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REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LAf T. FIRST, AND MIDDLE INITIAL)
COULSON, MAtY R.
DATE OF DEATH (MM.[ i).YEAR) DATE OF BIRTH (MM.DD.YEAR)
03/04/2005 12/31/1915
(IF APPLICABLE) SURVI ING SPOUSE S NAME (LAST FIRST AND MIDDLE INITIAL)
FILE NUMBER
21 05
COUNT'y' CODE YEAR
SOCIAL SECURITY NUMBER
00228
_NUMB~
162-26-5205
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
~ 1 Original RetL Jrn 0 2. Supplemental Return
I
0 4. Um;'~ '"" t 0 4a. Future Interest Compromise (date of death after
12.12.62)
~ 6. Decedent DiE d Testate (Attach copy 0 7 Decedent Maintained a Living Trust (Attach
of Will) copy of Trust)
0 9 Lltlgatlon Pre eeds Received 0 10.
o 3. Remainder Return (date of death prior to 12-13-82)
o 5 Federal Estate Tax Return Required
1 8 Total Number of Safe Deposit Boxes
o 11.Election to tax under Sec. 9113(A) (Attach Sch O)
NAME
RICHARD W :STEWART
,
FIRM NAME (If applica~ Jle)
JOHNSON,l \UFFIE, STEWART & WEIDNER
TELEPHONE NUMBER \
717/761-4540
1. Real Estate Schedule A)
2. Stocks and ~onds (Schedule B)
3. Closely H j Corporation, Partnership or Sole-Proprietorship
4. MortgagE S & Notes Receivable (Schedule D)
5. Cash, 8 3nk Deposits & Miscellaneous Personal Property
(Sched! tie E)
6. Jointly Jwned Property (Schedule F)
o S ?parate Billing Requested
7. Inter-V vos Transfers & Miscellaneous Non-Probate Property
(Sche ~Ie G or L)
8. Total .ross Assets (total Lines 1-7)
9. Fun' 11 Expenses & Administrative Costs (Schedule H)
10. Del of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Tot I Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
ADDRESS
301 Market St.
Lemoyne, P A 17043-0109
(1) 115,500.00
I
(2) None ,. , ' i "
)
, 1-~)
(3) None ') -.- ., ...(...
'. )
j-.,) [It
(4) None --.l
(5) 106,635.17 , --.-.,
.1
(6) 2,572.88 -:;
(7) None C')
f-.-
(8) 224,708.05
(9) 23,508.13
(10) 2,698.09
(11)
26,206.22
(12)
198,501.83
13. Ch<. ritable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
ma,je (Schedule J)
14. Net Value Subject to Tax(Line 12 minus Line 13)
Copyright 2000 form software only The Lackner Group, Inc.
(13)
(14)
198,501.83
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15.Amount of Line 14 taxable at the spousal tax rate.
or '.ransfers under Sec. 9116(a)(1 ,2)
16.1\mount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
x .00
(15)
1 98,50 1 . 8 3 x .045
(16)
8,932.58
x .12
(17)
x .15
(18)
(19)
8,932.58
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
20. 0
Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET AlJlJRESS
605 East Winding Hill Road
CITY
MECHANICSBURG
STATE PA
ZIP 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
8,932.58
7,800.00
410.53
Total Credits (A + B + C)
(2)
8,210.53
3. Interesl/Penalty if applicable
D. Interest
E. Penalty
TotallnterestlPenatty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPA YMENT
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theT AX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line S + SA. This is theBALANCE DUE
(3) 0.00
(4)
(5) 722.05
(5A)
(5B) 722.05
Make Check Payable to: REGISTER OF WILLS, AGENT
~_lljl.l.i II~ ~ ~ ..~ JI 1
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.................................. .................... ~ ;
b. retain the right to designate who shall use the property transferred or its income;................................
c. retain a reversionary interest; OL..... .....................................................
d. receive the promise for life of either payments, benefits or care? ....................................
2. If death occurred after December 12, 1982, dig decedent transfer property within one year of death without
receiving adequate consideration?...... ....................................................... ...................................... 0
o
o
3. Did decedent own an "in trust for" or payabie upon death bank account or security at his or her death.?.......
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?.... ............................................... ....................................
181
181
181
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 penajies of perjury, I dec/ar.e that I ha..ve e., xamined this return., i.n.cJUdin.9". c. com.panyj.ng. SCh.e.dUles. and s..t.atements, and to the best of my knowledge and belief, it is..tru.e. ,correct and complete. Declaration
preparer ~er than the personal repres tative IS based on all mformation of which preparer has any knowledge. .
S. I,GN4T.(JRE CJF, PERSql>HlESP . 18 F~R.FIUNG~R N - - -- ADOFiESS .....:4 -.. DA.. TE
~E . ~c. 0 E ,'/. 605 E. WINDING HILL ROAD \, .a __ /'
.. U OFPE N EFORFijiiN ~/ ADDRESS MECHANICSBURG, PA 17055'_. _.5 r~~_l.
ILIlREIl C. RHODES~ .".,. 728 W. SIDDONSBURG RD. 1 /
S ":~~~E~T:~R~i~~~~~iTI~~. ADDRESS. DIL.LSJ3URG, PA 170191/<< J,..- ~~6=
RICHARD W. 'ART. rEo
~ /)/jL~
301 Market St.
Lemoyne, PA 17043-0109
For dates of death on or after July 1, 1994 and before January 1. 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for thA "~A ,.,f th.. ~",,,;,,;nn onouse is 0%
[72 P.S. !i9116 (a) (1.1) (ii)]. The statutedoes not exempt a transfer to a surviving spouse ff( Ir disclosure
of assets and fiiing a tax return are still applicable even if the surviving spouse is the only bE
\\~P]
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty.one years (
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. {i9116 (a) (1.2)J.
3e of a natural
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal t
1.2) [72 P.S. !i9116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's sibling:
under Section 9102, as an individual who has at ieast one parent in common with the deced
7. AUt 51
72 P.S. !i9116
ling is defined,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
COULSON, MARY R.
21 - 05 - 00228
All real property owned solely or as a tenant in common must be reported at fair market valud: air market value is defined as the price
at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having
reasonable knowledge of the relevant facts.Real property which is jointly -owned with right of survivorship must be disclosed on
schedule F.
ITEM
NUMBER
1
DESCRIPTION
Three-fourths (3/4) interest in Real Estate located
at No. 402 Ricky Road - Park Hills West,
Township of Upper Allen, Cumberland County, PA
Deed dated 11/26/1969 - Deed Book "M", Volume 23, Page 36.
Appraised Value - $154,000.00 - copy of appraisal attached.
Value of Decedent's three -fourth (3/4) interest
TOTAL (Also enter on Line 1, Recapitulation)
VALUE AT DATE OF
DEATH
115,500.00
115,500.00
201_AT_Warranty Deed. Short Form. Aet of 1909.
Henry Hall, Ine.. Indiana. Po..
,
~bt~
1!\ttbt
MADE THE ::> ~,7 N day of .-t' h'b:"/ !;{c' L,
of our Lord one thO'U8and nine hundred sixty-nine (1969).
in the year
~@~w
BETWEEN PATRICIA B. SPACKMAN and HENRY W. STRAUB, co-partners,
of Reed Township, Dauphin County, Pennsylvania, trading
and doing business as STRAUB CONSTRUCTION CO., a partner-
ship, parties of the first part, hereinafter called the
Granto1S ,
and MARY R. COULSON, of Upper Allen Township, Cumberland
County, Pennsylvania, to the extent of an undivided
three-fourths (3/4) interest, ARLENE C. OYLER, of
the same place, to the extent of an undivided one-
eighth (1/8) interest, and MILDRED C. RHODES, of
Carroll Township, York County, Pennsylvania, to the
extent of an undivided one-eighth (1/8) interest, as tenants
in carmon, parties of fu e seam d part,herema fter called the Grantees:
WITNESSETH, that in consideration of the sum of Twenty-eight Thousand Five
Hundred and No/IOO - - - - - ($28,500.00) - - - - - - - - - -Dollar",
in hand paid, the 1'cceipt whereof is hereby acknowledged, the said grantors do hereby grant
and convey to the said grantees, their heirs and assigns, in the following
undivided interests, to wit: MARY R. COULSON, an undivided three-
fourths C3/Lf) interest, ARLENE C. OYLER, and undivided one-eighth
(1/8) interest, and MILDRED C. RHODES, an undivided one-eighth (1/8)
interest,
ALL that certain lot of ground situated in the Township of Upper Allen,
County of Cumberland and Commonwealth of Pennsylvania, being Lot No.2,
Block "B" as shown on a certain Plan of Lots entitled "Plan No.1,
Park Hills \Jest", as recorded in the Office of the Recorder of Deeds
in and for Cumberland Gounty, Pennsylvania, in Plan Book 20, Page 56,
more particularly bounded and described as follows, to wit:-
BEGINNING at the point where the dividing line between Lots Nos. land
2, Block "B", as shown on the above recited Plan of Lots, intersects the
western side of Ricky Road; thence along the western side of said Ricky
Road, in a Southeastwardly direction on a curve to the left having a
radius of three hundred thirty-one and twenty-seven one-hundredths
(331.27) feet, an arc distance of nineteen and twenty-three one-hund-
redths (19.23) feet to a point on the same_; thence continuing along the
western side of said Ricky Road, South twenty (20) degrees thirty-
eight (38) minutes five (05) seconds East, a distance of sixty-three
and ninety-four one-hundredths (63.94) feet to a point at the dividing
line between Lots Nos. 2 and 3, Block "B", on the Plan of Lots aforesaid;
thence along the dividing line between Lots Nos. 2 and 3, Block "B",
South sixty-nine (69) degrees twenty-One (21) minutes fifty-five (55)
seconds West, a distance of one hundred forty-five and eighty-one one-
hundredths (145.81) feet to a point at line of lands now or formerly of
The Elwood Company; th0nce along said lands now or formerly of The
Elwood Company, North thirty (30) degrees eight (08) minutes thirty-
two (32) seconds West, a distance of eighty-three (83) feet to a point
at the dividing line between Lots Nos. 1 and 2, Block "B", on the plan
of Lots aforesaid; thence along said dividing line between Lots Nos. 1
and 2, Block "B", North sixty-nine (69) degrees East, a distance of
one hundred fifty-nine and ninety-eight one-hundredths (159.98) feet
to a point on the western line of Ricky Road, the point and place of
BEGINNINLi.
HAVING thereon erected a. single brick dwelling house.
BEING the same premises which Park Hills West, Inc., by its deed dated
August 13, 1969, and recorded in the Office of the-Recorder of Deeds in
BC~,t) II 23rm 36
"
<<
George R. Ulsh
4099 Derry Street
Harrisburg
04/08/2005
Client: Coulson Estate
402 Ricky Road, Mechanicsburg, PA 17112
Re: Property
402 Ricky Road
Mechanicsburg, PA 17055
Client: Coulson Estate
D00317
Borrower
File No.:
In accordance with your request, we have appraised the above referenced property. The report of that appraisal is
attached.
The purpose of this appraisal is to estimate the market value of the property described in this appraisal report, as
improved, in unencumbered fee simple titte of ownership.
This report is based on a physical analysis of the site and improvements, a locational analysis of the neighborhood and
city, and an economic analysis of the market for properties such as the subject. The appraisal was developed and the
report was prepared in accordance wTth the Uniform Standards of Professional Appraisal Practice.
The value conclusions reported are as of the effective date stated in the body of the report and contingent upon the
certification and limiting conditions attached
It has been a pleasure to assist you. Please do not hesitate to contact me or any of my staff if we can be of additional
service to you
Sincerely.
>{~ 1(. ~
RL 000409 L
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SUMMARY OF SALIENT FEATURES
402 Ricky Road
Subject Address
legai Description
Estate to provide legal description to be attached to the appraisal report
Mechanicsburg
Cumberland
City
County
State
Zip Code
Census Tract
Map Reference
PA
17055
011601
42-27-1666-063
Sale Price
Oate of Sale
$ Market Value
N/A
Borrower I Client
lender
Client: Coulson Estate
Client Coulson Estate
Size (Square Feet) 1,240
Price per Square Foot $ 122.58
location Suburban
Age 37 Yrs
Condition Good
T atal Rooms 6
Bedrooms 3
Baths 2
Appraiser George R. Ulsh
Date of Appraised Value 04/08/2005
Final Estimate of Vaiue
$ 154,000
Form SSD - ''TOTAL for Windows" appraisal software by a la mode, inc. -1-800-AlAMODE
II <.11. l.. "fJfJ1<u;>al ";>;>Vl....aU:;;, uvvlyG II. VI;>II
Summary Appraisal Report
Coulson Estate
P erlv Des'criotion File No. D00317
Pron,,'" Addless 402 ,Ricky Road Citv Mechanicsbur~ Sta!~ Ell __-1iJ1 Code 17055
l:~_~!J!~9-~~ljQrL__ Estate to orovide l~aal descriotion to be attached to the appraisal report County Cumberland
~Grf!!~~! HQ, _~~~ !~~~g reference number Tax Year 2005 R.E. Taxes $ 1,710.65 Snecial Assessments $; N/A
Borlower Client Couison Estate CUllent Owner Couison Estate Oeermant I I Owner i I Tenant !)I] Vacant
Proo,,'" rlohts aunralsed IYI Fee Simule 1 Ileasehoid Ploiect Tvve 1 ! PIJD I 1 Condominium IHIJDNA onlv! HOA$ NI A !Mo.
Neiahbolhood or Proiect Name Upper Allen TownshiD Man Relerence 42-27-1886-063 Census Tract 011601
Sale Price $ Market Value Date 01 Sale N/A Oescriolion and $ amollnt of loarl charaes.:concessionsto be naid bv seller N/A
Lendel/cnent CHent: Coulson Estate Address 402 Rickv Road. Mechanicsburo. PA 17112
Annrilisel Georae R. Ulsh Address 4099 Derrv Street Harrlsburq. PA 17112
Location o Urban [>iJ Subarban o Raral Predominant Sin81e family housilg Present land use % land use change
Built up [>iJ Over 75% 025-75% o Under 25% occupancy fRi E AGE Onefaml~ 100 [8J Nol Iike~ [] Like~
(OOO) (yrs)
Growth rate o Rapid [8J Stable o Slow [ZIOwner 140 low.--lL 2-4fami~ _ o In process
Property IJalues D Increasing OStable D Declining L'Tenant 180 Hinh 40 Mu~i.faml~ _ To:
DemamVsupp~ 0 Shortage ~<J in balance o Dver supp~ H Vacant (0-5%) IPredomlnant! Commercial
MlilketinCltime [Xl Undel 3 mos. n 3-6 mus. n Over 6 mas ' Vac.luver5%\ 140-180 25-40
---
Note: Race and the racial composition of the neighborhood are not appraisal 'aotors.
Neighborhood boundaries and characteristics: To the North is Windina Hill Road. To the South is Belvedere Drive. To the East is Park Hills Drive and
!Q!-h'E '{Y~!i~~2~~~..Q~ive.
Factors Ihat affect the marketability ot the properties in the neighborhood (pro~mlty to employment and amenmes, employment stability, appeat to market. efc.):
Maior routes of travel are located within a reasonable distance of the subiect. E'!P!QY!"!!entfor the area is rated as good. Maior employers in
the Greater Mechanicsbura Area include laroe manufacturing ~Q!IP~'!l~~, ~~~_and Federal aovernment facilities and many smaller service
comoanies. The subiect neiahborhood is in a stable phase of its' life cvcle with properties in the neiohbor_hood ~aving Qood ~ER.earance and
I proof of reQular maintenance. Multi use pronerties are tvoieal of the area. No adverse conditions indicated. Suo2!l and demand aooears in
balance and orooertv values are increasina due the low interest rates and the activity in the subject market area
Market conditions in the subject neighborhood Oncluding support for the above conclusions related to the trend of property values, demandlsupp~, and malketing time
-- such as data on compelitlve properties for sale in the neighborhood, description of the prevalence ot sates and financing concessions, etc.):
Market conditions aooear active for this time of vear. The are various loan Droarams available throuah both convention and aovernmentaJ
roarams and rates ranaina from 5% ARM Droarams to 7.5% fixed rate prOQrams. Marketina time for reasonable priced housina is within 0 to
3 months. Sales concessions. althouah evident in some transactions. are not tveical of the common sales.
------ -.-- -
ProjecllnformRllon for PUOS (n applicable) - -Is the developerlbuikler in control ot the Home Owners' Association (HOA)? o Yes o No
. Appro~male tolat number ot unns in the subject project Approximate total numbel of units fOI sale in the subject plOject
Describe common elements and recreational facilities: Not aODllcable with this reoort
Dimensions Dimemsions not available for public record disclosure Topography Level/SloDe/Level
Site area .29 Acres Corner lot 0 Yes IZI No Size Tvolc.i for Area
Spedic zoning class.lcation and description Residential Shape Mostlv Rectanqular
Zoning compliance [8J legal 0 legal nonconforming (Grandtalhered ose) 0 Illegal o No zoning Drainage Appears adequate
Hinhesl & best use as imnfo~ed: t>~T Present use r-l Othel use fexnlain\ View Suburban
UlIIII~. Public Other Off-she Improvements Type Public Private Landscaping Typical for Area
Electricity IZI -- Sheet Asphalt __ --- --- [8J 0 Driveway Surtace E~Y~~ Asphalt
Gas o None Curb/gutter None [] IU] Avp,uent easements Tvoical utilities
Water L8J Sidewalk None I I II FEMA Special Flood Hazard Area o Yes L8J No
Sanitary sewer r>l S~eellighls None R R FEMA Zone lone C Map Date 02/15/1980
SIUlm sewer i I None Allev None FEMA Man No. 420372
Comments (apparent advelse easements, encroachments, special assessments, sllde areas, illegal or legal nonconforming zoning use, etc.): There were no
noted apparent adverse or unfavorable easements or ~Dcroas:!lQ.~~Dts noted See attached sUDolemental addendum for comments.
GENERAL DESCRrPllON EXTERIOR DESCRIPllON FOUNDATION BASEMENT INSULATION
No. ot Units 1 Foundation Concrete Blk Slab None Area Sq. Ft. 1.548 Roof ~O
No. of Stories _L ---- Exterior Walls Brick&Frame Crawl Space None % Finished 80% Ceiling ~ [8J
Type (DetJAII) Detached Root Surtace ComDositeShna Basement 124% Ceiling Fibertile Walls Unk LSJ
Design (Style) 1 Story Gutlers & Dwnspts. Aluminum Sump Pump None Noted Wails WoodP.nel Floor _l!~~ [8J
E~still!l'Proposed Existina Window Type W dDblHna Dampness None Noted Floor Carpet None ~LJ
Age (YIS.) 37 Yrs Storf1l!Screens Storm Units Selllement None Noted Outside Entry Yes expo~~1_ UnknowL-- 0
Eftective Aoe ryrs.! 15 to 18 Manufactured Huu::;e No Infestatlun None Noted to the rear
RDOMS Fover livino Dinioo Kitchen Den Familv Rm. Rec. Rm BedlOoms # Baths Laundrv Other Area So. Ft.
Basement 1 lwFDt 1 Area Stora~e 1.54B
level I 1 1 1 3 2 ~
level 2
-- --.
finished area above made contains: 6 Rooms: 3 Bedroom/sl: 2 Bath sl:. 1.240 Sovare Feet 01 Gross livinn Area
I NTERI OR Materials/Condition HEATING KITCHEN EQUIP. ATTIC AMENITIES CAR STORAGE:
Floors CarDet.VinvllGood Type ~ RefrigeratOl U None II Fireplace(s) #_0 None []
Walls DrvWall/Good Fo~ Electric Range/Oven L8J Stairs I I Patio Concrete l'<J Garage # of cars
Trlf1l!Finish Wood/Good Condition Averaoe Disposal [8J Drop Stair n Deck 0 Atlached 1 Car
Bath Floor Vinyl/Good COOLING Dishwasher [>iJ Scuttle [8J Porch Concrete [2] Detached
Bath Wainscol Fiberglass/Good Central None FarVHood ::<J Floor 0 0 -----
Fence Bulli-In
Doors HollowCore/Good Other None _ Microwave :~ Heated R Pool D Carport
Conditiun N/A Washer/Drver rl Finished il Dlivewav
Addfiional features (special energy etficienf items, etc.): The su~~ In.~~ior and exterior appear in !:load condition with aood aooeal to the market. No
adverse conditions were evident for!b~ ~~tJject viewioQ - --
Condilion ot the improvements, depreciation (physical, funclional, and external). repairs needed, qoality ot conslmction, remodeliniVadditlons, etc : The sublect
improvements are of average quaility and reflect typical maintenance. Utility of floor plan is typical for a house of this age and sh~~id receive
aood acceotance in the.!!Iarket place. No unusual functional obsolescence or external inadequacies were observed.
---
Advelse environment-ill conditions (such as, but not limited to, hazardous wastes, toxlc substances, etc.) present -i~- t~ improvements, on the site, Of in the
Immediate vicinity ot the subject property.: There were no apparent environmental problem indicated from the subiect property inspection.
UNIFORM RESIDENTIAL APPRAISAL REPORT
Freddie Mac Form 70 6/93
PAGE 1 OF 2
Form UA2 - 'TOTAL for Windows' appraisal software by a Ia made, inc. -1-8oo-ALAMDDE
Fannie Mae Form 1004 6/93
V U::Ition ~!!ction I o.
ESTIMATED SITE VALUE l = $ 30.000 Comments on Cost Approach (such as, source of cost estlmale, site value,
ESTIMATED ~EPRODUCTION COST-NEW-OF IMPROVEMENTS: square fool calculalion and for HUD, VA and FmHA, the estlmaled remaining
Dwelling 1 ,240 Sq. Ft. @$ = $ economic life of the property): See attached building sketch with
1.548 Sq. Ft. @$ = dimensions and subiect drawlina. The aae of a structure creates
= deficiencies in the value established with the Cost ApPfQ~s:b!~
Garage/CarpOlt ~ Sq. Ft @$ = Value This Qenerallv leads to the inaccuracy of the Cost
T olal Estimated Cost New = $ Approach to Values and leads the client to improper
Less Physical Functional External conclusions. For this reason, althouah considered, The Cost
Depreciation I I =$ Approach to Value is inappropriate for use in this appraisal
Depreciated Value of Improvements =$ report
"As-is" Value of Site Improvements =$ The estimated remainina economical life of the subiect is rated
INDICA TED VALUE BY COST APPROACH =$ 30,000 at 42 to 45 vears.
ITEM I SUBJECT COMPARABLE NO. 1 COMPARABLE NO.2 -- __ __~OMPARABLE NO.3
402 Ricky Road 405 Orchard Lane 14 Kim Acres 114 Nittany Drive
Addle'j:> Mechanicsbura Mechanicsbura Mechanicsburq Mechanicsburq
Pro~mitv to Subiect 0.60 miles 0.93 miles 0.97 miles
Sales Price 1$ Market Value 1$ 141.000 1$ 161.000 1$ 161.900
Price/Gross livino Area 1$ 122.58 ctJ $ 119.90 ctJl $ 141.98 iPl 1$ 126.88 iP i
Dala and/or Inspection MLS,PubRec, AppraisersFiles MLS,PubRec, AppralsersFlles MLS,PubRec, AppralsersFiles
Verification Soul'ce Data Bank Data Bank Data Bank Data Bank
VALUE ADJUSTMENTS _.__JlESCRIPTIQtL.._ DESCRIPTION ,+( -)$ Adjust ---- 1l~~<eBIF'T~L~ j: L:l~~ust DESCRIPTION : +i-)$Adjust
-- C';sh N-;H;;;P-~----
Sales or Financing Conv No Help Conv No Help
Conces:>iolls 7DOM 38 DOM 7DOM
Dale ot Sale/Time 07/28/2004 12/09/2004 07/30/2004
lOCation Suburban Suburban Suburban Suburban
Leasehold/Fee Sim',1e Fee Simple Fee Simple Fee Simple Fee Simple
Site .29 Acres .32 Acres : .23 Acres : .28 Acres :
View Suburban Suburban . Suburban Suburban :
Desinn and Am'eal 1 Storv/Good 1 Story/Good : 1 Storv/Good : 1 Story/Good
Qualitv of Construction Brk&Frame/Ava Brk&Frame/Ava : Brk&Fram~/!\\<g -'.- ---.-- Brk~Fr~me/Ava :
Ane 37 Yrs 42 Yrs : 43 Yrs 36 Yrs :
Condition Good Good . Good : Good --
Above Grade Total: Bdrms: Baths Total : Bdrms : Baths: Total :Bdrms: Baths: Total :Brlrms: ~~!h~
Room Count 6 : 3 : 2 6 3 2 5 3 1.5 +2,000 6 : 3 2
GIUSS livinn Alea 1.240 So. Ft 1.176 So. Ft : 0 1.134 So. Ft : +BOO 1.276 So. Ft. :
Basement & Finished RecRm,Bath,Fpl Unfinished : +7,500 RecRm,Bth +3,000 RecRm.,.5Bth +4,000
Rooms Below Grade 124% /80% 100% J 0% 1000/0 J 1000;0 100% J 100%
Functional Util"" Averane Average : Average : Average :
Heatlno/Coollno CntrlHtlNoCntrlCI CntrlHtlCntrlCool -3.000 CntrlHtlCntrlCool -3.000 CntrlHtlCntrlCool =3--aoo
Enernv Efficient Items Storm Units Storm Units Storm Units Storm Units .---
Garane/Carnort 1 Car Garaae 1 Car Garaae 2 Car Garaae _ -2.~QQ. J _g~ Garage
Porch, Patio, Deck, Porch,Patio Porch,Patio Porch,Pato,WdD -500 P,Patio,SunRm -1,500
FiI'eolacelsl. etc. None None None Fireplace -3.000
Fence Pool. etc. None None Fenced Yard -1000 None
Amenities None None None : None
--- ir!<i+ -.(T~"$-- - 11-1 + Vl-$ I-l + Vl$
Net Adi. llol'U__ 4.500 1.200 3.500
Adjusted Sales Price Net 3.2 ;'1 Net 0.7 ~I$ Net 22 ~I$
of Comualdble Gross 74 %1$ 145,500 Gruss 8.0 % 159.800 Gross 7.1 % 158.400
Comments on Sales Comparison Ilncluding the subjecl property's compallbility to Ihe neighborhood, etc.): All of the sales are closed sales and verified
throuah 2 or more sources of information ie. multi list system and public record information.-;;;PP;;i;;~;data-bank. Distance and aae of the
sales exceed desired reoortina dat~,-Thi~!~ ~~~~~~ from the lack of more recent verifiable similar sales in the immediate market area of the
_~_~.Qj_~gt. Sale are located in the competinQ neiQhborhoods to the subject and offer the subiect qood market data for analysis. The _ subject
~supports good appeal caused bv near location to all public amenities ie. travel access, stores, schools. The subject islr:! good condition
with aood aooeal and SUDDorts a value established from the sales. ------
ITEM SUBJECT COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3
-~-..._-
Dale, Price and Data No transfer in No Transfer in last 12 months No Transfer in last 12 months No Transfer in last 12 months
Source, for prior sales the last 36 month
within Veal of annrabal Public Record Public Record Public Record Public Record
Analysis of any current agreement of sale, option, or listing of subject property anrl analysis of any prior sales of subject and comparables within one year of the date of appraisal:
There is no known aareement of sale. ootions or listif!9J~fo~mation for the subject except as indicated within the appraisal report -
INDICATED VALUE BY SALES COMPARISON APPROACH ._~
$ 154.000
INOlCATEOVAlUE BY INCOME APPROACH IiI AIIIIUeail~1 Eslimaled Malket Rent $ /Mo. x Gross Rent Multiuliel =$
This appraisal is made I2<J 'as Is' o subject fo Ihe repairs, a.eratlons, Inspections or conditions listed below o subjecf to completion per plans & specfflcations.
Conditions of Appraisal No repairs required. See. attached supplemental addendum with subject property and appraisal comments noted. This
aooraisal is not valid wit~out all attached addenda .--
Final Reconciliation: The M~r~~! Comparison Approach to Value is the best of determininQ the Market Value of a residential property. The Cost
ArlDroach to Value and the Income Approach to Value were considered but are not appropriate for use in this appraisal report. All sales are
considered to be reliable indicators 2!.~alue and are wei~hted as indicated within the final reconcilation.
The purpose of this appraisal is to estimate the market value of the real property that is the subject of this report, based on the above conditions and the cert~ication, contingent
and limiting conditions, and market value detinitlon th,t are staled In the attached Freddie Mac Form 439,1FNMA form 1OD4B (Revised 6/93 )
I(WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OFTHE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF 04/08/2005 -
IWHIC~:~~E OF INSPECTION AND THE EFFECTlVjATE OF THIS REPORT) TO BE $ 154,000
APPRAISER: eorge R Ulsh If 7 j ;J, SUPERVISORY APPRAISER (ONLY IF REQUIRED):
Sionatul . Il/T)L''' _ Sionature o Did U Oid Not
Name Georae R U~ Name Inspect Properly
Date Revort SiQned 04/15/2005 Date RelJolt SlQned
Stale Celtilieation # RL 000409 L State PA State Cel1ifiealion # St,te
Or State license # State Or State License # State
UNIFORM RESIDENTIAL APPRAISAL REPORT
Coulson Estate
F-~ N 000317
Fteddte Mac Form 70 8193
PAGE 2 OF 2
FOIm UA2 - 'TOTAL 101 Windows' appraisal software by a ia mode, inc. -1-800-ALAMODE
Fannie Mae Form 1004 6-93
Supplemental Addendum
Fi~ No. D00317
Borrower/Clier1\ <:;~,,!: Coulson Estate
Prooellv Addless <l{)2Ricky ~o.cl_
Gitv M.eGhanicsbur~
Lender Client: Coulson Estate
County Cumberland
State PA
Zlo Code 17055
SUBJECT PROPERTY HiSTORY
The subject age is estimated at 37 years. The subject use has been single family residential which appears to be the Highest
best use for the property.
Some of the sales may show photographs with sale signs. Sales are not now under corrtract or being offered unless
specifically indicated within the appraisal report. For convience and speed, sales photographs are taken from my eXisting data
base for sales in the area. All of the sales indicated have been externally and or interiorally view by the appraiser as required
by the appraisers gUidelines for performing appraisals
When applicable within the appraisal report, it is assumed, unless noted in the report, that the 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 professionals 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 of the inspection of the subject unless noted in
the appraisal report, none of the items mentioned in this paragraph were Visibly noticed or apparent. The appraisal is made
considering the items not present or having no effect on the overall typical use of the SUbject as valued in this report If any of
these items are present, the Fair Market Value as determined by this report may be adversely affected.
Subject Photos are original photos taken at the time of the subject property viewing and have not been altered.
The digital signature used on the appraisal report is the true signature of the appraiser and used on all appraisals Digital
signatures facilitate the transfer of the appraisal report by EDI, EFT or e-mail. The software utilized by the appraiser to
generate the appraisal report protects Signature security by means of a pin number that is in the sole control of the appraiser.
ThiS appraisal is a Complete/Summary appraisal. The use is for the indicated client only for the purpose of establishing the
most probable Fair Market Value of the subject property
The appraiser researched a group of sales, listings and under contract properties in the subject area for comparison to the
subject. Sales analysis is based on the proximity to the subject, location, effective age, market age, size, appraiser verifiable
information of the sales, appraisers presonel knowledge of the sales and most similar amenities to the subject. The sales,
under contracts and or listings provided in the Market Comparison Approach to Value are the best verifiable sales, under
contract and or listings, similar to the subject from the group of sales reviewed.
APPRAISAL COMMENTS
It is noted that one or all of the sales are older than typically desired. These com parables were selected after a thorough
search of the area. They are located in a neighborhood similar to the subject and are to be considered the best comparables
available
The subject property was vacant at the time of inspection Utities: Were on and operating
It is noted that the subject price gross living area varies by more then the desired $10.00 per square foot that the appraiser
generally desires to stay within. The sales were chosen after a thorough search for sales in the subject market area and are the
best available for comparison to the subject
The Cost Approach to Value for homes with an age greater then a maximum of 10 years is considered inappropriate This is
based on the fact that a cost analysis for a subject property Is generally subjective, based on the appraiser estimate of
depreciation, cost manuals general analysis for an area and subjective statements from area contractors. The general analysis
of all supports the statement that thiS generally leads to the inaccuracy of the Cost Approach to Values and leads the client to
improper conclusions. For this reason, although considered, The Cost Approach to Value is inappropriate for use in this
appraisal report.
The Income Approach to Value is considered inappropriate for use in this appraisal report This is based on the fact that a
typical purchaser for the subject property has an interest in the purchase for their primary residence opposed to the concern of
the value generated, through investment, from the possible income produced value. In addition, the veritable information
available is not a matter of public record and accuracy is at best considered limited in nature. For this reason, although
considered, the Income Approach to Value is considered inappropriate for use in this appraisal report
Form TADD - "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
MULTI-PURPOSE SUPPLEMENTAL ADDENDUM
FOR FEDERALLY RELATED TRANSACTIONS
R & l Appraisal Assoicates George R. lJLsh
Bonower/Clienl Client: Coulson Estate
Pro.ertv Address 402 Rickv Road
City Mechanicsbura County Cumberiand Slale PA Zip Code 17055
Lender Client: Coulson Estate
This Mutti.Purpose Supplemental Addendum for Federally Related Transactions was designed to provide the appraiser with a convenient way to comply with the current
appraisai standards and requirements of !he Federal Deposillnsurance Corporation (FDIC), !he OIiice of !he Comp~oller of Currency (OCCl, The OIiice 01 Thrill
Supervision (OTS), the Resolution Trust Corporation (RTC), and the Federal Reserve.
This Multl-Purpose Supplemental Addendum is for use with any appraisal. Only those
statements which have been checked by the appraiser apply to the property being appraised.
13J PURPOSE & FUNCTION OF APPRAISAL
The purpose of the appraisal is to estimate !he markel value of !he subject proper1y as defined herein. The function of the appraisal is to assist the above-named
Lender in evaluating the subject property for lending purposes. This is a Federally related transaction
13J EXTENT OF APPRAISAL PROCESS
13J The appraisal is based on ~ information gathered by the appraiser from public records, other idertitied sources, inspection of the subject property and
neighborhood, and selection of comparable sales within the subject market area. The original source of the comparables is shown In the Data Source section
of the market grid along with the source of confirmation, if available. The original source is presented first. The sources and data are considered reliable.
When conflicting infOlrnation was plOvided, the source deemed most reliable has been IJsed. Data beiieved to be unre~able was not included in the report nor
used as a basis fOl the value conclusion.
[] The Reproduction Cost is based on
supp~mented by the appraiser's knowledge of the local market.
13J Physical depreciation is based on the estimated effecwe age at the suuject plOperty. Functional andlor e"elnal depreciation, W present, is specWical~
.'
addressed in the appraisal report or other addenda. In estimating the sile value, lhe appraiser has reiied on personal know~dge of the local market This
knowledge is based on prior and/or current anatysis of site sales and/or abstraction of site values from sales of improved properties.
[;<1 The subject property is located in an alea of primarily owner-occupied single family residences and the Income Appmach is not considered to be meaningful.
For this reason, the Income Approach was not used.
D The Estimated Market Rent and Gross Rent MuDiplier utilized in !he Income Approach are based on the appraiser's knowiedge of the subject market area.
The rental knowledge is based an prior and/or current rental rate surveys of residential properties. The Gross Rent MuhipUer is based on prior and/or current
anatysis of prices and market rates for residential properties.
II For income producing properties, aclual rents, vacancies and expenses have been reported and ana~zed. They have been used to project tuture rents,
vacancies and expenses.
13J SUBJECT PROPERTY OFFERING INFORMATION
According to public record and mls lhe subject property:
13J m..JJQt~.rlffmd for sale in the pasl: o 30 days D1YllllI 13J 3 years.
o illltlreIltluttered for sa~ for $
o WiIlL.rlffmd for sa~ within the past: o 30 days 01 year o 3years tor $
D Offering information was .considered in the final reconciliation of value.
[J OIiering intormation was Illil wnsklered in the final reconciliation of value.
o Offering information waulQ1~IabIe. The reasons for unavailability and the steps taken by the appraiser are explained later in this addendum.
[>1 SALES HISTORY OF SUBJECT PROPERTY
According to public record and mls "--- the subject proper1y:
Il has not transferred in the past twelve months. 13J bit>..n!ltllilnsfenell in the past Ihlr1y-six months.
0 has.lr.~ in the past twelve months. 0 m.. transferred in the pasl thir1y-six months,
[] All prior sales which have occurred in the past twelve months are listed bebw and reconciled to the appraised value, either in the body of the report or
in the addenda
Date Sales Price Document 1/ Sellar Buyer
13J FEMA FLOOO HAZARD DATA
12] Sublecl proper1y is.1IIlll!Jl;ilIell In a FEMA Special Flood Hazard Area.
0 Subject proper1y l:i.!lli;iiled in a FEMA Special Flood Hazard Area.
lone FEMA Map/Panel # Map Date Name of Community I
Zone C 420372 02115/1980 Uooer Allen TownshlD
I I The community does not parfu;iJlate in the National Flood Insurance Program
L.::J The community ~Da[ti.cJJJate in the National Food Insurance Program.
[~1 It is covered by a regUlar program.
II It is covered by an emetgenr;y program.
Page 1 of 2
Form MPA2 - 'TOTAL for Windows' appraisal software by a Ia mode, inc. ~ 1-800-AtAMODE
r"J CURRENT IlALES CONTRACT
[2] The subject property is curreniii' nulunder contract.
D The contract aneVor escrow instructions were nut availab~ lor review. The unavailability ollhe conlract is explained later in Ihe addenda secbon.
i] The contract and/or escrow instructions were reviewed. The folkJwing summarizes the contract:
I Contract Date Amendment Date Contract Priee Seller I
I Coulson Estate
[J The contract indicated lIrat person~ property was not included in lire sale.
D The contract indicate<! that personal property was 1rn;luded. It consisted of
Estimated contributory value is $
IS] Personal property wasJlllt ~ in lire linal value estimate.
D Personal property was includRd in the final value estimate
D The contract indicated .oo...finaJlcin~:sl.ons or other incentives.
[J The contract indicated tbe.1QJIQwim~ m incentives: ---- - u. -" -
...
IS] If concessions or incentives exist, the com parables were checked for similar concessions and appropriate adjusbnenls were made. if applicable. so
that the final value conclusion is in compliance with the Market Value defined herein.
~/J MARKET OVERVIEW Include an explanation of current market conditions and trends.
o to 3 months is considered a reasonable marketing period for the subject property based on current market indicators,
u
[3'] ADDITIONAL CERTIFICATION
The Appraiser certifies and agrees that:
II) The analyses, opinions and cunclusions were developed, and this report was prepared, in conformity with the Uniform Standards of Professional
Appraisal Practice ('USPAP'), except ~ lire Departure Provision of lire USPAP does oot app~.
(2) Theil compensation is 001 contingent upon the reporting of predetermined value or direction in value that favors the cause of the c~enl, the amount
of the value estimate, the attainment of a stipulated result, or the occurrence 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.
[2.J ADDITIONAL (ENVIRONMENTAL) LIMITING CONDITIONS
The value estimated is base<! on the assumptiun that lire property is nol negativety affected by the e~slence of hazardous substances or detrimental
environmental conditlons unless otherwise stated in this report. The appraiser is not an expert in the identification of hazardous substances or detrimental
environmental conditions. The appraiser's routine inspection of and inqUiries about the sublect property did not develop any information that indicated
all}' apparent significant hazaldous substances or detrimental en\lilOnmental conditions which would affect the property negatively unless otherwise stated
in this leport. [t is possible that tests and inspections made by a qualified hazardous substance and environmental expert would reveal the existence of
hazardous substances or detrimental environmental conditions on or around the property that would negativety affect its value.
D ADDITIONAL COMMENTS
- .
....
. ...
[:l<J APPRAISER'S SIGNATURE & LICENSE/CERTIFICATION
Applal,,(s Signatu~i1"'~. If 7i t. JEHeCtiVe Oate 04/0812005 Oate Prepared 04/15/2005
AIJplaise(s Ndme (ptillt) Geora'<l R. Ulsh Phone # f17 \ 565 2037
State PA D License [81 C"tilication # RL 000409 L Tax 10 # 232157098
D CO-SIGNING APPRAISER'S CERTIFICATION
[l The co-signing appraiser bas personally_inspected the subject property, both inside and out, and has made an exterior inspection of all comparable sales
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 lor the contents of the report inciuding lhe value conclusions and lire limiting conditions, and confirms ~ lire certifications app~
ful~ 10 the co-signing appraiser.
LJ The co. signing appraiser ImmlJlMlonall\'.im;~ected lire inlerior of lire subject property and:
D Iill not~JJ lire exterior of the subject property and all comparab. sales listed in the repurl.
lJ lliIl.im;~ the exterior of lire subject property and all comparab~ sales listed in the report.
ri The report was prepared by the appraiser under direct supervision of the co-signing appraiser. The co-signing appraiser accepts responsibiHty lor the
contents of the report, including the value conclusions and the limiting conditions, and confirms that the certifications apply fully to the CO-Signing
appraiser with the exception of the certification regarding physical inspections. The above describes the level of inspection performed by the
co*signlng appraiser.
[] The co-signing appraiser's level of inspection, involvement in the appraisal process and certification are covered elsewhere in the addenda section
of this appraisal.
II CO-SIGNING APPRAISER'S SIGNATURE & LICENSE/CERTIFICATION
Co.SiQning Effective Oate
Appraiser's SignatUle ---- Date Prepared
Co-Signing Appraiser's Name (print) Phone # I I
Slate [] License I'l Certification # Tax 10 #
Page 2 of 2
Form MPA2 - 'TOTAL tor Windows' appraisal software by a ~ mode, inc. -l-600-AlAMOOE
Borrower Client: Coulson Estate Fi~ No. 000317
Pro[le[1y Address 402 Rfck~Road
eil;, Me~ha'~;;;;;~;;,~- County Cumberland State P A Zio Code 17055
lender Client: Coulson Estate
APPRAISAL AND REPORT IDENTIFICATION
This appraisal conforms to .one of the following definitions:
I2J Complete Appraisal (The act or process of estimating value, or an opinion ot value, pertormed without invoking the Departure Rule.)
[] Limited Appraisal (The act or process of estimating value, or an opinion of value, performed under and resulting from invoking the
Departure Rule.)
This report is Q[JJl of the tollowing types:
[J Self Contained (A written report prepared under Standards Rule 2-2(a) of a Complete or limited Appraisal performed under STANDARD 1.)
[XJ Summary (A written report prepared under Standards Rule 2-2(b) at a Complete or Limited Appraisal pertormed under STANDARD 1.)
U Restricted (A written report prepared under Standards Rule 2-2(c) of a Complete or Limiled Appraisal performed under STANDARD 1,
restricted to the stated intended use by the specified client or intended user.)
Comments on Standards Rule 2-3
I certity that, to the best of my koow.dg' and belief:
D The statements of fact contained In this report are true and correct.
D The reported analyses, opinions, and conclusions are limited ont-{ by the reported assumptions and limiting conditions, and are my personal, impartial, and unbiased
professional analyses, opinions and conclusions.
o I have no (or the specified) present or prospective interest in the property that is the subject of this faport, and no (or tha specified) personal interest with respect tu the
parties involved.
o I have no bias with respect to the proparty that is tha subject of this report or the parties involved with this assignment
D My engagement in this assignment was not contingent upon developing or reporting predetermined resufts
u My compensation for complating this assignment is not contingent upon the development or reporting of a predetermined value 01 direction in value that favors the cause
of the client, the amount of too value opinion, the attainment of a stipulated resuh, or the occurrence of a subsequent event direc~ related to the intended use of this appraisal.
[J My anat-{sas, opinions and cooclusions were deveklped and lhis lepOIt has been prepared, in curlormily with the Uniform Standards of Professional Appraisal Practice.
u I have (or have not) made a personal inspection of the property that is the subject of this refJOIt.
D No one provided significant feal properly appraisal assistance to the person signing this certification. tn there are exceptions, the name of each individual providing significant
real property appraisal assistance must be stated.)
Comments on Appraisal and Report Identification
Note any departures from Standards Rules 1-3 and 1-4, plus any USPAP-related issues requiring disclosure:
--
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I -- --
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1---
1-- -
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APPRAISER: ~ 21<< SUPERVISORY APPRAISER (only If required):
Signature: ~ 1<- Signature: -
Name: Georg~-R. Ulsh Name:
Date Signed: 0411512005 Date Signed:
---
Sial, C,rtification #: RL 000409 L Slate Certification #:
or Slate license #: or State License #:
Slale: PA Slate:
Expiration Date of Certification or License: 6/3012005 Expiration Date of Certification or license:
II Did o Did Nut Inspect Property
R & l Appraisal Assoicates George R. Ulsh
Form 105 - 'TOTAL for Windows' appraisal software by a Ia mode, inc. - 1-800-ALAMOOE
DEFINITION OF MARKET VALUE: The most probable pnce which a property should bnng in a competitive and open market
under all conditions requisfte to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not
affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from
seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised,
and each acting in what he considers his own best interest; (3) a reasonable time is allowed for exposure in the open market (4)
payment is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents
the normal consideration for the property sold unaffected by special or creative financing or sales concessions* granted by anyone
associated with the sale
*Adjustments to the comparables must be made far special or creative financing or sales concessions. No adjustments are
necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are
readily identifiable since the seller pays these costs in virtually aU sales transactions. Special or creative financing
adjustments can be made to the comparable property by comparisons to financing terms offered by a third party
institulionallender that is not already involved in the property or transaction. Any adjustment should not be calculated on a
mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adiustment should approximate
the market's reaction to the financing or concessions based on the appraiser's judgement.
STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION
CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears in the appraisal report is sublect to the
following conditions:
1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it. The
appraiser assumes that the title is good and marketable and, therefore, will not render any opinions about the title The property is
appraised on the basis of it 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 is
included only to assist the reader of the report in visualizing the property and understanding the appraiser's determination of its size
3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other
data sources) and has noted in the appraisal report whether the subject site is located in an identified Special Flood Hazard Area
Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination,
4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in Question, unless
specific arrangements to do so have been made beforehand
5. The appraiser has estimated the value of the land in the cost approach at its highest and best use and the improvements at their
contributory value. These separate valuations of the land and improvements must not be used in conjunction with any other appraisal
and are invalid if they are so used
6. The appraiser has noted in the appraisal report any adverse conditions (such as, needed repairs, depreciation, the presence of
hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of
during the normal research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no
knowledge of any hidden or unapparent conditions of the property or adverse environmental conditions (including the presence of
hazardous wastes, toxic substances, etc.) that would make the property more or less valuable, and has assumed that there are no such
conditions and makes no guarantees or warranties, express or implied, regarding the condition of the property_ The appraiser will not be
responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such
conditions exist Because the appraiser is not an expert in the field of environmental hazards, the appraisal report must not be
considered as an environmental assessment of the property
7. The appraiser obtained the information, estimates, and opinions that were 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 for the accuracy of
such items that were furnished by other parties
8. The appraiser will not disclose the contents of the appraisal report except as provided for in the Uniform Standards of ProfeSSional
Appraisal Practice.
9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory
completion, repairs, or alterations on the assumption that completion of the improvements will be performed in a workmanlike manner.
10. The appraiser must provide his or her prior written consent before the lender/client specmed in the appraisal report can distribute
the appraisal report (including conclusions about the property value, the appraiser's identity and professional designations, and
references to any professional appraisal organizations or the firm with which the appraiser is associated) to anyone other than the
borrower; the mortgagee or its successors and assigns; the mortgage insurer; consultants; professional appraisal organizations; any
state or federally approved financial institution; or any department, agency, or instrumentality of the United States or any state or the
District of Columbia; except that the lender/client may distribute the property description section of the report only to data collection or
reporting service(s) without having to obtain the appraiser's prior written consent. The appraiser's written consent and approval must
also be obtained before the appraisal can be conveyed by anyone to the public through advertising, public relations, news, sales, or
other media.
Freddie Mac Form 439 6-93
Page 1 of 2
Fannie Mae Form 1004B 6-93
R & l Appraisal Assoicates George R. U~h
Form ACR DEFD - "TOTAL for Windows' appraisal software by a Ie mod,. irK:. -1-BOO-AlAMODE
APPRAIsER'S CERTIFICATION: The appraiser certifies and agrees that:
1. I have researched the subject market area and have selected a minimum of three recent sales of properties most similar and
proximate to the SUbject property for consideration in the sales comparison analysis and have made a dollar adjustment when
appropriate to reflect the market reaction to those items of significant variation. If a significant item in a comparable property is supenor
to, or more favorable than, the subject property, I have made a negative adjustment to reduce the adjusted sales price of the
comparable and, if a significant item in a comparable property is inferior to, or less favorable than the subject property, I have made a
positive adjustment to increase the adjusted sales price of the comparable
2. I have taken into consideration the factors that have an impact an value in my development of the estimate of market value in the
appraisal report. I have not knowingly withheld any significant information from the appraisal report and I believe, to the best of my
knowledge, that all statements and information in the appraisal report are 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 limiting conditions specified in this form.
4_ I have no present or prospective interest in the property that is the subject to this report, and I have no present or prospective
personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis
and/or the estimate of market value in the appraisal report on the race, color, religion, sex, handicap, familial stams, or national origin of
either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity
of the subject property
5_ I have no present or contemplated future interest in the subject property, and neither my current or future employment nor my
compensation for performing this appraisal is contingent on the appraised value of the property.
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 attainment of a specific result, or the occurrence of a subsequent event in order to receive my
compensation and/or employment for pertorming the appraisal. I did not base the appraisal report on a requested minimum valuation, a
specific valuation, or the need to approve a specific mortgage loan
7. I performed this appraisal in conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and
promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of the effective date of this
appraisal. with the exception of the departure provision of those Standards, which does not apply. I acknowledge that an estimate of a
reasonable time for exposure in the open market is a condition in the definition of market value and the estimate I developed is
consistent with the marketing time noted in the neighborhood section of this report, unless I have otherwise stated in the reconciliation
section.
8. I have personally inspected the interior and exterior areas of the subject property and the exterior of all properties listed as
com parables in the appraisal report. I further certify that I have noted any apparent or known adverse conditions in the subject
improvements, on the subject site, or on any site within the immediate vicinity of the subject property of which I am aware and have
made adjustments for these adverse conditions 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 of the adverse conditions on the marketability af the subject property.
9. I personally prepared all conclusions and opinions about the real estate that were set forth in the appraisal report. If I relied on
significant professional assistance from any individual or individuals in the performance of the appraisal or the preparation of the
appraisal report, I have named such individual(s) and disclosed the specific tasks performed by them in the reconciliation section of this
appraisal report. I certify that any individual so named is qualified to perform the tasks_ I have not authorized anyone to make a change
to any item in the report; therefore, if an unauthorized change is made to the appraisal report, I will take no responsibility for it
SUPERVISORY APPRAISER'S CERTIFICATION: If a supervisory appraiser signed the appraisal report, he or she certifies and
agrees that I directly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal report, agree with the
statements and conclusions of the appraiser, agree to be bound by the appraiser's certifications numbered 4 through 7 above, and am
taking full responsibility for the appraisal and the appraisal report
ADDRESS OF PROPERTY APPRAISED: 102 Ricky Road, Mechanicsburg, PA 17055
APPRAISER'
Sign'ru"~/n~L It 2tf6~
Name: Gear e R UI
Date Signed: 0411512 5
State Celtific<ltion #: RL 000409 L
or State license #:
State: PA
Expiration Date of Certification or license 6/30!?905
SUPERVISORY APPRAISER (only If required):
Signature:__
Name:
Oat. Sign.d:
Stat. C.rt~ication #:
or State license #:
State: _~~ __
Expiration Date of Certification or license:
DDid
[] Did Not insp.ct PlOp.rty
freddi. Mac form 439 6~93
Page 2 of 2
fanni. Mae form 1 0046 6~93
form ACR DEfD - 'TOTAL for Windows' appraisai softwaJ' by a Ia mod., inc, - l~800-ALAMODE
Subject Photo Page
__fQuntv Cumberland
State PA
Zip Code 17055
Subject Front
402 Ricky Road
Sales Price
Gross Living Area
T alai Rooms
T alai BedlOoms
Total Bathrooms
Location
View
Site
Quality
Age
Market Value
1,24Q
6
3
2
Suburban
Suburban
.29 Acres
Brk&FramelAvg
37 Yrs
Subject Rear
Subject Street
Form PICPIX.SR - "TOTAL for Windows' appraisal so!tware by a la moile, inc. - l-BOO-ALAMODE
Comparable Photo Page
County _ ~LJmberland
State PA
Zip Code 17055
Comparable 1
405 Orchard Lane
Prox, to Subject 0,60 miles
Sa. Price 141 ,000
Gross living Area 1,176
Total Rooms 6
Total Bedrooms 3
Total Bathrooms 2
Location Suburban
View Suburban
Site ,32 Acres
Ouality Brk&Frame/Avg
Age 42 Yrs
Comparable 2
14 Kim Acres
Prox, to Subject
Sale Price
Gross living Area
Total Rooms
Total Bedrooms
Total Bathrooms
location
View
Site
Quality
Age
0,93 miles
161,000
1,134
5
3
15
Suburban
Suburban
23 Acres
Brk&Frame/Avg
43 Yrs
Comparable 3
114 Nittany Drive
Prox to Subject 0,97 miles
Sa. Price 161 ,900
Gross living Area 1,276
Total Rooms 6
T atal Bedrooms 3
Total Bathrooms 2
location Suburban
View Suburban
Site 28 Acres
Quality Brk&Frame/Avg
Age 36 Yrs
form PICPIX,CR - "TOTAL for Windows' appraisal saltware by a la mode, inc, -1-800-ALAMODE
Building Sketch (Page - 1)
Borrower/Client Client:!Coutson Estate
Prooertv Add.~ss 402 Ricky Road
City Mechanicsburn County Cumberland State PA Zip Code 17055 _n
Lender Client: Coulson Estate
Patio
Basement
Bath
Bdrm DinRm Kitchen
Bath 1 Car Garage
Stairs
Bdrm Bdrm LivRm
Pch
S~.t"h bj "p., IV'"
Form SKT.BldSkl- "TOTAL for Windows" appraisal softwale by a Ia mode, inc. - 1-800-ALAMOOE
BUilding Sketch (Page - 2)
Borrower/Client Client,lCoutson E5tat~
Pronertv Addiess 402 Rickv Road
Citv Mechanicsburo
Lender Client: Coulson Estate
COu~_~!1~b~~and
AREA CALCULATIONS SUMMARY
Code Description Size Net Totals
GLA1 First Floor 1239.7S 1239.7S
.sm Basement 1547.75 1547.75
PIP Porch 56 00
P..tio 150 00 206 00
GAR Garage 3" 00 308 00
TOTAL LIVABLE
1240
(rounded)
Garage
GAR
14.0 x
22.0 _ 308.00
Area total (rounded) =
308
Patio
PIP
10.0 x
15.0 "" 150.00
Area total (rounded) =
150
Basement
BSMT
14.0 x
28.5 x
22 0.., 308.00
43 5 _ 1239.75
Area total (rounded) = 1548
SIal. PA
Zip Cod. 17055
Breakdown
LIVING AREA BREAKDOWN
Subtotals
First Floor
28 5 x
43 S
1 Calculation Total (rounded)
Porch
7.0 x
S.O ...
Area total (rounded) =
First Floor
28 5 x
43.5 "" 1239.75
Area total (rounded) =
Form SKT.BIdSId - 'TOTAL for Windows' appraisal softwar. by a fa mode. inc. - 1-800-ALAMOOE
1239 75
1240
PIP
56.00
56
GLA1
1240
Appraisers 2005 Certification
Countv CumberlancL
Slate PA
(~~ :::::~;~~......::~ ~:_~~~e,~"~"=__;;:~~p~M.if({'ffiiilr~[.jli:{~;(.-ri'lill~~fl''''~i";l'i;~a.h'~j
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Certified Residential Appraiser
I
,II
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GEORGE RANDALL UlSII
4099 Derry Street
HARRISBURG PA 17111
( 'crlificatt.'
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RL0004091.
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Zi Code 17055
E CJ:;
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06130/2005
.r'1
Appraisers Apprentice Addendum
Borrower/Client Client~oul'son Estate!
ProDertv Address 402 Ricky Ra~ n _~~
City MechanicsburQ
Lender Client: Coulson Estate
Caunlv Cumberland
State PA
ZiD Code 17055
George R Ulsh
R & L APPRAISAL ASSOCIATES
4099 DERRY STREET
HARRISBURG, PA 17111
717 565-2037 Office
717 561-8775 Fax
E-Mail: rulsh@comcastnet
Dear Client
Please be advised. This appraisal report was prepared in cooperation with Cathy L.
Mione. Cathy L. Mione is a licensed Real Estate Sales Person working as an
apprentice for her certification as a Certified Residential Real Estate Appraiser. The
duties of the apprentice in this report were interior and exterior viewing of the subject
property. Collection and verification of data to be used within the subject appraisal
report Preparation of the Subject Appraisal Report This work was completed under
the direction of the Pennsylvania State Certified Residential Appraiser.
-xf~ K. 21M
~~~~
George R Ulsh
Pennsylvania State Certified
Residential Real Estate Appraiser
RL 000409 L
R & L APPRAISAL Associates
Cathy L Mione
Real Estate Salesperson
RS 2119566
Form MAP.Pol- "TOTAL for Windows' appraisal software by a ~ mode, inc~ - 1~800~ALAMOOE
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ESTATE OF
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COULSON, MARY R.
FILE NUMBER
21 - 05 - 00228
Include the proceeds of litigation and the date the proceeds were received by the estatEAII property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
I Household Goods - appraised value
DESCRIPTION
VALUE AT DATE OF
DEATH
3,215.00
2
Sovereign Bank
Checking Account No. 1051068126 - Date of death balance.
19,435.81
3
Sovereign Bank
Certificate of Deposit No. 1055161465
Date of death balance, plus accrued interest.
56,600.66
4
Sovereign Bank
Certificate of Deposit No. 1055176521
Date of death balance, plus accrued interest.
15,507.19
5
Sovereign Bank
Certificate of Deposit No. 1055337719
Date of death balance, plus acclUed interest.
10,961.79
6
1922-D Peace Silver Dollar - Appraised value
9.00
7
12 - Series 1976 - $2.00 Bills - Appraised value
24.00
8
Jewelry - Rings - appraised value
225.00
9
Highmark - refunds
57.30
10
Conseco Insurance Company - premium refund
5.00
II
Highmark Blue Shield - premium refund
366.42
12
Nationwide - Homeowner's Insurance refund
228.00
TOTAL (Also enter on Line 5, Recapitulation)
106,635.17
APPRAJS/AL
~@U=v\[
Personal Property of /"1.-1 t.
{ {.- L L. 'j!.. A.",
..,f r:. ;--..:.'
Appraised by Chuck E. Bricker AU094-l
ITEM VALUE
~)7
,.I /
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si
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16,LQ
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,;2{),I)J
'7Z;.tJt)
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20,00
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:rMf'UMM~S
'E.~E.bt.'I J to"E:
34 WEST MAIN STREET
MECHANICSBURG, PA 17055
~@~
APPRAISAL
APPRAISAL
Phone: 766-9422
1~ll,G~
Appraisal For:
E & 1oJ.D .J ^^A r'? <-J U C I \
o I fq 1<" I ' r~ . (j J . So ''''
",;j e ;u 1 Cll-e t'A-J O-AJ { w--J&{' ill
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jhJl. 'D; UYvtu-^J j s a. 10 fd;,} '12o..,,,J -ef)~J I:~f
tv+ SiL~ ~-N C<... Bole ~ ~~l
~
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C~J
C;a "",-f E:^Tl.~1 R;~{ IL,J
12;~J' N J'-tJd ~[- ~ oil
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)),lb"'''P ,,(' Af~o"'Ma{,jl !b f'"",iJ d.'") ,dr ,..; '"
r 1',,\ ... ty I ~~. ~Jctl' ^'I uJad~'j e a" ~ Ii""
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/-.A ~ \ Ii S
wacJJ, at
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v'tNt v.f 'li'15'0. CI <.
This appraisal, constitutes our carefully studied opinion of
~ ihher detail replacement cost through our facilities
... e Istress sales nature value
of the orticlels) described above insofar os the mountin '
observation, We assume na liabilit wth 91s) have pefm.tted
token on the basis of this a "YI I respect to any action that may be
/' ') ppral..Jo .
(~~.,/
j&ft, ! ~,--,
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1/ f. ~-'\" I'
l ._ '. n I t1.NVVVVIt;
-~
Appraiser
'.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
COULSON, MARY R.
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
SCHEDULE F
JOINTLY-OWNED PROPERTY
A
Arlene c:. Oyler
SURVIVING JOINT TENANT(S) NAME
JOINTLY OWNED PROPERTY:
ITEM LETTER
NUMBER FOR JOINT
TENANT
DATE
MADE
JOINT
ADDRESS
605 East Winding Hill Road
Mechanicsburg, P A 17055
FILE NUMBER
21 - 05 - 00228
RELATIONSHIP TO DECEDENT
Daughter
DESCRIPTION OF PROPERTY 0 OF
Include name of financial institution and bank account number DATE OF DEATH . D~CD.S DA0~~~ED~~TH
or similar IdentifYing number. Attach deed for JOintly-held real VALUE OF ASSET 'INTEREST DECEDENT'S INTEREST
estate.
A
08/05/1999 i Sovereign Bank - Certificate of
Deposit No. 1055162059
5,145.76
50%
2,572.88
TOTAL (Also enter on line 6, Recapitulation)
2,572.88
ESTATE OF
ITEM
NUMBER
A.
B.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COULSON, MARY R.
FILE NUMBER
21 - 05 - 00228
Debts of decedent must be reported on Schedule I.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES:
Musselman Funeral Home - funeral expenses
2
Catalano's - funeral meal
3
Copy Right Press - programs for service/photographs - $653.10; Christian Publications -
Program covers/note cards/envelopes - $139.72.
Carol Case - organist for funeral service
4
5
Reverend George DeFrehn - pastor - funeral service
6
Jeffrey's Flowers - funeral flowers/church arrangements
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City
Year(s) Commission paid
State
Zip
2.
Attorney's Fees
JOHNSON, DUFFIE, STEWART & WEIDNER
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant ARLENE c:. OYLER
Street Address 605 EAST WINDING HILL ROAD
City MECHANICSI3URG State PA Zip 17055
Relationship of Claimant to Decedent Daughter
4.
Register of Wills - Cumherland County
Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Other Administrative Costs
Cumberland Law Journal - advertise letters
2
The Patriot-News - advertise letters
Total of Continuation Schedule(s)
TOTAL (Also enter on line 9, Recapitulation)
6,760.00
1,698.44
792.82
300.00
300.00
1,262.62
7,200.00
3,500.00
356.00
75.00
119.94
1,143.31
23,508.13
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
COULSON, MARY R.
10
II
12
13
3
Schedule H
Funeral Expenses &
Pdninislratiw Ccl51s cootinued
Chuck Bricker - household goods appraisal
4
5
Register of Wills - file Inventory & Inheritance Tax Return
6
Upper Allen Township - sewer
R & L Appraisal Associates - real estate appraisal
7
Recorder of Deeds - Record Deed/Affidavit of Value
8
Sovereign Bank - Estate checks
9
PP &L - electric service
PA Water Company - water service
AT&T - final telephone charges
Verizon - final telephone charges
Reserve [or close-out costs
FILE NUMBER
21 - OS - 00228
Page 2 of Schedule H
80.00
30.00
325.00
100.00
39.50
13.60
323.77
17.84
20.44
43.16
150.00
ESTATE OF
*'
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COULSON, MARY R.
Include unreimbursed medical expenses.
ITEM
NUMBER
I
2
3
4
5
6
7
8
l)
10
II
DESCRIPTION
Pat Cartwright - Private Duty Nursing services - 3/1/05 - 3/4/05
Holy Spirit Hospital- adjustment - private room charges - 2/14/05 - 2/28/05
Moffitt Heart & Vascular Group - decedent's account balance
Gayanne Bums - Private duty nurse - 3/3/05 - 3/4/05
American Home Medical Equipment Co. - purchases for Decedent
Marlin A. Yohn, Sr., Treasurer - County/Township real estate taxes-
402 Ricky Road - $285.81; 2005 Personal Taxes - $9.80.
Verizon - decedent's account
Chase/Bank One - Account No. 4366 163056683531 - balance due
FILE NUMBER
21 - 05 - 00228
Checks that cleared after death - Sovereign Bank - Checking Account
No. 1051068126.
Check No. 1876 - United Water - $6.76; Check No. 1877 - Stoken Ophthalmology - $110.00; Check No.
1878 - Verizon - $22.27; Check No. 1879 - West Shore Emergency Medical Service - $88.71.
PP&L - Decedent's account
United Water PA - decedent's account
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
400.00
550.00
4.08
831.53
49.60
295.61
21.40
149.50
227.74
161.87
6.76
2,698.09
REV.1513 EX- (9.00)
w-
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
COULSON, MARY R.
FILE NUMBER
21 - 05 - 00228
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
AMOUNT OR SHARE
OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Arlene C. Oyler
605 East Winding Hill Road
Mechanicsburg, P A 17055
Daughter
One-half personalty;
One-half residue.
2
Mildred C. Rhodes
728 West Siddonsburg Road
Dillsburg, PA 17019
Daughter
One-half personalty;
One-half residue.
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate. on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE
,
Register of Wills of Cumberland County, Pennsylvania
~
INVENTORY
Estate of
COULSON, MARY R.
No. 21-05-00228
also known as
, Deceased
Date of Death 3/4/2005
Social Security No. 162-26-5205
ARLENE C. OYLER
MILDRED C. RHODES
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the
Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that
which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true
and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
I.D. No.:
18039
Personal Repres.e~...ntati " /~)'i/I -~ !
Signature: /l::~~.,. =-~____,
" "ENE C. YJ,.pR i
Signature'( '-WcJl-;t~~ e. ....1~JJt<r-
MILDRED C. RHODES
Attorney:
RICHARD W. STEWART
Signature:
Address:
Address: 605 E. WINDING HILL ROAD
MECHANICSBURG, PA 17055
301 Market St.
Lemoyne, PA 17043-0109
Telephone: 717/761-4540
Personal Property
Telephone: (717) 766-7267
Dated: el,.v," 02S;~OOS-I-----
;f7
Household Goods - appraised value
3,215.00
Sovereign Bank
Checking Account No. 1051068126 - Date of death balance.
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~<,).435.81
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Sovereign Bank
Certificate of Deposit No. 1055161465
Date of death balance, plus accmed interest.
Sovereign Bank
Certificate of Deposit No. 1055176521
Date of death balance, plus accmed interest.
Sovereign Bank
Certificate of Deposit No. 1055337719
Date of death balance, plus accmed interest.
10,961.79
1922-D Peace Silver Dollar - Appraised value
9.00
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$222,135.17
L>--
J
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
continued
Estate of COULSON, MARY R.
, Deceased
No. 21 - 05 - 00228
Date of Death 3/4/2005
Social Security No. 162-26-5205
also known as
12 - Series 1976 - $2.00 Bills - Appraised value
24.00
Jewelry - Rings - appraised value
225.00
Highmark - refunds
57.30
Conseco Insurance Company - premium refund
5.00
Highmark Blue Shield - premium refund
366.42
Nationwide - Homeowner's Insurance refund
228.00
Total Personal Property
$106,635.17
2
,
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
continued
, Deceased
No. 21 - 05 - 00228
Date of Death 3/4/2005
Social Security No. 162-26-5205
Estate of COULSON, MARY R.
also known as
Real Estate
Three-fourths (3/4) interest in Real Estate located
at No. 402 Ricky Road - Park Hills West,
Township of Upper Allen, Cumberland County, PA
Deed datcd 11/26/1969 - Deed Book "M", Volume 23, Page 36.
Appraised Value - $154,000.00 - copy of appraisal attached.
Value of Decedent's three-fourth (3/4) interest
115,500.00
Total Real Estate
$115,500.00
3
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
STEWART RICHARD W
3RD & MARKET STREETS
P. O. BOX 109
lEMOYNE, PA 17043
___n___ fold
ESTATE INFORMATION: SSN: 162-26-5205
FILE NUMBER: 2105-0228
DECEDENT NAME: COULSON MARY R
DATE OF PAYMENT: 07/27/2005
POSTMARK DATE: 07/25/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 03/04/2005
REMARKS:
CHECK# 119
SEAL
ACN
ASSESSMENT
CONTROL
NUMBER
101
TOTAL AMOUNT PAID:
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX111-961
NO. CD 005625
AMOUNT
$722.05
$722.05
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
~
.0
SUBJECT:
Estate of Mary R. Coulson
No. 21-05-00228
FROM
JOHNSON, DUFFIE, STEWART &. WEIDNER
Attorneys at Law
P.O. Box 109
Lemoyne, P A 17043
(717) 761-4540
Fax: (717) 761.3015
DATE: July 25, 2005
TO Register of Wills Office
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013-3387
Enclosed for filing in the above-captioned Estate are the following:
1. Original Inventory.
2. Original and copy of Inheritance Tax Return.
3. Check in the amount of $30.00, filing charges.
4. Check in the amount of 722.05, Inheritance Tax balance.
An envelope is enclosed for you to forward the filing and Inheritance Tax receipts to me.
Thank you.
o.
SIGNED: Cindy Hubler, Estate Leqal Assistant " '0 .00 OOOoo",J
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