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Home My WebLink About02-27-12.~ REV-1500 Ex (°'-10' 1505610143 ' OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE Po Box.2sosol INHERITANCE TAX RETURN 21 0 5 0 0 6 01 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 202 68 9465 06 22 2005 03 17 1981 Decedent's Last Name Suffix Decedent's First Name MI SGRIGNOLI THOMAS F (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 12-12-82) Decedent Died Testate ~ Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes ^ s• ^ (Attach copy of Trust) (Attach Copy of WII) 9. Liti ation Proceeds Received 10. Spousal Poverty Credit (date of death ^ 11.Election to tax under Sec. 9113(A) ® 9 ^ between 12-31-91 and i-1-95) (AtfaCh SCh. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number THOMAS P GACKI 717 237 6000 First line of address 213 MARKET STREET Second line of address 8TH FLOOR City or Post Office HARRISBURG State ZIP Code PA 17101 REGISTER ~VyjLLS USE-ONLY ``-- ~c....~~ S?? =~ , ~ /~ ~. •~~- - .. ,~ F? - - D~E~ILED IT'4 ~~~ _l: ~, ;i :'i -~~ -i7 Correspondent'se-mail address: tgaCki@eCkertSeamanS.COm Under penalties of perjury, I deGare 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. ,, . ,.~ ~ Ronald R. Sgrignoli z / Z ; / / Z 760 Magaro Road, la 17025 SIGNATU R ARER OT TH R RESE ATIVE DA Thomas P Gacki ~ ~ 7 ADDRESS 213 Market Street, Harrisburg, PA 17101 Side 1 1505610143 1505610143 ADDITIONAL Personal Representatives Sgrignoli, Thomas F SS# 202-68-9465 6/22/2005 Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is true, correct and complete. 2 Signature L1_ Name et S. Mi er Address 139 North Enola Road city, state, zip Enola PA 17025 Date 3 Signature Name Address City, State, Zip Date 4 Signature Name Address: City, State, Zip Date 5 Signature Name Address: City, State, Zip Date 6 Signature Name Address: City, State, Zip Date 1505610243 REV-1500 EX Decedent's Social Security Number oeceeenrsName: SGRIGNOLI, THOMAS F 202 68 9465 RECAPITULATION 1 65,000.00 1. Real Estate (Schedule A) .......................................................................................... 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. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ................ 5. 2 7 , 5 5 2 . 4 4 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7. 8. Total Gross Assets (total Lines 1-7) ....................................................................... g. 9 2, 5 5 2. 4 4 9. Funeral Expenses 8 Administrative Costs (Schedule H) ......................................... 9. 9, 1 5 0. 3 5 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 9 0 , 6 3 8.51 11. Total Deductions (total Lines 9 ~ 10) ...................................................................... 11. 9 9 , 7 8 8 . 8 6 12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. - 7 , 2 3 6 . 4 2 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ................................................. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ................................................. 14. - 7 , 2 3 6 . 4 2 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 0 0 0 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. 0 . 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 1505610243 REV-1500 EX Page 3 File Number 21 - 05 - 00601 Decedent's Complete Address: DE EDENT' NAME Sgrignoli, Thomas F STREET ADDRESS 760 Magaro Road CITY _-_--- STATE 'I ZIP _-- - Enola PA 17025 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 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. (1) 0.00 Total Credits (A + B) (2) 0.0 0 (3) 0.00 (4) (5) 0.00 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 .................................................................................................................. ^ ~~ d. receive the promise for life of either payments, benefits or care? .............................................................. ]] ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... iu I~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... [ ] I z] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................................................................................................... ~ !~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 retturn 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, w ether y blood or adoption. SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA ~' INHERRANCE TAX RETURN ~ RESIDENT DECEDENT __ _.. _.. '. FILE NUMBER ESTATE OF Sgrignoli, Thomas F ~ 21 - 05 - 00601 All real property owned sole)y or as a tenant in common must be repported 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 DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 Polecat Road, Duncannon PA 7/20/04 appraised value. See appraisal attached 65,000.00 TOTAL (Also enter on Line 1, Recapitulation) ~ 65,000.00 i SCHEDULE E ~,I CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY ~~ INHERITANCE TAX RETURN ~~I RESIDENT DECEDENT ~. I FILE NUMBER ESTATE OF Sgrignoli, Thomas F 21 - 05 00601 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 NUMBER 1 Members First savings account 2 2001 Toyota Tacoma Truck 3 Ford Excursion--Sale price 4 Miscellaneous Personal Property 5 Survival Claim--See court order/statement attached 6 Members First Checking Account VALUE AT DATE OF DEATH 3,749.18 8,000.00 14,023.91 1,000.00 0.00 779.35 TOTAL (Also enter on Line 5, Recapitulation) ~ 27,552.44 Sgrignoli, Thomas Statement to Schedule E 21-OS-00601 Decedent died as a result of a motorcycle accident. The litigation was not fully resolved until February, 2011, when the Court order attached hereto was issued, allocating all of the settlement proceeds to the wrongful death claims. By the time the final court order was obtained, the Correspondent for this return had had no contact with the administrators for several years. In April, 2011, Correspondent's law firm received a fax transmission indicating that one of the administrators, Ron Sgrignoli, had contacted another law firm to complete settlement of the estate. The other lawyer never took any action to do so. Finally, after some difficulty locating them, the Correspondent contacted the administrators and was able to complete the attached return. 1 ~ ~ rC ~ 1N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA RONALD R. SGRIGNOLI and JANET IN THE COURT OF COMMON PLEAS S. SGRIGNOLI, Administrators of the CUMBERLAND COUNTY, Estate of Thomas F. Sgrignoli, and PENNSYLVANIA in their own right, . Plaintiffs. vs. BRAD WICKER, THE MASON AND DIXON LINES, INC., a Michigan corporation and VERIZON PENNSYLVANIA INC., a Pennsylvania corporation, t/d/b/a VERIZON, Defendants. CIVIL ACTION -LAW C7 C N r ~ .T., 3 _i z~ m ~-~ r- N0.06-3578 Civil Term ~~ o~ • r~ o ~Q ~ 7~ `-7 a 3 ~ a ~ . . ~_ m ,;~ w ~ ~ -; ° ~; JURY TRIAL DEMANDED ORDER Q~~ AND NOW this 9 day of ,~ , 2011, upon the consideration of the attached Amended Petition for Court Approval of Settlement, and it appearing that all parties have reached an agreement in connection with settlement in this case and all parties have requested the Court to approve the settlement without a hearing, it is ordered and directed as follows: 1. The settlement between the parties as set forth in the Amended Petition for Court Approval of Settlement filed by the Plaintiffs is approved. 2. At the time of settlement, the Plaintiffs' stipulated that Thomas Sgrignoli did not endure any conscious pain and suffering; thereby withdrawing their Survival Action on behalf of the estate. 3. Therefore, all of the settlement proceeds shall be allocated to Plaintiffs' Wrongful Death claim. r ~ l 4. This Action is hereby settled and dismissed with the Court only retaining jurisdiction to enforce the terms of the Order as set forth above. BY THE COURT, h Judge `~f N iehQ.el I~erone, ~s~ JA,~rties E. ~;~,~ tee. ~ a~~«, , ~ '~ John E. Nab , ~. µ~o~ ,~ ~ 111 a~'°r ~~ SCF®ULE H FII~EFt~L D~ENSES & COMMONWEALTH Of PENNSYLVANIA w TDw T*~ INHERITANCE TAX RETURN r1~~ l I~11 1Y G ~~ RESIDENT DECEDENT ESTATE OF Sgrignoli, Thomas F Debts of decedent must be report ---ITEM - _ --- NUMBER FUNERAL EXPENSES: DESCRIPTION A. 1 'Richardson funeral Home 2 'Gate of Heaven Cemetery Plot and grave opening B. ADMINISTRATIVE COSTS: ~, ' Personal Representative's Commissions Name of Personal Representative(s) I Street Address City State Zip ~i 'I Year(s) Commission paid 2. Attorney's Fees Eckert Seamans 3, ' Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 4,771.00 1,400.00 2,000.00 Street Address I~, City State Zip ', Relationship of Claimant to Decedent 4. Probate Fees Register of Wills of Cumberland County 200.00 5. ~', Accountant's Fees 6. ~ Tax Return Preparer's Fees I 7. Other Administrative Costs 1 Balance of Members First checking applied to Ford Excursion Loan after death 779.35 i I FILE NUMBER 21 - 05 - 00601 _- _- _- on Schedule L AMOUNT TOTAL (Also enter on line 9, Recapitulation) 9,150.35 SCHEDULEI DEBTS OF DECEDENT, MORTGAGE II COMM HER TI ANCE TAX RETURN ~~ LIABILITIES, & LIENS RESIDENT DECEDENT i FILE NUMBER ESTATE OF Sgrignoli, Thomas F ~ 21 - 05 - 00601 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM DESCRIPTION NUMBER 1 Mortgage on Polecat Road property 2 Auto Loan (Excursion) 3 I Personal Loan AMOUNT 73,184.64 14,023.91 3,429.96 -- TOTAL (Also enter on Line 10, Recapitulation) 90,638.51 McCarthy assoc. Valuation Report Client: FIRST NATIONAL BANK OF MARYSVILLE 101 LINCOLN STREET P.O. BOX B MARYSVILLE, PA. 17053-0017 Borrower/Owner : SCRIGNOLI , THOMAS F. POLECAT ROAD DUNCANNON , PA. 17020 Assigned 07-20-04 Appraised 07-22-04 Valuation: $ 65,000 McCarthy assoc. Patrick A. McCarthy, Broker 320 North Front Street Wormleysburg , Pa. 17043 Phone# (717) 761-5400 Fax# (717) 761-5410 ~ ~ ,/~ , P rick A. McCarthy , # RL00115 SUMMARY OF SALIENT FEATURES Subject Address POLECAT ROAD Legal Description DEED BOOK 892 PAGE 048 MSA # 42099 City DUNCANNON County PERRY State PA. Zp Code 17020 Census Tract 0302 Map Reference PERRY COUNTY Sale Price $ UNKNOWN Date of Sale UNKNOWN Borrower/Client SCRIGNOLI ,THOMAS F. Lender FIRST NATL. BANK OF MARYSVILLE Size (Square Feet) 600 Price per Square Foot $ 108.33 Location RURAL Age 32 Condition AVERAGE Total Roams 2 Bedrooms 1 Baths 0 Appraiser PATRICK A. MCCARTHY Date of Appraised Value JULY 22.2004 Final Estimate of Value $ 65,000 Form SSD - "TOTAL for Windows" appraisal software by a la mode, inc. - 1-800-ALAMODE Mcl;arthy Associates FNB MARYSVILLE o,,.~e.r„ne~~.i~r~~~ UNIFORM RESIDENTIAL APPRAISAL REPORT file No. SCRIGNOLI.THOS Pro a Address POLECAT ROAD CI DUNCANNON State PA. Zi Code 17020 Le al Descri tion DEED BOOK 892 PAGE 048 MSA # 42099 Coun PERRY Assessor's Parcel No 160-075.00-048.000 Tax Year 2004 R.E. Taxes $ 438.25 Special Assessments S NONE Borrower SCRIGNOLI ,THOMAS F. Current Owner HAMMAKER , DUANE E. !JUDITH Occu ant: Owner Tenant I Vacant .. Pro a ri hts a raised Fee Sim le Leasehold Project T e PUD j 1, Condominium HUD A onl HOA $ N/A Mo. Nei hhorhood or Project Name MILLER TOWNSHIP Ma Reference PERRY COUNTY Census Tract 0302 Sale Price UNKNOWN Date of Sale UNKNOWN Descri tion and amount of loan char es concessions to be aid b seller NONE KNOWN Lender/Client FIRST NATL. BANK OF MARYSVILLE Address 101 LINCOLN ST. P.O. BOX B MARYSVILLE. PA. 17053-0017 _ A raiser PATRICK A. MCCARTHY Address 320 NORTH FRONT STREET WORMLEYSBURG , PA. 17043 Rural Urban ~ (Suburban ~ Location [ Predominant hEg RA 91e family hoAs present land use % Land use change _ _ Built up ~ j Over 75% ~ 25-75% ~_ (Under 25% occupancy C P $(OOCOE) (yrs) One family 35 ; [Nat likely ~ Likely Growth rate (~ Rapid ~ Stable ~ _) Slow ~ Owner 45 Low NEW 2-4 family 02 [] In process Property values ^ Increasing ~ Stable [ ]Declining ~ Tenant ( 299 High 120 Multi-family To: EVENTUAL S/F ( Over supply In balance [ Demand/supply [[ Shortage ~ _ ~ Vacant (0-5%) - ~ ~'redominant ~'~ ~ ;Commercial OS RESIDENTIAL. _ _ Marketin time Under 3 mos. 3-6 mos. I Over 6 mos. Vac. aver 5% 110 26 VAC. 58 Note: Race and the racial composition of the neighhorhood are not appraisal factors. Neighborhood boundaries and characteristics: THE SUBJECT PROPERTY IS BOUNDED AT THE NORTH BY THE TOWNSHIP BOUNDARY AT THE WEST BY PA. RTE 849 , AT THE SOUTH BY THE TWP. BOUNDARY LINE AND AT THE EAST BY COSHES RUN RD. factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to market, etc.): • THIS RUF2AL NEIGHBORHOOD MILLER TWP. IS COMPRISED PRIMARILY OF PROPERTIES REFLECTING SIMILAR QUALITY _ MAINTENANCE DESIGN /APPEAL AND MARKETABILITY TO THE SUBJECT PROPERTY. AVAILABILITY TO MOST MAJOR RELATIVE CONVENIENCE TO SHOPPING (FOOD !RETAIL) ,SCHOOLS (PUBLIC -ALL EMPLOYMENT SECTORS , AND _ LEVELS AND TO ASSORTED AND DIVERSE RECREATION. NO UNFAVORABLE FACTORS WERE OBSERVED THAT WOULD NEGATIVELY IMPACT THE MARKETABILITY OF THE SUBJECT PROPERTY. Market conditions in the subject neighborhood (including support for the above conclusions related to the trend of property values, demand/supply, and marketing time --such as data on competitive properties for sale in the neighhorhood, description of the prevalence of sales and financing concessions, etc.): STABLE AND COMPETITIVE MARKETING CONDITIONS EXIST. FINANCING IS READILY AVAILABLE. DEMAND AND SUPPLY IS STABLE AND MARKETING TIME IS ESTIMATED AT APPROXIMATELY 3-6 MONTHS LOCAL MARKET DATA-MLS PUBLICATIONS . GROWTH RATE AND PROPERTY VALUES ARE BOTH STABLE AND COMPETITIVE MARKETING CONDITIONS EXIST. FINANCING IS READILY AVAILABLE AS INTEREST RATES HAVE PLUMMETED TO 40 YEAR RECORD LOWS. Project Iniormatlon for PUOs (If applicable) - - Is the developer/builder in control of the Home Owners' Association (HOA)? (,., f Yes No N/A _ Approximate total number of units in the subject project N/A Approximate total number of units for sale in the subject project N/A Describe common elements and recreational facilities: N/A Dimensions 434.19 X 441.86 X 302.95 X 459.66 X 744.52 Topography SLOPING TERRAIN -STEEP Site area SLOPING TERRAIN -STEEP (341 946 S.F.) Corner Lot ~_] Yes ~ No Size 341,946 S.F. Specific zoning classification and description RESIDENTIAL Shape TRAPEZOIDAL ^ Legal nonconforming (Grandfathered use) [~ Illegal LJ No zoning Zoning compliance ~ Legal Drainage APPEARS ADEQUATE __ Hi hest & best use as im roved: Present use Other use ex lain View PLEASANT Utilities Public Other Off-sitelmprovements Type Public Pri ate Landscaping MATURE /NATURAL Electricity ~ 200 AMP v Street MACADAM ~ (__) Driveway Surface STONE /DIRT Gas ~] LIQUID PROPANE Curb/gutter NONE [~ ~__( Apparent easements 16' PRIV. ACCESS R-O-W Water ^ NONE Sidewalk NONE (_[ (__) FEMA Special Flood Hazard Area [~ Yes ~ No Sanitary sewer [~ NONE Street lights NONE [_~ [___( FEMA Zone B-C Map Date 4-15-81 Storm sewer Alle NONE FEMA Ma No. 421954 Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning use, etc.): NO DELETERIOUS CONDITIONS EXIST. THERE ARE EASEMENTS ENCROACHMENTS RIGHTS-OF-WAY AND RESTRICTIONS OF RECORD KNOWN TO THE APPRAISER. A STATED 16' PRIVATE, ACCESS RIGHT-OF-WAY , TO SUBJECT SITE. GENERAL DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION BASEMENT INSULATION No. of Units 1 Foundation CONC. SLAB Slab YES -FULL Area Sq. Ft. CONC. SLB. Roof j ( No. of Stories 1.5 Exterior Walls VINYL Crawl Space NONE % Finished ----------------- Ceiling UNDET. Type (Def./Att.) DETACH. Roof Surface F.GLASS SHN. Basement NONE Ceiling ----------------- Walls UNDET. Design (Style) BUNGLW. Gutters & Dwnspts. ALUMINUM Sump Pump NONE Walls ---- -- --------- Floor (__( Existing/Proposed EXISTING Window Type D. HUNG Dampness NONE NOTED Floor --------------- None [] Age (Yrs.) 32 Storm/Screens ALUMINUM Settlement NONE NOTED Outside Entry ---------------- Unknown ^ Effective A e rs. 12 Manufactured House NO Infestation NONE NOTED R-FACTOR UNDET. ROOMS Fo er Livin Dinin Kitchen Den Famil Rm. Rec. Rm. Bedrooms # Baths Laund Ot her Area S . Ft. Basement C. SLB. CONC. SLB. Levell AREA AREA 1 AREA 600 Level2 Finished area above rode contains: 2 Rooms 1 Bedroom s • 0 Bath s • 600 S ware Feet of Gross Livin Area INTERIOR Materials/Condition HEATING KITCHEN EQUIP. ATTIC AMENITIES CAR STORAGE: Floors CONCRETE AVG. Type SPC/STV Refrigerator ~ None [_i Fireplace(s) # CLSTV 6Q None [] Walls PANEL AVG. fuel LP! CL. Range/Oven ~ Stairs [] Patio I-~ Garage # of cars Trim/Finish WOOD AVG. Condition AVG. _ Disposal [] Drop Stair ~ Deck [_] Attached Bath Floor NONE COOLING Dishwasher [] Scuttle [J Porch STOOP ~ Detached Bath Wainscot NONE Central NONE FaNHood [] Floor ~ J Fence [] Built-In Doors NONE Other ------------ Microwave ^ Heated [_~ -- Pool [) -_ Carport Condition ------------ Washer D er Finished POLE PAVILION Drivewa OSP- MUL. Additional features (special energy efficient items, etc.): FRONT STOOP CONCRETE 'VINYL SIDING ADDED IN 1996' 200 AMP ELECTRIC SERVICE (2001 ') 'GAS / LP SPACE HEATER ,AND COALSTOVE ` NO WELL /SEPTIC NO PERM. BATH Condition of the improvements, depreciation (physical, functional, and external), repairs needed, quality of construction, remodeling/additions, etc.: NORMAL PHYSICAL DEPRECIATION HAS OCCURRED. NO PHYSICAL OR EXTERNAL INADEQUACY WAS NOTED AT THE TIME OF INSPECTION. AVERAGE UPKEEP AND OVERALL CONDITION WAS NOTED AT THE TIME OF INSPECTION. THE SUBJECT PROPERTY WILL RECEIVE AVERAGE ACCEPTANCE IN THE CURRENT MARKET. FUNCT. DEP. - NO WELUSEPTIC BATH. Adverse environmental conditions (such as, but not limited to, hazardous wastes, toxic substances, etc.) present in the improvements, on the site, or in the Immediate vicinity of the subject property.: NO ADVERSE ENVIRONMENTAL CONDITIONS WERE NOTED. THE APPRAISER WISHES TO NOTE THAT HE IS NOT AN EXPERT IN THE FIELD OF ENVIRONMENTAL STUDIES ,AND AN EXPERT MAY CONTRAST. Freddie Mac Form 70 6/93 PAGE 1 OF 2 Fannie Mae Form 1004 6193 Form UA2 - "TOTAL far Windows" appraisal software by a la mode, inc. -1-800-ALAMODE ' FNB MARYSVILLE valuatlnn Sactlo~ UNIFORM RESIDENTIAL APPRAISAL REPORT File No. SCRIGNOLI,THOS. ESTIMATED SITE VALUE _ $ 50,000 ESTIMATED REPRODUCTION COST-NEW-OF IMPROVEMENTS: Dwelling 600 Sq. Ft. @$ 31.05 = $ 18,630 CONC. SLAB Sq. Ft. @$ ------------ _ --------------------- Comments on Cost Approach (such as, source of cost estimate, site value, square toot calculation and for HUD, VA and FmHA, the estimated remaining economic lice of the property): _ HUD / VA /FHA PROPERTY STANDARDS ARE NOT - STOOP - 500 APPLICABLE TO THIS APPRAISAL REQUEST. _ 0.00 Garage/Carport OSP Sq. Ft. @$ ----------- _ - _ Total Estimated Cost New = $ 19 130 REPRODUCTION COSTS ARE OBTAINED FROM THE - less Physical Functional External MARSHALL-SWIFT RESID. COST HANDBOOK AND / OR Depreciation 6 726 ~ _$ 6,726 LOCAL CONTFZACTORS GOOD DUAL. 1.5 STY. DET. . Depreciated Value of Improvements =$ 12 404 "As•is" Value of Site Improvements _ _ _$ 3 595 ESTIMATED REMAINING ECONOMIC LIFE - 45 - 50 YRS. INDICATED VALUE BY COST APPROACH =$ 65,999 ITEM SUBJECT COMPARABLEN0.1 COMPARABLE N0.2 COMPARABLE N0.3 POLECAT ROAD Address DUNCANNON RD # 2 BOX 105 LANDISBURG 97 LINTON HILL ROAD DUNCANNON 8 COOK ROAD DUNCANNON Prozimi to Sub'ect c. Ci. `+ ~~ • °' Q MII FS WEST 2 MILTS SF 3 MILTS SOUTH F Sates Price UNKNOWN •'r' ~ ~ 75 000 '- '~ ~' ~.'~~1`~'"i' ~ _ 75.000 ~'~!'_ ~ - _~ R6 900 Price Gross Livin Area 108.33 rh $ 106.53 ~/ ~ ~ 61 98 ~h. _ _,'T~i'~a $ 64.66 d~ „ . 3 Data and/or Verification Source INSPECTION COURT HOUSE _ __ _ M.L. 04-01-208 COURT HOUSE M.L. 02-04-247 COURT HOUSE M.L. 02-02-288 COURT HOUSE VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $ Ad'ust. DESCRIPTION + - $ Ad'ust. DESCRIPTION + - $ Ad'ust. Sales or Financing Concessions ' CONY. DOM / 68 CONV. DOM / 29 CONY. DOM / 5 Date of Sale ime 1-21-04 10-7-02 5-3-02 Location RURAL RURAL /SIM. 0 RURAL /SIM. 0 RURAL /SIM. 0 Leasehold Fee Sim to FEE SIMPLE FEE SIMPLE FEE SIMPLE FEE SIMPLE Site 7.85 ACRES 11.16 ACRES -5 000 11.03 ACRES -4 800 7.11 ACRES +1 000 View PLEASANT SIMILAR SIMILAR SIMILAR Oesl n and A eal BUNGALOW BUNGALOW 0 S.W. MOBILE 0 A-FRM. DET. 0 Ouali of Construction AVERAGE AVG. 1 SIM. 0 AVG. I SIM. 0 AVG. I SIM. 0 A e 32 24 / EFF-SIM. 0 16 / EFT- SIM. 0 29 / EFF-SIM. 0 Condition AVEF2AGE AVG. /SIM. 0 AVG. /SIM. 0 AVG. /SIM. 0 Above Grade Total ~ Bdrms Baths Total Bdrms ~ Baths ' TotalBdrms ~ Baths TotalBdrms ~ Baths Roam Count 2~ 1~ 0 4~ 2 1 -3,000 6 3~ 2 ~ -3,500 5~ 3 2 -3,500 Gross Livin Area 600 S . ft. 704 5 . Ft. 0 1 210 S . FL ~ -4 900 1 344 S . Ft. -6,000 - - Basement & Finished. Rooms Below Grade CONC. SLB. ---------------- CRAWL SPACE 0 -00- CRAWL SPACE 0 -00- CRAWL SPACE 0 -00- • Functional Utili FAIR GOOD /SUP. -5 000 GOOD /SUP. -5 000 GOOD ISUP. -5,000 Heatin Coolin CLSN./LP SPC. EBB 0 G-LP TWA- C/A ~ -1 500 EBB 0 - Ener Efficientltems STORM UNITS SIMILAR SIMILAR SIMILAR Gara a Ca ort OSP-MULTI OSP-MULTI 0 OSP-MULTI 0 2 C. DET. GAR. -4,000 - Parch, Patio, Deck, Fire laces etc. STOOP CLSNE. STOOP /DECK ~ -1,500 NONE +500 STOOP /DECK -1,500 NONE +500 STOOP 0 NONE +500 Fence Poal etc. NONE NONE NONE NONE ~ total Net Ad' _ 1 + ~d - _ 14,000 f 1 + G 20 700 - - 1 + - 17 000 . Adjusted Sales Price of Cam arable .. ~ eY 1 r '°; U~r S~ -eu~~3o: $ 61,000 Jptr~v2 ~ ~ p_ Gr65s _ zh i ~, 54,300 .. Ls 0 ` $ 69,900 Comments on Sales Comparison (including the subject property's compatibility to the neighborhood, etc.): `SEE ADDENDUM. ITEM SUBJECT COMPARABLE N0.1 COMPARABLE N0.2 COMPARABLE N0.3 Date, Price and Data 9-11-95 NO PRIOR SALE WITHIN NO PRIOR SALE WITHIN NO PRIOR SALE. WITHIN Source, for prior sales $ 39,900 3 YEARS OF APPRAISAL 3 YEARS OF APPRAISAL 3 YEARS OF APPRAISAL within ear of a raisal TAX ASSMT. TAX ASSMT. TAX ASSMT. TAX ASSMT. Analysis of any current agreement of sale, option, or listing of subject property and analysis of any prior sales of subject and comparabies within one year of the date of appraisal: THE SUBJECT PROPERTY IS CURRENTLY UNDER AGREEMENT FOR SALE SPECIFIC TERMS UNKNOWN . INDICATED VALUE BY SALES COMPARISON APPROACH _ _ .. _ _ _ _ ... _ _ ........ _ _ _ _ _ _ . _ _ $ 65,000 INDICATED VALUE BY INCOME APPROACH if A licable Estimated Market Rent $ N/A _ Mo. x Grass Rent Multi tier N/A = $ N/A This appraisal is made "as is" subject to the repairs, alterations, inspections or conditions listed below subject to completion per plans & specifications. Conditions of Appraisal: THIS REPORT IS PREPARED WITH THE SUBJECT PROPERTY IN " AS IS " CONDITION. Final Reconciliation: THE COST APPROACH SERVES A SUPPORTIVE ROLE AND GENEF2ALLY INDICATES THE UPPER LIMIT OF VALUATION. THE MARKET ANALYSIS IS THE MOST INDICATIVE OF VALUATION. THE INCOME APPROACH WHILE CONSIDERED, IS NOT APPROPRIATE SINCE THERE IS NO RENTAL EXPERIENCE PAST OR CURRENT. The purpose of this appraisal is to estimate the market value of the real property that is the subject of this report, based on the above conditions and the certification, contingent - and limiting conditions, and market value definition that are stated in the attached Freddie Mac Form 439/FNMA form 10048 (Revised 6-93 ). - I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF JULY 22 , 2004 (WHICH ISTH TE OF INSPECTION AND THE EFFECTIVE DATE OF THIS EPORT) TO BE $ 65,000 • APPRAISE ~ f~ f~ ~ _~ ~^%~ SUPERVISORY APPRAISER (ONLY IF REQUIRED): SI nature C ~- Signature (__~ Did ~L~ Did Not Name T ICK A. MCCARTHY Name Inspect Property Date Re ort Si ned JULY 26 2004 Date Re ort Si ned State Certification # RLOO1155L Stat PA State Certification # State Or State License # Sta Or State License # State Freddie Mac Farm 70 6/93 \ rAet t ur z rannie mae rorm iuva b-yJ Farm UA2 -'TOTAL for Windows" appraisal software by a la mode, inc. - 1-800-ALAMODE SUPPLEMENTAL ADDENDUM File No. SCRIGNOLI ,THOS Borrower Client SCRIGNOLI THOMAS F. Pro a Address POLECAT ROAD C' DUNCANNON Coun PERRY State PA. Zi Code 17020 Lender FIRST NATL. BANK OF MARYSVILLE ALL COMPARABLE SALES ARE CLOSED. THOSE PROVIDED ARE THE MOST INDICATIVE OF VALUE. ADJUSTMENT WERE MADE TO REFLECT MARKET REACTIONS TO THOSE ITEMS OF SIGNIFICANT VALUATION BETWEEN THE SUBJECT AND THE COMPARABLES. THE COMPARABLES, OVER 6 MONTHS OLD IN SALES DATES, WERE CONSIDERED DUE TO THEIR LIKE STYLE, SIMILAR AMENITIES, AND NEARBY PROXIMITY TO THE SUBJECT. OTHER MORE RECENT SALES WERE CONSIDERED BUT WERE NOT DEEMED TO BE AS APPROPRIATE. A SITE ADJUSTMENT IS IMPLEMENTED NOT AT A PRICE PER ACRE , BUT RATHER AS A CONSISTENCY WITH THE MARKET REACTION TO SUCH A DIFFERENCE. A PRICE PER ACRE ADJUSTMENT WOULD WARRANT A SUBSTANTIALLY HIGHER GRID ADJUSTMENT , INCONSISTENT WITH A DISCRIMINATING PURCHASERS MOTIVATION ,AND / OR REACTION TO SUCH A DIFFERENCE. A COST FACTOR OF $ 8.00 PER SQUARE FOOT IS IMPLEMENTED AS A CONSISTENCY WITH THE MARKET REACTION TO SUCH A DIFFERENCE , RATHER THAN A STRAIGHT LINE COST ADJUSTMENT , OBVIOUSLY SIGNIFICANTLY HIGHER. COMPARABLES # 1-2-3 ARE ALL LOCATED IN EXCESS OF ONE MILE , FROM THE SUBJECT PROPERTY. THIS IS OWING IN PART TO THOSE ITEMS NOTED ABOVE CONCERNING THE SCARCITY OF RECENT HOME SALES ; TYPICAL DEMOGRAPHIC PROGRESS, AND THE AVAILABILITY OF OTHER MORE SIMILAR SALES WITHIN THE ONE MILE RADIUS ,THAT IS SUGGESTED BY FNMA UNDERWRITING GUIDELINES. ` NOTE - THE SUBJECT DOES NOT HAVE AN EXISTING INDIVIDUAL WELL/SEPTIC SYSTEM ON-SITE. THE IMPROVEMENTS CONSIST OF A DET. 1.5 STY. BUNGALOW /HUNTING CABIN. THERE ARE NOT ANY BATHROOM FACILITIES IN THE PREMISES ,EITHER. THE IMPROVEMENTS ARE IDEAL AS APART-TIME , OR SEASONAL APPLICATION , YET LACK THE PERMANENT FACILITIES THAT MOST HOME OWNERS , IN THIS MARKET ,WILL COME 70 EXPECT. THEREFORE THE COMPS. ARE EACH CONSIDERED TO OFFER SUPERIOR FUNCTIONAL UTILITY. LASTLY ,THE SUBJECT SITE OFFERS HILLY ,AND IN PLACES , FAIRLY STEEP TERRAIN. HOWEVER ,THERE IS CONSIDERABLE MATURE TIMBER TO BE HARVESTED. IT IS UNKNOWN IF THE SELLER I BUYER ,HAVE CONSIDERED EVEN A "SELECT CUT " TIMBER. WHILE CONTRIBUTORY ,AND MONETARY VALUE IS UNKNOWN , IT WAS EVIDENCED BY THE APPRAISER ,AND IS CERTAINLY WORTH NOTING. THE APPRAISER DOES NOT HAVE THE PROFESSIONAL ACUMEN TO FURTHER ASSESS , OR VALUE THIS SITUATION , MORE PRECISELY. ~~~ ~~~,/` Form SUP - "TOTAL for Windows" appraisal by a la mode, inc. - 1-800-ALAMODE Building Sketch Borrower/Client SCRIGNOLI ,THOMAS F. __ _ Pro a Address POLECAT ROAD City DUNCANNON County PERRY State PA. Zi Code 17020 Lender FIRST NATL. BANK OF MARYSVILLE Form SKT.BItlSk - "TOTAL for Windows" appraisal software by a la mode, inc. - 1-800-ALAMODE -----~ ~\ \, ~ c ~~,,~' ~ ~ ~ ~ ~ '' ~ ~ ,~ ~ d~ t ~, \ .~ 2~ i~ ~' ^ ~ ~. ~ ~ s ~ - y ~ ~~ ~ ~f~ ~ ~ ~ r ~1 i~F.CL:w~!ii:~ `~ & ~ ~ '+y ~ i T~, . h~ ~ ~~ w.. ~ t l K• ~ y ` I `~~ ~- \ Y ` ~ ~~ \ ~ ~- 1 ; ~ f I ~ ~ ~ f i ~ ~ i~ / . \ ! 1 N` i ~, - ,, ---~ , ~~P~ ~~+ ~ r . ~ w~ ~ Cwt __ ~~ L, - .~~ q~ ,~ Y). Q"'S~<<Z Subject Photo Page Borrower Cllent SCRIGNOLI THOMAS F. Pro a Address POLECAT ROAD Cit DUNCANNON Coun PERRY State PA. Zi Code 17020 Lender FIRST NATL. BANK OF MARYSVILLE Subject Front POLECAT ROAD Sales Price UNKNOWN SlA 600 total Rooms 2 iota) Bedrms 1 TotalBathrms 0 Locatlon RURAL View PLEASANT Site 7.85 ACRES Duality AVERAGE Age 32 Subject Rear Subject Street Form MPIC4x6.SR - "TOTAL for Windows" appraisal software by a la mode, Inc. -1-800-ALAMODE PHDT06RAPH ADDENDUM Borrower Client SCRIGNOLI THOMAS F. Pro a Address POLECAT ROAD Cit DUNCANNON Coun PERRY State PA. Zi Code 17020 Lender FIRST NATL. BANK OF MARYSVILLE Form MGPIC4X6 - "TOTAL far Windows" appraisal software by a la made, inc. - i-800-ALAMODE Comparable Photo Page Borrower Client SCRIGNOLI THOMAS F. Pro a Address POLECAT ROAD Cit DUNCANNON Count PERRY State PA. Zi Code 17020 Lender FIRST NATL. BANK OF MARYSVILLE Comparabiel RD # 2 BOX 105 Proximity 9 MILES WEST Sale Price 75,000 GLA 704 Total flooms 4 Total Bedrms 2 Total Bathrms 1 Location RURAL /SIM. View SIMILAR Site 11.16 ACRES Quality AVG. /SIM. Age 24 /EFF-SIM. __ _ ___ `~,~ Comparable2 • ` °` ~ ' ~ ''~ 97 LINTON HILL ROAD Proximity 2 MILES SE Sale Price 75,000 GLA 1,210 Total Rooms 6 Total Bedrms 3 Total Bathrms 2 "~ lyio- ,yy~ Location RURAL /SIM. ~`i~~ View SIMILAR ~'t'~ . Site 11.03 ACRES ;P;~ -~ I' ~ , a~~ Quality AVG. /SIM. -~ ,t„ ,, Age 16 /EFF-SIM. - "~~''~~ Comparable3 f 8 COOK ROAD ;• ~ '~ ~ Proximity 3 MILES SOUTH i ~. y . Sale Price 86,900 GLA 1,344 ' ''' Total Roams 5 Tdtal Bedrms 3 i Total Bathrms 2 :..~ Location RURAL /SIM. View SIMILAR Site 7.11 ACRES Quality AVG. /SIM. Age 29 /EFF- SIM. DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requistte to a Lair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not aflected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he considers his own best interest; (3) a reasonable time Is allowed for exposure in the open market; (4) payment is made In terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions` granted by anyone associated with the sale. `Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or Vansaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost o1 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 judgement. STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears in the appraisal report is subject to the following conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it. The appraiser assumes that the title Is good and marketable and, therefore, will not render any opinions about the title. The property is appraised on the basis of it being under responsible ownership. 2. The appraiser has provided a sketch In the appraisal report to show approximate dimensions of the improvements and the sketch is included only to assist the reader of the report in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in the appraisal report whether the subject site is located in an identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand. 5. The appraiser has estimated the value of the land in the cost approach at its highest and best use and the improvements at their contributory value. These separate valuations of the land and improvements must not be used in conjunction with any other appraisal and are invalid tt they are so used. 6. The appraiser has noted in the appraisal report any adverse conditions (such as, needed repairs, depreciation, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she hecame aware of during the normal research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no knowledge of any hidden or unapparent conditions of the property or adverse environmental conditions (Including the presence of hazardous wastes, toxic substances, etc.) that would make the property mare or less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied, regarding the condition of the property. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considered as an environmental assessment of the property. 7. The appraiser ohtalned the information, estimates, and opinions that were expressed In the appraisal report from sources that he or she considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of such items that were furnished by other parties. 8. The appraiser will not disclose the contents of the appraisal report except as provided for in the Uniform Standards of Professional Appraisal Practice. 9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that Is subject to satisfactory completion, repairs, or alterations on the assumption that completion of the improvements will be performed in a workmanlike manner. 10. The appraiser must provide his or her prior written consent before the lender/client specified in the appraisal report can distrihute the appraisal report (including conclusions about the property value, the appraiser's identity and professional designations, and references to any professional appraisal organizations or the firm with which the appraiser is associated) to anyone other than the borrower; the mortgagee or its successors and assigns; the mortgage insurer; consultants; professional appraisal organizations; any state or federally approved financial institution; or any department, agency, or Instrumentality of the United States or any state or the District of Columbia; except that the lender/client may distribute the property description section of the report only to data collection or reporting service(s) without having to obtain the appraiser's -prior written consent. The appraiser's written consent and approval must also be obtained before the appraisal can be conveyed by anyone to the public through advertising, public relations, news, sales, or other media. Freddie Mac Form 439 6-93 Page 1 of 2 Fannie Mae Farm 10048 6-93 McCarthy Associates Form ACR - "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE 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 far 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. n 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 hest of my knowledge, that all statements and information in the appraisal report are tme and correct. 3. I stated in the appraisal report only my awn personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the contingent and limiting conditions specified in this form. 4. I have no present or prospective interest in the property that Is the subject to this report, and I have no present or prospective personal interest or bias wfth respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or the estimate of market value in the appraisal report on the race, color; religion, sez, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties In the vicinity of the subject property. 5. I have no present or contemplated future interest in the subject property, and neither my current or future employment nor my compensation for performing this appraisal Is contingent on the appraised value of the property. 6. I was not required to report a predetermined value or direction In value that favors the cause of the client or any related party, the amount of the value estimate, the attainment of a specific result, or the occurrence of a subsequent event in order to receive my compensation and/or emplcyment for performing the appraisal. I did not base the appraisal report on a requested minimum valuation, a specific valuation, or the need to approve a specific mortgage loan. 7. I performed this appraisal in conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of the effective date of this appraisal, with the exception of the departure provision of those Standards, which does not apply. I acknowledge that an estimate of a reasonable time for exposure in the open market is a condition in the definition of market value and the estimate I developed is consistent with the marketing time noted In the neighborhood section of this report, unless I have otherwise stated in the reconciliation section. 8. I have personally inspected the intedor and exterior areas of the subject property and the exterior of all properties listed as comparables in the appraisal report. I further certrfy 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 o1 the property value to the extent that I had market evidence to support them. I have also commented about the effect of the adverse conditions on the marketability of the subject property. 9. I personally prepared all conclusions and opinions about the real estate that were set forth in the appraisal report. If I relied on significant professional assistance from any individual or individuals in the performance of the appraisal or the preparation of the appraisal report, I have named such individual(s) and disclosed the specific tasks performed by them in the reconciliation section of this appraisal report. I certify that any individual so named is qualified to perform the tasks. I have not authodzed anyone to make a change to any item in the report; therefore, if an unauthorized change is made to the appraisal report, I will take no responsibility for it. SUPERVISORY APPRAISER'S CERTIFICATION: 1f a supervisory appraiser signed the appraisal report, he or she certifies and agrees that: I directly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal report, agree with the statements and conclusions of the appraiser, agree to be hound 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: POLECAT ROAD DUNCANNON, PA. 17020 APPRAISER: ,/~ SUPERVISORY APPRAISER (only if required): Signature' ~ `~ ~ ~ ~"C ~ Signature: Name: A ICK A. MCCARTHY Name: _ Date Slgn JULY 26 , 2004 Date Signed: State Certification #: RL001155L State Certification #: _ or State License #: or State License #: State: PA. State: Expiration Date of Certification or License: 6-30-05 Expiration Date of Certification or License: ( ~ Did (_] Did Not Inspect Property Freddie Mac farm 439 6.93 Page 2 of 2 Fannie Mae Form 10048 6-93 form ACf1- "TOTAL for Windows" appraisal software by a la mode, inc. - t-800-ALAMODE JUL-~0-2U04'I'U6 Uy~1S Rf1 hN~ f1arpsvilla y~ rH;, iiu, ~i/r/a:,~~;7~,~ r, ~eiu4 ~L WARRANTY DEED / / ~~~ ~~ J~r J •n,~ ri~»k~ot,a~., ca. f~~cv' ~-._.ZKrlll;a~ueport, Pn. 1770t ~~ ~ / ~ / , . i' MADL--. the llth day of Septe~ttber ' in the yeas nineteen hundred and ninety-five 17.995 j I3>;TWB~.N f.0I3ERT E. ROUSI•I, SR. , also knoorn as ROBERT E P,OUSH, by his Attorney-in-tact, I;pITII NI. I;OUSII and LDl'PH T~1. POUSI•I, his wide, of Carlisle, Cumberland County, Pennsylvania, L;ranhors and DUANE E. HANiT~1AKF.R and JUI]ITI~ 1a. HAI:7`, h.i.s wii:e, a:>: 1)uncannon, 1:~erry County, Pennsylvania, as tenants by the entireties, Grantees WTTNp.SSE'I"H, That in consideration of---= ----- in hand paid, the receipt whereof is hereby acknowledged, the said nrsntor ~; do hereby grant and convey to the said grantees , t11C1r hairs and assigns , ALL that certain tract of land situate in t~ii:Ller `Cbwnship, Perry County, Pennsylvania, bounded and described as follows: 73EGTNIVTNG ai an 1rOn pin at corner at lands now or formerly of E. Huss aucl .. Bonchal}c; thence along lands now or formerly of E. Huss and lands now or farmerly of C. Huss South '76 deg. UO nrin. 30 sec. East, a distance of 744.52 feet to an iron pi.n; thenct=_ along lands now or formerly of I~,].zner P'. Raush South 21 deg. 11 min. 30 sec. East, a distance oL 459.66 feet to an iron pin; thence along same North 79 deg. 3 min. 30 sec. West, a distance of 302.95 feet to an iron pin; thence along same North /9 deg. 37 rnin. West, a distance of 441.8ti feet to an iron pin; thence along same Nar.th 78 deg. 22 min. 30 sec. West, a distance at' 190.41 feet to an iron pin; thenoe along lands now or formerly of W. Sonchalk North 3 deg. 57 min. 3U sec. East, a distance a:~ 434.19 feet to the place of BEGINNING, containing 7.85 acres. BETNG the same property conveyed to Grantors herein by deed of Elmer F. Roush, Widawer, dated April 10, 1y72 and recorded in Perry County Deed Book 220 aL- Page 287. GRANTING ALSO to Grantees, •l:heir heirs anel assigns, an easement and right-of-way 16 feet in width, as the same now e:cists, extending. from the Western-edge of the above .described property in a south- westerly ,direction through lands nova or formerly o;: V1_ sonchall. and lands now or formerly of Elmer P'. Roush to State Highway 849. .See Perry County Deed Boole 219 at Pagecc~~224. See Perry County I:~cord Dook p9a~at Page ~C for Power .of Attorney• ,.,.,, ~.,~r,,,;; ~~Yi~~ ~~~.~ ~ r ~ • i ~ ' .~ . (ieCftf~fd h1f. . In ~1 p ba' , O~~~mi 1~P1M~ • ~ Ro~old91ti0ai 1 li Gir Und~Ab! Aoi1;, AaWq w K.r1 c~ m -o ca O _ _ JUL-20-2004 TUE 0918 AM FNB I`la r y s v i l l e FAQ N0. 7179574578 P. 03%04 ' ,,»~~ ,o »,»o„tt .~^ o ~ ~ ~ 0 O Oq o ~ X N N Q N z fiI ao riep stgt jra5 ja•i~~310 Putt puojl 6u[ SS~T[v.L'[t1:1 a'~utj ' 'aj~j ~Ioojj PaaQ ui ',(~unoa pies xoJ pue ut '•a~a 'Sj~aa~ 30 3ajpxoaalj Yo;j aar;,jp oqa ur Q:IQ~iO~iI2I 'SS cturnj,(suutd 30 [I~Cc:>'.tuo[umoJ ' ~, on n~. ~n n ~1 Y ri cJ ~ C7 i io ~ !~ rYr `~ x w ~ d . ' Ei• :p :p~ ~ rr Q ~ t[n rr --_-._----~~ ~ :ro ~ w .. !'ii • r _. s:~udx~ rta~y.nuu:ap .(yu .r •~as p[Ye pae[j dtu ~a, o~unaxa[1 anal I `.IO'3'rl'~L-It41 SS3I~I.I.TM NI •paucr.~uoa utaYasj3 asodYUd atji Yoh awes atji patu.~a::a as[p pa"npa~nnousj~e pae 'luauau~sut usgarnt a[{~ o~ pacluasgns a[xccu aso[{rn uosYad atp acj of (uonoYil ~Cjuoao~~s~aes ao~ a[u oa un+ou}( t,aYeaddn ~fijeuostacl 'xaa[IIo pa[YBEsxapun a[p auY o~o~aq ` ~j Io .{op acp 'sap u0 Io ,{~uno~ •SS ~ 3o a~et~ s}~l~ii ~xo~:xnuwc+J ,ty\( ,lam puc purq but aas o~unaYatj anu[j [ `,jbiiil[t-[M S5~N:f.IM I~lI •paucc~uo~ J~'[~t p:+5pa~nusu~j~e pue 'lua[unx~suc cnaxatp asodx[~d atp io3 awes ay: pa~u»r:: . actj~jan atj~ of pagtYasgns auteu aso[I,+.t uos~ad acjt aq of (uanozd ~i~[to~ael%Pes xo~ aut o~ umou~j paseadclc ,(jjcuoszad 'xa~?j3o paa9~siapun a[{t aut a-~o):,cj . 6T 30 ,Cep a[ja `saj~ uQ S ~ Io ~Cjuno~ =SS ` Io aac~s JUL-20-2004 TUE 0919 AM ENB Marysville AND the said gcantur5 will spae~:i.a1.7.y hereby conveyed. FAX N0. 71?95i4578 P, 04%04 ~1rRRk;ANT AND ~OAL,VEft Dp.p'LND the property IN WITNESS WI-IFRG~k, said nrantoc S ha ve herc~uuo set their hands :atd seal .^, .the day and year first above-written. and dclivtu:d iu tlu yre;cncc t~f ~ S.....'p.Q.... AL L ...:.......... . ....................................... l~ ~'i7 l~~~_~~ ,.. CennL~ ' ... .. ..... . ...... y f~ ... ......... .. .~.J3F~Fi']' >:~ P•rJ[7SiI; SCt: , ~by sus 7~1tt'orne -i.rt- ~~r~lA.. ~Y . ~~~ /~' 'Yki.s"Atti~Yi1~~_~.Yi-~~~~~ 131.' ~. ~I75Ti, .............. ~sau7 . (altar.) ' ~ ' rp1,1MUN WEAITH Of Ffh1tJ5Y~VANIA ~ Ce ~ F N'~'f ~R... .......~.. .. 1 ~ ~ ~ ~t p~r>~,~~Tr,~tir,.7.,.~r'tc~,uc....... <v~ .~ _~. ~ r ._ P.FnI"Y )~ ~~ _ 13oro h wrl9hlp ~ - TAX :;CP I I'9~ o h D 0 ~ / CrnrtPio.\'IZ' OP P.aetn;ytvczt , Ps.Ita~s ~ ~_ tee Agent ' j hereby tify, that the preris~~T~idence of the gran [s/ herein is as Follows: -y, ~ ~ / ' ~ 410' Prospect Avenue ~ , ~1.~•11~/... ~ -.C?~w..• ............................ •....4.~1.~'. ..~. puncannon ! PA 17 020 / Attorney or Abent fur Graatee Commun\vealth of Petnnsylvania County oE ...........k'~,~k.Y ............................. ' , , ~.1 On this, the 7.1'th day of St~p'Uemk~er 19`~Ei , Uefote me yy the uudersi ned officer, personally ap eared Edith Id. lE2obEr~ yttRouslz, ~anddEdith1,M. >2obc~t ~ 12oL'L~h, Sri ! alpso ]cnown as, ~dQy\n;(o.me.~oWsatrs~actorily proven) to be the persons whose nzmeJ are subscribed to tkie within t ~''`t `~atid acknowledged chat tht~y executed the same for the purpose therein msuun~erTk„ ~ ) ~~~ ff t ~ , l' + ~~~~~~`~~~1, I 1 1 >d and notarial seal. I .t; ]+ -''r'~1!~~N1~'$S tTtiV~1I,T;EOP, I have hezeunto set ~~ a j ~ ~9.. 1 t'"j~T4,,U ~ ~i 5 J T~( `Fr' d ~1.i1.:11, ~.I ~t '"r~l I / 1. 1 ~~ ' .. r:,. i ~j:y..; ~: Commonwealth of Pennsylvania . ~ SS: ......................... County o • .................................. On this, the day of ..........~..4r-:r ..................................... My Commission Ea~irc NOTARIAL SFAL ' GENAIp K. MORRISON, NOTARY Pt10LIC rYfipNe 1WP PERRY COUNN PA MY COMMISSION E%PIRES JULY 20, 19tJ8 19 , before me the undersigned officer, personally appeazcd known to me (or satisfactorily proven) to be the person whose name subscribed to the within instrument, and acknowledged that executed the limo for the purpose therein contained. 1N LVI"I'NESS WEiEREO1', I nave heeeucttq set my hand earl seal. ........................... A'{y Cuinrtis~io~~ Lxpiccs L~~o,OC;~~;? i',;~~ ~~~~ SEAMANS Eckert Seamans Cherin & Mellott, LLC rEr _%17 237 6000 213 Market Street - 8th Floor Fax ;' 17 237 6019 Harrisburg, PA 17101 ~ ~~.r~,:,i~ Thomas P. Gacki 7 l 7.23 7.6093 tgacki(~~eckertseamans.com February 24, 2012 Glenda Farner Strasbaugh, Register of Wills & Clerk of the Orphans' Court Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013-3387 Re: Estate of Thomas F. Sgrignoli No. 2105-00601 Dear Ms. Strasbaugh: Enclosed for filing please find the original and two (2) copies of the Inheritance Tax Return for the above-referenced estate, as well as a check in the amount of Fifteen and 00/100 Dollars ($15.00) made payable to "Register of Wills, Agent" to cover the cost of filing same. Please date-stamp the extra copy of the Return and forward same to my office in the enclosed self- addressed, stamped envelope Thank you for your courtesy and cooperation in this matter. Please do not hesitate to contact us if you have any questions. Yours truly, ~ ~,~ a Thomas P. Gacki ~'~ TPG:kmo --- ~ ~..z - x ~ ~~ Enclosures ~ ~' ° . - -~ r; ~ cc: Ronald R. 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