HomeMy WebLinkAbout09-30-101505610140
-" ~ REV-1500 °` ~°'-'°'
PA Department of Revenue OFFICIAL US O LY
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Y r
Po sox 280601 2 1 ' 1 D
Harrisbu PA 17128-0801 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Socal Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY'I
1 8 4 2 6 5 2 2 2 1 2 3 0 2 0 0 9 0 7 2 2 1 9 3 4
Decedent's Last Name Suffix Decedent's First Name
C O L B A N J A M E S
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
N / A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICA'
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
Q 1.Original Return ~ 2. Supplemental Return ~ 3. Remain
4. Limited Estate
~ prior to
4e. Future Interest Compromise (date of ~ 5. Federal
QX 6. Decedent Died Testate
~ death after 12-12-82)
7. Decedent Maintained a Living Trust 8
Total Nt
(Attach Copy of Will) .
(Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election
between 12-31-91 and 1-1-95) fq~~,
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFO
Name Daytime Te
R M A R K T H O M A S E S Q U I R E 7 1 7
First line of address
1 0 1 S O U T H M A R K E T S T R E E T
Second line of address
City or Post Office State ZIP Code
M E C H A N I C S B U R G P A 1 7 0 5 5
Correspondent's e-mail address: nnarkthomast~gmail.wm
Under (ties of perjury, I declare that I have examined this return, including accompanying schedubs and statements, and to the k
it is true, and . Deda of preparer other than the personal representative is based on all kNonnatlon of which pre
SI S LE FOR FILIN RN
nn ~~ ~,,~
3 EAST LOCUST~STRE
101 SOUTH MARKET STREET
ANICSBURG
MECHANICSBU
USE ORIGINAL FARM ONLY
L 1505610140
Side 1
File Number
0 0 3 0
MI
J
MI
E ~IYITH THE
etum (date of death
3-82)
to Tax Return Required
'fir of Safe Deposit Boxes
~~x under Sec. 9113(A)
O)
f10~1 SHOULD BE DIRECTED T0:
~on~ Number
T ',9 6 ~:~7, 0 0
'~ ~'
ILLS USE~jdLY ~a ~i
i f'~'1 ~
~ ~ ~ ~"
~v x1 O ~ .3 ~"~
ZIT` C "; -..,
N
DA'~'E FILED N
est of my knowledge and belief,
has arty knowledge.
P~1 17055
1505610140
7055
J~
1505610240
_. _ r-
REV-1500 EX Decedents ~odial Security Number
Deceda,rg Name: JAMES J- C O L B A N 1 8 4', 2 6 5 2 2 2
RECAPITULATION
1. Real Estate (Schedule A} ........................................... 1. 1 ~ p 0 0 0 . 0 0
2. Stocks and Bonds (Schedule B) .......... ....... . . . .............. 2. 1 ~ tl 1 1 1. 7 6
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C} ..... 3.
4.
Mortgages and Notes Receivable (Schedule D) ..........................
4. I
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5.
~
7
3
0. 6
1
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested ....... 6.
7. Inter-Vivos Transfers & Miscellaneous Probate Property
(Schedule G) ~] S
t
Billi ~,
epara
e
ng Requested ....... 7.
8. Total Gross Assets (total Lines 1 through 7) ......... 8 2 7 8 4 2 . 3 7
..................
.
9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9. ~ 4 4 4 . 2 5
10. Debts of Decedent,. Mortgage Liabilities, and Liens (Schedule I) ............. 10. I 5 3 . 6 ?
11. Total Deductions (total Lines 9 and 10) ............................... 11. ~ ~ 4 9 7 . 9 2
12. Net Value of Estate (Line 8 minus Line 11) ........................... . 12. 2 ~ ~ 3 4 4 . 4 5
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. 2 ~ $ 3 4 4 . 4 5
TAX CALCULATIbN - 8~~ INSTFfUCTIONS FOFit APPLIC~IBLE RATES ~i
15. Amount of Line 14 taxable ',
at the spousal tax rate, or
transfers under Sec. 9116 ~,
(ax1.2)x.o _ 0. 0 0 15. ~ 0. 0 0
16. Amount of Line 14 taxable
at lineal rate X .045 2 3 8 3 4 4 4 5 1 s. ]~' 0 7 2 5. 5 0
17. Amount of tine 14 taxable i
at sibling rate X .12 0. 0 0 17. ! 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0. 0 0 18. ! 0• 0 0
19. TAX DUE ...................................................... 19. 1
~I 7 2 5• 5 0
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT i
L 1505610240
Bide 2
1505612410
i
i
- r _
REV-1500 EX Pape 3
Decedent's Complete Address:
Ffle Number
21 10 0030
DECEDENTS NAME
JAMES J. COLBAN~
STREET ADDRESS
1 East Main Street
CITY STATE ZIP
Mechanicsbu PA ' 17055
Tax Payments and Credits:
1• Tax Due (Page 2, Line 19) (1)
2. Credits/Payments
A. Prior Payments ,.~_ 10,,000.00
B. Discount $00 0Q
_T
Total Credits (A + 8) (2)
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3)
Fiil in oval on Page 2, Lfne 20 to request a refund. (q)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
Make check payable to: REGISTER OF WILLS, AGENT
10.725.50
i 10.500.00
i
~, 0.00
225.50
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APP O~RIATE BLOCKS
1. Did decedent make a tr~sfer and: Y 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 Iffe of either payments, benefits or care? ......................................................
2. If death oaxrrred after December 12,1982, did decedent transfer property within one year of death ~
without receiving adequate consideration? ......................................................................... I Q
.............
3. Did decedent own an'in trust for' orpayable-upon-death bank account or security at his or her death? ........ ~ Q
4. Did decedent own an individual retirement mount, annuity or other non-prbbate ptope ,which
contains a beneficiary desi~natibn? . ................................................ ... ~............................~ Li.l
.~.
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE
For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to
3 percent (72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan.1,1995, the tax rate imposed on the net value of transfers to or for the use of the survi
(72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory regt
filing a tax return are still applicable even ff the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for
adoptive parent or a stepparent of the child is 0 percent (72 P.S. §9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent,
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 12 percent 172 P.S. §9'
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoptior
f ~15 PART OF THE RETURN.
r fjx the use of the surviving spouse
n~ spouse is 0 percent
~er~tents for disclosure of assets and
ie luse of a natural parent, an
as noted in
16$a)(1.3)]. A sibling is defined, undr
.~
REV-1502 EX+ (01-10)
Pennsylvania
DEPARTMENT OF REVENUE
~ INHERIT/MCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF:
SCHEDULE A
REAL ESTATE
LI IV VVJ
All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined ~ price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, troth having reason ble nowledge of the relevant fads.
Real property that is Jointly-o~amed with right of survNorship must be dbclosed on Schad le
Attach a copy of the settlement sheet if the property has been sold.
ITEM Indude a copy Df the deed showing decedents interest ff owned as tenant in common. ' VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1 • East Main Street 100,000.00
echanicsburq, PA 17055
TOTAL (Also enter on Line 1, Recapitula 'on~~) ;
If more space b needed, use addldonal sheets of paper of the same size.
REV-1503 EX + (8-98)
'`
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
RJHERITANCE TAX RETURN
RESIDENT DECEDENT '
II
ESTATE OF FILE NUINBE
JAMES J. COLBAN 21 10 003
Ail P-oP~Y kiMly-owned with right ofsurvivorship must tie discbtad on Schedule F.
ITEM '
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1 • odafone Group PLC- 8 shares ~ $23.10 per share '
, 184 ~
2• mast -10 shares ~ $17.07 per share Al
i
l 170.70
3. i
P PLC - 157 shares @ $58.16 per share
9,131.12
4. rudential - 31 shares ~ $50.17 per share II
'
I
II 1,555.27
5. i
T8T - 49 shares ~ $28.32
II 1,387.68
6. erizon -14 shares ~ $31.2273 per share I
I 437.18
7. dward D. Jones & Co., IRA account no. 242-95239-1-9 I
II 50,854.56
8. I
dward D. Jones, account no. 763-10977-1-9 II
I 70,390.45
TOTAL (Also enter on line 2,
(If more space is needed, insert additlonal sheets of the same size)
REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
HERITA CE TAX RETURN
_. _~ __
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
~~...~~..~ 21LE10u 003pTi
JAMES J. COLBAN
Indude the~~eds of Idgatan and the date the prooaeds rrere receNed by the estate.
All property lo~y-o~ed rYkh ht of aurvivonehip must be dhubsed on SchsduN F. 'i
ITEM ' VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 • NC Bank, Checking Account #5070021141 13,085.37
Grant Street, 36th Floor
ittsburgh, PA 15219 ~I~
2. NC Bank, Savings Account #5030000696 I 18,494.74
Grant Street, 36th Floor '
ittsburgh, PA 15219
3. ersonal Property 2,112.50
~~
4. nited States Treasury (2009 Federal Income Tax Refund) ~, 38.00
TOTAL (Also enter on line 5, Recapitul ) S
(It more space is needed, inseR additional sheets of the same size)
v:. - .,
..
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REV-1511 EX+ (10-091
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
~ INHEF~TANCETAxRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMB R
JAMES J. COLBAN 21 10 003
Decadent'=debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION ' AMOUNT
A• FUNERAL EXPENSES:
1. Myers Funeral Home, Inc. 6,650.00
2. Peeler's Flower Shop (funeral flowers) ' 137.70
3. Gloria Halterman (funeral dinner) 322.00
B. ADMINISTRATIVE COSTS: ~~
1. Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
Cdy State ZIP
Year(s) Commission Paid:
2, Atbmey Fees: R. Mark Thomas, Esquire ~'
9,300.00
3. Famiy Exemption: (If decedents address is not the same as daimanfs, attach explanation.)
Claimant
Street Address
Cdy State ZIP
Relationship of Claimant to Decedent
4• Probate Fees:
416.50
5. Accountant Fees:
6. Tax Retum Preparer Fees: Simmons Tex Preparation ', 50.00
7. Ctauser Real Estate Appraisals (real estate appraisal) ~~ 1,000.00
8. The PaMot News (estate publication notice)
9.
Cumberland Law Journal (estate publication notice) 155.10
10. I
Ziegler Auction Co. Ltd. (commission and expenses) ! 75.00
11.
PA Department of Revenue (2009 Pennsylvania Income Tax)
' 976.86
149.00
12. UGI (gas bills) ~ 1,713.52
13. United Water (water bills) 105.29
14. Duty's Lock Smith (change locks on residence) ~ 94.50
15. Dale Wagner Insurance Agency (property insurance) ' 2,492.22
16. Peter Owen (hauling) I 30.00
17. Borough of Mechanicsburg (sewer and trash) ' 774.00
18. Justin Owen (labor to remove trash) ~' 40.00
TOTAL (Also enter on Line 9, Recapitul 'orl) S
29444.25
~~ ~~a~a sue, R neeaea, use aoamonai sweets or paper of the same sus.
Continuation of REV-15001nheritance Tax Return Resident Decedent
JAMES J. COLBAN 21 10 0030
Decedent's Name Pag® ~ File Number
~~nvuuw n - runera~ ~xpensea do Aamfntstratlve Gosts - B7.
ITEM
NUMBER DESCRIPTION AMOUNT
19. PNC Bank (bank service charge) 120 00
20. Barry Hedcard, Tax Collector (real estate taxes) 3,323.32
21. Computershare (stock administration fee) ~ 90.00
22. Randy Blumanstock (labor to remove trash) 50.00
23. Lee Mintzer (labor) 15.00
24. Pennsylvania Department of Revenue (additional state taxes) ~' 311.73
25. Michael Bennett (trash removal, hauling and labor) 525.00
26. PP&L (electric) 287.60
27. Walmart (cleaning and organizing supplies)
~ ~
28. Lowe's (Leaning supplies)
15.24
29. Big Lots (contractor bags for trash) I
7 42
30. Boyd E. Diller (dump charges)
I
I
I
I
i
I
it
i
I
i
I
III 152.31
SUBTOTAL SCHEDULE H-B7 4,962.56
I
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REV-1512 EX+ (12-08)
Pennsylvania
DEPARTMENT OF REVENUE
~ INHERITAI7CE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUN~E'~t
JAMES J. COLBAN 21 10 003
Report debts incurred by the decadent prior to death that remained unpaid at the date of death, including unrei buffed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTfON OF DEATH
1 • ria Health
2. erizon (December telephone bill)
9.60
44.07
TOTAL (Also enter on Line 10, Recapitul~tiorh) I S
If mon3 space is needed, insert addldonai sheets of the same size.
REV-1513 EX+(01-10)
Pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
~ INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE
1e~uFC _~ rni aeu
' --' -- Yl 7U W3
RELATIONSHIP TO DECED NT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSONS} RECEIVING PROPERTY tb Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include ought s usal distributions and transfers under
Sec. 91 f6 (a~1.2).]
~~
1. Rose Marie Neidig Lineal I~, ', 100.00
123 East Locust Street
Mechanicsburg, PA 17055
~~
~~
i
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T t
i
HROUGH 18 OF REV-1500 CO E S
HEET, AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
I
1. I
I
I
i
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1. li
I
''
i
~~
I
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTION
SON LINE 13 OF REV-1500 COVER H
S EET
,
i
If more space is needed, use additional sheets of paper of the same size.
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LAST WII~L AND TESTAMENT ~~ ~~ ~~
'-~..p"
:__ --
=~ ~
BE TT REMEMBERED THAT
I, JAMES J. COLBAN, a resident of Cumberland County, Pennsylvania, eing of sound
and disposing mind, memory and understanding do make, publish and declare this t ble my LAST
WII,L and TESTAMENT, hereby revoking any and all Wills and Codicils pieviousl made by me.
I
I declare that I am not married, and that I have two (2) children, namely R
NEIDIG and CARMELLA COLBAN.
. II
I direct that all my just debts and funeral expenses shall be paid from my
soon as practicable a$er my decease.
III
I direct that all taxes that maybe assessed in consequence of my death, of
and by whatever jurisdiction imposed, shall be paid from my residuary estate a;
expense ofthe administration ofmy estate.
IV
I hereby give, devise and bequeath all my property, whether real or persc
situate, including any property over which I may have a power of appointment to
ROSE MARIE NEIDIG, per stirpes, provided that she survives me for a period of th
I have intentionallynot left a portion of my estate to my daughter, CARMELLA CO:
the lengthy and on~ing period of estrangement that exists between herand me.
estate as
atever nature
~ part of the
~1 wherever
r daughter,
I(30) days.
hN, due to
~~;
`'::
_.. ~ ..l
C•-•
-,;~
:~ ~~;
:_..
...,. ;
V '
I nominate, constitute and appoint my daughter, ROSE MARIE NEIDIG, executrix of
this LAST WILL, to serve without bond.
1N WITNESS WHEREOF, I, JAMES J. COLBAN, have set my hand to thi~ LAST WILL
this ~~~dayof September, 2009. I,
.%~ ~• ~
JAIL' J. COLBA
Signed, sealed, published and declared by the above named JAMES J. COl
for his Last Will and Testament, in the presence of us, who, at his request and in his
in the presence of each other have hereunto subscribed our names as witnesses.
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
,as and
nce. and
ss
COUNTY OF CUMBERLAND
I, JAMES J. COLBAN, Testator, whose name is signed to the attached or!, foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I Signed and
executed the instnunent as my LAST WILL; that I signed it as my free and volunt pct for the
purposes therein expressed.
_~ '
?L~-
J S J. CO AN
~,
'~'
i
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Swom or affumed to and acknowledged before me by JAMES J. COL~AN, Testator,
this ~ 3~ayof September, 2009.
C~i:4RA4NWEa rN nom, •••^.LV~,t~l~. (~ -
Notarial se~~'~ ary Public
Joette 1. Mc(iorrsn, Notary Public
M~9 ~'n. AMnbs+land Count.
~+iY_Commission Expires Jul 6 20t
~. AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA ;
COUNTY OF C[JMBERLAND ss
We, R. Mark Thomas and I~~ ~ s ~.rz
whose names are signed to the attached or foregoing instniment being duly qualifies
law, do depose and say that we were present and saw Testator sign and execute the
his LAST WILL; that JAMES J. COLBAN signed willingly and that he executed it <
voluntary act for the purposes therein expressed; that each of us in the hearing an
Testator signed the Will as witnesses; and that to the best of our knowledge, the Test
time 18 years of age or more, of sound mind and underno constraint or undue influent
~.
r
the witnesses
l ak;coniing to
in~tnunent as
s his free and
l fight of the
to>~ was at the
/l jj Sworn or affirmed to and acknowledged before me by R. Mark
~n f ~ • S~ by/~-L. this 3 r1G~ da}of September, 2009.
M .VANi a
Hohtt~t Sietl
Joette t.. Ifilcpp~~ Noayy Public
M°0l~R. Citarbr~d County
My Cammisebn ExDlfee JWy 6 201 C;
Public
~ ~/,
and
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COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(1 7-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17126-0601 PENNSYLVANIA
RECEIVED FROM:. INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. 'BC'D 012536
THOMAS R MARK
101 S MARKET STREET
MECHANICSBURG, PA 17055-3851
foW
ESTATE INFORMATION: Ssty: 184-26-5222
FILE NUMBER: 2110-0030
DECEDENT NAME: COLBAN JAMES J
DATE OF PAYMENT: 03/29/2010
POSTMARK DATE: 03/29/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 12/30/2009
TOTAL AMOUNT
REMARKS:
CHECK# 3101
INITIALS: JN
SEAL
RECEIVED BY:
TAXPAYER
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 ~ 8',10, 000.00
'AID:
GLENDA EARNER S $'~10, 000.00
t~ASBAUGH
REGISTER OF WILL
~~
,_ _ ~ _
,. _. _.- -
APPRAISAL REPORT
FOR
R MARKTHOMAS
ATTORNEY AT LAW
101 SOUTH MARUr~'T STREET
MECHANICSBURG, PA 17055
ESTATE OF JAMES J. COLBAN
LOCATED AT --
1 EAST MAIN STREET,.
MECHANICSBURG, PA 17055 -
- Prepared' by
George C.: Clauses, SRA.
;~; ~ _ . ,.
~n s
1 East Main Street, Mechanicsbtng, PA 17055 10-0223 C-2
. _ .
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CLAUSER REAL ESTATE APPRAISALS, LLC
P o Bog 777
Camp Hill, PA 17001-0777
Telephone: 717-737-7300
FAX: 717-730-0922
o-maii: gclaaser(a~comcast.net
~.~~.~
Mazch 10, 2010
R Mark Thomas
Attorney At Law
101 South Market~Street
Mechanicsburg, PA 17055
RE: Estate of James J. Colban.
Commercial Building
Located At:
1 East Main Street
Mechanicsburg, Pa 17055
Deaz Mr. Thomas:
In compliance with your request, I have completed my inspection and subsequent market studies
on the above referenced property for the purpose of estimating its "as is" retrospective rnnarket value as of
December 30, 2009, the date of Mr. Colban's death. My client and only intended user of taus report is R.
Mazk Thomas, Attorney At Law. To my knowledge no financial institution is involved.
The property being valued is the Estate of James J. Colban, consisting of a 3+story three brick
building containing 4,568 SF of gross building azea, according to my outside measurements and is
located on the north side of East Main Street, at its intersection with North Mazket Stiteet, situated on a
corner .0365 acre lot, known as 1 East Main Street, Mechanicsburg Borough,' Mechanicsburg,
Cumberland County, PA The properties interior and roof is considered to be in poor condition, with
major renovations, updates and repairs needed, some of this deterioration was due to is prolonged roof
problem. No off-street parking available on site. The building is currently vacant.
The site appears to be situated in Zone X of HUD identified flood hazazd aze~, shown on map
panel #42041 C0259E, dated March 16, 2009, with no flood insurance required. The su~ject is located in
Mechanicsburg Borough and is zoned Community Main Market - CMM per the zon~ng officer, Scott
Merryman. The appraised value assumes the property is clear of hazazdous materials ~lvith DEP Phase I
and building inspection certifications suggested as precautionary measures.. The appraised value is based
on cleaz certifications for any testing conducted and assumes the building is structurally sound.
Based on my studies and subject to the limiting conditions found in and attached to this report,
the property in my opinion has an estimated retrospective `as-is"market value as of Dacember 30, 2009
as follows:
ONE HUNDRED THOUSAND ($100,000) DOLLARS
COMMERCIAL 'INDUSTRIAL 'APARTMENT: COMPLEXES 'SUBDIVISION ANALYSLj 'RESIDENTIAL
1 fast Main Street, Mechanicsburg PA 17055 ~ ' 10-0223 C Z
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' CLAUSER REAL ESTATE APPRAISALS
Page 2
Details of mymethods of valuation as well as a description of the improvements are contained in
the ensuing Complete Appraisal.Report in Summary Report Format. This report is believed to be
consistent with recommended guidelines of the Appraisal Standards Board of the Appraisal Foundation.
I have completed numerous appraisals of a similaz nature on similar type properties and comply with the
competeacy provisions of USPAP. This letter of transmittal is considered part of the appraisal which
follows and is not to be detached.
Employment in and compensation for malting this appraisal are is no manner con~ingeat upon the
value reported, and I certify that I have no financial interest in the property appraised, present or
contemplated, and that the appraisal assignment. was not based on a requested minimum valuation, a
specified valuation, or the approval of a loan. The appraiser has personally inspected the property.
The Appraisal Institute conducts a voluntary program of continuing education for its designated -
members. SRAs who meet the minimum standards of this program aze awarded periodic educational
certification. I am currently certified under the SRA program.
Very truly yours,
c. ~
George C. Clauser, SRA
PA Certified General Real Estate Appraiser
Certification Number GA000233-L
GCC/rb
Enclosures
As Stated
1 East Main Street, Meci~aaicsburg, PA 17055 - ~ 10-0223 C 2
y.'
PROPERTY ADDRESS: 1 East Main Street, Mechanicsburg Borough,
Mechanicsburg, Cumberland County, PA 17055.
OWNERS OF RECORD: James J. Colban
PARCEL NUMBER: 18-23-0565-064
IlVIPROVEMENTS: The property being valued is the .Estate of James T.
Colban, .consisting- of a 3-story three brick building
containing 4,568 SF. The properties interior and roof is
considered to be in poor condition, with major
renovations, updates and repairs needed. No off-street.
parking available- on site. .The subject uses gas-fired
. steam heat and has no air conditioning.
LAND AREA: .03 acre lot or 1,306 square feet
LANDBUILDING RATIO: 4,568 _ 1,306 = 3.49 to 1 .
ZONING: CMM -Community Main Market
HIGHEST AND BEST USE: Continued use as a mixed use commercial building.
RETROSPECTIVE VALUE
ESTIMATES
AS IS: Cost Approach N/A
Income Approach N/A
Sales Comparison Approach $100,000
FINAL RETROSPECTIVE VALUE
ESTIMATE: $100,000
DATE OF RETROSPECTIVE
VALUATION IS THE
DATE OF DEATH: December 30, 2009
DATE OF INSPECTION March 3, 2010
' 1 East Main Street, Mechanicsburg,.PA L7055 ~ 10-0223 C-2
i ~ •' ~J~~
~~
_ _ __ _ _ _
_. r. , _ -~
Sep, 10. 2010 9;58AM PNC BANK 412-705-2747 No, 9662 P. 1 ~
~'1'V~
E.LditlN6 T>fL~ WSi1Y
September 10, 2010
R Mark Thomas Esq
101 S Market St
Mechanicsburg, PA 17055
RE: Name: James J Colban
SSN: 184-2b-5222
DOD: 12-30-2009
Dear Mr. Thomas:
In response to your request for Date of Death (DOD) balances for the customer noted
records show the following:
Checking Account.
Account # 507002 1 1 4 1
JAMES JOHN COLBAN
DOD balance: $13,084.3b + 1.01 accrued interest
Interest paid 01-01-2009 thru 12-3 0-2009 $19.51 Y'TD
Savings Accoant
Account # 503000(?696
JAMES JOHN COLBAN
DOD balance: $18,490.19 + 4.55 accrued interest
Interest paid 01-01-2009 thru 12-30-2009 $35.32 YTD
Please note that this office provides dote of death balances for deposit accounts (I1tAs, CI7s, C
Savings). We da not prnceas any financial transactions or provide statements. Ifyou nee
any of these items, please call .1-888-PNC-HAN,K (1-88$-7G2-2265) or stop by your local PNI
office.
Sincerciy,
National Financial Services Center
PNC Bank, N.A.
Member FDIC
our
:dl-O1-1979
01-01-1979
eglcing and
assistance with
Bank branch
Page 1 of 1
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Four Generations...
Celebrating Life, Honoring TraJitions
RS
uneral C`J~'ame, C7nc.
BOYD L. MYERS, JR., Supervisor
37 E. MAIN STREET
MECHANICSBURG, PENNSYLVANIA 17055
(717)766-3421
STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED
Chuges ue only for those items that you selected or that are required. !f we are required by law or by a cemetery or cre
explain in writing below.
if you selected a funeral that may require embalming, such as a funeral with viewing, you may have to pay for embalming. You
you did not approve ' lected arr ement a direry¢emation or imtr~diate burial. If we charged for embaln
For the Servlc~,/Vl ~~ ~ C_-~L~~}/V Date of
Charge to: /~t:7 S,~' ,2s.~J,.Z,~ ~ ~ V,~r~D ' cj ~07
Name Addres
A. CHARGE FOR SERVICES SELECTED:
1. PROFESSIONAL SERVICES
Services of Funeral Director/Staff .... E~~
Embalming ...................... E ~ivt-t<
Other preparation of body
............................... E ----~~ ~~~~ ~~
SUB-TOTAL OF PROFESSIONAL SERVICES ......... A 1 E
2. FACILITIES AND SERVICES
Use of facilities and services for -~-
viewing (Visitation/Wake)..... ....
Use of facilities and services ,,.,
"
for funeral ceremony ......... ... E .~'~'~
Use of facilities and services for
Memorial Service ............ ...E
Use of equipment and services
for graveside service .......... ... E~
Other use of facilities
.......................Q ...... E ~''_,I~~
SUB-TOTAL OF FACILITIES/E UIPMENT ........... A2 E~
3• AUTOMOTIVE EQUIPMENT
Vehicle to transfer remains to Funeral Ho~
Local ...................
Hearse (Casket Coach) -r~ _~
Local ........................... i+-^-~
Limousine
Local ........................... .tt~.,
Family car
Local ........................... E -~
Flower car or floral disposition
Local ...................... ....>E~
Lead carlcle ~u
Local..... (~ ~I~cLG..... E
Car for pallbearers 1
Local ........................... E
Out of town transportation ......... E~
E-
E ~'
SUB-TOTAL OF AUTOMOTIVE EQUIPMENT........ A3 ~
TOTAL OF PROFESSIONAL SERVICES,
FACILITIES AND AUTOMOTIVE •~ f
EQUIPMENT ................................... A f J.rGt~
B. CHARGE FOR MERCHANDISE SELECTED:
Casket......... ~
......
(Description) ~~<<- ~/i-
Other Receptacle .............. .
(Description)
Outer burial container ............. f
(DescdDtion)
Other clothing
Cremation urn ........ ....... .
(Description) u Fs
OTHER
~atory to use any Items, we will
to tpot have to pay for embalming
ing~ we will explain wh below.
kaittt f Z - U "' ~ (X~
Skate
_ E''
Ei
E', -~
.~'r~J
_E
_E _
TOTAL MERCHANDISE SELECTED.... s :............ B i~~
C. SPECIAL CHARGES:
Forwarding of remains to
E
Receiving of remains from
Immediate Burial ............... .
Direct fregt~tion ..fAJ, r f'.G.I... , . , ,
SUB-TOTAL OF SPECIAL CHARGES .
D. CASH ADVANCED
Opening Grave .................
Cemetery Equipment .... . ....... .
Lot and Deed ...................
Newspaper Notices-Local ....... .
Newspaper Notices-Uut-of-town .. .
Telephone & Telegrams ......... .
Airfare ........................
Clergy/Mass Offering ............ .
Pallbearers .................... .
Certified Copies of t e ea~
Certificate ... ~'~
Police Escort ................... .
Flowers ........................
Vault Service Charge ............. .
E
'~.,~ /
.............. C EJ~ /J
E G'Q dlt
E
t ~~
i ~' c.l-~~-!
E
E
E
E -fr.
E
~~~
E'
E
s'
E
E
E s/ o v?, ~.~
SUB-TOTAL OF ADVANCES ....................... D
We charge you for our services in obtaining:
(spectjy cash advances tdat are marked-up)
SUMMtiRY OF CHARGES
A . Professional Services, Facilities and
Equipment, and Automotive
Equipment ...................... E~~,sv..
B . Merchandise ..................... f ~,,~"~
C. Special Charges .................. Et~,~ ~,~
D. Cash Advances .......... . , ; W~
TOTAL OF ALL
SECTIONS ....
PAID AT TIME OF O1~RI ,, E - I
ARRANGEMENTS.. !/i~~h~~~l/\~~!"" _ ..,-~ ~GD ,~r
61~.
~ 3720 TRINDLE RD
CAMP HILL, PA
-17011 - --- __ _ ___ -_---
717-737-4506
www.pealers.com
Terminal: ;
Session: 344
me -w
r
Order Number: 137958
Price
^;,, Description
3 Dozen Rose Vase, AAA $ 149
438195838330700E red
roses PRISTINE came
to Dealers for best
roses" $ _2<
Discount
Sub Total: $ 119.96
Delivery Charges: $ 9.95
Sa e 7 79 __
_ _
CC- Tr+nd~'gd g _ ~ 13
Change Due $ ^
Remember Flowers early Valentine
Print Date: 01/02/2010
Print Time: 04:34:25 PM
~~~~~ Fib
SIMONS TAX PREPARATION !~
335 MULB
ERRY DRIVE
MECHANICSBURG PA 17050
DATE: May 22, 2010
FROM: Rose Neidig
FOR: 2009 tax preps-ration for James J. Colban ~,
AMOUNT: $50.00 ~~
PAID: $50.00 on 5/22/10 ~ '
~I
'~
RECEIPT FOR PAYMENT
____=====r=~=~~~___
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Sqquuare
Carlisle, PA 17Q13
COLBAN JAMES J
Receipt Dajtei
Receipt Ti e:
Receipt Noy.:
Estate File No.: 2010-00030
Paid By Remarks: R MARK THOMAS
SAP
------------------- ----- Receipt Distrib ution ----- ----
Fee/Tax Description Payment Amount Payee Name
WILL 15.00 CUMBERLAND COU
PETITION LTRS TEST 310.00 CUMBERLAND COU
SHORT CERTIFICATE 32.00 CUMBERLAND COU
JCS FEE 23.50 BUREAU OF RECE
AUTOMATION FEE 5.00 CUMBERLAND COU
C eck# 2621
3g
5.50
Total Received..... .... 38
5.50
1/12/2010
10:05:29
1059605
GENERAL FUN
GENERAL FUN
GENERAL FUN
S & CNTR M.D
GENERAL FUN
RECEIPT FOR PAYMENT
GLENDA F~RNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17813
COLBAN JAMES J
Receipt Date: 5/27/2010
Receipt Tine: 10:16:30
Receipt Noy,.: 1061287
Estate File No.: 2010-00030 I'
Paid By Remarks: R MARK THOMAS ~i
JN
------------------------ Receipt Distribution --------- --------------
Fee/Tax Description Payment Amount Payee Name
SHORT CERTIFICATE 4.00 CUMBERLAND CO TAY GENERAL FUN
Check# 2798 $4.00
Total Received......... $4.00 ~~
r__ _ __ _ __ _ __ __~
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH Receipt Dajte:
Cumberland County - Register Of Wills Receipt Tithe:
One Courthouse Sqquuare Receipt No.:
Carlisle, PA 17Q13
COLBAN JAMES J
9/032010
09: 8:43
1062488
Estate File No.: .2010-00030
Paid By Remarks: MARK THOMAS '~,
HMW
------------------------ Receipt Distribution ---------r-'-------------
Fee/Tax Description Payment Amount. Payee Name
SHORT CERTIFICATE ------8_00-- CUMBERLAND COUNTY GENERAL FUN
Check# 3139 8.00
Total Received......... 8.00 ',
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Da~e: 9/03/2010
Cumberland County - Register Of Wills Receipt Ti e: 09:59:51
One Courthouse Square Receipt Noi,.:' 1062489
Carlisle, PA 17813
COLBAN JAMES J
Estate File No.: 2010-00030
Paid By Remarks: MARK THOMAS
HMW
------------------------ Receipt Distribution --------- --------------
Fee/Tax Description Payment Amount Payee Name
SHORT CERTIFICATE 4.00 CUMBERLAND CO T1Y GENERAL FUN
Cash ---------$4.00--
Total Received......... $4.00
CA6~
_ _ __ _ _ _ _
~ i
- is b }~
_ ~ 4 ~~
..Boyd E.; Diller.
6820 We~rfxvi3le Raad I I Transaction Ko.
_ Enola~ ~ PA 17025 - . ' 95669
717-766-6403 .
_ \ J~ ~~
YehicleFIDs 1-YRF9960 ~ O
Account IDs RISC CASH
~xateriel IDs CUMB. CD Total '
j Co:amente
Payment Type: CASH
l
~Bignature:
~Weighmaster Signature: Tic
~Weighmaster license #:0 Fuel .
Date Time
02/13!2010 10:4?
~,: 02/i3/2010 10:57
dross:
Tare
Net
one:
4.90 to tM)
4.38~ tn
0. 52 to
0. 52 to
et : ~ 46. f.
ng Fee ~ 0, ~=
charge 9 `~.t.
atal: ~ 1 46.4:
._
-- -------r1-~_.~^- - -___~. ~.
Boyd E. Di l ier
6gC0 Wentzville Rand
Eno 1 a, GA 17f~S:;
717-766-6403 !,
l N~ ~~ /~rA\ 4
V
Vehicle ID: C-YRF9960
Account IDr MISC CASH
Material IDs CUMB. CD
Coa~~ents:
Paywent'TYR~: CASH
~`
8i gnature: ~~G~-t/ .~
Weighwaster Signatures -
j Weighnaster license #:0e0936
~._., _.r, ~ '
;.~
Total
~ ~s~-
Transaction No.
95381
Date 'f-ee
In ' 01/30/~01+~ 1.1..:05_-
Out 01 /30/010 i'1 ; i 7'
G oSS: 4.71 to thl)
T r~: 4. ifs to
Net :, ~+. 55 to
Toni:! O. SS to
',
N t # ~ 48. 70
~iRPi g ',Fee ~ t8. 00
Fuel Sur hangs #
Tot a~ l :,(~ * 4A. 70
Boyd E. Diller
i x,82@ Wertzville Road
Eno1a, aA 1725
717-768-8443
iUehicle ID: 1-YRF-996Q!
Acco~~nt ID; MISC CASH
Material ID; COMB. CD
i
Comments:
Aayment Type: CASH
11
i
', Signat~~re:
Weighmaster Signature: _.L
~: Weighmaster liceri~e #:fh~4'~3S
_~ r~ r; -F d Y - _ - - -.. - - ..
~~ ~ Transaction No.
95424
_ ~ I ...Date Time
-Ina Q~2/01/2014 13:27
Out : ~2t~11 /~@itZ~ 13:42
Gr s~ a 4.94 to (M)
Ta e ~ 4. 29 to
Ne tD. E~5 to -_
Total Ton :I, 4.65 to
I
~~~ N t,: ~ 57.56
Tippi y', Fee ~ 4.4~'
Fuel Sur Marge ~ '
Tbta1: ~- 57.5E
~...~-
~~
. ~ . VUalmart:';~ .'.
Save money, Live butter. j ~a' ~a ~ l ~'~..
MANAtiER~ STEVEN MYERS Save money. Live be art.
717) 691 - 3160 MANAGER STEVEN
a OPi 00007696 TEi 17 TRi 00706
6.0o x (717) 691 - i
CB~SAND ROLL ~7~9~6 F STi 1886 OP1 409 TE 16 TRi 02632
16 OZ RING 068113171393 F Z•b0 0 TOSTITOS 00 F' 2.98 N
TOSTITOS 002810006408 F 6;98 N ~ H0~( 076 11 I 0.25 T
SYIF 16CT LV 00~T0~15848 1.47 X YAS 1.00 YOU SAVED O.T6'
SYIF YET DRY 003700030942 8.00 X HANGINti FILE 00713191621 ' 6.00 X
Eq EFF PAIN 068113169986H GOOFBALLS 061 ' 3.44 X
1.97 N TOMS 030 1607416 H '~ 3.18 N
SI~VIR T~EL~E 006 5.94 X GV 1 LF IB.K 00_T>~T~ . F' 1.74 N'
SYIF i2CT LV 003700016846 2.97 X SEC FILE 00490740090 38.00 X
iil1MIDIFIER 001619133648 4.47 X SUBTOT L ', 55.09
13.00 X .TAX 1 6.000 % 2.81
C~'ON 37000 053 SUiTOTAI 65.30
COUPON 37000 700021282 7.00-0 SHO EI~NGCTTE ', 35.90
COUPON 37000 0700021193 4.00-0
3700021282 2.00-0 CHANGE 0.00
_ TAX 1 6,ppp %AL 47.30
TOTAL 49;g~ SHOP.CARD REDEMPTION 122.00
ECA CHECK TEND 19,91 ~ ACCOUNT 106612446086
CHANGE DUE 0.00 APPR. CODE ^ 875195
Yhen you pay ba REF 10333248
us to use !ts infcohr~tt~uta ~~sss Hes 8a1 Tren Aat End al
an Electronic F x•00 22.00 000'
a draft draYn on yourr~count~Eor)to 01/02/10 20:44:07
process the pay~ent ~ a check. If
pay~cnt is returned unpaid, aou Yhen you pea by check, a thorize
authorize collection of your pay~ent ua to use its lnfor~ati tb process
and the Return Fee belt by EFTis) or an Electronic Funds Tran fe (EFT) or
draft(s) drarn on your account. Call s draft dreYn on your aC t, or to
888-906-3388 Ylth any questions process the paypent as a ch ck. If
RETURN FEE AMOUNT 30.00 pay~ent is returrnd'unpa d,~aou
# ITEMS auti~ise collection of peyaent
SOLD 11 and the Return Fee beloY by EFTis) or
draft(s) dreyn on your cot. Call
TCi 3831 1609 6645 6178.9497 888-~-3388 Ylth any q stlens
I ~ RETURN FEE AMOUNT 30.00
Tax Prep in store a{ ~ ~ ~ ITEMS SO ~ Z
and f3 Check CashlnaJ etsyal~arttt TC1 TT4T 9851 6792 1 7901
tf?~?ftflp 00:04:12 I ~ rl
Ye want tiiou to pay the t prlu.
Ask about our prics ~a policy.
01!02110 20: 7:139
_..•
r
616LOT~
Hills Shopping Center #01413
. 3437 Simpson Ferry Rd.
Camp Hill, PA 17011
(717) 730-0101
02/14/2010 6:01:29 PM EST
Trans.: 5138 Storer 01413
Res.: 001 Ti1l:mes01
Cashier: 1488086 Sales: 1488086
SALE
{~II~~I~I~IIII~~~I ~I
01413001513820100214
- -_ _ ._ _ .
CONTRACTOR BAGS 42G 20CT 7.00 7
130010828 1 @ 7.00
Sub-Total 7.00
PA 6R Taxable 7.00
PA 6X Tax 0.42
Total Sales Tax p,qZ
Total q. 4Z
Cash 20.00
Total Tar.rier• 20.00
Chia,, ,~.:, -1Z.58
LC1
LOYE'S HOME CENT RS, INC.
5500 CARLISL PIKE
NECHANICSBURB, PA 17050 (717) 610-9230 .
I
- SALE
SALES t: 522238Y1 101835 ' 01-29-10
211564 8 OZ OLD ENGLISH LINON OI 3.28
127394 32 OZ KRUD KUTTER 6A~AS 11.96
2 6 5.96
99192 PT 601D METAL/PATI A 6k.AZ 11.99
33039 QT.PREN.INT.FL 8SE 3 700 1.00
SUBTOTALI 28.22
TAX 1.70
INVOICE 04896 TOTAL 29.92
CHECK 29.92
STORE: 2ZZ3 TERMINAL: 04 0,1/29110 15:23:29
~ OF ITEMS Pl7R RAISED : 5
EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
IMI~OMIOnq;a,~n,ro.~,....:.,~,~.~~„a.m:,nm» a~rh~h'niGnmr~r~i~:~
- +P '
r'
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717) 249188 Fax: (717) 249-2883 i
February 19, 2010 ~
Cumberland Law Journal is published every Friday by the Cumbe and County
Bar Association and is designated by the Court of Common Pleas as the o~Ficial legal
publication for Cumberland County and the legal newspaper for publicati nl of legal
notices.
TO: R. Mark Thomas, Esquire
I
RE:
James. J. Colban Estate
Legal advertisements must be received by Friday Noon. All legal d!vertising
must be paid in advance. Make all checks payable to: Cumberland Law Jdurnal.
Advertisement inserted on following dates:
February 5, February 12, and February 19, 2010
Advertising Cost $ 7 .a0
Proof of Publication $ .p0
Second Proof Request $ .~0
Payment received $ 7 .b0
i
Total Amount Due $
O.bO
Becky H. Morgenthal, Executive Director
f
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL ''
(Under Act No. 587, approved May 16, 1929), P. L.1784 ~',
I
COMMONWEALTH OF PENNSYLVANIA ~
ss. ~
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of ~ County and
State aforesaid, being duly sworn, according to law, deposes and says that the C Berland Law
Journal, a legal periodical published in the Borough of Carlisle in the County an Mate aforesaid,
was established January 2, 1952, and designated by the local courts as the offici regal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attac ell hereto is
exactly the same as was printed in the regular editions and issues of the said C Borland Law
Journal on the following dates,
viz:
1
Affiant further deposes that he is authorized to verify this statement by e Cumberland
Law Journal, a legal periodical of general circulation, and that he is not intereste iti the subject
matter of the aforesaid notice or advertisement, and that all allegations in the for going
statements as to time, place and character of publication are true.
Coyne, F,r~`itor
SWORN TO AND SUBSCRIBED ~e~ore me this
19 day of February, 2010 ~
~ ~ ~
Colban, James J. a/Ii/a Jim Col-
baa, deed.
Late of the Borough of Mechanics-
burg.
Executruc: Rose Marie Neidig, 123
East Locust Street, Mechanics-
burg, PA 17055.
Attorney: R. Mark Thomas, Es-
quire, Attorney at Law, 101 South
Market Street, Mechanicsburg, PA
17055.
Notary
DEBORAH A OILLiNS
Notary P oil
CARLISLE EORO, CUt~A ER~AND COUNTI
My Commission Expi es ;Apr 28, 2010
_ _ _ T. _~~
ThP Patriot-News Co.
812 Market St. e ~ rlo ~ ews
Harrisburg, PA 17101 Now you know
inquiries - 717-255-8213
R. MARK THOMAS
ATTN: JOETTE L. MCGOWEN
101 SOUTH MARKET STREET
MECHANICSBURG PA 17055
~O ~ ~ ~ T CHARGES ARE NET
ACCT # NAME AD ORDER # DATE EDITION ADDTL. INFO. pE OF CHARGE AMOUNT
'x5242 R. MARK THOMAS 0002041320 02/05/10 METRO WEST ~ iOL'D TEXT CHARGE $4.00
35242 R. MARK THOMAS 0002041320 02/05/10 METRO WEST ASIC AD CHARGE $48.70
35242 R. MARK THOMAS 0002041320 02/12/10 METRO WEST ASIC AD CHARGE $48.70
35242 R. MARK THOMAS 0002041320 02/19/10 METRO WEST ASIC AD CHARGE $48.70
DAVIT CHARGE $5.00
TOTAL:
REMITTANCE ADDRESS
The Patriot-News Co.
23794 Network PL
Chicago, IL 60673-1237
$155.10
Please include the Account # or Ad Order # (above) with your remitta'~ce--Thank You
NOTE: This Invoice replaces the Order Confirmation which we previously sent with Proofs of Publication
Thee°atr-.ot-News Co.
812 Market St.
Harrisburg, PA 17101
Inquiries - 717-255-8213
R. MARK THOMAS
ATTN: JOETTE L. MCGOWEN
101 SOUTH MARKET STREET
MECHANICSBURG
~he~latriot News
NOw you know
PA 17055
THE PATRIOT NEWS
THE SUNDAY PATRIOT NEWS
Proof of Publication
Under Act No. 587, Approved May 16, 1929
Commonwealth of Pennsylvania, County of Dauphin} ss
Marianne Miller, being duly sworn according to law, deposes and says:
That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the
commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market treet, in the City of
Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-News and he Sunday Patriot-News
newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, Co my and State aforesaid; that
Tne Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and. September 8th, 1949, respectively, and
all have been continuously published ever since;
That the printed notice or publication which is securely attached hereto is exactly as printed nd published in their regular
gaily and/or Sunday/ Metro editions which appeared on the date(s) indicated below. That neither she nor said Company is
nterested in the subject matter of said printed notice or advertising, and that all of the allegations oft is statement as to the time,
dace and character of publication are true; and
Thac she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on
cehalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed ~nd adopted severally by the
stockholders and board of directors of the said Company and subsequently duly recorded in the offic for the Recording of Deeds
in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. ~,
PUBLICATION COPY This ad # 0002041320 ran on the dates sh~wn below:
February 05 2010
_ C ~ 'i February 12, 2010
ssri-rEfwrlcE
ef February 19, 2010
L
lsrs Tastaynontpry sn iM Estah of "
Jomss 1. Cotban atJcla:,JNn COIb011. Mfs
of1M ao-auDA oYMedia~xp, l' /~
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Cwnberlarw f:oiinty. Paraylwnlw
d~ClO'i~d.'t1O1M b~~f10r011NdtO.1M~ ,. .
//
.
undsrsipnsd, all venom a+ow+n0 .
MumsoWss ro bsindobtsd fs a1d estate
~
"'f°"'°k'°°""'~"t'm"~.awr.~,,,~_
those hovlnY etalms w111 praenf tMm Sworn to nd bscribed before
e is day of February, 2010 A.D.
for asttleR~eM to - ~. L
,.
Rase Marts NaR11Q . - ~ i
'127 East Lsan1'Sfmt
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R:MarkTr,,,,,~ Nota
ry Public
Attormypt LOW r .
101'South Market Street _
AMManlaburG. PA 17055
COMMONWEALTH Of PENNSYLVANIA
Notarial Seal
Shortie L tC.gner, Notary PtttlYc
Clty Of Hertieburg, t)auph~f County
NN ~ Expirett Nov. 26, 2011
Member, ?ennsyivanta Association of Notaries
~_
CLAUSER REAL ESTATE APPRAISALS, LLC
P O Bo% 777
Camp Hill, PA 17001-0777
Telephone: 717-737-7300
FAX: 717-730-0922
~ ~.m«~
From:
George C. Clauser, SRA
Clauser Real Estate Appraisals
P O Box 777
Camp Hill, PA 17001-0777
Telephone Number: 717-737-7300
Date:
Invoice Number:
Federal Tax ID:
FAX Number:
TO: R. Mark Thomas
Attorney At Law
i Ol South Market Street
Mechanicsburg, PA 17055
Telephone:
Property Address:
717-796-2100
Estate of James J. Colban
1 East Main Street
Mechanicsburg, Pa 17055
FEES FOR:
Market Value Estimate
AMOUNT DUE AND PAYABLE UPON RECEIPT
PLEASE MAKE CHECKS PAYABLE TO AND MAIL TO
CLAUSER REAL ESTATE APPRAISALS
P O BOX 777
CAMP HILL PA 17001-0777
THANK YOU, YOUR BUSINESS IS APPRECIATED
1 East Main Street, Mechanicsburg, PA 17055
April 1, 2010
1 b-0223 C-2
'26-1647066
717-730-0922
AMOUNT
$1,000.00
$1,000.00
~R 30 DAYS
10-0223 C-2
e.
.o ~
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G~
~
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UU
-
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- ~~ • ~~, kLock ,Sa-
~ - fe . &~~ ~ecu~~t~ :I'nc. 7~~2
.
- ' (717). 761-6337 .' :.
(717) 657-9545 ` (71.7) 258,-9797 -
' TECHNICIAN - INV ICE DATFS O . C
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Fax (717) 975-041.1 ` Po. -
EIN # 20-0046383 PA'13675 - -
• CONTACT-.
C
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+ JOB NAME/
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JOB LOCATION
I ~ • ~ G .. ~ r
CITY AA
{4'~~~ STATE ~ ZIP
PHONE ~~~ ~ r f G, ~ LI io
A) I hereby acknowledge satisfactory performance and completion of all services speci5ed herein and that I have received all keys andlor combinatioos. I furt~rer acknowledge that I u»detstartd the printed and/or
verbal instructions and warniogs.I have received from the technician. I certify that [have tested the safe(s), lack(s), keys and/or combinations and that they aro fuocGoning ttormally and satisfactorily.
B) I hereby agree to absolve, defend, indemnify and hold harmless-. the owners, management, employees, subcontractors and agents of Dury's Lock & Safe froth aoy and au claims arising fiom the authorized
ppee onnana o the tegttested, specr6ed and acknowledged services descnbed herein.
C) I further acknowledge aad certify that I-have read this entire agreement,,7~ that.
behalf of and of t the direction of my employer(s), and that by doing so I am obit ating,y m to.be re Y Bible for d o pa y and all ch I-also certify t~ I am authorized to enter-into this agreement on
g tetras. In consideration of the granong of credit
terms to us, Uwe also agree to pay an and all late fees, penalties, interest, as well asYaft and 1 att fees, ourt costs t by ty s Lock .~ Safe in the evem that coDection or legal action
y~cones Here to ver ao and all amounts owed as a result f ths obhgauoa.
Late paymeM~a 1.5f%px mt~tlr comptwndad monthly until pald~n full / / /
C.O.D. ^ OPEN ACCOUNT ^ SHOP J~ ROAD NA E ..RUTH RIZED RES NSIBLE PA PRINT r1AME TITLE DATE
O WORK TO BE DONE
X WORK COMPLETED
Electronic Lock
j ttectrontc smxe
O Card Reader -
~ Ke Switch
U Power Sup I
w Intercom 3 tam ,1
Ma Lock
Misc. ~ 7 't
~ DVRMVR
j Monitor
Misc.
Master Ke
Knob/LeverLock
Deadtwlt
Entrance Handle Set
rn
~ Moritse Lockset
o Exit pevice
Aluminum Frame Loc
Door Closer
SateNault
Safe Lock
tw Combination Change
N Safe Delivery
Safe Opening
Misc. Parts
AFTER HOUR/EMERGENCY
EMERGENCY OPENING
NOTF,.ES:
• ~~ ,i,~~`," ~~ ,.. ;' SAFE COMBINATION CHANGES
2°g y~P rd Q~as ~?°j'~p ~f'.
CYLINDERS REKEYED
CYLINDERS MASTER KEYED
~. SERVICE CHARGE
fL
,'Q,~
'-J ;
AFTER HOUR /EMERGENCY RATE
SUB-TOTAL
x+a 5"!RFgp'.r~1~':'3;'f"i3G i:'. 1~!-t"+~,.vt~, 'i1~1:
~, DUPLICATE KEYS ~'
ORIGINAL KEYS
DEADBOLT (TYPE)
J
a : KNOB/LEVER (TYPE)
r,
,.~ ,.~~„ .fir,
0
G t1
~ ~.~U
~U. dU
TOTAL LABOR
SUBTOTAL
SALES TAX
DEPOSIT
'~, - i
f .
~~- ' ~
-~-
'^ CU. ~G:
35 1Gu
-~-
~f• ;c~:
TOTAL I ~~~
,red by DFKr't.NET Evaluation
(~uote#: s7sittf
VacandRcnovation Ap~liiration
Agent Name : pale Wasnerla~ Asency
PA PLICANT INFORMATt0~1
insured Name: RosE NEtnrc
rt~cctivcDatc: tnlno]o
Expiration bate: 7ntntn0
Mailing Address: 123 E LOCUST sT
City Mech~aicabar¢ State PA Zip 17(1,45
Location AddreaS t E MAm( ST
City Mnchanieabur~ State PA Zip )~
Mortgage Company
.Address
Ciry State zip
Loan #
Mortgage Company
Address
City State Zip
Loan #
C VF.]LA JP-LIMITS O LIA6I f
Limit
Existing Dwelling
3no,aoo
Improvcmcnt.~
Total Value 3Q0~~
Personal Property
Personal Liability ano,aoo
Medical Payments s].ooo
Credits Io.ooi.
Policy Fee
Inspection Fee
surplus lines tax
Stamping Fee -PA/AK
Total
Policy Form: Ha3_
Phone 7]76970399
Premium
51 ~26(I.00
S]50.tN1
Incl.
(5116.001
t4(1.o0
S38Sz
Szsoo
-------
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Click here to unlock PDFKit.NE; I'
Atlantic Specialty Lines, inc. ~~~~~C~' Pa9o i a ~
www.adanticspecial.com
• 1-80Q-368-095
Agoncp Gode: ', 41325101
Involeo #: 16934104
Insured ROSE NE1DfG Installment #: I, n
123 E LOCUST ST tmrolco Dato: ~ 7/8/2010
Mechanicsburg PA 17055 Duo oato: 7/2fi/2010
Broker Dale Wagner Ins. Agency Remlt 7o Atlantic Specialty Lines ~f I~ennsylvania, LLC
2642 Walnuk Street P, p, box 35723 ',
Harrisburg PA 17103 Richmond, VA 23235
PAY TMIS POLICY ONLINE www.otlantlc+oeciot.com , rilctc on "SIMPLE Poy" and choose Direct a ll.
AT andlnSl balaltcc may nol match tho total amount due shown on thls Invdc .
**"lf you have already paid for thls policy please dlsrggard thrs invores
_Llne Code _ - - - Tran code - - - - - _ E1Y Date - - _ -Amount - _ Agent Gomm - - _ -Agent Gom
Home Premium 07/11/2010 X990.00
Home pAStamp 07/11/2010• $25.00
Home Surpls Tax 07/11/2010 X29.70
Wome POLEEE 87/11/2010 350,00
tnvotcotatal: $1,094.70
please Detach and Retwn Bottom Pvrtlon vNth Payment
m t?ct. - - - - - Amount
.1AMES J. COLfBAN ~ 127'1
1 E MAIN t3T
MEGHANIC59UfIG, PA 170553852 17tte ~-Ix~~~
Nay tq tl~a ~~, {} ~. V~.l~l. ~'~Q/l ~~
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