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HomeMy WebLinkAbout11-14-06 REV-1500 EX + ~ COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE OEPT.280601 HARRISBURG. PA 17128-0001 .... Z W Q w U W Q DECEDENrS NAME (lAST, FIRST. AND M100lE INITIAl) Walters Woodrow W. DATE OF DEATH (tMOO- Y8lI') REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DATE OF BIRTH (MM-OD-Y_) 06/11/2006 10/24/1928 (IF APPlICABlE) SURVIVING SPOUSE'S NAME (lAST. ARST, AND MIDDlE INnw.) t!! :.c I~ U~8 !f-l u~. 00 1. ~Inal Return o 4.1.1rMed Estate 00 6. Decedent Died Testate (AIlIch copy afWl) o 9. L/tJgatIon Proceeds Recefved o 2. Supplemental Retum o 41. Future Interest Compromise _afdlllllllllr 12-12-82) o 7. Decedent Maintained a UvIng Trust lAIIcII copy afTI1IIt) o 10. Spousal Poverty Credit (dlleafdellllbllMlen 12.31-91_ 1-1-95) OFFICIAl USE ON.Y FILE NUIIBER 2 1 -0 6 0 5 4 2 "'Cciiimcooe -viAA- - - iiiiiiER- - SOCIAL SECURITY NUMBER 2 0 2-2 0-5 2 9 3 1lIS RETURN IIJ8T BE Fl.ED If DUPl.JCATE WfTM THE REGISTER OF WillS SOCIAL SECURITY NUMBER o 3. Remainder Return (dIIe af delIII pIIor 11I12-13-82) o 5. Federal EsfatBTax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election (0 tax under See. 9113(A) (AIlIch Sch 0) ... THIS SEcnON MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Ii NAME COtIPlETE MAILING ADDRESS ~ John M. Eakin Market Square Building I FIlM NAill; (II_I TELEPHONE NUMBER 717 766-3172 Mechanicsburg, PA 17055 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corpcnfion. PattneIship or ~ropriebsh/p (3) 4. ~ages & Noles Receivable (Schedule 0) (4) 5. Cash. Sank DeposIts & MIscellaneous P8ISOII81 Properly (5) (Schedule E) 6. JoilCly Owned Property (Schedule F) (6) o Separate BiIng Requested 7. Inter-VIvos TI8IlSfers & MIscellaneous Non-Pr0bat8 Property (7) (Schedule G or l) 8. ToIII Grou As.... (mtaI Unes 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent.~e liabilities, & liens (Schedule 0 (10) 11. TotalOlductlons (bta' lines 9 & 10) 12. Net Value of EstIIa (l.ile 8 minus line 11) 13. Charitable and Gowemmenfal8equestslSec 9113 Trusts for which an election m tax has not been made (Schedule J) 14. Nit VI"" SubjIc:t to Tu (line 12 minus line 13) SEE INSTRUCTIONS ON REVERSE SI)E FOR APPlICABLE RATES z o ;:: j :J .... ii: c( u W Q: z o i= ~ :J Q. . o u ~ 15. Amount of line 141axab1e at the spousal tax rate, or frBnsf8rs under See. 9116 (a)(1.2) 16. Amount of Une 14 taxable at lineal rate 17. Amount of Une 14 taxable at slbIlng rate 18. Amount of line 14 taxable at coIIalBfal rale 19. Tu Due 1.041.468.40 X .045 (15) X _ (16) X .12 (17) X .15 (18) (19) 20.0 C H E C K HER ElF YOU A R [ REO U EST I ~j G l\ REF u ~m 0 f: ,\ 1. 0 v [ R PAY r: [ 'j T (8) 29.734.93 4.664.00 (11) (12) (13) (14) OFFICIAL USE ONLY ~ ~ ...::: .z:- 1.075.867.33 34.398.93 1.041.468.40 1. 041.468.4~ . 46.866.08 46.866.08 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedent's Com lete Address: STREET ADDRESS 595 Silver S rin Road CITY Mechanisbur STATE PA ZIP 17055 . Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. CndsIPayments A. Spousal Poverty CredIt B. PrIor Payments C. Discount (1) 46.866.08 44.000.00 2.200 00 Total Credits (A + 8 + C) (2) 46.200.00 3. InterestJPenaty if applicable D. Interest E. Penaty T otallnterestlPenaty ( 0 + E ) (3) 4. If Une 21s greater than Une 1 + Une 3, enter the difference. This Is the OVERPAYMENT. Check box on Page 1 line 20 to request. refund (4) 5. If Une 1 + Une 315 greater than Une 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 666.08 666.08 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 1X] b. retain the right to designate who ~ use the property transferred or Its income; ............ .................. .......~.. 0 f&) c. retain a reversionary Interest; or ...................................................................................................... 0 IXJ d. receive the pranlse for life of either payments, benefits or care? ............................................................. 0 f&) 2. If death occuned after December 12, 1982; did decedent transfer property within one year of death without receiving adequate consideration?...................................;.......................................................... 0 IX) 3. Did decedent own an IIn trust for' oi:payable upon death bank account or security at his or her death? ................. 0 IX) 4. ~=::~.~~..~.~.~.~.~....................... 0 I&l I IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE rr AS PART OF THE RETURN. I Under petWIIes d , I decIn IheIl 11M eunnd IhIs return, IncIudIna 8CCOIllIXIlYIna schedules and sI8lemIrlnts. and b !he best of my knowledge and belief, it Is true, COlTllCt and complete. 0lIcIlnI0n at pnIplnf ....1Ie p8fIOII8I based on 8l1nform8llon or WhIch pnIplnf has any !mwIedge. SIGNATURE FILING TURN DATE .{) ADDRESS "---- ADDRESS Mark Square Building Mechanicsbura. PA 17055 06 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate Imposed on the net value dtransfers to or for the use dthe surviving spouse is 3% (72 P.S. 19116 (8) (1.1) (i)). For dates d 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. S9116 (8) (1.1) (Ii)). The statute does not exemDl 8 tralsfer to 8 surviving spouse from tax, and the statutory requirements for disclosure d assets and filing a tax return are still appIlcable even If the surviving spouse Is the only beneficiary. For dates d death on or after July 1, 2000: The tax rate Imposed on the net vaue of transfers from a decitas&d child twenty-ooe years d age or younger at death to or for the use of a natural parent, an adoptive parent, or a steppnnt of the child Is 0% [72 P.S. S9116(aX1.2)). The tax rate Imposed on the net value of transfers to or for the use of the decedenrs HneaI benefIcIartes is 4.5%, except as noted in 72 P.S. S9116(1.2) (72 P.S. S9116(aX1)]. The tax rate Imposed on the net value d transfers to or for the use of the decedent's siblings is 12% (72 P.S. fi9116(aK1.3)]. A sibling Is defined, under Section 9102, as an indlvldual who has at least one pnnt In common with the decedent, whether by blood or adoption. ~._~~~~....--~~- -- REV-1502 EX + (8-98) . COtAK>NWEAL TH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Walters Woodrow W 21 06 0542 AI real propeI1y owned solely or n I tenlnt In common must be reported It fair market vllue. Fair market value Is defined as the price at which property would be exchanged between a wIing buyer and a wlIng seller. neither being compeIed to buy or sel. both having reasonable knowledge of the relevant facts. R.II which Is In -owned with ht of survlvorshl must be disclosed on Schedule F. SCHEDULE A . REAL ESTATE 3. DESCRIPTION . 595 Silver Spring Road, Mechanicsburg, PA I House and 1.22 acres, Silv,er Spring Township, 1 attached appraisal 591 Silver Spring Road, Mech$nicsburg, PA House and .9 acres, Silvet Spring Township, see attached appraisal i i I I Owl Road, Newville, PA, ' Cabin and 26 acres 100 perches, Upper Frankford Township, see attached appraisal VALUE AT DATE OF DEATH 150,000.00 ITEM NUMBER 1. 2. 144,000.00 95,000.00 TOT At (Also enter on line 1, Recapitulation) $ (If more space Is needed. in8ert addltional sheets of the same size) 389 000.00 I ./' SUMMARY OF SALIENT FEATURES Mjlc:tMhU 595 SILVER SPRING ROAD l.IpI~ DEED BOOK 00253. PAGE 00008 CIly MECHANICSBURG ColI1Iy CUMBERlAND S1III PA ~CodI 17050 CIllIuI Trac:l 0118.02 MlpIWtnllCt HBG ADC 31181J..2 s. Pllct S NlA OIIIIII~ NlA ~ HlA I lllldlr JOHN EAKlN-AnORNEY AT W SIll ~ FteQ 1,8&4 Pllct pit __ Fed S UcIIIan AVG-BUSY RD ,. .... 50 YEARS ..... AVERAGE TaIII Rooms 8 BednlomI 4 ..... ..... ROBERT It BANZHO'F '.~ 1II....v.. 0713112008 , fInII EdllIlIIII V. I: ' '.~ ~. r. S 1!O,00Q .,.j ,';,;\. 'I I','.' t.'". " ,j ; \; . '_"1 '" .1 FonnSSO-"'TOTM.'~ . ",.,,~..:-1~ i I : I I! 'f i' . : IFill NO sii.5iERSPRlNGS9SI PO #21 I I !' ! ' . .. ; ,'1"'- "'; 'l~ . It' ,. ; [ , 'i~, ~. 'i ,. il';;:. "-i' ,;.1;.'-' ~ ~-_.- -.-- ~; CentJal Penn Appraisals, Inc. (717) 737.4600 IFiIe No SILVERSPRING5951 Paae #31 ,f):' !~:~-~ ';'Ji ;~.~:t 'r : ~~ needed IIlIllQlIanI 1cII...... \If IIMrIl cancIIonIlIIIllIect .. 1OUIIdnI.. at IInIcIurII No . VII cIIIaIJe 0oll11I No IhouId rweeIve freddie Mac Form 70 March 2005 canIann '" III c:ence or extemet In the market ace. Page 1 of6 Fannie Mae Form 1004 March 2005 Farm 1004 - 'MnTOTAl.'......1allwIn br.1I mode. h:. -1-800-AlAMOOE I:' ~r' . R~1 I I 1 - .Il " Ifile No SILVlASPRING5951 Paae #41 ;'.1 Uniform Residential Appraisal Report filii SIlVERSPRING595 ,i 3 ClIIIIIrIbIe DrOlllltles CIIITIIIIII oIlnllor IIIe illle rlllllila il III'Ice from $ 121 900 to $ 159 900 of CllIlIDnI* ... illle ........ wIIhi1 .. oasllWelve IlllIlllhI r..... il slle rxte from $ 128 000 to $ 182 900 fEATlIIE I stUCT COMPAIWlLE SALE 11. Cot.FARABlE SALE 1 2 COftIIARAIII..E SALE 1 3 ~lHI5 SILVER SPRING ROAD 20 SUNSET DRIVE 5 TIMBER ROAD 83 FOXANNA DRIVE .. MEClWllCSB\lR<l PA "000 ~ PA "000 MECHANICS8\JRG PA 17(150 CARlISLE PA 17013 IDSUIlIIct 2. 1 NW 15.01 mlle'~ ~.4 NW PIIct 1$ HlA . 1i5.9OOt $ 180 $ 1S2a.! "Pdct/GrOSsUv.Area 11.11.. 109.05 I-A -. 117.85 la.II. , $ 105.44 la.II, _ 011I ScMrcefsl ASMT RECORDSJMLS ASMT RECORnwl ~ ASMT RECORDSlMLS VwIcIlIan SouIctlsl . VALli AlWSTMENTS DESCRFTION DESCRFTION +1-1 . AdiJstmenl DESCRFTIOH +1-1 . Adilslmenl DESCRFTION +1-1 $ AdiJSbnenl ~.~ CONY ~ CO~ ConcessIonI CCPD 3 900 NONEKNOWN CCPD 3 000 011I 01 S*lTIme 11-29-05125 +4.50( 12.18-05115 +4700 07-31..()8123 lIICIIan AVO-BUSY RD AVERAGE -2.50( AVERAGE -2 500 AVERAGE -2.500 llllehalM'H SImDIe FEE SIMPLE FEE SIMPLE FEE SIMPLE FEE SIMPLE SIIII 1.22 ACRES 1.39 ACRES 0.40 ACRES +4100 0.69 ACRES VIew AVERAGE AVERAGE AVERAGE AVERAGE 1.5 STORY 1.5 STORY 1.5 STORY 1.5 STORY AVGlBRICK AVGNlNYl AVGlBKlALM AVGNlNYL 50 YEARS 47 YEARS 27 YEARS 55 YEARS AVERAGE Bm THN AVG -10JlOO BTR THN AVG -10 nnn BTR THN AVO lullll....!.... TtIIIl.....l.. lullllNms. Baths lulll BthlI./.... 8 I .. I 1 5 I 3 I 2 -2.500 5 I 3 2 -2.500 5 3 11.5 1864 SQ.n. 1236 IO.ft. +9 mil . 1 360 1O.n. +7800 1545 1O.ft. FULLBMST FULlBSMT FULL BSMT FULlBSMT UNFINISHED UNFINISHED UNFINISHED UNFINISHED AVERAGE AVERAGE AVERAGE AVERAGE HWINO CA EBBINOCA EBBlGASJNCA OFHA/NOCA TYP FOR AREA TYP FOR AREA TYP FOR AREA TYP FOR AREA 2 CAR GARAG NONE +8.00c 2CGARlATTA 1CGARlATTA ENC PORCH PRCHlDECK PAnO +1500 DECKIPORCH 1 FIREPLACE NONE +3.000 1 FIREPLACE NONE NON~ NONE NONE NONE IllNONE NONE NONE Net ..... , IT........ 1)(1 + rl., laW lXf + II> $ :lGOO rl + o:a > . Ad/UItId We Pllce Net A4. 7.3 10 Net A4. 1.8 10 Net Adj. 0.9 10 01 Gross All. 21.4 to S 145.800 Grass All. 2D.1I to $ 162.900 GIosI Adl. 11.7 to S I D(J lid I I lid not research .. .. . hnsI. hIatorv 01 .. IIlll COINIIIIIII nIn. W IIlIlImIIIiI ~ I +2 700 10UaItY 01 ConsWcllon AcluII AaI CancIIun AIJM GmIe Room Count Grosl UvIna Area BaemenI & finished Rooms Below Gnde FtRIIonaI ~ -10000 -1 500 +4 800 I\IIW ElIIcIent IIemI orcM'alb'Deck +4.000 -2 000 +3.000 l-~:' i~, "1- -1.500 161 400 , I Mv raun:tI [J lid o:a did Illlt meallllV IIIlar _S . tnnsIers '" III . b . II... vunllrlor 10 III enecllw dale 01.. ....... 0IIa SouIcttII LOCAL ONUNE COUNTY ASSESSMENT RECORDS I Illy raearch r 1 lid 1><1 lid not reM lIlY IIIlar ..S . _..1 III lie CDmIlIf'" "I b \he VIIII' nrIar \0 Ihe dale of .. oflhe cormnblI ... DIIa SalIeeII LOCAl ONLINE COUNTY ASSESSMENT RECORDS I Report III mulls 01 III reselldlllld "Is vi the IIIlar s* . transfer I islorY vi lie . IIlll C(I -able"s IrellOlt IddlIIonaIIiiiO .*. 0Il111t11 31. ITEM .' SUBJECT COMPARABlE SAlE II COMPARABlf SALE 12 COMPARABlE SALE 13 0aIlI 01 PriDr SllelTfIIlSIer 08-b5-2002 NONE KNOWN TO EXIST NONE KNOWN TO EXIST NONE KNOWN TO EXIST PIIce 01 PriDr SaltlTrnl. 1.00 FOR PAST 36 MONTHS FOR PAST 36 MONTHS FOR PAST 36 MONTHS DIIa SouIctlsl DEEDICOUNTY RECORDS CNTY RCRDS ONLINE CNTY RCRDS ONLINE CNTY RCRDS ONLINE EIIecIve 0aIlI1II DIll SoIreelll 08-06-2008 08-06-2008 08-06-2006 08-06-2006 I AnIIvsls III arlor 1* .tr....1iIIDrY ollie and Cllllllfable 1*. There were no unusuel characteristics observed In the Drior lales hlstorv of the ........ ........rtv or ..Ies. "\ .~ . 01 S*, All four ..Ie. .... considered I" be reII8bIe IndIc8lors of v.1ue .nd II/'tI -wohted .lrnll8rlv In the flneI reconcIIIeUon. AIloroorIele adluatmenl. have been mede for .. difference.. C.........rebIe. ..... used .re .n ..-"'-'I ...... In I dMe DrDJdrnItv to the . Ire the -.lIer to extend laerch Dlu.meters. TIme-......lments... baled on IoclII mi. .18tl.tIcI. loclItIon IIdIuatment due to more de.1re8ble .ubdMslon'. CondKlon dualmentl due to the .~rIor cosmetic condition of the . It Is noted that Fennv Mae suaaeated auIdeIIneI on -re tooIaM were ex......wt on C""'" Sale No.1 2 end 4. Thllllllluslment II limier than nOl'R1lll but the..... d1Men are COI1IIdefed the be.t 8V8II8bIe. Other lXlIIIMr8bla analYzed would hevereGUlred Ies. dnInIble "u.tmenll.nd were not I UlI8d for thlt realOl1. All four comDBrable ..tea .... located In the .ame martlet are. lownahl; and achool dlslrlct .. the . rtv and would be I8mlIlllII'SIHKltlve DUrChaler If .. __ an the' rnlu1tet allhe ..me u;;;;- .. the ~ect. lncbIId V_III' Wes S 150 000 IncIIoIIId V" br: ... . &-hS 150 000 COlI ApprCllOll (I dtvtlOl*!U HlA Income . HlA 8M ethIched Iddend.. TNs IppfIUIIs madI I8J ". ...., 0 subjIct to compIeIIon pel' pin and .pecIlIcllons 0Il1he basis of . hypoIheIIcal condIlIon 11II .. ~ ..... bien completed, 0 sutJjK1 to '" IaIIowlng .epalrs . .aIIonI on .. basis of . hypoIheIIcal condIIIon 11II .. repa\fI . IIItraIIons hIWI bHn compIIIed. . 0 IUbjIcI to the IIaIowInI Ilued on .. IISIIIIIIIIIan Ilal .. concIIIon . dIkIIncv dDeI not -*- aIeraIIon . reoK: BIHd an I 0CI!ftIIIIII vIaUIIIInlpecllon of the interior and exterior .... of the luIJIect proper1y, cIIIIned ICOpI of work, llItemtnt of I'I~ IfId IImIlIng COIIlIIIanI, IfId ippnIIMr'l ceI1IInIIon, IIIJ (our) opinion of the me.llet ,....., .. dItInid,. of lIiI fill pnlpIftJ Ihet II tilt luIIfect 01 thla report It S 150000 ..01 07/31/2008 . which It the dill of ku.ctIan ifill thellltctln dill 01 thII-nUL freddie Mac Form 70 March 2005 Page 2 of 8 FlIf1n1e Mae Form 1004 March 2005 ,_ ,.' i Fonn 1004 - "WInTOTAL"1PlIfaIuI soItwart by. 1a1lllldt,1nc. -1-11JO.Al.AMOOE .;-: :' .' , _._M_ _.~ ..~ ..,. -~ -_. _ __ . ~.'~::j.;_:';' ..~;.;,x~,~" . '\:'~~:'i'. ~I,'~"~r'" "='JIII' ,. J r., / ~./ +2.500 I 0uIIv of ConshcIon ActuII AlII CondIon AbcIYI GrIde Roam Caunt . Gross uma Ar.. IlaIemenI & finished Rooms Below Glade f1n:lIonall" +10.800 rl 'I .~ E/IIcIenlIlems G PorcM'alb'DKk +8 000 +1 000 " : II !, I 1 ,I . freddie Mac Form 10 March 2005 ~,J_. fonn tllll4.(AC) - "WInTOTALa appraisal.... by ala mode. Inc. -1.800-AlAMOOE IFile No Sll VERSPRING5951 Paae #91 FIIe'SILVERSPRING595 C_ARAIIlE SALE # 6 S SQ.R. ToIIIl.......1 BIIII I I SQ.n. Fannie Mae Form 1004 March 2005 , IFiIe No SILVERSPRING5911 Pane #21 SUMMARY OF SALIENT FEATURES I i ,j !I 11 SubIIcl Adlhts 591 SilVER SPRING ROAD LepI~ DEED BOOK 00253, PAGE 00012 cay MECHANICSBURG CaunIy CUMBERLAND Stall PA ZIp Code 17050 Census TIId 0118.02 MIp ReIennct HBG ADC 31161J-2 5* PIle, I N/A DIll of SIIe N/A 1lomIwer/Cllllll N1A Lender JOHN EAKIN-ATTORNEY AT LAW SIze (SquIre Feel) . 1,312 PItce per SquIre Foal I lacIIIon AVG-BUSY RD Age 50 YEARS - CondlIIon AVERAGE ToIII Rooms 5 Bedrooms 3 8dls 1 ApprMr ROBERT K. BANZHOFF IJaIe of ApprMsed V... 07/3112006 ftnII EdnI* of V.... 11.....000 I .......-....,"'.... --.... r ...-.........., I i i .~.. J Genlfal Penn Applaisals.lnc. (1111737 4600 IFile No SIL Vf RSPHINGS9 11 PaDs # 31 , ',j I' Uniform Residential Appraisal Report fill' SILVERSPRING591 .. iii IWMIIIY IIIIIIIlsII fIIIOl1ls \0 Drovlde .. IenderJclent wiIh an ICe., .nd ...1eIY StIIlPOfled. 0DInl0n ollhl marklll YlIIue ol.. subIed Ilfoperty. 591 SILVER SPRING ROAD Cily MECHANICSBURG Stale PA Z1DCodI 17050 ,0\ ' NI~ OWner ol PubIc RecoId WALTERS WOODROW W. CounIv CUMBERlAND ii:Man~ED BOOK 00253 PAGE 00012 I PIraI' 38-19-1608-038 Tax Vear 2006 R.E. Taxes S 1406.06 haad NImI SILVER SPRING TOWNSHIP Map Relerenc. HBG ADC 31161J-2 Census Tract 0118.02 T 0wnIr -. Tenanl r 1 VICIIll Soeclal Assessmenls S 0.00 rl PUD HOA S N/A f1 oer vear rl oer monI1 15<1 Fee SlmDIt rl Leasehold r-l 01her ldescrlbel Ta T Purchase Transacllon rl Refinance TranSlction r81 0Ihef (describe) ESTIMATE OF MARKET VALUE . JOHN EAKlN-ATTORNEY AT LAW Adchss MARKET SQUARE BUILDING MECHANICSBURG PA 17055 Ill.. oilseed tar salt or has. been olIered lor sale In lie IweIvt months D110r 10 lie e"ecUve dale oIlI1Is lPDlaisal? r 1 Ves 00 No ... ICllICtlsl us." ........ ......lsI. and dalelsl. LOCAL MLS ,.. I 0 eN 0 lid nul an.lylllhl contr.c1lor sale lor Ihe subject purchase transaction. E_1hI results ollhe analysis olthe contrlCt lor s.1e or why the analysis was no! ..iiiin.d. NlA ft. l Connct Pric. $ NlA Dati ol ContrICt NlA Is the -nilllleltv seier the owner 01 public recOld? [1 Ves rl No Oal. Sourcelsl N1A Is "'111'/ llnanclal assistance (loan charges. sale concessions, gill or downp.ymenl.sststanc., etc.) \0 be paid by any par1y OIl beha. olthe borrower? 0 Ves 0 No IVas.1tDOft Ilelolal doIar amount and descrllt "'terns \0 be D.Id. N1A MIll: JlIct IIld the _III COlIlDOInIan 01 III 1ft noi __.IIIICtor1, i'., ;..tOWUnllHiiiiiIli T....Ql ib-rr;'m~ .t.l.ane-uilIIHouIIM~.Ifd,**"Iiind"""~ I.OCIIIon tMtan -~ SuIubIn [ ] Rurll I Proaectv V.s I5<Ilncftaslna StaIJIe Dec.... PRICE AGE One-IN 70 1 I ~ 15(1 Over 751 rl 25-751 r 1 thIec 2511 DtmanlWIIIIIIIv r 1 ShDrtaae ~ In Balance Over Sulllllv S mool Tviif 2-4 UnII 5 1 GrowIl r Rliiiif fXI SIabIe f 1 Slow I Marketlna Time 15<1 Under 3 mths 3-6 mths Over 8 mths 100 Low 0 Mull-FamIIy 5 1 IlacmdarIu See ettached eddenda. 450+ HkiI 100+ Commercial 5 1 175 Pfed. 40 0IIler 15 " otKiiiiiiiiiI This suburban nelohborhood has mosl nubile utilities avallablli relaUvelv easv access to mnolovment and services and Is with olhef nelohbofhooda In the -neral area. Most have similar amanltla-. No unlavorable faetonl were observed which would e"ed mtIrketabllltv. ~ MarbI CanrIIans lor the above concluslonsl There are no foreseeable ecor1omIc trends which mloht llInnlficanHv Innuence mtIrket condItIona In this area. The cwrent ~ market offers a wide vlll'ietv of conventkmalloans with cornoetltlve ratal. As a result. thetilmlS of have little If anv Irnnat!t on sales Drices. If Interelt rates remain realohable, Drooertv Valuel and marketabltitV should be .tllble. DimInItanI SEE LEGAl DESCRIPTION Area 0.90 ACRES ShaDe RECTANGULAR VIew AVERAGE I... -""-. ~--'- CIassIIIcaIIon RESIDENTIAL ZooIno OesCrkiiil SINGLE FAMILY RESIDENTIAL ../XI baa! flleaal NDnconlonnlna IGrandlal1ered Usel r 1 No Zorn n leaalldescrlbe II.. Nahal IIld best... ol s . .-. as lmDroved lor IS DrOIlOSed IMIr oIans and SlMlCllca\lons) the Dresen! use? ~ Ves rT No I No. describe UIIIIIIeI NIIIo 0IIlIr Idllcrllel I'uIIIIo 01'* ldelcrlbtl OII-.Ite 1mDr0000000000e - TIDI EIlalcIv 15<1 11. Water r 1 WELL Street ASPHAlT Gal fl rl NONE SanllarY Sewer r 1 SEPTIC Alev NONE FEMASDIctai Flood Hazard Are. rl Ves fXI No FEMA Flood Zn C FEMA MaD I 4203700020C Are III ....1IllI ott.... allor the mIIbt area? fXI VIS rl No I No describe Are'" lIlY adverse ale ~ or Dtemallactors leasemenls. encroachmenls enWonmlntal cordllons. land uses elc.l? n Ves!XI No . Ves describe There are no -rent adverte environmental mndItions observed UDon Inlnectlon of the ImDrovemenlt the lite or in the immediate vIcinItv of the . rtv. There are no lIDDIIrent adverse easement encroachments or other adverse conditions on thlllslte. INII5<1 One ~One wIh ~ IN ~ ~ Slab r 1 CIIYIi Soace ::.. ~aIIs CO~~~CK/~ Floors WOOOMNYUA~' .. StorIes 1 15<1 FuI Baseme" r 1 Par1IaI Basement Exterior Walls ' BRICK/AVG W. PLASTER/AVG TYDIlI5<IOll rl Alt. r1 s-OelbdlN BasementArea 1312 mil. Roof Surface : SHINGLES/AVG TmvAnlsh WOOD/AVG I FIIIdnn r 1 Pmno!I1Id r 1 Under ConII. Ilasecnent finish 0 1 Gutters & Downsoouts MET AUA VG Bath Floor V1NYUA va OIslorllStvtal 1 STORY 1 Outside EnlrYlExIt r1 SIIIM Punm WIndow TYDIlI DBL HUNG/AVO Bath Wainscot CT/AVG Vear BuI 1956 Evidence 01 n InIeslallon Storm SaslVklSul.ted YESlNO/A VG Car 5toraaI I I None EtIIctlve AIM! NrSl 20 1 DamIIIIllss r 1 SeIlIement Screens I YES/A VG IS<I. Drlvewav I ol Cars 2 AllIe None Heallna 1 I fWA I/XI HWBB If T RadIant AmenlIIes I Woodstove/sl I Orlvewav Surface STONE I Draa StaIr Slais 1 Other I Fuel OIL 00 FIr.Dlacelsl I 1 Fence 1 Garaae , ol Cars FIoar 'X Scutle AloIna r1 Central NI ~ 1 P.lb'Oeck Pon:h 1 Caroort I ol Cars FlnIshtd Healed 1 individual n Other 1 Pool 0UIec 1'5<1 All 0 Del. [J BuII.1n . I I MII_IIIII r 1 DIshwasher r1 D1SDOS11 fl MIcrowave 1 WasherlOMr rl Other ldescrlbe! FInW1td ....bM cndt coram; 5 Rooms 3 8edrooms 1 8.thl.l 1 312 ScIIare Feet ol Gross L.Ivtno Area Above 6rade AdcIIonaIleatuns etflcIe..1lems etc.l. Delached ...r- with no drlvewav. PabIIo ""'. 15<1 r1 n f1 FEMA uao Date 3/3/1992 0Iscr1111l1 CCJlldIIIan ol... needed rellllrs detertor.llon renovations remodelna. etc.\. I Malon llnd rellect ave~ maintenance. These Imnrovementl are of averlllJe aualltv frame ke!here - ....-.... dellclencles or adverse condlllons Ill.. a"ect 1hl1vabl11v. soundnese, or .tructurallnlearltv of Ihe orooertv? No !lhvslcal dellclencies or adverse conditions were observed. I 1 Ves IS<I No . Yes, descrlle Does III conlorm to '" uncllonal uIilIIv, sMe, conclllon use. cOflllrucllon. etc.l? fXI Ves r 1 No . No descrlJe No unuaual funcIIonaI obsaIescence or externallnlOdAnuacles wer- observed. Utllltv of IIoor oIan Is IvDIcaI for a house of IhIs - and atvIe and should receive avera- ............tance In the mar!(el Dlace. ffeddle Mac Form 70 March 2005 Page 1 018 Fannie Mae Form 1004 March 2005 Form 1004 - 'WIIlTOTAL"eppralsal soltware by ala mojIe.lnc. -l-IlOO-ALAMOOE I IHIe No SIlVERSPAING5911 Paae #41 1 Uniform Residential ADDralsal ReDort Fllel SIlVERSPRING591 3 COIl1IlIrIbIe .~ oIIend lor .. h lie subIect IIIIllIiII in Drice from $ 155 900 loS 159 900 i 3 clllllllrlble AIn h lie wIlhh lie IIISI twelve months iInaIna h saleDilCe Irom $ 139 900 10 S 156 001 fEATmE I SllUCT COMPARAIllE SALE 1 1 COMPARABLE SALE 1 2 COMPARABlE SALE 1 3 .. 591 SilVER SPRING ROAD 211 WOODS DRIVE 433 HOGESTOWN ROAD 27 HOGESTOWN ROAD ~ MECHANICSBURG PA 17050 MECHANICS BURG- PA 17050 MECHANICS BURG PA 17050 MECHANICSBURG PA 17050 III SubIecI 1. 5 W ~ It AA ml", S. PIIet IS NlA S 139 150 000 ' $ 156 001 ilia PrIcIIGrou Uv. Ar.. 1.ltS '113.93 sa.l S 108.53 10.11. . $ 114.71 Id. DIlIlleuRell) ASMT RECORIlSIMLS ASMT RECORDSlMLS ASMT RECORDSlMlS Saun:ell) . VAllE ADJUSTMENTS DESCRFOOH DESCRFTION + I.) S AdiJstmenl DESCRfTlON + /.1 $ AIiIslmenl DESCRfTlON + (.) S AdiJslmenl ~. "'Of~ ',; " VA CONY CONY ~',,":":\"': NONEKNOWN NONE KNOWN NONE KNOWN OIls III WsrnnI' 05-12-0615 06-09-081115 08-12..0516 +7800 '. " Avo-BUSY RD AVERAGE -2 500 AVG-BUSY RD ~VG-BUSY RD .... FI;E SIMPlE FEE SIMPLE FEE SIMPLE FEE SIMPLE ;l"'.'.o 0.90 ACRES 0.52 ACRES +1 500 1.04 ACRES 0.29 ACRES +3.000 . ,-t;(,l: ' AVERAGE AVERAGE AVERAGE AVERAGF ...... 1 STORY 1 STORY 1 STORY 1 STORY rill AVGI8RICK AVGlBRICK AVGlVINYL AVGlBRKMN rt I_r':: 50 YEARS 51 YEARS 61 YEARS 48 YEARS Ian "" AVERAGE BTR AVE RAG -10000 BTR AVERAG .10.000 BTR AVERAG -10000 Mc1116rIdI : TaIIIl........!.. T 01111 Bems.! Baths ToIall8ctmsTIIlhI TaIII BtmI.lI. Ruom Coanl 5 I 3 I 1 5 I 3 I 1 6 I 3 1 6 I 3 I 1 6roSI LIvhI Ar.. 1 312 SQ.ft. 1 228 SQ,ft. 1 408 sll.lI. 1 360 SQ.1l - ~ &.nenl & fHshed FULL BMST FULL BMST EX -1,500 FULL BSMT FULL BSMT - "; 1IaomI8eIow Glade UNFINISHED UNFINISHED UNFINISHED FAMIOENIPDR -10000 fln:IanIIlJ8y AVERAGE AVERAGE AVERAGE AVERAGE OllHT/NOCA OHWBBICA -3 000 OFI-WCA .3 000 GFI-WCA -3 000 &=ElIIcIenIlems TYP FOR AREA TYP FOR AREA TYP FOR AREA TYP FOR AREA 2CGARlATTA 1 CARPORT +4 500 2CGARlDETA 1 CARPORT +4 500 ~k DETACH GAR LG SHED +2 000 NONE +4 000 NONE +4 000 1 FIREPLACE NONE +3 000 NONE +3 000 NONE +3 000 NONE PATIO -2 500 NONE DECK .2 500 N NE NONE NONE NONE Net Atblmenl IT oIaI) fJ + 15<1. S -8 500 r1 t -I}(f- $ .8,000 r + 15<1. $ .3 200 Adjusted S. PrIce Net Adj. 8.1 , Nt. MI. 4.0 , Hel MI, 2.1' III CanlJarables . Gross Ad!. 21.8 , S 131400 Gloss AlII. 13.3 , S 144 000 Gross AcI. 30.8 , S 152801 I IX) lid L J lid nalrueuch lie sale or _1llS1tf h1s1orY III \he au IIId COIlIIUable Sllel. . not. nnIakt My resellCh 0 did [81 lid naI revell any prior SIIeS or ~anslelS 0I1he s lor !he IIvee v... orIor to Ihe effective dale IlIlhIs _lIsal. DaII Sourcelsl LOCAL ONUNE COUNTY ASSESSMENT RECORDS Mv ruelfch 15<1 lid n lid nall1vell IIlV Ilfior IlleS or ~lIIlSlers III lie -able ....s for \he velf Drior III Ihe dale 01 .... III lie COIIlDIfable SlIe. DaII Saun:ela) LOCAL ONliNE COUNTY ASSESSMENT RECORDS ~1Ie resub IlIIhe IIS11fch and analvsIs of 111 Prior SIIe or lIenslll htslorY IlIIhe s and co lIDIfable sales /reoort additional orla sales on IlIIII 3). ITEM SIII,JECT.. COMPARABlE SALE '1 COMPARABlE SALE 12 COMPAIWllE SALE 13 Date 01 PrIar SalelTransfll 08-05-2002' NONE KNOWN TO EXIST 09-21-05 , BANK SALE NONE KNOWN TO EXIST PrIce III PrIar SalelTIIIISItf 1.00 FOR PAST 38 MONTHS 1.00 FOR PAST 36 MONTHS DaII Sourcels) CNTY RCRDSIOEED CNTY RCRDS ONLINE CNTY RCRDS ONLINE CNTY RCRDS ONLINE Elfecflve DaIt III Data Source/sl 08-04-2006 08-04-2006 08-04-2006 08-04-2006 AnIIYsIs III Driar .... or Unaltf "lorY of \he and comoarabft s_ There were no unuaual characterl.tIcs observed In the orlor ulea hlatOrY of the .ubled orooertv or COI1lIlareble aalea. ~ III ~s Camllarlson AIloroach AU three aalea are con.ldered to be reliable Indicator. of v81ue and are ........hted Ilmilarlv In the fin8' reconclII8Uon. Inaufflclent..... In ctoae Droxlrnltv 10 the .......... ..........rtv r80uIra the lIOOI'aller 10 extend .earch. oarametere. Aonmorlale adIU1tmenll have been made for all dlfferance.. ..... used are aft cIoled lalel. Time lIdIu.tme;;!; are b8nd on local mil ltall.11cs Locallon adIuItment due to a more de.lr8b1e aubdlYlllon. A11lhree comoarable .ale. are located In the .8me market area lownshlo 8nd school d1s1ric1 .. the .ubItIcl orooertv and would be con.ldered bv the lime urchuer If aU were on the market al the l&me lime as the lIUbIecl hIIcatId V" bv 5*t oach $ 144 000 InlIcaIId V.... br: ... h$ 144 000 Cost AIIProIch lit dmfoeed) S NlA Income AIIDroIch . NlA See attached addenda. I I i I TNs ..1111 made [81 "n Is", 0 subjeclto complellon per plans and speclllcallons on \he basis of I hypoIhelIcal condition that Ihe ImprovemenlJ haw been competed. 0 SlIIJIIct to III laIIoM1g repairs or aIIerallons on !he basis of I hypoIheIIcal condlllon that \he repairs or dilations have been compIetId, or 0 lubject III lie I /nsIllC\Ion based on III ixtraordnarv Issumallon 1111 the concl\lon or dellclencv does' naI reaurr. ......atIon or ,..r, I land 011 . CCI!"fIIItI vtsllll == of the Interior Ind exterior Iftll of the I~ dlltnId ICope of r:\:1IttmInI of III~ IIICIIIInIIIng condIlIOllI, IllcI ipprI/Ilf'l , my (_) opinion of lilt milk" VlIue, II , of flit property thIt II I" of thtI report II . 144ooo..ol 07l31f2006 which II the dlle of inaaecUon.nd the efttctlvt date of thtI-luL freddie Mac Form 70 March 2005 Page 2 016 Fannie Mae Form 1004 March 2005 Form 1004 - "W\nTOTALo appraisal software by all mode,lnc. -l-800-AlAMOOE -.. "'-""'UlJt ~. ~! ~' SUMMARY OF SALIENT FEATURES IFile No OWlRO.LOTI Pane #21 SUbject Adlkess OWL ROAD legal~ DEED BOOK 00252 PAGE 00010 CIty NEWVILLE CGunIy CUMBERLAND StIle PA ~CodI 17241 Census Tract 0130.00 Map Refnlcl 43-04-0311.007 S. PIlce $ N/A 0111 ..5* NlA IlonuwIrJClenl OWNER: WALTERS,WooDROW' ltndlr JOHN EAKIN-ATTORNEY AT LAW SIze (SqIIn Feel) PIlce per Sql/IlI Foat $ lOClllon AVERAGE Ave ConrIIan TaIII Rooms Bedrooms Ballls ApprM ROBERTK. BANZHOFF 011I ""III V" 8.11 fInII EaImN .. Value $ 11,000 Farm SSG - "WInlOTAl.' ....1CIIInI by ala .Inc, -1-8l1l1-ALAMlU 1 LAND APPRAISAL REPORT CIIlSIII Too 0130.00 No. OWlRD-lOT Map Refn1ce 43.oc.o31t-007 R: WAlT WOODROW OWl ROAD llE DEED BOOK 00252 PAGE 00010 f'llc. $ MIA 0IlII 0/ s-. MIA Loan Tetm~ yr.. PropeI1y RlghIs Apprlistd C8l Fee RuI EsIIle T.... $ 400 EST (yr) Loan cllIfgn to be pilei by.. S _Olher ... concessions NONE enderlClelt JOHN EAKJN-ATTORNEY AT LAW Address MARKET SQUARE BUILDING MECHANICSB RG PA.1705 Occupant NlA ApprIIser ROBERT K. BANZHOFF Inslrucllons 10 Appmer STIMA TE MARKET V. UE County CUMBERLAND S,* PA ZIp Code 17241 lOCllioft ~ Rural M~ O~M O~M Gtowlh Rate 0 Fair fJIoI. 0 RIpId 0 Slow f'Ioperty V..... I8J Incnulng 0 Decting ~ 0 SlloItage 0 0ftmIppIy MIIbIIng h I8IIbler 3 Mos. 0 4-6 Mos. 0 0vIJ I Mos. ~ I.Ind u.. .....!!J t FImIJ -212... f"'" -2' Apts. -0' Condo --'to ConlmwdII i Ot. ...., In VlClnl Ot. CMngeInPrlsentlJndUse 0 Notlllcely -0 lItely (0) 18'1 TMJnoI'lacl (0) ~JfllIII VACANT To SINGLE FAMILY I'Iedomklanl Occupancr 181 Owner 0 Tenant --L" Vacllll _Famlyf'llceRlnge . 110 IoS 350 PredomlnanlValueS 140 SIngle FamIy Age ~ yr.. 10 100+ yrs. Predomlnlnl Age 20 yrs. Emp!armenl StabIIy ColMnIenee 10 EmpIoymenl COII'fbnce to ShoIJI*lg ~ 10 SclIoalI AdequICY 0/ PubIc TIDplIItafIan RICItIlIonII FIdIIIet Adequacr 0/ ... Propertr CompaMlr i Prolecllon !rom DeIrtmentlII CancIIons Police and fire ProteeIIon General Appearance 0/ Propll1les Appeal 10 Mllkel Good AYlI. FIIr Poor 018100 018100 018100 018100 018100 OI8l~O B~ti8 018100 018100 018100 018100 ColM1enIs including IhosI fllCloll, fmnbIe or unflVOfable, alflCli1g marklllbllly (e.g. public parks, school., WlW, noise): This rural nef hborhood has aye,. haracte....b and .. bounded In an dfrwc:tJons the U r Frankford Town.hl Une. DImenIIons SEE LEGAl 28.83 Sq. Ft. or Acres Comer Lot lorilg dasdlcdall AGRICUlTURE Pre. mprovemenlJ 18I do 0 do not conform 10 lllfIing regulations tlWlISt IIld ""'... 181 PrIsent IISI PuIIIc ... (Dnl:IIle) EIec. 181 &at 0 NONE WItIr 8 NONE SIR. Sew NONE o ~EIecL &T1l. SIdewall ShIt ....."""'" l8IHoOYft ClInMIIII (fMnIlII............ "'I1IJPUlI.... ........ _llICIlmInlI. .... ..... . n. ......... ... .... ... IICInl ... 0/ ........ ... JlmIIf IIId ,......... III IllIJject ... IlN ~ .... In .. .... ...... n. dIsaIpIIIIlndu*I . ... ~ ,..... .... rIdII .. ... ..... 0/ ..... Mb ..... .. IllIJject at ...... pIllIIIIfn. . . ..... 11Im In III cempnMt flIIlIlIIIJ II .... .. . ... IMnIIIa .. .. ~ """'. . ... H ..... II llIIlIr .... l'Ilfudnt .. ....... ..... 0/ IllIIIIcI; . . ....... IIIIIl In .. ....... .. .... 10 . .... fMflllllIllllIll........"...... (+) ....".1I1ll1de......... III...... YIIue 0/ IIIIUbject. ITBI Adlhu OWL ROAD HEWVI tl ~~' . . INSPECTION MIA AVERAGE 21.13 AC CABIN 11.23-ost4 AVERAGE 30 ACRES CABIN 1.2-ot131 AVERAGE .3 toO 23.13 ACRES NONE ".ZUII13 AVERAGE +3100 21.1' ACRES +8 000 HONE .8000 HONE fi~ 000 ....v.. llf SUbJect CanI1lnI... .... 0IlI: , i CcInIMnII_..... at ~ THE Al'P W i; Ii I! r. 1 ! ,: ~ .,' ...\\ It''.:t ,";.. ' u:r",.'/"" ~.Jf\'..' ." ...... . . '. . . ..", , 1-1' 20~ lobeS o DId 0 DId * PIlyUcIly Npect f'rapIfIr RevIew CdaI Ptnn AIlIDs*, Inc. (1t 1) 737-4l1OO fGIm lHD - 'WInTOTAL' ............., . III1lllde.Inc. -1.aoo.Al.AMOOE - ,--------... .. ."... . ..,.. .... I " r ! i i · Land : Market Data , An three sales are considered 10 be reliable Indicators of value, and are weighted similarly In the fina' reconciliation. 'nsufflclent sales In close proximity 10 the subject properly require the appraiser to extend search parameters. In this market area and price range It Is not unusual to go a further distance for comparables. In order to find comparables salel It wal necessllf)' to use leis recent 8ales. : x--' "", Supplemental Addendum. OWNER: WALTERS WOODROW Mhss OWL ROAD NEWVILLE C CUMBERLAND JOHN EAKIN.ATTORNEY AT LAW Ftnn TADD - "WInTOTN,." ....... .... bf III mode,lnc. -1-11JO.AI.AMODE "..."...... I Ifile No oWl/m.wl! Paoe #1>1 file No. OWLRD-lOT Slale PA Code 17241 , ,.:;. .:; ':-", ' :,"'i,.'~ ~ '. . t, ' ".iAr''';;l~'' W'_:~~~~:_I' ' REV-1503 EX + (6-98) . SCHEDULE B SrOCKS & 'BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Walters Woodrow W FILE NUMBER 21 ()6 AI property jolntly~ with right of survivorship must be dllcloHd on Schedule F. 0542 DESCRIPTION ITEM NUMBER 1. U.s. Series E. Bonds, See attached VALUE AT DATE OF DEATH 9,140.58 TOTAl. (Also enter 011 Hoe 2, Recapitulation) $ (If I11Or8 space Is needed. Insert additional sheets of 1he same size) 9 140.58 ISSUE SERIES DENOM ISSUE INTEREST VALUE INT. NEXT FINAL DATE PRICE .PRICE w RATE ACCRUAL MATURITY 08/1978 E 50 37.50 156.26 193.76 4.00% 0812006 0812008 09/1978 E 50 37.50 156,26 193.76 4.00% 0912006 0912008 \ 10/1978 E 50 37.50 156i26 193.76 4.00% 1012006 1012008 11/1978 E 50 37.50 158" 0 195.60 4.000At 1112006 1112008 12/1978 E 50 37.50 158;62 196.12 4.00% 1212006 1212008 01/1979 E 50 37.50 154;80 192.30 4.00% 0712006 0112009 03/1979 E 50 37.50 154,80 192.30 4.00% 0912006 0312009 03/1979 E 50 37.50 154,80 192.30 4.00% 0912006 0312009 04/1979 E 50 37.50 154.80 192.30 4.00% 10/2006 0412009 05/1979 E 50 37.50 156.66 194.16 4.00% 1 112006 0512009 06/1979 E 50 37.50 157.12 194.62 4.00% 12/2006 06/2009 07/1979 E 50 37.50 153.30 190.80 4.00% 0712006 0712009 10/1979 E 50 37.50 153.30 190.80 4.00% 10/2006 1012009 11/1979 E 50 37.50 155.10 192.60 4.000At 1112006 1112009 J 2/1979 E 50 37.50 155.10 192.60 4.000At 1212006 1212009 01/1980 E 50 37.50 151.34 188.84 4.00% 0712006 0112010 02/1980 EE 50 25.00 I 16.46 141.46 4.00% 0812006 0212010 Viewing Bonds 1-41 2 .:::.., . .='P ... REV-1508 EX + (6-98) * SCHEDULE I! CASH, BANK DEPOSITS, & MISC. PERSONAi..PROPERTY COfMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Walters Woodrow W ITEM NUMBER 1. 2. 3 4 5 6 7 8 9 10 11 12 13 14 15- FilE NUMBER 21 06 Include the proceeds of litigation and the date the proceeds were received by the estate. AU property jo~ willi right of survivorship mutt be dlscloHd on Sc:heduIe F. DESCRIPTION Vartan National BAnk, CD 3011626, dated 11/17/03, matures 8/17/06, interest 3.3%, paid semi-annually, see attached 0542 VALUE AT DATE OF DEATH 27,396.90 26,685.33 102,867.71 69,088.52 56,185.83 78,993.21 17,001.58 164,124.65 31,992:83 43,028.27 55,080.00 1,500.00 608.48 1,482.94 1,690.50 Vartan National BAnk, CD 3011697, dated 7/26/04, mature1126/07, interes 3.5% paid semi-annuyally, see attached Allianz Life Insurance Compnay Policy # 2748192, see attached Allianz Life Insurac Company Policy #2932184, see attached I I AIlianz Life Insurance Co~pnay Policy #6192941, re attached I i Metropolitan Life Insuran~ Compnay, CXlntract M5p03902, see attached I ., i I I Metropolitan Life Insuran~ Compnay, contract M~00286, see attached Allstate Life Insurance Compnay, contract GA077013, see attached Conseco Insurance Compnj1Y, Annuity Contract EAOO0279, see attached PNC Bank Account 51-4006-6864, see attached Cash Pontiac Automobile, sale price reported sale of scrap metal Proceeds of auction of personal property Miscellaneous coins, appraisal value . I , i TOT At (Also enter on line 5, Recapitulation) $ (If more space Is ~.Insert ~ sheets of the same size) i 677.726.75 vartan national bank the region.s premier business bank August 4, 2006 John M. Eakin Attorney at Law Market Square Building Mechanicsburg, PA 17055 RE: Woodrow Walters 3011626 3011697 Attorney Eakin, The following would be the date of death, June 11 2006, values on the two certificates of deposits: ba-lance accrued interest total value 3011626 27,332.58 64.32 27,396.90 3011697 26,339.32 346.01 26,685.33 If we can be further. assistance to you let us know. Sincerely, o~,rl~ "-- Ann Mccorkle Vartan National Bank 3601 Vartan Way Harrisburg, PA 17110 . i 3601 Vartan Way · Harrisburg, PA 17110 · Tel 717.657.7727 . Fax 717.657.7748 · www.vartanbank.com Allianz Ufe Insurance Company of North America PO Box 59060 Minneapolis. MN 55459-0060 800/950-1962 Allianz @) October 5, 2006 ESTATE OF WOODROW W WALTERS c/o JOHN M EAKIN, ATTORNEY AT LAW MARKET SQUARE BUILDING MECHANICSBURG PA 17055 Re: Woodrow W Walters, deceased , Annuity Policy Numbers: 2746192 i 2932164 . I Dear Mr Eakin: . I This letter is in reference to your request for the date of death value on the above policies. Please be advised that the cash surrender value as of June 11, 2006 for policy #2748192 was $102,867.71. I 'I , Please be advised ,.that the cash surrender value as of June 11, 2006 for pOlicy #2932184 was $69,088.52.' I , I I . Both of these policies have now been a~nuitized to Alan V Walters. I Should you have any questions, please feel free to contact our office. Thank you. Sincerely, .~.~ Barbara LaBorde Claim Examiner C: Carl Snyder' #16387 Allianz life Insurance Company of North America PO Box 59060 Minneapolis, MN 55459-0060 800/950-1962 November 1, 2006 ESTATE OF WOODROW WALTERS C/O JOHN EAKIN, ATTORNEY MARKET SQUARE BLDG MECHANICSBURG PA 17055 Re: Woodrow Walters, deceased Annuity Policy Number 6192941 Dear Executor: Allianz (ill) This letter Is in reference to your request for the date of death value on the above policy. I Please be advised that the c,ash surrende~vaiue as of June 11.2006 was $56,185.83.' I Should you have any ~uesti()ns. please fell free to contact our office. Thank I you. I I Sincerely, Cindy Drawert Claim Examiner . j ,.," ." . .f ',J ; " . SCOIT A.1ll0M.1'$ON, CLU 1720 MILLER ROAD r.O. BO~ 511 DAUPHIN, PI\. 1101' 't7-921-&J67:.r '.?"'..Jl" (rrJl) rJi~~11~:r~ '1~;t![ri:;:'...:.'r~~iriI: jl,;;t];~[l\i'rm:';;ll,t;i:;~;\:m.~l\:);X,:jt~~_~i"'k~~~~~j facsimile transmittal To: JOHN E1KEN, ESQ. Fp.: ,.,-'91-3281 From: SCOTT A. TltOMPSON, CLU 0..: 811111006 Re: WOODROW WALtERS Paga: tb: cc: ALAN Vi ALTERS . .:;;i:':~~-' :':: I' . . . [J for RfttIw . . . o PIMM ~..,1eI1t [] PIeMe RepIr . . o ,.... RIoVdI I I I ! Lilted below .re va'u. of w~ro1lV Wllten two 'eatloD co~tractl oa date of I t. M580390:1 ~8,"3.2. I 2. M5Iocn86 5,7,001.51 1....-o1IIIachId ~ income fJ8YOUIaiofthe ""'..........1bcM. Iliad rccommeMded to I I AI that be ..Igbt wlnt to take the larger coatraet over a payout period .ad lump ..... Ibe i payollt or tile .maller eootrad. I advlled ~I" to eootad )'ou ba ~II reaanl. II YO. blve tbe ! totllliaaacill plet.u'c of autts aDd taIa. 'If yO" ..ve a.y qundoD' or JleecI a., fbrtber aulltun, pleue feel free to cootaet me. Tbe bett wa, to rdeb me II tbrolll" ., cell pboae. n..k you, Scott A. Tbomp,oD, CLU . . . . . . . . . . . . . . . . . . . ~ t::"~~__aa.CLl1a'~L Tru~_ PAGE: 1 FROM : PNC INVESTMENTS rFO~ ~. :717-691-4051 9/1/2008 5:24 PAOE 002/002 Aug. 02 2006 02:03PM P2 Fa~~ Server - Allstate Life Insurance Company S44 Lakeview PArkway VeOlon Hills, IL 60061 Telephone: (871) 499-(,418 Facsimile: (866) 635--452:l ~AII8f8t8. FINANCIAL August 1, 2006 Chuck Little PNC InvesbnentA 2 East Main St. Mechaniabllrg. P A 17()5S-:~RS I Re: Woodrow W. WaJters Contract No: OA077013 ','., Dear Mr. Little: We hove bCm requested to complete lRS Fonn 712 with regard to the above rllfereoced contract. The purpose of FOIll1 712 is to provide an estate or donor with the value of 8 life JDSurance conlrac' or its proceed.. .." of a certain dafe (usually the owner's date ot death Of date oftransCc.,. uJ'(he contract). Thilt contrAct iR an annuilY '~ntract, which is not Iq)Ortable on IRS Fonn 712. The following infonlUltion is provided for Ulfate purposes 001)' as of the date specified: i -The actu.l.mount paid may differ due to MArkel V~lue Adjustment. IIldlor amy applicable Surrender Charges. I I I lf)'Ou hllw ..ny quations, pleese contact our Customet Can: Unit It 1-817-499,,(>>4 t g, ! ! Date of Death: AwlUit)' Value.u ofDateofDeaIb: Cost 8lsis: Named Beneficiary: June 11, 2006 S 164, J 24.65 $ 99,012.57 Alan V. WahaB Sincerely, Valarie Melton Sr. Claim Ex.amiuer PAGE: 2 CONSECO INSURANCE COMPANY Annuity Claims Department I2Q 11815 N Pennsylvania Street P.O. BOX 1981 CARMEL IN 46081-1981 866-588-1155 Alan Wallers 41 Presbyterian Drive Mechanicsburg, P A 17050 Company: Insured: Policy Number: Conseco Insurance Company Woodrow W Waiters EA000279 Dear Mr. Walters: ~. CONSECO. Step up.- September 18, 2006 Your claim on the above mentioned contract has been approved and processed. The benefits have been calculated as follows: Face Amount .. Interest @ 2.25% for 103 days: From 6/11/06 to 9/22/06 Gross Amount: Cost Basis: Taxable Amount: 1 00/0 Federal~,Witbholding Total Net Proceeds $ 31,992.83 S 203.13 S 32,195.96 $ 28,037.34 $ 4,158.62 $ 415.86 $ 31,780.10 The total net proceeds in the amount of $31,780.10 have been credited to your new BENEFITNOW ACCOUNT. Within the next 7-10 days, you will receive a packet which will contain your Confirmation Certificate of Deposit, your personalized checkbook used for withdrawing from your BENEFITNOW ACCOUNT and additional infonnation about the BENEFITNOW ACCOUNT features. I A Form 1099 will be sent at year-end advising rf any taxable amount of proceeds, which in this case is $4,158.62. I i i If you have any questions after your BENEFIT NOW ACCOUNT packet arrives, please contact BISYS at 1-800-331-4631, for assistance. I .. I Sincerely, ([)ia1le Smitli Claims Adjuster. REV-1511 EX + (12-99) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHI!DULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Walters Woodrow W ITEM NUMBER A. 1. 2. 3. 4. 5. 6. 7. 8. 9. B. 1. 2. 3. 4. 5. 6. 7. 8 9 10 11. 12. 13. 14 Debts of decedent must be reported on Schedule I. DESCRIPTION FUNERAL EXPENSES: Myers-Hamer Funeral Home Myers-Hamer Funeral Home -Obituary Gingrich Memorials- grave stone Printing Memorial Service Royers Flowers- memorial service Hall Rental- memorial service B. Warner's Catering, memorial service Silver Spring Beverage- memorial service Limosene- memorial service ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) SocIal Securtty Number(s)IEIN Number of Personal R8pf8lI8Il~S) :;-. 1- Year(s) CommIssIon Paid: I Attorney Fees John M. Eakin Family Exemption: (If deoedents address is not !he same as claimants, attach explanation) Claimant She( Addfess City Relationship of Claimant to Decedent State Probate Fees Letters Testamentary Aooountanra Fees Tax RetIm PnIp8r8I'a Fees Cumberland Law Journal, estate notice Ryder Graphics, yard sale signs The Sentinel, estate notice Central Penn Appraisals, real estate appraisals (3) Miscellaneous coins - appraisal fee Filing Fee- Petition and tax return Recorder of Deeds- Recording Deed Notary FILE NUMBER 21 06 0542 TOTAL (Also enter on tine 9, RecapItulation) $ (If more space is needed, Insert a~ilIonal sheets of the same size) i I 1_ __~_L.._ ZIp Zip AMOUNT 2,115.00 80.00 700.00 75.00 190.80 75.00 954.00 59.13 750.00 22,500.00 820.00 75.00 82.45 151.55 975.00 50.00 30.00 42.00 10.00 29 734.92 REV-1512 EX + (6-98) . SCHEDULE. DEBTS Of DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Walters Woodrow W FILE NUMBER 21 06 Include unrelmbursed medical expenses. 0542 ITEM NUMBER DESCRIPTION 1. 2006 Real Estate Taxes -Silver Spring Township 2. PP&L Electric 3. Nationwide Fire Insurance 4. 2006 Real Estate Taxes - Upper Frankford Township 5. Verizon, telephone 6. Ron Powers, lawn maitenance 7. Jose Hernandez, landscape 8. Penn Waste, trash remo~al VALUE AT DATE OF DEATH 2,591.31 71.31 277.00 579.18 41.84 200.00 825.00 78.36 TOTAL (Also enter on line 10, Recapitulation) $ (If rnoI9 SpaaJ Is needed, Insert additional sheets of the same size) 4.664.00 llEV-1513 EX. '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ; I SCHEDULE J . BENeFICIARIES a .. . a w NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [lncIude outright SIlQUlI8f dlslributlons. and transfers under Sec. 9116 (a) (1.~)J Alan Walters 41 Presbyterian Drive Mechanicsburg, PA 1. FILE NUMBER 21 06 RELATIONSHIP TO DECEDENT Do Not list Trustee(l) Son 0542 AMOUNT OR SHARE OF ESTATE entire estate ENTER DOLlAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH A~ ELECTION TO TAX IS NOT BEING MADE 1. I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size)