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HomeMy WebLinkAbout01-20-10J REV-1500 1505607120 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN Po Box.2soso~ 21 0 9 0 0 511 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 186248410 05192009 10301930 Decedent's Last Name Suffix Decedent's First Name MI OTT ARTHUR D (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa, Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death after 12-12-82) 8. Decedent Died Testate ^ ~. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes ® (Attach Copy of wlq (Attach Copy of Trust) ^ 9. Litigation Proceeds Received CORRESPONDENT -THIS SECTION MUST 1nVame HAMILTON C DAVIS Firm Name (If Applicable) ZULLINGER DAVIS, 1 p. Spousal Pove~Credit (date of death ^ 11, Election to tax under Sec. 9113(A) ^ between 121- 1 and i-1-95) (Attach SCh. O) BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Daytime Telephone Number 7175325713 P C REGISTER OF WILLS USE ONLY First line of address 20 EAST BURD STREET, SUITE 6 Second line of address City or Post Office SHIPPENSBURG State ZIP Code PA 17257 r,a ~`', -r~ ~ r o _ 1 . J ~ c__. ~ , ~, ; `~ -,.: .. ~ DAT>r`F1CED~ --~ - ~,1 - t'}. .. --..t Correspondent'se-mail address: HCD@hamiltondavislaw.com Under penalties of perjury, I deGare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge. STEPHEN A. OTT 1608 LIBERTY DRIVE, CHAMBERSBURG, PA 17201 SIGNATU,~ OF PREPARER OTHER THAN REPRESENTATIVE DATE --~%~ ~~,~ ~ ~ ~---- Hamilton CDavis // 1 ~ / ~. o I v 20 East Burd Street, Suite 6, Shippensburg, PA 17257 Side 1 1505607120 1505607120 1505607220 REV-1500 EX Decedent's Social Security Number oeceeenes Name: OTT , ARTHUR D . 18 6 2 4 8 410 RECAPITULATION 1. Real Estate (Schedule A) .......................................................................................... 1. 6 7, 0 0 0. 0 0 2. Stocks and Bonds (Schedule B) ............................................................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3. 4. 5• 6. 7. 8. Mortgages & Notes Receivable (Schedule D) .......................................................... Cash, Bank De osits & Miscellaneous Personal Pro e p p rty (Schedule E) ................ Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. Total Gross Assets (total Lines 1-7) ....................................................................... 4. 5. 6. 7. 8. 7 2 5 4 . 9 9 r 4, 2 5 4. 9 9 9. Funeral Expenses 8 Administrative Costs (Schedule H) ......................................... 9. 14 , 7 7 6 . 3 8 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 2 , 4 5 7 . 2 0 11. Total Deductions (total Lines 9 & 10) ...................................................................... 11. 17 , 2 3 3 . 5 8 12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. 5 7 , 0 2 1 . 4 1 13, Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ................................................. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ................................................. 14. 5 7 , 0 2 1 . 4 1 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 .00 15. 16. Amount of Line 14 taxable at lineal rate x .045 5 7, 0 21.41 16• 2, 5 6 5. 9 6 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. Tax Due ..................................................................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505607220 1505607220 2,565.96 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 09 - 00511 OTT, ARTHUR D. STREET ADDRESS 214 HIGH STREET CITY SHIPPENSBURG STATE PA ZIP 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2,565.96 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 0.0 0 3. Interest/Penalty if applicable p, Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 2 565.96 A, Enter the interest on the tax due. (5A) B, Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 2 , 5 6 5.9 6 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.................................................................................. ^ 0 b. retain the right to designate who shall use the property transferred or its income :.................................... ^ ^x c. retain a reversionary interest; or .................................................................................................................. ^ d. receive the promise for life of either payments, benefits or care? .............................................................. ^ ^x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... ^ 0 3. Did decedent own an "intrust for* or payable upon death bank account or security at his or her death?......... ^ Ox 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 p2 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 p2 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) p2 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE FILE NUMBER ESTATE OF OTT, ARTHUR D. 21 - 09 - 00511 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 wilting 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. NUM ER ( DESCRIPTION (VALUEDA~T DHTE OF 1 214 HIGH STREET, SHIPPENSBURG, PA 17257 (SEE ATTACHED SETTLEMENT SHEET). SOLD TO AN UNRELATED THIRD PARTY AT ARM'S LENGHT PRICE AND TERMS. SALE NECESSARY TO SETTLE ESTATE. SEE SCHEDULE H FOR NECESSARY AND ORNINARY EXPENSES OF SALE. 67, 000.00 TOTAL (Also enter on Line 1, Recapitulation) ~ 67,000.00 SCHEDULE E CASH, BANK DEPOSITS, 8~ MISC. COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY INHERRANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF OTT, ARTHUR D. 21 - 09 - 00511 Include the pproceeds 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 DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 ORRSTOWN BANK CHECKING ACCOUNT NO. 619590 5,947.63 2 ORRSTOWN BANK SAVINGS ACCOUNT NO. 734411 307.36 3 I MISCELLANEOUS PERSONAL PROPERTY AND PERSONAL EFFECTS 1, 000.00 ~ TOTAL (Also enter on Line 5, Recapitulation) ~ 7,254.99 SCFEDULE H COMMONWEALTH OF PENNSYLVANIA wr~~ ~../~~..1~ INHERRANCE TAX RETURN r,~.^IN I IW~ RESIDENT DECEDENT , w , , v~ , , - FILE NUMBER ESTATE OF OTT, ARTHUR D. 21 - 09 - 00511 Debts of decedent must be reported on Schedule I. ITEM j NUMBER FUNERAL EXPENSES: DESCRIPTION ~ AMOUNT A. 1 FOGELSANGER - BRICKER FUNERAL HOME, INC. I 8,584.00 B. 1 ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 2. 3. City State Zip Year(s) Commission paid Attorney's Fees HAMILTON C. DAVIS, ESQUIRE Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 4. 5. 6. 7. 1 Street Address City State Zip Relationship of Claimant to Decedent Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs THE NEWS CHRONICLE -LEGAL ADVERTISING 3,250.00 205.00 121.25 TOTAL (Also enter on line 9, Recapitulation) 14,776.38 ~ Schedule H Funeral E~er~ses & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ~~ ~~ (~ RESIDENT DECEDENT ESTATE OF OTT, ARTHUR D. FILE NUMBER 21 - 09 - 00511 2 i CUMBERLAND COUNTY LEGAL JOURNAL -LEGAL ADVERTISING i 75.00 I 3 ~ AUSHERMAN BROTHERS -REAL ESTATE APPRAISAL 300.00 I 4 ~ A&A ABSTRACT COMPANY -TITLE SEARCH j 119.00 3 1 5 REAL ESTATE SETTLEMENT EXPENSES. IT WAS NECESSARY TO LIQUIDATE 865.61 THIS ASSET FOR THE BENEFIT OF SETTLING THE ESTATE (NOT FOR THE j BENEFIT OF THE BENEFICIARIES) j I 6 2009 - 2010 SCHOOL REAL ESTATE TAXES TO BARRY L. NEGLEY, TAX ~ 545.85 COLLECTOR 7 2009 COUNTY AND TOWNSHIP REAL ESTATE TAXES TO BARRY L. NEGLEY, TAX COLLECTOR 8 I FINAL CLOSING COSTS 210.67 500.00 Page 2 of Schedule H ~ SCHEDULEI DEBTS OF DECEDENT, MORTGAGE CONWIONWEALTH OF PENNSYLVANIA LIABILITIES & LIENS INHERRANCE TAX RETURN f RESIDENT DECEDENT FILE NUMBER ESTATE OF OTT, ARTHUR D. 21 - 09 - 00511 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 ORRSTOWN BANK UNSECURED LINE OF CREDIT 1,230.00 2 EMBARQ 51.26 3 IESI TRASH REMOVAL 595.00 4 PENELEC 102.50 5 CENTRAL PENN GAS 69.90 6 CFJMA 157.50 7 BOROUGH OF SHIPPENSBURG 74.69 8 LOWE'S CREDIT CARD 148.35 9 ORRSTOWN BANK -CHECK ORDER 28.00 ~ TOTAL (Also enter on Line 10, Recapitulation) ~ 2,457.20 REV-1613 EX+ (9.00) SCHEDULE) COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER OTT ARTHUR D. 21 - 09 - 00511 I RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER I NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not Lis! Trustee(s) I. TAXABLE DISTRIBUTIONS [include outright spousal distributions and transfers under Sec. X116 (a) (1.2)] 1 SUE KOHR DAUGHTER ` 1/5 RESIDUE 11,404.28 960 PLEASANT GROVE ROAD ', YORK HAVEN, PA 17370 ', 2 ALAN OTT SON 1/5 RESIDUE 11,404.28 46 CUMBERLAND AVENUE SHIPPENSBURG, PA 17257 3 BRIAN OTT SON 1/5 RESIDUE 11,404.28 1466 WOODS ROAD, LOT 37 I SHIPPENSBURG, PA 17257 Enter dollar amounts for distributions shown above on lines 1 5 through 1 S, as appropriate, on Rev 1500 cover sheet II. A NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I 0.00 REV-1ti19 EX+ (9.00) SCHEDULE) COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES continued INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF OTT, ARTHUR D. ~ FILE NUMBER 21 - 09 - 00511 RELATIONSHIP TO SHARE OF ESTATE ' AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not ust Trustee(s) I~ (TAXABLE DISTRIBUTIONS [include outright spousal distributions and transfers ~ under Sec. X116 (a) (1.2)] 4 DANIEL OTT SON 1/5 RESIDUE 600 FRANKLIN HEIGHTS SHIPPENSBURG, PA 17257 5 STEPHEN A. OTT 1608 LIBERTY DRIVE CHAMBERSBURG, PA 17257 SON 1/5 RESIDUE 11,404.28 11,404.28 Page 2 of Schedule J ,~ LAST WILL AND TESTAMENT I, Arthur D. Ott, of Shippensburg Borough, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I devise and bequeath all of my estate of every nature and wherever situate to my wife, Evelyn G. Ott, providing she shall survive me by thirty (30) days. ITEM III: Should my wife, Evelyn G. Ott, predecease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate of every nature and wherever situate in five (5) equal shares, one to each of my surviving children, Stephen Ott, Susanne Kohr, Daniel Ott, Alan Ott, and Brian Ott, per capita. ITEM IV: Should any of my above named children predecease me his or her share shall lapse and be added to the shares of the others who do survive me. ITEM V: If any property passes outright (either under this Will or otherwise) to a minor (which shall be defined as anyone under twenty-one (21) years of age) and with respect to which I am authorized to appoint a guardian and have not otherwise {~ specifically done so, I decline to appoint a guardian but instead authorize my Executor to distribute such property to a Custodian selected by my Executor (and my Executor may act as such Custodian) as Custodian for the minor under the Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not supersede the right of any fiduciary to distribute a share where possible to the minor or to another for the minor's benefit. ITEM VI: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM VII: I appoint my wife, Evelyn G. Ott, Executrix of this my Last Will. Should she fail to qualify or cease to act as Executrix, I appoint my son, Stephen Ott, Executor of this my Last Will. Should neither of them be willing or able to act, I appoint my daughter, Susanne Kohr, substitute Executrix of this my last will. ITEM VIII: I direct that my Executor/Executrix/Trustee or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM IX: My individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from time ~. ~"' 2 to time and/or to reimbursement of out of pocket expenses. ITEM X: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on four (4) sheets of paper, dated this ~ day of ~ U, ~ 1999 . ~~~! L`}.~~-~. ~~ ~ ( SEAL ) Arthur D. Ott The preceding instrument, consisting of this and three (3) other typewritten pages, each identified by the signature or initials of the Testator, was on the day and date thereof signed, published and declared by the Testator therein named, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed our names as witnesses hereto. L residing at G UNU(.N 02~/Cr ~~c-t~GClcta ~~ residing at /-~FG/~~//P ~~ 3 COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLAND I, Arthur D. Ott the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. ~~ ~ ~~ ( SEAL ) Arthur D. Ott Sworn to or affirmed and acknowledged before me by ~IQTN~U,2 D OTT the Testator, this ~1~ day of L 19 9 9 . -'~TARl/-l Sflkl . TIl~U M, t<ROp~~ t~obry Pt+biic ~/~Q/ ""~ lono, Cumberland Co., AA _ otarv Public ~ ~"~ ~'+ar ~, sooo COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLAND We , .S G lil C~'I--~- and ~'~"~,v11 ~ ~ ~' ~ ' ~~-! 1 S , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. Q ~~~ Sworn to or affirmed and subscribed to before me by 07T and ~ N L ~S witnesses, this Zb day of (, 1999. . ~~ TM1Al SEAL N t a ry Public Til1~iA M ~ HorarY Arc S1rPF~b~ loro, Cumberland Co., M A'h' C~rrrnfon Scpir+s May a, 2000 4 ~Cttlement Statement U.S. Department of Housing and Urban Development , r OMB Approval No. 2502-0265 B. T of Loan In FHA 2.^ FmHA 3. ®Conv. Unins 4n VA 5.^ Conv. Ins. 6. File Number LOIS 214 7. Loan Number S. Mortgage Insurance Case Number C. NOTE: This form is famished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)" were paid outside the closing; they aze shown here for informational purposes and are not included in the totals. D. NAME OF BORROWER: George Lois and Aglaia G. Lois ADDRESS OF BORROWER:76 Millers Gap Road, Enola, PA 17025-1009 E. NAME OF SELLER: Estate of Arthur D. Ott, by Stephen A. Ott, Executor c/o Zullinger-Davis, PC ADDRESS OF SELLER: 20 E. Bard Street, PO Box 40, Shippensburg, PA 17257-0040 F. NAME OF LENDER: Mid Penn Bank ADDRESS OF LENDER: 17 N. 2nd Street, Harrisburg, PA 17101 G. PROPERTY 214 High Street LOCATION: Shippensburg, PA 17257-1410 H. SETTLEMENT AGENT: NICHOLAS LAW OFFICES, P.C. 2215 FOREST HILLS DRIVE, SUITE 37, HARRISBURG, PA 171 12-1 099 PLACE OF SETTLEMENT: ,~,pgq STATE REALTY, 15 STATE AVE., SUITE 103, CARLISLE PA 17013 I. SETTLEMENT DATE: J. SUM Y F BORROWER'S TRANSACTION I{. SUMMARY OF SELLER'S TRANSACTION 100. R SS D R M BORR WER 400.GROSS D TO SELLER 4 4 r ' ~t 120.GROSS AMOUNT DUE FROM BORROWER , 70,027.39 420.GROSS AMOUNT DUE TO SELLER ~ 67,261.71 200AMOUNTS PAID BY OR IN BEHALF OF BORROWER SOO.REDUCTIONS IN AMOUNT DUE TO SELLER 1 1' 14 0 4 m el a f n 1 11 2p 509b Adjustments for items un aid by seller Adjustments for items unpaid by seller 2 e t n 4 to 219. to 519. to 220.TOTAL AMOUNTS PAID ' BY OR IN BEHALF OF BORROWER - 41,000.00 520•AMOUNT DUE SELLER / 5,365.61 300.CASH AT SETTLEMENT FROMlI'O BORROWER 600.CASH AT SETTLEMENT TO/FROM SELLER 301.Gross amount du from borrower line 120 2 601.Gross amount due to seller line 420 67 2 I. 0 . un / w r li 2 41 000.00 6 2 Le s reductions in amount due seller line 20 5 365.61 303.CASH ®From ^ To BORROWER ~ 29,027.39 603.CASH ®To ^ From SELLER / 61,896.10 PAGE 1 HUD-1 (3-86) RESPA, HB 4305.2 02001 Display 5yrtesm, Ins. (d63) 763-5355 - laser Censored U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT PAGE 2 L. Settlement Cha es 700. TOTAL BR ICER'S COM. b don rice % = Paid From Paid From ivi ' f C I w • Borrower's Seller's Funds At Funds At Settlement Settlement 704. to 800. Items Pa able In Connection With Loan 0 0 t t0 1 I t0 900. Items Re aired B Lender To Be Paid lu Advance 902. M rt e I urance Pre ium f r m nths to 5. ears to 1000. Reserves De osited With Lender 1008. months er month 1009. 1100. Title Cha es c94,F v - - t-_ - v e• - 1112. to lll3. to 1200. Government Recordin and Transfer Cbar es 0 20 1204. Assi ent of Rerds Recorder of Deeds 33.00 1205. 1300. Additional ettlement Cha es t 1308. to 1309. to 1400. Total Settlement Charges (enter on lines 103, Section J and 502, SectionK) ~ 2,765.68 5,365.61 CERTIFICATION DATA /~/ carefully reviewed the HUD - 1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all ~e~p~0a1t0id cements ade on my account or by me in this transaction. I further certify that I have re ived a copy of the HUD - 1 Settlement Statement. Estate of ur D. Ott, by Stephen A. Ott, Executor Borrower Seller : Lois ^. S p n A. , Ex tutor Borrower Seller Agglaia G. Lois The HUD-1 Settlement Stateme hich I have prepare is a true and accurate account of this transaction. I have caused the funds to be disbursed in accord- ance with this statement. NICHOLAS LAW OFFICES, P.C. Settlement Agent 1/6/2010 Date WARNING: It is a crime Imowingly make false statements to the United States on this or any other similaz fomm. Penalties upon conviction can include a fine and imprisonment For details see: Title 18 U.S. Code Section 1001 and Section 1010. LOIS 214 50O pS7 FROM: Aushennan Bros Real Estate Inc Tim Ausherman 229 North Second St Chambersburg, Pa 17201 Telephone Number 717-2fi4~715 E:Q 202 Fax Number. 717-264973 T0: Zullinger-Davis PC 20 East Burd St Shippensburg , Pa 17257 Telephone Number. Fax Number: AMemate Narrber. E-Mail: INVOICE 7nrzoos tntemal Order #: Lender Case #: Client FAe #: Main Rk: # on farm: Other FUe # on form: Federal Tax M: 25-1552788 Empbyer l0: Lender: Zullinger-Davis PC Client: Zullinger-Davis PC Purchaser/Borrower. Estate of Arthur Ott Property Address: 214 High Street City: Shippensburg County: Cumberland State: Pa Zip: 17257 Legal Desuiptlon: Deed Book Vol. 26S page 873 Appraisalfee 300.00 V1 1 1~ _ ! , a ~l ,~ ~~ SUBTOTAL ~ 300.00 Chedr #: Date: Desaiption: Check #: Date: Description: Check#: Date: Descriptlon: SUBTOTAL TOTAL DUE $ 300.00 Form NIVS -'WinTOTAL' appraisal software by a la mode, inc. - t-fi00-ALAMODE Ausherman Bros. Real Estate Inc. SUMMARY OF SALIENT FEATURES Subject Address 214 High Street Legal Description Deed Book Vol. 26S page 873 Cdy Shippensburg County Cumberland State Pa Lp Code 17257 Census Tract 0131.02 Map Reference 25420 Sale Price E Na Date of Sale N/A goROyypr Estate of Arthur Ott Lender/Giant Zullinger-Davis PC Sue (Square feet) 1,120 Price per Square Fact $ ° Location Average Age 59 Condition Fair-avg Total Rooms 5 Bedrooms 3 Baths 1 Appraiser Tim L Aushertnan GAA Date of Appraised Vahre 2/11/2009 Opinion of Value E 56,000 form SSD2 -'WinTOTAL° appraisal soilware by a la mode, inc. -1-800-ALAMODE Ausherman Bros. Real Estate Inc. Borower(Cient Estate of ANnu Ott Fle No. Pro Address 214 Hi h Street C~ Shi nsb Cou Cumberland State Pa L Code 17257 Clerd Zulli r-Davis PC APPRAISAL AND REPORT IDENTIFICATION This Appraisal Repoli is lIIlfl of the following types: ^ Sett Contained (A written report prepared under Standards Rule 2-2(a) , persuantto the Scope nt Work, as disclosed elsewhere in this report) ®Summary (A written report prepared under Standards Rule 2-2(b) , persuant to the Scope of Work, as disclosed elsewhere in this report) ^ Restricted Use (A written report prepared under Standards Rule 2-2(c) , persuantto the Scope of Work, as disclosed elsewhere in this report, restricted to the stated intended use by the specified client or intended user.) Comments on Standards Rule 2-3 I certity that, tm the best of my knowledge and clef: - Vre statements of tact wntained in this report are true and correct -The reported anatyses, opinions, and conclusions are lmded Doty by the reported assumptiars and limiting conditions and are my personal, irr~artial, and unhiased professional anatyses, opirrions, and conclusions. - I have no (or Vre specified) present or prospective interest in the property that is the subject of lies report and no (a Vre specified) personal interest with respect to Vre parties imoNed. - I have no bias with respect to the property that is the subject of this report or th the parties irnoNed with this assignmend. - rtry engaganerd in ifds assignmerd was not confingerd upon developing or reporting predetermined results. - my compensation for completing this assignment is not contingent upon Vie development or reporting of a predetermined value or direction in value that favors the cause of tiw client, the amount of the vakre opinion, the attainment of a stipuhated resin, ar The occurrence of a subsequent event directly related to Ve intended use of this appraisal. - my anatyses, opinions, and conclusions were devebped, and this report has been prepared, in corrtomtily with Vre Un'rfortn Standards of Professional Appraisal Practice. - I have (or have not) made a personal inspection of the properly Vrat is the subject of Vris report. ~f more than one person signs this certification, the certification rx>,st cleady speafy which individuals did and which individuals did not make a personal inspection of the a~raised property.) - no one provided significard real property appraisal assistance to Vre person signing Vds certrfication. (If Vrere are exceptions, tle name of each individual providing significant real property appraisal assistance oust be stated.) Comments on Appraisal and Report Identification Note any USPAP related issues requiring disclosure and any state mandated requirements: ppp~SEg; SUPERVISORY APPRAISER (only if required): Signatire: Signature: Name: Tim L ~ Name: Date Signed: July 08 2 Date Signed: State Certificaton #: GA-000149L State Certification #: or State License #: or State License #: State: PA State: Expiraton Date of Certification or License: 6/30/2011 Expiration Date of Certification or Ucense: S~ervisory Appraiser inspection of Subject Property: Effective Date of Appraisal: 5/19/2009 ^ Did Not ^ Exterior-only from stred ^ Interior and Exteror Form 1006 -'WinTOTAL' appraisal software by a la mode, inc. -1-800-ALAMODE Aushemran Bros. Real Estate Inc. R~cinFN-rioi oPPRA1SA1_. SUMMARY REPORT ~ae~.: . Pro Address: 214 H' Street C' :Shi ensbu State: Pa L Code: 17257 Cou :Cumberland L al Descri 'an: Deed Book Vol. 26S a e 873 Assessor's Paroel #: 36-33-1867-062A Tax Year. 2009 R.E. Taxes: $ 971 Special Assessments: $ N/A Bonower applicable : Estate of Arttwr Ott Current Owner of Record: Estate of Arthur Ott Occu arn: Owner Tenant ®Vacard ^ Marxdacttxed Housi Pro' T PUD Condarlinitun C 've Other describe HOA: $ per ear er month Markel Area Name: Sh' nsbu Map Reference: 25420 Census Tract: 0131.02 The se of this sisal is to d an 'nion ol: Market Value as defined , or otfla of valce describe This re reflects the tolbwin value d not Current see comments : Current the Ins c8on Date is the Effective Date Retros dive ^ Pros ecflve cfces deveb ed for this a sisal: Sales Co orison ch Cost ch Income roach See Reconci6afion Commens and S e of Wank Pro lti Ms raised: Fee Si k ^ Leasehold Leased Fee ^ Other describe Intended Use: The intended use is to settle the estate of Arthur Ott kdended Usa s name or e : Estate of Arthur Ott CieM: Zull' r-Davis PC Address: 20 East Burd St Shi ensbur Pa 17257 Appraiser. Tim L Ausherman GAA Address: 229 North Second Stree Cha mbersb PA 17201 Location: Urban Subtsban Rural Built ~: ®Over 75% ^ 25-75% ^ Under 25% Predominant ~~' One-UnR Housing PRICE AGE Presets Laird Use One-Unit 20 % Change in Land Use ®Not Ukely Growth rate: ^ Rapid ®STable ^ Slow ®Owner 95 $(000) (yrs) 2-4 Unit 40 % ^ Ukery * ^ In Process Properly values: ^ Increasing ®Stabie ^ Declining ®Tenard 5 55 Low 10 Multi-Ural 40 % * To: -- Demand/sigtpy: ^ Shortage ®In Balance ^ Ovcr Suppy ®Vacant (0-5%) 150 Fi h 160 Cornm'I % Markeing flmle: Under 3 Mos. 3-6 Mos. Over 6 Mos. ^ Vacant >5% 80 Pied 75 % Market Area Boundaries, Description, and Markel Condiflons (nt~ding support for the above characterisfics and trends): Bounded by Earf St to the west, Shippensburg University to the north iCer9 St to the south and Britton Rd to the east Subject property is located lust outside the boro of Shippensburg within Shippensburg Township. Area is a mix of primariN student housing. The area is within easy access to shopping and empbyment in the Shippensburg area Dimensions: 75 x 100 S'de Area: 7 500 S .Ft. Zorirg Classification: Residential Descrpflon: Residenfial Zorlin Co once: ®L al L al nonconfarmmli randfatlered ^ III al ^ No zoni Are CCBRs appicable? Yes No Urdaawn Have the documents beat reviewed? Yes No Ground Rerd d appicable $ / Highest & Best Use as improved: ®Preserd use, or ^ Other use (explain) Actual Use as of Effectve Date: Residential use Use as appraised in tfms report Residential Use Sunmary of Fghest 8 Best Use: Highest and best use presentN is a single famiN home. Utflities Pubic Other ProvideUDescripgon Bectricity ® ^ Gas ® ^ Water ® ^ Sanitary Sewer ® ^ Storm Sewer ® ^ OH-sifeknprovements Type Pubic Private Street AsPhatt ® ^ Curh/Gutter concrete ® ^ Sidewalk concrete ® ^ Street Lights street ® ^ none ^ ^ Topography Level Sae ical Shape rectan ular Drainage ode uate Ylew Avera e Olha site elemtsds: Inside Lol Comer Lot Cul de Sac Underground UtiHies ^ Other describe FFMA c'I Fbod Hazard Area Yes Na FEMA Fbod Zone X FEMA Map # 42041 C0342E FEMA M Dale 3/16/2009 Stte Comments: Site is aeneralN level GeneralDesaipdon # of Units 1 ^ Acc.Unit ExterbrDesrxiptlon Foundaion Block fair Foundation Slab none Basement None Area Sq. Ft 896 Heating Fha Type Fha # of Stories 2 Exttxior Wais vin a Crawl Space s % Fnished Fuel as Type ®Del. ^ Att. ^ Roof Surface as hatt/a Basement rt Ceiing 'oists Design (Style) ce e ® F~asgng ^ Proposed ^ Und.Cons. Actual Age (Yrs.) 59 Gutters & Dwnspts. alum/a wndaw Type Double Hu StomNScreens s Sump Pump ® Dampness ® Settlement s Wais block Roar concrete Outside Entry no Codirg None Central Other Effecflve A e rs. 35 Infestation None obs ktterbr Descdpflar Fbors Pine vin fair a Wais /aster/av Appiances Refrigaator ~ RangeJOven ~ Attic ®None Stabs ^ Drop Stair ^ ArneNtles Rreplace(s) # Woodstove(s) # Patio None Car Storage ®None Garage # of cars ( Tot.) Attach. _ TrinVRnish wood/av Disposal ^ Scuttle ^ Deck deck Detach. Bath Fbor Ca etla Dishwasher ^ Doorway ^ Porch Porch Bi: In Bath Wainscot None FaNFbod ^ Fbor ^ Fence None Carport _ Doors wood/av Microwave ^ Heated ^ Pool None Driveway ~ Rrlished area above rode contains Washer ^ 5 Roomis Fnished ^ 3 Be drooms 1 Baths 1 120 S uare Feet Surface none of Gross Livin Area Above Grade Additional features: Front porch wood deck in rear Describe the condilion of the property (including physical, functional and ettemal obsolescence): Overall condition is fair- average, subject property has a dampness problem in the basement, mold and or mildew like substance and should be tested by a qualified professional. Capydght0 2007 bf' a b mode, inc.lhB farm maybe reproduced urmoWged without wrtten perm'ssion, howeva, a la mode, inc. must be aClawwledgea and raedaed. m RESIDENTIAL Form GPRES2 -°WinTOTAL' appraisal software by a la mode, inc.-1-8(10-ALAMODE 3/2007 occ~nc~T~ei eaaRelcol Sl1MMARY REPORT ~.~~ • My research did did not reveal arty prior sales or transfers of the subject properly to the tlree years prior to the effective date of this appraisal. Data Sources : Cumberland Cou Courthouse 1st Prior Stthjecl Sale/Transter Analysis of saWtransfer history and/or any current agreerrterd of sale.Nsting: The subject property has not transferred Date: N/A within the past three years Comparables sales have not sold 12 months prior to wrrent sale. - Price: N/A Sources : CouMouse 2nd Prior Sub"ect Sal e/Transier Date: Price: Sources SALES COMPARISON APPROACH TO VAL UE The Sales Comparison Ap ach was not developed fa this appraisal. FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 214 High Sleet Shi nsbu Pa 17257 Pro>a to Sub' cl `? 3 West Burd Street Shi nsbu Pa 17257 0.38 miles SW 118 North Fayette St Sh' nsbu Pa 17257 0.55 milPS SW 223 East Orange St Sh' nsb Pa 17257 0.36 miles SE Sale (trice _ $ nla $ ' 53 000 ~ 65 000 ' __ 1S 79 900 Sale Pdce/GLA $ /s .ft. $ 3a.so Is .ft. s I .n. $ 49.0 ~ .; s as.o2 is .ft Data Sources In action MLs _ MLs _ MLS Verification Sorsce s Courthouse Courthouse Courhouse Courthouse VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $ Ad'ust. DESCRIPTION + - $ Ad'ust. DESCRIPTION + - $ Ad'usl. Sales or Rnancing Concessions N/A N/A Corn No concess Conv No concess Corn 106 DOM No concess Date of Same N/A 12/8/2008 5!29/2008 5/1/2009 R~ ised Fee Sim le Fee Sim le Fee Sim le Fee Sim le Location Averse Avers a Averse Inferior Sete 7 500 S .Ft. 2 432 S .Ft. +2 000 7500 9148 -1 000 View Averse Averse Averse Avers e Deli ra e 2 st 2 st 2 st Qua of Construltllon V'm a Frame +3 500 Alumna Asb sid/a A e 59 98 100+_ 109+- Condition Fair-a Fair-a Avers a -4 000 Averse ~ 000 Above Grade Trial Bdrms Baths Total Bdnns Baths Trial Bdrms Baths Total Bdmrs Baths Room Count 5 3 1 8 4 1 6 3 1 5 3 1.5 -2 000 Gross Living Area 1 120 5 .ft. 1 532 5 .ft. -6 180 1 325 5 .ft. -3 075 1 630 5 .ft. -7 650 Basemerd & RNshed Rooms Bebw Grade Basement 0 Basement UnTmished Basement 0 Basement Unfinished Functional U61' Averse Averse Averse Avers e Heati Cooi Fha/none Fha/none Fha/none Fha/none Ener Efficierd ftems sw None sw Sw Gar eJCarport None None 1 car -3 000 2 car -8 000 Padr/PatielDeck Porch deck Porch +1 000 Porch +1 000 Porches Kitchen Std Kitchen Std Krtchen Std Kitchen Std Kdchen Fr laces None None None None Other None None None None Net Ad' strnem Oral u_°':' Adjusted Sale Price of CamparaMes . s... ~ Summary of Sales Comparison Approach subject properly + - $ 320 ^ + ®- $ -9 075 ^ + - $ -22 650 T ~. ~ % ~t~ ~~ -~.rX $ 53 32t? ~ Gr .Ufe'~ % S 55 925 ' 6 ~ 28.3 ``' $ 57 250 Comparable sales are homes that are in need of repair and would appeal to a similar market as the Indicated Value by Sales Cemt>erison AoDroalit $ 56.000 copyriddo 2007 by a b mode, inc. ThB farm may be reproduced unmodified wiewut wd0en permission, however, a la made, inc. must be aciapwiedgeo aml credaed. m RE51 DENTIAL Form GPRES2 -'NfinTOTAL' appraisal software by a la mode, inc. -1-800-ALAMODE X2007 olcettnGtir~e~ eaaRelSO1 Sl1MMARY REPORT ~~-: ^ mow. r r.. . COST APPROACH TO VALUE deveb The Cost roach was not developed for this a sisal. Provide ad ate idormation for re 'agar of the fdbvdn cost res and calwlations. Support for the opinion d site value (summary d wmparable land sales a other megrods for estimating site value): The cost approach is not applicable for this property due to the age and condttion of the improvements. ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF S(fE VALUE--__---------_.-----_--_-------_ =S Source of cost data: Quay rag from cost service: Eflecgve date d cost data: Comrtrerds on Cost Approach (gross living area tabulations, depreciation, etc.): DWELLING S .R. @ S --_-- =S .R. @ S _---- =S S .R. @ S -- =S S .R. @ S ----.- =S S .R. @ E ...... =S -_ =a _ =a Gara e/C S .R. @ E Total Estimate of Cost-New -- =S Less ical Functional External De reciation =S rociatetl Cost d Improvemeds -.-_.__------------------------------- =S "As-is" Vabe d She I rovemeds -----------------------------------...-.---- =S =S =S Estimated Remairing Economic Life rf aired : Years BIDICATED VALUE BY COST APPROACH -------_-_-...-...---_----------_- =S INCOME APPROACH TO VALUE K deveb The Income roach was nd devdp fa this appraisal. Esgmatetl M Market Rent Z N/A X Gross Ren( Mufti is N/A = S NIA bdkxted Value Yrwnle eh Summary of Income Approach (including support for market rent and GRM): PROJECT INFORMATION FOR PUDs kabb The Subject is part d a Planned Unit Devebpmad. al Name d Pro' Describe corrsnal elements and reaeational facitt8es: Indkatad Value b . Sales Corn roach S 56 000 Cost Cd develo ) S N/A Income (N deve ) S N/A final Reconciliation Emphasis was placed on the sales comparison approach to value which is best reflective of market value. Cost approach approach was not developed due to aqe of the subject Properly and amount of depreciation that has taken place. Income approach was devebped and provides additional support for the indication of value illustrated in the sales comparison approach. This appraisal is made ®"as is", ^ subject to complegon per plans and specifications on the basis d a Hypothetical Condigon that the improvements have been `. completed, ^ subjed to the iottowbg repairs ar alterations an the basis of a Hypothetical Condition that the repairs or alterations have been completed, ^ subjed to the fottowing required inspection based on the Extraordinary Assumption That lte condition or deficiency does not require alteration or repair. This art is also sub-ed to othar 'cal Condilions and/or Exbaordina Ass tiorw ass 'rfied in the attached addenda. Based on the degree of inepectlon of the subject property, as indicated blow, defined Scope of Work, Sfalement of Aseumptlons and Limiting Canditlons, and Appraiser's Certlficatlgns, my (our) Opinon of the Madcet Value (a other specified value type), as defined frerein, of the real propdiy that is the subject of this report ia: S 58,000 , as of: 5/19/2009 ,which is the eBectlve date of this appraisal. N indicated above, this Opinion of Value ie subject to Hypothetlc~ Condtttons and/or Extraordinary Assumptkns included in this report. See attached addenda. A true and complete copy of tlds report cordains _ pages, including exhibits which are considered an irdegral part of the repel. This appraisal report may not be Properly understoal wigwut reference b the idortnation contained in the complete report. Attached 5dribits: ^ Scope of Work ^ Limiting CondJCertrfications ^ Narragve Addendum ^ Photograph Addenda ^ Sketch Addendum ^ Map Addenda ^ Additional Sales ^ Cost Addendum ^ Fbotl Addendum ^ Manuf. House Addendum 'cal Conditions Extraadina Ass 'ohs ^ Client CordacT: Client Name: Zullinger-Davis PC E-Mail: Address: 20 East Burd St Shi nsbu Pa 17257 APPRAISER Apprals I Real Estate Inc Comparry: Aus rman Bros SUPERVISORY APPRAISER (if required) or CO-APPRAISER (if applicable) Supervisory or Co-Appraiser Name: Comparry: i . Phone: (7171264715 ~Q02 Fax: (717) 264-4973 a net E-Mail: tima r@ Phone: Fax: E-Mail: pp P Date of Report (Signature): July 08, 2009 License or Gertificagan #: GA-000149L State: PA nation: Desi Date of Report (Signat~xe): License ar Cerification #: nth: Designation: g Expiration Date d License or Certification: 6/30/2011 Irupection of Subject: ®Irrtedor 8 Exterior ^ Exterior Onty ^ None Date of Inspection: 2/11/2009 Expiration Date d License or Certification: Inspection of Subject: ^ Intedor & Extedor ^ Ezteda Onty ^ None Date of Ins ction: m R E S I DE NTIAL CapjjrphtO 21107 by a m mode, nc Ths form may he repmMCed umnoNriea vmnmtt vrtmen permssxm, however, a w moue, nc. mua oe awumwvw d~ W aneu. Forth GPRES2 -'WinTOTAL' appraisal software by a la mode, inc. -1-800-ALAMODE ~ZU07 Subject Interior Photo Page Bortower/Giant Estate of Arthur Ott Pro Address 214 Hi h Street C Sh' sb Cou Cumberland State Pa L Code 17257 Climt Zulli er-Davis PC Mold & or mildew 214 High Street Sales Price n/a Gross Living Area 1,120 ToGV Rooms 5 Total Bedrooms 3 Total Bathrooms 1 Location Average View Average Site 7,500 Sq.Ft Oual'Ity Vinyllavg Age 59 Mold & or mildew Farm PIC3x5.S1- "WinTOTAL' appraisal sollware by a la mode, inc. -1-80QALAMODE Subject Photo Page BarowerlCient Estate of Arthur Ott Pro Address 214 Hi h Street C' Sh' nsb Co Cumberland State Pa Z Code 17257 C6~t Zullbr er-Davis PC Subject Front 214 High Street Saks Price n/a Gross B~eking Area Age 59 Subject Rear Subject Street Form PIC3x5.SC - °WinTOTAL' appraisal software by a la mode, inc. -1-800-ALAMODE Comparable Photo Page Borrower/CfeM Estate of Arthur Ott Pro Address 214 Hi h Street C' Sh' nsb Cou Cumberland State Pa Z Code 17257 Gent Zullin r-Davis PC Comparable 1 3 West Burd Street Sales Price 53,000 Grass Building Area Age 98 Comparable 2 118 North Fayette St Sales Price 85,000 Gross Building Area Age 100+- Comparable 3 223 East Orange St Sales Price 79,900 Grass Building Area Age 109+- Form PIC3x5.CC -'WinTOTAL' appraisal sottware by a la mode, inc. -1-80o-ALAMODE Location Map Borrower/Giant Estate of Arthur Ott Pro Address 214 Hi h Street C' Shi nsb C Cumberland State Pa D Code 17257 Client Zullin er-Davis PC a la mode inc' ~ '~. ,k~,.m.,.w....~...« L Shppensburg ,UnWersiry et Parmsylvania ~ v i '', a e~ ~~ ~ ~, x a ~, ~~ ~t ~h m O O` e ~ b a ~ e >~ ~ . "~ s ~§ ~ ti 9~ ~0. y` G~~p, '~3 3a ~ ~ Z ~~ $ C~Py0 "$ ~a~~ 4.~ ate ,p -696.. - ~ dA b ti a`~ , _ r ~ s~ . ~~. , F 5 ~ 9~ , .-~ oa -_ 1 ..-qq~ Shlpp6e6burp Pie say. ~. `~~ ~ ~ y..t9`' v+ '~ ~ ~,, m ~~yal° ~ "~ 'a - Arc F `~.. ,~. ~ ~.~ '~ .~ A P,° r ~ ~„' °~' N. ~~ `~ ~ ~ w ` _ ds ~ 250 ds t.- tp~ .~. s++j9~~6~ Shlppensburg lndustrlat Pah c. Y ~~ ..-tee Tf ~ --.y.~;~f!~' .. .~.~. ~ . ~ Form MAP.LOC - °WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Building Sketch Bortow~/Cfetd Estate of Arthur Ott Pro Address 214 H' h Street C' Shi nsbu Cou Cumberland State Pa L Code 17257 Gerd Zullin er-Davis PC ts.a t2.o• ----- 2a.a ~o FalAy D!tl[ O O O O gp~"m Bedoan ~ ~„ za.a ~ a N piing B03ppm 28.0' sm,srburv° Fonn SKT.BMSkI - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Building Sketch Borrower/Gent Estate of Arthur Ott Pro Address 214 Hi h Street C' Shi nsbu Cou Cumberland State Pa L Code 17257 Client Zullin er-Davis PC Code AREA CALCULATIONS SUMMARY ~Pdo^ Sate Nat Totals GI,hl Firet Floor 832.00 832.00 GL112 Second Floor 280.00 280.00 P/P Porch 120.00 porch 30.00 150.00 TOTAL LIVABLE (rounded) 1112 LIVING AREA BREAKDOWN 9eakdown Subtotals Firet Floor 2~.0 : 28.0 fi72.00 10.0 z 16.0 160.00 Second Floor 10.0 z 28.0 230.00 3 Calculations Total (rounded) 1112 First Floor GLA1 Porch P/P za.o : ze.o = fin.oa la.o x lz.o = lzo.oo 10.0 x 16.0 = 160.00 Area total (rounded) = 832 Area total (rounded) = 120 Porch P/P Second Floor GLA2 5.0 x 6.0 = 30.00 10.0 z 28.0 = 280.00 Area total (rounded) = 30 Area total (rounded) = 280 frorm SIR.BIdSkI - ^WinTOTAL' appraisal software by a la mode, inc. -1-800-ALAMODE OxRS~rowlvBaNx A Tradition of Excellence 77 East King Street Shippensburg, PA 17257 January, 6 2010 Zullinger-Davis Hamiliton Davis PO Box 40 Shippensburg PA 17257 Attention: Hamiliton Davis Shirley Wescott Orrstown Bank PO BOX 250 Shippensburg, Pa 17257 Phone 717.530.2515 Re: Estate of: Auhur D Ott SS # 186 24 8410 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT, ON THE ABOVE DATE, HAD THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: CHECKING ACCO UNT Account # Title of Account 619590 Arthur D Ott Elvelyn R Ott Date opened 6/28/85 Principal Accrued Interest DOD Bal 5947.60 .03 $5947.63 SAVINGS Account # Title of Account 734411 Arthur D Ott Elvelyn R Ott Best egards, ~~~ Shirley Wescott Receptionist Date Opened 7/07/09 Principal Accrued Interest DOD Bal 307.30 .06 307.36