Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
08-28-12 (2)
I 1505610140 REV-1500 EX (01-10) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOx 280601 INHERITANCE TAX RETURN 2 1 1 2 0 0 7 9 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 9 5 2 8 0 2 4 0 0 1 0 9 2 0 1 2 0 3 1 6 1 9 3 6 Decedent's Last Name Suffix Decedent's First Name MI ~1 C C A R T E R J U L I A C (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI M C C A R T E R A U R T H U R B Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 1 9 5 1 6 2 5 8 8 REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required death after 12-12-82) ^ 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust D 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit (date of death ^ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MU51 tat GUMI•'LtI tU. ALL GUKKt51'UNUtNIa ANU GVIVtWtIV I IAL ~HJ~ IIVrVKmH~ IVIV JnVULU tst ulrcC~ ~ Cu ~ V: Name Daytime Telephone Number u 1 1 R R R T Y_ (: T I R e7 Y F C (J 7 1 7 ~" 4 3 ~~-'~ 4 1 First line of address M A R T S O N L A W O F F I C E S Second line of address 1 0 E H I G H S T R E E T City or Post Office State C A R L I S L E P A ZIP Code ~ 1 ~ 0 1 ~ c ~ .-_ ~~,~ , ~ .ILLS USE SLY `~ REGISTER - ::f ' pp f ~ r `N } ~.._.. C~' ~ -~- o ~ ~ - -. DATE FILED ~~ ~,~ ,_.~, (-..J '~ -T::' ~_, --. V. J ;-~-•a -~`"r-R Correspondent's a-mail address: HGILROY(a~MARTSONLAW.COM Under penalties of perjury, I declare at I ha examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correc o ple . De nation preparer other than the perso I representative is b sed on all information of which preparer has any knowledge. SIGNATUR OF I' SP SIB FOR FILING RETURN , _~ DATE . ADDRES8" - 135 E ST 5 TH ST ET, APT 14H NEW YORK NY 10022 SIGN U E OF E R THAN REPRESENTATIVE D TE Y ~Z A RESS 10 E HIGH STREET _ CARLISLE PA 17D13 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 ~~ J 1,50561,0240 REV-1500 EX Decedent's Social Security Number ~ecedent'sName: JULIA C• P'ICCARTER 1 9 5 2 8 0 2 4 0 RECAPITULATION 1. Real Estate (Schedule A) ........................................... 1 2. Stocks and Bonds (Schedule B) ...................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 1, 4 2 2 4 2 . 8 3 4. Mortgages and Notes Receivable (Schedule D) .......................... 4. • I, 9 2 5 9 . 1 7 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 9 0 0 0 0 . 0 0 7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property arate Billin Re uested ~ Se h d l G S 7 7 8 2 0• 9 7 ....... g q p e u ) ( c e . 8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 2 5 9 3 2 2 . 9 7 9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9• 2 3 6 6 1 . 7 9 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) .... ......... 10. 6 8 8 8 2 . 3 7 11. Total Deductions (total Lines 9 and 10) ...................... ......... 11. 9 2 5 4 4 . 1, 6 12. Net Value of Estate (Line 8 minus Line 11) ................... ......... 12. L 6 6 7 7 8 . 8 L 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............. ......... 13. • 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... 14. ].. 6 6 7 7 8 . 8 L 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 .0 0 0 0 15. 0. 0 0 16. Amount of Line 14 taxable L 6 6 7 7 8 8 1 ? 5 0 5 0 5 . at lineal rate X .045 16. . 17. Amount of Line 14 taxable ^ ^ 0 17 ^ ^ ^ at sibling rate X .12 . 18. Amount of Line 14 taxable 0 0 0 0 0 0 at collateral rate X .15 1 g. • 19. TAX DUE ............................................. ......... 19. 7 5 0 5• 0 5 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^X Side 2 1,50561,0240 1,50561,0240 REV-1500 Ex Page 3 Decedent's Complete Address: File Number 21 12 0079 DECEDENT'S NAME JULIA C. MCCARTER STREET ADDRESS 412 Touchstone Drive CITY Carlisle STATE PA ZIP 17105 Tax Payments and Credits: ~. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. Total Credits (A + B) (2) (4) (1) 7,505.05 (3) 0.00 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 7,505.05 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; ......................... ...... ^ ^X c. retain a reversionary interest; or .......................................................................................... ...... ^ d. receive the promise for life of either payments, benefits or care? ................................................. ...... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................. ...... ^ ^X 3. Did decedent own an "in trust 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? ............................................................................................ ...... 0 ^ 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 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)]. 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-1504 EX + (6-98) SCHEDULE C CLOSELY-HELD CORPORATION, COMMONWEALTH OF PENNSYLVANIA PARTNERSHIP OR INHERITANCE TAX RETURN SOLE-PROPRIETORSHIP RESIDENT DECEDENT ESTATE OF FILE NUMBER JULIA C. MCCARTER 21 12 0079 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 14.149275% interest in Faith Ventures 142,242.83 See attached asset list, 1120S K-1 & Agreement of Stock Purchase TOTAL (Also enter on line 3, Recapitulation) ~ $ 142,242.83 (If more space is needed, insert additional sheets of the same size) REV-1505 EX+ (11-11) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C-1 CLOSELY-HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF JULIA C. MCCARTER 1. 2. 3. 4. Name of Corporation Faith Ventures Address 2 Flowers Drive City Mechanicsburg Federal Employer I.D. Number Type of Business Real Estate FILE NUMBER 21 12 0079 State of Incorporation PA Date of Incorporation 3/24/88 Total Number of Shareholders 2 Business Reporting Year TYPE TOTAL NUMBER OF NUMBER OF SHARES VALUE OF THE STOCK Votin INon-Voting SHARES OUTSTAND{NG pAR VALUE OWNED BY THE DECEDENT DECEDENT'S STOCK Common 14.149275% 14.149275% $ 142.242.83 Preferred $ Provide all rights and restrictions pertaining to each class of stock. 5. Was the decedent employed by the corporation? ....................................... ^ Yes ® No If yes, Position Annual Salary $ Time Devoted to Business 6. Was the corporation indebted to the decedent? ....................................... ^ Yes ® No If yes, provide amount of indebtedness $ 7 Was there life insurance payable to the corporation upon the death of the decedent? ............... ^ Yes ® No If yes, Cash Surrender Value $ Net proceeds payable $ Owner of the Dolicv 8. Did the decedent sell or transfer stock in this company within one year prior to death or within two years if the date of death was prior to 12-31-82? ^ Yes ®No If yes, ^ Transfer ^ Sale Number of Shares Transferee or Purchaser Consideration $ Date Attach a separate sheet for additional transfers and/or sales. 9. Was there a written shareholder's agreement in effect at the time of the decedent's death? ............ ^ Yes ® No If yes, provide a copy of the agreement. 10. Was the decedent's stock sold? ................................................. ® Yes ^ No If yes, provide a copy of the agreement of sale, etc. 11. Was the corporation dissolved or liquidated after the decedent's death? ....................... ^ Yes ® No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 12. Did the corporation have an interest in other corporations or partnerships? ...................... ^ Yes ® No If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest. • • •- ~ • ~ ~ A. Detailed calculations used in the valuation of the decedent's stock. B. Complete copies of financial statements or federal corporate income tax returns (Form 1120) for the year of death and four preceding years. C. If the corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals have been secured, attach copies. D. List of principal stockholders at the date of death, number of shares held and their relationships to the decedent. E. List of officers, their salaries, bonuses and any other benefits received from the corporation. F. Statement of dividends paid each year. List those declared and unpaid. G. Any other information relating to the valuation of the decedent's stock. State PA Zip Code 17050 Product/Service Rentals (If more space is needed, insert additional sheets of the same size.) REV-1508 EX+ (11-10) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: JULIA C. MCCARTER 21 12 0079 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Orrstown Bank checking 111000179 12,982.11 ($12,981.61 + $.OS interest) 2. Orrstown Bank savings 711000049 1,003.46 ($1,003.42 + $.04 interest) 3. 1 Series EE US Savings Bond 33.18 See attached 4. 1996 Chrysler Sebring convertible 3,500.00 See attached 5. American Trauma Society, final paycheck 963.49 6. American Trauma Society, December health insurance payments 249.00 7. United Concordia, benefit 299.50 8. Electronic Payment Clearing House, refund 20.07 9. Penn Medicine, refund 208.36 TOTAL (Also enter on Line 5, Recapitulation) I $ 19,259.17 If more space is needed, insert additional sheets of paper of the same size REV-1509 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF: FILE NUMBER: JULIA C. MCCARTER 21 12 0079 If an asset was made jointly owned within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. Michel S. Witmer 135 E. 54th Street, Apt. 14H Son New York, NY 10022 B C JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE 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 DECEDENT'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1. A. 7/2005 Real estate located at 412 Touchstone Dr., So. Middleton Twp. 180,000.00 50. 90,000.00 Cumb. Co., PA, known as Tax Parcel No. 40-09-0529-120 being described in Deed dated 1/7/2005 & recorded in Cumb. Co., Deed Bk. 207, Page 1044 & being conveyed to Julia H. Cox and Michel S. Witmer, her son, as JTWROS. Julia H. Cox n/k/a Julia H. Cox McCarter died 1/9/2012 leaving title solely vested in Michel S. Witmer. See attached Deed & Appraisal. TOTAL (Also enter on Line 6, Recapitulation) I $ 90,000.00 If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+ (08-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER TT iT .TA C' M(~C'ARTF,R 21 12 0079 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1. 207 sh. Vanguard Wellington Fund, Account No. 09882944165: 6,597.79 100.00 6,597.79 Beneficiary Michel S. Witmer, son. See attached 2. Franklin Templeton, Custodian IRA of Julia H. Cox; Account No. 1,223.18 100.00 1,223.18 101-1895002515 - 75.042 sh Templton Group Fd. -Class A; Beneficiary, Michel S. Witmer, son TOTAL (Also enter on Line 7, Recapitulation) ~ $ 7,820.97 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER JULIA C. MCCARTER 21 12 0079 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Ewing Brothers Funeral Home, Inc., Carlisle, PA 9,107.49 2. Second Presbyterian Church, ministerial honorariums 350.00 3. Second Presbyterian Church, harpist, soloist & pianist honorariums 225.00 3. Second Presbyterian Church, custodial services 80.00 4. First United Presbyterian Church, ministerial honorarium 150.00 B. ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City Year(s) Commission Paid: State ZIP 2. Attorney Fees: Martson Law Offices 3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) (:laimant 4 Street Address City State Relationship of Claimant to Decedent Probate Fees: Cumberland County Register of Wills 5 Accountant Fees: 6. Tax Retum Preparer Fees: 12,600.00 101.50 7, Register of Wills, filing fee, Inheritance Tax return 15.00 8. Short Certificates 20.00 9. Additional Probate Fee 200.00 10. Death Certificate for Paul Cox 37.00 11. J. Rodney Fickel Insurance Agency, Inc., Bond fee 164.00 12. Wolfe & Company Appraisal Services, appraisal fee 500.00 13. UPS mailings 70.40 14. Copies, Deed & Mortgage 1.59 15. Faith Ventures, reimbursement for telephone conference with Administrator 33.26 16. EVP stock valuation 1.55 17. Register of Wills, filing fee, Disclaimer 5.00 TOTAL (Also enter on Line 9, Recapitulation) $ 23.661.79 ZIP If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ {12-08) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Ji 7LiA C. MCCARTER _ 21 12 0079 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, Orrstown Bank, loan # 160037091 4,097.71 See attached 2.. Orrstown Bank, loan # 46000370 53,479.48 See attached 3, Church of God Homes, Inc., account payable 725.92 4. Clinical Practices of the University of Pennsylvania, account payable 56.28 5. Cumberland Goodwill Fire Rescue EMS, account payable 172.43 6. Green Ridge Village, account payable 1,177.81 7. Darryl Guistwite, D.O., account payable 150.00 8. Keystone Quality Transport, account payable 1,577.00 9. US Treasury, 2011 1040 income tax, account payable 5,278.65 10. PA Department of Revenue, 2011 PA40 income tax, account payable 20.00 11. Three Springs Family Practice, account payable 127.41 12. Carlisle Area Tax Bureau, 2011 Form 531 tax due 19.68 13. Arthur B. McCarter, reimbursement of loan 2,000.00 TOTAL (Also enter on Line 10, Recapitulation) I $ 68,882.37 If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: FILE NUMBER: JULIA C. MCCARTER 21 12 0079 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. Michel S. Witmer 135 E. 54th Street, Apt. 14H New York, NY 10022 Lineal 166,778.81 I ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN: B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size. G w c 0 -+, w w N H N 0 m n ~, M' c n. 0 N S ro a 0 0 n~ ~o n n 0 ro n 0 ~, 0 n o .ti -, ~, ~.. ~ ,r ..~~, ~ (~1 a ~ ~~t ro N \. ~ ~.. 'o ~ ~ ~ ~ ~ v o o ~ ~ D ~ ~ ~o a ~ ~ o 'rt ~ ~ ~ tD ~ '~ ~ ~ ~ '~ ~ ~ ';~ ~ ~ (D < vii r ; ~: ~ ~ ~C ~ ~. ~~ ~ '~ ~ CD A ~ ~ fD 'p)~ ~' o ~ t~i ~ tU O ~ ~ ~ ~ ~ ~ 3 N ~ ~ ' u' -{ O '~ CD ` rt ', n 7~ ~ ~ ~ ~ < CD ~- s2. ~ 3 ~ ~ .j~ ' ~ (~ L. j ~iJ ~ ~ Y~.+ !,~ N ~ ~ ~'~ ~ ~ ;~ ~ N ~ !-~ N N ~! ~ N Q'O' ` v ~.I V 'o ~ y w ` ~ ~ ? ~ N ~ I .(~ LD ~ N QO ! N ` O1 N :N ;Crt N f~.3 '~.J 'W AN .~!W`,LD tD !, 04 ~ F' ; N '. f ~ ~.: ~ i V/ ~ ~~: MCI ` o ~ r (jl ~ Q7 i `` ~ O ' N E •,~ w oo ~ N o w n ~.I W 00 : I-~ N ' -p o cn o ~ ' ' can uNi tv ' o w c~'n tNn ~, o ~ ~ ~, ~ o w •~ ~ N o W c~ oo o tv w .~ .J cn o0 o 0 0 0 0 ~ ~ w ' r-~ a~ rv , o ` o cn ! o ~-' .~ o ~ o w ~ rv ~•.~ o o ~ ' oo ~t o o +~ o© N o ;. ' CT ' lU ~I o o ~•1 ' t1't to tI1 . fV C}1 01 ~ .._ ~ . c.n .. ~ ~ ~ ~ ~ ~ v ro r~ p N ~ ~ p ~ ~ ;~ ~ N ,~ S ~ r+ ~ ~ ~ ~D W n V 7• N 1 W `,~ N O tD W W N ,-,. N Tt ~, C tD -~ ~D ^~ i.. t~l'f ''~. W N 0 ~~..~. ~ c 2535 02/10!2012 8:35 AM Final K-1 ~ Amended K-1 671111, OMB No. 1545-0130 Schedule K-1 In o For ca a dar ear 2011 r tax r Fo m 1120S P:ar~.I~~ `SE~~rehal~~le~`~ S~.a re a~ currer~~;~~~ Ir~~c~ene Department of the Treasury year beginning Internal Revenue Service ending 1 Ordinary business income (loss) 13 Credits ' 2 * Net rental real estate income (loss) 103 s Share of Income, Deductions, Shareholder C red its, etc. ~ See back of form and separate instructions. 3 Other net rental income (loss) 4 In ere inc me t st o 146 A Corporation's employer identification number 23-2510523 5a Ordinary dividends 420 B Corporation's name, address, city, state, and ZIP code Faith Ventures, Inc. 5b Qualified dividends 407 14 Foreign transactions 2 Flowers Drive 6 Royalties Mechanicsburg PA 17 0 5 0 7 Net short-term capital gain (loss) C IRS Center where corporation filed return e-file 8a Net long-term capital gain (loss) ~•~A ~~ ~~ ~~: 8 b 0 it I ollect b es 28 ~ ain oss C ( 9 ( ) D Shareholder's identifying number 195-28-0240 Bc Unrecaptured section 1250 gain E Shareholder's name, address, city, state, and ZIP code Julia H. Cox 9 Net section 1231 gain (loss) 412 Touchstone Drive 10 Other income (loss) 15 Alternative minimum tax (AMT) items Carlisle PA 17015 F Shareholder's percentage of stock 14 9 2 7 5 ~~ 14 hi f t . ax year owners p ar ~ l~ ~ i I ' ' ~ ~ , ~ ~i I ' 11 Section 179 deduction 16 C* Items affecting shareholder basis 13 ti , ~ , ' ~ , ~ 12 Other deductions T C O N ~_ ~ 17 A Other information 566 * See attached statement for a dditional information. For Paperwork Reduction Act Notice, see Instructions for Form 1120S. Schedule K-1 (Form 1120S) 2011 d. ~~~C~ i AGREEMENT THIS AGREEMENT made this ~O day of June, 2012,between the Estate of Julia Cox McCarter by its Administrator, Michel S. Witmer (Estate), Faith Ventures, Inc. (Faith Ventures), and John M. Templeton, Jr., M.D. (Templeton). WITNESSETH WHEREAS, Julia Cox McCarter died on January 9, 2012, and Michel S. Witmer was appointed Administrator of her Estate by appropriate action of the Cumberland County Register of Wills at File No. 21-12-0079; and WHEREAS, at the time of her death, Julia Cox McCarter owned 14.149% of the stock of Faith Ventures with Templeton owning the remaining stock of Faith Ventures; and WHEREAS, the parties have reached an agreement that the value of the Estate's interest in Faith Ventures is $142,242.83; and WHEREAS, the parties desire to set forth herein their agreement with respect to the disposition of the Estate's interest in Faith Ventures; and WHEREAS, the stock certificates evidencing Julia Cox McCarter's interest in Faith Ventures are lost or misplaced, and the parties desire to use this Agreement for purposes of sale or surrender of the Estate's interest in Faith Ventures as set forth herein. NOW,THEREFORE, in consideration ofthese presents and the mutual terms and provisions hereof and intending to be legally bounded hereby, the parties agree as follows: 1. Faith Ventures hereby agrees to pay to the Estate the sum of $71,121.41. 2. Templeton hereby agrees to pay to the Estate the sum of $71,121,42. 3. Inconsideration for said payments,.the Estate hereby sells, transfers and assigns one half of the Estate's interest in Faith Ventures to Templeton and one half of the Estate's interest in Faith Ventures back to Faith Ventures itself. Templeton is purchasing the 50% share interest in his individual capacity and Faith Ventures is redeeming the 50% shaze interest of the Estate. ~~ c-i 4. This Agreement shall be evidence of a surrendering and transfer of all interest the Estate has in Faith Ventures to Templeton and to Faith Ventures as set forth above. The Estate agrees to sign as reasonably requested any other further documentation that may be necessary in order to effectuate the transfer and redemptions of the stock as set forth herein. 5. In further consideration of the payment of the above monies, the Estate hereby waives any further claim it may have against Faith Ventures and issues a general and complete release to Faith Ventures. IN WITNESS WHEREOF, the parties have hereunto set their hands and seals the day and year first above written. ATTEST: ~u~ i~„p~,l~ FAITH VEN RES INC By: John empl n, Jr., M.D., President WITNESS: ~~ /~ ~~~~~ ~~- F:1F1LES1CGe~asU4071 McCertar11~471.i.~greemera.wpd JOHN M. TEMP , JR, M.D., INDIVIDUALLY: John emp n, Jr., M.D. ESTATE OF JULIA COX MCCARTER: By: . Mi el S. itmer, Administrator ~ c-. TaxDB Result Details Page 1 of 1 Detailed Results for Parcel 38-17-1025-028K in the 2010 Tax Assessment Database DistrictNo 3 8 Parcel ID 3 8-17-1025-028K MapSuffix HouseNo 2 Direction Street FLOWERS DRIVE Ownerl FAITH VENTURES INC C/O PropType CO PropDesc & WILLOW MILL PARK ROAD LivArea CurLandVal 112500 CurImpVal 413300 CurTotVal 525800 CurPrefVal Acreage .75 C1GrnStat TaxEx 1 SaleAmt 81000 SaleMo 04 SaleDa 26 SaleCe 20 SaleYr 04 DeedBlcPage 00262-03360 YearBlt 2005 HF File Date HF Approval_Status http://taxdb.ccpa.net/details.asp?id=38-17-1025-028K&dbselect=l 4/12/2012 Vltlt~' 1'UW N BANK A Tradition of Excellence February 9, 2012 Martson Law Offices Victoria L Otto, Estates Paralegal 10 East High Street Carlisle, PA 17013 Fax: 243-1 S50 Re: Estate of Julia H. Cox McCarter Social Security Number 195-28-0240 Date of Death 1/9/2012 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: CHECKING ~1 CCGUNT Account No.- 111000179 Account Type- 50+ Interest Checking Date Opened 1/26/2001 Joint Account (name/date}- No Balance- $12,9$1.61 Accrued Interest- $0.25 SA PINGS ACCOUNT Account No.- Account Type- Date Opened- Joint Account (name/date}- Balance- Accrued Interest- 2695 Philadelphia Avenue Chambersburg, PA 17201 '1.888.ORRSTQWN 711000049 Statement Savings 1 /26/2001 No $1,003.42 $0.04 ~~SMw5y9 ~~iL'kd'KV ~silr +L7U14W ~~~~~ .~`- ~ 7 GG// ' ~~ / ~ 40. .-~ m N N c~ (D O *~D ~~~ ~ Q- Q- Q- Q ~. ~. ~. ~ v v 3 can C/1 CA D n~,~ c ~;~Nm 3__a ~oo~ 5mm~' O m !~ o . ..~ m~~cun ~ ~ N 3~'N'~•0 ~ fA ~ (O. Q. ~ C CD QQ~ -++ O ~ fD ~ 20 rn rn _ ~ ~ Q v o ~ ~m~ ~v~ ~ mo ~ ~~ m .~ ~ Q- X ~~ °-zo fD• ~ 5' o ~ ~ n~ a ~~Q-c°n~i n. `c n m cn c~ ~~~•m ~~wa"cxi Sv X O O ~ Q X ~ ~ ~ .+-O fD Q ~ "~ ~ ~ O O ~-+, ~ O ~ ~ C ~ .+ ~ ~ Q~ • 2 N O ~ Z p ~ ~ - ~ O `< ~ Q CD 7 ~ fl. N = Q. O n .-« ~ CD ~ fD N Q ~ 6 O ~ O ~ ~p Q-~G ~ ~~~~ Qn ~~ Q- ~ `G (OD ~ O ~ ~ fD ~ -~ fn N N oc no a ~ ~ O ~ ~ (D Q ~ N O O N N C>~ {~ ~ N O O <D N E~ '~"~ as c cD W W oD O Q fA (D ~ ~ ~ (7 ~- ~ 0 n ~ Om ~ .. ,,. m o N O O ~ W ~ ~ N N O O ~ ~ N N D ~ (D ~ ~_ O (D ~ ~ r+ ~ ~ O 1996 Chrysler Sebring JX Convertible 2D Trade In Values -Kelley Blue Book Page 1 of 3 ~i ; ` Z!P CODE: 1700? ~ 5ign in for Sign upl home ~ car values ~ cars for sate ( car revie;,rrs ~ kk~b top picks ~ research tools Popular at KBB.com 2d Most Comfortable Car;,.. advertisement why ads? Horne > Car Valurss > Chrysler > Sebring > 1996 > Sryle > Options > JX Convertible 2D Chrysler Sebring 1996 ' go Trade- I n/Sell Values Sno,.~f Used Car l~r~ces ~:~~' 1986 Chrysler Sebring T ; . ~ ~ Style: ]X Convertible 2D .~ edit options jchange style ,Mileage: 60000 charge Like 2 this car Trade-In ague Private Party Value r.- , when trading in at a dealership when selling the car yourself Print Report Excellent ~ acverlisement writ' ads? $3,857 Shop for your next car price a new car Very Ci000i advertisement .vhy ad5? $3,682 Instant Trade-In Offer yet the offer Good Kelley Blue C-~onk's ~ ~^~ $3,582 > ,i~i,:,,~~ ~, Fair Get alerts when $3,082 values change f~l~~~-'Y thi$ `ar Verlfy CC?r'tCiltlOt? VALUES FOR APR 19 2012 -APR 26 2012 (updated weekly) Helpful resources from kbb.com Write a Review Check Specs Get Advice O~.hn it' Love it? ";ell us. Kno4v your car inside Read i0 steps to sell. and out. Used Cars for Sale Get a Used Car Report near Boiling Springs Get the Information You Need on This ___ Chrysler Sebring 1996 Chrysler Before You Buy search ,; 4 1 ~ ,.ter ~~== ,ere a~ur }picks a~'vC t erne ,, .,any ads' ~~ Enter t~IN (o~tr~nai) 90 Na VIN? No Probleml ~~~~y an UNLII'riTED report today ar?ci run ViNS as yata research, ~iautoCheck Rene ~tly~Vu '~a Cars ~ My Saved Cars save car ~ ® ~ ~ r ~G ~'` ~,, http://www.kbb.com/chrysler/sebring/1996-chrysler-sebring jx-convertible-2d/?vehicleid=... 4/26/2012 ~3 ~ ~ ,,.~ . c• ! ~ ~, ~_ Tax Parcel No. 40-09-0529-120 DEED cup., J ~~~~ 19 Fi`~ I p y THIS DEED is made the 7th day of January, 2005, BETWEEN JULIA H. COX, an adult individual, of Cumberland County, Pennsylvania and Grantor, JULIA H. COX, an adult individual, and MICHAEL S. WITMER, an adult individual, as joint tenants with rights to survivorship, Grantees WITNESSETH That the Grantor in consideration of One Dollar ($1.00) paid by the Grantees to the Grantor, the receipt whereof is hereby acknowledged, does hereby grant and convey unto the Grantees: ALL THAT CERTAIN lot or parcel of ground situate in South Middleton Township, Cumberland County, Pennsylvania, being identified as Lot No. 79 on the Summerfield Phase 2 Final Subdivision Plan prepared by Alpha Consulting Engineers, Inc. and recorded in Cumberland County Plan Book 87, Page 49 (the "Plan"), as more particularly described as follows, to wit: BEGINNING at a point on the southern right-of--way line of Touchstone Drive (50 feet wide}, said point being on the dividing line between Lot 78 and Lot 79 as shown on the Pian; thence continuing along the said dividing line South 31 degrees 31 minutes 15 seconds East a distance of 102.00 feet to a point on line of Lot 107 of Summerfield Phase l; thence continuing along Lot 107 South 58 degrees 28 minutes 45 seconds West a distance of 56.00 feet to a point on the dividing line between Lot 79 and Lot 80 as shown on the Plan; thence continuing along the said dividing line North 31 degrees 31 minutes 15 seconds West a distance of 102.00 feet to a point on the southern right of way line of Touchstone Drive aforementioned; thence continuing along same North 58 degrees 28 minutes 45 seconds East a distance of 56.00 feet to a point on the dividing line between Lot 78 and Lot 79 aforementioned, said point being the point and place of BEGINNING. iJ _3 BEING LOT 79 and CONTAINING 5,712 square feet, more or less. UNDER AND SUBJECT to a drainage easement located upon the above described lot and extending along the entire boundary with Lot $0 as shown on the Plan. BEING the same property which Old Field Partnership, a Pennsylvania general partnership and Max D. Marbain by deed dated December 30, 2004, and recorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Deed Book 266, Page 4969, granted and conveyed unto Julia H. Cox, Grantor herein. This is a conveyance from mother to mother and son and is therefore exempt from Pennsylvania Transfer Tax. UNDER AND SUBJECT to a certain Declaration of Covenants and Restrictions dated June 4, 2004 and recorded in Cumberland County Miscellaneous Book 709, Page 14; to the Declaration of Consolidation dated September 8, 2004 and recorded in Cumberland County Miscellaneous Book 711, Page 3098 (the "Declaration"); to all other covenants, conditions, restrictions, rights-of--way, easements and agreements of record in the aforesaid Office of the Cumberland County Recorder of Deeds; and to matters which a physical inspection and survey of the Lot would disclose. THE GRANTEE, for and on behalf of the Grantee and the Grantee's heirs, personal representatives, successors and assigns, by the acceptance of this deed, covenants and agrees to pay such charges for maintenance, repair, replacement and other expenses in connection with the Common Facilities, as may be assessed against him, her, them, it, or against the said Lot, from time to time by the Executive Board of the Summerfield Homeowners Association in accordance with the Pennsylvania Uniform Planned Community Act, 68 Pa. C.S. 5101 et seq. (the "Act"), and further covenants and agrees that the Lot conveyed by this deed shall be subject to a lien for all amounts so assessed except insofar as Section 5407{c} of the Act may relieve a subsequent Lot Owner of liability for prior unpaid assessments. This covenant shall run with and bind the Lot hereby conveyed and all subsequent owners thereof. ~oo~ ~~~ ~nc~~.~~5 And the Grantor will warrant SFECIALLY the property hereby conveyed. IN WITNESS WHEREOF, the Grantor has caused this Deed to be duty executed as of the day and year first written above. WITNESS: ~~ 4 -~ ~ w ~. ~ :~ ., J is H. Cox COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: On this the ~~~da of ~! 2005 before me a nota ublic in and for the Coun of ~ Y rY p tY Cumberland, Commonw alth of Pennsylvania, the undersigned officer, personally appeared Julia H. Cox, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the sam purposes therein contained. D ' ~ •• ..>' . .; ,~ Notarial Seal Bridget Ann Corcoran, Notary Public Notary Pub Carlisle Boro, Cumberland County My Commission Expires June !0, 2006 Member, PennsylvaniaAssOdationotNOtaries CERTIFICATION OF ADDRESS '~''*~~''~r ,, I hereby certify that the precise residence of the Grantees herein is: Q 'i .~~~ J-r~, ~.' ~ `_',j r',is ~o be recorded Attorney or Agent for Grantees .~ 800 ,~~~ p;Cr,~„~~6 ,~ ~.ecardpr of Deeds t ~~tx APPRAISAL OF SUMMARY APPRAISAL REPORT LOCATED AT: 412 Touchstone Drive Carlisle, PA 17015 FOR: Marston Law Offices 10 East High Street Carlisle, PA 17013 BORROWER: N/A N/A AS OF: January 9, 2012 r BY: ~` ~~ i i I ', March 12, 2012 ~~ i ~~ ~~~, No AMC ', ~I Marston Law Offices 10 East High Street ', Carlisle, PA 17013 File Number: 12-014 Dear Sir or Madam: 'I '~, !, In accordance with your request, I have appraised the real property at: 412 Touchstone Drive Carlisle, PA 17015 i The purpose of this appraisal is to develop an opinion of the market value of the subject property, as improved. ', The property rights appraised are the fee simple interest in the site and improvements. In my opinion, the market value of the property as of January 9, 2012 i s : III, j $180,000 j One Hundred Eighty Thousand Dollars I The attached report contains the description, analysis and supportive data for the conclusions, final opinion of value, descriptive photographs, limiting conditions and appropriate certifications. ~~ Sincerely yours ! ~ '~, -- ,~ ~. William A. Bassett PA General Certified Appraiser ~~, PA-GA001618L Nei hborhood Name Ma Reference Census Tract Occu ant Owner ~ Tenant ^ Vacant S ecial Assessments $ 0 ^ PUD HOA $ 0 ^ er ear ^ er month ~ ~ Pro ert Ri hts A raised X^ Fee Sim le ^ Leasehold ^ Other (describe) Assi nment T e ^ Purchase Transaction ^ Refinance Transaction ~ Other (describe) Estate A raisal Date of Death 01 /09/2012 Lender/client Marston Law Offices Address 10 East Hi h Street, Carlisle, PA 17013 Is the sub~ect ro ert current) offered for sale or has it been offered for sale in the twelve months rior to the effective date of this a raisal? ^ Yes X^ No Report data source(s) used, offering price(s), and date(s). N/A I did did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the contract for sale or why the analysis was not performed. N/A Contract Price $ 0 Date of Contract 0 Is the ro ert seller the owner of ublic record? ^ Yes ^ No Data Source(s) ~ Is there any financial assistance (loan charges, sale concessions, gift or downpayment assistance, etc.) to be paid by any party on behalf of the borrower? ^ Yes ^ No If Yes, report the total dollar amount and describe the items to be paid. $O;;N/A Note: Race and the racial com osition of the nei hborhood are not a raisal factors. Neighborhood Characteristics -One-Unit Housing Trends One-Unit Housing Present Land Use Location ^ Urban X^ Suburban ^ Rural Pro ert Values ^ Increasin X^ Stable ^ Declinin PRICE AGE One-Unit 70 Built-U ^ Over 75% X^ 25-75% ^ Under 25% Demand/Su t ^ Shorta e ^ In Balance ^ Over Su I $(000) rs) 2-4 Unit ~ Growth ^ Ra id X^ Stable ^ Slow Marketin Time ^ Under 3 mths ^ 3-6 mths ^ Over 6 mths 130 Low 0 Multi-Famil Neighborhood Boundaries Marsh Drive to the east, Burthouse Roadto the south, Walnut Bottom 250 Hi h 15 Commercial Road to the west, Interstate 81 to the north. 180 Pred. 7 ocher Vacant 30 Neighborhood Description See Attached Addendum Market Conditions (including support for the above conclusions) Pro ert values are current) stable to sli htl increasin .Interest rates ran a between 4 to 5 er cent for conventional ,FHA, and VA financin within the Carlisle Market Area. The local market conditions a ear to show a stead flow of sales within the ast month. Dimensions See Le al Descri tion Area 5663 sf Sha e Irre ular view N;Res; S ecific zonin Classification Residential zonin Descri lion Hi h densit residential Zonin Com liance X^ Le al ^ Le al Nonconformin (Grandfathered Use) ^ No Zonin ^ Ille al (describe) Is the highest and best use of the subject property as improved (or as proposed per plans and specifications) the present use? ^ Yes ^ No If No, describe. Utilities Public Other (describe) Public Other (describe) Off-site lm rovements-T e Public Private Electricit X^ ^ Water X^ ^ Street Macadam X^ ^ Gas X^ ^ Sanitar Sewer X^ ^ Alle ^ ^ FEMA S ecial Flood Hazard Area ^ Yes X^ No FEMA Flood Zone X FEMA Ma # 42041 C0240E FEMA Ma Date 03/16/2009 Are the utilities and off-site im rovements t ical for the market area? 0 Yes ^ No If No, describe. Are there any adverse site conditions or external factors (easements, encroachments, environmental conditions, land uses, etc.)? ^ Yes X^ No If Yes, describe. GENERAL DESCRIPTION FOUNDATION EXTERIOR DESCRIPTION materials/condition INTERIOR materials/condition Units X^ One ^ One with Accessor Unit X^ Concrete Slab ^ Crawl S ace Foundation Walls Concrete/Good Floors Car /Vin/Good # of Stories 1 ^ Full Basement ^ Partial Basement Exterior Walls BrkNin I/Good Walls Dr wall/Good T e ^ Det. X^ Att. ^ S-Det.lEnd Unit Basement Area 0 s . ft. Roof Surface Shln le/Good Trim/Finish WOOd/Good X^ Existin ^ Pro osed ^ Under Const. Basement Finish 0 % Gutters & Downs outs Alum/Good Bath Floor Vln I/Good Desi n (St le) One stor ^ Outside Entr /Exit ^ Sum Pum Window T e Thermo/DH/Good Bath Wainscot Dr wall/Good Year Built 2004 Evidence of ^ Infestation Storm Sashllnsulated NO/Yes Car Stora e None Effective A e Yrs 4 Dam Hess Settlement Screens Yes ^Drivewa # of Cars Attic None Heatin FWA HWBB Radiant Amenities WoodStove(s) # Drivewa Surface ^ Dro Stair ^ Stairs X^ Other FHA Fuel Gas ^ Fire lace(s) # ^ Fence X^ Gara e # of Cars 2 ^ Floor X^ Scuttle Coolin X^ Central Air Conditionin ^ PatiolDeck ^ Porch ^ Car ort # of Cars Finished Heated Individual Other Pool Other X Att. Det, ^ Built-in A liances Refri erator X Ran e/Oven X Dishwasher X Dis osal X Microwave Washer/Dr er Other describe Finished area above rade contains: 5 Rooms 2 Bedrooms 2.0 Bath(s) 1,617 S uare Feet of Gross Livin Area Above Grade Additional features (special energy efficient items, etc.). Front Porch, Catheral Ceilin in livin room. Describe the condition of the property (including needed repairs, deterioration, renovations, remodeling, etc.). C3;N0 u dates in the rior 15 ears;The im rovements are in ood Condition+ Are there any physical deficiencies or adverse conditions that affect the livability, soundness, or structural integrity of the property? ^ Yes X^ No If Yes, describe. Proximit to Sub~ect 0.25 miles NNE 1.48 miles NNE 0.38 miles ESE Sale Price $ 0 $ 190,000 $ 182,500 ~ 180,000 Sale PricelGross Liv. Area $ 0.00 s . ft. $ 105.85 s . ft. $ 91.25 s . ft. $ 96.36 s . ft. Data Source(s) CPML #10203875;DOM 165 CPML #10207865;DOM 91 CPML #10196434;DOM 328 verification Source(s) Ct. Hs. Rec. Ct. Hs. Rec. Ct. Hs. Rec. VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION +(-)$adjustment DESCRIPTION +(-)$gdustment DESCRIPTION +(-)$adjustment Sale or Financing Concessions ' ArmLth Cash;O ArmLth Private;600 ArmLth Cash;O Date of SalelTime s08/11;c06/11 s08/11;c07/11 s07/11;c05/11 Location N; Res; N; Res; N; Res; N; Res; Leasehold/Fee Sim le Fee Sim le Fee sim le Fee sim le Fee sim le Site 5663 sf 4800 sf 4356 sf 8276 sf view N;Res; N;Res; N;Res; N;Res; Desi n (st le) One stor 1.5 Stor 2 sto 2 stor Qualit of Construction Q3 Q3 Q3 Q3 Actual A e 8 2 -2,000 21 17 Condition C3 C3 C3 C3 Above Grade Total Bdrms Baths Total Bdrms Baths Total Bdrms. Baths Total Bdrms Baths Room Count 5 2 2.0 5 2 2.1 -1,000 5 2 2.1 -1,000 5 2 1.1 Gross Livin Area 15 1,617 s . ft. 1,795 s . ft. -2,670 2,000 s . ft. -5,745 1,868 s . ft. -3,765 Basement & Finished Rooms Below Grade Osf Osf Osf Osf Functional Utilit Good Good Good Good Heatin /Coolin GFHA C/Air HP/CA GFHA/CA GFHA/CA • Ener Efficient Items T ical T ical T ical T ical • Gara e/Car ort 2 Car Gara e 1 car ara a 2,000 2 car ara e 2 car ara e ~ PorchlPatiolDeck Front orch FrPch/ atio -2,000 FrPch/ atio -2,000 FrPch/Patio Net Ad~ustment (Total) ~ ^ + XO - $ 5,670 ^ + ~X - $ 8,745 ^ + XO - $ 3,765 Adjusted Sale Price of Com arables _ Net Adj. -3.0% Gross Ad'. 5.1 % $ 184 330 Net Adj. -4.8% Gross Ad'. 4.8 % $ 173 755 Net Adj. -2.1 Gross Ad'. 2.1 % $ 176 235 I X did did not research the sale or transfer history of the subject property and comparable sales. If not, explain M research ^ did X~ did not reveal an rior sales or transfers of the subject ro er for the three ears rior to the effective date of this a raisal. Data sources Court House Records M research ^ did XO did not reveal an rior sales or transfers of the com arable sales for the ear rior to the date of sale of the com arable sale. Data sources Court House Records Re ort the results of the research and anal sis of the rior sale or transfer histo of the subject ro ert and com arable sales (re ort additional rior sales on a e 3). ITEM SUBJECT COM PARABLE SALE NO. 1 COMPARABLE SALE NO. 2 COMPARABLE SALE N0.3 Date of Prior Sale/Transfer 01 /19/2005 None None None Price of Prior SalelTransfer $1 Data source(s) Court House Records Court House Records Court House Records Court House Records Effective Date of Data Source(s) 03/12/2012 Analysis of prior sale or transfer history of the subject property and comparable sales The com arables sales have not sold or been listed the ear The sub'ect r0 ert has not sold Or been listed within the ast 3 ears. rior to the current sale. Summary of Sales Comparison Approach. The sub'ect ro ert and com arables are located in similar market areas and develo ments within the Carlisle market area. All the com arables are similar in a e, st le, utilit ,and condition with ro er ad'ustments made for differences. All the com arables are verified sales and are the best available. Market Land values for the sub'ect ro ert and com arables are e ual, therefore, no ad'ustments were made. Indicated Value b Sales Com arison A roach $ 180 000 Indicated Value b Sales Com arison A roach $180,000 Cost A roach (if develo ed) $ 0 Income A roach (if develo ed) ~ 0 Market Anal sis consistent) su orts m estimated market value. GRMand Cost Anal sis was found ina o riate for this anal sis. Greatest wei ht is a lied to the Market Data Anal sis. Su ortin file information substantiates these estimates. ' This appraisal is made XD "as is," ~ subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed, Sco a of A raisal and URAR: Su lemental Certifications: I certif that, This COMPLETE APPRAISAL -SUMMARY APPRAISAL REPORT was re ared b William A. Bassett for the exclusive use of Marston Law Offices for use in estimatin market value .Estimated market value is the most robable rice in terms of cash or in terms of financial arran ements a uivalent to cash. Marston Law Offices, is considered to be m client. The information and o inions contained in this a raisal set forth the a raisers best 'ud ement in li ht of the information available at the time of the re aration of this re ort. An use of this a raisal b an other erson or entit , or an reliance or decisions based on this a raisal are the sole res onsibilit and at the sole risk of the third art . I acce t no res onsibilit for dams es suffered b an third art , as a result of reliance on or decisions made or actions taken based on this re ort. - In m o inion, the reasonable ex osure time linked to the value o inion is u to 180 da s. I further certif that, to the best of m knowled a and belief: • -The statements of fact contained in this re ort are true and correct. . -The re orted anal ses, o inions, and conclusions are limited onl b the re orted assum tions and limitin conditions, and are m ersonal, im artial and unbiased rofessional anal ses, o inions and conclusions. -I have no resent or ros ective interest in the ro ert that is the sub'ect of this re ort or to the arties involved with this assi nment. -M en a ement in this assi nment was not contin ent u on develo in or re ortin redetermined results. -M com ensation for com letin this assi nment is not contin ent u on the develo ment or re ortin of a redetermined value or direction in value that favors the cause of the client, the amount of the value o inion, the attainment of a sti ulated result, or the occurrence of a subse uent event direct) related to the intended use of this a raisal. -M anal ses, o inions, and conclusions were develo ed, and this re ort has been re ared, in conformit with the Uniform Standard of Professional A raisal Practice. -I have made a ersonal ins ection of the ro ert that is the sub'ect of this re ort. -No one rovided si nificant rofessional assistance to the si ner of this re ort. - William A. Bassett re ared this re ort. COST APPROACH TO VALUE (not re uired b Fannie Mae) Provide ade uate information for the lender/client to re licate the below cast fi ures and calculations. Support for the opinion of site value (summary of comparable land sales or other methods for estimating site value) N/A ESTIMATED ^ REPRODUCTION OR ^ REPLACEMENT COST NEW OPINION OF SITE VALUE ........................................ _ $ Source of cost data Dwellin 1,617 S . Ft. @ $ ............ _ $ 0 Qualit ratin from cost service Effective date of cost data S . Ft. C~ $ ............ _ $ - Comments on Cost A roach ( rosy livin area calculations, de reciation, etc.) The Cost A roach will enerall result in an excellent estimate of Gara e/Car ort 451 S . Ft. @ $ ............ _ $ 0 value if the buildin is new or reasonabl new, and the Total Estimate of Cost-New ............ _ $ 0 im rovements reflect the hi hest and best use of the land. Less 50 Ph sical Functional External However, when items of h sical de reciation must be estimated, De reciation = $ ( 0) an area of 'ud ement is involved which is sub'ect to error. The De reciated Cost of Im rovements ......................... . .... . . _ $ 0 Cost A roach was not utilized due to the a e of the sub'ect "As-is" Value of Site Im rovements ......................... . .... . . _ $ dwellin . Estimated Remainin Economic Life HUD and VA onl 46 Years INDICATED VALUE BY COST APPROACH ...................... _ $ 0 JNCOME APPROACH TO VALUE (not re uired b Fannie Mae) ~ Estimated Month) Market Rent $ X Gross Rent Multi tier = $ Indicated Value b Income A roach Summary of Income Approach (including support for market rent and GRM) Due to the sub'ect bein a sin le famil residence, occu ied b the owner, and the lack of rental data the Income A roach was considered ina ro riate and not utilized. PROJECT'INFORMATION FOR PUDs (ifa licable) Is the develo er/builder in control of the Homeowners' Association (HOA)? ^ Yes ~ No Unit t e(s) ^ Detached ~ Attached Provide the followin information for PUDs ONLY if the develo er/builder is in control of the HOA and the sub'ect ro ert is an attached dwellin unit. Le al name of ro~ect N/A Total number of hases Total number of units Total number of units sold ~ Total number of units rented Total number of units for sale Data source(s) Was the ro~ect created b the conversion of an existin buildin (s) into a PUD? ^ Yes ^ No If Yes, date of conversion. Does the ro'ect contain an mu-ti-dwellin units? Yes ^ No Data source(s) Are the units, common elements, and recreation facilities complete? ^ Yes ^ No If No, describe the status of completion. 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. Modifications, 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 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 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 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, 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 this 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, 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. 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. I 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. I 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. 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 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 withheld any significant 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, 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 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 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/client in this appraisal report who is the individual, organization, or agent for the organization that ordered and will receive this appraisal report. 7'1 Thn Inr~r•nr/nlinr~4 mn~i rlinnlnnn nr rlin~rih~ ~4n thin nnr~rninnl rnnnrl in• 4hn hnrrn~~inr• nnnlhnr Inr~r~lnr n~ ~hn rnn~ ~nn~ of ~hn hnrrn~~inr• 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government 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 CERTIFICATION: 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 ~_ Signature ~ ~ ~ ~~ Name William A. Bassett Company Name Wolfe&Company Appraisal Services Company Address 33 South Pitt Street Carlisle, PA 17013 Telephone Number 717-243-1551 Email Address wmbass@wolfecr.com Date of Signature and Report 03/14/2012 Effective Date of Appraisal 01/09/2012 State Certification # PA-GA-001618-L or State License # or Other (describe) 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 State # Expiration Date of Certification or License Expiration Date of Certification or License 06/30/2013 ADDRESS OF PROPERTY APPRAISED 412 Touchstone Drive Carlisle, PA 17015 APPRAISED VALUE OF SUBJECT PROPERTY $180,000 i r~mrnrni irsrr 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 Vanguard Fiduciary Tr Co. Cust 403(8)7 A/C Julia Cox 412 Touchstone Dr Carlisle, PA 17015-6951 ~*' ~r Vat~t ~trc Report for 01109/2012 Client Services: 800-662-2739 Page > 1 of 1 Total report value: $6,597.79 (Total report value includes any accrued dividends.) Julia Cox - 403(b)7 Account value summary Name I Fund & Account Date ~ Price Per ~ Accrued .Number Opened Shares:' Share Value* Dividends Wellington Fund Inv 0021-09882944165 10/31/1994 207.739 $31.76 $6,597.79 - _~ - Totals $6,597.79 $0.00 * Doesn't include accrued dividends. 1784835036 02/16/2012 14:13:10 FRANKLIN "fEMPLETON INVESTMENTS AT 01 206665 190246951 A"*3DGT FTB&T COST FOR THE IRA OF JULIA H COX 412 TOUCHSTONE DRIVE CARLISLE PA 17015-6951 ~Il~l~llllll~lll~lll~ll~llllllllll~ll~llllll~~l~ltl~l~~lll~~ Templeton Growth Fund -Class A Quarterly Asset Summary January 1, 2012 -June 30, 2012 Page 1 of 1 Financial MILLER, NILES Advisor: TRANSAMERICA FINANCIAL ADVISORS INC (717) 691-3454 Customer franklintempleton.com Service: Shareholder Services (800) 632-2301 ]Mailing 100 Fountain Parkway Address: PO Box 33030 St. Petersburg, FL 33733-8030 NASDAQ Symbol: TEPLX Fund-Account Number: 101-1895002515 Asset Summary Number. 02540242 Transaction Details DATE TRANSACTION 01-01-12 BALANCE FORWARD Year-to-Date Summary: Income Dividends: $0.00 Long-Term Capital Gains: $0.00 Current Year Contributions: $0.00 DOLLAR AMOUNT SHARE PRICE SHARES TOTAL SHARES $1,222.43 $16.29 75.042 Ofi-30-12 TOTAL ACCOUNT VALUE: $1,280.97 AT $17.07 PER SHARE Shareholder Information • The annual maintenance fee for your IRA is $15.00 ($10.00 if the aggregate balance of your accounts linked under cumulative quantity discount is $50,000 or more). If you have not prepaid the annual maintenance fee, it will be charged to the highest value investment within your IRA when the fee is assessed in December. • Managing your accounts just got easier with our improved 24-hour Automated Telephone Service featuring speech recognition. Coming soon, our new telephone service will offer interactive speech recognition, so when you call any of our toll-free numbers, you can simply speak your request instead of using a telephone keypad. There are new menu options and step-by-step voice instructions--all designed to make it easier and faster for you to manage your accounts by phone. Purchases can also be made online at fianklintempleton.com Please make your check payable to: Templeton Growth Fund -Class A Fund-Account I~TUmber: 101-1895002515 Amount Enclosed: ~ Please Check c~ Current Year Contribution ~$ i ~ ~] Rollover Contribution +$ ^ ' Catch up Contribution (age 50 and older) I $ ~ Retirement Plan Maintenance Fee ~ $ _ ~ ~ Check here and complete reverse side if changes are necessary for: - Address Distribution Options 001 000001895002515 ~s 1 1 ' FTB&T CUST FOR THE IRA OF JULIA H COX 412 TOUCHSTONE DRIVE CARLISLE PA 17015-6951 FRANKLIN TEMPLETON BANK AND TRUST C/0 FTI RETIREMENT PLAN OPERATIONS PO BOX 33033 ST PETERSBURG FL 33733-8033 1~11~~~11111111111'I'II1111111111'llll'll'I'I'lllllllll,l,l, 101 2],1 Estate Valuation Date of Death: 01/09/2012 Valuation Date: 01/09/2012 Processing Date: 08/07/2012 Shares Security or Par Description High/Ask 1) 75.042 TEMPLETON GROWTH FD INC (880199104; TEPLX} CL A Mutual Fund (as quoted by NASDAQ) 01/09/2012 Total Value: Total Accrual: Total: $1,223.18 Estate of: Julia H. Cox McCarter Account: 10471.1 Report Type: Date of Death Number of Securities: 1 File ID; 14071.1.mccarter Mean and/or Div and Int Security Low/Bid Adjustments Accruals Value 16.30000 Mkt 16.300000 1,223.18 $0.00 $l,Zl:i.l~f Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.0) ~~~ G, ~. z LOANS Loan No.- 46000370 Loan Type- FHLB Fixed 30+ Years Date opened- 12/30/2004 Joint Account (name/date}- No Current Balance- $53,479.48 Int~re~~t- - - o Loan No.- 160037091 Loan Type- IL Fixed Morkgage Date Opened- $/18/2010 Joint Account (name/date}- No Current Balance- $4,097.71 Interest Rate- 4.74°/a Best Regards, ~ ~~ ~ ill R. Worthington Deposit Processing Clerk