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HomeMy WebLinkAbout07-21-14 (2) 1 15D5610143 J REV-1500 EX(02.11' tis� OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number Bureau of Individual Taxes PO BOX.280601 INHERITANCE TAX RETURN 21 13 1087 Harrisburg,PA 17128.0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 188 32 2501 09 28 2013 11 23 1938 Decedent's Last Name Suffix Decedent's First Name MI HAIR MEARL E (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW x❑ 1. Original Return E] 2. Supplemental Return 3. Remainder Return(Date of Death Prior to 12-13-82) ❑ 4. Limited Estate ❑ 4a.Future Interest Compromise S. Federal Estate Tax Return Required (date of death attar 12-12-82) g Decedent Died restato 7, Gecedepi Haut teed a Living Tmst 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Dopy et IMI) 9. Litigation Proceeds Received 10.09owe I Pgv-Jtr-9Ce alt{Da�es�I Death 11.Election to tax under Sec.9113(A)I. (Attach Schedule 0) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number GEORGE F DOUGLAS III ESQ 717 249 6333 REGISTER WILLS US�26NLY C0 .x- =1 First Line of Address ��(_, r Z 354 ALEXANDER SPRING RO v+ (V r= �� cn !� Second Line of Address OC__ T D ILED — ~= n City or Post Office State ZIP Code D W �Al O CARLISLE PA 17015 `D Correspondent's e-mail address: gdouolasnasaizmannhuahes.com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief. It is true,correct and complete tee.{I/��D�Seeccllar tion of preparer other than the personal representative is based on all Information of which preparer has any knowledge. SI RE OF PER ON RES WlHLE FOR FILING RETURN ATEO� ,J Russell C. Hair 7l/ p �—/ ADDFIESS 119 Maple Drive Mechanicsburg PA 17050 SIGN TURE OF PREPARER OT THAN REPR ENTATIVE� DATE / CL --- t George F Douglas, III Esq. AT 1 T ADD ESS 354 Alexander Spring Road, Suite 1, Carlisle, PA 17015 1505610143 Side 1 1505610143 0 1 1505610243 -J REV-1500 EX - Decedent's Social Security Number Dewdenrs Name: Hair, Mearl E. 188 32 2501 RECAPITULATION 1. Real Estate(Schedule A).......................... - - - 1. - 140 , 000 . 00 .....:..................................................... 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 54, 060 . 86 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 51 , 521 . 26 7. Inter-Vivos Transfers&Miscellaneous I�oq Probate Property (Schedule G) u Separate Billing Requested............ 7. 325, 203 . 51 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 570 , 785 . 63 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 35 , 695 . 68 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 4, 388 . 78 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 40, 084 . 46 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 530 , 701 . 17 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 530 , 701 . 17 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 15 0 . 00 (a)(1.2)X.00 16. Amount of Line 14 taxable 530 , 701 . 17 16. 23 , 881 . 55 at lineal rate X .045 17. Amount of Line 14 taxable 0 . 00 17. 0 . 00 at sibling rate X.12 18. Amount of Line 14 taxable 0 . 00 18. 0 . 00 at collateral rate X.1 5 19. TAX DUE............................. 19. 23 , 881 . 55 ................................................................................... 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 1K Side 2 1505610243 1505610243 J REV-1500 EX Page 3 File Number 21-13-1087 Decedent's Complete Address: DECEDENT'S NAME Hair, Mearl E. STREETADDRESS 119 Maple Drive CITY STATE ZIP Mechanicsburg PA 17050 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 23,881.55 2. Credits/Payments A. Prior Payments 22,752.30 B. Discount 1,131.58 Total Credits(A +B) (2) 23,883.88 3. Interest (3) 4, If Line 2 is greater than Line 1 + Line 3,enter the difference. This is the OVERPAYMENT. (4) 2.33 Check box on Page 2,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. (5) Make Check Payable to: REGISTER OF WILLS AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;............................................................................... x b. retain the right to designate who shall use the property transferred or its income;.................................. B c. retain a reversionary interest:or............................................................................................................... 8 x d. receive the promise for life of either payments,benefits or care?............................................................ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.................................................................................................................... ❑ 3. Did decedent Own an-in trust for or payable upon death bank account or security at his or her death?....... ❑ ❑x 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................................................................................................. ❑x ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994 and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent 172 P.S.§9116(a)(1.1)(1)). Fordates of death on or after January 1,1995,the lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and fling a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent,or a stepparent of the child is 0 percent 172 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)1. A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. Rev 4502 EX+(01-10) - SCHEDULE A pennsylvania REAL ESTATE DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Hair, Mearl E. 21-13-1087 All real property owned solely or as a tenant In common must be reported at fair merkot value.Fair market value is defined as the pace at which pmpery would be exchanged beMrocn a willing buyer and a willing9 seller,neither being compelled to buy or sell,both having reasonable knor ledge of the relevant,leas. Real property that Is Iolntlyawned with right of survvomhip must be disclosed on schedule F. Attach a copy of the settlement cheat If the property has been sold Include a copy of the dead showing decedent's interest If owned as tenant In common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real estate situate at 119 Maple Drive, Mechanicsburg, Silver Spring Township, Cumberland 140,000.00 County, PA TOTAL (Also enter on Line 1, Recapitulation) 140,000.00 (If more space is needed.additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Forth PA-1500 Schedule A(Rev.01-10) Rev1508 EX-(71.10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Hair, Mead E. 21-13-1087 Include the proceeds of Ihlganon and the date the proceeds were received by the estate. NI property JolMlyowned with the right of suMvorshlp must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Citizens Bank,Checking Account No. 564-1 11,934.38 2 1977 Ford Bronco taken in kind 50.00 3 2002 Ford Explorer taken in kind 3,000.00 4 2012 Buick Enclave 28,000.00 5 Household goods taken in kind 2,000.00 6 Blue Cross-refund unused premium 121.80 7 Commonwealth of Pennsylvania-2013, PA40 income tax refund 67.00 8 Medicare-reimbursement for medical expenses paid 118.16 9 Medicare-reimbursement for medical expenses paid 13.99 10 Medicare-reimbursement for medical expenses paid 428.20 11 Medicare-reimbursement for medical expenses paid 92.27 12 Medicare-reimbursement for medical expenses paid 79.58 13 U.S. Treasury-2013, 1040 income tax refund 8.113.00 14 Verizon -refund 42.48 TOTAL(Also enter on Line 5, Recapitulation) 54,060.86 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10) Rev-1509 F-X-(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Hair, Mearl E. 21-13.1087 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 A. Russell C. Hair 119 Maple Drive Son Mechanicsburg, PA 17050 B. John T. Hair 43 Cumberland Drive Son Mechanicsburg, PA 17050 C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATEOFDEATH DECD'S NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR VALUEOFASSET INTEREST DECEDENT'S INTEREST TENANT JOINT JOINTLY-HELD REAL ESTATE. 1 A 09/17/2012 Members 1st Federal Credit Union,Certificate 50,040.68 50.000% 25,020.34 of Deposit No. 200999-0042 2 B 10101/2011 Members 1st Federal Credit Union,Certificate 51,069.32 50.000% 25,534.66 of Deposit No.200999-0041 3 A 10/01/2001 Members 1st Federal Credit Union, Money 1.866.07 50.000% 933.04 Management Account No.200999-0005 4 A 01119/2001 Members 1st Federal Credit Union, Regular 66.43 50.000% 33.22 Savings Account No.200999-0000 TOTAL(Also enter on Line 6, Recapitulation) 51,521.26 (If more space Is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule F(Rev.01-10) Rev-1stoFx.(oe-oe( . SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF NUMBER Hair, Mearl E. [FILE 1-13-1087 This schedule must be completed and fleal it the onsrer to any of Questions 1 through 4 on page three of the REV-150 Is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECo•S EXCLUSION TAXABLE NUMBER THINCLUDE TE NAME TRAAFNSFER.ATTACH A COPY OF THE DEED FOR ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 Citizens Investment Services-IRA No. L7C-052841 - 325,203.51 100.000% 325,203.51 Equal beneficiaries are decedent's children, Russell C Hair and John T. Hair TOTAL(Also enter on Line 7, Recapitulation) 325,203.51 (It more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09) REV-1511 Ex.(10.99) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE RESIDENT DEC TAX ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Hair, Mearl E. 21.13-1087 _ Decedent's debts must be reported on Schedule 1. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 17,251.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City Slate DO Year(s)Commission Paid 2. Attorney's Fees Salzmann Hughes, P.C. 7,500.00 3, Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) 3,500.00 Claimant Russell C. Hair Street Address 119 Maple Drive city Mechanicsburg State PA Zio 17050 Relationshio of Claimant to Decedent _Spouse 4. Probate Fees 533.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 6,911.18 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 35,695.68 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA•1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Hair, Mearl E. 21.13.1087 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Myers-Buhrig Funeral Home-funeral expenses 17,251.00 H-A 17,251.00 Other Administrative Costs 2 Accu-Fast Appraisal-real estate appraisal 325.00 3 Citizens Bank-estate checkbook fee 9.99 4 Citizens Bank-service fee for statement 2.00 5 Citizens Bank-service fee for statement 2.00 6 Citizens Bank-service fee for statement 2.00 7 Citizens Bank-service fee for statement 2.00 8 Citizens Bank-service fee for statement 2.00 9 Citizens Bank-service fee for statement 2.00 10 Citizens Bank-service fee for statement 2.00 11 Comcast-cable service 223.17 12 Home Paramont Pest Contras-pest control service 127.20 13 McCafferty Ford-repairs needed to sell the Ford Explorer in order to administer the estate 1,163.82 14 Opossum Lake Accounting Inc.-2013 income tax return preparation 305.00 Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Hair, Mearl E. - 21.13-1087 ITEM NUMBER DESCRIPTION AMOUNT 15 Penn National Insurance-minimum automobile insurance premium due 100.00 16 Penn Waste, Inc. -refuse service 48.14 17 Penn Waste, Inc. -refuse service 38.14 18 Penn Waste, Inc. -refuse service 38.14 19 Penn.American Water-water service 36.40 20 Penn.American Water-water service 31.65 21 Penn.American Water-water service 49.81 22 Penn.American Water-water service 30.12 23 Penn.American Water-water service 25.43 24 Penn.American Water-water service 78,15 25 Penn.American Water-water service 83.83 26 Penn.American Water-water service 52.16 27 PPL-electric service 53.26 28 PPL -electric service 39.46 29 PPL-electric service 52.99 30 PPL-electric service 77,25 31 PPL -electric service 69.04 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev.6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Hair, Meari E. - 21.13.1087 ITEM NUMBER DESCRIPTION AMOUNT 32 PPL-electric service 85.36 33 PPL-electric service 132.46 34 PPL-electric service 84,48 35 Russell C.Hair-reimbursement for travel and postage expense in order to administer the 66.50 estate 36 Russell C. Hair-reimbursement for travel and postage expense in order to administer the 43,42 estate 37 Salzmann Hughes,PC-closing costs and final fees for income tax preparation,postage and 500.00 miscellaneous contingencies in order to administer the estate 38 Silver Spring Township Authority-sewer service 99.14 39 Silver Spring Township Authority-sewer service 109.14 40 Superior Plus Energy Services-heating oil 884.07 41 Superior Plus Energy Services-heating oil 776.72 42 Superior Plus Energy Services -heating oil 14.00 43 Superior Pius Energy Services-heating oil 787.16 44 The Patriot-News -Legal advertising 109.52 45 The Sentinel-Legal advertising 147.06 H-B7 6,911.18 Copyright(c)2002 form software only The Lackner Group, Inc, Form PA-1500 Schedule H(Rev,6-98) Rev-1512 E%-(12-08) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Hair, Mearl E. 21-13-1087 Report debts Incurred by the decadent prior to death that remained unpaid at the date of death.Including unrolmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 AT&T-phone service 37.29 2 Citizens Bank-credit card balance 28,90 3 Comcast-cable service 216.47 4 Heartland-balance due on account 161.88 5 Mainhart -air conditioning service 195.00 6 Manor Care Health Services -balance due on account 2,636.00 7 MSHMC Physicians Group-3/4/2013 medical service 92,27 8 Penn.American Water-water service 37,79 9 PPL-electric service 44,58 10 Shugart Lawncare-balance due for three months lawn care services 500.00 11 Silver Spring Township Authority-sewer service 117.00 12 Special Event Emergency Medical Services-balance due on account 244.28 13 Verizon-phone service 77,32 TOTAL(Also enter on Line 10, Recapitulation) 4,388.78 (If more space Is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-08) REV-1517 EX.(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN- - BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Hair, Mearl E. 21-13-1087 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER- PERSON(S)RECEIVING PROPERTY ' ' DECEDENT (Words) ($$$) Do Not LIM Tm5teabil I TAXABLE DISTRIBUTIONS (include outright spousal distributions,and transfers under Sec.9116(a)(1.2)1 1 Russell C. Hair Son Sch. F Items 265,576.56 119 Maple Drive 1,3,4 Mechanicsburg, PA 17050 Sch. G 1/2 Item 1 112 Residue 2 John T.Hair Son Sch. F Item 2 265,124.61 43 Cumberland Drive Sch. G 112 Item 1 Mechanicsburg, PA 17050 112 Residue Total 530,701.17 Enter dollar amounts for distributions shown above on lines 15 through loon Rev 1500 cover sheet,as appmp riate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10) RE6# D r� OF 4 c REC,Ajj j}r is 'I (lE ' i�j'fiIL] A {��ESTAIiENT OF KARL E. HAIR Iof the Township of Silver Spring, CU County of Cumberland' e.nd State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make , publish and declare this my Last Will and Testament. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I .give, devise and bequeath my House and Lot of Ground situate in Silver Spring Township, Cumberland County, Pennsylvania, presently known and numbered as 119 Maple Drive, Itechaniosburg, Pennsylvania, together with any and all the contents thereof, to my sons RUSSELL C. HAIR, absolutely and unconditionally. 3. I give and bequeath all the rest residue and remainder of my estate, of whatsoever nature and wheresoever the salts may be situate, to my two (2) sons, to wit, RUSSELL 0. HAIR and JOHN T. HAIR, share and share alike, per stirpes. -1- LASTLY, I nominate, constitute and appoint my son, RUSSELL C. HAIR, Executor of this my Last Will and Testament and in the event that my said son, should predecease me, or should he be unable or unwilling to serve in such capacity for any reason, then in such event, I nominate , constitute and appoint my son, JOHN T. IIAIR, Executor of this my Last Will and Testament, in his place and stead, IN WITNESS WHEREOF, I have hereunto set my hand and seal this _ day of November, A. D. , 1996- (SEAL) Mearl E. Hair -2- Signed, sealed, published and declared by the above named, MEARL E. HAIR, as and for his Last Will and Testament, who have subscribed our names hereto as in the presence of us, witnesses, at the request of said testator, in his presence and in the presence of each other. COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I� MEARL E. HAIR the teatat or whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that 1. signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me b r1 DIEARL E. HAIR , the testator tills >, A. D. 1998 day of *T . Pte�aar1 E. H lotary Public .E._seed yy Med+ P�� COMMONWEALTH OF PENNSYLVANIA ) SS my W3009"d�fi°s ylp�ia COUNTY OF CUMBERLAND We, the undersigned, J. ROBERT STAUFFER and SUSAll A. I4CCOY the witnesses whose names are signed to rile attached or foregoing instrument, being duly qualified according to law, depose and say drat we were present ,a sign aand hexe- testator IMARL E. HAIR cute the instrument as hi Lset Will and Testament; that the said testator 14EARL E. IIATR executed it as hlsA=Xfree and voluntary act for th-- y e Purp°ass therein expressed; that each of us, iu tile hearing said o tile sight Ofoflroureknowle ge, the rred the Will as witnesses; _ testator was, at ills time, eighteen duress years of of sound mind, and under no constraint, Sworn and subscribed tobefor me this f 1O November ' "m&-ei Sear Mealyn E.tVI gwm,Notary PuW D1119 900.quateriiind C.0umy My I.Pours fen Expeec Nov.6,Ml ti MmrrMr,Psuaylrano Acsaciatloa W Nofirieo -4- "�.r. 14 ' t } ,72 Y'V 7 j r.q u'y . Jlr 1K4 . r34� APPRAISAL OF REAL PROPERTY ;K LOCATED AT: =` 119 Maple Dr See Cumberland County Deed Book 23;Page 533 .� Mechanicsburg,PA 17050 "z FOR: Russell Hairr;r `.' 119 Maple Drive *' Mechanicsburg,pa 17055 1,3 AS OF: 5 < 09!28/2013 Z; BY: u Robert I.Cassel 836 Tamanini Way N Mechanicsburg,PA 17055 Phone 717$14 53801 Fax 717 790 8724 e-mail/rcassel @accu•fast.net , 5 www,accu-fast.net ;�i Cover Page ............................................. 1 .. Table of Contents ............................................................. ........................................................ 2 ........................................................................................ CoverLetter ...................................................................................................................................................................................................................... 3 Summary of Salient Features............................................................................................................................................................................................. 4 5 URAR ............................................................................................................................................................................................................................... SubjectPhotos.................................................................................................................................................................................................................. 11 SubjectPhotos..............:................................................................................................................................................................................................... 12 SubjectPhotos Interior................................................................................:..................................................................................................................... 13 —— . - Subject Photos Interior.................4.... ............................................................... 14 Subject Photos Interior...................... 15 ............................................................................................................. . ComparablePhotos 1.3..................................................................................................................................................................................................... 16 BuildingSketch(Page-1)................................................................................................................................................................................................. 17 LocationMap..................................................................................................................................................................................................................... 18 . . Flood Map............................................................................................................................................................................................................................. 20 ..................... 19 LegalDescription.............................................................................................................................................................. UADDefinitions Addendum ...............................................................................................................................................................................4.............. 21 USPAPIdentification ...........................................................................................................................................................................................4..........4.4 24 SupplementalAddendum .........................................................................................................................................................................................4........ 25 EnvironmentalAddendum-Appraiser..................................................................................................................................................................4.........4... 26 .. Appraiser's Certification(License).............................................................................................................. ......................................4....................4........, 28 Appraiser's E&0....................................................................................................................................................................................................4.4....... 29 V GliG,1,VG1 1 v v Robert Cassel Accu-Fast Appraisals 836 Tamanini Way Mechanicsburg, PA 17055 Phone: 717-514-5380 Fax : 717-790-8724 Email rcassel @accu-fast.net Russell Hair - - - --- - -- 119 Maple Drive Mechanicsburg, PA 17050 RE: 119 Maple Drive, Mechanicsburg, PA 17050 Dear Mr. Hair; Pursuant to your request, I have prepared a COMPLETE APPRAISAL/SUMMARY REPORT of the property referenced 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 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 effective date as stated in the body of the appraisal, and contingent upon the certification and limiting conditions attached. Please do not hesitate to contact me if I can be of additional service to you. Respectfully, Robert Cassel PA Certified Residential Appraiser Subject Address 119 Maple Dr Legal Description See Cumberland County Deed Book 23; Page 533 . City Mechanicsburg -County - ..... Cumberland State PA Zip Code 17050 Census Tract 42041-0118.02 Map Reference Franklin 2963-B-5 Sale Price $ Date of Sale Lender Russell Hair Lender/Client Russell Hair Size(Square Feet) 1,117 - - Price per Square Foot $ Location N;Res; Age 58 Condition C3 Total Rooms 5 Bedrooms 3 Baths 1.0 Appraiser Robert I.Cassel Date of Appraised Value 09/28/2013 Final Estimate of Value $ 140,000 Neighborhood Name Saver ti nn ..._ .._. _..__ . ._........___. _ Occupant F1 Owner ®Tenant ❑Vacant Special Assessments$ 0 ❑PUD HOA$ 0 per year per month Property Rights Appraised ® Fee Simple 0 Leasehold ❑ Other(describe) Assignment Type El Purchase Transaction Refinance Transaction ® Other describe Estimate Market Value Lender/Ciient Russell Hair Address 119 Maple Drive Mechanicsburg, a 17055 Is the subject property currently offered for sale or has it been offered for sale in the twelve months prior to the effective date of this appraisal? ❑Yes M No Report data sources used,off ering rice s and date(s). Data source Tor the offering information is the local Multi-List service. I ❑did L❑did not analyze the contract for sale for the subject purchase transaction.Explain the results of the analysis of the contract for sale or why the analysis was nut erformed. : Contact Price$ Date of Contract Is the property seller the owner of public record? ❑Yes ❑No Data Source(s Is there any financial assistance{loan charges,sale concessions,gift or downpayment assistance,etc.)to be paid by any party on behalf of the borrower? ❑Yes ❑ No If Yes,report the total dollar amount and describe the items to be paid. Note:Race and the racial composition of the neigghbo rhood are not appraisal factors. Neighborhood Characteristic One-Unit Housing Trends One-Unit Housin Present Land Use Location 0 Urban ®Suburban ❑ Rural I Property Values IncreasinQ IN Stable ❑ Declining PRICE AGE One-Unit 55% Built-up []Over 75% ®25.75% ❑ Under 25% Demand/S y l ❑Shodage ® In Balance E] Over Supply $ 000 s _ -4 Unit 1 % ; Growth ❑Rapid ®Stable low Marketing Time ❑ Under 3 mths ®3.6 mths FJ Over 6 mths 50 Low 0 Multi-Famil 3% Neighborhood Boundaries The subject neighborhood is bounded by Interstate 81 to the north Route 581 1,000 High 200 Commercial 15% to the east Route 641 to the south and Route 114 to the west. 180 Pfad. 40 Other 26'% Neighborhood Description Subject has access to all necessary supporting facilities including schools,public parks,transportation,shopping, and houses of worship, Avers a Droperty maintenance programs observed. Employment is within 15-30 minute drive. §teady prices and MLS statistics demonstrate stable demand for the area. Present Land use"Other"is 26%vacant land. Market Conditions including support for the above conclusions There are no foreseeable economic factors that might adversely influence the marketabilitv [Are lue of the subject. Interest rates are averaqe to ood-3%to 9%. Loan discounts are 2-3%. Concessions are not uncommon in this area sual) have little impact on the market value. sions See Attached Deed Area 16117 sf Shape Ro hl Rectan ular View N;Res; Specific Zoning Classification R-1 Zoning Description Residential Zoning Compliance Legal ❑ Legal Nonconforming(Grandfathered Use) ❑ No Zoning ❑ Illegal(describe) highest and best use of subject roe as improved or as proposed per plans and specifications)the resent use? Yes ❑ No It No,describe s Public Other(describe) Public Other(describe) Oft-skeImprovements-T Public Private Electricity ® ❑ Water ® ❑ Street Asphalt ® ❑ ❑ ❑ None Sanitary Sewer . Alley None ❑ ❑ Special Flood Hazard Area Yes X No FEMA Flood Zone X FEMA Map# 42041 CO257E EEMA IV Data 03/16/2009 utilities and off-site improvements typical for the market area? ®Yes 0 No If No,describe Are them any adverse site conditions or external factors(easements encroachments,environmental conditions,land uses,etc.)? ❑ Yes ® No If Yes,describe No apparent adverse easements encroachments,special assessments or other n ative influences were noted. Subject however,to an easements encroachments-assessments,etc,of record. General ascrl tlon Foundation Exterior Description materials/condiflon Interior materials/condition Unts ... One ❑ One with Accessa Unit ® Concrete Stab ❑ Crawl S ce Foundation Wails Concrete Siab/Av Floors Car ,Vni Ctile/Av #of Stories 1 _Full Basermrd__LJ Partial Basement Exterior Wails VinyVAvq Walls D ail/Av Type Z Det. ❑ Aft. ❑ S-Det./End Unit Basement Area 0 s 'I'L Roof Surface Shin le/Av Trim/Finish Wood/Avg Existho F Proposed Under Const.Basement Finish 0 % Gutters&Downspouts Aluminum/Avg Bath Floor Ceramic Tile/Avg Design(Style) Ranch LJ Outside Ent (E)t ❑Sump Pump Window Type Double Hun A Bath Wainscot Ceramic Tile/Avq Year Built 1955 Evidence of ❑ Infestation Storm SastOnsulated lnsThermlAyg Car Storage D None Effective Age(Yrs) 15 Years+/- ❑ Dampness Settlement Screens Yes/Avg ® Driveway #of Cars 2 Attic Z None Haatin M FWA fl I HWBB fl I Radiant Amenit es Woodstove s # 0 Driveway Surface Gravel ❑ Drop Stair ❑ Stairs LJ Other Fuel oil ❑ fire laces # 0 Fence None Cara e #of Cars 0 Floor Scuttle Coof n Central Air Conditioning Patio/Deck CvPat M Porch Front Cov Car on #of Cars 0 ❑ Finished Heated Individual ❑ Other ❑ Pool None Other Shed ❑ Att. Det. ❑ Built-in Appliances Z Refrigerator 0 Ranoe/Oven El Dishwasher ® Disposal ® Microwave El Washer/Dryer 0 Other describe Finished area above grade contains: 5 Rooms 3 Bedrooms 1.0 Baths 1,117 Square Feet of Gross Living Area Above Grade . Additional features(special ener y efficient items,etc.). Energy items are similar to other properties in the area of like age and condition, Describe the condition of the pro erty(including needed repairs,deterioration,renovations,remodeling,etc.). C3:Kitchen-updated-eleven to Frftaen years a o;Bathrooms-updated-eleven to fifteen years a o;All improvements are in avers a condition with no ra airs re uired. No Functional or External inadequacies were noted at the time of inspection. All utilities were on a functioning at the limo of ins action. Are there any physical deficiencies or adverse conditions that affect the livability,soundness,or structural integrity of the property? ❑Yes ® No If Yes,describe rroxiinfly ru ouu cue - _ Sale Price $ - $ _ 125,000 000-Y ' $ 160 000 Sale Price/Gross Liv.Area $ s .ft.$ 106.29 s .tt, $ 127.85 s .tt. $ 137.93 s .tt. Data Source(s) - CPMLS#10227475;DOM 54 CPMLS#10240603•DOM 12 CPMLS#10235703;DOM 95 Verification Source(s) -Public Records Public Records Public Records VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + - $Adjustment DESCRIPTION +- $Adjustrnent DESCRIPTION +(-)$Adjustment Sales or Financing Arml-th Arml-th Arml-th Concessions FH 5917 p FHA 5000 0 FH 0 0 Date of Sale/Time - of 1/12c10/12 0 s09/13-cO7/13 O s08113:c07113 0 Location NRes; MRes NRes' MRes Leasehold/Fee Sim le Fee Simple Fee Simple Fee Sim le Fee Simple Site 16117 sf 10454 sf 0.6970 sf 0 14375 sf 0 View N Res• N Res MRes MRes Design(Style) Ranch Ranch Ranch Ranch Quality of Construction 04 04 Q4 03 -3,000 Actual Age 58 59 061 0 38 0 Condition C3 C3 C4 -6 000 C3 Above Grade Total 1Bdrms.I Baths Total Bdrms. Baths Total Bdrms. Baths Total Btlrms. Baths _ Room Count 5 3 1-0 6 3 1 O 0 6 3 1.0 0 5 3 1.1 -4,000 Gross Lying Area 1,117 s .tt. 1 176 s .ft 0 1,142 s .ft. 0 1,160 s .ft. 0 Basement&I'mished Osf 1176sfOsfwu -5,000 Osf 1160sf624sfwo -5,000 Rooms Below Grade 1 rrObrl.ObaOo -10 040 Functional Utility Average Average Avera a Avera e Heatin /Coolie OilFWAICAC OilFWA/NoAC +5,000 OilFWA/CAC EBB/No AC +5 000 ,• Ener Efficient items jyaicalA e/Area T icalA e/Area T picalAgelArea T icalA e/Area Gara e/Car od Off Street Off Street Off Street 1 Car Aft Gar 3,Ogq Porch/Patio/Deck Porch Cov Patio Porch ,-,Cov Patio Porch Deck 0 Parch Deck 0 fir Iace/Woodstove None None None • Upgrades Average Average Average Avera e Upqrades Average Average Average Average _ • Net Adjustment(Total) 0 + IS _0 + ® - $ -6,000 ❑ + - $ 20.0 0 Adjusted Sale Price Net Adj. 0%1 Not Net Adj, 12,5% of Com arables Gross Ad'. 8.0%1$ 125 000 Grass Atl'. 4.1% $ 140 000 Gross Ad. 18.8% $ 140,000 did did not research the sate or t ansfer history of the subect ropedy and camparabie sales.8 not azplain M research ❑ did ® did not reveal any prior sales or transfers of the subject property for the three years prior to the effective date of this appraisal. Data Source(s) Local multi-list and county tax records My research ®did 0 did not reveal arty prior sales or transfers of the comparable sales for the year prior to the date of sale of the comparable sale. Data Sources Local multi-list and county tax retards Report the results of the research a d analysis of the prior sale or transfer history of the subject property and comparable sales(report additional prior sales on page 3. ITEM SUBJECT COMPARABLE SALE#1 COMPARABLE SALE#2 COMPARABLE SALE#3 Date of Prior Sale/Transfer 01131/2013 Price of Prior Sale/Transfer $85 500 Data Source(s) Public Records-Multi List Public Records-Mufti List Public Records-Mufti List Public Records-Mufti List Effective Date of Data Sources 12/02/2013 12/02/2013 12/0212013 12/02/2013 Anal sis of prior sale or transfer history of the subject DF01)(10 and comparable sales Comparable two kLeviousl transferred as a short sale. Summary of Sales Comparison Approach Sales used are the most recent similar and nearest closed sales available. The comparable sales indicate a value range of approArnatety$125,000 to$140,000 with the subject property failing within the range in terms of conditions and amenities offered. Comparable two was given the most weight in the final analysis of value because it is a recent sale of a similar size and AtyleL home with no basement located in the same develo ment as the subject. Indicated Value by Sales Comparison Approach$ 140,000 Indicated Value by:Sales Comparison Approach$ 140,000 Cost Approach(if developed)$ Income Approach(if developed)$ The Sales Comparison Analysis is the most reliable approach to value. The Cost Approach is not appropriate for properties the age of the sub'ept • and was not developed. The lnrome_2pargach to value is not considered reliable in estimating value for owner occupied single family,residential _ properties and was not utilized in this aDpraisat. This appraisal is made FJ "as is", ❑ subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed, ❑subject to the following repairs or alterations on the basis of a hypothetical condition that the repairs or alterations have been completed, or ❑subject to the • following reouired inspection based on the extraordinary assumption that the condition or deficiency does not require alteration or repair: The indicated Estimate of Value APPRAISERS INDEPENDENCE STATEMENT -NO EMPLOYEE DIRECTOR OFFICER OR AGENT OF THE LENDER OR ANY OTHER THIRD PARTY ACTING AS A JOINT VENTURE PARTNER INDEPENDENT CONTRACTOR APPRAISAL MANAGEMENT COMPANY OR PARTNER ON BEHALF OF THE LENDER HAS INFLUENCED OR ATTEMPTED TO INFLUENCE THE DEVELOPMENT REPORTING RESULT OR REVIEW OF THIS ASSIGNMENT THROUGH COERCION EXTORTION COLLUSION COMPENSATION INSTRUCTION INDUCEMENT INTIMIDATION BRIBERY OR IN ANY OTHER MANNER. i HAVE NOT BEEN CONTACTED BY ANYONE OTHER THAN THE INTENDED USER(LENDER/CLIENT AS IDENTIFIED ON THE FIRST PAGE OF THE REPORT BORROWER OR DESIGNATED CONTACT TO MAKE AN APPOINTMENT TO ENTER THE PROPERTY. I am stating that I have not performed an a raisal service with re and to the subject roe in the three ears roceedi this assignment. The appraisal was ordered in compliance with Appraisal Independence"AIR"and Mortgagee Letter 2009-28. COST APPROACH TO VALUE(not!Nutted by Fannie Mae)' Provide adequate information for the lender/client to replicate the below cost figures and calculations. Support for the opinion of Site value(summary of comparable land Sales or other methods for estimating site value The subject's site value is based on a review of sales of similar vacant land. ESTIMATED REPRODUCTION OR El REPLACEMENT COST NEW OPINION OF SITE VALUE.............................................._.--------------- =S 35,000 Source of cost data DWELLING S .Ft.@ S ............1 =$ Ouahty rating from cost service Effective date of cost data S .R.@ S ........... =$ Comments on Cost Approach ross living area calculations,depreciation,etc. IianceAllowance ............. =S Garage/Carp oa S .Ft.@ S ........ =S ` The Cost Approach is not applicable and is considered inappropriate for Total Estimate of Cost-New ........_... =S properties the age of the subject and was not developed for this Less Physical lFunctionat lUemat appraisal. Depreciation I I =S Depreciated Cost of Improvements .................................................... =$ "As-is'Value at Site Improvements .--._..................__..------_....----.._.. =$ Estimated Remaining Economic Life(HUD and VA on 50 Years INDICATED VALUE BY COST APPROACH......................_..._._..........=S INCOME APPROACH TO VALUE(notr uiredb FannleMae) Estimated Monthly Market Rent S X Gross Rent Muni tier =S Indicated Value py Income AODFoach Summary of Income Approach(including support for market rent and GRM The Income Approach to value is not considered a reliable indicator of value for sin le family owner occupied properties and was not utilized in this appraisal PROJECT INFORMATION FOR PUDs(if applicable) Is the develo edbuilder in control of the Homeowners'Association OA? Yes No Unit type(s) Detached Attached Provide the following infomaton for PUDs ONLY if the develo ertbuilder is in control of the HOA and the subject property is an attached dwelling unit. Legal Name of Project Total number of phases Total number of units Total number of units sold Total number of units rented Total number of units for sale Data source(s) Was the project created by the conversion of existing building(s) into a PUD? El Yes No If Yes,date of conversion. Does the project contain any multi-dwelling units? Yes 0 No Data Source Are the units,common elements,and recreation facilities complete? 0 Yes Ej No If No,describe the status of completion. I1115 appla15al statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an appraisal organization, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requirements of this appraisal report form, including the following definition of market value, statement of assumptions and limiting conditions, and certifications. The appraiser must, at a minimum: (1) perform a complete visual inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal report. INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of this appraisal for a mortgage finance transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he or she considers his or her 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 are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable 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 judgment. STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the following assumptions and limiting 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, except for information that he or she became aware of during the research involved in performing this appraisal. The appraiser assumes that the title is good and marketable and will not render any opinions about the title. 2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements. The sketch is included only to assist the reader 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 sources) and has noted in this appraisal report whether any portion of 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, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the research involved in performing the appraisal. Unless otherwise stated in this appraisal report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. 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, this appraisal report must not be considered as an environmental assessment of the property. 6. 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 the completion, repairs, or alterations of the subject property will 2. 1 performed a complete visual inspection of the interior and exterior areas of the subject property. i repuueu uie cuiwtt/ui, of the improvements in factual, specific terms. I identified and reported the physical deficiencies that could affect the livability, soundness, or structural integrity of the property. 3. 1 performed this appraisal in accordance with the requirements of 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 at the time this appraisal report was prepared. 4. I developed my opinion of the market value of the real property that is the subject of this report based on the sales comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach for this appraisal assignment. f further certify that I considered the cost and income approaches to value but did not develop them, unless otherwise indicated in this report. 5. 1 researched, verified, analyzed, and reported on any current agreement for sale for the subject property, any offering for sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report. 6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable sale, unless otherwise indicated in this report. 7. 1 selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property. B. 1 have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that has been built or wilt be built on the land. 9. t have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject property and the comparable sales. 10. 1 verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in the sale or financing of the subject property. 11. 1 have knowledge and experience in appraising this type of property in this market area. 12. 1 am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing services, tax assessment records, public land records and other such data sources for the area in which the property is located. 11 1 obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that I believe to be true and correct. 14. 1 have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property or that I became aware of during the research involved in performing this appraisal. I have considered these adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject property. 15. 1 have not knowingly withheld any significant information from this appraisal report and, to the best of my knowledge, all statements and information in this appraisal report are true and correct. 16. 1 stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the assumptions and limiting conditions in this appraisal report. 17. 1 have no present or prospective interest in the property that is the subject of 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 opinion of market value in this appraisal report on the race, color, religion, sex, age, marital status, 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 or on any other basis prohibited by law. 18. My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not conditioned on any agreement or understanding, written or otherwise, that I would report (or present analysis supporting) a predetermined specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of any party, or the attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending mortgage loan application). 19. 1 personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. if i relied on significant real property appraisal assistance from any individual or individuals in the performance of this appraisal or the preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks perforated in 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 this appraisal report; therefore, any change made to this appraisal is unauthorized and I will take no responsibility for it. report may be disclosed or distributed to any other party (including, out not umneu tu, uie puuut, uuuoun relations, news, sales, or other media). 22. 1 am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. Further, I am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves any one or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any intentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that: 1. 1 directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certificaton. 2. 1 accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report is either a sub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under the applicable state law. 4. This appraisal report complies 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 at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. APPRAISER SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature�i /1 z/�� ® Signature Name a Name Company Name Accu-Past Appraisals Company Name Company Address 836 Tamanini way Company Address Mechanicsburg, PA 17055 Telephone Number (717)514-5380 Telephone Number Email Address rcassel(Waccu-fast.net Email Address Date of Signature and Report 12/08/2013 Date of Signature Effective Date of Appraisal 09/28/2013 State Certification# State Certification # RL139417 or State License # or State License # State or Other(describe) State # Expiration Date of Certification or License State PA Expiration Date of Certification or License 06/30/2015 SUBJECT PROPERTY ADDRESS OF PROPERTY APPRAISED ❑ Did not inspect subject property 119 Maple Dr ❑ Did inspect exterior of subject property from street Mechanicsburg, PA 17050 Date of Inspection APPRAISED VALUE OF SUBJECT PROPERTY$ 140.000 ❑ Did inspect interior and exterior of subject property LENDER/CLIENT Date of Inspection Name No AMC COMPARABLE SALES Company Name Russell Hair Company Address 119 Maple Drive, Mechanicsburg,pa 17055 ❑ Did not inspect exterior of comparable sales from street `t 1 t Gl 4 ,f4C'�-Cis-✓.. �.�':. , x ti♦ tL� pa el del r"'�.�*..^,r.w_'��•�'.-•.-+'.>-..�-�:.�'\ ��1.�14. _��s� _yam • _ `Y.a- i."'����'� � ¢,..."_ ::�,y�y-�euy�+� �Cam,..�•l�+ RAI �- - -- __ R.y ,+:rte ���.y�'����A,,�R�+i.A � � iy� � s i •ii '• Mir S41 e ^ 9 Y� f • 1 IV Kl*Ill Af ,lsr.;$a.I .r ,•r r "' ? 1j'^' #r rr t _ 'Q' £ 'q 5 t tY I ti> i v y r xn•r �`,♦�,�;`�' :"rte,*"?' • 1 i , 1 - Sates Total Roorm 1,117 Total Bathrooms Locafion 10 view N;Res. site k-Res: Oi . Sublect interior z I Interior f, Subject Interior 119 Maple Dr Sales Price Gross Living Area 1.117 Total Rooms 5 Total Bedrooms 3 Total Bathrooms 1.0 Location N;Res; _. . . Yew N;Res; Site 16117 sf Ouality Q4 Age 58 Subject Interior Subject Interior i +,;, ,�,- . • .•. _ ,+ Comparable 1 110 Maple Dr Prox to Subject 0.05 miles NE i. Sale Price 125,000 R #.,r'`u. " �. �p•• Gross Living Area 1,176 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1.0 Location N;Res; View N;Res; Site 10454 at Quality 04 Age 59 Comparable 2 5 Poplar Dr jl Prox to Subject 0.10 miles NE t Sale Price 146,000 Gross living Area 1,142 Total Rooms 6 Total Bedrooms 3 Total Bathrooms _ --•��_.�_.,_ "�j ,;'�"`* ;x. Location N;Res; r ' Yew N;Res; �^ - M Site 6970sf 7v — Quality 04 Age 61 Comparable 3 4 ?• .'f+' :����.": 2 Jeffrey Dr + `y« „* �?• t' Prox to Subject 0.69 miles E Sale Price 160.000 Gross Living Area 1,160 • '.� y yt. t `r :rri.rte t 'r+,y�:*i.s Total Rooms 5 r'�'£• }�' i ' t_ tt y Total Bedrooms 3 Total Bathrooms 1.1 ' t "�—, >•„- :^-- ; -,.3 ,.ai�-"+',�'. Y,<- / 1� - Location N;Res; View N;Res; w Site 14375 sf s g-; Quality 03 Age 38 'rF L. ail;.n `hrt �r'. ♦i �c:�+""r _.,:.des„ _ ,a i �.c'«,-Irth �Xa�,:r:'ot4 ,..;:. '✓.fi.��`�v���.:r.:\..w: ~� 21' c Covered Pa ro FBedm. Beth KRChen in ry m lNhg Room Pbrth Bedroom 8' 16' Sew MMm sseaasero a� Commends: AREA CALCULATIONS SUMMARY LIVING AREA BREAKDOWN T r coda Ce calpdon Nat.SLw Net Tdale ' ' Breakdown Subtotals j P/P First Floor 1117.00 1117.00 :First Floor P/P Porch 210.00 37.0 x 25.0 925.00 - Porch 56.00 266.00 12.0 x 16.0 192.00. a la mode inc: � y J 'r StiJ fwrin95qu reek Rd i N d 3 ft 'm Melwood Ln A a Circle Ln" - Carlisle Pike Carlisle--Pike _ Subject 119 Maple Dr Silver / pow Comparable 3 �. i . . . p°p\at Elm St r r �eOt a 0.69 miles E d.L �d y ` •L _ .Q CL . °v ` •o 4d 09 r r y0^ N A le F n on St 9 7 a m '1 1- °y o n e_ m D H• C C N d G . �jP 3 Sr4rtn eam Rd G y fry��9ton 1 By Ra o4� y rem Wn Uh - .� o��� vloodSOt N ,Z- t7 • 0t "ta; ,�!� ' fa•�v♦+s.wi:�'� j�{. ,a„ • _ + F°�4`S.':r+a.r.�,.. v tY pill .o - Irr . Y_. ' �F�'♦tt��.y,��L f `��.J > �"rr��S ���. 4r 4 Y: M rT���i� .t°Y�.'"`y,:Rp4 k a r fi i �.jJ fJ e'r � ��,,g }'1� •'^c t;3ar�tr '�d" y� .� sG�Y'<✓�+,(.o�+�.A�i+..��77;„�y�};' t {• Vs rt .Y .•A r�"'f,,.�.Sv^" eT"r.9.i"`. Y Y <' r� `� S ..!"rY ,� r• t P,'?�t .r"`Z y� �'� <• 1 y Mfj` ..� e6a - . y.5 »W4 rr .w �`... -i`..�}�.r i •sue M:.�"! MISR��' .nu'; tl'n+M-nYxr M..tn yeJLdi by I 1} y�'Ij �1 iV l:i lTi W' urns TNIi' 18tH far of dune d IAn rrc. ' n)nna l.ni nne fannanw ni*n ilme.rd slaty-Aim, ' .,. . !tA'Ti!'AEN GARY R. MORGAN and JEAN 6. MACAW, his wife, of the TOwnshiP of Silver Spring, County of Cumberland and 6tato of Penn- $ylvanls, 'reUt I '" tkanrors. axd AEARL L. HAIR, Of the TaYmahlp Of Silver Spring, County Of Cumberland "4 State of Pennsylvania,. i ' I Gundre • • it'tTNt:SVh77/.tent fn matLkmUw at the Sure of 2welva Thousand One Hundred for -five and 62/1(10• 1811,165.621 ib/lnn. In AnJ MR.1h.ry ,IM xhca l In AnMr aek*Aw( 1gc4 t111abf OAnfer ads Aan6e mane sml c+nrre to/Ac rnW 9mnfro , ALL THAT CERTAIN tract or parcel of land at tuate-in Silver Spring Township, Cumberland County. Pennsylvania, mart particularly bounded and describeit in accerdance with a survey Add Pion thereof Bede by A. P. Raffemporgar, Registered Surveyor. anted November 22. 1958, as fallovet , DEGINNIIIG At a point.marked by • *take on the southern aid* of 'MAPIa,Driva, three hundred Sixty (3601 foot wet of the Southwest career of the intersection of Maple Drive and Oak 8traeti thane + Siang land now or iota of Earl wolf, south 21 degrees 48 nfnutsa seat. one hundred eighty and twenty-flee hundredths 1180.25) fast to a stake At a tornerl thence mouth 63 degrees 27 Minoter. "At. , I seventy-one and eighty- even hundredths (71.87) feat to a ournert thence north 28 degrees 3 minutes wet, am hundred eighty-one and sixteen hundredths (181.36) feet to a stake OH the southern side of Maple Drive storesaldi thenw along the samo, north 63 degrees 31 minutes east, sixty (60) feet to the plane of BEGINNING. f•. i, Doing the greater part of Lot Na. 61 and a erianqulor pie" of ` ground adJu"t thereto on a plan of lots entitled "Plan of Lots In the silver Spring Oewlopment Company-, meet by 0. Martin Rolland, w { Registered professional Engineer, dstid August 4. 1931 And filed j +j October 29, 1953 in Plan Book d, page Si Cumberland County records. Having thereon erected a ore-story dwelling. .1 OEING the name pmvdto* Midi John Keefcu, Jr. and Anna o. soak*. his,wife, by their dee4 dated December 19th, 1958, and recorded in' the Office of the ROCOrder of Deed$ in and for Cvmborlsad County in Hoed BocA V, Volume 18, page $76, granted Had comeyed Onto Gary A. :I MOrgm, "e of the Grantors herein. .!"r {, ccc735 THIS CMIYEYAMCL 28 MADE 8URJSCf. NOtl8VIM, to the mortgags of Gary t; .f7 R- Mar9dA to M. A. Clarke Mortgage Company, dated Da"mbar 19th, 19SI r) (`7 And recorded in the Recorder's office aforesaid in Mortgage book 388. page 496, aAd Assigned by W. A. Clarke Mortgage Company to Matto- N politan Life Insurance Company on the some data, as appears by the �, •_ assignment rawrded in Miswllamow Book 138, page SS4t the present principal balance des an said Mortgage is $10,145.62 . pay"A4 of ';? xhich ie aoswmd by the Grantees herein. f bLDf'�►�� �It��4`.!L !S .,71,.9 �`+QI(�icttLaM 4 tIII ti'��� i.: c rr f' ''i ' }i`'A. } 'kit` ♦'i .1' !.4.: ��_.`-. iii fiY 41Np`i v I �'�rU ( 69-r Fyn n•?r �3 t�+;i1U' � ILi u1�tLj !L"yl��iti:1 1�litf [[ f i.� o�+'wannei 1 C1 The improvements have been very recently constructed and have not previously been occupied.The entire structure and all components are new and the dwelling features no physical depreciation." -Note:Newly constructed improvements thatfeature recycled materials andlorcomponenls can be considered new dwellings provided that the dwelling is placed on a 100%new foundation and the recycled materials and the recycled components have been rehabilrtatedlre-manufactured into like-new condition.Recently constructed improvements that have not been previously occupiedare not considered"new"if they have any significant physical depreciation(Z e.,newly constructed dwelings that have been vacant loran extended period of time without adequate maintenance or upkeep). C2 The improvements feature no deferred maintenance,little or no physical depreciation,and require no repairs.Virtually all building components are new or have been recently repaired,refinished,or rehabilitated.All outdated components and finishes have been updated and/or replaced with components that meet current standards. Dwellings in this category either are almost new or have been recently completely renovated and are similar in condition to new construction. C3 The improvements are well maintained and feature limited physical depreciation due to normal wear and tear.Some components,but not every major building component,may be updated or recently rehabilitated.The structure has been well maintained. f C4 The improvements feature some minor deferred maintenance and physical deterioration due to normal wear and tear,The dwelling has been adequately maintained and requires only minimal repairs to building components/mechanical systems and cosmetic repairs.All major building components have been adequately maintained and are functionally adequate. Cs The improvements feature obvious deferred maintenance and are in need of some significant repairs.Some building components need repairs, rehabilitation,or updating.The functional utility and overall livability is somewhat diminished due to condition,but the dwelling remains useable and functional as a residence. C6 The improvements have substantial damage or deferred maintenance with deficiencies or defects that are severe enough to affect the safety, soundness,or structural integrity of the improvements.The improvements are in need of substantial repairs and rehabilitation,including many or most major components. Quality Ratings and Definitions 01 Dwellings with this quality rating are usually unique structures that are individually designed by an architect for a specified user.Such residences typically are constructed from detailed architectural plans and specifications and feature an exceptionally high level of workmanship and exceptionally high-grade materials throughout the interior and exterior of the structure.The design features exceptionally high-quality exterior refinements and ornamentation,and exceptionally high-quality interior refinements.The workmanship,materials,and finishes throughout the dwelling are of exceptionally high quality. 02 Dwellings with this quality rating are often custom designed for construction on an individual property owner's site.However,dwellings in this quality grade are also found in high-quality tract developments featuring residence constructed from individual plans or from highly modified or upgraded plans.The design features detailed,high quality exterior ornamentation,high-quality interior refinements,and detail.The workmanship,materials,and finishes throughout the dwelling are generally of high or very high quality. 03 Dwellings with this quality rating are residences of higher quality built from individual or readily available designer plans in above-standard residential tract developments or on an individual property owner's site.The design includes significant exterior ornamentation and interiors that are well finished.The workmanship exceeds acceptable standards and many materials and finishes throughout the dwelling have been upgraded from"stock"standards. 04 Dwellings with this quality rating meet or exceed the requirements of applicable building codes.Standard'or modified standard building plans are utilized and the design includes adequate fenestration and some exterior ornamentation and interior refinements.Materials,workmanship, finish,and equipment are of stock or builder grade and may feature some upgrades. 05 Dwellings with this quality rating feature economy of construction and basic functionality as main considerations.Such dwellings feature a plain design using readily available or basic floor plans featuring minimal fenestration and basic finishes with minimal exterior ornamentation and limited interior detail.These dwellings meet minimum building codes and are constructed with inexpensive,stock materials with limited refinements and upgrades. 06 Dwellings with this quality rating are of basic quality and lower cost;some may not be suitable for year-round occupancy.Such dwellings are often built with simple plans or without plans,often utilizing the lowest quality building materials.Such dwellings are often built or expanded by persons who are professionally unskilled or possess only minimal construction skills.Electrical,plumbing,and other mechanical systems and equipment may be minimal or non-existent.Older dwellings may feature one or more substandard or non-conforming additions to the original structure Definitions of Not Updated, Updated, and Remodeled Not Updated Little or no updating or modernization.This description Includes,but is not limited to, new homes. Residential properties of fifteen years of age or less often reflect an original condition with no updating,If no major components have been replaced or updated.Those over fifteen years of age are also considered not updated If the appliances,fixtures,and finishes are predominantly dated,An area that Is'Not Updated'may still be well maintained and fully functional,and this rating does not necessarily imply deferred maintenance or physical/functional deterioration. Updated The area of the home has been modified to meet current market expectations.These modifications are limited in terms of both scope and cost. An updated area of the home should have an improved look and feel,or functional utility.Changes that constitute updates include refurbishment and/or replacing components to meet existing market expectations.Updates do not include significant alterations to the existing structure. Remodeled Significant finish and/or structural changes have been made that increase utility and appeal through complete replacement and/or expansion. A remodeled area reflects fundamental changes that include multiple alterations.These alterations may include some or all of the following:replacement of a major component(cabinet(s),bathtub,or bathroom tile),relocation of plumbing/gas fixtures/appliances,significant structural alterations(relocating walls,and/or the addition of) square footage).This would include a complete gutting and rebuild. Explanation of Bathroom Count Three-quarter baths are counted as a full bath in all cases. Quarter baths(baths that feature only a toilet)are not included in the bathroom count. The number of full and half baths is reported by separating the two values using a period,where the full bath count is represented to the left of the period and the half bath count is represented to the right of the period. Example: 3.2 indicates three full baths and two half baths. Aeoreviation''" ^.°°'!!!T'�7FFBtf_ryg(ner '�"�RT�}..,,� , .(ICIUS'nllvlo'rlUa"nwra•rnaeanr r.ra ,. o,,, ac Acres Area, Site AdPrk Adjacent to Park Location Ad'Pwr Ad' cent to Power Lines Location A Adverse Location&View Armt.th Arms Lenath Safe Sale or Financing Concessions be Bathrooms Basement&Finished Rooms Below Grade br Bedroom Basement&Finished Rooms Below Grade B Beneficial Location&View Cash Cash Saie or Financin Concessions CtySky —City Yew Skyline View View C Str Ci Sireet View View Comm CammeretaI influence Location c Contracted Date Date of Sale/Time Conv Conventional Sale or Financing Concessions CvOrd Court Ordered Sale Sale or Financing Concessions DOM Days On Market Data Sources e Expiration Date Date of Salelrime Estate Estate Sale Sale or Financing Concessions FHA Federal Housing Authority Sale or Financing Concessions GlfCse Goff Course Location Glfvw Golf Course View View Ind Industrial Location&View in Interior Only Stairs Basement&Finished Rooms Below Grade Lndfi Landfill Location LtdS ht Limited Sight View Listing Listing Sale or Financing Concessions Mtn Mountain View View N Neutral Location&View NonArm Non-Arms Length Sale Sale or Financing Concessions Bs Rd Busy Road Location o Other Basement&Finished Rooms Below Grade Prk Park View View Pstv Pastoral View View Pwrt-n Power Lines View PubTrn Public Transportation Location rr Recreational Rec Room Basement&Finished Rooms Below Grade Relo Relocation Sale Sale or Financing Concessions REO REO Sale Sale or Financing Concessions Res Residential Location&View RH USDA-Rural Housing Sale or Financing Concessions s Settlement Date Date of Sale/Time Short Short Sale Sale or Financing Concessions st Square Feet Area,Site,Basement s m Square Meters Area,Site Unk Unknown Date of SalefTime VA Veterans Administration Sale or Financing Concessions w Withdrawn Date Date of Saleirime we Walk Out Basement Basement&Finished Rooms Below Grade wu Walk Up Basement Basement&Finished Rooms Below Grade Wtrfr Water Frontage Location Wtr Water View View Woods Woods View View Other Appraiser-Defined Abbreviations Abbreviation !Full Name Fields Where This AbbravigDon May ', This Appraisal Report is 00 of the following types: ❑ Self Contained (A written report prepared under Standards Rule 2-2(a) ,pursuant to the Scope of Work,as disclosed elsewhere in this report.) ® summary (A written report prepared under Standards Rule 2-2(b) ,pursuant to the Scope of Work,as disclosed elsewhere in this report.) Q Restricted Use (A written report prepared under Standards Rule 2-2(c) ,pursuant to the Scope of Work,as disclosed elsewhere in this report, restricted to the stated intended use by the specified client or intended user.) Comments on Standards Rule 2-3 1 certify that,to the best of my knowledge and belief: —The statements of fact contained in this report are true and correct —The reported analyses,opinions,and conclusions are limited only by the reported assumptions and limiting conditions and are my personal,impartial,and unbiased professional analyses,opinions,and conclusions. —Unless otherwise indicated,I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved. —Unless otherwise indicated,i have performed no services,as an appraiser or in any other capacity,regarding the property that is the subject of this report within the three-year period immediately preceding acceptance of this assignment —I have no bias with respect to the property that is the subject of this report or N parties involved with this assignment. —My engagement in this assignment was not contingent upon developing or reporting predetermined results. —My compensation for completing this assignment is not contingent upon the development or reporting of a predetermined 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 Nis appraisal. —My analyses,opinions,and conclusions were developed,and this report has been prepared,in conformity with the Uniform Standards of Professional Appraisal Practice that were in effect at the firm this report was prepared. —Unless otherwise indicated,I have made a personal inspection of the property that is the subject of this report. —Unless otherwise indicated,no one provided significant real property appraisal assistance to the persons)signing this certification fit there are exceptions,the name of each individual providing significant real property appraisal assistance is stated elsewhere in this report). Reasonable Exposure Time My Opinion of Reasonable Exposure Time for the subject property at the market value stated in this report is: The appraiser has analyzed the subject's market and determined that the typical exposure time is approximately 3 to a months. Comments on Appraisal and Report identification Note any USPAP-related Issues requiring disclosure and any state mandated requirements: This review is made under the extraordinary assumption that all information pertaining to the sub'ect or comparable sales taken from mini-list or public records is complete and accurate. APPRAISER: SUPERVISORY APPRAISER (only if required): Signature: � �.d Signature: Name: RofleMfGasse Name: Designation: Designation: Date Signed: 12/08/2013 Date Signed: prospecuve personai imeresr of ums wnn,eayc,.,t Every effort has been made to conform to FNMA, FHLME and FHLBB guidelines and, in most cases,an even stricter interpretation found common to most investors in the secondary market. The appraiser has chosen what are believed to be the best comparable sales available from the market search. Adjustments in the"SALES COMPARISON ANALYSIS"are based on market extraction, not cost figures. Occassionally it is necessary to use comparables that have adjustments exceeding 10% of the comparable's sale price, that have net adjustments more than 15% of the comparable's sale price, that have gross adjustments exceeding 25%of the comparable's sale price,that are located more than three miles from the subject and/or that occurred more than six months prior to the date of the appraisal. Since not every subject property can be compared to"ideal"comparable sales, the appraiser has chosen the best sales available from the market search which most closely conform to investors underwriting guidelines. rtUwuubuem rCusseil Hair - r *Apparent is defined as that which is visible,obvious,evident or manifest to the appraiser. This universal Environmental Addendum is for use with any real estate appraisal._Only the statements which have been checked by the appraiser apply to the property being appraised. This addendum reports the results of the appraiser's routine inspection of and inquiries about the subject property and its surrounding area. It also states what assumptions were made about the existence(or nonexistence)of any hazardous substances and/or detrimental environmental conditions. �fte a°praiser is not an a rt enyli theM )nspili {Qj and therefore might be unaware of existing hazardous substances and/or detrimental environmental conditions which may have a negative effect on the safety and value of the property. It is possible that tests and inspections made by a qualified environmental inspector would reveal the existence of hazardous materials and/or detrimental environmental conditions on or around the property that would negatively affect its safety and value. LL "X"Drinking Water is supplied to the subject from a municipal water supply which is considered safe.however the only way to be absolutely certain that the water meets published standards is to have it tested at all discharge points. Drinking Water is supplied by a weR or other non-municipal source. it is recommended that tests be made to be certain that the property is supplied with adequate pure water. "X" lead can get into drinking water from its source,the pipes,at all discharge points,plumbing fixtures and/or appliances.The only way to be certain that water does not contain an unacceptable lead level is to have it tested at all discharge points. *X"The value estimated in this appraisal is based on the assumption that there is an adequate supply of safe,lead-free Drinking Water. Comments XX"Sanitary Waste is removed from the property by a municipal sewer system. _Sanitary Waste is disposed of by a septic system or other sanitary on site waste disposal system.The only way to determine that the disposal system is adequate and in good working condition is to have It inspected by a qualified inspector, XX"The value estimated In this appraisal is based on the assumption that the Sanitary Waste is disposed of by a municipal sewer or an adequate property permitted ahemate treatment system in good condition. Comments XX"There are no appaNl signs of Soil Contaminants on or near the subject property(except as reported in Comments below). it is possible that research,inspection and testing by a qualified environmental inspector would reveal existing and/or potential hazardous substances and/or detrimental environmental conditions on or around the property that would negatively affect its safety and value. "X"The value estimated in this appraisal is based on the assumption that the subject property is free of Soil Contaminants. Comments X X"All or pan of the improvements were constructed before 1979 when Asbestos was a common building material.The only way to be certain that the property is free of friable and non-triable Asbestos is to have it Inspected and tested by a qualified asbestos Inspector, —The improvements were constructed after 1979.No apparent friable Asbestos was observed(except as reported in Comments below). "r The The value estimated in this appraisal is based on the assumption that there is no uncontained friable Asbestos or other hazardous Asbestos material on the property, Comments XX*There were no apparard leaking fluorescent lght ballasts,capacitors or transformers anywhere on or nearby the property(except as reported in Comments below). XX"There was no aaii arem visible or documented evidence known to the appraiser of soil or groundwater contamination from PCBs anywhere on the property(except as reported in Comments below). "X"The value estimated in this appraisal is based on the assumption that there are no uncontained PCBs on or nearby the property. Comments "X"The appraiser is not aware of any Radon tests made on the subject property within the past 12 months(except as reported in Comments below). "X" The appraiser is not aware of any indication that the local water supplies have been found to have elevated levels of Radon or Radium. �X_The appraiser is not aware of any nearby properties(except as reported in Comments below)that were or currently are used for uranium,thorium or radium extraction or phosphate processing. XX' The value estimated in this appraisal is based on the assumption that the Radon level is at or below EPA recommended levels. _.,There are anoarent signs of USTs existing now or in the past on lie subject property,it is recommended that an Inspection By a qualniea w I inspector oe c otameo to determine the location of any USTs together with their condition and proper registration if they are active;and If they are inactive,to determine whether they were deactivated in accordance with sound industry practices. =X"The value estimated In this appraisal is based on the assumption that any functioning USTs are not leaking and are property,registered and that any abandoned USTs are free from contamination and were property drained,filled and sealed. Comments q 77 "" t-<. NEARBY H OUS WASTE SITES a "X" There are no app;uggi Hazardous Waste Sites on the subject property or nearby the subject property(except as reported in Comments below).Hazardous Waste Site search by a trained environmental engineer may determine that there is one or more Hazardous Waste Sites on or in the area of the subject property. "X"The value estimated in this appraisal is based on the assumption that there are no Hazardous Waste Sites on or nearby the sub)eot property that negatively affect the value or safety of the property. Comments - UREA FORMALDEHYDE tUFFt) INSULATION - _X" All or part of the improvements were constructed before 1982 when UREA loam insulation was a common building material.The only way to be certain that the property is free of UREA formaldehyde is to have it inspected by a qualified UREA formaldehyde inspector. The improvements were constructed after 1982.No applint UREA formaldehyde materials were observed(except as reported in Comments below). "X"The value estimated in this appraisal is based on the assumption that there is no significant UFFI insulation or other UREA formaldehyde material on the property. Comments AINT "X" All or part of the improvements were constructed before 1980 when Lead Paird was a common building material.There is no aapparent visible or known documented evidence at peeling or flaking Lead Paint on the floors,wags or ceilings(except as reported in Comments below).The only way to be certain that the property is free of surface or subsurface Lead Paint is to have it inspected by a qualifed inspector. _The improvements were constructed after 1980.No appA[ent Lead Paint was observed(except as reported in Comments below). "X"The value estimated In this appraisal is based on the assumption that there is no flaking or peeling Lead Paint on the property. Comments UTION "X"There are no app ra_em signs of Air Pofiugon at the time of the inspection not were any reported(except as reported in Comments below).The only way to be certain that the air is free of pollution is to have It tested. "X"The value estimated in this appraisal is based on the assumption that the property is free of Air Pollution, Comments "X" The site does not contain any appatettt Wetlands/Flood Plains(except as reported in Comments below).The ordy way to be certain that the site is free of Weflands/ Flood Plains is to have it inspected by a qualified environmental professional. =X" The value estimated in this appraisal is based on the assumption that there are no Wetlands/Flood Plains on the property(except as reported in Comments belowJ. Comments MISGELLANEOUS ENVIRONMENTAL HAZARDS 'X"There are no other appateat miscellaneous hazardous substances and/or detrimental environmental conditions on or in the area of the site except as indicated below: Excess Noise Radiation+ Electromagnetic Radiation _ Light Pollution Waste Heat T Acid Mine Drainage Agricultural Pollution _ Geological Hazards _ Nearby Hazardous Property Infectious Medical Wastes Pesticides Others(Chemical Storage+Storage Drums,Pipelines,etc.) "X" The value estimated in this appraisal is based on the assumption that there are no Miscellaneous environmental Hazards(except those reported above)that would 1s. .n .�9.II37Z Commonwealth Of Pennsylvania 12 0 43429 lle artun nt, f State Bureau of'Profssionl=and4CS cupational Affairs PO 13o/2K49'ilaI risbur 1 05-2649 4� Y� Certificate Type !� tf 7i p Certificate Status rL Certified Residential Appraiser U 'e�w::, 'K Active QrnJ4t'` initial Certification Date 1011812006 ROBERT I CASSEL Certificate 836 Tamanini Way Number MECHANICSBURG PA 17055 RL139417 Expiration Date 0 613012 01 5 1'enunis<iuufi ul N,ifs,imml:uuI Oce... H4MCd Alan,. LEXINGTON INSURANCE COMPANY WILMINGTON,DELAWARE Admini,trsev orfrrera-100 Summa Shat,Berton,Mamdmztn 62i 10 Certificate Number. 018391094.01 This Certificate,forms a part of Master Policy Number. 01838997M Renewal of Master Policy Number.- 018309876 YOUR RISK PURCHASING GROUP MASTER POLICY IS A CLAIMS MADE POLICY. READ THE ATTACHED MASTER POLICY CAREFULLY THE AMERICAN ACADEMY OF STATE CERTIFIED APPRAISERS CERTIFICATE DECLARATIONS 1. Name and Address of Certificate Holder Robert 1.Canal dfbls Accu•Fast Appraisals 836 Taminini Way Mechanicsburg PA 17066 2. Certificate Period: Effective Date: 12104113 to Expiration Date. 12/04114 12:01 e.m.Leal Time at the Address of the Insured. 2s. Retroactive Date: 12104110 J 12:01 a.m.Low!Time at the Address of the insured. 4 3. Limit of Liability: S 1,000,000 each claim S 1,000,000 aggregate limit 4. Deductible: 6 2,600 each claim 5. Professional Covered Services Insured by this policy are:REAL ESTATE APPRAISAL SERVICES G. Advance Certificate Holder Premium: 6 1,420 7. Minimum Earned Premium: 26%or 6 366 E Farms and Endorsements: ; PRG 3150(10105)Real Estate Appraisers Professionst Liability Declarations,PRG 3512(07112)Real Estate Appraisers Professional Liability Coverage Form.76713(07/12)Addendum to the Declarations Additional Endorsments applicable to this Certificate only: None Agency Name and Address. INTERCORP,INC. 143"West Main Street Ephrata,PA 17522.1346 IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER AGREES TO ALL TERMS AND CONDITIONS AS SET FORTH IN THE ATTACHED MASTER POLICY. THIS POLICY IS ISSUED BY YOUR RISK PURCHASING GROUP. YOUR RISK PURCHASING GROUP MAY NOT BE SUBJECT TO ALL OF THE INSURANCE LAWS AND REGULATIONS OF YOUR STATE STATE INSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR YOUR RISK PURCHASING GROUP. )a� x 7 County.Cumberland Authorized Representative OR Countersignature(in states where applicable) Date: December 2,2013 PR0 3562(101411) ARCitizens Bank One Citizens Drive Riverside,RI 02915 1. Mearl E Hair, account #610070-564-1 established 06/06/1966 2. There was no change of ownership 3. There were no accounts closed within the prior year 4. $4.81 interested accrued for 2013 on account 610070-564-1 5. Date of death balance: 11,934.38 0 RBS St m MEMBERS 1" FEDERAL CREDrr UMON REGULAR SAVINGS ACCOUNT: Account Number/Suffix 200999-00 Date Account Established 01/19/2001 Principal Balance at Date of Death $66.43 Accrued Interest to Date of Death $.01 Total Principal and Accrued Interest $66.44 Name of Joint Owner Russell C. Hair Date Joint Ownership Established 07/19/2004 INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix 200999-05 Date Account Established 10/01/2011 Principal Balance at Date of Death $1,866.00 Accrued Interest to Date of Death $.07 Total Principal and Accrued Interest $1,866.07 Name of Joint Owner Russell C. Hair Date Joint Ownership Established 10/01/2011 CERTIFICATE OF DEPOSIT: Account Number/Suffix 200999-41 200999-42 Date Account Established 04/30/2012' 09/17/2012 Principal Balance at Date of Death $51,025.54 $50,000.00 Accrued Interest to Date of Death $43.78 $40.68 Total Principal and Accrued Interest $51,069.32 $50,040.68 Name of Joint Owner John T. Hair Russell C. Hair Date Joint Added 10/01/2011 09/17/2012 'Rollover from certificate 200999-51, originally established 10/01/2011. SAFE DEPOSIT BOX: NONE E BE RS 1ST FEDER REDIT UNION anie Ile A. Kline Lending Insurance Support Specialist January 9, 2014 Estate of: MEARL E. HAIR Date of Death: 09/2812013 Social Security Number: 188-32-2501 5000 Louise Drive • P.O. Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • wwwmemberslst.org r .µ. t FILE COPY BUREAU OF INDIVIDUAL TAXES pennsyLVania PO BOX }00601 Pennsylvania Inheritance Tax :/ ,iT HARRISBURG PA 17120.0601 Information Notice C.17 OEPAR7MENT OF REVENUE aou- n [.eorx iee.ia And Taxpayer Response FILE NO.2713.1 057 REVISED NOTICE " ' AC'N 13152623 DATE 10-2_ 2013 Type of Account Estate of NIEARL E HAIR Rerfificate,avings SSN 189-32-2501 hecking Date of Death 09-28-2013 rust RUSSELL C HAIR County CUPOSERLAND n 114 MAPLE DR w �u m MECHANICSBURG PA 17050-2765 „ 0 7 M o to = C-X !I7 r > r rJ 1 M V n r., m cam = CD C7 C] c, in t`.S GX t7 __J 'T{ MEMBERS 1sT Fcu provided the department with the information below indicating that at the death of the above-named decedent you were a joint owner or beneficiary of the account identified. Account No.200999 Remit Payment and Forms to: Date Established 10-01-2011 REGISTER OF WILLS Account Balance $ 1,866.07 1 COURTHOUSE SQUARE Percent Taxable X 50 CARLISLE PA 17013 Amount Subject to Tax S933.04 Tax Rate X 0.045 Potential Tax Due S 41.99 NOTE': If lax payments are made within three months of the decedent's date of death,deduct a 5 percent discount on the!ax With 5%Discount (Tax x 0.95) S(see NOTE') due. Any inheritance tax due will become delinquent nine months after the date of death, FART 1 Step 1 : Please check the appropriate boxes below. A []No tax is due. I am the spouse of the deceased or I am the parent of a decedent who was 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. B MThe information is The above information is correct, no deductions are being taken,and payment will be sent correct. with my response. Proceed to Step 2 on reverse. Do not check any other boxes. C EJ The tax rate is incorrect. ❑ 4.5% 1 am a lineal beneficiary(parent,child,grandchild,etc.)of the deceased. (Select correct tax rate at right, and complete Part 12% 1 am a sibling of the deceased. 3 on reverse.) 15% All other relationships (including none). D [:]Changes or deductions The information above is incorrect and/or debts and deductions were paid. listed. Complete Part 2 and part 3 as appropriate on the back of this form. E ®Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax inheritance tax form Return filed by the estate representative, 01n1=0ir rn Stec)2 on reverse. Do not check any other boxes. PART 2 Debts and Deductions Allowable debts and deductions must meet both of the icllowing criteria: A. The decedent was legally responsicle for payment.and the eswe is insufficient to pay the deductible items. B. You paid the debts after the death of the decedent and can furnish proof of payment if re;,ue=_ted by the department. (If additional space is required,you may 2;tach 6 1,2"x 11"sheets of paper.) Date Paid Payee Description Amount Paid Total Enter on Line 5 of Tax Calculation) $ PART Tax Calculation 3 if you are making a correction to the establishment date(Line 1)account balance(Line 2), or percent taxable(Line 3), please obtain a written correction from the financial institution and attach if to this term. 1. Enter the date the account was established or titled as it existed at the date of death. 2. Enter the total balance of the account including any interest accrued at the date of death. 3. Enter the percentage of the account that is taxable to you. a. First,determine the percentage owned by the decedent. i. Accounts that are held "in trust for"another or others were 100%,owned by the decedent. ii. For joint accounts established more than one year prior to the date of death,the percentage taxable is 100%divided by the total number of owners including the decedent. (For example:2 owners = 50%,3 owners=33.33%,4 owners =25%, etc.) b. Next,divide the decedent's percentage owned by the number of surviving owners or beneficiaries. 4, The amount subject to tax is determined by multiplying the account balance by the percent taxable. 5. Enter the total of any debts and deductions claimed from Para 2. 6. The amount taxable is determined by subtracting the debts and deductions from the amount subject to lax. 7. Enter the appropriate tax rate from Step 1 based on your relationship to the decedent. If indicating a different tax rate, please state Official Use Only E]AAF - Your relationship to the decedent: PA Department of Revenue' 1• Date Established t 2. PAD ' Account Balance 2 $ =,<r 3. Percent Taxable 3 x 2 _. 4. Amount Subject to Tax 4 $ 3 c ;� 5. Debts and Deductions 5 4 , it 6. Amount Taxable 6 $ 5 • • .t . 7. Tax Rate 7 x 7• `, ` ;;- •„*, '�= 8. Tax Due 8 $ 8'.' .,[ 9. With 5% Discount (Tax x .95) 9 x Step 2: Sign and date below. Return TWO completed and signed copies to the Register of Wills listed on the front of this form, along with a check for any payment you are making. Checks must be made payable to"Register of Wills,Agent.” Do not send payment directly to the Department of Revenue. Under penalty of perjury, I declare that the facts I have reported above are true,correct and complete to the best of my knowledge and belief. Work Home 12 181 ?-C 12 Taxpayer Signature / -�-'�, &. , y-Tefephone Number Date IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA DEPARTMENT OF REVENUE me rr�rrT nFFir;F. OR THE INHERITANCE TAX DIVISION AT 717.787-8327. SERVICES FOR - • • •-•wry rncAUtnlr. MPPOS ONLY: 1-800-447-3020 i pennsylvania Pennsylvania Inheritance Tax eG,ARTNENT OF REVENUE BUREAU OF INDIVIDUAL to%S y PO BOX 080601 Information Notice •u �sa [. �•'��'= HARRISBURG PA 17125-0631 And Taxpayer a' er Response FILE N0.2113-108i ACN 1315382= • REVISED NOTICE ' ' ' DATE 10-29-2013 Type of Account Savings Estate of N'IEARL E HAIR Checking SSN 182-32-2501 Trust Date of Death 09.28-2013 x Certificate County CUt,IBERLAND RUSSELL C HAIR 71 ';0 119 MAPLE DR n `'' rn ITl n MECHANICSBURG PA 17050-2765 C o ;7 o vca 3 �' C rr1 = �, N t•,_ r^ � r r o �.I ° Z U T > 7 r-' rTl r. O N aboveRnamed decedenilyoudwere a department o joint ownertortbenefic beneficiary the laccoudnt denntified at the death of the Remit Payment and Forms to: Account No. 200999 REGISTER OF WILLS Date Established 09-17-2012 1 COURTHOUSE SQUARE Account Balance $50,040.68 CARLISLE PA 17013 Percent Taxable X 50 Amount Subject to Tax $25,020.34 Tax Rate X 0.045 NOTE': If tax payments are made within three months of the Potential Tax Due 1L.125.92 duce Anysndheielanceiax due will become delinquent ninetmonths With 5% Discount (Tax x 0.95) $ (see NOTE') — after the date of death. PART Step 1 : Please check the appropriate boxes below. 1 arent of a decedent who was /+ No tax is due. I am the spouse of the deceased or I am the p 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. payment will be sent g The information is The above information is correct, no deductions are being taken,and correct. with my response. Proceed to Step 2 on reverse. Do not check any other boxes. ,etc.) of the deceased. C The tax rate is incorrect. 4.5% 1 am a lineal beneficiary (parent, child,grandchild (Select correct lax rate at right, and complete Part 12% 1 am a sibling of the deceased. 3 on reverse.) 15% All other relationships (including none). D Complete Part 2 and part 3 as appropriate on the back or this form. Changes or deductions The information above is incorrect andlor debts and deductions were paid. listed. E Asset will be reported on R e an oiled by tthle estate has been or representative.will be reported and tax paid with the PA Inheritance Tax inheritance tax form Proceed to Step 2 on reverse. Do not check any other boxes. ocv_i rnn PART Debts and Deductions 2 Allowable debts and deductions must meet both of the following criteria: A. The decedent was legally responsible for payment, and the estate is insufficient to pay the deductible items. B. You paid the debts after the death of the decedent and can furnish proof of payment if requested by the department. (if additional space is required. you may attach 8 1/2"x 11"sheets of paper.) Date Paid Payee Description Amount Paid Total (Enter on Line 5 of Tax Calculation) $ PART Tax Calculation 3 If you are making a correction to the establishment date(Line 1) account balance(Line 2),or percent taxable(Line 3), pleaso obtain a written co,rection from the financial institution and attach it to this form. 1. Enter the date the account was established or titled as it existed at the date of death. 2. Enter the total balance of the account including any interest accrued at the date of death. 3. Enter the percentage of the account that is taxable to you. a. First,determine the percentage owned by the decedent. i. Accounts that are held "in trust for"another or others were 100%owned by the decedent. ii. For joint accounts established more than one year prior to the date of death, the percentage taxable is 100%divided by the total number of owners including the decedent. (For example: 2 owners = 50%, 3 owners=33.33%, 4 owners =25 0%, etc.) b. Next,divide the decedent's percentage owned by the number of surviving owners or beneficiaries. 4. The amount subject to tax is determined by multiplying the account balance by the percent taxable. 5. Enter the total of any debts and deductions claimed from Part 2. 6. The amount taxable is determined by subtracting the debts and deductions from the amount subject to tax. 7. Enter the appropriate tax rate from Step 1 based on your relationship to the decedent. If indicating a different tax rate, please state OfflClal Use Only AAF r k' your relationship to the decedent: PA Depa'rfinent of ,Revenue J Jw f k 1. Date Established 1 PAD " s; 2. Account Balance 2 $ 3. Percent Taxable 3 x 2 � r 4. Amount Subject to Tax 4 $ 3 5. Debts and Deductions 5 '' 5 6. Amount Taxable 8 $ 7. Tax Rate 7 x 8. Tax Due 8 $ 9 With 5%Discount (Tax x 95) 9 x Step 2: Sign and date below. Return TWO completed and signed copies to the Register of Wills listed on the front of this form, along with a check for any payment you are making. Checks must be made payable to "Register of Wills,Agent:' Do not send payment directly to the Department of Revenue. Under penalty of perjury, I declare that the facts I have reported above are true,correct and complete to the best of my knowledge and belief. Work "1 t_l 0`19-b3 3s 1211 1§I 20;3 H ome Taxpayer Signature (�� �S 1 r\ Telephone Number Date IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA DEPARTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT 717 787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS ONLY: 1-800 447-3020 BUREAU BE INDIVIDUAL IAXES Pennsylvania Inheritance Tax pennsyivama HARISBU30601 DEPARTMENT OF REVENUE ARR133UR0 PA 17123-0601 Information Notice And Taxpayer Response FILE NO.21 n ACT 13153625 0 � DATE 10-10-2013 Type of Account Estate of MEARL E HAIR Savings SSN 168-32-2501 Checking Date of Death 09-28-2013 Trust JOHN T HAIR County CUMBERLAND X Certificate, 43 CUMBERLAND DR MECHANICSBURG PA 17050-1897 nt 77 G> O MEMBERS I ST Fcu provided the department with the information below indicating:lhal jl�i thet eat(T,oi the above-named decedent you were a joint owner or beneficiary of the account identified. ,; — Remit Payment and Forms to,J t' Account No.200999 ' ' ? -- o Date Established 10.01.2011 REGISTER OF WILLS — Account Balance $51,069.32 I COURTHOUSE SQUARE - CARLISLE PA 17013 Percent Taxable X 50 Amount Subject to Tax $25.534.66 Tax Rate X 0.045 NOTE': If tax payments are made within three months of the Potential Tax Due $1,149.06 decedent's date of death, deduct a 5 percent discount on the tax With 5%Discount (Tax x 0.95) $(see NOTE') due. Any inheritance tax due will become delinquent nine months after the date of death. . . - PART Step 1 : Please check the appropriate boxes below. 1 ' A F�No tax is due. lam the spouse of the deceased or I am the parent of a decedent who was 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. 8 The information is The above information is correct, no deductions are being taken,and payment will he sent correct with my response. , Proceed to Step 2 on reverse. Do not check any other boxes. C 0The tax rate is incorrect. 04.5% 1 am a lineal beneficiary (parent,child, grandchild,etc.) of the deceased. (Select correct tax rate at right,and complete Part 12% 1 am a sibling of the deceased. 3 on reverse.) - E] 15% All other relationships (including none). D FChanges or deductions The information above is incorrect andlor debts and deductions were paid. listed. Complete Part 2 and part 3 as appropriate on the back of this form. E Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax inheritance tax form Return filed by the estate representative. REV-11500. Proceed to Step 2 on reverse. Do not check any other boxes. Please sign and date the back of the form when finished. PART 2 Debts and Deductions z Allowable debts and deductions must meet both of the following criteria: A. The decedent was legally responsible for payment,and the estate is insufficient to pay the deductible items. B. You paid the debts after the death of the decedent and can furnish proof of payment if requested by the department. (Ii additional space is required,you may attach 8 1/2"x 11"sheets of paper.) Date Paid Payee Description Amount Paid Total Enter on Line 5 0l Tax Calculation $ PART Tax Calculation 3 If you are making a correction to the establishment date (Line 1)account balance(Line 2), or percent taxable(Line 3), olease obtain a written correction from the financial Institution and attach it to this form. t. Enter the date the account was established or titled as it existed at the date or death. 2. Enter the total balance of the account including any interest accrued at the dale of death. 3. Enter the percentage of the account that is taxable to you. a. First,determine the percentage owned by the decedent.. I. Accounts that are held"in trust for"another or others were 100%owned by the decedent. ii. For joint accounts established more than one year prior to the date of death,the percentage taxable is 100%divided by the total number of owners including the decedent. (For example:2 owners=50%,3 owners=33.33%.4 owners =25%,etc.) b. Next, divide the decedent's percentage owned by the number of surviving owners or beneficiaries. 4. The amount subject to tax is determined by multiplying the account balance by the percent taxable. 5. Enter the total of any debts and deductions claimed from Part 2. 6. The amount taxable is determined by subtracting the debts and deductions from the amount subject to tax. 7. Enter the appropriate lax rate from Step 1 based on your relationship to the decedent. .a ...i„ _ It indicating a different tax rate,please state 1Z' . _ +. R f Offjoal M&ADhly EFM15� g your relationship to the decedent: +" r " �: 4 PA Ospartfhei*6 -Rexenssl: 1. Date Established 2. Account Balance 2 $ P 1 Percent Taxable 3 Xt 4. Amount Subject to Tax 4 $ ! s a S aka E 5. Debts and Deductions 5 'n4rt".rE ` {rj 6. Amount Taxable 6 $ 5 7. Tax Rate 7 x _____-. ..k. r. Yx;zv xa vas'aaacrs ;ac's�sacar r?d 8. Tax Due 8 $ 9. With 51%Discount(Tax x.95) 9 x �` *-: 7777r. Step 2: Sign and date below, Return TWO completed and signed copies to the Register of Wills listed on the front of this form, along with a check for any payment you are making. Checks must be made payable to"Register of Wills,Agent.' Do not send payment directly to the Department of Revenue. Under penalty of perjury, I declare that the facts I have reported above are true,correct and complete to the best of my knowledge and belief. �t _ Work "l ti —o+ 4 R 5 333 1 �r Horne Taxpayer Signature _. a� �S�h , Telephone Number Date IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA DEPARTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT 717-787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING A!'tiWOR SPEAKING NEEDS ONLY: 1-800-447-3024 Ju1. 11, 2014 12: 37PM No. 4929 P. 1 PO Box 42025 y� Citizens Providence,RI 02940 Investment Services 7uly 11,2014 Attorneys Office AtmL Tammy Siegrist Fax#717.249.7334 RE:Account Number:L7C052841 Registration: Citizens Bank Traditional IRA FBO Mearl E Hair Equal Beneficiaries are decedent's children: Russell C. Hair and John T. Hair Dear Mr.Hair: I am writing with regard to the correspondence recently received in our office regarding the above referenced account. On behalf of our firm,please extend our sincerest condolences to the family of Mearle E Hair. In accordance with your request,I am providing a summary of Mr,Hair's account in the table below as of the 01030 Of business on September 28,2013. Security CUSIP Number of Price per Share Total Number Shares BANK DEPOSIT SWEEP PROGRAM .QCCOQ 11,460.27 $1.00 $11,460.27 ALBEMARLE CORP ALB 2,000 $62,77 $125,540.00 MICROSOFT CORP MSFT $31211 $6,654.00 NEWMARKET CORP NEU 400 $288.22 $115,288.00 TRANSOCEAN LIMITED COMCHF15 RIC 349 $44.92 $15,677.09 EATON VANCE GLOBAL DIVIDEND INCOME A EDIAR 6,435.644 S7.86 S50,584.16 X14 I .LI.I„v „ iL`� n )G , ' Iii' Ip� r�. 4�r mIr17 I 5 1 I �6 � ar "°I l�����i;�l ��l�h•!'(� 94i hf2l , I11� k .42Pa a J3 i fntl,�'iwrLr'0111+ If you have any questions please call us at 1.800-9424300,Option 3,Monday through Friday from 8:30 a.m.to 5:00 p.m.,ET. We will be happy to assist you. Sincerely, l�q,�xl�re r�'Euo�, Jasmine Rivera Operations Specialist Secudtlos,Insurance and Investment Advisory Services offered through CCO Investment Services Corp.Member FINR4,SIPC.770 Legacy Place, MLP240,Dced&OMW(v.ya0)942-8300.CCO Investment Services Corp.is an affiliate of RBS Citizens,N.A.and Citizens Bank of Pennsylvania. 0 RBS Securities and Insurance Products are -NOT FDIC INSURED•NOT BANK GUARANTEED•MAY LOSE VALUE NNnT a ncpns IT-NCIT INM IRFD BY ANY FEDERAL GOVERNMENT AGENCY