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HomeMy WebLinkAbout05-14-12 1505610101 REV-1500 ex~O1_1°~ ' PA Department of Revenue Pennsylvania OFFICIAL USE ONI_r Bureau of Individual Taxes PO BOX 28D6o1 ~EPaA.ME"'°`"`°`"°` County Code Year File Number INHERITANCE TAX RETURN Harrisburg, PA 1'7128-D6oi RESIDENT DECEDENT 'Z' ~ ' / ~"~ ~ ~ ~ O d ENTER DECEDENT INFORMATION BELOW "~ Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY ao(~ 1!0 33µg O h a3~ol o // /y ~'y~4~ Decedent's Last Name Suffix Decedent's First Name MI KR~/n~R 1?oN/F~~ $; (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI N ~ ~4 Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITFI THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ® 1. Original Return O 2. Supplemental Return O 3. Remainder F2eturn (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate O (Attach Co of Will) 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes py (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) I:UKKESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone. Number C NA-~.[ E S F $ f/ / FL as I ! / 7/ 7 7~6 (o' o z o 9' First line of address 6 CC o u S Eoe ~?osF~ Second line of address ~~ City or Post Office State ~ECHl~N/ c~8tlRG /off ZIP Code REGISTER. OF HALLS USE ONLY r, r n . . f's~ r., -j- r- ~: ,.? -t- =; ~~ - - ~ ~" C: '' -_ ~;;_ _.,, -DA:CE'' FILED ~ ,, 1 7 o S S 9 7 3,5- Correspondent's a-mail address: C e S ~ ~ e IcJs 3 ~ C'~MC asf n of c_• Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best .if 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. SIGNATU E OF PERSON RESPO F FILING RETURN ~~N ~ DATE G- ___ _._S_ - fi - /~-- ADDRESSJ_ D/A- I~. z2E~AN,~ ~7 Sknsel' pI7vQ., h'IeC,Gfu,n~cs6ury, ~/4 17050 SIGNATURE O EP ER O HER N R ESENT E ~-~------~®-.-._..._.~s._~~~--~~-.ND,4TEV~~~-~- X ~i / ADDRESS CH/4'~LE.S E, Sy/EZDS / - _ ._ ~.__~~! ' ~. (o louse" 02onctf, (Yle~hanicSbur9~ ~./} /7o,ss- _.__._._ ._____ ___,._.~ -..s-- _._~._~__~.._...__...-..__..__~ e PLEASE USE ORIGINAL FORM ONLY .) Side 1 1505610101 1505610101 J J 1505610105 REV-1500 EX Decedent's Social Security Number t, QQ Decedent's Name: ~ r ~M ~~ ~~ 1~ ~ D ~ ' RECAPITULATION 1. Real Estate (Schedule A) ........................................... .. 1. l~ Q D D D D 0 2. Stocks and Bonds (Schedule B) 2' ~ D ~ 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. ~ ~ 4. Mortgages and Notes Receivable (Schedule D) ......................... .. 4. • 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 3 I D q q • ~' D 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. IP 1>P ! ~ 1 ~ (! 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. / ~ ` i1 '/ 8. ( g ) ............... Total Gross Assets total Lines 1 throu h 7 ~ ~ ~ ~ ~ • ~ ~ ~ 8. q -7 ~ / / 6 ~ 3 ' ~ 9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. L~ ,3 ! ~ 1 Q y' 7 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... ... 10. ~ J / 3 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. y 3 J p 1 • ~ D 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. ~ S y D 1 3 ?~ f 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 13 • O D an election to tax has not been made (Schedule J) ..................... . ... . 14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. ~ ~ Y D Q ?3 3 f_ TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 . O O 15. D O (a)(1.2) X .0(Z 16. Amount of Line 14 taxable a 5 ~ o q 3 3 / 16. ~ ~ ~ 3 - ' v~ O at lineal rate X .o ~ T 17. Amount of Line 14 taxable . ~ O 17. ~ © ~ at sibling rate X .12 18. Amount of Line 14 taxable ' 0 n 18 ~ p O at collateral rate X .15 . 19. 1 l ~ 3 ~ • Z. 19. TAX DUE .................... ................................... .. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610105 150561,0105 ~„I RE\~-1500 EX Page Decedent's Complete Address: l=ile Number ~~ - ~ ~ ~. ~p ~Q DECEDENT'S NAME 1 y ~ --- ~enalG'i ~• M"QMe~ - - -_ STREETADDRESS 3t ~kn5e.~' Dlr-i V~ -- --- - -_ CITY _ _ __ STATE _ - 7_IP ~t art - c S b u r9 (PG4 ! 7 0~ p Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) ~ 2. Credits/Payments ,E • ~~~ y"~ y ZO A. Prior Payments ~~ ~~~• °O __ B. Discount f 550 00 ---- -- Total Credits (A+ B) (2) q~, DOD . pO 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. O Fill in oval on Page 2, 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) ~~? yy ~, 0 4 r- Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Ditl decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.......................................................................................... ^ [~ b. retain the right to designate who shall use the property transferred or its income : ............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ [] 2. If death occurred after Dec. 12, 1982, tlitl decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "intrust for" or payable-upon-death bank account or security at his or her death? .............. ^ [~ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ....................................................................................................................... I~ ^ 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) (ij]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 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)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CC) 013271 IRELAND LYDIA A 27 SUNSET DRIVE MECHANICSBURG, PA 17050 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold ESTATE INFORMATION: ssN: 2o6-is-3349 FILE NUMBER: 21 10-0600 DECEDENT NAME: KRAMER DONALD B DATE OF PAYMENT: 08/27/2010 POSTMARK DATE: 08/26/2010 COUNTY: CUMBERLAND DATE OF DEATH: 06/03/2010 101 ~ 5!3,550.00 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTORNEY 58,550.00 CHECK# 996 INITIALS: HMW SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER ` REV-1502 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF K --atrher, ~.,...Id ~. FILE NUMBER a~~-~o-goo 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. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ~~/ ~~ l'trfQ//1 ~tcj 07' ~4/~~n Si~R~e /~t1 csiB~/GY' SAO i'i rt y ~wq~S/~,:f'. (. k ~Jt latr /sn d r~ kq ~, Pe n n s~{C o ura~uc.t i~t~lpr6Qp eA~ !y/h Q !/selG~~r-9 ~io~isG Known evnt/cJpunabtr- Qd as 3/ a~unstf Dr:ve, oYleClfayt,t^sba,~, ,y~F 17osa u s i-~tora ~-tt~/y Q~G~SC'/'/ 6C1,/ ~ /d rl~e in ~GZ4.f CQI"~Clr deeul ~oM /h k l• ~/iCe WQ /'~e~ a,>H.d Ge©r~ ~. 1,~. GtJa,1 kc. ; ~ Dona,lal ~ ~ran~cr~ a~.d ~lohdu~a J' krarnex~, h-s c>v~~e, ddfiec! Mu~ 1, i45y amd neemrded ~Yf ~c D{~{t'ce o~ ~ GEcCotdu^ a~ weds ~ and {nr Cwnb- erl~itd ~otut~y ,t,,n ~cccQ ~ook ~r% ; vnl. loo. P~ 2~f 1- 7/i.e s2 ~~ ~~n/~dena .7- ~raMer (Pr's. ~eeeased hP.I"' Sc~ d h usba.~,d, ~o nald ~3• kr-amer, whereupon he ~ ~.ea.me Sole aid ab~soll•~'e owner of ~ Premiss (t.rtder- ~ (awS Io~ -flit 5 ~a1KMah ~ea,~tt- inc;4lcGr~f ~ -~-en a nc; es ~Y ~ -e.n~'I re ~i es Sec ap p rn. s a l of d ai"e o~ d e a f~h v'~i. l t.c, e .~ y I~rr/~' l.ee~tha.ler~ P~ Cer~-~ f~'ed G~.r,e,+--dl A-ppra~ser Ct{ta~.hco( . ~180~ o00 ~ ~J TOTAL (Also enter on line 1, Recapitulation) I $ ~ ~U p DO • °° (If more space is needed, insert additional sheets of the same size) APPRAISAL OF REAL PROPERTY LOCATED AT: 31 Sunset Dr Deed Book 1 sY Page 249 Mechanicsburg, PA 17050 FOR: The Estate of Donald Kramer AS OF: 6!03!201 o-Retrospective BY: Appraisal Solutions Brett Lechthaler, PA Certified General Appraiser 16 San Juan Drive Mechanicsburg, PA 17055 Form 6A6 - •WinTOTAL' appraisal software by a b mode, inc. -1-800-ALAMOS Main Flle No.laKram~paQ ~ June 21, 2010 Appraisal Solutions 16 San Juan Drive Mechanicsburg, PA 17055 717-697-1828/Phone 717-697-0220/Fax Dear Sirs: The accompanying Summary Appraisal Report is based on a site inspection of improvements, investigation of the subject neighborhood area of influence, and review of sales, cost, and income data for similar properties. This appraisal has been made with particular attention paid to applicable value-influencing economic conditions and has been processed in accordance with nationally recognized appraisal guidelines. The value conclusions stated herein are as of the effective date as stated in the: body of the appraisal, and contingent upon the certification and limiting conditions attached. Please do not hesitate to contact me if I can be of additional service to you. Respectfully, Brett Lechthaler, PA State Certified General Appraiser Form DCVH -'YYnTOTAL' appraisal sortware Dy a D mode, inc. -1-80QALAMDDE SUMMARY OF SALIENT FEATURES Subject Andress 31 sunset Or Legal DescripGOn Deed Book 16Y Page 249 City Mechanicsburg Courry Cumberland State PA Lp Code 17050 Census Trad 0118.01 Map Reference Metro:2740-D/6 Sak Price S NA Date of Sale NA Bortoerer/Gent PIA Lender The Estate of Donald Kramer Sae (Square Feet) 1,734 Price per Square Foot S Location Average Age 55 Years Condition Average Total Rooms 7 Bedrooms a Baths 1.5 Appraiser Brett Lechthaler, PA State Cert Gen Appr Dale of Appraised Vabe 6103/2010-Retrospective Final Estimate o1 Value S 160,000 Fonn SSD - ~WmTOTAL~ appraisal software by a la mode, inc. - t-80aALAMODE Appraisal Sokdions (7171697-1828 Uniform Residerrtial Aooraisal Resort 31 Sunset Dr pr r ~ n_rc,x,.,,,.~ The ose of its s a sisal re rt is to rovide the lender/~ierd wtth an accurate, and a uate su rted, o 'pion of the marled vakte of the subiecl ro R Address 31 Sunset Dr Ci Mecharicsbu State PA Code 17050 Borrower NA Owrrer of Pt~lk Record Kramer Donald 8 Bbnden Cou Cumberland _ Le al Desc ' n Deed Book 16Y Pa a 249 __ Assessor's Pared # 3&14-0647-042 Tax Year 2010 R.E. Taxes S 1963.10 __ N ' bodwod Name White Birch Farms Ma Rderence Metro:2740-0/6 Census Tract 0118.01 _ Ocw art Owner Tenant Vacari S ecial Assessments S None PUD HOA E ear er month " Pr Ri fds ailed Fee S' LeasdroN OttKr describe _ Assi nmertt T Purclwse Trarrsadion Refinance Transaction Otlta describe Estate Evaluafan Lender herd lire Estate of Donakf Kramer Address rJo Charles E Shields III 6 Cbuser Rd Mecharucsbu PA 17055 ~ _ Is ttte su 'ed curt offered fa sale a has it bear offered fa sale k the twelve months to the effective date d this a sisal? Yes No__ R data sources used offed rice s and da s . Per the bpi MLS the s 'ed has not been listed within the alt 12 months. 1 ^ did ^ did not arelyte Uie contract to sale fa the subject purchase transactiat. Explain the resuis d the anaysis d the cordract for sale or why the anaysis was nd ortrted. This is an estate evaluation sisal. There is no contred to arts Contract Rice S NA Date d Corttrad NA Is the Seier the owner d hit record? Yes No Data Sources tVA _ Is there arty finareial assistance poan charges, sale cancessans, gift a dowrpaynxett assistance, etc.) to be paid by any party on behalf d the borrower? ^ Yes ^ No tt Yes re the total ddlar amount and descnT>e the items to be aid. NA Note: dace end the racial eom Bbn of the rte hborhood ere not sisal far.tors. nit d ' 'r ;, Location UNan SuGeban Rtaal R Values Increas Stable Decird PRICE AGE One-Urdt &4 % BuBt-U Over 75% 25-75% Under 25% ;Growth R id Stable Stow DananNSu Starts In BaWnce Over Su Marked Time Under 3 mtirs 3-6 mtlrs Over 6 rrihs S rs 75 Low New __ 2-4 Urit 3 % MuIU-Family 1 % Nd hbahood Boundaries The net rhood boundaries are indicated b the radius of com ambles on 600+ H h 100+ Commercial 4 % _ 'the ma n the addenda. 1 SO-BS Red. 25-45 Otirer 6 % ' boyhood Desc ' ' n S 'ed has access to ei necessa faciities includ' schools blic arks tran fans 'nand fwuses of worsts . Em ent sta is ood and Ls within 15-30 minute drive. Market Conditions ulcl su rt fa the above conclusions a funds are read available from a vane oI sources with cornentional bans 4.5% l0 6.0% interest fixed 30 ar mart a to 3 infs. Severs are not r u'red to offer sates a fns concessions however seier assistance is Dimensions No al de n ed Area 0.77 sae tax office S Mos Recta ar U~ew Averse __ S ' c Zori Classification R-1 Iori Descd lion Residential District __ Zori C ante L al L al Noncad Qandtamered Use No Zon al descibe ___ Is the and best use d su ' t as i ed a as ed and ecificatara the esent use? Yes No tt No describe __ Private water wells ands are common for the area and wBl not effect marketabi' __ UtYltlae Futile Ottrv (desaire) Pubic llther (deecrEe) lMFiae kn vemmts - Pudk Prlvrte Electric' Water WeA Stred Macadam Gas S Sewer Se tic None -- FEMA S tort Flood Hatard Area Yes No FEMA Fbod Zone X FEMA M # 4204100093E fEMA M Date 3!16!2009 Are dye utilities and off-site im emeris ' al fa the marled area? Yes No if Na describe _ Are them adverse lie conditions or external factors easerrterds encroachrrreris emironnrrdai conditions Land uses dc. ? Yes No tt Yes lest ripe Standard easements for electric le etc. There are no krawn a a anent adverse easements encroacMnents a conditions noted. A title search has not been com led and is considered outside the s of Uis re -- UriLS One One wRA Access Uri[ Concrete Slab Crawl S ce Foundation Wall ConcBlodJA Fbors Ca et VnUA # d Stoles 1.5 FW Basemerd Partial Basemad Exterior Wall Brick V A Wall Plaster/.Avg T Del A1L S-DdJEnd Uni Basanent Mee 918 R. Roof Solace Shi le RubberMewr TdsyRnish Wood/Avg Pro led Under Corot. Baserrterd Finish 50 % 6uders 8 Do Alumkwm/A Bath Floor Vin Av Des' n 1.5 S Otdside E /tilt S Window T Hu Newer Rath Wainscot Fbi a Iass/A Y~r Bdi 1955 Evidenced Ndestation Sronn Sasftdnsulated YesMewer Car Staa None Effective A rs 30 Years s SeWerrteri Satkns YeslNewer Drivewa # d Cars 10+ Attic None ties' FWA FNJBB Radiant Amerces Woodstove s # Drivewa Surface Macadam Dr Stair Stairs Uha Fud tie R lac s # 1 Fence Gar e # d Cabs 4 Roor Scuttle CooA Central Air Conditio ' Pati k Erxios Porch Stoo C rt # of Cars Rrist~ed Elected Individual Otlter Pod Other Sheds Att. Del BuiR-in A antes R ' erata Ra en Dishwasher Dis al Microwave Washer er Other descnbe Frtlsted area ebow rode corialns: 7 Rooms 4 Bedrooms 1.5 Baths 1 734 are Feet d Gross Uvi Area Above Grade . AdditiaW features s tort ens efficied items dc.. The basement hes been firished into a b e rec room with fi ace end d bar. The erreae has • an oB feed hea ' s em cabinets end ad'd " encbsed with kkchenette facilities which rovides dual use as en entertainment area. Describe the conddion d ffte etckrdn rreded r 'rs deterioration reravations remodel dc.. The su 'erct is in av condition. The construction ua is 'cal for in wm arisen to com rte hbortwods. Based on maknlenance condition and com rison to come rte hborhoods the estimated a e is bebw the actual a e. ical d eciation is due to e. No economic a functional obsolescerx;e noted. Are tttere skal ddidenutes a adverse cordplons tltat affect Ste iv soundness a structural i d rite ro ? Yes No tt Yes diescribe There were no observed nor noted 1 deficiencies or adverse coMitions that would affect the IivabBa soundness or stnrcturel mt of the e Does the codonn to the bodrood notional ubl' corrditiorr use coratruction dc. ? Yes No If No describe The conforms to the surround rte' hbortwod. --- Freddie Mac Form 70 March 2005 Page 1 of 6 Fannie Mae Form 100e1 March 2005 Fenn 1004 -'WfinTOTAI• appraisal sortware by a ta mode, inc. -1-BOQALAMODE Uniform Residential Appraisal Report FlM~;(113SCram`r°r There are NA c arable ro 'es c offered fa sale in the subject rei Mortaod ra i in rice from S NA to S NA Tlrere are NA c arable sales in the su 'etx FEATURE SUBJECT nd hborhood vritHn the ass tweMe mdnl COMPARABLE SALE # 1 _ M i in sale ice hom Z NA to S NA COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 31 Sunset Dr Medarresbu PA 17050 7010 WertrnTle Rd Medtarticsbu PA 241 Ridge HBI Rd Mecharticsbur PA 70 Bali Hai Rd Mechanics PA Pradm' t0 Sub' Sala Price Sale Pdce~Gross lJv. Area Data Scat s Vedficatim Source 5 S N S tt. 0.83 m8ea SW S 153900 S 137.41 s .ft. .. Multi-Lis' Service Courthouse Records 0.14 miles NW _ S 179 i 149.92 s .ft. - Mufti-Lis' Service Courthouse Records _ 0.16 miles S i ~1R4,000 , , S 99.51 .ft ~ '} ` `; Multi-Listi Service _-- Courthouse Records VALUE ADJUSTMENTS DESCFJPTION DESCRIPTION + - S Ad'ustrrter~t DESCRIP110N + - t Ad'ustrned DESCRIPTION + - S Ad'ustrnerd Sales a Rnanarg Corcessions Conventbnal Costs -2 000 Conventional Costs -6 000 FHA Costs -4 000 Date d Sak/fmte 3110 18 DOM 4110 102 DOM 6109 25 DOM __ Location Ave a Ave a Aver a Avers a __ LeasrirdNFee S' Fee Sim le Fee Sim le Fee Sim le Fee Sim ___ Sits 0.77 aae to 0.32 aae +4 500 0.57 acre +2 000 0.70 aae __ +700 Yew Avem E ual S erior S 000 E ual __ Deli n k 1.5 S 1 Sto 1St 1 Sta - - Qua d ConsWction Averse E ual E ual E ual _ _ Achtal A e 55 Years 53 Years 55 Years 40 Years __ Conditi0n Averse Ave e S erar 5000 Su rior __ -5 000 Above Grade Taal Bdnns. BaNS Trial Bdnrs. Baths Total Bdm¢ Bears iobl Bdnns. Baths __ Roan Count 7 4 1.5 6 3 1 +2 000 6 3 1 +2 5 2 1.5 ___ Gross Livi Area 1 734 R t 120 s .ft. +6 140 1 194 s .ft. +5 400 1 849 s .R _ -1 150 Basemed 8 Finished Rooms Bebw Glade 916 Sq.Ft. 50% Equivalent Ree Room .5B -2 000 Equivalent Rec F2m BA -3 000 Equivalent Rec Room _ Functiona~lltili Averse Ave a Averse Ave a __ - tlea0 FWA/CA FWA/None +3000 FWA/CA HIWtrMone __ +3000 .' Ener Efliciex Lems Averse Ave a Aver a Aver a __ r/C 4 Car Ga 1 Car Game +9 000 Ga & C t +7 000 2 Car +W rksh __ +4 000 - ParcltlPatigrDeck 2 End PomFres St +2 000 Erxd Porch +1 000 Porches __ +1 000 • Other Fire lace Sheds Fire lace +1 000 Fire lace +1 000 Fce lace Wdstv __ • Net Ad'ustrnerd d + - S 23 640 + - S -600 + - S -1 450 __ Adjusted Sale Price Nel Adj. 15.4 % Nel Adj. 0.3 % Nd Adj. 0.8 % _ d Com Gross '. 2D.6 % S 177 540 Gross '. 20.9 % S 178 400 Gross '. 10.2 % S 102 550 I did did not research the sak a transfer hilt of the suh'ed aM c able sales. ti n research did did rqt reveal a sake or transfers d the su 'ed fa the Thee ears ria to the effective date d this sisal. Data Source s --- researcA did did Trot reveal a sales or transfers d the c rabk sales to the to Bte date d sak of the c sable sak. Data Space s --- R the reslds d the research and an sB d tits 'or sak a transfer histo d the sub'ec[ and com able sales r additional a sales on a 3 . ITEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3 Date d Prig Sale/fransler Nona None None None - - Price d Pria Sak/irarrsfer NA NA NA _ _ NA Data Space s CourUause Records Courthouse Records Courttause Records _ Courthouse Records Effective Date d Data Sources sis of sak a transfer Het 6/20/2010 d the sub' and co 6J20/2010 k sales The suD ed ha 6/20/2010 s not transferred witlvn the a 6/20!2010 _ ss tMee are. None of the com arable sales Has tmrtsfened more than once within the st ar. The effective date of the data is the date iMormation was revieNred on the tau assessment online. - S d Sales Co 'sdl ash Sales simsar to the sub ed were limned. I was rat able to iris an 1.5 siniar structures in rite su 'act's school district within the ass ear. The dosed sales di are considered to be the best indicators of value. Ad'ustments were Hied to r sent market reactions to dHferences between the s 'ed and com ambles. Site size differerae ad'ustrnents reflect reatest vaktei in famesite with residual lands at a lesser value. Sale i elevated view. Sales 2 and 3 su condition due to renovations and a ales. uare too difference ad'ustrnents retied economies of scale. The rema' ' ad'ustments are considered seN e t .The acl'usted of com amble values is 177 540 to 182 550. All sales were we' Med and considered. Indicated Vabe Saks C 'son ch S 180 000 kMkated Value .Sales Com A S 180 000 Cost ch 1B deveb S Inrwme roacA H d ~ S t1A Due to the lade of rental data the Incorne ash is rata riate. 1Tte Cost roach is not eoruidered valid due to the actual and effective es. Greatest we M is n to the Sales Cam orison as n reflects the ical adorns of bu rs and se8ers in the mark sae. • THs appraisal is made ®'as is', ^ subject b canpktion per plans and speafications on the basis d a Aypdhetiral condition tltat the imprwerrxxns have bt:en corrpleted, ^ st~jtx[ to the fobvdrg repairs a ataatlons on the basis of a hypoflreliwl condition drat the repaks a aReratbrs have beers completed, a ^ subject to the • lolowi to aired i er:Uat based on the edraordi assum 'on that the condition a defici does not r vin; aderation or ak: See Statement of Llmttir~ Conditions and leers Certification °Retr as of DOD Based tm a complete viswf Insppe~ct! d the IMerfor and exterior areas of the subject property, deflned scope of vrork, atatwnent o1 assumptbns erM limting corMkione, and appraiser's txrtilkMbn, my four) ophbn of the mariret value, as defined, 01 @te real property that b Nre sub[act of this report is S 180 000 es of 6/03!2010-Retros ' e whiter h the dale of ins on end tM eBeethre date of this L Freddie Mac Form 70 March 2005 Page 2 of 6 Fannie Mae Form 1004 March 2005 Form 1004 - ^VItnTOTAL' appraisal software by a la made, inc. -1-800-ALAMODE Un'rform Residential Appraisal Report ~.;aK~~r°r D 'lion of the isal ProcessfSco of Work The a sisal ocess is kNended to 'describe Ure e>dent of the s of coiledi confirtni and rti data.' In order to are an a isat re on the su 'ed the foilowi ate s were invohred: The sub'ed acts and rxi hbortwod were ersonall ed b the a raiser. The ins ion considered the various local economic indicators with res to their tial im don the su 'ed ske. The s the and weaknesses of the enerei econom were we' teed as the affect the value of the sub'ed. M relevant fads rebted to the sub'ed were copected and verified indudi but not united to utilities land and build' area res~bictions erxxanbrances easements environmental factors and other kerns of a similar nature deemed a licabb~ No buildi ns were available. The build' soars foots was derived from actual measurement and Ure eps assessment reca'ds in order [o determine oars Toole A hi hest and best use ana was corn bled. The Cost Sales Com orison aril Irx:ome to value were considered aril the Sales Com rison roach was used in the valuafbn of the su 'ed ro Data was colbded du ' Utis ss from various sources. This information is believed to be reGaWe and verification of sobs data 'ux9uded reliance on coon deed records and/or third confirmations. Thee raiser has no reason to sus inecaxacies in informatitm ovided and the ana sand conclusions are based on the relbbr' of this'xriormatlon. The a raiser fs not an ex rt in Ment i moW mlMew lead base aint nor asbestos. N the client has a tooter then I strong recommend tM cllent tooted an ex rt In the environmental andlor home in lion field a . Kan estimated value a sales was inducted either on the a sisal r oast form a verbal from another a (rrvoNed h the transadfon the value ovided had no influence on m foal estimate of vakie. Provide ad oats irdormation fa ills lender/diem to kale Uie bebw cost res and cakuiatiorts. __ Su for the Trion of ske value su of c arable land sales a other mekads to estim~n ske value NA ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW ORfAON OF SffE VALUE--------------------------._-_-- =5 __ Source of cost data DWELLING 1 734 5 .Ft S _ =5 OuaG rah from cost setvke Ertedive date of cost data ___ 91 B S .R. S =E - - Canmeris on Cast ch ross I' ' area caktdatiorus d ciation etc. _ _ S -- -- - - The Cost oath is not considered a valid indicator of value due !o the Gara e1Ca 817 S .R S -S actual and effeclNe a of the su ed. __ _ Total Estimate al Cost-New =5 - - Less skal Fwktiawl E#emal - - D rxiation _ _ =5 elated Cost of I rovements ______---------- _E -- •As-is' Value of Site l vemeMs -_-_---------------------.-_--- =5 -- stimatedRemaini EcoramicLrte DaMVA 30 Years -- RWtCATEDYAWEBYCOSTAPPROACH_____-_--_-_ .__.._=S Estlmated Market Rent S NA X Gross Rent Muni Gar NA = S Indicated Yakre ImrHne ach Su of Income oath ntdudi su fa market rent and GRM __ Is the d /bolder in control of the Horrteowrras' Association OA 7 Yes No Uric s Detached Akadted ___ Provide the folbw' information fa PUDs ONLY kThe de /builder is in control of the HOA and the sub'ed is an akacted dwef unit le al Name of Pr ' -- Trial rarmber of teases ToW rnvriba of arils ToW number of roils sold - -- _ Total renrrDer of ands rented Tats ruarlber of ands for sale Data so~rc s __ Was the ea created the camerslan d eldstl bu s into a PUD? Yes No If Yes date of cornersion Does dre 'act contain muu-0w urits4 Yes No Data Source - - __ _ Are kte arils common ekrtterds and recreation fadGties co stay Yes No If No descrdre dre status of tom ktion. Are the commas eknrrerds leased to a the Homeowners' Associaton? Yes No k Yes describe the rental terms and o 'ax. Describe carman elanads and retreatiawl facilities. --- Freddie Mac Farm 70 March 2005 Page 3 of 6 Fannie Mae Forth 1004 March 2005 Form 1004 -'WmTOTAL' appraisal software by a la mode, inc. -1-800-ALAMODE Uniform Residential Appraisal Report Faex 10-IGamerw This report form is designed to report an appraisal of a orre-unft property or a one-unit property with an accessory unft; including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a manufactured home or a unit in a condominium or cooperative project This appraisal report is subject to the following scope of work, intended use, Intended user, definition of market value, statement of assumptions and limiting conditions, and certficatons. Modifications, additions, or deletions to the intended use, Intended user, detiniton of market value, or assumptions and limltlng conditons are not permitted. The appraiser may expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certidications are also not permitted. However, additional certifications that do not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an appraisal organizatlon, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requirements of this appraisal report farm, [ncluding the following definiton of market value, statement of assumptions and limting conditions, and certifications. The appraiser must, at a minimum: (1) perform a complete visual inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal repot INTENDED USE: The Intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of this appraisal for a mortgage finance transactton. INTENDED USER: The intended user of this appraisal report is the lender/client DEFlNffION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and a:csuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he or she considers his or her 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 traditlon 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. STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the following assumptions and limiting conditons: 1. The appraiser will not be responsible far matters of a legal nature that affect either the property being appraised or the title to R, except for information that he or she became aware of during the research involved in performing this appraisal.. The appraiser assumes that the title is good and marketable and will not render any opinions about the title. 2- The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvemients. The sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determiination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in this appraisal report whether any portion of the subject site is bcated in our 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, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, de[erioratlon, the: presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the research involved In performing the appraisal. Unless otherwise stated in this appraisal report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioratlon, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, this appraisal report must not be considered as an environmental assessment of the property. 6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will be performed in a professional manner. , ~~uuti ,rm~ r~,~„ .v mnrcn two Page 4 of 6 Fannie Mae Form 1004 March 2005 Fonn 1004 -'WinTOTAL' appraisal software by a W mode, inc. -1-800-ALAMODE unROrm rtesiaemiai APPRAISER'S CERTIRCATION: The Appraiser certifies and agrees that 1. I have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements si<rted in this appraisal report. 2. I pertortned a complete visual inspection of the Interior and exterior areas of the subject property. I reported the condition of the improvements in factual, specific terms. I identified and reported the physical deficiencies that could affect the livability, soundness, or swctural integrity of the property. 3. 1 performed this appraisal in accordance with the requirements of the Un'rform Standards of Professional Apprais,ai Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 4. 1 developed my opinion of the market value of the real property that is the subject of this report based on the salE;s comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach for this appraisal assignment 1 further certify that I considered the cost and income approaches to value but did not develop them, unless otherwise indicated in this report 5. I researched, verified, analyzed, and reported on any current agreement for sale for the subject property, any offering for sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report. 6. 1 researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable sale, unless otherwise indicated in this report. 7. I selected and used comparable safes that are locationally, physically, and functionally the most similar to the subject property. 8. I have not used comparable sales that were the resuR of combining a land sale with the contract purchase price of a home that has been built or will be buiR on the land. 9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject property and the comparable sales. 10. I verified, from a disimerested source, all information in this report that was provided by parties who have a financial intemst in the sale or financing of the subject property. 11. I have knowledge and expedence in appraising this type of property in this market area 12. I am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing services, tax assessment records, public land records and other such data sources for the area in which the property is located. 13. I obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that i believe to be we and cortect 14. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood„ subject property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the Inspection of the subject property or that I became aware of during the research irnolved in pertortning this appraisal. I have considered these adverse conditions in my analysis of the property value, and have reported on the effect of the conditons on the value and marketability of the subject property. 15. I have not knowingly withheld any significant information from this appraisal report and, to the best of my knowledgie, all statements and information in this appraisal report are true and correct. 16. I stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, tivhich are subject only to the assumptions and limiting conditions in this appraisal report 17. I have no present or prospective interest In the property that is the subject of this report, and 1 have na present or prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or opinion of market value in this appraisal report on the race, cobr, religion, sex, age, marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property nor of the present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law. 18. My employment and/or compensation for pertorming this appraisal or any future or anticipated appraisals was no~I conditioned on any agreemerrt or understanding, written Or otherwise, that I would report (or present analysis supporting) a predetermined specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of any parry, or the attainmem of a specific resuR or occurence of a specific subsequem event (such as approval of a pending mortgage loan application). 19. I personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If 1 relied on significant real property appraisal assistance from any individual or individuals in the pertormance of this appraisal or the preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks performed in this appraisal report. I certify that any individual so named is qualified to perform the tasks. I have not authorized anyone to make a change to any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and I will take no responsibility for it. 20. I identified the lender/cl(ent in this appraisal report who is the individual, organization, or agent for the organization that ordered and will receive this appraisal report. FreAAie Mac Forth 70 March 2005 Page 5 of 6 Fannie Mae Form 1 D04 March 2005 Form 1004 -'NfinTOTAL' appraisal software M a u rtrode, inc. -1-800-ALAMODE unlrorm rsesiaennai ADDraisal Report t:Q•Y 1n_KmmnrV 21. The lender/client may disclose or distribute this appraisal report to: the borrower, another lender at the request of the borrower; the mortgagee or its successors and assigns; mortgage insurers; government sponsored enterprises; other secondary market participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumentality of the United States; and any state, the District of Columbia, or other judsdictions; without having to obtain the appraiser's or supervisory appraiser's (f applicable) consent Such consent must be obtained before this appraisal report may be disclosed or distributed to any other party (ncluding, but not limited to, the public through advertising, public relations, news, sales, or other media). 22. 1 am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. further, I am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterpdses, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves any one or more of these parties. 24. lt this appraisal report was transmitted as an "electronic record' containing my "electronic signature," as those term;> are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of rrry signature, the appraisal report shall be as effective, enforceable and valid as lt a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any intentional or negligent misreprosentation(s) contained in this appraisal report may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERT1flCATION: The Supervisory Appraiser certifies and agrees that: 1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and [he appraiser's certification. 2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report is either asub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to pertortn this appraisal under the applicable state law. 4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an 'electronic record" containing my 'electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. APPRAISER SignaturG„/j ,...~~ Name er~$i~itRaler',e`"t~ en or Company Name Apixaisai solutions Company Address 16 San Juan Drive Mechanicsburg. PA 17055 Telephone Number 717697-1828 Email Address blechthaleriidicomgst.net Date of Signature and Report 6!21/2010 Effective Date of Appraisal 6103/2010-Retrosnedive State CertlfiCation # GA003594 or State License # or Other (describe) State # State PA SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature Name Company Name . Company Address Telephone Number ___ Email Address ___ Date of Signature ___ State Certification # __ or State License # ____ State Expiration Date of Certification or License Expiration Date of Certification or License 6/30/2011 SUBJECT PROPERTY ADDRESS OF PROPERTY APPRAISED 31 Sunset Dr Mechanicsburg PA 17050 APPRAISED VALUE OF SUBJECT PROPERTY S 160.000 LENDER/CLIENT Name Company Name The Estate of Donald Kramer Company Address do Charles E Stields Ili. 6 Cbuser Rd Mechanicsburg. PA 17055 Email Address ^ Did not inspect subject property ^ Did inspect exterior of subject property from street Dale a)f Inspection ^ Did inspect interior and exterior of subject property Date of Inspection COMPARABLE SALES ^ Did not inspect exterior of comparable sales from stree4 ^ Dld inspect exterior of comparable sales from street Date of Inspection rreggie mac ronn rU March 2005 Page 6 of 6 Form 1004 - WinTOTAL• appraisal software by a b mode, inc. -1-800-ALAMODE Fannie Mae Form 1004 INarch 2005 Supplemental Addendum RIeNa 10 f4 Borrower feat iVA '- Pro Address 31 Sunset Dr -- C Mecharucsbur C Cumberland State PA L Code 17050 __ Lender The Estate of Donald Kramer JYtI,INL LIMI I INCi C:UNUI 1 IUNS: This appraisal is not a home inspection and the appraiser is not acting as a home inspector when preparing the report. When pertorming the inspection of this property, the appraiser visually observed areas that were readily accessible. The appraiser is not required to disturb or move anything that obstructs access or visibility. The inspection is not technically exhaustive. The inspection does not offer warranties or guarantees of any kind. SUPPLEMENTAL CERTIFICATIONS: I certify that: -This appraisal was prepared by Brett Lechthaler for the exclusive use of The Estate of Donald Kramer, client, to estimate market value in terms of cash or financing similar to cash for estate evaluation purposes. The information and opinions contained in this appraisal set forth the appraiser's best judgement in light of the information availalble at the time of the preparation of this report. Any use of this appraisal by any other person or entity or any reliance or decisions based on this appraisal are the sole responsibility and at the sole risk of the third party. Mr. Lechthaler accepts no responsibility for damages suffered by any third party, as a result of reliance on or decisions made or actions taken based on this report. - In my opinion the reasonable exposure time linked to the value opinion is up to 150 days. - In my opinion the reasonable market time linked to the value opinion is up to 180 days. I further 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, opinion, and conclusions are limited only by the reportfd assumptions and limiting conditions, and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions. - I have no present or prospective interest in the property that is the subject of tFlis report, and no personal interest with respect to the parties involved. -1 have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. - My engagement in this assignment was not contingent upon developing or reporting predetermined results. - My compensation for completing this assignment is not contingent upon the 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 resLllt, or the occurrence of a subsequent event directly related to the intended use of this appraisal. - My analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform Standards of Professional Appraisal Practice. - No one provided significant professional assistance to the persons signing this report. - Brett Lechthaler personally inspected the property and prepared this report. Brett Lechthaler, PA State Certified General Appraiser Form iA~ -'tKinTOTAI• appraisal software by a b mode, inc. -1-800-ALAMODE Location Mao Borrower feM NA Ro Address 31 Sunset Dr -- C AAechanicsbtx Co Cumberland State PA Code 17050 l.endu The Estate of Donald Kramer -- PaYt xae Vst form MAP.LOC -'WiniOiAL' appraisal software try a b mode, inc. - t-800-AtAMODE Buildinn Sketch Borrower Cierd taA Address 31 Sunset Dr -- C iMechanicsbur Co Cumberland State PA L Code 17050 tender The Esta[e of Donald Kramer -- 34R t .SBA Bedroom Bedroom 20R Second Floor 9= m M 34R W Area Cakwletloea Sanaaer7 8 ~'.f7+ '~- a: 4:~.i.~b.. ~~ u~~2$~Lc~7~ .1~ ~...~.,y .. ~_ P ~ ~ ~~ . 13265pR ... 39x79 ~1326 second Fbor 4~ ~ R 12 x 39 = 408 Tebl UNep Aroe CRaeedad): 1714 Sq R .. Oe-IVVIp APea .~ _ .. d _ -":,.,ii t' "t - 1 ~ ~~. r` ... Y d.3'=~.~}~'~. ~R'.' ti...-+3 "~'i~"~.~, ~[ it osed Pord~ ~ ~ h 1LL 12 1111 3 Or Atbched 817 Sq R 21.5 x 38 = 817 dosed Rxdi 290 Sq R 20 x 12 290 dosW ~~ 70 Se R 7 x 30 -- 70 ~~^~ 918 5a R 39 x 27 = 91$ 34R i Rec Room N Utility Area lA Basement Form SKT.BIdSId -'WinTOTAI' appraisal sotMrare by a la mode, inc. -1-800-ALAMODE Subject Photo Page Borrower Pent NA Pro Address 31 Sunset Dr -- ~ Ivteriranicsbur Ca Cumbedand State PA Code 17050 Lender The Estate of Donald Kramer -- Subject Front 31 Sunset Dr Sales Pdce NA Gross Livirq Area 1,734 Total Rooms 7 Average 4 55 Years 1.5 Location Average YteW Average Site 0.77 acre Per ta:c office Quality Average Age 55 Years Subject Rear Subject Street Forth PIC3rS.SR -1AfinTOTAL' appra'sal software fry a W rtwde, inc. -1-800-ALAMOOE Subject Photo Page akr Rle No. 10-Krame~ Borrower Cient NA Pro Add2ss 31 Sunset Dr - C AAachanicsbur Cumberland State PA L Code 17050 Lender The Estate of Donald Kramer -- Family Room 31 Sunset Dr Sales Price NA Gross Livirp Area 1,734 Total Rooms 7 Average 4 55 Years 1.5 Location Average View Average SRe 0.77 aae per tax office Ouafity Average Age 55 Years Kitchen Bath Form PIC3x5.SR -'NAnTOTAL' appraisal software by a W mode, inc. -1-80QALAMODE SubieCt Phntn Pann Borrower Pert NA - Pr Address 31 Sunset Dr C Mechanics Co Cumberland State PA L Code 17050 Lender The Estate oT DonaW Kramer -- Rec Room 31 Sunset Dr Sales Price NA Gross Living Area 1,734 Total Rooms 7 Average 4 55 Years 1.5 Location Average Yew Average Site 0.77 acre per laz office Quality Average Age 55 Years Garage Interior 16tchenette Form PIC3x5.SR -'VKinTOTAL' appraisal software try a h mode, fnc. -1-804ALAMOrJE Comparable Photo Page Borrower feM NA Ro Address 31 Sunset Dr C Mechanics Co Cumberland State PA L Code 17050 LerMer The Estate of Donald Kramer Comparable 1 7010 Wertzvibe Rd Rox to Subject 0.63 mles SW Sab Rice 153,900 Average 1,120 55 Years 6 Total Bedrooms 3 Total Batlrooms 1 Location Average Yrew Equal Site 0.32 acre Quality Equal Age 53 Years Comparable 2 241 Ridge H~ Rd Rox t0 Subject 0.14 m0es NW She Rke 179,000 Gross Living Area 1,194 Total Rooms 6 Toth Bedrooms 3 Toth Battroams 1 Location Average New Superior Sde 0.57 aae Qualty Equal Age 55 Years Comparable 3 70 Bali Hai Rd Rox to Subject 0.16 mges S Sak Rice 18x,000 Gross Living Area 1,849 ToW Rooms 5 Total Bedrooms 2 Total Bathrooms 1.5 Location Average Yew Equal SOe 0.70 acre Qualgy Equal Age 40 Years Fonn F1C3xS.CR - "NRnTOTAI• appraisal SoRware by a b mode, inc. - t-800-ALAMODE ~[ o a w_ '. w a 0 n n V O ~ ' ~~ `~ ~. ;~ ~~J~. ~: ~.' a G) ~ ti H ~ 01 ~' `~ ~ a III N . /=~~[ W o ~, n _~~ o ,,~ o eo .~ ~,/.~ is ;' ~ D z ~ : e cU c ~ y~.y.~ ` r ;~- . W ~ ~+ ~i h A ~ ~ , 4 ~3 ~ `i _ ` ~,.~ .~,° .. ~.-~ .~~ ~ ~~1:\i:sy _tf _:`7 pp ..~' ` . '~# iA ~ ~. W ` m o o b'>,, ,yn-. ,.a ~`' .: i+n ~D , ,- F~1 _p G~,>" ~~ m ~. N ~, y ;~ o O ti-: ~ ~.. d tJ A f 7 ~T D ~ 2 y. m ~' ,m +++ i ~:. ~ ~.: ro `~_:. ~~~ ~. ~+ --*~* -' W: p~l•-- -. Q`. CO ~: ~e` ~. ~: Form SCA -'WinTOTAL' appraisal sollware by a la mode, inc. -1-81IF14ALAMODE ~torrt: Brett Lechthaler 16 San Juan Dr Medianicsburg, PA 17055 Telephone Numbx. 717-697-1828 Fe:Number. 717&97-0220 ro: Mechanicsburg, PA 17055 Telephone Number. faI Number. Aaemate Number: E-MaR: Lender: The Estate of Donald Kramer Purchaxer/Borrower. NA Properly Addneaa: 31 Sunset Dr CRy: Mechanicsburg County: GLmberland Legal Desaipfion: Deed Book 16Y Page 249 ~ FuR Appraisal SUBTOTAL 300.00 I 3~w.oo Checks: Date: peen: Checks: Date: Desedptlon: Checks: Date: Deecdptlon: SUBTOTAL TOTAL DUE S 300.00 INVOICE 10-Smith sna2olo imernal over r/: Lender cases: cpem Rex: M~ ~ ~ ~ ~: 10-Kramer OtherFResonlam: 31 Sunset Dr FedewlTe:ID: Employer ID: Client: The Estate of Donald Kramer State: PA Zip: 17050 Form NNS - •WiniOiAL' appraisal sonware by a b mode, inc. -1-804ALAMODE Appraisal SoNiions p17)697-1828 REV-t506IX • (15~ SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC. IN RESIDENTDECEDENTRN PERSONAL PROPERTY ESTATE OF Kr ccm c,,r', 'D an a ~ d B, FILE NUMBER -~~- to-`oo Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 PNC a/f~'K. Check,;r~ ~ No. so7 007 0 0 ~ s ~B, ~~f5~ Spa ~• T~f: acGr, ~ d, a. a! oro Ztcrn /. '~o. ~9 ~~ `Q/tla~io~r /~ ~fe~ -- a ffG~~) 3. /~ / ll. S. ~~Pasui'y U` ~hcn ce/ oh ~~or1u.~ ~N-«,rh2 Tax ~I ~fS.DD `~. ~ ~ 9 .~ ~'u~e o f G- rn C I/~nd u ra Vrrt ia•s I s , Neei~e d spa ~ rs , , rnad~i, f-o Toa.n 131as5 Sao av ~i"o G CCQ~S 7~ah1 SQII v~ `JCrSo/lCt it r ~ Ctrc/ .t rat P Sa.~c_~; r y ly ~ ~ ~, U~~~~ ~a ~QncC G~GIG {7~v/yj ~S r`~ / 7 D . z 2 - ~jorf Zcr' ~r ~ n ~~nta~ as ryas ; ~conte ague d~d~r~ ~ ~7o•Zz /J L /3S7J ~a friof -/~Gu/S - /~ar~jQ.~ ~e~zoj ~ ~ ~ j~ OZ TOTAL (Also enter on line 5, Recapitulation) I S 3 ~~ 1 , (If more space is needed, insert additional sheets of the same size) Sep.~~. 2;1; ':IiPM PNC BANK 412-10~-271 ~'~~ t.EAD~IBTHE1rYAY September 28, 2010 Charles E Shields III, Esq. 6 Clouser Rd Mechanicsburg, PA 17055 RE: Donald B Kramer SSN: 206-16-3349 DOD: 06-03-2010 Dear Mr. Shields: No. 0811 - P. ~f - In response to your request for Date of Death (DOD) balances for the customer noted ~ibove, our records show the following: Certificate of Deposit Account # 3 1 0003 02644 Established: 10-11-2006 DONALD B K:RAMER LYDIA A IRELAND DOD balance: $ 11,290.15 + 5.33 accrued interest Interest paid 01-01-2010 thru 06-03-2010 $ 35.20 YTD Checking Account Account # 5070070015 Established: 09-OS-1991 DONALD B KRAMER DOD balance: $ 28,744.40 + 0.79 accrued interest Interest paid 01-01-2010 thru 06-03-2010 $ 5.59 YTD IRA Account Account # 65001005366 Established;; 01-09-1985 DONALD B K:RAMER DOD balance: $ 10,067.81 + 13.50 accnied interest Interest paid 01-01-2010 thru 06-03-2010 $ 240.43 YTD Account # 75500027246 Established: 08-03-2004 DONALD B K:RAMER DOD balance: $ 4,563.32 + 0.00 accrued interest Interest paid 01-01-2010 thru 06-03-2010 $ 230.08 YTD Eor beneficiary information, please call 1-888-762-4727. Page 1 of 2 Sep, 2°. 2~' ~ 1: ?1PM PNC BRM( 412-1~5-2741 ~co, i;si' 1 P. 2 Please note that this office provides date of death balances for deposit accounts ([RAs, CDs, Checking and Savings). We do not process am i'inancial transactions or provide statements. If you need assistance with any of tbiese items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your Ioca1 PN(: Bank branch office. Sincerely, National Fiziancial Services Center PNC Bank, NA. Member FDIC Page 2 of 2 ~~: ~. ~. a N >S ~ ,~„', ~. ~*-. ,~ ~' ~~;. .r ~ '~' Yas. ^~d ww''2 ~ ..T ~~'- e~. ~T ~ ~1 '~- .. -~.~ -:. F= -SY ~: tli c- ~t:o ~ ti - J ~ ~ r N rd ~: ~.,, i., ~0:~ - d C 'O ~7:n Y ,. ., -a .~ '. O ~a ~. tIt 3. rv . n C~- `r -, r.II a LT1 0: 0 ~. ~< Q t, t ~~~~~,~ a ,~ RKS 00000 061 070 070910 07010015 464982 *~-***1396 -~ 0003 5 4 6¢~i_q;d $>"j 62409628 CDC FUND DEPT PREP DATE VOUCHER WARRANT ~p 3 13 ~ ~ . . ` c~+Ee~~unlaER _ '~ ~ - FULTON BANK w LANCASTER, PA_ ~~ D7/ 1 6/201 C VERIFICAT1t~N AVAILABLE -''POSITIVE PAY" PROTECTED O DATE ° PAY " ~Z ° ONL~ crscls ° TO THE ORDER OF VOID AFTER 180 DAYS ° ° LYDIA IRELAND EXECUTRIX ~ **,~'~~*~*~~**17az~ ~ DONALD B KRAMER ESTATE ~. .... . C!O CHARLES E SHIELDS III ° - ,. 6 CLOUSER RD -- N N MECHANICSBURG PA 17055 $ ~~ ~ ~ ~~~f ` ~ J/ f ` ( TREASURER OF PENNSYLVANIA 11.6240962811' ~:03L30L~422~: ~• i2L9 5384711' - THE PATRIOT-NEWS 11 2020 Technology Parkway, Ste 300 % -~~,1,. t'' `.tt t$'`~'~~ Mechanicsburg, PA 17050 Check Date: 08/12!2010 Vendor Number: 9999999999 Check Ncr. 0900049670 Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken Paid Amount 005564622 ,2010-08-10 08/10/2010 00158367 38.02 0.00 38.02 Newspaper Subscriber Refund SUBSCRIBER REFUND Questions regarding this check contact the AP Dept 717/255-8260 Total Total Total Check Number Date Gross Amount Discounts Paid Amount 090004S670 08/122010 $33.02 $0.00 $38.02 tt'0900049670n• ~:02~309379~: 60L879i58n' . REV-1599 IX + (t-9~ SCHEDULE F COMMONWEALTH CAF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~ raxt~-~' .~ n a.l d ~ - FILE NUMBER dpi -10- X00 If an asset was made joint within one year of the decedent's date of death, k must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. ~, V d i 2 a . =ra (and a7 7 0~ l~,(-$G'~' ~ 1 Ve G~ Q.ll I?~CI' a. Kevilt M. kra.lmer 465 Cr~~Kriew 'Road ~n hle~han ~c sbkr9, P~ I ?n So C. Ctys~"a~ 5. Kramtr ~aZel 'Po "Box 40~ ~ Lamont PA Ib&SI ~`~ky~-~ ~. ~hu~ 1~. ~Cx'amer' '~' Ma.t-ble Sfi~ CY12c~'I~tMiCSbl.~ry, PA 1?o SO Son JOINTLY-0WNED PROPERTY: fTEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY Indude name of financial institution and bank account number or similar identifying number. Attach deed for jointly-held real estate. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1. A. ID If O6 1 ~ P/~(C $,ANK, CC/'ti ~ Srt AfI. 3/O 003 ~ ~` 1J, ~9s. v~ Jt' s ~y7.~~ p26 y~ soy 0 ~s'a/aafi0n O6/ZiiAeG~ via /~e~ort t ~ept.~Y. ~rnm PNC 4tir'a~> ~. ~. 419'0/ ~gECu S4/in~S ~.~ /t/o. p~0 (/(, 33¢ ~71S.`f/o .rOyo 3$7.73 - s ~. 3. 8. 6 fief 9~t 'PSECu, ~~i ~. ~os:f Ne. oho SIG 33Y9 ~~ 4, 9~a . So ~ 9 9 BG.~fo _" ~$1 Sv~a , '~. t3, 6//g~j ~~'/( ~[~wl«rc~Flar2 I~Gt f 13.20 S'D/~o Ly r6 Sec V~/ua/i'on le>~' ~ /~sECu a~}ttche~{~ . ~' ~. Ir/i.loL dt/aC~ol/iQ /~~k G D ,.NO. a ~7 502 //2 ~/7Z. D/3 ~/D, a ~3. /l ', So $ ~S, 13 6.8(0 ~Ne~e ~r ti/ac~wv~a TiEmS See ~ ~orresp ~ OQc~UItG da ~a~ /l/OS'- /~ d O/D i-G : !~/ac~zas'ia a~a~~l l / TOTAL. (Also enter on line 6, Recapitulation) S ~ ~ ~ '1 r! ~. ~ 0 (It more space is needed, insert additional sheets of the same size) r`' Z S~ ~ ~ ~~ ~~ ._ _ l• ~ O~ _~ra/}2~r~ . ~ina~c~_ _~__ - - ___ - _ _ #~iLF /Yo. - z/-/o - ~Oo _ .1~Fir1./Ib, 1. a H'e.~ ~a.~ -DCtT'2 ~f'._7Pll.- __n~'C.~.~_ - ii /' ---_~_e.fi_~n~Oh- Dr- ~p~+~G - ~ a• ~ UQlue of /~5S¢~ - ~o ~- - _. _ _--- - D. o. t~ va (eta _._ ~eGR.~S ~+s'F _ !o . _ _ ~ /~ /~e%b- -_ _ L~t/a<~iov; a _ _ cD _ ^~~. d v~ Yoz__ /i2 _ _ _ __ _ _. ~ oa/ 7/ ~/v~ 273. sb1; ~.5' /3/x.86 _ _. __ ~__f~- _ _!(~t0~06 --- 6vac~~i_'a -- C',~ No ay7 _~02 //?_ _ _._. __ - ~DZ OS~ -_ _ f0_,_ 273.,7/ _ SDfo_ ~ -- S /,~6._~_(c__._. - /oo ovj_~37 35 ~/ _ _ ~yy_.3~z.79 .5~~ ~~2,141.`fD _- __ - _ _ __. /e/ o/`f /SS 7.3 83 _ _ _~/G 363, y6 _ - 50~ ~~ /8/.__73. _ __ _ /D.. C • _ _ ll~j%(~ - _ WQGtov~a C~_ ~t/o. d~17 S~oz /~L __ __ __ -- _ _ _: - _ - - ~Pz Da 5- _ _ _ - _ _ Rio, X73. ~/ .SD ~o _ ~s L36~ ~~ __ - _ _ _ _ __ __. i I- i .i C - _ _ _ _ --- _ ..._ _.__ _ _ _ __ _ __ __ _ _ _ _ _ _ _ - . _ __ -_ _ __ _ - _.. _ _ PSEC~k August 27, 2010 Account # 0206XXXXXX CHARLES E SHIELDS III 6 CLOUSER RD MECHANICSBURG, PA 17055 Dear MR. SHIELDS III: The following is the status of DONALD B. KRAMER's account with PSECU as of the date of death Joint Owner's Name KEVIN M. KRAMER ADDED 06.18.1997 AS JOINT TENANT W/ROS; BLONDENA J KRAMER WHO DIED 09.01.2006 WAS ADDED 07.26.2001 Date of Death 06.03.2010 Date of Birth t 1.14. ] 924 Share Description Open date Balance Accrued Dividend S O1 Regular Shares 06.18.1987 $ 13.28 $0.00 S 04 Moneyhandler 06.18.1987 0.00 0.00 S 07 Money Market Shares 08.06.2001 715.44 0.02 C 50 Certificate Shares 07.24.2001 19,967.09 5.71 The dividend earned from January 1, 2010 through the date of death was $433.15. The decedent had no loans with us. We do not have safe deposit boxes for our members. If you have any questions, please ca11234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. Sincerely, L~ ~. Meacie Fairf Member Service Representative Finance Support Unit Pennsylvania Strnte Employees Credit Union Main Address: 1 Credit Union Pface, Harrisburg, PA 1 71 1 0-2990 • 7'17.234.8484 • 800237.7328 Mailing Address: PO. Box 67013, Harrisburg, PA 1 71 06-701 3 • 717.777.2100 (TDD) • 800.472.1967 (TDD) psecu.com This credit union is federally insured by the Notional Credit Union P,drninistration. Equal Opportunity Lender r~nnalt.rrinar- .tnn~rtafrRn~..~ aMn INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES A N D Po Box 260661 TAXPAYER RESPONSE HARRISBURG PA 17128-0601 REV-1543 IX AFP coe-oe~ .. ,R W,,. re-f~.., . FILE N0. 21 10-0600 ACN 10139025 DATE 07-05-2010 LYDIA A IRELAND 27 SUNSET DR MECHANICSBURG PA 17050-1633 EST. OF DONALD B KRAMER SSN E OF DEATH 06-03-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0. REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST O CERTIF. PNC BANK NA provided the Department with the inforoation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/benafic:i.ary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach :s copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call (717) 787-8327 with questions. COMPLETE PART 1 BELOW x SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUC:'TIONS Account No. 000031000302644 Date 10-11-2006 re ensure proper credit to the account, two Established copies of this notice must: accompany Account Balance $ 11 , 295.48 payment to the Register of Wills. Make check payable to "Register of Wills. Agent". Percent Taxable X 50.000 Amount Subject to Tax $ 5, 647.74 NOTE: If tax paywants are. made within three wonths of the decedent's elate of death. Tax Rate X .045 deduct a 5 percent discount on the tax due. Potential Tax Due $ 25 4 . 1 5 Any Inheritance Tax due will become delinquent nine months after the dates of death. P~T 1 TAXPAYER RESPONSE T. ~. A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two co pies of this notice to obtain C H E C K 0 N E a discount or avoid interest, or check box "A" and Wills and an official assessment will be issued by return this notice to the Register of the PA Department of Revenue. [ B L 0 C K ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Taz Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ 3 X 4 $ 5 - 6 $ 7 X 8 $ PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID ~~,... ie:ncer on une 5 or fax Computation) 6: Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. HOME C ~ WORK C ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE CHARLES E. SHIELDS, III ATTORNEY-AT-LAW 6 CLOUSER ROAD Corner of Trindle and Clouser Roads MECHANICSBURG, PA 17055 GEORGE M. HOUCK (1912-1991) November 18, 2010 PA Department of Revenue Bureau of Individual Taxes Inheritance Tax Division Dept. 280601 Harrisburg, PA 17128-0601 TELEPHONE (717) 766-0209 FAX (717) 795-7473 Re: Estate of Donald B. Kramer, deceased File No.: 21-10-0600 SSN: 206-16-3349 DOD: 6/3/2010 Wachovia Bank N.A. ACN Nos.: 10152734 101527;31 10152733 10152734 10152735 Dear Sir/Madam: Please find enclosed signed and dated information Notice and Taxpayer Response forms for the above-mentioned ACN's. As noted on the forms, we will be including the Potential Tax Due with the Inheritance Tax when filed. Additionally, I have enclosed a copy of a CD withdrawal for Crystal Hazel. She did not receive a Notice as she has been having trouble receiving mail. Would it be availalble to send her Notice in care of me at my address? I believe her ACN No. is the missing number in the sequence bearing No.: 10152732. Please advise as to whether or not you will be sending us a duplicate copy of the Notice for our signature and date as the Potential Tax Due fol• Crystal Hazel will also be included with the Inheritance Tax when filed. Thank you for your kind assistance in this matter. Very truly yours, ~~~ ~ ~ ~ Charles E. Shields, III Attorney-At-Law CES/mjj Enclosures BURERU OF INDIVIDUAL TAXES Po Box 260601 HARRISBURG PA 17128-0601 REY-1563 EM Ki (R3-RR) INFORMATION NOTICE AND TAXPAYER RESPONSE :.FILE NO. 21 10-0600 I ACIV 10152730 ~DA'fE 09-20-2010 BRUCE A KRAMER 4 MARBLE STREET MECHANICSBURG PA 17050 EST. OF DONALD B KRAMER SSN DATE OF DEATH 06-03-20:10 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS TD: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKIN( TRUST ® CERTIF. ~ ~ ~- ~ WACHDVIA BK NA provided the Departsent with the inforsation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-nased decedent, you were a ioint owner/Dernrfieiary of this account. If you feel the inforsation is incorrect, please obtain written correction fros the financial institution. attach a copy to this fors and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cossorw ealth of Pennsylvania. Please call C717i 767-6327 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 24 74 0 21 1 28 020 1 3 Date 11-10-2006 To ensure proper credit to the account, two Established copies of this notice lust accompany Account Balance $ 10 , 273.71 paysent to the Register of Wills. Make check payable to "Register of Wills, Agent^. Percent Taxable )( 50.000 NOTE: If tax paysents are lade within three Amount Subject to Tax ~` 5, 136.86 months of the decedent's date of death, Tax Rate ~( lfj deduct s 5 percent discount on the tax due. Potential TaX Due Any Inheritance Tax dine will becose delinquent $ 770.53 nine sonths after the date of death. PART TAXPAYER RESPONSE 1^ A. ^ The above inforsation and tax due is eorre et. Resit paysent to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box ^A^ and return this notice to th.e Register of C 0 N E ~ Wills and an official assessaent will be issued by the PA Departsent of Revenue. BLOC K B. ~( The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y Ste' to De filed by the estate representative. C. ~ The above inf orsa ion is incorrect and/or debts and deductions were Daid. Cosplete PART ~ and/or PART 3^ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 2 $ 3 X 4 $ 5 - 6 $ 7 X 8 $ PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRTPTT[1N ewnuur overt, Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to ~b st of my knowledge and belief. HOME C ~ l~i~ WORK ( 7/? ~ '7~4-e9 ~ /~ /T ~e TAXPA ER SIGNATURE TELEPHONE NUMBER DATE _._ ,.,(s. •cncer on une 5 or lax Computation3 t BUREAU OF INDIYTDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 [EY-1563 E% •FI l,!-,0) INFORMATION NOTICE AND TAXPAYER RESPONSE FILE N0. 21 10-0600 ACIi 10152731 DA1fE 09-20-2010 KEVIN KRAMER 4865 CREEKVIEW RD MECHANICSBURG PA 17050 TYPE OF ACCOUNT EST. OF DONALD B KRAMER ~ SAVINGS SSN ~ CHECKIN( DATE OF DEATH 06-03-201.0 ~ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS ~ 1 COURTHOUSE SQUARE CARLISLE PA 17013 ~~ ~ ~, WACHOVIA BK NA provided the Departwent with the inforwation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-pawed decedent, you were a .ioint caner/bene~f iciary of this account. If you feel the inforwation is incorrect, please obtain written correction frow the financial institution. attach a copy to this forty and return it to the above address. This account is-taxable in accordance with the Inheritance Tax laws of thl) Cowwonvealth of Pennsylvania. Please call C71 T) 787-8327 with ouestions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTF:UCTIONS Account No. 2474 0 2 1 1 28 02021 Date 11-10-2006 To ensure proper credit: to the account, two Established copies of this notice oust accompany Account Balance $ 10,273.71 paywent to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax NOTEr If tax paywents are wade within three $ 5, 136.86 months of the decedent's date of death, Tax Rate ~( lrj deduct a 5 percent discount on the tax due. Potential Tax Due Ary Inheritance Tax duce will becowe delinquent 'S` 770 • 53 nine wonths of tar the clate of death. PART TAXPAYER RESPONSE A. ^ The above inforwation and tax due is correct. Rewit paywent to the Register of Wills with two copies of this notice to obl[ain C H E C K a discount or avoid interest, or check box ^A^ and return this notice to they Register of 0 N E Wills and an official assesswent will be issued by the PA Departwent of Revlenue. BLOC K ~ g. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above inforwa ion is incorrect and/or debts and deductions were paid. Cowplete PART ~ and/or PART O below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ a X 4 S 5 6 7 X 8 s` PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION eunlrur ow rr. Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to best of my kno-rledge and belief. HOME ( ) n ~' - woRK c~j ~ Ord G -• ®~ ~1 /r o TAXPAYER SIGNATURE TELEPHONE NUMBER ATE ~~...~ «~~~w~ vn une ~ or lax comoutauonl ~ INFORMATION NOTICE 4 ~ BUREAU OF INDIVIDUAL TAXES AND ' FILE N0. 21 10-0600 PD BOX 290601 HARRISBURG PA ln2e-o6o1 TAXPAYER RESPONSE ACIN 10152733 DATE 09-20-2010 REV-1563 EX Aff fee-1a) TYPE OF ACCOUNT EST. OF DONALD B KRAMER ~ SAVINGS SSN ~ CNECKIN~ DATE OF DEATH 06-03-20L0 ~ TRUST COUNTY CUMBERLAND a CERTIF. REMIT PAYMENT AND FORMS TD: LYDIA A IRELAND REGISTER OF WILLS 27 SUNSET DR 1 COURTHOUSE SQUARE ii MECHANICSBURG PA 17050 CARLISLE PA 17013 } ~- ~''` ,,~ ~ ~~ " f WACHDVIA BK NA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beniaficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the ebove address. This account is taxable in accordance with the Inheritance Tax laws of the Commora+ealth of Pennsylvania. Plesse call (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 2474D2112802058 Date 11-10-2006 To ensure proper credit to the account, two Established copies of this notice must accoalparly Account Balance $ 10,273.71 payment To the Register of Wills. Make check payable to ^Register o~F Wills, Aeent^. Percent Taxable X 50.000 Amount Subject to Tax $ 5, 136.86 NOTE: If tax payments are ^ade within three months of the decedent's date of death, Tax Rate X 1 5 deduct a 5 percent discount on the tax due. Potential Tax Due Any Inheritance Tax dwa will become delinquent $ 770.53 nine months after the iiata of death. PART TAXPAYER RESPONSE A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or check box ^A" and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK 6. ® The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed br the estate representative. C. ~ The above inf orma ion is incorr~ect and/or debts and deductions were paid. Complete PART 2~ and/or PART L__I below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject [o Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 $ 3 X 4 ~ 5 - 6 $ 7 X 8 $ PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRTPTT(1N AV(111\IT o.T„ I,n Lantl ~ yr iax computation) 4 Under penalties of per3ury, I declare that the facts I have reported above are true, correct and complete t the best of my knowledge and belief. ~ ~_ HOME C ) // - WORK C "/ / ~ ) -G1~0~ // /7 D TAXPAYER SIGNATURE TELEPHONE NUMBER DA E BUREAU OF INDIVIDLWL TAXES PO BOX 280601 HARRISBURG PA 17126-0601 RFV-1563 EX Arr !eo-ou LYDIA A IRELAND 27 SUNSET DR MECHANICSBURG PA 17050 ~'v TYPE OF ACCOUNT SAVINGS ® CHECKIN( TRUST CERTIF. ~~ WACHOVIA BK NA provided the Departwent with the inforwation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-pawed decedent, you were a Joint owner/benerficiary of this account If you feel the inforwation is incorrect. please obtain written correction frow the financial institution, attach a copy to this forty and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of thi! Cowwonwealth of Pennsylvania. Please call CT17) 767-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTfitUCTIONS Account No. 1000094373881 Date 08-20-1997 To ensure proper credit to the account, two Established copies of this notice oust aecowpar!y 44 , 382.79 paywent to the Register of Wills. Nake check Account Balance payable to `Register off Wills, Apent^. Percent Taxable X 50.000 $ 22, 191 .40 NOTE: If tax pavwents are ^ado within three Amount Subject to Tax months of the decedent's date of death, Tax Rate ~( ~ lrj deduct a 5 percent discount on the tax duo. Any Inheritance Tax due will becowe delinquent Potential Tax Duo $ 3, 328.71 nine wonths after the date of death. PART TAXPAYER RESPONSE A. ~ The above inforwation and tax due is correct. Rewit paywent to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box 'A" and return this notice to the Register of C 0 N E ~ Wills and an official assesswent will be issued by the PA Departwent of Revenue. BLOC K B. The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above inf orwa ion is incorrect and/or debts and deductions were Paid. Cowplete PART 2~ and/or PART ~ bela+. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 $ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 $ 5. Debts and Deductions 5 6. Amount Taxable 6 $ 7. Tax Rate 7 X 8. Tax Due 8 s PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and templet t~ he best of my knoxledge and belief. H OME C ) _ //) --~GLI,/ -l.~si /i~]-A, WORK C~/7 ) '7/ / -~ 7/4g tl /7 i 1NFUKMAI lUN fVUI lt:t AND TAXPAYER RESPONSE FILE ND. 21 10-0600 IACM 10152734 jDAI"E 09-20-2010 EST. OF DONALD B KRAMER SSN 206-16-3::49 DATE OF DEATH 06-03-201.0 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 L T/CXPAYER SIGNATURE TELEPHONE NUMBER TOTAL CEnter on Line 5 of Tax Computation) C BURE9lU OF INDIYIDUAL TAXES Po aox zao6ol HARRISBURG PA 17128-0601 REY-1563 E% AFP (I3 -te) '.FILE N0. 21 10-0600 !ACM 10152735 DATE 09-20-2010 INFORMATION NOTICE AND TAXPAYER RESPONSE EST. OF DONALD B KRAMER SSN DATE OF DEATH 06-03-201.0 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: TYPE OF ACCOUNT SAYINGS ® CHECKINi TRUST CERTIF. LYDIA A IRELAND REGISTER OF WILLS 27 SUNSET DR I COURTHOUSE SQUARE `1~ _~j MECHANICSBURG PA 17050 CARLISLE PA 17013 ~ WACHOVIA BK NA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were s joint owner/baneficisry of th1S account. If you feel the inforwation is incorrect, please obtain written correction from the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the' Cpwonwealth of Pennsylvania. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIDNS Account No. 1010141557383 Date 07- 11 -2006 To ensure proper credit to the account, two Established copies of this notice must accoeparry Account Balance ~ 16,363.46 payment to the Register of Wills. Make check payable to ^Repister of Wills, Apent^. Percent Taxable X 50.000 Amount Subject to Tax NOTE: If tax payments are ^ade within three 8, 181 • 73 months of the decedent's date of death, Tax Rate X 1 5 deduct a 5 percent discount on the tax due. Potential Tax Due Any Inheritance Tax due will become delinquent 1 , 227 ' 2b nine months after the d'~ate of death. PART TAXPAYER RESPONSE A. ^ The above information and tax due is correct. Remit vayment to the Repister of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box ^A^ and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued by the PA Department of RevErnue. BLOC K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART 3^ belov. PART If indicating a different tax rate, please state a relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 X 8. Tax Due g ,~ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMFIII-IT overt, Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete BI - (~ he Des ny knowledge and belief. HOME C ) - l/Ll,fiQ L _ / WORK C ~/7) 71t~ ~'C~z~ D' TAXPAYER SIGNATURE TELEPHONE NUMBER (.~ /7 f DATE _ .v•,.~ ~u)~nr un Lln6 D OT IaX Computation] a v vtiv~v v a.~ TIME DEPOSIT WITHDRAWAL CONFIRMATION Office Name NE'CNT PA /SILVER SPRING SQU PA Date 06/10/2010 CURRENT BALANCE : $10,273.43 + ACCRUED INTEREST : $0.71 Avail Int WDlPenFree: $12.80 - PENALTY AMOUNT : $0.00 -FEDERAL W/HD DUE : $0.00 - WITHDRAWAL FEE : $0.00 -OUTSTANDING PYMT : $0.00 PAID TO CUSTOMER : $10,274.14 Customer Name(s), Address and Taxpayer ID Number DONALD B KRAMER CRYSTAL HAZEL 31 SUNSET DRIVE MECHANICSBURG PA 17050 SX)CXXX3349 FULL REDEMPTION CD ACCOUNT NUMBER: 247402112802025 wAC~ovin Opening Date TIME DEPOSIT Accaxrt Number Ttris Receipt Admowledges That The Depositor Named #**'~"~*~'#**~*VQ ID~'k** SumBek Has Deposked Whh T'hls bank The Depositor Name And Address Taxpayer ID Number NIOT TRANSFERABLE Term Malurtty Date Interest Rate Per Mnum Annual Percentage Yetd Interest Payment Frequtncy/Period Interest Payment Disposition Account to Credk PROD-TYPE: PR011A0 CD: I~dby WACHOVIA BANK h X x, l b l ~ slgnatwe Date Wachovia Beek and WacMvie Bank of Delaware era divisions of Weks Fargo Bank, NA. ez> REV-1570 EX • (197) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS 8 MISC. NON-PROBATE PROPERTY ESTATE OF Kr u,rl er, ~o na.~ d B_ FILE NUMBER dZ! -to- ~ 00 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIRRELATIONSHIPTODECEDEIlTANDTHEDATEOFTRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION 7F APFUCABLE TAXABLE VALUE . Pae QifNK /~,~ .dam /Yo_ (o SOO/ loo S 3 6!0 %D, oG 7. ~/ >g/o O67 g/ .~. Sn ~. CPC/: ~ c!. d, c% oh ~CrX 1 ¢ / 3. s~ /oo~o -o -- x~ 3..sv .~ tONC' Q~~k /.C~ //ecf. No. 7-sS DooZ 7~ ~6 ~9 S63 3Z ~ /oo~o ~J- ~~~ 5~3.3~ - o --- v- o ,~3ofh ~~ ~tdar~ ~A~ u.~ u /~ irra fe/y Pa~/a~/G ~ c%rea/P~ts ~a~r ~ ~%lr e n uul~ QS a r~ /iS~ ~ SC,~Q! .T ~ / f S~ V9~K4lid~ ~e~ei' O~ ~°~' Q'~a~re~) TOTAL (Also enter on line 7 Recapitulation) I S / Q 6 y~ C'p~ i (If more space is needed, insert additional sheets of the same size) Ri=V-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER ~'ra.,r~~r, Donald ~. a 1 - ~o -(voo Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t. 5ull~vah F~u.neral Homo ~ co ~, boo. a. nn CI.~M ~L+Y'lAntd lot Hono+' ~~ D ~l o 3. McGham ~csbN~ Cl u.b p.Q ~7iS o0 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions L 7~ Name of Personal Representative(s)- Lyc~, q ~, Z/'t°~itrjG~ ~~~ ~DO.o~ Social Security Number(s)/EIN Number of Personal Representative(s) Street Address d27 Sunset Dr. City /Ylc~~hanic s~N r4 State ~~ Zip 17050 Year(s) Commission Paid: 2. Attorney Fees Chun/PS ~ ~j~e%~$ /f~ DDD. vD 3. Family Exemption: (li decedent's address is not the same as claimant's, attach explanation) Claimant /(/D ONE ~G/G/d Lrc /NONE' i Street Address City State Zip Relationship of Claimant to Decedent i 4. Probate Fees Gi~tnd Orr grna.~ 155 D~ S~norf Cerir ~7~la.t~$ ¢ ~(os-r~ 5. Accountant's Fees SaW !~~ ~t.. ~~ ~p~~ ~Dt}0 ~/~} t}b Pte. ~artefi ~ rac~b ; II N f R 131 k ~ r fr5'~,OD 6. , o~ r l04 I s, P~ ~{ I s. Tax Return Preparer's Fees e S~ f.00 ~. 17. eLwre Ctieck ~'o. {o.- ~sfaf~ Chcc.lCS_ ~8 00 ~"- /~dder~i's ih~ i/I ~um 6 cr/an ~ L~cd ,T Krss d/ ~ 7'S o0 9 ~clverh'sin~ in ~~tr-/~s/e ~Ph~iac/ ¢ /3y'/~ ~6. Fi~li~rt~ Fee >~ ~~iSlitr' of LYi/~S /S, OD /~ /~dd~iS oa v / Phn 6a ~ Fec 1 ~S~ Croi~/Salrq/~oi1 .5l e~f/ faa0•oo TOTAL (Also enter on line 9, Recapitulation} $ 43.~ID~ ~~ (If more space is needed, insert additional sheets of the same size) ~_ 2 se~~. u, ~wE'd. { ES% D~ ~i^an1Cr, Aonct(d ~. ~/LE itlo. 2l--/0 -~ooo _ __-- -- -- --_ _ ~a ~ -P~~_ - - ~i9/._~s _. t 3. .~ _ Cox~as~ _ - - - - _ _- - _ - - - r~ z3 _ _ /y ~e~Mbursemenfis ~' C{-arks E. Sh~e~ds !~ , fib. 1~~'__-/?P_,E~ay~, cc~-(~'~~'esl - - - __ i 1-1ct- ~,"n 5 _-- `1-/-p~io{~coP;esf et~._-- _~eshin.) __ __ -_ - __ -- - ~- - - -- o° /~- IS l- ___ __ ---- c~i / l -_~QSoh oYttc~l/4~_~_ /-,_7HG _. AYlSIy1~Gf _ - -------___ IDD. DD /IP. ~ _- - _ _ ; _ pP~ ~~s-. 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I D , oa I _ - _ _ - - r~ SS9 o Z _ _ ~ - - _. - - __ REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE UABIUTIES, & LIENS ESTATE OF v~~ Mer' ~ona~~ ~ , FILE NUMBER T~ ar- ~0-60~ Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursedl medical eYnanspc iir more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Kra-v,er, ~brlaad ~- oZl_!o-loon NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under _ Sec. 9116 (a) (1.2)] 1. ~y~~u i4_ rrelaYld P~ ~~oso a~ .~t~hs~t ~,-, m~h~n~~sbu,r dat~y~,t~ Y~- y, 2• CrystQ/ S. /~ramcr Ha~~ ~o ~X 40~+ Lam.ont-, p~ ~rDgsl d~t~~t~ y~ 3. ~ruc.e .¢. Kramer mdr~~e Sf: ~ f{'~e c.~ttl,ntcs ~,k-~, 0/! 5oH `/SF I~ DS'D fie/,.~ ~1. ~''ct- mcr Se n y~ ~{g65 CreeKv~c~ 61x1., lYlecl~)an-~sbur5, rP~ ~ 7 o s'o ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ SCHEDULE J BENEFICIARIES to more space is neeoea, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF DONALD B. KRAMER I, DONALD B. KRAMER, of the Township of Silver Spring, County of Cumberland and State of Pennsylvania, being of ;sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I gi~re, devise and .bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same may be situate, to my wife, BLONDENA J. KRAMER, her heirs and assigns, absolutely and unconditionally. 3. In the .event that my wife, $LONDENA J. KRAMER, should predecease me, or should she die at about the same time as I do, such as in an accident common to both of us, then in such event, I give, devise and bequeath my entire estate, real, personal and mixed, whatsoever and wheresoever the same may be situated, to my -1- four children, to wit, LYDIA A. IREIrAND, BRUCE A. KRAi~"IER, KEVIN ~I. KRAME:R an:d CRXSTAL S. KRAMER, share and share alike, per stirpes. LASTLY, I nominate, constitute and appoint my wi:Ee, BLQNDENA J. KRAMER, Executrix of this my Last Will and Testament, and in the. event that my said wife should predecease me, or should>she be unable to .serve in such capacity for any reaspn, then in such event, I nominate, constitute and appoint my daughter, the aforesaid LYDIA A. IRELAND, Executrix of this my Last Will and Testament, in her place and stead. IN WITNESS WHEREOF, I have hereunto set my hand rind seal this~~'~~r day of A. D. , _1985. (SEAL) Dona B. .rawer Signed, sealed, published and declared by the above. named, DONALD B. KRAMER, as and for his Last Will and Testament, in the presence of us, who have subscribed our names. hereto as witnesses., at the request of said te~stator,• in his presence and in the presence of each other. -2- v