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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV.1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SCHORPP EDWARD L
10 EAST HIGH STREET
CARLISLE, PA 17013
------faId
ESTATE INFORMATION: SSN: 189-09-4458
FILE NUMBER: 2102-0849
DECEDENT NAME: CAROTHERS CHARLES C
DATE OF PAYMENT: 09/19/2002
POSTMARK DATE: 0010010000
COUNTY: CUMBERLAND
DATE OF DEATH: 06/23/2002
NO. CD 001638
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $12,000.00
I
I
I
I
I
I
I -
I
TOTAL AMOUNT PAID:
$12,000.00
REMARKS: ETHEL M CAROTHERS
CIO EDWARD L SCHORPP
CHECK# 6239
SEAL
INITIALS: DO
RECEIVED BY:
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of CHARLES C. CAROTHERS
also known as
Deceased.
Social Security No. 189-09-4458
No. 21-02-0849
To: Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Yourpetitioneris 18 years of age or older and the Executrix named in the last will of the above
decedent, dated April 15, 2002, and codicil(s) dated [none].
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or
principal residence at 507 Forge Road, Boiling Springs, South Middleton Township.
Decedent, then 85 years of age, died June 23, 2002, at Thornwald Home, Carlisle,
Pennsylvania.
Except as follows, decedent did not marry, was not divorced and did not have a child born or
adopted after execution of the will offered for probate; was not the victim of a killing and was never
adjudicated incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ unestimated
$
$
$
WHEREFORE, petitioner respectfully request the probate of the last will and codicil(s)
presented herewith and the grant ofletters testamentary thereon.
~J ~ A"__~ Jttu_
Ethel M. Carothers
507 Forge Road
Boiling Springs, P A 17007
(717) 258-3252
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
The petitioner above-named swears or affirms that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner and that as personal representative
of the above decedent, petitioner will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
before me this \ q-t-h day of
-:u.~...{Y"\bv\... , aOOlJJ.
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eter ~
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Ethel M. Carothers
I+-~'\O
No. ~/- OeJ.-fNq
Estate of CHARLES C. CAROTHERS, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
ANDNOW~."..n-.h.~. 7(),tI1.!:)I'Y\..2. , in consideration of the petition on the reverse side
hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated April 15, 2002, described therein be admitted to probate
and filed of record as the last will of Charles C. Carothers and Letters Testamentary are hereby granted
to Ethel M. Carothers
TOTAL
$.JjI-J5.oo
$ t::J:l-~.oo
$ /8 . 00
$ /f). l>D
$47/0. Q()
~"'" )~00n\'l"<\- ~(>"~'r-n~~
Register of Wills ~
Edward L. Schorpp, Esquire (17495)
Will Book # 8
Page eq
FEES
Probate, Letters, Etc.
Short Certificates( )
RGu....ueiMion )l.-~ ~
~Cf
MARTSON DEARDORFF WILLIAMS & OTTO
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Filed 102--,,;)...0 - o::U
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F:\FJLES\DA T AFlLE\EST A TES\ 1 06062-petition. ilf
HI05.805 REV 9186
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Recotds Office for permanent fihng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
p
8481641
No.
2l:-".~~~...~~
Local Registrar
JUN 2 4 2002
Date
H1CIIL1~Aew.2II"I'
COMMONWEALTtf OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL MOORes
CERTIFICATE OF DEATH
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P:IPlLI!SIDATAFII.J!\I!IbIePl..m,\I06D6-l.will
LAST WILL AND TES'QAMENT
'-OQ.- 84'l
I, CHARLES C. CAROTHERS, of South Middleton Township, Ctrmberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and deciare
this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by'me
made.
ITEM ONE
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes shall be paid to the extent possible from the assets held or passing under ITEM
FIVE hereof as soon as practicable after my decease and as part of the administration of my estate.
ITEM TWO
I desire that my home at 507 Forge Road, Boiling Springs, Pennsylvania, not be sold but, to
the extent possible, be retained as a home for any of my children or their issue as my children shall
determine. This directive shall not be legally binding and shall not create a cloud on the title to my
home, and my executors, trustees, and/or beneficiaries shall be at full liberty to convey clear title
should they determine that retention of the home in the family is not practicable.
ITEM THREE
If my spouse, ETHEL M. CAROTHERS, is living thirty (30) days after my death, then I
give, devise and bequeath all of my estate, both real and personal property, unto my said spouse,
absolutely. Ifmy said spouse does not so survive me, then I give, devise and bequeath all the rest,
residue and remainder of my estate, both real and personal property, unto my Trustee to be held or
distributed by such Trustee under ITEM FNE hereof.
ITEM FOUR
In the event my said spouse shall disclaim all or any portion of any devise or bequest made
to my spouse under the foregoing ITEM THREE, then the amount otherwise payable shall be held
by my Trustee under ITEM FIVE hereof. For purposes of the Trust established under ITEM FNE
hereof, my said spouse shall not be deemed to have predeceased me by virtue of my said spouse's
exercise of the right to disclaim set forth herein.
C ~aIS]
Page 1 of 7 Pages
ITEM FNE
RESIDUARY AND DISCLAIMER TRUST
My Trustee shall hold the assets received under ITEMS THREE and FOUR hereof, if any,
for the following purposes:
A. My Trustee shall pay the net income, at least quarter-annually, to my spouse, ETHEL
M. CAROTHERS, for life. In addition, my Trustee in my Trustee's sole discretion, may invade the
principal of the Trust for the proper and adequate support of my said spouse.
B. My Trustee shall further pay to my said spouse, annually, such sum from the principal
of the Trust as my said spouse may request in writing, provided, however, that said sum may not
exceed the greater of Five Thousand Dollars ($5,000.00) or five percent (5%) of the aggregate value,
at the time of said request, of the principal of the Trust hereunder.
C. Upon the death of my said spouse, or upon my death ifmy spouse shall not survive
me by thirty (30) days, my Trustee shall distribute the principal of the Trust to my children, in equal
shares, absolutely.
D. In the event that any of my children shall fail to survive my spouse and me, but shall
leave issue surviving, then such deceased child's share shall be held by my Trustee and the net
income therefrom shall be used for the support, maintenance and education of the issue of such
deceased child. My Trustee shall use as much of the principal as it shall deem desirable for said
purposes. My Trustee shall distribute absolutely the principal of such share of such deceased child
to the issue of such deceased child per stirpes as each shall attain the age of twenty-five (25) years.
In the event that any of my children shall fail to survive my spouse and me and not leave issue
surviving, then such deceased child's share shall be added to the shares of my other children as if
originally a part thereof.
ITEM SIX
POWERS OF EXECUTRIX AND TRUSTEES
In addition to the powers conferred by case law, by statute, and by other provisions hereof,
my Executrix and Trustees and their successors, shall have the following discretionary powers
(!;/5ifr
[Initials]
Page 2 of7 Pages
applicable to all property held by them which powers shall be effective without order of any court
and shall exist until final distribution.
A. To retain any property of any nature received by them for whatever period they shall
deem advisable;
B. To invest and reinvest all or any part of said property in such stocks, bonds, common
trust funds, securities, accounts, certificates of deposit (including, but not limited to, stocks, bonds,
common trust funds, securities, accounts or certificates of deposit of the Trustee) or other property,
real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the
property which a fiduciary may purchase;
C. To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash
or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration
of any trust herein, without liability on the purchasers or lessees to see to the application of the
proceeds, and to give options for these purchases without the obligation to repudiate them in favor
of a higher offer;
D. To execute and deliver any deeds, leases, assignments or other instruments as may
be necessary to carry out the provisions of any trust hereunder;
E. To borrow money, including the right to borrow money from any bank and to
mortgage or pledge any asset of the estate as security;
F. To assume continuance of the status of any beneficiary with regard to death, marriage,
divorce, illness, incapacity and the like in the absence of information deemed reliable without
liability for disbursements made on such assumption;
G. To pay from the trust, or the income therefrom, all debts or claims against my estate,
or any taxes or similar charges on my estate;
H. To make any distribution hereunder either in kind or in money, or partially in kind
and partially in money. Distribution in kind shall be made at the market value of the property
distributed, and my Trustee, in my Trustee's absolute discretion, may cause the share distributed to
any distributee to be composed of property similar to or different from that distributed to any other
distributee;
~
[Initials]
Page 3 of 7 Pages
I. To exercise any subscription right in connection with any security held hereunder,
to consent to or participate in any recapitalization, reorganization, consolidation or merger of any
corporation, company or association, the securities of which may be held hereunder, to delegate
authority with respect thereto, to deposit investments under agreements, to pay assessments, and
generally to exercise all rights of investors;
J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries
of any trust hereunder;
K. To continue in any partnership, joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
L. To compromise claims;
M. To continue for whatever period of time as they shall deem necessary any ownership
as a tenant in common or as a partner, in real estate or other property and to act as I could have done
had I been living;
N. To lend money to my estate or to any trust created hereunder or to purchase from the
estate or from any trust created hereunder, at the market value thereof at the time of purchase, any
securities or other property tendered to them by my estate or any trust created hereunder at any time
and from time to time within a period of nine (9) months after my death;
O. In the event that any amounts are payable hereunder or under any trust created
hereunder to a minor, or to a person otherwise under legal disability, or to a person not adjudicated
to be an incapacitated person, but who, by reason of illness or mental or physical disability is, in the
opinion of the fiduciary(ies) hereunder, unable to properly administer such amounts, such amounts
may be paid by the fiduciary(ies) hereunder in his, her or their sole discretion in any of the following
ways as he, she or they may deem best:
I. Directly to such beneficiary;
2. To a legally appointed guardian of such beneficiary for the benefit of such
beneficiary;
3. To a person having custody of such beneficiary for the benefit of such
beneficiary;
@
[Initials]
Page 4 of7 Pages
4. By the fiduciary(ies) hereunder using such amounts directly to the benefit of
such beneficiary.
Evidence of the application of payment of an amount in such a manner shall be a full and complete
discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This
paragraph shall be applicable to payments of income as well as principal.
P. To employ agents, attorneys and proxies and to delegate to them such power as my
personal representatives and Trustees consider desirable and to pay reasonable compensation for
such services as may be rendered by such agents, attorneys and proxies;
Q. To conduct an inventory of any safe deposit box necessary to the administration of
my estate.
R. To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of my Estate.
ITEM SEVEN
PROTECTIVE PROVISIONS
All income or principal held for the use and benefit of the beneficiaries of any trust hereunder
shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor
shall any such interest, while in the possession of my Trustees, be liable for or subject to the debts,
contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or
sequestrations under process oflaw.
ITEM EIGHT
APPOINTMENT OF EXECUTRIX AND TRUSTEE
I nominate, constitute and appoint my spouse, ETHEL M. CAROTHERS, as Executrix of
my estate. In the event that my said spouse shall predecease me or fail to act as Executrix, then I
appoint CHARLES C. CAROTHERS, III and CINDY ANN C. PAGANO, or the survivor of them,
as Executor(s) of my estate.
I nominate, constitute and appoint CHARLES C. CAROTHERS, III and CINDY ANN C.
PAGANO, or the survivor of them, as Trustee(s) of any trust created hereunder.
6:?
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[Initials]
Page 5 of 7 Pages
ITEM NINE
WAIVER OF BOND
I direct that my Executrix and Trustees or their successors shall not be required to file any
bond in any jurisdiction to secure the faithful performance oftheir duties, nor shall they be required
to obtain any order or approval of any court for the exercise of any power or discretion set forth in
this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this /.s.z.&' day of
/'lH</~ , .;?OO.::<.
,,"-"'1" ,
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Charles C. Car~ It.<
"'-. ~
(SEAL)
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, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testator and of each other.
~~
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Page 6 of7 Pages
COMMONWEALTH OF PENNSYLVANIA)
: SS.
COUNTY OF CUMBERLAND )
We,CharlesC.Carothers,EdwardL.Schorpp,and 7Y1 arcJa- Y f'/h-n ,.,7oYt
j
the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and
executed the instrument as his last Will and that the Testator has signed willingly, and that the
Testator executed it as his free and voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that
to the best ofhis/her knowledge the Testator was at that time eighteen years of age or older, of sound
ruind and under no constraint or undue influence.
,
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Subscribed, sworn to and acknowledged before me by Charles C. Carothers, the Testator, and
subscribed and sworn to before me by Edward L. Schorpp and m -t r e,... Y [!fh-rl ~
the witnesses, this IS"'cJayof Arr; I , c.a,2.
~/(~~~JA)
Notary Public
NOTARIAL SEAL
CORRINE l. MYERS. Notary I'ubIir
Carlisle Bora. CumbertandCounly
M Commission Ex 'res Ma 27, 2003
Page 7 of? Pages
"
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F:\FILES\DA TAFlLE\ESTA TES\10606-2.dilclDnct
INRE: ESTATEOF
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
CHARLES C. CAROTHERS
: ORPHANS' COURT DNISION
: ESTATE NO. 21-02-0849
DISCLAIMER AND RENUNCIATION
I, Ethel M. Carothers, hereby exercise the rights granted to me in Chapter 62 of the Probate,
Estates and Fiduciaries Code (the "PEF Code"), and I hereby irrevocably and unqualifiedly disclaim and
renounce any interest to the following assets to which I may otherwise be entitled under Item Three of
the Last Will and Testament of Charles C. Carothers, dated April 15, 2002:
ShareslPar Descriotion CUSIP/Svrnbol Date-of-Death Amount
Value Disclaimed
Cash in Legg Mason Acct #360- $11,631.21 $ 8,673.80
02380
1071 AT&T Corp. (now 428 sh. AT&T; 001957109 $10,514.54 $ 10,514.54
693 sh. Comcast)
344 AT&T Wireless AWE $ 1,989.18 $ 1,989.18
7 Agere Sys 00845VI00 $ 13.91 $ 13.91
179 Agere Sys, Class B 00845V209 $ 346.81 $ 346.81
56 Avaya AV $ 277.48 $ 277.48
1798 BellSouth Corp. 079860102 $54,214.19 $ 54,214.19
78 Delaware Group Equity Fds I 246093108 $ 1,147.38 $ 1,147.38
Accrued dividend on Delaware $ 3.53 $ 3.53
Group Fd
50 First Trust Adv Fd 33734V345 $35,596.75 $ 35,596.75
Accrued dividend on First Trust $ 163.00 $ 163.00
70 FirstEnergy Corp 337932107 $ 2,372.13 $ 2,372.13
10689.2785 Franklin Cust Fds, Income Fd, Cl 353496300 $22,768.16 $ 22,768.16
A
669.316 Goldman Sachs Tr, Cap Growth 38142GI03 $11,090.56 $ 11 ,090.56
Por
680 Lucent Tech 549463107 $ 1,591.20 $ 1,591.20
32 NCR 62886EI08 $ 1,116.88 $ 1,116.88
564 Qwest Comm 749121109 $ 2,564.79 $ 2,564.79
2671 SBC Comm 78387G103 $81,932.93 $ 81,932.93
1124 Verizon Communucations VZ $44,664.95 $ 44,664.95
-1-
795 V odafone Group 92857T107 $10,561.58 $ 10,561.58
Accrued dividend on Vodafine $ 90.71 $ 90.71
5000 Amcore Bk C.D. (matured 02341VEK7 $ 5,043.94 $ 5,043.94
10/11/02)
Accrued interest to said Amcore $ 67.00 $ 67.00
BkC.D.
5000 SI Bk & Tr C.D. (matured 78424EAM5 $ 5,004.16 $ 5,004.16
10/31/02)
Accrued Interest to said SI Bk & $ 90.61 $ 90.61
TrC.D.
2500 Beal Bk C.D. (matured IV4/02) 07368XRL4 $ 2,502.40 $ 2,502.40
Accrued Interest to said Beal Bk $ 39.19 $ 39.19
C.D.
5000 Washinrn Tr Bk C.D. (matured 940615AZO $ 5,064.62 $ 5,064.62
lV6/02
Accrued Interest to said $ 15.70 $ 15.70
Washington Tr C.D.
8500 First Nat Bk C.D. (matures 1/6/03) 3211lUAD4 $ 8,616.40 $ 8,500.00
Accrued Interest to said First Nat $ 24.48 $ 24.48
BkC.D.
8000 Bank West C.D. (matures V6/03) 065680BMl $ 7,988.89 $ 7,988.89
Accrued Interest to said Bank $ 76.11 $ 76.11
West C.D.
7000 First USA Bk C.D. (matures 337434N34 $ 7,154.87 $ 7,154.87
4/14/02)
Accrued Interest to said First USA $ 93.24 $ 93.24
Bk C.D.
7000 American Natl Bk & Tr Co. C.D. 027789RK4 $ 7,188.07 $ 7,188.07
(matures 6/9/03)
Accrued Interest to said American $ 20.15 $ 20.15
Natl Bk C.D.
9000 First Merit Bk C.D. (matures 320844CM3 $ 9,157.31 $ 9,157.31
6/9/03)
Accrued Interest to said First Merit $ 17.15 $ 17.15
BkC.D.
6000 Providian Natl Bk C.D. (matures 74407MN68 $ 6,075.71 $ 6,075.71
7/18/03)
Accrued Interest to said Providian $ 120.12 $ 120.12
C.D.
7,500 Providian Natl Bk C.D. (matures 74407F3Hl $ 7,675.88 $ 7,000.00
9/2V03)
Accrued Interest on said Providian $ 127.97 $ 127.97
Natl Bk C.D.
-2-
5000 Discover Bk C.D. (matures 25467BDPO $ 5,135.63 $ 5,135.63
11/10/03)
Accrued Interest to said Discover $ 39.41 $ 39.41
BkC.D.
17500 Cross Ctry Bk C.D. (matures 227482DZ6 $17,878.02 $ 17,000.00
V9/04)
Accrued Interest to said Cross Ctry $ 364.78 $ 364.78
BkC.D.
7500 MBNA Amer Bk C.D. (matures 55264DDC7 $ 7,768.12 $ 7,000.00
5/1V04)
Accrued Interest to said MBNA $ 60.64 $ 60.64
C.D.
12000 Household Bk C.D. (matures 441802BKO $12,440.76 $ 12,440.76
8/V04)
Accrued Interest to said Household $ 333.70 $ 333.70
BkC.D.
5000 MBNA Amer Bk C.D. (matures 55264DLC8 $ 5,162.63 $ 5,162.63
10/12/04)
Accrued Interest to said MBNA $ 67.06 $ 67.06
C.D.
7500 CafJital One C.D. (matures 14040VDH4 $ 7,489.15 $ 7,000.00
11 1/04)
Accrued Interest to said Capital $ 44.41 $ 44.41
One C.D.
7500 C:mital One C.D. (matures 14040VEU4 $ 7,541.52 $ 7,000.00
1 6/04)
Accrued Interest to said Capital $ 15.94 $ 15.94
One C.D.
7000 Capital One C.D. (matures 2/7/05) 14040VFQ2 $ 7,019.74 $ 7,019.74
Accrued Interest to said Capital $ 119.88 $ 119.88
One C.D.
8500 Discover Bk C.D. (matures 3/7/05) 25467BJE9 $ 8,634.39 $ 8,000.00
Accrued Interest to said Discover $ 141.41 $ 141.41
BkC.D.
8000 American Natl Bk& Tr Co. C.D. 027789RL2 $ 8,296.79 $ 8,296.79
(matures 6/7/05)
Accrued Interest to said American $ 26.66 $ 26.66
Natl C.D.
7000 American Natl Bk&Tr Co C.D. 027789TA4 $ 7,225.75 $ 7,225.75
(matures 7/12/05)
Accrued Interest to said American $ 223.83 $ 223.83
Natl C.D.
2500 MBNA Amer Bk C.D. (matures 55264DV Al $ 2,469.66 $ 2,000.00
11/7/05)
-3-
Accrued Interest to said MNBA $ 14.05 $ 14.05
C.D.
5000 Discover Bk C.D. (matures 25467BDU9 $ 5,141.34 $ 5,141.34
11/9/05)
Accrued Interest to said Discover $ 42.78 $ 42.78
BkC.D.
8500 MBNA Amer Bk C.D. (matures 55264DRK4 $ 8,663.26 $ 8,000.00
12/27/05)
Accrued Interest to said MBNA $ 268.03 $ 268.03
C.D.
5000 Discover Bk C.D. (matures 2/7/06) 25467BHEI $ 5,055.90 $ 5,055.90
Accrued Interest to said Discover $ 113.34 $ 113.34
BkC.D.
7000 Providian Natl Bk C.D. (matures 74407MKTl $ 6,960.45 $ 6,960.45
2/14/06)
Accrued Interest to said Providian $ 142.98 $ 142.98
Natl C.D.
17500 Citizens Nat Bk C.D. (matures I 7476NAH I $17,515.82 $ 17,000.00
4/11/06)
Accrued Interest to said Citizens $ 192.50 $ 192.50
C.D.
5500 Discover Bk C.D. (matures 25467BKT4 $ 5,588.60 $ 5,000.00
4/18/06
Accrued Interest to said Discover $ 54.12 $ 54.12
BkC.D.
7500 Providian Natl Bk C.D. (matures 74407ML86 $ 7,416.08 $ 7,000.00
7/11/06)
Accrued Interest to said Providian $ 194.06 $ 194.06
Natl Bk C.D.
5500 CTJtal Crossing Bk C.D. (matures 140071CE9 $ 5,473.10 $ 5,000.00
9/ /06)
Accrued Interest to said Capital $ 64.93 $ 64.93
Crossing C.D.
2500 MBNA Amer Bk C.D. (matures 55264DVB9 $ 2,460.35 $ 2,000.00
11/7/06)
Accrued Interest to said MBNA $ 15.17 $ 15.17
Amer C.D.
10000 MBNA Amer Bk C.D. (matures 55264DWV4 $ 9,963.31 $ 9,963.31
12/19/06)
Accrued Interest to said MBNA $ 5.67 $ 5.67
Amer C.D.
2500 Great Southem Bk C.D. (matures 39120VHK3 $ 2,509.95 $ 2,000.00
12/28/06)
-4-
Accrued Interest to said Great $ 64.41 $ 64.41
Southern C.D.
15000 Discover Bk C.D. (matures 1/9/07) 25467BVGO $14,874.64 $ 14,874.64
Accrued Interest to said Discover $ 341.67 $ 341.67
BkC.D.
7000 C~tal One Bk C.D. (matures 14040VGE8 $ 6,928.34 $ 6,928.34
2/ /07)
Accrued Interest to said Capital $ 112.78 $ 112.78
One C.D.
10000 Franklin Temp Bk C.D. (matures 35472QALl $10,008.14 $ 10,008.14
4/9/07)
Accrued Interest to said Franklin $ 20.61 $ 20.61
Temp C.D.
17500 First Nat1 Bk C.D. (matures 32112FAD6 $17,154.81 $ 17,000.00
5/15/07)
Accrued Interest to said First Natl $ 89.59 $ 89.59
C.D.
11 000 American Natl Bk C.D. (matures 02771PAW7 $10,797.52 $ 10,797.52
617107)
Accrued Interest to said American $ 23.96 $ 23.96
Natl C.D.
2500 MBNA Amer Bk C.D. (matured 55264DRQl $ 2,500.14 $ 2,500.14
6/27/02)
Accrued Interest to said MBNA $ 77.00 $ 77.00
Amer Bk C.D.
5000 MBNA Amer Bk C.D. (matured 55264DHMl $ 5,018.98 $ 5,018.98
8/9/02)
Accrued Interest to said MBNA $ 128.41 $ 128.42
Amer Bk C.D.
Total $ 600,000.00
IN WITNESS WHEREOF, intending to be legally bound hereby and intending that this
Disclaimer and Renunciation shall be filed of record in the Office of the Clerk of the Orphans' Court
Division of the Court of Common Pleas of Cumberland County, Pennsylvania, and a copy thereof
delivered to Charles C. Carothers III and Cindy Ann C. Pagano, Trustees, as provided in Section 6204
of the PEF Code, I have hereunto set my hand and seal, this ,qI<. day of December, 2002.
#'T1.L~. ~,'...
Ethel M. Carothers
-5-
, ."--'~---_.,._..._~-_.,_._..- - "'~--"'-""~--
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNfY OF CUMBERLAND )
On this, the / qIL day of December, 2002, before me, a notary public, personally appeared
Ethel M. Carothers, known to me to be the person whose name is subscribed to the within instrument,
and acknowledged that she executed the same for the purposes therein contained.
&"'~~LUAJ
Notary Public
NOTARIAL SEAL
CORRINE l. MYERS. mlblle
Carlisle Born. Cumbert
M Commission Ei . es Ma 'n,
-6-
R~y-t!lllO'\X'II.oo)
~
GCi:~
Wfljg
5g:~
~
*'
In ,:0 - / r.
I-"! .,)
REV-1500
INHERITANCE. TAX RETURN
RESIDENT DECEDENT
COMMONWEALTH OF PENNsnVANlA
DEPARTt.ENT OF REVENUE
DEPT,2B0601
':IA.RRISBURG~!,~__.!!_128-~~_ _
,--
(jr'F'iCfAL. USE ()NL',
: FILE NUMBER
, 21 02
l____ -.QQlJtLTy ~ODE: _ YEAR
-- --
SOCIAL SECURITY NUMBER
00849
NUMBER
DECEDENTS N-AME (LAST. FIRST. AND MIDDlE INITIAL)
CAROTHERS, CHARLES C.
~
z
w
o
w
u
w
o
DATEOF'DEATH (MM~DD-YEAR)--
- -nJATEOFBIRTH{MM-DIJ.YEARj --
189-09-4458
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
03
181
o
Remainder Return (date of death prior 10 12.13-82)
4a, Future Interest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trusl)
Copyright 2000 form software only The Lackner Group. Inc,
06/23/2002
03/12/1917
------.- ----------- ----- --- ----- --- ----- .----------.-
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST AND MIDDLE INITIAL)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
Ten East High Street
Carlisle, P A 17013
'--"..- -- '. -
. - OFFIC!!'.,L USI." ONI,Y
nun
181
o
2, Supplemental Retum
(1)
(2)
(3)
(4)
(5)
(6)
(7)
735,466.32
None
None
1,348.00
---- -' ------
None
None
6. Decedent Died Testate (Attach copy
a/Will)
~~
~m
~o
u~
rrELEPHONE NUMBER
717/243-3341
------.----------
------.----
--------- ,
__u___ ______.____
(8)
736,814.32
1. Real Estate (SeIledule A)
~
~
~
~
u
w
~
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(SeIledule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule \)
11. Total Deductions (total Lines 9 & 10)
(9)
(10)
(11)
(12)
736,814.32
12. Net Value of Estate (line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (SeIledule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(13)
(14)
736,814.32
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
0.00
\4, \74.73
14,174.73
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
<"
,.",
:liu ,~}mUUhjim. ~lj;A~il11i81;0H:j0H1iG\]'+1ffiGfET-I
Form REV.1500 EX (Rev. 6-00)
15.Amount of Line 14 taxable at the spousal tax rate, 421,820.32 x .00 (15)
or transfers under Sec. 9116(a)(1.2) _.~_._--"..--._--
~ 16.Amount of Line 14 taxable at lineal rate 314,994.00 x .045 (16)
~ ----.-----.-
~
~ 17.Amount of Line 14 taxable at sibling rate x .12 (17)
~
u
~ 18. Amount of Line 14 taxable at collateral rate x .15 (18)
~
19. Tax Due (19)
Decedent's Complete Address:
STREET ADDRESS
507 Forge Road
CITY
Boiling Springs
i STATE PA
ZIP
17007
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
12,000.00
-------,.----.--
631.5 8
Total Credits (A + B + C)
3. Interest/Penalty jf applicable
D. Interest
E. Penalty
TotallnteresVPenalty (D + E)
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
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 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
(1)
14,174.73
(2)
12,631.58
(3) 0.00
(4)
(5) 1,543.15
(5A)
(5B) 1,543.15
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income oftha property transterred;.....................................,,"'....,...u.............
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 without
receiving adequate consideration?.............. ... .......,............. ......... ...... ..... ............. ............. ... ..............
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?..
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?... .................... ...................
Yes No
~ I
o /81
o /81
o /81
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 declare that I have examned this return, including acc~nying schedules and statements, and 10 the best of my knowledge and belief. It is true, correct and complete_ Declaration of
pr~r~_~the.o:.I~~e personal ~epresentaIiY~ is based on all inf~!iM of which pteparer l!~ any I<n~ed~_
SIGNATURE OF PERSON RESPONSIBLE FOR FlUNG RETURN ADDRESS
Ethel M. Carothers_ 507 For~ Road
~_--"-,-n,~ _un_~___-.farlis1"-'--~ 17013 n
SIGNATURE OF PERSON RESPONSIBLE FOR FIUN RETURN ADDRESS
~ THE THAN RE ESENTATIVEn ADDRESS ___n___n__..._
Edward L. Schorpp
Ten East High Street
Carlisle, P A 17013
DATE
.;:2,.20.CJ .3
DATE
DATE
..2 r..::;o .0 C
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. ~9116 (a) (1.1)(i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. g9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax. return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The lax 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 ofthe child is 0% [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 4.5%, except as noted in 72 P.S. ~9116
1.2) [72 P.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 12% [72 P.S. ~9116 (a) (1.3)J. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
*'
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF f'eNNsnVANlA
INHERITANCE Tp.xRETURN
RESIDENT OECCOENT
___._<<_1_
ESTATE OF
CAROTHERS, CHARLES C.
All property jointly-owned with right of survivorship must be disclosed on Schedule F,
ITEM
NUMBER .
-------r-::-....--~---'---. -------..~-----------.~--.-.----.. .----.--. ....----- ---.-.-
1 , One-half (112) interest in Legg Mason Account #360-02380,registered to Charles C.
. Carothers and Ethel M. Carothers as teneuts in common (see attached statement)
DESCRIPTION
FILE NUMBER
21 - 02 - 00849
UNIT VALUE
VALUE AT DATE OF
DEATH
735,466.32
TOTAL (Also enter on line 2, Recapitulation)
735,466.32
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMYONWEAL TH OF PENNsnVANlA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
------------------ ------.- ,---
------.._----" ----..---.------ --'---.---
ESTATE OF
CAROTHERS, CHARLES C.
FILE NUMBER
21- 02 - 00849
Include the proceeds of liligation and the date the proceeds were received by the estate. All properly jointly-owned with the right of
survivorshIp must be disclosed on schedule F.
ITEM
NUMBER
1
DESCRIPTION
VALUE AT DATE OF
DEATH
100.00
Failor-Wagner Post 421, American Legion, death benefit
2
United Church of Christ Homes, refund of credit balance
1,248.00
TOTAL (Also enter on Line 5, RecapitulatIon)
1,348.00
REV-WI3 EX+ (9-00)
*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITA.NCE TI\XRETURN
RESIDENT DECEDENT
-...---.- ------...--
ESTATE OF
CAROTHERS, CHARLES C.
FILE NUMBER
21 - 02 - 00849
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
RELATIONSHIP TO
DECEDENT
_Do .NotUsLT.ws1e.e(s~
AMOUNT OR SHARE
OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Ethel M. Carothers
507 Forge Road, Boiling Springs, PA 17007
Spouse
Residue
I
I Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate. on Rev 1500 cover sheet:
I
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
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
REV.1647 EX+ (9-00)
*'
SCHEDUL.E M
FUTURE INTEREST COMPROIVIISE
(CheckBox4aon Rev-1500CoverSheet)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
__BEm.Q!:ONTPg!:ODENT___ _
ESTATE OF
CAROTHERS, CHARLES C.
FILE NUMBER
21 - 02 - 00849
This schedule is appropriate only for Estates of decedents dying after December 12, 1982.
This schedule is to be used for all future interests where the rate of tax which wW be applicable when the future interest vests in possession and
enjoyment cannot be established with certainty.
Indicate below the type of instrument which created the future interest and attach a copy to the tax return
181 Will 0 Trust 0 Other
I. Beneficiaries
1. Ethel M. Carothers
--------- -. ---.-'.
2.
3.
4.
5.
Spouse
DATE OF BIRTH
05/08/1920
N3ElO
IIEAAEST BlRTIDAY
82
NAME OF BENEFICIARY
RELATIONSHIP
,-
II.
For decedents dying on or after July 1, 1994, if a surviving spouse exercised or intends to exercise a right of withdrawal within 9
months of the decedent's death, check the appropriate block and attach a copy of the document In which the surviving spouse
exercises such withdrawal ri9ht.
'n_ _..____n__U Unlimited_ right ofwithdraw~~D Limi!!d righ~~f withclra!,al
III. I Explanation of Compromise Offer:
Date of Death Value of Disclaimer Trust
Age of Life Tenant at nearest birthday
Federal Section 7520 rate for June 2002
Spousal Principal Withdrawal Rate
Total Interest Rate and Withdrawal Rate
Remainder Factor
Present value of spousal interest
Remainder
600,000.00
82
5.8%
5.0%
10.8%
52.50%
285,006.00
314,994.00
see footnote (1)
footnote (1) Federal Table S Single Life Remainder Factor - Life Interest Holder Age 82 and
10.8% rate Internal REvenue Service Temp. Reg. Sec. 20.2031-7T
IV. Summary of Compromise Offer:
1. Amount of Future Interest:
2. Value of Une 1 exempt from tax as amount passing to charities, etc.
(also include as part of total shown on Line 13 of Cover Sheet)
3. Value of Line 1 passing to spouse at appropriate tax rate
Check One 0 6% 0 3% 181 0%
(also include as part of total shown on Line 15 of Cover Sheet)
4. Value of line 1 taxable at lineal rate
06% 1814.5%
(also include as part of total shown on Line 16 of Gover Sheet)
5. Value of Line 1 taxable at sibling rate (12%)
(also include as part of total shown on Line 17 of Cover Sheet)
6. Value of Line 1 taxable at collateral rate (15%)
(also include as part of total shown on Line 18 of Cover Sheet)
7. Total value of Future Interest (sum of Lines 2 thru 6 must equal Line 1)
600,000.00
285,006.00
314,994.00
600,000.00
*'
SCHEDUlE 0
ELECTION UNDER SEe. 9113(A)
(SPOUSAL DISTRIBlJT1ONS)
___L
COMMONWEALTH Of PENNSnVANIA
INHERITANce TAX RETURN
RESIDENT DECEOENT
______.__.-_""_____~--- _on. _______
-------.-.-...---- ---'-- --------
ESTATE OF
CAROTHERS, CHARLES C.
, FILE NUMBER
21 - 02 - 00849
-- ---------._---- ----- ----."--------- ____no ___.__" .___ ___.____.-___
00 not complete this schedule unless the estate is making the election to tax assets under Section 9113(A) of the Inheritance & Estate Tax Act.
If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust.
This election applies to the ~isc~~i~~~"___~.____ ___. . ___ ~__ ___ Trust (marital, residual A, 8, By.pass. Unified Credit. etc.).
Ii a trust or similar arrangement meets the requirements of Section 9113(A), and:
a. The trust or similar arrangement is listed on Schedule 0, and
b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0,
then the transferor's personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the election to have
such trust or similar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property is induded as a taxable
transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of the trust or similar arrangement.
The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal
to the total value of the trust or similar arrangement.
Part A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's
surviving spouse under a Section 9113 (A) trust or similar arrangement.
DESCRIPTION
Assets listed in Disclaimer, copy attached
VALUE
600,000.00
Part A Total
600,000.00
Part B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is being made.
n' -- DESCRIPTION' VALUE
I Assets listed in Disclaimer, copy attached 600,000,00
Part B Total
(If more space is needed, insert additional sheets of the same size)
600,000.00
/
t Ii!
!.f 11
~II .l
#'
Estate Valuation
Estate of Charles C. Carothers
Joint Assets
June 23, 2002
Personal and Confidential
A Service of
Legg Mason Wood Walker, Inc,
Financial Advisor - Charles ], McKainlDavid KMetz - Carlisle, P A
Prepared: October 7, 2002
Legg Mason Wood Walker, Inc. ~ ] 00 Light Street - P.O. Box 1476 - Baltimore, Maryland 21203-1476 - (410) 539-0000
We believe the info/'/IIntiolllo be accurate bllr Legg MasolJ Wood Worker, Inc. cnnltol be held /'espollsibleJor any losses caused by
inadvertellf errors and/or omissiolls, (ftherc are (my questions regol'liing this repDrl please con/flel Legg Mason Wood Walker. Inc.
oryolIl" Legg Mason Fin((ncial Advisor.
Estate Valuation
Joint Assets
Date of Death:
Valuation Date:
Processing Date:
06/23/2002
06/23/2002
10/0712002
Estate of: Charles C. Carothers
Account: 360-02380
Report Type: Date of Death
Number of Securities: 73
rile ID: Carothers. Charles C. Joint
Shares Securi ty Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
11 23262 .41 Cash (CASH) 23.262.41
OTC
21 2143 AT&T CORP (001957109; TI
COM
NYSE
06121/2002 9. 80000 9 .37000 HIL
06/24/2002 10. 34000 9 .76000 HIL
9.817500 21,038.90
31 688 AT&T WIRELESS SVCS INC (AWE)
COM
NYSE
06/21/2002 6 09000 5.59000 HIL
06124/2002 6 .00000 5.45000 HIL
5.782500 3,978.36
4) 14 AGERE SYS mc (OO845VlOO)
NYSE
06/21/2002 2 .11000 .95000 H/L
06/24/2002 1 .98000 .85000 HIL
1.987500 27.82
51 359 AGERE SYS INC (00845V209)
CL B
NYSE
06/21/2002 2 .12000 .86000 H/L
06/24/2002 1 .95000 .82000 1-111
1.937500 695.56
6) 112 AVAYA mc (AVj
COM
NYSE
06121/2002 5 35000 4 .53000 HIL
06/24/2002 5. 20000 4 .74000 HIL
4.955000 554.96
71 3596 BELLSOUTH CORP (079860102; BLS)
COM
NYSE
06/21/2002 31. 10000 29. 85000 rilL
D6/24/2002 30. 79000 28 .87000 HIL
30.152500 108,428.39
81 157 DELAWARE GROUP EQUITY FDS I (246093108; DELFX )
BALANCED CL A
NASDAQ
06/21/2002 14.71000 Bid
14.710000 2.309.47
Div: 0.045 Ex: D6/21/2002 Rec: 06/20/2002 Pay: 06/26/2002 7.06
91 100 FIRST TR ADVANTAGE PO (33734V345)
liT eMB 188PA M
aTe
06/2112002 711 .95000 Bid
06/24/2002 711 .92000 Bid
711.935000 71.193. SO
Carryover & daily interest; MIA
Int: 3.26 Ex: 06/12/2002 Rec: 06/14/2002 Pay: 0613012002 326.00
101 140 FIRSTENERGY CORP (337932107; PEl
COM
NYSE
06/21/2002 34 .24000 33 .45000 HIL
06/24/2002 34 .30000 33 .56000 HIL
33.887500 4,744.25
Page 1
This report was produced with EstateVaL a product of Estate Valuations & Pricing Systems. Inc. If you have questions.
please contact t;VP Systems at 1818) 313-6300. (Revision 6.4,1)
Estate Valuation
Joint Assets
Date of Death:
Valuation Date:
Processing Date;
06121/2002
06/23/2002
10/07/2002
Estate of: Charles C. Carothers
Account: 360-02380
Report Type: Date of Death
Number of Securities: 73
file 10: Carothers. Charles C. Joint
Low/Bid
Mean and/or Div and Int Security
Adjustments Accruals Value
2.13000 Bid
16.57000 Bid
2.28000 H/L
2.1DCClQ H/L
34.20000 HIL
34.11000 HIL
100.38000 Bid
100.28000 Bid
100.57000 Bid
100.44000 Bid
968.83000 Bid
968.66000 Bid
Carryover & daily interest:
Int: 3.81 Ex: 06/06/2002 _Rec: 06110/2002 Pay: 06/25/2002
10 PENNSYLVANIA INSD MUNS INCOME (70884C750)
UT SER 152 S
aTe
06/21/2002
0612412002
2.130000
16.570000
2.)40000
34.902500
100.330000
100.505000
968.745000
N/A
140.97
293.937500
815.695000
45,536.33
22,181.13
3,182.40
2.268.66
4,715.51
N/A
30,151.50
N/A
35.843.57
2.939.38
NfA
28.549.33
N/A
1'his repot"c was produced with EstateVaL a product of Estate valuations &: Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300. IRevision 6.4,1)
Shares
or Par
Security
Description
High/Ask
111
21378.557 FRANKLIN CUSTODIAN fDS INC (353496300; FKINXj
INCOME FD CL A
NASDAQ
06/2112002
121
1338.632 GOLDMAN SACHS TR 138142GI03; GSCGX)
CAP GROWTH POR
NASDAQ
06/2112002
131
1360 LUCENT TECHNOLOGIES INC (549463107; LU)
COM
NYSE
06/21/2002 2.54000
06/24/2002 2.44000
141
65 MCR CORP NEW \62BB6EIOBi
NYSE
06/2112002
06/24/2002
35.30000
36.00000
151
47 NUVEEN TAX FREE UT TR INSD PA (6706H7227)
UT SER 226 M
GTe
06/21/2002
06/24/2002
Carryover & daily interest:
161
300 NUVEEN TAX EXEMPT UNIT TR PA 16706H9199)
UT SER 173 M
aTe
06/21/2002
06/24/2002
Carryover & daily interest:
171
37 PENNSYLVANIA INSD MUNS INCM TR (708837109)
UT SER 237 M
aTe
06/21/2002
06/24/2002
181
Carryover & daily interest:
191
35 PENNSYLVANIA INSD MUNS INCM TR (708840394)
UT SER 172 s
GTe
06/21/2002
0612<1l12002
Carryover & daily interest:
Page 2
293.87500 Bid
294.00000 Bid
815.80000 Bid
815.59000 Bid
Date Ot Death:
Valuation Date:
Processing Date:
Shares
or Par
201
211
221
2]1
241
251
2&1
Estate Valuation
Joint Assets
G6123J20Q2
06/23/2002
10/07/2002
security
DescriPt ion
High/ASk
Low/Bid
973 .15000 Bid
973.29000 Bid
Carryover & daily interest:
Int: 4 Ex: 06/0612002 Rec: 06110/2002 Pay: 06/25/2002
11 PENNSYLVANIA INSD MUNS INCM TR (708840600)
UT SER 181 M
=
06/21/2002
06/24/2002
Estate of: Charles C. Carothers
Account: 360-02380
Report Type: Date of Death
Number of Securities: 73
File IO: Carothers, Charles C, Joint
Mean and/or Div and Int Security
Adjustments Accruals value
973.220000
N/A
60.00
979.920000
N/A
44.11
1069.470000
N/A
68.10
99S.46000Q
N/A
43.40
1066,710000
N/A
114.50
1015.735000
N/A
38.52
957.175000
N/A
160.02
14, 59B. 30
10,779.12
16.042.05
9,954.60
26,667,75
9.141.61
40.201.35
This report was produced with EstateVal, a product of Estate Valuations &: Pricing Systems. Inc. If you have questions.
please contact INP Systems at (818) 313-6300. (Revision 6.4.1)
15 PENNSYLVANIA INSD MONS INCM TR {708B4D56Bl
UT SER 179 M
aTC
06/2112002
06/24/2002
979.90000 Bid
979.94000 Bid
Carryover & daily interest:
Int: 4.01 Ex: 06/06/2002 Rec: 06/10/2002 Pay: 06/25/1002
15 PENNSYLVANIA INSD HUNS INCM TR (70884D709)
U'1' SER 135 M
aTC
06/21/2002
06/24/2002
1069.46000 Bid
1069.480QO Bid
Carryover & daily interest:
Int: 4.54 Ex: 06/06/2002 Rec: 06110/2002 Pay: 06/25/2002
1Q PENNSYLVANIA INSD MUNS INCOME (10884E301)
UT SER 208 M
aTC
06121/2002
06/24/2002
995.49000 Bid
995.43000 Bid
Carryover & daily interest:
Int: 4.34 Ex: 06/06/2002 Rec: 06/10/2002 Pay; 06/25/2002
25 PENNSYLVANIA INSD MUNS INCOME (70884E509)
UT SER 218 M
OTC
06121/2002
06/24/2002
1066.65000 Bid
1066.77000 Bid
Carryover & daily interest:
Int: 4.58 Ex: 06/06/2002 Rec: 06/10/2002 Pay: Oo/2S/200]
PENNSYLVANIA INSD MUNS INCOME i70884E624)
UT SER 224 M
aTC
06121/2002
06/24/2002
1015.71000 Bid
1015.76000 Bid
Carryover & daily interest:
Int: 4.28 Ex: 06/06/2002 Rec: 0611012002 Pay: 06/25/2002
42 PENNSYLVANIA INSD MONS INCOME (70884E822)
UT SER 234 M
WC
06/21/2002
06/24/2002
957.27000 Bid
957.08000 Bid
Carryover & daily interest:
Int: 3.81 Ex: 06/06/2002 Rec: 06110/2002 Pay: 06/25/2002
Page 3
Estate Valuation
Joint Assets
Date of Death:
Valuation Date:
processing Date:
06123/2002
06123/2002
10/07/2002
Estate of: Charles C. carothers
Account: 360-02380
Report Type: Date of Death
Number of Securities: 73
File 10: Carothers, Charles C. Joint
Shares
or Par
Security
Description
High/Ask
Low/Bid
Mean and/or Div and Int Security
Adjustments Accruals Value
27)
10 PENNSYLVANIA INSD MUNS INC TR (70884F100l
UT SER 239 M
OTe
06/21/2002 943. 48000 Bid
06/24/2002 943 ,08000 Bid
943.280000 9,432.2,0
Carryover & daily interest: NIA
rnt: 3.75 Ex: 06/0612002 Rec: 06/10/2002 flay: 06/25/2002 37.50
PENNSYLVANIA INSD MUN5 INC 1'R (70884f'118)
UT SER 239 S
aTe
06/21/2002 943. 48000 Bid
06/24/2002 943 .08000 Bid
943 .280000 8.489.52
Carryover & daily interest: NIA
1128 QWEST COMMUNICATIONS }:NTL INC (749121109; Q)
COM
NYSE
06/21/2002 4 74000 4 .50000 HIL
06/24/2002 4 .65000 4 .30000 HIL
4.547500 5.129.58
5343 sse COMMUNICATIONS INe (78387G103; SSC)
COM
NYSE
06/21/2002 :n.350CO 30. SOODD HIL
06124/2002 31.35000 29.50000 HIL
30.675000 163,896.52
281
291
301
311 2248 VERIZON COMMUNICATIONS (VZ)
COM
NYSE
06/21/2002 41 .00000 39. 60000 HIL
06/24/2002 39 2,5000 3B .50000 HIL
39.737500 89,329.90
321 1590 VODA.FONE GROUP PLC NEW 192B577107; von)
SPONSORED ADR
NYSE
06/2112002 13 .67000 13.07000 HIL
06/24/2002 1] .49000 12.91000 H/L
13 . nSOGO 21.123.15
oiv: o. 1141 Ex: 06/05/2002 Rec: 06/07/2002 Pay: 08/19/2002 181.42
331 10000 AMCORE BK N~ ROCKFORD ILL \02341VEK1)
QTe
DTD: 10/11/2000 Mat: 10/11/20026.1%
06/2112002 100 .88240 Bid
06/2412002 100. 8754-0 Bid
1 CO. 8189'00 10.087.89
lnt: 04/11/2002 to 06/23/2002 134.00
34). 10000 51 BK & TR STATEN IS NY \7B424EAMS)
aTe
01'0: 10/31/2001 Mat: 10/31/2002 2.8%
06/21/2002 100 .08270 Bid
06/24/2002 100 .08370 Bid
lCC.C832C(\ 10,008.32
lnt: 10/31/2001 to 06/23/2002 181.22
351 5000 BEJ\L BK SSE OJ\LLAS TEX (0136BXRL4)
aTC
01'0: 12/05/2001 Mat: 12/04/2002 2.85%
OS/21/2002 100 .09410 Bid
06/24/2002 100 .09790 Bid
HH).096000 5,004.80
Int: 12/05/2001 to 06/23/2002 78.38
Page 4
This report was produced with EstateVa1. a product of Estate Valuations & Pricing Systems. Inc. If you have questions,
please contact EVP Systems at (818) JU-6300. (R.evision 6 4,1)
Estate Valuation
Joint Assets
Date of Death:
Valuation Date:
Processing Date:
0"12312002
06/23/2002
10/07/2002
Estate of: Charles C. Carothers
Account: 360-02380
Report Type: Date Ot Death
Number of Securities: 73
File 10: Carothers, Charles C. Joint
Low/Bid
Mean and/or Div and Int Security
Adjustments Accruals Value
101.29420 Bid
101.29040 Bid
101. )7160 Bid
101.36719 Bid
99.86090 Bid
99.86140 Bid
102 21150 Bid
102.21340 sid
102.688'210 Bid
102.68480 Bid
1Cl1.74860 sid
101.74730 Bid
101. 25860 Bid
101.26530 Bid
102. H2nD Bid
102.34820 Bid
101.292100
31.40
101.169394
48.97
99.86.1150
152.22
102.212450
186.49
102.686800
40.29
101.747950
34.30
101.261950
240.25
102.345100
255.94
10. 12(L 2)
17,212.80
15,971./8
14,309.74
14,376.15
18,314.63
12 .151. 43
15,351.76
This report:. was produced with EstateVaL a producr. oE Estate valuations & Pricing Systems. Inc. If you have questions,
please contact EVP Systems at (818) 313-6300. {Revision (i,4.1)
Shar"es
or pa r
Securl ty
Description
High/ASk
361
10000 WASHINGTON TR BK SPOKANE WASH (940615AZO\
O'Te
orD: 12/06/2000 Mat: 12/06/2002 6.65%
06/21/2002
0612412002
Int: 06/06/2002 to 06/23/2002
371
17000 FIRST NAT BK CONWAY SPRINGS KS (32111UAD4}
O'TC
DTD: 0]/05/2001 Mat: 01/06/2003 6.1%
06/2112002
06124/2002
381
Int: 06/06/2002 to 06/23/2002
16000 BANK WEST SAN FRANCISCO CALIF (065680BMll
OTe
OTD: 02/06/2002 Mat: 02/06/2003 2.5%
06121/2002
06/24/2002
391
Int: 02/06/2002 to 06/2]/2002
14000 FIRST USA BK WILMINGTON DEL (]37434N34\
OTe
DTD: 04/12/2000 Mat: 04/14/2003 6.95%
06121120{)2
06/24/2002
401
lnt: 04/14/2002 to 06/23/2002
14000 AMERICAN NATL BK&TR CO CHICAGO (027789RK4\
me
DTD: 06/07/2000 Mat: 06/09/2003 7.4%
06/21/2002
06/24/2002
lnt: 06/09/2002 to 06/23/2002
411
18000 FIRST MERIT BK AKRON OHIO (320844CM])
me
OTO: 06/08/2001 Mat: 06/09/2003 4.9%
06/21/2002
06/24/2002
lnt: 06/09/2002 to 06/23/2002
421
12000 PROVIDIAN NATL BK TILTON NH (74407MN68)
OTe
OTO: 07/18/2001 Mat: 07/18/2003 4.65%
06/21/2002
06/24/2002
lnt; 01/18/2002 to 06/23/2002
431
15000 PROVIDIAN NATL BK TILTON NH (74407F3H1)
OTe
OTD: 09/20/2000 Mat: 09/22/2003 6.75%
06/21/2002
06/24/2002
Int: 03/22/2002 to D6/2312002
Pa.ge 5
Estate Valuation
Joint Assets
Date of Death; 0612112002 Estate of: Charles C. Carothers
Valuation Date' 06/23/2002 Account: 360-02180
Processing Date: 10/07/2002 Report Type: Date of Death
Number of Securities: 13
File ID: Carothers. Charles C. Joint
Shares Security Mean and/ or Div Clnd lnt Security
or Par Description High/Ask Low/Bid Adjustments Accruals Va be
441 10000 DISCOVER BK GREENWOOD DEL (25467BDPOl
O'tC
OTD: 11/08/2000 Mat: 11/10;2003 6.6%
06121/2002 102. 70900 Bid
06/24/2002 102 71600 Bid
102.712500 10.211.25
lnt; 05/10/2002 to 06/23/2002 78.83
451 35000 CROSS CTRY BK WILMINGTON DEL (227482026\
OTC
DTD: 02/07/2001 Mat: 02/09/2004 5.6%
0612112002 102.15910 Bid
06/24/2002 102.16110 Bid
102.160100 3S.756.04
Int: 02/09/2002 to 06/23/2002 729.56
461 15000 MBNA AMER BK NA NEWARK DEL (55264DOC1\
GTC
DTD: 05/1012000 Mat: 05/12/2004 7.1%
06/21/2002 103 .57430 Bid
06/24/2002 103 .57550 Bid
103.574900 15,536.24
lnt: 05/12/2002 to 06/23/2002 121.29
471 24000 HOUSEHOLD BK FSB PROSPECT (441802BKOl
OTC
OTO: 08/02/2000 Mat: 08/02/2004 7.1%
06/2112002 10) .66710 Bid
06/24/2002 103 .67890 Bid
103.673000 24.,881. 52
Int: 02/02/2002 to 06/23/2002 667.40
481 10000 MBNA AMER BK NA NEWARK DEL (55264DLC8)
OTC
DTO: 10/11/2000 Mat: 10/12/2004 6.8%
06/21/2002 1D3.2~SB(} Bid
06/24/2002 103.25960 Bid
103.252700 10,325.27
Int; 04112/2002 to 0&/2312002 134 11
491 15000 CAPITAL ONE f S B FALLS CHURCH (14040VDH4J
O'te
DTO: 10/31/2001 Mat: 11/01/2004 4. .1%
06/21/2002 99 .84630 Bid
06/24/2002 99 .86430 Bid
99.855300 14, 978.30
Int: 05/0112002 to 06/2312002 88.83
501 15000 CAPITAL ONE f S B FALLS CHURCH (14040VEU4)
GTe
DTO: 12/05/2001 Mat: 12/06/2004 4.5%
06/21/2002 100. 54460 Bid
06/24/2002 100. 56250 Bid
100.553550 15.083.03
Int: 06/0612002 to 06/2312002 31.88
511 14000 CAPITAL ONE F S B FALLS CHUf{CH (14040VFQ2)
O'tC
DTO: 02/06/2002 Mat: 02/07/2005 4.5%
06/21/2002 100 .27510 Bid
06/24/2002 100. 28840 Bid
100.282050 14,039 .49
Int: 02/0612002 to OS/23/2002 239.75
Page 6
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems. Inc. If you have questions.
please contact EVP Systems at {BI8) 313--6300 IRevision 6.4 1)
Estate Valuation
Joint Assets
Date of Death: 06/23/2002 Estate of: Charles C. Carothers
Valuation Date: 06/23/2002 Accoun t : 360-02380
Processing Date: 10/07/2002 Report Type; Date of Death
Number of SeCurities: JJ
file 10: Carothers, Charles C. Joint
Shares security Mean and/or Div and Int Securi ty
or Par Description High/Ask Low/Bid Adjustments Accruals Value
~--
521 17000 DISCOVER BK GREENWOOD DEL (25467BJE9)
OTe
DTD: 03/0712001 Mat: 03/07/2005 5.65%
06/21/2002 101 .57520 Bid
06/24/2002 101 .58690 Bid
101.581050 17. 26B .18
Tnt; 01/07/2002 to 06/2) 12002 282.81
531 16000 AMERICAN NATL BK&TR CO CHICAGO (027789RL2l
OTe
orD: 06/07/2000 Mat: 06/07/2005 7.5%
06/21/2002 10J .7044() Bid
06/24/2002 103 .71530 Bid
103.709850 16,593. SB
lnt; 06/0712002 to 06/2112002 53.33
541 14000 AMERICAN NATL BK&TR CO CHICAGO (027789TA41
OTC
DTD: 07112/2000 Mat: 07/12/2005 7.15%
06/21/2002 103 .220'30 Bid
06/24/2002 10J .22900 Bid
103.224950 14,451.49
Int; 01(12/2002 to 06;2112002 447.67
551 5000 MBNA AMER BK NA NEWARK DEL (55264DVA1)
lYre
DTD: 11/0712001 Mat: 11/07/20054.4%
06/21/2002 99 .78020 Bid
06/24/2002 9B .79260 Bid
98.786400 4,939.32
Int: 05/07/2002 to 06/2312002 28.11
561 10000 DISCOVER BK GREENWOOD DEL {25467BDU9)
lYre
DTD: 11/09/2000 Mat; 11/09/2005 7%
06/21/2002 102 .82210 Bid
06/2412002 102 .83140 Bid
102.826750 10,282.68
Int: 05/0912002 to 06/2112002 85.56
571 17000 HBNA AMER BK NA NEWARK DEL (55264DRK4)
aTe
DTD: 12127/2000 Mat; 12/27/2005 6.45%
06/21/2002 101 .91630 Bid
06/24/2002 101 .92500 Bid
101.920650 17.326.51
Int: 12/27/2001 to 06/23/2002 536.07
591 10000 DISCOVER BK GREENWOOD DEL (25467BHE1)
OTe
DTD: 02/0712001 Ma.t: 02/07/2006 6%
06121/2002 101 .11310 Bid
06/24/2002 101 .12310 Bid
101.118100 10.111. 81
Int: 02/07/2002 to 06/23/2002 226.67
591 14000 PROVIDIAN NATL BK TILTON NH (74407MKTl)
lYre
DTD: 02/1412001 Mat: 02/14/2006 5.7%
06/21/2002 99.42920 Bid
06/2412002 99.44080 Bid
99.435000 13.920.90
Int: 02;14/2002 to 06/2112002 285.95
Page 7
'I'his report I>las produced with EstateVal, a product of Estate valuations & pricing Systems, InC. If you have questions,
please contact EVP Systems at (818) 313--6300. IRevisi.on 6.4.11
Estate Valuation
Joint Assets
Date of Death: 06/23/2002 Estate of: Charles C. Carothers
Valuation Date: 06/23/2002 Account: 360-02380
Processing Date: 10/07/2002 Report Type: Date of Death
Number of Securities: 7J
File In: Carothers. Charles C. Joint
Shares security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
601 35000 CITIZENS NAT BK $EVIERVILLE TN (17476NAHll
O1'e
DTD: 04/11/2001 Mat: 04/1112006 5.5%
06/21/2002 100. 08490 Bid
06/24/2002 100. 09590 sid
100,Q90400 )5,0)1.64
Int; 04/1112002 to 06/23/2002 385.00
611 11000 DISCOVER BK GREENWOOD DEL (25467BKT41
OTe
DTD; 04/18/2001 Mat; 04/18/2006 5.45%
06121/2002 101 .60570 Bid
06/2412002 101 .61600 Bid
101.610850 11, 177 .19
Int: (}4118/2002 to 06/23/2002 108.24
621 15000 PROVIDIAN NATL BK TILTON NH (74407ML861
OTC
DTD: 07111/2001 Mat: 07/11/2006 5.75%
06/2112002 98 .87630 sid
06/24/2002 98. 88580 Bid
98.881050 14,832.16
Int: 01/11/2002 to 06/23/2002 388.13
631 11000 CAPITAL CROSSING BK (140071CE9)
OTe
DTD: 09/28/2001 Mat: 09/28/2006 5'
06/21/2002 99 .50620 Bid
06/24/2002 99 .51540 Bid
99.510800 10.946.19
Int: 0312B12002 to 06/23)2002 129.86
641 5000 MBNA AMER BK NA NEWARK DEL (55264DVB9)
OTC
DTD: 11/07/2001 Ma.t: 11/07/20064.75%
06121/2002 98 .409(\(\ Bid
06/24/2002 98 .41890 Bid
98.413950 4.,9"20.010
lnt: 05/0112002 to 06123/2002 30.35
651 20000 MBNA AMER BK NA NEWARK DEL (55264DWV4)
OTC
DTD: 12/19/2001 Mat: 12/1912006 5.1%
06/21/2002 99 .62840 Bid
06/24/2002 99 .63780 Bid
99.633100 19,926.62
Int: 06/1912002 to 0612312002 11.33
661 5000 GREAT SQUTHN BK FSB (39120VHK3)
mc
DTD: 12/28/2001 Mat: 12/28/2006 5.3%
06/21/2002 100 .3933G Bid
06/24/2002 100 .40270 Bid
100.398000 5.019.90
Int: 12/28/2001 to 0612312002 128.82
671 30000 DISCOVER BK GREENWOOD DEL (25467BVGO)
O1'C
DTD: 01109/2002 Mat; 01/09/2007 5%
06/21/2002 99 .15930 Bid
06/24/2002 99. 16930 Bid
99.164300 29.749.29
Int: 01/0912002 to G612312GQ2 683.33
Page 8
1his report was produced with EstateVal, a product of Estate Valuations & Pricing Systems. Inc. If you have questions.
please contact EVP Systems at (818) 313-6300, (Revision 6.4.1)
Estate Valuation
Joint Assets
Date of Death:
valuation Date:
Processing Date:
06/23/2002
06/2312002
10/07/2002
Shares
or Par
Securi ty
Description
High/Ask
681
14000 CAPITAL ONE F S B FALLS CHURCH (14040VGE81
aTC
OTO: 02/27/2002 Mat: 02/27/2007 5%
06/21/2002
06/24/2002
Int: 02/27/2002 to 06/23/2002
691
20000 fRANKLIN TEMPLTN BK&TR S~LT LK (35472QAL1)
OTC
OTO: 04/08/2002 Mat: 04/09/2007 5.3%
06/2112002
06/24/2002
Int: 06/09/2002 to 06/23/2002
701
35000 FIRST MATL BK ROCKIES MEEKER i32112fAD61
aTC
DTD: 05/15/2002 Mat: 05/15/2007 4.85%
06/2112002
06/24/2002
lnt: 05/15/2002 to OS/23/2002
711
22000 AMERICAN NATL BK-FOX CTY APLTN (02771P~W71
aTC
OTO: 06/07/2002 Mat: 06/07/2007 4.9%
06/21(2002
06/24/2002
721
Int: 06/07/2002 to 06/23/2002
5000 MBNA AMER BK NA NEWARK DEL (55264DRQ11
OTC
010: 12/27/2000 Mat: 06/27/2002 6.3%
06/21/2002
06/24;2002
Int: 12127/2001 to 06/2312002
731
10000 MBNA AMER BK NA NEWARK DEL (55264DHM1)
OTC
010: 08/09/2000 Mat: 08/09/2002 6.9%
06/21/2002
06/2412002
Int: 02/09/2002 to 06/23/2002
Total Value:
Total Accrual:
Total: $1,470.930.63
Page 9
Low/Bid
98.97120 Bid
98.98150 Bid
100.07640 Bid
100.08640 Bid
98.02190 Bid
98.03300 Bid
98.153BO Bid
98.16170 Bid
100 01150 Bid
100.00000 Bid
100.3.8390 Bid
100.37540 Bid
Estate of: Charles C. Carothers
Account: 360~02380
Report Type: Date of Death
Number of Securities: 73
File 10: Carothers. Charles C. Joint
Mean and/or Div and Int Security
Adjustments Accruals Value
9oS.976350
13. BS6. 59
225.56
100.081400
20.016.28
41.22
98.027450
34.3C9.61
179.18
98.159250
21,595.04
47,91
100.005750
5,000.29
154.00
100.379650
10,037.97
256.83
$1,461,517.99
$9.412.54
This report Wil.S prOduced with EstateVal, a prorlllct of Estat<? valuations & Pridng Systems. Inc. If you helve questions,
please contact EVP Systems at 1818) 313-6300. (Revision 6.4.11
.
.'.
:.'.;,}1
J. ;:~
/:'
.;;
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r.l, (-L:..JO-4q.'jL'
LLoo MA~UN LA~Ll~L~
PAGE 02
TENANCY ACCOUNT AGREEMENT
(To he u::;ed f()J" tenanlS in (;ummon Gr joint tenants with lights of survivorship)
(Na.lrj~I>f~CC(.l'WI{)
Charle.s & Ethel Carothers
,
r lJi'ant'hlA~(J"unJ Num4tj
(;-.4.)
CJM
360- 02',80
Gentlemen:
""(ll) Joint Tenorlf.; ex l'e~~ inrcminn af th~ l(J1deJ'.~ign~.,.tta..CteCh.... ill: c,'i'?alc Ot' ~~lt ,1$ jailJt len.?lUs
wi~h dgh(~ of survivorship al:cl not let\an .~~lmon. .bthe~eVent of the de.aIl"l of either of the un<..lcn'dg-ned, the
entire interest ill t.he joir.l .\CC(Hlllt sh2.ll be v~~t_ed ~'i\.1l-vivor$ U:1 r11':' $1\111(", renns ,lnd corr.dieir.mri flS
theretofore hC.ld, without ill il~!I~ec,rt}kr!"~ing the decedent' ~ CSHit~ ~li.abili~Yidcd fOf below.
/ ------
>l<(b) T('_ncmt~ hI Cnmrnrm. It i::,; .he eXflro.ss intcn~ion of the undefsigned tCl create, a tenancy in common
account. III the event of the dc.:ltn of eilill"l. or [lny of Ihe lllHier~ignert (,/1::: intt:l'~~I~ ill the ~1l::C::()Urlt as of tbe C/O,'H:, o(
bllSit1!~,<;s on Ihe d:'!l.e of ueath 1)1" decedent (Dr t)r\ lhe next fOl1oWlllg bU$ine~s day if the datc of dellth is !\Ot a bminess
day), shaH be flS follows:
Charles Carothers
Name of Participant
or his 01' her ('.state 5- 0
%
Ethel Carothers
50
or hi~ nr her e~tate
~%
Name of Pal'licip~nt
_~~.~~___ or hb o(hert:.~tatc
%
Name or Participant
but any 19.>i:cs, costs, expenses, OJ' olhel' charge$ be~oming a lien ag,lin~1 Or heing payable OUI. M !h~ accmmt as the.
result of tn!:: dealh 01' the de:ccde.nt, 01' t~t'ough the exc:l'cisc by his or hel' r.'~{[lte Ot. i"(,;pJ'CsentHtive~ ()( nn)' righn:: in lh~.
accmlnt sb!\!I, so far uS p<?sslble, he deducted from thG it)wr~.~L of t.he eslate of such decedent. TbiR provision shall not
relealle the ~lece.de:I\L's cslMc from the liability provided for below,
(c) S1,1bjett to the provisions hereof, all notices, deJTHlnth, cl)t1l'frrnaciotl!', reporti>, statemelits of accO\1nt l'lnd
other communicl:1t[ons for t.hc undcl'~igl\ed in respect of the aCCOIJI\t ar('l to he dh'ecred to the add~1:s then appearing on
your books.
(d) Tn cnT1.;;idepUion of yell_lf carrying the a.bov~ ctc:lcI'ibed aCCOunt fcw the llndersignen, the under~igned JOintly
.and S~VC('(l!ly agree thflt ellch of IhelTl .~h;Jll h!\ve'; :ull!1Qrily illl hel131r of the aCCDlJl\[ to b1.JY. sell (including short I;<lks)
and otherwise deal in. throu~h YO~l as brokers, or \.vith YOll ,\!; t1i:~dli~[';_ ,-;HKk:, hond!; and m.heT S~(;Ulllie~, 011 margin l)l
otherwise; to receive or1 hehalf of the ii/Vcount J~rnand~. IlU\ll'l.'S, c(lriflllrlations, i"CllllrtS, statement$ of <'Jccoum and
cOmmtlll1cat/()lls of CVCI'Y kinci; tQ l'~ceiv~ 01t bE':nnlf of the .KC(lll\1~ moni~s, :>l't.:tll"itie.~: IJnd propei'ty of ever]' kind linG
to di~p()!H; \)f ~arne: to make on behaJf of the aCCOuilt i\gr~,el11ell\S relilling tQ f\ny of the fOJ'egoing rnatlr;r:-. :ind to
terminMe or n'todify ~Hlme 01" waivl! ;1ny of th(~ pr()v\si()l\~ L\l~lt.:M; <l1\d gCtlct"i:lHy Lo dl.lal Wilh you ot) behnlf of Ihe
aCCOUlll either individually or in jOint name as fully and completelY:t'j if t:rjCh alQne were intcr'~sled in said aCcollnl.
all withom notice. to rhe 0ther or Nhon: interesLed in :'laid lIi.;C(JUllt, You atc authofi:t,ed to follow the instruclions of i\ny
of the undersigned in evelY respect conr.erlllng I-he ~(lid aCCOunt with you and to 1Tl.1.-tke deliveries to any of the
undersignctl, ur upon the instructions of liny of the l1L1dCI"!tigncd. of flllY or flU scc~lrities in the !lllid llccol,mL, and to
mnke payments to .:1\\)' of the unde)'sigMd, or up(]n the order of any oj" tIll:. u(ldcr,~igncc1. of any or till monies <\l (l,ny
time 01' from time to tllnC in the said accQt1l\t as ~ny of the (lnder~igncd may ordcl' and d11'ec1. even if such d~H."erles
und lor .r~yrneJ1!s ;;hl111 be made to any of lh0 undersigne.d p~J'son~ny, and not far the <lecom\t of the uncterlOLgne(l. In
the event of I'lll}' such d~liverie,<; of ~ecuritie:) 01" payments of lTIlJnies lQ any of the under::;igncd as nforesaid, yO\~ shall
be undt:r n() duly or obligation to in.quire. into tbe pllrposr:: of propriety of au)' such demand for delivery {)f ~ecuritie~
or payments (If r'I1onief:, and Y<.ll1 sball not be b(Jl.ll\d to see to th~ applicatiol1 or dispo~ition of Ule said securities, Dud
tile IHTthoI'ity hereby conferred shnJ] reJYliiin in f('ll"ce llmil \vi'ltte:n noli~~ oj' l\le r~\I()cl\Hon addrcshcd- to you is
{jeli\!el'l~d :11 j(}l)r maTT! o(fi",,,,- :)l1CQ revocation Mlall be cffcctlvl:: only wilh respect ro hnl1SacliollS which migllL be
elltel'ed or rniliatc{'/ c11ercaf'ter. Thi;; ,!Ulhorl;<,:ot;oll ,\JUl.ll ntH be i.\nt:I,;L~d by the di::;abili~y, incompeLDllcC. or iLICapaci{y of
MY of us
'" SlI'ike 01.11 paragraph (a) (lr (h) wlll('h~V(lr is inapf1lh:ahle, and iftJal'(~g)'t1pl-l (b) is rew/'ruul,jW in [he tWlIle,I'
ane/ [Je!y:ell/(.ge r:l17'WUfllS of /he I!Iter~'SIS of/he nl'sper five, parties,
FOAM 003 (;;/6.18)
-'--'.-J.J
(11-L~~-44':lL
LEGG MASON CARLISLE
PAGE 03
(e) Th~ liahillly oj" [he undersigned "vith re~pect \0 !laid H(;CO\.lnt ,;;h,dl be JOInt <lnd sCW-l<il The tmde~ign~d f1jrtnel' ngree
jointly and lievcrally th<1( all propel'ty you may <'H ;my lime he /w}dilig VI" can-ying ffl)' Ilny of 0))0 or more the llndersigned shall be
mbject to ;) lien in your favor for the. dischilrge. of the obliq-iltiClrlS of th~ ,lL'L'Uunt to yOll, \udl lien \0 be in iLddltion lo and nOL ill
~uhstitutio[1 of the righti'i and rethc-dit:l> yOll otherwise would l1;;l,ve
(f) E-acb of the \mdtfSlgned shaH al:1,o n-avc the <'H\\hodty to dent with YCltl C'it~ mllrgin. including :'it10rt (titlCIi, provided (/lcy
each have a\~:n signed the Customer'<i Mrrrgin ~mJ LO;1l1 Consent Agl'eL~nlcllt f0i' the pUl'po~e of covetll1g, in iHldition t.o I'he
provisions hct'cof, the tq'I1lS \.Ipon which rhe ACCOunt i~ [0 be c~rl'iect.
(g) It is fllrther ilgreed tnM. ill the eVent uf the death of eilbyl' Qr lnl:: t1l1dtl'Sigl\~d, {be Sllrvivor or .l/llrvivQJ"S' shnll ii11mectinre:lv
g:ive you written notice thereof, unci YOLl 1l1.f1.Y, hefore O~' <lfrer J'eceiving such notice. take sllch proceeding:. require $l\cll papers ull;l
inheUfIlnce or e~tJ~te taX \.wivels, I'et~lirl ;m~~h parlioll of nnd/ot' fe!itnct {r:lnsaccion.~ in the aCCOllnt as you may deem fllivisuhle w
protect YOll Rftainst any tax, liflbility, pen;lh.y (')1' I()S",~ llnder llny pl'C!ien( .or' fUlure laws 01' otherwjse. The estate. of any of the
tlntkrs.ignl;(l who :::tll\ll have diecl.~ha(\ be Ji(ll)lc ,:md each ,<;l:lvivor shall GOntlmle Hilbl~ jOilltly 0.11(\ :<;e:veral1y, In YOLl for l.tJly nl:t llebit
balance or losfi in .)aid neCO\lnr in nny way n:~l1lLlf1g from Ihe. C(mlpleLioll of tn\nsaCli[')n~ initiated pril)l' to tbe receive hy you of the
Wn\len nOlice of the. death of the decedent ai' incurred ;11 the liquidlltiOI"\ ~~r the <ILCount ur tho::: Jdju;:;LmenL of the interests of the
respective p~l'rtie,>,
(h) YI)l[ shHll hav~ Lhe.: {'L~hL to t~,I'IHinflte tillS ilCf.O'1I11 or illlY provi~lon:<; hel'eln ;tL :JllY tlrne hy nOlice in Wl'i\:111g Illttiled to each
of 11~ ;It his I 11tH <lddJ'es~ ,lppenring on youl' O,'l{lbi :J.ml. <H'L~i' ll1v JaL~ (,1(" tllJiiing. I~f :::llch notice., you slu'lll tllkc llQ llctiol1 othei' U1I1I1
~uch actions '1~ you may deem necessary for your protection except upon wdllen in,\lT"l.rClion,>; ;.igned by tach of liS.
Dated:
~. ~.~ V,''-V~ 'J;>bf'.,
C.bl<!:$ C'J>.ro~.S
-0..---. 0 ~ ~t'-"J"'~ ..\:01\
Ei"4-l Covo t-k-rs
_ (SEAL)
(SEAL)
(J...(nl<2- S ./- EtiNJ r",^,",'fh..rS
(Primed Name of Account)
F IflLESIDA T AfILE\E$T A TES\ 10606-2,disdaimer
IN RE: ESTATE OF
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CHARLES C. CAROTHERS
ORPHANS' COURT DIVISION
ESTATE NO. 21-02-0849
DISCLAIMER AND RENUNCIATION
I, Ethel M. Carothers, hereby exercise the rights granted to me in Chapter 62 of the Probate,
Estates and Fiduciaries Code (the "PEF Code"), and I hereby irrevocably and unqualifiedly disclaim and
renounce any interest to the following assets to which I may otherwise be entitled under Item Three of
the Last Will and Testament of Charles C. Carothers, dated April 15, 2002:
Shares/Par Description CUSIP/Svrnbo[ Date-of-Death Amount
Value Disclaimed
Cash in Legg Mason Acct #360- $ II ,631.21 $ 8,673.80
02380
1071 AT&T Corp. (now 428 sh. AT&T; 001957109 $10,514.54 $ 10,514.54
693 sh. Comeast)
344 AT&T Wireless AWE $ 1,989.18 $ 1,989.18
7 Agere Sys 00845VI00 $ 13.91 $ 13.91
179 Agere Sys, Class B 00845V209 $ 346.81 $ 346.81
56 Avaya AV $ 277.48 $ 277.48
1798 BellSouth Corp. 079860102 $54,214.19 $ 54,214.19
78 Delaware Group Equity Fds I 246093108 $ 1,147.38 $ 1,147.38
Accrued dividend on Delaware $ 3.53 $ 3.53
Group Fd
50 First Trust Adv Fd 33734V345 $35,596.75 $ 35,59675
Accrued dividend on First Trust $ 163.00 $ 163.00
70 FirstEnergy Corp 337932107 $ 2,372.13 $ 2,372.13
106892785 Franklin Cust Fds, Income Fd, CI 353496300 $22,768.16 $ 22,768.16
A
669.316 Goldman Sachs Tr, Cap Growth 38142GI03 $11,090.56 $ 11,090.56
Por
680 Lucent Tech 549463107 $ 1,591.20 $ 1,591.20
32 NCR 62886EI08 $ 1,116.88 $ 1,116.88
564 Qwest Comm 749121109 $ 2,564.79 $ 2,564.79
2671 SBC Comm 783 87G 103 $81,932.93 $ 81.932.93
1124 Verizon Communucations VZ $44,664.95 $ 44,66495
.1-
795 V odafone Group 92857TI07 $10,561.58 $ 10,561.58
Accrued dividend on V odafine $ 90.71 $ 90.71
5000 Amcore Bk CD. (matured 02341VEK7 $ 5,043.94 $ 5,043.94
10/11/02)
Accrued interest to said Amcore $ 67.00 $ 67.00
Bk CD.
5000 SI Bk & Tr CD. (matured 78424EAM5 $ 5,004.16 $ 5,004.16
10/31/02)
Accrued Interest to said SI Bk & $ 90.61 $ 90.61
Tr CD.
2500 Bea1 Bk CD. (matured 12/4/02) 07368XRL4 $ 2,502.40 $ 2,502.40
Accrued Interest to said Bea1 Bk $ 39.19 $ 39.19
CD.
5000 Washinfon Tr Bk CD. (matured 940615AZO $ 5,064.62 $ 5,064.62
12/6/02
Accrued Interest to said $ 15.70 $ 15.70
Washington Tr CD.
8500 First Nat Bk CD. (matures 1/6/03) 3211lUAD4 $ 8,616.40 $ 8,500.00
Accrued Interest to said First Nat $ 24.48 $ 24.48
Bk CD.
8000 Bank West CD. (matures 2/6/03) 065680BMl $ 7,988.89 $ 7,988.89
Accrued Interest to said Bank $ 76.11 $ 76.11
West CD.
7000 First USA Bk CD. (matures 337434N34 $ 7,154.87 $ 7,15487
4/14/02)
Accrued Interest to said First USA $ 93.24 $ 93.24
Bk CD.
7000 American Natl Bk & Tr Co. CD. 027789RK4 $ 7,188.07 $ 7,188.07
(matures 6/9/03)
Accrued Interest to said American $ 20.15 $ 20.15
Natl Bk CD.
9000 First Merit Bk CD. (matures 320844CM3 $ 9,157.31 $ 9,157.31
6/9/03)
Accrued Interest to said First Merit $ 17.15 $ 17.15
Bk CD.
6000 Providian Natl Bk CD. (matures 74407MN68 $ 6,075.71 $ 6,075.71
7/18/03)
Accrued Interest to said Providian $ 120.12 $ 120.12
CD.
7,500 Providian Natl Bk CD. (matures 74407FJRl $ 7,675.88 $ 7,00000
9/22/03 )
Accrued Interest on said Providian $ 127.97 $ 127.97
Natl Bk CD.
-2-
5000 Discover Bk CD. (matures 25467BDPO $ 5,135.63 $ 5,135.63
11/10/03)
Accrued Interest to said Discover $ 3941 $ 3941
BkCD.
17500 Cross Ctry Bk CD. (matures 227482DZ6 $17,878.02 $ 17,000.00
2/9/04)
Accrued Interest to said Cross Ctry $ 364.78 $ 364.78
Bk CD.
7500 MBNA ArneI' Bk CD. (matures 55264DDC7 $ 7,768.12 $ 7,00000
5/12/04)
Accrued Interest to said MBNA $ 60.64 $ 60.64
CD.
12000 Household Bk CD. (matures 441802BKO $12,440.76 $ 12,440.76
8/2/04)
Accrued Interest to said Household $ 333.70 $ 333.70
BkCD.
5000 MBNA Amer Bk CD. (matures 55264DLC8 $ 5,162.63 $ 5,162.63
10/12/04)
Accrued Interest to said MBNA $ 67.06 $ 67.06
CD.
7500 CafIital One CD. (matures 14040VDH4 $ 7,489.15 $ 7,00000
11 1/04)
Accrued Interest to said Capital $ 44.41 $ 44.41
One CD.
7500 Caftital One CD. (matures 14040VEU4 $ 7,541.52 $ 7,000.00
12 6/04)
Accrued Interest to said Capital $ 15.94 $ 15.94
One CD.
7000 Capital One CD. (matures 2/7/05) 14040VFQ2 $ 7,019.74 $ 7,019.74
Accrued Interest to said Capital $ 119.88 $ 119.88
One CD.
8500 Discover Bk CD. (matures 317/05) 25467BJE9 $ 8,634.39 $ 8,000.00
Accrued Interest to said Discover $ 141.41 $ 141.41
Bk CD.
8000 American Natl Bk& Tr Co. CD. 027789RL2 $ 8,296.79 $ 8,296.79
(matures 6/7/05)
Accrued Interest to said American $ 26.66 $ 26.66
Natl CD.
7000 American Natl Bk&Tr Co CD. 027789TM $ 7,225.75 $ 7,225.75
(matures 7/12/05)
Accrued Interest to said American $ 223.83 $ 223.83
Natl CD.
2500 MBNA Amer Bk CD. (matures 55264DV Al $ 2,469.66 $ 2,000.00
11/7/05)
-'0'
Accrued Interest to said MNBA $ 14.05 $ 14.05
CD.
5000 Discover Bk CD. (matures 25467BDU9 $ 5, ]41.34 $ 5,]41.34
] 1/9/05)
Accrued Interest to said Discover $ 42.78 $ 42.78
Bk CO.
8500 MBNA Amer Bk CO. (matures 55264DRK4 $ 8,663.26 $ 8,000.00
12/27/05)
Accrued Interest to said MBNA $ 268.03 $ 26803
CO.
5000 Discover Bk CO. (matures 2/7/06) 25467BHEl $ 5,055.90 $ 5,055.90
Accrued Interest to said Discover $ 113.34 $ 113.34
Bk CO.
7000 Providian Natl Bk CO. (matures 74407MKTI $ 6,960.45 $ 6,960.45
2/14/06)
Accrued Interest to said Providian $ 142.98 $ 142.98
Natl CO.
17500 Citizens Nat Bk CO. (matures 17476NAHl $17,515.82 $ 17,000.00
4/11/06)
Accrued Interest to said Citizens $ 192.50 $ 192.50
CO.
5500 Discover Bk C.O. (matures 25467BKT4 $ 5,588.60 $ 5,000.00
4/1 8/06
Accrued Interest to said Discover $ 54.12 $ 54.12
Bk C.D.
7500 Providian Natl Bk CD. (matures 74407ML86 $ 7,416.08 $ 7,000.00
7/llI06)
Accmed Interest to said Providian $ 194.06 $ 194.06
Natl Bk C.D.
5500 C~ital Crossing Bk C.D. (matures 140071CE9 $ 5,473.10 $ 5,000.00
9/ 8/06)
Accrued Interest to said Capital $ 64.93 $ 64.93
Crossing C.O.
2500 MBNA Amer Bk CD. (matures 552640VB9 $ 2,460.35 $ 2,000.00
11/7/06)
Accrued Interest to said MBNA $ 15.17 $ 15.17
Amer CD.
10000 MBNA Arner Bk C.O. (matures 552640WV4 $ 9,963.31 $ 9,963.31
12/19/06)
Accmed Interest to said MBNA $ 5.67 $ 5.67
Amer CD.
2500 Great Southern Bk CD. (matures 39120VHK3 $ 2,509.95 $ 2,000.00
12/28/06)
.-4-
Accrued Interest to said Great $ 64.41 $ 64.41
Southern C.D.
15000 Discover Bk C.D. (matures 119107) 2S467BVGO $14,874.64 $ 14,874.64
Accrued Interest to said Discover $ 341.67 $ 341.67
BkCD.
7000 C2E,ital One Bk C.D. (matures 14040VGE8 $ 6,928.34 $ 6,928.34
21 7107)
Accrued Interest to said Capital $ 112.78 $ 112.78
One C.D.
10000 Franklin Temp Bk C.D. (matures 35472QALl $10,008.14 $ 10,008.14
419107)
Accrued Interest to said Franklin $ 20.61 $ 20.61
Temp CD.
17500 First Natl Bk C.D. (matures 32112FAD6 $17,154.81 $ 17,000.00
5115/07)
Accrued Interest to said First Natl $ 89.59 $ 89.59
CD.
11 000 American Natl Bk CD. (matures 02771PAW7 $10,797.52 $ 10,797.52
6/7/07)
Accrued Interest to said American $ 23.96 $ 23.96
NatlC.D.
2500 MBNA Arner Bk C.D. (matured 55264DRQI $ 2,500.14 $ 2,500.14
6/27/02)
Accrued Interest to said MBNA $ 77.00 $ 77.00
Amer Bk C.D.
5000 MBNA Arner Bk CD. (matured 55264DHMl $ 5,018.98 $ 5,018.98
8/9102)
Accrued Interest to said MBNA $ 128.41 $ 128.42
Amer Bk C.D.
Total $ 600,000.00
IN WITNESS WHEREOF, intending to be legally bound hereby and intending that this
Disclaimer and Renunciation shall be filed of record in the Office of the Clerk of the Orphans' Court
Division of the Court of Common Pleas of Cumberland County, Pennsylvania, and a copy thereof
delivered to Charles C Carothers III and Cindy Ann C. Pagano, Trustees, as provided in Section 6204
of the PEF Code, I have hereunto set my hand and seal, this ,qf- day of December, 2002.
/,t' r1 '- .,'
C~"~ J,... Jq,
Ethel M. Carothers
r."C1~,,_(J'.[ t'....\,;;.
-5-
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERlAND )
On this, the / erA- day of December, 2002, before me, a notary public, personally appeared
Ethel M. Carothers, known to me to be the person whose name is subscribed to the within instrument,
and acknowledged that she executed the same for the purposes therein contained.
~t/u_ty"y'nu 6<.1
Notary Public (j
NOTARIAL SEAL
CORRINE L MYERS. Notary PullIic
Carlisle Bora, CumberlandCounly
My Commission Ex res Ma 27,2003
.6.
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F:\FIl.ES\OATAFlLElE5lat.PI....ru'ngIIOW6-ltwill
LAST WILL AND TEST AMENT
I, CHARLES C. CAROTHERS, of South Middleton Township, Cumberland County,
Pennsy Ivania, being of sound and disposing mind and memory, do hereby make, pub lish and declare
this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me
made,
ITEM ONE
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes shall be paid to the extent possible from the assets held or passing under ITEM
FIVE hereof as soon as practicable after my decease and as part ofthe administration of my estate,
ITEM TWO
I desire that my home at 507 Forge Road, Boiling Springs, Pennsylvania, not be sold but, to
the extent possible, be retained as a home for any of my children or their issue as my children shall
detennine. This directive shall not be legally binding and shall not create a cloud on the title to my
home, and my executors, trustees, and/or beneficiaries shall be at full liberty to convey clear title
should they determine that retention of the home in the family is not practicable.
ITEM THREE
lfmy spouse, ETHEL M. CAROTHERS, is living thirty (30) days after my death, then I
give, devise and bequeath all of my estate, both real and personal property, unto my said spouse,
absolutely, Ifmy said spouse does not so survive me, then I give, devise and bequeath all the rest,
residue and remainder of my estate, both real and personal property, unto my Trustee to be held or
distributed by such Trustee under ITEM FIVE hereof.
ITEM FOUR
In the event my said spouse shall disclaim all or any portion of any devise or bequest made
to my spouse under the foregoing ITEM THREE, then the amount otherwise payable shall be held
by my Trustee under ITEM FIVE hereof. For purposes of the Trust established under ITEM FIVE
hereof, my said spouse shall not be deemed to have predeceased me by virtue of my said spouse's
exercise of the right to disclaim set forth herein.
c ((;;)
[fnitia Is)
Page I of7 Pages
ITEM FIVE
RESIDUARY AND DISCLAIMER TRUST
My Trustee shall hold the assets received under ITEMS THREE and FOUR hereof, if any,
for the following purposes:
A. My Trustee shall pay the net income, at least quarter-annually, to my spouse, ETHEL
M. CAROTHERS, for life. In addition, my Trustee in my Trustee's sole discretion, may invade the
principal of the Trust for the proper and adequate support of my said spouse.
B. My Trustee shall further pay to my said spouse, annually, such sum from the principal
of the Trust as my said spouse may request in writing, provided, however, that said sum may not
exceed the greater of Five Thousand Dollars ($5,000.00) or five percent (5%) of the aggregate value,
at the time of said request, ofthe principal of the Trust hereunder.
C. Upon the death of my said spouse, or upon my death ifmy spouse shall not survive
me by thirty (30) days, my Trustee shall distribute the principal ofthe Trust to my children, in equal
shares, absolutely.
D. In the event that any of my children shall fail to survive my spouse and me, but shall
leave issue surviving, then such deceased child's share shall be held by my Trustee and the net
income therefrom shall be used for the support, maintenance and education ofthe issue of such
deceased child. My Trustee shall use as much of the principal as it shall deem desirable for said
pUlposes. My Trustee shall distribute absolutely the principal of such share of such deceased child
to the issue of such deceased child per stirpes as each shall attain the age of twenty-five (25) years.
In the event that any of my children shall fail to survive my spouse and me and not leave issue
surviving, then such deceased child's share shall be added to the shares of my other children as if
originally a part thereof.
ITEM SIX
POWERS OF EXECUTRIX AND TRUSTEES
In addition to the powers conferred by case law, by statute, and by other provisions hereof,
my Executrix and Trustees and their successors, shall have the following discretionary powers
eI5i2r
[Initials]
Page 2 of7 Pages
applicable to all property held by them which powers shall be effective without order of any court
and shall exist until final distribution.
A. To retain any property of any nature received by them for whatever period they shall
deem advisable;
B. To invest and reinvest all or any part of said property in such stocks, bonds, common
trust funds, securities, accounts, certificates of deposit (including, but not limited to, stocks, bonds,
common trust funds, securities, accounts or certificates of deposit ofthe Trustee) or other property,
real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the
property which a fiduciary may purchase;
C. To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash
or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration
of any trust herein, without liability on the purchasers or lessees to see to the application of the
proceeds, and to give options for these purchases without the obligation to repudiate them in favor
of a higher offer;
D. To execute and deliver any deeds, leases, assignments or other instruments as may
be necessary to carry out the provisions of any trust hereunder;
E. To borrow money, including the right to borrow money from any bank and to
mortgage or pledge any asset of the estate as security;
F. To assume continuance ofthe status of any beneficiary with regard to death, marriage,
divorce, illness, incapacity and the like in the absence of information deemed reliable without
liability for disbursements made on such assumption;
G. To pay from the trust, or the income therefrom, all debts or claims against my estate,
or any taxes or similar charges on my estate;
H. To make any distribution hereunder either in kind or in money, or partially in kind
and partially in money. Distribution in kind shall be made at the market value of the property
distributed, and my Trustee, in my Trustee's absolute discretion, may cause the share distributed to
any distributee to be composed of property similar to or different from that distributed to any other
distti butee;
~
[Initials]
Page 3 of7 Pages
I. To exercise any subscription right in connection with any security held hereunder,
to consent to or participate in any recapitalization, reorganization, consolidation or merger of any
corporation, company or association, the securities of which may be held hereunder, to delegate
authority with respect thereto, to deposit investments under agreements, to pay assessments, and
generally to exercise all rights of investors;
J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries
of any trust hereunder;
K. To continue in any partnership, joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
L. To compromise claims;
M. To continue for whatever period oftime as they shall deem necessary any ownership
as a tenant in common or as a partner, in real estate or other property and to act as I could have done
had I been living;
N. To lend money to my estate or to any trust created hereunder or to purchase from the
estate or from any trust created hereunder, at the market value thereof at the time of purchase, any
securities or other property tendered to them by my estate or any trust created hereunder at any time
and from time to time within a period of nine (9) months after my death;
O. In the event that any amounts are payable hereunder or under any trust created
hereunder to a minor, or to a person otherwise under legal disability, or to a person not adjudicated
to be an incapacitated person, but who, by reason of illness or mental or physical disability is, in the
opinion ofthe fiduciary(ies) hereunder, unable to properly administer such amounts, such amounts
may be paid by the fiduciary(ies) hereunder in his, her or their sole discretion in any ofthe following
ways as he, she or they may deem best:
1. Directly to such beneficiary;
2. To a legally appointed guardian of such beneficiary for the benefit of such
beneficiary;
3. To a person having custody of such beneficiary for the benefit of such
beneficiary;
@
[Initials]
Page 4 of 7 Pages
4. By the fiduciary(ies) hereunder using such amounts directly to the benefit of
such beneficiary.
Evidence of the application of payment of an amount in such a manner shall be a full and complete
discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This
paragraph shall be applicable to payments of income as well as principal.
P. To employ agents, attorneys and proxies and to delegate to them such power as my
personal representatives and Trustees consider desirable and to pay reasonable compensation for
such services as may be rendered by such agents, attorneys and proxies;
Q. To conduct an inventory of any safe deposit box necessary to the administration of
my estate.
R. To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of my Estate.
ITEM SEVEN
PROTECTIVE PROVISIONS
All income or principal held for the use and benefit of the beneficiaries of any trust hereunder
shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor
shall any such interest, while in the possession of my Trustees, be liable for or subject to the debts,
contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or
sequestrations under process oflaw.
ITEM EIGHT
APPOINTMENT OF EXECUTRIX AND TRUSTEE
I nominate, constitute and appoint my spouse, ETHEL M. CAROTHERS, as Executrix of
my estate. In the event that my said spouse shall predecease me or fail to act as Executrix, then I
appoint CHARLES C. CAROTHERS, III and CINDY ANN C. PAGANO, or the survivor ofthem,
as Executor( s) of my estate.
I nominate, constitute and appoint CHARLES C. CAROTHERS, III and CINDY ANN C.
PAGANO, or the survivor of them, as Trustee(s) of any trust created hereunder.
~.
cbcl
c:'
[Initials)
Page 5 of 7 Pages
ITEM NINE
W AlVER OF BOND
I direct that my Executrix and Trustees or their successors shall not be required to file any
bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be required
to obtain any order or approval of any court for the exercise of any power or discretion set forth in
this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this
,/?rn/L ,;;<00':<
'.S:dz!
) day of
(T') (ti\ I g) \~.;7
tv',,,)) u IT
.,.
~r~~.,I.'..... j
~..--.:L.-J
c"i
Charles C. Carb~_?/i
......
i--!... '\.~L
(SEAL)
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, have hereunto subscribed
our names as witnesses thereto, in the presence oCthe said Testator and of each other.
~f~
JJ1 o,~ (I' (i ~>1?f -c:-
. 1
Page 6 of? Pages
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We, Charles C. Carothers, Edward 1. Schorpp, and nl,j/ I Ci -tt- Y (' 17n1 ,,-faYl
I
the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and
executed the instrument as his last Will and that the Testator has signed willingly, and that the
Testator executed it as his free and voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that
to the best ofhis/her knowledge the Testator was at that time eighteen years of age or older, of sound
mind and under no constraint or undue influence.
~"'..t.,_
- I.
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. .I,"' / ,
~ I
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. '
WItness
h' ,
~t~~1
,
Testator
~~
Subscribed, sworn to and acknowledged before me by Charles C. Carothers, the Testator, and
subscribed and sworn to before me by Edward 1. Schorpp and nl ~ ,-12 ,'It Y [1 f?v,.{ .Yhn
I
the witnesses, this IS1f-...dayof H-rr; I , u<:o2.
/] ::d-'~
(_~,'(,1oc5 . trl..-a<J <)/
Not3.ry Public 0
NOT AAtAL SEAL
COARINE L MYERS Notary Public
Carlisle Boro. Cumbl.rlandCounty
M Commission Ex ires Ma 27.2003
PSlO''''' 7 {").f7 P<:I.npco
~j/
01(
REGISTER OF WILLS OF CUMBERLAND COUNTY
STATUS REPORT UNDER RULE 6.12
(For Resident Decedents Dying After July 1, 1992)
Name of Decedent:
CHARLES C. CAROTHERS
Date of Death:
June 23, 2002
File No.:
2002-00849
Social Security No.:
189-09-4458
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect
to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes~ No
2. If the answer is No, state when the personal representative reasonably believes that the
administration will be complete:
3. If the answer to No. I is Yes, state the following:
a. Did the personal representative file afinal account with the Court?
Y~ No x
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account informally to the parties in
interest?
Yes x No
d. Copies of receipts, releases, joinders and approvals offormal or informal accounts
may be filed with the Clerk of the Orphans' Court and ma be attached to this report.
Date: .:3 PC? /~ 'f
Signature:
Name:
Address:
"""qUH'~)
Edward L. Sc 0 p, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, P A 17013
(717) 243-3341
Counsel for personal representative
, :-::1:1
L L: Z d 62 ~\lW tlO.
F: IFILESIDA T AFILE\EST A TES\ I 0606-2.SREP
/j8
:-J9l:J
fc,uJ V'-
F:\FJLES\DA T AFlLB\EST A TES\ 10606-2-noliee.cen
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Charles C. Carothers
Date of Death: June 23, 2002
File No. 21-02-0849
To the Register:
I certify that notice of estate administration reqnired by Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on or
about January 3, 2003.
Ethel M. Carothers
507 Forge Road
Boiling Springs, P A 17007
Charles C. Carothers ill
595 Forge Road
Boiling Springs, P A 17007
Cindy Ann C. Pagano
383 Limestone Road
Carlisle, PA 17013
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: N/A
Date: January 3, 2003
Signature:
Name:
~V(~
Edward L. Schorpp, Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, P A 17013
(717) 243-3341
Attorney for Personal Representative
""
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N
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,.....-..
f=i . .
"
'--
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEFT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SCHROPP EDWARD L ESQUIRE
10 EAST HIGH STREET
CARLISLE, PA 17013
----u--fold
ESTATE INFORMATION: SSN: , 89-09-4458
FILE NUMBER: 2102-0849
DECEDENT NAME: CAROTHERS CHARLES C
DATE OF PAYMENT: 02/21/2003
POSTMARK DATE: 0010010000
COUNTY: CUMBERLAND
DATE OF DEATH: 06/23/2002
NO. CD 002202
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,543.15
I
I
I
I
I
I
I
I
.
TOTAL AMOUNT PAID:
$1,543.15
REMARKS: ETHEL M CAROTHERS
CIO EDWARD L SCHROPP ESQUIRE
CHECK# 6316
SEAL
INITIALS: DO
RECEIVED BY:
REGISTER OF WILLS
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
/'7-.5"9- /0
'\. BUREAU OF INDIVIDUAL TAXES
INHERITANCE TO. DIVISION
DEPT. 280601
HARRISBURG, PA 17128-D6Dl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEIIENT, ALLOWANCE OR DlSALLOIIANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-05-2003
CAROTHERS
06-23-2002
21 02-0849
CUMBERLAND
101
""aunt R_I tted
EDWARD L SC~ORPP
HARTSON ET IW
10 E HIGH ST
CARLISLE
PA 17013
*'
10-1547 ElI.FP CI1-'5J
CHARLES
C
I ) CHANllED
(1)
12)
13)
1'1)
IS)
161
17)
.00
735.466.32
.00
.00
1.348.00
.00
.00
18)
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REIi:i5ii"j-EiCAFP-loFii3ntciT"'icE--oF-lriiEiiifAiiCE-TArAiipiAisEiiEN;"~--A:L,LOiiAiiCE-Oii-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CAROTHERS CHARLES C FILE NO. 21 02-0849 ACN 101 DATE 05-05-2003
TAX RElVIN liAS: I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED OM: ORIGINAL RETURN
1. R..I Eststs ISchsduIs A)
2. Stocks _ _s ISchsduIs 8)
3. Clossly Hsld StocklPsrtnsrshlp Intsrsst ISchsduIs C)
'i. Kort_slNotss _lvsbIs ISchsduIs D)
5. es_ IIsposltsIKlsc. PsrsonsI Pr_dy IScheduIs E)
6. Jointly 0Nnsd P~rty ISchsduIs F)
7. T,.....si.rs (Schadule 8)
8. Total As_t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F....rsI E""""sss/Ads. Costs/Nlsc. EKpensss I_Is H) (9)
10. Dobts/Kort_ LIsbllltlss/Llsns ISchsdule I) 11')
11. TotsI _Uons
12. Hat V.l.. of Tax R.tum
13. ChsrltsbIs/80vsrnssntsI Bsqussts; Non-slected 9113 Trusts IScheduIs J)
1'1. list Vslus of Eststs Subject to Tsx
I~ an asse....nt was issued previDuslY, lines 14, 15 and'Dr 16, 17, 18 and
ra1'leC't 'figures that include the tatel 01' ~ returns assessed tD date.
ASSESSMENT OF TAX:
15. _t of Line 1'1 st Spousal rete 115)
16. _t of Llns 1'1 tsxsbIs st LlnseI/CIsss A rsts 116)
17. _t of Line 1'1 st Sibling rsts 1171
18. Asount of Line 1'1 tsxsbIs st CoII.tsrsI/CIsss 8 rsts 118)
19. PrlnclpeI Tax Due
,
NOTE:
IUlBER
CD0016 8
CD002202
INTEREST/PEN PAID I-I
631.58
.00
DATE
09-19-2002
02-21-2003
.00
.00
1111
112)
113)
11'11
421,820.32 X
314,994.00 X
.00 X
.00 X
ANlIlINT PAID
12,000.00
1,543.15
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
00 =
045 =
12 =
15 =
119)=
NOTE: To Insure proper
erMlI t to your 8CCOW'It I
....:It tIw upper portion
of this ~orn with your
tax ..."...,t.
736,814.32
no
736,814.32
.00
736,814.32
19 will
.00
14,174.73
.00
.00
14,174.73
14,174.73
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAll $I, NO PAYNENT IS REIIlIIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT'" ICR), YDU NAY 8E DUE
A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIDNS_l
EDWARD L SCHORPP
MARTSON ETAL
10 E HIGH ST
CARLISLE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF DETERMINATION AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
CLOSING LETTER
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
i c_', (, COUNTY
ACN
*'
II'
BUREAU OF INDIVIDUAL TAXES
DDERITUlCE TAX 11'41S1OK
IEPT. 280601
HARRISBURG, PA 17128-8601
""-15'U"""I-.)
I,
02-09-2004
CAROTHERS
06-23-2002
21 02-0849
CUMBERLAND
202
A.........t RMittsd
CHARLES C
PA 171113
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, sub.it the upper portion of this fo~ with your tax ~t.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
R'EY=736-ix-AF;iTiii:.ozr----iiii-.,iiiiic{-oj:--lii"UMiiiAfilitniiinSiuSMiiiy----------------------------
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ..
ESTATE OF CAROTHERS
CHARLES
C FILE NO.21 02-0849
ACN 202
DATE 02-09-2004
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
.00
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
13,543.15
3. Inheritance Tax Asses.ed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
.00
4. Total Inheritence Tax Assessed
13.543.15
5. Pennsylvania Estete Tax Due
.00
6. Amount of Pennsylvania Estete Tax Previously Assessed
Based on Federal Estate Tax Return
.00
7. Additional Pennsylvania Estate Tax Due
.00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AHOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEM. .00
TOTAL DUE .00
-IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN 'I, NO PAYMENT IS IlEllUlRED
FOR CALCULATION Of ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU NAY IE
DUE A RE_. SEE REVERSE SIDE Of THIS FOHN FOIl IIISTJM:TIONS. I