HomeMy WebLinkAbout08-14-14 (2) REV-1500 EX(02-11) 1505610143
OFFICIAL USE ONLY
PA Department of Revenue Pennsylvania County Code Year File Number
Bureau of Individual Taxes Of9P0.t OF aE„EaaE
PO BOX.280601 INHERITANCE TAX RETURN 21 13 1009
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
06 24 2013
Decedent's Last Name Suffix Decedent's First Name MI
FRITZ DONNA J
(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 2. Supplemental Return 3. Remainder Return(Date of Death
Prior to 12-13-82)
4. Limited Estate 4a Future Interest Compromise 5. Federal Estate Tax Return Required
(date of death after 2-12-82)
g Decetlent Died Testate lAt�h gaionft Tnd a Living Trust g. Total Number of Sale Deposit Boxes
(Attach Copy of Will) 1 PY )
9, Litigation Proceeds Received 10.b�ivieeni2�31 land itl(Da95of Death 11 Election to tax under Sec.9113(A)
(Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
MICHAEL L BANGS 717 730 7310
.y
REGISTER WILLS USEANLY
ZZ
r`
-x a
First Line of Address Z G r
:.=i7
429 SOUTH 18TH STREET �`=n
�' J- ..
Second Line of Address '
City or Post Office E*ILED -- O
State ZIP Code
CAMP HILL PA 17011 �7
Correspondent's e-mail address: mi kebangs@yerizon.net
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.Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
S G T RE OF PE ON ESPONSIB FILING RETURN DATE
,2 Michael L. Bangs
ADDRESS
429 South 18th Street, Camp Hill, PA 17011
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
Michael L. Bangs
ADDRESS
429 South 18th Street, Camp Hill, PA
Side 1
L 1505610143 1505610143
1505610243
REV-1500 EX
RECAPITULATION
1. Real Estate(Schedule A)....................................................................:.................. 1. 158 , 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. 105 , 964 . 11
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous NaD,-Probate Property
(Schedule G) a Separate Billing Requested............ 7,
8. Total Gross Assets (total Lines 1 through 7)........................................................ 8, 263, 964 . 11
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 11 , 820 . 78
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 6, 053 . 2 9
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 17 , 874 . 07
12. Net Value of Estate(Line 8 minus Line 11)... - .. - - .. .. .. .. - 12. 246, 090 . 04
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. 246, 090 . 04
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
at lineal rate X .045 246, 090 . 04 ts. 11 , 074 . 05
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 00 17. 0 . 00
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18. 0 . 00
19. TAX DUE................................................................................................................ 19. 11 , 074 . 05
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. El
Side 2
L 1505610243 1505610243
REV-1500 EX Page 3 File Number 21-13-1009
Decedent's Complete Address:
DECEDENT'S NAME
Fritz, Donna J
STREET ADDRESS
1100 Grandon Way
CITY STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 11,074.05
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
Total Credits(A +B) (2) 0.00
3. Interest (3) 133.48
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
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) 11,207.53
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;....................................................................... ..... [I ❑x
b. retain the right to designate who shall use the property transferred or its income;............... .......... ...... ❑ ❑x
c. retain a reversionary interest;or............................................................................................................... ❑
d. receive the promise for life of either payments,benefits or care?............................................................ ❑ ❑x
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................... ❑
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 ❑
containsa beneficiary designation?.................................................................................................................. x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§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[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 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)]. A
sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
Rev-1502 EX.(01-10)
SCHEDULE A
pennsylvall REAL ESTATE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fritz, Donna J 21-13-1009
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on schedule F.
Attach a copy of the settlement sheet if the property has been sold
Include a copy of the deed showing decedent's Interest if owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Real Estate-266 Montebello Farm Road, Duncannon, PA. (Tax I.D. No. 290.088.00-066.000). 158,000.00
See appraisal attached.
TOTAL(Also enter on Line 1, Recapitulation) 158,000.00
(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 A(Rev. 01-10)
Rev-1508 EX.(11.10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE �
INHERITANCE TAX RETURN PERSONAL PROPERTY
Y
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fritz, Donna J 21-13-1009
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the night of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Refund from Emeritus Corporation 1,439.00
2 Refund from Erie Insurance 8.00
3 Refund from Omnicare, Inc. 10.21
4 Rental payments from tenant 6,000.00
5 Riverview Bank-Checking Account 67,502.26
6 Riverview Bank-Account#3066577 10,295.39
7 Riverview Bank-Account#3066578 10,343.67
8 The Bank of Landisburg -Certificate of Deposit 10,365.58
TOTAL(Also enter on Line 5, Recapitulation) 105,964.11
(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-1511 EX-(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITACE TAX
RESIDENNDECEDENT RETURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Fritz, Donna J 21-13-1009
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
city State Zin
Year(s)Commission Paid
2. Attornev's Fees Michael L. Bangs 10,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State ZiD
Relationshio of Claimant to Decedent
4. Probate Fees 60.00
5. Accountant's Fees 1,000.00
6. Tax Return Preparer's Fees
7. Other Administrative Costs 760.78
See continuation schedule(s)attached
TOTAL(Also enter on line 9, Recapitulation) 11,820.78
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
Fritz, Donna J 21-13-1009
ITEM
NUMBER DESCRIPTION AMOUNT
Other Administrative Costs
1 Cumberland Law Journal -estate advertisement 75.00
2 L.W. Brodisch Real Estate-Real estate appraisal 475.00
3 The Patriot News Co. -estate advertisement 173.78
4 VitalChek-Additional certified copies of death certificate 37.00
H-67 760.78
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12 416)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fritz, Donna J 21-13-1009
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,Including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Erie Insurance 560.00
2 Forest Park Health Center 1,400.00
3 Patricia Kissinger,Tax Collector-2014-15 school real estate tax 1,863.37
4 Perry County Tax Claim Bureau -overdue real estate taxes 2.175.23
5 PP&L Electric-5/9114 to 6/9114 14.44
6 PP&L Electric-6/9114 to 719/14 14.50
7 PP&L Electric-7/9/14 to 8/7114 25.75
TOTAL(Also enter on Line 10, Recapitulation) 6,053.29
(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-1513 EX.(01.10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Fritz, Donna J 21-13-1009
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$)Do Not List Irm""I'l
I TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.91 16 a 1.2
Jodi A. Fritz Daughter one-half
JAF Station
Post Office Box 8067
New York, NY 10001
Robert L. Fritz Son one-half
105 Kings Highway
Marysville, PA 17053
Total
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet as appropriate.
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)
APPRAISAL REPORT
OF
266 Montebello Farm Road
Duncannon,PA 17020
PREPARED FOR
Estate of Donna J.Fritz
Michael L.Bangs,Esq.
429 South 18th Street,Camp Hill,PA 17011
AS OF
June 24,2013
PREPARED BY
L.W.BRODISCH REAL ESTATE
10 Church Road
Newport,PA 17074
r
r
L.W.BRODISCH REAL ESTATE
File No Fritz-Donna-1
Case No.
Residential Appraisal Report
The purpose of this appraisal report is to provide the client with an aceurate and adequately supported,opinion of the market value of the subject property.
Property Address 266 Montebello Farm Road city Duncannon State PA Zip Code 17020
Omer Donna J.Fritz Intended Leer Estate of Donna J.Fritz-6-24-2013 County Perry
Legal Description Perry County Deed Book 229 page 1
Assessor's Parcel# 290,088.00-066.000 Tax Year 2013 R.E.Taxes$ 2,462.00
No hborhood Name Wheat'a d Townshi Ma Reference None CensusTmct 0303.02
Oau ant Omer X Tenant Vacant S ial Assessments None PUD HOA$ None per year I I Per month
'
Property Rights A raised I X I Fee Simple I I Leasehold I I Other describe
Intended Use Opinion of Market Value
Client Estate of Donna J.Fritz Address c/o Michael L.Bans Esq.,429 South 18th Street Cam Hill PA 17011
Is the subject property current) offered for sale or has it been offered for sale in the twelve months prior to the effective date of this appraise Yes X Be
Report data sources used offernnis price(s), and dates Attorney.
did 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 not
performed, N/A
- Contract Price N/A Date of Contract N/A Is the property seller the owner of public record? I Yesl I No Data Sources
Is there any financial assistance(loan charges,sale concessions,gift or downpayment assistance,etc.)to be paid by any parry on behalf of the purchaser? Yes Lj No
If Yes report the total dollar amount and describe the items to be paid. N/A
Note:Race and the racial composition of the neighborhood are not appraisal factom.
- Neighborhood Characteristics_ _____i One,Unit Nousin Trends Preeenfynp Uae%_ ,
Location Urban X Suburban Rural Pro er Values Increasin X Stable �_�Declinino PRICE AGE One Unit 26 %
Built-U OwEr75% X 2575% I I Under 25% 1 Demand/Su Shortage I X I In Balance I Over Su $ 000) yrs) 24 Unit 1 %
Growth I I Rapid I X I Stable I I Slow I Marketin Time I I Under 3mlhs I X3-6 mths I Overfi rams 50 Low New Multi-Family 1 %
Neighborhood Boundaries The subject property is located in Wrestled Townshi pop.3,329. 485 High 185 Commercial 2 %
• Southeastern Perry County.The Juniata River forms the township's eastern border. 125 Pretl. 45 Other A .wa. 70 W.
Neighborhood Description The area around the subject consists of widely-spaced sin le family homes wooded land and farm fields.Relative)
short commute time to the greater Harrisburg area where near 70%of Perry County workers are employed.Shopping,schools medical care
and a varietv of small businesses can be found locally.Good appeal to the market.
Market Conditions(including support for the above conclusions Markel conditions in the subject neighborhood and the surrounding area are slower than
average.Central Penn Multi-List statistics and Perry County deed transfers show a very slow increase in property values.About 3-6 months
marketing time.Lenders are raising their standards for potential borrowers due to all the bad loans.
Dimensions Survey draft attached/Aerial attached Area 17.123 acre m/I Shape Irregular View Woods
S ejcZonin Classification ARAgriculture/Residential Zonin Desch tion Sin le famil homes farms-Deed Restrictions-co attached
Zonin Compliance X Le al Legal Nonconforming Grandfathered Use No Zonin III al describe
Is the highest and best use of subject m as improved or as proposed r Tans ands specifications)the resent use? I X Yes No If NO describe.
Utilities Public Other describe Public Other describe OH-site Improvements.-Type Public Private
Electricity X Water X Well Street Macadam X
Gas None Samte Sewer X Se tic Tank Alley None
FEMA Special Flood Hazard Area Yes I X I No FEMA Flood Zone X FEMA Ma # 42099CO240D FEMA Map Date 06116/2009
Are the utilities andlor off-site improvements typical for the market area? I X I Yes I INo If NOdescribe.
Are them any adverse site conditions or external factors easements encroachments environmental conditions land uses etc.? I X I Yes I INo If Yes describe.
The property was surveyed and laid out into building lots.There were ten lots but two lots were sold.The subdivision plan was dated
9-29-1984.Any soil testing for septic permits has probably expired long ago. Subdivision rules have changed.
.General Description Foundation. Exterior Descd on metedalslcondlgon Interior -matedalslcontlidon
Units X One One with Accessory Unit X Concrete Slab CmMS ace Foundation Walls Concrete Block/Averse Floors Concrete/Average
#of Stories One Full Basement I anial Basement Exteror Walls Stucco/Averarte Walls Drywall/Average
T X Det. Aft. S-Det./End Unit BasementArea 0 s .ft Roof Surface Rubber/Shin le/AVem a Trim/Finish Some wood/Avg.
X Exislin Pro sad Under Const. BasementFinish N/A % Gutters&Downs uts None Bath Floor Carpet/Fair
Dearth(Style) Earth Sheltered I I Outside Ent /Exit ISump Pump Window Type Fixed/Casement/Avg. Bath Wainscot tone/Average
Year Built 1980 Evidenceof Infestation Stonn Sashllnsulated None Car Storage I I None
Effective e rs 34 rs. Dampness Settlement Screens Some/Average X Drivewa #of Cars 3
Attic X None Hearin FWA HWB X Radiam Amenities Woctlstove e # Drivewa Surface Slones/Dirt
Dro Stair Staim Other Fuel Oil X Fire laces# LR Fence Gara a #of Cars
Floor Scuttle Cco., Central Air Conditionin PatblDeck Parch Carort #of Cars
Finished Heated Individual Other Pcol Other Al. Det. Built-in
A tierces X Refn emtor X Ran sloven X Dishwasher Dis sal X Microwave X Washer/ er Other describe
Finished area above mdecontains: 5 Rooms 2 Bedrooms 1.00 Baths 1338 S uare Feet of Gross Livin Area Above Grade
• Additional features s cial ens efficient items etc. There is a small fire lace in the Iivin room.It does not have a mantel or a raised hearth.
Describe the condition of the m includin needed re airs delenomgoe renovations remodelin etc.. The house is actual) al round level with din iled u
a ainst three sides.On the south side of the house is a osed.Ve oddball dwellin which is not normal for the area.There is an o en vestibule at the
front that is about six feel wide.The heat is in the concrete floor but not in the floor of the vestibule.But there is a owner mom in this area.After a six inch
ste -u there is a kitchen on one side and a Iivin room on the other side.At the back are two bedrooms with a bathroom in between.Between the kitchen
and Iivin room is the chimne forme furnace and fire lace. No shower in the bathroom onl a sunken tub with a stone wainscot.
Are them an h sicat deficiencies or adverse conditions that affect the livabili soundness or structural inl n of the ro ? X Yes No If Yes describe
The house has extreme) bad odors inside.The ma came from a multitude of sources.
Does the ro enerall conform to the nei hborhood functional utili s le condition use construction etc.? Yes X No If No describe The house would
have limited a eal due to desi n.Passive solar with mason floor and walls.The actual s uare foots a is much smaller because the walls are
ve thick.
NL-Residentlal 5/2007 This form may be reproduced unmodified without written permission,however,Bradford Technologies,Inc.must be acknowledged and credited,
Produced by ClickFORMS Software 800-622-8727 Page 1 of 29
L.W.BRODISCH REAL ESTATE
File No. Fritz-Donna-1
Residential Appraisal Report Case No.
There are 0 comparable limperbes currently offered for sale in the subject neighborhood ranging in price from to
There are 3 com arable sales in the subject nei hborhood within the cast twelve months ranalno in sale once from 148.000 to 155,000
FEATURE SUBJECT COMPARABLE SALE#1 COMPARABLE SALE#2 COMPARABLE SALE#3
Address 266 Montebello Farm Road 3048 Rock Hollow Road 1001 Short Road 675 Mountain Road
Duncannon PA 17020 Lo sville PA 17047 Duncannon PA 17020 Shermans Dale PA 17090
Proximity to Sublect - - - 16_miles W 4.25 miles NE _ 8 miles SW
Sale Price $ N/A = 1 150,500 148,000 I _ $ 155,500
Sale Price/Gross Uv.Area $ 0.00 s .ft.-$ 146.97 s .ft. _.. S 128.47 s .ft. - - $ 132.23 Data Sources +Tenant Inspection Public Records Visual Public Records Visual Central Penn ML Visual
Venfinton Sources I Public Records, Aerial Aerial Public Records
VALUEADJUSTMENTS _DESCRIPTION DESCRIPTION - Ad'ustment DESCRIPTION - Ad'ustmen DESCRIPTION - Ad'ustmem
Sale or Financing None Cash Conventional Conventional
Concessions None__ None None None
Date of Sale/rime A06124/2O13 9-30-2013/Similar 2-8-2013/Similar 4-29-2014/Similar
Location Rural Rural Rural Rural
Leasehold/Fee Sim le I Fee Simple Fee Simple Fee Simple Fee Sim le
Site 17.123 acre m/1 9.79 acres/Inferior +11 00 11.1 acres/Inferior +19,010C 18 acres/Similar
View Woods Woods/Similar Woods/Similar Woods
Desi n(Style) Earth Sheltered Cabin Cabin Cabin
Quality of Construction Avera a Avera a/Similar I Avere a/Similar Avera a/Similar
Actual A a 33 yrs Older/Similar Older/Similar Older
Condition Avera a-Fair Avera a/Similar Avera a/Similar Avera e
Above Grede Total Bdrms Baths Total Btl Me Baths Total Bda Baths Total Bdrms Baths
Room Count 5 2 1.00 4 2 1.00 6 3 1.00 4 1 1 1.00 +3,50
Gross Living Area 1,338 s .ft 1,024 s .ft. +3 10 1,152 sq ft. -2.00C 1.176 so.ft. -1,60
Basement&Finished None None Full Full
Rooms Below Grade N/A N/A Superior -2.00 Superior -2,00
Functional Utility Fair Similar Similar Similar
Heating/Cooling Radiant/None Electric/Similar Electric/Similar HA/Similar
Energy Efficient Items Typical items Similar Similar Similar
GarallesCarport None None/Similar 1 Car Int./Superior -1,50 None/Similar
• Parch/PatiWDeck None Deck/Superior -1 00 Parch Deck Pomh su, erior -2 50
Fireplace 1 FP Woodstove/Sim. 1 FP/Similar None
• Net Ad ustment(total) X $ 13,100 X + $ 7500 X $ 600
Adjusted Sale Price Net Adj:9% Net Adj:5% Net Adj:0%
of Com ambles -Gross Ad':10% $ 163,600 Gross Ad':1'- $ 155 500 Gross Ad':fi% 156 100
I X did did not research the sale or transfer history of the subject property and comparable sales.if not explain
M roseamh I Idid I X I did not reveal any pror sales or transfers of the subect property for the three years prior to the effective date of this appraisal.
Data sources Public Records
M research did X Mid reveal any prior sales or transfers of the comparable sales for the year prior to the date of sale of the comparable sale.
Data sources Public Records
Report the results of the researoh and analysis of the odor sale or transfer history of the sutiect orroarti,and com arable sales firepoll additional mor sales on page 3.
ITEM SUBJECT COMPARABLE SALE#1 COMPARABLE SALE#2 COMPARABLE SALE#3
Date of Prior Seelfransfer None None None 2-18-2014
Price of Prior Sale/Transfer N/A N/A N/A 120,000
Data Sources Public Records Public Records Public Records Public Records
Effective Date of Data Sources 7-25-2014 7-25-2014 7-25-2014 7-28-2014
Analysis of prorsalle ortransfer history ofthe subject property and com arable sales No transfers ofthe sub'act property in the past 36 months.NO Other
sales of any of the comps in the past year.
Summary of Sales Comparison Approach The com arables that were selected are seasonal properties that are similar to the suto act property.The
sub act property has the type of dweilin that is suitable for the short term stay,but is not the typical dwelli no for normal ear-round living.The
first comparable has a small cabin smaller than the sub act house.Less land.Requires well and septic Nice weekend retreat.The second
comparable is located close to the Juniata River,but not actually on it.Borders utility land which gives it more privacy.Requires well and septic.
Suitable for seasonal use only.Third comparable has about the same amount of land,but the cabin only has one bedroom.This property was a
repo and sold by a bank.There are no earth-sheltered homes sold in Perry County.In fact it is only one of two that the Appraiser knows about
that exists in Perry County.
Indicated Value by Sales Comparison A roach 158,000
Indicated Value by:Sales Comparison A roach 158,000 Cost Approach if developed NctAppiicable Income Approach(if developed NotAppliceble
The house is very untypical in most areas of the State.The earth may offer some savings in heatin /coolin costs but it still has an oil-fired furnace.It
should have a wood fired furnace since it has a1I those trees.This property may appeal as a seasonal dwelling with all the woodland.The Cost and Income
Approaches are not relevant.The Iantl could be subdivided but a township road would be required and much more engineering required.
This appraisal is made X 'as is," subject to co mpletionperplans 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❑ subjedtothe
•
following required inspection based on the extraordinary assumption that the condition or deficiency does not require alteration or repair
Based on a complete visual inspection of the Interior and exterior areas of the subject property,defined scope of work,statement of assumptions and limiting
conditions,and appraisefs certification,my(our)opinion of the market value,as defined,of the real property that Is the subject of this report is
158000 as of June 24 2013
NIL-Residential 52007 This form may be reproduced unmodified without written permission,however,Bradford Technologies,Inc.must be acknowledged and credited.
Produced by ClickFORMS Software 800-622-8727 Page 2 of 29
L.W.BRODISCH REAL ESTATE
File No. Fritz-Donna-1
Case No.
Residential Appraisal Report
At the front of the house are sliding doors that allow access as well as sunlight.A passive solar desi n for the sun to heat up the conaete
floor to save on heating bills.The six foot wide vestibule area runs the width of the house.It is understood that the owner grew plants in this
section of the house.There Is a second set of sliding lass doors between the vestibule area and the Wind room and kitchen.
Land size-The ort inal deed says 20.425 acres more or less.The land was subdivided by Ms.Fritz Into four tracts of land.There were three
lots alone the public road and the remainina land behind the lots.The sub ect Property contains one front lot and the remainina land behind.
Subdivision-In September S.1984 a subdivision plan was filed for a development of the Fritz Property.That emposed plan would probably
not meet township specifications right now.Land development has than ed drastically with new and more stringent re ulations put into
Place.First the ommosed mad into the rear tract of the subact property would have to be built to township specifications.Second,all lots
require two approved plaws for sandmound systems.The old plan was not approved by the township engineer nor the township tannin
board.Thins have changed in the past thirty ears and the old plan does not meet current standards.The rear land could be sold off in
lots as lot additions to ad pining landowners.There are at least seven adionino owners.The process of subdivision is very expensive and
very time consuming.
COST APPROACH TO VALUE If a Ilcable
Support for the opinion of site value summa a comamble land sales or other methods for estimating site value ReAew of recent land sales In Perry County
STEB reports.
ESTIMATED I I REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE 110,000
Soumeofcostdata Dwelling 1,338 Sq.Fl.
Oua tram cost ceMCe Efecthedme rostdata Sq.Ft.91,S
Comments on Cost Approach dress;livire area wbulatbns depreciation,etc.
This approach is not considered relevant due to the age and style of GaragalCarport Sq.FL 90 S
the house on the subject property. The house is unique with the dirt T tall Estimate of strnw
'led u e ainst the outside wells.It Is not an uncle round dwelling as less Pn akal Fundbnal I Edemal
some earth-sheltered homes ere. albn
Depreciated Cost of Inc ro ements
'As-s'Value of Site Improvements
Estimated Remalrim Economic Life HUD and VA On Yeard Indicated Value Bv Cost Approach - Not Applicable
INCOME APPROACH TO VALUE(if a Ilcable _
Estimated Monthly Market Rent %Gross MMti er NotApplicable IrdlicatedValuebyllromneAPproach
Summary of Income Appmach(Includina supped for market rent and GRM
PROJECT INFORMATION FOR PUDS ifa Ilcahle
Is the deve mugder in control of he Homeowners Association A)? Yes No Unit s Detached Afachal
Provide the Wil information for PUDS ONLY 8 the developer/builder Is in control of the HOA and the subint property Is an allached dwellino unit.
Lariat Name of Pmact
Total number of phales Total number of units Total number of units sold
Total number of units rented Total number of units for sale Daly Source S
Was the roecr created by the conversion 0f-x151' b 1111 s Into a PUD7 Yes No If Yes date of conversion.
Oan the contain an mullidwetli units? Yes No Dalasarce.
Are the units canmon elements and recreation facilities can te1 I JYM I I No If No describe Its status of oompletion.
Are the common elements leased to a by the Homeowners Association?I 1yes I INO II Yes describe the rental terms and options.
Describe common elements and recreational facilities.
NL-Resioemial 58007 This lam may be re"umd unmodified without written Permission.however,Bradford Technologim.Inc.must be acknowledged and cmdibd.
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L.W.BRODISCH REAL ESTATE
File No. Fritz-Donna-1
Case No.
This appraisal report is subject to the scope of work,intended use,intended user,definition of market value,statement of assumptions
and limiting conditions,and certifications.The Appraiser may expand the scope of work to include any additional research or analysis
necessary based on the complexity of this appraisal assignment.
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 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.
DEFINITION OF MARKET VALUE:As per Fannie Mae the definition of market value is 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 this 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
be performed in a professional manner.
NL-General Certification 5/2007 This form may be mpmduced unmaditied withoutweren permission,however,Bradfald Technologies,Inc.must be acknowledged and meted.
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L W.BRODISCN REAL ESTATE File No. Fritz-Donna-1
Case No.
APPRAISER'S CERTIRCATIQN:The Appraiser certifies and agrees that:
1,I have,at a minimum,developed and reported this appraisal in accordance with the scope of work requirements stated in
this appraisal report.
2.1 performed a visual inspection of the interior and exterior areas of the subjezt property,i reported the condition
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.
9.1 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.
4.1 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 sates comparison approach
for this appraisal assignment.I further certify that t considered the cast and income approaches to value but did not develop
them,unless otherwise indicated in this report.
S.I 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
6.1 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 Iocalicnally,physically,and functionally the most similar to the subject property.
8.1 have not used comparable sales that were the result of combining a land sale with the Contract purchase pricy of a home that
has been built or will be built an the land,
9.1 have reported adjustments to the Comparable sales that reflect the markets reaction to the differences between the subject
property and the comparable sales.
10.I 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.
111 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.I 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.1
have noted in this appraisal report any adverse conditions(such as,but not limited to,needed repairs,deterioration,the
pmsence 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 tme 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.t did not base,either partially or
completely,my analysis and/or opinion of market value in this appraisal report on the race,COWS,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.
1$.My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not conditioned
i3lllf 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.
19.I personalty prepared all conclusions and opinions about the real estate that were set forth in this appraisal report.If i raked 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 performed 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 1 will take no responsibility for it.
20.1 identified the client in this appraisal report who is the individual,organization,or agent for the organization that
ordered and will receive this appraisal report.
NIL-General Cenifrcanon 512007 Thisform may fie reproduced immcddied wdhout wrflian permission,amever,Irsaford Tedmargos,Inc,must he acknowledged and cmdded.
Produced by ClickFORMS Software$00-622-8727 Page 5 of 29
L,W.BRODISCH REAL ESTATE File No. Fritz-Donna-1
Case No.
21.I am aware that any disclosure or distribution of this appraisal report by me or the 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.
22.If this appraisal report was transmitted as an-electronic retard"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 versian of this appraisal report were delivered containing my original hand written signature.
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 appraisers certification.
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.
1 The appraiser identified in this appraisal report is either a sub ntractor 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 peace at the time this appraisal
report was prepared.
S.If this appraisal report was transmitted as an"electronic record"containing my"electronic signature,"as those terms are
defined in applicable federal andfor 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 wntten signature.
APoca wc° SUPERVISORY APPRAISER(ONLY IF REQUIRED)
PA StrAe tem lad General into EebPo Appraser
Signature Signature
Name Laurence W.Brotllech Name
Company Name L.W.BRODISCH REAL ESTATE Company Name
Company Address 10 Church Road Company Address
Newport PA 17074
Telephone Number 717-567-6905 Telephone Number
Email Address twbrodischApa.reet Email Address _
Date of Signature and Report July 28 2014 Date of Signature
Effective Date of Appraisal June 24,2013 State Certification#
State Certification# GA000869L or State License#_
or State License# _ State
or Other(describe) _ State# Excitation Date of CerSfication or License _
State PA
Expiration Date of Certification or License 06/30/2015
SUBJECT PROPERTY
ADDRESS OF PROPERTY APPRAISED
266 Montebello Farm Road 8 Did not inspect subject property
Duncannon PA 17020 Did Inspect exterior of subject property from street
Date of Inspection _
APPRAISED VALUE OF SUBJECT PROPERTY$ 158,000 __ ❑Ditl Inspect interior and exterior of subject property
CLIENT Date of inspection
Name _
Company Name Estate of Donna J.Fritz COMPARABLE SALES
Company Address c/e Michael L.Banos Rag. Did not inspect exterior of comparable sales from street
429 South 18th Street Camp Hill.PA 17011 8 Did inspect exterior of comparable sales from street
Email Address mikebanos� Date of Inspection
NIL-General Certification 5/2007 The(on may be repraduced unmodified without written permission,however,BnAbN Technobgies,Ina must Ee acknowledged and credited.
Produced by CIIckFORMS Software 800-622-8727 Page 6 of 29
t _ �
The 60n1kof Land sburg ESTABLISHED 1903
P.O. BOX 179 • LANDISBURG, PA 17040
May 20, 2014
Michael L Bangs,Attorney-at-Law
429 South 181h Street
Camp Hill, Pa 17011
RE: Estate of Donna J Fritz
Date of Death: June 24, 2013
SS#: 184-26-5047
Dear Sir:
Following is the information you requested. There was a POA listed on the account at the time of death
as an Esquire, Diane G Radcliff. Please note, as of this time we have not received a Death Certificate.
Opening Account Account Balance Prior Interest Accrued
Date Type Number To Interest Bearing Interest
12/08/2008 CD 700021062 $10,365.58 Y $2.19
If I can be of further assistance,please advise.
Very truly yours,
Connie L Welcomer
cc: Decedent's folder
LANDISBURG /11 7893213 '31_AIN 536-3118 �WERNIANS DALE - 582-8511
9 ✓�loqU
o,, c
RIVE VIEW BANK
AND ITS OPERATING DIVISIONS
200 Front Street,PO Box B,Marysville,PA 17053
www.riverviewbankpa.com
May 19, 2014
Michael L Bangs RE: Estate of Donna J Fritz
Bangs Law Office DOD: 6/24/2013
429 South 18th Street
Camp Hill PA 17011
Account Number(s) 226072710 3066577 3066578
Type of Account Checking Time Deposit Time Deposit
Date Opened November 29,2010 December 5, 2008 December 5,2008
Principal Balance at date of death $67,502.26 $10,295.39 $10,343.67
Interest Rate 0.5000% 0.1500% 0.2000%
Accrued Interest not
disbursed as of date of death $0.85 $1.13
Maturity Date September 5,2013 December 5,2013
Primary Owner of Account Donna J Fritz Donna J Fritz Donna J Fritz
Name of Joint Owner(s), if any
Beneficiary, if any
Date Joint Ownership was
Established
If within 1 year of death of
-- - Decedent could prior Account - - - - — - ---- - - -- - ------- ---
Be traced into a prior Joint
Account in existence over
1 year prior to death of
Decedent
Interest Earned in
Current Tax Year $84.14 $6.44 $8.63
N/A
nSafe Deposit Box(s)and Location
By l �.11� l 1 h[A.d tP
Christina Mders
Halifax Bank Marysville Bank
BB300 Market Street 200 Front Street
PO Box A PO Box B
Halifax Bank Halifax,PA 17032 arysville i Marysville,PA 17053
www.halifaxbankpa.com www.marysvillebankpa.com
Got Will UttA (&Sfat"ttt
OF
It DONNA JEAN FRITZ
I, DONNA JEAN FRITZ of Camp Hill, Cumberland County, Pennsylvania,
f do maker publish and declare this to be my Last Will and Testament, hereby revoking
all previous Wills and Codloils heretofore made by me. .
FIRST: I order my Co-Executors hereinafter named to pay all my debts
and funeral expenses as Won after my death as reasonably possible.
SECOND: All the rest, residue and remainder of my estate, of
whatsoever kind and wheredoever situated, I give, devise and bequeath to my beloved
children, Jodi Ann Fritz of New York City, New York, and Robert Lee Fritz of
Harrisburg, Dauphin County, Pennsylvania, in equal shares, per capita.
THIRD: If either of my beloved children should predecease me or fail
to survive me by thirty (30) days, then I 'devise that his or her share be distributed
to the surviving child.
FOURTH: I appoint my children, Jodi Ann Fritz and Robert lee Fritz,
Co-Executors of this my Last will and 'Testament.
KIM I direct that my Cc-Executors shall not be rgquired to give
bond for the faithful performance of their duties in any jurisdiction.
SIXTH: I hereby declare it to be my express desire that the
Co-Executors of this my Last. Will and Testament, employ the law firm of Marncke &
Lightman of Harrisburg, Dauphin County, Pennsylvania, for legal advice and assistance
j&
c r
X O w V" 1
c7 _
n f n
o C 2!
N
in the probating of and carrying out of the provisions of my Last Will and Testament,
they having an intimate knowledge of my affairs, views and wishes respecting many
matters that may arise in theuprobate of this instrument, the administration of my
estate and the execution of the powers therein mentioned.
IN WITNESS WHEREOF, rI have hereunto set my hand and seal to this my
Last Will and Testament this. T
((( day of 41I , 1978.
Jean F (SEAL)
ri
This instrument consisting of two typewritten pages, each bearing
the signature of the above named, Donna Jean Fritz, was by her on the date hereof,
signed, published and declared by her to be her Last Will and Testament, in our
presence, who at her request, and in her presence.and in the presence of each other,
we believing her to be of sound and disposing mind and memory, have hereunto
subscribed our names as witnesses. v
/ residing at! / 2 /1../�•Y� 'fin ,�!/n /� A -/
. residing at - i �3 LL /`"N///C i