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HomeMy WebLinkAbout11-09-111505610143 ~ REV-1500 Ex(o,_,o, OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 60X.280601 INHERITANCE TAX RETURN 2 1 11 0 3 4 4 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 195 32 1315 03 04 2011 05 25 1920 Decedent's Last Name Suffix Decedent's First Name MI MYERS MARIE A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa, Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death after 12-12-t32) 0 ® 6 Decedent Died Testate ^ ~ Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ^ 9. Litigation Proceeds Received ^ 1 D, Spousal Poverty Credit (date of death ^ 11, Election to tax under Sec. 9113(A) between 1231-91 antl 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number HAMILTON C DAVIS 717 5325713 ~` -~'-' -:, REGISTER OF iNIL-.~~'tI6E OI~LN . r-- -~ 1= - ~ I-n I - ;= ~_~ w _ First line of address l- J' '` '~t~, ii 2 0 EAST BURD STREET ,t ~ ~ , Second line of address ,y I ~ ~ ~ ~ SUITE 6 ~~.., T' DATE FILED City or Post Office State ZIP Code SHIPPENSBURG PA 17257 Correspondent'se-mail address: hdavis@Zullinger-Davis.com Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge. SI4iIJATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE HAROLD E. MYERS ADDRESS 2 CHENELLE LANE, SHIPPENSBURG, PA 17257 d SIGNAT E OF PRF~PAR R OTHER THAN REPRESENTATIVE DATE ~ ~~ ~'- ~j~--~ Hamilton C Davis j! ~ ~~~ ~ ADDRESS 20 East Burd Street, Shippensburg, PA 17257 Side 1 1505610143 1505610143 J 1505610243 REV-1500 EX oeoedenYSName: MYERS, MARIE A. Decedent's Social Security Number 195 32 1315 RECAPITULATION 145,000.00 1. Real Estate (Schedule A) ........................................................................................ .. 1. 20,640.41 2. Stocks and Bonds (Schedule B) .............................................................................. . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... . 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ .. 4. 294,920.61 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... . 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............ . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 1 3 8 , 3 9 9.10 (Schedule G) ^ Separate Billing Requested ............ . 7. 8. Total Gross Assets (total Lines 1-7) ...................................................................... . g, 5 9 8, 9 6 0. 1 2 21,346.32 9. Funeral Expenses & Administrative Costs (Schedule H) ................................ ......... 9. 8,699.57 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ....................... ......... 10. 3 O , 0 4 5 . 8 9 11. Total Deductions (total Lines 9 & 10) ............................................................ .......... 11. 568,914.23 12• Net Value of Estate (Line 8 minus Line 11) ................................................... .......... 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................................ ......... 13. 568,914.23 14. Net Value Subject to Tax (Line 12 minus Line 13) ....................................... .......... 14. TAX COMPUTATION -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 .00 15. 16. Amount of Line 14 taxable 5 6 8 , 9 14.2 3 16 at lineal rate X .045 . 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. Tax Due ................................................................................................................... .. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 25,601.14 25,601.14 Side 2 1505610243 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 11 - 0344 DECEDENT' NAME MYERS, MARIE A. STREET ADDRESS 202 MUD LEVEL ROAD CITY SHIPPENSBURG STATE PA ZIP 17257 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A• Prior Payments B. Discount 3. Interest 24,944.00 1,280.06 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Total Credits (A + B) (2) 26, 224.06 (3) 0.00 (a) 622.92 (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: Yes No a. retain the use or income of the property transferred :.................................................................................. ^ ^x b. retain the right to designate who shall use the property transferred or its income :.................................... ^ c. retain a reversionary interest; or .................................................................................................................. ^ 0 d. receive the promise for life of either payments, benefits or care? .............................................................. ^ ^x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... ^ ^x 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? ...................................................................................................................... ^x ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. _._ _ _ __. For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 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 reffurn are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)1. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (1) 25,601.14 SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF MYERS, MARIE A. 21 - 11 - 0344 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 wilting 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. Attach a copy of the settlement sheet if the property has been sold. Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM VALUE AT DATE OF NUMBER DESCRIPTION DEATH 1 202 MUD LEVEL ROAD, CUMBERLAND COUNTY, SHIPPENSBURG, PA 17257 (SEE 145,000.00 ATTACHED APPRAISAL) TOTAL (Also enter on Line 1, Recapitulation) I 145,000.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS FILE NUMBER ESTATE OF MYERS, MARIE A. 21 - 11 - 0344 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 BANK OF NEW YORK MELLON CORPORATION - 412 SHARES OF 30.33 12,495.96 COMMON STOCK 2 ALLIED IRISH BKS PLC - 2337 SHARES OF STOCK 3.485 8,144.45 TOTAL (Also enter on line 2, Recapitulation) 20,640.41 SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF MYERS, MARIE A. 21 - 11 - 0344 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 DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 ORRSTOWN BANK CHECKING ACCOUNT NO. 103006715 11,256.11 2 ORRSTOWN BANK INVESTMENT ACCOUNT NO. 50001368004 276,643.06 3 1996 MERCURY MISTIQUE 1,800.00 4 CASH 685.00 5 MISCELLANEOUS PERSONAL PROPERTY 2,500.00 6 JEWELRY -DIAMOND RING AND CLASS RING - (SEE ATTACHED APPRAISAL) 780.00 7 CARLISLE REGIONAL MEDICAL CENTER 71.16 8 BNY MELLON BANK DIVIDEND 77.28 9 2010 PA DEPARTMENT OF REVENUE -TAX REFUND 1,108.00 TOTAL (Also enter on Line 5, Recapitulation) I 294,920.61 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF MYERS, MARIE A. FILE NUMBER 21 - 11 - 0344 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 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 INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 AMERICAN GENERAL LIFE COMPANIES - 2x,701.10 26,701.10 ANNUITY -CONTRACT NUMBER 00020740-1 - PAYABLE TO CHILDREN AS NAMED BENEFICIARIES 2 SECURED BENEFIT ANNUITY -CONTRACT NO. 2s,o59.00 28,059.00 00300577 -PAYABLE TO CHILDREN AS NAMED BENEFICIARIES 3 RIVERSOURCE ANNUITY -CONTRACT NO. s3,639.00 83,639.00 9920-5796758 -PAYABLE TO CHILDREN AS NAMED BENEFICIARIES TOTAL (Also enter on line 7, Recapitulation) 138,399.10 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H ~F ryU ~ N~ E~ nR~.~~Lp E~ X~PO~ V ~ S+ / EIS ~& /w.J1Y1~lYh7 1 f V~\ 1 1 Y G ~.~J~7 1 J FILE NUMBER ESTATE OF MYERS, MARIE A. 21 - 11 - 0344 Debts of decedent must be reported on Schedule I. ITEM NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT A. 1 FOGELSANGER - BRICKER FUNERAL HOME 1,115.07 2 GRAVE OPENING 600.00 B. ADMINISTRATIVE COSTS: ~, Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees HAMILTON C. DAVIS, ESQUIRE 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 a. Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 5. Accountant's Fees 6. Tax Return Preparer's Fees ORRSTOWN BANK 7. Other Administrative Costs 1 AUSHERMAN BROTHERS REAL ESTATE INC. TOTAL (Also enter on line 9, Recapitulation) 18,250.00 498.50 300.00 350.00 21,346.32 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Schedule H Funeral E~enses & Administrative Costs continued FILE NUMBER ESTATE OF MYERS, MARIE A. 21 - 11 - 0344 2 ~ LEGAL ADVERTISING -THE NEWS CHRONICLE 3 ~ LEGAL ADVERTISING -CUMBERLAND COUNTY LEGAL JOURNAL 104.75 75.00 4 ~ J.C. JEWELERS -APPRAISAL ~ 53.00 Page 2 of Schedule H SCHEDULEI DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA LIABILITIES & LIENS INHERITANCE TAX RETURN ~ RESIDENT DECEDENT FILE NUMBER ESTATE OF MYERS, MARIE A. 21 - 11 - 0344 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 1 CARLISLE REGIONAL MEDICAL CENTER 71.16 2 ~ 2010 FEDERAL INCOME TAX RETURN LIABILITY ~ 7,377.00 3 ~ CENTURY LINK ~ 50.78 4 ~ GREEN RIDGE VILLAGE ~ 913.39 5 ~ PPL ~ 287.24 TOTAL (Also enter on Line 10, Recapitulation) I 8,699.57 REV-7573 EX+~~~-OS) _ ~ SCHEDULE) COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MYERS, MARIE A. FILE NUMBER 21 - 11 - 0344 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not List Trustees) I, TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 HAROLD E. MYERS Son ANNUITIES, 236,871.21 202 CHENELLE LANE HOUSE AND 1/3 SHIPPENSBURG, PA 17257 RESIDUE 2 PHILIP C. MYERS Son ANNUITIES, 236,871.21 225 OTT ROAD HOUSE AND 1/3 SHIPPENSBURG, PA 17257 RESIDUE 3 JASON RITTER Grandson 1/9 RESIDUE 31,723.91 9875 SHERWOOD FARM ROAD OWINGS MILLS, MD 21117 Enter dollar amounts for distributions shown above on lines 1 5 through 18 on Rev 1500 cover sheet, as appropriate. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI 0.00 REV-1b73 EX+(9A0) ~ ,~ SCHEDULE) COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES continued INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MYERS, MARIE A. FILE NUMBER 21 - 11 - 0344 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not List Trustee(s) I~ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) 4 JEREMY RITTER Grandson 1/9 RESIDUE 31,723.91 328 BROOKLINE AVENUE HAGERSTOWN, MD 21740 5 ANGELINA TOWNES Granddaughter 1/9 RESIDUE 31,723.91 C-4 WASHINGTON COURT SMITHSBURG, MD 21783 Page 2 of Schedule J LAST WILL AND TESTAMENT I, MARIE A. MYERS, of North Newton Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and personal properly as set forth in a separate memorandum (which is signed by me, dated and makes specific reference to this Will and memorandum, which I shall place with my Will or deposit with my attorney), to the persons therein designated. ITEM III: I bequeath the sum of $2,000.00 to my church, The Shippensburg First Church of God, 121 East King Street, for general church purposes. ITEM IV: I devise my residence real estate situated in North Newton Township, Cumberland County, Pennsylvania (which has an address of 202 Mud Level Road, Shippensburg, PA 17257) to my sons, HAROLD E. MYERS and PHILIP C. MYERS or the survivor of them. This gift is made free of and is intended to be free of the provisions and limitations of Section 2514, Subsections 16.1 and 16.2 of the Pennsylvania /yl /~ /7~ Probate, Estates and Fiduciaries Code. It is my intention hereby that my attorney-in-fact or agent acting pursuant to a Power of Attorney which I am simultaneously herewith executing or have heretofore executed or may hereafter execute or any guardian of my estate should one be appointed, either before or after my possible incapacity or other disability, shall be free to sell, mortgage or otherwise dispose of this real estate, if such sale, mortgage or other disposition shall, in the sole discretion of my attorney-in-fact, agent or guardian, be needed for my care, comfort, support or health, free and unrestricted by the provisions of the above referenced Sections. To carry out my intent and purpose hereunder, I specifically make the above gift free of any rights or claims of the legatees or devisees during my lifetime. ITEM V: I devise and bequeath the residue of my estate of every nature and wherever situate in three equal shares, share and share alike, one each to my two sons, HAROLD E. MYERS and PHILIP C. MYERS, per stirpes, and one divided equally among my three grandchildren (the children of my late daughter, Anita), ANGELENA BITTER KING, JASON BITTER and JEREMY BITTER, per capita. Should either of my sons predecease me but leaving descendants who do survive me, such descendants shall receive, per stirpes, the share that such son would have received if he had survived me. ITEM VI: If any property passes outright (either under this Will or otherwise) to a minor (which shall be defined as anyone under twenty-one (21) years of age) and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, I decline to appoint a guardian but instead authorize my Executor to distribute such property to a Custodian selected by my Executor (and my Executor may act as such Custodian) as Custodian for the minor under the Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not supersede the right of any fiduciary to distribute a share where possible to the minor or to another for the minor's benefit. ITEM VII: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM VIII: I appoint my sons, HAROLD E. MYERS and PHILIP C. MYERS Co-Executors of this my Last Will. ITEM IX: I direct that my Executors or Custodians or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM X: My individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from time to time and to reimbursement of out of pocket expenses. ITEM XI: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will //~ .~1 dyI and Testament, written on five (5) sheets of paper, dated this ~ day of r ~ ~ , 2004. ,~~~(SEAL) Marie A. Myers The preceding instrument, consisting of this and four (4) other typewritten pages, each identified by the signature or initials of the Testatrix, was on the day and date thereof signed, published and declared by the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses hereto. residing at S ~, k,~ residing at ~ ~ 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, MARIE A MYERS, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by rti ~~ c A . ~~ t.~-S ,the Test 'x, this ~~ day of __,, 2004. Notary Publi (SEAL) Marie A. My s COMMONWEALTH OF PENNSYLVANIA Notarial Seal Nichols J. Kellert, Notary Public ShiPPensburg Born, Cumberland County ~' Commission F-Wires Sept 3.2007 Member, Pennsylvania Association Of Notaries COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We,~A-Mt~~+y C ~{~-v. S and ~ ~¢.E~a ~ ~ L.~~>L .~o~.~ s= the witness whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more y~ s of age and of sound mind and under no constraint or undue influence. . Sworn to or affirmed and subscribed to before me ~y~\~• ~ u---oN C. ~av~ S and _--- ~t~-~ ~ _" ~. ~~.~, witnesses, this ~ day of , 2004. COMMONWEALTH l7F PENNSYLVANIA Notary P~iblic Notarial Seal Nichole J. Kellert, Notary Public Shippensburg Born, Cumberland County My Commission f=xpires Sept 3, 2007 Member, Pennsylvania Association Of Notaries PERSONAL PROPERTY MEMORANDUlV1 TO ACCOMPANY WILL OF MARIE A. MYERS As provided in ITEM II of my Will, I hereby designate that the following listed property shall go to the persons whose names are designated hereon. NAME My Grandson, Greg My Son, Harold My Son, Phil Joyce and Bonnie DATED: ~F'_~ , ~T~ ITEM Table that Greg gave me Stand in living room 3 leaves to put down Grandpa light Grandpa mirror in hallway Dry sink in kitchen Corner cupboard in kitchen Great Grandfather clock Dishes and fancy work -divide as agreed upon or give to their children SIGNED: ~ ':~ Marie A. ers Bortower Marie A. M ers Estate Rle No. Pro a Address 202 Mud Level Rd C~ Shi ensbur Cou Cumberland State PA iri Code 17257-9514 Lender ralsal for Valuation Pu oses APPRAISAL AND REPORT IDENTIFICATION This Appraisal Report Is Qnfl of the followlnp types: ^ Setf Contained (A written report prepared under Standards Rule 2-2(a) , persuant to the Scope of Work, as disclosed elsewhere In this report.) ®Summary (A written report prepared under Standards Rule 2-2(b) , persuant to the Scope of Work, as disclosed elsewhere in this report.) ^ Restricted Use (Rest cted to~he sta eel ntendedsuse byahe specif ed(clienPor ntended user.jpe of Work, as disclosed elsewhere in this report, Comments on Standards Rule 2-3 I cefity that, to the best of rtry knowledge and belief: -The statemerns of tact cornained in this report are true and cortect. -The reported anayses, opinions, and conclusions are limited onry by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions. - I have no (or the specified) present or prospective interest in the property that is the subject of this report and no (or the specified) personal interest with respect to the parties Invdved. - I have no bias with respect to the property that is the subject of this report or the parties involved with this assignment. - My engagement in this assignmern was not contingent upon developing or reporting predetermined results. - My compensation for completing tfus assignment is not corningent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainmern of a stipulated result, orthe occurrence of a subsequent event directly related to the intended use of this appraisal. - My analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform Standards of Professional Appraisal Practice that were in effect at the time firs report was prepared. -Unless otherwise indicated, I have made a personal inspection of the property that is the subject of this report. -Unless otherwise indicated, no one provided sigdficarn real property appraisal assistance to the person(s) signing tMs certification (f there are aceptions, the name of each individual providing significant real property appraisal assistance is stated elsewhere in this report). - Urdess otherwise indicated, I have performed no services regarding the subject property within the pdor three years, as an appraiser or in arty other capacity. Comments on Appraisal and Report Identification Note any USPAP related Issues requiring disclosure and any State mandated requirements: APPRAISER• SUPERVISORY APPRAISER (only If required): Signature: ~~~ ~. ~ ~ Signature: Name: Niwle D. tin Name: Designation: Cert~ed Residential Appraiser Designation: Date Signed: ~.pril 28 2011 Date Signed: State Certification #: RL139677 State Certification #: or State License #: or State License #: State: PA State: Expiration Date of Certification or License: 0 6 /3 012 01 1 Expiration Date of Certification or License: Supervisory Appraiser inspection of Subject Property: Effective Date of Appraisal: March 4, 2011 ^ Did Nat ^ Extedor•only from street ^ Irnerior and Exterior Form ID10 - "WinTOTAL" appraisal software by a la mode, inc. -1-800•ALAMODE Ausherman Bros. Real Estate Inc. RESIDENTIAL APPRAISAL SUMMARY REPORT FIeNo. Property Address' 202 Mud Level Rd City: Shippensburq State: PA I r,,,,°n,• ~„Ttiva~~~ Leeal Description: Deed Book Vol 188, Page 232 201 not Borrower ()f applicable): M ^ Owner ^ Tenant H ;f erence: 30-10-0614-001 other type of value (describe :ion Date is the Effective Date) rl Income Approach (Se Use: This appraisal is being completed to establish a market value as of the date of death of Marie A. Myers. set(s) (by name or type): Harold Myers/Zullinger Davis, P.C. Appraisal_for Valuation Purposes Address: A raiser. Nicole D. Stine Atltlress: 229 North Secono Street Vnamoersour rr~ r r cu r Urban Suburban Rural Predominant One-Unit Housing Present Land Use Change In Land Use i on: Locat Bulb up: ^ Over 75% ~ 25.75% ^ Under 25% Occupancy PRICE AGE One-Unit 60 % ~ Not Likely 0' Growth rate: ^ Rapid ®Stable ^ Slaw ®Owner 95 $(000) (yrs) 2.4 Unit % ^ Likely * ^ In Process r Property values: ^ Increasing ®Stable ^ Declining ^ Tenant 125 Low New Multi-Uitit % ' To: Danand/supply: ^ Shortage ®In Balance ^ Over Supply ®Vacant (0-5%) 275 Hi h 50 Comm'I % y Marketin time: Under 3 Mos. 3.6 Mos. Over 6 Mos. ^ Vacant (>5% 150 Pred 30 Vacant 40 % Description, and Market Conditions (including support (qr the above characteristics and trends): Bounded by PA Route 641 to the Markel Area Boundaries c , a , north Newville Rd to the south PA Route 11 to the east and Booz Rd to the west The subject is located within an area of scattered single nt 40 / in vaca m u~l' famiy homes with the surrounding land in farmland The immediate area is approwmately 60% bwn up wnh the remainmg a! unimproved land. It is located within a short driving distance to shopping and employment within the SMppensburg and surroundmg areas. Market conditions are considered stable with supply and demand in relative balance There are several financing options available at favorable Y ~ , mterestrates. ~' , r Dimensions: Irre ular Site Area: 1.08 Acres y,.~ Zoning Classification: None Exists-Deed restrictions regulate land use Description: Residential use Zonng Compliance: Legal Legal nonconforming (grandfathered) Illegal ~ No totting ` Are CC&Rs ap Ncable7 Yes No Unknown Have the documents been reviewedl Yes No Ground Rent d a licable $ r -, Highest 6 Best Use as improved: ®Present use, or ^ Other use (explain) Actual Use as of Effective Date: Residential use Use as appraised in this report: Residential use Z, Summary of Highest 8 Best Use: The subject property is a single family dwelling situated on 1 08 acres of land. The highest and best use of the ~, subject roe would be it's resent use as residential. M oc? ~, Utilities Public Other Provider/Description Off-sitelmprovements TYPe Public Private Topography Rollin w' Electricity ® ^ Public Utility Svc Street Asphalt ® ^ Size 1.08 Acres C Gas ^ ® NIA Curb/Gutter NIA ^ ^ Shape Nearh/ Redan ular H Water ^ ® Well Sidewalk N/A ^ ^ Drainage A ears Ade uate '~ Sarritary Sewer ^ ® Septic Street Lights NIA ^ ^ View Avers e Storm Sewer NIA Nle NIA Other site elements: Inside Lot Corner Ltlt Cul de Sac Underground Utilities Other describe <` FEMA Spec'I Flood Hazard Area Yes No FEMA flood Zone X FEMA Map # 42041 C0355E FEMA Map Dale 311612009 `- Site Comments: The subtect property is an irregular shaped parcel contalnlng a total of 1 08 Acres according to the Cumberland County ` Courthouse Records. There were no adverse site conditions noted at the time of ins ection. General Description Exterior Description Foundation Basement None Heating " # of Urrts 1 ^ Acc.Unit Foundation Conc elk/Av Slab No Area Sq. FL 1 120 Type Baseboard # of Stories 1 Exterior Walls Vin IAv Crawl Space No % Flnished 0 Fuei Elec Type ®Det. ^ Att. ^ Ropl Surtace As haltSh IIAv Basement Bsmt Ceiling Sus Ceilin Design (Style) Ranch Gutters 8 Dwnspts. Alumn/Av Sump Pump ^ Walls Conc Blk Cooling Central No Air ' , ®Existirp ^ Proposed ^ Und.Cons. Window Type D.Hun /Av Dampness ^ Floor Cement r Actual Age (Yrs.) 34 StorMScreens Yes/Av Settlement No Evict Outside En<ry Yes Other N/A w ~ Effective A e (Yrs. 20 Infestation No Evict Interior Description Appliances Attfe ^ None Amenities Car Storage ^ None j Floors vin IIC VAv Refrigerator ~ Stairs ^ Flreplace(s) # Woodstove(s) # Garage # of cars ( 4 Tat.) . ~. Walls Plaster/Av Range/Oven ~ Drop Stair ^ Patio Patio Attach. 2 Garage , TrinVFiresh Wood/Av Disposal ®Scuttle ®Deck Detach. - w Bath Floor Vin IAv Dishwasher ®Doorway ^ Porch Porch Blt.-In = Bath Wainscot Fiber lass/Av FaNHood ^ Floor ^ Fence Carport F „ Doors Hollowcore/Av Microwave ^ Heated ^ Pool Driveway 2 Driveway Washer/Dryer Flnished Surtace As haft z o Flrlished area above rode contains: 6 Rooms 3 Bedrooms 1 Baths 1 120 Square Feet of Gross Living Area Above Grade a ~ Additional features: Three bedrooms and one bathroom full unfinished basement two car attached garage electric baseboard heat, no central v w air, front orch, rear atio. Describe the condition of the property (including physical, functional and external obsolescence): The overall condition of the subject propertv would be considered avers e. Copyright®2007 by a la mode, inc. This form may be reproduced unmatlilied wahout wdnen permission, however, a la mode, inc. must be acknowledged and cred'detl. C~' ' RESIDENTIAL Form GPRES2 - "WinTOTAL"appraisal software by a la mode, inc.-1-800-ALAMODE 3/2007 RESIDENTIAL APPRAISAL SUMMARY REPORT -! My research __~ did did not reveal any prior sales or transfers of the subject property for the three years ¢ - O 1st Pdor Subject Sale/Transfer ; Analysis o1 sale/transier history and/or any cumerrt agreement o1 sale/listing: Subject property has not transferred vdthin r~ia Date: 11-2-1998 'the past 3 years. Comparable sales did not transfer 12 months prior to the current sale. Date: Pdce: SnurrelsL• SALES COMPARISON APPROACH TO VALUE if develo ed The Sales Com orison Approach was not devele ed far this app raisal. FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 202 Mud Level Rd Shi ensbur , PA 17257-9514 51 Clugston Road Newville 158 Springfield Road Shi ensbur 649 Greenspring Road Newville Pro>amity to Subject Sale Pdce $ NIA 1.72 miles NW $ 144,000 1.62 miles SE $ 154 500 3.24 miles NE $ 172,000 Sale Pdce/GLA $ /sq.tt. $ 130.43 (sq.tt. $ 146.72 /sq.tt. $ 127.98 /sq.tt. Data SOUrce(S) Ins ection MLS MLS MLS Vedtication Sources ' VALUE ADJUSTMENTS Courthouse DESCRIPTION Courthouse DESCRIPTION +(-) $ Adjust. Courthouse DESCRIPTION +(-) $ Adjust. Courthouse DESCRIPTION +(-) $ Adjust. Sales or Rnancing Concessions NIA N/A Conv Sale Concess 5760 Conv Sale Concess 4635 Conv Sale No Concess Date of Sale~me N/A 10-15-2010 9-22-2010 9-15-2010 Ri hIs A raised Fee Sim le Fee Sim le Fee Sim le Fee Sim le Location Resid/Av Resid/Av Resid/Av ResidlAv Site 1.08 Acres 1.38 Acres -1,500 2.32 Acres -6,000 1.00 Acres Vew Avera a Avera a Avera a Avera e ' Design (Style Ranch Ranch Ranch Ranch Ouali of Constmction Vin I/Av Vin I/Av Un IIAV BricklAv -7,000 Age 34 22 15 -4,000 41 Condition Aver a a Aver a a Aver a a Aver a e Above Grade Total Bdrms Baths Total Bdrms Baths Tolal Bdrms Baths Total Bdrms Baths RoomCourd 6 3 1 5 2 2 -3,000 6 3 1 6 3 1.5 -1,500 Gross Living Area 1,120 sq.tt. 1,104 sq,tt. +400 1,053 sq.ft. +1,675 1,344 sq.tt. -5,600 Basemen) 8 Finished Rooms Below Grade Bsmt Unfinished Bsmt Unfinished Bsmt Fam RmlBath -7,500 esmt Fam Rm -5,000 Functional Utili Avera a Avera a Avera a Avera e Heating(Cooling Fha/No Air FhalNo Air FhalC.Air -3,000 Hwbb/No Air S, Energy Efiicienl ttems Insul Wind Insul Wind Insul Wind Insul Wind a d; 6 Gars e/Carport Porch/PaUo/Deck Kitchen Rre lace 2 Car Gara e PorchlPatio Std Kitchen No F I 2 Car Gar BI Porches Std Kftchen No F I +5,000 2 Car Gar BI Porches Std Kitchen No F I +5,000 1 Car Gara a Porches Std Kitchen 1 F 1 +3,000 -2,000 p; N; Other None None None None ~: y ran . Net Adjustment (Total + - $ 900 + $ -13 825 + - $ -18,100 Adjusted Sale Pdce Net . 0.6 % Net 8.9 % <- Net 10.5 % of Comparables Gross 6.9 % $ 144,900 Gross' ' 17.6 % $ 140,675 Bross 14.0 % $ 153,900 Summary of Sales Compadson Approach All three sales are similar and would appeal to the same market as the subject property. All three sales exceed one mile from the subject however due to the subjects immediate area of scattered single family homes wRh the surrounding land in _ farmland and limited market activity it wa s necessary to expand the search perimeter to locate sales similar to that of the sub/ect. Comparable sale #1 lacks finished living area below grade therefore adjusted accordingly Both comparable sale #1 and #2 contains built in garage therefore an adjustment warranted These sales as well as other sales and current market offenngs have been researched. ~£ ,~ ~, t~dt.~eed velum Vw C~loc Cmm~arisnn Annreach $ 1dF nnn .! ~ Copyright®2001 by a la mode, inc. This loan may be reproduced unmodified without wrAten permission, however, a la mode, inc. must be aClmawledged and crediletl. C~Il RESIDENTIAL Form GPRES2 -"WnTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE 3/2007 RESIDENTIAL APPRAISAL SUMMARY REPORT and calculations. or other methods for estimating site value): Source of cost data: Quality rating from cost service: Effective date of cost data: Comments on Cosi Approach (gross living area calculations, depreciation, etc Years Q Estimated MontH Market Rent S X Gross Aent Multiplier = $ IndicatedValueb IncomeA roach ~' Summary of Income Approach (including support for market rent and GRM): Describe common etemerrts and 'Indicated Value b . Sales Com orison A roach S 145 000 Cost Approach (if develo ed) S Income A roach (B develo ed) S Rnal Reconciliation Emphasis was placed on the sales comparision approach to value which is best reFlective of market value. Cost approach was not completed due to the ape of the improvements and amount fo depreciation that has taken place. Income approach was not developed due to tack of single family home rentals sold neccessarv to establish GRM. This appraisal is made ®"as is", ^ subject to completion per plans and specifications on the basis of a Hypothetical Condition that the Improvements have been completed, ^ subject to the follovyinp repairs or akeraGons on the basis of a Hypothetical Condition that the repairs or alterations have been completed, ^ subject to the following required inspection based on the Extraordinary Assumption that the condition or deficiency does not require alteragon or repair: Based on the degree of inspection of the subject property, as indicated below, defined Scope of Work, Statement of Assumptions and Limiting Conditic and Appraiser's Certifications, my (our) Opinion of the Market Value (or other specified value type), as defined herein, of the real property that is the subj of this report is: S 1a5,000 , asof: March 4, 2011 ,which is the effective date of this apprai: If indicated above, this Opinion of Value is subject to Hypothetical Conditions and/or Extraordinary Assumptions included in this report. See attached adder A true and complete copy of this report contains 13 pages, including exhibits which are considered an integral part of the report. This appraisal report may not property understood without reference to the imarmatlon contained in the complete report. Attached Exhibits: ® Scope of Work ®Limiting CondJCerdfications ^ Narrative Addendum ®Photograph Addenda ^ Sketch Addendum ~ Map Addenda ^ AddiSonal Sales ^ Cost Addendum ^ Flood Addendum ^ Manui. House Addendum Harold Myers ~' W \~ ~ ~`~, ~' J Appraiser am : Nicole D. Stine ~: Company: Ausherman Bros Real Estate, Inc y' Phone: 717-264-6715 fax: 717-264-4973 E-Mail: nicoles@pa.net Date of Report (Signature): Apri128 2011 License or Certification #: RL139677 State: PA Designation: Certified Residential Appraiser Expiration Date of License or Certification: 06130/2011 Inspection of Subject: ®Irtlerior & Exterior ^ Exterior Only ^ Nane Date of Inspection: March 4 2011 Appraisal for Valuation Purposes SUPERVISORY APPRAISER (if required) or CO-APPRAISER (if applicable) Supervisory or Co-Appraiser Name Comparry: Phone: Fax: E-Mail: Date of Report (Signature): License or Certification #: State: Designation: Expiration Date of License or Certification: Inspection of Subject: ^ interior & Extedor ^ Exterior Only ~^ None Date of Inspection: ~ Copyright®2007 by a la mope, inc. This form may be repmaucea unmoameb wrtnom wnnen Dermission, However, a is mode, inc. must be acknowieegea one creotteb. m R ES I D E NTlA L Form GPRES2 - "VyinTOTAL"appraisal software by a la mode, inc. - 1.800-ALAMDDE 3/2007 Building Sketch Borrower Marie A. M ers Estate Property Address 202 Mud Level Rd City Shi ensbur County Cumberland State PA Lp Code 17257-9514 Lender A raisal for Valuation Pu oses 13' ° I Patio 40' Bath Bedrm IGtchen m Garage N N Bedrm Living Bedrm Por[h -__-~ ~ 24' 20' s~maM~~ry° Comments: AREA CALCULATIONS SUMMARY. Coda : Deacrlptlon Net Slxa Net Totals fiLAl First Floor 1120.0 1120.0 GAR Garage 672.0 672.0 pip porgy 100.0 Patio 130.0 230.0 Net LIVABLE Area (rounded) 1120 LIVING'AREA BREAKDOWN &eakdovm Subtotala First Sloor 40.0 x 28.0 1120.0 1 Item (rounded) ~ 1120 Farm SKT.BIdSkI - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMOOE Building Sketch First Floor GLA1 40.0 x 28.0 = 1120.0 Area total (rounded) = 1120 Porch P/P 5.0 z 20.0 = 100.0 Area total (rounded) = 100 Garage GAR 24.0 x 28.0 = 672.0 Area total (rounded) = 672 Patio P/P 10.0 z 13.0 : 130.0 Area total (rounded) = 130 Form SKT.BItlSkI - "WnTOTAL"appraisal software by a (a mode, inc. -1-800-ALAMODE Location Map Borrower Marie A. M ers Estate _ - Property Address 202 Mud Level Rd _ City Shi ensbur County Cumberland State PA Lp Code 17257-9514 Lender A raisal for Valuation Pur oses .e ~~-- µY~a., ~ .5 ; eg~r 4ayyY SpKe"f~ a la mode, lf1C. pn° '~, y ~• P ~?~ y Rpenns~van'a x X60 ~Fd ty ~y, 9 -. - - '~ ~ -4r ~~YkQ -:_e''~.6 - v~ P ~~ _ .._ 997 Pr~x b. _'_ ~J ~A ~i Ro N?'. --" Nd ryg0ro-'~rr~9 Cy"~d:Fa _ ~ wa ' ~An Rv ip my e e ce w„c*~ ea '9. ~ 1 ~v 8 0 V VKP~ ~`R '~ ~qv a sr~ ~~ a g~ ~ "r~ Green Spring R° b v ~ Grmryyrv~RC 573 d 96 fsr,~ rP ~ - ~+`~ North hlewton 11NP as • • 0 2e N~ vii V~r9tn Ra E A s '?i,¢ ~Fapa ~T .a ~ Wee Rd ~ ,~ ~F ~ s Oakvab 3 avt ~ ~o Qy k°s c u tit 6 E R ~ A N D g eP E N N S Y L V A N 1 A o~ 5 toughslc 0 Byey Ry ~ ~ Fr ~a wed °~ ~ ~ a ~ r ~A ~ ~~ g ~ g we ea F Ra ~: Ntl '~ $ OU(h 5 Middle a ~,~. 3,~ Spring yam- ~ New Lancaster ~,.•~~ c}~'°~~ c~~ P~~ '~ ~' 1T~' ~p R"rbholh Ra a Ana f~e`0`~rga ~~~,~ c~ 2~ Y q ~ Shypensburg TWP ~~~~ ~.~ ~ r+.rarke ~. Qfl v Rv ~ FA 17t ~S ~ p ~ 11 ~ ~ ~' ~ ~Ra ~ Shrppensbrxg R~ Gleversburg ~ ,ms*°~' m ... , _.- Juoaion Chestnut cd°" J3' ' - -~ ~ ~Z o r0:5r33d5 S l.ln~rryn Fsla(e Rd ' Shippcrrsburg - _._Sf>ippensburg z °:} -698 ~. ... ~ ial ~ ~ ~Py ~ l miles u D ~b~n~ Dykeman ~~~ _ _ ...._- .. .-. ~Fy.~. .-~. .a.~t. Spring a. ~ SouthamMan TLdi='.. Fnrm MAP.LDC - "WinTOTAL" aograisal software by a la mode, inc. -1-800•ALAMODE Subject Photo Page Borrower Marie A. M ers Estate Property Address 202 Mud Level Rd City Shi ensbur County Cumbedand State PA Lp Cade 17257-9514 Lender A sisal for Valuation Pu oses Subject Front 202 Mud Level Rd Sales Price NIA Gross Living Area 1,120 Total Roams 6 Total Bedrooms 3 Total Bathrooms 1 Location Resid/Avg View Average Site 1.08 Acres Quality Vinyl/Avg Age 34 Subject Rear Subject Street Form PICPIX.SR - "WinTOTAI" appraisal software by a la mode, inc. -1.800-ALAMODE Photograph Addendum Side Garage Interior Living Side Kitchen Bathroom Form PICSIX2 - "WnTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Bedroom Bedroom Bedroom Basement Form PICSIX2 - "WnTOTAL° aooraisal software by a la mode, inc. - i-8~0-ALAMODE Photograph Addendum Comparable Photo Page Borrower Marie A. M ers Estate Pro a Address 202 Mud Level Rd Ci Shi ensbur County Cumberland State PA Z Code 17257-9514 Lender A raisal for Valuation Pu oses Comparable 1 51 Clugston Road Prax. to Subject 1.72 miles NW Sales Price 144,000 Gross Living Area 1,104 Total Rooms 5 Total Bedrooms 2 Total Bathrooms 2 Location Resid/Avg dew Average Site 1.38 Acres Quality VinyllAvg Age 22 Comparable 2 158 Springfield Road Prox. to Subject 1.62 miles SE Sales Prico 154,500 Gross Living Area 1,053 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1 Location Resld/Avg Vew Average Site 2.32 Acres Quality VinyllAvg Age 15 Comparable 649 Greenspring Road Prox. to Subject 3.24 miles NE Sales Price 172,000 Gross Living Area 1,344 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1.5 Location Resid/Avg Vew Average Site 1.00 Acres Duality Brick/Avg Age a1 Form PICPIX.CR - "WnTOTAL" aDPraisal software by a la mode, inc. -1-800-ALAMODE Assumptions. Limitina Conditions & Scoae of Work FIeNo.: Pra erry Address: ZOZ Mud Level Rd City: Shippensburg State: PA Lp Cotle: 17257-9514 Client: A sisal for Valuation Pu oses Address: Ap raiser: Nicole D. Stine Address: 229 North Second Street, Chambersbur , PA 17201 S ATEMENT OF ASSU PTIONS & LIMITING CONDITIONS -The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to ft. The appraiser assumes that the title is good and marketable and, therefore, will not render any opinions about the title. The property is appraised on the basis of ft being under responsible ownership. -The appraiser may have provided a sketch in the appraisal report to show approximate dimensions of the improvements, and any such sketch is included only to assist the reader of the report in visualizing the property and understanding the appraiser's determination of its size. Unless otherwise indicated, a Land Survey was not performed. - If so indicated, the appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in the appraisal report whether the subject site is located in an identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. -The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand. - It the cost approach is included in this appraisal, the appraiser has estimated the value of the land in the cost approach at its highest and best use, and the improvements at their contributory value. These separate valuations of the land and improvements must not be used in conjunction with any other appraisal and are invalid if they are so used. Unless otherwise specifically indicated, the cost approach value is not an insurance value, and should not be used as such. -The appraiser has noted in the appraisal report any adverse conditions (including, but not limited to, needed repairs, depreciation, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property, or that he or she became aware of during the normal research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no knowledge of any hidden or unapparent conditions of the property, or adverse environmental conditions (including, but not limited to, the presence of hazardous wastes, toxic substances, etc.} that would make the property more or less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied, regarding the condition of the property. The appraiser will not be responsible far any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the ' appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considered as an environmental assessment of the property. -The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or she considers to be reliable and believes ahem to be true and correct. The appraiser does not assume responsibility for the accuracy of such items that were furnished by other parties. -The appraiser wilt not disclose the contents of the appraisal report except as provided for in the Uniform Standards of Professional Appraisal Practice, and any applicable federal, state or local laws. - If this appraisal is indicated as subject to satisfactory completion, repairs, or alterations, the appraiser has based his or her appraisal report and valuation conclusion on the assumption that completion of the improvements will be performed in a workmanlike manner. - An appraiser's client is the party (or parties) who engage an appraiser in a specific assignment. Any other party acquiring this report from the client does not become a party to the appraiser-client relationship. Any persons receiving this appraisal report because of disclosure requirements applicable to the appraiser's client do not become intended users of this report unless specifically identified by the client at the time of the assignment. -The appraiser's written consent and approval must be obtained before This appraisal report can be conveyed by anyone to the public, through advertising, public relations, news, sales, or by means of any other media, or by its inclusion in a private or public database. - An appraisal of real property is not a 'home inspection' and should not be construed as such. As part of the valuation process, the appraiser performs anon-invasive visual inventory that is not intended to reveal defects or detrimental conditions that are not readily apparent. The presence of such conditions or defects could adversely affect the appraiser's opinion of value, Clients with concerns about such potential negative factors are encouraged to engage the appropriate type of expert to investigate. The Scope of Work is the type and extent of research and analyses performed in an appraisal assignment that is required to produce credible assignment results, given the nature of the appraisal problem, the specific requirements of the intended user(s) and the intended use of the appraisal report. Reliance upon this report, regardless of how acquired, by any party or for any use, other than those specified in this report by the Appratser, is prohibited. The Opinion of Value that Is the conclusion of this report is credible only within the context of the Scope of Work, Effective Daie, the Date of Report, the Intended User(s), the Intended Use, the stated Assumptions and Limiting Conditions, any Hypothetical Conditions and/or Extraordinary Assumptions, and the Type of Yalue, as defined hereto. The appraiser, appraisal firm, and related parties assume no obligation, liability, or accountability, and will not be responsible for any unauthorized use of this report or its conclusions, Additional Comments (Scope of Work, Extraordinary Assumptions, Hypothetical Conditions, etc.): Gopyripht®zoor ny a is moue, mc. mis roan may oe reproaucea unmoenieo wnnour wnnen permission, nowever, a is mooe, mc. must ua acKnuwreuyeu anu aewmu. REST d ~ NT(~1L Form GPRE52A0 - "WnTOTAI" appraisal software by a la mode, inc. -1-800-ALAMOOE 3/2007 Certifications Fife Ne.: Property Address: 202 Mud Level Rd City: Shi ensbur State: PA Zip Cotle: 17257-9514 Client: A raisal for Valuation Pur oses Address: Appraiser: Nicole D. Stine Address: 223 North Second Street Chambersbur , PA 17201 APPRAISER'S CERTIFICATION I certify that, to the best of my knowledge and belief: - The statements of fact contained in this report are true and correct. -The credibil'Ity of this report, for the stated use by the stated user(s), of the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions, - I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved. - I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. - My engagement in this assignment was not contingent upon developing or reporting predetermined results. - My compensation for completing this assignment is not contingent upon the developmerrt or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. - My analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform Standards of Professional Appraisal Practice that were in effect at the time this report was prepared. - I did not base, either partially or completely, my analysis and/or the opinion of value in the appraisal report on the race, color, religion, sex, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property, or of the present owners or occupants of the properties in the vicinity of the subject property. -Unless otherwise indicated, (have made a personal inspection of the property that is the subject of this report, -Unless otherwise indicated, no one provided significant real property appraisal assistance to the person(s) signing this certification. Additional Certifications: DEFINITION OF MARKET VALUE *: ' Market value means the most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller each acting prudentry and knowledgeably, and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions ` whereby: .:' 1. Buyer and seller are typically motivated; `; 2. Both parties are well informed or well advised and acting in what they consider their own best interests; ''; 3. A reasonable time is allowed for exposure in the open market; 4. Payment is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; and } 5. The price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions granted by anyone associated with the sale. * This definition is from regulations published by federal regulatory agencies pursuant to Title XI of the Financial Institutions Reform, Recovery, and Enforcement Act (FIRREA) of 1989 between July 5,1990, and August 24, 1990, by the Federal Reserve System (FRS), National Credit Union Administration (NCUA), Federal Deposit Insurance Corporation (FDIC), the Office of Thrift Supervision (OTS), and the Office of Comptroller of the Currency (OCC). This definition is also referenced in regulations jointly published by the OCC, OTS, i FRS, and FDIC on June 7, 1994, and in the Interagency Appraisal and Evaluation Guidelines, dated October 27, 1994. ' Cliern Contact: Harold Myers Client Name: Appraisal for Valuation Purposes E-Mail: NIA Address: APPRAISER SUPERVISORY APPRAISER (if required) or CO-APPRAISER (if applicable) to W ~ %// `~ ~ Supervisory or Appraiser f7am : Nicole D. Stine Co-Appraiser Name: ~ Company: Ausherrnan Bros Real Estate, Inc Company: co Phone: 717-264.6715 Fax: 717-264-4973 Phone: Fax: :; E-Mail: niwles@pa.net E-Mail: " Date Report Signed: April 28, 2011 Date Report Signed: License or Certification #: RL139677 State: PA License or Certification #: State: Designation: Certified Residential Appraiser Designation: Expiration Date of License or Certification: 06/30/2011 Expiration Date of License or Certification: Inspecton of Subject: ~ Interior & Exterior C Exterior Only ~ None Inspection of Subject ^ fntedor & Exterior ^ Exterier Only ^ None ' Date of Inspection: March a, 2011 Date atlnspection: ~ Copyright®2007 by a la mode, inc. This lorm may be reproduced unmodified wRhout written permission, however, a la mode, inc. must he aclmowledged and credAed. RESIDENTIAL FormDPRES2AD-'n~nTOTAL"appraisalsottwarebyalamode,inc.-1-800-ALAMODE 3/2007 Estate Va~cat:cr. Date of Death: 03/09/2011 Valuation Cate: 03/09/2011 Processing Date: 03/31/2011 Shares Security or ?ar Descripticn 1; 14 GRANT STR NATL BK-LIQ (388216103) COM The NASDAQ Stock Mari:et LLC 07/31/"'_995 Last price available on 07/3'_/1995 2) 779 ALLIED IRISH BKS P L .. ;019228902; SPON ADR ORD New York Stock Exchange 03/09/2011 3) 1558 ALLIED IRISH BKS P L ~ (019228902) SPON ADR ORD New York Stock Exchange 03/09/2011 Total Value: Total Accrual: Total: S8, 194.45 Esta~e of: Marie N.yers 3eport Type: Date o` Ceath Number o° Securities: 3 File ID: Marie Myers Mear. and/or Dia and _nt Security Hight/Ask :,ow/Bid Adjustments Accruals Value 0.393;5 0.31250 H/L 0.328L25 NiA 3.57000 3.9000C s/L 3.485000 3.57000 3.40000 H/L 3.985000 _,719.82 5,929.63 $8,194.45 50.00 Page 1 This report was produced with EstateVa_, a oreduct of Estate Valuations & ?ricing Systems, I^c. If you have questions, please contact EVP Systems at (818) 313-63C0 or www.evpsys.com. (Revision 7.1.i? Estate Valuation Date of Death: 03/09/2011 Valuation Gate: 03/09/2011 Processing Date: 09/28/2011 Shares Security or Par Description High/As}: Low/Bid 1) 912 BANK OF NEW YORK MELLON CORP (069058100) COM New York Stock Exchange Estate of: MARIE MYERS ESTATE Report Type: Date of Ceath Number of Securities: 1 Eile IC: Marie Myers 1 Mean and/or Div and Int Security+ Adjustments Accruals Value 03/09/2011 30.80000 29.86000 H/L 30.330000 Total Value: Total Accrual: Total: 512,495.96 12,995.96 a1L,H7~.7b 50.00 Page 1 This report was produced with EstateVal, a product of Estate `Jaluations & Pricing Systems, Inc. If y+ou have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.1) CHARLENE FEUCHTENBERGER, FIDUCIARY OFFICER ORRSTOWN FINANCIAL ADVISORS 77 EAST KING STREET, SHIPPENSBURG, PA 17257 Date of Death: 03/09/2011 Valuation Date: 03/04/2011 Processing Date: 05/17/2011 Shares Security or Par Description High/Ask Low/Bid 1) 2225.033 BLACKROCK MULTI ST MUN SER TR (09253A755) PA MUNI BD A Mutual Fund (as quoted by NASDAQ) Estate of: ESTATE OF MARIE A. MYERS Account: 50 00 1368 0 09 Report Type: Date of Death Number of Securities: 10 File ID: M. MYERS 1368 Mean and/or Div and Int Security Adjustments Accruals Value 03/04/2011 10.26000 Mkt 10.260000 22,828.84 2) 9638.219 FEDERATED INCOME TR (314199100) INSTL SHRS Mutual Fund (as quoted by NASDAQ) 03/09/2011 10.56000 Mkt 10.560000 48,979.59 3) 4239.008 FEDERATED TOTAL RETURN SERS (31428Q101) TOTL RET INSTL Mutual Fund (as quoted by NASDAQ) 03/04/2011 11.14000 Mkt 11.140000 47,222.55 4) 8000 OILSANDS QUEST INC (676046103) COM NYSE AMEX Equities 03/04/2011 0.60000 0.54500 H/L 0.572500 9,580.00 5) 190.665 ROWE T PRICE EQUITY INCOME FD (779597108) SH BEN INT Mutual Fund (as quoted by NASDAQ) 03/09/2011 29.90000 Mkt 24.900000 4,797.56 6) 225 SPDR GOLD TRUST (76463V107) GOLD SHS NYSE Arca Equities Exchange 03/04/2011 139.75000 138.61000 H/L 139.180000 31,315.50 7) 320.9939 VANGUARD/WELLINGTON FD INC (921935201) ADMIRAL SHARES Mutual Fund (as quoted by NASDAQ) 03/09/2011 55.84000 Mkt 55.840000 17,896.35 81 4556.856 VANGUARD FIXED INCOME SECS FD (922031610) INTRM INVGRDAD Mutual Fund (as quoted by NASDAQ) 03/04/2011 9.92000 Mkt 9.920000 95,209.01 9) 9513.176 VANGUARD FIXED INCOME SECS FD (922031836) STRM INVGRA AD Mutual Fund (as quoted by NASDAQ) 03/04/2011 10.79000 Mkt 10.790000 98,697.17 10) 51.279 VANGUARD INDEX FDS (922908996) 500 IDX FD SHS Mutual Fund (as quoted by NASDAQ) 03/09/2011 100.85000 Mkt 100.850000 5,171.49 Total Value: $276,693.06 Total Accrual: $0.00 Total: $276,693.06 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, inc. If you have questions, please contact EVP Systems at (618) 313-6300 or www,evpsys.com. (Revision 7.1.1) VRRSTl7VYN B A Tradition of Excellence May 10, 2011 Hamilton C. Davis Law Offices of Zullingex-Davis 20 East Burd Street P.O. Box 40 Shippensburg, PA 17257' Fax: 530-5222 ', Re: Estate of Marie A. Myers Social Security Number 195-32-1315 Date of Death 3/4/11 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE FOLLOWING ACCOUNT WITH ORRSTOWN BANK: CHECKING ACCOUNT ' Account No.- ', 103006715 Account Type- S0+ Interest Checking Date Opened- 12/12/06 Joint Account (name/date)- No Balance- $11,256.11 Accrued Interest- $0.02 Best Regards, R ~ (~L J R. Worthington Deposit Processing Clerk 2695 Philadelphia Avenue Chambersburg, PA 17201 1.888.ORRSTOWN 1NWllldo~ 6'1'S$OtiVlt.Gt16811 Arrrerican General Life Companies .~mcrican Gcncral ]..ifc Insurance Company May 10, 2011 HAROLD MYERS 2 CHENELLE LN SHIPPENSBURG PA 17257-9572 Contract Number: 000020740-1 Annuitant: MARIE A MYERS (DECEASED) Payee: MARIE A MYERS (DECEASED) To Whom It May Concern: Thank you for your recent inquiry regarding the American General Life Insurance Company annuity contract. Please be informed that the date of death value for the above contract is $2fi,701.10. You are a valued customer and we appreciate your business. Should you have questions or need additional assistance, please contact the Annuity Service Center at 1-800-242-4079. Sincerely, Annuity Service Center brl Jl ~~ o~ ~ ~-iZ ~~ _ J~j 61.E 4 , v ~~~( Y' r j~j'U~ American General Life Insurance Company P.O. Box 3018 . Houston, TX 77253-3018 . 1-800-242-4079 __ ._ .............. . ...... ........ .......................... _ SDA NB112 _ __ .. C ~ '~ k.1` ~ , ~~, ~'~~ ~. C'. ,jewelers d 0 l ~. 5 ~ 3 `;~ _ ~ ~; } _~. ~ '~ nine Jewedry Sales er Serr+iee i` !, • ,~ 6Z East King Street f':,~~t M SLiippens6urg, PA 27257 ,l ;717} 477-8194 • t , ~'i. ..y,\ P :. `,~!~e herewith certify that we have this day carefully examined the following listed and described articles, the property of: Name: ~~f( i ci ~~ f~r ~ ~/" P .- t / / , Address: ~ ~..~ ~'l °..4 ~ ~ ~l ~ ~ ~. ~.i~~~ ~ . --~~1~~ l' ~ t' ~7.s ..h. u,>-, f ~\i~ l ~ ~`; %. We estimated the value as listed, for all purposes, at the current retail value, excluding all taxes that may occur. In making this Appraisal, we DO NOT agree to purchase or replace the articles. The foregoing Appraisal is made with the understanding that the Appraiser assumes no liability with respect to any action that may be taken on the basis of the Appraisal %~ - "r "/ % j~, ;y / n ~ ~ ~~ PPRAISER DATE LAW OFFICES OF ZULLIlVGER-DAMS PROFESSIONAL CORPORATION JOEL R. ZULLINGER jzullin er e,zullinger-davis.com 14 North Main Street, Suite 200 Chambersburg, PA 17201 717-264-6029 717-264-1884 (FAX) Register of Wills Cumberland County Courthouse Room No 102 One Courthouse Square Carlisle, PA 17013 SUZANNE M. TRINH HAMILTON C. DAMS strinh(ao,zullinger-davis.com hdavisnae,zullinger-davis.com 20 East Burd Street, P.O. Box 40 Shippensburg, PA 17257 717-532-5713 717-530-5222 (FAX) November 8 2011 ~? _ _ , -~, : - - , z3 °~ ~ - _= ~ n-~ r ~' Cf~ ~ t. ~) _ . _. ~_ ~ '~ ~' ':~ _~~ ___ _, = ~' f~ c~ -~_, RE: Estate of Marie A. M Est. No. 2011-0344 Dear Sir or Madam: Enclosed herewith please find an inheritance tax return, filed in duplicate. A refund of overpayment is due to the estate in the amount of $622.92. A check for filing fee in the amount of $15.00 is also enclosed. Please send a bill to our Shippensburg office for any additional costs due. If there are any questions or concerns, please contact me at the Shippensburg office. Thank you. HCD/njk Enclosures Sincerely yours, ~~ Hamilton C. Davis for Zullinger -Davis Professional Corporation `~ ~g~ Reply to: Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, PA 17257 O ~~~ ~~ -~ m Hg ~ ~ _ °J D ~~~ y ~ _ ~J D x o SON O 'T1 ~ ~r ~~~""'~ ~ 8 H Z°zo N ~z ~~ O ~~ o C X y ~-~ w G A -i o ~ ~ z ~D D ~ O N UI O O c-a -- r . ~- n -~-, _~._ ~ ._.._ _ _ ~~ ~', i ~ ~~a. ~ } ~ ~ ~ i ~.. ~: .~y 1 ~.~I. . ..I. . . 3 ° ° uNlr~ N S~ r ~_ O 6» ~ ` 9m 6~ i!7 TI ~ O ,tap ~ 1 ,al' ~ ~ ~ ~^ ~ N ~ - ~ '0 Z n ~ ~ 9 , _+ ~ W W < m ~.tNN0 N O cn -~ ~ m ~ -. O N