HomeMy WebLinkAbout11-02-05
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
EV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
~-~~ 22~:L_
COJ,\TY COOE YEi\R \;J.,1BER
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DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
~;oB~\~:DYt\R) Ann rY\Ck~
og -. 05 -2005
, SOCIAL SECURITY N.UMBER I " ;L ,
(,d\ i ;;LIO -I~'"
i DATE OF 81 TH iW.l-DD-YEAR), I... THIS RETURN MUST BE FILED, I~ DUPLICATE WITH THE
I DG - l~ IY 2~~~_~__ REGISTER O~I~~_
',IF APPJCABlE) SURVIVING SPOUSES ~AME !lAST, FIRST, AND M DOLE INITIAL) SOCI~L SECURITY NUMBER :
Not- A-.)"'liu..t6k tJ I A '
~ g i 0nl]:ral R.elGrr
~::!;U)
~ g: ~ J.. Ur:tec Estate
:%:00
ug:al
a..
ct 9. Lii'9atlon Proceeds Received
Ii 2. S'"pplen ental Re!Lrn
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-,
:~ la. F.tLre nlerest Ccrcprcrrise ,ce,l. ,jee,," ,(te' ',-':'6:'.
i 7. Oec:ede t Mairtaiced a li'-,li~,g Trust ,,:'\'a':'; ,:c~:'J.J ";"-',St'i
L...-J
l.-J 3 Rer'1airder Return "")1:: cei'-" ,",; 12-:,.,,'
I~ I
U 5. Feceral Estate Tax Ret~rr Reqwed
o 3 Total ~jLI';ber of Safe qeposit Boxes
~ I
LJ 11 Election to tax .,nder ec. 9113iA) ;AIIoc" i,e' 0
o '0. Spousa Pover\'j Credit I':"!ri'" "iJ!' ter".., :,.31-81 "CG :.1-iS'
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THIS SECTION MUST BE COMPLETED. All CORRE
NAME iV\.i mtJ.d &.hne.r
FIRM NAMS:.Jf',IC;'b!e; ~ 1_ . ( :2 - h
L1.LY~_gt tU:.._ .;,\ rY\ i U I(~t lJ')., (~r
TELEPHONE NUMBER ! I " I
Ie) -513/5 -'If '1 G)
E DIRECTED TO:
PONDENCE AND CONFIDENTIAL TAX INFORMATION SHOUl
COMPLETE MAILING ADDRESS -ti r:: Q
221 l'-t. 54;h st... :J D
ML')b,(n"'~'S-0<.>.Jn J vA
Real Estate (Schedule A) in 40joa? ,00
2 Stocks and Bonds IScnedule B) (2) Lt12,Q1Z,00
3 Closely Held Corporation, Partnership or Sole-Proprietorship (3) 0.00
4. Mortgages & Noles Receivable (Schedule D) (4) 0.00
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 4J \ QOO. 1.)0
Z ,Schedule E)
0 6. Jointly Owned Property (Schedule F) (6) 0.00
~ o Separate Billing Requested
;:) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (),OQ
I- ISchedule G or l)
a..
< 8. Total Gross Assets Itotallines 1-7)
(.J 9. FLneral Expenses & Administrative Costs (Schedule H) (9) 43IQc..tI.oo
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a:::: Debts of Decedent, Mortgage Liabilities & Liens (Schedule I) ~l.D5. 00
10.
11 Total Deductions (total Lines 9 & 101
12. Net Value of Estate (L~e 8 minus LIne 11)
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!11) _____~8 flOlo u()
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(12) 5 05 I <tHaw. OD
(13) ===~=~===:::,l~~~~~~
13 Charitable ard Go\err,rrentaI8ecuestsfSec 9113 Trusts for which a electicn to tax has not been
r1:3de \ Schec~!e J)
1~ Net Value Subject to Tax (Lire ~ 2 n-irl.s !.ire 13)
505 . C)(,V. 00
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SEE INSTRUCTIONS ON REVERSE SIDE FOR APP ICABLE RATES
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.5 ,';;"rJl...rt/ ure ~~ ~::lxld~:e ,~t :re ,)~'>.lSJ! '.,D',
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to! __ ,;z I( & 43 . 00
'7'. --.~------.-l)--i-_____,,___~,__
~;t/1~t~
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:.C:,e ':: tr(;r~/':irs ;~:~'-::Cf :)(;::. 9'~.:, , /..'
" ::1
'J ,..\i""r~c~l~tjf L,I~l= 14 [ax.-d:!8 ,~t :';redl fJte
480t-~<&,_\Q~2- x ,j i.!5
! 7 A~0i~rt:)f Lire ~ ,1 LJxsC:e at ::ib;'irg ;.3tC
x ,2
'J /;(Y'J'):..xt i:-~ Lir,e ~ 4 t3xdb1e d cc.!Jteqj (:318
.251000,')0 :< '5
19. Tax Due
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CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
2G L-.;
> > BE SURE TO ANSWER ALL QUE TIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's Complete Address:
STREET ADDRESS ':l '1 c:: D'
._~_~-'>..2 ~ J ~ r
____.__~~-th~~k -t:i 3226
CITY YYl " " L-. '. L '
f ' II:.. U l(l1l' <.s uu
Sr,"t.\
Tax Payments and Credits:
1. Tax Due (page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
~5 ,3q3 .<./0
O. DO
o . ()O
---.--1.33b . 0 b
Total Credits \ A + B + C )
(2)
j 1~3G. aD
3. interestiPenalty If applicable
D. interest
E. Penalty
-----~_._-_.._-
6
TotallnterestiPenalty ( 0 + E )
4. 'f 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
(3)
:O,UD
(4)
-----
A. Enter the interest on the tax due,
(5)
(SA)
:2-<-11,051 .00
,- 0
I
;L l(1!05t I 00
I
5, If Line 1 + Line 3 is greater than Line 2 enter the difference, This is he TAX DUE.
B, Enter the total of Line 5 + SA, This is the BALANCE DUE.
(58)
Make Check payab e to: REGISTER OF WILLS, AGENT
: I
PLEASE ANSWER THE FOllOWING QUE TIONS BY PLACING AN "X" IN THE APPROPRIATE BI~OCKS
1, ~,idr~~~~~~:tu::: ~n~::::f ~~::property transfer d;,,,..,, ,,,,,,,,,,,,,.,.,,, ,,,.....,,,,,,,,..,,,,,..,, "..' " " " " ",,,,,,,,,,,,,,,, 0 ~'.
b. retain the right to designate who shall use the pr perty transferred or its income: """.."""..""..""""""..",,,,,, 0 0':
c, retain a reversionary interest; or, ""....."...""""""...."""""."""..""""...""""..""" "............"", "".. """ " 0 ~
d, receive the promise for life of either payments, b nefits or care? .""""....""..."".."......""""", """""" 0 ~
2, If death occurred after December 12, 1982. did dec dent transfer property within one year of death
3, ~:~~~~::~~;i~~:~~~'~::~u:~;~:ra~:~:~;~, ~~~~. ,I, ~~;~' ~~~~' ~~~'~'~.~'; ';; '~~~~';i~;"~;"~'i~' ~~' '~'~';~~~;~;::::,::::::::: B ~
4, Did decedent own an Individual Retirement Account annuity, or other non-probate property which '
contains a beneficiary designation? ......"........."...", . "......".......""..."""........", ""." "..""" " ".." "... " " .."" 0 ~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YE , YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, including accompanying sc edules and statements, and to the best of my knowledge and belief, it is true, correct and complete,
Declaration of preparer other than the erson representative is based on all infonnation of whi preparer has any knowledge, '
DATE , --'
_L(,x...~Q___ 2v~~
I}BB9_
X-
ADDRE~ P
.........PLI..I...BfJ~ q3 ..._\NiDt\fl~ml......
SIGNA..T...U...'..R.E...OF.PR....E...P. t....R.E.R.....O...T.....H....E....R..TH..A....N...R.. EP.R.E.....S....E.N..T W)..AT.'...I..V.. E.., ... _. .... ~ ....... . "
. _(C\lu.~ut.1 b(l.b~.c "--:1'!mm..~_j' ('~
ADDRESS n
22-[ 1\1. 5tl-1 ~*-. -056 i IY\cs~n'" sGWI'l , r~
\ 13'4Y
DATE . .
'0 - IB-.~OOS
-------.....---------...------.-......------.----1----.--.......-----.-......
(<..I to) 5~,'5- Lj 14b
For .jates of ,:eath 0n or a~er July 1, 1994 and :Jpfcre Janl.:ar/ 1 1995. tre t8 rate :iT1posed on tr,e ref 'iaiue 'J~ ~.a~sfers t.J or $:cr the use of t~e SUr~'i\i;ng sodyse is 3'~'"
['2 PS ~9i16 ,a' 1.11', i,j.
Fe: j3~es of ,jBath on 'Jf 3f1€f January 1. ! 995
The statJ!e ,j.'&.2_-"ot ,~~~ a transfer to a SI.
tre Sur....i'vlng spoLse is :he O:1ly cenefic-ary.
flllPD
-;- A ()5 (
~sfers to Gr fer the 'Jse of !~"8 surv>/ng spouse is ://) [72 P.8. ~9'1!6 ;;1i \ 1 -'.. ,
u:(ements for disciosure of 8ssets <~rd f:lin] a t{1X :etl.;m ;)re ~t!',\ 11PP~!':8b\e e,er {
i
FGr cates of teath on or after July 1, 2000:
Ti'e tax rate ,rr,pose,j on the '1et value of Iran
or a stepparent of the child is 11'1.l [72 P,S, ~91'
The tax rate imposed on the net value of fran:,
The tax rate imposed on the net value of tr......._
Indiv;dual who has at least one parent In common with the decedent, ','if,,,,,,,,,, 'Y, .--.
of ;~ge or '/our.;Jer at :~eath to or for the use of a r':2t'..ral pdfsrt- ::3n ,yjIJ;);;';e ;j3.rent.
!neticianes is 4,5%, except as noted In 72 P,S, :;'911 Gi 12) [72 p,,~ 39116(3)! 1 )),
)Iings is 12% [72 P,S, 39116(a)(1.3)]. A sibling is defined, under\Section 9102, as an
option,
REV-1502 EX+ (6-98) \':
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COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
CHEDULE A
REAL ESTATE
ESTATE OF Q ~ L
UJJ \(\tY Ann
fY\t,~~o.\ \
FILE NUMBER
~-60'1LS
All real property owned solely or as a tenant in common must be eported at fair market value. Fair market value is defined as the price at which Jllroperty would be
exchanged between a willing buyer and a willing seller, neith r being compelled to buy or sell, both having reasonable knowledge of the relevi3~t facts.
Real property which is jointly-own d with right of survivorship must be disclosed on Schedule F. i
ITEM VALU AT DATE
NUMBER DESCRIPTION OF EATH
h
I':~! C\.~ I U rYHY') pro ed l(.1f) J
li~il COun-ll-\ I Penn ''1 (v6J)j~
~ Ljo 000,00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is nee, ed, insert additional sheets of the same size)
If OOf).oo
I'
REV-1503 EX+ (6-98) \'
f\.ti"'.
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I t ~,p.:.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
.feHIDULI B
S IIOCKS & BONDS
ESTATE OF
bcJ.hr-ar
A.rln . ("I \
All property jointly-owned wit right of survivorship must be disclosed on Schedule F.
FILE NUMBER
'"I OC -DOlLS
ITEM
NUMBER
1.
ESCRIPTION
ktJ~ r'f\Q50f"\ B: 3(.3- 016(0 \
1; L/oq I Cfo3,cv
2
L<zti)
rY\(ASun 1f\A It
(.,3 - -, cO2 J
2>3, qy.J(3. 00
~
VOJIol}v.rJ ~nd it 0C18loLt- \ oq CD q
.?lCi Id.-I.oo
I
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is nee eo, insert additional sheets of the same size)
Lti2J Cll3.m>
REV-1508 EX+ (6-98) .
. I .
CHEDULE E
CASH, B NK DEPOSITS, & MISC.
PE SONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF U~ L
()JJ1,(\{.,'y
~"f) '('(\)rs~ \ l
Include the proceeds of I~igati n and the date the proceeds were received by the estate.
All property jointly-owned wit right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
(.
PNt BMk\MahJJ\iLS~){ 1lA ~50'DOI552q
:l. t qq3 t)odt \rirepid r
3. ml sc. ho<Y0101d ~
po._)r (-fCii r
L{,
fYliSL, t..,\~ino
5.
m \ Sc- . l>ifS onal . ro peY~
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is nee ed, insert additional sheets of the same size)
FILE NUMBER
~oo5 - 0072...5
VAL E AT DATE
o DEATH
'3$1490, QO
Q50,oo
~/4lO6I00
I ,500, 00
5DO. GO
,qo 000
.REV-1511 :X+ (12-99*
eNIDULI N
NERAL EXPENSES &
INISTRATlVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ITEM
NUMBER
A.
FUNERAL EXPENSES:
"
-tuf't.r6-1 hofY'\t. - I
''Roil i~d ~ W~Lj - opU") I c..lo:;.e,
~ids-fpne. L-I')&rr...v ;'(")0
1.
B.
1.
ADMINISTRATIVE COSTS:
~D ~ - 3 l.. -- \f~.:l- \
rth ~. &1-hf'leY
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Pers nal Representative(s)
Street Address 'f\~ \ I~' q '3
City \N i (\f\a..\ d
pA.State
2.
Vear(s) Commission Paid:.J..OCc,;
Attorney Fees pub\.c_,d IVY) Io.clm\f)\
l~ J-tA.y..t2.5 iOPCI'-"j
3. Family Exemption: (If decedent's address is not the sa e as claimant's, attach explanation)
Claimant
Street Address
City Slate Zip
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
\ ca.,Pfr'u; ~ I
7. ?('O~
8, \.J h('~ I I s-tO'f6..0e.
FILE NUMBER
0}(X)15 -
Zip liB 6'1
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is nee, ed, insert additional sheets of the same size)
OiL5
A aUNT
SI,ct 00 , ~)O
!845;oo
22.l.oo
i (q I 50::), LlU
ido ,500.00
225.0
1&:50,00
I
4t q..{doo>
II
. REV-1512 E~+ (12-03) '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
eMIDULI I
D BTS OF DECEDENT,
MORTG GE LIABILITIES, & LIENS
FILE NUNlBER
C).c;o5..; oc/125
ESTATE
Aj\f't rf\(.trsnn. \ l
Report debts incurred by the decedent prior to death whic remained unpaid as of the date of death, including unreimbursed medical exp~nses.
ITEM VAL E AT DATE
NUMBER ESCRIPTION 0 DEATH
1.
, .
Oltho.r.V) Vi\\o.ij(L Sl'-..\\.e.d nu...-S i\)~
~nt t:l; (YloUl n~ a-nd sl.0ru.t:'~l
V tr~20n. '~ho'le.
'~ \1, \ \ . 0 0
!
I
,')
~.
~gS3;). 00
3~
,
I
I
I
142-.00
I
I
I
L.L
l \.-a$~) Be.~t\i Vi \ \c~1)
he~ u(\d
( \ \'110. C 6 )
I
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is need d, insert additional sheets of the same size)
4, ~ ~5oo
I'
REV-1513 EX+ 19-00'1
~.
.e ,\ ".
1f~.. .
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SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
iNHERITANCE T;\X RETURN
RESIDENT DECEDENT
ESTA~OF
t)~'nnif , ~f\(\ ff'u1f'S~.c.l~
-
NUMBER NAME AND ADDRESS OF PERSON(S) RECE IVING PROPERTY
I TAXABLE DISTRIBUTIONS [include outright spousal distr butions, and transfers under
Sec. 9116 (a) (12)]
FILE NUMBER
a065.JoOi15
RELATIONSHIP TO DECEDENT AMOUNIf OR SHARE
Do Not List Trustee(s) OF ESTATE
1.
SOC) I&- 13. ~f'e..dO-\ clA.
1301 G1-wflj)(J{ Df'~ve
tort CoILt'\s I CO <805'1- \
Uo-otJhL<.r /
\ ; ()12.6-- \
~ 480 Cj(o(o .uO
11
,t-.
he J-1:tl N .6<1.h ne.r
K~\ eox q~
\JJ\n-\ie\rj PA {1BSCf
\
t-.\Gy~e>>-J (
Co \ \a--turt,\
1{ 2.-5,peo ,00
i
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOW ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER S EET
\I NON-TAXABLE DISTRIBUTIONS:
A, SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 Fe R WHICH AN ELECTION TO TAX IS NOT BEING MADE
N/t\
B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
j\l I"
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DI TRIBUTIONS ON LINE 13 OF REV.1500 COVER SHEET $
0.00
If more space is neede d, insert additional sheets of the same size
I'
LIMITED OWER OF ATTORNEY
AND ATTESTATION S TO ACCURACY OF DOCUMENTS
I, Sonja B. Frederick, hereby thorize Keith N. Bahner, Co.Executor of The
Estate of Ann Marshall Bahner, to a t as my Attorney In Fact in order to execute, sign
and take any action convenient or ne essary in order to file any and all tax returns for
Ann Marshall Bahner, individually, d The Estate of Ann Marshall Bahner.
This Power of Attorney is limit d in nature and duration to the acts herein
described, the individual identified h rein and expires automatically at the completion of
the contemplated actions.
Further, I hereby attest that I ha e reviewed all information contained in the tax
filings for Ann Marshall Bahner, indi idually, and The Estate of Ann Marshall Bahner. I .
hereby attest that the information con ined therein is complete and accurate to the best of
my knowledge.
WITNESSETH my hand on this ;;;J. 6 day of () d?J k , 2005 as evidence ~l
of my appointment of Keith N. Bahne as my Attorney in Fact to act in my stead and take
all actions herein described as if take by me in person. .
~
i ()/,yro/()~
date I /
d~'(; /j~ ~~
Sonja B. Frederick
date
witness
State of Colorado
County of Larimer
The foregoing instrument was acknowledge
Before me this day of
20 Otj- by
No arv
My Commissi.,)1;
..
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APPRAISAL .OF REAL PROPERTY
U~CATED AT:
ROUTE 287
DEED BOOK 394 PAGE 670
WELWSBORO, PA 16901
, FOR:
ANN RUTH M+RSHALL BAHNER ESTATE
ROUTE 287
WELUSBORO, PA 16901
AS OF:
SEPTEMBER 9, 2005
BY:
RqBERT P. DEAN
DEAN APPRAISAL SERVICE
4 ~EARL STREET
WELL~BORO, PA 16901
PHO~E: 570-724-2700
FAX.: 570-724-2800
Form GA1 - "TOTAL for Windows" app~isal software by a la mode, inc. -1-800-ALAMODE
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Borrower ANN RUTH MARSHALL BAHNER ESTATE File No.
Prooertv Address ROUTE 287
Cilv WELLSBORO County TIOGA State PA Zin Code 16901
lender
APPRAISAL AND REPORT IDENTIFICATION
This appraisal conforms to 0Illl of the following definitions:
C8J Complete Appraisal (The act or process of estimating value, or an opinion of value, performed without invoking the Departure Rule.)
0 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 0Illl of the following types:
0 Self Contained (A written report prepared under Standards Rule 2-2(a) of a Complete or Limited Appraisal performed under STANDAFlP 1.)
C8J Summary (A written report prepared under Standards Rule 2-2(b) of a Complete or Limited Appraisal performed under STANDARP 1.)
0 Restricted (A written report prepared under Standards Rule 2-2(c) of a Complete or Limited Appraisal performed under STANDARO 1,
restricted to the stated intended use by the specified client or intended user.)
Comments on Standards Rule 2-3
I certify that, to the best of my knowledge and belief:
o The statements of fact contained in this report are true and correct.
[1 The reported analyses, opinions, and conclusions are limned only by the reported assumptions and limning condnions, and are my personal, impartial, and unbiased
professional analyses, opinions and conclusions.
L11 ".., '" IN"" """'I ....'" " ,m',,"" I""",, '" fu. ,m" rty fu' " 1 '"'I.. · fu' "po~ "" "' I" fu. """'1 ,."'". ,"".. w.. ,..,.. " fu.
parties involved.
o I have no bias wnh respect to the property that is the SUbject of this report or the p rties involved with this assignment.
o My engagement in this assignment was not contingent upon developing or reportin predetermined results. '
o My compensation for completing this assignment is not contingent upon the devel pment 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 applaisal.
o My analyses, opinions and conclusions were developed and this report has been Ptepared, in conformny wnh the Uniform Standards of Professional Appraisal Practice.,
o I have (or have not) made a personal inspection of the property that is the subject IIf this report.
No one provided significant real property appraisal assistance to the person signing this certification. (If there are exceptions, the name of each individual proViding signifipant
real property appraisal assistance must be stated.)
Comments on Appraisal and Report Identi ication
Note any departures from Standards Rules 1-3 and 1-4, plus any USPAP-related issues requiring disclosure:
THE INTENDED USER OF THIS REPORT IS THE ABOVE REFERENCED CLIENT AND/OR THEiR ASSIGNS. THE INTENDED USE OF THIS REPO~T IS
FOR ESTATE PURPOSES. ANY OTHER USE OF THE REPORT BY ANY OTHER USER is PROHiBITED
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APPRAISER: , SUPERVISORY APPRAISER (only if required):
;W.J P Q~I I
Signature: I Signature:
I
Name: ROBERT P. DEAN I Name:
Date Signed: SEPTEMBER 9, 2005 Date Signed:
State Certification #: GA-000550-L State Certification #:
or State License #: or State License #:
State: PA State:
Expiration Date of Certification or License: 6/30/2007 Expiration Date of Certification or License:
o Did o Did Not Inspect Property
Dean ~praisal Service
Form ID5 - "TOTAL for Windows" apprais\1 software by a la mode, inc. -1-BOO-ALAMODE
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LAND APPRAISAL REPORT
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Borrower OWNE~: ANN RUTH MARSHALL BAHNER ESTATE
Property Address ROUTE 287
_ City WELLSBORO
Legal Description DEED BOOK 394 PAGE 670
Sale Price $ N/A Date of Sale N/A Loan Term'
Actual Real Estate Taxes $ 369.89 (yr) Loan charges to be paid by seller $
Lender/Client Address
Occupant VACANT LAND Appraiser ROBERT P. DEAN Instructions to Appraiser FAIR MARKET VALUE
Census Tract 9909
File No.
Map Reference 09-06.00-050B
County TIOGA
I
State P A
Zip Code 1690~
yrs.
Property Rights Appraised
Other sales concessions
C8J Fee 0 Leasehold.. 0 De Minimis PUD
Location
Built Up
Growth Rate
Property Values
Demand/Supply
Marketing Time
Present Land Use
Urban Suburban Rural
o Over 75% 0 25% to 75% C8J Under 25%
o Fully Dev. 0 Rapid C8J Steady 0 Slow
o Increasing C8J Stable 0 Declining
o Shortage C8J In Balance 0 Oversupply
o Under 3 Mos. C8J 4-6 Mos. 0 Over 6 Mos.
~% 1 Family _% 2-4 Family _% Apts. -\Yo Condo ----2.% Commercial
_% Industrial % Vacant 80% LAND '
Change in Present Land Use C8J Not Likely -0 Likely (*)
(*) From To
C8J Owner 0 Tenant _% Vacant
$ 75,000 to $ 200,000 Pred minant Value $ 125,000
~ yrs. to ~ yrs. Predomi ant Age 40 yrs.
o Taking Place (*)
Employment Stability
Convenience to Employment
Convenience to Shopping
Convenience to Schools
Adequacy of Public Transportation
Recreational Facilities
Adequacy of Utilities
Property Compatibility
Protection from Detrimental Conditions
Police and Fire Protection
General Appearance of Properties
Appeal to Market
Go$~ Avg. Fair Poor
Oi!~ 0 0
Ol.~OO
O,~ 0 0
O,[gJDO
OJ! [gJ 0 0
O,~ 0 0
[]~DD
D[gJDD
O[gJDO
B[gJOO
~OD
I ~ 0 0
Predominant Occupancy
Single Family Price Range
Single Family Age
t. Market
Dimensions VARIOUS DIMENSIONS SEE DEED
Zoning classification RESIDENTIAL
Highest and best use ~ Present use 0 Other s ecif
Public Other (Describe) OFF SITE IMPROVEMEN S Topo ROLLING
~ AVAILABLE Street Access ~ Public Private Size TYPICAL
C8J AVAILABLE Surface ASPHALT Shape IRREGULAR
o NONE Maintenance C8J Public Private View OF MOUNTAINS
o NONE 0 Storm Sewer 0 Curb Gutter Drainage NO APPARENT PROBLEM
o Underground Elect. & Tel. 0 Sidewalk 0 Stree Li hts Is the property located In a HUD Identified Special Flood Hazard Area?! IL<J No 0 Yes
Comments (favorable or unfavorable including any apparent adverse easements, encroac ments, or other adverse conditions): NO APPARENT
ADVERSE EASEMENTS ENCROACHMENTS SPECIAL ASSESSME TS SLIDE AREAS ILLEGAL OR LEGAL NONCONFORMING ZONIN PER VISUAL
INSPECTION.
13.161 Sq. Ft. or Acres Corrt r Lot
Present Improvements [gJ do 0 do not conform to zo~ihg regulations
The undersigned has recited three recent sales of properties most similar and pro imate to subject and has considered these in the market analysis. The description .,i~cludes a dollar
adjustment reflecting market reaction to those items of significant variation betwee the subject and comparable properties. If a significant item in the comparable pr$~erty is superior
to or more favorable than the subject property, a minus (-) adjustment is made th s reducing the indicated value of subject; if a significant item in the comparable is Inlerior to or less
favorable than the subject property, a plus (+) adjustment is made thus increasi g the indicated value of the subject.
ITEM SUBJECT PROPERTY COMPARABLE N . 1 COMPARABLE NO.2
Address ROUTE 287 DUTCH HILL ROAD LAMBS CREEK ROAD
WELLSBORO PA WELLSBORO PA WELLSBORO, PA
Proximi to Sub'ect . 4 MILES 8 MILES
Sales Price
Price PER ACRE
Data Source
~ Date of Sale and
Time Adjustment
Location
Site iew
ELECTRIC
GAS
LE NO.3
-8 900
~ i
PUBLIC RECORD
DESCRIPTION
10-2004
AVERAGE
12.02 ACRES
AVAILABLE
AVAILABLE
37 000
3,078
N/A
AVERAGE
13.161 ACRES
AVAILABLE
AVAILABLE
MLS
DESCRIPTION
03-2005
AVERAGE
13.11 ACRES
AVAILABLE
AVAILABLE
MLS
Ad"ust. DESCRIPTION
05-2005
AVERAGE
16.02 ACRES
AVAILABLE
AVAILABLE
+3 500
NetAd". otal
Indicated Value
of Subject
Comments on Market Data: ALL CLOSED SALES ARE VACANT LAND I
INDICATIONS OF VALUE.
3500
Comments and Conditions of Appraisal: THIS APPRAISAL IS BASED ON V CANT LAND ONLY. NO VALUE IF ANY, WAS GIVEN TO TIMBER 0 THE
PROPERTY.
Final Reconciliation: THE MARKET DATA ANALYSIS PROVIDES A GO D INDICATION OF VALUE. COMP #1 IS GIVEN MORE WEIGHT BE(l;AUSE IT IS
- THE CLOSEST IN ACREAGE TO THE SUBJECT.
I ESTIMATE THE MARKET VALUE, AS DEFINED, DF SUBJECT PROPERTY AS 0
SEPTEMBER 9, 20~ to be $ 40,000
Review A
o Did
o Did Not Physically Inspect Property
De n Appraisal Service
Form LND - "TOTAL for Windows" appraisal software by a la mode, inc. - 1-BOO-ALAMODE
I'
..
Borrower/Client . ANN RUTH MARSHALL BAHNER ESTATE
Prooertv Address ROUTE 287
Citv WELLSBORO Countv TIOGA State PA lin Code 16901
Lender
PHOTOGRAPH ADDENDUM
'"
M
LAND
LAND
STREET
,
Form GPICPIX - "TOTAL for Windows" aipraisa, software by a la mode, inc. -1-BOO-ALAMODE
1 r
DEFINITION OF MARKET VALUE: The most probable price which a properly 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 cOfsummation of a sale as of a specified date and the passing of title from
seller to buyer under conditions whereby: (1) buyer and seller re 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 properly sold unaffected by special or creative financing or sales concessions' granted by anyone
associated with the sale. I
'Adjustments to the com parables must be made for speci I or creative financing or sales concessions. No adjustments are
necessary for those costs which are normally paid by se lers as a result of tradition or law in a market area; these costs are'
readily identifiable since the seller pays these costs in vi ually all sales transactions. Special or creative financing
adjustments can be made to the comparable property b comparisons to financing terms offered by a third party institutional
lender that is not already involved in the properly or tran action. Any adjustment should not be calculated on a mechanical!
dollar for dollar cost of the financing or concession but t e dollar amount of any adjustment should approximate the
market's reaction to the financing or concessions based n the appraiser's judgement.
STATEMENT OF LIMITING CONDI IONS AND APPRAISER'S CERTIFICATION
CONTINGENT AND LIMITING CONDITIONS: The app aiser's certification that appears in the appraisal report is subject to the
following conditions:
1. The appraiser will not be responsible for matters of a legal ature that affect either the property being appraised or the title to it. 'The
appraiser assumes that the title is good and marketable and, th refore, will not render any opinions about the title. The properly is :
appraised on the basis of it being under responsible ownership
2. The appraiser has provided a sketch in the appraisal report 0 show approximate dimensions of the improvements and the sketqh 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 g~arantees, express or implied, regarding this determination.
4. The appraiser will not give testimony or appear in court bec use he or she made an appraisal of the properly in question, unless,
specific arrangements to do so have been made beforehand.
5. The appraiser has estimated the value of the land in the cos approach at its highest and best use and the improvements at their
contributory value. These separate valuations of the land and i provements must not be used in conjunction with any other apprais~1
and are invalid if they are so used.
6. The appraiser has noted in the appraisal report any adverse onditions (such as, needed repairs, depreciation, the presence of
hazardous wastes, toxic substances, etc.) observed during the i spection of the subject properly 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, mo
knowledge of any hidden or unapparent conditions of the prope y or adverse environmental conditions (including the presence of ,
hazardous wastes, toxic substances, etc.) that would make the roperty more or less valuable, and has assumed that there are no !~uch
conditions and makes no guarantees or warranties, express or i plied, regarding the condition of the property. The appraiser will nb~ be
responsible for any such conditions that do exist or for any engi eering or testing that might be required to discover whether such
conditions exist. Because the appraiser is not an expert in the f Id 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 opini ns that were expressed in the appraisal report from sources that he or
she considers to be reliable and believes them to be true and c rrect. 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 r port except as provided for in the Uniform Standards of ProfessioA$1
Appraisal Practice.
9. The appraiser has based his or her appraisal report and valu l tion conclusion for an appraisal that is subject to satisfactory
completion, repairs, or alterations on the assumption that comPIItion of the improvements will be performed in a workmanlike mann~r.
10. The appraiser must provide his or her prior written consent efore the lender/client specified in the appraisal report can distribut~
the appraisal report (including conclusions about the properly va ue, the appraiser's identity and professional designations, and
references to any professional appraisal organizations or the fir with which the appraiser is associated) to anyone other than the
borrower; the mortgagee or its successors and assigns; the mo age insurer; consultants; professional appraisal organizations; any
state or federally approved financial institution; or any departme t, agency, or instrumentality of the United States or any state or the
District of Columbia; except that the lender/client may distribute t e property description section of the report only to data collection ot
reporting service(s) without having to obtain the appraiser's prior written consent. The appraiser's written consent and approval mU$~
also be obtained before the appraisal can be conveyed by anyon to the public through advertising, public relations, news, sales, or
other media.
Freddie Mac Form 439 6-93
P ge 1 of 2
Fannie Mae Form 1004B -93
Dean Appraisal Service
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MULTI-PURPOSE SUPPLEMENTAL ADDENDUM
FOR FEDERALIlY RELATED TRANSACTIONS
Borrower/Client ANN RUTH MARSHALL BAHNER ESTATE I
Property Address ROUTE 287
City WELLSBORO County TIOGA State PA liD Code 16901
Lender I
Dean Appraisal Service
This Multi-Purpose Supplemental Addendum for Federally Related Transa~tions was designed to provide the appraiser with a convenient way to comply with the current
appraisal standards and requirements of the Federal Deposit Insurance Co poration (FDIC), the Office of the Comptroller of Currency (OCC), The Office of Thrift
Supervision (OTS), the Resolution Trust Corporation (RTC), and the Feder I Reserve. '
This Multi-Purpose Supplemental ddendum Is for use with any appraisal. Only those
statements which have been checked by the appraiser apply to the property being appraised.
0 PURPOSE & FUNCTION OF APPRAISAL
The purpose of the appraisal is to estimate the market value of the subject property 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 afederaliy related transaction.
0 EXTENT OF APPRAISAL PROCESS
~ The appraisal is based on the information gathered by the apprais r from public records, other identified sources, inspection of the subject property and
neighborhood, and selection of comparable sales within the subje t market area. The original source of the comparables is shown in the Data Sourc~ section
of the market grid along with the source of confirmation, if availab e. The original source is presented first. The sources and data are considered reli~ble.
When conflicting information was provided, the source deemed m st reliable has been used. Data believed to be unreliable was not included in the r~port nor
used as a basis for the value conclusion. I
1
~ The Reproduction Cost is based on MARSHAL & SWIFT I
I
supplemented by the appraiser's knowledge of the local market.
~ Physical depreciation is based on the estimated effective age of th~ subject property. Functional and/or external depreciation, if present, is specifically
addressed in the appraisal report or other addenda. In estimating e site value, the appraiser has relied on personal knowledge of the local market. . This
knowledge is based on prior and/or current analysis of site sales a d/or abstraction of site values from sales of improved properties.
~ The subject property is located in an area of primarily owner-occu ied single family residences and the Income Approach is not considered to be me~ningful.
For this reason, the Income Approach was not used.
0 The Estimated Market Rent and Gross Rent Multiplier utilized in the Income Approach are based on the appraiser's knowledge of the subject market alea.
The rental knowledge is based on prior and/or current rental rate s rveys of residential properties. The Gross Rent Multiplier is based on prior and/or ~urrent
analysis of prices and market rates for residential properties.
0 For income producing properties, actual rents, vacancies and expe ses have been reported and analyzed. They have been used to project future rents,
vacancies and expenses.
0 SUBJECT PROPERTY OFFERING INfORIIl ATlON
According to MLS the subject property:
~ has not been offered for sale in the past: o 30 days ~ 1 Y ar o 3 years.
0 is currently offered for sale for $
0 was offered for sale within the past: o 30 days o 1 year :J 3 years for $
0 Offering information was considered in the final reconciliation of val e.
0 Offering information was not considered in the final reconciliation otalue.
0 Offering information was not available. The reasons for unavailabili and the steps taken by the appraiser are explained later in this addendum.
i
0 SALES HISTORY OF SUBJECT PROPERni
According to PUBLIC RECORDS I the subjeQt property:
~ Has not transferred o in the past twelve months. ~ in thelpast thirty-six months. o in the past 5 years.
0 Has transferred o in the past twelve months. o in the past thirty-six months. o in the past 5 years.
0 All prior sales which have occurred in the past are listed below and reconciled to the appraised value, either in the body of the report or in tM addenda.
Date Sales Price Document # Seller Buver
I
,
0 FEMA FLOOD HAZARD DATA i
~ Subject property is not located in a FEMA Special Flood Hazard Areal
0 Subject property ~ in a FEMA Special Flood Hazard Area. i
Zone FEMA Map/Panel # Map Date Name of Community I
X 421177 0010 A 8-15-1990 DELMAR TOWNSHIP
0 The community does not participate in the National Flood Insurance rogram.
~ The community does participate in the National Flood Insurance Prog ram.
0 It is covered by a regy)ar program.
0 It is covered by an emergency program.
I
I Page10f2
Form MPA3 - "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
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II
ENVIRONMENTAL ADDENDUM
APPARENT* HAZARDOUS SUBSTANCES AND/OR DETRIMENTAL ENVIRONMENTAL CONDITIONS
Borrower/Client ANN RUTH MARSHALL BAHNER ESTATE
Address ROUTE 287
City WELLSBORO County TIOGA State PA
Lender
* ~ is defined as that which is visible, obvious, evident or marifest to the appraiser.
This universal Environmental Addendum is for use with any real est e appraisal. Only the statements which have been checked by the appraiser apply
to the ro e bein a raised.
Zip code 16901
This addendum reports the resutts of the appraiser's routine inspection of and i qUiries about the sUbject property and its surrounding area. It also states what assumptions
were made about the existence (or nonexistence) of any hazardous substances nd/or detrimental environmental conditions. T a 0 n ir me
~ and therefore might be unaware of existing hazardous substances an lor detrimental environmental conditions which may have a negative effect on the sa ety and
value of the property. It is pOSSible that tests and inspections made by a qualifi d environmental inspector would reveal the existence of hazardous materials and/or d~trimental
environmental conditions on or around the property that would negatively affect s safety and value. :
_Drinking Water is supplied to the subject from a municipal water supply ihiCh is considered safe. However the only way to be absolutely certain that the water [meets
published standards is to have it tested at all discharge points. !
_Drinking Water is supplied by a well or other non-municipal source. It is ,commended that tests be made to be certain that the property is supplied with adeq4ate pure
water. '
_Loa' "" g. "" ''''king ."', 'mm " """', fue plpos, ... d1"",,g polnO, pl"mbO, ","'os ,"d1~ .,,,'"'OS. The onl,.., tn " co""" 'h' w"" ,q,.es not
contain an unacceptable lead level is to have it tested at all discharge poi s. i
_The value estimated in this appraisal is based on the assumption that ther is an adequate supply of safe, lead-free Drinking Water. ':
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Comments LAND ONLY I
_Sanitary Waste is removed from the property by a municipal sewer syste . 1
_Sanitary Waste is disposed of by a septic system or other sanitary on site waste disposal system. The only way to determine thatthe disposal system is adeQU1te and in
good working condition is to have it inspected by a qualified inspector. !
_The value estimated in this appraisal is based on the assumption that the anitary Waste is disposed of by a municipal sewer or an adequate properly permitted ~Iternate
treatment system in good condition. '
Comments LAND ONLY
_There are no apJl.a[Mt signs of Soil Contaminants on or near the subject p perty (except as reported in Comments below). It is possible that research, inspecti nand
testing by a qualified environmental inspector would reveal existing and/or otential hazardous substances and/or detrimental environmental conditions on or al'o nd the
property that would negatively affect its safety and value.
L- The value estimated in this appraisal is based on the assumption that the ubject property is free of Soil Contaminants.
Comments
_All or part of the improvements were constructed before 1979 when Asbe os was a common building material. The only way to be certain that the property is f~e of
friable and non-friable Asbestos is to have it inspected and tested by a qu ified asbestos inspector.
_The improvements were constructed after 1979. Noapaarenl friable Asbes s was observed (except as reported in Comments below). i
The value estimated in this appraisal is based on the assumption that ther is no uncontained friable Asbestos or other hazardous Asbestos material on the prQ~rty.
-!
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Comments
LAND ONLY
_There were no apJl.a[Mt leaking fluorescent light ballasts, capacitors or tran formers anywhere on or nearby the property (el<cept as reported in Comments beloW.
_There was no apJl.a[Mt visible or documented evidence known to the appra,ser of soil or groundwater contamination from PCBs anywhere on the property (el<ce~
as reported in Comments below). I
X The value estimated in this appraisal is based on the assumption that therelare no uncontained PCBs on or nearby the property. i,
_ i
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Comments
_The appraiser is not aware of any Radon tests made on the subject prope within the past 12 months (except as reported in Comments below).
_The appraiser is not aware of any indication that the local water supplies h e been found to have elevated levels of Radon or Radium. !
_The appraiser is not aware of any nearby properties (except as reported in omments below) that were or currently are used for uranium, thorium or radium extla1:tion
or phosphate processing.
_The value estimated in this appraisal is based on the assumption that the R don level is at or below EPA recommended levels.
Comments LAND ONLY
Dean 'Appraisal Service
Form 69F - "TOTAL for Windows" appra sal software by a la mode, inc. - 1.800-ALAMODE
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Plat Map
II
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Borrol4er/Client ANN RUTH MARSHALL BAHNER ESTATE
Prooertv Address ROUTE 287
City WELLSBORO Countv TIOGA State PA Zin Code 16901
Lender I
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WARRANTY DEED
~;. .~~~PI-\",,,-, l00s LiDca ~ PIps -
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RECORDED
/1: S'I\"""
OCT . 1919
.:::! )''rh
day oE
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MADE the
In the )'ea.l' ninc:tccu hu.oJrc.J and Hve.nty-nirio (1919)
BE.1WEEN EDtl;,. COOLIDGE MARSHALL, "'!dow, ot R,I>" W.llllb~ro, '1'1091. CoWloty.
Pennliylva.nlA. GM.N1'OR, party of the tirlit pa.r1:,
Mm RL'TH MARSHALL
by ~e entireties. of 1 West
pa.rties of the second part.
A
~o.l. .,,,,,,, .. ....... her hu""~'. .. ...."..
Shore ortve, camp H111, pennsylvania, GRANTEES.
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~~:~?~;=~~::;;~~t:::~~:~::~.::~:-=-.::~=-
and mnvey co the: w.id grantoe liII their hei~l and assiqna,
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All that certain lot. piece or parce of land situate in tho Township of DellMr,
COWlty of '1"i09!l. and COl1'COOl'lyoalth ot p
nneylvania. bounded And dascr1J:Jed In .ccord-',
II
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~
ance with A tiurvey dated June 20, 197 , prepared by Kichael J, Fisher, R.S.,
un<l,"r the direction of aoYlil.'C J(.ant.J:, R S.. as follows I
Bl':.GINUING At. a point in the c: ntor lino of Plintlsylvaflia Traffic Route
:287, lIa.i~ ;JOint b~1ng the SC'\lthwc$t ,rnol:' of lands now or formerly of Stanley
1:fst a di5tilflCC of 43.20 feet along' tn.
tf a
North 02" 08 I 50" 1.;l1!ilt a distance of h,. 94 feet 410n'O the eastern bound.u:y of
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Sr.Ablo~,kil thence S<:luth 8,,- 09' 10"
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said Shillbloliki to A point IlV.lrked by -filGt iron roo 1 the:\c.... North 04l' 59' 14" 'I
West 4 di~t~nc~ of 442.10 fe6t AtOn9 r.o eastern boundary of lands now or lormorlYi
of carl Sca>;o dnd liU1ds now or formor ';/ ef Cecil Hotch.kiS$ to A point lNLl'ked by 4
5<it iron rOod, the Northwest corner h"tOOf I thence South 9:<- S3' 0'" East a <:118-
tance of 719.91 lcot alot\9 the southetn boundary of l!\nda now or fonnerly of
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Rod.::oy W. t'al"ier and al"o alOtlq I prete~tli' ",xistin'i} old fencellne to . point
marked 0'1 II 5iCo; iron r<:-d I tho Nort.!"l,uft cornar hereOf I thence alon<; O'thllJ:' la.n~'
s':>ut..'lcrn boundary of sa.id Shabloskl
point IlWu:ked by 11 a"t iron rod, thonce
of the Grantor herlllin. t:dn4 Coolidqc r..u-Ch.alL, th& follo,,"'ino; CQ~lIe. a.nd
dIstances: SQl.Ith 00. 30' OS. Wellt . d ataneD of 592.3) feet to
by a $et iron rOd I south 58- 34' 17. bst a diitance ct 2/9./1
rr.arked by a set iron rOd: south 20' OF I 09" W(lst a distance ot
pocint tllarked by 4 set iron rod, the S I.:thel'TWJ.:IIit. comer her~of I Uorth 7S. 57' 19-
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170.64 feet to Ii
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Flood Map
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Borrol'Alr/Client A'NN RUTH MARSHALL BAHNER ESTATE
Prooertv Address ROUTE 287
Citv WELLSBORO Countv TIOGA State PA Zin Code 16901
Lender
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InterFloO~._
www.interflood.com . 1-800-252-6633
IPrepared for:
IOean Appraisal Service
!ROUTE 287
WELLSBORO, PA 16901
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Map Number
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Effective DlIte
August 15, 1990
For more information abJut
flood zones and flood
insul'llI\ce. contact:
Powered by Flood Source
877.77.FLOOD
www.floodsource.com
m 1900.2005 Source Prose and/or FloodSource COlllorations. All rights reserved. lItents 6.631,326 and 6,678.615. Other patents pending. For Info: info@floodsou .com.
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dlnance of 19.91 teet oontinuin dol'lf tn. center Une of u14 l'ennaylYanla
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by I:leed tw:o. H. H. Carpenter, vi ar. daUd Apdl S, 1926. am noor4tM,!
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II
.
~ -G. David Bias 08/17/2005 5:04 PM
- L.egg Ma'Son Wood Walker, Inc.
Ann . Bahner
Date Of Deat Values - 08/05/05
Holdinf/s: i AIJIJrox. Value
Berkshire Hathaway I~C., CI B
1.) 20.000 Shs. $ 55,640HllO
2.) 23,760.890 Shs. Legg Mason Cash R~erve Trust $ 23,760)$9
3.) 199.092 Shs. Legg Mason Pa Tax Free Income Trust $ 3,3301~1
4.) 277.000 Shs. Sterling Financial Corp-Pa $ 6,170d8
5.) 368.000 Shs. Telefonica SA $ 18,565l$0
6.) 50,000.000 General Mtrs Accept Corp Notes Dated 1/19/00 $ 50,745,00
Due 01/19/2010 7.750% JJ
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7.) 10,000.000 Ford Motor Credit Co, Global Landmark Securities $ 9,842.10
Dated Date 10/25/01, Due 10/25/2011, 7.25% AO
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8.) 20,000.000 AT & T Corp, Senior Note, lnt from date 05/15/02 $ 22,8251.00
Dated Date 07/31/02, Due 11/15/2011, 9:050% MN
!
9.) 20,000.000 General Motors Acceptanc Corp., Smartnotes $ 18,423.140
Dated Date 08/20/02, Par all 08/15/05
Due 08/15/2012, 7.125%
10.) 5,000.000 Philadelphia Pa Ssch Dist er B, Dated Date 10/01/95 $ 5,061.95
AMBAC Insured, Due 09/0 /2018,5.500% MS
Pre-Refunded 09/01/05 @ 01.00
11.) 10,000.000 Montgomery Cnty Pa Indl . ev Auth Rev Hill Sch Proj $ 10,489.00
Due 08/15/2027, Int 5.050%, PRE 08/15/07, PRC 100.0000
12.) 15,000.000 Allegheny Cnty Pa Hosp Dev Auth Rev, Due 12.01/2008 $ 15,391.!50
Int 5.050%, CLB 12/01/2007 PRC 100.0000
13.) 15,000.000 Pa St Tpk Commn Oil Fra~chise Tax Rev SR Series A $ 15,574]95
Due 12.01/2023, Int 5.000%
14.) 50,000.000 Allegheny Cnty Pa Hosp D6v AU Rev Hlth Ctr UPMC $ 52,511,50
Hlth Ser B, Due 07/01/201l13, Int 5.000%
CLB 07/0112009 PRC 100;000
15.) 10,000.000 Dauphin Cnty Pa Gen Aut Rev Hapsco Western Pa Hosp $ 11,254160
PJ-A-1, Due 07/01/2016, 11M 5.750%
16.) 30,000.000 Pa Convention Ctr Auth R v Ser A $ 35,795110
Due 09/01/2016, Int6.700 0
17.) 10,000.000 Delaware Cnty Pa Auth Haith Care Mercy Hlth Corp $ 10,623!.50
Due 11/15/2023, Int5.375 0, CLB 11/15/05, PRC 100.0000
Page 1
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- ,
. "'G. David Bias
hegg Mason Wood Walker, Inc.
18.)
10,000.000 Pa St Tpk Commn Oil Fran hise Tax Rev Sr Series A
Due 12.01.2023, Int 5.000%, CLB 12/01/2010 PRC 100.0000
19.)
25,000.000 Pa St Higher Edl Facs Auth Rev UPMC Hlth Sys
Due 08/01/2029, Int 5.000%, CLB 08/01/2011 PRC 100.0000
20.) Cash Balance
Approx. Total
Ann ~. Bahner IRA
Date Of ~eath - 08/05/05
Holdinas:
1.) 222.000 Shs. KNBT Bancorp Inc
2.) 708.000 Shs. ***Trizec Canada Inc
3.) 10,000.000 Strips- Tint-8/15/2011 Dated Date 02/15/85
Due 08/15/2011
4.) Cash Balance
Approx Total
**
The foregoing information was prepared frlom sources believed to be reliable but is not
guaranteed as to accuracy. It should be c refully reviewed and compared with your
Legg Mason monthly statements. Any qu stions should be referred to your Investment
Executive or the Branch Manager.
Page 2
II
08/17/2005 5:04 PM
$ 10,566.00
$ 26,223.00
$ 7,102.$1
$ 409,902.t9
Values
$ 3,587.52
$ 14,370.62
$ 7,784.80
$ 8,205.~8
$ 33,948.~2
EST A TE OF ANN M BAHNER
325 WESLEY DR
BETHANY COURT #3228
MECHANICSBURG P A 17055-3574
September 8, 2005
Windsor Fund Investor
09864109009
Dear Executor:
We are responding to your telephone ca 1 notifying us of the death of Ann Bahner, and
requesting a valuation of the above-refe enced account. First, please accept our condolences
for your loss.
As of August 5, 2005, the number ofsh es, the price per share, the value of the fund, and
the accrued dividends (if applicable) we e as follows:
Fund
Shares
Price
Value
Windsor Fund Investor
1,582.652
$18.40
$29,120.80
Accrued
Dividends
N/A
If you have any questions or need furt er assistance, please contact a member of our
Transition Specialist Team at 1-888-237-9045. We are available Monday through Friday
from 8 a.m. to 8 p.m. Eastern time.
Sincerely,
~ dMyd
Arnie Lloyd
Communication Associate
50596623
Post Office Box 2600, Valley Forge, Pennsylvania 19482-2600
(6ro) 669-rooo . www.vanguard.com
ROPER AN IQUES APPRAISALS
1130 S anish Oak Court
Fort C llins, CO 80525
(9 0)-207-0076
ANTIQUE P OPERTY APPRAISAL
The items jlsted herein were appraised by me, Mary R. Roper, this ~
day of (month)~~ ,( ear ,.:Jm5' .
. .
The appraisal is at the request of
whose address is
Telephone
I hereby certify that the ab ve named party submitted the listed items fo~
appraisal and the values indicate are in accordance with my best knowledgq
and belief. The following appra sal is made with the understanding that thq
appraiser assumes no liability w th respect to any action that may be take~
based on this appraisal. This ap raisal reflects my 24 years experience in th
active buying and selling of antiq es via an open shop; participating in antique.
shows; conducting seminars on ntiques for members of the trade, collector~
and the public; the use of an e tensive personal library of antiques reference
books, catalogs, and periodica s; and fifteen years experience appraising
antiques.
The listed values reflect th market in this area and are subject to chang~
based on fluctuations in market c nditions and geographic location. I
Houriy Appraisal Fee
,Time Charged
Total Fee
,~ ..-
C?~.
I/~. ...
~~
Roper Antiques Appraisals
AP RAISAL FOR
S nia Frederick
1307 Lawrence Drive,
Fort ollins, CO 80521
70-482-7367
4 September, 2005
This appraisal is for market purpo1es.
DESCRIPTION OF ITEMS
1. ROCKING CHAIR - Hitchcock tyle with hand planed plank seat and shaped
spindle back; rolled arms; signific nt repairs where arms join sides; original paint
and stenciled crest rail; "rug-cutter' rockers; Colonial Revival period; circa 1880.1
,
Appraised Value - $250.00 as is.'
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2. W ASH STAND - Pine with do ble door base under full width hand dovetaile~
top drawer; shaped back splash ith two original candle shelves; refinished;
gouge in front of top; circa 1885.
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3. MINI CHEST- Walnut; reprodubtion of an 18th century spice chest;
Pennsylvania House label burnedlin the top drawer.
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Appraised Value - $275.00.
Appraised Value - $200.00.
4. CANE SEAT CHAIRS -Set of feu:" with double slat backs and turned front
stretcher bars; newer brown paint finish.
Appraised Value - $160.00 set.
5. BLANKET CHEST - Pine with woven mat cover on all sides and top; brass
corner guards on lid; originallift-o t tray; circa 1920.
Appraised Value - $125.00.
6. BEDROOM SET - Six matchi g pieces; solid mahogany; made by Kling
Factories, Frewsburg, N.Y.; origin I Chippendale style brasses; Ogee bracket
feet; circa 1951; bases have inset reeded quarter columns; all pieces are in
excellent condition. Set consists of:
VANITY - Seven drawers; knee-hole base; mirror flanked by reeded 1/2
columns; crown is split pedi']T1ent and flame finial.
CHEST OF DRAWERS - With mirror topped by a split pediment and
flame finial. I
FOUR POSTER BED - Tapbred posts topped by pinapple finials;
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standard double size with o~iginal mahogany side rails.
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TALL CHEST-ON-FRAME -I- Six graduated full width drawers; three small
top drawers; center top has recessed carved shell motif.
NIGHT STAND - Reeded q~arter columns; four drawers.
Appraised Value - $1,200.00 set.
7. PAIR OF LADDER BACK CHAIIRS - Oak and maple; replacement hand
woven seats in herringbone patter~; circa 1840.
Appraised Value - $250.00 pair.
*****************************NO FU RlH ER ENTRI ES********************************** :
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I hereby certify that the above named party submitted the listed items for
appraisal and the values indicated lare in accordance with my best knowledge
and belief. The foregoing appraisal is made with the understanding that the
appraiser assumes no liability with I respect to any action that may be taken on the
basis of this appraisal.
~
Roper Antiques Appraisals
..
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II
LA$T WILL AND TESTAMENT
; IOF
~N MARS~ALL BAHNER
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I, ANN MARSHALL BA$HER of Lower Allen Township, Cumbe!r land
County, Pennsylvania, declare this to be my Last Will and ~esta-
ment, hereby revoking a*y will previously made by me.
I
I - I direct ihe payment of all my just debts and
funeral expenses out of,my estate as soon as may be practical
after my death.
II - I bequeath certain items of my tangible pe~sonal
property, not including:cash and securities, in .accordanc~ with a
I
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written list made by me during my lifetime. In the absenc~ of
such a list or designation on said list, I bequeath said i~ems to
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my daughter, Sonia B. Ftederick.
III - I bequeath the sum of $25,000 to my deceased
husband's nephew, Keith:Bahner, now of Winfield, PA.
IV - I devise and bequeath all the rest, residue' and
remainder of my estate $f whatever nature and wherever si ate
iAIDIS, GUIDO, ,unto my daughter, Sonia B. Frederick.
SHUFF &
MASLAND
2109 Market Street
Camp Hill, PA
V - Should my said daughter, Sonia B. Frederick,
predecease me, then I d$vise and bequeath all the rest,
I
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reisidue
,
and remainder of my est~te as follows:
Page 1
SAIDIS, GUIDO,
SHUFF &
MASLAND
210Q Market Street
Camp Hill. PA
II
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A. One~fourth of said residue shall be paid to
First Presbyterian Chutch, Lewistown, PA, to be used for benevo-
lent purposes.
B. One+fourth of said residue shall be p~id to
First United Church of:Christ, Sunbury, PA, to be used fdr
benevolent purposes. .
C. One~fourth of said residue shall be pdid to
Christ Presbyterian Ch~rch, Camp Hill, Pa, to be used fot benevo-
lent purposes.
D. One-fourth of said residue shall be paid to my
deceased husband's nephew, Keith Bahner.
VI - I appoiht my daughter, Sonia B. Frederick; and
,
I
Keith Bahner, Executor~ of this, my Last Will and Testament.
Neither of my personal representatives shall be required to post
bond in this or any j~risdiction.
IN WITNESS WHEREQF, I have
this, the alO ~ day of
hereunto set my hand and seal on
OUjiu../- ,1996.
m/ /dnlrl PJ1a~shcll/ ga Int';> (SEAL)
/ Ann Marshall Bahner
Signed, sealed, published and declared by ANN MARSHALL B~HNER,
Testatrix therein named, on this and one (1) other sheet of paper
as and for her Last Will and Testament, in our presence, who, in
her presence, at her tequest, and in the presence of eadh other,
have hereunto subscribed our names as attesting witnesses.
M/ \ /ohVt
I v
;E, <.5~ /~ ~
Address
Name
~/ j)di/~-cf Free_L
Name
Address
SAIDIS, GUIDO,
SHUFF &
MASLAND
2 I 09 Market Street
Camp Hill. PA
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COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY
CUMB:ERLAND)
OF
WE, the undersigned, the testatrix and the witne$ses,
respectively, whose n~mes are signed to the foregoing in$tru-
ment, being first duly sworn, do hereby declare to the under-
signed authority that the testatrix signed and executed the
instrument as her LasD Will and Testament and that she s~gned
willingly (or willing~y directed another to sign for her), and
that she executed it as her free will 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
witnesses and that to .the best of their knowledge the testatrix
was at that time eighteen years of age or older, of sound mind,
and under no constraint or undue influence.
Testatrix
Witness
witness
ii
\1 Subscribed, sworn to and acknowledged before me by the
II. testatrix, and subscr:ibed and sworn to before me by both wit-
nesses, this day of , 1996.
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II Notary Public:
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