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02-08-11
1505610101 ~ REV-1500 Ex ~o~_lo> . PA Department of Revenue Pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes oEPARTMEN,oFRE~EN~E County Code Year PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 1'7128-0601 RESIDENT DECEDENT a ~ ~ I _ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY l~ o ~Q ~S~S DSo9 a,o ~_.o _~~ ~ ~ t 9 0.~" Decedent's Last Name Suffix Decedent's First Name (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name n1 / ~ Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW MI S MI ~ 1. Original Return p 2. Supplemental Return O 3. Remainder Return (date of death p 4. Limited Estate p 6. Decedent Died Testate (Attach Copy of Will) p 9. Litigation Proceeds Received p 4a. Future Interest Compromise (date of death after 12-12-82) p 7. Decedent Maintained a Living Trust (Attach Copy of Trust) Q 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) prior to 12-13-82) O 5. Federal Estate Ta:K Return Required ~ 8. Total Number of Safe Deposit Boxes O 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number First line of address ~O(o ~EWi9-LT ~I VE Second line of address ~~ City or Post Office State ,~~e~~N~ csgu~G Correspondent's a-mail address: 1"vnk~e~~ 4(~COMC'431~'• nef REGISTER OF 'WIL.LS USE ONLY' 2011 FE B 8 (;I,I~;RK OI~ ZIP Code [:)ATE_FILED 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 tl1~n the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF P ON RE~~NSI FOR FI G-R U }~~DATE ADDRESS ~~~- 'it olld.td G • K~ chl~ 4 ~!i/4/~ .Dr; ~eClrRn ~ c S yr~ , P~ /~os-~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ~~ .~ __ DATE.-~ ADDRESS ~....,._-.,...._.~ ~~~~ ,...._.,..__._~._ ~..._ ~-~..~ -_._...~~~ PLEASE USE ORIGINAL FORM ONLY __~__~ Side 1 1505610101 1505610101 J File Number ~~5 J 1505610105 REV-1500 EX Deced-ent's Social Securi`t'y Number Decedent's Name: ~ ~St C ~~ en ~ ~ I ~ S 0 T S` Z' RECAPITULATION 1. Real Estate (Schedule A) ............................................. 1. • Q D 2. Stocks and Bonds (Schedule B) ....................................... 2. • D D 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. • ~ a 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. • ~ ~ 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. • D ~ 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. / 7 ~ q 4 ,Z 8 7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property (Schedule G) p Separate Billing Requested........ 7. . ~ d 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. / 7 f ~' ~ . 2 ~j 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 3 ~ ~ fl 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. ~ (p 3 ,~ 11. Total Deductions (total Lines 9 and 10) ................................. 11. ~ 9 ~ ,,~ •~ C~ 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. ' ~ ~ ~ 6 , ~ p 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 13 D an election to tax has not been made (Schedule J) ........................ . . 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. ~ Jr- Z Z ~0 • TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 D , d am 15. . p 16. Amount of Line 14 taxable at lineal rate X .0 ~ ' ~ ~ ~ ~O ~ ~ ~ 16. (~ & s . 2 17. Amount of Line 14 taxable at sibling rate X .12 Q O 17. d ~ 18. Amount of Line 14 taxable at collateral rate X .15 * ~ © 18. • 19. TAX DUE .........................................:............... 19. ' ~ ~ ~ ~' Z' 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056],0105 1505610105 O J REV- i 5U0 EX Page 3 Decedent's Complete Address: File Number 'Z'~ ~" ~~ DECEDENT'S NAME STREET ADDRESS !oa ,~ ~!/en Dr - -- -- - -- -_ __ _--- -_ T-- _ _ ------ CITY ~/~ ~ // STATE ZIP Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) ~ !!D ~ S~• ~ ~ 2. CreditslPayments D A. Prior Payments _____ - - B. Discount ~ _ Total Credits (A + B) (2) 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) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) lD ~ ~ ~ ~ I 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 :.......................................................................................... ^ b. retain the right to designate who shall use the property transferred or its income : ............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ ~^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .....................................:........................................................................ ^ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? .............. ^ 4. Did decedent cwn an individual retirement account, annuity or other non-probate property, which ~~qq contains a beneficiary designation? ........................................................................................................................ ^ 4~t 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 is 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 far 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, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. EV-346 EX (05-04) X 4 6 0 0 0 4 ], 0 4 2 ESTATE INFORMATION SHEET ,+~, ~, rOR REGISTER'S C.)FFNCE= I~SE ONLY PA Department of Revenue . ~ County Code Year File Number DECEDENT INFORMATION: Enter data as it will appear on all _____ __ documents submitted to the Department. Decedent's Socia_..._.,...w..__._,._n,.._,~.,~._. ....~.~._,.~.~_..~~..e.~_._..__....~.,_..°w_.°.._._~_~-......_..~ .......~.__~._..~.,. __..,.. I Security Number Date of Death Date of Birth Last Name Suffix First Name MI TYPE FILING: Fill in oval to indicate the nature of the return to be filed with the Department. ~~~ ~°'_.__.___ ® Probate Return ~ Joint Assets Only ®Estate Tax Only Q Litigation Purposes (No Other Assets) LETTERS GRANTED: Fill in oval to indicate the nature of the proceedings at the Register of Wills Office~~~ (Attach additional sheets if explanation is necessary.) ® Testamentary Q Administration ~ No Letters Q Other (Please Explain) ATTORNEY/CORRESPONDENT INFORMATION: Enter alp data concerning the attorney or other individual to receive all tax information and correspondence. Last Name Suffix First Name MI N f ,~4- Supreme Court I.D. # Telephone Number Correspondent's e-mail address: First line of address Second line of address City or Post Office State ZIP Code PERSONAL REPRESENTATIVE INFORMATION: Enter all data concerning the personal representative(s) of the estate .~ authorized by the Register of Wills. Executor/Administrator Social Security Number Telephone Number Last Name Suffix First Name MI K 1 FM L ~ o~A-~,[7 G First line of address II D L~ (~ /~ L r D ~ ~ ~ /~ OFFICIAL USE ONLY Second line of address ACTION COUNT Ciry or Post Office State ZIP Code Complete general estate information questions and indicate additional personal representatives on reverse side. PLEASE USE ORIGINAL FORM ONLY Side 1 34600041042 34600041,042 J 34600042043 REV-~~34,,--6 EX Deced~e7nt's Social Security Number Decedent's Name: `~5/G f~iCh ~ 1~ / ~ ~ ~> L/ Ss~ ' ~' Co-Executor/Administrator !! Social Security Number Telephone Number Last Name Suffix First Name MI First line of address Second line of address City or Post Office State ZIP Code Co-Executor/Administrator Social Security Number Telephone Number Last Name Suffix First Name MI First line of address Second line of address City or Post Office State ZIP Code GENERAL ESTATE INFORMATION: Enter all applicable data. Did the decedent own real property in PA? O Yes O No If yes, List the location(s) and an estimate of the value(s) for each parcel. Location 1~/ / ~ Value $ Location Value $ What is the approximate value of the decedent's personal property? $ Was a bond required in order to obtain Letters Testamentary or Letters of Administration? O Yes ~ No Was the decedent survived by a spouse? O Yes ~ No If yes, what is the surviving spouse's full name? ~~tJ~,d Was the decedent survived by other heirs? ~ Yes O No If yes, list their name(s) and their relationship to the decedent below. Name /~~~U C• I~iCIf~ Relationship ~,y The Department is authorized by law, 42 U.S.C. §405 (c)(2)(C)(i), to require disclosure of Social Security numbers in connection with administering state tax laws. The Department uses the Social Security number to identify the decedent and personal representatives of the estate. The Commonwealth may also use the information in exchange of tax information agreements with Federal and local taxing authorities. The state law prohibits the Commonwealth's personnel from disclosing confidential tax information except for official purposes. Side 2 34600042043 34600042043 J REV-t509 EX + (1-97) - SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER oZ ~ ` , I ESTATE OF ~' Lsie ,K~ ~h I If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. tZonald G. k• eti ! (. b ~e Wa.lt D r Se ~ IYlechan i cS~u~, P~ B C JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY Include name of financial institution and bank account number or similar identifying number. Attach deed for jointly-held real estate. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1. A. s1y'~43 'R~~ P'"°p."'~j ~~"'provcal w~~a dwGl~in~ ~. ~ ks e S ~ ~ua~c ~ any Cr~~ TivP. ~ Samu^scl' CoK.n~y, PenKa. ~/ (SC.C CBp oT ~~C~ ~~X t~~~ ~S~C IS,GtiI lt~ts rcdtceastc~ L /'IC/" hK5 ~iaaq~, ~1'la~l~~ t. /<~G1i wlw d i ~ ~+ ri ~ ~~ /'~ ~ ~ l~he`L ~aN sltc ~I ~lGr' cSQi ~ SD~'I ~L ~Q/1~tB ~2 IL~i/le/^d ~Pdc.,Li as ,TTY Rd S. _ _ o~ ~s c Sze ~fppraisa/ ~ /11; ~he11e . ~,ru ~rn ~ ~ oZ (o~ ooo~ .$7~~ ~ /.~, ao0, ~'v , - / J`u ~ ! 3, 2 ,aJ ~ ~.SGe' ~pprdi s 4l 4' 1~Q ~KLG a• /¢'• 3l/f!'~ Frs~' NQ o~ l~!/~rla. ~1~. 1~.D OjOd ~ ~~ 39-B.SS So/~ ~~f• 1 ~y.2$ See va/uafib~t /~~ri' a~ZCktd~ ~ TOTAL (Also enter on line 6, Recapitulation) $ / 7, / 4 4 • Z g (If more space is needed, insert additional sheets of the same size) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES A N D Po Box 280601 TAXPAYER RESPONSE HARRISBURG PA 17128-0601 REV-1543 EX AFP (OB-08) FILE N0. 21 ACN 10172888 DATE 12-17-2010 RONALD G KIEHL bb DEWALT DR MECHANICSBURG PA 17050-1723 EST. OF ELSIE S KIEHL SSN 170-50-4525 DATE OF DEATH 08-09-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. FIRST NB OF PENNSYLVANIA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call !?1?? ?87-8327 with :,aQstions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1200100 Date 03-01-1974 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance 8, 398.55 payment to the Register of Wills. Make check payable to Register of Wills, Agent . Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax ~` 4, 199.28 months of the decedent's date of death, Tax Rate X .045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 188.97 nine months after the date of death. PART TAXPAYER RESPONSE ~ FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART IJ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ ~#AF relationship to decedent: 2 PA DEPARTMENT OF REiIENUF TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ b 7. Tax Rate 7 X 7 8. Tax Due 8 $ g_ PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and comp to to tie byest o,# my knowledge and belief. - G' ' ~ HOME C ~7 ) ,7~ ~~ -- ~,~? .. '~ ; ~~/7t~"V i `~",..•.° ~ ~'... J ~ ~Y ~ /1 .,7fVTFi\ l 7/ ! ) r ` ., ~ ~ ~ ~,. ~jt ~.I ./. /! TAXPAYER SIGNAT RE /1 TELEPHONE NUMBER /'-' DATE TOTAL (Enter on Line 5 of Tax Computation) S PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES A N D Po eox zao6ol ~ TAXPAYER RESPONSE HARRISBURG PA 17128-0601 REV-1543 EX AFP (08-OB) FILE N0. 21 ACN 10172888 DATE 12-17-2010 RONALD G KIEHL 66 DEWALT DR MECHANICSBURG PA 17050-1723 EST. OF ELSIE S KIEHL SSN 170-50-4525 DATE OF DEATH 08-09-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. FIRST NB OF PENNSYLVANIA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call [777) 7R7-8327 witti q~.lestions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1200100 Date 03- 01-1974 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 8, 398.55 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 4, 199.28 months of the decedent's date of death, Tax Rate )( . 045 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax Due $ 188.97 nine months after the date of death. PART TAXPAYER RESPONSE ~ Fl4ILURE TO RESPOND WILL RESULT IN AN flFFICiAL TAX ASS6~SMENT A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of D N E Wills and an official assessment will be issued by the PA Department of Revenue. BLOC K B. ~he above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return O N L Y f to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAA a relationship to decedent: PA DEPARTMENT DF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ g 7. Tax Rate 7 X 7 8. Tax Due 8 $ g PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct ,and comple to the ,pest of ;,ny k owledge and belief. HOME C ~~ ) ~~~ ~~~/~ -~' ~~ ~~..~ ~ ~L' ' ,,~ C/~C-salt K c ~/l ) /' ~ t~~ " ~~ TA AYER SIGNATUR TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) $ No. b9 DEED - Adopted by Alleg. Co. Bar Assoc. ® 1988, P. O. Naly Co., Pgh., PA 1b2i9 ~ ~~ tt~~ the 4 th day o f May 19 93 , MARTIN E. KIEHL and ELSIE KIEHL, husband and wife, of R.D.#2, Friedens, Pennsylvania, GRANTORS, part ies o f the first part and MARTIN E. KIEHL and ELSIE KIEHL, husband and wife, of R.D.#2, Friedens, Pennsylvania, as tenants by the entireties to a one-half interest; and RONALD G. KIEHL, of 66 DeWalt Drive, Mechanicsburg, Pennsylvania 17055; with rights of survivorship as between the two one-half interests, GRANTEES, part ies o f the second part: i~n~~s~e#1~, that the said part ies o f the first part, in consideration o f oNE ( ~ 1.0 0 ) DOLLAR -------------------------------------------------------------- to them now paid by the said part ies of the second part, do grant, bargain, sell and conuey unto the said part ies o f the second part, their heirs and assigns, .~jl the following described tract of land situate in Stonycreek Township, Somerset County, Pennsylvania, bounded and described as follows: BEGINNING at a post in the middle of the public road, South 45° East 3.7 perches to a post at the creek; thence by land now or formerly of William Lowry, North 49° East 7 perches to a post along the creek; thence North 62° East 10.2 perches to a post; thence by residue, North 1° East 10.8 perches to a post; thence North 58-3/4° West 6.7 perches to a post in the road; thence South 37-1/2° West 14.2 perches to a post in the road; thence South 48-1/2° West 16 perches to the place of beginning. CONTAINING one acre and fifty-seven perches, strict measure.- BEING the same premises conveyed to Martin E. Kiehl and Elsie Kiehl, husband and wife, by deed of Mary Spangler, widow, dated May 22, 1946 and recorded in Somerset County Deed Book Volume 433, Page 126. The Grantors hereby acknowledge that the Grantors have not disposed of hazardous waste on the property above described, nor, to the actual knowledge of the Grantors, has hazardous waste ever been disposed of on the property above described. The terms "hazardous waste" and "disposed", as used herein, shall have, in addition to their normal and customary meanings, the definitions contained in the "Solid Waste YOL1200 PG 375 Management Act",~No. 97 of :1980. This is a conveyance from husband and wife to themselves and their son. '~OLyN O•fl PO 3 7 ~ with the appurtenances: ~~ ~Ittu~e ttn~ ~~a ~in1~ the same unto and for the use o f the said parties o f the second part , their heirs and assigns f orever, And the said parties of the first part, for themselves , their heirs, executors and administrators covenant with the said part, ie s o f the second part, their heirs and assigns against all lawful claimants ------------------~ E N E R A L L Y-------------------- --------------------------- the same and every part thereof to Warrant and Defend. NOTICE-THIS DOCY.TMENT MAY NOT SELL, CONVEY, TRANSFER, INCLUDE Oft INSURE THE TITLE TO H~~~~ THE COAL AND RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND DESCRIBED Oft REFERRED TO HEREIN, AND THE OWNER OR OWNERS OF SUCH COAL M ~~~ E THE COMPLETE LEGAL RIGHT TO RE- MOVE ALL OF SUCH COAL AND, IN THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE, BUILDING OR OTHER STRUCTURE ON OR IN SUCH LAND. THE INCLi7SION OF THIS NOTICE DOES NOT ENLARGE, RESTRICT OR MODIFY ANY LEGAL RIGHTS OR ESTATES OTHERWISE CREATED, TRANSFERRED, EXCEPTED OR RESERVED BY THIS INSTRUMENT. [This notice is set forth in the manner provided in Section 1 of the Act of July 17, 1957, P. L. 984, as amended, and is not intended as notice of unrecorded instruments, if any.] ~trip~~ the hands and seals o f the said 1~a~~e s o f the first part. 3~itness- ~' ~ ~~' R,. ~ ---- - ~------ ~ ---- ~ - - ---------------- SEAL -- --- I~Ia r t- E : Ki h~ 1---- ~----~ --------- -------~Isie--die -~---- ----------------------- sEAL ~~ ---------------------------------------------------------------------------- sESL ~~ ---------------------------------------------------------------------------- SEAL ~~ ---------------------------------------------------------------------------- SEAL NOTICE THE UNDERSIGNED, AS EVIDENCED BY THE SIGNATURE(S) TO THIS NOTICE AND THE ACCEPTANCE AND RECORDING OF THIS DEED, (IS, ARE) FULLY COGNIZANT OF THE FACT THAT THE UNDERSIGNED MAY NOT BE OBTAINING THE RIGHT OF PROTECTION AGAINST SUBSIDENCE, AS TO THE PROPERTY HEREIN CONVEYED, RESULTING FROM COAL MINING OPERATIONS AND THAT THE PURCHASED PROPERTY, HEREIN CONVEYED, MAY BE PROTECTED FROM DAMAGE DUE TO MINE SUBSIDENCE BY A PRIVATE CONTRACT WITH THE OWNERS OF THE ECONOMIC INTEREST IN THE COAL. THIS NOTICE IS INSERTED HEREIN TO COMPLY WITH THE BITUMINOUS MINE SUBSIDENCE AND LAND CONSERVATION ACT OF 1966. WITNESS: (~nmmnrtwrettl~l~ of ~enn,~~tuttmtt ~,~. ~>Altri~l~ p~----------------S ome r s e t On this the y~h day o f ~a~ , A.D.19 9 3 , before me , a notary public , the undersigned of f icer, personally appeared MARTIN E. KIEHL and ELSIE KIEHL, husband and wife, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within in- strument and acknowledged that theyexecuted the same for the purposes therein contained. ,~ln t~>nr~~ l~rr~nf, I hereunto set my hand and o ffi ial seal. - . ,.., ~/. +`• ~, •r 1 ~ t~&y S`;~; -: : i . A '•' ~ : ~ ~ ~ '; Notarial Seal ~, " x ~~ ~,• ~ ,~ •, Donna L. Wilt, Notary Public n' ~,~.~./~ ~~ ~ 1 (~ ~' "~ -~~ ~ ~ .. .. Shar~lcsville Ferro, Sornarset Gour~ty .. .` v ~%::^~.~ 1 f ... . t '` ' { • M Commission F.~ires Dec. 9 My commission expire ~ b ; ~ .~~ *.~` ~ y tapes f Off icer) • . J ~ 4 Me;~~ber, ennsylvarua Assoaabon of No .• t~ ~~1 .r ~`~lftf ... ,. , YOLI200 PG 377 ~~ U~v 2 '~ 0 o~ (~nntmnniurttl~l~ of ~enn,~~Iuttnttt ,~~. Cnnnn~~ nf--------------------------------------------------------- On this day of A.D. 19 ,before me in and for said came the above named and acknowledged the foregoing Indenture to be act and deed, to the end that it may be recorded as such. t~nP~,~ my hand and seal. ~~ SEAL My Commission Expires____________________________________________ ~iM~P A~ (~nnnt~ of On this, the day o f , 19 befo~•e me the unders~ig~zed off ice~~, personally appeared known to me (or satisfactorily proven) to be the person 2vhase num,e subsc7°ibed to the Zvithin i~zstrument and acknowledged that he executed the same for the pu~'poses therein con- tained. In Witness Whereof, I hereunto set my hand and official seal. Title o f O ff ices°. My Commission Expires____________________________________________ I, c~.,.. C Z,`, - Certificate of Residence do hereby certify that grantees' precise residence is Martin E . Kiehl , R . D . # 2 , Box 2 41, Friedens , PA 15 5 41. Witness my hand this r" ~ ~-..;L. day of ~~-~-*-~-~-- , 19 9 3 . ~ ; W W ~ ' ~ ; H H A a, ` x x ~ ; w w zPT~ i ~~. H H O cn cn x ~, .~~f~ . ; a a W W ~ ~'3 ~'~~ ~~ ~ ~ ~ ~~i z b v ro~ ~a~ N N art ~~ r ~~ O ~ ` '~ ~ w3 w3 ~a~iui ~ x '~ ~4 rd ~ ~ ~ N ~ ~ ~ ~ ~ ~ ~ O W '~ W 'tj ~ AFC ~ z~ z~ w H ~ H cd i--1 H A H .~ x aN a~nw ti ; ~ ~ ~ H ~ ~ ~ x (IInmmanmrxltl~ of ~rnns~lnxniu l } ss. CnA1Trif1J Af---•°• SOMERSET.----°----------------- 1 uru~5 +yV , ~,f ~~ "~ a •~ • ~~ ~1'xAP~~~ on th2s--------------------------------- • 2 7th ---------day of---------------- MaS-'------------------ A.D. 19 9 3____--_, in the Recorder's office o f the said County, in $?~~Book, Volume___1200_________-, page________3.7__4____-___-• Record GZVen under my hand and t seal o f the said office, the day and year aforesaid. Recorder. ~. w~ O °1 ~a ~~ aA C_ ~t a; ~: _~ a ~ a !-- z o ~ C] a ti ~ a °' ~ W ~~ ~ N ~. w ~• Main File No. 10-122 Pa a #1 'tl ~ : I ~ ~ ~ '~ a APPRAISAL OF REAL PROPERTY LOCATED AT: 672 Causeway Dr Deed Book Volume 1200, Page 374 Friedens, PA 15541-6028 FOR: Ron Kiehl 66 Dewalt Drive Mechanicsburg, PA 17050 {N AS OF: ~, July 13, 2010 BY: Michelle Serafini PA Certified Residential Appraiser #.: RL003387L ~F ~' ' ~" ` f "~ k ~`~'~~~ °'~ ~ .ti~~ i ~r .z 'Li M ~ y, z ,+ f .., ~ , ~,~~ Serafini Appraisal Services Form GA2 - "WinTOTAt.° appraisal software by a la mode, inc. -1-800-ALAMODE Main File No. 10-122 Pa a #2 Serafini Appraisal Services 1204 S. Columbia Avenue Somerset, PA 15501 July 14, 2010 Ron Kiehl 66 Dewalt Drive Mechanicsburg, PA 17050 Re: Property: 672 Causeway Dr Friedens, PA 15541-6028 Borrower: N/A File No.: 10-122 In accordance with your request, we have appraised the above referenced property. The report of that appraisal is attached. The purpose of this appraisal is to estimate the market value of the property described in this appraisal report, as improved, in unencumbered fee simple title of ownership. This report is based on a physical analysis of the site and improvements, a locational analysis of the neighborhood and city, and an economic analysis of the market for properties such as the subject. The appraisal was developed and the report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice. The value conclusions reported are as of the effective date stated in the body of the report and contingent upon the certification and limiting conditions attached. It has been a pleasure to assist you. Please do not hesitate to contact me or any of my staff if we can be of additional service to you. Respectfully Submitted, Mich erafini PA Certified Residential Appraiser Main File No. 10-122 Page #3 SUMMARY OF SALIENT FEATURES Subject Address 672 Causeway Dr Legal Description Deed Book Volume 1200, Page 374 City Friedens County Somerset State PA Zip Code 15541-6028 Census Tract 0212.00 Map Reference S44-007-092 Sale Price $ Date of Sale Owner Martin E. Kiehl Et AI Client Ron Kiehl Size (Square Feet) 1,644 Price per Square Foot $ Location Average Age 40 Effective Condit+on Fair Total Rooms 7 Bedrooms 3 Baths 1.5 Appraiser Michelle Serafini Date of Appraised Value July 13, 2010 Opinion of Value $ 26,000 Form SSD2 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Main File No. 10-122 Page #4 Seraflni Appraisal Services Owner Martin E. Kiehl Et AI File No. 10-122 Pro a Address 672 Causewa Dr Ci Friedens Coun Somerset State PA Zi~Code 15541-6028 Client Ron Kiehl APPRAISAL AND REPORT IDENTIFICATION This Appraisal Report is ~ of the following types: ^ Self Contained (A written report prepared under Standards Rule 2-2(a) , persuant to the Scope of Work, as disclosed elsewhere in this report.) ®Summary (A written report prepared under Standards Rule 2-2(b) , persuant to the Scope of Work, as disclosed elsewhere in this report.) ^ Restricted Use (A written report prepared under Standards Rule 2-2(c) , persuant to the Scope of Work, as disclosed elsewhere in this report, restricted to the stated intended use by the specified client or intended user.) Comments on Standards Rule 2-3 I certify that, to the best of my knowledge and belief: - the statements of fact contained in this report are true and correct. -the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions. - I have no (or the specified) present or prospective interest in the property that is the subject of this report and no (or the specified) personal interest with respect to the parties involved. - I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. - my engagement in this assignment was not contingent upon developing or reporting predetermined results. - my 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. - my analyses, opinions, and conclusions were developed, and this report has been prepared, inconformity with the Uniform Standards of Professional Appraisal Practice. - I have (or have not) made a personal inspection of the property that is the subject of this report. (If more than one person signs this certification, the certification must clearly specify which individuals did and which individuals did not make a personal inspection of the appraised property.) - no one provided significant real property appraisal assistance to the person signing this certification. (If there are exceptions, the name of each individual providing significant real property appraisal assistance must be stated.) Comments on Appraisal and Report Identification Note any USPAP related issues requiring disclosure and any state mandated requirements: INTENDED USE/USER The above referenced client and their assi ns are the onl intended users of this re ort. The intended use is for marketing/le al ur oses. SCOPE OF WORK This a raisal is based on the information athered b the a raiser from ublic records other identified sources ins ection of the sub'ect ro ert and nei hborhood and selection of com arable sales listin s and/or rentals within the sub'ect market area. The on final source of the com arables is shown in the data source section of the market rid alon with the source of confirmation if available. The sources and data are considered reliable. When conflictin information was rovided the source deemed most reliable has been used. Data believed to be unreliable was not included in the re ort nor used as a basis for the value conclusion. The extent of anal sis a lied to this assi nment ma be further im arted within the re ort the A raiser's Certification and/or an other Statement of Limitin Conditions and A raiser's Certification such as ma be utilized with the Fannie Mae form 1004. APPRAISER: _~ Signature: Name: Michell Seraflni Date Signed: Ju 16, 2010 State Certification #: RL003387L or State License #: State: PA Expiration Date of Certification or License: 6/30/2011 Effective Date of Appraisal: July 13, 2010 SUPERVISORY APPRAISER (only if required): Signature: Name: Date Signed: State Certification #: or State License #: _ State: ____ Expiration Date of Certification or License: _ Supervisory Appraiser inspection of Subject Property: ^ Did Not ^ Exterior-only from street ^ Interior and Exterior Form ID06 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Serafini Appraisal Services Main File No. 10- 22 Pa a #5 _ _ . _. >t,tiuttlcnQllu Q~c~n>~r~T1e1 elapRelcel RFPf1RT cuvu~ ,r,_,~~ Pro a Address 672 Causewa Dr Ci Friedens State PA Zi Code 15541-6028 Le al Descri tion Deed Book Volume 1200 Pa a 374 Caun Somerset Assessor's Parcel No. 44-0-006110 Tax Year 2010 R.E. Taxes 898.33 S ecial Assessments Borrower N/A Current Owner Martin E. Kiehl Et AI Occu ant: Owner Tenant Vacant Pro a ri hts a raised Fee Sim !e Leasehold Project T e PUD Condominium HUD A onl HOA Mo. Nei hborhood or Project Name Ston creek Townshi Ma Reference S44-007-092 Census Tract 0212.00 Sale Price Date of Sale Descri 'on and amount of loan char concessions to be aid b seller Lender Client Ron Kiehl Address 66 Dewalt Drive Mechanicsbur PA 17050 A raiser Michelle Serafini Address 1204 S. Columbia Avenue Somerset PA 15501 Location Urban Suburban Rural Built up ^ Over 75% ®25-75% ^ Under 25% Growth rate ^ Rapid ®Stable ^ Slow Predominant occupancy ®Owner PRlt~e am y hoAGEg $(000} (yrs} 50 Low _ 1 Present land use °~ One famil 60 Y 2-4 family Land use change ®Not like) Likel y y ^ In process ®Stable ^ Declining i l ^ I ^ Tenant 350 Hi h 100 Mufti-family To: ng ncreas Property va ues e ®In balance ^ Over supply t ^ Sh d l D ®Vacant (0-5%) ~ y. Predominant ~ ~~ ~ ~ Commercial 30 or ag eman /supp y Marketin time Under 3 mos. 3-6 mos. Over 6 mos. Vac. over 5% . 70-120 40-50 Vacant 10 Note: Race and the racial compos{tlon of the neighborhood are not apps{sal factors. Neighborhood boundaries and characteristics: AN of Stonycreek Township is considered to be the neighborhood. Factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to market, etc.): See Pa a 3. The 30% commercial land use includes famil farms which do not ne ativel affect the value or marketabilit of residential ro erties. ---- Market conditions in the subject neighborhood (including support for the above conclusions related to the trend of property values, demand/supply, and marketing time --such as data on competitive properties for sale in the neighborhood, description of the prevalence of sales and financing cancessions, etc.): Information to su ort the above conclusions was obtained from the CambrialSomerset Counties MLS and Public Records. Sales concessions are ve common in this market area but are not r wired b sellers. _ Project information for PUDs (If applicable) - - Is the developer/builder in control of the Home Owners' Association (HOA)? Yes No Approximate total number of units in the subject project Approximate total number of units for sale in the subject project Describe common elements and recreational facilities: Dimensions Varies -Per Deed Topography Sloping Site area .974 acre Corner Lot ^ Yes ®No Specific zoning classification and description None Zoning compliance ^ Legal ^ Legal nonconforming (Grandfathered use) ^ Illegal ®No zoning Hi hest & best use as im roved: Present use Other use a lain Size Typical Shape Irregular Drainage *See Comments View Rural UtINtles Public Other Electricity ® Gas ^ Bottled Water ^ Drilled Weil Sanitary sewer ^ Se tic S stem* Storm sewer None Off-efts Improvements Type Public Private Street Paved ® ^ Curb/gutter None ^ ^ Sidewalk None ^ [] Street lights None ^ [] Alle None Landscaping Minimal Driveway Surface Grass/Gravel Apparent easements None Noted FEMA Special Flood Hazard Area ^ Yes ®No FEMA Zone C Map Date 8/19/1985 FEMA Ma No. 42252400106 Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning use, etc.): The lot slo es from the road and the basement area is ve dam . In the era that the home was built french drain s stems were not bein used and there are no utters/downs outs to drain wa ter awe from the foundation. The drains a around the home is not ads wets. GENERAL DESCRIPTION No. of Units One No. of Stories Two Type (Det./Att.} Detached Design (Style} Two Sto Existing/Praposed Existin Age (Yrs.) 110 +/- Effective A e rs. 40 EXTERIOR DESCRIPTION Foundation Stone/Block Exterior Walls Wood Sidin Roof Surface Com Shin lee Gutters & Dwnspts. None Window Type Sin le-Hun Storm/Screens Yes/Some Manufactured House No FOUNDATION Slab N!A Craw{ Space NIA Basement Full Sump Pump None Dampness *See Comments Settlement T ical' Infestation None Noted BASEMENT Area Sq. Ft. 786 % Finished 0 Ceiling Open Joist Wails Stone/Block Floor Concrete/Dirt Outside Entry Yes INSULATION Roof ^ Ceiling ^ Walls ^ Floor ^ None ^ Unknown Concealed ROOMS Fo er Livin Dinin Kitchen Den Famil Rm. Rec. Rm. Bedrooms # Baths Laund Ot her Area S . Ft. Basement - 786 Level 1 1 1 1 .5 1 858 Level 2 3 1 786 Finished area above reds contains: 7 Rooms 3 Bedroom s ~ 1.5 Bath s ~ 1 644 S ware Feet of Gross Livin Area INTERIOR Materials/Condition Floors Carpet/Vinyl/Fair Walls Plaster/Pane{ed/Fair Trim/Finish Mixed/Fair HEATING Type FA Fuel Oil Condition Fair KITCHEN EQUIP. Refrigerator ® Range/Oven ® Disposal ^ ATTIC None ^ Stairs ~ Drop Stair ^ AMENITIES Fireplace(s) # _ ^ Patio ^] Deck _ ^ CAR STORAGE: None ^ Garage # of cars Attached Bath Floor Car etNin I/Fair Bath Wainscot None Doors Mixed/Fair COOLING None Central Other Dishwasher ® Fan/Hood ^ Microwave ^ Scuttle ^ Floor ® Heated ^ Porch Two/Covr'd _ ® Fence ^ Pool ^ Detached 3 Car Built-In Carport Condition Washer D er Finished Drivewa 3 Car Additional features (special energy efficient items, etc.}: None. Condition of the improvements, depreciation (physical, functional, and external), repairs needed, quality of construction, remadeling/additions, etc.: See attached addendum. Adverse environmental conditions (such as, but not limited to, hazardous wastes, toxic substances, etc.} present in the improvements, on the site, or in the immediate vicinity of the subject property.: There were no adverse conditions or hazardous wastes observed at the time of the ins ection on or near the sub'ect site. See the attached Statement of Limitin Conditions & Certification. r__a.::_ ....., ~...... -rn a rno cerG i nG ~ Fannie Mae Form 1004 6/93 Form UA2 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Main File No. 10-122 Pa a #6 ~a~~cnQU QCCI~ICYTIAI ApPRA1CA1 RFPART ~iier~„ ~n_~~~ ESTIMATEDSITE VALUE _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ $ ESTIMATED REPRODUCTION COST-NEW-OF IMPROVEMENTS: Dwelling 1,644_Sq. Ft. @$ _ $ 786 S Ft @$ = Comments on Cost Approach (such as, source of cost estimate, site value, square foot calculation and for HUD, VA and FmHA, the estimated remaining economic life of the property}: The Cost A roach was not tom leted due to the a e of the structure and the difficult in assi nin an q. . = accurate amount of accrued de reciation. This a roach will not @$ = Ft ort Sq e/Car Gara rovide a ood indication of value and if completed ma be . . p g _ $ Total Estimated Cost New misleadin to the reader. _ _ .. - . _ _ _ _ _ _ _ _ . _ _ . _ _ . _ _ sical Functional External Less Ph y Depreciation ~ ~ _$ --- _ = $ rovements eciated Value of Im De ---- . _ _ . _ _ . _ _ _ _ . _ _ _ . _ _ _ _ _ - p pr _$ rovements "As-is"Valueof Sitelm __________________ ___________.__ p INDICATED VALUE BY COST APPROACH ____________________________ ITEM SUBJECT COMPARABLE N0.1 COMPARABLE N0.2 COMPARABLE N0.3 672 Causeway Dr Address Friedens 1842 Welsh Hill Rd 1 Friedens R 77 Rockdale Rd ockwood 201 Vo Tech Rd Somerset lm' to Sub'ect P ~ 20 miles W 1 2 SW 5.98 miles 7.15 miles rox Sales Price . ~.--_ ~- 32,500_ -- ---- ~.- - - -: _ - , ^ -_~~` 23 000 _ ~ ~ ~ ;. , ^ 22,000_ 8 Price Gross Livin Area ~' 28.41 ~ , __ ~`~ ~ ~ 14.74 ___ ~___ ~ 15.2 --~- Data and/or Verification Source Pub Rec/Owner Ins ection Public RecordslMLS/inspection P Sales A ent S ublic Records/MLS/Inspection ales A ent Public Records/MLS/Inspection A raiser's Files VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION ~ + - $ Ad'ust. DESCRIPTION ~ + - $ Ad'ust. DESCRIPTION + - $ Ad'ust. Sales or Financing Concessions ~ Cash ~ None Known Cash ~ None Known ~ Conventional None Known Date of Sale ime 10/08 ~ 6/10 3109 Location Avera a Su riot ; -3 300 Similar ; Su erior ; -2 200 Leasehol Fee Sim le Fee Sim le Fee Sim le ; Fee Sim le Fee Sim le Site .974 acre .80 acre -5 000 .17 acre +8 000 .47 acre/Sim. View Rural Rural ~ Rura{ Nei hborhood ; Desi n and A cal Two Sto Twa Sto Two Sto ~ Two Sto Quali of Construction Frame/Avera a FramelAvera a Frame/Avera a ~; Frame/Avera e A e 40 Effective 40 Effective ~; 40 Effective 40 Effective Condition Fair Su erior -3 500 Su erior ~ -3 000 Similar Above Grade Total ~ Bdrms ~ Baths Total ~ Bdrms ~ Baths ~ Total ~ Bdrms ~ Baths ; Total ~ Bdrms ; Baths Room Count 7 ~ 3 ~ 1.5 5 ~ 4 ~ 1 +500 5 ~ 3 ~ 1 +500 6 ~ 3 ~ 1 +500 Gross Livin Area 1 644 S . Ft. 1 144 S . Ft. ~ +5 000 1 560 S . Ft. ~ 0 1 440 S . Ft. ~ +2 040 Basement & Finished Rooms Below Grade Full/Unfinished 0 Full/Unfinished ~ 0 ~ Full/Unfinished 0 Full/Unfinished 0 ' Functional Util' Inferior Similar ~ Similar ~ Su erior ~ -2 200 Heatin Coolin Oil FA/NonelPoor Oil FA/None ~ -1 000 Oil FA/None -1 000 Oil FA/None '~ -1 000 Ener Efficient Items Fair Fair ~ Fair ~ Fair Gara a Cat ort 3 Car Detached None ~ +3 000 1 Car Detached +1 000 None ~ +3 000 Porch, Patio, Deck, Fire laces etc. Porches None Porches None Porches None Porches None Fence Pool etc. None None None None Net Ad'. total + - -4 300 + - 5 500 + _ __ _^ - ~ 140 Adjusted Sales Price of Com arable ' ~ ~. 28 200 28 500 22 140 Comments on Sales Comparison (including the su Sale #1 & #3 were ad'usted for su erior bject property's compatibility to the neighborhood, etc.}: AN three sales were iven a ual consideration. location in Somerset School District. Sale #1 8~ #2 were ad'usted accordin i under site and for su erior condition to that of the sub'ect roe . An ad'ustment was made across the board under heatin /coolin for the sub~ect's fuel oil tank which needs to be re laced. There were no corn arable sales found in the sub'ect's market area within the ast two years. Therefore it was necessa for the a raiser to use sales from other market areas around Somerset Count . ITEM SUBJECT COMPARABLE N0.1 COMPARABLE N0.2 COMPARABLE N0.3 Date, Price and Data Source, for prior sales within ear of a raisal N/A N/A Public Records N/A N/A Public Records N/A N/A Public Records N/A NIA Public Records Analysis of any current agreement of sale, option, or listing of subject property and analysis of any prior sales of subject and comparables within one year of the date of appraisal: The sub'ect ro ert has not transferred in the three ears roceedin the effective date of this a raisal. The sale dates for the corn arables used are the most recent and no transfers occurred within one ear riot unless stated above. INDICATED VALUE BY SALES COMPARISON APPROACH ____________________._______.____._..________.._______ .__.. _____._._-_____._ __--. - ..-- $ 26000 INDICATED VALUE BY INCOME APPROACH 'rf A licable Estimated Market Rent N/A Mo. x Gross Rent Mull tier = This appraisal is made "as is" subject to the repairs, alterations, inspections or conditions listed below subject to completion per plans & specifications. Conditions of Appraisal: The estimated fair market value stated herein is not subject to conditions. Final Reconciliation: Most em hasis is iven to the Sales Com orison A roach as it best re resents bu ers and sellers in the market lace. The income A roach was deemed not a livable. The Cost A roach was not tom leted due to the a e of the structure and the difficu in assi nin an accurate amount of de reciation. This a raisal was made b a h sical ins ection ublic records and owner information. The purpose of this appraisal is to estimate the market value of the real property that is the subject of this report, based on the above conditions and the certification, contingent and limiting conditions, and market value definition that are stated in the attached Freddie Mac Form 439/FNMA form 10048 (Revised 6/93 ^. I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF Jui 13 2010 IS THE DATE OF INSPECTION A THE EFFECTIVE DATE OF THIS REPORT) TO BE $ 26,000 _ A ER' Ile era PA ertified R ~idential Appraiser SUPERVISORY APPRAISER (ONLY IF REQUIRED): Si nature Signature ^ Did ^ Did Not Name Miche a erafini Name _ Inspect Property Date Re ort Si ned Jul 16 2 0 Date Resort Signed State Certification # L003387L State PA State Certification # State Or State License # State Or State License # State Lrorlriic itA~r i=nrm 7(1 Rl09 par,F ~ nF ~ Fannie Mae Form 1004 6-93 Form UA2 -- "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Main File No. 10-122 Page #7 DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under ail conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1} buyer and seller are typically motivated; (2} both parties are well informed or well advised, and each acting in what he considers his own best interest; (3) a reasonable time is allowed for exposure in the open market; (4} payment is made in terms of cash in U.S. dollars ar in terms of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions* granted by anyone associated with the sale. * Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgement. STATEMENT OF LIMITING CONDITtOHS AND APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears in the appraisal report is subject to the following conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it. The appraiser assumes that the title is gaol and marketable and, therefore, will not render any opinions about the title. The property is appraised on the basis of it being under responsible ownership. 2. The appraiser has provided a sketch in the appraisal report to show approximate dimensions of the improvements and the sketch is included only to assist the reader of the report in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in the appraisal report whether the subject site is located in an identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand. 5. The appraiser has estimated the value of the land in the cost approach at its highest and best use and the improvements at their contributory value. These separate valuations of the land and improvements must not be used in conjunction with any other appraisal and are invalid if they are so used. 6. The appraiser has noted in the appraisal report any adverse conditions (such as, needed repairs, depreciation, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the normal research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no knowledge of any hidden or unapparent conditions of the property or adverse environmental conditions (including the presence of hazardous wastes, toxic substances, etc.) that would make the property more or less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied, regarding the condition of the property. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considered as an environmental assessment of the property. 7. The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or she considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of such items that were iumished by other parties. 8. The appraiser will not disclose the contents of the appraisal report except as provided for in the Uniform Standards of Professional Appraisal Practice. 9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that completion of the improvements will be performed in a workmanlike manner. 10. The appraiser must provide his or her prior written consent before the lender/client specified in the appraisal report can distribute the appraisal report (including conclusions about the property value, the appraiser's identity and processional designations, and references to any professional appraisal organizations or the firm with which the appraiser is associated) to anyone other than the borrower; the mortgagee or its successors and assigns; the mortgage insurer; consultants; professional appraisal organizations; any state or federally approved financial institution; or any department, agency, or instrumentality of the United States or any state or the District of Columbia; except that the lender/client may distribute the property description section of the report only to data collection or reporting service(s) without having to obtain the appraiser's prior written consent. The appraiser's written consent and approval must also be obtained before the appraisal can be conveyed by anyone to the public through advertising, public relations, news, sales, or other media. Freddie Mac Form 439 6-93 Page 1 of 2 Serafini Appraisal Services Form ACR - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Fannie Mae Form 1004B 6-93 [Main Fite Na.10-122 Page #8 APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that: 1. I have researched the subject market area and have selected a minimum of three recent sales of properties most similar and proximate to the subject property for consideration in the sales comparison analysis and have made a dollar adjustment when appropriate to reflect the market reaction to those items of significant variation. If a significant item in a comparable propert)+ is superior to, or more favorable than, the subject property, i have made a negative adjustment to reduce the adjusted sales price of the comparable and, if a significant item in a comparable property is inferior to, or less favorable than the subject property, I have made a positive adjustment to increase the adjusted safes price of the comparable. 2. I have taken into consideration the factors that have an impact on value in my development of the estimate of market value in the appraisal report. I have not knowingly withheld any significant information from the appraisal report and I believe, to the best of my knowledge, that all statements and information in the appraisal report are true and correct. 3. i stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the contingent and limiting conditions specified in this form. 4. I have no present or prospective interest in the property that is the subject to this report, and I have no present or prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or the estimate of market value in the appraisal report on the race, color, religion, sex, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property. 5. 1 have no present or contemplated future interest in the subject property, and neither my current or future employment nor my compensation for performing this appraisal is contingent on the appraised value of the property. 6. I was not required to report a predetermined value or direction in value that favors the cause of the client or any related parry, the amount of the value estimate, the attainment of a specific result, or the occurrence of a subsequent event in order to receive my compensation and/or employment for performing the appraisal. i did not base the appraisal report on a requested minimum valuation, a specific valuation, ar the need to approve a specific mortgage loan. 7. I performed this appraisal in conformity with the Untiorm Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of the effective date of this appraisal, with the exception of the departure provision of those Standards, which does not apply. I acknowledge that an estimate of a reasonable time for exposure in the open market is a condition in the definition of market value and the estimate I developed is consistent with the marketing time noted in the neighborhood section of this report, unless I have otherwise stated in the reconciliation section. 8. I have personalty inspected the interior and exterior areas of the subject property and the exterior of all properties listed as comparables in the appraisal report. I further certify that I have noted any apparent or known adverse conditions in the subject improvements, on the subject site, or on any site within the immediate vicinity of the subject property of which I am aware and have made adjustments for these adverse conditions in my analysis of the property value to the extent that I had market evidence to support them. I have also commented about the effect of the adverse conditions on the marketability of the subject property. 9. I personally prepared all conclusions and opinions about the real estate that were set forth in the appraisal report. If I relied on significant professional assistance from any individual or individuals in the performance of the appraisal or the preparation of the appraisal report, I have named such individual(s) and disclosed the specific tasks performed by them in the reconciliation section of this appraisal report. I certify that any individual so named is qualified to perform the tasks. i have not authorized anyone to make a change to any item in the report; therefore, if an unauthorized change is made to the appraisal report, I will take no responsibility for it. SUPERVISORY APPRAISER'S CERTIFICATION: if a supervisory appraiser signed the appraisal report, he or she certifies and agrees that: I directly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal report, agree with the statements and conclusions of the appraiser, agree to be bound by the appraiser's certifications numbered 4 through 7 above, and am taking full responsibility for the appraisal and the appraisal report. ADDRESS OF PROPERTY APPRAISED: 672 Causeway Dr, Friedens, PA 15541-6028 APPRAISER: /~~ SigitatGre: Name: Michelle erafini Date Signed: July 010 State Certification #: RL003387L or State License #: State: PA Expiration Date of Certification or License: 6/30/2011 SUPERVISORY APPRAISER (only if required: Signature: Name: Date Signed: State Certification #: or State License #: State: Expiration Date of Certification or License: ^ Did ^ Did Not Inspect Property Freddie Mac Form 439 6-93 Page 2 of 2 Fannie Mae Form 10046 6-93 Farm ACR - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Main File No. 10-122 Pape #9 Supplemental Addendum Fi1a fUn 1(1.177 Owner Martin E. Kiehl Et AI Pro a _ Address 672 Causewa Dr C' Friedens Coun Somerset State PA Zip Code 15541-6028 Client Ron Kiehl NEIGHBORHOOD ANALYSIS The subject property is located in Stonycreek Township within Somerset County, Pennsylvania. According to the 2000 census, Somerset County has a population of 80,023. There is a 2.3% increase from 1990 to 2000. The median household income for Somerset County is $28,665. Stonycreek Township has a population of 2,221 people. There is a 6.6% increase from 1990 to 2000. This increase is not significant enough to draw any conclusions positive or negative. The subject property is located in an area that is a mix of single family homes, family farms, vacant land and commercial establishments. The area is appealing to residents because of its quiet rural setting but close location to the area's main employment center, Somerset which is located 6 miles to the west. Children are transported to the Shanksville-Stonycreek Area School District. The trend for the future is for the area to remain stable. SALES COMPARISON ANALYSIS In this appraisal, every effort was made to conform to FNMA/FNLMC guidelines, and in most cases, an even stricter interpretation was found common among most investors in the secondary market. The appraiser has chosen what are believed to be the best comparable sales from the market search. Adjustments in the "Sales Comparison Approach" are based on market extraction, not cost figures. Often, it is necessary to use comparable sales that occurred over six months prior to the effective date of the appraisal, have individual or net adjustments exceeding 15% of the comparable sale price, or are located outside of a five mile radius of the subject property. Although the appraiser would like to use sales more in line with FNMA/FNLMC requirements, not every subject can be compared to "ideal" comparable sales. The appraiser has chosen the best available sales from the market in an effort to meet the requirements of the investor underwriting standards, in addition to guidelines established by the Appraisal Foundation, FIRREA, and the Commonwealth of Pennsylvania, of which the appraiser is certified. SUBJECT -COMMENTS/CONDITION The subject dwelling is considered to be in fair to poor condition overall. The exterior is in need of painting and some siding repair work, the interior is in need of updating throughout, there are holes in the ceilings in various rooms, a majority of the windows are old single-hung, and the wiring and plumbing is antiquated. The underground oil tank is taking on water and will need to be replaced. The cost to replace the tank with an interior tank is estimated at $1,000 for materials and labor. Installing a tank inside is more cost effective. The second floor bathroom is captive by a bedroom. This layout is considered inferior to the average buyer in the marketplace and will be considered in the Sales Comparison Approach. The client has no knowledge as to whether an actual septic system exists on the property or not. It is common in the subject's market area of older homes such as the subject to have no tank or leechbed. The appraisal is being completed with the extraordinary assumption that whatever exists is common to the area and would not be required to be changed by the municipality. Form SUP - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE (Main File No. 10-122 Page #10 Building Sketch Owner Martin E. Kiehl Et AI Pro a Address 672 Causewa Dr C Friedens Coun Somerset State PA Zi Code 15541-6028 Client Ron Kiehl 26' 6, First Floor Dining Room ~ [858 Sq ft] Kitchen ~ N a - r 6~ Bath (half) - rn Living Room 28' M ~ Bath 26' Second Floor (786 Sq ft] Bedroom W a' 6' ~ ~ t0 Bedroom Bedroom 28' uv<~ area First Floor Second Floor Total Living Area (Rounded): 1644 Sq R N 01 Area Cakulatlons Summary t~lculatlon DelFils ~' 858 Sq ft 28 x 16 =448 12x6 = 72 13 x 26 = 338 786 Sq ft 26 x 13 = 338 28 x 16 =448 Form SKT.BIdSkI -- "WinTOTAL" appraisal software by a la mode, inc. --1-800-ALAMODE _ _ - _ Main fife Flo. i4-122 P~#J Subject Photo Page ~prty Address Kiehl AI ------ Zi Cod~41 State PA __---- Subject Front 672 Causeway ~r Safes Price Grass Living Area 1 ~~~ Total Rooms 7 3 Total Bedrooms 5 1 Total Bathrooms . Average Location Rural View ,974 acre Site frame/Average QuaC[tY 40 Effective Age SubfeCt Rear Sub~ect Garage ~~ isal software by a la mode, inc. --1-808-AtAMDDE dorm plC3x5.SR -- pWinTOTAL appra Main File No 10-122 Page #12 Comparable Photo Page Owner Martin E. Kiehl Et AI Pro a Address 672 Causewa Dr C' Friedens Coun Somerset State PA Zi Code 15541-6028 Client Ron Kiehl Comparable 1 1842 Welsh Hilt Rd Prox. to Subject 2.20 miles W Sales Price 32,500 Gross Living Area 1,144 Total Rooms 5 Total Bedrooms 4 Total Bathrooms 1 Location Superior View Rural Site .80 acre Quaflty Frame/Average Age 40 Effective Comparable 2 177 Rockdale Rd Prox. to Subject 15.98 miles SW Sales Price 23,000 Gross Living Area 1,560 Total Rooms 5 Total Bedrooms 3 Total Bathrooms 1 Location Similar View Rural Site .17 acre Quality Frame/Average Age 40 Effective Comparable 3 201 Vo Tech Rd Prox. to Subject 7.15 miles W Sales Price 22,000 Gross Living Area 1,440 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1 Loca~on Superior View Neighborhood Site .47 acre/Sim. 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Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: x . ~f /11~trks t~f n C~iurr.{r , /G~i~e~,~/ ~.`/ '~ 3s, o0 3. ~ s fbr ~/ /S'~1 ~1 ~ ~ ~u,ntrt~/ •S'erv~ ~c ~/oo. 00 ,0~-~r,, ~itcra/ ~D/1IG ~$~ •06 B. 1 2. 3. 4. 5. 6. 7. ADMINISTRATIVE COSTS: Personal Representative's Commissions t Name of Personal Representative(s) __ _ _ _ .- _ _ A~ ~! t ~` /'~- Street Address _~ __-- -- City State __ Year(s) Commission Paid: ,_______ Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant _ /1rB ___ /f1Jd~I_G!~`o C - -- Street Address _~-_ City State - Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees ~'.~,~~ fee ~ /s, po TOTAL (Also enter on line 9, Recapitulation) I $ ~ ~©, D~ (If more space is needed, insert additional sheets of the same size) Zip -,- Zip REV-1512,EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHED~ILE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF ~I$ ~ G X~eh l ~ ~ IL NUMBER l Rannrt dPhts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~S~e ~ e~~ FILE NUMBER a~- ~~ RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. T/~c~ ~v~r~ Rio ~o~dQ~ a s s~ ~/Yl i/?/~l~f D/' ~ Ali ,I'i i~~ . ~~:Gecl~Tf ,~,~ KS~q~CXf v~ ~IGSS~~Li ~/i lla ~e ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ fir more space is needed, insert additional sheets of the same size)