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HomeMy WebLinkAbout09-01-06 IIEY.'" U'COlWll ~~ ... '* REV-1500 INHERITANCE TAX RETURN RESIDENT DeCEDENT .' , ~TH OF PENNSYLVANIA DEPARTMeNT OF RfVENUE OEPT. 28OllO1 , 1-IARRIS8URG, PA 17128-0601 DECEOENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL) CLARKE, CATHERINE W. ... Z 11/ C 11/ U 11/ C DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MM-OD-YEAR) 04/05/2006 03/24/1919 (IF APPLICABLE) SURVMNG SPOUSE'S NAME ( lAST, FIRST AND MIDDLE INITIAl) ~ OFFICIAL USE ONLY RLE NUMBER 21 2006 00352 COUNTY ODE YEAR NUMBER SOCIAL SECURITY NUMBER 204-07-9827 THIS RETURN MUST BE RLED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 3. Remainder Return (date or death pI'ior to 12-13-82) 11/ ... ~C4l) uE~ II/II.U :cog UflD II. < 2. Supplemental Return o 48. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) o 10. Spousal Poverty Credit (date or death between 1 1-91 and 1-1-95 o 5. Federal Estate Tax Return Required ~ 8. Total Nurnber of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) 1. Original Return 4. Limited Estate 6. Decedent Died Testate (Attach copy or WlU) 9. Litigation Proceeds Received -IE 11/11/ Cc 82 PHONE NUMBER 717/737-0464 ( 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held -Gorporation, Partnership <<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) 10. Debts of Decedent, Mortgage Liabilities. & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) z o 3 ~ ~ ~ 12. Net Value of Estate (Line 8 minus Line 11) 3901 Market Street Camp Hill, PA 17011-4227 (1 ) 161,000.00 (2) 101,011.69 (3) None (4) None (5) 16,565.29 (6) None (7) None (9) (10) 21,492.30 4,970.20 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) 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 210,114.48 .045 (16) S 16. Amount of Line 14 taxable at lineal rate x :J (17) II. 17. Amount of Line 14 taxable at sibling rate x .12 ::I! 0 U g 18. Amount of Line 14 taxable at collateral rate 40,000.00 x .15 (18) 19. Tax Due (19) 20. 181 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ~ (YFICIAl U~bNL y ::0 ~Tl ~::D U) [T' ~,"'"') CO fT1 G) C) rn~C") -0 (f) :-~J :1) "'b r- ---I '--2 ,?m I r-ln-I . )>'~~ ....... "":"1:) q' ~U)'^ ('J(""- 000 -u -'(', ;;-:~ () 0 ""::.w:: :1f1 0<= 0 ; ~ 1-" n;:t ~ _ (.../) 0 ;- _ -n -a (8) 278,576.98 (11 ) 26,462.50 252,114.48 2,000.00 250,114.48 (12) (13) (14) 9,455.15 6,000.00 15,455.15 Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) G- Decedent's Complete Address: STREET ADDRESS '.. 21 Fargreen Road .... CITY Camp Hill ISTATE PA TZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CredftslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 15,455.15 14,700.00 772.75 Total Credits (A +8 + C) (2) 15,472.75 3. InterestlPenalty if applicable D. Interest E. Penalty TotallnterestlPenalty (0 + E) (3) 4. If Une 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPA YMENT. (4) Check box on Page 1 Une 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This Is theBALANCE DUE. (56) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 17.60 0.00 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "x" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or incorne of the property transferred;............................._.............................................. ~ ~: :::~ ::::.~~ w:.~~~.:.~.~~":':..~.~.~.d..~.~.i"."':~::..:..::..:..........:.~:::::::::::~:... 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?........ 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................... .......................... ........................ .................. ..-.................... 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. undei penalties of perjury, I declare that I have examined this retum. indudlng ac:c:ompanying schedules and statements, and to the best of my knowledge and belief. It is true, COITeCl and complete. Declaration preperer other than the personal representative Is based on an information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE~OR FILlN RETURN ADDRESS ~alJ,~~ McGow '7. fY 847 Acri Road X \ y \ ~ Mechanicsburg, P A 17050 SIGNATURE OF PERSO ESPONSIBLE FOR FILING RETURN ADDRESS No I DATE SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE Lisa Marie Coyne ADDRESS DATE 3901 Market Street Camp Hill, P A 17011-4227 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (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 statutedoes not exemota 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 .5. 99116 (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 .5. ~9116 1.2) [72 P.S. S9116 (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 .5. S9116 (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. ~ . *' SCHEDULE A REAL ESTATE COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CLARKE, CATHERINE W. I FILE NUMBER 21 - 2006 - 00352 All real properw 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 wining 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 161,000.00 21 Fargreen Road, Camp Hill, Cumberland County, PA -- Per attached Appraisal TOTAL (Also enter on Line 1, R J..&O ftl4l .J (0 j){NL ~ 70 !}rJj) ( f\- 100.00 i /,~ j d .. \. ' WOOF APPRAISAL GROUP t File No. PVT8085 APPRAISAL OF A SINGLE FAMILY RESIDENTIAL HOME LOCATED AT: 21 FARGREEN ROAD CAMP Hili, PA 17011 FOR: COYNE & COYNE P.C. 3901 MARKET STREET CAMP HILL, PA 17011-4227 BORROWER: ASOF: MAY 1, 2006 BY: REYNOLD R. WOOF, JR. IFAS PA CERTIFIED GENERAL REAL ESTATE APPRAISER ~ ,-' WOOF APPRAISAL GROUP \ Fie No. PVT8085 MAY 2, 2006 LISA COYNE COYNE & COYNE P.C. 3901 MARKET STREET CAMP HILL, PA 17011-4227 File Number: PVT8085 DEAR LISA. In accordance with your request. I have personally inspected and appraised the real property at: 21 FARGREEN ROAD CAMP HILL, PA 17011 The purpose of this appraisal is to estimate the market value of the subject property, as improved. The property rights appraised are the fee simple interest in the site and improvements. In my opinion. the estimated market value of the property as of MAY 1, 2006 is: $161,000 ONE HUNDRED SIXTY-ONE THOUSAND DOLLARS The attached report contains the description, analysis and supportive data for the conclusions. final estimate of value, descriptive photographs. limiting conditions and appropriate certifications. SINCERELY; ~~~ REYNOLD R. WOOF, JR.IFAS PA CERTIFIED GENERAL REAL ESTATE APPRAISER '- " WOOF APPRAISAl GROUP Uniform Residential Appraisal Report File No. PVT8085 The purpose of this summary appraisal reDO" is to DroYide the lender/tlient with 8haCl:ilrate, and adeQuatel~ suDDOfted. omnlon of the market value 01 the subject property. II'roDeIW Adc*"ess 21 FARGREEN ROAD CItv CAMP HILL StalePA ZiD Code 17011 Borrower Owner Ii Public Record ESTATE OF CATHERINE W. ClARKE ComlY CUMBERLAND I Leaal DesaiOOoo DEED BOOK Z19 PAGE 1015 Assessor's Parcel' 09-20-1850-118 Tax Year 200512006 R.E. Taxes $ 1 953.57 Name COUNTRY CLUB PARK Man Reference N/ A Census Tract 3240-102.2 I 0a:lDrI I I OWner \Tenant r lvacant S_ial Assessments $ NONE r PlJD HOA$ N/A I I per ~ear I J per month aised rX1Fee Simole r -I leasehold r 10lher ldesaibel Assimrnent Tvoo I 1 P\J"chase Transaction I I Refinance Transaction [X I Other (desaibe\ MARKET VALUE lender/Client COYNE & COYNE P.C. Adc*"ess 3901 MARKET STREET CAMP HILL PA 17011-4227 Is the smied 1lI00ert\r currenllv oIIered fill sale III has ~ been offered 111I sale in the twelve months nrillllo the effective date Ii this amraisal? r 1 Yes I X I No Report dala sowce{s) used. olfeling pnce(s). and date(s). MULTI-LIST VERIFIED. I U did U did not analyze the CIlII1ract fill sale for the suqect pll'Chase transaction. Explain the results 01 the analySis of the contract fill sale III why the analySis was nOl perflllmed. NIA Contract Price $ Date of Contract Is the nrooertv seller the OWOOf Ii nubile record? lyes [ INo Data Stuce{s\ Is there any financial assistance (loan charges. sale concessions. gift or downpayment assistance. elc.) to be paid by any party on behalf of the borrower? UYes (jNo If Ves. repon the total dollar amooot and describe the ~ems 10 be paid. $ ~Ionofthenei rI'ood are oot!if! Location . Urban X SuIlII1la: ...~. 1 Rlnl I PmoerIY Values X Increasino [ lStable Ill*finino PRICE AGE one-Un~ 100 " BtiII,UD (XI0ver75" r 125-75% r 1 Under 25% I DemandlSuoolv r IShortaae Ixlrn Balance I lOver c:........ $10001 ('IIsl 2-4 Unit " GroMh r lRaoid rxlstabIe J Islow I Marketino Time Ix I Under 3 mths J 13-6 m1hs T T Over 6 mlhs 120 low 40 Multl-Famil~ " Neighbortlood Boundaries THE NEIGHBORHOOD BOUNDARIES CONSIST OF HOMES IN THE AREA 420 Hioh 50 Commercial % COMMONLY KNOWN AS COUNTRY CLUB PARK MEA OF EAST PENNSBORO TOWNSHIP. 180 Pled. 45 Other % Neighborhood Desaiption THE SUBJECT PROPERTY IS LOCATED IN AN ESTABLISHED RESIDENTiAl NEIGHBORHOOD COMPRISED PREDOMINANTLY OF SINGLE FAMilY HOUSES. EASY ACCESS TO EMPLOYMENT CENTERS. SCHOOLS SHOPPING AND TRANSPORTATION. Market Conditions (including suppon fill the above conclllSioos) AREA REAL ESTATE MARKET IS CONSIDERED TO BE MODERA TEL Y ACTIVE. LOAN DISCOUNTS INTEREST BUYDOWNS AND OTHER CONCESSIONS ARE NOT TYPICAL IN THIS MARKET. CONVENTIONAL FINANCING IS READILY AVAILABLE. Dimensions 60 X 115 Area 0.16 ACRES ShaM RECTANGULAR VieW TYPICAl Soecf'lC Zonina Classllicalion R-1 ZOOnn Descrinlilln RESIDENTiAl SINGLE FAMILY ZoninG Comoliance IX I leaal I Ill!lllll NoncorIllIminn IGrandfalhered Usel r lNo Zoninn I lllleaalldescribel Is the highest and best use or the smJect property as improved (Ill as proposed per plans and specificationslthe present use? 00 Yes [J No If No. desaibe. Utllllles Public Other (describe\ Public Other (describe) Off.slte Irnnrovements- Tvoe Public Private EIecIridtv Ixl I I Water [xl rl Street MACADAM lxl I I Gas I I I I Sanil8/V Sewer [xl 11 Allev NONE I I I I FEMA Soecial Flood Hazard Area r lves rX1No FEMA Flood Zone C FEMA Man , 420359B H&I-03 FEMA MaD Date 04/15/1977 Are the u1il~ies and oII.s~e imlll'llVl!ments tvoicaI (or the market area? r xl Yes r. I No If No. describe. Are there any adverse site conditionS III external facllllS (easements. encroachments. environmental c~ions. land uses, etc.l? Dyes. 00 No If Yes. desaibe. lK@'[@t !f"igJ~i'liill_.I%.lll Units Ixlone I 1000~hAcc~Unk I Concrete Slab r 1 Crawl Snace Foundation Walls CONC. BLK/AVE Floors HARDWOOD/AS.AVE , of Stories 1 X I FUlBasement r 1 Panial Basement Exterior Walls BRICK/AVE Walls PLASTER/AVE. Type JxIDet. I I Alt. I IS.DetJEndUnit Basement Area 1258 so. ft. Roof Mace FIBERGI...SH.IGOOD TrillVFinish PINE/AVERAGE xl Existinn r 1 Pronosed [1 Under Const. Basement Finish 40% Gllters a. Dnwnsoouts AlUMINUM/AVE Balli Floor VINYL TilE/AVE I Desion /Stvlel RANCH Xl Outside ErmlEd [1 Sumo Pumn Window TVIle WOOD & VINYL D.H. Bath Wainscot CERAMIC/AVE. Vear Built 1960 Evidence Ii I hnlestation Storm SasWInsulated INSULATED OR STORM~ Car Storaae I I None EIfective Ar1e CYrsl15 I Damoness [ I Settlement Screens YES 1 DrIvewa~ , Ii Cars Attic None Healinn TxlFWA If lHWBB1r 1 Radiant Amenities WoodS~lsl-' Drivewa~ Sllface CONCRETE Il I DroD Stair X Stairs 10lher J Fuel OIL xl Firenlacefsl , 1 Fence X I Garaae , Ii Cars 1 1 Floor ScIltIe Con/ina Ix 1 Cen1ra1 Air Conditionim If Xl PatiOr'Deck X Porch ENCL'D I CafDOlt , Ii Cars I r 1 Finished Heated llnlividual Ir lOther 1 Pool X Other STOOPS IIX I All I IDel. I 1 Bulll.in IAnoliances I I Relrioerator r xl RanoelOven XI Dishwasher r xl Disoosal [1 Microwave 11 Washer/Ilrver r lOther ldesCribtl\ Finished area above IlI8de contains: 5 Rooms 3 Bedrooms 1 Bathlsl 1 258 <;/IIJ"re Feet of Gross livim Area Above Grade AdcItional feat\ns (special energy efficient items. etc.). SOME REPLACEMENT THERMOPANE WINDOWS ONE CEILING FAN. THE FACADE IS FORMED CONCRETE SHAPED STONES. Desaibe the condition Ii the property Oncludng needed repairs. deterilllation. renovations, remodeling. etc.). THE APPRAISED PROPERTY IS IN ABOVE AVERAGE CONDITION FOR Irs AGE AND HAS BEEN WELL MAINTAINED. UPDATED KITCHEN SOME REFINISHED HARDWOOD FLOORS AND NEWER ROOF. NO FUNCTIONAl OR EXTERNAL INADEQUACIES NOTED. Are there any physical deficiencies or adverse conditions that affect the livabil~. soundness. or structl6al integrity oIlhe property? Dyes lR]No If Yes. desaibe. Does the propeny generally conform to the neighborttood (functional utility. style. condition. use. coostJUtlion. etc.)? lR]ves DNo If No. desaibe. ~ F.- MIle Fonn 10 _ 2005 ProdualcI USIng ACI....... 8Ofl23U721.......an PagelDl6 F_ MIle FllIlI\ 1004 _ 2005 1004_05 03JD05 ~ ~ ' WOOF APPRAISAL GROUP Uniform Residential Appraisal Report Fne No. PVT8085 There are N/A cormarable orooertles CUlTentlv offered for sale in the subiett neiallbOfholid tllllOll\il in orice from $ N/ A \0$ N/A There are 5 comoarable sales in lhe smiect neiahborhood within lhe oast twelve months 1'31 lina in sale once from $ 147.000 \0 $ 182400 FEATURE SUBJECT I COMPARABLE SALE NO.1 COMPARABLE SAlE NO. 2 COMPARABLE SALE NO.3 21 FARGREEN ROAD 124 FARGREEN ROAD 14 FARGREEN ROAD 26 COUNTRY ClUB PlACE WEST Ad<Rss CAMP HILL CAMP HILL CAMP HILL CAMP HILL ProximilY to Subiect SAME BLOCK I <:-AU'" D'--;;V;V 1 BLOCK Sale Price Is 11f&1ffimtIIM&1%~*~:i~{;11 ~ 14. 51 155r-m 155_ Sale PIi:e,Qoss LN. Area 0.00 .ft. $ 107.93 so. It. $ 123.93 so. It. $ 123.90 SQ. It. Data Stucelsl MULTI-LIST SERVICE MULTI-LIST SERVICE MULTI-LIST SERVICE Verification SOtI'ce/sl COUNTY DATABANK COUNTY DATABANK COUNTY DATABANK VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION .1-' s"'"_ DESCRIPTION .1-1 S "'"_ DESCRIPTION .(-)S_ Sale or financing CASH CONVENTIONAL CONV WIHElP -2,100 Concessions 300M 300M 6DOM Date of SalelTime 11/3012005 01/31/2006 11120/2005 Location SUBURBAN SUBURBAN SUBURBAN SUBURBAN Leasehold/Fee SimoIe FEE SIMPLE FEE SIMPLE FEE SIMPLE FEE SIMPLE Site 0.16 ACRES 0.17 ACRES 0.16 ACRES 0.16 ACRES VIew TYPICAL TYPICAL TYPICAL TYPICAL Desion (SlvIe) RANCH RANCH RANCH RANCH Quality of Construction AVERAGE AVERAGE AVERAGE AVERAGE Actual AGe 46 46 43 44 Cooditlon ABOVE AVE. AVERAGE +5 000 ABOVE AVE. ABOVE AVE. AlxMl Grade T....I-.I B8lhs T....IBdmlsI IIod1s T....IBdrmsJ IIod1s T....I_I IIod1s Room COIInt 5 131 1 5 131 2 -4.000 5\3\ 1 5 131 1 Gnlss I.iIIi1a Area40.00 1 258 sa. It. 1 362 "". It -4 200 1258 <;D. It. 1 251 so. ft. Basement" Finished EXPOSED, FULL FUll BASEMENT +2,000 FUll BASEMENT +2,000 FUll BASEMENT +2,000 Rooms Below Grade REC RM & P.R. UNFINISHED +4.500 UNFINISHED +4 500 REC RM & P.R. Functional Utililv AVERAGE AVERAGE AVERAGE AVERAGE HeatinalCoolina FHAlCA FHAlCA FHAlCA FHAlCA Enerov Efficienlltems SOME THERMOPANES SOME THERMOPANEl NONE +3 000 THERMOPANES -2.000 1 CAR GARAGE 1 CAR CARPORT +2 000 1 CAR GARAGE OFF STREET +4 500 PorchIPatiot'Deck ENCL'D PORCH DECK +4000 NONE +5000 NONE +5 000 FIREPLACE 1 FIREPLACE 1 FIREPLACE 1 FIREPLACE 1 FIREPLACE EXTRA'S PATIO STOOPS PATIO STOOPS STOOPS +1 000 PATIO PORCH -1.000 Net Adiustment (TolBll Ixl+ I I. 1$ 9.300 TxT+ 1T. 1$ 15 SOO Txl~ I 1. 1$ 6400 ~ed Sale Price Net Adj. 6.3~ I Net AlIj. 9.9~1 NetAdj. 4.1~1 of CO/IIDarables GrossAdi. 17.5% S 156 300 Gross AlIi. 9.9% $ 171 400 GrossAdi. 10.7% $ 161.400 I (XJdid 0 did not research the sale or transfer history of the sul1ject property and comparable sales. If not, explain My research I Idld fxldid not reveal anv nrior sales or 1ransfers of lhe subiect llI'ooertv for the three vears oriorto the effective date 01 this aooraisal. Dal8 SOIIceIs\ COUNTY DATA BASE. MY research r I did r X I did not reveal anv orior sales or transfers of the comoarable sales for the year orior to the date of sale 01 the comoarable sale. Data SOIIte/sl COUNTY DATA BASE. Reoort lhe results of the research and analYsis of the onor sale or transfer histnrv of the subiect orooertv and com larable sales ~ addilionalllfiDr sales on Daae 31. ITEM SUBJECT COMPARABLE SALE NO.1 COMPARABLE SALE NO.2 COMPARABLE SALE NO.3 Date of Prior SalelTransfer N/A N/A NtA N/A Price of Prior SaleITransfer Data Srucels) COUNTY DATA BANK COUNTY DATA BANK COUNTY DATA BANK COUNTY DATA BANK Effective Date of Data SolI'cels\ NO DATE INDICATED NO DATE INDICATED NO DATE INDICATED NO DATE INDICATED Analysis of prior sale or transfer history of lhe sul1ject property and comparable sales THERE HAS BEEN NO TRANSFERS OF THE SUBJECT IN THE LAST THREE YEARS. SlIlmary of Sales CoJl1l8lison Approach. MARKET DATA OF CLOSED SALES WAS SUFFICIENT TO ARRIVE AT AN OPINION OF VALUE. CONDITION ADJUSTMENTS BASED ON MUL TI-LIST DESCRIPTIONS OF UPGRADES ON COMPARABLE SALES. ALL SALES WERE CLOSED AND CONSIDERED EQUALLY WHEN ARRIVING AT MARKET VALUE. Indicated Value bv Sales Comoarison AIlDIOllCh $ 161 000 Indicated Value by; Sales Cornearlson Aooroach $ 161 000 COS! AoDroach lif develoDed\ S 162.500 Income Aooroach IIf develoPed) $ Nt A ALL THREE APPROACHES ,TO VALUE WERE CONSIDERED. HOWEVER MARKET AREA LACKS AN ADEQUATE NUMBER OF RENTAL SALES TO USE THE INCOME APPROACH. MOST WEIGHT WAS PLACED ON THE MARKET DATA APPROACH DUE TO THE AGE OF THE SUBJECT. This appraisal is made lKJ"as is." U sulljeclto completion per plans and specifICations on the basis of a hypothetical condition that the improvements have been compleled. o suQject to the following repairs or alterations on the basis of a hypothelical cond~ion that the repairs or alteralions have been completed. Dr 0 5.1 to the foUowing requi"ed inspection based on the extraordinarj aSSllmpliOn that the condition Ill' deficiency does not require alteration or repair: APPRAISED. AS-IS.. Based on a complete vlsuallnspecllon of the Interior and exlerlor areas of the su~ect property. dellned scope of work. stalement of assumpllons and IImlllng conditions. and appralser's cerllllcation. my (ourl opinion of the market value. as defined. of the real property that is the subject of this report is $ 161,000 as of 05/0112006 which is the date of Ino;rw:tlon and the effective date of this annralsa!. F_ MIl: Fonn 10 _ 2OD5 ~"""!lACl-=-2':~3U121_._- Woof Appraisal Group F.... Mae Fonn lDll4 M8rtft 2OD5 1004)150031115 ~ WOOF APPRAISAL GROUP , ' Provide adeauate information for the lenderklient to reoficate the below cost flQlJes and calc~ations. SUpport for tile opinion of site value (summary of comparable land sales or other methods for estimating site value) DUE TO THE 100% BUILT UP NATURE OF THE NEIGHBORHOOD THE ABSTRACTION METHOD WAS USED TO VALUE THE SITE. ESTIMATED rX1REPRODUCTION OR r 1 REPlACEMENT COST NEW OPINION OF SITE VALUE. . .. . .. . . , , .. . , , . . . . , , . . .. . . . . .. . . . . , . . . z $ 50.000 Scuce of cost data MARSHALL & SWIFT Dwellino 1258So.Ft.@$ 82.00.... ........ z $ 103.156 Qualitv ratioo from cost service GOOD Effective date of cost data 03/2006 BSMT: 1258 sa.FT. <;no Ft. @$ 24.00... ......... z $ 30 192 CommenlS on Cost Annmach (tmSS livim area calculations, deoreciation, etc.1 FIREPLACE ENCLOSED PORCH PATIO STOOPS 14 760 SEE SKETCH ADDENDUM FOR BUILDING DIMENSIONS. GaraaelCamort 273 So.Ft.@$ 24.00.. .. .. .. .. .. z $ 6552 COST DATA OBTAINED FROM MARSHALL VALUATION T olal Estimate of Cost.New .......... .' $ 154 660 SERVICE AND VERIFIED WITH LOCAL BUILDERS. Less 50 Phv<ir.al 1 Functionall External Deoreciation ~6 398 I I z $ I 46 398 Deoreciated Cost of lmorovements , , , , . . .. , . . . . .. . . .. .... ......... $ 108 262 'As-is' Value of Site IlIIllfllVM'ol!nts.,.... ....... ..... ............ $ 4200 ~Economic Ufe /HUD andVAiii 35 Years ,IlYUJ:>1 ... a $ 162~ Estimated Monthlv Market Rent $ Nt A X Gross Rent !.llItiplier NtA . $ NfA Indicated Value bv InCome Allornach I Summary of Income Approach Qncluding support for market rent and GRM) I Is the develooerlbuilder in col1ll'Ol of the Homeowners' Association /HOAI? I IYes [ [NO Unit lYoelsl T 1 Detached T lAttached Provide the followino information for PUDs ONLY W the develoPEll'lbuilder is in control of the HOA and the subiecl orooertv is an attached dwellino unit. L"""I name of Dl'Oi<!ct Total number of nhases T Olaf number of units T Dtalllllllber of units sold Total number of units rented T otalnumber of units for sale Data SOlJ'~elsl Was the orDiect created bY the conversion of an existlno buildil1Qls) into a PUD? I 1 Yes I I No If Yes, dale of conversion. Does the nrn<<t contain any IllIIti-dwellino wits? ( lYes ( lNo Data SOU'Cels\ Are the units, common elements, and recreation facilities complete? UYes ONo If No. describe the status of COmpletion. Are the COllmon elements leased to or by the Homeowners' Association? UYes UNO If Yes, describe the rental terms and optionS. Desaibe common elements and recreational facilities. Uniform Residential Appraisal Report File No. PVT8085 F_ Mac Form 70 _ 200Ii Pmduced U5IJg ACI suftn8.1OO234.8727 WWW.IdM!b.an Pago3al6 F_MaeForm l004_2OOIi 1ooU1503D15 '- ' WOOF APPRAISAL GROUP Uniform Residential Appraisal Report File No. PVfS085 This report form is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit; including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a manufactured home or a unit in a condominium or cooperative project. This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value, statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an appraisal organization, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requirements of this appraisal report form, including the following definition of market value, statement of assumptions and limiting conditions, and certifications. The appraiser must, at a minimum: (1) perform a complete visual inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal report. INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of this appraisal for a mortgage finance transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he or she considers his or her own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U. S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions. granted by anyone associated with the sale. . Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. MY 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 ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser'S certification in this report is subject to the following assumptions and limiting 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, except for information that he or she became aware of during the research involved in performing this appraisal. The appraiser assumes that the title is good and marketable and will not render any opinions about the title. 2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements. The sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in this appraisal report whether any portion of the subject site is located in an identified Special Flood Hazard Area. Because the appraiser Is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, 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 research involved in performing this appraisal. Unless otherwise stated in this appraisal report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards. this appraisal report must not be considered as an environmental assessment of the property. 6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will be performed in a professional manner. F__FClllft70_ZOOS ProduoId ...rtg AClICIftvMra, 1OO.D4.8127 wwwAClweb.com Pago4of6 f__ FClllftIOO4 _ zoos tOCM_OS 033005 , .. WOOF APPRAISAL GROUP Uniform Residential Appraisal Report File No. PVT8085 # 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 interior and exterior areas 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 structural integrity of the 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 this appraisal report was 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 comparison approach to value. I have adequate comparable 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, verified, analyzed, and reported on any current agreement for sale for the subject property, any offering 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, verified, 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 locationally, 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 market's reaction to the differences between the subject property and the comparable sales. 10. I verified, from a disinterested source, all information 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 experience in appraising this type of property in this market area. 12. I am aware of, and have access 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 area in which the property is located. 13. I obtained the information, estimates, and opinions fumished 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 neighborhood, 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 presence 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 appraisal. 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 any 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 race, color, religion, sex, age, marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property 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 predetermined 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 disciosed 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. f__fonnJO_2005 Prol:U:led....... ACIIDfMWe. 800.23C.8727 WtWt.......oom Page5016 F__ F....'004_2OO5 '004_05 033005 " WOOF APPRAISAl GROUP Uniform Residential Appraisal Report File No. PVT8085 . 21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the borrower; the mortgagee or its successors and assigns; mortgage insurers; government sponsored enterprises; other secondary market participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions; without having to obtain the appraiser's or supervisory appraiser's (if applicable) consent. Such consent must be obtained before this appraisal report may be disclosed or distributed to any other party (including, but not limited to, the pUblic through advertising, public relations, news, sales, or other media). 22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. Further, I am also subject to the proviSions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves anyone or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any intentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that: 1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report is either a sub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under the applicable state law. 4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. APPRAISER SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature Name Company Name Company Address Telephone Number Email Address Date of Signature State Certification # or State license # State Expiration Date of Certification or license SUBJECT PROPERTY a Did not inspect subject property Did inspect exterior of subject property from street Date of Inspection DDid inspect interior and exterior of subject property Date of Inspection COMPARABLE SALES aDid not inspect exterior of comparable sales from street Did inspect exterior of comparable sales from street Date of Inspection F_ Mot FOIIl\ 70 Math 2005 _uolngl\Cl_. 800.23...727 __.com PIlge 6 016 fRio Moe fa1n 101M 1Iowtl12OO5 lOCW_OS 033005 Woof Appraisal Group ADDENDUM , - Borrower: property Address: 21 FARGREEN ROAD City: CAMP HILL Lender: COYNE & COYNE P.C. File No.: PVT8085 Case No.: State: PA ZiD: 17011 ~ STATEMENT OF ADDITIONAL LIMITING CONDITIONS AND ASSUMPTIONS THIS APPRAISAL REPORT HAS BEEN PERFORMED FOR THE CLIENT INDICATED IN THE PRECEDING, WITH WHOM PROFESSIONAL STANDARDS REQUIRES ME TO MAINTAIN A STRICT REQUIREMENT OF CONFIDENTIALITY. THE APPRAISER IS NOT A HOME INSPECTOR, THE APPRAISER ONLY PERFORMED A VISUAL INSPECTION OF THE ACCESSmLE AREAS AND THE APPRAISAL CANNOT BE RELIED UPON TO DISCLOSE CONDITIONS AND/OR DEFECTS IN THE PROPERTY. I, BY REASON OF THIS REPORT, AM NOT REQUIRED TO GIVE TESTIMONY IN COURT WITH REFERENCE TO THIS APPRAISAL. IF ANYONE WISHES MY APPEARANCE, IT CAN BE ARRANGED ONLY BY PRIOR ARRANGEMENT BEING MADE WITH ME. SUCH APPEARANCES SHALL BE MADE AS AN EXPERT WITNESS AND THE FEE FOR SUCH APPEARANCES SHALL BE AT THE RATE OF $ 125IHOUR PORTAL TO PORTAL, PLUS ANY REASONABLE COST INCURRED BY ME. PURPOSE: THE PURPOSE OF THIS APPRAISAL IS TO ESTIMATE THE MARKET VALUE OF THE FEE SIMPLE INTEREST IN THE TITLE OF THE PROPERTY. THE VALUE IS AS OF THE DATE OF THE APPRAISAL, WHICH IS THE DAY THE PROPERTY WAS LAST VIEWED IN ITS ENTIRETY AND PHOTOGRAPHED. SIGNATURE: THE ELECTRONIC SIGNATURE USED IN THIS REPORT ARE PROTECTED BY THE APPRAISER AND ONLY THE APPRAISER HAS COMPLETE CONTROL OF THE SIGNATURE. ADDITIONAL CERTIFICATION: THE INTENDED USER OF THIS APPRAISAL REPORT IS THE LENDER/CLIENT. THE INTENDED USER 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. Addencll.mPagelofl , . Borrower: Prooertv Address: 21 FARGREEN ROAD City: CAMP HILL Lender: COYNE & COYNE P.C. State: PA Zip: 17011 . FRONT VIEW OF SUBJECT PROPERTY Appraised Date: MAY 1, 2006 Appraised Value: $161,000 REAR VIEW OF SUBJECT PROPERTY STREET SCENE . ' Borrower: PrODertv Address: 21 FARGREEN ROAD City: CAMP HILL Lender: COYNE & COYNE P.C. COMPARABLE PROPERTY PHOTO ADDENDUM File No.: PVT8085 Case No.: . State: PA liD: 17011 COMPARABLE SALE #1 24 FARGREEN ROAD CAMP HILL Sale Date: 11/3012005 Sale Price: $ 147,000 COMPARABLE SALE #2 14 FARGREEN ROAD CAMP HILL Sale Date: 01/31/2006 Sale Price: $ 155,900 COMPARABLE SALE #3 26 COUNTRY CLUB PLACE WEST CAMP HILL Sale Date: 11/2012005 Sale Price: $ 155,000 .. FLOORPLAN Borrower: FileNo.: PVT8085 Prooortv Address: 21 FARGREEN ROAD Case No.: Citv: CAMP HILL State: PA liD: 17011 Lender: COYNE & COYNE P.C. 16.0' I 14.0' I I Enclosed Porch II (:) (:) ~ Patio ~ 46.0' (:) Bedroom Bath Bedroom ~ Kitchen Dinette r-- (:) q ..; l SIOQl: 14.0' ;;; 4.0' Living Room Bedroom (:) ~ ~ Garage N Foyer (:) 25.0' .. ~ 7.0' (:) 13.0' C:;!I Sloop cO <')1--___ 9.0' Sketch by Apex IV Windows'" AREA CALCULATIONS. SUMMARY LIVING AREA BREAKDOWN Code DncrIplIon SIze TotlIll B...1kdawn Subtotall QLA1 Pirn Ploor 1251.00 1251.00 P1r_t Ploor ISIIT la__...t 1251.00 1258.00 7.0 " 35.0 245.00 PIP STOOP 48.00 14.0 " 17.0 238.00 aICLOSIIl PORCH U2.00 25.0 " 31.0 775.00 PATIO 168.00 STOOP 20.00 428.00 QAJI Garage 273.00 273.00 TOTAL LIVABLE (rounded) 1258 3 Areas Total (rounded) 1258 , ' LOCATION MAP Borrower: ~ooertv Address: 21 FARGREEN ROAD CitY: CAMP Hill lender: COYNE & COYNE P.C. FHe No.: PVT8085 Case No.: State: PA liD: 17011 -'~ ,'''' "<v;" '\. l~ . ::;;<-..'^j~ "Ui',t~ 1" '.,- r i' ..-s. f t' 7UO' !" !l> .-L', .- WOOI= APPRAISAL ~~OUP Fie No. PVT8085 ......... INVOICE ......... File Number: PVT8085 LISA COYNE COYNE & COYNE P.C. 3901 MARKET STREET CAMP HILL, PA 17011 Borrower ; Invoice # : Order Date: PVT8085 04/1912006 21 FARGREEN ROAD CAMP HILL, PA 17011 APPRAISAL $ $ 300.00 Invoice Total Deposit Deposit Amount Due $ ($ ($ 300.00 ) ) $ 300.00 Terms: DUE UPON RECEIPT Please Make Check Payable To: WOOF APPRAISAL GROUP 302 SOUTH FRONT STREET WORMLEYSBURG, PA 17043 Fed.l.D. #: 193-38-0157, SOLE PROPRIETORl REYNOLD R. WOOF, JR. " * SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CLARKE, CATHERINE W. I FILE NUMBER 21 - 2006 - 00352 All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE 0 NUMBER DEATH 1 1,477.457 Shares American Income Fund Class B (IFABX) 18.89 27,909.16 2 553.241 Shares American Washington Mutual Class A 32.52 17,991.40 (A WSHX) 3 1,870.358 Shares American Bond Fund Class B 13.11 24,520.39 (BF ABX) 4 1,432.638 Shares Blackrock Intermed. Govt Bond 10.07 14,426.66 Fund Class B (BIGBX) 5 1,727.082 Shares Franklin US Govt. Securities 6.40 11,053.32 Class B (FUGBX) 6 494.716 Shares Pioneer Bonk Fund Class B (PBOBX) 8.98 4,442.55 7 668.21 Shares Fidelity Prime Rate Money Market 1. 668.21 TOTAL (Also enter on line 2, Recapitulation) 101,011.69 F .' .. The value of the assets (mutual funds) in Catherine W. Clarke's brokerage account (AFY-368148) as of.the close of bUSiness on April ~, 2006 was as follOWS: (IFABX) American Income Fund of America Class B, 1477.457 shares @$18.89 = $27,909.16. (AWSHX) American Washington Mutual Investors Class A, 553.241 "hares ~ $32.52 = $17,991.39. (BFABX) American Bond Fund of America Class a, 1870.358 shares @ $13.11 = $24,520.39. (BIGBX) Blackrock Intermed Government Bond Class B, 1432.638 shares@ $10.07 =: $14.426.66. (FUGBX) Franklin US Government Securities Class 6, 1727.082 shares @ $6.40 :: $11,053.32. (PBOBX) Pioneer Bond Class B. 494.716 shares @ $8.98 = $4442.54. (FPRXX) Fidelity Prime Rate money market 668.21 shares @ $1.00 = $668.21. 1 . . . * SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT OECEOENT ESTATE OF CLARKE, CATHERINE W. I FILE NUMBER 21 - 2006 - 00352 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 DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 PSECU Savings Account 50.00 2 PSECU Checking Account 553.65 3 PSECU Certificate of Deposit 6,576.39 4 PSECU Certificate of Deposit 6,576.39 5 Commerce Bank Checking Account 2,808.86 TOTAL (Also enter on Line 5, Recapitulation) 16,565.29 '/ ~SE(1tP the financiallinkTM l April 21, 2006 Ac~ount # 0204079827 LISA MARIE COYNE 3901 MARKET STREET CAMP HILL, PA 17011-4227 :ri\\ ~ @1r;::::Jnr-\71r:::::["'-"! '.' I!" j ~ ;=; U \ \/, ..... i. 1~.,.;',." d . J -.. !-=:J' w --., J' " itl )1 ' --"Ii: \;:~ II ~)l hi in IP \ I APR 2 4 2006 nil I' Ib~1 IlWl I IItI I ! 1 . . Dear MS COYNE: The following is the status of CATHERINE W CLARKE's account with PSECU as of the date of death. Joint Owner's Name NONE Date of Death 04.05.2006 Date of Birth 03.24.1919 Share Description Open date Balance Accrued Dividend S 01 Regular Shares 02.10.1988 $ 49.99 $0.01 S04 Checking 553.63 0.02 S54 36 Month Certificate 06.07.2003 6,574.29 2.10 S55 36 Month Certificate 06.07.2003 6,574.29 2,10 Loan Description Open Date Balance Accrued Interest L 01 PSL Loan 04.03.1992 $ 0.00 $0.00 L09 VISA 04.07.1992 0.00 0.00 The dividend earned from January 1, 2006 through the date of death was $99.70. If you have any questions, please call 234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. ~1t: ,I. //'./1 . I+p rrri Me~cie FaJL. Member Service Representative Finance Support Unit I I Pennsylvania State Employees Credit Union I Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990 . (717) 234-8484 . (800) 237-7328 I ~_,_ . Moiling Address: P.O. Box 67013, Horrisburg(.PA 17106-7013 . (717) 777.2100 (TOO) . (800) 472-1967 (T~ \..~ Savings federally insured up to $100,000 by the Notional Credit Union Administration www.psecu.com .. . Co",,,,e,ce ~Bank July 29, 2006 t; Coyne & Coyne A Professional Corporation Attorneys At Law 3901 Market St Camp Hill, PA 17011-4227 JUL 3 J 2008 - --.......~.==-= '"'''"''' .... .~.~.]I~ RE: Estate of: Catherine W Clarke Social Security #: 204-07-9827 Date of Death: April 5, 2006 Dear Sirs: In. reference to the letter regarding the above mentioned Estate! we-would like to inform you of the information that we have researched and found. Type: Checking Account #: 513055574 Date Opened: 12/22/98 Date Closed: 7/6/06 Primary Owner: Catherine W Clarke Date of Death Balance: $2,808.86 Accrued Interest: $.25 Principal Balance: $2,808.61 If there are any questions or additional information that is needed, please feel free to contact me at (717) 412- 6130. Sincerely, - - W~9~~ WandaJ Morris Senior CIFSpecialist Co;'T1I;.n~rce;Barik / Harrisburg, N.A. PO Box 4999 3801 Paxton Street Harrisburg. PA 17111-0999 commercepc.com , ~ *' SCH3JULE H FUNERAL EXPENSES & ADNDNISTRATIVE COSTS .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CLARKE, CATHERINE W. I FILE NUMBER 21 - 2006 - 00352 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: 1 Neil Funeral Home 9,853.80 2 Headstone and Engraving 300.00 3 Reception 1,000.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State - Zip Year(s) Commission paid 2. Attorney's Fees Coyne & Coyne, P.C. 6,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland Country Register of Wills 400.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Postage 78.00 2 Legal Advertisement-- Cumberland Law Journal 75.00 Total of Continuation Schedule(s) 3,785.50 TOTAL (Also enter on line 9, Recapitulation) 21,492.30 .. '* . . . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SchecUe H FlIleraI Expenses & MI. ..~~ Costs continJed ESTATE OF CLARKE, CA lHERINE W. I FILE NUMBER 21 - 2006 - 00352 3 Legal Advertisement-- Patriot News 110.00 4 Rey W oof-- Appraisal of Real Estate 5 Inheritance Tax Return Filing Fee 6 Reserves 7 Estate Checks 8 Uncleared Checks 9 Mileage for Executrix @ $.48/mile 10 Toll Calls for Executrix 11 Recording F ee-- Deed 12 Allstate Financial Services-- Broker's Commission 13 Carey & Associates 350.00 15.00 2,000.00 25.00 542.00 180.00 24.00 39.50 350.00 150.00 Page 2 of Schedule H . . * SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ~. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CLARKE, CATHERINE W. I FILE NUMBER 21 - 2006 - 00352 Include un reimbursed medical expenses. ITEM NUMBER 1 Manor Care DESCRIPTION AMOUNT 2,209.66 2 Conner Rich, MD 3 County Real Estate Taxes 4 Covenant House 5 West Shore Ambulance 6 Good Shepherd Church 7 GE Services 8 Sewer & Trash 9 Homeowner's Insurance 27.64 418.93 10.00 600.00 1,000.00 19.97 84.00 600.00 TOTAL (Also enter on Line 10. Recapitulation) 4,970.20 REV.1513 EX+ (9.00) ~ .. .. *' SCHEDULE J BENEFICIARIES COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CLARKE, CATHERINE W. I FILE NUMBER 21 - 2006 - 00352 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE ... I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Mary Kate McGowan Daughter Residual Estate 2 Molly Schlude Niece 10,000.00 3 Thomas Gaughan Nephew 10,000.00 4 Michael Schlude Nephew 10,000.00 5 Matthew Schlude Nephew 5,000.00 6 Maggie Schlude Niece 5,000.00 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheE t 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 1. St. Leo Catholic Church 2,000.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEEIr 2,000.00 . - COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, Pennsylvania 17011-4227 August 31, 2006 Office of Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 717-737-0464 Fax: 717-737-5161 Re: Estate of CATH.ERlNE Jv..CLARKE, Deceased No. 21-2006-00352 Dear Sir or Madam: We represent the Estate of the Late Catherine W. Clarke. Enclosed are an original and two copies of the Inheritance Tax Return for this Estate. Kindly docket the original and return to me one "clocked-in" copy with the enclosed, stamped envelope. I also enclose check no. 3579 in the amount of$15.00 for the filing fee for the Return. Kindly docket payment and issue a receipt for the filing fee. Thank you for your assistance. If you have any questions, please advise. Very truly yours, LMC/cmc Enc!. COYNE & COYNE, P.C. ,~ ~C ~coyne . I - Cc: Mrs. Mary Kate McGowan, Executrix, w/encls. .. go ~:t11 ?J g c ~~ 2(/)r; O~Q C) --n o : ~ ~ ~ ~ ~ , - -0 ~ - .' ~ ......l ~~ ~~; ~; ~<-o <:.-C\ c:J ,:., {-"11 '-:.:00 (JO -'i'j ~~ fn (~. - t~..