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HomeMy WebLinkAbout02-0310PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of PUP~/F~....~i~2f'~/~ No. also known as To: 21-02-310 Social Security Register of Wills for the Deceased. County of CUMBERLAND in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl/~' ~ for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. _ Decendent was domiciled at death in ~,41~)~f"/6*,~d County, Pennsylvania with last f~ily or principal residence at ~ f~~ ~Aff~ ~~ (list stree~number ~d municipality) Decen~ng, then ~ ye~f age, ~ie~ ~ ~fffZ/~ ,~ ~ ~, Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania_ _ ,__ situated as follows: ~/~'~ ~g//~'-~/ ~)~/~ ,4~t~fft9/ $ $ $ .6"0, 000, - Petitioner.__ after a proper search ha the following spouse (if any) and heirs: Name ascertained that decedent left no will and was survived by Relationship Residence THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ]~ ss COUNTY OF The petitioner(s) above-named swear(s) or affirm(s)that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this 26th __ day of I No. 21-02-310 Estate of RUTH F.M. ACHORN ,Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW MARCH 27 1~2002, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that EDWARD H ACHORN, JR is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to EDWARD H ACHORN JR in the estate of RUTH F.M. ACHORN FEES Letters of Administration ..... $ 2~0_0_,_0_0_ Short Certificates( ) .......... $ 30.00 Renunciation ................ $ JCP $ 5. O0 XOXAt__ $ 23 .00 Filed .~...r ~Q..~. .......... A.D. ATTORNEY (Sup. Ct. I.D. No.) ADDRESS ~ "PHONE 105.805 REV 9/86 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The 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, $2.00 P 8032069 No. 21-02-310 Local Registrar "' /3,/~ MAR i 9 2082 Date 1105A 43 Rev. 2/E7 COMMONWEALTH OF PENNSYLVANIA ,. DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH Ruth Flock Mellinger Achorn L female a 182 -- 16 -- 2372 L~- - ' ' UNO~R t o~, omE oF mm'N ae~'r I ' I · 80 *-. { I : ~ecember 18, L. .... I ~ % _ Io*~. ' ~ I k 1921 ~z~&xamsport, PA I c~. ~ ~'~ ........ F. I~. I C.m~e=~.~ / ~ V~..[~o=j~ r'c'~"~'" .... ~ I ' P' I // / ~ // / I~ ~.~e~ I~ I~- KINO~B - I-.~E/V ~/gl~ ~OS~I ~ [ J~:-~:--,.~o,~.m ' J white I U~INE~INDUS~Y J ~S~ED~ EVER N I I I us~¢F~c=s~ I 433 Country Club Road Camp Hill, PA 17011 [~ ,m.c~.V FAIHER'S NAME (Fir~. M~o~e, Lasl) Cumberland ,Td.~ .,mm~ ~.~.~ Camp Hill Edward R. Mellinger, Sr. ooMfio~ f~ o~ (So*c~vt ,,. Rut~ Flock 'NFORMIO~I'$ UHUNG AOO~ESS (~. C~. ~, ~ Cml ,~. 525 Country Club Road~ Camn Hill, PA 17011 March 18, 2002 ~llersvilleMennoniteCem. ~,~illersville, PA 17551 J22b. FD 013 340 L ],~..0. Box 431, New Cumberland, PA 17070-0431 m ~= rn ~ ~, Amc. Day, Yea*') ~iAeMr~E2? ~I~DyA~OOMR ~ r~ SniO¢ PERSON WHO COMPLETED CAU~ ~ DEATH "- ,5/-~ ,,,-~-~ ~ piti t>'Otl3 DATE FILED (Mo~h Day, Ye~tI ' '~ CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Ruth F. M. Achom Date of Death: March 15, 2002 Will No. 21-02-0310 of 2002 Admin. No. To the Register: I certify that notice of beneficial interest required by Rule 5.6 (a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on May 14, 2002: Name Edward H. Achom, Jr. Address 525 Country_ Club Road Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except N/A Date: May 14, 2002 David W. Reager, Esquire Reager & Adler, PC 2331 Market Street Camp Hill, PA 17011 (717) 763-1383 Counsel for Personal ~esentative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001 275 ACHORN JR EDWARD H 525 COUNTRY CLUB ROAD CAMP HILL, PA 17011 ........ fold ESTATE INFORMATION: SSN: 182-16-2372 FILE NUMBER: 2102-031 0 DECEDENT NAME: ACHORN RUTH F.M. DATE OF PAYMENT: 06/10/2002 POSTMARK DATE: 06/08/2002 COUNTY: CUMBERLAND DATE OF DEATH: 03/15/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $7,144.94 TOTAL AMOUNT PAID: $7,144.94 REMARKS: SEAL CHECK# 2087 INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS REV-1500 E,((6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 H.ARR,SBURC.. PA 7 28-060! I-- Z I,LI 1:3 LU LU ILl ..~oo n DECED~NT'S NA~E (LAST, FIRST, AND MIDDL,~,~ITIAL) hA'rE OF DEATH (MM-DD-YEAR) iDATE OF BIRTH (MM-DD-YEAR) (IF AP'~IC~AB~LE)~R~vIVINfPO(~USE'S~NNAME (LAST, !lRStf ID~DLE~IN¢// SOCIAL SECURITY NUMBER - THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER E~. Original Return [---~ 4. Limited Estate [~6. Decedent Died Testate (Attach copy of Will) [~9. Litigation Proceeds Received E~2. Supplemental Return [--~ 4a. Future Interest Compromise (date of death after 12-12-82) r--] 7. Decedent Maintained a Living Trust (Attach copy of Trust) [~10. Spousal Poverty Credit (date of death between 12-31-91 and I-1-95) [~3. Remainder Return (date of death prior to 12-13-82) F'~5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes E~11. Election to tax under Sec. 9113(A) (Attach Sch O) I-- Z u.I Z O LU n, O FIRM NAME (IfAppli~ble) TELEPHONE NUMBER 7/7- 7 7- g?o? COMPLETE MAILING ADDRESS 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly OWned Property (Schedule F) (6) / ~/ //~' ~ [-'-~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. (7) Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (tota~ Lines 9 & 10) 12. Net Value of Estate (Line B minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for ~vhich an election to tax has not been made (Schedule J) "~ClAL USE ONLY (8) 1-% / 77. /, 61 (11) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) ~/i~ g /',,.,~'~, ~ / SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 (15) 16. Amount of Line14 taxable at lineal rate /~:~ Z /33o'~/ x .0,~__,,1~'(16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 191 Tax D,,e (19) Decedent's Complete Address: ' Ca,,,: 7o// Tax Payments and Credits: ... , (1) Tax DUe (Page 1 Line 19) Credits/Payments A. Spousal Poverty Credit B. Prior Payments __.,,, C. Discount (~ ~' 3. Interest/Penalty if applicable D. Interest E. Penalty 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 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on t.,he tax due. B. Enter the total of Line 5 + 5A. This is [he BALANCE DUE. Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E ) (3) (4) (5) , , , (5B) Make CheCk Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes 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' payrne~s,"benefits or care? ...................................................................... [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....*...:...: ........... !'.i ........ : ........................................................................... [] 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 ~NY OF YHE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return~ incl~ing acco,rnpan, ying..schedules a~d statements, and to the best of my knowledge and belief, it is true, correct and complete. ADDRESS - ~ ' SIGNATURE OF PREI~ARER OT~ER~'HAN REPRESENTATIVE DAT/E , DATE ADDRESS 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% [72 P.S. {}9116 (a) (1.1) (i)]. For dates of death"ron'or after JanUary 1; 1995, the tax ratedhqposed on the r~e~t value of transfers to o(for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net.value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of thechild 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 decedenrs lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. R F~V- 15~2EX + (1'97) 3', ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE FILE NUMBER All real property owned solely or as a tenant in common must be reported at fair market value, Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled Io buy or sell, both having reasonable knowledge of the relevant facts, Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, ooo. - TOTAL (Also enter on line 1, Recapitulation) $ ~, ~ ~'0~- - (If more space is needed, insert additional sheets of the same size) REV-I~08 EX + (l-g~) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the ri§hr of survivorship must be disclosed on SChedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 7 7 TOTAL (Also enter on line 5, Recapitulation) $ 7~ ..~ 70. ~ ? (If more space is needed, insert additional sheets of the same size) RE~/-I~g EX + (1-97) OOMMONWEALTH OF PENNS~ cVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE Inc)ude name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTERESt TOTAL (Also enter on line 6, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) .,REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER Debts of decedent must be reported on Schedule [. ITEM NUMBER DESCRIPTION AMOUNT A, 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State__Zip Year(s) Commission Paid: Attorney Fees 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 Probate Fees Accountant's Fees Tax Return Preparer's Fees TOTAL (Also enter on line 9, Recapitulation) 8,¢ (If more space is needed, insert additional sheets of the same size) REV-1512 EX* (1 9?) , ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. TOTAL (Also enter on line 10, Recapitulation) $ J~ .,~ ?~./~. &/ (If more space is needed, insert additional sheets of the same size) R~-?13EX+(1-97) ,, ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON{S) RECEIVING PROPERTY Bo Not List Trustee(s) OF ESTATE II. TAXABLE DISTRIBUTIONS (include outdght spousal distributions) ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINE~ 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) ACCOUNT NO. ACCOUNT TYPE 267~05690~ CLASSIC CHECKII~ O0 9 04350N N 021 STATENENT PERIOD PAGE NAR.Og-APR.09,2002 10F1 RUTH F M ACHORN £DWARD H ACHORN JR 455 COUNTRY CLUB RD CAMP HILL PA 17011-2113 5088 NEST SHORE ACCOUNT SUMMARY BEGINNING DEPOSITS & ~ OTHER BALANCE OTHER ADDITZONS] CHECKS PAID SUBTRACTIONS NO. ANOUNT NO.9 AHOUNT I NO'o ANOUNT 6~,05S.2~ 3 1,717.37 27,7~1.32 0.00 CURRENT I ENDING INTEREST PDI BALANCE 0.00 I 38,031.29 ACCOUNT ACTIVITY POSTING DEPOSITS,INTEREST CHECKS g OTHER DAILY DATE TRANSACTION DESCRIPTION & OTHER ADDITIONS SUBTRACTIONS BALANCE 03-09-02 BEGINNING BALANCE $6~,055.2~ 03-11-02 CHECK NUHBER 2067 3,711.25 03-18-02 CHECK NUMBER 2069 0.31 60,330.6~ 03-21-02 DEPOSIT 60.50 60,391.1~ 03-22-021CHECK NUNBER 2071 90.85 60,300.29 03-25-02!CHECK NUMBER 2072 16~.27 03-25-02 CHECK NUMBER 2070 71.37 03-27-02 CHECK NUMBER 207~ 15,000.00 03-27-02 CHECK NUHBER 2073 22.q3 ~5,0~2.22 03-28-02 CHECK NUMBER 2075 8,667.80 36,37~.~2 03-29-02 DEPOSIT 1,629.00 38,003.~2 O~-OB-02 DEPOSIT 27.87 38,031.29 ENDING BALANCE I $$8,031.29 Iii ~ iCHECKS PAID SUMMARY 2067 03-11-02 3,711.25 2068 03-11-02 13.0~ 2069 03-18-02 .31 2070 03-25-02 71.37 2071 03-22-02 90.85 2072 03-25-02 16~.27 2073 03-27-02 22.~3 207~ 03-27-02 15,000.00 2075 03-28-02 8,667.80 TAKE ADVANTAGE OF NgT HEB BANKING, NHERE YOU CAN CHECK BALANCES, VZEN ACCOUNT HISTORY, TRANSFER FUNDS AND NUCH, HUCH NORE. 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L008A (12/93) h,,llh,,llh,,,,,Ih,,Ih,hh,,Ih,,Ih,lh,,Ih,,Ihh.,ll RUTH F ACHORN & EDgARD H ACHORN JR JT TEN WROS q33 COUNTRY CLUB RD CAHP HZLL PA 17011-2113 March 31, 2002, year-to-date Page 1 of 1 Vanguard Prime Money Market Fund Statement number: 522111379 (800) 284-7245 - Voyager Service www.vanguard.com Website (800) 662-6273 - Tele-Account Fund number: 30 Account number: 9900608053 Trade date Transaction 1/31 2/28 3/28 Balance on 12/31/2001 Income dividend Income dividend Income dividend Balance on 3/31/2002 ACCOUNT VALUE Dollar amount Share price On 12/31/2001 $132,261.06 Shares transacted $1.00 $ 224.18 1.00 224.180 176.98 1.00 176.980 202.04 1.00 202.040 $1 .oo On 3/31/2002 $132.864.26 Total shares owned 132,261.060 132,485.240 132,662.220 132,864.260 132,864.260 Income dividends $ 603.20 Annualized Compound Distribution yield annual yield payable date January 2.00% 2.02% 2/01/2002 Februa~ 1.74 1.75 3/01/2002 March 1.80 1.81 4/01/2002 INVEST-BY-MAIL Do not alter this slip. Use only to purchase additional shares in: Vanguard Prime Money Market Fund Fund number: 30 Account number: 0000608053 Make checks payable to: The Vanguard Group - 30 List each check separately. $ $ I Total amount enclosed Ruth F. Achorn & Edward H. Achorn Jr. dt Ten WROS 433 Count~/Club Rd. Camp Hill PA 17011-2113 [] Check box if changing your address; note new address on reverse. VANGUARD VOYAGER SERV[CE PO BOX 7800 PHILADELPH[A PA 19101-9892 0O30 09900608053 30 2 1- 1 006224 5912 316B M1 tX Edmunds.com TMV Used Vehicle Appraiser - Step 4 Page 1 of 2 VALUE Version 2.0 1983 Volvo DL 2 Dr STD Coupe Color: White Mileage: 175,000 Condition: Average Zip: 17011 Create Window Stickers Private Dealer Trade-in Party Retail Base Price $610 $959 $1,541 Optional $17 $27 $47 Equipment Color Adjustment $0 $0 $0 Regional $-58 $-91 $-146 Adjustment Mileage $0 $0 $0 Adjustment Condition $-221 $-342 $-541 Adjustment Total $348 SSS3 $901 Certified Used Vehicle NIA Buy & Sell · Search Used Car Listings · Find a New Vehicle [n Your Area · Find Out What You Should Pay for a New Car Finance, Insurance & Warranty Finance Center · Get Pre-Approved Financing · Get Local Finance Ra res · Get Your Credit Report In Seconds · Refinance Your Auto Loan Insurance Center · Get Multiple Insurance Quotes · Extend Your Warranty Useful Tools · Check Vehicle History · Sign Up for Edmunds.com Legal Notices http://tmv.edmunds.corn/products/tmv/used/epl/UTMVController?tmvAction=step4 5/18/2002 T"IS IND"~UR~ iS made the 2~~/- day of--J£~l[C'(" ''~, 1995, Edward H. Achorn, Jr., and Joanne L. Wright as Co-Executors of the ~STATE OF ~DWARD E. AOEO~¢ SR.¢ D~OEAB~D, late of the Borough of Lemoyne, Cu~erland County, Pennsylvania, Grantors, ~D Edward H. Achorn, Jr., of the Co~onwealth of Pennsylvania (collectively herein called the "Grantee"), as a tenant in co~on. ~E~AB, during their lifetimes, Edward H. Achorn, Sr. and Ruth M. Achorn, became seized, in fee, as tenants by the entireties, of a certain tract or parcel of land, together with any buildings and improvements thereon erected, situate in t~e Borough of Camp Hill, Cu~erland County, Pennsylvania, known as 433 Country Club Road, Camp Hill, Pennsylvania, more particularly described herein (the "Premises");and ~E~AS, Edward H. Achorn, Sr. and Ruth M. Achorn during their lifetimes were granted a divorce on Dece~er 22, 1977 at Cu~erland County, Docket Nu~er 3555 Civil 1975; ~EREAB, Edward H. Achorn, Sr., died on Septe~er 2?, 1992, leaving to su~-ive him Ruth M. Achorn, as a su~iving joint tenant of the Premises; ~ER~AS, Upon petition, the Register of Wills of Cumberland County, Pennsylvania, issued Letters of Testamentary on October ?, 1992, to Edward H. Achorn, Jr. and Joanne L. Wright, as Co- Executors (the "Co-Executors") of the Estate of Edward H. Achorn, Sr. deceased (the "Estate"), without the retirement of a bond; and ~EREAS, the Pennsylvania Probate, ~states and Fiduciaries ode, found at Title 20 of the Pennsylvania Consolidated Statutes Annotated, in Section 3351 authorized personal representatives, such as the Co-Executors, to sell, without court approval, at public or private sale, any real estate not specifically devised; and W~ER~AS, the Estate is possessed of the decedent,s interest in Premises, and said interest has not been specifically devised; and W~EREAS, under his Last Will and Testament dated March 4, 1991, the decedent gives, devises and bequeaths all of the rest, residue and remainder of his estate to his son, Edward H. Achorn, Jr. and.; and WHEREAS, the property being conveyed herein is a part of the residue of decedent's estate; and W~EREAS, the Co-Executors, as Grantors, now desire to convey the decedent,s interest in said Premises to Edward H. Achorn, Jr. as a tenant in common, pursuant to the powers vested in them as such personal representatives for the Estate. NOW, THEREFORE, THIS INDENTURE WITNESSETH, that by virtue of the power and authority in them granted as aforesaid, and in consideration of the sum of One Dollar ($ 1.00), paid to them by the Grantee at or before the sealing and delivery hereof, receipt whereof is hereby granted, bargained, sold, and conveyed, and does hereby grant bargain, sell, and convey to the Grantee, their heirs and assigns, as tenants in common, the Premises, described below: ALL THAT CERTAIN of land, together with improvements thereon erected situate, lying and being in the Borough of Camp Hill, formerly the East Pennsboro Township, Cumberland County, Pennsylvania, bounded, limited and described as follows, to wit: BEGINNING at a point on the Eastern side of Country Club Road, said point located at the Northern boundary of lands of Stannard B Pfahl et ux, and extending thence Northwardly along said Country Club Road 86 feet to a point at lands now or formerly of Paul J. Binder and Mary L. Binder, his wife; thence at a right angle Eastwardly along lands now or formerly of Paul J. Binder and Mary L. Binder, his wife, 155 feet to a point at other lands now or formerly of Paul J. Binder and Mary L. Binder, his wife; thence at a right angle Southwardly along other lands now or formerly of Paul J. Binder and Mary L. Binder, his wife, and lands now or formerly of Charles O. Barr, Jr. 86 feet to a point at lands of Stannard B. Pfahl et ux; thence at a right angle Westwardly along lands of Stannard B. Pfhal et ux 155 feet to a point on Country Club Road and place of Beginning. Containing 86 feet frontage on the aforesaid road and extending of that width in length or depth 155 feet to lands now or formerly of Paul J. Binder and Mary L. Binder, his wife, and Charles O. Barr, Jr., of even width throughout. It being the Northern 62 feet of lot No. 7 in section A and the Southern 24 feet of Lot No. 8 in Section A on a plan of lots known as Country Club Hills as laid out by Schimmel-Binder, Inc. said plan being recorded in the Office of the Recorder of Deeds for Cumberland County, Pennsylvania, in Plan Book No. 3, Page 14. BEING improved with a two story colonial brick and frame dwelling with a two car brick garage attached, known as No. 433 Country Club Road Camp Hill, Pennsylvania. ~ND BEING the same property which Thomas D. Frye and Ruth Hall Frye, his wife, granted and conveyed unto Edward H. Achorn, Sr. and Ruth M. Achorn, his wife, grantors herein by deed dated May 23, 1963, and recorded in the Office of the Recorder of Deeds in and for the County of Cumberland in Deed Book N20 page 924. Under and Subject, however, to certain COVenants, restrictions and agreements as referred to in the above recited deed. TOGETHER with all and singular the rights . . privileges, herediments a_= , liberties, , ~u apPurtances whatsoeve belongin ~ .... r hereunto g, or ~,~ . any way appertaining, and the re..~-~-_ _ remainders, rents, interest a--' v~ons an~ , nu profits thereof; and all of the estate, right, title, interest, property, claim. whatsoever ~ ~_ _ .~ ~ , and demand o~ =~= salu uecedent at and immediately before the time of his death, at law or in equity, or otherwise howsoever, of, in, to, or out of the same. aforesaid. TO HAVE AND TO BOLD the said herediments and premises hereby granted or mentioned, and so intended to be, with the apPurtances, unto the said Grantees and their assigns forever, subject as AND TEE GRANTORS, in their capacity as aforesaid, Covenant that they have not heretofore done or committed any act, matter, or thing whatsoever, whereby the Premises hereby granted and conveyed, or any Part hereof, is, are, or shall be impeached, charged, or encumbered in title, charge, estate, or otherwise, howsoever. REGISTERED BY THE. __ z ~ 8ecreta~ / /' IN WITNESS WHEREOF, the Grantors, in their 'capacity as / aforesaid, have hereunto set their hands and seals the day and year first above written. WITNESSES: Estate of Edward H. Achorn, Sr. Deceased Jo~anne Wright it as an Co-Executor of the Estate of Edward H. Achorn, Sr. Deceased The following is the correct address of the Grantee: .Signature COMMONWEALTH OF PENNSYLVANIA : : COUNTY OF ~t~Cl~ : On this, the ? day of ~m~u~ , 1995, before me a .Notary Public, the undersigned officer,'personally appeared~,~J ~~ t. ~t,~ , known to me (or satisfactorily proven) to be the person whose qg~=is subscribed to the within instrument, who acknowledged that~ executed th9 foregoing Fiduciary Warranty Deed in the capacity of an~°~~, as stated therein, for the purpose set forth therein. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~otary Public Notarial Seal Deborah L. Brenneman, Notary Public My Commission Expires June 18, 1998 ~2~8 PACE~0~ jCamp Hill Boro, Cumberland County Member. Pennsylvania Association of Notaries APPRAISAL OF REAL PROPERTY LOCATED AT: 433 Country Club Road Berou,qh ,of Camp Hilt Camp Hill, PA t';'0I 1 FOR: Ted Achom 525 Couf~try C!ub Road Camp HiIi. Pennsylvania 17011 AS OF: Ma,'ch i5, 2002 BY: K(-~,~m D~mey: PA Ced. Gerieral Appraiser L,.,*r~¥ Slusser, PA Celt Residential ,~4)praise~ L G CONNOR REAL. ESTATE APPRAISERS LTD 2159 Market Street, Camp Hilt, PA 170t 1 [File No. 02-416I Paqe #21 File No. 02-416 June 6,2002 L. G. Connor Real Estate Appraisers, Ltd. 2159 Market Street Camp Hill, PA 17011 M~ Ted Achorn 525 Country Club Road Camp Hill, PA 17011 RE: 433 Country Club Road, Camp Hill, PA 17011 Dear Mr. Achorn: Pursuant to your request, a Complete Appraisal, Summary Report has been prepared on the property captioned in the "Summary of Salient Features" which follows. The accompanying report is based on a site inspection of improvements, investigation of the subject neighborhood area of influence, and review of sales, cost and income data for similar properties. This appraisal has been made with particular attention paid to the applicable value influencing economic conditions and has been processed in accordance with nationally recognized appraisal guidelines. The value conclusions stated herein are as of the date as stated in the body of the appraisal and contingent upon the certifications and limiting conditions attached. Please do not hesitate, to contact me or any of my staff if we can be of additional service to you. Respectfully, ~'~Ka rein ~~/ Pennsylvania State ~ertifiedeGYeneral'(/'jpraiser Form DCVR -- "TOTAL for Windows" appraisal software by a la mode, inc. -- 1-800-ALAMODE IFile ilo. 02-416( Page #3[ SUMMARY OF SALIENT FEATURES Subject Address Legal Description C~ty County State Zip Code Census Tract Map Reference 433 Country Club Road Deed Book 118, Page 1059 Camp Hill Cumberland PA 17011 3240-0104.00 ADC-10 Page 14 Sale Price Date of Sale Lender $ NA NA Borrower / Client NA Ted Achorn Size (Square Feet) Price per Square Foot Location Age Condition Total Rooms Bedrooms Baths 1,776 $ Average 62 years Fair 6 3 2.5 Appraiser pate of Appraised Value Larry W. Slusser, Certified Residential Appraiser March 15, 2002 Final Estimate of Value Form SSD -- "TOTAL for Windows" appraisal software by a la mode, inc. -- 1-800-ALAMODE Address L.G. Connor Real Estate Appraisers UNIFORM RESIDENTIAL APPRAISAL REPORT 433 Country Club Road City'Camp Hill State PA IFile No. 02-4161 Pa.qe #41 File No. 02-416 Zip Code 17011 Deed Book 118, Page 1059 Assessor's Parcel No. 01-20-1852~114 Borrower NA Cu~ei~t Owner Edward H. Achorn~ Jr. i Leasehold Country Club Hills NA Date of Sale NA Ted Achorn Location Built up X Over 75% Growth rate Rapid Property values X Increasing Demand/supply Shortage . Marketing time ~x~ Under 3 mos. County Cumberland Tax Year 01-02 R.E. Taxes $ 2,239.95 Special Assessments $ 0.00 Occupant:i ! Owner ~-~ Tenant ~ Vacant Project Type ' PUD ' ' Condominium (HUD/VA only) HOA ~ NA /Mo. Map Reference ADC-lO Page 14 Census Tract 3240-0104.00 Description and $ amount of loan char(les/concessions to be paid by seller NA Address 525 Country Club Road, Camp Hill, PA 17011 W. Slusser & Karen Darne¥ Urban ~ Suburban Rural Address 2159 Market Street~ Camp Hill~ PA 17011 Predominant I Single family housing J Present la.a.-- ~- .occupancy I, $iRo~o) ~yGr s~-One family 85 ~ Owner J 75 Low 30-35 _~ 2-4 family 4 Tenant / 350+ Hi.qh-~-O"~ / Multi-family ~- X Vacant (0-5%) I~%~ Predominant ~ Commerc al 10 Vac.(over 5%) I 175 45 I Note: 25-75% Under 25% ~ Stable Slow Stable Declining ~>~ In balance Over supply 3-6 mos. Over 6 mos. Race and the racial composition of the neighborhood a~e not app~aisal factors. Land use change ~ Not likely r~i.~! Likely In process To: Neighborhood boundaries and characteristics: The nei.qhborhood boundaries are indicated on the enclosed neiqhborhood map in the addenda of this Immediate neighborhood is primarily residential in nature. Factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to market, otc.): recreation and houses of worship are all within a 15-30 minute driving time of the subject property. Average maintenance programs were observed. Employment stability is good due to the State Capital in Harrisburg, the Army Supply Depot in New Cumberland, and the Naval Supply Depot in Mechanicsburg. Steady price increases and MLS statistics show a good demand for the area. is convenient location. Market conditions in the subject neighborhood (including support for the above conclusions related to the trend of property values, demand/supply, and marketing time -- such as data on competitive properties for sale in the neighborhood, description of the prevalence of sales and financing concessions, etc.): tax records and MLS statistics show prices to be stable. The MLS shows that the typical marketing time for the area is 3-6 months. funds are readily available with conventional loans havinq 6.25% to 6.875% interest rate, fixed 30 year, 95% mortgage with up to Sellers are not required to offer sales or financinq concessions, but seller assistance is occurrinq. Project Information for PUDs (If applicable)-- Is the developer/builder in control of the Home Owners' Association (HOA)? Approximate total number of units in the subject project NA Approximate total number of units for sale in the Describe common elements and recreational facilities: NA Yes !.!No subject project NA Dimensions Please see attached deed Site area 0.31 acre Corner Lot Yes X No Specific zoning classification and description Zoning compliance ~ Legal best use as improved: Utilities Public Other Electricity Gas Water Sanitary sewer Storm sewer None R-l, Sin.qle Family Legal nonconforming (Grandfathered use) Present use Other use (explain) t Off-site Improvements Type Street Paved Macadam Curb/gutter None/None Sidewalk Oement Street lights None Alley None Illegal No zoning Public Private Topography Sloping to street Size Average Shape Rectanqular Drainage Appears Adequate View Average Street Landscaping Typical for the area Driveway Surface Macadam Apparent easements Standard Utility FEMA Special Flood Hazard Area i i Yes ~ No FEMA Zone C Map Date 12/11/81 FEMA Map No. 420357 0001 B Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning use, etc.): Standard easements for electric, telephone, etc. There are no known or apparent adverse easements, encroachments, or conditions that would the value of the sul GENERAL DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION BASEMENT 1 Foundation Cncrt,CncrtBIck Slab No Area Sq. Ft. 465 No. of Units No. of Stories 2 Type (Det./Att.) Detached Design (Style) 2-story Existing/Proposed Existinq Age (Yrs.) 62 50 Finished area above qrade conta ns INTERIOR Materials/Condition Floors Wood,Vinyl/Avg Exterior Walls Brick, Wood Roof Surface Slate, Rubber Gutters & Dwnspts. None Window Type Double Storm/Screens Thermo/Yes Manufactured House No 6 Rooms; HEATING Crawl Space 416 sq. ft. % Finished 0 Basement Yes Ceiling Unfinished Sump Pump Floor drain Walls Conc,CrtBIck Dampness None noted Floor Cement Settlement None noted Outside Entry No Infestation None noted Rec. Rm. Bedrooms ' # Baths Laundry Other 3 .25 Area ATrlC INSULATION Roof Ceiling Walls Floor None Unknown 3 Bedroom(s); KITCHEN EQUIP. Walls DryWll, Plstr, Pnl/Avg Trim/Finish Wood,Paint/Avg Bath Floor Vinyl,Ceramic/Avq Bath Wainscot Ceramic/Avg Doors Solid Wood/Avg Type Steam Fuel Oil Condition Avg COOLING Central No Other None Refrigerator Range/Oven Disposal Dishwasher Fan/Hood Microwave Area Sq. Ft. 465 Condition NA Washer/D~er . Additional features (special energy efficient items, etc.): basement. 2.5 Bath(s); 1,776 Square Feet of Gross Livin,q Area AMENITIES CAR STORAGE: None '! Garage # of cars Attached 2 Detached Built-In Carport None Stairs Drop Stair Scuttle Floor Heated Finished Fireplace(s) # 1 Patio 10' x 31' Deck None Porch 7' x 31' Fence None Pool None " ~-'; Driveway 2+ Access to garage roof from second floor bedroom. Cedar closet. New windows. Laundry tub in 895 881 Condition of the improvements, depreciation (physical, functional, and external), repairs needed, quality of construction, remodeling/additions, etc.: The home has areas of deferred maintenance includinq outdated electrical service, flooring, patio, painting (exterior and interior), porch columns, otc. It is in fair condition. The construction quality is typical for the area. There were no apparent functional inadequacies. Physical ~reciation is attributed to age and deferred maintenance. Adverse environmental conditions (such as, but not limited to, hazardous wastes, toxic substances, etc.) present in the improvements, on the site, or in the immediate vicinity of the subject property.: The property is of an age where lead based paint may be present. The market does not penalize the but the client should be advised of it's possible existence. It is assumed that it is not present. If the client has a (See Addendum) Freddie Mac Form 70 6/93 PAGE 1 OF 2 Fannie Mae Form 1004 6/93 Form UA2 -- "TOTAL for Windows" appraisal software by a la mode, inc. -- 1-800-ALAMODE IFile No. 02-4'~6t Parle #61 UNIFORM RESIDENTIAL APPRAISAL REPORT ESTIMATED SITE VALUE ESTIMATED REPRODUCTION COST-NEW-OF IMPROVEMENTS: Dwelling 1,776 Sq. R. @$ = $ 465 Sq. Ft. @ $ = Garage/Carport __ Sq. Ft. @$ = Total Estimated Cost New = $ Less Physical Functional External Depreciation Depreciated Value of Improvements · As-is" Value of Site Improvements INDICATED VALUE BY COST APPROACH ITEM I SUBJECT =$ =$ =$ =$ =$ COMPARABLE NO. 1 File No. 02-416 Comments on Cost Approach (such as, source of cos{ estimate, 'site value, square foot calculation and for HUD, VA and FmHA, the estimated remaining economic life of the property): The Cost A 3roach will 433 Country Clu.b Road Address Cam PA . in an excellent estimate of value if the building is new or reasonably new, and the improvements reflect the highest and best use of the land. However, when items of physical )reciation must be estimated, an area of judgement is involved which is subject to error. The Cost Approach was not utilized due to the age. COMPARABLE NO. 2 COMPARABLE NO. 3 2900 Rathton Road 456 Creston Road 457 Country Club Road PA PA PA Sales Price NA / Data and/or Owner & Verification Source VALUE ADJUSTMENTS DESCRIPTION Sales or Financing Concessions Location Site View 7 houses 172 96.91 / MLS; Agent; Ext. Inspect. Court House Records DESCRIPTION + houses 3 houses 173 75.94 / 114.57 ~/~ MLS; Agent; Ext. Inspect. Court House Records Court House Records 200 DESCRIPTION Conventional Conventional Conventional None None None 3/16/01 131DOM 3/2/01 75 DOM 9/5/01 0.31 acre 0.22 acre Street/Golf Street 0.20 acre +2 Street 0.29 acre Street/Golf of Construction Condition Fair Above Grade Total Bdrms Baths Room Count 6 3 2.5 Basement & Finished Unfinished Partial Rooms Below Grade Basement Functional UtiliW Ht Wtr Rad/None _Energy Efficient items -55 -55 Total Bdrms Baths Total Bdrms Baths 7 3 1.5 +2,500 7 3 1.5 +2,500 Ft. Ft. Finished Rec Rm -1,000 Finished Rec Rm -1,000 Basement Basement FHA/CA Ht Wtr Bs Bd/Non Total :Bdrms Baths 3 1.5 Ft. Unfinished Basement Steam/CA +2,500 :None +2 Porch, Patio, Deck, Porch, Patio Porch, Patio Porch, Balc, Patio -1,000 Porch, Patio etc. 31ace 31ace )laces etc. None Fence None None 62 63 Adjusted Sales Price 116 110 137 Comments on Sales Comparison (including the subject property's compatibility to the neighborhood, etc,): After a thorough search of all available data, the )arables chosen were considered the best available. Adjustments were made to reflect substantial differences bebNeen the comparable and the subject. The adjustments that were made reflect the typical actions of buyers and sellers in the marketplace. All )arables were considered equally. Some adjustments exceed the recommended guidelines, but were considered necessary in order to reflect an accurate estimated value. Home in process of complete renovation. Cost to complete home based on actual costs Condition adjustment reflects cost to cure, tempered by condition of comparable sale(s). View adjustment for superior golf (See Addendum ITEM SUBJECT ] COMPARABLE NO. 1 COMPARABLE NO. 2 COMPARABLE NO. 3 Date, Price and Data NA I None None I None Source, for prior sales NA NA NA J NA NA Courthouse Records Courthouse Records I Courthouse Records Analysis of any current agreement of sale, option, or listing of subject property and analysis of any prior sales of subject and comparables within one year of the date of appraisal: Prior sales of the comparable properties occurred more than one year ago. The subject is currently not under contract nor listed in the open __ market. INDICATED VALUE BY SALES COMPARISON APPROACH $ 135 INDICATED VALUE BY INCOME APPROACH (if Applicable) Estimated Market Rent $ 0 /Mo, x Gross Rent Multiplier 0 = NA This appraisal is made ~<~ "as is" subject to the repairs, alterations, inspections or conditions listed below subject to completion per plans & specifications. Conditions of Appraisal: No warranty of this appraisal is given or implied. No liability is assumed for the structural and/or mechanical elements of the ~ct. Final Reconciliation: Due to the lack of rental data, the Income Approach was considered inappropriate and not utilized. Greatest wei to the Sales Comparison Approach as it reflects the typical actions of buyers and sellers in the open market. ** Retrospective market value as of the date of death. The purpose of this appraisal is to estimate the market value of the real property that is the subject of this report, based on the above conditions and the certification, contingent and limiting conditions, and market value definition that are stated in the attached Freddie Mac Form 439/FNMA form 1004B (Revised June 1993 .). I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, ,O,F THE REAL PROPERTY THAT IS THE SUBJECT OF THIS/REPORT, AS OF March 2002 **  F INS ECTION Al', D THE EFFE ,11VE DATE OF TO BE . $ / 135,000 >" J/~.~ SUPERVISOI~.N;~I~E~ (QNL, Y IF ~E~: ..'1 / ~.,. / ~ ~'~'"~=~'_~___ Signat~'e'A ~A~.~.,_.?/~,./ j~_~'j~'_ _.~/.'~ Did i_ i DidNot Slusser Certified Residential Appraiser Name Karen Darney, Certified General Appraiser// Inspect ProPerty Date Report Signed June 6, 2002 Date Report Signed June 6, 2002 { State Certification # RL-OOO802-L State PA State Certification # GA-OO1260-L State PA State License # State Or State License # State Freddie Mac Form 70 6/93 PAGE 2 OF 2 Form UA2 -- "TOTAL for Windows" appraisal software by a la mode, inc. -- 1-800-ALAMODE Fannie Mae Form 1004 6-93 II UNIFORM RESIDENTIAL APPRAISAL REPORT MARKET DATA ANALYSIS [File No. 02-4161 Parle #61 es of prol)erties are most similar and proximate to subject and have been market reaction to those items of s gnificant variation between the sublect and comparable properties. If a signff favorable than the subject properly a minus (-) adjustment is made, thus reducing the indicated value of the subiect. favorable than', the subject property, a p us (+) adjustment is made, thus increasing the indicated value of the subject. ITEM I SUBJECT COMPARABLE NO. 4 COMPARABLE NO. 5 433 Country Club Road 2711 Lincoln Street Address Cam PA PA 2 blocks Sales Price Data and/or Owner & Verification Soumes VALUE ADJUSTMENTS DESCRIPTION Sales or Financing Concessions Location Site 0.31 acre View Street/Golf / 117.56 / / MLS; Agent; Ext. Inspection & Courthouse Records the or more , or less COMPARABLE NO. 6 DESCRIPTION Conventional None 8/7/01 41 DOM 0.15 acre Street DESCRIPTION DESCRIPTION of Construction Condition Above Grade Room Count Gross Livinq Area Basement & Finished Rooms Below Grade Functional Utility Efficient Items Fair Total Bdrms Baths Total Bdrms Baths 6 3 2.5 7 3 1.5 R. Unfinished Partial Finished Rec Rm Basement Basement -65 -1,000; Ht Wtr Rad/None FHA/CA Total Bdrms: Baths Sq. R. Total Bdrms Baths Sq. Ft. Porch, Patio, Deck, Porch, Patio 31ace None Porch, Patio ~lace Sun Rm -1,000 Adjusted Sales Price 71. + - Date, Price and Data NA Source for prior sales NA NA Comments: None NA Courthouse Records Market Data Analysis 6-93 Form UA2.(AC) --"TOTAL for Windows" appraisal software by a la mode, inc. -- 1-800-ALAMODE s ~-"~3 Country Club Road ill chorn Supplemental Addendum IFile No. 02-4161 Page #71 File No. 02-416 Zip Code 17011 County Cumberland State PA · URAR: Condition of the Improvements Cont'd: No functional or economic obsolescence was observed. · URAR: Adverse Environmental Conditions Cont'd: concern, then a qualified expert in this area should be contacted. There are no known or apparent adverse environmental conditions that would negatively impact on the sale of the property. Asbestos covered heating pipes noted in basement. This is common for the area in homes of this age and should not affect marketability. Recommend encapsulation for environmental protection. Your appraisers are not experts in this are.~. If the client has a concern about this, an expert should be contacted. · URAR: Sales Comparison Approach Cont'd: course location tempered by higher traffic influences. Estimated indicated value can also be determined by using the Gross Adjustment of sale price for each comparable (comp) as a measure of relative quality of the comp. A lower adjustment indicates a better comp, and vice versa. The ratio of gross dollar adjustment to sale price for each of the comps is used to calculate the weight each comp should have in a weighted calculation. This weighted calculation is used to also indicate the estimated value of the subject. As with any method this technique is not perfect. However it does do a very good job of giving more weight to the most similar comps while at the same time minimizing values near the extremes of the indicated value range. SPECIAL LIMITING CONDITIONS: This appraisal is not a home inspection and the appraisers are not acting as home inspectors when preparing the report. The borrower has the right to have the home inspected by a professional home inspector. When performing the inspection of this property, the appraisers visually observed areas that were readily accessible. The appraisers are not required to disturb or move anything that obstructs access or visibility. The inspection is not technically exhaustive. The inspection does not offer warranties or guarantees of any kind. If the property is sold, this appraisal is subject to satisfactory inspection reports including, but not limited to: wood infestation, water test(s), septic inspection, radon, building inspections, etc. o URAR: Supplemental Certifications We certify that, This COMPLETE APPRAISAL- SUMMARY APPRAISAL REPORT was prepared by Larry W. Slusser and Karen Darney for the exclusive use of Mr. Ted Achorn for use in estate settlement purposes. Estimated market value is the most probable price in terms of cash or in terms of financial arrangements equivalent to cash. Mr. Ted Achorn is considered to be our client. The information and opinions contained in this appraisal set forth the appraisers' best judgment in light of the information available at the time of the preparation of this report. Any use of this appraisal by any other person or entity, or any reliance or decisions based on this appraisal are at the sole responsibility and at the sole risk of the third party. We accept no responsibility for damages suffered by any third party, as a result of reliance on or decisions made or actions taken based on this report. In our opinion, the reasonable exposure time linked to the value opinion is up to 180 days. We further certify that, to the best of our 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, and are our personal, impartial, and unbiased professional analyses, opinions, and conclusions. - We have no present or prospective interest in the property that is the subject of this report or to the parties involved with this assignment. -Our engagement in this assignment was not contingent upon developing or reporting predetermined results. -Our compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. -Our analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform Standard of Professional Appraisal Practice. - No one provided significant professional assistance to the person signing this report. Form TADD -- "TOTAL for Windows" appraisal software by a la mode, inc. -- 1-800-ALAMODE Borrower/Client NA Prope~ Address 433 Country Club Road City Camp Hill Lender Ted Achorn Supplemental Addendum IFile No, 02-416~'~ File No. 02-416 County Cumberland State PA Zip Code 17011 ~ This appraisal has been prepared in conformity with the requirements of the Code of Professional Ethics and the Standards of Professional Appraisal Practice of the Appraisal Institute. - The use of this report is subject to the requirements of the Appraisal Institute relating to review by its duly authorized representatives. - Larry W. Slusser and Karen Darney have made a personal inspection of the property. Larry VV. Slusser prepared the report. Karen Darney reviewed the report and concurred with the conclusions stated therein. Karen Darney,"~'Ce~d General A~'raiser Form TADD -- "TOTAL for Windows" appraisal s0~lware by a la mode, inc. -- 1-800-ALAMODE ' ' ' IFile No. 02-4161 Pa,qe #81 DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under condigns whereby: (1) buyer and seller am typically motivated; (2) both parties are well informed or well advised, and each acting in what he considers his own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions* granted by anyone associated with the sale. * Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments am necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable property, by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgement. STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears in the appraisal report is subject to the following conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it. The appraiser assumes that the title is good and marketable and, therefore, will not render any opinions about the title. The property is appraised on the basis of it being under responsible ownership. 2. The appraiser has provided a sketch in the appraisal report to show approximate dimensions of the improvements and the sketch is included only to assist the reader of the report in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data soumes) and has noted in the appraisal report whether the subject site is located in an identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4, The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand. 5. The appraiser has estimated the value of the land in the cost approach at its highest and best use and the improvements at their contributory value. These separate valuations of the land and improvements must not be used in conjunction with any other appraisal and are invalid if they are so used. 6. The appraiser has noted in the appraisal report any adverse conditions (such as, needed repairs, depreciation, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of dudng the normal research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no knowledge of any hidden or unapparent conditions of the property or adverse environmental conditions (including the presence of hazardous wastes, toxic substances, etc.) that would make the property more or less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied., regarding the condition of the property. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considered as an environmental assessment of the property. 7. The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or she considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of such items that were furnished by other parties. 8, The appraiser will not disclose the contents of the appraisal report except as provided for in the Uniform Standards of Professional Appraisal Practice. 9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that completion of the improvements will be performed in a workmanlike manner. 10. The appraiser must provide his or her prior written consent before the lender/client specified in the appraisal report can distribute the appraisal report (including conclusions about the property value, the appraiser's identity and professional designations, and references to any professional appraisal organizations or the firm with which the appraiser is associated) to anyone other than the borrower; the mortgagee or its successors and assigns; the mortgage insurer; consultants; professional appraisal organizations; any state or federally approved financial insUtution; or any department, agency, or instrumentality of the United States or any state or the District of Columbia; except that the lender/client may distribute the property description section of the report only to data collection or reporting service(s) without having to obtain the appraiser's prior written consent. The appraiser's written consent and approval must also be obtained before the appraisal can be conveyed by anyone to the public through advertising, public relations, news, sales, or other media. Freddie Mac Form 439 6-93 Page 1 of 2 L.G. Connor Real Estate Appraisers Form ACR -- "TOTAL for Windows" appraisal software by a la mode, inc. -- 1-800-ALAMODE Fannie Mae Form 1004B 6-93 IFi!e No. APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that: 1. I have researched the subject market area and have selected a minimum of throe recent sales of properties most similar and proximate to the subject property for consideration in the sales comparison analysis and have made a dollar adjustment when appropriate to reflect the market reaction to those items of significant variation. If a significant item in a comparable property is superior to, or more favorable than, the subject property, I have made a negative adjustment to reduce the adjusted sales price of the comparable and, if a significant item in a comparable property is infedor to, or less favorable than the subject property, I have made a positive adjustment to increase the adjusted sales price of the comparable. 2. I have taken into consideration the factors that have an impact on value in my development of the estimate of market value in the appraisal report. I have not knowingly withheld any significant information from the appraisal report and I believe, to the best of my knowledge, that all statements and information in the appraisal report are true and correct. 3. I stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which am subiect only to the contingent 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 partially or completely, my analysis and/or the estimate of market value in the appraisal report on the race, color, religion, sex, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property. 5. I have no present or contemplated future interest in the subject property, and neither my current or futura employment nor my compensation for performing this appraisal is contingent 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 of the client or any related party, the amount of the value estimate, the attainment of a specific result, or the occurrence of a subsequent event in order to receive my compensation and/or employment for performing the appraisal. I did not base the appraisal report on a requested minimum valuation, a specific valuation, or the need to approve a specific mortgage loan. 7. I performed this appraisal in conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of the effecUve date of this appraisal, with the exception of the departure provision of those Standards, which does not apply. I acknowledge that an estimate of a reasonable time for exposure in the open market is a condition in the definition of market value and the estimate I developed is consistent with the marketing time noted in the neighborhood section of this report, unless I have otherwise stated in the reconciliation section. 8. I have personally inspected the interior and exterior areas of the subject property and the exterior of all properties listed as comparables in the appraisal report. I further certify that I have noted any apparent or known adverse conditions in the subject improvements, on the subject site, or on any site within the immediate vicinity of the subject property of which I am aware and have made adjustments for these adverse conditions in my analysis of the property value to the extent that I had market evidence to support them. I have also commented about the effect of the adverse conditions on the marketability of the subject property. 9. I personally prepared all conclusions and opinions about the real estate that were set forth in the appraisal report. If I relied on significant professional assistance from any individual or individuals in the performance of the appraisal or the preparation of the appraisal report, I have named such individual(s) and disclosed the specific tasks performed by them in the reconciliation section of this appraisal report. I certify that any individual so named is qualified to perform the tasks. I have not authorized anyone to make a change to any item in the report; therefore, if an unauthorized change is made to the appraisal report, I will take no responsibility for it. SUPERVISORY APPRAISER'S CERTIFICATION: If a supervisory appraiser signed the appraisal report, he or she certifies and agrees that: I directly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal report, agree with the statements and conclusions of the appraiser, agree to be bound by the appraiser's certifications numbered 4 through 7 above, and am taking full responsibility for the appraisal and the appraisal report. ADDRESS OF PROPERTY APPRAISED: 433 Country Club Road, Camp Hill, PA 17011 APPRAISER: .f ....., Name: L'~. S usser, Certified Residential Appra ser Date Signed: June 6, 2002 State Certification #: RL-000802-L or State License #: State: Pennsylvania Expiration Date of Certification or License: June 30, 2003 Signature:'~"~.~/~ ,.~_~ .. Name: Karen Damey, Ce~fied General Appra, i~ Date Signed: June 6, 2002 State Certification #: GA-001260-L or State License #: State: Pennsylvania Expiration Date of Certification or License: June 30, 2003 Did [ Did Not Inspect Property Freddie Mac Form 439 6-93 Page 2 of 2 Form ACR -- "TOTAL for Windows" appraisal software by a la mode, inc. -- 1-800-ALAMODE Fannie Mae Form 1004B 6-93 Subject Photo Page Subject Front 433 Country C~ub Road Subject Rear Subject Street Comparable Photo Page Comparable 2900 RaM3ton Road ?to×, to Subject 7 houses Sa~e ?mc~ t 72,500 Gross Lwin~ T~d R~ms 7 Trod Be~mom~ 3 T'ot~ 8~hR~oms 1 ~5 Loc~bo~ Average V~ew Avg. ~eet Si~ 022 ac~e Age 6~ years Comparable 2 456 C~eston Road S~e Pfic~ 1 G~ss Living Area 2.278 T~d B~d~ams 3 Total Bath~{~ms 1.5 View Avg, Sheet Si~e 0,20 acm O~i~~ 8r~k,Alum/Av~ A~e ~ ye~f~ Comparable 3 457 Country Club Road Prox, to Subject 3 houses Sale Price 200,500 Gr~ss Living Area 1,750 'ro(a~ Rooms 5 fot~ Bedrooms 3 fot~ 8~hfooms 1,5 t. ocafion Average View Avg~ Stree~Gdf S~e 029 acre Q~¢ity Stone,Woe(~Av(t Age 61 yea~$ FoCm FiC3x5 CR ..... TO TaL f~ Wind,'sws ap~:~aisa soffw~ye by a (a mod~, mc ...... ~,800-ALAMODE Comparable Photo Page Comparable 4 2711 Lincoln S~eet P~o~. to Sub,ct 2 bloc~ $~ Pdce 206,900 T~ Bed~'~oms 3 T~ 8afh~o~v~s t,5 Loc~ion Ave~a~ V~ew Av~ Steer Sit~ 0, t5 acm Ou~y B~ick, ~um/Avg Age 62 years Comparable Gross Livin~ Area To~ Rooms T¢,~ Bedrooms Loc~ior~ Vi~w Comparable Sate Gross Ltvm~ Af~a T'O~ Rooms T~al B~th~'ooms V~ew Site Aaa Windows* appraisal so,ware by a fa mode, mc ~ 1-800-ALAMODE Neighborhood Map') TAX MAP d *-I . ROAD .RECORD[i~,OF DEEDS '"UI'B[I~,I.A:IS.. ., (;OUIlTY-F'A ~Duo~R~ .~Rm~T~ 6~EI~ 2'! IVI 10 29 Oa¥ of ~,~, 1995, F. dwarO H. Achorn, ~r., and Joanne L. ~right as Co-Executors of the E~A~. O7 EDWARD H. AOIKORIq~ ~R. · D~.OEABED~ late of the Borough o£ Y.emoyne, Cumberlan4 County, Pennsylvania, Grantors, A~D Edward ~. Achorn, ~r., of the Commonwealth of Pennsylvania (collectively herein called the "Grantee"), as a tenant in common. ~H~.RE~, during their lifetimes, EOwar4 H. Achorn, St. and Ruth M. Achorn, became seized, in fee, as tenants by the entireties, of a certain tract or parcel of land, together with any buildings anO improvements thereon erecteO~ situate in the Borough of Camp Hill, Cumberland County, 2ennsylvania, known as 433 Country Club Road, Camp Hill, Pennsylvania, more particularly described herein (the "Premises") ;and ~}{ER~.A$, F. Oward H. Achorn, St. anO Ruth M. Achorn Outing their ii£etimes were granted a divorce on December 22, 1977 at Cumberland County, Docket ~umber 3555 Civil 1975} ~RP. REA~, Rdward H. Achorn, Sr., OieO on September 27, 1992, leaving to survive him Ruth M. Achorn, as a surviving joint tenant of the Premises; ~P. RP. AB, Upon petition, the Register of Wills of CumberlanO County, Pennsylvania, issued Letters of Testamentary on October 7, 1992, to Edward H. Achorn, Jr. and Joanne L. Wright, as Co- Executors (the "Co-Executors") of the Estate of Edward H. Achorn, Sr. deceased (the "Estate"), without the requirement of a bond; and W~EREAS, the Pennsylvania Probate, Estates and Fiduciaries Code, found at Title 20 of the Pennsylvania Consolidated Statutes Annotated, in Section 3351 authorized personal representatives, such as the Co-Executors, to sell, without court approval, at public or private sale, any real estate not specifically devised; and W~EREAS, the Estate is possessed of the decedent's interest in Premises, and said interest has not been specifically devised; and W~EREAS, under his Last Will and Testament dated March 4, 1991, the decedent gives, devises and bequeaths all of the rest, residue and remainder of his estate to his son, Edward H. Achorn, Jr. and.; and W~EREAS, the property being conveyed herein is a part of the residue of decedent's estate; and W~EREAS, the Co-Executors, as Grantors, now desire to convey the decedent's interest in said Premises to Edward H. Achorn, Jr. as a tenant in common, pursuant to the powers vested in them as such personal representatives for the Estate. NOW, THEREFORE, THIS INDENTURE WITNESSETH, that by virtue of the power and authority in them granted as aforesaid, and in consideration of the sum of One Dollar ($ 1.00), paid to them by the Grantee at or before the sealing and delivery hereof, receipt whereof is hereby granted, bargained, sold, and conveyed, and does hereby grant bargain, sell, and convey to the Grantee, their heirs and assigns, as tenants in common, the Premises, described below: ALL THAT CERTAIN of land, together with improvements thereon erected situate, lying and being in the Borough of Camp Hill, formerly the East Pennsboro Township, Cumberland County, 118 m1060 Pennsylvania, bounded, limited and described as follows, to wit: BEGINNINa at a point on the Eastern side of Country Club Road, said point located at the Northern boundary of lands of Stannard B Pfahl et ux, and extending thence Northwardly along said Country Club Road 86 feet to a point at lands now or formerly of Paul J. Binder and Mary L. Binder, his wife; thence at a right angle Eastwardly along lands now or formerly of Paul J. Binder and Mary L. Binder, his wife, 155 feet to a point at other lands now or formerly of Paul J. Binder and Mary L. Binder, his wife; thence at a right angle Southwardly along other lands now or formerly of Paul J. Binder and Mary L. Binder, his wife, and lands now or formerly of Charles O. Barr, Jr. 86 feet to a point at lands of Stannard B. Pfahl et ux; thence at a right angle Westwardly along lands of Stannard B. Pfhal et ux 155 feet to a point on Country Club Road and place of Beginning. Containing 86 feet frontage on the aforesaid road and extending of that width in length or depth 155 feet to lands now or formerly of Paul J. Binder and Mary L. Binder, his wife, and Charles O. Barr, Jr., of even width throughout. It being the Northern 62 feet of lot No. 7 in section A and the Southern 24 feet of Lot No. 8 in Section A on a plan of lots known as Country Club Hills as laid out by Schimmel-Binder, Inc. said plan being recorded in the office of the Recorder of Deeds for Cumberland county, Pennsylvania, in Plan Book No. 3, Page 14. BEING improved with a two story colonial brick and frame dwelling with a two car brick garage attached, known as No. 433 Country Club Road Camp Hill, Pennsylvania. AND BEING the same property which Thomas D. Frye and Ruth Hall Ruth F. M. Achorn 433 Country Club Road Camp Hill, PA 17011 Appraised Value at May 23 Renovation Costs from 3/15 - 5/23 Electrical Intedor Tdm & Finishes Countertop Ceramic Tile in Master Bath Flooring Extedor Concrete Patio & Walk Extedor Painting, Siding, Roof, & Trim Gutters & Downspouts Storm Doors, Repair Columns, Repair Garage Window, & Install Garage Window Chimney Repair & Garage Repair Demo Labor Labor for Roofing, Framing, & Window Plumbing Fixtures & Furnace Repair Labor Drywall Repair Wallpaper Removal & Painting Dumpster, Tree Service Supervision Total Remaining Renovation Costs Adjusted Appraised Value at March 15 Ruth F. M. Achom Interest Actual Costs 3,013.11 922.96 1,451.00 2,009.70 1,072.50 842.18 1,408.02 6,041.80 6,602.48 15,208.10 3,103.14 656.00 42,330.99 Remaining Costs 2,645.00 975.00 4,837.50 3,161.00 8,500.00 875.00 3,400.00 1,500.00 840.00 1,600.00 250.00 28,583.50 5O% $150,000.00 Total 5,658.11 1,897.96 1,451.00 2,009.70 5,910.00 3,161.00 8,500.00 875.00 0.00 3,400.00 1,500.00 842.18 1,408.02 6,041.80 6,602.48 16,048.10 4,703.14 906.00 70,914.49 $79,085.51 $39,542.76 SKETCH/AREA TABLE ADDENDUM  File No 02-416 435 COUNTR_~Y..__CLU_.__~B ROA___.D [] C~ity CAMP HILL County CUMBERLAND State PA Zip 17011 Borrower NA r~ .LenderlClient TED ACHORN I_/C Address 525 COUNTRY CLUB ROAD, CAMP HILL, PA 17011 -- ~ Appraiser Name L. SLUSSER & K. DARNEY Appr Address 2159 MARKET STREET, CAMP HILL, PA 17011 16.00' i 6.00' Second Floor 31.00' BR /' 5.00' NOTE: The Interior is not drawn to scale. ~ Patio 16.00' ~ ~ j 31.00' KIT ', Ir~ ,~ DR Foyer ~ Porch 31.00' First Floor 18.00' Garage 18.00' Scale: AREA CALCULATIONS SUMMARY GLA1 Flrst Floor 895.0000 GLA2 Second Floor 881.0000 P/P Porch 217.0000 Patio 310.0000 TOTAL LIVABLE (rounded) 895.0000 881.0000 527.0000 342.0000 1776 LIVING AREA BREAKDOWN First Floor 2.00 x 5.00 0.5 x 2.00 x 2.00 0.5 x 2.00 x 2.00 16.00 x 2e.oo 15.00 x 31,00 Second Floor 15.00 x 31.00 16.00 x 26.00 7 Areas Total (rounded) 10.0000 2.0000 2.0000 43.6.0000 465.0000 465.0000 416.0000 1776 1=18  UoS. POSTAGE PAID AMOUNT CAMP HILL.pA Fimt OIn~ ~nil I~elN 17o13- ~~7 Her~PA 17~33  U.S. POSTAGE PAID AMOUNT HERSHEY,PA 17033 *o~s~,wc¢ 00053787-II 0000 ~ 170i3 First Class Mail II I!eiN sselo TsJ!d / 7 G/Z- ..~g$ 7 ~vBUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 180601 HARRISBURG, PA 17118-0601 COHHONWEALTH OF PENNSYLVANXA DEPARTHENT OF REVENUE NOTZCE OF ZNHERZTANCE TAX APPRAISEMENT, ALLOWANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX RE¥-1547 EX &FP ($1-o2) 515 COUNTRY CLUB RD CAMP HILL ~ PA 17011 DATE 07-22-2002 ESTATE OF ACHORN DATE OF DEATH 03-15-2002 FXLE NUMBER 21 02-0510 COUNTY CUMBERLAND ACN 101 RUTH CUT ALONG THIS LINE ~ Amount Remltted HAKE CHECK PAYABLE AND RENZT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 RETATN LOWER PORTXON FOR YOUR RECORDS REV-1547 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAXSENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCT/ONS AND ASSESSMENT OF TAX ESTATE OF ACHORN RUTH T FILE NO. 21 02-0310 ACN 101 DATE 07-22-2002 TAX RETURN NAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATION CONCERNTNG FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) q. Mortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (S) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Nmt Value of Tax Return 67~500.00 .00 .00 .0O 7~270.$7 106~115.25 .00 (8) 12,177.80 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 13. 14. NOTE: ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rata 16. Amount of Line 14 taxable at Lineal/Class A rata 17. Amount of Line 14 at Sibling rata 18. Amount of Line 14 taxable at Collateral/Class B rata 19. Principal Tax Due TAX CREDXTS: PAYMENT RECEIPT DISCOUNT DATE NUMBER /NTEREST/PEN PA/D (-) 06-08-2002 CD001275 $76.05 180,885.61 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULAT/ON OF ADDITIONAL /NTEREST. (15) .00 x 00 = .00 (16) 167,155.21 x Oq5: 7,520.99 (17) .00 x 12 = .00 (18) .00 x 15 = .00 (19)= 7,520.99 AMOUNT PAID reflect flgures that include the total of ALL returns assessed to date. TOTAL TAX CREDIT BALANCE OF TAX DUE ~NTEREST AND PEN. TOTAL DUE 7,520.99 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. ZF TOTAL DUE 1S REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Charitable/governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) .00 Nat Value of Estate Subject to Tax (14) 167,13:3.21 Zf an assess;ant ~as issued previously, lines 14, 15 and/or 16, 17, 18 and 19 1,57~.61 (11) 13.752.~1 (12) 167,133.21 RESERVATION: PURPOSE OF NOTICE: PAYHENT: REFUND (CR): OBJECTIONS: ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decadents dying on or before December 1Z) 1981 -- if any future interest in the estate is transferred in possession or enjoyment to Class B ¢collatera1) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section 1140 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S. Section 91fi0). Detach the top portion of this Notice and submit with your payment to the Register of NiZls printed on the reverse side. --Hake check or money order payable to: REGISTER OF NZLLSj AGENT A refund of a tax credit, ehich ems not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" [REV-Z313). Applications ars available st the Office of the Register of #ills) any of the 13 Revenue District Offices) or by calling the speciaZ Z4-hour ansaering service for forms ordering: 1-800-561-2050~ services for taxpayers eith special hearing and / or speaking needs: 1-800-q47-3010 (TT only). Any party in interest not satisfied with the appraisement) allowance, or disalloaance of deductions, or assessment of tax (including discount or interest) as sheen on this Notice must object eithin sixty (60) days of receipt of this Notice by: --eritten protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative) OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in eriting to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Reviee Unit, Dept. Z80601, Harrisburg) PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (51) discount of the tax paid is alloaed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed es indicated on this notice. Interest is charged beginning elth first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (61) percent per annum calculated at a daily rate of .000164. All taxes ehich became delinquent on and after January 1, 1981 will bear interest at a rate which will vary from calendar year to calendar year eith that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through ZOOZ are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 ZOZ .000548 1992 91 .000247 1983 167. .000438 1993-1994 71 .000191 1984 117. .000301 1995-1998 97. .000147 1985 131 .000356 1999 77. .000192 1986 101 . O00Z7q ZOO0 8Z .000119 1987 91 .000247 2001 91 .000247 1988-1991 112 .000301 ZOOZ 61 .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUlfBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fifteen (15) days beyond tho date of the assessment. If payment is made after the interest computation date sheen on the Notice, additional interest must be calculated. Name of Decedent: Date of Death: File No. STATUS REPORT UNDER RULE 6.12 BEFORE THE REGISTER OF WILLS, COUNTY OF ~ , PENNSYLVANIA Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to the completion of the administration of the above-captioned estate: State whether administration of the estate is complete: YES . NO f 2. If the answer is "No", state when the personal representative.reasonably believes that th.e. administration will be complete: ~/.~'_/_/~ ~ _~.~.~ ~_ ~..~-~_~~~K~ 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 b. The separate Orphan's 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 d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: Capacity: A" Personal Representative Counsel for personal representative JRD/June30,1992/17858 Date: February 03, 2005 ORPHANS' COURT DIVISION Edward Achorn Jr. 525 Country Club Road Camp Hill, PA 17011 RE: Estate of Ruth F, M. Achorn File Number: 21-02-0310 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 03/15/2005 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Judge vJ PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE EST ATE. IF EST ATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Ruth F. M. Achorn Date of Death: March 15. 2002 PA No.: 21-02-0310 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: I. State whether administration of the estate is complete: Yes X No 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 No X 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 X D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date:. J-PyIJ"'- ., I t 4tZL David w. Retlr, Esquire Reager & Adler, P.C. 2331 Market Street Camp Hill, PA 17011 (717) 763-1383 Counsel for Personal Representative ~ <.-.