HomeMy WebLinkAbout04-0866REGISTER OF WILLS OF CUMBERLAND COUNTY
NO.
PETITION FOR PROBATE OF WILL AND LETTERS
OF ADMINISTRATION
CUM TESTAMENTO ANNEXO
in the Estate of Stephep Gelen~c, set-, deceased.
I -oq- F9 (o6
Petitioner, Larry Charles Dean Gelencser, alleges that:
1. Petitioner is eighteen years of age or older and applies for letters of administration
c.t.a, in the above captioned estate.
2. Letters ofAdminstration c.t.a, are needed because all executors named in the will have
died. Petitioner applies in his capacity as co-residual beneficiary under the will. The other co-
residual beneficiary, Michael Gelencser, has renounced his right to serve as co-administrator.
3. Decedent died domiciled in Cumberland County with his last f~ ,,a~,.'.!y or principal
residence at 11 Nottingham Road, Lower Allen Township, Camp Hill, p~}i7011.~
4. Decedent died on September 3, 2004, at 5:15 p.m. in the Coun~ of un~erland, State
of Pennsylvania at the age of 74 years.
5. Decedent was not married and a child was not born or adopted bY. deced~t after :~
execution of the will :~ ..,
6. Decedent owned at death:
Personal Property wherever located of a total value of ................. $ 5,000.00
Real estate in Pennsylvania of a total value of ............................... $85,000.00
situated as follows: .... 11 Nottingham Road, Camp Hill, PA Lower Allen Township.
Date:
Filed:
Therefore, petitioner, Larry Charles Dean Gelencser, respectfully applies for (probate of
the will presented herewith and for) letters of administration c.t.a.
~/~1/O / Signed:
Address: 11 Nottingham Road
Camp Hill, PA 17011
COUNTY:
Larry Charles Dean Gelencser, the petitioner in the above application, being duly swom
according to law says that the statements set forth in this petition are tree to the best of his
knowledge and belief.
before me _j&i 5 ,d,,?''-d
Deputy Register
Fees:
and subscribed
Letters $
Short Certificates $
Renunciation $
Total $
Attorney's name:
address:
phone:
William C. Dissinger
400 South State Road
Marysville, PA 17053
(717) 957-3474
Register of Wills of Cumberland County, Pennsylvania
RENUNCIATION
Estate of Stephen Gelencser
also known as
, Deceased
The undersigned, Michael Stephen Gelencser, son of the above Decedent,
hereby renounces the right to administer the estate and respectfully requests that
Letters be issued to Larry Charles Dean Gelencser.
hand t~s ~/:~r'day of ...~-'~
Signature
Address
,20O4.
Sworn to or affirmed and subscribed
before me this ,~ I -~ day of
,..%¢~/-~--~/~c_r- ,2004.
Public k_ (,._) (3 '
Notary Publi( ,
i _ i
! a~__~¥OUNG,~/_ .~ !
REGISTER OF WILLS OF (_c~,~Dcr-!ctr~d_ COUNTY
OATH OF SUBSCRIBING WITNESS
0 q- o
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that present and saw
the testat. , sign the same and that signed as a witness at the
request of testat.__ in h presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
Sworn to or affirmed and subscribed before
me this day of
19__
Register
(Addreg~) cm
(Name)i x
(Address)
// L I /
REGISTER OF WILLS OF cvaa er, ano' COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Angel Frye and Mrs. ~1~1~1~ ~. ~t'V~- ~ ,
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
'~.~ ~V'~-.. familiar with the signature of SteDhen Gelencsar ,
testat~of ~n~ ~, '~_~ .... ~.~'~-;~: ........ ............. ~ ,,,,,,~o~o :~) the will presented herewith and
codicil
that thay believe/the signature on the will is in the handwriting of
Stephen Gel~Dcsar
to the best of their knowledge and
Sworn to or affirmed a~subscribed before
me this ~ day of
(Address)
i hi, is ~o certify that the inl'ormation here given is correctly copied from an original certificate of death duly filed with me as
l.,.,(:tl Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
? 2i. iii 4 8 0 3 7 0
No.
Local Registrar
/.,5
ILA~K INK
~J
COMMONWEALTH OF P~NNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORD8
CERTIFICATE OF DEATH .,^~ ~,~.,.
IO~IE OF OECEDEHT IFk~ Vlddl~ LNg) ' Sex
Stephen Gelencser _28 -- 6436
A(3E (LJ~ ek~)
3oM D. 6elencser ~r Rose11~
~~ ~ ' J~ I=.
NUMBER J DATE SIGNED (Me~l, D~y, Y~
OF
STEPHEN GELENCSER
BE IT KNOWN HEREBY, that I, STEPHEN GELENCSER, of Lower
Allen Township, Cumberland County, Pennsylvania, being of sound and
disposing mind and memory, do hereby make, publish and declare this
to be my Last Will and Testament, hereby revoking and making null
and void any and all last wills and testaments and codicils thereto
by me at any time heretofore made.
ITEM I. I direct that all my just debts, any expenses that I
may have resulted from my last illness, and my funeral expenses I
shall be paid from my estate as soon as practicable after my decease.i
ITEM II. I nominate, constitute and appoint my wife,
SHIRLEY ANN GELENCSER, to be the Executrix of this my Last Will and
Testament.
ITEM III. I give, devise and bequeath my e~re estate,~? ~
real, personal and mixed, and wheresoever the same m~'y be S.~tua~e,~ ~
to my wife, SHIRLEY ANN GELENCSER. ~
ITEM IV. In case my wife, SHIRLEY ANN GELENCSER, (~hould die
before I do, or in case we should die as a result of a comm~h accident,
then I make the following disposition of my estate:
A. I nominate,constitute and appoint my sister-in-law,
PATRICIA MAE DEVERS, to be the Executrix of this my Last Will and
Testament.
guardian of my sons, MICHAEL STEPHEN GELENCSER and LARRY CHARLES
DEAN GELENC SER.
IN WITNESS WHEREOF, I, the said STEPHEN GELENCSER, here-
unto set my hand and seal to my Will consisting of two pages on
this the J ~ ~ day of ~~, , 1979.
ATTESTATION: This instrument was by the said STEPHEN
GELENCSER, on the date thereon, signed, published and declared by
him to be his Last Will and Testament, in our presence, who at his
request and in his presence and in the presence of each other have
hereunto subscribed our names as witnesses.
DISSINGEI -DiSSiNGER
Camp Hill Offices: 717.975.2840/voice * 717.975.3924/fax
Marysville Offices: 717.957.3474/voice * 717.957.2316/fax
CERTIFICATION OF NOTICE UNDER RULE 5.6
Name of Decedent: Stephen Gelencser
Date of Death: September 3, 2004
Will No.: 2004-00866
To the Register:
I certify that notice to beneficiaries and heirs required by
Rule 5.6 of the Orphan's Court Rules, in the form prescribed by
Rule 5.7, was served on or mailed to the following beneficiaries
of the above-captioned estate on October 14, 2004.
Name Address
Larry C.D. Gelencser, 11 Nottingham Road, Camp Hill, PA 17011
and
Michael S. Gelencser 528 High Street, Duncannon, PA 17020
Notice has now been given to all persons entitled thereto under
Rules 5.6 and 5.7, except NONE.
Date: October 14, 2004
Signature:
Name: William C Dissinger
Address: 400 South State Road
Marysville, PA 17053
Telephone: (717) 957-3474~C.
Capacity: Personal Represent gq~ive
X Counsel for Persona~l Representative
Attorneys at Law
28 North Thirty-Second Street · Camp Hill, PA 17011
400 South State Road · Marysville, PA 17053
R.E'V-\SOO EX \'0-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 2B0601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COUNTY CODE YEi\R
-----
~\JIIoBER
w
...
"'~'"
,,0:'"
w""
:rOO
,,0:-'
..'"
..
0(
FILE NUMBER
21 04
0866
I-
Z
W
C
W
t)
W
C
DECEDENTS NAME (LAST, FIRST. AND MIDDLE INITIAL)
Gelencser, Stephen
DATE OF OEATH (MM.DD. YEAR) , DATE OF BIRTH (MM.DD. YEAR)
09/03/2004 103/26/1930
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
171-28-6436
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
~ 1. Original Return
D 4. Limited Estate
D 6. Decedent Died Testate (Ahsc;h copy of Will)
o B. Litigation Proceeds Recei\led
o 2. Supplemental Return
o 4a. Future Interest Compromise (dale of death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy of Trust)
o '10. Spousal Poverty Credit (dale 01 dealh between 12-31-91 and 1-1-95)
o 3. Remainder Return (dale 01 dtalh jllim k> \2-1~62}
D 5. Federal Estate Tax Return Required
.~ 8. Total Number of Safe Deposit Boxes
o 11. Election 10 tax under Sec. 9113(A) (AtlachSch0)
...
z
w
c
z
o
..
'"
w
0:
0:
o
U
COMPLETE MAILING ADDRESS
28 North 32nd Street
Camp Hill, PA 17011
NAME
William C. Dissinger
FIRM NAME-(ifApplicable) _____n__
Dissinger & Dissinger
TELEPHONE NUMBER
(717) 975-2840
z
o
~
...I
:J
I-
0:
<(
t)
w
0::
1. Real Estate (Sct1eduleA) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole.Proprietorship (3)
4. Mortgages & Noles Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Join\ly Owned Property (Schedule F) (6)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1.7)
9, Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
97,500.00
0.00
0.00
0.00
17,587,45
-'1
.0
_.1
0.00
0.00
115,087.75
(8)
24,417.34
37,137.76
(11)
(12)
(13)
61,555.10
53,532.65
0.00
12 Net Value of Estate (Line 8 minus Une 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an ejection to tax has not been
made (Schedule J)
14_ Net Value Subject to Tax (Line 12 minus Line 13)
(14)
53,532.65
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
z
o
~
I-'
:J
a..
:i
o
t)
X
~
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
(15)
0.00
2,408.97
0.00
0.00
2,408.97
0.00 x 0
16, Amount of line 14 taxable at lineal rate . 53,532~65 xO 45. (16)
17. Amount of line 14 taxable al sibling rate 0.00 x.12 (17)
18. Amount of Une 14 taxable at collateral rate 0,00 x .15 (18)
19. Tax Due (19)
20.0
CHECK HERE IF YOLl ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS
11 Nottingham Ro"d
CITY Camp Hill
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
STATE P A
0.00
0.00
0.00
Total Credits ( A + B + C ) (2)
3. InteresUPenalty if applicable
D.lnterest
E. Penalty
0.00
0.00
TotallnteresUPenalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A Enter the interest on the tax due.
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
ZIP 17011
(1)
2,408.97
0.00
0.00
(5A)
(5B)
2,408.97
0.00
2,408.97
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
No
Ii]
Ii]
Ii]
Ii]
1. Did decedent make a transfer and:
a. reta'ln 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 December 12, 1 982, did decedent transfer property within one year of death
without receiving adequate consideratiOfl? .. .....................
3. Did decedent own an "in trust fo~ 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? ,...... "...........""........
Yes
o
o
o
.0
o
o
o Ii]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Ii]
Ii]
SIGNATU
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 olher than the personal representalive is based 0 n all information of which preparer has any knowledge,
OF PE~~O~P~r::TURN
ADDRESS
11 Nottin am Road, Camp Hill,PA 17011
SIGNATURE5F PR ARER Ou T.
ADD~
28 North 32nd Sire ,Camp Hill, PA 17011
DATE
II~"I"S-
DATE
y~/~
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. !j9116 (a) (1.1) (ill.
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P,S, 99116 (a) (1.1) (ii)J.
The statute does not exernot a transfer to a sUf"J\ving spouse from tax, and the statutory requiremenls for d'lsclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary,
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparem o!the child is 0% [72 PS. !j9116(a)(I.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%, except as noted in 72 P.S. !j9116(1.2) 172 P.S. !j9116(a)(1 I].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. !j9116(a)(I.3)]. A sibling is defined, under Section 9102, as an
ind(l/(dua\ who has at least one parent in common with the decedent, whether by blood or adoption
REV.1S02 EX+ 16.9*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
Stephen Gelencser
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
FILE NUMBER
ITEM
NUMBER
,.
DESCRIPTION
Real estate located at 11 Nottingham Road, Camp Hill, PA 17011. Copy of appraisal attached.
VALUE AT DATE
OF DEATH
97,500.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
97,500.00
REV-150B EX+ (6-9B) ..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Stephen Gelencser
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1. 1988 Chrysler
695.00
2_ Citizens Bank Account #6100713288
3,432.46
3. Prudential Financial (#004729) Lump Sum payment to Estate for Defined Contribution Annuity
13,459.99
TOTAL (Also enter on line 5, Recapitulation) $
17,587.45
(If more space is needed, insert additional sheets of the same size)
REV.'5" EX+!'2'99).
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
ESTATE OF
Stephen Gelencser
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
,.
FUNERAL EXPENSES:
J.J. Hartenstein
6,576.84
B. ADMINISTRATIVE COSTS:
,.
Personal Representative's Commissions
Name of Personal Representalive(s) Larry C.D. Gelencser
Socia! Security Number(s)/E1N Number of Personal Representatilie{s)
Street Address 11 Nottingham Road
6,905.25
City Camp Hill
Year(s) Commission Paid: 2005
State P A
Zip 17011
2.
Attorney Fees
6,905.25
3.
Family Exemption: (If decedent's address is not the same as claimant's, atta.ch explanation)
Claimant Larry CD. Gelencser
Street Address 11 Nottingham Road
3,500.00
City Camp Hill
State PA
Zip 17011
Relationship of Claimant to Decedent son
4
Probate Fees
230.00
5.
Accountant's Fees
0.00
6.
Tax Return Preparer's Fees
0.00
7.
Homemasters Realty Group (appraisal)
300.00
24,417.34
TOTAL (Also enter on line 9, Recapitulation) $
(tf more space is needed, insert additional sheets ol the same sile)
REV-1512EX+ (12-O3)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Stephen Gelencser
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses,
ITEM VALUE AT DATE
NUMBER DESCRIPTIDN DF DEATH
FILE NUMBER
2.
HFC
8,415.76
27,817.84
579.31
1.
CitiFinancial
3.
WSEMS
4.
Ljubisa M. Stankovic, MD
310.93
5.
Nuerological Surgery, Ltd.
13.92
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets o~ the same s\le)
37,137.76
REV.1513 EX+ (9-00)
'*
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Stephen Gelencser
FILE NUMBER
RElATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME ANO ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 911S lal (1.2)]
1. Larry CD. Gelencser son 26,766.32
11 Nottingham Road, Camp Hill, PA 17011
2. Michael Gelencser son 26,766.33
528 High Street, Duncannon, PA 17020
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
0.00
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
0.00
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0,00
(If more space is needed, insert additional sheets of the same size)
..
..::......:
..' .....
:-~ ? )("i /.:~ ~'."
....:.. I
.". .'
,',' "
.... "
.... ,"
,-;:."
. ~ '." ..'
.....
',' .'
.,.:.:.:.{. .
"":' .
..:....:?<~::::.
. ....(rjf:..:,.~-;.:
.::.,:.",.:';."
.....;:...
. :.::.:-:::.:.:.
".":.
..:....
. ,',".',
';.'::'.:
'. .....
:/}~f;/.~i.:?;
'. . '. .' ",:;: ~
.....
'. .
......
POBOX 1547
CHESAPEAKE VA Z33za
~
Statement of Your
Home Equity Credit Line
Payment
Coupon
ACCOUnl NUmger
Household Finance
Gil'lng rOll The Credit rim Deserte
ForOt'l!r 125 Years
NRW t'alance t:Ulllng 1,./0111
MInimum I"'..ymem VUI
LJIJII Lla18
7t4614-17-100888-6
27,817.84
09/17/04
10/11/04
526.00
1",111".111"",.11",111",11,1.,."111.1,.,,,11.,.11.,1,11
STEPHEN GELENCSER
11 NOTTINGHAM RD
CAMP HILL PA 17011-7919
0917016329
Mail Payment To:
111,1,111"11I,,,11,1,11.11,,111.1.11,,1111,,1,11I,1.,11,111,1
HOUSEHOLD FINANCE
POBOX 17574
BALTIMORE MD 2t297-1574
1"1,1",11,.1.11.1,.1".1..,11,1.1,1,,,1,1,,1..1,11
o
3000526007146141710088860027817848
For Assistance:
POBOX 1547
CHESAPEAKE VA 23320
800-365-4812
Your Home Equity Credit Line is $ 37,500.00
Your Available Credit is $ 9,682.0
Account Summary
Al;ctlum l'lumUtlr
CIIIII]\! ""C1UI'
""l,/lIl.o1dlll
""'IIUIHH .....~IIJUa
MIIIIII'UIII r "Y"'O:lllIJUC
714614-17-100888-6
09/17/04
10/11/04
262.00
526.00
f'~ous ealanee
\-) t"ayments
t-/(,;redlts&. {+)AdVaneeS/k 1+,,.INAN{,;t
Adjustments Other Charges CHARGE
{+ ) Insurance
Charges
~lIlew tsalance
27,589.84
.00
.00 .00 228.00
.00
27,817.84
Account Detail Since Last Statement
Transaction Date
Posting Oate
Transaction Description
Transaction Amount
To evaluate and maintain the quality of our service to you, you
permit us to listen to and/or record telephone calls between you
and our representative.
For information on obtaining a formal loan pay-off quote please
call us at 888-395-6000 or visit our online e-care center at
www.householdfinance.com.
".',
...,
.,
I
You may request a credit line reduction or cancellation at any
time during the life of this loan. Contact us at 1-800-547-8776
or visit our website at www.HouseholdFinance.com/creditline for
additional information.
":'""1
YOUR MINIMUM PAYMENT INCLUDES A $262.00 PAST DUE AMOUNT
WHICH WE REOUEST YOU PAY PROMPTLY. IF YOU ARE UNABLE TO MAKE
YOUR PAYMENT, PLEASE CONTACT A HOUSEHOLD SERVICE REPRESENTATIVE
AT THE NUMBER LISTED ON YOUR STATEMENT.
Awrage
Dilly
Balance
$ 27,361.09
Monthly
Periodic Rate
0,834%
ANNUAL
PERCENTAGE RATE
10.000%
CURRENT
FINANCE CHARGE
S 228.00
*New Balance mayor may not include Interest accrued since the billing date. If you haw questions on this billing, ple.se call Customer
SeMce at S00.365-4812. Written inquiries about billing errors or questions and any nonpayment corrl!Spondence, including instructions on
how to rwquest a credit line reduction, cancellalion, or reinstatement. should be addressed to Household Customer Service, POBOX
1547. CHESAPEAKE VA 23320. Please include your name, address, and account number on all correspondence. Mail payment to'
HOUSEHOLD FINANCE, POBOX 17574, BALTIMORE MO 21297.
NOTE: PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
STMT2'".>aOD (12/03)
!
I
.\11_-'__._ _......___.. _ _w_ .-..-
. To celebrate our new partnership with racing's finest, CitiFinancial wants to send you to the winner's circle. Enter the
CitiFinancial Racing Sweepstakes for your chance to serve as Honorary Crew Chief for Dale Jarrett and the #88 UPS
Robert Yates Racing Team at the November 21 st championship race in Miami. It's a day at the races you won't forget!
See the enclosed insert for more details and the Official Rules.
There's never been a better time or place to get the extra cash you want... for any reason. See us.
Total Payment Due $287.41 Due Date 10/10104 Prior Balance $8.415.76 Current Balance*
$8.415.76
YOUR ACCOUNT ACTIVITY DURING THIS BILLING PERIOD
*Payments received after the 'as of' date w~1 001 be reflected on this statement. Please mail your payment 5--7 days prKlf to the due date to ensure that. is feceived by us on or belorelhe
due date.
DESCRIPTION
Previous Amount Billed
Regular Payment Amount
....... No Activity""""
ASOF
09;20/04
08/24/04
10/10/04
PAYMENTS
& CREDITS
APPLIED TO
BALANCE
APPLIED TO
INTEREST/FEES
SERVICES!
PRODUCTS
142.64
142.64
~E04
*NOTE: Not a Payoff Balance. Deferred interest, if any, nol included, Your contract may provide for a refund of unearned interest or a prepayment penally if the account is prep.aid.
In 41132
add~ion. if your account has been extended, is 'interesf short,' or it a check in payment on your account has been returned unpa!d, there maybe unpaid lafe charges, interest or NSF check
charges not reftected on this statement. If your account is precomputed and you have receIVed a payment extension. the extension fee charge is not reflected on lhis statement.
FOR STATEMENT INQUIRIES:
CitiAnancial
3401 HARTZDALE DRIVE #126
POBOX13,.
CAMP Hill. PA 17001-0013
(717)
TO APPLY FOR ADDITIONAL FUNDS, CALL
(717) 737-0431
REFERENCE YOUR ACCOUNT NUMBER:
67380799-0321513
In
Inc.; CitiFinanciaJ Services, Inc.
Please mall this coupon
with your payment.
PaYment Due Date
Reaular Payment
late PaymentsICharaes
Services & Products
TOTAL PAYMENT DUE
Additional Late Charaes Due On 10/21104
Total Payment $
Amount Enclosed
10{10/04
$142,64
$144,77
$0,00
$287 41
~
!'~
!~
AddresS ServiCe Requested
O Please check here to indicate mailing address / phone
number changes and enter them on back of coupon.
,
01 02
24922
45670
RSOl
Mail Paym.mTo: Ci tiFinancial
P.O. Box 8020
South Hackensack, NJ 07606-8020
111.,.1",1.11"11"..11.,1"1,11"",1,111,,,,,1,111,,,1,1,,1
STEPHEN GELENCSER
11 NOTTINGHAM RD
CAMP HILL, PA 17011-7919
1",111,..111,.,.,.11."111".11.1"",111.1,.,.,11,,,11,,1,11
Ob7380799032~513DD287410D142b4000000007bDb8D2DD3
"~:7?}~.\~?7l~}.~~~.~':'''' ",:".
'" '.::Yr./.:\~~j;;;~}:gii~~~i[~~;~;
. .~~:]~.~~~:~n'>Fi[!~":'-"-'
~ Prudential
.1 Financial
B
000000056
I I
I I I
I I
PAYMENT DATE: DEC 02 2004
PAYMENT REASON: LUMP SUM PAYMENT
LARRY C D GELENCSER
c/o DISSINGER & DISSINGER
400 SOUTH STATE ROAD
MARYSVILLE PA 17053-1012
NAME:
CONTRACT #:
CUSTOMER 10:
STEPHEN GELENCSER
004729
A01438153
1",111",111""1,1,"11""1111"",,11,,1,111,,,11,,,11",1
CHECK NUMBER: 3201434351
CHECK AMOUNT: $13,459.99
CHECK
YOUR PAYMENT SUMMARY FOR DEFINED CONTRIBUTION ANNUITY PROGRAMS
STATEMENT
Page 1 of
FINANCIAL BREAKDOWN
DEATH BENEFIT PAYMENT
PAYMENT AMOUNT
$13,459.99
TOTAL GROSS PAYMENT
$13,459.99
TOTAL DEDUCTIONS
NET PAYMENT
0.00
$13.459.99
If you have any questions, please call your Customer Service Office at (800) 562-8838,
or write to: The Prudential Insurance Company of America, 30 Scranton Office Park,
Scranton, PA 18507-1789.
,.
} : ,. : i .. ~ i : ' : :':: r : : ,. :.. :.. ':,. ;::: ! ! ! : : :::: i : ' " : : : : ' :"
',":':,,',;:bl,1i~~k Delaware
"::',Oi'f,:,!,,8nn's Way
NeW'Castle. DE 19720
.".. "'.. '. .... ',~' ;1: ..:.~.,. ..::;.. .,.,
':1', ., D """IBUTIOtlANNUITYPROGRAMS ',' .
"";"".~.":"'I ','/'''' .... .. .. ""'''''''U''. "'.. '.A-:"",,,,,,,,,~,,," ~".' -'." .""",. h'4"'-' ~'."..",,,., .(,)'./'-".. .-e,,-i_.. .,,< '_',. .. ._', __, -.Xk,',',-"-,,, .'......
......
I!;::,,;', /1 ";*.~1\**!;rI:lIRTEEN .:rHOU$ANO\ F,OUR ',HUNDRED 'F I FTY-N I NE
pay:' **.********h*********'*********AND t99/100. DOLLARS
"!' 'l!f~;:Jj~?W 'f \,.,W . . . '.' ,
,>.~,1>; ':to.i':-
To the .
Order of:
df&'i<\.)V'4\t0:.2<\ifrj
0rY;/\f'~:Y~'0J.' rtil%'
ranceCompany'ofAfn
'410Tf\\;:{<l>ii' .1zt~;i~
3~._;\>JY0...',:*
I DEe 02 2004
"--4#'~"="'-"'__""'V..~#"__"
W"__
,:,,':,::':'::ii"":::::':":":':i:':::'
".".....,.-tit~.:...~_.I...".....A,..In.....a..'
LARRY C 0 GELENCSER********************** ,
.AOHINISTRATOR OF THE ESTATE OF***********
STEP}fEN GELENCSER' "
,'{, CIOiO I SS INGER &,0 I SS INGER
;'io,;400.!iSOUTHSTATE ROAD
'Cf,'I1ARYSVILLE'PA 17053
< jt\~-~" :~~:j-;
11.:\20 ~I, :\1,:\5 ~II. 1:0:\ ~ ~OO 201:/.:
:\82~528511.
Prudential ~ Financial
The Prudential insurance Company of America
30 Scranton Office Park
Scranton. PA 18507
November 30, 2004
DISSINGER & DISSINGER
ATIORNEYS AT LAW
C/O WILLIAM C DISSINGER
400 SOUTH STATE ROAD
MARYSVILLE PA 17053
Group Annuity Contract GA-4729/6812
Customer ill Number: AOl438153
Na~.e ofD~ceased: Stephen nelencs~r
Date of Death: September 3,2004 .
Dear Attorney Dissinger:
Please accept our sincere condolences for the loss of Stephen Ge1encser.
Enclosed is a check for $13,459.99 made payable to Larry C. D. Gelencser as Administrator of the
decedent's estate.
If you have any questions or concerns, please don't hesitate to call us toll free at 1-800-621-1089
between the hours of 9 a.m. and 5 p.m., Eastern time, Monday through Friday. One of our
Customer Service Representatives will be happy to assist you.
Sincerely,
(7 ~'7~
l Slawich
Claims Examiner
.: CITIZENS BANK
525 William Penn Place
Suite 153-2510
Pittsburgh, PA 15219
October 29, 2004
DISSINGER AND DISSINGER S
28 NORTH THIRTY-SECOND STREET
CAMPHILL,PA 17011
Estate of STEPHEN GELENCSER
Date of Death: Sep 03, 2004
SSN: 171-28-6436
Dear Sir/Madam:
In accordance with your request, the attached information sheet has been provided in the above decedent's
name as ofhislher date of death.
For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please
call 1-888-999-6884.
Sincerely,
~~
Robert Roos
Operations Services
+~ CITIZENS BANK
Account Number 6100713288
Account Title STEPHEN GELENCSER
Date Ooened 5/24/73
Account Tvoe Checkin!!
Princioal Balance as ofDOD $3432.46
Interest from Last Postin!! to DOD
Account Balance as ofDOD $3432.46
YTD Interest to DOD $.00
"
. .
APPRAISAL REPORT
OF
11 NOTTINGHAM ROAD
CAMP HILL, PA 17011-7919
PREPARED FOR
WILLIAM DISSINGER, ESQ.
DISSINGER & DISSINGER
400 SOUTH STATE ROAD
MARYSVILLE, PA 17053
AS OF
OCTOBER 5, 2004
PREPARED BY
HOMEMASTERS REALTY GROUP
POBOX66
MARYSVlllE, PA 17053
- - . _..+.....~-- .-,--",-~-"'" ., .,.~.--.--: '-,-,- ~"-:"'-"'---.-""'---"
t HUMA;:; HU~~MA;:; I t:.KlHUMt:.MA;:; I t:.K:S KCAL I Y t;JKUUP
File No. 20041002
Case No
'.
Table of Contents
Page Title
Summary of Salient Features
Appraisal Identification
URAR Page 1
URAR Page 2
Extra Comps 4-5-6
Photo Subject
Photo Comparables 1-2-3
Photo Comparables 4-5-6
location Map
Sketch
Untitled Exhibit Letter
Flood Map
Subject History
Limit.Cond. w/Environ.
USPAP Certification
FIRREA Addendum Page 1
FIRREA Addendum Page 2
Untitled Exhibit Letter
Untitled Exhibit
Page #
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
ClrckFORMS AppraIsal Software 8~22.8727
"
THOMAS HOFFMASTERlHOMEMASTERS REAL TV GROUP
SUMMARY OF SALIENT FEATURES File No 20041002
Case No.
Subject Address 11 NOTTINGHAM ROAD
Legal Description DEED BOOK X23; PAGE 648
City CAMP Hill
State PA
Zip Code 17011-7919
Census Tract 0111.00
Map Reference 0022
~::~(~~~ ~-'\~~ --q ~"~.~~~- _.~',~c~~'-_-~~-~~~~~,~~ "'-'_~~~~~'L~~~' ' ~~~ - _ ~~ ,. ~ ~ ':~
Safe Price
$ MARKET
Date of Sale
N/A
~'.i!I3"'~jf -"- - ". '\' . ,
...~~. ^ \ J ,
. "
. -- - . ,~ , _ ,~" ""~_ _ e <.1", ~ . ~ _ ~,"
Borrower/Client
NlA
lender
DISSINGER & DISSINGER
I'':'', ,',7~~' '1:'?:"i:\',~'I;{ti-;
Size (Square Feet) 1.215
Price per Square Foot $ 0.00
Location AVERAGE
Age 34
Condition FAIR
Total Rooms 5
Bedrooms 3
Baths 1.50
Appraiser
THOMAS S. HOFFMASTER
Date of Appraised Value
OCTOBER 5, 2004
'1.1. ' =- ~ - >
~ .. ~
Final Estimate of Value S
97,500
ClickFORMS Appraisal Software 800-622-8727
Page 1 of 19
"
I nulVl.....~ MUr-r-MA" I t:I"'(fHUMt:MA~ I t:K~ KI::At..l Y l:iHUUI-'
APPRAISAL AND REPORT IDENTIFICATION File No, 20041002
Case No.
Borrower N/A
Property Address 11 NOTTINGHAM ROAD
C"" CAMP HILL Co"n", CUMBERLAND Slale PA Zip Code 17011.7919
lender/Client DISSINGER & DISSINGER Address 400 SOUTH STATE ROAD, MARYSVlllE, PA 17053
This Appraisal conforms to one of the following definitions'
00 Complete Appraisal
The act or process of estimating value. or an estimate of value. performed without invoking the Departure Provision.
0 limited Appraisal
The act or process of estimating value, or an estimation of value, performed under and resulting frOm inlloking the
Departure Provision.
This Report is one of the following types:
0 Self Contained Report
A written report prepared under Standards Rule 2-2(A) of a complete Of I\mited appraisal performed under Standard 1.
00 Summary Report
A written report prepared under Standards Rule 2-2(8) of a complete or limited appraisal performed under Standard 1.
0 Restricted Report
A written report prepared under Standards Rule 2-2(C) of a complete or limited appraisal performed under Standard 1.
Comments on Appraisal and Report Identification
Note any departures from Standards RLlles 1-2, 1-3, 1-4, plus any USPAP-related issues requiring disclosure:
ClickFORMS Appraisal Software 8Q0..622-8727
Page 2 of 19
I nUlVIA;::' nUt"t"MA;::,t t:.~HuMt:.MA;:j1 t:.K~ Kt:.ALt Y GKUU....
~UMMARY APPRAISAL REPORT
...... Desaf"""" UNIFORM RESIDENTIAL APPRAISAL REPORT Case No.
-Mdre<s 11 NOTTINGHAM ROAD C"" CAMP HILL Stale PA Zi^COde 17011-7919
L~al Oescri""^" DEED BOOK X23: PAGE 648 Coo"N CUMBERLAND
Assesso(s Parcel No. 13-25-0022-248 TaxYear 2004 RE. Tal:.es$ 1,487 ~ia\Assessmeflts$ UNKNOWN
Borrower NJA CurrentONner $TEPHENGElENESERESTATE Qccunant tONner I Tenant rx Vacant
.. PronPl1vmhts:ltlnraised IXIFeeSim Ie T Leasehold ProiectTvoe IPUD I Condominium HUDNAonlu' HOAS IMo.
Ne"'hbortlOOd or Proi<>rl Name lOWER ALLEN TOWNSHIP Man Reference 0022 census Tract 0111.00
SalePrU S MARKET Date of Sale NJA OescriolPn and Samountofloanchameslcoocessionstobeoaidbllseller NONE
L"-'C"",' DISSINGER & DISSINGER ""ress 400 SOUTH STATE ROAD, MARYSVILLE, PA 17053
A~aiser THOMAS S. HOFFMASTER Address POBOX 66 MARYSVILLE PA 17053
Location Urban ~ Suburban Rural Predominant S1~lefamit'jhO'J~ Plwrtl8rd_%
Built up CNer75% ~ 25-75% Under25% occupancy ~ooo~ As) One family 60
Growth rate Rapid ~ Stable Slow X ONner 85 Low NEW 24 family 5
Propertyvalues ~ Increasmg ~ Stable _ Dec~ning ~ Tenant 350 Hiah 100+ Multi-family 5
Demand/Supply _ Shortage ~ In balance -= Oie:r supply ~ Vacant (1)..5%) ~I Predominant ~ Commercial 5
Mm~1:ime Under3mos. X 3--&mos Over 6 mos. vacanttover5%)l 110 \ 35 IVACANT 10r
Note: race and the radal composltion of the neighbomood are not appraisal factors.
NeighbortlOOd boundaries and characteristiCs: THE SUBJECT PROPERTY IS LOCATED IN AN AREA WITH VARIOUS LAND USES PRESENT AND
: 1$ SITUATED IN LOWER ALLEN TOWNSHIPEAST OF ROUTE 15
. Factors that affect the marlletabmty of the properties in the neighborhood (proximity 10 employment and amenities, employment stabity, appeal to mar1l:ef, ere.):
CENTRAl PENNSYLVANIA IS A STABLE AREA 'vVITH DIVERSIFIED EMPLOYMENT OPPORTUNITIES INCLUDING THE STATE GOVERNMENT,
~ INDUSTRY AND AGRICUL ruRAL POSSIBILrrES. THE AREA IS WITHIN A REASONABLECOMMUTE TO EMPLOYMENT OPPORTUNITlES AND
SHOPPING FACILITIES. PUBLIC PARKS AND SCHOOLS ARE AVERAGE FOR THE NEIGHBORHOOD AND ARE WITHIN ACCEPTABLE
DISTANCES. BELOW AVERAGE TO ABOVE AVERAGE PROPERTY MAINTENANCE PROGRAMS WERE OBSERVED.
file No.
20041002
land use than~
DNollikely UUkely
(K}lnprocess
To:~
15% WOODED &
AGRICUL rURAL
Market conditions in the subject neighborhood (including support for lhe above condusbns related to the trend of propertY values, demandlsupply, and marketing time
_ such as data on competftive properties for sale in !he neighborhood, description of lIle prevalence of sales and financiog concessions, etc.):
VARIOUS PROPERTIES ARE CURRENTLY ON THE MARKET FOR SALE IN THIS MARKET AREA. THERE ARE NO ADVERSE MARKET
CONDITIONS OR CONCESSIONS IN THIS MARKET AREA THAT WOULD ADVERSELY AFFECT THE MARKETABILITY OF THE SUBJECT
PROPERTY. CONVENTIONAL LOANS COMMONLY HAVE. ONE TO THREE POINTS, WlTH NO POINTS AS WELL AS MORE THAN THREE
POINTS ALSO AVAILABLE WITH VARYING INTEREST RATES. NO PERSONAL PROPERTY ITEMS WERE INCLUDED IN THE FINAL
ESTIMATE OF VALUe.
I! Project Informatlon for PUOS (If applicallle - Is the developerlboik1er in control of Itle Home ().me(s Association (HOAl? UYes ----rKr No
~ ApJ:roxinatelotalnumberofunitstllhesubjectproject N/A Approximatetolalnurnllefofunitsforsaleinthesub;ectproject
Ii Describecommonelementsanclrecrealionalfacilities: NOT APPLICABLE
Dimensions 75 X 145 X 75 X 145 Topography LEVEL
Site""" .249ACRES Comerlol UVes ~No "'" TYPICAL FOR THIS AREA
Specific zooingclassificatiOn and description RESIDENTIAL Shape RECTANGULAR
Z""",,complallCe' OOLeg."rr:"aroo~lI1g(G<arnlfall1ered'sel urneg.DNozooil1g _age APPEARS ADEQUATE
I-M~&bestuseasinnmved:'rxr~tuse I. 1 Other use lexolainl VIeW AVERAGE FOR AREA
UtIities Public 0Iher O\'f-siIelmpro'o'emenls Type Pu~ Private Landscaping AVERAGE FOR AREA
Eledri:ily .& 100 AMP S.... ASPHALT .& _S,_ CONCRETE
Gas 4 Curtllg_ CONCRETE 4 ApparerIt easement; UTILITY
Watec 4 S_ CONCRETE X FEMASpedaIFlJodHazanlArea TIvesJJSJNo
SarnIaIy...... 4 StreeJ6gh. YES ~ FEMAlOlle C MapOale 09/30/1977
SOOn...... X A.... NONE FEMA "= No. 421016oo02B
Convnents (apparent adverse easements, encroactlments, special assessments, srKle areas, illegal or legal nonconforming zoning use, etc.): NO ADVERSE SITE
CONDITIONS WERE OBSERVED.
GENERAl DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION BASEMENT INSULATION
No. of Untts ONE Foundaticn CONC. BLOCK Slab NONE Mea Sq. Fl NlA - ~
No. of Stories ONE Exterior Walls ALUMINUM CrawlSpace 100% %FIOished NlA Ceir.g-X
Type (lJelJA~) DETACHED Roo! 80-. ASP/GAB Basemerll NONE Ceiti<lg "" W"" -X
OesigrI(SIyle) RANCH Galte<S&OwIlspts. ALUMINUM Sump Pump NONE WaDs HI. _ -X
8d5tir1gIPropos EXISTING WindowType DBl HUNG Dampness UNAPPARENT Fkxl< HI. ~n-
Age('fIS.) ,N~I 34 StonnlScreens THERMQSNE Settlenlent UNAPPARENT aulsideEl1try NlA
_ IS. 15 ManufachJredHouse NO Infestalion UNAPPARENT THERMOPANES
. RQOoIS """', [il""" """" - Dell Famitv Rm. Roc. Rm. Bedroom, #Balhs 13_ Olhe< Area Sa. Fl
-, N1A
U...tl 1 AREA 1 3 1.50 AFEA 1232
. Le>oIZ
. Amshed area abOve nrade contains: 5 Rocms; 3 Bedroom s . 1.50 Balh1s\:- 1215 uare Feet of Gross LMnn Area
INTERlOR -""" HEATING KITCHEN EOUif:- ATTIC AMENmES ~ CAR STORAGE
Fkxlls CARPET VNUBAVE T"", FHA Re~eratol' ~ - Freplace(,)#_"" No", 0
Walls DRYWAI..UFAIR. Fael GAS -"""~ Stairs PaOO 234 SF ~ Garage 1 #ofcars
. T_ SOFTWOOD/FAIR Condition AVE Disposal DropStak X Oed<. Attaclled
-- V1NYUAVE COOliNG Dishwasher ~ Sc,tIle Porth 35 SF ~ Oeladled
Bath Wainscot FIBERGLAss/POOR Central NO ~
Fann-lood f- - Feoce '=- Built..fn
Ows HOllOW CQRElFAlR OttJer MlCroWave f- Heated Po<; I- Carport 441 SF
Condition N1A WashefiVNe< Fllished Drivew- ADEQ
Additi:x\aI features (speciatenergy etficientilems, etc.): REPLACEMENT THERMOPANE WINOOWS; 1 MEDICINE CABINET; 2 CEILING FAN'
Condlioo of the rnproyements, depreciation (ph~ funcOOnal, and extemaI), ~airs needed, quality of constnJCIJ:x1, reroo:1elingI~. etc.: NO FUNCTIONAL OR
EXTERNAL OBSOLESCENCE WAS OBSERVED. NO REPAIRS ARE MADE A CONDITION OF THIS APPRAISAL REPORT. NO
PERSONAL PROPERTY IS INCLUDED IN THIS APPRAISAL REPORT
.
Adverse environmenfaf condiOOns (such as, but not rmiled to, hazardous wastes, toxic substances, ere.) present in JJ1e Improvements. 00 Itle site, or i1 the mmediate Yidlity
of the suIlject property.: THE APPRAISER IS NOT AN EXPERT IN THE \OENTIFICA TION OF HAZARDOUS SUBSTANCES OR DETRIMENTAL
ENVJORONMENT AL CONDITIONS. THE APPRAISER DOES NOT WARRANT OR GUARANTEE THE ABSENCE OF SUCH CONDITIONS
FreddiE! Mac Form 70 6-93
CllckFORMS Appraisal Software 800-622-8727
F.... ..... Fono 1004 (6-93) ..... 3 of 19
I nu.....I......;:, nurr-IVII"\;:' t t:r-unUIVlt::.MA~ t t::.J-(~ J-(t=AL I Y I.;iHUUt-' File No, 20041002
UNIFORM RESIDENTIAL APPRAISAL REPORT Case No.
'" $ 30,00 Comments 00 Cost ApProach (such as, source of cost estimate, site value,
SQuare fool calcufatiOfl and for HUD, VA and FmHA, the estimated remaining
economic life of the property): NO FUNCTIONAL OR EXTERNAL
OBSOLESCENCE OBSERVED. THE COST DATA WAS
OBTAINED FROM THE MARSHALL AND SW1FT RESIDENTIAL
COST HANDBOOK. WHICH ESTIMATES REPLACEMENT COST,
NOT REPRODUCTJON COST. THE CLIENT SHOULD OBTAIN
THE SERVICES OF A CONTRACTOR IF REPRODUCTION
22,22 COST DATA IS NECESSARY. CURRENT COST AND LOCAL
60,081 MULTIPLlER.S ARE APPUED TO SAID COST DATA
4.5
94 581 Est. Remaini Econ. Life:
COMPARABLE NO.2
9 PLAINVIEW ROAD
CAMP HILL, PA 17011
0.31 MILES
124,000
. ,
V~luatiooSecti~
ESTIMATED SITE VALUE
ESTIMATED REPRODUCTION COST -NEW..{)F IMPROVEMENTS:
Dwell., 1,215 Sq. FI.@$ 59.27 ~ $
BSMNT 44 Sq. Fl@$ 20 .00 ~
. APPLS, PATIO, PORCH, EXTRAS
: ""_""",,~Sq.FI.@$
: T olal Estimated Cost New
Less Physical 27 -I FullClional
. Depreciation 22,222 0
Depreciated Value of Improvements
'As. is" Value of Site lmpro~ments
INDICATED VALUE BY COST APPROACH
ITEM SUBJECT
11 NOTTINGHAM ROAD
Mdress CAMP HILL PA 17011-791
Proxim' toSu'
Sales Price
PricelGross U>I. Area
DalaandlOl'
Verification Source
VALUE ADJUSTMENT
Sales or Rnancing
Concessions
DateofSalelTime
Loca\ioo
Leasehold! Fee Sim
s;re
V.,.
. nand al
ofConstruc1ion
CoOO\IXm
Above Grade
Room Count
Gross Livi Area
Basement&Flrlished
. Rooms Below Grade
Funcliooal
Enk:ientllems
.
f\~< - ~,~~-.
. '
t2:,,~_..'-'.__~
(>;"'::,'_-::--"~J
AVERAGE
FEE SIMPLE
.249 ACRES
SEE ABOVE'
RANCH/AVE
AVERAGE
34
FAIR
Total Bdrms Baths
5 3 1.50
1,215 . Fl
NONE
N/A
AVERAGE
GASFHNNO
THERMOPANES
2 CAR CARPOR
PORCH, PATIO
10. OO~
~$
(- Exlema~
72,013
880
5,000
4,410
82,303
.$
~$
~$
COMPARABLE NO.1
30 PALMER DRIVE
CAMP HILL, PA 17011
0.11 MILES
131,000
-36,00
+1,
-2,50
$ 102.06
MULTIPLE LISTING SERVICE
COURTHOUSE RECORDS
DESCRIPTION - $ Ad"ustrnef1t
CONVENTIONAL
DOM-14
7-20-2004
AVERAGE
FEE SIMPLE
.22 ACRESIAV
SEE ABOVE>
RANCH/AVE
AVERAGE
45 EST
AlAVERAGE
Total Bdrms Baths
5 3 1.50
1,215 .Ft.
NONE.
N/A
AVERAGE
GAS FHNNO
THERMOPANES
1 CAR CARPORT
STOOP, PATIO
40
IS
COMPARABlE MO. 3
12 KENSINGTON DRIVE
CAMP HILL, PA 17011
0.37 MILES
120,000
Po<tII,PaIio,Ded<,
R s etc.
Fence Pool etc. FENCE
Fir lace NONE
Net . $ -37,500 + X-
AdjustedSalesPrt:e et=-21%
of able -30% 93 500 ross=23%
Comments on Sales Comparison (including the subject property's compatibility to the neighborhood, etc.);
ADDENDUM FOR COMMENTS ON THE SALES COMPARISON ANALYSIS.
$ MARKET
$ 0.00 0 $ 107.82
INSPECTION MULTIPLE LISTING SERVICE
COURTHOU5E COURTHOUSE RECORDS
DESCRIPTION DESCRIPTION - $ Ad"uslrnent
CONVENTIONAL
DOM-3
7-26-2004
AVERAGE
FEE SIMPLE
249 ACRES/AV
SEE ABOVE>
RANCH/AVE
AVERAGE
45 EST
GOOD
T olal Bdnns Baths
5 3 1.50
1,215 .Ft
NONE.
N/A
AVERAGE
GAS FHAlYES
THERMOPANES
1 CAR CARPORT
PORCH, DECK
-27,00
+1,
+5
$ 103.99
MULTIPLE LISTING SERVICE
COURTHOUSE RECORDS
DESCRIPTION - $ Ad" stment
CONVENTIONAL
DOM-23
6-25-2004
AVERAGE
FEE SIMPLE
ACRES/AVE
SEE ABOVE'
RANCH/AVE
AVERAGE
47 EST
AVERAGE
Total Bdrms Baths
5 3 1.50
1,154 .Ft.
PART BSMNT
UNFINISHED
AVERAGE
GAS FHAlYES
THERMOPANES
NONE
STOOP
+750
-18,000
o
+1,06
-1,00
-2,500
+2,500
-50
NONE
+ X-
et=-14%
98000 ross=22% 102,818
SEE THE COMPARABLE SALES 4-5-6
-26,000
-17,182
ITEM SUBJECT COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3
Qate, Price and Data HAS NOT NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE
Source, b' pOOr _ TRANSFERED
_ of LAST 3 YEARS
As1a1ysis of any CtJI'l'ent agreement of sale. option, or Iistilg of the subjeCt property and analysis of any prior sales of subject cn:f comparables within one year of the date of appraisal.
THE SUBJECT HAS NOT TRANSFERRED IN LAST 3 YEARS. COMPARABLE PROPERTIES HAVE NOT TRANSFERRED
lWELVE MONTHS PRIOR TO THE APPRAISAL DATE.
INOtCATED VAUIE BY s;.liS COMPARISON APl'ROACH I 97,500
INDICATED VAWE BY INCOME APPROACH If bIe Estimated Market Rent N/A J\fo.X Gross Rent Multi Ief" N/A N1A
This appraisal is made X oasis" subjecttolherepairs..alteratOOs,ir\Spedio(IsOt"ooOOitioosllstedbelO'H subject ro completion per plans and specificalions.
CondiOOns of AppasaI: THE SUBJECT PROPERTY WAS APPRAISED ~AS IS. WITH NO CONDITJONAL ITEMS. NO REPAIRS AR.E MADE A
CONDITION OF THIS APPRAISAL REPORT. NO PERSONAL PROPERTY ITEMS WERE INCLUDED IN THE FINAL ESTIMATE OF VI\LUE.
Foal_, THE SALES COMPARISON APPROACH, THE INCOME APPROACH AND THE COST APPROACH WERE ALL
CONSIDERED TO EVALUATE THE SUBJECT PROPERTY.
.
Name THOMAS S. HOFFMASTER "
Dale '"""'" Skill'" OCTOBER 18, 20
SlaIeCe<1JficaIion# RL-Q019B7-L
C\'SIaIe . #
Freddie Ma: Form 70 6-93
10 this report. based' on the above conditions and the cenificaOOn, contingefll
JUNE 1993 ).
OCTOBER 5, 2004
DDi:J DDi:JNoI
I""""Pro"""
State
State
Fann.MaeF<<m 1004(6-93) Page 4 of 19
I MUM;>"':' Mur-rMA':' t '=KlHUMtMA~TERS REALTY GROUP
EXTRA COMP ARABLES 4-5-6
File No. 20041002
Case No,
Borrower N/A
Prooertv Address 11 NOTTINGHAM ROAD
Cilv CAMP HILL Counlv CUMBERLAND
LendectClieot DISSINGER & DISSINGER Address
Slate PA ZioCode 17011-7919
400 SOUTH STATE ROAD, MARYSVILLE, PA 17053
These recent sales of properties are most similar and proximate to subject and have been considered in the market analysis. The description includes a doIar adjustment, reflecting
marlc.et reactionta those item$. 01 signlfitan\ ~aria\i(lll beb'teen \he subject and comparable properties. Ii a significant item in the comparable property is superior to, or more fa~orab'e
~uabiec~~_p:~I~;1+r,minus (-) adjustment is made, thus reducing tile indicated value of subject; if a significant item in the comparable is illferior 10, or less favorable thall, the
SU' I ,a us + adilJStmenl IS made. thus increasina the indicated value of the sub'ecr.
ITEM I SUBJECT I COMPARABLE NO. 4 COMPARABLE NO. 5 COMPARABLE NO. 6
11 NOTTINGHAM ROAD t 19 NOTTINGHAM ROAD
Address CAMP HILL, PA 17011-7919 CAMP HILL, PA 17011
Proximitv to Sub'eel 0.06 MILES
Sales Price I MARKET 119,000 . I
Pri",tGross Uv. Acea I 0.00 '" I 97.94 I I
Data aodIor INSPECTION MULTIPLE LISTING SERVICE
Verification Source COURTHOUSE COURTHOUSE RECORDS
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION <{.)IAdiuslment DESCRIPTION +f.l$Adiustment DESCRIPTION ".IIMuslment
Sales Of Frnancing CONVENTIONAL
Concessions DOM-6
Date of Salemme 10-24.2003 +2,18
Location AVERAGE AVERAGE
leaseholdl Fee Simale FEE SIMPLE FEE SIMPLE
Site .249 ACRES .249 ACRESIAV
View SEE ABOVE' SEE ABOVE'
Des.n end Aooe. RANCH/AVE RANCH/AVE
QualltvotCooslruction AVERAGE AVERAGE
A,e 34 45 EST
ConditiOO FAIR AVERAGE .19,00
Amve Clade Total I Bdnns Baths Tatall Bdmd Baths Total I Bdmd Baths T otall Bdnns Baths
. Room Count 5 I 3 1.50 5 I 3 I 1.50 I I I
Gross livioo Area 1215 Sa.Ft. 1 215 Sa. Ft. Sa. Ft. So. Ft.
Basement & Rnished NONE PART BSMNT -2,00
Rooms Below Grade N/A UNFINISHED
. FunctionalUtililv AVERAGE AVERAGE
Heati GAS FHA/NO GAS FHAlYES -250
Enemv ElIicient nems THERMOPANES THERMOPANE
2 CAR CARPOR 2 CAR CARPOR
PoIth, Patio, Deck, PORCH, PATIO DECK, PATIO -50
,_st.ete.
Fence Pool etc. NONE FENCE -50
FireDlace NONE NONE
NeIAdI.(IntJ'ln I + XI- $ -22 320 XI+ I 1- $ 0 XI+ 1- , 0
Adjusled Sales Price lNeF -19% I et=O% eFD% I
of Com"""""" IGross= 22% I< 96 680 ""-=0% I< 0 ross= 0% ~ 0
Comments on Comparooles; PRICE PER GROSS LIVING AREA FIGURES VARY DUE TO SaUARE FOOTAGE DIFFERENTIALS. HAD TO
EXCEED NET ADJUSTMENT GUIDELINES FOR COMPARABLES #1, #2 AND #4. ALL OF THE ADJUSTMENTS WERE
NECESSARY AND APPROPRIATE TO ESTIMATE MARKET VALUE. ALL SALES WERE CONSiDERED EaUALL Y SIGNIFICANT.
MARKET DATA OF CLOSED SALES WAS SUFFICIENT TO ARRIVE AT THE ESTIMATED MARKET VALUE.
ITEM SUBJECT COMPARABLE NO. 4 COMPARABLE NO. 5 COMPARABLE NO. 6
Dale, Pri::e and Data HAS NOT NOT APPLICABLE
Source.bpriorsales TRANSFERED
_n_of""""'""'. LAST 3 YEARS
THE SUBJECTS IS CONSIDERED TO BE IN FAIR CONDITION. INTERIOR FLOOR ANO WALL COVERINGS SHOW WEAR, SOME
THERMOPANE WINDOWS ARE LOOSING THEIR SEAL THERE IS NO SINK IN THE MAIN BATH THE MAIN BATH WAINSCOAT is IN
POOR CONDI1lON. EXTERIOR SIDING PAINT IS VERY WORN AND SHOULD BE REPLACED OR PAINTED DRIVEWAY AND CURB
CONCRETE IS CRACKED AND CHIPPING AS PER SUBJECT PHOTO.
.
ClickFORMS Appraisal Software 800-622-8727
Page 5 of 19
I HUMA~ HUfFMA$ TERlHOMEMASTERS REALTY GROUP
SUBJECT PHOTO ADDENDUM File No. 20041002
Case No.
Borrower Nt A
Prooertv Add.." 11 NOTTINGHAM ROAD
Ci~ CAMP HILL Coun~
lenderlCI.nl DISSINGER & DISSINGER
CUMBERLAND S~1e PA ZipCOOe 17011-7919
Address 400 SOUTH STATE ROAD, MARYSVlllE. PA 17053
FRONT OF
SUBJECT PROPERTY
11 NOTTINGHAM ROAD
CAMP HILL, PA 17011-7919
REAR OF
SUBJECT PROPERTY
STREET SCENE
Page 6 of 19
THOMAS HOFFMASTER/HOMEMASTERS REALTY GROUP
COMPARABLES 1-2-3 File No. 20041002
Case No.
Borrower N/A
Property Address 11 NOTTINGHAM ROAD
Citj CAMP HILL Countv
leoderlCl~nl DISSINGER & DISSINGER
CUMBERLAND Slate PA Zip Code 17011-7919
Address 400 SOUTH STATE ROAD. MARYSVlLLE. PA 17053
ClickFORMS Appraisal Sollware 800-622-8727
COMPARABLE SALE # 1
30 PALMER DRIVE
CAMP HILL, PA 17011
COMPARABLE SALE # 2
9 PLAINVlEW ROAD
CAMP HILL, PA 17011
COMPARABLE SALE # 3
12 KENSINGTON DRIVE
CAMP HILL, PA 17011
Pag, 7 of 19
THOMAS HOFFMASTER/HOMEMASTERS REALTY GROUP
COM PARABLES 4-5-6 File No. 20041002
Case No.
Borrower N/A
Prooertv Address 11 NOTTINGHAM ROAD
City CAMP Hill County
lender/Client DISSINGER & DISSINGER
CUMBERLAND 8tate PA Zip Code 17011-7919
Address 400 SOUTH STATE ROAD, MARYSVILLE, PA 17053
I
I
I
I
I
~
ClickFORMS Appraisal Soft.Nare 80Q..622..a727
COMPARABLE SALE # 4
19 NOTTINGHAM ROAD
CAMP HILL, PA 17011
COMPARABLE SALE # 5
COMPARABLE SALE # 6
Page 8 of 19
THOMAS HOFFMASTER/HOMEMASTERS REALTY GROUP
LOCATION MAP ADDENDUM File No 20041002
Case No.
Borrower N/A
Prooe<tv Address 11 NOTTINGHAM ROAD
Cnv CAMP HILL Coun~
Lender/CII",1 DISSINGER & DISSINGER
CUMBERLAND Stale PA liD Code 17011-7919
Address 400 SOUTH STATE ROAD, MARYSVILLE, PA 17053
I
--'7
/~~~
. ',....
".::(/\f09~ .,"
\ . iSh /
''1''~-I-/
.~c!'.,\~/,'t
'~.' ..'k,
'" .-- ':0
\~
I ,(
'~' '
I:, . "
~ ,'. +-'0
\.'i/ '\ .,~
/eD -~v
I' .A>.
1)/'
,/--..,'()-6'
,.,~. SALE ?~IJ ""~i>
/ " '0:-
~%/'&,SALE~?' "~
.' ,/'?,;, '~,
/ ~/'~ '''-. '<:$'.,
e Rd//'\.....,/.'t>-I'i(" , ~ ~~."
,,' ~"Y' ...~..#
4/ .tf>o~". "~q. '. ~/
j;/ '?fJ/,/ .,~fl" .... '. ~(
$/ ,f. 0('\0 //'~1t ",- "..<:J.)"
~/ ~/ 6."'/ ."'.~( ..... ~-,/ \
*' \'y /~ ~~,/ \? ''',<~f/' '
<\ ~~-&SAtE-J-r/<'
""'Z'o, ,./
~'3.tl'I~~ B SAI"~UBJECT
" \
\. \
,
i
I~
( -~
-'1'0-
\.
--
.~~,~..I.-------
\
/
\~
\Q
\<1
"
\
"\/~..-""'-
/
<;)<,/
~..~/
>~
/
//~/~. .
'#~~\'
~~'
Y',
.,/ \
,,- , <;)<,
/ \ --,>:.'
,/ ~\-~//,' IZ/
- 'f~'!-.--......--- \f~/
-'
/ \
I /
" ~---.../
, J:iopdi...-'
1-_--;;01
I
-- /\}'I
c',., ~~~>;f!!:/
-,.'
"~
.,
~
c
~
~
/
."--<
.-"--
~.
~~
"
CUckFORMS Appraisal Software 8Q()...Q22-8727
-
I
\\ il
" 1
I ,i
II .
,j-"
, ,
\,
/\
.-~-'
..--
n
%
%:
Page 9 of 19
THOMAS HOFFMASTER/HOMEMASTERS REALTY GROUP
SKETCH ADDENDUM File No. 20041002
Case No.
Borrower NI A
Property Address 11 NOTTINGHAM ROAD
Ci~ CAMP HILL Coun~
lenderlCI~nt DISSINGER & DISSINGER
CUMBERLAND Stale PA ZiD Code 17011-7919
Address 400 SOUTH STATE ROAD, MARYSVlllE, PA 17053
, ]
18'
, 13'
I PATIO
SI-ED
I
7' ,
I
I BSMNT
5.5'
I
!
28' ONE STORY O\i1':R CRAWL SPACE
21'
28' I
CARPCRT
i
16' 43.5'
5' PCRCH
7'
BUILDING SKElCH/1215 sa FT
DN<lNG PR
I BEDROOM
KITCHEN
I BATH
I
LWlr-/3 ROOM
BEDROOM ~ BEDROOM
I
I
I
L FLOOR PLAN
I
ClickFORMS Appraisal Software 800-622-8727
Page 10 of 19
LEGAL DISCRIPTION/DEED
File No. 20041002
Case No.
Borrower N/A
Property Address 11 NOTTINGHAM ROAD
City CAMP HILL
Lender/Client DISSINGER & DISSINGER
CUMBERLAND State PA Zip Code 17011-7919
Address 400 SOUTH STATE ROAD, MARYSVILLE, PA 17053
County
89/31/2884 15:21
'l/'lf~/.t',:uO
wou.vrry .....
'-1...._-
-
"
Qlr-,...5 lIee. ~ ..!! - d
~!J ~ ~"1 ~~ .,\:\,' :~:.,' l \
i!. ~ _ ~
~ ~
bsccllbe I Q
k~
hi. .i'/tl, Q/ L.,.,.r
i
! ..b ... t23rd ~ 01
~ lntl.:rnr......""""''''' ..VCJIty (1970). .
~ --.-.. Ji:BBr JrA1NE SI_ aNI J&fNE!l"JS D. 8I_.
I
.
~
.
I
I
~
;
~
AJltm 2'0l&I'l8''''')), C't4Ibn-land CowntJl. PenAfl1/1fJG7lltl,. GRAJIZ'(BS anti "rU..
of ~1ur .It rst port,
-AND-
~
SttPREN CELlfNEBlU and IJI1DU'.JrY ANN ~I lat. 'fIIlf.. IJf t1&c
~ .a.... plact:. CR.ANTEES an4 pt,IrC:f.. of ~~ B~con4 part"
;.
i
,
~ .Ila~ r..."'_..............oI $rn%EN :tfm1JSAND.ND/81l1N11R1QJ(I%6.9OD.OO}
.' .
--------.----------------------------------------~-----------~
iII,....,,,.JtI, IN.-.ipt wIMwtiIitJ.....",. . ."" ", u...., 4Al*ra
"..,.......,.,...l1JI~.... tk',. IN,,.. CI7Id "*,,,..,
~
i
~
.
,
,
1
.
--
AU nlAf' CE1l!rAIN trcrct IIf lqnd. .tCurzt. In Lowr All.n TowuftJp, C&llltb.
ItPUl. C.oun.tV. Pe'1IlIIIlIltttmlG, bOUJ'lCfed' on4 deacr''''d In Gccol"dlmc.. .,,,,. CI
.nR"Ny ay D.P. BdfhmapcrgtJT. 11.8., .~ed'" :1.6. ~Hg, 48 fol~~l
V _CDINZNfJ 4t 4 Jloln" ." "1Ie NortlNrJII line of NotUnglaalt Rood'.. """oh
t. 1JO.lm t. 555 rect ~(Jllt. II; the Jlo.rt~~.rl}J oorner 1I,.c.m.t"l.tmz Dr,
~
1- ................ .. · .. ......~ ,- ---~. _. .-
,
,
i
i
I
I
I
I
I
I
I
!
[
I
f
I
I
8. Bloc7c .". of tlw """"11f4j,cr .-mUllPi4d P.l.Q1I IIf Lou,; 2fD11N:B along
.ald dt.utd..lng JIM. North no (00) "g~fISI flftll-lll~ {66} ..rwc~. B~
Olle 'hwt4r~d .:10"11-:1"1" (J~) /.." 'io .. lHJi~tl' fB1lNCE G~t:mg .". _outh-
.rl'1/ ~11W of Lots Noe. 113 GNf 24. Bloc* ."... of .,ff PIllA of .Lo'te..
South .'thtJ/-nt". (89) degree. ~rmr (4) .Inutcs 8tWt ..NAtJl-firHI (76,
feet to a DGtnt at t1ul tflDldlrag Jt1Ut b.""'.A..Lo" J{oc. 4 GftIf 5.. Block
.Jr on Mid Plan of ~ot.; Zf1ZJICE Gl~ Judd. dtpid.ing 11M Hauth 1UJ(OO
d,gnu llfIJl-.'" (56) .smau re.t 0.... _ forf1rfS.... (US}.,(Nt
to a point on. the NO~,.e.rl'JIlIJV of N~...U.719,.. RH4:,.~Drc.,td!_ rtl1!ilIC6
<llong _ _. North. ,'ghlll"""l... (89) .gr.... fqUr (4) .s>al'U -r...1
.cPentJl-j'fue (1'!J) /..t to tIN! Place tJ.f _CZNIfDI(}.
BEING .1;0' No. 6 of B~tlC1c ..... tn tIM 1'1tPI oi OO&D1'&:'1I 4ncI 2'nn Ho_a.'r.
rcconk4 'n P'-!471 .Book 7. Page 41. CVMb.r~lI12d CtlU7l~ T.D~.
I
I
I :.
I rtAV7NC ........a.v ERIfC:rnJ 0 _dUng /love' """"" ... No. U NoUlng~ B d.
I. ...p..'t,. ~ ., .- U,......~ "~.-
L--'" .tlA . "-C. SchaoI tilt Cwnb co.. ,.
c....!>.Co..P.. . .'
I e:-<<."...".r-k_~ ,;:.........T._~. T~@ -X"....:..; "AD
#'I,::>.,,3J,..7D!5:::.-1f.lf.- . ~al-.~. ....- .....,
W:A-,'~)~,J.~~.J- (~,Jl"':.:..t.~"'... 0.4;-.4-
ClickFORMS Appraisal Software SD0-622-8727
Page 11 of 19
THOMAS HOFFMASTER/HOME MASTERS REALTY GROUP
FLOOD MAP ADDENDUM File No. 20041002
Case No.
Aood Map Legends Flood lone Determination - I
Borrower N/A
P"'Il8rtY Add,"", 11 NOTTINGHAM ROAD
C., CAMP HILL Coun~
LenderlCI.nl DISSINGER & DISSINGER
:~
I
Flood Zones
A.r. ilund:allid bJSOO~ fbooing
Aruo_Olofine IGODd soo;oear 'ibM
pmnl
. Areal i1tund3&d bJ 100")'8ilr fboding
. Ar. iIlund3:ed Djl00')'EliJl'fbodingwb
"bCi)' hazard
II FbOCfW3)' oU8iiII
. Fbod'R)'ilr5llwtn'ebci)'h3Z3rd
Arlllill ofundel8111inea b8I: poI.ibl9fbOd
......
Ar. _mapped 011311)' pUblihtcl FIRM
CUMBERLAND Slale PA ZioCode 17011-7919
Address 400 SOUTH STATE ROAD. MARYSVILLE. PA 17053
"
II:
~
;j
I
,
i
I
I
!
!
,
i.
f
SFHA (Flood Zone): Out
Within 250 ft. of multiple flood zone? Within 250 feet
Community: 421016
Community Name: LOWER ALLEN, TOWNSHIP OF
Zone: C Panel: 421016 00028 Panel Date: 09/30/1977
FIPS Code: 42041 Census Tract: 0111.00
This Flood Reoot1: is for the sole benifit of the Customer th-at ordered and paid
for the ReDon and is based on the Dr'OOertv infonnation Drovided bv the
customer. Th.at customer's use of this reoort is subiect to the tenns aGreed bv
that customer when accessina this Droduct. No third Nttv is authorized to use
or relv on this reDort for any DUI'DOse. NEITHER FIRST AMERICAN FLOOD
DATA SERVICES NOR THE SEUBl OF THIS REPORT MAKES ANY
REPRESENTATIONS OR WARRANTIES TO ANY PARTY CONCERNING
THE CONTENT ACCURACY OR COi'YI'lETENESS OF THIS REPORT
INCWDING ANY WARRANTY OR MERa-IANT ABIlJTY OR ffiNESS
FOR A PARTICUlAR PURPOSE. No~her TFHC nor tho .oler of thi. RODO"
sh~1 have any liability to any third pirty for any use or misuse of this Report.
I
i
t
I
i
,
ClickFORMS Appraisal Software 8~22-8727
Page 12 of 19
THOMAS HOFFMASTER/HOMEMASTERS REALTY GROUP
SUBJECT HISTORY ADDENDUM File No. 20041002
Case No.
Borrower N/A
Property Address 11 NOTTINGHAM ROAD
City CAMP HILL County
Lender/Clien' DISSINGER & DISSINGER
CUMBERLAND
State
PA
Zip Code 17011-7919
In developing a real estate appraisal, an appraiser must consider, analyze and disclose:
(a) Any current agreement of sale, option or listing of the property being appraised.
(b) Any prior sale of the subject property being appraised that occurred within the following time periods:
(I) one (1) year for 14 family residential property, and
(II) three years for all other property types.
The appraiser has attempted to obtain specific information on the subject property with the following findings:
o The subject property has had no change of ownership during the past one (1) year.
00 The subject property has had no change of ownership during the past three (3) years.
D The subject property is currently under contract. Details of the pending purchase are summarized below.
o The subject property is currently offered for sale, listing price is $
o The subject property has been sold during the past one (1) year period. Details of the previous sale are disclosed below.
o The subject property is proposed construction and is not currently being offered.
o A previous sale history of the property could not be obtained by the appraiser in the normal course of business.
Grantor/Owner of Record;
GranteeIPurchaser:
Contract Price/Sale Price:
Date of Contract/Sale:
Comments:
ClickFORMS Appraisal Software 800-622-8727
Page 13 of 19
File No. 20041 OO~
Case No.
DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open
market under alf conditions requisite to a fair sale. the buyer and seHer, each acting prudently, knowledgeable 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 seifer to buyer under conditions whereby: (1) buyer and seller are typically motivated: (2) both
parties are well informed or well advised, and each acting in what he considers his own best interest; (3) a reasonable time
is allowed for exposure in the open market; (4) payment is made in terms of cash in U.S. dollars or in terms of financial
arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by
special or creative financing or sales concessions" granted by anyone associated with the sale.
*Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are
necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are
readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments
can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that
is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for
dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction
to the financing or concessions based on the appraiser's judgment.
CERTIFICATION AND STATEMENT OF LIMITING CONDITIONS
CERTIFICATION: The Appraiser certifies and agrees that:
1.The Appraiser has no present or contemplated future interest in the property appraised; and neither the employment to
make the appraisal, nor the compensation for it, is contingent upon the appraised value of the property.
2.The Appraiser has no personal interest in or bias with respect to the subject matter of the appraisal report or the partici-
pants to the sale. The 'Estimate of Market Value' in the appraisal report is not based in whole or in part upon the race, color,
or national origin of the prospective owners or occupants of the property appraised, or upon the race, color or national origin
of the present owners or occupants of the properties in the vicinity of the property appraised.
3.The Appraiser has personally inspected the property, both inside and out, and has made an exterior inspection of all
comparable sales listed in the report. To the best of the Appraiser's knowledge and belief, all statements and information in
this report are true and correct, and the Appraiser has not knowingly withheld any significant information.
4.AIl contingent and limiting conditions are contained herein (imposed by the terms of the assignment or by the under-
signed affecting the analyses. opinions, and conclusions contained in the report).
S.This appraisal report has been made in conformity with and is subject to the requirements of the Code of Professional
Ethics and Standards of Professional Conduct of the appraisal organizations with which the Appraiser is affiliated.
6.AlJ conclusions and opinions concerning the real estate that are set forth in the appraisal report were prepared by the
Appraiser whose signature appears on the appraisal report, unless indicated as 'Review Appraiser'. No change of any item in
the appraisal report shall be made by anyone other than the Appraiser, and the Appraiser shall have no responsibility for any
such unauthorized change.
CONTINGENT AND LIMITING CONDITIONS: The certification of the Appraiser appearing in the appraisal report is subject
to the following conditions and to such other specific and limiting conditions as are set forth by the Appraiser in the report.
1. The Appraiser assumes no responsibility for matters of a legal nature affecting the property appraised or the title there-
to, nor does the Appraiser render any opinion as to the title, which is assumed to be good and marketable. The property is
appraised as though under responsible ownership.
2.Any sketch in the report may show approximate dimensions and is included to assist the reader in visualizing the prop-
erty. The Appraiser has made no survey of the property.
3.The Appraiser is not required to give testimony or appear in court because of having made the appraisal with reference
to the property in question, unless arrangements have been previously made therefor.
4.Any distribution of the valuation in the report between land and improvements applies only under the existing program
of utilization. The separate valuation for land and building must not be used in conjunction with any other appraisal and are
invalid if so used.
S.The Appraiser assumes that there are no hidden or unapparent conditions of the property, subsoil, or structures, which
would render it more or less valuable. The Appraiser assumes no responsibility for such conditions, or for engineering which
might be required to discover such factors.
6.lnformation, estimates, and opinions furnished to the Appraiser. and contained in the report, were obtained from sources
considered reliable and believed to be true and correct. However, no responsibility for accuracy of such items furnished the
Appraiser can be assumed by the Appraiser.
7.Disclosure of the contents of the appraisal report is governed by the Bylaws and Regulations of the professional appraisal
otganizations with which the Appraiser is affiliated.
8.Neither alf, nor any part of the content of the report, or copy thereof (including conclusions as to the property value,
the identity of the Appraiser, professional designations, reference to any professional appraisal organizations, or the firm with
which the Appraiser is connected), shall be used for any purposes by anyone but the client specified in the report, the borrower
if appraisal tee paid by same, the mortgagee or its successors and assigns, mortgage insurers. consultants, professional appraisal
organizations, any state or federally approved financial institution, any department, agency, or instrumentality of the United
States or any state or the District of Columbia, without the previous written consent of the Appraiser; nor shall it be conveyed
by anyone to the public through advertising, public relations. news, sales, or other media, without the written consent and
approval of the Appraiser.
9.0n all appraisals, subject to satisfactory completion, repairs. or alterations. the appraisal report and value conclusion are
contingent upon completion of the improvements in a workmanlike manner.
ENVIRONMENTAL DISCLAIMER The value estimated is based on the assumption that the property is not negatively affected
by the existence of hazardous substances or detrimental environmental conditions unless othefwise stated in this report The appraiser
is not an expert in the identification of hazardous substances or detrimental environment cooditions. The appraiser's routine inspection
of and inquiries about the subject property did not develop any infonnation that indicated any.A rent significant h rdous sub-
stances or detrimental environmental conditions whic Id affect the property nega' Iy otherwise sta this report.
n is possible that tests and inspections made by a hazardous substance a expert 'NOU1d r the xistence
of hazardous substances or detrimental enviro I conditions on or around e t would a its value.
~
App
Date: OCTOBER 18. 2004
Freddie Moc Form 4J9 7/86
ClickFORMS Appraisal Software 800-622-8727
Fannie Mae Form 10048 7~
Page 14 of 19
THOMAS HOFFMASTER/HOMEMASTERS REALTY GROUP
File No. 20041002
Case No.
APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that:
1. I have researched the subject market area and have selected a minimum of three recent sales of properties most similar
and proximate to the subject property for consideration in the sales comparison analysis and have made a dollar adjustment
when appropriate to reflect the market reaction to those items of significant variation. If a significant item in a comparable
property is superior to, or more favorable than, the subject property, I have made a negative adjustment to reduce the
adjusted sales price of the comparable and, if a significant item in a comparable property is inferior to, or less favorable
than the subject property, I have made a positive adjustment to increase the adjusted sales price of the comparable.
2. I have taken into consideration the factors that have an impact on value in my development of the estimate of market
value in the appraisal report. I have not knowingly withheld any significant information from the appraisal report and I
believe, to the best of my knowledge, that all statements and information in the appraisal report are true and correct.
3. I stated in the appraisal report only my own personal, unbiased, professional analyses, opinions, and conclusions, which
are subject only to the contingent and limiting conditions specified in this form. I certify that, to the best of my knowledge and
belief: The statements of fact contained in this report are true and correct. The reported analyses, opinions, and conclusions are
limited only by the reported assumptions and limiting conditions, and are my personal, impartial, and unbiased professional
analyses, opinions and conclusions.
4. 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 did not base, either partially or completely, my analysis and/or the estimate of market value in
the appraisal report on the race, color, religion, sex, handicap, familial status, or national origin of either the prospective owners
or occupants of the subject property or the present owners or occupants of the properties in the vicinity if the subject property.
5. I have no present or contemplated future interest in the subject property, and neither my current or Mure employment
nor my compensation for performing this appraisal is contingent on the appraised value of the property.
6. My engagement in this assignment was not contingent upon developing or reporting predetermined results. My compensation
for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in
value that favors the cause of the client. the amount of the value opinion, the attainment of a stipulated result, or the occurrence
of a subsequent event directly related to the intended use of this appraisal.
7. My analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform
Standards of Professional Appraisal Practice in place as of the effective date of this appraisal, with the exception of the departure
provision of those Standards, which does not apply. I acknowledge that an estimate of a reasonable time for exposure in the
open market is a condition in the definition of the market value and the estimate I developed is consistent with the marketing time
noted in the neighborhood section of this report, unless I have otherwise stated in the reconciliation section.
8. I have made a personal inspection of the property that is the subject of this report. I further certify that I have noted any
apparent or known adverse conditions in the subject improvements, on the subject site, or on any site within the immediate
vicinity of the subject property of which I am aware and have made adjustments for these adverse conditions in my analysis of
the property value to the extent that I had market evidence to support them. I have also commented about the effect of the
adverse conditions on the marketability of the subject property.
9. No one provided significant professional assistance to the person signing this report
If I relied on significant professional assistance from any individual or individuals in the performance of the appraisal or the
preparation of the appraisal report, I have named such individual(s) and disclosed the Specific tasks performed by them
in the reconciliation section of this appraisal report. I certify that any individual so named is qualified to perform the tasks.
I have not authortzed anyone to make a change to any item in the report; therefore, if an unauthorized change is made to the
appraisal report. I will take no responsibility for it.
SUPERVISORY APPRAISER'S CERTIFICA nON: If a supervisory appraiser signed the appraiser report, he or she
certifies and agrees that: 'directly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal
report, agree with the statements and conclusions of the appraiser, agree to be bound by the appraiser's certifications
numbered 4 through 7 above, and am taking full responsibility for the appraisal and the appraisal report
ADDRESS OF PROPERTY APPRAISED:
~WJ-
Name, THOMAS S. HOFFMASTER "
Date Signed, OCTOBER 18, 2004
State Certification#: RL-001987-L
or State License #:
State, PENNSYlVANIA
Expiration Date of Certification or license: JUNE 30, 2005
SUPE RY APPRAISER (onlyifreqllireJ)
~~
Signature:
Name:
Date Signed:
State Certification #:
or State License #:
State:
Expiration Date of Certification or license:
D Did D Did Not Inspect Property
USPAP 33199 Comp/iaru
CUckFORMS Appraisal Software 800--622-8727
Page 15 of 19
'.
THOMAS HOFFMASTER/HOMEMASTERS REALTY GROUP
CERTIFICATION
File No. 20041002
Case No
Borrow" NI A
f70perty Address 11 NOTTINGHAM ROAD .
C;~ CAMP HILL Coun~ CUMBERLAND
Lender/Client DISSINGER & DISSINGER Address
State PA lip Code 17011~7919
400 SOUTH STATE ROAD. MARYSVlllE. PA 17053
F.I.R.R.E.A. ADDENDUM
I. PURPOSE OF THE APPRAISAL The purpose of this report is to estimate the market value of the subject property, as
defined herein. The estimate of market value is to be used solely by the client as a basis for lending decisions or portfolio
management.
II. SCOPE OF THE APPRAISAL The following steps were followed in arriving at the final estimate of value included in the
appraisal report of the subject property:
1. An investigation was made to determine market trends, influences and other significant factors pertinent to the subject
property.
2. A physical inspection of the property was performed. Although due dilligence was exercised while at the subject property,
the appraiser is NOT an expert in such matters as pest control, structural engineering, hazardous waste, or construction etc.
and no warranty is given or implied as to these or other elements outside of analysis of market data. Inspections by various
professionals within these fields may be recommended with the final estimate of mar1<et value subject to their findings.
3. A more detailed review of the collected data was then performed with the most relevant factors extracted and considered.
Sales were examined and confirmed dosed from material provided by one or more service(s) that obtain information from
public records. Market factors were weighted and their influence on the subject property was determined. A highest and best
use analysis was done on the subject property.
4. The appraisal report was then completed in accordance with standards dictated by THE APPRAISAL FOUNDATION in the
UNIFORM STANDARDS OF PROFESSIONAL APPRAISAL PRACTICES (USPAP). The report included sufficient data and
information needed to lead a reader to a similar conclusion of mar1<et value.
5. The appraisal report was then delivered to the dient, which constiuted the completion of the assignment.
III. THIS REPORT COMPLIES WITH THE UNIFORM STANDARDS OF PROFESSIONAL APPRAISAL PRACTICES (USPAP) As
adopted by the Appraisal Standards Board at The Appraisal Foundation as of August 9, 1990.
W. COMPETENCY OF THE APPRAISER Unless otherwise noted in writing, the appraiser has done similar assignments and
has the knowledge and experience to complete this assignment competently.
I
i
I
l
t-
V. SALES HISTORY The marketing history of the subject was researched for at least one year. Unless otherwise noted in the
appraisal report, the subject property has not been listed, sold or transferred in the past twelve months.
VI. RENTS AND VACANCIES Unless otherwise noted in the appraisal report, the subject property is currently owner
occupied.
VII. TREND ANALYSIS real estate prices have been changing due to current economic conditions and local trends. It is
reasonable to assume that this same trend would apply to the subject Still the average marketing time typically varies
between 90-180 days for residences within the county provided the property is competively priced and property mar1<;eted.
i
I
I
VIII. DEDUCTIONS AND DISCOUNTS In keeping with the USPAP, any financing concessions that influence the selling price of
a comparable sale were addressed and accounted for to result in a mar1<;et value of the subject property that is free of
discounts, deductions or other seHer concessions.
IX. PROHIBITED INFLUENCES The appraisal assignment was not conditioned upon the appraisal produdng a specific
valuation or approval of a loan. Employment of the appraiser was not conditioned upon the appraisal production a specific
value. Neither employment nor compensation are based upon approval of any related loan application.
X. SELF CONTAINMENT This appraisal report is intended to be a self contained document containing all information
necessary to enable a reader to understand the appraiser's opinion. Any third party studies referred to, such as pest control,
structural, soils or hazardous materials have been verified by the appraiser as to their existence, to the extent the assumptions
and condusions are used. If not included with the report, they are maintained with our fife and available upon request by the
client
Xl. PERSONAL PROPERTY Any personal property involved in the transaction have been excluded from the valuation of the
real property. Should a transaction which indudes personal property of sufficient value to affect the ma~et value of the real
property be evident, a separated assessment of the personal property fixtures or intangible items will be included with the
report as a separate valuation.
XIl. THREE APPROACHES TO VALUE The appraiser has made a reasonable effort to apply the three recongnized approaches
to value. Most single family residences are purchased for owner occupancy and, as such, the INCOME APPROACH does not
generally reflect the highest and best use of the property and is not generally relevant indicator of market value. The use of
the INCOME APPROACH to value will only be used:
CfickFORMS Appraisal Software 800..s22a8727
Page 16 of 19
CERTIFICATION
File No. 20041002
Case No.
Borrower N/A
Property Address 11 NOTTINGHAM ROAD
Ci~ CAMP HILL Coun~
LenderlCI~nl DISSINGER & DISSINGER
CUMBERLAND Slate PA ZJpCode 17011-7919
Address 400 SOUTH STATE ROAD, MARVSVILlE. PA 17053
1. At the request of the client for noo-owner occupied units.
2. When sufficient market evidence exists in a neighborhood to indicate that rental properties Of investor purchases are
typical, measurable and their analysis adds to the relevancy and reliability of the appraisal process.
I CERTIFY TO THE BEST OF MY KNOWlEOGE AND BELIEF:
The statements of fact contained in this report are true and correct.
The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, and
are my personal unbiased professional analysis. opinions and conclusions.
Unless othelWise noted in this report, I have no present or prospective interest in the property that is the subject of this report,
and I have no personal interest or bias with respect to the parties involved.
Sig
THOMAS S. HOFFMASTER
"
ClickFORMS Appraisal Software 800-622-8727
Page 17 of 19
CER IIrlCA liON
Borrower N/A
Property Address 11 NOTTINGHAM ROAD
City CAMP HILL
Lender/Client DISSINGER & DISSINGER
County
File No. 2.0041002
Case No.
CUMBERLAND State PA Zip Code 17011-7919
Address 400 SOUTH STATE ROAD, MARYSVILLE, PA 17053
,- -,.,,-#,.,.
T ~ ~-....
..,
<: ::ul:5
.:z -<::;:;3:
I r ~m~
.'
r-Ocn
... r-:!!~
~ mfijm
ir .... ....
.!f ~ ffi
0 - z:
... .... ::t:
':1 0
0 f; 01
0' ."
~ ...
~ 3:
~. >
!O- en
i ....
m
i ::u
[
)>
if
=-
:::u
r
o
o
.....
CD
CD
.....
r
zQ
= :1
e -
.:l
g;g
..-
<'II
I. ~
P "0. ~
I' en -
I - .. -
~ III ~
I 01 ::to
j;.;' C -
....
01 = U)
01 t:1 U)
011 III 01
~
.~. ...~. "'~. I
.. . './ ....~: ,,~;;. I
,,-- ..~,..,.. <-= - -.... -~ 'j,..'>' .-1?' :
... ~:- :~i~ f. :~I~~;" ,
_ ..,...{"" ... \:'.;,',~'/ _::t~;.~,;~ !
~ -.~.:..-~.~:~ ;./~ :~,~;~~~.:.',:.;::~~~t {~~.~~.~ '. r
;t. " :1'"'' .. , '.. .-,' # I
i ,~,:'"'' ':~';;~:~-'r?~:}
- .... '~. ,...=>.....,.>,. -.'>..........
1, ';.';'<. >.'.- ~'\<~;;;>':':~"~",?'.
s:1.... ~"".J: ...- ..., .~-,.... >~
:cD~.. c .~ r--~.',.."'~: 'U~j.,'
:::t.' .' .,'
~'" ,'-.
~., ","
>-
"'C
"'C
iiJ
or
ell
...
'..
'."'
,~.-:"
.0.<::1 .,' ('.r~'<;'
..sT~~'::_--~-'~ .' =- ~., 0 ~~;.~...'
~~.. - - ,,<.,C ""l a....,
..;$'r ,-.~ '.... ~-_ :. _"",: ..~. ;jIIIIoj '.. ;;9.... "=:...:~r
.... - 'y'" " #~~ ...-.. -'.' .> "","
..:l"- "\ ;..: ........----... ......:2.... ~~a;" "it' 0 '" . >"S; ".
.0;:" .:":. .~ ...:;~; .-7 ~..... -. ,'" . r.._
,,- ,~... .(.".. : i~..,.. .):--'WI-_ ':';".jIIJIIII 1jJ-:":.-~',:",,,,,,
.' ".~.., '.' '....c".>.. ,.- J";;.""""'. ..... ._~;... -~#
, ....-. ~ .:~' '.~. ....~, "" '.' 0 .".'~~ '1,'
". -' ;'~'...;. -='.=;.",'""0' J'
""':' i' :..' D~'~' >> ___.r.:'
"'f:; II" ~ ~ ."'.<
";... ..'" ~-:.... ~..'~""'~"#Ii ~
I;'~ I>> ~(D.:=r i
g" = -.;:" .......--".,
s::- ~. ~ ...,-~/~
"'f'" c...:~ .:~"''''''''''~.c:.
,. (lQ" o.~:..... -.....
".O~"""""
.\ -. . -' .-';' -":I' .' tJ'1 fD t-;,.r/'T/
<:", " .'C: ,,,", .;.>.~ ;'''';; -1>...,
_... :_ ~-".,..::...~ s:g :!~r;~
- ",-"'1___ ...-w~'''''' ?-.~):=~~f'!'to ,l!J.,....-r<.. '/~
J. .::.........-...... . ~ :;::~ ~ 'II' '~...:~;._<
.- ..~:~_ _" . ...~;.~:-.-.~;.~:~:t. ,,;>"'v < '~.r.l..>'
, ....-- -_t-r- '."~'C(! C:"". >>,_l....t.,<'
" ? .;: ~;= '~>:~.,~.~'~y~;.~
. ".., 1>>.;' '-'>'>>> j/
~~., ..~. ~< -
~~::';~;j:.~;;;~~ -
~. ,''(,,'''--.''
\. ..:' i~~:~~~~~,;: <~~;~
.~.,s. $.
...~...-~.,) (:~~..}!"~ff .
~.~r~.:o?:'>>.~~<~~ ,II
cpo "'" __ ";. '. ".~ '~.
. ~ ~g~ ...~-. "':":~'::'<~.$A:"{~ ..'1
. .~.~ -::..:;;;t.g}i~::' 1
"
- ~ ,-
... -~
-
CI
-.
..
-
10
-
n
~
.,
..
-
~
n
I>>
-
-
Q
=
t:l
10
..
~
~~"'~.
ClickFORMS Appraisal Software 800-622-8727
Page 18 of 19
~
E & 0 INSURANCE
File No. 2.o0410J2
Case No.
Borrower N/A
Property Address 11 NOTTINGHAM ROAD
City CAMP HILL
Lender/Client DISSINGER & DISSINGER
County
CUMBERLAND State PA Zip Code 17011-7919
Address 400 SOUTH STATE ROAD, MARYSVILLE, PA 17053
Genera/StarN
GENERAL STAR NATIONAL INSURANCE COMPANY
P.O. Box10354
Stamford, Connecticut 06904
REAL ESTATE AGENTS ERRORS & OMISSIONS LIABILITY INSURANCE POLICY
DECLARATIONS PAGE
This Is a claims made and reported policy_
Please read this policy and all endorsements and attachments carefully.
N1 A98S316
Policy Number:
Renewal of Number.
'Ray J Marsico Assoc::: me tla
Homanasten Realty Group
IBS Lee Drive
Morysvillo, PA 17053
,., ,
1. NAMED INSURED:
MAILING ADDRESS:
2. POLICY PERIOD: Inception Date: 06'll1l2OO4 Expiration Date: 06'll1J'lOO5
Effective 12:01 8_m. Standard Time at the mailing address of the Named Insure<:!.
3. LIMIT OF LIABILITY:
Each Claim:
Aggregate:
Lock Box Liability:
s soo,ooo
s soo,ooo
See Aw..
4. CLAIM EXPENSES:
a. Arcinclu.dcdwithinthelimitsofliability.
5. STATUS OF INSURED:
6. DEDUCTIBLE: _ S 1 000
Each Claim: . ~
b. The deductible amount specified above applies to both Damaps and Claims Expeoses.
Corporation
7. PRIOR ACTS DATE: 06101/1997
If a date is indicated. this insurance will not apply to any regular act. error, omission or personal iryury
which occurred before such date.
8. PREMIUM:
S 500.00
9. ENDORSEMENTS:
This pofrcy is made and accepted such to the printed conditions in this policy together with the provisions.
stipulations and agreements contained in the following form(s) or endorsement(s).
GSN-06-RE.l2O (OIV2OO3) GSN-QS-PL-84OP A (0412003)
06-Plr37S (rJlfJJm)
10. MANAGING AGENT
Herbert H. Landy Insurance Agency, Inc.
75 Second Avenue. Suite 410
Needham, Massachusetts 02494-2876
~
>;==~ Airth~=edR'ePre'senta-tive>--~-
Producer Code: 00026230
Dato: 0611412004
'"-"',
CIas3 Code: 73127
SLAi/:
GSN.06--RE.720 (0312004)
----.--.--- ..
....---- _....~
CllckFORMS Appraisal Software 800-622-8727
Page 19 of 19
REGISTER OF WILLS
CUMBERLAND County, Pennsylvania
CERTIFICATE OF GRANT OF LETTERS
~ '_~" """r.:
.; ,tt~..... "i€ /,"r'~
"_:'f'~:..._..................:fI!/J::-~-
. ..... "..-,~ ......-,::l...~
, . ~ r.~: .,......,t..y ~
. ~fi/' " r'._,. """ P:.......
"~ .. , . ,~ "';,~~}~
~_ :H ~- ~~,~
; " "''- \ ;l~~.E
'. "-~ ::.. ii
"'1-' ,,".t~i:
"'_" ",fc~.'"
. .' tJ.<:........ ~..
,'.. >~ ~~ .,.
"~ .._",~:;.. ..,:'}.' .~,'
..~-~.~.
... ;... \.'\,~:-
......._I<.....WO>
No. 2004-00866 PA No. 21-04-0866
Es ta te Of: GELENCSER STEPHEN
(Last, First, Middle)
Late Of:
EAST PENNSBORO TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Security No: 171-28-6436
WHEREAS, on the 22nd day of September 2004 an instrument dated
October 16th 1979 was admitted to probate as the last will of
GELENCSER STEPHEN
(Last, First, Middle)
late of EAST PENNSBORO TOWNSHIP, CUMBERLAND County,
who died on the 3rd day of September 2004 and
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters of ADMINISTRATIONG.T.A. to:
GELENCSER LARRY C D
who has duly qualified as ADMINISTRA TOR(RIX) C. T.A.
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 22nd day of September 2004.
**NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE)
.-=-<'~
.-~
1!Last lIi11 attb QJ~stam~ttt
OF
STEPHEN GELENCSER
BE IT KNOWN HEREBY, that I, STEPHEN GELENCSER, of Lower
Allen Township, Cumberland County, pennsylvania, being of sound and
disposing mind and memory, do hereby make, publish and declare this
to be my Last Will and Testament, hereby revoking and making null
and void any and all last wills and testaments and codicils thereto
by me at any time heretofore made.
ITEM I. I direct that all my just debts, any expenses that
may have resulted from my last illness, and my funeral expenses
shall be paid from my estate as soOn as practicable after my decease.
ITEM II. I nominate, constitute and appoint my wife,
SHIRLEY ANN GELENCSER, to be the Executrix of this my Last Will and
Testament.
ITEM III. I give, devise and bequeath my e~~f~e
,~...; II:
_.J .'
real, personal and mixed, and wheresoever the same may'be
estate,:I;1
C) ~u ;J;:
.1::::":,,) ':J
~~ tua'l::~ ;:1,
Cd '::' ';i,:,
"'1
N
to my wife, SHIRLEY ANN GELENCSER.
ITEM IV.
In case my wife, SHIRLEY ANN GELENC$ER, ~!l;houl:g "die
~ '-' :'J.
before I do, or in case we should die as a result of a'comm~n acciden
then I make the following disposition of my estate:
A. I nominate,constitute and appoint my sister-in-law,
PATRICIA MAE DEVERS, to be the Executrix of this my Last will and
Testament.
B. I give, devise and bequeath my entire estate, real,
personal and mixed, and wheresoever the same may be situate to my son ,
MICHAEL STEPHEN GELENCSER and LARRY CHARLES DEAN GELENCSER.
C. In case my sons shall not have attained the age of
twenty-one (21) years at the time of my death, then I nominate,
cons,titute and appoint my sister-in-law, PATRICIA MAE DEVERS, as
C',';
. :"'~'"",~"_l".'T~: ~"~',C;;;~l~~,:\
guardian of my sons, MICHAEL STEPHEN GELENCSER and LARRY CHARLES
(;:
DEAN GELENCSER.
IN WITNESS WHEREOF, I, the said STEPHEN GELENCSER, here-
unto set my hand and seal to my will consisting of two pages on
this the
J (~ ,J'v
day of
C9-ot, .
, 1979.
l
~Vl'H.." h-'<2AvC.JJC/>~' (SEAL)
ATTESTATION,: This instrument was by the said STEPHEN
GELENCSER, on the date thereon, signed, published and declared by
him to be his Last Will and Testament, in our presence, who at his
request and in his presence and in the presence of each other have
hereunto subscribed our names as witnesses.
.A:? ..""-' ),\
<........-tit-e\./h .1)"<"" ..-"'7 . ~jft.~-YL.r:~
"
--y,-\,,)
,-7
",;{:/
'/:":':1.".;,-"."
/.7 Lt"'4
/
<,
/_C-""'l
~I
'"
--':')
I
j
l
f
COMMONWEALTH OF PENNSYLVANIA
DEPARTM[':NT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1712B.06Q1
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DISSINGER WilLIAM C
28 NORTH THIRTY-SECOND ST
CAMP Hill, PA 17011
nn__n fold
EST A TE INFORMATION: SSN: 171-28-6436
FILE NUMBER: 2104-0866
DECEDENT NAME: GElENCSER STEPHEN
DATE OF PAYMENT: 01/27/2005
POSTMARK DATE: 01/27/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 09/03/2004
NO. CD 004889
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,408.97
I
I
I
I
I
I
I
[
TOTAL AMOUNT PAID:
$2,408.97
REMARKS:
CHECK# 11848
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
Marjorie A. Wevodau
First Deputy
Kirk S. Sahonage, Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To:
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
192
2/3/2005
STEPHEN GELENCSER
21-04-0866
WILLIAM CDISSINGER, ESQ.
28 NORm 32ND ST
JA
CAMP HILL, PA 17011
35.00
Total
$35.00
Qty
1
Fee Description
Additional Probate
Fee
Total:
$35.00
Checks should be made payable to the Register of Wills. Terms: Net 30.
Please return one copy of this invoice with your payment. Thank you.
03/~4/2005 12:03
71 7'357231 \';
DISSINGER
PAGE 06
Glenda Farner Strasb8ugh
Regist", of Wills
snd
Cieri< of Orphans' Court
M51rjorie A. Wevodau
First Depuly
Kirk 5. 50__. Eoq
Scffcftor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240.6345
FAX (717)240-7797
I
INVOICE
J
Bill To:
WIlliAM C DISSINGER, ESQ.
28 NORTIi32ND S1'
InvoiceNo:
'Invoice Date:
Estllte of:
Estate No:
192
2/3/2005
S1EPHEN GELENCSER
21-Q4-C866
JA
CAMP HIll, P A 17011
Qty
1
Fee Description
Additional Probate
Fee
35.00
Total
$35.00
Total:
$35.00
rd
.'
(","i
Checks should be made pa}'ll.ble to the R"gister of WtI1s. Terms: Net 30.
Please ,."turo OP,e copy of this invoice with your payrnem. Thank you.
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 7/27/2006
DISSINGER WILLIAM C
400 S STATE ROAD
MARYSVILLE, PA 17053
RE: Estate of GELENCSER STEPHEN
File Number: 2004-00866
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
wills a Status Report of completed or uncompleted adrninistration.
This filing is due by:
9/03/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
,( ~ /)
f/." <..-"'" . Lt- ,/ ~~
i~ ufp,~}?a/~/1' -'
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 7/27/2006
GELENCSER LARRY C D
11 NOTTINGHAM ROAD
CAMP HILL, PA 17011
RE: Estate of GELENCSER STEPHEN
File Number: 2004-00866
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by:
9/03/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
1/; C~,~' , ~/_/;/-,_jJ
)(tb..h.. ~/ ~7f0
/
Glenda Farner Strasbaug~
Clerk of the Orphans' Court
cc: File
Counsel
m
~~}
'\.~/
~
Register of Wills of Cumberland County
Name of Decedent:
STATUS REPORT LJNDER RLJLE 6.12
S tef)J\t? t) 6~) e I I CS C ,,~-
<:1, ~-s .- ( \ '/
,!) ('.C (I - (\(. Sl, k-
Date of Death:
Estate No.:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes [)< No [J
2. lithe answer is No, state when the personal representative reasonably believes that
the administration \\oill be complete:
3. lithe answer to No.1 is Yes, state the following:
a. Did the personal representative file a fmal account \vith the Court?
Yes 0 No ~
b. The separate Orphans' Court No. (if any) for the personal representative's
account is: t--: /1'1-
c. Did the personal representative state an account informally to the parties in
interest? Yes m No 0
c. Copies of receipts, releases, joinders and approval offormal or informal
accounts may be filed \\oith the Clerk of the Orphans' COlL."'1: and may be
attached to this report.
Date:
7 /~ ;/0 (:./
. . r.)
L eLL t. Cl c-,l"v]..-/ (" 'd)(,j...'-i-\. i- \..(', , /l
Signature J
0, . \ Ii c: \I v \ (
Name
. ~'" - . .
l) ( 'S :'.> ( f I Y - ( "
r
::..~ :..! ~
c - . j ..
Capacity: 0 Personal Representative
0' Counsel for personal representatiye
-' .~. -
r
~J