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PA ObpeAm9nt ot Reuenue pgnnsylvanh i'5�1=1CIAl.USE Q'NLY e.��a.r
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w3 sox28oeoi ENH$fti'fANCE 7kX E�EETURN 21 12 1t�91
Marristru+g.PA �7�29�060t itESlDENT DECEDEM7'
ENiER DECEDENY1NfCRAitATtON 6E40W
3�9qcu4iyNUmber .. . DWe��ofCi�arth Date�a#��Ah
09 z9 2012 �4 ox �:g2s
DetietlEnt'a tas�Name SuHiz Oscedent"8 First Nama INI�
I!IURGAN SERxI�GE L
(HAppil�caWe)Enter SurvWing S�rowe's Intwmallon�:6'atow
Spousg's last Wame SutCnc Spoase'a Firs(Nmms Mf
:Spouse�'a SoWi��Securkp�:Numbat ��
TH(S RETURN MUST B�FILEQ►N l7UPLICAT�?WITH THE
REGFS't'ER{}F WI�LS '
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. .. __ . _ ._ . . _ _ _ ._ i . . _ _ _ . _ _
J 1505610243
REV-1500 EX
Decedent's Social Security Number
o°�°°^'''"°^w: Morgan, Bernice L
RECAPITULATION
1. RealEstate(ScheduleA)....................................................................................... 1. 22, 000 . 00
2. Stocks and Bonds(Schedule B)............................................................................. 2.
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages 8 Notes Receivable(Schedule D)........................................................ 4.
5. Cash,Bank Deposits 8 Miscellaneous Personal P�operty(Schedule E)............... 5. 69� 15� . 84
6. Jointly Owned property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers 8,Miscellaneous I�oq-Probate Property �
(Schedule G) U Separete Billing Requested............ 7. �
8. Totai Gross Assets(total Lines 1 through 7)........................................................ 8. . 91 � 1S0 . $¢
9. Funeral Expenses and Administrative Costs(Schedule H)............
s. 13 , 850 . 58
10. Debts of Decedent,Mortgage Liabilkies and Liens(Sthedule I)............................ 10. 3 ,2 63 . 92
11. Total Deduetions(toWl Lines 9 and 10)................................................................ 11. 17� 114 . 50
12. Net Value of Estate(Li�8 minus Line 11).......................................................... 12. 74 � 03 6. 34
13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which
an election to taz has not been made(SChedule J)............................................... 13.
14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 74. 74 ,03 6. 34
TAX COMIPUTpTION-SEE INSTRUCTIONS FOR APPLICABLE RATES �
75. Amount of Line 14 taxable �
at the spousal tax rate,or �
trensfers under Sec.9116
(a)(1z)X.00 t5. 0 . 00
i6. Amount of Line id taxable
at�inea�ratex .oas 74, 036. 34 �s. 3�331 . 64
17. Amount of Line 14 taxable
at sibling rete X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 tazable
at collateral rate X.15 0 . 00 18. 0 . 00
79. TAX DUE................................................................................................................ 19. 3 ,331 . 64
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � �
Side 2 '
� 1505610243 15056102'43 �
_
REY-1500 EX Fage 3 Ftle Number 21-12-1Q91
Decedent's Complete Address:
DECEDENT'5 NAME
Margan, Bernice�
STREETADpRESS ` �� � � ���� '—� i
841 No. Hanaver St.
GITY----------- �-----`--- ---�-- STAT-r—E ZIP �i---
Carlisle PA 17013
Tax Payroents and Credits:
t. Tax Due{Page 2,line 19} (1) 3,331.84
Z CreditsiPayments . u
A. Prior Payments 3,000.00
B. Discount " 157.89
�.�� Totai Credits{A +8} �2} 3,i 57.83
3. interest �3)
; 4. If Line 2 is greater than 4ine 1 +Line 3,enter the diHarence. This is the OVERPAYMENi (q)
� Checic box on Page 2,L{rra 20 W roqueat a refuntl . ��'—
5. If Line t «Gine 3 is greater thar�line 2.enter the different�. This is the TAX DUE. {�} '�7$.7'�'j
Make Check Pa able to: REGISTER OF WILLS AGENT,
PIEASE ANSWER THE FOLLBWiNG QUESTiONS BY PLACING AN"X"IN THE APPRO�RIATE BLOCKS
t. Did decedent meke a trensfer and: �. Yes No
a. retak�the use or+ncome af tl4e property Vat�sferted:........._....._..................._.._..............................;.....
b, retafn the right to desgnate who shall use the property trensferted or Rs income:.................................. x
c. retain a revenlunary interest;oc.._.._..._....._...._......._........._......................_.........................._.......:..... x
d. receive tAe ise f4r life af eitfrer a ..........................P��S' withkt orre ysar af death.......wittkout x
P� P YmeMe,benefits or care?..............................................
2. if death ocwrred after Oec. 12, t982, did decedent trar�afer
receiving adequate considaratan?.................... '�,.... ❑ [,�
3. Did deoede�F owrt an'in Wxt for" w payabie upon death bank account or security at his or her deatM1?....... u �
4. Did deeedent own an uMividua4 reitirement accouM,a�nuity,a'other non-probate property which � �^ �:. �
caotains a benaficiary desgnaGOn?..............................................................................................................F... u u
IF THE ANSWER TO ANY OF THE ABOYE QUESTIONS IS YES,YOU MUS7 COMPLETE SCHEDULE 6 AND FItE i7:43 PART OF TME RETURH.
For Cates of deaM on a after JWy t,}99d arxi beforo Jan. t, 1995,the tax rate imposed on the neY vaiue af trensiers to or r the usa of the surviving
spouse is 3 perceat[72 P.S.§9116(a)(1.1)(I)1. .
Far dstas M death on or aftar.lanuary t,1995,the tax rate imposed an the net value W transfers ta ar for the use M the sun�iving spause is D percent
�72 P.S.§9116(a)(7.1)(ii)]. The Statute�does not exempt a transfer Ro a surviving spquse from tau,and the statutory requir�ments for disdosure ut
aasets and filim�a ta�c roWm are stiN ap{Nicabie even ff fhe surviving spouse is the aniy benefiaary. '.
For dates of death on pr aRer July 7,20Cq: �
•The ta�c rate imposed on tha net value of Uansters from a deceas0d chikl 21 ysan of a9e w younger at death to pr for th�use of a natural parent,an
adoptive parent.or a steppareM of the chiM is 0 pereent(72 P.S.§91 t8(a}(1.2N.
• Tha tax rate impased on Me nd vaiva of trensters to or for tha use M the deoedenPs linea�beneficiaries is 4.5 parcent,e�cept as noted in
[72 P.S. §9118(a)(1)1. .
.The tax rate imposed on the net vaiue of transfers to or for the use of the decederrt's aibiings is 72 percent[72 P,S.§9116(a)(1.3). A
sibflng is defined under Sedion 9102,as an indivMual who has at least o�re parent in eomrnon wdh the tleoedent,whethet by�w adeption.
Rev�160I E%�(61.70)
SCHEDULE A
pennsylvania REAi. ESTATE
OEPAR7MENTOFftEVENVE
INHERI7ANCE TA%RETURN
RESIOENT DECE�ENT
ESTATE OF FILE MUMBER
Ma an,Bemice L 21-12-1091
��e�P/oWhY o�'MC sdNy M M a tsnvK M c9mlrtwn muat be rapuleE a[fNr muka VMw.Fair mafket velue ia Eafn�ad es Ihe pi�q et rVhich proDatiy would ba
excl�engetl betnem e willirgWyx eM e willinp eelkr,neiiFrer Oeiip carvpelbE to buy rn sell,DoM hnviip nasoneble WpMeEge of thp nelevant fade,
ReN property Nu�Is pintlY-a�bd�+��Oht M turvlwnhip rtwal be tliscictetl on�eMMik F �
Att�t capy 6f Hro aettNnroilt sheet#tlu ptqpaet3 Ma bMO wM
McluEa a eopy M the Metl showinp 0scptlsnYa intaresl N ownM as Mna�rt M eommqn.
ITEM VALUE AT DATE
NUMBER DESCRIPTION � QF DEATH
t Resl Estate-Iot at Td Salt Rcsad,fas#Pennsbora-appraisat attached 22,D00.00
i
TQ7A1.{Also enter on line 1.Recapibilation) ! 22,444.�
cn more epewe is needea,eaeiaona�pagea a me same size) .
Copyright(c)2q10 form sqftware ony Tha Ladcner Group,Ina Fortn PA-0500 Scheduk A(Rev.Ot-10)
.____ . ..._. ._ . .._. . . _ . .. _ . .. . . ... ._
Rev-1608 FJ(+�HdO)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, 8� MISC.
DEPARTMENTOFREVENUE
INHERITANCETA%RETURN PERSONAL PROPERTY
RESIOENT OECEDENT
ESTATE OF FILE NUMBER
Morgan, Bernice L 21-12-1091
o,u�oe me aoceees m nuBation ana ma a�e me vroceeas w�rece��ea cv me eam�e.
All proparty JoMtlyrowneE wIM Ihe�ighl af eurvivonhip mual be Naclosed on schMWe F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Refund-premium from Highmark Ins. 489.07
2 PNC Cking Acct#5140113659 3,877.33
3 PNC MM Acc4 5112904496 64,184.44
4 Friedens Cemetery, Hegins, PA-2 cemetery lots 600.00
TOTAL(Also enter on Line 5,RecapitulationN 69,150.84
(H rtare space is neetletl,aOditional pages of the same sim) .
Copyright(e)2010 form software ony The Wdcner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10)
. ._ __ .. .__ . ._. ._ . ... . __. . . ..
REV4677 EX+�70-09)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
RESIDENTDEC ENT URN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Morgan, Bemice L 21-12-1091
Decedent's debts must be reported on Schedule 1.
ITEM DESCRIPTION AMOUNT
p. FUNERAL EXPENSES:
See continuation schedule(s)attached 8,664.98
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address �
��Y State Zio
Year(s)Commission Paid
2. nttomev�s Fees Hazen Elder Law 4,200.00
3. Family Exemption: (If decedent's address is not the same as Gaimant's,attach explanation)
Claimant
Street Address .
Cily State Zio
Relationshio of Claimant to Decedent
4. Probate Fees Register of Wills 261.50
5. AccountanYS Fees
6. Tax Retum P2Darer's Fees
7. O[herAdministrativeCosts � �� 724.70
See contlnuation schedule(s)attaehed
TOTAL(Also enber on line 9,RecapiWlatioo) 73,850.58
Copyright(c)2009 fortn sollwa/e ony The Ladcner Group,Ina Fortn PA-'1600 Schedule H(Rev. 10-09)
..__.._ . . . __ _.. .._._ . .. .
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Morgan, Bernice L 21-12-1091
ITEM
NUMBER DESCRIPTION AMOUNT
Funerel Exoenses
7 Enola Emmanual United Methodist Women-food provided after funeral 300.00
2 Evans Memorials-Tower City-headstone engraving 85.00
3 Funeral-Richardson's Funeral Home 8.279.98
H-A 8,664.98
Other Administrative Costs
4 Central Penn Appreisals-appraisal fee 275.00
5 Priedens Cemetery, Hegina, PA-2 cemetery lots--deed transfer fees 200.00
6 Space MaR SelfStorage. -fees for storoge of tangible personal property until out of state 249.10
beneficiary can go through everythfng.
H-87 724.10
Copyright(c)2002 fortn soRware only The Ladcner Group,Inc. Fo�m PA-1600 Schedule H(Rev.6-98)
___._._..... . . . . . .. . . .....__
ne.-�s�z ex.��zae�
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENTOFREVENUE
INHERITANCETA%RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEOENT
ESTATE OF FILE NUMBER
Morgan, Bernice L 21-12-1091
Report AsGls IncurrsC by 1ha Mcetlem pN«ta dsaM Mat romalmtl unpaltl�I lhe tlate of tlsaM,ircludinp unroimburssE matlital szpanaes.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Church of God home-residence fee 3,117.82
2 PA Department of Revenue-2012 pewonal income tax 3.00
3 Space Mart Self-Storege- -storage of peraonal items 143.10
TOTAL(Also erMer on Line 10, RecapiWlatldn) 3,263.92
(rc mae space is needea.eaaitiona�pages a x,e same size) '�.
Copyright(c)2008 fortn software.only The Ladcner Group,Inc. Form PA-1500 Schedule 1(Rev.12-08)
REV.1673 EXa t91.10)
pennsylvania SCHEDU�E J
DEPARiA�NTOFREVENUE
1NHERITpNCE TA%ftETURN BENEFICIARIES
RESIDENT DECEbENT
ESTATE OF FlI.E NUMBER
Ma an, Bernice L 21-i'�2-1091
RELATIONSHIP TO
NAME AND AdpRESS OF SHARE OF ES7NTE AMC7UkT OF ESTATE
NUMBER PERSbN{g}RECEIVING PROPERTY DECEQENT {Wlortls} � {$$$}
� TAXA64.E DIS7RIBUTI6N5 (inGude outriyht spousai
distributions,and hansfers�
under Sec.9116 a 1.2
Steven P.Morgan Chiid One-half af ttre
2aa east wai�ut se. aesta�e
Camp Hill, PA 17011
Cynthia M Stuart Gh1Id One-haN ot th8
423 Tutane Orive SE Residue
Albuquerque, NM 87106
?atal
Er�r doltar amourNS tor dastrAsutions shown abave on linos t5 thro 18 on Rev 15W cover sheet as ' ' e.
, NON-TAXABLE DlSTRIBUTION5: '
, II• A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO 7PJ(IS NOT TAKEN
. 6.CHARITABLE AND GQVERNMEN7At OISTRIBUTIqNS .
i
TOTqL OF QART 11-ENTER 70TAL NpN-TAXA@LE DISTRIBUTIONS ON UNE 73 pF REV-7500 CAVER S �EE
Copyright(e)2010 form sbRware only 7he Ladcner Group,Ina Fortn PA-1600 Schfldule J(Rev.Ot-10)
. .._ . . ._ .._._ . _. ._ -- . . _ . .
Oct. 25. 2012 3: OOPM PNC Bank No. 0019 P. 1
��l.'ML
i.F�l�fllkd 1'FI�IM3�Y
October 25, 2012
Corinne Eggers Woodhouse
Hazen L-'.lder Law
2000 Lingleswwn Ttd Ste 202
Hazrisbtug,PA 17110
RE: Bernice L Ivtorgan
SSN: 164-20-8462
DOD: 09-19-2012
De&r Ms. Woodhouse:
In respoase to your request for llate of Death(DOD)balancos for the customer nmted above;our
records shaw the follo'a�ing:
Chocking A.ccount
Account#5140113659 Established: 02-01-1970
BERNlCE L MORGAN
DOD balance: $ 3,877.33 + 0.00 accrued interest
Tnterest paid 01-01-2012 thru 09-19-2012$ 0.22 Y'T'D
Savings Account
Account#5112904496 Established: O1-21-2011
BERDtICE L MORGAN
DOD balance: S 64,184.44+0.00 accrued interest
Tnterest paid 01-01-2012 thru 09-19-2012 S 90.64 'YTD
Please note Uaat this ofl5ce provides date of death balances for deposit accovnts(II2As,CDs,Checiang and
Savings). 'We do not procose any 5nixnaxl trensactions or provide statemeots. If yoµneed assistenae with
any of rhese i[ems,please cell 1-888-PNC-BANK(i-888-762-2265)or scop by your loc�l PNC Bank brench
office.
Sincarely,
Nation2l Financial Se:vices Center
PNC Bank,N.A.
Member FDIC
Page 1 of 2
. _._ . . _. __._- ...
FRIEDENS UNION CEMETERY ASSOCIATION
FRIEDENS LUTHERAN and FRIEDENS UNITED CHUR�CH OF
CHRIST
December 18, 2012
Hazen Elder Law
2000 Linglestown Road
Harrisburg, Pa. 17110
Attn: Corinne Eggers Woodhouse
Dear Mrs. Woodhouse:
Reference is made to your correspondence of;December 3, 2012 with respect to
the Estate of Bernice L. Morgan and the value of the Cemetery Lot at the above
Cemetery.
The value of the stated Cemetery Plots(4)when purchased in 1971 was $100.00
to Church members. Having used two of the four plots the current value of th6 remaining
two would be Six Hundred Dollars ($600.00) for a Church member.
I hope the above information is sufficient for your handling the matterlof the
Estate of Bernice L. Morgan and her family.
If I can be of further assistance in this matter,please call.
S�ik:�G�/��
Kennaf�i W. Graham—Secretary.
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; Can�enpS m Mukef OSd� 1�1Mee sabs ere smeR tt�bis&�sNn�7ar seRkws as tlM3 s�isC ormartv ComuBrabk rximber ohe tms reCBntN t�atl a
�`+� home mteUuctetl.To find mm�ar lats k xa receasorv to uae PWe se4s
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in; Cambnls enA CaNAms uf Appraisal Thi�aoora ul ie cnntinaent wm a home beina ab�e to be constructea
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dEFINITION OF MARKET VpLUE: The mosi probable price x�cA a properry sAOUN Mrp�n a competltlre anC opm marlcet mMa aN earditlons
repulspe ro a lar sab,tlie Mryer aM sdkr, each actlrq prudeMy,knowkOpeady antl assuminp tlie pnce is nol allecteA by wMUe atlmilus. Impipt In Ns
ddlMdails He rnmtmrnation ot b sak es 9t a 5pecilkC date and Uk passug W tiqe(ram SeBa Itl 6uya wide�caMAbns whereby:(i)buyar ard SBNer a�e
rydc�ry mA�.area:{2}Oa�v�s are wd�ntlorm�a w��raeo.aro ea�,scicina�a a�ai�i t�r�nsi9tts tis awn Dest aea�t{3}a rea�&re is amx�
ta ezpoaae in tlie op�marke�(y payrr�nt is made in ferms ot cash m U.S.dalWrs a in terms M BnanGai amnp�co�arade ttrere�o;and(5)Uk D�ce
represmts Ne namel corelAaatlon Iqr the property soM unatt¢ctetl 6y sDe�la�or creaUve financirq 4r saks concassiors' B�M�d 6y eMa�assoGatetl wilh
the sak.
'AtlWSmrras m tle cartp2�aUks m�st te mede !or speciai m aeaCre fhancing a uks concessim�s. Na adju�M�ents ars tecessar}
Ior tlpse cos6 wHCh are mmelry paltl Cy seAers as a rasW of haAtlion or Ww in a markd area; tlpse costs are readNy �duAifia6le
since the SMer pays Ihese 4rosts in vNtua4y all uks trdnsactions. SpeClal or crea0vc financirq etl'ryslmeMS can Ik made ta the
compaaWe prapefly Oy compatlsoirs m ik�Encinp tams allae0 6y a IMrd party I�tgulipW lada Ihal Is mt akeady ImdreO Y+ the
p�apeM1y a tNatctim. Art�' a�usUren SAa�'d � be cak�da�d an a rtrect�a+�cai G�az tor tloYar cost of the iknrc�y a� cancessla�
Wt 9e doiaz amnurt of anY atljustrner& shoNd aPRroumak the markeYs reac9on to Are firuncinq a sarcessions bace� an tlie
eppraisa'S jltlpdneM.
STATfMENT pF LIMITIMG COHOCfI0N5 AND APPRAlSER'S CER1lFICA71aN
CONTINBENT#ND UM11'INR CONDITIQNS: Tha appreiser's cerlifaation that appears in the appralsai repan Is sWject lo tne fabwinq
antlMas:
1. The appralser wil nnt Ee respafsiple la mallers d a kpal nalve tlw�alfect dlher tlie yopeM beinq approised a Cie 6tle ro fl. 7ha 2ppaiser assumps Ihat
1M dtlB is poOC xld mell(eWde aIN,pld'e�ae,wIA fq�renda erry apiNons a0ou1 tli0 tltlC. ThB pfopd�y IS appralSeG tln tlle 6a5i5 0�fl DAilq under feSpallside
aw�m'Sdp.
2 Th6 8ppfe15a�175 qONd�8 dktlldl fn tlIE appfAISAI lBpOfl 10 ShOw BppfO1d11Hffi dI11E116iq6 01 UI8 hptOMn1¢MS 8110 tlle skeldl iS iMN10td oI(y 10 055151
Ihe rcader ol�he rzpdt in vbua�Zhp Ihe pqldty aM uMe�BWM+p Ihe appr915er's Uelerrcdna�bn ol tls slie.
a. ne aFyrais«has�wnNWm ae nooa macs cmt are a�M�e re�x 6+�x9encr�ce��r ta�+er aaa s�TCes}ma nns�a
��N����W��1'MI�IIXiht EIIb�B41 SNB 15 bC811B17 1n in i09dMl9d$pBtWl FIOOE NdtA�G lVea. 8008U6E IhE ippfA�SBfIb ip�a SiI1VBJOf,IIB Of Shb I1Nk4
no Wa�atMaea.aiqess w NipYetl.reqrtlinp dis deiaminatlon.
9. �1110�tMSH w�!la�f8�SGItt11YJ W 3ppeM kl Cqlf!6�hE IX�IE fleGB NI 3Q�M2�6��Cit P��N 51 QUEC�Iqi,Idtl�S SO�at�2l�d�4��
50 MM bB01 n1atl8 bNIXd18fA.
5. ttl9 9�fiISBf h36 OBaIlM�BU dC YdMIB 01 tl1C WIY�a1 C�i COSI 2qlfdtCll 2f IIS lliQhY(3ii0 6lSt YSC dM Uk(II�fWpllBtll6 flt U19f CQYt�M91Y Yi1110.R85E
4Bp2@k K�1110i5 � R8 �tlG El� kt�gKS iHtl51 ipt bB i� XI Cp�481Cdpt 54IA1 Ng OMIEf BpQFE15ii 2tid d!C �NdYd I1 �IPf &£ $4 i�.
6. TM aYO�er Iqs noMtl In eie appralsal repo�t any aCVase coMitlore (such as, neaEea re0alrs, dW�uOOn, iha M��e M hatafpous wasMS. 07dc
sWStlrces.eh.�o0aerved tlw4p IM kmpoctlm oi tlk sWxt D�aDeM m tlret le a she became awnn at durkp ihe mnrel(awroh Nw�lve0 In DariominA
Cao-aqvaisaL t5i�.t oMaxise st�tl k�6e appNSN rRat�e appaiser Ias nv lmoMeipe d aiq tidtlm a uu�rert a�:oi the p�aqerty a
aE�arae aMram�at aMWas(tncYlAMp Me Y�escka ot turutlou wasms.b�fc tubstances,etc.)that woWd matz fie OrWaN mrce an,kss vakeds,anC
hu aswineE Yut tlide xe ro wch caAltlors ard makea ro 9Wnnteea a wamMbs. e�rus or Nnp6e0. rWmWq tlie catlitlon ol!Ne VWOM. The
spprahr WI rot Ce respaskk M anV such co�Wtlma tlw Ua ntlst a la ary enONbMnp w IoepnO tliat rtipH ba �WUkeA ro discp� wMhn such
C011dl� Wd5l. SBCW68 Vk Y�Ipf2188f (S IIN 211 91�7tlR III Ilk 1� W S(M(dlfpdddi 113Z8NS� M1tl dPPF813d1 fC�19t1 rtN151 110I BB�4VfI5Mf1ld 33 NI
taMVO�iSSCS51flBf/VIG1@pfOQdfy.
7. ThA B�fiISU UhWMIBd tlR MWrtHMIMI� ESWA1�B5� 811d W�NqS MNl WBfB�f855B�MI tl16 iPP�7i5AI RWn i(dll SdifCES tl131 hC d S�IE C0161QBf5 b CB
MaNa and bUeres tlan b 6e bue and correcl. The aPPnisa does not uwme�D��aw7 fa pk accuraq'ot such Ams tlet wera lunbheC by aCbr
P�
8. The aPPrzlsa wl1 nut Nscbse tlin CaideMS ol IM approiul reyort except as proWtled lar in ria lhiform StaMards of RWessbnal�lppralul fkaclkc.
9. Re �Se hu oa�a t�s a ner +mat s'1 rmUaz�ae corcLSlan fa�+ �pr�sN �at is � m sa§afaG«Y sorcp�an, re�s� m
alErMb�on iheusuryltlqn tm�aryklbn d Ce imWwamrts xiuea D�ormee in a woilnn�ike mamid.
10. The apqaisa m�s!P«HS or her GAor wACd�wnsaR hdpe IAe IdderltlkM spxMied�Ihe appralsal reWrt tsn Gfs616uts tle apprvsN repat
P�A � aAwl 6e ptqpsYp ra�s. 9iB �ppr�s 6GadP�' �+d . ad rete�eneas io a�9' W� �PMM�
�G�7�ns a le Qfm M11 Wid�thD 7!pqYSer is 755odateC)b vNde otlix Ifnn tlia bot+ava;tle'mal9aGee ar tts suCeessas antl ase�s:Ihe maq�apa
i�� CpxuGnls: P�WeSSIaW +OpeWl aWiizatlms� eM clale a �edeaH �ored INnndal iredtlilim: a aM' tleW�, eA�Y.ia l�rsUmnaMaM
a me umea sr�z a+m s+�a ac asma a caamu+o:«�q mu a�a�aaic�e mar ameu�me v�m aacrroaa�se�a me�wrt a+r u mv
cabctlan a (epariin e«+kets) ,� �e m dK�f ine apEvraa^s a�m ,wroen ep�A. ng aparz�s«'s ,xtthn carsat ar�a u��mrsr z�so
te abtlinod Dtlaa te � an be cwxeyed 4Y � � i+e p�C rirpph a@+eNSXq. W�C rqaAp7s, rews. uks. 'a aA�a ma�a.
FeEde M3c Fam I39&93 Paqe 1 d 2 FanMe Maei(orm 10048 G�&3
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APPRAISEB'SCERTIFICpT10N: TheAppraisercedflaendaqrcealhat:
i. i twee researet�ihe aU�ect ma�kN azea mq inae GelecteC a rtuYnsan�Nree rocS�A saks M WopeAies mo5!57m&8r a�prpdmata��e s�Al�P�9Dartt
t�rn�si�atlon in dk sak&ComperVban ereysi:aM have made a tlplBr aApslmeM when aDMW�Eie lo relktt tlk mBlkef feaclkn�o pqS¢itans oi 51gn11carA
Vetlaibn. p a spNflcarA ttem in a ComparaDb propdrty is supdior to.9r more lavorabk ihan,Ue subjOCt property,I hgve matle a nep8dve aOprsMeM Ip rMuce
ihe&djus�ed sabs pke d pie Canpaza0k aM,II a SiqMficaK Ilen in A COmparabk propeity is IrAena�o,or kss tavorabk Ihan th subj6Ct pm0�'.I have maGe
a po¢qhx aqjustrnent M Inaease Me a4juste�saks pncE W ihe carryarable.
2. I Mre takgn iM0 corisiderallon Ihe taCNrs Hiat have an impaq On vaiue in my deveNpmaA ai lli¢B5flmeie of m2�Cd value in tlie apprqi6al repoM1 1 hare not
. �NOWI�I9N W�IHICM ill)'SIQIIMIGIII aIIW1ryNOn Irolfi Ih@ dPQRI5d1 f�qi dlltl I GdINE, Ip dIE bPS�01 IYty YJqWkOQC, VH(8%Sd�&IIBIAS 8M IMOIR12Md11 I�VIE
aVP����9d1 Rp0lI3rB hIK pM CafECI.
a. �sta�a m 55e apaalsai�t aM mr am persana6 w�tasm.and wmessior�anat;su.qrooars.am co�lus+a,s�wMc�,ars subjeCt a�N m S�e c��qem
elltl IIIYynp COMitlp15 SPOCIIiM in ih{6�Wm.
4. I tp�e m presqy a prospecdve i�eal in tlie Oroperty tlat is IM aWject ro IN5 reppt,and 1 Aave no preseN nr Prospeclive persOrat Imaest a Oias with
�b Cie�s ta Ce�tlan.I?b mt trase.e9ta pa�E¢qY�U�P�f,mY�Y�s anNw tic a�b oi�»iue�a tl+:a�ieai reywt
ort thG tace,cdor.relObn,sae,iaMk�,t�st2d15�w na6aia19tiqin ut aUm the P�osOxtiae OwrerS ar accupaM6 d Ne sWk�WAP�Y a a16he P�eserR
awraia a acupares m me properues in bie Hcmity a tlie subject pcpeiry.
5. I haw m presaM m caMarplaied tudxe i�hrest in tl�e SuGJed prapevty,anQ rc(tl7gr my axrer&a IuNrs v�nphymerd mr mY�a����+la pd4nmYip tl�s
k on�eaPP��sedvaUe#UepropMty.
6. I was not repukatl la roporl a OrdMermined value a Airectlon h v2We tlut lavors Ne cause d tlk cNenl a any rd2tetl parry,rie amqMtl p ihe ralue estlmate.
Me adalmeN ol a spxNk�up,a tlq occurence oi a subsepierA eveM M wAer to�ecdve m�!cmper¢aqon anyw empby�t la pMmminp Me appnisal.I
AM nol base tle apqalsal repaton a requaslatl mMmum vNwtton,a specNrc vaGUtloci.a ma need M apprwe a spx�c matqage bm
7. �pararretl Ms appraisa�in con�amry wilA me unnorm stsaaros m kmaslanat+lppralaa�RacPCe tAat were aOwba arq o�wl�M'me+�a�+���
SimtlprOg Board oi Thelyqnisd Fnwwlaqon an0 tlo1 wye in place u of tAe ellecd�e tleb ol tlYS appratsa4 wllh tle arceP����W�skn ol ppse
ShM7Ms.MYtli Aces nat zPWY.I aclmpwletlge tlut a�esdmak M a reasana6b tlme la mywsum In h Wen market is a canMtlm n iha on N mahet v�ue
an0 tic estlmale t tlWelnpW is carsistefi wf9�gre ttq�xllnD gms rah� �6n ndpti�a0outl secqat qt 9�5 �epoq uVas i tpss o�so sEatetl 4�1e
18CGf6WatlOnzec6an.
B. I 119ve p&SaWy NgPgt�Btl Cp Illlqflpl 81d CqeflOf 8f835 0l tl18 SUhjBCI pfap¢fly AM1d dIB BkHbf ol dl�I'Opef11R iS�Od 8s cOnp3f2bl9S Nlqh¢�ppfAISAI f6pOM1
1 hYtic cagly tnt 1 lave noled any eppa+eM a Imown adwse cpdfpons in tlie sWjed Nro�ovenwRS.on tlie subJecl sttR a on any spa y�Yn tha Irmg�JUk
a�r m N,e�ct propar/W wNCh��n aware�a have m�+G�Unmts for gpse a�u in mr a�s(s a%ae pq�erly ra�e�me eawa�
- rhsQmark�eridancetosuPO��en. ihareriwcammarte0�autmeellactMtkadrdsecaMitlonsa�riemarkeudAryoltliesuDjttiProOe�M.
9. I PersaroN WMEred al conclusiwp anE opinims 76oW Ihe roal eeUle tlel wxC ad latli In tlw aPP�ul rzporl tl I refe0 m 81pM�icx0.D�8891om1
assisfa�e!mm uy kdNqua w I��Nduak�ge pMCmwce N tlm appniW a Ya prqwragan d Ce appzisat repat,!have+wmd sn�MtvidW(s}ard
�CI�aeC gte speci5t�S per�med bY Cnnr fi 6ie eectlOn��7ppNaN rqrpL i car�y tlat aRp so ramsG b�ta Otrturm
h taMa.i Mve not auE�urkkaE aNOne b make z chanpo b aM iMn in tlie raDat tic�dae,G an imauOqAZCd clianpe is maAe b tle aDpreistl*epat.l wil faim
no re9pmsldRry fa tl.
SIIPERY�QRT RPPitAtSER`$6ERTIFICAflOM: �a snpe+�saY�pr�aer s�ad Nas aPP��sat r�4 ta ar�e arqires��ees th�
+Nre�'sw�e as appr�Mer wno prqNVea m aupraam rep«t Inve rorimxea me apMaisr reporl.xaep wim m statemmae ana cunewsiw�s m ne uro��ser.
a0�ea h7 he boud DY Ne BpprNaefs cdtliketlons nx�etl 4 tivauqh 7 ebovn,eM m takYq IVI re5ponsib&ly fur Ihe approisal Arp Ihe appralEal iepat
ADDpESS OP PRpPERTY AAPRAlSEQ: 14 Sak Rd.E+fola.PA 17425
APPMISE • SUPERVIS08Y APPNAISER (snly R requlred�:
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BortoWer N/A
AAdr¢55 14 Sel1 Rd
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14 Satt Rd
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