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HomeMy WebLinkAbout02-12-13 1505611188 REV-1500 EX(02-11)(FI)f pennsytvania OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau 01dualTaxes INHERITANCE TAX RETURN PO BOX 2 28060601 Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 11 12 9 0 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 168 22 7776 11 26 2011 10 28 1927 Decedent's Last Name Suff ix Decedent's First Name MI Allison Rose Marie (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return O 2. Supplemental Return = 3. Remainder Return (Date of Death Prior to 12-13-82) O 4. Limited Estate = 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 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received = 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 Schedule O) CORRESPONDENT - This section must be completed. All Correspondence and Confidential Tax Information Should be Directed to: Name Daytime Telephone Number John E. Slike, Esquire 717 612 5800 REGISTER O &IL L S I,;A 4711t.Y 700 rrri C> First Line of Address M C) Saidis, Sullivan 8 Rogers n m Second Line of Address C"> 'TJ -vtt 635 North 12th Street, Suite 400 e-> CD Ec> e-> CD ii-' M L -4 ~ City or Post Office State ZIP Code -4 DATE ALED~ D ~ (n C) Lemoyne PA 17043 co Correspondent's e-mail address: isllke@ssr-attorneys.Com Underpenalties of perjury, I declarethat I have examined this return, including accompanying schedules and statements, and to the bestof my knowledgeand belief, it is true, correctand complete. Declaration of the preparer other than personal representative is based on all information of which preparer has any knowledge. SIGN UR OF PERSON RESPONSIBLE FOR FILING RETURN DATE ILVIZI ADDRESS 238 Perry Valley Road Millers n, PA 17062 SIGNATUR FPREPAREROTHERTHANR RESENTATIVE DATE c ADORES 35 North 12th Stre t, Sulte 400 Lem 2 e, PA 17043 PLEASE USE ORIGINAL FORM ONLY Side 1 1505611188 1505611188 J f ~ _J 1505611288 Rev-1500 EX (FI) Decedent's Social Security Number Decedent's Name: Rose Marie Allison 168 22 7776 RECAPITULATION 1. Real Estate (Schedule A) 1. 13 7 , 0 0 0 • 0 0 2. Stocks and Bonds (Schedule B) 2. 7 , 5 2 3 • 7 9 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. 0 • 00 4. Mortgages and Notes Receivable (Schedule D) 4. 0 .00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 5A12 .63 6. Jointly Owned Property (Schedule F) = Separate Billing Requested 6. 81641 .5 9 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested 7. 454 • 31 8. Total Gross Assets (total Lines 1 through 7) 8. 15 8 , 6 3 2 .32 9. Funeral Expenses and Administrative Costs Schedule H 9. 4 9 , 6 2 5 .5? 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) 10. 5 , 712 • 51 11. Total Deductions (total Lines 9 and 10) 11. 5 5 , 3 3 8 .08 12. Net Value of Estate (Line 8 minus Line 11) 12. 103,294 .24 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 13. 0 .00 14. Net Value Subject to Tax (Line 12 minus Line 13) 14. 103,294 .24 TAX CALCULATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 0-00 15. 0.00 16. Amount of Line 14 taxable at lineal rate X.045 103,294.24 16. 4,648.24 17. Amount of Line 14 taxable at sibling rate X .12 0-00 17. 0.00 18. Amount of Line 14 taxable at collateral rate X .15 0-00 18. 0.00 19. TAX DUE 19. 4,648-24 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505611288 1505611288 J Rev-1000 EX (F]) Page 3 File Number Decedent's Complete Address: 21 11 1290 DECEDENTS NAME Rose Marie Allison STREErADDRESS 2070 Enfield Street CITY STATE ZIP Cam Hill PA 17011 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 4.648.24 2. Credits/ Payments A. Prior Payments 4,000.00 B. Discount 210.52 Total Credits (A+ B) (2) 4,210.52 3. Interest (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 437.72 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 • . • ❑ X b. retain the right to designate who shall use the property transferred or its income ❑ X c. retain a reversionary interest ❑ N d. receive the promise for life of either payments, benefits or care? • ❑ X 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? • • ❑ X 3. Did decedent own an "in trust for' or payable-upon-death bank account or security at his or her death? ❑ N 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? X ❑ 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. Sect. 9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. Sect. 9116(a)(1.1)(ii)]. The statue 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. Sect. 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. Sect. 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. Sect. 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+(01-10) III, pennsyluana SCHEDULE A INHERITANCETAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Rose Marie Allison 21 11 1290 All real property owned solely or as a tenant in common must be reported atfair 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 relevantfacts. 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 DESCRIPTION OF DEATH 1 2070 Enfield Street, Camp Hill, PA 17011 137,000.00 Per appraisal See attachment to Schedule A. TOTAL (Also enter on Line 1, Recapitulation.) 137,000.00 If more space is needed, insert additional sheets of the same size. R E V -1503 EX+ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rose Marie Allison 21 11 1290 All property jointly-owned with right of survivorhsip must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Transamerica Asset All Conv Port Class A 7,523.79 Per Estate Val TOTAL (Also enter on line 2, Recapitulation) 7,523.79 (If more space is needed, insert additional sheets of the same size) REV-1508 EX+(11-10) pennsylvania SCHEDULE E CASH, BANK DEPOSITS, & MISC. INHERITANCETAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Rose Marie Allison 21 11 1290 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Susquehanna Valley Federal Credit Union 776.80 Per 03/2/12 letter 2 Misc. Household Items 1,805.83 Per auction proceeds 3 AARP, Medical Insurance Claim 1,182.75 4 US Treasury, Refund 667.00 5 Annuity Payment 580.25 TOTAL (Also enter on line 5, Recapitulation) 5,012.63 If more space is needed, insert additional sheets of the same size REV-1509 EX+(01-10) pennsylvania SCHEDULE F VOPARI WN?: OF REV NV: INHERITANCETAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Rose Marie Allison 21 11 1290 If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. William B. Allison 238 Perry Valley Road Son Millerstown, PA 17062 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY. INCLUDE NAME OF FINANCIAL %OF DATE OF DEATH ITEM FORJOINT MADE INSTITUTIONAND BANKACCTNUMBEROR SIMILAR IDENTIFYING DATE OF DEATH DECD'S VALUEOF NUM. TENANT JOINT NUMBER. ATTACH DEED FORJOINTLY-HELD REAL ESTATE. VALUEOFASSET INTEREST DECEDENTS INTEREST 1 A /1/1958 PNC Bank Checking Account 5140000777 joint 7,179.30 50.000 3,589.65 with Decedent's son, William B. Allison Total value $7,179.35 /1/1958 Interest on above item accrued as of 0.05 100.00 0.05 decedent's death 2 A 2/2/1985 PNC Bank Savings Account 5130071758 joint 10,101.47 50.000 5,050.74 with Decedent's son, William B. Allison Total value $10,102.62 2/2/1985 Interest on above item accrued as of 1.15 100.00 1.15 decedent's death TOTAL (Also enter on Line 6, Recapitulation) 8,641.59 If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+(08-09) i pennsylvania SCHEDULE G n~Wnr;re~attr OF RFV~N;~c INTER-VIVOS TRANSFERS AND E TURN RESIDENT DE MISC. NON-PROBATE PROPERTY RESIDENT ESTATE OF FILE NUMBER Rose Marie Allison 21 11 1290 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE NAME OFTRANSFEREE, RELATIONSHIPTO DECEDENT& DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE NUM DATE OFTRANSFER. ATTACH COPYOF DEED FOR REAL ESTATE VALUE OF ASSET INTEREST (IFAPPLICABLE) VALUE 1 Nationwide Annuity Contract 01-5968274 454.31 100 454.31 Beneficiary: Decedent's son, William B. Allison Per 12/14/11 letter TOTAL (Also enter on Line 7, Recapitulation) 454.31 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+(10-09) d III, pennsylvana SCHEDULE H orvnkrMrW c;rrRrv=rev? FUNERAL EXPENSES AND INHERITANCETAX RETURN RESID ADMINISTRATIVE COSTS RESIDENT DECED ENT ESTATE OF FILE NUMBER Rose Marie Allison 21 11 1290 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 Holy Cross 975.00 2 Myers Funeral Home 12,017.00 3 Gingrich Memorial 1,090.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 6,000.00 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: 343.50 5. Accountant Fees: 6. Tax Return Preparer Fees: See schedule attached 29,200.07 TOTAL (Also enter on Line 9, Recapitulation) 49,625.57 If more space is needed, use additional sheets of paper of the same size. Page 2 Estate of: Rose Marie Allison 21 11 1290 Schedule H, Part B - Administrative Costs Miscellaneous Expenses Item Number Description Amount 7 PPL 52.34 8 PNC Bank, check printing fee 17.99 9 PNC Bank, service charge 20.00 10 Verizon 2.30 11 PPL 51.68 12 Saidis, Sullivan & Rogers, out of pocket expenses 75.00 13 Superior Plus Energy 255.00 14 Comcast 94.99 15 Camp Hill, sewer 150.00 16 Saidis, Sullivan & Rogers, out of pocket expenses 156.47 17 Superior Energy 255.00 18 Ohio Casualty 255.00 19 PPL 52.39 20 Peerless Insurance 255.75 21 Saidis, Sullivan & Rogers, out of pocket expenses 6.65 22 Penn Waste Inc 45.75 23 PPL 51.80 24 Reliance Environmental, Inc., underground storage tank closure and clean- 4,620.00 up 25 HB McClure 99.00 26 Comcast 56.77 27 Blade Enterprises 1,706.50 28 Per Capita 4.90 TOTAL. (Carry forward to main schedule) 8,285.28 Page 3 Estate of: Rose Marie Allison 21 11 1290 Schedule H, Part B - Administrative Costs Miscellaneous Expenses Item Number Description Amount 29 PPL 31.20 30 Superior Plus Energy 255.00 31 Comcast 32.50 32 Superior Plus Energy 150.00 33 Superior Plus Energy 255.00 34 PPL 27.65 35 Comcast 46.30 36 Penn Waste Inc 45.75 37 PPL 28.13 38 PPL 74.36 39 Superior Plus Energy 255.00 40 Camp Hill Boro Sewer 165.00 41 Superior Energy Plus 255.00 42 PPL 84.75 43 Saidis, Sullivan & Rogers, out of pocket expenses 1.55 44 Superior Plus Energy Services Inc 255.00 45 PP&L 46.10 46 Penn Waste, Inc. 45.75 47 Superior Plus Energy Services 255.00 48 Central Penn Appraisals Inc 375.00 49 PP&L Electric Utilities 18.30 50 Superior Plus Energy Services 255.00 51 Reliance Environmental Inc $12,373.48 less state reimbursement $4,000 8,373.48 TOTAL. (Carry forward to main schedule) 11,330.82 Page 4 Estate of: Rose Marie Allison 21 11 1290 Schedule H, Part B - Administrative Costs Miscellaneous Expenses Item Number Description Amount 52 Borough of Camp Hill Sewer 165.00 53 PP&L Electric Utilities 20.31 54 Peerless Insurance Company, home insurance 466.00 55 Superior Plus Energy Services 255.00 56 Commonwealth of PA, oil tank clean up plan review 500.00 57 PP&L Electric 25.16 58 Superior Plus Energy Services 255.00 59 Law firm used by clean up company to review papers given to the state 1,512.50 60 Cumberland County Register of Wills, filing fees 30.00 61 Saidis, Sullivan & Rogers, reserve for additional out of pocket expenses 100.00 62 Superior Plus Energy 255.00 63 Reliance Environment, Inc., estimated cost of additional engineering work in 6,000.00 monitoring soil of property TOTAL. (Carry forward to main schedule) 9,583.97 REV-1512 EX+(12-08) pennsylvanaa SCHEDULE I pw'Vgii'I MFN 1' OF of+l"sNU DEBTS OF DECEDENT, IN HER [TAN C TAX R E TURN RESIDENT DE MORTGAGE LIABILITIES & LIENS RESIDENT ESTATE OF FILE NUMBER Rose Marie Allison 21 11 1290 Report debts incurred by decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 PPL 41.25 2 Andrews & Patel Associates 16.24 3 Unitedhealthcare premium 25.75 4 AD&D 6.60 5 Hospice of Central Pennsylvania 4,680.00 6 Comcast 94.86 7 Superior Plus Energy Services 255.00 8 Verizon Wireless 48.21 9 Penn Waste Inc 45.75 10 U n ited healthcare premium 25.75 11 Andrews & Petel 8.12 12 West Shore Pathology 75.41 13 West Shore Pathology 18.37 14 Critical Care Systems 371.20 TOTAL (Also enter on Line 10, Recapitulation) 5,712.51 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) pennsyluania SCHEDULE J DFRARrmFw 0+RFV^N.)F INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Rose Marie Allison 21 11 1290 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBE NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY Do Not List Trustees OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions, and transfers under Sec. 9116(a)(1.2).] William B. Allison Son 51,647.12 238 Perry Valley Road Millerstown, PA 17062 James H. Allison, III Son 51,647.12 140 Leland Road Becket, MA 01223 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15TH ROUGH 18OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART it - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. If more space is needed, use additional sheets of paper of the same size. Cayle Swindler From: Cayle Swindler Sent: Wednesday, August 22, 2012 11:31 AM To: RA-InheritanceTaxExt@state.pa.us Cc: John Slike Subject: Estate of Rose Marie Allison Re: Estate of Rose Marie Allison File Number: 21-11-1290 Date of death: 11/26/11 Dear Sir/Madam: Please accept this correspondence as our request for an extension of time for filing the PA Inheritance Tax Return for the above-referenced Estate. If you have any questions, please do not hesitate to contact me. Sincerely yours, John E. Slike, Esquire Saidis, Sullivan & Rogers 635 North 12th Street, Suite 400 Lemoyne, PA 17043 islike@ssr-attorneys.com 717-612-5800 1 ~Oi -NONWE.i LTN O' F Nf Sl_V ANIi- 1- C,- 1 . L L;.'; '-96 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015630 ALLISON WILLIAM B 238 PERRY VALLEY ROAD MILLERSTOWN, PA 17062 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold 101 $4,000.00 ESTATE INFORMATION: SSN: 168-22-7776 FILE NUMBER: 2111-1290 DECEDENT NAME: ALLISON ROSE MARIE DATE OF PAYMENT: 02/27/2012 POSTMARK DATE: 02/24/2012 COUNTY: CUMBERLAND DATE OF DEATH: 11/26/2011 TOTAL AMOUNT PAID: $4,000.00 REMARKS: RECEIPT TO ATTY CHECK#3300 INITIALS: CJ SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS TAXPAYER i i i f LAST WILL AND TESTAMENT Ij OF Ii ROW MARTF ALL NON ~I 11 ncrr lea A 7 ril c f r'..=... Hill, 1, .,,.1 r7 l~'.-,,,,-.+. Pennsylvania, declare this to be my Last Will and Testament, hereby revolting any Will previously made by me. 1. 1 direct the payment of all my just debts and funeral expenses out of my estate l i as soon as may be toractical after my death. ~l f IIL 1 devise and bequeath all the rest, residue and remainder of my estate of I' ~I whatever 'nature and wherever situate to my children, JAMES H. ALLISON, III, and YY 1LLJ_'1UY1 1J, rLl-i,10 VI V, 111 Glj U41 3 1lal lJJ, lllt• J11QllJ UI R LL4,1,Lao,i u l,llllu lU Ul. F Uiu LU lllo 100-1 per sthpes. IV. I nominate, constitute and appoint my son, WILLIAM B. ALLISON, as Executor of my estate. Should my said son fail to quality or cease to act as such, then I i i annrnnt mv cnn TATORO, N AT .T.T4(hN TTT ac F.xPrntnr of my Pctate h]nnP of my Fxentltnr~ shall be required to post bond in this or any otherjurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the SAIDIS, F[ ,~lwF~z 1c LINDSAY aay of - Dui u. ATTORNrYS•AT- AW 2109 Market Street r, 1a;11 PA :SEAL) ROSE MARIE ALZMSON 1j 1i I 1 I I I Signed, sealed, published and declared by ROSE MALE ALLISON, the Testatrix herein named, on this and two (2) other sheet of paper, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses f, f ,L~/ - rV.,-.rte t. _ Name - Address ~ ~ ~ LL lIY t i%',.t, f;~~ ~.l a"l r,..•,~;d~;/: ~„j;li f~~'•"tl/ ~y , J v i 11 Name Address COMMONWEALTH OF PENNSYLVANIA :ss. COUNTY OF CUMBERLAND WE, the undersigned, the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix signed the will as witnesses and that to the best of their knowledge the Testatrix was at that time eighteen years of age or older, of sound mind, and under no pnstraint or undue influence. ROSE MAI', ALLISON, Testatrix fitness - Witness SAIDIS, FLjO'VVER &z LPgDSAY ATTUWJGYS•AT- 2109 Market Street Camp Hill, PA -2- I COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND r. On this the J day of before me, it the undersigned officer, personally ,appeardil John E. Shke, Esquire, known to me or satisfactorily proven to be a member of the bar of the highest court of Pennsylvania, and ified that he was personally present when the foregoing acknowledgment and affidavit cert were signed by the testator and witnesses. IN WITNESS WHEREOF, I hereunto set my hand and official seal. LAI j Notary Public OMMC)NVVEALTH OF PENNSYLVANIA Notarial Seal so Ann Seker, Notary Public Gamp Hill Boro, Cumberland County IUi~t Commission Expire,, June 30, , .itir r+l Ap„opUation of Notaries Member. t-' n } i SA MIS VYER LINDSAY ATRIRNE",AT.LAW 2109 Market Street Camp Hill, PA -3- Attachment to Schedule A Estate of Rose Marie Allison The attached appraisal of real property by Central Penn Appraisal does not include the extensive costs of environmental cleanup that were necessary in order to make the property inhabitable and marketable. The subject property - 2070 Enfield Street, Camp Hill, PA - is serviced by a private well and an inspection of the property revealed that the well and property were compromised by a fuel oil tank also located on the property. The tank had to be excavated, removed and the surrounding earth decontaminated. An additional inspection is required, as well as the filing of a completion report with the Pennsylvania Department of Environmental Protection. Copies of two (2) of the invoices for the environmental cleanup are attached hereto. Items 24, 51 and 59 on Schedule H totaling $14,505.98 reflect the costs incurred by the Estate to date in retaining Reliance Environmental, Inc. and its law firm to complete this work. Item 56 on Schedule H in the amount of $500 reflects a payment made to the Commonwealth of Pennsylvania to review Reliance Environmental's proposals. Additional expenses in monitoring and reporting the results of wells on the property are estimated by Reliance Environmental to cost $6,000. These expenses were required in order to prepare the property for sale, but, in any event, would affect the date of death value of the property. RELIANCE 't 930 E. Chestnut Street, L,aficrJster, Nfi i iouz t % iii 55-9508 INVOICE Mr. William Allison March 22, 2012 2070 Enfield Street Project WA-001 Camp Hill, PA 17011 Invoice 12-019 RE: Underground Storage Tank (UST) Closure & Clean-Up All time and materials according to the March 19, 2012 cost proposal Tank Management Activities $ 3,000.00 All excavation equipment/operator, tank removal/cleaning/disposal, Liquid/sludge waste disposal, backfill placement. REI Labor $ 845.00 Closure activity supervision, soil sample collection, data review/assessment, PA PG oversight, Laboratory Subcontractor $ 525.00 5 Soil Samples (PADEP #2 fuel oil suite) @ $105/sample Miscellaneous / Equipment Costs $ 250.00 PID, PPE, sample/decon. supplies, field truck, disposables. TOTAL DUE $4,620.00 THANK YOU! Payment Terms: Net 30 days; 1.5% beyond compounded monthly. } Reliance 130 E. Chestnut Street. Lance = 12 (717) 735-9508 L INVOICE Mr. William Allison October 24, 2012 2070 Enfield Street Project WA-001-01 Camp Hill, PA 17011 Invoice 12-070 RE: PADEP Act 2 closure and Release of Liability Procurement - Unregulated No. 2 Heating Oil UST Allison Residence, 2070 Enfield Street, Camp Hill, PA Time & Materials according to the April 25, 2012 cost proposal 1. Collect/analyze a soil sample from the designated "clean" soils removed during the tank closure process - required to re-use soils from a contaminated excavation site. 2. Collect/analyze a waste soil (contaminated) sample for disposal characterization purposes. Required prior to transportation & disposal of contaminated soils. 3. Transportation and disposal of the contaminated soils removed and stockpiled during the tank removal process- July 2012. 4. Access and gauge/inspect the existing supply well-April 16, 2012. 5. Delineate remaining contaminated soilsthrough a limited soil boring investigation - May 15, 2012. 6. Supply Well Pump Extraction- costs were billed directly to the client by the plumber. 7. High Vacuum Extraction (HVE) - remove/dispose of separate phased oil on the groundwater table. 840 gallons were removed and disposed of-May 25, 2012. 8. Prepare and submit a Notice of Intent to Remediate (NIR) to formally enter the site in the PADEP Act 2 Program (closure and release of liability). 9. Re-assess the data to finalize any additional actuities not accounted for in this proposal required for closure (dependent on ground water findings). 10. Prepare and submit an Act 2 Fhal Report and petition for a Release of Liability. Tasks 1 and 2 - Waste Characterization and Permitting $ 550.00 Labor $175 FC-1 application preparation/submission Laboratory Subcontractor $375 1 "Clean" Soil Sample (PADEP #2 fuel oil suite) @ $105/sample 1 Waste Characterization Soil Sample TPH DRO, BTEX, TOX) @ $270 Task 3 - Soil Disposal $ 1,773.48 Manifesting - $130 Load/Transportation - $960 (est.) Additional Fill Material (compensate for settling - $125 Transportation & Disposal 10.74 tons @ $52/ton Task 4 - Supply Well Access/Gauging $ 325.00 Labor/Mob/Interface Probe-April 16, 2012 Task 5 - Soil Borings $ 2,340.00 Labor $450 Miscellaneous Expenses $200 (PID, field truck, PPE, sampledecon) GeoProbe Subcontractor $1,375 Laboratory Subcontractor $315 3 Soil Samples (PADEP #2 fuel oil suite) @ $105/sample Reliance Environmental, Inc. Invoice 12-070 Project WA-001-01 Task 7 - HVE Event $ 2,110.00 Labor $360 Miscellaneous Expenses $150 (HVE manifold, field truck, PPE) Vacuum Trailer Unit $1600 (T&D of waste, lab, mob, opeator) Task 8 - NIR $ 550.00 Labor ($300) Public Notification ($225) Admin Expenses ($25) Task 9 - Data Assessment and Project Mgmt $ 285.00 Project oversight, data reviews.. Professional Geologist (3 hrs @ $95/hr) Task 10 - Final Report $2,565.00 Professional Geologist (4 hrs @ $95/hr) Project Geologist (24 hrs @ $75/hr) Administrative Costs ($160) Public Notifications ($225) Subtotal: $ 10,498.48 Out of Scope Services: $ 1,875.00 Supply Well Gauging - June 11, 2012 $325.00 Labor/Mob/Interface Probe Supply Well Sampling -June 29 and August 17, 2012 $1,550.00 ($775/event x 2) Labor $150/event Miscellaneous Expenses $520/event (Field truck, PPE, interface probe, horiba, groundwater pump, sample decon) Laboratory Subcontractor $105/event 1 Water Sample (PADEP #2 fuel oil suite) @ $105/sample TOTAL DUE $ 12,373.48 THANK YOU! Payment Terms: Net30 days; 1.5% beyond compounded monthly. w_IAi_r File Liu Ef!RELU2NO! Parr JJ I' APPRAISAL OF REAL PROPERTY L-. Fy7 . LOCATED AT 2070 Enfield St Camp Hill, PA 17011 Deed Book 0025p page 00383 FOR Private OPINION OF VALUE 137,000 AS OF 11/28/11 BY Robert K. Banzhoff Central Penn Appraisals 24 W.Main Street Shiremanstown, PA 17011 (717) 737-4600 Form GA2V - "WinTOTA!" appraisal soliware by a la mode, inc. - 1-880-ALAM00E (Ivfain mile biu. till TELD2'Ool Pargt&Z SUMMARY OF SALIENT FEATURES Subject Address 2070 Enfield St Legal Description Deed Book 0025p page 00383 City Camp Hill County Cumberland State PA Zip Code 17011 Census Tract 0105.00 Map Reference metro 2848 a-1 Sale Price $ Dale of Sale Borrower NIA Lender/Client Private Size (Square Feet) 1,559 Price per Square Foot $ Location average Age 68 Condition average Total Rooms 6 Bedrooms 4 Baths 2 Appraiser Robert K. Banzhoff Date of Appraised Value 11/28/11 Opinion of Value $ 137,000 From SSD3 - "WinTOTAL" appraisal software by a la mode, inc. - 1-808-ALAMODE Genir<?l Penn Appraisal:, Inc_ 171 7~ 731-460li ~wiau R .IJo. LIIfd L02m) I our =i3 RESIDENTIAL APPRAISAL SUMMARY REPORT FileNo.: ENFIELD2070 Properly Address. 2070 Enfield St Cily_Camp Hill _ _ Slate: PA lip Gone 17011 _ Count Cumberland Legal Description. Deed Book 0025p page 00383 Assessor's Parcel 01-20-1854-177 W! M, Tax Year. 2012 R.E. Taxes: $ 2,853 Sep cial Assessments $ 0 Borrower (ii applicable) N/A _ M: Current Owner of Record: Allison Rose Marie Dccupant ❑ Owner ❑ Tenant 0 Vacant ❑ Manulactured Housinq_ Project Type. ❑ PUD ❑ Condominium ❑ Cooperative [3 Other (describe) FIX $ ❑ Per Year E] Per month Markel Area Name: Camp Hill Borough Map Relerence: metro 2848 a-1 Census 1 ract 0105.00 'F,i The purpose of this appraisal is to develop an opinion of ' Market Value as defined , or other type of value describe) This report reflects the 1011 wino value (it not Current see comments) ❑ Current (tire Inspection Date is the Effective Date) ❑ Retrospective [ I Prospective zj Approaches developed for this appraisal X Sales Comparison Approach Cost Approach ❑ Income Approach (See Reconciliation Comments and Scope of Work Pro ed Rights Appraised Fee Simple ❑ Leasehold ❑ Leased Fee ❑ Other (descnbe) Zj Intended Use: This appraisal is for private use and not for lending purposses y yl Intended User(s) (by name or type) f Client Private Address: kC Appraiser: Robert K. Banzhoff Address: 24 W.Main Street, Shiremanstown, PA 17011 Location: L _j Urban Suburban Rural Predominant One-Unit Housing Present Land Use Change in Land Use e!fl) Built up © Over 75% ❑ 25-75% ❑ Under 25% Occupancy PRICE AGE One-Unit 80% ❑ Not Likely zi Growth rate: ❑ Rapid Stable ❑ Slaw ®owner $(UUO) (yrs) 2-4 Unit 5 % Likely' In Process' O; I.- Property values. ❑ Increasing >Z 1' Stable ❑ Declining ED Tenant BO Low 0 Multi-Unit 5 % ' To F,; Demand/supply E_] Shortage 0 In Balance ❑ Over Supply © Vacant (0-5%) 65D High 100+ Comm'I 5 % NI Marketing time. ❑ Under 3 Mos Z 3-6 Mos. El Over 6 Mos. [-j Vacant >5% 180 Pied 60 vacant 5 % of Market Area Boundaries, Description, and Market Conditions (including support for the above characteristics and trends): The home is located within the Q~ boundaries of Camp Hill Borough This suburban neighbor hood has relatively easy access to employment and services and is competitive with uuI other neighborhoods in the general area Most have similar amenities No unfavorable factors were observed which would adversely effect marketability. w, Yi Fi Site Area: .08 Dimensions: see lot plan ' y Zoning Classification: k fir residential Description: low density residential G.' Isl, Zoning Compliance'. ❑ Legal ❑ Legal nonconforming grand(athered ❑ Illegal ❑ No zoning xa Are CC&Rs applicable? ❑ Yes ®No ❑ Unknown Have the documents been reviewed? ❑ Yes ❑ No Ground Beni if applicable $ / Highest & Best Use as improved. Z Present use, or ❑ Other use (explain) 1 Actual Use as of Effective Date: single family home Use as appraiser) in this report: residential 412 Summary of Highest & Best Use: Highest and best use is for a single family home/ in home business O; 17 utilities Public Other Provider/Description OH-site Improvements Type Public Private Topography level w. Electricity ® E] Street asphalt ® ❑ size typical for area W, Gas ❑ ❑ Curb/Gutter concrete ® ❑ Shape rectangular Iw_-.'I Water ❑ ® well Sidewalk none ❑ ❑ Drainage appears good wi Sanitary Sewer ® ❑ Street Lights pole ® ❑ View average Storm Sewer ❑ ❑ Alley none ❑ ❑ rfrj Other site elements: [ Inside Lot ❑ Corner Lot ❑ Cut de Sac ❑ Underground Ulilities ❑ Other describe rj FEMA Spec'I Flood Hazard Area ❑ Yes [XI No FEMA Flood Zone X FEMA Map # 42041 C0281 E FEMA Map Date 03116/2009 £,~(lSite Comments: Site has average site improvements average landscaping and typical maintenance There are no apparent adverse easement rkrl encroachments or other adverse conditions on this site General Description Exterior Description Foundation Basement None Heating y # of Units 1 ❑ Acc.Unit Foundation concrete block Slab es Area Sq. Ft. Type hot air # of Stories 2 Exterior Walls brick/vinyl Crawf Space % Finished Fuel oil Type QI Del. ❑ All, ❑ Roof Surface shingle Basement _ Ceiling f( ❑ Design (Style) cape cod Gutters & Dwnspls aluminum sump Pump Walls Cooling 1 ® Existing ❑ Proposed E) Und.Cons. Window Type dble hung/casee Dampness ❑ Floor Central yes Storm/Screens none/some Settlement Outside Entry Other in! Actual Age (Yrs.) 68 ' Z+ Effective Age (Yrs. 24 Infestation mi Interior Description Appliances Attic 0 None Amenities Car Storage ❑ None >i Floors car eUvin I Refrigerator ❑ Stairs ❑ Fireplace(s) # Woodslove(s) # Garage # of cars ( 2 Tol.) 'I Walls drywall Range/Oven ® Drop Stair [_3 Patio front Atlach I, Trim/Finish wood Disposal ❑ Scuttle ❑ Deck Detach. 1 WI, Bath Floor vinyl/carpet Dishwasher ❑ Doorway ❑ Porch BIt-In _ Bath Wainscot fiberglass Fan/Hood ❑ Floor ❑ Fence Carport Doors wood microwave ❑ Heated ❑ Pool Driveway 1 Of Washer/Dryer ❑ Finished ❑ Surface concrete ZI Finished area above grade contains: 6 Rooms 4 Bedrooms 2 Baths 1,559 Square Feel of Gross Living Area Above Grade q~j Additional features: Remodeled kitchen some replacement windows newer furnace Lo Describe the condition of the property (including physical, iunclional and external obsolescence): The home could use some cosmetic upgrade. It has a newer W. of kitchen but the bathrooms are dated but in fairly good shape This home is on a slab or crawl space which is not very common for the age and style of the home. gP+~ 2N ®RESIDENTIAL GopyrighlUe 2007 by a la mode, inc. This form may be reproduced unmotlilied wiliroul written permission, however, a )a mode, inc, must be acY.novdetlgerl and aediretl 3/2007 Form GPRES2 - "WinTOTAL" appraisal software by a la mode, inc. - 1-800-ALAMODE f^~i ~u;PhtCIJFIELD20;(~ ~LI~ RESIDENTIAL APPRAISAL SUMMARY REPORT Filel,o.: ENFIELD2070 My research l did hi did not reveal any prior sales or transfers of the subject properiy for life three years prior to the effective date of this appraisal Data Soince(s). Tax Records of 1st Prior Subject Sale/lransler Analysis of saleltransier history and/or any current agreement of sale/listing m~ Date: ~I Price: w Source(s): (n 2nd Prior Subject Sale/1 ransjer _ i Date: F ' Price qi Sources "'rl SALES COMPARISON APPROACH TO VALUE if develo ed The Sales Comparison Approach was riot developed lot this appraisal. a FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 2070 Enfield St 207 N 24th St 117 N 201h St 304 N 17th St Camp Hill PA 17011 Cam Hill PA 17011 Cam Hill PA 17011 Cam Hill, PA 17011 Proximity to Subject _ 0.31 miles SW 0,41 miles SE_ 0.26 miles BF ,r Sale Price $ 1E0,000 $ _ 133,000 $ 149 900 Sale Pnce/GLA $ /s fl. $ 77.48 /s tt. $ 107.17 /s .1l $ 121.47 /sq K -C Data Source(s) mis/a ern _ mis/agent rims/agent Verification Source s) tax records tax records tax records VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION $ Adjust. DESCRIPTION 1 - $ Adjust DESCRIPTION $ Adjust yh@@rl Sales or financing conventional cash The +5;1 Concessions none known none known seller het $7,935 4„u 11A Dale of Sale/Time 5131/11 11/8111 12/3110 l Rights Appraised Fee Simple Fee Simple Fee Simple Fee Simple i P ~ Location averse averse averse average Site 08 .16 -2,000 .15 -2,000 13 -2 000 average average View avers a average ~j Design (Style) cape cod 2 story cape cod split level spy Quality of Construction averse averse averse average Age 68 82 0 62 64 Condition averse averse avera a better than avers a -5.000 1~. Above Grade Total Bdrms Baths Total Bdmrs Baths Total Bdrms Baths Total Bdrms Baths o f Room Count 6 4 2 7 4 1 +4000 7 4 2 6 3 1 +4.000 Gross Living Area 1,559 5 ft. 2,065 s it -10,100 1,241 S CA. +6,400 1,234 5 1t. +6,500 Basement 8 Finished slab full basement -8,000 full basement -8,DDO part basement -6,000 !I Rooms Below Grade unfinished rec room -3,000 unfinished I` Functional Utility average average average average v'r Ali Heatin /Coolin fa/ca fa/no ca +4 000 fa/ca hw/ca zs Energy Efficient Items t ical for area typical for area typical for area typical for area W Garage/Carport 1 car garage 2 car garage -4 000 2 car garage -4,000 1 car garage Kj Porch/Patio/Deck alto orch/ atio 1 000 orch/decko -1,000 porch/ patio -1,000 3,500 a; none 1 fire lace -3 500 1 fireplace -3,500 1 fireplace ar none none ~f none none d none none none none Yi none none none none 21i none none none none p_1 Net Adusiment total ❑ + XI - $ -20 600 $ -15 100 ❑ + $ -7 000 of Adjusted Sale Price .'Net 12.9;.% IJet 72, 4% N f 4,7 %G rn! of Cam ambles Gross 229 d/o $ 139,400 Gloss .0;%0 $ 117 900 Gross-. 6.71°b $ 142,900 aj Summary of Sales Comparison Approach All three sales are considered to be reliable indicators of value and are weighted similarly in the final V reconciliation In order to find comparables sales it was necessary to use sales over 6 months old. All three comparable sales are located in .I t the same market area as the subject property and would be considered by the same perspective purchaser if all were on the market at the .If same time as the subject Comparables sales used are all closed sales There were no comparables on slabs or crawl spaces in the area. _ ;7ttqq a~ i I4'i I ' , Indicated Value b Sales Comparison A roach $ 137,000 ®R ES I D E NT I A L CopyrighlG 2007 by a Ia mode, inc. This form may be reproduced unmodilied without written permission, however, a middle, inc must be acknowledged and credited Form GPRES2 - "WinTOTAL" appraisal software by a la mode, inc. - 1-800-ALAMODE 3/2007 L,i re ul, Nu. `NFI r _ _070 a 1 # - RESIDENTIAL APPRAISAL SUMMARY REPORT File No. ENFIELD2070 COST APPROACH TO VALUE (if developed) Lyj The Cost Approach was not developed for this appraisal Provide adequate inlmnation for replication o1 ilia loliowulq cost figures and calculations Support mi the opinion of site value (summar), of comparable land sales or other methods for estimating site value). lati I k prF ESTIMATED ❑ REPRODUCTION OR Q REPLACEMENT COST NEW OPINION OF SITE VALUE 0= Source of cost data. DWELLING 5q.Fl @ $ al p-; Quality rating from cos( service: Effective dale of cos data S .R. @ $ W. Comments on Cost Approach (gross living area calculations, depreciation, etc.) Sq.FI. @ $ a` Sq.FI. @ $ F- Sq.H. @ $ p! U; Gara a/Carport S .H. @ $ (lli Total Estimate of Cost-New nail Less Physical Functional External Deprecratio . ~ Depreciated Cost of Imnrovemenls "As-is" Value of Site Improvements V.. `FHI $ .j Estimated Remaining Economic Lite (it regularly Years INDICATED VALUE BY COST APPROACH S'. INCOME APPROACH TO VALUE if developed) X -1 he income Approach was not developed for this appraisal. U' Estimated Monthly Market Rent $ _ X Gross Rent Multiplier = $ Indicated Value by Income Approach Ri Summary of Income Approach (including support for market rent and GRM): m; ai Q. w. of U: Z PROJECT INFORMATION FOR PUDs if applicable) The Subject is part of a Planned Unit Development. Le al Name of Pro ecC 1411 o. Describe common elements and recreational facilities: a: ~M °`L Indicated Value by: Sales Comparison Approach $ 137,000 Cost Approach (if developed) $ Income Approach (If developed) $ (?4c Final Reconciliation This appraisal assumes a reasonable marketinq period for the subject property of three months The Market Approach reflects recent activity in the market place The Market Approach reflects recent activity in the market place. The Income Approach is inappropriate ' because few single family houses are rented in this market In view of the age of these improvements the Cost Approach cannot be z considered an accurate indicator of value. 0 F31 Q; This appraisal is made ®'as is", ❑ subject to completion per plans and specifications on the hosts of a Hypothetical Condition that the improvements have been J' completed, ❑ subject to the following repairs or alterations on the basis of a Hypothetical Condition that the repairs or alterations have been completed, ❑ subject to Zthe lollowing required inspection based on the Extraordinary Assumption that the condition or deficiency does not require alteration or repair: O: U- Lu W -1j This repot is also subject to other Hypothetical Conditions and/or Extraordinary Assumptions as specified in the attached addenda. ir' Based on the degree of inspection of the subject property, as indicated below, defined Scope of Work, Statement of Assumptions and Limiting Conditions, 1)i' land Appraiser's Certifications, my (our) Opinion of the Market Value (or other specified value type), as defined herein, of the real property that is the subject Of this report Is: $ 137,D00 es of: 11/28/11 which is the efiecfive 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. F; A true and complete copy of this report contains 14 pages, including exhibits which are considered an integral part of the report This appraisal report may not be w properly understood without reference to the information contained in the complete report. Attached Exhibits: vl ®Scope of Work ® Limiting Cond./Cerfilications ® Narrative Addendum ❑ Photograph Addenda Sketch Addendum a' Map Addenda ❑ Additional Sales ❑ Cost Addendum ❑ Flood Addendum ❑ Mamd. House Addendum ❑ ❑ ❑ C! ❑ Hypothetical Conditions ❑ Extraordinary Assumptions Client Contact. Client Name Private 1A E-Mail. Address: APPRAISER SUPERVISORY APPRAISER (if required) f or CD-APPRAISER (if applicable) /a t?. >~il in, ~I Supervisory or a be anzhoff ' Go-Appraiser Name: q~ Appr er Name: Ro Co ny: Central Pe ppraisals Company: Ni Phone: (717) 737-4600 Far,: (717) 737-9123 Phone: Fax. ' E-Mail: E-Mail. d Dale of Report (Signature): 0912412012 Date of Report (Signahrre): License or Certification RLOO1231 L State PA License or Certification Stale. Designation: Designation 6 Expiration Date of License or Certification 06130/2013 Expiration Date of License or Cedification: d Inspection of Subject [JX Interior & Exterior ❑ Exterior Only ❑ None Inspection of Subject. Q Interior & Exterior ❑ Exterior Only ❑ None Date of Inspection 11128/2011 Dale of Inspection ®RESIDENTIAL CopytlghlU 2007 by a la mode. Inc. This Iomn may be reproduced unmodified wilhoui written Permission, however, a la mode, me roust be acknowledged and coedited • Form GPRES2 - "WinTOTAL" appraisal software by a la mode, inc - 1-800-ALAMODE 3/2007 [dlaol [fir No i NHELIi207Ui f'ag_W6 File No. ENFIELD2070 DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby. (1) buyer and seller are typically motivated, (2) both parties are well informed or well advised, and each acting in what he considers his own best interest, (3) a reasonable time is allowed for exposure in the open market, (4) payment is made in terms of cash in U.S dollars or in terms of financial arrangements comparable thereto, and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions" granted by anyone associated with the sale (Source. FDIC Interagency Appraisal and Evaluation Guidelines, October 27, 1994.) " Adjustments to the comparables must be made for special or creative financing or sales concessions No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable properly by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgment. STATEMENT OF LIMITING CONDITIONS AND CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears in the appraisal report is subject to the following conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it. The appraiser assumes that the title is good and marketable and, therefore, will not render any opinions about the title. The property is valued on the basis of it being under responsible ownership 2. Any sketch provided in the appraisal report may show approximate dimensions of the improvements and is included only to assist the reader of the report in visualizing the property. The appraiser has made no survey of the property 3. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand, or as otherwise required by law. 4. Any distribution of valuation between land and improvements in the report applies only under the existing program of utilization. These separate valuations of the land and improvements must not be used in conjunction with any other appraisal and are invalid if they are so used. 5. The appraiser has no knowledge of any hidden or unapparent conditions of the property or adverse environmental conditions (including the presence of hazardous waste, toxic substances, etc.) that would make the property more or less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied, regarding the condition of the property. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. This appraisal report must not be considered an environmental assessment of the subject property. 6. The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or she considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of such items that were furnished by other parties. 7. The appraiser will not disclose the contents of the appraisal report except as provided for in the Uniform Standards of Professional Appraisal Practice, and any applicable federal, state or local laws. 8. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that completion of the improvements will be performed in a workmanlike manner. 9. The appraiser must provide his or her prior written consent before the lender/client specified in the appraisal report can distribute the appraisal report (including conclusions about the property value, the appraiser's identity and professional designations, and references to any professional appraisal organizations or the firm with which the appraiser is associated) to anyone other than the borrower. the mortgagee or its successors and assigns, the mortgage insurer, consultants, professional appraisal organizations, any state or federally approved financial institution, or any department, agency, or instrumentality of the United States or any state or the District of Columbia, except that the lender/client may distribute the property description section of the report only to data collection or reporting 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 other media. 10 The appraiser is not an employee of the company or individual(s) ordering this report and compensation is not contingent upon the reporting of a predetermined value or direction of value or upon an action or event resulting from the analysis, opinions, conclusions, or the use of this report. This assignment is not based on a required minimum, specific valuation, or the approval of a loan. Page 1 of 2 Form ACR2 DEFD - "WinTOTAL" appraisal software by a la mode, inc - 1-800-ALAMODE (Main File No ENFIELD20❑ _Page, File No. ENFIELD2070 CERTIFICATION: The appraiser certifies and agrees that: 1. The statements of fact contained in this report are true and correct. 2. The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions. 3. Unless otherwise indicated, I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved. 4. Unless otherwise indicated, I have performed no services, as an appraiser or in any other capacity, regarding the property that is the subject of this report within the three-year period immediately preceding acceptance of this assignment. 5. 1 have no bias with respect to the property that is the subject of this report or the parties involved with this assignment. 6. My engagement in this assignment was not contingent upon developing or reporting predetermined results. 7. My compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. 8. My analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform Standards of Professional Appraisal Practice that were in effect at the time this report was prepared. 9. Unless otherwise indicated, I have made a personal inspection of the interior and exterior areas of the property that is the subject of this report, and the exteriors of all properties listed as comparables. 10. Unless otherwise indicated, no one provided significant real property appraisal assistance to the person(s) signing this certification (if there are exceptions, the name of each individual providing significant real property appraisal assistance is stated elsewhere in this report). ADDRESS OF PROPERTY ANALYZED: 2070 Enfield St, Camp Hill, PA 17011 APPRAIS SUPERVISORY or CO-APPRAISER (if applicable): Signature: Signature: Name: R art K. Banzhoff Name: Title: Title: State Certification RL001231 L State Certification or State License or State License State: PA Expiration Date of Certification or License: 06130/2013 State: Expiration Date of Certification or License: Date Signed: 09/24/2012 Date Signed: ❑ Did ❑ Did Not Inspect Property Page 2 of 2 Form ACR2 DEFD - "WinTOTAL" appraisal software by a la mode, inc. - 1 -800-ALAMODE (Main File Nc. E1dPIEL20701JP:a~ce Supplemental Addendum File No.ENFIELD2070 Borrower N/A Property Address 2070 Enfield St City Cam Hill Coun Cumberland State PA Zi Code 17011 Lender/Client Private This appraisal assumes a reasonable marketing period for the subject property of three months. The Market Approach reflects recent activity in the market place. The Income Approach is inappropriate because few single family houses are rented in this market. In view of the age of these improvements, the Cost Approach cannot be considered an accurate indicator of value. THIS IS A SUMMARY REPORT OF A COMPLETE APPRAISAL. APPRAISER ACKNOWLEDGEMENT: APPRAISER ACKNOWLEDGES AND AGREES, IN CONNECTION WITH ELECTRONIC SUBMISSION OF APPRAISALS, AS FOLLOWS: THE SOFTWARE UTILIZED BY THE APPRAISER TO GENERATE THE APPRAISAL PROTECTS SIGNATURE SECURITY BY MEANS OF DIGITAL SIGNATURE SECURITY FEATURE WHICH LOCKS THE REPORT WITHIN OUR OFFICE AND CAN NOT BE ALTERED BY ANYONE OTHER THAN OUR OFFICE. APPRAISER CERTIFICATION: APPRAISER STANDARDS: I acknowledge and certify that (1) my appraisal of the above referenced property may be used in a federally related financial transaction subject to requirements of Title XI of the Financial Institution Reform, Recovery and Enforcement Act of 1989 (FIRREA"); (ii) the appraisal must comply with FIRREA and the applicable regulations implementing Title IX of Firrea; and (iii) the appraisal was completed in accordance with USPAP. APPRAISER COMPETENCY: I certify that I am fully qualified and competent by training, knowledge, and experience to perform this appraisal. APPRAISER INDEPENDENCE: I represent and certify that (1) the appraisal assignment was not based on a requested minimum valuation, a specific valuation, or the approval of a loan; (ii) my employment was not conditioned upon the appraisal producing a specific value or value within a given range; (iii) my future employment is not dependent upon an appraisal producing a specific value; (iv) my employment, compensation, and future employment are not based upon whether a loan application was approved; (v) neither me nor any person with an ownership interest in the company employing me, is related to or has any ownership or other financial interest in, either the builder/developer, seller, buyer, mortgage broker, or real estate broker/salesperson (or any person related to any of them) involved in the transaction for which this appraisal was requested, or with the most recent sale or refinancing of any property used as a comparable property in this appraisal, and (vi) I am not aware of any facts which would disqualify me from being considered an independent appraiser. Form TADD - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Main File Nu. EIJFIELD2070i Page #9~ Subject Photo Page Borrower N/A Property Address 2070 Enfield St Ci Cam Hill Count Cumberland State PA Zip Code 17011 Lender/Client Private Subject Front . 2070 Enfield St Sales Price Grass Living Area 1,559 v Total Rooms 6 Total Bedrooms 4 Total Bathrooms 2 Location average - ~ - - View average = Site .08 Quality average Age 68 Subject Rear 7.: - a - I Subject Street v ~ y Farm PICPIX.SR - "WinTOTAL" appraisal software by a la mode, inc. - 1-800-ALAMODE Ivlaiti f ilea Na, EIC HD?070! Page # 10 ' Interior Photos Borrower N/A _ Prope ly Address 2070 Enfield St City Cam Hill Count Cumberland State PA Zip Cade 17011 Lender/Client Private i~ 1 .R f 1 nR r~Yr~ a" I 411 1 H ; { ~ ~tb^ f ~ I 5I1LL ' ` III i>; 1 ~ r-, li[ 4 i Vi t I Form PICINT6 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Iaain file No. EIgFIELD20i 0 - WC I e #1l' Interior Photos Borrower N/A Property Address 2070 Enfield St City Cam Hill County Cumberland Slate PA Zip Code 17011 Lender/Client Private 1 S IFtq hF` I VK p ~ II r9 ti M v ~y ~r,-•; f i~~ '•1' `r`1frr~'Y [ ~ _ f r i`~ . ` { f ~ h rl~ - 1-2-4f y\ 4 4r mo' w'' 60, ~~iliyryl_m!i~ iq, Abp Y~~r ~ i■Aaa=rf edam i JO. 1f f( J; Ii t~ UVV Q l it f f r rr ~1 11 i, 'ta 1 Form PICINT6 - "WinTOTAL" appraisal software by a la mode, inc. -1-000-ALAMODE Lain file No. ENPIELD2070 _Pat ei !t121 Comparable Photo Page Borrower NIA Property Address 2070 Enfield St City Cam Hill County Cumberland State PA Zi Code 17011 Lender/Client Private Comparable 1 ij ll 207 N 24th St Ir r4r Prox. to Subject 0.31 miles SW 1741r 1 Sales Price 160,000 z*I" -enr¢f }3y,. Gross Living Area 2,065 nt Total Rooms 7 Total Bedrooms 4 Total Bathrooms 1 Location average View average r x` ry Site .16 ' Quality average Age 82 Comparable 2 (x 117 N 20th St Prox. to Subject 0.41 miles SE Sales Price 133,000 Gross Living Area 1,241 s Total Rooms 7 Total Bedrooms 4 Total Bathrooms 2 Location average R•- i u ; View average t° Site 15 Quality average i r ' r7 Age 62 F J fj~j~ ~ ~ qtr Comparable 3 304 N 17th St Prox. to Subject 0.26 miles SE "k' vfr w sr7 _ Sales Price 149,900 Gross Living Area 1,234 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1 ` Location average _ View average !WWII Site .13 ' - Quality average Age 64 ' i. Form PIC3x5,CR - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE IMaiu Elie, IJa. EidPIELD2070[ Paye #13j Plat Map Borrower NIA Property Address 2070 Enfield St City Cam Hill County Cumberland State PA Zip Code 17011 Lender/Client Private 1 I I I 9 yy 1 I u: I I I~ I Hill, h;.'II II'IIII III ~1i4 IIt I l I rl II,II~IIIIIII Ili I III I~IIiI+ J ~ ~'qI ~F~ IH,1i53 ~ I II I II jl IIIII~h, ~ IN 1 ~~Il~~ry~ ~ ~ilt"~ ~llll!Pj~~~~Iilll' Vk~~i~llll~lllililil pp'n'I ~I I I I i I I ~}9. NII. ~ ,uP~ ' i III I Vo ~I'I il, I Y~ I I I i i'll ,I.' ~~I III Illrll I~~ i I I.t ' I I I +o ~ afrl , , I~ Ills j I I 1 f~Ll II I tl I~ Y~ 'y ~ v I M I!' ~ I Ili ~ I Ifs' I I~;~ i i Ili j ~yy YI,II ,I I d Ili ' I I I. It I GY iI~ ~I~ I j rll' II II~~~I I i I I I I II ~II I I I~I~I ~Ihl,~~ ~i ~ I I rt► I i►I II~I,UI I I 'II! uiIIII IIIIIrI~ ~I IrI~~II" ~l~pl,~~l G.Pnll I. ~ i II "j I I I I!fl I i~„ I~ ~.nl ,.I III I II II I~I~I III III ~I ~~I~~Itl, p o~ III II ~ I ..,.!I II~ I~II~,I, 1 ~ ~;L IIII III ~ I Iltl~l'~I ~Iti ~tlll ~ ' ~II~~N;I I ~ I I~~Ipi I,~ II ~ (I I I I p~ Irl 1. 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I I ili~illll lIllli ~illl li:.mIII,'1"U Form MAP.PLAT - "WinTOTAL" appraisal software by a la mode, inc. - 1-800-ALAMODE min File No EWIELD20701_Page P 141 Building Sketch Borrower N/A Pioperty Address 2070 Enfield St city Cam Hill Count Cumberland State PA Zip Code 17011 Lender/Client Private 32' 27' 29' 19' 20' 18' hti 25' 23' 7' Sk- by roes Ske1M v5 9 v W V d- Comments: AREA CALCULATIONS SUMMARY LIVING AREA BREAKDOWN Code Description Net Size Net Totals Breakdown Subtotals GLAl First Floor 890.00 890.00 First Floor GLA2 Second Floor 669.00 669.00 27.0 x 32.0 064.00 2.0 x 13.0 26.00 Second Floor 20.0 x 4.0 80.00 30.0 x 18.0 540.00 7.0 x 7.0 49.00 Net LIVABLE Area (rounded) 1559 5 Items (rounded) 1559 Form SKT.BldSkl - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE [Main File Nu. ENFIELD2070 Page #V Location Map Borrower N/A Property Address 2070 Enfield St City Cam Hill Count Cumberland State PA Zi Code 17011 Lender/Client Private a to mode, inc: „ems. OIL Centej St Je ~L JSeP. 11o1y Ilo,hd.l o Ridge Rd Z .;.I oa,x v d ~ t d m ~a \ I co 0 C a damp o\ e, Rd v Ca p ~-{111 gyp ~ ;5 i p. 9hton st ~ e m z -Z N;IKoP Ct N S Z = 3 St o r EOf,etd ~ My'de Pve ~ ~ ROtland 5t ~ 7 JQ on ~P ton S~ COtn D pllln9 r:;J Lincoln St O nco\n St z 5t i a Z Aarendo~ v m N N z Z Page St Dartmovih St I Logan St oQ¢ St L LDqaY\ wnlow v~.x 2 Kent St High St C~in~. hill i:ctler~ L z N ~ O Wale I ~71111 f ist n n N ~ z N n IW Yds binq z z , Form MAP.LOC - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE r ' Estate Valuation Date of Death: 11/26/2011 Estate of: Rose Marie Allison Estate Valuation Date: 11/26/2011 Report Type: Date of Death Processing Date: 02/20/2012 Number of Securities: 1 File ID: Allison, Rose Marie Estate Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 697.293 TRANSAMERICA (893957811) ALLCTN CONSV A Mutual Fund (as quoted by NASDAQ) 11/25/2011 10.79000 Mkt 10.790000 7,523.79 Total Value: $7,523.79 Total Accrual: $0.00 Total: $7,523.79 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.0) a? N v ` O J M M m m O p p p c v v3 K M N t 3 3 o m E o v o o U - - T o a m m _ m Y N 0_ `m Z E c a n C, X ~ a m ° w a o LL > 'o C, a; z a m w 0 m > . C a u u d r/1 5~i c a rn= 0 3 . 0 0 Vr o c n t v m > 6- o cm 0 0 r N Y r a 3 Y a m E N F c E .5 t O o lfi W a j a n d :O m v1 w 06 co co T E ~n N c m t W m p t5 M M M W n5Zw` 3m U U m m-° t a a o p a r 2 10 cL V u') N O u~ umi O a `p O? U) Z a w C E N 21y Y m °a c L f 3 a c u. a m n Ln Ln LO Q w o o v m ° o CID cn uM a E x f -i - E c u c L- u o 0 0 0 d' m e ip o N Cl .m E c c~ ry N N 44 w LL E `m m° U° = a o W p a En O O O 4) W d h T p m U LL a L 3 a E ? E Q r\J pp L E o E x z C C W 12 X T i> > o c ~ u ~ v a L o c o U m m L E u :E di C, mav o n o r~ u E o u i o ~o m?a E a`> u ® Col ~n~ Em 3`0 am u m O a pLL =Y y o~ m m u~ L a U> O p L ip Y 65 a C C - 1 m U cw a c a m m O Pl Q O u a j. 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Swindler Saidis, Sullivan & Rogers 635 North 12th Street, Suite 400 Lemoyne, PA 17043 Re: Estate of Rose Marie Allison The following is the information you requested regarding the Estate of Rose Marie Allison. The only account Mrs. Allison had was a savings account. The date of death balance was $776.80. Interest earned from 1/1/2011 to 11/26/2011 was $1.25. There were no IRAs, certificates or safe deposit boxes at the credit union in the name of Ms. Allison. Please let me know if you need any additional information. Kind regards, Kathy Jo McCabe Member Services Supervisor www. S VFCU. org N LEADW THE WAY January 3, 2012 John E Slike 635 North 12~ St Suite 400 Lemoyne, PA 17043 RE: Name: Rose Marie Allison SSN: 168-22-7776 DOD: 11-26-2011 Dear Mr. Slike: In response to your request for Date of Death (DOD) balances for the customer noted above, our records show the following: Checking Account Account # 5140000777 Established: D4-01-1958 ROSE MARIE ALLISON WILLIAM B ALLISON DOD balance: $ 7,179.30 + 0.05 accrued interest Savings Account Account 9 5130071758 Established: 02-02-1985 ROSE MARIE ALLISON WILLIAM B ALLISON DOD balance: $ 10,101.47 + 1.15 accrued interest Safe Deposit Sox The decedeztt maintained safe deposit box ~ C480 located at: 32°d Street 1400 Camp Hill Shopping Mall Camp Hill, PA 17011 (717)761-2099 ' i Nationwide Financial Income Products Service Center P.O. Box 182290 Columbus, OH 43218-2290 On Your Side' January 10, 2012 Cayle D Swindler Saidis, Sullivan & Rogers 635 North 12th St Ste 400 Lemoyne PA 17043 Re: Estate of Rose Marie Allison Dear Mr. Swindler: Thank you for your recent letter regarding the account of Rose Marie Allison. Mr. William B. Allison is a beneficiary under the individual contract, 01-598274, Rose Marie Allison had with Nationwide Life Insurance Company. As a beneficiary, Mr. Allison may continue to receive the remaining monthly payments of $152.39 as stated in the provisions of the contract or receive a commuted value of future remaining payments. A copy of a letter previously mailed to Mr. Allison regarding his options under this account is enclosed for your use. If you have questions, please don't hesitate to call us at 1-800-634-5222, Monday through Friday, between 8:00 a.m. and 5:00 p.m. Eastern time. Our service representatives will be happy to assist you. Sincerely, t Paula Flanagan INCOME PRODUCTS SERVICE E ER t-,c: William B. Allison Annuities and life insurance products are issued by Nationwide Life Insurance Company, Columbus, Ohio, a member of Nationwide Finanefae. The general distributor is Nationwide Investment Services Corporation, member NASD. In MI only: Nationwide Investment Svcs. Corporation. Nationwide, the Nationwide framemark, On Your Side and Nationwide Financial are federally registered service marks of Nationwide Mutual Insurance Company. .r c' Nationwide Financial Income Products Service Center P.O. Box 182290 Columbus, OH 43218-2290 On Your Side' nationwide.com December 14, 2011 William B Allison 238 Perry Valley Rd Millerstown, PA 17062-9444 Dear Mr Allison: We're sorry for your loss. Please accept our sincere condolences for the loss of Rose Marie Allison, the annuitant on contract # 01-5968274. We want you to know that all remaining benefits will be made payable to you as beneficiary. You have two options. You can either continue receiving the remaining monthly payments of $152.39 as stated in the provisions of the elected payout option or receive the commuted value sum) of future remaining payments. (Note: The commuted value payment would be 54.3 nd will be valid through December 28, 2011. If your paperwork is returned after this date, the lump sum will need to be recalculated.) What we need from you. In the next 60 days, please send us the following: 1. The completed Beneficiary Death Claim Form. Please complete all sections of the form. 2. A copy of the deceased annuitant's death certificate. You may disregard this request if you have already provided the death certificate. 3. A copy of the executorship paperwork. Please mail the documents in the enclosed, postage-paid envelope or fax to 1-888-634-4772. We're here to help. If you have questions, please don't hesitate to call us at 1-800-634-5222, Monday through Friday, between 8:00 a.m. and 5:00 p.m. Eastern time. Our service representatives will be happy to assist you. Sincerely, Income Products Service Center r~uitie; and life insurance products are underwritten by Nationwide Life Insurance Company and Nationwide Life and Annuity ;r e C'c wan , CColunbus, Cmio. The gereral distributor for variable annuity contracts and variable life insurance policies is Nationwide Investment Services Corporation. In MI Only: Nationwide Investment Svcs, Corporation. ationwide. Nationwide Financial, the Nationwide framemark and On Your Side are federally registered service marks of Nationwide Mutual Insurance Company. IAM-0282AO.1