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Home My WebLink About09-16-09 1505607120 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue county code Year File Number Bureau of Individual Taxes PO 60X.280601 INHERITANCE TAX RETURN 2 1 0 9 0 2 6 0 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 174 09 8321 12 18 2008 Decedent's Last Name Suffix Decedent's First Name MI GRIM IRENE (ff Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ qa. Future Interest Compromise ~ 5. Federal Estate Tax Return Required (date of death after 12-12-82) g Decetlent Died Testate a (Attach Copy of Wilq ~ Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach SCh. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ROBERT KREITZ ESQ 610 372 5588 Firm Name (If Applicable) ROLAND & SCHLEGEL PC First line of address 627 N. 4TH STREET Second line of address City or Post Office READING State ZIP C d REGISTERLLS US~NLY~ t-n ~_~ . _7 _- l -- - -. rT t _ f ~-. c~ ~, - { "~~ O v DA'~E FILED ~ t_~ _'` ._ --.°i ~''1 <° ~ ..F _i ._T' oe PA 19603-0902 Correspondent's a-mail address: Under penalties of perjury, I deGare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, iP is true, correct and complete. DeGaration of preparer other than the personal representative is based on all information of which preparer has anv knowledge. aiVrvni vrtC Vr rCRJVrv KC VIVOItlIt hVK hILINh KtIUKN DATE ~^~''~{~,. Mark D Grim Jr c, + t ~- J~}g ADDRESS ~ 616 Flohrs Church Road, Bi lerville, PA 17307 SIGNA E OF PREPARER OTH TH ES TATIVE D E q~b ADDRESS 2201 Ridg wood Road, Suite 180, yomissing, PA 19610 Side 1 1505607120 1505607120 REV-1500 EX oaceaa~rs Name: Irene G r i m Decedent's Social Security Number 174 09 8321 RECAPITULATION 1. Real Estate (Schedule A) ........................................................................................ .. 1. 2. Stocks and Bonds (Schedule B) ............................................................................. .. 2. 1,136.41 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)........ .. 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ .. 4. 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... . 5. 5,818.35 6. Joint) Owned Pro a y p rty (Schedule F) ~ Separate Billing Requested ............ . 6. 2, 9 4 6. 0 5 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested ............ . 7. 1, 2 7 4, 8 2 5. 4 1 8. Total Gross Assets (total Lines 1-7) ...................................................................... . g. 1, 2 8 4, 7 2 6. 2 2 22,395.71 9. Funeral Expenses & Administrative Costs (Schedule H) ................................ ......... 9. 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) ....................... ......... 10. 7,387.00 11. Total Deductions (total Lines 9 & 10) ............................................................. ......... 11. 29,782.71 12~ Net Value of Estate (Line 8 minus Line 11) .................................................... ......... 12. 1,254,943.51 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................................ ......... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................................ ......... 14. 1,254,943.51 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 0 . 0 0 15. 16. Amount of Line 14 taxable 1 2 5 4 9 4 3. 5 1 16 at lineal rate X .045 , , . 17. Amount of Line 14 taxable at sibling rate X .12 0 0 0 17. 18. Amount of Line 14 taxable at collateral rate X .15 0 . 0 0 18. 19. Tax Due .............................................. ...................................................................... . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 1505607220 0.00 56,472.46 0.00 0.00 56,472.46 Side 2 1505607220 1505607220 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-09-0260 DECEDENT'S NAME Irene Grim STREET ADDRESS Country Meadows of West Shore 4837 E Trindle Road Ste 200 CIS' STATE ZIP Mechanicsburg PA 17050 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 56,472.46 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 50,000.00 C. Discount 2,631.58 Total Credits (A + g + C) ~ (2) 52,631.58 3. InteresUPenal if a licable tY PP p, Interest E. Penalty Total InteresUPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (q) Check box on Page 2 Line 20 to request a refund 5. ff Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 3, 840.88 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5g) 3 , $ 40 . $ Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.................................................................................. ^x ^ b. retain the right to designate who shall use the property transferred or its income :.................................... ^x ^ c. retain a reversionary interest; or .................................................................................................................. ^ ^x d. receive the promise for life of either payments, benefits or care? .............................................................. ^ ^x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... ^ ^x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... ^ ^x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................................................................................................... ^ ^x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 three (3) percent (72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [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 zero (0) percent 172 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, 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 twelve (12) percent [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. Rev-1508 FJC+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERrrANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Grim, Irene 21-09-0260 Indude the proceeds of iftigation and the date the proceeds were received by the estate. All property jointlyowned with the right of survivorship must be disclosed on schedule F (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+ (6-98) SCHEDULE F CDMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Grim, Irene 21-09-0260 Kan asset was made Jolnt wtthln one year of the decedents date of death, It must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Mark Grim 616 Flohrs Church Road Son Biglerville, PA 17307 B. Joanne Grim 4837 E Trindle Road, Suite 203 Daughter Mechanicsburg, PA 17050 C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 A,B 11/23/2007 BB8~T Checking Account 8,838.14 33.333% 2.946.05 #0005196921747 -jointly held with Mark Grim and Joanne Grim TOTAL (Also enter on Line 6, Recapitulation) I 2,946.05 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev7570 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Grim, Irene 21-09-0260 This schedule must be completed and filed If the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DE RIPTI R INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE Irene Grim Revocable Trust - dtd 2/25/1997, amended 9/22/1997 and 4/28/1998 1 $20,000 Alaska St Hsg Fin Corp dtd 5/18/2005 19,669.00 19,669.00 5.25%, CUSIP #011832E57 Accrued interest on Item 1 through date of death 49.58 49.58 2 35 shares of Amgen Inc -Com, CUSIP 2,056.78 2.056.78 #031162100 3 25 shares of Apple Computer Inc -Com, CUSIP 2,240.88 2,240.88 #037833100 4 315 shares of AT8~T Inc, CUSIP #002068102 8,875.13 8,875.13 5 450 shares of Autodesk Inc -Com, CUSIP 8,433.00 8,433.00 #052769106 6 $5,000 Berkeley Cnty SC Sch Dist Ins Rev Bnds 4,681.95 4,681.95 - dtd 11/1/2003 5.25%, CUSIP #084208AQ0 Accrued interest on Item 6 through date of death 12.40 12.40 7 $20,000 California St GO Bonds dtd 9/1/2005 5%, 18,497.00 18,497.00 CUSIP #13062RRW0 Accrued interest on Item 7 through date of death 380.56 380.56 8 25 shares of Chevrontexaco Corp -Com, CUSIP 1,862.12 1,862.12 #166764100 Total of Continuation Schedules See attached pa es TOTAL (Also enter on Line 7, Recapitulation) I 1,274,825.41 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Rev-1510 EX+(6.98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN continued RESIDENT DECEDENT ESTATE OF (FILE NUMBER Grim, Irene 21-09-0260 ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 9 75 shares of CVS Corp -Com, CUSIP #126650100 2,020.13 2,020.13 10 50 shares of Danaher Corp -Com, CUSIP 2,726.75 2,726.75 #235851102 11 75 shares of Darden Restaurants Inc -Com, 1,778.63 1,778.63 CUSIP #237194105 12 175 shares of Exxon Mobil Corp -Com, CUSIP 13,753.25 13,753.25 #302316102 13 Federated PA Muni Cash Fund #8 27,666.06 27,666.06 Accrued interest on Item 13 through date of 15.23 15.23 death 14 25 shares of Fedex Corp -Com, CUSIP 1.588.25 1,588.25 #31428X106 Accrued dividend on Item 14 through date of 2.75 2.75 death 15 500 shares of General Electric Co -Com, CUSIP 8,332.50 8,332.50 #369604103 16 50 shares of Hewlett Packard Co -Com, CUSIP 1.784.25 1,784.25 #428236103 Accrued dividend on Item 16 through date of 4.00 4.00 death 17 60 shares of Home Depot Inc, CUSIP #430706101 1,473.60 1.473.60 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Rev1510 EX+ (6-98) COMMONWEALTH OF PENNSriVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS ~ MISC. NON-PROBATE PROPERTY continued ESTATE OF FILE NUMBER Grim, Irene 21-09-0260 ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 18 147 shares of Johnson 8~ Johnson -Com, CUSIP 8,727.39 8,727.39 #478160104 19 $20,000 Lancaster PA Higher Ed Auth CO - dtd 19,265.00 19,265.00 5/1!2006 5%, CUSIP #514328FV0 Accrued interest on Item 19 through date of 175.00 175.00 death 20 24 shares of Life Technologies Corp, CUSIP 529.80 529.80 #53217V109 21 $10,000 Long Beach Calif Wtr Rev - dtd 9,862.40 9,862.40 10/15/1997 5%, CUSIP #542440DN9 Accrued interest on Item 21 through date of 65.28 65.28 death 22 $10,000 Louisiana Pub Facs Auth Rev Bnds - 7,750.10 7,750.10 dtd 10/24/2006 5%, CUSIP #546398PP7 Accrued interest on Item 22 through date of 231.94 231.94 death 23 $15,000 Massachusetts St Tpk Auth West Rev 15,000.60 15,000.60 Bnds - dtd 9/1/1997 5.55%, CUSIP #57fi04EAA7 Accrued interest on Item 23 through date of 386.19 386.19 death 24 75 shares of McCormick 8 Co Inc -Com Non Vtg, 2,340.75 2,340.75 CUSIP #579780206 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Rev-1510 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN continued RESIDENT DECEDENT ESTATE OF FILE NUMBER Grim, Irene 21-09-0260 ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 25 40 shares of McGraw Hill Inc -Com, CUSIP 985.60 985.60 #580645109 26 X20,000 Miami-Dade Cnty Fla Spl Oblig - dtd 20,248.00 20,248.00 9J29/2004 5%, CUSIP #59333NJT1 Accrued interest on Item 26 through date of 213.89 213.89 death 27 580 shares of Microsoft Corp -Com, CUSIP 11,312.90 11,312.90 #694918104 28 50,376 shares of National Penn Bancshares Inc - 695.440.68 695,440.68 Com, CUSIP #637138108 29 NPITC Stam Reserve 125.000.00 125,000.00 Accrued interest on Item 29 through date of 107.58 107.58 death 30 180 shares of Occidental Petroleum Corp -Com, 10.050.30 10,050.30 CUSIP #674599105 Accrued dividend on Item 30 through date of 57.60 57.60 death 31 810 shares of Oracle Corp -Com, CUSIP 13.490.55 13,490.55 #68389X105 32 250 shares of Pepsico Inc -Com, CUSIP 13,720.00 13,720.00 #713448108 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Rev1570 EX+ (6.96) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMdONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN continued RESIDENT DECEDENT ESTATE OF (FILE NUMBER Grim, Irene 21-09-0260 ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE Accrued dividend on Item 32 through date of 106.25 106.25 death 33 497 shares of Pfizer Inc -Com, CUSIP 8,575.74 8,575.74 #717081103 34 30 shares of PPG Industries Inc -Com, CUSIP 1,309.95 1,309.95 #693506107 35 50 shares of PPL Corp -Com, CUSIP #693517106 1,486.50 1,486.50 Accrued dividend on Item 35 through date of 16.75 16.75 death 36 75 shares of Qualcomm Inc -Com, CUSIP 2,580.00 2,580.00 #747525103 Accrued dividend on Item 36 through date of 12.00 12.00 death 37 $20,000 Seattle Wash Mun Lt ~ Pwr Rev - dtd 20,826.20 20,826.20 3/15/2001 5.5%, CUSIP #8126422S4 Accrued interest on Item 37 through date of 326.94 326.94 death 38 600 shares of Staples Inc -Com, CUSIP 11,076.00 11,076.00 #855030102 39 60 shares of Stryker Corp -Com, CUSIP 2,429.10 2,429.10 #863667101 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Rev-1510 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN continue RESIDENT DECEDENT ESTATE OF (FILE NUMBER Grim, Irene 21-09-0260 ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 40 75 shares of Texas Instruments Inc -Com, CUSIP 1,158.38 1,158.38 #882508104 41 50 shares of United Technologies Corp -Com, 2,556.25 2,556.25 CUSIP #913017109 42 US Savings Bonds Series HH issued 1/1/1990 4% 61,500.00 61,500.00 43 Gettysburg College -tuition for Kyleigh Grim 12,000.00 100.000 12,000.00 44 Gift to Joanne Grim 12,000.00 100.000 3,000.00 9,000.00 45 Gift to Jordan Bretz 12,000.00 100.000 3,000.00 9,000.00 46 Gift to Kyleigh Grim 12,000.00 100.000 3,000.00 9,000.00 47 Gift to Mark Grim 12,000.00 100.000 3,000.00 9,000.00 48 Gift to Sharon Grim 12,000.00 100.000 3,000.00 9,000.00 49 Gift to Tyler Grim 12,000.00 100.000 3,000.00 9,000.00 50 Philadelphia University -tuition for Tyler Grim 12,000.00 100.000 12,000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+f12.99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF I FILE NUMBER Grim, Irene 1 21-09-0260 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached ~ 11,540.26 B. 1 ADMINISTRATIVE COSTS: Personal Representative's Commissions Mark D Grim Jr. Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid 2. Attorney s Fees Roland 8c Schlegel PC 4,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 350.00 7. Other Administrative Costs 6,005.45 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 22,395.71 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Grim, Irene 21-09-0260 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Blankenbiller Funeral Home -funeral expenses 9,607.00 2 Fairview Cemetery -extra charge for burial 993.68 3 Mark DGrim -reimbursement for funeral lunch 824.58 4 Mark DGrim -reimbursement for inscription on tombstone 115.00 H-A subtotal 11,540.26 Other Administrative Costs 5 Berks County Law Journal -estate notice 177.81 6 Jim Lenig's -jewelry 8~ coin appraisal 79.50 7 Mark DGrim -reimbursement for administration expense 85.00 8 National Penn Investors Trust Co. -investment fee for December 2008 880.90 9 National Penn Investors Trust Co. -investment fee for January 2009 759.14 10 National Penn Investors Trust Co. -investment fee for February 2009 674.02 11 National Penn Investors Trust Co. -investment fee for March 2009 729.25 12 National Penn Investors Trust Co. -investment fee for April 2009 715.65 13 National Penn Investors Trust Co. -investment fee for May 2009 529.33 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Grim, Irene 21-09-0260 ITEM NUMBER DESCRIPTION AMOUNT 14 National Penn Investors Trust Co. -investment fee for June 2009 507.81 15 National Penn Investors Trust Co. -investment fee for July 2009 533.54 16 Reading Eagle Compay -estate notice 333.50 H-B7 Subtotal 6,005.45 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (8.98) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Grim, Irene 21-09-0260 Include unreimbureed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 National Penn Investors Trust Co. -tax service fee for 2008 65.00 2 National Penn Investors Trust Co. -tax preparation of 2008 personal income tax 240.00 returns 3 United State Treasury - 2008 personal income tax balance due 6,048.00 4 United State Treasury -additional personal income tax for 2007 1.034.00 TOTAL (Also enter on Line 10, Recapitulation) I 7,387.00 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV-151 EX~ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER Grim, Irene 21-09-0260 NUMBER NAME AND ADDRESS OF RELATIONSHIP TO DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE PERSON(S) RECEIVING PROPERTY Do Not IJst Trustee s (Words) ($$$) I~ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 1 Jordan Grim Grandson Item G45 616 Flohrs Church Road Biglerville, PA 17307 2 Joanne Grim Daughter 1/2 item F1,Item 4837 E Trindle Road, Suite 203 G44 and inc. Mechanicsburg, PA 17050 int. of residuary trust 3 Kyleigh Grim Granddaughter Items G43 8 616 Flohrs Church Road G46 Biglerville, PA 17307 4 Mark Grim Son 1/2 item F1, 616 Flohrs Church Road Item G47 and Biglerville, PA 17307 112 residue 5 Sharon Grim Daughter-in-Law Item G48 616 Flohrs Church Road Biglerville, PA 17307 See continuation schedule attached Continuation Total Enter dollar amounts for distributions shown above on lines 1 5 through 18, as appropri ate, on Rev 1500 cove r sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTA L OF PART II -ENTER TOTAL NON-TAXABLE DISTRIRUTinNS nN I wF 13 nF RFV_1~nn rnvFR cHFr=T n nn - - - - -- --- -- - - -- I ---- Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) SCHEDULE J Tne BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Irene Grim 12/18/2008 174-09-8321 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 6 Tyler Grim Grandson Items G49 8~ G50 616 Flohrs Church Road Biglerville, PA 17307 7 Irrevocable Trust FBO Joanne Grim Trust 112 residue 2201 Ridgewood Road, Suite 180 Wyomissing, PA 19610 _.. , ~..v_. --_ ,..r ~ ~_.~ .~_~ _,.._.,, - - .- ,~ -_ s _ --ry-.: ~, r .. ,.. .. ~ ... , ~:.:. ~ LAST WILL AND 'T'ESTAMENT OF ~''`~~~ ~ ~~,~ ~ I I ~ ~ ~~ 1 RENE E_ GRI1~1 ~° I t~ I=i~~ } ~; E. GRIM, of the Township of Oley, County of Berks, -~'~~~~~~~~~>r~~~`calth o:~ Pennsylvania, being of sound and disposing mind, memor Y ` ~ r ca c a `~~'. i f 'rs to n ci i r,,g, do hereby make, publish and declare th~~is to be my Last Will ~,~i ~I~; , .a:er;t, ?:~>.•~~b rev y okirg ary ,nd all ..>ills and codicils by me at any time ''~~'~'E'tc~~`~~r~, ~nadE~. f~ I RS1' 'c: }~~:,z,_i Kos soon after my decease as may be found expedient. `-~1;~,: C~NI~ ~ I give, devise and bequeath all the rest, residue and ' ~naiM~cfc r s~f my estate of every nature and wheresoever situate unto c ~`1~E`afl~4.>PS TRUST COMPANY, and MARK D. GRIM, JR., Trustees, to be tiit]~'d tc~ .3nd the:reafi:er treated as a part of an Amendment and Restatement o I rust ,!~fixr«e~nent created b f y me on ti__ e „__~, , _ ~ ~ 2000, of which `'~''J ES I ~.-'' ~`~5 TR US T COMPANY and MARK D. GRIM, jR. are Trustees, to ha ve :~ nc.i to .} icy.(, i, in Trust, for the uses and purposes and subject to the terms and .-r, ,~,,isic~ri ,thereof, ~nc]fuding any alterations or amendments thereto, or an Y +''i,~r in~-E°~~ ~ ivos trust which may hereafter be substituted therefor. ~I:i~I;C°~ ~'~ Thereby nominate, constitute and appoint INVESTORS k (.-~`? r C'C)~, I'I'A N~ , V~r~Vomissing, Pennsylvania, and MARK D. GRIM, JR., Co- I order and direct that all my just debts and funeral expenses Executors of this my Last Will and Testament. In the event MARK D. GRIM, JR. predeceases me or for any reason whatsoever fails to qualify as Executor, or having qualified, should fail to complete the administration and settlement of my estate, then and in such event I nominate, constitute and appoint SHARON K. GRIM, Co-Executor of this, my Last Will and Testament. FOURTH: I direct that my Executor or Executrix of this, my Last Will and Testament, shall not be required to give any bond, and that if, notwithstanding this direction, any bond is required by any law, statute or rule of Court, no surety be required thereon. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this 3 ~ .~C day of _~~_, _ ~ 2000. ~ ~, ~~~ , , -=~~~" °- (SEAL) Irene E. Grim Signed, sealed, published and declared by the above-named Testatrix, IRENE E. GRIM, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses hereto: 111675-1-90565 PERSONAL REVOCABLE LIVING TRUST THIS TRUST AGREEMENT ("Agreement") executed this 25th day of February, 1997, between IRENE E. GRIM (hereinafter called "Settlor") and INVESTORS TRUST COMPANY, a Pennsylvania trust company, (hereinafter called "Trustee") defines the terms of the trust relationship between them. 1. Appointment: Settlor hereby appoints Trustee Settlor's attorney-in-fact and authorizes Trustee to administer Settlor's account in accordance with this appointment. 2. Transfer of Assets: Settlor hereby grants and conveys to Trustee certain assets that Trustee agrees to administer under the Agreement. Settlor may from time to time deliver additional assets to Trustee for administration under the Agreement. All assets so granted, conveyed and delivered, as well as the proceeds received upon the maturity, sale or other disposition of any such assets, and those assets purchased using such proceeds, are collectively called the "Assets" below. 3. Trustee's Investment Authority: Trustee agrees to hold the Assets in safekeeping and invest and reinvest as follows: Option I: Full investment discretion. Settlor's Initials Settlor's Initials Trustee is authorized, in its sole discretion, to invest and reinvest the Assets as it determines to be in the best interest of Settlor in accordance with a predetermined investment objective mutually agreed upon by Settlor and Trustee. Trustee is not responsible for losses unless such losses are due to its own gross negligence or willful misconduct. Settlor may change the investment objective at any time by giving Trustee written notification. If Settlor is a married couple, changes made to their investment objective must be signed by both spouses; by the surviving spouse; or, in the event one spouse becomes incapacitated, by the competent spouse acting alone. If notified that Settlor has become incapacitated (or, if Settlor is a married couple, that both spouses have become incapacitated), Trustee is authorized to continue to manage the Assets and is further authorized to change the investment objective to one it deems, in its sole discretion, to be in Settlor's best interest. X Option II: it ~ Investment advice without discretion. Settlor's Initials Settlor's Initials Trustee agrees to submit recommendations from time to time to Settlor for the investment and reinvestment of the Assets in accordance with a predetermined investment objective mutually agreed upon by Settlor and Trustee. Trustee is authorized to execute such recommendations only on written approval of Settlor. Trustee is not responsible for losses unless such losses are due to its own gross negligence or willful misconduct. If Settlor is a married couple and one spouse dies or becomes incapable of managing his or her own financial affairs, the remaining or competent spouse shall immediately assume full investment discretion over the Assets. Settlor may change the investment objective at any time by giving Trustee written notification. If Settlor is a married couple, changes made to their investment objective must be signed by both spouses; by the surviving spouse; or, in the event one spouse becomes incapacitated, by the competent spouse acting alone. If notified that Settlor has become incapacitated (or, if Settlor is a married couple, that both spouses have become incapacitated), Trustee shall assume full investment discretion over the Assets under the provisions of Option I above and shall be authorized to change the investment objective to one it deems, in its sole discretion, to be in Settlor's best interest. 4. Settlor as Married Couple: If a married couple executes the Agreement as Settlor, they retain equitable ownership in the Assets as tenants by the entireties, and all distributions made pursuant to the terms of the trust are made to them as such. 5. Distributions and Incapacity: Trustee agrees to pay income and principal to or apply the same for the benefit of Settlor or other persons designated by Settlor in such manner as Settlor directs. Should Settlor become disabled, infn-m or ill, Trustee may apply any income or principal of this trust for Settlor's maintenance, support, medical care and January 2, 1996 pt ves t ~~ C O M A N Y welfare, and for the maintenance, support and medical care of any persons who are legally dependent upon Settlor, without the intervention of a guardian. For this purpose, Trustee may purchase and maintain disability, hospitalization and/or other medical insurance for such dependents and for Settlor. 6. Statements: Trustee agrees to render statements of account transactions and Asset positions to Settlor at least queer C~`5~~~ annually. 7. Notices: Trustee is responsible for responding in a timely fashion to notices of redemption, corporate reorganization, changes in capital structure, and other similar transactions concerning securities it has purchased for Settlor's account; provided, however, it is not responsible for timely response regarding any other securities unless appropriate notice appears in an authoritative periodical having nationwide circulation. In the event Option II of Paragraph 2, above, applies, Trustee agrees to effect transactions required by such notices only after consultation with Settlor. 8. Trustee's Powers: Trustee is authorized to: Retain without liability assets received in kind from settlor and invest in air-resl•or personal property including Trustee's common stock or that of an affiliate, commingled funds, and common funds without being confined to investments authorized by a statutory list and without being required to diversify; receive proceeds of sale, maturity, call or conversion of the Assets; hold investments in the name of a nominee; borrow money and pledge the Assets as collateral; compromise claims; pay administrative expenses associated with the operation of the account; allocate transactions to income and principal; handle routine matters in Trustee's best judgement; and receive additional assets from Settlor or others. In the event Settlor and Trustee at some future time amend this agreement to provide for distribution directly to Settlor's heirs, Trustee is authorized after Bettor's death (after the death of the surviving Settlor if Settlor is a married couple), in its discretion, to distribute trust assets to Settlor's duly appointed personal representative to assist in the payment of Bettor's enforceable debts, the costs of administering Bettor's estate outside of this Agreement, and all taxes which aze payable as a result of Settlor's death, if and to the extent Settlor's probate estate would otherwise be insufficient or illiquid. 9. Revocation and Amendment: Settlor may revoke or amend the Agreement at any time by giving Trustee written notice, provided that Trustee's duties, responsibilities and liabilities may not be changed without its written consent. If Settlor is a married couple, revocation or amendment must be effected by both spouses acting together; by the surviving spouse; or, in the event one spouse has become incapacitated, by the competent spouse acting alone. 10. Termination: Trustee may terminate the Agreement at any time, subject only to providing written notice. Unless otherwise terminated or revoked, the Agreement will terminate on Settlor's death (on the death of the surviving spouse if Settlor is a married couple), and principal and undistributed income will be paid to Settlor's estate net of any accrued expense, including Trustee's compensation. 11. Trustee's Compensation: Trustee shall charge from Settlor's account compensation from time to time based on its published or otherwise generally applicable fee schedule in effect at the time it renders its services to Settlor. Settlor understands and agrees that such schedule may be changed by Trustee at any time, provided that Trustee will provide Settlor with written notification. prior to effecting such change. 12. Proxies and SEC Rule 14b-1(c): Settlor hereby elects to: ( )Vote all proxies, or ~c) Have Trustee vote all proxies. Also, Settlor elects to have Trustee: ( )Release to ... or (Withhold from ...any company, in which Settlor owns stock, Settlor's name, address, and securities position, which election is made pursuant to the provisions of the Securities and Exchange Commission Rule No. 14b-1(c). Settlor may reverse this election at any time by requesting from and filing the appropriate form with Trustee. 13. Indemnification: Settlor agrees to indemnify and save Trustee harmless from and against any and all loss (including attorneys' fees and other costs of defense) where it has made or retained an investment directed by Settlor or Settlor's agent or it has acted at the drrection of Settlor's agent without having received Settlor's written termination of such agent's authority. January 2, 1996 pt 2 ~ ~~/ L~ C O M A N Y 14. Insurance Explanation: SETTLOR RECOGNIZES THAT THIS TRUST ACCOUNT IS NOT A BANK ACCOUNT AND IS NOT INSURED BY THE FDIC and that, while some investments (such as certificates of deposit, certain bank depository accounts and United States Treasury securities), which may be purchased by Trustee for Settlor's account, may be insured by the FDIC or by the Federal Government, stocks, bonds and mutual funds are not insured in such a fashion and are subject to price fluctuations. 15. Representations by Settlor: Settlor represents that the terms hereof do not violate any obligation by which Settlor is bound, whether arising by contract, operation of law, or otherwise, and this Agreement is binding upon Settlor in accordance with its temps. If required, this Agreement has been authorized by appropriate action, and Settlor will deliver to Trustee such evidence of such authorization as Trustee may reasonably require. 16. Governing Law: 'This Agreement shall be governed by, and construed and interpreted in accordance with, the laws of the Commonwealth of Pennsylvania. Settlor's Substitute W-9: Under penalty of perjury, Uwe (the Settlor) certify that: (1) The number(s) shown on this form is my (our) correct Taxpayer Identification Numbers} and (2) I am (we are) not subject to backup withholding either because I (we) have not been notified by the IRS that I am (we are) subject to backup withholding as a result of a failure to report all interest and dividends, or the IRS has notified me (us) that I am (we are) no longer subject to backup withholding. I (we) understand that I (we) must cross out item (2) above if I (we) have been notified by the IRS that I am (we are) subject to backup withholding because of underreporting of interest or dividends on my (our) tax return, unless after being so notified, I (we) have received another notice from the IRS that I am (we are) no longer subject to backup withholding. ~~ ~ ~~ Irene E. Grim 174-09-8321 Settlor's Social Security Number Settlor This Agreement will not avoid probate and is not a substitute for an estate plan prepared by your attorney. Only your attorney can provide legal advice. January 2, 1996 pt Settlor's Social Security Number 507 Main Street. P. O. Box 277 Olev. PA 19547 Settlor's Address Settlor's Phone Number ves t C O M A N Y duuf~- 30 - 33o f - 0 0 FIRST AMENDMENT TO REVOCABLE TRUST AGREEMENT On February 25, 1997, IRENE E. GRIM of the Township of Oley, Berks County, Pennsylvania (hereinafter called the "Grantor"), entered into a Deed of Trust to INVESTORS TRUST CO. (hereinafter called the "Trustee"), wherein she reserved the right in paragraph 9 to revoke or amend the Trust thereunder, in whole or in part, in writing signed by her and intended to take effect in her Iifetime and consented to in writing by all of the trustees then in office. And now, this__` ~, r ~ day of ~'. ,': ~ ~~ ~ ~': ~'`^ h ~~._ ; 1.997, IRENE E. GRIM, Grantor, J pursuant to the power reserved in paragraph 9 of the aforesaid Trust Agreement, hereby amends the Revocable Trust Agreement that she established on February 25, 1997, as hereinafter provided. WITNESSETH: That the Grantor has this day delivered to the Trustee the property described in Schedule A attached hereto, and the Trustee agree to hold, administer and distribute all of the aforesaid property (together with all additions thereto and all reinvestments thereof) as the corpus of a trust estate, in accordance with the terms and provisions hereinafter set out. ARTICLE I The Trustee shall hold, manage and control the property comprising the trust estate, collect the income therefrom, and out of said income shall pay all current taxes and other incidental expenses of the trust, including its own commissions, if any, and shall pay all of the net income to the Grantor in monthly or other convenient installments during her life. If at any time or times the Grantor is under a legal disability or by reason of illness or mental or physical disability is, in the opinion of the Trustee, unable properly to manage her affairs, the Trustee may use the net income and principal as the Trustee deems best for the care, support and comfort of the Grantor, or for any other purpose the Trustee consider to be for the Grantor's best interests, adding to principal any income not so used; provided, however, that principal shall not be used directly or indirectly to pay for nursing home or other catastrophic medical care of the Grantor in any form whatsoever. The Grantor or any other person may at any time and from time to time add property, acceptable to the Trustee, to the trust estate herein created, by any appropriate means, including, without limitation by reason of specification, the proceeds of life insurance made payable to the Trustee, and dispositions to the Trustee under any last will and testament of the Grantor. ARTICLE II Upon the Grantor's death, except for the limitations imposed in ARTICLE I relating to nursing home and medical care, the Trustee may make such payments from the principal of the trust as it deems desirable to facilitate the settlement of the Grantor's estate, including but not limited to payment of any or all of the Grantor's debts, funeral and burial expenses, and any administration expenses of the estate even though they do not relate to property subject to this Trust. Neither the Grantor's executor nor any beneficiary of the Grantor's estate shall be required to reimburse the Trustee for any such expenditures. The balance of funds not so distributed shall be held and 2 distributed as hereinafter provided. ARTICLE III Upon the Grantor's death, the Trustee shall distribute the income and principal of the Trust as follows: A. Fifty percent (50 %) thereof to Grantor's son, MARK U. GRIM, JR. , or in the event that the Grantor's son, MARK D. GRIM, JR., predeceases Grantor, to his heirs, der stirpes. B. Fifty percent (50 %) thereof to Grantor's daughter, JOANNE C. GRIM, in trust, subject to the following conditions: 1. During the lifetime of Grantor's daughter, JOANNE C. GRIM, the Trustee shall hold and administer the balance of the principal of .such share and shall pay to or apply for her use so much of the income of such share at any time and from time to time as the Trustee deems advisable to provide for such child's health, education, maintenance, support and general welfare, and shall accumulate any surplus income, for so long as she shall live. 2. The principal of the trust created under this Article shall not be disbursed, nor shall said principal be subject to any claims asserted by such beneficiary's creditors, including medical practitioners and other providers of care and services to her during her lifetime, or to claims for payments for residential care and maintenance by any public entity or private creditor. Under no circumstances can the beneficiary compel a principal distribution from the trust for any purpose. The Trustee's discretion in making income distributions is final, even if the Trustee elects 3 to make no distributions at all. The Trustee's absolute and independent judgment, rather than any other party's determination, is intended to be the criterion on which distributions are made. No court or any other person should substitute its or their judgment for the decision or decisions made by the Trustee. 3. The interest, whether in principal or income, of any beneficiary hereunder shall not be subject to voluntary anticipation, incumbrance, alienation or assignment, either in whole or in part, nor shall any such interest while in the hands of the Executor or Trustee, be subject to any judicial process to levy upon or attach the same for or on behalf of such beneficiary's creditors or claimants. 4. Upon the death of Grantor's daughter, JOANNE C. GRIM, the Trust shall terminate and the Trustee shall pay the remaining principal and income to Grantor's son, MARK D. GRIM, JR., or in the event that the Grantor's son, MARK D. GRIM, JR., predeceases Grantor, to his heirs, der stirpes. ARTICLE IV If any person otherwise entitled to take hereunder (or such person's legal representative) files a written disclaimer, in whole or in part, with respect to any provision of this Agreement with the Trustee or the Grantor's executor within the period allowed by Section 2518 of the Internal Revenue Code, as the same may be amended, such person: A. Shall be treated as having predeceased the Grantor for purposes of holding or 4 distributing the disclaimed share, and B. Shall not participate in any exercise of discretion regarding distributions of the disclaimed share and any accumulations thereon, but such person shall not be treated as having predeceased the Grantor for purposes of holding, distributing, or participating in any such discretion under any provision to which the disclaimer does not extend. ARTICLE V The Trustee shall have the following discretionary administrative rights and powers, without limitation by reason of specification and in addition to those conferred by law: A. To retain any real or personal property which may at any time form a part of the trust estate for as long as is deemed advisable. B. To lend money to the executor of the Grantor's estate and to borrow money form any source, including the Trustee, and to pledge any real or personal property as security therefor. C. To maintain, hold, and deposit any household furnishings with any proper custodian of the Trustee's selection. D. To invest in any real or personal property without restriction to legal investments and without regard for the principle of diversification. E. To mortgage, divide, repair, alter, improve, or lease for any period of time, any real or personal property, and to give options for leases. F. To sell at public or private sale, for cash and/or credit, with or without security, 5 and to exchange, lease or partition any real or personal property, including the giving of options for sales, exchanges or leases. G. To add to the principal of any trust created herein any property received from any other source by deed, will, gift or in any other manner. H. To compromise claims by or against the Grantor's estate or any trust hereunder, including but not limited to tax issues and disputes, without order of court or consent of any party in interest and without regard for the effect of such compromise on any interest hereunder. I. To vote in person or by proxy securities held by her and to delegate discretionary power, to subscribe for stocks, bonds, or other investments; to join in any plan of recapitalization, merger, consolidation, reorganization, liquidation, dissolution, lease., mortgage, foreclosure or voting trust; to deposit securities under agreements and pay assessments; and generally to exercise all the rights of a security holder in any corporation. J. To hold property unregistered or in the name of a nominee. K. To distribute in cash, in kind, or partly in each, and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share. L. To employ legal counsel and such other agents as the Trustee may deem necessary in the administration of the trust estate, and to pay the expenses of such legal counsel and other agents out of the income or principal of the trust estate. M. To terminate this Trust at any time, in its sole and absolute discretion, by liquidating all assets held hereunder. 6 ARTICLE VI A. Grantor appoints INVESTORS TRUST CO. as Trustee. B. The Trustee shall not be required to post security in any jurisdiction. C. The Trustee shall not be responsible for assuring that any party chosen by it to receive any distribution on behalf of a beneficiary hereunder actually pays the same to or for said beneficiary. D. The Trustee shall receive compensation for all services.. The compensation for such services shall be based on the Trustee's applicable fee schedule in effect at the time it renders said services as Trustee. ARTICLE VII This Agreement is hereby declared to be revocable. ARTICLE VIII A. The word "trustee" when used herein shall include all genders and the singular and plural as the context may require. B. The words "incapacity" and "incapacitated" when used herein shall refer to an inability, as determined by the Trustee in its sole and absolute discretion, to use funds by reason of age or 7 illness (mental or physical). ARTICLE IX This trust shall be construed and administered under the laws of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, the Grantor, IRENE E. GRIM, and the Trustee, INVESTORS TRUST CO., have signed and sealed this Agreement, all intending to be bound by the provisions herein contained. Witness: ~- ` ~ fj g :~/Z-t_~....~~- C,_ /~ :J~C~rv (SEAL) IRENE E. GRIM, Grantor Attest: ~; § ~ , .. INVESTORS TRUST CO. ff ,~ By,~, ;li ~ ~:~~ it + ,~ ~.1,,, !~ ,~ ~ , (SEAL) ~' ~ Trustee ~- 8 COMMONWEALTH OF PENNSYLVANIA COUNTY OF BERKS ss. On this, the ,~~' `"" day of ~~~ ~L~ r?! -~ ~' 1997, before me the undersigned officer, personally appeared IRENE E. GRIM known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing document and acknowledged that she executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. D.rta^ai S gal Tara C. Blei'er. Notary Pu^lic Kutz.o~+vn Boro. / tvly Commission Expires Sept. 26, 1998 ~ _ ~, trlember,PernsyNaniaAssociationct-Pd~:e~es Notary Public COMMONWEALTH OF PENNSYLVANIA COUNTY OF BERKS ss. On this, the ~-? ti ~ day of ~ e ~-~e_,~k~ ~~ _, 1997, before me, the subscriber, personally ap eared °~ - °-- `` - ^ - ~r~c~,,~++e p~ic ~cL who acknowledged =sel~to be the ~ ~t~,C.~ ~Cesicle~~' of INVESTORS TRUST CO., and that as such officer, being authorized to do so, executed the foregoing instrument for the purposes therein contained on its behalf. In witness whereof, I hereunto set my hand and official seal. r. Notary Public 1`lUTARIAL SEAL 9 LAUf~IE A. tvtEFEQITH, Notary Public Reading, Berks County My Commission Expires August 10, 1998 ~~ SECOND AMENDMENT TO REVOCABLE TRUST AGREEMENT On February 25, 1997, IRENE E. GRIM of the Township of Oley, Berks County, Pennsylvania (hereinafter called the "Grantor"), entered into a Deed of Trust to INVESTORS TRUST CO. (hereinafter called the "Trustee"), wherein she reserved the right in paragraph 9 to revoke or amend the Trust thereunder, in whole or in part, in writing signed by her and intended to take effect in her lifetime and consented to in writing by all of the trustees then in office. And on September 22, 1997, IRENE E. GRIM, Grantor, executed a First Amendment (hereinafter called "Amendment") to said Revocable Trust Agreement. And now, this •~~day of ~-~-~,, ~. ~ ~ 1998, IRENE E. GRIM, Grantor, pursuant to the power reserved in paragraph 9 of the aforesaid Trust Agreement and its Amendment, hereby amends the Revocable Trust Agreement and its Amendment, as hereinafter provided. WITNESSETH: ARTICLE VI of the Trust Agreement and its Amendment shall be amended by adding MARK D. GRIM, JR., as co-Trustee, to serve jointly with INVESTORS TRUST CO. In all other respects, the Trust Agreement as it was amended is hereby ratified and confirmed. IN WITNESS WHEREOF, the Grantor, IRENE E. GRIM, and the co-Trustees, INVESTORS TRUST CO. and MARK D. GRIM, JR., have signed and sealed this Agreement, all intending to be bound by the provisions herein contained. Witnesses: Attest: lX `~'~'"-ei G ' ~~~~v (SEAL) IRENE E. GRIM, Grantor By (SEAL) (SEAL) MARK D. GRI , J . , Trustee 2 INVESTORS TRUST CO. COMMONWEALTH OF PENNSYLVANIA COUNTY OF BERKS ss. On this, the a ~~ day of ~r7 ~ 1998, before me the undersigned officer, personally appeared IRENE E. GRIM known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing document and acknowledged that she executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. Notarial Seaf Tara C. Bleiler, Notary Public Kutztown Boro, Berks County My Commission Expires Sept. 26, 1998 ~ Member, PennsylvaniaAssocgation of Notaries Notary Public COMMONWEALTH OF PENNSYLVANIA COUNTY OF BERKS ss. On this, the ~3~- day of _, 1998, before me, the subscriber, person~al~l' appeared - N T7-~ d who acknowledged self to be the ~E" ~'"/~~S~DE~cI T of INVESTORS TRUST CO., and that as such officer, being authorized to do so, executed the foregoing instrument for the purposes therein contained on its behalf. In witness whereof, I hereunto set my hand and official seal. Notary Public Notarfaf Seal Sylvia E. Shaner, Notary Public Wyomissing Boro, Berks County Commission Expires March 6, 2001 STATE OF NORTH CAROLINA COUNTY OF 011 Std W ss. r!~ On this, the c~rJ' day of ~.1 ~ 1; 1998, before me the undersigned officer, personally appeared MARK D. GRIM, JR., known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing document and acknowledged that he executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. 4 A>~IG-17-2009 MON 09 ~ 45 RM LIENIC~y~ JEVI/EL~Y & COIN 104 E.INCOLNW~Y ~. NEW OXFORD PA 17350 ESTATE OF' IRENE GRIM ApDRESS .....~a-.,~...r..~......T,..-, PHONE F. 02 ~3ETI~ILS ~......._......~..._.~»..~..,_..,..,...,.~............,...~.M.~ .,,.....~ ~__.~F~~C~ .~. i 1899-5 $ZOAO GOLYa COIN 1000.00 i ' 1904 $ 10.00 GOLD CnTN r~,....~. _.._...~.»..y..,....,.. . ... ,_ . 350.00 1 ,.. . ...__.. ,. . 1904 $5.00 GOLD COTr~' .~.......~..........Y.~.4.~.~.~...,...~,..~_~~. ... . . . i y~~ ~;~ I r . ,,,..~. ,,,.~.-.w.- ,. . .a.......~ 1908 $2.SO INDIAN I~AD GOI..p COIN -- .v~.,.w..,..,._. -~ --~---- I 185'.O~J 1 t8ss $l.ao GOY~D Carr . ` i2~.oa~..__ 5 _ . _~_ .___..~.,....~........ COIN SETS WIT'~I SILVER I~Ai"F,QUARTER.,DIME Y.. ,~ 8 S.ZS 1 1 1899 $1.00 LAR~'iE BLACK. EAGLE NOTE ~ ~~~~~~~~,{~(~- ....~ 1923 $ I.00 LARGE NOTE ~~~~ ~ ~ ~ 25.00 8 ~ ~ $1.00 SILVER CERTIFICATE NOTES ,,,.-. ~ 11,20 6 w_..w... ~ $2.00 RED SEAL NOTES _,~..~,......~...,.~ t g,~} 96 ....._.~.~ ~ $5.00 RED SEAL NOTES 576,00 _~ 3 4 NATIONAL BA1vI~ NC?TES I-1929 $5.00 2-1929 $10,00 SILVER DOLLARS 125,00 48.00 9 7 SILVER HALF' 5 _ 40°l° SILVER I-YALFS ..,....,~...,..~,...µ...V...._...y.....,.. ..» ,...,,..,,..,.... 20.OD ..1.0.50.,..,.... 7 SII,VER QUARTERS i 6.8U AUG-17-2009 MON 09;45 Ahi 3l Si1,`VER DIMES ~ ._.....~.,~..,~o.g_~...,_..._.._ 28.0(} .~..~....,..,.~..........,..,..~.,.w~.~,.~...M.».~,......~ .................._ 9 V 8t SH[ELD& BUFFALO NiCKLES S 4.60 12 WHEAT PENN'Y'S --`. W.~B ,._ 11 ' II~DTAN HEAD PEIVIVY'S BSc ONE FLYING EAGLE PENNY .T._..~., ..1 S.5(- 4 .~.,.__.___ LARGE CENTS 25.00 4 ..~..~.......,,..,,~.....,~..,..,.,..~.r,M....,.....,.~. - -. _ . ...._..._. SILVER 3 CENT PIECES ._.v..~,._....~ 30.00 1 _ 2 CENT PIECE .~,. ... ~. ~ 8 Q04°""° 1 1808 HALF CENT ~] 0,00~~ 1 _ 1876 SEATED ~,....,..,.~._......~..w.,..~....a,._...~...~,.~.......,...~,...~.,~..~. ..............t QUAR'['I~rR ~~~ ..>..._.._._......~ .SO.ac~ 2 ._ .~ waR~,n cones ~... a. ~,.. <..... d,.. 1 s.o~ gpprafsal for MARK GRIM _ ......__ .....,.. h$2965.3~ P, ~~ B'Y JAMES LENIG = DATE = 08/1Oa9 FROM ' JAN-28-2009 WED 04:06 PM NPITC ,~ aaoc Pagc1 oF2 01!06/69 NC 000519692177 212-03-01~a0 02503 0 C o01 O2 50 002 MARfC Q G'RXf1 IfiENE E GRIM JOANNE C GRIM 4837 E TRINRI.E RD ~ 200 MECHANICSBIlRG PA 17pS0-3680 (THU)JAN 29 2008 70: 78/ST. 10: 77/No. 7536724263 P 4 FAX N0. 610 372 6473 P, 03 Your account statement contact us For 01/06/2009 ~ 6BT.cnm (soo} eANic-esT or ~ a ~ ~ (B00) 2Z6-5226 Make Your Holiday Shipping Easy! 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Visit your local B138~T Finandat Center and'get yours taday~ BB&T Gift Cards are issued by BB&T Financial, FSB, a subsidiary of BB&T Corporation, Member FDIC. ^ PERSONAL REGULAR'CHECKING-MM 0005196'921747 Account summary --~ _ j~~~~ ~-1~~jycp~ t~ Your ~revfous balance as of 12/05/2008 __..,~ _ , $8,838,14 ~i'}'~. ,Q C_hedcs _ _ __ - .00 ' ~ /'pin 2 ~ ~i~.~~ C-ther wlthd,r~wa-s, debits and serolce_ charges - 0.00 Dep_osiis_cred{u and inke~es[ _ + 0.00 Your new balance as of 016-2009 - • $8,838.14 A i , Estate Valuation Date of Death: 12/18/2008 Estate of: IRENE GRIM valua tion Date: 12/18/2008 Account: 1132000304 Proce ssing Date: 01/02/2009 Report Type: Date of Death Number of Securities: 90 File ID: 1132000309 Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 33580.61 MONEY MKT OBLIGS TR (60934N542) N/A PA MN CS IN SV Mutual Fund (as quoted by NASDAQ) No pricing informar_ion 2) 20000 CALIFORNIA ST GO BDS AN (13062RRW0) Financial Times Interactive Data DTD: 09/01/2005 Mat: 08/01/2022 5~ 12/18/2008 92.98500 Mkt 92.985000 18,997.00 Int: 08/01/2008 to 12/18/2008 380.56 3) 5000 BERKELEY CNTY S C aCH DIST INS REV BDS (084208AQ0) Financial Times Interactive Data DTD: 11/01/2003 Mar_: 12/01/2029 5.25°s 12/18/2008 93.63900 Mkt 93.E~39000 4,661.95 Int: 12/01/2008 to 12/18/2008 12.90 9) 20000 LANCASTER PA HIGHER ED AUTH CO HIGHER ED (514328FV0) Financial Times Interactive Data DTD: 05/01/2006 Mar_: 04/15/2023 5$ 12/18/2008 96.32500 Mkt 96.''25000 19,265.00 Int: 10/15/2008 to 12/18/2008 175.00 5; 20000 ALASKA ST HSG FI N CORP GEN HSG R (011832E57) Financial Times Interactive Data DTD: 05/18/2005 Mat: 12/01/2025 5.25$ 12/18/2008 98.39500 Mkt 98.45000 19,669.00 Int: 12/01/2008 to 12/18/2008 43.58 6) 10000 LONG BEACH CALIF WTR REV REV REF B (542440DN9) Financial Times Interactive Data DTD: 10/15/1997 Mat: 05/01/2024 5~ 12/18/2008 98.62400 Mkt 98.624000 9,862.40 Int: 11/01/2008 to 12/18/2008 65.28 7; 10000 LOUISIANA PUB FACS AUTH REV REV BDS (596398PP7) Financial Times Interactive Data DTD: 10/29/2006 Mat;: 07/01/2026 5~ 12/18/2008 77,50100 Mkt 77.501000 7,750.10 Int: 07/01/2008 to 12/18/2008 231.94 8) 15000 MASSACHUSETTS ST TPK AUTH WEST REV BDS (57604EAA7) Financial Times Interactive Data DTD: 09/01/1997 Mat: 01/01/2017 5.55 12/18/2008 100.00900 Mkt 100.004000 15,000.60 Int: 07/01/2008 to 12/18/2008 366.19 9) 20000 MIAMI-DADE CNTY FLA SPL OBLIG SPL OSLIG (59333NJT1) Financial Times Interactive Data DTD: 09/29/2009 Mat;: 04/01/2019 5% 12/18/2008 101.24000 Mkt 101.240000 20,248.00 Int: 10/01/2008 to 12/18/2008 213.89 10) 20000 SEATTLE WASH MUN LT & PWR REV IMPT & RE (8126422S4) Financial Times Interactive Data DTD: 03/15/2001 Mat:: 03/01/2015 5.5~ 12/18/2008 104.13100 Mkt 104.131000 20,826.20 Int: 09/01/2008 to 12/18/2008 325.94 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EV'P Systems at (818) 313-6300 or www.evpsys.com. (Revision. 7.0.9) Cate of Death: 12/18/2009 Estate of: IRENE GRIM Valuation Date : 12/18/2008 Accou nt: 1132000304 Processing Dat e: 01/02/2009 Report Type: Date of Death Number of Securities: 40 File ID: 1132000304 Shares Security Mean rind/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 11) 315 AT&T INC (002068102) COM New York Stock Exchange 12/18/2008 28.85000 27.50000 H/L 28. 7.75000 8,875.13 12) 35 AMGEN INC (031162100) COM The NASDAQ Stock Market LLC 12/18/2008 60.00000 57.53000 H/L 58. ''65000 2,056.78 131 25 APPLE INC (037833100) COM The NASDAQ Stock Market LLC 12/18/2008 90.83000 88.44000 H/L 89. 635000 2,240.86 14; 450 AUTODESK INC (052769106) COM The NASDAQ Stock Market LLC 12/18/2008 19.33000 18.15000 H/L 18. ''90000 8,433.00 15? 75 CVS CAREMARK CORPORATION (126650100) COM New York Stock Exchange 12/18/2008 27.56000 26.31000 H/L 26. 935000 2,020.13 16) 25 CHEVRON CORP NEW ('166764100) COM New York Stock Exchange 12/18/2008 76.74000 72.22990 H/L 74. 489950 1,862.12 17; 50 DANAHER CORP DEL (235851102) COM New York Stock Exchange 12/18/2008 55.50000 53.57000 H/L 54. `.135000 2,726.75 18? 75 DARDEN RESTAURANTS INC (237194105) COM New York Stock Exchange 12/18/2008 24.36000 23.07000 H/L 23. "'15000 1,776.63 19) 175 EXXON MOBIL CORP (302316102) COM New York Stock Exchange 12/18/20C8 80.98000 76.20000 H/L 78. 590000 13,753.25 20) 25 FEDEX CORP (31428X106) COM New York Stock Exchange 12/18/2008 65.40000 61.66000 H/L 63. 530000 1,568.25 Div: 0.11 Ex: 12/10/2008 Re c: 12/12/2008 Pay: 01/02/2009 2.75 21) 500 GENERAL ELECTRIC CO (369609103) COM New York Stock Exchange 12/18/2008 17.56000 15.77000 H/L 16. 665000 8,332.50 22) 50 HEWLETT PACKARD CO (928236103) COM New York Stock Exchange 12/18/2008 36.68000 39.69000 H/L 35. 685000 1,784.25 Div: 0.08 Ex: 12/15/2008 Rec: 12/17/2008 Pay: 01/ 07/2009 4.00 Page 2 This report was produced with Estate;Val, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (618) 313-6300 or www.evpsys.com. (Recision 7.0.4) Date of Death: 12/18/2008 Valuation uate: 12/18/2008 Processing Date: 01/02/2009 Estate of: IRENE GRIM Account: 1132000309 Report Type: Date of Death Number of Securities: 40 F_le ID: 1132000304 Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 23) 60 HOME DEPOT INC (93~~076102) COM New York Stock Exchange 12/18/2008 25.07000 29.05000 H/L 24.`_60000 24) 147 JOHNSON & JOHNSON (478160104) COM New York Stock Exchange 12/18/2008 60.25000 56.49000 H/L 59.370000 25; 24 LIFE TECHNOLOGIES CORP (53217V109) COM The NASDAQ Stock Market LLC 12/18/2008 22.92000 21.23000 H/L 22.075000 26i 75 MCCORMICK & CO INC (579780206) COM NON VTG New York Stock Exchange 12/18/2008 31.82000 30.60000 H/L 31.<:10000 27) 40 MCGRAW HILL COS INC (580695109) COM New York Stock Exchange 12/18/2008 25.97000 23.81000 H/L 29 . Ei90000 28) 580 MICROSOFT CORP (594918104) COM The NASDAQ Stock Market LLC 12/18/2008 20.02000 18.99000 H/L 19.505000 29) 50376 NATIONAL PENN BANC.SHARES INC (637138108) COM The NASDAQ Stock Market LLC 12/18/2008 14.29000 13.37000 H/L 13. £305000 301 180 OCCIDENTAL PETE COMP DEL (674599105) COM New York Stock Exchange 12/i8/2008 57.50000 54.17000 H/L 88.£335000 Div: 0.32 Ex: 12/08/2008 Rec: 12/10/2008 Pay: 01/1 5/2009 31) 810 ORACLE CORP (68389:{105) COM The NASDAQ Stock Market LLC 12/18/2008 16.97000 16.39000 H/L 16 . Ei55000 32i 30 PPG INDS INC (693506107) COM New York Stock Exchange 12/18/2008 99.78000 92.55000 H/L 93.Vi65000 33) 50 PPL CORD (693517106) COM New York Stock Exchange 12/18/2008 30.28000 29.18000 H/L 29.'30000 Div: 0.335 Ex: 12/08/2008 Rec: 12/10/2008 Pay: 01/ 01/2009 1,473.60 8,727.39 529.80 2,340.75 985.60 11,312.90 695,440.68 10,050.30 57.60 13,490.55 1,309.95 1,486.50 16.75 Page 3 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7,0.41 ' Date of Death: 12/18/20C8 Valuation Date: 12/18/2008 Processing Date: 01/02/2009 Estate of: IRENE GRIM Account: 1132000309 Report Type: Date of Death Number of Securities: 90 File ID: 1132000304 Shares Security Mean ~.nd/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 39) 250 PEPSICO INC (713948108) COM New York Stock Exchange 12/18/2008 55.38000 54.38000 H/L 59.E'~80000 13,720.00 Div: 0.925 Ex: 12/03/2008 Rec: 12/05/2008 Pay: 01 /02/2009 106.25 35i 997 PFIZER INC (717081:103) COM New York Stock Exchange 12/18/2008 17.57000 16.94000 H/L 17.<:55000 8,575.79 36) 75 QUALCOMM INC (797525103) COM The NASDAQ Stock Market LLC 12/18/2008 34.96000 33.84000 H/L 34.4:00000 2,580.00 Div: 0.16 Ex: 12/0'x/2008 Rec: 12/11/2008 Pay: 01/07/2009 12.00 37) 600 STAPLES INC (855030102) COM The NASDAQ Stock Market LLC 12/18/2008 18.96000 17.96000 H/L 18.~i60000 11,076.00 38i 60 STRYKER CORP (863667101) COM New York Stock Exchange 12/18/2006 41.30000 39.67000 H/L 40.185000 2,429.10 391 75 TEXAS INSTRS INC (882508104) COM New York Stock Exchange 12/18/2008 16.00000 14.69000 H/L 15.195000 1,158.38 40) 50 UNITED TECHNOLOGIES CORP (9130 17109) COM New York Stock Exchange 12/18/2008 51.72000 50.53000 H/L 51.:.25000 2,556.25 Total Value: 5980,995.91 Total Accrual: 52,091.13 Total: $982,536.54 Page 4 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.0.9) ACCRUED INTEREST CALCULATION ___- Name: --- Irene Grim - __ Account: 1132000304 _ , __ - _ ___ Be mnin ', 9~ g Ending ~I ~ Accrued Days Balance '~ Additions !~ Subtractions Balance ~, Rate Interest 1 125,000.00 - 125,000.00 0.047814 5.977 2 125,000.00 - 125,000.00 0.047814 5.977 3 125,000.00 - 125,000.00 0.047814 5.977 4 125,000.00 - 125,000.00 0.047814 5.977 5 125,000.00 125,000.00 0.047814 5.977 6 125,000.00 125,000.00 0.047814 5.977 7 ' 125,000:00 125,000.00 0.047814 5.977 8 125,000.00 125,000.00 0.047814 5.977 9 125,000..00 - 125,000.00 0.047814 5.977 10 125,000.00 - 125,000.00 0.047814 5.977 11 125,000.00 - 125,000.00 0.047814 5.977 12 125,000.00 - 125,000.00 0.047814 5.977 13 _125,000.00 125,000.00 0.047814 5.977 14 125,000.00 125,000.00 0.047814 5.977 15 125,000.00 125,000.00 0.047814 5.977 16 125,000.00 125,000.00 0.047814 5.977 17 125,000.00 125,000.00 0.047814 5.977 18 125,000.00 - 125,000.00 0.047814 5.977 Total accrued interest $107.58 ACCRUED INTEREST CALCULATION Name. Irene Grim __ Account: ', 1132000304, ; _ __ g' g Be mnin _ _ - '' Ending Accrued Days Balance Additions Subtractions ' Balance ' Rate Interest 1- 30,685.79 - 30,685.79 0.029865- 0.916 2 30,685.79 410.81 31,096.60 0.029499 0.917 3 31,096.60 1,185.32 32,281.92 0.030022 0.969 4 32,281.92 1,745.49 34,027.41 0.027723 0.943 5 34,027.41 34,027.41 0.026163 0.890 6 34,027.41 34,027.41 0.026163 0.890 7 34,027.41 34,027.41 0.026163 0.890 8 34,027.41 34,027.41 0.026026 0.886 9 34,027.41. 6,274.65 27,752.76 0.02586 0.718 10 27,752.76 76.42 27,829.18 0.024661 0.686 11 27,829.18 252.02 27,577.16 0.026233 0.723 12 27,577.16 75.40 27,652.56 0.02612 0.722 13 27,652.56 27,652.56 0.02612 0.722 14 27,652.56 27,652.56 0.02612 0.722 15° '27,652.56 -27,652.56 0.024714 0.683; 16 27,652.56 27,652.56 0.024348 0.673 17 27,652.56 - 27,652.56' 0.02'.5345 0.701 18 27,652.56 13.50 27,666.06 0.027935 0.773 19 ' 27,666.06 ' 27,666.06.. 0.029047 0.804 Total accrued interest $15.23 it i~ ° ~~,.a as sa s- _. ..7~! i7~ 7"f ~ y `~JCSI'~~' ~ G~tI~'! TKi1S~ ~~'~ i;~l A I l ~' ~; xi~iV~~7'~f~' T~~/~T ~~pfP'~1~1Y PU ~4X r~~ ~JY~1tlI~SI~Itiw ~~- ~_~~1G D.EFERR€D INTEREST $ ~ ~G ~ ~~~ ~~'~"~'~~'~i;~fi~~~ l6 ~ y~ 0000 L 267063x' ~~~~ ~ r . 2~~~~~7~ 6.lI~! tRt/~ pT~} t~lV~ST~~~' TRL~1` CJ~IPA~IX ~'~~ ~~~ 7~~~ ~ilf~+9t~~Iid44~~. f~~1 ~~b~~ ~ri~~~J.'~u /, DEEEP.RED INTEREST $ __ ~ ~~~ ~ 1~,.~~:._ r_,., v rn,'~,,..~~ ~~31~-~~T~'~1{~~~ L6 ~T~. 3000 L 26 70 5 51t' .~4y... ~~~r`~~ ,~~~ rpr l~v,~~~ts ~ taus c~~~R~Y DEFERRcDtNTfREST $ ~~~~~• ~~~ ~ ~ S'....i„ry.r Ai i...my ~3~~~-~~72~~2~ L6 ~ ~ 4000 L 267056x' INTEREST CEASES 20 YEARS g FROM ISSUE DATE OF d ~_~~ F a .R++~r .x.rwr ..«.. X26? 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