HomeMy WebLinkAbout03-0101PETITION FOR GRANT OF LETTERS
Estate of Bennincj, John J.
also known as
, Deceased
Social Security No. 177420980
Petitioner(s), who is/are 18 years of age or older, apply)les) for:
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix
~'~ Decedent, dated 4/15/2002 and codicil(s) dated
named in the Last Will of the
State relevant circumstances, e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 24 Royal Palm Drive, Mechanicsburg, PA 17050
(list street, number and municipality)
Decedent, then 51 years of age, died January 13 ,2003 , at 24 Royal Palm Dr., Mechanicsbur~, PA 17055
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA All personal property ......................................... $
(if not domiciled in PA Personal property in Pennsylvania .................... $
(if not domiciled in PA Personal property in County .............................. $
Value of real estate in Pennsylvania ........................................................................................ $
Total ..................................................................................................................... $
Real Estate situated as follows:
50,000.00
50,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
I Typed or printed name and residence
Signature
Cynthia L. Bennin~]
24 Royal Palm Dr., Mechanicsbur~, PA 17050
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the
Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
before me this ,,31 St; _ day of
JANUARY 2003
DECREE OF REGISTER
Estate of Benning. John J.
Deceased
No. 0. -IOl
also known as
Social Security No: 177420980
Date of Death: 1/13/2003
AND NOW, CI:'I~Dt laD V ,'] onno
reverse side hereon, satisfactory proof having been presented before me,
, in consideration of the Petition on the
IT IS DECREED that Letters I~ Testamentary (~ of Administration
((c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate)
are hereby granted to
in the above estate and that the instrument(s), if any, dated 4-1 .~-?0fl?
described in the Petition be admitted to probate and filed of record as the Last Will of Decedent.
FEES
Letters .................................... $ ~.("~.
Short Certificates(s) ...,,.~. ........ $ ~",
Renunciation .......................... $
J
Extra Pages (c>~-) ...............$
I.T.R ....................................... $
JCP Fee ................................. $ ./(~'
Inventory ................................ $
Other ...................................... $
6'0
TOTAL ............................. $
mailed to atty 2-4-2~
Signature
Attorney: R. Mark Thomas
I.D. No: 41301
Address: 101 S. Market Street
Mechanicsburg
Telephone: 796-2100
PA 17055
DATE FILED:
2-4-2003
LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, JOHN J. BENN1NG, a resident of Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and declare this to be my LAST
WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me.
I
I declare that I am married to CYNTHIA L. BENNING, and that I have two (2) children,
CHAD R. BENNING bom June 19, 1973 and LISA C. BENNING born February 5, 1981 and one
(1) stepchild, RYAN M. MOIST bom May 15, 1982. References in this Will to my children
include each of the three (3) named children.
II
I direct that all my just debts and funeral expenses shall be paid from my residuary estate as
soon as practicable after my decease.
III
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 a part of the
expense of the administration of my estate.
IV
I give, devise and bequeath all my property, whether real or personal, wherever situate,
including any property over which I may have a power of appointment to my wife, CYNTHIA L.
BENNING provided that she survives me by thirty (30) days.
V
If my wife, CYNTHIA L. BENNING shall predecease or fail to survive me by thirty (30)
days, I give, devise and bequeath all of my property, whether real or personal, wherever situate,
including any property over which I may have a power of appointment, to my children, CHAD R.
BENNING, LISA C. BENNING and RYAN M. MOIST in equal shares, per stirpes.
VI
I nominate, constitute and appoint my wife, CYNTHIA L. BENNING as Executrix of this
LAST WILL, to serve without bond. If my wife is unable or unwilling to act in that capacity, then I
nominate, constitute and appoint my son, CHAD R. BENNING as Executor of this LAST WILL, to
serve without bond.
IN WITNESS WHEREOF, I, JOHN J. BENNING, have set my hand to this LAST WILL
this ].~' dayof fit?9~'~--(_. ,2002.
JOHN~t~3ENNING Y
Signed, sealed, published and declared by the above-named JOHN J. BENNING, as and for
his Last Will and Testament, in the presence of us, who, at his request and in his presence, and in
the presence of each other, have hereunto subscribed our nmnes as witnesses.
2
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND ·
I, JOHN J. BENNING, Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my LAST WILL; that I signed it as nay free and voluntary act for the
purposes therein expressed.
Sworn or affirmed t9 and acknowledged before me by JOHN J. BENNING, Testator,
this/(O'--day of ~ ,2002.
AFFIDAVIT
I
] ... Anne Carmody, Notary Public
! Mecnanicsburg Bore, Cumberland County
~My Commission Expires Expires Mar, 11, 2006
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND ·
We,5~ .~¥~O,,r'4~ Thomc and ~.ctiq.~ P. 6. ~:~
the witnesses whose names are signed to the attached or foregoing instrument being duly qualified
according to law, do depose and say that we were present and saw Testator sign and execute the
instrument as his LAST WILL; that JOHN J. BENNING signed willingly and that he executed it as
his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight
of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was
at the time 18 years of age or more, of sound mind and under no constraint or undue influence.
Sworn or affirmed to,~n_d acknowledged before me
this ,/5- day of ,,~-~ff_ ,2002.
No~a~ Public
I ~"ne c:"~:'l"S~ry
R. MARK THOMAS
Attorney at Law
101 South Market Street
Mechanicsburg~ Pennsylvania 17055-3851
Telephone: (717) 796-2100
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: John J. Benning
Date of Death: 1/13/2003
Estate No. 21-03-101
SSN: 177-42-0980 File No. 2003-1011
Date Letters Granted: 2/4/2003
Will or Administration No.
To the Register:
I certify that Notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules was served
on or mailed to the following beneficiaries of the above-captioned estate on 5/19/2003
Name
Chad R. Benning
Lisa C. Benning
Ryan Moist
Cynthia L. Benning
Address
4341 Carlisle Pike, Apt. B2
Camp Hilt
4025 Iola Drive
Sarasota
1218 Mitchell Drive
Mechanicsburg
1218 Mitchell Drive
Mechanicsburg
PA 17011
FL 34231
PA 17055
PA 17055
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date: 5/20/2003
Capacity:
Personal Representative
X Counsel for Personal
Representative
Signature
R. Mark Thomas, Esq.
Name (Please type or print)
101 S. Market Street
Address
Mechanicsburg
Telephone No. 717-796-2100
PA 17055
I-
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT, 280601
HARRISBURG, PA 17128-0601
REV-15OO
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 3 0 1 0 1
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Benning, John J.
DATE OF DEATH (MM-DD Year) I DATE OF BIRTH (MM-DD-Year)
01/13/2003 I 11/15/2003
(IF AFPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL)
Bennin9, Cynthia L.
COUNTYCODE YEAR NUMBER
SOCIAL SECURITY NUMBER
1 7 7-4 2-0 9 8 0
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
1 7 8-5 2-4 8 0 3
r~'] 1. Original Return
--']4. Limited Estate
E~6 Decedent Died Testate (Attach copy of Will)
~--19 Litigation Proceeds Received
F'"~ 2. Supplemental Return
r~ 4a. Future Interest Compromise (date ordealh after 12-12-82)
~'17. Decedent Maintained a Living Trust (Altach copy of Trust)
r-1 10. Spousal Poverty Credit (date ol death behveen 12-31-91 and 1-1-95)
E~3. Remainder Return (dale of death prior to 12-13-82)
r-"] 5. Federal Estate Tax Return Required
__ 8. Total Number of Safe Deposit Boxes
E~ 11. Election to tax under Sec. 9113(A) (A~ach Sch O)
THIS SECTION MUST BE cOMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL T~ INFORMATION SHOULD BE DIRECTED TO:
NAME
COMPLETE MAILING ADDRESS
IR. Mark Thomas, Esq.
FIRM NAME (11 Applicable)
TELEPHONE NUMBER
717-796-21 O0
101 S. Market Street
Mechanicsburg PA 17055
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation. Partnership or Sole-Proprietorship (3)
4. Modgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Properly (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
E~ Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(8)
163,727.37
OFFICIAL USE ONLY
30,200.00
22,107.35
0.00
(11)
216,O34.72
15,654.00
3,557.76
(12)
19,211.76
196,822.96
(13)
(14)
196,822.96
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20,
X __ (15)
X ~ (16)
X .12 (17)
X ,t5 (18)
(19)
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's Complete Address:
STREET ADDRESS
1218 Mitchell Dr.
CITY
Mechanicsburg J S'rA~-E
PA I ziP
17055
Tax Payments and Credits:
1, Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Povedy Credit
B. Prior Payments
C. Discount
Total Credits ( A + B + C ) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E ) (3)
4. If Line 2 is greater than Line I + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0
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 properly transferred or its income; ........................................ [] [~
c. retain a reversionary interest; or ...................................................................................................... [] []
d. receive the promise for life of either payments, benefits or care? ............................................................. [] []
2. if death occurred after December 12, 1982, did decedent transfer properly within one year of death
without receiving adequate cons derat on?
3. Did decedenl own an "in trust for" or payable upon death bank account or security at h s or her death? ................. [] []
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare Ihat I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, il is true, correct and complete.
Declaralion of preparer other than lhe personal representalive is based on all information of which preparer has any knowledge.
(~GNATURE OF PERSON RES~O~42::,,~LE FOR FILI,NG RETURN
DATE
SIG~~TATIVE
ADDRESS
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)].
The statute does not exemp~ a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedem's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
The tax rale imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common wilh the decedent, whether by blood or adoption.
REV 1502EX * (1 97) ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
Benning. Johrl J, 21 03 0101
All real property owned solely or as a tenant in common must be repoded at fair market value. Fair market value is defined as the price at which properly 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 which is jointly-owned with right of
survivorship must be disclosed on Schedule F.
ITEM
NUMBER
VALUE AT DATE
DESCRIPTION OF DEATH
51,727.37
Decedent was a one-third (1/3) owner of a residential property located at
24 Royal Palm Dr., Mechanicsburg, PA. The property was under sales agreement at the
time of decedent's death and settlement was held on January 31,2003.
The total net proceeds from the sale were $155,182.13. Decedent's spouse received
a net check in the amount of $51,727.37.
(See attached settlement sheet)
Residence - 1218 Mitchell Dr., Mechanicsburg, PA
3 BR ranch home
(See attached appraisal)
1 t 2,OO0.OO
TOTAL (Also enter on line 1, Recapitulation $ 163,727.37
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Benning. John J, 21 03 0101
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
1994 Jeep Cherokee
Clothing
Accumulated sick leave and annual leave from Commonwealth
TOTAL (Also enter on line 5, Recapitulation)
(If more space is needed, insed additional sheets of the same size)
VALUE AT DATE
OF DEATH
7,000.00
200.00
23,000.00
$ 30,200.00
REV 1509 EX +(1 97) ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF FILE NUMBER
Benning. John J, 21 03 0101
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, Cynthia L. Benning Spouse
C
1218 Mitchell Drive
Mechanicsburg, PA 17055
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOINT MADE Inctude name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT deed for iointly-held real estale. VALUE OF ASSET INTEREST DECEDENT'S INTERES
1. ^. 16/2000 PNC Bank 3,256.77 50. 1,628.3c~
CD #31000188522
2. A 12/2002 PNC Bank 4,503.07; 100. 4,503.07
,Checking Acct. #5070048483
3. A 2001 2001 Ford Taurus 18,000.00 50. 9,000.00
4. A 06/79 PSECU 13,951.78 50. 6,975.89
Savings Acct. #0177420980
TOTAL (Also enter on line 6, Recapitulation) $
22,107.35
(If more space is needed, insert additional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Denning. John J, 21 03 0101
This schedule must be completed and filed if the answer to any ot questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is "es.
DESCRIPTION OF PROPERTY % OF
ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP lO DECEDENT AND THE DATE OF TRANSEER DATE OF DEATH DECD'S .i EXCLUSION TAXABLE VALUE
NUMBER ATTACH A COPY OF THE DEED FOR REAL ESTATE
VALUE OF ASSET INTEREST ~[IF APPLICABLE)
1. State Employee Retirement 796,000.00 100. 796,000.00 0.0(~
There is no tax due since employe was a State employee
TOTAL (Also enter on line 7, Recapitulation) $ O.00
(If more space is needed, insed additional sheets of the sam~ Ri?iq/
OMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Benning. John J,
Debts of decedent must be reported on Schedule I.
FILE NUMBER
0101
ITEM
NUMBER DESCRIPTION AMOUNT
5.
6.
7.
FUNERAL EXPENSES:
Myers Funeral Home
Cemetery
Funeral dinner
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) Cynthia L. Denning
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address 1218 Mitchell Dr.
City Mechanicsburq State PA
Year(s) Commission Paid:
Attorney Fees R. Mark Thomas
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Cynthia L. Denning
Street Address 1218 Mitchell Drive
Zip 17050
City Mechanicsburg
Relationship of Claimant to Decedent Wife
State PA Zip 17050
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
8,334.0O
2,7O0.00
5O0.OO
500.00
3,500.00
120.00
TOTAL (Aisc enter on line 9, Recapitulation) $ 15,654.00
(If more space is needed, insed additional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES,& LIENS
ESTATE OF
Benning. Johrl J,
Include unreimbursed medical expenses.
FILE NUMBER
21 03
0101
ITEM
NUMBER DESCRIPTION AMOUNT
1. PSECU Visa 3,557.76
TOTAL (Also enter on line 10, Recapitulation) $ 3,557.76
(If more space is needed, insert additional sheets of the same size)
REV 1513 EX + (9.~~
COMMONWEALTH DF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Denning. John J,
NUMBER
Il.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a)(1.2)]
Cynthia L. Denning
1218 Mitchell Drive
Mechanicsburg, PA 17050
FILE NUMBER
21 03
RELATIONSHIP TO DECEDENT
Wife
Do Not List Trustee(s)
100%
0101
AMOUNT OR SHARE
OF ESTATE
TOTAL OF PART 1| - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insed additional sheets of the same size)
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
OMB NO. 2502-0265
A. B. TYPE OF LOAN:
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT I.F~FHA 2.[-']FmHA 3. [--~CONV. UNINS. 4. F~VA 5. [~]CONV. INS.
6. FILE NUMBER: I 7. LOAN NUMBER:
SETTLEMENT STATEMENT 02812
I
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is fumished to give you a staternent of actual settlement cost$. Amounts paid to and by the settlemen~ agent are shown.
Items marked "[POC]" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
1.0 3/98 (02812/02812/36)
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Damian J. Chieppa and Leonard P. Benning and Lester F. Benning Commerce Bank
Krista L. Chieppa Cynthia L. Benning '4 Lemoyne Drive
Lemoyne, PA 17043
G. PROPERTY LOCATION: H. SE'FI'LEMENT AGENT: 25-1878915 I. SETTLEMENT DATE:
24 Royal Palm Drive Keystone Land Transfer, Ltd.
Mechanicsburg, PA 17050 January 31, 2003
Cumberland County, Pennsylvania PLACE OF SETTLEMENT
3421 Market Street
Camp Hill, PA 17011
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100, GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
101. Contract Sales Price 182,000.00 401. Contract Sales Price 182,000.00
102. Personal Property 402. Personal Property
103. Settlement Charges to Borrower (Line 1400) 6,012.73 403.
104. 404.
105. 405.
Adjuslmenls For Items Paid By Seller in advance Adjustments For Items Paid B~/ Seller in advance
106. City/Town Taxes to 406. City/Town Taxes to
107. Count)/Taxes to 407. Count)/Taxes to
108. School Tax 01/31/03 to 07/01/03 676.01 408. School Tax 01/31/03 to 07/01/03 676.01
109. 409.
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 188,688.74 420. GROSS AMOUIVT DUE TO SELLER 182,676.01
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deposit or earnest money 2,000.00 501. Excess Deposit (See Instructions)
!202. Principal Amount of New Loan(s) 145,600.00 502. Settlement Charges to Seller (Line 14001 22,833.50
203. Existing loan(s) taken subiect to 503. Existing loan(s) taken subject to
204. Principal Amt of New Loan(s) 27,300.00 504. Payoff of first Mortgage
205. 505. Payoff of second Mort~la~le
206. 506.
207. 507. (Deposit disb. as proceeds)
208. 508.
209. Closing costs from seller 4,618.00 509. Closing costs from seller 4,618.00
Adjustments For Items Unpaid By Seller Adjustments For Items Unpaid By Seller
210. City/Town Taxes to 510. City/Town Taxes to
211. County Taxes 01/01/03 to 01/31/03 42.38 511. County Taxes 01/01/03 to 01/31/03 42.38
212. School Tax to 512. School Tax to
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. TOTAL PAID BY/FOR BORROWER 179,560.38 520, TOTAL REDUCTION AMOUNT DUE SELLER 27,493.88
300. CASH AT S~- I I LEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross Amount Due From Borrower (Line 120) 188,688.74 601. Gross Amount Due To Seller (Line 420) 182,676.01
302. Less Amount Paid By/For Borrower (Line 220) ( 179,560.38'~ 602. Less Reductions Due Seller (Line 520) ( 27,493.88
303. CASH( X FROM)( TO)BORROWER 9,128.36 603. CASH( X TO)( FROM)SELLER 155,182.13
The undersigned hereby acknowledge receipt of a completed copy of pages 1&2 of this statement & any attachments referred to herein.
~'-~""DamianJ.~hi;~ppa ff;~- seller ~.,~")l'&z--,/~--t,~ ?,~,"!.-~ -',~ ~".~z.._.
( :Lbonard P.,Benn ng ~/.' ~ //' ~ ~
,/
Page
L. SETTLEMENT CHARGES
700. TOTAL COMMISSION Based on Price $ ~ 0.0000 % 12,250.00
Division of Commission (line 700) as Follows:
$12,250.00 to Re/Max Realty Associates, Inc.
$ to
PAID FROM
BORROWER'S
FUNDS AT
SETTLEMENT
PAID FROM
SELLER'S
FUNDS AT
SETTLEMENT
701.
702.
703. Commission Paid at Settlement 12,250.00
704. Transaction Fee to Re/Max Realty Assoc. Inc. 250.00 250.00
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Ori~lination Fee 0.0000 % to
802. Loan Discount % to
to Gardner Real Estate Appra. Service
803. Appraisal Fee
804. Credit Report to
805. Lender's Inspection Fee
to Commerce Bank
Fee to
807. Assumption Fee to
808.
809.
810.
811.
812. Underwriting Fee to Commerce Bank
813. Flood Ced.
814.
to Credit Plus Solutions
815, Interest on 2nd Mortgage
816.
817.
818.
819.
820.
to Commerce Bank
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From 01/31/03 to 02/01/03 @ $ 23.760000/day ( 1 days %)
Insurance Premium for months to
903. Hazard Insurance Premium for 1.0 ))ears to
250.00
50.00
245.00
11.00
5.78
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001.Hazard Insurance 3.000 months ~ $ 41.67 per month 125.01
e lnsurance months (~ $ per month
months (~ $ per month
1004. Count)) Taxes 13.000 months (~ $ 42.97 per month
1005. School Tax 8.000 months @ $ 136.17 per month
1006. months (~ $ per month
1007. months ~ ~ per month
iustment months ~ $ per month
1100. TITLE CHARGES
23'761
558.61
1,089.36
-506.54
101. Settlement or Closing Fee to
102. Abstract or Title Search to
103. Title Examination to
1104. Title Insurance Binder to
1105. Document Preparation to Ke))stone Land Transfer, Ltd. 2 Deeds 200.00
1106. Notary Fees to CASH
1107. Attorney's Fees to
(includes above ifem numbers:
1108. Title Insurance to Keystone Land Transfer, Ltd. Policy #07881!
(includes above item numbers:
1109. Lender's Coverage $ 145,600.00 )
1110. Owner's Coverage $ 182,000.00
1111. Endorsements 100,300,8.1 to Keystone Land Transfer, Ltd.
112. Closing Protection Letter to Keystone Land Transfer, Ltd.
113. Tax Receipts Keystone Land Transfer, Ltd.
1114. Overnight to Keystone Land Transfer, Ltd.
1115. Reimburse-record 1st deed to Keystone Land Transfer, Ltd.
tO
20.00
1,268.7~
150.00
1,820.00; Mort~aile
1,820.00; Mort(jac, le
Cumberland County Recorder of Deeds
Cumberland County Recorder of Deeds
35.0
20.00
1116.
1117. Record 2nd Mortgage Assignment to Keystone Land Transfer, Ltd. 28.51
1118. AHS Warranty to AHS
1200, GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 40.00; Modgage $ 47.50; Releases $
1203. State Tax/Stamps: Revenue Stamps
inment
1205. Record 2nd Mortgage to
1300. ADDITIONAL Si:: I I LEMENT CHARGES
1301. Survey' to
1302. Pest Inspection
1303. Sewer- 10/3- 1/31
to Biechler & Tillery
to Silver Sprin~l Authorit))
to Biechler & Tillery Inc.
1304. Radon Miti~lation
1305, Replacement of Furnace
87.50I
1,820.00I
28.50J
47.50~
to Zimmerman Heating Company
1400. TOTAL SE1 ILEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K)
&Home Ins/Radon I
Act#341-3431 405.00J
6,012.73~
By signing page 1 of this statement, the signatories acknowledge receipl of a completed copy ol' page 2 of this two page sla/ement.
Keystone L~nd Transfer, Ltd.
Certified to be a true copy. Settlement Agent
12.00
43.50
385.00
1,820.00
765.00
7,000.00
( 02812 / 02812 / 36 )
Mark E. Hilbert & Associates
03-610M1S
File No. 03-610MIS
APPRAISAL OF
Summery Appraisal
LOCATED AT:
1218 Mitchell Drive
Mechanicsburg, PA 17050
FOR:
Cynthia Benning
1218 Mitchell Drive
Mechanicsburg, PA. 17050
BORROWER:
Cynthia Benning
AS OF:
January 13, 2003 Date of Death
BY:
Mark E. Hilbert
MARK E. HILBERT & ASSOCIATES
03-610M1S
UNIFORM RESIDENTIAL APPRAISAL REPORT FileNo. 03-610M1S
'Address 1218 Mitchell Drive
Legal Description Recorded Cumberland County Court House Book R32, Page 6
Assessor's Parcel No. Tax Year
City Mechanicsburg
Borrower Cynthia Bennin(
Current Owner Estate
hborhood or Project Name Valley Stream Estates
Sale Price $ Estate Date of Sale
Lender/Client Cynthia Benning
Mark E. Hilbert
Location [_.J Urban '~ Suburban
Built up [] Over 75% [~ 25-75%
Growth rate [] Rapid [] Stable
Property values [] Increasing [] Stable
Demand/supply [] Shortage [] In balance
Marketing time ~ Under 3 mos. [] 3-6 mos.
State PA Zip Code 17050
County Cumberland
P.E. Taxes $ Special Assessments $
Occupant: [] Owner ~ Tenant
PUD [] Condominium (HUDNA only) HOA$
Map Reference Census Tract 114
Description and $ amount of loan charges/concessiOns to be paid by seller
Address 1218 Mitchell Drive, Mechanicsburq, PA. 17050
[] Vacant
/Mo.
Address 14 North Walnut Street, Mechanicsburq, PA 17055
L--] Rural I Predominant J Single family housing I Present land use % I Land use change
PRICE AGE . o .
[] Under 250/0 occupancy , $,000, (,rs) I I [] Likely
¢ ~ v One famdy 75 Yo [] Not hkely
[] Slow [] Owner ~ Low 512-4family 2% [] In process
[~ Declining [~ Tenant I ....... 150 High 50 J Multi4amily 2% ] To: Residential
~"~ ' o
__~ Oversupply[] Vacant(0-5%) dominant :i ; ]Commercial 2Yo
OverBmos. []va~,'/o,e, 5%l I i20 I 40 ~V. Land/ 19%
Note: Race and the racial composition of the neighborhood are not appraisal factors.
Neighborhood boundaries and characteristics: Subject Property is located along Mitchell Drive in the development of Valley Stream Estates,
Cumberland County, Pennsylvania.
Factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to market, etc.):
~ood access to employment and services. Churches ,Schools and Recreational areas are within a reasonable distance.
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 concessions, etc.):
With the improving markets the seller are not required to offer sales or financing concessions. Financing is readly available from a
variety of sorces.
tApproximate total number of units in the subject project
Describe common elements and recreational facilities:
Project Information for PUDs (If applicable) - - Is the developer/builder in control of the Home Owners' Association (HCA)? [___) YES L_] NO
Approximate total number of units for sale in the subject project
Dimensions 110 x 70 x 110 x 70
Sitearea 7700 Sq. Ft. +/-
Specific zoning classification and description
Zoning compliance [] Legal [] Legal nonconforming (C~andfathered use) [~ Illegal
hest & best use as improved: ~ Present use [---] Other use (explain)
Utilities Public Other J Off-site Improvements Type
Gas Curb/gutter Concrete
Water Sidewalk Concrete
Sanitary sewer Street lights None
Storm sewer
Corner Lot [~ Yes [] No
[] No zoning
Public Private
Topography Basically Level
Size 0.176 Acres
Shape Rectangular
Drainage Appears adequate
View Residential
Landscaping Typical
Driveway Surface Concrete
Apparent easements None apparent
FEMA Special Flood Hazard Area [] Yes [] No
FEMAZone "C" Map Date03-03-92
Alley None [] L~ FEMA Map No. 420362-0005-D
Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning, use, etc.):
GENERAL DESCRIPTION
No. of Units
No. of Stories
Type (Det./Att.)
Design (Style)
Existing/Proposed
Age (Yrs.)
One
One
Detached
Ranch
Existing
44 +/-
ROOMS
Basement
Level 1
Level 2
EXTERIOR DESCRIPTION
Foundation Block
Exterior Walls Brick / Vinyl
Roof Surface Asph. Sh.
Gutters& Dwnspts. Aluminium
Window Type Wood D. H.
Storm/Screens Thermo/Yes
Manufactured House No Kitchen
Area 1
Finished area above grade contains:
5 Rooms;
INTERIOR Materials/Condition
Floors H/W-Cpt./Good
Walls Drywall / Avg
Trim/Finish Wood / Avg
Bath Floor CeramicTile//Avg
Bath Wainscot Fiberglass / Avg
Doors Hollow Core
HEATING
Type Hot Air
Fuel Gas
ConditionAvq.
COOLING
Central Yes
Other None
FOUNDATION
Slab NONE
Cra~ Spaca NONE
Basement Full
Sump Pump None
BASEMENT
Area Sq. Ft. 1176
% Finished 75
Ceiling Drywall
Wails Drywall
INSULATION
Roof __. []~
Ceiling
Walls Unk []
Floor __ []
Dampness None noted
Settlement None noted
Infestation None noted
Den Famly Rm.I Rec. Rm. Bed~oms
Floor Carpet
Outside En~ Yes
None
; Unknown
Other [ Area
Sq. Ft.
~torage J 1,176
1,176
3 Bedroom
KITCHEN EQUIP.
Refrigerator []
Range/Oven []
Disposal []
Dishwasher []
Fan/Hood []
Microwave []
s); 1.5 Bath(s);
ATTIC
None
Stairs
Drop Stair
Scuttle
Floor
Heated
1,176 Square Feet of Gross Living Area
CAR STORAGE:
None []
Garage
Attached
Detached
Built-In
Carport 1
AMENITIES
Fireplace(s) #
[] Patio
[] Deck
[] Porch Front / Rear
Fence
[] Pool Ab. GR.
# of cars
ConditionAvg. Washer/Dryer ~ Finished ~-~ ~--~ Driveway 2
IAdditional features (special energy efficient items, etc.): None Noted __ __ __
~,j Condition of the improvements, depreciation (physical, functional and external) repairs needed quality of construct on remode ng/additions etc ' No major
repairs noted. No evidence of functional or external ~'bsolescenc~ '
R Adverse environmental conditions (such as, but not limited to, hazardous wastes, toxic substances, etc.) present in the improvements, on the s te, or n the
~ immediate vicinity of the subject property: Threr are no visible or apparent environmental conditions that would Negatively impact the value
[] of subject property.
Fr.ddie Mac F(:xm 70 6-93
PAGE 1 OF 2 Fannie Mae Form 1004 6-93
Produced using Polaroid Digital Solutions software, 800.234.8727 www polaroidfc~ms corn
03-610M1S
UNIFORM RESIDENTIAL APPRAISAL REPORT F~e No. 03-610M1S
Valuation Section
ESTIMATEE~SITE VALUE .......................... : $
ESTIMATED REPRODUCTION COST-NEW OF IMPROVEMENTS:
Dwelling 1,176 Sq. Ft. @$ 60.00 = $ 70,560
Bsmt. 1176 Sq. Ft. @$ 12.00 = 14,112
Porches = 4,000
Garage/Carport 336 Sq. Ft. @$ 10.00 = 3,360
Total Estimated Cost New ................ = $ 92,032
Less Physical I Functional I External Est. Remaining Econ. Life:
Depredation $15,000] $0 I $0 = $ 15,000
Depreciated Value of Improvements = $
"As-is" Value of Site Improvements ................... = $
INDICATED VALUE BY COST APPROACH ........... = $
32,000
ITEM I SUBJECT COMPARABLE NO. 1
77,032
2,000
111
1218 Mitchell Drive 5206 Royal Drive
Address Mechani, Mechanicsburg, PA
3 Miles +/-
Sales Price Estate $
Price/GrossLiv. Area 0.00 ~ 99.91 ~
Data and/or C.P.M.L.
Verification Sources ent
VALUE/~gdUSTMENTS DESCRIPTION DESCRIPTION
Sales or Finandng ~;!~,~ ........ ~:~ ~1 3 DOM
I
Date of Sale/Time AS~iOf¢;.l~ ~.] 11/22/02
Location Suburba~t J Suburban
I Fee Simple [ Fee Simple ,
Site
View
of Ccosfrud. Jon
Condition
Above Grade
Room Count
Basement & Finished
Rooms Below Grade
Functional Utility
~ Eflldent Items
Porch, Patio, Deck,
Fence, Pool, etc.
INet Adj. (total)
Adjusted Sales Price
of Comparable
0.176 Acres
Residential
Ranch / Avg.
Brick / Vinyl
44 Yrs.
Ave, rage,
Total ~ Bdrms ~ Baths
5i 3: 1.50
1,176 Sq. Ft.
Full
Family Rm
Average
Gas Hot Air/CA
Average
1 Car Carpo~
2 Porches
None
None
None
0.2 Acres
Residental
Ranch / Avg.
Brick / Alumin
37 Years
Average
Total', Bdrms '~ Baths
61 3: 1.00
1,060 Sq. Ft.
Partial
Unfinished
Average
Gas H.Wat/CA
Average
1 Car Carport
2 Porches
None
None
None
+ (-) $ Adjuslment
+8OO
+1,200
+1,000
+1,000
4,000
$ 109,900
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):
In the reproduction cost of improvements, Marshall & Swift
Residential Cost Handbook and local contractors are
referenced.
Estimated remaining economic life is 30-35 years.
COMPARABLE NO. 2 COMPARABLE NO. 3
304 E. Portland Street 6318 Forrest Drive
Mechanicsburg, PA I Mechanicsburg, PA
1.7 Miles +/- 12 Miles +/- '
107,900 1 ~ ~' ~t
108.99 ~ I 104.81
C.P.M.L.
Agent
DESCRIPTION
50 DOM
Conventional
11/22/02
Suburban
Fee Simple
0.14 Acre
Residental
Ranch / Avg.
Stucco
47 Years
Average
TotalI Bdrms ; Baths
5: 3, 1.00
990 Sq. Ft. '
Full
Unfinished
Average ,
Gas H.Air/CA
Average
Off St. Parking
Porch
None
None
+ (-) $ Adjustment
+800
+1,90(:
+1,00
+1,500
+1,000
None
[~+ [..~- iS 6,200
ii~;~ $ 114,100
C.P.M.L.
Agent
DESCRIPTION
22 DOM
Conventional
11/27/02
Suburban
Fee Simple
0.4 Acre
109,000
+ (-) $ Adjustment
-1,500
Residental ,
Ranch / Avg.
Brick / Alumin
40 Years +/-
Average
Total i Bdrms i Baths
61 3: 1.001
1,040 Sq. Ft.
Full
Family Rm
Average ,,
EBB/None ',
Average
1 Car Carport
Deck
None
None
+8O0
+1,400
+1,000
+1,000
None :
!' ~' ,iS 2,700
$ 111,7ooi
Fen Sales Comparison (including the subject property's compatibility to the nei!lhborhood, etc. ): See addendum.
[] ITEM SUBJECT None COMPARABLE NO. 1 COMPARABLE NO. 2
B Date, Priceand Data None None
[] Source for pdor sales N/A N/A N/A
iwithin year of appraisal i C.P.M.L,/Court House C.P.M.L,/Court House
COMPARABLE NO. 3
None
N/A
C.P.M.L,/Court House
Owners Deed
Analysis of any current agreement of sale, option, or listing of the subject property and analysis of any prior sales of subject and comparables within one year of the date of appraisal:
The sales comparison approach carries the most weight in determing market value as it is based on historical infirmation and is not as
subjective as in the income approach
INDICATED VALUE BY SALES COMPARISON APPROACH ..................................................... $ 112,000
INDICATED VALUE BY INCOME APPROACH (If Applicable) Estimated Market Rent $ N/A /Mo. x Gross Rent Multiplier ~I/A = $ r
This appraisal is made ~} "as is" ~ subject to the repairs, alterations, inspections or conditions listed bebw E~ subject to completion per plans and spedfications.
ConditionsofAppraisal: The appraiser assumes a maretable title and that equipment associated with the improvement is in working order
Final Reconciliation: The market approach reindorced by the cost approach is a good indicator of fair market value. The fact that the seller is
3ortion of the closing costs has no effect on this appraisal.
THIS IS AN ESTATE APPRAISAL AS OF THE DATE OF DEATH JANUARY 13, 2003.
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/Fannie Mae Form 1004B (Revised 6/93 ).
I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF January 13, 2003
(WHICH IS THE DATE OF, INSPECTIO~E.~CTiVE ~ OF THIS REPORT) TO BE $ 112,000.
blgnature /"///-~'///'~ ~--*"¢/~--~--~/-/-"~;''¢~ Signature E~Did E~Did Not
Name Mark E. I~b'e'~t'" ~"~ //¢-'7 ~ ~ ~' Name Inspect Property
Date Report Signed September 22, 2003
State Certification # RL-000388-L
Date Report Signed
State PA State Certification #
State
Or State License # RB029755A State PA Or State License # State
Fr,,ddie Mac Form 70 6-93 PAGE 2 OF 2
Produced using Polaroid Digital Soluitons sot(ware, 800.234.8727 ',w,'w polaroidforms com
Mark E. Hilbert and Assoc.
Fannie Mae Fm'm 1004 6-93
Borrowei': Cynthia Benning
ADDENDUM
File No.: 03-610M1S
· Property Address: 1218 Mitchell Drive
Case No.: 03-610M1S
City: Mechanicsburg State: PA
Zip: 17050
Lender: Cynthia Benning
Comments on Sales Comparison
All Comparables are settled to the best of the appraiser's knowledge. Verification of settlement is with county and/or Relator.
I am unable to verify the insulation "R" factor. The presence of UREA-Formaldehyde foam insulation could not be
determined. If UFFI is present, the appraisal market value may be adversely affected or voided. Any information about
insulation stated on the appraisal was provided by inspection, owner, or agent and is assumed to be 8ccurate.
The property's heating, plumbing, and electrical systems appear to be functioning properly to the best of the appraiser's
knowledge and expertise.
The appraiser is not aware of the existence of Radon Gas and/or Radon Daughters, and does not have the necessary
equipment to test for the presence of same. If a future test shows unacceptable levels of Radon present, the appraised
market value may be adversely effected or voided.
Addendum Page 1 o1' 1
Borrower: Cynthia Benning
SUBJECT PROPERTY PHOTO ADDENDUM
File No.: 03-610M1S
Property Address: 1218 Mitchell Drive
Case No.: 03-610MIS
,City: Mechat~icsburg
State: PA
Zip: 17050
Lender: Cyr~thia Benning
FRONT VIEW OF
SUBJECT PROPERTY
Appraised Date:January 13, 2003
Appraised Value: $
REAR VIEW OF
SUBJECT PROPERTY
STREETSCENE
Borrower: Cynthia Benning
COMPARABLE PROPERTY PHOTO ADDENDUM
File No.: 03-610MIS
.Property Address: 1218 Mitchell Drive
Case No.: 03-610MIS
City: Mechanicsburg
State: PA
Zip: 17050
Lender: Cynthia BenninR
COMPARABLE SALE #1
5206 Royal Drive
Mechanicsburg, PA
Sale Date: 11/22/02
Sale Price: $105,900
COMPARABLE SALE #2
304 E. Portland Street
Mechanicsburg, PA
Sale Date; 11/22/02
Sale Price: $107,900
COMPARABLE SALE #3
6318 Forrest Drive
Mechanicsburg, PA
Sale Date: 11/27102
Sale Price: $109,000
BorrowedClient File//
Properly Address
City County State Zip Code
Lender
BUILDING SKETCH
MULTI-PURPOSE SUPPLEMENTAL ADDENDUM
FOR FEDERALLY RELATED TRANSACTIONS (FIRREA)
03-610M1S
03-610M1S
Borrower/Client Cynthia Benning
Property Address 1218 Mitchell Drive
City Mechanicsburql County Cumberland
State PA Zip Code 17050
Lender Cynthia Benning
This Multi-Purpose Supplemental Addendum for Federally Related Transactions was designed to provide the appraiser with a con-
venient way to comply with the current appraisal standards and requirements of the Federal Deposit Insurance Corporation (FDIC),
the Office of the Comptroller of Currency (OCC), The Office of Thrift Supervision lOTS), the Resolution Trust Corporation (RTC)
and the Federal Reserve.
This Multi-Purpose Supplemental Addendum is for use with any appraisal. Only those
statements which have been checked by the appraiser apply to the property being appraised.
The purpose of the appraisal is to estimate the market value of the subject property as defined herein. The function of the appraisal is
to assist the above-named Lender in evaluating the subject property for lending purposes. This is a federally related transaction.
~-J The appraisal is based on the information gathered by the appraiser from public records, other identified sources, inspection of the
subject property and neighborhood, and selection of comparable sales within the subject market area. The original source of the corn-
parables is shown in the Data Source section of the market grid along with the source of confirmation, if available. The original source
is presented first. The sources and data are considered reliable. When conflicting information was provided, the source deemed mos1
reliable has been used. Data believed to be unreliable was not included in the report nor used as a basis for the value conclusion.
~ The Reproduction Cost is based on Marshall & Sw ft residential Cost Hand book and Local Contractors.
supplemented by the appraiser's knowledge of the local market.
J-~ Physical depreciation is based on the estimated effective age of the subject property. Functional and/or external depreciation, if
present, is specifically addressed in the appraisal report or other addenda. In estimating the site value, the appraiser has relied on
personal knowledge of the local market. This knowledge is based on prior and/or current analysis of site sales and/or abstraction of site
values from sales of improved properties.
-~J The subject property is located in an area of primarily owner-occupied single family residences and the Income Approach is not consi-
dered to be meaningful. For this reason, the Income Approach was not used.
~-"~ The Estimated Market Rent and Gross Rent Multiplier utilized in the Income Approach are based on the appraiser's knowledge of the
subject market area. The rental knowledge is based on prior and/or current rental rate surveys of residential properties. The Gross Rent
Multiplier is based on prior and/or current analysis of prices and market rates for residential properties.
~For income producing properties, actual rents, vacancies and expenses have been reported and analyzed. They have been used to pro-
ject future rents, vacancies and expenses.
According to
the subject property;
has not been offered for sale in the past __ months or __ years.
is currently offered for sale for $
---~ was offered for sale within the past months or __ years.
-~ Offering information was considered in the final reconciliation of value.
~ Offering information was not considered in the final reconciliation of value.
-~ Offering inforr?tion was not available. The reasons for unavailability and the steps taken by the appraiser are explained later in
this addendum.
According to the deed
the subject property;
I X I has not transferred in the past __ months or years.
! I has transferred in the past __ months or years.
I I All prior sales which have occurred in the past months or __ years ara listed below and reconciled to the
appraised value, either in the body of the report or in the addenda.
Date Sales Price Document # Seller Buyer
J~-J Subject property is not located in a FEMA Special Flood Hazard Area.
IJ Subject property is located in a FEMA Special Flood Hazard Area.
Zone FEMA Map/Panel# Map Date Name of Community
"C" 420362~0005-D 03-03~92 Borough of Mechanicsburg
I The community does not participate in the National Flood Insurance Program.
X I The community does participate in the National Flood Insurance Program.
I It is covered by a regular program.
I It is covered by an emergency program.
y Ave. New Haven, CT 06511 All Rights Reserved
December 1992 This from reproduced with permission on the ACI Oevelopmenl RapidFo~ms system (800) 234-8727
03-610M1S
03-610M1S
[~'-~The subject property is currently not under contract.
~]The contract and/or escrow instructions were not available for review. The unavailability of the contract is explained later in the
addenda section.
~'--]The contract and/or escrow instructions were reviewed. The following summarizes the contract:
Contract Date Amendment Date Contract Price Seller
I IThe contract indicated that personal property was not included in the sale.
~-~The contract indicated that personal property was included. Pt consisted of
Estimated contributory value is $
I X IPersonal property was not included in the final value estimate.
~-~Personal prop.-.rty was included in the final value estimate.
~The contract indicated no financing concessions or other incentives.
-'~The contract indicated the following concessions or incentives:
E lf concessions or incentives exist, the comparabies were checked for similar concessions and appropriate adjustments were made, if
applicable, so that the final value conclusion is in compliance with the Market Value defined herein.
1-3
months is considered a reasonable marketing period for the subject property based on multi-listing service data.
The Appraiser certifies and agrees that:
(1) Their analyses, opinions and conclusions were developed, and this report was prepared, in conformity with the Uniform Standards of
Professional Appraisal Practice ("USPAP"), and in accordance with the regulations developed by the Lender's Federal Regulatory
Agency as required by FIRREA, except that the Departure Provisions of the USPAP do not apply.
(2) Their compensation is not contingent upon the reporting of predetermined value or direction in value that favors the cause of the
client, the amount of the value estimate, the attainment of a stipulated result, or the occurrence of a subsequent event.
(3) This appraisal assignment was not based on the requested minimum valuation, a specific valuation, or the approval of a loan,
The value estimated is based on the assumption that the property is not negatively affected by the existence of hazardous substances or
detrimental environmental conditions unless otherwise stated in this report. The appraiser is not an expert in the identification of
hazardous substances or detrimental environmental conditions. The appraiser's routine inspection of and inquiries about the subject
property did not develop any information that indicated any apparent significant hazardous substances or detrimental environmental
conditions which would affect the property negatively unless otherwise stated in this report. It is possible that tests and inspections made
by a qualified hazardous substance and environmental expert would reveal the existence of hazardous substances or detrimental
environmental conditions on or around the property that would negatively affect its value.
Appraiser's Signature
Appraiser's Name (print).
State PA
License
__ Effective Date September 18, 2003 Date Prepared
Phone # ( ~./'7 )
Certification xL~ Certification # RL-000388-L Tax ID #,~-..~'-'"~..~?/_~.
~---~The co-signing appraiser has personally inspected the subject property, both inside and out, and has made an exterior inspection of apl
comparable sales listed in the report. The report was prepared by the appraiser under direct supervision of the co-signing appraiser.
The co-signing appraiser accepts responsibility for the contents of the report including the value conclusions and the limiting condi-
tions, and confirms that the certifications apply fully to the co-signing appraiser
~-]The co-signin? appraiser has not personally inspected the interior of the subject property and:
[-~has not inspected the exterior of the subject property and all comparabPe sales listed in the report.
~---jhas inspected the exterior of the subject property and all comparable sales listed in the report.
~ ' supervision of the co-signing appraiser. The co-signing appraiser accepts
The report was prepared by the appraiser under d~rect
responsibility for the contents of the report, including the value conclusions and the limiting conditions, and confirms that the
certifications apply fully to the co-signing appraiser with the exception of the certification regarding physical inspections. The above
describes a level of inspection performed by the co-signing appraiser.
[~The co-signing appraiser's level of inspection, involvement in the appraisal process and certification are covered elsewhere in the
addenda section of this appraisal.
Appraiser's Signature
Appraiser's Name (print)
State__ ~'~-~ License
[~Trainee ~ Review ~ Other
SS#
Certified Residential ~ Certification #
FW-70M Forms & Worms Inc., 315 Whitney Ave. New Haven, CT 06511 All Rights Reserved
December 1992 This fo~m reproduced wi~h permission on the ACI Development RapidForms system (80~) 234q]727
File No. 03-610M1S
IBorrower Cy, nthia Benning
Property Address 1218 Mitchell Drive
City Mechanicsburg County Cumberland State PA ZipCode 17050
Lender Cynthia Benninc~
APPRAISAL AND REPORT IDENTIFICATION
This appraisal conforms to on__.Ae of the following definitions:
~ Complete Appraisal (The act or process of estimating value, or an opinion of value, performed without invoking the Departure Rule.)
[~ Limited Appraisal (The act or process of estimating value, or an opinion of value, performed under and resulting from invoking the
Departure Rule.)
This report is on._Ae of the following types:
[~ Self Contained (A written report prepared under Standards Rule 2-2(a) of a Complete or Limited Appraisal performed under STANDARD 1.)
[] Summary (A written report prepared under Standards Rule 2-2(b) of a Complete or Limited Appraisal performed under STANDARD 1.)
~ Restricted (A written report prepared under Standards Rule 2-2(c) of a Complete or Limited Appraisal performed under STANDARD 1
for client use only.)
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 present or prospective interest in the property that is the subject of this report, and no 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 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, in conformity with the Uniform Standards of Professional Appraisal
Practice.
· I [~] have [] have not made a personal inspection of the property that is the subject of this report.
Comments on Appraisal and Report Identification
Note any departures from Standards Rules 1-2, 1-3, 1-4, plus any USPAP-related issues requiring disclosure:
Date Signed: September 22, 2003
State Certification #: RL-000388-L
or State License #: RB029755A
State: PA
Expiration Date of Certification or License: June 30, 2005
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
USPAP Identil3cation (Rev 9/99)
1 of 1
Produced using Pola~ oid Digital Solulions soltware, 8002348;'2? www pola~oidlol ms.com
03-610M1S
File No. 03-610M1S
DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market
under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not
affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from
seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised,
and each acting in what he 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 or in terms of financial arrangements comparable thereto; and (5) the price represents the normal
consideration for the property sold unaffected by special or creative financing or sales concessions* granted by anyone associated with the
sale.
*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 judgment.
STATEMENT OF LIMITING CONDITIONS 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 good 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 furnished 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 professional 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 Fannie Mae Form 1004B 6-93
03-610MIS
File No. 03-610M1S
APPRAISERS C£RTIFICATION: 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 property is superior to, or more favorable than,
the subject property, I i~ave 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
sales 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. I 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 party,
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, or the need to approve a specific mortgage loan.
7. I performed this appraisal in conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and
promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place 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 personally 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.
ADDRF:SS OF PROPERTY APPRAISED: 1218 Mitchell Drive, Mechanicsburg, PA 17050
APPRAISER:
Date Signed: September 22, 2003
State Certification #: RL-000388-L
or State License #: RB029755A
State: PA
Expiration Date of Certification or License: June 30, 2005
MARK E. HILBERT & ASSOCIATES
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 1004B 6-93
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171ZB-0601
R HARK THOHAS ESQ
101 S HARKET ST
NECHANICSBURG
PA 1Z055
COHNONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
DATE 11-24-2005
ESTATE OF BENNING
DATE OF DEATH 01-15-2005
FILE NUHBER 21 05-0101
COUNTY CUH~ERLAND
ACN 101
I Amoun~ Remitted
REV-15¢? EX &FP COl-OS)
JOHN J
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUH~ERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF ~ENNING JOHN J FILE NO. 21 05-0101 ACN 101 DATE 11-24-2003
TAX RETURN WAS: (X) ACCEPTED AS FILED ( } CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
q. Hortgagas/Notas Receivable (Schedule D)
.6. Cash/Bank Daposits/Hisc. Personal Property {Schedule E)
6. Jointly Owned Propar~cy (Schedule F} (6)
7. Transfers (Schedule G) (7)
B. To,al Assets
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. Funeral Expansas/Adm. Costs/Hisc. Expanses (Schedule H) (9)
10. Debts/Hortgaga Liabilities/Liana (Schedule T) (10)
11. Total Deductions
12. Nat Value of Tax Return
163~727.37
.00
.0O
.00
$0~Z00.00
Z2~107.55
.00
(8)
15,654. O0
5~557.76
(11)
(12)
Charitable/governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13)
Net Value of Estate Subiact to Tax (lq)
Zf an assess.ant Has issued previously, lines 14, 15 end/or 16, 17,
13.
NOTE:
reflect figures that include the total of ALL returns assessed to date.
(16) 196,822.96 x O0 =
(16) .00 x 045 =
(17) .00 x 12 =
(18) .00 x 15 =
(19)=
ANOUNT PAID
ASSESSHENT OF TAX: 15. Amount of Line lq at Spousal rate
16. Amount of Line lq taxable at Lineal/Class A rata
17. Amount of Line lq at Sibling rata
18. Amount of Line lq taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE NUNBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account,
sub. it tho upper portion
of this form ~ith your
tax payment.
216,0:34.72
19.211.76
196,822.96
1F PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
.00
196,822.96
18 and 19 will
( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.)
.00
.00
.00
.00
.00
.00
.00
.00
.00
RESERVATION:
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December 12, 1981 -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Coeeonmealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
et the lawful Class B (collateral) rate on any such futura interest.
To fulfill the requirements of Section 21qO of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 91~0).
Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side.
--Make check or money order payable to: REGISTER OF NILLS, AGENT
A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications ara available at the Office
of the Register of Nills, any of the 13 Revenue District Offices, or by calling the special 2q-hour
answering service for forms ordering: 1-800-361-20S0; services for taxpayers with special hearing and / or
speaking needs: 1-800-qq7-30Z0 (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17118-1021, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 17118-0601
Phone (7173 787-6505. See page S of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-iS01) for an explanation of administratively correctable errors.
If any tax due is paid within three (33 caZandar months after tho decedent's death, a five percent (513 discount of
the tax paid is aIXowed.
The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and ]n the tho same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (13 day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of
six (613 percent per annum calculated at a daily rate of .00016q. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate mhich will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1981 through 2003 ara:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1981 201 .000548 1987 91 .0002~7 1999 7X .00019Z
1983 16Z .000q58 1988-1991 111 .000301 ZOO0 8Z .000219
1984 111 . 000301 1991 91 . O00Zq7 Z001 9Z . 0001~7
1985 131 .000356 1993-1994 77. .000191 ZOOZ 67. . O0016q
1986 101 .000174 1995-1998 9Z .O00Zq7 ZOO3 5X .000137
--Interest is calculated es follows:
/NTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELTNQUENT X DAILY /NTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (1S) days
beyond the date of the assessment. If payment is made after the interest computation date shown an the
Notice, additional interest must ba calculated.
STATUS REPORT UNDER RULE 6.12
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND
Name of Decedent: Benning, John J.
Date of Death: 1/13/2003
File No. 203-101
, PENNSYLVANIA
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect
to the completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
YES X NO
2. If the answer is "No", state when the personal representative reasonably believes that the
administration will be complete:
If the answer to No. 1 is "Yes", state the following:
a. Did the personal representative file a final account with the Court? YES
b. The separate Orphan's Court No. (if any) for the personal representative's account is:
NO X
Date:
12/9/2003
Did the personal representative state an account informally to the parties in interest?
YES X NO
Copies of receipts, releases, joinders and approvals of formal or informal accounts may
be filed with the Clerk of the Orphans' Court and may be attached to this report.
Signature
R. Mark Thomas
Name (Please type or print)
101 S. Market Street Address
Mechanicsburg PA 17055
717-796-2100
Tel. No.
Capacity:
Personal Representative
X Counsel for personal representative