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HomeMy WebLinkAbout01-08-09 15056D41147 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code near File Number Bureau of Individual Taxes PO 80X.280601 ~ INHERITANCE TAX RETURN 2 1 0 8 0 4 5 8 " Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 188 50 0133 04 02 2008 02 07 1957 Decedent's Last Name Suffix Decedent's First Name MI GREGORY JANE M (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 X^ 1. Original Return ^ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death after 12-12-t32) X 5 Decedent Died Testate ^ ll ^ ~ Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Trust) ) (Attach Copy of Wi ^ 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ^ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number TIMOTHY D. SHEFFEY (717)273 3733 Firm Name (If Applicable) REILLY, WOLFSON, SHEFFEY, First line of address .1601 CORNWALL ROAD Second line of address City or Post Office State ZIP Code LEBANON PA 17042 REGISTER OF WILLS USE ONLY C'7 r..s ~ ~..° ~ ' = t,., r1 i ~ n e-- `=~-t .~ r ~~~^~C DAT~,fEE .1; _"~ s ..-) ,' 1 i..~t {:'~ 1. __ _~ 1 F'~ D~ ~ u } ~"7 -t1 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. SIG TURE OF PERSON REj~PONSIBLE FOR FILING RETURN DATE .~„~'l (-~- ~~'L~-~Yti~'~'1 Debra Gregory ~ ~~~ ~/d~ ADDRESS 139 Wyoming Avenue, Pennsylvania Furnace, PA .1.6865 SIG, ~ ~IRE`bF PRI~PARE N R SENTATIVE DATE (.,ti~.,'`~. ~ - ~ Timothy D. Shelley ~ ~ ~ ~, ~ ~; ADDRESS 1601 Cornwall Road, Lebahon PA 17042 Side 1 15D56D41147 15D56D41147 REV-1500 EX Decedents Name. Jane M , (~ re 9 O Cy Decedent's Social Security Number 188 50 0133 RECAPITULATION 125,000.00 1. Real Estate (Schedule A) ........................................................................................ .. 1. 195.83 2. Stocks and Bonds (Schedule B) .............................................................................. . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)........ .. 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ .. 4. 74,487.53 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... . 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............ . 6. 8 3 , 7 5 0 0 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) (~ Separate Billing Requested ............ . 7. 9 4, 3 1 6 4 0 g. Total Gross Assets (total Lines 1-7) ...................................................................... . g, 3 7 7, 7 4 9 7 6 46,406.45 9. Funeral Expenses & Administrative Costs (Schedule H) ................................ ......... 9. 59,141.61 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ....................... ......... 10. 1 0 5, 5 4 8 0 6 11. Total Deductions (total Lines 9& 10) ............................................................. ......... 11 12. Net Value of Estate (Line 8 minus Line 11 } ................................................... .......... 12. 272,201.70 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 6 0 0 0 0 0 an election to tax has not been made (Schedule J) ........................................ ......... 13. 2 6 6 2 0 1 7 0 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................................ .. ..... 14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0 0 0 15 (a)(1.2) X .OD . 16. Amount of Line 14 taxable 0 0 0 16. at lineal rate X .045 17. Amount of Line 14 taxable 2 6 6, 2 0 1 7 0 17. a; sibling rate X .12 18. Amount of Line 14 taxable 0 0 0 18 at collateral rate X .15 . 19. Tax Due ................................................. ................................................... ................ 19. . 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 0.00 0.00 31,944.20 0.00 31,944.20 Side 2 1556042148 15056042148 15056042148 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-08-0458 DECEDENT'S NAME Jane M. Gregory STREET ADDRESS 4 Bentley Place CITY STATE ZIP Carlisle PA l 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19,1 2. Credits/Payments A. Spousal Poverty Credit g_ Prior Payments C. Discount 25,000.00 1,315.79 (1) 31,944.20 Total Credits (A + B + C) (2) 26,315.79 3. InteresUPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 5, 6 2 8.41 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B} 5 ~ 6 2 8.41 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.................................................................................. j b retain the right to designate who shall use the property transferred or its income :.................................... ~~ C c retain a reversionary interest; or .................................................................................................................. :~ '' -:i , d. receive the promise for life of either payments, benefits or care? .............................................................. ! _i ', x' 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without _ _ receiving adequate consideration? .............._........................... ~ j ~x'. ~._, _-~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?...._._ ~_ 1, ; z 1, 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which -- contarns abeneficiary designation? ...................................................................................:.................................. x ; j IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even. if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1502 EX+t6.98) ~ SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Gregory, Jane M. 21-08-0458 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 jointlyowned with right of survivorship must be disclosed on schedule F. (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 6-98) Rev-1503 EX+ t6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA - INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Gregory, Jane M. 21-08-0458 All property jointly-owned with right of survivorship must be disclosed on Schetlule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 $25.00 United States Savings Bond - No. 103.03 Q6309101057E -Issued: 05/1979 -Principal Balance at date of death $18.75 -plus accrued interest of $84.28 2 $50.00 United States Savings Bond - No. 92.80 L155759258EE -Issued: 01/1984 -Principal Balance at date of death $25.00 -plus accrued interest of $67.80 TOTAL (Also enter on Line 2, Recapitulation) 195.83 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (6-98) i COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF (FILE NUMBER Gregory, Jane M. 21-08-0458 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 NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 2002 Ford Sedan -Value at date of death based upon attached appraisal 3,000.00 2 Citi Mortgage -Refund of overpayment of mortgage loan 217.07 3 Comcast -Cable Television -Refund of Account 32.48 4 Embarq -Refund of overpayment 47.42 5 Ephrata Community Hospital -Refund of overpayment 25.00 6 Little Stream Auto Rentals -Refund of Security Deposit 800.00 7 Miscellaneous Personal Property -Value at date of death based upon attached 477.00 appraisal 8 PNC Bank -Certificate of Deposit Account No. 31300297059 -Balance at date of 2,121.40 death $2,070.00 -plus accrued interest of $51.40 9 PNC Bank -Certificate of Deposit Account No. 31100297662 -Balance at date of 3,190.59 death $3,113.27 -plus accrued interest of $77.32 10 PNC Bank -Certificate of Deposit Account No. 31000294418 -Balance at date of 10,926.23 death $10,661.48 -plus accrued interest of $264.75 11 PNC Bank -Certificate of Deposit Account No. 31000313325 -Balance at date of 5,124.16 death $5,000.00 -plus accrued interest of $124.16 12 PNC Bank -Certificate of Deposit Account No. 31500315359 -Balance at date of 3,074.49 death $3,000.00 -plus accrued interest of $74.49 Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 74,487.53 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued ESTATE OF (FILE NUMBER Gregory, Jane M. 21-08-0458 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 13 PNC Bank -Certificate of Deposit Account No. 31800318767 -Balance at date of 10,235.67 death $10,234.38- plus accrued interest of $1.29 14 PNC Bank -Certificate of Deposit Account No. 31700321979 -Balance at date of 15,178.29 death $15,169.04- plus accrued interest of $9.25 15 PNC Bank -Checking Account No. 5004736296- Balance at date of death $6,514.08- 6,514.17 plus accrued interest of $.09 16 PNC Bank -Savings Account No. 5004701384 -Balance at date of death $9,723.47- 9,724.80 plus accrued interest of $1.33 17 PP&L -Refund of overpayment 24.00 18 Refund of County and School Real Estate Taxes - re: sate of real estate situate at 4 753.56 Bentley Place, Carlisle Borough, Cumberland County - See attached Settlement Statement 19 Sovereign Bank -Checking Account No. 1691013706 -Balance at date of death 2,500.00 $2,500.00 - no accrued interest 20 State Farm Fire and Casualty Company -Refund of premium 89.40 21 State Farm Fire and Casualty Insurance -Refund of premium 83.80 22 U.S. Treasury -Economic Stimulus Payment 348.00 TOTAL (Also enter on Line 5, Recapitulation) I 74,487.53 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+ (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Gregory, Jane M. 21-08-0458 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Debra Gregory 139 Wyoming Ave. Sister Pennsylvania Furnace, PA 16865 B. Martha Gregory 721 E. 28th Division Highway Sister Lititz, PA 17543 C. Sallie Gregory 721 E. 28th Division Highway Sister Lititr, PA 17543 JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET ego OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 A,B,C Real Estate - 1/4th interest in property 335,000.00 25.000°/d 83,750.00 situate at 721 E. 28th Division Highway, Lititr, Lancaster County -Value at date of death based upon attached appraisal TOTAL (Also enter on Line 6, Recapitulation) (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. 83,750.00 Form PA-1500 Schedule F (Rev. 6-98) Rev-1570 EX+ (6.98) ~ SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Gregory, Jane M. 21-08-0458 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST ExcLUSION (IF APPLICABLE) TAXABLE VALUE 1 AIG Annuity Insurance Company -Contract No. 14,824.30 14,824.30 E1203766 -Value at date of death $14,824.30 - Beneficiaries: Sallie Gregory and Martha Gregory 2 AZ State Retirement -Beneficiary: Sallie 33,017.52 33,017.52 Gregory 3 Susquehanna Bank -Individual Retirement 21,108.45 21,108.45 Money Market Account No. 10004266820 - Balance at date of death $21,102.73 -plus accrued interest of $5.72 -Beneficiaries: Sallie Gregory, Martha Gregory and Debra Gregory 4 Susquehanna Bank -Individual Retirement 25,366.13 25,366.13 Certificate of Deposit Account No. 512200001711 - Balance at date of death $25,269.76 -plus accrued interest of $96.37 -Beneficiaries: Sallie Gregory, Martha Gregory and Debra Gregory TOTAL (Also enter on Line 7, Recapitulation) (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. 94,316.40 Form PA-1500 Schedule G (Rev. 6-98) REV-1751 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Gregory, Jane M. 21-08-0458 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 12,392.80 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees Reilly, Wolfson, Shelley, Schrum and Lundberg LLP 12,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 346.00 5. Accountant's Fees. 300.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs 20,867.65 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 46,406.45 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1b02 EX+ (6-98) SCHEDULE H -A FUNERAL EXPENSES continued COMMONWEALTH Or' PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Gregory, Jane M. 21-08-0458 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (6-98) i COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued ESTATE OF (FILE NUMBER Gregory, Jane M. 21-08-0458 ITEM NUMBER DESCRIPTION ,AMOUNT 1 Borough of Ephrata -Water/Sewer Bill - 04/08 - 07/08 62.25 2 Cumberland Law Journal -Advertise Estate Notice 75.00 3 Debra Gregory -Reimbursement of costs advanced for funeral expenses 731.40 4 Debra Gregory -Reimbursement of costs advanced for mileage, tolls and 891.30 miscellaneous administration expenses 5 Debra Gregory -Reimbursement of costs advanced for mileage, tolls, water 8~ 350.09 sewer bills and other miscellaneous expenses 6 Debra Gregory -Reimbursement of costs advanced for postage expenses 5.32 7 Debra Gregory -Reimbursement of costs advanced for mileage, tolls and moving 1,004.81 truck expenses 8 Embarq -Telephone Service - 05/08 - 06108 27.91 9 Embarq -Telephone Service - 06/08 - 07!08 27.81 10 Embarq -Telephone Service - 07/08 - 08108 34.47 11 Embarq -Telephone Service - 08/08 / 09/08 27.80 12 Halcyon Hili Homeowner's Associaton -fee for April -June of 2008 240.00 13 Halcyon Hill Homeowner's Associaton -fee for July -September of 2008 240.00 14 Martha Gregory -Reimbursement of costs advanced for funeral expenses 70.46 15 Martha Gregory -Reimbursement of costs advanced for mileage, tolls and other 390.60 miscellaneous administration expenses Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-67 (Rev. 6-98) Rev1502 EX+ )6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued ESTATE OF (FILE NUMBER Gregory, Jane M. 21-08-0458 ITEM NUMBER DESCRIPTION AMOUNT 16 Martha Gregory -Reimbursement of costs advanced for mileage, tolls and trash 290.40 removal expenses 17 PP&L -Electric Service - 04/08 - 05/08 (Gentleness Drive) 18 PP&L -Electric Service - 04/08 - 05/08 19 PP8rL -Electric Service - 05/08 - 06/08 20 PPS~L -Electric Service - 06/08 - 07/08 21 PP8~L -Electric Service - 07/08 - 08/08 22 PP&L -Electric Service - 08/08 - 09/08 23 PP8~L -Electric Service - 09/08 - 10/08 24 PPS~L -Electric Service - 10/08 - 11108 25 Roy D. Gottshall Auctioneer - Appraisaa Fee 26 Sallie Gregory -Reimbursement of costs advanced for mileage, tolls and other miscellaneous administration expenses 27 Sallie Gregory -Reimbursement of costs advanced for mileage, tolls and trash removal expenses 28 Settlement Charges - re: sale of real estate situate at 4 Bentley Place, Carlisle Borough, Cumberland County - See attached Settlement Statement 29 Stephen Hietsh, Tax Collector - 2008 Real Estate Taxes 8.62 29.02 25.91 25.91 21.76 19.85 24.00 33.94 35.00 195.30 300.40 14,475.84 1.059.62 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1502 EX+ (6-98) SCHEDULE H-B7 ~, ~~ OTHER ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN continue d RESIDENT DECEDENT ESTATE OF (FILE NUMBER Gregory, Jane M. 21-08-0458 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1512 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILlTlES, & LIENS ESTATE OF (FILE NUMBER Gregory, Jane M. 21-08-0458 Include unreimbursetl medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Borough of Ephrata -Water/Sewer Bill -Final Bill 18.39 2 Carlisle Borough Tax Account - 2008 Real Estate Taxes -Check No. 387 written on 455.48 PNC Bank Checking Account No. 5004736296 prior to date of death, clearing account after date of death 3 Citi Mortgage -Account No. 0770069271-3 -Mortgage Payments 56,297.12 4 Embarq -Telephone Service - 04/08 - 05/08 56.13 5 Ephrata Community Ambulance Association -Check No. 380 written on PNC Bank 92.00 Checking Account No. 5004736296 prior to date of death, clearing account after date of death 6 Ephrata Community Hospital -Medical Expense 25.00 7 "Ephrata Community Hospital -Medical Expense 57.44 8 Ephrata Community Hospital -Medical Expense 25.00 9 Ephrata Medical Equipment -Medical Supplies 64.66 10 First Aid and Safety Patrol -Check No. 381 written on PNC Bank Checking Account 188.00 No. 5004736296 prior to date of death, clearing account after date of death 11 First Aid and Safety Patrol -Check No. 382 written on PNC Bank Checking Account 153.00 No. 5004736296 prior to date of death, clearing account after date of death 12 Glenn K. Martin Builder -Handicapped Access Ramp -Check No. 388 written on 522,28 PNC Bank Checking Account No. 5004736296 prior to date of death, clearing account after date of death 13 MCHS -Cable Rental 10.00 Total of Continuation Schedule See attached page TOTAL (Also enter on Line 10, Recapitulation) 59,141.61 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) Rev-1512 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS continued ESTATE OF FILE NUMBER Gregory, Jane M. 21-08-0458 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 14 PP&L -Electric Service - 02/08 - 03/08 37.96 15 PP&L -Electric Service - 03108 - 04!08 30.13 16 Sallie Gregory -Reimbursement of costs advanced for Medical Supplies -Check 407.36 No. 386 written on PNC Bank Checking Account No. 5004736296 prior to date of death, clearing account after date of death 17 Stanilla, Siegel and Maser PC -Check No. 384 written on PNC Bank Checking 91.00 Account No. 5004736296 prior to date of death, clearing account after date of death 18 State Farm Insurance Company - re: Policy No. 38-LD-0560-8- Condo 149.00 19 T-Mobile -Cell Telephone - 02/08 - 03/08 35.98 20 T-Mobile -Cell Telephone - 03/08 - 04/08 36.06 21 U.S. Treasury - 2007 Form 1040 -Check No. 385 written on PNC Bank Checking 348.00 Account No. 5004736296 prior to date of death, clearing account after date of death 22 UGI -Gas Service - 03!08 - 04/08 41.61 TOTAL (Also enter on Line 10, Recapitulation) I 59,141.61 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV-1513 EX+ (g-00) i SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER Gregory, Jane M. 21-OS-0458 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT SHARE OF ESTATE (Words) AMOUNT OF ESTATE ($$$) Do Not Llst Trustee(s) I TAXABLE DISTRIBUTIONS [include outright spousal . distributions, and transfers under Sec. 9116(a)(1.2)j 1 Debra Gregory Sister 1/3rd of the 139 Wyoming Ave. Residuary Pennsylvania Furnace, PA 16865 Estate 2 Martha Gregory Sister 1/3rd of the 721 E. 28th Division Highway Residuary Lititz, PA 17543 Estate 3 Sallie Gregory Sister 1/3rd of the 721 E. 28th Division Highway Residuary Lititz, PA 17543 Estate Total Enter dollar amounts for distributions shown above on lines 1 5 through 18, as appropri ate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See continuation schedule(s) attached 6,000.00 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 6,000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) Rev-1502 EX+~6-98) SCHEDULE J-IIB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS COMMONWEALTH OF PENNSYLVANIA continue d INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Gregory, Jane M. 21-08-0458 ITEM NUMBER DESCRIPTION AMOUNT 1 American Cancer Society, Inc. -National Office of Probate and Trust Management 1,500.00 Services, Attn: Bill M. Roberts, P.O. Box 720366, Oklahoma City, OK 73162 2 American Red Cross - P.O. 4002018, Des Moines, IA 50340 1,500.00 3 Old Zion Reformed Church -Attn: Alice Trumbauer, 1360 .Pleasant View Road, 1,500.00 Ephrata, PA 17522 4 The Pennsylvania State University -Susan J. Weidemer, Assistant Treasurer 1,500.00 c/o Jeanne M. Ballade, Assistant Director ,Office of Gift Planning, 214 103 Building, University Park, PA 16802 Subtotal ~ 6,000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J-IIB (Rev. 6-98) c~'~Y ~tll ctlt~ ~P~tc~C1l~Pltt I, JANE M. GREGORY of Carlisle, County of Cumberland and Commonwealth of Pelu7sylvazua, being of sound and disposing nand, do hereby make this to be my Last Will and Testament, hereby revolting all Wills or Codicils b}~ me at any time heretofore made. ARTICLE I I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. ARTICLE II I hereby make the following specific bequests: I give and bequeath the sum of X1,500 unto OLD ZION REFORMED CHURCH of Brickerville, Pennsylvania; I give and bequeath the sum of $1,500 unto PENN STATE UNI~~ERSITY COLLEGE Or' AGRICULTURE JUDGING TEAMS; I give and bequeath the sum of $1,500 unto AMERICAN' RED CROSS; and I give and bequeath the sum of X1,500 unto AMERICAN CANCER SOCIETY. ARTICLE III A11 the rest, residue and remainder of my estate, whether real, personal or mixed, and wheresoever situate, I give, devise and bequeath, in equal shares, unto my tlu•ee sisters, DEBRA GREGORY, MARTHA GREGORY, and SALLIE GREGORY, or unto their issue, per stilpes, In the event that any of my sisters has predeceased me leaving issue, that child's share shall be received by her issue, in equal shares, but in the event that she leaves no issue, that share shall be received by the surviving residuary beneficiaries of this, my Last Will and Testament. In the event that all of my sisters predecease me leaving no issue, then I give and bequeath all the rest, residue, and remainder of my estate, in equal shares, to the four charities named herein as specific bequest recipients. ARTICLE IV I direct that my Executrix shall not be required to give any bond or enter security in any jurisdiction in which she may act. If, not withstanding this direction, any bond is required by any la~~, statute or rule of court.. no surety shall be required thereon. ARTICLE ~' I nominate, constitute and appohlt DEBRA GREGORY to be Executrix of this, my Last Will and Testament, h~ the event that she is Linable or unwillh7g to serve in that capacity, then I nominate, constitute and appoint MART~IA GREGORY as Altei7late Executrix of this, my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set nay hand and seal this 7 day of ~ ~ , A.D. 2003. (SEAL) J n M. Gregory SIGNED, SEALED, PUBLISHED and DECLARED by Jane M. Gregory the above named Testatrix, as and for her Last Wi11 and Testament, in the presence of us, who, at her rettuest and in her presence and in the presence of each other, all being present at the same time, have subscribed our names as witnesses, Address: Palm ~-a. PA Address: Palm..~PA COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTZ' OF LEBANON ) I, JANE M. GP.EGORY, whose name is sighed to the attached or foregoing instrument, havuig been duly qualified according to law, do hereby aclcr~owledge that I signed the hnstrument as my Last Will; that I signed it willingly, and that I signed it as lny free and voluntary act for the purposes therein expressed. Swonl oz- affiznled to and acknovaledged 'before me by Jane M. Gregory, Testatrix, on this the ~ day of /"7w~G~ , 2003. f }e Gre ory Notary Public My Comm.. Expires:9/27/04 COMMONWEALTH OF PENNSYLVANIA ) SS: COIJI~'TY OF LEBANON ) We, Jolu~ J. Ferry, Jr. and Daryl J. Gerber, the witnesses whose Haines are sided to the attached instrument, being duly qualified according to law, do depose and say that we were present and save her sign and execute the instrument as her Last V~rill; that she signed it as her free and voluntary act for the purposes therein expressed; that each of us ii1 the hearing and sight of the Testatrix signed the WiI1 as witnesses and that to tine best of our lnlowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influent;;. Sworzl and subscribed before me by Jo1u1 J. Fez~y, Jr. and Daryl J. Gerber, witnesses, the 7~ day of ~w^G~ , 2002 ~J ~// ~ '/~/~ ~ ~ W' ess Notary Public 7/ My Comm. Exp.: 9/27/04 V4'itn s Calculated Value of Your Paper Savings Bonds} Gatculated Vafue of Your Paper Savings Bond(s) Calculator Results for Redemption Date 04/2008 Page 1 of l Tota! Price Total Value Total Interest l'TD Interest $43 75 $195.83 $152.08 $1.66 Bonds: 1-2 of 2 Serial #r series C7enom Issue Next Final Date Accrual Maturity Issue Price Interest Interest Rate Value Note 6309101057E E $25 05/1979 05/2008 05/2009 $18.75 $84.28 4.00% $103.03 L155759258EE EE $50 01/1984 07/2008 01/2014 $25.00 $67.80 4.08% $92.80 Totals for 2 Bonds $43.75 $152.08 $195.83 Notes NI Not Issued NE Not eligible for payment P5 Includes 3 month interest penalty MA Matured and not earnin interest http://www.treasurydirect.gov/BC/SBCPrice 10/6/2008 -~..- ~0_ -.-~ + y3 v p~. ~ ~, lr~ ~ ~ i mi AI;{! aI ,,. t ~`~--/'~„~ 4T THE ORIGINAL MATURITY HEREOF WILL PA~~~;~~_~`~~ '~'_'~~,/~ v:~d~4~~ {I~ It, M~~ i11Q 7~aJF ~~' ~6 ..~i'~ J@ uP ~'~~s~~iL~~`ei57' I S ~' U E D A T E y ~ rC~~.~C-.5,~... _ ~ ~~. ~''..~ ,..,~ v.ul~r ulc Fle,~ oAr oP [! I ~ ~y ^ J (` ~q _TO n?'T'P .; ^ ~-'r, . r(~.7 1-yam j I ~7 _ I` ~ a'~ i.~.`._ 1 - ~~l/` `~'.,I IMOn 1 I~y-ARI-- 9~ : ~ cJ c: i} ~ I~ n c G ~ i'~' ~~! ~~ ~A1FLR~ ~q . R - ~ V~ V u s 11 ~LT-1 ~~;~,1 ~'~I PGE TS {' I' ~ ~ . I I I 1 E i .,' ~ ~ k ~; ~I •.•• ~ Ot. Nc, .;TAMP ,/ D 1 i l :. ~ n :;~~~y+, i~-Y~ ice, 1JDE~NDENCE ALL ~, ~' , ~ ~ - G, - ..~, :ice seo~o is iswmaxu e - I~ mcnwrsM~nc,~"~"w ouwcnmer r°vnuoo i°r ii ou Boa, -i~R on ~~ -~ ~I ~~~-~...~~ Q 6 309 10~ ~~~ .. ~. ter; .~ 1057E s ,,., sl ev:vrsRngaesso.~:r ~s.....~s..~scsue,~c.~s.ar.~a....~~. 7n ................~~.... ..,....~......... - r ...,.,.,. .uu ... ............................. ~ --.tis at .__- L At N .,1 _ AT THE MATURITY HEREO^ WILD PAV `~ %i ~ ~?TH ~~~4'iJ~~'i'ti ~ivtl'val' ISSUE DATE WHICH I~ THE FIRST UAY OF J +~ I~ rJ 155UING AGENT'S .~,I L_ t . ~\ 1~i ~ ~, ATING STAMP ~i ,i1 !~a ~ ~ ~1 ~ ~; :~ , ~~ ~0~^s~~ ~~ ~ .~ iaear. eoHO.n as~we.vco .~o,==~~I~ ,o,~~.E ~, t;e.EOO...~Ea.~~~~SEO ~ - > ^ ~ E E ~5~ .~I~.of.~E,aE.~ . w~~,~~.o, ~~.I~ o,,,. .~* •• ~`~~ r~ ~' ARIZONA STATE RETLREMENT SYSTEM "'~ ~` 3300 No[z'eiI C7;\TIL~I, A]~r;~ oc • PO Bos 33910 • Pflor~fx, AZ 81067-3910 • PIIOVI; 602 d`~ e ~~, ( ) 2~[1-2000 7660 E:~sC BRO:\I)ii':~]' BOi:LE]'i\Rl) • SL.-rTr 108 • Ti~cso~, AZ 8>710-3776 • P[IONE (~20) 239-3100 "°" /-llnt.ro~t ~ ~~~ * Drrector rosy -~~' TOI,I, ~Z1~:E OL; fSInE MF,TRO PEiOF,\7h ADD T[`CSOV 1 (8Q0~ 621.-3778 EA-GIIL ADDRESS: CO\1'.\CTL'S:p:A'I,ASRS.GO]' • R'EB ADDRESS: R'1]`]]'. e\"1.:~sRS.GO~' May 27, 2008 Sallie Gregory As a designated beneficiary, you have the following Survivor Benefits option(s) available to you: Lum Sum The calculation for benefits is based on two times member contributions to the Arizona State Retirement System (ASRS) plan plus interest. To avoid tax penalties, the ASRS must receive your application for a lump sum benefit by October 15 of the fifth calendar year after the date of death to ensure that you will receive your benefit before December 31 of that year. Your benefit is taxable unless there is a nontaxable portion stated below. The nontaxable portion (if applicable) represents the balance of after-tax monies from member contributions made prior to July 1, 1986 (or from service purchased with after-tax dollars). Lump Sum gross payment of approximately: $33,017.52 Your taxable portion is: $33,017.52 Your non-taxable portion is: $0.00 Monthly Benefit As an alternative to a one-time lump sum payment, you may be eligible to receive a monthly benefit payable for your lifetime. If you are interested in considering monthly benefits, please contact our office with your date of birth. Please note that, in general, a monthly annuity election must be made within 12 months of the date of death. Lump Sum Federal Tax Withholding Payment Distribution Option As anon-spouse beneficiary, a lump sum distribution is subject to 10% federal withholding of the taxable portion of your lump sum distribution UNLESS you elect to waive the deduction. Lump Sum Rollovers You may be eligible to roll over your lump sum benefit to an inherited IRA. Please see the Inherited IRA Guidelines for aNon-Spouse Beneficiary included with this packet. Direct Deposit Your benefit may be direct deposited to your bank account or credit union. Certification and Understanding/Notary Public Certification Please read the Statements of Understanding, Signature, and Notary section of the application. Your signature must be notarized before sending the application to the ASRS. SBLT NONRET revised 03/08/2007 Susquehanna May 23, 2008 Timothy D. Sheffey, Esquire 1601 Cornwall Road Lebanon, PA 17042-7406 RE: Jane M. Gregory Estate SS#: 188-50-0133 DOD: April 2, 2008 To Whom It May Concern: Susquehanna Bank PA 26 North Cedar Street P.O. Box 1000 Lititz, PA 17543-7000 Toll free 800.311.3182 In response to your letter of May 7, 2008, here is the above customer account information as of April 2, 2008. Account #1 Account #2 • Account Title: Jane M. Gregory Jane M. Gregory Martha Gregory POA • Account Type/# IRA Money market IRA CD 10004266820 X12200001711 • Date Opened /Maturity Date: 2/22/08 7/5/07 / 6/5/08 POA added 2/22/08 • interest Rate: .90% x.10% • Account Balance*: 21,102.73 25,269.76 • Accrued Interest: 5.72 96.37 • YTD Interest: 15.08 310.88 *Account balance does not include accrued interest. The beneficiaries on the IRAs are Sallie M. Gregory, 34%; Martha R. Gregory, 33%; Debra A. Gregory, 33°io. The IRA Dept. will respond with information on filing a claim. There is no safe deposit box in the name of this decedent. If I can be of further assistance, please feel free to call. Sincere-l~y, '~,, ',~--~ C.,~'~i-, ~~;Janet M. Peters is `Support Services Supervisor 1-717-625-6295 L~~a'~} r'.'-.5~ F+k ~i..ldr~d~r~ d :, 7~_ a ~ s i- 1~ } ~ 1 Y Y~ f~ r}. , ~o~ -_____ __~__________~___o. _.-----._-- .,- -- P.O. Box 841005 Boston, MA 02284 May 14, 2008 Law Offices Reilly, Wolfson, Sheffey, Schrum and Lundberg LLP 1601 Corlwall Rd. Lebanon, PA 17042-7406 RE: Estate of: Jane M. Gregory Date of Death: April 2, 2008 Dear Mr. Sheffey: Per your request, enclosed please find the account information as of date of death for the above-named decedent. Please note the balances do not include accrued interest. If you should have any further questions, please do not hesitate to call. ~lery truly yours, r ~. Linda Spavento Team Leader Court Order Processing (617) 533-1789 (617) 533-1931-fax Sovereign Bank ESTATE OF Jane M Gregory SOCIAL SECURITY #: l 88-50-0133 DATE OF DEATH: AUril 2, 2008 Account #: 1691013706 Type: Checking Open date: 6/20/2001 In the name of: Jane M Gregory Date of Death Balance: Int.(YTD} from 1/1/2008 Accrued interest to date of death: Other Info: $2,500.00 to 4/2/2008 $0.00 $0.00 Page 1 of 1 AIG Annuity INSURANCE COMPANY AIG Annuity Insurance Company A Stock Company 205 East IOth Avenue Amarillo, Texas 79101-3546 Telephone: 800.424.4990 May l4, 2008 Timothy D Sheffey 1601 Cornwall Rd Lebanon , PA 170427406 Re: Name of Deceased: Jane Gregory Contract Number: EI203766 Beneficiary: Sallie Gregory, Martha Gregory Dear Sir or Madam: We have received notification of the death of Jane Gregory, the owner/annuitant of the referenced contract. On behalf of AIG Annuity Insurance Company, we wish to express our sincerest condolences for your loss. The following items are enclosed: 1) Claims Checklist - A list of items required to initiate a claim for this contract. 2) Beneficiar}~ options page - A list of claim options available to the referenced beneficiary. 3) Applicable documents for completion. The value of policy on the date of death was $14,824.30. We appreciate your prompt attention to this matter. Should you have any questions or require further assistance, please contact our Client Care Center by using our toll free number of 1-800-424-4990. Sincerely, r) B.M. Graves Annuity Claims Manager Enclosures AIGA Cvr Ltr DOD 113 Forge Rd., Boiling Springs, PA 17007 ~~~' ~~ / ~~~%~ ~ ~C/~ In Account With ROY D. GOTTSHALL, AUCTIONEER ,~ „~~ ~f ~ j. j ~ ~ ~ ~ ~~~ ~~/2 r t` / l ~~ <~ P r ~- G ----- i C ~~ ~'~~ ~ n ~~ 1 ~ ~. -~ ~ ~ _ c G --z ~- :~; der ~` F arm, ~'~-/,~~ " `, t , . . , ~ - ~- - - , r:. ~~ . -, ' ~~ ~ 1 / ~ h 2 n 4' ~e ~.. A 4 .~~ '(.~ y ~? . ~. a{ : . V'~:~?: May. i9. 2008 1; 16PM PNC BANK 411-IUh-114/ No. 4lbu r. ~ ~ FNCBAlVG TheThlnking 6ehindThe Money May 19, 2008 Timothy Shelley Attorney at Law 1601 Corriwall Kd Lebanon, PA 17042 Rlr: Jana M Gregory SSN: 188-50-0133 DOD: 0402-2008 Dear Mr. 3heffey: In response to your request for Date of Death balances for the customer noted above, our records show the following: Certificate of Deposit -- Account # 3.1300297059 Established 07-19-2006 JANE M GREGORY DOD balance: $ 2,070.00 + 51.40 accrued interest Account # 3 1 1 00297662 Established 07-19-200b JANE M GREGORY DOD balance: $ 3,113.27 + 77.32 accrued interest Account # 31000294418 Established 07-19-2006 JANE M GREGORY DOD balance: $ 10,661.48 + 264.75 accrued interest Account # 31000313325 Established 07-] 9-2007 JANE M GREGORY DOD balance: $ 5,000.00 + 124.16 accrued interest Account # 31500315359 Established 02-19-2007 SANE M GREGORX DOD balance: $ 3,000.00 + 74,49 accrued interest Account # 31800318767 Established 10-01-2007 JANE M GREGORY DOD balance: $ 10,Z34.3S + 1.29 accrued interest Account # 31700321979 Established 12-28-2007 JANE M GREGORY DOD balance: $ 15,169.04 + 9,25 accrued interest Page 1 of 2 May, 19. 2008 1;16PM PNC BRNK 412-705-2747 Checking Account Account # 5004736296 JANE M GREGORY DOD balance: $ 6,514.08 + 0.09 accrued i,r~terest Savings Acconnt Account# 5004701384 JANE M GREGORY DOD balance: S 9,723.47 + 1.33 accrued interest No. 4760 P. 2 Established 06-15-2005 Establisk~ed 06-15-2005 Please note that this office only provides date of death balances for deposit accounts (.IRAs, CDs, Checking and 5avizags accounts). We do not process any financial transactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-BANK (1-888-7b2-2265) or stop by your local PNC Bank branch office. Since ely, ~~G. ~~~~ Lozi ,A Robertson 1-500-762-1775 P7-PFSC-04-~' S00 First Ave Pittsburgh, PA 15219 Membez FDIC Page 2 of 2 HUSTON MOTOR COMPANY, iNC. P. O. BOX 353 ROUTE 22 EAST HUNTINGDON, PENNSYLVANIA 16652 Telephone 643-3430 June 11, 2008 SALES SERVICE ~ RENTAL I, Kirk L. Haverstock, estimate the value of Jane M Gregory's 2002 Ford Taurus with 80,747 miles to be $3000.00. .~ j_ } f/ I~rric-L. Haverstock LEASING PROOF OF PUBLICA'T'ION OF NO'T'ICE, IN CUMBERLAND LAW JOURIV`AL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSXLV ANIA COUNTY OF CUMBERLAND ss. Lisa Marie Cnyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid; being duly sworn, according to law, deposes and says that the Cumberland Law Tournal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law .Tioul-nal on the following dates, viz: Mav 16 Mav 23. and May 30.2008 Afflant furti~er deposes that he is authorized to verify this statement by the Cumberland Law 3ournal, a Legal periodical of general circulation, and that he is not interested in the subject hatter of the aforesaid notice or advertisement, and that all allegations in the foregoing stateanents as to time, place and character of publication are true. f~ ~ ~~~ Marie Coyne, Editor SWO~t TO AND SUBSCRIBER before me this 30_day of Mav, 2008 ~~, ~ ~ ~ Gregory, Jane M., deed. Notary j 1 Late of Carlisle Borough, Executrix: Debra Gregory cf o Timothy D. Sheffey, Esquire, Reilly, Wolfson, Sheffey, Schrum and Lundberg LLP, 1601 Cornwall Road, Lebanon, PA 17042. Attorneys: Timothy D. Sheffey, DEB:~?~H F. ~^Lilt~tS Esquire, Reilly, Wolfson, Sheffey, Na'a-~~ Pu~li~ Schrum and Lundberg LLP, 1601 CARLISLE SORJ, CuMBEF:LAd~!(7 CJUt`:T`r' Cornwall Road, Lebanon, PA P1lV CO^'(115$10"1 GY,pji@S ,qtr 20, ~Gl Q ~ 17042. PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Erica Peterson, Classified Manager, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th, 1881, since which date THE SENTINEL has been regularly issued in said Countv, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): May 14, 21, 28, 2008 COPY OF NOTICE OF PUBLICATION ESTATE NOTICE ,Notice is hereby given that Letters Testamentary on the Estate of JANE M. GREGORY; Tate ofCarlisle r .Borough, have been granted to"Debra Gregory_ ~Npersons therefore indebted to said estate are +° requested to make immediate payment, and those ~' having just.claims will please present the same, duly ~' authenticated, for settlement without delay. r Estate of JANE M. GREGORY ~, c!o Timothy D. Sheffey, Esquire Reilly, Wolfson, Sheffey ;, Schrum:and Lundberg.LLP ;,w` 1601 Cornwall Road Lebanon; PA 17042 Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication are true. ~` ' % ? it r~.`,., +~ , ~"' ! ? \~, r ~' ~- ~- 9 i 1 Sworn to and subscribed before me this 28tH dad of May, 2008. (~'' Notary P ~lic My commission expires: ~~f~~i` ~ COMMONWEALTH OF PENNSYLVANIA ' Notarial Seal Christina L. Wdfe, Notary Public Carlisle Boro, Cumbertattd County My Commission Expires Sept 1,2008 fvtember, Pennsylvania Association Of Notaries Answer Page 1 of 1 Login Help Tax Category ~ Inheritance Tax _ _ _ - ~ All Subs Answer ID 1259 Tax Category Inheritance Tax Date Created 10/15/2003 09:15 AM Last Updated 02/07/2008 01:05 AM °i Print Answer Email Answer Search Text (optional) Search Tips Search Search By Sort By Phrases Default Sort Poweredtr~IRIGFif .~.-'- t-1G~4i Is the decedent's iRA or 401 K subject to PA Inheritance Tax if the individual dies before age 59 112? Question If an individual dies before they reach the age of 59 1/2, is the decedent's IRA or 401 K subject to PA Inheritance Tax? Answer IRAs are not subject to Inheritance Tax when the decedent is under the age of 59 1/2 at the time of death. For 401 K' s, the same provision applies unless the owner of the plan could have closed out the plan during their lifetime. In most plans, that right does not accrue until the "normal retirement age" is reached, which is usually 62 or 65 years of age. However, if the decedent was disabled at the time of death, the IRA and the 401 K is taxable regardless of age. Notify Me by Email if.this Answer is;Updated How helpful was this information? ~' Helpful ~' Somewhat Helpful ~' Not Helpful ~ :Submit Rating, Related Answers • Is Life Insurance subject to PA Inheritance Tax? • Is the PA Inheritance Tax liability considered a debt of the decedent? • Can closing costs and repairs from the sale of a decedent's house be deducted as an expense on an Inheritance Tax return ? • What property is subject to Inheritance Tax? • Where to report the.value of annuities for inheritance tax Back to Search Results f' Copyright ©2001 Commonwealth of Pennsylvania. All Rights Reserved. Commonwealth of PA Privacy Statement Vrsitthe ~~1 Po-vsrPort https://revenue-pa.custhejp.com/cgi-bin/revenue~a.cfg/php/enduser/std adp.php?p fagid... 6/23/2008 Customer Support Home ~ Find Answers ` Submit a Question' My Profile Doc Id: 5042882 ~~~~ ~ ~ •ry~9y~ This Document Recorded Receipt #: 38709 _ cL t1 01(24/2002 State RTT: 0.00 Rec Fea: 31.00 10;42AM Local RTT: 0.00 Doc Code: 01 Lancaster County Recorder of Deeds Office Tax Account No. 240-01119-0-0000 f ~~, THIS DEED, MADE this ' Cn day of kpt-~,~t~;!Z~ in the year two thousand and two (2002). ~/ Between JANE M. GREGORY and DEBRA A. GREGORY, Co-Executrixes of the Estate of Robert E. Gregory, Deceased, and JANE M. GREGORY, DEBRA A. GREGORY, MARTHA R. GREGORY and SALLIE M. GREGORY, all single persons, being the only children of Robert E. Gregory, decedent, of the County of Lancaster and Commonwealth of Pennsylvania, (hereinafter called Grantor), and JANE M. GREGORY, DEBRA A. GREGORY, MARTHA R. GREGORY and SALLIE M. GREGORY, all single persons, AS joint tenants with the right of survivorship with the ones or one living the longer and not as tenants in common, of the County of Lancaster and Commonwealth of Pennsylvania, (hereinafter called Grantee), WITNESSETH, intending to be legally bound hereby and to make distribution in kind in the Estate of Robert E. Gregory, Deceased, said Grantor does hereby grant and convey to the said Grantee, their heir and assigns, as joint tenants with the right of survivorship with the ones or one living the longer and not as tenants in common: ALL THAT CERTAIN tract or piece of land having thereon erected a one and one-half story brick building dwelling with two-car basement garage, situate on the North side of U.S. Route No. 322, in the Township of Elizabeth, County of Lancaster and Commonwealth of Pennsylvania with a Post Office Address of: 721 East 28`h Division Highway, Lititz, PA 17543, being bounded and described as follows: BEGINNING at a point in said U.S. Route No. 322, a corner of land now or late of Emma H. Nolt and John J. Nolt, her husband, of which this was formerly a part; THENCE North forty-nine (49) degrees six (06) minutes East, eighteen (18) feet, crossing an iron pin from said point of beginning, said iron pin being in or near the North side of said Highway, a distance of two hundred sixty-five (265) feet to a point in Middle Creek, said line also crossing an iron pin planted thirty-five (35) feet from said point in Middle Creek; THENCE by the same South twenty-eight (28) degrees forty-two (42) minutes East, ninety-three (93) feet to a point in said Creek; THENCE along in said Creek by lands of the same the following courses and distances: South sixty-five (65) degrees fifty-five (55) minutes East, four hundred (400) feet; South forty- three (43) degrees thirty-five (35) minutes East, two hundred forty (240) feet; South thirteen (13) degrees eleven (11) minutes East, one hundred thirty (130) feet; South thirty-three (33} degrees six (6) minutes West, one hundred sixty-four and three-tenths (164.3) feet to a point in the middle of the aforesaid highway on the bridge crossing said Middle Creek; THENCE along in the middle of said highway and by land now or late of Emma H. Nolt and John J. Nolt, her husband, of which this was formerly a part, North fifty-four (54) degrees thirty (30) minutes West, eight hundred seventy-eight and nine-tenths (878.9) feet to the place of BEGINNING. CONTAINING four (4) acres one hundred thirty (130) perches of land according to a survey made August 9, 1940, by D.G. Ranck, Registered Surveyor of Bareville, Pennsyivania. BEING THE SAME PREMISES WHICH Guy E. Enck and Margaret A. Enek, husband and wife, by their deed dated August 1, 1962, and recorded August 2, 1962, in the Recorder of Deeds Office in and for Lancaster County, Pennsylvania in Record Book Y, Volulne 51, Page 846, granted and conveyed unto Robert E. Gregory and Mary Alice E. Gregory, husband and wife, their heirs and assigns. AND THE SAID Mary Alice E. Gregory died on November 3, 1979, whereupon title to the within premises vested in Robert E. Gregory, as the surviving tenant by the entirety. 1 INIIIIMII~IIINIIIItlIIII11111NIBI11111Nllllll o~~''aa~ s. file No. 24236 Page #1~ APPRAISAL OF REAL PROPERTY LOCATED AT: 721 E. 28TH DIVISION HWY DEED REFERENCE: 5042882 LITITZ, PA 17593-9743 FOR: JANE M. GREGORY ESTATE AS OF: DECEMBER 5, 2008 BY: HAYLEY NESS FRANK TOMECEK REAL ESTATE SERVICES 110 NORTH MARKET STREET, P.O. BOX 410 SCHAEFFERSTOWN, PA 17088 Form GA1 - "WinTOTAL"appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Page #2 FRAPIK TOMECEK REAL ESTATE SERVICES 110 Pd. MARKET STREET, P.O. BOX 410 SCHAEFFERSTOWN, PA 17088 139 WYOMING AVEIQUE PENNSYLVANIA FURNACE, PA 16865 Re:Property:721 E. ?8TH DIVISION HWY LITITZ, PA 17543-9743 Borrower: N/A File No.:24236 In accordance with your request, we have appraised the above referenced property. The report of that appraisal is attached. The purpose of this appraisal is to estimate the market value of the property described in this appraisal report, as improved, in unencumbered fee simple title of ownership. This report is based on a physical analysis of the site and improvements, a locational analysis of the neighborhood and city, and an economic analysis of the market for properties such as the subject. The appraisal was developed and the report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice. The value conclusions reported are as of the effective date stated in the body of the report and contingent upon the certifi-cation and limiting conditions attached. It has been a pleasure to assist you. Please do not hesitate to contact me or any of my staff if we can be of additional service to you. Sincerely, ~R~F~ZG f• ~. 77c.Jb-, HAYLEY NESS CERTIFIED RESIDENTIAL APPRAISER PA-RL139320 Borrower/Client N/A File No. 24236 Pro ert Address 721 E. 28TH DIVISION HWY Clt LITITZ County LANCASTER State PA Zip Code 17543-9743 C{lent DEBORAH GREGORY / JANE M. GREGORY ESTATE Form TOCNP - "WinTO7AL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Page #~ SUMMARY OF SALIENT FEATURES Subject Address 721 E. 28TH DIVISION HWY Legal Description DEED REFERENCE: 5042882 ~jTy LITITZ County LANCASTER State PA Zip Code 17 54 3-97 4 3 Census Tract 42-071-0102.01 Map Reference 29540 Sale Price $ N/A Date of Sale N/A Borrower/Client N/A Client DEBORAH GREGORY / JP_NE M. GREGORY ESTATE Size (Square Feet) 3, 035 Price per Square Foot $ N/A LOCatlon RURAL Age 69 YEARS Condition AVERAGE • Total Rooms 9 Bedrooms s Baths 2 Appraiser HAYLEY NESS Date of Appraised Value DECEMBER 5, 2008 Final Estimate of Value $ 335, 000 Form SSD - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Page #4~ r ~ FannieMae FRANK TOMECEK REAL ESTATE SERVICES (717) 949-2678 rlPCktnn Underwriter Quantitative Analysis Appraisal Report File No. 24236 T HIS SUMMARY APPRAISAL REPORT IS INTENDED FOR USE BY THE LENDER/CLIENT FOR A MORTGAGE FINANCE TRANSACTION ONLY. Pro e Address 721 E. 28TH DIVISION HWY City LITITZ State PA Zi Code 17543-9743 Le al Descri lion DEED REFERENCE: 5042882 COUn LANCASTER Assessor's Parcel No. zoo-01.1190-0000 Tax Year 2ooa R.E. Taxes $ 4 204 .24 S ecial Assessments N/A .. Borrower N/A Current Owner J. D. M. & s. GREGORY Occu ant Owner Tenant Vacant Nei hborhood or Pro ect Name ELIZABETH TOWNSHIP Pro ect T e PUD Condominium HOA N /A Mo. Sales Price N/A Date of Sale N/A Descri lion $ amount of loan char es concessions to be aid b seller N/A Pro e ri hts a raised .Fee Sim le Leasehold Ma Reference 2 954 o Census Tract o l 02.01 Note: Race and the racial com osition of the nei hborhoo d are not a raial factors. Location ^ Urban ^ Suburban ~ Rural 25-75`x° ^ Under 25% Built up ^ Over 75% Growth rate Ra id Stable Slow Property values ^ Increasing ~ Stable ^ Declining Demand/supply ^ Shortage ®In balance ^ Over supply Marketin time Under 3 mos. 3-6 mos. Over 6 mos. Single family housing PRICE AGE $(000) (yrs) 1.00 Low o-1 Condominium housing PRICE (if applic.) AGE $j000) (yrs) N /A Low N /A Neighborhood boundaries NORTH OF NEWPORT ROAD, SOUTH OF ROUTE 76 EAST OF ROUTE 501 500 HI 11100+ N/A HI h N/A AND WEST OE CLAY ROAD ° PredOminant Predominant -- 250 35 N/A N/A Dimensions AS PER DEED Site area 4 .8 ACRES Shape RECTANGULAR M/L Specific zoning classification and description R-2 VILLAGE RESIDENTIAL Zoning compliance I~! Legal ^ Legal nonconforming (Grandfathered use) ^ Illegal, attach description ^ No zoning Highest and best use of subject property as improved (or as proposed per plans and specifications): ~ Present use ^ Other use, attach description. tftilities Public Other Public Other Electricity ~ Water ^ WELL WATER GdS NONE Sanitar sewer SEPTIC SYSTEM Off-site Improvements Type Public Private Street PAVED ASPHALT ~ i^ Alle NONE Are there an a arent adverse site conditions easements encroachments s ecial assessments slide areas etc. ? Yes No If Yes attach descri Lion. Source(s) used for physical characteristics of property: ~ Interior and exterior inspection ^ Exterior inspection from street ~ Previous appraisal files MLS Assessment and tax records Prior ins ection Pro e owner Other Describe No. of Stories 1.7 T e Det. Atf. DETACH EXterlOf WaIIS BRICK/VINYL Roof Surface coMPOSSxGLE Manufactured Housin Yes No Does the ro ert enerall conform to the nei hborhood in terms of s le condition and construction materials? Yes No If No attach descri lion. Are there any apparent physical deficiencies or conditions that would affect the soundness or structural integrity of the improvements or the livability of the property? Yes No If Yes attach descri lion. Are there any apparent adverse environmental conditions (hazardous wastes, toxic substances, etc.) present in the improvements, on the site, or in the immediate vicinity of the subject property? ^ Yes ~ No 1f Yes, attach description. I researched the subject market area for comparable listings and sales that are the most similar and proximate to the subject property. My research revealed atotal of 4 sales ranging in sales price from $ 320 , ooo_ to $ - 34 9, 900 , My research revealed a total of _ o listings ranging in list price from $ N 1A to $ N /A The anal sis of the com arable sales below reflects market reaction to significant variations between the sales and the subject roperty. FEATURE SUBJECT SALE 1 SALE 2 SALE 3 721 E. 28TH DIVISION Hi Address LITITZ PA 1?593 228 PINE VIEW DRIVE DENVER PA 17517 1540 NEWPORT ROAD MANHEIM PA 17545 1110 HUNSICKER ROAD LANCASTER PA 17601 PrOXlmlt tOSubect 5_50 miles NE _6_31, miles W 8.89 miles S Sales Price _ _ _ _320 _000 _ _ 349L900 320 000 Price Gross Livin Area $ ~ 141.59 ~ r 138.90 ~ $ 125.49 ~ Data&VerificationSources _-- - - -- - FLEX MLS/COURTHOUSE FLEX MLS/COURTHOUSE FLEX MLS/COURTHOUSE VALUE ADJUSTMENTS DESCRIPTIGPJ DESCRIPTION + - $ Ad ust. DESCRIPTION + - $ Ad ust. DESCRIPTION + - $ Ad ust. Sales or Financing COrICBSSIOrIS __ cASx DOM:76 NONE KNOWN CONV DOM:113 NONE KNOWN CGNV DOM: 35 SC $8 000 -8 000 Date of Sale ime 08/14/2008 66/1712008 06/06/2008 Location RURAL SIMILAR SIMILAR SIMILAR Site 4.80 ACRES 4.23 ACRE +2 000 2.50 ACRES +8 100 1.50 ACRES +11 600 Ujewr TYPICAL TYPICAL TYPICAL TYPICAL Desi n S le 1.75STY DET 2STY DETACH 2STY DETACH 1.5STY DETACH ; Actual A e rS. 69 YEARS 14 YEARS -5 500 85 YEARS 29 YEARS -4 C00 - Condition AVERAGE E UAL SUP/INT/QUALT I -10, 000 EQUAL Above Grade Total ~' Bdrms' Baths Total i Bdrms ~' Baths ' _ Total ' Bdrms ~ Baths T _ __ Total ' Bdrmsi. Baths ~ ^ ROOM COUnt 9 ~ 5 i 2 9 ~ 5 ~ 2 - 5 -1, 000 7 ~ 3 ~ 2 . 5 -l, 000 _ 8 ~ 4 ~ 2 . 5 ~ -1, 000 GrOSS Llvin Area 3 035 S . Ft. 2, 260 Sg. Ft. +11 600 2 519 S . Ft. +7 700 2 550 S . Ft. +7 300 Basement & Finished - Rooms Below Grade FULL BSMT UNFINISHED EQUAL BSMT UNFINISHED EQUAL BSMT FAMILY ROOM -1 500 EQUAL BSMT UNFINISHED GaraeCarort 2C-INT/2C-DT 2C-ATTACHED +1 500 4C-DETACHIE U ', 1C-ATTACHED +2 500 Outbuildin s STBLE/KENNEL NONE +1 500 SIMILAR NONE +1 500 Net Ad. total ^±_ ^ - . 10 100 ~_+_ ^ - ; 3 300 _^+ _ ^ - I 9 900 Adjusted Sales Price ofComparables Net 3.2 °~ GTASS 7.2 % 330 100 Net 0.9 °~ Cross 8.1 % 353 200 Net 3.1 9'°~ GTOSS-.11.2%0 329 900 Date of Prior Sale 01/16/2002 06/01/2001 12/14/2006 05/16/2607 Price of Prior Sale $ 1.00 208, 000 1 . oo $ 1.00 Analysis of any current agreement of sale, option, or listing of the subject property and analysis of the prior sales of subject and comparables: THE PROPERTY is NOT CURRENTLY LISTED OR UNDER AGREEMENT OF SALE THAT THE APPRAISER IS AWARE OF. $Ommary Of Sales COmparlSOn and VdIUe COnCIUSIOn: THE DIRECT SALES COMPARISON APPROACH IS CONSIDERED TO PROVIDE THE TYPICAL ACTIONS OF BUYERS AND SELLERS IN THE MARKETPLACE AND HAS BEEN USED TO DETERMINE THE FINAL ESTIMATE OF VALUE. AI,L COMPARABLES ARE SETTLED AND WERE VERIFIED WITH PUBLIC RECORDS AND/OR WITH REALTORS INVOLVED WITH THE TRANSACTION. This appraisal is made ~ "as-is", ^ subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed, or ^ subject to the following repairs, alterations or conditions BASED ON AN ^ EXTERIOR INSPECTION FROM THE STREET OR AN ~ INTERIOR AND EXTERIOR INSPECTION , I ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTYTHATISTHESUBJECTOFTHISREPORTTOBES 335,000 ,AS OF DECEMBER 5, 2008 PAGE 1 OF 3 Fannie Mae Form 2055 9-96 Form 205 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE [ile No. 24236 Page #~ nocl[tnn IlnrlprwritPr [luantitative Analysis Appraisal Report File No. 29236 r vv.ww ~. - ------ -- - Project lnformationfor PUDs (If applicable) - - Is the developer/builder in control of the Home Owners' Association (HOA)? ^ Yes ^ No Provide the following information for PUDs only if the developer/builder is in control of the HOA and the subject property is an attached dwelling unit: Total number of phases Total number of units Total number of units sold Total number of units rented Total number of units for sale Data Source(s) Was t'ne project created by the conversion of existing buildings Into a PUD? ^ Yes ^ No If yes, date of conversion: Does the project contain any multi-dwelling units? ^ Yes ^ No Data Source: Are the common elements completed? ^ Yes ^ No if No, describe status of completion. Are any common elements leased to or by the Home Owners' Association? ^ Yes ^ No If yes, attach addendum describing rental terms and options. Describe common elements and recreational facilities: Project Information for Condominiums (If applicable) - - is the developerlbuilder in control of the Nome Owners' Association (HOA)? ^ Yes ^ No Provide the fallowing information for al! Condominium Projects. Total number of phases Total number of units Total number of units sold Total number of units rented Total number of units for sale Data Source(s) Was the project created by the conversion of existing buildings into a condominium? ^ Yes ^ No If yes, date of conversion: _ Project Type: '~ Primary Residence ^ Second Home or Recreational ^ Row or Townhouse ^ Garden ^ Midrise ^ Highrise ^ Condition of the project, quality of construction, unit mix, etc.: Are the common elements completed? ^ Yes ^ No If No, describe status of completion: Are any common elements leased to or by the Home Owners' Association? ^ Yes ^ No If yes, attach addendum describing rental terms and options. Describe common elements and recreational facilities: PURPOSE OF APPRAISAL: The purpose of this appraisal is to estimate the market value of the real property that is the subject of this report based on a quantitative sales comparison analysis far use in a mortgage finance transaction. DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair safe, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (7) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he considers his own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U.S. dollars or in terms of financia{ arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions* granted by anyone associated with the sale. * Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the selier pays these casts in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cast of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgment. STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears in the appraisal report is subject to the following conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it. The appraiser assumes that the title is good and marketable and, therefore, will not render any opinions about the title. The property is appraised on the basis of it being under responsible ownership. 2. The appraiser has provided any required sketch in the appraisal report to show approximate dimensions of the improvements and the sketch is included only to assist the reader of the report in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand. 4. The appraiser has noted in the appraisal report any adverse conditions (such as, but not limited to, needed repairs, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the normal research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no knowledge of any hidden or unapparent conditions of the property or adverse environmental conditions (including the presence of hazardous wastes, toxic substances, etc.) that would make the property more or less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, expressed or implied, regarding the condition of the property. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considered as an environmental assessment of the property. 5. The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or she considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of such items that were furnished by other parties. 6. The appraiser wil{ not disclose the contents of the appraisal report except as provided for in the Uniform Standards of Professional Appraisal Practice. 7. The appraiser must provide his or her prior written consent before the lender/client specified in the appraisal report can distribute the appraisal report (including conclusions about the property value, the appraiser's identity and professional designations, and references to any professional appraisal organizations or the firm with which the appraiser is associated) to anyone other than the borrower; the mortgagee or its successors and assigns; the mortgage insurer; consultants; professional appraisal organizations; any state or federally approved financial institution; or any department, agency, or instrumentality of the United States or any state or the District of Columbia; except that the lender/client may distribute the report to data collection or reporting service(s) without having to obtain the appraiser's prior written consent. The appraiser's written consent and approval must also be obtained before the appraisal can be conveyed by anyone to the public through advertising, public relations, news, sales, or other media. 8. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to completion per plans and specifications on on the basis of a hypothetical condition that the improvements have been completed. 9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to completion, repairs, or alterations on the assumption that completion of the improvements will be performed in a workmanlike manner. F'AGt Z Uh 3 rannie iviae roan zuoo a-an Form 205 - "WinTOTAL" appraisal software by a is mode, inc. -1-800-ALAMODE File No. 24236 Page #6i Desktop Underwriter Quantitative Analysis Appra~sa~ Report File No. 24236 APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that: 1. I performed this appraisal by (1} personally inspecting from the street the subject property and neighborhood and each of the comparable sales (unless I have otherwise indicated in this report that I also inspected the interior of the subject property); (2) collecting, confirming, and analyzing data from reliable public and/or private sources; and (3) reporting the results of my inspection and analysis in this summary appraisal report. I further certify that I have adequate information about the physical characteristics of the subject property and the comparable sales to develop this appraisal. 2. I have researched and analyzed the comparable sales and offerings/listings in the subject market area and have reported the comparable sales in this report that are the best available for the subject property. I further certify that adequate comparable market data exists in the general market area to develop a reliable sales comparison analysis for the subject property. 3. I have taken into consideration the factors that have an impact on value in my development of the estimate of market value in the appraisal report. I further certify that I have noted any apparent or known adverse conditions in the subject improvements, on the subject site, or on any site within the immediate vicinity of the subject property of which I am aware, have considered these adverse conditions in my analysis of the property value to the extent that I had market evidence to support them, and have commented about the effect of the adverse conditions on the marketability of the subject property. I have not knowingly withheld any significant information from the appraisal report and I believe, to the best of my knowledge, that all statements and information in the appraisal report are true and correct. 4. I stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the contingent and limiting conditions specified in this form. 5. I have no present or prospective interest in the property that is the subject of this report, and 4 have na present or prospective persona{ interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or the estimate of market value in the appraisal report on the race, color, religion, sex, age, marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by iaw. 6. I have no present or contemplated future interest in the subject property, and neither my current or future employment nor my compensation for performing this appraisal is contingent on the appraised value of the property. 7. I was not required to report a predetermined value or direction in value that favors the cause of the client or any related party, the amount of the value estimate, the attainment of a specific result, or the occurrence of a subsequent event in order to receive my compensation and/or employment for performing the appraisal. I did not base the appraisal report on a requested minimum valuation, a specific valuation, or the need to approve a specific mortgage loan. 8. I estimated the market value of the real property that is the subject of this report based on the sales comparison approach to value. I further certify that i considered the cost and income approaches to value, but, through mutual agreement with the client, did not develop them, unless I have noted otherwise in this report. 9. I performed this appraisal as a limited appraisal, subject to the Departure Provision of the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of the effective date of the appraisal (unless I have otherwise indicated in this report that the appraisal is a complete appraisal, in which case, the Departure Provision does not apply). 10. I acknowledge that an estimate of a reasonable time for exposure in the open market is a condition in the definition of market value. The exposure time associated with the estimate of market value for the subject property is consistent with the marketing time noted in the Neighborhood section of this report. The marketing period concluded for the subject property at the estimated market value is also consistent with the marketing time noted in the Neighborhood section. 11. I personally prepared all conclusions and opinions about the real estate that were set forth in the appraisal report. I further certify that no one provided significant professional assistance to me in the development of this appraisal. SUPERVISORY APPRAISER'S CERTIFICATION: If a supervisory appraiser signed the appraisal report, he or she certifies and agrees that: I directly supervise the appraiser who prepared the appraisal report, have examined the appraisal report for compliance with the Uniform Standards of Professional Appraisal Practice, agree with the statements and conclusions of the appraiser, agree to be bound by the appraiser's certifications numbered 5 through 7 above, and am taking full responsibility for the appraisal and the appraisal report. APPRAISER: xAYLEY NESS SUPERVISORY APPRAISER (ONLY IF REQUIRED): Signature: ~';-a~~~~ ~`• }~s~ Signature: ~~~ ~~~" Name: HAYLEY NESS NarTle: FRANK TOMECEK Company Name: FRANK TOMECEK REAL ESTATE SERVICES Company Name: FRANK TOMECEK REAL ESTATE SERVICES Company Address: llo N. MARKET ST. , P.O. BOX 410 ___ Company AddfeSS: 110 N. MARKET ST. , P.O. BOX 410CE SCHAEFFERSTOWN, PA 17088 SCHAEFFERSTOWN, PA 17088 Date of Report/Signature: December oa zoos Date of Report/Signature: December oa, zoo8 State Certification #: RL 139320 State Certification #: PA-GA-ooo374-L or State License #: or State License #: State: PA State: PA Expiration Date of Certification or License: o6/3oizoo9 Expiration Date of Certification or License: on/3oizoo9 ADDRESS OF PROPERTY APPRAISED: 721 E. 28TH DIVISION xwY SUPERVISORY APPRAISER: LITITZ PA 17543-x743 SUBJECT PROPERTY APPRAISED VALUE OF SUBJECT PROPERTY $ 335 , 0 00 ~ Did not inspect subject property EFFECTIVE DATE OFAPPRAISAL/INSPECTION DECEMBER s, zoos ^ Did inspect exterior of subject property from street ^ Did inspect interior and exterior of subject property LENDERJCLIENT: Name: Company Name: _ Company Address: COMPARABLE SALES ~ Did not inspect exterior of comparable sales from street ^ Did inspect exterior of comparable sales from street YA~t 3 Ut 3 ranwc iviac runic cuou u-~u Form 205 - "WinTOTAL" appraisal software by a fa mode, inc. -1-800-ALAMODE (File No. 24236 Page #~ Desktop Underwriter Quantitative Analysis Appraisal Resort FEATURE SUBJECT SALE4 SALE 5 SALE 6 721 E. 28TH DIVISION Ht Address LITITZ PA 17.543 425 MOHNS HILL ROAD REINHOLDS PA 17569 PrOXlmi toSUbect 10.45 miles E - Sales Price 328 , 000 ~ - - $ Price Gross Livin Area $ ~ _ S 164 .41 ~ ._ $ ~ ~I, _ - - $ ~ Data&VerlflCatlonSoUfCBS FLEX MLS/COURTHOUSE VALUE ADJUSTMENTS DESCRIFTIO~J DESCRIPTION + - $ AdLst. DESCRIPTION + - $ Atl ust. DESCRIPTION + - $ Ad ust. Sales or Financing . COnCBSSIOnS coNV DOM: 12 NONE KNOWN ' - Date of Sale ime 06/27/2008 • Location RURAL SIMILAR ' Site 4.80 ACRES 8.70 ACRES -13 700 VIEW TYPICAL TYPICAL _ Desi n St le 1.75STY DET 1.5STY DETACH ; ' Actual A e Yrs. 69 YEARS 23 YEARS -4 600 ' _ Condition AVERAGE EQUAL _ Above Grade Total :'Bdrms Baths Total ~ ~ Bdrms Baths Total Bdrms Baths ~ Total Bdrms Baths Room Count 9 5 2 8 3 2 ~ ~~ I ; Gross Livin Area 3 035 S . Ft. 1 995 S . Ft. +15 600 S . Ft. ~I S . Ft. ' Basement & Finished Rooms Below Grade FULL BSMT UNFINISHED EQUAL BSMT FAMILY ROOM -1 500 ~ I Gara e Car ort 2C-INT/2C-DT 2C-ATTACHED +2 000 Outbuildin s STBLE/KENNEL EQUAL Net Ad. total + - I -z 200 n ± ^ - ' - ;+ - Adjusted Sales Price of Com arable Net 0.7 ~° Gra55 11.4 % 325 800 Net Gr05S % % Net GLOSS % $ Date of Prior Sale 01/16/2002 NO SALE ONE YEAR PRIOR. Price of Prior Sale $ 1.00 $ $ Comments: FRANK TOMECEK REAL ESTATE SERVICES (717) 949-2678 Fannie Mae Form 2055 9-96 Form 205.(AC) - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Pa e #8 C~~nnlemP_nt~l Addendum File No. ~ 4 ~ ~ h '-r r- - -- -- -- -- - Borrawer/Client N/A Pro e Address 721 E. 28TH DIVISION HWY Cit LITITZ Count LANCASTER State PA ZI Code 17543-9743 Client DEBORAH GREGORY / JANE M. GREGORY ESTATE THE METROPOLITAN STATISTICAL AREA LOCATION NUMBER IS 30140. CLIENT IDENTIFICATION AND INTENDED USERS: THE CLIENT IS HEREBY IDENTIFIED AS: DEBORAH GREGORY / JANE M. GREGORY ESTATE. THE INTENDED USER(S) OF THIS APPRAISAL REPORT IS THE AFOREMENTIONED CLIENT ONLY; AND/OR AGENTS OF THE CLIENT WITH LEGAL DOCUMENTATION INDICATING THEIR CAPACITY TO ACT AS A REPRESENTATIVE OF THE CLIENT AND/OR INDIVIDUALS OR ENTITIES IN WHICH HAS TRANSFERRED OR ASSIGNED THEIR RIGHTS AS A CLIENT THEREOF. INTENDED USE OF THSS APPRAISAL: THE INTENDED USE OF THIS APPRAISAL REPORT IS TO ASSIST THE CLIENT IN MAKING A LOAN AND/OR FINANCIAL DECISION IN WHICH THE SUBJECT PROPERTY IS, OR HAS BEEN, USED AS A COLLATERAI. OR SECURITY FOR THE PURPOSES OF THE REPAYMENT OF THE LOAN. ***THE USE OF THIS APPRAISAL FOR A PURPOSE OTHER THAN THAT STATED ABOVE IS PROHIBITED.*** ANALYSIS OF CURRENT AGREEMENTS: THE SUBJECT IS NOT CURRENTLY LISTED OR UNDER AGREEMENT OF SALE THAT THE PPPRAISER IS AWARE OF. SUBJECT PROPERTY DESCRIPTION: THE SUBJECT PROPERTY IS A SINGLE FAMILY RESIDENCE LOCATED IN ELIZABETH TOWNSHIP, LANCASTER COUN'T'Y. THE SUBJECT IS A TWO STORY HOME BUILT IN 1939 WITH 3,035 SQUARE FOOTAGE SITUATED ON A 4.8 ACRE LOT. THE EXTERIOR OF ^1 HE HOME IS BRICK AND VINYL WITH A COMPOSITE SHINGLE ROOF AND DOUBLE HUNG WINDOWS WITH STORM SASHES. THE EXTERIOR AMENITIES INCLUDE A SIDE CONCRETE PATIO, A SHEDJKENNEL, A SHED, AND A TWO CAR DETACHED GARAGE. THERE IS A PAVED ASPHALT DRIVEWAY LEADING TO A TWO CAR INTEGRAL GARAGE. THE FIRST FLOOR CONSISTS OF A KITCHEN, LIVING ROOM WITH WOOD BURNING FIREPLACE, DINING ROOM, DEN, TWO BEDROOMS AND A FULL BATH. THE SECOND FLOOR CONSISTS OF THREE BEDROOMS AND A FULL BATH. THERE IS AN UNFINISHED STORAGE AREA ON THE SECOND FLOOR OVER THE KITCHEN. THERE IS A FULL UNFINISHED BASEMENT THAT HAS ACCESS TO THE OUTSIDE AND THE GARAGE. THE HOME IS HEATED WITH OIL HOT WATER RADIATORS. THE HOME WAS IN AVERAGE CONDITION AT THE TIME OF INSPECTION. SUMMARY OF MARKET DATA: A THOROUGH SEARCH FOR SIMILAR SALES WAS MADE USING THE MULTIPLE LISTING SERVICES AND PUBLIC RECORDS. THE COMPARABLE SALES PRESENTED ARE THE MOST SIMILAR SALES P.VAILABLE, AND ARE CONSIDERED GENERALLY COMPETITIVE WITH THE SUBJECT PROPERTY. ADJUSTMENTS WERE MADE TO REFLECT MARKET REACTTONS TO DIFFERENCES BETWEEN THE SUBJECT AND COMPARABLES. THE ROUNDED RATE OF $15.00 PER SQUARE FOOT WAS APPLIED TO SQUARE FOOTAGE DIFFERENCE. THE FIRST LINE OF THE ROOM SECTION IN THE ADJUSTMENT GRID IS FOR BATHROOM DIFFERENCE AND THE SECOND LINE IS FOR ROOM AND SQUARE FOOTAGE DIFFERENCE. THE ROOM COUNT LINE ADJUSTMENTS ARE APPLIED FOR THE BATHROOM COUNT ONLY. THE TOTAL ROOM COUNT/ROOM SIZES ARE REFLECTED IN THE GROSS LIVING AREA ADJUSTMENT. THE FIRST LINE OF THE BASEMENT ADJUSTMENTS ARE APPLIED FOR THE DIFFERENCE IN PERCENTAGE OF BASEMENT AND THE SECOPdD LINE ADJUSTMENTS ARE FOR FINISHED AREA DIFFERENCES. IN THE VALUATION OF THE PROPERTY, ONLY ITEMS ATTACHED TO THE REALTY WERE CONSIDERED. ITEMS SUCH AS REFRIGERATORS, WASHERS, DRYERS, OR FURNITURE WERE NOT CONSIDERED IN THE VALUATION. ALL THE COMPARABLE SALES HAVE SETTLED AND WERE VERIFIED WITH THE PUBLIC RECORDS OR REALTORS INVOLVED WITH THE TRANSACTION. IN THE MULTIPLE LISTING SERVICE, THE INFORMATION CONCERNING GROSS LIVING AREA, LOT SIZE, AND AMENITIES, ETC. IS BELIEVED 'PO BE P.CCURA'I'E. HOWEVER, NO WARRANTIES CONCERNING SUCH INFORMATION IS MADE BY THE APPRAISER, DUE TO THIS DATA BEING OBTAINED BY SOMEONE OTHER THAN THE APPRAISER. FINAL RECONCILIATION: THE DIRECT SALES COMPARISON APPROACH IS CONSIDERED TO PROVIDE THE TYPICAL ACTIONS OF BUYERS AND SELLERS IN THE MARKET PLACE AND HAS BEEN GIVEN THE MOST WEIGHT IN DETERMINING THE FINAL OPINION OF VALUE. THE COST APPROACH IS NOT APPLICABLE TO HOME OF THIS AGE. THE INCOME APPROACH HAS NOT BEEN DEVELOPED DUE TO THE FACT THAT SINGLE FAMILY HOMES OF THIS TYPE ARE SELDOM PURCHASED FOR INCOME PURPOSES, EVEN THOUGH THE SUBJECT PROPERTY IS CURRENTLY BEING RENTED. THEREFORE THE MARKET PLACE LACKS ADEQUATE RENTAL DATA IN ORDER TO ARRIVE AT A GROSS RENT MULTIPLIER. SINCE THIS APPROACH IS NOT CONSIDERED APPLICABLE, IT IS NOT NECESSARY TO EVOKE THE DEPARTURE PROVISIONS OF THE UNIFORM STANDARDS OF PROFESSIONAL APPRAISAL PRACTICE. ADDITION SCOPE OF WORK COMMENTS: THIS APPRAISAL IS NOT A HOME INSPECTION ANU THE APPRAISER IS NOT ACTING AS A HOME INSPECTOR WHEN PREPARING THE REPORT. THE INSPECTION IS NOT TECHNICALLY EXHAUSTIVE. THE INSPECTION DOES NOT OFFER WARRANTIES OR GUARANTEES OF ANY KIND. THE BORROWER HAS THE RIGHT TO HAVE THE HOME INSPECTED BY A PROFESSIONAL HOME INSPECTOR. WHEN PERFORMING THE INSPECTION OF THE SUBJECT PROPERTY, THE APPRAISER VISUALLY OBSERVED AREAS THAT WERE READILY ACCESSIBLE. THE APPRAISER IS NOT REQUIRED TO DISTURB OR MOVE ANYTHING THAT OBSTRUCTS ACCESS OR VISIBILITY. ADDITIONAL CERTIFICATION CLARIFICATION: Signature *.~Le.-(s~e. ~.. }Ze.o~, - - Name HAYLEY NESS Date Signed December 09 2008 State Certification # RL 139320 State Or State License # State Signature ~°~~ ~~~~" Name FRANK TOMECEK Date Signed December 09, 2008 State Certification # PA-GA-000374-L State Or State License # State PA Form TADD2 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Paae #9 Supplemental Addendum File No.24236 Borrower/Client N/A Pro e Address 721 E. 28TH DIVISION HWY CI LITITZ COUnt LANCASTER State PA ZI Code 17543-9743 Client DEBORAH GREGORY / JANE M. GREGORY ESTATE THE INTENDED USER OF THIS APPRAISAL REPORT IS THE LENDER/CLIENT. THE INTENDED USE IS TO EVALUATE THE PROPERTY THAT IS THE SUBJECT OF THIS APPRAISAL FOR A MORTGAGE FINANCE TRANSACTION SUBJECT TO THE STATED SCOPE OF WORK PURPOSE OF THE APPRAISAL REPORTING REQUIREMENTS OF THIS APPRAISAL REPORT FORM AND DEFINITION OF MARKET VALUE. NO ADDITIONAL INTENDED USERS ARE IDENTIFIED BY THE APPRAISER. HAYLEY NESS CERTIFIED RESIDENTIAL REAL ESTATE APPRAISER PA RL 139320 Signature ~-d..r(s,~, f< ?Za.o.~• Name HAYLEY NESS Date Slgned December 09, 2008 State Certification # RL 139320 State Or State License # State Signature ~~ ~C T.~ Name FRANK TOMECEK Date Signed December 09, 2008 State Certification # PA-GA-000374-L State Or State License # State PA Form TADD2 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Paqe #10 Subject Photo Page Borrower/Client N/A Pro ert Address 721 E. 28TH DIVISION HWY Clt LITITZ COUnty LANCASTER State PA ZI Code 17543-9743 Client DEBORAH GREGORY / JANE M. GREGORY ESTATE Subject Front 721 E. 28TH DIVISION HWY Sales Price Gross Living Area 3, 035 Total Rooms 5 Total Bedrooms 5 Total Bathrooms 2 Location RURAL VIeW TYPICAL Site 4.80 ACRES QUallty AVERAGE Age o9 YEARS Subject Rear Subject Street Form PICPIX.SR - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Paae #11 Subject Photo Page Borrower/Client N/A Pro e Address 721 E. 28TH DIVISION HWY Cit LITITZ Count LANCASTER State pA Zi Code 17543-9743 Client DEBORAH GREGORY / JANE M. GREGORY ESTATE STABLE/KENNEL 721 E. 28TH DIVISION HWY Sales Price Gross Living Area 3, 035 Total Rooms 9 Total Bedrooms 5 Total Bathrooms 2 Location RURAL VIeW TYPICAL Slte 4.80 ACRES QUallty AVERAGE Age n 9 YEARS 2 CAR DETACHED GARAGE Subject SIDE /GARAGE Form PICPIX.SR - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Paae #12 Comparable Photo Page BorrowedClient N/A Pro e Address 721 E. 28TH DIVISION HWY CI LITITZ Count LANCASTER State PA ZI Code 17543-9743 Client DEBORAH GREGORY / JANE M. GREGORY ESTATE Comparable 1 228 PINE VIEW DRIVE Prox. to Subject 5.50 miles NE Sale Price 320, o00 Gross Living Area 2, 260 Total Rooms 9 Total Bedrooms 5 Total Bathrooms 2.5 Location sIMILAR View TYPICAL Slte 4.23 ACRE DUallty EQUAL Age 14 YEARS Comparable 2 1590 NEWPORT ROAD Prox. to Subject 6.31 miles w Sale Price 349,900 Gross Living Area 2 , 519 Total Rooms 7 Total Bedrooms 3 Total Bathrooms 2 .5 Location sIMILAR View TYPICAL Slte 2.50 ACRES Quality EQUAL Age 85 YEARS Comparable 3 1110 HUNSICKER ROAD Prox. to Subject 8.89 miles S Sale Price 320, o00 Gross Living Area 2, 550 Total Rooms a Total Bedrooms 4 Total Bathrooms ? . 5 Location SIMILAR VIOW ^1YPICAL Site 1.50 ACRES DUallty EQUAL Age 29 YEARS Form PICPIX.CR - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Page #13 Comparable Photo Page Borrower/Client N/a Pro e Address 721 E. 28TH DIVISION HWY CI LITITZ Connt LANCASTER State PA ZI Code 17543-9743 Client DEBORAH GREGORY / JANE M. GREGORY ESTATE Comparable 4 425 MORNS HILL ROAD Prox. to Subject 10.45 miles E Sales Price 328, o00 Gross Living Area 1, 995 Total Rooms 8 Total Bedrooms 3 Total Bathrooms 2 Location sIMILAR View TYPICAL Site s.7o AcREs Quality Age 23 YEARS Comparable 5 Prox. to Subject Sales Price Gross Living Area Total Rooms Total Bedrooms Total Bathrooms Location View Site Quality Age Comparable 6 Prox. to Subject Sales Price Gross Living Area Total Rooms Total Bedrooms Total Bathrooms Location View Site Quality Age Form PICPIX.CR - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Pape #14 Building Sketch Borrower/Client N/A Pro ert Address 721 E. 28TH DIVISION HWY Clt LITITZ COUnt LANCASTER State PA ZI Code 17543-9743 Client DEBORAH GREGORY / JANE M. GREGORY ESTATE I CL ~ ~ CL BEDROOM CL BEDROOM 23.0' BEDROOM CL ~ CL 5.5' 3.5' CL ~},~ 55.0' Lks..i ----- - BEDROOM CL DINING ROOM KITCHEN ~~. 13.4' CL CL 6.0' : ~ I 30.0' DEN 10.6' ~~ BEDROOM LIVING ROOM ', i 13.0' ~ ~ 6.0' PATIO i i i 48.0' i Sketch by Apex IV'" Comments: Code AREA CALCULATIONS SUMMARY Description Net Size Net Totals GLAl First Floor 1671.6 1671.6 GLA2 Second Floor 1363.0 1363.0 P/P Porch 449.8 449.8 Net LIVABLE Area (Rounded) 3035 LIVING AREA BREAKDOWN Breakdown Subtotals First Floor 10.6 x 61.0 646.6 13.4 x 55.0 737.0 6.0 x 48.0 288.0 Second Floor 5.5 x 23.0 126.5 30.0 x 37.0 1110.0 5.5 x 23.0 126.5 6ltems (Rounded) 3035 Form SKT.BIdSkI - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE File No. 24236 Page #15 Location Map Borrower/Client N/A Pro e Address 721 E. 28TH DIVISION HWY CI LITITZ COUnt LANCASTER State PA ZI Cade 17543-9743 Client DEBORAH GREGORY / JANE M. GREGORY ESTATE 1501 Straussto;nrn I .,, ~_ f a la mode, inc: a c@"`arp~n Y nu ~a~,n rrd+csra:e rcctm:.~ogy I Mlackvilla RBe~ttl'9 ~ ~ htol o rystnvrn Rehrersburg '. Ti~ ,ckdele ,. ~ `- Hamlin ", N@w Scha@fferstc>'.vn ti .. ° .:.. . rsviile Fredaricksburg °~. - ShuFcsvitle treble Barnvill@ BloamSbu 22 ~ o v ., rh `, ~~ ~ h,4t Aetna Rickenba mn~ Jon@stown , ' .~ Host ° Freeport Mdlso ~`' ° ' JKcicks t.9ilk 11831 PI@a9ant Mt Pleasanto ~ Valle Mt Ararat Mt Zion °Kutzfcawri-'• Narth Held@Ibargy ° y ° Nacetow>o ... Charming Farge Leinoachs tt Ararat °Rackwnad ., Stauchshurg u ° _ ' h1y@rstawn '•-• ,R B E R K S 222R•,~ Sand Hill Sunset Womelsdort ~ ieilmandafao ° ,~ - -"'~ 501 ~ GraenOeld Man ° ha22~ I ~ Richland"+ ..,, o fir:nvnsvllle - A N O ` N - tlu'eavertown -- o ' o N@wmanstown °Rol>asonla Y Spring Ridg@ West Lebanon 'Avon H@Ighis ° o Cleorta PI@asant Hill ~, t.~iltha,:it - Caconsing Springs Stri.^.klersiowr, VJarnersville VJhiifield ~'+'S'Umissfn nnvill@ o o ~lorta '', Reisivttle og o- _.. , Lebanon olrona ~ ~422i Springmon[a °Wast La Viiia tstana Lincoln Par Ka JRakerty Edisortv'ill@ t Infirnar)~ highland ~ o o Buff~ln Johrtstcrxn °Kleirfaltersvirie ,.- '` Fritzta~.~n Sh~tlington° hlid~.vay 5 rir s ° Zrnns hull ° p 'g Pe nw ri o Cenaan Gro'.p ,.-'` CvcallrA North Comtivall ~. y 'leasant ,241, ° V Colon,al Hills , -"_ o - -lica House 'v5nemanto 0 4uenhn ° Gou lersvdle Mohnt ' Camwall • r . .. g & Re;nholds~' -- M[ Gr@uta gum Coleman ~ I ~ ' Ang@li off@tghts y, Vrtlage 'Jer rur tbar HIIIs ..,,,..., ° ° °Mount - -'~ aKnauers ~niahrook' fw~lw,mt Airy' 4 M[~+, I r r. r A daittslown r r . r opler_Grnve~"""`. ~ ° ~r^y^„~,.~,.- , ~ , I . I . I HnP~tarrd 4 I ~ I wartzvilla Alleghe: ..-~''~ :.-.,- Clay _-~. .-•" t,~1ount r @v@ns ' Nurnrrtals S Eistanvrlle 1 il[a Oak ~ ~ 2T2 • o '""'*•..;~_ t~9eple G:a•ve Park° q o . Maseersanvilie ~ Penryn ~ r ~--~ ~Boa~manswrlle . I • ~' Napirjrvilla Union Square ~ E ° Fr:epainiviue R ove o Old Lln@ gyp. Y o P Aduenetl ed Ruri Fr svdr~ a ~ P E N ~, N S' Y L 'V , A N I A o y +~„- - Manhaim o ° ' t.Ailha'a s a rrnerack `Lltttz y~' ~ Akron T@rra Hifl ° ° Rathsullle ° r Hahn irnvn g otlnian Grove Vallay Vi@. o Lime Rack ° 4 ° Lancaster ' - , Hinkkfavn ~ 4a-tindale Spciing Hdl Jun:Lan oKIsS@I Hill °Prtilipart - ~ ~ Churcht 4 _Faicmauno , ogansuille Weaverland ~?~ ~ .sta~.vn ° ,. ~ Goodville _~ I Farmersvil{e ° r r . r Blue BaJI McGraNcs nag@ ° °htt: Jay a I I I tinter S uaee ; oFatt@rville Na Salon a 9 N@w Holland 9 0 • East East Earl ~~Iouniain T Landisvilla Baravdle ghts o ~Bamfard Frultville Hurs a Leacack Leul~°, - , n Grofitlale Greanbank ' SS elna o-. Overlnok` o6loomingdate o ° Cam " ~~_ ` Herlland Hai hts °Laureluille Farmdale g 6h^nterey laurel Hill -town ° oCh@Sinut Hill ~; Llear:iew'-^•~ °Edan ° ° South I-Lrmitage °Ironvilte CF}estnritRidge ,- o `+~`~~. L A N' C A S T E R 0 1222 Grand•.ne Hei is utderhook Hampll@Jd SeFtool l2n@ Hills ~ Witmer i Spnngville Wttealland Lancaster Sntoketowrt Spring Salrshury a 30 ° - ^ Eastland Hills o o Gardan o IbtountvHle Fairui@tv Park o o {^. Irishtown o °Heiyhts villa ° - ° Hilltop Acres Fertiiib,~°° '°°Greenlarxl ° Colonial Manor QuakerHitls - ~ ~--:,:~:n Ranks Gordonville ~N@vv Mltltotivn Buen 4Virsiam , °Htrllinger , ° Paradla8 Brr~erstnwn ° a M1111aravill@ _, , VJhealland A4iIP5 ~ ~, a `Um@ville C CantralManar ° -- t n tiara ° I i Lira ort VJilliarrtstuvn > ' ° °LVah^nk o, `'1, 30'~ ~, Klnzers S er : ~ g BeUerrtom ~-` _ p '" - -.. _K .- 0 New nanvdl ~ Larn at@r rasburg ~ .lacksonv,0eo QGap Blackhors Letnrt blfl4oav St Susqueha,7na ~ ° Strau[ ° _ -•QLorxJLeval Stackurater L~'estYJdlrn~ .welt y ~'' I r~ galley ava Sadsbury A1@@ting Housa ° Cres o r Herrvdleo a Nit:kel htin@s ,: Ston@ Hill ° -.. Highvitte COfle$° Baurngordrier Refta-~ _ ClvisLara° Atg ms+rille ~~° Burrrt Mills Hessdale Lnnpersuille° o S afe Harbnr ~ ~~'~ Garxg@totvn ~~ . ~ ~' ••., pP.9artic~:ilie $cnithviue i o~lountPleasant _ .,,. , Nevv' Pfrtvirlgnc~ VNinepoints tJav: Bridge•.nlte ,. ey ~ ~ C~lernanvfll@, hlartic Forg@ ~~0 5henks Fge ~ - °Quarn,'uilla :5teetville ry' -- Tru:.e oCo.-,nersbdiil °BaRville '' Microsoft. Payu@ao 4HtI Nabo °Rev:linsville ~~mites Virtual Earth'" - Oakbouam Cn,fins Goram York Furnac@ ~ _._ _ v' 4.d+'_Jsr~T~r :. ~. ...I. t7f'_rL° S Buc 4 7.,.J:-.__t..__.'__s_._.=.. J.JJ) n r su Form MAP.LOC - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Previous editions are obsolete A. Settlement Statement B. Tvoe of Laan form HUD-1 (3186) ref Handhook 4305.2 U.S. Department of Housing and Urban Development (IMFI Annrnaal tJn ~Gn2noa~ r,,.,..,.,... „ror,~-,.,,,.,~ 1. ]FHA 2. ^FmHA 3. ^Conv. Unins. 4. ^VA 5. ^Conv.lns. 6. File Number 2008-561LEBLANC - -~ --~ ---- 7. Loan Number 0093261865 ----_ 9 9 ..., ..,.,.,,~.,.,., 8. Mori a e Insurance Case Number is orm is urnis e o give you a s a emen o ac ua se emen cos s, moun s pat o an y e se emen agen are s own. C. NOte: Items marked "(p.o.c.)" were paid outside the closing; they are shown here for information purposes and are not included in the totals. WARNING: Il is a crime to knowingly make false statements to the United Slates on this or any other similar form. Penalties upon conviction can include a fine and im risonment. For details see: Title 18 U. S. Code Section 1001 and Section 1010. TIt10EXpreSS Settlement System D. NAME OF BORROWER: Dustin C. LeBlanc ADDRESS: 428 First Street, Carlisle, PA 17013 E. NAME OF SELLER: Estate of Jane M. Gregory ADDRESS: 4 Bentle Place Carlisle PA 17013 F. NAME OF LENDER: Wells Fargo Bank, N.A. ADDRESS: P.O. Box 5708 S rin field OH 45501-5708 G. PROPERTY ADDRESS: 4 Bentley Place, Carlisle, PA 17013 Carlisle Borou h H. SETTLEMENT AGENT: O'Brien, Baric & Scherer, Telephone: 717-249-6873 Fax: 717-249-5755 PLACE OF SETTLEMENT: 19 West South Street Carlisle PA 17013 I. SETTLEMENT DATE: 1110712008 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101. Contract sales rice 125 000.00 401. Contract sales rice 125 000.00 102. Personal Pro ert 402. Personal Pro ert 103. Settlement char es to borrower line 1400 7 434.88 403. 104. 404. 105. 405. Ad ustments for items aid b seller in advance Ad'ustments for items aid b seller in advance 106. Cit !town taxes 406. Cit !town taxes 107. Count taxes 11107108 to 12131108 68.44 407. Count taxes 11107108 to 12131108 68.44 108. School Tax 11107108 to 06130109 685.12 408. School Tax 11107108 to 06130109 685.12 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 133188.44 420. GROSS AMOUNT DUE TO SELLER 125 753.56 200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. De osit or earnest mone 1 500.00 501. Excess De osit see instructions 202. Princi al amount of new loans 124 236.00 502. Settlement char es to seller line 1400 9 468.20 203. Existin loans taken sub ect to 503. Existin loan s taken sub ect to 204. 504. Pa off of First Mori a e Loan 53 220.22 CitiMort a e 205. _ 505. 206. Seller Credit 5 007.64 506. Seller Credit 5 007.64 207. 507. 208. 508. 209. 509. Ad'ustments for items un aid b seller Ad'ustments for items un aid b seller 210. Cit /town taxes 510. Cit /town taxes 211. Count taxes 511. Count taxes 212. School Tax 512. School Tax 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 130 743.64 520. TOTAL REDUCTION AMOUNT DUE SELLER 67 696.06 300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER 301. Gross amount due from borrower line 120 133 188.44 601. Gross amount due to seller line 420 125 753.56 302. Less amounts aid b /for borrower line 220 130 743.64 602. Less reduction amount due seller line 520 67,696.06 303. CASH FROM BORROWER 2 444.80 603. CASH TO SELLER 58 057.50 Previous editions are obsolete U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT form HUD-1 (3/86) ref Handbook 4305.2 File Number: 2008-561LEBLANC PAGE 2 TiileExpress Settlement Svstem L. SETTL"EMENT CHARGES PAID FROM PAID FROM 700. TOTAL SALES/BROKER'S COMMISSION based on rice $125 000.00 5.000 = 6 250.00 BORROWER'S SELLER'S Division of commission line 700 as follows: FUNDS AT FUNDS AT 701. $ 3150.00 to REIMax 1stAdvanta e SETTLEMENT SETTLEMENT 702. $ 3 100.D0 to B-H A enc 703. Commission paid at Settlement _ 6 250.00 704. Transaction Mana ement Fee to RelMax 1st Advanta a _ 250.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Ori ination Fee 802. Loan Discount 1.000 %Wells Far o Bank N.A. 1 242.36 803. A raisal Fee 804. Credit Re ort 805. A lication Fee to Wells Far o Bank N.A. 400.00 806. Flood Life of Loan Fee to Wells Far og Insurance, Inc. 19.00 807. Processin Fee to Wells Fargo Bank, N.A. 395.00 808. FHA U front IvtIP to US De artment of HUD 2136.00 809. 810. 811. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 1110712008 to 1210112008 $ 21.7000 Ida 24 Da s 520.80 902. Mort a e Insurance Premium for to VA Fundin FeelGuarantee Fee ,75 903. Hazard Insurance Premium for _ to State Farm Insurance 171.00 904. 905. 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance mo. $ Imo 1002. Mort a e Insurance mo. $ !mo 1003. Cit Pro ert Tax mo. $ Imo 1004. Count Pro ert Tax 10 mo. $ 37.96 Imo 379,60 1005. School Tax 7 mo. $ 88.30 Imo 618.10 1009. A re ate Anal sis Ad ustment to Wells Far o Bank N.A. -240.16 0.00 1100. TITLE CHARGES 1101. Research and Co Fee to RelMax 1st Advanta a 15.00 1102. Abstract or title search 1103. Title examination 1104. Title insurance binder 1105. Document Pre aration 1106. Note Fees to Cash 15.00 1107. Attorne 's fees includes above items No: _ 1108. Title Insurance to O'Brien Baric & Scherer 885.38 includes above items No: 1109. Lender's Polic 124 236.00 - 1110. Owner's Polic 125 000.00 - 885.38 __1111. End 100 End 300 End 810 Loarto O'Brien, Baric ~ Scherer 200.00 _ 1112. ClosingSvcLtr to O'Brien, Baric & Scherer 35.00 1113. Overni ht Fee to O'Brien Baric & Scherer 10.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordin Fees Deed $ 48.50 ~ Mort a e $ 64.50 Release $ 113.00 1202. Cit (Count taxlstam s Deed $1 250.00 ~ Mort a e $ 1 250.00 1203. State Tax/stems Deed $1 250.00 ~ Mort a e $ 1 250.00 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Home Pest & Radon Ins ectionsto Advance Look Buildin Ins ections 465.00 1302. Radon Miti ation System to American Radon Solutions 300.00 1303. Final WaterlSewer Act#05519 to Borou h of Carlisle 62.25 1304. Monthl Condo Dues -Oct & Novto Halc on Hil Homeowners Association 61.41 98.59 1400. TOTAL SETTLEMENT CHARGES enter on lines 103 Section J and 502 Section K _7,434.88 9,468.20 HUD CERTIFICATION OF BUYER AND SELLER 1 have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. ' s n e enc ~ T~~~~~~-~-/~ Estate of Jane M. Gregory y a regory, xecu nx WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO ThiE The HUD-1 Settlement UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON GONVIGTION Transaction. I have cat CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1oD1 AND SECTION 1010. SETTLEMENT have pr pared is up and rate account of this ~e fun to be red ac rdance with this statement. 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