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HomeMy WebLinkAbout08-25-05 REV - 1500 EX . (6-00) W I- ><:~Ul Uu:>t WQ.U :rOO Ua:..J Q.1Il Q. <( . ' ,,~, ~~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0001 DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) Brandt, Kathleen M. r- (';P:IC!!-\L uSE U~~L)' ~ REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT o 2. Supplemental Retum o 4a. Future Interest Compromise (dale of death aller 12-12-82) o 7. Decedent Maintained a Living Trust(Attach copy of Trust) o 10. Spousal Poverty Credit (dete of death between 0 ll_Election to tax under Sec. 9113(A)(Attach Sch 0) 12-31-91 and 1-1-9q) " . . .' ..... __ "_ '.. ____. ,. ..,.. . _ _,' . . THIS SECTION MUST BECO~~l,.E:T,ED. ALl,. C~RRES~OIllPE_IIIc:E_~g~_Qf1I~~Jrtlp._l,.rM~!f1I~~:r!P!t~f:l9.!J.l,.P_~_g_ q~~c:~[)Xcl,:..:~L~... . NAME COMPLETE MAILING ADDRESS Dale F Shughart, Jr. Esquire I- Z W o w U w o DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 02/25/2005 01/10/1923 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) r8I o r8I o 1. Original Return 4, Limited Estate 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received .1- UlZ Ww a:c u:z 00 UQ. FIRM NAME (If applicable) TELEPHONE NUMBER 717/241-4311 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship z o ~ :> l- ii: <( U w u: 4. Mortgages & Notes Receivable (Schedule D) 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) 10. Debts of Decedent, Mortgage Liabilities. & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) FILE NUMBER 21 2005 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 00208 NUMBER 189-18-5645 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o o o 3. Remainder Retum (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 35 E. High Street, Suite 203 Carlisle, PA 17013 (1) 97,000.00 (2) 190,367.80 (3) None (4) None (5) 128,036.58 (6) 39,580.10 (7) 153,308.10 (8) (9) 25,916.90 (10) 6,422.84 CFFIC!/\L USE C+JLY ,...", ('-;;' C':;.) CJ1 7:u c: C-) h) en -J) i"h C') C:.) .\:i 1":';.-' '-."J C) _".J . ! .-) 608,292.58 (11 ) 32,339.74 575,952.84 (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) 575,952.84 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 69,114.34 69,114.34 Copyright 2000 form software only The Lackner Group, Inc. CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a}(1.2) z .045 (16) 0 16. Amount of Line 14 taxable at lineal rate x 1= ~ :> (17) Q. 17. Amount of Line 14 taxable at sibling rate 575,952.84 x .12 ::lE 0 () )( 18. Amount of Line 14 taxable at collateral rate ~ x .15 (18) 19. Tax Due (19) 20.0 Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 340 Oxford Road CITY Gardners STATE PA ZIP 17324 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 69,114.34 63,384.00 3,336.00 Total Credits (A + B + C) (2) 66,720.00 3. InteresVPenalty if applicable D. Interest E. Penalty A. Enter the interest on the tax due. 8. Enter the total of Line 5 + SA. This is the BALANCE DUE. (3) 0.00 (4) (5) 2,394.34 (5A) (58) 2,394.34 TotallnteresVPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. 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 the TAX DUE. Make Check Payable to: REGISTER OF WILLS, AGENT 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?............................................................. ........................................................ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "XU IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;................................................................................ ~ I ~~ ~::::~ :h~e~;~~i:~:~s:~::es;~~. .~~~~~ .~~.~.~~.~. .~~~~~~..t~~.~.~.f.~~~~~ .~~. ~~~. ~~~~:~~::: :....::: .................~::::::::::::::::.. d. receive the promise for life of either payments, benefits or care? ............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........... .......... ........................ ................................. ........ ......................... ........ 0 o jgI ~ ~ o 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 pe~ury. I declare that I have examined this retum. including accompanying schedules and statements. and to the best of my knowledge and belief. it is true. correct and complete. Declaration at preparer other than the personal representative Is based on all inlonnalion at which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS ~lald E. Marsh ....co 2!z 388 Oxford Road G . Gardners, P A 17324 I ~SON RESPONSI LE FOR ~ AODRESS DATE~ b j-Jos- DAT;; 1 ADDRESS 35 E. High Street, Suite 203 Carlisle, P A 17013 DATE 'J 7-;/15 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. S9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. S9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets c len if the surviving spouse is the only beneficiary. For dates I ~ '\ r--\'~-::>D The tax ral 1'-.) parent, an The tax rat 1.2) [72 P. The tax ral under Sec om a deceased child twenty-one years of age or younger at death to or for the use of a natural lild is 0% [72 P.S. 99116 (a) (1.2)]. ) or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P .S. S9116 J- (\. A <:""-1 M~_--..) ) or for the use of the decedent's siblings is 12% [72 P.S. 99116 (a) (1.3)]. A sibling is defined, st one parent in common with the decedent, whether by blood or adoption. << SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Brandt, Kathleen M. FILE NUMBER 21 - 2005 - 00208 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER I DESCRIPTION VALUE AT DATE OF DEATH 97,000.00 Lot and dwelling house located at 340 Oxford Road, Gardners (South Middleton Township), Cumberland County, PA. Deed reference: Book "0", Vol. 20, Page 1035. Tax Parcel No. 40-40-2654-021. Value based upon attached appraisal of Larry E. Foote. TOTAL (Also enter on Line 1, Recapitulation) 97,000.00 '. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Brandt, Kathleen M. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER I DESCRIPTION 2,764.8 shares, Tax free instI, Black Rock FDS, CUSIP 091928168 @ $11.17. 2 8,303.171 shares Black Rock FDS Low Duratn ins CUSIP #091928283 @ $10.64 3 6,748.7430 shares Black Rock FDS PA tax free ins CUSIP #091928622 @ $10.64 4 4,480.58 Black Rock Fund P A Muni Money Market ins #40, CUSIP #992710442 @ $1.00 FILE NUMBER 21 - 2005 - 00208 UNIT VALUE 11.17 10.64 10.64 1.00 TOTAL (Also enter on line 2, Recapitulation) VALUE AT DATE OF DEATH 30,882.82 83,197.77 71,806.63 4,480.58 190,367.80 .,;0 ; . ~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Brandt, Kathleen M. FILE NUMBER 21 - 2005 - 00208 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 NUMBER I DESCRIPTION VALUE AT DATE OF DEATH 28.75 Household goods and furniture valued in accordance with attached appraisal of Alyssa Loney. 2 1993 Chevrolet Corsica L T, valued in accordance with attached appraisal of Alyssa Loney. 500.00 ~ .J PNC Bank checking account #5140181088 Principal - 16,376.22 Accrued interest - .45 16,377.17 4 PNC Bank Certificate of Deposit #21001052664 Principal 42,166.98 Accrued interest - 84.40 42,251.38 5 PNC Bank Certificate of Deposit #21001052647 Principal 49,319.97 Accrued interest - 83.87 49,403.84 6 PNC Bank IRA #65001015721 Principal 17,195.99 Accrued interest - 18.25 17,214.24 7 u.s. Treasury, 2004 federal income tax refund 1,327.00 8 PA Department of Revenue, 2004 federal income tax refund 122.00 9 Chapel Pointe, refund 741.20 10 Nationwide, insurance refund 71.00 TOTAL (Also enter on Line 5, Recapitulation) 128,036.58 SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Brandt, Kathleen M. FILE NUMBER 21 - 2005 - 00208 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Ronald E. Marsh B Marlin L. Marsh 388 Oxford Road Gardners, P A 17324 340 Oxford Road Gardners, P A 17324 Brother Brother JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM LETTER DATE Include name of financial institution and bank account number DATE OF DEATH FOR JOINT MADE DECO'S VALUE OF NUMBER or similar identifying number. Attach deed for jointly-held real VALUE OF ASSET ilNTEREST DECEDENT'S INTEREST TENANT JOINT estate. A 08/15/1995 PNC Bank Certificate of Deposit #21001052663 36,908.80 50% 18,454.40 Principal 36,894.44 Accrued interest 14.36 2 B 08/14/1995 PNC Bank Certificate of Deposit #21001052665 42,251.39 50% 21,125.70 Principal 42,166.99 Accrued interest 84.40 TOTAL (Also enter on line 6, Recapitulation) 39,580.10 '. SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Brandt, Kathleen M. FILE NUMBER 21 - 2005 - 00208 ITEM NUMBER This schedule must be completed and filed if the answer to any of questions 1 through 4 onpage 2.is yes. DESCRIPTION OF PROPERTY % OF Include the name of the transferee, their relationship to decedent and the date of transfer. DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE Attach a copy of the deed for real estale. VALUE OF ASSET INTEREST (IF APPLICABLE) Western-Southern Life Assurance Company single premium deferred annuity Contract #W20569927 Transferred on death Beneficiary: Ronald E. Marsh, brother of decedent 153,308.10 100% 0.00 153,308.10 TOTAL (Also enter on line 7, Recapitulation) 153,308.10 ESTATE OF COMMONWEALTH OF PENNSYLVANIA !NHERITANCE TAA RETURN RESIDENT DECEDENT Brandt, Kathleen M. SCHEDULE H FU6W..EXPENSES& ADMINISTRATIVE COSTS FILE NUMBER 21 - 2005 - 00208 Debts of decedent must be reported on Schedule I. ADMINISTRATIVE COSTS: Personal Representative's Commissions Ronald E. Marsh Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 388 Oxford Road City Gardners Year(s) Commission paid 2005 ITEM NUMBER A. B. 1. 2. FUNERAL EXPENSES: Hollinger Funeral Home, funeral bill DESCRIPTION AMOUNT State P A Zip 17324 Attorney's Fees Dale F. Shughart, Jr., & Hamilton C. Davis (estimated) 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 4. City Relationship of Claimant to Decedent Probate Fees Register of Wills State Zip 5. Accountant's Fees 6. 7. I 2 Tax Return Preparer's Fees Group's Tax & Payroll, estimated Other Administrative Costs Cumberland Law Journal, advertise Letters The Sentinel, advertise Letters Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) 8,263.00 5,000.00 10,000.00 440.00 1,000.00 75.00 129.77 1,009.13 25,916.90 '. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Brandt, Kathleen M. 3 PNC Bank, check charge ScI1eWIe H Fu1eraI Expenses & Adnirislralive Costs coolirl.Ed 4 IBIS Appraisal, personal property appraisal 5 Register of Wills, Short Certificates 6 Postmaster, certified mail 8 Bonnie Coyle, notary fees Register of Wills, filing Inheritance Tax Return and Inventory 7 9 Larry Foote, appraisal 10 Recorder of Deeds, recording Deed. II Commonwealth of P A, transfer vehicle title 12 Register of Wills, reserve for Account FILE NUMBER 21 - 2005 - 00208 Page 2 of Schedule H 40.13 60.00 12.00 5.00 30.00 25.00 275.00 39.50 22.50 500.00 .... - . .. , . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Brandt, Kathleen M. Include unreimbursed medical expenses. ITEM NUMBER I DESCRIPTION Checks written before death, clearing after death 931 Chapel Pointe, nursing home bill 5,341.10 2 David L Hamell, M.D., medical bill FILE NUMBER 21 - 2005 - 00208 TOTAL (Also enter on Line 10, Recapitulation) AMOUNT 5,341.10 85.65 571.99 263.70 110. 00 50.40 6,422.84 3 Millennium Pharmacy, medicine 4 Hanger, Inc., medical bill 5 Groups Tax & Payroll Service, tax return preparation 6 Belvedere Medical Corp., doctor bill REV-1513 EX+ (9-00) ~ ~ SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Brandt, Kathleen M. FILE NUMBER 21 - 2005 - 00208 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do No1 Us! Trusteejs) AMOUNT OR SHARE OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Marlin L. Marsh 340 Oxford Road Gardners, P A 17324 Brother Life estate in real estate 'and personal property and 1/3 residuary estate. 2 Fonald E. Marsh 388 Oxford Road Gardners, P A 17324 Brother 1/3 residuary estate. 3 Robert V. Marsh 46 Old Town Road Gardners, P A 17324 Brother 1/3 residuary estate. 4 Daniel C. Marsh, Eugene C. Marsh and Betty M. Rohrer all predeceased Kathleen M. Brandt. Brothers and sister 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 SHEET I I I I I I I I I I I I I II I: I: I m ~ APPRAISAL REPORT 340 OXFORD ROAD GARDNERS, PENNSYLVANIA PREPARED FOR THE ESTATE OF KATHLEEN M. BRANDT BY LARRY E. FOOTE DIVERSIFIED APPRAISAL SERVICES 35 EAST HIGH STREET, SUITE 101 CARLISLE, PENNSYLVANIA 17013-3052 (717) 249-2758 11 'j 1\ I I I I I I I I I I I I I I I I I SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS LOCATION: 340 Oxford Road Gardners, Pennsylvania TAX PARCEL NUMBER: 40-40-2654-021 IMPROVEMENTS: One-story detached single-family dwelling. PROPERTY RIGHTS: Fee simple interest. OWNERSHIP HISTORY: The subject property is owned by Kathleen M. Brandt. The property was purchased on July 21, 1962 for a reported consideration of$1.00 and ownership transferred on deed reference 20-0-1035. SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of the property's highest and best use, consideration of all three approaches to value, and the application of those relevant to the valuation of the subject. OBJECTIVE: To estimate the market value of the subject property as unencumbered. EFFECTIVE DATE: February 25,2005. HIGHEST AND BEST USE: Continued use as a single-family residence. COST APPROACH: N.A. SALES APPROACH: $97,000 INCOME APPROACH: N.A. FINAL VALUE CONCLUSION: $97,000 2 APPRAISAL CERTIFICATION I hereby certify that upon application for valuation by: THE ESTATE OF KATHLEEN M. BRANDT the undersigned personally inspected the following described property: All that certain piece or parcel of land, with the improvements thereon erected, situate in South Middleton Township, Cumberland County, Pennsylvania, bounded and described as follows: Beginning at a point in a public road which point is also a comer of land of Eugene Marsh~ thence along land of the said Marsh South 69 degrees East, a distance of 217.7 feet to an iron pin; thence along land of the said Calvin G. Cook and Alice K. Cook, his wife, South 22 degrees 45 minutes East, a distance of 123 feet to an iron pin; thence still along land ofthe latter, South 23 degrees 15 minutes West, a distance of 347 feet to an iron pin; thence along land of the said Calvin G. Cook and Alice K. Cook, his wife, and land of William J. and Alice McCartney, his wife, North 69 degrees West, a distance of 310.4 feet to a point in the center of the said public road; thence along the center of said public road North 23 degrees 15 minutes East, a distance of 430 feet to a point, the place of beginning. To the best of my knowledge and belief the statements contained in this report are true and correct, and that neither the employment to make this appraisal nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of February 25, 2005 is: NINETY-SEVEN THOUSAND DOLLARS $97,000 The property was appraised as a whole, subject to the contingent and limiting conditions outlined herein. ,x~~ Larry E. Foote Certified General Appraiser GA-OOOO 14-L 3 I.'.'. " II I I I I I I I I I I I I I I I I , PURPOSE OF THE APPRAISAL The purpose of this appraisal is to estimate the Market Value of the subject property as of February 25,2005. Market Value is defined as the most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: a. Buyer and seller are typically motivated. b. Both parties are well informed or well advised, and each acting in what he considers his own best interest. c. A reasonable time is allowed for exposure in the open market. d. Payment is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto. e. 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. Source: Office of the Comptroller of the Currency, 12 CFI *34.42(t). EUGHEST ~ BEST USE Highest and Best Use is defined by the Appraisal Terminology and Handbook, published by the Appraisal Institute, as "the most profitable likely use to which a property can be put". The opinion of such use may be based on the highest and most profitable continuous use to which the property is adapted and needed, or likely to be in demand, in the reasonable near future. However, elements affecting value that depend upon events or a combination of occurrences which, while within the realm of possibility, are not fairly shown to be reasonably probable, should be excluded from consideration. Also, if the intended use is dependent on an uncertain act of another person, the intention cannot be considered. Based on the above definition and after seeing the site, neighborhood, and area, it is my opinion that the present use of the subject is its Highest and Best Use. 4 11 I I I I I I I I I I I I I I I U m " ADDRESS: 340 Oxford Road TOWNSIDP: South Middleton COUNTY: Cumberland STATE: Pennsylvania SITE DATA LOT SIZE: Approximately 3.00 acres. SEWERS: On-site septic system. WATER: On-site well. ELECTRICITY: Met-Ed LANDSCAPING: Typical for the area, with a sodded lawn, trees and shrubs. DETRIMENTAL INFLUENCES None. Pride of ownership is evident throughout the neighborhood. DESCRIPTION OF IMPROVEMENTS GENERAL DESCRIPTION: One-story detached single-family dwelling containing approx- imately 1,280 square feet of gross living area above grade. CONDITION: Exterior: Average Interior: Average ROOMS: First Floor: Basement: EXTERIOR: Foundation: Walls: Sash: Gutters: Roof: Storm units: Living room, eat-in kitchen, three bedrooms and a full bathroom. Full, with concrete floor. Concrete block. Brick Wood-framed, double-hung. Galvanized steel. Gable, with shingles. Combination throughout. 5 1.....1 ~ j '1 ._i' I;; II I' INTERIOR, PRINCIPAL ROOMS: Flooring: Walls: Ceilings: Trim: I I I I I I I I I I I I I I I I I KITCHEN: Cabinets: Counters: Walls: Flooring: Sink: Hardwood Plaster Plaster Wood, natural finish. Wood, natural finish. Formica Plaster, painted. Asphalt tile blocks. Double-bowl, stainless steel. Flooring: Ceramic tile blocks. Walls: Ceramic tile blocks and painted plaster. Bathtub: Built-in. Lavatory: None Water closet: One-piece. Medicine cabinet: Built-in. BATHROOM: CONSTRUCTION: Joists: Beams: Columns: Plumbing: Wood Wood Wood Copper, iron and plastic. HEATING: Oil-fired, hot water. HOT WATER: From the furnace. ELECTRIC: Fuse box system, 1 DO-ampere. OTHER: Attached to the front of the dwelling is a small covered porch and attached to the rear of the dwelling is a large covered porch. Also located on the site is a detached two-car concrete block garage. GENERAL CONDITION: All improvements are considered to be in average condition on the interior and on the exterior, with mechanical systems appearing to be adequate and functioning properly. 6. Ii'.. II I I I I I I I I I I I I I I I I I I THE APPRAISAL PROCESS Three approaches to value are generally included in an appraisal report. These techniques include the cost approach, sales comparison approach, and income approach to value. The cost approach to value is based on the assumption that the reproduction cost of a building plus land value, tends to set the upper limit to value. A key assumption is that a newly constructed building would have advantages over the existing building, therefore an evaluation focuses upon disadvantages or deficiencies (depreciation) of the existing building compared to a new facility. Due to the age of the subject improvements, the cost approach is considered to be inappropriate and has, therefore, not been included in the development of this appraisal report. The sales comparison approach to value assumes that under normal conditions, a given number of parties acting intelligently and voluntarily, tend to set a pattern from which value can be estimated. Application of this approach relies on a comparison of the subject with a sufficient number of recent transactions of comparable properties in the market, based on a common unit, such as price per square foot of building area. The income approach concerns itself with present worth of the future potential benefits of a property. The initial estimate involves the net income, which a fully informed person is justified in assuming the property will produce during its remaining useful life. This estimated net income is then capitalized into a value estimate, based upon the level of risk as compared with that of a similar type and class. Since homes similar to the subject are not typically utilized as income-producing investment properties, the income approach to value is considered to be inappropriate and has, therefore, not been included in the development of this appraisal report. 7 Jlill" I, I: I I I ..-- SALES COMPARISON APPROACH In arriving at this conclusion of the value of the subject property, the appraiser made a survey of properties that have sold in the area of the subject property. Consideration was given and adjustments were made on each comparable sale as to time of sale, size, location, as well as all other factors that might affect value. A resume of some of the sales considered by the appraiser is as follows: SALE NO.1: Location: Date of Sale: Sale Price: Size: Unit Price: SALE NO.2: Location: Date of Sale: Sale Price: Size: Unit Price: SALE NO.3: Location: Date of Sale: Sale Price: Size: Unit Price: 4281 Carlisle Road, Gardners. October 28, 2004. $86,000 1,477 square feet. $58.23 per square foot. 1149 Myerstown Road, Gardners. October 30,2003. $102,800 1,152 square feet. $89.24 per square foot. 4338 Carlisle Road, Gardners. July 18,2003. $94,000 1,488 square feet. $63.17 per square foot. The appraiser, in addition to the sales listed, also considered several additional sales in arriving at his final opinion of value. On the Sales Comparison Analysis form that follows this page are dollar adjustments reflecting market reaction to those items of significant variation between the subject and comparable properties. If a significant item in the comparable property is superior to, or more favorable than, the subject property, a minus (-) adjustment is made, thus reducing the indicated value of the subject; if a significant item in the comparable is inferior to, or less favorable than, the subject property, a plus (+) adjustment is made, thus increasing the indicated value of the subject. After making all of the necessary adjustments, it is the appraiser's considered opinion that the indicated value of the subject property by the Sales Comparison Approach is $97,000. 8 ITEM Address Proximity to Subject Sale Price Price I Sq. Ft. GLA Data Source ADJUSTMENTS Sales or Financing Concessions Date of Sale I Time Location Site I View Design and Appeal Construction Age Condition Above Grade Room Count SALES COMPARISON ANALYSIS SUBJECT 340 Oxford Road Gardners COMPARABLE #1 4281 Carlisle Road Gardners COMPARABLE #2 1149 Myerstown Road Gardners $58.23 Courthouse & Central Penn ML DESCRIPTION $ Adjust. Courthouse & Central Penn MLS DESCRIPTION $ Adjust. Average 3 acres One-story detached Brick 10-28-04 Similar .68 acre Similar Asphalt shingles 64 years Similar Tot. Bed. Bath FHA -3,000 10-30-03 +3,100 Similar -<<),000 .69 acre +6,000 Similar +3,000 +3,000 -10,300 Bath 5 3 IV:. -1,000 -5,900 1,152 square feet +3,800 Full, with family fin., office & laundry fin. -3,000 +8,000 -1,500 Bath 5 1 1,477 square feet 5 Gross Living Area 1,280 square feet Basement &Finished Rooms Below Grade Full basement Similar COMPARABLE #3 4338 Carlisle Road Gardners DESCRIPTION None 7-18-03 Similar .37 acre Similar Alum. & vinyl siding 29 years Superior Tot. Bed. Bath 7 3 lY:, 1,488 square feet Similar Similar Baseboard electric One-car rt Porch, wood deck, 2 stom e bull' s. Similar Similar None FINAL INDICATED VALUE OF SUBJECT PROPERTY: $97,000 9 Similar None $ Adjust. +2,800 +6,000 +3,000 -9,400 -5,000 -6,200 +6,000 -1,500 -4,300 89 700 CORRELATION Correlation may be defined as "the bringing together of parts in a proper relationship." The parts of this appraisal report are the following approaches to value your appraiser used: Value Indicated by Cost Approach Value Indicated by Sales Comparison Approach Value Indicated by Income Approach N.A. $97,000 N.A. These approaches are representative of the market value of the subject property. I have carefully reexamined each step in each method, and I believe the conclusions accurately reflect the attitude of typical purchasers of this type property in this neighborhood. It is my belief that this reexamination has confirmed the original conclusions. The Cost Approach will result in an excellent estimate if all elements are figured accurately, because no prudent person will pay more for a property than the cost to produce a substitute property with equal desirability and utility. Purchasers of the type of dwelling typical of the subject property are more concerned with amenities than with hypothetical replacement of the property. Due to the age of the subject improvements, the Cost Approach is considered to be inappropriate and has not been included in this appraisal report. The Sales Comparison Approach was based on several recent sales of properties similar to that of the subject, all of which are located in the same general area. The adjusted sales prices are most consistent under comparison. This approach is the most reliable because it reflects the reactions of typical buyers and sellers in the market. The Income Approach is most applicable to income producing properties or properties that are primarily utilized for income producing purposes. Purchasers of income producing properties are willing to pay no more for a particular property than the net operating income will support. Since the majority of properties similar to the subject are not utilized for income producing purposes, this approach to value has not been included in this appraisal report. Therefore, as a result of this appraisal and analysis, it is this appraiser's considered judgment and opinion that the Market Value of the subject property, as of February 25, 2005, IS: NINETY-SEVEN THOUSAND DOLLARS $97,000 10 I I I I I I I I I I I I I I I I II UNDERLYING ASSUMPTIONS AND LIMITING CONDITIONS SUBJECT TO THIS APPRAISAL 1. I assume no responsibility for matters legal in nature, nor do I render any opinion as to the title, which is assumed to be marketable. The property is appraised as though under responsible ownership. 2. The legal description used herein is correct. 3. I have made no survey of the property, and the boundaries are taken from records believed to be reliable. 4. I assume that there are no hidden or unapparent conditions of the property, subsoil or structures which would render it more or less valuable. I assume no responsibility for such conditions or for engineering which might be required to discover such factors. 5. The information, estimates, and opinions furnished to me and contained in this report were obtained from sources considered reliable and believed to be true and correct. However, no responsibility for accuracy can be assumed by me. 6. This report is to be used in its entirety and only for the purpose for which it was rendered. 7. Neither all nor any part of the contents of this report (especially any conclusions as to value, the identity of the appraiser or the firm with which he is connected) shall be reproduced, published, or disseminated to the public through advertising media, public relations media, news media, sales media, or any other public means of communication, without the prior written consent and approval of the appraiser. 8. This appraisal was prepared for the exclusive use of the client identified in this appraisal report. The information and opinions contained in this appraisal set forth the appraiser's best judgment in light of the information available at the time of the preparation of this report. Any use of this appraisal by any other person or entity, or any reliance or decisions based on this appraisal are the sole responsibility and at the sole risk of the third party. The appraiser accepts no responsibility for damages suffered by any third party as a result of reliance on or decisions made or actions taken based on this report. 11 CERTIFICATE OF APPRAISAL Your appraiser hereby certifies that: 1. The statements of fact contained in this report are true and correct. 2. 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. 3. I have no present of prospective interest in the property that is the subject of this report, and no personal interest with respect to the parties involved. 4. I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. 5. My engagement in this assignment was not contingent upon developing or reporting predetermined results. 6. My compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisaL 7. To the best of my knowledge and belief, the statements of fact contained in this appraisal report, upon which the analyses, opinions, and conclusions expressed herein are based, are true and correct. 8. This appraisal report sets forth all of the limiting conditions (imposed by the terms of my assignment or by the undersigned) affecting the analyses, opinions, and conclusions contained in this report. 9. This appraisal report has been made in conformity with the Uniform Standards of Professional Appraisal Practice adopted by the Appraisal Standards Board of the Appraisal Foundation, and is subject to the requirements of the Code of Professional Ethics and Standards of Professional Conduct of the National Association of Realtors Appraisal Section. 12 10. No one other than the undersigned prepared the analyses, conclusions, and opinions concerning real estate that are set forth in this appraisal report. ;(~~ Larry E. Foote Certified General Appraiser GA-000014-L l I 13 ~-------_._. PRIVACY NOTICE Pursuant to the Gramm-Leach-Billey Act of 1999, effective July 1,2001, appraisers, along with all providers of personal financial services are now required by federal law to inform their clients of the policies of the firm with regard to the privacy of client nonpublic personal information. As professionals, we understand that your privacy is very important to you and are pleased to provide you with this information. In the course of performing appraisals, we may collect what is known as "nonpublic personal information" about you. This information is used to facilitate the services that we provide to you and may include the information provided to us by you directly or received by us from others with your authorization. I I I I I I I I I Ii II P We do not disclose any nonpublic personal information obtained in the course of our engagement with our clients to nonaffiliated third parties, except as necessary or as required by law. By way of example, a necessary disclosure would be to our independent contractors, and in certain situations, to unrelated third party consultants who need to know that information to assist us in providing appraisal services to you. All of our independent contractors and any third party consultants we engage are informed that any information they see as part of an appraisal assignment is to be maintained in strict confidence within the firm. A disclosure required by law would be a disclosure by us that is ordered by a court of competent jurisdiction with regard to a legal action to which you are a party. We will retain records relating to professional services that we have provided to you for a reasonable time so that we are better able to assist you with your needs. In order to protect your nonpublic personal information from unauthorized access by third parties, we maintain physical, electronic and procedural safeguards that comply with our professional standards to insure the security and integrity of your information. 14 I , I ~*'~::::': LARRY E. FOOTE REAL ESTATE APPRAISER EXPERIENCE: 1979-Present: Chief Appraiser, Diversified Appraisal Services, Carlisle, Pa Principal Broker, LaRue Development Company, Carlisle, Pa 1976-1979: Associate Broker, Colonial Realty, Carlisle, Pa. 1972-1976: Realtor Associate, Jack Gaughen Realtor, Carlisle, Pa. Appraisal experience included undeveloped land, fanns, building lots, single-family dwellings, mobile home parks, medical centers, nursing homes, motels, apartment buildings and complexes, office buildings, service stations, veterinary clinics, rehabilitation centers, retail buildings, daycare centers, warehouses, and manufacturing facilities. EDUCATION: Bachelor of Business Administration, Pennsylvania State University, 1976. Associate Bachelor of Business Administration, Harrisburg Area Community College, 1974. Diploma, Carlisle Senior High School, 1965. Certificate, Pennsylvania Realtors Institute, GRl 1, GRI ll, GRI m. Certificate, Realtors National Marketing Institute, CI 101, CI 102, CI 103, CI 104, CI 105. Standards of Professional Practice, American Institute of Real Estate Appraisers. Real Estate Appraisal Principles, American Institute of Real Estate Appraisers. Residential Valuation, American Institute of Real Estate Appraisers. Appraisal Procedures, Appraisal Institute. Principles of Income Property Appraising, Appraisal Institute. Case Studies in Real Estate Valuation, Appraisal Institute. Report Writing and Valuation Analysis, Appraisal Institute. PROFESSIONAL LICENSES: General Appraiser #GA-000014-L, Commonwealth of Pennsylvania Real Estate Broker #RB-029729-A, Commonwealth of Pennsylvania. PROFESSIONAL DESIGNATIONS: GRI: Graduate of the Pennsylvania Realtors Institute, awarded by the Pennsyl- vania Association of Realtors. CRS: Certified Residential Specialist, awarded by the Realtors National Market- ing Institute of the National Association of Realtors. CCIM: Certified Commercial Investment Member, awarded by the Realtors National Marketing Institute of the National Association of Realtors. PROFESSIONAL ORGANIZA nON AFFILIATIONS: National Association of Realtors Appraisal Section. Carlisle Association of Realtors. Pennsylvania Association of Realtors. National Association of Realtors. Realtors National Marketing Institute. 15 a".'~,~1':;<'":"p'.-. I " "_,,,':,W.~?-f;i:r::Fj~~~~C-::M't;:;.~::-'-c-."-'-- .. !I!ll!"'" -\'I ~ I I I I I I I I I I I I I f '1,':~, .1.<:1 , "t> , _.;,. ~" HJ. I :;- PAST CLIENTS: Borough of Carlisle Keystone Financial Mortgage Cornerstone Federal Credit Union Pennsylvania State Bank Commerce Bank Cumberland-Perry Association for Retarded Citizens Carlisle Suburban Authority Members 1st Federal Credit Union Pennsylvania National Bank Evans Financial Corporation Greenawalt & Company, CPA Smith's Transfer Corporation Carlisle Department of Parks and Recreation Executive Relocation Services Carlisle Area School District Messiah Homes, Incorporated ERA Eastern Regional Services Pennsylvania Turnpike Commission Chase Home Mortgage Corporation Defense Activities Federal Credit Union Pennsylvania State Employees Credit Union PNC Mortgage Corporation F&M Trust Company National City Mortgage Corporation Washington Mutual Home Loans, Inc. Prudential Relocation Services Lender's Choice Market Intelligence, Incorporated United Telephone Employees Federal Credit Union Cumberland County Commissioners Allstate Enterprises Mortgage Corporation Dickinson College PPG Industries, Incorporated Gettysburg College Redevelopment Authority of Cumberland County Record Data Appraisal Services, Incorporated First United Federal Savings Association Fulton Bank United States Marshall Service GMAC Mortgage Corporation Orrstown Bank Letterkenny Federal Credit Union BancPlus Mortgage Corporation Coldwell Banker Relocation Services, Incorporated Central Pennsylvania Savings Bank Mellon Bank Provident Home Mortgage Corporation Drovers Bank 16 American Home Bank Trans Union M&T Mortgage Corporation Cody Financial Mortgage Services Waypoint Bank Northwest Savings Bank Blue Ball National Bank Adams County National Bank Countrywide Home Loans Aarrow Mortgage Various law firms and individuals PHOTOGRAPHS OF THE SUBJECT DWELLING 17 <~ ... ::r III ... ... 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W N f-I :;0 H f-I '" f-' '1j 0 t"-i 0 1'0 C 3: ::r:: t-< ~ co ::l f-I 01 Q... tlj ~ N rr :;0 N 1'0 ,CD H co 11-1 () 0'\ Z il.O N trl N ;:J::I 0 0 N 0 c:: ::r:: 0 U1 :;0 H f-I f-I f-I f-I f-I f-I f-I f-I f-I f-I f-I :;0 (J) w 0 0 0 0 0 0 0 0 0 0 trl 1-3 0 Z 0 f-I (Jl (Jl U1 U1 U1 (Jl U1 (Jl (Jl (Jl 1-3 :;0 0 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ t-< 0 0 0 0 0 0 0 0 0 0 10 o:l 0 0 0 0 0 0 0 0 0 0 c:: 0 0 0 0 0 0 0 0 0 0 0 N 1-3 -.J trl :;0 N W W N N N N 1'0 N N N N -.J f-I 0 ~ co -..J 0'\ (J1 .t:>. W N f-I 0 0 0 f-I .t>- o (Jl U1 0 H 0 0 f-I f-I f-I 0 0 0 0 1-3 0 ::r:: (Jl (Jl (Jl w (Jl -.J ~ ......... 0 0 0 N 0 0 0 w 0 0 0 ......... 0 (J1 APPRAISAL REPORT OF PERSONAL'BROPERT~ QF. .KathIeenM. Brandt dec~~se'd/~; date 'of death (d. 9\1.) febr$Y. 25,2005 340 ,q)Xfo~d Rd; "<, '. 1. Garooets "PA 17324 .~..':., jJ;:';': '"",, ~ ,_;.: -., ,:" ': ',"';:z - :~ ;;' ".:' c). I,. f. -~: -', 'j;'\'" < for: RODa1~ :E. 'Mars~ Executpr, ('<\ 3'88'Oxford Rd. . 'i;: ",QW<keis, PA 1~3f4 ';'( J &,. " .:, Oal.e F.,shughart, Jr.,:EscC> 3~~ "$h~gh~ Law Office,,', . ..' . ~.35 E~:High St. . ,,::;l< , Carlisle, PA 17QJ'3 " MRY-03-2005 19:07 41~ "(btl .:\4~o PNCBRNK 412 768 3458 P.01 o PNCBAN< May 4, 2005 Dale F Shughart, Jr. Attorney at Law 35 East High St, Suite 203 Carlisle, PA 17013 scp RB: Estate of Kathleen M Brandt (Deceased) SSN; 189-18-5645 DOD: 02-25-2005 Dear:Mr. Shughart: In response to your request for Date of Death balances for the customer noted above, our records show the following: Certificate of Deposit AccoWlt #21001052664 Established 08-14-1995 KATHLEEN M BRANDT DOD balance: $42,166.98 + $84.40 accrued interest Account #21001052665 Established 08-14-1995 KATHLEEN M BRANDT MARLIN MARSH DOD balance: $42,166.98 + $84.40 accrued interest Account #21001052663 Established 08.14-1995 KATHLEEN M BRANDT RONAlD MARSH DOD balance: $36,894.44 + $14.36 accrued interest Account #21001052647 Established 08-09-1993 KATHLEEN M BRANDT DOD balance: $49,319.97 + $83.87 accrued interest Page 1 of2 MHY-U~-2UU~ l~:~o 1-'/,.K..:t:Ht-lK 412 768 3458 P.02 Checking Atoount Account #5140181088 Established 04-O1~1963 KATHLEEN M BRANDT DOD balance: $16,376.72 + 50.45 accroed interest mA Account Account #65001015721 Established 01-10-1986 KATHLEEN M BRANDT DOD balance $17,195.99 + $18.25 accrued interest For mA or Beneficiary information, please talll.888-PNC-IRAS. Please note that this office only provides date of death balances for deposit aCcoWlts (IRAs. CDs, Checking and Savings accounts). We do not process any finandal transactions or provide statements. If you need assistance with any of these items, please calI1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, ~ ':2, ~ Erica L Schlegel 1-800-762~1775 P7-PFSC-04-F 500 Pinlt Ave. PittaburghPA 15219 Member FDIC Page 2 of2 TOTAL P.02 (I) Western-Southern Life<i> 04/30/2005 DALE SHUGHART 36 EAST HIGH ST SUITE 203 CARLISLE PA 17013 Dear Mr.Shughart: Thank you for your request for information on this annuity contract. I hope the following contract information is helpful to you. Annuitant: KATHLEEN BRANDT Owner: KATHLEEN BRANDT Joint Owner: N/A Western-Southern Life Assurance Company Contract Number: W0020569927 Current Interest Rate: 3.00% Current Contract Value: $155,087.45 Date of Death Value: $153,308.10 If you have any questions, please contact our Annuity Operations Department at 1-800-926- 1702. A representative will be delighted to help you. Sincerely, HEATHER WENSTRUP Annuity Administrator Annuity Operations Department F011 Member, Western & Southern Financial Group@ Annuity Operations Group. PO Box 2918. Cincinnati, Ohio. 45201-2918 Phone (800) 926-1702. Fax (513) 629-1799 LAST WILL AND TESTAMENT OF KATHLEEN M. BRANDT I, Kathleen M. Brandt, of South Middleton Township, Cumberland County, Pennsylvania, declare this to be my last Will and Testament and revoke all Wills and Codicils previously made by me. ITEM I: I direct that my just debts, funeral expenses, and the expenses of the administration of my estate, including any state, federal or other death taxes payable because of my death, shall be paid from my residuary estate as soon as practicable after my decease, as a part of the expense of the administration of my estate. ITEM II: If my brother, Daniel C. Marsh, and my brother, Marlin L. Marsh, or either of them shall survive me, I devise and bequeath to my said brothers, during their lifetimes and for the life of the survivor, so long as they, or either of them, shall continue to reside therein, my house located at 340 Oxford Road, Gardners (South Middleton Township), Cumberland County, Pennsylvania, and the insurance thereon, together with all the furniture, furnishings, household articles, and the insurance thereon, without liability for waste. Upon the deaths of both of my said brothers or at such prior time as neither brother uses said premises as a home for himself, I direct that the aforesaid ~o ~oo/ c;~t/U.(..-eo../'- )--y( 0" \ ' /J/L- aOY7?'i/- real and personal property shall be sold and the net proceeds therefrom be distributed in equal shares to my then living brothers and sister. providedt howevert that should my brother Daniel and my brother Marlint or the survivort be residing at my home upon the death of all of my other brothers and sistert the entire remainder interest in the aforesaid real and personal property shall vest in kind in my said brotherst Daniel and Marlint or the survivor. I currently have five (5) living brothers t Daniel c. Marsht Eugene C. ,Marsht Marlin L. Marsht Robert V. Marsht and Ronald E. Marsh; and one (1) living sistert Betty M. Rohrer. So long as either or both of my said brotherst Daniel and Marlint uses the premises as his hornet the brother (or brothers) residing therein shall pay all costs of maintenance thereoft including insurance, ordinary repairs, utilitiest taxest and assessments. Said property shall be insured in a reasonable amount insuring the interests of the remaindermen, as well as themselves. My said brothers shall not be required to post bond as life tenants. ITEM III: I devise and bequeath the restt residue and remainder of my estate of every nature and wherever situate unto my brothers and sister who shall be living on the date of my death. The share of any brother or sister who predeceases me shall lapse and be divided among my brothers and sister who shall survive me. ~" // ...1/ ,.i>C/'?'_/(-Ltc:-v... :h7. /:tz , (-;;~d/- . ' , ITEM IV: I appoint my brother, Ronald E. Marsh, Executor of this my last Will and Testament. Should my said brother, Ronald E~ Marsh, fail to qualify or cease to act as Executor, I appoint my brother, Marlin L. Marsh, Executor of this my last Will and Testament. ITEM V: I direct that my personal representatives, as well as their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this r~ 0 day of November, 1996. 7( adG.L~ 71{ itL- Cl/j...;~::-i/- [SEAL] Kathleen M. Brandt The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof, signed, published and declared by Kathleen M. Brandt, the Testatrix therein named, as and for her last Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto. 171r. . . ' , COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, Kathleen M. Brandt, Dale F. Shughart, Jr. and Mary M. Price, the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. jf/ cvcJ~L~--z-./- lJj /23.<-/ (-?--'l-f.~?{-- Mf5~~ Wlt ss '-I fd) 71. O~ Witness Subscribed, sworn to and acknowledged before me by Kathleen M. Brandt, the Testatrix, and subscribed and sworn to before me by Dale F. Shughart, Jr., and Mary M. Price, witnesses, -J '--f'l..- this ~G---- day of November, 1996. ./--? . V /f /~L.~-LG ~ot~pflii;; tJOlt.RIAl SEP.L B01~t~IE L COYLE, W:ln'.iiY PUBUC BORO OF t,,"T HOlD ~PPJ:vGS. CUMf!EiiL!lHD CO. MY COMMISSIOH r,Y."ii~~S m:mE:Efl17. 1993 - '~~~....;,u..~~.....analt. ...... J Register of Wills of Cumberland County, Pennsylvania INVENTORY , Deceased No. 21 - 2005 - 00208 Date of Death 2/25/2005 Social Security No. 189-18-5645 Estate of Brandt, Kathleen M. also known as Ronald E. Marsh 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. l!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. Attorney: Dale F Shughart, Jr. Esquire Personal Representative Signature: (J( ~ c!: 0? ~ Ronald E. Marsh 1.0. No.: 19373 Signature: Signature: Carlisle, P A 17013 Telephone: 717/241-4311 '-') c:: c") f'.-) (Jl -f") "! ~ -. T -1 I \'~'l ~~5 -f?1 r:"i':-, " '.~:J Address: 35 E. High Street, Suite 203 Address: 388 Oxford Road Gardners, P A 17324 ,") ~-~... Telephone: (717) 486-7020 Dated: 7f J b5/ () 5' " ---, -0 , , .1 ,._..... -'J --i"Oj ~r'i "M .' (~) ""'I "I !'-) Ul (X) Personal Propertv 2,764.8 shares, Tax free inst!, Black RockFDS, CUSIP 091928168 @ $1l.17. 30,882.82 8,303.171 shares Black Rock FDS Low Duratn ins CUSIP #091928283 @ $10.64 83,197.77 6,748.7430 shares Black Rock FDS PA tax free ins CUSIP #091928622 @ $10.64 71,806.63 4,480.58 Black Rock Fund P A Muni Money Market ins #40, CUSIP #992710442 @ $1.00 4,480.58 Household goods and furniture valued in accordance with attached appraisal of Alyssa Loney. 28.75 1993 Chevrolet Corsica L T, valued in accordance with attached appraisal of Alyssa Loney. 500.00 PNC Bank checking account #5140181088 Principa1- 16,376.22 Accrued interest - .45 16,377.17 PNC Bank Certificate of Deposit #2100 I 052664 Principal 42,166.98 Accrued interest - 84.40 42,251.38 (Attach additional sheets if necessary) Total Personal Property and Real Estate $415,404.38 .-'" J ,~ Register of Wills of Cumberland County, Pennsylvania INVENTORY continued Estate of Brandt, Kathleen M. No. 21 - 2005 - 00208 Date of Death 2/25/2005 Social Security No. 189-18-5645 also known as , Deceased 49,403.84 PNC Bank Certificate of Deposit #2100 1052647 Principal 49,319.97 Accrued interest - 83.87 PNC Bank IRA #65001015721 Principal 17,195.99 Accrued interest - 18.25 U.S. Treasury, 2004 federal income tax refund P A Department of Revenue, 2004 federal income tax refund Chapel Pointe, refund Nationwide, insurance refund 17,214.24 1,327.00 122.00 741.20 71.00 Total Personal Property $318,404.38 2 .# J Register of Wills of Cumberland County, Pennsylvania INVENTORY continued Estate of Brandt, Kathleen M. No. 21 - 2005 - 00208 Date of Death 2/25/2005 Social Security No. 189-18-5645 also known as , Deceased Real Estate Lot and dwelling house located at 340 Oxford Road, Gardners (South Middleton Township), Cumberland County, PA. Deed reference: Book "0", Vol. 20, Page 1035. Tax Parcel No. 40-40-2654-021. Value based upon attached appraisal of Larry E. Foote. Total Real Estate 3 97,000.00 $97,000.00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX111-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005728 SHUGHART DALE F JR 35 EAST HIGH STREET SUITE 203 CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT ______n fold 101 $2,394.34 ESTATE INFORMATION: SSN: 189-18-5645 FILE NUMBER: 2105-0208 DECEDENT NAME: BRANDT KATHLEEN M DATE OF PAYMENT: 08/25/2005 POSTMARK DATE: 08/25/2005 COUNTY: CUMBERLAND DATE OF DEATH: 02/25/2005 TOTAL AMOUNT PAID: $2,394.34 REMARKS: CHECK#1045 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS