HomeMy WebLinkAbout05-16-06
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COMMONWEAlTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA .17126-0601
()FF~Ctt\L USE Ot~L-{
REV - 1500 EX + (6-001
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER C"'{....
21 =
COUNTY CODE .. YEAR
SOCIAL SECURITY NUMBER
00023
NUMBE.R
DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
Fuller, Ten)' E.
168-48-2967
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DATE OF BIRTH (MM-OO-YEAR)
DATE OF DEATH (MM-DD- YEAR)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
02/04/1955
11114/2005
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST AND MIDDLE INITIAL)
o
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181 1. Original Return 0 2. Supplemental Return
o 4. Limited Estate 0 4a. Future Interest Compromise (date of death after
12-12-82)
~ 6. Decedent Died Testate (Attach copy 0 7. Decedent Maintained a Living Trust (Allach
of Will) copy of Trust)
o 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (date of death between 0 11. Ejection to tax under Sec. 9113(A) (Allach Sch 0)
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NAME COMPLETE MAILING ADDRESS
Dale F Shughart, Jr. Esquire
3. Remainder Return (date of death prior to 12-13-82)
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5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
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FIRM NAME (If applicable)
10 West High Street
Carlisle, PAl 70 13
(1 ) 35,500.00
(2) None
(3) None
(4) None
(5) 6,125.75
(6) None
(7) -0-
(8)
(9) 10,611.55
(10) 9,329.70
TELEPHONE NUMBER
71 7/241-43 11
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OFFICiM.. ';&~Cf'L'"
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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 Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
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41,625.75
10. Debts of Decedent. Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
(11 )
19,941.25
21,684.50
(12)
12. Net Value of Estate (Line 8 minus Line 11)
(13)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(14)
21,684.50
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate. x .00 (15)
or transfers under Sec. 9116(a)(1.2)
z .045 (16)
0 16. Amount of Line 14 taxable at lineal rate x
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Il. 17. Amount of Line 14 taxable at sibling rate 21,684.50 x .12 (17)
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>< 18. Amount of Line 14 taxable at collateral rate
oct x .15 (18)
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19. Tax Due (19)
2,602.14
2,602.14
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
20. D
Form REV-1500 EX (Rev. 6-00)
Copyright 2000 form software only The Lackner Group, Inc.
Decedent's Complete Address:
. STREEtI' ADDRESS
ManorCare Nursing Home
940 Walnut Bottom Road
CITY
Carlisle
STATE PA
ZIP 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
2,602.14
Total Credits (A + B + C)
(2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3) 0.00
(4)
(5) 2,602.14
(5A)
(58) 2,602.14
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;................................................................................ ~ I
b. retain the right to designate who shall use the property transferred or its income;....................................
c. retain a reversionary interest; or........ ............ ..................................... ............................................. .........
d. receive the promise for life of either payments, benefits or care? .............................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.............. ........... ....... .......... ......................... ....................... ............................ 0 ~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .............. ................................... ................ .......... ...... ............................. ........ ~ D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties 01 perjury, I declare that J have examined this retum. including accompanying schedules and statements. and to the best of my knowledge and belief, it is true. correct and complete. Declaration of
preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
Ted Fuller
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SIGtATURE OF P~~IBLE FOR FlUNG RETURN
DATE
430 Fairground Avenue
Carlisle, -p A 17013
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ADDRESS
DATE
SIGNATURE OF PRE PARER OT~ER T~~~'EPR ENTATIVE
Dale Shu~r~ J, ~u, Ir
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ADDRESS
DATE
10 West High Street
Carlisle, P A 17013
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For dates of death on or aft 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) (i)}.
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P .S. ~9116 (a) (1.1) (ii)]. The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory 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 tax rate imposed on the net value of transfers from a deceased child twenty.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 decedent's lineal beneficiaries is 4.5%, except as noted in 72 P .S. 99116
1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116 (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.
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SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fuller, Terry E.
FILE NUMBER
21 - 05 - 00023
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price
at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having
reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on
schedule F.
ITEM
NUMBER
1
DESCRIPTION
VALUE AT DATE OF
DEATH
34,000.00
Lot and dwelling house @ 430 Fairground Avenue, Borough of Carlisle, Cumberland County, PA. Tax
Parcel #06-20-1798-318. Value based upon attached appraisal of Susan B. Burkholder.
2
Vacant lot, 30 feet by 37 feet in dimension, located at rear of 421 North Pitt Street, Borough of Carlisle,
Cumberland County, P A. Tax Parcel #06-20-1798-305A. Value based upon actual sale price. Copies of
Deed and HUD 1 Settlement Statenlent attached.
1,500.00
TOTAL (Also enter on Line 1, Recapitulation)
35,500.00
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Fuller, Terry E.
FILE NUMBER
21 - 05 - 00023
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
1 Clothing and personal effects.
DESCRIPTION
VALUE AT DATE OF
DEATH
0.00
2
Sovereign Bank, checking account # 16020057
Principal 51.98
Interest 0
51.98
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HeR ManorCare, resident's personal trust fund
Principal 3,824.69
Acclued interest .24
3,824.93
4
Carlisle Tire & Wheel, final paycheck
350.64
5
HCR ManorCare, refund of overpayment.
1,850.57
6
Tax proration on sale of 122 N0l1h Pitt Street, rear.
47.63
TOTAL (Also enter on Line 5, Recapitulation)
6,125.75
ESTATE OF
ITEM
NUMBER
'*
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDEfIIL_ _ __.~______ ---
Fuller, Terry E.
FILE NUMBER
21 - 05 - 00023
.Thi~~~~_~.!;Iul~._f!l_~~~~~~_-:a!~~~ecL~Bd filed if the a_llswe~J~jl!!y~Lq~e_sti~n~_1 thro~gh 4 Ol!P~.9~ll~_Y!~~__
DESCRIPTION OF PROPERTY : ' % OF : ;
Include the name of the transferee, their relationship to decedent and the date of transfer. ; DATE OF DEATH: DECO'S ! EXCLUSION ) TAXABLE V ALU E
Attach a copy of the deed for real estate. : V ALU E OF ASSET: ; (IF APPLICABLE) !
i : INTEREST ; I
.._ .___.__._______.____.___________________._________~- ---+-_____+-_._._____ _____________ .___..n_'_,,_' _ _...
Carlisle Companies 40 1 (K) Plan, statement attached. ! 54,762.331 100% 54,762.33[ 0.00
Beneficiary: Ted Fuller, brother. This Qualified Retirement i
Plan is not subject to inheritance tax under P A Regulations i
because decedent was an employee of the Company which -
owned the Plan, 50 years of age, and unable to withdraw the
funds .
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____.+~___._._._._____.,___.________.J____._______.____"___~_____~..........__,_________
TOTAL (Also enter on line 7, Recapitulation)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF F 11 T E
u er, eny .
Debts of decedent must be reported on Schedule I.
AMOUNT
ITEM
NUMBER
A.
FUNERAL EXPENSES:
Ewing Brothers, funeral bill
B.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
1.
SCHEDULE H
FUNERAL EXPENSES &
AIlVIINSTRA11VE COSTS
FILE NUMBER
21 - 05 - 00023
DESCRIPTION
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City
Year(s) Commission paid
Attorney's Fees Dale F. Shughart, Jr. (estimated)
State
Zip
2.
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
State
Zip
City
Relationship of Claimant to Decedent
Probate Fees Register of Wills, paid 90 - owe 30
4.
5. Accountant's Fees
6.
Tax Return Preparer's Fees (estimated)
7.
1
Other Administrative Costs
Register of Wills, Short Certificates
2
Cumberland Law Journal, advertising
Total of Continuation Schedule(s)
TOTAL (Also enter on line 9, Recapitulation)
1,492.00
7,500.00
120.00
250.00
8.00
75.00
1,166.55
10,611.55
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SchecUe H
FuleraI Expenses &
Acministrative Costs contil'l.ECl
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENTDECEDENT __
ESTATE OF
Fuller, Teny E.
10
11
12
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The Sentinel, advertising
4
Sovereign Bank, checks
5
Diversified Appraisals, real estate appraisal
6
Recorder of Deeds, photocopies, Deed recording and Mortgage Satisfaction.
7
Carlisle Borough Tax Account, 2006 countylborough real estate taxes on 421 North Pitt
S treet, Rear, Carlisle, P A 170 13
8
Recorder of Deeds, realty transfer taxes
9
Carlisle Borough Tax Account, 2006 countylborough real estate taxes on 430 Fairground
Avenue, Carlisle, P A 17013
BOIUlie L. Coyle, notary fees
Register of Wills, filing Inheritance Tax Return and Inventory
Postmaster, certified mail
13
Reserve for filing Account
Page 2 of Schedule H
122.51
25.35
225.00
99.50
45.74
15.00
222.45
25.00
30.00
6.00
350.00
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SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
CO~ONWEAl TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fuller, Terry E.
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION
HCR ManorCare, final balance due for nursing care
2
Carlisle Regional Medical Center, hospital bill
FILE NUMBER
21 - 05 - 00023
3
Cumberland County Tax Claim Bureau, past due real estate taxes on 421 North Pitt Street, Rear, Carlisle,
PA
4
Cumberland County Tax Claim Bureau, past due real estate taxes on 430 Fairground Avenue, Carlisle, P A
5
Healing Arts Surgical Assoc., medical bill
6
Neighborcare Pharmacy, prescription bill
7
PennCredit Corp, unpaid personal tax bill
8
Great Seneca Financial Corp, settlement of claim for balance of loan past due
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
4,175.57
597.72
332.90
1,731.29
138.20
25.52
28.50
2,300.00
9,329.70
REV-1513 EX+ (9-00)
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SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESlDENI.DECEDENL-_ - -___
i
_~_______________.________________L-____,
FilE NUMBER
21 - 05 - 00023
ESTATE OF
Fuller, Teny E.
I.
RELATIONSHIP TO AMOUNT OR SHARE
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY , DECEDENT . OF ESTATE
_ _____________m__U ___un__ _. _______ _______.___ --.------------------r-'-----Do..Not-USt-l'r.ustee(s)-- .n_' _____u,__
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NUMBER
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Ted Fuller
430 F airground Avenue
Carlisle, P A 17013
I
: Brother
! 1000/0
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 PARTII- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET~
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APPRAISAL Of REAL PROPERTY
LOCATED AT:
430 Fairground Avenue
Deed Book 251 Page 1153
Carlisle, PA 17013
fOR:
Estate of Terry Fuller
AS OF:
November 14, 2005
ThiS Indented use Is \0 establish velue for PA Inheritance Tex Re\Um.
summary Format
complete APpraisal
BY:
Susan B. Burkholder. RL_000659-L
State certified Residential APpraiser
fann GA \ _ "TOTAL 101 Windows' awasal so\IW"e by · \. mode. inC. - \ -llOIl-/d.AIAOOE
~ FannieMae
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Diversified Appraisal Services
es aD nderwrlter uantltative Analysis Appraisa Report File No. 020905Ftaxappeal
rHIS SUMMARY APPRAISAL REPORT IS IflTENDED FOR USE BY THE LENDER/CLIENT FOR A MORTGAGE FINANCE TRANSACTION ONLY.
PronP.rlv Address 430 Fairaround Avenue Citv Carlisle State PA Tin Code 17013
Lenal Descrintion Deed Book 135 Paae 924 Countv Cumberland
Assessor's Parcel No. 06-20-1798-318 Tax Year 2005-06 R.E. Taxes S 752.10 "_.._1_' ._uu_-~s t 0.00
Borrower n.a. Current Owner Estate of Tenv Fuller OccuDant !Xl Owner r 1 Tenant n Vacant
Neinhborf1ood or Proiect Name n.a. Proiect TVDe rlPUD r 1 Condominium HOAf /Mo.
Sales Prtce-S n.a. Date of Sale n.a. Descrintion / S amount of loan charaesJconcesslons to be naid bv sellAr
Pronertv rfr;hts :mnraised IX1 Fee Simnle r 1 Leasehold I Man Reference 20-1798 Census Tract 0124.00
NotA: -
Location [8J Urban 0 Suburban 0 Rural Property values I:8J Increasing o Stable o Declining Single family ~ CondomInium ~
Built up ~ Over 75% 025-75% 0 Under 25% Demand/supply 0 Shortage IZJ In balance 0 Over supply ~RICE AG PRICE r appHc.) AG
(000) (yrs) $(000 (yrs)
Growth rate Ranid fXi Stable Fi Slow Marf<etino time Fi Under 3 mos. rx; 3-6 mos. n Over 6 mos. 25 Low 75 Low_
Neighborf100d boundartes The subiect neiahborhood is bordered bv Hanover Street Sorina Road E Street and 80 Hiah 200 Hiah
Pitt Street. 1 Predominant T Iprerlom1n:lnt I
45 100
Dimensions 14' X 138' Site area .04 acre Shape RectangUlar
Specific zoning classification and descrtption R-2
Zoning compliance cgj Legal o Legal nonconforming (Grandfathered use) o Illegal, attach description o No zoning
Highest and best use at subject property as Improved (or as proposed per plans and specifications): i:2J Present use o Other use, attach description.
UUIIU.. Public Other Public Other I Off-sIte Improvements Type Public Private
Electricity ~ Water ~ Street Macadam ~ R
Gas SanitaN sewer I Allev None
Are there :1m :mnarent adverse site conditions (easements encroachments soecial assessments slide areas etc.)? nYes rXI No If Yes attach descrintion.
SOne(S) useug physical characterlstics of property: ~ Interior and exterior inspection Werior inspection from street TI Previous appraisal files
MLS Assessment and tax records n Prior insnection n PronArtv owner Other lDescribe);
No. of Stories 2 Tvoe lOet/Att.) Attchd Exterior Walls Brick Roof Surface Metal Manufactured Hnusinn n Yes 1Xf No
Does the nronertv neneralh;" conform to the nelahborhood In terms of sIvle condition and constructlon materials? IX1 Yes r 1 No If No attach descrlntifln.
A~ere any ~arent physical deficiencies or conditions that would affect the soundness or structural integrity of the improvements or the livability of the property?
Yes No n Yes attach descrintion.
Are there any apparent adverse environmental conditions (hazardous wastes, toxic substances, etc.) present in the improvements, on the site, or in the Immediate vicinity of
the subject property? DYes IZI No If Yes, attach description.
I researched the subject market area for comparable listings and sales that are the most similar and proximate to the subject property.
My research revealed a total of 4 sales ranging In sales price from $ 27,000 to$ 38,000
My research revealed a total of 0 listings ranging In list price from $ 0 to$ 0
The analYsis of the comocrable sales below reflects market reaction to sianiticant variations between the sales and the sublect orooertv.
FEATIJRE SUBJECT SAlE 1 SAlE 2 SAlE 3
430 Fairground Avenue 169 E. North Street 442 Fairground Avenue 428 Fairground Avenue
Address Carlisle Carlisle Carlisle Carlisle
Proximitv to Subiect 0.31 miles 0.03 miles Beside subiect
Sales Price S Is 38 000 Is 27 000 Is 36 500
Price/Gross Uvinn Area $ rj:J $ 36.19ctJ I 1$ 25.71 r:tJ I $ 36.50 rj:J I ..
Data & Verlftcatlon Sources --- Courthouse Courthouse/Aooraiser's flies Courthouse/aDDraiser's flies
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION I +( -1$ Adlust. DESCRIPTION I +( -)$ Adlust. DESCRIPTION 1 +( -)$ Adiust.
Sales or Ananclng None known None known None known
Concessions ..... Conventional Conventional Conventional
Date of SalAfTime , 5-20-05 : 10-10-05 : 1-24-06 :
Location Averaae Suoerior : -3 800 Similar : Similar :
Site .04 acre .04 acre : .05 acre : .04 acre : -1 000
View Averaae Similar : Similar : Similar :
Desinn fStvle) Attached Semi-attchd : -2 000 Attached : Attached :
Actual AnA Nrs.) 105 years 135 vears : 105 vears : 105 vears ,
,
Condition Fair Suoerior : -5.000 Fair : Suoerior -5 000
Above Grade Total : Bdrms: Baths Total: Bdrms : Baths I Total: Bdrms : Baths I T ntlll : Rrlrm~: Rath~ T ...
Room Count 6 3 1 5 2 1 : +1,000 4 1 : 1.5 : +1,500 6 : 3 : 1 :
Gros!! Uvlnn Area 1 000 Sn. Ft 1 050 So. Ft. : 1 050 Sa. Ft. : 1 000 So. Ft :
Basement & Anished Full bsmt Full bsmt Full bsmt Full basement +1,000
Rooms Below Grade None None None None
Garanf!/C:lmort None None : None : None :
No heat Heat : -3 000 No heat : Heat : +3 000
Scmd DOrch Porch : +1 000 Porch : +1 000 Porch : +1 000
Net Adi. (total) .... f1+ IX'I-:S 8800 1X1+ fl-:$ 7500 n+ rxT-:~ 1000
Adjusted Sales Price Net23,2>~1 Net 27;8 %1 Net 2.7%
of Comparables Gross 49,5% I s 29 200 Gross. 27.8%1 $ 34 500 Gross 30,1 % . $ 35 500
Date of prtor Sale 10-12-00 12-16-94 12-3-98 10-21-00
Price of Prior Sale S 211s 25 000 S 1.00 1$ 21
Analysis of any current agreement of sale, option, or listing of the subject property and analysis of the prior sales of subject and comparables:
Summary of sales comparison and value conclusion: See Addendum.
A S2 000 adiustment was made for the total number of rooms.
A location adiustment was made for comoarable sale1 since is It not located beside industrial use.
This appraisal is made ~ "as-is", D SUbject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed, or
o subject to the following repairs, alterations or conditions Appraised in current condition.
BASED ON AN D EXTERIOR INSPECTION FROM THE STREET OR AN C8J INTERIOR AND EXTERIOR INSPECTION ,I ESnMATE THE MARKET VALUE, AS DEFINED, OF THE REAL
PROPERlY THAT IS THE SUBJECT OF THIS REPORTTO BE $ 34.000 ,ASOF November 14. 2005
Q
PAGE 1 OF 3
Form 205 - ''TOTAL for Windows. appraisal software by a la mode, inc. -1-800-ALAMOOE
Fannie Mae Form 2055 9-96
Desktop Underwriter Quantitative Analvsls Appraisal Report file No. 020906F
Project Infatmltion for PUDs (If applicable) - - Is the developerlbuilder In control of the Home Owners' Association (HOA)? 0 Yes 0 No
Provide the following information for PUDs only if the developerlbuilder is in control of the HOA and the subject property is an attached dwelling unit
Total number of phases Total number of units Total number of units sold
Total number of units rente<! Total number of units for sale Data Source(s)
Was the project created by the conversion of existing buildings Into a PUD? 0 Yes 0 No If yes, date of conversion:
Does the project contain any ITlIIti-dwelling units? 0 Yes 0 No Data Source:
Are the common elements completed? 0 Yes 0 No If No, describe status of completion:
Are any common elements leased to or by the Home Owners' Association?
Describe common elements and recreational facilities:
DYes DNa
If yes, attach addendum describing rental terms and options.
Project Information for Condominiums (If applicable) - - Is the developerlbuilder In control of the Home Owners' Association (HOA)? 0 Yes D No
Provide the following Information for all Condominium ProJects:
Total number of phases Total number of units Total number of units sold
Total number of units rented Total number of units for sale Data Source(s)
Was the project created by the conversion of existing buildings Into a condominium? 0 Yes 0 No If yes, date of conversion:
Project Type: 0 Primary Residence D Second Home or Recreational 0 Row or Townhouse 0 Garden 0 Midrise 0 Highrise 0
Condition of the project, Quality of construction. unit mix, etc.:
Are the common elements completed?
DYes 0 No If No, describe status of completion:
Are aIr'f common elements leased to or by the Home Owners' Association?
Desctibe common elements and recreational facilities:
DYes 0 No If yes, attach addendum describing rental terms and options.
PURPOSE OF APPRAISAL: The purpose of this appraisal is to estimate the market value of the real property that Is the subject of this report based on a
quantitative sales comparison analysiS for use In a mortgage finance transaction.
DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all
condltlons 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 definltlon 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 com parables must be made for special or creative financing or sales concessions. No adjustments are necessalY 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 UMITING CONDITIONS AND APPRAISER'S CERTIFICA nON
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, wHI 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 any required 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 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.
4. The appraiser has noted in the appraisal report any adverse conditions (such as, but not limited to, needed repairs, 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 nonnal research involved in performing the appraisal. Unless otherwise stated in the appraisal report, the appraiser has no knowledge
of any hidden or unapparent conditions of the property or adverse environmental conditions (including the presence of hazardous
wastes, toxic substances, etc.) that would make the property more or less valuable, and has assumed that there are no such conditions and
makes no guarantees or warranties, expressed or Implied, regarding the condition of the property. The appraiser wHI 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.
5. 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.
6. The appraiser will not disclose the contents of the appraisal report except as provided for in the Uniform Standards of Professional Appraisal Practice.
7. 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 finn 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 report to data collection or reporting servlce(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.
8. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is SUbject to completion per plans and specifications on
on the basis of a hypothetical condition that the improvements have been completed.
9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to completion, repairs, or alterations on the
assumption that completion of the improvements will be pelfonned in a workmanlike manner.
PAGE 2 OF 3
Form 205 - "TOTAL for Windows. appraisal software by a la mode, inc. -1.800-ALAMODE
Fannie Mae Form 2055 9-96
Supplemental Addendum
Rle No. 020905Ftaxa eal
Cumberland
State PA
Zi Code 17013
Additional Comments
The interior of the home is in poor condition. There are cracks in the plaster walls, water damage in the ceilings and around the
windows. The bathroom is in in poor condition and the kitchen has damaged and missing doors. The soffit and facia on the
home is rotten, there is peeling on all of the exterior trim. There is not a working furnace in this home.
The subject is older than five years old. All mechanical systems including heating, electrical and plumbing systems appear to
be working adequately. No warranties are implied in this statement.
One or more of the comparable sales are older than six months old. Although there are comparable properties in the subject's
area, none have sold recently, therefore, sales in excess of six months old have to be used. All three comparables used were
the best available.
Gross adjustments exceed 25% and net adjustments exceed 15% for one or more of the comparable sales. Although there are
other similar homes in the area, none have sold recently. The sales used are the best available.
The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of
the property's highest and best use and the consideration of all three approaches to value and the application of those relevant
to the valuation of the subject property.
The Intended User of this appraisal report is the Lender/Client. The Intended Use is to evaluate the property that is the subject
of this appraisal for a mortgage finance transaction, subject to the stated Scope of Work, purpose of the appraisal. reporting
requirements of this appraisal report form, and Definition of Market Value. No additional Intended Users are identified by the
appraiser.
Privacy Notice
Pursuant to the Gramm-Leach-Billey Act of 1999, effective July 1, 2001, appraisers, along with all providers of personal
financial services are now required by federal law to inform their clients of the policies of the firm with regard to the privacy of
the client non public personal information. As professionals, we understand that your privacy is very important to you and are
pleased to provide you with this information.
In the course of performing appraisal, we may collect what is known as "nonpublic personal information" about you. This
information is used to facilitate the services that we provide to you and may include the information provided to us by you
directly or received by us from others with your authorization.
We do not disclose any nonpublic personal information obtained in the course of our engagement with our clients to
nonaffiliated third parties. except as necessary or as required by law. By way of example, a necessary disclosure would be to
our independent contractors, and in certain situations, to unrelated third party consultants who need to know that information to
assist us in providing appraisal services to you. All independent contractors and any third party consultants we engage are
informed that any information they see as part of an appraisal is to be maintained in strict confidence within the firm. A
disclosure required by law would be a disclosure by us that is ordered by a court of competent jurisdiction with regard to a legal
action to which you are party.
We will retain records relating to professional services that we have provided to you for a reasonable time so that we are better
able to assist you with your needs. In order to protect your nonpublic personal information for unauthorized access by third
parties, we maintain physical, electronic and procedural safeguards that comply with our professional standards insure the
security and integrity of your information.
Fonn TAOO - "TOTAL for Windows" appraisal softWare by a la mode, inc. -1-80o-ALAMOOE
Subject Photos
round Avenue
Co Cumber1and
State PA
Zl Code 17013
tI,
Subject Front
430 Fairground Avenue
Subject Rear
Subject Street
Fonn PICPIX TR - ''TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
-----------
PHOTOGRAPH ADDENDUM
cumberland
State PA
Ii Code 17013
Foon GPICl'lX _ 'TOTAL tor 'Mnd..... ~ so\IWIR bY a \a mode. 1nC, _1-8\lll4IlAM01)l;
PHOTOGRAPH ADDENDUM
Cumberland
State P A
Fonn GPICPIX - "TOTAL for Windows" appraisal software by a la mode, inc. -1-80O-ALAMODE
Zi Code 17013
PHOTOGRAPH ADDENDUM
Cumberland
State PA
Fonn GPICPIX -''TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMOOE
Zi Code 17013
Comparable Photo Page
Co Cumberland
State P A
Zi Code 17013
Comparable 1
169 E. North Street
Comparable 2
442 Fairground Avenue
Comparable 3
428 Fairground Avenue
Form P/CPIX.SR - "TOTAL for Windows" appraisal software by a la mode, inc. -1-800-ALAMODE
A. Settlement Statement
U.S. Department of Housing
and Urban Development
~
1r
OMB No. 2502-0265 (Page I)
B. Type of Loan
1. FHA 2.
4. VA 5.
FmHA 3.
Conv.}l)~.
Cony. Unins. 6. File Number
7. Loan Number
8. Mortgage Insurance-Case Number
C. Note: This form Is fumlsbed to pve yoa a stat_ent of actaal.ettlement cost.. Amounts paid to and by the Htdement alent aft .hOW1lo Item. marked "(poo.e-)" weft paid oatslde the dosln&; they are shown heft for
Informational purpo.es aud ~r~ u~tl~~~~_~~~_t~t~~_ _ __.-_ ___ _____ _ __ _.____ ____________________________________ _ . ____
D. Name and Address of Borr~;;~~-... - - - E. Name, Address, and Taxpayer identification # of Seller F. Name and Address of Lender
Shirley M. Hockenberry Estate of Terry E. Fuller, deceased
420 Fairground Avenue 430 Fairground Avenue
Carlisle,PA 17013 Cartis1e,PA 17013
G. Property Location
H. Settlement Agent Name, Address and Taxpayer Identification Number
Dale F. Shughart, Jr., Esq.-
35 East High Street, Suite 203
___ _S~_r~i~~.!Y-~_O.!~_ _'.. _____.__ ___ .__ ___25-18~:~_5} 5
Place of Settlement
35 East High Street, Carlis]e, P A
J.~ummary_~f !I~r.~o~~'~l'.~~~!~.ct~_~________. _._ ______.__________,!\-- Summary of Seller's Transaction
100. Gr~ss_t\mountI?~eXr~m}lo.!'t:.'!.~~r _..____.____._.._._n______' 400. Gross Amount Due To Seller
101. Contrac! sales.price . 1,500.00 401. Contract 'sai~s p~-------------------'
102. Personal Prop~rty . . ."_ .__. ._--'~ .~:- _~_-=_~~__-=-==_.------ -. - ~~_=~:~9_n~~__~~~~rtY.====____-=__~~=__==_~~~~.
] 03. Settlem~nt charges to borrower(l!.':1e 14~2 403.50 403.
I~. 4~.
105. 405.
. ____~___.__..._._.______ .._._,____....... ,,__ __.... ~_ _._ ___ h_.__..___
Adjustments for itel1l.~ P'.a!<:IEy__s~II~~ni~. ~dv.~~~ Adjustments for items paid by seller in advance
106. City/town taxes to------- -406:---CitYlt~wntaxes -----.to-.----.-------n
107. County ta~es_ _. _Q4~~~o.~_~?~~I~~().~~_~_~~~.~~~~-_==___-i~If: -467~ouniytaxes- ----..(54/17 ~()6~~Jp31(~='.~=__=,'-~' - .
108. Assessments to 408. Assessments to ,
109. School Tax ..n ---04/1"7/66-1O'-06/3.oiO'6--------------.-i5."4-7" 409~---School Tax----04/17/06 to 06/30/06-------
110. Garbage Fee .----~~~.~=_=__:~_=:-~~~='_=_~-~~_~ 410.' Garbage F~----------.-n--_._---..--
III. 411".-------....----- .m________._______
." ~.'__.___,,__.___ ____.._.________ __._..~_.____n_ ___.__.__...__..,~_________. ____.___. _..____~ _ ______.. __ ._.. ._
112. 412.
421 North Pitt Street, Rear
Carlisle, PA 17013
I. Settlement Date
4/1 7/2006
1...500.00
32.16
15.47
120. Gross Amount Due From Borrower
1,951.13 420. Gross Amount Due To Seller
1,547.63
200.
201.
202.
203.
204.
205.
206.
207.
208.
209.
Adjustments.for i~t:ms unpa.i~ by se.lI~r
210. City/town taxes to
211. County taxes to
212. Assessments to
213. School Tax to
114.
215.
216.
217.
218.
219.
Amounts Pa!d B}'_()~i~ ~ei!.~~!<?_t:.~~~~'!~r.......____H_.____.. _. __ _5,!)~._.~t!~~~.!!~~~_!!!_~!n.!'!~~_~~_~_!~S~II~_~_
Deposits or earnest money 0.00 501. Excess deposit (see instructions)
Principal amount o{ne~ 108n(5)-- --- ---"" ,__.______H._ '502.-S~tt1~~t charges to seller Oi~~ 1400) -.---.-- ---.---
Existing loan(s) ta.ke~. su~f~ct.to ------ -'-'- ---.... --- .. ---- .---- 503:--ExiStiil""iioan(s)t~en subject to ---------- __________u
- - 504:---Payotf~ffirst mortgagel~an------.-- - .
.._~_.. _. ~--_.._-_.._------- -.- -. 50S~-P8yoff of second mortgage 1~------_.-._--_._.._------.-.
--. . - ..-.. ...----- n_ ." ----.... _._h' -- -506: ---, .---. .-......-.-------.--.-- ---- - -. --.---,--- -- -
.-"-.- .,-- -.--.-..--- -----. ~5.oi:-.---.--~-.._.~. -- .-... ----.------.. --.----.--- -----.----- __u.___.____ .--
_ ..__.__.___._____.._.__________ 4__._~_...__.___~.~____._____.._.___.._.. ~ _.______.._. _ ___._
508.
-5~----.-_.----.--.--....-------...-----_.-._-...-----..--- .-
.__ _....__ __4_._____~_..._.___. __..__w_. ______.___..___._._____.._.. ,.~_._..._ ___ __.._
Adjustments for items unpaid by seller
.' .- ~=:...:~~.-~~..~'--~----~~~~~~~.--. }fF1~;~~~~=~=~-..~==~=~~,-_~-==~-=-=:-.~--- .
512. Assessments to' .- .
5-13~--'-' S.choo(Tax ~ ---- -.--.---..... -- .. ----.--to. --~.---. ~
----. .--- -.....--.... -.-.----.
514.
-- -5] s~ --'--'~._.--- .. - ---~--- --.-.------.--
________._._..__._____..~_._____._n____ __'_" .__.__.__._...__.___._____.________. ._.________
516.
517.
.- ._- ----.---..---.--.-~- -------..--..-.- -51~8~-.---._-------.-.-.----. --.-----.----.--..----.-.-----. --- --~.--....-
._+_._- -.--~..----------_...._._..--.-- .-~-. ..-- -- '5'i~--- --_.._._~.- --------..----------.---------.--------\." ."'---
0.00
15.00
220. Total Paid BylFor Borrower
300. Cash At Settlement Fromffo Borrower
30 I. Gross Amount d~efrom borro;er (I.ine !20) .
302. Less amounts paid by/for borr?we~.<Jin_~ 220)
0.00 520. Total Reduction Amount Due Seller
600. Cash At Settlement To/From Seller
) ,95 J .1360'i:--Gioss-Amo~nt due--to'seller(li~e420-)---
0.00 602.. ._~.i~s_r.c:_~~~~~sJ!ia~~:-~.~~-.~IT~Q{~~_5_~OC~- -.. . <.
]5.00
303. Cash
.X From
To Borrower
$ 1,951.l3 603. Cash
X. To
__ From Seller
1,547.63
-- 15.00)
$ 1,532.63
I have carefully reviewed the HUD-I Settlement Statement and to the best of my knowledge and belief. it is a lrUe and accurate statement of all receipts and disbursements made on my
account or b)\ me in this transaction. I furth.er certify that I have received a completed copy of pages I and 2 of thiS~UD-1 Settle ent Statement. ~
-----.J..._~
B or Shi~l~ ...: ;;;1!{4~._.._------ SOli., s~.. OfT.;:fF~~ed E FUU';--.-
SETTLEMENT AGENT CERTIFICATION
The:' Hl'D-1 SelllemeOl SI8lemeOl \.~:.!'....lr.h8\'e . and accurate accounl of this trallSaction. I have
caused Ihe fll~be dn i: ~"ce .
~ t .. .9Pl/!)iLH
Settlement Agent ~~
~1:t~~~ ~~\~~t?~ ~~=~~ ~:ea~~m~t
Seller
Seller's Taxpayer Identification Number Solicitation and Certification
~~::. Wfd,.,%b~':o~~~~~~~I~'~I =~:xwi~~r:n~~!:-=~:~~~::i~
~~bl~~ ~~~~i;n~i~~~~~=tiW~~~ ~~nalties o~ury. I certify that lbe number shown
Borrower
HUD - I 3/91
Seller's S ijtllature
Date
RESPA, HB 4305.2
L. Settlement Charges
700.
Page 2
----PaId From
Seller's
Funds at
Settlement
Total Sales/Broker'~ ComJllissio"-_ ~!l~~~. ~__~_ __
Division of Commission (li!le!O_Ol~s !oll?~~:.___._
$ ro
$ ro
Commission paid at Settlement
_~==~~__-.:--=._~_@~_:-:. _:::O(~~~=:~::~-=--===---_. ;~:~:~---
______.___ _______________ Funds at
Settlement
701.
702.
703.
704.
800.
801.
802.
803.
804.
805.
806.
807.
808.
809.
810.
8t!.
900.
901.
902.
903.
904.
905.
1000.
100 I.
1002.
1003.
1004.
1005.
1006.
1007.
1008.
1100.
1\01.
1102.
1103.
1104.
1105.
1106.
1107.
1 terns Payable in Co~n~_tion~_I_~~_ !:-_o~!I_ _.._ . ___" __ __. .. ____ ..___ _ _ __ ..' _. __h_ "'__' _________________ ___'_.. _.____._.___ .
Loan Origination Fe.e. . '_' . ___ ____ _' ___ !'o_____ ._______.._______ ___ .____ _ _____._.__________.___.._. _____ ___
Loan Dis~ount _0.._. _~o._ _ ______________._ . ._______.._ __h..___________._._____.._ __________ _ _ ______________ ..._
Appraisal Fee ....___ ._..._~c:>____..__.. _. ...._.________.______.._.__________.___..____.________..._._____._.___._.... -. ---------
Credit Report ....._.. .... ............__..__......._ ~~___ ____.._.__n.___._.___..._ __.______ ________._____._._______________...__________
Lender' S InsPection-Fee _. __"_ ____________~~_____.. _ '___'__ __._.___...________._.____._ __. u_ _ _...___ _____________.___ ____._..... ___ _
Mortgage Insuranc_e_.~~p.!i~~~~_~~.c:...___._ ....!~_.___ _ __.________.______ .___._ .______ ..___._____---"--____________ _ __ __________.
Assumption_ Fee _ _ ._..____. ___ _ __ ...____.__ ____h.._ __.. __.___ _. __. __ ____..._ _ ______. ._______ _.._.
Flood Certitication Fee to:
Items Required By Lender To Be Paid In Advance _____....___ .__...__________...
Interest trom' _ .' - -'-'_ ..to - -:: -_~_ __:~~-_~@:s.- _.__ __!~!I_____ _____________ __ _________._________...__ ._
Mortgage Insurance Pre1l1i':l:~f~~._____ _'___ ___________._______ mo~.!~~..!.'?___.__ ___ ___.____._____________.__.____
Hazard Ins~~anc~' PT~nium for _________________ ___._._______ .___X~~_~~__.. _____.______._________________.__.___ .
::i:~~-~:~~;~~~ ~!!~.~~n~~_H_ . -5..@---$-----...-.--...--------.. -.-per.----- ...-.------.--------.--...---------- _n. --- -.---'
Mortgage Insurance - ------8 @- $ . _hu_'__ per -------- ---.--.--- ..-------.-.--- -.-.------ ------
City property taxes . s ~f "-if--"- 'pe-i--n----- -. -.----.-----.----------.- -- - ------. -----.
County property taxes S@. -$- - - -..- -. uper- - - --- -~: =_~~~_.~~-_~-.. ~-:_=~~_~.-.~_-_.~-.... __ ____ _____ __
Annual assessments "'s-@' $ per
School Taxes s"O - --$.-" .-.. ._._.~. ..---. per- .-- ._._0_--"._.. .- ~---- -- ... __.~u_.__. .
____ - '_- ~=__'~..__-_::_~ ---- - --~-~~~.~_-~_~:=~_=__=~=-==_~y~i"~~:=.===_____________~==_=-=-.____=~~~-~------ --.
Aggregate Reserve Adjustment
Title Charges
Settleme;t~r--ci?~i~g_r.~__ .
Abstract or title search
Title examination
Title insurance binder
Document prepa~~tion
Notary"s fees.
Attorney's fees
{includes above jtems~~.l~b~rs:
Title insurance
(includes a~ove-j~~s-~~mbei~:
Lender's cov~ge
Owner's.coverage.
to.-oai~-F~-Shughart:"jr. Sclfe~POC-1OO)------.---loo.00----. ---
-- ---_ -_--~-~~~__ !?~le_ ~~_ ~~u~_~~r.s J!..~ .~~~!~~~~C.~!?!"!~8:~~_~ !J.!~___==_==-=-=~~~i.~_=_----.-.
to
to
- - - .--. . ...
to Dale~. S~ug.~art, Jr.: (p()C. IO~)
to
to
..__ __ ___ _.._._.________...___......2__--____ _.._____..___.~-.-.
1108.
to
_______._._.___. __.._.__._2___ ________._______.__
$
$
1109.
1110.
1111.
1112.
1113.
1200.
1201.
1202.
1203.
1204.
1205.
1300.
1301.
1302.
1303.
1304.
1305.
1306.
1307.
1308.
1309.
1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) 403.50 15.00
IlIltlal Escrow Account Statement Required by Sectlon 10 (c) (1) of the Real Estate Settlement Procedures Act (RESPA)
If checked,. the tenns of your loan require you to have an escrow account to assure that the certain obligations relating to the mortgaged property. such as taxes, insurance
premiums and other charges are paid. The amount specified below will be collected, along with your mortgage principal and interest payments. during the flJ'St 12 months after
your account is opened to pay these anticipated expenses: Fscrow Account
Government Recordi~~ a~d_ Tran~.!e!. .~~a.:ri~__ . _____.___m_ _____....____.._.___. .. 'n __ ___ ___... ..___
Recording fees: Deed $ 38.50; Mortgage $ ___L~~~se~_$__. ______ ______n_._..:..._ _.____..}~~~.P____
City/county tax/stamps: DeedS 15.00---------- ; Mortgagei 15.00
State taxlstalllPs':- De~. ~. .. ----.- - i5~~~-_:=_-_=:_ .~:~~_~--i-~o.~~~i~ -~~-: __-~_._~_-_.- ---=~~~==--=-=--=._=~~==~==_=~~~~~Q~O='~--_
0.00
15.00
Additional Settlement Chal'2es
Survey to: .
Pest Inspection to:
Beginning Date:
Your escrow account payment will be S
Po rpose
Estimated Amount
______ per
Anticipated Due Date
Payee
HUD - I 3:91
RESPA, HB 4305.2
I...., r- ..~. ..-
~ . ~.. '0 ..~
:\..' L,
.--
---...",
20Gb RPR 1 7
Pr1 :3 Ll6
I ;)375.-
Shujhrf
,',
, ; i.'
. ..
Tax Parcel No. 06-20-1798-30SA
TIllS DEED,
. ;-ell.
MADE THE 17 day of April in the year of our Lord two thousand
six (2006).
BETWEEN TED FULLER, Executor of the ESTATE OF TERRY E. FULLER,
Deceased, late of the Borough of Carlisle, Cumberland County,
Pennsylvania party of the first part, hereinafter
Grantor
and SHIRLEY M. HOCKENBERRY, FORMERLY SHIRLEY M. MORTON, married
woman, of the same place, party of the second part, hereinafter
Grantee
WHEREAS, the said Terry E. Fuller became in his lifetime, seised,
in fee, of a certain tract of land, situate in the Fifth Ward of
the Borough of Carlisle, Cumberland County, Pennsylvania, and
more particularly described hereafter; and
WHEREAS, the said Terry E. Fuller died on November 14, 2005,
having made his Last will and Testament in writing dated October
7, 2005, duly probated and filed in the Office of the Register of
wills in and for Cumberland County, Pennsylvania, on January 9,
2006, to Estate No. 21-06-0023, in which he appointed as
Executor, his brother, Ted Fuller; and
WHEREAS, Letters Testamentary in the Estate of Terry E. Fuller
were issued by the Cumberland County Register of Wills on January
9, 2006 to Ted Fuller, without the requirement that any Bond be
posted, which Letters Testamentary remain in full force and
effect; and
WHEREAS, Section 3351 of the Probate, Estate and Fiduciaries Code
(20 Pa.C.S. 3351) gives the personal representative the power to
sell at public or private sale any real property not specifically
devised; and
WHEREAS, the herein described real property was not specifically
devised; and
NOW THIS INDENTURE WITNESSETH, that the Grantor, for and in
consideration of the sum of One Thousand Five Hundred ($1,500.00)
Dollar, to him in hand paid by the said Grantee at or before the
sealing and delivering hereof, receipt whereof is hereby
acknowledged, has granted, bargained, sold, aliened, released,
confirmed and conveyed and by these presents does grant, bargain,
sell, alien, release, confirm and convey unto the said Grantee,
her heirs and assigns;
eoo~ 274 PAGe 187
ALL THAT CERTAIN lot of ground, situate on the West side of an
alley running North and South between the 400 block of North pitt
Street and Fairground Avenue, in the Fifth Ward of the Borough of
Carlisle, Cumberland County, Pennsylvania, bounded and described
as follows:
ON the North by lot now or formerly of the Heirs-at-Law of
Benjamin Lackey, deceased; on the East by lot now or formerly of
Mrs. Annie Ebersole; on the South by lot of ground now or
formerly of Charles T. Rinesrnith; and on the West by lots now or
formerly of John H. Casey and Laura Casey, his wife.
BEING thirty (3D) feet in width on the side adjoining land now or
formerly of the Benjamin F. Lackey's heirs; thirty-seven (37)
feet in length on the side adjoining land now or formerly of Mrs.
Annie Ebersole; thirty (30) feet in width on the side adjoining
land now or formerly of Charles T. Rinesmith; and thirty-seven
{37} feet in length on the side adjoining land now or formerly of
John H. Casey and Laura Casey, his wife.
BEING the same premises which Cletus A. Kipps and Shirley J.
Kipps, husband and wife, by their deed dated July 25, 1974 and
recorded in the Office of the Recorder of Deeds in and for
cumberland County in Deed Book "S", Vol. 25, Page 264 granted and
conveyed unto Terry E. Fuller.
AND the said Grantor, for himself and his heirs and assigns, does
for his own act only, covenants, promises and agrees to and with
the said Grantee, her heirs and assigns, that they, the said
Grantor, has.not heretofore done or committed any act, matter or
thing whereby the premises hereby granted, or any part thereof,
is, are, shall or may be impeached, charged or encumbered in
title, charge, estate or otherwise howsoever.
IN WITNESS WHEREOF, the said Grantor has caused this Indenture to
be duly executed and his seal to be hereunto affixed the day and
year first above written.
SIGNED, SEALED and DELIVERED
~;~~~~f
\ r / 1
'/ .
G '
ESTATE OF TERRY E. FULLER
By: -;;;; JJr ~ CyA( [SEAL]
Ted Fuller, Executor
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
" h /~I!i-. d f"l b f h
On thlS, t e /- ay 0 Aprl ,2006, e ore me, t e
undersigned officer, personally appeared Ted Fuller, Executor of
the Estate of Terry E. Fuller, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within
instrument, and acknowledged that he executed the same for the
purposes therein contained.
IN WITNESS WHEREOF, I have set my hand and official seal.
NOTARIAl SEAL
BONNIE L. COYLE, NOTARY PUBliC
BORO OF CARLISLE, CUMBERLAND co. pf\
MY COMMSSION EXPIRES OCTOBER 17, 2ii.cf .
~X~~
[SEAL]
NOTARIAl SEAL
BONNIE L. COYLE, NOTARY PUBLIC
BORO OF CARlISLE, CUMBERLAND CO. PA
MY COMMISSION EXPIRES OCTOBER 17, 2006
"",lCIV~.
I do hereby certify that the precise residence and complete
post office address of the within named grantee(s) is
420 Fairground Avenue, Carlisle, PA 17013.
April /7 , 2006
:ti Sovereign Bank"
STATEMENT OF ACCOUNTS
1.,877-S~\t-,~,ANK (1-877-768~226S~ ,\I\f\IIAV.~()v.erelgnbanl<~com
, TO"fi~~~FREEP~EMIER CHECKIr,lG
TOTAlL V FREE PREMIER CHECKINC Staten1ent Period 10/24/05 - 11/22/05
7"E8~YEFl1biJER, :
,lJ.~~Q}Jflt:' #' .1671 02{)JJ)57
Ro.t;mer'Account, 100667-922
)
" )
page 3 of3
1671020057
The Managing Trustees HeR ManorCare
Resident Personal Trust Fund 5th floor
Resident Trust Statement
01/03/2006 04:50 PM
10/01/2005 Through 12/31/2005
Page 1
Legal RCI> rescntativc
Resident # 25251
FulIer~ Terry E
430 Fairground Ave
CarlislePA 17013
Banl{: M & T Bank
Acct #: 3740881531
Admit: 7/20/2005 4:00:00 AM
Disch: 11114/2005 6:00:00 A
Fuller, Terry E
Beginning Balancc
$0.00
Datc Descrilltion Check#
10/25/2005 DEPOSIT
10/25/2005 DEPOSIT
10/25/2005 DEPOSIT
10/25/2005 DEPOSIT
10/27/2005 pension
10/31/2005 Interest
11/04/2005 carlislr tire and whe
11/10/2005 deposi t
11/10/2005 deposit
11/17/2005 deposit
11/30/2005 Interest Earned
12/20/2005 deposit
12/20/2005 deposit
12/30/2005 past due balance 1975
Withdrawals Deposits Balance Trans ID
$350.65 $350.65 15688
$350.66 $701.31 15689
$350.65 $1,051.96 15690
$350.64 $1,402.60 15691
$350.64 $1,753.24 15696
$0.14 $1.753.38 15889
$350.66 $2,104.04 15916
$350.65 $2,454.69 15908
$1,370.00 $3,824.69 15911
$350.64 $4,175.33 16101
$0.24 $4,175.57 16188
$350.64 $4,526.21 16099
($350.64) $4,175.57 16100
$4,175.57 $0.00 16246
Ending Balance $0.00
This is not a bill
M & T Bank
3740881531
~.e.= W~CHOVIA
Wachovia Bank, National Association
Retirement Services
Charlotte, North Carolina 28288-1155
CARLI SLE COMPAN I ES
401(K) PLAN
10:
SSN:
OOOOOCSP
XXX-XX-5140
OOOOOCSP 000110
TED FULLER B
430 FAIRGROUNDS AVE.
CARLISLE PA 17013-1922
PAYMENT DATE: 12/21/2005
CHECK II: 0004430178
NET AMOUNT: S 49,322 . 28
FOR INQUIRIES, CALL OR WRITE
1-800-3n-9188
WACHOVIA BANK, N.. A.
WACHOVIA RETIRBtENT SERVICES
1525 W WT HARRIS BLVD NC-1155
CHARLOTTE, NC 28288-1155
Payment Amounts Deduction Amounts
Current Y ear- T a-Date Current Year-la-Date
GROSS S 54,762.33 S 54,762.33 TOTAL DEDUCTIONS $ 5,440.05
TAXABLE S 54,400.53 ; S4,400.53 FEDTX $ 5,440.05 S 5,440.05
NONT AXABLE S 361.80 S 361.80
I
THIS DISTRIBUTION MAY BE
ELIGIBLE FOR ROLLOVER TO A
WACHOVIA IRA. IF YOU WOULD
LIKE MORE INFORMATION,
PLEASE CONTACT PARTICIPANT
ACCOUNT SERV I CES AT
800.377.9188, WEEKDAYS
FROM 7 AM . 10 PM, EST.
THIS IS A STATEMENT OF YOUR BENEFIT PAYMENTS AND DEDUCTIONS. PLEASE DETACH AND RETAIN FOR YOUR PERSONAL RECORDS.
DALE F. SHUGHART, JR.
ATTORNEY AT LAW
35 EAST HIGH STREET
SUITE 203
CARLISLE, PENNSYLVANIA 17013
Telephone (717) 241-4311
Facsimile (717) 241-4021
OF COUNSEL
HAMILTON C. DAVIS
May 1, 2006
Terry Fuller Estate
c/o Ted Fuller, Executor
TO: Dale F. Shughart, Jr., Esquire
EIN: 25-1802515
LEGAL ASSISTANT
BONNIE L. COYLE
Professional services rendered as follows:
Cash Advance: ,
04/17/06 - Certified mail to Beneficial.
Fees:
04/10/06 - Preparation of Deed for settlement
of 421 North Pitt Street, Rear.
04/17/06 - Attend real estate closing.
04/04/06 - Office conference with Ted; review
of Lumenos statements; letter to
Lumenosi letter to Shirley
Hockenberry; letter to client. 1.0
04/05/06 - Reconciling ManorCare and letter to
ManorCare. .5
04/06/06 - Telephone conference with Shirley
Hockenberry. .3
04/10/06 - Letter to ManorCare and client;
correspondence with Shirley
Hockenberry. .3
04/11/06 - Letter to client; letter to client
and Shirley Hockenberry. .4
04/17/06 - Research on Beneficial Mortgages;
prepare two Satisfaction Pieces;
letter to Beneficial. 1.0
04/21/06 - Review information from Wachoviai
letter to client. ~
Total hours - 3.7
Total fee at $175/hr.
Total fees
Total fees and cash advances -
Fees to date:
02/01/06 -
03/01/06 -
04/01/06 -
05/01/06 -
Total -
$ 2,852.50
$ 1,242.50
$ 542.50
$ 847.50
$ 5,485.00
$
6.00
$ 100.00
$ 100.00
$ 647.50
$ 847.50
$ 853.50
DALE F. SHUGHART, JR.
ATTORNEY AT LAW
35 EAST HIGH STREET
SUITE 203
CARLISLE, PENNSYLVANIA 17013
Telephone (717) 241-4311
Facsimile (717) 241-4021
OF COUNSEL
HAMILTON C. DAVIS
April 1, 2006
Terry Fuller Estate
c/o Ted Fuller, Executor
TO: Dale F. Shughart, Jr., Esquire
EIN: 25-1802515
LEGAL ASSISTANT
BONNIE L. COYLE
Professional services rendered as follows:
03/01/06 - Letter from Ted; telephone conference
with Sovereign Bank. .6
03/06/06 - Brief office conference with client;
filing information. .2
03/14/06 - Review Tax Returns; fax from and to
Doug Heineman; office conference
with client. 1.0
03/24/06 - Telephone conference with Nancy
Jaffe at Lumenos. . 3
03/30/06 - Prepare for and office conference
with client; pay taxes; complete
form and letter to Attorney for
Lumenos. 1.0
Total hours -
3.1
Total fee at $175/hr.
Fees to date:
02/01/06 -
03/01/06 -
04/01/06 -
Total -
$ 2,852.50
$ 1,242.50
$ 542.50
$ 4,637.50
$ 542.50
DALE F. SHUGHART, JR.
ATTORNEY AT LAW
35 EAST HIGH STREET
SUITE 203
CARLISLE, PENNSYLVANIA 17013
Telephone (717) 241-4311
Facsimile (717) 241-4021
OF COUNSEL
HAMILTON C. DAVIS
March 1, 2006
Terry Fuller Estate
c/o Ted Fuller, Executor
TO: Dale F. Shughart, Jr., Esquire
EIN: 25-1802515
LEGAL ASSISTANT
BONNIE L. COYLE
Professional services rendered as follows:
Cash Advances:
02/02/06 - The Sentinel, advertise
02/15/06 - Cumberland Law Journal, advertise
Total -
02/02/06 - Meeting with ManorCare; office
conference with client; telephone
conference with Douglas Heineman,
B-H Agency; and fax to B-H. 2.5
02/14/06 - Review appraisals and information
from Lumenos. .3
02/15/06 - Telephone conference with Jodi at
Lumenos Compliance Center;
telephone conference with Julia
at Wolpoff & Abramson; fax to Julia
and telephone conference with
Andrew Spears. 1.5
02/16/06 - Telephone conference with Andrew
Spears and letter to Lumenos
and ManorCare. 1.0
02/20/06 - Review file; letter to client and
Andrew Spears; office conference
with client; pay bills; letter to
Brad Mentzer. 1.8
Total hours - 7.1
$ 122.51
$ 75.00
$ 197.51
Total fee at $175/hr. $1,242.50
Total fees and cash advances - $1,440.01
Fees to date:
02/01/06 -
03/01/06 -
Total -
$ 2,852.50
$ 1,242.50
$ 4,095.00
DALE F. SHUGHART, JR.
ATTORNEY AT LAW
35 EAST HIGH STREET
SUITE 203
CARLISLE, PENNSYLVANIA 17013
Telephone (717) 241-4311
Facsimile (717) 241-4021
OF COUNSEL
HAMILTON C. DA VIS
February 1, 2006
Terry Fuller Estate
c/o Ted Fuller, Executor
TO: Dale F. Shughart, Jr., Esquire
EIN: 25-1802515
LEGAL ASSISTANT
BONNIE L. COYLE
Professional services rendered as follows:
Cash Advances:
01/06/06 - Copying Deeds.
01/09/06 - Register of Wills, probate
01/27/06 - Cumberland-Perry Abstract, bring down
Total -
01/04/06
01/05/06
01/06/06
01/09/06
- Review file; office conference with
client; prepare forms.
- Preparing probate papers.
- Locating deeds and copying.
- Preparing Petition for Probate
and EIN; office conference with
client; probate willi go to
Bank.
3.0
1.5
1.0
2.0
01/11 and
01/12/06 - Compiling information; various
correspondence; Notice of
Beneficial Interest; legal Notices;
letter to and office conference
with client. 3.0
01/13/06 - Letter to Ted Fuller. 1.0
01/16/06 - Review Medical Insurance
information and letter to
client. 1.0
01/18/06 - Review file; letter to Nicole Baird;
telephone call to Carlisle
Regional Medical Center. 1.0
01/20/06 - Telephone conference with ManorCare
and Aetnaj prepare insurance
papers; various correspondence
and telephone conferences; office
conference with client; pay bills. 1.5
$ 5.00
$ 98.00
$ 25.00
$ 128.00
Dale F. Shughart, Jr.
February I, 2006
Page 2
01/23/06 - Receive information on medical
bills;; pay bill; letter to client.
01/27/06 - Review bring down and letter
to client; obtaining tax lien
information.
01/31/06 - Pay tax lien at Tax Claim.
Total hours -
Total fee at $175/hr.
Total fees and cash advances -
.6
.5
~
16.3
$2,852.50
$21980.50
LAST WILL AND TESTAMENT OF
TERRY E. FULLER
I, Terry E. Fuller, of the Borough of Carlisle, Cumberland
County, Pennsylvania, declare this to be my Last will and
Testament and revoke all Wills and Codicils previously made by
me.
ITEM I: I direct that my legally enforceable debts and
funeral expenses, together with the expenses of the
administration of my estate shall be paid from my residuary
estate as soon as practicable after my decease, as a part of the
expense of the administration of my estate.
ITEM II: I devise and bequeath all of my estate of every
nature and wherever situate unto my brother, Ted Fuller, provided
he shall survive me by thirty (30) days.
ITEM III: All Federal, State and other death taxes payable
because of my death, with respect to the property forming my
gross Estate for tax purposes, whether passing under this will or
otherwise, including any interest or penalty imposed in
connection with such taxes, such be considered a part of the
expense of the administration of my Estate and shall be paid out
of the principal of my residuary estate without apportionment or
right of reimbursement.
ITEM IV: I appoint my said brother, Ted Fuller, Executor of
this my last will.
ITEM V: I direct that my personal representative shall not
be required to give bond for the faithful performance of this
duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this "'7-11--day of October, 2005.
~~c~
Terry E. Fuller
[ SEAL]
it '. ;.
The preceding instrument, consisting of one (1) other
typewritten page, identified by the signature of the Testator,
was on the date thereof, signed, published and declared Terry E.
Fuller, the Testator therein named, as and for his last Will, in
the presence of us, who, at his request, in his presence and in
the presence of each other, have subscribed
witnesses hereto.
~~~
-2-
. {. , ..
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
We, Terry E. Fuller, Dale F. Shughart I Jr., and R U /:; V G!J1 a r 1/ J1
. /
, the Testator and the wltnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the Testator signed and executed the instrument as
his last Will and that he had signed willingly, and that he
executed it as his free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the
presence and hearing of the Testator, signed the Will as witness
and that to the best of his/her knowledge t~e Testator was at
that time eighteen years of age or older, of sound mind and under
no constraint or undue influence.
rI~A~~'
. . Test~
-iJ~, y)
Witnes \
~~~~
/" Witness
Subscribed, sworn to and acknowledged before me by
Terry E. Fuller, the Testator, and subscribed and sworn to before
me by Dale F. Shughart, Jr. and
witnesses, this 1iL day of October, 2005.
NOTARIAl SEAL
BONNIE L. COYLE. NOTARY PUBLIC
BORO OF CARLISLE. CUMBERLAND co. PA
MYCOPJMISSION EXPIRES OCTOBER 17. 2006
~X~&-
Notary bI1C
-3-
~
j
'Du-<=- ("i () - ()0
"Pd " toO.. (i:',
y ~ v - .::So .cv (s 'l,'" eL)
N l-\~ D
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SHUGHART DALE F JR ESQUIRE
SUITE 203
35 E HIGH STREET
CARLISLE, PA 17013
-------- fold
ESTATE INFORMATION: SSN: 168-48-2967
FILE NUMBER: 2106-0023
DECEDENT NAME: FULLER TERRY E
DATE OF PAYMENT: 05/16/2006
POSTMARK DATE: 05/16/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 11/14/2005
NO. CD 006703
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,602.14
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$2,602.14
REMARKS:
CHECK# 1016
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
~
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of
Fuller, Terry E.
Cxo
No. 21 - (l' - 00023
Date of Death 11/ 14/2005
also known as
, Deceased
Social Security No. 168-48-2967
Ted Fuller
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the
Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that
which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true
and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
Attorney:
Dale F Shughart, }r'}~~9~~~ _
Personal Representative
7 I ..., -;-- /~
Signature: ____~r---_--~~p-_-
Ted Fuller
I.D. No.:
19373
Signature:
Signature:
Address:
10 West High Street
Carlisle, P A 17013
Address: 430 Fairground Avenue
Carlisle, PAl 70 13
Telephone: 717/241-4311
Telephone: 717-448-5692
Dated:_1!l-tJ!-O(
Personal PrODertv
Clothing and personal effects.
0.00
Sovereign Bank, checking account # 16020057
Principal 51.98
Interest 0
51.98
HCR ManorCare, resident's personal trust fund
Principal 3,824.69
Accrued interest .24
3;824.95-' ,
(..... ~~
-'-.'
Carlisle Tire & Wheel, final paycheck
-::.~ 350.64
HCR ManorCare, refund of overpayment.
(~- ,..,
uj,850.57 '
Tax proration on sale of 122 North Pitt Street, rear.
47.63
Total Personal Property
$6,125.75
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$41,625.75
.
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
continued
Estate of Fuller, Terry E.
No. 21 - 05 - 00023
also known as
Date of Death 11/14/2005
Social Security No. 168-48-2967
, Deceased
Real Estate
Lot and dwelling house @ 430 Fairground Avenue, Borough of Carlisle, Cumberland County,
PA. Tax Parcel #06-20-1798-318. Value based upon attached appraisal of Susan B.
Burkholder.
Vacant lot, 30 feet by 37 feet in dimension, located at rear of 421 North Pitt Street, Borough of
Carlisle, Cumberland County, P A. Tax Parcel #06-20-1798-305A. Value based upon actual
sale price. Copies of Deed and HUD 1 Settlement Statement attached.
34,000.00
1,500.00
Total Real Estate
$35,500.00
2