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HomeMy WebLinkAbout02-02-10 15056051058 REV-154 EX (06-05} PA Department of Revenue Bureau of Individual Taxes OFFICIAL USE ONLY County Code Year File Numt~er PO BOX 284601 INHERITANCE TAX RETURN ... ...._.._. _......___._. .__.._._...._. Harrisburg, PA 17128-0601 21 09 0468 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Sodal Security Number Date of Death Date of Birth 222-20-5585 ' 05/03/2009 03/11 /1932 Decedent's Last Name Suffix Decedent's First Name MI Posavec Mary A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number _. .. ,... " ~" "" """ " " "" THIS RETURN MUST BE FILED IN DUPLICATE WITH THE . _ _ __._ _ __ _ REGISTER 4F WILLS FILL IN APPROPRIATE OVALS BELOW ~;;~;;;+ 1. Original Return 4;;;°w,;;;;a 2. Supplemental Return +;;;;;°~„,~ 3. Remainder Return (date of death prior to 12-t3-82) ~,;;;;;;";;~ 4. Limited Estate ~""""""i 4a. Future Interest Compromise (date of ~~~:~°+~ 5. Federal Estate Tax Return Required death after 12-12-82) ~,;~;ti 6. Decedent Died Testate ~":;;,",s 7. Decedent Maintained a Living Trust ,,,,,,,1„ ,,, 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 +,°;,;;";;;f+ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COiMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Lawrence C. Posavec ~ (717) 774-0704 s~.a.. Firm Name (If Applicable) ...._ ......................._.............._..........,.........._......_.._........_.._.~-.......:..............I ncr__~~ Correspondent's a-mail address: (anyposaveCwer'lzon.net TELLS USE~LY _ r^^ "A r ~ i ~""" W ~ € :~~~ N ~"3 ~ "C' ~ 1~~ ~-- J ~. = ~ ~» ,C" ~TE FILED Q ~ ~ ~~ ~ j~.~ .~ ' ` -M a ..,.,• ,"-~,> ~~ Under penalties of perjury, I dedare that I have examined this return, induding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SI ATURE OF PERSON RESPO IBLE FOR FILING RETURN DATE ~' _ 01 /28/10 ADDRESS 425 Fourth Street, New Cumberland, PA, 17070-1802 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 J 15056052059 REV-1500 EX Decedent's Social Security Number ~...,~...y POSaveC ......oecedent's NameW ~ary A 222-20-5585 ~ ^n n .%~w....,.,.....~~,..w..,......-..~..~..~~~.~.. .M ~...,,.,...,.~~~~rt..-...,....~..,.n.,-nx,.-....~.w RECAPITULATION .~......,.n~,.,,.n..,.~ ~n..nn....._ ._„~,.,..~.....,. „~.~,. °""-°"°•°~'°°°°°°•-•°°°°°°~°• 1. Real estate (Schedule A) . ............................................ 1. 58,000.00 2. Stocks and Bonds (Schedule B) ....................................... 2. 120,192.58 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages 8~ Notes Receivable (Schedule D) ............................. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ........ 5. 82,802.41 6. Jointly Owned Property (Schedule F) ~:~;:";;;;;~ Separate Billing Requested ....... 6. 10,090.80 7. Inter-Vivos Transfers ~ Miscellaneous Non-Probate Property ° "" ""` "°°° °°° -°° {Schedule G) ~";n`;;;`~ Separate Billing Requested........ 7. ,•„8. Total Gross Assets (total Lines 1-7) .............. . . • - - - ................ 8 _ . ... __ 271,085 79 9. Funeral Expenses & Administrative Costs (Schedule H) ..................... 9. 10,689.82 10. Debts of Decedent, Mortgage Liabilities, 8 Liens {Schedule I) ................ 10. 60.00 11. Total Deductions (total Lines 9 $ 10} ................................... 11. 10,749.82 12. Net Value of Estate (Line 8 minus Line 11 } .............................. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J} ........................ 13. ,14. Net Value Subject to Tax (Line 12 minus Line 13} ...................... , ..,.,.,, ,., ... ~ .. 14. ._ .., , ,. ,~,_ ,,.,. ,.. 260,335 97 APPLICABLE RATES,,,,,,,,,,,,,,,,,,~,...,.,,,,.,,,. SEE TAX COMPUTATIO N INSTRUCTIONS FOR ,.,.....,,.,,,....,.,o~nn,,..,,.,.,~~,,,,,~,,,,,~,.,,..,~,,,,n.,,,-,~,,,.~,,,o,,,,,,.n,,.,.,,,<,.,2,,,,.,,..,.,~~,.,.:,n.~e~-„>,M~,MM,.,,,~~<,.,,,,,., 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 ._.. _.._ _....... _ 16. Amount of Line 14 taxable ::: .:.:::::.::..::...:....:.:. :.. ,::.:::...::..:,...,..,. ... ., ,._, .., ,.. ,, ,., ,,, .,,., ,.. at lineal rate X .0 45 260,335.97 1s. 11 715 12 17. . .. Amount of Line 14 taxable , . ,; :. at sibling rate X .12 17 18. Amount of Line 14 taxable ,_ ,.. ,. ,.. at collateral rate X .15 18 19. TAX DUE ........................................................ . 19. 11,715.1 Z 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 15056052059 260,335.97 J REV 1504 EX Page 3 Decedent's Complete Address: File Number 21 09 04fi8 DECEDENTS NAME DECEDENT'S SOCIAL SECURITY NUMBER Mary A Posavec 222-20-5585 STREET ADDRESS 425 Fourth Street CITY New Cumberland STATE PA ZIP 17070-1802 Tax Payments and Credits: Make Check Payable to: REGISTER 4F W1LLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.......................................................................................... ^ 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 awn an "in trust for" or payable upon death bank account or security at his or her death? .............. ^ Q 4. Did decedent awn 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 far the use of the surviving spouse is zero {0} percent [72 P.S. §9116 (a) {1.1) {ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only benefiaary. 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 decedents 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)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. LAST WILL AND TESTAMENT OF MARY AGNES POSAVEC I, MARY AGNES POSAVEC, of New Cumberland, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion; it might be proper and more c~ advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her, or its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and to expend sums from my estate for this purpose. SECOND I give, devise, and bequeath my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate to my beloved spouse, WILLIAM L. POSAVEC, Page 1 of S Pages providing that he survives me by sixty (60) days. Should my spouse, WILLIAM L. POSAVEC, predecease me or die on or before the sixtieth (60th) day following my death, then I give, devise, and bequeath my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate, as follows: 1) To my son, WILLIAM E. POSAVEC, twenty-two (22%) percent of my net estate, providing that he survives me by sixty (60) days, per stirpes; 2) To my son, LAWRENCE C. POSAVEC, thirty-four (34%) percent of my net estate, providing that he survives me by sixty (60) days, per stirpes; 3) To my daughter, MARGARET P. LICON, twenty-two (22%) percent of my net estate, providing that she survives me by sixty (60) days, per stirpes; 4) To my son, JOHN A. POSAVEC, twenty-two (22%) percent of my net estate, providing that he survives me by sixty (60) days, per stirpes. FOURTH My executor is authorized and empowered to exercise from time to time in his, her or its tv sole discretion and without prior authority from any Court, in respect of any property forming any part of my estate hereby created or otherwise in its possession hereunder, all powers conferred by `~'S~ law upon trustees or executors and I intend that such powers be construed in the broadest possible manner. Page 2 of 5 Pages FIFTH I nominate, constitute and appoint my son, LAWRENCE C. POSAVEC, Executor of this my Last Will and Testament. In the event LAWRENCE C. POSAVEC is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son, WILLIAM E. POSAVEC, to serve instead. In the event WILLIAM E. POSAVEC is deceased, unable or unwilling to serve. or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my daughter, MARGARET P. LICON, as personal representative of this my Last Will and Testament. I direct that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. SIXTH I hereby declare it to be my expressed desire that my personal representative employ Kline Law Office of New Cumberland, Pennsylvania, for legal advice and assistance regarding this my Last Will and Testament, said attorneys having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament this ~ day of , 2006 Witness Wi ss MAR GNE POSAVEC Page 3' of 5 Pages • ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND : I, MARY AGNES POSAVEC, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ~ ~,e-e~ ~ e~/ G POSAVEC Sworn or affirmed and acknowledged before me by MARY AGNES POSAVEC, the Testatrix, this ~~~' day of , 2006. 'ARY PUBLIC c ~totvwEa~:rx r~ eEr~vsnv s~ x~or~y P Mr ~~. is, c01~` Page 4 of 5 Pages AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We, L%and ~ ~~~ G ~~ ,the witnesses whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she 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 Last Will and Testament as witnesses and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. 1~a2- ~~~ ~ Sworn or affirmed and subscribed before me by ~ . -T G/~~ and /~/~ ~ ~ ,lJ~ this day of t/`/,,C/~ , 2006. .~ TARY PUBLIC rnuurworcetru nr oc.n.~~.~..,.~... Y 3~ron R Fwster, Notary pu~ie Caa3ba~imid Oro, Cumberland cow,ty My Coen~sslon Explror Apr. 1 S, 2007 Page 5 of 5 Pages t~ 'i1 ~~ ~ ~~ Pennsylvania S DEPAFiTMENi OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real orooertv that is iointly-owned with right of survivorship must be disclosed on Schedule F. IF more space is needed, insert additional sheets of the same size. Internal rder . 0000720 P e #1 of 27 ~ ~~ K - ~1x- r.ynr~ wrrr~ ~.• i ~_ SF ...;. _.-...-.. _.. ~~ ... _ .- 5. ;r"^` i ~ if i'"~~.L_~ Ali++-~F~.-.. , :: s i _~ yc;' i +<; yw.~rw r: t. .; ti ~h _ ,, .. ... . ,~ _.. , ~ ~ ,,.n:. APPRAISAL OF REAL PROPERTY LOCATED AT: 425 4th St New Cumberland, PA 17070-1802 Deed Book 0026T, Page 00296 FOR: Estate of Mary Agnes Posavec c% Lawrence Posavec, 425 4th Street New Cumberland, PA 17070 as oF: 05ro3rzoo9 BY: Robert Ensminger Pennsylvania Certified Residential Appraiser Certificate Number RL-000952-L ROBERT ENSMINGER APPRAISERS PHONE 717-652-4111 3557 ELMERTON AVENUE FAX. 717-541-9444 HARRISBURG, PA 17109-1132 Cell 717-877-7350 Form GA2 LT - "WinTOTAI" appra(sa( software by a la mode, inc. - 1-800-ALANIODE R~k)at E'i5'1'11llyBr +app'1!SrtS Stele/Design: $et1~-detached Li~~ing Area. (Sq.Ft. ): 1,302 Total Bedrao~n5: 3 Year E3t~i ~ t : 1890 ~'ondi tion : Bebw Average Cliei3t: Estate af.Mary Itignes Posa~ec Address: c% Lawrence Posavec City : New Cumberland I'l~onc : 774-0704 _7~~ail ~'~" ~~ r r .'~~~trr_li~;~;r°s Si«la<~tkare Clie~~t File #: None Int mal rder No. 0000720 P e # of 27 Lot"~zc: OA8 Acres Neighborhood.: Netiv Cumberland T~ata~ Baths:. 2 f,l~`ectir e Agc: 40 Date ~C Report: T113lZ009 425 4th Street State: PA Zip: 17070 fia~: Name: Robert Ensrr~inger Designation: PA Certified Res. R.E. Appraiser Certif catirn~ or License #: RL000952L L~piration Date: 6/29/2009 ST: PA F-111at1: ro~nSt~"11r1gef'S.ne~ -appraiser File #: OOtI4T~0 The value opinion expressed above is only valid in conjunction with the attached appraisal report. This value opinion may be subject to Hypothetical Conditions andlor Extraordinary Assumptions as indicated in the body of the report. A true and complete copy of this Summary Appraisal Report contains 27 pages. ,~*,~ ; ~ -. ¢~ _:.c I:Cr4f~E.1.1 . ?l)~~i J ' !~ 117 } II'!' ~rfv fU ~ I1, 1~; If:HI....l.i.`.'.i) f1f1"iiOf~IiiFC1 ~','llrl::lll SV~I'1c'1 a~'.11_SfGGfi, r,04V~V@I 3']'zIO~' ifC. !'11151 hE? 3CKIlpi'dledGF~ af1C1 CIeG11Efi ~~-~~ ~~"= i=n~m~PC..ARLI'-~"t,1ti~-BUT;~L"a.pp,ais~l.~oftwae~;",~n~otle,i~lc.---1-8a;~4HLtiP~~IUDE 1D%2D0 Internal rder No. 0000720 P e #3 of 7 RESIDENTIAL APPRAISAL SUMMARY REPORT SUBJECT PRORfRTY IDENTIFICATION Property Address: 425 4th St ____________________________________ City: New Cumberland --------------------------------------------------------------------- -- - ------------------------------------------------------------ State: PA Zip Code: 17070-1802 County: Cumberland Legal Description of Real Property: Deed_ Book 0026TL Page 00296____________________________ Tax Assessor's Parcel #: 23-25-0006-008 Special Assessments: S None Known ------------------------------------------------- Occupancy: ^ Owner ^ Tenant ^ Vacant Project Type Irf applicable): ^ Planned Unit Developmen Home Owners' Association Membership Fees (ii applicable): Market Area Name: New Cumberland ASSIGNMENT PARAMETERS !~ CCINDITIONS The purpose of this appraisal is to develop an opinion of: ^ Market Value {as defined elsewhere in this reportl, or ^ Other type of value (describe) This report reflects the following value (if not Current, see comments}: ^ Current (the Effective Date, ar 'as of date', is the Inspection Date} ^ Retrospective I'the Effective Date is prior to the Inspection D~~te) ^ Prospective {the Effective Date is after the Inspection Date) Subject Inspection: Appraiser: ®Interior & Exterior ^ Exterior Only ^ None Date of Inspection: 05/03/2000 Supervisory ar Ca-Appraiser: ^Interior & Exterior ^ Exterior Only ^ None Date of Inspection: Source(s) used for physical characteristics of Subject: ^ Owner ^ Office Files ^ MLS ®Publir, Records ^ Prior Inspection Irrte~ior inspection ,_,__.__..__._____._.__....._...__~.__..____.._..__..__.._...____.___..__._._.._ Data Source for Living Area: Measured ..____.__ ._..__.___..~.__..____.._._. Approaches to Value that were developed for this appraisal include: ~ Sales Comparison Approach ^ Cost Approach ^ Income Approach (Please see the Reconciliation Comments and i or the attached Scope ai Work statement} Property Rlghts Appraised: ®Fee Simple ^ Leasehold ^ Leased Fee ^ Other (describe) Intended Use: Estate tax purposes. Intended User{s) jby name or type}: __Lawrence Posavec Pemsylyania_Department_of Revenue Client: Estate of Ma__ry AQ_nes Posavec ~_ Address: c% Lawrence Posavec, 425 4th Street, New Cumberland, PA 17070 Appraiser: Robert Ensminger _ _ _ Address: 3557 Elmerton Ave.,_Harrsburg,__PA 1 71 49-1 1 32 Assignment Comments (Scope of Work comments, Hypothetical Conditions, Extraordinary Assumptions, etc.): The Scope of Work is more fully detailed in the attached addendum. There are no hypothetical conditions or extraordirery _ assum tans. R.E. Taxes: $ 1,348.08 Tax Year: 2009 __ Current Owner of Record: Estate of Mary_Agnes_Posavec -- ------------------------------- Current Occupant {ii occupied}: Lawrence Posavec t ^ Condominium ^ Cooperative ^ __ _ S ^ per year ^ per month ~~ ~.. Map Reference: MSA 25420 Census Tract: 0108.00 Client: Estate of Mary Agnes Posavec Client- Fife No.: None Appraiser- Fiie No.: ..0000720 ~i~ ~ Copyriphi'~: 20Ci by a is made; inc. This town may ye reproduced unmod'rfied ~~thout written permission, however, a !a mode, inc. must be acknow!edyed and credited. ~,~~ Form GPCAR LT - "WinTOTAL" appraisal software by a la mode, inc. - t-8fl0-ALAM()DE 1Q.%2Q07 Internal rder No 0000720 P e #4 of 27 RESIDENTIAL APPRAISAL SUMMARY REPORT MARKET AREA DES~RtPTFUN Location: ?, Urban ^ Suburban ^ Rural Built Up: ^Uver 75°rn ^ 25-75°ro ^ Under 25°~0 Growth Rate: ^ Rapir, ^ Stat3le ^ Slow Property Values: ^ Increasing ^ Siabie ^ Declining Demand/Supply: ^ Shortage ^ !n Galance ^ (:)ver Supple Marketing Time: ^ Under 3 Mos. ®3-G Mos. ^ Uver G Mos. Predominant Occupancy: ^ Uv~ner ^ Tenant ~ Vacant i,0-5`~0} ^ Vacant (~5°r~} Typical One-Unit Price: ~S! L.ow ____,_.-.70,000-_- _.__. high __ _ ~~~ Predominant ~ 1 00,000 Nousing Ranges: Age: (yrs.,1 Low 25 ___ _ High 150 _.__.__. ~ Predominant . ___.__.-.- 85 Present Land Use: Une-Unit: 85 "''n 2-~ Unit: 15 `~:~ ~.lulti-Unit:. "~~ Comm'I: '~ °~ Change in Land Use: ^ Nat Likei}; ^ Likely ` ^ Is Ghan~ing * y, Tn: Market Area Boundaries, Description. and Market Canditians (including support for the above characteristics and trends}: .The marketing area ~ the Borough of New Cumberland, west of Bridge Street and north of Third Street.. The region typically does not e erience the dislocations of economic sbwdow~___ n~_due primaril rZto the stabilizing effects of the state and federal overnments wi~ch,A make up almost 25% of the regiorel work force, however, an increase in interest rates and other market factors could strip awayrecent price~airrsY_ Interest rates have remained fairl~steadyy As of the end of the thirdguarter of 2007, the region is not follov+rirx~ the national trend_of decreasing_prices,_.Average_prices_for_the_frst three_q_uarters_of the_currerrt_year are up.2:9996 overprices from the same___________ period last ear. Earl indications of a declining market are becoming apparent in the area as evidenced by increasirx~ marketin4 _ times a decrease_in total_number of un~ sold and_a ia~e_increa_se in_the__number of activ_e_listirx,~s_____________________________________________________________________ SALE /TRANSFER / LISTING HISTORY QF SUBJECT PRC1FERTY My research: ^ Dir ^ Diri not reveal any prior sages ur transfers rf the subject prope+ty for the three years prior to the Effective Date of this appraisal. Data Soun,e+;sJ: Deed, Governmax.com 1 st Prior Safe,' Transfer 2nd Prinr Sale /Transfer and Prfar Sale /Transfer Date of Prinr Sale i Transfer: 08/18/1976 Price of Prinr Sale ;Transfer: $2_2._,...,500 _..___________.____..____..__,.._ Source(si of Prior Sale ;Transfer Data: .Cumberlarxi Countx _Records__ Analysis of sale; transfer history, any current agreements of sale or listing, and listing history (if relevant): There are no known recer>t sales or listir>~s_of the sub~ect_property________________________________ Client: Efate of Mary Agnes P~avec Client Flle No.: None Appraiser File 1Vo.: Ot)t')0720 Coay~ight~~=~ ?.00+ ~iy a a node ins ~ his'or~r nay be re,r~~duced ur~T~odified witharri written per~nrssian howeve~, a is mode: inc. ~ust'~e ackno~w!edged and oredited. ~ ' ,.~ . ~~ ~. ~ Form uPCAR LT - °d"dinTOTAt." appraisal software h~,~ a is mode, inc. - 1-8flg-ALAPr~ DE 1Q.+'20U7 Internal Order No. 00 720 P e #5 of 27 RESIDENTIAL APPRAISAL SUMMARY REPORT SITE DESCRIPTfON dimensions: 25 x 140 Site Area: 0.08 Acres Zoning Classification: R-2 Residential Zoning Description: Residential properties _________________ Zoning Compliance: ^ Legal ^ Legal Non-Conforming {Grandfathered} ^ Illegal ^ No Zoning Regulations Deed Restrictions: Are Covenants, Conditions, & Restrictions {CC&Rs} applicable? ^ Yes ^ No ©Unknown Have the documents been reviewee? ^ Yes ®Na ^ N;A Ground Rent {if applicable} $ Comments: Highest & Best Use, as improved, is the: ®Preser!t use, or ^ Other use (explain} Actual Use As Of the Effective Date: Residential Use As Appraised in this report.: Residential Summary of Highest & Best Use: The subject_meets_the fob tests_of_highest_Behest use:__ It.is_le~ally__per_missible,_physical~i________________ ,possible, economically feasible, and_provides the_greatest economic retum~__~___ Characteristics: Topography: Basically_Level___ _____ ______________________ __________________ Size: Avera~e_for the area ___ ________________ Shape: Rectangular _ Drainage: Average for the area View: Average for the area _ _W w...._._.__ Landscaping: Overgrown ____ _~~~~ Other features: ^ Inside Lot ^ Comer Lot ^ Cul de Sac ®Underground Utilities ^ Other {describe) Utilities: Public Other Pravitler,`Description Off-site Improvements: Type Public Private Electricity: ^ ^ PP8~L Street: Asphalt ^ ^ Gas: ~ ^ UGI____ ~_ _~~ Curb/Gutter. Concrete __.,.~~~~~ _~ ^ Water: ^ ^ PA American Water_Co___________ Sidewalk: Concrete --------------------------------------------------- ^ --------- ^ Sanitary Sewer: ^ ^ New Cumberland Brou~h__.___, Street Lights: Sodium Vapor ^ ^ Storm Sewer. ~ ^ New Cum t?erfand_Brough____ Alley; Macadam ^ ^ is the property or the improvements located in a FEMA Special (Flood Hazard Area? ^ Yes ^ No FEMA Flooc Zone: X _____~~ ~_____ _._ FEMA Map # 42041 C0301 E ___,w, _____ FEMA Map Date: 3/16/2009 ~~ Site Comments: There are_no apparent easements, encroachments, or other conditions which would have an adverse effect on the value of the subject___ rp operty. A title search, which is beyond the scope of this a raisal has not been conducted to discover easements of record. Client: Estate of Mary Ames Posavec Client File No.: None Appraiser file No.: 0000720 Copydght~~~ 2007 by a'a node; inc. This form nay he reproduced unmo~fied ~~ithaut written permission. howeve~. a .a mode; inc. must be ackno~w edger] and credited. Farm GPCAR _LT - "Winl"OTAL" appraisal software by a la mode, inc. -1-800-ALAMQDE 10,?2007 Inte Order No. 0000720 P e #6 of 27 RESiDENTtAL APPRAISAL SUMMARY REPORT DESCRIPTIt~N OF TWE ~MPROVEM€NTS taenerai Description: # ai Units: .1___________ ^ -+- Accessory Unit # of Stories: _1_ ___-______ Design (Styled: Semi-detached______________ Type: ^ Detached ^ Attar.heci ^ Statu.:: ~' Existint, ^ I•~rapasecf ^ Uncler Construction -------------------------------- A; tual Age ly°earsi: 120 Effective Ada tyears): 40 _-__._.._.---_.___._._____ Fear Built; 1890 Construction: ^ Site 'stick' i Built ^ Modular (prefabricatec!, assemtilera t?n-sitel ^ Manufactured Huusing ^ Mobile Hame Nate: 'Site Built' rr7ay be indistinguishable tram 'Macular during the course of an appraisal inspection. 'Manufactured Housing', by lav,~, refers to homes built on/after June 15, 1976 in c ampliance with HUD's National Manufactured Home Construction and Safety Standards. The term 'Mobile Home' applies to an-frame 'trailers' constructer, print to June 15, 1976, and which can never meet this Federal standard. Exterior Description: Foundatiar~: Stone, Brick Exterior V~'aEls: Brick Root Surface: Slate Roof (:7t~tters i?x Do.vnspauts: AAetal 4~:'indowTypeis}: _Double Hurt~_____________________-____________-----------------____-_ Storm i Screens: Storms, screen ----------------------------------------------------------------------------------- Foundation Characteristics: Slab: N/A Cravvl Space: Basement: 100% -------------------------------------------------------- Sump Pump: --------------------------- Darnpness: None noted Settlement: Infestation: No Evidence Basement: ^ Nrane Total Area ~Sq.Ft.j: 651 __~.____._.__._ Finished Area (Sr,.Ft.i Ceiling: O_penjoist _~~ t~Jalls: Floor: Concrete Gutside Enlr~y: Heating System: Type: Steam Gaoling System: Central: None Interior Description: Fic.Mors: Carpet --------------------------- - ------ - -------- Trim /Finish: Pine Bath Vv'ainscr.~t: Tile Fuel: Gas tither; None ~,~Jaiis; Bath Floors Doors: N!A None ------------------------ No Evidence No finish Yes Plaster Linoleum Wood Finished Nvable area above grade (also known as 'GLA' or 'Gross Living Area'): = I_iv ng Dining Kitchert Glen ~ FaiT_ily ^Re^Rm. Betlrms~ ^Bathrms. ! Utility _ Other Area Sq.Ft. - -- - ------1-------t-- -- _____ _ Le?vel i ~------- ---Area 1 --.._ ------~---- ~- - --- - ----------- 651 ---= ----------------------------I~-------- ~- - -------- -------------- -------_-_------~--------------~----------------- -----3 -- ~- 1 - - - - - - ' ---- - --------------------651 .___-__-___-.._____________.____-__F__-_..__-_.._--___i.._.._____.._-_____-. ______.._.._______- ..-_______..______~-__________-_____;______-____-_-_-_ _______________-.~--__---____-____-~____-_-_----__-__i _____-_._-____--___________ _ ____ _ Level Z ~ - - _--------------------- ! ~ 1{ i ' ' i i ~ ~ i __ ~._..__._-__._ .... _._. _.~ _. ~_ . _-~_.._._ _ .._._. _ _..._. t.idable area above r;rade contains: 5 Roams. 3 Beciroams, __„___..__? Bath(s), and __.___ 1,302 Sq.Ft, of CLA Other areas finished or ur>finished (not considered to be 'GLA'): livable t { s i Area Living Dining ; Kitchen Den Family j Rec. Rm. i Bedrms. Bathrms. Utility i Area Scj.Ft. AreanSq.Ft. Basement ; ; ~ 1 ' - -- --------------+--------------- 651_ --------------------------------------- ---------------~--------------------------------- ----------------------------------r---------------' ---------------- -- --,-- ~ I i _._....., ...... _.-...._.. __.._ ..._..._..__.._....__...j.. ._. ...._.....-.___-_ ......,.-_.....-......- } r__.._.._._ _..,.....__...__......,.,.-.M...,.._....,,_... _...~_.. ...._.t_-____ ...................__ .. ~...,........v.-._._ i ` ~ . Total of actual livable area (above and below rradel: ____ __ _ 1 302 Sy.Ft. ;;Includes non-COLA area] Ghent: Estate of Mary Agnes Posavec Client File No.: Norte Appraiser File No.: C10QQ72~ , g.~, Cc~~,rt~aht 2Q , by a ~a made. ire. This io-rr may ~e rr~ r~~,:uced unmod'rfrPd F~.7th:;at ~,vritten ~Prmi~si~n, ho~,vever a .a made. inc. muss he acKna~:9edyed and credited ~w.. ~,. ~~ ;.~ ~,,"~ Fo~ni tPCAF~ LT --- "~~"vinTt~TAi..' appraisal snttwd~e k;ti~ a'a mnde, rec. ~-- 1-89~J-ALAP~quDE 1Q~2007 Internal rder No. 0 00720 P e #7 of 27 RESIDENTIAL APPRAISAL SUMMARY REPORT DESCRIPTIt3N 0~ THE lMPROt/EMENTS (continuedy Appliances: ^ Refrigerator ^ Range ^ Oven ^ Disposal ^ Dishwasher ^ Fan % Hood ^ Washer ^ Dryer Other Items: __-_- Countertops: Formica Attic: ^ None ®Stairway ^ Drop Stairs ^ Scuttle ^ Doorway ®Floor ^ Heated Amenities: Fireplace{s): #~_~w _ ____~___.__________.__-..-._.._~...__..__.~.....-. Wood Stove{s): # _-~-- -~-~ ____. Patio: Deck: ----------------------------------------------------------------------------------- --------------------------------------------- Porch: Fror~~_Balcor~y-------------------------------------------------------- Fence: --------------------------------------------- Pool: Car Storage: ~ None TotaP # of Cars: Garage: Attached (#): __ ~_~_~ ____ Detached (#): _ Built-In (#): ~____ Carport (#): ---------- ---------------------------------- Driveway (#)~ ---------- ---------------------------------- Surface: Asphalt Additiona{ Features: There is a one car frame garage_that_is in_poor_condition and_should_be_removed from the property_____________________________ ___ -- - - -- ----------------------------- ---- - ---------------------- ------------------------------------ Describe the Condition of the Property: Interior of the~propertywis in need of modernization. Unfinished wall in bath on first fbor~ kitchen cabinets are dated~_fbor coverir~s ___ .need replaced; porch_roof where it joins the house is in need_of repairs; porch deckirx,~ may need_replaced.__Side wall_(on the_west_side_ of the housed is bu~r~_windows appear to be crooked. All exteriorpainted. surfaces need scraped and painted.. ^ Microwave ^ Finished Client: Estate of Mary Agnes Posav~ec Client File No.: None Appraiser File No.: x000720 ~, Copydaht:~ 2Q0; by a la node: inc. This form may 5e reproduced unmod'rfied v~~ithout written permission, however. a la made, inc. must be acknouaed ed and credited. Form GPCAR LT - "WinTGTAL" appraisal software by a la mode, inc. - 1-800-ALAMGDE o 10/2001 Intema! er No. 0000720 P e #8 of 27 RESIDENTIAL APPRAISAL SUMMARY REPORT SALES COMRARISOAt APPROACH TO VALUE For the Sales Comparison Approach, the appraiser selects comparable sales that they consider the best matches to the subject in terms of physical characteristics, physical proximity, and time of sale. The appraiser then makes adjustments to the known safe price of each comparable sale to account for differences that are recognized by the market. For example, 'rf the subject has a single bathroom but a comparable has 2, the comparable's sale price would be reduced by the attributable value given to the extra bathroom based on the market's reaction. Likewise, 'rf a comparable sale has a smaller square footage than the subject, its sale price would be adjusted upward in the same manner. By weighting and reconciling these adjusted sales prices together, an opinion of value for the subject can be determined. j FEATURE SI~BJECT $ 1 CQMP.ARABLE SALE # CQI~IPARABLE SALE # 2 ~ ___. _ CQPJIPARABLE SALE # 3 ____ _ ~ At;rress 425 4th St ~ --_________________ _ _ __ ___ 901 Bridge Street _ _ __ 432.5 Market Street 814 Bridge Street New Cumberland, PA 17070-1 ---------------------------------------------- ------ --- ------- --- ~ New Cumberland ---------------------------------------------------------- New Cumberland ----------------------------------- --------------------- New Cumberland ---------------------------------- ------------------------ r - , ~ PraxuPrty to Subject --------- ----------------------- -- - - -- 0 44 miles NW 0.24 mites NE ---- ---- ----- ------------------- 0.41 miles NW - -- ----------------------- - r - - j Sale Pace ~ N/A t~ 55,000 . ~ 74,000 _ S __ __-_--__._._ ______ _ 88,400 __._ _ __------ ,_..~.__..____-_~____. ___..._-.____.,._.________ `Sale Price ~ GLA ;~ iSr,.Ft. _-.___-- --____ .__..z._.___~___~___~__.w._._ S 41.17!Sq.Ft.'. _ _ . _.-- _---- __- S 55.72; SG Fl .,-.., ~_.-., ~ ~ . ti 77.00~'Sq Ft -Data Saurcei s} : Inspection - __________ MLS MLS MLS ~Venfr~atlon Saurce(sl ' Publrc Records Govemmax.com Govemmax.com Govemmax.com _ _ ADJUSTMENT ITEMS " DESCRIPTION j DESCRIPTION +{-) S Adjust. DESCRIPTION --- {~-} $ Adjust. DESCRIPTION --_--_---- -+{-) ~ Adjust. ----------------_---__-- Sales ar Financing Cash or Equivaler~ Cash FHA-8300 Help----- --- ----------8,300 Conventional Concessions 75 DOM 302 DOM 7 DOM Date r~i Sale ;Time ; 05/03!2009 1 02/26/2009 09/15/2008 05/15!2008 l Rights Appraises , Fee Simple Fee Simple Fee Simple Fee Simp~ ~______.______._______.___ ._, Locatlan -.____._ _.__.__.___ SuburbaNAvg...._..__ . __._ ____ _________ ___ _____ SuburbaNAvg. _._.-_~....__._..-_.._-._._...-._.._-..._. _____,-_ SuburbaNA -.-.._._._.__- ..-...~~_..__. . _ _.._ __._W_. __ __.-._ _..__.._._M.._____.. SuburbaNA _......._...... ~:........_. ._.__....._...______...-..._ - -- - ----------w Site 0.08 Acres ------- 0.05 Acres 0.04 Acres 0.05 Acres ----- ----- --------------------- ---------- - -- - ----- -~ - Vie°,~ Residential Residential ` Average- _._.___.-.-.--........ . _ ____..__.----____..__ Average __._._._.-_ .._.._- _----_____-- Desicin (Style! Semi-detached Semi-detached ( Townhouse Semi-detached Quality of Canstructirn;Average------------------ Average------------------------------------------- Average----------------- --- --------------------- Average------------------ ------------------------- j ta.r e ~___-__._____.______._-___.__._...~ ' 120 __._.__._.-___.-.-_.w_.-.-_. 95 ' _____._.-__...-.______.____.__.__.__...._____.-_._.__-_._.-___ 80 _-_..__.._._.______-_..__..._.-..._ ._ __~__._______ 95 I Cr~nditian Below Averse 9 ~ Below Averse g rt Averse g 10 Oa - - ------ -' ------ Above --Average ----- -------------- --------- -25,000 ------------------------ ----v -- --------,-------------- - - - - -- ----------- -- - - - ~otai ~Bdrn,s_ Bath jAbrve Grade- -- ------------------------ -------- --------- --------^,--- Baths ~ Total ~Bdr,r~ ------ ------------- --.r-----' Baths i.~tal~Bdrms --- - - - i Total~Bdrms Baths - ------- ------------- - - Roorr~ Caurlt ' -. __-- 5 3 2 ~ --- ------------+---------- (-- 2,000 ~ 2 ; 5 1 1 1 -v - - 5 3 1 -------- --- --- + -------------------- 2,000 ---------------------- t ------ ----- - 7, 3 1 ------------------- -------------- +2,000 ------------------------ Gross Living Area--------- - - -- - ----- ------------------ -------- -------------1-,302 Sq Ft: --------- ---- --- - ---- --- ___ ___ __---- i ------- --------- ---1-~-Sq.Ft=~------------------------- - ------ -------- - - - -------------1,328 Sq.Ft. - - ----------- --- --- ------------------ 1,148 Sq:Ft: ---------------- ---------------------- - Basement Total Area ;651 Sq.Ft. _ Full Basement ` ..._._.__...__._--.__-_.__ _____v.~..__._--.._____ Full Basement .-.-_.__~_____.____ __ _ __ .__._.._______._ ~ Full Basement _~---_ _______. __ a Basement Finish Area g_._.________..__-._.______..__-.____ ~___.~.._ ~___-w____..__ ;Bath ..__.__..___._..._.._.---...----_._.___-_.d ~ Unfinished -.--.--.._.__...._-._...._.._-_..______~_-...____._----__..._.._...._. 6 Unfinished ___.-....__._.-.__-___...._....__..__._ _ _.---._..-._._.___.-_.... Unfinished .._.__....__~___._.._._.~.__. _ _-._.._._.A._.___. i..-._._...._...__-.-___-_...._.___-.._..____ _________.~-_....___v -Tntal Livable Area ..._........__..__....._...__._..~..__-.._.- i._~__.~...__--- --- 1,302 Sq.Ft. _.....__-...----- ................_.__..__c_.._..._._-._._..-__-....__.---.-.- ----__.________.._._._.__..----.,__._.____~_._.-._..___..._ 1,336 SG.Ft. ..._....._....___...._.-._..-._.__....._....._-._....._. ._-.._.._---.~_____.-.._.__.__....___. 1,328 Sq.Fi. ._ -__ _.__..._-._..__..__...-... ._.__...__._.__~ .~______._....._..__.__.___ _.__--_. __.__..__ 1 148 Sq.Ft. ___._.---__-___ -~_______.._.._--- Functional Utility ! Average ~_w Average ~ Average Average ;Heating ,' Cooling Gas Steam/None ..~ __ Gas Warm Air/No ~ _ _ _ _ _ Oil Warm Air/No ___.___._._._ _- _.-___.._.. r Gas Hot WatMo ._ Energy Efficient Items ;Some storms Some storms Some storms Storms , Caarage ; Carport None None None _ ^` ~_ 1 Car Detached -2,5a Parch ,~' Patio ,% Deck ;Porches, Balcony --- Porch, patio __ ` Stoop, Cover Pati ---------------------------------- --- - --- --------------- - Stoop ---------- -- _____ __ _-__________ -------- ------- -------- Fireplaces _ _ -- None _ jNone ! __ __ None __ __ _ None .. Other Features ------------------------------ ------------- - - -------- ------t t ------- ~---- - ------------- - --------- --- ----- - ------------ -- -- -------- - - - ---------------- -- Fence ------------- -- --------------- -1,000 ----------------------- Other Features - _ _ ------------------------------------- - -- ------ ~ - `' ------------- -------------------------------- ~ -- ---------------------- ---------------------------------- ------------------------ Net Ar,Iustment {Total} ~ ~+ ^ `a 2000 ^+ ~ S -16300 ^~- ~ -. ~- ---____-- --26 500 r Al;justed Sale Price .. _ N~ 3~ %; l~ 22.096; Net 3fl.0 at Camparables j IaCpSS ~.~°~ $ 57,000 6mss 27.4 %S 57,700 GmSS 3~.b°6 S 61,900 Chen#: Estate of Mary Agnes Pasavec Client Fii® No.: None Appraiser File No.: 0000720 I;Uay l~hh~~ Qr)+ by <i a IIOCIP, !Ih hU'Of ! TIn4 h~ IP.JI]C~UCN~i !r'"I,adIIIFC :f111UU1 N'I1TIP.!1 ~?F,fti1~SSlU`I hOweVe'. d Id TIUC#? kt1C. 'T1tIS~ ~~e dCK'IU'.4 Q~9P,C dfl~ CIP.1lleti ~ ~,,,.:~.,-~~~~ ~~~.:~ ~~ ~~ Fflrn~ SPCAF: LT - "~'JinTOT~,L." appraisal software b~ a ire rnctl-, inr,, --- 1-8~0-f~LAP,~~SDE 1Qr2007 Internal Omer No. 0000720 P e # of 27 RESIDENTIAL APPRAISAL SUMMARY REPaRT SALES CQMPARISON APPR~}ACH TO VALUE (eontinued) Cammerrts on the Sales Comparison Approach: These were the most recent sales of semi-detached or attached homes in the Borough of New Cumberland. Sale #1 was in need of updating; Sale_#2_had_some updated_and_Sale #3 was_totally_remodeled_______________________________________________________ _ - -- Appraiser's indicated Vakue by the Sales Oamparlsc~n Apprh; ~ __ 58~.tQ_. Client: Estate of Nfary Agnes Posavec Clierrt File No,: None Appraiser Fife iVo.: flDOt372O ~« ~~ ~ Copy~ight~~~ 2007 by a a node; inc. This farm may he reproduced unmo~fied ;vithoiit written permission, however. a la mode, inc. must be acKno~~v edged and credited. Form GRCAR LT - "b'Vinl'OTAL"appraisal software by a la mode, inc. - 1-8flD-ALAMODE 10,2007 rote I rder No. 000072 P e #10 of 27 RESIDENTIAL APPRAISAL SUMMARY REPORT PROJECT #NF(3RAIfAT#ON ton#y far PUD, Condominium, or Cooperative} The Subject Property: ^ i. ^ !s nr~t Ic~oated within a 1'tJQ, Conraminnsm, or cooperative Project i.'see page 2). Legal name of project: Describe Comman Elements and Recreational Facilities; RECONC#L#AT#ON The follawing approaches to value are cansidered necessary far the defined Scope of Work and were developed for this ap__praisal: __ ^ Safes Comparison Approach Indicated Value by the Sales Comparison Approach; $ Qat3 ~ ^ Cost Approach indicated Value by the Gast Approach: $ ^ Income Approach Indicated Value by the Income Approach: $ ~t~lA Final Reconciliation of the Approaches to Value: All ap_proadies to value were considered._Tt~e cost approach and_the income approach were deemed not to be appropriate in _____W_._ estabfishir~ the value of the subject roe and were not utilized in the re aration of this re rt. Even if other a roaches to value are used~the Sales Com arison roach is the best indicator of market value. __,_ . _~_________ ____ This appraisal is made ^ "as is"; ^ subject to eampletion per plans and specifications on the basis of a Hypothetical Condition that the improvements have been completed; ^ subject to the following repairs or alterations on the basis of a Hypothetical L'ondition that the repairs or alterations have been completed; ^ subject to the following required inspectian{s) based an the Extraordinary Assumption that the follawing condition or deficiency fines not require alteration or repair: This_appraisal_is made_in as.is_condition.,_ - -- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ^ This report is also subject to other Hypothetical Conditions ar Extraordinary Assumptions as specified elsewhere in this report. ATTAChIMENTS A true and complete cagy of this report contains 27 , pages, including all exhibits which are considered an integral part of the report. This appraisal report may not be properly understood without reference to the information contained in the complete report. Attached Exhibits: Scope of Work ^ Limiting Cond./Certifications ^ Narrative Addendum ^ Photograph Addenda Sketch Addendum ^ Map Addenda ^ Additional Sales ^ Cost Addendum Flood Addendum ^ Manuf. House Addendum ^ Hypothetical Conditions ^ Extraordinary Assumptions ^ Extraordinary Assumptions ^ ^ ^ o~#N#oN of vA~uE This Opinion of Value may be subject to other Hypothetical Conditions and i or Extraordinary Assumptions, if so indicated above. Based an the degree of inspection of the subject property as indicated on page 2; the defined Scope of Work for this appraisal assignment; the attached Statement of Assumptions and Limiting Conditions; and the attached Appraiser's Certifications, my (our) Opinion of the .Market Value _~or other value _type _specified__on_ page__2j__as__defined__herein, of the real property that is the subject of this report is: $ ~3 , as of: which is the Effective Date of this appraisal. ---...__ ._.~~ x..,.._- ..~ .... ..r~ .. ................ .T._- Client: Estate of iUlary Agnes Posavec Client File Na.: None Appraiser File No.: OCIC(1720 t ~ ~ Capy~ight~~=~ 2007 by a a. node, in he ~ar~:~ nay he rea~~~nnc~~t i:r~ncc~iiec ~~ninout written pFr nissian however, a is ~o~" inc. •nust'~e ackno.v ecgea and credited. .'' ~ ~ ~,-,' Fa~iri GPt;AR t.l -'~b'di~TGT~I" ~pppra~sal snttwa~e b~,+ a `a mode, i ir. -- 1-Bt~4~LAMG[lE 10!207 Internal rder No. 0000720 P e #11 of 27 RESIDENTIAL APPRAISAL SUMMARY REPORT GENERAL COMMENTS Please_see_the_attached_addendum_for clarfication_of assumptionst limited cond~bns~_certificatior~s, and_scope of work____________________________________ APPRAISER ~~~~ r~ SIGNATURES SUPERVISORY APPRAISER (if required} ar CO-APPRAISER (if applicable} Supervisory or Appraiser Name: Robert Ensmir~er ___._~__, ___.~_____ Co-Appraiser Name: _____~ __ ~~_~_____ __._ ___ Company: _Robert Ersmirx~er_Appraisers_____________ ----------____- Company: ----------------------------------__---- ----------------- -------------------- ---------------------------------------------------------------- Phone: 717 652-4111_____________________ Fax: 717 37a-5557_____-__________-___ Phone: Fax: E-mail: robert_~ensmirxlers_net_____________ E-mail: Date of Report (Signature): 7/13/"1009 Date of Report (signature): _ _ __ __ ___ _____________ __________ ___ License ar Certificatian #: RL000952L State: PA License or Certification #: State: Designation: PA Certified Res. R.E. Appraiser Designation: Expiration Date of License or Certification: 6/29/2009 Expiration Date of License or Certificatian: inspection of Subject: ~ Interior & Exterior ^ Exterior Only ^ None Inspection of Subject: ^ Interior & Exterior ^ Exterior Only ^ None Date of Inspection: 05/0312009 Date of Inspection: Client: Efate of Mary Agnes Pt~av~ec Ciier[t File fro.: None Appraiser_file No,: 000Q720 Copyiioht:~? 2007 fey a is made., inc. This iorrn may 5e reproduced unmodified without written permission, however a la made: Inc, must be ackne~a~iedged and credited. ~~~ Form GPCAR LT - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALA~IQDE 10/2007 Internal rder No. 0000720 P e #12 of 27 ASSUMPTIONS & LIMITING CONDITIONS SUBJECT PROPERTY ____ Property Address: 425 4th St City: New Cumberland --------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------- State: PA Zip Corte: 17070-1802 County: Cumberland STATEMENT OF ASSUMPTIONS & UNITING CONDITIONS -The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it. The appraiser assumes that the title is good and marketable and, therefore, will not render any opinions about the title. The property is appraised an the basis of it being under responsible ownership. -The appraiser may have provided a sketch in the appraise! r~ort to show approximate dimensions of the improvements, and any such sketch is included only to assist the reader of the report in visualizing the property and understanding the appraiser's determination of its size. Unless otherwise indicated, a Lantl Survey was not performed. - If so indicated, the appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or ether data sources) and has Hated in the appraisal report whether 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. -The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand. - If the cost approach is included in this appraisal, the appraiser has estimated the value of the land in the cost approach at its highest and best use, and the improv~nents at their contributory value. These separate valuations of the land and improvements must not be used in conjunction with any other appraisal and are invalid if they are so used. Unless otherwise specifically indicated, the cost approach value is Hat an insurance value, and should not be used as such. -The appraiser has noted in the appraisal report any adverse conditions (including, but not limited to, needed repairs, depreciation, the presence of hazardous wastes, toxic substances, etc.) observed during the insp~tion of the subject property, or that he or she became aware of during the norms! research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no knowledge of any hidden or unapparent conditions of the property, or adverse environmental conditions {including, but not limited to, the presence of hazardous wastes, toxic substances, etc.) that would make the property more or less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied, regarding the condition of the property. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be require to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, the appraisal r~ort must Hat be considered as an environmental assessment of the property. - The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or she considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of such items that were furnished by other parties. - The appraiser will not disclose the contents of the appraisal report except as provide for in the Uniform Standards of Professional Appraisal Practice, and any applicable f~ieral, state or local laws. - if this appraisal is indicated as subject to satisfactory completion, repairs, or alterations, the appraiser has based his or her appraisal report and valuation conclusion on the assumption that completion of the improvements will be performed in a workmanlike manner. - An appraiser's client is the party (or parties) who engage an appraiser in a sp~ific assignment. Any other party acquiring this report from the client does not become a party to the appraiser-client relationship. Any persons receiving this appraisal report because of disclosure requirements applicable to the appraiser's client tlo not become intended users of this report unless specifically identified by the client at the time of the assignment. - The appraiser's written consent and approval must be obtained before this appraisal report can be conveyed by anyone to the public, through advertising, public relations, news, sales, or by means of any other media, or by its incluston in a private or public database. - An appraisal of real property is not a 'home inspecfion' and should not be construed as such. As part of the valuation process, the appraiser performs a Han-invasive visual inventory that is not intended to reveal defects or detrimental contlifions that are not readily apparent. The presence of such conditions or defects could adversely affect the appraiser's opinion of value. Clients with concerns about such potenfial negative factors are encouraged to engage the appropriate type of expert to investigate. Ghent: Estate of Mary Agnes Rosavec Clientflle No.: None Appraiser File No.: 0000720 Co;;y+~ahti- ?_Q0; by' a la m~dp irr. This furry m~~, 7e re,;r^duced urrr~~~rhtietl vrithout ~wriiten ppr~nissi;~n, hrnve~~~er a ~i !~~noe; inc. rnrst be acknovt~ied~ed and cregited ~ ~~.~ ~~,.~ ~' .~ Form GPC~~;~tl l.T -'~Vr7Tl.-Ta~L' a~p~a~sa~ software n'~ a'a motfe, inc. -1-807-ALAf~IQD~ Page ~t of 3 10~2~ti7 Internal Order No. 0000720 P e #13 of 27 DEFINITIONS & SCOPE OF WORK SUBJECT PROPERTY Property Address: 425 4th St ___ City: New Cumberlarxt State: PA Zip Code; .17070-1802 Couniy: Cumberland t _ ___ _ _ ---- -- -- _ ----__ __- -- -__ __...__. ._------ -- _._ _____._ __ _ _ - --_ _._.____ ___ DEFINRION OF MARKET VALUE *: Market value means the most probable price which a property should bring in a competitive and open market under all contlitians requisite to a fair sale, the buyer and seller each acting prutlen~y and 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 tige from seller to buyer under condi~ons whereby: 1. Buyer and seller are typically motivated; 2. Both parties are well informed or well advised and acting in what they consider their own best interests; 3. A reasonable time is allowed for exposure in the open market; 4. Payment is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; and 5. The price represents the normal consideration for the property sold unaffected by special or creative Financing or sales concessions granted by anyone associated with the sale. * This definifion is from regulations published by fedora! regulatory agencies pursuant to Title XI of the Financial Institutions Reform, Recovery, and Enforcement Act (RRREA) of 1989 between July 5,1990, and August 24,1990, by the Federal Reserve System (FRS), National Credit Union Administration (NGUA), Federal Deposit Insurance Corporation (FDIC), the Office of Thrift Supervision (OTS), and the Office of Comptroller of the Currency (OCG). This definition is also referenced in regulations jointly published by the OGG, OTS, FRS, and FDIC on June 7,1994, and in the Interagency Appraisal and Evaluation Guidelines, dated October 27,1994. The Scope of Work is the type and extent of research and analyses performed in an appraisal assignment that is required to produce credible assignment results, gh-en the nature of the appraisal problem, the specific requirements of the intended user(s) and the intended use of the appraisal report. Reliance upon this report, regardless of how acquired, by any party or for any use, other than those specified in this report by the Appraiser, is prohibited. The Opinion of Value that is the conclusion of this report is credible only within the context of the Scope of Work, Effective Date, the Date of Report, the Intended User{s), the Intended Use, the stated Assumptions and Limiting Conditions, any Hypothetical Conditions and/or Extraordinary Assumptions, and the Type of Value, as defined herein. The appraiser, appraisal firm, and related parties assume no obligation, liability, or accountability, and will not be responsible for any unauthorized use of this report or its conclusions. Additional Comments regarding Scope of Work and Clariffcation of Assumptions, Limiting Conditions and Certifications are attached. Client: Estate of Mary Agnes Posavec Client File No.: None Appraiser File No.: 000072i? ®~,~ ~ Copyiipht;c 2ooi by a la mode, inc. This form may de reproduced unmodified wnthout written permission, however. a la mode; inc. mrtst he acknov:!edyed and credited. Forrn GPCARAD_LT - "WinTOTAL'' appraisal software by a la mode. inc. -1-800-ALAMODE Page 2 of 3 10/2007 Internal Hier No. 0000720 P e #14 of 27 CERTI FIEATIONS SUBJECT PR[}P'ERTY -_ _ __ _ __ __ __ Property Address: 425 4th St --------- --------- --------- ---- ---- ------- - --- ---- - - - - ------ _ City: New Ctmberland State: PA Zip Gore: 17070-1802-------------- Ct7unty: Cumberland -___-- _ _ - ..-..------------------_-_-- APPRAISER'S CERTiPICATION I certify that, to the best of my knowledge and belief: - The statements of fact contained in this report are true and correct - The credibility of this report, for the stated use by the stated user(s), of the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions. - I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the panes involved. It is Hated that the appraiser is also an auctioneer and may be called upon to sell the subject property at auction sometime in the future, however, reported values and my fees (present or in the future) are independent of this appraisal and any future employment. - I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. - My engagement in this assignment was Hat contingent upon developing or reporting predetermined results. - My compensation for completing this assignment is Hat contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. - My analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Unifiorm Standards of Professional Appraisal Practice that were in effect at the time this report was prepared. - I did Hat base, either partially or completely, my analysis and/or the opinion of value in the appraisal report on the race, color, religion, sex, 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. - Unless otherwise indicated, I have made a personal inspection of the property that is the subject of this report. ---Unless otherwise indicated, no one provided significant real property appraisal assistance to the person(s) signing this certification. Additional Certifk;ations: SIGNATURES APPRAISER ~~ Appraiser Name: Robert Er~sminger_,.~___....._____..._....__. _.. ,._ . _,__ .._ _..___._ ._._.._._ Company: Robert Erismirx,~er Appraisers____________ Phone: 717 652-4111 __________ Fax: 71 370-5557 E-mail: robert_r~ensmir~ers_ net______ Date of Report {Signature): 7/13/2009 - ---------------------------------------------------------------------------- License or Certification #: RL000952L State: PA Designation: PA Certified Res. R.E. Appra~r Expiration Date at License or Certification: 6%29120Q9__________________________________ inspection of Subject: ^ Inferior & Exterior ^ Exterior Dnly ^ Prone [)ate of Inspection: 05/03/2003 SUPERVISORY APPRAISER (if required} or C(}-APPRAISER (if applicable) Supervisory or f;o-.Appraiser Fame: Company: -------------------------------------------------------------------------------------------------------- F'Itone: Fax. ------------------------------------------------- -------------------------------------------------- E-mail: Date of Report fSignaturel. ---------------------------------------------------------------------------- License or Certification #: State: [)esignation: Expiration Date of License or Certification; insp°ctian of Subject: ^ Interior & Exterior ^ Exterior Only ^ None C)atc of Inspection: Client: Estate of Mary Rgnes Posavec Glierd Fife No.: None Appraiser Eile No.: Q00072(} ~ CoNy ir~nt~c; 2UU7 by a a node: ine his ?orr~ may be reaiaduc?d i rn? dltitr ~ ':^,thout writtan F~Frm+s~ion hor~~eve!. a la mode: inc. must be ackno:~~'edged and credit~i. ~ ~~~.:..~;. Farm Gf7CAR.~D L7---'Vui~TGT.~L" app'a~s~: scfty~are ~y a'a mrde, inc;. --1-8()t1-ALaMf)[)E Page 3 of 3 10%2087 Inte rder Na. 0000720 P #15 of 27 Supplemental Addendum File No. 0000720 Client Estate of AAa nes Posavec __ Property Address 425 4th St _ ___ __ City_V_ New CumberFand Counly Cumberland _ 'State PA ~ Zip Code 17070-1802 A raiser Robert Er~smi er ~~_ Clarification of Assumptions, Limiting Conditions, Certifications and Scope of UVork On the page 13 of this Appraisal Report, the Scope of Wark is defined. The following comments expand the Scope of Work to include any additional research or analysis necessary, based an the complexity of this specific appraisal assignment. The scope of work explanations discussed here and within the body of the report further define, clarify and document what the appraiser did [or did not do] in order to develop the appraisal and report the value opinion, based an the complexity of this appraisal assignment and/or as a result of a supplementary Agreement ar Engagement Letter * as accepted by the appraiser, Robert A. Ensminger and his client. Estate of Mary Agnes Posavec. * if no written specific and or supplemental Scope of UI/ork was agreed upon with the client (prior to accepting fhe assignment, by forma! engagement Jetter and included in this report) the Scope of Work outlined here and within the report, is considered to be representative of what typical users of appraisal services would require and in general, what appraisers would provide as reasonable, acceptable and sufficient for fhe stated intended user's needs. COMPLETE VISUAL INSPECTIt?N: It should be Hated that the Appraiser conducted a visual inspection of only the readily accessible areas of the property, viewing only those components of the property which were clearly visible from the ground ar floor level. Na tests we made of the mechanical, plumbing and electrical systems as such tests are not within the standard guidelines of FNMA or FHLMC. Comments on the condition of the foundation, roof, exterior, interior, floors, mechanical, plumbing, electrical, insulation and all other matters relating to the construction of the subject properly is based on a casual observation only and which may have been limited by the placement of personal property, furnishings, etc. so as to preclude observation of the items blocked by same. There was not observation of the attic, crawl space or other areas that would not be visible by the typical visitor to the hams and components that are hidden within walls. Alkhough the report may cite a general rating of the adequacy and or condition (based an observation only} it should be clearly understood that these statements are a general guide for comparison purposes (as part of the valuation process} and are not a detailed report on the physical and or operational condition of these items. The appraisers} is not an expert in these matters and any opinion stated is advisory based only upon observation. This report is not a home inspection. While others may choose to rely an the report, they should not rely on ii to disclose canditian and defects, Such knowledge goes beyond the scope of this appraisal and as such, comments on observed conditions given in this report should Hat be taken as G. guarantee that a problem does not exist. The following chart is to assist the intended user in understanding the scope of a complete visual inspection: Complete Visual Inspection Includes: Complete Visual Inspection Does/Did NOT Include: List the amenities Testing ar activatin mechanical systems iew readil observable exterior areas Activatin a lioness iew readily observable interior areas Observation of crawl spaces and attics ofe quality of materials and workmanship Observation of areas not readily accessible easure the exterior of the improvements Building Code compliance issues Observe the floor Ian and room la out Movin furniture or ersanal ro ert ssess the functional utility of the property Mold Assessment oie the subject's conformity io the market area. Removing (or moving) floor coverings ofe style 1 design. Testing or inspection of the weU and septic. bserve the eneral condition of the im rovements Re ortin ersonal ro rt . Observe a representative sampling of closets, windows, electrical witches, and doors. Roof Condition report beyond an observation from ground level. hoio ra h exterior and view site around the im rovements Radon Assessment "Inspection the neighborhood'' was limited to driving through the area and a representative number of streets, reviewing maps and other appropriate data including observing the comparables from the street, to determine the genera{ factors that may or may not influence the value of the subject property and research to the extent further defined in the sections below. Farm TADD t_T - "WinTOTAL" appraisal software by a la mode, inc. -1-$(?0-ALAMODE Internal rder No. 0000720 P e #16 of 27 Supplemental Addendum FFIe N~. 0000720 Client Estate of Mary Agnes Posavec -_____ ._ Property Address 425 4th St __r________~_____._ __._-------_._....._...___.___.------.-----------._.__--._.._._...._.__-------_-----------_-----__..._.._.__-------__.____._..---....____.._........___-_-_-----..__.._____..__ ______~~ -__-_.. City New Cumberland Co4nty Cumberland State PA ~ p Catle 17070-1802 A raiser Robert Ensminger ~ _ __ ____-~.~ ___ __ _ _ _ REPAIRS l DETERIORATION: An effort was made to report those repair items that, in the appraisers opinion, will affect safety, adeGuacv~ and marketability of the property. Deterioration consistent with the age of the home has nai been itemized. GOST APPROACH: The cast approach is typically utilized when improvements are new, near new or are of an unusual construction method. Additionally, the cost approach is only ;;sansidered appropriate when sufficient land or building sites are available to a potential purchaser so as to make construction of improvements similar to the subject a viable alternative to purchasing the subject. In areas where vacant sites (similar to the subject property in location, zoning, use and utility) are not available to a potential purchaser, use of the cast approach and reliability on the same as a value indicator souls be misleading. In cases vrhere the Cast Approach is not requires (per USPAP) or deemed necessary to tt7e development of a reliable value opinion, the cast approach has been excluded and such exclusion has been so stated with the body of the report. If the cast approach was used it represents the "replacement cast estimate," and is for "valuation purposes only. `' As such, it ~t~c~ulri not ba (°~r° ~ ~ -, f^t ~;cz~.~rn r-? t: , * ~~~ The definition of "market value'' an page 13 of Ibis repast is not consistent with the definition of "insurable value.." If the cast approach arras presentee; a cast service su~;h as'~rgarshail & Swiff' (ar other similar saurcej was used la Develop the estimate. The site value opinion is bases ors one of several methoss: extrartian, allocation, the developmental method ar from a review and analysis of sales of similar sites within the market area. INCOME APPROACH: The income approach is typically developer when sufficient investor owned properties exist with the subject's immediate area or neighborhood and when investors regularly acquire such properties that are similarly desirable to the subject far the express purpose of the investment income they provide. While rental properties may exist within any area, their existence alone should not be Considered as evidence of a viable rental anra investor marketplace. As such, in areas dominates by "owner occupied`' units, it may not be appropriate to present or ernp{oy the income approach, unless the approach clearly represents the motivations am actions of investors in the marketplace as it relates to the subject property ant immediate area. !f the approach is included within the report, it was because sufficient data was found to support conclusions by the appraisers} that it was appropriate am meaningful to the analysis and value opinion. If the approach was nai included. it was the appraiser's opinion that the data vas insufficient to provide a useful and meaningful conclusion. EXTENT OF DATA RESEARCH - SALEStLISTINGS: Sales and listings of the subject property and comparables have been researched, verified, analyzed, and reported. Sales data (incJuring lister, closet, pending am expired listings) of properties that are geographically,. physically, functionally and economically similar to the subject property and that are sufficiently recent to reflect current buyer and seller actions were researcher and ~~onsidered. it necessary and applicable, the appraiser also researched data on Comparable land ant improved sales, income and expense information and construction casts; confirmed romparabie sales information (as noted under "EXTENT OF INFORMATION VERIFICATION;"{see next section)) and analyzed the information in applying the approach(es) used. Depending upon the availability and reliability of various rata sources, the appraiser(s) used any combination of reasonably available infom7ation from city!county records, real estate agerrfs, owner"s Comments, buyer's description, assessor's records, multiple listing service (k~LS) data, brochures, web site listings ans visual observation to identify the relevant characteristics of the subject property. comparables were selectee based on physical, functional, economic arxf iaCation characteristics with the sales Cited in the report Considered to be most relevant to the analysis of subject property. These sales were adjusted to the subject to refert the markets reaction to differences (if any}. EXTENT OF INFORMATION VERIFICATION: Representative samples of disinterested sources for information and data verification include but are not limited to CauntyiCitylTownship online records -- Recorder of Deeds, Treasurer, mooning, GIS, Online Assessor Property Databases, and the Appraiser's electronic and paper files gathered in the ordinary course of business. Information includes sales history, property characteristics.. personal observation of condition. location, physical attributes, real estate transaction declaration documents, sale raiP, and personal property included in a sales transaction. In aeditici ~, the subject's market area was examined to determine the demand for and marketability of the property within the subject's classification. 'JVt~err and where possible, the applicable information was ver7fied with sources deemed to be reliable ar~d from a disinterested part°~ r~r corraborater ~u~~itty a rlyd party source. in some cases. the motivations of the parties and other factors (terms, arms-length trans>actions, etc.? may not have been available and the data was used at "face value as factually accurate," The appraiser was rtiat supplied with a surrey of the subject site and slid not r.heck the {and records far recorded easements. Only readily apparent and observable easements ar~rc en::roachn~~er==ts have been reported. Unless otherwise stated ~rvithin the report, no effort has been Fas~m THDC~ t.T ---'"~'n7CTAt.' aa~,raisa! software by a fa made. ~nr;. -~ ~~-~GQ ALA(u`~0[)E Internal Order No. 0000720 P #17 of 27 Supplemental Addendum File Na. 0000720 Client Estate of Mary Agnes Posavec Property Address 425 4th St _ __ _ _ _ _ __ City ,_ New Cumberland ' ~__ County Cumberland v`5tate PA ~ Zip Code 17070-1802__ A raiser Robert Ensmi er ~~ made to ascertain whether the subject is located within the appropriate setbacks. as dictated by zoning, building or other regulations. ADVERSE NEIGHBORHOOD FACTORS: While some in the market may consider factors such as drug labs, registered sex offenders, criminal activity, interim rehabilitation facilities, halfwa!r houses or similar uses as "adverse," unless cited within the report, the appraiser has made no attempt to investigate ar discover such activities as part of this assignment, unless such factors were readily apparent and obviously impacting the subject property as evidenced by market data. If fhe intended user has concerns in these areas, it is highly recommended that then secure this information from a reliable source. DISCLOSURE 1 DISTRIBUTION: Regardless of who paid for this assignment, the intended user is only the client stated within the report. The appraisal and report may be inappropriate for use by parties other than the intended user and could place them at risk. Despite the means of possession of the reporf, this appraisal should not be used or relied on by anyone other than the stated intended users and far the stated l intended purpose. The Intended User of this appraisal report is the Client. The Intended Use is to evaluate the property that is the subject of this appraisal for personal reasons, subject iio the stated Scope of Work, purpose of the appraisal, reporting requirements of this appraisal report farm, and the Definition of Market Value. The nature of the assignment may infer Additional Users of this report. Examples would be where this appraisal is to be used for (a.} legal purposes whereby the client's attorney and authorized court personnel became users of this report on behalf of the client; and (b.) estate purposes whereby the client's attorney and authorized taxing authorities become users of this report. This report is copyrighted by Robert A. Ensminger, ©2008 and may be registered in the U.S. Copyright Office. Any reproduction, electronic or otherwise, of analyses, drativings, contents, representations or opinions of value made in this report for purposes other than those stated in this report, is not permitted. THE VALUE OPINION: The value opinion stated in the report is based on my analysis as of the effective date shown in the report. The value opinion considers the productivity, economic and physical conditions of the property only as of the effective date of this appraisal. As market conditions change, this value opinion may not be valid in another time period. Personal property such as furnishings, equipment ar other items that may be included with a sale or transfer of the property were excluded from the value unless such items are necessary far the operations of the property (garage door remotes, pool filters, etc} and would normally be a part of the mechanical or operational equipment that is consiaered realty. Form TADD LT - "WinTOTAL"appraisal software by a la mode, inc. -1-8(}0-ALAMODE Internal er .0000720 a #18 of 27 Subject Photo Page Client _ Estate of Mary Agnes Posavec Property Address 425 4th St City New Cumberland CoMnty Cumberland State PA Zp Code 17O7Ci-1802 A raiser Robert Ensmi er Subject Front 425 4th St Sales Price N/A Gross Living Area 1,302 Total Rooms 5 Total Bedrooms 3 Tota{ Bathrooms 2 Location Suburban/Avg. View Residential Site 0.08 Acres Quality Average Age 120 ~. ~~;. -+ Subject Rear ~ ~ ~ ~ r` __ - ~ ~!~ F " ~ .~` ,,,,~'. ~~,. {1 ~::t~= Subject Street Fr~r~~~ LPI~,PIX:CiSS LTR - "~~JinTOTAt.' anpraisa~ scft;vare by a la ~»ode, Eng. - t-£~00-ALAMGDE Internal rder No. 0000720 P e #19 of 27 Subject Photo Page Client Estate of Mary Agnes Posavec Property Address 425 4th St _____ _ Ciiy _~ New Cumberland _ _ ~(~ounty Cumberland State PA Zp Code 17070-1802 A raiser Robert Ensmi er 7~ ,~+ s . <<~.. ~. Subject Front 425 4th St Sales Price N/A Gross Living Area 1,302 Total Rooms 5 Total Bedrooms 3 Total Bathrooms 2 Location Suburban/Avg. View Residential Site 0.08 Acres Quality Average Age 120 Subject Rear ~~~;~ ~- Subject Street ,, ' ~? .~, Form LPICPIX.DSS LTR - "WinTOTAL"appraisal software by a la mode, inc. -1-801)-ALAMODE Inte rder No. 0000720 P e #20 of 27 Subject Photos Client Estate of Mary Agnes Posavec ------- Property Address 425 4th St ._____.._._____ Ciiy New Cumberland _=an'~n1Y__Cumberland 41ate PA Zip Code 17070-1802 ______ Appraiser Robert Ensminger ,~v~ Living Room N/A 1,302 5 3 2 Suburban/Avg. Residential 0.08 Acres Average 120 Dining Room Kitchen 425 4th St Sales Price Gross Living Area Total Rooms Total Bedrooms Total Bathrooms Location View Site Quality Age Foa?~ LPICPIX.DSS LTIR - "~1VinT(~TAL" appraisal soft~,are by a a mode, i-~+~. -1-8DC~-ALAn~CDE Internal rder No. 00 720 P e #21 of 27 --- - __ _ _ --- Client Estate of Ma nes Posavec Property_Address 425 4th St __ Ciiy New Cumberland - C~aunty Cumberland State PA _ Zip Code _17070-1802 A raiser Robert Ensmi er Comparable Photo Page sr / HSY err ~_ ~, Comparable 1 901 Bridge Street Prox. to Subject 0.44 miles NW Sales Price 55,000 Grass Living Area 1,336 Total Rooms 5 Total Bedrooms 2 Total Bathrooms 1 Location SuburbanlAvg. View Residential Site 0.05 Acres Quality Average Age 95 Comparable 2 432.5 Market Street Prox. ro Subject 0.24 miles NE Sales Price 74,000 Gross Living Area 1,328 Total Rooms 5 Total Bedrooms 3 Total Bathrooms 1 Location Suburban/Avg. View Average Site 0.04 Acres Quality Average Age SO Comparable 3 814 Bridge Street Prox. to Subject 0.41 miles NW Sates Price 88,400 Gross Living Area 1,148 Total Roams 7 Total Bedrooms 3 Total Bathrooms 1 Location SuburbanlAvg. dew Average Site 0.05 Acres Quality Average Age 95 Fonm LPICPIX.DS~,o LTR - "WinTOTAL° appraisal software by a to mode, inc. -1-800-ALAMODE Building Sketch Internal rder No. 0000720 P e #22 Of 27 Client_ Estate of Mary Agnes Posavec ----------- - Prnperty Address 425 4th St ----- Ci1), New Ct,mberland '~ )-__Cumberland ~ yip Code 17070-1802 "o.,.nt A praiser Robert Ensmi er 11.0' 4.0' 11.0' 4.0' 11.0' Kitchen Bedroorn or~ch B Y 0 c N N Dining Bath b ai N 0 0 Basement ~ Bath ~ v Stairs Bedr°°m Stairs b b ~ ~ N N Living Room Bedroom Poach °ro 15.0' Skekn by Md M" Cartments: AREA GALGULATICNVS SIJM[iIARY Coda Oas~ttrUcx+ ...Mat $he Iiat TOtaAs G5A1 First Floor 651.0 651.0 Cg,A2 Seoond Floor 651.0 651.0 BSl4T Bas®ent 651.0 651.0 pip porch 120.0 Si.3e porch 84.0 Haloaasy 84.0 2$8.0 Net LIVABLE Area {Rounded) '1302 LIVING Af2EA BREAKClE~1Nhl 9rea~ttcdc~wn slt~o tzls First Floor 11.0 x 49.0 539.0 4.0 x 28.0 112.0 Seoond Floor 11.0 x 49.0 539.0 4.0 x 28.0 112.0 4ltems (Rounded) 1302 ~r`rm SKT LT.SfdSkl - "WinT(?TAL' aUpraiSa software b~~ a la made, Inc, -1-X00-ALAM~ODE Internal rder No. 0000720 P e #23 of 27 Location Map Client Estate of NFa nes Posavec Property Address 425 4th St __ _ _ City _J New Cumberland _ (county Cumberland State PA Z,p Code 170_70-1802 A raiser Robert Ensmi er .~_ a la mode, in,c ~~~ ~ ~, ~4 R~ ~~f ~1, ~~ ~~ ,. ~, ~1 {~ ~ { i~~ R, t ` ,~,a~ ~~ ~ ~~ ~~ `tR rvf'~ ;(' ~~ f-4. 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'ctrt~ (;"+?) feet to a ~+ai7tt cn t;lc )lort;E~:estern sic;c n' Fn;lrt'.: SLre~~Y.; I Tct1i?;f.'i ;tlOsl•^, t}1C :a:t7't!')tt7St+tr :.ice a" r;0?tTt'.l SLrCCt, ~C,4t;t T. i~)'~/- i cifi:.t (3.;} .Ic^ret;s tbirt 'S? n,at)tr:s 'trst 1J :•-; t~ r. .. ! ~~ } t C17t, iyrl °„y) .,.CL't to the ^lr?cr. of ;:;a,T::1'1G, „r_, t ;,, ,, ..,..E r ..,' t; Lot :.o. l ~ .rl .:~nc,. rr)-.; C.lc i;r.::i:r:l? P.rin c r r;eo: ~u ''' ~itttAr~~ES rltlt.li.lAp Lit ~~C.`:J r~`!t:`?}iE~ri~111t 1$ ;'t:CCr:.Ctl I.`1 itCC:I r4An "~~'~ t'oil:t~c 5 F'~s?c Sit{1 i . .u.^.,.lcr7.aln•l {~ott~cty 7'CC4r~i5. :,l.A l +f .v t~l:rEw ~ J ._.~ _.- ~_ -- - ~_....4. d Form SCNLTR - "WinTOTAI" appraisai softrErare b;~ a la mode, inc. -1-800-ALAMODE Internal rde No. 0000720 P e #26 of 27 Deed -Page 2 1 i i i ~ ~# 1 b . ... C ..., .. ~::~F.• .. '1 4~an sra. nrc-;l~l:. OTY .?*'Lt'.., r,.+,c _t:.r.^ anti ,.. i,rr .,. ~'~i.. Vii; y'rr. T+rY •,.`(r i~'': .w ~l :C': .._i.Z i'T rF ~! ~;![!^~1t^.:?il ,'1 Tl'~ ~'!`„ ~:. rY•^'t^?l' ;'1:+.1, :L:Y.i Siz~c; ~1r.• r?t•;+i t1}r•'j Y};}i'f_~: .S, ?.~Z,~ ~ P.`j r(?(C()Tr~n(~ ill v',C r'?"^~1CT'- ]'i_. (~^.'::1`• j'.~wt)Y,3c;T'. (:rrl t:C I:. 7!'r: i~ .iCT t1 ~. ,T`..Y ~~(l2:?!`^t§ 2r ;7.1 nt. '77 ^T^:tCr'•.~ ..'?cl r:t}!:lrt`.•r?•l !1'lrC f't]:'~;~ Ir?v FTrI~'ll.^, e;P.' j?Ct~n?':t~i :1..^.?2 tTi'1jrJ.'fr .!i2C. ~~ ~ ~ .~ ymc rj'~ v , C].~ ~d. ~~C ~'.O C: ':r5:. :.t:ir1 J. (: q.. ryli. ~~~ ,..' EY!a?+ .r.»:~.r?~a ;.1 ): ,r .. iYr. r. 'rnr.r'a` :~f n ,~ ,.. ,, ~ yr ?Y wr r\.w -s Il ~SFia ,s7tG! 0.75 ..s~,,n.~/1~ ~ +l ~ _ , I 1 t 1 .~ J F:?rrn S~,'NLTR - "WinTQTAI_" app~a sai s~ft~\rara, ;7y ,~ ,a n:~~fe. inc,. - 1-800-A.LA~~C~ilE Internal rder No. 0000720 P e #27 of 27 Deed -Page 3 r•1i) tl,~ Said gfrr»tor t~~ill (~I;T;',t/Ii.LY ~VARI;.-117' ~l.'~lt~ 1'Oi~E~~f•.i~ Lli:l~~,'1iD tl:e proPe;:y ' Lao:r ]ti tt'17"~;65s 11'i iliti:or, said grattittx ha vt•ltercunto set / h.utd~ atta tuai s , tltc tlly anti ~~;as /hrsr ~:k7Yl''N71C:ett, l S,~' :l ~ ,,: 3s':ivrnd a 3c ,wexwcc ctif ? ~~ r 's ~X//~ ~ 1 i i~+ ~ ~ .13; ~ to .:r:i{D <<i~iiSli•j J r ~ r~ ...., yrali ~ nri eniilln 4 f t ...................._.........................................,............. 1~~~ ................ ... ....................._ ..., .....,.. ............._...., ..... ~3tiAL} 4 f .. el it ......................................... ............................ tSGAL~ i i ,~ i L~itT7(t7CA.78 t)li i1.E5i3~EA'C6 ',' 't hext:by ttrtity, that dtc pteciu resident:c of the antcei >,t ~ ~. ~~~ 31 ' hctetn u as follows: •~ / ' s ~d~76 ~~ ...A~iw, tw~.. G, Ja.,~ lac. ~9a ~!~ . C ++c' Attnmey oc Ageoa Far Crat+teo 1 ~~~ ~.at7ltlsi:~'t 'li:~ tit'~~iClttLS jt'tLittlet ~__~~: ~utr~~~ ttf ~~;~~ ! (in this. tl~e ~~ da}'of !+/~ ~ I9 3fi, lxf'oEC me 1 :;ott:Yw Pu131.iC, ' ~ ~ - ' t;te uncicesi~ncd oi:ir.r, persnsaally appeared C11I;'C:'~ ,i.1Y lir'?li:iA t't )~!1'•.fi,tt;+'1 Ii.`+`: flc):•t's.1, ]ti;:' ,,~1 rQ ~ :tTr' , ;:run+:t to ore (OC sdlitifxltri~:J+ ifi'ttwl:n~ robe t}tct FtY~onS +rhose riattac S f sttt>•,:'ri'ltcti to tiu +ritlua ~± instrutoeoc, and ackntw+~lcdgetl tlrx ±rtey executed the same for the Purpose titcrcin rwtta:ned. i „ ~i 1~; tYi't"\L'S5 Wr1Ei~F:O~, 't lw~c lurttento aet lay hon~ d~J I ~~~ ' ci ^7,~~'~ '~aq~ , '~' ? e ( ~~ 6 ' f ~~q ti]3i/Rt15}lan ~+gd365 ~ t 1 ~C.~'n ' y • ~ !.. ~ttstt¢ratttttettlit} of ,~rtttt~l~act;a ~ ~.~_-- G;; ` "'~ j ~a~i. Qa~ this, ehe dog of 19 ,before me :hc undcrsii;;3w aF,ce:, pc:c::ctaiEg aj>y~u-and kt3otan :o me (or satisfantxiig j>rav..rt) to Lu the persnrt wl:o~ rwtne wtweribrd to ebc ++~,thin i»~:trG»3cttit, and aclcno++:•ledge+'t that executed the stink for the purpclx therein ttlnta.ned, It 1ViTNi=SS ~NHERE{?t~, t 6avc lu~ettnto set my hand and se~L is aty C:eareni:lion L•x~axs .... Y~~ ((yy~~~~~ p rr f/~~~ Form SCNLTR - "WinTOTAL" appraisal software by a la made, inc. -1-800-ALAAMODE FROG: ______ _ _ _..___._.___________.__....______.~._ I N Vtl I C E ROBERT ENSMINGER APPRAISERS 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 Telephone Number: 717-652-4111 Fax Number: 717-370-5557 _ ~___ __.. __.__._~ _ _ TQ: Telephone Number: Fax Number: Alternate Number: E-Mail: ~~~~~ Client: Estate of Mary Agnes Posavec Property Address: 425 4th St City: New Cumberland County: Cumberland State: PA Zip: 17070-1802 Legal Description: Deed Book 0026T, Page 00296 FEES ~O~T Residential Appraisal Report 325.00 SUBTOTAL 325.00 PA~4~TS ~Oi~T Check #: Date: 05/28/2009 Description: 325.00 Check #: Date: Description: Check #: Date: Description. SUBTOTAL 325.00 TOTAL DUE $ o ,~ ~ 0000720 C1AT~ I~~N±C~ Internal Order #: 0000720 ~lieni File #: None Main File # on form: 0000720 Jther File # on farm: Federal Tax ID: 23-2492038 Employer iD: Robert Ensminger Appraisers F~;rrr~ PdIV3 L7~ _.- "~r'~inTGTAi." appraisal software t,; ~ is rt~ode, i°~c. -..... 1~-8~0-AL~P,~uDE REV 1503 EX+ (6-88) SCNEDI~ILE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~ ~ Frontier Oil Corp (FTO), 200 shs common stock, no par value, at 13.50 &112 cent per share 2,701.00 2 AK Steel (AKS), 19 shs common stock, $OA1 par value, at $14.42 and 261100 cent !share 274.03 3 Lucent Technologies (LU), 100 Shs common stock, par value $0.01, at $0.4831 per share 48.31 4 M005451231 I series I US Savings Bond purchased 3/3/2004 1 000.00 5 M0058648351 series I US Savings Bond purchased 5/4/2004 1,000.00 6 M0059039031 series I US Savings Bond purchased 9124/2004 1,000.00 7 M0065172681 series I US Savings Bond purchased 12/2005 1 000.00 8 M76927714EE series EE US Savings Bond purchased 7/28/2003 ~ 609.20 9 D003630885t Series I US Savings Bond purchased 1212004 500.00 10 D0041257001 Series I bond purchased 0112006 500.00 11 D 15571722EE Series EE purchased 10/1987 740.40 12 D16070666EE Series EE purchased 0311988 726.00 13 D17300135EE Series EE purchased 06/1987 740.40 14 D17801712EE Apr-88 726.00 15 D17801719EE Jun-88 711.80 16 D 17802661 EE Apr-88 726.00 17 D18873257EE Oct-88 711.80 18 D21701853EE Sep-89 684.00 19 D6856256EE Feb-85 909.40 20 D7596229EE Mar-85 909.40 21 D8115817EE Jul-85 891.40 22 D8421680EE Aug-85 891.40 23 M0058678031 May-04 1, 000.00 24 M0061735151 Nov-05 1,000.00 25 M0061735161 Nov-05 1, 000.00 TOTAL (Also enter on line 2, Recapitulation) a: 21,000.54 (if more space is needed, insert additional sheets of the same size) REV 1503 EX+ (6-98) SCMEDt~ILE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~ . ********«,~~ SCHEDULE B PAGE 2 ****«,~****.~****~**** 26 M0061735171 1000 Series I purchased Nov-05 1,000.00 27 M0064177841 1000 Series I purchased Sep-05 1,000.00 28 M0064408431 1000 Series I purchased Nov-05 1,000.00 29 M0064408441 1000 Series I purchased Nov-05 1,000.00 30 M0068218531 1000 Series I purchased Jan-06 1,000.00 31 M45679951 EE 1000 Series EE purchased Jun-92 1,214.80 32 M45695533EE 1000 Series EE purchased Jul-92 1,214.80 33 M45917508EE 1000 Series EE purchased Nov-92 1,214.80 34 M75857680EE Series EE purchased Oct-02 626.80 35 M76016349EE Series EE purchased Dec-02 620.40 36 M76016350EE Series EE purchased Dec-02 620.40 37 M76983667EE Series EE purchased Aug-03 608.00 38 M77720049EE Series EE purchased Jan-04 600.80 39 M77720050EE Series EE purchased Jan-04 600.80 40 M77882308EE Series EE purchased Apr-01 671.60 41 M77882309EE Series EE purchased Apr-01 671.60 42 M80557894EE Series EE purchased Jul-04 589.20 43 M80557895EE Series EE purchased Jul-04 589.20 " 44 M80613336EE Series EE purchased Aug-04 588.00 45 M80613337EE Series EE purchased Aug-04 588.00 46 M9252463EE Series EE purchased Jul-85 1 782.80 47 V6056209EE 5000 Series EE purchased Oct-02 3 134.00 48 V6226720EE 5000 Series EE purchased Aug-03 3 040.00 49 V6238300EE 5000 Series EE purchased Oct-03 3 026.00 TOTAL (Also enter on line 2, Recapitulations ~ 27,002.00 (If more space is needed, insert additional sheets of the same size} REV 1503 EX+ (6-98) SCEIEpt~LE B COMMONWEALTH OF PENNSYLVANfA srocKs & BoNOs INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~ . ««******x* Schedule B Page. 3 _~*«~«***«**.~. 50 D15571449EE Series EE $500 US savings bond issued May-87 ,Matures May-17 ,rate 4.00°r6 755.20 51 D30870690EE Series EE $500 US savings bond issued Oct 92 ,Matures Oct 22 ,rate 4.00°~6 607.40 52 D8115816EE Series EE $500 US savings bond issued Ju1-85 ,Matures Jul-15 ,rate 4.00% 891.40 53 M20844993EE Series EE $1,000 US savings bond issued Jan-98 ,Matures Jan-28 ,rate 2.80°~6 786.00 54 M43841236EE Series EE $1,000 US savings bond issued Jan-92 ,Matures Jan-22 ,rate 4.00°~b 1,239.20 55 M43913163EE Series EE $1,000 US savings bond issued Mar-92 ,Matures Mar-22 ,rate 4.00°!0 1 239.20 56 M45709172EE Series EE $1,000 US savings bond issued Jan-92 ,Matures Jan-22 ,rate 4.00°~ 1 239.20 57 M45821245EE Series EE $1,000 US savings bond issued Oct 92 ,Matures Oct-22 ,rate 4.00°r6 1,214.80 58 M45855025EE Series EE $1,000 US savings bond issued Oct 92 ,Matures Oct-22 ,rate 4.00% 1 214.80 59 M45886674EE Series EE $1,000 US savings bond issued Nov-92 ,Matures Nov-22 ,rate 4.00°~6 1 214.80 60 M45917507EE Series EE $1,000 US savings bond issued Nov-92 ,Matures Nov-22 ,rate 4.00°~ 1,214.80 61 M45959593EE Series EE $1,000 US savings bond issued Dec-92 ,Matures Dec-22 ,rate 4.00% 1 191.20 62 M45988212EE Series EE $1,000 US savings band issued Jan-93 ,Matures Jan-23 ,rate 4.00°,6 1,191.20 63 M46385431 EE Series EE $1,000 US savings bond issued Jan-93 ,Matures Jan-23 ,rate 4.00% 1 191.20 64 M4740527EE Series EE $1,000 US savings bond issued Feb-83 ,Matures Feb-13 ,rate 4.00°r6 2 392.80 65 M55236577EE Series EE $1,000 US savings bond issued Jul-93 ,Matures Jul-23 ,rate 2.65°~6 958.40 66 M59864437EE Series EE $1,000 US savings bond issued Oct-93 ,Matures Oct 23 ,rate 2.65% 958.40 67 M59913285EE Series EE $1,000 US savings bond issued Oct 93 ,Matures Oct-23 ,rate 2.65°k 958.40 68 M61850620EE Series EE $1,000 US savings bond issued Feb-94 ,Matures Feb-24 ,rate 2.69°k 937.20 69 M61956423EE Series EE $1,000 US savings bond issued Apr-94 ,Matures Apr-24 ,rate 2.69°~ 937.20 70 M71849203EE Series EE $1,000 US savings band issued Oct-98 ,Matures Oct 28 ,rate 2.80% 760.00 71 M71937778EE Series EE $1,000 US savings bond issued Nov-98 ,Matures Nov-28 ,rate 1.64°~6 749.20 72 M72513895EE Series EE $1,000 US savings bond issued Feb-99 ,Matures Feb-29 ,rate 2.80°~ 744.00 73 M75439230EE Series EE $1,000 US savings bond issued Mar-01 ,Matures Mar-31 ,rate 2.80°r6 673.20 TOTAL (Also enter on line 2, Recapitulation) ~. 25,259.20 (If more space is needed, insert additional sheets of the same size) REV 1503 EX+ (6-98) SCEIED~ILE B COMMONWEALTH OF PENNSYLVANIA srocKS & BaNOs INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 A!i property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~ ~** ~ . ~*~«,~*, , SCHEDULE B, Page 4 ~.*~~*,~~*,~*,~«~,~,~ 74 M75439231EE Series EE $1,000 US savings bond issued Mar-01 ,Matures Mar-31 ,rate 2.80°~ 673.20 75 M76626928EE Series EE $1,000 US savings bond issued Mar-03 ,Matures Mar-33 ,rate 2.80°~6 616.00 76 M76626929EE Series EE $1,000 US savings bond issued Mar-03 ,Matures Mar-33 ,rate 2.80% 616.00 77 M78241968EE Series EE $1,000 US savings bond issued Oct-01 ,Matures Oct-31 ,rate 2.80°~ 653.60 78 M78894093EE Series EE $1,000 US savings bond issued Feb-02 ,Matures Feb-32 ,rate 2.80°~ 642.00 79 M78894094EE Series EE $1,000 US savings bond issued Feb-02 ,Matures Feb-32 ,rate 2.8096 642.00 80 M79057457EE Series EE $1,000 US savings bond issued May-02 ,Matures May-32 ,rate 1.64% 634.00 81 M79057458EE Series EE $1,000 US savings bond issued May-02 ,Matures May-32 ,rate 1.64°~ 634.00 82 M79662183EE Series EE $1,000 US savings bond issued Jul-02 ,Matures Jui-32 ,rate 2.80% 631.20 83 M79662184EE Series EE $1,000 US savings bond issued Jul-02 ,Matures Jul-32 ,rate 2.80°/0 631.20 84 V5787596EE Series EE $5,000 US savings bond issued Jul-01 ,Matures Jul-31 ,rate 2.80°~ 3,290.00 85 V6019376EE Series EE $5,000 US savings bond issued Aug-02 ,Matures Aug-32 ,rate 2.80°~ 3,148.00 86 V6197306EE Series EE $5,000 US savings bond issued May-03 ,Matures May-33 ,rate 1.6495 3,060.00 87 M5489701 HH Series HH $1,000 US savings bond issued Jun-95 ,Matures Jun-15 ,rate 1.~% 1,000.00 88 M6460412HH Series HH $1,000 US savings bond issued Oct-97 ,Matures Oct-17 ,rate 1.50°r6 1,000.00 89 M6460413HH Series HH $1,000 US savings bond issued Oct-97 ,Matures Oct-17 ,rate 1.50°~ 1,000.00 90 M6460414HH Series HH $1,000 US savings bond issued Oct 97 ,Matures Oct-17 ,rate 1.50% 1,000.00 91 M0029138541 Series I $1,000 US savings bond issued Nov-01 ,Matures Nov-31 ,rate 0.00°~ 1,000.00 92 M0029524501 Series i $1,000 US savings bond issued Nov-01 ,Matures Nov-31 ,rate 0.00°~ 1,000.00 93 M0033776791 Series I $1,000 US savings bond issued Feb-02 ,Matures Feb-32 ,rate 6.97% 1,000.00 94 M0034327821 Series I $1,000 US savings bond issued Apr-02 ,Matures Apr-32 ,rate 6.97°~ 1,000.00 95 M0035064281 Series I $1,000 US savings bond issued May-02 ,Matures May-32 ,rate 0.00°~b 1, 000.00 96 M0035982131 Series I $1,000 US savings bond issued May-02 ,Matures May-32 ,rate 0.00°~ 1, 000.00 97 M0035982141 Series I $1,400 US savings bond issued May-02 ,Matures May-32 ,rate 0.00% 1,000.00 TOTAL (Also enter on line 2, Recapitulation) ~ 26,871.20 (If more space is needed, insert additional sheets of the same size) REV 1503 EX+ (6-98) scNE~u~E s COMMONWEALTH OF PENNSYLVANIA STOCKS & DONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 All property joirrtly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~. #*,~,~~*,~ Schedule B_ Pages ,~,~~«*.t*#~,~** 98 M0036286981 Series 1$1,000 US savings bond issued Jul-02 ,Matures Jul-32 ,rate 6.97°10 1,000.00 99 M0036510731 Series I $1,000 US savings bond issued Aug-02 ,Matures Aug-32 ,rate 6.97°,6 1,000.00 100 M0036972951 Series I $1,000 US savings bond issued Oct 02 ,Matures Oct-32 ,rate 6.97% 1,000.00 101 M0037143921 Series I $1,000 US savings bond issued Nov-02 ,Matures Nov-32 ,rate 0.00°~ 1,000.00 102 M0037984511 Series I $1,000 US savings bond issued Dec-02 ,Matures Dec-32 ,rate 6.56°~6 1,000.00 103 M0037984521 Series I $1,000 US savings bond issued Dec-02 ,Matures Dec-32 ,rate 6.56°~b 1,000.00 104 M0038129811 Series I $1,000 US savings bond issued Jan-03 ,Matures Jan-33 ,rate 6.5fi°~ 1,000.00 105 M0040120371 Series I $1,000 US savings bond issued Jan-03 ,Matures Jan-33 ,rate 6.56°~ 1,000.00 106 M0040120381 Series 1$1,000 US savings bond issued Jan-03 ,Matures Jan-33 ,rate 6.56°~ 1,000.00 107 M0043597821 Series I $1,000 US savings bond issued Apr-03 ,Matures Apr-33 ,rate 6.56°~ 1,000.00 108 M0044647971 Series I $1,000 US savings bond issued May-03 ,Matures May-33 ,rate 0.00% 1,000.00 109 M0045155001 Series I $1,000 US savings bond issued Jun-03 ,Matures Jun-33 ,rate 6.05°r6 1,000.00 110 M004515501 I Series I $1,000 US savings bond issued Jun-03 ,Matures Jun-33 ,rate 6.05°~ 1, 000.00 111 M0049984841 Series 1$1,000 US savings bond issued Jul-03 ,Matures Jul-33 ,rate 6.05°r6 1,000.00 112 M0049984851 Series I $1,000 US savings bond issued Jul-03 ,Matures Jul-33 ,rate 6.05°k 1,000.00 113 M0051287061 Series I $1,000 US savings bond issued Sep-03 ,Matures Sep-33 ,rate 6.05% 1,000.00 114 M80708248EE Series EE $1,000 US savings bond issued 11!2004, matures 11x2034, rate 1.64°rb 583.20 115 M0036148701 Series I $1,000 US Savings Bond issued 06/2002, matures 0612032, rate 6.97% 1,000.00 116 First Investors Global Fund A -543.868 shares at $4.63 per share. 2,476.44 subtotal of this page at this point -- $20,059.64 Amount from page 1 21, 000.54 Amount from page 2 27,002.00 Amount from page 3 25,259.20 Amount from page 4 26, 871.20 TOTAL (Also enter on line 2, Recapitulation) S 120,192.58 (If more space is needed, insert additional sheets of the same size) ~ O ~ ~ ~ U ~~ O r O N r.. N r O ci 0 +-~ ~U C .C C ~ ~ ~ w vi C O m O t s s s t ~ s ~ s ~ ~ ~ a ~ s ~ ~ ~ a s ~ s s Z ~ ~ I~ f~ 00 1~ 00 00 0D 00 0 N O ~ O ~ O cO N N N N N N N N N N N M M M M M M ~ d~ o0 00 0~ + ~+ ~ ev+~ r o r o e- o ~- 0 •- 0 l 0 P 0 ~- 0 r- 0 N 0 T 0 t- 0 I 0 •- 0 r 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 T- 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 ~~ ~ A ~ O ~ M ~ ~ ' ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - ~ - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ C ~ O r- O (Q V ~ O ~O O et O 0 T 0 O 0 r- N 0 M 0 f~• 0 I` 0 1DO 0 e 0 e 0 M 0 ~ I~ O r O O e- O e- t- r e- P r r e- ~-- 0 e- 0 N 0 1~- 0 0 - 0 r O ~ 0 O e- r ~- N O N 0 0 0~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0~ 0 0) m O O Cn O> 0 0) O O C~ O O O C~ O O O t~ (n ~~ o o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 +r..• c co o ~ o ~ o ~ o ~ o ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~`+ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ +r~ r- o rn co o co o o rn o ao rn ti r- oa co r. rn co ~ ti o o .- ~- ~-- co r• ti ao ~ o o ao o co co 0 ~ ~-- ~-' O O r- O t- ~'- O r 0 0 0 O O O O O O O O e~ ~-- r e-- r 0 0 0 0 0 e- a- O r 0 0 0 Z ~ o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ CA O e- r ef' r- r r et e-- t` t- efi T l~- e- M N it3 d: 0 et; t(') ef; OO ~ OO et OD ~ M O e- ~ r ef in ~t ln ~ e- ~; In '~ in et t~f~ ~ LA d; tn `~' 0 ~fl 0 tA 0 ln e- I `~ N s~ N ~h N M N M N O 0 O 00 N 0 ~` ~A tA ~C3 ~A tn N ~ N tA uA tA tt) O O tn ef ~ tA ~A tn ~A ~A ~A ~A tn tf) tn ~f3 ~A tG ~t ~t ef d' ~ d' M M ~.+ O O O O O O O O O O O O O O O O O O O O O O O O O O O O O Q tA tA i.A O C~ O ~t O ~ o 0 0 0 0 0 0 0 0 0 o o o o o ao o o o o 0 0 0 0 0 o o o o o co co co cg to ao co ao ~ ~t V' ~t ~t ~' ~t et' d' ~i' et d~ d' st d' ~t' (V '~t ~t d' et ~' d' V~ d' ~t ~' et' st ~' ~t N (V N N N N e- N 0 0 pp o o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N ~ O st O 00 O a0 O ~ d' d; d' et et O N N 00 CO N 00 OO o0 00 OO N N N CO et d; d; N N O N O ~ tfl O ~O O O r- O r ~ l` O O ~ r •- O O O~ st ~ d3 ~t et' ~ ~t' ~t ~'- e- r- N OO O~ O~ t~- t~ 0 ~ ~ 7 LA ~ N 'd' N r- N ~- O O O O O O CO M M r e- M .- r t-- r e- O CA O C> tf) Lf) N M M O d' ~!' ~ ~ P- I~ I~ t~• f` 1~ P~ t0 <O O~ O CO OO OO f~- N N N N N N N N N N r •- r- M 0 0 0~ O O~ I~ f` 1` ~j .- ~- r r e- e- r r r ~- ~ ~- .- (~j ..., o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ N et; O ~ 0 00 0 G0 0 ~t ~t' d; ~M; ~ ~' O N N OO CO N o0 CO O0 CO O0 N N N CO d; ~t 'a' N N O N O N ~[A O O O tC H C 01 tG 1~• ~- O <D 1` ~- O ~t M P- in Ga to O to r- et' l ~ ~- 'd' <D 00 ~ M O M ~i' r ~t Oi M d" ~' - d' et ~ ~- 0 r ~- tV O~ oO o~ f` I~ O ~ ' st ' y ~ et d' et d• ~ ~t ~t et M ~O <O <O t0 (U N I` 1~- t~ r l`~ 1~- ! 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O O O M 0~ 00 00 00 f ` 00 to O e- e-- N GO 00 O O t0 f ~ GO OO CO Q O C~ O M et N 00 O CO to O~ O to 4i tn ~A 0 1~ (~ I` t~- GO T O GO tA e- e- ~ O M M ~A tA tA tA tA t!') tA tA tf) tf3 0 f`~ tn 0 0 ~- ~- .- l N (/~ ~- r r e- e- e- r r N M O I` 00 0O CO N ~' d' d' ~ d' et ~ d' ~F ~ e?' et '~' ~' ~A ~A 6A (p O h• l~- h- ~ 0 ~ 0 ~ 0 ~ 0 0 0 ~ ~ ~ ~ 0 ~ ~ ~ ~ 2 ~ ~ ~ ~ rG ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ ~ ~n ~n v~ u~ o ~n ~n ~n ~n ~n o ~n ~n u~ o_ o_ o o o o o o o o o o o o o o o o o o o o o !~ T r r T T !~ !~ P ! _ T P _ \"~ !~ T P T _ !~ !~ ! r ! !~ N ~~ W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W y W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W N z r N M st tA t0 l~ o0 rn O `- N M d' N O I~ oO O~ O r- N M 'et ~A tO h- oO O~ O ~- N M 'd' tA O I~ oO r ~- ~- r ~- r r ~- r r N N N N N N N N N N M M M M M M M M O N 0 .~ ~ 0 C M '~t' O T m co a ~AA ii W O N ~ ~ ~ U ~ Q o~ ~~ o~ N ~ i rn~ N ~ r O ~~ 4+ ^~ {.L C 0 m n ~ ~ p v Z . ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ t ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ire a ire a its .a in n. in a in a ire a in a in a J ~ y ~•+ y •- M •- M N M N M N M N M N M N M N M N M N M N M N M N M M M M M M M M M M M M M M M M M M M M M ~ M ~ M ~ M •~ M ~ M 0 M 0 M N M ~ f i M O M p M ( fl M ~~.,.~ ~~G 0 ~ T 0 ~ e- 0 ~ 0 ~ 0 ~ 11) O ~ t1) O ~ 1 () O •~1 CO O ~ I~ O ~ OO O ~ O O ~ e- O ~ O ~ N O ~ O ~ O ~ - O ~ O ~ O ~ O ~~1 O ~ O ~ O ~ O ~ O ~ O ~ O ~ O ~ O ~ O ~ O ~ O ~ O ~ O ~ O ~ C T r- O O O , O O O O e- r T r r O r O ~ O ~ O ~ O (p O <C O 1~ O 1~ O O O O ~f' O Ln O O O r .- e- ~- ~- - O Q r - r - r - r e e r ~ O J LL, '~ U ~ ~~d O o O o O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O 0 o +.~ +r ~ 0 co 0 co 0 cc 0 0 c O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O ~ o o o ~ o o co o co o co o co o cn 0 co 0 cc 0 co 0 cn 0 co 0 co 0 co 0 co 0 co 0 co 0 co 0 cc 0 co 0 co 0 co 0 co 0 cfl 0 m 0 co 0 m 0 co 0 co 0 co 0 co 0 cfl 0 to 0 Z ~ ~ ~ o 0 0 ~ ~ ~ ~ ~ ~ o a ~ o ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ o ~ ~ ~ d M 0 M 0 (~ 00 N 00 l~ 0 l~ 0 h- 0 ~A 0 N 0 O 0 ~A 00 N 1` M fi M t` O 1~ O 1'~- O 1` M tp e- M O N Oa N ~O N (O N e- N OO r N r- O c'7 N O CO tO <O - ~O IO t~ (0 00 ~" ~t ~' et d' d' er ei' st et mot' ~ ~' et' st' d' d' ef' d' et d' ~t et 'a' b' d' d' et c'M T d' r et e efi N ~t e- et e- t .- ' O ~' e ~! ~ ~ ~ ~ o ~ ~ ~ ~ ~ ~ \ ~ ~ o°. o ~ o ~ ~ ~ o ~ ~ ~ ~ a ~ ~ ~ ~ ~ ~ ~ o ~ ~ ~+ e~ ~ 0 0 o 0 0 ro 1` O cci h- O co O O o O O o O O o t~ O co l~ O cci l~ O co l~ O co O O o ~ co tp ~n co ~p ~n co <p an c~ ~p u~ co ~p v~ co O o o tA o co tf~ o co tn o co tn o co tn o co t~ o co tn o co O o o ~t rn ~ri O o O o o O o o tA .- o O o o O o o O o o ~t rn o c c c c ~ 0 N 0 N 0 OO 0 OO 0 d: 0 d: 0 d: 0 Ott 0 ~t 0 d: 0 0p 0 ty 0 0 0 0 0 et, 0 d: 0 ~ 0 N 0 ~p 0 N 0 N 0 00 0 00 0 0 0 00 0 et 0 ~t 0 '~ 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 O ~ ~ ~ T st eF r '~t d~ tO T ~ CO O d; O .- d~ O T et 0 .- ~ N O ~ ~ O M ~0 00 M O 1~ M 1~ ~A M O tfl M t7 ~A M N efi M N ~t' M N ~ .- N M r O N tA 00 N tn 00 N 00 1~- 0~ h tp N et O M tV ef' O O tf) ~A tf~ tt7 ~A ~A l~- (O tt) ~A ~f> ~A 1~A ~A ~' et ~- ~- r- , e- e- T T T ~-- ~- T r r T r T r- e- e- r ~- N e- N e- N - N - N - N - N ~- ~- e- r- r T T ~- e r r ~ T T r r T T T T r ,.., N'p O N O N O OO O OO O ~t O d~ O ~t O er O e,~ O •~ O Op O N O O O O O ~t O st O et O N O tp O N O N O 00 O 00 O O O 00 O ~ O et O '~t O N O N O N O N O N O N O N O O y T d' ~- `~' ' ' ~ r- GO O ' O e- O T O e- N 0 '~t 0 fa 00 O 1~ h tn O 1n O ~!'~ CV ~t N 'st N et' ~- N ~- O O 00 ~ 00 00 t~ 00 1~ tG (O N e!' O M N d' O O t1y ~A t[> ~A ~A tn 1~ (O ~ tf) wn ~t3 ~') lA ~ ~ ~ ~ ~ ~ d ~ <fi or d' M M M M M M M M M M N N N N N N N N N N e~ e- r e- e- e- r- r- C 0 ~... 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ .~ o o c o o o o o co o o 0 ci 0 co 0 o 0 co 0 o 0 o 0 co 0 ci 0 o 0 ci 0 o 0 o 0 ro 0 co 0 o 0 co 0 ci 0 ci 0 ci 0 o 0 o 0 o 0 o 0 o 0 o 0 o 0 o 0 ro 0 co 0 co ` o o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Q. ~ T !~ !~ !~ !~ !~ !~ T !~ T T T !~ T T !" T T~ T _ !'~ T T !~ T !" _ t~ !~ _ r r !~ t"" T T T T aa~ ~-- o •- o N o N o N o N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 M 0 M 0 M 0 M 0 M 0 M 0 M 0 M 0 M 0 M 0 ~ 0 ~t 0 mot' 0 st 0 to 0 N 0 O 0 ~A 0 N 0 tt,1 N LO ~+.• o o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 T- r' O O O O O O O O ~ T e- x 0 0 0 0 0 0 0 0 0 0 0 0 0 0 r r eT- 0 o r r- r .- T T ~- o ' t ~ d' A O ~AI 0 ~ N 00 00 N M •~ A e- O 1~ 00 0 M I~ ~A O N O r ~A N 1C) T I 00 mo- M 00 M N 00 1~ O O O r O d' 00 Ln 00 O r M ~ M M O M O M - (p - ti - .~ M ~ 00 M Z OO M r' d' Nt ~t'! t0 ~ h 1~- N M ~t t~ N 00 N 00 o0 et' - tp 00 O ~- N t~ M et et 00 ~ O N O N O N 1~ 0 f~ ~t tt7 ~A ~A 6A d' 00 ef'I 00 ~ 00 N e- 000 er1 0 ~ O M e tA M a N M e U'3 M Op N~ h. ~ OO O ~ O (p N 1~. er 00 T .~ O O - M ~ tAt O n O tA r tO N tG I,n i~ O O ~- 1'~ O i~- O 1` T o0 e- O r 0 p M ~p ~f' e- tA e- ~I3 O O O O N .- tA ~ tpt o0o p D O 0 l` - r• 1~ e- ei' ~ T N i ~ N 0 0 N 0 0 M 0 0 M 0 0 M 0 0 M 0 M 0 M 0 M 0 M 0 M 0 M 0 M 0 M 0 M 0 et' 0 et 0 ~' 0 ~ 0 er 0 er 0 ~ 0 ert 0 n 0 M 0 p 0 p 0 ~y 0 r ~p 0 T ~p 0 T ~p~ 0 et p 0 ~t O 0 ~ p 0 ~A O 0 00 p 0 j ~ ~ ~ ~ ~ 0 ~ 0 ~ ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 g 0 ~ E o 0 o 0 o 0 o 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ o_ 0 0 0 0 0 O O O O O O_ O O O O_ o o o_ o o_ o o o o o o o o o o o o o 0 o 0 o ! 0 '~ T ! ~ r• !~ T ~' t..~ !~ !~ T !~ !~ t"~ !'~ ~' {~ r !~ !" !~ _ !~ !~ r t.., _ T _ T _ T T !~ _ T ! ~ !~ T T _ T N C 1 Z 1 0 ` 0 h. 1 0 ~ a 0. o a - o a N o a M o c ei' o a p~ o a D1 o a ~0 o a 0 o 0 O o O~ rn c - n N rn M` rn, at't rn A~ rn 01 rn ~0 rn 0 rn O rn Oe o '" 0 N 0 M 0 ~tt 0 A~ 0 O 0 h-0 0 0 0 0 o r 0. - -t T V r- ~ - ~ - ~ - ~ - r r- . - r r T T r- ~ - 0 M O c~ .a C M~ W Z (II a~ E O .~ C N 0 O Z U 48500041.046 REV-485 EX (05-04) SAFE DEPOSIT BOX INVENTORY PA Department of Revenue PLEASE USE ORIGINAL FORM ONLY Social Security or Death Certificate Number Date of Death County Code Year File Number __ _ :OqS~~ I S IsIS9a.o~ ` x/03 /a.~~9 ' __~.._...._._~_ ._.___._._. _. __..._.__~.._._.:___._W .__.._~__ .__~~....~.__..~~ _._._. Decedent's Last Name Suffix _ ....__. _ _ _ ____ First Name __. _ . MI _ . ~ n 1'USa~/CC. i ~JVi ~1i~,w. 'b' M..r ~~ ! ~..~ ADDRESS OF DECED` NNT STREET: _ . __._. _ CITM; _ 17 : _. _ . _ Se t,y,/ ~ ~M~L~ '~ ' ~ ~~ ~ NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX NAME: ~w f to ~-c_ C- (moo s~.~-L c.. i STRtyTADDRE~:r~ S~ A ` CI~ . STATE: ZIP CODE: ~~ ~ ` IV ~ v NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING a. NAME: ~..~ wrrnct.-~ ~ ~~~~~- RELATIONSHIP: S~yt STREET ADDRESS: 4 a.s '-f +'~ S~ CITY: ~!-~.~.r Cc~ r~+Sw~•~ STATE: ZIP CODE: t/1' I qtr ~. j b. NAME: f RELATIONSHIP: STREET ADDRESS: CITY: STATE: ZIP CODE: ~ c. NAME: RELATIONSHIP: STREET ADDRESS: CITY: STATE: ZIP CODE: NAME ANO ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED '! NAMEyn ~ 1 ~n (•4 STREAET ADDRESS: l CITY: STAT ZIP CODE: NAME OF PERSON MAKING LAST ENTRY DATE AND TIME OF LAST ENTRY ' r vjq vt.G Si ~ c'~.S DATE OF CONTRACT TO RENT BOX • NUMBER OF BOX ~ 1 TITLE UNDER WHICH BOX IS REQUESTED 1 ao 19q W ~ ~~~~~~. ~ s~ P~,k~« NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX a. NAME: STREET ADDRESS: b. NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: CITY: STATE: ZIP CODE: !. NAME AN TITLE OF EMP YEE TAKING THE INVENTORY L ~ 4 ~{f Sv Ili- t G./~ F-C.J WAS A WILL IN THE BOX? ^ YES NO ff yes, a. Date of wilt: b. Nams and address of personal representative, if named in the will NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: c. Name and address of attorney, if any NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: L 48500041046 48500041046 J ~ ~ " ~ ~~ ~ y ~ v y y ~ J ~~ © ~ L e ~ '~ ~ ~ aa ;~ ~ J ~ ~~ v~ ~ ~ ' I o ~ ~ Q L ~ ,~ ~ '~ ~ ~ ~ ,, C ~ ~ ~ J y a S .rn J v o ~ J I ,n ~ ~ 2 ~ ~ ~ ~1 ~ c ~- ~ ~ M ~ ~~ 1~ ~ ~ ) ~. ~ v S o~ a ~ ^ ~ ~ F ~ m ~ ~ J ~ ~ ~~ff J .i~ ~ '~ ~ ' r ~ ~ ~ 3 ~ ~ ~ ~ .i~ ~ = ~s ~ ~ ' • t ~ V ' ' C _ _ 3 Z Z ~ ~ 3 3 3 ~ 3 3 3 3 ~ o ~ U v o m U W H ~ ~ ~ ~ ~ u ~• o ~ ~ -' ~ ~ t~ '~ ~ ~ M M c'~ W IW- Z Q ~ J U O t ~ .~ ~ ~ _ ~ ~ ~ ~\ 0 Z ~ W ~ ~ ~~ ~ ~ i ~"' Jo r V ~ -d y c ~ ®` t` p ~~ y r - o ~ ~ ..o ~ ~ ,v o ~ ~ S Q ~ ~ ~ ~ © ? S ~ ~ ~ o ~ S m F ~ ~ ~"~ o ~ `~ o t V- ~ ~ ~ . a W ~ o ~ ~ ~ ~ ~ ~ ~ ~ V ~ 0 Z h W 2 O v ~ Q J ~ ~ ~ ~i ~ ~ "l ~ ` ~ l~ ~ ~ a ~ ~ ~ ~ ~ ~ ~ ~ ' V' •• ^^ V' ~ ~ ~ ~ ~ m ~ ~` V " ZW J N ~ ~ Z O ~ d ~ u.~~Q d W ~OtV ~w°~~ ¢~o~ W ~ ~ ~ `~ ~ ~ ~ ~ w ~ ~ ~ ~ o U Z vl O i z c ~ ~'© O a ~ ~ 7 7 '~ ~ ~ ,~ J .~ ._.. --- Lalcuiatea value or Your raper cravings Bonu(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 05/2009 nttp:~~www. treasurycurect.gov~tstr~~tsc:Ynce Total Price Total Value Total Interest YTD interest $12, 750.00 $22,384.40 $9,634.40 $499.20 Bonds: i-19 of 19 Serial # Series Denom Issue Next f=inal Date Accrual Maturity Issue Price Interest Interest Rate Value Note D8115816EE EE $500; 07/1985: 07/2009 : 07/2015 $250.00 $641.40' 4.00°rb $891.40; v/~ D15571449EE EE $500 05/198711/2009 : 05/2017 $250.00 $505._20 4.00% $755.20; ~,.iL M45886674EE EE _-..$1,000 11/1992 11/2009 11/2022 $500.00 $714.80 ; 4.00% $1,214.80 ~ ~„x i M43913163EE EE $1,,000 03/1992; 09/2009; 03/2022: $500.00 . $739.20 _ 4.00°~ $1,239.20 ~/L ~ D30870690EE _.. ..... EE $500; 10/1992: 10/2009: 10/2022 $.250.00 , $357.40` . 4.00% $607.40`;,vi,~, M45917507EE EE $1,000 11/1992 11/2009: 11/2022; $500.00 $714.80, 4.00% $1,214.80' war, M59913285EE EE ' $1,000 10/,1993 10/2009: 10/2023 ; $500.00 $458.40 2 65% $958.40 ~t.t ~~ .. . M45988212EE EE $1,000 01/1993.07/2009 01/2023 $.500 00 $691 20 4 00°x6 $1,191. M45709172EE EE ,,.$1,000.01/1992 07/2009: 01/2022: _ $500.00 $739.20, 4 00% $1,239.20' ~ ~~~ M004464797I I . . ; $1,000 05/2003 06/2009. 05/2033; $1,000.00 $291.60; 0.00% $1,291.60~L M004515501I _.. I ; $1,000 06/2003 06/2009; 06/2033 ~ $1,000.00 $285.20, 6.05°x6 $1,285.20: ~ M004515500I I $1,000 OG/2003 06/2009: 06/2033 $1,000.00 $285. 20 6.05°x6 $1,285.20 +.~'+t- j v~ ~ x~ M002934786I I $1,000 i4 2001: 06/2009: _. 10/2031 $1,000.00 . $547.20 ; . 7.99% $1,547.20 ~~ ~:~ M003377679I I ~ $1,000 02/2002; 06/2009; , 02/2032 $1,000.00 $416.80 6.97°16 $1,416.80'y~ ~ M45821245EE EE ; $1,000. 10/1992: 10/2009; 10/2022: $500.00 $714.80: 4.00°x6 $1,214.80:. ~..L r M45855025EE EE $1,000 10/1992: 10/2009: 10/2022: $500.00 $714.80 ~ 4.00% $1,214.80:. ~~^ M005128706I I ~ $1,000 09/2003 06/2009 .. 09/2033 $1,000.00 $266 00 6.05°x6 .$1,_266.00 , ~ M005034495I I _ ; $1,000 08/,2003 06/2009 08/2033', $_1 ,000 00 $272.40 6.05% $1, 272.40 ,~~~ M004988416I I $1,000; 07/2003: 06/2009. 07/2033 . $1,000.00 $278.80 _.. 6.05% , $1,278.80 ~~~ Totals for 1 9 Bonds $12,750.00 #9,634.40: 822,384.40 Notes NI :Not Issued NE :Not eli~ible,for payment P5 Includes 3 month interest penalty _. MA Matured and not earning interest t °t ;~' ~~ r ~ /r'~.1 ~x~' J' /~~-~ P i+• r1't h.~ I,. /,~. ~r /,-~ ~ r° ~~r //'p~ ~''f .:~ ~~~-tRr° ~' l~~ ~ '%IiYti.~xH~C' i~~~ 1 of 1 7/31/2009 7:10 PM £~ ~~~ ~ .- . ~ ~ ~ ~ v ~ ~ ~ ~ ~ b ~ ~ ~ ~ ~ ~ ~ 1 ~ , v ~ ~ ~ S ~ ~ ,~ ~ ~ ~ ~ ~ ~ ~ i ~ ~ ~ Q. ~ > > d J ~ t ~ v+ ~ ti c~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ v ~- ~ ~ J ~ ~ ~ ~ a ~ ~ = ;; £ ~ ~ Q. aC £ ~ ~ ~ ~. ~ ~ ~ cC !, 4 4 ( ~ i ` a E ~ ~. ~ , ' ~ z Z ~ ~ ~ 3 f 3 ~ 3 ; ~ ~ ~ 3 ~ 3 U j W ~ m ~ ~ o ~ ti W n ~ ..~ 9 r6 .~. ~ d- ~ ~ ~ .1, ~ ~ ~ ~ ~ .~ a d.. ~ ,4 ; ,~ , ~ ~ F` ~ ~ ~" ~ Q' S ~,,, ~ ~ . ~0 O w ud. v0i ° ~ O - OM b ~ 0 O ~ '""' ~ ~~/' ~ -o o ~ - O ' -- Q" o ~' a m w ~ ~ ~ ~,, ~,, w W ~u w ~,~, w ~ ~ ~, ~- ~ w v~ ~ ~, ~ .~ ~c ~ ...~ _ w u, ~ w = °° r ~ - te !'^ ~ ~' V' ~' ~"' ~ iA ~ rb r cr d a - - inn ,6 0 ~ ~ ~- ,~- N- ~ ~o ~ ~ ~ ~ , c p o ~ ° ~ -° ~ m ~ ~ ~ III ~- ~ ~ ~ ~° ~,,, ~ ~ o ~ ~ S T . T ~- a- d' fA W ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ N ~ ~ ~ ~ ~ V 0 Z H W Z s n. s o --~ ~ _ "' ~ --o 'n m ~ ~ ~ ~ ~ ~ ~ 7 ~ 7 7 ~ ~ ~ ZW 7 ~ ~~~ ~ ~~~ o~~a y ~"" J W d ~ W y 3 Q ° ~ g ~U v i.~1 u w W t~ ~ ~ ~ M W ll ~ ~ ~ ~ ~ o ~ " W ~ W V1 l1 u V ~ tl1 lll . l~ ~ ~ ~ ~ u ~ 0 U Z O S ~ ~ ~ y~ O Z~ ~ ~ ~ ~ ~^1 V ~ ~^1 V ~ ~ ~ ^ V .!~ V 5~' ~ ~ ~ ~ V ~ ~ O ~ ~ ~ ~ ~ j O ~ O ~ ~ ~ ,o ~ fl. ~ O ~ ~ _~ ~ o~ °o N ~_ M ti O ai ... 0 C .C a. rn o ,«: N ~ p Z s s + ~ ~ s « s ~ ~ ~ s ~ O ~ ~ m ~- M r M CO N r M N M N M 00 N N N .- M N Ch N M to ~- 1~ ~ 1~ e- 1~ .- M N ~ N p eo+.• ~~ ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ C M O M O r r l~ 0 0 0 .- 0 .- 0 r r to O to 0 ~p 0 0 r- 0 e- 0 r 0 r d' 0 C ~ LL , Q. ~ H L 0 0~ 0 0 0 0> O) 0 0 0 0~ 0) O O O O Cn jL ~ m +r ++ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 co c c ~ 0 g $ cuQ co 0 cn 0 cg ~. 0 c$ co 0 co 0 co 0 o ~ o ~-- 0 .- o ~- 0 .- Z .~ ~ ~ ~ ~ ~ ~ ~ a o ~ ~ o ~- ~ cO tO CO ~C1 C 00 ~d~ oO ~ OO et; M O .- ef; M C> N d; N d; d~ N M N ~" CM M CM M M M et ~A ~ M M et sr m ae ~ ~ ~ ~ ~ ~ ~ ~ ~ ~e ~ a~ ~ a~ o ~ R o co o co ~t co o oo o co o ao o ao o o 0 o c~ c`~ o v~ o ~n o v~ o ~n ~n cD rn Co ~ tV N ~- N tV N N et' O , e- , .- e- ~ ~- e- (V tV 0 N 0 N 0 N 0 O 0 O 0 O 0 O 0 N 0 N 0 O pp 0 0 0 0 0 0 0 0 0 0 et 0 N ~ c7 (M O) O CV N ~C ~ r ~ et O CO O O GO 1~ ~ ~ t~ t~ l~• ~O d 1~• O~ N st ~O ~ CO I'~ M N ~ M t~ M tD O 0 O 0 O 0 O 0 N 0 M C> ~ M r r r r r r .~, r.. 'p o N o N o N o O o O 0 O 0 O 0 N 0 N 000 OOO 0 O 0 O 000 O~.N ~ ~ cM f`, cM I~ O) ef O Q~ N et (V ~ tG ap O) M r ~ st ~ MM0 0 0 O ti 00M ~ r ~ ~- N I`- .- .- N PR- ef' .-r ~'~ ~ C 0 V 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ o 0 0 0 0 0 0 0 o co 0 0 0 o ti o 0 ~ 'C o 0 o o o 0 o 0 o ~n 0 ~n 0 o 0 ~n 0 o 0 0 0 ~n 0 o 0 o 0 o 0 o 0 u~ 0 o ~ y ~ + .- 0 0 r' 0 0 CO O~ 0 ~- O N Q N 0 CO 0 N 0 •-- 0 N 0 N 0 O 0 ti 0 ti O ti O M O ~} + y ~ ~ ~ 1 . O ~ vv ~ 0 ~ 0 . 0) ~ O ~ O ~ O ~ W ~ O ~ t3~ ~ Q~ ~ 0) ~ O O M O e- .- f~ O O O e- O .- O r ~- tA O trf O t0 O 0 .- 0 .- 0 r- 0 r 'd' O L W W W W W ~ W O W r- W 00 W ~ ~ W M W W W M ( W W O _ ~ W W 00 W W f ~ = 2 _ = _ _ = = W W W W ~ z M N M N I` t~ (, ~p 0 0 ~ 0 O) 0 M N OO M ~A d~ - O •d~ ~ O st - M - N I~ M M N ~S M M c7 p~ to ~. ~ O~ d' Cn ~ ~ et .- O t` ~A 1~- tA h. 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M 'C ~- acs ~ c ++ c ~ i~ ~a o O ~ ~. ~ C ~i~.cam L'~OCytO N c~ W~ "'~ ~ ~ ~ u~W 3a~~c'va 'D ~ ~ ~ Ol ~ Z c c 'c~-i-i W ~ ~ ~ ~ 1 LL ~ c ~ ~ ° zc v=. o ~ • ~~r w ~~_ 0 l~Q L '~- y +~+ C 3 ~ ~ 'c ~ 0)O 7 ~ ~ ~ '- v~ XX~ Z ~ Vo~3W O ,.J c W W C '~ ~ _O O ~ - r -~ ~~i~im ~ ~ .~ ~~aci-cV m a~nn~ E g1II~°~ ~ ,~' ooo~ 9 ~ ~ .n N ~ Qa~ p ~ • m ... ,~ • g O F- ~~ '~ --- p o~ c~ti ~ p Z m r ' ~ j - U '~ ~o o ~ 1 ~ ~ ~ ~ ~ ~ ~. ~ ~ a ~ ) ~ ; ~ J ~ ~ ~ J ~ ~ b ~ ` ~ ` ~ L ~, ~ ` J ~ ~ ~ c ~ ~ ~ ~ o ~ l ~ ~ ~ ti ~ v V ~ = pW ZZ ~ v ~ J ~ v ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ O ,~ y ~ , J J y ~ ~ v V ~~'E ~ J 3 ~ ° ~ ~ ~ i V ~ ~ V ~ .n ` - ~ ~' ~ ° m ~ ~ ~ ~~ a ^ ~ ~ 1 ~ j .~ ~ ~ s ~ j ti Q. ~ .~ '~ Q gi ~ p; ~, ~ J y V ~ c ~ ~ ~ ~ ~ ~i a C~ ~ po O. 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W ~ ~ ~~ ll ° ~~ ~ ~ Ltl 1:1 l~1 111 V W o ~ ~z Q W 2~ O z0 ~ ~ ~ ~ ~ ~ ~ . ~ 7 ~ ~ ~ ~ ~ ~ ~ ~ _ ~ ~ ~ ..~. •--•• ~-- a~ ~ O ~ ~ 0 ~ >Q C O O O O N N r ~j M O O ~~ ~ c +-~ •U I1 O. _N LL .~ ~. <~ ~ °~J ~..A ~ ~* ~ .~ .` t` ~`•ss ~T pG p\ o` p\ o` ~ pC pC p~ ~ p` p\ pG ~ 0 ~ o` o` o` - ~ M N O tA O tA e!' 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R '~ O~ O d O~ O •d' r CO M r 1` M tf) M O ~p M tA (G M 0 1t9 M 0~ ~A M N 10 M M d M i~A '01 N X 0 0 0 0 0 0 0 0 O O O ~ = o 0 o o 0 o o 0 o o 0 o o 0 o 0 0 0 0 0 0 0 ~ 0 0 0 0 0 0 ' = = o o o o o o y D r- ~ . ~ ~ ~ .= ~= r= .= r= r= ~= ,~ Z r N M ~fit n t0l ~- ao o ° ~ ~ J[l ~ rte' _ .. 5~? {'1, ,_. ~1 O O ~. ,~,. N 00 o ~ ~ ~ ~ ~ aD t~ ~~ a ~ o ~~ o ~ ~~"c~% N ~~~~ ~ ~ j ~ ~ '~ C ... Z$ ~~ L ~ ~ ~ N C ~ ° O C O = ~~nt'cn V N a~ = c ~~` ~ a i o .° a ~; ~ ,a ~ ~•c ay C'OO~~ . N W ~~ ~ TJ tnW~.aU 3~~~a. ~~~~~D ~Zcc~i ~ ~~ x~ _~.~ W ~ ~ ~ ~ C CW ~~'~ ~- Z to ~ .~ ~ • ~-`° _ _ ~ a~ o~~ ~-~~~ ~~oo, o ~ ca~cc ~ °' ' ~r ~ x ~~~~ 0 ~•_ ~ ~t O C ._ ._ (~ Z C m33 ) W c° ui ui ° o -p W W c m -p ~OOaj ~ ~ ~ ~ ~ ~ ~ ~ ~.~~~U N ~ ~ co co 3 .N .~ .~ ~ p c 9 °~ o ° ° . o ~ ~ vi o Q a * ~ ~ - ~ ~. g o ~ ~ ~ o o ~, ~~~ Z O m ~ _ U REV 1508 EX+ (6-98) SCNEDt~ILE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 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. iTEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Cash on hand 416.00 2 Susquehanna Bank, 26 N Cedar St, Littitz, PA, CD/335153129 2 257.67 3 Susquehanna Bank, 26 N Cedar St, Littitz, PA, CD/335153129 accrued interest 6.81 4 Susquehanna Bank, 26 N Cedar St, Littitz, PA, CD/335153145 1 802.47 5 Susquehanna Bank, 26 N Cedar St, Littitz, PA, CD/335153145 accrued interest 1.36 6 PNC Bank, Pittsburgh, PA, Account 11020064227, CD 2 555.88 7 PNC Bank, Pittsburgh, PA, Account 11020064227, CD accrued interest 0.74 8 PNC Bank, Pittsburgh, PA, Account 11020064228, CD 1 186.55 9 PNC Bank, Pittsburgh, PA, Account 11020064228, CD accrued interest 4.98 10 Met Life, 485-E US highway 14th fl, Iselin, NJ 08830-4121 ,Total Control Account 4052075141 6 729.03 11 Commerce Bank, PO BOX 4999, Harrisburg, PA, 50 plus Checking, 0513071787 15,586.81 12 Commerce Bank, PO BOX 4999, Harrisburg, PA, 50 plus Checking, 0513071787 accrued interest 0.19 13 Sovereign Bank, 99 Old York Road New Cumberland, PA 17070, CD 0775299530 1,146.33 14 Sovereign Bank, 99 Old York Road New Cumberland, PA 17070, CD 0775299530 accrued interest 0.19 15 M&T Bank, P.O. Box 767, Buffalo, NY 14240-0767, Select checking with interest 000000069182701 341.16 16 M&T Bank, P.O. Box 767, Buffalo, NY 14240-0767, Regular time deposit 31003915496284 2,462.88 17 M&T Bank, P.O. Box 767, Buffalo, NY 14240-0767, Regular time deposit 31003915124497 2,550.76 18 M&T Bank, P.O. Box 767, Buffalo, NY 14240-0767, IRA 35004110093412 10,426.65 19 M&T Bank, P.O. Box 767, Buffalo, NY 14240-0767, IRA 35004110093694 4,550.85 20 Commerce Bank, PO BOX 4999, Hamsburg, PA, CD 120001473 5,152.96 21 Commerce Bank, PO BOX 4999, Hamsburg, PA, CD 120001473 Accrued Interest 5.92 22 Commerce Bank, PO BOX 4999, Harrisburg, PA, CD 120001474 5,152.96 23 Commerce Bank, PO BOX 4999, Harrisburg, PA, CD 120001474 Accn.red Interest 5.92 24 Commerce Bank, PO BOX 4999, Harrisburg, PA, CD 120001475 5,152.96 ,~***.*,~*~**.**«««~,~* Page 1. ««,~~,~.«,~«~,~~**~**** TOTAL (Also enter on line 5, Recapitulation) S 67,498.03 (If more space is needed, insert additional sheets of the same s¢e) REV-1508 EX+ (6-98) scNEOU~E E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSC?NAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 Include the proceeds of litigation and the date the proceeds were received by the estate. Att property jointly-ovmed with right of survivorship must tae disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 25 :Commerce Bank, PO BOX 4999, Harrisburg, PA, CD 120001475 Accrued Interest 5 92 26 Citizens Bank, 525 William Penn Place, Pittsburgh, PA 15219, Time Deposit 6244-610798 2,296.64 27 AmeriChoice F.C.U., 2175 Bumble Bee Hollow Road, Mechanicsburg, PA, Senion Shares 37074 10.04 28 AmeriChoice Federal Credit Union, Senion Shares acct. 44357-01 20 97 29 AmeriChoice Federal Credit Union, 12 month 4°~ certificate acct. 44357-60 3,316.59 30 AmeriChoice Federal Credit Union, 12 month 4% certificate acct. 44357-60 accrued interest 49.43 31 Members First Federal Credit Union, 130 Old York Road, New Cumberland, PA -- Savings 339082-00 52.15 32 Members First Federal Credit Union -- CD 339082-40 1,782.13 33 Members First Federal Credit Union -- CD 339082-40 accrued interest 0.38 34 Members First Federal Credit Union, -- CD 339082-42 3,594.40 35 Members First Federal Credit Union, -- CD 339082-42 accrued interest 0.73 36 1993 Dodge Spirit sdn. VIN 1 B3XA4638PF662163. 86,738 miles, poor to fair, Kelly Blue Book value 925.00 37 1993 Dodge Dynasty sdn. VIN 1 B3XC56R4PD175624. 137,053 miles, poor to fair, Kelly Blue Book value 750.00 39 House furnishings, clothing and food on hand 2,500.00 sub total this page $15,304.38 from page 1 67,498.03 ««««««««««««««««««««««« Page 2 *«««**««««**~-«*««,~«« TOTAL (Also enter on line 5, Recapitulation) $ 82,802.41 (If more space is needed, insert additional sheets of the same size) ~~ Citizens Bank Account Number 6244-610798 Account Title WILLIAM L POSAVEC MARY AGNES POSAVEC Date O ened 2/13/2004 Account T e Time De osits Princi al Balance as of DOD $2295.00 Interest from Last Postin to DOD $1.64 Account Balance as of DOD $2296.64 YTD Interest to DOD $8.44 ,~ METLIFE Total Control Account 485-E US highway 1 4`h F1 POBox4121 Iselin, NJ 08830-4121 1-800-638-7283 9/17/2009 LAWRENCE POSAVEC 425 FOURTH STREET NEW CUMBERLAND, PA 17070 1802 Re: MARY POSAVEC TOTAL CONTROL ACCOUNT 4052075141 I am responding to your request for the date of death balance regarding the above account. The balance in the above account was $6,729.03 on 5/03/09 which includes interest Earned of $0.81 cents. If you have any questions, you may call our Customer Service Representatives Monday Through Friday 8:00 a.m. to 6:00 p.m. Eastern Time. Sincerely, Mariann Benenati TCA Claims Dept. Metropolitan Life Insurance Company provides administrative services for Totai Control Accounts issued by its affiliates. E~.' P1VC ~,nniNC TNT wAv July 14, 2009 Lawrence C Posavec 425 Fourth St New Cumberland, PA 17070-1802 RE: Mary Agnes Posavec SSN: 222-20-5585 DOD: 05-03-2009 Dear Mr. Posavec: In response to your request for Date of Death (DOD) balances for the customer noted above, our records show the following: Certificate of Deposit Account # 11020064227 Established: 06-27-2005 MARY AGNES POSAVEC DOD balance: $ 2,555.88 + 0.74 accrued interest Interest paid O 1-01-2009 thru OS-03-2009 $ 14.77 YTD Account # 11020064228 Established: 10-04-2004 MARY AGNES POSAVEC DOD balance: $ 1,186.55 + 4.98 accrued interest Interest paid O 1-01-2009 thru OS-03-2009 $ 10.39 YTD Please note that this office provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings). We do not process any financial transactions or provide statements. If you need assistance with any of these items, pleas~caIl 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank, N.A. Member FDIC Page 1 of 1 Sus uehanna 9 Susquehanna Bank 26 North Cedar Street J u I 7, 2009 P.o. Box 1000 y Lititz, PA 17543-7000 Toll free 800.311.3182 LAWRENCE C. POSAVEC 425 FOURTH ST NEW CUMBERLAND, PA 17070-1802 RE: Mary A. Posavec Estate SS#: 222-20-5585 DOD: May 3, 2009 To Whom It May Concern: In response to your letter of June 30, 2009, here is the above customer account information as of May 3, 2009. Account #1 Account #2 • Account Title: William L Posavec William L Posavec Mary A Posavec Mary A Posavec • Account Type/# - CD/335153129 CD/335153145 • Date Opened /Maturity 7/5/05 / 1 1 /5/09 7/26/05 / 11 /26/09 • Interest Rate: 4.00% 4.00% • Account Balance*: 2,257.67 1,802.47 • Accrued Interest: 6.81 1.36 • YTD Interest: 29.17 23.30 *Account balance does not include accrued interest. ~~ There is no safe deposit box in the name of this de cedent. If I can be of further assistance, please feel free to call. ' cerel - anet M. Peters ' Support Services Supervisor 1-717-625-6295 JMP/Ijr ~neriChoice F E D E R A L C R E D I T U N I O N ~~ 2175 Bumble Bee Hollow Road • P.O. Box 1429 ~~ Mechanicsburg, PA 17055 - ==== - ~ ~--J ~ Phone (717) 697-3474 - (800) 240-4364 rN~iVA J .m .. 00 WILLIAM L POSAVEC '"'" 425 4TH ST NEW CUMBERLAND PA 17070-1802 Notice: See reverse aide for important information regarding your right to dispute arrora on your statement. ACCOIINT NUMBER: 37074 YTD DIV RECEIVED: .05 PAGE NIIMBER: 1 Of 1 3088 We pledge to give you the Home Equity Rates you need. Qo to americhoice.org for details! WITH 200 MEMBER REWARD POINTS YOUR NEW LEVEL WILL SE: RED RIBBON MEMBERS GET MORE FREE FOREIGN ATM TRANSACTIONS. ASK US HOW! SIINIlrlARY OF YOUR ACCUUN~'1'S SIIFFIX O1 SENIOR SFIARES JOINT: MARY A. POSAVEC STATEMENT PERIOD 04/01/09 - 06/30/09 BEGINNING BALANCE 10.03 ~ I I DEPOSITS 3 .03 WITHDRAWALS 0 .00 ENDING BALANCE 10.06 DIVIDEND YEAR-TO-DATE .05 DIVIDEND THIS PERIOD .03 AVERAGE DAILY BALANCE 10.04 DAYS DIVIDEND EARNED 91 ANNUAL PERCENTAGE YIELD EARNED 1.20 ~ ~ SIIFFIX Ol SENIOR SAARES HISTORY DATE DESCRIPTION . TRANSACTION AMOUNT .ACCOUNT BALANCE 4/30/09 DIVIDEND .O1 10.04 5/31/09 DIVIDEND .O1 10.05 6/30/09 DIVIDEND .O1 10.06 ~t ~' /~lmeri~hoice ~ F E D E R A L C R E D I T U N I O N 2175 Bumble Bee Hollow Road • P.O. Box 1429 _ ~~ Mechanicsburg, PA 17055 ~ Phone (717) 697-3474 - (800) 240-4364 N~iV~ ~_~ Notice: See reverse side for important iafozmatioa regarding your right to dispute errors oa your statement. ACCOUNT NUMBER: 44357 YTD DIV RECEIVED: .07 PAGE NUMBER: 1 of 1 5870 oe ~~ .~ MARY A POSAVEC "" 425 4TH ST NEW CUMBERLAND PA 17070-1802 WITH 200 MEMBER REWARD POINTS YOUR NEW LEVEL WILL BE: RED RIBBON MEMBERS GET MORE FREE FOREIGN ATM TRANSACTIONS. ASK US HOW! tpe pledge to give you the Home Equity Rates you aced. Go to americhoice.org for details! SU1~lARY OF' YOUR ACCOUNTS I SUFFIX O1 SENIOR SHARES I ~ SUFFIX 60 12 MONTH CERT STATEMENT PERIOD 04/01/09 - 06/30/09 ~ STATEMENT PERIOD 04/01/09 - 06/30/09 BEGINNING BALANCE 20.96 ~ BEGINNING BALANCE 3,316.59 DEPOSITS 3 .03 ( DEPOSITS 0 .00 WITHDRAWALS 0 .00 ~ WITHDRAWALS 0 .00 ~ ENDING BALANCE 20.99 ~ ENDING BALANCE 3,316.59 DIVIDEND YEAR-TO-DATE .07 ~ DIVIDEND YEAR-TO-DATE .00 ~ ~ DIVIDEND THIS PERIOD .03 AVERAGE DAILY BALANCE 20.97 ~ MATURITY DATE 12/18/09 DAYS DIVIDEND EARNED 91 ~ ANNUAL PERCENTAGE RATE 4.000$ ANNUAL PERCENTAGE YIELD EARNED 0.58 ~ ~ SUFFIX O1 SENIOR SHARES HISTORY DATE DESCRIPTION TRANSACTION AMOUNT ACCOUNT BALANCE 4/30/09 DIVIDEND .O1 20,97 5/31/09 DIVIDEND .O1 20.98 6/30/09 DIVIDEND .O1 20.99 SUFFIX 60 12 MONTB CERT (NO ACTIVITY) Commerce Bank THE YES BANK History for MARY A POSAVEC Account Number 0000000120001473 From to Starting Balance: $0.00 0 Checks: $0.00 -5 Withdrawals: -$25,537.00 20 Deposits: $25,537.00 Ending Balance: $5,159.27 Date Description Amount Balance 2/ 5/2008 Time Deposit $5,000.00 $5,000.00 3/ 5/2008 Interest Payment $15.57 $5,015.57 4/ 4/2008 Interest Payment $16.70 $5,032.27 5/ 5/2008 Interest Payment $16.22 $5,048.49 5/ 5/2008 Deposit Maturity -$5,048.49 $0.00 5/15/2008 Deposit Renewal -DEPOSIT RENEWAL. $5,048.49 $5,048.49 6/ 5/2008 Interest Payment $10.60 $5,059.09 7/ 3/2008 Interest Payment $10.28 $5,069.37 8/ 5/2008 Interest Payment $10.65 $5,080.02 8/ 5/2008 Deposit Maturity -$5,080.02 $0.00 8/15/2008 Deposit Renewal -DEPOSIT RENEWAL. $5,080.02 $5,080.02 9/ 5/2008 Interest Payment $9.63 $5,089.65 10/ 3/2008 Interest Payment $9.34 $5,098.99 11/ 5/2008 Interest Payment $9.67 $5,108.66 11/ 5/2008 Deposit Maturity -$5,108.66 $0.00 11/14/2008 Deposit Renewal -DEPOSIT RENEWAL. $5,108.66 $5,108.66 12/ 5/2008 Interest Payment $10.38 $5,119.04 1 / 5/2009 Interest Payment $10.75 $5,129.79 2/ 5/2009 Interest Payment $10.77 $5,140.56 2/ 5/2009 Deposit Maturity -$5,140.56 $0.00 2/13/2009 Deposit Renewal -DEPOSIT RENEWAL. $5,140.56 $5,140.56 3/ 5/2009 Interest Payment $5.88 $5,146.44 4/ 3/2009 Interest Payment $6.52 $5,152.96 5/ 5/2009 Interest Payment $6.31 $5,159.27 Page 1 Cor~me~ce Bank THE YES BANK History for MARY A POSAVEC Account Number 0000000120001473 From to 5/ 5/2009 Deposit Maturity -$5,159.27 $0.00 Page 2 Commerce Bank THE YES BANK History for MARY A POSAVEC Account Number 0000000513071787 From 4/24/2009 to Starting Balance: -2 Checks: 0 Withdrawals: 1 Deposits: Ending Balance: 5/20/2009 $14,739.81 -$560.1 l $0.00 $847.00 $15,026.70 Date Description Amount Balance 5/ 1/2009 ACH Deposit - AC-US TREASURY 312 -CIVIL SERV. $847.00 $15,586.81 5/ 6/2009 Check 480 -$45 8.56 $15,128.25 5/ 7/2009 Check 481 -$101.55 $15,026.70 Page 1 Commerce Bank THE YES BANK History for MARY A POSAVEC Account Number 0000000120001474 From to Starting Balance: $0.00 0 Checks: $0.00 -5 Withdrawals: -$25,537.00 20 Deposits: $25,537.00 Ending Balance: $5,159.27 Date Description Amount Balance 2/ 5/2008 Time Deposit $5,000.00 $5,000.00 3/ 5/2008 Interest Payment $15.57 $5,015.57 4/ 4/2008 Interest Payment $16.70 $5,032.27 5/ 5/2008 Interest Payment $16.22 $5,048.49 5/ 5/2008 Deposit Maturity -$5,048.49 $0.00 5/15/2008 Deposit Renewal -DEPOSIT RENEWAL. $5,048.49 $5,048.49 6/ 5/2008 Interest Payment $10.60 $5,059.09 7/ 3/2008 Interest Payment $10.28 $5,069.37 8/ 5/2008 Interest Payment $10.65 $5,080.02 8/ 5/2008 Deposit Maturity -$5,080.02 $0.00 8/]5/2008 Deposit Renewal -DEPOSIT RENEWAL. $5,080.02 $5,080.02 9/ 5/2008 Interest Payment $9.63 $5,089.65 10/ 3/2008 Interest Payment $9.34 $5,098.99 11/ 5/2008 Interest Payment $9.67 $5,108.66 11 / 5/2008 Deposit Maturity -$5,108.66 $0.00 11/14/2008 Deposit Renewal -DEPOSIT RENEWAL. $5,108.66 $5,108.66 12/ 5/2008 Interest Payment $10.38 $5,119.04 1 / 5/2009 Interest Payment $10.75 $5,129.79 2/ 5/2009 Interest Payment $10.77 $5,140.56 2/ 5/2009 Deposit Maturity -$5,140.56 $0.00 2/ 13/2009 Deposit Renewal -DEPOSIT RENEWAL. $5,140.56 $5,140.56 3/ 5/2009 Interest Payment $5.88 $5,146.44 4/ 3/2009 Interest Payment $6.52 $5,152.96 5/ 5/2009 Interest Payment $6.31 $5,159.27 Page 1 Commerce Bank THE YES BANK History for MARY A POSAVEC Account Number 0000000120001474 From to 5/ 5/2009 Deposit Maturity -$5,159.27 $0.00 Page 2 Coi»merce Bank THE YES BANK History for MARY A POSAVEC Account Number 0000000120001475 From to Starting Balance: $0.00 0 Checks: $0.00 -5 Withdrawals: -$25,537.00 20 Deposits: $25,537.00 Ending Balance: $5,159.27 Date Description 2/ 5/2008 Time Deposit 3/ 5/2008 Interest Payment 4/ 4/2008 Interest Payment 5/ 5/2008 Interest Payment 5/ 5/2008 Deposit Maturity 5/15/2008 Deposit Renewal -DEPOSIT RENEWAL. 6/ 5/2008 Interest Payment 7/ 3/2008 Interest Payment 8/ 5/2008 Interest Payment 8/ 5/2008 Deposit Maturity 8/15/2008 Deposit Renewal -DEPOSIT RENEWAL. 9/ 5/2008 Interest Payment 10/ 3/2008 Interest Payment 11/ 5/2008 Interest Payment 11/ 5/2008 Deposit Maturity 11/14/2008 Deposit Renewal -DEPOSIT RENEWAL. 12/ 5/2008 Interest Payment 1/ 8/2009 Interest Payment 2/ 5/2009 Interest Payment 2/ 5/2009 Deposit Maturity 2/13/2009 Deposit Renewal -DEPOSIT RENEWAL. 3/ 5/2009 Interest Payment 4/ 3/2009 Interest Payment 5/ 5/2009 Interest Payment Amount Balance $5,000.00 $5,000.00 $15.57 $5,015.57 $16.70 $5,032.27 $16.22 $5,048.49 -$5,048.49 $0.00 $5,048.49 $5,048.49 $10.60 $5,059.09 $10.28 $5,069.37 $10.65 $5,080.02 -$5,080.02 $0.00 $5,080.02 $5,080.02 $9.63 $5,089.65 $9.34 $5,098.99 $9.67 $5,108.66 -$5,108.66 $0.00 $5,108.66 $5,108.66 $10.38 $5,119.04 $10.75 $5,129.79 $10.77 $5,140.56 -$5,140.56 $0.00 $5,140.56 $5,140.56 $5.88 $5,146.44 $6.52 $5,152.96 $6.31 $5,159.27 Page 1 Commerce Bank THE YES BANK History for MARY A POSAVEC Account Number 0000000120001475 From to 5/ 5/2009 Deposit Maturity -$5,159.27 $0.00 Page 2 --.-._. First In~~estors 0 Account Summary William L Posavec Mary A Posavec 425 Fourth St New Cumberland PA 17070-1802 First Investors Mutual Funds Type Accounf Number Global - A JTWROS NV3000021439 7 First Investors Life Annuities None First Investors Life Insurance None 1 of 4 January 7 , 2009 - June 30, 2009 - First Investors Corporation ~ 501 Corporate Dr. ~ Suite 200 Canonsburg, PA 15317 Representative Cassandra Finley ~ Phone 724-873-1343 ~ ~- Office 414 ~ Customer # 160197 ~. ~_ Shares NAV Ending e. Owned Value ~ 543.868 $4.85 32,637.76 GRAND TOTAL X2,637.76 '~ Irl'fonr-ation Is Just A Phone Call Away -For assistance with your mutual fund accounts 24 hours a day, seven days a week, please call our automated telephone system at 1-800-423-4026 and have your Customer Number 160197 handy. You will be able to check your account balance, review recent transactions and access other helpful information. For infonnafion regarding kfe insurance and annuity products, please refer to the back of this statement for the applicable telephone number. ~ ,,~--. 7~ f,_ ~ ;s ~ r ~~ ~ ~ X r ff ! (i' f 1` 5~'s /6 y y ~~- 7 First krvestors funds and First Investors Life variable products are not FDIC insured, are not guaranteed by First Investors Fede-al Savings Bank (FIFSB), and are subject to :.,t riwlnc ir~rxlinp possible kiss of orirwtipal. Variable annuities and life insurance are issued by First Investors Life Insurance Comparry. U lvl~ One M & T Plaza, Buftalo, New York 14240 Highland Park December 19, 2008 6256 MARY AGNES POSAVEC 425 4TH ST NEW CUMBERLAND PA 17070 Re: Retirement Account Renewal Confirmation Dear Mary Agnes Posavec, Thank you for renewing your Retirement account with M&T Bank. Please review the following information regarding your account: Account Number: Current Account Balance: Renewal Date: Maturity Date: Term: Interest Rate• 35004110093412 ~ 10,341.33 12/04/08 06/04/09 6 Months 1 980 °/ ~ ~~' ~- o ~ Annual Percentage Yield: 2.00 % ~ i;, ,4 .~ ,_r~. Daily Percentage Rate: 0.00542 % ~ ~ ' ~ ` r. ~ ~~,-~ (NOTE: This letter is issued 10 days after the renewal date. The current account balance reflects any activity during that 10-day period, including any deposits, withdrawals, and interest paid.) On the next maturity date, we'll automatically renew your account for a similar time period, unless you advise us otherwise prior to that date. If you have any questions regarding your a Center at 716-626-1900 or 1-800-829-1924. Thank you for banking with ank. Sincerely, M~che.~e Cade-Hec~an Michele Cole- Hector Customer Service Manager ccount, please call the M&T Telephone Banking ~~ ~ ~ ~,~'~ 1 t N ~/ ~~ U ~ ~t~ CGi ° Q v .v ~.1.. ^ i / " CONREN RNRRSI ~ M&T One M & T Plua, Buffalo, New York 14240 Highland Park June 19, 2009 5387 MARY AGNES POSAVEC 425 4TH ST NEW CUMBERLAND PA 17070 Re: Retirement Account Renewal Confirmation Dear Mary Agnes Posavec, Thank you for renewing your Retirement account with M&T Bank. Please review the following information regarding your account: Account Number: Current Account Balance: Renewal Date: Maturity Date: Term Interest Rate: Annual Percentage Yield: Daily Percentage Rate: 35004110093412 $ 10,443.94 06/04/09 12/04/09 6 Months 0.750 0.75 0.00205 (NOTE: This letter is issued 10 days after the renewal date. The current account balance reflects any activity during that 10-day period, including any deposits, withdrawals, and interest paid.) On the next maturity date, we'll automatically renew your account for a similar time period, unless you advise us otherwise prior to that date. If you have any questions regarding your account, please call the M&T Telephone Banking Center at 716-626-1900 or 1-800-829-1924. Thank you for banking with M&T Bank. Sincerely, M~.eheQe Ca~Qe-Heetarc Michele Cole-Hector Customer Service Manager CONREN RNRRSI (, ~~ 1V1~.1 1~d11K STATEMENT PERIOD PAGE MAY.02-JUN.03,2009 1 OF 3 00 0 06113M NM 017 16089 _ WILLIAM L POSAVEC OR MRS MARY AGNES POSAVEC 425 4TH ST NEW CUMBERLAND PA 17070-1802 SELECTED ACCOUNfi SUMMARY ACCOUNT TYPE ACCOUNT INTEREST EARNED MATURITY ENDING NUMBER YEAR-TO-DATE DATE BALANCE M8T SELECT KITH INTEREST 000000069182701 0 29 REGULAR TIME DEPOSIT REGULAR TIME DEPOSIT 031003915496284 . 15.37 04-27-10 2,588.11 2,462.88 REGULAR TIME DEPOSIT 031003915124497 031003915496276 13.32 02-18-10 2,550.76* 0.00 04-27-06 0.00* TOTAL DEPOSITS 7,601.75 * INTEREST EARNED IS INCLUDED IN YOUR TIME DEPOSIT ENDING BALANCE ONLY IF IT HAS BEEN PAID TO YOUR ACCOUNT. M&T SELECT WITH INTEREST ATIT`L~ET ORLMRSMMARYOAGNES POSAVEC ACCOUNT N0. 69182701 HIGHLAND PARK ACCOUNT SUMMARY NNING DEPOSITS 6 LANCE OTHER, ADDITIONS - CHECKS-PAID SUI N0. AMOUNT N0. AMOUNT N0. 341.16 4 2,462.20 0 0.00 4 ACCOUNT ACTIVITY ~ DEPOSITS,INTE TRANSACTION DESCRIPTION ~ ntueo ~nn~ 05-02-09 BEGINNING BALANCE 05-06-09 DEPOSIT 05-15-09 VERIZON Payn~ntREC 05-20-09 PPL EU ELEC SVC 05-22-09 UGI UTILITIES UGI BILL 05-27-09 PANG PAYMENT 06-O1-09 BUR OF PUB DEBT H/HH INTST 06-01-09 BUR OF PUB DEBT H/HH INTST L008A (6107) 2,434.70 ..CURRENT:. ENDING 'IONS INTEREST PD BALANCE MOUNT 215.35 0.10 2,588.11 ~n~~.R~ ~ vFMEIi SUBTRACTIONS DAILY BALANCE 5341.16 2,775.86 15.69 2,760.17 139.81 2,620.36 35.27 2,585.09 24.58 2,560.51 ~~ 1V1b~1 l~dI1K . ,. ~~ STATEMENT PERIOD PAGE MAY.02-JUN.03,2009 2 OF 3 __ __ WILLIAM L POSAVEC OR MRS MARY AGNES POSAVEC ACCOUNT ACTIVITY POSTING DEPOSITS,INTEREST CHECKS..g OTHER DAILY' DATE TRANSACTION DESCRIPTION & OTHER ADDITIONS SUBTRACTIONS BALANCE 06-01-09 BUR OF PUB DEBT H/HH INTST 7.50 2,588.01 06-03-09 INTEREST PAYMENT 0.10 2,588.11 ENDING BALANCE 52,588.11 ANNUAL PERCENTAGE YIELD EARNED = 0.04 REGULAR TIME DEPOSIT ACCOUNT WILLIAM. L PosAVEc TITLE MARY AGNES POSAVE ACCOUNT NO. 31003915124497 CURRENT INTEREST RATE 1.000% MATURITY DATE 02-18-10 WEST SHORE PLAZA ' ACCOUNT ACTIVITY S ~ DEPO ITSjINTEREST:.W/DRAWALS & OTH R DAILY DATE TRANSACTION DESCRIPTION S OTHER ADDITIONS SUBTRACTIONS BALANCE 05-02-0 BEGINNING BALANCE 52,550.76 ENDING BALANCE 52,550.76 L008A (6/07) - -„~` ivit~cl.~anK STATEMENT PERIOD PAGE MAY.02-JUN.03,2009 3 OF 3 WILLIAM L POSAVEC OR MRS MARY AGNES POSAVEC REGULAR TIME DEPOSIT ACCOUNT::. WILLIAM L POSAVEC TITLE MARY AGNES POSAVEC ACCOUNT NO. 31003915496284 CURRENT INTEREST RATE 0.750% MATURITY DATE 04-27-10 FAIRVIEN Pos ING ACCOUNT ACTIVITY DATE DEPOSITS,INTEREST- W/DRAMALS S.OTHER DAILY TRANSACTION DESCRIPTION ~ nTUCO .....TTY...... _..___. _-_ . 05-02-09~BEGINNING BALANCE ENDING BALANCE 32,462.88 S2,462.88 REGULAR TIME DEPOSIT - ACCOUN WILLIAM L PosavEc TITLE MARY AGNES POSAVEC ACCOUNT N0. 31003915496276 CURRENT INTEREST RATE 0.000% MATURITY DATE 04-27-06 FAIRVIEN POSTING> - ACCOUNT ACTIVITY -DATE DEPOSITS,INTEREST M/DRAMALS;B:OTHER DAI Y TRANSACTION DESCRIPTION 8 OTHER ADDITIONS-. SUBTRACTIONS BALANCE 05-OZ-09 BEGINNING BALANCE so.oo ENDING BALANCE 50.00 ~* END OF STATEMENT ~~ L008A (6/07) 'i , kt . -. 9~ ___ _. ?X1X [D NI#6A$ER .: RETIREIAENT IDI NC1. 222-20-5585 0222205585 INDIVIDUAL RETIREMENT ACCOUNT M8T BANK AS TRUSTEE FOR 6113 43,717 MARY AGNES POSAVEC 425 4TH ST NEW CUMBERLAND PA 17070-1802 :::::E~11~tt~'03 ~MUNI:.:..:..:: 16-0538020 __ STATEMENT PER~D PAG1= 01-01-09 to 12-31-09 1 MST TELEPHONE BANKING CTR PO BOX 767 BUFFALO, N'Y 14240 800-829-1924 iRT~1RJ~TE 0 3 -11- 3 2 ACCOUNT NO 35-004110093412 ACCOUNT TYPE SELECT - 6M0 RATE 0.500 MATURING 06-04-10 REGULAR IRA 01-01-09 BEGINNING BALANCE 10,356.49 06-04-09 INTEREST 87.45 10,443.94 06-04-09 ACCOUNT RENEWED 12-04-09 INTEREST 39.34 10,483.28 12-04-09 ACCOUNT RENEWED 12-31-09 INTEREST 3.88 10,487.16 ACCRUED INTEREST AS OF 12-31-09 0.14 ACCOUNT NO 35-004110093694 ACCOUNT TYPE 09-12 MONTHS RATE 0.550 MATURING 07-04-10 REGULAR IRA 01-01-09 BEGINNING BALANCE 4,523.90 01-04-09 INTEREST .85 4,524.75 01-04-09 ACCOUNT RENEWED 03-11-09 TAX WITHHELD-NORMAL W/D 70.19- 4,454.56 03-11-09 PAYOUT DISTRIBUTION 631.75- 3,822.81ry"'~ 10-04-09 INTEREST 37.21 3,860.02 10-04-09 ACCOUNT RENEWED 12-31-09 INTEREST 5.12 3,865.14 *** CONTINUED NEXT FORM *** ,~ L007 (11!09) ~ Sovereign Bank DECEMBER 18, 2008 6017 0077 413 Y Account Number 0775299530 r~' . '~'~~ ~• 000913-0001 081219 WILLIAM L POSAVEC MARY AGNES POSAVEC 425 4TH ST NEW CUMBERLND PA 17070-1802 Renewal Notice 13-17 MONTH CD Principal Value... $1,139.63 Issue Date............ DECEMBER 14, 2007 Grace Days........ 7 Maturity Date......... JANUARY 14, 2009 Renewal Maturity Date. FEBRUARY 14, 2010 Renewal Instructions: Renew Principal and Interest, Interest Credited Monthly Your Certificate of Deposit, 0775299530, will automatically renew on JANUARY 14, 2009, for an additional term of 13 months. The interest rate and annual percentage yield for the new term have not yet been determined. Rate and yield information will be available on the day after the maturity date of your account and can be obtained by stopping by your local branch or calling us at the number below. If no c:narlge5 ctie i~iade, the value Cf ycur accou^t at r°:1eL•.*al ~,Til l hF? $]_; 1'39 _ Fi3 which includes a maturity interest payment of $1.67 that will be added to your principal value at maturity. If we do not hear from you, your certificate will automatically be renewed for the same term stated above. You will have 7 calendar days after the maturity date to withdraw funds without penalty. Interest will not be paid on funds withdrawn during the grace period. If you wish to close your CD by mail, please send a notarized letter indicating your request to the address below. We must receive this letter postmarked before the end of the grace period so you do not incur a penalty. If you have questions regarding this notice or would like information on other products and services we offer, please contact us at the address or phone numbers listed below or visit your local community banking office. One of our customer service representatives will be happy to assist you. Thank you for banking with Sovereign Bank. DIRECT Sovereign Bank Mailcode: RI1-EPV-0218 INQUIRIES TO: PO Box 831001 Boston, MA 02283-1101 TELEPHONE: 1-877-SOV-BANK (1-877-768-2265) 7:00 a.m. to 11:00 p.m. EST, 7 days a week. Customers with hearing impairments may call 1-800-428-9121 (TTY/TDD). PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. Page: 1 Document Name: untitled DDHISTMONEY Time Deposit Display History of Money Trans. 6017 06/17/09 Acct 0775299530 Alpha key POSAVWL.O1 Request ALLTRANS Trans Dt Eff Date ---- Trans Type ---------- Trans Info Trans Amount Resulting Bal 08/29/08 08/31/08 INT CRED ---------- ------------ 3.63 ------------- 1,123.56 09/30/08 09/30/08 INT CRED 3.53 1,127.09 10/31/08 10/31/08 INT CRED 3.65 1,130.74 11/28/08 11/30/08 INT CRED 3.55 1,134.29 12/31/08 12/31/08 INT CRED 3.67 1,137.96 01/14/09 01/14/09 INT CRED 1.67 1,139.63 01/14/09 01/14/09 ROLLOVER 2.0200 1,139.63 01/30/09 01/31/09 INT CRED 1.07 1,140.70 02/27/09 02/28/09 INT CRED 1.77 1,142.47 03/31/09 03/31/09 INT CRED 1.96 1,144.43 04/30/09 04/30/09 INT CRED - 1.90 1,146.33 05/14/09 05/13/09 INT PYMT 0.83 1,147.16 WDRAW AMT -1,147.16 0.00 _ TDDHISTREQ _ TDDMAIN TDDINT TDCMISC TDDHIST LAST PAGE OF INFORMATION. _ _ _ GN20000I02 COMMAND = __> F2=Retrieve F3=Exit F4=CRFwindow F6=Toggle F7=Backwa rd Date: 6/18/2009 Time: 4:43:07 PM REV 1509 EX+ (6-98) to SCNEDt~LE F COMMONWEALTH OF PENNSYLVANIA JOINTLY OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 K an asset was made joint within one year of the decxdent's date of death, it must be reported on Schedule G. SURVNING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Margaret P. Licon 3174 Thornalpple Drive daughter Lancaster, PA 17601-6906 B. William E. Posavec 615 Camp Hebron Rd. son .Halifax, PA 17032 c. Lawrence C. Posavec 425 Fourth Street son New Cumberland, PA 17070 JOINTLY-0WNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT PATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL MSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR .~INTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET 96 OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1. A. 12/08193 M59983092EE US Savings Bond Series EE, $1000 face value 937.20 100 937.20 2 A 12!11/02 M76024115EE US Savings Bond Series EE, $1000 face value 620.40 100 620.40 3 A 12/11/02 M76024116EE US Savings Bond Series EE, $1000 face value 620.40 100 620.40 4 A .04102/03 M76674644EE US Savings Bond Series EE, $1000 face value 614.80 100 614.80 5 A 04/02103 M76674645EE US Savings Bond Series EE, $1000 face value 614.80 100 614.80 6 A 12/12/03 M77578686EE US Savings Bond Series EE, $1000 face value 602.00 100 602.00 7 A 12/12/03 M77578687EE US Savings Bond Series EE, $1000 face value 602.00 100 602.00 8 A 02/11/04 M77733141EE US Savings Bond Series EE, $1000 face value 599.20 100 599.20 9 A 02/11/04 M77733142EE US Savings Bond Series EE, $1000 face value 599.20 100 599.20 10 g 08/01/03 M0050344951 US Savings Bond Series I, $1000 facevalue 1,000.00 100 1,000.00 11 g 07/01!03 M0049884611 US Savings Band Series I, $1000 face value 1,000.00 100 1,000.00 12 C 04J04/02 M0034303281 Savings Bond Series I, $1000 face value 1,000.00 100 1,000.00 PAGE 1 TOTAL (Also enter on line 6, Recapitulation) I $ 8,810.00 (If more space is needed, insert additional sheets of the same size) REV-1509 EX+ (6-98) ~_ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN r~cc,n~tJT ^ECEDENT ESTATE OF SCNEOV I.E F ~o~NnY-owNE~ ~o~ar~r FILE NUMBER 21-09-0468 __..~ .... c~_tiwdula G. Mary A. Posavec r °t tha decedent's data of death, ~ must ~°'~r~' •_- --- - - M an asset was made f°tnt w~th~n one yea RELATIONSHIP TO DECEDENT ADDRESS SURVNING JOINT TENANT(S) NAME son :415 Park Avenue A. John A. Posavec New Cumberland, PA 17070 B. C JOINTLY-0WNED PROPERTY: %OF DECD'S DESCRIPTION OF PROPERTY DATE OF DEATH INTEREST ASSET IMi~ B DATE OF DEATH VALUE OF DECEDENT'S INTEREST LETTER M FOR JOINT DATE MADE VALUE OF ESTATES INCLUD DENTIFYOING NUMBER` ATTACH DEED FOR JOINTLY-FaEND REAL 100 640.40 ITE NUMBER TENANT JOINT _ 640.40 47EE US Savings Bond Series EE, $1000 face va ue 1. q. 03101102 M789622 100 40 640 640.40 . M78962248EE US Savings Bond Series EE, $1000 face value 2 A 03101102 Sub total of this page $1,280.80 8,810.00 amount from page 1 ~„,-,„~****** Page 2 '~'.~"'N`"~'~« 14,090.80 TOTAL (Also enter on line 6, Recapitulation) $ insert additional sheets of the same size) e is needed , (If more spac REV-151:1 ~X•+ (©-~9) '~~ ~ ~f~ `~ Pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' 1-Funeral Goods and Services, Stone & Murry Funeral Home, 408 3rd St. New Cumberland, PA 5, 751.00 2 Refreshments after servies _ 525.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative{s) ____^____ Street Address City -------------------- ---------- -------------------------- State --------ZIP --- - Year(s) Commission Paid: 2• Attorney Fees: 360.00 3• Family Exemption: (Cf decedent's address is not the same as claimant's, attach explanation.) 3,500.00 Claimant Lawrence C. Posavec Street Address 425 Fourth Street city New Cumberland, State PA zIP 17070 Relationship of Claimant to Decedent Son 4• Probate Fees: 348.00 5• Accountant Fees: 6• Tax Return Preparer Fees: 7• Publication of Legal Notice, The Sentinel, P.O. Box 130, Cariise, PA, 17013 from 10/23/09 to 11/06/09.. 123.82 $ Proof of Publication of Legal Notice, The Sentinel, P.O. Box 130, Carlise, PA, 17013 7.00 s Publication of Legal Notice, Cumberland Law Review. 75.00 _ TOTAL (Also enter on Line 9, Recapitulation) $ 10,689.82 If more space is needed, use additional sheets of paper of the same size REV-151 ~ E~-~• (? ~ -~$) ,:;,:,, ~ •'`' pennsylvania DEPARTMENT ~FREVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 oa.....•t aeh~ ;..r~~rrod by rnp aecedent 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 E~+- t' 1-;~B) ~4i ''~ ~~_~~~`~~ Pennsylvania SCHEDULE ~ ~ f DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mary A. Posavec 21-09-0468 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. 9116 (a) (1.2).] 1. Margaret P. Licon, 3174 Thomalpple Drive Lancaster, PA 17601-6906 Daughter $57,273.91 2 .William E. Posavec, 615 Camp Hebron Rd. Halifax, PA 17032 Son 57,273.91 3 Lawrence C. Posavec, 425 Fourth Street New Cumberland, PA 17070 San 88,514.23 4 John A. Posavec, 415 Park Avenue New Curnberiand, PA 17070 Son 57,273.91 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN A80VE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 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. #' IF more space is needed, insert additional sheets of the same size.