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Home My WebLink About02-0224Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of DONALD C. SAYLOR No. also known as D.C. SAYLOR , Deceased Social Security No. 177-24-2810 Petitioner(s), who is/are 18 years of age or older, apply(les) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut ORS ~'~ Decedent, dated 3/20/2001 and codicil(s) dated NONE named in the Last Will of the State relevant circumstances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: E3 B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minodtate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CLT~B£RJ.AND (~ounty, Pennsvlvania, wit.h his/her last family or principal residence at 543 APPALACHIAN AVENUE, MECHANICSBURG, PA ('.fZ..~,..~....,,,~._,~ (list street, number and ~'~'p~ity) Decedent, then 71 years of age, died FEBRUARY 19 ,2002 , at HOLY SPIRIT HOSPITAL (Location) 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 .................... $ (If not domiciled in PA) Personal property in County .............................. $ Value of real estate in Pennsylvania ........................................................................................ $ Total ..................................................................................................................... $ [J-ND~MT~ Real Estate situated as follows: CUMBERLAND COUNTY, PENNSYLVANIA Wherefore, Petitioner(s) respectfully request(s) the probate of the Last VV~II and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Signature Typed or printed name and residence HAMILTON C. DAVIS, P.O. BOX 40~ SH1PPENSBURG? PA CRAIG L. SAYLOR? 104 PIN OAK DRIVE1 CARLISLE? PA CURT A. SAYLOR~ 7 MIDLAND AVENUE? NEVvWILLE? PA /7.- Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND COUNTY The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioper(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estat~_~o~g to la~'/ Sworn to and affirmed and subscribed before; me this 28th day of February 2002 DECREE OF REGISTER Estate of DONALD C. SAYLOR also known as D.C. SAYLOR Deceased No. 21-2002-224 Social Security No: 177-24-2810 Date of Death: 2/19/2002 AND NOW, ~a~ch: 1st, , 2002 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [~ Testamentary ~ of Administration (c.t.a., d.b.n.c.t; pendente lite; durante absentia; durante minodtate) are hereby granted to HAMILTON C. DAVIS~ CRAIG L. SAYLOR? AND CURT A. SAYLOR, CO-EXECUTORS in the ~above estate and that the instrument(s), if any, dated March 20, 2001 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES 18.00 Letters .................................... $ Shod Certificate(s) ......... .3..0... $ 90.00 Renunciation .......................... $ Affidavit ( ) ....................... $ Extra Pages( 6 ) .............. $ 18.00 Codicil ................................. $ JCPFee ................................. $ 5o00 Inventory & Tax Forms ............. $ Other ....................................... $ TOTAL ............................. $ 131.00 ~%_ILED ~ 1'O HJ~flL~ C. DAVIS RW-7A ON 3-1-2002 Attorney: HAMILTON C. DAVIS I.D. No: 10264 Address: P.O. BOX 40 SHIPPENSBURG PA 17257 Telephone: 532-5713 DATE FILED: - 3-1-2002 his 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 Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 8066540 No. Local Registrar COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH ' VITAL RECORDS CERTIFICATE OF DEATH 0~CEDENT'$MAIUNGADIARESS(~,~.C~AFro~m S~a~.Z~C<~ei 10~iCED~NT'S ~7..m~ r y~ ~ne~s-~van;a 543 A~lac~in Argue. ,.. ~ch~icsb~g, PA 17055 ~les Saylor Janet Saylor [] ,,.Feb. 22, 2002 ,Td.ik"l ~,.~ Mechanicsburg ,,. Helen Goerner ,~O.U*.T'S U,,U,m .XX~.~ p.... C*,.o..,. S,.,. a%C~.) - 17~-- [~.543 A~lac~n Ave. ~icso~g, PA u~ ,,~olling ~5~,~ ~ ,,t~ill, PA 17011 Im.Malpezzi 8 Market Plaza Way M~, PA 1705 5 G:" ......... .... ;_1. ................ ..l:°-°-I:". ...... - LA,/~/~ LAST WILL AND TESTAMENT I, DONALD C. SAYLOR of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and personal property as set forth in a separate memorandum (which is signed by me, dated and makes specific reference to this Will and memorandum, which I shall place with my Will or deposit with my attomey), to the persons therein designated. ITEM III: I give and bequeath all my tangible personal property, including but not limited to, any and all automobiles and other motor vehicles, household goods and furniture and furnishings (other than those things already held jointly with my spouse), china, silverware, jewelry, ornaments, works of art, books, pictures, wearing apparel and personal effects, (together with any insurance thereon) but excluding cash on hand and tangible evidences of intangible personal property and not including any items specifically gifted pursuant to ITEM II above, to my wife, JANET B. SAYLOR, and to my children, CRAIG L. SAYLOR and CURT A. SAYLOR, and to my daughters-in-law and to my grandchildren, in such shares as shall be determined by my I direct that all my just debts (except as may be barred by a Statute of Executor, HAMILTON C. DAVIS, giving due regard to any mutual agreement among the beneficiaries, the personal preferences of the beneficiaries, and any instructions I may have given to my Executor during my lifetime. Any of such items as are not distributed to an individual beneficiary shall be distributed to such charitable and/or non-profit organization as shall be selected by my Executor, HAMILTON C. DAVIS, giving due regard to indications I may have given as to which organizhtion or organizations I wish to express benevolence toward. ITEM IV: I devise and bequeath the residue of my estate to the Trustee acting at the time of my death under the Trust created by me on o~'.]~x~/_~O~! , of which HAMILTON C. DAVIS, CRAIG L. SAYLOR and CURT A. SAYLOR are Trustees, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof. such Trust and administered and distributed as a part My residuary estate shall be added to thereof, including any alterations or amendments thereto made pursuant to its terms or to any other lifetime trust which I may hereafter substitute therefor. Should the Trust created by me on ~ be entirely revoked without a substitute (or other provision made in the document of revocation) or should that Trust fail to exist or be or become unenforceable for any reason, then my residuary estate shall be held and administered and distributed by my Executor as a Trustee pursuant to the terms and provisions of that Trust as it on ~, without such resultant Trust being considered a testamentary Trust. existed ITEM V: My Executor and/or Trustee herein appointed shall have, in addition to those powers vested in it by law and any other provisions of my Will, all powers granted by me to the Trustee or any Fiduciary in the above referenced Trust (and any amendment of or substitute for such) as fully and completely as if the same were set forth herein in their entirety and the same are hereby incorporated herein by reference. ITEM VI: All Federal, State and other death taxes payable because of my death with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax and not caused by negligent delay, shall be considered a part of the expense of the administration of my estate and to the extent possible shall be paid from the non-marital portion of my Trust referred to above without apportionment or right of reimbursement, except for the following specified death taxes, which shall be payable from the sources specified herein (and if no source is specified, from the source determined under the provisions of Chapter 37 of the Pennsylvania Probate, Estates and Fiduciaries Code, as in effect on the date of execution of this Will): A. Any tax imposed by Chapter 13 of the Internal Revenue Code of 1986, as amended, (herein "CODE") (generation-skipping transfer tax) shall be payable from the property constituting such taxable transfer (except as may be provided otherwise in later provisions hereof or in a relevant Trust instrument); B. Any tax resulting from the inclusion in my estate of any qualified retirement plan benefit under CODE Section 2039(b) (whether such amounts are included in the probate estate) and any tax resulting from excess retirement accumulation under CODE Section 4980A(d), should this section be re-enacted, shall be payable by the recipient(s) of any such benefits. Any tax resulting from the inclusion of any property in my estate under CODE Section 2044 and/or CODE Section 2056(b)(7) (certain property for which marital deduction was previously allowed), whether or not such taxes are statutorily payable by my estate or the recipient of any such property shall be payable by the recipient of or from such property. D. Any additional estate tax imposed by CODE Section 2032A (valuation of certain business, etc., real property) shall be payable by the qualified heir or heirs whose actions result in the imposition of such additional estate tax. E. Any tax resulting from the inclusion in my estate under CODE Section 2040 of the value of any jointly owned property shall be payable by the surviving joint tenant(s) of such property. F. Any tax resulting from the inclusion in my estate under CODE Section 2042 of the proceeds of life insurance shall be payable by the beneficiary(s) of such life insurance. G. Any tax resulting from the inclusion in my estate under CODE Section 2041 of the value of any property subject to a Power of Appointment, shall be payable by the appointee of such property. J. Any tax payable from a trust or other source which instrument specifically provides therein for the payment of taxes shall be paid as provided for in the relevant instrument. It is my intention that this tax clause of my Will and any tax clause of any Trust document be viewed and interpreted as an integrated whole, with it being my intention to have all death taxes paid from the most appropriate and equitable sources and in a manner as to give meaning to all provisions of my Estate plan. K. I authorize my Executor, in my Executor's sole discretion, to make an election, in whole or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property passing to or for the benefit of my spouse or to defer the Pennsylvania Inheritance Tax on such My Executor shall be without liability to anyone for making or failing to make such property. election. ITEM VII: I hereby specifically direct and declare that I do not imend the operation of the tax payment directions contained in Item V of this Will to waive the right of recovery of Federal Estate Tax provided for under Section 2207A of the Intemal Revenue Code of 1986 (as amended) (the "CODE") on property includable in my taxable estate by reason of CODE Section 2044. ITEM VIII: I appoint HAMILTON C. DAVIS, CRAIG L. SAYLOR and CURT A. SAYLOR, Co-Executors of this my Last Will. Decisions of my co-Executors shall be made by majority decision, except that in the event of a disagreement among my co-Executors, the decision of HAMILTON C. DAVIS shall control. ITEM IX: I direct that my Executors or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM X: My individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from time to time and/or to reimbursement of out of pocket expenses. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on six (6)sheets ofpaper, date.dJl~: ~t~~' day of_ f~l~ t~ /~2001. The preceding instrument, consisting of this and five (5) other t~ewritten pages, each identified by the signature or initials of the Testator, was on the day and date thereof signed, published and declared by the Testator therein named, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed our names I, DONALD C. SAYLOR, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed/it)willingly and a~y/~ and v~mtary act for the purposes therein expressed. Swom to or affirmed and acknowledged ' L/'~0~A~LD C. ~AYL,~,~/ before me by DONALD C. SAYLOR., the / Tfes~°r' this c'~) b bh~lay °f ~/~ /~~ (.~ N°tatY/Public INotarial Seal [ Nichole J. Kellert, Notary Public Shlppensburg Bom, CUmberland County My Commission Expires Aug. 18, 2003 COMMONWEALTH OF PENNSYLVANIA: : SS. COUNTY OF CUMBERLAND : We, %FIOI' / 3L~IQ ~. ~5~1/;$ and ~.J"~ ] ~. ~l[[ ;,~K ,thewitnesseswhose names are signed to the attached or foregoing instrument, being duly q~alified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his flee and voluntary act for the purposes therein expressed; that each subscribing witness in the heating and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age itnd of sound mind and under no constraint or undue influence. Swom to or affir/ned ~and subscribed to be.~f, ore me_by ,'-~.~m,/%nC/~hv;xand ,f& l I~. Tull, mr~ r , witnesses, this ~'-Pt'~ day of C~/~C ~) ,2001. ~ Notary gt~blic Notarial Seal Nichole J. Kellert, Notary Public Shi nsburg Boro, CUmberland County I,~ ,p~pe~mmission Ex~ires Au.O. 18, 2003 \XNEW TRINA\C\Worddocs\CLIENT~Saylor, Don & Janet~SaylorD Will.doc 7 CERTIFICATION OF NOTICE UNDER RULE 5.6{a) Name of Decedent: Donald C. Saylor Date of Death: February 19, 2002 Will No.: 21-02-0224 To the Register: I certify that notice of (beneficial interest) estate administration required 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 May 15, 2002 : Name Address Craig L. Saylor, 104 Pin Oak Drive, Carlisle, PA 17013 Curt A. Saylor, 7 Midland Avenue, Newville, PA 17241 Janet B. Saylor, 543 Appalachian Avenue, Mechanicsburg, PA 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Date: 05/15/02 Signature Name: Hamilton C. Davis, Esq. Address: P.O. Box 40 Shippensburg, PA 17257 Telephone: 717-532-5713 Capacity: __ personal representative X counsel for personal representative November 18, 2002 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT Of REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG, PA 17128-0601 Law Offices of Hamilton, Davis, Zullinger & Davis P.O.Box 40 Shippensburg, Pa. 17257 Telephone (717) 787-3930 FAX (717) 772-0412 Dear Mr Davis: Re: Estate of Donald C. Saylor File Number 2102-0224 This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before May 19,2003. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. Sincerely~ ~'~Jeffrey Hollenbush, Supe~isor Document Processi~ ~nit Inheritance Tax Division ~, /' ~o - ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG, PA 17128-0601 Telephone November 18, 2002 _ (717) 787-3930 FAX (717) 772-0412 Law Offices of Hamilton, Davis, Zullinger & Davis P.O. Box 40 Ship~pensburg, Pa.17257 Re: Estate of Donald C. Saylor File Number 2102-0224 Dear Mr Davis: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before May 19,2003. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. Since-_ ___ ., .: _._ 7 ~'~~t,~sf;.,r. r :' ! ~~ ~ ~~ ~~1 Jeffrey Hollenbush, Supervisor Document Processing Unit Inheritance Tax Division COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG, PA 17128-0601 Telephone November 18, 2002 (717).787-3930 FAX (717) 772-0412 Law Offices of HamiNton, Davis, Zuflinger & Davis P.O. Box 40 Shippensburg, Pa.17257 Re: Estate of Donald C. Saylor File Number 2102-0224 Dear Mr Davis: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before May 19,2003. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. '~ Since ~~ly, 9 ~~ -~ Jeffrey Hollenbush, Supervisor Document Processing Unit Inheritance Tax Division LAW OFFICES OF ZULLINGER- DAVIS PROFESSIONAL CORPORATION JOEL R. ZULLINGER 14 North Main Street Suite 200 Chambersburg, PA 17201 717-264-6029 Fax: 717-264-1884 zulngrlaw~supernet.com Dale F. Shughart, Jr. of counsel HAMILTON C. DAVIS 20 East Burd Street, Suite 6 P.O. Box 40 Shippensburg, PA 17257 717-532-5713 Fax: 717-530-5222 davislaw~supemet.com May 19, 2003 Register of Wills Cumberland County Court House Carlisle, PA 17013 RE: Estate of Donald C. Saylor Estate File No. 21-02-0224 DOD: 02/19/02 To Whom It May Concern: ~'!:i)~ O~ Enclosed for filing is our Pennsylvania Inheritance Tax Return, filed in duplicate and a check in the amount of Forty Thousand Nine Hundred Fourteen and 40/100 ($40,914.40) as payment for the above estate. See attached copy of extension for filing by this date. Also enclosed is a copy (without Exhibits) of the Federal Farm 706 (Estate Tax Return) for this estate. A check for filing fee in the amount of $15.00 is also enclosed. Thank you. Sincerely yours, for Zullinger - Davis Professional Corporation HCD/njk Enclosures Estate of Donald C. Saylor File # 21-02-0224 DOD: 02/19/2002 List of Attachments To Pennsylvania Inheritance Tax Remm (in order of Reference) 1 - Copy of Will 2 - Revocable Standby Trust 3 - Calculation of Value of Decedent's Interest in Business Real Estate (with Attached Appraisal) - Schedule A 4 - Business Valuation - Schedule C 5 - 2001 Corporate Tax Returns and Financial Statements - Schedule C 6 - Valuation Letter of Bank Accounts - Schedule E 7 - Evaluation of Vehicles and related - Schedule E 8 - Promissory Note and Amortization Schedule - Schedule I ~:oo COMMON~=ALTH OF P~NNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0~01 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER COUNTY CODE 02 0224 YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Saylor, Donald C. 177-24-2810 DATE OF DEATH (MM-DO-YEAR) DATE OF BIRTH (MM-DB-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 02/19/2002 05/06/1930 REGISTER OF WILLS IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER z Saylor, Janet B. [] 1. Odginal Return [] 2. Supplemental Return [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach of Will) copy of Trust) [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between ] 3. Remainder Return (date of death pr;or to 12-13-82) [] 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [] 11.Election to tax under Sec. 9113(A) (Attach Sch O) 12-31-91 and 1-1-95) THiS SECTION MUS~ BE COMPLETED!ALL CORRESPONDENcE AND CON~iDENTIA~ TAX iN~OR~iON SHOULD:BE DIRECTED TO: NAME Hamilton C. Davis ;IRM NAME (If applicable) Zullinger - Davis, PC rELEPHONE NUMBER 717/532-5713 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) COMPLETE MAILING ADDRESS · 20 East Burd S~'eet, Suite 6 · P.O. Box 40 Shippensburg, PA 17257 894,500.0~') ~ 272,299.3 ~!i. ~.' (8) 2,504,799.22 611,897.19 1,892,902.03 1,892,902.03 74,587.50 537,309.69 (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, ], 0 ] 0, ] 8 5.04 x .00 or transfers under Sec. 9116(a)(1.2) 16. Amount of Line14 taxable at lineal rate 882,716.99 x .045 (15) (lO) 0.00 39,722.26 39,722.26 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due 20. [] (19) : >> BE suRE T° ANSWER ALL QUESTIONS ON REVERSES DE AND RECHECK MATH << : : ; Copyright 2000 form software only The Lackner Group, Inc. Form REV-tS00 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS CITY Mechanic sburg 543 Appalachian Avenue STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Pdor Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty 1,192.14 (1) Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 39,722.26 0.00 1,192.14 40,914.40 40,914.40 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Did decedent make a transfer and: 1. Yes No a. retain the use or income of the property transferred; .................................................................................. ~ ~ b. retain the right to designate who shall use the property transferred or its income; .................................... c. retain a reversionary interest; or .................................................................................................................. d. receive the promise for life of either payments, benefits or care? .............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death 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? ...................................................................................................................... [] [] 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 examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SlGNATU. RE OF PERSO. N RESPONSIBLE FOR FI~JNG RETURN ADDRESS DATE c e.o. o 40 · Shippensburg,, PA 17257 ,~ SIG-Ii~TURE OF P'ERSO'N RESPONSIBLE FOR FILING RETURN ADDRESS DATE SIGNATURE OF,/~EPARER OTHER THAN REPRESENTATIVE ADDRESS DATE Hamilton C,~/~)a~is ~ / . 20 East Burd Street, Suite 6 ~ Shippensburg, PA 17257 ~ ~ ~ :, ~:: ...~ For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. {}9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt 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 tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.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)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. SCHEDULE A REAL ESTATE COMMONV~lcAL33-t OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Saylor, Donald C. 21 - 02 - 0224 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 894,500.00 An undivided one-half (1/2) interest as Tenant in Common situated in West Pennsboro Township, Cumberland County, Pennsylvania, known as Don Saylors Market, with a property address of 37 Carlisle Road, Newville, PA 17241 (See attached appraisal, full fair market value) of Diversified Appraisal Services upon which appraisal the value reported herein is based. Full Value $1,789,000.00. Undivided 1/2 interest as Tenants in Common $894,500.00. TOTAL (Also enter on Line 1, Recapitulation) 894,500.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Saylor, Donald C. 21 - 02 - 0224 All property jointly-owned with right of survivorship must be disclosed on Schedule F. VALUE AT DATE OF ITEM DESCRIPTION UNIT VALUE NUMBER DEATH Sunoco - Sun Oil Company Stock - 36 Shares Adams County National Bank Corporation Stock - 181 Shares Kerr-McGee Corporation Stock - 13 Shares Phoenix Stock - 606 Shares 38.45 18.00 53.24 17.60 TOTAL (Also enter on line 2, Recapitulation) 1,384.20 3,258.00 692.12 10,665.60 15,999.92 COMMON~¥EALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP or SOLE-PROPRIETORSHIP ESTATE OF FILE NUMBER Saylor, Donald C. 21 - 02 - 0224 Schedu e C-1 or C-2 ( nc ud ng all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-propnetorships. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 1,322,000.00 Don S aylor's Market, common stock, 10,000 shares, 100% of issued and outstanding, see attached valuation of shares as done by Newbury & Short, CPA. See also attached copies of corporate tax remm and financial statement for last preceding fiscal year. TOTAL (Also enter on Line 3, Recapitulation) 1,322,000.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C-1 CLOSELY-HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF FILE NUMBER Saylor, Donald 21 - 02 - 0224 Name of Corporation Don Saylors Market Address 37 Carlisle Road City Newville State PA 2. Federal Employer I.D. Number 23-2083983 3. Type of Business Grocery Store State of Incorporation PA Date of Incorporation 10/25/1978 Zip Code 17241 Total Number of Shareholders 1 Business Reporting Year 09/30 ProductJService Retail Food Products and related TYPE TOTAL NUMBER OF PAR VALUE NUMBER OF SHARES VALUE OF THE STOCK Voting/Non-Voting SHARES OUTSTANDING OWNED BY THE DECEDENT DECEDENT'S STOCK Common Voting 10,000 NPV 10,000 $1,322,000.00 Preferred i Provide all rights and restrictions pertaining to each class of stock 5. Was the decedent employed by the Corporation? [] Yes [] No If yes, Position President and Director Annual Salary 6. Was the Corporation indebted to the decedent? [] Yes [] No If yes, provide amount of indebtedness 7. Was there life insurance payable to the corporation upon the death of the decedent? [] Yes [] No If yes, Cash Surrender Value Net proceeds payable Owner of the policy 8. Did the decedent sell or transfer stock of this company within one year pdor to death or within two years if the date of death was prior to 12-31-827 [] Yes [] No If yes, [] Transfer [] Sale Number of Shares N/A Transferee or Purchaser N/A Consideration Date Attach a separate sheet for additional transfers and/or sales. 9. Was there a written shareholder's agreement in effect at the time of the decedent's death? [] Yes [] No If yes, provide a copy of the agreement. 10. Was the decedent's stock sold? [] Yes [] No If yes, provide a copy of the agreement of sale, etc. 11. Was the corporation dissolved or liquidated after the decedent's death? [] Yes [] No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 12. Did the corporation have an interest in other corporations or partnerships? [] Yes [] 14o If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest. Time Devoted to Business Recently Retired THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedent's stock. B. Complete copies of financial statements or Federal Corporate Income Tax retums (Form 1120) for the year of death and 4 preceding years. C. If the corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals have been secured, attach copies. D. List of principal stockholders at the date of death, number of shares held and their relationship to the decedent. E. List of officers, their salaries, bonuses and any other benefits received from the corporation. F. Statement of dividends paid each year. List those declared and unpaid. G. Any other information relating to the valuation of the decedent's stock. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Saylor, Donald C. 21 - 02 - 0224 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 2 3 4 5 6 7 8 9 10 11 12 Farmers National Bank, a division of Adams County National Bank - Checking Account No. 17-066-6 Farmers National Bank, a division of Adams County National Bank - Savings Account No. 9596194 Accrued Interest on 2 Farmers National Bank, a division of Adams County National Bank - Checking Accout No. 500-3007 Certificate of Deposit - Member's 1st Federal Credit Union 1996 Buick Roadmaster Estate Wagon 4D - See attached quote from Kelly Blue Book 1999 Chebrolet S 10 Pickup Extended Cab - See attached quote from Kelly Blue Book 2000 Mercury Gran Marquis LS Sedan 4D - See attached quote from Kelly Blue Book 1994 Lincoln Mark VIII Coupe 2D - See attached quote from Kelly Blue Book Mini Motor Home 1990 Gulfstream - See attached quote from NADA Appraisal Guide 1998 Bayliner Marine Corporation - See attached quote from NADA Appraisal Guide Cash from Wallet 12,264.69 32,023.09 124.50 100.00 151,907.02 13,885.00 15,375.00 16,995.00 8,075.00 12,000.00 9,500.00 50.00 TOTAL (Also enter on Line 5, Recapitulation) 272,299.30 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Saylor, Donald C. 21 - 02 - 0224 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Janet B. Saylor Wife 543 Appalachian Avenue Mechanicsburg, PA 17055 JOINTLY OWNED PROPERTY: LETTER DESCRIPTION OF PROPERTY % OF DATE OF DEATH DATE Include name of financial institution and bank account number DATE OF DEATH ITEM FOR JOINT MADE DECD'S VALUE OF 3r similar identifying number. Attach deed for jointly-held real VALUE OF ASSET INTEREST DECEDENTS INTEREST NUMBER TENANT JOINT ~state. ~ A 543 Appalachian Avenue 173,000.00 0% 0.00 Mechanicsburg, PA 17055 2 A Citizens National Bank - Account No. 142-108-9101 63,244.63 0% 0.00 3 A Interest on 2 6.26 0% 0.00 4 A Household goods and furnishings and tangible 0% 0.00 personal property held by Decedent and his spouse as tenants by the entirety I [ TOTAl- {Also enter on line 6, Recapitulation} COMMONWEALTH OF PENNSYLVANtA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Saylor, Donald C. 21 - 02 - 0224 This schedule must be completed and filed if the answer to any of questions I through 4 on page 2 is yes. DESCRIPTION OF PROPERTY ^'" ITL M Include the name of the transferee, their relationship to decedent and the date of transfer. D~ E OF DEATH I % OF EXCLUSION TAXABLE VALUE VALUE OF ASSET DECD'S i (IF APPL CABLE) NUMBER Attach a copy of the deed for real estate. INTEREST ' 1 Phoenix Annuity No. Q0006006978 (Non IRA) payable to 103,208.21 0% 0.00 surviving spouse as named beneficiary 2 Certificate of Deposit Individual Retirement Account - 25,633.17 0% 0.00 Farmers National Bank, a division of Adams County National Bank - Account No. 9000028, payable to surviving spouse as named beneficiary 3 Accrued Interest on 2. 39.33 0% 0.00 4 Phoenix Annuity No. Q0005007338 (IRA) payable to 28,696.92 0% 0.00 surviving spouse as named beneficiary I I I TOTAL {Also enter on line 7, Recapitulation) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATNE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETLJRN REStDENT DECEDENT i FILE NUMBER ESTATE OF ~ Saylor, Donald C. 21 - 02 - 0224 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER Ao FUNERAL EXPENSES: Malpezzi Funeral Home Rolling Green Cemetary ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Hamilton C. Davis, Esquire Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Janet B. Saylor Street Address 34 Blue Mountain Vista City Mechanicsburg State PA Relationship of Claimant to Decedent Surviving wife Probate Fees Cumberland County Register of Wills Zip 17055 Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Legal Advertising - News Chronicle Legal Advertising - Cumberland County Legal Journal Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) 3,871.00 6,935.00 55,000.00 3,500.00 131.00 75.50 75.00 5,000.00 74,587.50 Schedule H FuneraJ Expenses & Adrninislralive Cosls conlJnued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ~ '~aylor, Donald C. 21 02 - 0224 3 Reserve for closing costs and contingencies and final accountings 5,000.00 Page 2 of Schedule H SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Saylor, Donald C. 21 - 02 - 0224 Include unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 1 2 3 4 5 6 7 8 9 l0 11 12 13 Susquehanna Internal Medicine 2001 Personal Income Federal Taxes - US Treasury 2001 Personal Income State Taxes - PA Department of Revenue Vital Statisics Pinnacle Health Moffitt Heart and Vascular PA Neuro Association Diversified Appraisal Farmers National Bank of Newville - Loan No. 600111067 (One-half outstanding balance, debt on Tenants is Common Real Estate, see Schedule Al) Accrued Interest on 9 Farmers National Bank of Newville - Loan No. 600115887 (One-half outstanding balance, debt on Tenants in Common Real Estate, see Schedule A) Accrued Interest on 11 Note payable to Don Saylor's Market, Inc. - Principal balances of date of death 18.43 2,250.00 2,627.00 30.00 846.00 210.00 352.00 250.00 68,832.70 306.92 347,333.49 1,542.03 112,711.12 TOTAL (Also enter on Line 10, Recapitulation) 537,309.69 REV-1513 EX+ (9~10) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Saylor, Donald C. SCHEDULE J BENEFICIARIES FILE NUMBER 21 - 02 - 0224 NUMBER II. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) Janet B. Saylor 543 Appalachian Avenue Mechanicsburg, PA 17055 (See attached) Craig L. Saylor 104 Pin Oak Drive Carlisle, PA 17013 Curt A. Saylor 7 Midland Avenue Newville, PA 17241 RELATIONSHIP TO DECEDENT Da N~I Li~t Tm~te~.~) Wife Son Son Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET AMOUNT OR SHARE OF ESTATE Tangiable Personal Property and Life Interest in Tmsts Remainder interest in Trusts Remainder interest in Trusts Attachment to Schedule J The distribution of the decedent's probate estate is into two trusts created pursuant to the Revocable Standby Trust dated March 20, 2001, a copy of which is attached. This trust creates two separate trusts of which the Decedent's surviving spouse, Janet B. Saylor, is the life income beneficiary and the Decedent's two children are the reminder beneficiaries. See Schedule K and M and the attached calculation of tax liability. PA Residue Calculation Gross Estate Less Debts and Deductions Net Estate and Amount to Trusts Less By-Pass Trust - Maximum Funding Marital Deduction Trust PA Tax Calculation To Trusts X Remainder Factor X 4.5% Tax Rate Equals Tax Liability At Spousal Zero Rate $2,504,799.22 $ (611,897.19) $1,892,902.03 $1,000,000.00 $ 892,902.03 $1,892,902.03 .46633 $ 882,716.99 4.5% $ 39,722.26 $1,010,185.04 RE¥.'1514 EX+ (9-00) .~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE K UFE ESTA'IE, ANNUITY & TERM CERTAIN (Check Box 4 on Rev-15(X) Cover ~.) ESTATE OF Saylor, Donald C. FILE NUMBER 21 - 02 - 0224 This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. [] Will [] Intervivos Deed of Trust [] Other NAME(S) OF LIFE TENANT(S) JDATE OF BIRTH NEAREST AGE AT DATE OF DEATH TERM OF YEARS LIFE ESTATE IS PAYABLE Janet B. Saylor 11/05/1934 67 [] Life or [] Term of Years 1,000,000 Janet B. Saylor 11/05/1934 67 892,902 [] Life or [] Term of Years [] Life or [] Term of Years [] Life or [] Term of Years 1. Value of fund from which life estate is payable 2. Actuarial factor per appropriate table Interest table rate - [] 3 1/2% [] 6% 3. Value of life estate (Line 1 multiplied by Line 2) [] 10% [] Variable Rate 5.6% $ 1,892,902.00 .53367 $ 1~010~185.01 NAME(S) OF ANN UITANTS DATE OF BIRTH TERM OF YEARS ANNUITY IS NEAREST AGE ATI DATE OF DEATH ] PAYABLE - ![~ Life or [] Term of Years iLifeor Life or Life or •TermofYears []TermofYears []TermofYears 1. Value of fund from which annuity is payable 2. Check appropriate block below and enter corresponding (number) Frequency of payout - [] Weekly (52) [] Bi-weekly (26) [] Semi-annually (2) [] Annually (1) 3. Amount of payout per period 4. Aggregate annual payment. Line 2 multiplied by Line 3 5. Annuity Factor (see instructions) Interest table rate- [] 3 1/2% [] 6% [] 10% [] Variable Rate 6. Adjustment Factor (see instructions) 7. Value of annuity - If using 3 1/2%, 6%, 10% or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 If using vadable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3 [] Monthly (12) [] Quarterly (4) [] Other 0.00 NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13, 15, 16, 17 and 18. REV-1647,EX+, (900)~ .~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Saylor, Donald C. SCHEDULE M FUTURE INTEREST COMPROMISE (Check Box4a on Rew1500 Cov~Sheet) 'FILE NUMBER 21 - 02 - 0224 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 will 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 []Will []Trust [] Other II. III. IV. I. Beneficiaries AGETO NAME OF BENEFICIARY RELATIONSHIP DATE OF BIRTH NEARE~~AY 1. Janet B. Saylor Wife 11/05/1934 67 2. Craig L. Saylor Son 07/24/1955 47 3. Curt A. Saylor Son 04/02/1958 44 4. 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 righht. [] Unlimited right of withdrawal [] Limited right of withdrawal Explanation of Compromise Offer: This compromise offer relates to both the By-pass (credit shelter) and Martial Trusts created under the Stand-by Trust dated March 20, 2001. The life interest and remainder interest are based on the actuarial computation a copy of which is attached. Due to the surviving spounses' income and other assets, it is unlikely that any principal of either Trust will be consumed. By-Pass Trust = Life Interest to Spouse $533,670.00. Remainder Interest $466,330.00 (Taxable). Maritial Trust = $476,515.01. Remainder Interest $416,386.99 (Taxable). Summary of Compromise Offer: 1. Amount of Future interest: 2. Value of Line 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 [] 6% [] 3% [] 0% (also include as part of total shown on Line 15 of Cover Sheet) 4. Value of Line 1 taxable at lineal rate 1-16% []4.5% (also include as part of total shown on Line 16 of Cover 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 ) 0.00 1,010,185.04 882,716.99 1,892,902.03 1,892,902.03 LAST WILL AND TESTAMENT I, DONALD C. SAYLOR of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and personal property as set forth in a separate memorandum (which is signed by me, dated and makes specific reference to this Will and memorandum, which I shall place with my Will or deposit with my attorney), to the persons therein designated. ITEM III: I give and bequeath all my tangible personal property, including but not limited to, any and all automobiles and other motor vehicles, household goods and furniture and furnishings (other than those things already held jointly with my spouse), china, silverware, jewelry, ornaments, works of art, books, pictures, wearing apparel and personal effects, (together with any insurance thereon) but excluding cash on hand and tangible evidences of intangible personal property and not including any items specifically gifted pursuant to ITEM II above, to my v~4fe, JANET B. SAYL, OR, and to my children, CRAIG L. SAYLOR and CURT A. SAYLOR, and to my daughters-in-law and to my ~andchildren, in such shares as shall be detem~ined by my Executor, HAMILTON C. DAVIS, giving due regard to any mutual agreement among the beneficiaries, the personal preferences of the beneficiaries, and any instructions I may have given to my Executor during my lifetime. Any of such items as are not distributed to an individual beneficiary shall be distributed to such charitable and/or non-profit organization as shall be selected by my Executor, HAMILTON C. DAVIS, giving due regard to indications I may have given as to which organizhtion or organizations I wish to express benevolence toward. ITEM IV: I devise and bequeath the residue of my estate to the Trustee acting at the time of my death under the Trust created by me on t2_~.lgO/__20¢] , of which HAMILTON C. DAVIS, CRAIG L. SAYLOR and CURT A. SAYLOR am Trustees, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof. My residuary estate shall be added to such Trust and administered and distributed as a part thereof, including any alterations or amendments thereto made pursuant to its terms or to any other lifetime trust which I may hereafter substitute therefor. Should the Trust created by me on ~ be entirely revoked without a substitute (or other provision made in the document of revocation) or should that Trust fail to exist or be or become unenforceable for any mason, then my residuary estate shall be held and administered and distributed by my Executor as a Trustee pursuant to the terms and provisions of that Trust as it existed on ~]~/.,2&~, without such resultant Trust being considered a testamentary Trust. ITEM V: My Executor and/or Trustee herein appointed shall have, in addition to those powers vested in it by law and any other provisions of my Will, all powers granted by me to the Trustee or any Fiduciary' in the above referenced Trust (and any amendment of or substitute for such) as fully and completely as if the same were set forth herein in their entirety and the same are hereby incorporated herein by reference. ITEM VI: Ail Federal, State and other death taxes payable because of my death with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax and not caused by negligent delay, shall be considered a part of the expense of the administration of my estate and to the extent possible shall be paid from the non-marital portion of my Trust referred to above without apportionment or right of reimbursement, except for the following specified death taxes, which shall be payable from the sources specified herein (and if no source is specified, from the source determined under the provisions of Chapter 37 of the Pennsylvania Probate, Estates and Fiduciaries Code, as in effect on the date of execution of this Will): A. Any tax imposed by Chapter 13 of the Internal Revenue Code of 1986, as amended, (herein "CODE") (generation-skipping transfer tax) shall be payable from the property constituting such taxable transfer (except as may be provided otherwise in later provisions hereof or in a relevant Trust instrument); B. Any tax resulting from the inclusion in my estate of any qualified retirement plan benefit under CODE Section 2039(b) (whether such amounts are included in the probate estate) and any tax resulting from excess retirement accumulation under CODE Section 4980A(d), should this section be re-enacted, shall be payable by the recipient(s) of any such benefits. .&ny tax resulting from the inclusion of any property in my estate under CODE Section 2044 ancL/or CODE Section 2056(b)(7) (certain property for which marital deduction was previously allowed), whether or not such taxes are statutorily payable by my estate or the recipient of any such property shall be payable by the recipient of or from such property. D. Any additional estate tax imposed by CODE Section 2032A (valuation of certain business, etc., real property) shall be payable by the qualified heir or heirs whose actions result in the imposition of such additional estate tax. E. Any tax resulting from the inclusion in my estate under CODE Section 2040 of the value of any jointly owned property shall be payable by the surviving joint tenant(s) of such property. F. Any tax resulting from the inclusion in my estate under CODE Section 2042 of the proceeds of life insurance shall be payable by the beneficiary(s) of such life insurance. G. Any tax resulting from the inclusion in my estate under CODE Section 2041 of the value of any property subject to a Power of Appointment, shall be payable by the appointee of such property.. J. Any tax payable from a trust or other source which instrument specifically provides therein for the payment of taxes shall be paid as provided for in the relevant instrument. It is my intention that this tax clause of my Will and any tax clause of any Trust document be viewed and interpreted as an integrated whole, with it being my intention to have all death taxes paid from the most appropriate and equitable sources and in a manner as to give meaning to all provisions of my Estate plan. K. I authorize my Executor, in my Executor's sole discretion, to make an election, in whole or in part. to cause a Pennsylvania Inheritance Tax to be payable by my estate on property passing to or for the benefit of my spouse or to defer the Pennsylvania Inheritance Tax on such My Executor shall be without liability to anyone for making or failing to make such property. election. ITEM VII: I hereby specifically direct and declare that I do not intend the operation of the tax payment directions contained in Item V of this Will to waive the right of recovery of Federal Estate Tax provided for under Section 2207A of the h~ternal Revenue Code of 1986 (as amended) (the "CODE") on property includable in my taxable estate by reason of CODE Section 2044. ITEM VIII: I appoint HAMILTON (2. DAVIS, CRAIG L. SAYLOR and CURT A. SAYLOR, Co-Executors of this my Last Will. Decisions of my co-Executors shall be made by majority decision, except that in the event of a disagreement among my co-Executors, the decision of HAMILTON C. DAVIS shall control. ITEM IX: I direct that my Executors or their successors shall not be required to give bond for the faithful performance of their duties in any j ufisdiction. ITEM X: My individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from time to time and/or to reimbursement of out of pocket expenses. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written onsix (6) sheets ofpaper, datedl,15, g ~,OJ'~ dayof /gM t,~ /,200]. //, /1/'7.? /" I/ 'rSO~A~C. S~A%0~:/ / The preceding instrument, consisting of this ~d five (5) other ~e~iuen pages, each identified by the signat~e or initials of the Testator, was on the day and date ~ereof signed, published and deel~ed by the Testator therein n~ed, as ~d For his Last Will, in the presence of us, who, at his request, in Ns presence, ~d in the presence of each other have subscribed our names as wjtnesses h~reto. ~~~~ ~~~ residing at ~~,'/~ ~ COMMON~ALTH 0F PE~SYLVAN~: : SS. CO~TY OF CUMBE~AND : I, DONALD C. SAYLOR, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed '~willingly and as my fr, and vo, thntary act for the purposes therein expressed. · ' ~ /' Sworn to or affirmed and acknowledeed ~ L/DI6~ c'TSAYLOR// before me by DONALD C. SAYLO~ , the TestatOr, this '..:'? \~day of ~¥ i/n ,',: i , :OOl. ,.._/" ' Notary Public Notarial Seal Nichole J. Kollert, Notary Public .Ship..pensburg Bore, CUmberland ~ounty My L;ommisslon Expires Aug. 18, 2003 COMMONWEALTH OF PENNSX[LVANIA: : SS. COUNTY OF CUMBERLAND : '/' "d ? . ; _,:. -,/' , , -~1/:,//' .,.~, We, I:~1.[ ~ ; I : ., t 2 ~ · d~.: :l [.' [: and .- :] · .. ~! ' , t,,c: I- ,thewitnesseswhose names are signed to the attached or tbregoing instrument, being duly qffalified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last ~Vill; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age,and,of s..0pnd mind arj4 under no constraint or undue influence. : Swom to or affirmed and subscribed to t "' b~e:fore me..by "r~ t'¥t [ ] ,4~:.,'~ .F. 1' h ~ ;.sand I ".d t ~ ' ' ' '- ' ...(,:.:,: ] I',, . 7t;~ 1, ~:.:r' r' , witnesses, th~s ._~O..r.,?g-- day of C{)"/-~ ~ :~/~ ) ,2001. , ,_, __.~,, It:,:' ~._ - t Notary ~U~Olic Notarial Seal Nichole J. Kellert, Notary Public Shi nsburg Bore, CUmberland County \\NEW TR1NA\C\Worddocs\CLIENTLqaylor. Don & .lanetXSaylorD Will doc REVOCABLE STANDBY TRUST THIS AGREEMENT OF TRUST executed in multiple counterparts this }4q~ , 2001, among DONALD C. SAYLOR of Mechanicsburg, ~O{~day of Pennsylvania (hereinafter called "SETTLOR"), and HAMILTON C. DAVIS, CRAIG L. SAYLOR, and CURT A. SAYLOR (hereinafter whether singular or plural, masculine or feminine, individual or corporate, called "TRUSTEE"). WITNESSETH: WHEREAS, SETTLOR has created this Trust by this Agreement and by deposit with TRUSTEE of the sum of $10.00; and WHEREAS, SETTLOR or other persons may, by inter vivos transfer, Will, beneficiary designation or otherwise, contribute or add cash or other property to this trust; and WHEREAS, SETTLOR may designate TRUSTEE as beneficiary under certain life insurance policies which (when such designation occurs) will be described and listed on a Schedule to be attached hereto and made a part hereof. NOW, THEREFORE, TRUSTEE agrees: to hold any property, real or personal, that has been or may be contributed or added to the Trust, (either before or after any insurance or similar policies or plans); to collect the proceeds of any such policies upon maturity' thereof by the death of the insured; and to hold such property and proceeds and additions (such property and proceeds and additions being hereinafter called the "Principal"), IN TRUST, as specified and provided for below. FIRST: During the SETTLOR's lifetime, the TRUSTEE shall invest and manage the Principal as a separate trust and make distributions as follows: A. TRUSTEE shall pay from the net income theret?om such periodic installments to SETTLOR for and during his lifetime as SETTLOR shall request, provided that if, in the opinion of TRUSTEE, SETTLOR should by reason of age, illness, or for any other cause become incapable of appropriately receiving or disbursing income TRUSTEE may then apply the net income of this Trust for the support of SETTLOR to maintain him in the station of life to which he is accustomed at the creation of this trust. Any income in excess of $500.00 not disbursed hereunder or as directed by SETTLOR under ARTICLE EIGHTH shall periodically be added to Principal. B. As much of the accumulated income and Principal of this Trust as TRUSTEE in TRUSTEE'S discretion may from time to time think advisable for the medical care and health, welfare, and support and maintenance of SETTLOR, to maintain him in the station of life to which he is accustomed at the creation of this trust, or during illness or emergency, shall be either paid to him or else applied directly for his benefit by TRUSTEE. SECOND: Upon and after the death of SETTLOR, this TRUST shall be irrevocable and if SETTLOR'S wife, JANET B. SAYLOR, shall survive SETTLOR, TRUSTEE shall create two separate TRUSTS, which shall be funded, held, administered and distributed as is hereinafter set forth. There shall be placed and held in the first TRUST (the non-marital or By-pass Trust) the maximum fractional share that can pass at SETTLOR'S death free of federal estate tax because of the applicable (unified) credit and all other credits or deductions applicable to SETTLOR'S estate other than the marital deduction, (provided however that the credit for state death taxes shall be taken into account only to the extent that doing so does not result in state death taxes that would 2 otherwise not be payable). The value of this non-marital gift and its funding shall be governed by the fbllo~ving: A. The value of this non-marital gift shall be reduced by the aggregate of (1) all items includable in SETTLOR'S estate for Federal Estate Tax purposes which either are taxable gifts made during SETTLOR'S lifetime or pass or are disposed of at SETTLOR'S death outside of this TRUST but only if such items do not qualify for the Federal Estate Tax marital deduction or the Federal Estate Tax charitable deduction, (2) the amount of any administration expenses claimed as income tax rather than estate tax deductions. B. TRUSTEE shall allocate and set aside to this gift any (up to all) assets (or proceeds of assets) which do not qualify for the marital deduction for Federal Estate taxes. But, in no event shall assets be distributed in kind to this gift to the extent the effect would be to permit diminution of the marital deduction trust (created in ARTICLE THIRD below) by more than a pro-rata share of all depreciation occurring in SETTLOR'S estate or this TRUST between the date of SETTLOR'S death and the date of allocation to this Trust. Any allocation of assets between this gift and the marital deduction trust shall, with respect to each gift, be comprised of assets having an aggregate market value at the time of allocation fairly representative of the net appreciation or depreciation in value to the date of allocation of all assets then available Ibr allocation. C. TRUSTEE shall hold this gift, IN TRUST, for the following uses and purposes and under the following terms and conditions: 1. To pay the net income therefrom to SETTLOR'S wife, JANET B. 3 SAYLOR, for and during her lifetime. 2. As much of the principal of this TRUST as TRUSTEE in TRUSTEE'S discretion may from time to time think advisable for the health and medical care and support and maintenance in reasonable comfort of SETTLOR'S wife, JANET B. SAYLOR, and for the protection and preserwation of her property or for the support and education of SETTLOR'S children or grandchildren, (including college education, both graduate and undergraduate), shall either be paid to her or them or else applied directly for her or their benefit by TRUSTEE after taking into account her or their other readily available assets and sources of income. 3. TRUSTEE may apply the net income of this TRUST for the health and medical care or support and maintenance in reasonable comfort of SETTLOR'S wife, JANET B. SAYLOR, should she by reason of age, illness or any other cause in the opinion of TRUSTEE be incapable of appropriately receiving or disbursing it. 4. In addition to the above provisions, SETTLOR'S wife, JANET B. SAYLOR, shall have the power to direct the TRUSTEE to pay to her or to apply out of principal in each year including the year of SETTLOR'S death and the year of her death an amount not in excess of the greater of Five Thousand ($5,000.00) Dollars or Five (5%) percent of the then aggregate value of the principal of this TRUST. This power is noncumulative and can be exercised only by an instrument in writing intended to take effect during her life, signed by SETTLOR'S wife, JANET B. SAYLOR, and delivered to the TRUSTEE. 5. Upon the death of SETTLOR'S wile, JANET B. SAYLOR, (or upon SETTLOR'S death, if SETTLOR'S wife shall have predeceased him) the then remaining principal and any undistributed income shall be distributed in equal shares to SETTLOR's two sons, CRAIG L. SAYLOR and CURT A. SAYLOR. Should either of SETTLOR's sons not be living on the date of death of SETTLOR's wife (or the date of death of SETTLOR, if SETTLOR's wife shall have predeceased him) but have descendants who do so survive, then those descendants so surviving shall receive, per stirpes, the share that the son would have received (subject to the provisions of ARTICLE FIFTH below as to a share for a person under the age of twenty-one (21) years). THIRD: If SETTLOR's wife, JANET B. SAYLOR, survives SETTLOR (and she shall be presumed to have survived him unless it appears unmistakably that she predeceased him) then the TRUSTEE shall set aside into a separate TRUST under this ARTICLE THIRD (which shall be and be known as the "Marital Trust") that fractional share consisting of all the residue and remainder of the principal held by TRUSTEE under this TRUST (or received by TRUSTEE at or after the death of SETTLOR) which is not directed to be placed in the non-marital or By-Pass TRUST created above. This marital trust shall be held, administered and distributed for the following uses and purposes and under the following terms and conditions: 1. SETTLOR'S wife, JANET B. SAYLOR, shall be paid the entire income from the principal in such periodic installments as the TRUSTEE shall find convenient, but at least as often as quarter-annually. B. As much of the principal of this trust as TRUSTEE, in TRUSTEE'S discretion, may from time to time think advisable for the health and medical care and support and maintenance in reasonable comfort of SETTLOR'S wife, JANET B. SAYLOR, and for the protection and preservation of her property, shall either be paid to her or else applied directly for her benefit the TRUSTEE after taking into account her other readily available assets and sources of income. C. TRUSTEE may apply the income or Principal of this Trust for the health and medical care and support and maintenance in reasonable comfort of SETTLOR'S wife, JANET B. SAYLOR, should she by reason of age, illness or any other cause in the opinion of TRUSTEE be incapable of appropriately receiving or disbursing it. D. In addition to the above provisions, SETTLOR'S wile, JANET B. SAYLOR, should have the power to direct TRUSTEE to pay to her or to apply out of principal in each year including the year of SETTLOR'S death and the year of her death an amount not in excess of the greater of Five Thousand Dollars ($5,000.00) or Five Percent (5%) of the then aggregate value of the Trust Principal. This power is noncumulative and can be exercised only by an instrument in writing intended to take effect during her life, signed by SETTLOR'S wile, JANET B. SAYLOR, and delivered to the TRUSTEE. E. Upon the death of SETTLOR'S wife, JANET B. SAYLOR, unless there is a contrary provision in her will, the TRUSTEE shall deduct and pay to the personal representative of SETTLOR'S wife's estate an amount equal to the increase in federal estate tax or state death taxes which her estate will have to pay because of the inclusion of the assets under this ARTICLE THIRD of this TRUST in her gross estate. SETTLOR'S Executor or TRUSTEE may rely upon a certification tr¥om SETTLOR'S wife's personal representative as to the amount of such additional death taxes. F. This ARTICLE THIRD of this TRUST is intended to be able to qualify, and SETTLOR'S Executor and TRUSTEE is authorized to make such election as is necessary to qualify all or part of this gift for the marital deduction under the qualified terminable interest property provision set forth in Section 2056(b)(7) of the Internal Revenue Code of 1986, as amended. As such (1) if any provision of this TRUST shall result in depriving this ARTICLE THIRD of the benefits if IRC § 2056(b)(7) such provision is hereby revoked and this TRUST shall be read as if any portion thereof which would result in such disqualification is null and void; (2) SETTLOR'S Executor or TRUSTEE is hereby excused from liability to any person for the decision to elect to have this ARTICLE THIRD qualify for the marital deduction or for the decision to elect not to so qualify all or any of it; and (3) no reimbursement or other adjustment shall be made as among beneficiaries by reason of the consequences of such election or failure to elect. If the federal estate tax laws applicable to SETTLOR'S estate permit a partial election to be made, or permit such an election with respect to a specific portion of this Trust, SETTLOR'S Executor or TRUSTEE may make such election with respect to less than all of this Trust. It is SETTLOR'S suggestion that SETTLOR'S Executor or TRUSTEE elect to qualify this entire Trust under Section 2056(b)(7) of the Internal Revenue Code unless the anticipated incremental estate ta, xes occasioned by SETTLOR'S spouse's death or the anticipated length of survival of SETTLOR'S spouse make a lesser election or no election more appropriate. SETTLOR'S Personal Representative or TRUSTEE shall not be liable lbr any decision made in good faith and with reasonable diligence with respect to such election. In addition, SETTLOR's Executor or TRUSTEE is authorized and empowered to make, or not make, in his discretion, whatever elections may be available concerning this Trust for Pennsylvania Inheritance Tax purposes under Section 2113 of the Pennsylvania Inheritance and Estate Tax Act (as amended by Act 21 of 1995). G. If the marital deduction or any similar benefit is allowable with respect to any property, including property held by entireties, which SETTLOR'S wife has received prior to SETTLOR'S death, or at SETTLOR'S death will receive otherwise than pursuant to this ARTICLE THIRD, the value of such property should be taken into consideration in calculating the size of the election made by SETTLOR'S Executor. H. In funding the BYPASS SECOND and this marital deduction OR CREDIT SHELTER gift under ARTICLE (Qualified Terminable Interest Property) gift, SETTLOR'S Executor or TRUSTEE shall take into consideration the existence of and shall not (if possible) distribute to this portion any assets which would not qualify for the federal estate tax marital deduction. I. Ail assets distributed in kind shall be valued at the value at which it is finally included in SETTLOR'S gross estate for federal estate tax purposes, provided that the aggregate market value thereof on the date of allocation (plus the value as finally determined for federal state tax purposes of all other property qualifying for the marital deduction) be comprised of assets having an aggregate market value at the time of allocation fairly representative of the net appreciation or depreciation in value to the date of distribution o fall assets then available for distribution. J. Notwithstanding any other provision of this TRUST, SETTLOR'S spouse shall have the right and power to direct that the assets of this Trust be invested or reinvested so as to produce such income as is reasonable and consistent with the value of the trust corpus. Notwithstanding any contrary provision of this TRUST, TRUSTEE shall pay to SETTLOR'S spouse's estate all income accrued or received by this Marital Deduction Trust, but not distributed prior to SETTLOR'S spouse's death. K. Notwithstanding anything to the contrary contained in this ARTICLE THIRD, if SETTLOR'S wife disclaims her interest in any portion of the property passing under this ARTICLE THIRD, such portion shall not pass hereunder, but instead shall pass under the provisions of ARTICLE SECOND hereof (even if such disclaimer and passing would result in the payment of Federal Estate Taxes by SETTLOR'S estate) and any such disclaimer shall not accelerate any remainder interests. L. SETTLOR recognizes the possibility that no amount may be disposed of by this ARTICLE THIRD and that the amount disposed of may be affected by certain tax elections of SETI'LOR'S Executor or TRUSTEE. M. Upon the death of SETTLOR'S spouse (or upon SETTLOR'S death if SETTLOR'S spouse shall have predeceased SETTLOR), and after payment of any taxes payable pursuant to Paragraph E. of this ARTICLE THIRD, the balance of this Trust shall be added to and held, administered and distributed as a part of the Trust established under ARTICLE SECOND above. FOURTH: The Principal and income of this TRUST shall be free from anticipation, assignment, pledge or obligation of SETTLOR or of any beneficiary and shall not be subject to voluntary or involuntary alienation, or lew or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy, or anyone obligated for the support of SETTLOR or any beneficiary (including any government or governmental agency or private agency which has provided benefits or services to SETTLOR or to any beneficiary). It is SETTLOR's intention herein to provide for SETTLOR's and any other beneficiary's comfort and happiness without interfering with, reducing or disqualifying anyone from aid, benefits or services he or she would otherwise be entitled to and to maximize the ultimate distributive shares for all of SETTLOR's ultimate beneficiaries. SETTLOR does hereby specially waive, renounce and disclaim any rights which he, his heirs and assigns, and any other person or entity may otherwise have to seek invasion of the assets of this Trust pursuant to any statute or rule of law of any jurisdiction. The TRUSTEE may pay over any sums to be distributed herefrom to the persons herein designated without regard to any attempted anticipation (except as specifically provided in this Agreement), pledging or assignment and without regard to any claim thereto or attempted leD', attachment, seizure or other process against TRUSTEE. FIFTH: If any portion of this TRUST shall become distributable to a beneficiary who has not attained the age of twenty-one (21) years, the TRUSTEE may in its sole absolute discretion either pay over such Principal and any accrued or undistributed income therefrom at any time to the :LO guardian(s) of the property of such beneficiary, or to a custodian for such beneficiary under the Pa. Unit'orm Transfers to Minors Act, which custodian may be the TRUSTEE or Executor or be selected by the TRUSTEE, or retain the same for such beneficiary, IN SEPARATE TRUST, until he or she attains the age oftwenty.-one (21) years. In case of such retention, the TRUSTEE may use or apply so much of the net income and Principal as TRUSTEE deems necessary or advisable from time to time for support, health and medical care, and education (including college education, both undergraduate and graduate) of such beneficiary, or may make payment for these purposes, without further obligation or responsibility to see to the proper expenditure thereof, directly to such beneficiary or to such beneficiary's parent or to any person taking care of such beneficiary. Any Principal or income not so applied shall be distributed to such beneficiary absolutely when he or she attains the age of twenty-one (21) years. If he or she dies before attaining age twenty-one (21), such share shall be distributed to his or her personal representative, discharged of trust. SIXTH: SETTLOR's TRUSTEE(S) and Executor(s) (whether masculine or feminine, singular or plural, corporate or individual and sometimes referred to as "fiduciaries" or "fiduciary") shall have the following powers in addition to those vested in them by law and by other provisions of SETTLOR's Will or this Trust applicable to all property, whether Principal or income, including property held for minors, exercisable without court approval, and effective until actual distribution of all property: A. Any fiduciary hereunder may renounce or resign at any time with or without cause. A. No fiduciary shall be required to file bond, execute any instrument appointing anyone to accept service of process, or file inventories or accounts of any kind, except as ordered to do so by a court of competent jurisdiction or as required to do so under a state statute not providing for release of such requirements by a testator or settlor. Any beneficiary, however, will have the right at reasonable times to request of and receive an accounting of such matters as are pertinent to that beneficiary. Income tax returns and other relevant information may be submitted to satisfy this requirement. B. If there is no corporate fiduciary acting hereunder, TRUSTEE may designate a corporation (regardless of where organized or headquartered) with fiduciary powers to act as agent or custodian hereunder, may delegate to it such duties as may be appropriate (including investment recommendation duties), may pay to it reasonable compensation for its services, and may discharge it with or without cause. C. To retain any or all of the assets of SETTLOR's estate, or this Trust, real or personal, including stock of any corporate fiduciary, without regard to any principle of diversification or risk. If the assets of any Trust hereunder consist of any interest in residential real estate, whether it be a full fee interest; a leasehold interest; a fractional interest; a life tenancy or a remainder interest; the right to income shall include the right to possession of such residential real estate (and if the income beneficiary is SETTLOR's spouse, she shall have the right to share that possession with such other members of SETTLOR's family as she shall determine). The costs of obtaining, maintaining, insuring, operating, repairing and/or replacing such real estate shall be considered appropriate costs to 12 be paid by TRUSTEES and shall be allocated to income or Principal in accordance with the character of the cost paid. TRUSTEE shall consult with SETTLOR's wife prior to sale or other disposition of such residential real estate, and shall not dispose of such residential real estate without the consent of SETTLOR's spouse or his or her agreement concerning a substitute or replacement residence. TRUSTEE is authorized to execute and deliver such Deeds, assignments or other documents as may be necessary and desirable to effectuate the transfer of ownership of any interest in any real estate. E. General Management and Investment Powers. The TRUSTEE shall have full power and authority to manage and control the trust estate, to borrow money from any source (including the power to borrow from a TRUSTEE or any affiliate of a TRUSTEE) and to sell, exchange, lease, grant options, rent, mortgage, pledge, assign, transfer or othe~vise dispose of or encumber (including sales to a TRUSTEE) all or any part of the trust estate (for terms extending beyond the termination of the trust estate or otherwise), upon such terms and conditions as the TRUSTEE may see fit. The TRUSTEE may invest and reinvest all or any part of the trust estate in such stocks, common and preferred (including the corporate stock of any corporate TRUSTEE, or any of its affiliates), debentures, shares or participations in any common or mutual fund, interests in any general, limited, or limited liability partnership or in any limited liability company, bonds, notes, repurchase agreements and deposit accounts of any kind from or in any bank (including any corporate TRUSTEE, or any of its affiliates), savings and loan association or other financial institution or brokerage firm, stock options and warrants, securities or other property, real or personal, within or without the State of Pennsylvania, domestic or foreign, whether or not of the class or kind now or hereafter ordinarily approved or held to be la~,~Tul for the investment of trust funds, as the TRUSTEE may, in the TRUSTEE'S discretion, select. The TRUSTEE may make and change such investments from time to time according to the TRUSTEE'S discretion, and the TRUSTEE may continue to hold any stocks, securities or other property received by the TRUSTEE hereunder without any duty' of diversification. The TRUSTEE may determine whether any money or other property coming into the TRUSTEE'S hands, concerning which there may be reasonable doubt, shall be considered as a part of the principal or income of the trust estate, and may apportion between such principal and income any loss or expenditure in connection with the trust estate as to the TRUSTEE may seem equitable, taking account of all present and future interests in the trust estate. The TRUSTEE shall not be obligated to amortize premiums for trust securities out of income nor make additions to income because of the purchase of securities at a discount. The TRUSTEE may exercise all options and all conversion, subscription, voting and other rights of whatsoever nature held by or pertaining to any property, including securities of the corporate TRUSTEE or any affiliate thereof, held by the trust estate. Any corporate TRUSTEE shall not disclose the name, address, or share position of the beneficial owner(s) of registered securities held by the corporate TRUSTEE or its nominees unless the beneficial owner(s) request otherwise in writing. It is the intention of the SETTLOR that the TRUSTEE shall have the authority to invest in such ways as shall give due consideration for the theories of total return investing, modem portfolio theory, and the theory, of risk and return. Accordingly, the TRUSTEE is authorized to invest in any type of investment which plays an appropriate role in achieving the investment goals of the Trust, which investment shall be considered as part of the total portfolio. It is SETTLOR'S specific direction that no category or type of investment shall be prohibited. SETTLOR specifically does not wish to limit the universe of Trust investments in any way other than is dictated by the TRUSTEE'S exercise of reasonable care, skill, and caution. In connection with the TRUSTEE'S investment and management decisions with respect to this Trust, the TRUSTEE is specifically entitled to take in account general economic conditions, the possible effect of inflation or deflation, the expected tax consequences of investment decisions or strategies, the role which each investment or course of action may play within the overall trust portfolio which may include financial assets, interests in closely held enterprises, tangible and intangible personal property, and real property; the expected total return from income and the appreciation of capital; other resources of the beneficiaries; the needs for liquidity; regularity of income and preservation or appreciation of capital; and the asset's special relationship or special value, if any, to the purposes of the Trust or to one or more of the beneficiaries. Nor shall the TRUSTEE be limited to any one investment strategy or theory, including modern portfolio theory, the efficient markets theory or otherwise, but shall be free to consider any appropriate investment strategy or theory under all the circumstances. The TRUSTEE may delegate investment and management functions which a prudent person of comparable skills would properly delegate under the circumstances. Should the TRUSTEE delegate such function, the TRUSTEE shall exercise reasonable care, skill and caution in selecting an agent, establishing the scope m~d terms of the delegation consistent with the purposes and terms of the Trust, and periodically reviewing the agent's actions in order to monitor performance and compliance with the terms of the delegation. Should such delegation occur as set forth above, the TRUSTEE who complies with the requirements for delegation shall not be liable to the beneficiaries or to the Trusts for the decisions and actions of the agent to which the function was delegated, but by accepting the delegation of a Trust function by the TRUSTEE of this Trust, the agent submits to the jurisdiction of the courts of this state. Provided, however, that if SETTLOR'S wife, JANET B. SAYLOR, survives the SETTLOR, then in: funding or administering the Marital Deduction portion of this trust; or distributions herefrom, TRUSTEE shall not have or exercise any power in a manner that would infringe upon any legal requirement for the allowance of the estate tax marital deduction for the marital portion of this Trust. If after SETTLOR's death but before the death of SETTLOR's wife, the assets of this Trust at any time consist substantially of unproductive property, SETTLOR's wife shall have the fight to direct TRUSTEE to make the property productive or convert it to productive property within a reasonable time. In lieu of making property productive or converting unproductive property, TRUSTEE may distribute quarterly SETTLOR's wife other assets from this trust, the value of which is equal to the income that would have been produced during the quarter if the property had been made productive or converted to income producing property. All accounting income earned in any tax year by this Trust shall, to the extent it exceeds the distribution amount payable to 16 SETTLOR's wife, be distributed to SETTLOR's wife at least annually. F. To borrow from or to sell to SETTLOR's Executor or any other TRUSTEE even though such Executor or other TRUSTEE may be also be SETTLOR's TRUSTEE hereunder. G. To cause the title to any property held hereunder to stand in the name of a nominee or nominees. H. To repair, alter or improve any real or personal property; to borrow money, including the right to borrow money from an), fiduciary hereunder, and to pledge, mortgage, or create a security interest in any property held by them as security therefor, and to make loans, secured or unsecured, for such purposes and upon such terms and conditions as they may deem advisable, including loans to SETTLOR's estate, with or without interest, for any purpose whatsoever, and to exercise options of any kind. I. To subscribe for or to exercise options for stocks, bonds or other investments; to join in any plan of lease, mortgage, merger, consolidation, reorganization, foreclosure or voting trust and to deposit securities thereunder; to vote securities in person or by proxy, in such connection to delegate discretionary powers; and generally to exercise all the rights of security holders or employees of any corporation. J. To compromise, submit to arbitration or release any claim of SETTLOR's estate or any TRUST against others and to pay, compromise, or submit to arbitration any claim of others against SETTLOR's estate or any TRUST hereunder. K. To exercise any law-given option to pay death taxes in installments, the payment 17 of interest due on such installments to be a charge against Principal. L. To exercise any law-given option to treat administrative expenses either as income tax or as estate tax deductions, ~vithout regard to whether the expenses were paid from Principal or income, without regard to whether the size of the marital deduction share created in ARTICLE THIRD hereof wilt be increased thereby, and without requiting reimbursement. M. To receive other property of any type acceptable to the TRUSTEE, including, but not in way of limitation, life insurance proceeds, which may be devised, bequeathed, assigned, granted, conveyed or made payable to the TRUSTEE by any other person, to be added to and administered in accordance with the then applicable provisions of this Trust; provided, however, if more than one TRUST is then being administered hereunder, such other person may specify, in the instrument of transfer, among which TRUSTS, and in what proportions such property shall be allocated. N. To treat the entire trust estate as a common fund for the purpose of investment, notwithstanding any provision herein for division thereof into shares or separate TRUSTS. O. Any TRUST beneficiary will have the right at reasonable times to request of and receive from the TRUSTEE a complete written accounting of such matters pertaining to the adnfinistration of the trust as are pertinent to that beneficiary. In the TRUSTEE's discretion, income tax returns of the TRUST and any other relevant information may be used to satisfy such request. P. In making distribution of this Trust, TRUSTEE is hereby granted the power to make non-prorata distribution of assets in kind. Q. TRUSTEE in addition to other powers granted shall have the authority to purchase life insurance on the lives of any or all beneficiaries of the TRUST. In addition, specific authority or power is granted to pay premiums on existing policies as well as those purchased after the creation of the TRUST even though said policies may not be owned by or payable to the TRUSTEE as beneficiary. Premiums may be paid from the income of the trust estate or, if necessary, from Principal. R. Should the Principal of any TRUST herein provided for be or become so small that, in the TRUSTEE's discretion, establishment or continuance of TRUST is inadvisable, TRUSTEE may make immediate distribution of the then remaining principal and any accumulated or undistributed income outfight to the person or persons and in the proportions they are then entitled to. If any such person is then a minor, distribution may be made to that person's guardian, or to a person selected by the TRUSTEE to be custodian for such person until the age of twenty-one (21) years under the Pennsylvania Uniform Transfers to Minors Act. This provision shall not apply to the marital gift during the life of SETTLOR's spouse. S. To continue the operation of any business in which SETTLOR may be interested or engage at the time of SETTLOR's death (regardless of the form or organization of any such business), which business or an interest in which shall be received by SETTLOR's fiduciary. This authorization shall include the fight to change the form of any such business by the reorganization or incorporation thereof, or the formation of a general or limited partnership with respect thereto, and shall also include the right to invest in any such business including the right to invest in any business the property, of any TRUST hereunder 19 for such periods of time and upon such terms and conditions as the fiduciary shall deem advisable. No fiduciary, shall be liable for any loss resulting from continuing any such business, but SETTLOR's fiduciary may, in SETTLOR's fiduciary's discretion, sell, liquidate or otherwise discontinue any such business at such time or upon such terms and conditions as SETTLOR's fiduciary shall deem advisable. T. SETTLOR's fiduciaries, generally, shall have full power and authority to exercise all fights and privileges appurtenant to any property held by them, and to execute and deliver any and all instruments which may be necessary or expedient in the exercise of the powers granted herein; provided, however, that no TRUSTEE hereunder shall have any power in the administration of the TRUST created under ARTICLE THIRD hereof which would in any way disqualify such TRUST for the purposes of the marital deduction afforded by the Federal Estate Tax Laws. U. Any fiduciaries are authorized to make distributions in any manner which he or she deems to be in the best interest of a beneficiary, including: 1. To such beneficiary directly, including mailing to his or her last-known address or depositing to his or her bank account or to a bank account to be opened by him or her; and 2. To an existing TRUST (or fund thereof) for the sole benefit of such beneficiary and providing no less a right to present enjoyment of income and Principal that would be the case under the TRUST hereunder; and 3. Directly to third persons for the sole benefit of such beneficiary or such beneficiary's dependents. 2O provisions will distribution. 5. No Principal The receipt for any distribution made fully discharge TRUSTEE from in conformity with the above any further liability for that fiduciary will exercise any discretionary authority to distribute or income for the benefit of any beneficiary to reimburse any governmental or private entity which may have incurred expense for the benefit of that beneficiary or pay any obligation of a beneficiary if that expense or obligation is otherwise payable by any governmental or private entity or pursuant to any governmental or private program of reimbursement or payment. SETTLOR does hereby specifically waive, renounce and disclaim any rights which SETTLOR, SETTLOR's heirs and assigns, and any other person or entity may otherwise have to seek invasion of the assets of SETTLOR's estate or any TRUST hereunder, pursuant to any rule of law or statute of any jurisdiction. V. In any proceeding, legal or equitable, formal or informal, in court or out of court, in any jurisdiction, concerning any property or personal rights or interests, whether vested or contingent, which arise hereunder, the interests of the following persons shall be represented as hereinafter provided for: 1. In the case of beneficiaries whose whereabouts cannot be ascertained, TRUSTEE or executor will represent them. 2. In the case of beneficiaries who are unborn, unknown, incompetent, or otherwise subject to the appointment of a guardian and a guardian for such 21 beneficiary has not been designated, the following persons in the order named will represent them: (a) The oldest competent parent, or if there is no competent parent, the oldest competent grandparent, of such beneficiary. (b) The oldest competent sibling. (c) The oldest competent child, or if there is no competent child, the oldest competent child ora sibling of such beneficiary. 3. Unborn beneficiaries will be represented by their parent who is related most closely to SETTLOR. No person will represent a beneficiary if it could or would result in an increase of federal or state income, gains, gift, death or other taxes. W. If there are co-fiduciaries serving hereunder, they may delegate any and all management duties and responsibilities to one of them. Such co-fiduciaries may, for example, designate one of them to maintain a bank account or accounts, and in that instance the signature of only that fiduciary shall be required to open and maintain such account, to deposit funds to such account and to write checks on such account. X. The individual fiduciaries shall have jointly all the powers given to the fiduciaries, except that no individual fiduciary shall participate in the exercise of any discretion to determine the propriety of or amounts of payments of income or Principal to himself or herself or to any person to whom he or she is legally obligated, or possess any of the incidents of ownership with respect to any policy of insurance on his or her life, and the 22 remaining fiduciaries alone shall exercise that discretion and possess those incidents of ownership. Y. In the event of any disagreement between or among TRUSTEES, the decision of HAMILTON C. DAVIS shall control. No TRUSTEE shall be liable for any loss resulting from a decision in which that fiduciary did not join. Z. It will be sufficient authority for any person to deal with any successor or substitute fiduciary if the successor delivers to that person a signed written statement that the predecessor fiduciary is either deceased, has resigned or is because of some disability unable to act or continue to act and that he or she is the duly appointed successor fiduciary. Such authority will remain in effect until such time (if any) that the predecessor fiduciary gives written notice that it is no longer effective. During the interim, acts taken pursuant to such authority will be valid as if taken by or with the predecessor fiduciary directly. AA. In establishing the inability of a fiduciary to act or continue to act hereunder, the statements of two licensed doctors of medicine shall be sufficient to establish such incapacity and third persons are protected in relying upon such statements without any further act or notice. No further act on the part of any party hereto or of any court shall be necessary to vest in a successor fiduciary the fiduciary powers and duties in the supervision and management of the trust and/or estate. BB. In connection with the continued operation of any business, SETTLOR's fiduciaries shall be entitled to receive such additional compensation as may be 23 commensurate therewith. SETTLOR's fiduciaries are specifically authorized and empowered to engage the services of such persons as ma.,,' be reasonable necessary or desirable to provide legal, accounting and business management expertise to or for said business and to engage employees and agents therefor and to agree for the compensation of said persons in addition to the additional compensation of SETTLOR's respective fiduciaries provided for above. CC: Where appropriate, TRUSTEE and SETTLOR's Executor are hereby authorized and empowered: 1. To (1) allocate any of SETTLOR's unused federal generation-skipping transfer tax exemption to any property of which SETTLOR is the transferor for the purposes of such tax (whether or not passing under this Trust); (2) exclude any such property from any such allocation; and (3) make any related election all as they in their sole and conclusive discretion deem most advantageous and equitable. SETTLOR directs that no party in interest to the transfer of any such property shall have any claim against his executor(s) or his estate or any claim for equitable reimbursement or any other cause. 2. To qualify as much of this Trust as they deem advantageous for the qualified terminable interest property provisions set forth in Section 2056(b)(7) of the Internal Revenue Code, as amended by Section 403 of the Economic Recovery Tax Act of 1981 and SETTLOR's Executor and TRUSTEE are hereby attthorized to make the election to qualify or not to qualify. As such SETTLOR directs that (1) if 24 any provision of' this Trust shall result in depriving any elected portion of this Trust of the benefits of IRC § 2056(b)(7) such provisions is hereby revoked and this Trust shall be read as if any portion thereof wh. ich would result in any such disqualification is null and void; (2) SETTLOR's Executor and TRUSTEE are hereby excused from liability to any person for the decision to elect to have any portion of SETTLOR's residuary' estate qualify for the marital deduction or for the decision to elect not so to qualify it; and (3) no reimbursement or other adjustment shall be made as among beneficiaries by reason of the consequences of such election or failure to elect. DD. I authorize my TRUSTEE to treat distributions from any Qualified Retirement Plan as defined in I.R.C. § 404(a), any Qualified Retirement Annuity as defined in I.R.C. § 403(a) or 403(b), or any Individual Retirement Account as defined in I.R.C. § 408(a) as income of the Trust to the extent that the distribution represents income generated or deemed to be generated by such plan, annuity, or individual retirement account, notwithstanding the treatment of such portion of the distribution under any law concerning the determination of income and principal for trust accounting purposes and I authorize my TRUSTEE to allocate expenses to income and nonincome portions of the distribution as the TRUSTEE is his discretion shall determine is reasonable and appropriate. In addition, my TRUSTEE shall have the fight in his sole discretion to withdraw any part or all of the remaining qualified plan benefit, annuity, or individual retirement account or to designate a beneficiary of the TRUST to receive any remaining payments directly and/or to have the right to withdraw at any time all or part of the remaining benefit, annuity, or individual 25 retirement account. SEVENTH: TRUSTEE shall have no duty. to but may pay any premiums on any life insurance policies subject 'hereto and the companies issuing such policies shall have no responsibility to see to the fulfillment of this TRUST or the application of the proceeds of such policies and TRUSTEE shall have no duty to but may bring suit upon any of such life insurance policies subject hereto if it holds funds hereunder out of which it may be (or if by appropriate actions of beneficiaries or others) indemnified against all costs, legal fees and other expenses of suit. EIGHTH: SETTLOR reserves to himself the following fights (each of which may be exercised by SETTLOR alone (or by a duly constituted attorney-in-fact for SETTLOR) whenever and as often as SETTLOR may wish): A. All fights now or hereafter vested in SETTLOR as the owner and the insured under any life insurance policies subject hereto, including, but not limited to, the rights to change beneficiaries, to borrow on policies either from the issuing companies or from other institutions or other persons, to assign and pledge policies for any loan and to receive dividends and all other payments available to the owner and the insured; and B. The right by an instrument in writing intended to take effect during SETTLOR's lifetime signed by SETTLOR and delivered to TRUSTEE to revoke or amend this Agreement in whole or in part or to withdraw sums of income and/or Principal or to direct payments of income or Principal to others, provided that the duties, powers and liabilities of TRUSTEE shall not be substantially changed without its written consent. NINTH: Subject to the approval of TRUSTEE, anyone may add property, real or personal, 26 to the Principal of this Trust by Deed, Will or otherwise. In addition, SETTLOR specifically authorizes TRUSTEE to receive property, transferred into the Trust by SETTLOR's attorney-in-fact (including transfers from TRUSTEE acting as attorney-in-fact for SETTLOR). TENTH: Any Corporate TRUSTEE shall receive compensation for the performance of its functions hereunder in accordance with its standard schedule of fees in effect from time to time during the period over which it services are performed, provided that any increase over its present schedule of fees must be approved by SETTLOR or after SETTLOR's death by a majority of the income beneficiaries who are living and sui juris and then entitled to receive income currently. If TRUSTEE is an individual, TRUSTEE shall receive reasonable compensation for performance of functions, from time to time hereunder. In no case, however, shall TRUSTEE be entitled to compensation until this TRUST is funded with assets requiring administration. ELEVENTH: The sims of this Trust for administrative and accounting purposes shall be in the County of Cumberland, Commonwealth of Pennsylvania, and all questions pertaining to the construction or validity of the provisions of this instrument shall be governed by the laws of Pennsylvania. Despite the foregoing, the TRUSTEE may, at any time and from time to time, change the situs of any TRUST created hereunder as the TRUSTEE in TRUSTEE'S discretion deems desirable for the benefit or security of this TRUST. The TRUSTEE may elect (or decline to elect) the law of a different jurisdiction and thereafter the court of such other jurisdiction shall have the power to effectuate the purposes of this instrument to such extent. The TRUSTEE may change the sims of any TRUST created hereunder, and may change the sims of one TRUST without changing the sims of other TRUSTS created hereunder. This is a continuing power which will not 27 be exhausted by its use. The determination of the TRUSTEE as to the change of situs shall be conclusive and binding on all persons interested or claiming to be interested in any TRUST hereunder. TWELFTH: GENERATION-SKIPPING TRANSFER TAX PROVISIONS. Should any assets held by TRUSTEES be subject to the operation of Chapter 13 of the Internal Revenue Code of 1980 (as amended) [GENERATION SKIPPING TRANSFER TAX], then in addition to the other provisions of this Trust Agreement, the following shall apply: A. Separate Trusts. To minimize the generation-skipping transfer tax, Trustee may divide any trust into two separate trusts, one fully exempt from generation-skipping transfer tax and the other not. Trustee shall allocate to the trust to be exempt from generation- skipping transfer tax the maximum fractional share of assets that can be allocated to this trust to establish this trust with an inclusion ratio of zero. Trustee shall allocate to the trust to be subject to generation-skipping transfer tax the remaining fractional share of assets to establish this trust with an inclusion ratio of one. B. Child's General Power of Appointment Over Nonexempt Trust. If any separate trust for a child of SETTLOR'S has an inclusion ratio of one and the distribution of that trust xvould otherwise result in generation-skipping transfer tax, the child shall have the power, by specific reference to this general power of appointment in the child's will, to appoint the assets (including any undistributed income) of that trust only to the creditors of the child's estate. C. Payment of Child's Transfer Taxes on Nonexempt Trust. Unless the child 28 provides otherwise by specific reference to this paragraph in a will or other v~xiting, Trustee shall pay any transfer taxes attributable at the child's death to the assets (including any undistributed income) of any trust over which the child has a general power of appointment from the unappointed principal of that trust according to this computation: the actual taxes payable by the child's estate, less the taxes that would be payable if the assets of that trust were excluded from the child's gross estate. Trustee shall pay this amount to the child's estate or directly to the taxing authorities and may rely upon the child's personal representative for the amount due. THIRTEENTH: Successor Trustees. Should either CRAIG L. SAYLOR or CURT A. SAYLOR resign or cease to act as TRUSTEE, the remaining TRUSTEES or TRUSTEE shall continue to act. HAMILTON C. DAVIS shall have the power and authority at anytime upon his resignation or ceasing to serve or at anytime after the resignation of either CRAIG L. SAYLOR or CURT A. SAYLOR, to designate a Co-Trustee or Successor Trustee. Should HAMILTON C. DAVIS resign or cease to act as Trustee and should he fail to designate a Co-Trustee or Successor Trustee, then, in that event, Joel R. Zullinger and 29 Dale F. Shughart, Jr., shall be SUCCESSOR TRUSTEES. IN WITNESS WHEREOF the parties hereto have executed or caused this instrument to be executed the day and date first above written. Qess: Donald C. Saylor, SETTL(TR "~ · ;~ ,'7. · Hamilton C. Davis, TRUSTEE Craig l~.'~aylor, Curt A. Saylor, /TRUSTEE 3O CONIMONWEALTH OF PEN2qS YLVANIA: · SS. COUNTY OF CUMBERLAND ' On this, the '~q& day of '~/(LiLOJ~_ ,2001, be fore me, the undersigned officer, personally appeared Donald C. Saylor,~,.no,,m to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. .._.,- - Not~ pubi~c Notarial Seal Nichole J. Kellert, Notary Public Shippensburg Bom, CUmberland County My Commission Expires Aug. 18, 2003 COMMONWEALTH OF PENNSYLVANIA: ; SS. COUNTY OF CUMBERLAND : On this, the C>~t~dayOf ~/~//~]~ , 2001, before me, the undersigned officer, personally appeared' H~on C. Davi~,, known ~o me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. / ~. .... Nof'ary Public ' Notadal Seal Nichole J. Kellert, Notary Public Shippensburg Bore CUmberland County My Commisslcn Expires Aug. 18, 2003 31 COMMONWEALTH OF PENNSYLVANIA: · SS. COUNTY OF CUMBERLAND ! / ' On this, the .',5~0 of / , 2001, before me, the tmdersigned officer, personally appeared Craig L. Saylor, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed same for the purposes therein contained· IN WITNESS WHEREOF, I hereunto ,set my'hand and official seal. -. f/l .. ,t Notarial Seal .' r , ; ,'~ Sbi~pensburg Boro, CUmberiand C?yq~/ i MfCornmis~!cn Ex~ims Aug. 18, 200:~ ] { - - - Not. PuNic COMMONWEALTH OF PENNSYLVANIA: · SS. COUNTY OF CUMBERLAND,6 ~.--d4 ( xq'/7 : On this, the3J-0' ~ ~day of'-'////j_/'~/,fiVor , 2001, beforekn~v~xt t° me me, the undersigned officer, personally appeared'-(5-~--~. Saylor, - ( satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed same for the purposes therein contained. []kL_WITNE~SS WHEREOF, I hereunto set m,y.~and and official seal. .... Nmnolo J, Kotlor!, bic, ta,-t Public . ~ (.~, Not~.Public EAWordd~sXCLI~Saylor, ~n & J~et~tandby Trust - Don~d.doc 32 RESTRICTED USE APPRAISAL REPORT 37 CARLISLE ROAD NEWVILLE, PENNSYLVANIA PREPARED FOR THE ESTATE OF DONALD C. SAYLOR BY LARRY E. FOOTE DIVERSIFIED APPRAISAL SERVICES 35 EAST HIGH STREET, SUITE 101 CARLISLE, PENNSYLVANIA 17013-3052 (717) 249-2758 TABLE OF CONTENTS PAGE Table of Contents ........................................................................................................ 2 Letter of Transmittal ................................................................................................... 3 Summary of Important Facts and Conclusions ........................................................... 4 Appraisal Certificate ................................................................................................... 5 Purpose of the Appraisal ............................................................................................. 7 Location Analysis ....................................................................................................... 8 Zoning ....................................................................................................................... 10 Ownership History .................................................................................................... 12 Estimated Marketing Time ..... : ................................................................................. 12 Economic Trends ..................................................... Site Description ........................................................................................................ 13 Improvements ........................................................................................................... 14 Taxes and Assessment .............................................................................................. 16 Highest and Best Use ......... ....................................................................................... 17 Cost Approach .......................................................................................................... 21 Sales Comparison Approach ..................................................................................... 24 Income Approach ...................................................................................................... 32 Reconciliation and Final Value Estimate ................................................................. 35 Underlying Assumptions and Limiting Conditions .................................................. 36 Certificate of Appraisal ............................................................................................. 39 NO. Qualifications of the Appraiser Photographs Location Map SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS LOCATION: TAX PARCEL NUMBER: 37 Carlisle Road Newville, Pennsylvania 46-20-1756-016 OWNERSHIP: LAND SIZE: Donald C. and Janet B. Saylor 3.820 acres ZONING: Commercial District FLOOD HAZARD DATA: PROPERTY RIGHTS: The subject site is not located in a FEMA identified flood hazard zone, according to map #421590-0010-A. Fee simple interest. SCOPE OF ASSIGNMENT: IMPROVEMENTS: OBJECTIVE: The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an es- timation of the property's highest and best use, considera- tion of all three approaches to value, and the application of those relevant to the valuation of the subject. One-story detached grocery store building. To estimate the market value of the subject property as un- encumbered. USE OF THE APPRAISAL: EFFECTIVE DATE: To settle the estate of Donald C. Saylor. February 19, 2002. HIGHEST AND BEST USE: Continued use as a grocery store. COST APPROACH: N.A. SALES APPROACH: $1,897,000 INCOME APPROACH: $1,789,000 VALUE CONCLUSION: $1,789,000 APPRAISAL CERTIFICATE I hereby certify that upon application for valuation by: THE ESTATE OF DONALD C. SAYLOR the undersigned personally inspected the following described property: All that certain tract of land, with the improvements thereon erected, situate in West Pennsboro Township, Cumberland County, Pennsylvania, more particularly bounded and described as follows: Beginning at an existing iron pin at the edge of right-of-way of Pa. Traffic Route 641, which iron pin is at the comer of land now or formerly of Leroy S. Kennedy; thence along line of land now or formerly of Leroy S. Kennedy, North 36 degrees 19 minutes West, 435.82 feet to an iron pin set in line of land now or formerly of Daniel F. Schungel; thence along line of land now or formerly of Daniel F. Schungel, North 35 degrees 45 minutes 49 seconds East, 118.86 feet to a set iron pin; thence continuing by same, North 28 degrees 05 minutes East, 202.48 feet to a point in the approximate centerline of public road known and designated as T-502, Mill Road; thence along approximate centerline of Mill Road, South 44 degrees 22 minutes 16 seconds East, 217.15 feet to a point; thence continuing by same, South 43 degrees 03 minutes 46 seconds East, 347.28 feet to a point at intersection of approximate centerline of Mill Road with the edge of the right-of-way of Pa. Traffic Route 641; thence along edge of right-of-way of Pa. Route 641, South 53 degrees 41 minutes West, 366.91 feet to the point and place of beginning. Containing 3.820 acres, total area. 5 To the best of my knowledge and belief the statements contained in this report are true and correct, and that neither the employment to make this restricted appraisal report nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of February 19, 2002 is: ONE MILLION SEVEN HUNDRED EIGHTY-NINE THOUSAND DOLLARS $1,789,000 The property was appraised as a whole, subject to the contingent and limiting conditions outlined herein. Larry E. Foote Certified General Appraiser GA-000014-L NOTE: There exists an environmental issue relative to a portion of the site being con- taminated with an unknown amount of gasoline. Since there has been no definitive cost to cure established, it is my opinion that this situation results in a ten percent decrease in market value, which would result in an indicated market value of $1,610,000. 6 PURPOSE OF THE APPILA, ISAL The purpose of this restricted use appraisal of a limited appraisal is to estimate the Market Value of the subject property as of February 19, 2002. Market Value is defined as the most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a speci- fied date and the passing of title from seller to buyer under conditions whereby: a. Buyer and seller are typically motivated. b. Both parties are well informed or well advised, and each acting in what he considers his own best interest. c. A reasonable time is allowed for exposure in the open market. d. Payment is made in terms &cash in U.S. dollars or in terms of fi- nancial arrangements comparable thereto. e. The price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions granted by anyone associated with the sale. 7 LOCATION ANALYSIS The subject property is located in the south central part of Pennsylvania in Cum- berland County. Cumberland County has pronounced boundar/es. The Susquehanna River forms the eastern boundary shared with Dauphin County and the state capitol, Har- risburg. The Yellow Breeches Creek forms the southeastern boundary with York County. The boundary then extends to the southwest following the Paney and South Mountains. That line also constitutes the southern boundary with Adams County. The southwestern boundary with Franklin County is traced by Laughlin Run, Middle Spring Creek, Gum Run, and Maines Run while the ridge line of Blue Mountain forms the northern boundary with Perry County. Based upon statistics from the Commonwealth of Pennsylvania Department of Labor and Industry Bureau of Research and Statistics, total civilian labor force in the Harrisburg-Carlisle-Lebanon MSA as of March, 2001 was 350,500, up 8,700 from March, 2000, which was 341,800. The unemployment rate for Cumberland County as of March, 2001 was 3.0 percent, up .7 percent from March, 2000 which was 2.3 percent. These figures of unemployment are lower than 4.5 percent for the commonwealth of Pennsylvania. Over the year service producing industries are up 3,000 jobs and goods producing industries are down 1,200 jobs. Major east-west transportation links serving the general area are U.S. Route 22 and 322, Interstate Route 78, and Interstate Route 76. Major nearby north-south arteries include Interstate Route 81, Interstate Route 83, and U.S. Routes I 1 and 15. Rail service is provided by Amtrak on ConRail's line. The rail terminal is located in downtown Hat- 8 risburg. Air transportation includes four airports with Harrisburg International Airport serving the major carriers of U.S. Air, American, and Pennsylvania Commuter Air Lines. General aviation is also served by Capital City Airport and the Carlisle Business Airport. Higher education is offered through the Harrisburg Area Community College, the University Center at Harrisburg, Pennsylvania State University at Harrisburg, Dickinson College and Dickinson Law School. Millersville State University, Shippensburg State University, Susquehanna University, Franklin and Marshall College, and York College, among others, are all within a one hour drive of the general area. Newville is located in the southeast section of central Pennsylvania, approxi- mately thirty miles from Harrisburg, the state capitol. The town itself is presently under- going a considerable degree of renovation and restoration of older properties. Employment opportunities are good, with Commonwealth of Pennsylvania, Her- shey Foods Corporation, Herco, Inc., Bethlehem Steel, Harrisburg Hospital, Pennsylvania Blue Shield, Rite Aid Corporation, Hershey Medical Center, Carlisle Barracks, PPG In- dustries, Carlisle Tire and Wheel and Lear Corp. being the major employers in the area. 9 iq II II II ! I I I ZONENG The subject property is located in an area which is zoned Commercial District. The specific intent of this district is to provide reasonable standards for the development of a variety of commercially-oriented uses in areas considered most suitable. In this district no building or land shall be used, and no building shall be erected which is arranged, intended to be, or designed to be, used for other than one or more of the following approved uses: A. Churches or similar places of worship, including a parish house, manse, parson- age, or convent. B. Public and private schools for the educational needs of the community when not conducted for gain or profit, and including accessory residential uses. C. Elderly housing and care facilities, assisted or shared living residences, convales- cent homes, accessory apartments, elderly cottages, personal care facilities and group homes. D. Municipal parks, playgrounds and recreation areas including municipal and pri- vate pools, ballfields with accessory structures and utilities, pavilions for public or private uses. E. Public utility facilities and communications buildings and structures and shall be in accordance with Article 12, Section 1206 of the zoning ordinance. F. Day care centers and shall be in accordance with Article 12, Section 1214 of the zoning ordinance. 10 G. Amusement enterprises including theaters, bowling alleys, skating rinks, minia- ture golf courses, or similar uses. H. Department, variety stores, and stores for retailing of beverages, drugs, gas, hard- ware, bakery products, clothing, household appliances, furniture, sporting goods, hobbies, toys, and gasoline. I. Personal service establishments including barber and beauty shops, tailors, dry cleaning, self-service laundries. J. Banks, other financial institutional businesses, and professional offices. K. Manufacturing of pottery and other ceramics products. L. Printing and newspaper publishing. M. Laboratories N. Hotels and motels. O. Restaurants or food selling establishments. P. Car sales and service. Q. Medical and dental clinics and laboratories. R. Construction and farming equipment, sales, and service. S. Dance or music or art studios. T. Commercial recreation facilities. U. Public libraries and museums. V. Nursery, greenhouses, lawn and garden equipment, supplies and service and shall be in accordance with Article 12, Section 1213 of the zoning ordinance. W. Accessory buildings and customarily incidental permitted uses in accordance with Article 12, Section 1201 of the zoning ordinance. Il OW~E RSHIP HISTORY The subject property is owned by Donald C. and Janet B. Saylor. Title to the property was transferred on April 11, 1994 for a reported consideration of $1.00 and ownership transferred on Deed Book 103, Page 1002. ESTIMATED MARKETING TIME It is estimated that if the subject property were offered for sale at the indicated Market Value, a reasonable marketing time would be one to two years. This estimate is based upon quarterly sales figures published by Central Penn Multi List, Inc. ECONOMIC TRENDS Historically, values for similar properties have steadily increased, with vacancy rates remaining stable. Financing is readily available to qualified purchasers at reason- able rates and terms. 12 SITE DESCRIPTION The subject site is irregular in shape, consists of a total area of approximately 3.820 acres, and has approximately 366.91 linear feet of macadam road frontage along the Newville Road. There is also approximately 564.43 linear feet of macadam road frontage along Mill Road. The site is relatively level throughout and there does not appear to be any drain- age problems. According to the Federal Emergency Management Agency map number 421590-0010-A, the site is not located in an area which is prone to flooding. In the absence of core boring, it has been assumed that there are no mineral de- posits of a commercial nature underlying the subject site. For the same reason, it is as- sumed that there are no unusual sub-soil conditions that would adversely affect the sub- ject site. Access to the site is via the Newville Road and Mill Road, and visibility of the site from these roadways is considered to be good. Utilities available at the site include water, sewer, gas, electricity and telephone service. There appears to be sufficient capacity in each of these utilities to permit opti- mum utilization of the site. 13 IMPROVEMENTS The subject property is improved with a one-story detached structure with a small second floor area containing a total of approximately 44,000 square feet of gross building area above grade, including approximately 1,495 square feet of second floor office space. This building, originally built in 1983, is constructed upon a concrete slab, with the ex- ception of approximately 2,576 square feet of basement area that is located in the rear comer of the building. The majority of the building is utilized as a grocery store and a small portion in the front comer is used as a retail drug store. The exterior of the building is covered with painted concrete block, painted cor- rogated steel panels, and brick across the front of the building. Roofing is of steel sheath- ing and gutters and downspouts are of galvanized steel. Windows across the front of the building are of steel-framed glass and exterior doors are of steel-framed glass on the front of the building and insulated steel on the sides and rear of the building. There is an eight- foot overhang across the front of the building protecting an eight-foot wide concrete sidewalk which is also the width of the building. Interior floor coverings are of asphalt tile blocks, interior walls are of painted drywall, and interior ceilings are of suspended acoustical tile blocks. Plumbing through- out the building is of iron, copper and plastic. Water is heated by a 114-gallon reclaim system with electric backup. The grocery store portion of the building is heated by a heat reclaiming system that is connected to the store's refrigeration units with an electric backup, and that portion of the building is cooled by a central air conditioning system. The drug store portion of the building is heated and cooled by an electric heat pump. 14 iq q q Electricity is provided by two 3,000-ampere three-phase electrical services with several subpanels. The grocery store is divided into a large retail grocery department, meat room, deli, produce department, stock room, branch bank, two restrooms, and an interior load- ing dock. There is also a small second floor area that consists of a three-room office suite with a restroom. The drug store consists of a large retail area, stock room and two rest- rooms. The building is protected by a NAPCO security alarm system and an emergency lighting system. The site is further improved with approximately 66,695 square feet of asphalt parking areas and driveways, which are illuminated by three double-lamp pole-mounted lamps in the front parking lot and wall-mounted lamps along the sides of the building. Located at the rear of the building is 682 square foot elevated concrete storage dock that is covered and enclosed with chain link fencing. Also located at the rear of the building is an elevated loading dock equipped with two levelers and two overhead garage doors. Located in the front parking area is a fueling station with two 10,000-gallon underground fuel tanks and a 576 square foot steel canopy with built-in lamps over the fuel pumps. Along the front of the site is approximately 478 linear feet of concrete curbing. All improvements are considered to be in good condition on the interior and on the exterior, with mechanical systems appearing to be adequate and functioning properly. 15 II II ! ! ! I TAXES AND ASSESSMENT The real estate tax assessment, synonymous with assessed value, is the official valuation level of property for advalorem tax purposes. Since the assessment is a dollar amount assigned to taxable property by the assessor for the purposes of taxation, it may not reflect the independent value conclusions found within this report. The following is the assessment and tax liability for the subject property as determined by the County As- sessor's Office: Assessment: Land $ 223,400 Improvements 1,548,990 Toml $1,772,390 Mill Rates: Township .000225 County .002149 School .0 10000 Total .012374 Tax Liability: Towns~p $ 398.79 County 3,808.87 School 17,723.90 Tot~ $21,931.55 16 HIGHEST AND BEST USE I! I! ! ! 1 Highest and Best Use is defined by the Appraisal Terminology and Handbook, published by the Appraisal Institute, as "the most profitable likely use to which a prop- erty can be put". The opinion of such use may be based on the highest and most profit- able continuous use to which the property is adapted and needed, or likely to be in de- mand, in the reasonable near future. However, elements affecting value that depend upon events or a combination of occurrences which, while within the realm of possibility, are not fairly shown to be rea- sonably probable, should be excluded from consideration. Also, if the intended use is dependent on an uncertain act of another person, the intention cannot be considered. The following tests must be passed in determining the highest and best use of the subject property. a. The use must be physically possible. The size, shape, and topography of the site affect possible uses for which it can be developed. b. The use must be legal, i.e., permitted under zoning and other municipal, county, state, or federal regulations. c. The use must be financially feasible, probable, and not speculative. There must be an economic, social, or market demand for the existing or proposed use. All uses that are expected to produce a positive return are regarded as fi- nancially feasible. Finally, the highest and best use must be that which produced the highest pos- sible net return for the longest period of time. 17 I I I I ! I The highest and best use of the site as vacant may be different from the highest and best use as currently improved. This is most likely to occur with older properties, where physical condition, market changes, and neighborhood changes have been si~ifi- cant since the period when originally constructed. HIGHEST AND BEST USE AS VACANT: The highest and best use of the property as vacant assumes the site has no existing improvements. This concept is important to the appraisal report as it is carried through to the valuation of the land in the cost approach, if applicable. It assists in the selection of comparable sales of vacant sites to apply to the subject site. Considering the physical characteristics of the site, neighborhood uses, current zoning, location, and financial pa- rameters, it is my opinion that the highest and best use of the subject property, as vacant, would be for construction of a grocery store or other retail sales facility. HIGHEST AND BEST USE AS IMPROVED: The analysis of highest and best use of a property as improved addresses what use should be made of the current improvements. Possible choices include renovation, ex- pansion, demolition, or maintaining its current use with no changes. Considering the physical characteristics of the property, neighborhood uses, current zoning, location, and financial parameters, it is my opinion that the highest and best use of the subject property, as improved, is for continued use as a grocery store. 18 THE APPRAISAL PROCESS mm mM Three approaches to value are generally included in an appraisal report. These techniques include the cost approach, sales comparison approach, and income approach to value. The cost approach to value is based on the assumption that the reproduction cost of a building plus land value, tends to set the upper limit to value. A key assumption is that a newly constructed building would have advantages over the existing building, therefore an evaluation focuses upon disadvantages or deficiencies (depreciation) of the existing building compared to a new facility. The sales comparison approach to value assumes that under normal conditions, a given number of parties acting intelligently and voluntarily, tend to set a pattern from which value can be estimated. Application of this approach relies on a comparison of the subject with a sufficient number of recent transactions of' comparable properties in the market, based on a common unit, such as price per square foot of building area. The income approach concerns itself with present worth of the future potential benefits of a property. The initial estimate involves the net income, which a fully in- formed person is justified in assuming the property will produce during its remaining use- ful life. This estimated net income is then capitalized into a value estimate, based upon the level of risk as compared with that of' a similar type and class. At the request of the client and in accordance with the departure provision of the Uniform Standards of' Professional Appraisal Practice, only the sales comparison and in- II come approach to value have been applied to the subject property and are subsequently presented. 20 THE COST APPROACH The cost approach to value is based on the principle of substitution, which pro- poses that an informed buyer will pay no more than the cost of providing a substitute property with similar utility. In estimating the value of the subject property by the cost approach, the following steps must be completed: a. Estimate the value of the site to its highest and best use as though vacant, which we have done. b. Estimate the reproduction or replacement cost of the improvements on the ef- fective date of the appraisal. This includes direct and indirect costs. c. Estimate other costs incurred after construction to being the new, vacant building up to market conditions and occupancy levels. d. Estimate entrepreneurial profit, when appropriate, from an analysis of the market. e. Add estimated replacement or reproduction cost, indirect costs, and entrepre- neurial profit, often expressed as a percentage of total direct and indirect costs to arrive at the total replacement or reproduction cost of the primary structure. f. Estimate the amount of accrued depreciation in the structure, which is divided into three major categories; physical deterioration, functional obsolescence, and external obsolescence. 21 II II II g. Deduct the estimated depreciation from the total reproduction or replacement cost of the structure to derive an estimate of the structure's depreciated repro- duction or replacement cost. h. Estimate reproduction or replacement costs and depreciation for any acces- sory buildings and site improvements, and then deduct estimated depreciation from the reproduction or replacement costs of these improvements. Site im- provements and minor building improvements are often appraised at their net value, i.e., directly on a depreciated cost basis. i. Add the depreciated reproduction of replacement costs of the structure, the accessory buildings, and the site improvements to obtain the estimated total depreciated reproduction or replacement cost of ali improvements. j. Add the land value to the total depreciated reproduction or replacement cost of all improvements to arrive at the indicated value of the fee simple interest in the property. k. Adjust the indicated fee simple value to reflect the property interest being ap- praised, if necessary, to produce an indicated value for the interest in the sub- ject property. Comparison is the essence of the cost approach to value, similar to the sales com- parison and income approaches. Construction costs, plus land values, are compared to the values of existing improved properties. The four principles used for the sale compari- son approach (substitution, supply and demand, balance, and externalities), are also ap- plicable to the cost approach. 22 So the cost approach to value can be derived and equitably compared with the other approaches to value, adjustments for accrued depreciation from all causes are de- ducted from the reproduction cost, including: a. Physical Deterioration: Physical wearing out of property. b. Functional Obsolescence: Lack of desirability in terms of layout, style and design as compared to that of a new property, serving the same func- tion. c. External Obsolescence: Loss of value from causes outside the property it- self. The cost approach to value is most applicable for new properties, where the com- ponents of physical deterioration and functional and external obsolescence are small. The Marshal Valuation Service is used in this approach with actual costs for the subject property. The Marshall Valuation Service is a complete, dependable appraisal guide for de- veloping replacement costs, depreciated values, and insurable values of buildings and other improvements. Modifiers are applied to make the cost applicable to any size build- ing in any locality. Known costs for locally constructed properties are also analyzed and compared with derived cost estimates. The land value is based on comparable land sales using the same techniques as applied in the sales comparison approach. Due to the age of the improvements, the cost approach to value has not been in- cluded in the development of this restricted use appraisal report. 23 THE SALES COMPARISON APPROACH The sales comparison approach is a process of comparing market data, that is, the prices paid for similar properties, prices asked by owners, offers made by prospective purchasers willing to buy, and rents and leases. In applying the sales comparison approach, various appraisal principles are ap- plied, ensuring that all relevant issues have been included in the analysis. The principles of primary importance are supply and demand, balance, substitution, and externalities. Additionally, a fundamental premise of the sales comparison approach is the concept, that from analysis of sales of reasonably similar properties, an appraiser has a factual basis upon which to estimate the value of the subject. Proper application of the sales compari- son approach requires that: a. Only market transactions be weighed, and the date of each transaction be con- firmed to the greatest extent possible. b. The degree of comparability of each sale to the subject be considered. c. The value conclusion be consistent with the analysis of the sales data. A definition of market value is: "The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: a. Buyer and seller are typically motivated. 24 b. Both parties are well informed or well advised, and each acting in what he considers his own best interest. c. A reasonable time is allowed for exposure in the open market. d. Payment is made in terms of cash in U.S. dollars or in terms of financial ar- rangements comparable thereto. e. The price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions granted by anyone asso- ciated with the sale. The degree of comparability that exists between a sale and the subject is often a function of the volume of sales activity in a market. For any class of real estate, if sales are infrequent, the market area must be expanded in scope of time and or geography to whatever extent is necessary to accumulate sufficient data on which to base a judgment. To judge the degree of comparability between a sale and the subject, several guidelines can be applier[ a. The sale should be in the same market as the subject. Co To the extent that a market is a meeting place for buyers and sellers of real estate of a given type, the boundaries of the market are set by the participants in merchandising and absorbing competitive properties. The boundaries of a market area are conse- quently economic in character, and not purely physical or geographic. Physical characteristics of the sale and subject should be as similar as possible in terms of size and amenities customarily found within the applicable class of real estate. Real estate price trends over time must be taken into consideration. 25 II II II II d. The functional adequacy of the sale property and the subject should be com- petitive in terms of the ability of each to support similar functions. In arriving at this conclusion of the value of the subject property, your appraiser made a survey of properties that have been sold recently or are now offered for sale within the general area. Sales, terms of sale, price, and exterior, as welt as interior appointments, were verified by a personal examination and/or interview w/th the sales brokers. As it was impossible to find an identical property to that of the subject, since no two properties are ever identical, it was necessary to make adjustments on each compara- ble sale and offering for sale as related to the subject property. Consideration was given and adjustments were made on each comparable sale, of- feting for sale as to time of sale, size, location, age, and utility, as well as all other factors that might affect value. A resume of some of the sales and offerings for sale considered by your appraiser are listed on the following pages: 26 SALE NO. 1: Location: Tax Parcel Number: Date of Sale: Deed Reference: Zoning: Type: Building Size: Lot Size: Parking: Grantor: Grantee: Sale Price: Unit Price: 5950 Carlisle Pike, Mechanicsburg 10-20-1840-022A-U4 November 16, 2001 Deed Book 249, Page 1207 Commercial One-story retail sales facility built in 1997. 55,144 square feet. 5.00 acres Asphalt lot Pa. Hampden Commons, LLC Realty Income Corp. $6,000,000 $108.81 per square foot. 27 SALE NO. 2 Location: Tax Parcel Number: Date of Sale: Deed Reference: Zoning: Type: Building Size: Lot Size: Parking: Grantor: Grantee: Sale Price: Unit Price: 486 E. King Street, Shippensburg and 5034 Haun Way, Camp Hill 32-33-1869-102 and 13-23-0559-085 June 28, 2002 Deed Book 252, Page 2021 Commercial Two one-story retail sale facilities. 8,080 square feet and 9,760 square feet. · 81 acre and 1.10 acre. Asphalt lots. Atlantic Financial Group, Ltd. Dolgencorp, Inc. $1,448,041 $81.17 per square foot. 28 SALE NO. 3: iq It il II II II ii I1 il I I I I I I Location: Tax Parcel Number: Date of Sale: Deed Reference: Zoning: Type: Building Size: Lot Size: Parking: Grantor: Grantee: Sale Price: Unit Price: 2407 Gettysburg Road, Camp Hill 13-23-0549-095 September 28, 2001 Deed Book 248, Page 2770 Commercial One-story detached retail sales and rental facility. 7,421 square feet .55 acre Asphalt lot Scott T. and Deborah D. Woodruff David S. and Sarah Z. Beiler $360,000 $48.51 per square foot. 29 Your appraiser, in addition to the sales listed, also considered several additional sales in arriving at his final opinion of value. After making all of the necessary adjust- ments, as explained in the opening paragraphs under this approach to value, it is your ap- praiser's considered opinion that the Market Value of the subject property by the Sales Comparison Approach is best estimated at $1,897,000. 30 SALES ADJUSTMENTS I ! I ! II ! ! ! l ! ! ! I1 I1 I1 The appraiser has analyzed comparable sales and has developed dollar adjust- ments, reflecting market reaction to those items of significant variation between the sub- ject and comparable properties. If a significant item in the comparable property is supe- rior to, or more favorable than the subject property, a minus (-) adjustment is made, thus reducing the indicated value of the subject; if a significant item in the comparable is infe- rior to, or less favorable than the subject property, a plus (+) adjustment is made, thus in- creasing the indicated value of the subject. SALE # 1 SALE #2 SALE #3 Sale Price $6,000,000 $1,448,041 $ 360,000 Location -3,000,000 -362,000 -90,000 Building Size -445,800 + 1,046,400 + 1,463,200 Land Size -59,000 +95,500 +163,500 Net Adjustment -3,504,800 +779,900 +1,536,700 Indicated Value: $2,495,200 $2,227,941 $1,896,700 31 THE INCOME APPROACH The income approach is a method of converting income streams into present worth. Income and expense data for the subject has been estimated, based upon rental data from other similar properties in the general area. Since the subject property is the only building of its type in the Newville area, it was necessary to use rental data from a grocery store in Mount Holly Springs, which is a small town that is comparable to New- ville. This building, which is located at 2 North Baltimore Avenue, is leased at a rate of $4.25 per square foot per year, with all operating expenses being paid the lessee. Ap- proximately 5,500 square feet of space in the subject building is leased as a drug store at a rate of $4,500 per month, with the lessor paying the property taxes and insurance. Due to the larger size of the subject building, it is estimated that the grocery store portion could be leased at a rate of $4.00 per square foot per year, with all operating expenses being the responsibility of the lessee Analysis of this data resulted in a projected annual net operating income of $168,912. Using this approach, the net operating income should be sufficient to cover total mortgage payments and offer a return on equity investment. The net operating income is capitalized to obtain an estimate of value by income approach. Using the band of investment technique to develop a capitalization rate, the ap- praiser contacted lending institutions to determine the availability and terms of invest- ment capital, and the equity return desired by investors in this type investment. It was found that eighty percent of the property value could be borrowed at seven percent inter- 32 est per annum for a term of twenty years, adjusted at the end of five years. Also, inves- tors desire an equity yield often percent. The mortgage constant under the above terms would be .093036. Applying the band of investment technique, the overall capitalization rate is developed as follows: · 80 x .093036 = .074429 .20 x. 100000 = .020000 .094429 Based upon the above, capitalizing the net operating income at the overall capi~ talization rate of .094429 indicates a value of $168,912 + .094429 -- $1,788,772.52. Therefore, the Market Value of the subject property by the income approach is best esti- mated at $1,789,000. 33 RECONCILLS, TION AND FLNAL VALUE ESTLMATE Reconciliation is the analysis of alternative conclusions to arrive at a final value estimate. Reconciliation is required because different value indications result from the use of multiple approaches to value and within the application of a single approach. The final value estimate is not derived simply by applying technical and quantita- tive procedures; rather, it involves the exercise of judgment. The value conclusion reached must be consistent with market thinking. The parts of this appraisal report are the following approaches to value your ap- praiser used: Value Indicated by Cost Approach N.A. Value Indicated by Sales Comparison Approach $1,897,000 Value Indicated by Income Approach $1,789,000 These approaches are representative of the market value of the property. I have carefully examined each step in each method, and I believe the conclusions accurately reflect the attitude of typical purchasers of this type property in this neighborhood. It is my belief that this reexamination has confirmed the original conclusions. As a result of this restricted appraisal and analysis, it is this appraiser's considered judgment and opinion that the Market Value of the subject property, as of February 19, 2002 is: ONE MILLION SEVEN HUNDRED EIGHTY-NINE THOUSAND DOLLARS $1,789,000 35 UNDERLYLNG ASSUMPTIONS AND LIMITENG CONDITIONS SUBJECT TO THIS APPRAISAL 1. I assume no responsibility for matters legal in nature, nor do I render any opinion as to the title, which is assumed to be marketable. The property is appraised as though under responsible ownership. 2. The legal description used herein is correct. 3. I have made no survey of the subject property, and the boundaries are taken from records believed to be reliable. 4. I assume that there are no hidden or unapparent conditions of the property, subsoil or structures which would render it more or less valuable. I assume no responsi- bility for such conditions or for engineering which might be required to discover such factors. 5. The information, estimates, and opinions furnished to me and contained in this re- port were obtained from sources considered to be reliable and believed to be true and correct. However, no responsibility for accuracy can be assumed by me. 6. This appraisal report is to be used in its entirety and only for the purpose for which it was rendered. 7. Neither all nor any part of the contents of this appraisal report, (especially any conclusions as to value, the identity of the appraiser or the firm with which he is connected) shall be reproduced, published, or disseminated to the public through advertising media, public relations media, sales media, or any other public means 36 of communication, without the prior written consent and approval of the ap- praiser. 8. Unless otherwise stated in this report, the existence of hazardous material, includ- ing without limitation asbestos, polychlorinated biphenyls, petroleum leakage, or agricultural chemicals, which may or may not be present on the property, was not observed by the appraiser. The appraiser has no knowledge of the existence of such materials on or in the property. The appraiser, however, is not qualified to detect such substances. The presence of substances such as asbestos, urea- formaldehyde foam insulation, or other potentially hazardous materials may affect the value of the property. The value estimate is predicated on the assumption that there is no such material on or in the property that would cause a loss in value. No responsibility is assumed for any such conditions, or for any expertise or engi- neering knowledge required to discover them. The client is urged to retain an ex- pert in this field, if desired. 9. I do not have knowledge or experience required to evaluate whether physical changes have to be made to existing facilities to conform to the Americans With Disabilities Act regulations or whether alterations or new construction meets the requirements. Therefore, the value reported is based upon the assumption that the subject property conforms to the ADA regulations. The client is urged to retain an expert in this field, if desired. 10. Acceptance of and/or use of this appraisal report constitutes acceptance of the foregoing assumptions and limiting conditions. 37 11. Adherence to the confidentiality requirement of the Uniform Standards of Profes- sional Appraisal Practice requires that, prior to making any copies of the appraisal report or having discussions related to this appraisal assignment with anyone other than the client, approval from the client be obtained in writing. Upon re- ceipt of said written authorization, copies of the appraisal report shall be produced or discussions with a third party may be held. Fees for these additional services shall be mutually agreed upon and are payable in advance. 12. This appraisal was prepared for the exclusive us of the client identified in this ap- praisal report. The information and opinions contained in this appraisal set forth the appraiser's best judgment in light of the information available at the time of the preparation of this report. Any use of this appraisal by any other person or en- tity, or any reliance or decisions based on this appraisal are the sole responsibility and at the sole risk of the third party. The appraiser accepts no responsibility for damages suffered by any third party as a result of reliance on or decisions made or actions taken based on this report. 38 CERTIFICATE OF APPRAISAL Your appraiser hereby certifies that: 1. I have no present or contemplated future interest in the subject property. 2. I have no personal interest or bias with respect to the subject matter of this ap- praisal report or the parties involved. My findings are not based on the employ- ment to make the restricted appraisal, a requested minimum valuation, a specific valuation, or the approval of a loan. 3. To the best of my knowledge and belief, the statements of fact contained in this appraisal report, upon which the analyses, opinions, and conclusions expressed herein are based, are true and correct. 4. This restricted appraisal report sets forth all of the limiting conditions (imposed by the terms of my assignment or by the undersigned) affecting the analyses, opinions, and conclusions contained in this report. 5. This restricted appraisal report has been made in conformity with the Uniform Standards of Professional Appraisal Practice adopted by the Appraisal Standards Board of the Appraisal Foundation, and is subject to the requirements of the Code of Professional Ethics and Standards of Professional Conduct of the Appraisal Section of the National Association of Realtors. 6. No one other than the undersigned prepared the analyses, conclusions, and opin- ions concerning real estate that are set forth in this restricted appraisal report. 7. This restricted appraisal report has been completed in a manner that does not mis- lead or confuse the client or the intended users of the report. 39 8. The appraiser has advised the client that the assignment calls for something less than, or different from the work required by the specific guidelines. 9. The client has agreed that the performance of a restricted appraisal would be ap- propriate. Larry E. Foote Certified General Appraiser GA-0000 l 4-L 40 LARRY E. FOOTE REAL ESTATE APPRAISER EXPERIENCE: 1979-Present: Chief Appraiser, Diversified Appraisal Services, Carlisle, Pa. Principal Broker, LaRue Development Company, Carlisle, Pa. 1976-1979: Associate Broker, Colonial Realty, Carlisle, Pa. 1972-1976: Realtor Associate, Jack Gaughen Realtor, Carlisle, Pa. Appraisal experience included undeveloped land, farms, building lots, single-family dwellings, mobile home parks, medical centers, nursing homes, motels, apartment buildings and complexes, office buildings, service stations, veterinary clinics, rehabilitation centers, retail buildings, day- care centers, warehouses, and manufacturing facilities. EDUCATION: Bachelor of Business Administration, Pennsylvania State University, 1976. Associate Bachelor of Business Administration, Harrisburg Area Community College, 1974. Diploma, Carlisle Senior High School, 1965. Certificate, Pennsylvania Realtors Institute, GRI I, GRI II, GRI III. Certificate, Realtors National Marketing Institute, CI 101, CI 102, CI 103, CI 104, CI 105. Standards of Professional Practice, American Institute of Real Estate Appraisers. Real Estate Appraisal Principles, American Institute of Real Estate Appraisers. Residential Valuation, American Institute of Real Estate Appraisers. Appraisal Procedures, Appraisal Institute. Principles of Income Property Appraising, Appraisal Institute. Case Studies in Real Estate Valuation, Appraisal Institute. Report Writing and Valuation Analysis, Appraisal Institute. PROFESSIONAL LICENSES: General Appraiser #GA-000014-L, Commonwealth of Pennsylvania. Real Estate Broker #RB-029729-A, Commonwealth of Pennsylv~a. PROFESSIONAL DESIGNATIONS: GRI: Graduate of the Pennsylvania Realtors Institute, awarded by the Pennsyl- vania Association of Realtors. CRS: Certified Residential Specialist, awarded by the Realtors National Market- ing Institute of the National Association of Realtors. CCIM: Certified Commercial Investment Member, awarded by the Realtors National Marketing Institute of the National Association of Realtors. PROFESSIONAL ORGANIZATION AFFILIATIONS: National Association of Realtors Appraisal Section. Carlisle Association of Realtors. Pennsylvania Association of Realtors. National Association of Realtors. Realtors National Marketing Institute. 41 PAST CLIENTS: Borough of Carlisle Keystone Financial Mortgage Cornerstone Federal Credit Union Pennsylvania State Bank Commerce Bank Cumberland~Peny Association for Retarded Citizens Carlisle Suburban Authority Members 1 st Federal Credit Union Pennsylvania National Bank Evans Financial Corporation Greenawalt & Company, CPA Smith's Transfer Corporation Carlisle Department of Parks and Recreation Executive ReIocation Services Carlisle Area School District Messiah Homes, Incorporated ERA Eastern Regional Services Pennsylvania Turnpike Commission Chase Home Mortgage Corporation Defense Activities Federal Credit Union Pennsylvania State Employees Credit Union PNC Mortgage Corporation F&M Trust Company National City Mortgage Corporation Washington Mutual Home Loans, Inc. Prudential Relocation Services Lender's Choice Market Intelligence, Incorporated United Telephone Employees Federal Credit Union Cumberland County Commissioners Allstate Enterprises Mortgage Corporation Dickinson College PPG Industries, Incorporated Gettysburg College Redevelopment Authority of Cumberland County Record Data Appraisal Services, Incorporated First United Federal Savings Association Fulton Bank United States Marshall Service GMAC Mortgage Corporation Orrstown Bank Letterkenny Federal Credit Union BancPlus Mortgage Corporation Coldwell Banker Relocation Services, Incorporated Central Pennsylvania Savings Bank Mellon Bank Provident Home Mortgage Corporation Various law firms and individuals 42 PHOTOGRAPHS OF THE SUBJECT LMPROVEMENTS 43 STREET SCENES AT 'THE SUBJECT PROPERTY 44 PHOTOGRAPH OF COMPARABLE SALE NUMBER 1 45 PHOTOGRAPHS OF COMPARABLE SALE NUMBER 2 46 PHOTOGRAPH OF COMPARABLE SALE NUMBER 3 47 / N/ ? 8LOSERVtLLE WEST HILL ALTERT(~ /'% WALNUT CENTERV~LLE HOCKERSVILLE 2tO0~ ~HAY$ GROYE GREYTHORN£ PENN CUMMINGSTOWN NONTSERA SUBJECT PROPERTY LOCATION MAP RC~BERT M. NEWBURY, CPA J. EDWARD SHORT, CPA JOHN A. EASON, CPA NEWBURY SHORT P.C. CERTIFIED PUBLIC ACCOUNTANTS 305 SOUTH 32ND STREET CAMP HILL, PA 17011 (717) 761-1382 FAX (717) 7'30-9375 MEMBER OF: AMERICAN INSTITUTE OF CPA'S PENNA. INSTITUTE OF CPA'S To the Board of Directors Don Saylor's Markets, Inc. RR# 4, Box 147 Newville, PA 17241 Gentlemen: The following is our valuation of Don Saylor's Markets, Inc. as of February 19, 2002. Using the Income Method, based upon tax return income for the years ended September 30, 1997, 1998, 1999, 2000 and 2001; we have valued the corporation's issued and outstanding common stock shares at approximately $1,322,000 or $133.20 per share (See Exhibit D). We take no responsibility for updating this report for events and circumstances occurring after the date of valuation. Had we performed additional procedures or had an audit of the financial statements of Don Saylor's Markets, Inc. been performed in accordance with generally accepted auditing standards, matters might have come to our attention that would alter the valuation. August 2, 2002 Camp Hill, Pennsylvania NewbuPy & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC BUSINESS VALUATION FEBRUARY 19, 2002 EXHIBIT A WEIGHTED AVERAGE NET INCOME 9/30/01 Net Income 9/30/00 Net Income 9/30/99 Net Income 9/30/98 Net Income 9/30/97 Net Income 59,558 x 5 Wt. = 130,507 x 4 Wt. = 141,341 x 3 Wt. = 137,672 x 2 Wt. = 60,429 x 1 Wt. Weighted Income Divided by Weight Factor Weighted Average Net Income 297,790 522,028 424,023 275,344 60,429 1,579,614 15 105,308 EXHIBIT B NET TANGIBLE ASSETS (STOCKHOLDER'S EQUITY) Net Tangible Assets at 9-30-01 Net Tangible Assets at 9-30-00 Net Tangible Assets at 9-30-99 Net Tangible Assets at 9-30-98 Net Tangible Assets at 9-30-97 1,314,250 x 5 wt. = 1,328,692 x 4wt. = 1,301,185 x 3 wt. = 1,262,344 x 2 wt. = 1,216,672 x l wt. = Weighted Net Assets Divided by Weight Factor Weighted Average Net Assets 6,571,250 5,314,768 3,903,555 2,524,688 1,216,672 19,530,933 15 1,302,062 See Notes to the Exhibits Newbury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC BUSINESS VALUATION FEBRUARY 19, 2002 EXHIBIT C GOODWILL Average Net Income (Exhibit A) Earnings on Net Assets: Weighted Average Net Assets (Exhibit B) Multiply by Reasonable Rate of Return on Net Assets Eamings on Net Assets Excess Earnings on Net Assets Divide by Capitalization Factor Goodwill 1,302,062 8% 104,165 105,308 (104,165) 1,143 15% 7,620 EXHIBIT D BUSINESS VALUATION Net Assets (Equity) at 9/30/2001 Goodwill (Exhibit C) Subtotal 1,314,250 7,620 1,321,870 Round Up to Nearest Thousand Total Business Value 130 1,322,000 132.20 Business Value per Issued and Outstanding Common Stock 'Shares (10,000 Issued and Outstanding Common Stock Shares) See Notes to the Exhibits R(DBERT M. NEWBURY, CPA J. EDWARD SHORT, CPA jOItN A. EASON, CPA N WBURY J SHORT E C. CERTIFIED PUBLIC ACCOUNTANTS 305 SOUTH 32ND STREET CAMP HILL, PA 17011 (717) 761-1382 FAX (717) 730-9375 MEMBER OF: AMERICAN INSTITUTE OF CPA'S PENNA. INSTITUTE OF CPA'S NOTES TO THE EXHIBITS NOTE A - SOURCES OF INFORMATION: In Exhibits A and B, historical tax return information has been used for the years ended September 30, 1997 through 2001. NOTE B - NET INCOME: In Exhibit A, Net Income has been increased to reflect reasonable salaries and to add back the Internal Revenue Code Section 179 Expense ElectiOn for depreciable business assets. NOTE C - REASONABLE RATE OF RETURN AND CAPITALIZATION FACTOR: In Exhibit C, 8% is used as a reasonable rate of return on net assets and a capitalization rate factor of 15% is used on excess eamings based upon approximate long-term rates of return and stability of corporate earnings. NOTE D - NrET TANGIBLE ASSETS: In Exhibit B, net tangible assets are stated at net book value as obtained from corporate income tax returns. Ne~nbury & Short P.C. CERTIFIED PUBLIC ACCODNTANTS DON SAYLOR'S MARKETS, INC. I~DEX ACCOUNTANTS' REPORT FINANCIAL STATEMENTS Balance Sheets - September 30, 2002 and 2001 Statements of Income and Retained Earnings For the Years Ended September 30, 2002 and-2001 Statements of Cash Flows For the Years Ended September 30, 2002 and 2001 Notes to Financial Statements SUPPLEMENTARY INFORMATION Schedules of Operating Expenses For the Years Ended September 30, 2002 and 2001 PAGE 2-3 4 5 6-12 13 ROBERT M. NEW'BURY, CPA J. E!DWARD SHORT, CPA JOItN A. EASON, CPA NEWBURY J SHORT P.C. CERTIFIED PUBLIC ACCOUNTANTS 305 SOUTH 32ND STREET CAMP HILL, PA 17011 (717) 761-1382 FAX (717) 730-9375 MEMBER OF: AMERICAN INSTITUTE OF CP~S PENNA. INSTITUTE OF CPA'S To the Board of Directors Don Saylor's Markets, Inc. 37 Carlisle Road P. O. Box 147 Newville, Pennsylvania 17241 Gentlemen: We have compiled the accompanying balance sheets of Don Saylor's Markets, Inc., as of September 30, 2002 and 2001, and the related statements of income and retained earnings and cash flows for the years then ended, and the accompanying supplementary information contained in the schedule of operating expenses which are presented only for supplementary analysis purposes, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. A compilation is limited to presenting in the form of financial statements and supplementary schedules information that is the representation of management. We have not audited or reviewed the accompanying financial statements and supplementary schedules and, accordingly, do not express an opinion or any other form of assurance on them. December 6, 2002 Camp Hill, Pennsylvania · NeWbury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. BALANCE SHEETS SEPTEMBER 30, 2002 AND 2001 ASSETS Current Assets: Cash in Bank and on Hand Accounts Receivable Notes Receivable - Stockholder Inventory Prepaid Taxes Prepaid Expenses Accrued Interest - Receivable Deferred Tax Benefit Total Current Assets Property and Equipment: Autos and Trucks Fixtures and Equipment Leasehold Improvements Total Property and Equipment Less: Accumulated Depreciation Net Property and Equipment Other Assets: Loan Receivable - Saylor Trust Notes Receivable Stockholder Investment - Non-marketable Securities Deferred Tax Benefit Total Other Assets 2002 2001 (Restated) $ 339,141 $ 430,560 101,895 110,174 8,644 10,134 597,311 560,209 19,817 18,833 10,730 8,941 3,288 -0- 4,750 4,750 1,085,576 1,143,601 1,329 1,329 1,758,097 1,738,529 113,104 100,648 1,872,530 (1,683,362) 189,168 1,840,506 (1,566,052) 274,454 200, 128 186,430 104, 067 112,980 234,026 60,548 4,276 21,102 542,497 381,060 Total Assets $ 1,817,241 $ 1,799,115 See accompanying notes and accountants' compilation report. -- 2 -- · Newbury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. BALANCE SHEETS SEPTEMBER 30, 2002 AND 2001 LIABILITIES AND STOCKHOLDER'S EQUITY Current Liabilities: Accounts Payable $ Accrued State and Federal Corporate Taxes Accrued Payroll Taxes and Withholdings Accrued Salaries Accrued PA Sales Tax Unredeemed Gift Certificates Accrued Rent Total Liabilities 2002 2001 (Restated) 282,479 $ 336,905 4,440 4,102 10,830 13,842 93,555 106,588 15,792 16,819 1,363 -0- 15,400 15,400 423,859 493,656 Stockholder's Equity: Common Stock, $1 Par Value: (1,000,000 Shares Authorized; 10,000 Shares Issued and Outstanding) Retained Earnings 10,000 10,000 1,383,382 1,295,459 Total Stockholder's Equity 1,393,382 1,305,459 Total Liabilities and Stockholder's Equity $ 1,817,241 $ 1,799,115 See accompanying notes and accountants' compilation report. - 3 - · Newbury & Short P.C. CERTFFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. STATEMENTS OF INCOME AND RETAINED EARNINGS FOR THE YEARS ENDED SEPTEMBER 30, 2002 AND 2001 Sales - Net 2002 2001 Ratio to (Restated) Amount Sales Amount $ 14,462,667 100.0 $ 14,412,812 Ratio to Sales 100.0 Cost of Sales: Beginning Inventory Purchases 560,209 11,383,835 515,747 11,426,361 Total Less: Ending Inventory 11,944,044 597,311 11,346,733 3,115,934 2,850,276 11,942,108 560,209 78.5 11,381,899 21.5 3,030,913 19.7 2,754,554 Total Cost of Sales Gross Profit Operating Expenses 79.0 21.0 19.1 Income Before Officers' Salaries Less: Officers' Salaries 265,658 166,400 1.8 276,359 1.1 228,000 1.9 1.6 Income Before Depreciation Less: Depreciation 99,258 117,310 .7 48,359 .8 120,191 .3 .8 Loss Before Other Income (18,052) (.1) ( 71, 832) (.5) Other Income: Interest Miscellaneous Patronage Dividend 15,412 29,434 8,274 9,988 99,115 -0- Total 122,801 .8 39,422 .3 Income (Loss) Before Income Taxes 104,749 · 7 (32,410) (.2) Add (Deduct): State and Federal Net Income Tax Benefit (Expense) (16,826) (.1) 8,099 Net Income (Loss) Beginning Retained Earnings (2001 Restated) 87,923 .6 (24,311) 1,295,459 1,319,770 (.2) Ending Retained Earnings $ 1,383,382 $ 1,295,459 See accompanying notes and accountants' compilation report 4 · NeWbury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED SEPTEMBER 30, 2002 AND 200] Cash Flows From Operating Activities: 2002 2001 (Restated) Net Income (Loss) for the Year $ 87,923 Non-Cash Items Included in Net Income: Depreciation 117,310 Deferred Tax (Benefit) Expense 16,826 Changes in Operating Assets and Liabilities: (Increase)Decrease In Accounts Receivable 8,279 (Increase)in Inventory (37,102) (Increase)Decrease in Prepaid Expenses (2,773) (Increase) in Accrued Interest - Receivable (3,288) Increase in Unredeemed Gift Certificates 1,363 (Decrease) in Accounts Payable and Accrued Expenses (71,160) Net Cash Provided by (Used in) Operating Activities $ (24,311) Cash Flows From Investing Activities: 120,191 (8,099) (24,253) (44,462) 6,074 -0- -0- (100,660) 117,378 (75,520) Purchases of Property and Equipment Principal Advance to Saylor Trust Principal Payments Received on Notes Receivable - Stockholder Purchase of Nonmarketable Security Net Cash Used in Investing Activities Net Decrease in Cash Cash at Beginning of Year Cash at End of Year (32,024) (179,215) (13,698) (13,698) 10,403 9,393 (173,478) (55,629) (208,797) (239,149) (91,419) (314,669) 430,560 745,229 3~41 430,5__60 See accompanying notes and accountants' compilation report. -- 5 -- NeWbur¥ & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2002 AND 200] 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: A. Business Activity: The Company operates a retail supermarket located in Newville, Pennsylvania. B. Concentration of Credit Risk: Financial instruments that potentially subject the corporation to credit risk consist principally of trade accounts receivable and cash. The corporation grants credit to customers, substantially all of whom are residents, businesses and non- profit organizations. At September 30, 2002, the corporation had cash of $339,141, of which $119,990 was in checking and money market accounts with one local bank, S213,881 was in savings accounts with one federal credit union and the remainder of $5 270 was cash on hand. ' C. Cash and Cash Equivalents: For purposes of the statement of cash flows, the corporation considers cash in operating bank accounts, certificates of deposit and cash on hand as cash equivalents. D. Basis of Accounting: The company utilizes the accrual method of accounting to recognize income and expense. E. Allowance for Doubtful Accounts: The corporation considered accounts receivable, as of September 30, 2002 and 2001 to be fully collectible; accordingly, no allowance for doubtful accounts was required. F. Inventory: Inventory is stated at the lower of cost or market. Cost is determined by the retail method on a FIFO (first-in first- out) basis. ' Property, Equipment and Depreciation: Major property and equipment purchases and improvements are capitalized and stated at cost. Repairs, maintenance and replacements which do not improve or extend the life of the property and equipment are expensed in the current year. - 6 - ' Newbury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2002 AND 200] G. Property, Equipment and Depreciation (Continued): Upon the sale or other disposition of property and equipment, the asset and accumulated depreciation accounts are relieved of their applicable amounts and any gains or losses are charged to income or loss. o o For financial reporting purposes, depreciation of property and equipment is provided on the straight-line method, double declining balance method, and 1 1/2 times declining balance method. H. Investments: The Company accounts for its investment in non-marketable equity securities at cost reduced for permanent declines in value. I. Use of Estimates: Management uses estimates and assumptions in preparing financial statements. Those estimates and assumptions affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities, and the reported revenues and expenses. PREPAID EXPENSES: Prepaid expenses consist of the following: Prepaid Insurance Prepaid Maintenance Contract September 30, September 30, 2002 2001 $ 10,330 $ 8,941 400 -0- $ 10,730 INVESTMENT IN NON-MARKETABLE SECURITIES: During the year ended September 30, 2000, the Company became a member of Associated Wholesalers, Inc., a cooperative enterprise of retail food merchants incorporated in Pennsylvania. Membership in the cooperative requires purchase of class A common stock of Associated Wholesalers, Inc. (AWI) based upon double the Company's average weekly level of purchases from AWI. These AWI common stock shares are non- marketable equity securities, with limited transferability and redemption rights. The required investment in AWI common stock is contingent upon continued membership of the Company in AWI. -7- Newbury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2002 AND 2001 23. INVESTMENT IN NON-MARKETABLE SECURITIES (Continued): Currently, the Company has met their AWI stock purchase requirement. At September 30, 2002, the Company had purchased $233,787 of AWI stock represented by 608 shares of AWI Class A Common Stock. Also at September 30, 2002, the Company had $239 in a cash deposit held by AWI. The Company will be required to purchase additional AWI Class A Common Stock only if the value of the AWI Class A Common Stock is less than double the Company's average weekly purchases of merchandise from AWI. AWI calculates the value of the AWI Class A Common Shares annually based upon a net book value calculation from AWI audited financial statements. 0 INCOME TAXES: The deferred tax assets in the accompanying balance sheets as of September 30,2001 and 2000, consisted of the following: September 30, 2002 September 30, 2001 Total Deferred Tax Benefit Less: Valuation Allowance Net Deferred Tax Benefit 9,026 $ 25,852 -0- -0- 9_~_026 $ 25,852 Current Net Deferred Tax Benefit Noncurrent Net Deferred Tax Benefit Total Net Deferred Tax Benefit 4,750 $ 4,750 4,276 21,102 9_~_026 $ 25,852 The deferred tax assets result from a difference in accrued rent payable to a shareholder-officer, which is not deductible for tax purposes until paid and the expected future tax benefit from the available net operating loss carryforwards. Net state and federal income tax benefit(expense)for the years ended September 30, 2002 and 2001, consisted of the following: 2002 2001 Deferred Federal Income Tax Benefit (Expense) $(6,361) Deferred PA Income Tax Benefit (Expense) (10,465) $ 4,861 3,238 Net Income Tax Benefit (Expense) (16,826) ~8,099 'Newbury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2002 AND 200] 4. INCOME TAXES (Continued) : Accrued state and federal corporation taxes currently payable for years ended September 30, 2002 and 2001, consisted of the following: Federal Income Tax PA Income Tax PA Capital Stock Tax Total Accrued State and Federal Corporate Taxes 2002 2001 $ -o- $ -o- 4,440 4,102 ~ 4 4_____~0 _$ 4 ,_10~2 The relationship between income tax benefit (expense) and net income is different from expected, primarily because of the following reasons: accrued rent payable to a majority shareholder-officer is not deductible for income tax purposes until paid. Also, for the year ended September 30, 2002, the company received a tax credit for federal alternative minimum tax previously paid. This credit for prior year minimum tax reduced regular federal income tax by $10 587 for the year ended September 30, 2002. ' Also at September 30, 2002, the Company has a Pennsylvania net operating loss carryforward of $51,825, which can be used to the extent allowable to offset future Pennsylvania taxable income. The Pennsylvania net operating loss expires as follows: $3,895 expires September 30, 2006; $5,524 expires September 30, 2007 and the remainder of $42,406 expires September 30, 2011. LEASES AND COMMITMENTS: The corporation conducts its operations from facilities leased from the sole-stockholder of the corporation. The sole-stockholder was deceased on February 19, 2002, at which time the lease obligation continued in full effect to the deceased stockholder's estate and the widow of the deceased. The lease is an operating lease that expires April 2009. Rent is currently $21,750 per month. -9- ' Nev~bury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'g MARKETS, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2002 AND 200] 5. LEASES AND COMMITMENTS (Continued): The following is a schedule of future minimum rental payments required under the above operating lease as of September 30, 2002: Year Ending September 30, Amount 2003 $ 261,000 2004 261,000 2005 261,000 2006 261,000 2007 261,000 Thereafter 413,250 $ 1,718,250 Rental expense amounted to $290,550 for the year ended September 30, 2002 and $252,000 for the year ended September 30, 2001. 6. RELATED PARTY TRANSACTIONS: Notes receivable-stockholder balance consists of notes receivable from the sole-stockholder of the corporation. One note was executed on June 14, 1999 and was receivable in weekly installments of $319,including interest at 5.64% per annum. At September 30, 2001, the principal balance of this note was $123,114. At December 31, 2001, the principal balance of this note was $113, 654, which was refinanced by the execution of a new note. The new note is receivable in monthly installments of $1,360 including interest at 4.40% per annum. The sole-stockholder was deceased on February 19, 2002, at which time the new note became an obligation of his estate. The Company has not received payments since the death of the sole-stockholder. The receipt of monthly note payments is expected to resume in January 2003. At September 30, 2002, the principal balance of the new note was $112,711 and interest receivable of $3,288 was accrued on the new note at a rate of 4.40% per annum. The Company has a split-dollar life insurance arrangement with a trust for the benefit of a former officer/employee, deceased as of February 19, 2002 and his widow, an officer of the Company. The life insurance policy is a survivor's life policy insuring life of the former -10 - Newbury & Short P.C. CERTIFIED pLrBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2002 AND 2001 o o RELATED PARTY TRANSACTIONS (Continued): officer/employee and the life of his widow. The Company pays the premiums for the policy and the premiums paid by the Company are receivable from the trust as an interest-free loan. The Company is entitled to recover from the cash value of the policy the aggregate premiums paid by the Company. The premiums paid by the Company are shown as a Loan Receivable - Saylor Trust in the other asset section of the balance sheet. The Company leases its facilities from related parties as detailed in Note #5. PROFIT-SHARING PLAN: The corporation has a non-contributory profit-sharing plan covering substantially all employees. Contributions are authorized by the Board of Directors, but in no event shall the amount exceed that allowable under applicable provisions of the Internal Revenue Code. The policy of the corporation is to fund all costs as they accrue. There were no profit-sharing plan contributions for the years ended September 30, 2002 and 2001. PRIOR PERIOD ADJUSTMENT AND RESTATEMENT OF FINANCIAL STATEMENTS During the year ended September 30, 2002, it was discovered that in prior years, the Company incorrectly reported an officers' life insurance policy as a Company owned asset. The Life Insurance policy is owned by a trust for the officers (see note #6). The financial statements as of and for the year ended September 30, 2001 have been restated to reflect the Company paid life insurance premiums from this policy as a Loan Receivable - Saylor Trust in the Other Asset section of the balance sheet. The effect of the restatement on the financial statements for the year ended September 30, 2001 is to decrease assets by $8,791 and to increase the net loss for the year ended September 30, 2001 by $9,869. These reporting errors, also resulted in an understatement of previously reported assets and income of prior years, resulting in the following prior period adjustment to correct Beginning Retained Earnings as of October 1, 2000: -11- Ne~bury & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2002 AND 2001 o PRIOR PERIOD ADJUSTMENT AND RESTATEMENT OF FINANCIAL STATEMENTS (Continued): Retained Earnings as Previously Reported (As of October 1, 2000) $1,318,692 Add: Overstatement of Officer's Life Insurance Expense Net of Increase in Surrender Value 1,078 Retained Earnings - Restated (As of October 1, 2000) $1,319,770 SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION: Cash paid for interest expense and income taxes for the years ended September 30, 2002 and 2001 were as follows: 2002 2001 Interest $ -0- Income Taxes $ -o- $ -o- - 12 - Ne~vbur_v & Short P.C. CERTIFIED PUBLIC ACCOUNTANTS SUPPLEMENTARY INFORMATION ' Ne vbury & Short P.C. CERTIFIED PU~BLIC ACCOUNTANTS DON SAYLOR'S MARKETS, INC. SCHEDULES OF OPERATING EXPENSES FOR THE YEARS ENDED SEPTEMBER 30, 2002 AND 200] Operating Expenses: Salaries and Wages Payroll Taxes Employee Hospitalization Advertising and Promotion Store Supplies and Expense Rent Utilities Cooperative Fees Insurance Officers' Life Insurance Repairs and Maintenance Security Service Taxes and Licenses PA Capital Stock Tax Professional Services Telephone Cash (Over) Short Credit Card Fees Bank Charges Store Training Ground Water Monitoring 2001 2002 (Restated) 1,589,035 $ 1,511,026 157,195 149,795 85,000 69,645 158,905 175,732 217,730 249,913 290,550 252,000 143,614 155,179 3,259 15,905 44,078 48,659 1,604 1,604 34,529 36,416 9,606 8,094 15,175 15,070 4,440 4,102 22,444 15,881 3,379 3,557 1,405 1,038 53,328 39,838 -0- 400 -0- 700 15,000 -0- Total Operating Expenses $ 2,850,276 $ 2,754,554 See accountants' compilation report. - 13 - Department of the Treasury Internal Revenue Service Form 11 20 U.S. Corporation Income Tax Return 2001 "Instructions are separate. See instructions for Paperwork Reduction Act Notice. irs use only -- Do not write or staple m th,s space. For calendar year 2001 or taxyear t~eginning 10/0] ,200.1 endin 9/30 A Check if a: omo No. 1545.0123 S Employer Identification Number ~ Consolidaled return (attach Form 85t) . . . [~] Use IRS 23 -2083983 2 Personalholdinq label. Don Saylor ' s Markets :[nc - company (atlacfi , · C Date Incorporated SchedulePH) ...... []: Otherwise 37 Cart isle Road, P 0. Box 147 3 Personal service corp print or · (as defined ,n Temp type. Newvi 1to, PA 17241 10/25/1978 Regs Section t.44t-4T D Total Assets (see instructions) -- see instructions).. E~Check applicable boxes: (l)l llnitiatreturn (2)1 1Finalreturn (3) I 1Namechange (4)1 IAddress change $ 1,817,241. laGr0ssreceiptsorsales.[ 14,488,859.1bLessreturns&aHowances.[ 26,192 . lc Balance. "" lc 14,462,667. 2 Cost of goods sold (Schedule A, line 8) .................................... i 2 1 I, 347,39 1. 3 Gross profit. Subtract line 2 from line lc... 3 3 115 276 4 Dividends (Schedule C, line 19).. NI 5 Interest. .................................................................. 4 9 9, ] 1.5. C 5 15 412 O 6 Gross rents.. ' · M 7 Gross royaltie~sl ................................................................................... 6 E 7 8 Capital gain net income (attach Schedule D (Form 1120)) ............................................ 8 9 Net gain or (loss) from Form 4797, Part II, line ]8 (attach Form 4797) ................................ 9 10 Other income (see instructions - attach schedule) ................................ $.e e.. St a.t e_meG .t.. 1 ..... .10 8,2 74. 1.1 Total income. Add lines 3 through '12 Compensation of officers (Schedule E, line 4) ....................................................... 12 166,400 '13 Salaries and wages (less employment credits) ............................................... '13 I, .589,035. o ~ 14 Repairs and maintenance .......................................................................... 14 34 529 R 15 Bad debts ........................................................................................ , · f ~ 16 Rents .............................................................................................. '17 Taxes and licenses, ................................................... See..S. tatemen.t_. 2 ..... 17 290,550. 0I !' 18 Interest ........................................................................................ 18 176,810. ~ 19 Charitable contributions (see instructions for 10% limitation) ......................................... 19 ~ N° 20 Depreciation (attach Form 4562) ....................................... [ 20 I 117, 3 10. ES s 2.1 Less depreciation claimed on Schedule A and elsewhere on return ....... I 21 aI 21 ~ i 17,310. E N° 22 Depletion ..................................................................................... 22 ~ 23 Advertising ................................................................................... 23 sN ED 24 Pension, profit-sharing, etc, plans .................................................................. 24 158,905. ~T U~ 25 Employee benefit programs` ....................................................................... 25 8.5,000. cu c 26 0therdeductions(attachschedule)... . .......... S.ee..S. tate. men.t.3 ..... 26 514,785. T "; 27 Total deductions. Add lines 12 through 26. ~"'27 3 133 324 ~o N° 28 Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 1] .................... 28 1 04,75 3. .~ s 29 Less: a Net operating loss (NOL) deduction (see instructions) ........ See . St..4. I 29al 42,406. b Special deduct OhS (Schedule C, line 20) ...................... 29bI 29 c 42,406. 30 Taxable income. Subtract line 29c from line 28 AT ..................................................... 30 62,347. 3.1 Totaltax (Schedule J, line 11) ....................................... ;.'; ........................ X . a 2000 overpayment 3'1 0. · : b 2001 eshmated tax pa ments 32b N c Less 2001 refund applied for on Form 4466. 32c d D ' e Tax deposited with Form 7004 ......................................... 32 e AP f Credit for tax paid on undistributed capital gains (attach Form 2439) ..... 32 y g Credit for federal tax on fuels (attach Form 4136). See instructions ....... 32g 32h 4,800. 11 33 Estimated tax penalty (see instructions). Check if Form 2220 is attached ................... '" [~ 33 N 34 Tax due. If line 32h is smaller than the total of lines 31 and 33, enter amount owed ................... 34 ; 35 Overpayment. If line 32h is larger than the total of lines 31 and 33, enter amount overpaid ............ 35 4,800. 36 Enter amount of line 35 you want: Credited to 2.002 estimated tax ......... '" 4,8 0 0. Refunded ,-- 36 0. Under penalties of per ury I ' declare that I have examined this return including accompany ng schedules and statements, and to the best of my knowledge $ign and belief, i is true, correct, and complete. Declaration of preparer (other than itaxpayer) ~s based on all information of which preparer has any knowledge· May the IRS d~scuss th~s . return with the preparer Here I~ I~ V i c e - P r e s i d e n t show. be,ow: (see mst) S,gnature of Officer Date Title r~ Yes ~'~ ~0 Preparer's Date Check if Preparer's SSN or PTIN Paid Signature ~ 12/09/02 sef-employed ..... ~ 161-30-2600 Preparer's F,rm'sName Newbury & Short PC, CPA's Use Only (or yours ~t ~,N 23- 2939330 se.-emplw~d), I~ 305 SO 32nd Street Address, and Z~PCode Camp Hitt, PA 17011 P~oneNo. (7]7) 76]-1382 32a 4,800. 32b 32 c CPCA0205L al/Oil02 Form 1120 (2001) Form 1120 (2001) Don Sa_~ylor's Markets, Inc. [ ~-~e'~"~ie A'~ Cos-~-~f ~ 'S-~d' ~'~ in-'~-ru'ctio-n'~' 23-2083983 Page__._.~2 1 Inventory at beginning of year ........................................................................... 2 Purchases ........................................................................................... '" 2 3 Cost of labor ...................................................................... 4 Additional Section 263A costs (attach schedule) ........................................ S.ee.. S. ta.t e. me~]t_. 5 .... 5 Other costs (attach schedule) ........................................................................... 6 Total. Add lines 1 through 5 ......................................................................... 7 Inventory at end of year ............................................................................... l_ 7 8 Cost of goods sold. Subtract line 7 from line 6. Enter here and on line 2, page 1 ........................ 1 8 9a Check all methods used for valuing closing inventory: (i) ~ Cost as described in Regulations Section 1.471-3 (ii) ~.~ Lower of cost or market as described in Regulations Section 1.471-4 (iii) bJ 0ther (specify method used and attach explanation) ........ b Check if there was a writedown of s_bnorma, goods as described in Regulations Section 1.47!-2(c). ~ F-I c Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970) ................... d If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closing inventory computed under LIFO ........................................................ elf property is produced or acqu red for resale do the rules of Section 263A ~ I 'to' il~'~'~;; ~'~' ........ ' ppy p ................. l]¥es I No f Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If 'Yes,' attach explanation 560,265. 11,383,835. 662. 11,944,762. 597,371. 11,347,391. ~chedUle Ci:J Dividends ..................................................................................... and Special Deductions (a) Dividends I IYes IXlNo (see instructions) (b) Percentage (c) Special deductions received (a) x (b) 1 Dividends from less-than-20%.owned domestic corporations that are subject to the 70% deduction (other than debt-financed stock) ...... 70 2 Dividends from 20%-or-more-owned domestic corporations that are subject to the 80% deduction (other than debt-financed stock) ...... 80 3 Dividends on debt-financed stock of domestic and foreign corporations (Section 246A). see i n s t r. 4 Dividends on certain preferred stock of less-than-20%-owned public utilities ........ 42 5 Dividends on certain preferred stock of 20%-or-more-owned public utilities ........ 48 6 Dividends from less-than-20%-owned foreign corporations and certain FSCs that are subject to the 70% deduction ............ 70 7 Dividends from 20%-or-more-owned foreign corporations and certain FSCs that are subject to the 80% deduction ............ 80 8 Dividends from wholly owned foreign subsidiaries subject to the 100% deduction (Section 245(b)) ................................. 100 9 Total. Add lines ] through 8. See instructions for limitation. ........ 10 Bividends from domestic corporations received by a small business investment " company operating under the Small Business Investment Act of 1958 ............. 1 00 11 Dividends from certain FSCs that are subject to the 100% deduction (Sec 245(c)(1))., 1 00 12 Dividends from affiliated group members subject to the 100% deduction (Section 243(a)(3)) .................................... 1 00 13 Other dividends from foreign corporations not included on lines 3, 6, 7, 8, or 1]. 14 Income from controlled foreign corporations under subpart F (attach Form(s) 547])... 15 Foreign dividend gross-up (Section 78) ............................ 16 lC-DISC and former DISC dividends not included on lines I, 2, or 3 (Section 246(d)).. 17 Other dividends ................................................. 99, Deduction for dividends paid on ce~ain preferred sto0k of public utilities .......... ~ 19 Total dividends. Add lines ] through ]7. Enter here and on line 4, page ~ ........ 20 Total special deductions. Add lines 9, 10, ~], ]2, and ]8. Enter here and on line 29b, pa~e 1 (a) (b) (c) Percent of Name of officer Social securit7 number time devoted to business (d) Common 177-24-2810 100 % 100% 199-52-6070 100 % 211-46-0358 100 % 0.00% % % (see instructions for line 12, page ] .) Note: Complete Schedule E only if total receipts (line la plus lines 4 through I0 on page 1, Form 1120) are $500,000 or more. Percent of corporation stock owned (e) Preferred 0.00% 0.00% 0.00% 0.00% % % Donald C. Saytor , Curt Saylor Craig L. Saytor 2 Total compensation of officers .......................................................................... 3 Compensation of officers claimed on Schedule A and elsewhere on return .................................. 4 Subtract line 3 from line 2. Enter the result here and on line 12, page 1. (f) Amount of compensation 26,000. 70,200. * Donald C. Saylor was deceased on CPCAO2~2LO1/01/02 February 19, 2002. 70,200. 166,400. 166,400. Form 1120 (2007) Form 1120 (200]) Don Say_.~or' s Narkets, ]:nc. ~~utation (see instructions) 23-2083983 Page 3 1 Check if the corporation is a member of a controlled group (see Sections ]56] and ] 563) ........... Important: Members of a controlled group, see instructions. 2 a If the box on line 1 is checked, enter the corporation's share of the $50,000, $25,000, & $9,925,000 taxable income brackets (in that order): (1) $ (2) $ (3) $ b Enter the corporation's share of: (1) Additional 5% tax (not more than $11,750) ......... $ (2) Additional 3% tax (not more than $100,000) ........ $ 3 Income tax. Check if a qualified personal service corporation under Section 448(d)(2) (see instructions) ..................................................................... ~ E~ 4 A ternat vem n mum tax (attach Form 4626) ............................................................. 5 Add lines 3 and 4. .................................................................................... 6 a Foreign tax credit (attach Form ]]18) ..................................... I b Possessions tax credit (attach Form 5735) ................................... ~ 6 bI c Check: [~]Nonconvent, onalsourcefuetcredit ~--] QE¥ credit (attach Form 8834) ...... E 6ci d General business credit. Check box(es) and indicate which forms are attached. I ~] Form 3800 ~--]Form(s) (specify). ~' 1"'6~1 e Credit for prior year minimum tax (attac~'-F~rn'~'2"~) ............. "-I ......................... ~6~/ J.U, f Qualified zone academy bond credit (attach Form 8860) ....................... I 6f I 7 Total credits, Add lines 6a through 6f. ' 8 Subtract line 7 from line 5. ' .................................................................. 9 Personal holding company tax (attach Schedule PH (Form ] 120)) ........................................ 10 Other taxes. Check if from: ~ Form 4255 [] Form 86] 1 [] Form 8697 L.a Form 8866 EM Other (attach schedule) ................................ 11 Total tax. Add lines 8 through 10. Enter here and on line 31, page 1 ~ormation (see instructions) 1 Check method of accounting: a iE~ Cash b [~] Accrual C L.J Other (specify) · 2 See the instructions and enter the: aBusiness activity code no. · 445110 7 b Business activity · ._R_e ta2_~ _S_a} es_ _ cProduct or service ,'- Grocery_. ..... 3 At the end of the tax year, did the corporation o--w-~- - directly or indirectly 50% or more of the voting stock of a domestic corporation? (For rules of attribution, see Section 267(c).) ............................... If 'Yes,' attach a schedule showing: (a) name c and employer identification number (EIN), (b) percentage owned, and (c) taxable income or (loss) before NOL and special deductions of such corporation for the tax year ending with or within your tax year. 4 Is the corporation a subsidiary in an affiliated group 8 or a parent-subsidiary controlled group? ............... If 'Yes,' enter name and EIN of the parent corporation 5 At the-~'d'-of the-'~x'~ar did an;individual, part- 9 nership corporation, estate or trust own, directly or in. dir~_ctly, 50% or m. ore of the corporation's voting s~ock? (For rules of attribution, see Section 267(c).).. __ 10 If 'Yes,' attach a schedule showing name and identifying number (Do not include any information already entered in 4 above.) 11 Enter % owned · See Statement 6 If this is a consolidated return, answer here for the parent corporation and on Form 851, Affiliations Schedule for each subsidary. , At any time during the tax year, did one foreign person own, directly or indirectly, at least 25% of (a) the total voting power of all classes of stock of the corporation entitled to vote or (b)the total value of all classes of stock of the corporation? If 'Yes,' enter: (a) Percentage owned ........ ,,- and (b) Owner's country · The corporation may have to file Form 5472, Information Return of a 25% Foreign-Owned U.S. Corporation or a Foreign Corporation Engaged in a U.S. Trade or Business. Enter number of Forms 5472 attached ..................... ,,. Check this box if the corporation issued publicly offered debt instruments with original issue discount ...... · ~] If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments. Enter the amount of tax-exempt interest received or 6 During this tax year, did the corporation pay dividends (other than stock dividends and distributions in exchange for stock) in excess of the corporation's current and accumulated earnings and profits? (See Sections 301 and 316.) ............................. 12 Enter the available NOL carryover from prior tax years If 'Yes,' file Form 5452, Corporate Report of (Do not reduce it by any deduction on line 29a.) Nondividend Distributions. ~ $ 42,406. Note: If the corporation at any time during the tax year had assets or o erated--a-u ' ' - - - ~; required to attach $¢h~'~, . , . P b s¢ness ¢na foreign country or U S osse ' ule N (f'orm 112~7), Foreign Operahons of U S Corporations to this return See Sche ' ' p ~;,~s¢on, it may be BAA ' ' ' · dule N for det~,~ 10,587. 1 O, 587. ]0,587. 0. x accrued during the tax year .... '" $ None Enter the number of shareholders at the end of the tax year (if 75 or fewer) ...... If the corporation has an NOL for the tax year and is electin( to forego the carryback period, check here ........ ,,- E~ If the corporation is filing a conso idated return, the statement required by Regulations Section ].1502-2~(b)(3)(i)~ or (ii) must be attached or the election will not be valid. CPCA0234L 01/01/O2 Form 1120 (200 7) F_or_m 1120 (200t) Don Saytor ' s Markets, 1nc. 23-2083983 Pa e LS~~eeet~-~P~r 13- o~ Begin'~nc~ of tax year ~ ~age ~ End of tax year 1 Cash i~ (~u'. '.... "'i"~ .... Yu'~ib) ~d) ~ ................... 430,560 339 141 2a Trade notes and a~:~:~)~'t~'~e(~i'v'a~l~'iiiiiii.'j ;~;(3 i ;~ t. ,4~ b Less allowance for bad debts ............... 1 1 0, 174. I 3 Inventories ................................. 560,209 101, 895. 4 U.S. government obligations ................ ' 597,3 11 . 5 Tax-exempt securities (see instructions) .... 6 Other current assets (attach schedule) . . .See..S t.. 7. 7 Loans to shareholders ......... Se.e..St.. 8. 8 Mortgage and real estate loans .............. 9 Other investments (attach schedule) ................. 10a Buildings and other depreciable assets, ..... b Less accumulated depreciation. 11 a Depletable assets ......................... b Less accumulated depletion ................ 12 Land (net of any amortization) .............. 13a Intangible assets (amortizable only) ........ b Less accumulated amortization. 14 Other assets (attach schedule) ........Se.e..S.t.. 9. 15 Total assets. Liabilities and Shareholders' Equity 16 Accounts payable ........................... 17 Mortgages, notes, bonds payable in less than '1 year ..... 18 Other current liabilitie~ (attach sch) .... Se.e..S.t_. 1.0 19 Loans from shareholders .................... 20 Mortgages, notes, bonds payable in 1 year or more ...... 21 Other liabilities (attach schedule) .................. 22 Capital stock: a Preferred stock ........... b Common stock. 23 Additional paid-in capital ................... 24 Retained earnings -- Approp (att sch) ............... 25 Retained earnings - Unappropriated. ....... 26 Adjmnt to shareholders' equity (att sch) ............... 27 Less cost of treasury stock ................. 28 32,524. 38,585. 123,114. 312,839. 506. 72,530. 1,566,052. 274,454. ;83,362. 189 1681~: 276,871 10,000. 1,304,250 Total liabilities and shareholders' 1,807,906 10,000 Note: The corporation is not required to complete Schedules M. I and M-2 if the total assets on line 15, column (d) of Schedule L are less than $25,000. ~nciliaii~r; of Income, ,er Books With Income.per Return (see instructions) 282,479: 10,000. 183,382. .7,241. 1 2 3 4 Net income (loss) per books ............... Federal income tax per books .............. Excess of capital losses over capital gains.. Income subject to tax not recorded on books this year (itemize): 5 Expenses recorded on books this year not deducted on this return (itemize): a Depreciation ....... $ b Charitable contributions.. $ .......... c Travel & entertainment.. $ ._S_t at_e_men_t_ 11_ _ 32,286. Income recorded on books this year included on this return (itemize): Tax-exempt interest $ 8- Deductions on this return not charged against book income this year (itemize): a Depreciation. $ b Charitable contribns .__Se e _S_t ~t_ _12_ ..... _15,456 15,456. 6- ~,d~'~n~E]'-t~rough 5. 32,286. 9-Zd~]i~-7-a~-sT..-.T..-..--..--.~.--..-..-,. __ 120,209 10 Income(line 1) - line 6 less line 9 .... 1 Balance at beginning of year ................ I ~'3-"~ _2~0.l 5 DLstributions ............... a Cash... 2 Net income (loss) per books ................ I 87,923. ] b Stock c Properi7 3 Other increases (itemize): .- ..... 6 Other decreases (itemize): .... _st a t_e__m e_n_t_ L3_ _ _ ~d~'~n~']-. ~,,-~n~"~- 7 Add lines 5 and 6 ..................... 4- , "--'~"~-.'-.~-. ......... 1,392, 173. 8 Balance at end of year (line 41ess line T) ....... CPCAO234L 01 101102 ]5,456. 104,753. 8,791. 8,791. ---"T~,383,382. Form 1120 (200 Form4626 Depadment of the Treasury Internal Revenue Service Name Alternative Minimum Tax - Corporations '~ See separate instructions, '~ Attach to the corporation's tax return. Don Sa.v_lor's Markets, OMB No. 1545-0175 2001 e0r Identification Number 83983 Taxable income or (loss) before net operating loss deduction. -47,202. 2 Adjustments and preferences: a Depreciation of post-1986 property .......................................... b Amortization of certified pollution control facilities ............................ c Amortization of mining exploration and development costs .................... d Amortization of circuiaiion expenditures (personal holding companies only). .... e Adjusted gain or loss. f Long-term contracts. g Installment sales h Merchant marine capital construction funds i Section 833(b) deduction (B ue Cross, Blue Shield, and similar type organizations only) ......................................................... j Tax shelter farm activities (personal service corporations only) ................ k Passive activities (closely held corporations and personal service corporations only) .......................................................... I Loss limitations mDepletion n Tax-exempt interest income from specified private activity bonds .............. o Intangible drilling costs P Accelerated depreciation of real property (pre-1987) .......................... qAccelerated depreciation of leased personal property (pre-1987) (personal holding companies only) .................................................... r Other adjustments. s Combine lines 2a through 2[ Preadjustment alternative minimum taxable income (AMTI). Combine lines 1 and 2s. . ..... Adjusted current earnings (ACE) adjustment: a Enterthec°rp°rati°n'sACEfr°mlinel0°fthew°rksheetintheinstructi°ns...I 4a/ 57,532 b Subtract line 3 from line 4a. If line 3 exceeds line 4a, enter the difference as a negative amount. See examples in instructions .......................... 4b - ]. 9. c Multiply line 4b by 75% (.75). Enter the result as a positive amount ............ 4c '14 d Enter the excess, if any, of the corporation's total increases in AMTI from prior "4d year AC/adjustments over its total reductions in AMTI from prior year ACE adjustments (see instructions). Note: You mustenter an amount on line 4d (even if line 4b is positive) .................................................. e ACE adjustment: 15 ] · If you entered a positive number or zero on line 4b, enter the amount from line 4c here as a ~ positive amount. ·If you entered a negative number on line 4b, enter the smaller of line 4c or line 4d here as a negative amount. ]04,753. -47,202. 57,551. -]4. 5 Combine lines 3 and 4e. If zero or less, stop here; the corporation does not owe alternative minimum tax .... 6 Alternative tax net operating loss deduction (see instructions) ............... See.. S.t a.t e. m e~.t..1.4 ...... 7 Alternative minimum taxable income. Subtract tine 6 from line 5. If the corporation held a residual interest in a REMIC, see the instructions BAA For Paperwork Reduction Act Notice, see separate instructions. 57,537. 35,890. 21,647. Form 4626 (200]) CPCAI412L 01/14102 Form 4626 (2001) Don Saytor ' s Markets, Inc. 23-2083983 10 11 12 13 14 15 8 Enter the amount from line 7 (alternative minimum taxable income) ...................................... 9 Exemptionphase-out computation (if line 8 is $3]0,000 or more, skip lines 9a and 9b and enter -0- on line 9c): aSubtract $]50,000 fr°m line 8 (if completing this line for a member // of a controlled group, see instructions). If zero or less, enter -0-. .............. 9a 0. bMultiply line 9a by 25% (.25). 9b cExemption. Subtract line 9b from $40,000 (if you are completing this line for a member of a controlled group, see instructions). If zero or less, enter -0- Subtract line 9c from line 8. If zero or less, enter -0-. Multiply line ]0 by 20% (.20).. Alternative minimum tax foreign tax credit (see instructions) .............................................. Tentative minimum tax. Subtract line ]2 from line Regular tax liability before all credits except the foreign tax credit and possessions tax credit ................ Alternative minimum tax. Subtract line ]4 from line ]3. If zero or less, enter -0-. Enter here and on Form ]120, Schedule J, line 4, or the appropriate line of the corporation's income tax return ............. Pa~ 2 ], 647. 40,000. O. 10,587. 0. Form 4626 (2001) CPCA1412L Ol/14/02 Don Saytor's Narkets, [nc. 23-2083983 Adjusted CurrentEarningsWorksheet 1 2 c f 6 7 8 9 10 See ACE Worksheet Instructions (which begin on page 8). Pre-adjustment AMTI. Enter the amount from line 3 of Form 4626 ACE depreciation adjustment: AMT depreciation ......................................................... ACE depreciation: Sec. 179 '1_9,568. (1) Post-1993 property ....................... l 2b(1) 140 (2) Post-1989, pre-1994 property ............. J"2b(2) (3) Pre-'1990 MACRS property ................ / 2b(3) 346. (4) Pre-1990 original ACRS property .......... / 2b(4) 308. (5) Property described in sections 168(f)(]) through (4)... ~ (6) Other property ........................... I 2b(6) (7) Total ACE depreciation. Add lines 2b(1) through 2b(6) 164 ACE depreciation adjustment. Subtract line 2b(7) from line 2a. Inclusion in ACE of items included in earnings and profits (E&P): Death benefits from life insurance contracts ................................ 3b All other distributions from life insurance contracts (including surrenders) .... 3c Inside buildup of undistributed income in life insurance contracts ............ 3d Other items (see Regulations sections 1.56(¢ - l(c)(6)(iii) through (ix) for a partial list) ........ 3e Total increase to ACE from inclusion in ACE of items included in E&P. Add lines 3a through 3e ........... Disallowance of items not deductible from E&P: Certain dividends received ................................................ I 4a Dividends paid on certain preferred stock of public utilities that are deductible under section 247 ................................................................. I 41] Dividends paid to an ESOP that are deductible under section 404(k) ......... 4c Nonpatronage dividends that are paid and deductible under section '1382(c).. 4d Other items (see Regulations sections ].56(¢ - ](d)(3)(i) and (ii) for a partial list) ............ 4e Total increase to ACE because of disallowance of items not deductible from E&P. Add lines 4a through 4e. Other adjustments based on rules for figuring E&P: Intangible drilling costs. Circulation expenditures. 5b Organizational expenditures. 5c LIFO inventory adjustments 5d Installment sales 5e Total other E&P adjustments. Combine lines 5a through 5e ..... Disallowance of loss on exchange of debt pools ........................................................ Acquisition expenses of life insurance companies for qualified foreign contracts ....................... Dep et on ............................................................................................ Basis adjustments in determining gain or loss from sale or exchange of pre-'1994 property. Adjusted current earnings. Combine lines ], 2c, 3f, 4f, and 5f through 9. Enter the result here and on line 4a of Form 4626 .......... 164,512. 57,551. -19. Oo O ° 57,532. :orm 4562 (Rev March 2002) Department of the Treasury Internal Revenue Service Name(s) Shown on Return Depreciation and Amortization (Including Information on Listed Property) .~ See separate instructions. "Attach to.,your tax return. OMB No, 1545-0172 JIdentiyng Number J23-2083983 _Don Saytor's /~arkets, Inc. Business or Activity to Which This Form Relates Form 1120 ~ Expense Certain Tangible Property U~der Section 179 Note: If you have any listed property, complete Part V before you complete Part I. 1 Maximum amount. See instructions for a higher limit for certain businesses .......................... / 1 I 2 Total cost of Section 179 property placed in service (see instructions) ...................................... [ 2 i 3 Threshold cost of Section 179 property before reduction in limitation ............................... L 3 I 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less enter -0- 5 Doiar i,n,latio- for /ax year Subl. rac[iine4 from,the 1 ifzernn'r-~ -n~-' ...... ~''" ................... ~4 ! · · - -- ,~, ~...v, -0-. If ,narned fihng ~ee instructions 6 (a) Description of .property Store Equipment $24,000. 19,568. $200,000. O. Elected cost ..................................... /.71 o. 24 000. 7 Listed property. Enter the amount from line 29 8 Total elected cost of Section 179 property. Add amounts in column (c), lines 6 and 7 ....................... 19 5 9 Tentative deduction. Enter the smaller of line 5 or line 8. ' ................................................. 19,568. 10 Carryover of disallowed deduction from line 13 of your 2000 Form 4562 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instrs). 24,000. 12 Section ]79 expense deduction. Add lines 9 and 10. but do not enter more than line 13 Carryover of disallowed deduction to 2002. Add lines 9 and 10 ess ne 12 ... ~'- 13L_~.L 0. Note: Do not use Part II or Part III below for listed property. Instead, use Part V. ~ Allowanc~e and Othe. I___Er ~ no__.~.t inc ud____.~.e liste.___.~d property.) 14 Special depreciation allowance for certain property (other than listed property) acquired after September 10 2001 (see instructions) .................................................................................. 15 Property subject to Section 168(0(1) election (see instructions) ..................................... 784. 16 Other depreciation (including ACRS) (see instructions). ~ MACRS Depreciati----'~n (Do not include listed~ (See instructions) Section A 17 MACRS deductions for assets placed in service in tax years beginning before 200] ........................ 9(;, 482. 18 If you are electing under Section 1680)(4) to group any assets placed in service during the tax year into one or more general asset accounts, check here ,,. Section B - Assets Placed in Service Durinq. 2001 Tax Year Usin¢ the General (a) (b) Mon~ and (C) Basis for depreciation (d) (e) (0 (g) Deprec,atio. Classification of property year placed (business/investment use Recovery period Convention Method in service only -- see instructions) deduction 39a3. ear roped .......... .. b 5-year property ........... c 7-year property ......... "' d ]0-year property ......... - e ]5-year property ......... f 20-year property ......... g 25-year property ......... ~" ~.~; 2 5 y r s S / L h Residential rental ........ 2 7.5 y r S NH S / I property ................ 27.5 yrs NH S/t i Nonresidential real ...... Various 12,456. 39 yrs MM S/L property ................ 2 2 1 . MM S/L nc 2001 Tax Yea, ..................... ~ ,-~,,, ,,=.- ,,;,,, u~m9 Ul~ ~lmrnatlve Depreciation System 20 a Class life ................ S / L b 12-year ................. 12 ),rs S/L c 40-year ................. 40 )/FS ~I S/L Part IV: I Summary 21 Listed property. Enter amount from line 28. ............................................................ 255. 22 Total. Add amounts from line 12, lines ]4 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the a~propriate lines of your return. Partnerships and S corporations - see instructions .................................................... 23 For assets shown above and placed in serv ce during the current yea r enter I I 1 1 7,3 t 0. the portion of the basis attributable to Section 263A costs ............ ' ........... / 23 I BAA For Paperwork Reduction Act Notice, see instructions. FDIZO812L 03/20/02 Form 4562 (2001) (Rev 3-2002) Form 4562 (2001) (Rev 3.2002) Don Saytor's Harkets Inc · ~ ...... ' ' --' 23-2083983 Page._.~2 ~tr~~e(al~oC~U~eOmb~en~,)certaln other vehicles cellular telephones, certain computers, and property used for Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense complete on/j/ 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. ' Section A - D_~oreciation and Other Information (Caution: See instructions for limits for pass.~er automobiles. vehicles first) "-' I ,n serv,ce 26 Propert used more than 50% in a qualified business use (see instructions): 27 P~used 50% or less in a qualified business use (see instructions): 28 Add amounts in column th). lines 25 through 27. Enter here and on line 21 page 29 Add amounts in column ti), line 26. Enter here and on line 7..~, page 1. Section El - Information on Use of Vehicles 0. Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you prowded vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. 30 Total business/investment miles driven (a) (b) (c) (d) during the year (do not include commuting Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 miles - see instructions) ................... 31 Total commuting miles driven during the year. ........ ~ ~-- 32 Total other personal (noncommuting) miles driven ............................... 33 Total miles driven during the year. Add lines 30 through 32 ........................ 1,42.5 34 Was the vehic,e available for personal use ~E~ ' ~ ~ during off-duty hours?. ..................... 35Was the vehicle used primarily by a more than 5°/, owner or related person? .......... 36Is another vehicle available for personal use? ............................ Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons (see instructions). Elected Section 179 cost 37 38 39 40 41 ~Amortization Do you maintain a written policy statement that prohibits all personal use of vehicles incl by your em o ees? , uding commut n P Y ......................... g, Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees7 See instructions for vehicles used by corporate officers, directors, or 1% or more owners. Do you treat all use of vehicles by employees as personal use?. ' .................. Do you provide more than five vehicles to your employees obtain information from your employees about the use of the vehicles, and retain the information received? ' Do you meet the requirements concerning qualified automobile demonstration use'~ (See instructions~ .............. Note: If.your answer to 37 38 39 40 or 41 /s 'Yes,' do not complete Section B for the covered vehicles. 42 (a) Description of costs Date amortization Amortizable Code Amortization begins amount Section period or percentage (0 for th~s year Amortization of costs that begins during youi 200] tax ye__._ar (see instructions): t 43 Amortization of costs that began before your 2001 tax year ....................................... 44 Tota. Add amounts n co umn (f). See nstructions for where to report FDIZO812L 03~20~02 Form 4562 (2001) (Rev 3-2002) Form 8827 Department of the Treasury Internal Revenue Service Name Don Sailor's Harkets, 4 5 6 9 BAA For Paperwork Reduction Act Notice, see separate instructions, Credit for Prior Year Minimum Tax - Corporations __ OMSNo. ~s4~-72s7 "Attach ,0 the corporation's ,ax return. 2001 ~tion Number [nc. J23-2o83983 Alternative minimum tax (AMT) for 2000. Enter the amount from line 15 of the 2000 Form 4626 ............. Minimum tax credit carryforward from 2000. Enter the amount from line 9 of the 2000 Form 8827 ........... Enter the total of any 2000 unallowed nonconventional source fuel credit and 2000 unallowed qualified electric vehicle credit (see instructions) Add lines 1, 2, and 3. Enter the corporation's 200] regular income tax liability minus allowable tax credits (see instructions). If the corporation is: · A 'small corporation' exempt from the AMT for 200] and line 5 is $25,000 or less, enter -0- (see instructions). · A 'small corporation' exempt from the AMT for 2001 and line 5 is more than $25,000, enter 25% (.25) of the excess. · Not a 'small corporation' exempt from the AMT for 2001, complete Form 4626 for 200] and enter the tentative minimum tax from line ]3. . ........................................... Subtract line 6 from line 5. If zero or less, enter -0-. Minimum tax credit, Enter the smaller of line 4 or line 7. Also enter this amount on the appropriate line of the corporation's income tax return (e.g. Form 1120, Schedule J, line 6e). If the corporation had a post-J986 ownersh p change or has pre-acquisition excess credits, see instructions. Minimum tax credit cat,forward to 2002. Subtract line 8 from line 4 (see instructions) ]8,091. 18,091. 10,587. 10,587. 10,587. 7,504. Form8827 ~00l) CPCA2201L 01/05102 2001 Client SAYLOR 12/09/02 Federal Statements Don Saylor's Markets, Inc. Statement 1 Form 1120, Line Other Income Miscellaneous ....... Returned Check ~g~iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiill ............... $ Totat '$ Page 1 23-2083983 03:38P~ 2,264 6,010. 8 274_ Statement 2 Form 1120, Line 17 Taxes and Licenses Licenses and Permits ............................................................................ $ PA Capitat Stock Tax ........... Payroll Taxes. Total $ 683. 4,440. 157,195. 14,492 . 176,810_ Statement 3 Form 1120, Line 26 Other Deductions Cash (Over) Short ................................................................................ Cooperative Fees .................................................................................. $ Credit Card Discounts ........................................................................... Ground Nater Monitorin§ ....................................................................... Insurance. Security Service .................................................................................. Store Supplies and Expense ................................................................... Tetephone ............................................................................................. Utitities ............................................................................................. Tota! ~ 1,405 3,259 53,328 15,000 45,682 22,444 9,606. 217,068. 3,379. 143,614. 514,785. Statement 4 Form 1120, Line 29a Net Operating Loss Deduction Carryover Generated From Year End 9/30/01 $ 42,406. Avaitable for Carryover to 2001 Totat Net Operating Loss Deduction. 42,406. 42,406. Client SAYLOR ] 21091o2 Federal Statements Don Saylor's Markets, Inc. Statement 5 Form 1120, Schedule A, Line 4 Additional Sec. 263A Costs Remote Order Entry Fee, Total $ Page 2 23-2083983 03:38P~ 662. 662 Statement 6 Form 1120, Schedule K, Line 5 50% or More Owners Name ID Number Percentage Owned Donald C. Saylor 177-24-2810 100.00% Name ' Donald C. Saylor ID Number · 04-6963937 Percentage Owned · 100.00% (Deceased on 2-19-2002) Estate Statement 7 Form 1120, Schedule L, Line 6 Other Current Assets Beginning Accrued Interest Receivable ......................................... Deferred Tax Benefit .................................................... $ O. Other Prepaid Expenses ................................................. 4,7S0. Prepaid Taxes. 8,941. .............................................................. 18,833. Total $ 32,524~ EndinA 3,288. 4,750. 10,730. 19,817. 38,585_ Statement 8 Form 1120, Schedule L, Line 7 Loans to Shareholders Loan Receivable Notes Receivable _ BeEinnin~ Saylor Trust ..................................... $ O. Donald Saylor. 123,114. Total ~ 123,114] Ending 200,128. 112,711. 312,839_ Statement 9 Form 1120, Schedule L, Line 14 Other Assets Beginning Cash Value - Officer's Life Insurance Deferred Tax Benefit.. ' ......................... $ 195,221. 60~548. Total '$ 276,871~ Ending O. 4,276. 234,026. 238,302. 2001 Client SAYLOR 12/09/02 Statement 10 Form 1120, Schedule L, Line 18 Other Current Liabilities Federal Statements Don Saylor's Markets, Inc. Accrued Corporation Taxes ............................................ Accrued PA Sates Tax .................................................... Accrued Payrott Taxes and Withhotdings ......................... Accrued Rent Accrued Salaries .......................................................... Unredeemed Gift Certificates ........................................ Totat Beginning .. $ 4,102. $ 16,819. 13,842. 15,400. 106,588. O. $ 156,751. ~ Page 3 23-2083983 03:38P Ending 4,440. 15,792. 10,830. 15,400. 93,555. 1,363. 141,380. Statement 11 Form 1120, Schedule M-l, Line 5 Book Expenses Not Deducted Accrued Retated Party Expense Deferred Income Taxes. ' ............................................................ $ Total $ 15,400. 16,826. 60. 32,286. Statement 12 Form 1120, Schedule M-l, Line 8 Deductions Not on Books Payment of Related Party Expense. Total $ 15,400. 56. 15,456. Statement 13 Form 1120, Schedule M-2, Line 6 Other Decreases Prior Period Adjustment ...................................................................... $ Totat $ 8,791. 8,791. Statement 14 Form 4626, Line 6 Alternative Tax Net Operating Loss Deduction Carryover Generated From Year End Available for Carryover to 2001 9/30/01 $ 35,890. Total Alternative Tax Net Operating Loss Deduction ................................... 35,890. 35,890. Client SAYLOR ] 2/O9/02 Federal Supplemental Information Don Saylor's Markets, Inc. Costof Goods Sold Beginninginvento~ Beginnin§ Inventory per Schedule L, Line 3, Column (b). $ Additional Section 263A Costs ................... Total $ Page 23-2083983 03:38PM 560,209. 56. 560,265, Cost of Goods Sold Ending inventory Ending Inventory per Schedule L, Line 3, Column (d) $ Additional Section 263A Costs ........................ Total $ 597,311. 60. 597,371. 10112011210 BOX 8178849 TY 2002 ADC N EIN 232083983 STEP C HC N PAS N SL N LR N FR N LLC N RIC N FF N 53W N BT N CRD N DEPARTMENT USE ONLY PA CORPORATE TAX REPORT 2001 RCT 101 NAME AND ADDRESS STEP A & B XX Don Saylor's Markets, Inc. TYB XX XX 37 Carlisle Road, P. 0. TYE XX XX Newville FPC XX PA XX 17241 TP STEP E STEP D A-TAX LIAB CS/FF 444000 CS/FF LOANS 0 LOANS CNI 0 CNI TOTAL 444000 TOTAL 100101 093002 N N PAYMENT 4000 0 0 4000 STEP F A N STEP G B N AMT 0 PRACT NAME AND ADDRESS XX Newbury & Short PC, CPA's XX XX 305 So 32nd Street XX X× Camp Hill XX PA XX 17011 MAIL Y EIN 161302600 PHONE 7177611382 -I STEP H NAME TITLE Vice-President PHONE 717-776-4769 I hereby affirm under nenalties [}rescribed by law tha th s report (including any accompan lng schedules and statements) has been examined by me and to the bestof my knowledqe and belief is a 'true, correct and comp e~/~ report. If prepared by a person other than the taxpayer, his declaration is I:iased on aR information of which he has any knowledge. PACZ0;O5L 10112011210 10112012211 Don Saylor's Markets, Inc. BOX 8178-849 TYE 9-30-02 PA CORPORATE TAX REPORT 2001 RCT 101 PAGE 2 SECTION A YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 YEAR 6 YEAR 7 CUR YR CS/FF TP BEG 100197 100198 100199 100100 0 0 0 100101 TP END 093098 093099 093000 093001 0 0 0 093002 BOOK INCOME 45672 38841 27507 -14442 0 0 0 87923 ABI ENW 37100 1393382 BNW NW 1314250 1393382 CSV TAX 592782 4440 SCHEDULE A-1 PROP PAY SALE SNUM PA APPORTIONMENT 0 0 0 0 SDEN TOTAL 0 0 0 0 APPORT APPORT O. O. O. PACZ0106L 12/~13/01 10112012211 10112013212 PA Don Saylor's Markets, BOX 8178-849 TYE 9-30-02 CORPORATE TAX REPORT 2001 RCT 101 PAGE 3 Inc · SECTION B DBT TAX LOANS 0 0 SCHEDULE B-1 INT AMOUNT Q1 L1 0 Q2 N L2 0 Q3 N L3 0 RATE TAX INDEBT 0 0 0 SECTION C CNI INC 104753 DEDUCTIONS ADDITIONS DIV INT OTH TD 0 0 0 0 000000000000 000000000000 TAX PRF EIP OTH TA 0 0 0 0 0 000000000000 AJI NBI PNB ATI NOL TAX 104753 0 0 0 104753 0 SCHEDULE PROP PAY SALE SNUM C-1 PA APPORTIONMENT 0 0 0 0 SDEN TOTAL 0 0 0 0 APPORT APPORT O. O. O. O. PACZ0107L 12/21/01 10112013212 Rc~-.~o~ (s-,,~ I 10100011217 PA DEPARTMENT OF REVENUE i BUREAU OF' CORPORATION TAXES I DEPT 280427 I HARRISBURG, PA ] 7128.~27=~_L Step A 1 Tax period beginning Tax Period · Step B Label Affix Label Here Step C · Check AI3plicable B ock(s) a~nd See l~strucfions Step D Tax Summary S U R E Step E Tax Payment Application Step F · Overpayment Step G · Tax Preparer's Sign Here Mailing Address X Step H Signature Sign Here X PACZOIO1L 12/21/01 18 19 20 · 21 PA Corporate Tax Report 2001 RCT-101 MM DD YY Ending MM DD ~ 10 01 O1 09 30 02 2 Use peel-off Pennsylvania Corporate Tax label from the cover of the Tax Instruction Book. Otherwise print or type. 3 ~Check if address change (complete and file Form REV-854). 4 ~___~Check if filing period change (complete and file Form REV-854). ~rt is prepared by Tax Practitioner and you Only require a name and address label. Corporation Name -- Account ID .Don Saylor's Markets, Inc. ~ Number and Street [ Entity ID (ELM) 37 Cartisle Road, P. 0. Box 147 [23-2083983 C~ty or Town State ZIP Code Newville, PA 17241 6~PAS 7 []] Last Report 8[]]LLC 9F~FamilyFarm 13 I I First Report F-1 Holding 10 []] Business Trust 1.1 L_J Company '14 ~ Regulated Investment Company '15 ~ 52-53 Week Filer Department Use Only Date Received DR6 DR7 S F-~ AH"~ Tax DLN -- Corporate Net ~ Income Tax ...... --.~ ................... -^~o u,, p,wu~ L ~, J, [nen complete this tax A Tax Liability B Estimated C Calculation from Tax Payments and Column A minus Report Credits on Deposit Column B for the Current Period Positive or (negative)~ 4,440. 4,400. 40. Enter 0. 0. 0. Whole Dollars 0. 0. 0. Only ... 4,440. 4,400. 40 rea/er thRn 7Pm rnrnnlc, fc, Cfm. ~' * Capital Stock Foreign Franchise Tax... · Loans Tax ....... Total ............ · If column C total is p If column C total is less than zero, an overpayment exists. Skip to Step F. If column C total is zero, no payment is due. Skip to Step G. Apply column C total from Step D by tax. The i' ayment amount for each tax must be zero or rearer. Department Use Only Loans Tax ..... v '~ ~ ~ Corporate Net Income Tax .... T0talPaymentmustequalthecolumn CT0talfrom Step D. Total Capital Stock Foreign Franchise Tax Make check for this amount payable to: 'PA Dept of Revenue' Payment ....... If your payment exceeds $20,000, refer to the CT-1 PA Corporation Tax I Section I, pac, le 2 for Electronic Funds Transfer (EFT) instructions. 22 Check Only One box to select a refund or transfer method. A ~ Automatically transfer overpayment(s) to current tax period underpaid taxes and the remaining portion to the next tax period. B Automatically transfer $ of the current tax period overpayment(s) to the next tax period after paying any current tax period underpai~J taxes and refund the remaining portion of the current tax period overpayment(s). C F~ Refund the overpayment from the current tax period after paying any current tax period underpa d taxes. .2~ IX ICheck here to mail sett ement notice And requests for additional information to preparer's address. Preparer's address must be printed or typed below. Print Individual Preparer or Firm's Name 24 Newbur¥ & Short PC, CPA's IIndividual °r Firm's Signature °f Preparer Individual or Firm's Street Address I Print Name of Preparer J Telephone Number E-mad Address / (717) 761-1382 C.P.A. 305 So 32nd Street City State ZiP Code Camp H~ll, PA 17011 I hereby affirm under penalties prescribed by law that th s report (including any accompanying schedules and statements) has been examined b me and to the best o1' my know edge and belief is a true, correct and complete report. If prepared by a person other than the taxpayer, his declaration is ~'ased on all information of which he has any knowledge. Signature of Officer of Company Date J Telephone Number 25 1(717) 776-4769 Print Off~cer Name I E-mail Address 10100011217 Payment 40. O. Er W~ Dol Ot er ~le IrS Y 16 ~ KOZ/EIP Credit 17 Compute tax liability for Ca]ital Stock/Foreign Franchis(, Loans and Corporate Net Incom~ Taxes summary. DLN 1,~ [--] Solicitation ~ LU Only 10100012218 PA Corporate Tax Report 2001 Form RCT-101 Page 2 M M D D Y Y Corporation Don Saylor's Markets Inc Ac ltlD 8178-; · StO~k/F°r~ig · ,ax ca Taxable Period ~,h' Fr~h2 Taxable Period hlse Tax Taxpayer Use Department : ' . : i;' i Beginning Ending 0Nhole Dollars Only) Use On/y Histor~ of Earnings M M D D Y Y M M D D Y Y Book Income -- Oldest Period - Start Here ................................. ~,. 10/01/97 9/30/98 45,672 10/01/98 9/30/99 38,841 10/01/99 9/30/00 27,507. 10/01/00 9/30/01 ( 14,442 .), Additional periods use these spaces (skip lines if not required). 1 Current tax period book income (loss) .......... >j--~ 10/01/01 9/30/02 87,923. · 2 _ Total book income (sum of income for all tax periods within, up to, but not over, 5 years total) ................ 2 18 5, _5 0 ]. 3 Divisor (in years and part years rounded to three decimal places). See instructions ....... 3 $ 000 4 Divide line 2 by tine 3 ' ................................................................. 4 37,100 · ._.~5, Average Book Income - Enter line 4 or if line 4 is less than zero enter '0'. ............... 5 3 7, 100 6 Divide line 5 by .09,5 .................................................................. 6 390,526. 7 Sum of capital stock, paid-in capital and retained earnings less treasury stock at the end of the current period .... 7 ]., 393,382. · 8 Sum of capital stock, paid-in capital and retained earnings less treasury stock at the beginning °f the current period. 8 1 314 250 · 9 If line 7 is more than twice as great or less than half as much as line 8, add lines 7 and 8 and divide by 2. Otherwise enter line 2 ................ 9 1, 393,382 10 NetWorth - Enter line 9 or if line 9 is less than zero enter '0'. .......................... 10 1 393,382 · 11 ;Multiply line 10 by 0.75. ' ' ............................................................... 11 i 045,037. 12 Add lines 6 and 11 ' .................................................................... 12 i 435 5631- 13 Divide line 12 by 2 ' ' .................................................................... i3 717,782. 14 $125.000 valuation deduction .......................................................... 14 ($125, 000) 15 Capital Stock Value - Line 13 less line 14 but not less than '0'. If 100% taxable, enter line 15 on line 17 ....... 15 592, 782. 16 Proportion of taxable assets or apportionment proportion (from Schedule A-l, line 5 below) .................. "16 17 t Taxable Value - Multiply line 15 by line 16. If less than zero, enter 'O'. ................... 17 592,782. 18 Capital Stock/Foreign Franchise Tax - Multiply line 17 by .00749, and enter this amount .............. --,. 18 4,440. · Schedule A-l: Apportionment Schedule for Capital Stock/Foreign Franchise Tax [.nte.r th_e numerator(s) and denominator(s) of fractions used for aonortinninn fha r=nif=l ~'~-~, gures only for the apportionment method (Three Factor or Single Factor) used in the tax computation. Also enter the apportionment proportion calculated to six decimal places in line 5 below. Three Factor - From insert sheet (RCT-106) page 2 or Manufacturing Exemption Schedule (RCT-105) Property factor - Pennsylvania ........... Property factor - Total ................... Payroll factor - Pennsylvania ............. Payroll factor - Total .................... Sales factor - Pennsylvania .............. Sales factor - Total ...................... j la b 2a b 3a bi Sin( le Factor -- From insert sheet (RCT-106) page '1 or Manufacturing Exemption Schedule (RCT-102) Single factor - Numerator ................ I 4~t I: __ Single factor Denominator .............. 3ortionment ~roportion - Also enter on line 16 in Section A above .................... :1 Section B-l: Corporate Loans Tax Information 1 (Foreign corporations only) Did your corporation have a treasurer or other fiscal officer resident in Pennsylvania and paying interest on indebtedness of the corporation? If answer is no, remaining questions on this schedule do not have to be answered Did your corporation have indebtedness outstanding to individual residents of Pennsylvania and/or to partnerships resident in Pennsylvania?.. 2 Did your corporation have indebtedness outstanding held by a trustee, agent or guardian for a resident individual taxable in its own right or by an executor or administrator of an estate wherein the decedent was a resident of Pennsylvania?.. 3 If the answers to question 2 and/or 3 were 'Yes,' continue below. Amount of interest actually paid on the indebtedness m question 2 or 3 dunng the tax period reported. Rate ot interest applicable to the I 6 Nominal value of taxable indebtedness (divide indebtedness in question 2 or 3. 5 into 4) enter total of this column on page 3. Total PACZ0102L 12/21/01 Yes 10100012218 10100013219 PA Corporate Tax Report 2001 Form RCT-10'I Corporation Don Say~or's Markets, [nc. Acc0untlD 8178-849 Ending~ 1_~ Taxable Indebtedness (Complete Schedule B-1 on page 2 of the RCT-101.) ....... .r_.~..x Period __~2 Multiplyl,nel by.004 ............................................................. [ 2. ._~ Treasurer's commission (see instructions) .......................................... ~ 4 I L°ans Tax - Line 2 minus line 3. .... '-~ 4 Page 3 M M D D Y y Taxpayer Use 0Nhole Dollars Only) Income (or Loss) to be Apportioned - Line 5 minus line 6 .......................... Apportionment proportion (from Schedule C-1 line 5) ................................ Income (or Loss) Apportioned to Pennsylvania - Line 7 multiplied by line 8 ......... Nonbusiness income (or loss) allocated to Pennsylvania ............................. Taxable Income (or Loss)After Apportionment - Line 9 plus line 10. Enter amount from line 5 for corporations which do not apportion. If a loss, add to Form RCT-103... Total net operating loss deduction (from RCT-103)cannot exceed $2,000,000 ........ Pennsylvania Taxable Income - Line 11 minus line 12. If less than zero, enter '0'.... Department (Attach copy of federal Form 1120 or 1120S, etc to back of the RCT-101 ) [-'~ Deductions: Corporate dividends rec,e, ived (from Schedule C-2, line 6) .................... Interest on U.S. secunties J Gross Interest I j~'~penses I ' (attach schedule) [ l less/ Other (attach schedule). See instructions ..................................... Total Deductions - Sum of a through c ...................................... 43 Line 1 less line 2 ................................................................. Additions: 104,753. ~.~ Taxes imposed on or measured by net income (attach schedule) ............... __.~ Tax preference items (attach copy of federal Form 4626) ....................... .__~. Employment incentive payment credit adjustment (attach Schedule W) .......... L d I Other (attach schedule). See instructions ..................................... Total Additions - Sum of a through d ........................................ ~- ~~'~'~'s;ments - Line3 plus line 4 ........... Cor ~oration Which Transacts its Entire Business ~'n ~ ~ apportion) Should Ski I Total nonbusiness income (or loss) ................................................. 11 12 13 ~rate Net Income Tax - Mult~ .0999. ~ .......................... Schedule C-1 :Apportionment Schedule for Corporate Net Income Tax · Enter the numerator(s) and denominator(s) of fractions used for apportioning income. Also enter the apportionment proportion calculated to six decimal places in line 5 below. Use Only ]04,753 · · · · · · · · · · 104,753. · ~ to Line 11 and Enter Line 5 There. 6 7 8 9 10 11 104,753. 12 104,753 13 0. Three Factor - From insert sheet (RCT-106) page 2. Property factor - Pennsylvania ................ Property factor - Total ........................ Payroll factor -- Pennsylvania .................. Payroll factor -- Total. ......................... Sales factor - Pennsylvania ................... Sales factor - Total ........................... Triple weighted sales factor (see instructions) (line 3a la b 2a b 3a b divided by line 3b) x 3 ........ t Factor - Apportionment Proportion Single factor - Total .......................... Apportionment proportion - Also enter on line 8 in Section C. (see instructions) ...... [.. 5 Taxpayer - Check off All that are enclosed with this tax report [Federal Form 1120 or 1120S (Required) .J Separate company balance sheet ,J IRCT-105 Federal Form 1065 (LLC$) La RCT-106 I Consolidated balance sheet (Required for Parent Corporations)J PACZ0103L '[ 2/21/01 10100013219 PA Corporate Tax Report 2001 RCT-101 Page 4 10100014210 Corporation Don Savior's Markets, ]'nc. Schedule C-2: Pennsylvania Dividend Deduction Schedule 1 'Federal Schedule C, line 20, total deductions. Account ID 8178-849 M M D D Y Tax Period I Ending[ 9/30/02 6 j Total Pennsylvania Dividend Deduction - add nes 1,2 3 4 and 5 (enter above at Section C, line 2a). ' ' 1 2 3 4 5 Federal Schedule C, line 15, foreign dividend gross-up (Section 78) ................ Dividends from less-than-20%-owned foreign corporations listed on lines 13 and 14 of federal Schedule C - x 70% Dividends from 20%-or-more-owned foreign corporations listed on lines 13 and 14 of federal Schedule C - x 80% Dividends listed on lines 13 and 14 of federal Schedule C from foreign corporations that meet the *80% voting and value test* of IRC Section ]504(a)(2) and otherwise would qualify for '100% deduction under IRC Section 243(a)(3) if they were a domestic corporation. Do not list any amounts included in item 4 ............................ 3 Method of accounting, if different than for federal. Same 4 Location of principal office. 37 Carlisle Road, Newvi].le, PA 17241 S Has federal government changed taxable income as orrglnally reported for any prior period for which reports of change have not been filed ~n Pennsylvania? Give year(s) 6 Name and Account ID of any corporation holding all or a majority of the stock of th~s corporation. 7 Other corporations of which this corporation owns all or a majority of the stock. (Consolidated balance sheet must be submitted,) l ccou. , 9 Incorporated under laws of state of Pennsylvan i a 21-128898 Retail Sales of Groceries. 8 10 11 Date of incorporation 10 / 2 $ / 1978 Pennsylvania sales tax license number Brief description of corporate activity in Pennsylvania: Outside Pennsylvania: List other states in which taxpayer has activity: ~orated outside Pennsylvania, does the corporation solicit sales in Pennsylvania? Please check Yes~___~~o If yes, does the corporation use: Please check ~n exclusive sales representative ~endent sales representative? 1_~2 Schedule of real roperty use._._.~d inPenns Ivania (buildin s And land_...~) Owned/ Street Address t Ci C u~be u s c 13 Have .you sold or transferred business assets during the taxable year, if so what percent of total assets does this transaction represent? What ~s name and address of purchaser? % Name Address PACZ0104L 12/21/01 ~.0100014210 10300011219 RCT-103 ~9-0~) I I Bureau of Corporation Taxes ~ Net Operating Loss Schedule File with Form RCT-101 Taxable Period Ended (MM/DD/YY) I Name of Corporation I Account ID (Pennsylvania Box Number) 9/30/02 [Don Sa~,tor's Ma kets Inc I , ~ ............. , ..... i o j. I O- OOrt~ (1) Tax Period (2) Tax Period (3) Net Loss (4) Amount Deducted (5) Net Loss Beginning Ending Carryforward to Current (Current Period) Carryforward to Period Next Period 10/01/95 9/30/96 108,648. 104,753. 3,895. 10/01/96 9/30/9;7 5,524. 5,524. 10/01/00 9/30/01 42,406. 42,406. Total ..................... 104,753. PACZO70~L ~272~?0~ 10300011219 ..J PHYSICAL · LOCATION OF BUSINESS· (Il' pdmary physical lo.lion of business is different than mailing address, note ~ the address of the iphysical I~aUon.) NAME D STREET 7 Cla ] o a = ADDRESS ] r s ] :i R d C,TYOR~OSTOFF~CE It e :w v i 1 e I,,,llh,,I,,,Ih,hlh,hll,,,,h,h,lJ,lh,,hh,l,J,,,Ih,I PA DEPARTMENT OF REVENUE DEPT 280430 HARRISBURG PA 17128-0430 ACCOUNTJD TELEPHONE NUMBER I DATE ( 717 )761-1382 ,/oZ-I,?,-o~.. PADEPARTMENTOFREVENUE BUREAU OF CORPORATION TAXES REV- 1 605 CT (9-00) DEPT. 280430 HARRISBURG. PA 17128-0430 SCHEDULE CO LAST NAME OF PRES,DENT S a y 1' o r FIRST NAME OF PRESIDENT C u r t LAST NAME OF VICE PRESIDENT S a y 1 o r FIRST NAME OFVICE Cr a i PRESIDENT g LAST NAME OF SECRETARY Sa y 1 o r F RST NAME OF SECRETARY Ja n e t LAST NAME OF Complete and mail thru schedu · ~ the PA ~na~ent of ..... , ,~_ ~_ ~. ' '"'~" "~'"-':~ ~"' ~ · .r. Rev...~ =, ~.. 4~ve aaaress. The following mfo~atmon is requested und~ the prow>~on of Adicle 4 DE the Tax Refom C~e of 1971. SOCIAL SECURI'P~ .UMSER 1 9 9 5 2 6 0 7 0 k SOCIAL L SECURITY .UMBER 2 1 1 4 6 0 3 5 8 SOCIAL MI B SECURITY N~M~ER 2 I 0 2 6 9 5 7 8 TREASURER N O t A p p 1 i C a b I e ~ FIRST NAME OF SOCIAL TREASURER Mi SECURITY NUMBER THIS FORM IS CONTINUED ON THE REVERSE Please turn to the reverse side of this form and continue filling in all applicable fields FARMERS NATIONAl. BANK OF NEWVILLE ,? ~ ..... ,. ,,,., May 22, 2002 Hamilton C. Davis, Esquire 20 East Burd Street, Suite 6 P. O. Box 40 Shippensburg, PA 17257 RE: Estate of Donald C. Saylor Dear Mr. Davis: Mr. Saylor had the following accounts with this bank: Checking account #17-066-6 in his name alone with a balance as of February 19, 2002 of $12,264.69. This is a non-interest bearing account. Savings account #5004782 (now changed to #9596194) also in his name alone with a balance of $32,023.09 plus $124.50 accrued interest. Individual Retirement Account #9000028 with a balance of $25,633.17 plus $39.33 accrued interest. Loan #600111067 in the names of Mr. Saylor and Janet B. Saylor with a balance of $137,665.40 plus $613.83 accrued interest. Loan #600115887 in the names of Mr. Saylor and Janet B. Saylor with a balance of $691,666.98 plus $3,084.06 accrued interest. If any additional information is needed, please contact me. Sincerely yours, Kelley Blue Book Used Car Values Page I of 2 Kelley Blue Book The Trusted Resource New Car PJicing Build a Car Incentives My Car's Value Used Ca~ Retail Buy a New Buy a Used Ca[ Sell Your Car Hoto~ cycles F! nancing Iasurance Lemon Check Warrant~es Accessories Ca~ Renews Car Preview~ Decision Guides ~dvice About kbb Home Click on the image above to visit this advertiser B!ue Book Pdva[e Party Report Pennsylvania · March 13, 2002 1996 Buick Roadmaster Estate Wagon 4D Engine: V8 5.7 Liter Trans: Automatic Drive: Rear Wheel Drive Mileage: 36,000 Buy a New Car Buy a Used Car List Your Car For Sale Onlir, e Financing Quote !nsurance Quote Wan'anty Quote Payment: Calculator Equipment Air Conditioning AM/FM Stereo Dual Power Seats Power Steering Cassette Third Seat Power Windows Premium Sound Hoon Roof Power Door Locks Dual Front Air Bags Roof Rack Tilt Wheel ABS (4-Wheel) Woodgrain Cruise Control Leather Alloy Wheels Consumer Rated Condition: Excellent "Excellent" condition means that the vehicle looks great, is in excellent mechanical condition and needs no reconditioning. It should pass a smog inspection. The engine compartment should be clean, with no fluid leaks. The paint is glossy and the body and interior are free of any wear or visible defects. There is no rust. The tires are the proper size and match and are new or nearly new. A clean title history is assumed. This is an exceptional vehicle. Private Party Value $t3,885 Private Party value represents what you might expect to pay for a used car when purchasing from a private party, it may also represent the value you might expect to receive when selling your own used car to another private party. Copyright © 2002 by Kelley Blue Book Co., All Rights Reserved. Her-Apr 2002 Edition. The information in this report was printed from the Kelley Blue Book Web site (www.kbb.com) and is intended for the personal use of the customer only and may not be sold or transmitted to another party. We assume no responsibility for errors or omissions.(v.02030) http//www kbb com/kb/kl dll/kw kc ur ~kbb ~33099& &723 Buick 1996%2 : " ' '" "' ";' ;- - ;P ; ' : , 0Roadmaster&7:BU;N8 3/13/02 Kelley Blue Book Used Car Values Page I o1'2 Kelley Blue Book The. Trusted Resource New Car Pricing Build a CaP Incentives Ny Car's Value Used Car Retail Buy a Used Car Sell Your Car Hotorcyctes Financing Instlra nce Lemon Check Warranties Accessories Car Renews Ca~ P~eviews Decision Gui~s Advice ~bout kbb Home Click on the image above to visit this advertiser Blue Bo¢,k P.~',at~. Pa~y .,~ ..... Report Pennsylvania · March 13, 2002 1999 Chevrolet Sl0 Pickup Extended Cab Buy a New Car Buy a Used Car List Your Car For Sate Online Financing Quote ]nsurance Quote Warranty Quote Payment Calculator Engine: V6 4.3 Liter Trans: Automatic Drive: 4 Wheel Drive Mileage: 38,000 Equipment Third Door Tilt Wheel ABS (4-Wheel) LS Cruise Control Pickup Shell/Cap Air Conditioning AM/FM Stereo Towing Pkg Power Steering Cassette Alloy Wheels Power Windows Dual Front Air Bags COnsumer Rated Condition: Excellent "Excellent" condition means that the vehicle looks great, is in excellent mechanical condition and needs no reconditioning. It should pass a smog inspection. The engine compartment should be clean, with no fluid leaks. The paint is glossy and the body and interior are free of any wear or visible defects. There is no rust. The tires are the proper size and match and are new or nearly new. A clean t:i.tie hi~tory is assumed. This is an exceptional vehicle. Private Party Value $15,375 Private Party value represents what you might expect to pay for a used car when purchasing from a private party. It may also represent the value you might expect to receive when selling your own used car to another private party. Coovrieht C) 2002 by Kelley Blue Book Co;. All Riohts Reserved. Mar-Aor 2002 Edition. The information in this reo0rt was orinted http://www.kbb.com/kb/ki.dll/kw.kc.ur?kbb;443576&;p&723 'Chevrolet' 1999~/~kS,10o/~0Pickup&4.CT. F3 ' ' 3113/02 Kelley Blue Book Used Car Values Page I of 2 · ~ Kelley Blue Book The Trusted Resource New Car Pricing Build a Cat Incentives Ny Car's Value Used Caf- Retail Buy a New Cat BtJy a Used Car Sell Your Car f'totoJ cycles Financing Insurance Lemon Check Warranties Accessories Car Reviews Car P~eviews Decision Gui~s Advice About kbb Home Repairs I Breakd°wnI Maintenance i ~n~/t:,ynet corn Savings Click on the image above to visit this adver[iser Blue Book PrJva[e Pa~y Repo~ Pennsylvania · March 13, 2002 2000 Mercury Grand Marquis LS Sedan 4D FREE Online Quote Click Here J Buy a New Car Bdy a Used Car' List Your' Car' For Sale Online Financing Quote iFIsuFar~ce Quote Warranty Quote Payment Calculator Engine: V8 4.6 Liter Trans: Automatic Drive: Rear Wheel Drive Mileage: ~0,000 Equipment Air Conditioning Cruise Control ABS (4-Wheel) Power Steering AH/FH Stereo Leather Power Windows Cassette Dual Power Seats Power Door Locks Premium Sound Alloy Wheels Tilt Wheel Dual Front Air Bags Consumer Rated Condition: Excellent "Excellent" condition means that the vehicle looks great, is in excellent mechanical condition and needs no reconditioning. [t should pass a smog inspection. The engine compartment should be clean, with no fluid leaks. The paint is glossy and the body and interior are free of any wear or visible defects. There is no rust. The tires are the proper size and match and are new or nearly new. A clean title h~story is assumed. This is an exceptional vehicle. Private Party Value $16,995 Private Party value represents what you might expect to pay for a used car when purchasing from a private party. Xt may also represent the value you might expect to receive when selling your own used car to another private party. Coovriaht ~ 2002 bv Kelley Blue Book Co.. All Riohts Reserved. Har-Aor 2002 Edition. The information in this reo0rt was orinted http://www~kbb~c~m~kb/ki~d~kw~kc~ur?kbb:~ ~394&;~& ~22;Me~cury;2~%2~Grand%2~Marq~s&3;ME;E8& 3/13/02 Kelley Blue Book Used Car Values Page ! of 2 Kelley Blue Book . The Trusted Resource New Car Pricing Build a Cas Hy Car's Value Used Car Retail Buy a New Car Buy a Used Cat Sell Your Car Moto~ cycles Financing [nsulance Lemon Check Warranties Accessories Car Reviews Car Previews Derision Guides Advice ~out kbb Home Click on the image above to visit this advertiser BPae ~ ~,' . ~o,.,~ Private Party Repo~ Pennsylvania · March !3, 2002 1994 Lincoln Mark VIII Coupe 2D Engine: V8 4.6 Liter Trans: Automatic Drive: Rear Wheel Drive Mileage: 20,000 Buy a New Car Buy a Used Car List Your Car For Sale Online Financing Quote Insurance Quote Warranty Quote Payment Calculator Equipment Air Conditioning Cruise Control ABS (4-Wheel) Power Steering AM/FN Stereo Leather Power Windows Cassette Dual Power Seats Power Door Locks Premium Sound Alloy Wheels Tilt Wheel Dual Front Air Bags Consumer Rated Condition: Excellent "Excellent" condition means that the vehicle looks great, is in excellent mechanical condition and needs no reconditioning. It should pass a smog inspection. The engine compartment should be clean, with no fluid leaks. The paint is glossy and the body and interior are free of any wear or visible defects. There is no rust. The tires are the proper size and match and are new or nearly new. A clean title history is assumed. This is an exceptional vehicle. Private Party Value $8,075 Private Party value represents what you might expect to pay for a used car when purchasing from a private party. It may also represent the value you might expect to receive when selling your own used car to another private party. Get [nvc~ice S MS~,P on Navy Cms Copyright © 2002 by Kelley Blue Book Co., All Rights Reserved. Mar-Apr 2002 Edition. The information in this report was printed from the Kelley Blue Book Web site (www.kbb.com) and is intended for the personal use of the customer only and may not be sold or transmitted to another party. We assume no responsibility for errors or omissions.(v. O2030) http://www.kbb.conVkb/ki.dll/kw.kc.ur?kbb;037597&;p&722;Lincoln; 1994%20Mark%20VIII&9;LI;BA& 3/13/02 NADA Appraisal Guides - Get a Value - Motor llomcs Page I o1'2 The Recognized Authority Since t933 Check Your CredAt Give Us Your Feedback N £TQ U O T s..o .. to so% Recreation Vehicle Consumer Pric)ng 1986 to 200t GULFSTREAM GULFSTREAM COACH INC 1990 MODELS FROM 1993 THROUGH CURRENT MODEL YEAR INCLUDE AIR COND TIONER GENERATOR, MICROWAVE, AND AWNING IN BOOK VALUE. ' CONQUEST SERIES Model: M-6242-1000 Length: 24' Coach Design: Floor Plan: Self-Contained: Low Retail: Average Retail: Mileage Factor (Gasoline engine only): Plus 15.00% Mini Motor Home Rear Bath YES $8,480 $10,220 30,001 -35,000: Low: $1,272 Avg: $1,533 Optional Equipment AIR CONDITIONING AND HEATING 11,000 BTU: Furnace (10,000-12,000 BTU): APPLIANCES 3-Way Refrigerator (Camping Trailer): Microwave/Convection Combo: MISCELLANEOUS OPTIONAL EQUIPMENT Awning 13' - 14' (Each): Cruise Control: Fiberglass Exterior 30' and Under: Tilt Wheel: Totals Low: $145 Avg.: $190 Low: $30 Avg.: $45 Low: $80 Avg.: $105 Low: $90 Avg.: $115 Low: $140 Avg.: $185 Low: $25 Avg.: $35 Low: $405 Avg.: $535 Low: $30 Avg.: $35 Total Low Retail: $10,697 Total Average Retail: $12,998 ~ Print Report ~Research A New Car CGet Another Price (*)THESE MODELS ALSO INCLUDE LEVELERS, EXTERIOR ENTERTAINMENT CENTER, 6-WAY POWER PASSENGER SEAT, WASHER/DRYER, AND #50 FREEZER IN PRICEADD $850.00 FOR MOTOR HOMES W/FORD CHASSIS. THESE MOTORHOMES ALREADY INCLUDE VALUE FOR FORD CHASSIS. DO NOT ADD FOR IT Click below on the first letter of the Manufacturer's Name. Free Finance Quotes Free b",surance Quotes Free Lemor, Check Free Warcsnty Quotes [AIBIClDIEIFIGIHlilJIKILIMINIOIPiRi$1TlUlVlWl.XlYiZ] [ Truck Campers I Motor Homes ] Travel Trailers & Fifth '*' ¢ ' . ~h=e~ Trailers [ Park Mode~s You have received I of the 10 free daily values for Motor Homes ~ , ~¢n.q Trailers ] .../ValueRepon.asp?Userl D=061392E3299&DID=37328&Type=MH&OCode=R¥&~pg= ,DOT&wSec=5&Com=0 ! 04& Year= ! 990/13/02 NADA Appraisal Guides - Get a Value - Motor ! lomes Page 2 of 2 Low Retail Value -- A Iow retail unit may have extensive wear and tear. Body parts may have dents and blemishes. The buyer can expect to invest in cosmetic and/or mechanical work. This vehicle should be in safe running order. Low retail vehicles usually are not found on dealer lots. Average Retail Value -- An average retail vehicte should be clean and without glaring defects. Tires and glass should be in good condition. The paint should match and have a good finish. The interior should have wear in rela~on to the age of the vehicle. Carpet and seat upholstery should be clean, and all power options should work. The mileage should be within the acceptable range for the model year. An Average Retail vehicle on a dealer lot may include a limited warranty or guarantee, and possibly a current safety and/or emission inspection (where applicable). Note: Vehicles with Iow mileage that are in exceptionally good condition can be worth a significantly higher value than the Average Retail price shown. ~)Copydght 2002 NADA Appraisal Guides, Inc. All Rights Reserved The information in this reporl was obtained from NADAguides. com and is intended for the personal use of the customer only and may not be sold or transmitted to another party. We assume no responsibility for errors or omissions. .../Val ueReport, asp?UserlD=061392E3299& DID=37328&Type=MH&GCode=RV&wPg= 1107&wSec=S&Com=0104&Year= 199 3/13/02 NADA Appraisal Guides - Get a Value - Marine Page I of 2 The Recognized Authority Since 1933 Marble Consumer Prich~§ 1989 to 200I iBoatU.$. insurance BAYLINER MARINE CORP 1998 CAPRI SERIES Length: Model Name/Description: Boat Type: Hull Material: Beam: Engine: Net Weight: Low Retail: Average Retail: 19' 1950 CL BR (CL)(**) Stern Drive Power Boat Fiberglass 7'6" 1 135 HP Gasoline 1,925 $6,450 $8,380 Select a Boat~ Get ¥'our QU0t.eI SUgI'Rus SlmTrust Marine Lending Reported Engine Range: 136-200 HP Total adjustment for your engine(s) - Add: $1,650 Optional Equipment Power Boat: CANVAS Bimini Top: Boat Cover - 15 ft. thru 19 ft.: Power Boat: ENTERTAINMENT Stereo - am/fm cassette wi4 speakers: Low: $275 Avg.: $325 Low: $130 Avg.: $155 Low: $235 Avg.: $280 Totals Total Low Retail: Total Average Retail: $8,740 $10,790 Print Report ~Research A New Car Get Another Price (*) INCLUDES THE VALUE OF THE OUTBOARD MOTOR(S) AND TRAILER. (**) INCLUDES THE VALUE OF THE TRAILER. C**) INCLUDES THE VALUE OF THE OUTBOARD MOTOR(S). Click below on the first letter of the Manufacturer's Name. Free Finance Quotes Free Insurance Quotes Free Lemon Check Free Warranty Quotes [AIBICIDIEIFIGIHIIIJIKILIMINIOIPIQIRISlTlUlViWi× iYi7] [ Boats I Outboard Motors J BoatTrailers ] You have received 1 of the 10 free daily values for Marine Value Explanation -- N.A.D.A. has been collecting, analyzing, and publishing used values since 1933. The retail values listed are a guideline for appraisal purposes only. These values should be used stdctly as a reference source for valuing used vessels. It is not, and should not be considered absolute. The values are a reflection of the boats condition and DoDularitv. It mav be necessary to adiust listed values to meet market c90~% i~ your · ../V alueReport.asp?U serlD--061392E3299&DID=37328&Type=MR&OCode=MR&wPg= ! [0~vgS~, =~(Com=0106& Year=1993/13/02 NADA Appraisal Guides - (Jet a Value - Marine Page 2 o1'2 area. Willie on li~levalues are ~imilar {o Other N.AiD.Ai PubliShed values, these values' are intended for retail consumer use. Low Retail Value -- A Iow retail valued boat will show excessive wear and tear either cosmetically and/or mechanically. This boat will require cosmetic or mechanical work and may or may not be in running order. The buyer can expect to invest in cosmetic and/or mechanical work. Low retail vessels usually are not found on a dealer's lot. Average Retail Value -- An average retail valued boat should be in good condition with no visible damage or defects. This boat will show moderate wear and tear and will be in sound running condition. The buyer might need to invest in either minor cosmetic or mechanical work. Note: Vessels in exceptional condition can be worth a significantly higher value than the Average Retail Price shown. ~Copydght 2002 NADA Appraisal Guides, Inc. All Rights Reserved The information in this report was obtained from NADAguides. com and is intended for the personal use of the customer only and may not be sold or transmitted to another pa~y. We assume no responsibility for errors or omissions. .../ValueReport.asp?UserlD=061392E3299&DiD=37328&Type=MR&GCode=MR&wPg= 1107&wSec=4&Com=OlO6&Year=1993/13/02 8 Market Plaza [['ay · Mechanicsburg, Phone: 697.4696 February 28, 2002 Janet B. Saylor 543 Appalachain Ave Mechanicsburg, PA 17055 ESTATE OF DONALD C. cio H. C. DAVIS · - The Funeral Service for Donald C. Saylor We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel Free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff Embalming Sanitary care,dressing & placement 2. FACILITIES AND SERVICES Viewing (Visitation'Wake) Funeral Ceremony 3. AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Home Hearse (Casket Coach) Lcad car/Clergy FUNERAL HOME SERVICE CHARGES SELECTED MERCHANDISE: Register Book(s) THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED AT THE ThME FL~4ERAL ARPO. NGEMENTS vv%P,E MADE, ~¢E AD~, AN,.~:,~ '~ · ,..,.,,,TAIN PAYMENTS TO C~T~.':r~c AS ........ AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. CASH ADVANCES Certified Copies of the Death Certificate Flowers TOTAL CASH ADVANCES AND SPECIAL CHARGES $1565.00 $585.00 $85.00 $365.00 $425.00 $235.00 $285.00 $I15.00 $3660.00 $45.00 $3705.00 $60.00 $106.00 $166.00 S UB-TOTAL INITIAL PAYMENT / DISCOUNT / CREDITS TOTAL AMOUNT DUE $3871.00 $3871.00 004315 CEMETERY INTEILMENT RIGHTS, MERCHANDISE AND SERVICES PURCHASE/SECURITy GREEME~TW THIS AGREEMENT PROVIDES FOR ENDOWMENT CARE · · RETAIL INSTALLMENT CONTRACT This Agreement is made this ~ ~'X'~ ¢...' AddreSs :' OM ~ ~ / t -- .... ~ ,20L7~ ~ , by and between the undersigned "Seller" : hereinafter called " : .. the Purchaser" Day Telephone No. C ) s~ .'r-,..a:.~,..q~.H ........ -- ~,.I, o.a n .... ~, .......... t,, h,,v ~he. Ihllnw/nu dcLcrj.b.~!nter.m.~nt Rights, MerchandiSe and Servidcs. INTERMENT RfGHTs, MERCHANDISE A~/D SE Interment Rights (inc. $ ' ""----' Mern.°.ffalizat/on _ Type~ECF) R VICES ' ' ' Size ti k} > ~ ~_) '~ "'"r'~*~¢.Zv?' -- $ *'-"~" ' - Lcx~* ' ~ Design Memor/al InstallatioWlnspection Fee Memorial Maintenance ................................ Casket. Description .......................................... Material: Wood/Metal Outer Burial Container _ Type Gauge Interment and Record/ne Fee Process/ag Fee ................................................................... Other Travel Protection P/an (~ce b,'low) Sales Tax .............. . .......... ( ) *oral Cash Price (including Sales Ta,o .................. Down Payment Cash ' ('red//For ........................ : .................................. (~) t'b) 'Focal Down Payment ............................................. (c) Unpaid Balance of Cash Pr/ce (Amount Pinanced) (d) Service Charge (F/nance Charge) (e) .................................. Time Balance (Total of Payments) ............ (0 Time Sale Price ...................... ,=,.,-~.' ~ . ~ . ' Remarks: be reqmrcd to enter into= ~. ..... .c.:r3, and [;~c cemetcn, is no~ ....... .. -. ' P,; y, nol I:v th '~e purchase nrie,, .~. - oWpdl~te COnlract ,4' ~h tho ,h;Sa _ ~ ' '~°I"uIISIDi~2 lor the ser~brn,.-. . ~- ,; vc.,c[ery menti ,sC ..... 5 ..... o_ ¢ f,~rtl e c ...... :._ ~-T.~panyprovider~ertain;~,,'~o.;... 'T&ce Olu~e services asso ' · . Theft . : ·"t~,. s ,, ' -",,.s Agreement and [nclud ._ vu~.AIIClNI.QF,~ 5 ~=r:c'ZY-i'~mcnce°/thePurchaserir ~,,..,.' '% .... ave~rrotectionPIan Th... c, ~a[ed ~? ~th the 'f ravel Pro...,;.. . Merclandi~ ~ "", : tl'llqA?lCkD: ~ ............. ~aKmgpaymcnts. _ atptantmsbeenreferencedin[~.y.~.~ ~- ThePurchaser ~ ~" ,/ ......... ;< "ovidin,2-~o~flfi ....... -7=---si?il bc credited t · ed n a~b~,' '" ,' ' - .... ~:_ - . ' .... nee ~ess your do;~ ...... 2 "q qkc mte~ Riah~ n= cosI~ ~ yOj I Total Sale Pri? ~ , --~ / , "~t'~r;'o~ Prepa, '~; ,' - - - "'- ~'-- ~' char" ' I c~ ''-';" ..... ' ' -_ ""~ .... -r--.~ ' ,..~ . , ~ or . .. .,... 4~T~~ e$ R~TU~NFr.> .... --... ~ · '~greemenlto~a~... ' ' ', ,:,', ....,' . ...... -w, 7', ~.~ ~'-"s:.:2 '.__. --- . .~. undersigned Purchaser'join~l .... ' , "~ "Zc: "' CH4&,OF.. ,.._ . _ as the ]'- - , · a,,,, ..~ "' ',.. .... , ": _ . . *~lat Of Pdvn ....... - ........... , - ..... ~ ~'~ :': .: s: ~ DAyS '"' ' ;,;; ..... .... ---~ . ~ '- 7"ae~er3 Rules and o,,, ~.7: ....... ' ':--';~}v,t Rich s a '~ ~n~ 4. Prepayment. Upon prepayment in l' ti wh";ber vo . -,-- 0, attCrCd) Ktdcs I; "OL. ;itl entered against Purchaser for th[~ ur - ' luntmd ...... ~ffCo~DS "' · : ': "" ' "--'- -,,a aeeordine u~ w eegend · ,,~q.~m i;ecord;-,, - , --,ge lOT onenin, =,,a ~, an - .... .... , .......... . ,¢0 mb.. .......... .,,. - ...... ....w-x: N:usn Price set Ibrl ] h:.-; .... ".applicable Phoenix Life Insurance Company PHL Variable Insurance Company Phoenix Life and Annuity Company Phone 51 In[emel www. ph~mni×wm.com PHOENIX June 5, 2002 Attn: Hamilton C. Davis Zullinger-Davis PO Box 40 Shippensburg, PA 17257 Re: Annuitant/Insured: Donald C. Saylor Claim Number 181008 Dear Mr. Davis: Pursuant to your letter of 5/21/02, the following is a breakdown of the date of death values on the contracts held by Mr. Saylor that were payable at his death: Variable Annuity Contract # Q0006006978 DOD Value - $103,208.21 Variable Annuity Contract # Q0005007338 DOD Value - $28,969.92 Life Insurance Policy #2053214 DOD Value - $85,922.00 Life Insurance Policy #2104185 DOD Value - $57,991.94 If I can assist you further, please feel free to contact me at 1-800-814-3692, x8883. Sincerely Barbara Polo --"" Life Claims Examiner Individual Benefits cc: Charles Clark SE383 A 6-01 , Rpr OS 02 09:48a Nesbur~&Short CPRs (717)730-9375 p.2 $113,654.06 PROMISSORY NOTE Date: December 31, 2001 For value received, the undersigned Donald C. Saylor (the "Promisor") promises to pay to the order of Don Saylor's Markets, Inc. (the "Payee"), at RR #4, Box 147, Newville, Pennsylvania 17241, (or at such other place as the Payee may designate in writing) the sum of $ 113,654.06 with interest from December 31, 2001, on the unpaid principal at the rate of 4.40 percent annually. The unpaid principal and accrued interest shall be payable in monthly installments of $1,359.67, beginning on January 31, 2002, and continuing until April 30, 2010, (the "Due Date"), at which time the remaining unpaid principal and interest shall be due in full. THE PROMISOR UNDERSTANDS THAT THE PAYMENT OF THE ABOVE INSTALLMENT PAYMENTS MAY NOT FULLY AMORTIZE THE PRINCIPAL BALANCE OF THE NOTE, AND THEREFORE, A BALLOON PAYMENT MAY BE DUE ON THE DUE DATE. All payments on this Note shall be applied first in payment of accrued interest and any remainder in payment of principal. The Promisor reserves the right to prepay this Note (in whole or in part) prior to the Due Date with no prepayment penalty. If any one or more of the provisions of this Note are determined to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative. All payments of principal and interest on this Note shall be paid in the legal currency of the United States. Promisor waives presentment for payment, protest, and notice of protest and nonpayment of this Note. No renewal or extension of this Note, delay in enforcing any right of the Payee under this Note, or assignment by Payee of this Note shall affect the liability of the Promisor. Ail rights of the Payee under this Note are cumulative and may be exercised concurrently or consecutively at the Payee's option. This Note shall be construed in accordance with the laws of the State of Pennsylvania. Signed this ~f ~-~~ By: , ~pr 05 O~ 09:48a Newbur~&Short CPAs (717)730-9375 p.3 It's Legal 4.i Loan/Annuity Amortization Schedule Annual Percentage Rate - 4.4000% Principal - $113654 06 Remaining Total Payment Payment Principal Interest Total Principal Loan Number Date Pa},ment Payment Payment Balance Balance ( 1 01/31/2002 942 94 416 73 1359 67 ~ 1 7. ~ .... -'-'-'' '~ --J-L:~ ' S~ · ] 3460 41 ] 03/31/2002 949.87 409.80 1359.67 110814.85 i31888.07 4 04/30/2002 953.35 406.32 1359.67 109861.50 130528.40 5 05/31/2002 956.84 402.83 1359.67 108904.66 129168.73 6 06/30/2002 960.35 399.32 1359.67 107944.31 127809.06 7 07/31/2002 963.87 395.80 1359.67 106980.44 126449.39 8 08/31/2002 967.41 392.26 1359.67 106013.03 125089.72 9 09/30/2002 970.96 388.71 1359.67 105042.07 123730.05 10 10/31/2002 974.52 385.15 1359.67 104067.55 122370.38 i1 11/30/2002 978.09 ]81.58 1359.67 103089.46 121010 71 12 12/31/2002 981.67 378.00 1359.67 102107.79 119651.04 Subtotal 2002 11546.27 4769.77 16316.04 13 01/31/2003 985.27 374.40 1359.67 101122.52 118291.]7 14 02/28/2003 988.89 370.78 1359.67 100133.63 116931.70 15 03/31/2003 992.51 367.16 1359.67 99141.12 115572 03 16 04/30/2003 996.15 363.52 1359.67 98144.97 114212.36 17 05/31/2003 999.80 359.87 1359.67 97145.17 112852.69 18 06/30/2003 1003.47 356.20 1359.67 96141.70 111493.02 19 07/31/2003 1007.15 352.52 1359.67 95134.55 110133.35 20 08/31/2003 1010.84 348.83 1359.67 94123.71 108773.68 21 09/30/2003 1014.55 345.12 1359.67 93109.16 107434.03 22 10/31/2003 1018.27 341.40 1359.67 92090.89 106054.34 23 11/30/2003 1022.00 337.67 1359.67 91068.89 104694.67 24 12/31/2003 1025.75 333.92 1359.67 90043.14 103335.00 Subtotal 2003 12064.65 4251.39 16316.04 25 01/31/2004 1029.51 330.16 1359.67 89013.63 101975.]3 26 02/29/2004 1033.29 326.38 1359.67 87980.34 100615.66 27 03/31/2004 1037.07 322.60 1359.67 86943.27 99255.99 28 04/30/2004 1040.68 318.79 1359.67 85902.39 97896.32 29 05/31/2004 1044.69 314.98 1359.67 84857.70 96536 65 30 06/30/2004 1048.52 311.15 1359.67 83809.18 95176.98 31 07/31/2004 1052.37 307.30 1359.67 82756.81 93817.31 32 08/31/2004 1056.23 303.44 1359,67 81700.58 92457 64 33 09/30/2004 1060.10 299.57 1359.67 80640.48 91097.97 34 10/31/2004 1063.99 295.68 1359.67 79576.49 89738.30 35 11/30/2004 1067.89 291.78 1359.67 78508.60 88378.63 36 12/31/2004 1071.80 287.87 1359.67 77436.80 87018 96 Subtotal 2004 12606.34 3709.70 16316.04 37 01/31/2005 1075,73 283.94 1359,67 76361.07 85659.29 38 02/28/2005 1079.68 279.99 1359.67 75281.39 84299.62 39 03/31/2005 1083.64 276.03 1359.67 74197.75 82939.95 40 04/30/2005 1087,61 272.06 1359.67 73110.14 81580,28 41 05/31/2005 1091.60 -268.07 .1359.67 72018.54 80220.61 42 06/30/2005 1095.60 264.07 1359.67 70922.94 78860 94 Page 2 · R?r 05 02 0~:49a Ne~bur~&$hort CPRs (?17)730-937~ It's Legal 4.1 Loan/Annuity Amortization Schedule Annual Percentage Rate - 4.4000% Principal = $113654.06 Remaining Total Payment Payment Principal Interest Total Principal Loan Number Date Payment Payment Payment Balance Balance 43 07/31/2005 1099.62 260.05 1353.67 69823.32 77501.27 44 08/31/2005 1103.65 256.02 1359.67 68719.67 76141.60 45 09/30/2005 1107.70 251.97 1359.67 67611.97 74781.93 46 10/31/2005 1111.76 247.91 1359.67 66500.21 73422.26 47 11/30/2005 1115.84 243.83 1359.67 65384.37 72062.59 48 12/31/2005 1119.93 239.74 1359.67 64264,44 70702.92 Subtotal 2005 13172.36 3143.68 16316.04 49 01/31/2006 1124,03 235.64 1359.67 63140.41 69343.25 SO 02/28/2006 1128.15 231.52 1359.67 62012.26 67983.58 51 03/31/2006 1132.29 227.38 1359.67 60879.97 66623.91 52 04/]0/2006 1136.44 223.23 1359.67 59743.53 65264.24 53 05/31/2006 1140.61 219.06 1359.67 58602.92 63904.57 54 06/30/2006 1144.79 214.8] 1359.67 57458.13 62544.90 55 07/31/2006 1148,99 210.68 1359.67 56309.14 61185.23 56 08/]1/2006 1153.20 206.47 1359.67 55155.94 59825.56 57 09/30/2006 1157.43 202.24 1359.67 53998.51 58465.89 58 10/31/2006 1161.67 198.00 1359.67 52835.84 57106.22 59 11/30/2006 1165.93 193.74 1359.67 5167D.91 55746.55 60 12/31/2006 1170.21 1B9.46 1359.67 50500.70 54386.BB Subtotal 2006 13763.74 2552.30 16316.04 61 01/31/2007 1174.50 185.17 1359.67 49326.20 53027.21 62 02/28/2007 1178.81 180.86 1359.67 48147,39 51667,54 63 03/31/2007 1183.13 176.54 1359.67 46964.26 50307.87 64 04/30/2007 1187,47 172.20 1359.67 45776.79 48948,20 69 05/31/2007 1191 82 167.85 1359.67 44584.97 47588.53 66 06/30/2007 1196.19 163.48 1359.67 43388,78 46228.86 67 07/31/2007 1200.58 159.09 1359.67 42188.20 44869.19 68 08/31/2007 1204.98 154.69 1359.67 40983.22 43509.52 69 09/30/2007 1209.40 150.27 1359,67 39773.82 42149,85 70 10/31/2007 1213,83 145.84 1359.67 38559.99 407~0.18 71 11/30/2007 1218.28 141.39 1359.67 37341.71 39430.51 72 12/31/2007 1222.75 136.92 1359.67 36118.96 38070.84 Subtotal 2007 14381.74 1934.30 16316.04 73 01/31/2008 1227.23 132.44 1359.67 34891.73 36711.17 74 02/29/2008 1231.7] 127.94 1359.67 33660.00 35351.50 75 03/31/2008 1236,25 123.42 1359.67 32423.75 33991.83 76 04/30/2008 1240.78 118.89 1359.67 31182.97 32632.16 77 05/31/2008 1245.33 114.34 1359.67 29937.64 31272,49 78 06/30/2008 1249.90 109.77 1359.67 28687.74 29912.82 79 07/31/2O08 1254.48 105.19 1359.67 27433.26 28553.15 80 08/31/200~ 1259,08 100.59 1359.67 26174.18 27193.48 81 09/30/2008 1263.70 95.97 1359.67 24910.48 25833.81 82 10/31/2008 1268.33 91.34 1359.67 23642 15 24474,14 8] 11/30/2008 1272.98 - 86.69 1359.67 22369.17 23114.47 Pa~e 3 Apr 05 02 09:4~a Mewbur~&Short CPAs (?17)730-~375 p.5 It's Legal 4.1 Loan/Annuity Amortization Schedule Annual Percentage Rate - 4.40D0% Principal = $113654.06 Remaining Total Payment Payment Principal Interest Total Principal Loan Number Date Payment Payment Payment Balance Balance 84 12/31/2008 1277.65 82.02 1359.67 21091.52 21754 80 Subtotal 2008 15027.44 1288.60 16316.04 85 01/31/2009 1282.33 77.34 1359.67 19809.19 20395.13 86 02/26/2009 1287.04 72.63 1359.67 18522.15 19035.46 87 03/31/2009 1291.75 67.92 1359.67 17230.40 17675.79 88 04/30/2009 1296.49 63.18 1359.67 15933.91 16316.12 89 05/31/2009 1301.25 58.42 1359.67 14632.66 14956.45 90 06/30/2009 1306.02 53.6S 1359.67 13326.64 13596.78 91 07/31/2009 1310.81 , 48.86 1359.67 12015.83 12237 1] 92 08/31/2009 1315.61 44.06 1359.67 10700.22 10877.44 93 09/30/2009 1320.44 39.23 1359.67 9379.78 9517.77 94 10/31/2009 1325.28 34.39 1359.67 8054.50 8158.10 95 11/30/2009 1330.14 29.53 1359.67 6724.3~ 6798.43 96 12/31/2009 1335.01 24.66 1359.67 5389.35 5438.76 Subtotal 2009 15702.17 613.87 16316.04 97 01/31/2010 1339.91 19.76 1359.67 4049.44 4079.09 90 02/28/2010 1344.82 14.85 1359.67 2704.62 2719.42 99 03/31/2010 1349.75 9.92 1359.67 1354.87 1359.75 100 04/30/2010 1354.87 4.97 1359.84 0.00 0.00 Subtotal 2010 5389.35 49.50 5438.85 Report Totals --m 113654.06 22313.11 135967.17 Page 4 Rpr 05 08 05:50a Nembur~&Short CPR$ (?17)730-9375 p.6 $143,853.78 PROMISSORY NOTE Date: June 14, 1999 For value received, the undersigned Donald C. Saylor (the "Promisor") promises to pay to the order of Don Saylor's Markets, Inc. (the "Payee"), at RR ~4, Box 147, Newville, Pennsylvania 17241, (or at such other place as the Payee may designate in writing) the sum of $ 143,853.78 with interest from June 14, 1999, on the unpaid principal at the rate of 5.64 percent annually. Th~ unpaid principal and accrued interest shall be payable in weekly installments of $319.40, beginning on June 21, 1999, and continuing until April 18, 2011, (the "Due Date"), at which time the remaining unpaid principal and interest shall be due in full. THE PROMISOR UNDERSTANDS THAT THE PAYMENT OF THE ABOVE INSTALLMENT PAYMENTS MAY NOT FULLY AMORTIZE THE PRINCIPAL BALANCE OF THE NOTE, AND THEREFORE, A BALLOON PAYMENT MAY BE DUE ON THE DUE DATE. All payments on this Note shall be applied first in payment of accrued interest and any remainder in payment of principal. The Promisor reserves the right to prepay this Note (in whole or in part) prior to the Due Date with no prepayment penalty. If any one or more of the provisions of this Note are determined to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative. All payments of principal and interest on this Note shall be paid in the legal currency of the United States. Promisor waives presentment for payment, protest, and notice of protest and nonpayment of this Note. No renewal or extension of this Note, delay in enforcing any right of the Payee under this Note, or assignment by Payee of this Note shall affect the liability of the Promisor. Ail rights of the Payee under this Note are cumulative and may be exercised concurrently or consecutively at the Payee's option. This Note shall be construed in accordance with the laws of the State of Pennsylvania. Signed this / ~'~-~day_of J~ , 19~, at By: Donald~C. Saylor ~ bo~aId C. Saylb--r ~ / ~pr 05 02 O~:50a Newbur~&Short CPAs (?17)730-93~S It's Legal 4.1 Loan/Annuity Amortization Schedule Annual Percentage Rate = 5.6400% Principal - $143853.78 Remainzng Total Payment Payment Principal Interest Total Principal Loan Number Date Payment Payment Payment Balance Balance i 06/21/1999 163.37 2 06/28/1999 163.55 3 07/05/1999 163.73 4 07/12/1999 163.91 S 07/19/1999~] 164,08 6 07/26/1999~ . 164.26 7 08/02/1999"'~]~"~'3t 164.44 8 08/09/1999 ~164.62 9 08/16/1999 164.80 10 08~23/1999 164.98 11 08/30/1999 165.15 12 09/06/1999 165.33 13 09/13/1999 165.51 14 09/20/1999 165.69 15 09/27/1999 165.87 156.03 319.40 143690.41 197209.13 155.85 319.40 143526.86 196889.73 155.67 319.40 143363.13 196570.33 155.49 319.40 143199.22 196250.93 155.32 319.40 143035.14 195931.53 155.14 319.40 142870.88 195612.13 154.96 .319.40 142706.44 195292.73 154.78 319.40 142541.82 194973.33 154.60 · 319.40 142377.02 194653.93 154.42 319.40 142212.04 194334.53 154.25 '319.40 142046.89 194015.13 154.07 319.40 141881.56 193695.73 153.89 319.40 141716.05 193376.33 153.71 319.40 141550.36 193056.93 153.53 319.40 1~11384.49 192737.53 16 10/04/1999 166.05 153.35 319.40 141218.44 192418.13 17 10/11/1999 166.23 153.17 319.40 141052.21 192098.73 18 10/18/1999 166.41 152.99 319.40 140885.80 191779.33 19 10/25/1999 166,59 152.81 319.40 140719.21 191459.93 20 11/01/1999 166.77 152.63 319.40 140552.44 191140.53 21 11/08/1999 166.95 152.45 319.40 140385.49 190821.13 22 11/15/1999 167.14 152.26 319.40 140218.35 190501.73 23 11/22/1999 ]67.32 152.08 319.40 140051.03 190182.33 24 11/29/1999 167.50 151.90 319.40 139883.53 189862.93 25 12/06/1999 167.68 151.72 319.40 139715.85 189543.53 26 12/13/1999 167.86 151.54 319.40 139547.99 189224.13 27 12/20/1999 168.04 151.36 319.40 139379.95 188904.73 28 12/27/1999 168.23 151.17 319.40 139211.72 188585.33 Subtotal 1999 4642.06 4301.14 8943.20 29 01/03/2000 168.41 150.99 319.40 139043.31 188265.93 30 01/10/2000 168.59 150.81 319.40 138874.72 187946.53 31 01/17/2000 168.77 150.63 319.40 138705.95 187627,13 32 01/24/2000 168.96 150.44 319.40 138536.99 187307.73 33 01/31/2000 169.14 150.26 319.40 138367.85 186988.33 34 02/07/2000 169.32 150.08 319.40 138198.53 186668.93 3S 02/14/2000 169.51 149.89 319.40 138029.02 186349.53 36 02/21/2000 169.69 149.71 319.40 137859.33 186030.13 37 02/28/2000 169.88 149.52 319.40 137689.45 185710.73 38 03/06/2D00 170.06 149.34 319.40 137519.39 185391.33 39 03/13/2000 170.24 149.16 .319.40 137349.15 185071.93 40 03/20/2000 170.43 148.97 319.40 137178.72 184752.53 41 03/27/2000 170.61 148.79 319.40 137008.11 184433.13 42 04/03/2000 170.80 148.60 319.40 136837.31 184113.73 43 04/10/2000 170.98 148.42 319.40 136666.33 183794.33 44 04/17/2000 171.17 148.23 319.40 136495.16 183474.93 45 04/24/2000 171.35 148.05 319.40 136323.81 183155.53 46 05/01/2000 171.54 147.86 319.40 136152.27 182836.13 47 05/08/2000 171.73 ~47.67 '319.40 135980.54 182516.73 48 05/15/2000 171.91 147.49 '319.40 135808.63 182197.33 Page 2 Rpr 05 02 09:51a Nembur~&Short CPRs (?17)730-937~ p.8 It's Legal 4.1 Loan/Annuity Amortization Schedule Annual Percentage Rate - S.6400% Principal = $143853.78 Remaining Total Payment Payment Principal Interest Total Principal Loan Number Date Payment Payment Payment Balance Balance 49 05~22/2000 172.10 147.30 319.40 135636.53 181877,93 50 05/29/2000 172.29 147.11 319.40 135464.24 181558,53 51 06/05/2000 172.47 146.93 319.40 135291.77 181239.13 52 06/12/2000 172.66 146.74 319.40 135119.11 180919.73 53 06/19/2000 172.85 146.55 319.40 134946.26 180600.33 54 06/26/2000 173.03 146.37 319.40 134773.23 180280.93 55 07/03/2000 173.22 146.18 319.40 134600.01 179961.53 56 07/10/2000 173.41 145.99 319.40 134426.60 179642.13 57 07/17/2000 173.60 145.80 319.40 134253.00 179322.73 58 07/24/2000 173.79 ]45.61 319.40 134079.21 179003.33 59 07/31/2000 173.98 145.42 319.40 133905.23 178683.93 60 08/07/2000 174.16 145.24 319.40 133731.07 178364.53 61 08/14/2000 174.35 145.05 319.40 133556.72 178045.13 62 08/21/2000 174.54 144.86 319.40 133382.18 177725.73 63 08/28/2000 174.73 144.67 319.40 133207.45 177406.33 64 09/04/2000 174.92 144.48 319.40 133032.53 177086.93 65 09/11/2000 175.11 144.29 319.40 132857.42 176767.53 66 09/18/2000 175.30 144.10 319.40 132682.12 176448.13 67 09/25/2000 175.49 143.91 319.40 132506-,6] 176128.73 68 :0/02/2000 175.68 143.72 319.40% 132330.95 175809.33 69 10g09/2000 175.97 143.53 319.40~ 132155.08 175489.93 70 10/16/2000 176.06 143.34 319.409 131979.02 175170.53 71 10/23/2000 176.25 143.15 319.40~ 131802.77 174851.13 72 10/30/2000 176.44 142.96 319.40~ 131626.33 174531.73 73 11/06/2000 176.64 142.76 319.40~ 131449.69 174212.33 74 11/13/2000 176.83 142.57 319.40 I 131272.86 173892.93 75 11/20/2000 177.02 242.38 319.40 ~ 131095.84 173573.53 76 11/27/2000 177.21 142.19 319.40 ~ 130918.63 173254.13 77 12/04/2000 177.40 142.00 319.40%~ 130741.23 172934.73 78 12/11/2000 177.60 141.80 319.40 %L 130563.63 172615.33 79 12/18/2000 177.79 141.61 319.40 %~ 130385.84 172295.93 ~O 12/25/2000 177.98 141.42 319.40%~ 130207.86 171976.53 Subtotal 2000 9003.86 7604.94 16608.80 81 01/01/2001 178.17 141.23 319.40 130029.69 171657.13 82 01/08/2001 178.37 141.03 319.40 129851.32 171337.73 83 01/15/2001 178.56 140.84 319.40 129672.76 171018.33 84 01/22/2001 178.75 140.65 319.40 129494.01 170698.93 85 01/29/2001 178.95 140.45 319.40 129315.06 170379.53 86 02Y05/2001 179.14 140.26 319.40 129135.92 170060.13 87 02/12/2001 179.34 140.06 319.40 128956.58 169740.73 88 02/19/2001 179.53 139.87 319.40 128777.05 169421.33 89 02/26/2001 179.73 139.67 319.40 128597.32 169101.93 90 03/05/2001 179.92 139.48 319.40 128417.40 168782.53 91 03/12/2001 180.12 139.28 319.40 128237.28 168463.13 92 03/19/2001 180.31 139.09 319.40 128056.97 168143.73 9] 03/26/2001 180.51 138.89 319.40 127876,46 167824.33 94 04/02/2001 180.70 138.70 319.40 127695.76 167504.93 95 04/09/2001 180.90 138.50 319.40 127514.86 167185.53 96 04/16/2001 181.09 138.31 319.40 127333.77 166866.13 Page 3 R~r 05 02 09:51a Me$bur~&Short CPAs (717)730-9375 It's Legal 4.1 Loan/Annuity Amortization Schedule Annual Percentage Rate - 5.6400% Principal - $143853.78 Remaining Total Payment Payment Principal Interest Total Principal Loan Number Date Payment Payment Payment ~alance Balance 97 04/23/2001 181.29 138.11 319.40 127152.48 166546.73 98 04/30/2001 181.49 137.91 319.40 126970.99 166227.33 99 05/07/2001 181.68 137.72 319.40 126789.]1 165907.93 100 05/14/2001 181.68 137.52 ]19.40 126607.43 165588.53 101 05/21/2001 182.08 117.32 319.40 126425.35 165269.13 102 05/28/2001 182.28 137.12 319.40 126243.07 164949.73 103 06/04/2001 182.47 136.93 319.40 126060.60 164630.3] 104 06/11/2001 182.67 136.73 319.40 125877.93 164310.9] 105 06/18/2001 182.87 136.53 319.40 125695.06 163991.53 106 06/25/2001 183.07 136.33 319.40 125511.99 163672.13 107 07/02/2001 183.27 136.13 319.40 125328.72 163352.73 108 07/09/2001 183.47 135.93 '319.40 125145.25 163033.33 109 07~16/2001 183.66 135.74 319.40 124961.59 110 07/23/2001 183.86 135.54 319.40 124777.73 111 07/30/2001 184.06 135.34 319.40 124593.67 112 08/06/2001 184.26 135.14 319.40 124409.41 113 08/13/2001 184.46 134.94 319.40 124224.95 114 08/20/2001 184.66 134.74 319.40 124040.29 115 08/27/2001 184.86 134.54 319.40 123855.43 116 09/03/2003 1B5.06 134.34 319.40 123670.37 117 , 09/10/2001 185.26 134.14 319.40 123485.11 118 09/17/2001 185.47 133.93 319.40 123299.64 119 09/24/2004 185.67 133.73 319.40 123113.97 120 10/01/2001 185.87 133.53 319.40 122928.10 121 10/08/2001 186.07 133.3] 319.40 122742.03 122 10/15/2001 186.27 133.13 319.40 122555.76 123 10/22/2001 186.47 132.93 319.40 122369.29 124 10/29/2001 186.68 132.72 319.40 122182.61 125 11/05/2001 186.88 132.52 319.40 121995.73 126 11/12/2001 187.08 132.32 319.40 121808.65 127 11/19/2001 187.28 132.12 319.40 121621.37 i28 11/26/2001 187.49 131.91 319.40 121433.88 129 12>03/2001 187.69 131.71 319.40 121246.19 130 12/10/2001 187.89 131.51 319.40 121058.30 131 ~2~17/2001 188.10 131.30 319.40 120870.20 132 1~/24/2001 188.30 131.10 319.40 120681.~, 133 12/]1/2001 188.51 130.89 319.40 120493.39 162713.93 162394.53 162075.13 161755.73 161436.33 161116.93 160797.53 160470.13 160158.73 159839.33 15~519.93 159200.53 158881.13 158561.73 158242.33 157922.93 157603.53 157284.13 156964.73 156645.33 156325.93 156006.53 155687.1~ 155367.73 155048.33 Subtotal 2001 9714.47 7213.73 16928.20 134 01/07/2002 188.71 130.69 319.40 120304.68 154728.93 135 01/14/2002 188.92 130.48 319.40 120115.76 154409.53 136 01/21/2002 189.12 130.28 319.40 119926.64 154090.13 137 01/26/2002 189.33 130.07 319.40 119737.31 153770.73 138 02/04/2002 189.53 129.87 319.40 119547.78 153451.33 139 02/11/2002 189.74 129.66 319.40 119358.04 153131.93 140 02/18/2002 189.94 129.46 319.40 119168.10 152812.53 141 02/25/2002 190.15 129.25 319.40 118977.95 152493.13 142 03/04/2002 190.35 129.05 319.40 118787.60 152173.73 143 03/11/2002 190.56 128.84 319.40 118597.04 151854.33 ]44 03/18/2002 190.77 128,63 319.40 118406.27 151534.93 Pa~e 4 Rpr OS 02 0~:52a Me~bur~&Shor~ CPRs (?17)730-$375 p.lO Jan 28, 21X)2 1:45 DON SAYLOR'S MARKET'S INC. Account Detail (Cuncnt fiscal year: October i, 2001 to September 30, 2002) A~t No Rc£¢mnc¢ No. / Description '1270.00 ~VAN~S TO STOPOVER ~ 10~ ~j ent l~t G~ 1051 ~ 123001 PAY 1~0 ~k: 5577~ PAY i~ ~k: 55950 PAY [~ C~k: 559130 PAY 1~ ~AY 1~0 ~ 56147 PAY 1~ Ch~ 56209 PAY 1000 ~ 5627] PAY I~ ~k: 5620~5 PAY l~0 ~k: ~AY !~ ~k: PAY 10~ Ch~: PAY 10~ ~k: 9AY 10~ Ch~k: ! 1272 d'"L-~ 0 ,oC~ Dam De. bit~ Credits 10101 ~ 01104 7216.14 10/01 ..,1.~.40 10/0R 319.40 10/15 319.40 10/7.2 319.40 10/29 3 ! 9.40 1 !105 319.40 11/19 319.40 11/26 3 ! 9.40 12/0.4 319.40 12/13 319.40 12/20 319.40 12/27 319.40 Ending B~lance 319.4.0 11368.]4 Balucc IZ3 1 i].97 i 12065.03 Page ~',n.l-.c-tz.c.s, 4-- _["-"t co,,-,n. ~ '/-o ra_~. ~- Lcc+ .L'-.~-f-c,~-*.s, ~- ,I)¢ t'- SCl .o , , ~pr 05 O2 09:528 He~bur~&Short CPRs (717)730-$375 p.ll It'S Legal 4.1 ' ' Loan/Annuity Amortization Schedule Annual Percentage Rate = 5.6400% - Principal = $143853.78 ~ Total Numberym ~ _ _ ............................ 98 04/30/2001 181.49 137.91 319.40 126970.99 166227.33 99 05/07/2001 181.68 137.72 319.40 126789.31 166907.93 100 05/14/2001 181.88 137.52 319.40 126607.4] 165588.53 101 05/21/2001 182.08 137.32 319,40 126425.35 165269.13 102 05/28/2001 182.28 137.12 319.40 126243.07 164949.73 103 06/04/2001 182.47 136.93 319.40 126060.60 164630.3] 104 06/11/2001 182.67 136.73 319.40 125877.93 164310.9] 105 06/18/2001 182.87 136.53 319.40 125695.06 163991.53 106 06/25/2001 183.07 136.33 319.40 125511.99 163672.1] 107 07/02/2001 183.27 136.13 319.40 125328.72 163352.73 108 07/09/2001 183.47 135.93 '319.40 125145.25 163033.33 109 07716/2001 183.66 135.74 319.40 124961.59 162713.9] 110 07/23/2001 183.86 135.54 319.40 124777.73 162394.53 111 07/30/2001 184.06 135.34 319.40 124593.67 162075.13 112 08/06/2001 184.26 135.14 319.40 124409.41 161755.73 113 08/13/2001 184.46 134.94 319.40 124224.95 161436.3] n4 08/20/2001 164.66 i34.74 319.40 124040.29 16ni6.93 115 08/27/2001 184.86 114.54 319.40 123855.43 160797.53 116 09/03/2001 185.06 134.34 ]19.40 123670.37 160478.1] 117 09/10/2001 185.26 134.14 319.40 123465.11 160158.7] 118 09/17/2001 185.47 133.93 319.40 123299.64 159839.33 119 09/24/200~ 185.67 133.73 319.40 123113.97 159519.9] 120 121 122 123 124 125 126 127 128 129 10/01/2001 i85.87 r133.53 i0/08/2001 186.07 133.33 lo/ls/2ool 1~%. 166.27 10/22/200~ 186.47 1o,29,2oo sg. 86.68 \ n/os/2OOl I '--Y86.6,, -iff 11/12/2001 187.08 11/19/2001 187.28 ~1/26/2001 187.49 12/03/2001 187.69 319.40 122928.10 159200.53 319.40 122742.0] 158881.13 133.13 319.40 122555.76 158561.73 132.93 319.40 122369.29 158242.33 132.72 319.40 122182.61 157922.9] 132.52 319.40 1219~5.73 157603.53 132.32 319.40 121808.65 157284.1] 132.12 319.40 121621.37 156964.73 131.91 319.40 121433.88 156645.33 131.71 319.40 121246.19 156325.93 130 12/101200i i67.69 in. Si 3i}.40 12i058.30 156006.53 132 1~ ls._!~3o 131.~o. 'Fi'~.'TH 1~o661. ~ ~ss~s~TW 133 i2/31/200X 188.5i 130 89 al) so... ............................... Sub=oral 2001 9714.47 7213.73 16928.20 134 01/07/2002 188.71 130.69 319.40 120304.68 135 01/14/2002 168.92 130.48 ]19.40 120115.76 136 01/21/2002 189,12 130.28 319.40 119926.64 137 01/20/2002 189.33 130.07 319.40 119737.31 138 02/04/2002 189.5] 129.87 319.40 119547.78 139 02/11/2002 109.74 129.66 319.40 119358.04 140 02/18/2002 189.94 129.46 319.40 119168.10 141 02/25/2002 190.15 129.25 319.40 110977.95 142 03/04/2002 190.35 129.05 319.40 118787.60 143 03/11/2002 190.56 128.84 319.40 118597.04 144 03/18/2002 190.77 128.63 319.40 118406.27 154728.93 ls44og.s3 12, J0( /-7 -~ 153770.73 153451.33 X5313~.93 lS2812.53 152~93.13 152173,73 ~ 151854.33 151534.93 Page 4 December 7, 1999 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 002575 DAVIS HAMILTON C ESQUIRE P O BOX 040 SHIPPENSBURG, PA 17257 ........ fold ESTATE INFORMATION: SSN: 177-24-2810 FILE NUMBER: 2102-0224 DECEDENT NAME: SAYLOR DONALD C DATE OF PAYMENT: 05/1 9/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUM BERLAN D DATE OF DEATH: 02/19/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $40,914.40 TOTAL AMOUNT PAID' $40,914.40 REMARKS: HAMILTON C DAVIS ESQUIRE SEAL CHECK//128 INITIALS' AC RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF /NHERZTANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSNENT OF TAX HAHZLTON C DAVZS ZULLZNGER DAVZS PC PO BOX qO SHZPPENSBURG CUT ALONG THIS LINE REV-1547 EX AFP (01-03) DATE 09-09-2005 ESTATE OF SAYLOR DATE OF DEATH OZ-19-ZOOZ FILE NUHBER Z10Z-OZZq COUNTY CUMBERLAND ACN 101 PA Amount REV-164? EX AFP COl-OS) DONALD C HAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGZSTER OF WILLS CUMBERLAND CO COURT HOUSE CARLZSLE, PA 17015 ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR ESTATE OF SAYLOR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DONALD CFZLE NO. Z! OZ-OgZq ACN DATE 09-09-2005 TAX RETURN HAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSe. ( ) CHANGED APPRAZSED VALUE OF RETURN BASED ON: ORZGZNAL RETURN 1. Real Estate (Schedule A) 2. S*ocks and Bonds (Schedule B) $. Closely Held Stock/Partnership Interest (Schedule C) q. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits~Misc. PersonaZ Property (Schedule E) 6. Jointly Owned Property (ScheduZe F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. FuneraZ Expensas/Adm. Costs/Nisc. Expenses (Schedule H) 10. Dabts/Nortgagm Liabilities/Liens (Schedule Z) 11. Total Deductions 12. Net Value of Tax Return 15. lq. NOTE: ASSESSMENT OF TAX: 15. Amount of L/ne Zq at Spousal rate 16. Amount of Line lq taxmbla at Lineal/Class A rate 17. Amount of L/ne lfi at Sibling rata 18. Amount of Line lq taxabZe at Collateral~Class B rata 19. Principal Tax Due TAX CREDITS: PAY.ENT / RECEZP1 DATE NUMBER 05-!9-2005 CD002575 (1).. 89q~500.00 (2) 15z999.92 ($) 1/SZZ~O00.O0 ('~) .00 (s) 272/299.50 (6) .00 (7) .00 (8) NOTE: To insure proper crad/t to your account, submit the upper portion of this form with your tax payment. Z,50q,799.2Z 7q,587.50 (9) (lO) 557~509.69 (11) 611.897.19 1,892,902.05 (12) Charitable~governmental Bequests; Non-elected 911:3 Trusts (Schedule J) (1:3) . O0 Net: Value of Estate Subject to Tax (ltl) 1,892,902.05 Tf an assessment was issued prev/ously, lines 1~, 15 and/or 16, 17, 18 and 19 reflect figures that lnclude the total of ALL returns assessed to date. (x5) 1,010,185.0q x O0 = .00 (16) 882,716.99 x Oq5 = 59,722.26 (17) .00 X !Z = .00 (18) .00 X !5 = .00 (~9)= 59,722.26 ZF PAID AFTER DATE ZNDZCATED~ SEE REVERSE FOR CALCULATION OF ADDZT/ONAL INTEREST. OZ$COUNT INTEREST/PEN PAID (-) 1,050.0q- AMOUNT PAZD q'O,91q.qO TOTAL TAX CREDIT BALANCE OF TAX DUEI 162.10CR ZNig~EST AND PEN. I .00 TOTAL DUE / 162.10CR ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE 1S REFLECTED AS A 'CREDIT' (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR ZNSTRUCTIONS.) ~'~: ~ ~ *:.~f Wills STATUS REPORT UNDER RULE 6.17 Name of Decedent: Donald C. Savior '04 FEI) 17 P2:05 Date of Death: 02/19/2002 Cl~mbenand Co., PA Estate No. 21-02-0224 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: State whether administration of the estate is complete: Yes __ NoX If the answer is No, state when the personal representative reasonably believes that the administration will be complete: September 2004 Date: 3. If the answer to No. 1 is Yes, state the following: ao Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: Co Did the personal representative state an account informally to the parties in interest? Yes No do Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, PA 17257 (717) 532-5713 Capacity: Personal Representative Counsel for Personal Representative BUREAU OF ZNDTVZDUAL TAXES [NHERTTANCE TAX DIVI'SION HARR'rSBURG, PA 171:~8-0~01 COMMONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTZCE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ESTATE OF DATE OF DEATH '04 ER-5 HAMILTON C DAVIS ZULLINGER DAVIS PC PO BOX ~0 ~i~:' SHIPPENSBUR6 PA 17257 ~U~: P "' '""eO'UNTY ACN REV-d,B3 EX AFP cn1-05) 05-08-200~ SAYLOR DONALD C 02-19-2002 21 02-022~ CUMBERLAND 201 Amoun~ Remi~ed t MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~ ~:o your account, subm/~ *he upper pore/on of ~hJs for. wi~h your ~ax paymen*. CUT ALONG THIS LZNE ~ RETAIN LOWER PORTION FOR YOUR FILES ~ REV-483 EX AFP (01-03) ~ NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANZA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ~ ESTATE OF SAYLOR DONALD C FILE N0.21 02-022~ ACN 201 DATE 05-08-200~ ESTATE TAX DETERHZNATZON 1. Cred/t For State Death Taxes as Ver/f/ed 20;500.00 Z. PennsyZvanAa InherAtance Tax Assessed (Excluding Discount and/or Interest) $9~722.26 Inheritance Tax Assessed by Other States or Territories of the Un/ted States (Excluding Discount and/or Interest) .00 ~. Total Inheritance Tax Assessed 5. Pennsylvania Estate Tax Due $9;722.26 .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT I .00 BALANCE OF TAX DUE/ .00 INTEREST AND PEN. .00 TOTAL DUE . O0 ~TF PAID AFTER THIS DATEr SEE REVERSE S/DE (IF TOTAL DUE TS LESS THAN $1, NO PAYMENT TS REi)UZRED FOR CALCULATION OF ADDITIONAL INTEREST. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE STDE OF THIS FORH FOR INSTRUCTIONS.) BUREAU OF ZNDZVZDUAL TAXES TNHERITANCE TAX D/VIS/ON DEPT. Z8060! HARRISBURG, PA 171Z8-0601 HAHILTON C DAVIS ZULLINGER DAVIS PC PO BOX ~0 SHZPPENSBURG COHNONNEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTZCE OF DETERHZNATZON AND ASSESSMENT OF PENNSYLVANZA ESTATE TAX BASED ON FEDERAL CLOSZNG LETTER R~£?)~:?:~.~.i ~:~' ~.,:~ DATE ~e,"!:'*-: ,:~ ESTATE OF DATE OF DEATH 02-19-2002 FZLE NUHBER 21 02-0224 MAR ;2 ?] :42 COUNTY CUMBERLAND ACN ZOZ ;£V-7S~ EX AFP (01-02) 03-15-2004 SAYLOR DONALD C Amoun't Remi~ed HAKE CHECK PAYABLE AND REHZT PAYMENT TO: REGISTER OF N~LLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credi~ ~o your account, submi~ ~he upper portion of ~:his fore wi~h your ~:ex payment. CUT ALONG TH]:S L]:NE ~ RETA]:N LONER PORTZON FOR YOUR FZLES ~ REV-736 EX AFP (01-02) ~ NOTZCE OF DETERN]:NATZON AND ASSESSHENT OF PENNSYLVAN]:A ESTATE TAX BASED ON FEDERAL CLOS]:NG LETTER ~ ESTATE OF SAYLOR DONALD C F]:LE NO.Z1 02-0224 ACN ZOZ DATE 03-15-Z004 ESTATE TAX DETERHZNATZON 1. Credi~c For S~a~e Death Taxes as Ver/~&ed 20,500.00 Z. Pennsylvania Inher/~ance Tax Assessed (Excluding Discount and/or Interest) 39,7ZZ.Z6 .00 Inher/tance Tax Assessed by Other States or Territories of the Un/~ed States (Excluding Discoun~ and/or Interest) Total ~nher/~ance Tax Assessed 5. Pennsylvania Estate Tax Due 6. Amount o~ Pennsylvania Estate Tax Previously Assessed ~ased on Federal Es~a~e Tax Return 39~7Z2.26 .00 .00 .00 7. Additional Pennsylvania Estate Tax Due TAX CREDZTS: PAYMENT RECEIPT D~SCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDZT BALANCE OF TAX DUEI ZNTEREST AND PEN. TOTAL DUE ~ZF PA/D AFTER TH/S DATE, SEE REVERSE SZDE (TF TOTAL DUE TS LES'. THAN $1, NO PAYHENT TS REQUZRED FOR CALCULATTON OF ADDTTTONAL TNTEREST. TF TOTAL DUE ZS REFLECTED AS A 'CRED/T' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE STDE OF THZS FORH FOR ZNSTRUCTTONS. .00 .00 .00 .00 BUREAU OF ZNDZVTDUAL TAXES TNHERZTANCE TAX DZVZSTON DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEHENT OF ACCOUNT REV-160? EX AFP COl-OS) HAHZLTON C DAVIS ZULLINGER DAVIS PC PO BOX qO SHZPPENSBURG PA 17Z57 DATE Oq-OS-ZO0~ ESTATE OF SAYLOR DATE OF DEATH OZ-19-ZO02 FILE NUHDER 21 02-022~ COUNTY CUHBERLAND ACN 101 Amount: Remi~ed DONALD C HAKE CHECK PAYABLE AND REHZT PAYMENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credit: ~o your account, submit: ~he upper por~:ion of :this fore wi~:h your ~ax payment. CUT ALONG THIS LINE I~* RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP [01-03) ##~ INHERITANCE TAX STATEHENT OF ACCOUNT ESTATE OF SAYLOR DONALD C FILE NO. 21 OZ-OZ2~ ACN 101 DATE 0~-05-Z00q THIS STATEMENT ZS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NAHED ESTATE. SHONN BELON ZSA SUNHARY OF THE PRINCIPAL TAX DUE., APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, ZF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSHENT OR RECORD ADdUSTMENT: 09-09-2005 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... 39,722.26 PAYHENTS (TAX CREDITS): PAYMENT DATE 05-19-Z005 05-16-Z00~ RECEIPT NUNBER CD002575 REFUND ZF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' DISCOUNT (+) INTEREST/PEN PAID (-) 1,050.0~- .00 AMOUNT ~PAID ~ 162.10- ~ YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) TOTAL TAX CREDIT 39,722.26 DALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 JRD/June 30, 1992/17858 Date: January 10, 2005 DAVIS HAMILTON ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA RE: Estate of SAYLOR DONALD C File Number: 2002-0224 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 02/19/2005 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS CCi File Counsel Personal Representative (s) Judge '^'-'-'''. ('. l_.'i-hLt )~ 'i',I;; ! (, 2U05 Jf;;'l 20 P1i 12: 17 STATUS REPORT UNDER RULE 6.12 Op.[)\I{.\:10 ~,""I inT ,; 1--1/\\ c~: \'/".,) l,) I'i I ("i i~ .. I '-h.~.', Name of Decedent: Donald C. Saylor Date of Death: 02/19/2002 Estate No. 2002-00224 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: May 2005 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No_ 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_ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk ofthe Orphans' court and may be attached to this report. -tt~jL (iJ~./ Date: I IN /01/ I / Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, PA 17257 (717) 532-5713 Capacity: _ Personal Representative XX Counsel for Personal Representative vR Cumberland County - Register Of wills One .Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/13/2006 DAVIS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~ ~ g~AL'M_~ ,~~LuJ~"7l" GLENDA FARNER STRASBADGH REGISTER OF WILLS cc: File Personal Representative(s) Judge Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/03/2006 DAVIS HAMILTON C POBOX 40 SHIPPENSBURG, PA 17257 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS. COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, t/! ~ L'7 ~. )f./; . '. ,..' .. /y;' r j .tt1A"'dUz_ \,-/d"/,J;P?t~~j J,lif;;i4~ ;' v GLENDA FAm~ER ST~~SBAUGH REGISTER OF WILLS cc: File Counsel Judge ~1 Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/03/2006 SAYLOR CRAIG L 104 PIN OAK DRIVE CARLISLE, PA 17013 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, I~r ,~' ,..4 ; U ,~_ t2tUru:,-cJ *~ /'i /' l GLENDA FA~~ER STR~SBAUGH REGISTER OF WILLS cc: File Counsel Judge {l:/ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/03/2006 SAYLOR CURT A 7 MIDLAND AVENUE NEWVILLE, PA 17241 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) In the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~ #. ~'~'~' Ii I(.r.' ,v ~ . F~~l1.~/J~," i'. /' ./ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge ~0 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Donald C. Saylor Date of Death: 02/19/2002 Estate No. 2002-00224 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 _ No1L- 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: May 2006 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No_. 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_ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. l A/l "r fL' '--'~ //~, ....I;r' I /':/ ".l" ,.-'. )~'7'!;<.../ , '. r<' /"'~'''''.'>C::i/f'-'-,/ /I"~'T . ~....... 'e ! ~ . Date: :~I ~ }DG '. I I . Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, P A 17257 (717) 532-5713 Capacity: _ Personal Representative XX Counsel for Personal Representative ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/07/2007 DAVIS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2007 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~ ~#AJ ~/~u4L Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/07/2007 SAYLOR CRAIG L 104 PIN OAK DRIVE CARLISLE, PA 17013 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ /'/ ( J Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/07/2007 SAYLOR CURT A 7 MIDLAND AVENUE NEWVILLE, PA 17241 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ C J Glenda Farner Strasbaugh ~ Clerk of the Orphans' Court cc: File Counsel STATUS REPORT UNDER RULE 6.12 Name of Decedent: Donald C. Saylor Date of Death: 02/19/2002 Estate No. 2002-00224 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: July 15, 2007 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No_ 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_ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. -I ' t/. / I /l.. v// ",/ /i Ii! ' "./",.;,,~.,,~, ,"'O'..,;:~: i,;,.~~~'''''' Date: ell 9/0 7 I I Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, P A 17257 (717) 532-5713 65:!!!d 7fo'Jl/nr.' !,J l..J.J.j Li).)JG Capacity: _ Personal Representative XX Counsel for Personal Representative eft STATUS REPORT UNDER RULE 6.12 Name of Decedent: Donald C. SavIor Date of Death: 02/1912002 Estate No. 2002-00224 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 ofthe estate is complete: Yes _ NolL 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: December 15,2007 3. Ifthe answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes_ No_. 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_ No_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. ~~J'-' Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg,PA 17257 (717) 532-5713 Date: b/dO/O 1 I I Vd '"08 OI'.jVl~38Wno 18noO S.NVHdOO :10 >ItB10 ZZ : II WV ZZ NOr LOOl Capacity: _ Personal Representative XX Counsel for Personal Representative 'J ~ Cumberland County - Register of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240 - 6345 Date: 3/03/2008 DAVIS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 r_" I ,,) U I RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: Thiel notice if, to serve as a reminder that the Status Report by rcrsonal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after J~ly I, 1992, the personal representative or his counsel, within two (:2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing lS due by: 2/19/2008 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) STATUS REPORT UNDER RULE 6.12 Name of Decedent: Donald C. SavIor Date of Death: 02/19/2002 Estate No. 2002-00224 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 _ NolL 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Julv 15,2008 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes_ No_. 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_ No_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. Date: '1 U-..i-\ "8 17257 Capacity: _ Personal Representative XX Counsel for Personal Representative h ; ?llid L _ '.. ' , '--' .i,"" r;.:) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/29/2009 DAMS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wi11s a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 -.~ c~ ~= ~~ ~_: .-. .,~ ~ 3.m J :a~. -', N Date : 1/29/2009 ~=`~ `~ -~_' ~-_~ `"~ ~ _=, SAYLOR CRAI G L ~ ''" ' ` _._. ; -~ ~ ,-, - .. ' 104 PIN OAK DRIVE `y w ~ `' ' CARLISLE, PA 17013 ~ t RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~ --- /~~ ~.7r.~''~s~~tJ ~~~i~ a Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 1/29/2009 SAYLOR CURT A 7 MIDLAND AVENUE NEWVILLE, PA 17241 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: n c~- ~~ ;:~ ~ -, - :~° - ~ - ~ _ . r-_ ,; - -`"'7 ~ ~~ ~;_~ ~ f_ ~_ 1, - ' .% .. c..~ cri This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~ ~` ~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel STATUS REPORT UNDER RULE 6.12 Name of Decedent: Donald C Saylor Date of Death: 02/19/2002 Estate No. 2002-00224 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 X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: June 2009 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No 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 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to thi report. ~- ~- D ~ Date: Hamilton C. Davis, P.O. Box 40 Shippensburg, PA 17257 ''~}~ ~,rr (717) 532-5713 1~iRd~ S,4N'di-Id~O 3 ~~ ~3~~ Capacity: Personal Representative XX Counsel for Personal sZ ~ ~ ~ W~ S_ 83~ ~~~Z Representative ~n i rr , . ~> Y ' r. ~ ~ ,, ~ I ~ ~ ;~ Name of Decedent: Donald C. Saylor Date of Death: 02/19/2002 Estate No. 2002-00224 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 X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: June 2010 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No 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 No_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may,'be attached to this report. Date: ~ ~ 16 ~ ~~~ amilton C. 's, Esquire ~ P.O. Box 40 '= c=.~ ° ~ Shippensburg, PA 17257 ca' ~ -` _ ~~ (717) 532-5713 ~, F x_- ~ ~ cn 1; Capacity: Personal Representative XX Counsel for Personal :> :.~ c.~~: c°~ U~ Representative o ~~ ~ _:.- c t> c.r Cumberland County - Register Of Wil:1s One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 ~ ~ ,- `,_ ~j,~ r," ~~ v i 4i 1~~ ' .-. 2090 Jt~9 27 A9h9 9~: 46 Date: 1/27/2010 SAYLOR CURT A CLER~i COY 4RFN~?~, ; ~ ~'UR'~ 7 MIDLAND AVENUE NEWVILLE, PA 17241 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with 'the Register of Wills a Status Report of completed or uncompleted administration. This filing. is due by: 2/19/2010 Please feel free to contact this office with any quE=_stions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, 11~~~Z~~ Glenda Farnerr Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 1,7.Q~3~..., rs.4, -- Phone : (717 ) 2 4 0• 6 ~4`~ ~ ` a 1 ~ 1 :_ ~.~.. '~ r _... ~~~Q .~~~ 2~ ~~ {~~ ~~6 GUM ,..,,~_, .:~_ 1 Date: 1/27/2010 SAYLOR CRAIG L 104 PIN OAK DRIVE CARLISLE, PA 17013 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2010 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, f r ~~~~ 125./ ~G2~%/c-r"-i ~ Glenda Farne:r Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square .., . Carlisle, PA 17013 Phone: (717) 240-634:'5 }^r r + ,-_~~ }~. ;;,' ,, ~ a t .~: ~ ~~' .: , i . ~> ,~ ~i .. . Date: 1/27/2010 DAVIS HAMILTON C P 0 BOX 40 SHIPPENSBURG, PA 17257 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: 10i0J~P~ 27 ,~~1fO~ 4.5 CLER; C;^. ORPHA, ", CUB:"~~"~'~ ~'~l~ j;~t~R PA. This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on t:he below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2010 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report; please disregard this notice. Sincerely, l~~z~~~ Glenda Farner Strasbaug Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of WilJ_s One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-634:5 ; ~`s: ,_ i..~- v , _~~;,~ _ . 20iQ JAN 27 ~~i !o: ~~5 Date: 1/27/2010 DAVIS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: CLERK (_,r ORPF~~.h~ ~ G~}! 1RT CU~,C r., ( PA. A ~'~~.. ,. ~'i l.% ~,~. ~~. i This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2010 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, 11~i~~~/r~w'a Glenda Farne:r Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) __ _T _ , Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717 ) 2 4 0- 6 3 4 5 ,F,.~-,.1 ~.,r~-, R~cc~r~ .~ ~ ~w-~c~ of Date: 1/18/2011 DAVIS HAMILTON C 20 E BURD ST STE PO BOX 40 SHIPPENSBURG, PA 6 17257-0040 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: CLERK OF ORPH,~:P+'S CQI:RT This notice is to serve as a reminder that the Status Repot by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RUL$~, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2011 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~~~ Glenda Farner. Straslaaugh Clerk of the Orphans' Court cc: File Personal. Representative (s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 ~^~~~~'~ dF Phone: (717) 240-6345 Q~~~~r- r} ~ ';~11C CL~R~ C0~'R~PA OR~H~~ i~ Utz , G '" Date: 1/18/2011 DAVIS HAMILTON C P O BOX 40 SHIPPENSBURG, PA 17257 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to .serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2011 Please feel free to contact this office with any questions .you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Stras}aaugh Clerk of the Orphans' Court cc: File Counsel _ _ _____ ~ _ r_ _ ___ -r- Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 ~,, ,~ Phone : (717 ) 2 4 0 - 6 3 4 5 R~ r~`" r ~ ~` ~~~~~'~ ~~f ;; ?~r~ ~8 Pi~12~ L Date: 1/18/2011 SAYLOR CRAIG L 104 PIN OAK DRIVE CARLISLE, PA .17013 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: CLERK ~JF pRPI'k~1~`l'S ~Ol1RT This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the belota listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on o~ after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2011 Please feel free to contact this office with any questions .you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, cc: File Counsel L~~ac~x~i~~b Glenda Farner Strasbattgh Clerk of the Orphans' Court Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 1/18/2011 SAYLOR CURT A 7 MIDLAND AVENUE NEWVILLE, PA 17241 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: _- ~___ __ --,~,- ,- CLERK CF ORPH~!h~'~ ~ C~,RT This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, Within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2011 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, plea~~ disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphar~5' Court cc: File Counsel STATUS REPORT UNDER RULE 6.12 Name of Decedent: Donald C. S~lor Date of Death: 02/ 1912002 Estate No. 2002-00224 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report ~e following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Y~s _ No X 2. If the answer is No, state when the personal repres reasonably believes that the administration will be June 2011. 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final Court? Yes No b. The separate Orphans' Court No. (if any) for representative's account is: c. Did the personal representative state an account the parties in interest? Yes No_ with the the personal to d. Copies of receipts, releases, joinders and appro~}als of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to #his report. ~~ ~ Date: ~ ~ ~ e ~Iamilton C. Davis, Esqu P.O. Box 40 Shippensburg, PA 17257 (717) 532-5713 o " ~ ~v ~ °¢- Capacity: Personal Representatiw ~ '--- -=- c w XX Counsel for Personal -; .~4 '``- `~ c't~ c ; Representative ' y. ~ ~cn~ ~ '-~ ' t i _' N J~t7 ~ ~ i ;~~_~ _.-. O ~ _ U Cumberland County - Register Of Wills One Courthouse Square ~r„~`~,,, ,,_r,f~ Carlisle, PA 17013 '' `'~`'~`'~` ~ ~'`_~"`U~ ~~ r ~^- Phone: (717) 240-6345 ~ i :~~ u,~ `g~~r„(.~ V CLERK CF 4RPN;.~~~ CJUR ~_' CUI~"E~nU~~C CC, P~ Date: 2/01/2012 DAVIS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2012 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~ ,~,. E > 3 Glenda Farner Strasbau 9 Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 2/01/2012 DAVIS HAMILTON C P O BOX 4 0 SHIPPENSBURG, PA 17257 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: t"~M'hr~r 'err-:` [ .., ~~~g+_4~J 'Y ~ ' r cc: ~~e~ ~'~ ~}°~'~T This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2012 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, . - ~ ~~ Glenda Farner Strasbaug~i Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square ~i~{~~f.„,;, ,._ .ry µ , Carl i s 1 e , PA 17 013 ' '~'~,;~fi-y~ i,- t ~~'t 1~ ~1F Phone: (717) 240-6345 ~~`.'~~ ~;~~~ ~~''E~~ ~. ~:'~l ~~~~ - I ~~~~; 9: ~ 3 CtER~t ('F ORPt-~'S QG~RT. Date: 2/01/2012 SAYLOR CRAIG L 104 PIN OAK DRIVE CARLISLE, PA 17013 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2012 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaug~~ Clerk of the Orphans' CoiTY~t cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square ,fit,;;;-, ~~ ; ,;,:~, , f~ Carlisle, PA 17013 r ~~ Phone: (717) 240-6345 ~~;~1~.i ~` " i!::~ CLFRK QRFI-~A,N'S Cc~U~i'' Date: 2/01/2012 SAYLOR CURT A 7 MIDLAND AVENUE NEWVILLE, PA 17241 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2012 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ;. ~. d sty ~~~/' ~ f Glenda Farner StrasbaugH Clerk of the Orphans' Court cc: File Counsel STATUS REPORT UNDER RULE 6.12 Name of Decedent: Donald C. Saylor Date of Death: 02/19/2002 Estate No. 2002-00224 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 X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: May 2012 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No 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 No_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and niay be attached to this report. Date: ~y V _~ G1 Q ~ ~ ' k.._ ~ ~C ~ 1__ ~ l.~Q~`, :~; ~. ,_,._~ ci__ ~ ~ <:;~ ,.: amilton C. D~tis,~qui .O. Box 40 Shippensburg, PA 17257 (717)532-5713 Capacity: Personal Representative XX Counsel for Personal Representative ~g Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 1/29/2013 DAVIS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: ~ ,._- ~~~ ~~ ~ r ~ . .~ : ~ ( yk .._ ... .... --, ~. ~ ._ c:> ~ - ~ ~, . .. :_~ '~d~ This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET N0. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2013 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sinc rely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 ...~ C ~ p~• L, C. - 4;';A Y. y ~14 :. ~.., ~ i i fvl .. r"7 v Date: 1/29/2013 :-.~ ~,.. ,-~- ~,, ~_. ~ • • F ~~ .3 :. .~ ... DAVIS HAMILTON C - ~ ~`'.` s s P O BOX 4 0 T SHIPPENSBURG, PA 17257 ~ . _.a +'~ RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET N0. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2013 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 1/29/2013 SAYLOR CRAIG L 104 PIN OAK DRIVE CARLISLE, PA 17013 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: ~ .: , ~~ ®°~ ~ d .> ~~~ ~`r C> ? jay r_. c; ~ ~ ~ y ,~ ~~ ,, _, ~~~ ..:~ ~ ~' ; ~; y -~~ This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2013 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sinc rely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 1/29/2013 SAYLOR CURT A 7 MIDLAND AVENUE NEWVILLE, PA 17241 RE: Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: n : _ ~ ~ c ,. ~ ~~ ~" rn r'1..' ~ ~ 1 C. __ ~^ y ~', f `Y i ' ~l ~ e.. ~ c . t~ . ,a ' -~ ._ ~- f V ___.. c ,~~~~ ' r ~ ; , ,4, - ,.:.:~ " This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2013 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel STATUS REPORT UNDER RULE 6.12 Name of Decedent:_ Donald C. Savlor Date of Death: 02/19/2002 Estate No. 2002-00224 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 X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: December 2013 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No 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 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and ma~ be attached to~tl~is report. I __ i ', D - Date: ~ ~ ~ ~ ~ ~ i- ~ ea ilton C. Davis, uire o ~ r--i ~ P.O. Box 40 ~ -~ •~-+ ~ - Shippensburg, PA 17257 ~ ~ co, (717) 532-5713 0 0 y0 - ~ ~ ~, ~ ~ a Capacity: Personal Representative ca ~--- ~ '~ ~ XX Counsel for Personal cn cn v z w c~ ~ w ~- ~ Representative ~~ M °~ o .., .~ r~ ;~, , ~~ , - / .• , 7 -~~ .~ t+ ~'~"~ T 4 . ~' .. . 7 l~ i, ~ r) ~ fl C~ k~ „_ n _ ~ ~ i` G: : .. w7 ... u ~ _ Y" . ~~.E:. -.. I. ,~.i r.~..; M ' `~~ , ....,f h..: 4. 4 . ...~ .~ = ~1 ..., 9..,r ..... .. 1 n,.. ~l7 y ~! _. 1. ~ ~ `, .. {!... ~..)"` ~.a.-. ~ ~ f ~ tit ' ^ d x ` 4.1 w~ !~ „ ... L-, r ... _ ~ ~ 1 . J iy ~. ~ ~ , 3 .rri: V _ Q '~.L I ~ ~ ~.~~ V r,~ ,.a. •.i i ~ ° : •. i i. o f-I E.~ '~ N = W [~ ~ .~ N ~ . o Z r-I ~~ ~~ r J .o K x ~ W *n c~ r c r•, d o ~ _ L ~ ~~~ ~ r ~ ~ ` Q L = r ~ ~ ~ ¢ ^ `r iCy W ~pa~ ~ O QH 3 _p J =~ V ~ ~ ~ ~ Z~ y ~-_ ~, ~ r ..~ r Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 RECORDED OFFICE OF REGISTER OF WILLS AN 31 Nq 8 ly CLERK OF Date : 1/29/2014 ORPHANS' COURI A DAVIS HAMILTON C CUMBERLAND CO., P 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE : Estate of SAYLOR DONALD C File Number: 2002-00224 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1 , 1992 , the personal representative or his counsel , within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/19/2014 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice . Sincerely, � `Lisa M. Grayso ,, sq. Clerk of the Orb ans ' Court UNA,,. OF FE,a,b,,IR. 01-. rdI,,LIS ZklIli,AR —4 ti 8j: .3 C WR,'f OPR-{uN'S COURT CUMBERLAND CO., PA ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY SAYLOR DONALD C PENNSYLVANIA NO. 2002-00224 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: SAYLOR CURT A Counsel for Personal Representative: DAVIS HAMILTON C Date of Decedent's Death: 2/19/2002 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice,pursuant to Rule 6.12, Supreme Court Orphans' Court Rules,is hereby given that you have ten (10)days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 3/3/2014 Lisa M. Grayson, Esq. Clerk of the Orphans'Court Distribution: Personal Representative Counsel for Personal Representative Estate File r/+nnn q1�F F _�Urn..ED Vii', „� ��n'rr n -,c t� I C EC�aiJiUlIn Hi jj aA11, KAIR + At 11 6: S'4 ORPf lWS ca inj ORPHANS' COURT DIVISION CUMBERLAND LO.. PA COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY SAYLOR DONALD C PENNSYLVANIA NO. 2002-00224 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: SAYLOR CRAIG L Counsel for Personal Representative: DAVIS HAMILTON C Date of Decedent's Death: 2/19/2002 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten(10)days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 3/3/2014 Lisa M. Grayson,Esq. Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File t r REODIFTE T r Cr OF nircrrh r,- 1-11 O L:WiL,I Vi rvs�.y L"I'I IAR -4 At! 8. 53 �, nr CLc; O Ipi-lfws COURT CUMBERLAND CO., PA ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY SAYLOR DONALD C PENNSYLVANIA NO. 2002-00224 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: SAYLOR CURT A Counsel for Personal Representative: DAVIS HAMILTON C Date of Decedent's Death: 2/19/2002 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten(10)days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. D O Date: 3/3/2014 Lisa M.Grayson, Esq. Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File - Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF LCLM9PAj j Y COUNTY, PENNSYLVANIA Name of Decedent: Date of Death:_i x`21 File Number: Pursuant to Pa. O.C. Rule 6.12, 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 0 No 2. If the answer is No, state when the personal representative / reasonably believes that the administration will be complete: I-et ;�.� 2.014 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . . . ❑Yes ]No 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IrYes ❑No d. Copies of receipts, releases,joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Dnte SignmmeofPersan ding his Form - Capacity: ❑Personal presentative Counsel _ . � c , vas Lul.0 J H Nnle/o�f Person Filing di' Fonn e� o <,, o 6/ t O U O O Z Address '��7�J O CL T [r t1J .� O _l `� 4J LL W Z _l CI t-- N J x = r 'l 2' Z3 G= U S la7 l / O 115 Of U LW _� p� ZE Mcphone 5-71-3 Farm RW--10 ren. 10.13.06