HomeMy WebLinkAbout09-09-14 (2) � 1505610105
J REV-1500 EX�oz_��,�FI>T�
PA Department of Revenue pennsylvania OFFICIAL USE ONLY
Bureau of Individual Taxes �`�"�'"`�` County Code Year File Number
PO eoXz8o6o1 � INHERITANCE TAX RETURN
Harrisburg,PA 1�i28-o6oi RESIDENT DECEDENT 21 14 00489
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
05/04/2014 07/15/1920
DecedenYs Last Name Suffix DecedenYs First Name MI
McClain Margaret H
(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
� 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4.Limited Estate p 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
O 6.Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INPORMATION SHOULD BE DIRECTED T0: •
Name Daytime Telephone Numbei
4'� � .�y �
Luther E. Milspaw, Jr. (717)23�3�1 � rn� �
REGISTE FdRILLS U ONL�
� � � ��
� � � � .�
First Line of Address ,„,- `�'� ", �y
130 State Street �"� '�, rrv'' � �
F�> {' -�j � :�
t:::� c.- �
Second Line of Address . ,:,3 N �—
P.O. Box 946 .� � o �
City or Post Office State ZIP Code y DATE FILED�
Harrisburg PA 17101
CorrespondenYs e-maii address: luthermilspaw@milspawlawfirm.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.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
J° N�. ° � z -� -za,y
ADDR S
, 1 L Dri , amp Hill, PA 17011; 317 ountain R ad Dillsburg, PA 17019
SI N U E F E AR O ER TH REPRESENTATIVE (� E
ADDRESS
130 State Street, Harrisburg, P 17101
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610105 1505610105 J
' 15D5610205
�
REV-1500 EX(FI)
DecedenYs Social Security Number
�ecedenes rvame: MaPgBret H. MCClalrl
RECAPITULATION
1. Real Estate(Schedule A). . .... ....... .. . . ....... ......... . ........... 1. 90,000.00
2. Stocks and Bonds(Schedule B) .. .......... .. . .... ........... ..... .... 2. 0.00
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0.00
4. Mort a es and Notes Receivable Schedule D 4. 0.00
9 9 ( ). ... ..... . .... . .... . .... . ..
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E)... .... 5. 94,585.72
6. Jointly Owned Property(Schedule F) O Separate Billing Requested . ..... . 6. 0.00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate PropeRy
(Schedule G) O Separate Billing Requested...... .. 7. 57,701.46
8. Total Gross Assets total Lines 1 throu h 7 8. 242�287•1$
� 9 ). .... ................... .... .
9. Funeral Expenses and Administrative Costs(Schedule H)........ ..... . ..... 9. 25,845.03
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I). .... . .... ..... 10. 1,795.31
11. Total Deductions(total Lines 9 and 10)... ... ... ..... ..... ........... ... 11. 27,640.34
12. Net Value of Estate(Line 8 minus Line 11) .... .......................... 12. 214,646.84
13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) ....... ..... . ........... 13.
14. Net Value Sub'ect to Tax Line 12 minus Line 13 �4. 214,646.84
1 � ) .. ...... .... ...... ..... .
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.0_ 15. 0.00
16. Amount of Line 14 taxable
at lineal rate X.0 45 214,646.84 �g, 9,659.11
17. Amount of Line 14 taxable
at sibling rate X.12 17. �.��
18. Amount of Line 14 taxable
at collateral rate X.15 �g, 0.00
19. TAX DUE .... .. .. . . . .. . . . . . . . . .. . .. . ............ . ..... ............ 19. 9,659.11
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
L 1505610205 1505610205 �
�REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
Margaret H. McClain
STREET ADDRESS
1800 Letchworth Drive
CITY STATE ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 9,659.11
2. CreditslPayments
A.Prior Payments
B.Discount
Total Credits(A+g) (2) 0.00
3. Interest
(3) 0.00
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 9,659.11
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.......................................................................................... ❑ �
b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ �
c. retain a reversionary interest .............................................................................................................................. ❑ �
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?.............. ❑ �
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
containsa beneficiary designation? ........................................................................................................................ � ❑
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 Jan. 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
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 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.
c
COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE
COUNTY OF CUMBERLAND
, i� �
�
I, L lSA M. GRA YSON, ESQ.
Register for the Probate of Wills and Granting
Letters of Administration in and for
CUMBERLAND County, do hereby certify that on
the 2nd day of July, Two Thousand and Fourteen,
Letters TESTAMENTARY
in common form were granted by the Register of
said County, on the
estate of MARGARET H MCCLA/N , late of LOWER ALLEN TOWNSH/P
(First,Middle,LasU
a/k/a MARGARET HENRIETTA MCCLAIN
in said county, deceased, to PATRICK M MCCLAIN and
(fi�st,Middle,Last!
MICHELE MCCLAIN WHAPELES
(Fiist,Midd/e,Last!
and that same has not since been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
sea.Z of sai d offi ce a t CARLISLE, PENNSYLVANIA, thi s 2nd day of July
Two Thousand and Fourteen.
Fi1e No. 2014- 00489
PA Fi 1 e No. 21- 14- 0489
Da te of Dea th 5/04/2014 '
S. S. #
�
Re ter
����Q Q���l�t�i(�U�J���
Dep y
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL
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I do hereby certify the foregoing to be ?
---_--_ `-''�
a true and correct copy of the original. NOTARIAI SEAL
r,aRa�swa�Tz
, Notary Public
� HAHRISBURG CITI;QAUPHIN COUNTV
Notary: ''i ' '? ' My Commission Expires Oct 11, 2016
LAST WILL AND TESTAMENT �:,> �;;
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of � -:- " -._ "=, .-'
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1VIARGARET H. McCLAIN - - � �� r` ;: "
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I, MARGARET H. McCI,AIN, of 1800 Letchworth Drive, Camp Hill, Cu�i�ie'rl�and ,,.~.�',3 � t �-}
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Count and Commonwealth of Penns lvania and bein of sound and dis osin inind mer� r `� r'•�
Y, Y , g p �� � �� y �� ���
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and understanding, do malce, publish and declare this as and for my Last Will and Testament,
hereby revoking and making void all foriner wills and codicils by me at any time heretofore
made,including specifically that will dated March 5, 1991.
ITEM I: I direct that the expenses of my blirial and all my just debts be paid as
soon after my death as may be convenient to my Co-Executors hereinafter
named.
ITEM II: I give, devise and bequeath all of my property and estate at the time of my
death or to which I may be entitled, whether real or personal, of
whatsoever nature and kind, and wheresoever situate, including any and all
property as to which I may have the power of appointment, absolutely and
without restriction to my children, PATRICK M. McCLAIN, now oi
formerly of 1800 Letchworth Drive, Camp Hill, PA 17011; and MICHELE
McCLAIN WHAPELES, now or formerly of 317 Mountain Road,
Dillsburg, PA 17019, in equal shares,peN sti�pes.
�
ITElVI III: I hereby nominate, constitute and appoint PATRICK M. McCLAIN and
MICHELE McCLAIN WHAPELES,to be the Co-Executors of my Estate.
If either of my named Co-Executors does not survive me, or is unable or
unwilling to serve for any reason,the other may serve alone.
ITEll�I�: I give to my Fiduciaries the following powers in addition to those granted
by law, which are to be construed in the broadest manner consistent with
their duties as fiduciaries.
� a. To retain any or all of the assets of my estate,real or personal,
, without regard to any principle of diversification or risk.
b. To invest in all forms of properiy, including stocks, common trust
funds and mortgage investment funds, as they deem proper without
regard to any principle of diversification or risk.
c. To sell at public or private sale, to exchange or to lease, for any
period of time, any real or personal property and to give options
for sale, exchanges or leases,for such prices and upon such terms
or conditions as they deem proper.
d. To allocate receipts and expenses to principal or income or partly
to each as they from time to time think proper.
e. To borrow money from any person or institution, and to mortgage
or pledge any or all real or personal property as my Executors or
Trustees, in their sole discretion shall choose, without regard for
the dispositive provisions of this instrument.
- 2 -
f. To register securities in street name or in the name of a nominee or
in such manner that title shall pass by delivery and to vote, in
person or by proxy, securities held hereunder and in such
connection to delegate discretionary powers.
g. To compromise any claim or controversy.
h. To choose the optional valuation date for federal estate tax
purposes.
i. To exercise any law-given option to treat administrative expenses
either as income or as estate tax deductions,without regard to
whether the expenses were paid from principal or income.
j. To exercise any law-given option to pay death taxes in
installments, the payment of interest due on such installments to be
a charge against principal.
k. To make distribution in cash or in kind, or partly in cash and in
kind, and in such manner as they rnay determine, and at valuation
�nally to be fixed by them.
�TEli�i V: All federal, state and other death taxes payable on the property forming
my gross estate for those purposes, whether or not it passes under this
Will, shall be paid out of the principal of my probatv estate just as if they
were my debts, and none of those taxes shall be charged against any
beneficiary. This provision shall not apply to any property over which I
have a general power of appointment for federal estate tax purposes.
- 3 -
�
ITEM VI: To the extent that such requirements can be legally waived,I direct that
my Co-Executors shall not be required to post bond or give any security in
connection with their duties hereunder,whether in the Commonwealth of
Pennsylvania or any other jurisdiction.
IN WITNESS WHEREOF, I,MARGARET H. McCLAIN,have hereunto set my hand
and seal to this,my Last Will and Testament which consists of six(6)typewritten pages,
including the Self-Proving Affidavit, this 1S`day of February 2012.
F.
�� �"�; �- ��` ,��1 i� �� �'�J�'��C.� ''
,� �'�,'_�.�' �.., .�...� �
Margar�t H.McClain
- 4 -
.
Signed, sealed,published and declared by the above-named, Margaret H. McClain, as her
Last Will and Testament in the presence of us,who at her request, in her presence and in the
presence of each other have hereunto subscribed our names as witnesses.
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WITNESS
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- 5 -
. �
SELF-PROVING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA .
: ss:
COUNTY OF DAUPHIN : � -
We,Margaret H. McClain,Luther E. Milspaw, Jr., and Anne Marie Beshore,the
Testatrix and witnesses, respectively,whose names are signed to the attached and foregoing
instrument,being duly qualified according to law, do hereby declare to the undersigned authority
that the Testatrix signed and executed the attached instrument as her Last Will and Testament
and that she signed it willingly, and that she executed it as her free and voluntary act for the
purposes expressed therein, and that each of the witnesses, in the presence and hearing of the
Testatrix,signed the Will as witnesses, and that to the best of our knowledge the Testatrix was at
the time eighteen (18)years of age or older, of sound mind, and under no constraint or undue
influence.
"��'j/ . � - � / -.�Y� ''%� � >
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r;
Margaret H. McClain
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Witness
Subscribed, sworn to and acknowledged before me by Margaret H. McClain, Testatrix,
and subscribed and sworn to before me by Luther E. Milspaw, Jr., and Anne Marie Beshore,
witnesses, this ls`day of February 2012.
�� 1
NOTARIAL SEAL • '� '
TARA L.SWARTZ I �` 1 '' �/ h
Notary Pubiic � ��'`.+�'� ^ f. �_� �;�._.?C;�:'t'.:�/`1;,.�
HARRISBURG CITY,DAUPHIN COUNTY Not'ry Public ��
My Commission Expires Oct t1,2012 �
___J.-
REV-1502 EX+(11-08)
`` �� pennsylvania SCHEDULE A
4� DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Margaret H. McClain 21-14-0489
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 P.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1� Single-family dwelling unit located at 1800 Letchworth Drive,Camp Hill, PA 17011;Decedent 90,000.00
acquired title to the premises by virtue of her marriage to John R. McClain.
TOTAL(Also enter on Line 1, Recapitulation.) $ 90,000.00
If more space is needed,insert additional sheets of the same size.
, Kurt Eby Real Estate Appraisals
File No.
Case No.
' Residential A raisal Re ort
The u se of this a raisal re rt is to rovide the client with an accurate and ad uatel su rted o inion of the market value of the sub' t ro
Pro Address 1800 Letchworth Ddve Cit Cam HIII State PA Zi Code 17011
Owner McClaln Ma aret Estate Intended User PatMcClaln Count Cumberland
L al Descri tion See Plat Ma Attached
AssessorsParcel# 13-23-0547-213 TaxYear 2014 R.E.Taxes 1861.47
Nei hborhood Name HI hland Estates and HI hland Park Ma Reference Mevo 2848-D4 Census Tract 0110.02
Occu ant X Owner Tenant Vacant S cialAssessments n a PUD HOA n a r ear rmonth
" Pro R Ri hts A raised X Fee Sim le Leasehold Other describe
Intended Use EsUmate the Most Probable Sellin Price for settlement of the estate
Client Pat McClain Address 1800 Letchworth Ddve Cam Hill PA 17011
Is the sub'eci ro rt currentl offered for saie or has it been offered for sale in the tweive months rior to the effective date of this a raisal? Yes X No
R rt data source s used offerin s rice s and date s.
i 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
rformed. This is not a sale Vansaction
� Contract Price Date of Contract Is the ro R seller the owner of ublic 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 purchaser? Yes No
• If Yes re rt the total dollar artwunt and describe the items to be aid.
Note:Race and the racial com ositlon of the net hborhood are n�a raisal factors.
Location Urban X Suburban Rural Pro rt Vaiues Increasin X Stabie Declinin PRICE AGE One-Unit 97 ^/,
' Built-U X Over�5% 25-75°� Under25% Demand/Su I Short X InBalance OverSu I 000 rs 2-4Unit 0 %
. Growth Ra id X Stable Slow Marketin Time X Under3mlhs 3-6 mths Oversmms 85 Low 40 Multi-Famil 2 %
Nei hborhood Boundaries I considerihe nei borhood to encom ass the residenUal develo ments known as"Hf hland 180 Hi h 75 Commercial 0 %
• Estates and HI land Pa�c."The extremitles of the market value ran e&a e were omltted from the nei hborhood anal is. 130 Pred. 55 Other 1 °h
�� Nei hborhood Descri tion fie nei hborhood Is Iocated a roxtmatel 1.5 mlles southeast of the center s uare In Cam HIII. Most amenlUes are located w(ffiIn eltherwalkln
distance or a shortcommute from this nel borhood. The nei borhood offers ical suburban Ilvin with leasant residerWal News.The other land use in the nei hborhood is a
house of worshi .
Market Conditions includin su rt for the above conclusions Accordin to the Home Price Inde af Freddie Mac the Metro olitan StaUsUcal Area of Hartisbur-Carlisle had
1.27 ercent de rectaUon from A rll 1 of 2013 throu March 31 of 2014.More recent staUsUcs have not been ubllshed.
Dimensions 60'x 115.65'x 58.86'x 7'x 88.36' Area 0.14 acres Sha e Irre lar View ResidenUal
S ificZonin Gassification R-1 Zonin Descri tion Residentlal
Zonin Com liance X L al Le al Nonconfortnin Grandfathered Use No Zonin III al describe
Is the hi hest and best use of sub'ect ro rt as im roved or as ro osed r lans and s ifications the resent use? X Yes No tf No describe.
Utllitles Public Other describe Public Other describe Off-site Im rovements—T e Public Private
Electrici X Water X Street As halt X
Gas X Sanita Sewer X Alle None
FEMA S ial Flood Hazard Area Yes X No FEMA Flood Zone X FEMA Ma # 42041CO281E FEMA Ma Date 3 16 2009
Are the utilities andloroff-site im rovements t icai for the market area7 X Yes No If No describe.
Are there an adverse site conditions or extemal factors easements encroachments environmental conditions land uses etc.? Yes X No If Yes describe.
The site is malntained in a lawn and has mature shrubbe .The sha e of the sRe fs a ical and there is a small rear ard.
..�
Units X One One with Accesso Unit X Concrete Slab Crawl S ace Foundation Walis Mason -Avera e Floors C t Laminate-Av.
#of Stories 1 Full Basement Partial euement Exterior Walis Vin 1&P.SWne-Avera e Walls Plaster-Avera e
T X Det. Att. S-Det.lEnd Unit BasementArea 0 s .ft. Roof Surface Com osite Shin e-Av . TrimlFinish Wood-Avera e
X Existin Pro sed UnderConst. BasementFinish % Gutters&Downs uts Aluminum-Avera e BathFloor Vin -Avera e
Des' n St le Ranch OutsideEnt IExit Sum Pum WindowT WoodDoubie-Hun -Av . BathWainscot CeramicTile-Av .
Year Buiit 1950 Evidenceof Infestation StormSash/Insulated Thertna ane-Avera e Car Sto e None
Effective A rs 35 Dam ness Settlement Screens Yes-Avera e X Drivewa #of Cars 2
Attic None Heatin FWA HWB X Radiant Amenities Woodstove s # Drivewa Surface As haR-Avera e
X Dro Stair Stairs Other Fuel Gas Fire iace s# Fence Gara e 2F oi Cars 0
Floor Scuttle Coolin X CentralAirConditionin PauaDeck 2 Porch Cov&Encl Ca ort #ofCars 0
Finished Heated Individual Other Pool Other Atl. Det. Built-in
A liances Refri rator X Ran e/Oven Dishwasher Dis sal X Microwav WasherlD er Other describe
Finished area above rade contains: 6 Rooms 3 Bedrooms 1.00 Bath s 1015 S uare Feet of Gross Livin Area Above Grade
� Additional features s ial ene efficient items etc. None
Describe the condition of the ro includin needed re airs deterioration renovations remodeiin etc.. The interlor a ears to be ori Inal to the house exce t forthe
van sink and the tollet.The Intedor Is In avera e condiUon,afthou dated.
Are there an h sic�deficiencies or adverse conditions ihat affect the livabilit soundness or structurai int rit of the ro ? Yes X No If Yes describe
Does lhe ro rt nerall confam to the nei hborhood funclional utili s le condition use construction etc.? X Yes No if No describe
NL-Residentia1512007 This form may be reproduced unmod�ed wilhout written pertnission,however,Bradford Technologies,Inc.must be acknowledged and credited.
Produced by ClickFORMS Software 800-622-8727 Page 1 of 19
, Kurt Eby Real Estate Appralsals
File No.
Case No.
' Residential A raisal Re ort
There are 0 com arable ro erties currentl offered ior sale in the sub'ct nei hborhood ran in in rice from 70 000 to 100 000
There are 7 com arable sales in the sub'ct nei hborhood within the ast twelve months ran in in sale rice from 75 500 to 100 000
FEATURE SUBJECT COMPARABLE SALE#1 COMPARABLE SALE#2 COMPARABLE SALE#3
Address 1800 Letchworth Ddve 1819 Letchworth Drive 1932 Chatham Drlve 1804 Letchworth Drfve
Cam Hill PA 17011 Cam Hill PA 17011 Cam HIII PA 17011 Cam Hill PA 17011
Proximit to Sub'ect 0.10 miles S 0.21 miles W 0.02 mlles S
Sale Price 86 005 100 000 $ 85 000
Sale PricelGross Liv.Area 0.00 s .ft. 84.73 s .ft. 98.52 s .ft. 62.82 s .ft.
Data Source s CenVal Penn MLS Central Penn MLS CenVal Penn MLS
Verification Source s Cumbedand Coun TaxAssessment Cumbedand Coun TaxAssessmeM Cumbedand Coun TaxAssessment
VALUEADJUSTMENTS DESCRIPTION DESCRIPTION - Ad'ustment DESCRIPTION - Ad'ustment DESCRIPTION - Ad'ustment
Sale or Financin Cash FHA Cash
Concessions No Concesslons Sales Concesslons -5 00 No Concesslons
Date of Sale/Time 12 18 2013 12 23 2013 11 15 2013
Location Suburban Av Suburban Av Suburban Av Suburban Av
Leasehold/Fee Sim le Fee Sim le Fee Slm le Fee Sim le Fee Slm le
Site 0.14 acres 0.18 acres -100 0.23 acres -2 00 0.21 acres -2 00
View ResldenUal Residentlal ResidenUal ResldeMlal
Desi n St le Ranch Ranch Ranch 1.5 Sto
Quali of Construction Av Fram&P.Stone Av Frame Av Frame Av Blk&P.Stone
ActualA e 64 61 rs 65 rs 64 rs
Condition Avera e Good Avera e Infe�lor +5 00
Above Grade 7otal Bdrms Baths Total Bdrms Baths Total Bdrtns Baths Total Bdrms Baths
Room Count 6 3 1.00 5 3 1.00 6 3 1.00 6 3 1.00
Gross Livin Area 1015 s .ft 1015 s .ft. 1015 s .ft. 1,353 s .ft. -5 07
Basement&Finished 0 sf 0 sf 0 sf 0 sf
Rooms Below Grade
Functional Utili Avera e Avera e Avera e Avera e
Heatin Coolin Gas HWRad CenVal Gas FWA None +p p0 Gas HWRad None +2 00 EBB None +2 00
' Ene Efficient Items StandaM Standarcl Standard Standard
' Gar /Ca tt 2 Off SVeet S aces Ca ort -150 Off-SVeet P +50 2 Car Detached 3 50
� PorChlPatiolDeck Encl&Cov'd Porches Cov Porch +50 Cov Pch&Cov Patlo Cov Parch +50
U date Kitchen -2 00
• Net Ad'ustment otal + X - $ -2 000 + X - -4 500 X -3 070
Adjusted Sale Price Net Adj:-2% Net Adj:-5% Net Adj:-4%
of Com arables Gross Ad':8% 84 005 Gross Ad':10% 95 500 Gross Ad':21% 81930
- I X did did not research the sale or transfer histo of the sub'ect ro and com arable sales.If not ex lain
M research did X did not reveal an rior sales or transfers of the sub'ect ro rt for the three ears riw to the effective date of this a raisal.
Datasources CumbedandCoun 7axAssessmentDatabase
research did X did not reveal an rior sales or transfers of the com arable sales for the ear dor to the date of sale of the com arable sale.
Datasource s Cumberland Coun Ta�cAssessment Database
Re rt the results of the research and anal sis of the rior sale or transfer histo of the sub'ect ro rt and com arable sales re rt additional rior sales on e 3.
ITEM SUBJECT COMPARABLESALE#1 COMPARABLESALE#2 COMPARABLESALE#3
DateofPriorSalelfransfer 6 13 1969 3 30 1999 5 02 1983 8 23 1976
Price of Prior Sale/Transfer S i S86 000 557 500 y28 000
DataSour�es Deed Coun TaxAssessment Coun TaxAssessment Coun TaxAssessment
Effective Date of Data Source s 07 19 2014 07 19 2014 07 19 2014 07 19 2014
Anal sis of rior sale or transfer histo of the sub'ect ro ert and com arable sales n a
Summary of Sales Comparison Approach All com arables are located wiffiin the same IlUcal subdivision as the sub ect ro e .Com arables 1 and 2 are most slmllarto
ffie sub ect ro e and I have wei ted m o fnion of value In favorof these two sales.
Indicated Value b Sales Com arison A roach 90 000
Indicated Value b .Sales Com arison roach 90 000 Cost roach if develo ed n a Income roach if develo ed n a
I have favored ffie Sales Com adson Ana sis onl in esUmaUn the most robable sellin rfce of the sub ect ro e as R is the most reliable method in esUmaUn the market
� value.
' This appraisal is made X "as is," subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been
completed,Q subject to the following repairs or alterations on the basis of a hypothetical conditbn that the repairs or alterations have been completed,or Q subjecttothe
� foliowin re uired ins ction based on the extraordina assum tion that the condition or deficienc does not re uire alteration or re air:
Based on a complete visual inspection of the interior and exterior areas of the subjed property,defined scope of work,statement of assumptlons and limitlng
conditlons,and appraiser's certification,my(our)opinion of the market value,as defined,of the real property that fs the subject of this report is
90 000 as of 5 04 2014
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. Kurt Eby Real Estate Appraisals
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, Case No.
Residential A raisal Re ort
1. The Intended User of this a raisal re ort Is the Lender Clfent The IMended Use is to evaluate the ro e that is the sub ect of this a ralsal for esUmaUn its market
value sub ectto ffie stated Sco e of Woi1c u ose of the a ralsai re oNn re ui2ments of this a raisal re ort fortn and Definftlon of Market Value.No additlonal
IntendedUsersareldentlfledb thea raiser. PRNATEINFORMATIONABOUTTHECLIENTORBORROWERCONTAINEDINTHISREPORTMAYNOTBEDISTRIBUlEDTOANY
OTHERINDIVIDUALORENTITY.7HISINFORMATIONISSUBJECTTOTHEFEDERALTRADECOMMISSION PRIVACYOFCONSUMERFlNANCIALINFORMATION•FINALRULE 16
CFR PART313.
2.Sco e of the raisal:I have Ins ected the interlor and exteriorof the sub ect e and have measured the flnished Iivtn areas from the eMerforof the Im vements
based u on ANSI Amedcan Natlonal Standards Instltute uldelines.I have not Ins ected the attic if not a walk-u or an crewl s aces.I have not moved an ersonal
ro orfumituretolns ectthehouseor atnaccesstoblockedareas.Ididnottestthewater uali orwater ressure.Ididnotved thatbuildin ermttswerefssued
orro consWctlon of the sWcture or an structural addiUo�or an sW ctural conversions.Mlneral Umberand orsub-surface as d ts are not Included or considered in
this ra(sal.The ma sau�e of data used in tlie collection of sales was oblai�d from the local Multl le Listln Service unless I have reviasl ins ected the ro e .I
have ins cted and hoto ra hed the sales used as com arables from the ublic sVeet when ssible.�have verified U�e sales data of the com arables includln the
uare foota a e slte sfze consideraUon and date of recordin Na the Intemet on a website of the a m date coun tax assessment database.If the basementsizes are
not avaflable in the tax assessment database that is avallable via the imeme their sizes were estlmated.�revlewed the Interlor hoto ra hs of the sales in the MLS to
detertnlne thelr condRfon and de ree of ersonalfzaUon of the intedor decaratthe Ume of the sale•and an featured Im rovements such as u dated Idtchens baths and
flnished basements.Sales used as com arables are vdunta "arms-len °transactlons simllar h sicall and in e of locatlon and are as recent� ossfble.Data from
numerous sales is obtained for com adson tothe sub ect ro e .The sales selected as com arables are considered to be the most re resentaUve of the sub ect ro
Do�lar ad ustrnents are made for differences between the sub ect ro e and the com arables w renect market reactio�to items of sl ntficant variaUon.
3. The hoto ra hs of com arables 1 and 3 were obtained from the CenVal Penn MLS.The sales found at 1178 Shoreham Road and 1392 Lowther Road were not used as
' the were sold b the lenders after mo a e foreclosures.
4. Ad ustrnerrts In the Sales Com adson Anal is:An ad usUnent was made to com arable 2 forthe sales concessions aid b the seller on behalf of the bu er.Thls
' ad strnent is necessa to convertthe sellin rice to cash e uivalen .SRe ad usvnents were made to all com arables as th are la erand have la er rear ards than the
• sub ect ro .A conditlon ad ustrnentwas madeto com arable 3.There are no interlor oto ra hs in the MLS to revlew.This house was tenant occu ied and It was sold
� withoutthe a Ifances.The Iistln sheet denotes the house was sold as-is and R needed TLC.Atffie tlme this re ortwas re ared I have not received a retum tele hane call
� from the IIsUn a ent Linda Atherton 717-659-1344 to detertntne in what condiUon the house was atthe tlme Itwas sold.I believe the balance of the ad ustrnenu are
� self-e lanato .
Su rt for the o inion of site value summa of com rable land sales or other methods for estimatin site value
ESTIMATED REPRODUCTIONOR REPLACEMENTCOSTNEW OPINIONOFSITEVALUE
� Source of cost data Dwellin 1015 S .Ft. -
Quali ratin from cost service Effective date of cost data S .Ft. -
: Comments on Cost A roach ross livin area calculations de reciaiion etc.
' Due W ffie a e oithe structurel im rovements the h tcal de reciation fs difficult to Gar elCa ort 0 S .Ft. -
determine.The CostA roach fs not re uired if tlie house Is over one ear old. Total Estimate of Cost-new -
• -
Less Ph sieal Functional Eztemal
De reciation -
De reciated Cost of im rovements -
"As-is"Value of Site Im rovements -
Estimated Remainin Economic Life HUD and VA onl Years indicated Value B Cost A roach -
� Estimated Monthl Market Rent X Gross Multi lier = Indicated Value b Income A roach
Summa of Income A roach includin su rt for market rent and GRM 1 do not have fnfortnatlon ertainin to rents of slmilar e ro eNes to com lete the Income
A roach.
Is the develo rlbuilder in control of the Homeowner's Association HOA 7 Yes No Unitt s Detached Att�hed
Provide the followin infortnation for PUDs ONLY if the develo erlbuilder is in control of the HOA and the sub' t ro is an attached dwellin unit.
L al Name of Pro t
•
Total number of hases Total number of units Total number of units sold
Total number of units rented Total number of uniGs for sale Data source s
' Was the ro' t created b the conversion of existin buildin s into a PUD? Yes No If Yes date of conversion.
Does the ro' t contain an multi�wellin units? Yes No Datasource.
' Are the units common elements and recreation facilities com lete? Yes No if No describe the status of com letion.
. .
� Are the crommon elements leased to or b the Homeowners Association7 Yes No If Yes describe the rental terms and o tions.
Describe common elements and recreational facilities.
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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)pertorm 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:qs 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 markeYs
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 othervvise 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 appraisai.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 eacist 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.
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' APPRAISER'S CERTIFICATION: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.I performed a visual inspection of the interior and exterior areas of the subject 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.
3.I pertormed 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 sales comparison approach
for this appraisal assignment.I further certify that I considered the cost and income approaches to value but did not develop
them,unless otherwise indicated in this report.
5.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.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 othervvise indicated in this report.
7.I selected and used comparable sales that are locationally,physically,and functionally the most similar to the subject property.
8.I 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 will be built on the land.
9.1 have reported adjustme�ts to the comparable sales that reflect the market's 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.I have knowledge and experience in appraising this type of property in this market area.
12.I 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.
73.I 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.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 pertorming 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.I have not knowingly withheld any significant intormation from this appraisal report and,to the best of my knowledge,all
statements and information in this appraisal report are true and correct.
16.I 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.I 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.
19.I 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 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 I will take no responsibility for it.
20.I identified the client in this appraisal report who is the individual,organization,or agent for the organization that
ordered and will receive this a raisal re ort.
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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 U�iform Standards of Professional Appraisal Practice
that pertain to disclosure or distribution by me.
22.If this appraisal report was tra�smitted 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.
SUPERVISORY APPRAISER�S CERTIFICATION: The Supervisory Appraiser certifies and agrees that:
1.I 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 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.
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 Signature
Name KurtA.Eby,RAA Name
Company Name Kurt Eby Real Estate A� ralsals Company Name
CompanyAddress 1o61PennsvlvanlaAvenue CompanyAddress
Hartisburg,PA 17111-3019
Telephone Number 717-939-5222 Telephone Number _
EmailAddress keby@comcastnet EmailAddress
Date of Signature and Report 119/2014 Date of Signature
Effective Date of Appraisal 5/04/2014 ' State Certification#
State Certification# RL000040L Certifled ResidenUal Appralser or State License#
or State License# State
or Other(describe) State# Expiration DateofCertification or License
State PA
Expiration Date of Certification or License 06/30/2015
SUBJECT PROPERTY
ADDRESS OF PROPERTY APPRAISED
1800 Letchworth DrNe Did not inspect subject property
Camp Hill,PA 17011 Did inspect exterior of subject property from street
Date of Inspection
APPRAISED VALUE OF SUBJECT PROPERTY$ 90,000 ❑Did inspect interior and exterior of subject property
CLIENT Date of Inspection
Name
Company Name Pat McClatn COMPARABLE SALES
Company Address 18001etchworth Drive Did not inspect exterior of comparable sales from street
Camp Htll,PA 17011 Did inspect exterior of comparable sales from street
Email Address pmcciain1800@comcastnert Date of Inspection
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APPRAISAL COMPLIANCE ADDENDUM c�eNo.
� BorrowedGient McCLain Ma are Estate
Address 1800 Letchworth DrNe Unit No.
City Camp HIII County Cumberland State PA Zip Code 17011
LendedGient Pat McClain
This raisal Com liance Addendum is induded to ensure this a raisal re ort meets all USPAP 2014 r uirements.
. - ••- . •
This Appraisal Report is one of the following types:
�X Appraisal RepoR This report was prepared in accordance with the requirements of the Appraisal Report option of USPAP StandarcJs Rule 2-2(a).
❑Restricted Appraisal Report This report was prepared in accordance with the requirements of the Restricted Appraisal Report option of USPAP Standards Rule 2-2(b).The
intended user of this repoR is limited to the identified client.This is a Restricted Appraisal Report and the rationale for how lhe appraiser arrived
at the opinions and conclusions set forth in the report may not be understood properly without the additional information in the appraiser's workfile.
•�� • •
I certify that,to the best of my knowledge and belief:
' The statements of fact contained in this report are true and correct.
� The report analyses,opinions,and conclusions are limited only by the reported assumptions and are my personal,impartial,and unbiased professional analyses,
opinions,and conclusions.
' I have no(or the specified)present or prospective interest in the properly that is the subject of this report and no(or specified)personal interest with respect to the
parties involved.
i have no bias with respect to the property that is the subject of this report or the paAies 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
this appraisal.
' My analyses,opinions,and conclusions were developed and this report has been prepared,in conformity with the Uniform Standards of Professional Appraisal Practice.
' I have perfortned the appraisai in conformity with the Uniform Standards of Professional Appraisal Practice and Title XI of the Financial Institutions Reform,Recovery,and
Enforcement Act of 1989 as amended 12 U.S.C.3331 est.s ..
•-
' X I have NOT performed services,as an appraiser or in another other capacity,regarding the property lhat is the subject of the report within the three-year period
immediately preceding acceptance of this assignment.
' ❑I HAVE performed services,as an appraiser or in another capacity,regarding the property that is the subject of this report within the three-year period immediately
recedin acce tance of this assi nment.Those services are described in the comments below.
.�. �
' I X HAVE made a personal inspection of the property that is the subject of this report.
' I have NOT m�le a rsonal ins tion of the ro that is the sub'ect of this re rt.
Unless othenvise noted,no one provided sign�cant real property appraisal assistance to the person signing this cerlification.if anyone did provide significant assistance,they
are hereby identified along with a summary of the extent of the assistance provided in the report.
na
��� • •
Additional USPAP related issues requiring disclosure and/or any state mandated requirements: n a
■ •• •- -�•
eX A reasonable marketing time for the subject property is 90-120 day(s)utilizing market conditions pertinent to the appraisal assignment.
X A reasonable exposure time for the subject property is 30-120 day(s).
•- • � �
Signature Signature
Name KurtA.Eb RAA Name
Date of Signature 7 19 2014 _ Date of Signature
State Certificatio�#RL000040L Certffled Residen lal Appralser State Certfication#
or State License# or State License#
Staie PA State
Expiration Date of Certification or License O6/30/2015 Expiration Date of Certification or License
Su ervisory Appraiser Inspection of Subject Propert:
Effective Date of Appraisal 5/04/2014 � Did Not ❑ Exterior Only from street � Interior and Exterior
USPAP Canpliance Addendum 2014 Page 7 Of 19
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Case No.
• Borrower McCLain,Marga2t,Estate
PropertV Address 1800 Letchworth Drive
City Camp Hill CounN Cumbedand State PA Zip Code 17011
Lender/Client Pat McClain Address 1800 Letchworth Drive,Camp Hill PA 17011
ON Y'HI$ ll3:h I'HIRrI�:'I'H D6Y OF 3U�$r D[YN�'PRh�I HUNDH$D AZiD
BIXl'Y—�iIIyE�'�r }s'NAICA 8. JOtt2i8, A(�IiL�ls' 'PO SiiLL TO JOHN R.. _
biCCLAIDT FOR 1'H33 SUM OF ONS DOLL9H A PARCisL OR�LAND
7��$CRIBk� A3 FOLLOtYSt . :t.' •
• TO BF,GIIv aT OaHb[Eli3 OF LOY'S_.1, 29 AND 30 TO •
. k�C't�iSD ��V�N F��T AI.Oirt� THk� LTNk� DI.VI])ING
• T,02'S �. 6t1D 30. 1Hk�NC� `i'4 cX`PLIJA AT+OI�FC3 'iEiE • .
LI1J� DIVIJ�I:I�16 I,Q'1'8 2�J, �iD '30 NOHT�:ASTuti"'LY .
. 49 'Fr:b'�' `PO 0 F�tSl' AT A P072dT.DIVIlilT1Q LOT9 29
. . AP(L 30. �. �• . . : . ' �
BL�L.YROL'i�H`IIFS J3kiEtL-1'H altk LUC47isA IN HZ(IHI+Ai`�D �STE►'1'k$i
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. Second Page of Deed File No.
Case No.
� Borrower McCLain,Margaret Estate
Propertv Address 1800 Letchworth Drive
City Camp Hlll County Cumbedand State PA Zip Code 17011
lender/Chent Pat McClatn _ Address 1800 Letchworth Ddve Camp Hill PA 17011
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. SKETCH ADDENDUM File No.
Case No.
Borrower McCLain,Margaret,Estate
Propertv Address 1800 Letchworth Drive
City Camp Hill CountV Cumbedand State PA Zip Code 17011
LendedGient Pat McCIaIn_ Address 1800 Letchworth Ddve Camp Hill PA 17011
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PLAT MAP File No.
Case No.
Borrower McCLain,Margaret,Estate
Propertv Address 1800 Letchworth Drive
City Camp Hill Countv Cumbedand State PA ZiD Code 17011
LendedGient Pat McClain Address 1800 Letchworth Drive Camp Hill PA 17011
Produced by ClickFORMS Software 800-622-8727 Page 11 of 19
. Kurt Eby Real Estate Appraisals
LOCATION MAP ADDENDUM File No.
� Case No.
Borrower McCLain,Margaret,Estate
Propertv Address 1800 Letchworth Drive
CitY Camp Hill Countv Cumbedand State PA Zio Code 17011
LendedClient Pat McClalo Address 1800 Letchworth Ddve Camp Hill PA 17011
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• Kurt Eby Real Estate Appraisals
, SUBJECT PHOTO ADDENDUM File No.
Case No.
Borrower McCLain,Margaret,Estate
Property Address 1800 Letchworth Drive
City Camp Hill Countv Cumberland State PA Zip Code 17011
LendedGient Pat McClain Address 1800 Letchworth Ddve Camp Hfll PA 17011
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Camp HIII,PA 17011
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. _ .
Kurt Eby Real Estate Appraisals
- SUBJECT PHOTO ADDENDUM File No.
Case No.
Borrower McClatn Mar�;aret,Estate
Property Address 1800 Letchworth Drlve
City Camp HIII CountV Cumberland State PA Zip Code 17011
LenderlClient Pat McClafn Address 1800 Letchworth DNve Cam Hfll PA 17011
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Kurt Eby Real Estate Appraisals
. SUBJECT PHOTO ADDENDUM File No.
Case No.
Borrower McCLaln,Margaret Estate
Property Address 1800 Letchworth Drive
City Camp Hill CountV Cumbedand State PA Zip Code 17011
LenderlGient Pat McClaln Address 1800 Letchworth Drive Cam Hill PA 17011
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Kurt Eby Real Estate Appratsals
. SUBJECT PHOTO ADDENDUM File No.
Case No.
Borrower McCLafn Ma�are.Estate
Property Address 1800 Letchworth Drtve
City Camp Mfll Countv Cumbedand State PA Zip Code 17011
LendedGient Pat McClatn Address 1800 Letchworth Ddve Cam HIII PA 17011
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Kurt Eby Real Estate Appraisals
. SUBJECT PHOTO ADDENDUM File No.
Case No.
Borrower McCLain Margaret Estate
Property Address 1800 Letchworth Drive
City Camp Hill Countv Cumbedand State PA Zip Code 17011
LendedClient Pat McClafn Address 1800 Letchworth Drive Cam HIII PA 17011
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• Kurt Eby Real Estate Appraisals
- COMPARABLES i-2-3 File No.
Case No.
Borrower McCLain Margaret,Estate
Procertv Address 1800 Letchworth DrNe
City Camp HIII Countv Cumbedand State PA Zip Code 17011
LendedCl�ent Pat McClain Address 1800 Letchworth Ddve Cam Hill PA 17011
COMPARABLE SALE# i
' � 1819 Letchworth Ddve
: Camp Hill,PA 17011
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1932 Chatham Drive
� ' Camp Nill,PA 17011
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Kurt Eby Real Estate Appralsals
. COMMENT ADDENDUM
File No.
Case No.
Bortower McCLain Mar�aret,Estate
Property Address 1800 Letchwarth Ddve
C� Camp Hfll Countv Cumbedand State PA Zip Code 17011
LendeNGient Pat McClatn Address 1800 Letchworth Drive,Cam Htll PA 17011
By signature ofthis fortn I certify that,to the best of my knowledge and belieE
1.I certifythat,to the best of my knowledge and belief,the reported analyses,opinions,and conclusians were developed,and this report has been
prepared,in confortniry with the requirements of the Code of Professional Ethics and the Standards of Professional Appraisal Practice.
2.This appraisal conforms to the Uniform Standards of Pmfessional Appralsal Practice luued by theAppralsal Standards Board af the Appraisal
Foundatian,to the applicable provisions ofTitle XI of the Federal Fnancial Institutions Refortn,Recovery and EnTorcementAct of 1989,12 U.S.C.3310,
3331-3351,and to the applicable regulatfons of the Federel Reserve System,12 CRF Parts 208 and 225.
3.The reported analyses,opinions,and conclusions are limited only by the reported assumptions and limiting condiUons,and are my personal unbiased
professional analyses,opinions,and conclusions.
4.The assignment of this appraisal was not based upon a requested minimum valuation,a specific valuaUon,a value within a given renge,or the
approval of a loan.
5.My compensadon is not contingent upan the reporting of a predetermined value or direction in value that favors the cause of the client,the amount of
the value estlmate,the attainment of a stipulated result,orthe occunence of a subsequent event
6.I have made a personal inspection afthe property that is the subject of this report(If more than one person signs the report,this certification must
clearly specify which individuals did and which individuals did not make a personal inspecdon of the appraised property.)
7.No ane provided signiflcant professional assistance to the person signingthis repoR(If there are exceptions,the name of each individual providing
significant professfonal assistance must be stated.)
8.Unless noted in the appraisal report,all mechanical systems including,but not limited W,the heating,air-conditioning,electrical and plumbing
systems appear upon a visual exterior inspection to be in working order.No warranties are implied in this statement.
9.Unless ofherwise stated In this report,the existence of hazardous substances or pollutants(any solid,Iiquid,gaseous orthermal irtiWnt or
contaminant,including but not Iimited ta asbestos,polychlorinated biphenyl's,petroleum leakage,radon gas,lead paint,agricultural chemicals,smoke,
vapor,soat,fumes,acids,alkaUs,chemicals and waste),which may or may not be present on the property;orother environmental conditions,were not
called to the attentian of nordid the appraiser become aware of such during the appraiser's inspecUon.The appraiser has no knowledge of the existence
of such materials on or in the property unless otherwise stated.The appreiser,however,is not qualified to test forsuch substances orcondiUons.If the
presence of such substances,such as asbestos,urea fortnaldehyde foam insulation,lead paint,or other hazardous substances orenvironmental
conditlons,is found,the value of the property may be adverseiy affected.The value stated in this report is predicated on the assumption that there is no
such condiUon on or in the property or in such proximity thereto that Itwould cause a loss in value.No responsibiliry is assumed for any such conditions,
norfor any e�ertise or engineering knowledge required to discoverthem.
10.Thfs report was prepared at the request of and forthe exclusive use of the client listed on page one ofthe appralsai.Neither all,norany part of the
content of the report,or copythereof(Including conclusions as to the propertyvalue,the identity of the Apprafser,professional desfgnaUons,reference to
any professional appraisal organizations,orthe firm with which the appraiser is associatec�,shall be used forany purposes by anyone but the ctlent
speafied in the report.Further,the appraiser,or firm,assumes no obligatlon,Ilabil(ty,or accountabilityto anythird party.
11.This appraisal is for no purpase otherthan property valuation,and the appreisers are neither qualifled nor attempUng to go beyond that nartow
scope.
12.This appraisal should not be considered a report on the physical items that are a part of this property.Although the appraisal may contain
information about the physical items befng appraised(induding their adequacy and/or conditlon),it should be clearly understood that this infortnation is
only to be used as a generel guide for property valuation and not as a complete or detailed physical report.The appraisers are not consVUCtion,
engfneering,environmenfal,or legal experts,and any statement given on these matters should be considered preliminary in nature.
13.Due to fhe confidentiality requirement within the Ethics provision of the Uniform Standards of Professfonal Appraisal Practice,confidential factual
data orthe results of this assignmentwill not be discussed with anyone except the client,orpersons speciHcally authorized by the client I will consult with
persons specifica�ly authorized,provided I receive a written authorization from the dient,and provided that a prearranged consulting fee is paid,in
advance.
Produced by ClickFORMS Software 800-622-8727 Page 19 of 19
REV-1508 EX+(6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS� ot MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Margaret H. McCiain 21-14-0489
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property Jointly-owned with right of survivorship must be disctosed on Schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1. PNC Bank(CD xx-0770)* 30,063.25
2. PNC Bank(CD xx-4276)' 14,394.74
3. PNC Bank(CD xx-7587)' 15,186.58
4. PNC Bank(checking xx-9786)* 25,920.08
5. PNC Bank(savings xx-1365)* 5,110.31
6. M&T Bank(savings xx-394-00)* 1,771.94
7. Miscellaneous personal property 860.00
8. John Hancock(life insurance proceeds)' � 2�8 82
*includes accrued interest
TOTAL(Also enter on line 5, Recapitulation) a 94,585.72
(If more space is needed,insert additional sheets of the same size)
`� ���
July 17, 2014
Luther E Milspaw
Attorney at Law
130 State St
Harrisburg, PA 171 Q 1
RE: Name: Margaret H McClain
SSN: 196-14-1032
DOD: OS/04/2014
Dear Mr. Milspaw:
In response to your request for Date of Death(DOD) balances for the customer noted above, our
records show the following:
Certificate of Deposit
Account# 31200150770 Established: 03/18/1999
MARGARET H MCCLAIN
DOD balance: $ 30,061.92 + 1.33 accrued interest
Account# 31400184276 Established: 04/17/2000
MARGARET H MCCLAIN
DOD balance: $ 14,394.20 = 0.54 accrued interest
Account# 31700297587 Established: 07/29/2006
MAR.GARET H MCCLAlN
DOD balance: $ 15,186.41 + 0.17 accrued interest
Checking Account
Account# 5140039786 Established: 04/Ol/1968
MARGARET H MCCLAIN
DOD balance: $ 25,920.03 + 0.05 accrued interest
Savings Account
Account# 5000881365 Established: 03/18/1999
MARGARET H MCCLAIN
DOD balance: $ 5,110.18 + 0.13 accrued interest
Page 1 of 2
Please note that this office provides date of death balances for deposit accounts (IRAs, CDs, Checking and
Savin�s). We do not process any financial transactions or provide statements. If you need assistance with
any ofthese items,please call 1-888-PNC-BANK(1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank, N.A.
Member FDIC
This �nessage is intended for the use of the individual or entity to which it is addressed and may
contain information that is privileged, confidential and exempt fi•om disclosure under applicable law.
If the reader of this message is not the intended recipient or the employee or agent responsible for
delivering this inessage to ihe intended recipient,you are Izerehy noiified tl�at any disseri�ination,
distribution or copying of this corrzmunications is strictly prohibited. If you have received this
communication in error,please not�nae immediately by reply or by telephone at 800-762-1775 and
immediately destroy this faxed document.
Page 2 of 2
St
�
MEMBERS lst
FHDERAL CR&DIT iJNION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 207394-00
Date Account Established 07/17/2001
Principal Balance at Date of Death $1,771.93
Accrued Interest to Date of Death $0.01
Total Principal ard Accrued Interest $1,771.94
Name of Joint Owner None
MEMBERS 1ST FEDERAL CREDIT UNION
���-�% �� C,�Ir%t,�. � � "-�-o
�� ��
Leigh-/�nne Stallings
Lending Insurance Support Supervisor
July 15, 2014
Estate of: Margaret H. McClain
Date of Death: 05/14/2014
Social Security Number: 196-14-1032
5000 Louise Drive • P.O.Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • wwwmemberslst.org
REV-1510 EX+(08-09)
� pennsylvania SCHEDULE G
� DEPARTMENTOFREVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Margaret H. McClain 21-14-0489
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY
NUMBER INCLUDE THE NAME OFTHE 7R�WSFER�,IHEIR RElATIONSHIP TO DKEDEM AND DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
THE DATE OF TRANSPER.A7TACH A COpY pF 1F{E DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST IF APPLiCABLE) VALUE
1• John Hancock Annuity(xx-6594);Patrick McClain/Michele Whapeles;
children;May 2,2014 26,914.87 100 0.00 26,914.87
z John Hancock Annuity(xx-5754);Patrick McClain/Michele Whapeles;
children;May 2,2014 30,786.59 100 0.00 30,786.59
TOTAL(Also enter on Line 7, Recapitulation) $ 57,701.46
If more space is needed,use additional sheets of paper of the same size.
' Holdings by Investor
Margaret H Mcclain Eric T Nikles Combined Account Portfolio
1800 Letchworth Dr. �nvestment Advisor Rep Date: 05/01/2014
���.1[;�j��O�j� Camp Hill,PA 17011 Keystone Financial Management Created:07/08/2014
'�V 1� l�l� 1624 Hausman Road.
� Financial Management Allentown,PA 18104
610-530-2112
Margaret H Mcclain
Acct Name:MARGARET H MCCLAIN 1800 LETCHWORTH DR CAMP HILL PA 170115933 US
Acct No SD1006594 AcctType:Non-Qualified
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FIXED, � , , :�., . ,�. . ,..�. ,:
OTHER X JOHN 26,914.87 1.00 26,914.87
HANCOCK
LIFE INS CO
(USA)
Account Total: $26,914.87
Acct Name:MARGARET H MCCLAIN 1800 LETCHWORTH DR. CAMP HILL PA 170115933 US CAMP HILL PA 170115933
US
Acct No:SD1005754 AcctType:Non-Qualified
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_� ,.,, . ,' „ Ticker AssetTYPe Mgt Name. ` Quarltity Rric�(S) � Maitl�;f�)
FIXED � � OTHER JOHN� � � 80,786.59 1.00 �� 30,786_59
HANCOCK
LIFE INS CO
(USA)
Account Total: $30,786.59
InvestorTotal: $57,701.46
Incomplete if presented without accompanying disclosure pages Page 1 of 2
REV-1511 EX+(10-09)
� pennsytvania SCHEDULE H
; DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
� INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Margaret H. McClain 21-14-0489
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A• FUNERAL EXPENSES:
1' Parthemore Funeral Home
11,796.46
2� Rolling Green Cemetery 1,830.00
3. Costco(pictures,food,refreshments,place settings for luncheon) 328.84
4� Giant Foods(platters for luncheon) 109.41
5• Staples(foam board for viewing) 16.52
s. Flinchy's(food for luncheon) 12.50
�� Wine&Spirits Shoppe(refreshments for viewing) 79.43
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
z• Attorney Fees: 5,000.00
3• Family Exemption; (If decedent's address is not the same as claimant's,attach explanation.) 3,500.00
Claimant Patrick M. McClain
Street Address 1800 Letchworth Drive
Ciry_Camp Hill State PA ZIp 17011
Relationship of Claimant to Decedent S011
4• Probate Fees: 355.00
5• Accountant Fees:
6• Tax Return Preparer Fees:
�� Cumberland County Register of Wills(filing fees:petition for hearing) 63.50
8• Cumberland County Register of Wills(filing fees:family settlement agreement) 20.00
9• The Patriot-News(legal publication) 277.46
�o� Cumberland Law Journal(legal publication) 75.00
��� Lower Allen Township Fire Company(EMS contribution) 30.00
�2• Total expenses/costs listed on additional page 2,350.91
TOTAL(Also enter on Line 9, Recapitulation) � 25,845.03
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ESTATE OF MARGARET H. McCLAIN
SCHEDULE "H"
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
11. Lower Allen Township (sewer and water) $ 122.70
12. State Farm (homeowners' insurance) 513.00
13. Internal Revenue Service (2013 income tax) 150.94
14. Kurt Eby (appraisal) 400.00
15. Bonnie Miller(property taxes) 1,164.27
Total Expenses and Costs: $ 2,350.91
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' RECEIPT FOR PAYMENT
-------------------
-------------------
LISA M. GRAYSON, ESQ. Receipt Date : 7/02/2014
Cumberland County - Register Of Wills Receipt Time: 13 : 58 : 34
One Courthouse Square Receipt No. : 1078461
Carlisle, PA 17613
MCCLAIN MARGARET H
Estate File No. : 2014-00489
Paid By Remarks : PATRICK M MCCLAIN
WZ
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 260 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 50 . 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Check# 626 $355 . 00
Total Received. . . . . . . $355 . 00
� RECEIPT FOR PAYMENT
LISA M. GRAYSON, ESQ. Receipt Date : 5/19/2014
Cumberland County - Register Of Wills Receipt Time : 14 :23 :33
One Courthouse S quare Receipt No. : 1078059
Carlisle, PA 17613
MCCLAIN MARGARET H
Estate File No. : 2014-00489 ---
Paid By Remarks : LUTHER E MILSPAW JR
CJ
------------------------ Receipt Distribution -------
-----------------
Fee/Tax Description Payment Amount Payee Name
PETITIONS 15 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
CITATION 20 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Check## 5401 $63 . 50
Total Received. . . . . . . . . $63 . 50
�he Pafriot-News Co. ♦
2020 Technology Pkwy � � ��O ,�,,, ��tt�
Y Suite 300 W
Mechanicsburg, PA 17050 iVow you know
Inquiries - 717-255-8213
LAW OFFICE OF LUTHER E MILSPAW, JR
130 STATE STREET
HARRISBURG PA 17101
STATE M E N T ALL CHARGES ARE NET
CCT# NAME AD ORDER# DATE EDITION ADDTL.INFO TYPE OF CHARGE AMOUNT
�5537 LAW OFFICE OF LUTHER E MILSPA� 0002306916 07/22/14 XXX BASIC AD CHARGE
'S537 LAW OFFICE OF LUTHER E MILSPA� 0002306916 07/29/14 XXX $90�82
'S537 LAW OFFICE OF LUTHER E MILSPA6 0002306916 08/05/14 XXX BASIC AD CHARGE $gp,82
BASIC AD CHARGE $gp,gp
AFFIDAVIT CHARGE $5.00
TOTAL: $277.46
This is not an invoice. Please do not remit payment from this Statement.
An invoice will be generated at the end of the month. --Thank you.
NOTE: This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication
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CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLiSLE, PA 17013
Tele: (717)249-3166 Fax:(71�249-2663
August 1, 2014
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Luther E. Milspaw, Jr., Esquire
RE: Margaret H. McClain Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on the following dates:
July 18, July 25 and August 1, 2014
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 0 .00
Total Amount Due $ 75.00
Payment received by
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� �REV-1512 EX+(12-08)
i `v pennsylvania SCHEDULE I
. " DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX REfURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF
Margaret H. McClain FILE NUMBER
Report debts mcurred by the decedent prior to death that remamed unpaid at the date of death,including n e mba ed medical expenses.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1' Alert Pharmacy Services, Inc.(prescriptions)
46.03
2. PPL(electric bills)
157.43
3. UGI(gas bills)
491.85
4. Care Credit(hearing aids)
1,100.00
TOTAL(Also enter on Line 10, Recapitulation) $ 1,795.31
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� J REV-1513 EX+(01-10)
� pennsylvania SCHEDULE �
� DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BE N EFICIARIES
RESIDENT DECEDENT
ESTATE OP:
Mar aret H. McClain FILE NUMBER:
21-14-0489
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under po Not List Trustee(s) OF ESTATE
Sec.9116(a)(1.2).]
1• Patrick M.McClain, 1800 Letchworth Drive,Camp Hill,PA 17011 Son
50%
2. Michele M.Whapeles,317 Mountain Road Dillsburg,PA 17019 Daughter
50%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN;
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET, $
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_..
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LUTHER E. MILSPAW, Jr.
ATTORNEY AT LAW
130 STATE STREET
HARRISBURG,PA 17101
LUTHER E.MILSPAW,Jr.,Esquire Phone (717)236-3141
Facsimile(717)236-0791
Luth erm i Ispaw@m i Ispawlawtirm.com
Tara L.Swartz,CRP,Pa.C.P. Tswartz@milspawlawfirm.com
September 8, 2014
Lisa Grayson, Register of Wills
Court of Common Pleas of Cumberland County
One Courthouse Square
Carlisle, PA 17013-3387
Re: Estate of Margaret H. McClain
Estate No. 21-14-00489
Dear Ms. Grayson:
Enclosed please find two (2) original and three (3) copies of the Pennsylvania lnheritance
Ta�c Return, as well as an original and three (3) copies of an Inventory to be filed in your office in
relation to the above-referenced estate. Kindly file the originals, time-stamp the copies and
return same to me in the enclosed self-addressed, stamped envelopes.
Thank you.
Very t yours,
� ljL-��
TARA . S WARTZ
Paralegal to Luther . Milspaw, Jr., Esquire
Enclosure
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