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09-01-09 (3)
1505607121 " REV-1500 EX (06-05) PA Department of Revenue OFFICIAL USE ONLY County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN Poeox26oso1 2 1 0 9 0 4 3 8 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 8 3 1 2 1 1 6 7 0 4 3 0 2 0 0 9 0 4 0 8 1 9 2 3 Decedent's Last Name Suffix Decedent's First Name MI B E A R R A Y M O N D F (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WIITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW © 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder R¢tum (date of death pnor to 12-13'-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estatie Tax Return Required death after 12-12-82) ® s. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tayc under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. ID) CORRESPONDENT -THIS SEG I ION MUS I tlt GUMYLt I tU. ALL GUKKtSYUNUtNGt ANU GUNtWtN I WL IAx INhUKMA I IVIY',bt1WLU tlt UIKtG I to I V: Name Daytime Telephone'Number R O G E R B I R W I N E S Q U I R E 7 1 7 2 ~i 9 2 3 5 3 Firm Name (If Applicable) I R W I N & M c K N I G H T P- C First line of address 6 0 W E S T P O M F R E T S T R E E T Second line of address City or Post Office State C A R L I S L E P A ZIP Code N ONLY REGIS WILLS U O ~ ~ - ~ ~' m , ::~ -n = , a z'm I ~ ' ; ~, ~~-, -- :• ~Jj ~ C'~ ~ r r ~ ~ _:, ~ . ~ DDATE FILED, O 1 7 0 1 3 Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this return, indudirg accompanying schedules and statements, and to the tr6st of my nowledge and belief, it is true, comsct and complete. Declaration of preparer other than the personal representatnre cs based on all infom~ation of which preparer has tany kn ledge. 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Pa;sanbab 6u1111e a;e~edag n (O alnPa4oS) ' /(~adad a;egad- snoauellaoslyy ~ sia;sued sonl~-~a;ul L ' • 6 S 2 2 '9 • • ~ ' • ' ' Pa;sanbab 6ullilg a;e~edaS ~ (~ alnPa4oS) ~adad paunnO ~(pulo~ 'g C Q E L 2 • 2 D S 6 '[ .5 • • • • • • • (3 alnpayog) ~adad leuos~ad snoauepaosly~ ~ s;!sodas ~ueg `yse0 •g • .b ........................ (d alnPa4oS) algenlaoab sa;oN g sa6e6~oyy •b • 'E ' ' ' ' ' (O alnPa4oS) diys~o;audwd-slog ~o d!ysJau~ed `uoi;e~od~o0 p~aH ~(IasolO 'E .Z .................................. (e alnPa4oS) spuog pue shoo;S 'Z 0 0 •0 0 0 S h '[ . ` ........................................ (b' alnPa4oS) a;e;sa leaZl • ~ NOI1V1f111dV0321 Z 9 'C 2 2 2 E Q 2 214 3 8 ' d Q N O W A V 21 :eweN swapa~ ~agwnN ~unoag leloog s,;uapaoaa X3 0086-/~32i x 222L09SOS'C REV-1500 EX Page 3 Dece+~ent's Complete Address: File Number 21 09 0438 DECEDENTS NAME RAYMOND F. BEAR STREET ADDRESS 836 W. NORTH STREET CITY STATE ztp CARLISLE PA 17013 Tax Payments and Credits: 1• Tax Due (Page 2 Line 19) (1) 9.684.36 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 9.000.00 C. Discount 473.67 Total Credits (A + B + C) (2) 9.473.67 3. InteresUPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (D + E) (3) 0.00 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. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 210.69 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 +5A. This is the BALANCE DUE. (5B) 210.69 Make Check Payable to: REGISTER OF W1LLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROF~RIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred : ................................................................ ...... ^ b. retain the right to designate who shall use the property transferred or its income; ......................... ...... ^ c. retain a reversionary interest; or .......................................................................................... ...... ^ d. receive the promise for life of either payments, benefits or care? ................................................. ...... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................. ...... ^ 3. Did decedent own an "in trust for" or payable upon death bank acx;ount 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 A$ 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 zOro (0) percent p2 P.S. §9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-0ne 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) A SCHEDULE A ~ COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RAYMOND F. BEAR 21 09 0438 All real propeRy owned soley 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 ro which is in owned with ri ht of survivorshi must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 836 W. NORTH STREET, CARLISLE, PENNSYLVANIA 145,000.00 TOTAL (Also enter on line 1, Recapitulation)'~~ S 145 000 00 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) w • COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDlJLE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER RAYMOND F. BEAR 21 09 0438 Indude the proceeds of litigation and the date the proceeds wen: received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PERSONAL PROPERTY -APPRAISAL ATTACHED 9,495.00 2. COINS -APPRAISAL ATTACHED 837.10 3. M8~T BANK -CHECKING ACCOUNT 7,969.36 CHECKING ACCOUNT #9832815410 4. MEMBERS 1ST FEDERAL CREDIT UNION 5.93 REGULAR SAVINGS ACCOUNT #219430-00 5. MEMBERS 1ST FEDERAL CREDIT UNION 388.97 CHECKING ACCOUNT #219430-11 6. MEMBERS 1ST FEDERAL CREDIT UNION 804.81 INVESTMENT SAVINGS ACCOUNT #219430-05 TOTAL (Also enter on line 5, Recapitulation] I S 19,501.17 (If more space is needed, insert additional sheets of the same size) REV-1509 EX + (6-98) • SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RAYMOND F. BEAR 21 09 0438 ff an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. JOANNE L. BEAR i3 C JOINTLY-OWNED PROPERTY: 222 CHANDLER DRIVE WEST CHESTER, PA 19380 DAUGHTER ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1. A. 07/2008 M&T BANK 5,548.56 50. 2,774.28 CERTIFICATE OF DEPOSIT #31003917741778 2. A. 06/2008 M8~T BANK 11,337.41 50. 5,668.71 CERTIFICATE OF DEPOSIT #31003917741794 3. A. 12/2008 MEMBERS 1ST FEDERAL CREDIT UNION 1,179.40 50. 589.70 CERTIFICATE OF DEPOSIT #219430-47 4. A. 12/2008 MEMBERS 1ST FEDERAL CREDIT UNION 2,399.67 50. 1,199.84 CERTIFICATE OF DEPOSIT #219430-48 5. A. 02/2009 MEMBERS 1ST FEDERAL CREDIT UNION 11,591.79 50. 5,795.90 CERTIFICATE OF DEPOSIT #219430-49 6. A. 04/2009 MEMBERS 1ST FEDERAL CREDIT UNION 11,130.76 50. 5,565.38 CERTIFICATE OF DEPOSIT #219430-50 TOTAL (Also enter on line 6, Recapitulation) I S 21 593 81 (If more space is needed, inseR additional sheets of the same size) REV-1510 EX + (&98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY e~ rAi t Ur FILE NUMBER RAYMOND F. BEAR 21 09 0438 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 THENAAIEOFTHE7RNISFEREE,THEIRRELATIDNSHIPTODECEDENTAND THE DATE OFIRWSFER ATTACHACDPYOFTHEDEEDFDRREALESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST EXCLUSION QFAPFLICABLE) TAXABLE VALUE 1. THRIVENT FINANCIAL FOR LUTHERANS 7,805.78 100. 7,805.78 FIXED ANNUITY #3706688 BENEFICIARY: JOANNE L. BEAR 2. ALLSTATE LIFE INSURANCE COMPANY 59,459.16 100. 59,459.16 ANNUITY CONTRACT #GA17245732 BENEFICIARY: JOANNE L. BEAR 3. WESTERN-SOUTHERN LIFE ASSURANCE COMPANY 10,509.34 100. 10,509.34 CONTRACT #W 20603585 TOTAL (Also enter on line 7 Recapitulation) ~ ~ 77 774 28 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (10-06) • COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES 8~ ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER RAYMOND F. BEAR 21 09 0438 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. EWING BROTHERS 2,036.84 2. FUNERAL LUNCHEON 95.34 3. WESTMINSTER CEMETERY -HEADSTONE 190.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Street Address Cry State Zip Year(s) Commission Paid: 2, AttomeyFees IRWIN & McKNIGHT, P.C. 3. Family Exemption: (If decedents address is not the same as claimants, attach explanation) Claimant Street Address ChY State Zip Relationship of Claimant to Decedent 4• Probate Fees REGISTER OF WILLS 10,000.00 302.00 5 AcxountanYs Fees 6. Tax Retum Preparers Fees PATRICIA A. ROSENDALE, CPA 350.00 7. ROY D. GOTTSHALL -APPRAISAL ON PERSONAL PROPERTY 60.00 8. THE SENTINEL -ESTATE NOTICE 187.54 9. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 75.00 10. REGISTER OF WILLS -SHORT CERTIFICATE 4.00 11. HARRY DONSON -APPRAISAL ON COINS 15.00 12. CERTIFIED MAIUPOSTAGE 25.87 13. T. RANDALL ADAMS -LAWN CARE 225.00 14. STEVEN W. BARRETT -APPRAISAL ON REAL ESTATE 325.00 15. REGISTER OF WILLS -FILING FEE 30.00 16. LEBO'S GARAGE -CAR REPAIRS (2003 CHEVY) 529.68 17. SOLLENBERGERS -FEES TO TRANSFER 2003 CHEVY 134.00 18. PENDER VETERINARY CENTRE, LTD. -OFFICE CALL (DECEDENT'S CANINE) 781.96 TOTAL (Also enter on line 9, Recapitulation) S 15.806.82 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent RAYMOND F. BEAR 21 09 0438 Decedent's Name Page 1 File Number Schedule H -Funeral Expenses & Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 19. ANIMAL INN -DOG GROOMING (DECEDENT'S CANINE) 84.80 20. FEE TO DISMANTLE CLOCK 40.00 21. STATE FARM INSURANCE -CAR INSURANCE ON VEHICLE 314.69 SUBTOTAL SCHEDULE H-B7 I 439.49 REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER RAYMOND F. BEAR 21 09 0438 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. EMBARQ -TELEPHONE 360.31 2. SMITH RADIOLOGY -MEDICAL 1.70 3. SPRING ROAD FAMILY PRACTICE -MEDICAL 60.48 4. CARLISLE BOROUGH -REAL ESTATE TAXES 1,294.34 5. PENN NATIONAL INSURANCE -HOMEOWNERS INSURANCE 627.00 6. SARAH TODD NURSING HOME -NURSING 5,771.26 7. PP&L -ELECTRIC 236.79 8. WEST SHORE EMS -AMBULANCE 96.06 9. YORK WASTE TRASH -TRASH 45.45 10. CUMBERLAND GOOD-WILL FIRE RESCUE -AMBULANCE 13.66 11. NORTH MIDDLETON TOWNSHIP - WATER/SEWER 164.60 12. MILLENIUM PHARMACY -MEDICAL 29.55 13. EXPRESS SCRIPTS -MEDICAL 38.00 14. KOUGH OIL -HEATING OIL 199.62 15. CARDIOLOGY DIAGNOSTICS -MEDICAL 3.54 TOTAL (Also enter on line 10, Recapitulation) ~ S (If more space is needed, insert additional sheets of the same size) REY-1513 EX + (9-00) SCHEDULE J ,COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE FILE NUMBER RAYMON D F. BEAR 21 09 0438 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llst Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [indude ou ' ht sppoousal distributions, and transfers under Sec. 9116 (~a (1.2)] 1. JOANNE L. BEAR Lineal 215,208.07 222 CHANDLER DRIVE WEST CHESTER, PA 19380 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. GRACE UNITED METHODIST CHURCH OF CARLISLE 23,912.01 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Z 23 912.01 (If more space is needed, insert additional sheets of the same size) __ . J ` Q -,.. c~ -'_ `. GO ~ ?2'' LAST WILL AND TESTAMENT ~-~ ~; ~ `~ ---^ =:,:::. _; G ~- ~,-, C-~ ~ ~ ~ N ~ ~ 7~ I, RAYMOND F. BEAR, of North Middleton Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my Executrix to pay all of my debts, funeral and administratiWe expenses as soon as maybe done conveniently after my decease. 2. I authorize and empower my Executrix to sell any realty owned by me at my death, and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I give, devise and bequeath all of my estate of every nature and wherever situate as follows: (a) 10% to GRACE UNITED METHODIST CHURCH of Carlisle Pennsylvania; aid (b) 90% to my daughter, JOANNE L. BEAR. 4. I nominate and appoint JOANNE L. BEAR to be the Executrix of this my Last Will and Testament; she is to serve as such without bond. 1 AC8IVOWLEDGEMENT A_NDAFFIDAVIT WE, RAYMOND F. BEAR, SHARON L. SCHWALM and MARTHA',L. NOEL, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as a witness and that to tl~e best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. `^ RAYMOND F. BEAR ~~ SHARON L. SCHWAL11li . %~~~~ MARTHA L. NOEL COMMONWEALTH OF PENNSYLVANIA : • SS: COUNTY OF CUMBERLAND ; Subscribed,; sworn ,.to and acknowledged before me by RAYMOND F. BEAR, the testator, and subscribed and sworn to before me by SHARON L. SCHWALM aped MARTHA L. NOEL, witnesses, this s "- day of February, 2003. ~J . .ry Public rvotartal Seal ~. Irwin, Notary public Coro, Cumberland Coca lt~itln Oct. 3, 2 S. W. t3anett Reel Esfabe ~ Appraisal Services ree no. APPRAISAL OF LOCATED AT: 838 West North Sheet Carlisle, PA 17013 CLIENT: Irwin b McKnight BO West Pomfiet Street Carflsle, PA 17013 AS OF: April 30, 2009 BY: Cassandra J. Crockett PA Certified Residentlal RBI Fatale Appraiser ` S. W. Barnett Real Estate d< Appraisal Services rye 05/28/2008 Irwin 8 McKnight 80 West Pomirot Street Carlhile, PA 17013 File Number: 090247 In accordance with your request, I have appraised the real property at: 836 West North Street Carlble, PA 17013 The purpose of this appraisal is to develop an opinion of the defined value of the subject property, as improved. The property rights appraised are the fee simple interest in the site and improvements. In my opinion, the defined value of the property as of April 30, 2009 is: s145,o00 One Hundred Forty-Five Thousand Dollare The attached report contains the description, analysis and supportive data for the conclusions, final opinion of value, descriptive photographs, assignment conditions and appropriate certification. Respecdully submitted, Casaandre J. Crockett PA Csrtlfled Reaidenflal Real Estate Appraiser r Summary Residential Appraisal Report Fua Na. 09.0247 The purpose d Nis appraisal report is to provide the dientwih a credNle opinbn d the detrled value d the subject property, given Ne irtsnded use d the appraisal. CierdNarrtelblterldedUsar Irwin 3 MCKni ht E-mai CtiemAddress BO West Pomfret Street ~ Carlbls Stale PA ~ 17013 Addmorel Irderded use s The irltsndsd user of this r< is the Client No additlonel Intended Users are rmtlted wi the rmission of the a Ise s . baended use The Intended Use is to evaluate the ro that is the sub act of this a reisal to rovide the Client with an accurete and oats su rted o nion of value. P Addre~ 836 West North Street C Carlisle smle PA 17013 OwnerdPUbicRecordBear ondF. Cott Cumberland n Deed Book 264• Pa 1008 Assessors Parcel # 29-20-1784-015 Tax veer 08109 R.E. Taxes S 1 7 .00 Name North Middleton T Reference 20-1794 Cercersrred 0119.b1 Pr R hts rated X Fee Si LeesehoW Other describe research did X dfd not reveal for sales or handers d Ne su br tlb Nree r m dte estvske dale d Nis I. Prig SeldTrartstar: Date 10/25/2002 Price 1 s Courthouse records Anelyss d prior sale or bander history d Ne subject Property (and comparable sales r apptkable) No further retreat recorded iransfere were fo nd. tNledrgs optlorts and txmbacts as d Ne efkcdve dale dNe appraisal Norse known LWieh60Flraad dMtaCtNbtlCa - On-UnK'llauatnetmre. '; OM~UIIf<110rrllrrg ;. LsadUSS%::; LoCeaar Urban X Subrrbart Rural VaNxs I X Stable Dedirl PRICE AGE One- 73 % BuiFU X Over 75% 25.75% Under 2591 Oenterldl5u X In Balance Over Su 2.4 Unit 0 % Gtovdh R b X SteMe Sbw Time Under 3 mNs X 3-d rrers Over 8 mNs 120 Low New Mua~ 2 % Neignbanood Boundaries Su hl bounded on the north Pa.Tum ke• on the etut 280 n 100 10 % Carlisle Boro h• on fhe south Rt841• and on the west McClures Ga Road. 160 Pres. 50 Otlter 11ac/Im 15 % Neignbahood Desuipdon Sub ro is located inane ndin area of sin k hml homes both detached and had ad cent to the Boro h of Carlble. Sho and other amenities are within welkin or short dlivi dhlfance. hoot tan is Carlisle Dhttrict and school coin xis within .25 mile. BMSA 42-3240. Madcet Condidae (ktdudinp support for Ne above corlcNrsbrts) Pro values are curve stable In the su ro s market rsa. local multldist data indfr:abes an avers marketin time of 80-180 .Economic trends and lends retss have rem insd favorable afthou h sak9s concpsions are occurs moro .There are new homes under construction i surround) dsvelo erlts as well as re-sales available in the nei hborhood. amensions 80 x 240 Area 0.44 Acre NI/L Rattan user view Res al zon Cle%iicedon R-1 Zoe ' n Suburban Residential Zan' X Norxxxrbrm Grarxlletltered Use NO desalts Is the highest and best use of Ne subject property as improved (a as proposed Par Plans and speciicedorts) Ne present use? X Yes No d No, describe. Utllftles Publk OtlKr dsacriM Pubik ONsr deaCribs Ofl-aiblm ems- LirWb lNivate E X 200 Am wafer X Sbe~ Ae K X ~ ~ serer X To rear X sire cammerns There are no a rent adverse easemerlfs encroschmenls or other adverse conditions. GENERAL DESCRIPTION units X one One WAOC. urit FOUNDATION Conaele Slab Crawl E%7ERIOR DESCRIRiTIOPI . mefeffels'- Fourtdetlon wets BklcklAv .NTERgR ,nM~ries Fbas /Ca A s a series One X wp Basemem Partlal Basemara Exarior wets Brick/A watts A r X DeL Ad. s-oeuEnduni IiaxmemArea 1015 .t. Roofsmfece Shi kt/Av TrnruFtnish Av Pr UnderConet BaaarrteMFirtish 0% Guttars~ Aluminum/A BMhFbor Ti A-G 1 Sto X outside Sum Pu Vifxttlow DbIHn Av BaN Wainsa TI A-G Year Brra 1955 Basement Slam SaBlVtetrbled 8toma/A Car None Ellecdve rs 15-20 Srseens Yes/Av X l1oPCars 2 Attic None X FwA Hw Rad1eM Artrertiies s # Safece ncrete a Stair X Stabs gher Fue10i1 X F s# Fence X ~o1~Cars 2 X Fbor Srstee X CentralAi PetldDeck X Porch Enclose SoPCars Finished Healed IndNiduel Olhar Pod Odtar A1L X BrdFin rata X Dishwasher Miaawave Washer Otlrer describe Finished area above ads cemairrs 4 Rooms 2 Bedrooms 1 1 015 Feetof Gross ~ ~ ' Area Atgve Grade Additional Famres See Attached Addendum comments on the lmprogemenLS Im vemerlts are in avere conditlon with no ices or funt:Uonal ins uacies a ~,s„~y,s,,, neaAeauHq~a~r.._eooaaern.w,a~eme rn.amcaywyeesosma~adwaaaoarn rc. rnrrw.,.e Iv'~-t ~aiws vmpow nnoraar~ss won tarsooe gvmxral:ru~pomnppra~salrepw2 tM l??7bXd ADDENDUM Client Irwin 8 McKnight File No ~ 09-0247 Property Address: 836 Weat North Street Case No.: SUMMARY REPORT City: Carlisle State: PA Zip: 77013 Additional Features Heating system, central air, electric service recently up-dated/replaced; 2nd floor is unflnfshed attlc storage except for awalk-in cedar closet ~ top of stairs; hardwood on first floor, carpet in living room, vinyl the in kitehen/dining area, ceramic the in bath; partial basement with earth floor under detached garege [24 x 26]; enclosed pon:h; frame shed [72 x 16]. AOtlentlum Pape 1 of t Summary Residerrtial Appraisal Report wa Na. 09-02as FEATURE SUBJECT COMPARABLE SALE N0.1 COMPARABLE SALE N0.2 COAIPARAB SALE N0.3 836 West North Street Address Cartisle 17013 803 West North Street Carlble 17013 914 West NoAh Street 712 Belvedere Street Carlisle 17013 Cartbls 17013 P ' ' to Su ~ 0.10 MI E 0.19 MI W 1.2 MI SSE sale Price S S 147 000 S 160 000 S 160 000 sale PrioaC,rossLiv. Area E 0.00 . ft S 137.77 . ft ' s 128.87 . ft S 119.05 . ft Dam s verificatlort Spu s MLS/Courlhouse RecoMs MLB/COUrlhouse Records MLS/Courfho Records VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION - s DESCRIPTION - s DESCRIPTION - s sale or Financing Conce~ons FHA/CC=3000 DOM 182 -3,000 None, Conv DOM 243 None, FHA DOM 5 Date msaie/rYne 5109 5/09 9108 Locetion Suburban Suburban Suburban Suburban LeeselaldlFOe s' s Fee 81m le Fee Sim le Fee Sim le Fee Sim e sae Lot/Av .44 Lot/Av .1 4000 Lot/Av 2500 Lot/Av .3 0 view Residetrtlal Residential Residetrtlal Rssitisntlal n 1 Sto 1 Sto 1 Sto 1 of Coristructlott Avers Avere Avers Avers Acetal 54 Yre 54 Yre 47 Yre 37 Yre Condaon Avere su rtor 576 -7 350 Avers Avere Above Grade rar erne rar erne rar eeea rar urns Rotan Coum 4 2 1 5 2 1 6 3 1 5 3 1 F2H '' -000 Gres ' ~ Area30.00 1 015 . ft 1067 . R -1 560 1232 . ft $ 510 1344 -9 870 BasememaFhiislted RaomsBebwGrede Full esmt/ Untinhrhed Full Bemt/ Fami Room -3500 Full Bsmtl UrMinished Full Bsmt/ Untinhihed wrtcdonel 2 Bedroom 2 Bedroom Su or -2 000 Su rior -2 000 OFHAJCA OFHA/CA OFHA/CA GFHAlCA E Efitieralmrns T cal T iC81 T ical T iCal PorchlPadolOeck 2 Car Gate a Enclsd.Porchl 08P Porch/8hedlFP 10 000 -1000 2 Car Gare Cvrd.Patio/FP 2 Car Gan 2000 Enclsd.Ptxch/ -2 000 FP/Shtrd Fenced Yard Porch/2 FP'sl Fenced Yard Net ~ + X - E 2 410 + X - S 4 010 + X - p 15 870 AdpisledSekPrice d ofseles o~It All COm sales and are the bast curre ava Net Adj. -1.6% Gros 20.7% E 144 580 rebles are similar in alit a ilable. Sale ilh had been rstxrd NetAdj. -2.5% Net Adj. -9.9% 13os 8.1 % S 156 990 Gras 9.9% 144130 nd locatlon t0 the su ro are ve dosed l remodelsd/u . Ad usted ren a of vai is 1 000 to 156 000. ~OOSTAPPROACHTOVAWE - sheva~ue canmems site value from current assessment data and recent local land sales. .ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SrtE VALUE ........................................ = S 45 000 Soerce of cost dam Dwea . FL S ............ = S from cost service Effective dale of cost dam . FL S ............ = S Conrlterlls on Cost ros area txlcu etc. Cost ch from MarehalUBsAR Valwtlon Service . Ft s ............ = E handbook and lost cost ana b was considered but deemed not credible due to the a of the im ements. raml Esanele m cost-New ............ = S Les P wrtcdonal E,aemal Bite value from Market Data. cation based on ife = 5 observed condition and Market Data Ana is. Estlmated Cost of ms ................................ = s remainin Economic LFfe is 40-45 re. •AS-lsvttMteof ere ................................ = s INDICATED VALUE BY COST APPROACH ...................... = S ' N/A INCOaE#PPROACX TO VALUE. Esdnmled Momh MarkM RemE N!A X Gros Rem NIA = S N/A Indicemd Value Income roach Summery of Income Approach (h~ckrdrtg MrOPat for market rem entl GRM) N/A Mnhodaane wsem X SalesCOm yon Coet Income OIMr: Disa~on of methods and rdniques empbyed, ktckrding reason br eexluding an approach n value: Cost h was Considered but not credible due to the a of the im ements. income ch not relevant to current use as a si le farm reel nce. Reconcriedon commerns: Market Ana is eonshtb su its m o pion Of market value. Cast roach and GRM tNe found ins ro ab for this a Is. Greatest wei ht hl a led to the Market Oats Ana ht. 8u lib fnfotmatlon substantiates these estimates. Bead an the scope ofwork, assumptions, Wnitlng candtlions and apprafaer's eartlBpgore, my (our) opinion of the daaresd value ofthe real property that b the wbjeetarthis raportas of 04/30/2009 , while b the efrxtltre datr aftlUs appralsN, y: Q Singk paint S 145 000 Range i to S ~ Gr~Oerthan ~ Lass tltaee S This appreisel is made X "as is," subject b cempledon per pmrts and specificedons on the lresis of a hYPMhedcel cordidon tlmt the i ^ subjep m the folorrMg repairs or aaeretbns on are basis of a hypodtetlcel condYbn Mu sre mprovertieras have been ~~~ repairs or aeeredons have been ampbytl ~ subjett ro the arcaeYlg: (sP~+"'I Gemnt Ponder tersest a u ~'~r°~P°5e1Na'"„a~~~~ 8.W. BatTett Reel Estate 8 Appraisal Services Foe ~• i)s-ou7 Scope of Work, Assumptions and Limiting Conditions Soops of vrork b defined In dre Uniform Sundards of ProlessiorW Apprabal Praetlca af'the type and axterdof research and analyses in an assignment." In shat,st:opeofwafcissimpywhutltsappraberdidanddwnotdodtaYrgtlreoorrsedthsassignnrerrt hkrdudes,butisnot fimieed b: the extentto vvhbh dee property b identified and inspscted,lhs type surd sxOeM of data researched, the type and tof analyses appfied b ardve at opinions a oandusions. The scope of tltis appraisal and ensuing dhwssion M tltk reporters apeefikbtlfe meads ofthe client, otlter kfentMsd intended users and tithe inbndedusedthereprxt ThbrapatwaspreparsdforlhesoleandexdushrouseoftlrecientandetlrsridentllfsdinterMsduserstarthekkndfied irrterrdad use and its use hY ~Y Wha- P~ b prohibited. The apprakiar b rat rssporrsfble for uraudrori:ad ass of the repot The apprahars certification appwbg M this appraisal rapartis subjectb thafollowing coredkions and beach other specific oonditlons as aro setfathbytMapprabarintieereport Afiextraordinaryassumptlonsandhypotlntlcaleondiyonsareshoedintlrsreportandmightlunreaf~e~tedthe assignmsntresub. 1. The appraiser assumes no responsibtNy to matlers of a legal natxe afkctlrq the Property appraised a title thereto, nor does the appraiser render arty opbion u m the title. which a assumed n be good and marketable. The property is appraised as dough under responsible owrtershp. 2. Arry sketch b mis report may show approximaEe dimensbns and is ktckxfed ony m assbt the reader b vistreAzing the property. The eppreiser has made no saucy of tlhe property. 3. The appraiser is nor required m give tesWrany a appear b court because W hevirg made the approtral wth reference m the property m questlon, unless arrengemeras have been previousy meDe therein. 4. tleimer aN, nor arty part of the cement of tlds report, copy a other media tltereof (kxilyding oonduslas es b the property value, the klentily of the appraiser, professional designators, a the firm wim which the appraiser is , shell be used fa any purposes by anyone but the cAem and otlrn inkrrded uses as identified b tltis report, rar shag rt be conveyed by anyone m the pudic mraugh edvertisrq. Public relations, news, sales, a otlter media, wtllad the writlen txxsent of the appraiser. 5. The appraiser will nor disclose the centerlts d mis appraisal report unless required by appWxble law a as spedted b the Uniform 5'tanderds of Prokssiorral Appraisal Practice. 6. Irdorme6on, estimmes, and opinions famished b the apprader, and cemained b the report, were obtakred ken sources considered retable and bekeved m be titre andi correct Flowever, no responsibitty mr acaxaey of such (Gems famished m the appraiser is assumed by the appraiser. 7. The appraiser assumes that (here are ra hidden or unapparem caldtlbns of the properAr, subsoil, a smxsaes, which woum render i[ more a less vakmble. The appraiser assumes ra respasbitly br such ooaltbns, a br ergbeerbg or Bestirq, which might be required m dlscever arch fectore. This appreissl is nor an erwkarmerlfel assessment of the properly end steam not be considered as such. B. The appraiser spedelizes b the vakretion of real properly end is rrM a home bspecta, buWirrp cerarecbr, SbIICM81 errgbeer, a simter expert, unless otlerwise rgBetl. The appraiser did not condlxd the irderrsive type of ibld ODSErVatlorl3Of the Idrld kllended b seek and discever property defers. The Viewkig dtlle properly end arty mrprovesrems IS for purposes Of devebpirrg an option of the defined vakre or the property, given the intended rse ottlds assgranem statemems regardYq canOmar are based on sudece observadors anry. The appraiser deims no spatial acperdse repardkq isares krdudinp, but not Nrrtisd m: laaldatlorr settlerrrent, besemem nalsture probkrts, wood ~stroyklp (a otlreq inseas; Pest bksmtion, radon gas, leaf based petit mdd a emrironmenml issues. Urlmss otherwise kldice0ed, medrenkel systems were not ectlvated or teskd. This appraisal report should nor be used m disebse the condition of the property as k relines m the presencelabsertce d debcs. The clam is irwiled and encouraged m employ quafded experts m bspect and address areas of cencem. tl negetlve condmors ere discovered. the opbbn m value may be afk~c0ed. Unless atlrarwise noted. the appraber assumes the components tiratcarrstlbutetix sub)edpreparty baprovemangs) are hmdamarrt•ly sound and it vvorking ceder. Arty viewing of the property by the appraiser was tmisd m readdy obssrveMe areas. UMess othemtse nomd, atlks and aawl space areas were notaocessed. The appraiser dm not nave lumture, floor coverings or otlter items tltaz may restrict the vieaktg of the property. 9. Appraisals imroNing hypotlletical certdtiars related m compledorl of new canskttctiorl, repeks a iteration are based on the asaxrlptlon that such comPktion, al~aon a repairs wit be competently perbmred. ]A. Unless the intended use of this appraisal specfAcety irtckrdes issues of property hsurerae coverage, this appraisal slatrm not be used br such purposes. Reprodretiom or Replacemem cost fqures Ised b the cost approach are br vekretbn purposes ony, given the bBended use of the sssignmem The Delbition of Value used b This assigrunCrN is untlrey m be consistent wth the debtlion of Insurable Vekre for Property imurarrce mverapehse. ]1 The ACI General Purpose AppraisM RapoR(CiPARTM) is rrotkrearrded for use M /ransactlona fhatrsquire a Fannk Mee ]A041Fteddie Mae 70 form, also known as the Uniform Residential Apprakal Report(URAt~• Additional Commems Relamd To Scope Of Work, Assumptlons end t.knitlng t.orr~tlons n ganp~alnu^pouappraisal:'q~w~[ • ' Fie No. 09-0247 Appraiser's Certification The appraiser(s) eardees that, oo the bestof the appraiser's knowledge and beBef: 1. The statements of fact cemained in this report are true and correct 2. The reported analyses, opinions, and certdusions are IirYSd ony by the reported risstanptiorts and knitlng cenditlons and are the eppreiser's personal, impaNel, and unbiased professional anayses, opinions, and conclusions. 3. Unless otlrervdse stated tls appraiser has rp presern or prospective irnerest in the property drat is the subject of this report and has no personal irrsrestxddt respeclb th parties involved. 4. The appraiser has no bias wide respect to tls property tlrat is ds subjecl of Ih6 report or m the parties irrwhied wish this awgrimern. s. The appraisers engagemern in mis assgnmerdwas trot contingent upon devebping or reportkip predesrmiied restds. 6. The appraisers cempertsation (or completirp tlds assipnmem is rte tDrttlrtgent upon the devebpmern a reportlng of a predetermhred value a daectiori b value dst favas the carr3e of the dent. dre amours of ds value opinion, die atsinmern of a stlpulesd restd4 or the arxarerice of a subst~rrertt evern directly related b the itsnded use of dtis appre'sid. 7. The appraisers anayses, opwtbns, and rbraiusbnswere devebped, acrd tliis report has been prepared, in cenfonnity vdtlt the Uniform SsrMerds of Profe~ional Appraisal Practice. 6. Unless odrerwise noted. dre appraiser has made a personal atspection of tlu!properly drat is the subject of This report 9. Unsss noted below, rq one provided sgnacent real Property eppreisel assissrrce b ds appraiser spninp tltis certltlcetion. Sipnificerd real ProPaH aPP~ assissnce provided by: AddfUOnslCertlBcsdons: neartitlonofValue: QMarketVahre ^OtlverValue: source rn Defnition: USPAP The most probable price in terms of money which a property shtwld bring in a competitive arM open market tmtler all conditions requisite to a fair sale, the buyer and seller, each actlng prudently, knowledgeably and asstrrrting the price is not affected by undue stimulus. ADDRESS OF THE PROPERTY APPRAISED: 836 West North Street Carlisle. PA 17013 EFFECTIVE DATE OF THE APPRAISAL: April 30.2009 APPRAISED VALUE OF THE SUBJECT PROPERTY S 145.000 APPRAISFJt SUPERVISORY APPRAISER SipnaWre: ~ Sgrreture: ~..'~~ `~ Herne: Cassandra J. Crockett Home: Steven W Barrett. SRPA. SRA. ASA sss Certltlcatbn # RL001348L State Certacetlon # OA000288L or License u «uceree # RB028921A «Odrer (desaibe): Sate t:: Sss: PA State: PA F~iretiort Dale of Certidcation or License: 06/30!2011 Eryiretion Dap of CeNticetion or Liceme: 06/30/2011 Dale of Sipneaae: 05/28!2009 Dos of Siprreture and ReporC OS/Z812009 Fete of Property Vkwirtp: Date of Property vatwtng: 04/30/2009 ~~ of arty viewirg: Degree of properly viewitp: ^ Insda and Exterior ^E>aedor ony ~ ow ~ ~r~agl, tei,, ^ IMarior and 6aeri« ^2reedor Ony QX Did not personaly view n. noaraurnr~ar~ afsurnw.utlwnmm ro.renncaygro:crsao~awr,n~aooir.r uc.NRa~pmsw.wa. (eP~"7 Grneiel Pupate cvuaal osanan 9~."°~°s..~.a~~,~ S.W. Barrett Real Estate 8<Appreisal Services ' SKETCH/AREA TABLE ADDENDUM i Cils tb F99 ND OY-0b17 Addrsec 856 YYrt Nsrlh Sbl6t CarNsle Couiy Cumberland Sets PA Zfp 77015 Bartowar F..aEAR I.anda-/Ciart kwin i Md4dOht L/C Address aD YYast Pomhat Strret APPralss- Nerve Appr Address 8.C -~-- 101ohsn Ba0r Errclaaad Badman b ui Porch ~ ' a usin0 Rom, Badman 5s.a scm.: t=1o AREA CALCULATIONS SUMMARY Cods Dsaip0on Else Totals aei11 rirat rioor 1ola.oo lois.oo r/r maloaa ror~ 120.00 120.00 TOTAL ENABLE (rounded 1015 LMNG AREA BREAKDOWN Brsslmown asr¢lohls rirat door 29.0 : 3a.0 1015.00 1 Area Total (rounded) 1015 ~rocso~vM~smmswse ~tm,~,h f r FRONT VIEW OF SUBJECT PROPERTY Appraised Date: May 8, 2009 Appraised Value: $ REAR VIEW OF SUBJECT PROPERTY STREET SCENE COMPARABLE PROPERTY PHOTO ADDENDUM COMPARABLE SALE #1 803 tallest North Street Carlble 17013 Sale Date: 6109 Sale Price: $ 747,000 COMPARABLE SALE #$ 914 YYest North Street Carlisle 17013 Sale Date: 6/09 Sale Price: $160,000 COMPARABLE SALE #3 712 Bshredsre Street Carlhik 17013 Sale Date: a/o8 Sale Price: $160,000 a N N ao co co CU1 !~ O o0 ~. 0 0 o 0 1 0 D ~. 0 0 ~ O O o° O O O O O o O o 0 OD o O o O ° ~ o ^ 0 0 0 241.00 240.00 0.28gc. 240.00 O .p. D 0 240.00 0 A D n 240.00 0.22 Ac. 240.0 240.00 0.22gC. 240.00 0.22AC. 24o nn 0.22AC. <D m as O v ~ o ~ o° ~ H 0 0 0 • o I V CtI O O 125. vri 0 0 m 0 0 ~ o w o ~ O y 125.53 N --~ c c A 0 0 125.00 v 0 o° 125.00 LOCATION MAP Nreperetl by Steven W. Barrett RE. Appr. SYc. (717)2436646 IL1. =yflddr~ia .-~:. S 836 N NortA St 4 2 1 1015 0.00 !Q 1 803 N NorLA St 5/09 147000 5 2 1 1067 0.10 !!I E 2 914 N llostA St S/09 160000 6 3 1 1232 0.19 MI N 3 712 B~iv~drrra St 9/08 160000 5 3 1/2 1344 1.2 MI SSE ~'"''""~*"*' QUALIFICATIONS *"'""""*"* The following checked items aro SPECIFIC SPECIAL CONDITIONS That were iderKified by this appreiser during the inspection of tie subject property, the comparobies sales, and ttwir noighborhoods and locations. Unless otMrwise noted, the conditions that apply to tfie subject property or the comparable salty wed DO NOT AFFECT THE MARKET VALUE OR THE FUTURE MARKETABILITY OF THE SUBJECT PROPERTY BEING APPRAISED. Thb is not a home inspection service. This is an appraisal to sstlmate market value. _1. The subject b located in a rural area and is less than 25% built-up. _ x_2. Commercial/Indwtrial uses are located wHhin the sub)ecYs neighborhood. Those uses are typical of similar neighborhoods. _x_3. Vacant and undeveloped land uses are located within tiN subject's neighborhood. These uses aro typical for the area. 4. The predominant valor in the neighborhood is less than that of the market valor of the subject property. This is due to the very wide range of value of properties in the area and superior gwtity of the subject property. _5. The subject property is located in a F.E.M.A. Identified Flood Zone. Flood insurance coverage is regpired and suggested. _B. l)ampneas is noted in the basement of the subject Standing or running water was not present on tataement floor. This condition is considered typical in dwellings of this style. _7. The subject property is serviced by private well and/or septic sysbms which is common for the area. x 8. The subject is older than tive(5) yeare. All mechaMcal systems Including the heatlng, electrical and plumbing systems appear upon a viawl exterior inspection to be in working order. No wartanties aro implied in this skatement. _9. Repair items were noted fn the comments section of the report. These comments on repair items are for descriptive purposes only and are not required repaire. The Items listed are cwmetic in nature. _70. The basement floor is a dirt floor. This condWon is common and typical for the area. and does not pose a health or safety hazaM. _11. The subject properly does contain functional obsolescence es noted in the report. This condition b considered typical and common for the area and this style dwelling. _12. The land velw exeeeda 3076 of total velw dw to the high demand for vacant land in this neighborhood. This condition fs considered common and typical for the neighborhood. _73. The land velw exceeds 30% of total valor. This is dw to the Iar~ sine of the site. This condition is considered to be typical and common. _74. Indivldwl adjustments were required that exceed 1576. These adjustmenta were required dw to leek of more similar comparebles on that individwl rating. All comparebles wed are the best available. _15. Total adjustments exceed 25X. This is dw to the lack of comparable sales that were more similar in tlw subject's market area. All comparoblea used ere the beat available. x 16. One or more comparable sales are older than six(8) montlu. Atihough there are comparable propertiees in the subjects area, none have sold recently; therefore, sales in excess of aix(8) months have to be used. All corrlpareblss wed are the best available. x_17. One or more comparebles wed wero in excess of one (1) mile from the subject properly. Aflhough ttNre are compareble properties in the immediate area, none have sold rocerrtiy. Thereforo, it was necessary to we compareble sales outside of tiw immediate eras. All comparebles used are located in similar rreighbofioods and within tiie same marketing area. All compareblea wed are the best availabN. _18. The electrical system was not wnnscted during inspection. _19. The water service was not connected during inspection. _20. The heating system was shut doom during inspection. _21. Roofing-Plumbing_Electrical_Heating_certifigtion(s) is/aro suggested. _22. Inground swimming pool_~ out buildings are included .not inGuded_according to Nnder's guidelines. _23. According to lender's guidelines a maximum of acres wero cowidsred for this velwtion. Remaining acreage was given no valor. **`***""" QUALIFICATIONS *''**'"**"* _24. The subject properly hz located on a private road. _25. Wood infestation inspection is suggested. _x 26. Last recorded deed transfer. Date 10/25/2002 . Corrsidsration: 51.00 _27. Proposed corrstructioNrenovation in accordance to plans and spsciRcations to be comple6ed in a werlonan-like manner. _28. Seller is paying part or all of closing costs. x_29. All compareble sales are verified closed sales. x_30. There are no special conditions or other requirements that would affect market value or future marketability in the Appraisal Report ""'*""'•* QUALIFICATIONS *""*"*'"''"` CorMiderKislity and Security Policy We consider privacy to be fundamerrtl to our relationship with client. We are committed to mairrtaining the confiderrtlality, integrity and security of cllerrt' personal irrformatlon. Intmal policies have been developed to protect this corrfiderrtiality, while allowing client needs to be sawed. We restrict access to personal information to authorized indlvidwb who need tD know this information to c.~mply with federal stndards to protect your nonpublk psrsonsl information. We do not disclose this information you or any former consumere or customers to anyone, except as permitted by law. The law permit w to share thi# information witfi our affiliates. The Iaw also permits w to share this information with companies that perform marketing. When we share nonpublic information referred to above, the information b made available for limitd purposes and under controlled cireumstrrces. We require third parties to comply wNh our standards for security and confientiality. We do not permit we of consumer/cwtomer irrformatlon for any other purpose nor do we permit third partials to rerh, sell, trade or otherwise release or disclose information to arty other party. Education As of the date of this report, I andlor Steven W. Barnett, SRPA, SRA, ASA have completed fhe requirement under the continuing education progrem of the Appraisal Instihrte. ~ //~~~ at ' ~ 4 r ~~~/ .~~> __ __ __ ~ ____ ___ _ _ _ ~a . ___ ~~. _ _. _ _ _ /1 ,~ _- __ --. _ _ _ ___. __ - __- -- - _ /a ___ __ __ _ _ ______ __ __ _~_ __--._ _ ~..~r /~ ~_ _ _ _. _____ ____ r .. __ -_ _ - _ ___ ,~ ~~;. -- ----- ~ ~ •~ ` l~ti ~ ~ --*-- ~ ~ ~ CIi ~ ~' ~ , I ` ~ I' ~ ' l0 • • C 1 I i O ~ O O O i t ~ ~ j ~ ~ ~ ~ ~ ~~ `~ iE 9E 1 I ~~ ~' ~ ~ i I ~ t -~- ~ ~ ~ ~ ~ ~ I i ~ ~ ~ ~ ~ ~ ~ ~ ~j i ` ~ ^~ ~ ,~ ~i ~~ C ~ .~ 9~I ! ,~ ~ J j ~~~C ,!, ~ ~+ i ' i i i I I ~~ i, ; ,'1" . ~ ~ ! ~ ~ s I ~1 1 !\ ~q+,~ j J i ~ ` ~ A° f ~ ; '~ 3 /~~ ' _'" ~ ~!fi \\ i I ~I ~, ~ .~ ~ ~ °~ ~ ~ °~ Q d e ~! ~ RAYMOND BEAR ESTATE ' d/o/d -APRIL 30, 2009 Appraisal by: Harry E. Donson 243-8943 CARLISLE COIN SHOP 25 Circle Drive ~ ~ ~ ~ Carlisle, PA 17013 ~ ~'c~-~~ ~ ~ ,~ ~ ~~r~ e y ~ .~.~ c~ ~ ~o v 9 ~ ~ y-c. Q i~ ~ - ~ ~ ~ ~ ~ ~~ ~ L1 '~ ._--, 3 3 `'~ z~ ~~ rD~ ~ ~~,,~ s s ~ ~~ a, Z~ ~~4 ~ _~~~fr~ ~~~~~~s u~ti ~g ~ -~, !J °~'S •r~~ 7 ,j ~ YJ I b1 'e 5~ 1~, ~~.!"~'~~ S ~ ,... ~ iC 9 i ~J-~-~ 'l `l , ~ ~ ~ ~2 5 ~©G(.1v'S ~~ ~ c ~ n 7'S -``~" ~ '~' r j,+ - tiu'av ~31 3~ ~ / y~ _.. f- __ • ' ~\ ~~ ~o9°v ~.~1 ~~~~ ors ~~~ ~A~o ~~ ~4a ~~ L~ /~~ .~. .1 ~ -- ~ ® .----. s ~ `~~~ ~ ~ - 7'~ Z-i ~ 3 ~- ~- js' d'" ~~ 7,. ~' ~`~~ ~~ C ~~ • i.~iQLi ~~~~Aliil _... 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302)934-2955 May 11, 2009 Law Offices Irwin & McKnight, P.C. West Pomfret Professional Building 60 West Pomfret Street Carlisle Penns lvania 17013-3222 `~-~ `~ '" ~~ ~~ q't~ ~' ~ Y ~~>~~mtl ~~ + ~. i?yii!!'~ ~: PicFtA!iG-!-~ Re: Estate o~ Ravmond F. Bear '' ~~'`~ (~~~~r~ l Social Security: 183-12-1167 Date of Death: April 30. 2009 Dear Sir or Madam: Per yow inquiry dated May 7, 2009, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type ofAccount Checking Account Account Number 9832815410 Ownership (Names o~ Raymond FBear* Opening Date 10/17/02 Closed 5/8/09 Balance on Date of Death $ 7,969.21 Accrued Interest $ 0.15 Total -- ------------------------------ - ---------------------------------------- $ 7,969.36 2. Type ofAccount Certificate of Deposit Account Number 31003917741778 Ownership (Names on Raymond F Bear* Joanne L Bear* Opening Date 7/3/08 Balance on Date of Death $ S, 419.79 Accrued Interest $ 128.77 Total ----------------------------- $ 5,548.56 _~ 3. Type of Account Certificate of Deposit Account Number 31003917741794 Ownership (Names o,~ RaymondFBear* Joanne L Bear* Opening Date 6/19/08 Balance on Date of Death $11,000.00 Accrued Interest $ 337.41 Total --------------------------------- $11,337.41 4. Type of Account Safe Deposit Box Box Number/Location 0003716/High Street- Carlisle Ownership (Names o,~ Raymond FBear* Betty L Bear, Co-owner Opening Date S/12/98 * If upon reviewing the information above, you believe there are additional accounts not referenceld, please provide us with an account number and/or name of any possible joint account holder. For any additional in~'ormation on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, etic., please contact our High Street Carlisle Office # 717-240-4536. Sincerely, Tracie Hare Adjustment Services MEMBERS 1st FHDERAL CREDTT i7NION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 218430-00 Date Account Established 06/19/2002 Principal Balance at Date of Death $5.93 Accrued Interest to Date of Death $.00 Total Prinapal and Accrued Interest to Date of Death $5.93 Interest Eamed 01/01/2009 - 03/31/2009 $.93 Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 219430-11 Date Acx:ount Established 06/19/2002 Principal Balance at Date of Death $388.97 Accrued Interest to Date of Death $.00 Total Principal and Accrued Interest to Date of Death $388.97 Interest Eamed 01/01/2009 - 03/31/2009 $.00 Name of Joint Owner None INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix 219430-05 Date Account Established 01/23/2008 Principal Balance at Date of Death $804.71 Accrued Interest to Date of Death $.10 Total Principal and Accrued Interest to Date of Death $804.81 Interest Eamed 01/01/2009 - 03/31/2009 $25.96 Name of Joint Owner None CERTIFICATES OF DEPOSIT: Account Number/Suffer 218430-47 219430-48 Date Acxount Established 12/09/2008* 12/10/2008"* Principal Balance at Date of Death $1,175.64 $2,392.01 Accrued Interest to Date of Death $3.76 $7.66 Total Principal and Accrued Interest to Date of Death $1,179.40 $2,399.67 Interest Eamed 01/01/2009 - 03/31/2009 $11.60 $23.62 Name of Joint Owner Joanne Bear Joanne Bear Date Joint Ownership Established 12/09/2008 12/10/2008 *Rollover from certificate 219430-40, originally established 12/10/2004 . '"Rollover from certificate 219430-41 , originally established 12110/2004. CERTIFICATES OF DEPOSIT: Acx:ount Number/Suffuc 219430-49 219430-50 Date Account Established 02/09/2009* 04/27/2009** Principal Balance at Date of Death $11,561.48 $11,128.41 Accrued Interest to Date of Death $30.31 $2.35 Total Principal and Accrued Interest to Date of Death $11,591.79 $11,130.76 Interest Earned 01/01/2009 - 03/31/2009 $53.12 $.00 Name of Joint Owner Joanne Bear Joanne Bear Date Joint Ownership Established 02/09/2009 04/27/2009 *Purchased by transfer of funds from 219430-00. **Rollover from certificate 219430-45, originally established 5/27/2008. i~~ MAC 15 200 ~RWIN & N1cltNiGN i ~'t/J DFFiCES BERS~1~ F~R~ C IT UNIOI4 Danielle A. Kline l1lU~,~ Insurance Services Specialist May 13, 2009 Estate of: RAYMOND F. BEAR Date of Death: April 30, 2009 Social Security Number: 183-12-1187 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org ~. vur u i r r.uvo iuu lY, GJ 1'fL~ 1 l l JUGIIUU !llt"1Vtillb rlllii111c;1d1 ~ y ~ Tf~r~vent Financial for Lutherians~ Death Benefit Information flece ~ UU6/ UV l Flxod Annu'dy Contract: 2706688 ased_ Raymond F Bear Date of D•ath:' 0/30/2009 Date Preparedf 05/07/2009 Claim Numbcra 427216 Dcath Benefit Lost basis $ 3,500.00 Taxable Gain $ 4.305.78 Total 1l9ffih Benefit $ 7,8U5.78 Beneficiary Dealgnation Rase c::overage: Proceeds w81 be paid to Joanne L Bear,10117 Oakton Terrace Rd. Oaktion, VA, 22124, clbUd, if surviving; otherwise to the estate of the owner. Special Messages 1. IMPORTANT TAX REQUIREMENTS: Each benefiaary will be subject to federal inoorne tax withholding far their share of the taxable pain. Each benefiaary needs to complete the substitute W-A P section on the Claimant's Statement. If NO withholding is do3ircd, the feat aeetipn in the substitule W-4P should be checked. If the bPnc~tlalary r)nFS want whhhnkiincJ, the appropriate erection should be cornplotcd. 2. To assist the hPneliiciary in FPIE!rring a ciiarriEa~mon mBthod, you should refer to Non-qualified Tax Chart No. 3. This chart can be printed from f ieldNet, Products i4 Martcetinq, Know Your Product, Annuities, Claims, Ueath I ax (:harts. N I MMRNaTn~ nN Twis1 v~r~c qt orR R~I'TEPNAL U4E ONLY. Page 3 of d rlP~~~c~t's Cl~stamPr ICI: 501964542 _.. _.. _ __ __ _ _ _ T vurvi; r.uu~ iuu lY.GG P1L'1 I11JUL11UU tlli'1VdllL rllldllCldl r ~Thrivent Finanval for Luthenanr 800 THg1NENT (600_gt7~g;~ . ~~ thriventmm Facsimile I~JUUI!UUL ~" Fax nuru~trr :~wirney Rotrer Irwla 1-YI'/=149-63.14 From (name and esignation) Phone Fax number Miahr-ei Ca1laShcr, FIC 717~50Z-1100 717-SOZ-1119 7iUt: Gate P'inaunal c:onsult9nt 05/A7/OA /lddreea iCity utate ZIP code 101 S. tU5 Iligtnvay ig, swtc B bills4urg PA 17019 Problerrls with this transmittal, ea11 Phone umber of pages i c utling cover Kay Stare, Odlce Professitmal 71702-1 I00 Z ^^~•~ -•, •••• n•pw.. ~~w uuiu AJrGeAEI VSLagtcCr. T7ticul~ yuu, iGay Btonc Office Professional 5ont6 Gatral PA Gronp 717-502-1100 /nsuronae and natlnrnent products, where atailable, are inofvidud contracts (»o! yrouE, wvr~«ya) wry uDcrenJ Gy 7/uivrnl ft~arui~J fur l.u8irrnra, Appretnn, vn o4yi9-tNWt.1VNf: IVaL5:i8~S6014. Aroducxs lssu9d by 7iuiaetlf finencia! follutt~ rtr s ans available W aQplipnls tl~ho meet membership, MeureblYty, U.S eRhanahJp end rcoidrnoy raquir+emcnfs. Not oY pradude dw~ptibed ere avartabk in aH ahdas. Rr~arhr!s Ans ~'!~ Mun~kly 7'hrivianf lnvesbrt4vd Mane[xmenr lne. 625 Fourth Auo. S, Minneepo~s, MN 5.rgr 7 rr1665, a wholly awned eubsi0iary of 7hrivsntFtinancial IE1- Lrrfherafis: Member F1NRA. Member S1PC. ~~ ~ !e and lust ~ ~ Mu~avsh Thrlvont FbianeFaf aart/IG ZDOt7 ~ Nr~eatbne Dry App/etcn, YN SrB~s-Ono6 ryNember rplC~ ~ ~ ~~~/, a wn abslbfary o/ nrrtvcnr Flnanrlaf for t.uncerarrs. lrreerrrnaer lnwsbnen! pred9vob, aewrfrlea, frns6 and lrvcafinent n>irwy,e,ne..[ savvirxs •rrd acwwrfar art trot dopeslts, ari c not 1'DfC lnsend, an nor p-sure0 OYaf11 roaenf poYefptaMt aflenrsG andare eo! yuaranked by 7rirhrorcr R/esrrlsf Aamr. vanaha a,sn~aroe cortracty /nvcsrmcnrp/oeNtets, seceritiea, buss; arrdinveslnenrnrariayromontatrormis maygo dvNm in valor: These faxed documents are IcYanded for the uie of the addressee and maY wn4yn P-I~+bOetl or confidtactiel iilformatl0n ff you ale, not the addressee, you may cwt Dopy or aisviouie tie documerns, uiYess auatartzca fo ao so ov me aaorccsee. R you reoen~.w this tax In error. Dlease ql1 us "nn+o~arY ~ ortanae for tFw rstum of fhaee faxod dewmonte. 20113 R4-08 r Allstate Life Insurance Company P.O. Box 94212 Palatine, IL 60094-4212 Telephone: (877) 499-6418 Facsimile: (866) 635-4523 ~'~~~ You're in good hands. May 14, 2009 Kathleen Nissley Invest Financial Corp. 1166 Walnut Bottom Road Carlisle, PA 17015 Re: Raymond F. Bear Contract No: GA17245732 Dear Mrs. Nissley: We received a request to complete IRS Form 712 for the above referenced contract. The purpose of Form 712 is to provide an estate or donor with the value of a life insurance contract or its proceeds as of a certain date (usually the owner's date of death or date of transfer of the contract). Because this contract is an annuity, it is not reportable on IRS Form 712. I can, howe+rer, provide the following information for estate purposes: Date of Death: Apri130, 2009 Annuity Value as of Date of Death: $ 59,459.16* Cost Basis: $ 50,000.00 Named Beneficiary: Joanne L. Bear *The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender Charges. If you have any questions, please contact me at 1-877-499-6418 Ext. 86553. Sincerely, Jacklin Saro Sr. Claim Examiner Western-Southern Life Assurance Company Single Premium Deferred Annuity sso ' - • • ' Prepared on 12/08/2008 Owner BEAR RAYMOND F 836 W North ST Carlisle PA 17013-1743 Page 1 of 1 Western-Southern Life appreciates your business. Annuitant BEAR RAYMOND F Contract Number W 20603585 Contract Date 12/06/2001 Contract Type NON-QUALIFIED * * * INFORMATION ABOUT YOUR CONTRACT _ > Total interest earned during any contract year will be impacted by any withdrawals, including systematic withdrawals, from the contract during that year. For example, if you select the systematic withdrawal plan, the interest you receive will be less than the amount indicated by the effective annual interest rate because interest is being paid out rather than accumulated. SUMMARY OF ACTIVITY 12/072007 through 12/062008 Beginning Contract Value $ 10,034.41 plus Interest Credited" 356.21 less Systematic Withdrawals .00 Partial Withdrawals ~ .00 Surrender Charges ~ .00 Ending Contract Value 10,390.62 Surrender Value'""` 10,110.07 ~\ ~~ The effective annual interest rate for the contract year indicated above was 3.55% and is 3.70% for the current year. The Pacesetter guarantees interest rates each year for two 5-year periods. You ane currently in the second 5-year guarantee period and the interest rate will again increase by .15%. Thee minimum guaranteed interest rate in years 11 and later is 3.00%. ~` Amount available after deducting any applicable charges 'rf you cancel vour contract. For further information about your PACESETTER Annuity contract, including interest rates, contact your sales representative or call Annuity Operations. ANNUITY OPERATIONS Western-Southern Life Assurance Company PO Box 2918 Cincinnati, Ohio 45201-2918 1$00-926-1702 Customer Service Hours: Monday -Thursday, 8 a.m. to 6 p.m., Eastern time Friday, 8 a.m. to 5 p.m., Eastern time •1W8LOOK7• 517 f • f May 12, 2009 Joanne L. Bear 10117 Oakton Terrace Road Oakton, VA 22124 Ewing Brothers Funeral Home, Inc. 630 South Hanover Street Carlisle, PA 17013- (717)243-2421 The Funeral Service for Raymond F. Bear We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff , $4650.00 FUNERAL HOME SERVICE CHARGES $4650.00 SELECTED MERCHANDISE: Batesville SS Blue Praying Hands , $3275.00 #5 OBC American, $1395.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $9320.00 Cash Advances Newspaper Notices -Patriot, $201.92 Clergy/Mass Offering $200.00 ~~ Certified Copies of the Death Certificate , ~ $60.00 Flowers, $132.50 The Sentinel Obit , $117.42 TOTAL CASH ADVANCES AND SPECIAL CHARGES . $711.84 Total Total Cost , $10031.84 SUB-TOTAL $10031.84 / ~~~~~/~.~~ INITIAL PAYMENT /DISCOUNT /CREDITS 7913.57 ~ ~ t p~ TOTAL AMOUNT DUE $ 8.27 ~f• The un aid balan a er 0 da s is sub' cte t ° ~ ~~• p c ov 3 y ~e d o a 1.50 /o service charge per month - 18.0000 % per annum. Jp e ~e f!aaa ~ !" +LX.t~f'QN'~9 ~~/7/J~P/i Cf1~ O /S~ C. ~~ c~J ~ °o ~?,l~~.d'~' ~~ ®~~- may- ~~~~~P~ N~ • t Statement United Church of Christ Homes Sarah A. Todd Memorial Home 1000 West South Street Carlisle, PA 17013 Statement Date: 04/09/2009 Joanne Bear 10117 Oakton Terrace Road Oakton, VA 22124 Due Date: 04/25/20'09 Re: Raymond F Bear Account Nr: 102000 -------------------------------------------------------------------------------- Date Description Days Rate Charges Payments Balance Quant -------------------------------------------------------------------------------- - BALANCE FORWARD. 10,404.50.' 03/28/09 PAYMENT ~ 1.0,404.50 03/26/09 Beauty & Barber 1.00 12.00. 12.00 - 03/31%09 Cable Television 1.00 19.50 19:50 03/31/09 COINSURANCE BILLED 133.50 267.00-' 03/31/09 Incontinence Suppli 1.00 47.52 47.52 03/31/09 Personal Supplies 1.00 29.66 29.66 ~' - 03/31/09 Medical Supplies 1.00 59.91 59.91f 04/01/09 Room & Board - Semi 30 238.00 7,140.00 ~ d e~ ~~ '7~3 ~~~~ ~0 9 ~.~~~t . 10,404.50 .00 12.00 31.50 298.50 346.02 375.68 435.59 7,575.59 NOTE: *****.PAYMENT fiS DUE UPON RECEIPT ***** BUT NO_LATER THAN THE:`25TH OF THE MONTH ***** Please remit the LAST AMOUNT printed on •your..statemerit. Include the ACCT# from the statement on the MEMO LINE of your_check. Payments after 04/03/09 do nat reflect on statement. NOTE: ** LATE PAYMENTS ARE SUBJECT TO A 1.25$ I;ATE CHARGE PER MONTH ** A $10.00 FEE WILL BE CHARGED for RETURNED CHECKS ** f w ~ i PE~IVDEF ~JETERINARY CENTRE, LTD. The E--~ergency Veterinary Clinic of Fair Oaks 4001 Legato Road -Fairfax, Virginia 22033 (703) 591-3304 'Joanne Bear 10117 Oakton Terrace Rd Oakton VA 22124 Phone: (703)255-0583 ~~~e ~ Patient: TEDDY Species: CANINE Breed: Cocker, American Color: Buff Doctor: Jody Clarke, DVM Account: 16854 Invoice: 595820 Date: 06/15/2009 Time: 1102 Page: 1 Age: 10 ~ Sex: MN Tag: Weight: 27.60 ~ I Service/item Qty Price Amount Office Call 1.00 13.00 13.00 Exam, Medical Progress 1.00 43.00 43.00 Fecal -Colon Cytology 1.00 40.00 40.00 Lab Request 1.00 0.00 0.00 CALLBACK 48 HOURS 1.00 0.00 0.00 _' _~ PellitolOintment 1.00 24.50 ~ Tax 0.00 Net Invoice 120.50 Previous Balance 0.00 Payment visa 120.50 Balance Due 0.00 Reminders: Aug. 22, 2009 Rabies 3-Year Aug. 23, 2009 DHPPC Booster 3-Year Feb. 4, 2010 Bordetella/Dog Intranasal #2/B June 1, 2010 Fecal -Complete - The Emergency Veterinary Clinic of Fair Oaks is a department of Pender Veterinary Centre, Ltd. For your convenience, you can order therapeutic diets, most prescription refills, and flea, tick, and heartworm preventatives directly from our secure website. Order at WWW.PENDERVET.COM. _.. __-.- _- _ ______ ..._ __ _ __._.. .. ___ __ ._ . __ Thank You _ ___ __ Please call the clinic in 3 days for any lab results, or in 7 days for any biopsy results. Thank you. . . r '~ Ser'~ices in Progress PENDER VETERINARY CENTRE, LTD. Joanne Bear Account: 16854 Date: 06/01 /2009 Patient: TEDDY Page: 1 Date Service/Item qty Price Amount 06/01/2009 Office Call 1.00 13.00 13.00 06/01/2009 0333Exam 2 -Prof. Service 1.00 55.00 55.00 06/01/2009 Medical Waste Disposal 1.00 3.00 3.00 06/01/2009 Anal Sac Express 1.00 24.00 24.00 06/01/2009 Ear Smear & Cytology 1.00 38.00 38.00 06/01/2009 Fecal -Complete 1.00 68.00 68.00 06/01/2009 Lab Request 1.00 0.00 0.00 06/01/2009 CALLBACK 48 HOURS 1.00 0.00 0.00 06/01/2009 Superchem / CBC / T4 IH DX 1.00 138.00 138.00 06/01/2009 Lab Request 1.00 0.00 0.00 06/01/2009 Urinalysis -Complete DX 1.00 43.00 43.00 06/01/2009 Lab Request 1.00 0.00 0.00 06/01/2009 Interceptor 26-50# 12 dose 1.00 68.50 68.50 06/01/2009 Frontline Plus -Dogs 23-44# 1.00 T 74.99 74.99 06/01/2009 Otomax 30 gm 1.00 46.50 06/01/2009 Forti Flora - K9 (entire box) 1.00 T 40.00 06/01/2009 Metronidazole 250 mg 30.00 13.50 06/01/2009 Two week recheck appointment 1.00 0.00 0.00 Tax 5.75 Net Total 631.24