HomeMy WebLinkAbout10-31-12 (2)J 15D561D14D
REV-1500 EX (°'-'°'
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 D 8 1 4
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYVYV Dale of Birth MMDDYYYY
4 6 3 2 2 8 5 7 D 0 7 D 9 2 D 1 2 0 5 3 1 1 '9 2 7
Decedent's Last Name Suffix Decedent's First Nanne MI
D E V L I N J E A N
(If Applicable) Enter Surviving Spouse's Infortnatlon Below
Spouse's Last Name Suffix Spouse's First Names MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
^X 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-t3-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ :i. Federal Estate Tax Return Required
death after 12-12-82)
^X 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 6. 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 ~ 1 I. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
R O G E R B I R W I N E S Q U I R E 7 1 7 2 4 9 2 3 5 3
First line of address
I R W I N & M c K N I G H T P C
Second line of address
6 D W E S T P O M F R E T S T R E E T
City or Post Offce State ZIP Code
C A R L I S L E
Correspondent's a-mail address:
P A 1 7 D 1 3
REGISTER O
F
WILLS USE ~1 .Y
^
}
s
>
'~ O
-r;
_ n
m
~i --f
_
-
rp W
Z V'1
`
co
o` ";
.-. an.
Untler penalties of perjury, I dedare mat I have examinetl this return, including accompanying schedules and statements, antl to the best of my
it is true, wrrecl and complete. Declareaon of preparer other than me personal representative is based on all information of which preparer has
ADDRESS
t
~ ~~
p
dge and belief,
`z
-n
c
r--i
T7
PA 17D13
SIGNATURE OF Pr~PA ER OTHER T~4N R SENTATIVE DAJE
~~ ~!~ ~v/W~L
60 WEST POMFRFy7 STREET
150561D14D
PLEASE USE ORIGINAL FORM ONLY
Side 1
],SD561D14D
J~
1505610240
REV-1500 EX
De+xdent's Social Security Number
Decedents Name: JEAN D E V L I N tl 6 3 2 2 8 5 7 0
RECAPITULATION
1. Real Estate (Schedule A) ........................................... 1. 1 3 5 0 0 0. 0 0
2. Stocks and Bonds (Schedule B) ................................ .... .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3.
4. Mortgages and Notes Receivable (Schedule D) .................... .... .. 4.
5. Cash, Bank De osits and Miscellaneous Personal Pro a
P p rtY (Schedule E).
....
.. 5. 1 1 5 1 4 4. 8 2
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested . .... .. 6.
7. Inter-Vivos Transfers & Miscellaneous N -Probate Property
(Schedule G) ~ Separste Billing Requested . .... .. 7. 3 2 3 1 7 , 0 6
8. Total Gross Assets (total Lines 1 through 7) ..................... .... .. 8. 2 8 2 4 6 1 . 8 8
9. Funeral Expenses and Administrative Costs (Schedule H) ............ .... .. 9. 2 ~ 4 7 3 . 8 4
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ....... .... .. 10. 2 5 2 9 . 6 8
11. Total Deductions (total lines 9 and 10) ......................... .... .. 11. 2 3 0 0 3. 5 2
12. Net Value of Estate (Line B minus Line 11) ...................... .... .. 12. 2 5 9 4 5 8 . 3 6
13. Charitable and Gavemmental 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. 2 5 9 4 5 8 . 3 6
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
et the spousal tax rate, or
transfers under Sec. 9116
(a)(t.2)x.o _ 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate x .045 2 5 9 4 5 8. 3 6 ts. 1 1 6 7 5. 6 3
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17. ~, 0 ~
18. Amount of Line 14 taxable
at collateral rate X .15 0 0 0 18. 0. ~ 0
19. TAX DUE ................................................ .... .. 19. 1 1 6 7 5. 6 3
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L 1505610240
1!i05610240 J
REV-1500 Ex Page 3
.Decedent's Complete Address:
Flle Number
21 12 08'14
DECEDENTS NAME
JEAN DEVLIN
STREET ADDRESS
558 E STREET
CITY
CARLISLE STATE ZIP
Tax Payments and Credits:
t. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments 11,264.50
B. Discount 583.78
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
FIII In oval on Page 2, Llne 20 to request a refund.
(1) 11,675.63
TotalCredits(A+EI) (2) 11,848.28
(3)
(4) 172.65
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
t. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transfened : ................................................................. ..... ^ 0
b. retain the fight to designate who shall use the property transferred w its income;
......................
.....
^X
c. retain a reversionary interest, or ........................................................................................... ..... ^
d. receive the promise for life of either payments, benefits or cere7 .................................................. ..... ^ ^X
2. If death oxuned after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .................................................................................. ..... ^ ^X
3. Did decedent own an "in W st for. orpayable-upon-0eath bank account or security at his or her death? .... ..... ^ Q
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a benefidary 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 rrf 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 disdosure 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 decedents 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 decedents 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+ (01-10)
pennsylvania ~ SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
FILE NUMBER:
JEAN DEVLIN 21 12 0814
All real properly owned solely or as a tenant In common mart be reported rt hir market value. Fair market value is defined as the price al which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant fads.
Ral properly that h jolMlyoaaled rAth right of survNorvhip mart be discbsed on Schedule F.
Attach a copy of the settlement sheet if the property has been sdd.
ITEM Indude a copy of the deed showing decedent's interest if owned as tenant in commonn. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1. 558 E STREET, CARLISLE, PENNSYLVANIA 135,000.00
APPRAISAL ATTACHED
TOTAL (Also enter on Line'I, Recapitulafion.) ~ E
It more space is needed, use additional sheets of paper of the same size.
REV-1508 EX• (11-10)
• pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN CASH, BANK DEPOSITS, & MISC.
RESIDENT DECEDENT PERSONAL PROPERTY
Indude the yyroceeds of Iltlpation end the date the prot~eds were received by Me estate.
All properly jolMty owned with ripM of survNomhip must a dbcbrsed on Schedule F.
ITEM
NUMBER
DESCRIPTION VALUEAT DATE
OF DEATH
1. PERSONAL PROPERTY -APPRAISAL ATTACHED 305.00
2. M&T BANK -CHECKING ACCOUNT #1347462 12,060.51
3. M&T BANK -SAVINGS ACCOUNT #15004200934154 92,778.85
4. M&T BANK -CERTIFICATE OF DEPOSIT ACCOUNT #31003911903283 10,000.46
TOTAL (Also enter on Line 5, Recapitulation) S
If more space is needed, insert additlonal sheets of paper of the same size
REV-1510 EX* (OB-09)
pennsylvania I SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
JEAN DEVLIN 21 12 0814
This schedule must be completed and filed if the answer to any o(questlons 1 through 4 on page three of the REV-1500 is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NVAE OFTHETRANSFEREE, THRR REUTIONSHIP TO DECEDEM AND
THE DATE OFTRPNSFl:R. ATTACMACOPYOFTHE DEED FOR REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET
960E DECD'S
INTEREST
EXCLUSION
prnsrt~aL7
TAXABLE
VALUE
1. TRANSAMERICA LIFE INSURANCE COMPANY 32,317.06 100.00 32,317.06
ANNUITY CONTRACT #S0000474783
BENEFICIARY: RAYMOND J. DEVLIN
TOTAL (Also enter on Line 7 Recapitulation)I s 32 31706
If more space is needed, use addgbnal sheets of paper of the same slze.
REV-1511 EX~ (10-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILF. NUMBER
JEAN DEVLIN 21 12 0814
Decedents debts must be reported on &heduN I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. HOFFMAN-ROTH FUNERAL HOME 4,038.80
B. ADMINISTRATIVE COSTS:
t. Personal Representative Commissions:
Name(s) aF Personal Representative(s)
Street Addn:ss
City
State 21P
Year(s) Commissbn Paid:
2, AtlomeyFees: IRWIN & McKNIGHT, P.C. 11,500.00
3. Family Exemption: (II decedenCS address is not the same as daimanCs, attach explanaWn.) 3, 500.00
Claimam RAYMOND J. DEVLIN
Sbeet Addreee 558 E STREET
city CARLISLE smte PA zIP 17013
Relelbnshlp of Claimantto Decedent SON
4. Probate Fees: REGISTER OF WILLS 365.50
5 Accountant Fees:
6. TaxRewmPreparerPees: PATRICIAA. ROSENDALE, CPA 375.00
7. REGISTER OF WILLS -FILING FEE 30.00
8. S.W. BARRETT REAL ESTATE -APPRAISAL ON REAL ESTATE 350.00
9. ROY D. GOTTSHALL -APPRAISAL ON PERSONAL PROPERTY 50.00
10. THE SENTINEL -ESTATE NOTICE 189.54
11. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 75.00
TOTAL (Also enter on Line'3, Recapitulation) I S 20 473 84
H more space is needed, use additional sheets of paper of the same size.
REV-1512 EX+ (12-OB)
- Pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES
8 LIENS
,
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
JEAN DEVLIN 21 12 0814
Report debts Incurred by the decedent prbr to death that remained unpaid at the date of death, including unrelmburesd medkal eXpenaes.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. HOSPITALISTS OF CENTRAL PENNSYLVANIA -MEDICAL 68.80
2. CARLISLE REGIONAL MEDICAL CENTER -MEDICAL 500.00
3. CARLISLE PHYSICIAN SERVICES -MEDICAL 49.18
4. ORAL & MAXILLOFACIAL, P.C. -MEDICAL 324.00
5. MSHMC -MEDICAL 25.03
6. CELTIC HEALTHCARE, INC. -MEDICAL 20.00
7. QUANTUM IMAGING AND THERAPEUTIC ASSOC -MEDICAL 51.21
8. MASLAND ASSOCIATES -MEDICAL 6.75
9. PINNACLEHEALTH CARDIOVASCULAR INST., INC. -MEDICAL 46.72
10. CUMBERLAND GOODWILL FIRE RESCUE EMS -AMBULANCE 1,437.99
TOTAL (Also enter on Une 10, Recapitulation) E
If more space is needed, Insert additional sheet of the same size.
REV-1513 EXa (01-10)
pennsylvania I SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURIJ
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
IFAN f1F\/1 IN 71 17 rlrild
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 pnclude ouln'ghl spousal diabibutlons and transfers under
Sec. 91 i6 (a) (1.2).)
1. RAYMOND J. DEVLIN Lineal 259,458.36
558 E STREET REMAINDER
CARLISLE PA 17013
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE.
R. NON-TAXABLE DISTRIBU .IONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S
If more space is needed, use additional sheets of paper of the same size.
~~~t i11 ~n~ C~P~t~mPnt
OF
JEAN DEVLIN
I, JEAN DEVLIN, of the Borough of Carlisle, Cumberland
County, Pennsylvania, being of sound and .disposing mind, memory
and understanding, do hereby make, publish and declare this as
and for my Last Will and Testament, hereby revoking and making
void any and all former Wills, Codicils, or writings in the
nature thereof, by me at any time heretofore made. ,
FIRST: I hereby order and direct my Executor,
hereinafter named, to pay all my just debts, funeral expenses, 1'
testamentary expenses and all Inheritance, Estate, Transfer and
Succession Taxes, as soon as may be conveniently done after my
death, out of my residuary estate.
SECOND: All the rest, residue and remainder of my
estate, be it real, personal or mixed, of whatsoever kind and
wheresoever situate, I hereby give, devise and bequeath to my
husband, Alfred Devlin, Jr., absolutely.
i~
THIRD: In the event that my husband, Alfred Devlin,
Jr., shall predecease me, I hereby give, devise acid bequeath my
residuary estate to my son, Raymond J. Devlin, absolutely.
FCURTA: Should neither my husband, Alfred Devlin, Jr.,
nor my son, Raymond J. Devlin, survive me, then I give my entire
estate, in equal shares, to be divided among the I;MR Unit of the
Carlisle Hospital and each of the volunteer fire companies of the
Borough of Carlisle.
LASTLY: I hereby nominate, constitute and appoint
my husband, Alfred Devlin, Jr., to be the Executor of this, my
Last Will and Testament, he to serve without bond in the
Commonwealth of Pennsylvania, or any other jurisdiction. In the
event that my husband shall predecease me or be unable to serve
as Executor or complete the administration of my estate for any
reason whatsoever, I hereby nominate, constitute amd appoint my
son, Raymond J. Devlin, as Executor hereof, he likewise to serve
without bond. In the event that both my husband Alfred and my
son Raymond shall predecease me or be unable to serve as Executor
or complete the administration of my estate for any reason
whatsoever, I hereby nominate, constitute and appeint the
~y `,
t .~.~ 2 ~. - _ ..i
- 2
_' :i : ,
C~~n~r~°~ iih National Bank, as Executor hereof, ii; likewise to
~- _so
serve without bond.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal this 4 day of May, 1988.
0"a,~`r ~ '~' ~'~1'4j"'' ~ SEAL )
Jean Devlin
SIGNED, SEALED, PUBLISHED and DECLARED
in the presence of:
~~
COMMONWEALTH OF PENNSYLVANIA )
ss.
COUNTY OF CUMBERLAND )
I, Jean Devlin, Testatrix, whose name iei signed to the
attached or i"oregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will; that I signed it
willingly; and that I signed it as my free and voluntary act for
the purposes therein expressed.
Sworn or affirmed to anf~ acknowledged before me, by
Jean Devlin, Testatrix, this `'>C~1 day of N[ay, 1988.
((fh1~ ryry ,
Testatrix
L... - - / ~
Not y
- 3 - MERLENE MARHEVKA, Notary Publla
Carlisle, Cumberland County, Pa.
My Commission Expires 41 ~~96
u~ V 1111
. / '
J~U~VVq LLI
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
We,
sa.
and
~'- C-Q~-~~. ; the witnesses whose
names are signed to he a ache or~ing instrument, being
duly qualified according to law, do depose and say that we were
present and saw Testatrix, Jean Devlin, sign and execute ,the
instrument as her Last Will; that she signed willingly and that
she executed it as her free and voluntary act for the puFpoaea
therein expressed; that each of us in the hearing and eight of
the Testatrix signed the Will as witnesses; and that to the beat
of our knowledge the Testatrix'was at that time 18 or more years
of age, of sound mind and under no constraint or undue influence.
S%w)orn or affirmed to and aubs,~ribed to before me by
~L /. ~d-2~ and /
t is ~~~ day of Ma 1988.
MERLENE MARHEVKA, Notary Publlc
Carlisle, Cumberland County, Pa.
MY Commission ExPites (ter-t I j~,
- 4 -
~~ ~ ~% ~ ~ ~~~z,~dc~{~~
Notary
S. W. Bartell Baal Estate 8 Apprelsal Services
APPRAISAL OF
LOCATED AT:
S58 E Street
Grlisle, PA 17013
CLIENT:
Irvdn !, McKnISM
eo west Pomfret Street
Carllale, PA 17013
AS OF:
July 10, 2012
BY:
Casandre J. Crockett
PA Grtlflad RniWntlal Real FAtele Appralaer
8. W. Barrett Real Estate 8 Appralsal SaMCea
07/3012012
Irwin d McKnight
80 We4t Porrllrat Street
Carlials, PA 17013
File Number: 12-020a
In accordance with your request, I have appraised the real property at:
SSB E Street
Carlisle, PA 171113
The purpose of this appraisal is to develop an opinion of the defined value of the sufyect property, as improved.
The property rights appraised are the fee simple interest in the site and improvements.
In my opinion, the defined value of the property as of July 10, 2012 is:
f195,000
One Hundred Thirty-Flue Thousantl Dollar
The attached report contains the description, analysis and supportive data for the conclusions,
final bpinian of value, descriptive photographs, assignment conditions end appropriate certifications.
ReapwYfully submitted,
~~• ~-
Cassandra J. Crockett C./
PA Cdrtlflsd Residsntlel Real Estate Appraiser
Summary
Residential Appraisal Report Flk Np. 1&020D
The Wrpow daeapprdel report kb PrewktledkMr4haaedde ppidon dtle permp wAledne whF'ptPrePeM.9aenlhe NbMeaumdne apprekel.
CMRNamemlentlepuwr Irwin a McNnl E-mail
CbmApaBm 80 Wet Pomfrot Street Carlisle Sea PA 17013
M6axW IlMdetl The Imended uar of this ro Is the CIIaM. No atlditlontl Infected Ware are Itted without the
talon of as rot s .
YaerdeE Ur T11e Intended Wa Is to evaluate the that Is the sub sct of this a sal to roWM the CIIaM wmc an
aceurob and u 1 su Inlon of value.
Apda88588 E c Carlisle Sea PA ~ 17079
OemrdPUhrc Rams In Jean CumMdend
Dam Deed Boric 112• h 53
Aewemf9 Parcelx 051W7843.187 Taxved 2011 R.E.Tmn52320.00
Name h Rewema 79.7843 Cmswiras 0720.00
P Fee Lea9ehdp ghat tlasrlw
rwabph dp X p notmwd aWSar wnad8dae 8ph brtletlaw aprb the elkptllmNk dkk
Pnpr SakRnmbr. Wa 08120/1984 Pke 1 Spume CwrfilwNrewrds
Amy9kdpnpr eele or aansM hbbrydae subject Popery (em mmparepb adre,ilepplkeak) No recant neortletltransfers wero found.
alerinpx apemsaM mmxkesoftle elkdkepek of th ePPrelwl None known
°dma9dtNPWosrTralas -.n ^A.r
Lmatlon UNaI X SIe1INM RuIBI Pro Vebes I Sbek PRICE ACE WtUdl 70 %
au X War 75% 257591 UnEer 25% She kBdmse Owr Sri UnR 3%
Grpntll 9ahk Sbw Tim Uned3whe 9l mtle OmBmre 70 Lwv Nsw Mu 2%
Nry/omhom emMUks ub eat is bwndsd on the north PaTum ke• on the east 19S 700+ canrlwcel 10 x
RL • on tM south RL111841 • and on the west Rt74. 140 Prep. SO atler bNntl 15 %
Nablopnlape ceso4bn eel ro la located Ina ndin era d homes both dtlaehM and attached within d9s
Borou h of CarIISN wNh a mix of raidsMial and wmmardelllndutldal us . Sh In andothsr amsnltla aro wNhln
welkin or short ctrl n distance. School am Is Carlise District and school eom lax Is within .Smile. SMSA 42.3240.
Menat camewe (:etd'mp ' nhx re aboae pabbems) Propsrtv value are wmntly stable In the sublset aro s market area Local
mum-list tlata indl an aw a markedn rims of 80.180 d . Lsntlin Mee haw romtlned favorable tlmw hale
oonwsions aro Nn moro usml . Thera are new home onMr eonstmetlon in surroundin devN msMS a wtll a
In avallabls i rite ntl hborhood.
Wmwbns 77x718. 7x744.84 Area 0.24 ass M/L 5 Rsetan tar vkx Rgidemlal
CI8Y8maon'R2 zm ce MWlum Osnsi Raldsrmal
L Np GradktlwM USe No Zm anPbe
kae hiphedentl hedused sualedPmPaM%S lmpron.M for es ProPOwpPerPwnanE epectllmtloml Me presentuse? X Yes No IiNa. peacriba.
Wlwx Wdb aaacrlea WOlic am.r awene. OreelMw enb-T Wane PrlveM
' 100 am wrier X Sped As tlt
Gas San Senor X Au Nona
srecpnrnens Thera a no M actuate ewments aneroechmaMs or other atlvsrsseondltlWls.
' ~ - e i it rMeatsk.';`°: '. 189:! .., ...'1., .:
_ ;:t
Unb One Ore un7 COnnrek Ska CradS Fmldabn web BlocklA Fban Ca A..
ad5wks Ona X fun 8eamenl Patld Bennlern FaaMrWeb AIumlBrklA walla IVA
X OeL An S~WUEna Una
umn cond.
n Ranch BawnenlArea 1720 .R
9eeemem FMldl 7S%
OueitlaE su Pu Rppisurkae Shl IaIA-G
Gladsfl AluminumlA
whdwi DbIN A-G Tnmakh WoodlA
Bea npor Vin A
BWWaYezat TIIadFb IaIA
Yea elw 1985 Sbrm Sesmmuee0 Ineula[adlA-Ci Car Nme
Elealhe 752 0 SPwm Yr n /A-G X otNawa xdtan 1
Aek
SIBe
Fbm
reieNap Nam
Seas
X Smek
Hmap
Re n X FWA H1Y Repbnl
Wrer Fuel Ga
Cemd Air Candwn
InpNitlu91 Wier
WMaeher Mkre Ameneea
FI s x 0
X PetldWG Patio
Pad None
waw Wader
X Waap a p0
Fame Norm
Pwdl4x25
Otlrer gun Rrn
War pasPiba p' Suram Ai tll
GM #dCU9 0
adLas 0
Aa net BukJn
Firelep Mx ebwa Sae SRaoms 3Betlreme 7 8 7720 Feld Wart ~ Area Apoe Gretla
Aapemw Faaew Re I snt wintlows roofln heatin aair eondNionln • s wd aeed•tllin In bethrown•lwo
rooms and walk-In r Goset In Snlaed lower laver 3 ssaon sun room sitls roh rw o arM frame arMn shstl 70
x 101.
cammene on me ImprmemMe Improvements aro In averaos wnditlrn with no ohvsial or funetlonal In uaUa a t.
n.maw.ii...amaum..w.emn .i...imma••~ ..o pp~arw.~~r..
'Q'~a~~ reetd~ IP,w`•)asa~PUrvarardrl®.w101 ba mn
Summary
Residential Appraisal Report Pr Nb. 12.0209
FFAIURE $UBIECT COMPARABLE SALE N0.1 COMPARANE Se1LE N0.3 COMPAM9LE SALE N0.3
SS8 E Stroat
Atlaew Carlisle Pa 17013 555 F Street
Carllsla Pe 17013 812 NoRh Pltt Sfteat
Carlisle Pa 17019 150 D Sbeet
Cerllsle Pe 17013
ofu ~ -' 0.10 mllw NNW 0.43 miles E 0.41 mllw ESE
See Price E E 140 000 -- E 142 000 '~ E 1 900
SMe PrkpGO81M.Aw E 0.00 .h E 117.85 .R • f 115.62 .R ; E 95.26 .R
Dee SWnas ~ Multl-Ilst MultWist Multl-Ilet
vwYCeoon Sour s Courthouse Rec ords CouRhoun Rew rda Courthotsas Rec ords
VALUE AwUEIMENrE OEECRIPnON DFSCRmnON - e DEEdiIPTX#! . e OESCRRTON - f
Saba Fmumee
Cancemals
' None, Conv
DOM 74 CISBCsbIFW1
DOM 48 -8,250 CISBCSWFHA/
DOM 291 A,294
DfadSawRme . -.
~ 7111 M12 8M7
LaaWSn turban 9uDUrban Suburban Suburban
LwWhdd?ee El Raa Sim le Fae Slm le Fes Sim Is Fea Slm Is
Sre Av .24 Lof/A .26 0 LoUA .41 p Lof/A 0
VYw Idsntlal RwldsMial Residentlal RaslGntlel
cft Ranch Ranch Ranch
d COnsmbtlan A Awr Aw A
acMM 7 Yre 40 Yre 0 47 Yro p S7 Yro 0
tandmn w s Awr Aw Aw
Above GrWe r sew e.en Ttla rM ew taw sxs TaW Bme
Room Camt 3 1 S 3 1 8 3 1 8 2 7.4 -1000
Clps ~ Aw30.00 1 120 . R 1 168 . R -2 040 1226 . R -3180 1 828 . R -15180
BvanemEFnmsa
Rcema Beaw Grrtle Full Bsmtl
Ram.RmlDen Full Bsmtl
Urdiniahed
5000 Full Bsmtl
Partial) Finahd
500 Full Bamtl
BtlRn/.S Bath
-1000
PumYOnel Avere Awre A
u FHAICA GFHAICA 0 0NWfl4one 1500 ONWINOne 1500
E6dam lmw Iwl 7 Idl ital T ical
n SP 1 Car Gar a -5 000 OSP p OSP 0
PaduPafwDttk un RmlPorchl Ent Patlol 000 PorohlPafiol p Ertt DecWFPI 0
atlo/Shatl Shad 2FP'a Fenwd Yard
Amenitlas one None 0 Walk-u Attlc -5000 Notre 0
NM ~ m X - a 40 . X - s 1 43p . X - s p74
Mjwetl Sea Price
d edes _ NMAEI. 0.0%
Go,s 10.0%
E 138 880 NmAtlj. -8.8%
rma 10.4%
f 128 570 NMMI. -18.1%
Gos 18.1%
E 129 828
mseles w All eom areblss are similar in • tNll and location to the su ed aro wrMad
dosed sales and a the Deal wmMl avallabla. Limited sdw of homes In su s value ran haw rseeMl oearsad
ulrin an search. Sala 62 had some flnlsh in the lower Isvel - a )sand rcom and 2nd fl ace - as walla a
walkw attic whh hed-In Mat 8 lumbin for Nturo flnlsh. Ad usted ran Q(ue)ue is 129 000 to 140 000 s 1 000.
cbsn ~- is s ... It
sravaaewmmems 81W valor from cumM asseument data and recent local land sales.
ESTSMTED REPR CTION OR REPLACEMENT COETNEW OPINION OF ERE VALUE ........................................=E 50000
Soacedapaaa Dmel .FL S ............=E
domcea EeWwOBa aantlab .FL E ............=E
wwaMwtoe rceah
Cost h ron area ak.
Manhall/Swifl Valuatlon Sarviw
Gm . R s ............ = E
handbook and loeall cwt anal Is was conslderad but ToW FstlmMSaCOe-New ............ = E
dwmetl not eradlbl dw to the of Ms im rowmsnts. Leas P wMtloml Erinnel
Sib wlua from Ma Data. De atlon based on a Ilfs radeba = f
obaervrtd cwditlon andMarkst Data Mal Ia. Estimated cerecbetl wean oremenD ................................=f
romainin Economi Llhis40.45 n. •AS.ISVBIUamSllasn e ................................=s
NDIGTED VALUE BV CQSTAPPROACH ...................... = E 0
:alnOlwAlPRwtlRTOY -.
FaensYtl MOM Mwbt Re s 0.00 XGmss ReMMU' Iar 0.00 =f 0 IntlRJetl VBbo Income. raech
Sumwrywbww App,oM (inOmtlMp suppan br wrkw rem eW GRM)
baleweveux . seNe A nf135000 cove aeva s0 Nwema re s0
Market Mel is slstsMl su rls m iniw of markN value. Cwt roach and GRM vwre found In Me far fhb
anal Is. Grandest I is • led to me Msrkal Data Ma la. Su n me Informative suMtwttlaW 1MSS aWmetw.
Thiseppreivlis mule XLsis; wbkdmeanplebm perpWSeW ipeeeceeomon the beabmahmrtletlralcmtleW mama'
^wbkam me bbwinp repeasa awWOnsan me basisole rrymwmwna hew bran compkam
hypameeelmWlGOn mama repelnaabrewnshaw been canpabe ^whlemm mebbmia:
aesad w areacmpeawofk, mumaawe, Nmaba amdabneeneepprWers eertllkarbn, mY<w0aPlniOn otars4sartM WwoftlwnW prupamy
tlm[bela subiaGWMbrlpembf 135.000 wo107/10/2012 DDODI ,wnbn btheaamtlw Eebotthbepprebw.
.o>..n..w.,
...wwe.aew..wv,.m
wnrw.
caw mD.y.ewsmu,x mrawaw e.w~ w..xquwrmmxw„a
(4rw9amxruow p~i.,RY01Wwe~m1
S.W. Barrett Real Estate S Approlsal Services
Residential Appraisal Report FYe No. 7b0209
Scope of Work, Assumptions end Llmking Condkions
Seape of work b GM1md b tlN Ilydlorm Stentlwtle ffi ProAeulonm pPPrffiaffi Praedp! es "Me bPe wd sabot of rYNrM vb anmysee Y w
welemnwt" behM,ewpeotwmkb aknPN wlbttlmepprebxtlNentl tlW wttlotlbdrletlxeaureaaitheeesipnwnt einW We, bueb not
IbrIW tP: IhemtWdbwhiClltlbpfOPefNb khntleetlentl Inapeebtl, tlm Npeantl BebrIl010W rasewehetl, erorypeaM mfbM W eneysesappNtl
to errme ffi apinbm ar camlwbns.
The ewPa at W s app W e1 entl aneuNq dbeueebn In tlrb raparl are specific bo Me wads of IM elbrrt, atlw NentlOed hNntlatl assn uM b the
InMWd waoetlronryat Thb rapwtWYgapmatl kwdmaobandawawMuasafexCYnentl alller Wentlfled bbndad Yama1or111altlNrtlASd
ImeMSE UaaarMbuN bYerrywrerpffitleeb PraMblbd. The epPrWarktwtraaPmaEbbrwwlhvheduxaftlwrapaL
The eppre W r'a eartleektlon appevine M tlda epprYaffi sport b wbiect to tlx Iatltrwine eoreeums mM b wch otllm aPaeae eaMebns as aro
effiTafel bytlmapprabminthe repot NllaxtreatllwryaaumPtlana entl hypbhetlalwmetlmsereabbtlindxrepwtwtl miphehMaMeebdme
mpnmamrasutb.
L The eppreker amenes m respanamlOyb mmbre ma kAm metro eOectrp ma gopeW aPPrmxtl a We eereb, wdoesme apprebar reitler aiyoPinbnss b tlredb, xhk'h k
axumetlbbe Aaotl aml metlrobhk. The gaparty bepProbedmmmghu~rresponsbk ameMp.
.t. Any sbtA m mis reponwy shewapgadmme tlimensbnentl Is kcMlded am/b exkloe ree08r in NSmlklnp ae goperty. The epgmsn hu nettle m suweymtlm popery.
8. The epPakn k nmrequbdb Bke babbnyaeppear m wua bareux mhaWlq wtle th aPPNxI wM reMencebme propmyb yxsex, unbmanen0emems here Oeen
preubmy wde tlrerem.
4. Nemmrml, mr enY pan o)qe fAmematlee mpwl, eoW or abet metlktlrereal(NwIWkO remlaaens BSb ela PmgMwdm; th beMymlhe 90peixr, prdea9bnel tledpnaibns,
a th Onn Wn ehkh th aPMeker kremeo'etl), sheO be mad br ewj WNOxs try amyane Wttlroubmantl aOW hbded usmsm kemeetl In tles repon mr sh1 Obe comayed try
emrme b th punk tllrwehlaMemanA, pubT; rekdans, news, yaks, wamn metlk, wehadme wmkn cenxmmee epprmxr.
5. The epprekervffi mldeibx the renbnkmmisapplmml repMUnkx reqused byappNUbk bwpr esspedbtl in tlw UMbrm Semtlamzm Prakatloml Apprebel Prececa.
O. Mdommtlm, estlmees, etld apkbm brnkhe0 b th eppaisar, ant renbbe0 n as repon.ware obbdm0 has soumns calwaeretl rehehk end bakxd b re Oua antl mrrect
Fbm~.rer, m rnpoMiliybr xwrerya smh hewmrmdretl m me epprmxr kemumetl byme epprober.
'i. The apgakeresxmestlletmere ere m hbdm ar unepparem reldtlom mtlre WaceM. xkml, w sbWmres,whkhwwb ren0er Omwe a kxxWbk. The agMekm eaemms
m reapon&blNSw PKh reOtliOOm a br enpireerlnp or bsOnA, whkh nipbbe required m dYCOeer xch Immro. Thkappalxl k mten emmonmeael xsesswmatlm gopalyaM
shwetl nape wnsmned miPKh.
goperyentl Is sae Acme awecw, WWkp comreaor, wwbrmenpireer, w amOYrm~en, unkxolheadx msd. TMappaixr
pobbms, wootl tle:ewrilip (Pr oOrer) kxpk. qlm inledmbn,
dabsetl.
'Ihbepprehel repMaloiOO poi be usetl kdbdax tle wmeon mtlre prapelyea erekksb tlm prexmmebxnceadekck. The cNembkwiktleM emouregMbempbygWOhetl
meeasb impedaM etltlre~measa mnrem. OmAaO.e reMieom eredluwered, th opinbn axme wy be aembtl.
thI W s otlwrwba oohed dre apprffiem easumas tlx eom parwb thst eanstldw dre sublaue Prapmgr knPrarmnwrgs) ma hmtlememelN awmtl and in
warkine vtlar.
MYvkmllA mtlre popery CY tlreapgaismwas ImilkO b reemyobewOk ereb. Unkx oaemke mkq mtlcs end wewi spare mauwere namcexM. The epprokertlitl not moe
mrmmre, Odor comnnpswoper ikmstllm may resbkttlrevbwinA mae gogMy.
9. Mgebxkimaldnp hrymMOrsl reMYbm rekmd b compktlon m new rensbuclbn, repmreoraOnNm are beaetl an dre aaumptlm emsuch rempletlon, a0ambn a repekswi
be relnpekmyperbmed.
S0. Unkx th hMntlM uximbbappmiW spececNy kchtlesimx otprapeM imurellce mxre0e, mbappalal shoub m10e use0brwch p10mxs. Reprodwmn or
aeplecewmwsn0umwpd m me waepwoech erear vwemn Pepoxsany. Akan nr inknae0 uxmmeexgnwm 7ne oennAbn of vebe uaee k misexlpnmemkunWxy
loMre~mailll~re nalnaurebbVWe br propery imurame omeraOaNSe.
31 ThallG General PU(poae ApprWalpepat(ePM^')bnatlmxrdetl bruseMtranseelbnatlutrequire efannlsMr 10001Fretldb Ohc 701wm,
abo known m she UnHmn eaeitlarNm Appr W al napat N W 11q•
Adtlitlonel CPmnwlb gma4tl To Sacpe Ot W ask, Aswm ptlms end LlmPorp Cantlillans
~^Aeae^^.e~n~.uo.^nm..x,wo,,.
Summary
Residential Appraisal Report Fib Np. 72-0209
Appraiur's Certtlication
The appr W ar(e) eartlMa dut, m Ne beat al Me apPr W ere knoxleUOe anE bsliN:
1. The 9emmemsdmdcemenetlamereportere bue entl rarea
;. The reppms0 eroyn, opbbm, antl celbbaglm ere Wmpetl any by the repmmtl assumptlons aril emWO mMapnsentl be me appraisers persond, impaad, em unbissetl
ploles9ael mlaNsex opmbnx eM cendabnx
3. UnIPY omaaic seed ae appaon has no presenter prpspemhe imerea In the propenymd b th subj0dof mm iapotlarm has m penprel Meredxim re~ectm me pmW
mwNetl.
4. Theappraisa has m biaewbh raspedb th Prapanyadktlre sWleddmis repMam me pemes bnoNetl wAh aeaapnmam.
5. The epprebers mgapememb mmasgpnmamwas ndcelalpem upon tlasabpinp or repodnp pretlMminetl results.
E. Tlb apprebehmmpenatlon brcanpba0 mmasdpnmembimreontligemuponlheaBSabpmemm repodnp dapretlemlmbxgvdueartllrectlonbwba admwnme cauwd
the cseN, he emoumdtlreveareapiNpn, me a0sbmen[de stlpumm0 result. or the oaurrerNe de sWmpemevdEdrecEy reYmtl b the hRMetl usedNSappebal.
T. The appmka§anaNss, apRbla, antl mncmaonsxere tlaeppM.malhErepoRhas been PrePmatl.In cOnfprmkJWlntlIB UMfnIm SaMxmam Prokssbnal AppnLW Pnctlce.
S. Unkn omenbe nand the apprema hasmWa a pmsalal aspenbn of me ppperotld btlre sublMdmb repel.
7. Unbss mmtl bebw, no one ProNtletl egnamrrc red Oroperryepprebd assbmlxre mma appraise agnbq amcedficeson. 3gnacamrnlPmperoeppnbd as®mnce POSmM by
11ddGOrW CertlM.atlona:
OaMMbn alVelue: pMarbetVdu! ^OtlrarVehe:
5wrced4mson: USP~tIP
The most probabl9 prlp In terms of money which a properly should bring In etpmpetitiw and open market under all
t:onditlons roqulsib to a fair sale, the buyer and aallar, each ailing prudently, knowletlgsably and auuming tlrs pries is not
allacted tyr undw etlmulua.
nDwtESS aF THE PROPERTY aPPMIEED:
S3a E Strout
Carlisle. PA 17073
EfFEOiNE WTE OFTHE APPRNSPL: 0 7/7 012 012 tDOD1
APPRAISEDVALUE 6 THE SUfi]ECT PROPERTY E 135.000
11PPn111EER SUPERVISORYAPPRN9ER
Sgnure: ~ ' ` Sipndme: ~'G. ~ -,~-~
Name: Cassandra J.~Croekett Name: Steven W. Garrott. 8RP0. SR0. ASA
Sam OadkwbnE RL0079gaL Sum cenwswna GA000298L
a L'aenSeM ar lkenwM
or aher (aeactlbe): Snm a: Emm: PA
Sale: PA Eglhaeon Ddedl.atl&atlon aribense: 0 619 0/10 7 3
6aedbn 0emdcerumeamaLiwrue: 06/90/2013 Dabdsi0anue: 07/30/2072
Dam dSgrebre entl Repot 07/90/2012 Dam dPmpeaNVkMq:
Dec dPmparovbwhq: 07/70Y2072 (DOD) Di~Dee ~~e~e~dproperovbvnnp:
Dgreedproperoamwhq: Ulmerbram Ewxbr ^Etlerbr OnN ®Db nil pensnelNWew
^X lilrimarb EMnbr ^FAM, anN ^Dm nolpersandN~'
rveseei+nrn Y aamwnaas mraR,pnemocmw aopr`7 cmtiw~~ar aN
a iea
..,,... a. o e,.. re... a ~ d.
S.W. Barrett Wal Estate & Ao0roisal Ssrvleas ~
SUBJECT PROPERTY PHOTO ADDENDUM
FRONT VIEW OF
SUBJECT PROPERTY
Appreised Date:July 10, 207Y
Aopreised Value: S 73s,ooo
REAR VIEW OF
SUBJECT PROPERTY
STREET'SCENE
Isn
right
gaMai shatl
~+~o.'a.a.. roaum.vwmr~ rxn ~mmio
4nd roar shot
oppoalb stmt Wew
.wuai+ara.aiwmaumw.rra~ wmw~wo
COMPARABLE PROPERTY PHOTO ADDENDUM
COMPARABLE SALE#1
555 F Street
Carpals, Pa 17013
Selo Deta: 7N7
S[ile Price: $140,000
COMPARABLE SALE#2
812 North Pitt Street
Carllele, Pa 17073
Sale Dale: M12
Sele Price: $142,000
COMPARABLESALE #3
150 DStrsat
Carlisle., Pa 17013
Sale Date: 8Ht
Sale Price: $ 754,900
LOCATION MAP
Cav@'Yi//or ~
s
o- - Comparable Sale 1
v 555 F St
~ Carlisle, PA 17013 'n
GSt (0.10 miles NNW)
c
FSt aL
. £ St --
'~ r~..
u~."' R"i `
~
~-
?~
' -~It:St_ _ ~
., _
- :
N
~ ~
d
_
t
W/-1r5t
- - -. W:I:St :
,N t- 3_
- - --.- :_::-HSYrc
GSt:
N
C
c .~~ A. " Comparable Sale 2
.c ~- ~ 812 NPitt St
¢ _ ~' Cadisle,:PA .17013
. Sublect _ a 6thAve_t
7 ~~ 558 E St ~
~;~` Cafllsle, PA 17013 _ --D St_ m _-
~A'Pq\ H - -C-St a. ~ ,;, Sih Ave ~ _
(Ta.. _... 2` 4th Ave O ~ o - - ~ Comparable Sale 3
'^ .•;r~ o C j 15i7D 5t
.- :n '~-~_'------ V " '.Carlisle, PA 17013
- -8 SY_ z
~ _--'- ___~,____ ~ (0.4t miles hSE)
M Q i
R 4
Cne+M p. ~ ' - q c
,'ast ~ a
d N Ii D
it ~ N
3 R y
4 N ~ L
V
~ ' L7nC01 tlnmin Avem -
n:5t
t -..
w"~enn~St a .iU m ---.
t 3 raamar~~
.~ $ Dark
uv_ver,n5r
=GSt
'^ W North 52 L':1, - - - -- W PennsSll%. -~_
r
Z ~ iI'
LouB7er St ~- +Sf l+3p~~4iliy'(¢~~~~€--Q ~°y~~'i,!D-~~---~:J ?7 i't Lllcrtuulrti"~r;uruliuu
Oicklnson Col!¢ge ~ 7.36 mlk
W tOYt ~-
*'"'"'"""" QUALIFICATIONS "'"""*
Ths fdlowing checked Items aro SPECIFIC SPECIAL CONDITIONS that wsro itlsndfled by this approlaar during the
inspeedon of the subject property, Ma eartparablas salsa, and their nalghbtKfioods and loeadons. Unless oNsrwlsa
noted, the wndldons Mat apply to the subject property or Na comparable sales used DO NOT AFFECT THE MARKET
VALUE OR THE'FUTURE MARKETABILITY OF THE SUBJECT PROPERTY BEING APPRAISED. Thia is not a home
Inspedion aarvim. This la an appreiaal to cadmate market value.
_1. The subject is located in a rural area and is less Man 25% Dullt-up.
_x_2. Commerclalllndustrlal uses are located within Me subJaet'a neghborhood. Thsaa uses aro typleal of simllar
nN9hborhaods.
_3. Vacant and undeveloped land uses are located whhin Me subJed's nalghboMOOd. These uses aro typipl for
Me aroa.
_0. The protlominam value in Me neighborhood la less than thM oT Me market value of Ms suhJed property. Thia
is due to Me wry wide range o! wlus W properties In Ms area and superior quality of the subJed property.
_5. Tha subJeM property Is located In a F.E.M.A. IdendflW Flood Zona. Flood Inaurenca covarege is roqulred and
suggested.
_8. Dampndsa Is noted in the bmmaM of the aubJed. Scantling or running water was not present on basement
floor. This wn~litlon Is wnalderad typical in dwellings W Mla aryla.
_7. Ths sub~sd properly Is serWoW by private well and/or septic systems which Is common for Ms aroa.
_x_9. The suhJad Is older Man flw(5) years. All maehanlcal systems Induding Ma heatlng, eladrinl arM plumbing
systems appeal upon a Wsual strtsdor Inspection to 6e In working order. No wamMlss aro implietl in Mb statement.
_9. Repair Items wero nolstl in the comments aectlon of the roport. TMss cammeMs on repair items aro far
daseriptlw purposes only and aro not required repalre. The Items listed are eosmade in naturo.
_10. The baspmeM floor Is a dirt floor. This condldon Is common and lypinl for Me aroa. and does not pose a
hsahh or safety/ hmre.
_11. The su act properly does contain fundlonal obsolescence as noted in the nport. Phis condition fs
consltlered typl 1 and common for Ma area and Mis aryls dwelling.
_z_12. Tha land valor exceada 30% of total value due to the high tlemantl for vacant lend In this neighborhood. This
condition is corlsiderad rammon and typical for rite neighborhood.
_13. Tha lamp value exceeds 30% of total value. This Is due to the large size of Me alts. 'this rendition Is
considered to be typical and common.
_14. Individual adjustments were required that exoeatl 15X. These atlJustmsnta wsro roquirod tlus to leek of more
simile wmpar8blas on that IndlWdual raring. All eomparebles usatl m the best available.
_15. Total a~ustments azceed 25%. This la due to the lack of campmble sales that were mon simllar in Me
subject's market area. All wmparables used are Me boat available.
_x_18. One or tnoro comparable sales are rider Men six(5) months. Although there are oompmbla propertles in the
subJed'a area, stone haw sold roceMly; Mersfore, sales In excaas of slx(5) months haw to be usetl. All eomparoblss
used are Ma beet available.
_17. One or ntoro eanpuablas used wsro in excess of one (1) mile from the subJsd property. Although Mare are
remparebk prgpertlas In the Immadlaro area, norta haw add reosndy. Thareforo, It wa necessary to uw eomparobls
sales outside of the Immediate area. All eomparablas used are located in similar neighborhoods and whhin the same
marksdng aroa. All remparebles uaetl an Ma best available.
_ta. Tha eladrteal syabm was not rennaded during inapsdlon.
_79. Tha wafer aervica was not connected during Inspsdion.
_20. The healing system wu shut down during Inspedion.
_21. Rooling_Plumbing_Eledrtcal_Ffeating_wrdflcation(a) Is/ero suggested.
_22. Ingrountl swimming pool-, out builtlings_are Ineluded_,not induded__aoeording to lender's
guidelines.
_23. According to lenders guidelines a maximum of acres wero considered for Mis wluation. Remaining
acreage was given no wlue.
r ~~ e'*"*Yei'QUALIFICATIONS*"""""*
_20. The subJeU property is located on a privets road.
_28. Wood infestedon inspsctlon Is suggested.
x_28. last receded deed tnnshr: Date_OOI20/1004_, Consitleredon: 11.00__
_27. Proposed oonstreetloNrenovatlon In accordance to plans and apeciflcatlons to lx completed In a workman-like
manner.
_28. Seller is paying part or all d Closing costs.
_x_29. All compareble sales are vadflad Uoaed sales.
_x_30. Than tlrs no speGal wndidons or other nqulremeMS thaf would alhet market value a future marketability in
the Appraisal Itsport.
_37. AMC fee was roqulrod in order to accept this apprelsal request.
*"""*' QUALIFICATIONS *""""""""
CoMidentlality and Security Policy
We wnsidar prlvaq to M fundamartal b our rolrtlonshlp with dlenb. Wa are committed b malmaining the
wMidendality, Integrity and sawrity of diems' psreonal information. Inbmal polldsa hew Men dewlopsd b protect
this wnSdsntldllty, while allowing disnt rwsds to M served.
Wa restrict accOSS to pereonal Informaion to authorized individuals who need b know this Infomtation to comply with
fadarel standards to protect your nonpublic perewal Information. We do not disdoee this Information about yw or
any former cwpumare or wstomere to anyone, exrspt a permltbd by law. The law parmib us b sham this
informaion with wr aMllatas. The law also permits us to sharo this Imormatlon with wmpanias that psrrorm
markadng.
When we sharerronpublle informaion rebind to above, tM Information b made available for limited purposes end
under wntrollad drwmrtancas. We require third polies to twmpty with wr standards for aacudty and wnMntlelity.
Ws do not psrrr~it use m wnsumerlwstomer Imormatiw for any other purpwa nor tlo ws permit third paRlas b rent,
sell, trade or otherwise roleaa or dladoae Inbrmatlon b any other party.
Etlucatlon
As of the dab M this report, /and/or Sbvan W. Barrett, SRPA, SR/1, ASA haw wmplebd the requlromams under tM
continuing sdubedon program m dre Appraisal Inatdrte and the Amariun Sxlety of Approlssre.
`aa t.
/f ,,, ~ - ,
v~G,~-C~ ~,e-2.~'.2d"~.,irr"'/-JCr ~.; ,~^',~v ~ r~,""2 ~..r ;~ ,~.°'_. Crr' `~5'"!'_"'
_ r t
~ ~!" ~ ° ~
C ~ ~ s
• a ~~.2~p /?;R ~ •, -~ / ~ ~ . ,`.' ~" ' ,'.v f ,;fir. _
,, .L3'
w
(/
__ __
E~2.1` _ _.._...
,°
/ -
,
~: f _ ~ ~ ti. ~rfF/
_. _..
)7`
t+•~'1 r~
j//~~/x9 _ \~c,~ _ _
_ _ ~°~~'
305•
499 Mitchell Road, Millsboro, DE 19966 Adjustment Services
Irwin & McKnight, P.C.
West Pomfret Professional Building
60 West Pomfret Street
Carlisle, PA 17013-3222
Phone 888-502-0349
F az (302) 934-2955
July 31, 2012
REC~IIf~D
AUG 0 2 2012
IRWIN & McKNICHT
LAW OFFICES
Re: Estate of Jean Devlin
Social Securitv: 463-22-8570
Date of Death: Jerly-9 2p12
Dear Sir or Madam:
Per your inquiry on July 27, 2012, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
1. TypeofAccmunt
Account Number
Ownership (Names of)
Opening Date
Balance on pate of Death
Accrued IntBrest
Total
2. Type of Account
Account Number
Ownership (blames o, fl
Opening Date
Balance on Date of Death
Accruedlnzerest
Total
Checking Account
1347462
Jean Devlin
Raymond J. Devlin(POA)
1028/1996
$12,060.46
$ .OS
--------------------------------------
$12,060.51
Savings Account
15004200934154
Jean Devlin
Raymond J. Devlin
10/03/1994
$ 92,768.47
$ 10.38
$ 92,778.85
3. Type of Account
Accowu Number
Ownership (Names ofl
Opening Date
Balance on Date of Death
Accrued Interest
Total
Certificate of Deposit
31003911903283
Jean Devlin
06222001
$10.000.00
.46
$10,000.46
For any additlonal iafor4~sboo on the above accounts, inducting ownership and any dwnga, dosures endlor reimbursement of fords,
place aD the ETgb Shed ~eatisle et 717.210.0.536.
We were unable to locate any sate deposit box for the above-mentloued decedent.
This letter daa not mdude any aocouMS in which the deoased may have bcen tided as Power of Attorney, (.tiutodian of Uniform Tcansfeis,
Repraatatlve Payer, or lhvafeeuader a Writlm Agrcemat.
Sincerely,
Valarie Mercer
Adjustment Services
TRANSAMERICA
® LIFE INSURANCE COMPANY
Annuity Products and Services
ATTN: Customer Care Group
4333 Edgewood Road NE
Cedar Rapids, IA 52499
TRANSAMERICA CAPITAL BUILDER
October 5, 2009-October 5, 2010
558 E ST
CARLISLE PA 17013
Annuitant:JEAN DEVLIN
Owner: JEAN DEVLIN
joint Owner: RAYMOND J DEVLIN
Issue Date: Odobe~,r.5+- 20-09 '
Type: Non~nehflecl ~~
Number: 02CBT130939
This Period Since Inception
Beginning polity value Sooo food
Total premium payments 30,002.85 30,002.85
Premium enhancement credits 75.01 75.01
Total withdrawals/deductions 0.00 0.00
Total interest credited 9:32.41 932.41
Ending polity value as of 10/5/2010 231,010.27
f31A10.27
values ns of to/s/sooe values ns of to/s/2olo
Cash surrender value $0.00 $30,002.85
Minimum required cash value $26,440.72
Please ref er to the Definitions and Disclosures Section f or further inJormalian.
Rate % Dollar Value
Curren[ Annual Effective Interest Rate: 2.85% f or policy year 2
s~
:y, r
k+~C
Trausamerlta Ilfe Insurance Compgny
Mwbcr of the AEGON Group
Page 1 of 3
003-001-4-03658-40
1
N
C o
-~i N
H
.,
iu ~n o ao
Ca N O O
H
i' rn o A
Id N If) H
N ~O N a
r~ rn ~ h
w
E
~k Q
H E W W
$ U U
W W 2 H
H H I~
et ~ ~ W
a a m m
o J~ C
Sa o U -~i
a ro ~ ro
0 0 +~ C LT
ul C b c~ H
H C N X b O b
ro -fi U} U -~i U UI U
a m °
b
o v w x a m v m
-.i U A O U C m ,G ~ N
b+ C -.i N O ro H~
v v m v ro A -~ v a i
~ b ° ~
o C C C~ a m
>,
v w a ro -.i rob m C
v b~
m o m m .i
m~
-.i U ro A -•i tll O a H tT
.-I ro ~ N -.1 O r Ol
u Si +~ b E ~-I > a~ ,C C4
ro a a -.~ ro m m ,~
~ ~ m `° A ro~
~ d a v
b~ ro ~ U a d' C A N
C N N ro & O ro H -.i
-.a N ~ v a o >, ~, ro .-+
.~ ro a -i o~ a o u
U -.~ >,vw ro ~ ro
N U O U A H +~ O U
E O N
b
m a m E -.i N O
a ro ~ o O C U N
u ro 3 ~i w U m u m
o H ro u w w v
a rn aw u o v>
a m A rl N N b -fi O1 u
~+ b -•i . .C O al H 3-I Ol
3 ~n -.i H N O/
x v .n v a .-{ -~ v, m y
~ ~ y ° mA m~
m -
~ b .~
E N -.1 ro .N ro .~' a a b+ G
c b > a ro 8 3 -~ w C o
N Sa $ .-~ . -rl T
m b 0 3 ro~ U
c a b b N o
m o m ro C v H m A v > m
v >. a -~+ +~ a -~ ro H u ~o
O u b -rl O .i N N H
t~ ro v v N 'O m 3 N -~ N O i
v a H A u A v ro o
+~ .G o .-~ ro v a w> u o iv
a +~ .c -~ ^ u 3 o c ro o w rn
N H A N ~ Ul N w ~
E ro v v,.~.1 v U v v r
o v a y -.~ ro w -.~ o p o+ H
E: c ro ro v v u ro w .i -.~ o v r
S U U) -rl A w ro~ T r1
Ul ttl u a C N a +~ O U u -.i
b Ol O >. C H O C W b N C -~ ~
~ 'G
m N sa a A a
~ U1 ~ N .G a U
W a~ sa O E: O u w C .C w
o w o v ~o ro-.~ ~+~ u v
a o w v ,~ o E: m ro o a ~
.~ a~ v E+ u u a C +~ +~ o ro
H Sa Sa Ul O .G O A O a N
N 4L U ~ X N
. ~ C C H
G b A -
i a
~ -.i C N O S.1 O -~ N N ro -.1
H N O S.I >. Ol N +~ C4 ~-1 A-~
C U l~ a b ,C 01 -.i U1 H N
ro b N E: N ai U a N C 'O C
N H H Jr C O O C. d1 H O H O
h C ro 11 -.i N N ro O m -H a H -ri
O U -.i W Jr C s+ .C -~i +~ O v w
u 3 -~ ti u N -~ a H m 3 +~ m
ro 'D -rl C N C H N LI 41 UI C N
N N O1 A O a O C C a ro a v U1 a
o a f ro N ro e o -.~ o U tr a U a
6~
Dear Jean Devlin Estate,
PATIENT: Jean Devlin
PATIENT #: 9527749
BALANCE: 5250.00
SERVICE DATE: June 20, 2012
We would like to take a moment to say "Thank You" for selecting Carlisle Regional
Medical Center for your healthcare needs. We deeply appreciate your confidence in our
ability to care for you and hope your visit with us was as pleasant as possible.
Your insurance company was billed and paid $4,129.98. This leaves a balance of $250.00
due from you. The balance can be paid at the hospital, or you can. mail in a check,
money order, or your credit card information on the form below. Bills can be paid
online through our hospital website www.carlislermc.com. If you have additional
insurance information that you would like billed, or have any questions please contact
our hospital business office.
Carlisle Regional Medical Center is a fullservice facility, and should you have any
questions about the service available, please feel free to call at 717-960-1680. Again,
we would like to thank you for selecting the services of Carlisle Regional Medical
Center. It is oux privilege to serve you.
Questions, please call: 717-960-1680
i
1111tMN 3269-HMASTMT-1398760-1284616558-P; 6398161-1-30; 32441319-1; 1
ReoNSC T55~o Ware CArpo(atfon 443-S21-~e00.TS-04 ._...._ _ _ _ -.
I
~ ~ MA81'EIi0Ali0- Lj DISCOVER "~Ii/II VISA ~ AMEX I
/r 3611 Alexander Spring Rd.
~R~C <<jONAL CarNisle, PA 17015
® Patient FinancFal Services:
717-960-1680
Check box /l stltlress hobwis incorrect or chsngstl antl ind'cefe charge(s) on beck.
oore~aoroi JEAN DEVLIN ESTATE
558 E ST
CARLISLE, PA 17013-1334
~IIr~I~I~L61~Ir~LIJ~I"'ll'I"I~~~Iludli~~~~~ui1~I"~'li~l
Jean Devlin Estats
ACCOUNT NUMBER
9527744
REMIT THIS PAYMENT STUB TO:
07/31/2012 ~ UPON RECEIPT
CARLISLE REGIONAL MEDICAL CENTER
PO BOX 281442
ATLANTA, GA 30384-1442
I~IrrI~~gIIInIIdJlI'~I'II'IrIIII~I'ill'IIIr~J~lltrll~l'1'I~I
D0000952774400000025000JEANDEVLINESTATE 7
r
l~
,~
W
T
d
W
D
d
3
0
AMA
~T
T
d
d
fA
io
d
a
~~
u=~
~l
C
7
V
V
N
W
.-I N m O rn
(qC
C O m p0 1~ O m
ro E 'o O v+ n m
Ta .d N i ~
i i
m
O.~
Q
0 0 0
~
0 0 0 D
~ o o m ;
O O m O
E ~' '~ z
6 m
F
p
a
d
W
G m
C H C
y H f O ~
Z u v O
o Z < ~ a
~
~ W
Z O z
C Y Z
H ~ ~ i H
V1 J Y IV1 R' Y N O
J
h Y- W H x W n ~ m
N H S jp V S O
V 4~ V Q
J
N O Z
o oioooo 3 a
O x J J J J
K W W J W W Q ~
Q J H I-~ Q H H W
3 Q'S x 1- x x
C H VI VI H N H Vj
O
N
LL
W W VI W W ~Q
Z o Cl. 0 > > ~p
W H J J S J J
}
m m m m ~
y~
Q Y m Y Z
J N a N V Q W
Q rn. N rn N N ~
m rn m m rn m m pH
N N N N N N W
m \ \ \ \ \ \ Z J
Eo n n ~o n n m Z
0 0 0 0 0 0
W
V
M
C
O
Ml
d
~ N
~ N
C ~
1
O
m T
0 ~~
~ ~
V
a
z
4
J
qJ
Z
Z
W
d
J
a
N
F
Z n
W ~
V EO
LL N
~ N
N O
NNE
~ NW
f~„EOO
x
ym~
~O¢
= dC0
q
V ~
mF
L
va
~m
O A
~4.
Q
iti00BE[
___.
.N
~r
Q
rV
-~"'
~~
d
W
d
N
00
N
EA
d
d
l6
d
a
W
,NA
W
0
T
C
O
V
V
a
W
V
W
C
O
M
m
~ N
N
Cf~9
C CD
O
m T
L
Q i~
v
Z
J
Y
fp
2
Z
W
a
J
a
N
z
v m
LL N
~ N
fq ~
NN~
J ~W
F ~~
X
ym~
~O¢
Sam
n
c~io
o~
O Y
~~
ma
~m
O ~
Ed
CE9L98SG
m
0
.i
C
O N
0 N
t0 N
m e
0
0
N
r
A
~ F
H w 2
v1 U pE
~ ~ h
Qz~
u
Q O
w a v
N N
ti ti
~~~
m ,..1
0 0 0
~~~
~ m ~
0 0 0
~~ ~
U ~
P
O ei
T
a~
S
A
~y
O 2
C 0 0
ttl e o
o
G
O
~ C O
~„ 8! G
d
.~O
`~
a.
m
m o
y r
a
J7 a
.L ~
~y:7
~U
.T~
~~3
zoz <
T W~ ul
m N
a B `"~ °a~ w
N ~ `W N
~~ ~~ ~
d~~. ~
W ~ ~~ u
j~A a
.~ ~ a
~~~
'~
'~'
9F
v.'
O
a~
a
€~
~ ~ °c
W
~QQ'~
~Q~
~`3O
E ~~
~~~
O~
C
~i
N
U
.~
d
.~
a
'S
R
w1 S06A'o
~a~~3V ~
C
~
~ ~
$
H
~ ~
~
~
~ ~
S
b
pu
¢ ~ N
~
~^
N m
r,
/1
J
O ~
O ~
~
o ~ii
~
Fi
~ t~
°'
s '
Z
W
~
~ s
7
0
O
~ o
W w
`
'
U
111--~~~ ~ ~
~
~
U a
2
~
y
O F° w
EE
e
o
~
o
N U rl
l+1
O ~
T
N tD d
~'
~~
~~ ~
m~
.~ m
~
o
U ~
y
U ~ O
4 O
o a
~
o
o
m ~ $
o O
l
r
a
s 0
o
~ $ o
a
O
0
~
o °,3
3
m ~
~ ~ ~
U ~
~ i3
3
O
FC H rl
[J •
y
~T FC
~ N
~
~
~a( [v
U 5 ~;
'G
~
H WW
E £ ...
a.G
2
i~ wa
ua
~ q
c
i q~,3
T
T
~ 'm'
~ ~
Q ~ G =f
.1 ~
O
~ ~ ° ~ ~ uNi
~
~
~ ~~
W
~
C <2 V
'WJ .N-I .N-~ ctl
O ~ C
3 \ \ T~ a
Z o~., ~~x
W G O r yb
~
a ~ ~
9E
-0F
rl
-0F
B
ffi
v
7
s$
~~
~~
~~
0
W
a
ao
0
M
M
0~0
0 0°
W ..-~
'y h O
^Q] ti 7
ap O "+
0
m CL
ii-~~ r
°x `° ~
U w a
O F
EE
f
p O O
+~ 0000000 0
0 0 0 0 0 `~ ° N
N
0 0 0
p~ O~ LL'i (O O V M M
Q
m m w ',
c c ;
0
A ~ Z
'i
m
~
~
_
~ i
''
d rn
c
o y
V ~
a
~µ
Y ~ I
U ~'
fD I~ W O) !n N I
# ik # ik m
O
C C:C C (~
N ~
y
O O O O
d ~ N r
N S( X ~ J( ~5 G
~ W W W ll.l ~ c
~ `~ 6
~
~
T
~ N
L
L
+ Q
N Y ~ C
O ~L
I
.
~ .
.
.
p
O
O O d O
O 8~ o d k
1:
.A- m
'
m i
a ~ •p c N N'. N N~ 3 C ~
o. m
`~ Y
Y
m g N~ rnobm m N y c
~o c g D.
~ m
J
~:
n
~ u,
t d c c W
p (A !A (!1 to (D .
N ..
U ~ ~. O ~'
N Y O
N ~
C
O 0 r I
may}
N N
~ ~ ~ 4I.
~
iQj
f c0 t0 f0 f0
d
R ~ ( O o
i
~
t
a r~ M ~n r» ~ a
Oa r
^
~
0 ~ E
~ ~ n a
~ ~
fO ~ n
E
C` C C C C _
a ` O
O
o ~
- y a
+' Q ~ O ~ ~ 0 e
~
T p L N d
u ~
C
d
N
N
c r
M c
~
Z O Q >,
p
l
N N N
d
~ ~
O
ql . C w
i
i ~ ~ -
d - ~ ~
c i,
N N N N N N ~~ U ~
a C
r r r r
r r
M th
7 _
~ L~ O
L
~
m O O O O O V C O ~ F'
~ ~ ~ ~ p O O
D O O O
$._',
c
Z
7
O
a',
~I
~j
<,
h
W
ci s
d
s
U
Y
Z
3
d
~'!~ _
as g
V
~ ~~ ~
_ ~~ `~ d
~I!
9456
tN N
L1 ~ ~
~~ D
i
~ee~ F
~~~E
F~F
W
CEL~EALTHCARE, INC INVOICE
150 CHARBERRY LANE
MARS PA 16046
Phone: 724625-4280
Date: 07/20/2012
Send remittances to the atldress shown above:
Services For:
DEVLIN, JEAN DEVLIN, JEAN
558 E. STREET 558 E. STREET
CARLISLE PA 17013 CARLISLE PA 17013
CAR HM CAPITAL BLUE CROSS COMMERCIAL
INVOICE F R HOME HEALTH SERVICES 07/0312012 THROUGH'07/03/2012
DESCRIPTION
Total Amount Billed to Insurance Company $ 175.00
Less: Insurance Company Contractual Allowance -59.25.;
Net Amount Approved By Ihsurance Company... 115.75
Less: Amount Paid By Insyrance Company. -95.75
Amount Not Paid ByJnsur~nce Company 20.00
Amcunt Due 20.00
TOTAL AMOUNT DUE $ 20.00
~ ~
Z
J
~ pp
D N
Z ~M~pp
W Yf
7
d
r0
a
t~q t7 a0 ti ~ d
vj ~ O N Y)
N
~'
m a
'
m 8
w
C ~p
~ ~WC1 P~ m ~ O ~ ~
~
EE "~`~ Nm ~v
"
m ~
~
i w
R
w
$
O O O Z Y
W ~ Pte') H m m
U ~ a
m
a
O O D ~ N
._
W W W W ~
~ ~ ~Z ~ O g
w wa w~ w
^J ^
=
r
J j
J
,
j
O
O
J m ^~ m m m
2¢ s¢a2¢a2g
a
wa ww~Ww~ww
~
C ~^
¢~0 P~»0
~
J m
m
W
~ N
~
"
v LL
LL
mI
LJ
LLm
''QQ~
Qa~Fa-~Y.f~AQY m C
gqqq
J W~ O W~ O W 2 V W
G W
W
w
W
(2.7
W
2U' ~
2U' O
(27LL
~Y27+IY 2UYSLL'Y2
~ W cW~~ c0~ cUQ c O
W..~ d~~l~ mJ ~ NZ ~ ~
2~p2~
5 ~
O2 ~J' W o
C
2
~
7 ~
Z~~ °j ~ ~~ ~ ~ ~
ro
~
~
2
2
2
2
,
Q
¢~
Q
0
<fm
y
y
Z~
~~
I~
~
~
~
~
Q
~H
CaU W.a U~aUOaU
7
? ~ ~
U i
~-
n O
'p
p ~ O
M
a n ~
NNN NNNNNNNNN C
d
N
O O O N O O N O 0 0 0 0
~ ~ ~ ~ ~ j
V
~
~+
C
d
E
N
N o
~ ~
tl7
w
h N a d
~ y
~ W O~i~ ~O
v
~ro~~°nc~
.~~."~ ~ c
_~ii ~ d
~oW¢c ~O
O O C ~Q
.~ ~ d 7 ~
'Q > > H O
C =>`>Z
~- >, m
°~ °' m z
~i O 1°- a-~
J
m
W H
;a~
W ~
i LL
F W
D
y00 W
a~~:~Q ;
LL1.~ W N W
F fA
~ 2 W 2
~ J W WV W
~b.7.W Z N
t
a
~ ,~ w
z
a
N (~ N N N
a ~ N NN N
m
F-
~' 7 U
a 5
0 0 ~ ~
~ ~ ~
m
6 ~
U ~
_ fA
- E
O a
4 J
Q
pp
S r 0 r 0 o
Y7 O~ O N w
® O
f
a0 N M N M
a
W. (V M
{V
Ol F
Z M A N N N M A N N C ~
Qf9~~ H(R dl M~ 1A L }
a ~ m a 0
Q J ~ u
C o
~ 0
°
a ~ ~ a ~
8 w
c >
~
~ w
~
O w
m
~
' O O
W O
~ A
O N ~
2 C
W F ~ 0
d
3 ~
¢
w
W~ a
~
O Y' ..
~ w C c ' y ..
c p O
O
E
LL ~
~ ~ ~ a
. $
g ~~
%~,
$'a u`i a`~
~ ~
oa d~
~ o
a ~
V pv~ v~H ..
vm
E
O q~
M
m~ w w w w 0 u
i
m~
L `
~
'
o ~ yv yv~ ~ c
i~v~
~
T a
W ~5 Q Q
d7^
f
~ Q
H N ~
W
o O
O
v
v
H
~g12
2W wW m v
..
2W fG d2 w ~ N
,
p
~ V
U~ w
w A
dwV
d
V °~w
~
> >
~ro W
W~ ~
w
mW
W
~
ro i u
.
O
2
r~~~N ~~ ~N~~
~ „W~ I~
G _ _
(~Q3
~ ~
~ _
~ ~ O
U
~
o
~ ~ ~
H
Z
W
W
Q
.,
0
r
.w
a
S
ro
w
ti
b
m
c
r
z
ro
a
0
i
H
N
d
O
O O H
0
0
~xr
~~x
~x°O~'
c~ .a r
fn x
aye
~ O C
Oro N
r ro O
~+ y fan
w x q
r~~
H
~z
rn
C H
a-
n ~-,
•• x
O m
0 5
O
~ a
O O
3
o ~
o ~
0
a
N
O
O
0
0
0
O
O
O
O
O
O
O
0
O
W A •~
R A •
: Q
w r
.
ro••~.i o
a •• .- o
00 V
Al O ti+ u
OD V I
f+ \ OD N
r O~ W
o v oo r. r
M ~ V I OT
~ r
~+ O O~
~+ N Y+ V
O N • V
r M~ N
r
7
N
ro
Lr*1
N
to
a
K
n
a
a
A
a
0.
n
0
i
ro
O
M
n
0
i
0
m
ro
A
a
m
A
9
w
7•'
N
b
w
m
0
r'
OON OON OON
0000 F+ 00000 000DO N• X~ ~E
\\\ \\\ \\\ ~ X~ ~F
•+~••~+ ~+i-•~f-• F+f+ X- X~ ~F
NNN NNN N %-
WC
~+ ~+ T
~wy
~
~ ° ~rx•
°
m o
a
W
o
~
r r r ~N c
x•
x~ M
y x °
~ ~
f
n
n
m
H ~ y~ n yH ~ o
i
v
y
~ ro r
~
b
t•' b L
+l d b Ch
1F
... rr
~
f
m~ m~ m
xO
°
y
m o a
Z ~
e
m t" fA m r
~ m ~" to ~F R7
Y• [!f M• M• G H• R
ao ro,o ao ro r ao ro a n
nwr ywtn pa.a x~ ~o
x
a~ =~'
w~ w~
~ ~
m -
i m z
d
v.',y ~..p ~.p M X' N
. r. n ~+ x R .-~ ~ ~
o ..~ ~ R
y ~-
tn ro ~-
.. ~
* ro
x- .-
~ ~ ~~ w
N
N W N %-
W O U ~- N
N O~ r ~-
%~ (t
N N N W r
V V V X• ~+
,~
OD OD 00 N• V
~+ r r #• ~+
~ V
~ I
f+ N fF V
~O T N Yc W
O O U W ~••
~ I
O O O W 00
0 0 ox~ w
~ .•
~ ~
r tt- E
lA to U1 1F Y.
00 W W
%. ~'
I-+ v O x'
r •• °
~r d
~
I ~ ~ ~
N ~o r ~
.- O. M ~F
o. o0 o x~
~+ N O ~t
H~ X~ ~F
X~ ~F N•
X• N• #•
Y• N
O ~O v
N r O
In V O
X• 1F X-
3
N
a
N
X
9
5
z
m
0
m
m
O
-E
i
i
i
y
i
i
i
i
i
i
i
i
i
~v
ID
En
D
z
1
(o
is
i
z
~~
~O
I~
13
ja
~O
A
z
i~
1=
i~
~O
C
A
D
l'
3
(j
~m
~z
1~
'~
i
i
I~
_,
V V
N N
r
m m y
~ 3
fD
-i
y
O
~ V
W ~
O O
_ A
N ~
OOD f~T
J ~
v ~ ~
c00 A fVi~
0
°o
0
0
0
b `°
a ~
w ~ ~+
ti O~
g' ~
~ ~
O
o
O ~
g~ ~
`2
h
p tyO~Q
R
`~~ 13.
byp ,b
y
O ^
< y
.~ ~
M
O
~'
ly0 ~`
~ b
~ y
ry R
A
b
a
A
5 ~
0
d
0~»1 N
.~.. ~
N
~ a 3 3.
0 3 m ~
N < ~
0
.~~7 Z?N
L
fO• m ~ w
~ Z N
m
a
N
m
o a
~ ~
a
d <
n H
'r
0 0
~ ~
m
< v
3 '^
~ ~
n
O
a V
O ~
~ <_.
m a
a m
n
c
m y
a ~
c
m m
,~_» o
a 3
m
m m
a
a a
c 3
f. m
o T
'.° a
. ~
a
m p °_°•
no`° 1~
C X Q ~~1
~ O ~ 7
7
-° G
D ~
O
o ~
v
O
o _
ON1 ~
0
c
H
0
1
a
M
V
V
N
W
A
a
0
r
m
a
~~
0
T
a
V
A
A
A
x
V
V
N
A
O
O
3
a
.~
219 North Hanover Street
Calisle, Pennrylvania 17013
717.243.4511
t~~ ~ Toll free 1.866.451.4511
fax 717.243.3723
~ voww.hotfrnanrom.com
FUNERAL HOME 6Y CREMATORY, INC. infoC~Jhottmarroth.com
`" ~ ~ August 3, 2012
Raymond J. Devlin
558 "E" Street
Carlisle, PA 17tl13
Statement of Funeral Expenses for: Jean Devlin
Date of Death: July 9, 2012 Account Id: 16600-169
PACKAGE:
Basic Service, Local Removal; Embalming; Family View; Graveside
Service; HealSe; Errand & Clergy Car
Graveside Service Package $ 3,730.00
Sub Total: $ 3,730.00
TOTAL FUNEI~4L HOME CHARGES: $ 3,730.00
CASH ADVANCES:
5 Certified Death Certificates at $ 6.00 each $ 30.00
Newspaper Notice-;Sentinel $ 82.80
Clergy $ 50.00
Hairdresser $ 40.00
Sub Total: $ 308.80
Total Funeral Expense: $ 4,038.80
Total Payments Made: $ 3,932.80
Payments Made:
Raymond Devlin Jul 12, 2072 3,858.20
ServlMerch 2°h Disc Discount Jul 72, 2072 74.80
Balance: $ 88.106.00