HomeMy WebLinkAbout12-22-0915fJ56051058
R~~~~ ~~~ EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
Po sox 28oso1 INHERlTANC~E TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 09 0817
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
202-20-1974 .03/29/2009 02/17/1929
~.
Decedent's Last Name Suffix Decedent's First Name MI
Sawyer ~ ~ ~ Dorothy A
~,
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix ~ Spouse's First Name MI
t~' i
Spouse's Social Security Number
THISIRETUR{~ MUST BE FILED IN DUPLICATE WITH THE
• REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
i`';- 1. Original Return 2. Supplemental Return 3. Remainder Retum (date of death
prior to 12-13-82)
4. Limited Estate 4a. Future Interest Compromise (date of .. 5. Federal Estate Tax Return Required
death after 12-12-82)
"' 6. Decedent Died Testate '°° 7. Decedent Maintained a Living Trust _ _ ._ . 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ....":`? 10. Spousal Poverty Credit (date of death ,~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
Mark W. Allshouse, Esq. (717) 582-4006
Firm Name (If Applicable) _ _
......REGISTER OF WILL5 US6„fJNLY
Christian Lawyer Sol. ~ ~ =~
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First line of address :~
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4833 Spring Road !~ C"1 ~ n `Z7
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Second line of address ~,., t
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City or Post Office St w
to ZIP Code - ~ F1LEQ + ,~, r~-t
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Shermans Dale PA 17090 -~
Correspondent's a-mail address: mark@christianlawyersolutions.com
--•,---
Under penalties of rjury, i declare that f have examined this return, including accofipanying schedules and statements, anti to the hest of rhty knowledge and belief,
ny knowledge.
parert ha
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it is tNe, correct n co lete. Declaration of preparer other than the personal representative is based on all information d(which pre
SIB=E FOR
SI TkJ E ESP N ~TURN
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405 High Mountain Road, Shippensburg, PA 17257 _ _____
SIGNATURE qF PR~AMiER OTH~ THAN_REPRESENTATIVE DATE ~
4833~pring Road, Shermans~Dale, PA 17090
Side 1 `
15056051058 15056051058
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J
REV-1500 EX
Decedent's Name: DOrOthy
RECAPITULATION
15056052059
A Sawyer
Decedent's Social Security Number
202-20-1974
1. Real estate (Schedule A) ............................................. 1. 129,000.00
2. Stocks and Bonds (Schedule B) .................. ;; ...: ;:.:...,.... .... 2. 96.64
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . .... 3. 0.00
4. Mortgages & Notes Receivable (Schedule D) ............: ~.. ~.......... .... 4. 0.00
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .... .... 5. 1,667.81
6. Jointly Owned Property (Schedule F) <,;<~ Separate Billing Requested.... .... 6. 4,398.69
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) µ~.= Separate Billing Requested.... .... 7. 0.00
8. Total Gross Assets (total Lines 1-7) ................................ .... 8. 135,163.14 ,
9. Funeral Expenses 8~ Administrative Costs (Schedule H) ................. .... 9. 12,575.68
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . ..:........ .... 10. 5.00
11. Total Deductions (total Lines 9 & 10) ................:.............. .... 11. 12,580.68
12. Net Value of Estate (Line 8 minus Line 11) ........................... .... 12. 122,582.46
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ...' :................ .... 13. ' 0.00
14. Net Value Subject to Tax (Line 12 minus Line 13) ......" .............. .... 14. 122,582.46
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116 ,
(a)(1.2) X .0_ 0.00 15. 0.00
16. Amount of Line 14 taxable
at lineal rate X .0 45 122,582.46 ' 16. 5,516.21
17. Amount of Line 14 taxable
at sibling rate x .12 3,596.11 17 431.53
18. Amount of Line 14 taxable
0
00
0
00
.
at collateral rate X .15 18 .
19. TAX DUE .........................................:............ ... 19. 5,947.74
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059 Side 2
15056052059
REV-1500 EX Page 3
Decedent's Gomnlete Address:
File Number
21 09 .0817
DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER
Dorothy A Sawyer 202-20-1974
STREET ADDRESS
312 Fourth Street
CITY
Summerdale STATE
PA ZIP
17093
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments 0.00
A. Spousal Poverty Credit
B. Prior Payments 0.00
C. Discount 0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
0.00
0.00
5,947.74
Total Credits (A + B + C) (2)
Total Intenst/Penalty (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
0.00
0.00
5,947.74
0.00
5,947.74
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 :.......................................................................................... ^ ^Q
b. retain the right to designate who shall use the property transferred or its income : ............................................ ^
c. retain a reversionary interest: or .......................................................................................................................... ^
d. receive the promise for life of either payments, benefits or care? ...................................................................... ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
...................
contains a beneficiary designation? ........................................:............................................................
x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[/2 P.S. §9116 (a} (1.1) (ii)]. The statute does not exempf a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling isdefined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX+ ji1-OHl
pennsylvania SCHEDULE A
DEPARTMENT OP REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sawyer, Dorothy A. 21-09-0817
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
If more space is needed, insert additional sheets of the same size.
REV-1503 EX+ (6-98)
SCNEDt~LE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT .
ESTATE OF FILE NUMBER
Sawyer, Dorothy A. 21-09-0817
Ail properly Jointly-owned with right of survivorship must be disclosed on Schedule F.
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Sawyer, Dorotfty A. 21-09-0817
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY OWNED PROPERTY
ESTATE OF FILE NUMBER
Sawyer, Dorothy A. 21-09-0817
If an asset was made joint within one year of the decedent's date of death, k must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A• Michael L. Sawyer
B. Shirley L. Bahner
C.
405 High Mountain Road child
Shippensburg, PA 17257
312 Fourth Street sibling
Summerdale, PA 17093
JOINTLY-OWNED PROPERTY:
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
~• A. 09/11/03 Sovereign Bank checking account number 0921724098
1,605.16 0
50%
802.58
2• B. 03/03/87 Sovereign Bank checking account number 0921705387
7,192.21 50% 3,596.11
TOTAL (Also enter on line 6, Recapitulation) I S 4,398.69
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (12-99)
SCI~IEDVLE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Sawyer, Dorothy A. 21-09-0817
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Mussefman Funeral Home, Inc.
a. professional services 3,595.00
b. casket and vault 2,850.00
c. flowers 159.90
d. newspaper notices -obituary 160.97
e. death certificates ~ 60.00
B. ADMINISTRATIVE GOSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)lEIN Number of Personal Representative(s)
Street Address
City ,State
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State
Relationship of Claimant to Decedent ,
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
~. Cumberland County Register of Wills-filing fee for inheritance Tax Return
s. Shull Appraisals, Inc. -fee for appraisal of 312 Fourth Street, Summerdale, PA
s. Journal Publications -estate advertising in Central Penn Business Journal
10. Cumberland Law Journal -estate advertising
~ t. Sovereign Bank -fee charged for providing date of death balance information
12. Closing costs paid by Estate for transfer of real estate
Zip
Zip
TOTAL (Also enter on line 9, Recapitulation) I $
3,000.00
310.00
15.00
275.00
85.00
75.00
20.00
1,969.81
12,575.68
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-QS)
~ ` pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT pECEDENT
ESTATE OF FILE NUMBER
Sawyer, Dorothy A. 21-09-0817
Report debts incurred by the decedent prior to death that remained unpaid 'at the date of death, including unreimbursed medical expenses.
If more space is needed, insert additional sheets of the same size.
REV-1513 EX+ {il-OS)
~~ pennsylvania SCHEDULE ~
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Sawyer, Dorothy A. 21-09-0817
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 2116 (a) (1.2).J
1. Edward J. Sawyer
312 Fourth Street, Summerdale, PA 17093 child One-third
2. Tom J. Sawyer '
30 Woodview Road, Biglerville, PA 17307 child one-third
3. Michael L. Sawyer .
405 High Mountain Raad, Shippensburg, PA 17257 child one-third
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, A 5 APPROPRIATE.
II NON TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0.00
If more space is needed, insert additional sheets of the same size.
r
WILL OF
DOROTHY A. SAWYER
I, Dorothy A. Sawyer, of Summerdale, Cumberland County,
Pennsylvania, declare this to be my last Will and hereby revoke al!
prior Wills and Codicils.
I direct that all. my just debts, funeral expenses,
gravemarker and administrative expenses shall be paid
from my residuary estate as soon as practicable after my
death.
2. I direct that all inheritance, estate, transfer, succession
and death taxes of any kind whatsoever which may be
payable by reason of my death shall be paid out of my
residuary estate.
3. I direct that my entire estate be distributed as follows:
A. I leave everything to be distributed equally to my
sons, Edward Jay Sawyer, Tom J. Sawyer and
Michael L. Sawyer. Should Edward Jay Sawyer,
Tom J. Sawyer or Michael L. Sawyer, predecease
me, their share shall lapse and go the surviving
sons.
4. I appoint Michael L. Sawyer as Executor of this my last
Will. Should Michael L. Sawyer predecease me or cease
to act in such capacity, I appoint Edward Jay Sawyer as
my alternate.
5. The Executor of this Will shall have the power to
distribute my estate in kind or in cash, or partly in either.
6. I direct that no Executor acting under this Will shall be
required to enter bond in any jurisdiction.
U1W OFFICES OF
s~p>~v J. Hoc
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
IN WITN SS HEREOF, I have hereunto set my hand this day
of ,~ , 2004.
~,;~ . ,, ;
Dorothy A. S er
/%
The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
Dorothy A. Sawyer, as and for her last Will in the presence of us, who
at her request, in her presence and in the presence of each other have
subscribed our names as witnesses hereto.
~ _
Wl NESS ITNESS
LAW OFFICES OF
s~rx~av J. Hoc
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
r '
ACKNOWLEDGMENT
State of Pennsylvania
County of Cumberland
ss
s. Hoag. n~vr~ar Pueuc
ca~.Ft~'g ,~~a~sauwuco..v~- FFIDAVIT
~xs~~r~,~. ~.=.~a~razoos
1
SS
I, Dorothy A. Sawyer, the testatrix, 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; that I signed it willingly and as my free and
voluntary act for the purposes thereil~ expressed.
DOROTHY .SAWYER !!
i
Sworn to or affirmed and acknowledged before m by
DO H ~ A. SAWYER, the testatrix, this f`~' ~~'' day of
/~ : ~ , 2004.
~~
~n~>~. ' N tary Public/A rn
County of Cumberland
.----
We, ~iS~t...:~ ~,~C~ ~t'S-E' y'` and D ~ e
uw o~~s of
s~rx~v J. Aoc~
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
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 testatrix sign and execute the
instrument as her last Will; that the testatrix signed willingly and
executed it as her free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testatrix signed the Will as a witness; and that to the best of our
knowledge the testatrix was at that time 18 or more years of age, of
s d mind and under no constraint or undue nfl nce.
f
Swo~or affirmed and subscribed to before me by witnesses,
this ~_ ay of _,~~ "..s!f.C'2C~ ~~,,,
Notary Public/Alto
NOTASi~N-8~K
StEPF1EN J. HOfiG. IidfARY P ~L1 ~~M
CARlJSLE BORO, CUM~t'I~
Nil COUNiA1SS1QN EXPO s~PYE~~ 3, ~4k
X15 u ~ '
~s~ata~. tM..Mhw~..~`r: ~
7
~~~~~~. 1
~f~lDt 2'Sa 26th day of ltay Is W goer of orr be-d i
oea ti~~ sus ieswdrsd fif tq-Tour
~ BETN'~-L&3TER C. SAWYER and RACHEL B. SAWYER, his wife, of the
i
Township o1' East Pennsboro, County of Cumberland and State of
Pennsylvania, parti.ea oP the IYrat part '
~ A N D
' EDWARD J. SAWYER and DOROTH'X A. SAWYER, his wife, of the same
place
~ of tis seeped part, WITNS98BTH, tkat tAs said par! i e s of ~ 1~ lark for aid iK aoertdow
altos of do saes of One Dollar (1,00) and other valuable conaiderationa
DmAsrs,
loioJ~d teoasp.oj tis U~oited Stela of America, weR sad trait' p~ by ~ +~ Pa't tea of tie
' pepped cart to tie paid part Ses of tf<a 16+t pert, of aid bajoro tis seabap and doJtsery of ties
~ praoeatt, tis receipt,oi.rsoj is ior+eby aekeoviledpsd, have praa~tod, barpsiaod, mod,
pRse+d. eej~¢ed, reisas+d, eoxwyed amai aoa~sd, aed bit liuae preasets da ~qNt, barpaio,
salt, elite, eejeo~, reisaoe, eoxeey oed eoe~r~n into lie said part ies of tie sapped pact, their
seine oed asaipet,
i
ALL That certain lot of land situate in Bast Pennsboro Township,
Cumberland County, Pennsylvania, bounded and described as follows:
BxGINNiN(3 at a point in the eastern line oP Fourth Street three
i
i hundred ninety (390) fast north oP the northeast corner of the
j interaeotion of Wayne and Fourth 3treete; thence eastnardly alor~
the northerly line oP Lot No. 35, Section "8" on the hereinafter
mentioned Plan of Lots, one hundred sixty (160) feet to a point;
thence northwardly on a line parallel with Fourth Street, sixty-five
(65) feet to the southern ling of Lot No. 37, Section "$"; thence
westwardly along the southern line oS Lot No. 3'l, Section "B" one
',.hundred sixty (I86) Peet to the eastern line'of Fourth Street;
thence southwardly along the eastern line of Fourth Street sixty-fine
I (65) feet to a point, the place of Beginning.
BffiN(3 the western portion oS Lot No. 36, Section "B" in the Plan
,~ oP Lota known sa Sunamerdale, said Plan being recorded in the OPfice
t
Por the Recording of Deeds oP Cumberland County in Plan Book 1, .
~ Pegg 44 and in Plan Book 2, Page 109.
TOOSTtiBR with the right to use an additional strip of land
sixteen (16} Peet in width adjoining the aforesaid tract oP,land on
. .._ .. eoo~15 ~ ~~ 54 -
the east and also the sixteen {I6) ieot at the rear oP.the
corresponding portion oS I,ohsNos. 35 and 34,~Section "B" until tine
name shall be wanted for a public allay.
BSIrif3 a portion of Lhe same premises which Julia T. Baatsre; in
her right, and Brenton David Baeore, her husband, by Deed dated
August 24, 1951, and recorded in the Cumberland County Recorder-e
Office In Deed Book "U", Vol. 14, Page 36, granted and conveyed
unto Lester C. Sawyer and Rachel 8. Sawyer, grantors herein. The
grantors era the parents of Sdward J. Sawyer.
rp(;$T$BR sank alt sad aiapalar tks tsnaneata, keredits and ~ to tks aaa-a bs-
tonYiaO, or {~- anywise appsrOsnseaQ, mad the revsralos or reve+aioua, remaiudsr swat r+eesaindera,
rents. iseaea awd yr»)ift tkei+eo/: And oleo, all the aetats, +'~~, ~„ ~, property, Jana and
dessaad soba~laosver, both is law and agaity, of the said parties of the ~t Z~ a1, in, to or
oat of tie said prsaeisee, and every Bart and parosl tksreof,
T8 HADE AND TO $4LD t1u said premises, :vftk all and aiaytaT the ~ onto ikr
said part lea of the asoond part. their heirs cad aesipaa, to and for Eke only proper sae ' .
sad bekoof of the said part ies of the second part, their keics need assigns forever.
And tir; said parties of the first part, for themselves, their
keira, ezeaetors axd odmi~ristrators, do b7t these preasnte, eovement, great and aprea to and
seitk the said part lea' of the second t#*k their ~ keira and aasipna, that they
tks said parties of the first part, their
keins, ail and aixpaisr tka )keraditawuats and pr+antiau ker+ainabovs dcsaribed cud-prantsd or w-en- ~
tioaed and intended so to be, wick the appurtewauoes, wata Ilia acid part lea of ~ s pa*k , i
their trains mad assiaaa, ayseut tks said. Pa+'tiea of ~ !~ part. and their kaira mad ,
apaiast alt mtd every other persws or persona wkoasaoever lawfally ~ or to dales the same !
or a+afr gart thereof,
~ akalt and wiR by Ulese presents, Warrant card Forever,Dafend. ~
IN WITNESS _WHEREUF, the said part ies of tka first part ka ve kereanto net
their hand a mad +~ s , t)+a day and year }Frst aboos written.
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~N FetusaTlvanta '
~aR
Grsey o/ CttmbarUnd
~ ~ tke 26 t2s day of X41 ,1s 54 i%ra w
1f1}drsd $oopy stotse
W ~ oeEear, pcrsoaotir aapesrod LeaL~er C. Saryer and Rachel E. Sasyer~
hta .iie, j
~flaUes to su !er areisJ~7i- 9+~~1 to be tke avow sai~ieib . ariwatarilsl !e tke rtt11•
is i~aa~wsRt, ~ aekaouldw~d'exee they ssserted saws ler tke prry~aaar tkw+e~e eee0aiand.
. Ai'ry'wa rksrro/. t Aseosato ad ary Aawd o'ed o/kial araL
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c:.;~~~~~•':~r~. Iy Coeasiaaioa B~piVea "arob 30, 195fi,Lamc~ae, Pa..
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~~ ~+. ~ dq el . to . belors nw
' tke w~drrdased odtar, ysraoarlly syDeor~sd
iaeaw Eo eu (er +rtiNaemrdlr yrotteR) tb Os tAs yaraan +okoH vases aeeDaaikad to tAe tvrtk-
' is ~astna~sst, a~td ~ tMa! d aowe /or tke pstryossa tknaia eowtaiNed.
is tottsea wksnrol. I ker~to see say kesd and o~eiel seal,
Tick o1 O~far. .
Cl~RT1FICATS t)F llS81DSNC~
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R&CORD6D as tkia ~.,t2~ da~r oJ -~~c-..._---._
A. D. 1Dse~ife tka Raeo~s oDCu o/ ~ acrid Coeody. in Deed Book ! S
Val. ' ~._.~, Pads .~'~ : .
Crivat ~derr ~y k sad eke seal of ilu acidoP~. ike data abess w~ittes.
.ej'P/ ~.e.T 1~a+o+der.
r
Tax. Parcel No. 09-12-2994-031
THIS DEED
~'~
Made the day of December, 2009, between Michael L. Sawyer, Executor of the
Estate of Dorothy A. Sawyer, late of East Pennsboro Township, Cumberland County,
Pennsylvania ("Grantor")
AND
Edward J. Sawyer, single man, of East Pennsboro Township, Cumberland County,
Pennsylvania, ("Grantee")
WHEREAS, Dorothy A. Sawyer died March 29, 2009, a resident of East Pennsboro Township,
Cumberland County, Pennsylvania, having first made her Last Will and Testament dated
February 19, 2004; and
WHEREAS, her said Will was submitted to probate at the Cumberland County Register of Wills
Office on August 31, 2009 to Docket No. 21-09-0817, on which day the Register of Wills
appointed Michael L. Sawyer as Executor named in Paragraph 4. of the decedent's said Last Will;
and
WHEREAS, at the time of her death, the said decedent was the owner, inter alia, of the real
estate hereinafter described:
WITNESS, that in consideration of the sum of Eighty-six Thousand ($86,000.00) Dollars in
hand paid, the receipt whereof is hereby acknowledged, and intending to be legally bound hereby,
the Grantor does grant and convey to the Grantee, his heirs and assigns:
ALL that certain tract of land with improvements thereon situate in East Pennsbaro Township,
Cumberland County, Pennsylvania more particularly bounded and described as follows, to wit:
BEGINNING at a point in the eastern line of Fourth Street three hundred ninety (390) feet north
of the northeast corner of the intersection of Wayne and Fourth Streets; thence eastwardly along
the northerly line of Lot No. 35, Section "B" on the hereinafter mentioned Plan of Lots, one
hundred sixty (160) feet to a point; thence northwardly on a line parallel with Fourth Street,
sixty-five (65) feet to the southern line of Lot No. 37, Section "B"; thence westwardly along the
southern line of Lot No. 37, Section "B" one hundred sixty (160) feet to the eastern line of Fourth
Street; thence southwardly along the eastern line of Fourth Street sixty-five (65) feet to a point,
the Place of Beginning.
BEING the western portion of Lot No. 36, Section "B" in the Plan of Lots known as
Summerdale, said Plan being recorded in the office of the Recorder of Deeds of Cumberland
County in Plan Book 1, Page 44 and in Plan Book 2, Page 109.
TOGETHER with the right to use an additional strip of land sixteen (16) feet in width adjoining
the aforesaid tract of land on the east and also the sixteen (16) feet at the rear of the
corresponding portion of Lots Nos. 35 and 34, Section "B" until the same shall be wanted for a
public alley.
BEING the same premises which Lester C. Sawyer and Rachel E. Sawyer, his wife, of
Cumberland County, Pennsylvania by Deed dated May 26, 1954, and recorded in Cumberland
County Deed Book 15, Volume U, Page 53, granted and conveyed unto Edward J. Sawyer and
Dorothy A. Sawyer, husband and wife. The said Edward J. Sawyer died on March 15, 2001, his
undivided interest therein vesting in his wife, Dorothy A. Sawyer, whose Estate is Grantor
herein.
THIS is atax-exempt conveyance from an estate to a testamentary heir.
AND the -said Grantor for himself, and his heirs, executors and administrators, does covenant,
promise and agree, to and with the said Grantee, and Grantee's heirs/successors and assigns, by
these presents, that he the said Grantor has not done, committed, or knowingly or willingly
suffered to be done or committed; any act, matter or thing whatsoever whereby the premises
hereby granted, or any part thereof, is, are, shall or may be impeached, charged or encumbered, in
title, charge, estate or otherwise howsoever.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal the day and year first
above written.
WITNESS:
D~
THE ESTATE OF DOROTHY A. SAWYER
r
BY~ (SEAL)
ichael L. Sawyer, E ecutor
COMMONWEALTH OF PENNSYLVANIA. )
SS
COUNTY OF ~~/'~~ ~ )
On this, the ~(~ ~ day of December, 2009, before me, the undersigned officer,
personally appeared Michael L. Sawyer known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within instrument, and acknowledged that he executed the same
in the capacity therein stated and for the purposes therein contained.
1N WITNESS WHEREOF, I hereunto set my hand and official seal.
NOTARU-l SEAL '~
SALLIE ALLSNOUSE ~ i
Notary Pubiic
CARROLL '(WP, PERRY COUNTY O ary PUb 1C
My Commission Expires Mar 29, 2012
Certificate of Residence
I HEREBY CERTIFY that the precise address of the Grantees is:
Mr. Edward 3. Sawyer
312 FOUrth Street
Summerdale, PA 17093
~-/L
A orney for
F p
ti
F..
~,
I
APPRAISAL OF REAL PROPERT1f
LOCATED AT:
312 Fovrt2i Strwt
Hot Liatad Sn Court House Aacorda
Svutoaardala, PA 17093
FOR:
HA
H/A
AS OF:
Saptaoibar 10, 2009
BY:
1Caunath x. Shull
Shull APpraissla, Inc.
100 River Road
Duncannon Pa, 17020
Pa Grt. RL-003116-L; 2011
717-834-0020 Office
Shin Appraisals, Inc.
Fonn GA2 -'TOTAL for Windows' appraisal soltwan; by a la mode, inc. -1-800-ALAMODE
Shull Appraisals, Inc. N 1
509009011
Uniform Residential Appraisal Report Fie# 509009011
the ose of this summa a raisai r rt is to rovide the lender/Diem with an accurate, and ad ua s sled, o idon of tfH market value of the sub' ro
Pr Address 312 Fourth Street (:l Sumaerdale State PA L Code 17093
Borrower Owner of Public Record Rotate Of Hdrard J 6 Domth 8: X011 Cumberland
LB IDescd lion Not Liatsd in Court House Records
Assessor's Parcel # 09-12-2994-031 Tax Year 2009 R.E. Taxes $ 1 soo. oo Hat
f hbOrheOd Nagle 8uemardale Ma Reference Netro 2742 A-1 CenSUS Tract 25240-101
Oca am Owner Tenam Vacant S eclat Assessmems $ o. oo PUD HOA $ N/A rear r momh
Ri hts aised Fee Si b Leasehokf Other describe
Asst T Purchase Transaction Refinance Transaction Other describe
Lender/Cfient NA Address N A
Is the sub' t r clxr offered for sale or has tt been offered for sale in tfle twelve marldls dos to the ettecgve date of this a sisal? Yes No
R rt data sources used offeri rice s and dates . NLS of the sub •ecta ^raa.
I ^ did ®did not anayze the contract for sale for the subject purchase iansacton. Explain the resuhs of the anaysis of the conract for sale or why the amatysis was not
domled. No contract sub'ect dose not a to be for Bala.
Contract Price $ x/a Date of Contract N A Is tfle ro e espies the owner Of ubMc record? Yes No DaTa Sources Tax Asseaement
is then: any finanaaf assistance (loan charges, sale concessbns, gift or downpaymem assistance, etc.) to be paid by any party on bellatf of the borower? ^ Yes ^ No
k Yes, rn ttH total dollar amoum and describe the items to be id. N/A
Note: Race and the racial com ' 'on of the rre' hborfiood are note teal factors.
rfiocd Chacacferistks ' f7rae-llnk Nowi Trer>ds rrlEffi~rai Present t~arfd Use % <<
Locatton Urban Suburban Rural Pro Values klcreasi Stable Deckni PRICE AGE One-Unit ao %
Built-U Over 75% 25-75% Under 25% Demand/S Shorts a In Balance Over Su $000 rs 2-4 Unh s %
;Growth Ra 'd Stable Slow Marked Time Under 3 mths 3.6 mlhs Over 6 mths es Low s MulO-Fermi s %
N hbOrh00d Boundaries Sub'ect is bound Route 11/15 To the Hest Ronts 81 To the 165 HI h 85 COmrrlerClal 5 %
~ North North 8nols Road to the Nest and aha Lana to the South. 125 Fred. 45 Dthef 5 %
' hbortl00d Desrn t10n The sub'ect is located in a rsaiflential area amo r slice of similar 8 le and market a
Homes in the area ors oc led and maintained. Ail conwniencas are eaail accasaible to tM sub act. The avb act is
located in Hset Pennaboro h Tornshi Schools SA i and 1 nt are within minutes of the sob act.
Marker Conditions incbdin su rt for the above concklsions Pz roes of this a le and area sell xell rithout sellers concesaiona .
Ioterast Hu s are not zevalent at this time with conwntional~ratea wader 88
DlmenSlOnS See Lenders Packer Area .24 Acres Sha a Reefer tar Vu;w Residential
S ificZod Class'rficationResiaential Zonin Descd lion Residential
ZoN Co arrcz L a! L al Noncomomn Graridfathered Use No Zoni g al describe
Is the hi hest and best use of sub' t ro a as im roved or as ro osed r tans and s ec~catians the resew use? Yes No g No describe
UtAfties Pudic Other (deauibej Public Other (deacrftrey OH-site kn rovementa - T Pubik: Private
Electric' 20o Water Street Halt
Gas Sanity Sewer Alle Nose
FEMA S eclat Food Hazard Area Yes No FEMA Fbad Zone c FEMA M # 420359 FEMA Ma Date 4/IS/77
Are the utllities and off-site im rovements teal far ills market area? Yes No B No, describe
Are ttlere an ~rerse site conditons or external factors easerlHnts, encroachmems, ernironrtlental conditions, land uses, etc. ? Yes No K Yes, describe
At the time tbere more no a Brent easements oz eacroachvrnta. T}ure oars no ial aessasments or elide areas. Sub'act
in within the 1 al ronin r lationa o£ the Tornabi .
Gererel
Uniis Ogle One with Accesso Unit fouhrletron
Concrete Slab Crawl S ace CE,x.terior materlaitlcondition intlarior mabetfafslconditloo-
FOUfldatlOn Wall$ CCblock Awra FbOrS CTila/trood/Awre
# Of 5todes 1 FuU Basemem Partial Baser[cent Exterl0r Walls StoneiAl A Wails 81ast Paint Fair
T Det Att. S-DeUEnd Unit Basemem Area 1 154 s .h. Roof Surface c shi TdrrVFlrmsh Hood Paiat/Awra
ExisU Pro sect Under Const. Basement Flrosh PA % Gutters & Downs U1S Yes Alum Afros Bath Floa CeramicTile Awza
Deli n S k Ranch
Year Buitt 19ss Outside En /6dt Sum Pu
Evidence of Infestation None Notac Window T e Dblesa GCaaamt A Bath Wainscot CoramicTila Awry
Stonn SasfVlnsufated storm unit. A Car Store None
Effective A e rs 35 Oa Hess Settlement Screens Yas/Amore Drivew # of Cars 2+
Attic None Heatl FWA HWBB Radiant Amenities Woodstove s # 1 DriVBWa Surface Aa halt
Dro Stair Stairs Other Fuei oil Fl laces # Fence Gara e # of Cars
Fbor Scuttle CoWi Central Air Conditioni PatiNDeck Hncl. Porch Coo Brick Ca rt # of Cars
Flnishetl Heated Individual Nu Other Pool Other Aft. Dec BuiR-in
A aces Refn for Ra eJOven Dishwashcr Dis Deal Microwave WasfHr r Other describe Pea Hood
Flnished area above rode corrtains: s Roams 3 Bedrooms 1 Baths 1 154 S are Feat Ol Gross L'IVI Area Above Grade
s AddiUonalfeatures S 181 efficient ierrlS e1C.. Sub set has an electric rater heater.
.
Describe the condition of the o e mdudin needed re ire deterioration, renovations remodel ,etc.. The ~ub'act in in aver condition on both
the interior and exterior. The aub'ect hoe a standard floor tan and amenities. No evidence of functional or scoaomic
obsolescence was observed. Sob act is in need of u -dates and modsrnisin
Ara there a steal deOCIeIF,ies or adverse coMigons that affect the avabili ,soundness, or sVUCtural int at the ? Yes No ft Yes, describe
At the time of in coon there raze no h aical or adverse structural conditions aftecti the sub act or it's
marketabili observed.
Does the r erlerat conform to the stet hborhood unctional util' , s e, condition, use construction, etc. ? Yes No h No describe
At the time of in Lion the aub'ect r is in conformit with the other r sties in the net hborhood
Freddie Mac Form 70 March 2005 Page 1 of 6 Fannie Mae Form 1004 March 2005
Form 1004 - •iOTAI for Windows• appraisal software by a b rtwde, inc. -1-BIXi-ALAMODE
309009011
Uniform Residential Appraisal Report Fde# 309009011
There are 9 CO cable r0 erties CUR offered for sale in the sub nei hborhood ra i in rice from $ 99 500 10 $ 165 000
There are 6 co cable sales in the sub' rwI hborhood within the sT twelve momhs ra i in sale rice from S loo 000 to $ 16s 000
FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3
Address 312 Fourth Street
Sweserdale PA 17093 409 N Fourth Street
Summerdale PA 17093 72 Oliver Road
Enola PA 17025 540 N Eaola Drive
Enola PA 17025
Prodm' t0 SUb t 1 Block .75 bile .75 Nile
Sale Price S N/ $ 127 900 $ 129 000 $ 129 eoo
SalePrice/GrassLiv.Area S N/AS .ft. S lla.2o s .tt. $ 12a.oo s .ft. S 129.so s .ft.
Dale SOUfCe S DII.s/STEB its -Q.3/STEB Re its Da.s/STEB to
Verificadon SoBrce S Public Record Public Record Public Rewrd
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $ Ad'ustmerd DESCRIPTION + - $ Ad'usiment DESCRIPTION + - $ Ad'ustment
Sales Or RnanCing
('iotaes$IUn$ Conventional
None Enown Com~entional
None rmanm cash
Nona Enown
Date of Sale/fine 9 2e oe z Del 12 5 08 15 r9T d 20 09 173tf1
Ldcatbn Suburban/A Suburban/A Suburban/A Svburbaa
LeaSelaldlFee $' le Fae S la Fee S' is Fw S' le Fea 8 la
$de .24 Acres .26 Acres .16 Acres .i6 Acre
VfeW Residential Residential A Residential A Residential
DeSin S le Ranch Rancb Raaeh Reach
D Of COnatNCtiOn StoaecAl Av SrickGAl Av AlueSn A +2 500 Aluminum A +2 soo
a~wala a 54 39 54 56
CDrdftiOn Awra Awra Awr Awra
Above Grade Trial Bdrms. Baths Total Bdrms. Baths Total Bdrms. Baths Trial Bdrms. Baths
R
O
O
M Courd 5 3 1 5 3 1 5 3 1 4 2 1
I~
.,
.
UIV55 Lwi Area 1 154 5 .ft. 1 120 S .ft. 1 000 .ft. +2 310 1 000 S .n. +2 310
Basemen[ & Rnlshed
ROOmsBebW Grade Full BasemanL
PR Full Basement
IInfiaishsd
+1 500 Full Basssient
Dniiaished
+3 500 Full easement
IIntinished
+1 500
FunctionallJtii Avers Awra Awra Awra
Reati CDOT FIG None FIG None CA -1 500 G -1 500
~ Ens Eftiraent ftemS Storm IInite Storm IInits Thermal s Thermal s
tiara Ca rt Off Street Off Street Off Street 1 Car Det -250
I'acfVPati0AleCk Awr Awr Awra Awra
Net Ad' Stlnent ofd + - $ 1 soo + - $ a elo + - $ 4 560
Adyusted Sale Price
Of Co cables Net Adj. 1.2 %
Gross Ad'. 1.2 %
S 129 eoo Net Adj. 3.9 %
Grass Ad'. 6.3 %
$ lza elo Net Adj. 3.5 %
Gross Ad'. 6.2 %
S 136 360
I did did not research the sale or transfer hi lt of the sub~ect ro and com cab le sales. If not, bin
research did did not reveal an rice sales a hansfers of tits sub act r for the titres ears br to the effective date of this reisal.
Data Sources Tax Assessment office
research did did rat reveal an rice sales or transfers of tits co arable sales fa the ear rice to the date of sale of the c cable sale.
Data Soufce 5 Tax Assessment Office
R rt the results of tits research and a sis of tla rice sale or trar~fer histo of ttte sub t and c arable sales rt additional 'a sales on e 3 .
fTEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3
Date Of Prior SalelTransfer No prior No Prior No Prior No Prior
Price Of Prier SaIrJTransftx N/A N/A N A N/A
Data SOUfCe S Public Re~rd Public Recb 165 Public Record/DII.S Public Record/-IIS
Effective Date of Data Sources 9 10/2009 9/10/2009 9/10/2009 9/10/2009
Ana IS Of rl0r Sale Or VanSfer hIStO Of file SUb~eCt (0 and CO cable Sales Anal ais o! tic records and ws sts shoes the
sub act bee not bean listed for sale or trensferrod in the ast 36 months. The ruble did sot a ar to haw shown a
transfer for the rice 12 months.
$Umma Of Sales Dom aflSOn A roach Ali sales are closed transactions. All sales ors wasiderad aver indicators of valve a
c ter crated veal tad aver was used as an aid in determinin value in the finial reconciliation. to the
limited number of similar transfers in the sub act's area C reblws chosen are considered the beat from all aonrews
includin S'fEB and DII.S Re its and be or era OLDER and 1rIDER Than IDEAL 1dea1 bei 6 months and 1 mile.
Irdica&d Valle b Sales Com son ch S 129 000
indicated Value : Saks Comparison A S 129 000 Cost proach ('d deve ) S N/A income A (if deve $ N A
The msrket a roach is the best a roach for this of r The cost The Costa roach is not livable for this
• sob act rive to the a of the sub act and or the difficul in aceuratel icti it'• r roduction or laceiaant cost.
The income a roach is a livable to the sub'ect as ical rchaaess ors moza intareated flu snb acts lncema it ma
This appraisal is made ®"as is", ^ subject to completion per plans and specifications on the basis of a hypottreticai caxlNOn titat the improvertterds leave been
completed, ^ subject to tte folbvrirg repairs or alteratons on 01e basis of a hypothetical condition brat the r~airs or alterations have been completed, or ^ subject to the
• fo9owi aired ins on based on the edraordina as5u on that the condition or deticienc does eat uire a48ration or ir: sob .et is raised in °' as
is" Condition.
Based on a complete visual inspect b'on of fhe interior and exDerior areas of the subject Propertt, defirred scope of work, statemwrt M assumptions and limning
condiBons, and appraiser's serf cation, my (our) opinion of the modest value, as defined, of a real property that rs the su
ttjed of this report is
S 129,000 as of s temb.r 10, 2009 which is the date of Ins on and tl1e elfectlve date of >hk 'sal.
Freddie Mac Form 70 March 2005 Page 2 of 6 Fannie Mae Form 1004 March 2005
Fonn 1004 -'TOTAL for Windows" appraisal software by a b mode, inc. -1.800•ALAMODE
i 1 P #
309009011
Uniform Residential Appraisal Report Flk# 309009011
SM oL teClva of tLi/ Coal rt i/ Co efAr Y mien of a/zaat v/1W !or LAa • act Y Gafintl Lazain. lAa inta.Mtl uN of tai/ sal
is to Ysiat tL/ 1811yz • oli/nt • a/e/G in •wa/ rt in ava1W t]w /nb /et celLbral fez • sez 1 daet/ion onl Ifia
pliant a/ eafiWa in ta/ Onifoa atatlarG/ of ProN//lonal al/al. Prantip is tM N Clot CM • tiNr centzaet in tMs fie
Y /M i/ neatl in tai/ t CLa iMr a/ tM and Snt n0/A YYZ / TN c1iMt v/ 10YtifLd tta zaiNr LANG m a~niealSae [r®
tM attest at q1a CSti of tLa ezi Ya !. Store Nra no otL/r inf G/G YNr/ ant tL/n MN no etL/r SnGeG/G nN/ miYm~WaGG tlw chant fu fl•
r at tM Clw/ of tM eta t. a0/MZ tLap aW tLON StllviGWl/ or antiilY Uat t ehooN W vN of ri en • eI oz tlr/ anttra sal
tlrt Wza not iGantifitl u intNGad uNr/ tM Nr atl tM cllYt(/) atl tDia LY not baY to aGGZa/a 'tic WAGS of
UOM 1nGividula or YC1tia/. f1eY or mocarn/ a tLioG as Lava fhaalG W Q1mLG Co tin eliant /) idYtlfltl So tlLLa rt atl not tM
Nr. rL. tel r eWn So aaivs at tLa f1Y1 anion of rr4t w1W:
a
the assi t a relimina search was made to determine market trends and other ai ificant factors
I Aftex xeGivin
rtinent to the sub act rt .
2 A h sisal observation of the r r was formed of the unobstructed • sed surfags of acfxssible aztarior and
interior areas of all atrueturaa without removal of rnoaal sseasions the a raiser. 8xterior and interior hotel
were taken for the a raiser's cork file with hotoa of ai ificant items included Sn this ra rt. Althov dne dill once
was exercised while visits the sub act the a raiaar is not an rt in ouch matters as identification of
mold lead aed ant st control structural • iaeerin hazardous ab aoilslids sae di sal a stem in i
electrical oz ~'*a^+tal stave etc and the a raiser assumes no rea naibili for those items. Hold ale or ma not ba
resent in azeas the a raiaar could not reedit observe. The resents of mold and contamination cannot ba ruled out based
e on the sub act's a If the cllent has an cations re ardi these items it is the client's rea nsibilit to order
the a fats in ctions with the final lnion of market value bei sub eat to a licensed rofessioml'a findin s.
3 A detailed review of market axles sxUcactad from various sources includin Aeal Estate Erokera and nts Princi ale
Affidavit of Valve teen ~ records Other raisers and the cellar's files was undertaken the raiaar. Relwaat
market factors ware wi had and their influences on the sub acs considered in the Direct Sales C flop Anal sin.
laeement cost data and market rental data .rare rwiewad sad considered th h some not be used.
4 The a sisal r rt ands rtin addenda wre delivered to the Client which conatitated lotion of the a raiaal
assi t.Based on an assive mtrketin tethni a for the avb act r the estimated aura time would haw
born ant tlw estimated markatin time world ba three to nine months. sure time for the ables utilized in the
rt based on infosmation obtained from real estate a nta or rind ale involved in the transaction. on final
source of the cables is shown in the Data Source ascLion of the market rid slo with the source o! confi~stion.
The sources and data are considered reliable. Nhan conflicts information is rovidsd the eourq dewoed most reliable
were need. Data believed to be unreliable was not included in this r rt nor used as a basis for valve conclusion.
able sale's steal dates are the time of rawrdin of dead final sales zice from Affidavit of Value and
tinanci Tram recorded Deed of Trust. Seller contessiona and contract dates era not of lac record. Parties involved in
the able sales did not indicate an sales of tinancin concasaions for the c cables utilized nnl as noted in the
rt. Pinsneia of the sblea are ical of the market and does not a ar to affect value s foal finanein
i• also noted in the r rt. Anal sis of condition and amenities of ambles based on infosmation obtained fray rties
involved in the transactions coua records end exterior views from the street.
After c alien of the a sisal assi nt es noted above an additional r eta the cllent mast be stall in
wziti and ma ba svD act to additional bills to recover the coats associated with such ats.
COST APPROACHTOVALUE Fanitiief+Tae)
Provide ad uate irdonnation far the IerMer/cNerA to re sate tt~e bebw cost fi eras and ca~ulatbns.
Su for the 'Mon of site valce surnrna of co cable land sates or other mettads for esOmati site value
Site valor era within idalinea o£ 308 oP value +/-
ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE..__...._......._......_...._ ................................... _$
SDnrce Ol c051 data Marshall s swift Coat Band nook DWELLING S .FT. $ ............ _$
Oua rata from cost service Avers Ettecdve date of cost data 2009 S .Ft $ _$
• CDmmems on Cost roach Toss livin area calculations, de eciation, etc. sailt-ins _....... _$
See Attached 9katch Gara Ca rt S .Ft. $ .......__. _$
Total Estimate of Cost-New =$
The Marshall i Swift Cost Band Hook was used as an aid in Less SICaI PonctiOnal E)demal
ti the Coat roach utilizin "eves all The reCIa110n =$
estimated ramaiain economical life is *•*30-40 are. eClated ('ie$t Of I rovernents ....-.....__-.-.-..-°"-............_....... =$
'As-is" Value m Site I rovements ..----..._-_ ....................._.----.._..._ _$
Estimated Remains Economic L'rfe HUD and VA on Years INDICATED VALUE BY COST APPROACH ..._ _.........._ =S
IN(~E APPROACHf 70 VAf.IJE 11ot Fifd~ ~Ae) "
e Estmaled Mo Market Rent $ x/a X Gross Rerd Multiplier x/A = $ _ Indicated Value b Income roach
$Urrt)1a Ot InCOme A OaCh InClUdin SU rt for market rent and GRM Tha income approach though considered was not used in this
a sisal an the ical urchaser is more interested in home ownarshi rather than investment.
PFT(1JECt INFORUATtON FOR Plea d )
Is the deveb dbrimer in carrtrol of the Homeowners' Association OA ? Yes No Unit s Detached Attached
Provide ttx: fapowi information for PUDS ONLY 'rf the deveW rlbuJder is in conbd of the HOA and the sub' t ro e is an attached dwells unit.
I Name of Pro BCi N A
• Total number Of hales N A TOlai rlUmber of uMts N/A total nlanber Of units sold N A
Total number of units rented NJA Toil rwmber of untts for sale xJA Data source(s) xJA
Was the ro t created b the conversion of exisbn builds s into a PUD? Yes No h Yes, date of conversion. NJA
Does tfre o' t cordain an md0-dwell units? Yes No Data Source x/A
Are the units, common elernerds, and recreation facilities co late? Yes No If Na describe the status at co n. xJA
Are the convnon elements leased to er b the Homeowners' Association? Yes No if Yes describe the rerdal terms and o 'ens. x A
Describe common elerrrads and recreational faciltes. N A
Freddie Mac Form 70 March 2005 Page 3 of 6 Fannie Mae Form 1004 March 2005
Fenn 1004 -'TOTAL for Windows" appraisal software by a la mode, inc. - t-800•ALAMODE
F'I 11 #
Unrform Residential Appraisal Report ~# 509009011
This report form is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit;
including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a
manufactured home or a unit in a condominium or cooperative project.
This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value,
statement of assumptions and limiting conditions, and certifications. Modrfications, additions, or deletions to the intended
use, intended user, definition of market value, or assumptions and {inviting conditions are not permitted. The appraiser may
expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal
assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do
not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's
continuing education or membership in an appraisal organization, are permitted.
SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the
reporting requirements of this appraisal report form, including the following definition of market value, statement of
assumptions and limiting conditions, and certifications. The appraiser must, at a minimum: (1) perform a complete visual
inspection of the interior and exterior areas of the subject property, (2) inspect the neighbofio0d, (3) inspect each of the
comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources,
and (5) report his or her analysis, opinions, and conclusions in this appraisal report.
INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the
subject of this appraisal for a mortgage finance transaction.
INTENDED USER: The intended user of this appraisal report is the lender(client.
DEFlNITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open
market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming
the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and
the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2} both
parties are well informed or well advised, and each acting in what he or she considers his or her own best interest; (3) a
reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U. S. dollars or in terms
of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold
unaffected by special or creative financing or sales concessions* granted by anyone associated wfth the sale.
*Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are
necessary for those casts which are normally paid by sellers as a result of tradition or law in a market area; these costs are
readily ident'diable since the seller pays these costs in virtually all sales transactions. Special or creative financing
adjustments can be made to the comparable property by comparisons to financing terms offered by a third party instftutional
lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical
dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's
reaction to the financing or concessions based on the appraiser's judgment.
STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certrfication in this report is
subject to the following assumptions and limiting conditions:
1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title
to it, except for information that he or she became aware of during the research involved in pertarming this appraisal. The
appraiser assumes that the title is good and marketable and will not render any opinions about the title.
2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements.
The sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determination
of its size.
3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency
(or other data sources) and has noted in this appraisal report whether any portion of the subject site is located in an
identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or
implied, regarding this determination.
4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question,
unless spec"rfic arrangements to do so have been made beforehand, or as otherwise required by law.
5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the
presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or
she became aware of during the research involved in pertorming the appraisal. Unless otherwise stated in this appraisal
report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the
property (such as, but not limited ta, needed repairs, deterioration, the presence of hazardous wastes, toxic substances,
adverse environmental conditions, etc.) that would make the properly less valuab{e, and has assumed that there are no such
conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such
conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist.
Because the appraiser is not an expert in the field of environmental hazards, this appraisal report must not be considered as
an environmental assessment of the property.
6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory
completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will
be performed in a professional manner.
Freddie Mac Fonn 70 March 2005 Page 4 of 6 Fannie Mae Form 1004 March 2005
Fann 1004 -'TOTAL. to windows' appraisal software by a la mode, inc. -1-800-ALAMODE
unlTOrm rtesiaennai
APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that:
1. I have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in
this appraisal report.
2. I pertormed a complete visual inspection of the interior and exterior areas of the subject property. I reported the condition
of the improvements in factual, specific terms. I identified and reported the physical deficiencies that could affect the
livability, soundness, or structural integrity of the property.
3. I performed this appraisal in accordance with the requirements of the Undorm Standards of Professional Appraisal
Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in
place at the time this appraisal report was prepared.
4. I developed my opinion of the market value of the real property that is the subject of this report based on the sales
comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach
for this appraisal assignment. I further certify that t considered the cost and income approaches to value but did not develop
them, unless otherwise indicated in this report.
5. I researched, verdied, analyzed, and reported on any current. agreement for sale for the subject property, any offering for
safe of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject
property for a minimum of three years prior to the effective date of this appraisal, unless othenroise indicated in this report.
6. I researched, verfied, analyzed, and reported on the prior safes of the comparable sales for a minimum of one year prior
to the date of sale of the comparable sale, unless otherwise indicated in this report.
7. I selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property.
8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price aF a home that
has been built or will be built on the land.
9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject
property and the comparable sales.
10. I verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in
the sale or financing of the subject property.
11. I have knowledge and experience in appraising this type of property in this market area
12. I am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing
services, tax assessment records, public land records and other such data sources for the area in which the property is located.
13. I obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from
reliable sources that I believe to be true and correct.
14. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject
property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I
have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the
presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the
subject property or that I became aware of during the research involved in pertorming this appraisal. I have considered these
adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and
marketability of the subject property.
15. I have not knowingly withheld any signdicant information from this appraisal report and, to the best of my knowledge, all
statements and information in this appraisal report are true and correct.
16. I stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which
are subject only to the assumptions and limiting conditions in this appraisal report.
17. I have no present or prospective interest in the property that is the subject of this report, and I have no present or
prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partiaWy or
completely, my analysis and/or opinion of market value in this appraisal report on the race, color, religion, sex, age, marital
status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the
present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law.
18. My employment and/or compensation for pertornting this appraisal or any future or anticipated appraisals was not
cond+tioned on any agreement or understanding, written or otherwise, that I would report (or present analysis supporting) a
predetermined specfic value, a predetermined minimum value, a range or direction in value, a value that favors the cause of
arty party, or the attainment of a specdic result or occurrence of a specific subsequent event (such as approval of a pending
mortgage loan application).
19. 1 personally prepared al! conclusions and opinions about the real estate that were set forth in this appraisal report. If I
relied on significant real property appraisal assistance from any individual or individuals in the pertormance of this appraisal
or the preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks pertormed in this
appraisal report. I certify that any individual so named is qualified to pertomt the tasks. {have not authorized anyone to make
a change to any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and I will take no
responsibility for it.
20. I ident'rfied the lenderfclient in this appraisal report who is the individual, organization, or agent for the organization that
ordered and will receive this appraisal report.
Freddie Mac Fortn 70 March 2005 Page 5 of 6 Fannie Mae Form 1004 March 2005
Fonn 1004 -'TOTAL for Windows' appraisal software by a la mode, inc. -1-800-AIANWDE
it #
uniform Hesiaent~ai
21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the
borrower; the mortgagee or its successors and assigns; mortgage insurers; government Sponsored enterprises; other
secondary market participants; data collection or reporting services; professional appraisal organizations; any department,
agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions; without having to
obtain the appraiser's or supervisory appraiser's ('rf applicable) consent. Such consent must be obtained before this appraisal
report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public
relations, news, sales, or other media).
22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain
laws and regulations. Further, I am also subject to the provisions of the Undorm Standards of Professional Appraisal Practice
that pertain to disclosure or distribution by me.
23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage
insurers, government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part
of any mortgage finance transaction that involves arty one or more of these parties.
24. If this appraisal report was transmitted as an "electronic record° containing my "electronic signature," as those terms are
defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this
appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and
valid as if a paper version of this appraisal report were delivered containing my original hand written signature.
25. Any intentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or
criminal penalties including, but not limited to, fine or imprisonment or bath under the provisions of Title 18, United States
Code, Section 1001, et seq., or similar state laws. .
SUPERVISORY APPRAISER'S CERTIF1CATlON: The Supervisory Appraiser certifies and agrees that:
1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's
analysis, opinions, statements, conclusions, and the appraiser's certification.
2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions,
statements, conclusions, and the appraiser's cert'rfication.
3. The appraiser identiFied in this appraisal report is either asub-contractor or an employee of the supervisory appraiser (or the
appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisa{ under the applicable state law.
4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and
promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal
report was prepared.
5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are
defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this
appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and
valid as if a paper version of this appraisal report were delivered containing my original hand written signature.
APPRAISER
Signature
Name .shall
Company Name Shull Appraisals, Inc.
Company Address loo xiwr Woad
Wncannon, Fa 17020
Telephone Number 717-834-0020
Email Address Shullarunatwork.oam
Date Of Signature and Report sapt®bar 16, 2009
Effective Date of Appraisal saptambar 10, zoo9
State Certification # RL003116L
or State License #
or Other (describe) State #
State PA
Expiration Date of Certification or License 6/30/2011
ADDRESS OF PROPERTYAPPRAISED
312 Fourth Strut
Sv®ardala, PA 17093
APPRAISED VALUE OF SUBJECT PROPERTY$ 129,000
LENDER/CLIENT
Name
Company Name NA
Company Address R/A
Email Address
SUPERVISORY APPRAISER (ONLY IF REQUIRED)
Signature
Name
Company Name
Company Address
Telephone Number
Email Address
Date of Signature
State Certification #
or State License #
State
Expiration Date of Certfication or License
SUBJECT PROPERTY
^ Did not inspect subject property
^ Did inspect exterior of subject property from street
Date of Inspection
^ Did inspect interior and exterior of subject property
Date of Inspection
COMPARABLE SALES
^ Did not inspect exterior of comparable sales from street
^ Did inspect exterior of comparable sales from street
Date of Inspection
Freddie Mac Fomt'70 March 2005 Page 6 of 6
Fannie Mae Form 1004 March 2005
Form 1004 -'TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
Subject Photo Page
Borrower Client
Pro Address 312 Fourth strwt
C" sumoardal. COU Cmobarland State FA D C de 17093
lender xA
Subject Front
312 Fourth Strs.t
Sales Price N/A
GlA i,is9
Total Rooms s
Total Bedrms 3
Total Bathm~s i
Location suburban/Avq
VeW R.sidantial
$11e .29 ACraa
Quality StowiAlvm/Av
Age s9
Subject Rear
Subject Street
ivrtn PIC4x8.$R -'TOTAL for Windows' appraisal software by a la mode, Inc. -1-800-ALAMODE
Subject Interior Photo Paae
FIN 1 P
Borrower Clier% _
Pro Address 312 Fourth street
C summerdale Cou daoberland State eA
Lender ~ Z Code 17093
Subject Interior
312 Fourth Street
Sale Pdce t7/A
GLA i,isa
Total Rooms 5
Bedrooms 3
Bathrooms i
Location sub,.rbe,./Avq
View Residential
Site .24 Acres
Duality StoneiAlum/Av
Age sa
Subject Interior
Subject Interior
Forrn PIC4x6.S1- •TOTAL for Windows' appraisal software try a la mode, inc. -1-B00-ALAMppE
Subject Interior Photo Page
FI P #17
Borrower Pent
Pro Address 312 Pourtb str.at
~I Smmerdala COU Quobarland State PA 7,1 Code 17093
Lenda xA
Subject Interior
312 E'ourth Strvat
Sale Pdce N/A
GLA l,lsa
Total Rooms s
Bedrooms 3
Battttooms 1
LOCatIOn suburban/Avq
~eW Residential
Siie .24 Acres
OUaldy StoneiAlum/Av
Age s+
Subject Interior
Subject Interior
Fenn PIl:4x8.S1- "TOTAL for Windows' appraisal software try a la rtade, inc. -1-800-ALAMODE
FI
Comparable Photo Page
ao ~ cuem
Pro Address 312 Fourth street
C' st~mardale Cou cumberlana State PA L Code 17093
Lender xA
Comparable 1
404 N Fourth Street
Pm>amity 1 Slock
$alePrice 127,900
GIA 1,120
Total Roams s
Total Bedm~s 3
Total Bafhrms 1
Location suburban/Avg
View Residential/Av
$118 .26 Acres
Oeatdy SrickiAlusyAv
Age 39
Drive-Sy Photo
Comparable 2
72 Oliver Road
Pfadmtly .75 Mile
SalePdce 124,000
GLA l,ooo
Total Roans s
TotalBedtms 3
Total BaNrms 1
Location snbnrb.n/A.~
Ya'.W Residential/Av
$de .16 Acres
~ualtty Almoiaws/Avq
Age sa
Drive-By Photo
Comparable S
540 E Eaola Drive
Prmdrdty .75 Mile
Sale Price 129, B00
GLA 1,000
Total Roortu 4
Total Bedrtns 2
TotalBattwms 1
Location svburbanlAvq
VBW Residential
$ile .16 Acre
IL~iry Alnmi.nvm/Avq
Age s6
Drive-Ry Photo
form PIC4x8.CR -'TOTAL for Windows' appraisal software by a la rtpde, inc. -1-80(1-ALAMODE
Rle No. S09009011 Paae #t 3
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Bortower CNent
Pro Address 3iz Pourt-, street
Ci s,n®.raale Cou Qaoborlmd State PA Lo Code 17093
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Form MAP.LOC -'TOTAL for Windows" appraisal software by a la mode, inc. -1-800•ALAMppE
MULTI-PURPOSE SUPPLEMENTAL ADDENDUM
FOR FEDERALLX RELATED TRANSACTIONS
ShuN Appraisals, Inc.
BortowerlCNerd
Pro Address 312 Fourth Street
(i' Summerdale (.oU Cumberland State 1!A T.I COd6 17093
Lender aA
Thus Multi-Purpose Supplemental Addendum fa Federaly Related Transactions was designed to provide the appraiser with a convenient way to comply with the curterd
appraisal standards and requirements of the Federal Deposit Insurance Corporation (FDIC), the Office of the Comptloller of Curtency (OCC), The Oflice of Ttxitt
Supervision (OTS), the Resolution Trust Corporation (RTC), and the Federal Reserve.
This Multi-Purpose Supplemental Addendum is for use with any appraisal. OnIY those
statements which here been checked by the appraiser apply to the property being appraised.
~ PURPOSE 8r FUNCTION OF APPRAISAL
The purpose of the appraisal is to estimate the market value of the subject property as defined ivyein. The function of the appraisal is to assist the above-named
Lender in evaluating the subject property far lending purposes. This is a federalty related yansactlon.
® EXTENT OF APPRAISAL PROCESS
® Tire appraisal is based on the information gathered by the appraiser from public records, other iderrttlied sources, inspectlon O 11x: subject property and
rxtighborhootl, and selection of comparable salon within the subject market area. The original source of the comparaWes is shown in the Data Source sectlon
at the market grid along with the source of conf'irmation,rfovailable. The original source is presented first. The sources and data are considered reliable.
When cordlicting irdortnation was provided, the source deemed most relable has been used. Data beteved to be unretable was not incpsded in the report ray
used as a basis for the value conclusion.
® The Reproduction Cost is based on Marshal 4 s.irt Coat Band Book
supplernetded by the appraiser's knowledge of the bcal market.
® Physical depreciation is based an the estlmated effective age of the subject property. Fvtrctiorel and/or exbrnal depredation, h present, is speCificaly
addressed in ffre appraisal report ar other addenda. In estimatlng the site value, the appraiser has retied on personal ktawladge of the bcal market. ThLs
knowledge is based on prior and/or current anatysis of site sales and/or abstractlon of stte values from sales of improved properties.
® The subject property is bated in an area of primariryowner-occupied single fatuity residences and the Income Approach is rot considered to be meaningful.
For this reason, the Income Approach was trot used.
^ Tfx; Estimated Market Rem and Gross Rent Multiplier utN¢ed in the Income Approach are based on the appraiser's knowledge of the subject market area.
Tfx; rental knowledge is based on prior and/or current rental rate surveys of residential properties. The Gross Rerrt Mul6pli~ Is based on ptbr anNor current
anatysis of prices and market rates for residential properties.
^ for income producing properties, actual nerds, vacancies and exposes have been reported and analyzed. They have been used to project future rents,
vacancies and expenses.
~ SUBJECT PROPERTY OFFERING INFORMATION
According to Multi-Liatiug 9erviee of the Area the SUbJBCt property:
has not been offered for sale in the past: ^ 30 days ^ 1 year ®3 years.
^ is curve Bred for sale for $
^ was offered for sale within the past: ^ 30 days ^ 1 year ^ 3 years for $
^ Oiferirq irdortnation was considered in the final reconciNatlon of value.
^ Offering irdormation was not considered in the tlnal reconcitatlon of value.
^ Offering information was rat available. Tire reasons for unavailability and the steps fakery by the appraiser are explained later in this addendum.
® SALES HISTORY OF SUBJECT PROPERTY
According b Multi-Liatinc Service of the Area and the Tax Aasaaeaent Otfiw rive SUbfeCt property:
® Hac not r ncl .rred ^ in the past twelve months. ^ in the pastthirty-six months. ®in the past 5 years.
^ Has transferred ^ in the past twelve months. ^ in dre pastthirty-six rtantlts. ^ in the past 5 years.
^ AN prior sales which have occurred in the past are listed bobw and reconciled to the appraised value, eittter in the body of the report or in the addenda.
Date 8ahs Price Document # Seller ffa
® FEMA FLOOD HAZARD DATA
® Subject property ks not located in a FEMA Special Flood Hazard Area.
[] Subject property js bcat~ in a FEMA Special Fkad Hazard Area.
Zone FEMA Map/Pansl # Map Date flame of Comnwalty
C 420359 4/15/77 Yaat Penesboro Tawnabi
^ Tire carmurdty does not ' ioate in the National Food Insurance Program.
®The corrrnurtily does oa i .in . in the National Fbod Insurance Program.
^ tt is covered by a ill program.
^ h Is covered by an i~DltuCll program.
Page f of 2
Form MPA3 - •FOTAL for tMndows' appraisal software by a le mode, inc. -1-800-ALAMODE
® CURRENT SALES CONTRACT
® The subject properly is Gtlrrerrtlv not under cordract.
^ The cordractand/or escrow instructions were rat available far review. The unavailabilfly of the contract is explained eta in the addenda sectbn.
^ The cartractand/or escrow instructions were reviewed. The folbvdng summarizes the contracC
Contract Date AmeaAmsaf Dab Contr®ct Prics Seller
^ The contract indicated that personal property was not included in the sale.
^ The coruract indicated that personal properly was included. tt consisted of
Estimated corkributory value is $
^ Personal property was not included in the final value estimate.
^ Personal property was InGudrd in the final value estimate.
^ The contract indicated no tinancinm concess'ans or other incentives. '
^ The conract indicated the folbwino concessions or incenives:
^ tt concessons ar incendives exist, the cort~arables were ctrecked fa similar concessions and appropriate adjustments were made, B applicable, so
that the tlnal value cdnGusion is in compliance with tfte Markel Value detiried herein.
® MARKET OVERVIEW Inctirde an explanation of current markdcordiions end fronds.
3-9 ramps is considered a reasonable marketing period for the subject property based on sales histasv of The aubieet' s Aras
a"W reviarinc the tWlti-Listing 8ervig and STSH Reports
~ ADDITIONAL CERTIFICATION
The Appraiser cerTrfies and agrees that:
(1) The anayses, opinbns and conclusions were developed, and this report was prepared, in comomdty with the Unttorm Standards of Professional
Appraisal Practice ('USPAP•), except that the Departure Provision m the USPAP does net appy.
(2) Their compensation is rat corrtingem upon dx; reporting of predetermined value or direction in value that favors tite cause of the clam, Uxl amoum
of the value estimate, the attairxnem of a stipulated result, or the occurence of a subsequem evem.
(3) This appraisal assignment was rrot based on a requested rrdnimum valuation, a specfic valuation, or the approval at a loan.
® ADDITIONAL (ENVIRONMENTAL) LIMITING CONDITIONS
The value estimated is based on the assumpfion that tfte property is not negativey affected by the existence of hazardous substances or defim~dal
environmemal conditions unless otherwise stated in this report. The appraiser is not an expert in the idemtticafion of hazardous substances or detrimemal
ernironrtlemal conditions. The appraiser's routine inspection of and inquiries abom the subject property did not devebp arty imormation that indicated
arty apparent significant hazardous substances or detrmemal emironmerdal candfdons which woub affect the property rtegativdy artless othervdse stated
in this report. tt is possible that tests and inspections made by a qualified hazardous substance and ernironmemal expert would reveal tfte existence of
hazardous substances or detrimental ernironrremal conditions on or around the property that waukf rx;gativey affect tts value.
® ADDITIONAL COMMENTS
Due to the limited number of similar transfers in the eub acts area nobles are older and or rider than
ideal.
® APPRAISER'S SIGNAT & UCENSE/CERTIFICATION
Appraiser's Sig ~ Effective Oate september lo, zoos Date Prepared septes/ber Is, zoo9
Appraiser's Name (prim) trnneth K. shv11 Ptarre # X37-a3a-oozo
State PA ^ License ®CertifiCati0n # RL003116L Tax ID # 25-1622054
^ CO-SIGNING APPRAISER'S CERTIF{CATION
^ The co-signing appraiser f~5 uersoma inspi~m the subject property, both inside and out, and has made an exterior inspecton of all comparable sales
listed in the report. The report was prepared by the appraiser under direct supervision of rite co-signing appraiser. The co-signing appraiser accepts
responsibility for the contents of the report including the value conclusions and the lim(ting conditions, and confirms that the certilicatbns appy
fuly to the ce-signig appraiser.
^ The co-signing appraiser has rat rsona inspp~ the Interior of the subject property and:
^ the exterior of the subject property and all comparable sales lsted In the report.
^ ha15JDS~ the exterior of the subject property and alt comparable sales listed in the report.
^ The repod was prNrar~ by the appraiser under direct supervision of the co-signing appraiser. Ttx co-sigrmrg appraiser accepts responsidlity fa the
comenls of the report, including the value concbsions and the lmiUrg conditions, and confirms flat the certificatiats appy fuly to the co-signing
appraiser with the exception of the certification regarding physical inspectons. The above describes the lard of Inspection pedomlad by the
co-sigrdrg appraiser.
^ The ca-signing appraiser's level of inspection, invoNemrem in the appraisal process and certficaton are covered elsewhere in the addenda section
of this appraisal.
^ CO-SIGNING APPRAISER'S SIGNATURE & LICENSE/CERTIFICATION
Co-Siprinngg
Appratser's SlgnaU6e Effective Date Date Prepared
Co-Signing Appraiser's Name (print) Plane #
State ^ License ^ Cerfilicatfon # Tax ID #
Page 2 of 2
form MPA3 - "TDTAL for Windows" appraisal soflwa(e Dy a la rtade, inc. - t-tlg0-ALAMDDE
Cert
F P 1
fiarrowe(CGe~
Pro Add(ess 312 Fourth StrNt
~I Si~oazdale COU Cumberland State PA Z Cade 17093
Lender (aA
Cornma~nwealtb of l'e~i~sylvauiw (~$ [1~ {'~~
Depart~a~~ ~~State
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1't7 i3n%26d9ltiarrsismr~ PA' I71.2bd!-
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Inifi~i (`arYi.i`~~Nun M)atc
1~f11/1996
IttffT'~I hS+i[ikAM SNtA,L ~.:a rtiC~cui~
tOp R7titrRasA ~ermirer
arl~n PA f7010
RL#1p3'i16i_ ~ apFraEinra ~a#e
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E80
Borrower Client
F'ro Add 312 Fourth street
C' s,moerael. CoU Ctaobariana State FA Lo Code 17093
Lender ru+
LEXIt~TQiN lNSU~f.ANCE CQMPANY
Aa' _xavri*rt?~ .~~ ~ I in Srrtaar~ Sxeext, 'R<rnwt. S1?uyr;Fis *.,~.!! YJ
CsrtiNCate Ntaa0et: H5S8U733
Thr9 CeR{tlcate torens 0 Pstt at ktastiar Policy tium0ex: gi97t4$11i
tters"vrai of Masier Po0cy NEanrttsr : Ot000TD97
{ AFa_..r.---»~,~-..~.,_-_1il3titt fl~K t't{hCHA$NiIG GiIOUP N/k81~Et POUitW '~'"~"CA~IV`iS NUDir POL1Clf. _ V
i~EAi7 TFI1E AT[ACNE.t! Mlh$t'S#t P'gltCY CAR~tILI.Y
?HE AMER1Gr'li4 At~A~7EN4Y OE STATE CER-ilf~iED APf~RA1fiER~
C~i3"TfFiL`Al'T; DEC1rtAfiA~IQhtS
t, Ntlma and Addseas of CariiAicata Molder: Shd! A;pCxsJsais,lnc. and
IE;ennelR W. Sfiedl
100 Rivor Rpstl
Daxtoatatan PA 17020
2- Certificate Period: Etfsetiw I)ab; OIf~08+U9 to IEalphttllan i7glla: 0>U'04170
"3S3? i.Ri. Ltx!S! 7~R Af C i AddrGp4 al MB Iii{~
2a. Reutlw Ogle: 00.°04!07
1 £' tY g,rtt. L'S~~'. 7b'i® 9[ I!.~YrPSS AI ~P IOgUr66t.
.3. Limit of LlabiCKY: 5 St14,000 lath &lsifn
300.000 aggregate limn
4, tfaductiblB: 3 2,500 each claim
S. f'rdfeaaibnal Govart-d 3trv6clks irtsurdd aY PEis policy s[e: R. AL ~S [~fiE App +~1'iAr fl44GEQ
&. Adranae Carlifieitta #f4idec pratesium: ; 379
Y. ~11NNrrsum parlttld Prcm9Erte: P54k or ~ 793
Torras at+d Endorcenaertts:
?iiw ~tSt~ iC4t?S; heat Estate A~raisat5 Prbta~i0s~# Liattiitty t7acitfrations, PRiG 3148 {7fl(!9g RBBi Estes A~prais~ess
f'rotesscs~ai Lix C4u~rADc Fgnm, Qt227 14t;C7`~} 1"earcrosm Eracfu~n, f~Rf3;#344 t7,+i}8i prt)p`criW Uama0e ?'o irckbax
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f43t1-!? WaaEt itAein Sheet
f:pfKatti, PA 17522'•1345
?' i5 NT=REEY'l h-i~RST~+)tl dNli A~;REE(3 THk.T1tj:--,=^,.ERTIFIGdTt F4f„?LDER AGREES TCj ALi 7~R . ` AN) Cf,NptT9pN AS
SE=T F^~'iTH' IR! T ATiA~'N~0 ANI.$TER POLICY.
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ARE?~tTAYAILAF~.~ f`C3fi yOlJR Rt3K PIJR~'~fp.SIN4~ C~~tk1P.
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Farm MAP.Gerleric -'TOTAL for Windows' appraisal software by a 9 mode, inc. -1-800-ALAWODE
'~' i
Soverei n Ba~rik
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~.
SAVINGS BOND REDEMPTION
INTEREST REPORTING FORM
PZ # 00353-0919-113506 Date Redeemed 09/19/2009
Branch# 353 Processed Amanda Weaver Teller # 001
by
TRANSACTION DISBURSEMENT ^ Cash ^ Check ~ Sovereign Acct Credited
TYPE(S) Account #: (}~ ~ I t O ~-l1 isq
NUMBER OF #2 TOTAL REDEEMED $96.64
BONDS
Ensure that the following information applies to the NAME on BOND/BOND OWNER.
TOTAL 1099 INTEREST TO BE REPORTED IS $46.64
SOCIAL SECURITY NUMBER OR EIN 276-19-9454
_
NAME on BOND/BOND OWNER Doroth Sa er
DATE OF BIRTH 02/17/29
STREET ADDRESS of NAME ON BOND/BOND 405 High Mountain Rd
OWNER
CITY, STATE 8 ZIP CODE Shi ensbur PA 17257
COUNTRY OF CITIZENSHIP United States
Complete the information below about the person cashing the bond(s) ONLY if NOT the NAME on BOND/BOND OWNER
named above.
NAME OF PERSON CASHING BOND(S)
RELATIONSHIP TO NAME on BOND/BOND ^ Parent/Guardian ^ Trustee
OWNER: ^ Conservator ~,Executor/Administrator
Certifications Instructions: You must cross out item 2 below if you have been notified by the IRS that you are currently subject to
backup withholding because you have failed to report all interest and dividends on your tax return.
I certify under penalties of perjury, that (1) that the number shown above is my Taxpayer {dentification Number and is my correct TIN;
(2) I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of
a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup
withholding; (3) am a U.S. person (including U.S. resident alien).
,~~~ ~ t `i' o
_
Signature Legal Representative Title (if any) Date
Important! By signing above, you certify that either 1) Your TIN is being used to report the interest earned on the savings bond(s) OR
2) You are authorised to sign on behalf of the registered holderlTlN reporter whose TIN is being used to report the interest earned on
the savin s bond s i.e., ou are the arent/ uardian, trustee, executor/administrator, or conservator .
rcerer oeiow for aaaitionai reaeral rteserve tianK reaemption resource mtormation.
= Via telephone: 1-800-245-2804 J~ Via the Internet: http:l/wwwr.savingsbonds.govJ
BRANCH USE ONLY
Provide copy to customer: Retain copy in branch fifes.
Forward original in Savings Bond Redemption Forms special use envelope the same processing day.
1099 PROCESSING TEAM USE ONLY
l1TJ SBR007 REPORT DATE PZ 250 REPORT DATE
Effective 12/10/2008
Revised 07/15/2009
Calculated Value of Your Paper Savings Bond(s)
Calculated Value of Your Paper Savings Bond(s)
Calculator Results for Redemption Date 09/2009
Page 1 of 1
Total Price Total Value Total Interest YTD Interest
$50 00 $96 64 $46.64 $1.94
Bonds: i-2 of 2
Serial # Series Denom Issue
Date Next
Accrual Final
Maturity Issue
Price
Interest Interest
Rate
Value Note
L505458413EE EE $50' 04j1993 10/2009 04/2023 $25.00 $24.16 2.63% $49.16
L522022004EE EE $50 02/1994 02/2010 02/2024 " $25.00 : $22.48 1.32% $47.48 ,
Totals for 2 Bonds $50.00 $46.64' $96.64.
Notes
NI Not Issued _
NE Not eligible for payment
P5 .Includes 3 month interest penalty
MA Matured and not earnin interest
http:!/www.treasurydirect.gov/BCiSBCPrice 9/19/2049
~GHM~RK.
Date: 06/16/2009
This Month
Gross payment amount 173.81
Net payment amount 173.81
~26?~ ~3
1990 Toyota Corolla -Private Party Pricing Report -Kelley Blue Book
THE T11L~TEt3 Ii;ESOURGE
R .a.....~...e....w..,...w«~w....w.~
Condition Value
Excellent $1,385
Good $1,210
~ Fair $910
(Selected)
Vehicle Highlights
Mileage: 200,000
:Engine: 4-Cyl. 1.6 Liter
Transmission: Automatic
Drivetrain: FWD
Selected Equipment
Standard
AM/FM Stereo
'Optional
Air Conditioning
Power Steering
Tilt Wheel
Cassette
Blue Book Private Party Value
Private Party Value is what a buyer can expect to pay when buying a used car from a
private party, The Private Party Value assumes the vehicie is sold "As Is" and carries
no warranty (other than. the continuing factory warranty). The final sale price may
vary depending on the vehicle's actual condition and local market conditions. This
value may also be used to derive Fair Market Value for insurance and vehicle donation
purposes.
Vehicle Condition Ratings
Excellent
$1,385
• Looks new, is in excellent mechanical condition and needs no
reconditioning.
• Never had any paint or body work and is free of rust.
• Clean title history and will pass a smog and safety inspection.
• Engine compartment is clean, with no fluid leaks and is free of any wear
or visible defects.
• Complete and verifiable service records.
Less than 5% of all used vehicles fall into this category.
Page 1 of 2
i Send to Printer
Close Window
http://www.kbb.com/KBB/LTsedCars/PricingReport.aspx?Yearld=1990&Mileage=200000&VehicleClass.., 8/27/2009
1990 Toyota Corolla Sedan 4D
BLUE BOUK~ PFsIYAi'E PARTY YALl1E
1990 Toyota Corolla -Private Party Pricing Report -Kelley Blue Book
Good
$ i, 210
• Free of any major defects.
• Clean title history, the paints, body, and interior have only minor (if any)
blemishes, and there are no major mechanical prabiems.
• Little or no rust on this vehicle.
• Tires match and have substantial tread wear left.
• A "good" vehicle will need some reconditioning to be sold at retail.
Most consumer owned vehicles fall into this category.
Fair (Selected)
$910
• Some mechanical or cosmetic defects and needs servicing but is still in
reasonable running condition.
• Clean title history, the paint, body and/or interior need work pertormed
by a professional.
• Tires may need to be replaced.
• There may be some repairable rust damage.
Poor
- N/A
• Severe mechanical and/or cosmetic defects and is in poor running
condition.
• May have problems that cannot be readily fixed such as a damaged frame
or crusted-through body.
• Branded title (salvage, Flood, etc.) or unsubstantiated mileage.
Keltey Blue Book does not attempt to report a value on a "poor" vehicle because
the value of these vehicles varies greatly. A vehicle in poor condition may require
an independent appraisal to determine its value.
* Pennsylvania 8/27/2009
Page 2 of 2
http://www.kbb.com/KBB/UsedCars/PricingReport. aspx?Yearld=1990&Mileage=200000&VehicleClass... 8/27/2009
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Sovereign Sank
ESTATE OF Dorothy A Sawyer
SOCIAL SECURITY #: 202-20-1974
DATE OF DEATH: March 29, 2009
Account #: 0921705387 Type: Checking Open date: 313!1987
;. Niue name of: Shirley L Bahner or Dorothy A Sawyer
Date of Death Balance: $7,191.39
Int.(YTD) from 1 /112009 to 3124!2009 $0.82
Accrued interest to date of death: $0.01
Other Info:
Account #: 0921724098 Type: Checking Open date: 9!11/2403
In the name of: Dorothy A Sawyer or Michael L Sawyer
Date of Death Balance: $1,604.84
Int.(YTD) from 1 /1 /2009 to 3/22/2009 $0.32
Accrued interest to date of death: $0.00
Other Info:
Account #: 0921727038
Type: Checking Open date: 7122/2004
'ln the name of: Dorothy A Sawyer
Date of Death Balance: $0.00
Int.(YTD) from to
Accrued interest to date of death:
Other Info: closed 9/25/08 for $975.86 deposited into 0921724098
Page 1 of 1
i`~llIl.Il~~Il7CIla~II71
'' 1Cll.IlIl7l~IC~.~
1t]l®II]CIl~, llII7lcG
Established 1895
Brian C. Musselman, F.D.
Supervisor
William G. Pegan, F.D.
P.0. Box 137
324 Hummel Avenue
Lemoyne, PA 17043-0137
(717)763-7440
To Funeral Expenses of DOROTHY A . SAWYER
Edward J. Sawyer
312 Fourth Street
Summerdal2, PA 17093
2009
April 1
PROF.SERVICES,FACILITIES, AUTOS
"Pearl Rose" Metal Casket
"Sentinel" Lined Vault
Cash Advance Items:
Flowers
Paid newspaper notice
Copies of death certificates
TOTAL
April 21,2009
$3,595.00
1,650.00
1,200.00
$159.00
160.97
60.00
$6,445.00
$379.97
$5.32 r.97
FOR APPOINTMENT PHONE 717-763-7440
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Sqquuare
Carlisle, PA 17Q13
SAWYER DOROTHY A
Estate File No.: 2009-00817
Receipt Date: 8/31/2009
Receipt Time: 13:15:56
Receipt No.: 1058059
Paid By Remarks: ~CHAEL L SAWYER
------------------------ Receipt Distribution ----- -------- -------- ---
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENERAL FUN
WILL 15.00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 20.00 CUMBERLAND COUNTY GENERAL FUN
AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN
JCP FEE 10.00
-------------- BUREAU OF RECEIPTS & CNTR M.D
Check# 1649 --
$310.00
Total Received......... $310.00
Rle No. S09009011 Pal ae #11
FROM:
lcea Bhnll
96u11 Appraisals, lac
100 River Road
Duncaanon, PA 17020
Tebpilorle Number: 717-834-0020 F9X Number. 717-834-3020
i0:
Satata O£\s3B Sdvard J i Dorothy sxMyer
312 Fourth Btseat
3uamerdale, PA 17093
Telephone Number: FaX Number.
At8dna6e Number. E-Wd:
INVOICE
809009011
IMemel ~~~~ 509009011
Le1XkrCaseA1:
Ghent F8e IW.
tA8k1 File iK 011 fOml: 609009011
~~~~~~ 309009011
Fedpel TeX ~: 25-1822054
Empbyer D:
lend8r: ~- f~ient: sstxts O!; Sdeard J c Dorothy Sxryes
PurchaseNBorrorrer:
YAddn>ss: 312 Hourth Btraat
~: Buesrzdale
GOUIIIJ/: Cumberland $tetB: HA Lp: 17093
LCg81 DeeR19p-IOII: Pot Listed Sn Court Bousa Records
Pull Appraisal 27s.00
SUBTOTAL z7s.oo
t
?v,~~`~V
:a-' .:,
~~~ 376 Oste: 9/10/2009 f10f1:
Check N: ate: Desafption: 275.00
Chedc~: ate: ascription:
SUBTOTAL 27s.oo
TOTAL DUE $ o.oo
Form NN5 -'TOTAL for Windows' appraise! software by a la mode, inc. -1-800-ALAMODE
Shull Apprdisa~, Inc.
I N V O I C E
1 S00 Paxton Street
0~~~~ Harrisburg, PA 17104
717-236-4300
P ~ D ~ I ~ A ~ ~ O ~ ~ 717-236-6803 fAX
D H www.journalpub.com
----------- INVOICE TO -----~-----
Christian Lawyer Solutions, LLC
Attn: Mark W. Allshouse, Esq.
4833 Spring Road
Shermans Dale, PA 17090
10/8/2009
ORDER 1i: 66345
TERMS: Net 30 Days
___.~_w~ ADVERTISER ---~-----
Christian Lawyer Solutions, LLC
' INVOICING: AtJvertlser
DESCRIPTION OF CHARGES COST ~ CREDIT BALANCE
PUBLICATION: CLASSIFIED/CENTRAL PENN BUS. JRNL
COYER DATE: 9/25/2009
THEME: CLASSIFIED AD/CENTRAL PENN BUSINESS JRNL
RATE CARD:
DESCRIPTION OF AD:
Legal listing: Estate of Dorothy a. Sawyer
REP(S):
MARK SUNDAY
SIZE: LEGAL LISTING, PAGE: 85.00
COLOR: B8W 0,00
SPACE SUB-TOTAL:
85A0
* BALANCE DUE: 85,00
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Yele: (717) 249-3166 Fax: (T17) 249-2883
September 25, 2009
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official Legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Mark W. Allshouse, Esquire
RE:
Dorothy A. Sawyer Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
September 11 September 18, and September 25, 2009
Advertising Cost
Proof of Publication
Second Proof Request
Payment received
Total Amount Due
$ 75.00
$ 0.00
$ 0.00
$ 75.00
$ 0.00
Becky H. Morgenthai, Executive Director
49/03!2009 THU 13:22 FAX
Sovereign[
Court Ordered Proccxsing 1 Deccdcnts - MAi-MB3-02-10 - P. O. Box 841005 -Boston, MA 02284
September 3, 2009
Mark W. Apshouse, Esquire
4833 Spring Rd.
Shermans Date, PA i 7090
VIA FACSIMILE 7'17-582-7476
Re: Estate of Dorothy A Sawyer
Date of Death: March 29, 2009
Dear Mr. Allshouse:
~Iooi~ool
We have received your request for date of death balances on the accounts of the
above-named decedent. Please refer to the additional item(s) indicated below that are
required to complete your request; some of which are required in order to comply with
privacy laws affecting bank accounts. We need to ensure that we provide account
informa#ion only to those individuals authorized to receive it.
Please send the documentation checked off below to my attention at the address fisted
above.
X $20.t?0 Date of Death Balance Fee payable to: Sovereign Bank (effective 611/09)
Death Certificate
Court Appointment of Executor(trix) or Administrator(trix) ("Certificate of
Appointment")
Authorization from ExecutorlAdministrator/Joint Owner/Beneficiary to release
informa#ion
Other:
If you would like to liquidate the accounts, please return certified copies of the Death
Cert~cate, Certificate of Appointment, if applicable, and a notarized letter of instruction
from the executor, co-holder, or benefciary, as appropriate.
very truly yours,
Linda Spavento
Team Leader
617-533-1789 phc
617-533-1931 fax
_ __
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~ ~ f ... <. fir .ltd' ,~ :r,'+~yyf46PS` ~'~ rK~j~'~t4~it~wt- C7 Savings
p C arities` C ootl ^ Taxes
^ Clothing Q Home ^ Utilities
^ Dependent Cara_p Insurance ^ Other
F
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For enhanced security your account
number has been blocked out on this copy
- .~,.~
142
T'~"'~7
BAL ',
FOH'D
iTEM
AMOUNT
aAI.ANCE
FOR'O
NOT NEGOTIABLE
UNPAID TAXES SUBMITTED TO DELINQUENT COLL 12/15/09
PP.YABLE
70:
DESc
DEBBIE LUPOLD, TREASURER
98 S ENOLA DRIVE; ROOM 101
ENOLA, PA 17025
TAx SAWYER, DOROTHY A.
PAYER 312 4TH STREET
• PO BOX 90
SUMMERDALE PA 17093
OFFICE MONDAY TNRU THURSDAY 9:00-4:00
HouRS: CLOSED FRIDAYS AND HOLIDAYS
CLSD 618-12; 9121-25; 12/21-25
PHONE (717)901-9392
TAXPAYER COPY Bill No:
Control No: 009 - 003209 2009 n~rrt of Persona! Taxaa BiU Date: 31ff
Assessed
value 0
COUt'ITY OF CUMBERLAND ~ Dl~t ! Fans ~ We
Rate 5.00000 2 ~ ,
CNTY P C 4.90 5.00 !
TOWNSiflP OP FJkST P~iNSBOlRO
Rate 5.00000 21:~
tdUN P/C !. 4.90 111 5.00
7AX AMOUNT DUE ---> ~s.ao { ~10.0o j
i s'
Tf Piid On or ]-fter 3/01/2009{ 5/01/2009 7/01
xf Paid On or SBtore 4/30/20091 6/3012009
Return Biil with Payment. For a Receipt ,Enclose Self Addressed Stamped Envelope.
TAX COLLECTOR COPY Bill No:
UNPAID TAXES SUBMITTED TO DELNQUENT LOLL 12115/09
Control No: 009 - 003209- 20t1S Stat~enE of Perwnal Taxes Bill Date: 3/01.
PAYAe~E Assesse
To value 0 _,
DEBBIELUPOLD,TREASURER COUtKTYOPCUMSEgLAND Wstiolwrt I Pace -_.. Per
98 S ENOIA DRIVE; ROOM 101 Rate 5.00000 2 $
ENOLA, PA 17025 P c 4 . so~oc
DESC: OF EAST ~
Rate 5
TAX
PAYER
OFFICE
HOURS'.
SAWYER, DOROTHY A.
312 4TH STREET
PO BOX. 90
SUMMERDALE PA 17093
MONDAY THRU THURSDAY 9:00-4:00
CLOSED FRIDAYS AND HOLIDAYS
CLSD 6/8-12; 9121-25; 12!21-25
PHONE (717)901-9392
TAx nMaux~ au~ -~-->
2! Paid Oa os ~4ftsz
Z! Paid Oa or 8etose
2~
sssa __~ __ ~tia.oo i si .
tt/2009 T"~s/01!200-- 9 *~ ~/o?,
{~ ~~
Return Bifi with Payment. For a Receipt, F~close Self Addressed Stamped Envelope.
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.. ~ A Settlement Statement
U.S. Department of Housing and Urban Devetoprnent
naaa n,,.,r,,.,~1 Mn ~Sn~mRF mvr,iro~ 1lnnnnnoy
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1. QFHA 2 OFmHA 3. OConv. Unins. 6. File Number 7. Loan Number 8. Mortgage Insurance Case Numt)er
4 QyA 5 OConv Ins 09.80
r is onn s , gyre you a s am an moon a Pal o ~~~ ae't0emen ape a a °"". TitleExpress Settlement System
C. NOie~ Items marketl "(P.D.C.)" ware paid a/lckie the cbsirg; they era shown here for imamatlon and era nor inch+Cao in tM totals.
WARNING: p Is a alma to knowm9N make false statements to Un l1npW Slates an flue a any other eim9a tam. Penapies upon
cony eon wn inGrde a fne and xnprisarxneM. Fa details eae: TM1Ie 1 B U. S. Code Section 1001 erM Section 1010.
D. NAME OF 80RROWER: Edward J Sawyer
ADDRESS: 312 Fourth Street, Summerclale, PA 17093 ___ _
E. NAME OF SELLER: Estate of Dorothy A. Sawyer
ADDRESS: do Mark W. Allshouse 4833 S rin Rd Shermans Dale PA 17090 _
F. NAME OF LENDER: The Bank of Landisburg
ADDRESS: P.O. Box 60 Shermans Dale PA 17090 ._
G. PROPERTY ADDRESS: 312 fourth Street, Summerdale, PA 17093
East Pennsboro Townshi _
_
H SETTLEMENT AGENT: Mark W. Allshouse
PLACE OF SETTLEMENT 4833 Spring Road Shermans Dale, PA 17090 -
I. SETTLEMENT DATE: 1 211 612 0 09
J. SUMMARY OF B RROWER' T NSA TfON: K. SUMMARY OF S LLER NATION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101 Contract sales price 86 000.00 401. Contrail sales rice _ 86 000.00
_
102. Personal Pro a 402. Personal Pro
103. Settlement cha s to borcower line 1400 1996.75 403.
104. 404.
_
105. __ 405.
Ad ustments for items aid b seller i n advance Ad'ustmerds for items aid b seller in advance
107. Count taxes 12116/09 to 12131/09 17.68 407. Coon taxes 12/16109 to 12131109 17.68
108. School Taxes 12116109io06130110 716.53 408. School Taxes 12116109to06130H0 716.53
109. Sewer 15 d s 1.23(da 18.45 409. Sewer 15 d 1.23/da 18.45
110. _ 410. _.
111. 411. _
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 88 749.41 420. GROSS AMOUNT DUE TO SELLER 86 752.66
200. AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER
201. De it or earnest mono 501. Excess D it see inshuilions
202. Princi al arrtount of new loans 91 000.00 502. Settlement cha to seller line 1400 ? 917.55
203. Existin loan s taken sub' il to 503. Existin loan s taken sub'eil to
204. 504. Pa oti il First Mort Loan _
205. 505.
206. 506•
207. Seller Assist 3500.00 507. Seller Assist 3500.00
208. 508. ._
_
209, 509. _
Ad'ustmertts for items un aid b setter Ad'ustments for items un id b seller
213. 513.
214. 514.
215. 515.
216. __ 516. _
217. _ 517.
218. 518.
_
219. 519.
220. TOTAL PAID BYIFOR BORROWER 94 500.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 11 417.55
300. CASH A7 SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER
301. Gross amount due from borower line 120 88 749.41 601. Gross amount due to seller line 420 B6 752.66
302. Less amounts aid b Ifor borrower line 220 94 500.00 602. Less reduilan amount due seller line 520 11 L417.55
303. CASH TO BORROWER 5 750.59 603. CASH TO SELLER 75 335.11
SUBSTITUTE FORM 1099 SELLER STATEMENT The keonnatbn conlarred harem is tmpataM tax irdamapan and is osirtg tumiahed to the Irdemal Revenue Service. Hyou are rMUUiratl to file a return,
a rlepll"ge~~a penally a opix sMaion wip be Imposed on you d this porn q required to be roparteo and Uia IRS determirros Ihat a t~ not bean reported. The Contrail 3alea Price OB9aNe0 on
tats 401 above mnstiMas the Gmsa ProceeM M this traroection.
SELLER INSTRUCTIONS: If prig real Male was your Prinrapel reeitlence, fib Forth 2719, Sale or Exchange of PlfrxJpel Reaiderms, to erry gain, with your Income tilt rekvn, to dher Irensapioru,
mmPlate pre apptica0b parts or Fam 4797, Form Rn~ ands Schedule D (Form 1080).
You are retrytad q low ro provide pre ,wplamarp agent (Fed. Tax ID No: 1 wHh your cared Imcpayx itlemifieelion rxtrrl0er. p you tb not provide your mrrscitaxpayer ideni'ffx~Tx)n
numoer, you may De suMea to civic a pnmxW pwiapies imposed q tow. panaWes o perjury. I ~Nify that the number shown M Mia sfalemem is my cortscl razpayer idenrifxxpon number
TIN- ! SELLER(S) SIGNATURE(S):
SEILER(S)NEW MAILING ADDRESS: _~
Previous etlitions are ahaolete toms HUD-1 (3186) ref Handbook 4305.2
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number: 09-80 PAGE 2
cG'r'T1 t=1dFUT CTAT~MFNT TitlaFrnroee Cattlortwnt CvMam
L. SETTLEMENT CHARGES _ PAID FROM PAID FROM
700. TOTAL SALES/BROKER'S COMMISSION based on price $86,000.00 =
~ BORROWER'S SELLER'S
Division of commission line 700 as folbws: _ FUNDS AT FUNDS AT
701 $ tD .SETTLEMENT SETTLEMENT
702. to
703. Commission id at Settlement _
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Ori inalion Fee %
802. loan Discount
8113. A raisal Fee
804. CredM Re rt
805. Lender's Ins ion Fee
_
_
806. Mort A ication Fee
_
807. Assum lion Fee
808. Documentation Pre oration to Morrison Law Offices 150.00
809. Bank Fee to The Bank of Landisbur 600.00
810.
811. __.._
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From to Ida
902. Mort a e Insurance Premium for to
to _ _
_
903. Hazard Insurance Premium for
_
.
904. _
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insu2nce mo. !mo
1002. Mort a Insurance mo. Imo
1003. P Tax mo. !mo
1004. Coun Pro Tax mo. t?a. $ 35.87 !mo
1005. School Taxes mo. 111.20 !mo
1009. A r ate Ana sic Ad'ustment 0.00 0.00
1100. TITLE CHARGES
1101. Settlement or closin fee to ABrA Abstract 100 BlAllshouse 150 50150 175.00 T5.00
1102. Abstract or title search to A8rA Abstract 100.00 _
1103. Title examination
1104. Title insurance binder
1105. Document Pre oration to Mark Allshouse _ 100.00
1106. Nola Fees to Sallie Allshouse 30.00 20.00
t 107. Attome s fees to Mark Allshouse ____ 276.00
incudes above items No:
1108. Title Insurance to Stewart TitlelABA Abstract 316.75
includes above items No:
1109. Lender's Pol' 91 000.00 -316.75
1110. Owner's Polic 86 000.00 -
1111. 100 No Viol 300 Surve to Stewart TitlelABrA Abstract 100.00
1112. 900 EPL-Res to Stewart TitletA8.A Abstract 50.00
1113. Closin SvcLtr to Stewart Title Guars Com an 75.00
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recordin Fees Deed 62.00 ~ Mort a 62.00 • Release 124.00
1202. Ci lClwn tax/stam Deed • Mort
1203. State Taxlstam Deed $ ; Mortgage $
1204. -
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surve
1302. Pest Ins coon
1303. 09 Ct R Taxes to Deborah A. Lu Id Tax Collector 430.44
1304. 09 School Taxes to Deborah A. Lu Id Tax Collector 1334.37
1305. Tax Cert to ABrA Abstract 10.00
1306. Inheritance Tax Pa ant to R islet of Wills A ant 5 947.74
1307. _
1308.
1400. TOTAL SETTLEMENT CHARGES (enter on lines 103, Section J and 502 Sl~tion 1 996.75 7 917.55
I have caree,ny reviewed the NUD-1 Setilemem 9pdemarHknd to the DA! of my WIOWeSdpa ~tl~ lief, a is a true and acureta stalsmeH of aq receipts antl disbumemertla made on my aocoum or by me
m ttus transaction. I fixther urtiH ttrart I haw read a c~v of the Htb1 SertMment
WARNING IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE TM HU0.1 SaBlernafN SaasmeM phiCi I have pnspered'e a true srq etants Ircodunt of this lrarwctwn.
UNITED STATES ON THIS OR ANY SIMMR FORM. PENALT~S UPON CONVICTION I tnrve caused orwili deuce the funds to M tlisbursed in eomrdenoe will this statement.
CAN MCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18:
U.S. CODE SECTION 1001 AND SECTION 1010. ~~}