HomeMy WebLinkAbout04-0150 PETITION FOR PROBATE and GRANT OF LETTERS
Estate of' Li~IJ~,~Q~k ~P~. ~b~5 No. ~/--L~- /L~.)
also known as To: -
Register of _Wills for the .
, Deceased County of Q_~.Bt,~ [~cl, in the
Social Security No. aS - ~ - [ 0.I{ (. '
-- Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut, b ~
in the last wilt of the above decedent, dated ~c named
e ~.~, I,,.-. ti ~t~I 19_
and codicil(s) dated ......... ~ - .
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in _~--~x_,~.~v~ & County, Pennsylvania, with
h~ ~- last family or principal residence at. '
~ q st street, number and muncipality) '
Decendent, then ~ to years of age, died ~-~' r% ~ ~- o ~ ¥
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent..
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters ~.'~ ~ ~ ~ ,~. ¢,o~ ~ ~
theron.. (testamentary; administraticm~.t.a.; administration d.b.n.c.t.a.)
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~
COUNTY OF f ss
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed ~ ~~_ ~ ~
/before me this / ~7 7-/-/ ~ ~ ~
- -~ _ aay oi
/ ~-~'.~ ~, _ ~ _. _ ., / I ~
Estate Of
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW 19 , in consideration of the petition on
the .reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated~
described therein be admitted to probate and filed of record as the last will of
and Letters ;
are hereby granted to
FEES
Probate, Letters, Etc .......... $/~
Short Certificates( ) .......... $ ~-T,~,~9~
~ ................ $,~~
TOTAL $ ~/, ~?E'9
Filed .~.'....&~.~.~.. ~ ~.i .............
A'rFORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local .Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 9825913
No.
Local -
Registrar
~l?)ate '
H105 143 Rev 2/87
TYpE/PRINT
PERMANENT NAME OF DECEDENT {First. Miadl®. Last)
COUNTY OF DEATH
Cumberland
DECEDENT'S USUAL OCCUPATION
... LPN
46 Erford Road
,Ivania 17011
FATHER'S NAME (First. Mi6Mle. Last)
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
ITM ISOCIAL SECURITY NUMBER[ ';~ ' D.~E OF [~EATHJMon I~ Day ) ~J~-/ ....
Laura M. Dolby 2 Female 3 225-- 03 -- 1246 r~ q /.
.
1917 ITHarrisonburg, Va.
LJ."~ /~/ /" 5% ~ ~ .1----~ ~r'~. / No[]Yesr~ yes specJfyCu/~an I(Speofy)
· East Pennsboro I-
Healthcare 112. 1t3. 1212 ' 114. Divorced I1,
RESIDEN~ ~~ ~Z~'
[Fh'st Middle. M~/den Surname)
INFORMANTS MAILING .ADDRESS ($t~ee~. City/Town. State. Z~ Code)
DATE OF DISPOSITION
~ [~emoval from Sm~e U (Mo.a, ow, v~)
(Signature ~ T~e)
TIME OF DEATH
(Month. Day. Yeai')
WAS CASE REFERRED TO A MEDICAL EXAMINER/CORONER?
IMME~ATE CAUSE (F~ _ ~ ~ : ~set ~ ~ ~ resul~ in tm u~e,ying ~5e g,v~ in PART
~,,,,~,~.,., ~~~ ~~ ~~1
,AN,,= ....... .u~I.. ~ // ', I
/
Yes~ NO~ YesO NO~ IS"'"~ 0 C~,*~,~o.e,..~.~ oP°'' Ia~. ~' ITM. .
~ J ~ J IP~CE~FINJ~RY-AI~e. fa~ s~t f~ offi~ JL~Tl~(Stre~.Cty~own. Sae)
..................................................... ,., ,
,,.~ ........ '"" .............................................................................................................. :..: ....... ~ ,. ~ I~~ ~I~.F
LAST WILL AND TESTAMENT
OF
LAURA M. DOLBY
I, Laura M. Dolby, Hampden Township, County of
Cumberland, Commonwealth of Pennsylvania, currently residing at
4809 E. Trindle Road, Mechanicsburg, Pennsylvania 17055, being of
sound mind, memory and understanding do hereby make and publish
this my Last Will And Testament hereby revoking all previous Wills
and Codicils made by me.
ITEM I. I order and direct that all of my just debts,
funeral expenses and inheritance taxes may be paid as soon as
conveniently possible immediately after my death out of my residual
estate.
ITEM II. I hereby bequeath the following gives: 99~ ~
1). I bequeath Two Hundred Fifty Dollars ($250.00) to the
TRUSTEES OF THE MT. CARMEL UNITED METHODIST CHURCH, Fulks Run,
VIRGINIA.
2). I bequeath One Thousand Dollars ($1,000) to the HAMPDEN
TOWNSHIP VOLUNTEER FIRE DEPARTMENT.
3). I bequeath One Thousand Dollars ($1,000) to the HAMPDEN
TOWNSHIP AMBULANCE ASSOCIATION.
LAURA M. DOLBY ~
4). I bequeath One Thousand Dollars ($250.00) to the TRUSTEES
OF THE WOODBINE CEMETERY, Harrisonburg, Virginia.
5). I bequeath One Thousand Dollars ($1,000) to the TRUSTEES
OF THE LINVILLE, UNITED METHODIST CHURCH, Linville, Virginia.
ITEM II. Ail the rest, residual, and remainder of my
estate, real, personal, mixed or whatsoever kind and wheresoever
situated I give and bequeath, in Trust, to Jack Hardy, Esquire, for
the following uses ~ purposes:
1). The purpose of the Trust is to establish my former
residence at 4809 E. Trindle Road, Mechanicsburg, Pennsylvania,
17055, as a housing facility available to underprivileged, needy or
handicapped families so they enjoy the benefits of a single family
home.
2). The use and occupancy of the residence at 4809 E. Trindle
Road, shall be at the discretion of my Trustee, who shall endeavor
to select appropriate families or individuals, who will be suitable
and benefit from the use and occupancy of my former home. The
Trustee is directed to charge such tenants, an appropriate amount
as necessary, in his discretion, to allow for the appropriate
financing including coverage of actual cost and to provide for a
LkURA M. DOLBY'
suitable reserve fund to allow the continued operation of the
residence at 4809 E. Trindle Road, pursuant to the terms of this
Trust.
ITEM III. If, after appropriate consideration, my Trustee
is of the opinion that the purposes of the Trust can no longer be
fulfilled, either because of financial or other constraints, my
Trustee is then directed to sell the real estate and any other
assets of the Trust and to combine those proceeds with any cash
proceeds that are part of the operating funds with all remaining
funds and assets of this Trust and distribute such Trust to a
worthy bona fide non-profit charitable organization whose aims and
goals are consistent with my desires expressed in this Trust to
provide reasonable and affording housing for needy, worthy and
handicapped individuals and families.
ITEM IV. This shall continue and shall have no definite
ending time other than as specified in the paragraph immediately
above, as to the ultimate disposition, if and when the Trust can no
longer serve the purpose for which it was created.
ITEM V. My Trustee can appoint, in his discretion, an
alternate or substitute Trustee, be it an actual individual or a
L~URA M. DOLBY'
financial institution and/or management corporation or other like
entity, to carry out the terms of this Trust, so that this Trust
may continue for many years into the future.
ITEM VI. The Trustee is hereby authorized to receive
reasonable compensation for the services the Trustee renders on
behalf of handling the Trust and the Trustee shall be reimbursed
directly from the Trust for any actual expenses incurred.
ITEM VII. The Trustee is authorized to employ such other
professional assistance such as accountants, other attorneys or
other individuals or companies providing similar or related
services to actually assist in or to handle directly the
requirements of fulfilling the terms of this Trust.
ITEM VIII. My Trustee and any subsequent alternative or
later Trustee serving in his stead are specifically instructed that
if at all possible if the Trust shall fail or shall be
appropriately terminated that the real estate located at 4809 E.
Trindle Road, shall not be conveyed, sold or in any manner
transferred to the present owners of the adjacent property, located
at 4807 E. Trindle Road. The reason for this
LAURA M. DOLBY
prohibition is that during my lifetime said owners of that adjacent
property have been less than neighborly in their conduct towards me
and have had in the past required that Civil legal action be taken
between us. Therefore, it is my specific desire that they should
not benefit in any manner from the disposition of the real estate,
and to such extent, if the property is required to be sold, it may
be sold my Trustee to another third party for less than the amount
that would be offered by the prohibited party described above or
any of their agents or intermediaries that would be acting on their
behalf.
ITEM IX. I hereby nominate and appoint Jack Hardy,
Esquire to be Executor and Trustee of my estate.
ITEM X. I direct that no Executor or Trustee appointed
under this Will be required to post any bond or provide any
security to serve in that capacity.
ITEM XI. I confer on my Executor and Trustee, in addition to
those powers granted by law, the following powers to be exercised
in a prudent manner and applicable to all property constituting a
part of my estate:
L~URA M. DOLBY
ao
To retain and to invest in all forms of real and
personal property, without being confined to
investments authorized by a statutory list, without
being required to diversify and regardless of any
principal of law limiting delegation of investment
responsibilities by executors or trustees;
Be
To compromise claims and to abandon any property
which, in my executor's opinion, is of little or no
value;
Co
To sell at private or public sale, to exchange or
to lease for any period of time, any real or
personal property, and to give options for sales or
leases;
To borrow from anyone, even if the lender is an
executor hereunder, and to pledge property as
security for repayment of the funds borrowed;
To join in any merger, reorganization, voting-trust
plan or other concerted action of security holders,
and to delegate discretionary duties with respect
thereto;
(SEAL)
LAURA M. DOLBf //
Fe
To employ and to rely upon the advice given by
investment counsel, to delegate discretionary
authority to make changes in investments to
investment counsel, and to pay investment counsel
reasonable compensation in addition to any fees
otherwise paid to my executor;
To employ a custodian, to hold property
unregistered or in the name of a nominee (including
the nominee of any institution employed as
Custodian), and to pay reasonable compensation to
the custodian in addition to any fees otherwise
payable to my executor;
Ho
To procure and carry at the expense of my estate
insurance of kinds, forms and amounts deemed
advisable by my executor to protect my estate and
my executor against any hazard;
To commence or defend at the expense of my estate
any litigation affecting my estate deemed advisable
by my executor;
LAURA M. DOLBY ~_ (SEAL)
Je
To conduct alone or with others any business in
which I am engaged or in which I have any interest
at my death, with all the powers of any owner with
respect thereto, including the power to delegate
discretionary duties to others, to invest other
property held hereunder in such business and to
organize a partnership or corporation to carry out
such business; and
To distribute in cash or in kind.
IN WITNESS WHEREOF, I, LAURA M. DOLBY, have to this my Last
Will and Testimony hereunto set my hand and seal this /~ day of
___._, 1994.
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named
Testatrix, LAURA M. DOLBY, as and for her Will, in the presence of
us who, at her request, in her presence, and in the presence of
each other, all being present at the same time, have hereto set our
hand as witnesses:
COMMONWEALTH OF PENNSYLVANIA :
:
COUNTY OF DAUPHIN :
SS
I, LAURA M. DOLBY, having been duly qualified according
to law, acknowledge that I signed the foregoing instrument as my
Will, and that I signed it as my free and voluntary act for the
purposes therein expressed.
Sworn to and subscribed
before me this %~.} day
of ~60¢,~%%~6~,~ , 1994.
Notary Public
,J, ulie A, I-b~, Notary Pub~
_ ~amsburg, Dauphin County
My Commission Expires March 31,1997
Member, Pennsylvania AssodalJon of Notaries
My Commission Expires:
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
SS
We, ~l~/v~3 ~j/f and /~ [O,Wj~/ , having
been duly qualified according to law, depose and say that we were
present and saw LAURA M. DOLBY sign the foregoing instrument as her
Will; that she signed it as her free and voluntary act for the
purposes therein expressed; that each of us in her sight and
hearing and at her request signed the Will as witnesses; and that
to the best of our knowledge she was at the time 18 years or more
of age, of sound mind, and under no constraint or undue influence.
Witness
Residing at:
Witness
Residing£at:
Subscribed, sworn to, or affirmed, and acknowledged before me
by the above-named testator and by the witnesses whose names
appear, on this i~- day of ~(-~r'~fi~--- , 1994.
(SEAL)
No~y Public
My Commission Expires:
10
J Notarial ,Seal I
Julie A. Horst, Notary Public
Han'isbu~g, Dauphin County
, My Commission Expires March 31, 1997
Member, Pennsylvania~atJon of Notaries
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
JACK HARDY, ESQ.
being duly sworn according to law, deposes and says that he
IS EXECUTOR of the Estate of Laura M. Dolb¥
late of Hampden Township. ., Cumberland County, Pa., deceased and that the
within is an inventory made by Jack Hardy, Esq. , the said Executor
of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
and subscribed before me,
. OF ~NNSYLV~NJ~
! Sarah E. Griffin, Notar~ Public
Middletown BorG, Daupliin Coun
Ass~iat~ofl of No~s
Dale o~ Deafh 8 Februar~
Day Month
INSTRUCTIONS
c/o Htlr_~h & Hursh, P.C.
60 N. Union St., Middletown, PA 17057
Address
2004
Year
I. An inventory must be filed within three months after appointment of personal representati~r:~.~
2. A supplement inventory must be filed within thlrty days of discovery of additional assets.
3. Additional sheets may be attached as fo personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
z @,-
Inventory of the real and personal estate of
Laura M. Dolby
deceased
Real Estate
Cash / Bank Accounts
Personal Property
i150,000
16,609
6,731
Total 173,340
Name of Decedent:
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Laura M. Dotby
Date of Death: February 8, 2004
Will No. 21-04-0150 Admin. No. 2004-00150
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on May 14~ 2004 :
Nar0e Address
SEE ATTACHED
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
heir. which has not yet been determined
/
Signature
Name Dennis G. Hursh
Address
the residuary
60 N. Union Street
Pt
Middletown, PA 17057
Telephone (71) 930-0441
Capacity: ~ Personal Representative
XX Counsel for personal representative
Estate of Laura M. Dolby
Certification of Notice Under Rule 5.7(a)
Beneficiaries Receiving Notice
The Trustees of the Mt. Carmel United Methodist Church
13375 Third Hill Road
Fulks Run, VA 22830
Hampden Township Volunteer Fire Department
295 South Sporting Hill Road
Mechanicsburg, PA 17050
Hampden Township Ambulance Association
295 South Sporting Hill Road
Mechanicsburg, PA 17050
The Trustees of the Woodbine Cemetery
301 South Willow Street
Harrisonburg, VA 22801
The Trustees of the Linville United Methodist Church
5290 Jesse Bennett Way
Linville, VA 22834
JRD/June 30, 1992/17858
JUN 1 4
In Re: Estate of LAURA M DOLBY
Late of HAMPDEN TOWNSHIP
Estate No.: 21-04-150
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 21-2004-150
NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: JACK HARDY, ESQUIRE
Counsel for Personal Representative: DENNIS G HURSH, ESQ.
Date of Grant of Original Letters: 02-17-2004
Date of Delinquency Notice: 05-27-2004
The undersigned, Glenda Farner-Strasbaugh, Clerk of the Orphans' Court, in accordance
with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court
Division, Court of Common Pleas of Cumberland County, that neither the above named personal
representative nor the above named counsel for the personal representative have filed with the
Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule
5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e),
Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on 05-27,
2004, and that the ten (10) day notice to file the certification has expired. Accordingly, in
accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the
undersign, ed requests that a Court conduct a heating to determine whether sanctions should be
imposed upon the delinquent personal representative or counsel for the delinquent personal
representative.
Date: 06-11-2004
Glenda Famer Strasbaugh
Clerk of the Orphans' Court
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled af / in Courtroom No. 3. If the Certification of Notice is
filed prior to the hearing date, the hearing will automatically ~~~. ~/~
Geor~ E~l~ffe~, P?J. ~
Name o£Deced~nt:
~_TATUS I~EPORT UNDER. RULE 6._17,
Laura M. Dolby
Date of Death: February 8, 2004
W~J1 No.: 2004-00150
Admin. No.:
Pursuant to Rule (5.12 ofth~ Suprem~ Court Oxphan~' Court R.ul~s, I r~ort the
following with respect to compl~don office admttfisa'ation of the above-captioned v~tat¢:
1. State wh~cher admini~trafiori of the estat~ i~ compile:
1221 No Pq
~t ~ ~8~fi~ ~1 bo complete, within six .months
~ ~e ~ m No. 1 is Y~, ~at~ ~e follow.g:
D~ ~.~o~~~ve ~e
Y~ _ Ho ~ a ~ ~o~t..wi~ ~ Co~?
b, ~e s~ 0~' Co~ No. (~y) for ~ p~on~
acc~t is: _
Did the personal representative state an account informalIy to the parties
/n interest? Yes r-] No ~].
c. Copi~ of receipts, releases, joinde~-s md appzoval of formal or
informal, aooounts may be/iled with the Cl~rk ofth~ Orphans' Court
a~d may be attached to th/s report.
Signature
Dennis G. Hursh
N~m~
60 N. Union St.
Middletown PA 17057
Address
717-930-0600
Telephone No.
Capacity: [~ Personal RePresenradve
~l Counsel for personal, r~resentativ¢
Re~eivad 11-04-04 02:48pm
From- To-HURSFI & HURSH, PC Page
November 9, 2004
Hursh & Hursh PC
60 North Union Street
Middletown, PA 17057
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG, PA 17128-0601
Telephone
(7'17) 787-3930
FAX (7'17) 772-0412
Dear Sir/Madam:
Re:
Estate of Laura M. Dolby
File Number 2104-0150
This is in response to your request for an extension of time to file the Inheritance Tax Return for
the above estate.
In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for
filing the return is extended for an additional period of six months. This extension will avoid the
imposition of a penalty for failure to make a timely return. However, it does not prevent interest from
accruing on any tax remaining unpaid after the delinquent date.
The return must be filed with the Register of Wills on or before 05/08/05. Because Section 2136
(d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be
granted that would exceed the maximum time permitted.
Sincerely
,, f,.:~ /','-.:':-:z-'~ -"
~,~.,,:..:,-~,~-- / (./
L.-'
Claudia Maffei, Supervisor
Document Processing Unit
Inheritance Tax Division
REV.15M EX (f~OOI
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128.0601
REV-1500
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. de II CONFIDENTi ~x INFQ!lMATlblfSHOULpi E DIRECTED TO:
COMPLETE MAILING ADDRESS
60 North Union Street
Middletown, PA 17057-1429
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
Dolby, Laura M.
DATE OF DEATH (MM.DD-YEAR)
02/08/2004
DATE OF BIRTH (MM-DD-YEAR)
10/04/1917
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. fiRST, AND MIDDLE INITIAL)
N/A
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~ 1. Original Retum
o 4. Limited Estate
o 6. Decedent D\ed Testate (Alt2ch copy of Will)
o 9. Litigation Proceeds Received
THIS SECTlbt./iMI.lST BE COMPLET
NAME
Dennis Hursh
FIRM NAME (ll Applicable)
Hursh & Hursh, P.C.
TELEPHONE NUMBER
(717) 930-0600
o 2, Supplemental Return
o 4a. Future Interest Compromise ldate afdeath after 12-12-82)
o 7, Decedent Maintained a Living Trust (AtI8ch copy of Trust)
o 10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95]
1. Reai Estate (Schedule A)
(1)
(2)
(3)
(4)
(5)
65,000.00
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2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule Dl
5, Cash. 8ank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
(6)
23,150.67
7. Inter-VIvos 1ransfers & Miscellaneous Non.Probate Property
(Schedule G orL)
(7)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent Mortgage Liabilities, & Uens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election 10 lax has not been
made (Schedule J)
(B)
39,167.69
71,530.86
(11)
(12)
(13)
(9)
(10)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. AmOI.ll"lt of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
-"'--'-- x .0 (15)
x 0- (16)
x .12 (17)
x 15 (1B)
(19)
16. Amount of Une 14 taxable at lineal rate
17. Amount of Line 14 taxable al sibling rate
18, Amount of Une 14 taxable at collateral rate
i9. "Tax Due
CHECK HERE IF YOU ARE REQUESTING A REFUND OF Il.N OVERPAYMENT
20.0
,0
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FILE NUMBER
21 04
0150
COUNTY CODE YEAR
NUMBER
SOCIAL SECURITY NUMBER
225-03-1246
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Relum {date otdeath prior 10 12-13<82)
o 5. Federal Estate Tax Return Required
-1... 8_ Total Number of Safe Deposit Boxes
o 11. Election to tax under See, 9113(A) IAttavhSth0)
C')
<"",)
88,150.67
110,698,55
-22,547.88
(14)
-22,547.88
0.00
EC t;gISMA
Decedent's Complete Address:
STREET ADDRESS
4809 East Trindle Road
CITYM h . b I STATEpA I ZIP 17050
ec anlCs ur9
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19) (1)
2 CreditslPaymenls
A. Spousai Poverty Credil
B. Prior Payments
C. Discount
0.00
Total Credits (A + 6 + C ) (2)
0.00
3. InteresVrenalty If applicable
D. Interest
E. Penalty
000
TolallnteresUPenalty ( D + E ) (3)
4. If Une 2 is greater than Une 1 + Une 3. enler Ihe difference. This IS the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Une 1 + Une 3 is greater than Une 2. enler the difference. This is the TAX DUE. (5)
000
A. Enter the interest on the tax due.
(SA)
6. Enter the tolal of Une 5 + SA. This is the BALANCE DUE. (56)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
No
iii
iii
iii
iii
1. Did decedent make a transfer and:
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 Iransfer 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 ]lon-probate property which
contains a beneficiary designation? .
Ves
o
o
..0
o
..0
o
.0
IF THE ANSWER TO ANY OF THE ABOVE QUESTiONS is YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
~
iii
iii
SIGNA
Ur.der pei'lalties 01 perj\Jl)', \ declale Iha\ \ have examir.ed \his return, including accompanying schedules and statements, and 10 the best of my knowledge and belief, il is true,
correct and complete.
Declaralionofpreparerolherlhan the personal representalive is based on all informalion of which preparerhasanyknowledge.
DATE
O~
Lt'l.J
:, J(,
I
;
9ATE
6 ')
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. 99116 (al (1.11 (I)]
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers 10 or for the use of the surviving spouse is 0% [72 P.S. 39116 (a) (1.1) (ii)J.
The statute does not exemot 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 dealh 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 8 natural parent, an adoptive parent,
or a stepparenl of the child is 0% [72 P.S. 99116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use oflhe decedent's lineal beneficiaries is 4.5%. except as noted in 72 P.S. 99116(1.2) [72 PS 99116(a)(1)).
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [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+ (6~98)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
Dolby, Laura M. 21-04-0150
All real property owned solely or as a tenant In common mUlt 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 willilg seNer, nenher being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which II jolntly-owned wtth right of survivorship must b. dlaclOled on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
4809 E. TrindJe Road, Mechanicsburg, PA 17055, .24 acres, with 2,178 square foot building,
'lax parcel no. 10-22-0527-112
VALUE AT DATE
OF DEATH
65,000.00
TOTAL (Also enter on line 1, Recapitulation)
(If mOf'e space is needed, insert addnional sheets of the same size)
65,000.00
,
REV-1508 EX+ (6-98)
..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DecEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Dolby, Laura M.
FILE NUMBER
21-04-0150
Include the proceeds of litigation and the date the proceeds were received by the estate.
All ,,",porty jolnUy-owned with right oIourvlvorshlp muot be dllCl_d on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
Ford Crown Victoria automobile, poor condition, not running or inspected
1 'Cash on hand
2, Bank, 1 Citizens Drive, RivelSide, RI 02915, checking account #6100703789
'Burial account, Citizens Bank, 1 Citizens Drive, RivelSide, RI 02915, #TD00012404
,Man's diamond ring, .73 carat, 14 carat gold
Bank, 2 East Main St, Mechanicsburg, PA 17055 CD #21001032254
Bank, 2 East Main St, Mechanicsburg, PA 17055 CD #21001032256
Bank, 2 East Main St, Mechanicsburg, PA 17055 CD #21001032258
Bank, 2 East Main St, Mechanicsburg, PA 17055 CD #21001032262
PNC Bank, 2 East Main St, Mechanicsburg, PA 17055 CD #21001032263
1 'PNC Bank, 2 East Main St, Mechanicsburg, PA 17055 CD #21001032264
Bank, 2 East Main St, Mechanicsburg, PA 17055 CD #21001032265
Bank, 2 East Main St, Mechanicsburg, PA 17055 Checking 5140014327
14
Property and fumiture
0.00
2,345.50
15 Mortgage escrow payable, Countrywide Home Loans, Inc., PO Box 5012, Woodland Hills, CA
16: :PelSonal care account, Beverly Enterprises, 46 Erford Road, Camp Hill, PA 17011
19
17 ,Insurance Premium refund, Worldwide Insurance
18' Brooch, cameo
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
23,150.67
,
REV-1511 EX. 112-99.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Dolby, Laura M.
FILE NUMBER
21"04-0150
Debtl of decedent must be reported on Schedule L
ITEM
NUMBER
A.
DESCRIPTION
FIJNERAL EXPEHS.ES:
'cMyars Funeral Home, Inc. 37 E. Main st.,
Evers Family Resla~rant, Bridgewater, VA 22812 wake
1.
2
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s) 'Jack Hardy, Esq.
Social Security Numbe~sVEIN Number of Personal Representetive(s) -
SlreelAddre",6347 Willowfield Way
City.Springfield
SlaleVA Zip ,22150
Year(s) Commission Paid: :.2005
2. Attorney Fees
3. Family Exemptlon: (If decedent's address is not the same as claimant's, attach explanation)
Claimant:
Street Address
City
Slate
~Zip
Relationship of Claimanllo Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Jack Hardy, executor, reimbursement of interest paid on executo~s credit card for funeral
B Johnson Duffie attorney fees to clear title to residence
9 CIR Real Estate agency fee commission for sale of residence .
10 Clauser Real Estate Apprisals, appraisai of residence required by DPW
11 Real property taxes and sewer on residence of decedent
12 Costs from attached schedule
AMOUNT
4,500.00
TOTAL (Also enter on line 9, Recepitulation)
(If more space is needed, insert additional sheets of the same size)
39,167.69
Estate of Laura M. Dolby
File No. 21-04-0150
ATTACHMENT TO SCHEDULE H
Administrative expense
Jewelers commission for sale of ring
Mountz Jewelers, appraisal of brooch and ring
Jack Hardy, Esq. Reimburse for postage charges
PennDot fee for duplicate title for automobile
Gas and electric utilities for residence
Water for residence
Bank charges and check fees
Repairs and cleaning of residence (net of $1 ,000 reimbursment from buyer)
EBay fees for jewelry sale
Rowes Auction auctioneer's commission
Rowes Auction fee to haul away automobile
Total to Schedule H
Amount
$200.00
$85.00
$8.15
$22.50
$391.52
$901.53
$86.41
$950.42
$46.36
$820.50
$45.00
$3,557.39
RE'V-1512EX+(12-o3)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX REnJRN
RESIDENT DECEDENT
ESTATE OF
Dolby, Laura M.
FILE NUMBER
21-04-0150
Report debts Incurnd by the decedent prior to death which remained unpaid as of the date of death, Including unrellTlbul'led medical exp.nses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
.PA Dap! of Public Welfare lien for medical services paid by DPW
2
Mortgage, Seattle Mortgage, P.O. Box C 19102, Seattle, WA 98109 aect #1001877-6000098726
32,086.02
39,444.84
TOTAL (Also enler on line 10, Recapitulation) S
71,530.86
(If more space is needed, insert additional sheets of the same size)
Estate of Laura M. Dolby
List of Attachments
. Extension
. Will
. Appraisal of residence
. Settlement sheet from sale of residence
. Citizens Bank statement
. PNC Bank statement
. Department of Public Welfare notice
. Mortgage statement
File No. 21-04-0150
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG, PA 17128-0601
November 9,2004
Telephone
(717) 787-3930
FAX (717) 772-0412
Hursh & Hursh PC
60 North Union Street
Middletown, PA 170S7
Re: Estate of Laura M. Dolby
File Number 2104-01S0
Dear Sir/Madam:
This is in response to your request for an extension of time to file the Inheritance Tax Return for
the above estate.
In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for
filing the return is-extended for an additional period of six months. This extension will avoid the
imposition of a penalty for failure to make a timely return. However, it does not prevent interest from
accruing on any tax remaining unpaid after the delinquent date.
The return must be filed with the Register of Wills on or before OS/08/0S. Because Section 2136
(d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be
granted that would exceed the maximum time permitted.
, ) Sincerely ,__", -/ ,,'
II,' , ./. .
/.. / 1// /' "
(!.t." ./', /?L~~'
.A ,/ .<. (./\...{.....A-_/ i
-""'A... ,_ / '/"
C/, )
Claudia Maffei, Supervisor"
Document Processing Unit
Inheritance Tax Division
Fit E COpy
LAST WILL AND TESTAMENT
OF
LAURA M. DOLBY
I, Laura M. Dolby, Hampden Township, County of
Cumberland, Commonwealth of Pennsylvania, currently residing at
4809 E. Trindle Road, Mechanicsburg, Pennsylvania 17055, being of
sound mind, memory and understanding do hereby make and publish
this my Last will And Testament hereby revoking all previous wills
and Codicils made by me.
ITEM I.
I order and direct that all of my just debts,
funeral expenses and inheritance taxes may be paid as soon as
conveniently possible immediately after my death out of my residual
estate.
ITEM II.
~.\ ~-\) .p??1 'tr
I hereby bequeath the following gives: ~
1). I bequeath Two Hundred Fifty Dollars ($250.00) to the
TRUSTEES OF THE MT. CARMEL UNITED METHODIST CHURCH, Fulks Run,
VIRGINIA.
2). I bequeath One Thousand Dollars ($1,000) to the HAMPDEN
TOWNSHIP VOLUNTEER FIRE DEPARTMENT.
3). I bequeath One Thousand Dollars ($1,000) to the HAMPDEN
TOWNSHIP AMBULANCE ASSOCIATION.
1t1~<<..> '7Yl ::rrr-P1-r;r(SEAL)
LA RA M. DOLBY
4). I bequeath One Thousand Dollars ($250.00) to the TRUSTEES
OF THE WOODBINE CEMETERY, Harrisonburg, Virginia.
5). I bequeath One Thousand Dollars ($1,000) to the TRUSTEES
OF THE LINVILLE, UNITED METHODIST CHURCH, Linville, Virginia.
ITEM II.
All the rest, residual, and remainder of my
estate, real, personal, mixed or whatsoever kind and wheresoever
situated I give and bequeath, in Trust, to Jack Hardy, Esquire, for
the following uses ~ purposes: /.lnb,
1) . The purpose of the Trust is to establish my former
residence at 4809 E. Trindle Road, Mechanicsburg, Pennsylvania,
17055, as a housing facility available to underprivileged, needy or
handicapped families so they enjoy the benefits of a single family
home.
2). The use and occupancy of the residence at 4809 E. Trindle
Road, shall be at the discretion of my Trustee, who shall endeavor
to select appropriate families or individuals, who will be suitable
and benefit from the use and occupancy of my former home. The
Trustee is directed to charge such tenants, an appropriate amount
as necessary, in his discretion, to allow for the appropriate
financing including coverage of actual cost and to provide for a
~<:l<'" " ,1./ 'J?J,j) ~( SEAL)
LAURA M. DOLBY
2
suitable reserve fund to allow the continued operation of the
residence at 4809 E. Trindle Road, pursuant to the terms of this
Trust.
ITEM III.
If, after appropriate consideration, my'Trustee
,
is of the opinion that the purposes of the Trust can no longer be
fulfilled, either because of financial or other constraints, my
Trustee is then directed to sell the real estate and any other
assets of the Trust and to combine those proceeds with any cash
proceeds that are part of the operating funds with all remaining
funds and assets of this Trust and distribute such Trust to a
worthy bona fide non-profit charitable organization whose aims and
goals are consistent with my desires expressed in this Trust to
provide reasonable and affording housing for needy, worthy and
handicapped individuals and families.
ITEM IV.
This shall continue and shall have no definite
ending time other than as specified in the paragraph immediately
above, as to the ultimate disposition, if and when the Trust can no
longer serve the purpose for which it was created.
ITEM V.
My Trustee can appoint, in his discretion, an
alternate or substitute Trustee, be it an actual individual or a
~~ m ~~(SEAL)
L URA M. DOLBY
3
financial institution and/or management corporation or other like
entity! to carry out the terms of this Trust, so that this Trust
may continue for many years into the future.
ITEM VI.
The Trustee is hereby authorized to receive
reasonable compensation for the services the Trustee renders on
behalf of handling the Trust and the Trustee shall be reimbursed
directly from the Trust for any actual expenses incurred.
ITEM VIr.
The Trustee is authorized to employ such other
professional assistance such as accountants, other attorneys or
other individuals or companies providing similar or related
services to actually assist in or to handle directly the
requirements of fulfilling the terms of this Trust.
ITEM VIII.
My Trustee and any subsequent alternative or
later Trustee serving in his stead are specifically instructed that
if at all possible if the Trust shall fail or shall be
appropriately terminated that the real estate located at 4809 E.
Trindle Road, shall not be conveyed, sold or in any manner
transferred to the present owners of the adjacent property, located
at 4807 E. Trindle Road. The reason for this
~~ m)j~(SEAL)
LAURA M. DOLBY
4
prohibition is that during my lifetime said owners of that adjacent
property have been less than neighborly in their conduct towards me
and have had in the past required that Civil legal action be taken
between us. Therefore, it is my specific desire that they should
not benefit in any manner from the disposition of the real estate,
and to such extent, if the property is required to be sold, it may
be sold my Trustee to another third party for less than the amount
that would be offered by the prohibited party described above or
any of their agents or intermediaries that would be acting on their
behalf.
ITEM IX.
I hereby nominate and appoint Jack Hardy,
Esquire to be Executor and Trustee of my estate.
ITEM X.
I direct that no Executor or Trustee appointed
under this will be required to post any bond or provide any
security to serve in that capacity.
ITEM XI. I confer on my Executor and Trustee, in addition to
those powers granted by law, the following powers to be exercised
in a prudent manner and applicable to all property constituting a
part of my estate:
~ie.~/n j}~ (SEAL)
L URA M. DOLBY
5
A. To retain and to invest in all forms of real and
personal property, without being confined to
investments authorized by a statutory list, without
being required to diversify and regardless of any
principal of law limiting delegation of investment
responsibilities by executors or trustees;
B. To compromise claims and to abandon any property
which, in my executor's opinion, is of little or no
value;
C. To sell at private or public sale, to exchange or
to lease for any period of time, any real or
personal property, and to give options for sales or
leases;
D. To borrow from anyone, even if the lender is an
executor hereunder, and to pledge property as
security for repayment of the funds borrowed;
E. To join in any merger, reorganization, voting-trust
plan or other concerted action of security holders,
and to delegate discretionary duties with respect
thereto;
~~ 7?;1,/)~ (SEAL)
L1\URA M. DOLBY
6
F. To employ and to rely upon the advice given by
investment counsel, to delegate discretionary
authority to make changes in investments to
investment counsel, and to pay investment counsel
reasonable compensation in addition to any fees
otherwise paid to my executor;
G.
To
employ
a
custodian,
to
hold
property
unregistered or in the name ofa nominee (including
the nominee of any institution employed as
Custodian), and to pay reasonable compensation to
the custodian in addition to any fees otherwise
payable to my executor;
H. To procure and carry at the expense of my estate
insurance of kinds, forms and amounts deemed
advisable by my executor to protect my estate and
my executor against any hazard;
I. To commence or defend at the expense of my estate
any litigation affecting my estate deemed advisable
by my executor;
i:~L~ rlJ-n-liv (SEAL)
7
J. To conduct alone or with others any business in
which I am engaged or in which I have any interest
at my death, with all the powers of any owner with
respect thereto, including the power to delegate
discretionary duties to others, to invest other
property held hereunder in such business and to
organize a partnership or corporation to carry out
such business; and
K. To distribute in cash or in kind.
IN WITNESS WHEREOF, I, LAURA M. DOLBY, have to this my Last
will and Testimony hereunto set my hand and seal this /~ day of
n , 1994.
c/l;I...J2 c-
~a.c~~ -, 7n LJ~
LAURA M. DOLBY
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named
Testatrix, LAURA M. DOLBY, as and for her Will, in the presence of
us who, at her request, in her presence, and in the presence of
each other, all being present at the same time, have hereto set our
hand as witnesses:
NAME
'hw-', , ,
.;"1[.,..""'-
/]" :
iU,)~
_,;~-' .... c:
-l--:-'
/.".,
RESIDING AT
,./.1..':: :., _ ....J
",t-:_
,
~ - -.---
:.~
NAME
';; tvL- f; /
''1 ./",
'f41 /, L-IUL
I '1 r::;
RESIDING AT
)- ',.(,'
".1 .
/''-' /-,1.1'""
" t",' ,~_
I,~" -; l
;j'-'-/"".L-
/ c-/l/ .I
8
COMMONWEALTH OF PENNSYLVANIA :
SS
COUNTY OF DAUPHIN
.
.
I, LAURA M. DOLBY, having been duly qualified according
to law, acknowledge that I signed the foregoing instrument as my
Will, and that I signed it as my free and voluntary act for the
purposes therein expressed.
~~B~~4
'-r'
Sworn to and subscribed
before me this --, day
of ~. ':;:''01"\'::)('( I 1994.
. \
\ t,______'
"'--- ' .
Notary Public
No1ariaI Seal
Julie A HOIst Notary Public
Hamsburg. Daupt1in r-ounty
MyComIlllSSion ExDIms Mart:h 31.1997
Member. PennsylVamaAssacia!on of_
My Commission Expires:
9
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA :
55
COUNTY OF DAUPHIN
We, .Dr:;/V,vLJ HiAlt.J/1
and ,01l~
C U rrefV
, having
been duly qualified according to law, depose and say that we were
present and saw LAURA M. DOLBY sign the foregoing instrument as her
Will; that she signed it as her free and voluntary act for the
purposes therein expressed; that each of us in her sight and
hearing and at her request signed the will as witnesses; and that
to the best of our knowledge she was at the time 18 years or more
of age, of sound mind, and under no constraint or undue influence.
VL--V /l/h
Witness
Ii \J J' v.-,.ai..... O/Vl*'f"4A". /Z..p
/......f11-rtr<1..-i ( ) t3,v,..-z. (.. I P~-t- I ~-c)
Residing at:
-~'[".c r.. iti.!?_
Witness
I C'; ,,- to,. 7~ i;J- \ frt,;r
tik, ,,,&"ill "! l". 1'11/1
Residing' at: I
Subscribed, sworn to, or affirmed, and acknowledged before me
by the above-named testator and by the witnesses whose names
appear, on this ':'" \ day of -L.'" . .'_ ( , 1994.
(SEAL)
". ',' I \ i
Not~ry Public
~l. '.,' <.t.
. ~.;V \.....
My Commission Expires:
10
Natanal Seal
Julie A. Horst. Notary Public
Harrisburg, Oauphin County
My Commission Expires March 31, 1997
Member, Pennsylvania Associabon of Notaries
APPRAISAL REPORT
FOR
DENNIS HURSH
HURSH & HURSH, PC
COUNSELORS AT LAW
60 NORTH UNION STREET
MIDDLETOWN, PA 17057-1429
BOARDED RESIDENCE IN A-O-L ZONING
LOCATED
4809 E. TRINDLE ROAD
MECHANICSBURG, PA 17055
Prepared by
George C. Clauser, SRA
4809 Trindle Road, Mechanicsburg
4-1202 C~I
CLAUSER REAL ESTATE APPRAISALS
POBox 777
Camp Hill, PA 17001-0777
Telephone: 717-737-7300
FAX: 717-730-0922
December 2, 2004
Dennis Hursh
Hursh & Hursh, PC
Counselors At Law
60 North Union Street
Middletown, PA 17057-1429
RE: Boarded Residence in A-O-L Zoning
4809 Trindle Road, Mechanicsburg, P A
Dear Mr. Hursh:
In compliance with your request, I have completed my inspection and subsequent marl<:et studies on
the above referenced property for the purpose of estimating its "as is" market value.
The property being valued is located on the north side ofE. Toodle Roadjust west of Manor Drive
in suburban Hampden Township, Mechanicsburg, Cumberland County, P A. Improvements consist of a
2,178 square foot 2-story vacant residence. The building was vacant on the date of inspection and was in
poor condition. Lot size is .24 acres per Cumberland County tax records.
The site is located in Zone X of HUD identified flood hazard area and does not require flood
insurance. The appraised value assumes the property is clear of hazardous materials with DEP Phase I and
building inspection certifications suggested as precautionary measures. The appraised value is based on
clear certifications for any testing conducted.
Based on my studies and subject to the limiting conditions found in and attached to this report, the
properties in my opinion, have estimated market value as of December 2,2004 of:
SIXTY-FIVE THOUSAND FIVE HUNDRED ($65,500) DOLLARS
RESIDENTIAL COMMERCIAL' INDUSTRIAL . APARTMENT COMPLEXES' SUBDIVISION ANALYSIS'
4809 Trindle Road, Mechanicsbmg
4-1202C-l
CLAUSER REAL ESTATE APPRAISALS
Page 2
Details of my methods of valuation as welJ as a description of the improvements are
contained in the ensuing Complete Appraisal Report in Summary Report Format. This report is believed
to be consistent with recommended guidelines of the Appraisal Standards Board of the Appraisal
Foundation. I have completed numerous appraisals of a similar nature on similar type properties and
comply with the competency provisions ofUSP AP. This letter of transmittal is considered part of the
appraisal which follows and is not to be detached.
Employment in and compensation for making this appraisal are in no manner contingent
upon the value reported, and I certify that I have no financial interest in the property appraised, present or
contemplated, and that the appraisal assignment was not based on a requested minimum valuation, a
specified valuation, or the approval of a loan.
The Appraisal Institute conducts a voluntary program of continuing education for its designated
members. SRAs who meet the minimum standards of this program are awarded periodic educational
certification. I am currently certified under the SRA program.
Very truly yours,
~~~
George C. Clauser, SRA
P A Certified General Real Estate Appraiser
Certification Number GA000233-L
GCC/jf
Enclosures
As Stated
4809 TrindIe Road. Mechanicsburg
~1202C-l
GEORGE C. CLAUSER, SRA
PA Certified General Real Estate Appraiser
Certification Number GA-000233-L
Clauser Real Estate Appraisals
POBox 777
Camp Hili, PA 17001-0777
Phone (717) 737-7300
Fax (717) 730-0922
e-mail address:clauser@paonllne.com
www.clauserappralsals.com
QUALIFICATION SHEET
EDUCATION:
Lebanon Valley College, Annville, PA
B.S. in Economics .and Business Administration
Appraisal Institute
Standards of Professional Practice A
Standards of Professional Practice B
American Institute of Real Estate Appraisers
Real Estate Appraisal Principles 1A-1
Basic Valuation Procedures 1A-2
Capitalization Theory and Techniques 1A&B
Narrative Report Writing
All courses necessary to complete the SRA Designation
All courses to complete Pennsylvania State General Certification
PROFESSIONAL MEMBERSHIP/DESIGNATION:
Pennsylvania State Certified General Real Estate Appraiser #GA-000233-L
Pennsylvania Real Estate Broker (License RB-025061-L)
Senior Residential Appraiser (SRA) with the Appraisal Institute
REAL ESTATE EXPERIENCE:
1993-Present
1983-1993
1973-1983
1968-1973
George C. Clauser Real Estate Appraisals
Associate Appraiser, Lester G. Connor, MAl, Camp Hill, PA
Associate Appraiser, Joseph McGraw, Inc., Lemoyne, PA
Sales Associate, Dougherty and Twigg Real Estate
TESTIMONY:
Cumberland, Dauphin, Perry and York County Courts
Tax Assessment Appeals - Cumberland, Dauphin, Perry, and York Counties
Civil Litigation
Local Municipalities - Zoning Meetings, Township Hearings
George C. Clauser, SRA (Cont'd)
TYPES OF APPRAISAlS COMPLETED:
Commercial - Stores, Motels, Restaurants, Offices, Automobile Dealerships, Kennels, Greenhouses,
Shopping Centers, Apartment Complexes, Mobile Home Parks
Condominiums - Offices, Residences
Industrial - Warehouses, Truck Terminals, Service Stations, Manufacturing Facilities, Repair
Garages
Land - Farms, Subdivisions, Commercial, Industrial, Acreage, Easements-Utility, Conservation and
Agricultural Preservation Easements.
Residential - Single, Multi-family, Luxury ResidenCes, Historic Properties
Valuation of Partial Interests - Leasehold, Life Estates, Leased Fee Interests
other - Condemnation Appraisals, Estate Valuations, Divorce Proceedings, Tax Assessment
Appeals and Valuations, Relocation Appraisals, Churches, Value Estimates for Damages from
Infestation and Boundary Line Disputes
APPRAISAlS HAVE BEEN COMPLETED FOR:
Adams County National Bank
Americhoice Federal Credit Union
Commerce Bank
Community Banks
Commonwealth Funding Group
Countrywide Home Loans
Farmers First Bank
First National Bank of Newport
First National Bank of Marysville
Fulton Bank
Harbortown Mortgage
Integrity Bank
JLG Industries
Legacy Bank
M&TBank
Mellon Bank
EDUCATION STATEMENT
Members First Federal Credit Union
Mid Penn Bank
Nittany Bank
National City Mortgage
Orrstown Bank
Pennsylvania State Bank
PNC
Premier Bank
Prudential Relocations
PSP Financial
Sterling Financial Corp.
Varlan Bank
Wachovia
Waypoint
Wells Fargo
The Appraisal Institute conducts a voluntary program of continuing education for its designated members.
MAls, SRPAs & SRAs who meet the minimum standards of this program are awarded periodic educational
certificates.
I, George C. Clauser, am currently certified under the SRA Program.
Certlfleate Type
Certified General Appraiser
GEORGE CLAIR CLAUSER
323 P1NEWOOD DRIVE
SHIREllANSTOWN PA 17011
GA000233L
Certificate Stilus
Active
Initial Certification Date
08107/1991
Expiration Date
06/3012005
7<l~ -~_..~_ oj.-
Deputy C__ oCProf..._ 0Ild 00cup0l.0II81 All...
s~c.~
CLAUSER REAL ESTATE APPRAISALS
Exterior Views
4.1202 C~l
4S09 Trindle Road. Mechanicsburg
CLAUSER REAL ESTATE APPRAISALS
Exterior Views
4809 Trindle Road. Mecbanicsburg
4-1202C-l
CLAUSER REAL ESTATE APPRAISALS
Exterior Views
4809 Trindle Road, Mechanicsbmg
4-1202 C.)
CLAUSER REAL ESTATE APPRAISALS
APPRAISAL OF
BOARDED RESIDENCE IN A-O-L ZONING
4809 E. TRINDLE ROAD
MECHANICSBURG, PA
PURPOSE AND FUNCTION OF APPRAISAL
The pmpose of this appraisal is to estimate the market value of the subject property as of
December 2, 2004.
The function of this appraisal is its use in providing an "as is" market value estimate which is for
the explicit use of our client.
PROPERTY RIGHTS APPRAISED
For the pmpose of this appraisal, the property rights appraised assume fee simple title which is a
title that signifies ownership of all the rights in a parcel of real property subject to limitation of the four
powers of government which are taxation, escheat, police power and eminent domain. The property was
vacant on the date of inspection.
MARKET VALUE DEFINED
A widely accepted definition of market value accepted by the Federal National Mortgage
Corporation and the Federal National Mortgage Association is used in this report and is defined as
follows:
"The most probable price in terms of money which a property should bring in a competitive and
open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently,
knowledgeably and assuming the price is not affected by undue stimulus."
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
2. both parties as well informed or well advised, and each acting in what they consider their
own best interest.
4809 Trindle Road, Mechanicsbw-g
1
4-1202C.l
CLAUSER REAL ESTATE APPRAISALS
MARKET VALUE DEFINED - (Cont'd)
3. a reasonable time is allowed for exposure in the open market.
4. payment is made in cash or its equivalent.
5. financing is on terms generally available in the community at specific date and typical for
the property type in its local.
6. the price represents a normal consideration for the property sold unaffected by special
financing amounts and/or terms, services, fees, costs, or credits incurred in the transactions.
IDENTIFICATION
Subject property is located on the north side Trindle Road, just west of its intersection with
Manor Drive in suburban Hampden Township, Mechanicsburg, Cumberland County, P A, and is known
and numbered 4809 Trindle Road, Mechanicsburg, Cumberland County, P A.
OWNERSHIP and THREE YEAR HISTORY
Current ownership is under Laura M. Dolby and was recorded in Deed Book 205 Page 379. The
subject property was listed for sale on the date of inspection by Mark Coakley of cm Commercial
Realty for $130,000 and is presently under agreement to purchase for $65,000.
LEASE ANALYSIS
The subject property is currently vacant with no known leases in place.
LEGAL DESCRIPTION
The site dimensions were obtained by the Cumberland County Tax Map.
4SM irindle Road, Mechanicsbw-g
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CLAUSER REAL ESTATE APPRAISALS
REAL ESTATE TAXES AND ASSESSMENTS
The subject property is identified as Tax Parcel No.1 0-22-0527-112and is assessed as follows:
Current Assessment:
Land Value
Improvements Value
$15,000
$120.290
$135,290
Real Estate Taxes for 2004 Parcel # 10-22-0527-112 are as follows:
MilIal!e Assessment I!m
2004 County 0.002352 x $135,290 = $ 318.20
2004 Municipal 0.0002 x $135,290 = $ 27.05
2004 School 0.010202 x $135,290 = $ 1.380.22
TOTAL 0.012754 $ 1,725.47
The property is overassessed and a tax appeal is recommended.
4809 Trindle Road, MecbanicsbW'g
3
4-1202C.l
CLAUSER REAL ESTATE APPRAISALS
AREA ANALYSIS
Harrisburg area is located in South Central Pennsylvania and includes Cumberland, Dauphin,
Perry and Northern York Counties. The area is one of the most strategically located areas in the East
United States and the major center for food distribution in the Middle Atlantic market region which
contains over 40 million people, 115 of the national population.
Freight and rail services to the area are excellent. More than 38 trucking lines maintain terminals
in the Harrisburg area. The subject area is located at the hub of the East-West and North-South lines of
the Conrail Railway, making the area ideally situated for storage in transit benefits. The Conrail Railway
also operates a large freight classification yard in the area.
Baltimore
Philadelphia
Washington
New York City
Pittsburgh
80 Miles
90 Miles
120 Miles
175 Miles
195 Miles
Employment opportunities in the area are good. The State of Pennsylvania employs 35,000 area
workers, Harrisburg being the State Capitol. The U.S. Government employs another 17, 798:J: most of
which serve the two large supply depots, the Defense Distribution Center (DDC) at New Cumberland
and the Naval Inventory Control Point (NA VICP) in Mechanicsburg.
According to information provided by the Central Penn Business Journal, February 18, 2000,
some of the largest employers in the Harrisburg Area include Hershey Foods, Inc., Pennsylvania Blue
Shield, M.S. Hershey Medical Center, Harrisburg Health Foundation, Pinnacle Health System, I.B.M.,
Bethlehem Steel Corporation, Harsco Corporation, GPU Nuclear 3 Mile Island, Giant Foods, United
Telephone Company, Holy Spirit Hospital, Rite Aid Corporation, Herco, Inc. and Sears. The economic
base of the area is diversified and extends from strong government, service related and transportation
facilities to commercial and industrial uses. Unemployment rates are consistently some of the lowest
reported in the area.
In summary, the areas location with respect to Eastern United States, the presence of convenient
highway, air and rail transportation and the presence of State and National Employment opportunities
have resulted in bright prospects for continued growth in the Harrisburg Standard Metropolitan
Statistical Area.
4809 Trind1e Road. MechanicsblUg
4
4-1202 C-l
CLAUSER REAL ESTATE APPRAISALS
AREA MAP
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4809 Trindle Road. Mecbanicsburg
5
4-1202C-l
CLAUSER REAL ESTATE APPRAISALS
NEIGHBORHOOD ANALYSIS
The subject property is located on the north side ofTrindle Road just west of its intersection with
Manor Drive in Hampden Township, Mechanicsburg, Cumberland County, PA.
The area is suburban in nature with office and commercial uses being predominant along this
major traffic artery and residential uses along interior streets.
Trindle Road, also known as Route 641, is the major east-west connecting road between Camp Hill and
Carlisle and suburban areas to the west including Mechanicsburg and surrounding townships. It is
considered to be a desirable, commercial and office location on the west shore.
The subject neighborhood is defined as the area west ofthe Susquehanna River extending west to
Mechanicsburg Borough. The north boundary is considered to be East Pennsboro Township north of
Routes 11 and 15; the south boundary LR 581 and Lower Allen Township. Uses along Trindle Road
include Peace Church and Cemetery, apartments, offices, a new Legacy Bank, convenience store and
service station, and other retail businesses. There is convenient access to LR 641, Market Street, Routes
11 and 15, 1-83, PA Turnpike, LR 581 and 1-81.
Prices vary within the neighborhood and depend on the type of property and its existing use.
Generally, housing prices range from $70,000 to in excess of$400,000 with ages ranging from new to in
excess of 100 years with the typical age being 15 to 20 years. Residential rentals range from $350 per
month to over $1,000 per month. Commercial and industrial uses range in price from $80,000 to in
excess of $3,000,000 with ages ranging from 5 to 50+ years.
Commercial rentals range from $5.00 to $20.00 per square foot depending on the size of the rental
units and the services included. Demand for rentals in this area at the present time is considered
moderate to good. In general, the area is experiencing a vacancy rate of2-1O% with a high percentage of
commercial properties owner occupied.
Planning, zoning and restrictions for the area permit a mixed blend of uses, which are favorable to
the neighborhood. Properties qualify for all types of financing with mortgage money available for
residential, commercial and industrial properties through numerous lending institutions, as well as
through the Cumberland County Industrial Authority. Typical mortgage interest terms include 75-80%
loan to value ratio, 6.5-7.5% interest with 1-3 points for terms up to 30 years.
4S09 Tr1ndk Road, Mechanicsburg
6
4-1202 C-I
CLAUSER REAL ESTATE APPRAISALS
NEIGHBORHOOD ANALYSIS - (Cont'd)
Utilities within the neighborhood include: public water, public sewer, electricity, telephone and
natural gas.
In conclusion, the neighborhood is one of moderate demand. Area values are stable to increasing
and in this location values are expected to improve due to its convenient location, and limited vacant
land which is available for future development.
NEIGHBORHOOD MAP
4809 Trindle Road, Meehanicsburg
7
4-1202C-l
CLAUSER REAL ESTATE APPRAISALS
SITE ANALYSIS SUMMARY
Subject is an interior lot on the north side of Trindle Road just west of Manor Drive in
suburban Hampden Township and known and numbered 4809 Trindle Road, Mechanicsburg,
Cumberland County, P A.
Site dimensions are 60' of frontage on Toodle Road by 189' x 136'6" x 14'10" x 174' x 5'
x 140'for a total area of .24 acre per County tax records. Topography is relatively level to grade at
the front of the lot then declining to the rear, On site utilities includes electricity, telephone, natural
gas, public water and sewer. Survey suggested to determine exact site boundaries and land area.
Driveway is shared with the property to the east.
The tract is zoned A-O-L with the subject use as a residence, a pre-existing legally permitted
conforming use. The property is vacant and boarded and if it remains unoccupied for one year it may
lose its permitted use status as a residence per Connie Eskin of Hampden Township. The highest
and best use appears to be potential conversion to office or sale to an adjoining property owner for
plottage.
Proximitv of Hazards
The appraiser has no knowledge of underground storage tanks or hazardous materials on site,
in the soil or subsoil or gases found in the development. I urge the client to retain an expert in these
matters to conduct a DEP Phase I Report prior to settlement. This appraisal is based on clear
certification and assumes the property is cleared of hazardous materials,
The tract is in Zone X ofHUD identified flood hazard area which are areas outside the 500 year
flood plain and no flood insurance is required.
4%09 Trindle Road, Mechanicsburg
8
4-1202 C-l
CLAUSER REAL EST ATE APPRAISALS
TAX MAP
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4809 Trindle Road. Mechanicsburg
9
4-1202 C-}
CLAUSER lU',AL ES'IA1'E AI'I'RMSAL~
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4--1202C-1
10
.1\09 T,;ndI' \lO&d. ",,,,ban\CSburg
CLAUSER REAL ESTATE APPRAISALS
FLOOD MAP
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InterFIOod#;..._
www.lnrerflood.com . 1-800-252-6633
Prepared for:
GEORGE CLAUSER
4809 E. Trindle Road
Mechanicsburg, PA 17050
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4809 Trindlc Road. Mechanicsburg
11
4-1202C~1
CLAUSER REAL ESTATE APPRAISALS
IMPROVEMENTS
Improvements consist of an older 2 story detached aluminum and vinyl covered dwelling
with asphalt shingle roof in need of replacing as well as the front porch roof with aluminum gutters
and downspouts. Gross building area is 2,178 square feet. The property is vacant and boarded and
constructed on slab.
Interior of the first floor has a living room with fireplace, a dining room, a 2 piece powder
room, a kitchen with dining area and an unfinished laundry/storage area housing the oil fired hot air
furnace.
Kitchen needs complete and extensive repairs and remodeling to include removal of mold
and replacement of all wall and base cabinets, ceiling and sidewalls. Second floor has stairway
access to a den area, three bedrooms and one full bath. Condition is fair.
Finish includes drywall, paneling with vinyl and wood floors. General conditiol\ is fair to
poor with extensive renovations, and remodeling needed. Electrical service is 125 amps with circuit
breakers. Heat is oil fired hot air.
Personal ProDertv: No personal property is included in this appraisal.
4809 Trindle Road. Mechanicsburg
12
4-1202 c-t
CLAUSER REAL ESTATE APPRAISALS
Interior Views
4809 Trindle Road, Mechanicsburg
13
4-1202C-l
CLAUSER ~A1: ES'f A'fE Al'l'RAlSA1:S
-
Interior Views
4_\'202C
14
4809~,mdlo _4. Mee""""""'"
CLAUSER REAL ESTATE APPRAISALS
Interior Views
4809 Trindle Road. Mechanicsburg
15
4-1202 C-l
g.,A\lSER REM" E~ Al'l'MISM"S
Interior VieWs
Interior VieWs
,4.-1102 C~\
16
4S09: 1'~ Road.. MechatUcsburt
CLAUSER REAL ESTATE APPRAISALS
Interior Views
4809 Trindle Road. Mcchanicsburg
17
4-1202 C-l
CLAUSER REAL ESTATE APPRAISALS
HIGHEST AND BEST USE
The highest and best use of a property is that use to which the land can be put which will create
the greatest utility for the land, be it in profit or in amenities, and that which is permitted or would be
permitted by the local municipal or township authorities and that which would not be unduly
objectionable to the character ofthe surrounding property, and keeping within the scope of the general
neighborhood development.
In estimating highest and best use, there are essentially three states of analyses-
A. Possible use- uses to which it is physically possible to put the site in question
B. Permissible use-legal uses permitted by zoning and deed restrictions on the site
in question.
C. Feasible use- possible and permissible uses that will produce the highest net
return, or highest present worth.
The highest and best use of the land ( site), ifvacant and available for use, may be different from
the highest and best use of the improved property. This is normally true when the improvements is not an
appropriate use and yet makes a contribution to the total property value in excess of the value of the site.
The following test must be passed in determining the highest and best use:
A. The use must be legal.
B. The use must be probable, not speculative.
C. There must be a profitable demand for such use and it must return to the land the
highest net return for the longest period oftime.
Based on the foregoing factors, the highest and best use of the subject property, in my opinion, is
potential conversion to a professional office or sale to an adjoining property owner for plottage.
4809 Trindle Road, Mechanicsburg
18
4-1202 C-l
CLAUSER REAL ESTATE APPRAISALS
VALUATION PROCESS AND SCOPE OF APPRAISAL
The purpose of this appraisal is to estimate the market value ofthe fee simple title to the subject
property. The goal of the valuation process is a well documented and supported value conclusion that
reflects the appraiser's study of all factors that influence the market value of the property being appraised.
In order to do this, the appraiser usually studies a property from three different view points which are
typically known as the three approaches to value. They are as follows:
1. The Cost Approach whereby the current cost of reproducing or replacing the
improvements less the loss in value from depreciation equals a depreciated cost of
improvements. To this depreciated cost of improvements, the value of the land is added
to arrive at an indication of value.
2. The Income Capitalization Approach looks at the earning power of the subject property,
its income of anticipated future benefits and capitalizes this into an indication of value.
3. The Sales Comparison Approach is that approach to value whereby the subject property
is compared to other recent sales of comparable properties to arrive at an indication of
value.
Information for the application of the three approaches to value is obtained from the market
through research and analysis and it should be noted that the approaches are interrelated. Separate
indications of property value are usually derived from each approach. These approaches to value
will be considered in the following section of this report. Due to the age and condition of the subject
property only the Sales Comparison Approach is deemed feasible due to the age and condition of the
structure.
4809 Trindle Road. Mechanicsbmg
19
4-1202C-l
CLAUSER REAL ESTATE APPRAISALS
COST APPROACH
Approach through which an appraiser derives a value indication of the fee simple interest in a
property by estimating the current cost to construct a reproduction of or replacement for the existing
structure, deducting for all evidence of accrued depreciation from the cost new of the reproduction or
replacement structure, and adding the estimated land value plus an entrepreneurial profit. (The
Dictionary of Real Estate Appraisal Second Edition, Page 72). Reproduction cost will be used in this
appraisal and may be defined as:
The cost of construction at current prices of an exact duplicate or replica using the same
materials, construction standards, design, layout and quality of workmanship and embodying all of the
deficiencies, superadequacies and obsolescence of the subject building. (The Dictionary of Real Estate
appraisal Second Edition, Page 254).
The Cost Approach is based on the proposition that a knowledgeable buyer would not pay more
for a property than the cost of building a new property to the same utility.
The Cost Approach to value consists of the following steps and includes the valuation of the
land:
Estimate the value of the land as though vacant and available to be developed to its highest and
best use.
2. Estimate the reproduction cost of the building on the effective date of appraisal.
Estimate the amount of depreciation in the structure including physical deterioration, functional
obsolescence and external obsolescence.
4. Deduct the estimated depreciation from the reproduction cost of the structure to estimate
the buildings contribution to value.
Estimate the depreciated cost of other structures and site improvements.
6. Add the depreciated value of buildings, other structures and site improvements to the site
value to arrive at an indication of value by the Cost Approach.
The Cost Approach figures were obtained from Marshall Valuation Service and/or local
contractors. Due to the age and condition of the subject property the Cost Approach was not used.
4W9 Trind\e Road, Methanicsburg
20
4.1202 C-l
CLAUSER REAL ESTATE APPRAISALS
INCOME CAPITALIZATION APPROACH
Approach through which an appraiser derives a value indication for income-producing property
by converting anticipated benefits, i.e., cash flows and reversions, into property value. This conversion
can be accomplished in two ways: One year's income expectancy or an annual average of several years
income expectancies may be capitalized at market-derived capitalization rate or a capitalization rate that
reflects a specified income pattern, return or investment, and change in the value of the investment;
secondly, the annual cash flows may be discounted for the holding period and the reversions at a
specified yield rate. (The Dictionary of Real Estate Appraisal Second Edition, Page 156).
This type of income producing property is normally purchased for owner occupancy or as an
investment. As a result, the earning capacity of this property is an important ingredient in estimating its
value. Investors who purchase this type of property trade their present dollars for an income flow of
future dollars plus the return or their investment at some future date.
The Income Approach consists of the following steps:
1. Estimate the potential gross income of the property.
2. Add additional income from other sources.
3. Subtract the typical market derived rent loss that occurs from vacancies, credit losses
and collection problems.
4. The resulting number is the effective gross income (E.G.I.)
5. From the E.G.!. subtract normal operating expenses, fixed expenses and reserves for
the replacement of short lived building components.
6. This results in the net operating income (N.O.I.)
7. Develop a direct capitalization rate. In this appraisal, the band of investment-
mortgage-equity technique will be used.
8. Divide the N.O.I. of the property being appraised by the appropriate capitalization rate
which gives an indicated value by the Income Approach.
Due to the age and condition of the subject property the Income Approach was not used in this
appraisal.
4809 Trindle Road, Mechanicsbwg
21
4-1202C-l
CLAUSER REAL ESTATE APPRAISALS
SALES COMPARISON APPROACH
The approach through which an appraiser derives a value indication by comparing the property
being appraised to similar properties that have been sold recently, applying appropriate units
of comparison and making adjustments, based on the elements of comparison, the sale price
of the comparables. (The Dictionary of Real Estate Second Edition A1REA, Page 265).
In applying the Sales Comparison Approach, the appraiser takes the following steps:
I. Researches the market and selects the sales and/or listings of properties most comparable to
the property being appraised. Generally, the most current and similar comparable sales prove
to be best indicators of the value of the subject.
2. Collects and verifies data on each selected property's selling and listing prices, dates of sale,
physical differences, locational characteristics and any special conditions.
3. Analyzes and compares each property with the subject as to time ofsale, location, physical
characteristics, conditions of sale and other differences.
4. Adjusts the sale or listing price of each comparable for differences between it and the subject.
Adjustments are based on market extractions and/or judgement.
5. Reconciles the adjusted prices of the comparable properties into an indication of value of the
property being appraised.
In an effort to arrive at value indications by the Sales Comparison Approach, sales of reasonably
similar properties in surrounding areas were studied. Our research included both East & West Shore
municipalities.
Numerous sales were studied, as well as, current listings and properties under contract. Only the
most comparable sales have been selected for inclusion in this report. Verification of sales information
with realtor, grantor, grantee and court house records was conducted where possible.
Each comparable property was compared to the subject property and adjustments were made for
significant differences. The adjusted price of each comparable indicated a value range for the subject
which was then reconciled into a single value indication via the Sales Comparison Approach.
4309 Trindle Road. Mechanicsburg
22
4-1202C-l
SALES COMPARISON APPROACH (Cont'd)
CLAUSER REAL ESTATE APPRAISALS
In an effort to arrive at an indication of value for the subject property, sales of reasonably similar
office buildings were studied. Adjustments were made for various differences which included date of sale,
lot size, physical characteristics and other differences. Among the sales studied were the following:
~
Sale 2
Sale 3
fu!!tl
A brickranch style dwelling with 1 car carport sold July 10,2001 for $111,500. This property
was located at 5260 E. Trindle Road, Mechanicsburg and contained living room, dining
room, kitchen, 4 bedrooms, 2 fireplaces. Property was reported to be in average condition at
the time of sale and building contained 1,554 SF. Heat was oil fired hot water.
5012 E. Toodle Road, Hampden Township, Mechanicsburg sold December 2003 for
$105,000. This brick Cape Cod dwelling contained 3 bedrooms, 1 bath and full basement
with the building containing 1,063 SF. Lot size was .85 acres.
4708 E. Trindle Road, Hampden Township, Mechanicsburg sold October 2004 for $99,800.
This 1 story brick ranch was in fair condition contained 1,515 SF and had 3 bedrooms and I
bath. Lot size was .28 acres.
A store with apartment above at 6 W. Main Street, Shiremanstown sold August 2002 for
$115,000. This older 2 story building contained 2,600 SF and had a store on the first floor in
need of remodeling at the time of sale and a 3 bedroom apartment on the second floor as well
as a I car detached garage. Heat was oil fired hot water.
Sale 3
4809 Trindle Road, Mechanicsburg
Sale 2
Sale 4
23
4-1202 C.}
CLAUSER REAL ESTATE APPRAISALS
SALES COMPARISON APPROACH - (Cont'd)
SALES COMPARISON ADJUSTMENT GRID
Unit of Subject Comp 1 Comp 2 Comp 3 Comp4
Comparison
Address 4809 E. Trindle 5260 E. Trindle 5012 E. Trindle 4708 E. Trindle 6 W. Main Street,
Rd., Hampden Rd., Mech. Rd., Hampden Rd., Hampden Shiremanstown
Twp. Twp. Twp.
Sales Price $65,000 $111,500 $105,000 $99,800 $115,000
Date of Sale 11-04 7-01 12-03 10-04 8-02
Undercontract +6,690 0 0 +6,900
Financing Cash Conv Conv Conv Conv
Location Good Good Good Good Good
0 0 0 0
BnDding Size 2,178 1,554 1,Q63 1,515 2,600
+3,120 +5,575 +3,315 -2,110
HeatINo AC OHA/NoCA OHA/NoCA OHA/NoCA OHA! No CA OHW/No CA
Lot Size & .24Ac .20Ac .85 Ac .28Ac .09Ac
Shared access 0 -7,000 0 +5,000
Condition Poor Good Good Good Good
-50,000 -35,000 -30,000 -50,000
Basement None Yes Yes Yes Yes
-3,000 -2,000 -2,000 -2,000
Garage/Carport Carport 0 1 Car Garage 1 Car Garage
-1,000 0 -3,000 -3,000
Net Adjustments -$44,190 $38,425 $38,315 $45,120
Indicated value $70,810 $66,575 $61,485 $69,790
of Snbiect
Sales Comuarison Reconciliation
The value range indicated extends from a low of$61,485 to a high of$70,810 for the subject in
its "as is" condition. The mean of the four sales is $67,165. The sale price of$65,000 appears to beweU
within the indicated "as is" value range. My final value estimate as of December 2, 2004 is estimated to
be:
SIXTY -FIVE THOUSAND FIVE HUNDRED- ($65,500) - DOLLARS
4809 Trindle Road, Mechanicsburg
24
4-1202C-l
CLAUSER REAL ESTATE APPRAISALS
RECONCILIATION
The indications of value as developed by the three approaches to value are as follows:
Market Value indicated by the Cost Approach
Market Value indicated by the Income Approach
Market Value indicated by the Sales Comparison Approach
N/A
N/A
$65,500
The cost factors used in the Cost Approach have been developed from local contractors, Marshall
Valuation Service, as well as, but not limited to my experience as an appraiser and realtor, which reflects
the local present cost of construction. The Cost Approach generally will result in an excellent estimate
of value if the building is new or reasonably new, and the improvements reflect the highest and best use
of the land. However, when items of physical deterioration and obsolescence must be estimated, an area
of judgment is involved which is subject to error. This approach is used in this appraisal as a guide to
the final indication of value and is given little weight. Due to the age and condition of the subject
property the Cost Approach was not used in this appraisal.
Generally, purchasers of residences in commercial locations are more concerned with the income
the property will produce rather than its reproduction cost. There has not been sufficient market data to
provide reliable and factual information to develop a good indication of value on the Income Approach.
Due to the condition, the Income Approach was not used.
Total weight is given to the Sales Comparison Approach which reflects the reactions of the typical
buyers and sellers in the market place. Sales of 4 properties were well documented and analyzed. This
approach indicated a value of$65,500.
After careful consideration of all the factors which influence value, with greatest weight on the
Sales Comparison Approach, it is my opinion that $65,500 reflects the market value of this property.
Final "As Is" Market value estimate as of December 2,2004 is:
SIXTY-FIVE THOUSAND FIVE HUNDRED- ($65,500) - DOLLARS
Should the property be placed for sale, the estimated marketing time is 6-12 months.
No equipment or personal property is included in this valuation.
4809 Trindle Road. Mechanicsbw-g
25
4-1202C-t
CLAUSER REAL ESTATE APPRAISALS
CERTIFICATION AND STATEMENT OF LIMITING CONDITIONS
[ certi{v that. to the best of mv knowledl!e and belief:
The statements of fact contained in this report are true and correct.
The reported analyses, opinions, and conclusions are limited only by the reported assUIq)t1ons and limiting COnditiOIlS,,oo. are mypm;onal, unbiasedprofessionalanalyscs, opinions, and
conclusions.
I have no (or the specified) present or prospective interest in the property that is the subject of this report, and no (or the specified) personal interest with Tespect to 1he parties
involved.
I have no bias with respect to the property that is the subject of this report or to the parties involved in this assignment.
My engagement with this assignment was not contingent upon developing or reporting prcdetennined results.
My COIq)ensation forcoJ1l1leting this assigmnent is not contingent upon the developmentoneporting ofa predetermined va\ue OJ direction in value that favors the cause of1be client, the
atrl:nmt of
the value opinion, the attainment ofa stipulated result, or the occurrence ofa subsequent event directly elated to the intended use oftbis appraisal.
My analyses, opinions, and conclusions were developed. and this report has been prepared, in confonnity with the Unifonn Standards of Professional Appraisal Practice.
I have made a personal inspection of the propc:rt)' that is the subject of this report.
CERTIFICA nON: The Annraiser artinet and a2reeti that:
1. 1be Appraiser has no present or contemplated future interest in the property appraised; and neither the employment to make the appraisal, nor the compensation for it, is
contingent upon the appraised value of the property.
2. The Appraiser has no personal interest in or bias with respect to the subject matter for the appraisal report or the participants to the sale. The "Estimate of Market Value" in
the appraisal report is not based in whole or in part upon the race, color. or national origin of the prospective owners or occupllllts of the property appraised, or upon the race,
color or national origin of the present owners or occupants of the properties in the vicinity of the. property appraised.
3. The Appraiser has personally inspected the property, both inside and out, and has made an exterior inspection of all comparable sates listed in the report. To the best of the
Appraiser's knowledge and belief, all statements and infonnation in this report are true and correct, and the Appraiser has not knowingly withheld any significant infonnation.
4. AU contingent and limiting conditions are contained herein (imposed by the tenns of the assignment or by the undersigned affecting the analysis, opinions, and conclusions
contained in the report).
5. This appraisal report has been made in conformity with and is subject to the requirements of the Code of Professional Ethics and Standards of Professional Conduct of the
appraisal organizations with which the Appraiser is affiliated.
6. All conclusions and opinions conceming the real estate that are set forth in the appraisal report were prepared by the Appraiser whose signature appears on the appraisal
report, unless indicated as "Review Appraiser". No change of anyitem in the appraisal report shall be made by anyone other than the Appraiser, and the Appraiser shall have
no responsibility for any such unauthorized change.
CONTINGENT AND LIMITING CONDITIONS: The certification of the Appraiser appearing in the appraisal report is subject to the following conditions and tosuchother
specific and limiting conditions as are set forth by the Appraiser in the report.
1. The Appraiser assumes noresponsi.b1lity for matters of a legal nature affecting the property appraised or the title thereto, nor does the Appraiser render any opinion as to the
title, which is assumed to be good and marketable. The property is appraised as though under responsible ownership.
2. Any sketch in the report may show approximate dimensions and is included to assist the reader visualizing the property. The Appraiser has made no survey oftheproperty.
3. The Appraiser is not required to give testimony or appear in court because of having made the appraisal with reference to the property in question, unless arrangements have
been previously made therefor.
4. Any distn'Dution of the valuation in the report between land and improvements applies only under the existing program of utilization. The separate valuations for land and
building must not be used in conjunction with any other appraisal and are invalid if so used.
5. The Appraiser assumes that there are no hidden or unappat"CDt conditions of the property, subsoil, or structures, which would render it more or less valuable. The Appraiser
assumes no responsibility for such conditions, or for engineering which might be required to discover such factors.
6. Infonnation, estimates. and opinions furnished to the Appraiser, and contained in the report, were obtained from sources considered rellable and believed to be true and
correct. However, no responsibility for accuracy of such items furnished the Appraiser can be assumed by the Appraiser.
7. Disclosure of the contents of the appraisal report is governed by the Bylaws and Regulations of the professional appraisal organizations with which the Appraiser is affiliated.
8. Neither aU, nor any part of the content of the report, or copy thelwf(including conclusions as to thepropertyvalue, the identity of the Appraiser, professional designations,
reference to any professional appraisal organizations. or the finn with which the Appraiser is connected). shall be used for any pwpose by anyone but the client specified in
the report, the borrower if appraisal fee paid by same, the mortgages or its successors and assigns, mortgage insurers. consultants, professional appraisal org;m:izations. or any
state or federally approved financial institution, any department, agency, or instrumentality of the United States or any state or the District of Columbia, without theprevious
written consent of the Appraiser; nor shall it be conveyed by anyone to the public through advertising, public relations, news, sales, or other media. without the written consent
and approval of the Appraiser.
9. On all appraisals, subject to satisfactory completion, repairs. or alterations, the appraisal report and value conclusion are contingent upon completion of the improvements in a
workmanlike manner.
CONTINUING EDUCATION:
The Appraisal Institute conducts a voluntary program of continuing education for its designated members. SRAs who meet the minimum standards of this program are awarded
periodic educational certification. I am currently certified under the SRA program.
ENVIRONMENTAL DISCLAIMER: The value estimated in this tqKRt is based on ~ ass~ 1hat thepropcrty is not negatively affected by the existenee ofbazardoW!l substances or
det:rirnental environmcntaI conditions. The llPPl'8iser is not an expert in tbc identification ofhazardoW!l substances or detrimental environmental conditions. The appraiser's routine
inspection of and
inquiries about the subject property did not develop any infonnation that indicated any appamlt significant hazardous substances or detrimental environnEntaI conditions which would aft'tct
the property
negatively. It is possible that tests and inspections made by Il qua1ilied hazardous substance and envinmment:al expert woukl ~al the existence ofbazan:Ious materials and environmental
conditions on
or around the property that would negatively affect its value.
Signature of Appraiser:
Appraiser
b C.~ );l-~O Cf
GEORG C. CLAUSER, SRA
P A Certified General Real Estate Appraiser
Certification Number: GA: 000233-L
4809 Trind1e Road, Mechanicsburg
26
4-1202 c.}
~
,~v. r,W~'~4 f-lf'
ONE OXFORD VALLEY
D If If ~300 E. LINCOLN HIGHWAY
lJITE 60Cl
IND1!:N'1!r1.RJI, HAD. THB~.PbltJ'~f941n th.
en. ~oa.&ad "in. hundred .nd nineey-nine (lllg),
yeaZ"
;
THIS
ot our Lord,
BB'lWBBN, LA,UM M. DOLBY, INDIVIDrp.LLY AND .MUM H. DOLBY, onLY
H8IB AT LAW Dr :aSSSI. A. . CU11'l'nli (J~..reJ.n.1'eer ...ll.d the "'r_tor)
p.rty of the ~. part,
ANJ:I
LA!7RA M. COLBY, o~ tbe TOMtSllrl> 01' HAJlPDJIN, COlU:lty o~ CUllBBIIL/INZ:) and
COJIIIIlo.a"",.ltb or P._.y.1v...i., (b.r.."n.fear o.ll.e! eh. <1r...tee) ,party
o~ tl:Ja other part:,
TlfITNBSSBTB...t:hel: .t;.h.....6J.4..~..nCO%'.~oJl:. And ':n. ..ona.td....~_ 01' th.
._ of om DOLLAR JI.ND 00 CIlNl'S, ('1.001 Doll.r, 1.w1'Ul .........y of eh.
UA.ited St.I:.. 0/ -.r.:... a"to her .....11 _d eraly pa.id by ebe ..id
Grane..., at or betore eh. ...ling ud d.liv.ry th.reof, ebe reoeipt
w.r..ot .:. he.r-.by aODowledgeet, h.. grant.d, barg..t".d and .old,
r.l......4 and aoftl.tJNlled, ."et by !:b.... pre....t. do". gr...t, barg.l... &Ad
..11, r.l.... and aonfi"",, wu,o eh. ..id Qr...t.., h.r b.J.r. and
...J.gnlJ,
ALL 2'HAT C1&R7'ArN tra"t 01' l&J1d .ieu.t. ..., th. "c>reb ..id. of t.h.
Tr.tndl. Road i.. .lfliUf!l>d_ :r.......bip, Cumb.rland a..uI>ey, P......ylv....t.,
bOUZld.d .nd d..ar':b.d .. follow., to w.it:
BlIGrNNZNQ .t . ;pc>:L..t ,il> tbe olet "ant.r lil", of the Tri#d.1.. Ro.cI, wh.t"h
p..int ia 135 f.et :trOlll ~. w.eeer.. li... of pro~rey "1' B'V..reee .urr
....d .th.~ Gre". B..rr, h:l.. ...ife, eha1.l"e _.l:warc:f.1y al""g ".1.11 c.at.r
.1:1.... .t the Tr1.ad~. Ro.d 60 ~...t eo a po.inl:, !:b. .7..:1.1.1. 01: pro,p.rl:y ..1'
Boyer; ell_..", Norl:h_.rd~y ..1onl' "a.td,ll... _cr <<I: rlgbl: ang.1e. wil:JJ
Trl~et1. R...d .18g f..t t.. . p...:I.ntl thehaa AQre~...twardly .13' e..e 6
:!.Ach.. t.. . ,poi4tl I:bene. 14 e..t .10':l.n"b.. t.. a ;pc>lat, :1.# 1:1.1.1. ..~
property eo.......rly o~ .ert.l1. N. H..,.bJ.De, DO'" or Soberly Lum.ta.z: Cn"'."YI
.. eke....... .....ehw.rdly anet .t rJ.gbt angJ... w:l.eb 'Z'rJ.ndJ... ao.d 17<4 f.el: to
. p..J.nt, I:b"'d.-..aewardly~.. ~.... par.llel ...tth eb. 'Z'r:l.ndl. Ro.d
5 ~e.e, I:b..n... aouehw.rdly &Ad at rjght. ....$1'1.. wi tb th. 7'r.tndJ.. R...et
140 fe.e to . ;pc>:l.l1e OJ:! tbe olet "eAt"r l':n. o~ tb. :l'rj"dl. RC>.d, t.h.
plac. of .BGZNNrNr;. H."J.ng eherec>n .r.ce.d . t.... atory "...."r.t. block
dweJ.lilllT hou...
Seing . ,porticJ:I o~ z.ot Nc>. 9 "12 tb. plan of lot. of Cb.az:le. a..,.bj...
i.ll Hampelal> Townsh:!.p, C!wIlb.rJ....d Couney, P""",.yl"an"..
2'h.. .beve cI.."r.tbed tra..e 01: l...d j""lude. !:be w..t,,= 5 fe.t of . .10
f..ot dr.iv.",y whicb e..,eel>da Zlorl:JJ_rdly _cr at right ...gl.. frt>>lJ tbe
llortb..rn .U... ..I: eh. 2"r.:..dle Road e e1iet...". 01: 125 fe.t, _et ...bje"t
t.. tb. .r':ght of eh. "ber.1y z.um.ta.r C""lP&AY, lee auac."...r.. and ...ip.,
DOIIII 205 /'AtE 3?9
"nl\~
NI!)VH$ ...
.!.SllV .r.VN 1I11V..
"stile Sit ,u rvd
;/~"&'.
t9 : tl 88/r r/l.O
.. ow=er o~ ~~e prop.r~y Lmm.dl.te~y .djo1~in9 ~ th. ...Ct CO U.. al~
or tbe width or aaid 3.0 ~oOf; c1z.tVOWAY eor th. ;urpo.. o~ iZJtlr...~
.gr... and reg~II...r tQ cbe r..~ o~ Cb. a,part:m.zz't bou.. erttcced o.tI ...id
land o~ tb.. ..,berly LU!ltb..r COJ1\P&D.Y. .
ao~ TAX PARaBL #20-32-0527-JJ2
BRING 'Z'H1I SAMJI PR.~SJlS wb..:tch "'~II. NilJ._on end' Lot:t.Le N. >>.1.012, IIi.
Wife ~y D..d dated 'abruary 2J, J969' aAd ~co~.d '~u.r.y 26, J969
,in t:blit county o~ C\lJl'Ib.r.Iand i.a Deed .!kJok C..23 ""11. 545, co.m.veyecl LQ2to
Laur. M. Dolby and Ses.1e A. Cu.cer, 1~ ~e...
AND TN. SArt) _...i. A~ Cu. Cor de"a.t.d e.b:.t. li.~. 0;:1 7/./73, wb.Z'.by
tiel.. Co tb. Uc:t'Vtt: d.scr:Lb_d p.J:"..1.... v..ced .:t.n LaurA X. DoJ.by, .. b.e.r
only he~~ ac law.
THZS zs A '1"6ANS1!'ZR l"1/ON Q.RANT01/ 'Z'D U1/SIfL', TDUVCRJI rs :I'M JlK:IIId>'r.
TOGB7'BB. w:L1:b .~~ Uld .:LDgu~.r 'tJi. J.niprov..eJle.t way., .t".zw:.c_,
..lleys, dr~v.w.y., ;....ge.1 wat..r., .....e..r-aour..., rJ.ght.,. J.jb..z:ot~...
pri.vi..1eg.., h.:t'.d.tC....I1C. aaad &,ppurt:e.a&Dcea, whaC8oev.Z' UJ:lto the
be;,:eby g,r.,Dc.d F-!... b.J.o:J.gUJ" or.in &ay "'.y appeZ'taJ.ZJJ.afl, uad the
reversJ.OZl. -.ad ~em...:t.n.cf.r., re.ac., .t...u.. &ad J'Z'OI.:t.t:. tb.reo~1 ..d' all
t'.h. ..1:8"e,. .r.tgJU:,. t::Lt.l.., ,i..a~.r..t FO;:Hlrty, al.1.a .aJ:lcl cI..nr.a4d
",l;ulle.o.v.r Q~ e,b. ...:l.d C1;&Deo.r, .. well aC .1.", .. loa .qu.:U:y, of.. .:J.J2
~d to eh. .Ame.
'1'0 BAVB AND '1'0 HOLD I<be ..id lot oZ' ,pi.". o~ gZ'O....d
deacr.Lb.d .bttre.tn" w.tt.b: t'11. 1tu.;L~d1ng. and .tJDpzocJvamenc. c.b..Z'.~ e.zo-.cted.r
th. heredJf;&III.J2C. ADd prezaJ.... hantby Fa.Dt:.d cz ....atJ.on.d, _d
.1.aca1Jcfed MO to be., w.tCh ~. &J)purt:lUlasu:r.., uuC:o cbe .aiLe! Gra>>.t:.., .beZO'
haira ADd ...aga..r to &ad ~O~ Cb. only proper u.. ADd bebQof o~ Ch.
sAi.d Or.De.... her b.~~. add ...1gD. ~or.v.r.
A.ND t:he ...14 Qr-&DCo., her .ucC'~..o%'., he1;Z".,. ...ec:utoZ"a and
..dm.t:z..t.e:racoz. do.. c:oVlt.aaat.. p.ram.:t.. '..ad agr.., to and w.:lt'.b tbe ...Jd
~r4UlC.., be:&:' Jult.irtl azld ...,tp. by th... ,pre..zac:., Ch.t: Ifhe ..J.d
GZ'&DCo.z-, Iter b..i.%". aDd .UDD...O:r., all IIIIcf .~"f1\I1ar t:.be A.:r.cf1t:_..r:_
a.cd p.re..i..... b:n-fUJrgrlUZ~fJd-~ -_.aCHZleO eccl .tnt:e.rsdad' ,.0 ..1;0 M, wlt:.h
en. ..Ppurt'.Zl.,ac::.... uzzto t:l2. ..1111 Cl.ranta., her h..J..r. &Dd ...4.SP2.~
.ga1#.c he.... the ...td GJ%"a>>co.r, heZ' Jl.~Z". &Dd ...J.p_ agA,:h::a.t: .~~ .aDd
ev..zy pezaon and per.on. w:bOllllloever .z.wt'u~~Y' clat:U4g o.r to Cl.1...ta the
"..... 001" allY ",art' e.be.reo1".. by, '1:1:'01/4 or IUlde.r b-.r.. Cb_, or _y o~ eb....
.haJJ aAd wilJ
w..AJIUU.N2" a.nd .forever D.1"M:IIID.
C~ 61: LIll S go\:! 66.
\I:!-i.J,Nnoo CN'I"11138l'1nO
SC:l3() :!c ,,1:(l1I003\1
11311131Z ',; .1.\138011
"'
eOO<< 205 rACE 380
~..e,
010/1) H!OtHI .. J,llv J.v~ JUlY.' - - .- .lei C'L- ,;il' Xv.- J.';"l 18;'V,-0
~Il"""rdeajn_onloelar_.............__"'~
~I ndfot..~Ooumy.l'JL. ' - ' '
I _ _Pllga~' ..-
-"V-.-ofolftatt,of.-..n~ ' ."
.rllslo.Mlhll ."\- _Gf.i.Zl4-flSl-" ,- , . ',..E 381
.. .,.... .
~e--ff,(i/ Ld_-""" ,.",.. -'-~.
nOQ!l ~IDVRS /~. ......... J.Y~ ........ -,' .... ~.i St. Pd ..,t, -.";.i;,. -
(/6' -
~. "'1
~~"ltJJ!i;1f*~'!f:~f4'$lI'i!l:jR0:Y,""~,','~n'$~~,1"!<,~"'7~"""'~=""'".,.,..-'~'"'".
IN JIIZ'l'NBSS W1l1DUiJO, the under.ign.d Grantor h... ogecuted Chi. D"..d
ehB Pay ud year ~J.r.t .bov<l writt.n.
S&\L.Im .u:D DIILZV1IR1ID}
IN !'BB PlUlSSJlClf 07 us:}
'.
o<~~mJ)~
LA!1U H. DOlJJlf, rNDIvrD Llf
(SDLJ
~J.LA.d ''?tis~ ~ (SBAr.)
lJU74A . M. DO YJ O.tg.. ~Jf:ta AT :c.JI1f 01!'
SJfSSr1f A. CD'B2'U
COHJlONW'BAL~ OF >>BNNSrLVANIA
CO(J1Jt;I:Y 011' ')t1.lpn,A .
ss:
On ChJ.s, tll. .%~Ch day of .:ru.%:I', l.JJ9, b.fore m., .. Notary .Pub.%io,
the uade....ignad of~1oar ;.raona.%.%y ~~ered LAURA M. DOlJJr,
INPIVZDt1ALlilf AND r.AORA M. 1XJLBr, Om.lf IiIllfra AT LA" Ol" ..SBZ. A. CUS'l'lfR,
known 1:0 ma (or 1I.I:1..~.otori.J.y prov..ll1) to be tJ:le par._ vbo.. .......e i.s
8W:>8C...1.becf to the wi. t:J:li.,a 1..l2.t;umall1t, a.acr acknoorlecfgec:r Ch.. t ah.
executed the .ame ~or the purpose. therein aontained.
IN WI'rNJIISB 7'~I', r have bareunto ..1: "'" he..d and of~i.c1.al
....1.
NY o_1...i.on 1fgp1.ra., ~/rNID . ~
<', ...ff~,~ ~
addre... of th. G...anl:..(a) i.8:
'tKof e6r.7 Tr~",le ~od
f\1MIl",'je;' b fA /70SS-
8,...01 p4M$VlYanlll} . 11 )
~;~':::~~for::rllCOldinoIllDNds. ,.....- \. .
. j ndfor &~Ild County,...._ .'
I. BocIr ~_,....~. " ~
'..m_myh'nd&Wealaf~~' ~.., ,..;'.
CorhIla,MlhlI..:"i, dlvo/~1<<1i. ~,". '. ;205'~ 381
~eJlrt ;7~ . .~)~~""lt~
nOIl!! Nf:lYIIS . .LSlIV .LY1Il'NiIV": .- 8.ae t';Ctfl n4 L9't}
6G/atILO
(27, Pan 11)
PART 11
A'()'L APARTMENT-OFFICE LIMITED
S110t. PURPOSE.
The purpose of the A'()'L, Apanment.office Limited Distria is to provide for further develop-
ment in areas where partial development has ocaured; to avoid undue congestion in travl!l and
traIISpOrurion; to prevent the overaowding of the land; to prote(t the health, safety and welfare
of the citizens; and to otherwise aeate ~nditions conducive to canying 0Ul the pwposes of this
Chapter.
(Oed. 84-2. 3/29/1984, S1100)
51102. PROCEDURAL REQUIREMENTS.
An applications for permits purRWIt to this Part 11 shaI\ be ft."""'''! to the ZoniDg Officer
who sbaIl hav. the option of ...1-.., such appIic::IIioas to the 1'ImDirIg 0-..."";";90 or to the
Township !loIIId of o-,...mi.aoDel'S for ............-l..;ons prior to issuing a permit. All
applications sbaIl be reviewed by the Plan Review !loIIId prior to the i...,oa"" of any permit.
(Oed. 84-2, 3/29/1984, S1101)
.
51103. PERMITTED USES.
A bI,;I.lff,g may be .re<Ud or used and a lot may be used or occupied for any of the following
purposes and DO other:
A. Sing1e family, detached dwoIIings.
B. T ownbou.ses.
c. Aparanem:s.
D. BoardingHouse. lOrd. 00.06. 3/2/00)
E. Family day care home, group day care home, child day care center, private nursery
or kindergmeu.
F. Public utilities aDd facilities.
G. Municipal buildings and! or uses.
H. Indoor commercial recreation facilities; public recreation facilities, inc:1uding
playgrounds and parks. fOnl. 97-61
27.77
ZONING
1. O:wrches or similar places of worship, parish b.ouses and convents.
J. Educational instruction and schools, c.oIleges and universities, pub\ic and private,
int"h..-ling accessory uses.
K. Convalescau: fac:ilities and nursing b.omes.
L. Business, professional offi<:es and office complexes.
M Medic:al c:Iinics, dattaI clinics and labonrories or b.ospials, medial buildings.
pIwmacies located in a mtdicaI clinic or medial building where limiud to rhe
dispensing of medicine, drop and prescriptions. Offices of licensed praaitioners of
the beaIing arts (mcluding all discip\ines and ~.n;...), surgeons, oaeopoths,
chiropractors, ,l....,;..... physial rherapists, vererinarians and similar ptaaiciooers.
N. Privote off-street pozking 1<<, not to indude COIJIIDeI'CiaIIlicensed vebicIes. The
parking for this use amst be to support anocher principal use on a lot within one
hundred (100) feet of such use as measured by -.y of a public street or rood, wil:h
both I"" being ~ rhe same ownership.
O. Banks, invalment brokers and finance aga>cies.
P. A=ry use on rhe SOlne lot wil:h and customarily incidental to my of the above
permitted uses.
(Ord. 84-2. 3/29/1984, S1102; as ameadedby Ord. 85-4. 4/2/1985; byO.d. 90-1.5/1/1990,
5/1/1990, SI; byOrd. 91-3. 6/4/1991, S1; by Old. 92-5. 2/4/1992, SlO(A); by Orc!. 96-2.
8/1/19996, 510; byOrd. 97-6. 2/27/1997, Sl; and byO.d. 98-12 Sl, 11/4/98)
51104. BUIlDING HEIGHT LIMIT.
No bui1ding sba1I be erected to a height in __ of 35 feet; provided, however, tba rhe beigbt
1imit may be inaeased 1 foot for each .,l,l;,;",.,.! foot that !he widrh of each yard a<:eeds the
mm,_un requind. Each and everyyard sbaII =eed the minimum by the DUmber of feet
proposed to be added to !he """';""Jm beir,bt of 35 feet. (Ord. 84-2, 3/29/1984, S1103;
as .....-1M by Ord. 98-7. 8/27/1998)
27-78
(27, Pan 11)
Sl105. LOT AREA AND wmTIi.
I..ots shall have th. foDowing ore2S and widths according to th. uses thereof:
A. Residential Uses. The lot area shall be not less than tdIected in the following table:
Dwelling Lot Area with PubIic Lot Area with Lot Area Per No.
Unirs Wow: and Sewer Public Sewer Dwelling Units
wirhout Public Sewer
1&:2 11,500 sq. it. 14,000 sq. it. 30,000 sq. it.
3 13,000 sq. it. 16,000 sq. it. 30,000 sq. it.
4 15,000 sq. ft. 19,000 sq. ft. 30,000 sq. it.
5 17,000 sq. it. 21,500 sq. it. 30,000 sq. it.
6 19,000 sq. it. 24,000 sq. it. 30,000 sq. it.
Each Add. 1,500 sq. it. 2,000 sq. it. 30,000 sq. it.
,
B. For Residem:iallor.s, the froatage shall be not less than tdIected in the following
table:
No of Dwelling Mimmnm From:age at the Mi.mnnm Franrage at the
Units Sueet Line with Public Sewer Sueet Line without Public
(ft., Sewer (~).
1&:2 85' 100'
3 85' 100'
4 90' 150'
5 95' 150'
6 95' 150'
Each Additional 2.5' .- to DW<. of 250' 5 . additional to DW<. of 300'
~
27.79
[ U. S. DEPARTMENT OF HOUSING and URBAN DEVELOPMENT OMS No. 2502-0265 --
. SETTLEMENT STATEMENT Titlepro for Windows Tll
, A55URED LAND TRAN5FER5, INC.
301 Market Street B. TYPE OF lOAN
PO Box 109 D'.FHA o 2. FMHA o 3. CONV.UNINS.
Lemoyne, PA 17043-0109 D4.vA o 5. CONV. INS.
(717) 761-4720 6. FilE NUMBER: r. LOAN NUMBER:
141021
MORT. INS. CASE NO.:
13sn-l
C. NOTE: This fOlTTl is furnished to give you a slatement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items maOf.ed "(p.o.c.)" were paid Qu\s.ide the closing; 1.hey are shown here for information purposes and are nol included In the totals.
D. NAME AND ADDRESS OF BORROWER: e. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER
ScotlW.HalVey Jm Haroy, Executor and Testamentary "Trustee of None
the Estate of laura M Dolby, Deceased
G. PROPERTY LOCATION: H. SETIlEMENT AGENT: Johnson, Duffle, Stewart & Weidner I. SEITlEMENT DATE:
4809 E. Trindle Road Feb 11 2005
Friday
Hampden Township PLACE OF SETTLEMENT: 301 Mar1c:et Street, Lemoyne, PA 3:00p.m.
Cumberland CQUf\ty, PA
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SElLER'S TRAHSACT\OM
100. Gross Amount Due From Borrower 400. Grots Amount Due to Seller
101. Contract sales price 65,000.00 401. Contract sales price 65,000.00
102. Personal Property 402. Personal Property
103. Settlement Charges (line 1400) 4,407.75 403.
104. ReimburnrnentlSecurlng Residence 1,000.00 ,404. RetmbursemenVSecurlng Residence 1,000.00
105. 405.
Adjustments for items paid in advance by seller(s) Adjustments for items paid In advance by seller(s)
108. CityfTown lax 406. CitylTowntiIX
107. CountylCity tax 407. CountylCity tax
108 Assessments 408. ASSllssments
109. School Tax 02111105 to 06130105 525.62 409. School Tax 02111105 to 06130105 526.6
110. Sewer Rental 02/11105 to 03131105 61.33 410. Sewer Rental 02111105 to 03131105 61.3
111. 411.
112. 412.
120. Gross Amount Due from Borrower 70,994.70 420. Gross Amount Due to Seller 66,586.9
00. Amounts Paid By Or In Behalf Of Borrower 500. ReducUOhlln Amount Due To SeUer
01. Deposit or earnest money 10,000.00 501. Excess deposit (see instructions)
~02. Principal Amount of new loan(s) 502. Settlement charges to seller (line 1400) 6,918.4
03. Existing loan{s) tak.en subject to 503. Existing Ioan(s) taken subject to
~04. 504. Payoff of First Mortgage Loan
Sesltle Mortgage 42,735.03
205. 505.
06. 506.
07. 507.
08 SOl!.
09. 509.
Adjustments for items unpaid by seller Adjustments for Items unpaid by seller
210. CityfTownlax 510 CitylTowntax
211. Counl:1ICity lax. Q1!011tl5 10 02J11/()S 38.78 511. County/City tax 01101105 10 02/11/05 38.78
12. Assessments 512. Assl!lumerlts
13. School Tax 513. Sc"co\ Tax
14. 514,
215. 515.
16. 515.
217. 517.
18 518.
19. 519,
220. Total Paid By/For Borrower 10,038.78 520. Total Reduction Amount Due Seller 49,692.3
300 CASH AT SETTLEMEN.T FromfTo BORROWER 500. CASH AT SETTLEMENT To/From SELLER
301. Gross AmI. due from borrower (line 120) 70,994.70 601. Gross Amount due Seller (line 420) 66,586.95
302 less AmI. paid by/for borrower (line 220) 10,038.78 602. less reduction in Amt.due Seller (line 520) 49,692.30
303. Cash C8J FROM OW Borrower 60,955.92 ~03 Cash C8J TO o FROM Seller 16,894.6
~
-~----
Buyer or Borrower's Signature
Seller'S Signature
\
---"._- -- ~-_.._--------"- -
L. SETTLEMENT CHARGES Caae#141021 Paid From P~id From.
700. Total Sales Commission based on Price: S 65,000.00 7.00 % Borrower's Seller's .
Division of Commission at: $ 4,550.00 Total Funds At Funds At
70t 4,550.00 Commercial-Industrial Really Company Settlement Settlement
702
703 Commission paid at Settlement I I 4,550.00
704. I I
800. Itemll Payable In Connection With Loan
80t. Loan Origination Fee
802. Loan Discount
803. Appraisal Fee to
604. CredilReportto
805. Inspection Fee to
806. Mortgage Insurance to
807. Assumption Fee to
808.
809.
810.
811.
900. items Required By Lender To Be Paid In Advance
901. Interest 'om 0.0000 IDay
902. Mortgage Ins. Premium 0 Months to
903. Hazard Ins. Premium 0 Years to
904. 0 Years to
905. 0 Years to
1000. Reserves Deposited With Lender For
1001. Hazard Insurance 0 Months@ S /Month
1002. Mortgage Insurance 0 Monlhs@$ !Month
1003. Cityrrown Taxes 0 Months@$ !Month
1004. County Taxes 0 Months@$ 28.78 /Month
1005. Assessments 0 Months@$ IMonth
1006. School Taxes 0 Months@$ 115.02 /Month
1007, 0 Months@$ 115.02 /Month
1008. 0 Months@$ IMonth
1100. TltleCharges
1101. Settlement or closing fee
1102. Abstract or 1iI1e search
1103. Tille Examination
1104. Title Insurance Binder
1105. Document preparation Johnson Duffle 200.00
1106. Notary fees Johnson Duffie 10.00 10.00
1107. Attomey's fees ...
(inclUdes above items No ,)
1108. Title Insurance Assured Land Transfers
(includes above Items No.:) Items 1101 through 1104 and 1108
1109. Lender's coverage $
1110. Owner's coverage $ 65,000,00
1111.
1112. I I
1113. I I
1200. Government Recording and Transfer Charges
1201. Recording Fees: Deed $ 44.50 Mortgage S Release $ 44.50
1202. City/County tax/stamps: Deed $ 650.00 Mortgage $ 650.00
1203. Slate tax/stamps: Deed $ 650.00 MortgageS 650.00
1204. Recording Fees (Quit Claim Deed) to Recorder of Deeds 41.00
1205.
1300. Additional Settlement Charges
1301. 2004-2005 School District & 2004 Countyrrownship Taxes Cumberland County Tax Claim Bureau 1,930,99
1302. Attorneys' Fees to Johnson Duffie 2,404.50
1303. Overnight Courier Fee (packages to Executor) to Johnson Duffle 36.00
1304. Overnight Courier Fee (Payoff - Seattle Mortgage) to Johnson Duffie 18.00
1305. (See Page 31 to 132.50
1400. Total Settlement Charges (enter on lines 103 & 502, Sections J & K) 4,407,75 6,918.49
Parties agree thaI no liability is assumed by Settlement Agent for the accuracy of information furnishecl by otherl al shown on the HUD.l Settlement Statement
Hue CERTIFICATION OF BUYERS AND SELLERS
I have carefully reviewed the HUD-1 Selllement 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 by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement.
Buyer's Aclclreu & Phone'
~~ ~k~
Sell r' Signature \
.
Buyer or Borrower's Signa
Seller's New Addreu & Phone:
(.)Y'1 \,J\\O,^,~:' l!.. W":j ,Sil\(N:JS;"d~ t \1.\
I have prepared is a true and accurate accounl oflhis IrarlSaction, IhavacausedorwillcauSethefundSlobediSburSedinaCCOrdanceWill1t~.l..\\<)
).!II k-i
Date I I
Closing Statement Continuation Page
Borrower: Harvey, Scott W.
Seller: Harny. Jack
Property: E Tondle 4809. Hampden Township, Cumberland County, PA
Form Hud-l Page 3
Closing Date 02111/05
Une# Detail of Form Hud-l, line 1305 Borrower SeUer
1700. 1/1- 3131/05 Sewer Rental to Hampden Township Sewer Authority $126.50
1701. Tax Certification Fee to Johnson Duffle 6.00
1702. to
1703. to
1704. to
1705. to
1706. to
1707. to
1706. to
1709. to
1710. to
1711. to
1712. to
1713. to
1714. to
1715. to
1716. to
1717. to
1718. to
1719. to
1720. to
1721. to
1722. to
1723. to
1724. to
Total Amount -~ transferred to Hud-1 line# 1305 $132.50
KEY 060-000-0000-6100703789
STATUS DO-NORMAL
LAURA' M DOLBY
4809 E TRINDLE RD
MECHANICSBURG PA 17050-3618
DT OPEN
CUST ACT
LAST DEP
LAST MNT
06/17/83
02/09/04
02/03/04
07/28/03
SIGN 1
TIN 2 225031246
CHARGE CARD NO
SPECIAL INSTR NO
NSF TODAY NO
OD TODAY NO
CON KITE DAYS 0
MTD KITE DAYS 0
OD LIM ALL
STOP PAY 0
BAL HIST RET 000
MMDA IND 0
# AMT TRANS 2
# CHK ITEMS 0
BAL HIST 0
PF1-FORWARD
ACCOUNT TYPE 240
SYSTEM TYPE 020-INDIVIDUAL
AVAIL BALANCE
DDA AVAIL BAL
CURR BALANCE
ODP BALANCE
SWEEP BALANCE
TOTAL HOLDS
BANK UNAVAIL
CUST UNAVAIL
LAST DEP AMT
MIN DDA BAL
AVG COL BAL
MTD AVG BAL
CYC ACR INT
IOD PRJ ACR
CHARGE-OFF AMT
NEW BALANCE
PF14-SVC CHG PF15-RATES
5,584.76
5,584.76
5,584.76
0.00
0.00
0.00
230.27
o
5,568
5,584
0.000000
0.000000
0.00
5,584.76
K~Y UbU-UUU-UUUU-O~UUIUjl~~
CNTL2 060 CNTL3 000
SERIAL POST PARI/SPRAY TRAN
NUMBER DATE NUMBER CODE
02/03 340966043 0170
*** (020304/1001877 /020204
02/06 362548427 0119
*** (020604/0000000069/040203
02/09 372989193 0119
*** (020904/R061711 /FEB 04
CNTL4 0000 ACCT# 6100703789
~OWT
230.27
33.96
39.15
RET
DESCRIPTION/SOURCE DAYS
SEATTLE SAVINGS SMC MO PAY 1
) ***
PHYSICIANS MUT INS. PREM. 1
) ***
COMBINED INS CO INS PREM 1
) ***
~V~ ~J ~U~~ ~~'~I
r,,,I,...DrlI''''
ql'" "(bt:l .jq::>t:1
t-'.I<:l1
QPNCBAN<
July 20, 2004
Hursh &; Hursh
Attn: Dennis Hursh
60 N Union St.
Middletown, PA 17057-1429
RE: Estato ofLa1Uil M Dolby (Dcc;eased)
SSN: 225-03-1246
000: 02-08-2004
sop
Dear Mr. Hursh:
In response to your request for Date of Death balanCll9 for the customer noted above, our
records show the followinJ!::
Certificate of Deposit
Account #21001032254
Established 12-28-1994
LAURA M DOLBY
DOD balance: $1,391.29 + $4.31 accrued inrerest
Intm-ost earned 01-01-04 tbru 02-08-2004 SO,OO YID
Account #21001032256 Established 12-28-1994
LAURA M DOLBY
DOD balance: $1,391.29 + $4.31 accrued intlll'CSt
Intereat earned OI-OH)4 tbru 02-08-2004 SO.oo YTD
Account #21001032258 Established 12-28-1994
LAURA M DOLBY
DOD balance: $376.27 + $1.16 aoolUl:Q intetcst
Interest earned 01-01-04 thru 02-{)8-2004 SO. 00 YID
Account #21001032262 Established 12-28-1994
LAURA M DOLBY
DOD balance: $1,391.29 + $4.31 accrued interest
Interest earned 01-01-04 thro 02-08-2004 SO.OO YTD
Paso 1 of2
Received 07-20-04 01 :4lpm
From-41Z 766 3456
To-HURSH i HURSH, PC
PaiS 01
JUL.-l':::l-":::k1k14 e!.":::; 1"(
t-'NLtlHNK
412 768 3458
P.02
Account #21001032263 Established 12-28-1994
LAURA M DOLBY
ODD balance: $1,391.29+ $4.31 accrued interest
Interest earned OI-OI..()4 tbru 02-08-2004 $0.00 YTD
Account #21001032264 Established 12-28-1994
LAURA M DOLBY
000 bal.om.<Jc:: $760.96 ~ $2.36 accrued interest
Interest earned 01-01-04 thru 02-08-2004 SO.OO YTD
Account #21001032265
Established 12-28-1994
LAURA M DOLBY
ODD balance: S 1,391.29 + $4.31 accrued interest
Interest earned 0 1-0 1-04 tbru 02-08-2004 SO.OO YTD
CheckiDg AetO'llDt
AccoUl1t #5140014327
Established 01-01-1910
LAURA M DOLBY
DOD balance: $374.72 Non interest beanng account
Please note tbat tb!li omce only provides date of death balances for deposit accounts
(IRAs, CDs, Checkina and Savinas accounts). We do Dot process any flDandal
transactioDs 01' provide statements. If you need assistance witll any of these items,
please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bllllk branch
office.
Sincerely.
~~-_. ~~
Erica L Schlegel
1-800-762-1775
P7-PFSC-04.p
500 fim Ave.
PillSburgh PA 15219
Member FDIC
Page 2 of2
TOTAL P. 02
Ro,olvod 07-20-04 01,41p.
Fro.-412 7SS 345S
To-HURSH & HURSH, PC
Pa,o 02
*'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF FINANCIAL OPERATIONS
DIVISION OF THIRD PARTY LIABILITY
ESTATE RECOVERY PROGRAM
PO BOX 8486
HARRISBURG, PA 17105-8486
April 13, 2004
HURSH & HURSH PC
DENNIS G HURSH ESQUIRE
60 N UNION ST
MIDDLETOWN PA 17057
Re: LAURA DOLBY
CIS #: 030350158
SSN: 225-03-1246
Date of Death: 02/04/2004
Dear Attorney Hursh:
Please be advised that the Department of Public Welfare maintains a
claim in the amount of $32,086.02 against the above-mentioned estate. This
claim is for restitution of medical assistance granted on behalf of the
decedent for which the Probate Estate is now responsible to reimburse the
Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as
amended by Act 20-95, effective June 30, 1995. Enclosed is the Department1s
itemized statement of claim.
A portion of this medical expense, namely $25,636a95, was incurred
during the last six months of the decedent'S life; therefore, it is a Class 3
claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries
Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $6,449.07, is
to be entered as a priority Class 6 claim against the estate.
Please acknowledge receipt of this letter and advise whether the
Commonwealth's claim is admitted and when payment may be expected. If the
estate accounting is complete, please provide a copy. Xf the estate contains
real estate, please provide copies of the deed, the latest tax assessment,
and a current appraisal, if available.
""l,;'~; ~ 0;d
Elaine Wiest
TPL Program Investigator
717 -772-6246
717-772-6553 FAX
Enclosure
.8
SEATTLE MORTGAGE
A MORTGAGE BANKER
PO Box C 19102
&:atll.::, W A 98109
Toll-Free (800j643-66JO
Loc.1 (206 281.1500
Reverse Mortgage Monthly Statemenl
FOR MONTH ENDING: 02/29/0'
THIS IS NOT A BILL
+ OOQb2l3 DOOO.b,D' 01WIS" 07Da~70
Laura M. Dolby
4809 E Trindle Rd
Mechanicsburq PA 17050-3618
1...111".111,".1.1.11,"..11"11"".111,.1,11,.,1,1,.11...1
ORIGINAL
INTEREST
RATE:
FEBRUARY:
MARCH:
APRIL(*) :
ANNUAL PRINCIPAL LIMIT
2.800 %
2.780 %
2.700 %
2.730 %
3.200 %
LOAN#: 1001877- 6000098726
FUNDED: 11/14/03
GROWTH RATE
PROGRAM TYPE:
MARCH:
MODIFIED TENURE
FEBRUARY LOAN ACTIVITY
SCHEDULED PAYMENT $ 230.27
CASH DRAWS (IF ANY) 0.00
INTEREST CHARGED 91.24
MONTHLY SERVICE FEE 30.00
FHA MORTGAGE INS. 16.42
MISC. CHARGES 0.00
TAXES PAID 0.00
INSURANCE PAID 0.00
PREPAYMENT 0.00
FEBRUARY ADDITIONS $ 367.93
BALANCES AS OF: 02/29/04
CREDIT LINE BALANCE
CURRENT: $ 82.47
NET PRINCIPAL LIMIT $ 25,459.13
REPAIR SET ASIDE $ 7,477.50
LOAN BALANCES
JANUARY $ 39,181.12
FEBRUARY $ 39,549.05
;;;;;
==
-
~
m
=
-
*Seallle Mortgage Company encourages our borrowers to participate in Tax Exemptions to reduce the cost of
Taxes. However, per the terms of your Reverse Mortgage, borrowers can not participate in Tax Postponements or
Deferrals. The only two States tbat have an exception to the Tax Deferral Programs are tbe States of
Massacbusetts and Oregon. If you !lave any questions, please contact our Reverse customer service department at
(800) 643-6610.
;0;;;;;;;;
~
(*) Your April interest rate is based on the i-year US Treasury securities rate of 1.23% plus
a margin of 1.50% as published on Monday, February 23, 2004.
)-QOA 'OOOiCO'
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
Marjorie A. Wevodau
First Deputy
Kirk S. Sohonage, Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To:
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
266
3/23/2005
LAURA M DOLBY
21-2004-0150
DENNIS HURSH
60 NORTHUNIONST
JA
MIDDLETOWN, PA 170571429
Qty
1
Fee Description
Additional Probate
Fee
182.00
Total
$182.00
Total:
$182.00
(becks should be made payable to the Register of Wills. Terms: Net 30.
Please return one copy of this invoice with your payment. Thank you.
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
Marjorie A. Wevodau
First Deputy
Kirk S. SOhonage, Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To:
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
266
3/23/2005
LAURA M. DOLBY
21-2004-0150
DENNIS HURSH
60 NORTH UNION ST
JA
MIDDLETOWN, PA 170571429
Qty
1
Fee Description
Additional Probate
Fee
182.00
Total
$182.00
Total:
~q/
v~
/O~
$182.00
O~)
O:lecks should be made payable to the Register of Wills. Terms: Net 30.
Please return one copy of this invoice with your payment. Thank you.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
'APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION '
PO BOX 2.80601
HARRISBURG PA 171Z8-0601
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
,- I Ie' f:: lll;
CL[r;(~
OR;:!-L~' ";'~
DENNIS HUR~, ,e ' e'
HURSH & HURSH
60 N UNION ST
MIDDLETOWN PA 17057
06-07-2005
DOLBY
02-08-2004
21 04-0150
CUMBERLAND
101
A.aunt R...l tt..:!
'*
REV-1547 EX AFP (03-05)
LAURA
M
I CHANGED
III
(21
131
141
151
161
171
65,000.00
.00
.00
.00
23.150.67
.00
.00
181
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
1t1V-"J.'g'I:"Yf.m.m~'.'Ml1tm.W.!MI\!ItYl'JlM!'t.m.AWJ1ATftMM1':.TCtWJlM!'t.llrr.............. ...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DOLBY LAURA M FILE NO. 21 04-0150 ACN 101 DATE 06-07-2005
TAX RETURN WAS: (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estat. (Schedule Al
2. Stocks and Bonds (Schedule 8)
3. Closely Held stock/Partnership Interest (Schedule C)
4. Hortpges/Notes Receivable (Schedul_ OJ
S. CashIB.nk Deposits/Hisc. P.r~l Property (Schedule EJ
6. Jointly Owned Property (Schedul. FI
7. Transfers (Schedule GJ
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total OlKluctions
12. Net Value of Tax Return
13. Charitable/Goyarn.-ntal Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net V.lue of Est.te Subjact to Tax
I~ an assessment was issued previously. lines 14. 15 and/or 16. 17. 18 and 19 will
r.rlect ~igures that include the total gf ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. Allount of Line 14 at Spousal rate (IS)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. A.o..,t of Ll,... 14 at Sibling rat. (17)
18. ~..,t of Line 14 taxable at Collateral/Class Brat. (18)
19. Principal Tax Du.
S:
NOTE:
TA
NUltBER
INTEREST/PEN PAID I-I
DATE
191
1101
39,167.69
NOTE: To insure proper
eNdi t to your acco..,t I
sub.it the ~r portion
of this for. with your
tax payment.
88,150.67
110.698 1;1;
22,547.88-
.00
22,547.88-
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
71.530.86
1111
1121
1131
1141
.00 X
.00 X
.00 X
.00 X
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
1191=
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" ICRI, YDU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS. I ~ OS '-l.-
.
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
N f D d t Laura M. Dolby
ame 0 ece en :
Date of Death: February 8, 2004
Estate No.: 2004-00150
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes [8] No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to No. I is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0 No .IEl
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes 181 No D
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date: October 3, 20(1<
.Q,~ /~ /~
Signature
Dennis Hursh
Name
60 North Union Street
Middletown, PA 17057
Address
0",
t. ',,;
(717) 930-0600
Telephone No.
:. 'J
I
Capacity:
o Personal Representative
I&l Counsel for personal representative
L'-;'
f_~__~'
~~-....;
c."
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