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HomeMy WebLinkAbout06-21-06 (2) ~r:'..r. ~500 c.x Ie ~JI REV.,1500 w ~ lIl::$1Il ua:lIl: w~g :Z:a:... UQ.lIl Q. < COMMONWEAlTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 .- Z W C W o W C ~1. Original Retum D 4. Limited Estate ~6. Decedent Died Testate (AItac/lCllPYoIWI) o 9. Litigation Proceeds Received OFFICIAL USE ONLY , INHERITANCE TAX RETURN FILE NUMBER RESIDENT DECEDENT ~r1- ~YF>>..b }-. }q D 2. Supplemental Retum D 4a. Future Interest Compromise (dIlt 01 dIIt!IlflIr 12.12-82) D 7. Decedent Maintained a Living Trust (AItac/l CIlPY oITIIIII) o 10. Spousal Poverty Credit (dIlt 01_ ~ 12-31-t111ld 1.1-15) (;) ':;'S' 1._ IUIlER SOCIAl SECURITY NUMBER ~ -:3 '1... - 2...J If THIS RETURN MUST BE FILED IN DUPlICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Return (dIltoldllll pltarlD 12-1U2) D 5. Federal Estate Tax Return Required 1. 8. ToI8I Number of Safe Oeposlt Boxes o 11. EIecIIon to tax under See. 9113(A) lAID ti 01 .... z w c z o Q. CIl W a: a: o u (.. TELEPHONE NUMBER ~ - Sf COMPLETE MAILING ADDRESS L... I l,s 3 -mlf ~.tl Jnw.4 71 Si€ '"'l-O b Tlf N 1(') M (\) /.NV1; ~ A. 190 If/:r-l 'I' Lo (1) (2) (3) (4) (5) 2SS.o~ 1-t:,2-,'7LJb , ,,~FFICIAL~E ONLY':'" r. Cr..,) 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation. Partnership or SoIe-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. JoinUy Owned Property (Schedule F) D Separate Billing Requested .' 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1.7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) z o ~ ..J :J .- ii: <( o W 0:: 14 Net Value Subject to Tax (Line 12 minus Line 13) (6) Sb . 31 "/ , /q I 3 ~ J...8' 'L "77-;:' J (7) (9) (10) qg~~ (8) 87 b, J J 9 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ ~ :) a. :E o o ~ 15. Amount of Line 14 taxable 8t the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable 8t lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 866, tt/ I , x .0 _ (15) x .0'tS(16) (11) (12) (13) ~ 708- ~{i~ 'fll x .12 (17) x .15 (18) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (14) 8'6 6 J '+ J I ~ 3e,9%tf (19) "3 8, 9 tftf- \l:l.~"""""~ '. .. " 1 . -.-., , . -," - <.1' . ~~li.1tZ'.>>:~,~""'~~"'~f~ I. .. ,,.~.a ,;'-~l~J!Jji:l:~:'l'~d l.t J, ~: . ::~J,:;'...t.",~)~~..:*~~: }~~~4.!;'_:. il'l J.. ,,;' \'..," ,'..:'...~' '.;",' COMMONWEAl!TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURO. PA 17128.0601 ( REV-1 ;62 EXI11-") RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT GALLUCCI ELIZABETH M 215 E SIMPSON STREET MECHANICSBURG, PA 17055-6510 -------- IoId ESTATE INFORMATION: SSN: 202-32-2144 FILE NUMBER: 2106-0251 DECEDENT NAME: WARNER PAULINE R DATE OF PAYMENT: 05/31/2006 POSTMARK DATE: 05/31/2006 COUNTY: CUMBERLAND DATE OF DEATH: 03/04/2906 NO. CD 006767 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $36,000.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 101 SEAL INITIALS: MW RECEIVED BY: TAXPAYER $36,000.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS - - Frano:e5 McLaughlin Financial Center Manager Assistant Vice President RECEIPT \ II! -~~ ---~---- (complete bank name) cJG WACHOVIA ~ Branch Abington Financial Center 1101 Old York Road. PA1023 Abington. PA 19090 Tel 215 576-3305. Fax 215 572-2591 24 Hour Service 800WACHOJIA (9224684) r 1. (p"WtU(iC I $ d~()O -- " fer f5u k If r!5o/tj9 o Cash o Night Deposit Bag # 4~ o Other, Specify By 0000 562252 (100fpkg) I Address a.' S LU4vLI/1 F.' 'il/~.eA' 'G. SI"1rPSt1A~ 5/. ,4fG'cIlAnIc.~ ~ .d. I7d5S . - ........~~~..'~!.i,(,."*~;;U~*'tt;.~., "cable In aU states. ._.:(.. '" .-""...:' ..:-< .f',' .-' I I. ',' ,,' t .-.J,. .' . '.. ....... .' .r ". ...: ..... ...-:..".': ...\:...-;r,--~".'....._ '.':,. .... '.. ..-. ..... . .," ...~~~:.::~!T ~.-...~' _' ~.'.:: ~..... ~.. .'..:... .::.... :'""" ... The Safe Deposit Box was found: ,. , ~tain nothing - .':' 0 to contain ertIcIes listed on page 2 of 2 ) )88. ) I Notary Public SEAL I My commlas~ expires: (Date) 565334 Page 1 of 2 ."""'Oft: t' ,..,. Z)O ~ 9Bed vE:E:S95 1IOoA.~_ (11)80) :llIJldXII UOIQ'WWOO ~v.I I . lV3S Ollqnd N8)ON I :~ OU)fOB pUB 01 WOMS 'peq!Josqns seM luawnJlSU! ( 'SS ( ( :10 8)e)S 1; jO 1; 8Bed uo pelS!l sePDJ8 U18JUO:> 01 0:.. 6u.1lAOU UI81~ I " :punoJ seM Xoe l!sodea ales alU. J 3 (lI~l UOII8ZIJO~ ue eweN 1,II^1le)UIlS8Jde~ II :PUB uO\lepostV IIUOflIN 8J8Melea JO )fuse BI^OlpBM JO uonel:>OSS'ti IBUOneN )fUee BI^OlpBM JO seleposS'ti . . ~ - - ... . .".........'0;. .....-.. :;.:.~ :.~..~:.;'.~~.:;;.;H:"~"C:".~. ~(.' ',. ....:.:'.'- --.- . ":,... _..~......~..'4':.......~'" .........:..... ,":'.' :... ~...". .t .... . ..... . ." . ." ..'t.... -' ..._' . .... ,,;". .,'~"_"',_. '..J~. Jl8 U181Q8:)1I 8 JON :3J.ON :JO 9:>uesaJ ":<,m~,~~..;~1i~~..~'~~....~,.. . , .u -- _. '''''''.~.., ;""~'P W'N :?,m/l~CJ h' ~~:~~1 .. I ;V3/YWVrV/'J .:;;JUl7n-w7:1 (.weN ~J.) :lIeUlIl (eWeN ed,(l) :.~1 . ._:._'~,..,...,..... :euOnBN 'aJBMBlaa JO >IUBS B!^OlPBM JO UOnBI:lOSSV ,BUOIl","1 '\Cuea BI^OU:lBM ~uawa~B~S AJo~ua^UI xos l!sodaa a~BS 'lr ' Safe Deposit Box Inventory Statement (continued) Wachovia Bank, National Association or Wachovia Bank of Delaware, National Association 'nve~ry ~f i'tl7;Sit Box Number I - r }/Jt#7lf 1<6 l' '-"'" V , . , ~ . ., .. .~ ,. .'f- .~. ."";~""."~'''''''~'~''''.:Y>'~I~. }' '. '." .. ." '.' ~ ~!<f.,. . "~I" ,.:~..~, ..!~_t.....".".~f t.\ <J.t ,. ..~.l.,,,f" ',i,.:: . ~ J#- :~..~1ifi;j;..;:';.~:"~~:".' ..,r! ~'~.:"!~~' ,. ..\. .., :.~' -..~.. ".,. .. : ~~~., .. ,. '.' , ...."...,....,. J.... :~;: -.....~1l..!"'.~............... . " .......-. .,.-.:.... ., ..)'- 'f' .. ., J i " ,. t 'r~ ~ '-of . Safe Deposit Box Contents (listed above) have been placed In deposit bag number . In Bank's vault. Associate's Signature Associate's Signature Associate's Signature . 565334 Page 2 0' 2 ~:1'_ Decedent's'Complete Address: STREET ADDRESS Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. PriOf Payments C. Discount (1) :38,9 B-tf . "3~/ 000 I 8'Q ~ Total Credits ( A + B + C ) (2) 37 . 8''1.s- , 3. InteresllPenalty if applicable D. Interest E. Penalty TotallnteresllPenalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) A. Enter the interest on the tax due. (5) (SA) I ,,093 . 5.. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT II 093 PIt~.~~ '..;.r~t..\u.~ I ~ . . ,_ r. ~ _ ~ . ~ ' ? . 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;.......................................................................................... 0 ~ b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~ c. retain a reversionary interest; Of.......................................................................................................................... 0 g d. receive the promise for life of either payments. benefits or care? ...................................................................... 0 -Q 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? .............. 0 IS 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ IE. 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. /" :/ G ~;j, J. I 7oS"r - 2j 'I 'f TLJt, t:i, . . ",1 ~'I'I:~~: :;. ~,~ 1,llC r , ,l~i;c' L/r; :w':;:..:~~...~..,..'(...~-"?".;~~"~;~w.l"~"''S,n.~'''''''.;~~~.,.".,... __._p:l,~........,........._ ____.,;.~_ For dates of death on or after July 1.1994 and before January 1.1995, the lax 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 lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. S9116 (a) (1.1) (n) The statute does not exemot a transfer to a surviving spouse from lax, and the statutory requirements for disclosure of assels and filing a tax retum are still applicable even the surviving spouse is the only beneficiary. For dates of death on or after July 1. 2000: The lax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to 01' for the use of a natural paren~ an adoptive paren or a stepparent of the child is 0% [72 P.S. S9116(a)(1.2)). . . The lax rate imposed on the net value of transfers to or tor the use of the decedent's lineal beneficiaries is 4.5%. except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(l)). The lax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. S9116(a)(1.3)). A sibling Is defined, under Section 9102, as a individual who has at least one parent In common with the deceden~ whether by blood or adoption. -_.,,~ * COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF ~ rt../ IE r< . All real property owned 101e1y 0 as I ant In common must be repol1ld It fair marklt value. Fair market vakle Is deftned as the price at which property would be exchanged between a willing buyer and a wining seller. neither being compelled to buy or sell, both having reasonable knowledge of the relevant fads. Real property which II jolntly-owned willi rtght of lurvlvorshl" must be disclosed on Schedule F. ITEM NUMBER 1. -o~- DESCRIPTION APp~~~/.' lO'31:z, AIZH~ .R- .-:1. A8JN(~JI YhqJ T~)"t r c::o. (}1. I (J 0 I) J - 'YLtL I., , / {/A ~c:..EL #- ""3 0 - 00 - o/7..S6 - OOJ Ay7;4~ U ell A 77ACI-f ~ 'D VALUE AT DATE OF DEATH <1 '1 "2SS t' (J c;;7 I TOTAL (Also enter on line 1, Recapitulation) $ "]...s-..s:. 00 0 (If more space is needed, insert additional sheets of the same size) Fields & Associates, Inc. fie No. 6040074L APPRAISAL OF LOCATED AT: 1036 Arbuta Road Abington, PA 19001-4424 FOR: Elizabeth M. GaUueci BORROWER: Elizabeth M. Gallucci AS OF: April 28, 2006 BY: Linda M. Fields State Certified Residential Real Estate Appraiser P.O. Box 1432, Kulpsville, PA 19443 E~~l Yd ~1I!^sdln)l ''lE~l xog 'O'd J:lS!BJddy "lBlSa l"'1lIB!llJ:lP!~ \>"Y!lJ":) :llBlS 5p1"!d 'y,r spun 7fft ut-rrr;wr 'SUO!lB:l!J!Ua:l alBIJdoJddB pUB SUO!lIPUO:l 6UI1IW!I 'SlIdBJ60101ld aAndlJ:lSap 'anlBA JO alBW!lSa IBU!J 'suo!snl:lUO:l alll JOJ B1BP aA!lJoddns pUB S!S~IBUB 'uondp:lsap alll SU!BlUO:llJodaJ pall:lBnB all! SJBIlOO puesOOIlJ. "A!d-hyld p:lJpunH OM~ OOO'SS'l$ :S! 9OO'l'8'lI!Jdy JO SB ~lJadoJd alll JO anlBA lallJBW palBWnsa alll 'uo!u!do liw ul 'SlUaWaAOJdw! pUB al!S alll U! lSaJalU! aldw!s aaj alll aJB pas!BJddB Sl1l6p liuadoJd all! 'paAoJdw! SB 'lilJadoJd l:lafqns allljO anlBA lallJBW alll alBW!lSa 01 S! IBS!BJddB S!1I1jO asodlOd all! ~'l>>-IOO61 Yd 'uolSu!qy pBOlI BlnqJY 9EO I :IB liuadoJd IBaJ aliI pas!IIJddB pUll pal:ladsu! IillllUOsJad aAlIlIl 'lsanbaJ lOoli lIl!M a:lulIpJo:l:l1l UI 1~LOOt709 :JaqwnN al!.:! ponllBD 'y,r ~BZ!13 1~LOOt709 "ON 811~ '301 '5al8IJOSSV "SPlaU ' The DurDose of lhis summ.ry .ppr.is.1 report Is 10 provide lhe lender/cllenl wilh .n .ccurale. .nd .deQu.lelv supported. oolnlon of !he markel v.lue of !he subjecl propertv. ProoertvAddress 1036 Arbuta Road CilY Abinlrton StaIePA ZIoCode 19001-4424 Borrower Elizabeth M. Gallucci OWner d Public Record William Warner Coontv Montllomerv Leo.1 Desalotion MSA Code #37964MSA Code #37964' Abinlrton Townshin. Assessor's Parcel I 30-00-01256-001 Tax Year 2006 Neiohborhood Name Abimlton Woods MlHl Reference 32-A8 am.w. I 10Wner I ITenalll IXlvacant SoedlIIAssessmenlsS N/A Prooertv RlahlS Aoor.1sed IXIFee _ I ILeasel10ld I I OIlIer (desaIlel AsslanmentTvoe I IPtnh.seTransaction I IReflnanceTr.nsac:tIon IXIOlIIer(desaIlelEstatetaxes LenderlCient Elizabeth M. Gallucci Address Is !he su . aJIIeI1dv oIIered for sale or has l been o<<ered lor sale In !he twelve mon!hs orlor lD !he elIectM! dale of this ......lsal1 rives IX I No Report dall source(s) used. o<<ering price(s). .nd d'le(s). Trend - The subiect oronertv is not currentlv offered for sale and has not been listed for sale within the nast 12 months. I U did lXJ did nol.nalyze !he coo~act for sale for !he subject purch.se ~.nsactlan. Explain !he I1lSUls of !he .nalysis 01 !he comract lor sale or why !he llI1lllys1s ...S not performed. Fields, & Associates, Inc. Uniform Residential Appraisal Report File No 6040074L I IPIlD R.E. Taxes S 4 526.00 Census Tract 201 7.06 HOA S N/A I IDeI'vear I IDeI'month - Con~act Price S N/A D.ts of ComractN/A Is !he Ill'ooertv seier !he owner dDUblic record? lives flNo DIIlI5<ucelsl N/A . Is !here any financial assiSlllnce (loan charges, sale concessions. gift or downpaymenl assistance, ele.) lD be paid by any pany on behaf of !he borrower? UVes UNo W Yes. report !he 10la1 dollar .mounl and desaibe !he items lD be paid. S NI A N/A -:__"'r_~....rocas. Localion I 1 Urban ~Xllncreasina I IStable I IllecInino BuiIt.Un IX lOver 75% I 125-75% I I Under 25% I DemandlSuoolv I IShoItaoe IXltn Balance I lOver SuPPlv . GrOWlh IXIR.nid I IStable (ISIow IMartletinnrme IX]Under3mlhs I 13-6mlhs I 10ver6mdls ~ Neighborhood Boundaries The neilZhborhood boundaries are defined bv the municioal boundaries :' of Abinlrton Townshin. Neighborhood Description See Attached Addendum PRICE AGE One-Unl 80% % SI0001 1",,1 2.4 una 2% % 150 Low New MUti-F.mIv 5% " 700 Hinh ]50+ Cornmen:ial 5% " 240 Pred. 60 0Iher sch/vac 8% " Markel Cnndllans Oncluding supporllor!he ._ conclusions) See Attached Addendum Dimensions 113.00 X irreiZU]ar Are. 0.44 Acre Shane Irreaular View ResidentiallAveral!:e I Sood&- Zooina Classlllcalion T Zoo Residential Sina]e Familv Zonina Comnliance Ix I Lea.1 [ I L-I Nonconformina IGr.ndf.lhered Usel [ I No ZO.... I 11.....1 Cdesaibe) Is !he highest .nd best use et!he subject property as improved (or as proposed per plans and specfICIlions) !he presenl use? lXJ Yes UNo W No, desalbe. lJalllla Public 011.- _I Public 011.- _bel 011_ T... PublIc Prtv_ Electricilv IXI I I Waler IXI I I Slreel Macadem IXI [J Gas I I [xl Oil SanitaN Sewer IXI I AlleY None I I il FEMA Soedal Flood Hazard Area lives IXINo FEMA Flood Zone X FEMA M.n, 420695 0382E FEMA MaD D.1e 12/] 911996 Are!heUl~lIeSando'.sleimorovemenlSl'IIlicalfor!hemarkelarea? [xlves r INo WNo.desalbe. Are !here any adverse site condllans or external tactlll'S (easements. enaoachmelllS. environmental condllans.land uses. etc.)? UVes lXlNO WYos. desaibe. Units IX lOne I IOnewllhAccessorvUnil lconcreleStab IXJCrawlSpace Found.lionW.1Is Stone/Avll ''''Stories One IX1FulIBasemenl I IPllrtlalBasemenl ExteriorW.1Is Wood/Av.... Tvoe IX I Del. I I All. I Is.Det.IEnd una Basement Are. 1456 so. tl. RoofSUrlace ASDh.Shinllle/Avll XIExIsli1n I IPrnoosed I IUnderconst BasementFInish 0" Gutlers&llownsDOUISAluminumlAv... Ranch X 1 OutsIde EnlrYlExl IXISumDPumD WIndowTvoe Wood DHlAv... Year Buill 1940 Evidence d I IInfestalion Storm SasMnsul.1ed Storm Wind! Av... E'ectNe _lVrs' 10 I Dam..'ou I 1 SeI1Iement Screens Yest A VlZ Attic None Heatina I lFWA IIXIHW88II IRadiant Amenllles WoodSlolle(sl I lDrooSlIi' X Stairs 10Iher I Fuel Oil xl Fi'eoIllcelsl I Om Fence xl Floor Scullle CooIina r ]central Ai' CondilioniM Xl P.lioIDeck Porch l Finished Healed 1 Individual II I Other 1 Pool Olher Aooiances [ IRelrlaeralor [XIRanoelOven IXIDlshwasher I IDisoosaI [ IMicrow,ve I IW.sherlllrver [ I Other {describel Finished area above 1I'0de conllins: 6 Rooms 3 Bedrooms 2 Ba!hCsl I 744 Sauare Feet'" Gross Livlna Are. AbcM! Grade Additional lealUres (special energy elllcient items. etc.). See Attached Addendum Floors CametlAveral1:e W... DrvwaIVAvl!: TrirWFlnish Wood/Averalle Ba!h Floor Ceramic! A VlZ Ba!h Wainscot Ceramic! A Vll Car Storace I INone X IllrlYew.v I d C.rs Two llrlYewav Sufoce Macadem X1Gar.ae letCars Two -I Caroort I of Cars 1M IXIOel. I lBuil.1n Desaibe the condillon et!he property (including needed repairs. delerloralion. renovallons. remodeling, etc.). Based on an in"""'ction of the subiect nrooertv. no functional or external inadeouacies noted to affect the ability of the home to be marketable. Phvsical denreciation is viewed as normal for a home of this aae. Utility imnrovements include 200 amo CB and SummerlWinter hook uo which are adeouate for the home. Are !here ony physicol dellciencies or o_se coodilions lhat ofleet !he Iivobility. soundness. or SlIU:Uallntegrily d !he property? U Yes !Xl No IVes. desalbe. See Attached Addendum Does the property gener'lly conform lD the neighborhood (function.1 utility. style, condition. use, construction, etc.)? lKJ Yes UNo W No. desaIle. The subiect nrnn..nv is considered to I!enerallv conform to its neilZhborhood with rel!ards to functional utility. stvle condition use construction etc. Freddie Mer: Form 10 Mardl2005 PlodIad UlillgAO ........100 2)4..111........._ Page1dS ....... torm 1004 MIrdl200: 1004J~0330lI5 '::lUI 's:Il8!:ll!SSV '1/ sPI:1!d ::O":;'MlD~\I&DoI"'''~ ...........UlJ..J:.l:::.ow....1*JllPDld f;Mlap.,.1V ~ ~1IlPJ8l1 .....__,..__..__,..-..,,- 900Z 8Z IPoV ,.... OOO'~~Z . .,...... 'I'll'" IHIiIM .. ., _ ~ I.... eIlI,.. ......_ .. .......,......... ..,.. 110........ C-l J>M 'uoII.""pMO .._...Idd. put '-11_ llull...." _ -.-.......,.. _... '_,.. _....._.~ _111M eIlI JO'- .10''''_ _ ...._... JO uopoed....I...... -~. 110 pe'811 wnpu:lpPV ~lj::l8UV;l;lS :~odaJ JO UO!I..... ~... 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""'41 lIIQtJllGIIIW L I ale llJlllU. :l::l81Il:1J!:i ON 0!l8d dljSJ\J!t\IJ8~ I SMOPU!!t\ WJ01S J!V I~ VH sUO :lll1lJ:l.\V V/N :lOON :l::l81Il:1J!:i :lUQ lj::lJOdPU3 -~1lJ80 J~ Oh\~ SMOPU!!t\ UJJ01S :lUON !t\H HO ~llJ:l.\V ~ljsluyun IInd lI'bSvvLI Z 1 E I 9 - 1'"'"1....1 ':lll'8J:lAV SJ8:lA -;+99 :lll8J:lA V llA V flj::lU811 llA V 1l1l!Iu:lP!s:Ill :lJ::lVvv'O :lldW!S:l:ld uuq.mqns IIOIldRl:lS30 lJoda~ 1e5leJddv le!lUapISa~ WJOJIUn ';)UI 'S3JUPOSSV 1[/ SPI3'.... ~'.1"-'1" .-~.-.lt"~.:~,r-'~.-'-.,.-,', Standards Rule 1-5 In develonina a real oro"'""" annraisal when the value oninion to be develoN;d is market value an aooraiser must if such information is available to the aooraiser in the normal course of business: (a) analvze all a'"'eements of sale. ontions or Iistinas of the sub'ect nro"'""" current as of the effective date of the annraisal' and (b) analvze all sales of the subiect nronertv that occurred within the three f3) VPJ>rs orior to the effective date of the annraisal. The Intended User of this annraisal renort is the client indicated in this renort. The Intended Use is for estate tax Olll1lOSeS. subiect to the stated SCOllC of Wart. -.. of the aooraisal renortinll reauirements of this annraisal rCDOr! form. and Definition of Market Value. No additional Intended Users are identified bv the annraiser. . . : Provide adeauate information for the lenderldlent to realicate the below cost....... and calculations. Support for the opinion 0/ site yalle (sunmary 0/ comparable land sales Of other meIhods for estimating sle yakJe) The allocation method has been utilized to determine site value as sales of sin ale comnarable buildina sites are uncommon to the subiect neiahborhood. ESTIMATED I I REPRODUCTION OR I I REPlACEMENT COST NEW OPINION OF SITE VALUE.......... ..,.... "....... ... ....... - $ 70 000 . 5<uce 0/ cost data I DwelIino 1744 Sa.FIO$ ............ - $ 0 ~ QJalltv ralina ~am cast service EIIective date 0/ cost data Bsm!: 1456 Sa.FI. Sa.Ft.@$ "........,,-$ 0 : Comments an Cast AaOfllllch (",oss ~area calculations. deOfeclation. ele.! . Based unon a 60 year economic life the subiect which is Garaae/Caroort 468 Sa. Ft. @ $ .. ......... - $ 0 . effectivelv 10 years old has a remainina economic life of 50 T alai Estimate 0/ Cast.New ......' $ 0 ... I vp.llrs. Less -al I Functional I Exwnal I Decreciation I I . s { 0 I Decreciated Cast of lmoravements.. .... .........."........".... . s 0 "As-is"VakJeofSlle irnnrnuPmonts....... ....... ........... ....... . S Estimated Remalnino Ecanamlc Life (HUD and VA anlYl 50 Yea" INDICATED VALUE BY COST APPROACH............... ...... . $ 70 000 III Estimated Monthlv _t Rent $ X Grass Rent ~;;ier -$ Indicated VakJe bv Income Aa",;;"'h I I Summary of Income Apprllllch (Induding suppal for ma<kel rent and GRM) I I Is the develooerlbulder in conlrol of the Homeowners' Association IHOO? I IYes I INo Unl ~-;l I I Detached I I Altached Provide the lalnwinn information for PUDs ONLY f the deveIooerlbulder is in cantrol of the HOA and the su . is an attached dwe_ unl. Ll!Oal name 0/ "'0_ TOlal number of ",,"ses T alai oomber of units T alai number 0/ units said . Total number of units rented Talal number of units for sale Dala SOLrCeIsl . Was the ",aieclaeated by the conversion 0/ an exislina bulld"""s' into a PUO? r l Yes I I No f Yes. date of conversion. . Does the llr""",, contain any ...-;.......;,;;.uni1s? I Iyes I INo Data SOlm!{sl In the unils. cammon elemenls, and reaeatlan facilities complete? Dyes DNo . No, describe the stalUS of completion. . Ate dle common elements leased to or by the Homeowners' Association? LJyes DNo . Yes. describe the renlal tenns and optians. Describe common elements and recreational facilities. F IWidie MIl: Form 10 MIrth 2OO!a - AO........IOO.l)U727_......Clll'II F....... Farm l0041Mrch 2005 Fields & Assocfates, Inc. 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"I08!OJd 8^!l8J8dooo JO wn!UIWOpUOO e Ul Ilun 8 JO 8W04 p8JnlO8lnU8W 8 JO 18SleJdd8 U8 lJodeJ 01 peu61SllP IOU SI WJOllJodeJ S!IU. '(and) IUBWdol8^8P Ilun p8UU8Id 8 UIIlun 8 6ulpnput :lIun .(JQSSB:XlI! U8 4I1M ,{jJedoJd IIUIl-llUO B JO ,{lJed0Jd llUn-euo 8 JO IBSl8Jdd8 U8 jJodeJ 01 peu61SllP SI WJOJ jJOd9J S!1ll 11>L00t>09 "ON"~ JJodaH leSleJddv lenuaplsaH WJOJlUn .;'UI 'Sal8!;>OSSV 19 SPlal.!l '~.~"'I''1:;).t. Fields & Associates, Inc. Uniform Residential Appraisal Report Fie No. 6040074L APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that: 1. I have, at a minimum, developed and reported this appraisal In accordance with the scope of work requirements stated In this appraisal report. 2. I performed a complete visual Inspection of the Inter10r and exter10r araes of the subject property. I reported the condition of the Improvements In factual, specific terms. I Identified and reported the physical deficiencies that could affect the livability, soundness, or structunillntegrity of tha property. 3. I performed this appraisal in accordance with the requirements of 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 at the time thls appraisal report wes prepared. 4. I developed my opinion of the market value of the real property that Is the subject of this report based on the sales comperison approach to value. I have adequate comperable market data to develop a reliable sales comparison approach for this appraisal assignment. I further certify that I considered the cost and Income approaches to value but did not develop them, unless otherwise Indicated In this report. 5. I researched, ver111ed, analyzed, and reported on any current agreement for sale for the subject property, any offer1ng for sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated In this report. 6. I researched, ver1f1ed, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable sale, unless otherwise Indicated In this report. 7. I selected and used comparable sales that are locatlonally, physically, and functionally the most similar to the subject property. 8. I have not used comparable sales that were the result of combining a land sale with the contract pUrchase price of a home that has been built or will be built on the land. 9. I have reported adjustments to the comparable sales that reflect the markers reaction to the differences between the subject property and the comparable sales. 10. I verified, from a disinterested source, alllnforrnatlon In this report that was provided by parties who have a financial Interest In the sale or financing of the subject property. 11. I have knowledge and experienca In appraising this type of property In this market area. 12. I am aware of, and have accesa to, the necessary and appropriate public and private data sources, such as multiple listing services, tax assessment records, public land records and other such data sources for the arae In which the property Is located. 13. I obtained the Information, estimates, and opinions furnished by other parties and expressed In this appraisal report from reliable sources that I believe to be true and correct. 14. I have taken Into consideration the factors that have an Impact on value with respect to the subject nelghborhood, subject property, and the proximity of the subject property to adverse Influences In the development of my opinion of market value. I have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presenca of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property or that I became aware of during the research Involved in performing this appraisel. I have considered these adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject property. 15. I have not knowingly withheld eny significant Information from this appraisal report and, to the best of my knowledge, all statements and Information in this appraisal report are true and correct. 16. I stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the assumptions and limiting conditions In this appraisal report. 17. I have no present or prospective Interest In the property that is the subject of this report, and I have no present or prospective personal interest or bias with respect to the participants In the transaction. I did not base, either partially or completely, my analysis and/or opinion of market value In this appraisal report on the raca, color, religion, sex, age, marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject properf+' or of the present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law. 18. My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not conditioned on any agreement or understanding, written or otherwise, that I would report (or present analysis supporting) a predetermined specific value, a predetarrnlned minimum value, a range or direction In value, a value that favors the cause of any party, or the attainment of a specific result or occurrence of a Specific subsequent event (such as approval of a pending mortgage loan application). 19. I personally prepared all conclusions and opinions about the real estate that were set forth In this appraisal report. If I relied on significant real property appraisal assistance from any individual or Individuals in the performance of this appraisal or the preparation of this appraisal report, I have named such Individual(s) and disclosed the specific tasks performed In 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 this appraisal report; therefore, any change made to this appraisal Is unauthorized and I will take no responsibility for It. 20. I Identified the lender/client In this appraisal report who Is the Individual, organization, or agent for the organization that ordered and will receive this appraisal report. FreGillMc arm 10 MIlch i!DJ& PnMIuced .ir1IlCl~, IOO.DU727..,.~ Pogo 5... ............ ...._llIO 1004_08 0330D5 IOOCIO lO-tQO~ - 'Olll '~8!OOssy :w 8p\::I!.:I .,o.", . ............. 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GalluccI ADDENDUM Ale No.: 8040074l Case No.: S18te: PA ZlD: 19001-4424 NEIGHBORHOOD DESCRIPTION The subject property is located in a section of Abington Twp. in a typical suburban setting. Area comprised mostly of single family bomes of various style and design. Major thorofares including Routes 611,63, and 276 w/in convenient proximity and provide access to areas of employment in Willow Grove, Jenkintown, and Fort Washington Local schools and shopping are well situated to the subject. Neighborhood appears stable with no apparent adverse factors nOled to affect the ability of the subject to marketable. NEIGHBORHOOD MARKET CONDITIONS The subjects neighborhood exhibits adequate proximity to employment centers, shopping districts, schools, recreational facilities and police and fire protection services. Sales concessions and loan discounts are not unusual. Many financing programs are available to the home buyer which allow dwellings in tbe market to be more affordable and marketing times to be reasonable. ADVERSE SITE CONDmONS Based upon the inspection of the subjects site and flood hazard map, it does not appear that any portion of the subject site is located in a flood hazard area. However, we are nOl experts in this area and do not warrant this to be absolute. The existence of hazardous materials which mayor may not be present on or near the subject property was not obS4llWd by your appraiser. Furthermora, your appraiser Is not qualified to detect such substances. The value estimate of the subject was, therefore, based on the assumption that there were no such material on or near the subject that would contribute to a loss of value. No responsibility is assumed for any such conditions or for any expertise or engineering knowledge required to discover them. ADDITIONAL FEATURES The floor plan and traffic flow pattern appear to be adequate and functional. Additional features include crown molding, built in sbelving and brick fireplace in living room; built in butch, crown molding and chair rail in dining room; alarm system; enclosed porcb. The kitcben and beths are dated, but appeared to function adequately at time of inspection. The kitchen includes wood cabinets, formica counter tops, stainless steel sink and tile floor. The rear bath includes ceramic tile flooring, wood vanity with porcelain sink and porcelain tub with ceramic tile wainscoting. The front beth includes ceramic tile flooring, porcelain tub with ceramic tile wainscoting and porcelain wall hung sink. PHYSICAL DEFlCIENCIES OR CONDITIONS An appraiser is qualified to determine market value only. My inspection should not constitute, or be considered to take the place of, a home inspection. It is suggested, but not required of this valuation, that the lender/client obtain a copy of the bome inspection report (if available) to determine if conditions have been noted. This appraiser, as part of a standard inspection, is responsible for considering all factors thst have an impact on value in the subject property. Your appraiser is also responsible for noting in this report any adverse conditions (such as, but not limited to, needed repairs: deterioration; the presence of hazardous waste, toxic substances, or adverse environmental conditions; etc.) tbat were apparent during the inspection of the property or that tbis appraiser became aware of during the research involved in completing the assignment Therefore, the appraiser is expected to consider and describe the overall quality and condition of the property and identifY items that need immediate repair, as well as items where maintenance may be deferred, whicb mayor may not require immediate repair. Your appraiser is not responsible for hidden or unapparent conditions. FINAL RECONCILIA nON Tbis is a "complete" appraisal written in a "summary report" format and the USPAP Departure Rule has not been invoked. The appraisal is based on the information gatbered by the appraiser from public records, otber identified sources, inspection of the subject property and neighborhood, and selection of comparable sales, listing, and / or rentals within the subject market area. The original source oftbe comparable is shown in the Data Source of the market grid along with the source of confirmation, if available. The original source is presented first. The source and data are considered reliable. When conflicting information was provided, the source deemed most reliable has been used. Data believed to be unreliable was not included in the report or used as a basis for tbe value conclusion. CONDITIONS OF APPRAISAL The appraisal is made "as is" at time of inspection with no repairs, alterations or special conditions required. The determination of an estimated market value involved a number of processes. After the problem was defined and the work planned, tbe subject was physically inspected on both the interior and exterior. Sales data was collected from several sources including town hall records, real estate brokers and multiple listing service. This data was analyzed and reconciled as shown in the attacbed report. The entire contents of this report should be considered to constitute a "summary appraisal report" as defined by the Appraisal Standards Board of the Appraisal Foundation. Items of personal property had no impact on tbe determination of tbe appraised value of the subject property. The proximity of commercial propertie(s) witbin the subject neighborhood is an acceptable influence with no adverse 'M\lVWl!s O!uo.Q:lQ\; 011 SU!81UOO l.IO<bJ \8S!8Jddv S!l\.L ';\q81;l\Jllw ;q ot ~rqns ;Ip JO At!\!qv ;Ip UO pvdw! ponUIlf)'~ 4\llIlllZll3 :J&pUe, vl:vr ~006 ~ :CIIZ Vd :81lllS lJOIIlUfClV ~O :'ON 11980 p80~ 8I/'ICPV 9I:O~ :naJPPV AlJ8<IO.ld 'vLOOV09 :'ON lItl::l r:xmullf) '~1ll8QllZlI3 :J8N\O.UOB wnON300V ....surements --26.00 ---WIll. --...10.00 --26.00 DIMENSION LIST ADDENOUM GROSS BUILDING AREA (GBA) GROSS LMNG AREA (GLA) AreI(s) Area LIvi1g 1.744 LlMlll 1.744 LlMlI2 0 LlMlI 3 0 om. 180 Basement Gerage o 468 Area Measurements ---WIll. -.M.Oll --26.00 I --26.00 Slate: PA "ofGBA 78.84 78.84 0.00 0:00 8.14 0.00 21.16 File No.: 6040074L Case No.: liD: 190014424 2.212 1.744 Total Area Type LlIY8I 1 Level 2 LlIY8I 3 Other Bsmt. Ga~ Factor --1..00 . --1..00 . --1..00 . --1..00 . 46800 288 00 780 00 676 00 -.....- ,.....1n..N:I~...........,...._ ZJ4.IJ17 3N33S 133~lS Al~3dO~d 133ranS .:W M31^ ~'lf3~ ooo'"z $ :anll?^ pasll?Jdd\l 900Z '8Z I!Jdy :all?a pas!l?Jdd\l ^1~3dO~d 133rans 30 M31^ INO~3 vltv-10061 :d!Z Yd :all?lS 1~~nllllD'W 41::lqllZ113 :Japual uOlllUlqy :AlD p1l0~ llJ"qJY 9\:0 I :ssaJpp\l A1JadOJd 1~~nllllD 'W 41::lqllZ113 :JaMOJJo'iJ :'ON aSl?:) ivLOOv09 :'oN all~ wnON300'lf 010Hd Al~3dO~d 133rans Borrower: Elizabeth M. Gallucci Propertv Address; 1036 Arbuta Road CltV; Abinl!ton Lender: Elizabeth M. Gallucci COMPARABLE PROPERTY PHOTO ADDENDUM File No.: 6040074L Case No.: ,State; P A Zip: 19001-4424 COMPARABLE SALE #1 1244 Johnson Avenue Abington, PA 19001 Sale Date; 4/27/2006 Sale Price: $ 217,500 COMPARABLE SALE #2 2420 Woodland Road Abington, PA 19001 Sale Date: 3/24/2006 Sale Price: $ 252,000 COMPARABLE SALE #3 1128 Jericho Road Abington, PA 19001 Sale Date; 4/14/2006 Sale Price: $ 315,000 :>Sll.mo p:lq:l1ll'lQ !:l:lnnllD ow tp:l<l1lZ!\3 :Japual 171:t>t-10061 :O!Z Yd :all?lS uolllUJQY :^1!::l :'oN aSIl:) P1lO1l1llnq.iV 9EO I :ssaJpPV ^1JaaOJd 'I17LOO1709 :'ON al!~ !:l:lnnUO ow ql:lqllz!13 :JaMOJlO\3 FLOORPLAN Borrower: Elizabeth M. Gallucci Property Address: 1036 Arbuta Road City: Abinl!ton Lender: Elizabeth M. Gallucci File No.: 604oo74L Case No.: State: P A Zip: 19001-4424 b l\l Garage 16.0' b Bedroom b ~ ~ 18.0' 5.0' 5.0' Bath Klldlen Bedroom '=! le 10.0' Bath Enc:looed .0' b Porch Dining Room ~ Bedroom 10.0' b l\l .... 0,. Ape. "'.. Comments: Code GLAl PIp GAIl AREA CALCULAnON~ SUMMARY ~ .... ....T.. Pirat Ploor l7U.00 l7U.00 Porch 180.00 lBO.OO Garag. U8.00 468.00 LMNG ARI:A BREAKDOWN . . . BNUdDWn . lIubtol8Ie Pir8t Ploor 16.0" lB.O 25.0" 30.0 25.0" 25.0 288.00 780.00 575.00 TOTAL LIVABLE (rounded) 1744 3 Calculations Total (rounded) 1744 P.O. Box 1432, Kulpsville, PA 19443 d )I 'ZEvl xoa 'O'd Evv61 Vd 'all!^s In , '. ......'.ljt,,"~~,..?i?~ ',~~JJ r 7' .-;~"j, ,;-: .,' ~:' '. cf/i/ }l'}?;;c;,,~t"l~,~::o:~s;~,,)i '\/ ' ~I!,'~ 1 .1',: ",,;, '( /'<1;,,, ~",," "':"/ ''''''''It,,,;: ~ . ~'$1 /r, 4> 11 ' , ,'\, \'(.." .J"i.~"" .,,1.,. "., ~ ;;Iit"' Ii' ~ . . ., I;' ~,"""'. .....,.., 'c.'. '., "'. !i 'Il)' ""..- / ' .." <;l.- -/ . \', .'.',,);;. iF-.-..p"" fIi.':: , \ lJOIlIQN\ ~.< '<( """",""'"OX"" I/...."...U /'.'# ,', .' <' /'otr .~\ \> . // '- ..... "j,",. , j / -'\# // 1/.. ,,' ." ..." ' , f "'.:. ""x' , , , '" '" # "" " If /''' ; ",/ "",,,",f "J'''~f ,i"f'\ ,,( cl' /' "" , ,,, ;<." "'-" i" ~"'""'.' 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':::..,.Ji )f'" I, , / "-,, /1, '", II \) / v, .,.. I" '''" i,_ '" "'''' ,{ "...,,~ '" , ,,~~" I" tb.' I (,====-:;, 4/">:/' f ~.,#:.,. "';?\~// ,/{ t;~-""{ /"~-: \r:-\~, / .'" pg. ';' " ,f ;" ~"Ii" yr'<...J./ .:;.~:! I; ~,:" .;:'<.' ,'" "M' ~ :',", "t), i' ,,'. #> '. " ''IV.) ',,,,,,.? ",,', ~ ". \ . ''1> ';.J/ ''J('" ll' ' '.;, ~."!).' . ''ell ~,ll _- I ::\('~~Z",r '1>)'''( ':Xl~i;'j > / I ';ZS2{;,,/i, ,,' /i:r ' -"~".,< ~~~.. ," '.4f~I, I I/;;!,;. .. - I, "I:? :f1:~',{ ,\ \1' Yl f ' / 77Ji~f\:;,,"_ I:/~', . :;1 \~,"\,i"t' / '''\'.. '.. '"" I I ""- 'H i '.<", ~,"',\:'" '~~<vl~l:<' :' ",''.,/ ,S:? " /{"'\/~~1I'fJ'~ q~';;;~~":,:i .~;"~''',''''PPV^''''''d Vd :alelS peo~ elnqlV ';A~04~~qeZ1[3 :JaMOJJO\3 lJJn lie!) " . dVII\I NOll V301 ~;~.......t Fields & Associates, Inc. File No. 604oo74L ......... INVOICE ......... File Number: 604oo74L Elizabeth M. Gallucci Borrower: Elizabeth M. Gallucci Invoice # : Order Date : 04/24/2006 Reference/Case # : PO Number : 1036 Arbuta Road Abington, PA 19001-4424 $ $ Invoice T olal Slate Sales Tax @ 0% Deposit Deposit $ $ ($ ($ 300.00 0.00 ) ) Amount Due $ 300.00 Terms: Please remit payment upon receipt of this report. Please Make Check Payable To: Fields & Associates, Inc. P.O. Box 1432 Kulpsville, PA 19443 Fed.l.D. #: 30-0270816 (215) 362-1383 - Imfields9@comcast.net P.O. 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JSaJallJ! all!Pads<>Jd JO jUasaJd ou a^llIll 'suo!Snpuoo pUB 'suO!U!do 'sasNl!UB Il!UO!ssaJOJd pasB!Qun puB W!uBdWI '1IlUOSJad .(W aJB puB SUOlJ.puoJ 6U!IIW!I puB suopdwnssB pauodaJ alll.(q NUO paJ.W!I aJB suo!Sf1t:JlJOJ pue 'SUO!Uldo 'sasNl!UB pauodal all1 'paJJOO puB anll aJB uodaJ S!lll U! pau!BlUOJ PBj jO SlUawalBlS all1 :jil!1'lQ puB aBp;l\MOU~ .(w jO lSaq alll 01 'llllll-<J!lJaJ I 'a::>p:JeJd les!eJddv leU()!SSajOJd jO SpJBpuB1S wJOMun alll jO UOf1!pa jUaJJnJ alllllllM \UBgdUJOJ S! UO!lIl:l!J!lJa:J s,JaS!BJddv 51111 'uodal IllSlBJddB S!41 01 palpllllll uO!lllJlJlla:J s.JaSfl!Jlldv pau6!S aljl apa:uadns .(ew puB 01 UO!J.PPB ll! aJB SlUalIIalBlS lJO!lllJIJ!lJa:J 6lJ!M01101 all1 :NOI.LVOI.:lI.L~30 S,~3SIVl:IddV 117LOOVQ9'ON atiJ wnON300V 3:>NVlldWO:> dVdSn Borrower: Elizabeth M. Gallucci Property Address: 1036 Arbuta Road City: Abington Lender: Elizabeth M. Gallucci FLOOD MAP File No.: 6040074L Case No.: State: PA Zip: 19001-4424 1 Flood Map Legend Flood Zones Flood Information Commun~y' 420005. ABINGTON. TOWNSHIP OF Property is not in 3 F EMA special flood hazard area. Iulop Number: 420605 0382E Iulop O..e: 12/10/1006 P.nel: 0382E FIPS: 42001 Zone: X "'_ _eel by soo.ywer IIoodIng "'us ouI_ of 'ho 10G- _ soo._ tIoo<IpIoIno .. An.. _eel by 100000lf -"lI _ ,.,... _.d by .oo.YOlf "-SwIII>.oIocIly_ _ F~.re.. _ F~ or.....en \/OIOtly n_d ,.,... oI_."",.,.d.... POS___$ ,.,... no!"-"" on II'ft ,.-neel FIRM Neither Traosamerica Flood Hazard Certification (TFHC)nor ACI make 3ny representOJtions or warranties to any party concerning the content. accuracy or completeness of this flood report, including any wafT3nty of merch3ntability or fitness for a particul3r purpose. Neither TF He nor ALl nor the sefter of this flood report shall have any liability to any third party tor any use or misuse 01 this flood report. P.O. Box 1432. Kulpsville, PA 19443 REV-1S03 EX+'(6-98) . *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER WnrLN ~rt.. ~ ~~Li/Y~ r< '2..1 - O~- 0 l.t") 1I1 property Jolntly-owntd with right of lurvlYOf'lhlp must be disclosed on Schedule F. ITEM NUMBER DE CRIPTION V~~ED~~TE 1.S.fl?J1}J /31' y.)! E~' t'c,. 5l/ IE -oJ'? f.I- If) 'f,J1 L \. -/.?J~ !~7r') ~l~l "'4::JrtL..D ~IJ <f /JYc ~ J.: (1?i/fi.//jL f?::/ .-: L 1 c.vt}Y? ,:J;.J~ 307 t', ~ I ";:"'v..l"f 'L , I 0 00 .5 }J [ t', ~Y-:4v ! }..l!~. ~ ~.)I.u-r;:~ c;;/ }/'" './ii4't!..( .f'''/ ,""~.c}P ?JJ-z.1.R 71b? 3. r. { -fl. ;vsc:J ~}~ Gf.)Cl)Y- ~J',/ s ~~"'i...: :''J:-y;;{Vf{r:r[:fu1~M!ho tJ.. L- J D5Y C H R ~J?"::!. TJ'~ j fLr?rlh't.H ,W ; . . ~vr ~~ L Fer t'141f27f'r$J t.1JJ71 'L 53 o. 7 S'O..sJ} It",d ~ T tA? <<=' Fu-.cI f?1VTvAL f-,/, ~Ld)~ 71"~~ ,43 i'So Del ~vf' G/...d'"~'L D I vrD~HJ? Fr::I . fr1 vr~'- ~. CV4/P '- 'isq I 6/0 f " I v: (Joya laY..e u.:' "'1.. ~..J I ~ fA.. i'?\ J ~ . ..... ~ ''1-''",:'':VY1 V~'~ 1~.fT rnvrL##- F/. Cu>7P 57-~qlrfll J:.-l ') .it! 0 LeJY: /'I} A-SOI} J' ~(/Jfl.. 1}J4:r7 ~ f1?vr~L Pz:/ ;,. uJ / ,:J51.. Lf Cf :; u / tJfT s:: 1, %, qJ 10 \ / 1 . 4" -,...6, KO) s-v ~,. ,,~ I 5'", 19'--1 -'1.. ~7, 3/r G) b:;- t? , b, o ' ...... ! I or~ , 00 :...1:, ;) JrD q b /J g.r,;o 390 I o L'ro fr1 t/Tvrg.i LLJ P/'d2tt ~(~ fr/. M"'7~L f-c/ c: v>/ y:J 6 rf" r.:? 0 2. q 7"76, ~)I Vy?. C,A ~l::> sn; PI.. A C G ('7tr... '31, .S- 0-, I;:, 9 "S.S- I t 3/ q,1.. o/Jj- ~J) "T, r:/orl.J" y a~{j !-IV ~~ '''':IN, N~n~-r".J. ~ A- u) #- I Y"f 1.fOOox)~ '\ TOTAL (Also enter on line 2, Recapitulation) $ L[, "2- 7 ~6 (If more space Is needed, insert addRional sheets of the same size) __B."" . COMMONWEAl. TH Of PENNSYLVANIA INHERITANCE TAX RETURN NT NT . . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER wA 'IW~1l J f?I1VI-INtf! r<.J ~J - 06 - 0 i..S } I Inc:kIde !he proceeds cf lIIgatlon end Ihe datllhe proceeds WlIllCIMId by Ihe eslaIlI. AI property jo/ntIy-ownId wfttl tilt right of lurvtvonhlp IIIUIt lit dIIcIoIId 011 ....... F. ITEM VAlUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 5:"'1711 f!f4tt.N t..-"~ CAQ-J A(~7 8', ..,tf/; ""2-, Pe~5,; ()- - f~//;Ij'- J1?~}t, C~(ij 3Yb '3 W{jCHOLl)/{f !3A NJ( .- 54vJAJ ~ C~tt(JIY e- X IL$ Jtp~VNJ/ /+r:d "3 ~O~7s;"'03J- 2.& 3.3. Aai loY o()yt~f"'1V I~;IY\- I......~ ~"'1-d.t > L.71 '1.31 I, t::J '01:) tf. '1... "1. b ~ ,or (~'~i" 13vlOl( fJ(J~1( ~ [;7.000/ f (,(ffly /jLv/1i- f3()~ j;t't/t. ~ h, ~o,.,,,/ f~~'" 4~/.s~/ fJ77IJ()/~" L- -1..'1 S- / b/~3> TOTAL (Also enter on fine 5, Recap/tulallon) $ S 6 (If more space Is needed, Insert additional sheets of the same size) ~ Appraisal of personal property For Liz Gallucci 215 E. Simpson St Mechanicsburg, P A 17055 Property located at: 1036 Arbuta Rd. Abington, P A 19001 Prepa red by: Jeffrey Caesar 807 Greenwood Ave Jenkintown, P A 19046 I. sewing table $25.00 2. pair child's oak arm windsor type chairs $50.00 3. misc.1amps and chairs $25.00 4. c.1880's Miller brass student oil lamp (converted) $250.00 5. dry sink cupboard base $100.00 6. Antique blanket chest 19th C. refmished $1,200.00 7. Mahogany bedroom set (3 chests + bed) Not antique $1,000.00 8. Antique Federal tall chest of drawers. Figured mahogany C.1815 $2,500.00 Refmished .. . drawer pulls replaced. 9. Pair single drawer mahogany night stands $ 100.00 10. Empire style mahogany chest of drawers (rough) $ 150.00 I I. mirror $ 35.00 12. pair of twin beds (painted) $ 100.00 I 3. balloon back walnut side chair $ 50.00 14. modem iron porch furniture (poor condition) $ 100.00 15. Antique mahogany slant front desk C. 1800 $ 1,500.00 refinished with replaced hardware 16. Antique cupboard with divided pane doors... blind door base. $2,500.00 Refmished. Circa early 19th century 17.6 matching plank bottom side chairs. Refmished $ 200.00 18. Antique P A tall case clock. Refinished $3,500.00 19. Mahogany drop leaf table $450.00 20. Antique comer cupboard with 12 light door. Blind 2 door base. $2,500.00 Mid 19th -C. Refinished. -rOn L- $ Ib .~~ . RfV.'.Ell + (1.f7) , . . SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RE IDENT NT ESTATE OF t1/?4~tt. I (//1t.;UNlG 1<. f r If .n .lIet WlllIlIdt joint wfthln 0Ilt yelr of tilt dtcIcItnt'IdN of dtIth, . IIIUIt bll'IpOrted Oft SchecIuIe G. Fn.E NUMBER ~J- 06- oa.rJ SURVIVING JOINT TENANT(5) NAME ADDRESS RELATIONSHIP TO DECEDeNT A. G I.J"1 i'"f (J./S 71 oJ )"P1 . C=AuvccX F~ S . I' .-..,-.- "7.... , :) ..:.,. ) J'l.,r".)~ ,J' " /""'E. (.ji....;.A;'/'."rl1;i.-t1C ~ /??J')- /r-Jh . _ .... ,,# . . \.d.' . /' / 0 V DA {..(;I! rC'11 B. c. JOINTLY -OWNED PROPERTY: lETTER DATE DESCRPTION OF PROPERTY "OF DATE OF DEATH ITEM FOR JOINT MADE Include nne d tInn:IIIlndbIlIon nl bMk ICCOlIlIIlII!lber or IimIIr IdenlIfytng 1lII!lber. Aa.:h DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed b jolntly-Mld rur....... VALUE OF ASSET INTEREST DECEDEHT'S INTEREST 1. A. lo/fL SElt I e:s lEI: 13 c:",J b ? 7....3 b SO tt, "~ -# V S3t:} 'Ob 1- , (3, ,qql.. S;&'12.. J eJ GJ? Ba-J~ IO@ 4' , ) 000" rE+CIJ 1P ", b '7-H-i~::::'J "'l-l '"2..."'L I 'l.. 3 )..,.~ ~.S-, 1-,f, I '1...,t7 I b $-00 S'o g;, 'tOu J /' I L.d- f. '1-J- Iqq} I~ ~ )3 oN l-, I 0, 0 0 .,) ~ ~I OU...;) W, /qqS- HH 13 ON 1/3 30 II 000 .S1;) I J ..s- 0 -;:) D. ,I OOv t?4CH ::#: ;?1 I?- "L '-I 3. 'f 7 'Ie? f 'f'J 3 ~ _/ .# 0 S07 '-b"io . S"'O u $'"0 ~..s- 0 E: ,qCJ1.. HH 13 oN b A<-(~ JJ,/, HH 13~ , ,<1 SO 60 F TOTAL (Also enter on line 6. RecapItulation) S ,q -"3~ If more s Is needed Insert additional sheets of the same size ./ pace lI[V.1I1O EX. (1"'1 . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEAlTH Of PENNSYlVANIA INHERITANCE TAX RETURN RESI NT NT ESTATE OF W~I'tNE1l. ~ ;PI4VLJN~ , This schedule must be completed end lIIed Ifllle enswerb Illy of questions 1 through 4 on IIle I'MI'Ill side ofllle REV.1500 COVER SHEET Is yes. ITEM NUMBER 1. R. FILE NUMBER ~/- () ~ - () l.S"J DESCRIPTION Of PROPERTY INCI.UIlE THE _ OF THI ~ 1I8111.A~1ll1llClllllff NlD THI ~lE OF_ AnolCH A ct:1f'r OF THlIl&D PllIt 11M. RTAlE. DATE Of DEATH Vi. '1-, A14'NVny - Gfl.J2J1r /J-""~~) CIj}) F"i'lQ'-t C/41- !2.eJ(J~~ r~J,'c~ ~ ab /J) J ~7 A N'N,/t ry - (;tL1Z~ T A f',lE-rz.)t~)j I::') IV ,4 N (/4 L i1fJ J O!.A.t' ~./ Po)/( 'I.#- 0 /, r:;o~iO 2-fL/1 - ~ 'TK'(2.UN (: ~~, (~ O. t1 v~. ~<:. '\ '2- (., (/\",~ (() T e-7"l-S A ~t~ ''=#' ,01' 1'31 3,5: 't~, '1- 1..t1, l!'o ISIOS"7 -- 7.>. %Of DECD'S EXCLUSION 100 100 100 TAXABlE VALUE '7-~J Jav ,~ QS7 3f, '1'1 ) TOTAL (Also enter on line 7, Recapitulation) $ (If more space Is needed, Insert adcfrtional sheets d the same size) '1-~'l.. ~ 71-3- , REV-1Sl: EX+ (1:1-99) , '*' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H '- FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF I 1,t. 0,/ I,-:/" ..A../f" (i. I" i: ,'- J " ITEM NUMBER A. (;/: 1/ L'; tV JE (<.." Debtl of decedent mUlt be reported on Schedule I, FILE NUMBER ~1-06-o1.S'J DESCRIPTION 1. FUNERAL EXPENSES: I ~J~/LL !=v",a.,o fMyt.,~) ]JY(, CA~ }1.-11 I, ~. ) --'0;) - '-f '1~ Lv~ eN J:to~ 1,7S7 + 3'1 b t:€1II?~ -mt'J)1 yJ,J:!~ I I N.f' Cy~ O/v f"? S~ONn'- ~ f., C~'l'Lr:u 3 '1'0' f')JJ17;.q- ~I B. ADMINISTRATIVE COSTS: ,. Personal Representative's Commissions 2. Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State _ ZIp Year(s) Commission Paid: Attorney Fees 3. Family Exemption: (" decedent's address Is not the same as claimant's, attach explanation) Claimant 4. 5. 6. 7. ~. <1, IC. Street Address City State _ ZIp Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees ~vJr,~ '37 .f- .Y1,JeQ;e<t 7cIk' 4 /" (\ 7et~~ ~(;J a.Jo}e /11?P--r/Uf>>) - ~~JJr 1, !Woc_)]}JG 4PfJa-o(>~// P~ohQl ~7/- :reff. C~t='J~ fleccu4 o~ D.6C~ Lori&-I :I 10 cf. c~ ~~..t' '17 AMOUNT '2., b! l. '2.. I S"3 , roo '2-bS ~oo "1.-0 S70 L ~ '1-LJ 2>1'0 too S7 TOTAL (Also enter on line 9, Recapitulation) sQ. 0 7 b If more space Is needed, Insert additional sheets of the same size) I , . .......,,'" '* COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT .. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS PA 1...1 LI N I;f ;e ~ eSTATE OF wlllt)~ 1: K 1 , FILE NUMBER "'2.1- 06 - 0 u-1 Include unrelmbursed medical expen.... ITEM NUMBER DESCRIPTION 1, AMOUNT '1-" 3. t-f. 5', '-, , b, PSt 0 - 1:'-~1'7xlC r3: /J (}{~ T fA. O~p/ pr: tf!id~"f ~a'\ 7~ (L.~) T Fv~ I C~. -ll'vJ I~ 0 ,'1 I">~J ~ ( D oJ) - avYI../ cJ1 ,th~"I. l' H-AJ:J .r~~"'tI I N" , t#'/ i1JJ I) C. fl,t2.'/ !(I1L ~~n - QU~Jv T-.I;-. I ,.",~'HC ~ -rH et:n (?CI/f) Co ~ 37 I <<of) Is!, 1'-'"1 '"3' ~o Y"'" 'r-,,' (JI~/- ~ ~ t - l1fti//I.,. c: rj", TOTAL (Also enter on line 10. Recapitulation) S b 3 "7- (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00. COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT . SCHEDULE J BENEFIOARIES ESTATE OF 1. f,1,~ (L^'/E Y!. I P~I//",.INI5' f< . , NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY TAXABLE DISTRIBUTIONS (IncIudt 0UIItght ipOUII/ chtrIbulIona, and transfers under Sec. 9118 (a) (1.2)) bLJL44 ~6;11f f'1_ GALLC/ CC 7' ~JS' E .s l""F>SO~ Sr: "'" 1T~J.J~ I (J'lJv~~1 /14. rit'tr ~~'flt FILE NUMBER NUMBER I 7.. J - 06 - i> l..S) RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not LIlt TrvIM(I) OF ESTATE D~u 7C11.. flJ 100/0 ENTER DOllAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV.1500 COVER SHEET D NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR W1iICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART D - ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON UNE 13 OF REV-1500 COVER SHEET . (" mort IpIC8 II needed, Insert addltlonallheell of the same 1Ize) .. 3Jtlr ill I, PAULINE R. WARNER, of Montgomery County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me: FIRST: My lawfully enforceable debts and the expenses of my last illness and burial shall be paid out of my estate. SECOND: I give all my tangible personal property, together with any existing insurance thereon, to my daughter, ELIZABETH M. GALLUCCI, if she survives me by thirty (30) days. Should my daughter, ELIZABETH M. GALLUCCI, predecease me, or die on or before the thirtieth (30th) day following my death, I give all my tangible personal property, together with any existing insurance thereon, to my grandchildren who are living on the thirty-first (31 st) day following my death, with due regard for their personal preferences, in as nearly equal shares as possible. Any articles which my Executrix considers unsuitable for my grandchildren may be sold and the proceeds thereof added to my residuary estate. Any property to which a minor becomes entitled under this article may be delivered to the minor whose receipt therefor shall be fully effective whenever my Executrix may think appropriate. THIRD: I give the residue of my estate, real and personal, in equal shares, to my daughter, ELIZABETH M. GALLUCCI, if she survives me by thirty (30) days. Should my daughter, ELIZABETH M. GALLUCCI, predecease me, or die on or before the thirtieth (30th) -oz- ~aau!Wou aqlJo aumu aq1 U! JO WJOJ Jareaq U! Sluaw1SaAU! h.Lre;) '0 ~sJaploq Alproas JO slqgplre as!~Jaxa ,(lllJJaua8 pUlJ 'suoHdo as!~Jaxa JO U!lJlqo 'lUlJJ8 01 's~!XOJd aA!8 01 'spuoq pUlJ S){~OlS JOJ aqp~sqns 01 'SlU~wssasSlJ ,(lJd pUlJ slUaWa~J8lJ J~pun s~!lpn~~s l!sodap 01 'Ul!ld lSnJl-8u!10A JO uOHn!UlJ8Jo~J 'UOH~lJ ,(UlJ U! U!Of 'd ~SW!lJl~ as!woJdwo;) '3 ~JoJaJaq1 ,(lpn~as SlJ ,(lJ~doJd {WosJad a8pald pUlJ ,(lJadoJd ~J a8lJ8lJow ',(auow MOJJOg '0 ~,(lJadoJd ll!aJ a8ulJq~x~ JO aAoJdw! 'J~lll! 'J!lJdaJ pUlJ ~aW!l 01 SlJ UOH~p1S~J 1noq1!^,- ,(lJ~dOJd [lJaJ aSlJa'1 ';) ~aJl!S a1lJApd JO ~Hqnd 1lJ ,(lJ~dOJd {lJuosJad pUlJ ll!~J Has 'g ~slU~w1SaAU! ll!8a[ 01 p~uyuo~ 8u!~q 1noq1!^,- ,{lJadoJd {lJuosJad PUlJ ll!~J JO sWJOj Ill! U! lSaAU! pUlJ u!lJ1a)l 'V :,{lJadoJd Ill! JO uOHnqp1S!p IlJnl~lJ H1un aAH~~lJa PUlJ 'llJAOJddlJ lJno~ 1noq1!^,- alqlJS!~Jaxa 'awo~U! JO ll!d!~U!Jd Jaq1aqM ',(lJadoJd Ill! 01 alqlJ~HddlJ '11!M. ,(wJO SUO!S!^OJd Jaq10,(q pUlJ MlJl ,(q p~lsaA asoq1 01 UOH!PPlJ U! sJaMod 8U!MOHOJ aq1 aAlJq HlJl[s xp1n~ax3 ,(rt :H.LXIS 'uOHlJJ1S!U!WPlJ JO asuadxa UlJ SlJ J~UUlJW aums al[l U! alBls<) ^-renp!saJ ,(w jO ll!d!~upd al[l wO.IJ p!lJd aq lllJl[s 11!M. s!l[l Japun 8u!sslJd lSaJalU! JO ,<1JadoJd hUlJ 01 padsaJ q1!^'- alqlJ,(lJd awo~aq HlJl[S 1lJq1 sax-e1l[llJap Ill! 1lJl[11~aJ!p I :Hl.Md . ,(J-e!~yauaq al[l olluaw,(lJd IlJnl~lJ aJojaq ,(jlJ!~yau~q lJ lsu!lJ8lJ W!lJl~ lJ 8u!^lJl[ auo,(ulJ 01 alqlJl!lJAlJ JO ,(q alqlJu8!SSlJ aq 1ll!l[s ll!d!~upd JO awo~U! U! lS~ualU! ON :Hl.)lflOd 'l[llJap ,(w 8u!^,-01l0j ,(lJP (lsl () lSJY-,(lJ!l[l aq1 uo 8u!^H are Ol[M uaJPl!l[~pUlJJ8 ,(w 01 'sareqs {lJnoo U! '{lJuosJad pUlJ {lJaJ 'a1lJ1Sa ,(w JO anp!saJ aql aA!8 I 'qreap ,(w 8u!^,-oHOj ,(lJP - " .. .... H. Retain and pay agents, employees, accountants and counsel (including but not limited to legal and investment counsel) for advice and other professional services; I. Distribute in cash or in kind, or partly in each; and 1. Exercise any election or privilege given by the federal and other tax laws. SEVENTH: I appoint my daughter, ELIZABETH M. GALLUCCI, Executrix of this my Last Will. Should my daughter, ELIZABETH M. GALLUCCI, be unable for any reason to act or to continue to act as Executrix, then I appoint my daughter-in-law, GAIL WARNER, as Executrix of this my Last Will. EIGHTH: I appoint my Executrix as Guardian of the estates of minors with power to hold all property payable by law to a Guardian appointed by my Will and to use the same for the minor's health, maintenance, support and education, either directly or by payment to . any person selected by my Executrix to disburse it whose receipt shall be a complete acquittance. Guardian may, in discharge of all of the Guardian's duties hereunder, pay any minor's share deemed impractical of administration to the parent or other person in charge of the minor or to his or her guardian or to a custodian for the minor under the Uniform Transfers to Minors Act. My Executrix as Guardian shall have the same powers as my Executrix and shall serve without bond. NINTH: I direct that no Executrix or other fiduciary acting hereunder shall be required to enter bond in any jurisdiction. TENTH: Words used in the singular may be read to include the plural, or the plural may be read as the singular. Similarly, the masculine form may be read to include the - 3 - I -. -.~~ - v- SS~UPPV ~rru6 L Vd f Wfl.u:+,..q..JtlAQ1" QOG a~1J1S 'peoH :>\.IOX Pl0 19G $f 1:1'1 . ~(}rrg . fJ SS~UPPV ~w~N 9t!061 Vd 'Ult\o~uwaf '~J ~y , DOG a~1J1S 'peoH :>\.IOX Pl0 19G I U - ~~_ u .. '() () 's~ssaulV^ s-e uS~s alA 'laqlO q01l<l )0 go_oJd oql U! pUll gouoSOld Joq U! '\SonboJ JOq I" lAOU pUll '11'.1\\ JOq oq Oil! poJ1lpOp pu-e sNl pauS~s '1I3N1IV M .~ aNI'lflV d 'X~l~lsa~ paw~u-aAoq-e ~4l 'a:)u~s~Jd Jno uI .. '.' ,'; .+~A\t~BNl'1OVdi'~~Yi.\.~'."::~' ~J1;l cr lJ7~1'cJ""'-"" '-..., .j'; 'L661 ' ~~V JO ,(-ep ~stG S!l.\l pU~4 hW las olun~l~l.\ ~A-eq I 'aOg)l3HA'\ SSffiUIM Nl '~U1U~Ul~J pu-e ~unn:)s-eUl aql ~pnl:)u1 Ol p-eal aq h-eUl JOlooU oql pun ~looU pun OU\\oosuw oql opnpU! 01 P"'" oq ,(= ou!"!""') oql ~JOlnou pUll ou!"lWoJ ~#,..._..--r~__ ..,.....~.r-.,...., ._~..".,.. ----~- ~~..~. - . ~- -.....-"~.---- ~ ._")& .,-~_._~. -. . '-'~~ .."-~.' ~- - COMMONWEALTH OF PENNSYL V MIA ) ) SS: COUNTY OF MONTGOMERY ) WE, PAULINE R. WARNER, CHARLES K. PLarNICK ani EUGENIE A.CANOON the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do here:JY declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed wilIingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constra i nt or undue influence. ., ~~R W~ P~R~ ;J;;;v-=a "'~ EUG":;' A. CANOON Subscribed, sworn to and acknowledged before me, by PAULINE R. WARNER, the Testatrix and subscribed and sworn to beforeune by CHARLES K. PLOrNICK and EUGENIE A. CANDON' the witnesses, tl1is 21st day of August , 1997. flltd /J ~A-/ NOTARIAL SEAL CAROL A. BAKER. Notary Public Jenklntown Bore. Montgomery County My Commission EXDlres Dec. 6, 1999 - 5 - II