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REV-1500 EX + (6-00)
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COMMONWEALTH OF REV-1500
PENNSYLVANIA .____u_uu__~_____
DEPARTMENT OF REVENUE INHERITANCE TAX RETURN ! FILE NUMBER
DEPT. 280601 II 05 0628
HARRISBU_~9~~~__1712~?~~~__ RES IQ~~J:J:?EC E D~~L_~~Q'-l~IY~g~_~~~_~__.__NJlMB_~_u_____
-~-_..- - ------------- ------,-----~----------~~.~-~
. DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
I Nelson, John M. 171-28-7010
1--oATE-OFouEAfH (MM~DD=VEA-R~----T-6AT-E-bF--BTRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
! 07-02-2005 03-02-1923 REGISTER OF WILLS
~_ ___~__.________~________~___ _ ____~____________ __ ___._.____.______._.,_____~__.o___._._______ ___ _ _ ___________.__.__'_
: (IF APPliCABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
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I x 1. Original Return
2. Supplemental Return
OFFICIAL USE ONLY
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3. Remainder Return (date of death prior to 12-13-82)
4a. Future Interest Compromise (date of death after 5. Federal Estate Tax Return Required
12-12-82)
7. Decedent Maintained a living Trust (Attach 8. Total Number of Safe Deposit Boxes
copy of Trust)
_ ___~..rfJl~~I~~~~1~5tr~it (date of d~~th belwe~:_u___u 11.~~~~~~~~a~ under sec'u92.~_~)_(~lt~~Sch 0)
4. Limited Estate
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r-TE-CEPHONE NUMBER
i 717-249-6333
354 Alexander Spring Road, Suite 1
Carlisle, PA 17013
(1 )
(2)
(3)
(4)
OFFICIAL USE ONLY
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
155,000.00
--- ------
21,724.00
- --- -----
15,000.00
None
(5) 55,203.87
(6) None
(7) 240,359.79 !
L. r::'
(8) 487,287.66
(9) 24,727.03
-
(10) 1,913.00
(11 )
26,640.03
460,647.63
0.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
(12)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has
not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(13)
(14)
460,647.63
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) 0.00
or transfers under Sec. 9116(a)(1.2) -------._-----
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0 (16)
i= 16.Amount of Line 14 taxable at lineal rate 460,647.63 x .045 20,729.14
~ ---~-_._---------- ._-
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~ 17.Amount of Line 14 taxable at sibling rate 0.00 x .12 (17) 0.00
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u 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18) 0.00
>< x
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... 19. Tax Due
(19) 20,729.14
~~.~--~------- -._.------
20. [K]
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
<>> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE. SIDE AND RECHECK MATH<<
Copyright 2002 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00kK
Rev-1502 EX+ (6-98)
.
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Nelson, John M.
FILE NUMBER
21-05-0628
All real property owned solely or as a tenant In common must be reported at fair martc:et value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which Is Jointly-owned with right of survivorship must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1
17 -19 North Baltimore Avenue, Mt. Holly Springs, Cumberland County - (appraisal
attached)
. 155,000.00
TOTAL (Also enter on Line 1, Recapitulation)
155,000.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule A (Rev. 6-98)
Rev-1503 EX+ (6-98)
.
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Nelson, John M.
FILE NUMBER
21-05-0628
ESTATE OF
All property Jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 400 shares of PNC, common stock 54.31 21,724.00
TOTAL (Also enter on Line 2, Recapitulation) 21.724.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule B (Rev. 6-98)
Rev-1503 EX+ (6-98)
.
SCHEDULE C
CLOSELY-HELD CORPORATION,
PARTNERSHIP OR
SOLE-PROPRIETORSHIP
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Nelson, John M.
FILE NUMBER
21-05-0628
Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than
a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships.
ITEM
NUMBER DESCRIPTION
1 Nelson's Barbershop - family owened/licensed barbership & contents
VALUE AT DATE
OF DEATH
15,000.00
TOTAL (Also enter on Line 3, Recapitulation)
15,000.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule C (Rev. 6-98)
Rev-1508 EX+ (6-98)
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SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Nelson, John M.
FILE NUMBER
21-05-0628
ESTATE OF
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 PNC Bank - certificate of deposit 25,333.04
2 PNC Bank - checking account 12,723.92
3 PNC Bank - savings account 5.852.92
4 Prudential Alliance Account Services 408.99
5 2003 Ford Taurus & 1971 Ford L TO 8,500.00
6 Miscellaneous personal property, household goods 2,385.00
TOTAL (Also enter on Line 5, Recapitulation)
55,203.87
<If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
Rev-1510 EX+ (6-98)
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SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Nelson, John M.
FILE NUMBER
21-05-0628
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1 Allstate Life & Annuity 143.362.54 143.362.54
2 MetLife annuity 82.610.87 82.610.87
3 Prudential Financial - annuity 14.386.38 14.386.38
TOTAL (Also enter on Line 7, Recapitulation) 240.359.79
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule G (Rev. 6-98)
REV-1151 EX+ (12-99)
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SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Nelson, John M.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-05-0628
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
Cumberland Valley Memor~al Gardens - grave opening 1.045.00
Hollinger Funeral Home 9.642.00
B. ADMINISTRA TIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees SALZMANN HUGHES PC 13,100.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 348.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 592.03
TOTAL (Also enter on line 9, Recapitulation) 24,727.03
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Nelson, John M.
FILE NUMBER
21-05-0628
ESTATE OF
ITEM
NUMBER DESCRIPTION AMOUNT
1 Cumberland Law Journal - estate notice publication 75.00
2 Register of Wills - filing fees 40.00
3 Roy D. Gotshall Auctioneer - appraisal fee 65.00
4 Steve Barrett Real Estate - appraisal fee 275.00
5 The Sentinel - Legal - estate notice publication 137.03
Subtotal
592.03
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE liABiliTIES, & liENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Nelson, John M.
FILE NUMBER
21-05-0628
ESTATE OF
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Apria Healthcare
2 Comcast
3 Fomprest Cleaners
4 Laboratory Corp. of America
5 Met-Ed
6 Mt. Holly Springs Borough
7 Sprint
8 Three Springs Family Practice
VALUE AT DATE
OF DEATH
24.05
47.82
5.47
107.00
119.02
1.442.13
130.79
36.72
TOTAL (Also enter on Line 10, Recapitulation)
1,913.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV-1513 EX+ (9-00)
.
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
NUMBER
Nelson, John M.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
FILE NUMBER
21-05-0628
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
ESTATE OF
I.
Thomas P. Nelson
19 North Baltimore Avenue
Mount Holly Springs, PA 17065
Son
remainder
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
W iLL
Ir JOHN M. NELSaNr of Mt. Holly Spring:;, Pennsylv'.:1nia, d.eclare this
to be my last will and revoke any 'wills previou~ly made by me.
I. I give, devise and bequeath my entire estate whereso.=ver situated to my
wife, Dorothy L. Nelson, of Mt. Holly Spring), Penn;'iylvania, if she is living thirty
(30) days after my death; otherwise, I give, devise and bequeath the same to my son,
Thomas P. Nelson, of Waynt~, Pennsylvania.
2. I appoint Cumberland County National Bank and Trust Company of Mt. Holly
Spring:>, Pennsylvania, tru5tee of any property which passes, either under this will or
otherwise, to a person under twenty-one years of age and with respect to which I am
authorized to appoint a trustee and have not otherwise specifically done so. Such trustee
shall have the power to use prin::ipal as well a:i income from time to time for the bene-
ficiary's support and education (in:luding co!lege education, both graduate and under-
g;-aduate) without regard to his or her parentIs ability to provide for such support and
education, and, to m,::tke payment for these purposes, without further respon5ibility, to the
ben,~ficiaryls parent, the beneficiary, or to any pers~n taking care of the beneficiary.
My trustee shall helve the same pO'Ners that I could exercise in ,:onnection therewith if I
were living, including but not limited to those set forth in this paragraph. Any such trust
shall terminate when the beneficiary thereof reaches the age of twenty-one years.
3. I appoint my ""vife, Dorothy L. Nelson, executor to ~~ettle my estate. If she
fails to qualify or ceases to (.:Jct as such, I appoint my son, Thomas P. Nelson, executor
of my estate. If both of them predece.::tse me, I appoint Cumberland County National
Bank and Trust Company of Mt. Holly Springs, Pennsylvania" executor to settle my estate.
My executor shall serve without the necessity of filing bond in (]ny jurisdiction :Jnd I
request tht:Jt the services 0+ Marion R. Lo,tA.er, attorney at law, of Carlisle, Penn:;ylv~nia,
b.e u:)ed in th e sett I em ent of my estate.
4. I direct that all taxes that may be asse5sed on consequence of my death, of
whatever nature .:Jnd by whatever iurisidiction impoijed, shc]11 be pc;Jid by my personal
representative as an expense of the administration of my estate.
S eptemb er _:] t , 198.3
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Signed)' publishedr and declar-ed by JOHN M. NELSON, the testator herein
named Q;; and for his last will, in the presence of us, who, at his request, in his presence,
and in the piesen,~e of each other have subscribed our n,:1mes a:; witnesses thereto.
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S. W. Barrett Real Estate & Appraisal Services
FiI~ No. 05-0599
APPRAISAL OF
LOCATED AT:
17~19 N. Baltimore Avenue
Mt. Holly Springs, PA 17065~1302
FOR:
Pat Brown, Esquire
10 West Pomfret Street
Carlisle, PA 17013
BORROWER:
NELSON. ..John M. (Estate)
AS OF:
October 7. 2005
BY:
Stan A. Skowronek
Certified Resid~nti~1 Appraiser
124-126 North Hanover Street. Carlisle, PA 17013
S. W. Barrett Real Estate & Appraisal Services
File No. 05-0599
10/25/2005
Pat Brown, Esquire
10 West Pomfret Street
Carlisle, PA 17013
File Number: 05-0599
In accordance with your request, I have personally inspected and appraised the real property at:
17-19 N. Baltimore Avenue
Mt. Holly Springs, PA 17065-1302
The purpose of this appraisal is to estimate the market value of the subject property, as improved.
The property rights appraised are the fee simple interest in the site and improvements.
In my opinion, the estimated market value of the property as of October 7,2005 is:
. $155,000
One Hundred Fifty-Five Thousand Dollars
The attached report contains the description, analysis and supportive data for the conclusions,
final estimate of value, descriptive photographs, limiting conditions and appropriate certifications.
Respectfully submitted,
<'\ (, (-=-\J V
~~"'i' \. .~~\t., ~ If ! 111. \-.'"
'_...,.,'" " \"...."'..... ..\ ., \.' ,
Stan A. Skowronek
Certified Residential Appraiser
124-126 North Hanover Street, Carlisle, P A 17013
SUMMARY APPRAISAL REPORT
UNIFORM RESIDENTIAL APPRAISAL REPORT
05 0599
Properly Description File No.
Property Address 17-19 N. Baltimore Avenue City Mt. Holly Sflrings State P A Zip Code 17065-1302
l-.!:99lQ~~~p.tion See~al description ,-.--. County Cumberland
Assessor's Parcel No. 23-32-2336-232 Tax Year 05/06 R.E. Taxes $ 1,944.00 Special Assessments $ N/A
Borrower NELSON John M. (Estate) Current Owner John M.lDorothy R. Nelson Occupant: r xl Owner l Tenant r j Vacant
" Propertv riahts appraised I X 1 Fee Simple l Leasehold I Proiect Type I 1 PUD I ] Condominium (HUON A only) HOAS N/A IMo.
.!i~ig~~()rhood or Project Name Borough of Mount Holly Springs Map Reference 32-2336 Census Tract 0126.00
_~a\e Price $ N/A Date of Sale N/A Description and S amouRt of loan charges/concessions to be paid by seller N/ A
~ender/C:ient Pat Brown, Esquire Address 1 Q West Pomfret Street, Carlisle, PA 17013
l:.Efraiser Stan A. Skowronek Address 124-126 North Hanover St Carlisle Pa. 17013
Location 0 Urban ~ Suburban LJ Rural Predominant S'ngle"m'ly hous,ngl "'esent land use% Land use change
Built up DOver 75% ~ 25-75% o Under 25% occupancy f(~J~E ~~f One family ~5~~ [RJ Not likely o Likely
Growth rate o Rapid 00 Stable o Slow 00 Owner ~ Low New 2-4 family ~ o In process
Property values 00 IncreaSing o Stable o Declining o Tenant 225 Hiqh ~ Multi-family ~ To:
Demand/supply 00 Shortage o In balance o OM supp~ 00 Vacant(0-5%) Predominant I Commercial 20%
MarketinQ time [Xl Under 3 mos. lJ '3-6 mos. II Over 6 mos. r'l Vacant (~ver 5% 130 I 75 kVacant ) 5%
Note: Race and the racial composition of the neighborhood are not appraisal factors.
Neighborhood boundaries and characteristics: !h~ subject is bounded on the north by Newville Rd, on the east by route 34, on the south
: _I?~ Pine St and on the ~est by Sh!Qpensburg Rd..
· Factors that affect the m,nketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to market, etc.):
. There are no adverse factors to affect marketability of subiect. Diverse stable emplovment and all supportina amenities are
.. .~l~hin easy driving distance. SMSA 3240
.--
..
Market conditions in the subject neighborhood (including support for the above conclusions related to the trend of property values, demand/supply, and marketing time
- - such as data on competitive properlies for sale in the neighborhood, description of the prevalence of sales and financing concessions, etc.):
Property sales records and MLS st~tis.tics show a steadv increase in property values over the past year. Averaae marketinQ
Jime of 20-60 days shows a shortaQe in supply over the past several years. Few sales and financinQ concessions are needed
in the neighborhood.
. Project Information for PUDs (If applicable) - - Is the developer/builder in control of the Home Owners' Association (HOA)? DYES UNO
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 common elements and recreational facilities' N/A
Dimensions See legal description Topography Basicallv Level
Site area .16 Acre mil Corner Lot U Yes ~ No Size Typical for area
Specific zoning classification and description Village District Shape Recta.t::Igu1ar
Zoning compliance 00 legal 0 legal nonoonforming (Grandfathered use) 0 Illegal U No zoning Drainage Aooears Adeauate
Highest & best use as improved: rxT Present use ,'1 Other use (explain) View Village
Utilities Public Other Off-site Improvements Type Public Private Landscaping Average
Electricity 00 200 Amp Street Macadam _.-- 00 0 Driveway Surface Macadam
Gas 0 Curb/gutter Concrete 00 0 Apparent easements None Apparent
Water 00 Sidewalk Concrete 00 0 FEMA Special Flood Hazard Area U Yes [KJ No
Sanitary sewer ~ Street lights Adequate fX} R FEMA Zone X Map Date 01/05/1996
~!'" sewer Alley Side & Rear rxl FEMA MaD No. 420365 0001 C
Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning, use, etc.): There are no
i!Eparent adverse easements, encroachments or other ad",erse conditions.
GENERAL DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION BASEMENT INSULATION
No. of Units 1 Foundation Stone Slab None Area Sq.Ft. 1408 Roof 0
~~o of Stories 2 Exterior Walls Alu!.!'.l!l~~ Oawl Space Non e % Finished 0% Ceiling ;-- 00
Type (DeUAtt.) !)etached Roof Surface ~e!al Basement Full Ceiling Open Joist Walls ;-- 00
Design (Style) 2 StorL- Gutters & Dwnspts. Aluminum Sump Pump Yes Walls Stone Floor ;-- 00
Existing!Proposed Existing Window Ty~e Wood Frame Dampness None O~~ Floor Concrete None - 0
Age (Yrs.) 1..00 Storm/Screens Thermal Settlement None Obs Outside Entry Yes Unknown ===0
Effective Aae Yrs.) 15-20 Manufactured House No Infestation None Obs * R Factor Unk
. ROOMS Fover living Dining Kitchen Den Familv Rm. Rec. Rm. Bedrooms # Baths Laundry Other Area Sq.Ft.
Basement
~ Leve/1 1 1 1 1.5 Bus. A 1,589
:~:ei2~ 4 1 1 408
--,--.----
.~ Finished area above qrade contains: 7 Rooms; 4 Bedroom s); 2.5 Bath(s): 2 997 Sauare Feet of Gross Livinq Area
;;; INTERIOR Materials/Condition HEATING KITCHEN EQUIP. ATTIC AMENITIES CAR STORAGE:
:I !-I rdwd/Crpt/Vi nyl FH~ Refrigerator 0 0 Fireplace(s) # ~ [X) 0
Floors Type None None
. Walls Plaster/Panel Fuel 9il/El~ Range/Oven 00 Stairs 00 Patio Concrete 00 Garage 2 # of cars
Trim/Finish Wood ConditionA va/ A va Disposal 0 ,Drop Stair 0 Deck 0 Attached
Bath Floor Carpet/vinyl COOLING Dishwasher 0 Scuttle 0 Porch 0 Detached 2
Bath Wainscot Drvwall Central No Fan/Hood 0 Floor 00 Fence 0 Built-In
Doors Wood Other ~~ Microwave R Heated R Pool -- R Carport
Averaae Condition ConditionG ood Washer/Drver Finished Drivewav 4/Mac
Additional features (special energy efficient items, etc.): Side covered patio. First floor in-home business area which could be
reincorporated into QenerallivinQ space with minimum cost. Electric baseboard heat to the in-home business area.
Condition of the improvements, depreciation (physical, functional, and external), repairs needed, quality of construction remodeling/additions, etc.: Improve
ments are in average conditon with no ohvsical or functional inadequacies noted.
I Adverse environmental conditions (such as. but not limited to, hazardous wastes, toxic substances, etc.) present in the improvements, on the site, or in the
immediate \/icinit)l of the subject property: No adverse environmental conditions are apparent/disclosed.
Fre<Jd', Mac Form 70 6-93
P!,GE 1 OF 2
Produced using ACI wftware. 800.234.8727 wwwaciwebcom
Fannie Mae Form 1004 6.93
Valuation Section
SUMMARY APPRAISAL REPORT
UNIFORM RESIDENTIAL APPRAISAL REPORT
ESTIMATED SITE VALUE. . , , . . . , . . . . , . . . . . . . , , . . . , , = $
ESTIMATED REPRODUCTION COST.NEW OF IMPROVEMENTS:
Dwelling Sq. Ft. @ $ _ = $
Sq. Ft. @$__ =
VALUE ADJUSTMENTS
Sales or Financing
Concessions
Date of SalelTime
Location
J:,easehotlfee Simple
Site
View
De~i~n and Appeal
Qu~ of Construdro
A~e
C9ndition
Above Grade
Room Count
Gross Livinq Area
Basement & Finished
~ Rooms Below Grade
Functional Utility
Heatin~/Cool~
Enerqy Efficient Items
Garaqe/Carport
Porch. Patio, Deck,
Fireplace(s), etc.
Fence, Pool, etc.
$ N/A
$ 0.00 ltJ
Inspection
Courthouse
DESCRIPTION
N/A
N/A
Suburban
Fee Simple
.16 Ac/Ava
Resid/Comm
2 Story/Ava
Averaae
100 Years
Average
Total.; Bdrms '
20
7:
= s
Est. Remaining Econ. Life:
= $
...." =$
........ =$
......... =$
COMPARABLE NO_~ 1
615 N. Baltimore Avenue
Mt. Holry Sorinas
0.71 MI NNW
$
$ 65.75 ltJ
M LS/Courthse
DESCRIPTION
None,Conv
__ ..Q9M 54___
08/29/2005
Suburban
Fee _Sim-p-Ie
1.3 Ac/AvQ
Resid/Comm
2 Story/Ava
Averaae
~5 Years
Averaae
Baths
T ota! : Bdrrm I
Baths
27,000
File No 05-0599
Comments on Cost Approach (such as, source of cost estimate.
site value, square foot calculation and for HUD, VA and FrnHA, the
estimated remaining economic life of the property):
Cost Approach deeD1ed~or indicator of value due to
~g~~I the improvements. Estimated remainina
economic life is 40-45 years
164 900
COMf>N~ABLE NO.2
141 W. Big Spring Avenue
Newville
11.8 MI WNW
$
$ 47.57 ltJ
M LS/Courthse
COMPARABLE NO.3
60 Broad Street
Newville
12.0 MI WNW
--
148000
Garage/Carport _ Sq. Ft. @ $ _ =
Total Estimated Cost New
~ Less .. Physical I Fu'n~tio'n~I' f . E~t~r'n~I'
DepreCiation I
Depreciated Value of Improvements . . .. ..
"As-is" Value of Site Improvements. . , .
INDICA TED VALUE BY COST APPROACH.
ITEM SUBJECT
17-19 N. Baltimore Avenue
~dress Mt. Holly Springs
Proximi!y' to Subject
Sales Pric~_
Price/Gross Liv. kea
Data and/or
Verification Sources
4: 2.50
2 997 Sq. Ft.
Full Bsmt/
Unfinished
Averaae
FHA/EBB/None
Typical
2 Car Garaae
Patio/
1 Fireplace
None
7:
3: 2.00:
2 598 8o.Ft. :
Full Bsmt/
Unfinished
Averaae
FHA/CA
Typical
2 CCJr. Gar<!g~
Large Porch
None
I . (-) $ Adjustment
:
:
:
:
: -4 560
-
:
:
162.500
$
$ 48.67 ltJ
Courthouse/App Data
DESCRIPTION I . (-) S Adjustment
None,Conv :
DOM 41 :
11/08/2004 :
Suburban
Fee Simole
.52 Ac/Ava : -1 440
Resid/Comm
2 St~rv/Ava
Averaae :
100 Years
Averaae
Total : Bdrms I Baths :
DESCRIPTION I · (.) $ Adjustment
Unknown
Unknown
0?/22/~005 :
Suburban :
Fee Simole :
.25 AclAvg
Residential :
?_~!9!y!~vg :
.~verage :
95 Years
Average
T alaI : Bdrms ' Baths :
COMPARABLE NO.2
Steven W. Barrett R.E. Appr. Svc.
1,500 ~___~~~~
9780 3416 Sq.Ft. '
Full Bsmt/
Unfinished
Averaae
-5 000 HWStm/None
Tvpical
None
-5,000 Porch/
5 Fireplaces
None
3,000 ~~-12Q..;
-8 380 3,041 Sq.Ft. :
Part. Bsmt/
Unfinished
Averaae
HWBB/None
Tvoical
5,000 1 Car Gar<!ge
-5,000 Deck/Por/Patio/
1 Fireplace
None
3,000
o
2,500
2500
-3,000
~JAdj.(total) [1+ fxl-:$ 3280 fl+ IX].:$ 6820 Ixl+ fl-:$ 5,000
Adjusted Sales Price Gross: 15.7% Gross: 14.0% Gross: 7.4%
of Comparable Net: -2.0% $ 161 620 Net: -4.2% $ 155 680 Net: 3.4% $ 153 000
Comments on Sales Comparison (including the subject property's compatibility to the neighborhood, etc.): Opinion of value range is $153,000 to
1.16_2,000. Surplus acreage ad~lpents are made at $4,000/acre. Lack of suitable comoarables within the subject's
immediate vicinity required an_~andeQ_search area. The Newville market is considered to be similar to the Mt. Hollv
Springs market. These are the best sales com parables known to be available.
ITEM SUBJECT COMPARABLE NO.1
Date, Price and Data I
Source for prior sales Unknown None None None
within year of appraisal Unknown Courthouse Courthouse Courthouse
Analysis of any current agreement of sale, option, or listing of the subject property and analysis of any prior sales of subject and comparables within one year of the date of appraisal:
No prior transfers of the subject within the past 36 months and no prior transfers of the comparables within 12 months of
their sale date.
INDICATED VALUE BY SALES COMPARISON APPROACH. . .. . . , . . . . , . . . . . . . . . . . . . . . . . . . . $
. INDICATED VALUE BY INCOME APPROACH (If APplicable) Estim~ted 'Ma~kei R~~t'$' . . . . . .. . t.HA /Mo. x Gross Rent Muitiolier N/A = $
This appraisal is made 00 "as is" 0 subject to the repairs, alterations, inspections or conditions listed below 0 subject to completion per plans and specifications.
Conditions of Appraisal: The property has been aooraised in current condition. This is for the clients use only non-transferable.
Final Reconciliation: The Market Data Analysis supports my estimated market value of the subject. The Cost Approach was not
_~LeerT1~d an appropri~te indicator of value due to the a9_e of the subiect and therefore was not included herein. The Income
. _~pproach was also deemed inappropriate for this analysis.
~ 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 oonditions, and market value definition that are stated in the attached Freddie Mac Form 439/Fannie Mae Form 1 004B (Revised 6/93 ).
~ I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF 10/07/2005
· (WHICH IS THE DATE OF INSPECTION AND THE EFFECTIVE DATE OF THIS REPORT) TO BE $ ~55,000<:---'"-'-1 .
. APPRAISER~~.....:! C., -~\ / \.... SUPER~ A~RAISE~(9NL i IF 5EQUl8EOi)'/
Signature. ~\,,\,. _ , . '. ..x..C.{,L,\,'",-,j;:", Signature :J__. '- t '-.-.----~.
Name Stan A. Skowronek Name Steven W. Barrett, SRPA, SRA
Date Report Signed 10/25/2005 ____ Date Report SiQned 10/25/2005
tState Certification # RL-001572-L State PA State Certification # GA-000298-L
Or State License # State Or State License # RB-026921-A
Fr~dd'e M.c ",'n 70 6-93 Certified Residential PAGE 2 OF 2 l;ertified General Appraiser Fannie Mae Form 1004 6-93
Produced "'1n0 ACI software. 81)!) 2348727 wwwaciweb com
Appraiser
COMPARABLE NO.3
155,000
N/A
DDid lKJDid Not
Inspect Property
State P A
State PA
FLOORPLAN
Borrower: NELSON, John M. (Estate)
frQperty Adilre~s:_ tI:.!~ N. Baltimore Avenue
~l!YJYIt. Holly Springs
Lender: Pat Brown Es uire
Dining
In Home
Business Area
living
Sketch by Apex IV Windows ™
AREA CALCULATIONS SUMMARY
Code Description Size Totals
GLA1 First Floor 1408.00
First Floor 21.00
First Flo.or 160.00 1589.00
GLA2 Second Floor 1408.00 1408.00
pip Covered Stoop 27.00
Covered Patio 192.00 219.00
TOTAL LIVABLE (rounded) 2997
File No.: 05-0599
Case No.:
State: PA
Zip: 17065-1302
Bath E
0
0
-0
Q)
CD
E
0
0
-0
(])
CD
E
0
0
-0
Q)
co
LIVING AREA BREAKDOWN
Breakdown Subtotals
First Floor
22.0 X 48.0 1056.00
16.0 x 22.0 352 _ 00
3.0 x 4.0 12.00
0.5 x 3.0 x 3.0 4.50
0.5 x 3.0 x 3.0 4.50
10.0 x 16.0 160.00
Second Floor
22.0 x 48.0 1056.00
16.0 x 22.0 352.00
8 Areas Total (rounded) 2997
124-126 North Hanover Street, Carlisle, PA 17013
'"'..., I.."", .... ~. , . '" "'. "- f '" . J I ..". -..., r"\ W'...,......, W ...
t3orrower: NELSON, John M. (EstateL___u______________lite No.: 05-0599
Droperty Address: 17-19 N. Baltimore Avenue Case No.:
Gi!LMt.Ji~llY_~~Ll!as H_________~Late: P.l\ Zip: 17065
Lender: Pat Brown. Esquire
FRONT VIEW OF
SUBJECT PROPERTY
P',ppraised Date: October 7, 2005
Appraised Value: $
REAR VIEW OF
SUBJECT PROPERTY
STREET SCENE
State: PA
Borrower: NELSON, John M. (Estate)
Pro~ Address: 17-19 N. Baltimore Avenue
City: Mt. Ho!bL~~___________
Lender: Pat Brown. Esquire
Zip: 17065.
Fi!e .No: 05-0599
_ Case No.:
--"... ..........-....-. .,....... ....,.. . .f""-"'.~,..,....................,......J..
File No.: 05-0599
(?se No.: .
Borrower: NELSON, John M.iEsta~
Er:Q~erty .A,ddress: 17-19 N. Baltimore Avenue
City: Mt. Holly Springs
Lender: Pat Brown Esquire
State: PA
Zip: 17065-1302
I,
II
I:
II
COMPARABLE SALE #1
615 N. Baltimore Avenue
Mt. Holly Springs
Sale Date: 08/29/2005
Sale Price: $ 164,900
COMPARABLE SALE #2
141 W. Big Spring Avenue
Newville
Sale Date: 11/08/2004
Sale Price: $ 162,500
COMPARABLE SALE #3
60 Broad Street
Newville
Sale Date: 07/22/2005
Sale Price: $ 148,000
llorrower: NELSON, John M. ~!!~___
PropertY~I\Q9i~~J .I-=-"~~nf'J~._~_~I~!!D~~re AV~~fl~~_____ __~
City: Mt. H?lIy Springs
Lender: Pat Brown Es uire
______ File No,: 05-0599
_. _________~-_~__~____~____~_ _ Case No~~__~_
Str:1te: PA
Zip: 17065-1302
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repre~entatons cr Ijlarrantie! to an\( pa1v cmcerring tt-e corr.ent, 3CCIJI"3C'y' 0-
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thi; 1100-:1 report.
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124~126 North Hanover Street, Carlisle. PA 17013
J
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t
LOCATION MAP
~orrower: NELSO~!ln~~_tC!!e)
P.lQ~ty Address: 17-19 N. Baltimore Avenue
9!LML HolI}' Springs
Lender: Pat Brown Es uire
State: PA
File No.: 05-0599
Case No.:
ZiP.: 1}065-1302
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24
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_ ___._____J
124-126 North Hanover Street, Carlisle, PA 17013
File No. 05-0599
********* QUALIFICATIONS *********
The following checked items are SPECIFIC SPECIAL CONDITIONS that were identified by this appraiser during the
inspection of the subject property, the com parables sales, and their neighborhoods and locations. Unless otherwise
noted, the conditions that apply to the subject property or the comparable sales used DO NOT AFFECT THE MARKET
VALUE OR THE FUTURE MARKETABILITY OF THE SUBJECT PROPERTY BEING APPRAISED. This is not a home
inspection service. This is an appraisal to estimate market value.
_1. The subject is located in a rural area and is less than 25% built-up.
_x_2. Commercial/Industrial uses are located within the subject's neighborhood. These uses are typical of similar
neighborhoods.
_3. Vacant and undeveloped land uses are located within the subject's neighborhood. These uses are typical for
the area.
_x_ 4. The predominant value in the neighborhood is less than that of the market value of the subject property. This
is due to the very wide range of value of properties in the area and superior quality of the subject property.
_5. The subject property is located in a F.E.M.A. Identified Flood Zone. Flood insurance coverage is required and
suggested.
_6. Dampness is noted in the basement of the subject. Standing or running water was not present on basement
floor. This condition is considered typical in dwellings of this style.
_7. The subject property is serviced by private well and/or septic systems which is common for the area.
_x_B. The subject is older than five(5) years. All mechanical systems including the heating, electrical and plumbing
systems appear upon a visual exterior inspection to be in working order. No warranties are implied in this statement.
_9. Repair items were noted in the comments section of the report. These comments on repair items are for
descriptive purposes only and are not required repairs. The items listed are cosmetic in nature.
_10. The basement floor is a dirt floor. This condition is common and typical for the area. and does not pose a
health or safety hazard.
_11. The subject property does contain functional obsolescence as noted in the report. This condition is
considered typical and common for the area and this style dwelling.
_12. The land value exceeds 30% of total value due to the high demand for vacant land in this neighborhood. This
condition is considered common and typical for the neighborhood.
_13. The land value ex.ceeds 30% of total value. This is due to the large size of the site. This condition is
considered to be typical and common.
_14. Individual adjustments were required that exceed 15%. These adjustments were required due to lack of more
similar comparables on that individual rating. All com parables used are the best available.
_15. Total adjustments exceed 25%. This is due to the lack of comparable sales that were more similar in the
subject's market area. All com parables used are the best available.
_x_16. One or more comparable sales are older than six(6) months. Although there are comparable properties in the
subject's area, none have sold recently; therefore, sales in excess of six(6) months have to be used. All com parables
used are the best available.
_x_H. One or more com parables used were in excess of one (1) mile from the subject property. Although there are
comparable properties in the immediate area, none have sold recently. Therefore, it was necessary to use comparable
sales outside of the immediate area. All com parables used are located in similar neighborhoods and within the same
marketing area. All com parables used are the best available.
_18. The electrical system was not connected during inspection.
_19. The water service was not connected during inspection.
_20. The heating system was shut down during inspection.
_21. Roofing_Plumbing_Electrical_Heating_certification(s) is/are suggested.
22. Inground swimming pool_. out buildings_are included_Inot included_according to lender's
guidelines.
_23. According to lender's guidelines a maximum of_acres were considered for this valuation. Remaining
acreage was given no value.
File No. 05-0599
********* QUALIFICATIONS *********
_24. The subject property is located on a private road.
_25. Wood infestation inspection is suggested.
_x_26. Last recorded deed transfer: Date_Unknown_. Consideration: $_Unknown_.
_27. Proposed construction/renovation in accordance to plans and specifications to be completed in a workman-like
manner.
_28. Seller is paying part or all of closing costs.
_x_29. All comparable sales are verified closed sales.
_x_30. There are no special conditions or other requirements that would affect market value or future marketability in
the Appraisal Report.
CHECKED ITEMS ARE SPECIFIC SPECIAL CONDITIONS THAT WERE IDENTIFIED BY THIS APPRAISER DURING
INSPECTION.
File No. 05-0599
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 specified date and the passing of title from
seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised,
and each acting in what he considers his own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment
is made in terms of cash in U.S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents the normal
consideration for the property sold unaffected by special or creative financing or sales concessions' granted by anyone associated with the
sale.
. Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for
those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the
seller pays these costs in virtually all sales transactions. Special or creative financing adjustments 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 judgment.
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 of the land in the cost approach at its highest and best use and the improvements at their
contributory value. These separate valuations of the land and improvements must not be used in conjunction with any other appraisal and
are invalid if they are so used.
6. The appraiser has noted in the appraisal report any adverse conditions (such as, needed repairs, depreciation, the presence of hazardous
wastes, toxic substances, etc. ) observed during the inspection of the subject property or that he or she became aware of during the normal
research involved in performing the appraisal. UnlE':ss 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 hazar (h the appraisal report must not be considered as an environmental assessment
of the property.
7. The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or she
considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of such
items that were furnished by other parties.
8. The appraiser will not disclose the contents of the appraisal report except as provided for in the Uniform Standards of Professional
Appraisal Practice.
9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion.
repairs, or alterations on the assumption that completion of the improvements will be performed in a workmanlike manner.
10. The appraiser must provide his or her prior written consent before the lender/client specified 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 lenderfclient may distribute the property description section of the report only to data collection or reporting service(s)
without having to obtain the appraiser's prior written consent. The appraiser's written consent and approval must also be obtained before
the appraisal can be conveyed by anyone to the public through advertising, public relations, news, sales, or other media.
Freddie Mac Form 439 6-93
Page 1 of 2
Fannie Mae Form 100486.93
File No. 05-0599
APPRAISERS CERTIFICATION: The Appraiser certifies and agrees that:
1. I have researched the subject market area and have selected a minimum of three recent sales of properties most similar and proximate
to the subject property for consideration in the sales comparison analysis and have made a dollar adjustment when appropriate to reflect the
market reaction to those items of significant variation. If a significant item in a comparable property is superior to, or more favorable than,
the subject property, I have made a negative adjustment to reduce the adjusted sales price of the comparable and, if a significant item in a
comparable property is inferior to, or less favorable than the subject property, I have made a positive adjustment to increase the adjusted
sales price of the comparable.
2. I have taken into consideration the factors that have an impact on value in my development of the estimate of market value in the
appraisal report. I have not knowingly withheld any significant information from the appraisal report and I believe, to the best of my
knowledge, that all statements and information in the appraisal report are true and correct.
3. I stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject
only to the contingent and limiting conditions specified in this form.
4. I have no present or prospective interest in the property that is the subject to this report, and I have no present or prospective personal
interest or bias with respect to the participants in the transaction. I did not base. either partially or completely, my analysis andlor 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 f'lture interest in the subject property. and neither my current or future employment nor my
compensation for performing this appraisal is contingent on the appraised value of the property.
6. I was not required to report a predetermined value or direction in value that favors the cause of the client or any related party,
the amount of the value estimate, the attainment of a specific result, or the occurrence of a subsequent event in order to receive my
compensation andlor employment for performi"J the appraisal. I did not base the appraisal report on a requested minimum valuation. a
specific valuation, or the need to approve a specific mortgage loan.
7. I performed this appraisal in conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and
promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of the effective date of this appraisal,
with the exception of the departure provision of those Standards, which does not apply. I acknowledge that an estimate of a reasonable
time for exposure in the open market is a condition in the definition of ,market value and the estimate I developed is consistent with the
marketing time noted in the neighborhood section of this report, unless I have otherwise stated in the reconciliation section.
8. I have personally inspected the interior and exterior areas of the subject property and the exterior of all properties listed as 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
significant professional assistance from any individual or individuals in the performance of the appraisal or the preparation of the appraisal
report, I have named such individual(s) and disclosed the specific tasks performed by them in the reconciliation section of this appraisal
report. I certify that any individual so named is qualified to perform the tasks. I have not authorized anyone to make a change to any item in
the report; therefore, if an unauthorized change is made to the appraisal report, I will take no responsibility for it.
SUPERVISORY APPRAISER'S CERTIFICATION: If a supervisory appraiser signed the appraisal report, he or she certifies
and agrees that: , directly supervise the appraiser who prepafed 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: 17-19 N. ~altimore Avenue. Mt. Holly SprinQs. PA 17065-1302
APPRAISER:
Signature: ~,~<\G ::\~, . , " 'J \-
Name: ~tan A. Skowronek
Date Signed: 10125/2005
State Certification #: RL-001572-L
or State License #:
State:PA__
Expiration Date of Certification or License: ~!!me 30, 2007
SUPERVISORY APPRAISER (only if required)
,~~------ . ~-y-'~'--'(- . ,
-~~-, \'. [..' I 2_.....:;..-rt-.
Signature:
Name: Steven W. Barrett. SRPA. SRA
Date Signed: 10125/2005
State Certification #: GA-000298-L
or State License #: RB-026921-A
State: P A
Expiration Date of Certification or License: June 30. 2007
o Did [X) Did Not Inspect Property
Certified Residential Appraiser
Freddie Mac Form 439 6-93
Certified General Appraiser
Page 2 of 2
Fannie Mae Form 100486-93
. I J
:0, P-N:C INVEST-MEl~l'S
.jjHl sU:':C
October 5, 2005
Salzmann Hughes, P. C.
Attorneys & Counselors at Law
95 Alexander Spring Road
Suite 3
Carlisle, Pennsylvania 17013
Attention: Patricia R. Brown
RE: Estate of John M. Nelson
Date of Death: July 2, 2005
Social Security #: 171-28-7010
Date of Death Value
Dear Ms. Brown:
The date of death valuation for securities held by John M. Nelson in his PNC Investment
Account #6210-6602 is as follows:
Nunlber of shares owned - 400 shares of PNC Stock - Symbol PNC
Price per share at the close of business on Friday, July 1, 2005 was $54.11
Price per share at the close of business on Tuesday, July 5, 2005 was $54.51.
In the Investment Account there was a balance of $.44.
Mr. Nelson also had a MetLife and Allstate Annuity. I have contacted MetLife and
Allstate, and they will mail you the Date of Death Valuation for the Annuities.
The exact title of the account was John M. Nelson. The account was established on
October 5, 2000. There have been no changes in ownership since the account was
opened. Mr. Nelson received $400.00 in dividends from the PNC Stock form 01/01/05/
to his death. There was a $200.00 check sent to his address on July 25, 2005.
2. tJst M3in Street l\/jechanicsburg Pen nsy!v:::nli 8 170:)::-,
W\V w_pr:cinvtstmen tS.com
Important Investor Information: SeCl(ntifs ;:md
tlIf-mhl'f' N/\SD and SIPe. f\nnuilie:; Jnd nUl!:'r inslirance
:1 licensed insurance Jgency.
5'2i vi(;~s an" provided PNC Investment:; LL'.~,
:Fe offered by PNC Insurance Se('.;lct:S, Inc.
l~'~;:- ..\;!avL~; \;lj~=--'-l
) . l\f 'D. ,_-._ r. '''''-.1 .1" 1
ll!Q~ ., ,0 u~k 'Al~~_J
. r'
October 5, 2005
42 Page 2
Please do not hesitate to contact file if I can be of further service.
Sincerely,
ctr .:>~
Charles E Little, CFP
V ice President
Senior Financial Consultant
CEL/djp
Life and Annuity Claims
P.O. Box 94212
Palatine, IL 60094-4212
~
Allstate~
You're in good hands.
October 21, 2005
Salzmann Hughes P.C
Attn: Patricia R. Brown
10 West Pomfret Street
Carlisle, P A 17013
Re:
Owner of Annuity:
Adrninistrator for:
Contract No:
John Nelson
John Nelson
Allstate Life lnsurance Company
GA 16875955
Dear Ms Brown:
We have been requested to complete Internal Revenue Service (IRS) Form 712 with regard to the referenced
contract.
The purpose of Form 712 is to provide an estate or donor with the value of a life insurance contract or with its .
proceeds as of certain date (usually the owner's date of death or date of transfer of the contract). The contract
referenced was an annuity contract, which is not reportable on IRS form 712.
The following information is provided regarding the value of the annuity and other data as of the date
specified:
Date of Death: 07/02/2005
Annuity Value* as of Date of Death: $ 143,362.54
Cost Basis: $ 139,189.83
Named Beneficiary: Thomas Nelson
Date annuity established: 06/30/2004
*The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender
Charges.
If you have any questions, or need further assistance, please contact the Customer Care Unit at 1-877-499-6418.
vernight Address: 544 Lakeview Parkway, Vernon Hills, IL 60061
Toll Free Fax: 1-866-635-4523
, 'J
Life and Annuity Claims
P.O. Box 94212
Palatine, IL 60094-4112
~
Allsfafe~!
You're in good hands.
October 21, 2005
Salzmann Hughes P.C
Attn: Patricia R. Brown
lOWest Pomfret Street
Carlisle, P A 17013
Re:
Owner of Annuity:
.Administrator for:
Contract No:
John Nelson
John Nelson
Allstate Life Insurance Con1pany
GA16875955
Dear Ms Brown:
We have been requested to complete Internal Revenue Service (IRS) Form 712 with regard to the referenced
contract.
The purpose of Form 71.2 is to provide an estate or donor with the value of a life insurance contract or with its
proceeds as of certain date (usually the owner's date of death or date of transfer of the contract). The Contract
referenced was an annuity contract, which is not reportable on IRS form 712.
The following information is provided regarding the value of the annuity and other data as of the date
specified:
Date of Death: 07/02/2005
Annuity Value* as of Date of Death: $ 143,362.54
Cost Basis: $ 139,189.83
Named Beneficiary: Thomas Nelson
Date annuity established: 06/30/2004
*The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender
Charges.
If you have any questions, or need further assistance, please contact the Customer Care Unit at 1-877-499-6418.
.~Sin rely,
'./ . \1
. 0 a Malloy
Life and Annui' IDS
vernight Address: 544 Lakeview Parbvay, Vernon I-Iills, IL 60061
Toll Free Fax: 1-866-635-4523
-
-
~
-
-
-
-
-----
-
, .
Prudential ~ Financial
Prudential Annuity Service Center
P.O. Box 7960
Philadelphia, PA 19176
>07997 3077684 002 092001
JOHN M, NELSON
19 NORTH BALTIMORE
MT HOllY SPRINGS, PA 17065
Annuity #:
Owner Name:
Annuitant:
E0128225
John M. Nelson
John M. Nelson
Fi) I ":",!..:'~.
I. ,\f
Discovery Select Exchange
Annuity Statement
April 01, 2005 through June 30, 2005
Type: "Jon Qualified
Pag(~ 1 of]
Investment Professional:
SCOTT A. MOYER
PRUDENTIA.L - PIF
150 CORPORATE CENTER DRIVE
SUITE 105
CAMP Hill, PA 17011-1759
Issue Date:
Statement Date,
03/01/1 ~j99
07/04/2005
For 24-hour access to your
portfolio pcrforlllclllce. invcst111cnt options, current account values and other inf()rmation:
Sign on to our intcf8<tivc \Vcb site ~_.prudent~L~Q!!!
Or call our Annuity Service Center at 1-888-778-)'388
For other inquiries on your Annuity Contract, contact your Invc~5tll1Cilt ?rufl.:sslonal nt 1(17) 9 /~)-8 I ~::;u
\Ve rcco1l1lTlcnd' that you review this statelTIent prornptly. If you believe this statcrncnt docs not propcrl.v r..::'l1ccl
the transactions, features or allocations you have selected, contact thc Annuity SeL\;'ice Center illllnediatcly.
Your Portfolio
Since Issue
Your Annuity Activity
Beginning Value
Purchase Payrnents
\Vithdrawals
Contract Fecs and Charges
r n\'cstn'lcnt Pc rfonnancc
Ending Value
Surrender Val uc
LM g" (';l P
\gl'lllll) It ,,,CI;,hl)~ e)lli,'!' # W Sf!
Current Quarter
$1 +,070.87
.00
,00
..00
$3 ~ 5.5 I
$14,386.38
$14,878.33
, ,Fiv.r1,: \IV.\
Year-to-Date
$ 1 ,~. 2 7 7 . 78
.00
.00
($30.00)
.OC)
$ 1 5.~?O? 08
.00
($ 180 (0)
~ tJ8.6D
{ :t: C~. 1- () .
$ 1 '-l ,386.38
$ J '1.38638
D l.'II'gr. Crip
. FL'Xtl/"-l\',; ..jll
n"700'7 ""7'7t:QA n'11nt:t:: n')nA.,o nnnn1 innnn')
NDU-02-2005 19:34
PNCBANK
412 768 3458
P.01
. I I
o PNCBAN<
November J, 2005
Patricia R. Brown
lOWest Pomfret Street
Carlisle, PA 17013
RE: Estate of John M. Nelson, deceased
SSN: 171-28-7010
DOD: 7/2/2005
Dear Ms. Brown:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Certificate of Deposit
Account#31500251119
Established 1 1/21/200 I
JOHN M NELSON
DOD balance: $25,000.00 + $333.04 accrued interest
Interest paid 1/1/2005 -7/2/2005 - $0.00
Checking Account
Account #5140188976
Established 04/0 1/1963
JOHN NELSON
DOD balance: $12,722.44 + $1.48 accrued interest
Interest Paid 1/1/2005 -7/2/2005 - $10.98
Savings Account
Account #5130330975
Established 04/16/1984
JOHN M NELSON
DOD balance: $5,851.43 + $1.49 accrued interest
Interest Paid 11112005 - 712/2005 - $8.74
Safe Deposit Box
#616
Established 04/16/1984
JOHN M NELSON
Page I of2
NDV-02-2005 19:35
, )
PNCBANK
412 768 3458
P.02
Located:
MOUNT HOLLY BRANCH
2 WEST PINE ST.
MT. HOLLY SPRINGS PA 17065
717-486-3416
The decedent maintained Investment Account (INV #62106602). For further infonnation,
you may call the Brokerage Department at 1-800-762-6111.
Please note that this office only provides date of death balances for deposit accounts
(IRAs, CDs, Checking and Savings accounts). We do Dot process any finaDcial
transactions or provide statements. If you need assistance with any of these items,
please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
c9)]c.J1Uk U~lr2}j"J-
Rachelle Wells
1-800-762-1775
P7 -PFSC-04-F
500 first Ave.
Plttsburgh P A 15219
Page 2 of2
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