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r IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANAIA ORPHANS' COURT DIVISION FIRST AND FINAL ACCOUNT STATED BY FARMERS AND MERCHANTS TRUST COMPANY OF CHAMBERSBURG BY MERGER WITH COMMUNITY TRUST COMPANY SUCCESSOR TRUSTEE FOR THE HELEN W. PETERSON TRUST UNDER WILL UNDER DECREE NO. 0161 of 1996 DATED JULY 30, 2001 CUMBERLAND COUNTY, PENNSYLVANIA CERTIFICATE OF CLERK The above Account was filed , 2011 and advertised , 2011 according to law, and is presented herewith to the Court of Common Pleas, Orphans' Court Division for confirmation: Date Clerk ORDER OF COURT 2011, no exceptions or objections having been filed to the Account or to the Proposed Schedule of Distribution, the within Account and Schedule of Distribution is Confirmed and distribution is directed in accordance with the Proposed Schedule of Distribution. By the Court, ~,,. ,., ~~ O ~~ ~ c__ ~ ~~ ~;; ~ ~ n i-- , < <: T~ ~.... , • • ~ 5..~.+, ~~/~~ , ~d ...~...~ .~ .=. ~ _ -p ...... ~-^~ ~'~ d e.", IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANAIA ORPHANS' COURT DIVISION FIRST AND FINAL ACCOUNT STATED BY FARMERS AND MERCHANTS TRUST COMPANY OF CHAMBERSBURG BY MERGER WITH COMMUNITY TRUST COMPANY SUCCESSOR TRUSTEE FOR THE HELEN W. PETERSON TRUST UNDER WILL UNDER DECREE NO. 0161 of 1996 DATED JULY 30, 2001 CUMBERLAND COUNTY, PENNSYLVANIA CERTIFICATE OF CLERK The above Account was filed , 2011 and advertised , 2011 according to law, and is presented herewith to the Court of Common Pleas, Orphans' Court Division for confirmation: Date Clerk ORDER OF COURT 2011, no exceptions or objections having been filed to the Account or to the Proposed Schedule of Distribution, the within Account and Schedule of Distribution is Confirmed and distribution is directed in accordance with the Proposed Schedule of Distribution. By the Court, n ~.~ ~...... :~. ~~ ~~ ~ ~ `~> rrn _ _ ~. ~ ~n ~ ;:.. _.. :~ v~ ~ ,: , - - ,_..~ a ~ ~ ~ , ~. ._... L ~-' FIRST AND FINAL ACCOUNT OF HELEN W. PETERSON TRUST UNDER WILL, FARMERS AND MERCHANTS TRUST COMPANY BY MERGER WITH COMMUNITY TRUST COMAPNY, SUCCESSOR TRUSTEE UNDER. DECREE DATED JULY 30, 2001 Date of Death: Date of Succession: Accounting for the Period: February 1, 1996 July 30, 2001 August 31, 2001 - July 14, 2011 Purpose of Account: Farmers and Merchants Trust Company, Successor Trustee under Decree dated July 30, 2001, offers this account to acquaint interested parties with the transactions that hive occurred during its administration. It is important that the account be carefully examined. Requests for additional information or questions can be discussed with: Tom Peterson Vice President/Market Manager Farmers and Merchants Trust Company P.O. Box 6010 20 South Main Street Chambersburg, PA 17201 Phone: (717) 264-6116 AFFIDAVIT OF THE TRUSTEE Tom Peterson, Vice President/Market Manager acting for Farmers and Merchants Trust Company, Successor Trustee under Decree dated July 30, 2001 for the Helen W. Peterson Trust Under Will created under the Last Will and Testament of Helen W. Peterson, deceased being fully sworn according to law, deposes and says that he has fully and faithfully discharged the duties of his office, that the following Account is true and correct and fully discloses all significant transactions occurring during the accounting period; and that all known claims against the Trust have been paid in full and that to his knowledge there are no claims now outstanding against the Trust; and that all taxes presently due from the Trust have been paid. And further, as to the Schedule of Distribution, that the persons indicated therin are the only ones entitled to participate to the best of accounts knowledge and the amounts awarded to each therein is the correct amount payable or property specifically bequeathed or devised. Tdm Pe#~rson,~ Vice President/Market Manager Farmers and Merchants Trust Company Subscri ed and~~ to before me this ~~ day of ~ -~ 2011. N a Public COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Wendy J. Baeshore, Notary Public Camp Hili Borough, Cumberland County My commission expires March 18, 2013 CERTIFICATION OF NOTICE TO PARTIES Tom Peterson, Vice President/Market Manager acting for Farmers and Merchants Trust Company, Successor Trustee under Decree dated Juiy 30, 2001 for the Helen W. Peterson Trust Under Will created under the Last Will and Testament of Helen W. Peterson, deceased hereby declares under oath and penalties of perjury that Farmers and Merchants Trust Company has fully and faithfully discharged the duties of this office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that to its knowledge there are no claims now outstanding against the estate; and that all taxes presently due from tree estate have been paid. armers and Merchants Trust ompany Successor Trustee, of tree Last W ill and Testament of Helen W. Peterson Subscribed and sworn to before m on this ~_day of , 2011 ~' of ry Public COMMONV~ALTH OF PENNSYLVANIA Nt~TARIAL SEAL Wendy J. Baeshore, Notary Public Camp Hill Borough, Cumberland County My commission expires March 18, 2013 SUMMARY OF ACCOUNT Proposed Distribution to Beneficiaries PRINCIPAL Receipts Net Loss on Sales or Other Dispositions Disbursements Balance Before Distributions Distributions of Principal to Beneficiaries PRINCIPAL BALANCE ON HAND Inforamtion Schedules: Principal Investments Made INCOME Receipts Less Disbursements Balance Before Distributions Distributions of Income to Beneficiaries INCOME BALANCE ON HAND COMBINED BALANCE ON HAND Page 30 $ 124,769.98 1-3 $ 143, 787.17 4-7 $ (4,637.05) 8-10 $ (14,636.10) $ 124, 514.02 $ - 10 $ 124, 514.02 11-13 14-25 $ 23,855.35 26-29 $ (22,849.39) $ 1,005.96 29 $ (750.00) 29 $ 255.96 29 $ 124, 769.98 PRINCIPAL RECEIPTS Received From Prior Trustee - Allfirst Trust Company 08/31/2001 Real Estate - 3453 Green St. Camp Hill PA 09/05/2001 Cash 12/21 /2001 Cash Miscellaneous Receipts 01/30/2004 Prorated Real Estate Taxes, Condo Fee and Sewer Credit at settlement for 3453 Green Street 05/18/2009 PA Department of Revenue, state tax refund 2008 05/26/2009 United States Treasury, Federal 2008 fiduciary tax refund Long-Term Capital Gains Distributions Federated Mid-Cap FD #151 11 /26/2004 11 /25/2005 Federated Mini-Cap Institution #149 11 /25/2005 Federated Stock Trust FD #019 11 /25/2005 Vanguard Total Bond Market FD #84 03/31 /2004 12/31 /2004 03/31 /2005 Vanguard Wellesley Income FD #027 12/17/2004 12/16/2005 PIMCO Total Return Fund 35 12/11 /2009 12/10/2010 Heartland Value Plus Inst. 12/30/2010 104,394.00 12,632.59 29.96 546.49 115.00 673.00 484.99 768.90 341.54 2,233.61 18.54 7.41 2.47 31.73 313.23 31.79 234.23 22.26 122,881.74 1 PRINCIPAL RECEIPTS Transfers from Income 05/20/2008 Transfer undistributed income cash balance as of December 31, 2004 to principal per Article III of Last Will and Testament 422.87 05/20/2008 Transfer undistributed income cash balance as of December 31, 2005 to principal per Article III of Last Will and Testament 740.54 05/20/2008 Transfer undistributed income cash balance as of December 31, 2006 to principal per Article III of Last Will and Testament 2,457.10 05/22/2009 Transfer undistributed income cash balance as of December 31, 2008 to principal per Article III of Last Will and Testament 3,516.80 05/17/2010 Transfer undistributed income cash balance as of December 31,2009 to principal per Article II I of Last Will and Testament 1,480.42 07/14/2011 Transfer undistributed income cash balance as of December 31,2010 to principal per Article III of Last Will and Testament 566.88 9,184.61 Long-Term Capital Gains Reinvested Federated Mid-Cap FD #151 11/29/2006 32.406 shs @ 22.87 741.13 11/27/2007 89.237 shs @ 21.11 1,883.80 07/31 /2008 26.14 shs @ 19.79 517.31 12/10/2008 17.365 shs @ 12.27 213.07 Federated Mini-Cap Institution #149 11/29/2006 65.674 shs @ 16.05 1,054.06 11/27/2007 49.867 shs @ 14.11 703.63 12/10/2008 61.882 shs @ 8.13 503.10 Federated Stock Trust FD #019 11 /29/2006 53.731 shs @ 30.86 1,658.13 11 /27/2007 83.777 shs @ 25.22 2,112.86 Vanguard International GR #81 12/29/2005 2.571 shs @ 21.16 54.41 12/21 /2006 15.652 shs @ 23.65 370.17 12/18/2007 17.876 shs @ 24.08 430.46 12/17/2008 35.58 shs @ 12.19 433.72 Vanguard Wellesley Income FD #027 12/19/2006 24.247 shs @ 21.84 529.56 12/14/2007 10.238 shs @ 21.66 221.75 12/17/2008 15.34 shs @ 18.20 279.19 Vanguard Short Term Bond Index Fund 132 04/01 /2010 .082 shs @ 10.49 0.86 12/27/2010 .519 shs @ 10.54 5.47 Vanguard Short Term Investment Grade Fund 39 12/31/2010 .405 shs@ 10.77 4.36 11,717.04 2 PRINCIPAL RECEIPTS Short-Term Capital Gains Reinvested Vanguard Short Term Bond Index Fund 132 12/24/2009 .018 Shs @ 10.56 0.19 04/01/2010 .061 Shs @ 10.49 0.64 12/27/2010 .28 Shs @ 10.54 2.95 3.78 Total Principal Receipts: 143,787.17 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS 01/30/2004 Sold - 3453 Green St. Camp Hill, PA Sale Proceeds 98,000.00 Fiduciary Acquisition Value 104,394.00 04/14/2008 Sold 41.841 shares Federated Stock Trust FD 019 Sale Proceeds 1,000.00 Fiduciary Acquisition Value 1,503.35 04/30/2008 Sold - 199.362 shares Federated Stock Trust FD 019 Sale Proceeds 5,000.00 Fiduciary Acquisition Value 7,163.07 05/20/2009 Sold 937.344 shares Federated Mid-Cap FD 151 Sale Proceeds 12,841.61 Fiduciary Acquisition Value 19,124.21 05/20/2009 Sold 755.431 shares Federated Mini-Cap Instl 149 Sale Proceeds 6,421.16 Fiduciary Acquisition Value 10,602.33 05/20/2009 Sold - 300.373 shares Federated Stock Trust FD 019 Sale Proceeds 5,226.49 Fiduciary Acquisition Value 9,338.18 05/20/2009 Sold 141.203 shares Vanguard 500 Index FD 40 Sale Proceeds 11,786.21 Fiduciary Acquisition Value 15,000.00 05/20/2009 Sold 515.891 Shares Vanguard International GR 81 Sale Proceeds 7,047.07 Fiduciary Acquisition Value 10,288.76 05/20/2009 Sold 1,523.98 shares Federated Income Trust FD 36 Sale Proceeds 16,138.95 Fiduciary Acquisition Value 16,000.00 Sold 1,530.726 shares Vanguard Total Bond Market 05/20/2009 Index FD 84 Sale Proceeds 15,582.79 Fiduciary Acquisition Value 16,000.00 Sold 885.092 shares Vanguard Wellesley Income FD 05/20/2009 027 Sale Proceeds 16,073.27 Fiduciary Acquisition Value 19,030.50 Sold 1.688 shares Vanguard Small Cap Growth Index 07/16/2009 Fund 861 Sale Proceeds 23.26 Fiduciary Acquisition Value 21.27 Sold 20.485 shares Vanguard Small Cap Growth Index 01/13/2010 Fund 861 Sale Proceeds 356.64 Fiduciary Acquisition Value 258.11 Gain Loss $ (6,394.00) (503.35) (2,163.07) (6,282.60) (4,181.17) (4,111.69) (3,213.79) (3,241.69) 138.95 (417.21) (2,957.23) 1.99 98.53 4 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS Gain Loss Sold 64.642 shares JPMorgan Val Adv Select Fund 01 /13/2010 1399 Sale Proceeds 1,020.70 Fiduciary Acquisition Value 749.20 $ 271.50 01/13/2010 Sold 10.54 shares Heartland Value Plus Inst Sale Proceeds 254.76 Fiduciary Acquisition Value 194.78 59.98 01/13/2010 Sold 44.596 shares Hartford Midcap Y 229 Sale Proceeds 899.05 Fiduciary Acquisition Value 686.33 212.72 01/13/2010 Sold 79.034 shares Hartford Dividend ~ Growth Y 225 Sale Proceeds 1,411.54 Fiduciary Acquisition Value 1,123.86 287.68 Sold 71.624 shares Federated Total Retum Bond Fund 01 /13/2010 328 Sale Proceeds 785.00 Fiduciary Acquisition Value 747.04 37.96 01/13/2010 Sold 35.883 shares American Funds Growth Fund F2 Sale Proceeds 1,003.64 Fiduciary Acquisition Value 794.45 209.19 Sold 11.895 shares Vanguard Short Term Investment 07/13/2010 Grade Fund 39 Sale Proceeds 127.63 Fiduciary Acquisition Value 120.02 7.61 07/13/2010 Sold 4.194 shares Vanguard Short Term Bond Index Sale Proceeds 44.41 Fiduciary Acquisition Value 43.32 1.09 07/13/2010 Sold 55.498 shares PIMCO Total Retum Fund 35 Sale Proceeds 624.35 Fiduciary Acquisition Value 578.29 46.06 07/13/2010 Sold 4.006 shares JPMorgan Val Adv Select Fund 1399 Sale Proceeds 64.25 Fiduciary Acquisition Value 46.43 17.82 07/13/2010 Sold 2.272 sharesHeartland Value Plus Inst Sale Proceeds 58.42 Fiduciary Acquisition Value 41.99 14.43 07/13/2010 Sold 2.702 shares Hartford Midcap Y 229 Sale Proceeds 55.26 Fiduciary Acquisition Value 41.58 13.68 07/13/2010 Sold 33.536 shares Federated Total Return Bond Fund Sale Proceeds 373.59 Fiduciary Acquisition Value 349.78 23.81 01/18/2011 Sold 11.696 shares Thornburg International Value 1209 Sale Proceeds 340.95 Fiduciary Acquisition Value 244.10 96.85 5 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS Gain Loss 01/18/2011 Sold 13.574 shares PIMCO Total Return Fund 35 Sale Proceeds 147.41 Fiduciary Acquisition Value 141.44 $ 5.97 01/18/2011 Sold 8.849 shares Hartford Dividend 8~ Growth Y 225 Sale Proceeds 175.39 Fiduciary Acquisition Value 125.83 49.56 01/18/2011 Sold 62.973 shares Federated Total Retum Bond Fund Sale Proceeds 701.52 Fiduciary Acquisition Value 656.81 44.71 01/18/2011 Sold 5.031 shares Vanguard Small Cap Growth Index Sale Proceeds 114.51 Fiduciary Acquisition Value 63.39 51.12 01/18/2011 Sold 5.521 shares Harbor International Fund 011 Sale Proceeds 342.38 Fiduciary Acquisition Value 234.31 108.07 01/18/2011 Sold 9.465 shares American Funds Growth Fund F2 605 Sale Proceeds 295.60 Fiduciary Acquisition Value 209.56 86.04 Sold 806.295 shares Vanguard Short Term Investment 02/11/2011 Grade Fund 39 Sale Proceeds 8,659.61 Fiduciary Acquisition Value 8,340.92 318.69 Sold 234.969 shares Vanguard Short Term Bond Index 02/11/2011 Fund 1349 Sale Proceeds 2,462.48 Fiduciary Acquisition Value 2,436.66 25.82 02/11/2011 Sold 149.865 shares Thornburg International Value 1209 Sale Proceeds 4,388.05 Fiduciary Acquisition Value 3,237.62 1,150.43 02/11/2011 Sold 1,370.766 shares PIMCO Total Retum Fund 35 Sale Proceeds 14,763.15 Fiduciary Acquisition Value 14,351.77 411.38 Sold 267.547 shares JPMorgan Val Adv Select Fund 02/11 /2011 1399 Sale Proceeds 5,096.77 Fiduciary Acquisition Value 3,520.42 1,576.35 02/11/2011 Sold 143.037 shares Heartland Value Plus Inst Sale Proceeds 4,429.86 Fiduciary Acquisition Value 2,698.93 1,730.93 02/11 /2011 Sold 200.623 shares Sale Proceeds 5,164.04 Fiduciary Acquisition Value 3.436.40 1, 727.64 6 GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS Gain Loss Sold 1,319.645 shares Hartford Dividend 8~ Growth Y 02/11 /2011 225 Sale Proceeds 26,854.78 Fiduciary Acquisition Value 18,960.57 $ 7,894.21 Sold 1,335.045 shares Federated Total Return Bond 02/11/2011 Fund 328 Sale Proceeds 14,752.25 Fiduciary Acquisition Value 13,932.10 820.15 02/11/2011 Sold 191.378 shares Vanguard Small Cap Growth Index Sale Proceeds 4,505.04 Fiduciary Acquisition Value 2,411.36 2,093.68 02/11/2011 Sold 70.477 shares Harbor International Fund 011 Sale Proceeds 4,373.80 Fiduciary Acquisition Value 3,091.02 1,282.78 Sold 837.668 shares American Funds Growth Fund F2 02/11 /2011 605 Sale Proceeds 26,646.22 Fiduciary Acquisition Value 18,734.85 7,911.37 Totals $ 28,828.75 $ (:13,465.80 Net Loss Transferred to Summary $ (4,637.05) 7 PRINCIPAL DISBURSEMENTS 3453 GREEN STREET, CAMP HILL, PA 11 /26/2003 L. G. Conners RE Appraisers, LTD $ 300.00 04/23/2003 Real Estate Tax 421.22 08/25/2003 Real Estate Tax 1,175.05 04/09/2002 Real Estate Tax 421.22 08/27/2002 Real Estate Tax 1,097.18 01/14/2004 Administrative hourly fee for sale of property 408.55 01 /30/2004 Transfer Tax, Notary & Fee for settlement of 3453 Green Street 986.00 01 /30/2004 Repair Expense paid at settlement 250.00 01/30/2004 County Tax paid at settlement 33.38 02/10/2004 Betsy Ferrari, Maintenance Expense 65.00 ~i,157.60 ADMINISTRATIVE EXPENSES 02/09/2004 Johnson Duffie, Legal Fees $ 175.00 03/08/2011 Fee to receive certified copy of Lovell's death certificate from Gwinnett County, Georgia 25.00 200.00 FEDERAL AND STATE TAXES United States Treasury, Estimated Federal Fiduciary Income Tax 04/17/2007 $ 15.00 06/15/2007 15.00 09/14/2007 15.00 12/20/2007 16.00 04/15/2008 168.00 06/13/2008 168.00 09/15/2008 168.00 12/15/2008 169.00 734.00 United States Treasury, Balance Due on Federal Fiduciary Income Tax 04/17/2007 $ 60.00 04/15/2008 611.00 671.00 8 PRINCIPAL DISBURSEMENTS PA Department of Revenue, Estimated State Fiduciary Income Tax 04/17/2007 $ 34.00 06/15/2007 34.00 09/14/2007 34.00 12/20/2007 34.00 04/15/2008 43.00 06/13/2008 43.00 09/15/2008 43.00 12/15/2008 43.00 04/10/2009 15.00 06/10/2009 15.00 09/10!2009 15.00 12/10/2009 15.00 09/14/2010 1.00 369.00 PA Department of Revenue, Balance Due on State Fiduciary Income Tax 04/17/2007 $ 52.00 04/15/2008 26.00 04/11 /2011 49.00 127.00 FEES AND COMMISSIONS Community Trust Company/Farmers & Merchants Trust Company, Fiduciary Tax Prep Fee 04/01 /2002 $ 140.00 04/30/2003 250.00 04/29/2004 250.00 05/10/2005 275.00 03/14/2006 275.00 03/29/2007 300.00 04/10/2008 300.00 09/29/2009 300.00 05/20/2010 300.00 04/26/2011 300.00 2,690.00 9 PRtNCiPAL DISBURSEMENTS Community Trust Company, Adminsitration Fees 10/11 /2001 11 /13/2001 12/14/2001 01 /22/2002 02/21 /2002 03/15/2002 04/11 /2002 05/15/2002 06/18/2002 07/22/2002 08/19/2002 09/11 /2002 10/15/2002 11 /18/2002 12/17/2002 01 /15/2003 02/14/2003 03/13/2003 04/11 /2003 05/13/2003 06/11 /2003 07/14/2003 08/13/2003 09/15/2003 11 /12/2003 12/12/2003 01 /12/2004 $ 62.50 62.50 62.50 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 125.00 3,187.50 RESERVE FINAL CLOSING COSTS 1,500.00 TOTAL PRINCIPAL DISBURSEMENTS: $ 14,636.10 PRINCIPAL BALANCE ON FIAND $ 124,514.02 10 PRINCIPAL INVESTMENTS MADE Federated Stock Trust FD #19 03/08/2004 333.983 shs @ 35.93 $ 12,000.00 12/15/2005 70.085 shs @ 31.87 2,233.61 Federated Income Trust FD #36 03/08/2004 1126.761 shs @ 10.65 12,000.00 08/08/2006 397.219 shs @ 10.07 4,000.00 Federated Mid-Cap FD #151 03/08/2.004 738.189 shs @ 20.32 15,000.00 12/15/2005 34.007 shs @ 22.61 768.90 Federated Mini-Cap Institutional #149 03/08/2004 556.715 shs @ 14.37 8,000.00 12/15/2005 21.293 shs @ 16.04 341.54 Federated Total Retum Bond Fund 328 05/21 /2009 1408.313 @ 10.43 14,688.70 07/16/2009 94.865 @ 10.51 997.03 Vanguard International GR #81 03/09/2004 233.508 shs @ 17.13 4,000.00 04/30/2008 210.704 shs @ 23.73 5,000.00 Vanguard Total Bond Market FD #84 03/09/2004 1235.741 Shs @ 10.52 13,000.00 05/27/2008 294.985 shs @ 10.17 3,000.00 Vanguard Wellesley Income FD #027 03/09/2004 835.267 shs @ 21.55 18,000.00 Vanguard 500 Index FD #40 03/09/2004 141.203 shs @ 106.23 15,000.00 Vanguard Small Cap Growth Index Fund #861 05/21/2009 218.582 @ 13.07 2,754.13 Vanguard Short Term Investment Grade Fund #39 05/21 /2009 454.928 @ 10.08 4, 590.22 07/16/2009 24.009 @ 10.29 247.29 01/13/2010 259.342 @ 10.64 2,761.99 01 /18/2011 79.506 @ 10.78 857.08 Vanguard Short Term Bond Index Fund #1349 01 /18/2011 23.889 @ 10.56 252.27 Vanguard Short Term Bond Index Fund #132 05/21 /2009 177.743 @ 10.33 1,836.09 07/16/2009 12.539 @ 10.36 129.90 01 !13/2010 24.032 @ 10.47 251.61 11 PRINCIPAL INVESTMENTS MADE Thornburg International Value I #209 05/21 /2009 131.966 @ 20.87 $ 2,754.13 07/16/2009 5.731 @ 21.57 123.61 01 /13/2010 13.446 @ 25.99 349.47 07/13/2010 10.418 @ 24.43 254.51 PIMCO Total Return Fund #35 05/21/2009 1233.459 @ 10.42 12,852.61 07/16/2009 81.830 @ 10.51 860.03 01 /13/2010 124.552 @ 10.91 1,358.86 JPMorgan Val Adv Select Fund #1399 05/21/2009 237.630 @ 11.59 2,754.13 07/16/2009 43.039 @ 12.32 530.24 01 /18/2011 55.526 @ 18.58 1,031.68 Heartland Value Plus Inst. 05/21/2009 149.033 @ 18.48 2,754.13 07/16/2009 2.451 @ 19.78 48.48 01 /18/2011 4.365 @ 30.49 133.09 Hartford Midcap Y 229 05/21/2009 187.956 @ 15.39 2,754.13 07/16/2009 35.335 @ 16.22 573.13 01 /18/2011 33.630 @ 24.89 837.05 Hartford Dividend & Growth Y 225 05/21/2009 1291.201 @ 14.22 18,360.87 07/16/2009 56.994 @ 14.72 838.95 07/13/2010 59.333 @ 17.03 1,010.44 Harbor International Fund 011 05/21 /2009 64.895. @ 42.44 2, 754.13 07/16/2009 2.449 @ 44.07 107.94 01 /13/2010 2.672 @ 56.52 151.02 07/13/2010 5.982 @ 52.20 312.24 American Funds Growth Fund F2 605 05/21 /2009 829.308 @ 22.14 18,360.88 07/16/2009 16.894 @ 23.44 396.16 07/13/2010 36.814 @ 26.67 981.82 12 PRINCIPAL INVESTMENTS MADE Miscellaneous 10/20/2003 Receipt of Key to 3453 03/22/2004 Transfer out of Key to Vanguard Short Term Bond Index FD #132 01 /12/2011 Share class change $ (5.47) 01 /12/2011 Share class Change (2.95) 01/12/2011 Share class change (0.86) 01 /12/2011 Share class change (0.64) 01 /12/2011 Share class change (251.61) 01/12/2011 Share class change (0.19) 01/12/2011 Share class change (129.90) 01/12/2011 Share class change (1,792.77) Vanguard Short Term Bond Index Fund 1349 01/12/2011 Share class change $ 5.47 01 /12/2011 Share class Change 2.95 01 /12/2011 Share class change 0.86 01 /12/2011 Share class change 0.64 01 /12/2011 Share class change 251.61 01 /12/2011 Share class change 0.19 01 /12/2011 Share class change 129.90 01/12/2011 Share class change 1,792.77 (2,184.39) 2.184.39 Total: $ 214,954.09 13 RECEIPTS OF INCOME Interest Commerce Bank 09/30/2001 10/31 /2001 11 /30/2001 12/31 /2001 01 /31 /2002 02/28/2002 03/31 /2002 04/30/2002 05/31 /2002 06/30/2002 07/31 /2002 08/31 /2002 Federated Prime Obligation 10 02/02/2009 03/02/2009 04/01 /2009 05/01 /2009 06/01 /2009 07/01 /2009 08/03/2009 09/01 /2009 10/01 /2009 11 /02/2009 12/01 /2009 01 /04/2010 02/01 /2010 03/01 /2010 04/01 /2010 05/03/2010 06/01 /2010 07/01 /2010 08/02/2010 09/01 /2010 10/01 /2010 11/01/2010 12/01 /2010 01 /03/2011 02/01 /2011 03/01 /2011 04/01 /2011 05/02/2011 06/01 /2011 07/01 /2011 5.09 7.49 5.02 3.18 1.10 0.31 0.31 0.16 0.11 0.11 0.15 0.43 5.20 3.86 3.43 3.03 5.39 4.28 2.51 1.21 0.92 0.79 0.61 0.56 0.50 0.44 0.51 0.66 0.85 1.04 1.08 0.99 0.85 0.82 0.75 0.81 0.83 9.08 17.46 13.76 12.24 9.94 104.4CI Totallnterest: $ 127.86 $ 23.4E- 14 RECEIPTS OF INCOME Dividends Federated Mid-Cap FD 151 03/25/2004 06/25/2004 09/27/2004 12/28/2004 03/28/2005 06/27/2005 09/27/2005 12/28/2005 03/27/2006 06/27/2006 09/26/2006 12/27/2006 03/27/2007 06/26/2007 09/24/2007 12/26/2007 03/25/2008 06/25/2008 09/25/2008 12/29/2008 Federated Mini-Cap Inst FD 149 12/28/2004 12/28/2005 12/27/2006 12/26/2007 12/29/2008 Federated Stock Trust FD 019 03/25/2004 06/25/2004 09/27/2004 12/28/2004 03/28/2005 06/27/2005 09/27/2005 12/28/2005 03/27/2006 06/27/2006 09/26!2006 12/27/2006 03/27/2007 06/26/2007 09/24/2007 12/26/2007 03/25/2008 06/25/2008 19.93 22.88 25.84 33.22 32.48 32.48 39.12 76.45 55.60 55.60 55.60 80.46 68.39 82.87 53.10 53.63 48.27 46.48 51.52 84.36 1,018.28 $ 10.69 17.92 70.81 74.90 64.97 239.29 32.73 32.73 36.07 50.10 37.74 37.74 37.74 51.72 35.15 28.28 32.73 66.38 41.20 46.24 44.59 43.33 36.83 21.03 15 09/25/2008 12/29/2008 03/26/2009 Federated Gov't Obligations FD 395 01 /31 /2002 02/28/2002 03/31 /2002 04/30/2002 05/31 /2002 06/30/2002 07/31 /2002 08/31 /2002 09/30/2002 10/31 /2002 11 /30/2002 12/31 /2002 01 /31 /2003 02/28/2003 03/31 /2003 04/30/2003 05/31 /2003 06/30/2003 07/31 /2003 08/31 /2003 09/30/2003 10/31 /2003 11 /30/2003 12/31 /2003 01 /31 /2004 02/29/2004 03/31 /2004 04/30/2004 04/30/2004 05/31 /2004 06/30/2004 07/31 /2004 08/31 /2004 09/30/2004 10/31 /2004 11 /30/2004 12/31 /2004 01 /31 /2005 02/28/2005 03/31 !2005 04/30/2005 05/31 /2005 06/30/2005 07/31 /2005 08/31 /2005 09/30/2005 10/31 /2005 11 /30/2005 12/31 /2005 RECEIPTS OF INCOME 24.03 48.06 35.14 16 11.46 13.25 14.57 13.88 14.21 13.82 13.85 12.52 11.17 11.51 9.08 8.34 7.85 6.69 6.97 6.15 5.80 5.20 4.30 4.02 3.32 3.44 3.27 3.21 3.17 48.86 10.88 2.01 0.46 2.42 2.54 3.45 4.09 4.49 5.46 5.94 7.94 9.19 9.23 10.99 11.80 12.71 12.66 14.46 15.59 15.90 18.11 19.70 26.37 819.56 RECEIPTS OF INCOME 01 /31 /2006 22.16 02/28/2006 20.95 03/31 /2006 23.28 04/30/2006 23.76 05/31 /2006 25.04 06/30/2006 26.36 07/31 /2006 31.07 08/31 /2006 16.38 09/30/2006 14.48 10/31 /2006 16.18 11 /30/2006 15.75 12/31 /2006 17.96 01 /31 /2007 20.17 02/28/2007 18.28 03/30/2007 20.40 04/30/2007 19.25 05/31 /2007 19.13 06/29/2007 18.58 07/31 /2007 20.47 08/31 /2007 20.33 09/28/2007 19.36 10/31 /2007 20.21 11 /30/2007 18.73 12/31 /2007 21.32 01 /31 /2008 21.07 02/29/2008 15.52 03/31 /2008 14.39 04/30/2008 11.56 05/30/2008 9.90 06/30/2008 5.22 07/31 /2008 5.73 08/29/2008 5.82 09/30/2008 5.57 10/31 /2008 ~ 4.65 11 !28/2008 3.34 12/31 /2008 2.58 Federated Inc Trust FD 36 03/31 /2004 $ 35.73 04/30/2004 42.97 05/31 /2004 42.19 06/30/2004 42.10 07/31 /2004 44.83 08/31 /2004 45.81 09/30/2004 43.66 10/31 /2004 45.20 11 /30/2004 43.81 12/31 /2004 43.39 01 /31 /2005 45.13 02/28/2005 45.44 03/31 /2005 44.88 04/30/2005 44.43 05/31 /2005 45.45 06/30/2005 45.66 1,081.25 17 RECEIPTS OF INCOME 07/31 /2005 45.52 08/31 /2005 46.63 09/30/2005 45.22 10/31 /2005 44.90 11 /30/2005 46.83 12/31 /2005 46.45 01 /31 /2006 46.15 02/28/2006 47.17 03/31 /2006 46.99 04/30/2006 46.77 05/31 /2006 48.23 06/30/2006 48.71 07/31 /2006 50.90 08/31 /2006 65.78 09/30/2006 67.80 10/31 /2006 67.14 11 /30/2006 68.23 12/29/2006 69.27 01 /31 /2007 66.44 02/28/2007 67.23 03/30/2007 68.96 04/30/2007 67.05 05/31 /2007 67.50 06/29/2007 66.72 07/31 /2007 67.83 08/31 /2007 69.55 09/28/2007 69.44 10/31 /2007 66.53 11 /30/2007 67.09 12/31 /2007 68.41 01 /31 /2008 65.27 02/29/2008 62.51 03/31 /2008 63.05 04/30/2008 62.30 06/02/2008 62.88 07/01 /2008 63.89 07/31 /2008 65.23 08/29/2008 66.46 09/30/2008 66.71 10/31 /2008 65.22 11 /28/2008 65.06 12/31 /2008 58.55 Vanguard International Growth FD 81 12/17/2004 $ 12/29/2005 12/19/2006 12/17/2007 12/17/2008 73.56 86.40 125.12 132.91 269.93 3,229.25 687.92 18 Vanguard 500 Index FD 40 03/26/2004 06/25/2004 09/24/2004 12/23/2004 03/23/2005 06/24/2005 09/23/2005 12/29/2005 03/17/2006 06/23/2006 09/22/2006 12/26/2006 03/23/2007 06/22/2007 09/21 /2007 12/21 /2007 03/31 /2008 06/27/2008 09/25/2008 12/30/2008 03/27/2009 Vanguard Prime MM FD 30 03/31 /2004 Vanguard Total Bond Mkt FD 84 03/31 /2004 04/30/2004 05/28/2004 06/30/2004 07/30/2004 08/31 /2004 09/30/2004 10/29/2004 11 /30/2004 12/31 /2004 01 /31 /2005 02/28/2005 03/31 /2005 04/29/2005 05/31 /2005 06/30/2005 07/29/2005 08/31 /2005 09/30/2005 10/31 /2005 11 /30/2005 12/30/2005 01 /31 /2006 RECEIPTS OF INCOME 50.83 49.42 57.89 117.20 60.72 59.31 74.84 84.72 69.19 67.78 73.43 91.78 77.66 80.49 87.55 105.90 84.72 80.49 89.66 98.84 74.55 19 34.85 45.15 45.34 44.84 45.88 45.91 45.25 45.96 45.40 46.57 45.98 43.83 46.65 45.68 46.41 45.46 46.62 46.69 45.87 47.15 46.70 48.28 48.45 1,636.97 4.07 RECEIPTS OF INCOME 02/28/2oos 03/31 /2006 04/28/2006 05/31 /2006 06/30/2006 07/31 /2006 08/31 /2006 09/29/2006 10/31 /2006 11 /30/2006 12/29/2006 01 /31 /2007 02/28/2007 03/30/2007 04/30/2007 05/31 /2007 06/29/2007 07/31 /2007 08/31 /2007 09/30/2007 10/31 /2007 11 /30/2007 12/31 /2007 01 /31 /2008 02/29/2008 03/31 /2008 04/30/2008 05/30/2008 07/02/2008 07/31 /2008 08/29/2008 09/30/2008 10/31 /2008 11 /30/2008 12/31 /2008 02/02/2009 03/02/2009 04/01 /2009 05/01 /2009 06/01 /2009 46.30 49.53 48.84 50.33 49.61 50.74 51.01 50.24 51.44 50.62 51.91 51.67 48.84 52.19 50.92 52.16 51.41 52.37 52.31 51.48 52.47 51.37 51.96 51.42 48.81 50.00 48.32 51.15 60.29 61.31 61.08 60.35 61.04 59.38 59.11 59.84 57.24 58.01 55.17 35.43 3,156.59 20 RECEIPTS OF INCOME Vanguard Wellesley Inc FD 027 03/26/2004 06/25/2004 09/24/2004 12/17/2004 03/23/2005 06/24/2005 09/23/2005 12/16/2005 03/24/2006 06/23/2006 09/22/2006 12/15/2006 03/23/2007 06/22/2007 09/21 /2007 12/14/2007 03/31 /2008 06/27/2008 09/25/2008 12/17/2008 03/27/2009 Vanguard Sm Cap Growth Indx FD 861 12/24/2009 12/27/2010 Vanguard Short Term Invest Grade FD 39 06/01 /2009 07/01 /2009 08/03/2009 09/01 /2009 10/01 /2009 11 /02/2009 12/01 /2009 01 /04/2010 02/01 /2010 03/01 /2010 04/01 /2010 05/03/2010 06/01 /2010 07/01 /2010 08/02/2010 09/01 /2010 10/01 /2010 11/01/2010 12/01 /2010 01 /03/2011 02/01 /2011 03/01 /2011 $ 150.35 175.42 175.42 200.46 158:70 175.41 179.58 211.32 167.05 183.76 192.11 222.18 171.90 197.69 197.69 240.66 200.04 219.18 208.74 229.61 206.23 4,063.50 $ 10.19 14.93 25.12 $ 5.22 15.66 16.21 15.82 14.81 15.72 14.81 15.20 20.17 21.17 23.25 22.67 23.18 22.30 22.55 21.95 21.26 21.51 20.10 20.25 21.21 9.17 404.19 21 Vanguard Short Term Bond indx FD 1349 02/01 /2011 03/01 /2011 Vanguard Short Term Bnd Indx FD 132 06/01 /2009 07/01 /2009 08/03/2009 09/01 /2009 10/01 /2009 11 /02/2009 12/01 /2009 01 /04/2010 02/01 /2010 03/01 /2010 04/01 /2010 05/03/2010 06/01 /2010 07/01 /2010 08/02/2010 09/01 /2010 10/01 /2010 11/01/2010 12/01 /2010 01 /03/2011 01 /14/2011 Thornburg Intl Value 1209 06/30/2009 09/29/2009 03/30/2010 06/29/2010 09/28/2010 12/28/2010 PIMCO Total Retum FD 35 06/02/2009 07/02/2009 08/04/2009 09/01 /2009 10/02/2009 11 /02/2009 12/02/2009 01 /05/2010 02/02/2010 03/02/2010 04/05/2010 05/04/2010 06/02/2010 07/02/2010 RECEIPTS OF INCOME $ 2.75 1.85 $ 1.44 4.27 4.48 4.52 4.24 4.27 4.00 4.06 4.30 4.02 4.39 4.23 4.32 4.08 4.08 3.92 3.75 3.84 3.69 3.80 1.34 $ 24.11 9.03 8.00 17.23 14.07 4.85 $ 20.81 64.12 69.65 70.15 66.37 60.67 48.96 45.75 36.92 37.63 39.51 40.69 37.18 41.52 22 4.60 81.04 77.29 08/02/2010 09/02/2010 10/04/2010 11 /02/2010 12/02/2010 01 /04/2011 02/02/2011 03/02/2011 JP Morgan Val Adv Select FD 1399 12/23/2009 12/22/2010 Heartland Value Plus Inst 07/01 /2009 10/01 /2009 01 /04/2010 04/01 /2010 01 /03/2011 Hartford Dividend & Growth Y 225 06/29/2009 09/29/2009 12/24/2009 03/30/2010 06/29/2010 09/29/2010 12/27/2010 Harbor Intl FD 011 12/22/2009 12/21 /2010 Federated Total Retum Bnd FD 328 06/02/2009 07/02/2009 08/04/2009 09/02/2009 10!02/2009 11 /02/2009 12/02/2009 01 /05/2010 02/02/2010 03/02/2010 04/05/2010 05/04/2010 06/02/2010 07/02/2010 08/02/2010 09/02/2010 RECEIPTS OF INCOME 43.48 39.67 40.74 44.84 46.04 48.82 39.68 19.24 $ 63.34 46.69 $ 3.40 4.05 14.19 6.44 19.24 $ 104.57 89.27 120.14 96.38 98.31 104.85 117.01 $ 47.47 66.25 $ 19.43 60.72 63.29 65.52 63.06 61.41 63.01 62.08 60.66 60.32 59.76 58.45 59.03 59.43 58.17 57.09 23 1,002.44 110.03 47.32 730.53 113.72 10/04/2010 11 /02/2010 12/02/2010 01 /04/2011 02/02/2011 03/02/2011 Federated Mid-Cap FD 151 03/26/2009 Federated Income Trust FD 36 02/03/2009 03/03/2009 04/02/2009 05/04/2009 06/02/2009 American Fds Growth FD F2 605 12/23/2009 12/23/2010 Short_Term Capital Gains Federated Mid-Cap FD 151 11 /26/2004 11 /25/2005 11 /28/2006 11 /27/2007 Federated Mini-Cap Inst FD 149 11 /28/2006 11 /27/2007 Federated Stock Trust FD 019 11 /25/2005 11 /28/2006 11 /27/2007 Federated Total Retum Bond FD 328 01 /03/2011 RECEIPTS OF INCOME 56.69 56.26 56.10 70.55 54.45 23.72 1,249.20 48.7~I• $ 55.64 60.65 61.61 59.74 39.02 276.66 $ 248.44 271.17 519.61 - Total Dividends: $20,627.17 $ 82.60 86.07 78.86 109.27 356.80 $ 89.36 82.96 172.32 $ 254.86 20.37 349.96 625.19 9.69 24 RECEIPTS OF INCOME Vanguard International Growth FD 81 12/29/2005 12/19/2006 12/17/2007 Vanguard Wellesley Income FD 027 12/16/2005 12/15/2006 PIMCO Total Return Fund 35 12/11 /2009 12/10/2010 $ 19.15 110.48 126.87 256.50 $ 7.52 31.75 39.27 $ 114.29 512.26 626.55 Total ST Capital Gain: $ 2,086.32 Miscellaneous Income 06/14/2004 State Income Tax Refund $ 3.00 Lovell Peterson, check issued 06/15/2006 on 12/28/05 not cashed 750.00 05/18/2009 PA state tax refund 2008 22.00 05/26/2009 Federal 2008 fiduciary tax refund. 239.00 Total Miscellaneous Income: 1,014.00 Total Income Receipts: $ 23,855.35 25 INCOME DISBURSEMENTS MISCELLANEOUS DISBURSEMENTS 04/05/2005 UPS Shipping Charge $ 10.37 CTC hourly admin fee for sale of 02/18/2004 3453 Green Street. 679.09 $ 689.46 FEES AND COMMISSIONS Community Trust Company/Farmers & Merchants Trust Company, Administration Fees 10/17/2003 $ 125.00 02/12/2004 125.00 03/10/2004 125.00 04/14/2004 125.00 05!13/2004 125.00 06/14/2004 125.00 07/13/2004 125.00 08/10/2004 125.00 09/13/2004 125.00 10/13/2004 125.00 11 /10/2004 125.00 12/10/2004 125.00 01 /12/2005 125.00 02/10/2005 125.00 03/10/2005 125.00 04/11 /2005 125.00 05/10/2005 125.00 06/10/2005 125.00 07/08/2005 125.00 08/08/2005 125.00 09/09/2005 125.00 10/11 /2005 125.00 11 /08/2005 125.00 12/08/2005 125.00 01 /09/2006 125.00 02/07/2006 125.00 03/07/2006 125.00 04/06/2006 .125.00 05/09/2006 125.00 06/08/2006 125.00 07/07/2006 125.00 08/07/2006 125.00 09/08/2006 125.00 10/06/2006 125.32 11 /06/2006 128.02 12/07/2006 129.92 01 /09/2007 130.45 02/08/2007 131.66 03/09/2007 131.34 04/09/2007 ~ 131.87 05/09/2007 134.18 06/07/2007 136.57 07/09/2007 135.02 08/07/2007 132.06 09/07/2007 133.26 26 INCOME DISBURSEMENTS 10/09/2007 135.52 11 /06/2007 137.28 12/07/2007 134.23 01 /10/2008 133.85 02/08/2008 129.75 03/12/2008 128.22 04/11 /2008 127.81 05/09/2008 129.92 06/09/2008 131.37 07/14/2008 125.40 08/08/2008 125.00 09/08/2008 125.59 10/09/2008 125.00 11 /06/2008 125.00 12/05/2008 125.00 01 /26/2009 125.00 02/23/2009 125.00 03/25/2009 125.00 04/27/2009 125.00 05/26/2009 125.00 06/25/2009 125.00 07/28/2009 125.00 08/25/2009 125.00 09/25/2009 125.00 10/26/2009 125.00 11 /25/2009 125.00 12/28/2009 125.00 01 /26/2010 125.00 02/24/2010 125.00 03/26/2010 126.79 04/27/2010 129.74 05/25/2010 125.00 06/25/2010 125.00 07/27/2010 125.51 08/26/2010 125.00 09/27/2010 128.03 10/26/2010 130.87 11 /24/2010 130.23 12/28/2010 134.01 01 /26/2011 135.78 02/24/2011 137.57 03/28/2011 137.48 04/26/2011 137.21 05/25/2011 136.81 06/28/2011 136.69 11,495.33 27 INCOME DISBURSEMENTS FEDERAL AND STATE TAXES United States Treasury, Estimated Federal Fiduciary Income Tax 04/17/2007 06/15/2007 09/14/2007 12/20/2007 04/15/2008 06/13/2008 09/15/2008 12/15/2008 United States Treasury, Balance Due on Federal Fiduciary Income Tax 04/17/2007 04/15/2008 04/11 /2011 PA Department of Revenue, Estimated State Fiduciary Income Tax 04/15/2003 04/15/2004 04/15/2005 04/17/2006 06/15/2006 09/14/2006 12/27/2006 04/17/2007 06/15/2007 09/14/2007 12/20/2007 04/15/2008 06/13/2008 09/15/2008 12/15/2008 04/10/2009 06/10/2009 09/10/2009 12/10!2009 04/12/2010 09/14/2010 $ 27.00 27.00 27.00 26.00 60.00 60.00 gyn. nn $ 105.00 132.00 $ 4.00 3.00 52.00 46.00 46.00 46.00 46.00 25.00 25.00 25.00 25.00 29.00 29.00 29.00 29.00 25.00 25.00 25.00 25.00 7.00 28 346.00 280.00 568.00 INCOME DISBURSEMENTS PA Department of Revenue, Balance Due on State Fiduciary Income Tax 04/15/2003 04/15/2005 04/17/2006 04/15/2008 04/11 /2011 $ 3.34 47.65 130.00 18.00 285.99 TRANSFERS TO PRINCIPAL 05/20/2008 Transfer undistributed income cash balance as of December 31, 2004 to principal per Article III of Last Will and Testament 05/20/2008 Transfer undistributed income cash balance as of December 31, 2005 to principal per Article III of Last Will and Testament 05/20/2008 Transfer undistributed income .cash balance as of December 31, 2006 to principal per Article III of Last Will and Testament 05/22/2009 Transfer undistributed income cash balance December 31, 2007 -December 31, 2008 to principal per Article III of Last Will and Testament 05/17/2010 Transfer undistributed income cash balance as of December 31,2009 to principal per Article III of Last Will and Testament 07/14/2011 Transfer undistributed income cash balance as of December 31,2010 to principal per Article III of Last Will and Testament DISBURSEMENTS TO BENEFICIARY 12/28/2005 Lovell Peterson, Income Distribution $ 422.87 740.54 2,457.10 3,516.80 1,480.42 Total Income Disbursements: $ 22,849.39 Total Income Distributions to Beneficiary: $ 750.00 INCOME BALANCE ON HAND COMBINED BALANCE ON HAND $ 255.96 $ 124,769.53 29 PROPOSED DISTRIBUTION TO BENEFICIARIES Per Section III page 2 of the Last Will and Testament OF Helen W. Peterson "Upon the death of my said son, the remaining trust estate shall be distributed to his then living issue per stirpes, and if he has no such issue surviving him, including afterborn issue, then it shall be distributed as follows: A. 50% to the daughter of my deceased husband by a former marriage, Christine Sheppard $ 62,384.99 B. 50% to the Shriners Hospital for Crippled Children, a corporation $ 62, 384.99 TOTAL PROPOSED DISTRIBUTION TO BENEFICIARIES $ 124,769.98 30 \~ G GEORGIA DEATH CERTIFICATE .4.:' A, BIRTH CERTIFICATE NUMBER 1. DECEDENT'S LEGAL FULL NAME (FIRST, MIWLE. LAST) 1a. LAST NAME AT BIRTH (IF r•EMALE) Lovell Leon Peterson, Jr. 3. SOCIAL SECURITY NUM@ER. 4a. AGE (YEARS) 41y: UNDER 1 YEAR 160-38-81.8~3'~ 58 6. BIRTHPLACE (CITY ANO'STA'rE ON F'bRE(GN GUIINTRYa Wichita Falls, Texas 7d. COUNTY OF'R~SIOENCE - Gwinnett 8a. OCCUPATION Grot~n~ Maintenance I,_, . 9. MARITAL STA~rUS Married . ~ Divorced r l Married, but separated X Never Married r.r Widowed ra Unknawn b LL 12 MOTHER'S NAME PRIOR TO FIRST MARRIAGE ~'~~ (FIRST, MIDDLE. LAST) ~w~' Helen Washinger _ _ 14b. RELATIONSHIP TO DECEDENT U,; Niece ~ 15. HISPANIC ORIGIN K No, not SpanishlHispaniGLatino :Yes, Puerto Rican Yes, Mexican, Mexican American, Chicano ' Yes. Cuban ~• •, • :Yes, other Spanish/Hispanicllatino (specify) ,,~: Unknown ' 7a. S'TREET AND NUMBEf2 OF RESIDENCE 3771 Old Bridge Way 7e. STAT~OF RESIDENCE 7f. COUNTRY Georgia USA Qb. NATURE OF BUSINESS Maintenance 10. SPOUSE'S NAME (IF 1MFE, GIVk NAME PRIOR 1'U FIRST MARrtIAGE) B. STATE FILE NUMBER 2. SEX. 2a. DATE OF DEATH tMr~;onvrvR) Male February 7, 2011 4C. UNDER 1 OAY 5. DATE OF BIRTH tMU;DAVrvR; HOURS MINUTES May 7, 1952 7b. ZIP CODE 7c. CITY OR TOWN OF RESIDENCE 30096 Duluth 7g. INSIDE CITY LIMITS 6. ARMED FORCES 7A Yea I1 No r.r Unknown r, YesX No n Unknown tic. EMPLOYER Carlisle Barracks 11 FATHER'S NAME (FIRST, MItwLE. LAST) Lovell Leon..Peterson, Sr. .. I 13. DECEDENT'S EDUCATION tHIGrIErT LEVEL) 8th grade or less r.r Barttelor's degree (e.g., BA, AB, BS) r.:l 31h - 121h grade; no diploma r~l Master's degree (e.g., MA, MS, MEng, Med, MSW) xr High school graduate or GEU completed n Doctorate (e. g., FhU, EdD) or professional degree tl Some college credll, but no degree (e.g,. MD, DDS, DvM, LLB, JD) sl ~:sQcial{~ ~iegree.(r..g.: AA A.S) :..: r IJnknown 1 AC. MAILING ADDRESS (STRFF.:T AND NUMBER. CITY, COUNTY, STATE., 71P CODE) 3771 Old Bridge Way Duluth, Gwinnett, Georgia 30096 16. DECEDENT'S RACE 24 White a Black/African American u Japanese t~ Korean u Asian Indian u Vietnamese u Chinese u Native Hawaiian v Filipino t~ GuamanianlChamorro 17a. IF DEATH OCCURRED IN HOSPITAL 17b. IF DEATH OCCURRED OTHER THAN HOSPITAL X Inpatient r ~ Emergency RoomlOutpatient n Oead on Arrival , . I Hospice Facility rl Nursipg, Home/Long Term Care Facility 18. FACILITY NAME 18. FACILITY ADDRESS tsTREET AND NuMBeR, c+TV, srnrE, ztF cooE) Gwinnett Medical Center 3620 Hovuell Ferry Road Duluth, GA 30096 21 METHOD OF DISPOSITION 22. PLACE OF DISPOSITION (rrnMEANOr,AMPLE'iFAOORES81 Burial n Donation LI Removal from State NCS Crematory x Cremation ~ I Entombment ,, Other 500 Harbins Road ~ _ Lilburn, Georgia 30047 a~rao~ ~o Q~~i~d 31 Aron '~gBil a~ o~ piaq uaunn .zadEd a~ uo alq~nnaTn ~j.~uzia~~nn ~eala ~ ~in~ `~uauinaop auk ~o ~C~ilEUt~i.ito uz~guoa o~ put, `i~as pasrr~x. E u~tnn passoqu.><a ssa;ul~ id~aa~ ou oQ •a~n~~~s ~q pa~igiuo~d st ~uaumaop stul~o uot~anpo.zda.>< dud sp~oaa~ IE~Tn ~no~ a~dxa ~~~uno~ ~~auiuu~y~ `~.~ai~ ~xndaQ ueT ; o~sn~.~~uno~ a~~~ ~ ~I~ai~ 8umssI a ~I~ 'f ~a3I~M ~. ~ ,~ i E><~.zoar.~ `aIitna~uaxnn~~ `sp~oaa~ i~in ~~uno~ ~~auuTnnrJ ~Ynn paY~ a~~a~t~a~ q~EaQ atp~o ~doa ~aa.uoa puE aru~ ~ sl' siq~ ~~u~ ~t~zaa o~ st stgZ 14a. INFOFlMANT'S NAMF_ (FIRST, MIDDLE. LAST} Karen Marshall. ~~ Samoan ;~ American Indian/Alaska Native ~:~ Other Asian Other Pacific Islander I~ Other I:~ Unknown cr Decedent's Home ~, Other r r lJnknovm 20. COUNTY OF DEATH Gwinnett 23. DATE OF DISPOSITION tMOmAV/vR) 04f24f1996 16:50 717-737-3407 SAIDIS, GUIDO PAGE 05 . . _.•a~ w HEREBY CERTIFY THE WITHIN .~.. DOCUMENT TO BE A TRUE AND ~~" CORRECT COPY Off" rR'E ORIGINAL ... ~ . __--~- _ Gi~-~.-,.-,.~_ o_ I~S~ ~tII.L AND ~~STA1~E~t'~ 0~ H~Y~~N W. ~ FETERSgN iMOLA. ~5tfli dr B~4xyv ~~ •T7Al.it1 •r 4w ,w a'N....is..~ jr. R~U.~W~YavaY~a sue. Y, HELEN W. PETERSON of the Poraugh of Camp Ha,11, C~xTnberl+s.nd County, PennsyJvax~a.a, declare this to be my Last Wiil and Testanaont, hereby revakxztg any will pretriously made bar me. ~ - Y dixecc the p$yment of a1Z my ~uat debts and funeral ~xpensea out of my estgt~e. as sQan as may be pract~,cal after my death, II w I devise and ~equeach all of my automob~.les and ;, ... . , e11 other articles o£ personal or household use, inelttding but not limited tv household goods,. furniture, ~+ersonal effects, and other tangible personal property, to my san, Lo~crell L. Petsrso~, III -- Z de'+rise and bequeatk~ s11 th+e rest, residue and remainder of my estate of every xtatuze and wheresoever eituake unto my txu~Cee herainafter named, IN TRUST, nevertheless £or the £olloraing uses and puxpases and under the fol~,owring terms ar,d eond~,t~,ons. ~''he £xust she3,1 be ~e~,d for th$ boneflt of my ', said son, Love11 L. Petersat~, for ~.ife. Out of the ineQrne derived ~iy the ~xustee~i it shall pay a,11 the ri~oessary costs ` 1 "• ~' .. Wage I ~ 'd Z005GOGG j G 'OK Xbd S~~ I I~d~S Z~ I ~NdK I d ~ dZ Nid ZZ : Z NOY~ 00-5 -NIll S 04/2Qf1996 16:50 71 7 737-3497 aY70~Mlrs Ai ul`r .ro. .I.aaa• a.a... CYNY •Ia~.P.MN4W.~. N.fr 5 'd SAIDIS, GUIDE ,~ ... •' :Y _ ~. i ~ ~•. ~- wY-111MV'vfN'I~ ~r~ ~i-~~~.Jw' l..r.1#~..L•-r~ ~ F'AG~ 06 jj4 .. a/..1 and expens~a$ of the txuaG ~,ncl+ad~.rtg reasonable colnpensat~.c~n of I the t'rustea. ~y sort shall have rY~e right to withdxaw the iY-corne front tha trust estate at least quarC.erl~t;, a.r-d any income snot ~ca~.thdrawn by Ixim Withft~• sixty (60) days of the e.nd of any calendar yee~r sha~.7. be added to the pxixtc~,pal and no longer be subject G4 wi.thc3,ra~+lta.1. The trustee, at its sole and ~.b8olut~a dis czetidn , may expend front. Cite to Cim.e sums of pxincipa~. which may be necesaaxy for h~.$ support, health and maintenance, incl.ud ing but x~.ot 1i,m~t,e~ '~a hospitalization and med~.c~t7. exPenges . Crpon the death of mar safd sori, the remaining txtsst estate shall be distributed to h9.s then living issue pez st_Lrpes, and if he ` has nb such iasu~~e surviving him, ~,nclv~d~,ng ~gtarboz~n issue. then it sha11 be d,3,atribuGed a~ follc~s~"s ~,. ,~4% t4 the daughter of my deceased husband Ch~^istine shepherd, if living, and if by a format marriage, flat Co her then l.~.viilg issue. 8. 5Q'7~ to the Shtiners Hasp~~.tal. for Crippled Childxezt, a corpoz•a'ti~idn. IV - Y 8ppoint Daupk~in AeposiC ~amk ar~d Trust Corapatxy, Hsrrf,sburg, penx18y1~rania guardian of any proFeYty ~rha.ch passes eiCher under this wi.1~, or oChexw3se to a m~.rtor or ~.ncozupetex~C and with re$pect to w'h~.'ch 1'"am auChor~.zed to appoint a guardian at7.d have roc ot~iezwf.se specifically done ao. such guardian s~ha11 have the power' ~to us.e principal as well as income fxQm tY time to ~3:me fb~'` ' ~~"m~.nor' s support and edu.cati.an (inc~.uding Page 2 ,~ i Z005L~LLtG 'Old Xbd S~~IAd~S 'I~IOId~IdId ~d'I Y~Id OZ~Z KOYd 00-5 -Kfll 9 04l24l19g6 16;50 717-737-34x7 SAIbIS, GUIDO F'AG~ 07 . ;, i •'i .... ...,~...,.._ .. _ cab.. ~..oc~1~•'.: • ~ wf,.~..w,.rr~ are a•.: .... •. .. • • .: .~.~f'-.....+~v+~'%j1~..r rr1~-i r.,",..-~.~..r..:...«.........-r•r~rw.+.r.^..tia..+vaHSwy~ college educatlan, ~ bo~t2'- gxadu~Ce ~arid undergraduate) without regard to lYis ar her paYe'~t's abi~.ity to provide for such support and education, or to tasks payments for these puxposes w~.thput furth+~r respons~,bil.itq to t1C-e mihOZ ar to tk~e m~.nar' s pa~cent or to any •persori taking caxe of the m~,nox . V .- The principll and 3.nCOme of zhe trust hereinabove created skull be brae froth axitici.patidn. assignment, p1.Qdgc or obligation of any benefie~.axy and sha11 not be subject to any execut~.on or attaehX~eYit or to voluntary or ~.nvolwntaxy alier~a- ti.on . Aewor.A.~M~ ~ S~YL RtrYC111a+~~ nT uo p~ M.wYrs ~rall[1 CM-ArrM7arv/ra~~MN norr 'Vx - '~i~e trustee hereinafter n.at-ed ehaZl have the follawin powers and duties ~.n add3.Gian to tk~ose a~.ready vested ;.. it't it by iaw axed other prov3,s ions of this ~rf ~.l A. To retain any ar all of the assets of this trust. r+aa~. ar personal, including its Qwn stock, without regard tQ any prinoiple of div~~sification 'or risk. ~ _ Ta ~~.nve~a t in all forms of ~ property , ~.nc7,uding stack, cOTttlri0lt trust funds grid mo~ctgage irives trnent ~uttds whether operated by it or others, without xestricton to iriVestments authorf~ed for Fennsylvs.nxa f~.d~xciaries, ag it deems propex~ without regard to any principle of di~versi.ficat~.on ox r~.sk. G. To sell a.t public ax private sale, fie exchanges ox to Iease for any pexiod of time, any zeal or personal propext; and to give options for sales,exchanges or 1.easea, for such price$ 8t~d ~xpon such terms 4r e4nditios~g as it deems pxoper. . D . xo allgeate xeceipts and expenses to pr~.n,cipa~, ar incou~e or p$r~~.y t4 sash as it from time tQ tirne thinks p~'Qper in ~.ts stale d~,~•a~cetion. 6~ ~~.~ ~ 9 ,d Z005L~GG IG 'Old X~,~ S~~ I~d~S 'IdI ~14d11I d 'Id`I ~Id ~Z : Z IdOYQ 00-~ -IdI1P 04J2dJ1996 16:50 717-7~7-3407 L S~IDIS, GUII70 Y .. . i . PACaE 08 r{ 1 E. '~o .end to or purchgse from, ~~' executor even tihaugh trustee • may a~:'s o be~y'such 'executor . 1*. mo• ho7,d~'~rop~rty in my name or in i-t$ name without designs~~.~n'~of any• !`id~ciary ogpacity:. or in the name of a nom~.nee Qx° unre~g~ste~~d. Vii ~ Z appoiri. Dauph3.ri Deposit $ank and Trust Com- pany, Harxisbur~. Pennsylvan~.a, Txustee of the trust here~.nabove creaCgd. ' VYYI - Z appoint James '~. Arnold, ~sq. $x~d my son, La~v'el1 L. Paterson, Ccexeeut4ra pf this, mg Last '4~i13, and ~'+estscnent. Should e3.Ghex o~ my saa.d eoexeouto~s fail to qua~.i~y or cease to act as such, then T s.~pof~nt the sa~a.d Dau~.hin Dsgosit $at~k a~'s.d T~'ust Company CO act in Chas capacity. None a~ my personal representatives aha13. be required to post band ~,n th~.s or any ~ur~.sdiat~.c~n. x~i in~IT~tE~S WEi~RE4F, ~ have hereunto set my hand an~i seal on th~.s , tha~ ~ day of ~ ~ JP ~ ~. 1981. {s~t.> e en Q eXSan A11MQ;v.5L1~FS & ~,aYL~ ,-*rou+tY~ at u-y uM M•h1~ ~.•N. ylt Fade 4 G 'd Z005L~GL1G 'ON X~,~ S~~I11d~S 'IdI~Id~KId Zd'I I~Id ~Z:Z IdOI~ 00-5 -NIIP ' g 04f2a/1996 16:50 717-737-3407 sAYDIS, GUZDO PAGE 09 ,}~ S~gr~ed, s~eal~d, puh~~eh~,d .and declared by I~~L~N tel. FET~fZSON, Teszatr3,x zh~rea.ri r~a~e~','~ on this and £oux {4) other sheets of paper as end f~a~, hex ,~a~t tJ~ll and ~es~ament f,an our presence, wt~o in her prese~i~e,~ at' her xegttest and in the prese~Ce o£ f each othe~c, have hereunto subscribed our games as aCCesting i wktnas8es. . ~g~~ ~ a rigs . . , .;,. . , amp A res n,S~xs ~ 79.v~.yl rry ~r uar 1i1 YNM MN[ I~u, hYMr1,..~.M Mew FBg~ ~ 8 .d Z005G~GGIG 'OK X~,~ S~OI~d~S Z~IONdNId Zd~[ Ytiid SZ:Z Id01~ 00-5 -Idllf 84!24/1,996 1:59 717-737-3487 ~~ M~ ~~/11~w~ -+ iti ~ r 6 SAIDIS, GUIDO cor~ONW~AL~H aF ~'~~NI~iSYLV~NIA~ ss. CQUNT`Y' QF ~UMB$~,tLAND) PAGE 1~ ~51~ •~I~~ /. •~~ W~, the unde~s~.g~ed, the testatrix and the witnesses, x-espect~.ve~.~, whose na~ee are s~.gned Co the fasegaing instrument, being first duly sworn, c~4 hereby dee~.are td the unders~.gned suth©r ity that the testatrix signed and executed the in$tr~ent as her Last Wi11 and that she had signed tirillingly (or will~.ngly directed another Cv sign fdr her), and that she executed it as her tree w3.11 and vaiunt~.ry act for the puxpoaes therein expressed, and that e~-ch of ttte witnesses , frti. the presence and hasri.ng of the testatrix signed the wi7.1 2-s w~,tness axti.$ chat to the best of their knowledge the testatrix was at that ti~~me eighteen years of age or older, of sound mind and undea~ na constraint or undue irif luc~nce . ~~X xest,atrix ~~ W~.tne a s ~~ ,. ~~ ~~~tn~s~. subscribed, Sworn to and ac'[rnowl~edged before me by th,e testatrix and subscribed and sw xn to before ~e by batY~ witnesses , this ~~, day a~ 19 $~- .~,a.~.,~....~.,~. - .....r-,~ AfWOL6a ~La~ti ~ $#ry:ti ~trrrRrlrr ~r Lew ^M^ i.uwr -MHr c•.. w~.a.rr,^,vvwr~. ne, o ary.u. c Thrice S. M~av:fM, Ilot~ry Public °~~% ~ON111Mf:K~ Lxgira )ufy S, 19$a GM~1+~' 1. i~A £+tmbedaod L~otiti/ 6 'a Z005G~GG iG 'o~ xd~ S~~ I11~~S Z~I ~NdI~I ~ 'Ids: Yid 5Z : Z l~o~t GO-5 -Nar .~ 04I2d/1995 X6:50 717-737-3407 oz SATbI5, GUIDO PAGE 02 CODYCIL T4 THE LAST' WILIt 1aiND TBS'3'1~1`~NT OF I3El,EN W. PETER$0~ j I, xELEt~ W. PETERSON o~ the F~orough o~ +~amp HiY1., Cumberl~aria Cow~ty, Pennsylvania, decYaz`e this to be the sole codicil tc~ my Last Wild, dated Ja.nuar~,r 7, 1981. ~ ~- T hereblr revoke the appointment of James t~. Arnold, Bsq. as one of the ~oexecutor~ cif my Last WY11 sand Testament in Paragraph VTIT thereof, and appO.itit John E. S1ike. Esquire, to set xn this caps-. citX, along with my eon, l.avall L. Peterson. Should either a~ my said coexecutc~rS fail tQ qualify tar pease to act as st1CYh, then ~ appo~.i~t Aauphir~ D~-posit Bank arid, TrUSt Company to aCt iri this capacity. None of my persona, representatives shah. be x~egu.ixed to post bond in th~.s or any jurisdiction. ZT - Tn a~.l other respects I hereby ratify, Confirm and repub~.i.sh my Last wi~.l dated January ?, 1981, together w~.tt~ this sale codicil as at~d gar my Laet CJi11. TN WZT,~tESS WHEREOF, have hereunto set my hand and seal on this, the day p~ ~ -- - ~,., , 1985. ~ ~' (SEQ.) e en W. Petorson Page 1 ARNQLD k SLIKE~ ~7'rottrvtYS.AT•LnW, l10~ -t+-~{Ri7 s'{'RL+BT. G+ta~ Httl.. Ph 1701 t O I 'd Z005LOLL iL 'Old X~d S~~ I1~~~S 'ICI ~Idb1dI d ZdT i~d 9Z : Z IdOY~ 00-5 - Idnr ,. 04!24/].996 16:50 71'7-7~7-3407 ZZ saz~zs, Gurpo PAGE 03 Signed, pub~,~shed and decYSred on the date thereof by the above-named HELEN W. FETERSQN, SS and for the solo ~odiCi.l ~o hex Last Wi~.l d~-ted January 7, Y981, in the prlssence of us, whQ, at her re~ueSt, in her pxesence, and irk the presence of each other, have hereunto subscribed our nama~ as wi~nesses~hereto. 4 Name Gam HY17. , FA ~lddr~s s Name Lar,d~.sbur FA ~ ress Page 2 ARNOLA ~ SLfKE, xr~pp~;EVSv~T•Ww, tIM MAAxxT3711Ct7'. GwMt k2tx..w I9o1~ i I 'a Z005G~GG iL 'oK xd~ S~~ IA~~S 'IbI ~KdNI ~ 'Id'I Ira GZ : Z Novi 00-5 -~r~r zz X4/24/1996 16:58 717-737-3407 SAZDIS, GUIDO PACE 04 COP'~MCN~EALTH ~~` ~~I+YNSYLVAI~I~x'-) ~$. CgC7rl i ~C O~ CUM$~RLANL~ ) WE, the undersis~necl, the testatrix a,nd the w,itnes9es, respectivel whoso names are signed to the f4xegaing instrument, being first duly swoa:n, do hereby declare to the u ~ a:$i ned t r' tx that tihe testatr sa,gried and executed the ~.nstrum~ri~ ~s~R~~ ~~~o~.'~oand masta~ent and that she signed wil].it~g,Iy (oz willingly directed another to sign fox' her), and that she executed it as her free trill and volunt~x'~ act for the puxposes there~.n expressed, and that each of the tritnesaes, ' n the presence and hearing of the t~statxa.x signed the will as witnesses anc that to the best of their knawledg~ the testatrix was at that time e~.ghteen years of age oar older, df .gourd mind, and under no constzaint a.~ urid~e influence. xestatr~x "~- Olathe w~.tness Subscx~,bed, sworn to and acknowledged before me by thv test t~+ix and s~tbscx~i, ~ and sworn to before me by both witnesses, this ~µ a~~, of I~otax'y PubYic ~}1Et.MA S Mc~AUSLt~M, NOt,4t~Y PtiBt[C My Cammjs~lon Expirey July 3, )988 amP Htt[, PA CWn4gr~bDO Coun(y 11RNOLL~ Er SL1KL~. AZ"~'d~,yCY3+AT•l~W. 2109 MA~KLY STREET LAS+f MILL. P.\ tine Z I 'd Z005G~LG IG 'ON ~~d S~~ IAB~S 'I~I~KdMI,~ `Id'I Wd GZ : - - Z N01~ 00 5 NAr 71??373407 SAIDI~ SHL~F MASLAND XIS P02 AIJG 02 '01 14:19 IlY RE: ESTATE OF IN THE CQURT OF COMM~~ PLEAS HELEN VV, pETER.90N, CUMB COU'NT~ PENNSYLY DECEASED : ORPRAN$' COURT DIVISION ~~ N0.0161 OF 1996 PETITION ~'t1R APPR01r'AL Off. ~'HE RESI~lYATION t~F ALLA'Y' TRUST ~~MPAN'Y AS TRUSTEE AND THE APPOINTMENT OF COMMUNITY ?TtL1ST COMPAIV'Y AS SUCCESSOR TXZUSTEE OF THE T$STAMEI~T7'AR'Y 'I'~UST OF HI%LEN 'V~'. PETERS~IY 1~~~8EE AND NOW, this ~~day of _ 2Q01, upon car~aiderat~an of the Petition of Al~rst Trust eomP~Y of '~, N.A. (PaCidoner for of the »sign~on of Petitioner as 7rusteo of the Het Vy. P ~~~ aPprovai and the appoiatmc~t of Comxnyru ~ ete~s~n Trust {"tie Trust's ~' ~~Y ~ the sucoessar Trustee of the Trust, and the attached cQasents of all parties in interact, tt is hereby +URDEREII AND DECREED THAT: ~ . The resignation of Petitioner as ?'ruatce of tha Trust is .~ 2. The appa~tmeat of Comment Trust Co ~PFrov~; iMRd the Tnist is approved. Y ~ 5u~ecessor Trusties of ~Y T~ cO~tr: ~. Z Q 0 l~ G~ ,LS172is ,LS2iI3'I'Id LTT9L~ZLTL6 %t~,3 ~~ ~ ~T f1H,L ~p/ZO/B~ CONSENT OF PROPOSED SUCCESSOR TRUSTEE Community Trust Company (the "Bank") hereby consents to serve as Successor Trustee of the Trust created under the Last Will and Testament of Helen W. Peterson (the "Trust"). I, Kimberly Tressler, hereb certif that I am a ` Y Y `~2.ri.i.~r 1~iC,Q, ~IL~Q.v~_ of Community Trust Company (the "Bank") and am authorized to execute this Consent on the Bank's behalf. Witness: ~, -~ !~ - ~ Entity #: 777948 ' Date Fited: 11126/2008 Effective Date: 11!29/2008 _ Pedro A. Corias Secretary of the Commonweellh TO THE DEPARTMENT OF BANKING COMMONWEALTH OF PENNSYLVANIA COI~EVIUNITY TRUST COMPANY and FARMERS AND MERCHANTS TRUST COMPANY OF CH.AMBERSBURG ARTICLES OF MERGER UNDER BANK PLAN OF MERGER DATED AS OF JUNE 26 2008 Pursuant to Section 1603(fl of the Pennsylvania Banking Code of 1965, as amended and supplemented (the "Banking Code"), COMNItTNITY TRUST COMPANY, by its duly authorized officers, and FARMERS AND MERCHANTS TRUST COMPANY OF CHAMBERSBURG, by its duly authorized officers, hereby execute Articles of Merger under the seal of each institution, and set forth the following: FIRST: The names of the parties to the Plan of Merger dated as of June 26, 2008 (the "Plan of Merger"} are COl~1MLTNITY TRUST COMPANY, Camp Hill, Pennsylvania, a Pennsylvania chartered trust company ("Community Trust"} and FARMERS AND MERCHANTS TRUST COMPANY OF CHAMBERSBURG, Chambersburg, Pennsylvania, a Pennsylvania chartered bank and trust company {"F&M Trust'. Pursuant to the Plan of Merger, Community Trust will merge with and into F&M Trust under the Articles of Incorporation of F&M Trust, pursuant to the provisions of and with the effect provided in Chapter 16 of the Banking Code. SECOND: The name of the surviving institution is Farmers and IV.[erchants Trust Company of Chambersburg. iiii~fliiwiiiiiii~gi~ii~~i~fliuii~~ii~ii raj., 2G~6 N,J`~ Z6 ~1t~111= 45 Pi ~ L~~' ~~ ~.~; ' UT.4TE i~ ~~,, l:N WITNESS WHEREOF, the President and Secretary of Community Trust Company and the President and Secretary of Farmers and Merchants Trust Company of Chambersburg, have each executed this instrument on behalf of their respective institutions, and caused their corporate seals to be affixed, as of the ZO~day of November, 2008. ATT CONIMUATITY TRUST COMPANY f ;- By: _ ~ -~7 J Nic olas .Dunphy, Jr., Secretary Susan A_gusssh, President.______ _ _ ATTEST: FARMERS AND MERCHANTS TRUST COMPANY OF CHAMBERSBURG Catherine C. Angle, Secrete William E. Snell, Jr., Preside (SEAL) -6- TRUST c~ .~ ~„= ~ v ~ ~...,.. F...f.~ (""~ . y C"`~ COURT OF COMMON PLEAS OF ~~ ~ ~~:v3~ ~ r-~- ~'~ CUMBERLAND COUNTY, PENNSYLVANIA ~ ~~~ ~ w`'':' `~. ORPHANS' COURT DIVISION ~~~ ~ .~- .": --- `'n ~,•; NAME OF TRUST (TRUST UNDER WILL OF Helen W. Peterson, Dtd 06/30/01 or TRUST UNDER DEED OF N/A DATED N/A No. PETITION FOR ADJUDICATION / STATEMENT OF PROPOSED DISTRIBUTION PURSUANT TO Pa. O.C. Rule 6.9 This form may be used in all cases involving the Audit of Trust Accounts. If space is insufficient, riders may he attached. INCL UDE ATTACHMENTS AT THE BACK OF THIS' FORM. Name of Counsel: N/A Supreme Court I.D. No.:_ Name of Law Firm: N/A Address: N/A Telephone: N/A Fax: N/A r~~,~n~ oc-o2 ~-ev io.13.06 Page 1 of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 1. Name(s) and address(es) of Petitioner(s): Petitioner: Petitioner: Name: Farmers and Merchants Trust Co A~aress: 20 South Main Street Chambersburg, PA 17201 2. Check if any of the following issues are involved in this case: A. Appointment of Trustee ......................................... .. B. Interpretation ................................................. .. C. Discharge of Trustee ........................................... .. D. Transfer of Situs ............................................... . . E. Appointment of Ad Litem ........................................ .. F. Minor, Unborn or Unascertained Beneficiary(ies) .................... .. G. Principal Distribution ........................................... .. H. Partial/Full Termination of Trust .................................. .. I. Missing Beneficiary(ies) ........................................ .. J. Cy Pres ...................................................... .. 0 K. Williamson Issue* ............................................. .. L. Other Issues .................................................. .. List: Please note: A detailed explanation of issues checked should be set forth at item 13 below. ~` See Williamson Estate, 368 Pa. 343, 82 A2d 49 (1951), if Trustee was also Executor of the settlor/decedent's estate and received commissions in such capacity. Form OG02 rev 10.13.06 Page 2 Of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 3. Testamentar, Trust: Decedent's date of death: February 1, 1996 Date of Decedent's Will: January 7, 1981 Date(s) of Codicil(s): May 7, 1985 Date of probate: February 22, 1996 or Inter Vivos Trust: Date of Trust: N/A Date(s) of Amendment(s): N/A 4. A. If any other Court has taken jurisdiction of any matter relating to this Trust, explain: N/A B. Identify all prior accountings and provide dates of adjudication. No prior accountings filed by Community Trust Company or Farmers and Merchants Trust Company. 5. A. State how each Trustee was appointed: Community Trust Company was appointed by decree dated July 30, 2001. Farmers and Merchant's Trust by merger with Community Trust Company became Successor Trustee. (See attached Articles of Merger) B. If a Petitioner is not a Trustee, explain: N/A F~Ym oc-o2 rev ~o.r3.o6 Page 3 of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 6. State how and when the present fund was awarded to Trustee(s): Assets transferred in August 2001 from Allfirst Trust Company, Trustee to Community Trust Company, Successor Trustee and subsequently by Farmers and Merchants Trust Company through merger with Community Trust Company. 7. Period covered by accounting: August 31, 2001 to July 14, 2011 8. Current fair market value of the Trust principal is $ 124,514.02 10 of Account.) (See page 9. State concisely the dispositive provisions of the Trust: Article III page 2 of the Last Will and Testament of Helen W. Peterson dated January 7, 1.981. Upon the death of my said son, the remaining trust estate shall be distributed to his then living issue per stirpes, and if he has no such issue surviving him, including afterborn issue, then it shall be distributed as follows: A. SO% to the daughter of my deceased husband by a former marriage, Christine Shepherd, if living, and if not to her then living issue. B. 50% to the Shriners Hospital for Crippled Children, a corporation. 10. Explain the reason for filing this Account (if filed because of the death of a party, state name of person, relationship to Trust and date of death): Lovell L. Peterson, Jr., sole beneficiary of the Helen W. Peterson., Trust Under Will dated 06/30/01, died on February 7, 2011. As stated in the Last Will and Testament of Helen W. Peterson, upon Lovell's death the Trust terminates and funds are to distribute to two remainder beneficiaries. F-oYn~ oc-o2 ,-ev 10.13.06 Page 4 of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 11. State why a Petition for Guardian/Trustee Ad Litem has or has nc-t been filed for this Audit (see Pa. O.C. Rule 12.4): There are no minor beneficiaries. 12. A. State the amount of Pennsylvania Transfer Inheritance Tax ar~d Pennsylvania Estate Tax paid (including postponed tax on remainder interests), the dates of payment and the interests upon which such amounts were paid: Date 04/29/96 Payment 6,500.00 628.72 1,244.37 Interest Inheritance Tax 08/29/96 12/04/96 1 /28/h97 1 q..28 B. If°any suc taxes remain unpaid or are in dispute, exp ain: No known balance due. Inheritance Tax Inheritance Tax Inheritance Tax 13. Describe any questions requiring Adjudication and state the position of Petitioner(s) and give details of any issues identified in item 2: Lovell L. Peterson, Jr., died on February 7, 2011. Under the terms of the Last Will and Testament of Helen W. Peterson, Article III page 2, the trust shall terminate and remaining principal be distributed to two remainder beneficiaries. Form OG02 rev 10.13.06 Page 5 of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 14. Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6."~ and 6.8 has been or will be given to all parties in interest listed in item 15 below. In addition, notice of any questions requiring Adjudication as discussed in item 13 above has been or will be given to all persons affected thereby. A. If Notice has been given, attach a copy of the Notice as well as a list of the names and addresses of the parties receiving such notice. B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and addresses of the parties receiving such Notice shall be submitted at the Audit together with a statement executed by Petitioner(s) or counsel certifying that such Notice has been given. C. If any such party in interest is not sui juris (e.g., minors or incapacitated persons), Notice of the Audit has been or will be given to the appropriate representative on such party's behalf as required by Pa. O.C. Rule 5.2. D. If any charitable interest is involved, Notice of the Audit leas been or will also be given to the Attorney General as required under Pa. O.C.:l~ule 5.5. In addition, the Attorney General's clearance certificate (or proof of service of Notice and a copy of such Notice) must be submitted herewith or at the Audit. 15. List all parties of whom Petitioner(s) has/have notice or knowledge, having or claiming any interest in the Trust, whether such interest is vested or contingent, charitable or non-charitable. This list shall: A. State each party's relationship to the Settlor/Decedent and the nature of each party's interest(s); Name and Address o1'Each in Interest ~ Relationship and Comments if any ~ Interest Shriners Hospital for Children Trust C/O Michele S. Davis P O Box 31356 Tampa, FL 33631-3356 Christine Shepherd 136 Carolina Ridge Dr. Columbia, SC 29229 50% Remainder Beneficiary Step-daughter to Helen 50% Remainder Peterson Beneficiary Form oc-oz rev ~o. X3.06 Page 6 of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 Name and Address of Each Part in Interest ~ Relationship cmd Comments, if crny I Interest PA Office of Attorney General Charitable Trust and Organizations 14th Floor Strawberry Square Harrisburg PA 17120 B. Identify each party who is not sui juris (e.g., minors or incapacitated persons). For each such party, give date of birth, the name of each (Juardian and how each Guardian was appointed. If no Guardian has been appointed, identify the next of kin of such party, giving the name, address and relationship of each; and N/A C. If distribution is to be made to the personal representative of a deceased party, state date of death, date and place of grant of Letters and type of Letters granted. N/A 16. If Petitioner(s) has/have knowledge that a Trust share has been assigned or attached, provide a copy of the assignment or attachment, together with any relevant supporting documentation. 17. If a trustee's principal commission is claimed: A. If based on a written agreement, attach a copy thereof. Form oc-oz ,-ev lo.r3.o6 Page 7 of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 B. If a principal commission is claimed, state amount. N/A C. If a principal commission is claimed, state the amounts acid dates of any principal commissions previously paid in prior accounting periods. Amount Date Paid N/A 18. If a reserve is requested, state amount and purpose. Amour:t: 1,500.00 Purpose. For preparation of 2011 fiduciary income tax return, account filing fees, and any other final closing costs. If a reserve is requested for counsel fees, has notice of the amount of fees to be paid from the reserve been given to the parties in interest? ........................................ ®Yes Q No If so, attach a copy of the notice. 19. Is the Court being asked to direct the filing of a Schedule of Distribution? .......................... ~ Yes No Form oc-oz ~-ev 10.~3.0~ Page 8 of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled and suggest(s) that the distributive shares of income and principal (residuary shares being stated in proportions, not amounts) are as follows: A. Income: Proposed Distributee(s) Christine Shepherd Shriners Hospital for Children B. Principal: Proposed Distributee(s) Christine Shepherd Shriners Hospital for Children Amount/Proporlio~a 50% 50% Amoun~`/Proportion 50% 50% Submitted By: (All petitioners must sign. Add additional lines if necessary): Farmers and Merchants Trust Compan By Tom L. Peterson T Name of Petitioner: Fa ers at rchants Trust ~ Name of Petitioner: Form OG02 rev ]0.13.06 Page 9 Of 10 Name of Trust: Helen W. Peterson, Dtd 06/30/01 Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies * [that heish~ he is nrr~ Vice President of the above-named game o/~corporarion Farmers and Merchants Trust Co _ and] that the facts set forth in the foregoing Petition for Adjudication /Statement of Proposed Distribution which are within the personal knowledge of the Petitioner are true, and as to facts based on the information of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unsworn falsification to authorities). Si natu e o etitioner * Corporate petitioners must complete bracketed information. Certification of Counsel The undersigned counsel hereby certifies that the foregoing Petition for Adjudication / Statement of Proposed Distribution is a true and accurate reproduction of the form Petition authorized by the Supreme Court, and that no changes to the form have been made beyond the responses herein. Signature of Counsel for Petitioner Form oc-oz rev ~0.13.0~ Page 10 of 10 ~„ ` I .. Entity #: 771948 Date Fi{ed: 11f26f2008 E((ective Date: 11!2912008 Pedro A. Cnribs ' '; Secretary of the Commonwealth TO THE DEPARTMENT OF BANICIlVG COMMONWEALTH OF PENNSYLVANIA COIvIlviUNITY TRUST COMPANY and FARMERS AND MERCHANTS TRUST COMPANY OF CHAMBERSBURG ARTICLES OF MERGER UNDER BANK PLAN OF MERGER DATED AS OF JUNE 26, 2008 Pursuant to Section 1603(f) of the Pennsylvania Banking Code of 1965, as amended and supplemented (the "Banking Code"), COIVBvIUNITY TRUST COMPANY, by its duly authorized officers, and FARMERS AND MERITS TRUST COMPANY OF CHAMBERSBURG, by its duly authorized officers, hereby execute Articles of Merger under the seal of each institution, and set forth the foilowirlg: FIRST: The names of the parties to the Plan of Merger dated as of June 26, 2008 (the "Plan of Merger"} are COI~IlviLJNITY TRiJST COMPANY, Camp Hill, Pennsylvania, a Pennsylvania chartered trust company ("Community Trust"} and FARMERS AND MERCHANTS TRUST COMPANY OF C~[AMf3ERSBURG, Chambersburg, Pennsylvania, a Pennsylvania chartered bank and trust company ("F&M Trust'. Pursuant to the Plan of Merger, Community Trust will merge with and into F&M Trust under the Articles of Incorporation of F&M Trust, pursuant to the provisions of and with the effect provided in Chapter 16 of the Banking Code. SECOND: The name of the surviving institution is Farmers and Merchants Trust Company of Chambersburg. iiii~iii~iiiiii~i~i~~uiuiid~iniuii.. ~~3.t 2Gti6 N,~`>! 26 ~t1 { l = y5 PN Lam;' ~' ~.~; ' ~T.~TE '~. IN WITNESS WHEREOF, the President and Secretary of Community Trust Company and the President and Secretary of Farmers and Merchants Trust Company of Chambersburg, have each executed this instrument on behalf of their respective institutions, and caused their corporate seals to be affixed, as of the ZO~day of November, 2008. ATT COMMUNITY TRUST COMPANY r By: r Nic olas .Dunphy,lr., Secretary Susan A_Russeil*Prssideni__ __ _ __ (SE ) ATTEST: FARMERS AND MERCHANTS TRUST COMPANY OF CHAMBERSBURG Catherine C. Angle, Secrete William E. Snell, Jr., Preside (SEAL) -6- www.fmtrustonline.com July 18, 2011 Commonwealth of Pennsylvania Office of Attorney General Charitable Trust and Organizations Section 14~' Floor Strawberry Square Harrisburg, PA 17120 RE: Helen W. Peterson, Trust Under Will Dtd 06/30/01 Dear Sir or Madam: i ,--- 1` 1 PLEASE TAKE NOTICE that Farmers and Merchants Trust Company, Trustee has filed a First and Final Account, together with a proposed Schedule of Distribution, with the Clerk of Courts of Cumberland County, Pennsylvania, on July 18, 2011. Contained within, please find a copy of such First and Final Account for the above-referenced Trust. If, a beneficiary wishes to file an objection to this First and Final Account they must do so in writing by filing detailed objections or exceptions with the Clerk of Courts of Cumberland County, Pennsylvania, at the Cumberland County Court House, 1 Courthouse Square, Carlisle, Pennsylvania 17013, prior to August 22, 2011 If no exceptions are filed to this First and Final Account, it should then be confirmed by the Court and distributed according to the accounting. If you have any questions or concerns, I can be contacted at (717) 261-3647. Cordially, Gr/ T m L. Pe erson Vice President/Market Manager Enclosure(s) 717-264-6116 888-264-6116 P.O. Box 6010 FINANCIAL SOLUTLONS... FROM Chambersburg, PA 17201-6010 PEOPLE YOU KNOW COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNYSLVANIA ORPHANS' COURT DIVISION Docket No: 21-1996-0161 IN RE: FIRST AND FINAL ACCOUNT OF FARMERS AND MERCHANTS TRUST COMPANY BY M1~RGER WITH COMMUNITY TRUST COMPANY, SUCCESSSOR TRUSTEE UNDER DECREE DATED JULY 30, 2011, TRUSTEE FOR THE HELEN W. PETERSON TRUST UNDER WILL AND PETITION FOR ADJUDICATION/STATEMENT OF PROPOSED DISTRIBUTION ORDER OF COURT AND NOW, this 23rd day of August, 2011, the herein account is confirmed absolutely and distribution is decreed in accordance with the proposed schedule of distribution herewith. c~ _.- ~-~ _. _ ~ . ~~ _, , ; ,, ~; ,~^> ,.=. ; - w ~" _ ~ ~ ~~! r~ -- c.: ~ ;:: _~ _,~ -,.. J`. .. ~ _. ~ v ~~~s . - ;~-~.-.; ~ `~ -•> c7 ~= -~, ~~