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Home My WebLink About02-16-07 (2) REV-1500 EX (6-00) OFFICV\L USE ONLY COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ~L COUNTY CODE ~L 0433___ YEAR NUMBER I- Z W C W () W C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Kanarr Dora DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 5/16/2006 11/15/1910 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 202-20-6689 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WJllS SOCIAL SECURITY NUMBER K W I- ~ ::!;(/) uD::~ wll.U J:oo uD::..J ll.CO ll. <( [xL 04 006 09 o 2. Supplemental Return o 4a. Future Interest Compromise (dale of death after 12-12-82) o o o 3. Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required Original Return Limited Estate Decedent Died Testate (Attach copy of Will) 7. Decedent Maintained a Living Trust (Attach copy of Trust) L 8. Total Nu mber of Safe Deposit Boxes 10. Spousal Poverty Credit (date of dealh belween 12-31-91 and 1-1-95) 0 11. Election to tax under Sec. 9113(A) (Allach Sch 0) Litigation Proceeds Received THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS I- Z W o Z o ll. l/l W a:: a:: o (.) Robert R. Church, Es . FIRM NAME (If Applicable) Keefer Wood Allen & Rahal, LLP TELEPHONE NUMBER P.O. Box 11963 Harrisburg, PA 17108-1963 717-255-8059 1. Real Estate (Schedule A) (1) OFFICV\L USE ONLY 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) f'~,.) C-, c:..} -..J z o ~ ~ ::> I- 0:: <C () w 0:: 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) c-, -"1 ;:-1 C.:; -u -)..... 8. Total Gross Assets (total Lines 1-7) w -J114,670 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 33,060 81,610 41,507 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax 0 Z rate, or transfers under Sec. 9116 (a)(1.2) 0 i= 16. Amount of Line 14 taxable at lineal rate 40,103 <( I- ::l 0 ll. 17. Amount of Line 14 taxable at sibling rate :E 0 0 U 18. Amount of Line 14 taxable at collateral rate >< <( Tax Due I- 19. 40,103 x .0 L(15) x .0 ~(16) x .12 (17) x .15 (18) (19) o 1,805 o o 1,805 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 3W4645 1.000 7 o d t' C A d ece en s omPiete d ress: smar .ADDRESS 100 Mt. Allen Drive Cumberland County CIlY I STATE I ZIP Mechanicsburrr PA - Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 1.805 o 1.425 75 Total Credits (A + B + C) (2) 1.500 3. Interest/Penalty if applicable D. Interest E. Penalty o o Total Interest/Penalty (0 + E) (3) o 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) o 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 305 A. Enter the interest on the tax due. (5A) o B. Enter the total of Line 5 + 5A. (58) 305 AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Yes IX] D D D without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. D 3. Old decedent own an "in trust for" or payable upon death bank account or security at his or her death? D 4. Old decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IX] D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury. I deel...e thall have """"**' this return. including ~ylng schedulel and stateman... and to the best 01 my knowledge and belief, Ills true. conect and complele. Declarallon 01 prep...er other than the PlIrSOMaI rep_lIllve is bUed an III Wonnllio!\ of which preparer has any knowIacIge. NRE F I RN 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or .. . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . 2. If death occurred after December 12. 1982, did decedent transfer property within one year of death No D og ug Uil ua []I Charlotte L. James Executrix 930 Wildwood S are AR Robert R. Church Es . SS Keefer Wood Allen & Rahal, LLP Virginia Beach, VA 23454-3551 A -2 - 7'-' 0 PO Box 11963, Harrisburg, PA 17108 ~~~"1~C2iZ:E:!:Z~S:1rS;3i"';il!;;~t~~J1~}7ii~~;r~I(;.S2B~:::E!~~;=?~-:rESi~f3.;:~;7;2::;7;~E:;}.1irnYi:~~:~,~::~=::~-rt3?:;]:;:~:i0:~:::;:?_~):;~:;l"'::i~:~:;;:7::;~S:~;L;I~1~ili7:;;:S:"\;2d:?~'~i?;;:;l.':~w:'i',::;::;'E'r;:;':~~:t;:Jnfl~:~;r;L'~:~?~ For dates of death on or after July 1. 1994 and belore 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. ~ 9916 (a)(1.1) (ill- For dates of daath on or after January 1. 1995, the tax rate imposed on the net value of transfers to or fOr lhe use of the surviving spouse is 0.,4 [72 P.S. S 9116 (a) (1.1) (1i}J The statute does not exempt a transfer to a surviving spouse from tax. and the statutory requirements for disclosure of assets and filing a tax retum are stH! applicable ewn if the surviving spouse is the only beneficiary. For dates of death on or atter 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 usa of a natural parent. an adoptive parent. or a stepparent of the child is 0% [72 P.S. S 9116(a)(1.211. The tax rate imposed on the net value of transfers to or for the use of the decedent'slileal beneflciarles Is 4.5%. except as nDled In 72 P.S. S 9116(1.2) [72 P.S. 99116(a)(1)). The tex rate imposed on the net 'I8IUe oftransf8l$ to or for the use of the decedenfs sibllngs is 12% (72 P.S. 9 9116(a)(1.3)). A sibling is defined, under Section 9102. asan individual who has atleest one parent in common with the decedent. whether by blood or adoption. 3W4646 1.000 REV.',507 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Dora K. Kanarr SCHEDULE 0 MORTGAGES & NOTES RECEIVABLE FILE NUMBER 21 06 0433 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Alyssa M. James $4,000 Demand Loan dated 8/2/2001 @ AFR interest rate, due 8/31/04 @ DOD Value 4,162 2 Charlotte L. James $6,000 Demand Loan dated 12/7/2000 @ AFR interest rate, due 12/31/02 @ DOD Value 7,981 3 Christine M. Baus $7,500 Loan dated 8/17/2005 @ 3% simple interest, due 8/31/06 @ DOD Value 6,769 4 Christine M. Baus $20,000 Loan dated 7/26/2004 @ 3% simple interest, due 8/31/09 @ DOD Value 18,470 TOTAL (Also enter on line 4, Recapitulation) $ 37,382 3W46AC 1.000 (If more space is needed. insert additional sheets of same size) REV-1508 EX + (6-(i8) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Dora K. Kanarr FILE NUMBER 21 06 0433 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 $243 State Employees' Retirement System final benefit payment due decedent 293 2 Dora K. Kanarr Charitable 6% Charitable Reainder Annuity Trust, final annuity payment due decedent 1,083 3 Hospice of Central Pennsylvania, refund of prepaid room and board 3,500 4 PEBTF Pre-paid Health Insurance Premium Refund of premium due decedent 557 5 Verizon Refund for telephone service due decedent 1 6 Wachovia Checking Account # 1000623199258 Registered to Dora K. Kanarr Charlotte L. James, POA Interest accrued to 5/16/2006 25,336 2 7 Wachovia Money Market Account #1010034681743 Registered to Dora K. Kanarr Charlotte L. James, POA 5,009 3W46AO 1.000 TOTAL (Also enter on line 5, Recaoitulation) $ (If more space is needed, insert additional sheets of the same size) 35,781 REV-1510 EX + (6-eS) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Dora K. Kanarr FILE NUMBER 21 06 0433 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INClLOE HE NAME OF ll-E TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBEF ll-E DATE OF TRANSFER ATTACHACQPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. Dora K. Kanarr Charitable Remainder 6% Annuity Trust dated 5/10/02 FBO The Greater Harrisburg Foundation (n/k/a The Foundation for Enhancing Communi ties) 41,507 100.0000 0 41,507 2 William & Dora Kanarr Irrevocable Trust dated 10/26/1990 and as amended 8/14/1995, Wachovia Bank, N.A. , Trustee (100% of this trust was taxed at death of William Kanarr, first decedent, under Section 9113A. ) 163,893 0 0 0 Interest accrued to 5/16/2006 160 0 0 TOT AL (Also enter on line 7, Recapitulation) $ 41 507 (If more space is needed, insert additional sheets of the same size) 3W46AF 1.000 REV-1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Dora K. Kanarr SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 06 0433 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES 1. Decedent had a pre-need funeral arrangement 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions 5,000 B. Name of Personal Representative(s) Charlotte L. James Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 930 Wildwood Square Court City Virginia Beach State VA Zip 23454-3551 Year(s) Commission Paid: 2 Attorney Fees (Includes collection work for promissory notes) 14,500 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 130 5. Accountant's Fees 6. Tax Return Preparer's Fees 250 7. 1 Cumberland County Register of Wills Administration Expenses 8 Total from continuation schedules . 450 3W46AG 1000 TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 20 338 Estate of: Dora K. Kanarr 202-20-6689 Schedule H Part 7 (Page 2) 2 Cumberland Law Journal Estate Advertising 75 3 Keefer Wood Allen & Rahal, LLP Reserve for Administrative Expenses 200 4 The Sentinel Estate Advertising 115 5 Wachovia Bank Bank Service Fees 60 Total (Carry forward to main schedule) 450 REV- ,512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Dora K. Kanarr SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21 06 0433 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH AT&T final long distance bill 16 2 Eckerd Drugs prescriptions 58 3 Hospice final care of decedent 4,500 4 Messiah Village final nursing home bills 7,963 5 Paul D Dalbey, DPM check #3119 cleared Decedent's checking account after DOD 38 6 West Shore EMS ambulance charges 147 3W46AH 2.000 TOTAL (Also enter on line 10. Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 12 722 REV-1513 EX+ (9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Dora K Kanarr NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Christine M. Baus (referred to in will as Christine M. LeVan) 975 Bacons Bridge Road #148-314 Summerville, SC 29485 1 9% Residue: 3,609 2 Alyssa M. James 404 Patton Lane Virginia Beach, VA 23452 16% Residue: 6,416 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) FILE NUMBER 21 06 0433 AMOUNT OR SHARE OF ESTATE Granddaughter Granddaughter 3,609 6,416 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHiCH AN ELECTiON TO TAX is NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DiSTRIBUTIONS 1 Dora K. Kanarr Charitable Remainder 6% Annuity Trust under Agreement dated 5/10/02 FBO The Greater Harrisburg Foundation (now known as the Foundation for Enhancing Communities) 3W46A11.000 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) $ 41,507 41 507 Estate of: Dora K. Kanarr 202-20-6689 Schedule J Part 1 (Page 2) Item No. Description Relation Amount 3 Brendon A. James c/o Alyssa M James 1204 Pipers Crescent, Apt 311 Virginia Beach, VA 23454 18% Residue: 7,219 Great Grandchild 7,219 4 Charlotte L. James 930 Wildwood Square Virginia Beach, VA Court 23454-3551 27% Residue: 10,828 Daughter 10,828 5 Richard W. Kanarr 3102 Prince Street Harrisburg, PA 17111 5% Residue: 2,005 Son 2,005 6 Jerica R. Lahr 893 S. Crossroads Lykens, PA 17048 2% Residue: 802 Great Grandchild 802 7 Andrew K. LeVan, Jr. c/o Jocelyn Ruth Lindsay 114 Market St., PO Box 83 Halifax, PA 17032 18% Residue: 7,219 Great Grandchild 7,219 8 Patricia A. Wech (referred to in will as Patti W. Kanarr) 714 Range End Road Dillsburg, PA 17019 5% Residue: 2,005 Daughter-in-law 2,005 LAST WILL AND TESTAMENT OF DORA K. KANARR I, DORA K. KANARR, of Upper Allen Township, Cumberland County, Pennsylvania, do hereby make this my Last Will and Testament, revoking any former Wills and Codicils made by me. FIRST: I give my tangible personal property and all casualty insurance that I am carrying on said tangible personal property to such of my children, Charlotte L. James and Richard W. Kanarr, who are living at my death, to be divided equitably among or between them as they may determine, or if they are unable to agree, as my Executor shall determine, after considering the wishes of such children. I have complete confidence that my children and my Executor will honor any written instructions that I may leave with regard to said tangible personal property. Any such property not so distributed shall be sold and the proceeds added to my residuary estate to pass as hereafter-described. SECOND: I give, devise and bequeath all the rest, residue and remainder of my property of every kind and description (including lapsed legacies and devises), wherever situate and whether acquired before or after the execution of this Will, to Wachovia Bank, National Association, or to its successors in (- y "'" t~1 ~ IV}i y~:-( ) ,,,> ~ -- -1- trust, as Trustee under that certain Trust Agreement, as amended, between William R. Kanarr and Dora K. Kanarr as Settlors and Hamilton Bank (corporate predecessor of Wachovia Bank, National Association, CoreStates Bank, N.A. and First Union National Bank) as Trustee, which Trust Agreement was originally executed on October 26, 1990. My Trustee shall add the property bequeathed and devised by this Article to the principal of the above Trust and shall hold, administer and distribute the property in accordance with the provisions of the Trust Agreement, including any amendments thereto made before my death. THIRD: In the event for any reason the bequest and devise above is ineffective and invalid, then I hereby give, devise and bequeath the rest, residue and remainder of my property of every kind and description (including lapsed legacies and devises) , wherever situate and whether acquired before or after the execution of this Will, to Wachovia Bank, National Association, or to its successors, as Trustee, with the same to be held, administered and distributed in accordance with the provisions of that certain Trust Agreement between William R. Kanarr and Dora K. Kanarr as Settlors and Hamilton Bank dated October 26, 1990, as amended, which Trust Agreement is hereby fully incorporated herein by this reference and made a part hereof the same as if the entire Trust Agreement were set forth herein. If for any -J:C)"..r ../\... _ - c C'( 7;Y 1~VL~ C( (1 -2- reason Wachovia Bank, National Association, is unable or unwilling to serve then I hereby nominate, constitute and appoint as successor or substitute Trustee a bank or trust company qualified to do business in the state of my domicile at the time of my death, which successor or substitute Trustee shall be designated in a written instrument filed with the court having jurisdiction over the probate of my estate and signed by or on behalf of my oldest living child or if he or she fails to act, by the court having jurisdiction over the probate of my estate. FOURTH: If any beneficiary and I should die under such circumstances as would render it doubtful whether the beneficiary or I died first, then it shall be conclusively presumed for the purposes of this my will that said beneficiary predeceased me. FIFTH: I hereby nominate, constitute and appoint as Executor of this my Last Will and Testament Charlotte L. James and direct that she shall serve without bond in any jurisdiction in which called upon to act. If she should fail to qualify as Executor hereunder, or for any reason should cease to act in such capacity, the successor or substitute Executor who shall also serve without bond shall be Richard W. Kanarr. My Executor shall receive no compensation but shall be entitled to reimbursement for reasonable expenses. It ~. ./0 L' (. Ci:.. 7-./ -;(./ '). ; (~ a ?LC;/:.. 'l./'l- -3- Whenever the word II Executor II or any modifying or substituted pronoun therefor is used in this my Will, such words and respective pronouns shall include both the singular and the plural, the masculine, feminine and neuter gender thereof, and shall apply equally to the Executor named herein and to any successor or substitute Executor acting hereunder, and such successor or substitute Executor shall possess all the rights, powers and duties, authority and responsibility conferred upon the Executor originally named herein. SIXTH: (1) I give to any Executor named in this Will or any Codicil hereto or to any successor or substitute Executor all of the powers enumerated in this Will and all of the powers applicable by law to fiduciaries in the Commonwealth of Pennsyl- vania and in particular through the Pennsylvania Probate, Estates and Fiduciaries Code, as effective and as in effect on the date of my death, during the administration and until the completion of the distribution of my estate. I direct that all such powers shall be construed in the broadest possible manner and shall be exercisable without court authorization. (2) My Executor is authorized and empowered to acquire and to retain, either permanently or for such period of time as my Executor may determine, any assets, including the capital stock of any closely held corporation, whether such assets are or /~~L$- k A~/u ~lj~ 1..-- -4 - are not of the character approved or authorized by law for investment by fiduciaries and whether such assets do or do not represent an overconcentration in one investment. (3) My Executor is authorized and empowered to dis- claim any interest, in whole or in part, of which I, or my Executor, may be the beneficiary, devisee, or legatee, by execut- ing an appropriate instrument (in accordance with section 2518 of the Internal Revenue Code of 1986, as amended, or such similar section as may then be in effect) . (4) My Executor is authorized and empowered to sell at public or private sale, or exchange, and to encumber or iease, for any period of time, any real or personal property and to give options to buy or lease any such property. Additionally, my Executor is authorized and empowered to compromise claims, to borrow from anyone (including a fiduciary hereunder) and to pledge property as security therefor, to make loans to and to buy property from anyone (including a fiduciary or beneficiary hereunder) i provided that any such loans shall be adequately secured and at a fair interest rate. (5) My Executor is authorized and empowered to allo- cate property, charges on property, receipts and income among and between principal or income, or partly to each, without regard to any law defining principal and income. (insert powers section) /(">-C'-(f u:'- f -;~ rr: It C2- t-'- cul-1:. -5- SEVENTH: I hereby exercise to the extent herein provided, the power of appointment granted to me under Article 2.05 of the Trust Agreement between William R. Kanarr and Dora K. Kanarr as Settlors and Hamilton Bank as Trustee, dated October 26, 1990, as amended, as follows: (1) The Trustee shall distribute the entire remaining part or all of the trust estate, including any accrued or undistributed income, among the following beneficiaries, or if a beneficiary shall not survive to the distribution date, then to such deceased beneficiary's then-surviving issue (not including Andrew K. LeVan, Sr.), per stirpes: Charlotte L. James (my daughter) 27% Richard W. Kanarr (my son) 5% Patti W. Kanarr (my daughter-in-law) 5% Christine M. LeVan (my granddaughter) 9% Alyssa M. James (my granddaughter) 16% Andrew K. LeVan, Jr. (my great-grandson) 18% Brendon A. James (my great-grandson) 18% Jerica Ruth Lahr (daughter of Jocelyn LeVan) 2% 100% (2) I make no provision for my grandson, Andrew K. LeVan, Sr., and no portion of the trust estate shall be distributed to him. r~'Cl ( CL - ",/ ---- /"r 1(/ . ,,' '-, ./ I . t-&-:.!~L CL/( _./c........-- -6- (3) If any beneficiary named in paragraph (1) above shall die without issue surviving on the distribution date, then such deceased beneficiary's share shall be divided among the remaining beneficiaries, in the relative proportions specified. EIGHTH: All estate, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property comprising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the residue of my estate, as if such taxes were expenses of administration, without apportionment or right of reimbursement. I authorize my Executor and Trustee to pay all such taxes at such time or times as deemed advisable. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal this / ?Jt day of 7J!.Cf.-.Cj - 2002. ,?/ f~ -L' / -0 o<..T{J-'lCl. j" Jr~t-i.-a.-'v'~(SEAL) DORA K. KANARR SIGNED, SEALED, PUBLISHED, and DECLARED by DORA K. KANARR, as and for her Last Will and Testament, on the day and year last above written, in the presence of us, who, at her request, in her presence, and in the presence of each other, all being present at the same time, have hereunto subscribed our names as witnesses: //:k", ~','~' ~~'/F/ .4:':< T , - ~. '!'.~ /' ~.\J~ ,n ----'CI1 (() {; [;'0, t -7- SELF-PROVING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND :2 " 'M Ij' t-' We, Dora K. Kanarr, and D,-,O".:.r h/f1./(7 ,j -J C" 1;;, A { b. d and the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as her Last Will and that she had signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, and in the presence of each other, signed the Will as witness and to the best of our knowledge the Testator was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. g~ct.-- 7.y: 7('a-u-~v / /.// .', u: ..~ J ,.'..<; ~ i . -__-<- _ - 'y' Wi tnessJ Witn~ Dora K. Kanarr // r 'j' ,/1 ,~/y i.. .: 72L)/ ,/ e ntD~J\t Witness Subscribed, sworn to, and acknowledged before me by Dora K. K3narr, the Testator and subscribed and sworn to before me by :_;, ,:..;, .f" t.\ .. ~.'~; ,:.', /f"';,.( and , witnesses, this r Olli day of , 2002. M(}( I (Seal) Notarial Seal Jennifer R. Freeland, Notary Public Upper Allen Twp., Cumberland County My Commission Expires Dec. 13. 2004 - 8 - Member, ~nns\l"'':\n'a !\<;sot:latir,11 0' No!anes DORA K. KANARR CHARITABLE REMAINDER ANNUITY TRUST INSTRUMENT ~110 On this II) day of May, 2002, I, DORA K. KANARR, (hereinafter referred to as "the Donor") desiring to establish an irrevocable charitable remainder annuity trust within the meaning of Revenue Procedure 89-21 and Section 664(d)(1) of the Internal Revenue Code (hereinafter referred to as "the Code") hereby create the Dora K. Kanarr Charitable Remainder Annuity Trust and designate The Greater Harrisburg Foundation, a Pennsylvania non-profit corporation with trust powers, as the Trustee. 1. Fundinq of the Trust. The Donor transfers to the Trustee the property described on Schedule A, and the Trustee accepts such property, and agrees to hold, manage and distribute such property of the Trust under the terms set forth in this Trust instrument. 2. Payment of the Annuity Amount. On the last day of each taxable year of the Trust, the Trustee shall pay to DORA K. KANARR (hereinafter referred to as "the Recipient"), during her lifetime, an annuity amount equal to six percent (6%) of the net fair market value of the assets of the Trust as of the date of funding the Trust pursuant to Section 1 (the "valuation date"). The annuity amount shall be paid annually from income and, to the extent that income is not sufficient, from principal. Any income of the Trust for a taxable year in excess of the annuity amount shall be added to principal. If for any year -1- the net fair market value of the Trust assets is incorrectly determined, then within a reasonable period after the value is finally determined for federal tax purposes, the Trustee shall pay to the Recipient (in the case of an undervaluation) or receive from the Recipient (in the case of an overvaluation) an amount equal to the difference between the annuity amount properly payable and the annuity amount actually paid. 3. Proration of Annuitv Amount. In determining the annuity amount, the Trustee shall prorate the same on a daily basis for a short taxable year and for the taxable year of the Recipient's death. 4. Distribution to Charity. Upon the death of the Recipient, the Trustee shall distribute all of the then principal and income of the Trust, (other than any amount due the Recipient or her estate under the provisions above) to The Greater Harrisburg Foundation (hereinafter referred to as "the Charitable Organization"). If the Charitable Organization is not an organization described in Sections 170(b)(1 )(A), 170(c), 2055(a) and 2522(a) of the Code at the time when any principal or income of the Trust is to be distributed to it, then the Trustee shall distribute such principal or income to one or more organizations described in Sections 170(b)(1 )(A), 170(c), 2055(a) and 2522(a) of the Code, as the Trustee shall select in its sole discretion. 5. Additional Contributions. No additional contributions shall be made to the Trust after the initial contribution. 6. Prohibited Transactions. The Trustee shall make distributions at such time -2- and in such manner as not to subject the Trust to tax under Section 4942 of the Code. Except for the payment of the annuity amount to the Recipient, the Trustee shall not engage in any act of self-dealing, as defined in Section 4941 (d) of the Code, and shall not make any taxable expenditures, as defined in Section 4945(d) of the Code. The Trustee shall not make any investments that jeopardize the charitable purpose of the Trust, within the meaning of Section 4944 and the regulations thereunder, or retain any excess business holdings, within the meaning of Section 4943(c). 7. Taxable Year. The taxable year of the Trust shall be the calendar year. 8. Governinq Law. The operation of the Trust shall be governed by the laws of the Commonwealth of Pennsylvania. The Trustee, however, is prohibited from exercising any power or discretion granted under said laws that would be inconsistent with the qualification of the Trust under Section 664(d)(1) of the Code and the corresponding regulations. 9. Limited Power of Amendment. The Trust is irrevocable. The Trustee, however, shall have the power, acting alone, to amend the Trust in any manner required for the sole purpose of ensuring that the Trust qualifies and continues to qualify as a charitable remainder annuity trust within the meaning of Section 664(d)(1) of the Code. 10. Investment of Trust Assets. Nothing in this Trust instrument shall be construed to restrict the Trustee from investing the Trust assets in a manner that could result in the annual realization of a reasonable amount of income or gain from the sale or disposition of Trust assets. -3- 11. Component Status. The principal and income of the Trust distributed, in accordance with Section 4, shall become the assets or be added to the assets of a component of the Charitable Organization within the meaning of that term in regulations relating to community foundations under Section 170 of the Code. The component shall be held by The Greater Harrisburg Foundation under and subject to its bylaws, for charitable, educational, scientific or civic uses. The component shall be or is identified as /, '} y./.... the DORA K. KANARR FUND pursuant to a Letter Agreement, dated May Ie; , 2002, which is attached hereto and made a part hereof by reference. 12. Other Duties and Powers of the Trustee. In addition to the powers granted the Trustee by law, except as otherwise specifically provided herein, the Trustee shall hold and manage the Trust assets (hereinafter referred to as the "Trust Estate") when so collected, together with such other property as may be acquired, during the existence of the Trust, upon the following terms and conditions and with the following powers and authorities, provided, however, that no discretionary power granted hereunder shall be exercisable if the exercise of such power or discretion would be inconsistent with the qualification of this Trust as a charitable remainder annuity trust under Section 664(d)(1) of the Code: A. To take, hold or retain all or any part of the Trust hereby created in the form in which it may be acquired as long as it deems advisable and to receive all the income, increments, rents and profits therefrom. -4- B. To sell, exchange, partition, lease or otherwise dispose of any property or part thereof, real or personal, which may at any time form part of this Trust Estate at public or private sale for such purposes and upon such terms, including sales on credit with or without security, in such manner and at such prices as it may determine, but in the event for less than or adequate or full consideration in money or money's worth, including the right to lease real estate for periods in excess offive (5) years and for a term expiring after the termination of the Trust. In the event of a sale, exchange, partition or lease of any of the property of the Trust Estate, there shall be no liability on the part of the purchaser or purchasers to see to the application of the purchase money, but the same shall be held and disposed of by such purchaser or purchasers free and clear of any of the provisions of the Trust. C. To continue any investment which may form a part of the Trust Estate or to invest or reinvest the same in any property, real or personal, of any kind or nature, including stocks, bonds, mortgages, other securities and common trust funds of the Trustee or a Custodian selected by the Trustee and mutual and money market accounts operated by the Trustee or a Custodian selected by the Trustee or any affiliate of them without being restricted or limited to investments as now or may hereafter be prescribed for trustees by the laws of the Commonwealth of Pennsylvania or any other state, including the right to acquire, sell or retain stock in the Trustee or the holding company of the Trustee. -5- D. To cause securities which may from time to time comprise any part of the Trust Estate to be registered in the name of the Trustee, as Trustee, or in the name of any nominee or to take and keep the same unregistered and retain them or any part thereof in such condition that it will pass by delivery without disclosing the fact that the property is held in a fiduciary capacity. E. To make any loans either secured or unsecured in such amounts, upon such terms, at such rates of interest and to such persons, firms or corporations as it deems advisable. F. To borrow money for any purpose in connection with the administration of the Trust Estate; execute promissory notes or other obligations for the amounts so borrowed by mortgage or pledge of any real or personal property which may at any time form a part of the Trust Estate. G. To vote, in respect to any securities which may at any time form a part of the Trust Estate, upon any proposition or election at any meeting and to grant proxies discretionary or otherwise; vote at any such meeting; join in or become a part of any reorganization, readjustment, merger, voting trust, consolidation or exchange and to deposit any such securities with any committee, depository, trustee or otherwise and to pay out of the Trust Estate any fees, expenses and assessments incurred in connection therewith and to charge the same to principal or income as it may see fit to exercise conversion, subscription or other rights, or to sell or abandon such rights and to receive and hold any new securities issued as a result of such reorganization, adjustment, merger, -6- voting trust, consolidation or other rights; and generally take all action in respect to any such securities as it might or could do as absolute owner thereof, to vote any stock in a Trustee or a holding company of a Trustee, except that in the election of directors of a Trustee or the holding company of the Trustee, said stock shall be voted as directed by the Distribution Committee of The Greater Harrisburg Foundation. H. In its discretion to allocate to either principal or income or between them or receipts or expenses which it may be required to pay on behalf of the Trust Estate, except that the Trustee shall pay the annual installments and any adjustments of the annuity amount from income and, to the extent that income is not sufficient, from principal and shall allocate excess income received to principal in accordance with Section 2. I. To divide or distribute, whenever it is required or permitted, the Trust Estate and to make such division or distribution in kind or in money or partly in kind and partly in money. J. To hold and administer the Trust Estate in one or more consolidated funds in whole or in part in which the separate funds shall have undivided interest. K. To determine, in connection with making investments, whether to amortize premiums in whole or in part. L. To compromise claims, on such terms and conditions as Trustee, in his, her or its discretion, deems appropriate. M. To engage attorneys, investment counsel, accountants, agents, -7- including Custodians which shall be incorporated banks organized under the laws of either the Commonwealth of Pennsylvania or the United States of America, and such other persons as they deem reasonable and to charge the expenses thereof to income or principal as it may determine and to delegate to such persons any discretion which it may deem proper. The Trustee shall not be liable for any negligence, omission or wrongdoing of such counselor agents, provided reasonable care was exercised in their selection. N. No title in the Trust Estate, or in the income accruing therefrom or in its accumulation shall vest in the Donor, the Recipient or the Charitable Organization. Neither the Donor, the Recipients nor the Charitable Organization shall have the right or power to transfer, assign, anticipate or encumber his, her or its interest in the income or principal of said Trust Estate prior to the actual distribution thereof by the Trustee to him, her or it or its trustee. Further, neither the income nor the principal of the Trust Estate shall be liable in any manner, in the possession of the Trustee, for the debts, contracts or engagements of Donors, the Recipient or the Charitable Organization. 13. Bond. No Trustee shall be required to give any bond or other security. 14. Trustee's Compensation. The Trustee shall be entitled to receive annual compensation for its services hereunder in accordance with the schedule of compensation of the Trustee currently in effect when the services are performed. 15. Acceptance of Trust. The Trustee shall acknowledge that it has received from the Donor all property described in the Schedule attached hereto by initialing each item. -8- IN WITNESS WHEREOF, Dora K. Kanarr, the Donor, has hereunto set her hand and seal and The Greater Harrisburg Foundation has caused these presents to be signed in its corporate name by its President and Chief Executive Officer and its corporate seal hereto affixed, attested by its Secretary, the day and year first above written. Signed, sealed and delivered in the presence of: "The Donor" /a~~ ,-<:~A fl(/. d..4~J<'l<::y ./ :y- .bc:-i.u:. Ii~ ~~LCt>'vl/ (SEAL) Dora K. Kanarr ATTEST: "The Trustee" OI~ s.~ U ~ g? //J../J By: . fL. ~ Ice R. Black President and CEO, The Greater Harrisburg Foundation -9- COMMONWEALTH OF PENNSYLVANIA COUNTYOF C~l~ SS. On the I ()-fr. day of May, 2002, before me, this subscriber, a Notary Public in and for said State and County, came the above-named, Dora K. Kanarr, satisfactorily proven to me to be the person whose name is subscribed to the within instrument, and acknowledged the above agreement to be her act and deed and desired the same might be recorded as such. WITNESS my hand and Notarial Seal. Notarial Seal Jennifer R. Freeland, Notary Public Upper AII~n !wp., Cumberland County My Commission Expires Dec. 13, 2004 Member, Pennsylvania A.ssocla!!On 01 Notaries -10- COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN .f " / 1;7'1 ~ I hereby certify that on the .1/ / day of May, 2002, before me, the subscriber, a Notary Public in and for said Commonwealth and County, personally appeared Janice R. Black, President and Chief Executive Officer of The Greater Harrisburg Foundation, and by virtue and in pursuance of the authority conferred upon her, acknowledged the said Charitable Remainder Annuity Trust Agreement to be the act of The Greater Harrisburg Foundation. WITNESS my hand and Notarial Seal the day and year first above written. I, //).,'!',,/\--/~, . if A ,<./ i/ . I;//! \ J( ./ II !I 1/1;( I} . / / / /..", I. i Nofary Public I. .,_.....~._~"...' ......,.. .. .~- . .~.. ....' ._."-...-. i I ~~03"'~nr.SVL':::r':::-: (~.33oclat:cn ot Notanes ...',....,i;-::-:'":;1.::0al D2'Nn 1\1' ~X~;ri;,' N;tary Public Harrisburg. Dauphin County My Ccmm:ssion Expires Sept. 9, 2002 -11- SCHEDULE A SCHEDULE OF TRUST PROPERTY . , ,..-I~ I . Trust Agreement dated: May 2-. 2002 -12- HABENDUM ARTICLE I 1. 01 1. 02 1. 03 ARTICLE II 2.01 2.02 2.03 2.04 2.05 2.06 ARTICLE III 3.01 3.02 3.03 3.04 3.05 WILLIAM AND DORA KANARR TRUST TAB LEO F CON TEN T S ESTABLISHMENT OF TRUST; DATE OF AGREEMENT AND PARTIES THERETO 1 WHEN TRUST BECOMES IRREVOCABLE AND ADDITIONS TO TRUST Irrevocable Trust Upon Death of First Settlor to Die Transfer of Additional Property Trust as Beneficiary of Insurance 1 2 2 DISPOSITIVE PROVISIONS DURING LIFETIMES OF SETTLORS During Joint Lifetime of Settlors During Lifetime of Surviving Settlor Settlors are Primary Beneficiaries Final Expenses of a Deceased Settlor Testamentary General Power of Appointment In Default of Appointment Disposition Per Article III 2 3 3 3 4 4 DISPOSITIVE PROVISIONS UPON THE DEATH OF THE SECOND SETTLOR TO DIE Applicability 4 Specific Gift to Tax-Exempt Beneficiaries 5 Shares of Disqualified Tax-Exempt Beneficiaries 5 Residue to Individual Beneficiaries 5 Shares of Deceased Individual Beneficiaries 6 ARTICLE IV 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 ARTICLE V 5.01 5.02 5.03 5.04 DISTRIBUTION QUALIFICATIONS Facility of Payments Definition of Incapacity Accrued Income Clause Spendthrift provision Minority and Terms of Relation Defined Perpetuities Saving Clause Provision for Minors Termination of Small Trusts Powers of Appointment Educational Provision Generation-Skipping Trust Division Generation-Skipping Distributions and Terminations 7 7 8 8 8 8 9 10 10 10 11 12 POWERS AND DUTIES OF TRUSTEE Exculpatory Clause as to Purchaser Seeing to Application by Trustee 12 General Savings Clause 12 Reporting and Compensation 13 Investment Powers of Trustee 13 A. To Retain Assets 13 B. To Invest and Reinvest; Common Trust Fund 13 C. To Sell, Exchange, Encumber and Grant Options 14 D. To Manage or Change Business and to Act as Partner, Officer or Director 14 E. To Borrow 14 F. To Deal with Subscription Rights; to Vote or Grant Proxies 14 G. To Participate in Corporate Reorganization 15 H. To Effect Insurance 15 I. To Use a Nominee; to Deposit Funds without Disclosure of Capacity 15 J. To Lease 15 K. To Manage Real Property 15 L. To Mortgage or Lease 16 M. To Establish Ancillary Trusts 17 N. To Employ Custodians, Brokers, Accountants, Appraisers, Attorneys and Agents 17 ARTICLE VI 6.01 6.02 6.03 6.04 O. To Take or Defend Proceedings at Law; to Compromise or Arbitrate To Distribute in Cash or Kind To Receive Additional Assets To Move Assets from Place to Place To Deal with other Trusts of Settlors or Settlors' Family To Deal with oil, Gas and Mineral Leases To Continue Exercise of Power at Termination To Allocate Between Income and Principal To Invest in Options, straddles and Futures P. Q. R. S. T. U. V. w. MISCELLANEOUS PROVISIONS Resignation of Appointment of Power to Merge situs Trustee Successor Trustee . Trust 18 18 18 18 18 19 19 19 19 20 20 20 21 WILLIAM AND DORA KANARR TRUST THIS TRUST AGREEMENT, made this 1 )(;.,'0 day of 0 G --;;-- 1990, by and between WILLIAM R. KANARR and DORA K. KANARR, husband and wife, of the City of Harrisburg, Dauphin County, Pennsylvania, hereinafter referred to as "Settlors," and HAMILTON BANK, 3516 Market Street, Camp Hill, Pennsylvania, hereinafter referred to in the singular and neuter gender as "Trustee." (For convenience this Agreement may be referred to as "THE WILLIAM AND DORA KANARR TRUST.") WIT N E SSE T H : The Settlors hereby transfer to the Trustee assets which are the Settlors' property and which are listed on Schedule A attached hereto and made a part hereof. All trust property shall be owned (an undivided) one-half by William R. Kanarr and (an undivided) one-half by Dora K. Kanarr, as their respective separate property. The Trustee shall hold such property and any additions thereto in trust for the uses and purposes and upon the terms and conditions hereinafter provided. All distributions during the joint lifetime of the Settlors, shall be deemed received by the Settlors as equal co-tenants. ARTICLE I Revocabilitv and Additions to Trust 1.01 This Trust Agreement is revocable during the joint lifetime of the Settlors and Settlors retain the power to alter, amend or revoke this Trust Agreement, either in whole or in part. This Trust Agreement shall become irrevocable upon the death of the first Settlor to die. 1.02 The Settlors may transfer and convey other property to the Trustee and may increase this trust or any part thereof by gift, bequest, devise, appointment or beneficiary designation, all subject to acceptance thereof by the Trustee. 1.03 The Settlors may cause the proceeds of insurance con- tracts, employee benefit plans and other such contracts to be made payable to the Trustee. The owner of such contracts shall retain all rights, options and privileges conferred by the terms of all such contracts, including any benefits accruing during the owner's lifetime, and this trust shall include only the net proceeds payable to the trust at the death of the insured. The Trustee shall have no duties or responsibilities with respect to such contracts other than to collect the net proceeds payable under contracts of which the Trustee has knowledge and to add such proceeds to corpus. The Trustee shall not be required to enter into any legal proceedings with respect to such contracts unless indemnified to its reasonable satisfaction. ARTICLE II Dispositive Provisions Durinq Lifetimes of Settlors 2.01 During the joint lifetime of the Settlors, the Trustee shall pay to or apply for the benefit of the Settlors, or either of them, all of the net income in convenient installments and so much of the principal of the trust estate, up to the whole thereof, as the Settlors, or either of them, may from time to -2- time request. If at any time both of the Settlors should become incapacitated, or for any reason be unable to advise the Trustee of their financial needs, the Trustee may in its absolute discretion pay to or apply for the benefit of the Settlors, or either of them, so much of the principal or income of the trust estate as the Trustee in its sole discretion shall determine. 2.02 Upon the death of the first Settlor to die, the Trustee shall pay to the surviving Settlor all of the net income in convenient installments and so much of the principal of the trust estate, up to the whole thereof, as the surviving Settlor may from time to time request. If at any time the surviving Settlor should become incapacitated, or for any reason be unable to advise the Trustee of his or her financial needs, the Trustee may in its absolute discretion pay to or apply for the benefit of the surviving Settlor so much of the principal or income of the trust estate as the Trustee in its sole discretion shall determine. 2.03 In exercising the discretions conferred by this Article II, the Trustee is advised that the Settlors are the primary beneficiaries and the Trustee shall consider the needs of all other beneficiaries to be secondary. 2.04 Upon the death of a Settlor, the Trustee may pay from the principal or income of the trust estate the expenses of such deceased Settlor's last illness, and funeral and burial expenses, if his or her estate should be inadequate or inappropriate for such purpose. -3- 2.05 Upon the death of the second Settlor to die, any part or all of the assets remaining in the trust estate, including any income that may be accrued or undistributed, shall be distributed to or among such persons as the second Settlor to die shall specifically appoint in his or her Last will and Testament by specific reference to this Trust Agreement in accordance with section 4.09 of Article IV. The second Settlor to die may appoint such trust property and accumulated income to himself or herself, to his or her estate, to his or her creditors or to the creditors of his or her estate. 2.06 In default of the exercise of such power of appointment by the second Settlor to die or insofar as any part of the trust estate shall not be effectively appointed, then upon the death of the second Settlor to die the entire remaining part or all of the assets remaining in the trust estate, including any income that may be accrued or undistributed, shall be held, administered and distributed as provided in Article III below. ARTICLE III Dispositive provisions Upon the Death of the Second Settlor to Die 3.01 Upon the death of the second Settlor to die, the entire remaining part or all of the trust estate, including any accrued or undistributed income, shall be distributed as provided in this Article III. -4- 3.02 The Trustee shall distribute a pecuniary amount equal to five percent (5%) of the fair market value of the trust estate (including accrued or undistributed income) on the date of the death of the second Settlor to die, among the following organizations, all without restriction as to use: Tax-Exempt Beneficiary Percent A. Trinity Lutheran Church Harrisburg, PA Paxton united Methodist Church Harrisburg, PA Neighborhood Center of united Methodist Church, Harrisburg, PA Tri-County united Way Harrisburg, PA The Salvation Army - Harrisburg Corps Harrisburg, PA American Red Cross, Pennsylvania Capital Region Chapter Harrisburg, PA Goodwill Industries of Central Pennsylvania, Inc. Harrisburg, PA Bethesda Mission of Harrisburg Harrisburg, PA The Food Pantry Harrisburg, PA Visiting Nurse Association of Harrisburg, Inc. Harrisburg, PA River Rescue, Inc. Harrisburg, PA Fire Company No. I - Camp Hill Ambulance Association Camp Hill, PA Hillsdale Ambulance Association Hillsdale, Montgomery Township, Indiana County, PA 5 % 25 % B. 5 % C. 2~% D. 5 % E. 5 % F. 5 % G. 5 % H. 10 % 1. 10 % J. 2~% K. 5 % L. 15 % M. TOTAL 100 % 3.03 If any of the organizations named in section 3.02 is not an organization described in section 170(c) of the Internal Revenue Code of 1986, or such similar section in effect at the -5- time of any distribution to such organization, then such organization's share shall be divided among the remaining organizations described in Section 170(c) and if none of the organizations named above is a tax-exempt organization described in section 170(c) of the Internal Revenue Code of 1986, or such similar section then in effect, the Trustee shall distribute the pecuniary amount described in section 3.02 above to one or more organizations then described in section 170(c) of the Internal Revenue Code of 1986, or such similar section then in effect, as the Trustee shall select in its sole discretion. 3.04 After payment of the pecuniary amount specified in Section 3.02 above, the Trustee shall distribute the entire remaining part or all of the trust estate, including any accrued or undistributed income, among the following beneficiaries, or if a beneficiary shall not survive to the distribution date, then to such deceased beneficiary's then-surviving issue, per stirpes: A. B. C. D. E. F. G. H. I. Beneficiary (Relationship to Settlors) Eda M. LeVan Prince (Daughter) Charlotte L. James (Daughter) Richard W. Kanarr (Son) Robert J. Kanarr (Son) Christine M. LeVan (Granddaughter) Andrew K. LeVan, Sr. (Grandson) Alyssa M. James (Granddaughter) Andrew K. LeVan, Jr. (Great-Grandson) Jerica Lahr (daughter of Jocelyn LeVan) TOTAL Percent 20% 26% 11% 11% 5% 11% 11% 3% 2% 100% 3.05 If any beneficiary named in Section 3.04 above shall die without issue surviving on the distribution date, then such -6- deceased beneficiary's share shall be divided among the remaining beneficiaries, in the proportions specified. ARTICLE IV Distribution Oualifications 4.01 Payments or distributions of income or principal may, at the direction of a beneficiary, be deposited in any bank to the credit of that beneficiary in an account carried in his or her name or jointly with another or others. Payments or dis- tributions to or for the benefit of a beneficiary under disability may be made by the Trustee in its sole discretion: (1) directly to such beneficiary; (2) to his or her guardian; (3) to some near relative or friend; (4) by applying such pay- ments directly for the benefit of such beneficiary. 4.02 A person shall be deemed under disability if he or she be a minor, under legal disability declared by a court of compe- tent jurisdiction, or incapacitated~ For the purposes of this trust a person shall be deemed incapacitated upon certification in writing by any attending physician of such person that he or she is unable properly to manage business matters without assis- tance. In the event such person has no attending physician, the Trustee may appoint a physician in or near the county in which such person- is then located, to make such certification. Written certification in like manner advising that such person has recovered and is once again able properly to manage business matters without assistance will remove such presumption of disability. -7- .. 4.03 Income accrued or collected, but not distributed at the time of the termination of any estate or interest in any trust, shall, unless otherwise indicated, be payable as income to the beneficiary or beneficiaries entitled to the next estate or interest; provided, however, that the Trustee may charge thereto any accrued taxes, expenses or compensation of the Trustee which in its opinion should be so charged. This provision shall not limit the proper exercise of any power of appointment. 4.04 No interest in any irrevocable trust hereunder shall be subject to attachment or other legal process, to the control or interference of any creditor or spouse of any beneficiary, or to anticipation or alienation by any beneficiary. 4.05 Unless otherwise modified, all terms of relation herein shall include persons legally adopted, provided that the order or decree of adoption is entered before such adopted person attains the age of twenty-one (21) years. Further, the terms, IIchild" and IIchildren" shall mean descendants of the first degree, "issuell shall mean descendants of any degree and a "minor II shall be a person under twenty-five (25) years of age. 4.06 If any trust hereunder (whether by original creation or by extension thereof through the exercise of a power of appoint- ment) shall not have terminated at the expiration of a period of twenty-one (21) years after the death of the survivor of all of the Settlors' issue living when this trust first became irrevoca- ble, such trust shall thereupon immediately vest in and be distributed free of trust to the person or persons then entitled -8- to receive or have the benefit of the income therefrom and in the same proportions or, if their interests are indefinite, in equal shares. 4.07 Whenever any nondiscretionary distribution of principal hereunder is required to be made to a person who has not attained the age of twenty-five (25) years, the interest so required to be paid shall be indefeasibly vested in that beneficiary, but the Trustee may retain the amount payable until the beneficiary attains such age or dies, whichever first occurs, and the Trustee may pay so much of the income and principal to or for the benefit of the beneficiary as in the Trustee's sole discretion is neces- sary to provide for his or her health, education and support in reasonable comfort. Any income not distributed may be added to the principal of such interest and invested as a part thereof. When the beneficiary attains the age of twenty-five (25) years or dies, whichever first occurs, the then remaining principal and undistributed income shall be paid to him or her if living, or to his or her estate if deceased. Provided, however, that should the amount involved be too small in value in relation to minimum fiduciary fees and expenses to warrant the reasonably economic continuation of such trust, the Trustee may (in its sole dis- cretion) establish a custodianship under the appropriate Uniform Gifts to Minors Act, selecting (in its sole discretion) a suit- able person to act as custodian, the receipt of whom shall be a complete and final discharge of the Trustee. -9- 4.08 If at any time any trust established hereunder shall have become too small in value in relation to minimum fiduciary fees and expenses to warrant the reasonably economic continuance of such trust, the Trustee in its sole discretion may pay the then principal and undistributed income to the primary income beneficiary or, if none, to the persons then entitled to receive or have the benefit of the income therefrom and in the same proportions or, if their interests are indefinite, in equal shares, and the trust shall thereupon terminate. 4.09 Any testamentary power of appointment granted hereunder may be validly exercised by the donee to whom such power is granted by specific reference to this Trust Agreement in the Last Will and Testament of such donee dated on or at any time after the date of this Trust Agreement. The Trustee may rely upon any instrument admitted to probate in any jurisdiction as the Last will and Testament of the donee to whom such power is granted; and, if the Trustee shall have no written notice of the existence of any Last Will and Testament of such donee within a period of three (3) months after his or her death, the Trustee may assume that such donee died intestate without exercising such power, but the provisions of this section shall not affect any right which an appointee or beneficiary in default of appointment may have against any distributee. 4.10 In the event the Trustee shall receive a request under any trust established hereunder for funds for educational pur- poses beyond the secondary school level (including vocational -10- training and professional and postgraduate courses of study), the Trustee may in its discretion disburse funds for tuition, fees, books, room and board, reasonable clothing and incidentals, and reasonable transportation between home and school; provided, however, that such beneficiary is enrolled in an accredited university or college, or in a recognized and established profes- sional, trade or vocational school, carrying a reasonable number of units, making reasonable academic progress toward a recognized degree or toward obtaining a recognized and useful profession, trade or vocation. The judgment of the Trustee in all such matters shall be binding and conclusive on all persons interested hereunder. 4.11 If a trust hereunder would be partially exempt from the generation-skipping tax by reason of a generation-skipping tax exemption allocated to it, before the allocation the Trustee in its discretion may divide the trust into two separate, identical trusts of equal or unequal value, to enable the person who is making the allocation to allocate the generation-skipping tax exemption solely to one trust which will be entirely exempt from the generation-skipping tax. In addition, if a trust hereunder is entirely exempt from the generation-skipping tax and adding property to the trust would partially subject it to the gen- eration-skipping tax, the addition shall not be made and the property instead shall be held as a separate trust identical to the exempt trust. In both cases the two trusts shall have the same terms and conditions, but the Trustee shall not make discre- -11- tionary distributions from the income or principal of the exempt trust to beneficiaries who are non-skip persons so long as any readily marketable assets remain in the non-exempt trust. 4.12 If the Trustee considers that any distribution from a trust hereunder other than pursuant to a power to withdraw or appoint is a taxable distribution subject to a generation-skip- ping tax payable by the distributee, the Trustee shall augment the distribution by an amount which the Trustee estimates to be sufficient to pay the tax and shall charge the same against the trust to which the tax relates. If the Trustee considers that any termination of an interest in trust property hereunder is a taxable termination subject to a generation-skipping tax, the Trustee shall pay the tax from the trust property to which the tax relates, without adjustment of the relative interests of the beneficiaries. ARTICLE V Powers and Duties of Trustee 5.01 No person dealing with the Trustee shall be obliged to inquire as to its powers or to see to the application of any money or property delivered to it. 5.02 Should any part, clause, provision or condition of this Trust Agreement be held to be void, invalid or inoperative, such invalidity shall not affect any other provisions hereof, which shall be effective as though such invalid provision had not been made. -12- 5.03 The Trustee shall provide statements of its receipts and disbursements at least annually to the Settlors during Set- tlors' joint lifetime and thereafter to each adult income bene- ficiary. The Trustee shall be reimbursed for all reasonable expenses incurred in the management and protection of the trust estate and shall receive reasonable compensation for its serv- lces. 5.04 In the investment, administration and distribution of the trust estate and the separate shares thereof, the Trustee (subject to its duty to apply the proceeds and income of the trust estate to the purposes herein specified, and subject to any restrictions of the Trustee's power to manage the investments which may be set forth in this Trust Agreement) may perform every act in the management thereof which individuals may perform in the management of like property, owned by them free of trust, and it may exercise every power with respect to each item of property in the trust estate, real and personal, which individual owners of like property can exercise, including by way of illustration, but not by way of limitation, the following powers: A. To retain indefinitely any property (including stock of any corporate Trustee hereunder or of a parent or affiliate company) originally constituting the trust or subse- quently added thereto, although not of a type, quality or diver- sification considered proper for trust investments; B. To invest and reinvest the trust property in bonds, stocks, common trust funds, mortgages, notes or other -13- property of any kind, real or personal, suitable for the invest- ment of trust funds; C. To sell any such property upon such terms and conditions as may be deemed proper, at public or private sale, on credit for such period of time as may be deemed proper or for cash, and with or without security; to exchange, mortgage, pledge or otherwise encumber any such property upon such terms and conditions as may extend beyond the term of any trust hereunder; to grant options for any of the foregoing; D. To manage and conduct the affairs of any business or interest which is held hereunder; to act as a partner or limited partner; to act as an officer, director or employee of any such corporation or other business entity through designated employees, and to receive compensation for acting as such; to incorporate or otherwise change the form of the business; to sell or otherwise liquidate any such interest; to delegate the actual operation or management to others; E. To borrow from time to time from any person or corporation (including the Trustee) for such periods of time and upon such terms and conditions as may be deemed proper such sums of money as may be deemed necessary or advisable, and to secure such loans by the pledge, hypothecation or mortgage of any trust property hereunder; F. To exercise, reject or otherwise dispose of any purchase, conversion or subscription rights arising from or issued in connection with any stock, security or other property -14- held hereunder; to vote in person and to give general or special proxies or powers of attorney for voting or action in respect of shares or securities, which proxies may be discretionary and with power of substitution; G. To participate in any plan or reorganization, including consolidation or merger, to deposit any property under any such plan or reorganization with any protective or reorga- nization committee and to delegate to such committee discretion- ary power with relation thereto; to pay a proportionate part of the expenses of such committee and any assessments levied under any such plan and to accept securities or other property received pursuant to any such plan; H. To effect, fire, rent, title, liability, casualty or other insurance of such nature and in such form and amount as may be deemed desirable upon or in relation to any property of the trusts; I. To hold bonds, shares of stock or other securities in bearer form, in its name or in the name of a nominee, and to deposit cash in one or more banks checking or savings accounts without indication of any fiduciary capacity; J. To make any lease or sublease of any such property for such period of time and to include therein any covenants or options for renewal as may be deemed proper without regard to the duration of any trust; K. To manage any real property or interest therein held hereunder in such manner as shall be deemed advisable, and -15- to vacate and abandon the same; to adjust boundaries; to demolish any buildings or improvements; to grant easements; to subdivide and sell or lease subject to any covenants; to partition and to pay any sums necessary for equality of partition; to perfect the title thereof; to expend such amounts as shall be deemed advis- able for the maintenance or repair of any buildings or improve- ments; to expend such amounts as shall be deemed advisable for the development, alteration or improvement of the same or for the erection of any buildings or improvements, and to determine whether or not to establish reserves for depreciation of any buildings or improvements; L. To renew, extend, subordinate or replace or to participate in the renewal, extension, subordination or replace- ment of any mortgage or any lease upon such terms as may be deemed advisable; to release from the lien of a mortgage a portion of the property subject thereto; to accept surrender, cancellation or assignment of any lease and to pay a consid- eration therefor to such extent as may be deemed advisable; to agree to a reduction in the rate of interest on any mortgage or rental payments due under any lease or to any other modification or change in the terms of any mortgage, or of any guarantee securing any mortgage or of any lease, in any manner and to any extent as may be deemed advisable; to walve or forbear to sue on any default in the performance of any covenant or condition of or payment due under any mortgage or lease or in the performance of any covenant or condition of or payment due under any mortgage or -16- lease or in the performance of any guarantee or to enforce any such default in such manner and to such extent as may be deemed advisable; to exercise and enforce and forbear to exercise and enforce in any action, suit or proceeding at law or in equity any rights or remedies in respect of any mortgage or of any guarantee or of any lease held hereunder and at any foreclosure to purchase the real property covered by any mortgage; to take a deed in lieu of foreclosure and to pay a consideration therefor; and to retain any such real property received on any foreclosure; M. To act in any jurisdiction where permitted by law to do so, or to establish an ancillary trust and designate one or more persons, or a bank or trust company to be ancillary trustee in any jurisdiction in which ancillary administration may be necessary; to negotiate and determine the compensation to be paid to any such ancillary trustee whether or not any compensation would otherwise be authorized by law, and to pay such compensa- tion from the trust property; to direct that an ancillary trustee shall not be required to furnish bond or security for the faith- ful performance of duties in such jurisdiction; to grant to any ancillary trustees with respect to any and all property subject to administration by them all of the powers, authorities and discretions appropriate to the ancillary administration; and to remove any acting ancillary trustee and appoint another, or appoint itself, at will; N. To employ as custodians, brokers, accountants, appraisers, attorneys or other agents such persons, firms or -17- organizations as the Trustee may deem necessary or desirable and to pay the reasonable compensation of such persons from the trust property; o. To take or defend any proceedings at law or in equity with reference to or in any manner concerning the trust and to represent the interests of the trust in any proceedings, with power to settle, compromise and refer to arbitration any matter in any way affecting the same; to pay, compromise or contest any other claim or dispute directly or indirectly affect- ing the property of the trust hereunder; P. To make principal and income distributions in cash or in kind; or partly in each, or in undivided interests or in different assets or disproportionate interests in assets; to value the trust property for such purposes; and to sell any property in order to make division or distribution; Q. To receive property by gift or will or otherwise from any person or persons as additions to any trust or trust hereunder and to hold the same upon such trust or trusts and to administer it under the provisions hereof; R. To keep any or all of the property of the trust at any place or places in the state of the Trustee's domicile or elsewhere within the United states or abroad, or with a deposi- tary or custodian at such place or places; S. To deal with, purchase assets from or make loans to, the fiduciary of any trust made by Settlors or any member of the Settlors' family or any trust or estate in which any -18- beneficiary under this Agreement has an interest and to retain any property so purchased; T. To enter into oil, gas and other mineral leases, on such terms as it may deem proper, and to enter into any pooling, unitization, repressurization, community and other types of agreements relating to the development, operation and conser- vation of mineral properties; u. To continue to exercise all powers as Trustee after termination for such period of time as the Trustee in its sole discretion shall deem necessary for the orderly and proper termination and transfer of the trust estate; V. To allocate receipts and disbursements between income and principal in such manner as the Trustee in its sole discretion determines even though a particular allocation or allocations may be made in a manner inconsistent with what would otherwise be applicable state law. w. To buy, sell, trade and deal in securities of every nature (including "short" sales) and including puts, calls, straddles and other options, covered and uncovered, and commod- ities of every nature and contracts for the future delivery of commodities of every nature, on margin or otherwise, and for such purpose to maintain and operate margin and commodity accounts with brokers; and, in connection therewith, to borrow money and to pledge any and all stocks, bonds, securities, option con- tracts, commodities, and contracts for the future delivery -19- thereof, held or purchased by the Trustee with such brokers as security for loans or advances made to the Trustee, however, subject to the Trustee's duty to invest prudently. ARTICLE VI Miscellaneous provisions 6.01 The Trustee may resign from any trust hereunder at any time by giving written notice to each Settlor then living. The resignation shall be effective upon a qualified successor being appointed to act in its place. The guardian or attorney-in-fact under a durable general power of attorney of a Settlor under disability shall receive notice and have authority to act for such Settlor under this section and the next following section. 6.02 Upon the death, resignation or incapacity of the Trustee, a successor Trustee shall be appointed by the then- living Settlor(s). No successor Trustee shall be personally liable for any act or omission of any predecessor and, with the written approval of the then-living Settlor(s), a successor Trustee may accept the account rendered and the property received as a complete discharge to the predecessor Trustee without incurring liability for so doing. Any successor Trustee appointed hereunder shall have all the powers, discretions, rights, obligations or duties of the original Trustee. A Succes- sor Trustee may qualify by filing a written acceptance of trust with the trust records. 6.03 The Trustee may at any time merge this trust, or any separate trust hereunder, with any other trust held by it, -20- whether created by the Settlors or any other person, by will or inter vivos agreement, if the terms of such trust are then sub- stantially similar and held for the benefit of the same beneficiaries. Should it become necessary or desirable to separate the merged trusts, any method or formula selected by the Trustee in good faith to effect such separation shall be binding and conclusive upon all persons interested hereunder. 6.04 This Trust Agreement shall be construed under and regulated by the laws of the Commonwealth of Pennsylvania as now or hereafter in effect. The situs of all trusts created herein shall be Cumberland County, Pennsylvania. IN WITNESS WHEREOF, the Settlors and the Trustee have hereunto duly executed this Revocable Trust as of the day and year first above written. d~ tP~ flt!c./ ! ~~~ WILLIAM R. KANAR , Settlor /J-CY2L ~ ~..qA.AJ DORA K. KANARR, Settlor HAMILTON BANK By Ann E. Wulf, Trust cf/ {u -21- COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN On this, the A~~ day of ~e~~ ,1990, before me, the undersigned officer, personally appeared WILLIAM R. KANARR and DORA K. KANARR, husband and wife, known to me (or satis- factorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~.~ ~~- N tary P lic NOTARIAL SEAL JONI LYNN UPDEGRAFF, Notary Public Harrisburg, Dauphin Co., PA My Commission Expires June 20, 1992 COMMONWEALTH OF PENNSYLVANIA S8. COUNTY OF DAUPHIN On this, the ~U day of tfJd~ , 1990, before me, the undersigned officer, personally appeared ANN E. WULF, who acknowledged herself to be Trust Officer of HAMILTON BANK, a state banking corporation, and that she, as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the organization by herself as such officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~yr1e-lrl-l;xU~ NOTARIAL SEAL ~ONJ LYNN UPDEGRAFF, Notary Public Harrisburg, Dauphin Co., PA My Commission Expires June 20, 1992 -22- William and Dora Kanarr Trust Schedule A Description CASH CCNB Cert. of Deposit #114503 CCNB Cert. of Deposit #83198 Hamilton Bank Cert. of Deposit #3905314 $100.00 face amount U.S. Savings Bonds Series E $4,000.00 face amount U.S. Savings Bonds Series H $35,500.00 face amount U.S. Savings Bonds Series HH Deed to 704 North 16th Street, Harrisburg, PA Penn Mutual Life Insurance Company policy #2616339 for $3,500.00 and New York Life Policy #12-242-517 for $1,000.00 United Benefit Life Insurance Company Annuity Policy #3579271 - Present Value $3,834.00 Pennsylvania Life Insurance Company policies #00288605-1, 00288606-1, 00288471 each in the amount of $10,000.00 '-E- Value $ 35,000.00 4,000.00 25,000.00 5,000.00 100.00 4,000.00 35,500.00 SOLE AMENDMENT TO THE WILLIAM AND DORA KANARR TRUST THIS SOLE AMENDMENT, made this I~~ day of 1995, by and between husband and wife, of the City of Harrisburg, Dauphin County, Pennsylvania, hereinafter referred to as the "Settlors," and CORESTATES BANK, N.A. (successor, by merger, to HAMILTON BANK), of 3512 Market Street, Camp Hill, Pennsylvania, hereinafter referred to in the singular and neuter gender as the "Trustee," WIT N E SSE T H : WHEREAS, the Settlors and the Trustee established THE WILLIAM AND DORA KANARR TRUST, hereinafter referred to as the "Trust Agreement", on the 26th day of October, 1990; and WHEREAS, Article I, section 1.01 of the Trust Agreement provided that the Settlors reserved the right to alter, amend or revoke the Trust Agreement, either in whole or in part; and WHEREAS, the Settlors are desirous of modifying and amending the Trust Agreement and the Trustee is agreeable to the modifica- tions and amendments contained herein, NOW, THEREFORE, IT IS AGREED: FIRST: Article III of the Trust Agreement is hereby amended and restated in its entirety so that after amendment it reads as follows: ARTICLE III Dispositive provisions Upon the Death of the Second Settlor to Die 3.01 Upon the death of the second Settlor to die, the entire remaining part or all of the trust estate, including any accrued or undistributed income, shall be distributed as provided in this Article III 3.02 The Trustee shall distribute the following amounts among the following organizations, with all such distribu- tions to be without restriction as to use: A. Paxton united Methodist Church Harrisburg, PA $2,000.00 B. Trinity Lutheran Church Camp Hill, PA 6,000.00 C. Neighborhood Center of united Methodist Church Harrisburg, PA 2,000.00 D. Visiting Nurse Association of Harrisburg, Inc. Harrisburg, PA 2,000.00 E. Tri-County united Way Harrisburg, PA 4,000.00 F. Salvation Army - Harrisburg Corps Harrisburg, PA 4,000.00 G. American Red Cross, Pennsylvania Capital Region Chapter Harrisburg, PA 4,000.00 H. Bethesda Mission of Harrisburg Harrisburg, PA 4,000.00 I. The Food Pantry Harrisburg, PA 2,000.00 J. American Cancer Society Dauphin County Unit Harrisburg, PA 2,000.00 K. Goodwill Industries of Central Pennsylvania, Inc. Harrisburg, PA 2,000.00 L. River Rescue, Inc. Harrisburg, PA 2,000.00 M. Fire Company No. 1 - Camp Hill Ambulance Association Camp Hill, PA 4.000.00 TOTAL $40.000.00 -2- 3.03 If any of the organizations named in section 3.02 is not an organization described in each of section 170(b) (1) (A), section 170(c), section 2055(a) and section 2522(a) of the Internal Revenue Code of 1986 (hereinafter called the "Code"), or such similar sections in effect at the time of any distribution to such organization, then such organization's share shall be divided among the remaining organizations described in each of the aforesaid Code sec- tions, and if none of the organizations named above is an organization described in each of the aforesaid Code sec- tions, the Trustee shall distribute the pecuniary amount described in section 3.02 above to one or more organizations described in each of the aforesaid Code sections, or such similar sections then in effect, as the Trustee shall select in its sole discretion. 3.04 After payment of the pecuniary amounts specified in Section 3.02 above, the Trustee shall distribute the entire remaining part or all of the trust estate, including any accrued or undistributed income, among the following beneficiaries, or if a beneficiary shall not survive to the distribution date, then to such deceased beneficiary's then- surviving issue, per stirpes: Beneficiarv (Relationship to Settlors) Percent A. B. C. D. E. F. G. H. 1. Eda M. LeVan Prince (Daughter) Charlotte L. James (Daughter) Richard W. Kanarr (Son) Patti Kanarr (Daughter-in-law) Christine M. LeVan (Granddaughter) Alyssa M. James (Granddaughter) Andrew K. LeVan, Sr. (Grandson) Andrew K. LeVan, Jr. (Great-grandson) Jerica Lahr (Daughter of Jocelyn LeVan) TOTAL 19% 25% 6% 6% 13% 13% 6% 10% 2% 100% 3.05 shall die then such among the fied. If any beneficiary named in section 3.04 above without issue surviving on the distribution date, deceased beneficiary's share shall be divided remaining beneficiaries, in the proportions speci- -3- SECOND: The Trust Agreement shall in all other respects remain in full force and effect. IN WITNESS WHEREOF, the Settlors and the Trustee have executed this Sole Amendment as of the day and year first above written. WITNESS: ;k;t. ~.. " /\ -t ) //vt/ ').' / -, :J ~ ~ t~. CC~1:__)<7 J L //2-ry-c:- WILLIAM R. KANARR, Settlor ~-) A/) t::L i( ! 1~L'V~-aj~~J DORA K. KANARR, Settlor ATTESi;----'j d ,//"/' ./-</1 J'/./ , /' ///,./ . / " , /...' /, ' L-i--"" ,/ ,/ .,.,. /' I //', r / \ o~~(2 ( (Asst.) Secretary CORESTATES BANK, N.A. ~o:fnd~ Vice President -4- COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN On this, the tlJ-h day of~qUlJ+ 1995, before me, the undersigned officer, personally appeared WILLIAM R. KANARR and DORA K. KANARR, husband and wife" known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I seal. hereund~:;~n]:~ Notary....tPublic < / Notarial Seal Mozelle A. Stahl, NotaJy Public Hanisburg, Dauphin County My Commission Expires May 6. 1996 . PemsytvcnaAfisociillion of COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN On this, the FilA.. day ofU0C)Ux.f)-/ 1995, before me, the undersigned officer, personally appeared LOIS B. COPELAND, who acknowledged herself to be a Vice President of CORESTATES BANK, N.A., and that she, as such officer being authorized so to do, executed the forgoing instrument for the purposes therein con- tained by signing the name of the organization by herself as such officer. IN WITNESS WHEREOF, I hereunder set my hand and official // v1b~ () ,1w Notary; ub Ie '/ seal. Notarial Seal Mozelle A. Stahl, Notary Pubiic Ha~~, Dauphtn Counry My CommiSSIon Expires May 6, 1996 _ 5 _ Member, Pennsylvania Association of Notane.s SECOND AMENDMENT TO THE WILLIAM AND DORA KANARR TRUST THIS AMENDMENT, made this;L;;JnJday of Jal1l.4A..lj 1999, by and between WILLIAM R. KANARR and DORA K. KANARR, husband and wife, of Hampden Township, Cumberland County, Pennsylvania, hereinafter collectively referred to as the "Settlors," and FIRST UNION NATIONAL BANK (successor, by merger, to CORESTATES BANK, N.A.), of 3512 Market Street, Camp Hill, Pennsylvania, hereinafter referred to in the singular and neuter gender as the "Trustee," WIT N E SSE T H : WHEREAS, the Settlors and the Trustee established THE WILLIAM AND DORA KANARR TRUST, hereinafter referred to as the "Trust Agreement", on October 26, 1990; and WHEREAS, Article I, Section 1.01 of the Trust Agreement provides that the Settlors reserved the right to alter, amend or revoke the Trust Agreement, either in whole or in part; and WHEREAS, the Settlors amended the Trust Agreement by the Sole Amendment that they both executed on August 14, 1995; and WHEREAS, the Settlors now desire to modify the Trust Agreement as previously amended, as hereinafter set forth, and the Trustee is agreeable to such further modifications and amendments. NOW, THEREFORE, IT IS AGREED: FIRST: The Sole Amendment, dated August 14, 1995, is hereby revoked in its entirety. SECOND: ARTICLE III of the Trust Agreement is hereby amended and restated in its entirety so that after amendment it reads as follows: ARTICLE III Dispositive Provisions lJpon the Death of the Second Settlor to Die 3.01 Upon the death of the second Settlor to die, the entire remaining part or all of the trust estate, including any accrued or undistributed income, shall be distributed as provided in this Article III. 3.02 The Trustee shall distribute the following amounts among the following organizations, with all such distributions to be without restriction as to use, unless otherwise indicated: Paxton United Methodist Church Harrisburg, PA Trinity Lutheran Church Camp Hill, PA Neighborhood Center of United Methodist Church Harrisburg, PA Visiting Nurse Association of Harrisburg, Inc. Harrisburg, PA Tri-County United Way Harrisburg, PA Salvation Army - Harrisburg Corps Harrisburg, PA G. American Red CroBB, A. B. C. D. E. F. H. Pennsylvania Capital Region Chapter Harrisburg, PA Bethesda Mission of Harrisburg Harrisburg, PA The Food Pantry 1. -2- $2,000.00 6,000.00 2,000.00 2,000.00 4,000.00 4,000.00 4,000.00 4,000.00 J. Harrisburg, PA American Cancer Society, Dauphin County Unit Harrisburg, PA Goodwill Industries of Central Pennsylvania, Inc. Harrisburg, PA River Rescue, Inc. Harrisburg, PA Fire Company No. 1 - Camp Hill Ambulance Association Camp Hill, PA Pennsylvania State University Scholarship Fund State College, PA Lock Haven University Scholarship Fund Lock Haven, PA Millersville University Scholarship Fund Millersville, PA Indiana University Scholarship Fund Indiana, PA Cherry Tree-Harmony High School Scholarship Fund Cherry Tree, Indiana County, PA 2,000.00 2,000.00 2,000.00 2,000.00 4,000.00 1,000.00 1,000.00 1,000.00 1,000.00 1.000.00 845.000.00 3.03 If any of the organizations named in Section 3.02 is not an organization described in each of section 170(b) (1) (A), section 170(c), section 2055(a) and section 2522(a) of the Internal Revenue Code of 1986 (hereinafter called the uCode"), or such similar sections in effect at the time of any distribution to such organization, then such organization's share shall be divided pro-rata among the remaining organizations described in each of the aforesaid Code sections, and if none of the organizations named above is an organization described in each of the aforesaid Code sections, the Trustee shall distribute the pecuniary amount described in Section 3.02 above to one or more organizations described in each of the aforesaid Code sections, or such similar sections then in effect, as the Trustee shall select in its sole discretion. K. L. M. N. O. P. Q. R. TOTAL 3.04 In the event that any estate or inheritance taxes (including interest or penalties) shall be due as a result of the death of either of the Settlors, all such taxes shall be apportioned to the beneficiaries named in Section 3.05 below, so that no such taxes are borne by any of the organizations named in Section 3.02. -3- A. B. C. D. E. F. G. H. 3.05 After payment of the pecuniary amounts specified in Section 3.02 above, the Trustee shall distribute the entire remaining part or all of the trust estate, including any accrued or undistributed income, among the following beneficiaries, or if a beneficiary shall not survive to the distribution date, then to such deceased beneficiary's then-surviving issue, per stirpes: Benefjciary (Relationship to Settlors) Percent Charlotte L. James (Daughter) Richard W. Kanarr (Son) Patti W. Kanarr (Daughter-in-law) Christine M. LeVan (Granddaughter) Alyssa M. James (Granddaughter) Andrew K. LeVan, Sr. (Grandson) Andrew K. LeVan, Jr. (Great-grandson) Jerica LeVan Lahr (Daughter of Jocelyn LeVan) 30% 6% 6% 10% 17% 6% 20% ~ TOTAL 100% 3.06 If any beneficiary named in section 3.05 above shall die without issue surviving on the distribution date, then such deceased beneficiary's share shall be divided among the remaining beneficiaries, in the proportions specified. THIRD: Paragraph 5.04B on pages 13 and 14 of the Trust Agreement is hereby amended and restated in its entirety so that after amendment it reads as follows: B. To invest and reinvest the trust property in bonds, stocks, mortgages, notes or other property of any kind, real or personal, that is suitable for the investment of trust funds, including investments in common trust funds and proprietary mutual funds of a corporate Trusteei -4- FOURTH: In all other respects the Trust Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the Settlors and the Trustee have executed this Second Amendment as of the day and year first above written. WITNESS: /1M~ fl{4R~~ WILLIAM R. KANARR, Settlor Af< ~(J k\ 0~ .A72:?it../' IJ. / L a''J';;.a~/zI.L/ DORA K. KANARR, Settlor / f'/' ,/ A') /- /,ATTEST : (,/ ,/,~ / I 1,//'''/ i, ~&Jl'~ , Pamela C. Nothstein, Vice President and Regional Trust Manager FIRST UNION NATIONAL BANK -5- COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND On this, the .;?;7.n':A/dayof ~,',^ar'-/ , 1999, before me, / the undersigned officer, personally appeared WILLIAM R. KANARR and DORA K. KANARR, husband and wife, known to me (or satis- factorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunder set my hand and official seal. -"""'- / id < / . / ,-' p~~;~ Notary Publlc ' . ---I\iOTAR!AL SE!\L P;,iJlELA S. WOLFE, Notary Pub!ic City of Harrisburg, Dauphin Count'f~ ._.-!':; C(1=~mis::?n ~~s.E~c ~~~. COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND On this, the /--Jrr;;/ day of -111 j/q r---/ / the undersigned officer, personally appeared LOIS B. COPELAND, who acknowledged herself to be VICE PRESIDENT of FIRST UNION NATIONAL BANK, and that she, as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the organization by herself as such officer. , 1999, before me, IN WITNESS WHEREOF, I hereunto set my handanp official -', seal. "'" " d~\ ! / ~ ~yL/~ ~. Notary Public v -6- NOT AF1!J.\L 8\.\L PI\iJlELA S. VIOLFE, Notary Public Ci1y of Harrisburp, Dauphin Coun\'/ C0fnrni~::';;ii_:';j ~:.~<pirC'2 Uc':.:. n, )(~Cf1 LOAN AGREEMENT i...()lcn~~;~tJ~'6-~~ ~.~. William R. and Dora K. Kanarr agree to lend their daughter, Charlotte L. James, the sum of $6,000.00 (Six Thousand and 00/100 Dollars) for start-up costs and other expenses in connection with Ms. James's business, "Char's Directories," a sole proprietorship. The loan is to carry a simple interest rate of 3%, resulting in the total amount to be paid back of$6,180.00 (Six Thousand One Htmdred Eighty and 00/100 Dollars). The loan is to be paid back by December 31, 2002. "Char's Directories" is registered with the City of Virginia Beach (Virginia) as Business License #90711-R, and was opened on November 9,2000. Its business address and phone number are: Char's Directories P.O. Box 3927 Virginia Beach, VA 23454-9712 (757) 481-1050 Upon request, Ms. James will provide Mr. and/or Mrs. Kanarr with income and expense reports relating to the operation of her business. I 717/UO , Date Signed ?.~~ ~ ././~ ~ 1).' __h William R. Kanarr /J/'1/ao Date Signed . lJ) ~/ Lmn.. I Q/I/l./~I Dora K. Kanarr I J/ t:/OC Date Signed S~ ~ '(. 9:Utf.Ik- CharlotttL. James D August 1, 2001 TO: FROM: Dora K. Kanarr Alyssa M. James Dear Grandma: I am requesting a bill consolidation loan to assist me in maintaining a budget that I can afford while living on my own again. The largest amount is for the payoff of my '93 Honda Civic DX. I would like to use the title to this vehicle as collateral for this loan, to be held by the Kanarr trust until this loan is paid back. I would appreciate your help with these bills, as their payoff would not only help me in providing for Brendon and myself, but also to help my credit rating improve. The following is a list of bills that I, Alyssa M. James, am requesting a loan for: Car (see attached): (Payable to Arcadia Financial Ltd.) $2135.76 OB/Gyn Bill $216.58 OB/Gyn Bill $78.29 (Payable to the Center for OB/GYN c/o Retail Alliance Recovery Services) Sentara (C-section hospital bill) $500.00 (actual balance due just under $600.00, this " is an estimate) (Payable to Receivables Management Network) VSAA (insurance claim from accident) (Payable to VSAA) $426.83 TOTAL PAYMENTS: TOTAL REQUESTED: BALANCE: $3357.46 $4000.00 $642.54 (to be held by Charlotte L. James for expenses related to my moving into an apartment (i.e. security and utility deposits, and V-Haul rental). After my move, I am requesting that any remaining funds be applied towards the balance of this loan. I am proposing to pay off the amount of this loan in 36 payments of $11 5.00"each at an interest rate amicable to you and my mother. I hope that you will honor this request, as it would be a great help to me in getting back on my feet. (h, ~/J#L 5c~D {lu.y .;/; 206 i ~L " ~7~J(Q-~ Jut 27 04 09:328 Baus Investment G~oup 8432785228 p. 1 NOTE Christine Marie ~ an individual, aDd RicIwd Carvel :&us, her spouse (coJ1ectively, "Borro'Wel"') hereby promise to repay to the order of Dora K. KaDarr, Mrs. Baus's grandmother, ("Lender"), the principal sum ofTwemy Thousand Dollars ($20,000.00), together with simple interest in the amount of 30/., for a total of $20,600, on or before August 31, 2009; provided that, ifDom K. Kana:rr dies prior to full repayment of this loan, the balance due sba1l be payabl~ in full out ofBonower's inheritance from DOIa K. Kanarr within 30 days of receipt of said inheritance. In the event Borrower's inheritance is not s.ufficient to pay off the balance due, repayment of this loan shall continue to the Estate of Dora K. K.anarr until the balance is paid in full, on or before August 31,2009. Repayments are to be payable to Dora Ie.. Kanarr and sent to Dora K.. K.ana1r, clo Charlotte L. James, PO,A. 930 Wildwood Square Court. Virginia. ~~ VA 23454, and may be in any amoUDt ofat least $100.00 per month. until the baleDco is paid in fuJ.l, with the first repayment amount due on October 1, 2004.. Qk~ '(i\ C7o. · ,1 a~ /n-r DAlE CHRISTINE M. BAUS ~w ('J~ 7!u/tJ'I DATE RICHARD C. BAUS PACE 111 . RCVD AT 712712004 1:33:00 AM IEastem Dfryttght ~~AXD DNI8:3OI1 . C8ID:1432785228. DURATION (IIII1HI):01.oe PROMISSORY NOTE Christine Marie Baus, an individual, ("Borrower") hereby promises to repay to the order of Dora K. Kanarr, Mrs. Baus's grandmother, ("Lender"), the principal sum of Seven Thousand Five Hundred Dollars ($7,500.00), together with simple interest in the amount of3%, for a total of$7,725, on or before August 31,2006; provided that, if Dora K. Kanarr dies prior to full repayment of this loan, the balance due shall be payable in full out of Borrower's inheritance from Dora K. Kanarr within 30 days of receipt of said inheritance. In the event Borrower's inheritance is not sufficient to payoff the balance due, repayment of this loan shall continue to the Estate of Dora K. Kanarr until the balance is paid in full, on or before August 31, 2006. This loan is specifically to payoff Invoice # 176 from the Futeral Law Firm, Stephan V. Futeral, File #9100979. Repayments are to be sent to DoraK. Kanarr, c/o Charlotte L. James, PDA, 930 Wildwood Square Court, Virginia ~each, V A 23454, and may be in any amount of at least $100.00 per month, until the balance is paid in full, with the first repayment amount due on September 15,2005. ~"-'\)V~~ ~ ' '1JU}JvI).- ~^' OA(~kK- CHRISTINE M. BAUS t6\ \ 'l \D-~ DATE 5c.~ D Fax Transmission 6/23/2006 11:26 AM PAGE 2/003 Fax Server --~ I -~ -- c!'. _ ~HO'VIA Reference ]\): ]663217 Wachovia Bank N.A. Balance Confirmation Services POBox 40028 Roanoke, VA 24022-7313 June 23, 2006 KEEFER WOOD ALLEN & RAHAL 210 WALNUT STREET POBOX 11963 HARRISBURG, PA 17108-1963 SUBJECT: Verification / Confirmation of Account and Balance Information provided for: Customer: DORA K KANARR (SSN# 202-20-6689) Date of Death: May 16, 2006 AccOlmt Type Deposit Account Information Account Date of Death Average Date Maturity Interest Accmed YTD Date Number Balance Balance' Opened Date Rate Interest Interest Paid Closed 1000623199258 $25,336.]7 ,/ ]/2/]950 $L70"" $20.52 CHECKING LEGAL TI1LE: DORA K. KANARR POA - CHARLOTTE L. JAMES CHECKING 10 1003468] 743 $5,008.50 I 3/6/2000 $0.05 $7.24 5/1 9/2006 LEGAL TI1LE: DORA K. KANARR POA - CHARLOTTE L. JAMES · Due to sy.1em limitatiol15, we can only provide a twelve month average balance on depository accounts. ...- S~t:. F~x ~ransmission 6/23/2006 11:26 AM PAGE 3/003 Fax Server -~ ~ ~ -- ~ - WACHOVIA Reference ID: ]663217 No Safe Deposit Box found for customer. · Date of death balance does not include accrued interest. * If date of death occurrs on a weekend or a holiday, date of death balance does not include any transactions that were made during that time period. ~a..~ Teresa Bennett Serviccnter Associate Phone: (540)563-7323 ssp; tb ...-" : ,,", ,,~,,"" ~ <;iHM~15ice OF CENTRAL PENNSYLVANIA June 30, 2006 Ms. Charlotte James 930 Wildwood Square Conrt Virginia Beach VA 23454-3551 \OV IXV gf'iJ ~ 1:>\ Dear Ms. James: Please accept my sympathy on your loss. I enclose a refund of the prepaid days for your mother's stay at our residence, as well as $1,000 ofthe initial deposit. Ifwe can be offurtheT assistance, please do not hesitate to call. Thank you for choosing Hospice of Central Pennsylvania. Sincerely, '"' / {/".--r , ;tir 11Lt'~ ' . .. ?:'t{ ,C-^-. Barbara K. Canter A r.r()llnt~nt HOSPICE OF CENTRAL PENNSYLVANIA Estate of Dora K. Kanarr 33620 Item to be Paid - Description Deferred Income - Residence Check Number: 33620 Check Date: Jun 30, 2006 Duplicate Check Amount: $ 3 , 500. 00 Discount Taken Amount Paid 3,500.00 \ - S~ i$.f ~ COMMONWEALTH OF PENNSYLVANIA STATE EMPLOYEES' RETIREMENT SYSTEM 30 NORTH THIRD ST STE 150 HARRISBURG, PA 17101-1716 1-800-633-5461 www.sers.state.pa.u5 June 12, 2006 CHARLOTTE JAMES, ADMINISTRATRIX DORA KANARR ESTATE 930 WILDWOOD SQUARE CT VIRGINIA BCH VA 23454 ~\OU ? Dear Beneficiary: '\: \ \ ~ A check in amount of $293.4~1I be mailed to you within two (2) weeks from the date of this letter. The amount of $0.00 was withheld for Federal Withholding Taxes. If you have elected to rollover then the taxable portion of $0.00 has been transferred to your qualified plans. This payment represents your designated share of 100.00% in the Final settlement of the Account of D K KANARR with this retirement system. If the individual listed above was a member of the Retirement system before January 1, 1982, their contributions prior to that date were taxed as part of their gross income at that time. Therefore, no taxes are being withheld on that portion of their contributions. The difference between the amount of your payment and your share of the deceased member's non-taxable contributions, if any, is taxable for federal income tax purposes. Member SSN: XXX-XX-6689 Beneficiary SSN: XXX-XX-6689 This payment has been reported to the Internal Revenue Service. If a 1 099R form is not enclosed with this letter, you will receive one prior to January 31 of next year, with the necessary tax information regarding this payment. Under current law there are no Pennsylvania state or local taxes on any benefits paid from this system. This letter and the 1 099R form that you receive should be kept in a safe place, as you will need the information when filing your Federal Income Tax Return. This is the only notice you will receive. There is a $5.00 charge for each request of duplicate information. Sincerely, ~d~ m. }n~ Linda M. Miller, Director Benefit Determination Division ~ BEN31 FSL -- ~~t 11111111111111111111111111111111111I11111111111111111111111111111I1111 CHARLOTTE L. JAMES 930 WILDWOOD SQUARE COURT VIRGINIA BEACH, VA 23454 August 1 7, 2006 PEBTF Attention: Eligibility 150 S. 43rd Street, Suite 1 Harrisburg, PA 17111-5700 Re: Dora K. Kanarr SSN #202-20-6689 To Whom It May Concern: My Mother, Dora K. Kanarr, was a PEBTF member. She passed away on May 16, 2006. Copy No. P 12412092 of her Death Certificate is enclosed. Please issue a refund of the insurance premiums paid on her behalf thru June 30, 2006. This check should be made payable to the "Estate of Dora K. Kanarr" and mailed directly to my Mother's attorneys, Keefer Wood Allen& Rahal, LLP, Attention: Sharon Garcia, P.O. Box 11963, Harrisburg, PA 17108-1963. If you have any questions, I can be reached during the day at 757-228-1491. C1vvJi/li ( ':U1/A- I tfdo.~ ~.d- ~ Regards, CHARLOTTE L. JAMES, Executrix Estate of Dora K. Kanarr cc: Sharon Garcia i// / . /J. JJ-f- ~tJ r~ ~_ J #~~MJ Cf(JUA to r(~ V ~ liJI;t;t), -- S~ l:::- ~; ~~v~~ ~t; 'lddrJyjL, From' Char James <charjameS@cox.net> ~ j~ Date: Friday, July 28, 2006 12:18 PM oj,A To: BenServ <BenServ@pebtf.org> W Subject: RE: PEBTF Refund Due? Size: 10 KB Good Morning! ~ ~~.q1 POSrED fa lol ~ 10(, I have sent SERS a copy of my Mother's death certificate and they have paid out the final distribution from her retirement account. Inasmuch as I received a notice saying my Mother's PEBTF insurance payment was overdue, I'm wondering if SERS notified PEBTF (as was indicated below that they should have) or not of my Mother's death. Please confirm when I may expect a refund from PEBTF of what I (as then POA on my Mother's Account) had prepaid in insurance premiums for her. Do you need additional information? The refund should be payable to "Estate of Dora K. Kanarr", and mailed to c/o Charlotte L. James, 930 Wildwood Square Court, Virginia Beach, VA 23454. Regards, Char James ---- BenServ <BenServ@pebtf.org> wrote: ------------- ------------- Please contact the State Employees Retirement System (SERS) to inform them of the death date. They will be responsible for contacting PEBTF with the information. SERS- 800-633-5461 Thank you, Joni C. Benefit Services -Original Message---- From: Char James [mailto:charjames@cox.net] Sent: Wednesday, May 17, 2006 7:24 AM To: MOM - PEBTF Subject: Refund Due? Good Morning! My Mother, Dora K. Kanarr (SSN #202-20-6689) passed away yesterday, May 16,2006. I had pre-paid her PEBTF insurance premiums thru June 30, 2006. Please advise if/when she will be receiving a refund of any of the premiums paid. Regards, Charlotte L. James, POA Daughter of Dora K. Kanarr 930 Wildwood Square Court Virginia Beach, VA 23454 5~S Page 1 of 1 Sharon Garcia From: Janice Black [janice@tfec.org] Sent: Monday, January 08, 2007 12: 12 PM To: Robert R. Church Cc: Sharon Garcia Subject: Dora Kanarr information Hello Bob and Sharon: The valuation amount of Dora Kanarr's CRT on the date of death, May 16. 2006 was $41,506.63. A check in the amount of $1 ,083.36 which represehted the final distribution from the CRT was mailed to your firm on June 16, 2006. The Foundation's final admin fee was $159.47 and was taken at that time. The balance of $40, 443.34 was placed into the Dora Kanarr Fund, as stipulated in the agreement Mrs. Kanarr set up with us at the inception of the CR. The formal Receipt and Release is being signed by our Secretary, Velma Redmond. Upon receipt of the document, we will get your copy to you. Thanks for your assistance in this matter. Happy New Year to you both. Janice Janice R. Black President and CEO The Foundation for Enhancing Communities, Formerly the Greater Harrisburg Foundation Phone: 717-236-5040 Fax: 717-231-4463 E-mail: j~l!i9-,.lqllfee.g.I:g 1/8/2007 ScJ~~ t: eta, t\Jm a Voe.ft KAuPr-e.R le.A&T . ~ lAJM.l+oVt'A 8~10(.. ESTATE VALUATION ELIJAH WATSON 6/26/06 SADIE BAKER Accrual 8) 864.565532 EVERGREEN TR (299909408) ,I -A ^J.J --}:::vD STRATEG GRW I Cbli.lX~ ~ ~ Mutual Fund (as quoted by NASDAQ) 05/16/2006 27.51000 Mkt Date of Death: 05/16/2006 Valuation Date: 05/16/2006 Processing Date: 06/26/2006 Shares or Par Security Description High/ Ask 1) 2) 19722.32 WACHOVIA PT MONEY MARKET (997981006) 75 UNITED STATES SVG BD SER E (912537UE5) OTC DTD: 07/01/1977 05/16/2006 3) 25 UNITED STATES SVG BD SER E (912537UF2) OTC DTD: 08/01/1977 05/16/2006 4) 1000 UNITED STATES SVG BD SER HH (912550FX3) DTD: 10/01/1991 Mat: 10/01/2011 05/16/2006 5) 1000 UNITED STATES SVG BD SER HH (912550GA2) DTD: 01/01/1992 Mat: 01/01/2012 05/16/2006 6) 1000 UNITED STATES SVG BD SER HH (912550GJ3) DTD: 09/01/1992 Mat: 09/01/2012 05/16/2006 7) 7210.608829 EVERGREEN PA TAX FREE FD (300326402) CL Y 05/16/2006 9) 1081. 384107 EVERGREEN TR (299909507) STRATG VAL I Mutual Fund (as quoted by NASDAQ) 05/16/2006 10} 286.124458 EVERGREEN FDS {300237252} GROWTH FD CL Y Mutual Fund (as quoted by NASDAQ) 05/16/2006 111 185.513328 EVERGREEN EQUITY TR (30023C442) SPL VALUES I Mutual Fund (as quoted by NASDAQ) 05/16/2006 12) 203.22 WACHOVIA PT MONEY MARKET (997981006) Total Value: Total Accrual: Total: $164,053.18 Estate of: KANARR Account: 000001519191150 Report Type: Date of Death Number of Securities: 12 File 10: EVI_20060626_1519191150 Low/Bid Mean and/or Di v and Int Security Adjustments Accruals Value 19,722.32 526.48000 A/B 526.480000 526.48000 Mkt 526.480000 100.00000 Mkt 100.000000 100.00000 Mkt 100.000000 100.00000 Mkt 100.000000 11.19000 394.86 131. 62 1,000.00 1,000.00 1,000.00 11. 190000 80,686.71 159.74 27.510000 23,784.20 23.14000 Mkt 23.140000 25,023.23 19.03000 Mkt 19.030000 5,444.95 29.66000 Mkt 29.660000 5,502.33 203.22 $163,893.44 $159.74 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (8181 313-6300 or www.evpsys.com. (Revision 7.0.4) Page I s~(1 8k~O:(SS-WW) NOI.L~nO , 99...6Wl:OISO , ~90C:SINO 'VHX~:OAN:~Ei laWr4611^"a UJalS"3::~1N;1lVf: ~ 9~f;;;1I' .Lr~~~ 'l/~:~~\fd ~~~c?Jah Form PB-01 100 MOUNT ALLEN DRIVE. MECHANICSBURG, PA 17055 CHARLOTTE JAMES 930 WILDWOOD SQUARE CT. VIRGINIA BEACH, VA 23454 QUESTIONS1 CALL: RESIDENT # UNIT 40107 015 D RESIDENT S Mrs. DORA KANARR 717 697-4666 STMT. DATE 04/30/2006 TOTAL AMOUNT DUE DATEDUE $4,994.56 05/31/2006 #< DO NOT PAY #< Total amount due will be electronically withdrawn from your bank acc,ount. ~ DO NOT ~AY,,1<\ ,-,;, "~:':,_ " " '\', _, ~ ,"5-' ~ ,'';' , ,~~,';.-",(:~ ;,' J:;:~!)~'J}J ~\_',~ \)~'l , .1=) .}:a ...,~~jp,~,~ -,"(\~ "~.~,,,,~~., ~~~,,;~f:t;.,h~~:0~~ DATE DESCRIPTION .. RATE UNIT CHARGES CREDITS BALANCE Balance Forward 6,758.52 04/13/06 PAYMENT RECEIVED - THANK YOU!!! 6,758.52 0.00 *** Nursing Care *** 04/03/06 PRE V AIL BRIEF LARGE/12 13.32 8.00 106.56 106.56 04/05/06 BARBERlBEAUTYSHOP 12.00 1.00 12.00 118.56 SHAMPOO/SET 04/09/06 RM/ BRD - NURSING - SEMI-PVT 212.00 9.00 1,908.00 2,026.56 04/01-04/09 04/23/06 RM/ BRD - NURSING - SEMI-PVT 212.00 14.00 2,968.00 4,994.56 04/1 0-04/23 ,rP , ~ -f ~19> VI \ I ~qSTED '-JI :11"../ 0 ~ 7" RESIDENT # CURRENT OVER 30 OVER 60 OVER 90 OVER 120 TOTAL AMOUNT DUE 40107 4,994.56 0.00 0.00 0.00 0.00 $4,994.56 RESIDENT NAME Mrs. DORA K~NARR A I % finance charge may be assessed on accounts for which payment has not been received by the due date. Thank you! Form PB-Ol If you have any questions or concerns about your bill, please address them directly to Fiscal Services at 790-8220. Thank YOU! Z00'd d6~:Z1 80/8Z/50 895556LL1L a6e]] ! ^ ye! ssaw S~.L ~~~c?jah ,"~ M ~'" &....\~ t("~ '&/W i!.... r-:J~ i~a'/ F Qrm PB-01 100 MOUNT ALLEN DRIVE, MECHANICSBURG, PA 17055 CHARLOTTE JAMES 930 WILDWOOD SQUARE CT. VIRGINIA BEACH, VA 23454 QUESTIONS? CALL: 'RESIDENT# UNIT 40107 015 D RESIDENT S Mrs. DORA KANARR 717 697-4666 STMT. DATE 05/31/2006 TOTAL AMOUNT DUE DATE DUE $ . DATE DESCRiPTION.... RATE..... .DAYSI CHARGES . CREDITS BALANCE UNITS Balance Forward 4,994.56 *** Nursing Care *** ~ 05/14/06 RMI BRD - NURSING - SEMI-PVT 212.00 14.00 2,968.00 OSlO 1-05/14 ;11l/i'rxJ .. . POSTm ~ (pI J..Dfo(P frV RESIDENT # CURRENT O~ER 30 OVER 60 OVER 90 OVER 120 TOTALA~E 40107 2,968.00 4,994.56 0.00 0.00 0.00 S' ,962.56 'JC;u,C(; RESIDENT NAME Mrs. DORA KANARR Al % finance charge may be assessed on accounts for which payment has not been received by the due date. Thank you! Form PH.01 N/A If you have any questions or concerns about your bill, please address them directly to Fiscal Services at 790-8220. Thank YOU! ~ 5~c&t.Q"1 .L