HomeMy WebLinkAbout06-30-11J 1505610101
REV-1500 Ex `°1.1°' '
enns lvania OFFICIAL USE ONLX _
PA Department of Revenue p y County Code Year s File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO Box Z8o6oi INHERITANCE TAX RETURN .~
Harrisburg, PA 1128-0601 RESIDENT DECEDENT _ ~ 1 1 1 0 4 6 4
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
1 8 6 3 0 5 7" 7 3 0 4 0 4 2 0 'l 1 0 3 1 8 1 9 3 5
Decedent's Last Name Suffix Decedent's First Name MI
B l e m l e r S r. F r a n k E"
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Return p 2. Supplemental Return Q 3. Remainder F;eturn (date of death
prior to 12-13-8:?)
p 4. Limited Estate p 4a. Future Interest Compromise (date of Q 5. Federal Estate Tax Return Required
death after 12-12-82)
~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
Q 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 ~,,0~
Name Daytime Telephone(-V~mber ~=- '
~~ ~ ___.
~~ n t h o n y ,L. D e L u c a E s q. 7 1 7 2 ~~-' 6 4 ;~-~
REGISTER OE~NJf~#S?USE OAI15,Y ~~,~ ;..~~
First line of address :_ J ~.7 `f 2 ~ TM ~ r~z ~~~~~ n
,_, , _ _. _ _.-- -.f_.~
c .T -,~ ~ ~
1 1' 3 F r v n t S t r e q, e t -~ ., .~ ~"~'
Second line of address ~-~ "~ ~ ~~
~.::
'P`O B o x 3 5 8
City or Post Office State ZIP Code DATE FILEC)
B o i l i n g S p r i n g s P A 1 7 0 0 7
Correspondent's a-mail address:
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal re sentative is based on all information of which prep;arer has any knowledge.
ATURE OF ERSO RE ONSIBLE F FI TURN ~/ ~/''y C- `
ADDRESS
SIGNA RE O RER OT RAN R N IVE ~ ~~ C-ATE f ~~
L
-T-~ PLEASE USE ORIGI AL FORM ONLY
Side 1
1505610101 150561010:L
_.~ °~
J
REV-1500 EX
Decedent's Name:
RECAPITULATION ~~
1. Real Estate (Schedule A) ............................................. 1. 1 1 0 6
i 4 1 0 0
2. Stocks and Bonds (Schedule B) ....................................... 2. 7 4 , 2 0 4 9 ' 6
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.. 0 + ~ 0
4. Mortgages and Notes Fteceivabte (Schedule D) ........................... 4. 0 , 0 0
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 1 9 8 , ~ 9 8 ' 1 4
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested ....... 6. 0 •. 0 0
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Q Separate Billing Requested........ 7. 2 '7 7~ 4 7 2 ~ 5 9
8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 6 6 1 , 0 1 6 • 6 9
9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 2 '] ~~
r- 4 7 ~ 4 4
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. 2 , f~ 3 3 3 8
11. Total Deductions (total Lines 9 and 10) ................................. 11. 3 0 ~~
~~ $ 0 • 3 2
12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 6 3 0 , 4 3 5 • 8 7
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ........................ 13. 0 ,• 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. 6 ~ 0 ~ ~ 3 5 • $ 7
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~ 6 3 0, 4 3 5. 8 7 15. 2 8, 3 6 9 6 1
16. Amount of Line 14 taxable
at lineal rate X .0 _ + 16. 0 0 ' 0
17. Amount of Line 14 taxable
at sibling rate X .12 . 17.
~ 0 . 0 0
18. Amount of Line 14 taxable
, .: ;:
at collateral rate X .15 • 1 g. ~ ~ 0 0
,,
19. TAX DUE ......................................................... 19. 2 8 r •3 ~ 9 ,n 6 1
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~
1505610105
Decedent's Social Security Number
1 8 6 3 0 5 7 1 `8
Side 2
1505610105 1505610105 J
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
t~'rank Edw~.~rd ~3lemler,
STREET ADDRESS
4')9 Walnut Stre:~t
CITY
foiling Springs
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments _
B. Discount
3. Interest
-0-
Sr.
$_1,418.48
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
File Number 21 -1 1 - 0 4 E~ ~4
STATE ~ ZIP
PA 17007
(1) $ 28, 369.61
1',418.48
Total Credits (A + B) (2)
(3) -- 0 -
(4) -- - -
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $ 2 E• , 9 51.1 3
a e c eck payable to: REGISTER OF y
Y,
~~~~~~ ~, ~ s ~ ~~~. ;. ,.<~ ~~ WILLS, AGENT
...t~C ... S~~-~'~.q~',_~"~ . a`t.. ~ a.*d".k ~ `#, ~R".. „'' ^t `'~~F t :~~x~i ~ 'i~ r ~ ~.+'4 '~j~. 'a r~ h~ s» n
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :................................................................................... ....... ^
b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^
c. retain a reversionary interest; or .................................................................................................................... ...... ^
d. receive the promise for life of either payments, benefits or care? ................................................................ ...... ^ ~]
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ........................................................................................................ ...... ^
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ........ ...... ^
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? .................................................................................................................. ...... ® n
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is
3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)). The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 K~en;ent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
~ /
REV-150" EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
Frank Edward Blemler, Sr. 21 -'I 1-0464
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 which is jointly-owned with right of survivorship must be disclosed on Schedule F.
(If more space is needed, insert additional sheets of the same size)
r
REV-1503 EX+ (6-98)
~.
-~ ~ SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Frank Edward Blemler, Sr. 21-11-0464
All property jointly-owned with right of survivorship must be disclosed on Schedule F
~~r more space is needed, insert additional sheets of the same size)
REV-1504 EX+ (1-97)
_ I
SCHEDULE C
~`~" °~ _'~` CLOSELY-HELD CORPORATION
COMMONWEALTH OF PENNSYLVANIA ~
INHERITANCE TAX RETURN PARTNERSHIP orSOLE-PROPRIETORSHIP
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Frank Edward Blemler, Sr. 21-11-0464
Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than asole-proprietorship.
See instructions for the supporting information to be submitted for sole-proprietorships.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
NONE _0_
TOTAL (Also enter on line 3, Recapitulation) 1 $ _ 0 _
(If more space is needed, insert additional sheets of the same size)
REV-1507 EX+ (1-97)
~~~i~~, SCHEDULE D
~.<<,
COMMONWEALTH OF PENNSYLVANIA MORTGAGES & NOTES
INHERITANCE TAX RETURN RECEIVABLE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Frank Edward Bleml r, Sr 21-11-0464
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
(Ir more space is needed, insert additional sheets of the same size)
REV-1508 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Frank Edward Blemler, Sr.
FILE NUMBER
21-11-0464
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 VALUE AT DATE
NUMBER DESCRIPTION _ OF DEATH
~~ Miscellaneous items of personal property. $28,958,00
See attached appraisal.
2. Checking account, #1323679, at M&T Bank, NA 18,601.34
3. MonF~y Market Account, #15004200055752, at 129,971.65
M&T Bank, NA
4, Certificate of Dep~>it, #31 00391 771 4973, at 21 , 1 67.1 5
M&T Bank, NA
TOTAL (Also enter on line 5, Recapitulation)1:61 9 8 , 6 9 8. 1 4
(If more space is needed, insert additional sheets of the same size)
i
REV-1509 EX + (1-97;
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF FILE NUMBER
Frank Edward Blemler, Sr. 21-111-0464
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. NONE
8
C
JOINTLY-OWNED PROPERTY;
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
nclude name of f nancial institution and bank account number or similar identifying number. Attach
~jeed for jointly-held real estate.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1. A. NONE
i
I
i
a
r
I
i
~
I I
j
j
I
~
~
~
I
-0-
-0-
TOTAL (Also enter on line 6, Recapitulation) 3,
(` nor.; .. ,- ~ ,.~a~e~~ ~nse!~' additien~ shee?s of twe ~:~t~E~ :size
REV-1510 EX + (1-97)
SCHEDULE G
~I+NTER-VIVOS TRANSFERS &
COMNCHERITANCECTAXERETURNANIA MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT _
ESTATE OF Frank Edward Blemler Sr . FILE NUMBER
21--11-0464
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER.
ATTACH A COPY OF THE DEED FOR REAL ESTATE .
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST
L-XC'LUSION
iSF aPPUCAaLE
TAXABLE VALUE
~. 3, 537.1 74 shares of DWS Strategic $31 , 091.76 1 00$ ~-0~- $31 , 1 62.5(
Government S~C Fund-A, IRA
rollover of Frank E. Blemler,
@ $8.81 per share.
2. 1 , 388. 469 shares of DWS Balanced 1 3, 051.61 1 00~ -0-- 1 3, 051. 6
Fund-A, IRA rollover of Frank E.
Blemler, @$9.40 per share.
3. New York Life Choice Fixed Annuity 34,212.71 100$ -C)- 34,212.7'
#51308790, noz-qualifie:~
4, Equitrust Annuity, #EQ00011179~3aF, 37,465.41 100$ -0- 37,465.4'
noz-qualifiP:~
5. Equitrust Annuity, #EQ0001117994F, 46,283.48 100$ --0- 46,283.4E
I R-A
6. Western National Life Insurance ~=~.
~•^ixP•d Annuity, #AN205090. 1 1 5, 296.88 1 00$ -~J~- 1 1 5, 296.88
TOTAL (Also enter on line 7, Recapitulation) $ :? 7 7 , 4 7 2 . 5 9
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (10-06)
~~
~:
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCNEDt~LE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Frank Edward Blemler, Sr. 21 -1 1 --0464
Debts of decedent must be reported on Schedule I.
ITEM _ -
NUMBER DESCRIPTION AMOUNT _
A. FUNERAL EXPENSES:
1.
Hollinger Funeral Home & Crematory, Inc. $12,306.16
501 North Baltimore Avenue
Mount Holly Springs, PA 17065
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
-0-
Name of Personal Representative(s)
Street Address
City _____ State _ Zip
Year(sl Commission Paid:
2~ Attorney Fees Anthony L, DeLu~,a, E.~-~uire 1 4, 000.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City _______ __ State _ Zip
Relationship of Claimant to Decedent
4. Pr
obate Fees
3 7 7. 5 0
5• Accountant's Fees
500.00
6. Tax Return Preparer's Fees
~. Legal Advertising - Cumberland Law Journal 75
00
8. Legal Advertisin3 - The Sentinel .
208
78
9. Filing Fees for Inheritance Tax/Inventory .
30
00
10. Diversified Appraisal Services- Appraisal of Residence .
350
00
11. Roy D. Gottshall, Auctioneer .
100
00
Appraisal of Personal Property .
TOTAL (Also enter on line 9, Recapitulation) $ 2 7 , 9 4 7 . 4 4
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-03)
Y
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FIILE NUMBER
Frank Edgard Blemler, Sr. 21 -1 1 -t)464
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Frank Edward Blemler, Sr. 21-11-0464
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Trustee(s) AIMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions
and transfers under
,
Sec. 9116 (a) (1.2))
1. Frank Edw,~rd Blemler, Jr.
4181 Carlisle Road Son One-Third
Gardners, PA 17324
2, Kurt Preston Blemler Son One-Third
42 Meadowview Drive
Dillsburg, PA 17019
3. Mark C. Blemler Soa One-Third
1113 Ray Avenue #4
Louisville, Kentucky 40204
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
NONE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ - 0 -
(If more space is needed, insert additional sheets of the same size)
- -
LAST WIf,L AND TESTAMENT
.--
Fr k Ed _ .Lc ~ ...ia ~_
an ward Blemler, Sr. - J ~--~ -
-~ r-~
::,:.,~
SSN: 186-30-5778 ~ 4" ~' ~~`~~ - `
409 Walnut '' _ ~ ~, ~-, ,--- _ ~ : ~.
Street ::~ ~~ `~ ',
Boiling Springs, PA 17007 `''`- - ~ -_--~ --
1 eclaration L' • ~ `•~ c_~
~.
I hereby declare that this is my last will
and annul all wills and codicils previousland testament and that I hereby revoke, canc
declare that I am of legal age to make th' y made by me either jointly or severall ,• el
and testament expresses m Is will and of sound mind and that this lest I
y wishes without undue influence or duress. will
2• Family Details
I have the following children:
Name: Frank Edward Blemler, Jr.
Name: Kurt Preston Blemler
Name: Mark Charles Blemler
3• Appointment of Executors
Date of Birth: October 21, 1956
Date of Birth: February 16, 1961
Date of Birth: Apri13, 1970
3.1 I hereby nominate, constitute and a
ppoint Frank Edward Blemler, Jr. as Executor or
if this Executor is unable or unwillin to serv
as alternate Executor. g e then I appoint Kurt Preston Blemler
3.2 I hereby give and grant the Executor all ow
allowed in law, and especially that of assum tioand authority as are required or
P
3.3 I hereby direct that my Executors shall not be r
serve without any bond, equired to furnish security and shall
3.4 Pending the distribution of my estate m Execut
any business, venture or partnership in which I mas shall have authority to carry on
my death. y have any interest at the times of
3.5 My Executors shall have full and absolute ower
Improve or to sell all or any assets of my estate whehis discretion to insure, repaiir,
sale and shall be entitled to let any property in m estate by public auction or private
conditions as will be in the best interest of my beneficiaries, such terms and
3.6 My Executors shall have authority to borrow money for any purpose connected with
the liquidation and administration of my estate and to that end may encumber any of
the assets of my estate.
3.7 My Executors shall have authority to engage the services of attorneys, accountants
and other advisors as he may deem necessary to assist with the execution of this last
will and testament and to pay reasonable compensation for their services from my
estate.
4. Bequests
4.1 I bequeath unto the persons named below, if he survives me by 30 (thirty) days, the
following property:
Name: Frank Edward Blemler, III
Relationship: Grandson
Property: My share of the Haussman Hunting Camp in Tioga County, PA,
4.2 If at the time of my death any of the property described in 4.1. above is no longer in
my possession or part of my estate, then the bequest of such property shall be defamed
null and void and shall no longer form part of this will and testament.
4.3 If any of the persons named in 4.1. above do not survive me by 30 (thirty) days, the
property bequeathed to such a person shall become part of the remainder of my estate.
5. Remaining Property and Residual Estate
5.1 I bequeath the remainder of my estate, property and effects, whether movable or
immovable, wheresoever situated and of whatsoever nature in equal shares to my
children named in 2. above.
5.2 I direct that the inheritance devolving upon any of my children under my last will
and testament as well as the proceeds, the reinvestment of such proceeds and the
income thereon shall be free from the legal effects of any present or future marriage
of any of my children, whether in or out of community or property including any
accrual system and with or without the presence of any pre-marital agreement.
5.3 If any of my children are proved to be indebted to me by means of a legal inst~:tiunent,
then his share of my estate shall be reduced by the amount of such debt.
5.4 Should any of my children not survive me by 30 (thirty) days I direct that the
remainder of my estate, property and effects, whether movable of immovable,
wheresoever situated and of whatsoever nature be divided in equal shares between my
remaining surviving children.
6• Special Requests
6.1 I direct that on my death my remains shall be buried at Mt. '
my wife, Nancy Blemler, and all funeral expenses shall be anon Cemetery, beside
p d out of my elate.
6.2 I request the song, "The Great Speckled Bird," be la ed at m
P Y y funeral.
7• General
Should any provision of this will be judged by an appro riate co
it shall not affect any of the remainin p ~ of law as invalid
g provisions whatsoever.
IN WITNESS WHEREOF I hereby set my hand on this ~ ~~
day of
20~ at - ~ ~ /y in the presence of the undersigned witness
es.
SIGNED: '^-
~,~ ~~ ~5~~~ 72
WITNESSES
As witnesses we declare that we are of sound mind and of le al a e
and that to the best of our knowledge Frank Edward Blemle g Sr. ~ to witness a will
make a will, appears to be of sound mind and si of legal age to
undue influence or duress. We declare that he sine this will willingly and free of
signed as witnesses in the presence of each othergall bthis will m our presence as we
Under penalty of perjm`y ~,e declare these statements tolbe true n at the same tune.
day of 20~ at ~, ya ~, / d correct on this
Witness 1.
Name: ~- /tr~~ l... 6 ~
Address: r Q
~~ ~ c~-~ ~9z~
Signature:.
Witness 2.
Name: ~~''`tr I ~~ C~~Y'-r~~
Address: ~ ~"C'' l~~~fr,S~c~ l~ f~•z~<1~'~
Signature: ,. ,~~
~ ~
~ ~
APPRAISAL REPORT
409 WALNUT STREET
BOILING SPRINGS, PENNA.
PREPARED FOR
THE ESTATE OF F. EDWARD BLEMLER
BY
LARRY E. FOOTE
DIVERSIFIED APPRAISAL SERVICES
35 EAST HIGH STREET, SUITE 101
CARLISLE, PENNSYLVANIA
17013-3052
(717) 249-2758
~, '-
SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS
LOCATION: 409 Walnut Street
Boiling Springs, Pennsylvania
TAX PARCEL NUMBER: 40-30-2659-005
IMPROVEMENTS: Two-story detached single-family dwelling.
PROPERTY RIGHTS: Fee simple interest.
OWNERSHIP HISTORY: The subject property is owned by F. Edw<~rd Blemler.
The property last transferred on August 12,, 1.961 for a
reported consideration of $9,000 and ownership
transferred on deed reference 20-H-54.
SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the
subject's area, an inspection of the subject property, an
estimation of the property's highest and best use,
consideration of all three approaches to value, and the
application of those relevant to the valuation of the
subject.
OBJECTIVE: To estimate the market value of the subject property as
unencumbered.
EFFECTIVE DATE: Apri14, 2011.
HIGHEST AND BEST USE: Continued use as asingle-family residence.
COST APPROACH: N.A.
SALES APPROACH:. $106,000
INCOME APPROACH: N.A.
FINAL VALUE CONCLUSION: $106,000
2
~ ~ ~
c~OW
~ e
o N o
N ~
W N
p ~ _
NQQt-
~ ~!-Oo
~
~_ ~ cfl ~ Z W ~
m c° ~ c°D `nOOo
r
~ :GWN
~ O
M 4. m
~ ~
Lt.. ~ O
N
-~,
O
N N r
CC ch
Z ~ e-
M ~ V~ ~ MOO O
O ~ N oC~LLN
a ~ Mam°
~ Fes- L1. O O
g ~ ~ ~--
`~' `~
o o Z
~ ~
~ a
o
x
~ =
a
, ~~
O W 0 ~
a W a m ~
.N a ~ o ~~
o }. 2 U U
F-
m Z CA
Z X x
cv r cp N
o. f- ~ ~ ~" r F- r-
s O
U
O ~0 00
3 _ or acir
Fc-
~
~ M >, M ~ O
Q N N ~~"
~
~ mot'
~ (h CO r
C'7 (~ r' ~ O
~ X
•
~ N ~ ~_
(n N .~. ~
Q.
Q
W
C7
0
c ~
O rte" Z W
~ ~ ~ O
vii ooZ~
N O ~
~~
v O
O
~~U
~o
~o
~o
O
o ~.
M O
M O
~o
00 ~
a~
~o
O ~' Q
Uc`i~
~ J ~ J
J m F- m
}.«~~" J
U~
r
pw
rasa
ZNQ ~
~}W~
TWO ~~>T
~
O N Z ~ LL' _ ~ C] a
M
~ W -~ --~
~„OQ fA W
Qa
y ~
W ~ J
m ~
ZQQ
QNU ~
~JLL W
r L
N
C Q 1- Z M d O M
~~;
~ Y a}m NVaQ~ 2UctC~
off"
~-- = QopW .. ~~UO
J
ZEN >
~~ o~~ W
~ W~Q
~~~ ~ O
LLQ
o ~~°co
~'- C~
~
_
...
~a J
O ~
W ~
Z Q
J
Z N
OV~
~ ~
~X~
a~
a
o~°
~~w
Q Q
~a ~
c cq
O~~
~w ~
In N
o `- ~
~o~
~~t¢
r
QJ ~
a~ N
3Z
>~w
~ Q
a
c
E
Q
~~
a
N
~~~
0
U
m
0
U
x
F%
--
m ~
a ~
N o
o Z ~
o 'O W •-
p N~~ N
O ~~ao
!goo
J ~ cMO, ~ Z W
T
m ~ N
LL ~ ~nOOo
~ ~ Ll. N
.- Q
~ c~d.m~
r
o
x!-00
~ y O M Z W
0 _
N ~~
~ N
Ua DILN
O
C~
OCI
Q
M
~ ~ u'O°
..
~ ~ ~ ~ H
~o o a~~
o~~o
a
o W
a
0
~ C
a W ~ ~
.y a o- 'o 'c~
o } = U U
F-
cxo Z c!~
Z x x
~r ~N
O
U O X 0 0 0
c ~ °~ c~
H cOD O O
ch cvN ~O
Q ~
~ ~ M M ~ pt- XO
~
• E `- N M ~, .~.~
~ h .~
N y [~.
Q
W
O
'o rZW
.N O~~
Z
~ o=Q
N ~ O
obi ~~~
~ ~~U
a
~o
~o
Ln d
0
o
O ~,
~~
ch ~
M ~
~o
00 ~
~ O U
oMQ
Uc~~n
J J
LL m ~ _._ m
o ~;
M U
~
}
g«S~ U' W v
Z
ZNQ
~ }W~
L' Z > r-
N ~WO
z=LL ~~~
=spa
t~ J ~ ~ O Q Q¢ J
~~
W N
m 0
ZQQ
QNU
otS ~
~J~W
~ c
°-
~-~ a ~a.,
a wOd
°~c~ ~
tl
N
ao0 (A~~Z
~ i~
.
4.~ a ~Z ~
M p
~
a'
w c ~ 3
U
~ v mom
a NU¢~'
~
Q =U
C
~
o o
1-
~pkU ~ w
v pW
wiz w
~
~ `~-'~
g
Z ~ ~ >
~ ~ ^ W
~ coQ
~ e" ~ .
~ °~u..Q
~ In _... O CD
F-UF-cn g O ~ Q- J
O v
U ~
W in
Z ~
'J ~
z
w ~ .
U
O~~
a~ ~
~ a
os
moo >
?Q a
~a
O ~
ca ~
~~ ~
o~~
~~a
v
r#t¢
aJ ~
a~N
3Z o
>~w
E- O
.~
C
~~C
a
F
.,"~ ~ ._. __ 7 ~.
/`
~ JJ
_ ~..
a"'} _
` ~ ~~ ~ ~ ,/ ~ Jam/' ~'~ G C ~/.. r'"..G~`L'
~~ ~ !'~' N,y.
F J`7 ~ ' .~,¢i ,y~ 1 l
,,.
~.
~.,....
,~• ,~.f~ .-:rte, `~,•~, it I
( ~~~ ,~
. d F'aiP. ~ ...
'. ..._. t
// ,Q ~I.%F`r ~/' y~'~k,.r•/„~„x +'^'M',I ~,,,ra4,/~ ...~ ~ ~ ~~~i ~ ~FFF rP .}~--."':
/``tt
/ ,:
G..l~ ~~",,Y, n :, ..
.J [~/J- ~ ~~ .
,.~'
~„ ~r
_...
r ...:~
~, ~. .
W'r°`.,,.sj0~:~~~~; ...,'#~ .:t°Q .~~:~~ -- ,~'~ ,....F".~r'+", S rMr~?.:.,ia' c~° ~ ~_ ... ~ , r'~
/ r, ~,
~ ~-~ • r ~;
~t
LPL/ GE~~ ~ `.. '°"~.>`,'`_ ,~'..:;s x 9~,`
,!'~ + ./' ~ '_ ,.? >"y - less+.. J1 +
~, .M r .,. (~a~.~ Ii
~ ..~ ? C n4
y 1
~i
~//~.{ Ar
~~ j,y~ ~~"""°"
~ ~
s
.,.."'
.~. ,,. ~. ~~,,qq~~..yy~~
..r. ., .... 4 i/'
#. ~ •r p , •' ~,.,~,~'~s/~ l.,w.,."Tr~~~~~~ "$~~...:;if.~+l~"' ~ . ~ ,~ ~ +.A?'NF' '~ y, e-~^'YI~ ~v'' •4`• ~,'~' "i"' r ~5 ...
. ..,
~ F ~"r i
C , ~„.
,c, . '~ ~
L ,,,,.o~y ,f,/
N L...../ ,?'_,: ., .... ,...~i ~~ ••~~" '~ „>,': `M'n '~"'^ _ / ' "'rte
,,~ ..
..,~,r "
.~....
t,~~~
~/ ~~ ~ r
~...G° .x-~i'' S_,. Grp. .~ t''GG~'d ... , Rr.. ~ ~ ~: c ~;T°"'
`"
.~.
,,
.~ .- r
~~. ~, ,~',r 0//
_ v
5wv,m"""~'",~ , . ~ >;~t'~ ,~,.~Y\ ~i'l;. ...,... / `,~`^..... ,. ~, .. f ~a~'' ~` ^' ,b~ ".''r~itl~F#.~ .~;p°`~rfi ~ .;•''P,n ~~
`~. ~r..~~•,'"+4~ ~~ nr "P':'~.r~ yr ~ "'fin ~ ~ r ,,d...
f s ~'
f
/~/.frt ~~:..
,~_ _ /
,~
'_
,,.y 1
'¢~ ~~ ..~ etc ,.
^ .. F~ f ae.^'"~.,v .., SC^ x~,..'~. ,+L.K; ~cr ~ e f,.' r"'_ ?$ ;:!,:~` y'; ~' J~
. ~ .,
~. ~'"". / r f ~ Y
_ ,a y ~+ 7
`~-.r~`~ :zr+"ia''~'t,Tu~"ari., ~iF.r " ~ ~F~ fi ..' ~~y'M7~ N°'cs". R +~x~ ,',~"~ ~` r ~ ,.. .. ...
r f`.
{, ' f''" rr~~
~'' ,~ ..
. i'% ~~
~ ,p ~,,Is
..-'~ .'A^ A-...~ ,,1 .rte
oiy'
~'~~ i`: :?"~~ J~d....=~.?"_.,In~dS"~.;~",~,r^T,~.~"". ~ ~Y~~ J!' / t r..r ~ ~~r f' fir..
i' "' i. ~ '77' x,,...
,P
aa.~,~r~" ~ r'~.f i~ r -r~~+y~1 ~ ~ F..~^ 'mod ~, rr ° , ki ~ +,
' ~,~ f,!
f ~ ~
~~ "' u,+.,,~ "',~F.,;~N~°6•-~?' ~.,o~`'`~ , ~ ° ''T 'r`te , .~'•-'
y~ ~f ~ ,; .~,.
.... y.~,y+RY45.t`ix'.~ y+~5'iY~ r.. de. ~~~~yCY ,j•
.ice .: .. 1"' u
..~~ ,»'~
.~ ~ a.
~i ,~.«
:3' 'k Y~ rc.,, ''~'",~y,E.. K ~' Ja '..`y„tr~ ~~ir ~y~'"'
~~
~_
~",'m
~r ,.
~~ =_
5 + v
Ga -fF
~~.:.. - L}''J x.91' eT'
'. J ~ ~ ~N
,,..
...g ~ ,~. ,..+" .~
NA a, .F y w m_. f,,, .-. ~ t.., ... l / ......, p". f t ~ "~'yJt .
~^~-~ ~ E
~' .W ~ we P ;a .w,~ .. /.s rr'r~
yi,peN°,5_ .tu a7.~;..... .vh ~` tl~ / ~,-xfs. Sari.-!. -'~ ..... ~~MP~.. = ~ • -~.>:
{.~'
~;'.
~°~2 -~
~.
i
f ~~
~'
,~_.~„
(y~
.r r.' ~"'
.r`
//~~yy b '.Ffi"
~ ~ r
<i
y
n'
~ ~ .. ..
~.~"~
C1s
(~
°"
. [~iK
.,~ .~
~,~..
~- •Y...~
/.
~f
.... ~
_._
J/ ~
y{ u~
r,,+
~,~,,.,,gr' •"~'~ ;,~.. , . ~ s , fir,,.`',
yy /f`"` aka ,~' ,,ar,,
~.,:
_..., ~ ~~w.~._ ,--
>.~ , , .
..
. .. , . ~~
awe `,'w~~N° ~'~69"'~~•~ -~i.~+, .~
.v` f!~
/~k ~.. w~" .yam:--._..,
.. .af.,.= ayP - ~
f"
r '"~
,. ~s~., r ~ ., ,
.~r- rte,,, .,~
~ ° ,r ~~ ~ `:,~
r,''i } rw''+
C~, `~, /
A.~..t~a
~~. ~'
~~..
~'i-':
~~~ f ,.
~=- ..r.w
1~
r~~r t . ,.
.,fr E
{.+' 1~
}~
~(M ~" `"' i. ~/ ~~~ r~' J'f nT 1, ~ N / ~y~y/f.: M'~ r ~ fw~ ...
..
_.~ - _ -'"
~~~.
'...r. ~P
r rj ,,.y
~Vl~''ts' "`'r'~~~;w.:d~. 1',4Ld~_.,.r i y °'S"~~,.~''~~~..,.s „r~F:. :'~~:-: r ~' ~ ~ .. 1 ...~
./ , ... ~' 3l~~tp
F"~ , ~/
,c4 ,• s,+,'R ~ ,,~^'
~5'T~~'~n'My.~,. C..P`. . o@ ~~r'~r "~N.w~~Wnwn 1>je~ ,{,~yn,,.t''frry c~,>'r~ i.
y ` r ih
_ ~ .sue p f.~. _
i y ~ j p ~ ~~
,,
~.
`.
~)
d A Y ~~~R' ~'~~ gyn. ~~T"`:: ~•~ ~~ ~A
i~.rC,'~ f+'~ ~V~,S}.~p~y~ pyb ,.~ -0 .r /mot Z r f, ,. /~ F
~~
~~
m
y y,.
.. ~~~~k
~t-, J+ ~ r «F>
i....
~,,/~
` e ~~,`,....
a d'*~' ~,.i..~
..~~ ,y
a~ d V, 4t' .r r~~ .
,~F..,•,~J of
_-,.-
____--
~- r
/~; ~~,
r
i~
,,~
,.
- ~, ~ .-.
~'~ ,~ ,~:,µ ~,'.
.~
..
- _. ,
r .
~.
~e.
,~,!~ ~ _.
_.r i .
t
.. ~.
~.
~ ,.: r Y,...~ _ ,
_~ ,oY,r~ ~"
,.: ~ _ a -
u,~r~~` ~,.,r..~r,r•.. ,.n,....r t~' +~^'t"'.~... ;~ < ';~'-~ ,r>• 1,,.,. -iRw,Z/'~ <.v... y„tlu,--
~ :;
.-; ~
1 fr ~ ~ i ~° ,r N
-.a~ ~' ° +r'M,~,,,, ~ r `',~ ~ ~`~,r as "~ ,~1~~ ~ `'"` ,.~,. ~ ~ ~' _ ww~ r
r^-:,
~,. .."`
! ~ .-y 1'W ~' ~~1fJ~
~ ~, .r..~"` ,.~
~,Yr
,~ E:w^''~,..,
i s ~....:;..._ ~ ~
R,, ri~'Lk ~ 'C*;Y~r ffn we`d ,fir ,d' '+M,p „"::y"3~~ ~~ ~`~ ,r'
,,r} r vim` _ ~,:;.~ ~
~ ti .r*" `
~, .,4 ~ z
ti~
..
,~~'~'' ~
C: ~ - ~
' ,.y F /'~ .... ,e,~,s. ~,arfi.:.a~t~~ .. ro'~ r,. gar„' /',?', v~~t ~n~~ w.~.n.r
w-' 1 ~ ~..
~_~..r .T
. r" t ~~.
~ry
~~
,~~~` w c
.t/ } ~ .
} ...
~ ~ ,~ ., ~~
..
~'
~.
.,
1. ~ ... _~.':.~ ~ ..~.. v,~ r '' l
-
Y'
F ~ ~ ww'e-C~- f'Y
J J.
..v^°F a~..-.r~~'~'~~,..., .rte: e ~, r.
.... w~!~.-. - A _
,> T
~ ~.
s ~ .,.~
-~ , C ~ r
~~4~
`aMV-~~' /''o-S~~ - ~"~«'"' ~'+' '~'!'~ ~ . ~J 1[ ~ ~'6er .. ,s;;# y~`-~ y+"~ ~.J'" tr" ~ ..e'~ ' J ../ y .~ 4 eI~G~ 1..ti. •~~'.~ ~~ J ,.. L., #....... 1 ~ ~ ~!?~i
1' ,
_+,*"
/" n
~-~:
. ,w. ~. ' '"" ~,_
e
~ ~ .:
.,,
eE 1
~ F~ p J . .
~ai'~~~~~W' C~=r'-,.,,J,.~ ,~^+ "'r°~... .x'.'~~~~.. ,. .. f'~~~ .(r' .. ~ ,'~4 ,T~~yM~ ...f t ~,y:.: ,h...Y.~~,, ,y~.,,../c:
ftM ,Wlrsr fn~~x '^~ ~,~ f '!'~ ~ ~ "~Sm. „J~.'~"
~~.~I"-" r..... ~._._._
~' ~? y ..'
_ .~. ~;~~_ ~ z_ _ ~'~
'1 ;
,.' ~" .,:
j
4 ~~ w ~..' ~ ,f .J? ,. '.R
.y yl'
~~ ~ / ~^~` .. ~'.. ~ ~~ Jy'f Jam" i...
"'~;~'" ~,~~t
~, # v
y ~~
. ~ w ~ ~~ ~~ ~wv ~
~ '. . fry R.~r-• t..-
{ ~pV ~'
i ~, ~ ~ ,~~'`,~, ~, ~*`~.`~,.~"'",~ e~'':: ai'r'' Y ~~
~~-~- ~'`
~~~~ ~~ r
' lsn~
~+
.f.: ~ ,,, .....- ..may .. r.. _. ~ ~. ~ u. I'J~ - ...
y.
.:;
y ~ ~{' ~ f^i ~ ..
fir,-:' ~r
,~'~^ < . ,.~, ^y.
:_r
~,"..,, c t~''~
r'
~wv w
~...x•6+° .,... H,. ~ ~^"f,(~' 3~..rY~"..:i~5=^ Swla!J'~ ~.'y} .wF" +' y TY'k•y~..
.~ ,
_, ~et".>~...~ , ~/
~.y~ „k. ,
W,-. ~ f % F f : ~ ..
f' .n
,N. .:..
AA f,., .
~r r..
-:~~ `
. _ ., ~ ,. ._ ,G-i ~.-r
/ ~./~' J/~0~~~ Fyn a,/" ~G/
~yr i F Ny'^ t~1 r
,, ~ ,,s~F F/ /,/^",~ 1
W ,.,.
,~;.
/~ ~.
.,~-'~x
~ r'
..~~~ yyy o- `
~~
~y ~ 3~~~ Yr~r y1t41~i!IJY ~i"
.
~,•,
°~ v. ;
~.~~ ~ "~
~ _ ~f r ~- _. ..,,
.~ ~ ~ .~ .~
G. ~~
,,•:~.`~ ._~~ ~, L,Yi- ~..~.~-~: ,,~'~.-'"iii';: ~ t'"
~,.~p ~, ~
t`