1iW4MGt CHARGE (_} New re s Balance PURCHASES ADVANCES $730.69 $0 00 $39.00 $0.00 $0 00 0 $18.60 $7g8,4g TOTAL . $730.69 . $ .00 $39.00 $0.00 $0.00 $18.80 $0.00 $7gg.gg Da s Th is Bflitn Period: 32 Rate Summary a ante u je o ergo is omina ANNUAL Finance Charge Rate APR PERCENTAGE RATE PURCHASES Standard Purch 739.76 0.07942%(D} 28 990% 28 990% ADVANCES . . Standard Adv 0.00 0.07942%(D) 28.990% 28.990% SEND PAYMENTS T0: CHOICE VISA PD BOX 183063 COLUNBUS, OH 43218-3063 PLEASE_F~11tLtLPAL'MEHLIBS2RULLLOBS QI!_@EYE6Sl_SLD.E._PAYMENS NLLSJ_flE. Visit: www.citicards.com 1046N lYER 3.:D03d1_LQC6L T1NE~N_Ofi/1212D08___________. Cl-KK,~lCE~ 14428135230838856078849114661 D017 Your Account Number 4428 1352 3083 8856 Please Enter Amount Of Payment Enelosetl Payment Due Date Your Total Balance Minimum Amount Due JUN 12 2008 $788.49 $146.61 1046N CV 00 A 1 BR1210606 a _. I.aaIli..elll...al.la.1.1.1.1.al.al.il..a..il.l.la.l.laaalrail lal.al..ilia.lalaralllaal..allall...all.a..tl.ilaaal a . CHOICE VISA '" .1 F DUM PO BOX 183063 a '= 1521 MAIN ST LFSBURN COLUMBUS, OH 43218-3063 RD lt3 MECHANICSBURG PA 17055-9803 I~s~s~n~~~uiiliu~~~~n~i~ltltif~~~~t~.iL6i.~IliLLIL.11 ~ ~ New Home Ptgne New Inem Pnane _.. ~-L ~ ~ )'tee' tl you provide an email Wtres; we mty use It to contact you about your account. yre may also use your e-rnaY atlttess to send you lydormation about pratlucts and services you mlylt find useful clot cMrgs9 of adtren, Pnorw rwmber or emaN abow.~ LOWES Everyday Low prices Guaranteed at ~owe's - Find a lower price and we'll match it PLUS take an additiona110% off! We guarantee our everyday competitive prices. Ii you find a tower everyday or advertised price on an ihtor's eurrent ad o awe II call torveriry theptem 5 that has the item in stock, wail beattheir priceby iD% whuemn~y~ouebuonl CompJetito hs closeout, specpzl order, discontinued, dearence, liquidation and puce that you have found. Cashtcharge card and carry p Y, homeoewner and one-house order quandtiesOforpcash and anyscontractors.lCunent n~storeopri~,r felower~overrideslt awe's advertised price Price guarardee honored at all Lowe's retail locations. tabor charges for product installation are excluded from our price guarantee offer in our stares wish an Installed Sales Program. Vutit stare for complete details. Account Holder: JOANN F DUM Lowe's Account Statement 7 Billing Date: 04/10108 Payment Due Date: 05!06108 Account Number: 819 2339 064809 -- :;,~t{sl~~~~lll~f~,#'t~ _ -' - -- = -- _ . - .-: _ _- - - {./_ Debt Can _ = New Minimum ... cellation ° plan Previous - Payments +/- FINANCE t j e & Adjustments Balance Pavm~_ ett Purch.. s - 'uerx' ( Tvce Balance 8$~rt3. c 41 $135.05 $539 n $7.52 $0.00 11 88 $15.00 $0.00 $4 . REG -_ _ Plan Tvce Amount ~ ---"-'--"- =_ Tran Date Invoice NumbeL '~ rars~riotion PAYMENT -THANK YOU (LATE POSTING) $SO.ODCR $0.03 CR 03/10 FINANCE CHARGE ADJUSTMENT"- $50.0008 03/10 PAYMENT -THANK YOU (LATE POSTING) $0.02 CR 03110 FINANCE CHARGE ADJUSTMENT $35.0008 'j 03/10 PAYMENT -THANK YOU $7 52 ',I 03123 'FINANCE CHARGE' 04/10 EtMANCE CHARGE SUMMAEiY onding ANNUAL res C Days This FINANCE Balance Balance Subject To p or Daily PERCENTAGE RATE Period CHA $G 2 Me2D d Billin Plan Type Finance Charge Periodic Rate 00% 21 3 $421.61 REG . .05754 % Total Periodic FINANCE CHARGE: $7.52 CUSTOMER SERVICE: For account information call 1-800-444-1408 NOTICE: PLEASE SEE REVERSE SIDE FOR BILLING RIGHTS AND IMPORTANT INFORMATION. PAYMENT DUE BY 5 P.M. ON THE DUE DATE We may convert your payment into an electronic debit. See reverse for details. ~ __ ___ _ - E page 1 of I 9294 0010 N076 50593 7009 0004 9i1D 2 7 10 080410 y/~ /lwire~ss P.O. BOX 17120 TUCSON, AZ 85731-7120 _.. Manage Your Account Account Number ;Date Due - Invoice Number 1426036836 I 10013006 Ot AT 0.346 "AUTO T3 0 7527 17055394221 1 34 E PHIL.2704 I~~~Ill~~tlll~~~~l~l~rltl~tl~lrl~ltrri~~l~~l~l~~III~~~IIIII~tI JOANN DUM 1521 MAIN ST MECHANICSBURG, PA 17055-5942 Quick Bill Summary Apr 22 -May 21 Previous Balance (see back far details} $105.92 No Payment Received $,p0 Balance forward Due Immediately $105.92 Accoun# Charges and Credits Includes Late Fee of $5.00 $5.00 Monthly Access Charges $42,gg Verizon wireless' Surcharges - -- _-- _ . _ and Other Charges & Credits $4.05 Taxes, Governmental Surcharges & Fees $3.63 Total Current Charges Due by June 16, 2008 $~,g7 ~'~ Via. .. t;.~"` ~,. _ . Save tirrle and Money tt's never been easier to enroll to Auto Biit Pay. See back of Paymerrt Coupon below for details. ~, 'd,~~ 6 I yl a ~ Iota! Amount Due C ~` ~~~~ ~~- ~. ~~~ } ~-~ ~/?'I, L~ r~ ~~ ~~L $161,59 Our records indicate your account is past due. Please send payment now to avoid service disruption. Pay from Wireless Pay on the Web j questions: ~~ t~er~nt~,~ P.O. BOX 17120 TUCSON, AZ 85731-7120 1001 3240 01 AT 0.934 "AUTO`` T9 D 1321 17055-594221 12 E PHIL2104 1111 " ~IIII~Itlll~l~ll'IIIIII'I IIIt11 ~11I1t~1~IIIII111'~III11~ JOANN DUM 1521 MAIN ST MECHANICSBURG, PA 17055-5942 Never !1'Uorry f~bout (Overage Charges Agai~1 Now with Unlimited Calling, you can make unlimited calls to anyone, anywhere in the U.S. for one flat rate - just $99.99 monthly access (taxes and other charges apply). Fnd out more. Visit verizonwireless.coMunlimitedtnday! \/v»; JOANN DUM 1521 MAIN ST MECHANICSBUR6,PA 17055-5942 Quick Bill Summary Previous Balance (see back fnr details) $106.01 Payment -Thank You -$106.01 Balance Forward $,p0 Monthly Access Charges $42,gg Usage Charges Voice $.00 V_erizon careless' Surcharges and Other Charges & Credits $3,81 Taxes, &ovemmental Surcharges & Fees $3,62 Total Current Charges $50,42 Total Charges Due by April 16, 2008 Bill Date March 21, 2008 Account Number 620881139-00001 invoice Number 1404986211 Total Amount Due by Apri116, 2008 $50.42 VE Make check payable to Verizon wireless e~ Please return this remit slip with payment ~U.4L ~~~^~1~ P.O. BOX 25505 LEHIGH VALLEY, PA 180D2-5505 ~nt~~~ull~~ul~~un/~.~~~,~u~t~t~ttut~l~l.~u~~ ^ Check here and fill out the back of this slip 'rf your billing address has changed or you are adding or changing your email address. Feb 22 -Mar 21 140498621Z010620881Z390DDD100DD05D4200DDD5D424 PPL Electric Utilities Electric Service For. 70ANN F DUM 1521 MAIN ST UNIT LLSBU MECHANICSBURG PA 17055 Questions about this bill? Please contact us Ma 5 at 1-800-34 -5775 (1,800-DIAL.-PPL) or write to: Customer Service -- 827 Hausman Rd Allentown, PA 18104-9392 www.pplelectric.com 1 ~ l ~ 1 ^ ..__ ... e~•. ^ ^ s• _ •~. Summary Page Balance as of Apr 14, 2008 $0.00 Chargge~s: TotarPPL ELECTRIC iJ`TILITIES Charges $41.98 Total Charges $41.95 ..... ; ~lEn8ga1~>~~t~~elt:?ilet ....:.: ~~-.. .:::... .::...:: ~.:.-- Account Balance $41.98 • Meter Reading Information Electric KwH -Average Per Day Use 36 30 This graph shows your electric use 24 over the last 13 months. I8 Types of Meter Readings: 12 Actual - Estimated -~._-.~-.-~-_.~~~.-_--_~-.-_~. Customer 6 Page 1 .-:~ttt1~$1~11.f~iCCDUti~:15T11ffibf"X. -:.:.= 60110-73006 - ~~ Meter #84612800 r 14 Actual l3 Actual 32 D KWH 23379 23049 a s Billed 330 Average -Apr 2007 2008 Tempperature 44F KWH Per Da 12 45F I 0 y Yearly Use: May 2006 -Apr 2007 May 2007 -Apr 2008 0 AMJ7ASONDJFMA 2007 Months 2008 Total Average Use Monthly 4774 398 4843 404 Other important information en back ~ ~, . , APL Electric Utilities E~eCtl'1C service or: JANN F DUM szl 1vrAnv sr urlrr rassu iECHANICSBURG PA 17055 :~; '. ,., : , ~':•"'":~; :'_ Page 1 .- ..._ pt~ •.-- .•., '-. n Summary Page Balance as of May 13, 2008 Chargges: Total-PPL ELECTRIC UTILITIES Charges Yunc Bill=~inu-~=13umbrx : - 60110-73006 $41.98 $26.97 Total Charges $68.95 Account Balance $68.95 )uestions about is bill? Please ontact us by Jun 3 t 1-500-342-5775 E-800-DIAL-PPL) r write to• 'ustomer Service •• 27 Hausman Rd .llentown, PA 8104-9392 ~ww_pplelectric_com ~ Meter Reading Information 1lectrlC KwH -Average Per Day Jse 36 30 lus graph shows cur electric use 24 per the last 13 ~onths_ 18 yy~pes of [eter Readings: ctual - >timated ustomer 0 12 6 0 Meter #84612800 May 13 .Actual 23550 Apr 14 'Actual 23379 29 D s KWH Billed 171 Average -May 2007 2008 Temper tore 57F KWH Prier Day 7 57F 6 Yearly Use: Jun 2006 -May 2007 Jun 2007 -May 2008 MJJASONDJFMAM 2007 Months 2008 Total Average Use Monthly 4797 400 4798 400 Other important information on back ~ ;~t ~. ~ ~ '•;•"°.;%. Page . ,. ~~ ~. = Yaiir:Batt,4ce~ci~isi[scr>=~=< PPL Eiettric .;~: ' 60110-73006 Utilities ` ~' -I3ac: •ac:~rn :- _ -::_- Electric Summary Page. S erY1Ce Balance as of Jan 12, 20[18 $bs.95 For: Char es: JOANNE DUM TOtaI~PL ELECTRIC UTILITIES Charges $31.4? 1521 MAIN ST UNIT L1SBU MECHANICSBURGPA 17055 Total Charges $100.42 -:av'l'#us~;~ln»uf:~3o-l~tertbaa ~H[=3, 20QS: =~~>_>:_ ~.- -........ Account Balance $100.42 Qaestions about this bill? Please ~ ~ ~ contact us by Jul 3 3~ ~( G a at 1-800-342-5775 l (1-800-DIAL-PPL) C r _ ~ Q~ or ~a~: ita te: Customer Service / Z _ ~~ ~ _ _ ~~~~ _ _ 827 Hausman Rd. 1 , ~~ Allentown, PA ~~~; 18104-9392 www.pplelectric.com Electric Use 36 30 24 18 12 6 0 KWH -Average Per Day Meter Reading Information This graph_shows your electric use over the last 13 rnonths. Tyyppes of 1lieter Readings: Actual - Estimated Customer (~ JJASONDJFMAMJ 2007 Months 2008 D'Ieter #84b12800 Jun l2 Actual 23761 May l3 "~ Actual 23550 30 Da KWH Billed 2l 1 Average -Jun 2007 2008 Teri~perature KV~I P D 70F 7 66F 7 er ay Yearly Use: Total Average Use MonW{y Ju12006 -Jun 2007 4809 40I Jul 2007 -Jun 2008 4790 399 Other important information on back ~ sir '~~±~:::,~; . Page 1 ., , ~ ~ , ''~ YiucBili ticctx~tli:~'iim'fmx PPL Electric pp .~=: ~ 60110-73006 Utllltl@5 '~' '~ -:I~e~shah~a ~: Electric Summary Page Service Balance as of Jul 14, 2008 $0.00 For. Char es: roaxrrF DiJM Tota~PL ELECTRIC UTILITIES Charges $35.67 1521 MAIN ST UNTI LISBU MECIiANICSBURG PA 17055 Total Charges $35.67 Account Balance C` $35.67 Questions about ~ ~/ this biIl? Please contact us Aug 4 ~~ at 1-800-34 -5775 (1-800-DIAL-PPL) or write to' ~~ ~ ., Customer Service ~J ~ C~ 827 Hausman Rd. Y} ~~ Allentown, PA ~~ 18104-9392 '~ www.pplelectric.com • Meter Reading Information Electric KwH -Average Per Day Use 36 30 This graph shows your electric use 24 over the last 13 months. 18 Types of Meter Readings: 12 Actual - Estimated Customer 0 6 Meter #84612800 Jul l4 Actual 24025 Jun 12 Actual 23761 32 Da s KWH Billed 264 Average -Jul 2007 2008 Tempperature 73F 74F KWH Per Day 8 8 Yearly Use: Aug 2006 - Ju12007 Aug 2007 -Jul 2008 Total Avera e Use Monty 4801 400 4809 401 0 JASONDJFMAMJJ 2007 Months 2008 Other important information on back 3 LOWER ALLEN TOWNSHIP 1993 HUMM PA 170N1~E 717'975 7575 CAMP H awv± P1ATG ANT NO { tsiLLuyu ,.,~• i 1161150-0 I 04/01/08 l SERVICE ADDRESS 1521 MAIN ST LSSBURN BILLWG pER10D 04/01/08 - 06/30/08 EFUSE SEWER ` > R 3 2. 0 0 CURRENT 5 5 5 0 CURRENT /ARREARS ARREARS PENALTY ~" PENALTY b ADJUSTMENTS ADJUSTMENTS ~j ~ ~~3 S~U" vW Total Total 5 5 _ 5 O Sewer 32 ' 00 Refiuse DUE QQ?E • • ~~ 05/01/08 ~'"" " "C A 10% Penalty on Sewer AND a i 0% Penalty on Refuse are added if full payment is NOT made within 30 Days of the Billing Date. Adtustments include Lien Fees, NSF charges, etc. e- ,-~ 3 i I I O.oo Balance Forward From Previous Statement Patient: JOANN DUM Case Descrip: O-fPT/PABS/04-06-08 Amount Paid by Amount Paid By ~, Char e Insurance Guarantor Adjustments Remainder -' ® ~~ i Dates Procedure Procedure Description 9 0.00 35.OC ~ 0.00 0.00 35.00 o ~,~, ~'' 04!06/08 93010 EKG INTERPRETATION & a ~~ COVERAGE TERMINATED ;' ~ ~ ~ A o~ _~ ~~ ~~~ -~ ~~~ J ` `~ , ~~ ** All charges are billed to the appropriate insurance carrier before you are billed. This balance ,amount Due is now the patient's responsibility. Payment is due within 15 days from the statement date. We Thank You for paying your account promptly! 35.00 ', CARDIOLOGY DIAGNOSTIC, LLC ~',, CHECK CARD USING FOR PAYMENT ~. ; j 11 { mase<,cara ^ ~~, `1 pIIpSTERCARD VISA 3 THERAPEUTIC ASSOCIATES AMOUNT CARONUMBER QUANTUM IMAGING & ExP.DAiE PO BOX 1805 INDIANAPOLIS, IN 46206-1805 $1GNANRE # CT SERVICE REQUESTED . AC STATEMENT DATE PAY THIS AMOUNT FORWARDING 00 54333-QQITA 50 . 03-30-08 SHOW AMOUNT RESPONSIBLE PARTY INVOICE: 789894 PAtD HERE '. JOANN DUM .TTTTTT QUANTUM IMAGING & THERAPEUTIC ASSOCIATES JOANN DUM PO BOX 1805 INDIANAPOLIS, IN 46206-1805 1521 MAIN ST MECHANICSBURG, PA 17055-5942 I~Ir~I~'~~iii~i~~~illr~~nl~~~~~ii~~~~~i~i~i~l~~i'ri~i~Lii~~~~ ~~~ir a ~~~i~~~~rr~i~~~i~ a L~i~~ n ~i~~i~i~~ii~~~i~ii~ ~~~ ~ ll~ i n FOR ONLINE ACCESS TO YOUR ACCOUNT VISIT US AT: hops://wwvv.ezme PLEASE DETACH1AND RETURN TOP PORTION WITH YOUR PAYM mation f i or n Please check box if above address is incorrect or insurance e(s) on reverse side. han . c> ~' ;. g has changed, and indicate c ~c t ADJUST f r~alD a~V AMOUNT PtiN at E ~ - ~ SERVICE''<.~'' OPT-'MOD ` RP x _ - LOC ~ coM _ - DATE ~ CHARG 5 FOR PATIE OANN DUM (54333-QQITA) HARRISBU HIGHMARK 475.00 193.33 231.67 4 8 INSERT PICC CATH 1-15-OS 36569 FILED P IMARY TO HIGHMARK LUE SHIE D-NON IN (HI001 01/21/08 Blu 93.33 Shield ayment 02/12/08 Blu 31.67 Shield on Allowe 02/12/08 GUARANT R RESPON IBILITY D TE (Char eID: 930 26) 03/28/08 ADDIT ONAL INFORMA IO CONCERNING YOUR ACCOUN US IF YOU CANNOT PAY T IS BILL. THANK YO . PLEASE CO AC ID ER 438 IS LARRY SOLLE BERGER - UPIN: 636 38 REFERRING RO ADDIT ONAL STATEME T ESSAGE For bill ng questions, c 11 toll free 1-866-254- I 629. 193.33 231.67 0.00 _., ~ TOTALS: _ - - - ~+ ', ~,RE5R0~5lBLEPARTY `~ ~.~ - _ _f~1~ FRTEfi9EN~DA7E 54333-QQITA 50.00 03-3o Zoos ^ir ~ u"~ _ _..-_~,~ ~.~,~~n~~ ~_ MAKE CHECK PAYABLE TO: ~.~ gp(;Sit]:CFJ4~DAt~ rxtsstar~.mAl~ .. n., w .~~ .."~ 61 90 91 -120 Over 120 DAYS 0 30 31-600 0.00 0. QUANTUM IMAGING & THERAPEUTIC 50.00 0.00 ACCOUNT AGING C-pt}tVf iffSi~-f~S-A~-hops=ffwwvn.ezmedinfo.comllq-ta -FOR-OLVi-INS AC-C~:s-TO-I~®tiR A~ INVOICE #: 789894 FOR BILLING QUESTIONS CALL 1-866-822-8415. Balance reflects current patient responsibility only and does not include charges pending with your insurance c 93t O11C1 115)1-136 L019456 STOCK : G-AW 1 3- I, • 06/24/08 PAGE NO. YORK WASTE DISr~OSAL, INC. PO BOX 1401 YORK, PA 17405 1085151 3811 30 040121 6 (800) 210-9675 1521DMAINESTENBAUGH FOR PERIOD: MECHANICSBUR6 PA 17055 1 WORK ORDE.:O: 1078690 6/17108 30YD OPENTOP DELIVE.:Y 6/17/08 FUEL/ENViRO FEE-i~3DUST ~Y DO NOT SEND PAYMENT *y CREDIT CARD TO BE CHARGED ~~ BALANCE OLDER THEN 45 DAYS MILL iNC'-JR 1.5% PER MTH FINANCE CHD ON .7/2/07 x* PAYMENT TERPIS: DUE UPON RECEIPT Plsasz visit our yjQl7sit8 Www•yorkwaste.com 1.00 1.00 ~~ ~~ ~~ ~ ~~ sr- V ~. ACCOUNT STATUS 4s.oa 57.99 102. ~i. 31.69 BUREAU OF ACCOUNT MANAGEMENT 3607 Rosemont Avenue, Suite 502 PO Box 8875 Camp Hill, PA 17001-8875 i ~, PRIORITY NOTICE Telephone: 1-717-214-3017 Toll free: 1-800-599-0423 Monday -Thursday 8:30 - 8:30 (EST) Friday 8:30 - 5:00 (EST) Apri11, 2008 Joann Dum 1521 Main St Mechanicsburg, PA 17055-5942 ~~ In Re: Pinnacle Health Hospitals Amount Due : $50.00 Account # :24797785 Client Ref. # :280092625 Date of Service : 10-14-07 '' '~ a ~ ~ ~ ~~ Joann Dum : ~~ ~1 We sent you a first notice, which included your rights under the Fair Debt Collection Practices Act. Your account remains unpaid and we have not heard from you concerning your nghts This past-due account needs to be paid in full. If you have any questions call our office using the account # as a reference to your file. Remember that your account may be reported to the credit bureaus. Your payments should be made directly to this office for prompt credit to your account. Atwenty-dollar service charge will be added to all checks returned to us by our bank. Should you desire areceipt, aself-addressed, stamped envelope is required. This is an attempt to collect a debt by a debt collector and any information obtained will be used for that purpose. Bureau Of Account Management ------------------------------------------------------LIetSC[1 3na KCTiitll w7i11i-ayuicui--------------------- To pay by credit card, please complete the information belo~ Check one: ^ Visa ^ MasterCard PO Box 8875 Camp Hill, PA 17001-8875 Return Service Requested ~~~ ~~ Card Number: ---------------- Expiration Date: / / Payment Amount: Signature: Amount Due : $50.00 Client Ref. # :280092625 PERSONAL & CONFIDENTIAL Joann Dum 24797785 1521 Main St Mechanicsburg, PA 17055-5942 11111111111111111111111111111111111111111111111111111111111111 _ __..,. ,.,,,,.,, ~,~, , c~a nnn~ ~ S q1 076808 Z-CftE Amount Enclosed : $ Account # :24797 i Date of Service : 10-14-I Bureau of Account Management PO Box 8875 Camp Hill, PA 17001-8875 111i1F1t1llllffil-IIIIIIIIIIIIIIIIIIIIIiliililliiiilililii11111 REV-1513 EX + (9-00)) ~ 1 y~ K ,,,`%~ COMMONWEALTH OF PENNSYLVANIA SCHEDULE J INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF JoAnn F. Dum FILE NUMBER 21-08-0399 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT ~ Do Not List Trustee(s) oFESrATE TAXABLE DISTRIBUTIONS [include outright spousal distributions, and i transfers under Sec. 9116 (a) (1.2)] 1. Creedon J. Fertenbaugh and Armillda F. Fertenbaugh 615 S. York Street, Mechanicsburg, PA 17055 Parents 100% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON UNES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET tt~ NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) ~ a~ ~~