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HomeMy WebLinkAbout04-11-08 (2) -I 15056041147 REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX.280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Sociall Security Number Date of Death OFFICIAL USE ONLY *' County Code Year INHERITANCE TAX RETURN 21 07 RESIDENT DECEDENT File Number 00692 Date of Birth 722 09 1370 07 12 2007 06 25 1906 Decedent's Last Name Suffix Decedent's First Name GEORGE MI C HOOPY (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW [!] 1. Original Return D D 4. Limited Estate D 2. Supplemental Return D 00 3. Remainder Retum (date of death prior to 12-13-82) 5. Federal Estate Tax Retum Required 4a. Future Interest Compromise (date of death after 12-12-82) [K] o 6. Decedent Died Testate (Attach Copy of Will) 00 D 7 Decedent Maintained a Living Trust . (Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes 9. Litigation Proceeds Received 1 0 Spousal Poverty Credit (date of death . between 12-31-91 and 1-1-95) D 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name' Daytime Telephone Number EDMUND G. MYERS (717) 761 4540 Firm Name (If Applicable) JOHNSON DUFFIE REGISTER OF WILLS USE R~L Y o ~.~~ :-~ f':';:') (,U City or Post Office LEMOYNE State PA ZIP Code 17043 .0 1'-- rn ::;:J ^ ")0 "C)"I~1 DATe~ED :~D ...... ::i.:'!-'lIt :::0 .: .~.~~j f -~~ ~:'--'5 I i,,-," J ~::~ [.:3 (" .' C) - f ...:....:-=i -' --"1 ::" (~.,,) r rn C/J C) -1'1 First line of address 301 MARKET STREET . .~;; :;;:J Second line of address POBOX 109 ~ .:>':: 0'\ Correspondent's e-mail address: Under penaltie perjury, I declare that. I have examined this return, including accompanying ~chedules and ~tatements, and tp the best of my knowledge and belief, it is tru tad complete. Declaration of prepareI' other than the personal representative IS based on alllnformalion of which prepareI' has any knoWledge. S ATU SP SIBL OR FILING RETURN DATE rt 7/M& T TRUST COMPANY EDMUND G. MYERS DATE If! ~ '();V' 301 MARKET STREET, LEMOYNE, PA 17043 Side 1 L 15056041147 15056041147 -I -I 15056042148 REV-1500 EX Decedent'. Name: GEORGE C. HOOPY Decedent's Social Security Number 722 09 1370 RE:CAPITULA TION 1. Real Estate (Schedule A).......................................................................................... 1. 2. Stocks and Bonds (Schedule B)............................................................................... 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3. 4. Mortgages & Notes Receivable (Schedule D).......................................................... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)................ 5. 6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G). 0 Separate Billing Requested............. 7. 8. Total Gross Assets (total Lines 1-7)....................................................................... 8. 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)...................................................................... 11. 12. Net Value of Estate (Line 8 minus Line 11)............................................................. 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J)................................................. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13)................................................. 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a)(1.2) X .00 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 o . 0 0 15. o . 0 0 16. o . 00 17. 516,629.96 18. 19. Tax Due..................................................................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 15056042148 2. 2,427,813.12 626,478.43 661,449.04 3,715,740.59 154,125.02 3,712.65 157,837.67 3,557,902.92 2,962,892.67 595,010.25 o . 0 0 o . 0 0 o . 0 0 77,494.49 77,494.49 D 15056042148 -I REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME GEORGE C. HOOPY STREET ADDRESS The Woods at Cedar Run File Number 21-07 -00692 CITY 824 Lisburn Road - Apt. 404 Camp Hill PA STATE Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 45,000.00 2,368.42 Total Credits (A + B + C) (2) 3. InterestfPenalty if applicable D. Interest E. Penalty TotallnterestlPenalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 'SA. This is the BALANCE DUE. (3) (4) (S) (SAY' '.(SBt..:. Make Check Payable to: REGISTER OF WILLS, AGENT ii' 17011 77,494.49 47,368.42 30,126.07 ; - 3'0,126';07.1 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: '" Yes a. retain the use or income of the property transferred;................................................................................:. ~. b. retain the right to designate who shall use the property transferred or its income;.................................,.,..x c. retain a reversionary interest; or.................................................................................................................. . d. receive the promise for life of either payments, benefits or care?..........................................................,." ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................:..,: .:/ : 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........, 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which . .-: contains a beneficiary designation?...................................................................................................................,.;.},.;.o. '. .' ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS.pARTOFTHE RETURN. !......" ,,"' ) B ~ o ~ !!.J.> .j,' For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spo,use is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)]. . For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [/'2 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosurEI of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: :.' .'. ..' ':i:..:;., The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. ~9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.S) percent, except as noted in 72P.S.~9116 1.2)[72P.S.~9116(a)(1)]. ..' ... ," The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116 (a) (1.3)]:, A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether bYI?lood.pr adoption. '..0 ~.. ~.' . Rev.1&03 EX+ (6-98) *' SCHEDULE B STOCKS & BONDS COMMONWEAL Tti OF PENNSYL VI<NIA INHERIT !<NCE T AA RETURN RESIDENT DECEDENT HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ESTATE OF All property Jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 1,047.00 Shares - Sovereign Bancorp Inc. Common (8459905108) - @ $21.535 per share. 22.547.15 2 2,000 Shares - Harsco Corp. Common (415864107) @ $53.7725 per/share 107.545.00 3 2,190 Shares Fulton Financial Corp. Common (360271100) - @ $14.52 per/share, plus $328.50 accrued divident. 32.127.30 4 2,600 Shares PP&L Corp. Common (69351T106) - @ $48.085 per/share 125.021.00 5 20,000 Shares - Allied Irish (019228402) @ $55.735 per/share 1.114.700.00 6 250 Shares PNC Financial Services Common (693475105) - @ $72.985 per/share 18.246.25 7 282 Shares Travelers Companies, Inc. Common (792860108) - @ $53.59 per/share 15.112.38 8 300 Shares UGI Corp. New - Common (902681105) -@ $27.435 per/share 8.230.50 9 400 Shares - CSX Corp. Common (126408103) - @ $47.395 per/share 18.958.00 10 500 Shares Hersha Hospitality Tr Sh Ben Int A (ASE) (427815104) - @ $12.755 per/share, plus $90.00 accrued dividend. 6.467.50 Total of Continuation Schedules See attached pages TOTAL (Also enter on Line 2, Recapitulation) 2.427.813.12 (If more space is needed, additional pages of the same size) Copyright (c) ;~002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev 6-98) Rev-1503 EX+ (5-98) *' SCHEDULE B STOCKS & BONDS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ESTATE OF ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 11 542 Keycorp New Common (493267108) @ $34.61 18.758.62 per/share 12 800 Shares - Carlisle Cos, Inc. Common (142339100) @ 38.476.00 $48.095 per/share 13 Fulton Financial - Acct. No. 39817581 - 38.42 Shares 38.42 -Prin:'e Cash Series - Money Market @ $1.00 p.share 14 Fulton Financial - Acct. No. 39817581 - 9,762.35 Shares 99.966.46 - Franklin PA Tax - Free Income A (354723801) @ $10.24 p/share 15 Janney Montgomery Scott - Acct. No. 4315-9870 - 10.353.14 $10,000 PA St. Tpk - Commn Oil Rev. Bd (709221FJ9) @ 102.9620, plus 56.94 accrued interest. 16 Janney Montgomery Scott - Acct. No. 4315-9870 - 10.236.16 $10,000 Pittsburgh PA - Wtr & Swr Auth W Rev. Bd (725304JWO) @ 100.5240, plus $183.76 accrued interest. 17 Janney Montgomery Scott. Acct. No. 4315-9870 - 10.508.43 $10,000 Powhatan Cnty - VA G. O. Sch Bd. (739372BY5) - @ 102.6260, plus $245.83 accrued interest. 18 Janney Montgomery Scott. Acct. No. 4315-9870 - 11.065.53 $10,000 United States - Treasury Bd (912810EW4) - @ 108.218750, plus $243.65 accrued interest. Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rey.1603 EX+ (6-98) *' SCHEDULE B STOCKS & BONDS continued COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ESTATE OF ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 19 Janney Montgomery Scott - Acct. No. 4315-9870 - 10,255.67 $10,000 Upper St. Clair - Twp PA Sch Dist G. O. Bd (916507GT7) - @ 100.000, plus $255.67 accrued interest. 20 Janney Montgomery Scott - Acct. No. 4315-9870 - 10,300.91 $10,000 West Mifflin PA - San Swr Mun Au Rev Bd (954507BX6) - @ 100.7730, plus $223.61, accrued interest. 21 Janney Montgomery Scott - Acct. No. 4315-9870 - 15,142.21 $15,000 Delaware Riv. - Port Auth PA & NJ Rev Bd. (246352AH1) @ 100.7800, plus $25.21 accrued interest. 22 Janney Montgomery Scott - Acct. No. 4315-9870 - 15,123.49 $15,000 PA Inter- - governmental Ref. Rev. Bd. (708840GJ6) @ 100.4670, plus $53.44 accrued interest. 23 Janney Montgomery Scott - Acct. No. 4315-9870 - 14,691.53 $15,000 PA St. Higher - Edl Fac Bd (70917RCQ6) - @ 97.0560, plus 133.13 accrued interest. 24 Janney Montgomery Scott - Acct. No. 4315-9870 - 15.201.30 $15,000 PA St. Tpk - Commn Oil Rev Bd. (709221CFO) - @ 100.8010, plus $81.15 accrued interest. 25 Janney Montgomery Scott - Acct. No. 4315-9870 - 15,361.72 $15,000 Pittsburgh PA - Wtr & Swr Auth Bd. (725304HR3) - @ 100.5920, plus $272.92 accrued interest. Copyright (c) :2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rov.1603 EX_ (6-98) *' SCHEDULE B STOCKS & BONDS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ESTATE OF ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 26 Janney Montgomery Scott - Acct. No. 4315-9870 - 20.344.55 $20,000 Central Dauphin. PA Sch. Bd. (153300GY8) @ 101.1960, plus $105.35 accrued interest. 27 Janney Montgomery Scott - Acct. No. 4315-9870 - 20.735.02 $20,000 Lancaster Cnty - PA G.O. Bd (514040QE7) - @ 102.6890, plus $197.22, accrued interest. 28 Janney Montgomery Scott - Acct. No. 4315-9870- 20.897.44 $20,000 New York St. - Dorm Auth Rev Bd. (749839B22) - @ 102.1840, plus $460.64 accrued interest. 29 Janney Montgomery Scott - Acct. No. 4315-9870- 20.162.28 $20,000 PA St. Higher Edl - Fac Rev Bd. (709174Q58) - @ 100.4270, plus 76.88 accrued interest. 30 Janney Montgomery Scott. Acct. No. 4315-9870 - 20.766.89 $20,000 PA St. Tpk - Commn Bd (709223NN7) - @ 103.2650, plus $113.89, accrued interest. 31 Janney Montgomery Scott. Acct. No. 4315-9870 - 20.819.69 $20,000 Philadelphia PA - Gas Wks Rev Bd (717823Q92) - @ 102.2790, plus $363.89 accrued interest. 32 Janney Montgomery Scott - Acct. No. 4315-9870 - 20.829.62 $20,000 Virginia St. Res. - Auth Wtr & Swr Bd (928181FQ4) - @ 103.1620, plus $197.22 accrued interest. Copyright (c) 2002 form software only T/1e Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1603 EX + (6-98) *' SCHEDULE B STOCKS & BONDS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 33 Janney Montgomery Scott - Acct. No. 4315-9870 - 24.455.33 $25,000 Middletown Boro - PA Swr & Wtr Bd. (596850EY9) - @ 97.6930, plus $32.08 accrued interest. 34 Janney Montgomery Scott - Acct. No. 4315-9870 - 25,237.24 $25,000 PA St Higher - Edl Fac Rev Bd, (7091713U4) - @ 98.6750, plus $568.49 accrued interest. 35 Janney Montgomery Scott - Acct. No. 4315-9870 - 25,916.11 $25,000 Pennsylvania - St G.O. Bd. (709141KM6) - @ 103.0950, plus $142.36 accrued interest. 36 Janney Montgomery Scott - Acct. No. 4315-9870 - 23,392.04 $25,000 Pennsylvania - Ref. Bd. (709141085) - @ $93.4490, plus $29.79 accrued interest. 37 Janney Montgomery Scott - Acct. No. 4315-9870 - 25,335.44 $25,000 Philadelphia PA - Gas Wks Bd. (717823VE5) - @ 101.1890, plus $38.19 accrued interest. 38 Janney Montgomery Scott - Acct. No. 4315-9870 - 26,687.75 $25,000 Philadelphia PA - Gas Wks Bd (717823F78) - @ 104.4590, plus $573.00 accrued interest. I 39 Janney Montgomery Scott - Acct. No, 4315-9870 - 25,854.86 I $25,000 Unity Twp PA - Mun Auth Swr Rev Bd (913330AT3) - @ 102.8500, plus$142.36 accrued interest. 40 Janney Montgomery Scott - Acct. No. 4315-9870 - 25,258.93 $25,000 Westmoreland - Cnty PA Bd. (960895VE7) - @ 100.5090, plus $131.68 accrued interest. Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1503 EX+ (6-98) *' SCHEDULE B STOCKS & BONDS continued C:OMMONWOA!. TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 41 Janney Montgomery Scott - Acct. No. 4315-9870 - 30.243.15 $30,000 Philadelphia PA - Sch. Dist. Bd. (717880Z35) - @99.5480, plus 378.75 accrued interest. 42 Janney Montgomery Scott - Acct. No. 4315-9870- 5.131.70 $5,000 Lancaster Cnty PA - Solid Waste Bd. (514057BX5) . @102.2590, plus $18.75 accrued interest. 43 Janney Montgomery Scott - Acct. No. 4315-9870 - 49.665.96 $50,000 Bear VY PA Jt. - Auth. Wate Revenue Bd (07384PCA1) @ 98.4740, plus 428.96 accrued interest. 44 Janney Montgomery Scott - Acct. No. 4315-9870 - 49.357.86 $50,000 Bethel Park PA - Mun Auth Swr Re Rev Bd. (087032CG1) - @ 97.1510, plus $782.36 accrued interest. 45 Janney Montgomery Scott - Acct. No. 4315-9870 - 51.104.72 $50,000 Hazleton PA - Area Sch. Dist. Bd. (422002CFO) @ 100.3900, plus 909.72 accrued interest. 46 Janney Montgomery Scott - Acct. No. 4315-9870- 51.628.00 $50,000 Philadelphia PA - G. 01. Bd (717813EW5) - @ 101.6310, plus $812.50 accrued interest. 47 Janney Montgomery Scott - Acct. No. 4315-9870 - 67,093.96 $65,000 Spring-Ford Area - Sch. Dist PA Bd. , (849534FG2)- @ 101.4930, plus $1,123.51 accrued interest. I Copyright (c) :W02 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rov.1603 EX+ 16.'81 . SCHEDULE B STOCKS & BONDS continued COMMONWEALTH Of P~NNSYLVANIA INH~RITANC~ TAX RETURN R~SIDENT DEC~DENT HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ESTATE OF ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 48 Janney Montgomery Scott - Acct. No. 4315-9870 - 2.050.00 Cash 49 Janney Montgomnery Scott - Acct. No. 4315-9870- 10.409.91 $10,000 PA St. Higher - Edl Fac Rev Bd. (70917NDU5) - @ 101.8630, plus $223.61 accrued interest. ! TOTAL (Also enter on Line 2, Recapitulation) 2.427.813.12 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-150S EX.' (6-9S) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 Indude the proceeds of litigation and the date the proceeds were received by the estate, All property jolntly-owned with the right of survivorship must be dlsclosed on schedule F. ITEM NUMBER DESCRIPTION 1 The Travelers Insurance Co. - Premium Refund VALUE AT DATE OF DEATH 93.00 21st National Bank of Marysville - Certificate No. 3062878 - Date of death balance, plus accrued interest. 50.091.09 31st National Bank of Marysville - Certificate No. 3065039 - Date of death balance, plus accrued interest. 50.056.16 4 Cash 531.92 5 Comcast - cable service refund 41.44 6 Home Instead Care - return of deposit 1.568.12 7 Keycorp - uncashed dividend check payable 6/15/07 197.83 8 M&T Bank - Account No. 31003916809379 - Date of death balance, plus accrued interest. 100.012.71 9 M& T Bank - Account No. 31003917267451 - Date of death balance, plus accrued interest. 50.080.67 10 M&T Bank - Account No. 43860761 - Date of death balance, plus accrued interest. 76.468.37 11 Messiah College -annuity payment due decedent - 6/29/07 10.344.80 12 Pennsylvania Treasury Department - escheated cash 369.90 13 PNC Bank - Certificate No. 31100309942 - Date of death balance, plus accrued interst. 50.012.09 Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 626.478.43 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1508 EX+ (6-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. IFILE NUMBER 21-07 -00692 ITEM NUMBER VALUE AT DATE OF DEATH 14 DESCRIPTION PNC Bank - Certificate No. 31700234336 - Date of death balance, plus accrued interest. 50.098.32 15 PNC Bank - Checking Account No. 5140030087 - Date of death balance, plus accrued interest. 30.166.83 16 Sovereign Bank - Account No. 1055433120 - Date of death balance, plus accrued interest. 50.078.94 17 Sterling Financiar (Successor to Pennsylvania State Bank) - Certificate No. 11352 - Date of death balance, plus accrued interest. 50.260.49 18 Sterling Financial (Successor to Pennsylvania State Bank) - Certificate No. 11458 - Date of death balance, plus accrued interst. 50,069.87 19 The Patriot-News - subscription refund 20.50 20 The Woods at Cedar Run - refund of unused security deposit. 1,130.87 21 United Health Care - refunds 304.01 22 United States Treasury - refund - decedent's 2007 - Form 1040 3.460.00 23 2006 Pennsylvania Liberty Dollar - Sale Price 50.00 24 Household Goods in apartment - Sale Price 970.50 TOTAL (Also enter on Line 5, Recapitulation) 626.478.43 Copyright (c) <~002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-15l0 EX+ 1[6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 This schedule must be completed and filed ~ the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM Dt::SCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1 ING Annuity Contract No. 0002718199989FE- 85.491.25 85.491.25 Beneficiary - Shippensburg University Foundation - Date of death value. 2 ING Annuity Contract No. 4000010439989- 121.130.17 121.130.17 Beneficiary - Holy Spirit Hospital - Date of death value. 3 ING Annuity Contract No. LsL00200 - Beneficiary 20.587.06 20.587.06 - Estate of George C. - Hoopy. Date of death value. 4 Revocable Trust dated December 3,1997 422.240.56 422.240.56 between George C. Hoopy and - Patricia R. Hoopy, his wife (000 -1/22/1999) and M & T Bank, Trustee 5 Beatrice Mattern - (Friend) - Cash - 09/25/2006 9.000.00 3.000.00 6.000.00 6 Doris Angeloff (Friend) - Cash - 6/29/07 5.000.00 3.000.00 2.000.00 7 Janet Arnold (Friend) - Cash - 09/03/2006 5.000.00 3.000.00 2.000.00 8 Kelly McCormack - (Friend) - Cash - 01/05/2007 5.000.00 3.000.00 2.000.00 . TOTAL (Also enter on Line 7, Recapitulation) 661.449.04 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX... (12-99) *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 6,841.98 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. M& T TRUST COMPANY Social Security Number(s) I EIN Number of Personal Representative(s): Street Address ONE WEST HIGH STREET City Carlisle State Year(s) Commission paid See continuation schedule(s) attached PA Zip 17013 84,374.00 2. Attorney's Fees See continuation schedule(s) attached 56,250.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 595.00 5. See continuation schedule(s) attached Accountant's Fees 700.00 See continuation schedule(s) attached 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 5,364.04 TOTAL (Also enter on line 9, Recapitulation) 154,125.02 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) . SCHEDULE H.A FUNERAL EXPENSES continued C,OMMONWEALTH OF f'ENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT HOOPV, GEORGE C. FILE NUMBER 21-07-00692 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Musselman Funeral Home - funeral expenses 699.48 2 West Shore Country Club - funeral dinner 6.142.50 Subtotal 6.841.98 Copyright (c) 2002 form software only The Lackner Group, Inc, Form PA-1500 Schedule H-A (Rev, 6-98) Rev-1502 EX<. (6.98) . SCHEDULE H-B1 PERSONAL REPRESENTATIVE'S COMMISSIONS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEqRGE C. FILE NUMBER 21-07-00692 ITEM NUMBE~: DESCRIPTION AMOUNT 1 M& T Trust Company - Executor's Commission 84.374.00 Subtotal 84.374.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B1 (Rev. 6-98) Rev-1502 EX+ 1'6-98) . SCHEDULE H-B2 ATTORNEY'S FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Johnson, Duffie, Stewart & Weidner - attorney fee 56.250.00 Subtotal 56.250.00 Copyright (c) 2'002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B2 (Rev. 6-98) Rev-1502 EJ(+ (6-98) *' SCHEDULE H-84 PROBATE FEES continued C;OMMONWEAI. TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ITEM NUMBER 1 DESCRIPTION Register of Wills - Cumberland County AMOUNT 595.00 Subtotal 595.00 Copyright (c) ~~002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B4 (Rev. 6-98) Rev-1602 EX+ (6-98) *' SCHEDULE H-B5 ACCOUNTANT'S FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEOEN1" HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Waggoner, Frutiger & Daub,LLP - preparation of decedent's 2007 - Federal and State income tax returns. 700.00 Subtotal 700.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B5 (Rev. 6-98) Rev-1502 EX.. (5-98) *' SCHEDULE H-87 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ESTATE OF ITEM NUMBEF<: DESCRIPTION AMOUNT 1 Cumberland Law Journal - Legal Advertisement 75.00 2 Ernest Garman - accounting services - 7/14/07 -7/28/07 540.00 3 Ibis Appraisal Services - appraisal of apartment contents 240.00 4 Karl Stine - removal of trash from apartment. 75.00 5 Register of Wills - Cumberland County - additional probate fees 1.500.00 6 Register of Wills - Cumberland County - filing First and Final Account 2.500.00 7 Register of Wills - Cumberland County - Short Certificates 40.00 8 Register of Wills.;. file Inventory & Inheritance Tax Return. 30.00 9 Register of Wills - Short Certificates -10/3/07 30.00 10 Rowe Auction - commission - sale of household items. 152.42 11 The Patriot-News - Legal Advertisement 154.62 12 Vital Records - death certificates for Patricia R. Hoopy 27.00 Subtotal 5.364.04 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1512 EX+ (6-98) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEAl.. TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 Include unreimburaed medical expenses. ITEM NUMBER DESCRIPTION 1 Alert Pharmacy - decedent's account balance VALUE AT DATE OF DEATH 4.64 2 AT&T - final telephone service charges 33.54 3 Checks that cleared after death - M& T Bank - Account No. 43860761 - Check No. 6436 - Tax collector - 2007 personal taxes - $9.80; Check No. 6438 - Holy Spirit - account balance - $10.00; Check No. 6439 - Johnson, Duffie - Legal services - $140.00; Check No. 6442 - Comcast - $40.13; Chec kNo. 6443 - Verizon - $24.37. 224.30 4 Holy Spirit Hospital - decedent's account balance. 57.44 5 In your Home Care - services to decedent. 480.00 6 PA Department of Revenue - tax due - decedent's 2007-PA 40 tax return. 949.00 7 The lion Foundation - balance due on decedent's $5,000.00 pledge - Pledge date - February 25, 2005. 1.940.00 8 Verizon - telephone service - balance due. 23.73 TOTAL (Also enter on Line 10, Recapitulation) 3,712.65 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV.1513 EX'. 19-00) ESTATE OF NUMBER I. *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT HOOPY, GEORGE C. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal ctistributions, and transfers under Sec. 9116(a)(1.2)] FILE NUMBER 21-07 -00692 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) RELATIONSHIP TO DECEDENT Do Not Ust Trusteels) 1 Beatrice Mattern 14 S. 30th Street Camp Hill, PA 17011 Kelly McCormack 2195 Hastings Dr. Mechanicsburg, PA 17055 Friend 6,000.00 Friend 2 2,000.00 3 West Shore Chamber of Commerce 4211 Trindle Road Camp Hill, PA 17011 165,314.98 None 4 Odyssey HealthCare, Inc. 4660 E. Trindle Rd. Suite 204 Camp Hill, PA 17011 5,000.00 None 5 West Shore County Club 100 Brentwater Road Camp Hill, PA 17011 165,314.98 None See continuation schedule attached Continuation 173,000.00 Total 516,629.96 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See continuation schedule(s) attached 2,962,892.67 TOTAL OF PART" - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 2,962,892.67 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: GEORGE C. HOOPY 07/12/2007 722-09-1370 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 6 Janet Arnold Friend 30,000.00 128 Bosler Avenue Lemoyne, PA 17043 7 Kenneth R. Arthur Friend 1,000.00 5925 Stephens' Crossing Mechanicsburg, PA 17050 8 David & Jane Fleming Friend 5,000.00 267 Ridge Hill Road Mechanicsburg. PA 17050 9 Ernest B. Garman Friend 75,000.00 1509 Brandt Ave. New Cumberland, PA 17070 10 Leon R. & Sally K. Smith Friend 50,000.00 545 Hummel Ave. Lemoyne, PA 17043 11 The Woods at Cedar Run None 10,000.00 824 Lisburn Road Camp Hill, PA 17011 12 Doris Angeloff Friend 2,000.00 215 Woodland Drive New Cumberland, PA 17070 Total 173,000.00 1 Rev-1502 EX." (6-98) . SCHEDULE J.IIB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ITEM NUMBER AMOUNT DESCRIPTION 1 American Cancer Society, Pennsylvania Division, Inc. - Capital Region Unit, P. O. Box 498, Hershey, PA 17033 96.434.51 2 American Heart Association - Pennsylvania Affiliate -1019 Mumma Road, Wormleysburg, PA 17043 96.434.51 3 American Red Cross of the Susquehanna Valley - 430 West Orange Street, Lancaster, PA 17603 96.434.51 4 Calvary United Methodist Church -700 Market Street, Lemoyne, PA 17043 165.314.98 5 Duke University - 2127 Campus Drive, Box 90600, Durham NC 27708 308.590.43 6 Good Shepherd Catholic Church, Diocese of Harrisburg - 4800 Union Deposit Road, Harrisburg, PA 17111 165.314.98 7 Harrisburg Academy -10 Erford Road, Wormleysburg, PA 17043 308.590.43 8 Helen O. Krause Animal Foundation, Inc. - P. O. Box 311, Mechanicsburg, PA 17055-0311 165.318.06 9 Historical Society of East Pennsboro, Inc. - 410 Cherry Street, P. O. Box 195, Enola, PA 17025 165.314.98 10 Holy Spirit Hospital- 503 N. 21st Street, Camp Hill, PA 17011 308.590.43 11 Holy Spirit Hospital - Beneficiary - ING Annuity 4000010439989 121.130.17 12 Messiah College - One College Avenue, Box 3013, Grantham, PA 17027 308.590.43 13 Sea Cadets of the Harrisburg Council of the U.S. Navy League - 2991 N. Second Street, Harrisburg, PA 17110 1.000.00 Copyright (c) <~002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J-IIB (Rev. 6-98) Rev.1502 EX+ (6-98) *' SCHEDULE .I-liB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HOOPY, GEORGE C. FILE NUMBER 21-07 -00692 ITEM NUMBER 14 DESCRIPTION Shippensburg University Foundation -1871 Old Main Drive, Shippensburg, PA 17257 AMOUNT 165.318.06 15 Shippensburg University Foundation - Beneficiary - ING Annuity - No. 0002718199989FE 85.491.25 16 The United Methodist Home for Children and Family Services, Inc. - 5120 Simpson Ferry Road, Mechanicsburg, PA 17050 308.590.43 17 West Shore Lodge, No. 681, Free and Accepted Masons of PA - P. o. Box 329, Camp Hill, PA 17001-0329 96.434.51 Subtotal 2.962.892.67 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J-IIB (Rev. 6-98) CG (Q) /J?YV Last Will and Testament OF GEORGE C. HOOPY j ~ I I, GEORGE C. HOOPY, of Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills or Codicils at any time heretofore made by me. ARTICI,E I I direct the payment of all my legal debts, and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently may be done. ARTICLE II I give and bequeath: A. The sum of Seven Thousand Five Hundred ($7,500.00) Dollars unto DORIS ANGLEOFF, New Cumberland, Pennsylvania, provided she survives me; B. The sum of One Thousand ($1,000.00) Dollars unto the SEA CADETS OF THE HARRISBURG COUNCIL OF THE UNITED STATES NAVY LEAGUE; -:'] I I "1 C. The sum of Seventy-five Thousand ($75000.00) Dollars unto ERNEST B. GARMAN, New Cumberland, Pennsylvania, provided he survives me; D. The sum of Twenty-five Thousand ($25,000.00) Dollars unto JANET ARNOLD, Lemoyne, Pennsylvania, provided she survives me; E. The sum ofTen Thousand ($10,000.00) Dollars unto THE WOODS AT CEDAR RUN, 824 Lisburn Road, Camp Hill, Pennsylvania 17011, for such uses and purposes as suggested i by the Independent Residents' Association, particularly for the library, pool table and the exercise room equipment; F. The sum of Thirty Thousand ($30,000.00) Dollars and my automobile unto LEON R. S:MITH and SALLY K. S:MITH, husband and wife, 545 Hummel Avenue, Lemoyne, Pennsylvania, or the survivor, provided that at least one (1) of these persons surv~ves me; ,- G. The sum of One Thousand ($1,000.00) Dollars unto REV. KENNETH R. ARTHUR, Mechanicsburg, Pennsylvania, provided he survives me; H. The sum of Five Thousand ($5,000.00) Dollars until DAVID FLEMING and JANE FLEMING, husband and wife, Mechanicsburg, Pennsylvania, or the survivor, provided that at least one (1) of these persons survives me; and 1. The sum of Five Thousand ($5,000.00) Dollars unto ODYSSEY HEALTHCARE, INC., 4660 Toodle Road, Suite 204, Camp Hill, Pennsylvania 17011. ARTICLE ill I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatsoever nature and wheresoever situate, as follows: 2 A. Four-eighths (4/8) thereof I give, devise and bequeath in equal shares unto the following: 1. One share unto HOLY SPIRIT HOSPITAL, Camp Hill, Pennsylvania, to fund a memorial in memory of PATRICIA R. and GEORGE C. HOOPY; 2. One share unto HARRISBURG ACADEMY, Camp Hill, Pennsylvania, for a scholarship fund in memory of PATRICIA R. and GEORGE C. HOOPY; 3. One share unto THE UNITED METHODIST HOME FOR CHILDREN AND FAMILY SERVICES, INC., to be used for the general purposes of the organization. 4. One share unto DUKE UNIVERSITY, Durham, North Carolina, for a scholarship fund in memory of PATRICIA R. and GEORGE C. HOOPY; and 5. One share unto MESSIAH COLLEGE, Grantham, Ptfnnsylvania, for a. scholarship fund in the Business School in memory of PATRICIA R. and GEORGE C. HOOPY; t' B. Three-eighths (3/8) thereof I give, devise and bequeath in equal shares unto the following: 1. One share unto the CAL VARY UNITED METHODIST CHURCH, 700 Market Street, Lemoyne, Pennsylvania, to be used for the upkeep and maintenance of the church property; 2. One share unto the GOOD SHEPHERD CATHOLIC CHURCH, 3435 Toodle Road, Camp Hill, Pennsylvania; 3. One share unto the HELEN O. KRAUSE ANIMAL FOUNDATION, INC., Mechanicsburg, Pennsylvania; 4. One share unto the WEST SHORE COUNTRY CLUB, 100 Brentwater Road, Camp Hill, Pennsylvania; 5. One share unto the WEST SHORE CHAMBER OF COMMERCE, Camp Hill, Pennsylvania, provided however that this gift shall lapse if, at 3 the time of my death, WEST SHORE CHAMBER OF COMMERCE has merged into or with the CAPITAL REGION CHAMBER OF COMMERCE; 6. One share unto the EAST PENNSBORO mSTORICAL SOCIETY, Enola, Pennsylvania; and 7. One share unto the SHIPPENSBURG UNIVERSITY FOUNDATION, Shippensburg, Pennsylvania, for support of the Performing Arts Center. C. One-eighth (1/8) thereof, I give, devise and bequeath in equal shares unto the following: 1. One share unto the WEST SHORE LODGE No. 681, F & AM, 2215 Market Street, Camp Hill, Pennsylvania, to be used exclusively for religious, charitable, scientific, literary and/or educational purposes; 2. One share unto the AMERICAN CANCER SOCIETY, PENNSYLVANIA DIVISION, INC., Capital Region Unit, P.O. 498, Hershey, Pennsylvania, 17033-0498; 3. One share unto the AMERICAN RED CROSS OF THE SUSQUEHANNA VALLEY, P.O. Box 61977, Harrisburg, Pennsylvania 17106-1977; and 4. One share unto the AMERICAN HEART ASSOCIATION - PENNSYL VANIA AFFILIATE, 1019 Mwnma Road, W ormleysburg, Pennsylvania 17043; ARTICLE IV I direct that all estate, inheritance, transfer, and other taxes of a similar nature, payable by reason of my death, together with any interest and penalties thereon, and imposed with respect to any property, whether or not disposed of by this Will, shall be paid out of the residue of my estate. I further direct that any and all such taxes shall be paid from and deducted from my residuary estate prior to the calculation of the shares of the residuary beneficiaries, so that each residuary beneficiary, charitable or not, shall bear a portion of the burden of such taxes. 4 I L I i j ARTICLE V I name, constitute and appoint MANUFACTURERS AND TRADERS TRUST COMPANY Executor of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hap.d and seal, this 2 C r# day of /)J3"CU?B~/? ,2006. ~ ~i (I.~ (SEAL) (GEOR E C. HOOPY SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. " -:lfvOA-1 ?y~ #~~. 5 1 J '1 ~I .j ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYL VANIA SSe COUNTY OF CUMBERLAND We, C. HOOPY, 3(, -hW\~ 'WCL( }U~ 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 nndersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly and that he executed it as his free and volnntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older, of sonnd mind and nnder no constraint or nndue influence. 4'~ t.~ GEORGE .HOOPY 91-~ ~-4~ ~~, /\vitness Subscribed, sworn to and acknowledged before me by GEORGE C. HOOPY, Testator, and subscribed and sworn to before me by Kar l W ttL T SLS and J~oJ(lh )J, Wrl~ )J(~ , witnesses, this J~l! day of ~ ,2006. ~fJ.~ Edmnnd G. Myers Attorney LD. #20558 6 J ", ! COMMONWEALTH OF PENNSYL VANIA 55. COUNTY OF CUMBERLAND On this, the .J1.i!!!" day of --=:DfI~ , 2006, before me, the undersigned officer, personally appeared EDMUND G. MYERS, Attorney I.D. #20558, known to me (or satisfactorily proven) to be a member of the bar of the highest coOrt of Pennsylvania and certified that he was personally present when the foregoing acknowledgement and affidavit was signed by the Testator and the witnesses. IN WITNESS WHEREOF, I hereunto set my hand and official seal. JdO-J~.~(SEAL) Notary ublic :289089 COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL GAIL J. MAHONEY, Notary Public Lemoyne Bora., Cumberland County My Commission Expires Feb. 19,2010 t' ~~~' 7 Codicil ~@~1f to Last Will and Testament OF GEORGE C. HOOPY I, GEORGE C. HOOPY, of Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this to be the sole Codicil to my Last Will and Testament dated December 26, 2006. Item I. I hereby revoke Paragraph A. and Paragraph F. of Article II, and in lieu thereof provide as follows: tt A. The sum of Two Thousand ($2,000.00) Dollars unto DORIS ANGELOFF, New Cumberland, Pennsylvania, provided she survives me; F. The sum of Fifty Thousand ($50,000.00) Dollars unto LEON R. SMITH and SALLY K. SMITH, husband and wife, 545 Hummel Avenue, Lemoyne, Pennsylvania, or the survivor, provided that at least one (1) of these persons survIVes me; Item II. In all other respects, I hereby ratify, confirm and republish my Last Will and Testament dated December 26, 2006, together with this Codicil as and for my Last Will. IN WiTNESS WHEREOF, I have hereunto set my hand and seal on this the ~ day of f--JofufU, ,2007. ~~H~~~rSEAL) Signed, sealed, published and declared by the above-named Testator, as and for his sole Codicil to his Will dated December 26, 2006, in the presence of us, who, at his request, in his presence and in the presence of each other have here unto subscribed our names as witnesses. ./ ~~~~?~ ~~ /' .' - .., i I: ,;"J ;; i' ...L .'.} ACKNOWLEDGEMENT AND AFFIDAVIT \; COMMONWEAL TH OF PENNSYL VANIA 55. COUNTY OF CUMBERLAND j We, GEORGE C. HOOPY, the Testator, Er I\J2. ~+- B. Ga..r fYltV--- and t2u.\ 'O't\ ~.. Wf\{fL1) Jr. , 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 his Codicil and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes herein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Codicil as witness and that to the best of his /her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~PC'~ dEORGE . HOOPY ~ .~- itness .,,\; --. :" , Subscribed, sworn to and acknowledged before me by GEORGE C. HOOPY, Testator, and subscribed and sworn to before me by &;;rv...e' S'i- ~. 6d.1I\.L.LQ... '1 and ~o...t)d"- H-, l.O{'\5 kJ-/ VI. witnesses, this i2f0 day of 1&f'VtL41 2007. ~1}~~ Edmund G. Myers Attorney I.D. #20558 ,," .} ~' .'0' , i' -<:.; " COMMONWEALTH OF PENNSYL VANIA ss. ~ i, COUNTY OF CUMBERLAND .... i On this, the \ ;j.iH- day of F -eJor-VLct..f[ ,2007, before me, the undersigned - ! officer, personally appeared Edmund G. Myers, Attorney LD. #20558, known to me (or satisfactorily proven) to be a member of the bar of the highest court of Pennsylyania and certified_ that he was personally present when the foregoingpcknowledgement and affidavit was signed by the Testator and the witnesses. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~~~~ (SEAL) i" COMMONWEALTH OF PENNSYlVANIA NOTARIAL SEAL GAIL J. MAHONEY, Notary Public Lemoyne Bora., Cumberland County My Commission Expires Feb. 19. 2010 :291520 .\' OOG-<'i"7..{J(JOO1IDecember 2, 1997/EGWskn/l03913 ~(Q)~V AMENDMENT TO REVOCABLE TRUST AGREEMENT THIS AMENDMENT to Revocable Trust Agreement is made thiS) A day of ~,1997, between GEORGE C. HOOPY, of Lower Allen Township, Cumberland County, Pennsylvania (hereinafter "Settlor") and DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania (hereinafter "Trustee"). WITNESSETH: WHEREAS, the parties entered into a Revocable Trust Agreement, dated May 28, 1993 (hereafter "Trust Agreement"); and WHEREAS, Settlor, GEORGE C. HOOPY, wishes to modify the Trust Agreement by designating his wife, PATRICIA R HOOPY as additional Settlor and PATRICIA R. HOOPY has agreed to join as a party to this Amendment for such purposes; NOW, THEREFORE, in consideration of the mutual promises and covenants set forth herein, the parties hereto, intending to be legally bound hereby, agree as follows: 1. Recitals. The recitals are incorporated herein. 2. Designation of GEORGE C. HOOPY and PATRICIA R. HOOPY as Settlors. Effective upon the date of execution of this Amendment, GEORGE C. HOOPY and PATRICIA R. HOOPY, his wife, shall be designated as Sett10rs. 3. Revision of ITEM FIRST:. ITEM FIRST is amended to read as follows: FIRST: Dispositive Provisions For SettIors' Benefit - During SettIors' or the Survivor's Lifetime: A. All of the net income shall be paid to Settlors or the survivor of them at least quarterly or shall be paid or accumulated and added to principal as Settlors or the survivor may direct in writing; 005743-Q'YJ02/December 2, 1997/EGMlskn/103913 B. As much of the principal as Settlors or the survivor of them may from time to time request in writing shan be paid to Settlors. or the survivor, or as Settlors or the survivor may otherwise direct; C. If, in the Trustee's opinion, Settlors or the survivor of them is at any time unable to act or apply the payments to Settlors' or survivor's own best interest and advantage, the Trustee may apply directly for the Settlors' or the survivor's benefit as much of the income and/or principal as the Trustee may, from time to time, deem appropriate for Settlors' or their survivor's welfare, comfort, support or emergency needs, directly and without the intervention of a guardian, and may add to principal as much of the income as the Trustee deems advisable; D. Trustee shall keep true and correct books of account, which books of account shall at all reasonable times be open to the inspection of Settlors or the survivor of them or their duly appointed representative. Trustee shall also quarterly render to Settlors or their survivor a detailed statement showing all receipts and disbursements on account of the trust estate and the manner and form in which the trust estate is invested at the time of the rendition of such statement. 4. Revision of ITEM SECOND: ITEM SECOND is amended to read as follows: SECOND: Dispositive Provisions After Death of the Survivor of Settlors: Upon the death of the survivor of Settlors while the Trust continues, the Trustee shall pay the then-remaining principal and income to the survivor's Executor or Administrator for disposition as part of survivor's Estate. 5. Revision of ITEM THIRD: ITEM TIllRD is amended to read as follows: THIRD: Right to Revoke and Amend: Settlors jointly during their lifetimes and during the lifetime of the survivor of Settlors reserve the right to revoke or amend this trust, in whole or in part, at anytime and from time to time by an instrument in writing, delivered to the Trustee and intended to take effect during the Settlors' or the survivor of Settlors' lifetime; except that the duties, powers and liabilities of the Trustee shall not be changed without its written consent The Trustee reserves the right, at any time upon thirty (30) days advance written notice to me, to resign and deliver the trust estate to Settlers or the survivor, after deducting therefrom its fees and any -2- 005'743"'()(lOO2/December 2, 1997/EGMlsknl103913 expenses then due and payable. 6. Revision ofITEM FOURTH: ITEM FOURTII is amended to read as follows: FOURTH: Additions to Trust: Subject to approval of the Trustee, Settlors or their survivor of them or any other entity may add property, real and personal, to the principal of this trust. 7. Revision of ITEM SIXTH: ITEM SIX1H is amended to read as follows: SIXTH: Compensation: The Trustee shall be compensated in accordance with its standard schedule of charges in effect from time to time during the period of its services, and this compensation shall be paid from principal or income or partly from each in the sole discretion of the Trustee. Settlors aclmowledge receipt of Trustee's current fee schedule, which is subject to revision from time to time. 8. Ratification. In all other respects, the terms, conditions and obligations of the Trust. Agreement shall n:main in :full force and effect. - 3 - 005743..()(1()()2/l)ecember 2, 1997/EGMlsknl103913 IN WITNESS WHEREOF, the Settlor and PATRICIA R. HOOPY have hereunto set their hands and seals and the Tmstee bas caused the execution hereof by its Vice President and the afftxing and attesting of its corporate seal the day and year first above written. Signed, Sealed and Delivered In the Presence of: fl/A --. - c -:iJ ~_ (SEAL) GE= ~OOPY fJ ~ i? J~ (SEAL) PATRlCIAR.HOOPY (J ~~-r,ur ATTEST: DAUPHlN DEPOSIT BANK AND TRUST COMPANY BY: c?L ~ (~iL1.::) SENIOR viCE PRESIDENT. -4- ~~~ 7/89 :J .--.., ) REVOCABLE TRUST AGREEMENT by and between George C. Hoopy Settlor and Dauphin Deposit Bank and Trust Company, Trustee ([;@~W I ;-~) I, George C. Hoopy, Settlor, of Lemoyne, Pennsylvania, hereby transfer to Dauphin Deposit Bank and Trust Company (hereinafter called the Trustee), a Permsylvania bank and trust company, such property as may be delivered contemporaneously herewith, or at such time or times hereafter, to be held in Trust as follows: FIRST: Dispositive Provisions For My Benefit - During my lifetime: A. All of the net income shall be paid to me at least quarterly or shall be paid or accumulated and added to principal, as I may direct 111 writing; B. As much of the principal as I may from time to time request in writing shall be paid to me, or as I may otherwise direct; C. If, in the Trustee's opinion, I am at any time unable to act or to apply the payments to my own best interest and advantage, the Trustee may apply directly for my benefit as much of the income and / or principal as the Trustee may, from time to time, deem appropriate for my welfare, comfort, support or emergency needs, directly and WIthout the intervention of a guardian, and may add to principal as much of the income as the Trustee deems advisable. D. Trustee shall keep true and correct books of account, which books of account shall at all reasonabfe times be open to the inspection of Settlor or his duly appointed representative. Trustee shall also quarterly render Settlor a detailed statement showing all receipts and disbursements on account of the trust estate and the manner and form in which the trust estate is invested at the time of the rendition of such statement. SECOND: Dispositive Provisions After My Death - Upon my death while the tnLSt continues, the Trustee shall pay the then-remaining principal and income to my Executor or Administrator for dISposition as part of my Estate. THIRD: Right to Revoke and Amend: I reserve the right to revoke or amend this trust, in whole or in part, at any time and from time to time by an instrument in writing, delivered to the Trustee and intended to take effect during my lifetime; except that the duties, powers and liabilities of the Trustee shall not be changed without its written consent. The Trustee reserves the right, at any time upon thirty (30) days advance written notice to me, to resign the trust and deliver the trustlestate to m~, after deducting therefrom its fees and any expenses then due and payable. ,/ ( '---') --J FOURTH: Additions to Trust: Subject to the approval of the Trustee, either I or any other entity may add property, real and personal, to the principal of this trust. FIFTH; Trustee's Powers: In addition to the powers granted by law, my Trustee shall have the following discretionary powers, applicable to principal and income, which shall be exercisaOlewithout leave of court and shall continue until distribution is actually made: . A. To accept and retain any or all property at any time hereafter delivered or in any other manner hereafter acquired, including stock or other securities of the Trustee, or of a holding company controlling tIte Trustee; B. To invest in all forms of property (including, but not by way of limitation, real estate, all types of stocks, -bonds, options, and participations in common trust funds ana money market funds); without being conJined to investments prescribed by statute and without being required to diversify; C. To buy investments at a premium or discount; D. To hold property unregistered or in the name of a nominee; E. To give proxies, both ministerial and discretionary; F. To compromise claims; G. To join in any merger, consolidation, reorganization, voting tnlst plan, or other concerted action of security holders, ana to delegate discretionary duties with respect thereto; H. To borrow from Dauphin Deposit Bank and Trust Company or from others, and to pledge real or personal property as security therefor; to loan cash or securitIes upon such terms and conditions as trustees deem appropriate. I. To sell at public or private sale for cash or credit or partly for each to ,exchange, to improve or to lease for any period of time, any real or personal property; and to give options for sales, exchanges, or leases. J. To allocate any property received or charge incurred to principal or income or partly to each, without being obliged to apply the usual rules of trust accounting; K. _ To distribute in cash or in kind or partly in each; L. To retain any part or all of my business interests held in this Trust as long as the Trustee considers it advisable to do so; and to conduct, alone or with others, any such business in which I am engaged, with all the powers of an owner or with respect thereto, including the power to delegate discretionary duties to others and to pay adequate compensation to any such person; to invest other property in such. business, and to incorporate it or change its form. This power mcludes the right to take all appropriate actions to prevent, identify, or respond to actual or threatened violations of any environmental law or regulation thereunder. ! .-. i M. To disclaim, in whole or in part, any interests in property fo~ any reason, including but not limited to a concern that such property could cause potential liability under the federal, state or local environmental law. SIXTH: Compensation: The trustee shall be compensated in accordance with its standard schedule of charges in effect from time to time during the period of its services, and this compensation shall be paid from principal or income or partly from each in the sole discretion of the Trustee. Settlor hereby acknowledges receipt of Trustee's current fee schedule, which is subject to revision from time to time. SEVENTH: Non-Assignment: No part of the income or principal of the property held under this Trust shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy prior to actual receipt thereof. The Trustee shall pay over the net income and the principal to the persons herein desi~nated, as their interests may appear, without regard to any attempted anticipatIOn (except as specifically prOVIded in this agreement), pledgmg or assignment under the Trust, and without regal-d to any claim thereto or attempted levy, attachment, seizure or other process against me. EIGHTH: Law Governing Trust: This trust is created and accepted in the Commonwealth of Pennsylvania and shall in all respects be governed by its laws and shall have its situs at Cumberland County, Pennsylvania. Executed on 71'~ oZ g- . 1993 NOfE: Before executing this document you may want to consult with your Attorney to assure tha t your wishes are being set forth accurately arid in proper legal form. 7~ -tI~- ~2 ," . ('-~ (SEAL) r Ge ge C. Hoopy '! ~ The foregoing trust is her.ebyaccept1' Executed on '/17 ,( .1993 :;UP~Ba7 A7Zompany Senior Vice President