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Home My WebLink About05-06-111505610101 REV-1500 Ex ~O1.1°~ PA Department of Revenue Pennsylvania OFFICIAL uSE ONLY reau Of Individual Taxes DEFARTWENT OF ^EVENyE INHERITANCE TAX RETURN ~ -ode Year File Number PO BOX 28o6oi oun C _ _.... :.. _........... ~~~~~. Harrisbu , PA 1~~28-0601 RESIDENT DECEDENT ~ ' / ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 206-38-9793 08/06/2010 10/20/1949 Decedent's Last Name Suffix Decedent's First Name MI ..................................... .. L... ace ~ Robert __ _...... _... __. _. __ __ pplicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI ___ pouses ocial Security Number _ __. _.... ...................................................................................... ~~~~~~~~~ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS, FILL IN APPROPRWTE OVALS BELOW (~ 1. Original Retum O 2. Supplemental Retum O 3. Remainder Retum (date of death O 4. Limited Estate O prior to 12-13-82) 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 12-12-82) O 6. Decedent Died Testate O (Attach Copy of Will) 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe DeposR Boxes (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name __ _ _ _ .. - ......................... ytime Telephone Number _._.._. _._ _.. . a C~ Barbara N Mlsicko ~ ~ ~ (717) 610-4335 -~'~ M- - First line of address _. ... 6 Bretz Circle Second line of address City or Post Office State ZIP Code Shermans Dale PA ~ 17090 _ o __,., ..................... ,. ....J REGISTER OF W~t;S; NLY "' ~~ •i~- _~) ..~ t .._J . ; 1 ~,; _ - - ~) ~. 3 C DATE FILED Correspondents e-mail address: lightstreett~comcast. net atties of pery'ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, R is true, rrect and comp) . Decla 'o of preparer other than the personal representative is based on all information of which preparer has any knowledge. SI URE OF~ PERSON PON I FOR ~~~NG RETURN DATE 6 Bretz Circle Shermans Dale, PA 17090 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE PLEASE USE ORIGINAL FORM ONLY L 1505610101 Side 1 1505610101 J ~~ - F-, ; , i-, ,:- -J i ~) ... T I `.-' % ~~ ~fuv- J 1505610105 REV-1500 EX Decedent's Soaal Security Number decedent's Name: Robert L. NaCe 206-38-9793 RECAPITULATION 1. Real Estate (Schedule A) ............................................. 1. 175, 000.00 .................................................................................: 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. .................... 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)...... ...... . 5. .......................................................: 186,483.69 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ...... . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property __ _.. _.. - - - - (Schedule G) O Separate Billing Requested........ 7. 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 361,483.69 9. Funeral Expenses and Administrative Costs (Schedule H) .. 9 ................. . ................ 20,262.34 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .......... 10 .......................................................: .............. . 2,324.33 11. Total Deductions (total Lines 9 and 10) .............. 11 ................... . 22,586.67 12. Net Value of Estate (Line 8 minus Line 11) .............. 12 ...................... ................ 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which . ~ ~~~ ~~ ~ 338,897.02 ~ ~ ~ - ~ - ~- an election to tax has not been made (Schedule J) ........................ 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. 338,897.02 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._ : 15. ................................................................................ 16. Amount of Line 14 taxable at lineal rate X .0 _ 16 17. Amount of Line 14 taxable ............................ .....................................................; at sibling rate X .12 338, 897.02: 17 18. Amount of Line 14 taxable > ........................... .....................................................: at collateral rate X .15 18 19. TAX DUE ......................................................... 19. 40,667.64 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ Side 2 1505610105 1505610105 REV-1500 EX Page 3 File Number Decedent's Complete Address: 3. Interest Total Credits (A+ B) (2) 44,210.46 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3} Fill in oval on Page 2, Line 20 to request a refund. (4) 3,542 82 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5} Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred :.......................................................... Yes ^ No ^ x ...................... .......... b. retain the right to designate who shall use the property transferred or its income : .................................. .......... ^ a c. retain a reversionary interest; or ................. ............................................................................................... .......... . receive the promise for Irfe of either payments, benefits or care? ................................................... 0 ^ x ......... .......... 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 b k ^ a an account or security at his or her death? .............. 4. Did decedent own an individual retirement account, annuity or other non-probate property, which ^ 0 contains a beneficiary designation? .............................................................................................................. .......... ^ ^ x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AN >:«<::;<::::>:::::::::<::::<:::;::_;:.::.::.::>:::.;:.::::::.::::::::..~ :.; .:.::.::::::::::::::::.:;::::.~ :..:~:.~::.<::.;>::::::::.~:::::..::.>:..::.:::.:.:~::::::.~::...................... LE IT AS PART OF THE RET ..........................::::::::::.~:.~:.:.~;:.::::::::.::::::::::.:.:~:::::::.::::.~::.::.::::::..~:.:~::.::::<.:;;<::::::::::::::.::::::..~:.:::.:.~::::.:.:.:::::::::::::::::::;:.;~:.::.::,:::::: :.::::::.......... URN Fo ..................:.:~::::::.:.~::< .:;~;;; .::.::;:.:;.;::::;:: r dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfer`, 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)j. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)j. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) (72 P.S. §9116(a)(1)j. • 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)j. 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. Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments (1) 40,667.64 A. Prior Payments 42, 000.00 B. Discount 2, 210.46 :~ ~ ~ i . Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Robert L. Nace 21-10-0840 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market valuE~ is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Indude a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1' Properly of 209 Hearth Road, Camp Hill, PA 17011 175, 000.00 REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCI~IED~/LE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Robert L. Nace 21-10-0840 Indude the proceeds of litigation and the date the proceeds were received by the estate. All Property jointly~wned with right of survivorship must be discbsed on Schedule F. ITEM NUMBER DESCRIPTION _ _ _ _. __ VALUE AT DATE OF DEATH 1 1994 Pontiac Trans Am 3, 000.00 `. 2 __ 2002 Ford Taurus SE 3,200.00 3 2004 Ford Explorer XLT 10, 000.00 4 197915' Rinkerbilt boat, trailer, 65 HP Johnson outboard engine 800.00 5 cash 40.00 6 Member's 1st Federal Credit Union 80,265.09 7 PSECU 75,437.86 8 Americhoice Federal Credit Union 6.00 9 Sovereign Bank 13,734.74 ____ TOTAL (Also enter on line 5, Recapitulation) $ 186,483.69 (ff more space is needed, insert additional sheets of the same size) ~~~~~i~~~~~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAx RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Robert L. Nace 21-10-0840 Decedent's debts must be reported on Schedule i. ITEM NUMBER dESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. :Neil Funeral Home 11, 365.52 funeral refreshments (Red Lobster) _ 237.07 refreshments(cake, Giant Supermarket} _ _ „46.99 Gravestone marker - 3,699.00 Dauphin Couniy Honor Guard Honorarium 100.00 B. ADMINISTRATNE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Re resentative( ) p s Street Address City State ZIP Years} Commission Paid: 2• Attorney Fees: 3• Family Exemption: (If decedent's address is not the same as daimant's, attach explanation.) Claimant Street Address C'ty State ZIP Relationship of Claimant to Decedent 4• Probate Fees: ....... ....... ..................... 5• Accountant Fees: 6• Tax Return Preparer Fees: 7. stamps 24.23 Letters of Administration and Estate Notices 525.73 Appraisal Fee. __ 300.00 __ Short Certificates __ _ 40.00 __ Estimated Settlement costs, including state and local realty transfer taxes 2, 000.00 fuel oil 1, 923.80 TOTAL (Also enter on Line 9, Recapitulation) ~; 20,262.34 If more space is needed, use additional sheets of paper of the same size `~~~::~~~i~~~~~_~~ pennsylvania SCHE DEPARTMENT OF REVENUE DEBTS OF INHERITANCE TAX RETURN MORTGAGE LIA RESIDENT DECEDENT DOLE I DECEDENT, BILITIES & LIENS ESTATE OF FILE NUMBER Robert L. Nace ~~_~n_nRan Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreim6ursed medical eYeeec~+c Ir more space is needed, insert additional sheets of the same size. REV-_°i_:; ~}:- iJl-i~; ~~~i`~ ~ Pennsylvania SCHEDULE ~ .• DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Robert L. Nace 21-10-0840 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustees} OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a} (1.2).] 1• Barbara N. Misicko 6 Bretz Circle Shermans Dale, PA 17090 sister 1/3 ___ 2. Linda A. Covage 1811 Brookdale Road Harrisburg, PA 17112 sister 1 /3 3. John E. Nace 241 Winding Way Camp Hill, PA 17011 brother 1/3 __ __ __ __ ___ __ _ __ __ ___ __ __ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. n NON TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: L __. __ __ __ B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: L _ ___ _. ___ __ _ ___ __ TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, use additional sheets of paper of the same size. hvace ........................................... .. ..... Lefler of Transmittal ...................... ........ .............................................................................. .............................................................................................. 1 URAR ................................... ............... ................................................................................................ ........................................................................... . 2 .. Additional Comparades 4-6 ................... ............................................................................................................................................................................ ............. 3 Additional Listings 1-3 ........................... ............................................. ................................................................................................................. ..................... 9 Subject PhoOos ........................................ .......................................... ............................................................................................................. .......... 10 Subject Photos ...................................... ............................................................................. .................................................................................... ....... 11 Buil~ng Sketch (Page -1) ...................... ......................... .......................................................................................................................................... ......................... 12 omparable Pbtos 1-3 ....... ................................................. ................................................................................................. 13 ................... Comparable Photos 4-6 .......................... .................. ...................................... ................................................................................................................... ...... 14 Listings Photos 1-3 ................................. ..................................................................................................................................................................... .... 15 Location Map .......................... ................ .............................................................................................................................................................. ........ .......... 16 Comparable Photos hteria .................... ................................................................................................................................................................ ........ 17 Comparable Photos hteria .................... .................................................................................................................................................................. .. 18 Addendum ........................................ ........................................................................................................................................................................ 19 ...... USPAP Ider~tication .............................. ................................................................................................................................................ .......................... 20 . rrmary of Safent FeaUres ................... . ................................................................................ ................. ........................................................................ ..... . 21 . .................................................................................................................................................................. 22 Form TOCP -"TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE TABLE OF CONTENTS File N 1 #1 FR011: INVOICE Gary G Troup . ........ ......... ~ ~~ ~~ ~: 1000 Good Hope Road >: > ~>=:~:~:zs : Mechanicsburg, PA 17050 1103751 .- . Telephone Number: 717-761-2724 Fax Number: 717-920-0615 March 20, 2011 hternal ~+~"• 1103751 Estate of Robert L Naos Larder Case CIO Barbara Misicko Cierrt Fie#: 6 Bretz Circle Alain Fie # an form: 1103751 Shermans Dale, PA 17090 Other Fie # on farm: Tekphoee Numb; Fax Number: Federal Tax ID: Ahmate Number. E-Afail: Employer ID: Lender' ..............:::•::::::::::::::.::;•:::::•: ................: ~::::::::. ~::::•::•:::•:: ~ :•>:::::::<::•::' :;-: • Estate of Robert L Nape -' ::•::;•::;•::;•:::•::::•::•:;:::•:::~::•:~•:;;:•::.::•:::•:•::-:::•:;•:::•::::-::•::•: ~:•::-:~:•::;:: :•::•: ;:•::-::;•:::•::;•:.:;•:::::•::•:<•::•~:-;:::-:>:•::-::;•:::•:::•:>:•:: ~::•::•::•:~::•:•:; ~:.;;: gienC Private prch~edt3orrower: NIA Properhr Address: 209 Hearth Road qty: Camp HiII County: Cumberland Stale: PA ~ On: Deed Book 00191, Page 00471 Lp: 17011-8455 ......... ..............................:...........................:..... Single Family Residential Appraisal .............. ...:............:..........................:............................ 300.00 SUBTOTAL ~ 300.00 ..:..............:...... #: Dale: 3/20/2011 Desa'iptlon: gteck #: Date: Desaiplion: 300.00 gtedc #: Date: Description: SUBTOTAL 300.00 TOTAL DUE; = o.oo Form NN5 - "TOTAL fa Windows" appraisal software by a la mode, inc. -1-800-AI.AMODE Gary Troup Ftle .11 1 Pa # Gary G. Troup 1000 Good Hope Road Mechanicsburg, PA 17050 (717)761-2724 Fax (717~J20-0615 Estate of Robert L Nape Re: Properly: 209 Hearth Road Camp Hill, PA 1 701 1-8455 Borrower. N/A File No.: 1103751 In accordance with your request, we have appraised the above referenced property. The report of th~~t appraisal is attached. The purpose of this appraisal is to estimate the market value of the properly described in this appraisal report, as improved, in unencumbered fee simple tide of ownership. This report is based on a physical analysis of the site and improvements, a bcational analysis of the neighborhood and city, and an economic analysis of the market for properties such as the subject. The appraisal was devebped and the report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice. The value conclusions reported areas of the etfedive date stated in the tx~dy of the report and contir~lent upon the certification and limiting conddions attached. 8 has been a pleasure to assist you. Please do not hesitate to contact me or any of my staff if we can be of adddbnal service to you. Sincerey, Gary G. Troup RL-001998-L Gary Troup Ftle N 10375TH Summary Appraisal Report Uniform Residen~al Appraisal Report I~e# 1103751 1~ Nr[IfMO f1r }hie c ..twin.. ~ - ~.,~~ ~~ ~a~+arwau wiu~ an accurate, arto as uam s , o 'rion of the market value of the su ~ t Address 209 Hearth Road Ci Cam Hill State PA L Code 17011-8455 Borrower NIA Owner of Public Record Robert L Nace C ~ Cumberland L al Desai on Deed Book 00191 Pa a 00471 Assessor's Parcel # 13-25-0010-028 Tax Year 2010-11 Net hborhood Name Allendale -Lower Allen Townshi R.E. Taxes $ 2 671.47 Map Reference METRO 2848 G-6 Census Traci 0109.00 OcatPant Owner Tenant Vacard S ' al Assessrrtenls $ None Known PUD HOA $ per ~r Ri his 'sad Fee Si Leasehdd Other describe ~ mortal Assi Type Purchase Transaction Reirtance Transaction Other desrxibe Estate Estimate market value Lender/Cierd Estate of Robert L Nace Address Is the su 'ect cur offttred to sale a has it been offersd for sale in the twehre months prior to ttte effective date d this appraisal? Y es No R data sotrce s used, offerin rice s ,and dates . MLS I ^ did ®did riot analyze the contract for sale for the subject purchase transacti E on. xplain the results d the analysis of the corrbact fa' sale a om>ed. NIA why the analysis was not Contact Price $ NIA Date of Contract WA Is the Seler the owner d pubic record? Yes No Data Sorr s N/A Is here any firtartaal assistance (loan charges sale conce i , ss ons, gift or downpayment assistance, etc.) to be paid by any party on behalf of :fte borrower'? ^ Yes ^ No ff Yes, r the total ddlar amount and destxibe the ittarts to be paid NI A . Noce: Race and the racial sition of Ure ne hborhood are not last factors. ... .. Location Urban Suburban Rural Prop Values txxeasin Stable Decirtin PRICE AGE (kte-Unit 55 % Built-Up Over 75% 25-75% Under 25% Dernand/S Shorts h Balance Over S y $000 2-4 Urrt 1 % Growat ~ .d Stabl e Slow Markel Time Under 3 rntlts 3-6 rusts Over ti mtlts <100 I_ow <5 Mdi-Famil 1 % tlbortlood Btxndaries South of Carlisle Road north of York C oun east of Lisburn Road and west of 300+ fi h 100+ Comrrrercial Rt 83. 15 % 130-16 Fred. 20+ Dater Zg % Ne ~~ DeStxi lion The sub'ed is located in a residential section a mo ro rties of similar st a and marketabil' .The ne hborttood otters a cod ma of residential Commer+aal entdies can be found thro h out the area aRho h i ri r ma on main roads. These uses are similar to most ne" hborhoods are not considered a detriment to the sub'ed ro Market Conditions tndudi support for the above conclusions MLS indicates tai stable values for ro erties maintained) in cod condition M k t i l , ar e ca slows duri fall and winter morrths in this area. Seller concessions that are t icall limited to closin cost het or mo a e discounts are common. Dimensitxts See L I !Not InGuded Area .28 Acre Shape Rectan le View Avers e S~ c Ztxtin Classification R 1 a _ Zonin Desai lion Residential Z C L al L al Nancadormin Grandfathered Use No Zoni q al descxibe Is the hgheSt and best use of subject propert as i c ed y u a as proposed per plans and specfications the present use? Yes iNo a No, desrxibe Ub7ities Pubic other (descxibe) FtttAic other (detrcrt~e) Oh-sifts Yn ovements -'r I'trblic Private l9ectricity ~ Water Street As halt Gas Sanitary Sewer Alle None FEMA Speaal Food Hazard Area Yes No FEMA Rood Zone X FEMA Map # 42041 C0282E FEMA Map Date 3/16/2009 ~ the ullrhes andoff-site im vernerri5 cal fa the market area? Yes No a No describe , Are here an adverse site conditions or external factors easements erxxoachmerds ri er , , n ronmerrtal conditions, land uses, etc. ? Yes No a Yes, descxibe No a rent easemerrts or encroachments were visible at the time of i ns n. Deed was not included for review. The sub~ed is not indicated to lie in a FEMA des' Hated flood zone No inform ti , a on on a homeowners association was found or included for review. ... ... Units One One with Accessory Urrit Concrete Slab Crawl ace Foundation Walls Bbck/~~: F~::::~: ~:~::~~~ # of Stones ~ t & Vi A n 2 Ful Basement Partial Basement Exterior Ways Type Det Alt S-Det/End Unit Basement Area Brick & Alum/Av'era Wals D all/Avers e 996 sq.ft Roof Surface Shi le/Averse TrirtyFrrsh W~q~t~ e E>osting Proposed Under Const Basemerd Finish 70 % Gutters & Downspouts Yes/A B verse ath Floor Vin /Avers e Desi e 2 Sto Outside Entry/Exit Surnp Pump Window T Double Hu Avers Bath Wainscot Ceramic Tile/Avere Year ~ 1962 Evidence of hfestation Storm Sasftinnsubted Yes/Averse Car Stara a None Effective e rs 15+ ass Setaerrtertt Screens Yes/Averse Driveway # d Cars 2 Attic None FWA HWBB Radiant Amenities Woodstove s # Drivewa Surface Concrete Drop Stair Stairs Otter Fuel Oil Freplace s # 1 Ferxs: Gera e # of Cars 2 Boor Scuttle Codi Central Air Conditionin Patio/Deck Conc Path C d E t C v n a # of Cars Rushed Heated Individual Other Pod i Aff Det Brift O - n ances Refi erata Fan e/Oven Dishwasher Di oral Microwave Wad/pr ar ~r d~~ Finished area store rade rbritains : 8 Rooms 4 Bedrooms 2.5 Baths 1,956 Additional feahres ~al ener effirtient items, etc.. Ceilin fans sliders to rear Square Feta of Gross Livin Area Above Grade Destxibe ifte condition of ttte tndudin needed re Ys deterioration, renovations, remodein etc. . The sub~ed is in overall avers a condition were so Th d . ere me nee ed re its disclosed as the master shower altho h without a home ins ion re rt there ma be hidden defects not visible to a ical walk thro h. Relatives familiar to the house indicated he ti a s em and roof recent) re laced. There are cosmetics and u ati that would enhance marketi and increase value that are not included in this re rt. Are there any physical deficiencies a adverse conditions that affect ttie IivatHli , soundness, a structixal i rity of the property? Yes No a Yes, describe Does the property erierall conform 1o the ntlghbort-ood functional utility, st e, condition, use, construction, etc. ? Yes No a No describe , Freddie Mac Form 70 March 2005 1 Page 1 of 6 Fannie Mae Form 1004 March 2005 Farm 1004 -"TOTAL for windows" appraisal software by a la mode, inc. -1-800-ALAMODE Flle No. 1103751-TPaae #~ IlnifAlmn Roci~on,fi~l Annw~i~~i Qs......F There are 7 cable operties curr ThBfe are 14 a sales in riB s FEATURE SUBJECT Address 209 Hearth Road Cam Hill dY ~ Subject ::~: Sale Price 5:::,: .:::N/ Sale Price/Gross Liv. Area $ .ft Dafa Source S ::::: ~.~::.~:.~::::.::: Verification Source s »::;:::; ~:»:~:~>~:~ ~::.; VALUE AD,lt1STMENTS ~ .DESCRIPTION Sales a Frrancing :'~ Corrcessiorrs ?<:: Date ofSaleTme :`z ~:~~ Location Suburban... offered fa sale in the sub t netghbort rrei hborhood within rie twelve rtan COMPARABLE SALE # 1 101 Deerfield Road Cam Hill 0.31 mile :~:: $ 180,000 $ : ;:.; 75.76 .ft ~;~::>::::::~>:>:::~:::<> ............... MLS Re rt 10190080 Tax Records DESCRIPTION + - $ Ad'ustmerrt Conventional 248 D.O.M. 11/22/10 Suburban aod r in in price from $ 229,900 ths i in sale rice from $ 180 00 COMPARABLE SALE # 2 328 Blacksmith Road Cam Hill 0.10 mile :~:::~i`''•>~:~~::::::~:~:: $ 199,000 ........................ 109.28 s .ft.:>>>`:::>::~:~>~:~:>:::~::::~:~:~:; MLS Re rt 10201079 Tax Records DESCRIPTION + - $ Ad~ustment FHA 120 DOM/9000 3/17!11 Suburban to $ 329,500 0 to $ 273 900 COMPARABLE SALE # 3 404 Allendale Way Cam Hill 0.30 mile ~>::::::::zi~:~:~>:::::~:= $ 215,000 $ 102.33 .ft ::~>:~>:~>::~~~>:'>:~>::>~> e MLS Re rt 10198084 Tax Records DESCRIPTION + - $ Adjustment Conventional ~7 D.O.M. 8/25/10 Suburban Leasehdd/fee Si ~~ VBw Fee Sim le .28 Acre Averse Fee Sim le .31 Acre Averse Fee Sim le .56 Acre Averse -3 500 Fee Sim le .35 Acre Avers e e 2 Sto 2 Sto 2 Sto 2 Sto ~ Constilrction Actiral a Cabrhon Above trade Brick & Aluminu 49 Averse Taal Bdnns. Bans Brick & Vi 31 Averse Total Bdnns. Baths Brick & Aluminu 48 Good/U ated Taal Bdrms. Baths -10 000 Brick & Aluminu 51 Good Tonal Bdrms. Baths -5 000 Roam Count 8 4 2.5 8 4 2.5 8 4 2.5 8 4 2.5 Gross Livi ~ Basement & Finished Rooms Bebw Grade ~ ~ od~ Efficient hems 1 956 Sq.ft. Part Basement Unfinished Averse HWBBlCA Storm Units 2 376 sq.ft. Full Basement Unfinished Averse FWA/CA Storm Units ~ 300 1 821 .ft. Full Basement Unfinished Averse HWBB/CA Storm Units +2 025 2101 .fL Full Basement Unfinished Avers e HWBB/CA Storm UnRs -2175 PardVPatiodDeck 2 Car Gars e Porch & Patio 2 Car Gara e Patio 2 Car Gara e Deck 2 Car Gara e Pch P Deck Fi s 1 Fire lace 1 Fire lace 1 Fire lace 1 Fireplace Net Ad Stirtent otel Adjusted Sale Price of C ~ I did did rat research ~:: ~`'~ ~~ ~`'^ ~ ~~~ `'~'~ ~'`~~::`•:: the sale a transfer his + - $ 6 300 Net Adj. 3.5 % Gross Ad'. 3.5 % $ 173 700 tory of the subject and arabl + - $ 11 475 + - $ 7175 Net Adj. 5.8 % Net Adj. 3.3 % Gross Ad~. 7.8 % $ 187 525 'Goss Ad'. 3.3 % $ 207 825 e sales. ff rat, explain M research did did rat reveal a 'a sales a transfers of tfte su 'ect fa the ttree ears 'a m the effective date of tlis sisal. Data Sources Tax Assessment M research ^ did did not reveal a ~a sales a transfers of the arable sales for the ear 'a >n the date of sale of the co arable sale. Data Sources Tax Assessment R the results of the research and anal sis of rie is sale a transfer fist of the sub' and c ITEM SUBJECT COMPARABLE SALE #1 Date of Prig Sale/Transfer 12/22/98 No Other Sales Disclosed Price of Prig SaleJTransfer 148 000 Past 12 Mordhs Data Source Tax Assessment Tax Assessment Etiective Date of Data Sours s March 20 2011 March 20 2011 sis of ~a sale a transfer his of ttte sub' and co arable sales No other transf o able sales r additicnal 'a sales on a e 3 . COMPARABLE SALE #2 COMPARABLE SALE #3 No Other Sales Disclosed No Other Sales Disclosed Past 12 Morrths Past 12 Mordhs Tax Assessment Tax Assessment March 20, 2011 March 20 2011 ers than indicated. of Sales C 'son ch MLS re rts in the t 12 months sales in the deveb ment included 14 - 2 :do houses as noted above the basic breakdown for rice was roes livin area la . Gla from 1800 ft to 2 300 s ft sold from $ 180 000 to $230 000. The more u dated and amenities included elevated the rice. The u ra a of value for the deveb ment of 2 sto houses were ra ed from 2,300 so ft to 2,700 sq ft wRh rice ra a from $230 000 to $ 273 900. Com were selected from those available and ad~ustmerrts a lied for amenities that was found to incxease or decrease rice obtained. The ad'ustment is not an actual cost of the amenities onl estimated value tt•iat krontributed to the sale. 3 sales on Allendale Wa and 3 sales onside streets a ear to have similar value ra a for this reason no location ad~ustmerrts area lied. Conddbn " ad ustmerrts reflect ati and condition as re rted from mis advertisement and hotos. Com kRk:hen hotos ,are included for all sales ezce t oom 3 where none was available. hrd~cated VaMre Sales Com orison ch $ 175 000 tndaled Valrm : Saks Co orison $ 175 000 Cost Ap sch (d Bevel ) ti income roach (if developed) ti The market a roach is the best a roach for this of ro .The lost a roach is not considered reliable fir this a e dwelli .The income a roach is not considered a livable due to the ical urchaser would be more interested in the amenities the sub'ect offers than an income it ma roduos. This appraisal is made ®"as is", ^ subject to completion per plans and specifications on rie basis of a hyporietical condition riot the irrprovemerrts have teen completed, ^ subject to the following repairs a alterations on the basis of a hyporietical condition that the repairs or alterations lave treen completed, a ^ subject>b the • following regrind inspection based on the extraordina assumption that the condition a deficiency does not r uire alteration a repair. The sub~ed is a raised 'as Is'. Based on a completie visud a~n of ~e interior and exterior areas of the subject pro ,defined scope of work, statement of assumptions and limifirg coMifiorrs, and appraiser's n, my {our) opirtion of the market value, as defined, of real property that is the subject of this report Is fi 175 000 at of March ZO 2011 which is the date of i on and the efective date of ibis sisal. ----- --•-- • -•••• • ~ ~-•°•~•~ ~~~~ rage c or o Fannie Mae Form 1004 March 2005 Form 1004 -"TOTAL fa !Af~ndows" appraisal software by a la mode, inc. -1-800-ALAMODE File o. 1 751 Pane #51 _ Uniform Residenfial praisal Report Fier 1103751 'The Intended User of this a sisal re rt is the indicated Lender/Client. Intended Use is to evaluate the ro rty that is the subied of this a sisal NOT for a mo a e finance transaction sub'ed to the stated Sco of Work u se of the a sisal re rti r uirements of this a isal re rt form and Definition of Market Value. No additional Intended Users are identified b the a raiser.' E~dent of sisal Process The a sisal is based on the information athered b the a raiser from ublic records, other identified sources, h ical walk thro h of the su 'ed ro research of the nei hborhood and seledbn of com cable sales within the sub'ed market area. Theo ' final source of the com cables is shown in the Data Source sedbn of the market rid alon with the source of confirmation, if available. The data and sources are considered reliable. When conflidi information was rovided the source deemed most reliable was used. Data deemed to be unreliable was not included in there rt nor used as a basis for the value conclusion. AddRbnal Environmental Limiti Conditions The value estimated is based on the assum ion that the ro is not ative affected b the e>astance of hazardous substances or detrimental environmental conditions unless otherwise stated in this re rt The a raiser is not an a rt in the iclentification of hazan;ious substanxes or detrimental environmental conditions. The a raisers routine ins n of and i wires about the sub~ed ro did not deveb a information that indicated a a rent si nificant hazardous substances or detrimental environmental conditions which would affect the ro ativel unless otherwise stated in this re rt. U is ssible that tests and ins lions made b a ualilied hazardous substance and ernrironmental e rt would reveal the e>astance of hazardous substances or detrimental environmental conditbn:r on or about the ro that would affect its value. These cond'rtbns ma include but are not limited to leakin uncle round fuel tanks lead based fiat mold radon asbestos • etc.. The software used to com late this rt includes IDC Data which adds the census tract and flood zone information to there rt from their data base. The rooess uses sub"act address to estimate locatbn b bn nude and latitude. This is a feature rovided b software com but in no wa uaranteed b a raiser who Ls not certified b FEMA or a other enf in flood zone determination. While the accura with this method is considered reliable would field to an actual food cert. .......................................... .............................. . ............... . Provide adequate infamaiar fa the lender/cierrt to .. ..................... replicate the below cost fi ures and calculations. fa the ~nion of site value of c arable land sales a other mettrods for estimati site vane ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW Source of cost data Ou ratio from cost service Effective date of cost data • Canmerds on Cost Approach ross ivin area calculations, depredation, etc. a roach is not considered reliable due to actual a e and condition of im rovemeMs. Marshall and Swift Cost Handbook uses re lacemert ~. The sub'ed cordains certain materials from corrstrudbn that are OPINION OF SfTE VALUE......_...-..._._ ................... - DWELLING Sq.Ft. @ $ - ,-_------ _$ S ~ $ _$ - _ _$ ----------- Gars e/C .Ft - Total Estimate of Cost-New =$ Less 'cal Functional 6denral not available at this time which makes this a roach to value unreliable. 'alon =$ ~ated Cast of Improvements ---------------- _ `As-is" Value of Site hrprovemerrls --- -------------------------------- - _$ Estimated Remaini Economic Life HUD and VA ord Years NIDICATED VALUE BY CDST APPROACH ---------------------------- ---- -- -- ~: ~~ .. ~: ~' . . ~.. .. : ~lfl[6 . : Estim atee Mordfrl Market Rent $ X Gross Rerrt Mu16 ier = $ >:::<:In6cated ~Vak,e b ~~~Incarre.::•:.:roach Su of Insane Dash rndudin fa market rent and GRM ... .. .. . Is the d /binder in control of the Homeowners' Association HOA ? Yes No Urrt s Detached .... Attact-ed .. .. ..: :: ~ . ~ :.:: ~ :::: :.: ::::::::: Provide the folbwin infatuation fa PUDs ONLYrf the deveb /builder is in cartrol of the HOA and the sub' t property is an attad~ed dwein writ L ' al Name of Pro t Total amber of phases Total number of uniLS Total rrur~er of urns sold Tohdl number of units rented Total cumber of units fa sale Data sours s Was the 'ect created b the conversion of epsti buildi s into a PUD? Yes No If Yes, date of carversion. "Does the ~ corgain a rrxlti-0wein u-rts? Yes No Data Source Are the urns, cormon etemerds, and recreation faalities carrplete? Yes No ff No, describe the status of canpletion. Are the corrrran elemerds leased to a b the Homeowners' Assodation? Yes No If Yes, describe the rental terms and lions. Describe corrrnon elements and recreational fadlities. - r Freddie Mac Form 70 March 2005 Page 3 of 6 Fannie Mae Form 1004 March 2005 Fam 1004 -"TOTAL for Nhndows" appraisal software by a la mode, inc. -1-800-ALAMODE File Na.1103751 Paae ~I unITORYI Residential Appraisal Report Flei~ 1103751 This report form is designed to report an appraisal of a one-unit property or a one-unit property dvith an accessory unit; including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a manufactured home or a unit in a condominium ar cooperative project. This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value, statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions are not perrriitted. The appraiser may expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do not constitute material aRerations to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an appraisal organization, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requiremerrts of this appraisal report form, including the following definition of market v~~lue, statement of assumptions and Nm~ing conditions, and certifications. The appraiser must, at a minimum: (1) pertorm a complete visual inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (:3) inspect each of the comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal report. INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of this appraisal for a mortgage finance transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFINITION OF MARKET VALUE: The most robable rice which a ro g in a competitive and open market under aN condoions requisite to a fair sale, the buyer and sellep each actinuld brin g pruder>tiy, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specrfied date and the passing of title from seller to buyer under conditions whereb : 1 bu er and seller are Y () Y typically motivated; (2) both parties are well irtfomted or well advised, and each acting in what he or she considers his or her own best interest; (3) a reasonable time is allowed far 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 adjustmerrts 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 readNy identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustmerrts can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is nat already irnalved in the property or transaction. Any adjustment should not be calculated on a mechanical ddlar for dolar 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 ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the following assumptions and limiting conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the ro to it, except for information that he or she became aware of during the research involved n ~r~omn nngthispa sed or the title appraiser assumes that the title is good and marketable and will not render any opinions about the ~. ppraisal. The 2. The appraiser has provided a sketch in this appraisal report to show the appraucimate dimensions of the improvements. The sketch is included only to assist the reader 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 this appraisal report whether any portion of the subject s;Re is located in an identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes na guarantees, express ar 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 spec'rfic arrangements to do so have been made beforehand, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, 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 research irnolved in performing the appraisal. Unless otherwise stated in this appraisal report, the appraiser has na knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. 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, this appraisal report must not be considered as an environmental assessment of the property. 6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory corr~lstion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will be performed in a professional manner. Freddie M8C FArm 711 Myrrh 7nnS rage 4 Ql b Fannie Mae Form 1004 March 2005 Form 1004 -'TOTAL for windows" appraisal software try a la mode, inc. -1-800-ALAMODE File .11 37 1 Pace #1 unlTOnYI Residential Appraisal Report Fie# 1103751 APPRAISER'S CERTIRCATION: The Appraiser certifies and agrees that: 1. I have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in this appraisal report. 2. I pertormed a complete visual inspection of the interior and exterior areas of the subject property. I reported the condition of the improvements in factual, specrfic terms. I identified and reported the physical deficiencies that could affect the livability, soundness, or structural integrity of the property. 3. I pertormed this appraisal in accordance with the requirements of 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 at the time this appraisal report was prepared. 4. I developed my opinion of the market value of the real ro comparison approach to value. I have adequate comparable ~ar~ket data toedevelopt a re fable salesacomparison approach for this appraisal assignment. I further certify that I considered the cost and income approaches to value but did not develop them, unless otherwise indicated in this report. 5. I researched, verfeied, analyzed, and reported on any current agreement for sale for the subject property, any offering for sale of the subject property in the twelve months prior to the effective date of this appraisal, and thee. prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report. 6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable sale, unless otherwise indicated in this report. 7. I selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property. 8. I have not used comparable sales that were the result of combining a land sale with the contract pun~hase price of a home that has been built or will be built on the land. 9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject property and the comparable sales. 10. 1 verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in the sale or financing of the subject property. 11. I have knowledge and experience in appraising this type of property in this market area. 12. I am aware of, and have access to, the necessary and appropriate public and private data sources, such as muRiple listing services, tax assessment records, public land records and other such data sources for the area in which the property is located. 13. I obtained the information, estlmates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that I believe to be true and correct. 14. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property or that I became aware of during the research involved in performing this appraisal. I have considered these adverse conditions in my analysis of the property value, and have reported on the effect of the condidons on the value and marketability of the subject property. 15. 1 have not knowingly withheld any significant information from this appraisal report and, to the best of my knowledge, all statements and information in this appraisal report are true and correct. 16. I stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the assumptlons and limiting conditions in this appraisal report. 17. I have no present or prospective interest in the property that is the subject of this report, and I have no present or prospective personal interest or bias w~h respect to the participants in the transacf3on. I did not base, either partially or completey, my analysis and/or opinion of market value in this appraisal report on the race, color, religi~xt, sex, age, marital status, 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 or on any other basis prohibited by law. 18. My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not conditioned on any agreement or understanding, written or otherwise, that I would report (or present ;analysis supporting) a predetermined specific value, a predetermined minimum value, a range or direction in value, a value ghat favors the cause of any party, or the attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending mortgage loan application). 19. I personally prepared aA conclusions and opinions about the real estate that were set forth in this appraisal report. ff I relied on signrficant real property appraisal assistance from any individual or individuals in the pertom~ance of this appraisal or the preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks performed in this appraisal report. I certify that any individual so named is qualrfied to pertorm the tasks. I have not arntror¢ed anyone to make a change to any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and I will take no responsibility for it. 20. I identified the lender/client in this appraisal report who is the individual, organization, or agent for 'the organization that ordered and will receive this appraisal report. Freddie Mac Form 70 Mamh Inns rayrs ~ or o Fannie Mae Form 1004 March 2005 Form 1004 -"TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE Fle .11 51 # Uniform Residential A sisal Re of't Fier 1103751 21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the borrower; the mortgagee or its successors and assigns; mortgage insurers; government sponsored enterprises; other secondary market participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumerrtality of the United States; and any state, the District of Columbia, or other urisdictions, obtain the appraiser's or supervisory appraiser's Cd applicable) consent. Such consent must be obtained before his appratsalo report may be disclosed or distributed to any other party (including, but not Ilmited to, the public thra~ugh advertising, public relations, news, sales, or other media}. 22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. Further, I am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, govemment sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that irnolves any one or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any irrtentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions o'f Title 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIFlCATION: The Supervisory Appraiser certifies and agrees that: 1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report is either asub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under ttre applicable state law. 4. This appraisal report complies 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 at the time this appraisal report was prepared. 5. ff this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. APPRAISER Gary G. Troup Signature Name Gary G'. Troup`- Company Name wA Company Address 1000 Good Hone Road Mechanicsburg PA 17050 Telephone Number 717-761-2724 Email Address gtroup1000~a email com Date of Signature and Report March 22 2011 Effective Date of Appraisal March 20 2011 State Certification # RL 001998E or State License # or Other (describe) State # State PA ---- Expiration Date of Certification or License 6/30/2011 ADDRESS OF PROPERTY APPRAISED 209 Hearth Road Camp Hill PA 17011-8455 APPRAISED VALUE OF SUBJECT PROPERTY $ 175,000 LENDER/CLIENT Name Estate of Robert L Naoe Company Name Estate of Robert L Nace Company Address Email Address Freddie Mac Form 70 March 2005 SUPERVISORY APPRAISER (GAILY IF REQUIRED Signature Name Company Name Company Address Telephone Number Email Address Date of Signature State Certification # or State License # State Expiration Date of Certification or License SUBJECT PROPERTY ^ Did not inspect subject property ^ Did inspect exterior of subject property from street Date of Inspection ^ Did inspect interior and exterior of subject property Date of Inspection COMPARABLE SALES ^ Did not inspect exterior of comparable sales from street ^ Did inspect exterior of comparable sales from street Date of Inspection Page 6 of 6 Fannie Mae Form 1004 March 2005 form 1004 -"TOTAL for windows" appraisal software by a la mode, inc. -1-800-ALAMODE ROBERTLNACE Account # 5,'1123333 Balances Beginning Balance.. $11,570.82 Current Balance $13,734.86 Deposits/Credits + $2,861.84 Average Daily Balance $13,140.33 ~. WithdrawalslDebits - $697.80 Interest Paid this Period " $ 0..12 Annual Percentage Yield'. Earned. 0.01% Earned this Period $ 0.12 Paid Last Year $2.'i 1 Paid Year-To-Date $ 0.77 -•- *The interest earned and the interest paid may differ depending on when interest is credited to your account. Service Fees - ItemlZed Date # Transactions Fee Tota! MONTHLY MAINTENANCE FEE 08/20/10 1 _ 10.00__ _x'10.00 FEES WAIVED 08/20/10 1 -10.00 - $10.00 Total $0.00 Checks Posted Check # to Paid Amount Reference 5235 07/22 62.71 614590870 5236 07/28 97.95 610453280 5237 07/26 $344.09 617003280 E5238 07/27 40.33 , VERIZON AR 5239 07129 i $31.95 611490660 Check # D to Paid Amount Reference _5240 08/02 $15.00 622111130 5241 U8/0?_ $36.00. 622064500 5242 ~ 08/04 ~ $54,77 _ 616003320 _, 5243 08/05 $15.00 623099880 9 Check(s) Posted = $697.80 An asterisk ("') indicates a skip in sequential check numbers. Account Activity Date Description An (E) indicates check was converted to an electronic item. Additions Subtractions Balance 07-22 Beginning Balance $11,570.82 07-22 CHECK 5235 ___ _ $62.71 $11,508_.11 07-23 PA TREASURY DEPT PAYROLL 100723 ~ $1,430.87 ~ $12,938.98 500779 07-26 CHECK 5237 T.- $34~l.09 $12,594.89' ~ 07-27 VERIZON ARC CHECK PYMT 100726 5238 12,554.56~ $40.33 _ 07-28 CHECK 5236 ~~ $9'1.95.. $12,456.61 T 07-29 CHECK 5239 $31.95 $12,424.66 08-02 CHECK 5249 ~~ $36.00 $12,388.66 08-02 CHECK 5240 $15.00 $12,373.66 08-04 CHECK 5242 _____ _ $54.71 $12,318.89 08-05 CHECK 5243 $15.00 $12,303.89 08-06 PA TREASURY DEPT PAYROLL, 1dQ806 501491 $1,430.85 ~ ~ ,/i $13,734:74 . (,J 08-20 INTEREST CREDIT X $0.12 $13,734.86 nding Balance page 2 0~~4 Si/ 123333 ~~ ~: ~R; 1 t~ LI000~ 1 ~i71 1 AV 0 .335 .v. iJU~~ v/'v i v `r r ~ i~ v`TU- ,i euiiiJUUi J1 Harrisburg, PA 17106-7013 (800) 237-/328 (Nationwide) wehsite - http://"www.psecu.com ACCESS YOUR ACCOUNT' ON THE GO WITH YOUR SMART~PHONE OR OTHER DEVICE. SIGN UP FOR PSECU MOBILE+ IN PSECUaHOME® UNDER "'MY MONEY." ~II![~I111~9lillllt" IIIII~11'11'11'IIIIIIIIIIIIIItll~llll'It~ RG Bf_RT L NACE 2 C~ 9 HEARTH RD CAMP HILL PA 17011-8455 JOINT OWNEI~ Ar~..tuB£Fi f!ItlMQER 0206XXXXXX I PAGE 1 I sr,~~aE~r PEwao I"rorn To ~~ ~: -'iaS1~VQ ~ 3 r ~FE~:1 ~ DATE TRNN$A~'114N pRIR'IlpN ~Yi'~~~rs ~f~P-?~~ FINANCE CHARGE f~F,~B QR C>}#~#~ ~ TRANSAiGT1t~M AIiAOt1k`t NEVS- BAI:AhfC~ A > ,+ ]7/01 :[D 0 L REht1LAR SHARES BEGINNING BALANCE ~~~p 5.01 X7/31 ENDING BALANCE ~ 5.01 DIVIDEND YTD: YEAR TO DATE 0.00 D7/0:1 :[D R4 GHEGI~ING BEGINNING BALANCE " 88:72 D7/31 PAYMEI~;T.._-I~I~ID~N:~I .Q 1:Qll~ Q ..4~ B.$.-:7~ ANNUAL PERCENTAGE YIELD EARNED 0.13% FROM 07/01/10 THROUGH 07/31/10 BASED ON AVERAGE DAILY BALANCE OF 88.72 `` ~ D7/31 ENDING BALANCE ,~~l 88.73 DT>UIDENI~ 'YTA; YEAR TO DAT!~ 0 . ~B 07/01 ID. '.D7 MDNEIf k1AR~ET.. BEDI:NN:LN~3 BAL.mN:CE..~... ...:: ... . :>. '~Q~g:.:8:~ 07/0 PAYMENT: TRANSFER FROM SHARE 57 8.49 5068.29 07/31 PAYMENT: DIVIDEND 0.600 2.58 5070.87 ANNUAL PERCENTAGE YIELD EARNED 0.601 FROM 07/01/10 THROUGH 07/31/10 4731 PAYMENT: TRAt~SFFR FROM SHARE 55 ~ ~ Ea3.27 X134.14 Q7/3i : ENDING BALANCE ~~~ 514.14 ~] I V iDEN:I~ YTD : : YEAR . T.O... DAT:E :::' ~ 5 .. ~1:D 07/01 ID 55 12 MONTH CERTIFICATE BEGINNING BALANCE 50000.00 U7/31 PAYMENT: DTUTDEND 1.490% 63.27 50063.27 AN~tUA1 P€RCEMTAGE YT~LD ~ARN~D ~ , 50 4 FRt~M ikl/OI./'10 1'HRUU6H 0.?.~31/T`fl! Q7./31 WITHDRAWAL TRAt~~F~R TQ SHARE O7 b3,27-~ 50000:00 ', _ ... 07/31 :~: ~.~~~t:~.M+....~~ ,` ~,~~~'~~:.:~~~ f~ ~' , 12 MONTM RT'IF~GATE ~ILL.L i~.TtJ ~ ©td 4 .~Obf1~ - ~~ ~• ~~ .~" .~~'~ -BSI-'VIBD'.'~`'fD_: _ _.. _ FDA E ..: _, .._._ . ~ ..:.: ~<:: _ ,~. _.: ..: 449.34 Q7,/4l~ ID 56 '12 M ERTIFICATE SEGI'NNING BALANCE 2'0184.44 Q7/31 PAYMENT : DIVIDEND 1 , 4'90 25 , 5~t 2A204~ 98 ANNUA~,..P~~~;T~ l~L~~4~. E~ARH~EI3...~...~d~+°~...~RL'~1'#..~~,~~1~,~~.~1.. '.T~~:L#~k~.r.~...07/31~`~ll, 0 7/31 END I Ntt B,f~E:AMCE ~ ~~ ~ # . 98 DIVIDEND YTD: YEARi TO DAfiE' -_ . -_ - -- -~ - 174.05 s: ~~~~~ ~~~~ ~~T~~ ~~~~~~~~~~~~~ ~~~~T~~ ~~~ 07/01 ID 57 (~ MONT RTIFICATE BEG NC 5Q00t100 07fDb PAYMENT:: DI~:ID~ND' ..~. ~:'~Qf :: >'.. ' ;.: <' . :.`:.....: ' 8 . ~~ 5Qk1 QS -.49 ANNUAL PERCENTAGE YIELD EARNED 1.251 FROM 07/01/10 THROUGH 07/05/10 07/06 07/06 WITHDRAWAL TRANSFER TO SHARE 07 6f11 Sf ~. IZ EN~WED T ~ BflflX TO M1~TUIlR E Q31'~ 49 50000 00 i'~ ~ eZ C~-~ . _ ~ i ~~ f!!h .: vlY:: d r" d .. ' ' 1 .1 ~ k v~ ~ H ~ H n ~'.' ~ l ~~l l~ ( iF ~ ik nbN ~ ~ ...__ «~ J ~ w.'?. ~yy, y, , ~s 7/07 0 , p y ~ l r :L ..1 .. t..,I ~. .. , ;. , .~ ;A t ~' ''AY~IENT DIV~D~~N~I ., ~ ~ ~ .:~. ~ , . : :, ' : . :__ 0201 000 065 4 : --- --- G' /' ,~ ~ ~ ~ 564 ~ 7 ~ I ! .~~~ .v. JIJi~ il/ v i v +\/ 111 jv~'li`tL`Y ~ilUi!IJJUI JI Harrisburg, PA -17106-7013 (SOU) 2~i-7328 (Nationwide) website - http://www.psecu.com ACCESS YOUR ACCOUN"f ON THE GO WITH YOUR SMAR1fPHONE OR OTHER DEV][CE . SIGN UP FOR PSECU P10BILE+ IN PSECUaHOME® UNDER "MY MONEY." JOINT OWNER ROB E ~ R"" N!~ ~:E DER: f~tE1MR~R 0206XXXXXX S79ATEMENI' PERttfD _ _.__ ~CIDIIt 070110073110 PAGE 2 ,. IEi202 OOCI 0d~~5 4 095645 4098786 E7'" AmeriChoice FEDERAL CREDIT U N I O N Building Relationships For Life 2175 Bumble Bee Hollow Koad Mechanicsburg, PA 17055 .Phone: (717) 697-3474 Toll. Free: (R00) 240-4364 Fax Number: (717) 697-371.3 www.americhoice.org Statement of Accounts Jul 01, ;?010 thru Sep 30, 2010 Account Number: 44635 4 Account Balances at a Glance: Savings,. 0.00 ~~ ~~ W o _ o~ ~~ 407 - 204 209 HEARTH RD CAMP HILL PA 1 701 1-8455 Relationship Reward Level is: General PAGE 1 of 1 Walk through the life and times of our former presidents with the Presidential U:S. Dollar Collection on sale now at AmeriChoice! The 15th President, James Buchanan is the newest set"available in this- series. Be sure to colh~ct them all. For more information, go to www.americhoice.org. Be sure to purchase your American Express Traveler's Checks and Gift Checks at any AmeriChoice office. In December, AmeriChoice will no longer be offering this service. Go to www.ameriehoice.org far more information. REGULAR SHARE - 0001 ~ ~`~ ~~ ,p . ~ r~ Date Transaction Description Additions Subtractions Balance 07-01 Balance Forward ~'_~, - ~ G 6.00 08-28 Withdrawal by Check -6.00 0.00 REGULAR SHARE Closed *** This is the final statement. you will receive for this account *** *** Please retain this final statement for tax reporting purposes *** Dividends Paid Year to Date 0.00 YTD SUMMARIES TOTAL DIVIDENDS PAID REGULAR SHARE 0.00 Total Dividends Paid Year to Date 57.82, .. ,4 . :_ _ . , , ~ . _ g . ~ , S~ Send Inquires to: 5000 Louise Drive PO Box 40 Mechanicsburg, PA 17055 www.membersl st.org Main Switchboard: (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 TDD: (717) 697-5312 or (800) 283-2328 ext. 5312 ® TeleBranch: (800) 237-7288 MEMBERS 1St FEDERAL CREDIT UNION 14668 1 AV 0.335 29335-14668 = I~~~III~~~lll~~~i~l~~ll~~~l~l~~l~~~ll~~~lll~~~ll~~~~ll~~~l~~ll _ ROBERT L NACE N- C/O BARBARA MISICKO 6 BRETZ CIR ~'~ SHERMANS DALE PA 17090 o ~- Account Number: 378656 Balances at a Glance Checking: 0.00 Savings: 0.00 Certificates : 0.00 Loans: 0.00 Money Management : 0.00 Swipe ;~ YTD Reward : 0.00 Page : 1 of 2 Your current Member Loyalty Rewards level is Titanium. Visit any of our branch locations on Thursday, October 21, 2010 and join us in celebrating International Credit Union Day. SAVINGS ACCOUNTS 0000 -REGULAR SAVINGS Date Transaction Description Additions Subtractions Balance Jun 25 Balance Forward 130.39 Jun 30 Deposit Dividend 0.300% G.03 130.42 Annua/ Percentage Yie/d Earned D. 280 from 016/01/2010 through 06/30/20 90 Jun 30 Deposit Transfer From Share 0040 2E~.96 157.38 Jun 30 Deposit Transfer From Share 0041 1~I.48 170.86 Jul 07 Deposit by Check 1.37 172.23 Jul 31 Deposit Dividend 0.300% C-.C-4 172.27 Annua/ Percentage Yie/d Earned 0.27U~ from 07/01/2010 through 07/31/2010 Jul 31 Deposit Transfer From Share 0040 27'.86 200.13 Jul 31 Deposit Transfer From Share 0041 1°..93 214.C16 Jul 31 Deposit Transfer From Share 0042 51.03 ~~ ~ ~ 265.09 Aug 16 Deposit Dividend 0.03 265.12 Annua/ Percentage Y.%P~ld Ea.!ned 0.280' horn 08/01/2010 through 08!31/201n Aug 16 Withdrawal Transfer 265.12- 0.00 To ESTATE OF ROBER XXXXX~C{XX Share 0000 REGULAR SAVINGS Closed V ~ t--~ b5~. ~ 2 -- ~~ *'' *7his is the final statement presenting inform, alron on this product'` * * , ~ ~ .~ Q * * * P/ease retain this final statement for tax reporting purposes * * * 5~~ „ ~V ~'~ G} ` ~ Cs~.GC~ CERTIFICATE ACCOUNTS 0040 -15 MONTH CERT Date Transaction Description Additions Subtractions Balance Jun 25 Balance Forward 20 , 000.00 Jun 30 Deposit Dividend 1.640% ~ 26.96 20,026.96 Annua/ Percentage Yie/d Eamc d 1.650' from A6/01/2010 through A6/30/2010 Jun 30 Withdrawal Transfer To Share 0000 26.96- 20,000.00 Jul 31 Deposit Dividend 1.640% 27.86 r~ (~ 20,027.86 Annua/ Percentage Yie/d Famed 1.650 from 07/01/2010 through 07/31/2010 ~ V N Jul 31 Withdrawal Transfer To Share 0000 27.86- 20,000.00 Aug 16 Deposit Dividend 13~ .48 20 , 013.48 /~°~ ~('_,,, ~ ~c `l,~> c~-,r+-. Chu ~nn~~ -- - - - Continued on following page - - -, `~~ --`~~ -~5~-~..~, Statement of Accounts Jun 25, 2010 thru Sep 24, 2010 st Send Inquires to: 5000 Louise Drive PO Box 40 Mechanicsburg, PA 17055 DfE~iBERS 1" www.memberslst.org „ x,~,~..,>,~ ~.~,, k N N Ul ~~ o o -_ * Main Switchboard: (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 JUn 25, 2010 thru Sep 24, 2010 TDD: (717) 697-5312 or (800) 283-2328 ext. 5312 29336-14E68 Account Number: 378656 TeleBranch: (800) 237-7288 Page : 2 of 2 Date Transaction Description Additions Subtractions Balance Annua/ Percentage Yie/d Earned 1.65U~ from 08/01/2010 through 08/ 15/2010 Aug 16 Withdrawal Transfer 20,013.48- 0.00 To ESTATE OF ROBER XXXX)UU<XXX Share 0011 15 MONTH CERT Closed * * * This is the final statement presenting information on this product * * * * * * P/ease retain this final statement for tax reporting purposes * * * 0041 - 15 MONTH CERT Date Transaction Description Additions Subtractions Balance Jun 25 Ba/ance Forward 10,000.00 Jun 30 Deposit Dividend 1.640% 13.48 10,013.48 Annua/ Percentage Yie/d Earned 1.650' from A6/01/2010 through Q6/30/2010 Jun 30 Withdrawal Transfer To Share 0000 13.48- 10,000.00 Jul 31 Deposit Dividend 1.640% 13.93 ~ 10 013.93 Annua/ Percentage Yie/d Earned 1.650"/o from 07/01/2010 through 07/31/2010 , D ~~ Jul 31 Withdrawal Transfer To Share 0000 13.93- 10,000.00 Aug 16 Deposit Dividend i3.74 10,006.74 Annua/ Percentage Yie/d Earned 1.650' h~om 08/01/2010 through 08/ 15/2010 - _~_ Aug 16 Withdrawal Transfer 10,006.74- 0.00 To ESTATE OF ROBER XX)UUUUUUUC Share 0005 15 MONTH CERT C/osed ,--~ 6 ~-- ~.~.A~c~".,~,~, ~ \ `t-U * * * This is the final statement presenting information on this product * * * * * * / -~ S-~~-~ YY1 tS ~ P/ease retain this Sna/ statement for tax reporting purposes * 0042 -15 MONTH CERT Date Transaction Description Additions Subtractions Balance Ju/ 07 Ba/ance Forward MM ~ 0.00 Jul 07 Deposit by Check 50,OOt).00 `a,~ 50,000.00 Jul 31 Deposit Dividend 1.490% 51.03 50 .03 Annua/ Percentage Yie/d Earned 1.500' from 07/07/2010 through 07/31/2010 , Jul 31 Withdrawal Transfer To Share 0000 51.03- 50,000.00 Aug 16 Deposit Dividend 31).62 50,030.62 Annua/ Percentage Yie/d Earned 1.50090 from 08/01/2010 through 08/ 15/2010 Aug 16 Withdrawal Transfer To ESTATE OF ROBER XX)UUUUUUCX Sh 50,030.62- '~ 0.00 are 0005 ~ ~ ` r fi'n °' ~^-~~ 15 MONTH CERT C/osed ' This is the frna/ statement presenting information on this product ~ S"~-~.. YYZO ~-`~ * * * P/ease retain this flna/ statement for tax reporting purposes * * * ~'~"~,~^ G~ Q..r" ~~ R-'^' ~ YTD SUMMARIES TOTAL DIVIDENDS PAID 0000 REGULAR SAVINGS 0.'12 J (, ; ~ O CU, (` L~ 0040 15 MONTH CERT 153.68. ~~-ll 0041 15 MONTH CERT 74.14 ~ ~ ~ U ~ ~~ - ~~ l~ 0042 15 MONTH CERT 81.65... C~ ~ ~ ~ ~~_- ~ ~ ~.1 '2. ~ S -_. Total Year To Date Dividends Paid 309.59 ~~ ~' ~ ~ ~ U ~ NOTE: Total includes clpsed shares.... ' Don't forget about our new :Member ~Qyalty Rewards Program. The more products you have with us, the more benefits you'll receive. Ask an associate for details or visit our website at www.members1 st.org for details. CU . ~ ~~ ~. J ~> ~, ~;~. ~ ~ ~ o c7 ti:~:u i vERk`~" ~T~`ET ^~ ?-i~~ _~ ,~ ~ ~ INDIVIDUAL CASH RECEIPT ) DATE ~ ACCOUNT NO. ~~7 / ~ t/~l~ W~~$ //~(~~, ~o~ ACCT/CONTR. NAME ACCT/CONTR. NO. $ RECEIVED FROM I r ~ ~ 9.3 K # C.C. APPROVAL # ~~ C.C. TYPE DESCRIPTION TRUST NO. $ G/L ACCT . B , rL-St/CHECK ~ CASH CREDT CARD ~ DEBIT G /08) White -Customer Copy Yellow -Contract File Pink -Control Copy Organist ~ ;;olaist Embalming $ 795.00 Certified Copies of Death Certificate Other Preparation (Casket, dress, cosmetic) $ 395.00 Clergy Honorarium Refrigeration Altar Servers Cemetery Cemetery Equipment USE OF FACILITIES & RELATED STAFF CHARGES TOTAL SECTION II TOTAL //~ ~ ` ~~ THANK YOU $ 150.00 $ 150.00 $ 15.00 $ 950.00 $ 1,870.52 Visitation $ 495.00 Funeral Ceremony SECTION III OTHER Church Ceremony $ 495.00 Graveside Service Tribute Plan Allowance $ (1,065.00) TRANSPORTATION VFW Discount Insurance Allowance Transferring Remains to Funeral Home $ 495.00 Funeral Vehicle -Hearse $395 Limousine/Family Vehicle TOTAL SECTION III $ (1,065.00) Service/Flower Vehicle $ 395.00 Other Transportation SECTION IV TAX MERCHANDISE Casket $ 1,595.00 TOTAL SECTION IV $ - Outer Burial Container $ 1,395.00 Alternative Container Urn Clothing $ TOTAL CHARGES $ 11,365.52 OTHER GOODS AND SERVICES Less AMLIC Mem Album, Everlasting Memorial $495.00 Less Trust Aftercare Planner, Helpline $ 340.00 Balance Due $ 11,365.52 Flowers $ 295.00 Memorial Package $ 295.00 ~~_ TOTAL SECTION I $ 10,560.00 Dignty~M 3501 Derry Street • Harrisburg, PA 17111 • 717-564-2633 • Fax 717-561-9918 • Stephen J. Wilsbach, Sup. 3401 Market Street • Camp Hill, PA 17011 • 717-737-8726 • Fax 717-737-185~~ • Kevin J. Shillabeer, Sup. DignityMemorial.com G'~ ~ ~Neieral Home C ~~ Cam' - ~ ~ ~ ~ ~~,~.^ Barbara Nace Misicko 6 Bretz Circle Shermans Dale, PA 17090 SECTION I SERVICES AND MERCHANDISE FUNERAL DIRECTOR AND STAFF SERVICES Minimum Professional Service $ 2,680.00 CARE AND PREPARATION OF REMAINS Embalming $ 795.00 Other Preparation (Casket, dress, cosmetic) $ 395.00 Refrigeration USE OF FACILITIES & RELATED STAFF CHARGES Visitation $ 495.00 Funeral Ceremony Church Ceremony $ 495.00 Graveside Service TRANSPORTATION Transferring Remains to Funeral Home $ 495.00 Funeral Vehicle -Hearse $395 Limousine/Family Vehicle Service/Flower Vehicle $ 395.00 Other Transportation MERCHANDISE Casket $ 1,595.00 Outer Burial Container $ 1,395.00 Alternative Container Urn Clothing $ OTHER GOODS AND SERVICES Mem Album, Everlasting Memorial $495.00 Aftercare Planner, Helpline $ 340.00 Flowers $ 295.00 Memorial Package $ 295.00 TOTAL SECTION I $ 10,560.00 -~~ ~ ~. ~ ~~ 1 Services for: Robert L. Nace Service Contract: 741200200685 Date of Service: August 12, 2010 SECTION II CHARGES MADE. ON YOUR BEHALF Patriot News Obituary $ 271.52 VIgGi~iJt U[ Voi VIJt $175.011 Certified Copies of Death Certifi+~ate $ 150.00 Clergy Honorarium $ 150.00 Altar Servers $ 15.00 Cemetery $ 950.00 Cemetery Equipment $ 159.00 TOTAL SECTION II $ 1,870.52 SECTION III OTHER Tribute Plan Allowance $ (1,065.00) VFW Discount Insurance Allowance TOTAL SECTION III $ (1,065.00) SECTION IV TAX TOTAL SECTION IV $ - TOTAL CHARGES $ 11,365.52 Less AMLIC Less Trust Balance Due $ 11,365.52 Dign,ty~ 3501 Derry Street • Harrisburg, PA 17111 • 717-564-2633 • Fax 717-561-9918 • Stephen 1. Wilsbach, Sup. 3401 Market Street • Camp Hill, PA 17011 • 717-737-8726 • Fax 717-737-1859 ~~ Kevin J. Shillabeer, Sup. DignityMemorial.com --~~~ROMBERGER MEMORIALS Mfgr. ........................ GRANITE -MARBLE -BRONZE Mfgr. No .................. Memorials Since 1929 Design no ................ PLANT AND DISPLAY - 2395 STATE STREET Code Mont .............. HARRISBURG, PENBROOK, PA 17103 PHONE 232-1147 Code Mkr ................ ~ ~ °'' ~ ~ ~ - ~ ~` 800-340-6744 FOUR OFFICE USE ONLY Date Bought E.I.B .......................................... Found ............................................... ,: d~ ~ _~...~ Terms......' ..:..:...........Down payment Balance within 30 days after completion. 1% per month charge will be made on a(I past due accounts. :. .. ... . x ~ ; ..~.. ~ _ ..:.r- . ,• Sect. No ..............................................I ~ _:. r ,. ~ _-'~°" ¢ <, ? fir i 7 ~ ~ r •. ~' ,• ~ ~;'' 7 , 'J 1 ,,., ~ '~ r # ~ f_. ~ `~ t ~ ~ r e ~-` ~e«. .... ... .. 1 1 TO t..~.. ........ il! ~ ~i.. ~' ~..}..-... .1. a ~• ~ ^a.~.c. :".~.~ .~j.~S.t.S..x:~ ..~.y.t. ...~ ~i~..l+.srl...........:.. .~. .. ~.s..~ ...: .. ~ ..~ ~ ADDRESS i. ,~".,J.~'k.~: .~.~°~... `~.. .~.'a. ~ .~. .~..~.. sa .~~.~:~~. ~ ...' ~`•° `, a s~ ( ~r ~x .. ' j ORDER NO. ~ ~ h . ~ 4 f~ ~,, ::~.;., .................. DESIGN NO................ MATERIAL . ~ ... ~ '"~ . ~ .. ..~ ..5.. ~::<,,~.. TERMS . J ... } ~~ .'....~:'. , `....... . .. .. .. ..~. DIE ...1 ~ ..~~~' . .. ~.._~ . ` ` ~ .~ ~;~. ,*'~`~ s ~, ..' ,° ~~. .. .:~`~ ~.`~........ '.... ~. ............................... PRICE OF MO]VIJMENT .. . ,~, ~ ~, ~ ~ r •• ~ .......... ......... ...... ..... BASE ..:'~::~'. ~}: ~.....:..~...'~.~~......~? .... ~ ~~...~ ...~~... ~P a .................................. PRICE OF MARKER ................... .......... , "~':.~.~=~^ .~.. 9 r ~A~~ ...................... :......~..?....~.`~......~'.......~s.~:.~:.>:~.....~+........................... CEMETERY FOUNDATION ....... '~':...........;.r.~..~. f, 1,,. r ~~~""_ . fi y ..,. POSTS ..................................................................................................... ......................... ~. ~ ..~:.~. k.~...... ~ I::. .. _.._~'YPE OF LET'T'ERS , .'._w .~ • e '' " '' _` ~ ~,~-~ LEAVE SPACE FOR ....MORE INSCRIPTIONS TOTAL COST.,...... _ ALL FUTURE LETTERING TO BE EXTRA , , t '< ~ ~ ~ ~ ~ ; ,° s ~. V ~ ~ .,..-,.,. ~~. r..n.' ..y ,y" "1 c. M ..~.,,..w ~, , .. ' ~ ..,T. r...ry rr.w•'•• . X4'4.». ...... M ". w~rS~•'f +4•v~+• > _. a f' I "{~ :i T ~ ~ ~ ~ e .d~'r -uW.n ~~ N ' T. ~, ' ~t.; , kc y Y ~ ~ ~ ~ ~: ~y ~ t... Tai ~\\n// ~~ ~~~ ~ ~ ~ 1 1 > ~ ~ l ~ ~+... fp~ 91 ` ~ y .4 J Y~ p •~ i ice.,.. ~ P + _ .,N • ~ t~~' * { . ~~'~ S a k ] ~K ~ ~w t ~`~' $~~ • `~•' ~ k ~... ~, -.... mM,yr~r'WyJ1ryuN.mM.N'~''~a; ~ 1=~ U .. (,% & ~ J. 'i., ,. ..... w., .. .. ..+, .a..wWMw r+4iY~ewswr•rwlWrsu'rw.r y «n .s~.var,o.. v,~..c..~o .. x.or...wrww+r re.~°a"a~au:wW:e''`.an• _ 444 ~• .. I~ m.wrn nr,r-n.vr y +b ty ~.x.ti~~.... ;xis. rP6a~ 7.{,~5~ yW.a[s ~. w. w.a•I~t:.wx.+w w~.. u.»finsw:rrra:.:.(nr~a.WYM.w~Wn''."'[. s.~wr•N.wr. ....w. •.. r.CYY.+avnr: ..i...r..- 1A +1.-.+w nw..... ~ -ca,.+a. a,m .ar +.y:i..4w~4`". w wW - a~a,~,~ O To be erected in .......:...~..... :........w`: ~,~~:.~..:,~r-r,,;.:: ................Cemetery irr~-:.:~~.~ !..~~. k• a:. „ ' ~~, r ~~ ............... d s • =~ .during '~; the month of ..........................::: . f ....unless unavoidably delayed by labor troubles and other contingeri+cies beyond our control and then as soon as practicable thereafter. Yes No ^ ^ optional vandalism protection 20 year 10 year ~±,~a -, ... - The undersigned (hereinafter known as the urchaser agrees to pay Bomberger Memorials .. - f • °:•. ~ r P ~ ~ ..... .. .... ._. .................................................Dollars 1 rG~ ~...i..~..:5..... ~. ~` ::.: .......... ~ ... .... ..~... ~'r. ,..i... 111 ~ 'S .~.. ~.. ~_ ... r. ~. ~.:~ ~ ~^~'• ~• • • f • •1 •~• • x ~-• • ~ k. •~;~ • • , ~ • • ~--.,r •~ }.1 ... t . ~....~,~.......from date of acceptance of this order. it is further u~erstood tHat upon acceptance of this order the contract sol~made cannot be cancelled, altered or modified by the purchaser or by an agent of Bomberger Memarials or in any manner except by agreement in writing bett~ye~n the purchaser and Bomberger memorials, and the above monument and appurte- nances are to remain the property of Bomberger memorials, until fully paid for with right of removal. ~~ Accepted at . 1 ~' .... ` :. ~ . ' ....... ... Sold B - ~`"";~' z ~ ~-~ r ,F , ~ ~ ' k ,,~ ~ ~ ryf -~ -t _ ...... ................. .. :.. „~ y......... .... , ..-. ..... .. ~ ,. ...... Purchaser .. ,r;, ..... .. ... ..... _ .- s The Patriot-News Co. 2020 Technology Pkwy Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-8213 MISICKO 6 BRETZ CIRCLE SHERMANS DALE ACCT # NAME c~he ~latriot News Now you know PA 17090 INVOICE AFL CHARGES ARE NET AD ORDER # DATE EDITION ADDTL. INFO. TYPE OF CHARGE AMOUNT 127088 MISICKO 127088 MISICKO 127088 MISICKO 0002089802 08/27/10 REGULAR 0002089802 09/03/10 REGULAR 0002089802 09/10/10 REGULAR ~~ ~J ~~- C~~t \\b a ~ ~d \0._13 TOTAL: REMITTANCE ADDRESS The Patriot-News Co. 23794 Network PL Chicago, IL 60673-1237 BASIC AD CHARGE $61.91 BASIC AD CHARGE $61.91 BASIC AD CHARGE $61.91 AFFIDAVIT CHARGE $5.00 $190.73 Please include the Account # or Ad Order # (above) with your remittance--Thank You NOTE: This Invoice replaces the Order Confirmation which we previously sent with Proofs of Publication CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3166 Fax: (717) 249-2663 October 1, 2010 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Barbara Misicko RE: Robert L. Nace Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: September 17, September 24, and October 1, 2010 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director ~~~ ~~ ~h~~ ~,~,-~,l RCD LOBSTE:R O3~~b' , 4300 Jonestown Raad Hit, ~~ i sburg , PA 1;'109-6208 Check ~ :39772 Tab 1 E_~~ 7~ : 75- ~4-~3~~ Nicole D 15:02 08/12/2010 Gst 19 Transact' #:685043181 I D # ~ 1 ~6 7OC17E-7321 *Y:7k>t'Y:Y:YC*Yc7CYC~Yf)tYC*71YCitytYCYiYCY:YC7rYf~t~1X~YiitA71'~~K5~~1 We value your apiniorr. Please * tell us about your dining ~~' * experience by completing an online survey within 7 days of * your visit. You could win a * $1, 000 Grand Prize or~ 1 of 10C~ * $50 prizes. Winners ~~re drawn * * weekly!!! ~ * * * To compl Pte the survE~y and er _ * the contest, go to ~' * www.RedLobsterSurvey.com ar~d * enter the ID on this receipt. * NO PURCHASE NECESSARI' . Uo i d wf"~ere * * prohibited. See Official Ruler at * www.RedL.obsterSurvey.corn. * * Valorarnos su opinion. CompletE la * encuesta sabre su exF~er i Pnr, i a * * gastrondmica en Y: * www.RedL.obsterSurvey.corn. * *****kk*Yc*Y;YCk 1t 7YK)KYf~CXY;•kYt~fl'~~k~1~1t~'kA'*>t';k (OFFER EXPIR S A g 19, x'010) A~ Card Number uth Cade xxxxxxxxxxxx 9456 623776 rnisicko/david m ~ Visa C:hQCI< Arnoun-t 19t;~ _ 1 C 15~ Gra-tui -ty 2E~ _ ~~, ~~ To-ta 1 ~ r 21-? .Cal ~~~ ~ a' ~ T~ p ~ d.. ~~~ F i ri a l T~ -t a l 2' Z~ .- ~ Cardmember agrees to pay total ire accordance with agreement gov Wing use of such card . ~ ~,~~ Guest Copy ~~ R~_L:) l_tJE3STE:R 0.3~~0 1300 .lonestown Road Harrisburg, P,q 17109-0208 T a b -~ ~ 7 b Check ~ :39772 Nicole C 15:02:40 08/121201,.1 -------_ __---- -- .. _ (~st 19 Guest No.1 1 No Beverage 1 IBC Root Beer. 1 Water w,`Lernon ~ `. 75 1 Watr~r w!Lemon 1 WatE3r w!Lemon 1 Water~ w/Lemon 1 Water wiLemon 1 WatE~r w!Lemon 1 Water w/Lemon 1 Water w/Lemon 1 L Sfd Stuffed Fl ounrier // 1 L Sf;i Stuffed Flounder ~~'~ ~. 25 1 L Blackened Catfish \/ / 9.25 1 L Fried Flounder `C 850 1 l_ Sfd Stuffed Fl ounder~ 3.25 1 L Sfd Stuffed F1 o~.rnder 9.25 1 L Sfd Stuffed Flounder ~ 9.25 1 L Brai)ed Flounder O 9.25 1 L Broiled Flounder ~ 8.25 1 Coffee `O 8.25 1 Hot Tea ~~ 2.20 1 Coffee ~ 2.20 1 Coffee ~' 2.20 ' 2.20 - Guest No. 15:02;41 08/12/2010 Please pay this. amount T o ~t a l 21-7 _ O -7 (9456)Visa 217.07 ,4rn~~unrt Crum O.Op Chaneg+~ (] _ 00 thank you for choosing i:o dine with us! Come back because now tf•rere are more reasons to celebrate your love of ci~ab . going on now during Cr~abFest. We also i ~~vi to you to "E;ecome a fan or7 Facebook! Find us at facebook.~;am/redlobster" GRATUITY NOT INCLUDED UNLESS NOTED Please pa5i your server. Comments or Suggestions' Please spE~ak to Tadd Michael General Manager before leaving or call (717) 657.1978_"__..______._._._____.. - ~~. ~~~" ~~` .~ ~ ~6 ~~ G ~ 4uoli•y,ld~dion, ~avinOs, every Day. '~~ Visit us on the Internet www.GiantFoodStores.conf '~ ~ -~ ~ My go is to ensure your satisfaction every time you shop with us. If there is anything more I can do to improve your experience please call or write. Rick Warner, Store Manager ~ Giant Food Store # 252 5074 Jonestown Road ~ Harrisburg, PA 17112 Store Telephone: (717) 545-3752 Pharmacy Telephone: (717> 545-9313 08112/10 1:17PM THANK YOU 48000798848 IMAGE CAKE 46.99 F TAX PAID .00 ~~**TOTAL 46.99 OF DEBIT CARD 46.99 YC1k1C7t7KYl~YCYt7K1C~7K71fYCYr~C~1K1KYtycY[ycYtYC~)kYtYcYtyt7KYtYCXycYc GIANT FOOD # 0252 5074 JONESTOwN ROAD HARRISBURG, PA 17112 DEBIT CARD PAYMENT Card XXXX XXXX XXXX 3333 Payment Amount $ *~~*~46.99 Purchase Amount $ ~*~~*46.99 Cashback Amount $ **~~~*~.00 AUTH# 315851 8/12/10 13:18 0252 8$ 0061 472265 CHANGE .00 ~~~~ Q~~h~ FLED LOB~TE:F2 U3~~E 8300 Jonestown Road Harr i sbu~~n . PA 1 '109-6208 Check ~ :29443 T aka 1 ~ f33 : z33~ Nicole D 15:02. 08/12/2010 Transaction #:685045481 Card Number uth Code xxxxxxxxxxxx 9456 b21486 misicko/david m Uisa C~~E~ck Arnoi ent `~ . 95 ~ ~3 ,o T/i'~~ ~ 1 ~ - ~ ~~ T©-tal ~_ ~~ x ~ y~ Cardroember agrees to pa~~ total i r~ U accordance with agreement governing use of~uch card. fJI,Y' q Guest Copy 1,~ i r v ~' V" °~ ~~ ~~ T.. r ~; ~, ~ ~ ~ ` , ~ r .. 3 0 " 1 ~ - ~ , " i i ~c> ~'~ "~{ ; O» ~ .::-~ c~on~ec ~ O W 4i 7 _ .~ '~ ` 1 17J ~ m " ~ ~ ~ ,~``~; ~n ^^^O^ J y o QQT R n O ~~ ~.. 7m ~~ ;,.~ m ~. ~ ~ ~, ~ m ~ ~ ~, ~ O I \i 1 ~ cww~: __ ~ ~_~~5 ~ { j ;/yam _ ~ i' C /~ ~ ~ ' % -- _ j . ~ r^ _ ~ 4'/ I ~ ~/ ,.-~--` 1 / I I ~~ % ~-= j O --I Z m a o~ r m a o; _ 5 c ~ ~~-. ~ cm ~r fm ~ s c . ~` ~ p ~.~ C ~l, ~ ~, r ~ F~ m `1,/~ ~ m .~ 3 .. ~~j ~i FROM: Gary G Troup 1000 Good Hope Road Mechanicsburg, PA 17050 Telephone Number: 717-761-2724 Fax Number: 717-920-0615 T0: Estate of Robert L Nate 209 Hearth Road Camp Hill, PA 17011 Telephone Number: Fax Number: Alternate Number: E-Mail: INVOICE INVOICE NUMBER 1032711 DATE March 20, 2011 REFERENCE Internal Order #: 1032711 Lender Case #: Client File #: Main File # on form: 1032711 Other File # on form: Federal Tax I[I: Employer ID: QESCRIPTION Lender: N/A Client: Estate of Robert L Nate Purchaser/Borrower: N/A Property Address: 209 Hearth Road City: Camp Hill County: Cumberland State: PA Zip: 17011 Legal Description: Deed Book 191, Page 471 FEES AMOUNT 1004 Single Family Residential Appraisal 300.00 r~ ~ ~. POYMFNTS SUBTOTAL 300.00 4Mn11NT