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Home My WebLink About01-0452 PETITION FOR PROBATE and GRANT OF LETTERS Estate ofj)o~.e)nry \T: H.-&E No. ::J./-()I-Jf5~ a/so known as To: Register of .>>Tills for the , Deceased. County o~/'1LJ~~i) in the Social Security No. /6%- .:2."1- - 3097 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or plde} an the executel' in the last will of the above decedent, dated ~ ~ / 'f'f- and codicil(s) dated named ,19_ (state relevant circumstances, e.g. renunciation, death of executor. etc.) Decendent was d?miciled. at.death i?CU/YJ,~G<:..~.4,) County, Penn~lvania, wit h~ last famIly ~pnnclpal resIdence at /..::<./ O~ h7 ~ DA./vc L~ {.-l_/ _'4= /'"10// L-Lo4/~A-r~GrJ ~'-<./N.5/f?r'1 -' (list street, number and muncipality) D~dent, then ~ ~ , )lears of age, died /Y] 4Y<...cH ;2...... ,..w .;2..00 j , at ~ cT r' / ~_L Lb2 S' /' J n?-C- . Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 7 () , (J 0 .0 , (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ /.:2-;;2.. 000 si~ted as follows: /~LL:> ,r}nL-.L);"{/v6, ~to /:h~..L /':?- /70// ~ w&t.- /17 ~ &J _/""...) / I WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~ or u .: '" ~3 "'.... 0::'" .: -00 c'';:: ro ".;:: 30:: '" '- 50 05 .: 01) Ci3 ;<Oh~ E, hzEE: 7.-~U-~J-- - 6.sd:.iT s: --:iJ~ UI-.v'} C/~C:.c~ L/ rr- LG-n:; ).J. , ~ . d /:::l- 3 / OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1- S8 COUNTY OF CUmberland ) The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Swom to 0' affi,med and sub",dbed ~r" 124-~ ~ befor me WM'y 7th ~~oBl l s::: ~ ~ No. 21-2001-452 Estate of Dorothv J. Free , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW May 8th ~2001 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated April 6th, 1994 described therein be admitted to probate and filed of record as the last will of Dorothy J. Free Testamentary Roger E. Free and Letters are hereby granted to Register of Wills I - Mary C. Lewis FEES Probate, Letters, Etc. ......... Short Certificates( 4) . . . . . . . . . . Renunciation ................ X-Pages (3) JCP $ $ $ $ TOTAL _ $ May 8th,2001 $ 235.00 12.00 ATTORNEY (Sup. Ct. I.D. No.) 9.00 ~.uu 261. 00 ADDRESS Filed .................................................................. .. PHONE CALL EXECU'IDR WHEN LETTERS ARE FINISHED H 10J.SO., REV 9/8() This is to certify that the information here given is correctly copied fro~ an original certificate of death dul~ filed with Local Registrar. The original certificate will be forwarded to the State VIta] Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. me as No. "'1(""///////"""""""",,, 1"III~ ~\.,\\ OF PE,f:----_ \\I~"~~~,," i~Y . ......0 .... '" ~\. f'~_" .... ". .. ~\ ~~I Co.- -. . . )':&~ ~ 5' --~~" i.i;~ "*~. ................ ,I*~ " .' '0. .,/. ~ \. ~ ....'... /.~i ...""~ ~.... .,.--_~IMEN1 \\\ ~;I'" "''''''''''/''''N/N/J/I''' ~(""-;"(/ '?~-?' ..-L~-" .,~"'I{ /' "c' ..::7,/;, - " .....,-t..;.~)'~~ c? _ Local Registrar I" Fee for this certificate, $2.00 P 7178120 MAR 0 6 2001 Date 21-2001-452 i. j 43 R..... 2/87 COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT If lIst. Mtdd&e. laslJ .. VOJl.oth J. fJte.e. AGE IL... -VI lJNOEll , YEAII _ Dap lJNIlEA . Mi' -\_.. SEX aF e.ma1.e. STAlE FILE NUMBER SOCIAL SECURtT)' NUM8ER 3, 168 24 _ 3097 :.lYio:rch"~' dWI DATE 01' BIRTH '.-.~.''''', BIRTHPlACE IC", one! s.. Of fcr8lgO CounIrYJ s. 75 v.... COUNT\' OF DeATH =....,0 ... Cumbvrl.and DECEDENT'S USUAl. 0CC\JPIll10N {~-=:'~:'''::::::&:f Ie. RACE. AmwIcan tncUn. 1IKk. While. -etc. (SpocoIy) wHte. II. "" ..10. Retail. DECEDENT'S MAIlING AllOAESS tsu... C...-. SlaII. 01'", ~l DECEDENT'S ACTUAL RESIDENCE .- on__ .1.. SIala ~ '3. PAllid - Cumbvrl.and :::'::"1 c-.ao (1.4orS+l lotAAITAI. STAruS._ _-'''',w_ WidOWer'" to. .1o.o....__in SURVIV1HG SPOUSE lit WIle. gn.ema.den rwneJ 121 Ol.d MiR.R. V~ive. ... Camp HiR.R., PA 17011 I nWOh Twp. "" ."'. .1d.0 :"',,"=,,~of UOTHER'S~ tFJlsI.~,MMSen Surname) tana I\'{'.uno~e. ... lNf"OAMANr.SlotAIUNG AOORESS~. C;cylbm, _. Z;"ICi"ll"J. Hb. 20 Ce.nte.~ V~.{.ve., Camp N'{'~~, PA 17011 PlACE OF DISPOSITION. ~ ole...,. er~ 6 LOC.cr1ON - CiIy/1bwn, Slat.. z;P ~ orOlhor_ C~e.ma.tion :soc,.{.e.;c:y 0 a... PA Clte.maiM NAME ANO ACIORESS OF FoICILlT\' c~ em DeAl 00 J 0 ne.-6town Kd LICENSE NUlotllER ciIy- FRHE:A'S NAME (FirS(. MId(Je. LaS) II. Paul R. T~immvr 1NF00000000'S NAME (T """",.., ~ o~ lotETHOO 01' DISPOSITION O _0 er......iorlKJ ___.0 _ 0Ih0r (Spoc.lyl 2'" SIllH.crURE OF FUN a. :=:=..n : 0ftMI and ...... I I I NoD Po\RT.: OIItor~__COOIl'iIluIlngIO_.bul ...-*'"vin...__-_inPART I. DUE ~U~"~~ ~. F d. DUE 1O((lR AS A CONSEQUENCE OF): WERE AUlOPSY F1NIlINGS ......NER Of DEATH _lA8l.E PAIOR 10 V COMPLETION 01' CAUSE 0 OF 0EJ(1H1 -. Horn.... No-yf - 0 Pondong'_iort 0 Y.. 0 - 0 Could ROC be detennmed 0 DATE OF INJURY (Mont\. Day, _, TIME OF INJURY INJURY'" WORK? DESCRIBE HOW INJURY OCCURRED. Yoo 0 NoD 2811. 21b. CERTifiER ICheck oniy one) -CERTIFYING PHYSICIAN IPhV$IC'itf\(;ellIIytng cause ~ dealh Io\'herl another phV$IC<an has Plonounced death and cornpM!ted Item ZJI To... brut of my knowledge, cleath occuned...IO'" cauM(.) and manner.. .tated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . ... 3 ... PlACE OF INJURY. AI home. farm. 5".... factory. office building. .-c. ISpecttvl _. lOCATION tsu_. Cotvlbm. Sl8I.1 R 'TRAR'SSIG~A~A ,. ...'........_....",---"'~ I~ /p((/( /1 34. ~ ~(Jt11 .~~V~~;=~~II::~~~::=:=~a~~~::~~=:~)~ofm=:r...I.ted.. .... ........ 0 "IIEOlCAL EXAMINER/CORONER ~:~-:, ~:I:t::=.~~.'~~t.i~~ ...n.~~ ~~~~~t~~~t.~: i.~ ~.y. ~~i.~i~~: ~~~~ ~~~~..~ ~~ ~~~ ~~...~~t~~ ~~~.~I~~~: ~~.~~~ ~~ ~~~ ~~~~~~).~~ 0 :11.. 00431 5-00002/March 22, 1994/CRW/SlP/33985 1Easll1Iill nub illestatUtut OF DOROTHY J. FREE I, DOROTHY J. FREE, of the Township of Lower Allen, County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills heretofore made by me. ARTICLE I I direct the payment of my legal debts and the expenses of my last illness and disposition of my remains from my estate as soon after my death as conveniently may be done. All of the foregoing shall be considered expenses of the administration of my estate. ARTICLE II I bequeath all of my tangible personal property (excluding cash or securities), together with any existing insurance thereon, to my children, ROGER E. FREE and ROXANNE C. CONNOR, to be divided between them in as nearly equal shares as possible by my Executor after giving due regard for their personal preferences. Should either of my children have predeceased me, the share of such deceased child shall be distributed to his or her issue, per stirpes. ARTICLE III I devise and bequeath all of the residue of my estate in equal shares to my children, ROGER E. FREE and ROXANNE C. CONNOR. Should either of my children have predeceased me, the share of such deceased child shall be distributed to his or her issue, per stirpes. 004315-00002/March 22, 1994/CRW/SLP/33985 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: I, Dorothy J. Free, Testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. /;/,<7 \1 L[~'~14-til' Dorothy J. F,e-e/ -'- '; v f V ~f~" Sworn or affirmed to and acknowledged before me, by Dorothy J. Free, the Testatrix, this \, W'day of April, 1994. ~>>JO'~ ~~ Notary Publi _) NOTARIAL SEAL DIANNE LENiG. Noiary Public lemoyne Borough Cumberland Co. My Commission Expires Dec. 21. 1997 004315-00002/March 22, 1994/CRW/SLP/33985 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA 55: COUNTY OF CUMBERLAND We, m~j..jt. ~ and C..Q~ 'N~lV't~ \~t' ' the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and nlstament; that she signed wiliingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at least 18 years of age, of sound mind and under no constraint or undue influence. and Sworn to or affirmed to and subscribed to before me by '('(\.:J..-~JJ.!L ~, C . Q~~\lil"";~I0! f\ lls" , witnesses, this \o~\Jc\ day of April, 1994. ~,JYv\.~ ~J~"-4.. Notary Public ,2') ~ NOTP,RIAL SEAL DIANNE LENIG, Notary Public lemoyne Borough C'u;T:berland Co. My Commission Expiles Dec. 21. 1997 L CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: /) b;<.p 77-kt..::T ~E- ~r:-e 3/~JOI I' I Date of Death: Will No. ~/- ~OtJ / - 4-.5:2 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of t e served on or mailed to the following beneficiaries of the above-captioned estate on hans' Court Rules was 0/ Name Address I<..tJ.J<.../FfNJVG L, C (JA/Alo~ :20 ~~ /.)~"J ~.JhL~~/1"-/7011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE Date: d?/QI , , -X~J,84-,,~ L Signature Name /<. 06~ 8, h....e?S Address 6..s-6 9 s: AI ~~() Ct ~ ' L I TTLE-l7JA.J I ~ , Yo / .:2.-3 " Telephone (3:>.i3 7 r 4- -";;"0 ~ Capacity: X Personal Representative _Counsel for personal representative I I [ ! ! 1 I 1 I 1 [ I I [ I , I [ [ [ I [ j I 1 [' r ! t I I [ l I I ! l f \ ~ t ( r I I I I 1 [ [ I i~ 1:1 ~ . i N o CD CD en -- <( <C o z >< c( t- W t- c(~ -t/) ~w ~c >z t/)c( Zw zU wZ o.c( t- it w ::c ~ I- 0. - W (.) w a: ...I <t - (.) - IL IL o !z ::l o ~ < I- Z--'a: Wo z~a:W uenl-lD <enz::::!: Wo::l ~uz < ,,,.~~'n'<~' o an . CD m CD .. 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I I 1 I I I 1 ! \ I r I ~ . ~ U w :r U ...J < W en /0-/d/;L9 -~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ROGER E FREE 6569 S NEWLAND CIR LITTLETON CO 80123 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-30-2001 FREE 03-02-2001 21 01-0452 CUMBERLAND 101 )~* REV-15~7 EX AFP elZ-DDI DOROTHY J Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=is'4j-EX-AFP-n2'=OOY-NOTicE--OF-YNHEiiifANCE-TAX-'Appi'AisEMEN:r,--AirowAi..-cE-oli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FREE DOROTHY J FILE NO. 21 01-0452 ACN 101 DATE 07-30-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS' .00 X 00 = .00 207,919.49 X 045 = 9,356.38 .00 X 12 = .00 .00 X 15 = .00 (19)= 9,356.38 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 122,000.00 72,731. 09 .00 .00 17,233.21 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/GovernllBntal Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 2,096.00 1,947.81 (11) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 211,964.30 4.044 81 207,919.49 .00 207,919.49 . PAYMENT ~CEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-17-2001 AA496602 467.82 8,888.50 TOTAL TAX CREDIT 9,356.32 BALANCE OF TAX DUE .06 INTEREST AND PEN. .00 TOTAL DUE .06 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE .6. IlFFlINn_ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) C oK STATUS REPORT UNDER RULE 6.12 Name of Decedent:. :DC)ROTH'1 ~.. r:- RE:t::::. Date of Death: N} ftKCH- ~ J deL"; I , Will No. (~CO { - 66 t..; oS- Ol Admin. No. i~1 - () I ~ 6'-1 5;2. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X' No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal r~9resentative file a final account with the Court? Yes No ~ . b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative s~~te an account informally to the parties in interest? Yes ~ No d. Copies of receipts, releases, joinders and approval~of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Da te: rf} At' ~'J d-tYDJ- I ,.,-:0 .^r4-x~,L:-k6C S.!gnatur, 7<.06 E t2... E. r::-e e:E. Name (Please type or print) 10 Yfo l' s. tJ 2:lA.J LA A..J /) GI R..L LIZ L/TTL E)i:1 ^-.J , CO go I d- 3 Address. I (Sc6 ) 7qLj-C).cJlI0 Tel. No. Capacity: )( Personal Representative Counsel for personal representative (MAH:rmf/AM3) Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/07/2003 ROGER E FREE 6569 S NEWLAND CIRCLE LITTLETON, CO 80123 RE: Estate of FREE DOROTHY J File Number: 2001-00452 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/02/2003 Your prompt attention to this matter will be appreciated. Thank You. J:J:e;f)$~ /MJ DONNA M. OTTO ~ n71.. DEPUTY REGISTER OF WILLS ~ cc: -----File Counsel Judge REV-1500EX(6.00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17126-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT w " ",;$., <.>"'''' w"<'> ",00 <.>"'''' ..Ill ~ I- Z W o w () w o DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAl) FI(cc; j)tCJ~ V. DATE OF DEATH (MM- D-YEAR) DATE OF BIRTH (MM-DD-YEAR) "3 ;;L 0/ 6/ (. ;25 (IF APPLI ABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) NONE: OFFICIAL USE ONLY L / ~_____ ;;;cd.2_=-~__________ FILE NUMBER ~.L- Of __45;;:>J C~CODE YEAR NUMBER SOCIAL SECURITY NUMBER I ~ 1 - :2-f-- :3097 ~ 1. Original Return ~ 4. Limited Estate ~ 6. Decedent Died Testate (Attach copy 01 Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (AttachcopyofTrusl) o 10. Spousal Poverty Credit (dale of death 00tw%11 12-31-91 arnl1-1-95} THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 03. Remainder Return (date afdeath llIiOl" to 12-13-t\2) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to lax under See, 9113(A) (AttachSchO) COMPLETE MAILING ADDRESS . -r- ,-- eST>?--re Or-l)tJ~~ v - r-1€..e:E ~OG~ E_~/e-X~CUTO~ (,S~ '7 $_ AJ6u/~L) C/;{C.L.E LITTt-Crz;~ ~. ff'tCJ/;;L3 1/ / .:2..;:z,., 000, ac:J 7 :2, 73/ _ 0'1 . : / 7 _ ;;L 33_ '1 / .... z w o z o .. ., w ~ o <.> NAMXOG~ c. FIRM NAME Ii/AppH~bl'l ,AI p;\J6 TELEPHONE NUMBER ~tCJ - 791- -;;2L)4? ~ Ex.G-cc../nJ ,OFFICIAL USE ONLY #.::2..1/ J 9~4-- :30 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) (2) (3) (4) (5) (11) (12) (13) <It -1; tJ 44- _ KI f' ~7. '11'/. H I~ .,f- c;<.t:J7 > 9/ '1, <f-1 - z o ~ ::l l- ii: <( () w It: 3, Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule 0) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) (10) (8) :1/ ::J../tJ '7 &, _ (t)(? I J 91-7 ,$'/ (14) (19) ~ ., '1t 3St, _ '32 . tjJ ~ ';-9,3S~-32 - (6) <I II (7) 10. Debts of Decedent. Mortgage liabilities, & liens (Schedule 1) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election 10 tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;i I-' ::l l1. ~ o () ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) ,0_(15) ,O-t5'(16) 16. Amount of line 14 taxable at lineal rate d"::2.tCJ7; '1/'1- 4-7 17. Amount of Line 14 taxable at sibling rate , .12 (17) 18. Amount of Line 14 taxable at collateral rate , .15 (18) 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS ::2... / 0 L..t> /J1 / LL- f);<z IV 6 CITY ~ ;hu- Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount &2-6% ZIP /70// (1) #9/ gS~, 33 , ~ >F47, ;ff.R Total Credits (A+ B + C) (2) * -;t-&7 7, fJ? (3) J (4) ~ .Jr (5) g; ?3%,.5'O (5A) " (58) #':!f; % r8', .so . 3. InteresVPenalty if applicable D. Interest E. Penally $ 4. TotallnteresVPenally ( 0 + E ) If Une 2 is greater than Une 1 + Line 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax dUe. B. Enter the total of Une 5 + 5A. This Is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT 1. Did decedent make a transfer and: Yes e. retain the use or income of the property transferred;.......................................................................................... 0 b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 c. retain a reversionary interest; or..................................................... .........w...__................................................... 0 d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 2. If death occurred after December 12, 1982, did decedent fransfer property within one year of death without receiving adequate consideration? .... ............................................. ............................................. ............. 0 3. Did decedent own an "in trust for or payable upon death bank account or security at his or her death? .... 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ......."........"............ ................................. ............................................"........ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS i g ~ ~ .!8l o Qll. IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that f have examined this return, including accompanying scheDules and statements, and to the best of my knowledge and belief, it is true, correct and complete Declaralion of preparer other than lhe personal representative is bas ed on all inlormation of which preparerhasanyknowledge S FOR FiLING RETURN ^- ADORE ~S~9 s:./l./E:z.uLAYV~ 6~C.LG / L/TrL-GTZJrIJ / C?, SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE $01;;2.3 DATE t:J1 ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value or transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposad on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)). The statute does not exemot a transfer to a sUlViving 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 Juiy 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the chikl is 0% [72 P.S. ~9116{a)(1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings Is 12% [72 P.S. ~9116(a}(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the dareden!, whether by blood or adoption. . REV-1502EX+11.97) '* SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ':<-00/ -00 4-S~ ESTATE OF lJ O,'{p nIz.t ...y: /7tz~ All real property owned solely or as a tenant in common must be reported at fair market value. Fair mar\c:et 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 which is jointly-owned with right of sUNivorshin must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH :5i /V G L-E:: ~ I '-'1 ()U/eu- /A./ ~ -f-r /;2../ OL-LJ ~/t-L j)~J vc c.~/l /f1L-L-) /"/r /701/ /votU~ /TU.-{7<J T?U/', J &/YJ,cs&<~D j5 /~;;LJ &:1oo,PO Co, TOTAL (Also enter on line 1, Recapitulation) $/ :<.,;:J.. J 0 t!J 0, e> 0 (If more space is needed, insert additional sheets of the same size) APPRAISAL Of REAL PROPERTY LO,CATED AT: 121 Old Mill Drive Car~p Hill, PA 17011 fOR: Dorothy J Free 121 Old Miil Drive Camp Hill, PA 17011 AS OF: 3/19/01 BY: Vincent Minnici R & L Aplllaisal Associates George R. Ulsh Fo<m GAZ - "TOTAL 2000 \0< Wimlows" appraisal soltwa" Ily ala mode, inc. - HlOO-AlAMOOE Summary Appraisal Report UNIFORM RESIDENTIAL APPRAISAL REPORlf Page p , n.s.rinfinn FileNo, 031901 Prooortv Address 121 Old Mill Drive City Camp Hill Stale PA Zin Code 17011 l",~ Descrimion See Leoal Coulllv Cumberland Assessor's Parcel No. See Tax Identification MaD Reference Tax Vear 2001 R.E. Taxes $ 1 ,590.00 Special Assessments' 0.00 Borrower Free Current Owner Same Occunartt: "1 Owner rl Tenant r71 Vacartt .. Proaertv riohts aaar~sed IXI Fee Simale I I leasehold Project TvlieTl PUD f'''f Condominium HUDNA on'" HOA$ /Mo. Neiqhborhood or Proiect Name Cedar Cliff Manor Map Reterence 13-24-0805-087 Census Tract 0111 S~. Pric. $ N/A Date of Sala N/A Descriotion and $ amount of IOill1 c:haroes/concessions tu be paid bv seller N/A lendar/CI~m Dorothy J Free Addrass 121 Old Mill Drive, Camp Hill, PA 1701'i Annrateer Vincent Minnici Address 4099 Der Street Harrisbura. PA 17111 Location lJ Urban i2<J Suburban [JRural Predominant -'!!ncr family noual~g Present land use % land use change Bui~ up i2<J Over 75% D 25-75% D Under 25% occupancy PRI AGE Onetarniiy 85 i2<J Notiikeiy Dlikeiy $(000) (yrs) Growth rate []Rapid i2<J Stable [] Slow 12:<:1 Owner __100__Low~_ 2-4famiiy I] In process Property v~ues D Increasing i2<J Stabie [] Declining [] Te!JaD! 150-'iiY!1 60 Mu~i-famiiy __ To: Demand/suppiy D Shortage [g] In balance l4 Over suppiy r=i ~a(.artt (0-5%) ~Predominant 1.!I:f;. Commercial Marketinqtime IXl Under 3 mos. r-l 3-6 mos. r~ Over 6 mos. .. Vac.rover5%\ 125-150 35..45 Vacant 15 Note: Race and the racial composition of the neighborhood are not appraisal factors. Neighborhood boundaries and characterist~s: Best described as Lower; Allen Township, Cumberland County. Residence in use. . Factors thai a1fect the marketability of the properties in the neighborhood (pro~mity to employment and amenilies, employment stabilily, appeal to market, etc.): -- . . T~le subject is located in a residential neighborhood. Maior routes of travel are located within a reasonable distance of the subiect. .. Employment for the area is rated as good. Maior employers in the Greater Harrisburg Area include lar~le manufacturina comoanies, State and Federal Qovernment facilities and many smaller service companies. The subiect neiClhborhood is in a stable chase of its life cvcle with roperties in the neighborhood having good appeal and the appearance of regular maintenance. - Market condillons in the subject neighborhood (inciuding support tor UIe above cor~lusions relaled to tl>> trend of property v~ues, demand'supp~, and marketing time -- such as daia on competilive propertlas for sale in the ne':Jhborhoorl, description of the prev~ence of s~es and tinancing concessions, etc.): Market conditions aocear active for this time of year. There are various loan programs available through both conventional and governmental I oroarams and rates ranging from 5% ARM programs to 8% fixed rate programs. Marketin~ time for reasonable nriced housinn is within 0 to 3 I!lonths. Sales concessions, although evident in some transactions, are not typical of the common sales. Property values appear to be stable or showi~~oderate increases througl1out the area, . Project Information for PUOa (n appiicabla) - - Is the developer/buiider in controi of the Home Owners' Associalion (HOA)? DVes I[[ No . Appro~male tot~ number ot un~s in the subject project Approximale tot~ number ot unils for Si.e in the subjecf project Describe common elements and recreational facililies: Not appiicabie ;ilh this appraisal Dimensions 191 X 193 X 162 X 166 Topography Mostlv slooina Silearea Corner lot [J Yes [g] No Size Average for Area Specii~ zoning classilicatlon and descriptiun Residential Shape IIreoular Zoning compliance [g] legal I[[ leg~ nonconforming (Grandfall>>red use) D ~leg~ D No zoning Drainage Apoears Adeouate Htnhest & OOStllS' as imoroved: [Xl PraSllnt USll n other use rexnl~nl View _Suburban/Gd Utilitlas Pubi~ Other Off-site Improvements ' Type Pobi~ Privale landscaping Mature/Manicured Electrlciiy [XJ 100 Amp Street Asphalt [XJ [] Driveway Surface Paved Asphalt Gas [[] None Curb/gutter None [J D Apparent easemems Typical Utiiity Waler [XJ Sidew~k None -- [J [] FEMA Special Flood Hazard Area Dyes [XJ No Sanitary sewer [g] .. Streetlights None -H D FEMA Zone ..f......__ Map Date 9/30m Storm sewer IXl Ailev None p-\ FEMA Mail No. 421016 Comments (apparent adverse easements, encroachments, speciai assessments, slide areas, ii~g~ or leg~ noncontorming zoning use, etc.): There was no indication of adverse encroachments, easements or soecial ass;essments indicated from my subject property inspection. See attached aeneral addendum for comments. GENERAL OESCRIPTION EXTERIOR DESCRIPTiON . FOUNOATION iiASEMENT INSULATION No. ot Unils 1 Foundalion Concrete Bik Slab No~___ Area Sq. Ft. 1,552 Root --- D No. otStor~s 1 Exterior W~ls !Irick __~ Crawl Space None ___ % Finished .9% Ceiling D Type (DetlAtt.) Detached Roof Surtace ~hSi19 ..~ Basement 1 00% _ Ceiiing Unfinished W~ls D -- D Design (Style) Ranch Gutters & Ownspts. .Aluminurn . Somp Pump None Wai~ ConcBlk Floor ExistinglPropoSlld Existing Window Type WoodDbHng Dampness None Noted Floor Concr~~ None I[[ Age (Yrs.) 39 Years SlornVScreens Yes Settlement None Noted Ooiside Entry No Unknown [XJ EUectiveAoelYrs.l 10-12 Manoiactured House No Infestallon None Noted ROOMS Faver livino DininL Kilchen Den Fami"Rm. Rec. Rm. 8edrooms # Balhs laundrv otlrer Area So. Ft. . BaSllment 1552 . level 1 1 1 ---- 'I 3 1.5 1552 . levei 2 - . Finished area above made contains: 6 Rooms. 3 Bedroom!s): 1.5 Bathr.\. 1 552 Snoare feet of Gross livir'" Area INTERIOR Maleri~S/Condilion HEATING KrTCHEN EQUIP. AHIC AMENITIES CAR STORAGE: - Floors Cpt,Vinvl Wd/Avo. Type BBHW RetrigeratOl D None [J fireplace(s) # ~ None [g] Walls Piaster/Avg. Fuel ..QiI..........- Rar~e/OVen [g] Stairs D Pallo [] Garage #otcars TrinVFinish Wood/Avo. Condition Good D~pos~ [g] Orop St~r D Deck [J Attached Bath Floor CoUAvo. COOliNG Dishwasher [] Scullie [8:1 Porch [] Detacl>>d Balh W~nscot Tile/Ava. Cenh~ Yes FaiVHoodi i2<J Floor D fence [] Bui~-In Doors HoliowCore/Avo. Other 1:19n,,-_ Microwave H Healed H Puol~_~ f1 Carport Cond~ion Avo. Washer/Drver Finished Drivewav 2 Addilional teatures (speci~ energy elIicient i1ems, etc.): smoke detectors, ceiling fans Condilion ot fhe improvements, dellreciallon (phys~~, tunctional, and extern~), repairs needed, qu~ity ot construction, remod,lingladdilions, etc.: There was no functional obsolescense indicated from the subject property inspection. The roof appears to be in good condition. Phvsical deterioration is typical of the subject affective age. - Adverse environmental conditions (such as, but not limited to, hazardous wastes, toxic substances, etc.) present in the irnprovemems, on the site, or in the immediate vicinity of the subject property.: There were no apparent;environmental problem indicated from the subiect oronertv insnection. Freddie Mac Form 70 6193 'PAGE10F2 Form lIA1- "TOTAL 20IJO for Windows"appraisal software by a ia mode, inc. -1-800-ALAMODE Fann~ Mae Form 1004 6193 ESTIMATED SITE VALUE ESTIMATED REPROOUCTlON COST.NEW.OF IMPROVEMENTS: Dwelling 1,552 Sq. Ft.@$ 50.0L = $__. 77,600 1,552Sq,Ft.@$~~= _..J.M20 Annliances and Extras - 15 000 -~- : GaragelCarport __ Sq. Ft. @$ - Tot~ Estimated Cost New. . = $ Less Physic~ Function~ Extern~ Oepre<:iation 18,0241 I =$ 18,024 Depre<:iated Value of Improvements =$ 90 096 'As. is" Value of Site Improvements . . .., =$ 4 500 INDICATED VALUE BY COST APPROACH , , -$ 124,600 ITEM I SUBJECT COMPARABLE NO, 1 COMPARABLE NO.2 COMPARABLE NO, 3 121 Old Mill Drive 26 Colgate Drive 1715 Cedar Cliff Drive 102 Limestone Drive Address Camn Hill Camo Hill Camn Hill Camp Hill Proximilvto Subject ,Fiu'n;:",; 0,31 miles 0.22 miles 2.32 miles Sales Price $ NIA>:>/i')/d'>il$ 119000">)'/;,,',,1. 125 000 ~ >L1$ 124 9~ PricelGrossLivinnArea $ rtJ $ 90.22 t1~I,i::'i>;,'d,',,'>:<:, $ 89.54 rtJl>:::<:"",;'::!!'! $ 120.10 rtJl/," 2;;;:i Data arnVor Inspection Listing Agent I MLS Listing Agent I MLS Listing Agent I MLS VerWication Source Data Bank Data Bank Data Bank Data Bank VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION + (-\$ AU"st DESCRIPTION, +1-)$ AdilSt. DESCRIPTION Sales or Financing "<,, '0'0';;Vi}' FHA No Help FHA No Help Cash No Help Concessions 'LF 40 DOM 114 DOM 7 DOM Date of Sal-lTime U6100 S7100 U6100 87100 U7100 S8100 Location SuburbanlAvg. SuburbanlAvg. SuburbanlAvo. SuburbanlAvg, , LeasehokJiFee Simnle Fee Simnle Fee Simple: Fee Simple Fee Simale ' Site .73 Acres .25 Acres +1000 .31 Acres +1.&00 .19Acres View SuburbanlAvo. SuburbanlAvg. .SuburbanIAvg. SuburbanlAvo. Deskin ariQ.AJmeal RanchlAvo, RanchlAvn. RanchIAv". RanchlAvo. Qualih, of ConstJUction BricklA;;;:'; BricklAv". Br&AlumIAvn. +1 000 BricklAvo. ~ ~- ~- ~- ~- CondWion Averaoe Averaoe Average Average Above Grade Tofal : Bdrms: Baths Tofal :Bdrms: Baths: Tofal 'Bdrms: Balhs : Total :Bdrms: Baths: Room Count 6 : 3 '1.5 6' 3 .:_J.2..J 5 ' 2 '2 -1,000 ....5_~: 2 : Gross Livinn Area 1 552 Sn. Ft. 1.d1..9 Sn. Ft. : +2300 1,396 SQ. Ft. : +! ,600 1 ,040 SQ, Ft. : Basemerrt & Fillished Unfinished Unfinished Ree Room -2,000 Ree Room . Rooms Below Grade 1 00% I 0% 100% I 0% 100% / 50% 100% I 50% Functional mih, Averane Average Average Averaoe . Healill(jlCoolinn OBBHWICentral OFHNCentral OFHNCentral GFHNCentral - Enernv Efficient ijems Storm Units Storm Units Storm Units Storm Units Gara';'lcaroort Off Street 1 CarAtt '-1,500 2CarAtt .2,,-000 1 CarAtt Porch, Pidio, Deck, None Deck .1,000 Patio .1,000 Deck Flrenlacers' etc. Fireolace Flreolace Fireplace None Fence Pool etc. None None None None Appilances .&005" R&O OS" OW .250 R&O Dsn R&O Dsn OW : Net Adi:-'tot;;j\> 11Yf... n -$ 550'l + fx -$ 3400 .' + - ,~ Adjusted Sales Price :i 1"t'@:0,Q,i%i1",'1p.,;'<:if'1 ot Comnarable '.moss;'i,s'lHi9f,'I$ 119550 ,:ji;I$ 121 600 $ 127250 Comment.. on Sales Comparison (including the subject property's compalibildy to tbe neighborhood, etc.): The use at sales futher than and older than typically desired is due to the lack of better more recent sales in the area. These are the best sales available at the time of this annraisal. All the comnarabies are similar to the sub;ect. UNIFORM RESIDENTIAL APPRAISAL REPORT 30 , 000 Page V I '........n ~ $ File No. 031901 Comments on Cost Approach (sllch as, source of cost estimate, sde value, square foot calculation and for HUD, VA and FmHA, the estimaled remaining economic Ide of the property): See attached addendum for ~~re dimensions. ThE! Marshall and Swift Valuation Service was used in the determination of the Cost Aooroach to Value. The age of a structure creates deficenticies in the indicated value of the Cost Approach to Value, 108,120 +H$AdllJst +1000 .1,000 +5100 .2,000 -1 500 -1,000 +2 000 -250 2350 ITEM SUBJECT COMPARABLE NO, 1 COMPARABLE NO, 2 Date, Price and Data No transfer in No transfer of sale No transfer of sale Source, for prior sales last 12 months in last 12 months in last 12 months wdhin vear of ,nnraisal .. Analysis of any current agreement of sale, option, or listing of subject property and analysis of any prior sales 01 subjecl and comparables wWhin one year of the date of appraisal: There are no known agreements of sales or options, attached to the subject property, other than provided for in the appraisal reoort. COMPARABLE NO.3 No transfer of sale in last 12 months INDICATED VALUE BY SALES COMPARISON APPROACH uuuuuu,uu,u, .. $ INOICATED VALUE BY INCOME APPROACH IW Annlicable\ u Estimated Market Rent $ ..,.. IMo, x Gross Rein Muttinlier L This appraisal is made 1i2r"as is" TIsubje<:t to the repairs, alterations, inspections or condWions listed below I.J subject to compmn per plans & specW~alions. Conditions of Appraisal: There are no repairs required. This appraisal is not valid without all of the attached addenda. See attached I neneral addendum for comments. Final Reconciliation: The Sales Comparison Approach to Value generally indicaLes the best value for the subject propertY. The Cost Aoproach to Value helns to support the Market Value in this situation. The Income Approach was considered but is not aDorooriate for this annraisal. The purpose of this appraisal is to estimale the market value of the real propelty!hat is 1I1e subject ot this report, based on the above condWions and the certilicalion, contingent and limiting condWions, and market value detinition that are slated in the attached Freddie Mac Form 439/FNMA form 1004B (Reviserl 6193), I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OHHIS REpORT, AS OF 3119101 . (WHICH is THE DATE OF INSPECTION AND THE EFFECTIVE DATE OF THIS REPORT) TO BE $ . 122,000 APPRAISERh Vjr1cent Minnig . SUPERVISORY APPRAISER (ONLY IF REOUIRED): SIQnature (,/;A-'~"/ n'7d/;J->"?-r:"-r--. SiQnature Name Vincent Minnici Name Dale Report Skined 3122101 Dale Report Siuned State CeltWication # RL 001747 L Stale PA State Certd~ation # Or State License # State Or State License # 122 000 CI Did D Did Not Inspect Property State State Freddie Mac Form 70 6/93 PAGE 2 OF 2 Form UA2 - "TOTAL 2000 tor Windows" appraisal software by a lamode, Inc. -t.80D-ALAMODE Fannie Mae Form 1004 6-93 Borrower/Client Free ProDerlv Address 121 Old Mill Drive Cilv Camo Hill Lender Dorothv J Free Supplemental Addendum File No. 031901 County ,g.umberland State PA Zip Code 17011 Every effort has been made to conlorm to \I,S.P.A.P. and in most cases even stricter interpretations lound common to most investors in the secondary market. Since every property can't compare to "ideal" comparable sales, the appraiser must chose the best available sales for comparison available from the market search that meets investors underwriting stllndards and guidelines established by the prolessional appraisal association that this apprais.!r is affiliated with. The first part of the addendum is designed to clarify items common to all appraisal reports, The second part of the addendum is designed to simplify the reporting of comments most typically required by lenders to c:larily aspects of the appraisal process. The presence of UREA-FORMALDEHYDE FOAM INSULATION or RADON GAS has not bE,en determined. If UFFI or RADON GAS is present, the appraised market value may be adversely affected. Exact "R" value insulation factors could not be determined. Any Information stated on the appraisal was provided by the inspection where the insulation was visible, or by the owner or agent 01 the owner where the insulation was concealed. All 01 the sales are closed transactions unless otherwise noted. The settlement date is to be considered the date 01 the sale U# and S# is shown on the market grid date section. U stands for under contract and S stands lor settled date. This is done to give the reader more complete inlormation on the considered comparable sales. Source 01 inlormation of the sales generally list the appraisers Data Bank. The Data Bank contains information from the following sources: CENTRAL PENN MULTI-LIST, MONTHLY STEB REPORTS, COURTHOUSE RECORDS, ASSESSMENTS RECORDS, EXTERIOR INSPECTION OF THE SUBJECT PROPERTY, TELEPHONE INTERVIEWS WITH REAL ESTATE AGENTS, OWNERS, AND BUYERS, OR PRIVATE SALES REPORTING AGENCIES. Information is always verified by two (2) sources, and most usually by three (3) sources. When the source is listed as "INSPECTION" your appraiser has personally inspected the property. Heating systems abbreviations used in this report are as lollows: The first letter denotes the fuel used - 0 = Oil, G = Gas, E = Electric, C = Coal, W = Wood, and 0 = Duel Fuel. The next series indicated the type of heat: BB = Baseboard, FWA = Forced Warm Air, HWBB = Hot Water Baseboard, CIB = Cast Iron Baseboard, STM = Steam (radiator or cOI1l'ector), HW = Hot Water (Radiator or Convector), RAD = Radiant (heating elements concealed in the ceiling or floors). Air Condition: CENT = Central Air, Wall" Built in wall units. Occasionally, the subject or comparable have special, lIigher efficiency heating systems: HEAT PUMP" a forced warm air heating system with a conventional backup heating system (usually electric, could be oil or gas) and central air conditioning. GEO.HEAT PUMP = Geothermal Heat Pump uses constant temperature ground water lor heating and cooling. This system requires two wells and is extremely ellicient.. SESS = Supplemental Electric Storage System. This system heats large quantities of water during off-peak hours and uses tile heated water during peal. hours. Substantial savings result from reduced electric rates from the local electric company. Some 01 the sales may show photographs with sale signs. Sales are not now under contract or being offered unless specifically indicated within the appraisal report. For convience and speed, sales photographs are taken Irom my existing data base for sales in the area. All 01 the sales indicated have been externally and or interiorally view by the appraiser as required by the appraisers guidelines for performing appraisals. The use 01 the terms Superior/Inferior is considered as a mid line range between ttle more standard Good, Average, Fair, etc., etc. Wilen applicable within tile appraisal report, It Is assumed, unless noted In tile report, that tile roof, plumbing, heating, electrical and air conditioning system, wells, septic tanks or cesspool are in satisfactory operating condition, that the building is structurally sound and; free of termite infestation and free of termite damage. The appraiser suggests that buyers, lenders and other interested parties obtain certifications from properly qualified prolessionals for their protection. There has not been a title search or survey completed on the subject property that would confirm or deny any encroachments, easements or deed restrictions on or against the subject property. At the time 01 the inspection of the subject unless noted In the appraisal report, none of the items mentioned in t.his paragraph were visibly noticed or apparent. Tile appraisal is made considering tile items not present or having no effect on the overall typical use of the subject as valued in this report. If,any 01 these items are present, the Fair Market Value as determined by this report may be adversely affected. FOIm TADD - "TOTAL 2000 tOl Windows" appraisal software by a la mode, inc. -1-800-AlAMODE ENVIRONMENTAL ADDENDUM AeMlLEJ'll* HAZARDOUS SUBSTANCES AND/OR DETRIMENTAL ENVIRONMENTAL CONDITIONS Borrower/Client Free Address 121 Old Mill Drive CiIy Camp Hill Lender Dorothv J Free * Ap\lmnlls defined as that which is visible, obvious, evident or manifest to the appraiser. County Cumberland State PA Zip code 17011 This universat Environmental Ad\lenllum is 1m use w~h any real estale appraisal. Only the statements which have been checked by the appraiser apply to the propel1y being a pralsell. This alldendum reports the resutts of the appraiser's routine inspeet~n of and inquiries about the subject propel1y and ns sunounlling area. tt a~o stales whal assomptions were malle aboet the e~stence (or none~stence) of any hazanloUs substances an<Vor clelrimental erwKomnenlal condi\ions. Ille apPJlljePILsM\~~Il!l!lM'llrlln1llIDllDl 101pgc.tOJ and therefore might be unaware of exi~iing hazardous substances and/or detrimental environmental conditions which may have a negative effect on the safety and value of the property. n is possible that tests and inspections malle by a qualilied envilOnmental inspector would reveal the e~stencl' ot hazarllous materials anrJIor detrimental e""ironmental condnions on or around the propel1y that woukJ negati'lely affect ns saMy and value. l--.Drinking Water is supplied to the subjecttrom a mun~ipal wale' supply wh~h is considered safe. However the only way to be absolutely certain that the water meets published standards is to have n te;ied at all discharge points. _Drinking Waler is supplied by a well or other non-municipal suuree. n is recommended thaltests be made to be certain thattbe propel1y is suppiied with adequate pore water. l--. Lead can get Into drinkJng water tram ns source. the pipes, al all discharge points, plumbing fixlures an<Vor appliances. The only way to be certain tbat water does not contain an unacceptable lead level is to have ~ tested at all discharge points. ~_ The value estimated in thie appraisal is based on the Rssumptlon that there is an adequate supply of aafe, Jead"'iree Drinking Water. Comments There is no known indication of contamination of the subiect water at the time of the appraisal. l--. Sannary Waste is removed fram the propertY by a mun~ipal sewer system. _Sannary Waste is disposed of by aseptic system or otber sannary on sfte waste disposal system. The only way to determine that the disposat system is adequate and In good working condition is to have n inspected by a quaI'ietl inspector. L-The value estimated in this appraisal is based on the assumption that the Sanitary Waste is disposed of by a municipal sewer or an adequate properly permitted alternate treatment system in good condition. Comments There is no known indication of mis-functioninQ of the sewage system at the time of the appraisal. l--. There are no iljljL<Ilrm! signs ot Soli Contaminards on or near the subject propel1y (except a, reported in Comments below). tt is possibie that research, inspection and testing by a qual,ied environmentai 'Inspector would reveal exisling anrJIor polential hazardous substances an<Vor delrimentai e""ironmental conditions on or around the prapel1y that would negati'lely affect ns safely and value. ~ The value estimated In this appraisal is based on the assumption that the subject property is free of Soil Contaminants. Comments ~II or part at tbe improvements were constructed belo" 1 979 when Asbestos was a common building material. The only way to be certain tbat the propel1y is free of triable and non-friable Asbastos is to have n inspected and tested by a qualRied asbeslos inspector. _The improvements were constructed alter t 979. No 'Wi!f~[d triable Asbestos was observed (except as reported in Comments below). 15-- The value estimated in this appraisal is based on the assumption thai there is no uncontained friable Asbestos or other hazardous Asbestos malerial on the property. Comments l--. There were no aJljlilreot leaking tluorescent light ballasts, capdo;, or transtolmers anywhere on or nearby the propel1y (except as reported in Comments below). l--. There was no iJPp_arrmt vislb~ or documented evidence known to the appraiser ot soil or groundwater contamination from PCBs anywhere on the propel1y (except as reported in Comments beiow). ~ The value estimated In this appraisal is based on the assumption that there are no ullconfained PCBs on or nearby the property. Comments l--.The appraiser is not aware of any Rallontesls malle on the subject property wnhln the pasl t2 months (except as reported in Comments below). l--.The appraise, is !lot awareot any inrlication that the local water supplies have been tound to have elevated levels ot Radon or Radium. l--.Theappraiser is not aware ot any nearby properties (except as reported in Comments beiow)thal were 01 currently are used tor uranium, thonum 01 radium extraction 01 phosphale processing. l--. The value estimated In this appraisal Is based on the .ssumption th.t the Radon level Is .t or below EPA ,"commended Ievols. Comments R & L Appraisai Associates George R. U~h Form 69F - "TDTAl 2000 for Windows' appraisal software by a fa mode, inc. - 1-800-AlAMODE ~There is no <!llP.iIlftllt visib~ or documente<! evidence known 10 the appr,,;ser of any USTs on the property nOl any known historical use oflhe propertylhal would likely have had USTs. ~ There are no <!llPillftol pelroleum storage anQlor delivery f""ilitles (including gasoline slations or chemical manufacluring plants) located on adjacent properties (excepl as reported in Comments below). _lnere are arPilf~!!l signs of USTs existing now or in Ii,e pasl onlhe subject property. h is recommende<! that an inspection by aqual.ied UST inspector be obl,,;ned to delermine Ihe iocation of any USTs logether whh Ii"ir cond.ion and proper regislralion . they are active; and . they are inactive, to determine whelher they were deactivated in accDI'dance with sound industlY practices. L- The value estimated in this appraisal is based on the assumption that any functioning USTa are not leaking and are properly registered and that any abandoned UST, are free from contamination and were properly drained, filled and sealed. Comments ~There are no arui!!ft!1t Hazardous Waste Shes on lhe subject property or nearby the subject property (except as reported in Comments below). Hazardous waste She search by a trained environmental engineer may determine that there is one 01 more Hazardous Waste Shes on 01 in the area of the subjecl property. ~The value estimated in this appraisal is based on the assompllon that there are no Haz,rdous Waste Shes on or ne"by the subject property thaI negalively ,ffect lhe v,lue or safety of the property. Comments ~AII or part of lhe improvements were constrocle<! betare t 982 when UREA loam insulation was a common boilding material. The only way to be cert,,;n that Ihe property is free of UREA 100milldehyde is to have h inspected by a qualhied UREA 100maldehyde inspector. _The improvements were construcled after 1982. No illlJWeDI UREA formaldehyde materials were observed (except as reported in Commenls below). ~ The value esllmaled In lhis appraisal Is based on the assumption thaI there is no significant UFFllnsulallon or olher UREA formaldehyde m,terlal on the property, Comments ~AII or part of the improvements were con&iructed before 1980 when I.ead Paint was a common building malerlal. There is 00 aupare!!! visible or known documented evidence of peeling OJ flaking I.ead Paint on the floors, walls or ceiiings (except as reporte<! in Comments below). The only way to be cert,,;n thal the property is lree of surtace or subsurtace I.ead Paint ~ to have ~ inspected by a qual~ed inspector. __The improvements were constructed after 1980. No anjli!fent I.ead P,,;nt was observed (except as reporte<! in Comments beiow). ~ The value estimated In this appraisal is based on the assumption that there Is no flaking Qf peelin~1 Lead Paint on the prolJerty. Comments ~There are 00 ~JIl signs of Air Pollution althetime of the inspection nor were any reported (except as reported in Comments below). The only way to be cOIt,,;n thal the ,,;r ~ Iree of pollulion is to have ~ tested. ~ The value estimaled in this appraisal i. based on the assomption Ihallhe propl!rty is free of Air Pollution, Comments ~ The ..e does not contain any an!lil!~nl WetlandslFiood Plains (except as reported in Comments below). The only way to be certilln that the she is free of Wetlandsl Flood Plains is to have h Inspected by a (Iualllied cnvironmOlrtill professional. ~ The vaiue e.timated In Ihis appraisal is based on lhe a..umlllion thaI there ale no Wetlands/Flood Plains on lhe property (except as reported In Comments below), Comments L__ There are no other au.l2ar:eJrt miscellaneous hazardous substances andfor detrimental environmental conditions on or in the area of the site except as indicated below: Excess Noise ___ Radialion + Elechomagnetlc Radialion Light Pollution Waste Heal Acid Mine Dr,,;nage Agricu~ural Pollution Geological Hazards Nearby Hazardous Property Infeclioos Medical wastes Pesticides Others (Chemical Storage + Storage Drums, Pipelines, etc.) ~ The value estimated In this appraisal is based on the assumption that there are no Miscellaneous environmental Hazards (except Ihose reported above) that would negatively affecl the value of the property. When any of the environmental assumptions made in this addendum are nat correct, 1M estimated value in thls appraisal may not be valid. Form 69F- "TOTAL 2000 tor Windows" appr,,;sal soliware by a la mode, inc. -1-8oo-AI.AMDDE MULTI-PURPOSE SUPPLEMENTAL ADDENDUM fOR FEDERALLY RELATED TRANSACTIONS R & I. Appra~al Associates George R. Ulsh Borrower/Client Free Property Address 121 Old Mill Drive CiIv Camo Hill lender Dorothv J Free County Cumberland State PA ZlpCode 17011 This Mutt"Purpose Supplemental Addendum for Federal~ Related T ,,",sactions was des~ned to prov~e the appraiser wtth a convenient w"f to comp~ wtth the current appraisal standards and requirements at the Federal Oeposll Insurance Corporation (FDIC), the Office at the Compltol~r at Currency (OCC), The Off~e at Thrift Supervision (OTS), the Resolution Trust Corporation (RTC), and the Federal Reserve. This Multi-Purpose Supplemental Add"ndum is for use with any appraisal. Only those statements which have been checked by the appraiser apply to the property being appraised. [g] PURPOSE & FUNCTION OF APPRAISAL The pUlJlose at the appraisal is to estimate the market value at the subject plOperty as defined herein. The tunction at the appratsal is to assist the ailove-narned I.ender in evaluating the subject property tor lending purposes. Th~ is a Federal~ related transaction. ~<J EXTENT OF APPRAISAL PROCESS [g] The appraisal is based on the information gathered by the appra~er from public records, ather identllied sources, inspection of the subject property and ne~hborhood, and se~ction at comparaille sales wllhin the subject market area The original source of the comparail~s is shown in the Data Source section at the market gr~ along wllh the source of confirmation, II available. The original source is presented first. The sources and data are considered reliail~. When conflicting information was provided, the source deemed most reliaille has been used. Data believed to be unreiiable was not included in the report nor used as a basis for the value conclusion. IX1 The Reproduction Cost ~ based on Marshall and Swift Valuation Service suppiemented by the appraiser's knowledge of the local market. [g] Physical depreciation ~ based on fire estimated effective age of the subject property. Functional and/or external depree'dian, II present, ~ specll~aI~ addressed in fhe appraisal report or olher addenda In esfimating the si.te value, fhe appraiser has relied on personal knowledge at the local market. Th~ know~dge is based on prior an,Vor current analysis of slle sales and/or ailslraction of slle values from sales of improved properties. IX1 TI" subject property is located in an area at primari~ owner-occupied single fan\i~ res~ences and the Income Approach ~ not considered to be meaningful. For this reason, the Income Approach was not used. 0 The Estimated Market Renl and Gross Rent MuWplier ulil~ed in the Income Approach are based on the appraiser's knowledge at the subject market area. The rental knowledge is based on prior and/or current rental rate surveys of res~ential propert~s. The Gross Rent Multipl~r is based on prior and/or current analysis of prices and market rates for residential properties. 0 For Income producing properties, actual rel~s, vacancies and expenses have been repOlted and analyzed. They have been used to project future rer~s, vacancies and expenses. [g] SUBJECT PROPERTY OFFERING INFORMATION According to Public Record and MLS the subject property: [g] hil5..illllbJ'!lO_Qftllfed tor sale in the past 30 days. o is currentJy_Qlrered for s~ tor $ o \'Ii15 ofiel!l~ tor sa~ wllhin the past 30 d"fs for $ o Offering information was considered in the final reconciliation of value. IX1 Offering intormation \\'asJK,t.C~DSld!lmd in fhe tinal reconciliation of value. [] Ofiering intormation '!Las not avililabJft. The reasons lor unavailabillly and the steps taken by the appraiser are explained later in th~ addendum. ~/:] SALES HISTORY OF SUBJECT PROPERTY According to Public Record and MLS the subject property: [g] bil5_nRfj~r!!ld in the pasf twelve months. 0 hasJrnnsterred in the past tweNe months. 0 All prior sales wh~h have occurred in the past tweNe months are listed below and reconciled to the appraised value, ellber in the body of the report or in the addenda. I Date Sales Price Document 1# Seller BUlfer I [g] FEMA FLOOD HAZARD DATA IX1 Subject property .~..!K!lI!!c.ated in a FEMA Special Flood Hazard Area. [J Subjecf property isnillJ'~ in a FEMA Special Flood Hazard Area. Zone FEMA MaplPanel # Map Date Name of Community C 421016 9/30/77 Lower Allen T ownshio 0 The communlly ~jpille in the National Flood Insurance Program. IX1 The communlly does patli!;ipille In the National Flood Insurance Program. [g] It is covered by a Le9-uLar program. [] II is covered by an emergern;y program. Page 1 at 2 Form MPA - "TOTAl. 201JO tor Windows" .appraisal sortware by a Ia mode, inc. -1-800-ALAMOOE -- [g] CURRENT SALES CONTRACT [g] The subject property is ~J]QJ!lfillllLcillll!i!cJ. [J The contract a",Vor escrow instructions mreJlQLal'iliL'Ii!liLfllLN'iiQ\\,. The unavailability of the contract is explained later in the addenda section. D The contract mor escrow instructions l\'l[e.rex~.w.ed. The toHowing summarizes the contract: Contract Date Amendment Date Contract Price; Sell.n I Same D The contract ind~ated that personal property WilLOOU[l!;.iu(!e.<J in the sale. D The contract indicated that personal property l\'il!tirn;[u~d. ~ consisted of D Estimated contributOlY value ~ $ Personal property \\'i\:>l!!l.tiI]!:JuJJjj~ in the tinal vaiue estimate. D Personal property .WiltiJJ.cl@_ed in the final value estimaie. D The contract indicated no fin~@.1!C_~.ssions. or other incentives. D The contract ind~ated tlJtlQjillwing~_Q=~QIlJ; 01 incentives: [g] n concessions or incentives rOOst, the comparables were checked tor similar concessions and appropriate adjustments were made, . applicable, so that the tinal value conclusion ~ in compliance w~ the Market Value detined herein. 1L1 MARKET OVERVIEW Include an exptanation of current market conditions and trends. _O~3 __ months is considered a reasonable marketing period for the subject property based on current market indicators - [><J ADDITIONAL CERTIFICATION The Appraiser cert.Ies and agrees that: (1) The analyses, opinions and conciusions were developed, and th~ report was prepared, in conformity wilh till Un.orm standards ot Professional Appraisal Pract~e ("USPAP"j. except that the Departum Provision of till USPAP does nut apply. (2) Their compensation is not contingent upon the reporting of predetermined value or direction in value that favors the caus. of the client. the amount of tho valuo .,,1imaio, till attainment of a stipulaied resuit, or the occunenc, of a subsequent event. (3) This appraisal assignment was not based on a requested minimum valuation, a specific valuation, or the approval of a loan. [g] ADDITIONAL (ENVIRONMENTAL) LIMITING CONDITIONS The value estimaled is based on the assumptjon that the property is not negjllively affected by the e~stence ot hazardous substances or detrimental environmental cond~ions unless otherwise stated in th~ report. The appraiser is not an expert in the ident.~alion of hazardous substances or detrimental environmental condilions. The appraiser's routine inspection of and inquiries about the suhject properly did not develop any intormation thai ind~aied any apparent s~nificant hazardous snbstances or detrimental environmental condilions which would affect the property negalively unless otherwise staled in this report. ~ is possible that tests and inspections maria hy a qual~led hazardous substance and environmental expert wouid reveal the e$!ence of hazardous substances or detrimental 6nvilOnmental conditions on or around the property that would negatively affect its value. [] ADDITIONAL COMMENTS - [g] APPRAISER'S SIGNATURE & LICENSE/CERTIFICATION Appraiser's S~naiure ?t,.,x~ ~---- Effective Daie 3/19/0'1 Dale Prepared 3/22/01 Appraiser's N""", (pont) Vincent Minnicj Phone # ( 1 717 565 2037 stale PA [] license [><J Cert.~ation # RL 001747 L Tax ID # 1733864'13 IJ CO-SIGNING APPRAISER'S CERTIFICATION D The co-signing apprieser llas.p]!S!!RaJJyjns~ till subject property, both inside and o~ and has made an exterior inspection of all comparable saies listed in the report. The report was prepared by the appraiser under direct supervision of the co-signing appraiser. The co-signing appraiser accepts responsibility for the contents ot the report including the value conclusions and tile limiting conditions, and cornirms thallhe cert~alions apply fully to the co-signing appraiser. [J The co-s~ning app~er biILl1!ltWllsolllilly inspe~~d the interior of the subject property and: [] llasJ](!tjn~~ the exterior of the subject property and all comparable sales listed in the mport. II hasj1lSlIjt<;t~d the exterior of the subject property and all comparablu sales listod in the report. [J The report was prepared by the appraiser under direct supervision of the co-signing appraiser. The co-signing appraiser accepts responsibility for the contents of the report, including the value conclusions and the limiting condilians, and confirms lI1at the certifICations apply fuily to the co-signing appraiser wilh the exceptjon of the cert~ation regarding physical inspectfons. l1,e above describes the level at inspection pertormed by the co-signing appraiser. [] The co-signing appraiser's level of inspection, involvement in the appraisal process and cerlWication are covered elsewtmre in the addenda section of this appraisal. [.J CO-SIGNING APPRAISER'S SIGNATURE & LICENSE/CERTIFICATION Co-Signing Effective Dale Dille Prepared Apprarser's Signalure - Co-Signing App~er's Name (pont) Phone # ( ) State D L~ense [J Cert.~ation # .- Tax ID # Page2of2 form MPA - "TOTAL 2000 tor Windows" appraisai software hy a la mode, inc. -1-800-ALAMODE DEFINITION OF MARKET VALUE: The most probable price wh~h a property should bring in a compant.e and open marko! under all cond~ions requis~ to a talr sale, the buyer and se~er, each acting pmdontly, knowledgeably and assuming the pri<:e is not affected by undue stimulus. Implic~ in this dolin~ion ~ the consummalion ot a sale as of a speclfiOO dale and the passing ot title lrom seller to buyer under cOndli.,"s whomby: (I) buyer and seiler are typically mot.a1ed; (2) both parties are well inlormed or well advised, and each acting in whal he considers h~ own best interest; (3) a reasonable time ~ allowed lor exposure in the open market; (4) payment is made In terms ot cash in U.s. dollars or in lerms of l",anc~1 arrangements comparable thereto; and (5) ttJe price represents ttJe normal consldoralion lor th, property sold unaffected by special or creal.e linancing or sales concessions' granted by anyone associated wlih lhesale. . Adjustments to the comparables must be made lor special or crealive financing or sales concossions. No aiJjustments are necessary lor Ihose costs which are normally paid by sellers as a "suli of tradlilon or law in a market area; these costs are readily Identlilable sinc, U~ seller pays ttJese costs In virtually all sales transactions. Special or creative linancing adjustments can be mad, to the comparable property by compar~ons 10 financing terms offered by a third party instliutional lender Ihat is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar lor dollar cost of ttJe financing or concession bul the dollar amount of any adjustment should approximate the market's reaction to the linancing or concessions based on ttJe appraiser's judgement. STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION CON'fINGENT AND LIMITING CONDITIONS: Tire appraiser's cortlilcalion ttJaI appears In ttJe appraleal report Is subject to the following COndliions: 1. The appraiser will not be responsible lor matters of a legal nature ttJat affect eliher the property being appraised or the tttle to Ii. The appraiser assumes that the tlile Is good and marketable and, UlOrefore, will not render any opinions aboul the tille. The property ~ appraised on the basis ot Ii being under responsible ownership. 2. The appraiser has provided a sketch in the appraisal report to show approximate dimensions of the improvements and the sketch ~ included only to assist the reader of the report in visualizing the property and understanding the appralser's determination 01 its size. 3. The appraiser has examined the available fiood maps that are provided by the federal Emerger"y Management Agency (or ofher data sources) and has noted In the appraisal report whether the subject sre is located in an identliled Special Flood Hazard Area. Becanso the appraiser is not a surveyor, he or sl~ makes no guarantees, express or implied, regarding tl1~ determination. 4. The applalser will not give testimony or appear in court because he or she made arr appraisal 01 Ure property in question, unless specli~ arrangements 10 do so have been made beforehand. 5. The appraiser has estimated the value of the land in tile cost approach at lis highest and best use and the Improvements at their conhibutory value. These sepmrtte valuations 01 the land and improvements must not be used in conjunction with any other appraisal and are invatid Ii they are so used. 6. The appraiser has noted in the appraisal report any adverso conditions (such as, needed repairs, depreciation, the presence of hazardous wastes, toxic substances, etc.) obsorved during the inspec'\ion of the subject property or Urat he or she became aware 01 during the normal research involved in perlorming the appraisal. Unless otherw~e stated in Ihe appraisal report, the afJPralser has no knowledge of any hidden or unapparent condliions of the property or adverso environmental condlilons (including the presence ot hazardous wastes, tox~ substances, Lie.) ttJat would make the property more or ~ss valuable, and has assumed that there are no such condliions and makes no guaranlBes or warrantir.s, express or implied, regarding the cond~ion of the property. The appraiser will not be responsible lor any such cond~ions that do exist or lor any engineering or testing that might be required 10 d~cover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considered as an environmental assessment 01 the property. 7. The appfaiser obtained the information, estimates, and opinions that wem expressed in the appraisal report from sources that he or she considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility tor the accuracy of such ilems that were turaished by other parties. 8. The appraiser will not disclose the contenls 01 the appraisal report except as provided lor in the Unliorm Starrdards 01 Prolessional Appraisal Practice. 9. The appraiser has based his or her appraisal report and valuation conclusion for an appralsai that Is subject to satisfactory compietion, repairs, or aihmltions on the assumption that completion 01 the improvements will be performed in a workmanlike manner. 10. The appraiser must provide h~ or her prior written consent before the ~nder/cllerrt specliled In the appraisal reporl can distribute the appraisal reporl (including conciusions about the property value, the appraiser's identliy arlll professional designations, and references to any professionat appraisal organizations or the linn w~h which the appraiser Is associated) to anyone other than the bon ower; the mOltgagoo or its successors and assigns; the morlgage insurer; consultants; professional appraisal organizations; any state or lederally approved financial institution; or any department, agency, or instrumentality of the UnITed Sfates or any state or the District of Columbia; except thai the lender/client may distribute the properly de'tription section of the report only to data col~clion or reporting servlce(s) w~houl having to obtain the aplllalser's prior wrilien consent. The appraiser's written consent and approval must also be obtained before the appraisal can be conveyed by anyone to the public ~lfough advert~ing, public reiations, news, sales, or otOOr media. Freddie Mac Form 439 6.93 Pagelof2 Fannie Moo Form loo4B 6-93 R & L Appraisal Associates George R. Ulsh form ACR - 'TOTAL 2000 tor Windows' appra~aI soitware by a ia mode, Inc. - 1.800.ALAMODE APPRAISER'S CERTIFICATION: The Appraiser certITios and aglees that: t. I have researched the subject market area and have seieeled a minimum of three recent sales of properties most similar and pro~male to the subject property tor consideralion in the sales comparison ana~sis and have maw a dcllar adjustment when applOpliale to reflect the market reaction to those ,ems of signif~ant variation. II a sign'icant item in a comparabie property is superior to, or lI]ore favorable than, the subject property, I have made a negative adjustment to reduce the adjusted sales prioe of the comparable and, II a significarn 'em In a cumparabie property ~ Inferior to, or less favorable than the subject property, I have made a pos,We adjustment to increase the adjusted sales price of the comparable, 2. I have taken into consideration the tactors that have an Impact on value! in my development of the estimate of market value in the appraisal report. I have nol knowing~ w,hhe~ any slgnllioant Information trom the appraisal reporl an<t I beiieve, tu the best of my knowledge, thai all statemerITs and Intormalion in the appraleal report am true and correct. 3. I stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the contingent and Iim,ing condnlons specllied in this torm. 4. I have no present or prospective interest in the property that is the subject to this report, arid I have no present or prospectWe personal Interest or bias wITh respect to the partieipanl,< In the transaction. I did not base, e,her partial~ or completely, my analys~ an<Vor the estimate of market value in the appraleal report on the race, color, religion, sex, han<ticap, familial slatus, or nalional origin of e,her the plOspective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinily of the subject property. 5, I have no present or contempiated tuture interest in tire subject property,: and ne,her my current or tutore employment nor my compensation for pertorming th~ appraisal is contingent on the appraised value of the properly. 6. I was not required to report a predetermined value or direction in value that favors the cause of the client or any related party, the amount of the value estimate, the a1talnment of a specmc resull, or the occurrence of a subsequent event in orwr to mceWe my compensation an<l'or employment tor pertorming the appraleal, I did not base the appraisal report on a requeste<t minimum vaiuation, a specllio valuation, or the need to approve a specmc mortgage loan. 7. I pertorrned this appraisal irr contormITy wITh the Unllorm Standards of Professional Appraisal Pract~e that were adopted ar,d promulgaled by the Appraisal Standar<ts Board of The Appraisal Foun<tation and that were in place as of the effectWe date at this appraisal. w,h the exception of the wparture provision of those Standards, wh~h does nol app~. I acknowledge that an estimate of a reesoni1ble time tor exposure in the open market is a cond,ion In the l!etinnlon of market value and the estimale I <leveloped is consistent with the marketing time noled in the neighborhood section of th~ report, uniess I have olherw~ stated in the reconciliation section. 8. I have personal~ inspeeted the interior and extenor areas of ij" subject, property and the exterior of all properties listed as eomparables in the appraleal ..port, I further certify that I have noted any apparent or known adverse cond~ions in the subject improvements, on the subject s,e, or on any SITe w,hin the immediate v~inITy of the subject property of wh~h I am aware and have maw adjustments tor these adverse condllions in my analysis of the property value to the extent that i had market evidence to support them, I have also commented about the effect 01 the adverse condnions on the marketabilITy of the subject property. 9, I personal~ prepared ali conclusions and opinions about the real estille thai were 501 torth in the appraisal report. n I relie<t on signllieant protessional assistance from any indMdual or indWiduals in the pertormance of the appraisal or the preparation of the appralsai report, I have named such indW~ual(s) and disclosed the speeilic tasks pertormed by ij"m in the reconciliation section 01 this appraisal repoll. i eerttfy thai any indWidual so named ~ quaillied to pertorm the tasks. I have nol arnhorized anyone to make a change to any ~em in the report; theretore, il an unauthorized change is made to the appraisal report, I wili take no responsibilITy for II. SUPERVISORY APPRAISER'S CERTIFICATION: II a supervisory appraiser signe<t the appraisal report, he or she cert~les and agrees that: i dlrect~ superv~ the appraiser who prepared the appraleal report, have reviewed the ~)Plaleal report, agree w,h the statements and conclusions of the appraJeer, agree to be bound by the appraiser's cert,ieations numbered 4 through 7 above, and am takin9 tull responsibilITy for the appraisal and the appraisal report. ADDRESS OF PROPERTY APPRAISEO: 121 Old Mill Drive, Camp Hili, PA 17011 APPRAISER: Signature: ~-,.r ~ Name: Vincent Minnici Date Signed: 3/22/01 Stale Certllication #: RL 001747 L or State L~ense #: State: PA Expiration Date of Certffication or Lieense: 6/30/2001 SUPERVISORY APPRAISER (only if required): Signature: Name: Date Signed: State Cerlll~ation #: or State L~nnse #: State: Expiration Date of Certnication or L~ense: [] Did [] Did Not Inspect Property Freddie Mac Form 439 6-93 Page 2 of2 Fannie Mae Form t 0046 6-93 Form ACR - 'TOTAL 2000 for Windows" appr~saJ sollware by a ia mode, inc, -1-8oo-AlAMODE Borrower ~ree Fi~ No. 031901 - - Property Address 121 Old Mill Drive .. Citv Camo Hill County Cumberland State PA Zin Code 17011 Lender Dorothv J Free APPRAISAL AND REPORT IDENTIFICATION This appraisal conforms to.!ill!l. of the following definitions: o Complete Appraisal (The act or process of estimating value, ,or an opinion of value, performed without invoking the Departure Rule.) l8J Limited Appraisal (The act or process of estimating value, or an opinion of value, performed under and resulting from invoking the Oeparture Rule.) This report is om:. of the following types: o k>iJ [J Self Contained SummaI)' Restricted (A written report prepared under Standards Rule 2-2(a) of a Complete or Limited Appraisal performed under STANDARD 1.) (A written report prepared under Standards Rule 2-2(b) of a Complete or Limited Appraisal pertormed under STANDARD 1.) (A written report prepared under Standards Rule 2-2(c) of a Complete or Limited Appraisal pertormed under STANDARD 1 for client use only.) . Comments on Standards Rule 2-3 I certify that, to the best of my knOwledge and belief: . The statements of fact contained in this report are true and correct. . The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, and are my personal, impartial, and unbiased professional analyses, opinions and conclusions. . I have no (or the specified) present or prospective interest in the property that is the subject of this report', and no (or the specified) personal interest with respect to the parties involved. . I have no bias with respect to the property that is the subject of thil) report or the parties involved with this assignment. . My engagement in this assignment was not contingent upon developing or reporting predetermined results. . My compensation for completing this assignment is not contingentl 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. . 1 have made a personal inspection of the property that is the subject of this report, Comments on Appraisal and Report Idel1~ifjcation Note any departures from Standards Rules 1-2, 1-3, 1-4, plus any USPAP-related issues requiring disclosure: - - - - . -- t---- - - -. APPRAISER: Signature: f(;.~./ ~~~...;'- Name: Vincent Minnici Dale Signed: .3/22/01 Stale Certification #: RL 001747 L or Slate L~ense #: State: PA Expiration Date of Cert.~ation or License: 6/30/2001 SUPERVISORY APPRAISER (only if required): Signature: Name: Date Signed: State Ccrtmcalion #: or Slale L~cnse #: State: Expiration Date of C"trr~ation or License: [J Did [J Did Not Inspe(~ Properly R & L Appraisal Associates George R. Ulsh Form 102 - "TOTAL 2000 for Windows" appraisal software by a la mode, inc. -f-800-ALAMOOE Subject Photo Page I Borrow~r/Client Free Properly Adllre&, 121 Old Mill Drive City Camp Hill lender Dorothy J Free County Cumberland_ State PA lip Code 17011 Subject Front '121 Old Mill Drive Sales Price N/A Gross living Area 1 ,552 T ot,l Roums 6 Total Bedrooms 3 Total Bathrooms 1.5 location SuburbanlAvg. View Suburban/Avg. S~. .73 Acres Quality BricklAvg. Ag" 39 Years Subject Hear Subject Street Form PIC3x5.SR - "TOTAL 2000 for Windows" appraisal softwaJe by, la mode, inc. -1-800-ALAMODE Comparable Photo Page Borrower/Client Free Prooertv Address 121 Old Mill Drive Cilv Camp Hill Lender Dorottljl J Free County Cumberland State PA Zip Code 17011 Comparable 1 26 Colgate Drive Prox. to Subject 0.31 miles SaiePrlce 119,000 Gross Living Area 1,319 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1.5 Location Suburban/Avg. View Suburban/Avg. Sne .25 Acres Qualily Brick/Avg. Age 43 Years Comparable 2 1715 Cedar Cliff Drive Prox. to Subject Sale Price Gross Livin!l Area T otat Rooms Total Bedrooms Total Bathrooms Location View sne Qualily Age 0.22 miles 125,000 1,396 5 2 2 Suburban/Avg. Suburban/Avg. .31 Acres Br&Alum/Avg. 39 Years Comparable 3 102 Limestone Drive Prox. to Subject 2.32 miles Sale Price 124,900 Gross Living AIOa 1,040 Tor~ Rooms 5 Total Bedrooms 3 T otat Balhrooms 2 Localion Suburban/Avg. View Suburban/Avg. sne .19 Acres Qualily Brick/Avg. Age 39 Years form PICPIX.CR - "TOTAL 2000 for Windows"!appraisal software by a fa mode, inc. -1-8oo-ALAMODE Building Sketch Borrower/Client Free Pronertv Address 121 Old Mill Drive CiIv Camp Hill lender Dorothv J Free Com1!\' Cumberland State PA ZipCode 17011 PR Kitchen Bedroom Family Room Beth Bedroom Bedroom Uving Room I SKETCH CALCULATIONS I ., I A1 : 60.0 x25.0 = 1500.0 A2. : 26.0 x 2.0;:;; 52.0 AL , FilSl: Floor 1552.0 Total living Area 1552.0 Form SKT.BlDSKI- "TOTAL 2000 for Windows" appra;sal softwaJe by a la mode, inc. - j.800-ALAMOOE Location Map Courrt0umberland Slale PA Zip Code 17011 .eDomila.com fiiOI'''..!! \~) 'ig 'i~ -\)- 9~ jg. "A '._' ':[)>o \'" '. . ..'~ 'a'. I .,;;,~~"'" .,::,,' ~ ~ ", :--"')~/",,, / -,1j).,"i - ",,9.'0; " ,. ")09"~ ' "'~ 1'\" "'~i '" '1 lit" o,j '. ~ '.1' 'it 1;' p.-., ~ '" " 1\. ~ () '\" '\ "','1' ~/./ " '.: ' ,1 ,t\t,' '1'1/1 J i ",' '\ ~ &~itt~113:j [.:r,t'. ':>to,k"P8j,f.)~;. .t"i/ f,. 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'" E " n J!! ... ; -"," i ,.,:, @:20Dl \4cinity,CorP. 001 lmi ---I ' Form MAP.lOC - 'TOTAL 2000 fOI Windows" appraisal software by a fa mode, inc. _ HOO.ALAMODE R~V.1503EX+(1-97) '* SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ^ . --r- C_ L/ 0,<.0 7>I<-f V . ". 7<-c-t=: FILE NUMBER ;:2..00/- 004--5;2.- All property jointly-owned with right of survivorship must be disclosed on SChedule F. VALUE AT DATE OF DEATH #BD? B~)<.[)6<'osl/;C/'UJG~ (h4-) $"/jl.Ao.7S +56 ud&-TZ-j 4U--ST19-fi- GA!Jt.LInf rz::, /1\/ ell/+,/ :'2i:.;!, 00 ~ ~"l, .1"1- tJ54- ,t..j6~/fT-L-5~ EqJu1TY /'D ~/.J/ bOO. 00 e- /3.0-0 Cm z: c::e, /YI E7'<-1 eft If!! ~ /<- - rJ'? z: e....1I/oo,oo DESCRIPTION ITEM NUMBER 1. J) 117 ;l... I/~O '3. I,; :;J.o 0 1-, +0/ (lOa J>--1-o pOD.OO I 5(/.6 TZ> 77tK-- L&:55 ~.5A-C-77o..u ~ ~. / 70 " ;?4-77. 00 ~ ""73j #S, 7S Lf>734-: ,,?) /'l-c:. C/Z u E:7:> /;J r&<--e3 T ~7?/Yl~ TO J7'H- $7;2./731,09 TOTAL (Also enter on line 2, Recapitulation) (If more space is needed, Insert additional sheets of the same size) $7.:2,73/,D7 SALOMON SMITH BARNEY PAGE 1 ACCOUNT POSITIONS AS OF 05/09/01 DOROTHY J FREE 121 OLD MILL DRIVE CAMP HILL PA 17011-8206 ACCOUNT: 724-19429-1-6-789 FC: BOB REYNOLDS QUANTITY SYM/CUSIP SECURITY DESCRIPTION PRICE MARKET VALUE 1,117 #BDP BANK DEPOSIT PROGRAM 1. 000 $1,120.75 6 A 1,450 ASG LIBERTY ALL-STAR GROWTH FD INC 9.840 $14,268.00 1,200 USA LIBERTY ALL-STAR EQUITY FD 13.000 $15,600.00 40,000 CMI COMERICA BANK - MI 100.000 $40,000.00 DTD 06/2 I 7.00 06/21/2001 ACCRUED RES ----------------- ----------------- TOTAL ACCOUNT VALUE 70,988.75 ~ 3~) ~O() q'r-.C\... --- \-oCL ?..,,~ - ~ CC\2w ~ \n~'-'-"\ ;) L\l7 ) .". 73;-1-{:,~ 75' . VALUE DOES NOT INCLUDE UN PRICED SECURITIES. THIS INFORMATION IS BEING PROVIDED AT YOUR REQUEST AND DOES NOT REPLACE OR SUPERSEDE YOUR SALOMON SMITH BARNEY INC. CUSTOMER STATEMENT. THIS INFORMATION IS BASED UPON THE MARKET VALUE OF YOUR ACCOUNT AS OF THE CLOSE OF BUSINESS AND IS SUBJECT TO DAILY MARKET FLUCTUATION. cl-:7 A /71P A . .0 .c.....C.:>5 ?,.6 (;. ~ '" 'vt-YV'S4<=T7ON - ~ N&-r ... 7;;") ?"3 /. ct '" -.. .. ~ t "" h ., c, 0 '. K ~.~ '" ~ ,"", ,\ ~ ... - " "- ~ Vi . " ~ ~ .~ \ ,. "-:';:' { 0- , -" '" " ""j. ... .\ '01 ~ (... , ~ \5 l:.:w \J i'\ ~ ~ ~ t \- \. " , 'i .Q 'h ~ :r", "' ~ '<: \S .J , <- . " '" " "l I, ':) ~ - " ~ ~ ~..: S 'Ir 0 I\) '~ '~ {<\ " '~ " ~ '\ '" " "i. ~ ~ '\ "I: ('fl ~ K \\ ~ ~ ...... ~ 0 CJ 0 ~ E - C\I ~ \ 8 C .ci 0'1 z: E ;; CIl ~ C\I a: ~ v E ~ ~ 0( ~ @ S III ~ ~ CIl 'C ::c s 'C - 0- '3 -' " 8 15 ell ... ~ u. " <( :ij " ~ ,., (j) 0 " <t ~ ~ III u Ul ~ Z "- ..:. E ~ " '8 '" '" z: -' ..:. 1i! '" 1:' .- e ...... 0 u 0 ~ "' :2 8 v " z ;;;> ~ '" .c - :2 ,. ~ ~ " CIl ~ Ie CIl " 0: 111 6 "' 'C ~ ~ 0: CIl '" "' '" u .- 0- '" - ~ CIl ci Z 0: " OJ 0 ~ ,. 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" . :;::,~ - .- 0" u" " 8 f fa tV "5 ~ ~ 8 ~~8 a:::;::a:i "''''.... f-U5M -"0", ::l;::l;.. ,. ~::' ~f-<(O Z~~V; " ~ lD8~Q; <(->110 g ~ ~ q:; ~ ffi 8 ~ ~ \) ~ 0" b III 0 I- I- u ~ U o!: <t c q ~ g :~: ::::~( ::t~:::: .l!j. ::~g if: .~ .. ~.'...... 1... :,:Qi,::""":" t .~ . ... z '" o u u <( 0: o W. o " 0- '" U '" :r: u > is fO z '0 ~ $ .E; "tl III " b " '" ... .E " .2 'tl ~ ., .!'2 ." ~ ~ ~fl i gg !:[i'::.:"1 i '~:':",,",,:" u ji .~ III ~.!<2 ':~::)~: in ::S::.:s.. ~ r:. .~ -;;;0 ijl :'~"-'* 2 :1;-..~: ~ ..~a '" mEf:f~:: :":QjI""*, ',IU ,~ ..... ...,., q,.' <b'." <:ciIJ:~:, .iiI Q '.D;l u,' :;;; ~ "';lIiii ' ;@/1l l! ~. 't;;:::.&,: ~ '" o ~ '0 ;:u~f' ~ >,':::::;:':' s i .E; III Ol C }>:~a::; .la ILl .. 'i ;!: os ... " .::: - ;i c: .2 OJ EO ... .E .E; "E ~ g Il'i ~.. . " ~ . ., c o Z . '" " '" . '" ~ w "" o~ ;0"- "=0 9m 5>= ~0 M<( 00: 00'" UJO~ tnii:(/) l:: LUUJ>- cu > (l. <( ~zcr;o 8 ~ ft ~ <! " o " " '" ~ " o >-- S "tl $ '0 " b ::l; <( '" 8 0: 0- >- <(U; zO c ",it 0 Zo ~ <('" 0 ~z - !::<( ~ uro 0 N . ~ .. ~ 0 ., " 's " o " " .2 t; 2l .!<2 ~ . . _E_ .- ca en Ill..... ..-:: 0 en'" c Cl.o.. cacu...- lDec..: SALOMON SMITH BARNEY A member of clttgrouPl" Client Statement April 1 - April 29, 2001 Page4of4 Ref: 00000577 00003353 DOROTHV J FREE Account number 724-19429-16 789 Message: For clients holding CDs, your September statement will ref/ect an estimated market value which may vary from the CD's face value. The estimated mark.et value may not reflect the price you could receive jf you were able to sell your CD prior to maturity. FDIC insurance will be determined by your CD's face value. REV.l508 EX + (1.97) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ;<00/ - CJ CJ 4--S~ ESTATE OF ^ ~O ~ T7f-ztJ: h<.ee: Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ;;2..... ~. 1-: s:. -fL-L-r-/ASi /54rJ/<... / .2.00 /J1~E:7 Sr. LbnO'lNe / /'4- /704--3 C!/fE:CI<I/\JC, "A/-CC-T. 1/ ~tJ31--/-?131--,;L C/fcC,kp..JC- .+c-c-r - /I CJ 0 '1g' / - .2 74LJ - 7 cs~ 5'/H-.G- (/?'llse. $U5€/f-oL-D 000..05) E5~ /fVC-,77o,/L/ (-1-? /SC. /!-v1/$&/foL-b 6<70.0...5) /I-79-rJ/(.'.5 /fV cT70N C:5T1N'l/1,-E D / ? S- L06/'JoN A.D. b/U-.5t3u/L~ / /Ar j)ONA-nO"u Or /l7/5C. ,:;p&t-.S.!J/l1/f"C- ~~ Go 0 O.wlt..-<- /NDv57X-/C"::5 / / -5ZJ Goo tJ a..J/ L.t.-- bru U e ~~f.8U/L.6/ r',-f}--. /7/0'=;- Tt<..JtJ (;:;.) v"Ju.s/S;O ,6UolU~ /CflT3 /f-7 ~) c-LlN&. (f;.~ C&v1.~rlY'-<.j J.. t&e-oc/=- Q) 5E:Q70;J /3SA-.1 G~8..5 / f.;;J / f / I ~L/ 5L-e /-.0 . ~~ I/7t--LJ ;D~ /70// - $"9/1/ EST7M~-ren e_.f! gr(j,o. 00 ~. If; 3/ 956. 97 f- /bJ 1-d- 3.51 ~ /; t!J/;L. '35 JJ~()o.oo ;V'O V tH--ue. ifr/ {:, 00. 00 / TOTAL (Also enteron line 5, Recapitulation) $ /7. ;1.33, .:2/ (If more space IS needed, insert additional sheets of the same size) IMII 05/15/01 DOROTHY J FREE 121 OLD MILL RD CAMP HILL DATE 03/20 03/30 04/02 04/04 04/13 04/17 05/01 05/01 05/02 05/02 05/08 05/14 BEGINNING BALANCE 3240.77 CK NBR 3049 1 DDA STATEMENT HISTORY 16.19.34 PAGE ACCOUNT 001-000-0000-0034181342 DATE LAST STATEMENT 03/20/01 PA 17011 DATE THIS STATEMENT 05/15/01 *****DDA TRANSACTIONS***** CHECKS/OTHER DEBITS DEPOSITS/OTHER CREDITS NBR TOTAL AMOUNT NBR TOTAL AMOUNT 8 4089.62 4 848.85 AMOUNT TP TRANSACTION DESCRIPTION 71.12 DEPOSIT 14.28 ACH DEBIT 22.34 ACH DEBIT 5.80 CHECK 2.43 CR INTEREST PAID 773.00 DEPOSIT 43.50 ACH DEBIT 24.00 ACH DEBIT 12.88 ACH DEBIT 9.85 ACH DEBIT 3956.97 CLOSING WITHDRAW 2.30 CR INTEREST PAID /u / TJ.f 1> X,A/-(.,<.I ~ ;d &/ h'"C- rz; ?V 1'-<-- d eo- /".hJ D ~ S E-o a"...) hrV~ ~ ~erv~ . ENDING BALANCE 0.00 BALANCE 3311.89 3297.61 3275.27 3269.47 3271.90 4044.90 4001.40 3977.40 3964.52 3954.67 2.30- 0.00 --y(~~6v=c . S/N/OI . IMII 05/151.01 DOROTHYJ FREE 121 OLD MILL RD CAMP HILL DATE 03/21 03/21 04/02 04/13 05/07 05/08 05/14 BEGINNING BALANCE 9816.60 CK NBR 143 142 DDA STATEMENT HISTORY 16.20.56 PAGE ACCOUNT 001-000-0000-0098127497 DATE LAST STATEMENT 03/21/01 PA 17011 DATE THIS STATEMENT 05/15/01 *****DDA TRANSACTIONS***** CHECKS/OTHER DEBITS DEPOSITS/OTHER CREDITS NBR TOTAL AMOUNT NBR TOTAL AMOUNT 4 10863.89 3 1047.29 AMOUNT TP TRANSACTION DESCRIPTION 140.00 CHECK 10.00 SC CHECK CHARGE 250.00 CHECK 20.34 CR INTEREST PAID 1012.35 CASH DEPOSIT 10463.89 CLOSING WITHDRAW 14.60 CR INTEREST PAID 1 ENDING BALANCE 0.00 BALANCE 9676.60 9666.60 9416.60 9436.94 10449.29 14.60- 0.00 tVI nJ-D~/h- ;2Gt./.'H-T>J t:L/, <--<- d E- ~ <:l ~ e-,:; O,-.J A/V.-rL- ~ tf'~ . X~.uC<b; " / ~E-c. q/c'/Ol REV-1511 EX+ (12-99) . . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF ^ V O.-<..p 'TlIz.-t J; h...C:e. FILE NUMBER .:zOO / - tJl 0"/--5::2- ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: #~/3S,t9P 1 cy"-<-t7>1/?-nO"v Sc9c;/e-Tz.; Or /Gu-vsy,(_-v''\IYV/'+- 4/00 JONGSroUNV /(.o;f-t::> ~/'V S .d vA..C; I ;P -+ ' /7/ tJ '1 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representat'lve(s) A. 06 ~ &, ~C:6 . t3:>( €Cv 77J /t- rp , Social Security Number(s)IEIN Number ot Personal Representa\iVe{ Street Address ~56 '95,/I/l';z.<..lt--?7U,o 0-,,<-, City /..../ Trl--E:'rON __ State ~_ lip ? O/;L '3 Year(s) Commission Paid: ~ 2. Attorney Fees (E5n/l?~) #7 oo~ 1!90 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) /Vo,tJ6 tjJ Claimant Street Address City State __ Zip Relationship of Claimant to Decedent 4. Probate Fees ./I;?...~), 0 0 5. Accountant's Fees #0/1/6 ~ 6. Tax Return Preparer's Fees (To C36 j)~/A..l&D) ? 7. TOTAL (Also enter on line 9, Recapitulation) $ :<..} 0'1 (,.00 Debts of decedent must be reported on Schedule I. (II more space is needed, insert additional sheets 01 the same size) ~",'1:10N SOCl 0~ ~,t: ~\I/;;/~ ~/ :~C:._~ ~ "Tbe Simple Dignified Choice" I'E:NNSYLV"'~\ Nationwide 1-800-722-8200 3-3-2001 05 Mrs. Roxanne Connor 20 Center Drive Camp Hill, PA 17011 Dorothy J. Free - Deceased X Direct Cremation Special 48 Hour Or Weekend Cremation Service Nationwide Guarantee Program Worldwide Travel Protection Program Private Family Viewing/Witnessing Cremation X Cremation Container X Medical Document/Courier Fee Honorarium Cardboard Container Urn Burial Vault Arrange For Burial Cemetery Charges Arrange/Deliver Remains To A National Cemetery Burial At Sea Scattering Charge Packaging And Forwarding Ot Cremated Remains Express Mail X Certitied Copies 15 @ $2.00 Register Book Memorial Folders Thank You Cards # Do-It-Yourselt Memorial Service Flowers X Newspaper Placement Fee X Pat-News 116 X county Coroner Cremation Approval Fee Other TOTAL 3-5-2001 PAID BALANCE DUE 210278 $1,025.00 $55.00 $30.00 $25.00 $1,135.00 $1,135.00 $0.00 Home Office 4100 Jonestown Road . Harrisburg, PA 17109 (717) 545-2795 Fax (717) 541-9943 Philadelphia Office 198 Allendale Road. King of Prussia, PA 19406 (610) 354-9800 Northeast Office 129 North Washington Avenue. Connell Building, Suite 612 Scranton, PA 18503. (717) 969-2300 Western Office 442 Castle Shannon Boulevard. Pittsburgh, PA 15234 (412) 571-0400 RECEIPT FOR PAYMENT ------------------- ------------------- Cumberland County - Register Of wills Hanover and Hiqh Street Carlisle, PA 17013 Receipt Date Receipt Time Receipt No. 5/08/2001 08:28:14 1025559 FREE DOROTHY J File Number 2001-00452 Remarks FREE YOLANDE L ________________________ Distribution Of Receipt ------------------------ Transaction Description Payment Amount Payee Name PETITION FOR PROBA SHORT CERTIFICATE EXTRA PAGES JCP FEE 235.00 12.00 9.00 5.00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D Check# 1447 Total Received......... $261. 00 $261.00 ~ ~~;h V\ "tVO' oS Ilo It! (:ef-TIFII.-PrTC J)A'-i", be) 1- (,00 f) fC,) fL 1=-'t!::6NI s-/B / 0/ .-; -" -::;PC> l-.J A-t- elf 6l-l<. rAID B'f r t;- """"".,,9, . SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INH~~~~~~~ ;:2E~~~~RN MORTGAGE LIABILITIES, & LIENS ESTATE OF j) FILE NUMBER O;'(.Only -v: ~~ 2.00/- OO?-S-~ Include unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION S/,&C-I /'K- ~ (I/z:;M6:3: /1./(./.<.;5 ES ) ~esT 6- L....4 TSf/-,4. (/veL. 0/ c) ;2., ;3, 41ft- T 1-. /l?~ /j-NN/~/oA-/ Tf<(€A-5v~ (/~o/I.J-?-L~ .s: (:.o''YJ~r ~€:: (6-rJ6<t;.6<Jetf ,e'G9"o,.v~€ON/Tj p , V' b"V ~O;V 7, .m ~ ,#N/ll /'A..I t?A. / 7X.&f::f v.-t-GYt-(/ ~I' E/97j T~) ?, /C../ ~ CA-s.5 e<..- (, 1/71v'-/tVc" ~6>-]"NN / N Co /h;V56/1vr.....6 /'TG-r15 JD c:P--n,8Gc-~L) CO, ~.D,p-}(..L-) - /N!/o/GG ,/Jc..ub/lV0 - AMOUNT ~ +5t., 00 f-o:;J-,77 /-5', /,;L /t>,00 3)00,00 /.;<1),70 1-13, -:;2,')-. /9, 00 TOTAL (Also enter on line 10, Recapitulation) (If more space IS needed, Insert additional sheets of the same size) $ /, 94-7. 7/ SPECIAL CARE Cs>~ ~ o---l 0-- "" "'- ~ J (717) 975-0540 Y-d-cJ 1 ~ \ ~ con-e ~ 0 c.Lr\ o.+~ \- \~ ~~ \ ~~ tD CA ~'^ \\0...""'"'0 ~ 'i $c". 00 -S, ~ O(.0e~ ~_ ~\..e Aa~Lo~ ~ bO\ CJ~ fr--.0\Y~ ~cv:s\ ~""~ 'fl\~ ~~ ~~ ~C)U/) ~OU\\~+ ~~...\Q....'0-\ ~ ~' }VJ-V~ \ (~V- V ~ I I,v{'- \ , }&--I-;'~ It \ l_ rr I J -) \~ P\'fJ -I-. ~/,) prY-V ;Y' -J~ ~~L ~&U---. -SL~~ \~ \ ~a:llS"0(' ~ h 1=:+ l~4J . - ,. .. P.O. BOX 1194, CAMP HILL, PA 17001 [IJ ~.ldT .~ LATlIINC. FUEL OIL - KEROSENE Sales HEATING AND AIR CONDITIONING EQUIPMENT Service 2285 North Seventh St., P.O. Box 5800, Harrisburg, PA 17110-0800 Telephone (717) 234-6121 Fax (717) 234-9502 STATEMENT ACCOUNT NO. DOROTHY .J Ff(EE 121 OLD MILL DR CAMP HILL PA 17011 FREEDORO STATEMENT DATE 214/321/211 )E$: I-INVOICE DRaDESIT MEMO CR;:;CREDIT MEMO BF-BALANCE FORWARD P;:;PAYMENT OA.DISCOUNT ALLOWED FC",FINANCE CHARGE DATE REF. NO. CHARGES BALANCE CREDITS CODE BF 4212.77 PLEASE RETURN THIS STUB WITH PAYMENT ...,. L LAfIIINC. P.O. Box 5800 Harrisburg, PA 17110-0800 ACCOUNT NAME DOROTHY J FREE STATEMENT DATE ACCOUNT NO. 214/321/211 FREEDOF<O AMOUNT ENCLOSED $ REF. NO. CODE AMOUNT 4212.7'7 c: .--- ~ t::- . t..-Ow -:II \) t:=6-- :;:;-Y \ v / v-J t\O I'l\t/ ~ 0":::- )) tyuJ 'S ~ () ~b "v~ SI 010 ~..ous CO..'LlIIID"" II CLOJI"'<. i..~ \i\G~~O . ioI.~b. ~""e.....\\I~o FINANCE CHARGE OF 1 Y2% per month, which is equivalent to an ANNUAL PER- :::NTAGE RATE OF 18% will be applied to aU accounts Past Due. ~o.oo Fee for all Returned Checks. TOTAL 4212.77 o .- 30 0.00 31 - 60 235.79 61 - 90 126.00 91 & Ov~,," 40.98 a \10}o &5 ~:i>ytJ ~ ,,-(1 \'-.J CHECK IN THE "0" COLUMN THOSE ITEMS BEING PAID TOTAL AMOUNT DUE 402.77 '1 ! ~our AT&T Statement I J nuary 21-March 20, 2001 #BWNCJFM #09240115211016# D 28339AV10.2538171A81614'*SDGT 1."111",111"""\1.,,111.,,\,11,,11.,,,11,,,,1,111,,,1,1,,1 DOROTHY FREE 20 CENTER DR CAMP HILL PA 17011.7606 Summary of charges Previous balance ....................................... ................... ..........17 .97 Payment received Feb 05 - Thank you ............................. -17.97 AT&T Special Services calls ..................................................15.12 Total amount due Dale due $15.12 April 3, 2001 This statement includes charges from the last two months. ~ATs.T Customer# 717761-7418 Page 1 of3 Customer Service: 1 800222-0300 Text Phone (TTY): 1 800833-3232 ~ Extra! Extm! Sign up for AT&T Online Billing and receive a $25 Amazon,com certificate and $1 off your monthly biil. Conrd.. Continues on back ~ PAYABlE ro MARY ANN PRIOR, TREASURER 1993 HUMMEL AVENUE CAMP HILL, PA 17011-5938 OESC JOB TITLE HOMEMAKER CTL SSN 13 1761 000-00-0000 TAXES OU, ANO PAYA8LE FROM: FREE, DOROTHY J. 121 OLD MILL DR. CAMP HILL PA 17011 TAA "'" OFFICE rtOlJRS MONDAY,TUESDAY&THURSDAY 9AM-4PM CLOSED WEDNESDAY & FRIDAYS rns"",,1l'lED BILL DATE 3/01/2001 2001 PERSONAL TAX NOTICE COUNTY OF CUMBERLAND TOWNSHIP OF LOWER ALLEN BILL NO 2874 ~ ASSESSED VALUATION ---oESCRIPT10N OF LAST DAY TO FILE LOW INCOME EXONERATION 12/15/01 NO PERSONAL CHECKS AFTER 12/15/01 VALUE o CNTY pic MUN PIC 5.00000 5.00000 4.90 4.90 5.00 5.00 10.00 FACE 5/01/2001 TO 6/30/2001 5.50 5.50 11. 00 PENALTY AFTER 6/30/2001 DEADLINE; TO ,APPEAL OR',:,: ~GE;:' qOJ3:;;:~iTL:E:IS 90;:;i:>A~~f; FROM'BILL:' PATE 240+6365,OK697~03'7;1 'EXT6365,;, OR;S32.;..7286 EXT 6365 ' -. .: 9.80 2.0% 10.0% DISCOUNT 2.0% 10.0% 3/01/2001 TO 4/30/2001 RUN DATE: 03/26/01 RUN TIME: 1530 Billing/Accounts Receivable **LIVE** COY'V'l.....cof'-+ Cc\'("t"-A C 1'_,';) pA .".lc><;;- ~;-ctf\cAv...e1.,..,j ve.) pr,rnp H ** Service Date From: 11/01/00 Thru: 02/28/01 ** PAGE 1 /7001 -0,30<'"1 B00000000052 FREE,DOROTHY ACCT: B00000000052 FREE,DOROTHY 121 OLD MILL DRIVE CAMP HILL, PA 17011 (717) 761-7418 (H) GUAR: ROGER FREE EXEC. 6569 S. NEWLAND CIRCLE LITTLETON, CO F ADM/SER, DISCHARGE: LST STMT: 03/19/01 03/20/01 UR CHG: ~~ ALANCE: o SELFPAY 300.00 30000 300.00 12/19/00* IB 03/19/01 ------------------------------------------------------------------------------------------~- BCH DATE BCH SER DATE USER PROCEDURE BL# DESCRIPTION AMOUNT TOTAL 11/30/00 20 11/01/00 COOKCA RESPOOO 1 SUP - RESPONSE UNIT 210.00 210.00 MONTHLY RENTAL (7X) - MAY 2000 THRU NOVEMBER 2000 12/28/00 6 12/28/00 THOMLI RESPOOO 2 SUP - RESPONSE UNIT 30.00 240.00 MONTHLY RENTAL - DECEMBER 12/28/00 6 12/28/00 THOMLI RESPOOO 2 SUP - RESPONSE UNIT 30.00 270.00 MONTHLY RENTAL - JANUARY 02/08/01 3 02/01/01 THOMLI RESPOOO 3 SUP - RESPONSE UNIT 30.00 300.00 MONTHLY RENTAL - FEBRUARY MONTHLY RENTAL / AV .y ? V u+' }vY' . .~ J yA (V /Vvi'/ /( ;~) // ~~." verinm Summar~vour account Page 4 of 13 717 761-7418-379 76Y March 6, 2001 Charges from last month Amount of your last bill - Jan 25..... $19.18 Amount you paid through Mar 6...... -19.18 Amount you still owe.............................. Charges for this month Our charges.......................... $ -1.41 Call 1 800-640-2032 if you have a question ZERO PLUS DIALING charges........... +122.11 Call 1 800-456-7587 if you have a question Total for this month............................... Total amount you owe - Please pay Immediately For Spanish speaking customers: Si usted no entiende 0 tiene alguna pregunta sobre esta factura Ilame al 1 800-479-0305. Preguntas sobre pagos 0 arreglos de pago Ilame al 1 800-834-0709. $.00 $120.70 $120.70 IF TAXES ARE IN ESCROW, PLEASE FORWARD THIS BILL TO WUR MORTGAGE COMPANY PAYABLE TO: , MARY ANN PRIOR, TREASURER 1993 HUMMEL AVENUE CAMP HILL, PA 17011-5938 OESC: MAP NO: 13-24-0805-087 0121 OLD MILL DRIVE CEDAR CLIFF MANOR LOT BC BLDG RESIDENTIAL TAX PAYER FREE, DOROTHY J. 121 OLD MILL DRIVE CAMP HILL PA 17011 /., -;\)Q ~~r OFFICE HOURS: MONDAY,TUESDAY,THURSDAY 9AM-4PM CLOSED WEDNESDAY & FRIDAYS PHONE (717) 975-7575 Control No' D13~003290 TAXPAYER COPY Bill No: Bill Dale' 2001 Statement of Real Estate Taxes 1574 3/01/2001 Assessed Land Improvement Mineral Total Values 45,000 100,830 0 145,830 COUNTY OF CUMBERLAND Discount Face Penalty Rates .00177900 .00177900 2% 10. COUNTY RIE 80.06 179.38 254.25 259.44 285.38 Ra tea .00010300 .00010300 2% 10. COUNTY LIB 4.64 10.39 14.73 15.03 16.53 TOWN:;HI~ O. LOwER ALLEII .00100000 10. Rates ,00100000 2% MONIC. RIB 45.00 100.83 142.91 145.83 160.41 Rates .00050000 .00050000 2% 10. DEBT sve 22.50 50.42 71.46 72.92 80.21 TAX AMOUNT DUE-> $483.35 $493.22 $542.53 If Paid On or After 3(01/2001 5/01/2001 7/01/2001 If Paid On or Before 4/30/2001 6/30/2001 IF NOT PAID BY 12/31/2001 THIS BILL WILL BE RETURNED TO TAX CLAIM BUREAU FOR COLLECTION AND FILING OF A LIEN AGAINST YOUR PROPERTY. I kAT+\. ~ fAJlrTf_:1U;", bq7-D37i A'5;.~~''''~ e:xT;' (p5 Ci--7 Return Bill with Payment. For a Receipt, Enclose Self Addressed Stamped Envelope. RICHARD CASSEL Property Management Maintenance & Security Handyman Services . Repairs . Cleaning Yard Work . Pointing . Trash Houiing JanlforlaJ Sstvlces ProvIded lor Commercial . Industrial Apartments. Condominiums Townhouses. Off(ce Compfe)(es 717' 697. 1811