HomeMy WebLinkAbout12-29-05 (2)
REV-l500 D (6-00)
. COMMONWEALTH OF
PENNSYLVANIA
. . DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Troup, Shirley L.H.
DATE OF DEATH (MM-OD-YEAR)
OS/20/2005
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~ 1. Original Return
o 4. Umited Estate
o 6. Decedent Died Testate (AI1adl copy of WID)
o 9. Uligation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (cislo of deaIII_12-12-82)
07. Decedent Maintained a Uving Trust (AlIadlcopyolTrusl)
o 10. Spousal Poverty Credit ldate 01 death belween 12-31-91000 1-1-95)
ClF<=ICiAL US", '0N:.Y
FILE NUMBER
21-05
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DATE OF BIRTH (MM.DD-YEAR)
01/01/1931
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
none
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NAME
Samuel L. Andes
FIRM NAME (I Applicable)
COMPLETE MAILING ADDRESS
COUNTY COOE
YEAR
NUMBER
SOCIAL SECURITY NUMBER
177
- 24
- 5425
THIS RETURN MUST BE ALED IN DUPUCATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Return (dateoldealll priOrlO 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (AIlacI1 Sell 0)
525 North 12th Street
Lemoyne, PA 17043
OFFICIAL u,sS ONLY
TELEPHONE NUMBER
(717) 761-5361
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation. Partnership or Sole-Proprietorship
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 Unes 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedenl, Mortgage Liabilities, & Uens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Une 8 minus Une 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
'-.......!1
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319,426.15
(6)
(11) 12,365.04
(12) 307,061.11
(13)
(14) 307,061.11
x.O_ (15)
x .0 'f.L (16) 10,419.47
x .12 (17)
x .15 (18) 11,327.59
(19) 21,747.06
(1) 152,000.00
(2) 16,868.83
(3)
(4)
(5) 147,771.69
(6) 2,785.63
(7)
(9) 12,108.36
(10) 256.68
14. Net Value Subject to Tax (Line 12 minus Une 13)
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SEE INSTRUCTlONS ON REVERSE SIDE FOR APPUCABLE RATES
15. Amount of Une 14 taxable at lIle spousal tax
rate, or transfers under Sec. 9116 (a)(12)
16. Amount of Line 14 taxable at lineal rate
$231,543,78
17. Amount of Line 14 taxable at S1bUng rate
16. Amount of Une 14 taxable at collateral rate
see statement attached
19. Tax Due
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ESTATE OF SHIRLEY L.H. TROUP
CUMBERLAND COUNTY FILE NO. 21-05-0514
STATEMENT
The portion of the estate taxable at the collateral rate, as set out on Line 18
of REV-1500 was calculated as follows:
1. Portion of estate left to John L.
Campbell (life estate in real
estate valued in accordance with
Schedule K) $37,276.00
Balance of estate left to Tammy
A. Powers (one-third of
remainder interest in real estate)
$38.241.33
$75,517.33
TOTAL
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Decedent's Complete Address:
STREET ADDRESS 13 Randi Road
CITY Enola
STATE PA ZIP 17025
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1) 21,747.06
$17,897.00
$875.00
3. Interest/Penally if applicable
D. Interest
E. Penalty
Total Credits (A + B + C ) (2) 18.772.00
Total Interest/Penally ( 0 + E ) (3)
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 (4)
5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) $2,975.06
Make Check Payable to: REGISTER OF WILLS, AGENT
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PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a. retain the use or income of the properly transferred;.......................................................................................... 0
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0
c. retain a reversionary interest; or...................................................................................................,...................... 0
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0
2. If death occurred after December 12, 1982, did decedent transfer properly within one year of death
without receiving adequate consideration? .........................................,.................................................................... 0
3. Did decedent own an 'in trust for" or payable upon death bank account or securily at his or her death? .............. 0
4. Did decedent own an Individual Retirement Account, annuily. or other non-probate properly which
contains a beneficiary designation? ....................................................................................................................'... 0
No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN.
525 North 12th Street, LEIroyne, PA 17043
--
DATE
2
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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. ~9116 (a) (1.1) (ill.
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. ~9116 (a) (1.1) (iill,
The statute does not exemot a transfer to a surviving spouse from tax, and the stalu10ry requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The lax rate imposed on the net value of transfers from a deceased child twenly-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P,S. ~9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent. whether by blood or adoption.
Rtv-I502EX .11-97)
SCHEDULE A
REAL ESTATE
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Shirley L.H. Troup
FILE NUMBER
21-05-0514
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 eKchanged
between a willing buyer and a willing seller. neither being compelled to buy or sell. both having reasonable knowledge of the relevant faels. Real property which is jointlY-owned with right of
survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
Single-family residence at 13 Randi Road, Enola, East Pennsboro
Township, Pennsylvania (see attached appraisal)
$152,000.00
TOTAL(Alsoenteronline1,Recapitulation) $ 152,000.00
(If more space is needed, insert additional sheets of the same size)
Subject Address
Legal Description
City
County
State
Zip Code
Census Tract
Map Reference
Sale Price
Date of Sale
Borrower / Client
Lender
Size (Square Feet)
Price per Square Foot
Location
. Age
Condition
T alai Rooms
Bedrooms
Baths
ApPfaiser
Date of Appraised Value
Final Estimate of Value
I t>aoe 11'11
SUMMARY OF SALIENT FEATURES
13 Rand; Rd
See Site Area Below, deed of conveyance and assessor parcel #.
Enola
Cumberland
Pa.
17025-1822
0102.01
42-41
$ N/A
N/A
N/A
N/A
1,247
good
33
good
6
3
Terry E. Freeman
5-20-05
$ 152,000
FOIIn SSD - 'TOTAL for Windows. appraisal software by a la mode, inc. - 1-800-ALAMODE
I race NJI
Borrower Nt A File No.
Prooertv Address 13 Randi Rd
Citv Enola Countv Cumberland State Pa. liD Code 17025-1822
Lender NIA
APPRAISAL AND REPORT IDENTIFICATION
This appraisal conforms to llill! of the following definitions:
~ Complete Appraisal (fhe act or process of estimating value, or an opinion of value, performed without invoking the Departure Rule.)
0 limited Appraisal (fhe act or process of estimating value, or an opinion of value, performed under and resulting from invoking the
Departure Rule.)
this report Is l!Illl 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 STANDARD 1.)
~ Summary (A written report prepared under Standards Rule 2-2(b) of a Complete or limited Appraisal performed under STANDARD 1.)
0 Restricted (A written report prepared under Standards Rule 2-2(c) of a Complete or limited Appraisal performed under STANDARD 1,
restricted to the stated intended use by the specified client or intended user.)
Comments on Standards Rule 2-3
I certify that to the best 01 my knowledge and belief:
o The statements of fact contained in this report are true and correct
o 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.
o I have no (or the specified) present or prospective interest in the property that is the subject of this report, and no (or the specilied) personal interest with respect to the
parties involved.
o I have no bias with respect to the property that is the subject 01 this report or the parties involved with this assignment.
o My engagement in this assignment was not contingent upon developing or reporting predetennined results.
o My compensation for completing this assignment is not contingent upon the development or reporting of a predetennined 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 direcliy related to the intended use of this appraisal.
o My analyses, opinions and conclusions were developed and this report has been prepared, in confonnity with the Unifonn Standards 01 Professional Appraisal Practice.
o I have (or have not) made a personal inspection of the property that is the subject of this report.
o No one provided significant real property appraisal assistance to the person signing this certification. (Ii there are exceptions, the name of each individual providing significant
real property appraisal assistance must be stated.)
Comments on Appraisal and Report Identification
Note any departures from Standards Rules 1-3 and 1-4, plus any USPAP-related issues reqUiring disclosure:
APPRAISER: SUPERVISORY APPRAISER (only If required):
Signature: ----:~ ---- Signature:
Name: Terry E. ErellrTIan Name:
Date Signed: 7-08-05 Date Signed:
State Certification #: RL -000563-L State Certification #:
or State Ucense #: or State license #:
State: Pennsylvania State:
Expiration Date of Certilication or Ucense: 6-07 Expiration Date of Certification or license:
o Did o Did Not Inspect Property
Freeman Real Estate
Form 105 - 'TOT AI. for Windows' appraisal software by a la mode, inc. - 1-800-AlAMODE
~reeman Meal tstate
Poem. Des.nntlon fileNo.
Prone"" Address 13 Randi Rd City Enola State Pa. Zin Code 17025-1822
LfllIal Descriotion See Site Area Below deed of conveyance and assessor oarcel #. Countv Cumberland
A.ssesso(' Parcel No. 9-14-0836-035 Tax Vear 2005 R.E. Taxes ~ 1 700.00 'n~ial ''''s''''ent. ~ 0.00
Borrower N/ A Current Owner Estate of Trouo Occuoant r l Owner I)() Tenant r l Vacant
.. ProneliVriohts anoraised rxr Fee Simnle I I Leasehold ProiectT vne I I PUD I Condominium IHUDNA onM HOA ~ N/A /Mo.
Neinhborhood or Proiect Name East Pennsboro Townshio Man Reference 42-41 Census Tract 0102.01
Sale Price ~ N/A Date of Sale N/ A nes,rin';nn and . u h"ne'/'onro'sions '0 b. n.;rl bv slier N/A
Lender/Client N/A Address C/O Samuel L. Andes Attomev 525 N. 12th. SI. Lemovne Pa 17043
Annraiser Terrv E. Freeman Address 4076 Market St Camo Hill PA 17011
Location ld Urban I2J Suburban ld Rural Predominant _~~e family housl~ Present land use % Land use change
PRI AG
Buitt up I2J Over 75% o 25-75% 0 Under 25% occupancy $(000) (yrs) One family ~ C8J Not likely D Likely
Growth rafe o Rapid I2J Stable o Slow C8J Owner ~Low~ 2-4family _ o In process
Property values I2J Increasing o Stable o Declining o Tenant 225 Hinh 40 Multi-family _ To:
Demand/supply 0 Shortage I2J In balance 0 Over supply ~ Vacant (0-5%) ~I Predominant ~'il~ Commercial
Marketinn time Ri Under 3 mos. Fi 3-6 mos. n Over 6 mos. ' v.. Inv., 5%\ 165 30
Note: Race and the racial composition of the neighborhood are not appraisal factors.
Neighborhood boundaries and characteristics: Northwest nuadrant of East Pennsboro Townshin. Residential in character.
- Factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to marke~ etc.):
The subiect neiohborhood consists exclusivelv of detached sinole familv dwellinos similar in sMe to the subiect orooertv. The area en'ovs ease
.. of access to shonnina schools and emnlovment centers via a varietv of oublic roads and hiohwavs includina route 81 11 mile\. The ma'oritvof
emnlovment is found throunhout the nreater Harrisburo area. There are no adverse market trends as evidenced bv onnoion construction and
absorotion rate of both new and oreviouslv occuoied dwellinos.
Market conditions in the subject neighborhood Oncluding support for the above conclusions related to the trend of property values, demand/supply, and marketing time
-- such as data on competitive properties for sale in the neighborhood, description of the prevalence of sales and financing concessions, etc.):
The mainritv of financino in the sub'eet neiohborhood as well as comnetinn communities is bv conventional means. The demand/suoolv ratio
is In balance. Marketina time is under 30 days in most instances. Sales concessions are tvoical in oovemment financedlauaranteed loans.
- Project Informetton for PUDs (tl applicable) - -Is the developer/builder in control of the Home Owners' Association (HOA)? ITVes U No
Approximate total number of units in the subject project N/A Approximate total number of units for sale in the subject project N/A
Describe cornmon elements and recreational facilities: N/A
Dimensions 80' x 125' Topography leveVsloninn
Site area .23 acre Comer Lot 0 Ves C8:I No Size tvoical for the area
Specific zaning classification and description R-1 (residential sinale familv\ Shape rectanoular
Zoning compliance C8:I Legal RIO Legal nonconforming (Grandfathered use) 0 Illegal o No zaning Drainage adenuate
"inhes' ~ h.S' ,,,. as imnrov'd: Present use n Other use lexnlaml View aoed
Utilities Public Other Off-site Improvements Type Public Private Landscaping adenuate
Electricity C8:I Street macadam I2J 0 Driveway Surface macadam
Gas C8J CUrb/gutter concrete C8:I 0 Apparent easements none
Water C8J Sidewalk none 0 0 FEMA Special Flood Hazard Area DVes I2J No
Sanitary sewer ~ Street lights ~ R FEMA Zone C Map Date 4/15/1977
Storm sewer AIIev none FEMA Man No. 42035900038
Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning use, etc.): There are no
annarent adverse easements conditions or encroachments includinn anv utilitv easements or rinhts of way which mav traverse the subiect
site.
GENERAL DESCRIPTION EXTERIOR OESCRIPTION FOUNDATION BASEMENT INSULATION
No. of Units 1 Foundation concrete block Slab 0% Area SQ. Ft. 1 161 Roof _0
No. of Stories B/L Exterior Walls aluminum/brick Crawl Space 0% % Finished 70% Ceiling _ C8J
Type (DetlAtt.) Detached Roof Surface fiberalas. shnol. Basement 100% Ceiling drvwall Walls _ C8J
Design (Style) bi-Ievel Gutters & Dwnspts. aluminum Sump Pump none Walls drvwall Roor _C8J
Existing/Proposed Existino Window Type double huno Dampness none Floor carnet None _ D
Age (Vrs.) 33 Storm/Screens yes Settlement none Outside Entry yes tinknown_ D
Effective A e IYrs.) 25 Manufactured House no Infestation none
ROOMS Fover Livinn Dininn Kitchen Den Familv Rm. Rec. Rm. Bedrooms # Baths Laundrv Other Area So. Fl
- Basement 1 1 1 1 1161
:
Levell 1 1 1 3 1 1247
- Level 2
-
Finished area above "rade contains: 6 Rooms' 3 Bedroomlsl: 1 Bath sl' 1 247 S uare Feet of Gross Livino Area
INTERIOR Materials/Condition HEATING yes KITCHEN EQUIP. A TIlC AMENITIES CAR STORAGE:
- Roors CaroeUvinvVnood Type bsbd. Refrigerator 0 None 0 Fireplace(s) # ~ I2J None D
Walls Drvwall/coed Fuel Oil Range/Oven I2J Stairs 0 Patio 0 Garage # of cars
Trinv'Finish wood/ aood Condition averaoe Disposal 0 Drop Stair 0 Deck wood I2J Attached
Bath Floor carnAUaverane COOliNG yes ~ishwasher C8:I Scuttle I2J Porch 0 Detached
Bath Wainscot ceramic/aoed Central N/A Farv'Hood IZI Roor 0 Fence 0 Buitt-In 1 car
Doors wood/oood Other N/A Microwave 0 Heated R Pool R Carport
Condition N/ A Washer/DrYer n Finished Drivewav macadam
Additional features (special energy efficient items, etc.): none
Condition of the improvements, depreciation (physical, functional, and external), repairs needed, Quality of construction, remodeling/additions, etc.: There are no
. nhvsical functional or external inad""uacies. There are no reoairs needed.
-
Adverse environmental conditions (such as, but not limited to, hazardous wasles, toxic substances, etc.) present in the improvements, on the site, or in the
immediate vicinity of the subject property.: None Observed
UNIFORM RESIDENTIAL APPRAISAL REPORT
Freddie Mac Form 70 6193
PAGE 1 OF 2
Form UA2 - 'TOTAL for Windows' appraisal software by a la mode, inc. - 1-800-ALAMODE
Fannie Mae Form 1004 6193
UNIFORM RESIDENTIAL APPRAISAL REPORT
Valuation ~~tlon
ESTIMATE.D SITE VALUE u..u....... uuuuu...... ...... ...u...," $
ESTIMATED REPRODUCTION COST-NEW-OF IMPROVEMENTS:
Dwelling 1.247 Sq. Ft. @$ 92.00 = $
1 161 Sq. Ft. @$ 25.00 =
Garage/Carport _ Sq. Fl. @$
. Total Estimated Cost New........ ..u........ .u..u= $
- Less Physical Functional External
Depreciation 35.000 I I
Depreciated Value of Improvements ..... . . . . .. ... .
'As-is' Value of S~e Improvements ..u....
INDICATEDVALUEBYCOSTAPPROACH .... ......u......
ITEM I SUBJECT
13 Randi Rd
Address Enola
Proximilv to Subiect
Sales Price I $
Price/Gross Uvinn Area 1$
Data and/or
Verification Source
VAlUE AOJUSTMENTS
Sales or Financing
Concessions
Date of Sal.JTime
Location
Leasehold/Fee Simnle
S~e
View
Desinn and Anneal
Dualilv of Construction
Ane
Condition
Above Grade
Room Count
_ Gross Uvinn Area
. Basement & Finished
- Rooms Below Grade
~ Functional Utilitv
. Heatinn/Coolinn
- Enernv Efficient ~ems
Garane/Camort
- Porch, Patio, Deck,
Firenlace/sl etc.
Fence Pool etc.
=$
.uu.. =$
u"u.. =$
u...... =$
COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3
13 Patricia Dr. 19 Annette Dr. 23 Pine Ridge Circle
Enola Enola Enola
N/~;,;~~.~il:'95.~;~1 ...1~~ 5!~~~~~~~J~;~~'~'~~,~r~i.:~1~ 130.38 rjJ 169500'
Multi List Service/Court House Multi List Service/Court House Multi List Service/Court House
Records Records Records
DESCRIPTION : +{-I$Ad!ust DESCRIPTION: +H$Adiust DESCRIPTION: +H$Adlust.
Conv Conv Conv
Inspected
DESCRIPTION
'oODd
Fee Simole
.23 acre
loood
bi-Ievel/nood
loood
33
oood
Total : Bdrms: Baths
6 : 3 : 1
1 247 Sn. Ft.
100% Basement
70% Finished
tvoical
OHW/central
114.724
29.025
143,749
none
10-04
nODd
Fee Simole
.34 acre
loood
snlit-Ievel/oood :
, oODd
40
DOod :
Total: Bdrms: Baths :
6 : 3 : 1 :
1 508 So. Ft. :
100% Basement ;
60% Finished
!voical
OHW/none
none none
1 Car built-in Gar 1 Car built-in Gar :
Deck, Fireplace Deck, Fireplace
none
none
45 000
fileNo,
Comments on Cost Approach (such as, source of cost estimate, s~e value,
square foot calculation and for HUD, VA and FmHA, the estimated remaining
economic life of the property): Remaini"" economic life- 40 vears.
Site value derived from market. Cost estimates extracted from
Marshall Swift Cost Handbook as well as vour annraisers
knowledne of local build inn costs.
see bsmt.
35 000
108749
5000
158,749
none
+7000 1-05
oODd
Fee Simale
.51 acre
loODd
ranch tvoe/oood
loood
33
: Good :
T alai : Bdrms: Baths :
5 : 3 1:
1 232 Sn. Ft. :
100% Basement
70% Finished
I !voical
+3000 EBB/none
none
-6000
+4 000 2-05
nODd
Fee Simale
.23 acre
loODd
solit-leveUaood :
I nODd
10
verv aood :
Total : Bdrms: Baths :
5 : 3 : 2 :
1 300 Sn. Ft. :
100% Basement
50% Finished
tvnical
+3 000 EHP/central
+3000
-10 OW
-5,000
none
1 Car Att Garaoe :
Patio, Fireplace
none
-8 000 2 Car built-in Gar :
Patio, Fireplace
-3000
none
none
: : :
~=E- ~+ rlj: ,,:: ~ l~:iirit ,:,:
Comments on Sales Comparison (including the subject property's compatibility to the neighborhood, etc.): The three comoarable sales studied have an
adiusted sale nrice rance of $147 900 to $154 500. Annraiser selects a value of $152000 nivi"" enual weicht to each sale.
ITEM
Date, Price and Data
Source. for prior sales
~in vear of annraisal
Analysis of any current agreement of sale, option, or listing of subject property and analysis of any prior sales of subject and comparables within one year of the date of appraisal:
none
SUBJECT
Not within
3 years
COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3
Has not transferred within one yr Has not transferred within one yr Has not transferred within one yr
INDICATEDVALUEBYSALESCOMPARISONAPPROACH ...................... .. ............... ................... ................................... $ 152000
INDICATED VALUE BY INCOME APPROACH lif Annlicablel Estimated Market Rent $ /Mo. x Gross Rent Multiplier _ t N/A
This appraisal is made ~ 'as is' U subject to the repairs, alterations, inspections or conditions listed below U subject to completion per plans & spectlications.
Conditions of Appraisal: none.
Final Reconciliation: Least weioht is Diven to the cost aooroach. Greatest weioht oiven to the market data aooroach.
- The purpose of this appraisal is to estimate the market value of the real property that is the subject of this report, based on the above conditions and the certification, contingent
and limiting conditions, and market value definition thaI are stated in the attached Freddie Mac Form 439/FNMA form 10048 (Revised
_ I (WE) ESTIMATE THE MARKET VALUE, AS DEFiNED, OFTHE REAL PROPERTY THAT IS THE SUBJECT OF nus REPORT, AS OF
(WHICH IS THE DATE OF INSPECTION AND THE EFFECTIVE DATE OF THIS REPORT) TO BE $ 152,000
APPRAISER: SUPERVISORY APPRAISER (ONLY IF REQUIRED):
SiQnaturll---' ~ ---- Sionature
Name Te~man Name
Date Reoort Sloned 7-08-05 Date Reoort Si ned
State Certification # RL-000563-L State PA State Certification #
Or State Ucense # State Or State License #
Freddie Mac Form 70 6193
6-93
).
5-20-05
o Did 0 Did Not
Inspect Property
PAGE20F2
Form UA2 - "TOTAl lor Windows' appraisal software by a la mode. inc. -1-800-ALAMODE
State
State
Fannie Mae Form 1004 6-93
I Pace #41
MULTI-PURPOSE SUPPLEMENTAL ADDENDUM
FOR FEDERALLY RELATED TRANSACTIONS
Freeman Real Estate
Borrower/Client N/A
Pro Address 13 Randi Rd
C' Enola
Lender N/ A
Coun Cumberland
State Pa.
Zi Code 17025-1822
This Multi-Purpose Supplemental Addendum for Federally Related Transaclions was designed to provide the appraiser with a convenient way to comply with the current
appraisal standards and requirements of the Federal Deposit Insurance Corporation (FDIC), the Office of the Comptroller of Currency (OCC), The Office ot Thrift
Supervision (DTS), the Resolution Trust Corporation (RTC), and the Federal Reserve.
This Multi-Purpose Supplemental Addendum Is for use with any appraisal. Only those
statements which have been checked by the appraiser apply to the property being appraised.
18J 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 a federally related transaction.
18J EXTENT OF APPRAISAL PROCESS
18J The appraisal is based on the intonnation gathered by the appraiser from public records, other identified sources, inspection of the subject property and
neighborhood, and selection of comparable sales within the subject market area. The original source of the comparables is shown in the Data Source section
of the market grid along with the source of confinnation, n available. The original source is presented first. The sources and data are considered reliable.
When conflicting infonnation was provided, the source deemed most reliable has been used. Data believed to be unreliable was not included in the reporl nor
used as a basis lor the value conclusion.
18J The Reproduction Cost is based on Marshall Swift Cost Handbook
supplemented by the appraiser's knowledge 01 the local market.
18J Physical depreciation is based on the estimated effective age of the subject property. Functional and/or external depreciation, if present. is specllically
addressed in the appraisal report or other addenda. In estimating the 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 and/or abstraction of site values from sales of improved properties.
18J The subject property is located in an area of primarily owner-occupied singie family residences and the Income Approach is nof considered to be meaningful.
For this reason, the fncome 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 area.
The rental knowledge is based on prior and/or current rental rate surveys of residential properties. The Gross Rent Multiplier is based on prior and/or current
analysis of prices and market rates for residential properties.
0 For income producing properties, actual rents, vacancies and expenses have been reported and analyzed. They have been used to project future rents,
vacancies and expenses.
18J SUBJECT PROPERTY OFFERING INFORMATION
According to multi-list records the subject property:
18J has not been offered lor sale in the past o 30 days 18J 1 year D 3 years.
D is currently offered for sale for $
D ~ lor sale within the past o 30 days o 1 year o 3 years for $
D Offering infonnation was considered in the final reconciliation of value.
D Offering information was not considered in the final reconciliation of value.
D Offering information was not available. The reasons for unavailability and the steps taken by the appraiser are explained later in this addendum.
18J SALES HISTORY OF SUBJECT PROPERTY
According to Court House Records the subject property:
18J Has not transferred D in the past twelve months. ~ in the past thirty-six months. D in the past 5 years.
D Has transferred D in the past twelve months. D in the past thirty-six months. D in the past 5 years.
D 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 the addenda.
Dale Sales PrIce Document # Seller Buver
~ FEMA FLOOD HAZARD DATA -
~ Subject property ~ in a FEMA Special Rood Hazard Area.
D Subject property iU2caIelI in a FEMA Special Rood Hazard Area.
I Zone FEMA Map/Panel # Map Dale Name of Community I
C 42035900038 4/15/1977 East Pennsboro Townshio
D The community does not particioate in the National Rood Insurance Program.
0 The community does participate in the National Rood Insurance Program.
D It is covered by a reguJac program.
D It is covered by an ~ program.
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Form MPA3 - 'TOTAL for Windows' appraisal software by a la mode, inc. -1-800-ALAMODE
I t'aQe 1f~1
(8J CURRENT SALES CONTRACT
(8J The subject property is currentiv not under contract.
D The contract anellor escrow instructions were not available for review. The unavailability of the contract is explained later in the addenda section.
D The contract and/or escrow instructions were reviewed. The following summarizes the contract:
r Contract Date Amendment Date Contract Price Seller I
I l
D The contract indicated that personal property was not included in the sale.
D The contract indicated that personal property~. It consisted of
D Estimated contributOlY value is $
Personal property was not included in .the final value estimate.
D Personal property ~ in the final value estimate.
D The contract indicated no financino concessions or other incentives.
D The contract indicated the following concessions or incentives:
D If concessions or incentives exisl. the comparables were checked for similar concessions and appropriate adjustments were made, iI applicable, so
that the final value conclusion is in compliance with the Market Value defined herein.
(8J MARKET OVERVIEW Include an explanation of current market conditions and trends.
1.1 months is considered a raasonabla marketing period for the subject property based on multi-list records
(8J ADDITIONAL CERTIFICATION
The Appraiser certifies and agrees that
(1) The analyses, opinions and conclusions were developed, and this report was prepared, in conformity with the Unilorm Standards of Professional
Appraisal Practice ('USPAP'), except that the Departure Provision of the USPAP does not apply.
(2) Their compensation is not contingent upon the reporting of predetermined value or direction in value that favors the cause of the client, the amount
of the value estimate, the attainment of a stipulated resuit, or the occurrence of a subsequent event.
(3) This appraisal assignment was not based on a requested minimum valuation, a specilic valuation, or the approval of a loan.
(8J ADDITIONAL (ENVIRONMENTAL) LIMITING CONDITIONS
The value estimated is based on the assumption that the property is not negatively affected by the existence of hazardous substances or detrimental
environmental conditions unless otherwise stated in this report. The appraiser is not an expert in the identification of hazardous substances or detrimental
environmental conditions. The appraise(s routine inspection of and inquiries about the subject property did not develop any information that indicated
any apparent signilicant hazardous substances 01 detrimental environmental conditions which would affect the property negatively unless otherwise stated
in this report. II is possible that tests and inspections made by a qualified hazardous substance and environmental expert would reveal the existence of
hazardous substances or detrimental environmental conditions on or around the property that would negatively affect its value.
D ADDITIONAL COMMENTS
(8J APPRAISER'S SIGNATURE & LICENSE/CERTIFICATION
..---?':;?"
Appraiser's Sign~~ ---- Effective Date 5-20-05 Date Prepared 7-08-05
Appraiser's Nam print) Terry E. Freeman Phone #
State Pennsylvar D License (8J Certification # RL -000563-L Tax 10 #
D CO-SIGNING APPRAISER'S CERTIFICATION
D The co-signing appraiser has oersonally inspected the subject property, both inside and oul. and has made an exterior inspection of all comparable sales
listed in the report. The report was prepared by the appraiser under direct supervision ot the co-signing appraiser. The co-signing appraiser accepts
responsibility for the contents of the report inCluding the value conclusions and the limiting conditions, and confirms that the certilications apply
fully to the co-signing appraiser.
D The co-signing appraiser has not personallv inspected the interior of the subject property and:
D has not inspected the exterior of the subject property and all comparable sales listed in the report.
D has inspected the exterior of the subject property and all comparable sales listed in the report.
D The report was prepared by the appraiser under direct supervision of the co-signing appraiser. The co-signing appraiser accepts responsibility lor the
contents of the report, including the value conclusions and the limiting conditions, and confirms that the certifications apply fully to the co-signing
appraiser with the exception of the certification regarding physical inspections. The above describes the level of inspection pertormed by the
co-signing appraiser.
D The co-signing appraiser's level of inspection, involvement in the appraisal process and certification are covered elsewhere in the addenda section
of this appraisal.
D CO-SIGNING APPRAISER'S SIGNATURE & LICENSE/CERTIFICATION
Co-SiQning Effective Date Date Prepared
Appraiser's Signature
Co-Signing Appraiser's Name (prtnt) Phone #
State D License D Certification # Tax 10 #
Page 2 of 2
Form MPA3 - 'TOTAL for Windows' appraisal software by a la mode, inc. -1-800-ALAMODE
I .aUt:: 1'fOI
DEFINITION OF MARKET VALUE: 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 specnied date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are
typically motivated; (2) both parties are well informed or well advised, and each acting in what he considers his own best interest; (3) a reasonable time is allowed
for exposure in the open market (4) payment is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; and (5) the price
represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions' granted by anyone associated with
the sale.
. Adjuslments to the com parables must be made for special or creative financing or sales concessions. No adjuslments are necessary
for those costs which are normally paid by sellers as a resuit of tradition or law in a market area; these costs are readily identifiable
since the seller pays these costs in virtually all sales transactions. Special or creative financing adjuslments can be made to the
comparable' property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the
property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the finanCing or concession
but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the
appraiser's judgement.
STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION
CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears in the appraisal report is subject to the following
conditions:
1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it. The appraiser assumes that
the title is good and marketable and, therefore, will not render any opinions about the title. The property is appraised on the basis of it being under responsible
ownership.
2. The appraiser has provided a sketch in the appraisal report to show approximate dimensions of the improvements and the sketch is included only to assist
the reader of the report in visualizing the property and understanding the appraiser's determination of its size.
3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted
in the appraisal report whether the subject site is located in an identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes
no guarantees, express or implied, regarding this determination.
4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do
so have been made beforehand.
5. The appraiser has estimated the value 01 the land in the cosf approach at its highest and best use and the improvements at their contributory value. These
separate valuations of the land and improvements must not be used in conjunction with any other appraisal and are invalid it they are so used.
6. The appraiser has noted in the appraisal report any adverse conditions (such as, needed repairs, depreciation, the presence of hazardous wastes, toxic
substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the normal research involved in pertorming
the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no knowledge of any hidden or unapparent conditions of the property or
adverse environmental conditions (including the presence of hazardous wastes, toxic substances, etc.) that would make the property more or less valuable, and
has assumed that there are no such conditions and makes no guarantees or warranties, express or implied, regarding the condition of the property. The
appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such
conditions exist. Because the appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considered as an
environmental assessment of the property.
7. The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or she considers to be
reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of such Hems that were furnished by other
parties.
8. The appraiser will nol disclose the contents of the appraisal report except as provided for in the Unitorm Standards of Professional Appraisal Practice.
9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or
aiterations on the assumption that completion of the improvements will be pertormed in a workmanlike manner.
10. The appraiser must provide his or her prior written consent before the lender/client specitied in the appraisal report can distribute the appraisal report
(including conclusions about the property value, the appraiser's identity and professional designations, and references to any professional appraisal
organizations or the firm with which the appraiser is associated) to anyone other than the borrower; the mortgagee or its successors and assigns; the mortgage
insurer, consultants; professional appraisal organizations; any state or federally approved financial institution; or any department agency, or instrumentality
of the United States or any state or the District of Columbia; except that the lender/client may distribute the property description section of the report only to data
collection or reporting service{s} without having to obtain the appraiser's prior written consent. The appraiser's written consent and approval must also
be obtained before the appraisal can be conveyed by anyone to the public through advertising, public relations, news, sales, or other media.
Freddie Mac Form 439 6-93
Page t of 2
Fannie Mae Form 1oo4B 6-93
Freeman Real Estate
Form ACR - 'TOTAl for Windows' appraisal soflware by a la mode, inc. - 1-800-AlAMDDE
I Paoe #71
APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that:
1. I have researched the subject market area and have selected a minimum of three recent sales of properties most simnar and proximate to the subject property
for consideration in the sales comparison analysis and have made a dollar adjusbnent when appropriate to reflecf the market reaction to those items of signnicant
variation. II a sign~icant item in a comparable property is superior to, or more favorable than, the subject property, I have made a negative adjusbnent to reduce ~ :~
the adjusted sales price of the comparable and, if a sign~icant lIem in a comparable property is inferior to, or less favorable than the subject property, I have made
a positive adjusbnent to increase the adjusted sales price of the comparable.
2. I have taken into consideration the factors that have an impact on value in my development of the estimate of market value in the appraisal report. I have not
knowingly withheld any signnicant information from the appraisal report and I believe, to the best of my knowledge, that all statements and infonmation in the
appraisal report are true and correct
3. I stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the contingent
and limiting conditions specified in this form.
4. I have no present or prospective interest in the property that is the subject to this report, and I have no present or prospective personal interest or bias with
respect to the partiCipants in the transaction. I did not base, either partially or completely, my analysis and/or the estimate of market value in the appraisal report
on the race, color, religion, sex, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present
owners or occupants of the properties in the vicinity of the subject property.
5. I have no present or contemplated future interest in the subject property, and neither my current or future employment nor my compensation for perlorming this
appraisal is contingent on the appraised value of the property.
6. I was not required to report a predetermined value or direction in vaiue that favors the cause of the client or any related party, the amount of the value estimate,
the attainment of a spec~ic result, or the occurrence of a subsequent event in order to receive my compensation and/or employment for performing the appraisal. I
did not base the appraisal report an a requested minimum valuation, a specnic valuation, or the need to approve a specific mortgage loan.
7. I perlormed this appraisal in conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal
Standards Board of The Appraisal Foundation and that were in place as of the effective date of this appraisai, with the exception of the departure provision of those
Standards, which does not apply. i acknowledge that an estimate of a reasonable time for exposure in the open market is a condition in the definition of market value
and the estimate I developed is consistent with the marketing time noted in the neighborhood section of this report, unless I have otherwise stated in the
reconciliation section.
B. I have personally inspecfed the interior and exterior areas of the subject property and the exterior of all properties listed as comparables in the appraisal report.
I further certify that I have noted any apparent or known adverse conditions in the subject improvements, on the subject site, or on any site within the immediate
vicinity of the subject property of which I am aware and have made adjustments for these adverse conditions in my analysis of the property value to the extent that
i had market evidence to support them. I have also commented about the effect of the adverse conditions on the marketability of the subject property.
9. I personally prepared all conclusions and opinions about the real estate that were set forth in the appraisal report. If I relied on signnicant professional
assistance from any individual or individuals in the perlormance of the appraisal or the preparation of the appraisal report, I have named such individual(s) and
disclosed the specnic tasks performed by them in the reconciliation section of this appraisal report. I certify that any individual so named is qualified to perform
the tasks. I have not authorized anyone to make a change to any item in the report; therefore, ~ an unauthorized change is made to the appraisal report, I will take
no responsibility for it.
SUPERVISORY APPRAISER'S CERTIFICATION: If a supervisory appraiser signed the appraisal report, he or she certifies and agrees that:
I direclly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal report, agree with the statements and conclusions of the appraiser,
agree to be bound by the appraiser's certifications numbered 4 through 7 above, and am taking full responsibility for the appraisal and the appraisal report.
ADDRESS OF PROPERTY APPRAISED: 13 Randi Rd, Enola, Pa. 17025-1822
APPRAISER: SUPERVISORY APPRAISER (only If reqUired):
Signature: ~
Name: T e . Freeman
Date Signed: 7-08-05
State Certification #: RL-000563-L
or State License #:
State: Pennsvlvania
Expiration Date of Certification or License:
---
Signature:
Name:
Date Signed:
State Certification #:
or State License #:
State:
Expiration Date of Certification or License:
6-07
o Did
o Did Not Inspect Property
Freddie Mac Form 439 6.93
Page 2 of 2
Fannie Mae Form l004B 6-93
Form ACR - "TOTAl for Windows' appraisal software by a la mode, inc. - l-BDO-ALAMDDE
Subject Photo Page
Coun Cumberland
State Pa.
1 raoe ""I
Zi Code 17025-1822
Subject Front
13 Rand; Rd
Sales Price
Gross Living Area
T olal Rooms
T olal Bedrooms
T olal Bathrooms
Location
View
Sfte
Quality
Age
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N/A
1,247
6
3
1
good
good
.23 acre
good
33
Subject Rear
Subject Street
1 Paoe #91
Comparable Sales Map
Borrowe[/Client NI A
Pro e Address 13 Randi Rd
C' Enola
Lender NI A
Coun Cumberland
State Pa.
Zi Code 17025-1822
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REV.Ism Ex '('.91)
'*
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATEOF Shirley L.H. Troup
FILE NUMBER 21-05-0514
All property jointly-owned with right of sUlVivorshlp must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
2,828.668 shares of Dryden High Yield Fund, Class A (see statement
attached)
VALUE AT DATE
OF DEATH
$16,868.83
TOTAL (Also enteron line 2, Recapitulation) $ 16,868.83
(If more space is needed, insert additional sheets of the same size)
Prudential $ Financial
Prudential Mutual Fund Services LLC
POBox 8098
Philadelphia, PA 19176
(800) 225-1852
www.prudential.com
Samuel LAndes
Attorneys at Law
525 North Twelfth Street
Lemoyne P A 17043
Shareholder: Shirley LH Troup
Account Number: 4500317872
June 015, 2005
Dear Samuel LAndes:
I am writing to you in reference to recent correspondence received in our office
regarding the mutual fund account listed above.
This account is registered to Shirley only in single name.
As of May 20, 2005, the value in the account is as follows:
Fund Name
Dryden High
Yield Fund:
Class A
Shares
2,828.668
Share Price
$5.61
Value
$15,868.83
The account balance is determined by multiplying the total number of shares in the
account by the Net Asset Value (price per share of the fund). Please keep in mind that
the Net Asset 'Value ofthefundfluctuates on a daily basis and therefore, the account
value will also fluctuate.
I trust that this information has been helpful.
In the event that you have questions or need further assistance, please do not
hesitate to contact our Mutual Fund Service Center at 1-800-225-1852, Monday
through Friday, 8:00am to 8:00pm, Eastern time.
Sinc~~~ fUi2L/1--
Qt Kaufman
Project Manager
REV-1~ EX + (1-97)
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Shirley L.H. Troup
FILE NUMBER 21-05-0514
DESCRIPTION
Miscellaneous items of personal property including some household
furnishings, clothing, and other items of personal ornament and use
2.
Checking account No. 0921725981 with Sovereign Bank (see
statement attached).
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Include the proceeds of litigation and the date the proceeds were received by the estate. AU property jolntfy-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
3.
Certificate of deposit No. 0925157855 with Sovereign Bank (see
statement attached)
VALUE AT DATE
OF DEATH
$1,000.00
$116,427.42
$30,344.27
NOTE: the attached statement identifies other individuals as owners of
the accounts. The accounts, however, were owned solely by the
decedent and the names of Kenneth Troup and John Campbell
appeared on the accounts only because of their appointment, by the
decedent's power of attorney, as her representative for those accounts.
TOTAL (Also enter on line 5. Recapitulation) $ 147,771.69
(If more space is needed, insert additional sheets of the same size)
Court Ordered Processing / MAl MB3 02-10
P.O. Box 841005
Boston, MA 02284
June 15, 2005
Samuel L. Andes
Attorney at Law
P.O. Box 168
Lemoyne, P A 17043
RE: Estate of: Shirley L. Troup
Date of Death: May 20, 2005
Dear Mr. Andes:
Per your request, enclosed please find the account information as of date of death for the
above-named decedent. Please note the balances do not include accrued interest.
If you should have any further questions, please do not hesitate to call.
Very truly yours,
( ( r C---,_
\i\'~.jOQGrtL [;~---------
1 !
Linda Spavento
OAG Team Leader
(617) 533-1789
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Shirley L Troup
177-24-5425
May 20, 2005
Account #: 0921725981 Type: Checking Open date: 3/15/2004
In the name of: Shirley L Troup, Kenneth Troup or John Campbell Arty Iff
Date of Death Balance: $116,427.43
Int.(YTD) from 1/112005 to 5/13/2005 $976.28
Accrued interest to date of death: $0.00
Other Info: closed 6/13/05
Account #: 0925157885 Type: CD Open date: 8/1712000
In the name of: Shirley L Troup, Kenneth Troup or John Campbell Arty Iff
Date of Death Balance: $30,000.00
Int.(YTD) from 1/1/2005 to 4/30/2005 $340.27
Accrued interest to date of death: $65.21
Other Info: closed 6/13/05
Page 1 of 1
REV.,109 EX. (1.91)
'*
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Shirley L.H. Troup
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUMBER 21-05-0514
SURVIVING JOINT TENANT(S) NAME
If an asset was made joint within one year of the decedent's dati of death, it must be reported on Schedule G.
A. John L. Campbell
B.
c.
JOINTLY-OWNED PROPERTY:
ADDRESS
RELATIONSHIP TO DECEDENT
13 Randi Road, Enola, PA 17025
friend
LETTER DATE DESCRIPTION OF PROPERTY '10 OF DATEOFllEATH
ITEM FOR JOINT MADE Include name of finalClal institution 1M balk accounl number or simila- identifying number. AI1ach DATE OF DEATH DECD'S VAlUE OF
NUMBER TENANT JOINT deed for jointly-held real eslate. VAlUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 1962 PNC Bank checking account No. 5140065052 $5,571.86 50% $2,785.93
TOTAL (Also enter on line 6, Recapitulation) $ 2,785.63
(If more space is needed, insert additional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 05-0514
05138444
08-10-2005
REY-1545 EX AFP (09-00)
EST. OF SHIRLEY L TROUP
S.S. NO. 177-24-5425
DATE OF DEATH 05-20-2005
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
IiJ CHECKING
D TRUST
D CERTIF.
JOHN L CAMPBELL
13 RAND I RD
ENOLA PA 17025
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
of Pannsylv~nia. Cuastions may be answered by ~ellins (717) 787-8327.
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140065052 Date 03-01-1962
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
5,571.86
50.000
2,785.93
.15
417 .89
TAXPAYER RESPONSE
To insure proper credit to your accaunt~ two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax payments are made within three
(3) months of the decedent.s date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "An and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent.s representative.
[] The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
[!J
DATE PAID
"/10/'-:' I
DEBTS AND DEDUCTIONS CLAIMED
'f17/ f'i
'2-u ,rz 'i
~
'1; . 0 AMOUNT
i 317'
$
PAID
()
If you indicate a different tax rate, please state your
relationship to decedent:
PART
[3J
TAX RETURN - COMPUTATION
LINE 1. Date E~t3bli~hed
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
x
PAYEE
DESCRIPTION
I
TOTAL (Enter on Line 5 of Tax Computation)
TAXPAY
penalties of
the best of my
L~
SIGNATURE
facts I
HOME (
WORK (
TELEPHONE
REV-1511 EX+ (12-99) Q,!J~l.
~'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATEOF Shirley l.H. Troup
FILE NUMBER 21-05-0514
Debts 01 decedent must be reported on Schedule I
ITEM
NUMBER
A.
DESCRIPTION
1.
FUNERAL EXPENSES:
Sullivan Funeral Home
Rolling Green Cemetery (interment fee)
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s) John l. Campbell
Social Security Number(s)/EIN Number 01 Personal Representative(sL 200-24-1979
Street Address 13 Randi Road
City Enola State.fL Zip 17025
Year(s) Commission Paid: 2005
2.
Allorney Fees Samuel l. Andes
3. Family Exemption: (II decedent's address 15 not the same as claimant's. anach explanation)
Claimant
Street Address
Stale _ Zip
City
Relationship 01 Claimant to Decedent
4.
Probate Fees Register of Wills
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Terry Freeman (real estate appraisal)
Cumberland Law Journal (advertising)
The Sentinel (advertising)
Bank fees
AMOUNT
$4.137.00
$995.00
$1.000.00
$5,000.00
$410.00
$300.00
$75.00
$147.01
$44.35
TOTAL (Also enter on line 9, Recapitulation) $ 12,108.36
(II more space is needed, Insert additional sheets of the same size)
REv-IS12 EX.. 11.911
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF .
ShIrley L.H. Troup
FILE NUMBER 1 0 05
2 - 5- 14
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
Hal S. Fineburg, M.D. (medical bill)
$10.40
2.
Discover Credit Card
$246.28
TOTAL (Also enter on line 10, Recapitulation) $ 256.68
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REV.15tJEX.. 11.91}
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATEOF Shirley L.H. Troup
SCHEDULE J
BENEFICIARIES
FILE NUMBER 21-05-0514
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Ust Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Life estate in
1. John L. Campbell Friend residence and
13 Randi Road ownership of joint
Enola, PA 17025 bank accounts
2. Kenneth G. Troup Son 1/3 of remainder
124 North Keesey Street interest in real
York, PA 17402 estate and 1/2 of
residue of estate.
3. Randy L. Troup Son 1/3 of remainder
33 Lakeside Drive, Unit 40 interest in real
Bristol, CT 06010 estate and 1/2 of
residue of estate.
Friend
4. Tammy A. Powers 1/3 of remainder
21255 230th Avenue S.E. interest in real
Maple Valley, WA 98038 estate
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II . ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
..
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REV-1514 EX + (1-97) (I)
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RElURN
RESIOENT DECEDENT
SCHEDULE K
LIFE ESTATE, ANNUITY
& TERM CERTAIN
(Check Box 4 on Rev-1500 Cover Sheet)
ESTATE OF
FILE NUMBER
Shirley L.H. Troup
21-05-0514
This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death
prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit.
Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5.1.89.
Indicate the type of instrument which created the future interest below and attach a copy to the tax return.
o Will Dlntervivos Deed ofTrust DOther
. ...........................L1FEEStAtEINTERESTicAtcULAtION......../.............. .
NAME(S) OF NEAREST AGE AT TERM OF YEARS LIFE ESTATE IS
LIFE TENANT(S) DATE OF BIRTH DATE OF DEATH PAYABLE
John L. Campbell
1/31/1932 73
1. Value of fund from which life estate is payable
2. Actuarial factor per appropriate table
Interest table rate - 03 1/2% 06%
3. Value of life estate (Line 1 multiplied by Une 2)
010%
[i]Variable Rate .24524 %
I[] Ufe or 0 Tenn of Years
DUfeor DTenn of Years
OUfeor OTenn afYears
OUfeor OTenn afYears
$ 152,000.00
.24524
$ 37,276.00
.......... .......ANNOITYINtERE$tcALCOIJ\TI()~r ............. ............ ................... ...... ..
NAME(S) OF NEAREST AGE AT TERM OF YEARS
ANNUITANT(S) DATE OF BIRTH DATE OF DEATH ANNUITY IS PAYABLE
o Ufe or OTenn of Years
o Ufe or DTenn afYears
OUfeor OTerrn of Years
o Ufe or 0 Term afYears
1. Value of fund from which annuity is payable $
2. Check appropriate block below and enter corresponding (number)
Frequency of payout - OWeekly (52) 0 Bi-weekly (26) 0 Monthly (12)
o Quarterly (4) 0 Semi-annually(2) o Annually (1) o Other ( )
3. Amount of payout per period $
4. Aggregate annual payment, Une 2 mu~ipfied by Line 3
5. Annuity Factor (see instructions)
Interest table rate 031/2% 06% 010% o Variable Rate %
6. Adjustment Factor (see instructions)
7. Value of annuity -If using 3 1/2%, 6%, 10%, or if variable rate and period payout is at end of period,
calculation is: Line 4 x Une 5 x Line 6 $
If using variable rate and period payout is at beginning of period, calculation is:
(Line 4 x Line 5 x Une 6) + Une 3 $
NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on
Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13,
15,16 and 17.
(If mare space is needed, insert additional sheets of the same size)
STFPA42021F.15