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HomeMy WebLinkAbout11-14-12 1505610101 J REV-1500 °` ~°'-'°' 4~ PA Department of Revenue Pennsylvania Bureau of Individual Taxes DEMNTNEXT OF PEVENOE PO Box 28o6oi INHERITANCE TAX RETURN Harrisburg, PA 1128-o6oi RESIDENT DECEDENT ... , X ~ .. .~ Spouse's Social Security Number < THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY ,ZOO°I..,/ 8~:3~8°6 3 ©2 / 6 z'D~t ,Z: r4;z~4 2~ t~q~•2~6 Decedent's Lasf Name Suffix Decedent's First Name (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name ENTER DECEDENT INFORMATION BELOW O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number M t C NAE~ A ~/ NT / 7 ~7.'~781 4 4 4 3 MI /~? MI FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) First line of address 6 i ~ So~tC 25E r .DR ~ vC Second line of address City or Post Office State ~l~CHA~~ ~s3~~a PA REGISTER OFD WILLS USE ~Y 1 `. r ~ ~} - ~ .~' ~_ . . `_~.J ..~~ ~.m ~~ i_ " . _.. ~y DAT7~FILED ~ ~-~' ~' -} r-1 r~~ <__~ ~~~ r"T`t -r ~- . ~.• > !~) -'c't ZIP Code / 7 o 5 5 6 6 0 µ Correspondent's a-mail address: M/CK17E~L. ANT/~LAS~Q120/~l Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. Si>~ATURE OF~E$~OSPONSIBLE~`OR FLING RETURN // ~1;~2~'Z AD RESS l1 J,T I~~-!K_~[_ tf/off / /~f SO/il~(r„25~t ~Q/iVC /YlGC~KA/y/CSBURG PA• /~05.~-fv60~fI SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY 1505610101 OFFICIAL USE ONLY County Code Year file Number `; -..@ Side 1 1505610101 J J 1505610105 REV-1500 EX Decedent's Social Security Number r; Decedent's Name: ASSUNTq Nl~ p~^/?r~ ,, ,'L~13 ! RECAPITULATION 1. Real Estate (Schedule A) ............................................. 1. / 6, 6 O~~,, 3yO a o~ O~ o ;; 2. Stocks and Bonds (Schedule B) ....................................... 2. / sQ O ; / 8 O' ~t . ~ i .` 3. Closet Held Co ation, Partnershi or Sole-Pro rietorshi Schedule C ''~ h. 4. Mort a es and Notes Receivable Schedule D 9 9 ( ) ........................... 4. ,.,~.. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. sJr O O Z 2 O «s; 6. Jointly Owned Property (Schedule F ,~ p Separate Bitting Requested ....... 6. ~} 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property ~ ~ ' ;-;u; ~" ~ ~ -~ `~~~ ~~, - ~~~,;-~~ ~~~' (Schedule G) p Separate Billing Requested........ 7. t-a~ 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. r , ,2=2.6 ~ p*Ll O O 9. Funeral Expenses and Administrative Costs (Schedule H) ............. ...... 9. / ,(/ ; / . ~. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........ ...... 10. ,2 Q / 9 ` Q' - ,~` .; ~ ~ 11. Total Deductions (total Lines 9 and 10) ........................... ...... 11. : ~~ ,2,~Jr~ / °C~ Q ,, =.;, 12. Net Value of Estate (Line 8 minus Line 11) ........................ ...... 12. / ~ 'Jr~ Z / 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which ~ ~ - ~~'~' ~~ - an election to tax has not been made (Schedule J) .................. ...... 13. i ~ 14. Net Value Subject to Tax (Line 12 minus Line 13) .................. ...... 14. / 9 ~ :5 , ,Z .. .:.-a...-. ` TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 ~ w"•. ~~, (a)(1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X .0 ~ 17. Amount of Line 14 taxable ' at sibling rate X .12 18. Amount of Line. 14 taxable r.~ ~'; ` ~ ~"~" ` 15. . ~_ ~°, 16. ; i y 8., 7 D O 17. ~; ~ , at collateral rate X .15 18. " a Y .F. 19. TAX DUE .........................................................19.-: 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610105 1505610105 O REV-1500 EX Page 3 nnnne~lnn+~c ~_mm~loto OrIrIrR+CC• File Number ~~ .• ~z ~ ©26 6 DECEDENT'S NAME ASSUN7A /'2. /~/NT'l STREET ADDRESS 73D /ylRw D/1 7POA 0 _ CITY STATE ZfP CAmP ~1~LL ~ P/~ i~ o i i Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments 7340.00 A. Prior Payments __ B. Discount 38~f. 00 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. (1) 8708', Od 768. DD (3) (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) (~,2~.00 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.......................................................................................... ^ b. retain the right to designate who shall use the property transferred or its income : ............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? .............. ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ........................................................................................................................ ^ 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)J. 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. Total Credits (A + B) (2) REV-1502 EX+ (11-OS) Pennsylvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN ESTATE OF FILE NUMBER ASSGGAITA M. ~//yT/ 2/°/2-0266 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold, ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION ~. gppRAtgAL O~ 'KCAL "PROPCRTY LOGArCD AT /66 000.00 7,3p MANOR ROA4 CAi'YJP N/~t~ PA, /70// CajDf~ A T TACfIC-'.D , TOTAL (Also enter on Line 1, Recapitulation.) I $ /66 ODO, OD If more space is needed, insert additional sheets of the same size. REV-1503 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER ASSUNTA A't, F~/~VT/ 2/1,2 -0266 All property iointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~. THE A«. STATE L'aRpOQATiav C'ID/r1/»D~/ STOCK 5"/93.00 /68 s~/aREs A~~'f ~"`3~}o7/q 7625 2, QIS CaUC~2 ~//v~tni CiAL S~RV/CCS ~. /DD. DO 7/ .fti/RQCS s G'US / p 'Itl o25'~i' 70 9 /O ,3. AZoRBRN STAn/~~Y CoMMO~ S7~OCK ~7zs Da /N2 S/lARrs CUSlP '~ 617 ~f4~6 y~F TOTAL (Also enter on line 2, Recapitulation) I $ /Q 0 ! 8~ 01~ (If more space is needed, insert additional sheets of the same size) REV4508 EX+(1-971 SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC. IN RESIDENT DECEDENT RN PERSONAL PROPERTY ESTATE OF FILE NUMBER ASS [J~/ TA M. t"'/NT/ ~ /- /2 - 0266 Include the proceeds of litigation and the date the proceeds were n~ceived by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~. FORD ESCORS tg98 (28066 mtC~s KCL[y $LUG ~6K 28c~y,gp Z, HCx)sENo~~ 6oo4s ANp ruaN~ s~~NBs ~E5TIn1ArEp~ /08.00 3~ I M d T Ra N K C NE4K ~N~ q,~e? X 0 0 0 000 O 6585`765 ~ S~f~. 00 t~., I fYt~T sF}~JK SaV~NC~g ACCT ~ 0~500''I'20 855 6 0 6 7 I ~`~g78.D0 TOTAL (Also enter on line 5, Recapitulation) I $ ~ X02.2 , Q7 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (10-06) SCNEDI~LE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER AS.SUNT~) M. ?ryTl 2J-j2 - 0266 Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: '~ n1gL.P~.ZZ1 FuN6Ra~ Nvtvti£ - MECKAN 1CS6URG, PA, 753H.00 2, ~UNE¢a~ R6FRESNM~NTS-Two Cq~,g CAT62~N6- STEE~TOnI~PA 880.00 ~~ CavQCN BALL RCIaTA L - $j, CaTNE(Z INS Ct{~uRCN - FI Pa6 ~ Pq , ioo. o0 B. 1 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Street Address City Year(s) Commission Paid: State Zip 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees CUIYIREIZL.RN~ CbVNTY R~Qt$"T~R OC W ~ L~-5 3ZY'• ~© C ti.~TYE4g OF TCc $TI~thI~NT~tRYi SHOes CER.T~ C 1 CAT'S) 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1~EGIST~RLO MIP~~- RND PosTa(3L q~,p0 ~ ~~¢al, tN ccntC TA x lr'oQM i a~io ~ TA,K YQ .2oil .323.00 9. CPA CON5ULTING jppp,00 10~ ApPaq~SAL ~o5r Foa NO/~CE 330.40 ~~, 5TOC1C SELLING C-XPL~N5E5 / 706. AD TOTAL (Also enter on line 9, Recapitulation) $ 12 ~ jQ.q~ (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCNEp1~LE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER ,q55 uh/TA M, ~iNri ~- /2 -0266 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ,. SRRA ~tapo Nu a s ~ NG NomE - cAacisL~~ PA /080/, o0 2 /./fE L iN~ /IpONt ~ O R/NG . 3z . o0 ~, ~"Ir4 / cAr/o~vs 3.00 5, ~}p'19i1C~4NCC 5L-RvtC~S a5s,00 `. LCCP NO/»o NUBS/NG CRRG //3.00 ~ REAL L-SrgTE TAx~S ,2340.00 $. CELL PNO~IE ~p~{, 00 9 S~'tJE~ ~4N/~ R~FvS~ , ~f/3.00 /O. /~dA?E pGJNCQS fNSuR,QNCE -,~1 LL.STATE ,~6b . d 0 /l. HOA?~ RCP/ ~R5 - ,Et~~cTQ IC- P~c~M~j~iVc - N6st'TlN6 /z. IRGPA/~S - Frt~eo ~sc6eT /`l98 -N~~DEo Ft~P .S~~L/IVG of c~Aa ~3• I ~wN G'R/ZC /SNO[J REA'IDuAL 203~,F.00 9/x.00 660.00 TOTAL (Also enter on line 10, Recapitulation) 3 I ~~ /Q 9 ~ ~~ (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (i1-08) Pennsylvania SCHEDULE ~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER A551~~/TA M, ~iNT/ 2/ - /2 - 0266 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 RC-5/011,4 G Sec. 2116 (a) (1.2).] 1. 1P08t=~2T ~, A/NT/ SPQ/NG.S P/I 623 6UTSNALL RoAb ~0/G/NG' SOS/ eZ5 , /'lj0o7 a 0/ANt- /-+, C~/tic /5 BOE /NG RoAO MEW Cu~78Ea[.A~v4, PA DAU6'NTEa e2,5'~ i 7o7a ,3, ~NT~4/oNY /. P/~v r~ y~ !tJ/~/rE oaK ~lvo m~~aa+rics8~,es, PA soar as !~ /7050 ~. /h/CNAE~ A. pi/~/Ti ~ ~ ~ -~'o~J~ s ET oR ~ ~i~AN~~'~~PG, Pa soar a s ~ 7osS ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, A S APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, insert additional sheets of the same size. ~°~ rK9~~J~~ ~~~~ e~~ c~'~~ I, ASSUNTA MARIE PINTI, of 730 Manor Road, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this to be my Last Will and Testament and hereby revoke all other Wills and Codicils, if any, that I have made. FIRST.• I direct that all my just debts and the expenses of my last illness and funeral shall be paid from the assets of my estate as soon as practicable after my decease. ,` I authorize my personal representative to expend funds from my estate, in such amounts, as my personal representative I shall consider necessary and desirable, for the '` disposition of my remains in accordance with the instructions I have provided to my Executor. ~ SECOND: All of my Estate, of whatever nature and wherever situate, I give, devise, and bequeath in equal shares to my four children, MICHAEL ANTHONY PINTI, ROBERT J LEE PINTI, DIANE MARIE CLINE, and ANTHONY JAMES PINTI, so long as they shall survive me by thirty (30) days, per stirpes. THIRD: All interests of any beneficiary in the income or principal of this Estate, while undistributed and in the possession of my Executor, even though vested and distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to pledge, assignment, conveyance, or anticipation. FOURTH: All inheritance, estate, and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. FIFTH: I nominate, constitute, and appoint my son, MICHAEL ANTHONY PINTI, as Executor of this, my Last Will and Testament. I direct that no representative reamed above shall be required to post security for the faithful performance of his duties in any jurisdiction insofar as I am able by law to relieve him of such obligation. Any of my representatives shall be entitled to reasonable compensation for the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of ~' , 2001, on this, the second of two typewritten pages. I have also signed the left-ha margin of the first of these pages for purposes of identification only. ASSUNTA MARIE PINTI SIGNED, PUBLISHED, and DECLARED by the Testatrix, ASSUNTA MARIE PINTI, as her Last Will and Testament, in the presence of us, who at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. / $O l ~~~~ D 6-z~ s AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, AUSTIN F. GROGAN, ESQUIRE, and ~C{C/~~,~.t"~.~ ~~1~ the witnesses whose names are signed to the attached instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that ASSUNTA MARIE PINTI executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that, to the best of our knowledge, the Testatrix was at that time 18 years of age or older, of sound mind, and under no constraint or undue influence. t• tC ~ ~~ ~~~ ~.~'%~ c ~ Sworn or affirmed to and subscribed before me by AUSTIN F. GROGAN, ESQUIRE and ~~~ ~-~ '~ ~ '~`~"~ i,~c, ,witnesses, this ~~~~ day of ~-rte > 2001. NOTARY PUBLIC Notarial Seal Rhonda D. Rudy, Notary Public Camp Hilt eoro, Cumberland County My Commission Expires Aug. 12.2002 Memh~ ~r Pennsylvania Association of Notaries ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, ASSUNTA MARIE PINTI, Testatrix, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ASSUNTA MARIE PINTI Sworn or affirmed to and subscribed before me by ASSUNTA MARIE PINTI the Testatrix, this 7~l,~ day of ~%c~c ~,Lz.,L~ , 2001. ~~ /' ? ~ l ? c :c.c NO ARY PUBLIC Notarial Seal Rhonda D. Rudy, Notary Public Camp Hitt eoro, Cumberland My Commission Expires Aug. 12, Member, Pennsylvani. gssociatlon of Notaries cn- .-~. , LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 _ P 18194651 Certification Number »/vNd M vmMKnl This is to certify that the information here given is correctly copied from an original Certificate of Death duly tiled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ;~ 2 Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANN • DEPARTMENT OF HEALTH • VRAL flECOAD3 CERTIFICATE AF 11FATN 1. Oeudent'a Legal Name (fYaL MMdk Last. Saflbp 2. Ses 3. SeWI SecuRry Number. ••` ••~ Dete d DeaM IMa/Der/rrl ISpeg Mo) Aasunta Marie Pinti Female 201 - 11 9 - 3863 Fe 16 2012 Sa. Ageiast gYNda'f Irnl sb. Unar SYw st. under 1 g. Data d Bhth IMe/Day~Yeer115oeIl ManMl 7 r1 hplt p Qr forelEn EounHY) ~ Flarrl ; 1~9 MantM Drys Noun MYWtef 8 86 Febrtlar 2 1926 m.smhWglctwMrl Oa n w. x•faenc• Lswe ar fonYn rnuntnl xb. rtaleenn Isb.et and Namb.r. brdude Aa<Ne.l ac. ad D.fa.ne uN In a Tw,rfhlpr Penns lvania F ast ,W, Pennebolb 730 Manor Road [?~Yn, d.e.a.nt Et'ed ~n ed RxMaq Icaumrl ~71bPS1aI2E1 N. Radenct (Dp Codel ^NO, decedent Nyed wltl9n Rrrdb d tlrylbore. 9. Erar M Il5 Amwd fetus) 10. MarxN States al Time d DnM ^ Marrlad Wdmead 11. SurvMry SpwuY Name IM wHe. gh'a nxv prbr to flat marNagel ^Yes ®NO ^UnYrrown ^plvorTad ^Nevx Mauled ^UnYnesm 12. fatMr's Name (wsu Mddie, fall, 9alnel 13. MoNier's Nama pMr to FMN aAarnaga (FYrt, Mdtlle, Last) Joeept2 GUllage Sarah Tarasi IW. IrrMnnrd'f Name lab. Ra4HwMb to Daoadent lec. InformantY bleary Addmu lstmt and Numbw, Ory, Srq, lb Codal g Michael A Pin 1 614 Somerset Th'ive Mechanics PA 17055 E w Nv.... .. xDaM DmnedMaltospital: f3 inpatlem ru MaM ODUrtea SOnNwNe OIMr7luna NUDIbI: y~NOfpke FacMxy ~t~IkceMntY Nome goptNdrtyaWM OaW an ArMal N Narm/lary-Term Can Fatlbry OMer (Sfacxy . SSb.fadRY Narnel not YNtkMbn, glYe aHeat and mrmWr; 15c.Ory ar TOam, Stq,aM Zp Cad. ISd. Corrriry dDptA § Carlisle tonal Medical Center li PA 1 Iga. Ate ddlpeWlon WIN Cnmatgn iW. Wted Obpanbn ]gcNgdgspoNtbn(Name al unrtery, oamatory, ar other Wscel ^wrnnrfmmsm. ^DOn.tlen OM«ISpadPFl 21,201 Hof CrosB Cemeter IEd. lacatbn d DlspaaMOn IcM a rem. Stq, aM z41 17a, d W er Penon M Charge al Interment im. lkeme Number Harrisburg, PA 17111 FD - 014889 vlMalF+eiz1 F1a1Bi'al H~a1 ~ M 'k t v ~ ~ az e za 7a cs Ig. DeugeMSEduutbn-lied Nra hu tlrt OMt desnlMf Me 19. Deuhntd NYwnk Orrin-Ged~Me hrAest de{ree arYMlddaW earpNtM at Me tlm dd M b M b d PA 17055 30. DentlaMSRq-ChetY ONE OR MOUE rKn rolndkq WVt e ea . w at est ewlMseAYflMrthe decadent ^ NA Rode arlW Is SPanbh/NkpWe/ladp. lDlarA lM •Na' tla!deudent mnaidarM hYnMN ar henaNro M. QWMta ^ Ilarnn ^ NO dpbma,9M-I3M paM bar MdecadentNnet SpanbA~NNpardc/IaHno. ^&ad or Alrkan AmaNCan ^ VkMamase D1 ~+daol gredrrata ar GED CempIHM ENO, not Spanfh/Mfpank~ladw ^Amarkan lyd4n or Abuka Native ^OtMrAfbn ^ SvrM ugage esedit but no depee ^ Ye; Merkan, Meabn Amerkm, Gbra ^ ANan IndNn ^ Nathe MaYngan ^ AfsecMq degree let AA, AS) ^ reA Puerto Rkan ^ UNtese ^ GuYnanlan or a.morro ^ BadtelorY degree ley gA. M, u) ^ res. Caban ^ Flgppq ^ MaNers dyrw ley YIA, MS, MErsy MEd. MSW, MBA) ^ Ya; abler SpaMfh/HhpankJlalYp ^ Japanese ^ OIM PKMc (sander ^ DottaraM ley PhD. EOD) or PraluNenN degree ISpadry) ^ O[her Isoecxrl • MD INfs DvM Lu m xl.ogrm'FSYyIaRgSex-Defyn.Naf.arfYDNYrarcrolydlouWUtn.daces.nttar~dew.aMmfexorMnextobe. zza.D.ad.nrsuswloavwfwn-Indkauty9edwan 81 WMM ^ lavar.fa ^ Swnoan dom dwry mmt dwwYhy We, w NOT USE AETRED. ^ glad aAlrbn Atmrkan ^ Karean ^ OMar M1tlflc Islander ~ ^ Nnnk n MYn w Aluka NatM O VleNlamefe ^ DanY Enew/Nat gun r ^ AtlMr IrlMan ^ OIMr Asbn ^ Rehfad 22b. xhd d WfYNfs/Induatry ^ OrMtMe ^ Natbe HawaMn ^ Other ISpedryl ^fNpbw ^cwamamenarChamono OY/[1 Home 39a• MIOTN x3.. Dare 33b.SynMUndMrfen Prvnou Death rywMnapp 23c. tkenfe NUmMr grreuoN ytRa PRONOUNas w 02 ~ga~yH ~G Y/~- 23d O ~ ~ ^ ~3u9'/d . - q Siprd ( /Y 2a. nlm d Death _ 02 loin- ,Z:oS P~ x9.Wn McMUIEUmYfer or tacted7 pros Ho GUSE OF DEATH ApprmYn.ee Z6. Part L Emer tM daN d eYenh-dbeafef, Mfurles, er mmplbtbro--Mat dtectly nosed tlN deaM. 00 NOT enter [erminal vents suM as urdlac artert IntervN: ufPlntorY ameft,aMnvkuNr MNXatlon Wehtntt shoWMthe etblory. 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M r d OeaM ^ PregnW tttlmad MaM ~ ro . y B'N ^ unknown nl ^ Nomkw. ^ Aakent ve ^ ndlry Nwaftlptlon ~ ^ Net Pregnant, but prgnaM Wtldn e1 daW d deaM ^ Sukde ^ CouM not be delamdned ^ Nd Oragnant but pragnam a3 days ro 1 year before Berth 32. DaM d Miury IM ryNrl 15pN1 Mamhl ^ Wtrwwnxpregnant wNhM tM put yex 33. nme ar lnN,ry 3a. PNCe d Inlury la y horr,a; ronfeructlan site; farm; fdwd) 35, lgtbn d Mlury (Street and Number, ary, SMte, lip Cadet 3g.InIrryNWM 37. Miranaorutbn lnlury, Spad/y: 3g, DUrNhe NOwlnlury Occurred; ^ rn ^ Driaer/Opanw p vadutflan ^ No ^ Pafaeiyer ^ Otlrrlspadl'71 39a. CertlRaf fared arx/ enal: ~phyfleMn -Te tlw belt d mr YrofYladge. MM ammaa cue u tM rauadfl aM man,w. fearea B Cenxylry phYSlrlan -TO best dmy knovdadge, tleeM attuned at the Nme, date, and putt, and due to the uufalfl and manner soled ^ MedkN Euminer - dr aM/a Irrsatlptbn, In my ogndn, dpM aet~FrrM al Me Hme, dq, aM plq, xd des to tM a uself) aM mar~nn abtN \* ~I $rnatun d ofnNW: ntla d eenxler; /' • ~ utwue NumMr: AI!~ ~-~/31~~L 3 9b. Nam., and Zip Cade d Parfet ~dDaaM IMm x61 39c. Date Sy ( /Yr) alD 6 /~1'/Nka+FlrS IQat Lf.r!< <~ /' .>'" oL 2. za/x-. rIU el. ' pMbt .x. t al.~,,~ ,, Q~ ip/.~~,~ a3. AmwrMNfp 0729346 N105aA3 DNpoHUOn Permn Na. nEV DT/zxu APPRAISAL OF REAL PROPERTY LOCATED AT 730 Manor Rd Camp Hill, PA 17011 Deed Book 23P Page 69 FOR The Estate of Assunta Pine OPINION OF VALUE 166,000 AS OF o2r1 srzol z BY Susan B. Burkholder >t~ t ~ 4 ~+~ Diversified Appraisal Services ~ `"°'' 35 E. High Street, Suite 101 - "` Carlisle, PA 17013 (717)249-2758 sue. bu rkholder@gmail. com State Certified Residential Appraiser RL-000659-L Form G0.1V - "WinTOTAL^ appraisal software by a la mode, inc. -1-600-ALAMODE aumrnary wpprarsur ne:pun „,.~,o,,.o~,,,,,,~~o~,~~,,,.,.,, RESIDENTIAL APPRAISAL SUMMARY REPORT FileNo.: oa0312P Property Address: 730 Manor Rd CiN: Como Hill State: PA Zip Code: 1 Parcel #: tax rear: 20'12 ti.t. taxes: 5 2,472.85 SpeClO1 ASSe55men[5: 5 n.a. tlpfrpWer II a ecaoie : O. a. Curtest Owner of Record: Assunta Pinti Occupant: ~ Owner r' Tenant X Vacant (] Project Type: ^ PUD Condominium !Cooperative ~, Other (describe) HOA: $ 0 ^ Market Area Name: East Pennshoro Tnwns:hio Mao Reference: n9-~ R_1304-n97 Census Tract: to develop an Imended Use: and Scope of Appraiser: Susan B. Burkholder Address: 35 E. Hi. h Street, Suite 101 Location: Urban Suburoan _j Rural Built up: ~ Over 75% ^ 25.75% ^ Under 25% Predominant Occupancy One-Unit Housing PRICE AGE Present Wnd Use One•Unit 75 % Change in Land Use ~ Not Likely Growth rate: ^ Rapid ~ Stable L Slow '~*' ~ Owner S(OOO) (yrs) 2.4 Unit % ^ Likely • ^ In Process' Property values: ^ Increasing ~ Stable [, Declining ^ Tenant 125 Low 20 Multi•Unh % ' To: Demand/supply: ^ Shortage ~ In Balance ^ Over Supply ~ Vacant (0-5%) 400 Hi h 100 Comm? 20 % Marke6n time: Under 3 Mos. ! 3.6 Mos. '~ Over 6 Mas. r Vacant > 5% 175 Pred 50 Vacant 5 % Market Area Boundaries, Description, and Market Conditions (including support for the above characteristics and trends): Marketing conditions are average with properties selling within three to six months. Conventional and insured financing is readily available to qualified buyers at reasonable rates and terms. The subject neighborhood is bordered by Route 944 Route 11/15 Camp Hill Borough and Center Street. Zoning Classrficabon: Residential Description: Existing use is permitted I Zoning Compliance: ~ Legal ^ Legal nonconforming (grandfalhered) ^ Illegal ^ No zoning Are CCBRs applicable? f-1 Yes I-1 No 6a Unknown Nave the documents been reviewed? h Yes ! i No Ground Rent (if applicable) S 1 Highest 8 Best Use as improved: ~ Present use, pr -; Other use (explain) AcNal Use as of Effective Date: Single family dwelling Use as appraised in this report: Single family dwelling Summary of Highest 8 Best Use: Continued use as a single family dwelling. Utilities Public Other ProviderlDescriphpn Ott-site Improvements Type Public Pmate Topography Level Elecficdy ~ ^ Street Macadam ~ ^ Sire T igal for area Gas ^ ~ n.a. Curb/Gutter Concrete ~, ^ Shape Irre ular Water ~, ^ Public Sidewalk Concrete ~ ^ Drainage A ears ode uate Sanitary Sewer ® ^ Public Street Lights Pole ® ^ View Avers e Storm Sewer Public Nle None Other site elements: ~ Inside Lot -Comet Lot ; Cul de Sac Under round Utilities rl Othet describe FEMA S eC'I Flood Hazard Area i Yes No FEMA Flood Zane X FEMA Ma # 42041 COE FEMA M Date 03!162009 Site Comments: This home is located on the in East Pennsboro Township. It is a residential area with stable ownership patterns within # of Units 1 ^ Acc.Unit Foundation # of Stories 1 Exterior Walls Type ®Det. ^ Att. ^ Roof Sudace Design (Style) Ranch Gutters 8 Dwnspts. Existing ^ Proposed ^ Und.Cons. Window Type w Actual Age (Yrs.) 53 ears Storm/Screens w Effective A e rs. 30 ears ~ Interior Description Appliances Floors Car et Refrigerator ~ Walls D all Range/Oven !~ g Trim/finish Wood Disposal uu Bath Roor Car t Dishwasher ~ Bath Wainscot Tile FaNHOOd eL Doors wood Microwave oncblock Foundation Slab None Basement ,- Area Sq. Ft. 1120( rick Crawl Space None % finished 0 his les Basemen[ Full Ceiling luminum Sump Pump ^ Walls in le hun Dampness ^ Floor _ ~sulated Settlement None observed Outside Entry Yes Infestation None observes Attie [_ None Stairs [', Drop Stair [] Amenities Fireplace(s) # 1 Woodstpve(s) # Patio Concrete Scuttle ~ Deck Doorway l,~' Porch Covered floor Fence Heated J Pool Finished Type Fha Fuel Oil Cooling Central Yes Other Car Storage ^ None Garage # of cars ( 0 Tot.) Attach. Detach. _ BR-In Carport _ Driveway _ 2 Hnished area above grade contains: 7 Rooms 3 bedrooms 1.5 Bath(s) 1,506 square reet of Uross uwng Area Aoove Orade Additionalleatures: Porch patio at rea of the home r, replace, central air. Describe the condition of the property (including physical, functional and eztemal obsolescence): All improvements are considered to be in average condition on the interior and exterior of the home. .,_. _ CoPYngnt~ 200i Dy a W mWe, inc. This Corm may De reproduce0 unmodified witnout wnnen permission. nowever, a la mode, inc. must De aeknowktlged and endued. • ti~ n ;'e r s. •• ~ Form GPRES2 - "WinTOTAL" appraisal software by a la mode, inc. - t •800-ALAMODE 312007 RESIDENTIAL APPRAISAL SUMMARY REPORT Fila!Ne' 040312P ~ My research ~ !did ~, did no[ reveal any prior sales or transfers of the subject property for the three years prior to the ettective tlate of this appraisal. Data Sources : Assessment O 1st Prior Sub'ect SaleRransfer Analysis of sale/transfer history andlor any current agreement of sale/listing: The home is not currently listed or under N Date: 04/08/1970 contract. ~ Price: 24 000 LL Sources :Assessment records i 2nd Prior Sub'eci Sa1e/Transter a Date: ~ Price: Sources SALES COMPARISON APPROACH TO VAL UE if d evelo d The Saies Com orison Ap roam was not developed for this appr aisal. FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 730 Manor Rd Cam Hill PA 17011 705 Meadow Dr Cam Hill PA 17011 32 Circle Dr Cam Hill PA 17011 519 Susan Rd Cam Hill PA 17011 Proxim' to Sub'ect i 0.76 miles E 1.64 miles SW 1.53 miles SW Sale Price ~ $ !S 175,000 iS 159 500 $ 172 000 Sale Price/GlA S /s .tt. $ 130.21 !s .ft.' S 137.26 !s .tt., $ 119.03 /s •tt. ~ Data Sources Courthouse Courthouse Courthouse Verification Sources MLS MLS MLS VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $ Ad'ust. DESCRIPTION I + - $ Ad'ust. DESCRIPTION + - $ Ad'ust. Sales or Financing Concessions None known Conventiona I Closing cost i Conventional -3,000 None known Conventional Date of Sale~me As of 02/16!2072 _ 03/30/2012 I 0610212011 ~ C5/1912011 Ri hts raised Fee Sim le Fee Sim le Fee Sim le Fee Sim le Location Avera a Avera a Avera a Avera e Site .39 ac .43 acre 20 acre +1 900 .24 acre +1 500 View Avera a Avera a Avera a Avera e Desi n S le Ranch Ranch Ranch Ranch Dual' of Construction Brick Brick Brick/Alum +3 000 Brick~n I +3 000 A e 53 ears 54 ears 52 ears 38 ears Condition Avera a Avera a Avera a Avera e Above Grade Total Bdrms baths Total Bdrmsl Baths Tbul Btlrms Baths ToW Bdrms Baths Roam Count 7 3 1.5 6 3 1.5 +2 000 6 3 1 +3 000 7 3 2 -1 000 Gross Livin Area 1 508 5 .tt. 1344 5 .tt. +4 900 1 162 5 .tt. i +10 400 1 445 s .ft Basement 6 Rnished Rooms Below Grade Full basement None Full basement None Full basement None Full basement None PonctionallJtll' Avera a Avera a Avera a Avera e Heatin Conlin Fha Oil CA Heat um CA Heat um CA Fha Gas CA = Ene Efficient Items None None None None Gara WCar art None None 1-car ara a -5 000 1-car ara a -5 000 ~ PorchrPatio/Deck Porch Ir atio Porch, deck +1 000 Porch atio i +1 000 Porch atio +1 000 o a Fire lace 2 sided Ic, ool -11,000 Fire lace wd stove i -1 000 Fire lace fence -1 000 . None None Fence -2 000 Remodeled ktchn -5 000 z O r n a ~ Net Ad'ustment oral ~ + - $ -3 100 + r - $ 8 300 + - $ -6 500 r ~ n Adjusted Sale Price at Co ambles Net 1.8 %~ Gross 10.8 %~ $ 171 900 Net 5.2 % Gross 19.0 % $ 167 800 Net 3.8 %' Gross 10.2 %~ $ 165 500 H Summary of Sales Comparison Approach A $2,000 per room adjustment was made for the total number of rooms, 52,000 per bath and E1,000 per half bath. Sale number 4 was given the most consideration in arriving at my final opinion of value since this home is similar in size. Indicated Value Sales Com orison A roach S 166,ooD , R.. CoDM9nl~ 2007 by a is mane, inc. This Corm may be reProauceb unmodiliN wimout wrinm perrmssion, however. a u moot, inc. must be acknowkoged antl credhM. Form GPRES2 -'WinTOTAL' appraisal software by a la mode, inc. -1.8DD-ALAMODE 312007 RESIDEidTIAL APPRAISAL SUMMARY REPORT File Ha: oaosl2P COST APPROACH TO YALUE if develo x; The Cost Approach was rot developed for this ap sisal. Provide ode uate information for re lication of the followin cost ti ures and calculations. Support for the opinion of site value (summary pf comparable land sales or other methods for estimating site value): x ESTIMATED i ~ REPRODUCTION OR !-' REPLACEMENT COST NEW OPINION OF SITE VALUE __ _ _ __ ...__ .._ ...................__...... _$ v a Source of cost data: ' DWELLING Sq.Ft. $ =S p Oual ratio from cost service: Effective date of cost data: Sq.Ft. @ S _$ a Commerrts on Cost Approach (gross living area calculations, depreciation, etc.): S .Ft. S _$ a S .Ft. S _$ h S .Ft. @ $ =S U =$ Gars elCar ort Sq.Ft. S =3 Tatar Estimate of Cost-New _$ Le55 Ph sitar ~FUnctional !External De reciation =$ De reciated Cost of Im rovements ......... _ "As-is" Value of Site Improvements __.... __ _._....._._.........._ _$ _$ _$ Estimated Remainin Economic Life if re wired : Years INDICATED YALUE BY COST APPROACH .................................... =S ,. x INCOME APPROACH TO YALUE if develo d The Income A roach was not develo ed for this a sisal. Estimated Mordhl Market Rent S X Gross Rent Multi tier = $ Indicated Value b Income oath a Summary of Income Approach (including support far market rent and GRM): o. a W O U 2 PROJECT INFORMATION FOR PUDa if a livable The Sub act is art of a Planned Unit Develo ment. Le al Name of Pro act: e Describe common elements and recreational facilities: o . Indicated Yalue by: Sales Comparison Approach S 166,000 Cost Approach (it developed) S n.a. Income Approach (if develo d) $ n.a. Final Reconciliation The Cost Approach was not considered since this is not new construction. The Sales Comparison approach is the best approach for this type of property. 2 O a This appraisal is made ~ "as is", ^ subject to completion per plans and specifications on the basis of a Hypothetical Condition that the improvements have beet d completed, ^ subject to the following repairs or alterations on the basis of a Hypothetical Condition that the repairs or alterations have been completed, ^ subject fo z the fallowing required inspection based on the Extraordinary Assumption that the condition or deficiency does not require alteration or repair: Appraised in current v conditon. W 0: This re ort is also subject to other H pothetical Condtions and/or Extraordin Assum Dons as s ecified in the attached addenda. Based on the degree of inspection of the subject property, as indicated below, defined Scope of Wodt, Statement of Assumptions and Limiting Condldons, and Appraiar's Certificatlons, my (our) Opinion of the Market Value (or other epecifed value type), as defined herein, of the real property that Is the subject of thin report Is: S 166,000 ,as of: 02/16/2012 ,which is the effective date of this appraisal. If indicated above, this Opinion of Value is subject to Hypothetical Conditions and/or Extraordinary Assumptions included in this report See attached addenda. r A Due and complete copy of this report contains t4 pages, including exhibits which are considered an integral part of the report. This appraisal report may not he w propedy understood without reference to the information contained in the complete report. ~ Attached Exhibits: ^ Scope o1 Work ~ LimiDng CondJCeniDcations ~ Narrative Addendum ~ Photograph Addenda ^ Sketch Addendum ~ ~i Map Addenda ^ Additional Sales u Cost Addendum J Ftood Addendum ^ Manuf House Addendum _ _ _ _ . H trthetical Conditions I Eztraordina Assumptions ~ ^ Client Contact: Client Name: Michael Pinti E-Mail: Address: 614 Somerset Drive Mechanicsbur . PA 17055 APPRAISER SUPERVISORY APPRAISER (if required) or CO-APPRAISER (if applicable) w w o: ~ ,ac,6dJ{,,~ Supervisory or a Appraiser Name: Susan B. Burkholder Co-Appraiser Name: ~ Company: Diversified Appraisal Services Company: rn Phone: (717) 249-2758 Faz: 717-258-4701 Pnpne: Fax: E-Mail: sue.burkholderpgmaiLcom E-Mail: Date of Report (Signature): 04/0412012 Date of Report (Signature): License or CeNfication #: RL-000659-L State: PA License or Certification #: PA State: Designation: n.a. Designation: Er~iration Date of license or Certification: 06/30x2013 Expiration Date of License or Certification: n.a. Inspection of Subject: ~ Interior & Exterior L_ Exterior Dnly ;= None Inspection of Subject: ^ Interior 8 Exterior ^ Exterior Only ^ None Date m Inspection: 04/03/2012 Date of Inspection: ,... ^.. m _T ,. ~. coDlmDm~ [uw oy a:a muse, inc. ! ms rorm may De reProuuceC dnmaame0 wimout written permission, eowerer, a Ia mode, inc. must De acknowkCgec ana credile0. 1. s "~_ Form GPRES2 -'WinTOTAL' appraisal software by a la mode, inc. - t-800•ALAMODE 3/2007 Supplemental Addendum FiieNO0403,zP Client Michael Pinti Property Address 730 Manor R_d City Camp Hill County Cum_berlantl State PA Zip Code 17011 Borrower n.a. Additional Comments: The subject is older than five years old. All mechanical systems including heating, electrical and plumbing systems appear to be in working order. No warranties are implied in this statement. One or more of the comparable sales are older than six months old. Although there are comparable properties in the subject's area, none have sold recently, therefore, sales in excess of six months old have to be used. All three comparables used were the best available. Although one or more of the comparable sales are further than one mile for the subject property, the sales used are the best available. The appraiser has prepared this appraisal in full compliance with Home Valuation Code of Conduct and has not performed participated in, or been associated with any violation of the Code. The appraiser has not had any involvement in the property in the past three years. There is an effective number of competing properties on the market in this area. This indicated that supply and demand are in balance and reasonable exposure time is estimated to be under six months. Typical holding time is five to seven years. Scope of Work: Scope of work is defined in the Uniform Standards of Professional Practice as being "the type and extent of research and analyses in an assignment." This includes the degree and extent of research and the data that is deemed as necessary to develop a credible opinion of value for the property being appraised. Indented User: The Intended User of this appraisal report is the LenderlClient. The Intended Use is to evaluate the property that is the subject of this appraisal for a mortgage finance transaction, subject to the stated Scope of Work, purpose of the appraisal. reporting requirements of this appraisal report form, and Definition of Market Value. No additional Intended Users are identified by the appraiser. Privacy Notice: Pursuant to the Gramm-Leach-Billey Act of 1999, effective July 1, 2001, appraisers, along with all providers of personal financial services are now required by federal law to inform their clients of the policies of the firm with regard to the privacy of the client nonpublic personal information. As professional, we understand that your privacy is very important to you and are pleased to provide you with this information. In the course of performing appraisal, we may collect what is known as "nonpublic personal information" about you. This information is used to faalitate the services that we provide to you and may include the information provided to us by you directly or received by us from others with your authorization. We do not disclose any nonpublic personal information obtained in the course of our engagement with our clients to nonaffiliated third parties, except as necessary or as required by law. By way of example, a necessary disclosure would be to our independent contractors, and in certain situations, to unrelated third party consultants who need to know that information to assist us in providing appraisal services to you. All independent contractors and any third party consultants we engage are informed that any information they see as part of an appraisal is to be maintained in sVict confidence within the firm. A disclosure required by law would be a disclosure by us that is ordered by a court of competent jurisdiction with regard to a legal action to which you are party. We will retain records relating to professional services that we have provided to you for a reasonable time so that we are better able to assist you with your needs. In order to protect your nonpublic personal information for unauthorized access by third parties, we maintain physical, electronic and procedural safeguards that comply with our professional standards insure the security and integrity of your information Form TADD - "WinTOTAL' appraisal software by a la mode, inc. -1.800-ALAMODE Location Maa CIieM Michael Pinti Pr a Address 730 Manor Rd C~ Cam Hill Coun Cumberland State PA Zi Code 17011 Borrower n.a. ;: a la made, inc. r, .. ,,~. - •.::; c ,; _ ~ _ _- .H' ? ` _ ~~ 'i i~or Si T - .~ ;t `,` - ) r' _ pin 2 _ "~"F i .. ., ~~ i.'. . ~` ~ p' ^~ ti _ ' n' " ~~ ~E. 7 Q;Y~` ~a . g`..` 1t t _ _ ~ µc'~ „tom, ,y r _ \ ~ . ~A _ ".. _ .e~ 7~.1~rKel .: 4<B ~. x,11 _ - Sa'. `i` 1 1IP. +~ .and .._._... -_. Tv _ _.. --' E - Sig"'`_ _. - _.._.-_.. .'-- ~ ____._ . _. .__ 'P. ~• ,; s _ , PY ,, :, ~u 9-ExPY- -- ~- .,,^, .:!,.r, .. ,. ..~ ~d c .'n r+.o .'' _ Form MAP.LOC - ^WinTOTAI" appraisal software by a la mode, inc. -1-800-ALAMODE Subject Photo Page Client Michael Pinti Pr a Address 730 Manor Rd C Cam Hill Count Cumberland State PA Zi Code 17011 Bortower n.a. 730 Manor Rd Subject Front Subject Rear Subject Street Form PICPIX.TR - ^WinTOTAI" appraisal software by a la mode, inc. -1-800•ALAMODE Photograph Addendum Clien< Michael Pinti Pra a Address 730 Manor Rd Ci Cam Hill Coum Cumberland State PA Zi Code 770'I1 Borrower n.a. - ~- t~ ,n, ~ _ ~. ~ i 4 f 1 ~ _ ~ t ~ d- n r d~ ~ ~. t ~ , ~, .r ',,~~. ,; .' Form GPICPIX- "WnTOTAL` appraisal software by a to mode, inc. -1-600-ALAMODE Photograph Addendum CIieM Michael Pinti Pro a Address 730 Manor Rd C Cam Hill Count Cumberland State PA Zi Code 17011 Borcower n.a. Farm GPICPIX - ^WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Comparable Photo Page Client Michael Pinti Pr a Address 130 Manor Rd C~ Cam Hill Coun Cumberland State PA Zi Code 17011 Bortower n.a. Comparable 1 705 Meadow Dr 32 Circle Dr Comparable 2 Comparable 3 519 Susan Rd Form PICPIX.BR - "WinTOTAL' appraisal software by a la mode, inc. -1-8~D-ALAMODE Comparable Photo Page Clierd Michael Pinti Pr Address 730 Manor Rd Ci Cam Hill Coun Cumberland State PA Zip Cade 17011 Borrower n.a. Y~)n a. rte. ~~,, __ ~ r ~~~. -„. r; Comparable 4 19 Gale Rd Comparable 5 Comparable 6 Form PICPIX.BR - "WinTOTAI" appraisal software 6y a la mode, inc. - 7.80D-ALAMODE DEFINITION OF MARKET VALUE: The mast probable price which a property should brir:g in a competitive and open market under all condtions requisite to a lair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the puce is net affected by undue stimulus. Implicit in mi5 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 a well advised, and each acting in what he considers his awn best irrterest; (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 represems the normal consideration for me property sold unattested by special or creative financing or sales concessidns* granted by anyone associated with the sale. ' Adjusbnents 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; mese costs are readily identifiable since the seller pays mese costs in virtually all sales transactions. Special or creative financing adjustments can De made to the comparable property by comparisons to financing terms offered by a third party instRutioeal lender that is not already involved in the property dr transaction. Any adjustment should not De calculated on a mechanical dollar for dollar cost of me financing or concession but the dollar amount of any adjustment should appro>mate the market's reaction to the financing or concessidns based on the appraiser's judgement. STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification mat appears in the appraisal report is subject to the following conditions: 1. The appraiser will not be responsible for matters of a legal nature mat affect either the property being appraised or the title to rt. The appraiser assumes mat me title is good and marketahle and, merefore, will not render any opinions about the title. The property is appraised on me basis dl it being under responsible ownership. 2. The appraiser has provided a sketch in the appraisal report to show approximate dimensions of me improvements and me sketch is included only to assist me reader of the report in visualiring me property and understanding me appraiser's determination of its site. 3. The appraiser has examined me available flood maps that are provided by me Federal Emergency Management Agency (or Omer data sources) and has noted in me appraisal report whemer me subject site is located in an identified Special Flood Hazard Area. Because me appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding mis determination. 4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand. 5. The appraiser has estimated me value of me land in me cost approach at its highest and best use and me improvements at weir contributory value. These separate valuations of the land and improvements must not be used in conjunction wim any other appraisal and are invalid if mey are so used. 6. The appraiser has noted in the appraisal report any adverse conditions (such as, needed repairs, depreciation, the presence of hazardous wastes, tonic substances, etc.) observed during me inspection of me subject property or mat he or she became aware of during me normal research involved in performing me appraisal. Unless omerwise stated in me appraisal report, me appraiser has no knowledge of any hidden ar unapparent conditions of me property or adverse environmental conditions (including me presence of hazardous wastes, toxic substances, etc.j that would make the property more or less valuable, and has assumed mat mere are no such conditions and makes no guarantees or warranties, express or implied, regarding me condition of the property. The appraiser will not be responsible for any such conditions mat do exist ar for any engineering or testing that might be required to discover whemer such conditions exist. Because me appraiser is not an expert in me field of environmental hazards, me appraisal report must not be considered as an environmental assessment of the property. 7. The appraiser obtained me information, estimates, and opinions mat were expressed in me appraisal report from sources that he or she considers to be reliable and believes mem to be true and correct. The appraiser does not assume responsihiliry for the accuracy of such items that were famished by omer parties. 8. The appraiser will not disclose the contents of the appraisal report except as provided for in the Untiorm Standards of Professional Appraisal Practice. 9. The appraser has based his or her appraisal report and valuation conclusion tar an appraisal that is subject to satisfactory completion, repairs, or alterations on me assumption mat completion of me improvements will be performed in a workmanlike manner. 10. The appraiser must provide his or her prior written consent before the lender/client specified ir, the appraisal report can distribute me appraisal report (including conclusions about the property value, me appraiser's identity and professional designations, and references ld any professional appraisal organizations or the firm with which me appraiser is associated) to anyone other G1an me borrower; [he mortgagee or its successors and assigns; me mortgage insurer; consonants; professional appraisal organizations; any state or federally approved financial institution; or any departmem, agency, or instrumemaliry of me United States or any state or the District of Columbia; except that me lender/client may distribute me property description section of me report only to data collection or repdNng service(s) without having to obtain the appraiser's prior written consent. The appraiser's written consent and approval must also be obtained before the appraisal can be conveyed by anyone to the public through advertising, public relations, news, sales, or Omer media. Freddie Mac Farm 439 6.93 Page t of 2 Fannie Mae form t004B E93 Diversified Appraisal Services Form ACR - °WinTOTAI" appraisal software by a la mode, inc. - t-800-ALAMODE APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that t. I have researched the subject market area and have selected a minimum of three recent sales of properties most similar and proximate to the subject property far consideration in the sales comparison analysis and have made a dollar adjustment when appropriate to reflect the market reaction to those items of significard variation. ti a signficant item in a comparable property is superior to, or more favorable than, the subject property. I have made a negative adjustment to reduce the adjusted sales price of the comparable and, it a significant item in a comparable property is interior ta, or less favorable than the subject property, I have made a positive adjustment to increase the adjusted sales price of the comparable. 2. I have taken into consideration the factors that have an impact on value in my development of the estimate of market value in the appraisal report. I have not knowingly withheld any sign'dicant inforrnatien from me appraisal report and I believe, [o the best of my knowledge, that all statements and information in the appraisal report are true and correct. 3. I stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the comingent and IimiUng conditions specified in this form. 4. I have no present or prospective interest in me property that is the subject to 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 the estimate of market value in the appraisal report on the race, color, religion, sex, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property ar of the present owners or occupants of the properties in the vicinity of the subject property. 5. I have no presern or cordemplated future interest in the subject property, and neither my current ar future employment nor my compensation for performing this appraisal is coNingent on the appraised value of the property. 6. 1 was not required to report a predetermined value or direction in value that favors the cause of the client or any related party, the amount of the value estimate, the attainment of a specific resuk, or the occurrence of a subsequent event in order to receive my compensation and/or employment for performing the appraisal. I did not base the appraisal report on a requested minimum valuation, a specific valuation, or the need to approve a specific mortgage loan. I. I performed this appraisal in conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of the effective date of this appraisal, with the exception of the departure provision of those Standards, which does not apply. I acknowledge that an estimate of a reasonable time far exposure in the open market is a condition in the definition of market value and the estimate I developed is consistem with the marketing time noted in the neighborhood section of this report, unless I have aCterwise stated in the reconciliation section. B. I have personally inspected the interior and exterior areas of the subject property and the exterior of all properties listed as comparables in the appraisal report I further certify that I have noted any apparent or known adverse conditions in the subject improvements, on the subject site, a on any site within the immediate vicinity df the subject property of which I am aware and have made adjustments far these adverse conditions in my analysis of the property value to the extent that I had market evidence to support them. I have also commented about the effect of the adverse conditens on the marketability of the subject property. 9. I personally prepared all conclusions and opinions about the real estate that were set forth in the appraisal report. ti I relied on significant professional assistance from any individual or individuals in Ne performance of the appraisal or the preparation of the appraisal report, I have named such individual(s) and disclosed the specific tasks performed by them in the reconciliation section of this appraisal report. I certify that any individual so named is qual~ed to perform the tasks. I have not autharited anyone to make a change to any item in the report; therefore, if an unauthorized change is made to the appraisal report, I will take no responsibility for it. SUPERVISORY APPRAISER'S CERTIFICATION: A a supervisory appraiser signed the appraisal report, he or she cerifies and agrees that: I directly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal report, agree with the statements and conclusiens of the appraiser, agree to be bound by the appraiser's certifications numbered 4 through 7 above, and am taking full responsibility for the appraisal and the appraisal report. ADDRESS OF PROPERTY APPRAISED: 730 Manor Rd, Camp Hill, PA 17ot 1 APPRAISER: SUPERVISORY APPRAISER (only ii required): Signature: Signature: Name: older Name: Date Signed: 04/04/2012 Date Signed: State Certification #: PA State Certification #: or State License #: RL-000659-L ar State License #: PA State: PA State: Expiration Date of Certification ar License: 06/30/20 3 Expiration Date of Ceniticatan or license: Di0 ^ Did Not Inspect Property Freddie Mac Form 439 6.93 Page 2 of 2 Fannie Mae Form 10048 6-93 Form ACR -'WinTOTAL' appraisal software by a la mode, inc. -1-600-ALAMODE Filn Ne.t 040312P FEATURE i SUBJECT COMPARABLE S ALE # 4 COMPARABLE SALE # S COMPARABLE SALE # 6 Address 730 Manor Rd Cam Hill PA 17011 19 Gale Rtl Cam HIII _ _ Proxim to Subect 1.54 miles SW SalePdce ~ S 'S 180000 !S S Sale PricWGLA ~ S Isq.tt. S 134.93 lsq.tt. S !sq.ft : 5 /s .tt.': Data Sources Courthouse Ver6icatran Sources MLS VALUE ADJUSTMENTS DESCAIPTION DESCRIPTION + - S Ad'ust. DESCRIPTION + - S Ad'ust. DESCRIPTION + - S Ad'ust. Sales or Financing Concessions None known Cash Date of SaleRme As of 02/16/2012 09!15!201 t i Ai hts raised Fee Sim le Fee Sim le Location Avera a Avera e Site .39 ac t6 acre +2 300 View Avera a Avera e I Desi n S le '~ Ranch Ranch I Dual' of Construction Brick Brick A e 53 ears a7 ears Condifion Avera a Avera e Above Grade Total • Bdrtns Baths TaW 8tlrms• Barns Total Borms Baths Total Bdnns Baths Roam Count 7 3 1.5 6 3 2 +1 000 Gross Livin Area 1 508 5 .tt. 1 334 5 .tt. +5 200 sq.tt. 5 .tt. Basement & Finished Rooms Below Grade Full basement None Full basement Famil room -5,000 Functional Utili Avera a Average I Heati oolin Fha Oil CA Fha Oil CA Ener Ettitiem ttems None None Gara e/Caryort None 1-car ca ort -3 000 I PorctVPatio/Deck I Porch Ir olio Porch olio +1 000 Fire lace 2 Fire laces -1 000 None Remodeled -5 000 I x U Q ~ NetAd'ustmelrt otal + - S -4 500 ' + ~ - 5 ^' + - S e Adjusted Sale Price of Com arables Net 2.5 %~ Gross 13.1 %. S 175 500 Net %~ Gross %iS Net % Gross %~ S p to C Summary of Sales Comparison Approach Q a 0 N W J Q N _ - A wpyngm® [uur oy a is moue, inc. i ms corm may x reDrooucea unmoamea wimou[ wnrten permrsstan, nowever, a is mox, mc. must oe acxnovneageo ana cre0tea, -~' ~ ¢'- Form GPRES2.(AC) - "WinTOTAL" appraisal software by a la mode, nc. -1-600-ALAMOGE 3/2007 ~nv~r~c~~ y~~.3 ~ ~u.w