HomeMy WebLinkAbout07-10-09 (2)J
REV-1540 Ex (os-05)
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
15056051058
OFFICIAL USE ONLY
County Code Year File Number
INHERITANCE TAX RETURN ~~; ~..,,~~.___~..~ ~ ~~~~~ _~
RESIDENT DECEDENT 21 ~ ~ 08 ~ 0576
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
188-12-3574 05/21 /2008 ~
Decedent's Last Name Suffix
~Nornhold
_~._.~._.....v ...__ .._. .. __ ......~.....m_..~.~.~~.........._~..,~..~~m..__~._._~.____: ~ .~._.~_.~.....~~
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
~.....
f Suffix
~~
~
($j
S se's Social Security Number
Date of Birth
.................................................................................................................
f 08/26/1920
~.. Decedent's First Name ~~.~_„_„__w_ MI
._.._.~.....~____._._~..~._.,__...~.~.~w.__.~~..m~_..._~~m~..._~~...M..M.. .............
kr_.
Martha ; M
Spouse's First NameM~ W„ 4 _~ .w V4M _____,._.~.~_____,~~.___ jj MI
kw. ~www. ~3
.................~w~...........w.wn.........+......vv.........w.....~.w................mw~.......w.........»wn..~............,.w.v..................~ 1.......,.........
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~~-~~--~--~~-~-~-~~~~-~~~~~~ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
3
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Retum C~ 2. Supplemental Retum C~ 3. Remainder Retum (date of death
prior to 12-13-82)
O 4. Limited Estate 4a. Future Interest Compromise (date of 5. Federal Estate Tax Return Required
death after 12-12-82)
~# 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
~ 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 - TWIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
..............._...._. .. _....,. _ ......_.. ....___~.._..~_....___._.._~_,..__~___..r_.._,.__.~_.....___~_..~.._._~_.~_~_..~~~_~_..~..,._.._~...~_~....,.
Esquire
Wolf
=Nathan C ~ (717) 241-4436
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Firm Name (If
Wolf & Wolf
F~rat line of address
10 West High Street
Second line of address
REGISTER OF WILLS USE ONLY
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City or Post Office State ZIP Code ----------------°°-_
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Carlisle ; ~ ~ 17013-2922 -
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correspondent's a-mail address: nathancwolf a~embargmail.com
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,
ft is true, correct and complete. Dedaretbn of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGN ~URE OF PE,~2SON RiSPO~IBLA;OR FILING RETURN DATE
„, ~~ lI 07/10/09
791 Cranes Gap Road, Carlisle PA 17013
SIGNATURE OF ARER OTH THAN E ESENTATIVE DATE
.~'P`~1~ _ !.~/~~ 07/10/09
ADDRESS
10 West Hi_ Str et, Car e, PA 17013-2922
U8E ORf61NAL FORM ONLY
Side 1
15056051058
15056051058
J
J
15056052059
REV 1500 EX
Decedent's Social Security Number
Decedent's Name: Martha M Nornhold ~ 188-12-3574
RECAPITULATION
1. Real estate (Schedule A) . ............................................ 1. ' 191,000.00
vu~nntwxn~ewww~x»mwweammmrotnwmrw k
2. Stocks and Bonds (Schedule B) ..... ................................ 2. 0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages 8~ Notes Receivable (Schedule D) ............................. 4.
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ....... . 5.
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested ...... . 6.
7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property
(Schedule G) C~ Separate Billing Requested....... . 7.
8. Total Gross Assets (total Lines 1-7) .................................... 8.
9. Funeral Expenses 8~ Administrative Costs (Schedule H) .................... . 9.
10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) ............... . 10.
11. Total Deductions (total Lines 9 8~ 10) .................................. . 11.
12. Net Value of Estate (Line 8 minus Line 11) ............................. . 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ....................... . 13.
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 r ..............................................................................................................................................................3
(a)(1.2) X .0_ ~
z 15.
16. Amount of Line 14 taxable
at lineal rate X .0 45 8,137.97 ~ 16.
17. Amount of Line 14 taxable ?
at sibling rate X .12 17.
18. Amount of Line 14 taxable ~~
at collateral rate X .15 ~ .............................................................................................................................................................. 18.
19. TAX DUE ........................................................ .19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059 Side 2
0.00
0.00
8,924.58
0.00
0.00
199,924.58
15,837.43
3,243.33
19,080.76
180,843.82
180,843.82
Q
15056052059
REV 1500 EX Page 3
Decedent's Complete Address:
File Num r
21 08 0576
DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER
Martha M Nornhold 188-12-3574
STREET ADDRESS
1130 Cranes Gap Road
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1) 8,137.97
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 7,075.00
C. Discount 353.75
Total Credits (A + B + C) (2) 7,428.75
3. Interest/Penalty if applicable
12 82
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (q)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 709.22
A. Enter the interest on the tax due. (5A) 12.82
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 722.04
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :.......................................................................................... ^
b. retain the right to designate who shall use the property transferred or its income : ............................................ ^
c. retain a reversionary interest; or .......................................................................................................................... ^
d. receive the promise for life of either payments, benefits or care? ...................................................................... ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ ^ ^x
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)]. Asibling isdefined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX+ (11-08)
~ pennsylvania SCHEDULE A
DEPARTMENT Of REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Martha M. Nornhold 21-08-0576
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 that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
..
1' :1130 Cranes Gap Road, North Middleton Township, Cumberland County, PA 191,000.00
'(Value per appraisal attached hereto as of May 21, 2008)
TOTAL (Also enter on Line 1, Recapitulation.) $ 191,000.00
If more space is needed, insert additional sheets of the same size
REV 1508 EX+ (6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Martha M. Nornhold 21-08-0576
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
__
1 M & T Bank Account Number 2760054929 904.35
2 Wachovia Bank -Certificate of Deposit
2,9$4.20
3 1996 Satum SL1- 59,000 miles - Fair condition -Kelley Blue Book value attached 2 000.00
4 State Auto -Insurance premium refund 36.03
5 .:Miscellaneous personal property 3,000.00
REV 1511 EX+ (12-99)
SCI~IEDVLE N
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Martha M. Nornhold 21-08-0576
Debts of decedent must be reported on Schedule L
4. Probate Fees 328.00
5. Accountant's Fees
6. Tax Retum Preparer's Fees
~. Cumberland Law Journal -Legal Advertising 75.00
8I . _ __
'The Sentinel -Legal Advertising ..
174.58
s' _.
-Estate checking expenses
19.85
~o Appraisal Fees -Diversified Appraisal Services 325.00
~~
TOTAL (Also enter on line 9, Recapitulation) $ 15,837.43
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RGCIflFNT 11GCFr1FNT
SCHEp1~LE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
Martha M. Nornhold 21-08-0576
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unnsimbursed medical expenaea.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
~ ~ Real Estate Property Tax 1130 Cranes Gap Road, Carlisle, PA 17013 2 , 058.63
2 M & T Bank - FIA Card Services 243.29
3; PP & L electric service... 38.44
4 Embarq phone service 25.46
5 Carlisle Medical Pathology -Services rendered 5I21I2008 325.00
6 Moffitt Heart & Vascular Group 2.00
7; Real Estate Property Tax -School County -1130 Cranes Gap Road, Carlisle, PA 17013 550.51
TOTAL (Also enter on line 10, Recapitulation) _ 3,243.33
(If more space is needed, insert additional sheets of the same size)
REV 1513 EX+ (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Martha M. Nornhold 21-08-0576
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llst Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [indude outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2))
__..
1 George H. Nomhold '.Son 25.00%
2 Charlene J. McNeillie .Daughter 25.00%
3 :Thomas E. Nomhold Son 25.00%
4 Daniel K. Nomhold Son 25.00%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, 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
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I S 0.00
(If more space is needed, insert additional sheets of the same size)
I, MARTHA M. NORNHOLD, of North Middleton Township, ~~ :-:==
_ , -: -
- _ _ ~~~,
_1
Cumberland County, Pennsylvania, declare this to be my Lash'-wi11~=
_ -,
• ..
~,
and revoke any wills previously made by me. :`~~~~ ~;~;
I. I devise and bequeath my household and personal eff-e~d"ts '.t
=:~~
and any other tangible personal property of li!<e nature to_:~~ny ,..~
~~
h~_isband, Thomas F. C. Nornhold. In the event that my h!asband does
not survive me, then I bequeath said personal property to my child-
ren, George H. Nornhold, Daniel K. Nornhold, Thomas C~. Nornhold
and Charlene J. McNeillie in equal shares.
II. I devise and bequeath all of the residue of my estate of
whatever nature or wherever situated to my husband, Thomas F. C.
Nornhold. In the event that my husband does not survive me, I
bequeath said residue to my children, George H. Nornhold, Daniel K.
Nornhold, Thomas ~. Nornhold and Charlene J. McNeillie in equal
shares.
III. I appoint my husband, Thomas F. C. Nornhold, to be
executrix of this my Last Will. In the event he fails to qualify
or ceases to act, then I appoint my fo~!r children to be executers.
IV. I direct that my executors need not file bond in this or
any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
,,~/~G~', day of January, 1984.
_ I~' ~. -r ,~ ,~-.~1-f.- ( SEAL )
i
I .
I
'.
~;
The preceding instrument consisting of one page was on the
'I
~,
date thereof signed, published. and declared by Martha M, Nornhold,
the testator herein, as and for her Last Will, in the presence of us,
who at her request, in her presence, and in the presence of each
other, have subscribed our names as witnesses hereto.
.,
,.
/ "
.~~-
_,-..
STATE OF PENNSYLVANIA ::
SS
COUNTY OF CUMBERLAND ::
We, Martha M. Nornhold, Frances H. Del Duca and George B.
Faller, the testator and witnesses, respectively, whose names are
signed to the attached or foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the
testator signed and executed the instrument as her Last Will and
that she had signed willingly, and that she executed it as her free
and voluntary act for the .purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the testator,
signed the will as witness and that to the best of his knowledge
the testator was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
testator ~. Witness Witnes's
SUBSCRIBED, sworn to and acknowledged before me by Martha M.
Nornhold, the testator, and subscribed and svrorn to before me by
fj ~ .5
Frances H. Del Duca and George B. Faller, witnesses, this~_~,l~day
of January, 1984. _
.~...
Notary Publ" c
~~ i:~ L r 1 p. I.LC' f~1~~JG~(~ {1aC/;~C~f;/ i'f!',;, .
'-~,,, ''~;:nkes~:rd ~o~:rt lei.
-. .._. .., r•... as ,•~..1, ..
APPRAISAL OF REAL PROPERTY
LOCATED AT:
1130 Cranes Gap Road
Deed Book 14N Page 202
Carlisle, PA 17013
FOR:
Estate of Martha Nomhold
AS OF:
May 21, 2008
BY:
Susan B. Burkhokter
State Certified Residential Appraiser
This appraisal was completed to establish value for Estate Tax Purposes
Summary Format
Form GAi - •TOTAL for Windows" appraisal software by a la node, Inc. -1-800-ALAMODE
Diversffied Appraisal Services
Uniform Residen~al Auoraisal Report cu.w n~~~nanr
The se of this s sisal r ort is to rovide the lender/client with an accurate, and ad uat s rted, o irron of the market value of the subject ro
Pro Address 1130 Cranes Ga Road C' Carlisle State PA 7i Code 17013
Borrower n.a. Owner of Public Record Estate of Martha Norhold Cou Cumberland
L al Descri tan D Book 14N Pa a 202
Assessor's Parcel # 29-05-0427-014 Tax Year 2009 R.E. Taxes S 2 778.61
N hbortaod Name .a. Ma Reference 5-427 Census Tract 119.01
Occ and Owner Tenant Vacard S ecial Assessrt~nts 3 n.a. PUD HOA S rear er month
' Pro R hts sed Fee Si Leasehold Other describe
Assi rxnerrt T e Purchase Transaction Refinance Transaction Other describe To establish value for Estate Tax
Lender/C~erd Estat of Martha Nomhold Address
Is the su 'ect o curve offered for sale or has it been offered for sale in the twelve months via to the effective date of this a sisal? Yes No
R ort data sources used offeri rice s and dates . The sub'ect ro was not listed in the Central Penn MLS in the st r.
I ^ did ^ did not anayze the corrtract for sale fa the subject purchase transaction. Explain the resuhs of the anaysis of the cornract for sale or why the analysis was not
ormed. n.a.
: Contract Price S n.a. Date of Contract n.a. Is the seller the owner of blic record? Yes No Data Sources n.a.
Is there any financial assistance (ban charges, sale concessions, gift a downpayment assistance, etc.) to be paid by any party on behalf of the borrower? ^ Yes ^ No
If Yes, re rt the total dollar amount and describe the items to be aid. n.a.
Note: Race and the fiat corn n of the rrei hborhood are not a isal factors.
Location Urban Srrburban Rural Pro Vahres Increasin Stable Oscars PRICE AGE One-Unit 70 %
Built-U Over 75% 25-75% Under 25% Demand/S Shona a In Balance Over S i 000 2-4 Urdt %
Growth R id Staab Slow Marketi Time Under 3 mlhs 3-6 mths Ovar 6 mths 125 Low 10 Mull-Famil %
N " hbortaod Boundaries The sub'ed ne' hborhood is bordered b Lo s Ga Road Enola Road S ri 500 Hi h 200 Commercial %
~, Road and Middlesex Road. 200 Prod. 50 Other 30 %
N ' hborhood Descri lion Established residential area with stable ownershi atterns within reasonable commuti distance to schools laces of
worshi sho i and trans nation.
Market Conditions indudi su rt for the above Conclusions Marketi condition are ood. The avers a marketi time is three to six months.
Dimensions Irre ular Area 4.5 acres Sha a Irre ular Vew Avers e
S ecffic Zorri Classification ricufturel Zorrn Descri 'on Epsti use is ermined in this zone
Zoni C 'ante L al L al Nonconfarmin Grandfathered Use No Zoni I al describe
Is the hest and best use of sub' as im ved or as r osed tans and s ecifications the resent use? Yes No ff No, describe
Utilities Prthlic Other (deecrthe Publk Other describe) Off-site Yn rovenrenia - T Publk: Privets
Electric' Water Well Street Macadam
Gas n.a. Sanita Sewer On site None
FEMA S ecial Fbod Hazard Area Yes No FEMA Fbod Zone X FEMA M # 4204100065E FEMA M Date 3-16-09
Are the utllities and off-site im roverv3nts ical for the market area? Yes No ff No, describe
Are there an adverse site conditions or external factors easements, encroachments, environmental conditions, land uses, etc. ? Yes No ff Yes, describe
Units One One with Access Unit Concrete Slab Crawl S ace Foundation Walls Stone/A Fbors Hdwd/A
# of Stories 1 Futl Basement Partial Basement Exterior Walls Stone/A Wags Plaster/D q/A
T Det. Att S-Det./End Unit Basement Area 2 250 s .ft. Roof Surface Shi les/A TrirVFrush Wood/A
Epsti Pro osed Under Const Basement Brush 0 % Gutters b Downs uts Alum/A Bath Fbor Vin A
Desl n S Ranch Outside E /Exft S P Window T e Dbl-hu A Bath Wainscot Plaster/A
Year Built 19 2 Evidence of Infestation Storm SashAnsulated Insulated/A Car Stora a None
Effective A e rs 57 ors Dam ness Settlement Screens Yes/A Drivewa # of Cars 2
Attic None Heati FWA HWBB Radiant Amenltles Woodstove s # Drlvewa Surface Stone
Dro Stair Stairs Other Fuel Oi Fre laces # 2 Fence Gars e # of Cars
Fbor Scuttle CooN Central Air Conditiaru PatiolDeck Porch Ca rt # of Cars
Finished Heated Individual Other Pool Other Att. Det Bolt-in
fiances Refri erata R e/Oven Dishwasher Dis sal Microwave Washer er Other describe
Fdshed area above ra a contains: 6 Rooms 3 Bedrooms 2 Baths 2 250 S uare Feet of Gross Livi Area Above Grade
• Additlonal features s ial ener efficient items etc.. Porch do fire with insert.
Describe the condition of the o includin needed re airs deterioration renovations remodet etc.. All im rovements are considered to be in avers e
condition.
Are tiiere a h sical deficiencies or adverse conditions that affect the livabil' ,soundness, or structural in< of the ro 1 Yes No ff Yes, describe
Does the ro eneral conform to the pal hborhood notional util' a condition, use, construction etc. ? Yes No ff No describe
Freddie Mac Form 70 March 2005 Page 1 of 6 Fannie Mae Form 1004 March 2005
Form 1004 -"TOTAL for Windows" appraisal software by a la mode, Inc. -1-800-ALAMODE
Unfflorm Residential Annraical RAnnrt
I~Rn V IVV~\
There are 2 co arable ro es curr offered for sale in the sub ect nal hborhood ra i in 'ce from $ 185 000 to $ 215000
There are 4 to arable sales in the subjec t ttei hbOrirood witltltin the ast twelve mon ths ra i in sale 'Ce from $ 21000 0 to $ 240 000
FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3
Address 1130 Cranes Gap Road
Carlisle PA 17013 210 Dorwood Drive
Carlisle 111 Candlelite Drive
Carlisle 353 Kerrsville Road
Carlisle
Pro>dm to Sub'ect 3.18 miles 2.94 miles 8.94 miles
Sob Price $ n.a.
Sale Price/Gross Liv. Area $ s .ft. $ 219000
S 116.49 S .ft. S 240 000
$ 147.78 S .ft. $ 210000
$ 126.74 s .ft.
Data Sources Courthouse Courthouse Courthouse
Verification Sources MLS MLS MLS
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $ Ad'ustment DESCRIPTION + - $ Ad'ustntent DESCRIPTION + - $ Ad'uslment
Sales or Financing
Concessions Cbsing cost
Conventonal -5,000 None known
Conventional None known
Conventional
Date of Sale/Tlme 9-22-08 2-20-09 4-21-08
Location Ave a Similar Similar Similar
LeaseholdlFee Si a Fee Sim le Fee Sim le Fee Sim le Fee Sim le
Site 4.5 acres .76 acre +18 700 1.19 acre -16 600 5.85 acres -6 800
~~- Aver a Similar Similar Similar
DeS n S le Ranch Ranch Ranch Ranch
Qual of Construction Stone Brick/Alum +5 000 Brick/Cedar +5 000 StoneNin +5 000
Actual a 57 ors 33 ors 38 ors 19 ors
Condftlon Aver a Su rior -21 900 Su rior -24 000 Su rior -21 000
Above Grade Total Bdrms. Baths Total Bdrms. Baths Total Bdrms. Baths Total Bdrms. Baths
Room Count 6 3 2 7 3 2 -2 000 5 2 2 +2 000 6 3 2 +5 000
Gross Livi Area 2 250 S .ft. 1 880 s .ft . +11 100 1 624 s .ft. +18 800 1 657 S .ft. +17 800
Basement & Finished 2,250 Sq.Ft.
Rooms Bebw Grade 0 Full bsmt
None Full bsmt
Finished
-1 000 Full bsmt
None
Functional Util Aver a Similar Similar Similar
. Head Coati Hot wtr Oil Ht um CA -3 000 Fha Elec CA -3 000 Fha Oil
.' E Efficient Items None None None None
Gera e/Ca ort None 2-car era a -10000 2-car era a -10 000 1-cr att 8~ 1cr int -8 000
PorohlPatio/Deck Porch Porch deck. -2 000 Prch do I -12000 Porch I deck -3 000
2 fire laces Gazebo 3 fire laces -1 000 Outbuikii s -8 000
• Net Ad'ustmer-t otal + - $ 9 100 + - $ 41 800 + - $ 19 000
Adjusted Sale Price
of Com ambles Net Adj. 4.2 %
Gross Ad'. 45.1 %
$ 209 900 Net Adj. 17.4 %
Gross Ad'. 44.5 %
$ 198 200 Net Adj. 9.0 %
Gross Ad'. 35.5 %
$ 191 000
I did did not research the sale or transfer hi sto of the su 'ect ro and co arabl e sales. ff not, aln
M research did did not reveal an rior sales or transfers of the subject ro e for the three ears 'or to the effective date of this sisal.
Data Solaces Assessment records
M research did did not reveal an rior sales or transfers of the co arable sales for the ear rior to the date of sale of the tom arable sale.
Data Sources Ass ssment records
R the resorts of the research and ana sis of the rior sale or transfer histo of the subject ro and co arable sales re additional rior sales on a e 3 .
ITEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3
Date of Prior Sale/Transfer No rior sale in 4-1-76 1-14-86 5-2g-g8
Price of Prior Sale/Transfer st ar 1.00 124 000 1.00
Data Sotate s Courthouse Courthouse Courthouse Courthouse
Effective Date of Data Sources 5-09 3-09 3-09 11-08
Ana sis of rior sale or transfer Kist of the subject ro and co arable sales No sale has taken lace in the ast three rs for the sub'ed ro
Summa of Sales Com orison roach A 2000 er room ad'ustment was made for the total number of rooms 2 000 r bath and 1 000 r half
bath.
Indicated Value b Sales Com 'son roach $ 191 000
hrdk~ted Vahr. : Sale Com Aeon ch $ 191 000 Coat roach ~ deveb ) $ n.a. Income ach (If de ) $ n.a.
The Sales Com ri n a roach bei considered the most accurate in arrivi at m final o inion of value. The Income a roach was not
• considered since this is an owner occu led si le fami dwegi .The Costa roach was considered to be unreliable since this is not new
construction and m be misleadi to the reader.
- This appraisal Is made "as Is", ^ subject to completlon per plans and speciflcatiotts on the basis of a hypothetical condition that the Improvements have been
completed, ^ subject to the foNowing r~alrs or aherations on the basis of a hypothetical candftlon that the repairs or arterations have been completed, or ^ subject to the
• foNowi r aired ins ettion based on the extraordina assn on that ~ condition or deficient does not uire alteration or re air. raised in current conditbn.
" Based on ,complete ylsusl lmr~~n of the Interior turd exterior areas of the aubJect property, defined scope of work, stetemrsnt ~ aaumptlons and limiting
conditions, and appralser'a n, my (our) opinion of the market value, as defined, of he reel property that le the subject of this report is
$ 191 000 ~ of Ma 21 2008 which b the date of In ion and the effedlve date of this a rtrlsal.
rreaaie mac rorm iu MarcnLUUb Page 2 Of ti Fannie Mae Form 1004 March 2005
Fonn 1004 - "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
Uniform Residential A sisal Re ort
FlI•~ 0521osN
Provide ads oats information for the lender/cMent to ate the bebw cost fl ores and cabulations.
Su rt for the o 'nion of site value summ of com arable end sales or other methods for estimati site value The Costa roach was considered to be
unreliable since this is not new construction and due to the lack of land sales.
ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE _____________________________________________________________________ _ =S
Source of cost data DWELLBIG S .Ft. 3 ____________ _ =3
oua' rata from cost s~rice Effective date of cost data S .Ft. a ____________ _ =a
- Comments on Cost roach ross livin area cabulations, de reciation, etc. ------------ - =a
tiara e/Ca ort S .Ft. a - _ =a
Total Estimate of Cost-New
------------ _ =a
Less Ph sical Wnctional External
De reciation =~
D fated Cost of I ovemems __________________________________________________ __ =S
"As-is" Value of Site I rovements __________________________________________________ __ =a
Estimated Remainin Economic L'de HUD and VA onl 40 Years N[NCATED VALUE BY COST APPROACH ___________________________________________ __ =i
~ Estimated M Market Rent S X Gross Rent Multi ier = S Indicated Value b Income roach
Summ of Income ch mcludi su rt for market rent and GRM
Is ttre de erlbuilder in control of the Homeowners' Association OA ? Yes No Unit s Detached Attached
Provide the folbwin infotmation for PUDs ONLY flthe deveb /builder is in control of the HOA and the sub'ect o is an attached dweBn unit.
L al Name of Pro'ed
Total number of hases Total number of ~ Total number of units sold
Total number of urdts rented Total rwrnber of unts for sale Data sowce s
Was the eCt created D the comlerSion of e>astin buildi s iMo a PUD? Yes No ff Yes, date of cornersion.
Does the ro ect contain an multi-dweNin oohs? Yes No Data Source
Are tine units, common elements, and recreation facilities co ete? Yes No If No, describe the status of co etion.
Are the common elements leased to orb the Homeowners' Association? Yes No If Yes describe the rerdal terms and o 'ons.
Describe common elements and recreatlonal facilities.
Freddie Mac Form 70 March 2005 Page 3 of 6 Fannie Mae Form 1004 March 2005
Form 1004 -'TOTAL for Windows" appraisal software by a la mode, Inc. -1-800-ALAMODE
Uniform Residendai Appraisal Report Fi1e~ 0521osN
This report form is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit;
including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a
manufactured home or a unit in a condominium or cooperative project.
This appraisal report is subject to the following scope of work, intended .use, intended user, definition of market value,
statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended
use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may
expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal
assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do
not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's
continuing education or membership in an appraisal organization, are permitted.
SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the
reporting requirements of this appraisal report form, including the following definition of market value, statement of
assumptions and limiting conditions, and certifications. The appraiser must, at a minimum: (1) pertorm a complete visual
inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the
comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources,
and (5) report his or her analysis, opinions, and conclusions in this appraisal report.
INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the
subject of this appraisal for a mortgage finance transaction.
INTENDED USER: The intended user of this appraisal report is the lender/client.
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 sale, the buyer and seller, each acting prudently, knowledgeably and assuming
the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and
the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both
parties are well informed or well advised, and each acting in what he or she considers his or her 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 financial 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 seller pays these costs in virtually all sales transactions. Special or creative financing
adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional
lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical
dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's
reaction to the financing or concessions based on the appraiser's judgment.
STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certffication in this report is
subject to the following assumptions and limiting conditions:
1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title
to lt, except for information that he or she became aware of during the research involved in pertorming this appraisal. The
appraiser assumes that the title is good and marketable and will not render any opinions about the title.
2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements.
The sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determination
of its size.
3. The appraiser has examined the available flood .maps that are provided by the Federal Emergency Management Agency
(or other data sources) and has noted in this appraisal report whether any portion of the subject site is located in an
ident'rfied Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or
implied, regarding this determination.
4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question,
unless specffic .arrangements to do so have been made beforehand, or as otherwise required by law.
5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the
presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or
she became aware of during the research involved in pertorming the appraisal. Unless otherwise stated in this appraisal
report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the
property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances,
adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such
conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such
conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist.
Because the appraiser is not an expert in the field of environmental hazards, this appraisal report must not be considered as
an environmental assessment of the property.
6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory
completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will
be pertormed in a professional manner.
Freddie Mac Form 70 March 2005 Page 4 of 6 Fannie Mae Form 1004 March 2005
Form 1004 - "TOTAL for Windows' appraisal software by a la mode, Inc. -1-800-ALAMODE
Uniform Residen~al Appraisal Report FlNA~ 0521osN
APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that:
1. I have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in
this appraisal report.
2. I pertormed a complete visual inspection of the interior and exterior areas of the subject property. I reported the condition
of the improvements in factual, specffic terms. I identified and reported the physical deficiencies that could affect the
livability, soundness, or structural integrity of the property.
3. I pertormed this appraisal in accordance with the requirements of the Un'rform Standards of Professional Appraisal
Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in
place at the time this appraisal report was prepared.
4. I developed my opinion of the market value of the real property that is the subject of this report based on the sales
comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach
for this appraisal assignment. I further certity that I considered the cost and income approaches to value but did not develop
them, unless otherwise indicated in this report.
5. I researched, verified, analyzed, and reported on any current agreement for sale for the subject properly, any offering for
sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject
property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report.
6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior
to the date of sale of the comparable sale, unless otherwise indicated in this report.
7. I selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property.
8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that
has been built or will be built on the land.
9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject
property and the comparable sales.
10: I verified, from a disinterested source, ail information in this report that was provided by parties who have a financial interest in
the sale or financing of the subject property.
11. I have knowledge and experience in appraising this type of property in this market area
12. 1 am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing
services, tax assessment records, public land records and other such data sources for the area in which the property is located.
13. I obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from
reliable sources that I believe to be true and correct.
14. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject
property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I
have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the
presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the
subject property or that I became aware of during the research involved in pertorming this appraisal. I have considered these
adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and
marketability of the subject property.
15. I have not knowingly withheld any significant information from this appraisal report and, to the best of my knowledge, all
statements and information in this appraisal report are true and correct.
16. I stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which
are subject only to the assumptions and limiting conditions in this appraisal report.
17. I have no present or prospective interest in the property that is the subject of this report, and I have no present or
prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partially or
completely, my analysis and/or opinion of market value in this appraisal report on the race, color, religion, sex, age, marital
status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the
present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law.
18. My employment and/or compensation for pertorming this appraisal or any future or anticipated appraisals was not
conditioned on any agreement or understanding, written or otherwise, that I would report (or presets analysis supporting) a
predetermined specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of
any party, or the attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending
mortgage loan application).
19. I personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If I
relied on significant real property appraisal assistance from any individual or individuals in the pertormance of this appraisal
or the preparation of this appraisal report, 1 have named such individual(s) and disclosed the specific tasks pertormed in this
appraisal report. I certify that any individual so named is qualified to pertorm the tasks. I have not authorized anyone to make
a change to any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and 1 will take no
responsibility for it.
20. I Identified the lender/client in this appraisal report who is the individual, organization, or agent for the organization that
ordered and will receive this appraisal report.
rregdie Mac Form 70 March 2005 Page 5 of 6 Fannie Mae Form 1004 March 2005
Form 1004 - "TOTAL for Windows" appraisal software by a N mode, inc. -1-800-ALAMODE
Uniform Residential Appraisal Report FueAr 052109N
21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the
borrower; the mortgagee or its successors and assigns; mortgage insurers; govemment sponsored enterprises; other
secondary market participants; data collection or reporting services; professional appraisal organizations; any department,
agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions; without having to
obtain the appraiser's or supervisory appraiser's ('rf applicable) consent. Such consent must be obtained before this appraisal
report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public
relations, news, sales, or other media).
22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain
laws and regulations. Further, I am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice
that pertain to disclosure or distribution by me.
23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage
insurers, govemment sponsored enterprises, and other secondary market participants may rely on this appraisal report as part
of any mortgage finance transaction that involves any one or more of these parties.
24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are
defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this
appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and
valid as ff a paper version of this appraisal report were .delivered containing my original hand written signature.
25. Any intentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or
criminal penalties including, but not Ifmited to, fine or imprisonment or both under the provisions of Title 18, United States
Code, Section 1001, et seq., or similar state laws.
SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that:
1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's
analysis, opinions, statements, conclusions, and the appraiser's certification.
2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions,
statements, conclusions, and the appraiser's certification.
3. The appraiser identified in this appraisal report is either asub-contractor or an employee of the supervisory appraiser (or the
appraisal firm), is qualified to pertorm this appraisal, and is acceptable to pertorm this appraisal under the applicable state law.
4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and
promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal
report was prepared.
5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are
defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this
appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and
valid as if a paper version of this appraisal report were delivered containing my original hand written signature.
APPRAISER
Signature ~ ,~ „
Name Susan . Burkholde
Company Name Diversified Appraisal Services
Company Address 35 E. High Street, Suite 101, Carlisle, PA 17013
Telephone Number 717-249-2758
Email AddreSS sue.burkholderd>~gmad.com
Date of Signature and Report Mav 21, 2009
Effective Date of Appraisal May 21, 2008
State Certification # RL-000659-L
or State License #
or Other (describe) State #
State PA
Expiration Date of Certification or License June 30, 2009
ADDRESS OF PROPERTY APPRAISED
1130 Cranes Gap Road
Carlisle, PA 17013
APPRAISED VALUE OF SUBJECT PROPERTY $ 191.000
LENDER/CLIENT
Name
Company Name
Company Address
Estate of Martha Nomhold
Email Address
SUPERVISORY APPRAISER (ONLY IF REQUIRED)
Signature
Name
Company Name
Company Address
Telephone Number
Email Address
Date of Signature
State Certification #
or State License #
State
Expiration Date of Certification or License
SUBJECT PROPERTY
^ Did not inspect subject property
^ Did inspect exterior of subject property from street
Date of Inspection
^ Did inspect interior and exterior of subject property
Date of Inspection
COMPARABLE SALES
^ ,Did not inspect exterior of comparable sales from street
^ Did inspect exterior of comparable sales from street
Date of Inspection
Freddie Mac Form 70 March 2005
Page 6 of 6
Fannie Mae Form 1004 March 2005
Form 1004 - "TOTAL for windows" appraisal software by a la mode, inc. -1-800-ALAMODE
U niform Residential A sisal Re ort FNe# 0521osN
FEATURE SUBJECT COMPARABLE SALE #4 COMPARABLE SALE #5 COMPARABLE SALE #6
Address 1130 Cranes Gap Road 21 Acom Road
Carlisle PA 17013 Carlisle
Pro>dm to Sub' t 4.96 miles
sate Price S n.a. t 227 00o S S
Sale Price/Gross Liv. Area S s .ft. i 115.93 s .fL 3 s .ft. S S .ft.
Data Sources Courthouse
Verification Source S MLS
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - S Ad'usfirtent DESCRIPTION + - S Ad'ustment DESCRIPTION + - S Ad'ustment
Sales or Financing None known
Ytew Avera a
- Similar
Deli n S le Ranch Ranch
~ Qual' of Construction Stone Brick/Vin +5 000
Actual A e 57 ars 24 ars
' Conditlon Aver a a Su rior -22 700
• Above Grade Total Bdrms. Baths Totef Bdrms. Baths Total Bdrms. Baths Total Bdrms. Baths
Room Count 6 3 2 8 4 2 -4 000
Gross Livi Area 2 250 s .ft.
- 1 958 s .ft. -8 800 s .tt. s .ft.
Basement & Fnished 2,250 Sq.Ft.
Rooms Bebw Grade 0 FBI bsmt
PartN finished
-3.000
Net Ad'ustmem otal + - S 40 300 + - S + - S
Adjusted Sale Price Id~t 17.8 % Net % Net %
of Com ambles Grotia 29.4 % S 186 700 Gros % S Groaa % S
R rt the resuhs of the research and ana is of ttH3 'or sale or transfer histo of the sub'ect a and co arable sales r ort additional 'or sales on a e 3 .
ITEM SUBJECT COMPARABLE SALE # 4 COMPARABLE SALE # 5 COMPARABLE SALE # 6
Date of Prior Sale/Transfer No rior sale in 9-27-77
Price of Prior Sale/Transfer st ar 62 500
Data Sources Courthouse Courthouse
Effective Date of Data Sources 5-09 5-09
Analysis of prior sale or transfer history of the subiect property and comparable sales
Freddie Mac Form 70 March 2005 Fannie Mae Form 1004 March 2005
Form 1004.(AC) -"TOTAL for Windows' appraisal software by a la mode, Inc. -1-800-ALAMODE
Location Map
Borrower Ckent n.a.
Pro Address 1130 Cranes Ga Road
C' Carlisle Cou Cumberland State PA ~ Code 17013
Lender Estate of Martha Nomhold
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Form MAP.LOC -'TOTAL for Windows" appraisal software by a la mode, Inc. -1-800-ALAMODE
Suoolemental Addendum File No nF9~n9rv
Borrower/CNerd n.a.
Pro Address 1130 Cranes Ga Road
Ci Carlisle Cou Cumberland State PA Ti Code 17013
Lender Estate of Martha Nomhold
Addklonal Comments
The subject is older than five years old. All mechanical systems including heating, electrical and plumbing systems appear to be
working adequately. No warranties are implied in this statement.
The subject property has an on site well and septic system. This is common for the area and have no adverse impact upon the
marketability or the home.
One or more of the comparable sales are older than six months old. Although there are comparable properties in the subject's
area, none have sold recently, therefore, sales in excess of six months old have to be used. All three comparables used were
the best available.
Although there are other similar home in the subject's neighborhood, none have sold recently. Therefore is was necessary to use
sales further than one mile from the subject property. The sales used are the best available.
The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of the
propertys highest and best use and the consideration of all three approaches to value and the application of those relevant to the
valuation of the subject property.
The Intended User of this appraisal report is the Lender/Client. The Intended Use is to evaluate 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.
Privacy Notice
Pursuant to the Gramm-Leach-Billey Act of 1999, effective July 1, 2001, appraisers, along with all providers of personal financial
services are now required by federal law to inform their clients of the policies of the firm with regard to the privacy of the client
nonpublic personal information. As professionals, we understand that your privacy is very important to you and are pleased to
provide you with this information.
In the course of performing appraisal, we may collect what is known as "nonpublic personal information" about you. This
information iS used to facilitate the services that we provide to you and may include the information provided to us by you
directly or received by us from others with your authorization.
We do not disclose any nonpublic personal information obtained in the course of our engagement with our clients to nonaffiliated
third parties, except as necessary or as required by law. By way of example, a necessary disclosure would be to our independent
contractors, and in certain situations, to unrelated third party consultants who need to know that information to assist us in
providing appraisal services to you. All independent contractors and any third parry consultants we engage are informed that any
information they see as part of an appraisal is to be maintained in strict confidence within the firm. A disclosure required by law
would be a disclosure by us that is ordered by a court of competent jurisdiction with regard to a legal action to which you are
party.
We will retain records relating to professional services that we have provided to you for a reasonable time so that we are better
able to assist you with your needs. In order to protect your nonpublic personal information for unauthorized access by third
parties, we maintain physical, electronic and procedural safeguards that comply with our professional standards insure the
security and integrity of your information.
Signature ~ ,~,b,~s~ ~ Signature
Name Susan B. urkhokier Name
Date Signed Mav 21.2009 Date Signed
State Cerrtiffication # RL-000659-L State PA State Certificatlon # g~~
Or State License # State Or State license # g~
Diversified Appraisal Services
Fonn TADD2 - TOTAL for Windows' appraisal software by a la mode, Inc. -1-800-ALAMODE
Subject Photos
Borrower Client n.a.
Pro Address 1130 Cranes Ga Road
C Carlisle C Cumberland State PA Ti Code 17013
Lender Estate of Martha Nomhold
Subject Front
1130 Cranes Gap Road
Subject Rear
Subject Street
Form PICPO(.TR - "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
Comparable Photo Page
Borrower CYem n.a.
Pro a Address 1130 Cranes Ga Road
C' Carlisle C Cumberland State PA r Code 17013
Lender Estate of Martha Nomhold
Comparable 1
210 Durwood Drive
Comparable 2
111 Candlelite Drive
Comparable 3
353 Kerrsville Road
Form PICPD(.BR - "TOTAL for Windows' appraisal software by a la mode, Inc. -1-800-ALAMODE
Comparable Photo Page
Borrower Ckem n.a.
Pro Address 1130 Cranes Ga Road
C' Carlisle Cou Cumberland State PA 7i Code 17013
Lender Estate of Martha Nomhold
Comparable 4
21 Atom Road
Comparable 5
Comparable 6
Forth PICPD(.BR -"TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
p~r~B~~
2670054929 CLASSIC CHECKING
00 0 04335M NM 017
MARTHA M NORNHOLD
GEORGE H NORNHOLD POA
1130 GRAINS GAP RD
CARLISLE PA 17013-9635
arrnrrnrm erTwrNra~v
APR.17-MAY.16,2008 1 OF 1
NORTH MIDDLETON
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... .:. A'i~G'E``
NO. AMOUNT N0. AMOUNT N0. AMOUNT
599.80 1 721.00 1 8.20 8 408.25 0.00 904.35
A(''f"'(1TT1~TT arTT~TTTV
POS~'ING ,
•. .>DA'FE:: ._ .
:. , ...», ~ < TRANSACTION LIBSCRT~TION.. I~EPOSZTS , IN~'~R~1ST'
. & <OTHER : Ai1Dl~'LQNS NECKS:' &' =Q~~ '.
: ; :•.5~~1"RAC"~!2QI~&` .. ',' ' "'z7,A;IZY
.::;:. . 9~A1~CS •.
04-17-08 BEGINNING BALANCE $599.80
04-21-08 PURCHASE ON 04/21 6.71
ALDI #91 CARLISLE PA
04-21-OB POS ATM FEE 0.50 592.59
04-23-08 FIA CardServices CHECK PYMT 000000000001527 271.07 321.52
04-29-08 CHEWS KING BUFFET I CARLISLE 24.59 296.93
05-01-08 CHECK NUMBER 1528 8.20 288.73
05-02-08 US TREASURY 303 SOC SEC 721.00 1,009.73
05-05-08 COUNTRY BUTCHER SHOP CARLISLE 27.36
05-05-08 EMBARQ Telecom 26.15 956.22
05-06-08 PP ELEC BILL 39.87 916.35
05-12-OS THE SENTINEL 717-2432611 12.00 904.35
ENDING BALANCE 904.35
.: .Q
1528 05-01-08 8.20
WACHOVIA
TIME DEPOSIT WITHDRAWAL CONFIRMATION
Office Name
NE CNTRL PA /CARLISLE
PA
Date
06/20/2008
CURRENT BALANCE : $2,974.70
+ ACCRUED INTEREST : $9.50
Avail Int WD/PenFree: $9.50
- PENALTY AMOUNT : $0.00
-FEDERAL W/HD DUE : $0.00
-WITHDRAWAL FEE : $0.00
-OUTSTANDING PYMT : $0.00
PAID TO CUSTOMER : $2,984.20
Customer Name(s), Address and Taxpayer ID Number
MARTHA M NORNHOLD
FUNERAL TRUST ACCT
1130 GRAINS GAP RD
CARLISLE PA 17013
S188123574
FULL REDEMPTION
CD ACCOUNT NUMBER: 247412040315050
SEC5G4
WACHOVIA T1ME DEPOSIT
Opening Date Account Number Taxpayer lD Number
This Receipt Acknowledges That The Deposttor Named *****"*********'`llOl D*****
>Bslow Has Deposited With This Bank The
Sum Clf
Depositor
Name And
Address
NOT TRANSFERABLE
Term Maturity Date Interest Rate Per Annum Annual Percentage Yield Interest Payment Frequency/Period
tnierest Payment DisposRion Account to Credit
PROD-TYPE:
Issued ay WACHOVIA BANK, N.A.
X
Authorized Signature
oesc4
PROMO CD:
~ ----
Date
1996 Saturn SL 1 -Private Party Pricing Report -Official Kelley Blue Book Site
~~
THiE'Tlit~iTiED 1~i~0iJ1EiCE
• i~~.
advertisement
Page 1 of 2
Send to Printer
~~„
~ ~~
~f, ..; .
:f.
P
~ ~ q_ fem.. q'~'. ~~ ~~ ~'d ~`i..~.a`' y F:
1996 Saturn SL1 Sedan 4D
BLUE f~~K ~'~IY'AT~' ~i~T YALtI
Condition Value
Excellent $2,270
Good $2,020
(Selected)
Fair $1,670
. .
.~;..
:Vehicle Highlights
:Mileage: 59,000
'Engine: 4-Cyl. 1.9 Liter
Transmission: Automatic
Drivetrain: FWD
:Selected Equipment
'Standard
Tilt Wheel AMJFM Stereo Dual Front Air Bags
Blue Book Private Party Value
Private Party Value is what a buyer can expect to pay when buying a used car from a
private party. The Private Party Value assumes the vehicle is sold "As Is" and carries
no warranty (other than the continuing factory warranty). The Flnal sale price may
vary depending on the vehicle's actual condition and local market conditions. This
value may also be used to derive Fair Market Value for insurance and vehicle donation
ur oses
Vehicle Condition Ratings
Excellent
$2,270
• Looks new, is in excellent mechanical condition and needs no
reconditioning.
• Never had any paint or body work and is free of rust.
• Clean title history and will pass a smog and safety inspection.
• Engine compartment is clean, with no Fluid leaks and is free of any wear
or visible defects.
• Complete and verifiable service records.
Less than 5% of all used vehicles fall into this category.
GOOCI (Selected}
$2,020
• Free of any major defects.
• Clean title history, the paints, body, and interior have only minor (if any)
blemishes, and there are no major mechanical problems.
advertisement
http://www.kbb.com/KBB/UsedCars/PricingReport.aspx?Yearld=1996&Mileage=59000&... 2/11/2009
Close Window
~~~
A f
;~~ tip;...: F~~`
'.~~SC: ^.Tr ~ S
f..: ~.
Hollinger Funeral Home & Crematorq, Inc.
Eric L. Hollinger, Supervisor
May 24, 2008
Daniel K. Nornhold
5 Butternut Lane
Mechanicsburg, PA 17050
The Funeral Service for Martha Marie Nornhold:
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every
way we can. Please feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
Professional Service
Cremation Package D -Direct Cremation with memorial service $2195.00
Merchandise
Memorial Package: Hummingbird $175.00
AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO OTHERS
AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES.
Cash Advances
Newspaper Notices -Sentinel $110.00
Newspaper Notices -Patriot 250.00
Certified Copies of Death Certificate (5 @ $6) LO ~~~r~S 30.00
Cumberland County Coroners Authorization 25.00
Flowers -Vase 30.00
Rev. Kenneth Swick 100.00
Current Balance: 2915.00
A...A~
501 NORTH BALTIMORE AVENllE • MOllNT HOLLY SPRINGS, PENNSYLVANIA 17065 • (717) 486-3433 • FAX (717) 486-3215
wwvv.hollingerfuneralhome.com
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse S uare
Carlisle, PA 1713
NORNHOLD MARTHA M
Estate File No.: 2008-00576
Receipt Date: 5/28/2008
Receipt Time: 14:01:12
Receipt No.: 1052831
Paid By Remarks: WOLF & WOLF
CJ
----------------------- - Receipt Distribution ----- -------- ------- ----
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENERAL FUN
WILL 15.00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 28.00 CUMBERLAND COUNTY GENERAL FUN
RENUNCIATION 10.00 CUMBERLAND COUNTY GENERAL FUN
JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN
Check# 2220 ----------------
$328.00
Total Received......... $328.00
CUMBERLAND LAW JOURNAL
32 SOUTH 6EDFORD STREET
CARLISLE, PA 17013
Tele: (717) 249166 Fax: (717) 249-2663
June 20, 2008
RE:
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Nathan C. Wolf, Esquire
Martha M. Nornhold Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on the following dates:
June 6, June 13, and June 20, 2008.
Advertising Cost $ 75.00
ESTATE OF MARTHA. M. NORNHOLD
GEORGE H. NORNHOLD EXEC.
CHARLENE JO MCNEILLIE EXEC.
C/O WOLF& WOLF
10 W HIGH ST.
CARLISLE, PA 17013
PAY TO THE ~/II ~/~
~ ORDER OF_!~.'.~~~~ j,~~~/fl __ L,.~/fl YIJ `~/l~G~--~I/fO L..
60-728923,3 2 01
0311091830
DATE ~~
$ ~'. ~ o
,~ DOLLARS l!.1
overeign .Bank'
MEMO ~ ~
IYP
~:23L3?269i~: 03LL09L830u'C]2 L
$ 0.00
$ 0.00
0 .00
$ 75.00
DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT
THE SENTINEL -LEGAL .Est . M . Nornhold er
w w ww~i ~.wA ~w.•.~ .P.1 r AA A~'7AAT
I.V. VV~\ IJV \~n1\WJ~.V
AD NUMBER ~ !~ .i v ^v
CLAS
START DATE
STOP DATE
O
350086 PUBLIC NOTICES 05/31/08 06/14/08
AD DESCRIPTION BILLING DATE TELEPHONE NUMBER
EXECUTOR'S NOTICE LETTERS TESTAMEN 06/16/08 717-241-4436
WOLF & WOLF ATTORNEYS
10 WEST HIGH STREET
CARLISLE, PA 17013
I~~~II1~~~111~~~„~II~~II~I~~I~I
20200000003500860000000000000002095000000174584
GROSS AMOUNT OF
209.50
DUE AFTER 07/16/08
TOTAL AMOUNT DUE
174.58
~ ENTER AMOUNT ENCLOSED
.202
ESTATE OF MARTHA M. NORNHOLD so-r~~/~~s
GEORGE H. NORNHOLD°EXEC. os»osleso
CHARLENE JO MCNEILUE EXEC. Dam
C/O WOLF& WOLF
FROM:
Diversified Appraisal Services
35 E. High Street, Carlisle, PA 17013
Carlisle, PA 17013
Phone: (717) 249-2758
Fax: (717) 258-4701
Tax ID Number 206-36-6731
IN11~DiCE DATE REhERENCE
O521fl9N May 21, 2t)O8
T0:
Estate of Martha Nomhold
DESCR1PTlON
1130 Cranes Gap Road
Carlisle, PA 17013
(Estate of Martha Nomhold)
NN~~,Q
M• Np~f-~~~G•
Sgt P-~O~GE f~ ~~ ~ ~` ~~~ ~
E N o ~
01
Z ~~'~
~,
_\
rd~ ~Z~l~~ ,,~
~>>o~ 9 ,',~~
`~ 11
~ s ~ ~.
,,,,.
~oti~'AR
G p-~~~ GI pV~ ~\C'P ~-~p13
GPR j ~l ,
~~
Y SD F
oR°~o Z
o
2~ 3~\~~0 2 SUBTOTAL
~e~e ~D ~ ti~ Rate % ADJUSTMENT ;
O p3
° q ~t~ SUBTOTAL
~~° ~~ Z6
23 ~ Rate % ADJUSTMENT
_~;
SUBTOTAL }
TOTAL
325.00
325.00
AMOUNT
325.00
Diversi~d Appraisal Services
~,n•, ~~ti~a -'?t1TAi fnr Windows" annraisal software bV S la mode. inc. -1-800-ALAMODE
PAYABLE TO
ROBIN K. SOLLENBERGER, TAX COLL
5 HILL DRIVE (717)249-0747
CARLISLE, PA 17013
DESCRIPTION
ASSESS.NO - 29000375
MAP NO: 29-05-0427-014
1130 CRANES GAP ROAD
ACRES 4.500 DEED 0014N/ 00202
LAND APPROX 5 ACRES
Residential Building
RESIDENTIAL
TAX PAYER
NORNHOLD, MARTHA
1130 CRANES GAP ROAD
CARLISLE PA 17013
TAX PAYER COPY Bill No: 292'1
Control No: 029-000375
wa aesrs r~ oT rtes , ~s Ta>~oss tam uate: nuiiruust
Assesse Land
Values 44,690
Homestead Exclusion Improvement
117,290 Mineral
0 Total
161,980
9 759-
CARUSLEAREA S.D. Dfeoo~~ Faom
Rates 13.80000
SCHOOL R B 616.72 13.80000
1 618.60 13.80000 2 ~
2 190.61
2 235.32 10
2 458.85
Hoaaestead Credit 134.6
TAX AMOUNT. DUE -> ~s,oesesa >a,~oass ~zayar>I
If Psid t>ta or 1-fltar
If Psid Oa or Hafosa 7 O1 2008
8 31 2008 9 O1 2008
10 31 2008 11 01 2008
12 31 2008
IF NOT PAID BY 1?131Al6 THS BILL WILL BE RETURNED TO TAX
CLAIM BUREAU Fit COLLEC7iON AND FILM10 OF A LIEN At,iA1NST
YOUR PROPERTY. IF TA7CES ARE IN ESCROW FORWARD
TO YOUR MOR1~,3AtiEE COMPANY. =1.00 FEE FOR ADD'L COPIES.
OFFICE HOURS
1GIAR=A1sF~-JUL-AUG TOES 10-4 8~ THUR
10-6; MAY-JUN-SEP-OCT THUIRS 10-6
APPT ONLY JAN-FEB-NOV-DEC
CALL FOR HOURS LAST WEEK OF DISC
NOTICE OF PROPERTY TAX RELIEF
Your enclosed tax bill includes a tax reduction for your homestead and/or farmstead
property. As an eligible homestead and/or farmstead property owner, you have received
tax relief through a homestead and/or farmstead exclusion which has been provided
under the Pennsylvania Taxpayer Relief Act, a law passed by the Pennsylvania General
Assembly designed to reduce your property taxes.
B paying in insta0msnts use the e~upons below to submit psymenb. ff paying In full use ONLY the 1ST coon bebw ~o submit paymsrrt.
'T _ _
rAx TEAR 2008 a-Trc 7/01 /2008 es.ls 2921 TAx TEAR 2008 or-iE 7/01 /2008 e1Llf 2921 TAx YEAR 2008 GATE 7/01/2008 BIW 2921
PAY11oLE TO PAYABLE TO PAYA9LE TO
ROBIN K. SOLLENBERGER, TAX COLL ROB- IN~FC. bOU~NBERGER, TAX COLL ROBIN K. SOLLENBERGER, TAX COLL
5 HIU_ DRIVE (717)249-0747 5 HILL DRIVE (717)249-0747 5 HILL DRIVE (717)249-0747
CARLISLE, PA 17013 CARLISLE, PA 17013 CARLISLE, PA 17013
CON7AOLA CONTROLi CONTROLi
b'~~~b'375 b'~5 X75
YAPS MAPS MAP+f
~-0427-014 -0427-014
SCHOOL 8CHOOL SCHOOL
ALE AREA S.D. Z~LTSLE AREA S.D. L`ARLT$LE AREA S.D.
TAX PAYER TAX PAYER TAX PAYER
MARTHA A~RNROLb, MARTHA ~TOT~laRtSCb, MARTHA
PLEASE ~TtlRN COUPO~1 PLEASE RE7Ut~1 COVPOI~1 PLEASE TURN COtlPON
1ST wTTFI RRST OR FULL PAYMENT 2ND wm~T SECOI~ PAYMENT 3RD wnfl TISRD PAYMENT
$700.22 ON OR BEIPOIW 8/31/2008 $700.22 ON OR 9EFORE 9/30/2008 $700.21 OM OR 9EPORE 10/31/2008
glBi'ALLIlNiSCAfgiOTSTARTAFIFA 8/31/2008 $770.24 AFTER 10/31/2008 $770.23 AFTER 10/31/2008
OR
FULL PAYMENT AMOUNT PAY fIIIY
DISCOUNT 2 058.63 8 31 2008
FACE 2 100.65 10 31 2008
PENALTY ,310.71 12 31 2008
_l._
_1._
f~~fJ' a4'~ ~,~ar/~/ ~'0 6o/v
M&T Bank
Prepared for. MARTHA M NORN!HOLD July 2008 Statement
Account Number. 4313 0270 7300 6675 ~ Credit Liner $'19,900.00
Cash or Credit Available:
Summary of Transactions ~ Billing Cyclo and Payment Information
Previous Balance $247.29 Days in Billing Cycle 30
Payments and Credits - $0.00 Closing Date 07/09/08
Purchases and Adjustments + $0.00
Periodic Rate Finance Charges + ; $3.73 Payment Due Oate 07/29/08
Transaction Fee Fnance Charges + -- - - $0.00... Current Payment Due _ _ $15.00
___
•
-~ ~ ~ ~~
Past Due Amount +
$4g.00
New Balance Total $251 •~ ~ Total Minimum
..• ~~
FIA CARD SERVICES'"
Forlnformation on YourAocount Vsit:
www.facardservices.com
Call toll-free 1-80o-362-6299
TDD hearing-impaired 1-800-346-31.78
Mail Payments to:
FIA CARD SERVICES
P.O. BOX 15726
WILMINGTON, DE 19886-5726
.Mar7.Bi1linglnquides. to:..-• ....... ............ .. .
FIA. CARD SERVICES
P.O. BOX 15026
WILMINGTON DE 19850-5026
. Payment Due ~ ~ .!
• • ~ • ~ f • •
OUR RECORDS SHOW YOUR ACCOUNT IS PAST DUE
s -• -
Promotional Corresponding Annual APR Balance Subject to
Category ~ Transaction Types- Daily f~riodic Rate f~rcentage Rate Type Finance Cftarge
Batanc® Transfers 0.049973~Yo V 18.24% S $0.00
Cash Advances 0.060247% V 21.9986 S $0.00
Purchases 0.049973% V 18.24°6 S $249.09
Annual Percentage Rate for this Billing Period: 18.24%
(Includes Periodic Rate Fnance Charges and Transaction Fee Finance Charges that results. in an APR which exceeds
the Corresponding APR above.)
-
QPR Tvna Dwfinitir .; ._ - ~ •. •. .. .._~ , n:_~.___~. n.~._ .-..:......,1. ADD Tv.+r• C.- C+nndarrl APR /APR n6Rn9iiV In effQR'tti
<,. _.
ESTATE OF MARTHA M. NORNHOLD
GEORGE H: NORNHOLD EXEC.
CHARLENE JO MCNEILLIE EXEC..
C/O WOLF&-WOLF
10 W HIGH ST.
CARLISLE, PA 17013
tg
0
DOLL' ARS L! I ~ ~-
r~o ~'3 ! 3 42?~ ~3m ~
~~:23L3?269L~: 03LL09LB3011'0204
08 00025],OZ0~00640Q00~27107D~~43Z3Q27073~06675
Check here for a change of matAng addressor phone rwir~eKs).
FIA CARD SERVICES Please provide aU corrections on the reverse ride.
P.O. .BOX 1572.6 ,
WILMINGTON, DE 19886-5726
~~~r~~~~~i~~~~~~,~~~~~~~~~i~~~~~~~~~r~~i~~~~~~~~~,~~ ~ ACCOUNT NUMBER: 431302707300.6675
1 0074486 00005 0000000001 USE2115 00007-12T
MARTHA M NORNHOLD
1130 GRAINS GAP RD
CARLISLE PA 17013-9683-309
NEW BALANCE TOTAL: $251,02
PAYMENT DUE DATE: 07/29/08 '
Emir PaymeirtAmorxrt Encbsed
~~ 3.
Mail this payment coupon along with a
check or money order payable to: FIA CARD SiER VICES
60 7269/2313 2 ~ 4
0311D91830
DATE ~ t l Z,Z!A
~:5 240 2 2 250: 0935?0?30066?5u'
~~Sovereign Bank
CARLISLE MEDICAL PATHOLOGY
P. O. BOX 188
LANDISVILLE PA 17538-0188
TEMP-RETURN SERVICE REQUESTED
PATIENT: MARTHA M NORNHOLD
LOCATION: CARLISLE REGIONAL MED CNTR
PIN#: 026702011578
BILLING I NQUI RI ES: MONDAY THRU FRIDAY
8: 00 AM TO 5: 00 PM (EST)
TOLL FREE PHONE: 1-888-223-5649
STATEMENT DATE PAY THIS AMOUNT ACCT. ~
06-17-08 $325.00 A26'I-0004Q52-~Q2
J2 I P SHOW AMOUNT
0023 DUN PAID HERE
MARTHA M NORNHOLD CARLISLE MEDICAL PATHOLOGY
1130 CRANES GAP ROAD P. O. BOX 188
CARLISLE, PA 17013-9683 LANDISVILLE PA 17538-0188
~ Please check box if above address is incorrect or insurance
information has changed, and indicate change(s) on reverse side. ~ PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
Wle have attempted to submit a claim to your insuranc e company. It has
been returned to us due to incomplete or incorrect a ddress information.
Please verify and complete the information requested on the back of this
form and return to the address above. Thank you!
~~ ~PR~1~AR ...I.NSURA~OE<.
.
.
.
::;:
~
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'`~GAT~Y ~i~ALTH ~~LT<:. ~ ~ ` ~~ NE. O :.Z:
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POL:. ,,.... :::.:::: :::.::: PLAN :::::
GFt,P
SECONDARY INSURANCE
PRI VATE PAY PHONE:
POL: PLAN GRP:
...........
>: ~.#~OE>::>:::
>::::::<:~::::>~::~~:>>~>:~>~~>:>~»:l~~A~`I~iN~~> :::::::::::::>:~~~~~~:~~:~:»:::::
:~~~>~Ol~i~t.0E5:~:~~~:
:>~>:~:l~QE1'S:~~~~~
~~:~~:~ ~'~ ~~~~:~~~~
TOLL FREE PHONE: 1- 8-223-5649
THIS I S BILL FOR P OFES S I ONAL LAB SERVICES, SUPERVISED BY ABOARD CERTIFIED
PATHOLOGI T. THESE ERVICES WERE REQUESTED BY YOUR ATTE ING PHYSI IAIZ
**** IF YOU VE ALREADY MADE PAYMENT PLEASE DIS GARD THIS TI CE.
05-21-08 88112 CYTOPATHOLOGY W/SELECTIVE 175.00 175.00
CELLULAR ENHANCEMENT
05-21-08 88305 LEVEL IV - SURG PATHOLOGY 150. 00 325. 00
GROSS AND MI CROS COPI C
EXAM
>~k~~~~t~A'~A~1~~~~~
~~~~ ~~ ~~ ~ ~ ~~ ~ ~~ ~~~ ~~~~~ PIN#: 026702011578
PLEASE PAY THIS AMOUNT' 325.00
$
CARLISLE MEDICAL PATHOLOGY
P. O. BOX 188 MARTHA M NORNHOLD
IRS#: 26-1186991 LANDISVILLE PA 17538-0188 ACCT NO: A267-0004052-02
6197 0101 8105-614 STOCK • F-!D
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$1.00 FEE FOR ADDITIONAL RECEIPTS
PAYABLE
TO:
DESC:
I rAx
PAYER
OFFICE MAR-APR-JUL-AUG TOES 10-4 & THUR
HouRS: 10-6; MAY-JUN-SEP-OCT THURS 10-6
APPT ONLY JAN-FEB-NOV-DEC
CALL FOR HOURS LAST WEEK OF DISC
Cnntrnl Nn• (19q _ M(1A7~
I Hl~r'/-~ r ~r1 l.Vt" t !3111 IVO. 2965
9(1f1Q Statamant of Rn~l t=ct9ta Tsv~ Rau n.,~,,. n~.,. ~.,..,.,.
Assessed Land Improvement Mineral Total vvv
Values 44,690 117 290 0 161,980
COUNTY OF CUMBERLAND Discount Face Penal
Rates .00239900
COUNTY R/E 107.21 .00239900
281.38 2 ~
380.82
388.59 10 ~
427.45
Rates .00018000 .00018000 2 ~ 10 g
COUNTY LIB 8.04 21.11 28.57 29.15 32.07
TOWNSHIP OF NORTH MIDDL ETON
Rates .00088900
MUNIC. R/E 39.73 .00088900
104.27 2 ~
141.12
144.00 10 ~
158.40
TAX AMOUNT DUE > ~so.s~ S5s1.~a ~s~7.s2
If Paid Oa or 1-ft:ar 3 01 2009 5 O1 2009 7 O1 2009
if Paid Oa or Before 4/30/2009 6/30/2009
IF NOT PAID BY 1?J'15I2009 THIS B1LL W ILL BE RETURN ED TO TAX
CLAIM BUREAU FOR COLLECTION AND FlLING OF A LI EN AGAINST
YOUR PROPERTY.
"''F SEE REVERSE SIDE OF BILL FOR A BREAKDOWN OF YOUR COUNTY TAX DOLLARS *"
Return Bill with Payment. For a Receipt ,Enclose Self~Addressed Stamped Envelope.
ESTATE OF MARTHA M. NORNHOLD so-72ss~2sls Z O G
GEORGE H. NORNHOLD EXEC. osi~os~aso
CHARLENE JO MCNEILLIE EXEC. ~ Z~
C/O WOLF& WOLF DATE
10 W HIGH ST.
d
~~ +'~ R~~~~2 17 13 ~- ~ ~~ ,
PAY TO THE ~ e ~ '
y ORDER OF
,~
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DOLLARS 13.1 ~~~
0
3
A
Sovereign Bank
MEMO ~ ~ ~ ---~ , ~ ~
~: 2 3 L 3 7 269 L~: ~ 0 3 iI LO9 LB 30u'0 206
ROBIN K SOLLENBERGER
5 HILL DRIVE (717)249-0747
CARLISLE, PA 17013
ASSESS.NO -29000375
MAP NO: 29-05-0427-014
1130 CRANES GAP ROAD
ACRES 4.500 DEED 0014N' 00202
LAND APPROX 5 ACRES
Residential Building
RESIDENTIAL
NORNHOLD, MARTHA
1130 CRANES GAP ROAD
CARLISLE PA 17013