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HomeMy WebLinkAbout10-19-10 t 1505610140 REV-1500 EX (01-10) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 0 9 0 1 0 5 5 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 7 0 2 4 2 0 0 6 1 0 1 0 2 0 0 9 0 1 1 0 1 9 3 0 Decedent's Last Name Suffix Decedent's First Name MI B A R N H A R T V A L D 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 OF WILLS FILL IN APPROPRIATE OVALS BELOW a 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) ^X 6. Decedent Died Testate ® 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ® 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) I.VKKtJF'VIVUCIV 1 - I r'lIJ Jtl-1 IUn mUJ I [St l.VmrLt I tU. HLI. IiVKKCJrVIYUCIY~.C HIYU VVIYr'IUCIY I IHL I NA IIYr'VRmA I IVIY ~71lVULU DC UIRG1.r A Cv 1 V. Name Daytime Telephone Number R O G E R B I R W I N 7 1 7 2 4 9 2 3 5 3 First line of address 6 0 W E S T Second line of address City or Post Office C A R L I S L E State P A ZIP Code ~ 1 ? 0 1 3 ~-- REGISTER ~fj WILLS U8f.~ONLY - _~ ~ , ' _ , .. ~ ----- ;. ~ ~ ,. ~~ j .. .. ~ _~_ ~ - DATE FILED ;,:,:' Wit, Correspondent's a-mail address: KNOEL _IRWINMCKNIGHT.COM Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF E SON RESPONSIBLE F R FILING RETURN DATE, ADDRESS *`" 60 WEST PO RET STREET CARLISLE PA 17013 SIG'~~,~1~t ' P~ R~ T~~_REPRESENTATIVE ~©/~~~~ DATE 11 HAMMOND ROAD WALNUT BOTTOM___ PA 17266 PLEASE USE ORIGINAL FORM ONLY P O M F R E T S T R E E T Side 1 1505610140 1505610140 r Oh20'C95054 Oh2029505'C Z aP!S 1N3WJldd213A0 Nd ~O dNfld321 d JNIlS3f1D321 3214 f1OA dl ldAO 3Hl NI llld 'OZ .6~ ....... ............................................... 3f1a XVl '6L 0 0 ' 0 8 L 0 0' 0 5 ~' X a}e~ lea}elloo }e algexe} ~~ aul~ ~o }unouay ~g~ 0 0 ' 0 ~L ~ 0 0' 0 z ~' X a}ea 6ullgls }e algexe} ~ ~ aul~ ~o }unouay 'L ~ ~ S ' 9 z 9 ~ 'g~ E t~ 2 9 2 Z E 5~0' x a}e~ leaull }e algexe} ~ ~ aul~ }o }unouay •g ~ 0 0 ' 0 .5 ~ 0 0' 0 0' x (z' ~)(e) 941.8 ~oaS ~apun s~a~sue~} ~o 'a}e~ xe} lesnods ay} }e algexe} ~~ awl ~o }unouay 'S6 S31b21 318V~ildd`d 2104 SNOIl~f1211SN1 33S - NOll~dlfl0lV~ Xdl E +~ ' 2 9 2 ~. E '~l ....... ............ ' .. (£L aul~ snulu, Z6 aul~) xel o;;oafgng anleA ~aN 'til ' '£ L ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ~ ' ' ~ ~ ~ ~ (f alnPayoS) apeua uaaq }ou sey xe} o} uoi}oala ue yolynn ~o~ s}snal £ L L6 oaS~s}sanba8 le}uauau~anoO pue alge}i~e40 ~£ ~ E h ' 2 9 2 ~. E 'ZL ....... ..................... (L 6 aul~ snulua g aul~) a;e;s3 }o anleA ~aN 'ZL 6 9 ' 9 h Q ~. 9 ' 6 l ....... ........................ (0 L pue 6 sauil le}o}) suo!;onpaa Idol ' L L S h ~1 ~1 E D S 06 ....... ...... (I alnpayoS) sual~ pue `sal}illgel~ a6e6}~ow '}uapaoad ~o s}qad •0~ h 2 2 0 S Z ~ .6 .. ... ...... .... (H alnpayoS) s}sod and;ea}sluluapy Pue sasuadx3 le~aund •g 2 'I ' 6 0 2 S 0 'I '8 ........................... (L y6nwy} ~ saul~ le}o}) s;assd sso~O la~ol '8 • 'L ~ ~ ~ ~ ~ ~ ~ pa}sanba~ 6u11118 a}e~edaS ~ (O alnPayoS) ~(}~adad a}egoad- N snoauellaoslw'8 s~a~sue~l sonlA-~a}ul 'L 'g ~ ~ ~ ~ ~ ~ ~ pa}sanba21 6ulll!8 a}eaedaS ~ (d alnpayoS) ~(}~adad paunnp ~l}wop 'g 2 '~ • 6 0 ~[ E ~[ ~5 ~ ~ ~ ~ ~ ' ' (3 alnpayoS) ~(}~ado~d leuos~ad snoauellaoslw pue s}Isodad ~{ue8 `yse0 'g • .~ .......................... (4 alnPayoS) algenlaoa21 sa}oN pue sa6e6}~ow ~~, ~£ ~ ~ ~ ~ ~ (~ alnpayoS) dlys~o}al~doad-agog ~o dlys~au}~ed 'uol;e~od~o0 plaH Rlaso10 ~£ • .Z ...................................... (8 alnpayoS) spuo8 pue s~loo}g •Z 0 0 0 0 0 2 6 . ~ ........................................... (b alnpayoS) a}e}s3 1ea21 • ~ NOllb~lfllldb~~321 9 0 0 2 h 2 O Z ~C .1.~dHN~118 dQ1~/n :aweNs,luapa~aa ~aquanN ~(;unoag leloog s,}uapaoaa X3 0051-/321 Oh2029505'C r FtEV-' ~ EX Page 3 Decedent's Complete Address: File Number 21 09 01055 DECEDENT'S NAME VALDA BARNHART ___ STREET ADDRESS 4203 CARLISLE ROAD - _ CITY GARDNERS STATE I ZIP PA ~ 17324 Tax Payments and Credits: ~. Tax Due (Page 2, Line 19) (1) 1,676.81 2. Credits/Payments A. Prior Payments B. Discount Total Credits (A + B) (2) 0.00 3. Interest (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1,676.81 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred : ................................................................. ..... ^ ^ ^X b. retain the right to designate who shall use the property transferred or its income; .......................... ..... ^ 0 c. retain a reversionary interest; or ........................................................................................... ..... ^ 0 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? .................................................................................. " ° ..... ^ ^ ^X 0 or payable-upon-death bank account or security at his or her death? .... in trust for 3. Did decedent own an ..... 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ............................................................................................. ..... ^ ^X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 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 surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 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 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 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 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, undE Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1~5"~' EX+ (01-10) Pennsylvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: VALDA BARNHART 21 09 01055 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 property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 4203 CARLISLE ROAD, GARDNERS, PENNSYLVANIA 92,000.00 APPRAISAL ATTACHED TOTAL (Also enter on Line 1, Recapitulation.) I $ 92,000.00 If more space is needed, use additional sheets of paper of the same size. REV-',:~i38 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF VALDA BARNHART FILE NUMBER 21 09 01055 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. MEMBERS 1ST FEDERAL CREDIT UNION 5.00 SAVINGS ACCOUNT #68936-00 2. MEMBERS 1ST FEDERAL CREDIT UNION 586.91 CHECKING ACCOUNT #68936-11 3. MEMBERS 1ST FEDERAL CREDIT UNION 10,899.21 CERTIFICATE OF DEPOSIT #68936-42 4. PERSONAL PROPERTY -APPRAISAL ATTACHED 1,618.00 SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY TOTAL (Also enter on line 5, Recapitulation) I $ 13,109.12 (If more space is needed, insert additional sheets of the same size) REV-4F~'1 EX+ (10-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER VALDA BARNHART 21 09 01055 Decedent's debts must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. DUGAN FUNERAL HOME, INC. 8,884.00 B 2. 3. ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: Attorney Fees: IRWIN & McKNIGHT, P.C. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant F,000.00 4 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Street Address City State ZIP Relationship of Claimant to Decedent Probate Fees: REGISTER OF WILLS Accountant Fees: Tax Retum Preparer Fees: PATRICIA A. ROSENDALE, CPA REGISTER OF WILLS -FILING FEE THE SENTINEL -ESTATE NOTICE CUMBERLAND LAW JOURNAL -ESTATE NOTICE ROY D. GOTTSHALL, APPRAISAL ON PERSONAL PROPERTY STEVEN W. BARRETT -APPRAISAL ON REAL ESTATE GROUNDWATER SERVICES INTERNATIONAL, INC. POSTAGE UPGRADE ELECTRICAL PANEL, BREAKERS, OUTLETS 248.00 350.00 30.00 187.54 75.00 55.00 350.00 1,100.00 5.00 217.70 TOTAL (Also enter on Line 9, Recapitulation) $ 17 502.24 If more space is needed, use additional sheets of paper of the same size. R IREV-1 S12 EX+ (12-08) { , pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF VALDA BARNHART FILE NUMBER 21 09 01055 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MEMBERS 1ST FEDERAL CREDIT UNION 4,041.88 VISA #4672090000160143 2. MEMBERS 1ST FEDERAL CREDIT UNION 18,410.88 LOAN ACCOUNT #68936-05 3. MEMBERS 1ST FEDERAL CREDIT UNION 351.26 LOAN ACCOUNT #68936-08 4. M&T BANK -OVERDRAWN BALANCE 186.11 5, M&T BANK -LINE OF CREDIT #12044448986094998 11,599.23 6. WEST SHORE EMS -AMBULANCE 978.72 7. YELLOW BREECHES EMS, INC. -AMBULANCE 620.OC 8. CARLISLE REGIONAL MEDICAL CENTER -MEDICAL 50.OC 9. CENTURYLINK -TELEPHONE 417.8E 10. PHILIP D. CAREY, MD -MEDICAL 15.OC 11. HSBC/BON-TON -CREDIT CARD #0002116010102387848 5.8E 12. M&T BANK -MORTGAGE LINE OF CREDIT PAYMENTS 560.6 13. STATE FARM INSURANCE -HOMEOWNERS INSURANCE 338.1 14. MET-ED -ELECTRIC 759.8` 15. WALMART -CREDIT CARD #6032-2074-2086-8366 384.1E TOTAL (Also enter on Line 10, Recapitulation) I $ 50.344.45 If more space is needed, insert additional sheets of the same size. ,- VALDA BARNHART Decedent's Name Continuation of REV-1500 Inheritance Tax Return Resident Decedent Page 1 21 09 01055 File Number Schedule I -Debts of Decedent, Mortgage Liabilities, & Liens ITEM NUMBER DESCRIPTION AMOUNT 16. JCPENNEY -CREDIT CARD #089-179-223-61 1,004.25 17. PACIFIC LIFE -REIMBURSEMENT OF PENSION PAYMENT 123.05 18. CAROLYN R. McQUILLEN, TAX COLLECTOR -REAL ESTATE TAXES 1,395.49 19. CITIFINANCIAL -PERSONAL LOAN #7311 9,102.06 SUBTOTAL SCHEDULE I 11,624.85 GRAND TOTAL SCHEDULE I $ 50, 344.45 REV-15i'5tX+ (O1-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: \/DI r10 R/~RNI-14RT 21 09 01055 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE j TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. MICHAEL L. BARNHART Lineal 12,420.81 11 HAMMOND ROAD 1/3 REMAINDER WALNUT BOTTOM, PA 17266 2. DONALD W. BARNHART, JR. Lineal 12,420.81 367 WHISKEY SPRINGS ROAD 1/3 REMAINDER DILLSBURG, PA 17019 3, TIMOTHY R. BARNHART Lineal 12,420.81 1483 GOODYEAR ROAD 1/3 REMAINDER GARDNERS, PA 17324 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN.ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE. jj, NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, use additional sheets of paper of the same size. ~' ~ ' ~ LAST WILL AND TESTAMENT OF VALDA BARNHART I, VALDA BARNHART, a legal resident. of Dickinson Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature .and by whatever jurisdiction imposed, shall be paid from my residuary estate as apart of the expense of the administration of my estate. THIRD: I devise and bequeath the residue of my estate, of every nature and wherever situate, to my three sons, Donald W. Barnhart, Jr., Michael L. Barnhart, Sr. and Timothy R. Barnhart, equally, provided that the share of any son who predeceases me or dies on or before the thirtieth day following my death shall be distributed to his issue, per stirpes, living on the thirty-first day following my death, and in default of any such then-living issue, such share shall be added to the share or shares for my other sons. SEVENTH: I nominate, constitute and appoint my son, Michael L. Barnhart, Executor, of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability to act for any reason whatsoever of the said Michael L. Barnhart, I nominate, constitute, and appoint Donald W. Barnhart, Jr., Executor, of this, my Last Will and Testament. I hereby relieve my Executor or his successor from the necessity of posting security in connection with their duties as such in any jurisdiction in which they may be called upon to act, insofar as I am able by law so to do. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three typewritten pages, each of which bears my initials, this ~ ~ day of .S~' GQ~E~P , 1999. ~.~~~C~~-~~ - - ~ (SEAL) Valda Barnhart, Testatrix h ~ ~ ~ v Signed, sealed, published, and declared by the above-named Testatrix, Valda Barnhart, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. I, Valda Barnhart, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by Valda Barnhart, the Testatrix, this z'7 day of ~~~ ~ , 1999. Testatrix, Valda Barnhart Notary Public _~.. rJU'a:'.i~fl1 SEAL UPIDA A. ROHM, NOTARY PUBLIC CARU6LE BORO, CUhigERLAND CO., PA MY COMMISSION EXPIRES JULY 21.2x03 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, Edward L. Schorpp and /~.~.~.~" .~' ?•®l~9.S7.t~P ,the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to Iaw, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that Valda Barnhart signed willingly and that she executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen or more years of age, of sound mind, and under no constraint or undue influence. Sworn or affirmed and subscribed to before me by Edward L. Schorpp and ~-~ ~~. 1Z• ~~~w~~n~ a ~ ~ ~.. ,witnesses, this day of , 1999. (SEAL} Witness, Edward . Schorpp EAL) Witne ~-3-,~cl~z- ~~ ~~ ~ (SEAL) i~I.atar-v _Publ~.c ..._..~,._....~. ai+~:~., t;al.S1:AL LINDA A. RaHM~ NOYARY PUBL6C CARLJSL,E 80R0. CUMBERLAND CO.. PA MY COMMISSION SXPfRES JULY 21,2403 ~~ S. W. Barrett Real Estate S Appraisal Services `. File No. 09-0446 APPRAISAL OF t. ~~ J , -„I LOCATED AT: 4203 Carlisle Road Gardners, PA 17324-9087 CLIENT: Irwin 8 McKnight 60 West Pomfret Street Carlisle, PA 17013 AS OF: October 10, 2009 BY: Stan A. Skowronek Certified Residential Appraiser S. W. Barrett Real Estate ~ Appraisal Services Fne No. 10!2612009 tnnrin 8 McKnight 60 West Pomfret Street Carlisle, PA 17013 File Number: 09-0446 In accordance with your request, I have appraised the real property at: 4203 Carlisle Road Gardners, PA 17324-9087 The purpose of this appraisal is to develop an opinion of the defined value of the subject property, as improved. The property rights appraised are the fee simple interest in the site and improvements. In my opinion, the defined value of the property as of October 10, 2009 is: $92,000 Ninety-Two Thousand Dollars The attached report contains the description, analysis and supportive data for the conclusions, final opinion of value, descriptive photographs, assignment conditions and appropriate certifications. Respectfully submitted, Stan A. Skowronek Certified Residential Appraiser 1 • 1 Effecttve A .e Yrs 20-2 5 Screens Yes lAv X Drivewa # of Cars 2 Attic X None Heatin FWA HW X Radiant Amenities WoodStove s # D ' surface Macadam Dro Stair Stairs Other Fuel Elect Fire laces # Fence X Gar e # of Cars 1 Floor Scuttle Conlin Central Air Conditionin PafiolDeck X Porch rt # of Cars Finished Heated Individual Other Pool Other Att. X Det. Built in A liances Refri erator X Ran elOven Dishwasher D' osal Microwave WasherlD r Other describe ~ Finished area above rade contains: 5 Rooms 3 Bedrooms 1 Bath s 1 056 S uare Feet of Gross Livin Area Above Grade Additional Features Front orch. Comments on the Improvements Im rovements are in avers a condition with no h ical or functional inade uacies noted. ~'"' Page 1 of 2 ~ ~ ~ (gPAR^') General Purpose Appf8L91 Report ]1J20D5 GPM10at 05081120aa t gener:~inurpu_appro~,al, epo-l SUMMARY APPRAISAL REPORT 4 Residential Appraisal Report File No. 09-0446 '• ADDENDUM Client: Irwin 8~ McKni ht File No.: 09-0446 Pro Address: 4203 Carlisle Road Case No.: Citv: Gardners State: PA Zip: 17324-9087 Neighborhood Market Conditions List/Sale ratio approximately 95°~. I have considered relevant competitive listings andlor contract offerings in the performance of this appraisal and in the trending information reported in this section. If a trend is indicated, i have attached an addendum providing relevant competitive listinglcor>Itract offering data. Local multi-list data indicates stable market in the past calendar year with no appreciation in the subjects market area, with an average marketing time of 90-180 days. Economic trends and lending rates have remained favorable. Sales concessions are occuring more frequently; however, there is no known prevelance of unusual seller financing concessions or buydowns. There are new homes under construction in surrounding developements, as well as resales available in the neighborhood. Addendum Page 1 of 1 ~ ~ s SUMMARY APPRAISAL REPORT Residential Annraisal Reuort Fle No. 09-0446 FEATURE SUBJECT COMPARABLE SALE N0.1 COMPARABLE SALE N0.2 COMPARABLE SALE N0.3 4203 Carlisle Road Address Gardners 17324 365 Old State Road Gardners 17324 22 E. Pine Street Mt. Holl S rin s 17065 208 N. Baltimore Avenue Mt. Holl S rin s 17065 Proxim' to sub' t 1.92 miles NNE 4.95 miles N 5.06 miles N Sale Price $ $ 88 000 $ 99 900 S 80 000 Sale PricelGross Liv. Area s 0.00 . n s 107.06 . n - S 123.33 . n s 77.52 . n Data sources Ins 'on CPMLS 10172326 CPMLS 10171546 CPMLS 10165338 Verification Sources COUrthOUSe COUrthOUSe COUrthOUSe COUrthOUSe VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION - s usunera DESCRIPTION H• S DESCRIPTION +(-)5 usanent sale or Financing Concessions None, Conv DOM 177 $4,500 CI. Csts Conv DOM 39 $1,600 CI. Csts Conv DOM 99 Date of SaleRme NIA 08/31/2009 0212512009 10116/2008 Location Suburban Suburban Suburban Suburban LeaseholdlFee Sim le Fee Sim le Fee Sim le Fee Sim le Fee Sim le site .30 Ac/Av .55 Ac/Av -1 250 .18 Ac/Av .12 Ac/Av view O n coun O en coup Residential O en coun Desi n s le 1 Sto 1 Sto 1 Sto 1 Sto al' of construction Avers a Avers a Avers a Avers e Actual A e 57 Years 84 Years 51 Years 69 Years Condition Avers a Avers a Avers a -5% -4 995 Avers e Above Grade reef a Baths recd a saes raal Bdma. saes Trial saes • Room Count 5 3 1 6 2 1 4 2 1 4 2 1 Gross Liui Area 15.00 1 056 . n 822 . n 3 510 810 . n 3 690 1 032 . n 0 " Basement&Finished • Rooms Below Grade Full Bsmt Unfinished Full Bsmt Unfinished Full Bsmt Unfinished Crawl Space 5,000 Functional utif Averse Averse Averse Avers e - Heatin Conlin EBB/None FHA/CA -4 000 EBB/CA -4 000 FHA/None Ener Efficient Items T ical T ical T ical T ical Gar e1Car n 1 CarG/Wks None 5 000 None 5 000 None 5 000 PorchlPatiolDeck Porch Porch/Deck -2 000 Encl. Porch -2 500 None 2 500 None None None 1 Fire lace -2 500 NetAd'ustment Total X + $ 1 260 + X - $ 2 805 X + $ 10 000 Adjusted Sale Price of Com ambles ` Net Adj. 1.4% GrossAd'. 17.9% 3 89 260 Net Adj. -2.8% Grt>ss '. 20.2% S 97 095 Net Adj. 12.5% crossAd'. 18.8% S 90 000 summa of sales com r ison roach O inion of value ran a is $89 000 to $97 000. Closin costs not de ducted for sale Nos. 2 and 3 since the ro ernes sold at list rice. Su lus acres a ad"ustmen t is made at $5 000 er acre. No site ad'ustment for com arable sale Nos. 2 8 3 since the are on ublic water and sewer. COST APPROACH TO VALUE site value comments A review of vacant land sales located one suitable com arable Of .44acre $58 000 or $3.03 s ft. Sub'ect acres a is 13 068 s $3.03/s ft = $39 986 -SAY - $40 000. ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE ........................................ _ $ 40 000 . Source of cost data Dwellin S . Ft @ $ ............ _ $ 0 ,• al' ratio hom cost service Effective date of cost data S . Ft (~ S ............ = S 0 Comments on Cost A roach ross I'lvi area tslculations, de reciation, etc. Cost A roach deemed a nor indicator of value. Estimated tiara e/Car rt 0 s . Ft S ............ _ $ 0 • Remainin Economic Life - 35-40 ears. Total Estimate of Cost-New ............ = S 0 Less P 'cal Functional External De reciation = S 0 De reciated Cost of Im rovements ................................ = S 0 "As-is" Value of Site Im rovements ................................ _ $ INDICATED VALUE BY COST APPROACH ...................... _ $ NIA 'INCOME APPROACH TO VALUE Estimated Morrth Market Rent S NIA X Gross Rent Mulli lier N/A = $ NIA Indicated Value b IncomeA roach • Summary of Income Approach (including support for market rent and GRM) N/A IndicatedValueb Sales Com arisonA roach 592 OOO CostA roach ifdevelo s N/A IncomeA roach itdevelo ed S N/A The Market Data Anal is su orts m o inion of value for the sub'ect. The Cost A roach was not deemed an a ro riate indicator of value and therefore was not included herein. The IncomeA roach was also deemed ins ro riate for this • anal is. This appraisal is made X "as is; subject to completion per plans and specfications on the basis of a hypothetical condition that the improvements have been completed, ^ subject to the following repairs or alterations an the basis of a hypothetical condition that the repairs or alterations have been completed ^ subject to the following: • The roe has been a raised in current condition. This is for the clients use onl . Based on the scope of work, assumptions, limiting conditions and appraiser's certification, my (our) opinion of the defined value of the real property that is the subject of this report is S 92,000 as of 10/10/2009 ,which is the effective date of this appraisal. 1M ILL genr_ril n~.i~~NOS~~:i~Pr~is.il rcl~nrc YIWII[N U911a Mt750111YN1.' glll.[.M.O/LI WWW.lpNRD.Wm ~~w ronn ~.uynlgnlV[W' Ntro MA UYL9p1W Wll4an6 xnncCS, InG. Mn1y11~1.0OlYW. Pape 2 0l 2 (pPAR"') General Pupose Appraisal Report ]7/ZGp6 GPARIOW a50a11200a S.W. Barrett Real Estate ~ Appraisal Services File No. 09-0446 f Scope of Work, Assumptions and Limiting Conditions Scope of work is defined in the Uniform Standards of Professional Appraisal Practice as " the type and extent of research and analyses in an assignment" In short' scope of work is simply whatthe appraiser did and did not do during tfie course of the assignment h includes, but is not limited to: the extent m which the property is identified and inspected, the type and extent of data researched, the type and extent of analyses applied to arrive atopinions ar conclusions. The scope of this appraisal and ensuing discussion in this report are specific to the needs of the client, other identified intended users and to the intended use of the report This reportwas prepared for the sde and exclusive use of the client and other identified intended users for the identified intended use and its use by any other parties is prohibited. The appraiser is not responsible for unauthorized use of the report The appraiser's certification appearing in this appraisal report is subject to the following conditions and to such other specific conditions as are setforfh by the appraiser in the report All extraordinary assumptions and hypothetical conditions are stated in the report and might have affected the assignment results. i. The appraiser assumes no responsibility for matters of a legal nature affecting the property appraised or tide thereto, nor does the appraiser render any opinion as to the title, which is assumed to be good and marketable. The property is appraised as though under responsible ownership. 2. Any sketch in this report may show approximate dimensions and is included only to assist the reader in visualizing the properly. The appraiser has made no survey of the properly. 3. The appraiser is not required to give testimony or appear in court because of having made the appraisal with reference to the properly in question, unless arrangements have been previously made thereto. 4. Neither all, nor any part of the content of this report, copy or other media thereof (including conclusions as to the property value, the identity of the appraiser, professional designations, or the firm with which the appraiser is connected), shall be used for arty purposes by anyone but the client and other intended users as identified in this report, nor shall it be conveyed by arryone to the public Through advertising, public relations, news, sales, or other media, without the written consent of the appraiser. 5. The appraiser will not disclose the contents of this appraisal report unless required by applicable law or as specified in the Uniform Standards of Professional Appraisal Practice. 6. Information, estimates, and opinions furnished to the appraiser, and contained in the report, were obtained from sources considered reliable and believed to be true and correct. However, no responsibility for accuracy of such items tarnished to the appraiser is assumed by the appraiser. 7. The appraiser assumes that there are no hidden or unapparent conditions of the property, subsoil, or structures, which would render it more or less valuable. The appraiser assumes no responsibil"lty for such conditions, or for engineering or testing, which might be required t0 discover such factors. This appraisal IS not an environmental assessment of the property and should not be considered as such. 8. The appraiser specializes in the valuation of real property and is not a home inspector, building contractor, structural engineer, or similar expert, unless otherwise noted. The appraiser did not conduct the intensive type of field ob~rvations of the kind intended to seek and discover property defects. Tile viewing of the property and any improvements is for purposes of developing an opinion of the defined value of the properly, given the intended use of this assignment Statements regarding condition are based on surface observations only. The appraiser claims no special expertise regarding issues including, but not limited to: foundation settlement, ba~ment moisture problems, wood destroying (or other) insects, pest infestation, radon gas, lead based paint mold or environmental issues. Unless otherwise indicated, mechanical systems were not activated or tested. This appraisal report should not be used to disclose the condition of the property as it relates to the presencelabsence of detects. The client is invited and encouraged to employ qualified experts to inspect and address areas of concern. If negative cond'N'ons are discovered, the opinion of value may be a(lected. Unless otherwise noted, the appraiser assumes the components that constitute the subject property improvement(s) are fundamentally sound and in working order. Any viewing of the property by the appraiser was limited to readily observable areas. Unless otherwise noted, attics and crawl space areas were not accessed. The appraiser did not move furniture, floor coverings or other items that may restrict the viewing of the property. 9. Appraisals involving hypothetical conditions related to completion of new construction, repairs or alteration are based on the assumption that such completion, alteration or repairs will be competently performed. 10. Unless the intended use of this appraisal specficaly includes issues of property insurance coverage, this appraisal should not be used for such purposes. Reproduction or Replacement cost figures used in the cos[ approach are for valuation purposes tiny, g'aen the intended use of the assignment The Definition of Value used in this assignment is unlikely to be consistent with the definition of Insurable Value for property insurance rAVerageluse. 11. The ACI General Purpose Appraisal Report (GPARTM) is not intended for use in transactions that require a Fannie Mae 10041Freddie Mac 70 form, also known as the Uniform Residential Appraisal Report(URAR). Additional Comments Related To Scope Of Work, Assumptions and Limiting Conditions None Produced urnq Ap solnwe, a00.Zis.are7,xvw.adweh.mm This loan capPlgm 02oos2am Ap Diuakn r ISO arms SenA[e; tnc, M Rana Reserves. '"' Pepe 1012 (pPAR"') General Purpose Apprasel Report 1212005 GPARLJM OS Oa11200a Beneralpurposeoppraisolreparc t• • y Ftle No. 09-0446 Appraiser's Certification The appraiser(s) certifies that, to the best of tl-e appraiser's knowledge and belief: i. The statements of fact contained in this report are true and correct. 2. The reported analyses, opinions, and conclusons are limited ony by the reported assumptions and limiting conditions and are the appraiser's personal, impartial, and unbiased professional analyses, opinions, and conclusions. 3. Unless othenrgise stated, the appraiser has no present or prospective interest in the property that is the subject of this report and has no personal interest with respect to the parries imroNed. 4. The appraiser has no bias with respect to the properly that is the subject of this report or to the parties involved with this assignment 5. The appraiser's engagement in this assignment was not contingent upon developing or reporting predetermined results. 6. The appraiser's compensation for completing this assignment is not 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. 7. The appraiser's anayses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform Standards of Processional Appraisal Practice. 8. Unless othefwise noted, the appraiser has made a personal inspection of the property that is the subject of this report 9. Unless noted below, no one provided significant real property appraisal assistance to the appraiser signing this certification. Signficant real property appraisal assistance provided by: Additional Certifications: None Definition of Value: XO tVlarlcetValue ~ Other Value: Source of Definition: USPAP The most probable price in terms of money which a property should bring in competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. ADDRESS OF THE PROPERTY APPRAISED: 4203 Carlisle Road Gardners. PA 17324-9087 EFFECTIVE DATE OF THE APPRAISAL: October 1 O, 2009 APPRAISED VALUE OF THE SUBJECT PROPERTY 3 92.000 APPRAISER SUPERVISORY APPRAISER Si nature: Si nature: ~~ ~~~-~--~ Name: Stan A. Skowronek Name: Steven W. Barrett, SRPA, SRA state Cerification # RL001572L State Certification # GA-000298-L or License # ar License # RB-026921-A or Other (describe): State #: State: PA State: PA Expiration Date of Ce-tifica6on or License: June 30, 2011 Expiration Date of Certification or License: June 30, 2011 Date of Signawre: 10/26/2009 Date of Signature and Report 10/26/2009 Date of Property Viewing: Date of Property Viewing: 10/10/2009 Degree of property viewing: Degree of property viewing: ^ Interior and Exterior ~ Exterior Only XQ Did not personally view QX Interior and Exterior ^ Exterior Onry ^ Did not personalty view r„ Produced usng Ad sotlx•re, 90D.231.9727 www.~dw,b.um This loan G>pyrlgh[ 02005-2000 Ad DMs1on or ISO ONrts SeMees, lnc, Ag Righb Reserved. Pepe 2 of 2 (pPAR^') General PtRpose Appraisal Report 1712005 ~+ GPARLI 0509112008 generalpurposeoppreisalreport .7.W. Barrett Real Estate B9 Appraisal Services ~. . FLOORPLAN Bedroom Bedroom Kitchen Bath ~a P~ c0 \ Q~r Bedroom Living Sketch by Apex IV WindowsTM' I i ~ '~ ~' '.~ a it ,'t !~ ':I :` ;; I _~ ;:, '~ ,,yyy L~ ~ ~ { '7 !j 1'1 -~ Code AREA CALCULATIONS SUMMARY Description Size ~~ Totals GLAl First Floor 1056.00 1056.00 P/P Porch 96.00 96.00 OTAL LIVABLE (rounded) 7 GI A 1056 LIVING AREA BREAKDOWN Breakdown Subtotals First Floor 24.0 x 32.0 768.00 `" 12.0 x 24.0 288.00 2 Areas Total (rounded) 1056 .• SUBJECT PROPERTY PHOTO ADDENDUM Client: Irwir, 8 McKnight File No.: 09-0446 Property Address:4203 Carlisle Road Case No.: Ci :Gardners State: PA Zi :17324 FRONT VIEW OF SUBJECT PROPERTY Appraised Date: Appraised Value: $ REAR VIEW OF SUBJECT PROPERTY STREET SCENE Client: Irwin 8 McKnight Fiie No.: 09-0446 Property Add~ess:4203 Carlisle Road Case No.: Ci :Gardners State: PA 21:17324 .~ COMPARABLE PROPERTY PHOTO ADDENDUM Client: Iryvin & McKnight File No,: 09-0446 Property Address: 4203 Carlisle Road Case No.: City: Gardners State: PA Zip: 17324 COMPARABLE SALE #Z 365 Old State Road Gardners 17324 Sale Date: 08/31/2009 Sale Price: $ 88,000 COMPARABLE SALE #2 22 E. Pine Street Mt. Holly Springs 17065 Sale Date: 0212512009 Sale Price: $ 99,900 COMPARABLE SALE #3 208 N. Baltimore Avenue Mt. Holly Springs 17085 Sale Date: 10/16/2008 Sale Price: $ 80,000 ~OCATIO_~ p ._~. I Client: Irwin & ~ ~rnnorhi Arlrarac File No.: Case No.: ~ ~ ~ ********* QUALIFICATIONS ********* The following checked items are SPECIFIC SPECIAL CONDITIONS that were identified by this appraiser during the inspection of the subject property, the comparables sales, and their neighborhoods and locations. Unless otherwise noted, the conditions that apply to the subject property or the comparable sales used DO NOT AFFECT THE MARKET VALUE OR THE FUTURE MARKETABILITY OF THE SUBJECT PROPERTY BEING APPRAISED. This is not a home inspection service. This is an appraisal to estimate market value. 1. The subject is located in a rural area and is less than 25% built-up. 2. Commercialllndustrial uses are located within the subject's neighborhood. These uses are typical of similar neighborhoods. _x 3. Vacant and undeveloped land uses are located within the subject's neighborhood. These uses are typical for the area. 4. The predominant value in the neighborhood is less than that of the market value of the subject property. This is due to the very wide range of value of properties in the area and superior quality of the subject property. 5. The subject property is located in a F.E.M.A. Identified Flood Zone. Flood insurance coverage is required and suggested. 6. Dampness is noted in the basement of the subject. Standing or running water was not present on basement floor. This condition is considered typical in dwellings of this style. _x_7. The subject property is serviced by private well andlor septic systems which is common for the area. _x_8. The subject is older than five(5) years. All mechanical systems including the heating, electrical and plumbing systems appear upon a visual exterior inspection to be in working order. No warranties are implied in this statement. 9. Repair items were noted in the comments section of the report. These comments on repair items are for descriptive purposes only and are not required repairs. The items listed are cosmetic in nature. _10. The basement floor is a dirt floor. This condition is common and typical for the area. and does not pose a health or safety hazard. _11. The subject property does contain functional obsolescence as noted in the report. This condition is considered typical and common for the area and this style dwelling. _12. The land value exceeds 30% of total value due to the high demand for vacant land in this neighborhood. This condition is considered common and typical for the neighborhood. _13. The land value exceeds 30% of total value. This is due to the large size of the site. This condition is considered to be typical and common. 14. Individual adjustments were required that exceed 15%. These adjustments were required due to lack of more similar comparables on that individual rating. All comparables used are the best available. _15. Total adjustments exceed 25%. This is due to the lack of comparable sales that were more similar in the subject's market area. All comparables used are the best available. _x_16. One or more comparable sales are older than six(8) months. Although there are comparable properties in the subject's area, none have sold recently; therefore, sales in excess of six(6) months have to be used. All comparables used are the best available. x_17. One or more comparables used were in excess of one (1) mile from the subject property. Although there are comparable properties in the immediate area, none have sold recently. Therefore, it was necessary to use comparable sales outside of the immediate area. All comparables used are located in similar neighborhoods and within the same marketing area. All comparables used are the best available. _18. The electrical system was not connected during inspection. _19. The water service was not connected during inspection. _20. The heating system was shut down during inspection. _21. Roofing Plumbing Electrical Heating certification(s) is/are suggested. _22. Inground swimming pool ,out buildings are included .not included according to lender's guidelines. _23. According to lender's guidelines a maximum of acres were considered for this valuation. Remaining acreage was given no value. ti ~ • File **'"****** QUALIFICATIONS ********* _24. The subject property is located on a private road. _25. Wood infestation inspection is suggested. _x_26. Last recorded deed transfer: Date_07/0911997 .Consideration: $_1.00 _27. Proposed construction/renovation in accordance to plans and specifications to be completed in a workman-like manner. _28. Seller is paying part or all of closing costs. _x_29. All comparable sales are verified closed sales. _x 30. There are no special conditions or other requirements that would affect market value or future marketability in the Appraisal Report. v R *****'"*** QUALIFICATIONS ********* Confidentiality and Security Policy We consider privacy to be fundamental to our relationship with clients. We are committed to maintaining the confidentiality, integrity and security of clients' personal information. Internal policies have been developed to protect this confidentiality, while allowing client needs to be served. We restrict access to personal information to authorized individuals who need to know this information to comply with federal standards to protect your nonpublic personal information. We do not disclose this information about you or any former consumers or customers to anyone, except as permitted by law. The law permits us to share this information with our affiliates. The law also permits us to share this information with companies that perform marketing. When we share nonpublic information referred to above, the information is made available for limited purposes and under controlled circumstances. We require third parries to comply with our standards for security and confientiality. We do not permit use of consumer/customer information for any other purpose nor do we permit third parties to rent, sell, trade or otherwise release or disclose information to any other party. Education As of the date of this report, land/or Steven W. Barrett, SRPA, SRA, ASA have completed the requirements under the continuing education program of the Appraisal Institute. r ~ r 1 ~ a 1 ! / ~ ,~ ~ ~df.~ C~~~,~~~a -~~r ~ ~~ _.-,.~ ~ ~ ~ i . G~~ ~ . .~.~-- -- - L----- -__-.__ ..------.._.__.--------__-___ ----~--- _ ,.- ,, /~c~ /! ~ ~ ~ ~ ~ ____~ ~~~ ~ ~ ~ ~ ------- ' .~~- r -------.~ a"-~- ~ _ ---- .. ia~ ....1-~------- -- -- --- -._.. - ------- ---.__. ~ ~% 1~~~ -- -- - --- - -- - ~O _. _ __ _ ~.~-c~ ---- -- - ~ ./rte-y1.~9~z~ha_~ ~' - - ~ -- ---- ------- - --- ---- __ _.-- _.___ ~G___.._ _... f Fi~.ex~ _... .,3 .1'0 ~.v~ .e~.r-fie` f ~z v2~~e¢~~i _~-_ ,p ___... _._._L3';~~T/ _ __ ~~~z`~ ~e~ /, J~ ,e ~,~- e ter, ~f`9~^...~T~C.,r) /7"Ti/~~/c,r r.~~C'~'~'_~ ~~ _. __ ~~~~ ~~ ~ ~~ ~itw~~~. ~v / ~ / ~ 7 ~~ ~ ~ °c.~ P 1 ~a ~~' /~~~ f ~`.c' ~ ~d' ~~ 1Q ~ ~~ _`~ ~` ~_ i'`4 ~ ~ ~~ ~ a~ /~ i L+L/ `J , `• .~ ` U T 9~ • O ,~T~ ~~~~~ ~ ~' ~~ ~- d ~~ P .-- ,~ + ., .... y ~ ~ ~ _- ._v.---- ---------- -~~~' ._..- ------- _ ------~----~-_-~ . ---- ~__.__.-_-~~-- --.---- ~~ ;, ,Y._-- _ __ _.___.__ __ -----__...----.-----...__ _._ . _.___ __ _ _.._ _ __ _ ._ __ ._ . ____. _ _._ _ -- _ _ -.____-- _ _. _ _ _ . _ . _ _ _._ ti. k SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Interest Earned 01/01/2009 - 09/30/2009 Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Interest Earned 01/01/2009 - 09/30/2009 Name of Joint Owner CERTIFICATES OF DEPOSIT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Interest Earned 01/01/2009 - 09/30/2009 Name of Joint Owner VISA ACCOUNT: Account Number Date Account Established Balance on Date of Death Joint Cardholder LOAN ACCOUNT: Account Number/Suffix Date Loan Established Principal Balance at Date of Death Loan Type Collateral Secured Interest Rate Name of Co-Borrower MEMBER51St FEDERAL CREDIT UNION 68936-00 10/16/1987 $5.00 $.oo $5.00 $.00 None 68936-11 02/03/2005 $586.91 $.00 $586.91 $:00 None 68936-42 04/29/2003 $10,887.37 $11.84 $10,899.21 $360.87 None 4672090000160143 08/10/1988 $4,041.88 None 68936-05* 02/15/2005 $18,410.88 Home Equity/Contractual Pledge of Shares 4203 Carlisle Road, Gardners, PA 17324 6.49% None *Loan does not have life coverage. LOAN ACCOUNT: Account Number/Suffix 68936-08* Date Loan Established 03/16/2009 Principal Balance at Date of Death $351.26 Loan Type CD Secured Interest Rate 6.91 Name of Co-Borrower None ECElVED i~EC 01 2009 rRWIN & I~HcKN~GH ~ ~ AW OFFICES *Shares Pledged on Certificate #42. Loan does not have life coverage. Estate of: VAt~ BARNHART Date of Death: 11.0/2009 Social Security Number: 170-24-2006 MBERS 1ST FEDERAL CRED T UNION - ~~ Danielle A. Kline Insurance Services Specialist November 27, 2009 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org i ~ u ~7 Y rw , _ ' u~ _.. .,~ ACCOUNT NO. ACCOUNT:TYPE .. ~STA7EMENT::PERIOD PAGE 2670032321 CLASSIC CHECKING OCT.10-NOV.09,2009 1 OF 1 00 0 04319M NM 017 VALDA C BARNHART 4203 CARLISLE RD GARDNERS PA 17324-9087 16952 HIGH STREET-CARLISLE ACCOUNT SUMMARY '..BEGINNING 'BALANCE <: :DEPOSITS K.< << .:OTHER> ADDTT~ONS < :: ... :.:CHECKS. ~PA1D' ' ..... OTHER ... >< ~SUBTRACT~ON$ ... CURRENT INTEREST PD -.:ENDING: ~B~ILANCE <: N0. AMOUNT N0. AMOUNT N0. AMOUNT 186.11- 1 123.05 0 0.00 5 77.00 0.00 140.06- ACCOUNT ACTIVITY POSTING. DATE : TRANSACTION DESCRIPTION.; ' . . DEPOS1TS,xNI'EREST :& ; OCHER .ADDI'TZONS CHECKS K OTHER ~. SU$TRACTZONS~ ` , DAIlY. : ' :.BALANCE 10-10-09 BEGINNING BALANCE 5186.11- 10-13-09 INSUFFICIENT FUNDS FEE-STATE FARM RO 27 SFPP 37.00 223.11- 10-15-09 EXTENDED OVERDRAFT FEE 5 DAYS SINCE 10/07/09 10.00 233.11- 10-22-09 EXTENDED OVERDRAFT FEE 10 DAYS SINCE 10/07/09 10.00 243.11- 10-29-09 PACIFIC LIFE PAYMENT 123.05 10-29-09 EXTENDED OVERDRAFT FEE 15 DAYS SINCE 10/07/09 ~ 10.00 130.06- 11-05-09 EXTENDED OVERDRAFT FEE 20 DAYS SINCE 10/07/09 10.00 140.06- ENDING BALANCE 5140.06- SAVE BIG THIS HOLIDAY SEASON WITH YOUR M8T CHECK CARD. ENJOY EXCLUSIVE SAVINGS FROM OVER 50 NATIONAL RETAILERS WHEN YOU USE YOUR CARD IN STORES, ON THE WEB AND OVER THE PHONE. JUST BE SURE TO SELECT (OR ASK TO USE YOUR CARD AS) "CREDIT". PICK UP A.. COUPON BOOK AT YDUR LOCAL M8T BRANCH BEGINNING MID-NOVEMBER. TO START SAVING NOW, VISIT WWW.MTB.COM/SHOPPING. L008A (8/07) _ ~ 1 { f . h'-5 ~` July 2~ 2010 Estate of Valda C Barnhart C/o Roger B Irwin, Attorney at Law 60 W Pomfret St. Carlisle, PA 17013 RE: Valda C Barnhart Acct#: 44448986094998 Doc#: 21-09-1055 County: Cumberland Dear Roger B Irwin: Enclosed please find a proof of claim against the above-mentioned estate. Please inform me as soon as you know the distribution that we will be awarded. If you have any questions, regarding this claim please feel free to contact me at the number listed below. 1-800-837-7689 ext 8481 Thank you for your time and attention to this matter. Respect Ily, ~~ veena A Ward Probate Estate Specialist M& T Bank Luveena A Ward Probate/Estate Specialist 1100 Wehrle Drive Williamsville, NY 14221 Phone: 800-837-7689 EXT 8481 E-Mail: laward @mtb.com Fax: 716-630-4925 ,~. Financial ~~~ Systems r Accounts Receivable Mana~emen# Company" June 18, 2010 To: Roger Irwin, Esquire RE: Estate of Valda Barnhart 11 Hammond Road Walnut Bottom, PA 17266 a2lF °~ -103~`~ We have reviewed Valda Barnhart's account and have verified the balance. Enclos®d please find the Invoice for the outstanding balance due of $978.72. The figure below will k~e considered as full and final payment and must be received at CCS Financial Systems no_ than the close of business on June 30, 2010, Provider CCS Account Client's ~-cceun~t Number Account Number Balance West Shore Emergency 841109 9008743 $978.72 Medical Service Tota! Amount Die $9788 ~2 ----~ crease maKe cnecK payao~e ro c~LS rmanc-a~ systems, Inc. and send to: ~y Mail: By Overnight Carrier: P O Box 60550 2313 Forrest Hlllls Dr., Suite #2 Harrisburg, PA 17106 Harrisburg, Pa 17112 If you have any further questions please feel free to contact our office at your earliest convenience at 1-800647-8534. Sincerely, l CCS Financial Systems, Inc. Enclosure 2213 Forest Hills Dr. Suite #2 • Harrisburg, PA 17112 • P.O, Box X60550 • Harrisburg, PA 17106 •~,~1UN/1 ~i ZOl O/TUB ] 2 : ~7 PM P, Q0~/001 . _ ~, 1NEST SHARE EMS , CARLIS~.S ~ 20S Gi~ANDVi~W A1~ STE~2~11 ~ ' F ~ ' CAMP HILL, PA 17011 ~~~ Phone #: (800} 3b7'-0512 Federal T~ ID: X23-~~63002 ~~~~NC~, n~E~DiCA~.5~R~-1ct5 PATIENT NAME: UALDA BARNHART: PATIENT NUMBER; $5$g7 CCS CALL NUMBER: 90087A3 NONE fNSURANCE; oaTE dF CALL: ; 10~70/F009 • TIME OF CAL{,; OAL,LPR: . 9008743 IoM: : 31 N SALT{MORE ST • '~'O~ ~ CP4R~..ISLE REGIONAL MEDICAL CTR 1fALDA BARNHART 11 HAMMOND RD REASONS) ~ CARbIAC AF~REST VIRALNUT BOTTOM, P'A 17266-9763 ~ FOR TRANsPaRT ~ • J ' ~ DE:SCRIPTION OP CHARGE ~ ' •~QUANTITY ~ • •iINIT PRICE, ~ AIIAOUNT A1.9 EMERGENCY LEVEL 1 A0889 1.0 8?9.g5 878.65 , ATROPINE ~ MG A0394 1.0 b.39 5.39 Epl 1 MG 1 ~ ~ 0000 PFS Afl394 ~ 1.0 ~.OB 7,06 ET TUBE HOLDER Ad4?2 1.Q ~.®8 . 8.~6 ETC02 (ADULTS FIlTER1.INE SET A0 1.0 25.80 95 5n NEBULI~R Ap~88 t.0 x.62 2.52 PERIPHERAL IV AOS94 7.0 38,58 ~ 38.59 PROVENTII. W/NACL SOLUTI0~1 A039a 7.0 x.40 3.40 sT1~'LET Ao4,~2 1.Q x.80 s.eb SYRINGE (10CC~ A0999 1.0 1.05 ~ 1,05 • • ~~ Total Ch 878.72 DETACH ALONq PPRFORMATMON AND RETURN STUB WIT~I PAYMENT • ~ ~ ~-~uMT AuE 9T8,7Z • PATIENT NAME: BARNhIART, VALDA C ~ cAI.L NuMS>;R • , 9008743 , AMOUNT $ PATIENT NUMBSA: 85857 i31LLING DATE: 06f15/2010 ENCLQSELI • ~ ~rGSt:(i1NTION~of~PA1fMENT • ; • ~ RECL°IPT. • : ~PAY110ENT BATE ; • • • .• . AMOUNT • alts aoo PLEASE PAY THIS 14MOUNT -INVOICE DUE UPON RECEIPT ~.• RETURNED CHECK FEE - 53'[.00 ~ ~ , . ~878,T2 1hsA ANo ' MASTER C/`RO AOC`SPTEQ VIIEST g110RE EIIItS - CARI,ISL.~ ZQ5 GRANDVIEW AVE STE#~11 CAMP HILL, Pq 97011 Yella-~ Breecf~es ~`MS Inc. . ._ ~• ' ,l~lltng Office 09-59470 11/15/2009 $620.00 F~:4. Box 72r~'~ New Cumberland, PA 17070 QUESTIONS ABOUT THIS BILL? Phone: 877-214-6018 Espanol: 866-724-4114 Fax: 717-214-6020 Email: info@ambulancebillingoffice.com Date of Service: 10/10/2009 16:55 Please visit our website to provide insurance or make payment, and Patient Name: BARNHART, VALDA C. for additional payment options and frequently asked questions: From: <Public Location> To: Carlisle Regional Medical Center www.ambutanCebillingOffiCe.COm _ .,. •:: ~. ~ .. F r r , - ~ ;,;a, * * * 'Second Re"` uest' * * * In:order ta`_bilX'.1Vlediedre `tie enclosed or" ~- ~.~ : . , ~ :: , ..: _ ~ .. q .. ,, . , f m, must be~com~itetedsigned and returned>to.our once ~' ~wrtlin 10<days. ~Yor~i will` be'res~onslble for~the full balance f you fail fo return the signed forma - 1 e o • e e e ® ' ! e ~• • 10/10/09 BLS Emergency Transport A0429 10/10/09 Mileage A0425 10/10/09 Oxygen A0422 Total ,. ~ . 1 500.00 500.00 7 10.00 70.00 1 50.00 50.00 620.00 0.00 o.oo DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT. rv ~ a~ri~fil~f~lnegtttre~id~'i~fo~ ~~~r~1~~r `~ ige~t~en~s a~ ?`'K~~~IIoW ~Breech_eS E~iIIS~lnc ~ h £:~ necessary, please ca)I t~s at 877=.214 6Q1~ _ _ 09-59470 y~~ DISC®YER' NI I.OIt Credit Card: ^ MASTERCARD O VISA O AMERICAN EXPRESS ~ DISCOVER Amount Paid: ~~~~L~~~~~ ^~ Card Number Name on Card Electronic Check Deduction ~ ;- ~='. Please send a voided check OR provide information below: -`~ Expiration Bank Routing Number Checking Account Number Signature $ 620.00 Please make any corrections to address below. VALDA C. BARNHART 4203 CARLISLE RD GARDNERS, PA 17324 *Returned checks -You will be responsible for all incurred bank fees permissible under state law. "` ~ j o~ ~, ~I'~ ,~ ~ . C~nturyLink~ Page 1 of 7 Monthly Statement Account Number November 4, 2009 717-486-7566-234 Payment Options & Contact Info Currharges At-A-Glance Retail Store in Your Area CARLISLE 202 Westminster Drive in The Carlisle Crossings Center Pay Online CENTU RYLI N K.com/myaccou nt Pay by Phone 1-877-813-7604 Customer Service 1-800-829-8009 Repair Service 1-800-788-3600 Internet Address CENTU RYLI N K.com/residential CenturyLink Services Total Basic Home Phone wNoicemail -Page 3 29.95 Local and Optional Services -Page 3 16.20 Long Distance -Page. 3 .20 ~~ Entertainment -Page 4 -15.98 Taxes and Surcharges -Page 5 11.90 ;~ Savings & Benefits You saved $17.55 this month' by combining CenturyLink services! See Savings and Benefits section for details. Previous Balance Payments & Adjustments Past Due, Please Pay Now Total Current Charges Total Amount Due 375.58 I .00 I 375.58 I 42.27 I 4,17 _85 v 0 Current Charges Due By: 11/29/09 If received after December 3: $422.82 15 ~ Please Recycle - ,~ `,,~ ~i,` CenturyLinkTM Please return this portion with payment Customer Service Internet Address 1-800-829-8009 CENTURYLINK.com/residential Please pay past due amount of $375.58 immediately Total Amount Due: $422.82 if received after December 3 Amount Enclosed: AV 01 030472 88982B120 A**5DGT 'I"IIII'llll'lll'llllllllll'I"1111'I'II"IIIIIII'lllllllll~llll MRS VALDA BARNHART 4203 CARLISLE RD GARDNERS PA 17324-9087 Account Number 717-486-7566-234 $417.85 Write your 13-digit account number on check Make checks payable to: CenturyLink PO Box 96064 Charlotte NC 28296-0064 II~I~~IIIIIIIIIIIIIII'll'llll'III'llll~lllllll~llllll'I'llll'I"I 12 71748675662346 00000000004227 000417859 0000002 ~ Dugan Funeral Home Inc. ~ 1 , M. Lee Dugan, Supervisor . ' 111 South Main St., P.O. Box 393, Bendersville, PA 17306- (717)677-8215 a ~ STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Chaz s AnLV for those. items that u selected or that are required. If we aze required by law or by a cemetery or a crematory to use any items, p~atn irie reasons m wntm b~Pow ~ g, . we ex or em~ajminp You,do not h$~+e to pay for embal~iting you I~:~ou selected a fp~reral that ma require embalming such~s a funeral vyith viekn~, ypu may (t~ve to sy f y ~ r not approve ~ you se ecte d arrangements suc as a h ~ rrect cremation or i ea~ate bun . If e c azge ore balmrng, we wr 1 ex lam why be ow. For the Service of: Valda C. Barnhart Date of Death October 10, 2009 Charge to : Barnhart Name Address City State A. CHARGE FOR SERVICES SELECTED: Other Clothing 1. PROFESSIONAL SERVICES $ _0_ Services of Funeral Director/Staff ..........$ 1,695.00 Cremation Urn $ -0- Embalming ...........................3. 695.00 Cremation Urn.....................$ -0_ Other preparation of body (Description)_ Other prepation of body Flowers $ 212.00 S .................................... 125.00 $ -0- SUB-TOTAL OF PROFESSIONAL SERVICES... ....... Al $ 2,515.00 $ -0- TOTAL MERCHANDISE SELECTED ........... g $ 4,027.00 2. FACILITIES AND SERVICES C. SPECIAL CHARGES Use of facilities and services for Forwarding of remains to Viewing (Visitation/V1/ake)• • . • • • . • ~ • ~ - ~ . - • ~ -0- Forwarding of remains to $ _0_ Use of facilities and services for (Funeral Home) Funeral Ceremony . . .. . ............ . ... g .. 450.00 Receiving of remains from Use of facilities and services for Receiving of remains from $ -0- Memorial Service ......................3 .. -0- (Funeral Home) Use of equipment and services for Immediate Burial ......... . .. . ..... . $ -0- Graveside Service ...................... ~ .. -0- Direct Cremation................... $ -0- Other use of facilities $ _0_ Other use of facilities SUB-TOTAL OF SPECIAL CHARGES .......... C $ -0- 3 ........................ . . _0_ D. CASH ADVANCED: ....... ... . SUB-TOTAL OF FACILITIES/EQUIPMENT ............ A2 $ 450.00 Opening Grave ....................$ 600.00 Cemetery Equipment ...............$ -0- 3. AUTOMOTIVE EQUIPMENT Newspaper Notices -Out-of--town ......$ 230.00 Vehicle to transfer remains to Funeral Telephone & Telegrams ....... . .. . ..$ -0- Local ............................... $ 350.00 Airfare...........................$ -0- Hearse (Casket Coach) Clergy/Mass Offering ................$ 100.00 Local ...............................$ 275.00 Pallbearers.......................$ -0- Limousine Certified Copies of the Death Certificate.$ 72.00 Local ................................$ -0- Police Escort......................$ -0- Family Car Flowers ..........................$ -0- Local ................................$ -0- Vault Service Charge................$ -0- Flower car or floral disposition $ 75.00 organist .................... .. Local ................................$ .. .. 95.00 _ $ 0 Lead car/Clergy Local .................... ........... $ 95.00 $ -0- Car for pallbearers $ _0 Local ................................ $ -0- $ -0- Out of town transportation ................$ -0- $ _0_ $ -0- $ -0- $ -0_ SUB-TOTAL OF ADVANCE .................. D $ 1.077.00 S ff ~ e s in obtaining: ~pec/f6yrL~as~ioadvance vtems SUB-TOTAL OF AUTOMOTIVE EQUIPMENT... ). ........A3 $ 815.00 TOTAL OF PROFESSIONAL SERVICES, FACILITIES AND AUTOMOTIVE SUMMARY OF CHARGES: EQUIPMENT ............................ ........ A $ 3,780.00 A. Professional Services, Facilities and B. CHARGES FOR MERCHANDISE Equipment and Automotive Casket .............................. $ 2,495.00 Equipment....................... $. 3,780.00 (Description) Casket B. Merchandise ......................$ 4,027.00 C. Special Charges ...................S -0- Outer Receptacle ......................$ 1,195.00 D. Cash Advances ...................~ 1,077.00 (Description) Outer Container TOTAL OF ALL SELECTIONS ................. $ 8.884.00 Outer burial container ...................$ -0- PAID AT TIME OF OR PRIOR TO (Description). Alternate Container ARRANGEMENTS ........................... $ 0.00 BALANCE DUE ............................. $ 8.884.00 Acknowledgement cards .................$ REASON FOR EMBALMING Register Book(s) .......................$ 50.00 Expressly Aooroved Memorial folders ...................... $. 75.00 Prayer cards • • • .. • • . • . • .. • • ...... • . • . $. If any law, cemetery or crematory requirements have required the purchase of -0- any of the items listed above the law or requirement is explained below. Temporary grave marker . . ............ • . ~. -0- Burial clothing ........................ $ -0- Iagree that I have examined the terms of goods and services selected above and found them to be correct and according to the arrangements I have requested. I acknowledge receipt of a copy of this Statement of Funeral Goods and Services Selected.) represent that 1 have sufficient funds available for payyment of the h cas pace for the goods and services selected. I also agree to make payment of $ 8.88x.00 within 30 days. I agree to lie jointly and severallyliable with anyone who signs below. A late charge of 1 % amounting to 12% per year will be applied to the unpaid balance beginning 30 days - from the date of this agreement.) wr a so a o e fu neral director a re I al sonable cost paid by the funeral director to collect amounts I owe under rlTi s agreement. Those costs ma include alto es,cou cos d other costs.Any additional services or merchandise ordered or re uested after the date of this a reement q 9 ' y ~ will be cons. d rt t is eement d th ost hereof will be reflected on the final bill or statement. (Seal) /I Ls-_ /bj f i ~ 04 (Pur tamer) (Da e) (Seal) (Purchaser) (Licensed Hera) Director) •~ `-G.~,..r~IP services 4150 OLSC)N MEMORIAL HIGHWAYS SUITE 20O MINNEAPOLIS MINNESOTA 55422-4811 TELEPHQNE 763-852-8620 Hours (CT): Fax 877-326-8784 TOLL-FREE 877-326-5681 September 15, 2010 RE: Estate o~f: VALDA BARNHART Our Client: CitiFinancial NETWORK PERSONAL LOAN Account No: ***********7311 Unpaid Balance: $9102.06 Reference No: 6318121 7:OOam-9:OOpmM-TH 7:COam-S:OOpmF 8:OOam-12:OOpmS Dear MICHAEL L BARNHART: We presented a proof of claim in the amount of $9102.06 in the above referenced Estate some tune ago. At this time we are requesting payment on this account. If payrner~t is not immediately possible, please provide an estimate of the time at which the Estate will make payment. Please reply at your earliest convenience or see one of our easy pay options below. To resolve an account, please follow one of the easy steps below: 1. To make a payment over- the phone, please call 1-877-326-5681. 2. To make a payment via mail, detach lower portion and return in envelope provided. Cordially, DCM Services, LLC This company is a debt collector. We are attempting to collect a debt and any information obtained will be used for that purpose. Calls may be monitored or recorded for- quality assurance purposes. NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION -Side 1 of 2- I~~~~I~I~IIIIIAIIIlIInIIIIIIIVII -~.x,.~...,o~.~...~a.,,..m„,.,,,.,- 4150 OLSON MEMORIAL HWY STE 200 Reference #: 6318121 Client ID: CFIN31 ~ MINNEAPOLIS MN 55422-4811 Unpaid Balance: $9102.06 ADDRESS SERVICE REQUESTED Checks Payable to: ~~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~ ~~r~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~ ~~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~ ~~~~ Citi Fi n a n ci a I NETWORK PERSONAL LOAN DCM Services, LLC SepterY~ber 15, 2010 Amount Enclosed: $ i~ili~ll~l~~llii~"1111111,iii~illiiiiii~l~l~i~iilii~i~lil~lir~~~ ,617-75, 6318121-7611 DCf1 Services/Citibank #Bwrd~~rF P O Box L 5 6 8 #165'1725808305439# The Estate of VALDA BARNHART Minneapolis MN 5544D-1568 C/0 MICHAEL L BARNHART 11 HAMMOND RD ~~~~~~~I~~~~~~~~~~~~~I~~~~~~~Il~~~~~~~~~~~~~~~~~~~~~~~l~~nl.~ WALNUT BOTTOM PA 17266-9763 6 318121 7 ~ 1,1, 16517-7611-751 r GROUNDWATER ,i , •~ - SERVICES w INTERNATIONAL, 1NC. 443 McCormick Rd. Suite 5 • Mechanicsburg, PA 1 7055 • TEL: (717) 691-9799 • FAX: (71 7) 691-9855 Bill To Michael Barnhart Invoice 11 Hammond Road Walnut Bottom, Pa. 17266 Invoice # 1933 Site Name GSI Project # Claim Number Due Date Barnhart 201005 NA 10/9/1.0 Residence Descri tiort ~ Services This invoice is for the completion of a preliminary groundwater assessment for the private residence located at 4203 Carlisle Road Gardeners, Pennsylvania. Date 9/9/ 10 ---------- - ,--- Amount Preliminar~~ Groundwater Assessment 1,100.00 6% Sales Tat 0.00 '~f~ lnl5 ~~i 5 .~ ~/3 i ~,.~ ~~~ Total $ I ,100.00 Cumberland County Pennsylvania `,. TAX COLLECTOR COPY -RETURN WITH PAYMENT FOR PROPER CREDIT BARNHART, VALDA C 4203 CARLISLE RD GARDNERS, PA 17324-9087 4203 CARLISLE ROAD Acres .300 Deed: 00160-00888 LAND LESS THAN 1 ACRE Residential Building Payable To: CAROLYN R MCQUILLEN, TAX COLLECTOR 1044 PINE ROAD CARLISLE, PA 17015-9373 Phone: (717) 486-5907 Bill No: 70 Bill Date: 3/1/10 Control No: 08002271 MAP N O: 08-42-3281-021 Assessed Value: Land: 15,000 Improvement: 64,330 Total: 79,330 Discount Face Penalty COUNTY RlE 2.39900 $186.50 $190.31 $209.34 COUNTY LIB .18000 $13.99 $14.28 $15.71 MUN FIRE PROTC .22000 $17.10 $17.45 $19.20 TAX AMOUNT DUE If Date Of Payment Is On $217.59 3/1 /10 thru 4/30/10 $222.04 5/1110 thru 6130/10 $244.25 7!1110 or Later Payable To: CAROLYN R MCQUILLEN, TAX COLLECTOR Office Hours: MAR-OCT MON 6-9PM TUES 9-12 NOON Bill No: 70 1044 PINE ROAD APR 22 8 29 6-8PM Bill Date: 3/1/10 CARLISLE, PA 17015-9373 NOV-FEB BY APPT ONLY NO SAT, SUN OR Control No: 08002271 Phone: (717) 486-5907 HOLIDAYS MAP N O: 08-42-3281-021 PHONE (717) 486-5907 Desc: 4203 CARLISLE ROAD Acres .300 Deed: 00160-00888 LAND LESS THAN 1 ACRE Residential Building (11'111 IIIII IIIII IIIII IIIII IIIII II'lI I"II IIII III $1.00 FEE FOR ADDITIONAL RECEIPTS Tax Payer: BARNHART, VALDA C 4203 CARLISLE RD GARDNERS, PA 17324-9087 Assessed Value: Land: 15,000 Improvement: 64,330 Total: 79,330 Discount Face Penalty COUNTY R/E 2.39900 $186.50 . $190.31 $209.34 COUNTY LIB .18000 $13.99 $14.28 $15.71 MUN FIRE PROTC .22000 $17.10 $17.45 $19.20 TAX AMOUNT DUE If Date Of Payment Is On $217.59 3/1 /10 thru 4/30/10 ~ $222.04 5/1 /10 thru 6/30/10 $244.25 7/1 /10 or Later TAXPAYER'S COPY -KEEP THIS PORTION FOR YOUR RECORDS ~ ~ ~ - ~ ~ = ~ ~ • = ~ • = CAROLYN R MCQUILLEN, TAX COLLECTOR 1044 PINE ROAD CARLISLE, PA ],7D15-9373 RETURN SERVICE REQUESTED BARNHART, VALDA C s 4203 CARLISLE RD N GARDNERS, PA 17324-9D87 N 87110 - 11825 87110-R-11825 e ~w PAYABLE TO CAROLYN MCOUILLEN, TAX COLLECTOR 1044 PINE ROAD CARLISLE PA 1 70 1 5-9373 DESCRIPTION ASSESS.NO - 08002271 MAP NO: 08-42-3281-021 4203 CARLISLE ROAD ACRES .300 DEED 00160 /00888 LAND LESS THAN 1 ACRE Residential Building RESIDENTIAL TAX PAYER BARNHART, VALDA C 4203 CARLISLE ROAD GARDNERS PA 17324-9087 T;'~X PAYER COPY 2010 Statement of Real Estate Taxes BIII No: 70 Control No: 008 - 002271 Bill Date: 7/01/2010 Assessed Land Improvement Minerals Total Values 15,000 64,330 0 79,330 Homestead Exclusion B 753- CARLISLE AREA S.D. Discount Face _ Penal Rates 14.83000 14.83000. 14.83000 2~ _ 10~ SCHOOL R E 1 176.46 Homestead Credit 129.88- TAX AMOUNT [aUE > =1,025.65 ;~,oa~.5a ;1,151.2 If Paid Oa or 11lter 7 O1 2010 9 01 2010 11 O1 201C I! Paid On or Beloza 8 31 2010 10 31 2010 12 31 201C IF NOT PAID BY 1?131/10 THIS BILL WILL BE RETURNED TO TAX CLAIM BUREAU FOR COLLECTION AND FlUNG OF A UEN AGAINST YOUR PROPERTY. IF TAXES ARE IN ESCROW FORWARD TO YOUR MORTGAGE COMPANY. RETURN BOTH COPIES FOR RECEIPT OFFICE HOURS MON 6-9PM TUES 9-12NOON AUG 19 & 25 6-8PM NOV-FEB BY APPT ONLY NO SAT,SUN OR HOLIDAYS 717-486-5907 NOTICE OF PROPERTY TAX RELIEF Your enclosed tax bill includes a tax reduction for your homestead and/or farmstead property. As an eligible homestead and/or farmstead property owner, you have received tax relief through a homestead andlor farmstead exclusion which has been provided under the Pennsylvania Taxpayer Relief Act, a law passed by the Pennsylvania General Assembly designed to reduce your property taxes. ff paying In Installments use the coupons below to submit payments. If paying in full use ONLY the 1ST coupon below to submit paymerrt. TAX YEAR ZO I ~ DATE 7/01 /201 ~ BILL1 7O TTAX YEAR 2O 1 O DATE ~/~ 1 /2O 1 ~ BILLS 7O TTAX YEAR 2O I O DATE ~/~ 1 /2O l O BILL# 7O PAYABLE TO CAROLYN MCOUILLEN, TAX COLLECTOR 1044 PINE ROAD CARLISLE PA 17015-9373 CONTROL ~1 MAPS b L-3281-021 SCHOOL ALE AREA S.D. PAYABLE TO CAROLYN MCOUILLEN, TAX COLLECTOR 1044 PINE ROAD CARLISLE PA 17015-9373 CONTROL 0 271 MAPS ~2-3281-021 SCHOOL ~A~SLE AREA S.D. PAYABLE TO CAROLYN MCOUILLEN, TAX COLLECTOR 1044 PINE ROAD CARLISLE PA 17015-9373 CONTROL6 ~(~~ 1 MAPS SCHOOL Z:A~i-C1SLE AREA S.D. TAX PAYER TAX PAYER TAX PAYER AR'f, VALDA C i~'T, VALDA C ~', VALDA C 1ST WITH RSTOR ULL PAYMENT 2ND PwITH SECOND PAYMENT 3RD HrI~T}iSTHIa PAV ENTON $348.86 ON OR BEFORE 8/31/2010 $348.86 ON OR BEFORE 9/30/2010 $348.86 ON OR BEFORE 10/31/2010 INSTALLMENTS CANNOT START AFTER 8 / 31 / 2 010 $ 3 8 3 .7 5 AFTER 9 / 3 0 / 2 010 $ 3 8 3 . 7 5 AFTER 10 / 31 / 2 010 OR FULL PAYMENT AMOUNT PAY BY DISCOUNT 1 025.65 8 31 2010 FACE 1 046.58 10 31 2010 PENALTY 1,151.24 12 31 2010 ~. ~~ • ti • F1 V t~l+ar~ s~v-ing. (~I~re ~+~ing" 1013 S. HANOVER ST, CARLISLE PA 17013 WE NOW INSTALL HOME SOLAR POWER UNITS 4149 00007 74661 01/28/10 11:37 AM CASHIER SAMANTHA - SML4388 078477800737 lOPK OUT IV <A> 3@3.70 11.10 NLP Savings $0.60 MAX REFUND VALUE $9.99/3 047569062704 HOMI5ASPLBRK <A> 7p2,87 20.09 MAX REFUND VALUE $18.06/7 047569062773 H30ADBLPLBRK <A~ 2®7.27 14.54 MAX REFUND VALUE $13.09/2 047569062766 H2OADBLPLBRK <A> 6@7.27 43.b2 MAX REFUND VALUE $39.2716 866318 14 SOL THHN1 <A> 10@0.20 2.00 MAX REFUND VALUE $1.80/1.0 ---------Competitor Adjustmel~t-- -------- 91.35 10.00 Percent Off -9.14 MUST RETURN ALL ITEMS FOR A FJLL ------------------------ - REFUND SUBTOTAL 82..21 SALES TAX 4.94 TOTAL $87.15 XXXXXXXXXXXX7074 HOME DEPOT 87.15 AUTH CODE 028430/2072203 TA NEW LOWER PRICE ~NLP)SAVINGS $0.60 II IIRIIVIIIIII~II~~IIIIIIIIIIiUIVlllllll III RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON A 1 90 04!2812010 THE HOME DEPOT RESERVES THE RIGHT TO LTMTT / DENY RETURNS. PLEASE 5EE THE RETURN POLICY SIGN IN STORES FOR DETAILS. GUARANTEED LOW PRICES LOOK FOR HUNDREDS OF LOWER PRICES STOREWIDE ENTER FOR A CHANCE TO WIN A $5,000 HOME DEPOT GIFT CARDi Share Your Opinion With U5! Complete the brief survey about your store visit and enter for a chance to win at: www.homedepot.com/opinion iPARTICIPE EN UNA OPORTUNIDAD DE GANAR UNA TARJETA DE REGALO DE T~HD DE $5,OOOt R LOWESS HUhiE CENTERS, INC. 850 EAST HIGH STREET CARLISLE, PA 17013 ~7i7) 258-7700 - SAIc - SALES #: 51710NG1 67970 01-28-10 7081 GROUND RUD GALVANIZED 518 5.58 6.97 UISf,'OUf'iT EACH -1.39 73201 4 SOLID BARE COPPER 200 L 7.20 0.90 DISCOUNT EACH -0.18 10 3 0.72 70967 HANDY BOX, 1 118" DEEP, 1 0.69 0.87 DISCOUNT ERCH -0.18 54740 1;2 OFFSET NiPFLE 1 6AG 1.58 1.98 ~ DISCOUNT EACH -0.40 37625 3PK 15A 1250 IVORY GFCI 24.88 '30.97 DISCOUNT EACH -6.09 153874 1G IVORY MIDSIZE DECO PLA 0.56 0.70 DISCOUNT EACH -0.14 SUBTOTAL: 40.49 TAX: 2.43 INVOICE 04X1 TOTAL: 42.92 LCC: 42.92 TOTAL DISCOUtJT. ~O.00 LCC XXXXXXXXXXX.X7922 000862 AMOUNT: 42.92 ., ~ ~, i ~ ~ ;.i ; ='I I ~ r~ r'~~ ~'"' i:~-~~ sir -r' ~ 'r'ijf'~ ~ i'r' i j t~ J ~ ~.~:' U .:~:'' STORI=: 1710 TERMINAL: 04 01/28!14 10:02:12 # OE ITEMS PURCHASED= 6 EXCLIIDES FEES, SEnUICES AND SPECIAL ORDER ITEMS 'I ~i ~I I, i I ',I i I ~~li ' ~~ ~I'. I I I ~I' ~ ICI ~ ~ ~ ~~I i ~~I ~.I I I I I I I ,I i I lil i i a I', ~ I I~ ~',, III I I ~ 'I I I I I ~ IIII, I Ilill~~ I ~, i ~~~~ II~ llil~li .i. III I III~;!Ilillli i.l THANK YOU FOR SHOPPING LOIJE'S. SEE REVERSE SIDE. FOR RETURN POLIL'Y. STORE MGR: RICH TROSS NAVE A COMMENT OR FEEDBACK? LET US KNOW AT: WWW.LO4VES,COM/FEEDBACK STORE CODE: 171GG-12.810-04201 l4E HAVE THE LOWEST PRICES, GUARANTEED! IF YOU FIND A LOUE:R FRICE, lJE 41ILL BEAT IT BY 10$. SEE STORE FOR DETAILS. ~ ^ IPI LOlIE'S HONE CENTERS, INC. ~~r~ $~~~~~' 850 EAST NIGH STREET ,, CARLISLE, PA 17013 (-r17) 258-7700 ~ ~ r~: ~ ~~~ g ' - SAt.E - 1013 S . HANOVER ST , CARLISLE PA 17013 SALES r#: S1710HG+ 67970 01-28-10 WE NOW INSTALL HOME SOLAR POWER UNITS 4149 00006 25376 03/04/10 03:00 PM 74585 518 GROUh~C ROD CLAHP 1 BA 2.so CASHIER GREGORY - GAK6443 2.98 DISCOUNT EACH -0.38 286845 200A 30-40 ML INDOOR VALU 67.00 049057101797 TOILET FLAPP ~A> 5.58 037155894475 TANK LEVER A 7.49 76.62 DISCOUNT EACH -9.62 NLP Savings $7.49 SUBTOTRL: 69.60 SUBTOTAL 13.07 SALES TAX 0.78 TAX: 4.18 TOTAL $13.85 INVOICE 04202 1iiTAL: 73.78 XXXXXXXXXXXX7005 DEBIT 13.85 Lcc: 73.7s AUTH CODE 361251 TOT~IL DISCOiJNT ~ '1 O _ 00 LCC XXXXXXXXXXXX7922 o0C893 NEW LOWER PRICE (NLP)SAVINGS $7.49 AMOUNT: 73.78 ?* ~ ~ t'-~+~''`~"~ j'~-'~ ~ ~ `''`rf ~f~ ~ `~'-f 4149 06 25376 03/04/2 1 STORE: 1710 TERMINAL: 04 0112$/10 10:03;45 RETURN POLICY DEFINITIONS ~ uF IrE:~S PURCHOSEU = 2 POLICY ID DAYS POLICY EXPIRES ON EXCLUDES FEES,- SERJICES ANC SP:CIAL CRDER ITEMS A 1 90 06/02/2010 i ~: , ,i ~~ ,~ ~~ ~~; ~ ~ ~ ~ ~ u ~~ ~~ I I' ~I ~ ~~~ ~ ~ ',~ ~i ~ ~~ ,,~ , ~~ ,, ~ ! ii ~ ~~~ i!i THE NOME DEPOT RESERVES THE RIGH T ,' ;,;I' ~~ ~!' I~';; ~ I I ~ ;~~i ~ I~ ~~ ! ili II j~ ~~~~ i ~ li ~ i I! ! ~i~ ~ ~~i I ~ ~ ~I ~ II~, iii ~ LIMIT /DENY RETURNS . PLEASE SEE THE ~ ~~ ~ ~I ! ~ i ~ ,I I I~! ;'' I RETURN POLICY SIGN IN STORES FOR DETAILS. TNAhlK YOU FOR SHGPPING L04lE'S. SEE REVERSE SIDE FOR RETURN POLICY. GUARANTEED LOW PRICES STORE MGR: RICH TROSS LOOK FOR HUNDREDS OF LOWER PRICES STOREWIDE Yc X yC 1c /C yC ~C is ~C ~ YC yf YC yf YC )C 7r K yC ~C ~C ~C YC Yf * k ~ ~ ~ Yf Y( ~t YC ~C ~t 7C ~c YC Y~ HAVE A COMMENT OR FEEDBACK? LET US KNO;d AT: W4VW.LOWES.CUM/FEEDBACK ENTER FOR A G H A N G E STORE CODE: 17100-12810-04202 T° w I N A~~' O O~ HOME DEPOT GIFT GARDi 41E NAVE THE LOVlEST PRIDES, GUARANTEED! IF YOU FIND A LOWER PRICE, WE WILL BEAT IT 6Y 10%. Share Your Opinion With Us1 Cornpl ete SEE STORE FOR DETAILS. tf•re brief survey about your store vi si t and enter for a chance to win at: www.hornedepat.com/opinion +PARTIGIPE EN UNA OPORTUNIDAD DE GANAR UNA TARJETA DE REGALO DE THD pE $5,000! iComparta Su Opinionf Complete la breve encuesta sobre su visits a la tienda v tenga la oportunidad de ganar en: www.hornedepot.com/opinion l-ls~r` ID 55190 5104-7' Password: 10154 51041 Entries must be entered by 04%03/2010. Entrants must be 18 or older to enter. See complete rules on website. No