HomeMy WebLinkAbout04-1065PETITION FOR PROBATE and GRANT OF 'LETTERS
Estate of JOAN D. BAIR No.
also known as .EDITH JOAN BAIR To:
Deceased.
Social Security No. 201-16-1466'
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older arrtthe executors
in the last will of the above decedent, dated Auqust 15
and codicil(s) dated N/A
Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
in the
named
2002
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principal residence at 100 East Locust Street, Borough of
Mechanicsburq
(list street, number and muncipality)
Decendent, then 83 ' years of age, died October 8 ,xt/9 2004.,
at Carolyn Croxton Slant Hospice, Harrisburq, PA
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: no 'excepti.ons.
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $
(If not domiciled ia Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows: 100-102 East Locust Street
62,000.00
138,000.00
Mechani.csburq, PA 17055
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codiCil(s)
presented herewith and the grant of letters testamentary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
theron.
L'. v }'Il 1'1 i~11II '/~alr
225 North Ridge Drive
Perrysburg, OH. 43551 Enola, PA 17025
donanna BaJcr 15eeg~le
7 Wyoming Avenue
OATH OF' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss
COUNTY OF CUMBERLAND 3 ' ~':
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the for~ing petition are
true and correct to the best' of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will wel[ and trUly administer the estate according to law.
Sworn to or affir~0~ and subscribed j-
be.fgre me, this I~/ day of
--,~,, ~ . ' ~egister
Estate Of JOAN D. BAIR, a/k/a EDITH JOAN BAIR 9 Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW fl~ 2004, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated August 15, 2002
described therein be admitted to probate and filed of record as the last will of aoan D. Bait,
a/k/a Edith Joan Bair ;
and Letters Testamentary
are hereby granted to Johanna Bair Beeqle and C. William Bair
FEES
Probate, Letters, Etc .......... $
Short Certificates( ) .......... $.
Renunciation ................ $
$
TOTAL $.
Filed .................... : ..............
Marlin R.
McCaleb- (06353
A'I"rORNEY(Sup, Ct.I.D. No.)
219 Easfi Main S't'ree%,' P.O.
Mechanicsburg, PA 17055
Box 230
ADDRESS
(717 691-7770
PHONE
REGISTER OF WILLS OF CUM~E~,~ COUNTY
OATH OF SUBSCRIBING WITNESS
Marlin R. McCaleb
Sworn to or affirmed and subscribed before
me this day of
~ 2004
(n~lx) a subscribing witness to the will presented herewith,~(wa~, being duly qualified according to
law, depose(s) and say(s) that I was present and saw
Joan D. Baig a/k/a Edith Joan Bair ,
the testat r~x , sign the same and that I signed as a witness at the
request of testat rix in her presence and (ia:~l~g~m~ra~g~xa~mdamtt~x) (in the presence of the
other subscribing witness(es)). /4~~~~
Mar l~n~.~. McCaleb
219 E. Main Str~e~,e~echanxcsburg, PA
Regbter
(Address)
REGISTER OF WILLS OF
OATH OF NON-SUBSCRIBING WITNESS
(Name)
(Addrem) ~'
COUNIt~
cC
17055
(each). a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of .,
codicil
testat.__ of (one of the subscribing witnesses to) the will presented herewith and
codicil
that believes the signature on the will is in the handwriting of
testat.__ believes the signature of the will presented herewith and that
codicil
believes the signature on the will is in the handwriting of
to the best of knowledge and belief.
Sworn to or affirmed and subscribed before
me this day of (Name)
19__
Regbter
(Address)
(Name)
(Address)
REGISTER OF WILLS OF cua~.~,~ COUNTY
OATH OF SUBSCRIBING WITNESS
Marlin R. McCaleb
Sworn to or affirmed and subscribed before
me this day of
~ 2004
~ei~) a subscribing witness to the will presented herewith,~(~ being duly qualified according to
law, depose(s) and say(s) that I was present and saw
Joan D. Bai~ a/k/a Edith Joan Bair ,
the testat r~x , sign the same and that I signed as a witness at the
request of testat r±x in her presence and (in~tt~:~~f~lamel~r) (in the presence of the
other subs cribi ng witness(es)). ~.'~--/~~~ ~--~ //_ ~ ~ /~ ~'~/~ 1~
Mar Tln.~R. ~cCaleb
{l'~ame!
219 E. Main Street, %4echanicsburg, PA
Register
(Address)
(Name)
REGISTER OF WILLS OF
OATH OF NON-SUBSCRIBING WITNESS
(Addre~) ~
COUN'[~
17055
(each). a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
testat.__
that
testat.__
of (one of the
familiar with the signature of .,
codicil
subscribing witnesses to) the will presented herewith and
codicil
believes the signature on the will is in the handwriting of
believes the signature of the will presented herewith and that
codicil
believes the signature on the will is in the handwriting of
to the best of knowledge and belief.
Sworn to or affirmed and subscribed before
me this day of
19__
Regbter
(Name)
(Address)
(Name)
(Address)
REGISTER OF WILLS OF cu~r,~,~o COUNTY
OATH OF SUBSCRIBING WITNESS
Emily A. Joerg
~ a subscribing witness to the will presented herewith, (~al~) being duly qualified according to
law, depose(s) and say(s) that I was present and saw
Joan D. Bair, a/k/a Edith Joan Bair
the testatr±x , sign the same and that I signed as a witness at the
request of testatrix in h er presence and (~l~egen~gam~:~l~) (in the presence of the
other subscribing witness(es)).
Sworn to or affirmed aid subscribed before
me~s . /_,-'- 7'~ day of
9',~,'¢,~-0,o- ./") / ..-, ~_ ~oo4
No-t~y ~u%l ic ~
r Nom~ Se~
Madin R. Mc'Caleb, Notary Public
Mechanicsburg Bom, Cumberland County
My Commission Expires Dec. 14, 2006
Member, Pennsylvania Association Of Notaries
~h~erg
219 E. Main Street, Mechanicsburq, PA 17055
(Address)
(Name)
(Address)
REGISTER OF WILLS OF COUNTY
OATH OF NON-SUBSCRIBING WITNESS :---
(each). a subscriber hereto, (each) being duly qualified according to law, depOse(s) and~.~=ay(s) that'
familiar with the signature of ,
codicil
testat.__ of (one of the subscribing witnesses to) the will presented herewith and
codicil
that believes the signature on the will is in the handwriting of
testat__ believes the signature of the will presented herewith and that
codicil
believes the signature on the will is in the handwriting of
to the best of knowledge and belief.
Sworn to or affirmed and subscribed before
me this day of
19
Register
(Name)
(Address)
(Name)
(Address)
OATH OF PERSONAL REPRESENTATIVE
STATE OF OHIO:
: SS
COUNTY OF WOOD:
The petitioner above-named swears or affirms that the
statements in the foregoing petition are true and correct to the
best of the knowledge and belief of petitioner and that as
personal representative of the above decedent petitioner will
well and truly administer the estate a~cco~irg~ to law. ,
Sworn to or a f fi rmed and
subscribed before me C. 'Wfll~'a~n
this_.~= r~ day of
~. , 2004.
Judge
Glenda Farner Strasbaugh
Register of Wills &
Clerk of the Orphans' Court
Marjorie A. Wevodau
First Deputy
Kirk S. Sohonage, Esquire
Solicitor
OFFICES OF
One Courthouse Square
Carlisle, Pa. 17013
(717) 240-6345
FAX (717) 240-7797
egist£r of i tills anl (gle 0i (gourt
~;ount~ of ~;u~erianU
Commonwealth of Pennsylvania:
County of Cumberland:
BE IT REMEMBERED that I, Glenda Farner Strasbaugh, Register
of Wills of Cumberland County, Pennsylvania, do hereby deputize
and commissionate the Honorable David Woessner, Judge of the Wood
County Court of Common Pleas, Probate Division, Wood County,
Ohio, to take the affidavit and oath of C. William Bair, Co-
Executor in the Petition for Letters Testamentary in the Estate
of Joan D. Bair, also known as Edith Joan Bair, late of the
Borough of Mechanicsburg, Cumberland County, Pennsylvania,
deceased.
IN TESTIMONY WHEREOF, I have hereunto set my hand and
affixed my official Seal this ~day of ~~1~/
2004.
Glenda Farner Strasbaugh ~/
Register of Wills
Cumberland County, Pennsylvania
his is lo certify dmt the information here given is correctly copied fi'om an original certificate of death duly filed with me as
Local Registrar. Thc original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $2.00
P 10667600
No.
Local Registrar
Rev 2/~7 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH ,,^,~ ~,~,~.
. HAME OF DECEDENT (FirSt, M~#e, Last) Joan D. Ba~r s~, [ SOCIAL SECURITY NUMBER I OATE O ....... (
t £emale a. 201- 16 - 1466 ,.October 8., 2004
upu,~au-":n~ ~ .qus-uehanna , FACIL,~ ~E (~f~ ,P~t~. ~ ~t~ ~) - IWAS ~NT ~ HISPANIC ORIGIN? [RACE- A ....... Ind,an Black ~,,o
~ Carolyn croxton ~laln Hospice Resldenc~/~ Y~R ~ If yes, ...... "P~ Cuban,[(~o~c~v~ White
3uu ~as[ LOCUSt ~[reet I ACTUAL Iia, S~ ~ ~7¢' D Y~, ~ liv~ m ~P
Mechanicsburg, Pa. 17055 I~'~, Cumberland~p,"'~' w~.ffi~.~,,~ Mechanicsburg
FATHER'S~ME(FimtM~Ia. Laa) William Daniel MOTHE~S~ME(F~.Mi~e.M~) Carolyn Kin9
Johanna Beegle ~. ~h~~l~, ~ 17025
[m~at,(~ ~ O~r'S "' DI1~ ~ v'~l
' ' Oct 13 2004 ~echanicsburg Cemetery Mechanicsburg, Pa 17055
SIC~RE~ ¢~RA~R~NSEEORPER~AS S~H I UCENSE NUMBER FD 012662 L I~ME~DA~ESSOF FACILI~
,~Oe~ ~ ~ /~ ~ I-~ ~ ~ - I~. Myem Funeral Home. Inc. 37 East Main Slreet Mechanmcsburg. Pa 170{
~ 3~ ~ ~ ' ~ P~CEOFINJURY-At~.f~.I~.~.O~ IL~ATl~(nre..Ci~ ,S
'CER~lNGpHY~A~(~y~~n~y~anhas~on~n~d~tha~e~ditem23) ~ ~/~(~ ~5 ~ . ~
On me ba~l~ ~ examln~on ~ m~g~, Iq my o~nlon, dea~ ~cu~d at me thne, ~.te, a~ place, ,nd d~ to the ~u~) and ~ . ~ ~'' '2 ~ '.;~ x .4 J ~ ,.~ . q
PERMANENT
BI.ACK INK
6-
LAW o FFICE-~
MARLIN R. McCALEB
LAST WILL AND TESTAMENT
I, JOAN D. BAIR, of the Borough of Mechanicsburg, County of Cumberland
and Commonwealth of Pennsylvania, being of sound mind, memory and
understanding, do hereby make, publish and declare this as and for my Last Will
and Testament, hereby revoking and making void all former wills and codicils by
me at any time heretofore made.
FIRST. I order and direct that all my~.....;,,~* debts and funeral expenses be
paid by my Go-Executors, hereinafter named, as soon as conveniently may be
done after my decease.
SECOND. I give, devise and bequeath my house and real estate known
and numbered as 100-102 East Locust Street, Borough of Mechanicsburg,
Cumberland County, Pennsylvania, unto my daughter, JOHANNA BAIR BEEGLE,
j~, ,
absolutely and in fee simple, if she survives me.
~.L:~
THIRD. I order and direct that all the rest, residue and reminder of my
estate, real, personal and mixed, whatsoever and wheresoever sit~ate, be
distributed as follows: '.::
A. I give and bequeath an amount equal to five (5%) per centum
of said residue unto my granddaughter, ALLISON A. BAIR, absolutely, if she
survives me;
B. I give and bequeath an amount equal to five (5%) per centum of
said residue unto my grandson, ERIC W. BAIR, absolutely, if he survives
me; and
LANN OFFICES
MARLIN R. McCALEB
c. I give, devise and bequeath the remainder of said residue in
equal shares unto my children, JOHANNA BAIR BEEGLE and C. WILLIAM
BAIR, share and share alike, absolutely and in fee simple. If either of my
children shall predecease me leaving lawful issue to survive me, then and in
that event the share provided in the preceding sentence for such deceased
child shall be paid over and distributed unto his or her said lawful issue per
stirpes, said issue to take the ancestor's share by representation and not
per capita.
LASTLY. I nominate, constitute and appoint my children, JOHANNA BAIR
BEEGLE and C. WILLIAM BAIR, Co-Executors of this, my Last Will and
Testament, each to serve without bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I, JOAN D. BAIR, have hereunto set my hand and
seal, to this, my Last Will and Testament, which consists of two (2) typewritten
pages to each of which I have affixed my signature this ./~-'Z'~ay of
?" ~.~,_.~_.~-,_~~ , A.D., Two Thousand Two (2002).
#
',__ ...Yp ~..,,~..~9.. /~ .,,,¢_.~..y,'/ (SEAL)
The preceding instrument, consisting of this and one (1) other typewritten
page, each identified by the signature of the Testatrix, was on the date thereof
signed, sealed, published and declared by JOAN D. BAIR, the Testatrix therein
named, as and for 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 subscribed our
names as witnesses hereto.
-2-
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Joan D. Bair, a/k/a Edith Joan Bair
Date of Death: October 8, 2004
Will No. 21-04-1065
To the Register:
I certify that notice of beneficial interest and estate
administration required by Rule 5.6(a) of the Orphans' Court
Rules was personally served on the following beneficiaries of
the above-captioned estate on November 24, 2004.
Name Address
C. William Bair
225 Northridge Drive
Perrysburg, OH 43551
Johanna Bair Beegle
267 Wyoming Avenue
Enola, PA 17025
Allison A. Bair
225 Northridge Drive
Perrysburg, OH 43551
Eric W. Bair
225 Northridge Drive
Perrysburg, OH 43551
Notice has now been given to all persons entitled thereto under
Rule 5.6(a).
Date: November 24, 2004
Marlin R. McCaleb
Attorney I.D. No. 06353
219 East Main Street
P.O. Box 230
Mechanicsburg, PA 17055
(717) 691-7770
FAX: (717) 691-7772
Counsel for Personal Representatives
MARLIN R. McCALEB
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT_ 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND EST A T
OFFICIAL RECEIPT
BAIR C WilLIAM
225 NORTH RIDGE DRIVE
PERRYSBURG, OH 43551
nn____ 101<1
ESTATE INFORMATION: SSN: 201-16-1466
FILE NUMBER: 2104-1065
DECEDENT NAME: BAIR JOAN 0
DATE OF PAYMENT: 06/08/2005
POSTMARK DATE: 06/08/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 10/08/2004
TOTAL AMOUNT
REMARKS: C W BAIR
CHECK# 136
SEAL
INITIALS: VZ
RECEIVED BY:
REGISTER OF WILLS
REV- 1162 EX(11-96l
ETAX
N ). CD 005406
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
nh____
101 I $41,346.75
I
I
I
I
I
I
I
I
PAID: $41,346.75
GLENDA FAR ER STRASBAUGH
REGISTER OF WillS
Register of Wills of
CUMBERLAND
County, Pe nsylvania
INVENTORY
Estate of Joan D. Bai r
No. 21- 4-1065
also known as Edith Joann Bair
Date of De h 10/08/2004
,Deceased Social See rity No. 201-16 -1466
C. William Bair and Johanna Bair Bee Ie,
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following I ventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth ot Pennsylvania of said D cedent, that the valuation
placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death and that Decedent owned
no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandu at the end of this
Inventory. I !We verify that the statements made in this Inventory are true and correct. l!We understand th false statements herein
are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities
Address:
219 East Main Street
Address:
Name of
Attorney:
Marlin R. McCaleb Esq.
1.0. No..
06353
Mechanicsburg, PA 17055
Telephone. 717/691- 7700
Telephone:
Dated:
Description
Value
.'..1
(See continuation page(s) attached)
(Attach additional sheets if necessary)
Total:
359,119.13
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election f the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
Prepared by the Pennsylvania Bar Association
('n"'vtl......t 1,.,\ 1l:il:i6 form software onlv CPSvstems,lnc. Form IIRW-7 (1992)
INVENTORY
Estate of:
Date of Death:
County:
Joan D. Bair
10/08/2004
Cumberland
PERSONAL PROPERTY:
1999 Cadillac Catera sedan.
8,500.00
Highrnark Blue Shield, - refund
of medical insurance
premium.
335.93
Household goods, contents,
furniture and furnishings.
3,490.50
PA Department of Revenue, -
2003 personal income tax
refund due to overpayment.
161.15
Travelers Insurance Co.,
refund of automobile
insurance premium.
13.00
U. S. Treasury Note, 2 1/8
Note T 04; principal:
$15,003.52; accrued
interest: $138.59).
15,142.11
27,642.69
STOCKS/LISTED:
972.00 shares Be1lSouth Corporation,
common
27,395.82
1,814.00 shares SBC Communications Inc
48,805.67
930.00 shares Verizon Communications,
common
37,920.75
-1-
540.00 shares Vodafone Group PLC,
common
13 ,354.20
REAL ESTATE/PA:
House and apartment, - known
and numbered as 100-102 East
Locust Street, Borough of
Mechanicsburg, Cumberland
County, PA, acquired by
Decedent by Decree Awarding
Real Estate dated
08/24/1976, recorded in Deed
Book "T", Volume 28, Page
841.
204,000.00
TOTAL RECEIPTS OF PRINCIPAL...............
-2-
127,476.44
204,000.00
359,119.13
====== ====
~.
/
.~11
OFFICIAL USE ONLY
~.REV-1500 E>f;.t(6-00)
\
FILE HUM ER
CAPB
HpRL
EplO
CRAC
KOTK
ES
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
D
E
C
E
D
E
N
T
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Bair Joan D.
DATE OF DEATH(MM-DD-YEAR)
21-04-1065
DATE OF BIRTH (MM-DD-YEAR)
COUNTY CO E YEAR
SOCIAL sEe RITY NUMBER
201-16-1466
THIS RETU N MUST BE FILED IN DUPUCATEWlTH THE
NUMBER
EGISTER OF WILLS
SOCIAL SEe RITY N MBER
IF
X 1. OrIginal Return
4. limited Estate
X 6. Decedent Died Testate
(Attach copy of WIIQ
D 9. LItigatIon Proceeds ReceIved
R date of death
emalnder Return prior to 12-13.82)
Federal Estate Tax Return Required
Total Number of Safe Deposit Boxes
2. Supplemental Return
4a. Future Interest Compromise (date of death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach copy of Trust)
D 10. Spousal Poverty Credit
(date of death between 12-31-91 and 1-1-95)
o
D
. Election to tax under Sec. 9113(A)
(Attach Sch 0)
P NAME COMPLETE MAILING ADDRESS
C
0 0 Marlin R. McCaleb Es 219 East Main St eet
R N FIRM NAME (If Appllcable) P. O. Box 230
R D
E E Law Offices-Marlin R. McCaleb Mechanicsburg, P 17055
S N
T TELEPHONE NUMBER
C
o
M
P
T U
A T
X A
T
I
o
N
R
E
C
A
P
I
T
U
L
A
T
I
o
N
o
1. Real Estate (Schedule A) (1)
2. Slocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or (3)
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 585,000.5
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabil~ies, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (SchedUle J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(S) 950,310.02
(11) -31.493.27
(12) 918,816.75
(13)
(14) 918,816.75
OFFICIAL USE ONLY
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116(aX1.2)
16. Amount of Line 14 taxable at lineal rate 918,816.75
17. Amount cif Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.
(15)
(16)
(17)
(IS)
(19)
.0 0
.0 45
.12
.15
0.00
41,346.75
0.00
0.00
41,346.75
X
X
X
X
Copyright (c) 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
,
Decedent's Complete Address:
STREET ADDRESS
100 East Locust Street
CITY I STATE I ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page I Line 19) ( ) 41,
2. Credits/Payments
A. Spousal Poverty Credit 0.00
B. Prior Payments
C. Discount
Total Cred~s ( A + B + C ) (~)
346.75
0.00
3. InteresVPenalty If applicable
D.lnterest
E. Penalty
Total Interest/Penalty ( 0 + E )
4. If Line 2 is greater than line 1 ... Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Une 3;s greater than line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line S + SA. This is the BALANCE DUE. (
Make Check Payable to: REGISTER. OF WILLS, AGENT
. . ." . ._..",.,.... _ _ , _, ,_, ._ . ._ ._,' ,_._ . ._ .",' ._ . .". ." ,'_' ,"._ i:!':::;,:i:H:1~]:~i~n!:~~!'i:!:!],;WUj!j!!!!jj!H!j1:lmj!lil.m~. mlm~f!!!~!~~!~~., ~j~~~~~@jlljjj!!1!i!!:;::::.U!!
i!!i~):!:!:!!:.::!)lll~!]!!]!!!.:i!:i!i:n:l
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" iN TH
1.
0.00
0.00
41,346.75
0.00
41,346.75
Did decedent make a transfer and:
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 December 12, 1982, did decedent transfer property within one year of de th
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
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF
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APPROPRIATE BLOCKS .
Yes No
~~
D
D
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[R]
[R]
D
ES,
E RETURN.
Under penalties of perjury, I declare that I have examined this return, Including accompanying schedules and statements, and to the b
correct and complete. Declaration of preparer other than the personal representatIve is based on all Information of which preparer ha
SIGNATURE PERSON RESPONSIBLE FOR FILING RETURN
./
t of my knowledge and belief, it Is true,
any knowledge.
DATE
rpl/Jo)
DATE
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [n P.S. 9"6 (a)(I.1)(;)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the u e of the surviving spouse is 0%
[72 P. S. 9116 (a) (1.1) (in]. The statute does not exempt a transfer to a surviving spouse from tax, and the statu ory 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 twenty-one years of age or younger a death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% (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% except as noted in 72 P. S. 9116{ 1.2)
[72 PS. 9116(aXI)j.
The tax rate imposed on the net value of transfers to orfor the use of the decedent's siblings is 12% (72 P.S. 9~16(aXl.3)J. 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 ~doption.
......~~,..I...k+ {,,\ ?nnn fnrm ",nftware onlv The Lackner Group, Int:.
Form REV-1500 EX (Rev. 6-00)
ADDITIONAL Personal Representatives
Estate of Joan D. Bair SS# 201-16-1466 10/08/2004
*************************************************
Under penalties of perjury, the undersigned declare th
have examined this return, including accompanying sche
statements, and to the best of their knowledge and beli
true, correct and complete.
Signature
a
N~e
Address Line 1
Address Line 2
City, State, Zip
~hanna Bair Beegle
267 Wyoming Avenue
Enola, PA 17025
Date
--'
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I
LAW OFFICES
~LIN R. MCCALEB
LAST WILL AND TESTAMEN
I, JOAN D. BAlR, of the Borough of Mechanicsburg, Co nty of Cumberland
and Commonwealth of Pennsylvania, being of sound mind, m mory and
understanding, do hereby make, publish and declare this as a d for my Last Will
and Testament, hereby revoking and making void all former wi Is and codicils by
me at any time heretofore made.
FIRST. I order and direct that all my just debts and fun ral expenses be
paid by my Co-Executors, hereinafter named, as soon as conv niently may be
done after my decease.
SECOND. I give, devise and bequeath my house and r al estate known
and numbered as 100-102 East Locust Street, Borough of Me hanicsburg,
Cumberland County, Pennsylvania, unto my daughter, JOHAN A BAIR BEEGLE,
absolutely and in fee simple, if she survives me.
THIRD. I order and direct that all the rest, residue and emainder of my
estate, real, personal and mixed, whatsoever and wheresoever situate, be
distributed as follows:
A. I give and bequeath an amount equal to five ( %) per centum
of said residue unto my granddaughter, ALLISON A. BA R, absolutely, if she
survives me;
B. I give and bequeath an amount equal to five ( %) per centum of
said residue unto my grandson, ERIC W. BAIR, absolut y, if he survives
me; and
L.AW OFFICES
vtARLIN R. McCALEB
----- -"~---~-"---~-~-----",,,,---"----~---,-,--,,,---"'--~-'-.---- ,.; ~._--_._-_..,.._-~.~.""
C. I give, devise and bequeath the remainder f said residue in
equal shares unto my children, JOHANNA BAIR BEE LE and C. WILLIAM
BAIR, share and share alike, absolutely and in fee si pIe. If either of my
children shall predecease me leaving lawful issue to s rvive me, then and in
that event the share provided in the preceding senten e for such deceased
child shall be paid over and distributed unto his or her said lawful issue per
stirpes, said issue to take the ancestor's share by rep
per capita.
LAsn Y. I nominate, constitute and appoint my child n, JOHANNA BAIR
BEEGLE and C. WILLIAM BAIR, Co-Executors of this, my L
Testament, each to serve without bond in this or any other ju isdiction.
IN WITNESS WHEREOF, I, JOAN D. BAIR, have her nto set my hand and
seal, to this, my Last Will and Testament, which consists of
pages to each of which I have affixed my signature this
C7JA~1~/
( .
~
, A.D., Two Thousand Two (2002).
p.E
(SEAL)
The preceding instrument, consisting of this and one ( ) other typewritten
page, each identified by the signature of the Testatrix, was 0 the date thereof
signed, sealed, published and declared by JOAN D. BAIR, th Testatrix therein
named, as and for her Last Will and Testament, in the prese ce of us, who, at her
request, in her presence, and in the presence of each other, ave subscribed our
names as witnesses hereto.
-2-
'REV-150Z EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAA RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Joan D. Bair SSf! 201-16-1466 10/08/2004 21-04-1065
All real property owned solely or as a tenant in common must be reported at fair market value. Fai market value is defined as the price
at which property would be exchanged between a willing buyer and a willing seller, neither being compelled t buy or sell, both having reasonable
knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be isclosed on Schedule F.
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
1 House and apartment, - known and numbered as 100-102 East Locust 204,000.00
Street, Borough of Mechanicsburg, Cumberland County, PA, ~cquired
by Decedent by Decree Awarding Real Estate dated 08/24/19~6,
recorded in Deed Book "T", Volume 28, Page 841.
SCHEDULE A
REAL ESTATE
TOTAL (Also enter on line 1, Relrapitulation) S
(If more space is needed, insert additional sheets of the same size)
CopyrIght (c) 1996 form software only CPSystems, Inc.
204,000.00
Form REV-1502 EX (Rev. 1-97)
Mark E. Hilbert & Associates
05-006M1 M
Fda No. 05-006M1 M
APPRAISAL OF
LOCATED AT:
100-102 E Locust Street
Mechanicsburg, PA 17055
FOR:
Marlin B. McCaleb, Esquire
219 East Main Street
Mechanicsburg, PA 17055
BORROWER:
Edith J. Bair
ASOF:
Mark E. Hilbert & Associates
SMALL RESIDENTIAL INCOME APPRAISAL REP bRT 05-006M1 M
05-006M1 M
Prooertv Address 100-102 E Locust Street Citv Mechanicsburo State PA ZioCOOe17055
Leaal Desaiotion See Attached Deed Goontv Cumberland
Assessor's Parcel No. 17-23-0565-181 Tax Year 04-05 R.E. Taxes $3036. o +/- Soedal Assessments $ N/A
Neiohborhood or Project Name N/ A MaD Reterence N/ A Census Tract 114
.. Borrow.. Edith J. Bair Current OWner Estate OCCUOl 1: I I Owner IXI Tenant I I Vacant
PronArtv nohts aooraised IXI Fea Simola fl Leasehold I Project T VDO I PUD I I Condominium HOA$ N/ A /Mo.
Sakls Price $ N/A Date of Sale N/A Desaiotion and $ amount of ban ch""aslconoessions to be '" ~ bv seHer
Lender/Client Marlin B. McCaleb Esquire Addrass 219 East Main Street Mechanicsbur< PA 17055
Aoorai... Mark E. Hilbert Address 219 East Main Street Mechanicsburc PA 17055
Location WUrban ~ Suburban W Rural Predominant Sin~le family housing P ~ominant 2-4 family housing
Single Family PRI E AGE 2 Family PRICE AGE
Built up IXJ Over 75% o 25-75% 0 Under 25% Occupancy $ (000) (yrs) 0 cupancy $ (000) (yrs)
Growth rate o Rapid IXJ Stable o Slow IXJ Owner 75 Low 5 Owner 100 Low 35
Property values o Inaeasing IXJ Stable D Declining o Tenant 200 Hioh 100+ Tenant 97% 300 Hioh 100+
Demaod/supply Fx1 ~hortage IXJ b1 baa1a> 0 <Na'5lWi ~ Vacmt (l}5%) ~ Predominant ~ Vacmt (l}5%) Predominant
Marketina time X Undl< 3 mos. n 3-6 mos. H Over 6 mos. Vacant (over 5%) 120 75 Vacant(~5") 200 75
Typical 2-4 family bldg. Type Attached No. stories 2 No. units L- Age ~ yrs. Pres. Pi: land use % Land use change
Typical rents $ 400 to $ 800 U [naeasing [xl Stable D Declining Onet r>ily 41% IKJ Not likely 0 Likely
Est. neighborhood apt. vacancy 5 % 0 Inaeasing IKJ Stable 0 Dedining 24 fa i1y 34% o In process to:
Rent controls 0 Yes [R) N;uLikely If yes or likely, describe N/A Multi-I mily 22% N/A
Comm "'dal 3%
V. L nd) 0%
Note: Race and the racial composition of the neighborhood are not appraisal factors.
Neighborhood boundaries and characteristics: Subiect nronerty is located on the Corner of East Locust Stre t and Arch Street In the Borouah of
Mechanicsbura Pennsylvania Cumberland Countv.
Factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities. employment stability, appeal to market, etc.):
The subiect orooertv has oood access to area emnlovment and amenities.
.
.
.
.
~ The foIkJ.Mng available rlStings represent the most current, similCl', and proximate competitive properties to the subject property in the s bject neighborhood. This analysis is intended
to
evaluate the inventay Cl.fI'eTItty on the mcrket oompeting with the subject property in the subject neighborhood and recent price and ma ~eliog lime trends affecting the subject property.
Listinns outside the subiect neiahborhood are not considered aoolicable\. The Iistina comoarables can be the rental or sale comoar bles if they are currently for sale.
ITEM I SUBJECT COMPARABLE LISTING NO.1 COMPARABLE LISTiNG NO.2 COMPARABLE LISTiNG NO.3
100-102 E Locust Street 209 5th Street 16 W Keller Street 40 W Main Street
Address Mechanlcsbur PA 17055 New Cumberland PA 17070 Mechanicsbura PA 17055 Mechanicsburo PA 17055
Proximitv to subiect ,. 2.79 Miles +/- 0.11 Miles +/- 0.09 Miles +/-
Listino orice $ IIXIUnt. r IFum.$ 133 900 I IXIUnf. I IFurn.$ 173 00 XIUnt.1 IFurn.$ 249 000
roximate GBA 3988 2496 2980 3600
Data source I nsoection C.P.M.L.! Aoent C.P.M.L.! Aoent C.P.M.L.! Aoent
# UnltslT'ot. rms.IBRIBA 2' 11' 6' 3.00 4' 10' 5' 3.00 3' 13' 7' 300 3' 13' 5' 3.00
~mafe """ bum 1830 1881 +/- 1841 +/- 1890 +/-
x. davs on market N/A 11 DaM 74 DaM 229 DaM
Comparison of listings to subject property: All comoarables are similar in aoe to the subiect similar layout of nits and located within the same
marketolace.
Market conditions that affect 2-4 family properties in the subject neighborhood (including the above neighborhood ndicators of growth rate, property values,
demand/supply, and marketing time) and the prevalence and impact in the subject market area regarding loan discou ts, interest buydowns and concessions, and
identification of trends in listing prices, average days on market and any change over the past year, etc.: There is a steady 0001 of buyers at nresent
time for properties that are priced correctlv sell in a reasonable time frame.
Dimensions 60 X 130 X 60 X 130 T opograph Basicallv Level
Site area 0.18 Acres +/- Corner lot U No 1XI Yes Size 0.18 Acres +/-
Specific zoning classification and description Residential Shape Rectanoular
- .. ~. rI. .- ...
Mark E. Hilbert & Associates
SMALL RESIDENTIAL INCOME APPRAISAL REP DRT
General description
Unitslbldgs.
Stories 2.5
Type (def.latl.) Detached
Design (styia) 2.5-Storv
Existing/Jroposad Existino
Under oonsIruction No
Year Built 1830
E_age(yrs.) 8-10
Exterior description (Materials/condition)
Foundation Stone
Exterior walls Stucco
Roof surface Com position
Gulfals&dwnspls. Aluminum
Window typa Wood Obi Huno
Starn_ Existino
Manufactured housing" U Yes [RJ No
"(Comp"es with the HUD I\Ianufactured Housing
Construction and Safety Standards,)
Dlninn Kitchen Den Familv rm.
Area 1
1 1
# Baths
2
1
Launjrv
1
2/1
Foundation
Slab Yes
Crawl space No
Sump Pump Floor Oral
Dampness None not.
Settlement None not@.
Infestation None not.
Basement ~ % >f 1stllocr area
BasEmanlIiish Unflnish d
Untts Levells) Fover
1 1/2 1
1 2 1
Livina
1
1
Bedrooms
3
3
05-006M1M
05-006M1M
Insulation (R>I3laWIIroM1)
o Roof
o Ceitirg
o Walls
o Floor
o Nona
Adequacy Unknwn
Energy efficient items:
Other
So. ft./unit
2,374
1614
Total III
2374
1614
Imorovemants contain: 11 Rooms: 6 BedroolTis); 3 Bath(s\; '988 Sou..afeet of GROSS BUILDING AREA
GROSS BUILDING AREA (GBA) IS DEFINED AS THE TOTAL FINISHED AREA (INCLUDIN( COMMON AREAS) OF THE
~ IMPROVEMENTS BASED UPON EXTERIOR MEASUREMENTS.
I :surf3ces (Materialsloondition) Heating Kitchen equip. (# I unit-cond.)
Floors Camet I Averane Type 2-Hot-Water Refrigerator 2
. Walls Plaster 1 Averane Fuel Gas Ra1ga.\lven 2
. Trimlfinish Stained I Averane Condition Averaoe Disposal N/A
Bath floor Vinvll Averaoe llstM<lshe- 1
. Bath wainscot Fiberalass I Avrae Cooling Fanhlood 2
. Doors Wood 1 Averaoe Central None Compactor N/A
Other None Wast-lrkl)<r 1/1
Condition Nt A Miaowave 1
Fireoiacels\ # Int..com N/A
Condition of the improvements, repairs needed, quality of construction, additional features, modernization, etc.: No maior reoai s noted. No evidence of functional
or external obsolescence.
Attic
Dona
00 tairs
o ropstair
B cutlle
oar
o eated
o F nished
IXJ U Mished
Car Storage No. Cars rA--
Garage ~
C..port 0
Atlached 0
Detachad IXJ
Adaquata 0
Inadequate 0
Offstreet IXJ
None 0
Depreciation (physical, functional, and external inadaquades, etc.): No unusual functional obsolescence or external i aclP.Ouacies were observed.
.
I :dVElrse environmental conditions (such as, but not limited t~, .hazardous wastes, toxic subst~nces, etc.) prese~ in the improvements, ?n th~ site, or in
. the immediata vicinity of tha subject property: There are no vIsible or aooarent adverse environmental condit ons that would neaatlVelv imnact
. the value of the subiect nronerfv.
I
ESTIMATEO SITE VALUE............."................ = $
ESTIMATED REPRODUCTION COST.NEW OF IMPROVEMENTS:
GBA: 3988 Sq. Ff. @ $ 54.91 = $ 218,981
Del. Garage 480 Sq. Ff. @$ 9.51 = $ 4,565
Sq. Ff.@$ =$
VALUATION ANALYSts
40000 Comments on Cost Approach (such as, source of cost estimate, site value,
square foot calculation and, for HU and VA, the estimated remaining
aconomic Iifa ot the proparty): In th reoroduction cost of
imnrovements Marshall & Swift Residential Cost Handbook and
local contractors are referenced
Mark E. Hilbert & Associates
SMALL RESIDENTIAL INCOME APPRAISAL REP DRT
05-006M1M
05-006M1M
At least three rental comparables should be reported and analyzed in this section. The rental comparables should epresent the most current rental information em
properties as similar and proximate t~ the subject prope!1Y as possi.ble. (This comparison Is based on current rental data, therefore, the rental comparables typically
are not the same comparables used In the sales companson analysIs.) The appraisal report should assure the fa der that the units and properties selected as
comparables are comparable to the subject property (both the units and the overall property) and accurately represent t e rental market fOT the subject property (unless
otherwise stated within the report).
ITEM SUBJECT
Add 100-102 E Locust Street
ress .
Mechamcsbur PA 17055
Proximity to subject
leasedates(ifavaiable} Month-to-Month
Rent survey date 01/01/05
Inspection
Insnection
None
Data source
Rent concessions
Description of
property - units,
design, appeal,
age, vacancies,
and conditions
Individual
unit
breakdown
Utilities,
furnitUre, and
amenities
included in rent
Functional utility,
~ basement,
heating/cooling,
- project amenities, etc.
No. Unils2 No. 'lac. 1
Yr. BIt.; 1830
Averaoe Condition
2.5 Sforv/ Averane
Averaoe Anneal
Aoe Comnarison
Rm. Count Size
Tot Br Ba So. Ft.
5 3 2 2374
6 3 1 1614
o
o
Unfurnished
Cable included
Wtr/Swr included
Trash included
Averaoe Utilitv
Partial Basement
2 Ht Water Furnaces
No Central Air
COMPARABLE RENTAl NO.1
344 S Washington Street
Mechanicsbum PA 17055
0.10 Miles +/-
Not Available
05/01104
C.P.M.L..
Court House/Assessment
None
!>b. u;ts4 !>b. Va::. 1 Vr. Ell; 1857
Unfurnished
Above Averaoe Condition
2.5 Storvl Averaoe
Good ~al
Ane Comoarison
Rm. Count Size Total
Tot Br Ba So. Ft. _Renl
4 2 1.00 882 625
3 1 1.00 656 535
3 1 1.00 628 525
4 2 1.00 406 445
Unfurnished
Heat included
Wtr/Swr included
Trash Included
Averane Utilitv
Full Basement
1 Ht Water Furnace
No Centrai air
COMPARABLE RENTAl
9 & 11 S Second Stree
Wormlevsbum PA HC 3
2.37 Miles +/-
0.2
Not Available
07/30/04
C.P.M.L..
Court House/Assessment
None
!>b.Unils3 !>b. Va::. 0 Yf.B 1881
Unfurnished
Above Averaoe Conditi n
2.5 Storvl Averane
Good ADDeal
Aoe Comnarison
Rm. Count Size Total
Tot Br Ba So. Ft. M n1hIvRenf
7 4 1.50 1816 750
3 1 1.00 1052 500
4 2 1.00 764 550
Unfurnished
Heat included
WtrlSwr included
Trash Included
Averaoe Utilitv
Full Basement
1 Gas Rad HW Furnace
No Central Air
COMPARABLE RENTAl NO.3
418 W Main Street
Mechanicsburo PA 17055
0.14 Miles +/-
Not Available
12/30104
C.P.M.L..
Court House/Assessment
None
fob.u;ts3 fob.VaG. 1 Yf.EIl: 1852
Unfurnished
Averaoe Condition
2.5/Storv/ Averaoe
Averaoe Appeal
Ane ComDarison
Rm. Count Size Total
Tot Br Ba So. Ft. Mnthtv Renl
4 1 1.00 946 575
5 2 1.00 1062 600
3 1 1.00 838 500
Unfurnished
WtrlSwr included
Trash included
Averaoe Utilitv
FUll Basement
Eleclric Baseboard
No Central Air
. Analysis of rental data and support for estimated market rents for the individual subject units (including the adjustments used, the a ieQuacy of comparables. rental concessions, etc.)
.. All rental comnarables are located in the same market area as the subiect orooertv. Good rental in~ rmaion is hard to obtain in this
. market area.
Subject's rent schedule The re~t schedule r~concile5 the applica~le ,indicated monthly market rents to the. appropriate u~ject unit, and provides the estimated rents
for the subject property. The appraiser must revIew the rent charactenstlcs of the comparable ~!es to determIne whet~ey e bmated rents should reflect ac~ual or market
rents. For example, if actual rents were availabl~ on the sales comparables and used to denve the gross rent multlplrer GRM}, actual rents for the subject should be
used. If market rents were used to construct the comparables' re~ts and derive the GRM, mark~t rents Shl~uld be used. f~.total gro.ss estimated rent must represent
rent characteristics consistent with the sales comparable data used to denve the GRM. The total gross estImated rent IS not adjusted JUl vacancy.
LEASES ACTUAl RENTS ESTIMATED RENTS
Lease Date No. Per Unit Total Per Unit
Beain End v=t Unfurnished Furnished Rents Unfumishe Furnished
N/A N/A $ N/A $ N/A $ 0.00 $ 67 .00 ·
N/A N/A 350.00 N/A 350.00 57 .00
.
Unit
1
1
$
Total
Rents
675.00
575.00
Mark E. Hilbert & Associates
SMALL RESIDENTIAL INCOME APPRAISAL REP bRT
05-006M1M
05-006M1 M
The undersigned has reciled three recent sales of properlies most similar and proximalelo the subject property and hndescribed and analyzedlhese i this analysis. If there is a significant
variation between Ihe
subject and comparable properties, the analysis Includes a dollar adjustment reflecting Ihe market reaclion to Ihose Items or an explanation supporte by Ihe market dala. If a significanlllem
in the comparable
property is superior to, or more favorable Ihan, the subject properly, a minus (-) adjustment is made, thus reducing the adjusted sales price of the com arable property: if a significant
item in the comparable properly
is inferior to, or less favorable than, the subjeclllrooetl , a plus (tl adiustment is made, thus increasing the ad'usted nrice of the comllarab e llrollerl. r(1) Sales Price _ Gross
Monthlv Rent 1
ITEM SUBJECT COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3
100-102 E Locust Street 317 S. Enola Drive 424 W. Main Street 1028 S. York Street
Address Mechanicsbur PA 17055 Enola PA 17025 Mechanlcsbum PA 17od; Mechanlcsbura PA 17055
Proximitv 10 sublect i 2.49 Miles +/- 0.14 Miles +/- 0.17 Miles +/-
Sales once $ N/A XIUnf. I FlKn. $ 185 000 X IUnt. I I Fum. $ 1 B7 500 X IUnt. I I Furn. $ 205 000
Sales orice oer GBA $ $ 66.07 $ 56.58 $ 52.44
Gross monthlv rent $ 1375 $ 1,300 $ 1325 $ 1,400
Cross 100. rent mu~. (1) 142.31 41.51 146.43
Sales Iltice nar unit $ $ 92 500 $ 93,750 $ 102 500
Sales orice ner room $ $ 16,818 $ 7045 $ 18,636
Data and/or Inspection C.P.M.L. C.P.M.L. C.P.M.L.
Verification Sources AllenVT ax Records AnenVTax Records AllenVT ax Records AaenVT ax Records
ADJUSTMENTS DESCRIPTION DESCRIPTION , +(-) $ Adjustment DESCRIPTION , +(-)$ d'uslment DESCRIPTION , + (-) $ Adjuslmenl
Sales or financing 43 DaM , 141 DaM , 20 DaM
, ,
, ,
concessions Conventional , Conventional , Conventional ,
, . ,
Date of saleltime OS/27/04 , 08/31/04 , 12/22/03 .
Location Suburban Suburban , Suburban , Suburban :
, ,
LeaseholdlFee Simnle Fee Simple Fee Simole , Fee Simole , Fee Simple :
, ,
Site 0.18 Acres +/- 0.41 Acres +/- , 0.23 Acres +/- , 0.47 Acres +/- ,
View Residential Residential , Residential : Residential .
, ,
Desian and aDDeal 2.5-Storv 2.5-Storv : 2.5-Storv , 2.5-Storv ,
, ,
QualilY of oonslruclion Stucco Vinvl , AlumlnumNinvl , Aluminum ,
l!iAoe 175 Years +/- 135 Years +/- , 155 Years +/- , 152 Years +/- :
. ,
~ Condition Averalle Good . -10000 Averane , Averaae ,
, , ,
Gross Buildina Area 3988 S . ft. 2800S .ft.' +17800 3,314S ,ft,' + 0000 3909S ,ft.'
. , , ,
It> Rm.aIUnI No. It> Rm.aIUnl , It> Rm._ , It> Rm.aIUnt ,
d d No., d No., d No"
unil ro B, .. VK. 001 ro " B. Vae.: ". r" B, B. Vac) unll ro B, B. Vac:
. 1 5 3 2.00 1 1 5 2 2.00 0' 1 5 3 1.50 0' 2,000 1 5 3 2.00
Unit 0:
breakdown 1 6 3 1.00 0 1 6 2 1.00 0: 1 6 2 1.00 0: 1 6 3 1.00 0:
, , ,
. , , ,
, , ,
Partial Unfinished Full Unfinished: -3500 Partial Unfinished: Full Unfinished :
Averaae Averane : Averane : Averaoe :
2-Hot Wtr Furnaces Heat Pumn (1)' +5000 1-011 HW Furnce ' 5000 1-0il HW Furnce '
Det 2-Car Garane Off-Street : +7 500 Det 2-Car Game : Det 3-Car Garae :
None None , None ' None :
None None ' None ' None '
None None : None : None :
NelAdl.(lolall X, - I 16800Jlill[' - I 70001illtX. I
Adj. sales price of
oomnarables 201,800 2 4 500 203 500
Comments on Sales Comparison (including reconciliation of all indicators of value as to consistency and relative strength a devaluation of the typical investor's1purchaser's
motivation in Ihat market): See Attached Addendum.
Basement desaiotion
Functional utilitv
Heatina/coolina
Parkina on/off site
Project amenities and
fae (If aoolicablel
-3500
+5 000
-3000
1,500
ITEM SUBJECT COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3
Date, Price and Data None None None None
Solrce for prior sales N/A N/A N/A N/A
withln_of"""",isal Owners Deed C.P.M.L.ICourt House C.P.M.L.ICourt House C.P.M.L.ICourt House
Analysis of any current agreement of sale, option, or listing of the subject property and analysis of any prier sales of subject and cornpc tables within one yea' of the date of appraisal:
The sales comoarison aooroach carries the most weicht in determinino market value as it is based n historical information and is not as
subiective as the income aooroach.
Tolal gross monlhly esllmated rent$ 1 ,375 x gross renl multiplier (GRM) 146.31 = $ 201 76 INDICATED VALUE BY INCOME APPROACH
Comments on income approach (induding expense ratios, if available, and reconciliation of the GRM)
INDICATED VALUE BY SALES COMPARISON APPROACH.. .. .. .. $ 203500
INDICATED VALUE BY INCOME APPROACH . .. .. . . $ 201 176
INDICATED VALUE BY COST APPROACH $ 208482
This appraisal is made IKI "as is" 0 subjecttothe~~a~, ~rt~tions, inspedK,~sCf:~nditions listed bebw' . .. 0 ~ub e~t to'~mpl~ti~n P8'r Pla~s and specifications.
Comments and ConcfrtionsofAppaisal: The sales comnarison aooroach carries the most weinht in determininll market value as it is based on
,....--'-
Borrower: Edith J. Bair
Prooertv Address: 100-102 E Locust Street
Citv: Mechanicsburn
Lender: Marlin B. McCaleb, Esquire
ADDENDUM
State: PA
File No.: 05-006M 1 M
Cas No.: 05-006M1 M
Zin: 17055
Comments on Sales Comparison
The property's heating, plumbing, and electrical systems appear to be functioning properly to the best of the appraiser's
knowledge and expertise.
I am unable to verify the insulation "R" factor. The presence of UREA-FORMALDEHYDE FOAM NSULATION could not be
determined. If UFFI is present, the appraisal market value may be adversely affected or voided. IAny information about
insulation stated on the appraisal was provided by inspection, owner, or agent; and is assumed t be accurate.
The appraiser is not aware of the existence of Radon Gas and/or Radon Daughters, and does no have the necessary
equipment to test for the presence of same. If a future test shows unacceptable leveis of Radon resent, the appraised
market value may be adversely affected or voided.
The subject is over 30 years old, but has been modernized as necessary and is marketable in its present condition. The
effective age is significantly less than 30 years.
The vacant land in the area is changing to single family and does not have a negative effect on tile value.
Please be advised that in the market data analysis grid, bathrooms are adjusted for on the first Iirle and gross iving
area/room count are adjusted together as a single adjustment on the second line.
All comparable sales are settled to the best of the appraise~s knowledge. Verification of setllem nt is with County and/or
Realtor.
Operating Income Statement
, Mark E. Hilbert & Associates 05-006M1M
One- to Four-Family Investment Prooertv and Two- to Four-Family Owner-OccuDied Pro~ ertv 05-006M1M
Property Address
100-102 E Locust Street Mechanicsburg PA 17055
Street Citv State ZiD Code
General Instructions: This form is to be prepared jDintly by the loan applicant, the appraiser, an ~ the lender's underwriter. The
applicant must complete the following schedule indicating each unit's rental status, lease expirati n date, current rent, market rent,
and the resDonsibilitv for utilitv exoenses. Rental fioures must be based on the rent for an "unfurn shed" unit.
Currently Expiration Current Rent Market Rent Paid Paid
Rented Date Per Month Per Month Ut Iity Expense By OWner By Tena
Unit No.1 Yes - No ~ N/A $ 0 $ 675 EI ctricity....... .0 IXJ
Unit No.2 Yes ~ No Month-to-Month $ 350 $ 575 G s........ .0 IXJ
-
Unit NO.3 Yes No X N/A $ 0 $ 125 F I Oil .... .... 0 0
-
Unit NO.4 Yes No $ $ F I (Other) .... ..0 0
- -
Total $ 350 $ 1,375 W ter/Sewer IXJ R
...
Tr sh Removal . . : : :iX1
The applicant should complete all of the income and expense projections and for existing propertie provide actual year-end operating
statements for the past two years (for new properties the applicant's projected income and expenses m st be provided). This Operating
Income Statement and previous operating statements the appiicant provides must then be sent to the appraiser for review, com-
ment, and/or adjustments next to the appiicant's figures (e.g., Applicant/Appraiser 288/300). If the ap raiser is retained to complete
the form instead of the applicant, the lender must provide to the appraiser the aforementioned op rating statements, mortgage insur-
ance premium, HOA dues, leasehold payments, subordinate financing, and/or any other reievant information as to the income and
expenses of the subject property received from the appiicant to substantiate the projections. The nderwriter should carefully review
the applicant's/appraiser's projections and the appraiser's comments concerning those projection . The underwriter should make any
final adjustments that are necessary to more accurately reflect any income or expense items that a pear unreasonable for the market.
(Real estate faxes and insurance on these types of properties are included in PIT! and not calc aled as an annual expense item.)
Income shouid be based on current rents, but should not exceed market rents. When there are no current rents because the property
is proposed, new, or currently vacant, market rents should be used.
Annual Income and Expense Projection for Next 12 months
Adjustments by
I ncome (Do not include income for owner.-occupied units) By AppiicantlApprais pr Lender's Underwriter
Gross Annual Rental (from unit(s) to be rented) ...... ... ....... ... '" $ 16500 $
Other Income (indude sources) .... ... ... + +
... .......... ...... ...
Total ................. ....... ..... .. ..... .. ... ... ... $ 16500 $ 0
Less Vacancy/Rent Loss. .. ... .... ..... .. ... ..... .. ... . . . . . . . - 33 .OO( 2%) - ( %)
Effective Gross Income. . . . . . . . . . . ..... .. ... ..... .. ... ....... $ 16,170 $ 0
Expenses (Do not indude expenses for owner--occupied units)
Electricity............... . ............ ... ..... ..... .....
Gas ................... ,........... .. ........... .. ....
FueIOii.......... . ... .. .. .... ........... .. ....... ... ....
Fuel ............. .. .......... .(Type- )
Water/Sewer . . . . . . . ... ....... ........... ... ........ .. .... 640
Trash Removal ..... ... ....... ........... .... .. ..... .. .... 180
Pest Control ....... .......... . . . . . . . ........ .. ....... ....
Other Taxes or Licenses. . . . . . . . . . . . . . . . ....... ... ........ ...
Casual labor.. . . . . . . . .. . . . .. .. . . . .. . . ......... ...... ..... 100
This includes the costs for public area cleaning, snow removal,
etc., even though the appiicant may not elect to contract for
such services.
Interior PaintlDecorating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ... 600
This includes the costs of contract labor and materials that are
required to maintain the interiors of the living units.
General Repairs/Maintenance ................................. 500
This includes the costs of contract labor and materials that are
required to maintain the pubiic corridors, stairways, roofs,
mechanical systems, grounds, etc.
Management Expenses ............................ ... ... ... 1000
These are the customary expenses that a professional manage-
ment company would charge to manage the property.
Supplies ................................. .......... .... 200
This includes the costs of Items like light buibs, janitorial
nt
Mark E. Hilbert & Associates
05-006M1M
05-006M1M
Replacement Reserve Schedule
Adequate replacement reserves must be calculate regardless of whether actual reserves are r ovlded for on the owner's operating
statements or are customary In the local market. This represents the total average yearly reserve. Generally, all equipment and com-
ponents that have a remaining life of more than one year-such as refrigerators, stoves, clothe washers/dryers, trash compactors,
furnaces, roofs, and carpeting, etc.-should be expensed on a replacement cost basis.
Equipment Replacement Remaining
Cost Life
Stoves/Ranges @$ 250.00 ea.+ ~ Vrs. x
Refrigerators. . . . . . . . @$ 400.00 ea.+ ~ Vrs. x
Dishwashers ....@$ 225.00 ea,+ ----1Q Vrs. x
...
NC Units ..... .....@$ ea.+ - Yrs. x
C. Washer /Dryers ..@$ 450.00 ea.+ ----1Q Vrs. x
HW Heaters ...@$ 400.00 ea. + ----1Q Yrs. x
.....
Furnace( s) . ...... . ..@$ 2,000.00 ea.+ ----1Q. Vrs. x
(other) . . ......... @$ ea.+ - Vrs. x
Roof ..
.@$
2,000.00
~
Vrs. x One Bldg. =
By A plicantl Lender
Appraiser Adjustments
2 Units =$ 41.67 $ 71.43
2 Units =$ 66.67 $ 160.00
1 Units =$ 22.50 $ 22.50
Units =$ $
1 Units =$ 45.00 $ 90.00
2 Units =$ 80.00 $ 100.00
2 Units =$ 133.33 $ 266.67
Units =$ $
$ 80.00 $ 133.33
Carpeting (Wall to Wall)
Remaining
Life
(Units) 446 Total Sq. Vds. @$
(Public Areas) _ Total Sq. Vds. @$
12.50 Per Sq. Vd. + ~ Vrs. =
Per Sq. Vd. ~ _ Vrs. =
$
$
464.58 $
$
1 ,000.00
Total Replacement Reserves. (Enter on Pg. 1)
$
933.75 $
1 ,843.93
Operating Income Reconciliation
$ 16,170.00 -$
Effective gross Income
4,154.00
Total Operating Expenses
=$
12,016.00 : 12= $
Operating Income
1,001.33
Monthly Operating Income
$ 1,001.33 -$
Monthly Operating Income Monthly Housing Expenses
=$
1,001.33
Net Cash Flow
(Note: Monthly Housing Expense includes principal and interest on the mortgage, hazard insuranc premiums, real estate taxes, mort-
gage insurance premiums, HOA dues, leasehold payments, and subordinate financing payments.)
Underwriter's instructions for 2.4 Family Owner-Occupied Properties
. If Monthly Operating Income is a positive number, enter as "Net Rental Income" in th "Gross Monthly Income" section of
Freddie Mac Form 65/Fannie Mae Form 1003. If Monthly Operating Income is a negatiwe number, it must be included as a
liability for qualification purposes.
. The borrower's monthly housing expense-to-income ratio must be calculated by comparin the total Monthly Housing Expense
for the subject property to the borrower's stabie monthly income.
Underwriter's instructions for 1-4 Family Investment Properties
. If Net Cash Flow is a positive number, enter as "Net Rental Income" in the "Gross Man hly Income" section of Freddie Mac
Form 65/Fannle Mae Form 1003. If Net Cash Flow is a negative number, it must be in luded as a liability for qualification
purposes.
. The borrower's monthly housing expense-to-income ratio must be calculated by comparin the total monthly housing expense
for the borrower's primary residence to the borrower's stable monthly income.
Appraiser's Comments (including sources for data and rationale for the projections)
~,
/".., ,/
~
Borrower; dith J. Bair
Pro e Address: 100-102 E Locust Street
C' : Mechanicsbur
Lender: Marlin B. McCaleb Es uire
SUBJECT PROPERTY PHOTO ADDENDUM
File No. 05-006M 1 M
Case N .: 05-006M1M
State: PA Zi : 17055
-;j;;.,
",h
FRO T VIEW OF
SU ECT PROPERTY
Apprai d Date: October 8, 2004
Apprai ed Value: $ 204,000
REAR VIEW OF
SUBJ CT PROPERTY
STRE T SCENE
Borrower: dith J. Bair
Pro e Address: 100-102 E Locust Street
Cit : Mechanicsbur
Lender: Marlin B. McCaleb Es uire
State: PA
-+-
,
/
/
.I
.I
/
....
.,/
File No. 05-006M1 M
Case N .: 05-006M 1 M
Zi : 17055
Detac ed 2-Car Garage
View of Arch Street going Southward away
from S bject Property
Borrower: Edith J. Bair
Pro ert Address: 100-102 E Locust Street
Cit : Mechanicsbur
Lender: Marlin B. McCaleb Es uire
COMPETING LISTING PHOTO ADDENDUM
File No: 05-006M 1 M
Case N .: 05-006M1 M
Stale: PA Zi : 17055
COM ETING LISTING #1
209 5 Street
New umberland PA 17070
Lisling Price: $ 133,900
Days n-Market: 11 DO M
COMP TING LISTING #2
16 W Klier Street
Mecha icsburg PA 17055
Lisling rice: $ 173,900
Days-O -Market: 74 DOM
COMP TING LISTING #3
40 W M in Street
Mechani sburg PA 17055
Lisling P ceo $ 249,000
Days-On Market: 229 DO M
Botrower: dith J. Bair
Pro ertAddress: 100-102 E Locust Street
C' : Mechanicsbur
lender: Marlin B. McCaleb Es uire
COMPARABLE RENTALS PHOTO ADDENDUM
file No: 05-006M 1 M
Case N .: 05-006M1 M
Zi : 17055
State: PA
Ii
COM ARABLE RENTAL #1
344 S ashington Street
Mech nicsburg PA 17055
COM RABLE RENTAL #2
9 & 11 Second Street
Worml ysburg PA 17043
418 Wain Street
Mechani sburg PA 17055
Borrower: Edith J. Sa;r
Pro art Address: 100-102 E Locust Street
eft : Mechanicsbur
Lender: Marlin B. McCaleb Es uire
COMPARABLE PROPERTY PHOTO ADDENDUM
file No: 05-006M1M
Case N .: 05-006M1 M
Zi : 17055
State: PA
----..
.~
":'t
COM ARABLE SALE #1
317 S Enola Drive
Enola PA 17025
Sale te: OS/27/04
Sale Pice: $185,000
COM RABLE SALE #2
424 W. Main Street
Mecha icsbur9 PA 17055
Sale Da e: 08/31/04
Sale Pri : $ 187,500
COMP RABLE SALE #3
1028 S. ork Street
Mechani sbur9 PA 17055
Sale Dat : 12/22/03
Sale Pric : $ 205,000
- Borrower/Client
Prooertv Address
Citv
Lender
File#
Countv
State
Zio Code
-
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, Borrower/Client
Properlv Address
Citv
File#
Countv
State
Zip Code
Lender
BUILDING SKETCH
.
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,'_~:'\"!': '~ . ,-.__, ~~,,,,~-.,] h,J'\l:" .JtA''':/\~? Z',~:~~,: .:n~':'__V
. IN RE: ESTATE OF ROMAIN& KING I IN THJ;l C T or COMMON PLEAS OF
I l.ANTZj '~l'QF'.~ J.O!;!.qul51J, Oil.IJ ""L;'~\OO!~~ l.lQIDfU,{~NIi!$~~~>!\(
MECHANICSJURG. CUMDBRLAND COUNTY,: ORPHANS"C RT DIVISION'
fE:NNSYLVANIA,cDIi1.€lJMSliD"Iw ,:H:~';;~ H: l3;itrA~{N(h')',i1..a'5tll(i~ ~ u. ',oj: "01
t> ';"I~ '.: ,.' t ._.H3 C.)).n:., ~"". _V:iH'\\n\!V f 1.~':..IJ-,i. ;:; ~ a ~H._t_t.J 'Of C.(.1~"
. DB mmAW BTA
AND' NOW~" this l':$l/'~'J. J~~1~~;:'H:~.Ut.t.\'I" }~1'~~ '''~'''i97J .'~t {, w' '.' \P
".-., '-:>'-i':i: ,,';l"~';':'-. "i;~r:.,.';~,:'_'~-:-'''';'.J :,:, :',.:_ _itli~. ~~.,. :':':"'~i' ,;;.'i"t.;\ -~..;.:. ~'.,-; ~l_d',-~~",l
o'clock _.M. . prevailing t~. it appearing at th~'liratand i'!nttf
.1 "Ac'ribdntlind"st.;;~~~~~t~Pt.~~.~\\;;D~-=J'i:;~:a~~~~;:.B~~:'i!,....
1..fj ,; _f,: '~fi_;,..,:-il;J't)-r1 :-Lijhc~n J:\~-.I,g9r!! b~:a.f;t;::'~.,:::,;~ !!5,~_ij.'l~
Ex.ecutrix of' the Last Will 8.I:1d''l'estement of Ro aint! King .t.rmtz.
c, '''~:~ff ',,,,~,,,,,,'f:'
deceased. have been duly filed and ~dve~ti;ed cording to law and
Court in and for Cumberland CO\.U1ty.' Fennsylv
;~,~jH;~,ement of
'" ..".....,...f._~""~_' ."~""..,, . ',_.
pproved by tha abOve
Rules of court. and said Firl>t an~, F~~J;i ,.'Ao~
. ..,..'S........
proposed Distribution have been oo~i~d and
a. on August l~. 1976;
and it: further appearing that the said loIXacut ix ha. 1n her statement
..
of l'roposed Dlstl'ibuti9n propo.ed to ,di~t~~l;Iue":;a.rt~1n,r.e.J,et'l;l!\te
. - ::.:.,':-)~:t~_r~,;'i~~~.+..;' /;:'t'~~i(,j}i."" -:,";.;,;' ,~,.,,':'j;- _..-.
, in kinll to Edith Joann Bail'. in aacot~lid'?'Wi' ~:l\!lie\;'~P~~nf;~fi'the
===:..:::~=:::;:~_. ~ . ,. .- ~ r-
~:J~',. '::', t-",_:': :_-"~~*-.(:-.:., . ", ,'. I..
Second Item of the Last Will and 'Ie!ltement'\~~"lqma!(."~<,
deceased. and the Court aforesaid ha~iilg ~;9~" ~~l~$'j~:. . ,f~~i.J.ri.,. : .
. accordance with said Statement !)I.. J:'rOIlOIilIil~D1~ri1lu'ribri1'~'''''''{ :,,'.....,.
IT IS ORDERED. ADJUDGED .AND DECJmED th~t all rigbt. title and
interest of the said Romaine l<ing Lantz. Dece aed. in and; ,:tl)
ALL that lot of ground dtuate on t e southeast corner
of Arch iUld Locust streets in 'l;he lIOrou of MeChanlcsburg.
Cumberland CO\.U1ty. Pennsylvania, bounded and described as
.follow., to wit: Beginning at a point a the curb line
cornar of said A~h and Locust Streets. lumce by said Loaust
.stl'eet J.last .ixty (60) feet. more oX" lea .' to lot now or
fo~:t'lYOf' Adem orde. tJ1,ence 1:1)1 line 0 said lotSwth
one'h\mdt'edA~hirty,(130) feet;'lIlQre oX" 1 8.. tf) a post.
'thence' .'West, six.ty.,~(60)feet;'llIo~e or le s. to curb line on
. .dd'Ax'ab:,;:;t~et11 ~ence NoX''l:b by .aid ch street. one
hU.nd. X'l!.d. .'.'1;.Jl..,.~.., ".a'.Y,::xC+...3.0 ).... .f..ee. .(..(.l1i'?,te.... or. le.8. a. to the place O~".;' . '. '.'.'
Beginni~ii}l1n!r e1'eoted ttu!lIE!pne. 40ub e two (2) .tor:1'1 ;l,~~;t
dwe14Qg.!~~'~,,M;JIl~q,e:sl!lar)' outbuilding. Being the .~.~i'~"
remailrltltt );l~rOr tbci~.T\MJm..1ses whie Edith. a. King,' '. "\J!.f;~:il;
et al. by . li'dr deed MWa'f,August 1S. 19 O. and .reClQr!l.e.~, . ~ y~",
il1. '. II! Of' , . , ltMorder qf Deeds and for llUmb'iQI~~~~
C, . eed Book "M". olume 1.... Pllle:'l~9,: ..., .',
, enj emin F. tz and Romaine J(.~ "" ~.~':;
"
Mark E. Hilbert & Associates
05-006M1M
05-006M1 M
m CURRENTSALESCONTRACT
o
o
IRJ
8
o
o
The subject property is currently not under contract.
The contract and/or escrow ins!ructions were nol available for review, The unavailability of the contract i s explained later in the addenda section.
The contract andlor escrow instructions were reviewed. The following summarizes the contract:
Contract Dale Amendment Dale Contract Price Seller
The contract indicated that personal property was not Included in the sale.
The contract indicated that personal property was included. it consisted of
Estimated contribulory va "e Is $
Personal property was not included in the final value estimate.
Personal property was included in the final value estimate.
The contract indicated no financing concessions or other incentives.
The contract indicated the following concessions or incentives:
If concessions or incentives exist, the comparables were checked for similar concessions and appropriat adjustments were made, Wapplicable,
$0 that the final value conclusion is in compliance with the Market Vaiue defined herein.
MARKET OVERVIEW
Six months is considered a reasonable marketing period for the subject property based on M Itiole Listinn Service
IRJ
o
o
m
m ADDITIONAL CERTIFICATION
The Appraiser certifies and agrees that:
(1) Their analyses, opinions and conclusions were developed, and this report was prepared, in conformity the Uniform 5tandards of Professional
Appraisal Practice ("U5PAP"), except that the Departure Provision of the USPAP does not apply.
(2) Their compensation is not contingent upon the reporting of predetermined value or diredion in value that ors the cause of the client, the amount
of the value estimate, the attainment of a stipulated result, or the occurrence of a subsequent event.
(3) This appraisal assignment was not based on the requested minimum valuation, a specific valualion, or I e approval of a loan.
m ADDITIONAL (ENVIRONMENTAL) LIMITING CONDITIONS
The value estimated is based on the assumption that the property is not negatively affected by the existence hazar<lous substances or detrimental
environmental conditions unless otherwise slated in this report. The appraiser is not an expert in the identification f hazardous substances or detrimental
environmental conditions. The appraise~s routine inspection of and inquiries about the subject properly did t develop any information 1hal indicaled
any apparent significant hazardous substances or detrimental envmnmental conditions which would affect the p negatively unless otherwise stated
in this report. it is possible that tests and inspections made by a quarlfied hazardous substance and envronme tal expert would reveal the existence of
hazardous substances or detrimental environmental conditions on or around the property that would negativ Iyaffect its value,
m APPRAISER'S SIGNATURE & LICENSE/CERTIFICATION
Appraiser's Signature ?~k~'"?-"
Appraise~s Name (prinl) Mark Eo Hilbert / Phone #(717 )7664988
State PA 0 License IRJ Certification # RL-000388-L
E clive Date October 08, 2004
o te Prepared January 14, 2005
T x 10# 23-2391423
. CO-SIGNING APPRAISER'S CERTIFICATION
o The co-signing appraiser has personally inspected the subject property, both inside and out, and as made an exterior inspection of all
comparable sales listed in the report. The report was prepared by the appraiser under direct supervi ion of the co-signing appraiser. The
co,signing appraiser accepts responsibility for the contents of the report including the value conclusions e d the limiting conditions, and conli:ms
that the certifications apply fully to the co,signing appraiser
o The co'signing appraiser has not personally inspected the interior of the subject property and:
B has not inspected the exterior of the subject property and all comparable sales listed in the report.
has inspected the exterior of the subject property and all comparable sales listed in the report.
The report was prepared by the appraiser under direct supervision of the ccrsigning appraiser. The co-sl ing appraiser accepts reSPOnsibility for
05-006M1M
File No. 05-006M1 M
DEFINITION OF MARKET VALUE: The most probable price which a property should bri in a competitive and open market
under all conditions requisite to a fair sale, the buyer and seller, each acling prudently, knowledg ably and assuming the price is not
affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specif ad date and the passing of title from
seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both par ies are well informed or well advised,
and each acting in what he considers his own best interest; (3) a reasonable time is allowed for expo ure in the open market; (4) payment
is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; a d (5) the price represents the normal
consideration for the property sold unaffected by special or creative financing or sales concessions* 9 anted by anyone associated with the
sale.
'Adjustments to the comparables must be made for special or creative financing or sales concession. No adjustments are necessary for
those costs which are normally paid by sellers as a result of tradilion or law in a market area; these sts are readily identifiable since the
seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can e made to the comparable property
by comparisons to financing terms offered by a third party institutional lender that is not already involve in the property or transaction. Any
adjustment should not be calculated on a mechanical dollar for dollar cost of the financing or cone ssion but the dollar amount of any
adjustment should approximate the markel's reaction to the financing or concessions based on the Appraiser's j dgment.
STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CER IFICA TION
CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears in he appraisal report is subject to the
follOWing condilions:
1. The appraiser will not be responsible for matters of a legal nature that affect either the property bing appraised or the title to it. The
appraiser assumes that the title is good and marketable and, therefore, will not render any opinions abou the title. The property is appraised
on the basis of it baing under responsible ownership.
2. The appraiser has provided a sketch in the appraisal report to show approximate dimensions of he improvements and the sketch is
included only to assist the reader of the report in visualizing the property and understanding the appraiser's dete mination of its size.
3. The appraiser has examined the available flood maps that are provided by the Federal Emergency anagement Agency (or other data
sources) and has noted in the appraisal report whether the subject sita is located in an identified Speci I Flood Hazard Area. Because the
appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination.
4. Tha appraiser will not give testimony or appear in court because he or she made an appraisal of the roperty in question, unless specific
arrangements 10 do so have been made beforehand.
5. The appraiser has estimated the value of the land in the cost approach at its highest and best u e and the improvements at their
contributory value. These separate vaiuations of the land and improvements must not be used in conju ction with any other appraisal and
are invalid W they are so used.
6. The appraiser has noted in the appraisal report any adverse conditions (such as, needed repairs, depr ciation, the presence of hazardous
wastes, toxic substances, etc. ) observed during the inspection of the subject property or that he or she ecame aware of during the normal
research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the apprais r has no knowledge of any hidden
or unapparent conditions of the property or adverse environmental conditions (including the pre ence of hazardous wastes, toxic
substances, etc. ) that would make the property more or less valuable, and has assumed that there ar no such conditions and makes no
guarantees or warranties, express or implied, regarding the condition of the property. The appraiser ill not be responsible for any such
conditions that do exist or for any engineering or tasting that might be required to discover whether ch conditions exist. Because the
appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considere as an environmental assessment
of the property.
7. The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal eport from sources that he or she
considers to be reliable and believes them to be true and correct. The appraiser does not assume res onsibility for the accuracy of such
items that were furnished by other parties.
8. The appraiser will not disclose the contents of the appraisal report except as provided for in the niform Standards of Professional
Appraisal Practice.
9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is ubjectto satisfactory completion,
APPRAISERS CERTIFICATION: The Appraiser certifies and agrees that:
05-006M 1 M
FileNo. 05-006M1M
1. I have researched the subject market area and have selected a minimum of three recent saies of p perties most similar and proximate
to the subject property for consideration in the sales comparison analysis and have made a dollar adjust ent when appropriate to reflect the
market reaction to those items of significant variation. If a significant item in a comparable property is uperior to , or more favorable than,
the subject property, I have made a negative adjustment to reduce the adjusted sales price at the com arable and, if a significant item in a
comparable property is inferior to, or less favorable than the subject property, I have made a positive djustment to increase the adjusted
sales price of the comparable.
2. I have taken into consideration the factors that have an impact on vaiue in my development of t e estimate of market value in the
appraisal report. I have not knowingly withheld any significant information from the appraisal rep t and I believe, to the best of my
knowledge, that all statements and information in the appraisal report are true and ccrrect.
3. I stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject
only to the ccntingent and limiting conditions specified in this form.
4. I have no present or prospective interest in the 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 partiaily or completely, my analysis and/or the
estimate of market value in the appraisal report on the race, color, religion, sex, handicap, familial st tus, or national origin of either the
prospective owners or occupants of the subject property or of the present owners or occupants of t e properties in the vicinity of the
subject property.
5. I have no present or contemplated future interest in the subject property, and neither my cur ent or future employment nor my
ccmpensation for performing this appraisal is ccntingent on the appraised value of the property.
6. i was not required to report a predetermined value or direction in value that favors the cause f the client or any related party,
the amount of the value estimate, the attainment of a specific result, or the occurrence of a subseq ent event In order to receive my
compensation and/or employment for performing the appraisal. I did not base the appraisal report 0 a requested minimum valuation, a
specific valuation, or the need to approve a specific mortgage loan.
7. I performed this appraisal in contormity with the Uniform Standards of Professional Appraisa Practice that were adopted and
promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of he effective date of this appraisal,
with the exception of the departure provision of those Standards, which does not apply. I acknowled e that an estimate of a reasonable
time for exposure in the open market is a condition in the definition of market value and the estimat I developed is consistent with the
marketing time noted in the neighborhood section of this report, unless I have otherwise stated in the reconciliatio section.
8. I have personally inspected the interior and exterior areas of the subject property and the exterior of II properties listed as comparables
in the appraisal report. I further certify that I have noted any apparent or known adverse conditions i the subject improvements, on the
subject site, or on any site within the immediate vicinity of the subject property of which I am aware an have made adjustments for these
adverse conditions in my analysis of the property value to the extent that' had market evidence to sup art them. i have also commented
about the effect of the adVerse ccnditions on the marketability of the subject property.
9. I personally prepared ail conclusions and opinions about the real estate that were set forth In t e appraisal report. If I relied on
significant professional assistance from any individual or individuals in the performance of the appraisal r the preparation of the appraisal
report, I have named such individuai(s) and disclosed the specific tasks performed by them in the rec nciliation section of this appraisal
report. I certify that any individual so named is qualified to perform the tasks. I have not authorized anyo 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: If a supervisory appraiser signed the a praisal report, he or she certifies
and agrees that: I directly supervise the appraiser who prepared the appraisal report, have reviewed t e appraisal report, agree with the
statements and conclusions of the appraiser, agree to be bound by the appraiser's certifications numbered through 7 above, and am taking
full responsibility for the appraisal and the appraisal report.
ADDRESS OF PROPERTY APPRAISED: 100-102 E Locust Street Mechanicsbur PA 17 55
~I .....,""P"Il1.II__...." ... ....--... .--- .
.
Borro 8r Edith J. Bair FileNo. 05-006M1M
Prooertv Address 100-102 E Locust Street
City MechanicsburQ Countv Cumberland State PA Zlo Code 17055
Lender Marlin B. McCaleb Esouire
APPRAISAL AND REPORT IDENTIFICATION
This appraisai conforms to one of the following definitions:
00 Compiete Appraisal (The act or process of estimating value, or an opinion of value, performed without invoki 9 the Departure Rule.)
0 Limlled Appraisal (The act or process of estimating value, or an opinion of value, performed under and res Iling from invoking the
Departure Rule.)
This report is Q!!.!1. of the following types;
0 Self Contained (A written report prepared under Standards Rule 2~2(a) of a Complete or limited Apprai al performed under STANDARD 1.)
00 Summary (A written report prepared under Standards Rule 2~2(b) of a Complete or Limited Apprai al performed under STANOARO 1.)
0 Restricted (A written report prepared under Standards Rule 2-2(c) of a Complete or Limited Apprai I performed under STANDARD 1
for client use only.)
Comments on Standards Rule 2.3
I certify that, to the best of my knowledge and belief;
. The statements of fact contained in this report are true and correct.
. The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, an are my personal, impartial, and unbiased
professional analyses, opinions and conclusions.
. I have no present or prospective interest in the property that is the subject of this report, and no personal interest with res ect to the parties involved.
. I have no bias with respect to the property that is the subject of this report or the parties involved with this assignment.
. My engagement in this assignment was not contingent upon developing or reporting predetermined results.
. My compensation for completing this assignment is not contingent upon the development or reporting of a predetermined alue 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 subseque t event directly related to the intended
use of this appraisal.
. My analyses, opinions and conclusions were developed and this report has been prepared, in conformity with the Uniform tandards of Professional Appraisal
Practice.
. I [XJ have 0 have not made a personal inspection of the property that is the subject of this report.
Comments on Appraisal and Report Identification
Note any departures from Standards Rules 1-2, 1-3, 1-4, plus any USPAP-related issues requiring disclosure:
REV-1503 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCETAA RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULES
STOCKS & SONDS
FILE NUMBER
Joan D. Bair
SS11 201-16-1466
10/08/2004
21-04-1065
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE
NUMBER OF DEATH
1 972 shares Be11South Corporation, common, CUSIP 11079860 28.185 27,395.82
12
2 1,814 shares SBC Communications Inc, CUSIP #78387G 13 26.905 48,805.67
3 930 shares Verizon Communications, common 40.775 37,920.75
4 540 shares Vodafone Group PLC, common 24.73 13,354.20
TOTAL {Also enter on line 2, Reca itutation)
127,476.44
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only cPSystems, Inc.
Form REV-1503 EX (Rev. 1-97)
M &'8 AVtJ"O CENtJ"ER
TOCK NO.
2 East Second Street, Hummelstown, PA 17036
~~HASER'S tf/-t?/i'l'f ;?&Ai~
fPAINTOATYPE) ~
ADDRESS
. 566-2336 or 566-9033
HOME
PHONE
BUSINESS
PHONE
DATE (6/ 7,7 j f
{ /
(PRINT OR TYPE)
I hereby order from you, subject to all terms, conditions and agreements contained herein, !he following 0 NEW 0 USED VE leLE:
MOO~~~ES
MILEAGE
BODY lYPE
COlO:/J--
TO BE DELNERED
ON OR ABOLfT
TRIM
/ '6.? (;7
19
5<W
(J
tJ'O
WJ'I-E-'- (UL..
~S'J~
INSURANCE INFORMATION
INS. CO.
o LIABILITY
TOTAL SELLING PR CE
LESS: TRADE-IN AL OWANCE
TAXABLE SUBTOT L
SALES TAX
LICENSE & TITLE
NOTARY &ADMINI TRATIVE FEE
PAY-OFF AMOUNT
TOTAL PRICE
LESS: DEPOSIT
TYPE
MILEAGE
COlOR
PAY OFF DUE TO,
POLICY NO.
ODED.
EFFECTNE DATE
AGENT
o COMPo
BALANCE DUE ON DELlV RY
C,O.D.
FINANCE
Buyer agrees to deliver trade-in to dealer in same condition as when it was appraised. Buyer certifies
that he(she) is 18 years old or older and acknowledges a receipt of this order
x
PRICE SUBJECT TO CHANGE BY MANUFACTURER WITHOLfT NOTICE.
L10UIDATED DAMAGES, IN THE EVENT OF CANCELLATION OR BREACH OF THIS AGREEMENT
BY THE BUYER, THE DEALER SHALL BE ENTITLED TO RETAIN AS L1aUIDATED DAMAGES, THE
SUM OF $ , BUYER HEREBY ACKNOWLEDGES THE ABOVE
PROVISION.
SIGNED
RCHASER
SIGNED
THIS ORDER IS NOT V
BY DEALER OR HI
RCHASER
D UNLESS SIGNED AND ACCEPTED
AUTHORIZED REPRESENTATIVE
x
~
X /" Salesman's Name'
APPROVED,
DEALER OF lLfTHORIZED REPRESENTATIVE
REV-1508 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA.
lNHERITANCETIV< RETURN
RESIDENT DECEDENT
ESTATE OF
Joan D. Bair
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
SS!! 201-16 -1466
10/08/2004
FILE NUMBER
21-04-1065
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jo tly-owned with the right of
survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1 1999 Cadillac Catera sedan.
VALUE AT DATE
OF DEATH
8,500.00
2
Highmark Blue Shield, - refund of medical insurance prem um.
335.93
3
Household goods, contents, furniture and furnishings.
3,490.50
4
PA Department of Revenue, - 2003 personal income tax ref nd due
to overpayment.
161.15
5
Travelers Insurance Co., - refund of automobile insurancE
premium.
13.00
6
U. S. Treasury Note" CUSIP #912828AM2 - 2118 Note T 04;
principal: $15,003.52; accrued interest: $138.59).
15,142.11
TOTAL (Also enler on line 5, Rec ipilul'lion) $
27,642.69
(If more space is needed. insert additional sheets of the same size)
Copyright (e) 1996 form software only CPSystems, (nc.
Form REV-150B EX (Rev. 1-97)
TD5~.20 tMay 2001)
MNo011:.t4
t"
TREN3URY
DIRECT"
Phone: 1-800-722.2678
Outsldo tho US? Olal 1-617-994-5500
JOAN 0 BAIR
100 EAST LOCUST STREET
MECHANICSBURG PA 17055-3B40
FEDERAL RESERVE BANK OF cmCAGO
Sold
U. S. TREASURY NOTE
2 1/8 NOTE T 04
amount of
15,000.00
Price Dollar Price
1003/128 100.023438
1D Account: 4800-621-5895 RFI#:
(C) Acct#:
JOAN D BAIR
100 EAST LOCUST STREET
MECHANICSBURG. P A 17055-3840
THE FOLLOWING REINV
CURRENT SECURITY HA BEEN SCHEDULED
f.ir,f~'I.i'.:':.:"i.:"'.'
9128273L4 1013112002 3/4 NOTE N $15,000
FOR REINVESTMENT INTO:
..:........~.II!.....~I,..j...~.j
912828AM2 1013112004 1 2 YEAR NOTE
Issue Date
CONFIRMATION
105837
201-16-1466
10/06/2004
10/0712004
G1SJYoo
Net Amount
15,108.11
10/31/2002
Maturity Date
10/3112004
Trade No.
TIN
Trade Date
Settlement Date
Inv. Dept.
,CUSIP No. 912828AM2
PrinciDa1 Interest Yield
15,003.52 138.59
0313-1273-8
5070091713 P A
1.75
NT BY CHECK
The yield abov does not include the transaction fee.
FRB Chicago i acting as the Treasury's designated
fiscal agent. A action fee of $34.00 has
been subtracte from yoor net amount.
REV-1509 EX +(1-91) SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTL V-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF 10/08/2004 FILE NUMBER
Joan D. Bair SS{I 201-16-1466 21-04-1065
If an asset was made joint within one year of the decedent's date of death, it must be reported on S hedule G.
SURVIVING JOINT TENANT(Sj NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Johanna Bair Beegle 267 Wyoming Avenue Daughter
Eno1a, PA 17025
B.
C.
JOINTLY-OWNED PROPERTY,
LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of flnandal institution and bank DATE OF DEATH DECD'S VALUE OF
account number O-t slmllar Identifying number.
NUMBER TENANT JOINT Attach deed for jointly-held real estate, VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1 A 07/22/02 PNC Bank, - Checking 6,728.23 50.00% 3,364.12
Account {l5070091713, opened
07/22/2002 in names of
Decedent and Johanna B.
Beegle; principal balance
as of D.O.D. : $6,727.71;
accrued interest: $0.52.
2 A 07/22/02 PNC Bank, - Savings Account 5,652.45 50.00% 2,826.23
~5004001353 , opened
07/22/2002 in names of
Decedent and Johanna B.
Beegle; principal balance:
$5,650.77; accrued
interest: $1.68. Account
~as closed 10/08/2004 and
the balance of $5,652.45
was deposited in Checking
Account {l507009l713.
TOTAL (Also enter on line 6, Recapitulation) $ 6,190.35
(If more space is needed insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1509 EX (Rev. 1-97)
o PNCBAN<.
TO
TELEPHONE
DATE
FROM
TELEPHONe
FA)!
MARLIN MCCALEB
717-691-7770 FAX 717-691-7 '12
A1)dl 25. 2005 PAGES INCLUDING Co IER 4
VICD: BOQUS \l\d... ftr.... . u
717-6511-4060 q FAX 717-691-4 '16
COMMENTS:
8: JOAN MIlt - DATE OF O~H BAIJ\NCE!
'rO C1.ARIn: :rill!: Ll:TTER PRZVIOtlSLY SJ:N'l ~b YOU BY me
aANK, THE SAVINGS BALANCn ON 10-7-2004 WAS $5,650.77 AND
CIlI!:CKING BALANCE lO.S $6,727.71,
THE SAVINCS BAI..ANCE PLUS POSTED INTEQS~ 01'" $1.68 lO.S
TRANSFi:lUlID 1IND POSTED TO THE CIlICKWC: ACCOUNT ON
10-8-2004 TO MAKE THE TOTAL THAT D~ $12,359.25.
SHOllIoD YOU NBSD ADDITIONAL INB'OllICA'l'ION, rEEL FREE TO
CAu. llIIl.
PI m.mJ:>e, Q/ the PNC Flnanclol 5""'1_ G,..p
2 E WAIN STREET. MECHANICSBURG PA 170M
www.pnebank.oom
.
Total Banking Statement ~PNCBAN<
PN'C Bank
Prima account number. 50-7009-17\3
Page 1 013
For the period 0912312004 to 1012112004 Numb r of enclosures: 16
JDAN BAIR S;r r 24-hour banking, customer service and
- nsaction or interest rate information,
JOHANNA B BEEGLE
267 WYDMING AVE 11' sl o-on to Account link ~ by Web on
pn bank.com or call1-888-PNC-BANK
ENOLA PA 17025-2433
Pa a serviclo en espanal, 1-866-HOLA-PNC
Movln ..7 Ple.se contact us .tl-888-PNC-BANK
i:!Slw ole to: Customer Service
P< Box 609
Pit sburgh PA 15230-9738
jQVi it us at pncbank.com
In terminal: 1-800-531-1648
.~ heMlng irnpau-ed dienu only
Relationship Overview .
Bank Deposit Accounts
Description Account Number Deposit Balance
Interest Checking 50-7009-1713 22.735,69
Perfonnance Money Market 5().()400.1353 .00
Total Depooits 22,735.69
Senior Pr....illlll Plan Dan Salr
Int8l'est Checking Account S...mary ohanna B Beegle
Account number: 50-7009-1713
Balance Summary lease see the Activity Detail section for
Beginning Deposits and CheckS and other Ending dditiona) information.
balance other additions deductions balance
4.439,25 26,589.78 8,293.34 22,735.69
- Ayerage monthly ChanJes -
balance and fees
11,405.66 .00
Transaction Summary
Checks paid! Check Card POS Check Card/Bankcard
withdrawals signed transactions POS PIN transactions
16 0 0
Total ATM PNC Bank other Bank
transactions ATM transactions ATM transactions
0 0 0
Interest Summary t sof 10121, a total of $&.02 in interest was
Annual percentage Number of days Averaglil collected Interest Earned e rned this year.
Yield Earned _ (APYE) In Interest period balance for APYE this period
. 0.15)( 29 10.864.32 1.27
Activity Detail
Deposits and Other Additions ere were 10 Deposrts and Other Additions
Data Amount Oe!oCrip1.\on \ taling $26,589.78,
09/29 248,34 Direct Deposit. Dividend
, IDS Amex Mpls Mn 01011081067
I Deposjts and Other Additions continued on next page
!
FOFlM953R-01G1
Total Banking Statement
8 For 24-hour customer service information, sign-on to Account Link t>
by Web on pncbank.com or call1-888-PNC-BANK
Acc01mt number: 50-7009-1713 - continued
Dep..ita end Other Addition. - continued
Date
Amount Description
226.26 Direct Deposit - Dividend
IDS Amex Mpls Mn 01250914292
3,900.00 Direct Deposit - Premium
Ta Life Ins -Aty 71().0200Pb16745
856.00 Direct Deposit- Soc See
US Treasury 303 203105533D
247.35 Deposit Reference No. 024749295
350.00 Deposit Reference No. 027295957
. 5,650.77 Tel 04000041110173 Transfer From Xxxxxx1353
1.68 Deposit Reference No. 025178172
15,108.11 Deposit Reference No. 029460200
1.27 Interest Payment
09/29
09/~0
10/01
10/01
10/04
....10/08
"" 10/08
10/14
10/21
Cbocka
Chec:k
numb&r
4058
4061 ·
4063 . T
4064
4065 T
.4066 T
4067
4068
Date Reference
Amount poid number
'"$!O.oo 09/24 025512587
179_14 09/23 0265&9686
735.00 09/24 027488585
58.76 09/29 E094191709
735.00 09/30 . 027612248
100.00 09/29 0242608!!
450.00 10/04 026808707
16.59 10/07 026446985
* Gap. in .check sequence
"T" Teller Cashed Check
Daly Balance Doteil
Date Balance
. 09/23 4,260.11
09/24 2,995.11
09/29 3,310.95
.09/30 .6,475.95
Oat.
10/01
10/04 .
10/06
10/07
BalancllI
7,579.30
7,479.30
6,744.30
6,727.71 +--
oat.
10/08
10/12
10/13
10/14
. ;, eo, - . ~,
"
For the erlod 0912312004 to 10121/2004
JOAN B R
Primary unt number: 50-7009-1713
. Page20 3
Check
number
4070- T
4073
4074
4075
4076
4077,
Amount
735:00
;100.00
~;OOO.OO
81.34
- 49.37
42.23
Dat.
paid
Reference
number
849S457
o 7025008
026842250
028162954
028715990
025085835
024044609
027255285
Th e were 16 checks listed totaling
$8 '3.34.
Balance
12,359.25
10,359.25
8,259.25
22,826.02
Important Account Inlonnatlon-Amendment to tho Cons_or Schedulo
Of. Service Cha..... and Fe..
Date
10/21
Balance
22,735.69
'The information stated below amends certain information in our Consumer Schedule of Servic Charges arid
Fees ("Schedule"). Please take the time to review the following and keep it with your records. I nther information in the
Schedule continues to apply to your account. !fyou.have any questions, please stop by your b. ch or call us at the number listed
on the top of your statement. Weare happy to answer any questions you may have. Thank you
Effective October 1, 2004
OTHER ACCOUNT CHARGES AND SERVICES
NSF Returned Item Charge - $31 per check or debit item that is returned due to an insuffici tledger or available balance.
NSF Paid Item Charge - $31 per check or debit item paid against an insufficient ledger or avail ble balance; also applies to any
overdraft caused by our assessment of any service charge, fee or payment, or any check or othe debit item in this schedule.
Overdraft Caused by a Return of Deposited Item - $31 additional per item.
TDt~J 'Banking Statement
S For 24-hour customer service information, sign-on to Account Link ~
by Web on pncbank.com or call1-888-PNC-BANK
Account munber: 50-7009-1713 - continued
Perfonnance Money Market Account Summary
Account number: 50-0400-1353
Balanc. Summary
Beginning Deposits and Check"! and other
balance other additions deductions
5,650.77 1.68 5,652.45
Average monthly
balance
2,922.81
Inter.ot Summary
Annual Percentage Number of days Average collecled
Yield Earned (APYE) In Interest period balance for APYE
0.73% 15 5,650.77
Activity Detail
D.pooita and Oth.r Additi_o
Date Amount Description
10/08 1.68 Interest Payment
Oth.r D.....ction.
Oat. AmOUnt Description
10/08 .00 Outstanding Item Close
-il'10/08 5,650.77 Tel 0400004111 0173 Transfer To XxxxxxI713
....10/08 1.68 Debit Memo Reference No. 025178173
Daly Balanco Dotail
Date Balance
09/23 5,650.77
.
Date
10/08
Balance
.00
"
I
I
Ending
balance
Charges.
and fees
Interest Earned
this period
1.68
.
o PNCBAN<
For tle period 09/23/2004 to 10/21/2004
JOAN BAIR
Prima Iv account number: 50-7009-1713
Page 013
.00
.00
.
Joan 0 BaiT
ohanna B Beegle
Please see the Activity Detail section for
dditional information.
~ of 10/21, a total of .20.88 in interest was
amed this year.
"here was 1 Deposit or Other Addition
taling $1.88.
nere were 3 Other Deductions totaling
5.652A5.
.
FORM953R-01OL
0PNCBAN<
December 6. 2004
Marlin R McCaleb
Attomey at Law
219 EMain 8t
POBox 230
Mecl1anic5burg, PA 17055
RE: Estate of Joan D Bair (Decea5ed)
SSN: 201-16-1466
DOD: 10..oS-2004
Dear Mr. McCaleb:
scp
In respollSCl to your request fOT Date of Death balances for the cu.tomer oted above. our
records show the following:
Chec:Jdag Acco\lDt
AcCOUllt #5070091713
Established 07- 2.2002
JOAN BAtR
JOHANNA B BEEGLE
DOD balance: $12,359.25 -;- $0.52 accruedintemll
Savinp Accoltnt
Account 5004001353
EstablisMd 07-2 .2002
JOA.N D BAIR
JOHANNA. B BEEGLE
This account closed on the date of death. for a closing balmce pica" co
listed below.
the branch
MECHANlCSBUllG BAA1\~CH
2 EAST MAIN STREET
ME.CHANlCSBtJRO FA 17055
717-691-4035
The decedent maintained Investment Account iFI27113S02. for
please call1-80o..762-6111.
infonnation
p. I of2
Please note that thia office only provides date of death balances for dep sjt acC01l!lt8
(IRAs, CDs. Checking aile! Savings accounts). We do vot process oy Ilclal
trllDSactions or pro.;de st:atcmeDts. If YOII Deed IlSsistance with any 0 these items,
plc83e caU 1-888-PNC-BANK (I-888-762-2265) or stop by your lQC&1 C Bank branch.
office.
Sincerely,
tH".c.... ~-,/, <- ~-g/
Erica L Sch1eael
1-800.762-1775
P7-PFSC-04-P
;00 FIm Avo
Pimburgb fA 15219
fllSC 2 of2
Member FDIC
TOTFlL P.02
REV-1510 EX +(1-97)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERJTANCETAX RETURN
RESIDENT DECEDENT
ESTATE OF
Joan D. Bair
10/08/2004
SS11 201-16-1466
This schedule must be completed and filed it the answer to any of questions 1 through 4 on page 2 is ~s.
ITEM
NUMBER
1
DESCRIPTION OF PROPERTY
INCLUDE THE NAMEOFTHETRANSFEREE THEIR
RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER.
ATTACH ACOPYOFTHE DEED FOR REAL ESTATE.
American Express Company -
Mutual Fund Account
#01011081067 7 002, TOD to
C. William Bair and Johanna
B. Beegle, equally.
DATE OF DEATH
VALUE OF ASSET
80,724.42
%OF
DECD'S
INTEREST
100.00%
E CLUSION
QF [PPLlCABLE)
80,724.42
2
American Express Company -
Mutual Fund Account
#01150914292 0 002, TOD to
C. William Bair and Johanna
B. Beegle, equally.
181,742.43 100.00%
3
American Express Company -
Mutual Fund Account
#0120914292 8 002, TOD to
C. William Bair and Johanna
B. Beegle, equally.
39,635.75 100.00%
4
American Express Company -
Mutual Fund Account
#01260914292 7 002, TOD to
C. William Bair and Johanna
B. Beegle, equally.
114,215.48 100.00%
5
American Express Company -
Annuity Account
#93001436185 9 004, POD to
C. William Bair and Johanna
B. Beegle, equally.
62,411.64 100.00%
6
American Express Company -
Annuity Account
#93001436259 2 004, POD to
C. William Bair and Johanna
B. Beegle, equally,
62,411.64 100.00%
7
Annuity #0200PB16745,
Transamerica Life Insurance
Co., - POD to Johanna Bair
Beegle.
43,853.26 100.00%
8
PNC Investments, - Account
#12783802, POD to Johanna
Bair Beegle.
5.92 100.00%
TOTAL (Also enter on line 7, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
Copyrlght(c) 1996 form softwareonty CPSystems, Inc.
FILE NUMBER
21-04-1065
TAXABLE VALUE
181,742.43
39,635.75
114,215.48
62,411.64
62,411.64
43,853.26
5.92
585,000.54
Form REV-1510 EX (Rev. 1-97)
From:
To:
cc:
Subject:
Christopher S Lobash on 10/1912004 05:43 PM
Gerald X BrillainlFieldIWHIAEFA@AMEX
EDITH J BAIR - CLIENT 1010400296-9 CLAIM INFORMATION
~ COpy
IDS UFE INSURANCE COMPANY
AMERICAN EXPRESS FUNDS
AMERICAN EXPRESS CERTIFICATE MPANY
AMERICAN EXPRESS BROKERAGE
70100 AXP Fln..c1oJ C,"".r
Mlnneepolls, MN 55474
October 19, 2004
GERALD W BRITIAIN
STE201
5006 EAST TRINDLE RD
MECHANICSBURG, PA 17050-3651
Dear GERALD W BRITIAIN:
Thank you for your recent inquiry regarding EDITH J BAIR's accounts. Tbese are the ues of the accounts as of
10/08/2004. AI the end of this letter, you will find a list of beneficiaries shown in our' . review of the
deceased's accounls. Please provide our office with any contact information you may e, including but not
limited to complete names, addresses, telephone numbers and relationships to the deceas for any beneficiary or
claimant identified on the deceased's accounts.
IMPORTANT REMINDER:
If you wish to complete settlement prior to the end of the 2004 tax year, all requirem must be received by
December 12, 2004. We will put forth our best efforts to handle all requests before year even if received after
this date, however, we cannot guarantee that processing will be completed for the 2004 year. lfthere are IRA
assets involved with this claim and the decedent's Required Mnim'l1J1 Distribution for 2 has not yet been
fulfilled, please contact our office for additional instructions.
In accordance with various regulatory agencies, American Express Financial Advisors
monthly/quarterly statements for the deceased to the deceased's address of record. Tbe
authorization to change the address of the deceased and thus, redirect the mailing
Executor(s) of the Estate of the deceased
Account Information
Mutual Fuuds
Account Number
010110810677002
01150914292 0 002
012509142928002
012609142927002
OwnCl"'hin
Individual - TOD
Individual - TOD
Individual- TOD
Individnal- TOD
Annuities - Post 1985
continue to mail
y individua1(s) granted
of the statements, is the
~t Jtl"'i' ~.; \lO\, [),
~ t.~:::{ ~ ;,:~
Ii ljl....",;ijl.v
Account Number
930014361859004
93001436259 2 004
Ownershin
Individual
Individual
Mutual Funds
Account Number
01011081067 7002
01150914292 0 002
012509142928002
012609142927002
Total Value
$80724.42
$181742.43
$39635.75
$114215.48
# of shares
16518.578
40780.383
13726.886
12993.798
Asset Value P Share
4.880
4.450
2.880
8.790
Annuities - Post 1985
Account Number
930014361859004
930014362592004
Total Value
$62411.64
$62411.64
The date of death values provided are for estate tax purposes and are not values to be p d. Accounts may be
subject to market fluctuation as governed by each product. Please note that the values' . ated for any Life
Insurance product(s) reflect the gross death benefit at date of death, uot the cash value.
-
Account Disposition
Account disposition is based on how an account is (}wned (the ownership type). The fo owing information will
help you understand the process that will be used to settle the accounts.
Disposition for Individual- TOD ownenhlp
Upon the death of the owner, all accounts registered as individual-transfer on death pass
beneficiaries. Although the assets do not become part of the estate for distribution. we
included f(}r inheritance and/or estate tax purposes.
Disposition for Individual owuersllip
The deceased was the onllll11ant on at least one annuity account previously listed. Upon e death of the annuitant,
account proceeds t;ypically pass to the beneficiaries named at the time of death. If no b eficiary was designated
the proceeds become part of the estate for distribution. DEFERRED ANNUITYNOTI : The beneficiary(s) has
the option of taking the annuity death benefit either as a full distnllUtion or under an ann ity payment plan. If the
beneficiary(s) wishes to elect an annuity payment plan, we must receive written notice 0 this election within 60
days of our receipt of due proof of death. Due proof of death is considered to mean our eceipt (}f a certified copy
of the death certificate, a completed death claim statement, and any other required claim ocuments. If there are
multiple beneficiaries, the 60 day window for electing an annuity payment plan begins r ALL beneficiaries on the
date we receive complete requirements from the first claimant
Required Documents
In order to take appropriate stepS to settle the accounts we will need these documents:
Certitied Death Certificate
(For accounts: 010110810617 002, 01150914292 0 002, 01250914292 8 002, 0126091 2927002,93001436185
9004,930014362592 004)
The death certificate must be an original document that bears certification from the heal deparlment or local
registrar and includes the cause of death.
Estate Settlement Form (3248G)
(For accounts: 01011081067 7 002, 01150914292 0 002, 01250914292 8 002, 0126091 2927002)
To process a settlement on a Mutual Fund, Certificate, Brokerage or qualified Direct In ent account, we need
a completed Estate Settlement Form, version 3248G (or later) from each claimant As arate form should also be
included for each ownership type. For non-qua1ilied accounts, pages 3, 4 and 10 must completed. For qualified
accounts, pages 7, 8 and 10 must be completed. For all t;ypes of accounts, page 10 m be completed, signed and
dated by the claimant as required by the Internal Revenne Service. Instructions for com letion of the form appear
at the beginning of each section of the form. If the information provided on the form is ot complete, delays in
completion of the c1aim may result
Death ClaIm Statement Form (33047T)
(For accounts: 93001436185 9 004, 930014362592 004)
To process a death claim on an annuity or life insurance account, we must receive a co pleted Death C1aim
Statement Form (33047T) from each claimant A completed death claim statement contain the following: The
deceased's client information and account number, an acceptable mode of settlement, a completed claimant
information section. If any of this information is incomplete, the form will be returned. f a tax withholding
election is not selected, we will automatically withhold from the distribution 100/0 of the taxable amount for federal
income taxes. The revised Death C1aim Statement Form now includes a default lUUlp option for annuities and
life insurance in which the beneficiary will receive a checkbook, with inrmediate access their funds through
Membership Banking, rather than a check.
An Obituary or Statement listing all children of the decedent
(For acconnl!;: 93001436185 9 004, 930014362592004)
Because the beneficiary designation is living lawful children or children per stirpes, we
or a statement signed by either the advisor or an adnlt child, listing all chiIdren of the d edent (both living and
deceased). If a child is deceased, we require a certified copy ofbis or her death certifica . In addition to this, other
requirements maybe needed.
In order to be compliant with fair claims practices of many states and to 1imit the polen aI for the deceased's
accounts to become abandoned property, we will also be inrmediately corresponding wi the beneficiaries listed for
any Life and Annuity accounts held by the deceased client Similarly we will be co ndiug with the
beneficiaries or claimants of all accounts held by the decedent witbin a minimum of six onths of the date of this
letter. Please contact ns if you wish to see a copy of these correspondences.
In an effort to improve our process, we invite you to share your feedback with us by s
Settlements Feedback.
e. Select CLIENT from
Homepage. Death
t Process and Procedures
Additional information abont death settlements can be found on the advisorlink hom
the menu toolbar and then select SERVICE from the menu toolbaron the ou the CL
Settlement information is available by selecting ""Death Settlements"" from the Acco
menu.
. g a Lotus Note to:
Sincerely,
Christopher Lobash
Death Settlements Processing Team
70100 AXP Financial Center
Minneapolis, MN 55474
Death Settlements Processing Team:
Life Insurance Claims:
800-297-6663, PIN, say Death Settlements
800-297-6663, PIN, say Life aaims
Attachment: Beneficiary lnformatiou
Beneficiary Information
We have the following beneficiaries on record for the d~s accounts.
Account Number, 010110810677002
Designation:
PRIMARY BENEFICIARY
C Wll..UAM BAIR SON
JOHANNA B BEAGLE DAUGHTER
EQUALLY, OR THE SURVIVOR
Acconnt Number: 01150914292 0002
Designation:
PRIMARY BENEFICIARY
CWll..UAMBAIR SON
JOHANNA B BEAGLE DAUGHTER
EQUALLY, OR THE SURVIVOR
ACCG'llnt Number, 01250914292 8 002
DesignatioD:
PRIMARY BENEFICIARY
C Wll..UAM BAIR SON
JOHANNA B BEAGLE DAUGHTER
EQUALLY, OR THE SURVIVOR
Account Number: 012609142927002
DesignatioD:
PRIMARY BENEFICIARY
C Wll..UAM BAIR SON
JOHANNAB BEAGLE DAUGHTER
EQUALLY, OR THE SURVIVOR
AcconDt Number: 930014361859004
Designation:
PRIMARY BENEFICIARY
LIVING, LAWFUL CHILDREN IN EQUAL SHARES
C Wll..UAM BAIR SON
JOHANNA B BEEGLE DAUGHTER
100.000/.
Account Number: 930014362592 004
Designation:
PRIMARY BENEFICIARY
LIVING, LAWFUL CHILDREN IN EQUAL SHARES 100.00"10
C WILUAM BAIR SON
JOHANNA B BEEGLE DAUGHTER
When submitting the required documents please attac this cover sheet
to the documents, Please include all documents relate to the claim or
estate settlement including new account applications, c aim forms, etc.
Please do not include any documents not related to the death claim or
estate settlement. This will allow for quicker processi g of your claim
or estate settlement.
10400296
EDITH J BAIR
I
I
I
,
!
TO: Christopher Lobash S07 /1654 \
Death Settlements Processing Team I
70100 AXP Financial Center :
Minneapolis, MN 55474
.
!
ATTN: MAILROOM I,
DO NOT SEPARATE ANY OF THIS MAIL. PLEASE DELfER TO THE
PERSON IDENTIFIED IN THE NOTE ABOVE !
0. PNC1NVESTMENTS
MmlberN),S[) and Sll'C
April 26, 2005
Marlin R. McCaleb
Frankebergaer Place
219 East Main Street
P.O. Box 230
Mechanicsburg, PA 17055
Subject: Estate of Joan D. Bair (201-16-1466)
Date of Death: 10/08/2004
Dear Attorney McCaleb:
Please find below the information you requested:
1. Title of Account:
Joan D. Bair
2. Date Established:
03/24/1999
3. Date of Death Value:
$5.92 held in the Money Market portion of the Investment Account #1218-3802
A check in the amount of $5.94 was mailed to 267 Wyoming Avenue. Ehola, PA 17052
on November 30. 2004. .
Please do not hesitate to contact me if I can provide you with further infbrmation.
Sincerely.
(1;~
CharlesE. Little. CFP
Vice President
Senior Financial Consultant
CEL/dip
A member of The PNC Financial Services Group
2 East Main Street Mechanicsburg Pennsylvania 17055
www.pncinvestments.com
Important Investor Information: Securities and brokerage ~rvices are provided by PNC Investments ltC,'
member NASD and SlPC. Annuities and other insurance products lire offered by PNC Insurance Services, Inc.
a licensed insurance agency.
1::r~~1
REV-1511 EX '(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Joan D. Bair
SSiI 201-16-1466
10/0B/2004
FILE NUMBER
21-04-1065
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1 James R. Gingrich Memorials, - engraving marker. 100.00
2 Myers Funeral Home, - deposit on funeral services. 2,000.00
3 Myers Funeral Home, - balance of funeral services. 6,465.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Numberts) / EIN Number of Personal Representative(s)
Street Address
City State Zip
-
Year{s} Commission Paid:
Z. Attorney's Fees Law Offices-Marlin R. McCaleb l3,B25.00
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 Register of Wills 324.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
1 AT&T, - telephone service. 12.16
2 AT&T, - telephone service. 6.3B
3 B&R Locksmith, - repair lock. 50.00
4 Barry L. Heckard, Tax Collector, - 2005 CountyjTownship real 737.18
estate taxes.
5 Borough of Mechanicsburg, - sewer/refuse. 445.28
6 Borough of Mechanicsburg, - sewer/refuse. 212.04
Total of Continuation Schedulers) . 4,458.30
TOTAL (Also enter on line 9, Rec~pitulation) $ 2B,635.34
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1511 EX (Rev. 1-97)
Estate of: Joan D. Bair
Soc See iI: 201-16-1466
Date of Death: 10/08/2004
Item
fI
Description
Continuation of Schedule H-B4
(Probate Fees)
Amount
1
Register of Wills,
2
Register of Wills,
probate Will.
254.00
reserve for additional probate fee.
70.00
324.00
Estate of: Joan D. Bair
Soc Sec #: 201-16-1466
Date of Death: 10/08/2004
Item
1/
Continuation of Schedule H-B7
(Other Administrative Costs)
Description
Amount
7
Chuck Bricker, Auctioneer,
75.00
appraisal of household contents.,
B
Chuck Bricker, Auctioneer, - commission on sale of furniture.
260.50
9
TV cable service.
Comcast,
42.23
10
Comcast,
TV cable.
60.24
11
Comcast,
TV cable.
42.24
12
Comcast,
TV cable.
42.24
13
Comcast, - TV cable.
45.24
14
TV cable.
45.24
Comcast,
15
Cumberland Law Journal, - advertising Letters.
75.00
16
Dan White's Plumbing, Heating & A/C, - inspect furnace.
85.00
17
M&S Service Center, Inc. - inspection of car.
57.93
18
Mark Hilbert & Associates, - real estate appraisal.
500.00
19
PNC Bank, bank charge for returned Vodafone check.
10.00
20
PP&L Co. , electric service.
PP&L Co. , electric service.
PP&L Co. , electric service.
PP&L Co. , electric service.
PP&L Co. , electric service.
PP&L Co. , electric service.
18.39
21
12.13
22
13.16
23
12.82
24
15.79
14.59
25
26
Recorder of Deeds, - recording deed for house and apartment.
41. 50
27
Register of Wills,
Short Certificates.
26.00
28
Register of Wills,
30.00
filing Inventory and Appraisement.
Estate of: Joan D. Bair
Soc See #: 201-16-1466
Date of Death: 10/08/2004
Item
1/
Continuation of Schedule H-B7
(Other Administrative Costs)
Description
Amount
29
Reserve for final expenses, - filing Account, Releases, etc.
300.00
30
Robert Haring, - refuse removal.
130.00
31
The Patriot-News, - advertising Letters.
135.16
32
TreasuryDirect,
Note.
transaction fee for liquidation of Treasury
34.00
33
Tree Trimmers, Inc., - trimming trees and shrubs.
350.00
34
UGI Utilities,
replace gas meter.
79.00
35
UGI Utilities,
repair and replace gas lines.
201.00
36
UGI, gas service.
UGI, gas service.
UGI, gas service.
UGI, - gas service.
UGI, - gas service.
177.96
37
87.52
3B
371. 61
39
11.63
40
125.11
41
UGI, gas service.
United Water Co. , water service.
United Water Co. , water service.
United Water Co. , water service.
United Water Co. , water service.
United Water Co. , water service.
United Water Co. , water service.
Zinunerman t s Plumbing, - repair hot water heater.
78.43
42
6.76
43
11.08
44
6.76
45
6.76
46
6.76
47
13 .52
4B
800.00
4,45B.30
REV-1512 EX '(1-91)
COMMONWEALTH OF PENNSYLVANIA
\NHERITANCETI\I.. RETURN
RESI DENT DECEDENT
ESTATE OF
Joan D. Bair
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
SS1f 201-16 -1466
10/08/2004
FilE NUMBER
21-04-1065
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION
AT&T, - account payable, telephone service.
AMOUNT
36.50
2
Comcast, - account payable, TV cable service.
42.23
3
Holy Spirit Hospital, - account payable, medical.
312.72
4
Hospice of Central PA, - account payable, hospice care.
2,100.00
5
Nana Donkor, - account payable, personal care.
210.00
6
PP&L Co., - account payable, electric service.
25.77
7
UC1,
account payable, gas service.
81.34
8
United Water Co., - account payable, water service.
49.37
TOTAL (Also enter on line 10, Recapitulation) $ 2,857.93
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form $oftwareonly CPSystems, Inc. Form REV-1512 EX (Re'J. 1-97}
REV-1513 EX .(9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERrTANCET/V( RETURN
RESIDENT DECEDENT
ESTATE OF
Joan D. Bair
SSjl 201-16-1466
10/08/2004
NUMBER NAME AND ADDRESS OF PERSON(Sj RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [Include outrfghtspousal distributions, and
transfers under Sec. 9116(a)(1.2)]
1 Johanna Bair Beegle
267 Wyoming Ave.
Enola, PA 17025
2 C. William Bair
225 North Ridge Drive
Perrysburg, OH 43551
3 Eric W. Bair
225 North Ridge Drive
Perrysburg, OH 43551
4 Allison A. Bair
225 North Ridge Drive
RELATIONSHIP TO PECEQt:NT
Do Not List Tr4stee(s)
Daughter
Son
Grandson
Granddaughter
FILE NUMBER
21-04-1065
AMOUNT OR SHARE
OF EST ATE
574,411. 72
328,914.43
7,495.30
7,495.30
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II, NON- TAXABLE DISTRIBUTIONS, !
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN RECTION TO TAX is NOT BtlNG MADE
B. CHARITABLE AND GOVERNMENTAL DISTRiBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additiona/sheets of the same size)
Copyright (c) 2000 form software only The Lackner Group, Inc.
0.00
Form REV-1513 EX (Rev. 9-00)
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
Marjorie A. Wevodau
Fits! Deputy
Kirk S. Sohonage, Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To:
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
399
6/8/2005
TOAND. BAIR
21-2004-01065
MARI1NRMCCALEB LAW FIRM
219 EASTMAlNST
PO BOX 230
MEGfANICSBURG, P A 17055
vz
Qty
1
Fee Description
Additional Probate
Fee Total
70.00 $70.00
Total:
$70.00
Otecks should be made payable to the Register of Wills. TelTIlS: NetJO.
Please return one copy of this invoice with your payment. Thank you.
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
Marjorie A. Wevodau
First Deputy
Kirk S. Sohonage, ESQ
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To:
MARllN RMCCALEB LA WFIRM
219 EAST MAIN ST
PO BOX 230
MECHANICSBURG, P A 17055
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
399
6/8/2005
TOAND. BArR
21-2004-01065
vz
Qty
1
Fee Description
Additional Probate
Fee Total
70.00 $70.00
Total:
-Pc\. J~ l3fS
:r:~T
$70.00
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Cl1ecks should be made payable to the Register of Wills. Terms: Net 30.
Please rerum one copy of this invoice with your payment. Thank you.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
p;:cnRn;:o nFq~;: OF NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAl/I!,,~;::;~':_, ,:_::,vl1o~AISE"ENT, ALLOlIANCE DR DISALLOlIANCE
INHERITANCE TAX DIVISIDN ,,~, ,,"~c,. . ",F'_ DEDUCTIONS AND ASSESSHENT OF TAX
PO BOX Z80601 ' ,. _u -.' I . - ~.u:..
HARRISBURG PA 17128-0601
08-22-2005
BAIR
10-08-2004
21 04-1065
CUMBERLAND
101
APPEAL DATE: 10-21-2005
( See reverse side under Objections)
Allount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE _ RETAIN LOWER PORTION FOR YOUR RECORDS -
REY:is4;-Ex-AFp-co3:osi-NOTICE-OF-INHERITANCE-TAX-APPRAIsEHENT:-ALLONANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JOAN E FILE NO. 21 04-1065 ACN 101
Z005 hUG I 9 Pii 12: 04
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
CLE1li< C;:
O~. '
:"1;- ,~
MARLIN R MCCMEBESQ
M R MCCALEB LAW OFFC
PO BOX 230
MECHANICS BURG
,.-..--,,
r.'.
PA 17055
ESTATE OF BAIR
TAX RETURN MAS: I ) ACCEPTED AS FILED
( X) CHANGED
SEE
*'
REY-1547 EX AFP (06-05)
JOAN
E
DATE 08-22-2005
ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R8.1 Est.t. (Schedule A)
2. Stocks and Bonds (Schedule BJ
3. Closely H81d Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. CashlBank Deposits/Hisc. Personal Property (Schedule EJ
6. Jointly Owned Property ISchedule F)
7. Transfers (Schedule GJ
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
204,000.00
127.476.44
.00
.00
27.642.69
6.190.35
585,000.54
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. FuneMll Expenses/AcIII. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hodpge LiIlbUi ties/Liens ISchedule Il
11. Tot.l Deductions
12. Net Valu.of Tax Return
13. Charitable/Gove~tal Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
I~ an assessllent was issued previously, lines 14, 15 and/or 16, 17, 18 and
reflect ~igures that include the total o~ ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Anount of Line 14 taxable at Lineal/Class A rate (16)
17. AIIOWlt of Line 14 at Sibling rat. (17)
18. A.ount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
X D :
NOTE:
NUHBER
CD005406
+
INTEREST/PEN PAID (-)
.00
DATE
06-08-2005
(9)
(10)
26,733.16
2.857.93
Ill)
(12)
(13)
(14)
.00 X
920,718.93 X
.00 X
.00 X
AHDUNT PAID
41,346.75
INTEREST IS CHARGED THROUGH 09-06-2005
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account,
sub.i t the upper portion
of this fo.,. with your
tax pay_nt.
950,310.02
29.1\91 09
920,718.93
.00
920,718.93
19 will
00 =
045 =
12 =
15 =
.00
41,432.35
.00
.00
41,432.35
(19)=
41,346.75
85.60
.70
86.30
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE -.j
A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIoNS.)~~
RF.V-Hl0 EX (6..88)
'*
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENrS NAME
Joan D. Bair
FILE NUMBER
REVIEWED BY
Sheila Megonnell
ACN
2104-1065
101
SCHEDULE
ITEM
NO.
H
4
EXPLANATION OF CHANGES
Reduced to $0.00. Real estate taxes are not allowable deductions for the years after
decedent's date of death.
H
16,34,
35&48
Repairs to real estate cannot be used as deductions against the decedent's estate
unless the real estate has been sold.
ROW
Page 1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1 162 EX(1 1-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MCCALEB MARLIN R
219 E MAIN STREET
MECHANICSBURG, PA 17055
---~---- fold
ESTATE INFORMATION: SSN: 201-16-1466
FILE NUMBER: 2104-1065
DECEDENT NAME: BAIR JOAN D
DATE OF PAYMENT: 08/29/2005
POSTMARK DATE: 08/29/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 10/08/2004
NO. CD 005735
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $86.30
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 139
SEAL
INITIALS: MW
RECEIVED BY:
REGISTER OF WILLS
$86.30
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
P::('(',D.~~'~,!~CE TAX
':~':nAreJloteNT- 9F ACCOUNT
REV-1607 EX AFP (03-05)
?~ -,~ .....~"'\.." - '1
, ,
DATE
k~TATE OF
DATE OF DEATH
FILE NUMBER
.. - COUNTY
ACN
09-26-2005
BAIR
10-08-2004
21 04-1065
CUMBERLAND
101
JOAN
E
MARLIN R MCCALEB ESQ
M R MCCALEB LAW OFFC
PO BOX 230
MECHANICSBURG PA 17055
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
-+
RETAIN LOWER PORTION FOR YOUR RECORDS
4--
REV-1607 EX AFP (03-05)
---------------------------------------------------------------------------
~~~ INHERITANCE TAX STATEMENT OF ACCOUNT KKK
ESTATE OF BAIR JOAN E FILE NO.21 04-1065 ACN 101 DATE 09-26-2005
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-22-2005
PRINCIPAL TAX DUE: 41,432.35
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-08-2005 CD005406 .00 41,346.75
08-29-2005 CD005735 .61- 86.30
TOTAL TAX CREDIT 41,432.44
BALANCE OF TAX DUE .09CR
INTEREST AND PEN. .00
II IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .09CR
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
to\f\.
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Register of "VilIs of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: J6A~ ~ ~/A
Date of Death: L?dp'~ t; ~~t:/
Estate No.: ~ 1- O~ - /#,p5
.
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. Stat~ether administration of the estate is complete:
Yes p.a No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0 No JXf
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes ~ No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report. ~.~. /7 0 b'. /iL
Date:Ahcl,;l ~~ ~~~
,
Signature
#/t;j~ 2 ~6
Name .- ~
;L/f ;3;f~~~~~ /J_
&t~~~~ ~ /7CGf
Address
r;?/-7<Z7tJ
'!~ t
('oJ
r",- ~
.."
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Telephone No.
L;""::;
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(.)
Capacity: 0 Personal Representative
~counsel for personal representative
vt
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LAW OFFICES
MARLIN R. McCALEB
FAMILY SETTLEMENT AGREEMENT,
RECEIPT AND RELEASE
WHEREAS, JOAN D. BAIR, late of the Borough of
Mechanicsburg, Cumberland County, Pennsylvania, died on October
8, 2004, having first made her Last Will and Testament in
writing dated August 15, 2002, which since her decease was duly
probated before the Register of Wills of said Cumberland County
and Letters Testamentary issued to C. WILLIAM BAIR and JOHANNA
BAIR BEEGLE, the Co-Executors named in the Last Will and
Testament of said decedent; and
WHEREAS, C. WILLIAM BAIR, JOHANNA BAIR BEEGLE, ALLISON A.
BAIR and ERIC W. BAIR are lineal descendants, heirs and next of
kin of the said decedent, the persons named as legatees in her
said Will and the only persons interested in her Estate; and
NOW KNOW ALL MEN BY THESE PRESENTS, the we, C. WILLIAM
BAIR, JOHANNA BAIR BEEGLE, ALLISON A. BAIR and ERIC W. BAIR,
being the beneficiaries sharing in the distribution of the
Estate of said decedent, do hereby declare and say that we have
r-.
examined the Account and Schedule of Proposed Distribution of
,
C. WILLIAM BAIR and JOHANNA BAIR BEEGLE, Executors as
aforesaid, for the period ending October 11, 2005, and find the
(-,~,
l
~; same to be accurate and according to law, and we, C. WILLIAM
BAIR, JOHANNA BAIR BEEGLE, ALLISON A. BAIR and ERIC W. BAIR,
distributees as aforesaid, do hereby acknowledge that we this
day have, had and received of and from C. WILLIAM BAIR and
JOHANNA BAIR BEEGLE, the Co-Executors of the Estate of JOAN D.
BAIR, the cash or property set opposite our names in the above
stated Schedule of Proposed Distribution, in full satisfaction,
payment and discharge of all claims we, or any of us, have or
may have against each other or against the Estate of JOAN D.
BAIR, Deceased, and all interest accrued thereon.
NOW, THEREFORE, we the same C. WILLIAM BAIR, JOHANNA BAIR
BEEGLE, ALLISON A. BAIR and ERIC W. BAIR, distributees as
aforesaid, do by these presents, remise, release, quit-claim
and forever discharge each other and the said C. WILLIAM BAIR
and JOHANNA BAIR BEEGLE, Co-Executors, their heirs, executors
and administrators, of and from our distributive shares of the
Estate as set forth in the Schedule of Proposed Distribution
aforesaid, and of and from all actions, suits, payments,
accounts, reckonings, claims and demands whatsoever, for or by
reason thereof, or under the said decedent's Will, or by
contract, or under the intestate law of the Commonwealth of
Pennsylvania, or by reason of any other act, matter, cause or
thing whatsoever, from the beginning of the world to the day
and date of these presents, except for any obligations arising
under this Family Settlement Agreement, Receipt and Release or
under the Schedule of Proposed Distribution.
AND desiring to avoid the delay and expense of the
settlement of said Estate by filing the foregoing Account of
said administration in the Office of the Register of Wills of
said County and by having the balance in the hands of the Co-
LAW OFFICES
MARLIN R. McCALEB
-2-
Executors, as shown by said Account, distributed by the Court
of Common Pleas of Cumberland County - Orphans' Court Division,
we do hereby agree that the within Family Settlement Agreement,
Receipt and Release concerning the matter of settlement may be
recorded with the same effect upon us as if the same had been
reported upon by said Court, and a decree of distribution made
on such report by the said Court of Common Pleas - Orphans'
Court Division.
AND in consideration of the aforesaid settlement being
made without the aid of such Court of Common Pleas - Orphans'
Court Division, that we, C. WILLIAM BAIR, JOHANNA BAIR BEEGLE,
ALLISON A. BAIR and ERIC W. BAIR, distributees as aforesaid, do
hereby agree that if any debts or demands other than those
included in the aforesaid Account of the said C. WILLIAM BAIR
and JOHANNA BAIR BEEGLE, the Co-Executors of the Estate of JOAN
D. BAIR, Deceased, shall be hereafter recovered against the
Estate of said decedent and be legally payable out of the same,
that we will return to the said Co-Executors such amount
thereof as may be necessary to pay such debts or demands.
The signature page or pages may be executed by the parties
hereto in several counterparts (one by each signatory hereto) ,
each of which is an original and all of which taken together
shall be deemed and considered as part of the original document
herein.
IN WITNESS WHEREOF, we have hereunto set our hands and
LAW OFFICES
MARLIN R. McCALEB
-3-
seals this
1,/1:A- 1
L day of C/C7o , 2005.
(: l tJ.cwI. 0 j1V(SEALI
c.~m Balr~
./1 ' 0Z ~ J2:;
AJ~:L J~ ~
{/ Johanna Bair Beegle t'
(SEAL)
(SEAL)
Allison A. Bair
~~-~
Eric W. Bair
(SEAL)
LAW OFFICES
lARLlN R. McCALEB
-4 -
seals this
1'-/ ~
day of
Od-
, 2005.
(SEAL)
c. William Bair
4 . ~ ~
A~~~ ~ ~
{/ Johanna Bair Beegle
(JJ) ~ 3
1 j(;" ,tA~
ison A. Bair
(SEAL)
(SEAL)
( SEAL)
Eric W. Bair
LAW OFFICES
IARLIN R. McCALEB
-4-
STATE
OF
OHIO)
COUNTY
l-ucPr-5
On this, the 2--4~
SS
OF
day of
(()dv~-er
, 2005,
before me, a Notary Public in and for said State and County,
the undersigned officer, personally appeared C. WILLIAM BAIR,
known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged
that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
LA-Ig~ ~~
Notary ~~~
My commission expires:
(SEAL)
~'~"iA4'~"
".;.~.. ~.
l~ ..
{. . \ DEBORAH A. MICENEC
: i NoIaIy Public, Stale of Ohio
:, J My Commission Expires 03-01-2010
\d'~ ~ol
.....:!.1'i Of o~,.
--', .,
LAW OFFICES
MARLIN R. McCALEB
-5-
STATE
OF
PENNSYLVANIA)
SS
COUNTY OF CUMBERLAND)
On this / the rtf tl- day of
a~e-"
/ 2005/
before me, a Notary Public in and for said State and County,
the undersigned officer, personally appeared JOHANNA BAIR
BEEGLE, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within instrument and
acknowledged that she executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
~~~
Notary Public
My commission expires:
(SEAL)
Notarial Seal
Mar1in R. McCaleb, Notary Public
Mechanicsburg Bom, Cumber1and County
My Commission Expires Dec. 14,2006
"'-----~---_.-
V:fFTlf)6 o,=,nnsyivania Association Of Notaries
LAW OFFICES
MARLIN R. McCALEB
-6-
LAW OFFICES
MARLIN R. McCALEB
STATE OF OHIO)
riA A-ftJ ~I to i SS
COUNTY OF
this, #0- of OL~
On the ~ day , 2005,
before me, a Notary Public in and for said State and County,
the undersigned officer, personally appeared ALLISON A. BAIR,
known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged
that she executed the same for the purposes therein contained.
seal.
IN WITNESS WHEREOF, I hereunto set my hand and official
;)':i:\iAt':s~....
...J .....'1..~
0". '(' \.
~ JANET M. MILLS
j Notary Public, state of Ohio
0./ My Commission Expires 05-19-0;
., ~....,
","1' '?.....
(SEAL)
-7-
STATE OF OHIO)
SS
COUNTY OF L-UC A- ~
On this, the 23d day of C()G+O 6~ , 2005,
before me, a Notary Public in and for said State and County,
the undersigned officer, personally appeared ERIC W. BAIR,
known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged
that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
~
My
(SEAL)
C. WILLIAM BAIR, Attorney at law
Notary Public, State of Ohio
My Commission Has No Expiration Date
Section 147.03 R.C.
LAW OFFfCFS
vlARLlN R. McCALEB
-8-