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HomeMy WebLinkAbout07-27-12 (2) 1505610101 REV-1500 ex t°1.1°' OFFICIAL USE ONLY PA Department of Revenue Pennsylvania oEP.w.MEN, FaE~E~~E Bureau of Individual Taxes ~ INHE RITANCE TAX RETURN County Code Year File Number PO BOX 280601 Harrisburg, PA 1'7128-0601 RESIDENT DECEDENT 2 1 1 2 0 0 4 3 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY "1 6 2 2 2 4 3 6 7 1 0 2 7 2 0 1 1 1 1 1 7 1 9 2 7 Decedent's Last Name Suffix Decedent's First Name MI S a r v e r B e t t y M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW ® 1. Original Return O 4. Limited Estate O 6. Decedent Died Testate (Attach Copy of Will) O 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS O 2. Supplemental Return O 4a. Future Interest Compromise (date of death after 12-12-82) Q 7. Decedent Maintained a Living Trust (Attach Copy of Trust) O 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) O 3. Remainder Return (date of death prior to 12-13-82) O 5. Federal Estate Tax Return Required ~_ 8. Total Number of Safe Deposit Boxes O 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number M ~~r1 i n R Mc=C a1e'b E sq 71 7 691 777 0 First line of address 2 19: Ea st M-,a in Second line of address P 0 B ox 230' City or Post Office M ech a-ni cs burg Correspondent's a-mail address: S t r e e t State P A ZIP Code r ~ . K .... REGISTE WILLS USE.:CJN LY Ci7 7 r - r ~ r~,~ _ - . ~ .._ i ``T, ~ y tr _,. ~~.:~ G r -i r -- DATE FILE D ~.. ~.r3 _J r , `i 1 7 0 5 5 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is tru ,correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG A URE OF PERS RE ONSIBLE FOR FILING RETURN DATE .,,` ~:~-^ Dennis L . Sarver ,~-, 7- _~2 ADDRESS 270 oungs C h Road Shermans Dale, PA 17090 SIGN OF PR A ~T PR TATIVE DATE _I`'a i .~ ADDRESS ?_19 East Main Street, Mechanicsburg, PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101 l J h~~ 1505610105 REV-1500 EX Decedent's Social Security Number Deoede~t's Name: Betty M. Sarver 1 6 2 2 2 4 3 6 7 RECAPITULATION 1. Real Estate (Schedule A) ........................................... .. 1. 1 O 2 O - 0 O O O 2. Stocks and Bonds (Schedule B) ..................................... .. 2. 0 • O 0 '' 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. O O O 4. Mortgages and Notes Receivable (Schedule D) ......................... .. 4. 0 • 0 O 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. i 9 ] O 4 6 9 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. Q • O O 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested...... .. 7. O • O O 8. Total Gross Assets (total Lines 1 through 7) ........................... .. 8. 1 2 1 ] O 4 ~ 9 9. Funeral Expenses and Administrative Costs (Schedule H) ................. .. 9. - 1 ] ( 9 8 2 ~ ' 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............ .. 10. O O O 11. Total Deductions (total Lines 9 and 10) ............................... .. 11. 1 ] O 9 8 2 3 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. O 4 O O 6 ~ 6 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... .. 13. O • O O 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. 1 O 4 O 0 ~ 4 O TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .O.O 15. 0 . 0 O 16. Amount of Line 14 taxable at lineal rate x .o ~ 1 0' 4 0 0 6. 4 6' 1 s. 4 6 8 0• ~ 9 17. Amount of Line 14 taxable O O 0 at sibling rate X .12 • 17. • 18. Amount of Line 14 taxable at collateral rate X .15 • 18. O • 0 0 19. TAX DUE .........................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 46 80.29 0 Side Z 1505610105 1505610105 REV-1500 EX Page °~ Decedent's Complete Address: File Number DECEDENT'S NAME __ __ - Bett~_ M_ Sarver _ _ _ _ _ STREET ADDRESS 200 East Coov~r ~treet_ clrv Mechancisburg 'j STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) x,6$0.29 2. Credits/Payments A. Prior Payments B. Discount Total Credits (A+ g) (2) 0.00 3. Interest (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 4 , 680.29 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 :.................................................................................... ...... ^ b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^ c. retain a reversionary interest; or .................................................................................................................... ...... ^ d. receive the promise for life of either payments, benefits or care? ................................................................ ...... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ 3. Did decedent own an "intrust for" orpayable-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? .................................................................................................................. ...... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ,, ,~,_ For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's -ineal 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)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX + (1-97) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN ESTATE OF FILE NUMBER Betty M. Sarver SS~~ 162-22-4367 10/27/2011 21-12-00438 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 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1-97) REV-1508 EX +(1-97) SCHEDULE E COMMONWEALTHOFPENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INRESIDENTDECEDENT N PERSONAL PROPERTY ESTATE OF FILE NUMBER Betty M. Sarver SS~~ 162-22-4367 10/27/2011 21-12-00438 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 Checking Account No. 6215380109, Citizens Bank, - principal 3,684.69 balance as of DOD: $3,684.69; interest accrued to DOD: $0.00. 2 Federal Employees' Group Life Insurance, - claim for FEGLI insurance benefits payable on life of Decedent's late husband, Ivan L. Sarver (died: 05/18/2011). 3 (Household contents, furniture and furnishings - (per appraisal Chuck Bricker, Auctioneer). 4 Myers-Buhrig Funeral Home, Mechanicsburg, PA, - pre-need funeral contract. TOTAL (Also enter on line 5, f (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. 8,250.00 570.00 7,200.00 $ 19,704.69 Form REV-1508 EX (Rev. t-97) REV-1511 EX+(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES 8 ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Betty M. Sarver SS~~ 162-22-4367 10/27/2011 21-12-00438 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES: 1 Lisa's Floral Shoppe, Newville, PA, - floral arrangement. 2 Myers-Buhrig Funeral Home, Mechanicsburg, PA, - funeral services. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney's Fees Law Offices-Marlin R. McCaleb 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 4. 5. 6. 7. 1 2 3 4 5 6 Street Address City State Zip Relationship of Claimant to Decedent Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Brett Lechthaler, - real estate appraisal. Chuck Bricker, Auctioneer, - appraisal of household contents. Citizens Bank, - service charge. Citizens Bank, - service charge. Citizens Bank, - service charge. Citizens Bank, - service charge. Total of Continuation Schedules TOTAL (Also enter on line 9. (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. AMOUNT 164.14 10,700.00 5,600.00 255.50 300.00 50.00 4.99 4.99 4.99 0.59 613.03 lation) ~$ 17 , 698.23 Form REV-1511 EX (Rev. 1-97) Estate of: Betty M. Sarver Soc Sec ~~: 162-22-4367 Date of Death: 10/27/2011 Continuation of Schedule H-B7 (Other Administrative Costs) Item Description ~~ Amount 7 Cumberland Law Journal, - advertising Letters. 8 Register of Wills, - filing Inventory and Appraisement. 9 Register of Wills, - additional probate fee. 10 Register of Wills, - reserve for filing Account, Releases, etc. 11 The Patriot-News, - advertising Letters. 75.00 30.00 50.00 300.00 158.03 -------------- 613.03 REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE) BENEFICIARIES ESTATE OFRatty M Carvar CCU{ 1h~_~~_a~ti7 NUMBER ss~p 10%27j2011 ~ --~~ v` ~vV~ 21- 12-00438 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 1 Dennis L. Sarver Son One-Half(1/2) 270 Youngs Church Road Shermans Dale, PA 17090 2 Cheryl L. Nickel Daughter One-Half(1/2) 11 Burgners Mill Road Box 31 Plainfield, PA 17081 ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON R EV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1513 EX (Rev. s-oo) APPRAISAL OF REAL PROPERTY LOCATED AT: 200 E Coover St Deed Book J22 Page 137 Mechanicsburg, PA 17055 FOR: Estate of Betty M Sarver clo Marlin R McCaleb, 219 E Main St, Mechanicsburg, PA 17055 AS OF: 10/27/2011 BY: Brett Lechthak:r, PA State Cert Gen Appr Appraisal Solutions 16 San Juan Drive Mechanicsburg, PA 17055 Form t~lt6 -'WinTOTAL" appraisal software by a b mode, inc. -1-800-ALAMODE Schedule A.l May 04, 2012 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 Farm DCVR - "WinTOTAL' appraisal software by a la mode, inc. -1-80D-ALAMDDE A.~ SUMMARY OF SALIENT FEATURES Subject Address 200 E Coover St Legal Description Deed Book J22 Page 137 CiTy Mechanicsburg County Cumberland State PA Zip Code 17055 Census Tract 0115.00 Map Reference Metro:2846/H-B Sale Price $ NA Date of Sale NA Borrower/CRent NA Lender Estate of Betty M Sarver S¢e (Square Feet) 1,330 Price per Square Foot $ Location Average Age 112 Years Condition Average Total Rooms 7 Bedrooms 3 Baths 1.1 Appraiser Brett Lechthaler, PA State Cert Gen Appr Date of Appraised Value 10/27/2011 Final Estimate of Value $ 102,000 Form SSD - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE i~-~ Appraisal Solutions p17)697-1828 Uniform Residential A~oraisal Report ~;~~ ,~_~aNP~ The put ose of tfus summa appraisal r ort is to provide the lender/diem with an accurate, and ad uately suppor~d, opinion al ttce market value of the subject prop Pro Address 200 E Coover St Ci Mechanicsbu State PA Zi Code 17055 Bonower NA Owner of Public Record Sarver Ivan L & Be M Cou Cumberlard L al Descd lion Deed Book J22 Pa a 137 Assessor's Parcel # 17-24-0787-096 Tax Year 2012 R.E. Taxes $ 2 240.19 Nei hborhood Name Mechanicsbu Boro h Ma Reference Metro:2846/H-8 Census Tract 0115.00 Occuparrt Owrcer Tenant Vacard S ecial Assessments $ None PUD HOA $ per ear er mondr " Pro Ri hts raised Fee Sim k Leaselrold Olher describe Assi nmerrt T e Purchase Transaction Refinance Transaction Other describe Market Value Lender/Client Estate of Be M Sarver Address Go Marfin R McCaleb 219 E Main St Mechanicsbur PA 17055 Is the subject roe torte offered for sale or has it been offered far sale in the twelve months riot to the effective date of this appraisal? Yes No Re ort data sources used, offert rice s ,and dates . The sub'ed has not been listed for sale within the ast ear. I ^ did ^ did not analyze the comrad for sale for the subject purchase transaction. Explain the results of the analysis of the contract far sale or why the analysis was not erformed. This is a market value a sisal. There is no confrad to anal e. Contract Price $ NA Date of Contract NA Is the roe seller the owner of ublic record? Yes No Data Sources NA Is there any financial assistance poan charges, sale concessions, gift or downpayment assistance, etc.) to be paid by any party on behalf of dle borrower? ^Yes ^ No If Yes, re ort dle total dollar amount and describe the items to be aid. NA Note: Race and the racial composition of the nei hborhood are not a isal factors. Nei' htiofiood Cltar9Ctetfyglca t)ne-Unlt:Housin Treble One-thllt Nousin Present Land Use % Location Urban Suburban Rural Pro Values Increasin Stable Declini PRICE AGE One-UnR 74 % Built-U Over 75% 25-75% Under 25% Demand/S Strorta a In Balance Over Su $ 00(l rs 2-4 Unit 10 % Growlh Ra id Stable Slow Markedn Time Under 3 mtlu 3-6 mths Over 6 mths 50 Low 1 Muld-Fami 2 % Nei hborhood Boundaries The ne' hborhood boundaries are indicated on the endosed ma in the 350+ Hi h 200 Commercial 8 % addenda of this re ort which cem rises Mechanicsbu Boro h. 135 Pred. 70 Other 6 % Nei hborhood Descri lion Sub'ed has access to all necessa su n facilities includin schools ublic arks trans rtation sho i and houses of worshi Em to ant stabil' s pod and is within 15-30 minute drive. Market Condtions includin su oR for the above conclusions Mort a e funds are readil available from a vane of sources with convenfional loans bein 4.0% to 5.5 % interest fixed 30 ear mort a e u to 3 pints. Sellers are not re wired to offer sales or finanln concessions however seller assistance is occunin . Dimensions 140 x 36.75 x 140.14 x 43 Area 0.13 acre Shy a Rectan ular Yew Avery e S ecfic Zoni Classification R-M Zonin Descri lion Residential District Zoni Com Iiance Le al L al Noncorrformi Grandtathered Use No Zonin Ille al describe Is the hi hest and best use of subject roe as im roved or as rc peed er fans and s ec'rfications the resell use? ®Yes Nc tf No, describe Uti6ues Pudic Other(descrbe) Public Olher(descrbe) Off-sitetrn rovemerrts-T Public Private Electric' water Street Macadam Gas ® Sanity Sewer All Rear FEMA S cial Flood Hazard Area Yes ®No FEMA Fbod Zone X FEMA Ma # 42041 C0259E FEMA Ma Date 03!16/2009 Are dre utilities and off-site im rovenrents iral for ttre market area? Yes Na H No, describe Are there an adverse site rrondfions or ezfemal factors easements, encroachmerds, environmerdal conditions, land uses, etc. ? Yes No tt Yes, descdbe Standard easements for electric tale hone etc. There are no known or a arent adverse easements or encroachments. A title search has not been tom feted and is considered outside the sco of this re ort. Genelgt`Desr;rf on Foundetien Exteriorlksrxf on ma<erialc7condidorr Interior materiels/conditlon, Units One One with Accesso Unit Concrete Slab Crawl S ace Foundation Walls Concrete Brick/A Fbors Wd Ca et VnUAv # of Stoles 2.5 Full Basement Partial Basemen[ Exterior Walls Brick/A Walls Plaster Panel/Av T e Det AtL S-Det/End Urrit Basement Area 826 s .tt. Roof Surface MetallA TriMFnish Wood/A Fxistin Pro peed Under Const. Basement Finish 0 % Gutters & Downs outs Aluminum/Av Bath Fbor As haltTile/A Desi n S le Du Iex Outside E /Exit Sump Pum Window T e Hun /Some Re lace Bath Wainscot Fiber lass/Av Year Built 1900 Evidence of Irdestatron Sfnrm Sash/lnsulated Mixed/Av Car Stara a Nane Effective A e rs 40 Da ness Settlement Screens PartiaVA Drivewa # of Cars Attic None Hearin FWA HWBB Radiant Amenities Woadstove s # Drivewa Surface Dro Stair Stairs Other BBD Poe! Electric Rreplace s # Fence Gara e # of Cars Fbor Scuttle Coo6 Central Air Conditioni Patio/Deck Rear Porch Covered Ca orf # of Cars Rnished Heated Individual Other Pool OOler Sheds Att. Det Built-in lances ®Refrf erator Ran a/Oven Dishwasher Dis sal ^ Microwave Washer/D er ®OOrer describe Fan hood Fnishetl area above rode contains: 7 Rooms 3 Bedrooms 1.1 Baths 1 330 S ware Feet of Gross Livin Area Above Grade . Additional feahrres s ecial ener efficient items etc.. T ical for nei hborhood. Descrfbe the condiGOn of the roe incbdin r~etletl re airs, deterioration, renovations, remodekn ,etc.. The sub'ed is in ovary a condition. The construction ual' is iral fora e. Based on maintenance and condition the estimated a e is below the actual a e. Ph ical de relation is due to a e. Are there a trysical deficiencies or adverse conditons that affect the livabil' , soundness, or shuctural irltegrf of the ro ? ^Yes No tt Yes, describe There were no observed nor noted h ical defilencies or adverse conditions that would affect the livabili soundness or structural inte of the roe Does the rope eneral corrform to the nei hborhood tundional util' , s le, condition, use, conshudion, etc. ? ®Yes ^ No tt No, describe The roe conforms to the surroundin nei hborhood. Freddie Mac Form 70 March 2005 Page 1 of 6 Fannie Mae Form 1004 March 2005 Form 1004 -'WinTOTAL" appraisal software by a b made, inc. -1-800•ALAMODE A. i Uniform Residential Appraisal Report ~#,2Sarver Thee are NA c bk ro 'es c oNered fa sale in the sr~' rat hborhood ra i in from; NA to S NA There am NA co table sales ~ the sub' rrei I~ortaod within the twelve nadhs i in sale 'ce trom S NA to NA FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 200 E Coover St Medranicsbu PA 17055 107 E Locust St Medranicsb PA 207 S Arch St Medranicsb PA 36 E Keller St Mechenicsb PA Pwdm' to Sub' 026 miles NW 0.15 miles NW 0.14 miles W Sale Price S N S 104 900 S 119 000 I S 115000 Sale Pricell>ross Liv. Area S tt. S 66.65 .fL S 65.24 .tt S 79.86 .fL Data Source S MuIU-List' Service Mtdti-L' Service _ Muhl-L Service Verification Source S Courttause Reconds Courthouse Records Courthouse Records VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - E Ad' DESCRIPTION + - E Ad'lrstlrerd DESCRIPTION + - S Ad'ushrierrt Sales a Rrwaing Calcessias FHA Costs/3 060 -3 060 FHA None Re eel FHA Costs/5 000 -5 000 Date d SaldT'm1e 05!11 262 DOM 09/11 73 DOM 10/10 10 DOM Location A e Avers Ave a Avers Leas S' Fee Sim Fee Sim le Fee Sim le Fee Sim le Site 0.13 acre 0.07 acre 0.03 acre 0.06 acre Yew A e E ual E ual E ual Deli k D x D Tex D lax Interior Row +5 000 Oval' d Constnlc8on Brick Frame +5 000 Brick Brick AC1tal A 112 Years 105 Years 78 Years 112 Years Condition Ave Avers Su nor -12000 Su riot -5 000 Above Grade Tahal Bdma. Baia Tebl Bdmis. Tobl Bdmis. Baths Total Bdrms. Baths Room Count 7 3 1.1 8 3 1.1 7 3 1.1 6 3 2.1 -3 000 Gross Livi Arrs 1 330 .ft. 1 574 S .f[. -2 440 1 824 S .ft. ~ 940 1 440 S .ft. -1 100 BaSertwxd 3 RNshed Roorts Bebw Grade 826 Sq.Ft Unfirshed Equivalent Unfinished Equivalent Unfinished Equivalerrt Unfinished Functional Ave e E ual E ual E ual . Fkati BBDMo CA HtWtr/No CA FWAINO CA FINAICA -4 000 ,' E Etficied Berra A e Avers Ave a Avers Garage/Ca On Street 1 Car Gera a 1t 000 On Street Off Street -2 000 PachRrafiNfkdr Porches Porches Porches Pordres Odter Sheds Fence Shed -500 None +1 000 Fence Net Ad~ dal + - S -5 000 + - S -15940 + ®- S -15 100 Adjuskd Sale Price d Co erases Net Adj. 4.8 % Gross Ae'. 14.3 % S 99 900 Net Adj. 13.4 % Cxoss Ad'. 15.1 % S 103 060 Net Adj. 13.1 % Gross Ad'. 21.8 % 99 900 - I dfd did not res~rch Ble sale or trartster hist0 d the sub'ed and c sales. ti rat, in research did did rat reveal ria sales or lranslers d the sub' for rile ttree riot a the effective dale d this sisal. Daly Source S Courthouse Records research ®did did rqt reveal sales a transfers d the c sales far Ba to de date d sale d Bte a sale. Data Soace S Courthouse Records R rt the resldls d the research and ana is d the da sale or transfer hi d tte su 'act and co k sales additional sales on 3 . f1EM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3 Date d Prta SalbTranster 08/02/'1010 Price d Prior Sale/Trarlsfer 1.00 Dale Sartre S Courthouse Records Courthouse Records Courthouse Records Courthouse Records Elkctive Dak d Data Sou s 05/01YL012 02/27J2012 02/22/2012 05/01/2012 is d sale a irarlster ' of the sub'ed and arable sales The su 'eel has not transferred within 3 ors. The com reble Sales 3 and 4 have transferred wihwr the ar ' r as noted. d Sales C 'son ch See comments ruder com reble sale 4. Indicated Value Saks C ' on ch S 102 000 ktdicated Value .Sties Can Approach S 102 000 Cost Approach (h developed) S Income Approach (h dove ) S Due to the lads of rental data the Income roach is rata ro riate. The Cost roach is rat considered valid due to the actual and effective es. Greatest we' M is iven to the Sales Com rison roach as it reflects the I actions of b rs and sellers in the marks ace. - This appraisal is made ®'as is', ^ srrb~ct to cortgktion per Pkre and specifications on the basis d a lypothatical condition that the improvernertls have been compleed, ^ subject to ha fobwirq repairs a alterations on the basis d a tlflpOtiletipl condition that the repairs or abaations have been completed, or ^ sub~ct to the tolowi fired Ins 'on based on the edraordire ass ' n that tle condition or defic does not uire alkration or air. This re rt is retros cUve as of date of death. p~p~y~ ~p~, ~dldo~ns, s~ ~ k~~on my (our)opbd~al oefmarlaet v~awe, a bde~tined~ ; of 8ie ~n~pro~peA othat is the Sum of U~iisum isard IimttMg S 102 000 as of 10/27/2011 which b the date of i and the effective date of this Ise!. Freddie Mac Form 70 March 2005 Page 2 of 6 Fannie Mae Form 1004 March 2005 Farm 1004 -'WmTOTAL' appraisal sdlware by a k mode, inc. -1-80D-ALAMODE Q, i _ rv Uniform Residential Annraisal Rennrt Descri lion of the raisal Process/Sco a of Work The a raisal rocess is intended to'describe the extent of the rocess of collecnn confirtni and re orfin data." In order to re are an a raisal re ort on the sub'ect roe the followi ste s were involved: The sub'ect site and net hborhood were ersonall ins ected b the a raiser. The ins ection considered the various local economic indicators with res ct to their otential im act on the sub'ect site. The stre the and weaknesses of [he eneral econom were wet hed as the affect the value of the sub'ect. All relevant facts related to the sub ect were cokected and verified includin but not limited to zoni ,utilities land and buildi area restrictions, encumbrances easements environmental factors and other items of a similar nature deemed a liceble• No buildi laps were available. The buildi s uare foots a was derived from actual measurement and the e~dsti assessment records in order to determines uare foots e. A hi hest and best use anal is was com lead. The Cost Sales Com orison and Income roaches to value were considered and the Sales Com orison roach was used in the valuatlon of the sub'ect roe Data was collected duri this rocess from various sources. This information is believed to be reliable and verification of sales data included reliance on coun deed records and/or third- a confirmations. The a raiser has no reason to sus ct inaccurades in an information rovided and the anal is and conclusions are based on the reliabil' of this information. • The a raiser is not an ex ert in ident in mold mildew lead base aint nor asbestos. H the client has a concern then I strop recommend the client contact an ex rt in the environmental and/or home Ins edion fields . ff an estimated value or sales rice was inducted either on the a raisal re nest forth or verbal from another a invoved in the transaction the value rovided had no influence on m final estimate of value. COSTAPPRO'ACHTOVAtfJE~not Hired FannkMee) Provide atle uate information for the IenderjclieM to re licate Ute bebw cast fi ures and calculations. Su art for the o inion of site value summa of cam arable land sales or other methods for estimatin site value NA ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE.....__..___.____...._..._.____.._____________ _$ Source of cost data DWELLING 1 330 S .Ft. @ $ _$ - Ouai' ra8 from Cost service Effective date of cost data 826 S .FL $ _$ - Comments on Cost Approach gross livin area cak;ulaTions, depreciation, etc. _$ The Cost roach is not considered a valid indicator of value due to the Gary e/Ca rt 240 S .ft. $ _$ actual and effective a es of the sub'ect. ToW Estimate of Cost-New =$ -- .. Less Ph ical Functional Eztemal De reciation =$ D reciated Cost of I rovemerrts _._______....._........._.........._.__ _$ "As-is° Value of Site I rovemertls ....._......______._._..._..........._ _$ Estimated Remainin Economic L8e UD and VA onl 20 Years INDICATED VALUE BY COST APPROACH _______ ............._...____...____ =5 INCOMEAPRROACHTOVALU E(not ulred Faenklriae) Estimated Month Market Rent $ NA X Gross Rent Mufti tier NA = $ Indicated Value b Income A roach Surrvna of Income A roach Includin su ort far market rem and GRM PI'~dECT:INF~IMIATIOHFORPUDttCit' Ikable) Is the deveb er/builder in control of the Homeowners' Association OA ? ^ Yes Nm Unit e s Detached Attached Provide the folbwin information for PUDs ONLY'rf the devtdo er/builder is in control of the HOA and the sub'ect ro is an attached dweNin unit. Le al Name of Pro'ect Total number of hoses Total number of units Total number of untls sold Total number of units rented Total number d units for sale Data source s Was the ro'ect created b the cornersian of existin buildin s into a PUD? ^ Yes No It Yes, date of conversion. Oces the ro ect contain an multi-dweYin un'ds? Yes ^ No Data Source Are fhe units, common ek;ments, and recreation facilities complete? ^ Yes ^ No If Na, describe the status of completion. Are the cenYrlon elpnems leased to orb the Homeowners' Association? ^ Yes ^ No If Yes, describe the rental terms and o lions. Describe common elements and recreational facilities. Freddie Mac form 70 March 2005 Page 3 of 6 Fannie Mae Form 1004 March 2005 Form 1IX14 - "WinTOTAL° appraisal software by a b mode, inc. -1-800-ALAMODE ~, Uniform Residential Appraisal Report flleM 12-Sarver This report farm is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit; 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 certifications. Modfications, additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions 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 certifications 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 organization, 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 form, including the following definition of market value, statement of assumptions and limiting 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 report. 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 transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFINITION OF MARKET VALUE: The mast 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 assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and 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 tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to The comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgment. STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the following assumptions and limiting 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, 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 improvements. The sketch is included only to assist the reader 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 this appraisal report whether any portion of 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 spec"dic 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, deterioration, 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 no[ limited to, needed repairs, deterioration, 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. Freddie Mac Fonn 70 March 2005 Page 4 of 6 Fannie Mae Form 1004 March 2005 Farm 1004 - °WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE ~. I Uniform Residential Appraisal Report Rle#~ 12-Sarver APPRAISER'S CERTIFICATION: 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 stated in this appraisal report. 2. I performed 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. 1 identified and reported the physical deficiencies that could affect the livability, soundness, or structural integrity of the property. 3. I performed this appraisal in accordance with the requirements of 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. 4. I developed my opinion of the market value of the real property that is the subject of this report based on the sales comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach for this appraisal assignment. I 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 sales that are locationally, physically, and functionally the most similar to the subject property. 8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that has been built or will be built 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 disinterested source, all information in this report that was provided by parties who have a financial interest in the sale or financing of the subject property. 11. I have knowledge and experience 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. 1 obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that I believe to be true and correct. 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 involved in performing this appraisal. I have considered these adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject property. 15. I have not knowingly wfthheld any signrficant information from this appraisal report and, to the best of my knowledge, 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, which 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 I have no 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, color, religion, sex, age, marital status, 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 or on any other basis prohibited by law. 18. My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not conditioned on any agreement or understanding, wdtten 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 party, or the attainment of a specific result or occurrence of a specific subsequent 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 I relied on significant real property appraisal assistance from any individual or individuals in the performance 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 pertorm 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. 1 identified the lender/client in this appraisal report who is the individual, organization, or agent for the organization that ordered and will receive this appraisal report. Freddie Mac Form 70 March 2005 Page 5 of 6 Fannie Mae Form 1004 March 2005 Form 7004 - "WinTOTAL° appraisal software by a la mode, inc. - t-800-ALAMODE ~i urntorm Resiaential Appraisal Report FileN 12-Sarver 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 jurisdictions; without having to obtain the appraiser's or supervisory appraiser's (if applicable) consent. Such consent must be obtained before tfiis appraisal report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public relations, news, sales, or other media). 22. I 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 distdbution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, govemment sponsored enterprises, 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. 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. 25. Any intentional or negligent misrepresentation(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 CERTIFlCATION: 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 the 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 perform 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 Signatu Name Brett Lech aler, Slate Cert Gen Appr Company Name Appraisal Solutions Company Address 16 San Juan Dave. Mechanicsburg PA 17055 SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature Name Company Name . Company Address Telephone Number 717-697-1828 Email Address blechthaler(rDcomcast.net Date of Signature and Report 05/04/2012 Effective Date of Appraisal 1oi27/2ot 1 State Certification # GA003594 or State License # or Other (describe) State # State PA Expiration Date of Certirfication or License os/30/2013 ADDRESS OF PROPERTY APPRAISED 200 E Coover St Mechanicsburg, PA 17055 APPRAISED VALUE OF SUBJECT PROPERTY $ 102,000 LENDER/CLIENT Name Company Name Estate of Betty M Sarver Company Address c/o Marlin R McCaleb, 219 E Main St, Mechanicsburg, PA 17055 Email Address Telephone Number Email Address Date of Signature State Certification # or State License # State Expiration Date of Certification or License SUBJECT PROPERTY ^ Did not inspect subject property ^ Did inspect exterior of subject property from street Date of Inspection ^ Did inspect interior and exterior of subject property Date of Inspection COMPARABLE SALES ^ Did not inspect exterior of comparable sales from street ^ Did inspect exterior of comparable sales from street Date of Inspection Freddie Mac Form 70 March 2005 Page 6 of 6 Form 1004- "WinTOTAL" app2isal software by a la mode, inc. -1-800-ALAMODE Fannie Mae Form 1004 March 2005 1 Uniform Residential Appraisal Report ~,e~ „~,~.e. FEATURE SUBJECT COMPARABLE SALE #4 COMPARABLE SALE #5 COMPARABLE SALE #6 Address 200 E Coover St Mechanicsbur PA 17055 120 E Locust St Mechanicsbur PA Prozim' to Sub'ect 0.22 miles NW Sale Price $ NA $ 117 000 $ $ Sale Price/Gross Liv. Area $ s .tt. $ 89.45 s .tt . $ s .ft. $ s .tt. Data Solace s Multi-Listi Service Verification Sources Courthouse Records VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $ Adjustment DESCRIPTION + - $ Adjustment DESCRIPTION + - $ Ad'usbnen< Sales or Rnancing Concessions - FHA Costs/6 015 -6 015 Date of Sale/Time 11/10 27 DOM Location Avera a Avera e - Leasehold/Fee Si le Fee Sim le Fee Sim le Site 0.13 aae 0.09 aae •_ View Avera e E uai Desi n k Du lex Du lex Otal' of ConsWction Brick Frame +5 000 Actual a 112 Years 90 Years ' Condition Avera a Su erior -10 000 • Above Grade Total Bdrms. Baths Total Btlrms. Baths TNaI Bdrms. Baths Total Bdnns. Baths Room CauM 7 3 1.1 7 3 1.1 Grass Livi Area 1 330 s .ft. 1 308 sq.ft. +220 sq.tt. sq.ff. Basement & Rnished Rooms Bebw Grade 826 Sq.Ft. Unfinished Equivalent Unfinished FunctionallJlil' Avera e E ual Heati /Cooli BBDlNo CA FWAMo CA Ener Efficient ttems Avera a Avera e Gara elCar art On Street Off Street -2 000 PorchrPatio/Deck Porches Porches Other Sheds None +1000 Net Atl'ustment otal + ®- $ -11 795 ^ + - $ ^ + - $ Adjusted SaN Price of Co arables R ort the results of the research and ana sis of the Net Adj. 10.1 % Gross Ad'. 20.7 % dor sale or transfer h Net Adj. % $ 105 205 Grass Ad'. % isto of the subject roe and comparab $ le sales re art addfi Net Adj. % Grass Ad'. % onal dor sales on a $ e 3 . ITEM SUBJECT COMPARABLE SALE # 4 COMPARABLE SALE # 5 COMPARABLE SALE # 6 Date of Prior Salelfransfer 07/20/2010 Price of Prior Sale/Transfer 1.00 Data Sources Courthouse Records Courthouse Records Effective Date of Data Sources 05/01/2012 05/01/2012 Aria sis of dor sale or transfer histo of the subject ro and co arable sales See comments under com arables a e 1-3. Anal Sis/CommenTS Sales similar to the sub ect were limited. The sales dis la ed are considered to be the best indicators of value. Ad'ustments were made to reflect market reactions to those items of variation between sub'ect and com arables. No site size difference ad'us[ments due to realest value in homesite. No a e difference ad'ustments a lied as all ro erties are considered a uivalent in effective a es. Sales 2-0 va ' d rees of s rior condition ad'tutments reflect u rades and renova0ons in com orison to the sub'ect. S uare foots a difference ad'ustments reflect ecenomies of scale. Ad'ustments which could not be market extracted were the a raiser's best estimate. Ali com arables were wei hted and considered. The ad'usted ra a of com arable values is $99 900 to $105 205. Freddie Mac Form 70 March 2005 Fannie Mae Form 1004 March 2005 Form 1004.(AC) - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE A.1 ii~~ May 14, 2012 LAW OFFICES MARLIN R MCCALEB FRANKEBERGER PLACE 219 EAST MAIN ST PO BOX 230 MECHANICSBURG PA 17055 Estate of Betty M Sarver Date of Death: Oct 27, 2011 SSN: 162-22-4367 Dear Sir/Madam: One Citizens Drive ROP112 Riverside, RI 02915 In accordance with your request, the attached information sheet has been provided in the above decedent's name as of his/her date of death. As per your request for account to be closed a copy of your request has been forwarded to the Mechanicsburg branch. Please contact them at 1-717-766-4743 with any questions, For Installment Loans or Line of Credit accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please call 877-579-2667 Sinc rely, ~~ ~ ~~ Lisa Drainville Decedent Account Processing REF#: 536263 Schedule E.l ~~ Citizens Bank Account Number 6215380109 Account Title BETTY M SARVER Date O ened 12/11/2006 Account T e Checkin Princi al Balance as of DOD $3684.69 Interest from Last Postin to DOD $ .00 Account Balance as of DOD $3684.69 YTD Interest to DOD $ .00 Schedule E.1 000020000600000017000201161947000 IIIIIIIIIIIIIII IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIII'lII III III Form 712 (Rev. April 2006) Life Insurance Statement OMB No. 1545-0022 Department of the Treasury Internal Revenue Service Decedent-InSUred (To be filed by the executor with Form 706, United States Estate (and Generation-Skipping Transfer) Tax Return, or Form 706-NA, United States Estate (and Generation-Skipping Transfer) Tax Return, Estate of nonresident not a citizen of the United States.) 1 Decedent's first name and middle initial 2 Decedent's last name 3 Decedent's social security number 4 Date of death IVAN L. SARVER (a known) 201-16-1947 05/18/2011 5 Name and address of insurance company Office of Federal Employees' Group Life Insurance (Administrative Unit of MetLife), P.O. Box 6512 Utica, NY 13504-6512 6 Type of policy ~ 7 Policy number 8 Owner's name. If decedent is not owner, 19 Oate issued I10 Assignor's name. Attach copy of I11 Date assigned attach copy of application. assignment. 12 Value of the policy at the 13 Amount of premium (see instructions) 14 Name of beneficiaries time of assignment Estate of Betty M Sarver Denni - $8,250.00 i 5 Face amount of Policy 15 $ , 16 Indemnit<j benefits 16 $ 17 Additional insurance 17 $ 18 Other benefits . . 18 $ i9 Principal of any indebtedness to the company that is deductible in determining net proceeds 19 $ 20 Interest on indebtedness (line 19) accrued to date of death. 20 $ 21 Amount of accumulated dividends 21 $ 22 Amount of pest-mortem dividends ~ $ 23 Amount of returned premium ~ $ 24 Amount of proceeds if payable in one sum 24 $ 25 Value of proceeds as of date of death (if not payable in one sum) ~ $ 26 Policy provisions concerning deferred payments or installments. Note. If other than lump-sum settlement is authorized for a surviving spouse, attach a copy of the insurance policy. 27 Amount of installments ... 7 .... $ 28 Date of birth, sex, and name of any person the duration of whose life may measure the number of payments. 29 Amount applied by the insurance company as a single premium representing the purchase of installment benefits _ ~~~»> 29 . .~ 30 Basis (mortality table and rate of interest) used by insurer in valuing installment benefits. 31 Were there any transfers of the policy within the three years prior to the death of the decedent? ^ Yes ^ No 32 Date of assignment or transfer: / 1 Month Day Year 33 Was the insured the annuitant or beneficiary of any annuity contract issued by the company? . ^ Yes ^ No 34 Did the decedent have any incidents of ownership on any policies on his/her life, but not owned by him/her at the date of death? ^ Yes ^ No 35 Names of companies with which decedent carried other policies and amount of such policies if this information is disclosed by your records. The +mdetsignnd otiicer cf the abrve-named insurance company (er appropriate ted2ra a~aencv or r2tirernent system ctticiall hereby reRities that this statement sets forth true a^d co~r~,i;p information. re - Titre s Unit Leader Dar:: of Certitir;aeon • 07/19/2012 For PaperworJ/Reduction Act Notice, see paye 3. Cat. Mn. ;%;~C' Form 712 iRev. 4-,^_QOci 1Z1035.SCR (04/10) Schedule E.2 • p~~~u~m~~~n~mmim~~am~i~~s ~~ OFFICE OF FEDERAL EMPLOYEES' GROUP LIFE INSURANCE ~~~ S ". i EMENT OF CLAIM PAYMENT FOR LIFE INSURANCE ~~ Claim Number Date of Death and/ or Dismemberment Date of Birth ~ Name of Insured 20110605862 OS-18-2011 06-26-1925 IVAN L SARVER Name of Payee Life Insurance Interest Total Estate of Betty M Sarver $ 8250.00 $ 134.61 $ 8384.61 THE OFFICE OF FEDERAL EMPLOYEES' GROUP LIFE INSURANCE CANNOT ASSIST YOU IN I NEGOTIATING THE CHECK. YOU SHOULD CONTACT YOUR LOCAL BANK IN YOUR COMMUNITY. ~ DATE: 06-18-2012 We have enclosed a check for your Federal Employees' Group Life Insurance (FEGLI) claim. If you have questions or need further help, please call the OFEGLI customer service toll-free number at 1-800-633-4542. To ensure the timely receipt of year end tax information, please call the OFEGLI customer service toll-free number or w-rite the Office of Federal Employee's Group Life insurance to report any change of address. Written notification must include the insured's name and Social Security/Tax Information or Claim Number. tA8265.SCRE(O1/11) ' t•ina <ieneruiione•... Calchrutie~ Li~•. Idnnorin,~ ~ruditinn~~ --PV/IYER~ TLf11~Y~1 ~6111G C~~71C. I30YD L. It7YERS, JR., Supervisor 37 F. MAIN STREET MECFIANICSBURG, PA 17055 (71'7) 766-3421 STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Charges are only for those items that you selected or that are required. tf we are reyuired by law or ny a cemetery or crematory ro use any items, we will explain in writing below. !f you selected a funeral that may require embalming, such as a funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve if - u selected/ arrangements such ~s-~-direct cremation or immediate burial. If we charged for embalming, we will explain why below. For the Service of f- ~ ! ' ~} ,~f-~' ~i~- Date al~llk Charge to: ~ ~ . J ~ S % Wit` ., , q~ S` % !I,c~~ ~ ~ c l Name Address City State f 7 ~ .i ,j` A. CHARGE FOR SERVICES SELECTED: I . PROFESSIONAL SERV[CES Services of Funeral DirertorlStaff .... S~<r~- Embalming ............... .. 5_~%,-~~ Other preparation of body .... ............ ........ .. S ~/~ t_ SUB-TOTAL OF PROFESSIONAL SERVIC.ES......... Al S -ac ~-'" FACILI PIES AND SF;RVICES Usr of facilities and services for • ~...- ' ~'- view ing (VisitarionlWake) . , . . - . (Jse of facilities and services . for funeral ceremony .. .. .. . _•~ .. ~..,~_ Use of facilities and services for .,~ L Memorial Service ...... S ~'~" _ Use of equipment and sen~ices .•..~ ~ for graveside service ........... .rc .. S . Other use of facilities c ~,rz" SJB T CTRL OF FACIL[TIESlEQUIFMENT ........ AL~"'' ~. AU'fOb10T11'E 6Q[.'IPhtENT Vehicle to transfer remains to Funeral Hom•~,. Local .... ............ . . S,.f.-tel. Hearse (Casket Coachl rr- Local .... .... .. y}.,.vcJ~.~ Limousine .--~ ~~ Local.......... S 1-nt .- Family car Local... 5 _.._ Flower car of Floral disposition Local .. S •~ /`r- Lead carhlrr car Local .. ~ a ~~ 8 ~,-~~1 ~ ~~~~~ , t _~,.U Car for pallbearers Local........ S -- Out of town transportation .. .. S___ S Other clothing Cremation urn ... (Description) O"1'HER TOTAL MERCHANDISE SELECTED .................. B S C. SPEC.IAI. CHARGES: Forwarding of remains to - _ S (Fuocral Home) Receiving of remains from f (Funeral Homr} fmmediatc Burial . .. ......... .. S 's Direct Cremation ............... .. S~ SUB-TOTAL OF SPECIAL CHARGES S -- ....... .. ... C S "~ D. CASH ADVANCED Opening Crave . ... . ..... . . .... //~ ~~ ~ . S_IG1,Z ~~ Cemetery Gyuipment ... .. ..... . S _ ~ Lot and Dred........... S Newspaper Notices-Local .... ... . S t ~ `~ Newspaper Notices-Out-uf-town ... . S Telephone R 'Iclegrams ...... ... . 8 .Airfare S Clerg}'A4ass Offering . .... S / ~ c ^~' _ Pallbearers . S Certified Copies of the De~rh o- Certificatt• ..... ~. S ,~ ~'" . . S f~C . ~' Police Escort S Flowers ... 5 ~`S ~ :~ Vault Service Charge ... .... S c- A - _S _ 5 S S , SUB-TO"PAL OF ADt'ANCES /V~ D S~ T G J S[1B-TOTAL OF RLTOMOTIVE EQ[JIPMENT. A3 S~ u~e charge you for our services in obtaining: TOTAL OF PROFFSSIONAL SERVICES, (specify cash. advances that a~marked-up) FACILITIES ANB AUTOMOTIVE ~! < ~y~---~ ,~yt ~~ EQUIPMENT' A S S 1GrIJ - ~-- B. CHARGE FOR MERCHANDISE SELECTED:r. v ~ ~.~ Casket ..... .. S{ f (Description),.-Z-~~-- j~ s'~~T.o e e_ Other Receptacle ..... S (Description) Outer burial con 'nee ..... S ~ ~~ (Description} ~ IY+ea r !l- ,fL-J L~ Acknowledgement cards ~i Register hooks} - ... - S _ ,Memory folders .. . Prayer cards ..................... 5 SUMMARY Of CHARGES A . Professional Sen~ia•s, Facilities and Equipment, and Automotive ,N %~f~ r' E ui me q p nt S_ ~~, ~~ B . tilerchantlist• S C / S C. Special Charges S •-" `^ ~ / D. (.:ash Advances .. ...... ..... 5~ ~4/~ J" ~ TOTAL OF Ahh SECTIONS PAID AT TIME OF OR Ip '~O j..~, t •, ~~ y;~ ~yr.! ~' } ~ ~i~c^ _ ""~ ~ .... ~ (,.:: ARRANGEMENTS...".:!( BALANCE DUE ..... .. ................ g h;~t; c,(,- ~'c"" b ,~-... REASON ~Q~id EMBALMING t . -~., ~•"` If an}• la ~. cemetery, or crematory rcyuiremcnts h ve required the purchase of a~ of the ite~ts listed above~c law or requiremrnt_is explained below. Schedule E.4 _ S S S ramu} iai Local ................. 5 Flower car or floral disposition ~ Local ..... .. f ~l Lead car/clrr ~ car ^'~ ,, Local .... ~. ~ ~(r.- cQ ~~`t!`{ r` f a•-~ "~~ Car for pallbearers ` I Local...... 5 Out of town transportation ... S S 1 .... -- _. Pnlirr Escort S _~ ~~. Flowers f_ ~S Vault Service Charge .' ........ S f f S f S SUB-TOTAL OF ADVANCES ..........E ..... D E ~ T 6 ~ e~ SUB-TOTAL OF At"fOMOTIVE EQUIPMENT........ Ai S `L ~'e charge 1'nu for our services in obtaining: TOTAL OF PROFESSIONAL SERVICES, FACILITIES AND AUTOMOTIVE EQUIPMENT ......... ...... .. A B. CHARGE FOR MERCHANDISE SELECTED:// ~~~ c~ Casket .......... ....... ... .... SL.- (Description) Z`' ~'° s'~ ° r ~"' Ste' ~ 4 [ q!" 1 Other Receptacle ........... . .... 5 (Description j ~ Outer burial con 'nrr .... f Acknoa~lydgement cards ....... ,.~.t/ ' Register book(s) ..... .. S ` Memory faldrrs .. ........... ... Prayer cards .. .............. .... S Tempnnry grave marker .. .... .. f Burial clothing ............... . . f SUMMARY OF CHARGES A . Professional Services, Facilities and Equipment, and Automotive N ~ ~~ f . Equipment .... .. S . ~ • B . Merchandisc° ........... ......... b C. Special Charges .... f """ ~ . 5~~~ Cash Advances D ~S/S J .... . , TOTAL OF ALL SECTIONS 1 . j ~ ~0 PAID AT TIME OF OR 1 0~ ~ yu; . Q~ ~5,,,~, ~• -"- °-6'd - " - . 1 } • /~! L . ~ r"' ~ ~il'~' ENTS E ~ - } St ; f.V . . t , M ARRANG .... BALANCE DUE.. .....-......_....,_ ..... _ 5~----,_,.~-!; REASON F EMBALMING Ui' ^ ~,..,,, ~ S ~ h c,~. c. If an}' l• •, cemeter}'. or crematory requirements h ve required the purchase of a of the ice is listed aboae r law <x reyuirrment is explained be ow. C,.v~. ~ ~-.11 ntf ~'~ Cam' I agree that 1 have examined the items of goods and sen•ices selected aMtvr and found [hem ut br correct and according to the arrangements 1 have requested. I acknowledge receipt of a copy of this Statement of Funeral Goods and Services 5riected. l re .went that I have sufficient funds available for payment of the cash price for the goods and services selected. t also agree to make payment of S with days. I agree to be jointly and severalty liable with amone else who signs below. A latetharge of per month amountin % per year will be applied to the unpaid balance beginning da}•s from the date of this agreemrnt. I will also pay to the Funeral Di r 1 e costs paid •by the Funeral Director to collect amounts l owe under this agreement. Those costs may include attorneys' fees, court costs and other co s. Any d tonal sen'ices or merchandise ordered or requested after the date of this agrremrnt will be considered part of this agreement and the cost thereof will be reflected on the final bill or statement. V iP haler) (Seal).( A/ ~ ' > ~tJ-er->-~ (Purchaser) icensed F era) Director) W Hl'R? - Pool Dimcr r YELI.OB' - Cusurmcr (specifj• cash advances that are marked-up) f ~~y~ ~" Schedule E.4