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HomeMy WebLinkAbout9-24-09 15056041046 REV-1500 EX (05-04) OFFICIAt USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number Dept. 280601 INHERITANCE TAX RETURN .Z. ~ 0 g O ~ z ~ ~' Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth rarS~.oos i2zzrgzs' Decedent's Last Name Suffix Decedent's First Name MI $ ~} I ~ F y C ~- ~ o ~. ~ (If Applicable) Enter Surviving Spouse's Information Below Spouse's L ast Name Suffix Spouse's First Name MI AA l /Y' Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required _ death after 12-12-82) ® 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust O 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CK~kC ~5 F SHl'E~ ~s i ~ r ~ l ~ 7G~ 020 9 Firm Name (If Applicable) N/ /~ First line of address ~ CLoUS~`~ Ro~-D SeMMCond line of address N~ City or Post Office State ZIP Code -~ i ~i ~~ i ~F~Hl~N/ C~QUlZG Pf} 170SS~73S Correspondent's a-mail address: C ~nlelds3 ®eorneQ~st• /le /7oSS SIGNATURE EPAR OTH HAN R SE T E DATE ~~~ 0 //\ r ADDRESSCL/~S ~ ~EZl~.~~ (a L'lo45er- Rd, INec~tan-'csbu~y, PA ~7CSs' ff77 PLEASE USE ORIGINAL FORM ONLY Side 1 15056041046 15056041046 J Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true. correct and complete. Declaration of preparer other than the personal representative is based on all of whirh prenarer has anv knnwledne J 15056042047 REV-1500 EX ~i y Decedent's Soc/i~al Security Number Decedent's Name: C~~L /~• ~~~/ / RECAPITULATION 1. Real estate (Schedule A) . ............................................ 1. 3 ~6/ D "] D O • Op cO~ 2. Stocks and Bonds (Schedule B) ....................................... 2. ~ 7 ~ ~ S 7 o 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... 3. • b O 4. Mortgages & Notes Receivable (Schedule D) ............................. 4. , O b 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...... .. 5. f S ~c /~ 6 7 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 13 7 7 O . °Z q 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested...... .. 7. a 6 1 1 ~. 3 .3 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. ~ ~ 8 S D y , ~ ~p 9. Funeral Expenses & Administrative Costs (schedule H) ................... .. 9. ~ O 9 ~ O ~ Z 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. S 2 8 . 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 3 J 5 ~ g S~U 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. // ~O 2 to 9 9 S . 7 Q 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 13 0 D an election to tax has not been made (Schedule J) ...................... .. . 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. - (p ~ 6 9 -/ ~ 7 0 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 0 D ~ 15. O 16. Amount of Line 14 taxable G a' !.~ ~ ~ I at lineal rate X .0 ~ o~ 0 16. ~ g ~ ~ 17. Amount of Line 14 taxable D D ~ ~ O at sibling rate X .12 17 18. Amount of Line 14 taxable ©~ O O at collateral rate X .15 18 ~ 19. TAX DUE . .................. .. 19. ~ ~ ~ ~ 7 . g 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O /~ / ~---. 15056042047 Side 2 15056042047 J REV-1500 EX Page 3 File Number at ~ ~o " ~o~~~ Decedent's Complete Address: DECEDENT'S NAME C'.¢itZOL K. BAIL E'y STREET ADDRESS 5so E'. c ~s.8 4Qnr ,2.a. __ __ CITY /l~FCf{/~N((~$ L3t>!/~G _ _ _ ', STATE ~J~ ZIP ~ / DSS Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditslPayments A. Spousal Poverty Credit ¢ B. Prior Payments p?D. Jc'aQ, Oa C. Discount ~ /~ 0 80 , od Total Credits (A + B + C ) 3. Interest/Penalty if applicable D. Interest ~ E. Penalty Q Total Interest/Penalty (D + E ) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (2) ~/, (p00, o0 (3) ~ (4) ~ (5) / p / ~ tee ~y~7`.O (5A) ~~,Ob (5B) ~~ 6 ~ ~. ~ 7 Make Check Payable fo: REGISTER OF WILLS, AGENT PLEASE ANS'JVER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferretl :.................................................................................... ...... ^ b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^ c. retain a reversionary interest; or .................................................................................................................... ...... ^ d. receive the promise for life of either payments, benefits or care? ................................................................ ...... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ® ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ........ ...... ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. ...... ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent (72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling 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) . Y COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER ,~~-/LFy, LPL ~ a/_,~8_ ~~8/ All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 ,aLL 7y.¢T CE1tZT•tziN /aKe ~ro.,t Cofftt9a and /cf /aC,a~eq/ at ~ 0 793 /~o ~ rJe4a t 7•,7a, / ~~f ~bBJ~ hi ~ads6 ~~y /ow/.t.i'~iip~ C'/`aw~ro/ C'our~Zr1, /~eNi7~1. ~ f>Cariny li ~Q~/ ne. ~/S~D3-- DS3 -30d' ~Lstc~ ~PirI9 .~o/~ ~7arfica~/lar~ ~e- Ser~ bcd %.~ {~iaf eer~4%n deed {re~y /j'l~chga/ ,l~durie~ 2f G~,x, ti., Caho l ll. aQ~•ley , o{a.1e~/ ~~[St' ~6, zo° ~ ascd trec.rded Sept. 1, Zvo~ :a Reemrd I3eok 7~~, page .ZS,z (see ~e~y af1`a ch ec/> ~n /~lp~raisa/ 6y vi cki L, G• %/e 1fe re~c r ne d Q d . a • a! Y~.l,ue of ~3aD, ooo, oo , (sce C'®py affz~ ~kecl~ ~~ Q-pi0~'a'.s4/ !~, Ecc~cne F.' DuFFy, re-fk~ncd a d.o.~,l. Ya.(~.e. of ~ 33`0, oar, ~~ See Cmpy Q fi`a~/ied { ~35D~ ooO.on ~.. {3ao,oc~o. ~~ = 670,o00•pQ Z - X335, Dao. oa '~ • ALL T~SIOS~ C.~ipT•4•/N ~b Trac~ o,;~ 1/liCttnf C~,x~a ~t,nd locaf~ iM Lamar Twnstii•~, Cf-ntd,~ ~~„Ty~,/~enna•, in w~ ~'~ ~ an I,Cyld~'vi`a~eal one hd~~~yZ) in tcrrSf" k?4.s %o~jyQ~Yed ~o Carol k. F~4~/r~, by deed {iroti,, Gene S, ~a~tr~is GMd Tec.nef !~• 1.~c,>r,'s,~,,'s w,`~c..reeor~cleq/ flY.~~, zZ 0300(0 ~u ~c ~ecvr~er-.t O~i~erh Sa~u~ C'b~,~.~y~ desr~ na~4~ a5 -na~am~rtt No. a0oio-Ooy~~6, (sce copy s~ deems! a,l~c1,- ec~, Cnkn'tY A~ssess,Mea~s ; ~ 1,.#' Na. 0 3 -ol- Dp73 ~ T to/= /~, loCiO. a0 ,(0~" R/c. 03-Of- bo73 -•A Ti~»/= r3~ x,00 ~ SI ~~D, b a l Cowfln-on ledel ra~'o -iror ~cse ~i ~u ncs . s j . o _ '~,Sj~ yco • °D un d-'v~`drol'/z ~-~Pwr,caf~' _ ~s, 7ao. ~~ (see C'on~ ~' ~ 6~%~s w,flr tlsst'ss,~t~fJ a~`a~~a~ ~S, 700, on TOTAL (Also enter on line 1, Recapitulation) ~ $ 360 7Dd, op (If more space is needed; insert additional sheets of the same size) February 5, 2009 Charles E. Shields III, Attorney 6 Clouser Road Mechanicsburg, Pa. 17055 Dear Attorney Shields: In compliance with your recent request, 1 have made an inspection and analysis of the property owned by the Estate of Carol K. Bailey, located at 10793 Konneyaut Trail, Conneaut Lake Pennsylvania 16316. This is the same property described in Deed Book 728, Page 252, Parcel #4403-053-308, Tax Assessment # 4403-053-7008, in the Court House of Crawford County, Pennsylvania, 16335. I am of the opinion that on February 5, 2009 when a detailed investigation of the premises was made, the Market Value of the land and improvement on December 15, 2008 would be X350,000.00 Market Value being defined as "The most probable price in cash, terms equivalent to cash, or in other precisely revealed terms, for which the Appraised property will sell in a competitive market under which all conditions requisite to fair sale, with the buyer and the seller each acting prudently, knowledgeably and for self interest, and assuming that neither is under undue duress." I certify that to the best of my knowledge and belief The statements contained in this report are true and con-ect. The reported analysis, opinions and conclusions are limited only by the reported assumptions and limiting conditions, and is my personal, impartial and unbiased professional analysis, opinions and conclusions. I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved. I have no bias with respect to the property that is subject of this report or to the parties involved with this assignment. My engagement in this assigmnent was not contingent upon developing or reporting predetermined results. The opinions and conclusions set forth in the report may not be understood without additional information in the Appraisers work file The purpose of the assignment was to develop an opinion of market value. My value opinion was based on a sales comparison analysis. I did not complete a cost approach and reported the appraisal as a "Complete Appraisal." I stated that due to lack of a reliable source for identifying a site value and market extracted appreciation, the result of completing a cost approach would not be meaningful as an independent approach to value, therefore, a cost approach was not applicable. Page 2 My compensation for completing this assignment is not contingent upon the development or reporting of a predetermined Value or direction in Value that fa`rors the cause of the Client, the amount of the Value Opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this Appraisal. My analysis, opinions and conclusions were developed and this report has been prepared in conformity with the Uniform Standards of Professional Appraisal Practice. No one provided significant professional assistance to the person signing this report. The physical conditions of the improvements seemed Satisfactory throughout, but was based upon physical inspection. No liability is assumed for the stnlctural members since no engineering tests were made for same. Exri~aordinary Assumption: None Respectfully submitted, ~~ ~ ~, `j ;~ ~ ~ 1~ Eugene F. Duffy, Re~ltor~-''~ Licensed Real Estate Broker State of Pennsylvania License No. R.A. 0051000E GENE DUFFY Associate Broker (814) 382-5225 BUSINESS (814) 382-3?18 FAQ; (800; 864-2602 TOLL FREE .. y~^ BA]NBRIDGE KAliF61A~' REAL ESTATE L213 Pv{1DbVAY BOULEVARD CO:~'v EAUT LAE;E, PA 16316 G] `_acri Voice is I~depennently O,~nec, arto Operated STATEMENT February 5, 2009 Charles E. Shields III, Attorney 6 Clouser Road Mechanicsburg, Pa. 17055 Attorney Shields: Subject: Appraisal Carol K. Bailey, Estate 10793 Konneyaut Trail Conneaut Lake, Pa. 16316 Appraisal Fee: $175.00 Thank You, ~, ` %^ ''~ ~,~-z-c~v-.~ i ~- , ! Eugene E. Duffy !~ t ~ `~ F of j S• /~ ~~ ~~; S % (~~ r ~'"~,` G f ~- ~,r =' /J~' ?tu~i4in~Url'i u~4 f i t ed for R~~~~or c{ i n C~ftA4~F'ORG C~OUhdTY f'A f:AF'OL A. STAItaE.ftU01;. GEEC~ t~§ii,i.iii OF' Look rrLir Prase 25~~ - ~~,+ ?fap~€i]t1~)118E4 Ercenut Status - N 5TATE RTT ~ ?,?~f.1.f15 ~~~ LDCAL ftTT ~~ 3?5r~,i)ij ~ 1f~?5.17f~ 5AD5BURY Tiff' ~ 1„2`.C~t~ CDFaF~EAUT 5 fi This Deed, made thisUV ' day of August in the ,year Two Thousand Four (2004) BETWEEN Instrument Uaai; Page 1l~ICHAEL I~O>IJRIE and 3ANET KOURIE, his wife, of Conneaut Lake, Crawford County, Pennsyh~ania, GRANTORS -and- CAROL K. BAIL,E1', widow, of Mechanicsburg, Pennsyl~~ania, GRANTEE «JITNES SETH, That in consideration of Three Hundred and Twer.~ty-five Thousand and 00/100-------------------- ($325,000.00) ------------- Dollars in hand paid, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey, sell and confirm unto the said Grantee, her heirs and assigns, ALL that certain piece or parcel of land situate in Sadsbury Township, Crawford County, Pennsylvania, more particularly bounded and described as follows: LOT NO. 308 as shown on the Conneaut Knolls Plan ofLots recorded in Deed Book Volume 253, Page 598, in the Office of Recorder of Deeds in and for Crawford County, Pennsylvania. F~eing identified as tax parcel number 4403-053-308. EXCEPTING ANL RESERVING all coal, mineral and mining rights as reserved or conveyed in prior instruments of record. UNDER AND SUBJECT to and together with the same rights, pri~rileges, agreements, leases, rights of way, easements, conditions, exceptions, restrictions and reservations, that exist by 1~irtue of prior recorded instruments, deeds or conveyances. BEING the same land conveyed to Michael Kourie and Janet Kourie, his ~~~ife b}~ deed of Joseph B_ Stierheim, single, and Joseph F. Stierheim, Administrator of the estate. of Christopher M_ Stierheim, dated June 19, 2004 and recorded June 22, 2004 in Record Book 7] 6, page 980. Tnstrumpnt P.ctai: F'ase Grantors have no actual knowledge of any hazardous waste as defined in Act No. 1980-97 of the Commonwealth of Pennsylvania, having been or presentl:j~ being disposed of on or about the property. ANI) the said Grantors will Generally Warrant and Forever Defend the property hereby conveyed. In Witness whereof, said Grantors have hereunto set their hands and seals, the day and year first above written. Sealed and delivered in the presence of ~,~ ~ ~ ~ ~ l% °~ " ', ,~., r ~; (seal) AEL KOURIE (seal) ANET O RIE CERTIFICATE OF RESIDENCE I hereby° certify, that the precise address of the grantee herein is as follows: 450 E. Lisburn Road Mechanicsburg, PA ".~ ~'7 ~~~ Atty/Agent for Grantee Instrument k3nolc F'a.se y~~p~+iii~iiii~;~.ti Ili' '~~~ ? ~~+ COMMOl\~~rEALTH OF PENNSYLVANIA SS: COUNT' of CRAWFORD day of August, 2004, before me a notary public the undersigned On this, the officer, personally appeared MICAAEL KOURIE and JANET KOURIE, his wife, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instnunents, and acknowledged that they executed the same for the purpose therein contained. IN WITNESS WI~EREOF, I have hereunto set my hand and notarial seal. My Commission Empires: i I otar~~ Pu lic NOTARY SEAL Lou~a L. VanGordo~, NNery f~~k Sodsbury Twp. Crawion! Go., trt My Gemmission EYpins ~ ~, Zppi FR064: Vicki L Gillette Appraisal & Counseling Servica, Inc. 1 1713 Oak Ridge Road Conneaut LaFe, PA 16316 I 1 Telephone Number. 814-382-2424 Fax Number: INVOICE ~'"kJV01CE`NUMBEP~ Barley, Carol estat DATE 2128/09 REFERENCE' T0: Internal Order #. Lender Case #: Client File #: Main File # on farm: Other File # on form: Telephone PJum6er. Fax tJumber. FederalTax ID: 25-156-2501 Alternate Number. E-Haig EmployerlD'. Please pay from the im~oice, intarest will b2 charged at a rate of 1.5°io per month for amounts remaining after thirty days. 'DES.CRIFTIOtJ ' Lender: Charles E- Shields, II Purchaser/Borrower: Bailey, Carol K. Property Address: 14793 Konneaut Trai City: Conneaut Lal:e County: Crawford Lega4Description: See attachad deed I Client: State: PA Zip: 16316 FEES _ ~~: ,. - AwfOUN.T t004 appraisal for estate planning purposes 350.00 ., , CAROL K. BAILEY PAT B. BOWMAN 60313 3as 19 4 5 M. JUDY BAILEY tasooooas 450 E LISBURN ROAD ,DATE 3- 3_ r~ q bIECHANICSBURG, PA 17055 . .. ~; n ' nAy To-G,~,~it ~-s! ci L:~ v- ~ - ~/; ~ ~l„ _~ ~rZi_-a ~ _ r' .~C ~ 7 J ~ .C~~ ~ TFIE O DP O _ - t;, - _i CARtiIAG< CLUB ORRSTOWNBANK ATraditian ofFxuLmu ~ ~ ~ `- ~ v~ ~J?:~.:-rte.. ~vr h7ENf0 /:~~/~y~ } ~C_.a~ C:C i n/1 .G~~I 2~ . ~~ti~ ~~-____~-.__ _ _ t:03 ~3 X50361: L49 000035u' 1945 SUBTOTAL I o.oo ~ _ _ TOTAL DUE `$ 3so 0o form NIVS - "1 OTAL ror Windows" appraisal software by a la mode, inc. - 1-BW-ALAMODE P.ppraisal & Counseling Services, Inc. (814) 337-0063 FROM: Vicki L. Gillette Appraisal & Counseling Service, Inc. 11714 Oak Ridge Road Conneaut Lake, PA 16316 Teleptone Number: 814-382-2424 Fax Number'. ~70: Telephone Number: Fax Number: Alternate Number: E-Mail: Please pay from the invoice, interest will be charged at a rate of 1.5% per month for amounts remaining after thirty days. DESCRIPTIDN Lender: Charles E. Shields, III Client: PurchaserlBorrower: Bailey, Carol K. Properly Address: 10793 Konneaut Trail City: Conneaut Lake County: Crawford State: PA Zip: 16316 Legal Description: See attached deed FEES AMOUNT> 1004 appraisal for estate planning purposes ;550.00 SUBTOTAL ~ 350.00 PAYMENTS'' AMOUNT Check #: Date: Description: Check #: Date: Description: Check #: Date: Description: SUBTOTAL I o.oo TOTAL DUE B 3so.oo INVOICE {NVDICE NUMBER Bailey, Carol estate ....DATE - 2128/09 REFERENCE Internal Order #: Lender Case #: Client File #: Main File # on form: Other Fife # on form: Federal Tax ID: 25-156-2501 Employer I D: Form NIVS - "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE Appraisal & Counseling Services, inc. (814) 337-0083 Uniform Residential Aaaraisal Report File# ' The purpose of this summary appraisal report is to provide the lender/client with an accurate, and adequately supported, opinion of the market value of the subject property. Property Address 10793 Konneaut Trail City Conneaut Lake State PA Zip Code 16316 Borrower Baile ,Carol K. Owner of Public Record same County Crawford Legal Description See attached deed Assessor's Parcel # 4403--53-308 Tax Year 2008 R.E. Taxes $ 2,022.17 Nei hbodtood Name Sadsbu Townshi Map Reference 44D3-53-308 Census Tract 1104 Occupant 0 Owner [Tenant J Vacant Special Assessments $ O.DO [; PUD HOA S ^ per year [per month " Pro erty Rights Appraised ~^ Fee Simple ^ Leasehold ^ Other (describe) Assignment Type ^ Purchase Transaction ^ Refinance Transaction < Other (describe Valuation for estate u oses Lender/Client Charles E. Shields, III ~ ~ Address 6 Clouser Road Mechanicsburg, PA t7D55 Is the subject prope currently offered for sale or ha it been offered for sale in the twelve months pdor to the effective date of this appraisal? [! Yes F_' No Report data source(s) used: offering price(s), and date(s). MLS, deed, nor a raisal in 2004, second ins ection 2/5109, on final ins ection in 2004 and ublic records I [did ^ did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the contract for sale or why the analysis was not performed. n/a Contract Price S Date of Contract Is the property seller the owner of public record? %~ Yes ^ No Data Source(s) Is there any financial assistance (loan charges, sale concessions, gift or downpayment assistance, etc.) to be paid by any parry on behalf of the borrower? ^ Yes [I No It Yes, report the total dollar amount and describe the items to be paid. Note: Race and the racial composition of the neighborhood are not appraisal factors. Neighborhood Characteristics One-Unit Housing Trends One-Unit Housing Present Land Use °/ Location !~ Urban 0 Suburban ^ Rural Prope Values Increasin ^ Stable ^ Declinin PRICE AGE One-Unit 100 % .Built-Up ~~ Over 75% ^ 25-75% ^ Under 25~ Demand/Suppl ^ Shortage \ In Balance Over Su I $ 000 rs 2-4 Unit % Growth ^ Rapid ^ Stable ^ Slow Markefing 1 ime ^ Under 3 mths ^ 3-6 mths Over 6 mths 274k Law 5 Multi-Fami{y % Nei hborhood Boundaries All of the lakefront ro erties surroundin Conneaut Lake are considered the 585k High 150+/- Commercial % nei hborhood and a art of the com etin market. 375k Pred. 75 Other % Nei hborhood Description This is a residential area on the north end of Conneaut Lake about 7 miles from malor shopping and employment centers In the rester Meadville area. The nei hborhood has a miMure of different types of single family homes with the most valuable being those that are actual) sited on the lake front. The sub'ect is on the lakefront on a hi h hillside lot. Market Conditions (including support for the above conclusions Crawford County has 1 013 square miles and a population as of the 20D0 census of 90,366 which is 89.2 totaV eo lets vote mile. There were 160 residential sales throw h the Board of Realtors this ear throw h 5/23107 with the avera a residential sale at $90,730, avera a time on market 191 da s. There have been 7 lakefront sales since 1/1/06. Dimensions 84' x 147.28' x 50' x 150' Area 9 935 s!f +!- Shape nearly rectangular View lake Specific Zonin ClassificaUen lake area residential Zonin Descri tion sin le famil homes ermitted Zonin Compliance ^ Legal ^ Legal Nonconfonnin Grandfathered Use) ^ No Zoning ^ Illegal (descdbe) Is the hi hest and best use of subject prope as im raved or as roposetl ter plans and specifications) the present use? ~^' Yes ^ No If No, describe Utilities Public Other (describe) Public Other (describe) Ott-site Improvements -Type Public Private Electricity ~'~ ^ Water ^ ~ well Street as halt ~ ^ Gas ~ ^ Sani Sewer [~I ^ Alley none ^ ^ FEMA Special Flood Hazard Area ^ Yes ~ No FEMA Flood Zone c FEMA Map # 422387 FEMA Map Date 6/7fi Are the utilities and off-site improvements typical fnr the market area? ~~} Yes ^ No If No, describe Are there any adverse site conditions or external factors easements, encroachments, environmental conditions, land uses, etc. ? ^ Yes ~" No If Yes, describe There were no a arent detrimental easements or encroachments on the deed. The lot is slightly above grade and on a hillside above the lake with a wonderful view but stee access to docks eon the lake. General Description Foundatioh ExtetidrDescription materials/condition Interior materials/condition Units r.~, One ^ One with Accessary Unit '-1 Concrete Slab ^ Crawl S ace Feundation Walls concrete block/av Floors ca et/hardwd/av # of Stories 1 '~l Full Basement ^ Partial Basement Exterior Walls vin I/av Walls taster/av . T pe C Det. `~ Att. '~', S-DetJEnd Unit Basement Area 1,073 sq.tt Roof Surface shin le/avera a Trim/Finish wood/av ^ Existin ^ Proposed ^ Under Const. Basement Finish 50 % Gutters & Downspouts aluminum/av Bath Floor vin I/av . Design (Style) 1 sto ^ Outside Entry/Exit ^ Sump Pum Window Type double hun /av Bath Wainscot lastedav . Year Built 80 +!- Evidence of ^ Infestation none Storm Sashllnsulated sin le ane,therm./a Car Storage ^ None Effective Age (Yrs) 35-38 ears [ ~: Dampness ^ Settlement Screens all/av 0 Ddvewa # of Cars 2 Attic None Heatin^ FWA [ HWBB ^ Radiant Amenities Woodstove s # Driveway Surface toss/ ravel ^ Drop Stair ~ Stairs n Other Fuel as ^ Fireplace s # ^ Fence ^ Gara e # of Cars Floor ~I Scuttle Coolin ^ Central Air Contlitionin [~ Patio/Deck small ~ Parch encfos. ^ C ort # of Cars Finished ~l Heated ^ Individual [Other ^ Pool ^ Other dock ^ Att. 'r I Det. ^' Built-in Appliances ~ Refrigerator ~ Range/Oven ^ Dishwasher ^ Disposal ^ Microwave ^ Washer/Dryer ^ Other (describe) Finished area above rode contains: 6 Rooms 3 Bedrooms 1 Bath(s) 1,073 Square Feet of Gross Living Area Above Grade . Additional features special energy efficient items, etc.. The house has street side basement access stepped below grade. The street and lakeside porches are both enclosed with small deck type stoops for access. Describe the condition of the prope including needed repairs, deterioratien, renovations, remodeling, etc.). This is an old one sto frame dwellin overlookin Conneaut Lake that is small and has a full walk-u attic that might be converted to sVeeping area if needed. There is a large living room with fire lace and vaulted ceilin .The bedrooms are small and one does not have a closet. The basement has a large Simi-finished recreation or bedroom with outside ent toward the street, a minimall finished bathroom and a utility room. Physical and functional obsolescence are both resent. There is no locational obsolescence. Are there any physical deficiencies or adverse conditions that affect the livabili ,soundness, or structural integri of the property? ~ Yes ~~! No If Yes, describe Small bedrooms and minimal closets ace, old st le kitchen and bath. Does the prope enerall conform to the neighborhood functional u51i , s le, condition, use, construction, etc.)? [] Yes [ No If Nn, describe Freddie Mac Form 70 March 2005 Page 1 of 6 Fannie Mae Form 1004 March 2005 Farm 1004 - "TOTAL for Windows" appraisal software by a la mode, inc. -1.800-ALAMODE Uniform Residential Appraisal Report File# There are 6 comparable pro erties currently offered for sale jn the sub'ect net hborhood ran in in price from $ 275.000 to $ 650,000 There are 3 comparable sales in the subject neighborhood within the past twelve months ranging in sale price trom $ 300,000 to $ 450,000 FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 10793 Konneaut Trail 10489 Tomahawk Path Conneaut Lake, PA 16316 ~ Conneaut Lake 10895 Lakefront Street ;11514 Basin Street Conneaut Lake PA 16 I Conneaut Lake Proximi to Subject 0.38 miles 1.53 miles 1.15 miles Sale Pnce $ 1, $ 230,000 $ 275,OOD~ $ 450,000 Sale Price/Gross Liv. Area $ sq.ft $ 199.65 sq.ft. $ 151.52 sq.ft. $ 224.78 sq.ft. DataSeurcejs MLS, ublic records inspection MLS IMLS, public reco rds Verification Sources Realtor ublic records Realtor VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $ Adjustment DESCRIPTION + - $ Adjustment DESCRIPTION + - $ Adlustment Sales or Financing Concessions 50 dom conv/none 190 dom conv/none 24 dom convlnone Date of Sale~me I 1 8/8/08 11/13/08 2110/07 Location Iakefront ! lakefront lakefront lakefront LeaseholdiFee Simple i, Fee Sim le fee sim le Fee Sim le fee sim le Site 184' fronta a/hill 1 50.15' front/hill +20,000 50' front/sm. hill +20,000 55' front./flat +10,000 View !lake lake lake lake Desi n (Style i 1 sto ~~ 2 sto 1 and 2 sto 2 sto Quality of Construction I avers a averse averse avers e Actual Age I eff. 35-38 effective a ual 85 ears effective newer -25,000 Condition I aver s a averse averse I ood -25,000 Above Grade I Total Bdrms. Baths Total 8drms. Baths Total Btlrms. Baths 'Total jBdrms. Baths Room Count 6 3 1 5 2 1 8 4 1 7 j 4 2 -2,000 GsossLivin Area 1,073 s .ft. 1,152 sq.ft, 0 1 815 sq.ft. -13,4001 2,002 sq.ft. -16,700 Basement & finished 1,073 Sq.Ft. Rooms Below Grade 50% fin. incl ba. slab +15,ODO jcrawl space +15,000`full/no finish +2,000 Functional U61ity I avers a averse I avers a ood -25,000 Heating/Cooling ~ as f/a/none as/f/a/none as bbhw/none I as f/alnone • Ener y Efficient Items I normal for a e normal for a e normal for a e I normal fora e Garage/Carport I none none none i2 car attached -5,000 Porch/Patio/Deck 2 encl. orches I roofed atio +5,000 olio, shed +5,00012 rted. orches +2,500 Other fire face, dock jfire lace, dock dock, fire lace idock, fire lace i I • NetAdjustment otal '~ + ^ - $ 40,000 ~~ + ^ - $ 26,600 ^ + ~; - ~$ 84,200 Adjusted Sale Price of Comparables NetAdl 17.4 % Gross Adj. 17.4 % $ 270,000 Net Adj. 9.7 % Gross Ad'. 19.4 Yo $ 301,600 NetAd}. 18.7 % Gross Adj. 25.2 % $ 365,800 - I ^ did i did not research the sale or transfer history of the subject property and comparable sales. If not, explain My research ^ did ^i did not reveal any prior sales or transfers of the subject property for the three years prior to the effective date o1 this appraisal. Data Source s My research ^ did ~i did not reveal any prior sales or transfers of the comparable sales for the year prior to the date of sale of the comparable sale. Data Sources assessment records and deeds Re art the results of the research and analysis of the prior sale or transfer history of the subject pro a and comparable sales re ort additional prior sales on pa a 3). ITEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLt: SALE #3 Date of Prior Salerransfer 8!26/04 12/8/78 5/21/96 9/17101 Price of Prior Sale/iransfer 325 OOD 1.00 $1.00 300 000 Data Source(s) deed deed deed assessment office Effective Date of Data Sources current riot sale riot sale riot sale Anal sis of prior sale or transfer hlsto of the suhject property and comparable sales There have been no sales of the sublect in the last 3 years and it is not current! listed for sale. None of the cam stables has sold in the past year per the assessment office. None of these properties is current! listed for sale. Summary of Sales Comparison Approach These sales are the most recent and similar lake front sales that the a raiser could locate, 1 sale is over 1 ear old due to the lack of lakefront sales available. Sale 1 the lot has less fronta a and is on a similar hillside, the house is a ual in :>ize but has no basement and inferior orches. Sale 2 is the most recent. safe, the lot has less fronta e, the house is lar er and a ual in condition, no basement, inferior orches and similar other amenities. Sale 3 has less lake fronta e, the house is much tar er, of an a ual a e but teas been u dated extensive! and is therefore in su erior condition, with an additional bathroom, su erior functional room la out, unfinished basement addttional ara a and inferior orches. All line, net and toss ad ustments meet the normal uidelines exce t the net on sale t due to its smaller amount of lake fronta a and sale 3 due to it's lar er house size and condition. Indicated Value by Sales Comparison Approach $ 320,000 Indicated Value by: Sales Comparison Approach $ 320,000 Gost Approach (if developed) $ Income Approach (if developed) $ Sale two is wet hted with su ort from the other two safes. The reaction of buyers and sellers in the market is considered the most reliable • indicator of current market value. The cost anal sis was not com leted due to the a e of the im rovements. This is a summa re oil that meets the USPAP uidelines. The a raisal is effective as of the date of death of Carol K. Bailey on 12/15/08. _ This appraisal is made ^ "as is", ^ subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed, ^ subject to the following repairs or alterations on the basis of a hypothetical condition that the repairs or alterations have been completed, or ^ s~bjectto the • following required inspection based on the extraordina assumption that the condition or deficiency does not require alteration or repair: . Based on a complete visual inspection of the interior and exterior areas of the sub ect property defined scope of work, statement of assumptions and limiting conditions, and appraiser's certification, my (our) opinion of the market value, as ~efined, of 9ie real property that is the subject of this report rs $ 320,000 , as of 12/15J08 which is the date of ins ection and the affective date of this a raisal. Freddie Mac Form 70 March 2005 Page 2 of 6 Fannie Mae Form 1004 March 2005 Form 1004 - "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE Uniform Residential Appraisal Report File /1 The appraisal was completed based on a physical inspection of the subiect on the inside and outside of the house the building was measured with a steel to a on a rior ins ection in 2004. The com arable sales were ins ected from the street, most rctures therefore were taken from the MLS which reflects the more attractive lakeview side of the homes. The water well is common to this market and is not enerally a resale problem. COST APPROACH TO VALUE (not required by Fannie Mae) Provide adequate information far the IenderjcGent to replicate the below cost figures and calculations. Su ort for the opinion of site value summary of comparable land sales or other methods for estimating site value The im rovements are too old for a cost anal sis to be a reliable indicator of market value. The lot value is estimated at $2,000 er front foot of lake fronta a or $168,000 based on lot sales that are at least five ears old -there have been no lot sales that are more recent. ESTIMATED ~ REPRODUCTION OR [] REPLACEMENT COSt NEW OPINION OF SITE VALUE ..__ __.. _ _..___ ___.... ____...__...... =S Source of cost data DWELLING Sq.Ft. @ $ __..___. =S : Quality rating from cost service Effective date of cost data Sq.Ft. @ $ _ ...._ _ =S - Comments on Cost Approach ross living area calculations, depreciation, etc. _. _.... =S The cost anal sis has not been com lened due io the a e of the Garage/carport Sq.Ft @ S ___.._ =S im rovements. Total Estimate of Cost-New _...... =S Less Ph sical Functional External Depreciation =S( Depreciated Cost of Im rovements ._.__.__ __ ..,. =S _ ... . "As-is" Value of Site improvements _... _._.. _. =S Estimated Remaining Economic Lite (HUD and VA only) Years INDICATED VALUE BYCOSTAPPROACH ....___....__.... _ _.._.___.._ _$ INCOME APPROACH TO VALUE (not required by Fannie Mae) Estimated Monthly Market Rent $ X Gross Rent Multiplier = $ Indicated Value by In.ome Approach Summa of 4ncome Approach including sup ort for market rent and GRM Na not a licable PROJECTiNFORMATION FOR PUDs pf applicable) Is the devele erPouilder in controV of the Homeowners' Associa5on HOA ? ^ Yes ^ No Unit type(s) ^ Detached ^ Attached Provide the followin information for PUDs ONLY it the developer/builder is in control of the HOA and the subject property is an attached dwelling unit. Legal Name of Projzct n/a Total number of phases Total number of units TotaY number of units sold Total number of units rented Total number of units for sale Data source(s) Was the project created by the conversion of existin buildin s into a PUD? ^ Yes [~ No If Yes, date of conversion. Does the roject contain any multi-dwellin units? ^ Yes No Data Source Are the units, common elements, and recreation facilities complete? ^ Yes (~ No If No, describe the status of com letion. Are the common elements leased to or by the Homeowners' Association? ^ Yes [~ No If Yes, describe the rental terms and options. Describe common elements and recreational facilities. Freddie Mac Form 70 March 2005 Page 3 of 6 Fannie Mae Form 1004 March 2005 Eorm 1004 - "TOTAL for Wintlows^ appraisal sattware by a la mode, inc. -1-800-ALAMODE Uniform Residential Appraisal Report fileN This report form is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit; including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a manufactured home or a unit in a condominium or cooperative project. This appraisal report is subject to the following scope of work, intended use, intended user, definition of market vawe, statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an appraisal organization, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requirements of this appraisal report form, including the following definition of market value, statement of assumptions and limiting conditions, and certifications. The appraiser must, at a minimum: (7) perform a complete visual inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal report. INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is tht; subject of this appraisal for a mortgage finance transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair safe, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he or she considers his or her own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U. S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions" granted by anyone associated with the sale. "Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all saves transactions. Special or creative financing adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not he calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgment. STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the following assumptions and limiting conditions: 7. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it, except for information that he or she became aware of during the research involved in performing this appraisal. The appraiser assumes that the title is good and marketable and will not render any opinions about the title. 2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements. The sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in this appraisal report whether any portion of the subject site is located in an identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the presence of hazardous wastes, toxic substances, etc,) observed during the inspection of the subject property or that he or she became aware of during the research involved nn performing the appraisal. Unless otherwise stated in this appraisal report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, this appraisal report must not be considered as an environmental assessment of the property. 6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will be performed in a professional manner. Freddie Mac Form 70 March 2005 Page 4 of 6 Fannie Mae Form 100x, March 2D05 Form 1004 - "TOTAL for Windows" appraisal software by a la mode, inc. -1 800-ALAMODE Uniform Residential Appraisal Report FileH APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that: 7. I have, at a minimum, developed and reported thhs appraisal in accordance with the scope of work requirements stated In this appraisal report. 2. I performed a complete visual inspection of the interior and exterior areas of the subject property. l reported the ~;ondition of the improvements in factual, specific terms. I identified and reported the physical deficiencies that could affect the livability, soundness, or structural integrity of the property. 3. I performed this appraisal in accordance with the requirements of the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 4. I developed my opinion of the market value of the real property that is the subject of this report based on the sales comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach for this appraisal assignment. I further certify that I considered the cost and income approaches to value but did not develop them, unless otherwise indicated in this report. 5. {researched, verified, analyzed, and reported on any current agreement for sale for the subject property, any offering for sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report. 6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable save, unless otherwise indicated in this report. 7. I selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property. 8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that has been built or will be built on the {and. 9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject property and the comparable sales. 70. I verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in the sale or financing of the subject property. 71. I have knowledge and experience in appraising this type of property in this market area 12. I am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing services, tax assessment records, public land records and other such data sources for the area in which the property is located. 73. I obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that I believe to be true and correct. 74. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject property, and the proximity of the subject property to adverse influences In the development of my opinion of market value. I have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property or that I became aware of during the research involved in performing this appraisal. I have considerec these adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject property. 75. I have not knowingly withheld any significant information from this appraisal report and, to the best of my knowledge, all statements and information in this appraisal report are true and correct. 76. I stated in this appraisal report my own personal, unbiased, and professiona4 analysis, opinions, and conclusions, which are subject only to the assumptions and limiting conditions in this appraisal report. 77. I have no present or prospective interest in the property that is the subject of this report, and I have no present or prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or opinion of market value in this appraisal report on the race, color, religion, sex, age, marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law. 78. My employment andlor compensation for performing this appraisal or any future or anticipated appraisals was not conditioned on any agreement or understanding, written or otherwise, that I would report (or present analysis supporting) a predetermined specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of any party, or the attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending mortgage loan application). 19. I personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If I relied on significant rea4 property appraisal assistance from any individual or individuals in the performance of this appraisal or the preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks performed in this appraisal report. I certify that any individual so named is qualified to perform the tasks. !have not authorized anyone to make a change to any item in this appraisal report; therefore, any change made to this appraisa{ is unauthorized and i will take no responsibility for it. 20. I identified the lender/client in this appraisal report who is the individual, organization, or agent for the organization that ordered and will receive this appraisal report. Freddie Mac Form 70 March 2005 Page 5 of 6 Fannie Mae Form 1004 March 2005 Farm 1004- "TOTAL for Windows" appraisal sofiware by a la made, inc. -1-800-ALAMODE Uniform Residential Appraisal Report File# 21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the borrower; the mortgagee or its successors and assigns; mortgage insurers; government sponsored enterprises; other secondary market participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions: without having to obtain the appraiser's or supervisory appraiser's (if applicable) consent. Such consent must be obtained before this appraisal report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public relations, news, sales, or other media). 22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. Further, l am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves any one or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of th s appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any intentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and,'or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that: 1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report is either asub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under the applicable state law. 4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adapted ana promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report vrere delivered containing my original hand written signature. APPRAISER Certified General Appraiser Signature /~// . ~~~~ Name VickGlfete, ~'b`~` Company Name Appraisal ~ Counseling Service, Inc. Company Address 11568 State Highway 98. Meadville PA 16335 Telephone Number 814-337-0083 Email Address aandc(a~allteLnet Date of Signature and Report March 02, 2009 Effective Date of Appraisal 12/15/08 State Certification # GA-000197-L or State License # or Other (describe) State # State Expiration Date of Certification or License SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature Name Company Name Company Address Telephone Number Email Address Date of Signature State Certification # _ or State License # State Expiration Date of Certification or License SUBJECT PROPERTY ADDRESS OF PROPERTY APPRAISED 10793 Konneaut Trail Conneaut Lake, PA 16316 APPRAISED VALUE OF SUBJECT PROPERTY $ 320,000 LENDER/CLIENT Name Company Name Chades E. Shields, III Company Address 6 Clouser Roatl, Mechanicsburg PA 17055 Email Address reports@appraisals.com ^ Did not inspect subject property ^ Did inspect exterior of subject property from street Date of Inspection ^ Did inspect interior and exterior of subject property Date of Inspection COMPARABLE SALES ^ Did not inspect exterior of comparable sales from street ^ Did inspect exterior of comparable sales from street Date of Inspection Freddie Mac Form 70 March 2005 Page 6 of 6 Fannie Mae Form 100<r March 2005 Form 1004 - "TOTAL far Windows" appraisal software by a la mode, inc. -1-80D-ALAMODE l.a' ~~2.D' f%,. Basement Door Enciased 7.5' ~I ~ Sedroo Porch 1`/ 12.5' 29.0' X01 Q o 6.0' Kitchen ~ ath Bedroom 0 I I Attic ~ose Stairs io 25.0' ' 20.0' Lining Room ' ' i Dining Raom Bedroom ' i r 4.D' Stoo 42.0' i Enclosed 8 0, 4.0' Front Porch I r SKETCH CALCULATIONS ~ Living Area ' First Floor ~' Al:7.0x7.5= 525 AZ : 36.0 x 5.0 = 180.0 A3 : 42.0 x 20.0 = 840.0 1072.5 Total Living Area 9072.5 Porch Area Porch ~~ A4: 12.0x7.5= 90.0 90.0 Deck ~ A5'6.Ox4.0= 24.0 24.0 ~ Enclosed Porch j A6:16.Ox8.0= 128.0 128.0 Tote! Porch Area 242.0 r PatiolDeck Area Stoop 2 A7:4.Ox4.0= 16.D 16.0 Form MAP.LDC - °TOTAL for Windows" appraisal soflwaze by a la mode, inc. -1-800-ALAMODE c~..._~ Subject Photo Page BorrowerlClient Baile ,Carol K. Pro e Address 10793 Konneaut Trail Ci Conneaut Lake Coun Crawford State PA Zio Cade 16316 Lender Charles E. Shields, III Subject Streetside 10793 Konneaut Trail Sales Price Gross Living Area 1,073 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1 Location lakefront View lake Site 84' frontage/hill Quality average Age eff.35-38 Subject Lakeside Subject Street Konneaut Trail Form PICPIX.SR - "TOTAL for Windows" appraisal software by a la mode, inc. - 1-800-ALAMODE PHOTOGRAPH ADDENDUM BorrowerlClient Baile ,Carol K. Pro e Address 10793 Konneaut Trail Ci Conneaut Lake Coun Crawford State PA Zi Cade 16316 Lender Charles E. Shields, III Lake frontage showing the steps down to the lake with small deck at lakefront Form GPICPIX- "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE Location Map BorrowerlClient Baile ,Carol K. Pro e Address 1D793 Konneaut Trail Ci Conneaut Lake Coun Crawford State PA Zi Cade 16316 Lender Charles E. Shields, III • - - a ~, ~c mod. 30 c~nnea~r r>s b __ Lake Park '• ~`. ~ VkiLarsas~'. ~~ ~ ~ - w CSC ~' ~. S ~6 v1 ~' S ~ %' .. hMddW-Rd c~, ~ - 1xJcslaad Dt-.._ --_ - .. tc~ Rd ~ • • - Sf~ - _- c St' _ n . __- a 615 ~N - '~.'18. _ __ ~- "GaAhnd Beach Golt Course _- m Lynces '. Dr ~- _ Junction ' ~ ':~ '. ~'r'S ont Ur ~.- , Ganneau, i-ak° ~ ~ ~~. _: _._. _ __.Foc~FR N _ z a. ' ~ ~ i r_~,. . ~ .. ~ s _- __. ._,_ 3 ,'_ Subject -~ - VV~mR Dr -- --CJi tU793 Konneaut 7raA ~ ' -~- - _8 °pve 'h6Jcori Dr- --_ __~ ~ i ~'4;., iraquas~Rd r t ~r~~~~, - 3J~. __ - 6,.,. - Lwe St- ~ ~' s~~ _. H{gttth'uy'-29a" - . -=- > ;, F -, Lals_~- 13 ,'•-_. ~ YV' Vernon-Rd--.-__.___. 5 CvnneauL Conneaia lake ~rycrt >35 n '~ w o ~ ~ c ~ c __.~_ - - alony Porn' -.-_ ~....'_- - - secovntic~asortCOrySrzuozuuvrtQ .na;errele tl ; Im •' ~ -~ -"-" ~-~aYtlndfic-~-VV Porm MAP.LDC - °TOTAL for Windows" appraisal software dy a la mode, inc. -1-800-ALAMDDE Comparable Photo Page Borrower/Client Baile ,Carol K. Pro e Address 10793 Konneaut Trail Ci Conneaut Lake Coun Crawford State PA Zi Code 16316 Lender Charles E. Shields, III Comparable ' 10489 Tomahawk Path Prox. to Subject 0.38 miles Sale Price 230,000 Gross Living Area 1,152 Total Rooms 5 Total Bedrooms 2 Total Bathrooms 1 Location lakefront View lake Site 50.15' fronUhill Quality average Age effective equal Comparable 2 10895 Lakefront Street Prox. to Subject 1.53 miles Sale Price 275,000 Gross Living Area 1,815 Total Rooms 8 Total Bedrooms 4 Total6athrooms 1 Location lakefront View lake Site 50' frontlsm. hill Quality average Age 85 years Comparable 3 11514 Basin Street Prox. to Subject 1.15 miles Sale Price 450,000 Gross Living Area 2,002 Total Rooms 7 Total Bedrooms 4 Total Bathrooms 2 Location lakefront View lake Site 55' front.lflat Quality average Age effective newer Form PICPIXCR - "TOTAL for Windows" appraisal software by a la mode, inc. -1-80D-ALAMODE Location Map BorrowerrClient Baile ,Carol K. -~ Pro e Address 10793 Konneaut Trail Citv Conneaut Lake Coun Crawford State PA Zip Code 16316 -~ Lender Charles E. Shields, III ' ~~ r ~~ J \~ /~ ~`~ ~~ ~~,~ ~ ~' ~~ ~ , i YT' , ~ ~~ '~ i ~~ ~ : `~~ Form MAP.LOC -"TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE Location Map Borrower/Client Baile ,Carol K. Pro e Address 10793 Konneaut Trail Ci Conneaut Lake Goun Crawford State PA Zi Cade 16316 Lender Charles E. Shields, III 20040~1168c Filed for Record in CRAIif'aRQ COUNTS PA CARO! A. STAiHBRDOK D4-D1-2004 At 11:46 ar. DEED b540.00 DR 8aak 728 Page 252 - 7S4 200i0b011884 Erawt Status - N ``~~[~ (~ jy~i~ 9FATE &TF 8 3iS0.00 3i~~ `s/~LL/ba~ 1~ RT6 t YlSA.4Q F 1625.80 ltAD98181r rfN' i Ib25.86 COFIF~IUT 8 D This Deed, made this4~d rd~aq of.4,ugust in the year Tcco Thousand Four (2004) BETWEE7V InstruMent Beak Pace 20f1cD0011g84 OR ?28 252 14IICHAEL KOIJRIE and JANET KOURIE, his wife, of Conneaut Lake, Crawford Coimip, Peansyivania, GRANTORS -and- CAROL KBAILEY, widow, of Mechanicsburg, Pennsylvania, GRANTEE WTI'AIESSETIi, 'that in consideration of1'hree Hundred and Twenty-five ltrausand and 00/I DO--------------- ($325,000.00) ---------- DoUsrs in hand paid, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and con~rey, sell and confirm urno the said Grantee, her heirs and assigns, ALL that certain piece or parcel of land situate in Sadsbury Townslnp, Crawford Gounty, Pennsylvania, more particularly bounded and described as follows: LOT iVn. 308 as shown on the Conneaut Knolls Plan ofLots recorded in Deed Book Volume 253, Page 598, in the Office of Recorder of Deeds in and for Crawford County, Pennsyh~atna. Being identified as tax parcel number 4403-053-308. EXCEPTIl+IG AND RESERVING all coal, mineral and mining rights as reserved or conveyed in prior ingr,,,,r,~ata of record. UNDER A~tD SUBJECT to and together with the same rights, privileges, agreements, ]eases, rights of way, easements, conditions, exceptions, restrictions and reservations, that exist by virtue of prior recorded iastnnitents, deeds or cam~eyances. BEING the same land conveyed to Michael Kourie and Janet Kourie, his wife by deed ofJoseph B. Sderheim, single, and Joseph F. Stierheim, Administrator of the estate of Christopher M. Stierhesm, dated June 19, 2004 and recorded June 22, 20T)4 in Record Book 716, page 480. Farm MAP.LOC - "TOTAL for Windows" appraisal software by a la mode, inn -1-800-ALAMODE Qualification Borrower Client Baile ,Carol K. Pro e Address 16793 Konneaut Trail Ci Conneaut Lake Coun Crawford State PA Zip Code 16316 Lender Charles E. Shields, III ~hiczl ficatirnts of the _~t~r~raiser - 1'ic~i. L. C?2Cl.ette, S~~ '~ducaYion/.~ssocicttions%:h4em6ersh ps B.S. Degree from Edinboro State College of PA - 1972, Candidate Member of the Society of Real Estate Appraisers - 1986 to 1989, SRA - Soniety of Real Estate Appraisers - 1989 urrtil reorganization as the Appraisal Instiiute through the present. Member of the Northwest PA Chapter of the Appraisal Institute -ongoing, Chapter President in 1993, Director in 1987 5988, 1991 and 1995, Member and 2005 Vice President of the Greater Meadville board of Directors and member of the Greater Meadville Board of Realtors 1985 to the present. L'%cerrses PA Rea! Estate Broker of Record (#Rt~it-046162-A) 1986 to present, PA Certified General Appraiser (#GA000197Lj - 1991 in present, Ohlo Certified General Appraiser (#392621} - 1993 to the present. _:~pprais czC Co tcrseslSem.irtars Mandatory continuing education courses as required bythe States Of PA and Ohio for both brokerage and appraisal, Designation ongoing education as required by the Appraisal Instiiute, including the Uniform Standartls of Professional Appraisal Practice, additional elective courses covering a wide range of appraisal issues including but nbi limited to appraising with an architect, ad valorem tax appeal, technolagytrends, FHA appraisal guidelines, understanding itmi[ed appraisals, Americans With Disabilities Act, appraisal Uteory review, equity and cash flow models, residential, multiple #amily, litigation appraisal, contemporary IegaS issues, condemnation appraisals and many more - generaltytake a minimum of 1x•20 hours of education every two years. I have also attended twelve appraisal institute national canferances beginning in 1985. 1h'ark ~xper%errce Elementary school teacher (full and part time)1972-.2.982, Carpenter with Gillette Construction Cn. - 1976 through 1982, and ongoing wi#h personal renta4 properties, PA real estate sales person 1982-1967, Associate Broker 1985. Appraisal trainee 1982-1987, Appraiser and paRner in Appraisal & Counseling Service, Inc. -1987 through 199&, current owner of Appraisal & Counseling Service, inc.. .:~pprarsctC ~xper-ience Single family, multi-family, modular and mobile home residential properties, farms, banks, heavy and light industrial properties, retail and cnmmarciai properties including offices, restaurants, automobile dealerships, car evasnes, amusement parks, campgrounds, mobile home parks, golf courses, various types df condemnation, vacant tots and large tracts of land and multiple use properties. Cour•f 7estintnrzy I have prepared appraisal reports for and testified, as needed, in cases for highway and sewer condemnation, divorce, estate, tax assessment appeal and other prroperty division disputes in Crawford, Mercer,lNarrant and Sutler County courts and hearings as wall as Bankruptcy Court in Erie and Mercer Counties. Form MAP.LOC - "TOTAL for Wlnoows" appraisal software by a la mode, inc. -1-800-ALAMOCE License c~ N r--i ~ ~j j d' p ~ ac ~ y to =i 1`~ 4~ ~ j ~ ~ A ~ o ~ ~' y~ ~ e~ ' '" ~ r ~ O ..; ~ A ~ p ~«+ ~ ~ W ' o N 'a M 1 ~ . ~ m L c;: cr. Q ... T ~ rr ~ ~ N ~ CC C t~'i ~ y ~ O ~ ~ ~ ~ ~ ~ ~ J py i O Cj ~ y CCS yLj ti ~ w .~ 'L7 ~ u „p t,:,, r- O ~ ~ ~ ~ ~ ~ U ~ c~ +., ~ ~ ~ ox ~ ~ ' GL v, o. o ~ ~' u ~ A o `~' ~ `" ~ 0 0.' ~ V o0 ~ ~" L L y ~ ~ a a Q ~ L ~ ~ M W w=,, M W ~ t0 W NN ~ LL ~ V ~ ~rJ Q Lr d ~ U' F - J J N !~ L ~ 'L' ~ °° ~ U ~ V V >~~ ~~ i 3 v 0 a u 0 ~_ G U u` 0 c Form MAP.LOC - "TOTAL for Windows" appraisal soriware by a la mode, inc. -1-800-ALAMODE ___ _ _ _ OFFICIAL NOTICE OF NEW ASSESSED VALUE FOR TAX YEAR 2009 CLINTON COUNTY BOARD OF ASSESSMENT APPEALS JULY 1, 2008 Owner or reputed owner BAILEY CAROL K CONTROL NUMBER 017 007726 450 E LISBURN RD MECI-IANICSBURG PA 17055 MAP NUMBER 03-01-0073-A LAND USE R 20 RESIDENTIAL This notice displays the change in the value of your roperty and its assessment for property tax purposes. The new values are effective January 1, 2009. Land Improvement Total Previous Market Value 2 $575 New Market Value $1 600 ~`0 $I2, 600 Previous Assessed Value $230 0 $230 New Assessed Value $12, 600 ~`0 $22, 600 The change in Market Value reflects the g~rrowth in the overall value of the real estate market since the date of the last countywide reassessment ~"1'he change in the Assessed Value reflects the decision of the County to revise the assessment ratio from 40% of market value to 100% of market value. The effects of this revision are to sunpl;<fy the assessment rocess - onl one value is needed, rather than two -and to further reduce the m~llage -the rate at whicli~property is axed. You have the right to appeal these new values. A formal a peal must be receive on the official appeal form by the O ce of Assessment Appeals no later than 3~days from the date o this notice. Appeal forms can be downloaded from the coun~ websrte, www.chntoncoun a.com or theyy can be pecked up at the Office of Assessment A eals a , 8 North ove ee u>, e oc aven YA 17745. You may also telephone this office at ~p/0-748-6225 and reguest that an ap peal form be mailed to you. Appeals will be scheduled to be heard no sooner than ZO days a$er the receipt of the appeal form, and no later than Octob r 31, 2008. To assist in the process of scheduling the appeals you are requested to return your appeal >~orm as soon as possible. Advice on appeals and a detailed description of the appeal process are available from the Office of Assessment Appeals. CLINTON COUNTY BOARD OF ASSESSMENT APPEALS NLY 1, 2008 Owner or reputied owner BAILEY CAROL K CONTROL NUMBER 017 007729 450 E LISBURN RD MECHANICSBURG PA 17055 MAP NUMBER 03-01-0073-D LAND USE C 20 COMMERCIAL This notice displays the change in the value of yourproperty and its assessment for property tax purposes. The new values are effective January 1, 2009. Land Improvement Total Previous Market Value 44`'14 950 New Market Value 38, 800 ~0 0 ~I4~ 950 38, 800 Previous Assessed Value 5, 980 New Assessed Value $ 8, 800 0 ~`0 ~`5, 980 $38, 800 The change in Market Value reflects the f~rro.. wth in the overall value of the real estate market since the date of the last co~uitywide reassessment~'1'he change in the Assessed Value reflects the decision of the County to revise a assessment ratio from 40% of market value to 1 OOIo of market value. The effects of this revision are to simplify the assessment rocess - only one value is needed, rather than two -and to further reduce the millage -the rate at whichpproperty is taxed. You have the ri,;,ght to appeal these new values. A formal appeal must be received on the official appeal form by the Or~nce of Assessment Appeals no later than 30 days from the date of this notice. Appeal forms can be downloaded from the coon website, www.clintoncoun a.com or they can be picked up at the Office of Assessment A eals a~ 8 North rove ee ui e oc aven PA 17745. You may also tel hone this office at ~pl0-748-6225 and re nest that an a peal form be mailed to you. Appeals will~e scheduled to be heazd no sooner than ~0 ~ays after t~e receipt of the appeal form, and no later than October 31, 2008. To assist in the process o scheduling the appeals you are requested to return your appeal form as soon as possible. Advice on appeals and a detailed description of the appeal process are available from the Office of Assessment Appeals. .,~, a~ ~ o ~ ~,. ~- ~ =«,= - ~ "'~~ ,, ~.~~ ,i D3-'D!-oo73~~ ca o ~ ~ ^~ z't1 "~ ~ ~C:."';° .Tax Parcel No. ~~ -G ~ - bo73 D z~ . "THIS DEED ~ ~ ~-i ~ -o 4Plade~Tte day of ~l.C~fi~-d~ in the year two thousand and six. (2006). Between GEORGE S. DAMS and JANET A. DAMS, his wife, currently of New Cumberland, Cumberland County, Pennsylvania, Grantors, and CAROL K. BAILEY, an unmarried widow, currently of Mechanicsburg, Cumberland County, Pennsylvania, Grantee. WITNESSETH, that in consideration of the sum of ONE and No/100 01.00) DOLLAR, in hand paid, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey all of their current interest as tenants in common to the two tracts hereinbelow described to the said Grantee, her heirs and assigns: TRACT NO. 1 ALL THAT CERTAIN tract or parcel of land situate in Lamar Township, Clinton County, Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point on the southern edge of a fifty (50) foot wide service road along Interstate Route No. 80 (as shorn+n on Pennsylvania Department of Transportation Plan of Route No. 1009, Section 43, Clinton County, Sheet 17 of 82 sheets), now known as Township Route 551, at the western line of lands now or late of Shriver W. Everly; thence along the said Everly (ands, South fifty-one degrees twenty-three minutes thirty- six seconds East (South 51 degrees 23 minutes 36 seconds East) a distance of one thousand three hundred seventy-nine and twenty-six one hundredths (1,379.26) feet to a pile of stones on the northern line of other lands now or late of Kenneth E. Heckman, et a1, thence along other lands of Kenneth E. Heckman, et al, herein and along lands now or late of Claire W. Jones, South forty-five degrees twelve minutes twenty-four seconds West (South 45 degrees 12 minutes 24 seconds West) a distance of one thousand three hundred twenty-eight and twenty-four one hundredths (1,328.24) feet to a point; thence along the same, North forty-one degrees fifty-seven minutes forty-eight seconds West (North 41 degrees 57 minutes 48 seconds West) two hundred eighty-eight and forty-nine one hundredths (288.49) feet to a point; thence along the same, South forty-eight degrees two minutes twelve seconds West (South 48 degrees 2 minutes 12 seconds West) three hundred twenty-nine and ninety-five one hundredths (329.95) feet to a point on the eastern side of Township Route No. 356; thence along the eastern side of said Township Route the following courses and distances; North forty-five degrees fifty-seven minutes forty-eight seconds West (North 45 degrees 57 minutes 48 seconds West) twenty-three and eighty-four one hundredths (23.84) feet to a point; thence by a curve to the right, having a radius of six hundred ninety-six and seventy-eight one hundredths (696.78) feet, the arc distance of two hundred sixty-nine and fifty-five one hundredths (269.55) feet to a point; thence North sixty-six degrees twelve minutes six seconds East (North 66 degrees 12 minutes 6 seconds East) five (5) feet to a point; thence by a curve to the right, having a radius of six hundred ninety-one and seventy-eight one hundredths (691.78) feet, the arc distance of thirty-seven and sixty-two one hundredths (37.62) feet to a point radial to the intersection of Township Route 355 Connection, Township Route 356 and Township Route 551; thence continuing along said curve and along the eastern right-of-way line of Township Route 551, one and tnn+enty-one one hundredths (1.2]) feet to a point; thence along the same, North twenty degrees thirty-seven minutes fourteen seconds West (North 20 degrees 37 minutes 14 seconds West) two hundred twenty-two and fifty-five one hundredths (222.>5) feet to a point; thence by a curve to the left, having a radius of seven hundred forty-one and seventy-eight one hundredths (741.78) feet, the arc distance of twenty-six and twenty-two one hundredths (26.22) feet to a point; thence along the same by the southern side of the aforesaid service road, North sixteen degrees thirty-seven minutes thirty-one seconds East (North 16 degrees 37 minutes 31 seconds East) one hundred forty-three and two one hundredths (143.02) feet to a point; thence by a curve to the left, having a radius of ninety-four (94) feet, the arc distance of twenty-three and 2006 -pt~5 4 6 lc ninety-seven one hundredths (23.97) feet to a point; thence by the same, North three degrees fifty minutes thirty-seven seconds East (North 3 degrees 50 minutes 37 seconds East) two hundred thirty-two and forty-seven one hundredths (232.47) feet to a point; thence by the same by a curve to the right, having a radius of three hundred twenty-nine and twenty-six one hundredths (329.26) feet, the arc distance of one hundred fifty-four and forty-five one hundredths (154.45) feet to a point; thence North thirty degrees forty- three minutes seven seconds East (North 30 degrees 43 minutes 7 seconds East) eight hundred thirty-nine and eighty-two one hundredths (839.82) feet to a point, the place of BEGINNING. CONTAINING thirty-five and four hundred thirty-four thousandths (35.434) acres more or less. SAVING AND EXCEPTING therefrom two (2) certain tracts conveyed on or about the 30~' day of May, 1973 by Kenneth E. Heckman, et al, as follows, to wit: A.) A tract containing twenty and three hundred forty-nine one thousandths (20.349) acres, more or less, to Howard Johnson Company by deed recorded in Deed Book 241, Page 167. Said tract is currently designated as tax parcel #03-01-0073-E. Title is currently held by Alexander Tamerler by virtue of deed recorded in Deed Book 1113, Page 397. B.) A tract containing 57,616.790 square feet or one and three hundred twenty-five thousandths (1.325) acres, more or less, to Texaco, Inc. Subsequently, by several intermediate conveyances, title is currently held by William Dudish by virtue of deed recorded in Deed Book 289, Page 1. Said tract is currently designated as tax parcel #03-01-0073G. AND EXCEPTING LIKEWISE such portion of said tract as may have been included in the Deed of Margaret A. Heckman, Widow, dated, August 4, 1966, and recorded in the Office of the Recorder of Deeds in and for Clinton County in Deed Book 218 at page 7 to Mary E. Kreidler, et vir, and was conveyed out by Mary E. Kreidler, et vir, by Deed dated August 13, 1971, and recorded in the Office of the Recorder of Deeds in and for Clinton County in Deed Book 233 at page 264. AND SAVING AND EXCEPTING IN ADDITION a tract conveyed on or about the 30~' day of May, 1973 by Kenneth E. Heckman, et al, containing one and seventy-nine one hundredths (1.79) acres more or less to Glen Hiller. Said tract is currently designated as tax parcel #03-01-0073-F. Title is currently held by Jeffrey Moore by virtue of deed recorded in Deed Book 290, Page 930. BEING THE SAME PREMISES which Kenneth E. Heckman, Carolyn L. Heckman, his wife, Kenneth G. Bryan and Lois 1 Bryan, his wife, George C. Black and Eunice H. Black, his wife, by deed dated May 30, 1973 and recorded in the Office of the Recorder of Deeds in and for Clinton County, Pennsylvania in Deed Book 241, page 163 granted and conveyed to Ralph S. Bailey and George S. Davis, as tenants in common, each owning an undivided on-half (1/2) interest therein. The said Ralph S. Bailey has since departed this earthly life. The Grantee herein, the said Carol K. Bailey, is his surviving and currently unremarried widow. The purpose of this grant and conveyance is to transfer all of the remaining interest of the said Davises to the said Grantee in her own right and absolutely. TRACT NO. 2 ALL THAT CERTAIN tract or parcel of land situate in Lamar Township, Clinton County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a point in the road one hundred forty-two (142) feet northwesterly from the northeast corner of land now or late of Clair W. Jones; thence along road, North 40 degrees West, one hundred six (106) feet to a point in the road; thence along same, North 52 degrees West, one hundred fifty-two (152) feet to a point in the road; thence along land now or late of the Mary H. Kreidler and Charles Kreidler, her husband, North 31 degrees 40 minutes East, forty-three (43) feet to a point in the run; thence following the run and along other lands now or late of Eugene E. Heckman and Margaret A. Heckman, his wife, South 64 degrees 0 minutes East, two hundred fifty (250) feet to a point in the run; thence along the same, South 31 degrees 40 minutes West, one hundred ten (110) feet, more or less, to a point in the road, the place of BEGINNING. CONTAINING an area of 0.40 acre. EXCEPTING AND RESERVING, therefrom and thereout, all that portion of the above described premises taken for highway purposes, and being more particularly Parcel A, as shown on a Plot Plan of the Commonwealth of Pennsylvania, Department of Highways, of record in the Office of the Recorder of Deeds of Clinton County, Pennsylvania, in Deed Book 218, Page 819, said Parce] A containing .0819 acre, approximately. ALSO SUBJECT TO SUCH PREVIOUS RESERVATIONS OF RECORD AS MAY BE CURRENTLY VALID AND/OR ENFORCEABLE. BEING THE SAME PREMISES which Mary H. Kreidler and Charles Kreidler, her husband, by deed dated August 13, 1971 and recorded in the Office of the Recorder of Deeds in and for Clinton County, Pennsylvania in Deed Book 233, Page 264 granted and conveyed to George S. Davis and Ralph 5. Bailey, as tenants in common, each owning an undivided one-half (1/2) interest therein. The said Ralph S. Bailey has since departed this earthly life. The Grantee herein, the said Carol K. Bailey, is his surviving and currently unremarried widow. The purpose of this grant and conveyance is to transfer all of the remaining interest of the said Davises to the said Grantee in her own right absolutely. TOGETHER WITH ALL and singular the hereditaments and appurtenances thereunto belonging or in anywise appertaining and the reversions and remainders, rents, issues and profits thereof; and all the estate, right, title, interest, property, claim and demand whatsoever of the said Grantors, in law, equity or otherwise of, in, and to the same and every part thereof. TO HAVE AND TO HOLD the above described premises with the appurtenances unto the said Grantee, her heirs and Assigns, forever. AND, the said Grantors hereby covenant and agree that they will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, the said Grantors have hereunto set their hands and seals the day and year first above written. Signed, sealed and delivered in the presence of: ~y9~yL;G(.~ ~ /~/ ~ (SEAL) FOR E . DAMS ~`-~ """ ~l U ~ !i'.. !,~-ic"~ _ C,c_- ~l/ F<--~- (SEAL) JAN A. DAMS CLINTON COUNTY ASSESSMEI OFFICE UPI Registry [WIN~6~[ ~~ nue CLINTON COUNTY ASSESSMENT OFFICE UPI Registry l'7- 0 ~ j,29 UPI N~bat (~~' r'~10(~ r. Det~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. On this, the ~!S day of , A.D. 2006, before me the undersigned officer, personally appeared GEPIRGE S. DAMS and JANET A. DAMS, his wife, known to me, (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public COMMONWEALTH OP ENN5YLVANIA Notarial Seal Charles E. Shields III, Notary Public Monroe Twp., Qmbarland Courriy My Cammlasbn E>~kes June 20, 20DS Abmber, P~nnsylvanta A:moctatbn Of Notaries CERTIFICATE OF RESIDENCE I HEREBY CERTIFY that the precise residence of the Grantee is: ~fsa ~: L.rs,~iurn ~a!, ~/~~~c's6~t/ j, /~ mass Attorney for Grantee `s~ ~...~._ __ _. F~._.____ ..._.~, ~ ~~ ~ i , .... .._._,._ ... _ .. ~"t~-~~~ REALTY TF2APdS~E>!~ TAX COMMONWEALTH OF PENNSYLVANIA ~jT~ry~~~~~~ QF VALUE DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.2B0607 HARRISBURG, PA 17128-D6o7 See Reverse for Instructions G, r' Complete each section and file in duplicate with Recorder of Deeds when (1) the full value/consideration is not set forth in the deed, (2) when the deed is without consideration, or by gift, or (3) a tax exemption is claimed. A Statement of Value is not required if the transfer is wholly exempt from tax based an: (1) family relationship or (2) public utility easement. If more space is Headed, attach additional sheet(s). IJom- r~A c Telephone Number: CrT/T~L~r~ ~ 'S~jya/EL~.s ~j ~.5~' Area Code (~/7 1 7(Q~ "OZ~~ Street Address City State Zip Coda (o C~ousE~2 lc'D_ /1~~C~y,fFNiCSBu~PG ,to,~¢ i~oSs Dale of Acceptance of Document r s ) Gronlor(s)1Lessor(s( G~o~2G~ 5. DA-vr S ~ ~~N~ 7 ,¢. 2>,i4 v( S, kx Grantee(s~/Lessee(s~ e,~ R,o~- k, ~~4 l LF y Street Address S/~ P~2K ,4vE: 5lreet Address ySo F. ~~.r;,Bu2N ~~. City Stale Zip Code City State Zip Code NFrv Cuisl~9~u.,~vr~ P~ /7070 /,~1EtCry~N~cst3y/'G, P~ 1 7osS • e Street Address ,~-~ RrE ~o ~ ~E~y~cE rev. 71~P,2T- ss/ City, Township, Borough f L.~ti1.¢•P ~w•>r~S.~//P (9.90 ~e County School District Tax Porcal Number C~I,NTo/r/ Key A o3 - v1- 0073-> s , Considerotion 1. Actual Cosh 2. Other Consideration 3. Total Consideration 4. Count Assessed Vaiue ~ 5. Common Level Ratio Factor 6. F~r Market Value ~, 980 • °° ~ ~ 2~ a s, 3 ss• z,o ~, 1 a. Amount of Exemption Claimed No~~ I 1 b, Percentage of INaresl Conveyed c, , 1 ,~ a~~ o~ i~ ~~-l ~~L 1 k~ be, nq e r: ~ ,~ 2. Check Appropriate Box Be{ow for Exemption CVaimed ~~ r ~ v ~~u 'rn~wn r r-NlcuiZ6 +•~t ufc~ti~t ^ Will or intestate succession _ {Name of Decedenfi IEstote File Number) ^ Transfer to Industrial Development Agency. ^ Transfer to a trust. (Attach complete copy of trust agreement identifying all beneficiaries.) ^ Transfer between principal and agent. (Attach complete copy of agency/straw party agreement.) ^ Transfers to the Commonwealth, the United States and Instruments{hies by gift, dedication, condemnation or in lieu of condemnation. (If condemnation or in lieu of condemnation, attach copy of resolution.) ^ Transfer from morlgogor to a holder of a mortgage in defauh. Mortgage Book Number _ ,Page Number ^ Corrective or confirmatory deed. (Attach complete copy of the prior deed being corrected or confirmed.) ^ Statutory corporate consolidation, merger or division. (Alfach copy of articles.) ^ Other (Please explain exemption claimed, if other Than listed above.) Under penalties of low, {declare that 1 have examined this Statement, including accompanying information, and to the best of my knowledge and belief, it is true, correct and complete, Signs r of Correspondent or eapanai6le Party Dar• C~ ~- ~~~e~~ ~ ~is~ot FAILURE TO COMPLETE THlS FORM PROPERLY OR ATTACH APPLICABLE DOCUMENTATION MAY RESULT IN THE RECORDER'S REFUSAL TO RECORD THE DEED. REV-1503 EX+ (6-98) . SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER /~,~/L~ y, CAL ~ ~~ gyp- /1 ~/ All property jointly-awned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 /j l~~ ~haKS °>~ L'af~/~2oh S~ek ot~ /+/i.nc~sfrean? Corpor ~{,on. ~Cus/P /Vo. 973/ yv/o ~~ = 1#~,6`f x /, yro .~ .~,. = ~1,~~. ¢~, 8'7 Low ~~ 5~~ eve 113. ZB ~1 p2 . , -?. S?bP.K 8,Q°KF'~.46F .~eeauN ~ .¢T ibtokl,,4N s?~N~'~~ #~ 5~/0 - O~/9 373 OD (a f~ (r) A•meri caH Celo IK~.,;P~w'Ider A 1,3fi9. ~a~ shs. ~ yo,s'8 t 398,37 .= SG, ~2J fl~nerrcah 1n~. ~u>Ta4 `f, 079. r21 sbs. Q~1~,~,3 = fS/~ S/9. 30 ~, /kDNEy /y1~R,eET FutiD ~,?a, S 75~ 7y C. Ace r, -rnf ~ c/• o • ~/. oh Ifenr d . ~G . ~ I ~ . CER ?i~'if",4 T~3 of 7~EAosIT Cr) Westt~"h Bank ot~ pu~o /l.~co ~So, ooo• 00 (~) r~,t..s<~cr. ,~ cl.o.c>/ as zt~~ C') ~~~5. Sz (3J ~e~fe.~5 ~~tk. e~ ~K~i"°a~C' ~ T//~~ro~s ~aSD~ oOD.ao C~J .stit ,¢-eer. ~' d•D.d, n•~ .[-fc,rvt (~3~ ~ (on• Sz See I/alua l~ah Shc ef' ~.~i /ho~an oSfahlGJr Q~zcc1~s~J (if more space is needed, insert additional sheets of the same size) TOTAL (Also enter on line 2, Recapitulation) I ~ ,2 tlla~ /57~ ~9 WIN: Historical Prices for WINDSTREAM CORP -Yahoo! Finance 8(10(09 4'.36 PM YaP~.o' M~~ Yahoo! Mail More Get Yahoo! Toolbar New User? Sign Up Sign In Pielp ~~~L',, F t f~! A Pit ~ E Search WEB SEARCH Dow .{~ 0.34% Nasdaq ~ 0.40°/a Monday, August 10, :?009, 4:36PM ET - U.S. Markets Closed. GST OUOTES Finance Search Windstream Corporation (WIN) At 4:O1PM ET: H.75 io.os ~o.s$°ioy t ~ aM~l~rrr+? Trade nlow ~~ +~ ~ ~ ~ t ~ FREE TRADES r _.._.. ......._._,-....~-.--.~: F-'RHpE Srcurftter ClE Historical Prices SET DATE RANGE ___ '~'; Daily Start Date: Dec ; ~ 15 2008 Eg. 7an 1, 2003 ~ Weekly End Date: Dec ; t 15 2008 `~. Monthly -" ; Dividends Only Get Pn esc First ~ Prev ~ Next ~ Last PRICES Date Open High Low Close Volume Adj Close* 15-Dec-08 8.65 8.87 8.41 8.57 5,545,200 7.86 * Close price adjusted for dividends and splits. First ~ Prev ~ Next ~ Last ~~; Download To Spreadsheet Get Historical Prices for:: GO~' ~~ ADVERTISEMENT :r IS Another Bul( Market Around the Corner? If you have a ~5~©,aOQ portfolio, you should download the latest report by Forges columnist Ken Fisher. In it he tells you where he thinks the stock market is headed and why. This must- read report includes his latest stock market prediction, plus research and analysis you can use ~~ in your portfolio right now. Cli-k i1~r+~ to tt _.. _ __ . _.____ -- ~7~ ,~.~1,11,-~~~c.1 EIYt/E& [NL'Y:S iRE:N 7Y~ http://finance.yahoo.com/q/hp?s=WIN&a=11&b=15&c=2008&d=11&e=15&f=2008&g=d Page 1 of 2 for WINDSTREAM CORP -Yahoo! Finance Add to Portfolio '~' Set Alert =t Email to a Friend Get Historical Prices for Another Symbol: ' ~ GO j ~mbol Lookug Stock Screener • Splits Meraers & Acauisitions Copyright ©2009 Yahoo! Inc. All rights reserved. Privacy Policy -Terms of Service - CoovrighUlP Policy -Send Feedback Quotes delayed, except where indicated otherwise. Delay times are 15 mins for NASDAQ, 20 mins for NYSE and Amex. See also delay times for other exchanges. Historical chart data and daily updates provided by Commodity Systems, Inc. (CSI). 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By accessing the Yahoo! site, you agree not to redistribute the information found I:herein. 8/10/09 4:36 PM http://finance.yahoo.com/q/hp?s=WIN&a=11&b=15&c=2008&d=11&e=15&f=2008&g=d Page 2 of Z ~~9 15:fig h10RGAN STANLEY SMITH BARN Carol Bailey Security Name American Cap fnc Builder A American Income Fund Bank Deposit -Money Market Certificate of Deposits Western Bank CD Leaders Bank CD # of Shares Value a/o 12/15/2008 1389.807 $4D.58 4079.121 $12.63 $22,574.79 Accured Interest $6.11 # of Units Accured interest 500D0 $285.52 -Pays at maturity 500D0 $60.52 -Pays monthly Annuity Hartford Director -Contacted Hartford and they will send the necessary paperwork opt to Pat ~~9 1531 MORGAN STANLEY SMITH BARN Carol Bailey 717 ~~5 6651 P.02 Security Name # of Shares Value a/o 12/15/2008 American Cap tnc Builder A 1389.807 $40.5$ American Income Fund 4079.121 $12.63 Bank Deposit -Money Market $22,574.79 Accured interest $6.11 Certificate of Deposits # of l~nits Accured Interest Western Bank CD 50000 $285.52 -Pays at maturity Leaders Bank CD 50000 $60.52 -Pays monthly Annuity Hartford Director -Contacted Hartford and they will send the necessary paperwork out to Pat REV450B EX • (1-91) y - SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RE5IDENT DECEDENT ESTATE OF FILE NUMBER f3~iL~; C~/loG /~. zl-off _ i2 ~'/ Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. f i3.~o vCr i yOn ~ ~ar~'i 0.) ~~n~ 2. Ye~rizo~l, /~arf.'4/ 1PeFiu~d '3.39 ,,,~ Sfate hard, /ha1`trai f~rtil~iicodi/c ~rrsccr, C~a. '~6~/!0 T~~ ~/Qacock L~'a~e 7-r~sur. ~ Gn~9 %r~ ~~, ~rE,~/K~nd ~/, yyS yl .s' C'as~ ih lva~'/et X7.3 00 G. 0200 Chev}rI Venture 1/an ~~., ooo. o0 ~. P~RSoNA~T~ See i~'~rr-~Ze~ S~teet a-~'~~-~'~e-~ " ~ ~, 6Sa, ao 8, u. s. i.~fE~f-s u ~e y _ F~ /i-/~. TA-x ~,~'u ~,t~ fiS &' & I . a o y ~i~, DEPT oF' RAY, //.VC'. %/fx ~FU.~.ty y / ~ a z . ao TOTAL (Also enter on line 5, Recapitulation) I $ ,~5, a Sf , 7S (If more space is needed, insert additional sheets of the same size) ~s7. or' ~~lC~y C'~-2c~ ,C REV-1509 EX + (1-971 - SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~~~LC7 ~~dL v. FILE NUMBER ~! _O 6_/~ ~/ If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS A. '~a~' B. "tau}man ~'~'D ~as~ ~,;S~t~rn ~oact /YJec-~aniosbu.r~, P~4 ~7osS e. iv1 .,rtccly ~~~eJt LSD EQst ~iSdtern !~t oad h'lecbun-csbur~, PA ~~oss c. JOINTLY-OWNED PROPERTY: RELATIONSHIP TO DECEDENT c~2uy~iLGr cla~hte~ ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY Include name of financial institution and bank account number or similar identifying number. Attach deed for jointly-held real estate. DATE OF DEA7H VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1. A. i i /:z/eb ©RR STOtvnl Q~NK - Ch e~k; ~ ~}-e,~' ~u o , ~ fir; n c; pal f ~ a, ~f 31. sq A,e.cr. ~.,t'. 7, 33 5to~ 438 9aZ 33y~ 3, Lf78. Z9 (See Va ~u4/?'oy /e ~u" a ~'aGh e.c~~ TOTAL (Also enter on line 6, Recapitulation) I $ 13 ~ y 1~, 2 S (If more space is needed, insert additional sheets of the same size) ORR.STO~-TN BANK A Tradition of Excellence January 13, 2009 To: Charles E Shields III 6 Clouser Road Mechanicsburg Pa 170SS From: Traci Yohe Orrstown Bank Customer Service Center PO BOX 2S0 Shippensburg, Pa 17257 Re: Estate of Carol K Bailey Date of death December 1 S, 2008 ~ ~~,~7sy ~~ IT IS HERERBY CERTIFIED THAT THE ABOVE NAMED DECEDENT, ON THE ABOVE DATE, HAD 'THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: CHECKING ACCOUNT Account # Title of Account Date opened Princi al Accrued Interest 149000035 Carol K Bailey 11/22!06 40431.59 7.33 Pat B ~e~ ~ma~-'r °G M Judy~e~r-iQa,+'~ery~~ SA VINGS ACCO UNT U Ai;coui~t # Title of Account Date opened Principal Accrued interest CERTIFICATE OF DEPOSIT Account # Title of Account Date Opened Principal Accrued Interest P.O. Box 250 • Shippensburg, PA 17257 • 717.530.3530 • 717.532.4143 fax REV4510 EX+(1-97~ CQMMONWEA~TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS 8 MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER 8.¢iGE~ C,¢,2oc K. a! - o ~ - tz ~t This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIRREtATIONSNIPTODECEDENTANDTHE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR RFAL ESTATE . DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION ~F APPLICABLE TAXABLE VALUE 1. ?~t¢ Nart~~d~ /9Anui ~~ ~# Flo /il 002 F~a~,rec ; Estate o~ Caro! K. ~~.-~ 1 e.r/ ~~ 4, ! 11. 3.~ 10 0 ~n - O - g.1 ~, 1//. 33 a. t iFF TAE 6lFTS l.~J/Th~iN ~F vie ,4-. C. /3e~kf, /~a~'/e~. , a/.c~cyh~~ ~ /~ooo. oU 10~% ~ 3,ouo•~' NET r~to ~, $Co~ /34cr'lP~, Soil ~l obb.b7 ~ /Do~D 3~~Gb.°" NET 2..~4T10 C. f~w,f %ow~araa, daay~il~tr' ~~/ 000, OD yy /p0/c ,3,000. /VET 2E~Z TuA/Y ~a~%y, ~au~`ifz~' ft, 333, 3~ 1 aofo 3~ oc+o. ~/V~? Z>C2 C , ~`!O/I!!1S /3lti /Cl~, Son // ~ /, ov0, oo O /O ~, tom. °D NET ZA?C ~,•ran c~Cilr~/o,~~e r] , eac~i rr~' // 9,rasra'- C~i ~ /c/r'Gh - ~ 6vAS`i s~a/~a~ f%/ct e d at ` ~/~7 '~ /d7.-~T~ /0090 3~.oa ~~ Z~ G. ~3 en~.ccm~n t~owma,,~, ~ randson. ~ ~7,.SD !Do ~o f .3, ano•~ Nom? 2~ f{, ends '~bwrmrwt ~ ~Irwnddu~ ht~' ~.~~ OOo. oo /oo9v ~,~, ooo.on ~a, aoo• of D TOTAL (Also enter on line 7, Recapitulation) $ Zta, ///. "3`3 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) ~r~ ~~ ~~` SCHEDULE N COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN FUNERAL EKPENSES & ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF ~~r~c~Y C~oG k FILE NUMBER a!-o~ -~~8/ Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t. Iny~rs ~u-ural dome e>~ /Y1e~han~'~s d u ~3,~J y, so a. a /1?Cal tuner l Cwf~rca~ 6 1. ~ J~osT~ Vi~fq ~ 9 S/3/ . 8/ 3 /Yaaki ns, l(f ~.~si%s, ~~c - l~a~oer (r~fa fes '~ ~.3. ~7 , , , ~{. (siq~ria~t /}'lerrwr~'a~S, ~z~rad:ny ~I3.~;D0 S. /t~~ntw/ o~ Znd ~lfay~ ~t (',m/t~caut• i.a Ke ~r 2nd mcnzvr~~a.~ ~ B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions ~ Name of Personal Representative(s) ~I Q/~ ~• ~aWmal'1 ~j ~~Q' DD Social Security Numbers}(EIN Number of Personal Representative(s) _ Street Address SSO E. ~•s 6urn G1d - City m'•-~1~ i CSbk~ _ _ State ~ Zip _~ 70 SS Year(s) Commission Paid: ~ 2. Attorney Fees C k ~, r~ es E . S ~- - e,[ d s 9_(f , ~ 3~ 370 , . ~O 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) ~ Claimant ~4~~. ~oltlhl,GW1 ~~ SQ~. DD ,f~ ~• Lisburn KG~. Street Address SSD ( __ - _ State ~_ Zip X70 SS City ~2Li~GtA'1tCS 6 u,r~ ,/, Relationship of Claimant to Decedent t:,~41t.4 ~11~.1~ 1 /' '~' ~ 4. ~S t SS ttic oT Sort C¢r'1 i 7'~ ~ Probate Fees ((,K~ Ort Qr n a~ (oO. DD 5. Accountant's Fees ~ "~ C~oS¢-oett ~f~/D~ ~:1~ctMeS ~ruZ a~ ~r~t F /~SSOCS- _+l f ~ 6 S, oD 6. , rnerhu~-1.ics6ar~ ,~~. ~ fi'olut• Tax Return Preparers Fees ~ he~rns/~ ~~ , fi $r00.6D ~. ~, ~i h fe ~ '~v ~cq• oil ~/~~S d ~/S, 00 ~. Est ~~ ~/~ ,~~unt ~ y3o, o0 9. ~fi0~1~/ Fu e/ Gas ,~is1~7''/~l,~~GGt ~' rp, ~~-, j1C~ural ~S ~r llea~i~t y o>~ ~ffG~~e Qf ~~~eu~t ~Gk~ prior -f~ c1e/'vef~ u~/ a~~sfrib~t,fi'e~, ~ dcfl~~.'ar:es; TOTAL (Also enter on line 9, Recapitulation) $ 3oJ 90 ~~ [/a, (If more space is needed, insert additional sheets of the same size) /-~ ~ G°rIE~ ~~ ~4 /2Z~~ '~"ST ~~ ~i¢/L~; ~i¢/ZvG K F'!~E Nu. Z/_-a~ -/28/ - - -- __y, ~ ,~. - _ _ _ _ - ___ __ - -- - - _ --- -_ - ~~~ 20 - -~~ - - - __-- - - - __- _ -- _ -- __ -- _ - _ - - - ~s~_6~ - --_ ~- - -- - - _ zzz_S3__-- -- _ _ - _ ____ ___ - _I F-__ _ __. __ -_ _ _ _ _ _ _ _ __ _ _- __ _ _ _ /37 ~.~ - _ ~ ___ __ _ 7s s~/ - -_ _ __- .__ _ _ ---- _ _ ____ -- -- --- -__ _/~,s8----- --- __ - -- - lo. __ ST~'~. f~~y~~r_tl_ /N~S't~c~--- 6iv _ ~oyiYE~~ T _L~.eE_ ~110/~~71T~o_._ _--- - _ ------- ------ - _ __ _--- __--_._ _~~__ - ~O~,DD -- _.. _ - --- - -- /l. _ - PAN ~w~ _ ~~~Ci~~ ~-T ~ti~u r c~,rE f'.no/~~n ry: --_- _- _ - ~ __ - I - -- -_ _ ___ _ _ - - __ ___ - _ -- ~- ,3/ 03 -_ - - ----- -_ ---- _- -- - z sy __ _ - - - ---- ------- c.-- - --- _ -- ----_ --_ _- --- ___---- _- - _-------- --- _ ---_ _ - _- ,0?9 D/ -- _ -------- __ _ -- _ - - - _ ~. __ - - _ __ --- ~S. S~ - - __ -- - ~ _ ~7, 3S - _ __ -_ _- - ____-- G .?s:S7 _ . _ __-_ _-- - -- . -- __ _- _ __ - - ____ _ _ - _ --- - - --- ~/~~_ - _- __ ,~ 98 - - ---./?~ _~ __CD_NNE'~-GtT -G/~KE_ cJT__/j?6l/-~ ~_T/,~o/Z/T s~ _ _ ~ y - _ _ ___ - _ -- - _ _ , ~< -- - 6s - __ _ -- - _ - - -- ,I3. _ - -- - _ ~s- ~ - _ -- ~- - - -__ __ _ _ - -- -- -- _ - _ - --- _ ~.r_.~ _ ___ _ -_ - _ _ - - ~ ~---EU~~~ ~~rFFY /r2, - ~ __ i _- _- ~ /-y. ~,~~R~ s, F~GU,so~v, ~.~x you., s~os~u,~s% ~~° _ - -_ _ - - --. - - - - %~ _-_ ~Sl~oo~_ _ _ 1, 3.5~. ~1 - _ - __ -_ /G • Z/iii iyt~~IJI~¢Ns ~ 7o iuo T/ ~E,- ~ TL E- ~~`n',SfF~ _ - ~~T. Sa /7. G'H~l~ G~E~H~.Q T l'i~X C~o GLFG~ Td.(> L~/.Y A-~ Tiv~ ~Loc.~ .S/i~!/~!!~ ~ ~~ 3 REV-9512 EX+(12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF ~ ~ I `~ Y, n~2oL ,J FILE NUMBER L ~C o2/ "d~ ~ /038/ Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. tir more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) . ~ SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~3,~-~LE~i ~~~~ ~' FILE NUMBER O2l -Od - /~ ~, NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. ~. ~~y ~j~~G~ ~~ rnfer~st" /alledroa .~ ~8/ f~aob ~~~~ R°~i y~r/C~ Pi¢ /75~D3 l~au~/lf'tX Cpf~ a y.5 ~3~~C1 u.~ .5' ~°euee{~l Lang, l,•kst ehesf~-, PA /9380 sc,n ~~~e , Y,5- r:as~ clue 3 /1?. Tkdt, ~./ey ~~ tts ~ d ue P,~ i7os LSD ~ , ~i.s,r~urs~ ~~, ~i°thLtM,I C Sb urq~ ~ her ~f /~~ ~. ~~~an y~ ~~~~ 5SD F ~sda.~n ~r d., /1't e~han ~ c sbu~, I°i4 ~a ugh fe,,r /7os !~to/NoS ~ ~~/Cy y3 ;nf'eres~' la.ke{rc 7/9 ffJ`s6u.~ ti sf•, Sco7`/da/e, P.y /s~~c3 s" ~ ~/ hes ~d u~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 TH ROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II 1. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTR{BUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ Y~ ~n~' ~N~ (It more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF CAROL K. BAILEY I, CAROL K. BAILEY, currently of Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania, being of soruid and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void an}' and all prior Wills and Codicils by me at any time heretofore made. 1. 1 direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. 1 a. I direct that my Executor, before proceeding to a sale of any items of personalty or realty in my Estate, which have not otherwise been bequeathed or devised in this my Last Will or any Codicil hereto, offer a selection of such items to my children. The selection process shall be as follows: Beginning with my eldest child and descending in order to the youngest child, each child may select one item, be it of personalty or realty, as his or her choice. Once each child has made his or her selection, the process shall begin over again, again begirming with the eldest and continuing until all desired items have been selected by any of my children who may be desirous of making a selection or selections. Once this process is completed, a fair appraisal value shall be placed upon each item and that value shall then be assessed against that particular child's residuary share in my estate so as to equalize each child's ultimate share in my Estate. In the event that an item of real estate is selected that exceeds the residuary share of that particular child, he,ishe may take his/her share or part of lus/her share's value and use it as partial payment of the cost of such real estate to my Executor. In no event, however, is my Estate to act as a lender or mortgagee, in whole or in part, for any such purchase of real estate. In the event of any dispute as to the value of any selected item or in the event that my Executor, for any reason whatsoever, deems it wise and prudent under the circumstances, I authorize my Executor to obtain two (~) appraisals from professionals and to average the two (2) to arrive at a fair appraisal price. The selection of the two (2) professional appraisers shall be within the full, absolute, and final discretion of my Executor. 1 b. I an~ currently occupying an "apartment" or "addition" at 550 East Lisburn Road, Mechanicsburg, which was built onto my daughter, PAT B. BOWMAN'S house. I understand that under the laws of Perursytvania that this "apartment" or "addition" has become part and parcel of the title to my said daughter's real estate. So as to avoid any confusion, I make it known hereby that such is in accord v~~ith my wishes. 1 c. I am currently the sole owner of a lake fiont cottage and lot at Sadsbury Township, Crawford County, Pennsylvania. I hereby give and devise said cottage and lot to my herein named three (3) children; to wit: C. BECKY BAILEY SCOTT K. BAILEY THOMAS W. BAILEY in equal shares. In the event any of them should predecease me, then to his or her issue, per sties, as the case may be. In the event any of them should predecease me and not be survived by issue, then to the survivors of them, or the issue thereof, per stir~es, as the case may be. In the event that I have sold the said cottage az1d lot during my lifetime, then I hereby give and bequeath to each of them cone-third (1/3) share of the net proceeds of such sale as show~l on the final settlement sheet. This one-third (1/3) shall be upon the same terms and conditions as herein immediately set forth. It is my wish that all death taxes, fees, commissions and other like charges that would typically be assessed or calculated against the value thereof be paid from the residue of my Estate and. not be assessed against each of the said recipients individually. 2. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath IN EQUAL SHARES to my children, C. BECKY BAILEY", SCOTT K. BAILEY, PAT B. BOWMAN, M. JUDY BAILEY and THOMAS W. BAILEY. If any of my said children predeceases me I give, devise and bequeath his or her share, as the case may be, to his or her issue (including stepchildren) who survive me, per stirpes, or if he or she have no issue, his or her share, as the case may be, is to be added equally to the other said shares. 3. I nominate, constitute and appoint my daughter, PAT B. BOWMAN, Executrix of this my Last yt%ill and Testament. In the event she is unable or unwilling to act as such Executrix, I appoint my daughter, C. BECKY BAILEY, as Executrix in her place and stead. In the event she is unable or unwilling to act as such Executrix, I appoint ORRSTOWN BANK, as Executor in her place and stead. My said Corporate Executor shall be compensated as per its standard fee schedule in effect when services are rendered. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. IN WITNESS WHEREOF, 1 have hereunto set my hand and seal this ~~'1~ day of ~~ , A.D. 2008. CA~ K• B~E7'O~ (SEAL) Signed, sealed, published and declared by the above-named CAROL K. BAILER, as and for her Last Wi11 and Testament, in the presence of us, who at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses.