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Home My WebLink About04-04-12J 1505611185 REV-1500 EX (02-11)(FI) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po sox zsosol INHERITANCE TAX RETURN 21 11 0810 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 07172011 08101940 Decedent's Last Name Suffix Decedent's First Name M I GRIM NANCY Q (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I GRIM ROBERT R Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Retum (Date of Death ^ 4 Limited Estate Prior to 12-13-82) ^ 4 ® . a. Future Interest Compromise (date of 5. Federal Estate Tax Return Required ® 6 Dec d t Di d T t t death after 12-12-82) ® . e en e es a e (Attach Copy of Will) 7. Decedent Maintained a Living Trust ~ 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 Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number STANLEY A• SMITH, ESQ UIRE 717-233-5731 First Line of Address RHOADS & SINON LLP Second Line of Address PO BOX 1146 City or Post Office HARRISBURG State ZIP Code PA 17108 REGISTER OF WILLS USE O~ t7 i...J ~ ~~ ~~ ~) r ~ ~! ~~ r'l1 ~`' v m I ~ -~ r r -~ c1~ ~~; - - ,, .~.~ ~ ' _ _. ~ _. , : ,. ~ , ,~ -_ D -FILED ,,~ -~~ . CorrespondertYs e-mail address: S S M I T H 51 R H O A D S- S I N O N• C O M Under penalties of perjury, I declare that I have examined this return, inGuding accofnpanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the persAnal r,9.•rL'.°•~entative,~based on all information of which preparer has any knowledge. C/ORHOAD-Fl& SINON LLP, PO BOX 1146 HARRISBURG, PA 17108 SIGNATURE OF P)~E8Af36R E SHAI~LREPRFSFNTATIVF RHOADS & SINON LLP, PO BOX 1146 HARRISBURG, PA 17108 PLEASE USE ORIGINAL FORM ONLY '~'1 ~"~7 ~1 r~ :: [: _'; ~~ ~~ _~ Side 1 L 1505611185 OM46473.000 1505611185 ,J 1505611285 REV-1500 EX (FI) Decedent's Social Security Number 172-32-0673 _ Decedent's Name: G R I M N A N Y RECAPITULATION 1. Real Estate (Schedule A) 1 3 6 3, 3 0 0. 0 0 2. Stocks and Bonds (Schedule B) . 2 0 • 0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3 0 • 0 0 4. Mortgages and Notes Receivable (Schedule D) 4 0 • 0 0 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 6 , 5 01.15 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 8. 3 , 4 3 9.0 2 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. 613 , 2 2 0.8 8 8. Total Gross Assets (total Lines 1 through 7) _ 8 9 8 6 , 4 61.0 5 9. Funeral Expenses and Administrative Costs (Schedule H). g, 2 5 , 716.7 2 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10 3 , 9 6 9.3 7 11. Total Deductions (total Lines 9 and 10) , 11 2 9 , 6 8 6.0 9 12. Net Vatue of Estate (Line 8 minus Line 11) 12. 9 5 6 , 7 7 4 - 9 6 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) , _ _ . 13 0 • 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) , 14, 9 5 6 , 7 7 4 • 9 6 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers un~er Sec. 9116 (a)(1.2) X .0 - 0 . 0 0 15. 0.00 16. Amount of Line 14 t xable o 4~ at lineal ratex . 956, 774 • 96 1s. 43, 054 •87 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17. 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0. 0 0 18. 0. 0 0 19. TAX DUE 19. 43,054.87 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505611285 1505611285 J OM4648 3.000 REV-1500 EX (FI) Page 3 DeCedPnYc Cmm~la+p Arlrlrpec• File Number 7 , , , n n ~ n DECEDENTS NAME NANCY Q STREET ADDRESS CUMB RLAND CITt' CARLISLE STATE PA ZIP 17015- Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 4 ~ , 0 5 4 -8 7 2. Credits/Payments A. Prior Payments 3 9, 0 0 0. 0 0 B. Discount 2, 0 5 2. 6 3 Total Credits (A + B) (2) 41, 0 5 2.6 3 3. Interest (3) 0 • 0 0 4. If Line 2 is greater. than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) 0 . ~ ~ 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 2 , 0 0 2.2 4 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 0 ^ b. retain the right to designate who shall use the property transferred or its income X^ ^ c. retain a reversionary interest . . ^ d. receive the promise for life of either payments, benefits or care? ^ 2. If death occurred after Dec. 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? ^ 4. Did decedent own an individual retirement account, annuity, or other non-probate property which , contains a beneficiary designation? .. ® ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S.§9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 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 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. OM4671 2.000 REV-1502 EX+(Ot-10) pennsylvania DEPARTMENT OF REVENUE INHERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF: FILE NUMBER: 333 O Grim 21 it 0810 All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that Is Jolntlyowned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet'rfthe property has been sold. ITEM Include a copy of the deed showing decedents interest if owned as tenant in common. VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Residence, 181 Ridge Drive, Carlisle, Middlesex Township, PA, more particularly described in Deed dated September 2, 1988, and recorded in Cumberland County Book 0-33, page 100 363,300.00 Valued per attached tax assessment. TOTAL (Also enter on Line 1 Recapitulation.) I $ 363, 300 00 swasss z.ooo If more space is needed, use additional sheets of paper of the same size. REV-1508 EX+ (~ 1.10) pennsylvania SCHEDULE E DEPPRTMENTOF REVENUE CASH, BANK DEPOSITS, 8 MISC. R SED TN~f DECE ENT~RN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: 333 Q Grim 21 it 0810 owasgo 2.000 it more space is needed, use additional sheets of paper of the same size. REV-1509 EX+(Ot-10) pennsylvania DEPARTMENT OF REVQJUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY OWNED PROPERTY r~a.~ ~wmo~rc: 333 O Grim 21 11 0810 ff an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G SURVNVJGJOWTTBJAN7-(S) NAME(S) ADDRESS RHATIONSHIPTO DECEDENT A Quain, Michael JOINTLY OWNED PROPERTY: 54504 Craig, Chapel Aill, NC 27517 Son ~~ NUIv862 LETTER FOR JgNT TENANT DATE MADE JOINT DFSCPoPTION OF PF20PERTY INCLUDE NAME CF FINANCIAL INBTRUTION AND BANK ACCOUNT NUM9ER OR SIMLAR IDENTBYING NUM3ER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECEDBJT'S R`lTEREbT DATE OF DEATH VALUE OF DEC®B~f'I•.S WTEREST 1 A 9/1/2009 Orrstown Bank Checking Acct. #146002123 6,878.04 50.0000 3,439.02 TOTAL (Also enter on Line 6, Recapitulation) S 3, 439.02 swaeAE z.ooo If more space is needed, use additional sheets of paper of the same size. REV-1510 EX + (08-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY w i fai ~ yr FILE NUMBER 333 Q Grim 21 11 0810 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBS DESCRIPTION OF PROPERTY INCUDETFEWIMEOFTFETRANSFEREE,TFEIRREIATIONSMPTODECEDENrMD l}E[~4TEOFlRl1f~^FERATTApiACOPVOFTHEOEEDFORREALESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST IXCLUSION IF APPLICABLE TAXABLE VALUE 1• Revocable Trust Agreement between Decedent and Letort Management & Trust Company dated November 20, 2008. The trust agreement provides that the Trust assets be distributed to Decedent's Estate at her death. 514,088.27 100.0000 0.00 514,088.27 Copy of Trust document and valuation of assets attached. 2 6/6/2011, Gift to daughter, Kelley Troia of 1.75 carat emerald-cut solitaire diamond ring, valued per attached appraisal 13,500.00 100.0000 3,000.00 10,500.00 3 Letort IRA Account Beneficiaries: Decedent's children, Kelley A. Quain Troia and Michael Quain, in equal shares. 88,632.61 100.0000 0.00 88,632.61 Valuation of assets attached. TOTAL (Also enter on line 7, Recapitulation) $ 613,220.88 If more space is needed, use additional sheets of paper of the same size. 9W46AF 2.000 REV-1511 EX+ (10-09) pennsylvania DEPARTMENTOF REVENUE WHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER 333 Q Grim 21 11 0810 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~, Funeral and caterer expenses 1,570.36 Total from continuation schedules . B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: 2. Attorney Fees: 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 Fees: 6. Tax Return Preparer Fees: 7. 1 The Sentinel Advertising Grant of Letters Testamentary 2 RSR Appraisers and Analysts Appraisal of residence Total from continuation schedules . 2,845.88 19,500.00 688.50 316.98 400.00 395.00 TOTAL (Also enter on Line 9 Recapitulation) ~ $ 25, 716 72 swasnc 2.00o If more space is needed, use additional sheets of paper of the same size. Estate of: 333 Q Grim 21 11 0810 Schedule H Part 1 (Page 2) Item No. Description Amount 2 Hoffman Roth Funeral Horne and Crematory, Inc. Cremation and funeral hoarse charges 2,845.88 Total (Carry forward to main schedule) 2,845.88 Estate of: 333 Q Grim 21 it 0810 Schedule H Part 7 (Page 2) 3 Rhoads & Sinon LLP Reimbursement for out-of-pocket expenses 300.00 4 Cumberland Law Journal Advertising Grant of Letters Testameatary 75.00 5 Wire fees 20.00 Total (Carry forward to main schedule) 395.00 REV-1512 EX + (12_08) pennsylvania DEPPRTMENTOF REVENUE WHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES ~ LIENS ESTATE OF FILE NUMBER 333 Q Grim 21 11 0810 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unrefmbursed medical emPnsPs awasArl 2.00o Ir more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES .a ~ Ea i c vr: ~~~ FILE NUMBER: -' 21 1 1 0810 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Michael Quain 54504 Craig Chapel Hill, NC 27517 Letort IRA Account Beneficiaries: Decedent's children, Kelley A. Quain Troia and Michael Quain, in equal shares. Inventory Value: 44,316.30 Orrstown Bank Checking Acct. #146002123 Inventory Value: 3,439.02 Household and personal property Inventory Value: 1,738.00 One Half of Residue: 425,363.67 Son 474,857.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1 8 OF REV-1500 COVER SHEET, AS APP ROPRIATE. II NON-TAXABLE DISTRIBUTIONS A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0 . 0 0 ~- -~~-~ - -~--- .,, .. ........... ..~.. ~....~.~.,~~o~ ~~~~.~ v~ Na~Ci vi uiC same size. Estate of: 333 Q Grim Schedule J Part 1 (Page 2) Item No. Description 2 Kelley A. Qusin Troia 7027 Green Street New Orleans, LA 70118 6/6/2011, Gift to daughter, Kelley Troia of 1.75 carat emerald-cut solitaire diamond ring, valued per attached appraisal Inventory Value: 10,500.00 Household and personal property Inventory Value: 1,738.00 Letort IRA Account Beneficiaries: Decedent's children, Kelley A. Quain Troia and Michael Quain, in equal shares. Inventory Value: 44,316.30 Relation 21 11 0810 Amount One Half of Residue: 425,363.67 Daughter 481,917.98 ESTATE OF NANCY Q. GRIM SSN: 172-32-0673 DOD: 07/17/2011 PA INHERITANCE TAX RETURN -FORM REV-1500 INDEX TO EXHIBITS Document 1. Last Will and Testament and Codicil 2. Property Assessment 181 Ridge Drive, Carlisle, PA 3. Appraisal, household and personal property 4. Copy of the Nancy Q. Grim Revocable Trust, and valuation of Trust assets 5. Valuation, Letort IRA account Return Reference Page 1, Box 6 Schedule A Schedule E, Item 2 Schedule G, Item 1 Schedule G, Item 3 839601.1 ` 4,_:r- LAST WILL ANp TESTAMENT OF ~,: ~-i NANCY Q, GRIM ~ ~ ~ ~VJ Original hold by Rhoads & 51non Ll.P i, NANCY Q. GRIM, of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking al( Wills and Codicils by me at any time previously made, I am married to R.OEERT R. GRIM (hexeina,fter referred to as "My Spouse") and there are no children born of our marriage. My children by prior marriage are KELLEY A, QUAIN'I'ROIA and MICHAEL QUAIN, As used hereinthe term "my children" shall refer to the aforelisted children born of my prior marriage, 1. TANGIBLL-7 PERSONAL PROPERTY. (a) X give and bequeath my diamond ring, which formerly belonged to my mother, Sarah R. Buchter, to my daughter, KELLEY A. QUAIN TROIA., if she survives me. (b) I give and bequeath all of my remaining household furniture and fixrnishings, automobiles, other motor vehicles, books, picttues, jewelry, china, crystal, appliances, silverware, wearing apparel, articles of household or personal use or adornment, collections, attwnrlcs, boats.and recreational equipment and vehicles, together with all policies of insurance thereon, to my children Living at my death in as nearly equal shares as they shall select under the supervision of my Executor, Aa~y Cast of packing and shipping said personalty to the beneficiaries, including insurance, shall be paid by my Executor as a general administration cost, If any such articles cannot be fairly divided or distributed in kind in the opinion of my Executor, such articles shall be sold and the proceeds thereof shall pass as a part of my residuary estate. Page 1 of 11 Pages 723905.1 r 2. SPECIFIC BEQUEST. If My Spouse, ROBERT R, GRIM, survives me, I devise and bequeath my real property known and numbered as 181 Ridge Drive, Carlisle, Middlesex Tov~nsllip, Cumberland County, Pennsylvania (the "Property") to My Spouse, for his life, without liability for waste, Upon the death of My Spouse, I direct my Executor to sell said Property and distribute the net proceeds thereof to my issue living at his death, per stirpes; provided, however, that should any such issue be the issue of a deceased child of mine and shall not then have attained the age of twenty-five years, each such issue's share shall be distributed to my Trustee hereinafter naz~ned, TN TRUST NEVERTI~ELESS, each to beheld, administered and disposed of as a separate trust estate in accordance with ITEM ~ for the benefit of each such issue (the "Grandchild's Trust"). 3. RESIDUE. •I give, devise and bequeath all of the rest, xesidue and remainder of my property, real, personal and mixed, not disposed of in the preceding portions of this Will, including all property aver which I hold a power of appointment (which powers of appointment I hereby exercise in favor of my estate}, to xny issue living at my death, per stirpes; provided, however, that should any such issue be the issue of a deceased child of mine and shall not then have attained the age of twenty-five years, each such issue's share shall be retained by my Trustee hereinafter named,lN TRUST NEVERTHELESS, each to be held, administered and disposed of as a separate trust estate in accordance with ITEM 4 for the benefit of each such issue (the "Grandchild`s Trust"). If all of my issue die before me, all such assets shall be distributed in accordance with ITEIvI 5 of this Will. Page 2 of 11 Pages i._~-_~ ~---~ 4, Cr1tANDCHILD'S TRUST, My Trustee shall have, hold, manage, invest and reinvest the assets of each Grandchild's Trust, collect the income and (a) Until the beneficiary of the Grandchild's Trust (the "Grandchild") shall have attained the age of twenty-one years, my Trustee shall from time to time pay to or for the benefit of the Grandchild such amounts of the net income and principal of the Grandchild's Trust as, in the sole discretion of rriy 'Trustee, shall be necessary for the Grandchild's maintenance, support, medical and nursing care and education, including college and graduate education, taking into consideration any othex means readily available for suoh purposes, At the end of each year any unexpended income shall be added to the principal of the Grandchild's Trust, (b) After the Grandchild shall have attained the age of twenty-one years, my 'T'rustee shall thereafter pay to the Grandchild the net income derived from the Grandchild's Trust in installments not less frequently than quarterly and such amounts of the principal as, in the sole discretion of my Trustee, shall be necessary for the Grandchild's maintenance, support, medical and nursing care and education, including college and graduate education, taking into considerations any other means readily available for such purposes. (c} If at the time of the creation of the Grandchild's Trust the t"nandchild shall have then attained the age of twenty-ftve years or if the Gi ~~xidchild shall thereafter attain that age, my Trustee shall distribute outright to the Grandchild the then remaining principal of the Grandchild's Trust, {d) If a Grandchild shall die before ftnal dishibutian of the assets of the Grandchild's Trust is made, the then remaining principal and any undistributed income of the Grandchild's Trust shall be distributed to the Grandchild's issue then living, per stirpes; or if the Grandchild shall Dave ~~o issue then living, to the issue then living of the parent of the Candchild who was a child of nano, per stirpes, or, if such patent shall have no issue then living, to my issue then living, per•stiipes; provided, however, in any event, if any such beneficiary is then a benetciary of a Grandchild's Trust hereunder, the share of such beneficiary shall be added to the principal of such Grandchild's Trust as if an integral pa1•t thereof, to beheld, administered and disposed of in accaidance with the terms thereof. If I have no issue living at the termination of the Grandchild's Trust, all such assets shall be distributed pursuant to ITEM S, Page 3 of 11 Pages j.._._a f=... _.F 5. CONTINGENT DISTRIBUTION. If all of my issue predecease me or are deceased at the termination of any Trust created hereunder, I give and bequeath airy assets passing under this ITEM as follows: (a) Fifty percent (50%) of such assets to THE NATURE CONSERVANCY, 4245 North Fairfax Drive, Suite 100, Arlington, Virginia 22203-1606, fox its general purposes; aald (b) Fifty percent (SO%) of such assets to THE NATURAL RESOURCES Z?L~FENSE COUNCIL, 40 West 20~' Street, New Yorlc, New Yorlc 10011, for its general purposes. 6. LIMIT ON TERM OF TRUSTS. Nothing herein is intended to, nor shall it be construed to, postpone the vesting of any part of the assets of any separate trust estate hereunder for mare than twenty-one years after the death of the survivor of me and my issue living at the time of my death. At the expiration of such period the assets of all the separate trust estates hereunder shall immediately vest in fee simple absolute in and be distributed outright to the person or persons then entitled to receive the income therefrom, whether in n1y Trustee's discretion or othci•~visa. 7. SPENDTHRIFT I'RO"41ISION. No interest in income or principal of my estate or any trust created hereunder shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary of my estate ar of any trust created hereunder prior to the beneficiary's actual receipt thereof. My Executor or Trustee shall pay over the net income az~d the principal to the beneficiaries herein designated, as l'heir interests may appear, without regard to any attempted anticipation (except as may be specifically provided i~erein},pledging ar assignment by any bcnoficiaiy of my estate or of any trust created hereunder Page 4 of 11 Pages f.•~:.., ~. ~ .., and without regard to any claim thereto or atterxipted levy, attachment, seizure or other process against said beneficiary, 8. S>JRVIVAZ, PRES~IJ1t~PTIONS; Any person who shall have died at the same time as T or under such circumstances that it is difficult or impossible to determine who shall have died first, shall be deemed to have predeceased me, Any person other than me who shall have died at the same time as any then beneficiary of income of my estate or a trust created hereunder or under such circumstances that it is difficult or impossible to determine who shall have died first, shalt be deemed to have predeceased such beneficiary. 9, FIDUCIARY POWERS. In the settlement of my estate and during the continuance of any trust created hereunder, my Executor and my Trustee shall possess, among others, the following powers, exercisable without prior court approval, but in all cases to be exercised for the best iiateres~ts of the beneficiaries: (a) To retain any investments I may have at my death so long as lny Executor or Trustee may deem it advisable to my estate or tx•ust so to do, including securities owned, issued or underwritten by any corporate Executor ar Trustee pr any of their affiliates, (b) To vary investments, when deemed desirable by the Trustee, and to invest in every kind of property and type of investment, including sectu•ities awned, issued ar underwritten by any corporate Trustee or any of its affiliates, or as to which such Trustee or its affiliate eats as investment advisor, as the Trustee shall deem wise. (c} Tn order to affect a division of the principal of my estate or trust or for any other purpose, including any final distribution of my estate or ti~.xst, any Executor or Trustee is authorized to make said divisions or distributipns of the personalty and realty partly or wholly in kind, If such division or distribution is made in kind, said assets shall be divided pr distributed at their respective values on the date or dates of their division oi• distribution. Iii malting any division or distribution in kind, my Executor ar Trustee shall divide or distribute said assets in Page S of 11 Pages C...., t:...._~ a manner which will fairly allocate ally unrealized appreciation among the beneficiaries. ' (d} To sell either at public or private sale and upon such terms and conditions as my Executor or Trustee may deem advantageous to my estate or trust, any ar all real or personal estate or interest therein owned by my estate or trust severally or in conjunction with other persons ar acquired after my death by my Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instr~unents to the purchaser or purchasers, convoying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser ar purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any aid all deeds, assignments, options or other writings which znay be necessary or desirable in carrying out any of the powers conferred upon my Executor or Trustee in this paragraph or elsewhere in. this Will. (e) To mortgage real estate and to make leases of real estate for any term, (f) Ta borrow money from any party, including my Executor or Trustee, to pay indebtedness of mine or of my estate or trust, expenses of administration, Death Taxes or other taxes, (g) To pay all casts, expenses, legally enforceable debts, funexal expenses and charges in connection with the administration of my estate or trust, (h) To vote any shares of dock which form a part of my estate ar trust and to otherwise exercise all the powers incident to the ownership of such staclt and to actively manage and operate any incorporated or unincorporated business, including any joint ventures and partnerships, and to incorporate any such unincorporated business, with all the rights and powers of any owner thereo£ (i} In the discretion of my Executor or Trustee, to mute with other owners of similar property in carrying oufi any plans for the reorganization of any corporation ar company whose sectiuities form a pat•t of my estate or trust, (j) To assign to and Bald in my estate or trust an undivided portion of any asset. Qc) To hold investments in the name of a nominee. (1) To compromise controversies. Page 6 of 11 Pages i-_ , ,~_., (m) To disclaim, in whole or in part, any and all interests in property owned by meat the time of my death, including those passing to me by 'Will, intestacy, conriact, joint ownership, operation of law or otherwise, (n} Ta divide any trust hereundex into two or more separate, but identical, trusts. To divide any trust hereunder which would have a generation skipping transfer tax inclusion ratio other than one (1) or zero (0), into two (2) separate trusts which are fractional shares, known as the "exempt trust" and the "nonexempt trust". The exempt trust is that fractional share of the tote! trust fund that has a generation skipping transfer fax inclusion ratio of zero (0}, and the nonexempt trust is the remaining fractional share of the trust, with a generation skipping transfer tax inclusion ratio of one (1), The terms and conclitians of the nonexempt trust and the exempt trust will be identical, Any reference to a trust created under Phis Will, without a further specification ar limitation, shall be deemed to refer to both the exempt trust and the nonexempt trust, in proportionate amounts, where relevant. The assets of each separate exempt and nonexempt trust shall be held, administered and invested as separate trusts, and my Trustee shall maintain adequate accounting and records for both such trusts. My ~xeeutor shall indicate on the federal estate tax return filed for my estate that separate gusts will be created (or funded) and clearly set forth the manner in which the trust is to be severed and the separate trusts funded. (o) To designate one ar more persons or a corporation to act as ancillary fiduciary iui any jurisdiction in which ancillary admitustz~atian may be necessary, such ancillary fiduciary to serve without bond or security anti to have all powers, authorities and discretions conferred hereunder. (p) To employ and compensate from income or principal, in the discretion of my Executor ar Trustee, unvestinent and legal counsel, accountants, brokers and other specialists, and, whenever there shall be no corporate Executor or Trustee in office, a corporate custodian, and to delegate to investment counsel discretion with respect to the investment and reinvestment of any or all of the assets held hereunder, 10• EXCULPATORY CLAUSES, In the settlement of my estate: (a} My Executor shall not be personally liable for any loss to my estate or to any benereiary of my estate resulting from an election made in good faith to claim a deduction as an income tax deduction or as an estate tax deduction, Page 7 of 11 Pages 4..__, f..__.:~ (b) in valuing propexty in my gross estate for the purposes of any Death Tax, my Executor shall not be personally liable for any lass to my estate or to any beneficiary of my estate resulting from my Executor's decision made in good faith to use a particular valuation date, 11. TAX CLAUSB. All inheritance, estate and similar taxes becoming due by reason of my death ("Death Taxes"), whether such Death Taxes shall be payable by my estate or by any recipient of any property, shall be paid by my Executor out of the property passing under ITEM 3 of this Will as an expense and cost of administration of my estate. 1VIy Executor shall have no duty or~oblzgation to obtain reimbursement for any Death Taxes paid by my Executor, even though paid with respect to proceeds of insurance or other property not passing under this Will. 12. CUSTODIAN_OF ESTATES, If at any time any individual under the age of twenty-one shall be entitled to receive any assets flee of trust by reason of my death, whether payable hereunder, by operation of law, contract or otherwise, I appoint my Trustee hereinafter nalxzed as Custodian for such individual under the Pennsylvania Uniform Transfers to Minors Act, 13. TRUST TERMINATIONS. if, in the sole discretion of my ~l"rustee, at any time any trust hereunder is or becomes too small to justify its maintenance as a separate trust, my Trustee, without any liability to any person or remainderman whose interest may be affected thereby and without the ttecessity of court approval, shall terminate such trust by distributing all the income and principal of the trust to the tlaen income beneficiary or beneficiaries of said trust. If any additions to any suoh trust are received after its termination render this ITEM, such trust shall be revived and this provision shall continue to apply to it. The Trustee discretion herein Page 8 of l 1 Pages ~~~ ~--' granted shall in no event be construed as giving any potential distributee of a trust tlae right to compel a termination in whole or in part of such trust, 14. EXECUTOR PO'Ui1ER~ REGARDING BASIS ADJUSTMENT. I hereby authorize my Executor in my Executor's sole and absolute discretion to allocate any adjustments to the income tax basis of assets of my estate to stitch assets as n1y Executor deems to be appropriate. I recognise that this power gives my Executor broad latitude which I wish my Executor to exercise while taking into account such factors as my Executor deems beneficial to all of the beneficiaries of nny estate. My Executor shall not be liable for any loss to my estate ox to any benefeiary of my estate resulting fxoin such allocation made izt good faith. 15. EXECUTOR APPOINTMENT. I hereby appoint my children, KELLEY A. QUAIN TROIA and MICHAEL QUA1N, as Co-Executors of this Will, If for any reason either of them should fail or cease to act, the other shall act or continue to act with all of the powers granted to the two of them. Xf both should fail or cease to act, I appoint LeTORT MANAGEMENT AND TRUST COMPANY, with offices in Cumberland County, Pennsylvania, as Executor. Ali references in this Will to my "Executor" shall refer to my originally named Co-Executors, or to my sole successor Executor, as the case may be. 16. TRUSTEE APPOINTMENT. I hereby appoint My Spouse, ROBERT R. GRIM, aid my children, KELLEY A. QUAIN TROIA aaxd MICHAEL QU'AIN', as Co-Trustees of any trust created hereunder. If for any reason My Spouse should fail ox cease to act, I appoint LeTORT MANAGEMENT AND TRUST COMPANY, to act with my children as Co-Trustees of any trust created hereunder. If for,al~y reason any of them should tail or cease to act, the othex or Page 9 of 11 Pages others shall act or continue to act with all of the powers granted to the three o~ them, So long as a Trustee or the issue of such Trustee is a beneficiary of any trust hereunder, such Trustee shall riot (i) participate in any discretionary determination of the Trustee to distribute principal or income of such trust to or for the benefit of such beneficiary or to or for the benefit of his ax her issue; or (ii) participate in airy discretionary determination of the Trustee to terminate said trust under the ITE7VI hereof entitled "TRU"ST TERMINATIONS", An individual Trustee shall be deemed to have failed to serve as Trustee hereunder if, among other reasons, the treating physician of said individual Trustee shall certify in writing that such Trustee possesses permanent mental ar physical incapacities which preclude such Trustee from discharging his or her duties as Trustee hereunder. luy children living from time to time, by unanimous vale, ar my sole surviving child, shall be authorized, by written notice directed to the Trustee, to remove any corporate Trustee, fox any reason, without cause and without Caw•t approval, and replace said corporate Trustee with another corporate Tntstee having fiduciazy powers, If there is ever only one ixdividual Trustee serving hereunder and no successor is herein named, such sole Trustee may, by written notice directed to the life tenant and the Trust, designate his ox her successors} or Co-Trustee(s) to serve with him or her, any such designation to be effective without court.appraval, Any Trustee serving hereunder shall have the right to resign from such office at any time, with or without cause and without Court approval. N~a successor Trustee shall be liable for the actions of a resigning or removed Trustee occurring prior to such successor Tr<tstee taking office, Ali references in this Will to my "'t'rustee" shall refer to my originally named Co-Trustees or to my sole successor Trustee, as the case may be. Page 10 of I 1 Pages -.--'..1.. .. ... 1?. WAIVER OF DOND• rIDUCIARY FEES. Any Custodian, Executor or Trustee shall qualify and serve without the duty or obligation of filing any bond or other security. Any corporate fiduciary shall be entitled to compensation for services in accordance with the standard schedule of fees in efFect when the services are rendered. IN WITNESS WhIIJREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding ten {10} pages, this ~~'' day of }~~! ~~ ern ~c.~ > 2Q08. ~ (SEAL} Nancy • m We, t}~e undersigned, hcrEby certify that the -foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and 'Testament, in the presence of who, at her request and in her presence and in the presence; of each other, have he~•eunto se r 1 ands and seals the day and year above written, and we certify that at the tin7c of the exec ~~on-th eof, the said Testatrix was of sound and disposing~mi~n]d and n~emoiy. (SEAL) `~~---~ ,~ ~i~_ ..~ _ .~ ~ ~~ ~~ ~~~-~~~~ ~ ~c~~` r Page I 1 of 11 Pages • ~-~ ~~ COMMONWI/ALTH Oli~ PIaNNSYLVANIA , . SS: COUNTY Or DAUPHIN , We, NANCY Q, GRIM, ~ - ~ r and ~l/.T. 1~~~ ,t~.• l~Gl/gin/~/rte, the Tcstatt•ix and the Witnesses, respectively, whose names are signed to the foregoing instt•t.tment,llaving been swore, do hereby declare to the undersigned officer chat the Testatrix, in the presence oi'tlle Witnesses, signed said instntmet~t as her Last Wi19 and Testament, that she signed voluntarily, that each of the witnesses, in the presence of the Testatrix and oI'each other, signed said 1~'ill as a witness and that to the best of the la~owledge of each witness, floe Testatrix was at the time ot• Sound rnit~d and under no cot>,straint or undue influence. It 'SS Subscribed and acknowledged before -~ ° by NANCY Q. GRIM, tl~ie "testatrix, and subscribed and sworn to before me by ~~~;~ -~-_ and ~~~~ ~f,/ll,~IfU~~ ~ ~ -/7~fef~/~tl~e witnesses, on this __ ~ C'} day of _ D~ ~ c .~-~u.~`^~ , 2008. • ~-• ~....~. ~ n Notary Public My Corntnission Expit•cs; (SEAL) COM_MONVVEALTH ql= PENNSYLVAWIA Notarial Soot Ci<xiy L. Lellzel, Notary Public City Of Harrisburg, Dauphin County My Commission F-xpires Doc. 2, 2010 l~iembur, AHnnsylvsnia Asaociallnn of Nolarlos .. ~ r' .;., ~r: .. Vi'a'., u• :: k'.: ~~y..:.' Kcr..N...wi ' •:~ ",+~ • )v4'•~ ~'~ ` dRams~r-0elkgfkf to'YanrSmrsn,, ~ ,r ^.f i•' ... .~ ;i CODTCI.L ~ ~ (~ Orlpin~~ hold py TO THE LAST WILL AND TESTAMENT Rhoads & Sjnon LLP OF NANCY O. GRiM I, NANCY Q. GRIM, of Carlisle, Cumberland County, Pennsylvania, bei~ag of sound at~d disposing mind and memory, do xnal~e, publish and declare this to be a Codicil to my Last Will aaad Testament dated December l 0, 2008. I. I hereby revoke ITEM 2 of my Last Will and Testament, which ITEM Z sha11 rer~nain blank, 1N WFI'NESS WHEREOF, I have hereunto set my hand axed seal to this Codicil to my Last Will and Tes#amezat, consisting ofthis one (1) page, this d~.~n d~ey of Uc~'•{ •, ZOIO, ~ 'v ~~ a~~-(SEAL Nancy Q. i~j ) We, the undersigned, hereby cet~tify that the foregoing Codicil was signed, sealed, published and declared by the above-named Testatrix as and far a Codicil to her Last WiII axxd Testament, in the presence of us, who at her request and in her presence and in the presence of each other, Dave hereunto set our hands aiad seals the day and year above written, and eve certify that at the tune of th ecl~ ' n thereof, the said Testatrix was of sound and disposing mind and memory. Rhoads & Sinop LI.P (SEAL) 1'0 Box 114A "." ,aor .~./ ne a icr~t-~q~ ~- , 7~sz4z.~ ~~ (SEAL) Warrist~urc~, PA 171pB~•'1i46 X17-X33-,,"zZ,'~ ~ Rhoads & Sinop LIP Pfl gcax ~ •t 4s Ojos South Market Square;`1"'toor Harrtsk~urg, f~A 17100-1146 ..r..•..~. .... ~.... COMMONWEALTH 0~' PENNS'YLV.A.NIA COUNTY OF DAUPHII~ J ~s::r ._ "~•. .. . SS: We, N NC'Y Q. GRIM, r~~ ~~ ~ ` ~ and iii - ~G~ the Testatrix and the Witnesses, respectively, whose names are signed to the foregoing instniment, having been sworn, do hereby declare to the undersigned officer that the'f'estatrix, in the presence of the Witnesses, signed said instrument as a Codicil to her Last Will and Testament, that s1~e signed vohtntarily, that each of'the witnesses, in the presence of the Testatrix and o£ each other, signed said Codicil as a witness and that to the best of the knowledge of each witness, the Testatrix was at the time of sotmd mind and under no constraint or undue influence. , Subscribed and acknowledged before me by NANCY' Q. GRIM, the Testatrix, and ~,tlb cribed and srxrozx~ t before me by ~~ ~, t Us,~ t~' and ~ .' ~~` , the witnesses, on this .l ~ day of _ ~('~..~~.,,,--~°---' ao~~a. No#ary Public My Commission Expires: {SEAL) cofwt~oNw -ar. p rl AtNla Notarial 5oal Cindy L. LsNzal, Notary laublla Ciiy pf Hartlsburg, Dauphin Counly My Commisslan Expliga Dec. 2, 201 d Member, PennayfvAnlrz Aosook~tl~n of Noterfes -T."•'.~ .~n.~~.-*.r :~E.l •lrn:.....r•..dpi':T.'"r.:.;.&5's~c~:o-mrxrcmttxacr,~eaff.ssr:_-~~~,,,,,.e~......~...._.._.,._ ..~..~.~.e..o...,~...,...,_.r.-.~.f..,n..,T,.._r.~....-....v.,.....m..........,..,_.,....... "1'axll13 lZesult lle`ails DistrictNo 21 Parcel ID 21-08-0571-006. MapSuffix HouseNo 181 Direction Street RIDGE DRIVE Ownerl QUA1N, NANCY B C/O PropType R PropDesc LivArea 2626 CurLandVal 75300 CurImpVal 288000 CurTotVal 363300 CurPref Val Acreage 3.29 CIGrnStat TaxEx 1 SaleAmt 182000 SaleMo 09 SaleDa 07 SaleCe 19 SaleYr 88 DeedBkPage 00330-00100 YearBlt 1900 HF File Date 12/31/2007 HF_Approval_Status A Page 1 of 1 Detailed Result, for Parce121-08-0571-006. in the 2010 Tax Assessment Database http://taxdb.ccpa.net/details.asp?id=21-08-0571-006.&dbselect= l 3/30/2012 I-IOBBIE AUCTIONS 901 North Second Street Harrisburg, PA 17102 Phone; {717) 233 - 0115 Fax: (717) 234 - 8996 email: biIlCrDhobbieauctions.com 9/20/11 Michael Quain 181 Ridge Drive Carlisle, PA 17015 Dear Mr. Quain: Per your request, on August 23, 2011,..,1 did inspect items of the estate of Nancy Q. Grim, as designated by you, located at 181 Ridge Drive, Carlisle, PA 17015. Having been an auctioneer and an antique dealer for over twenty years, it is my opinion that the value for estate evaluation purposes of the aforementioned items is as follows: Porch - Living Room - Lower level Bedroom - Bath - Porch - Basement Iron wine rack ~ $25 00 Wicker recliner $75.00 Pine dry sink $100.00 Newer folk art items over windows (birdhouses, baskets, Photo, birdcage, toy) $75.00 Miniature animals $75.00 French motif print $20.00 New stained glass $35.00 Watercolor by Nancy Quain $10.00 3 prints in Arts and Crafts style $40.00 Upholstered couch $10.00 3 drawer, 2 door chest $95.00 2 small portfolios of original sketches By Nancy Quain $25.00 Shelves of watercolors, books, desk items $10,00 Older watercolor, Iris flower $20.00 All personal items $_0_ 4 chairs $10 00 Potting table and pots $25.00 GE refrigerator $30.00 12 cubicles, household storage, miscellaneous $_p_ Shelf $10.00 Balance of items in area $5 00 Kitchen - Contents of upper cabinets, food, everyday china, storage Conten#s counter top, Knife set, coffee pot, everyday Kitchen supplies Contents lower cabinets, pots and pans, household supplies, storage Balance of items Eating area - 6' X 8' oriental style rug Oak breakfast set, 4 chairs, claw feet, newer China closet, Victorian era Noritake china, missing pieces, "Florola" Upholstered chair Queen Anne type drop leaf table, newer 2 large prints Den - u<ctorian barrel top desk Contents, personal Country wardrobe connected to bookcase Contents, CD's Denon electronic equipment Personal photos 15 pieces stemware Glassware and miscellaneous Spice chest Still life oil on canvas, signed Clark Oil on canvas French stree# scene Mirror Jenny Lind type one drawer stand, cherry Photos Lamp Iron floor lamp Queen Anne style upholstered chair Bath - Print Glass cabinet with miniature pigs Office - No estate items Hall - 4 continental Indian paintings Bedroom # 1 - Pine farm desk Contents, personal Books Lamp, vase, miscellaneous White iron bed Oak dresser Contents, clothes and photos Rayo type lamp Newer Victorian style armchair Personal photos on wall $30.oa $25.00 $25.00 $10.00 $50.00 $100.00 $125.00 $100.00 $5.00 $50.00 $25.00 $175.00 $,0- $~a.oo $10.00 $1o.oa $-0- $1o.oa $5.ao $90.00 $75.00 $30.00 $10.00 $75.ao $-0- $5.00 $20.00 $2o.ao $10.00 $50.00 $-0- $50.00 $125.00 $-0- $1.00 $10.00 $40.00 $40.00 $-0- $25.00 $50:00 $-o- Bath and dressing area - Empire wall cabinet with mirror Wicker planter, desk, and chair Pen and ink sketch by Nancy Quoin Mexican painted chair Numbered sketch print Antique dress and watch on mannequin Personal items Balance of items in room Hall # 2 - Watercolor, Morocco, signed Nancy Quain Bedroom # 2 - Newer cherry 10 drawer, 1 door chest Contents, clothes Glass kerosene lamp Pottery Top -- personal photos 3 prints on wall Refinished steamer trunk Closet, clothes Iron bed Blue quilt Bed room # 3 - Wicker cheval mirror Closet, clothes Brass bed Primitive wall shelf Books 2 dolls, old, articulated eyes Brass clothes tree Oil on canvas, seaside scene Needlepoint, "Kelly's Prayer" Chair Attic - Christmas items Household storage Personal .paperwork Trunk Front porch -Wood box, chair Shed - Work shop, not in estate Art studio - Counter Prints and pictures on wall Paints and supplies Book press Wood stove Air conditioner Table $40.00 $75.00 $15.00 $10.00 $15.oa $90.00 $-a- $20.00 $20.00 $75.00 $-0- $20.00 $5.00 $-0- $30.00 $40.00 $-0- $5.00 $25.00 $50.00 $-x- $30.00 $10.00 $5.00 $$0.00 $ZO.ao $15.00 $10.00 $5.00 $1o.aa $-0- $-0- $20.00 $10.00 $-0- $50.00 $10.00 $-0- $35.00 $50.00 $15.00 $1 o.0a Drafting desk and chair $25,Op Caned settee $75.00 Captains chair $15.00 Paper dispenser $30.00 Wood box $20.00 Balance of items in room $20,00 Barn shed - Contents not in estate $_0_ Corn Crib - Dog house $10.00 Miscellaneous windows $_0_ Miscellaneous storage $10.00 Bronze fountain ornament $125.00 Shed # 1 - Fire wood $_0_ TOTAL $3,476.00 Hoping this appraisal is helpful to you, 1 ask that you phone my office if you have any questions. thank you for letting m be of service in t r. Sincerely, William W. Robbie Hobble Auctioneers Revocable Trust LETORT Account Application ,~...~...., e .,.,, And Agreement Section 1: Appointment of Trustee IIWe ("Settlor"} appoint LeTort Management & Trust Company ("Trustee"} to hold, as Trustee, certain property or interests which Settlor has turned over to Trustee, which property or interests are set forth on Schedule A attached hereto and made a part hereof, together with such property as may from #ime to time be delivered by Settlor or any other person and accepted by Trustee to be subject to the texxns of this Agreement. Said property and the earnings thereon and appreciation therein shall constitute Settlor's Revocable Trust Account ("Account"). Section Z: Settlor Owner Informafion Settlor declares that Settlor is a: Section 3: Account Statemients Trustee shall furnish to Settlor a statement of all transactions in the Account during the period of the statement ("Periodic Statements"}. Statements shall be provided on a quarterly or annual basis. The Periodic Statements referred to above shall include a listing of all securities transactions, receipts and disbursements during the period, together with a current listing of the asset held in the Account. - ~~. Drivers License No. Section 4: Distributions During Settlor's lifetime, the Trustee shall distribute the net income and the principal as follows: A. As much -even if ail - of the net income and the principal as Settlor may direct from time to time either orally or in writing. $.- As much of the income and~the principal of the Account as the Trustee, in its discretion, shall deem advisable for the comfort, care, support and maintenance of the individual Settlor or both Settlors of a joint account, or of any person dependent of either of them. C. Any remaining net income shall from time to time be accumulated and added to the principal. Section 5: Instructions Except as provided in Section 6 below, Trustee may xely on oral or written instructions which Trustee believes were genuine and authorized. . Section 6: Joint Revocable Trust Accounts "If this is a joint account, it shall be treated as joint tenancies with right of survivorship, ar in the case of spouses, as tenancies by the entireties. In joint accounts, any distributions shall be to the Settlors as joint tenants with right of survivorship, or in the case of spouses, as tenants by the entireties, or as the Settlors (acting jointly) may direct otherwise in writing. If this is a joint account, after the death of the first of the Settlors to die, payments may be made only to the survivor .Settlor, or in accordance with the survivor's written directions. A joint account may be terminated in whole ox in part in accordance with Section 12 hereof by the Settlors {acting jointly), or by the survivor Settlor, in either case by written notice to the Trustee, whereupon the securities and other property as to which said termuxation extends shall be delivered .to the Settlors as joint tenants. with right of survivorship, or in the case of spouses, as tenants by the entireties, ox as the Settlors {acting jointly or survivor Settlor) may direct otherwise in writing. Except where the Settlors are expressly required under this Section 6 to act jointly. in writing, the Trustee shall follow the oral or written instructions of either Settlor. The provisions of this Section 6 supersede any other provisions of this Agreement to the contrary if the Account is a joint account. Section 7: Trustee's Powers and Responsibilities In addition to the powers conferred by law, the Trustee shall have the following powers, fo be exercised in its absolute discretion: A. To retain all assets received in kind as investments, without any duty of diversification, or to sell the same upon such terms as it shall deem advisable; B. To .invest in all forms of property, as authorized under the Pennsylvania Prudent Investor Rule, including in one or more of the collective .investment funds maintained by the Trustee or any affiliate, or such other assets as are acceptable to the Trustee; ..C. To hold shares in any registered investment company which may be advised by the Trustee and from which the Trustee or any affiliate may receive compensation as advisor; D. To exchange or lease for any period of time any real or personal property and to give options for sales, exchanges and leases; E. To exercise all rights of security holders including the right to vote personally or by general or limited proxy, any shares of stock; F. To register any securities in the Trustee's name or in the name of a nominee; G. To pay, compromise, settle or release any claim or controversy without court approval; H. To borrow money from any source, including the Trustee or any of its affiliates, and to pledge any real or personal property pursuant thereto; I. To delegate discretionary powers; 3. To make distribution in cash or in kind at current values, in undivided interests or non-pro ra#a shares, and without regard to income tax basis; K. To hold reasonable amounts of cash uninvested in any bank or trust company, for such periods as the Trustee deems reasonable for the efficient administration of any trust hereunder. Notwithstanding the foregoing, the Settlor reserves the right to instruct the Trustee in writing to retain certain assets, including~stock of the Trustee, in a custodial capacity without any liability for reviewing the investment suitability of such designated assets and fiuther reserves the right to vote the stock 'of the Trustee or its affiliate ar successors. Section S: Shareholder Communications In order to facilitate company / shareholder communications and for other similar purposes, Settlor authorizes the Trustee to release Settlor's name, address, and share position of assets held in this Account to the companies (or their representatives) in which Trustee is a shareholder. Section 9: Taxpayer Certification Under enali~oRf er'tu Settlor certifies that " ~ °; ~ „ _ -• - ; is the Settlor's correct taxpayer ~ entihcation number (or that Settlor is waiting for a number to be issued), and that Settlor is not subject to backup withholding because: (a} Settlor is exempt from backup withholding, or (b) Settlor has not been notified by the Internal Revenue Service ("IRS") that Settlor is subject to backup withholding as a result of a failure to report all interest or, dividends, or (c} the IRS has notified Settlor that Settlor is no longer subject to backup withholding. Settlor certifies that~if any Settlor is a natural person, each Settlor who is a natural person is a U.S. person (which includes U.S. resident aliens). Section 10: Compensation Trustee's compensation for its services shall be in accordance with the Trustee's standard fee arrangement in effect from time to time during the period of the Trustee's services hereunder and may be charged to the Account unless paid from other sources. Any compensation to a Co-Trustee will be over and above LeTort's. For any special or extraordinary services, Trustee shall be entitled to additional reasonable compensation. Any compensation paid to LeTort by any mutual fund company will be credited to the Settlor. LeTort may receive reimbursement from mutual fund companies for expenses incurred in .performing sub-accounting services. ,Such reimbursements for expenses shall be retained by LeTort and will not be credited to the Settlor. Section 11: Amendment and Termination The Settlor expressly reserves the right at any time from time to time to amend this Agreement by written notice delivered to the Trustee provided that the duties, powers, compensation or liability of the Trustee shall not be changed in a manner other than termination without its written consent. This Agreement nnay be terminated in whole or in part by either Settlor or Trustee by giving 30 days' prior written notice to the other party. Within 30 days of termination, Trustee shall deliver the assets subject to termination to Settlor or as Settlor directs otherwise in writing (see Section 6 concerning termination of joint accounts). Upon the death of an individual Settlor or the survivor of the. Settlors of a joint account, this Agreement shall terminate and the Trustee shall deliver the assets as follows: To the personal representative of such or of any broker or Trustee engaged in the ~' deceased Settlor within ninety (90) days purchase, sale or exchange of any asset. of the deceased Settlor's death. To the following person or persons: ~. - ,.. The distributions to the foregoing will be in equal shares. If any of the named beneficiaries is not living at the death of the Settlor (or survivor Settlor), then that equal share shall be paid per stirpes to the issue then living of the deceased beneficiary; and if the deceased beneficiary has no issue then living, the. share shall be added to the other shares created hereunder. During any period of time after termination in which Trustee continues to have. custody of assets subject to termination, Trustee shall have no duties other than the safekeeping of such assets and delivery of such assets upon Settlor's instruction. Trustee shall have the right to continue to charge. fees in the amount then currently charged. to the Account 'for any post- texmination period in which assets subject to termination remain in Trustee's custody and to debit such fees from the Account. Section 13: Choice of Law The Agreement and the Account hereby created shall be construed and governed by the laws of Pennsylvania without regard to its conflicts of law provisions. The sites of the trust shall be. Cumberland County, Pennsylvania. Section 14: Acknowledgement By signing this Revocable Trust Account Application and Agreement, Settlor agrees to the terms and conditions of the Agreement. Trustee: LeTort By: Date: Accout Section 12: Trustees Trustee may execute any of its powers under this Agreement and perform the duties required of the Trustee by and through attorneys, sub-custodians, Trustees, affiliates or subsidiaries. The Trustee shall not be responsible for the performance or supervision of or liable for the default or negligence of any such person selected by Trustee with reasonable care COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: On this, the ~ ~~~ day of ~ •Y, 2008, before me, the undersigned officer, personally appeared who acknowledged hirnse erself to a the ~ Qa ~~ of LeTORT MANAGEMENT AND TRUST COMPANY, a corporation, and that he/she, as such officer, being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public My Commission Expires: (Seal) ~~I31 ~~~2-. M o ~. ~sinvaH+w N~TARlAL SEAL CINDY L, F.t1{3ARD, Notary Public Lower AUen Y ., Cumber 81~, 20~t2 M Commission COMMONWEALTH OF ~~9 ) ' ) SS: COUNTY OF oL ) On this, the ~ ,,~~ day of ~fr~, 2008, before me, a notary public, the undersigned officer, personally appeared ~' .I ,known to a {or satisfactorily proven) to be the person or persons whose name is (or names are) subscribed to the within Agreement, and aclmowledged that he/she/they executed the same for the purposes therein contained. ]N WITNESS WHEREOF, Ihereunto-set my hand and official seal. Notary Public My Commission Expires: (Seal) Revocable Trust Account Schedule A Estate Valuation Date of Death: 07/17/2011 Est ate of: Estate of Nancy Grim Valua tion Date: 07/17/2011 Account: Letort Acc t. 20003283006 Proce ssing Date: 02/16/2012 Report Type: Date of Death Number of Securities: 21 File ID: GRIMNANCY Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 10000 CANONSBURG-HOUSTON PA JT AUTH (138015EV0) Financial Times Interactive Data DTD: 10/15/2005 Mat: 12/01/2011 3.38 07/15/2011 100.14600 Mkt 07/18/2011 100.15800 Mkt 100.152000 10,015.20 Int: 06/01/2011 to 07/17/2011 42.17 2) 15000 PENNSYLVANIA HSG FIN AGY 1708793KB9) Financial Times Interactive Data DTD: 09/14/2005 Mat: 10/01/2012 3.78 07/15/2011 102.08300 Mkt 07/18/2011 102.07800 Mkt 102.080500 15,312.08 Int: 04/01/2011 to 07/17/2011 163.42 3) 15000 PLUM BORO PA MUN AUTH SWR REV (72919RER6) Financial Times Interactive Data DTD: 04/01/2009 Mat: 10/01/2014 38 07/15/2011 104.59300 Mkt 07/18/2011 104.59000 Mkt 104.591500 15,688.73 Int: 04/01/2011 to 07/17/2011 132.50 4) 1026.089 PIMCO FDS PAC INVT MGMT SER (722005626; PAAIX) ALL ASSET INST Mutual Fund (as quoted by NASDAQ) 07/15/2011 12.51000 Mkt 12.510000 12,836.37 5) 6051.334 PIMCO FDS PAC INVT MGMT SER (693390304; PTLDX) LOW DURATION Mutual Fund (as quoted by NASDAQ) 07/15/2011 10.50000 Mkt 10.500000 63,539.01 6) 2308.048 PIMCO FDS PAC INVT MGMT SER (693390700; PTTRX) TOTAL RETRN PT Mutual Fund (as quoted by NASDAQ) 07/15/2011 11.04000 Mkt 11.040000 25,480.85 7) 5828.542 VANGUARD FIXED INCOME SECS FD (922031604; VSGBX) SHT TRM FED PT Mutual Fund (as quoted by NASDAQ) 07/15/2011 10.88000 Mkt 10.680000 63,414.54 8) 2075.16 VANGUARD BD INDEX FD INC (921937108; VBMFX) COM Mutual Fund las quoted by NASDAQ) 07/15/2011 10.78000 Mkt 10.780000 22,370.22 9) 2761.437 BRIDGEWAY FD INC (BRLIX) BLUECHP35INDEX Mutual Fund (as quoted by NASDAQ) 07/15/2011 7.65000 Mkt 7.650000 21,124.99 10) 883.495 DAVIS NY VENTURE FD INC (239080401; DNVYX) CL Y Mutual Fund (as quoted by NASDAQ) 07/15/2011 35.32000 Mkt 35.320000 31,205.04 11) 436.237 DWS INSTL FDS (055924500; BTIIX) EQT SOOIDX INS Mutual Fund (as quoted by NASDAQ) 07/15/2011 199.46000 Mkt 149.460000 65,199.98 Page 1 This report was produced with EstateVal, a product of Estate Valua tions ~ Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.1) Date of Death: 07/17/2011 Valuation Date: 07/17/2011 Processing Date: 02/16/2012 Shares Security or Par Description High/Ask Low/Bid 12) 731.284 BUFFALO FDS (BUFMX) MID CAP FUND Mutual Fund (as quoted by NASDAQ) 07/15/2011 13) 545.126 JANUS INVT FD (JMVAX) PRKN MC VL I SHS Mutual Fund (as quoted by NASDAQ) 07/15/2011 14) 1781.407 VANGUARD INDEX FDS (922908635; VMCIX) MD CP STK INST Mutual Fund (as quoted by NASDAQ) 07/15/2011 15) 405.62 JPMORGAN TR II (JISGX) SML CP GRW INS Mutual Fund (as quoted by NASDAQ) 07/15/2011 16) 940.264 THIRD AVE TR (884116203; TASCX) SMCAP VAL INS Mutual Fund (as quoted by NASDAQ) 07/15/2011 17) 348.969 VANGUARD INDEX FDS (922908876; VSCIX) S CP STK INST Mutual Fund (as quoted by NASDAQ) 07/15/2011 18) 685.644 ARTISAN FDS INC (04314x204; ARTIX) INTL FD Mutual Fund (as quoted by NASDAQ) 07/15/2011 19) 354.488 DFA INVT DIMENSIONS GROUP INC (233203421; DFCEX) EMER MKT COREQ Mutual Fund (as quoted by NASDAQ) 07/15/2011 20) 245.667 HARBOR FD (411511306; HAINX) INTL FD INSTL Mutual Fund (as quoted by NASDAQ) 07/15/2011 21) 25072.73 Cash (CASH) Fidelity Prime Inst MM Total Value: Total Accrual: Total: $514,088.27 Estate of: Estate of Nancy Grim Account: Letort Acct. 20003283006 Report Type: Date of Death Number of Securities: 21 File ID: GRIMNANCY Mean and/or Div and Int Security Adjustments Accruals Value 17.83000 Mkt 17.830000 23.65000 Mkt 23.650000 21.87000 Mkt 21.870000 12.83000 Mkt 12.830000 21.87000 Mkt 21.870000 37.45000 Mkt 37.450000 22.71000 Mkt 22.710000 21.98000 Mkt 21.980000 62.69000 Mkt 62.690000 13,038.79 12,892.23 38,959.37 5,204.10 20,563.57 13,068.89 15,570.98 7,791.65 15,400.86 25,072.73 $513,750.18 $338.09 Page 2 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 7.1.1) Estate Valuation Date of Death: 07/17/2011 Estate of: Nancy Grim Valua tion Date: 07/17/2011 Account: IRA - Letort Processin Date: g 02/16/2012 Report Type: Date of Death Number of Securities: 18 File ID: GRIM IRA Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 123.378 PIMCO FDS PAC ZNVT MGMT SER (722005626; PAAIX) ALL ASSET INST Mutual Fund (as quoted by NASDAQ) 07/15/2011 12.51000 Mkt 12.510000 1,543.46 2) 728.055 PIMCO FDS PAC INVT MGMT SER (693390304; PTLDX) LOW DURATION Mutual Fund (as quoted by NASDAQ) 07/15/2011 10.50000 Mkt 10.500000 7,644.58 3) 277.667 PIMCO FDS PAC INVT MGMT SER (693390700; PTTRX) TOTAL RETRN PT Mutual Fund (as quoted by NASDAQ) 07/15/2011 11.04000 Mkt 11.040000 3,065.44 9) 701.21 VANGUARD FIXED INCOME SECS FD (922031604; VSGBX) SHT TRM FED PT Mutual Fund (as quoted by NASDAQ) 07/15/2011 10.88000 Mkt 10.880000 7,629.16 5) 707.649 VANGUARD BD INDEX FD INC (921937108; VBMFX) COM Mutual Fund (as quoted by NASDAQ) 07/15/2011 10.78000 Mkt 10.780000 7,628.46 6) 616.996 BRIDGEWAY FD INC (BRLIX) BLUECHP35INDEX Mutual Fund (as quoted by NASDAQ) 07/15/2011 7.65000 Mkt 7.650000 4,720.02 7) 197.389 DAMS NY VENTURE FD INC (239080401; DNVYX) CL Y Mutual Fund (as quoted by NASDAQ) 07/15/2011 35.32000 Mkt 35.320000 6,971.78 8) 97.475 DWS INSTL FDS (055924500; BTIIX) EQT SOOIDX INS Mutual Fund (as quoted by NASDAQ) 07/15/2011 149.46000 Mkt 149.460000 14,568.61 9) 163.368 BUFFALO FDS (BUFMX) MID CAP FUND Mutual Fund (as quoted by NASDAQ) 07/15/2011 17.83000 Mkt 17.830000 2,912.85 10) 121.791 JANUS INVT FD (JMVAX) PRKN MC VL I SHS Mutual Fund (as quoted by NASDAQ) 07/15/2011 23.65000 Mkt 23.650000 2,880.36 11) 398.075 VANGUARD INDEX FDS (922908835; VMCIX) MD CP STK INST Mutual Fund (as quoted by NASDAQ) 07/15/2011 21.87000 Mkt 21.870000 8,705.90 12) 90.588 JPMORGAN TR II (JISGX) SML CP GRW INS Mutual Fund (as quoted by NASDAQ) 07/15/2011 12.83000 Mkt 12.830000 1,162.24 Page 1 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 7.1.1) Date of Death: 07/17/2011 Estate of: Nancy Grim Valua tion Date: 07/17/2011 Account: IRA - Letort Proce ssing Date: 02/16/2012 Report Type: Date of Death Number of Securities: 18 Fil e ID: GRIM IRA Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 13) 210.087 THIRD AVE TR (884116203; TASCX) SMCAP VAL INS Mutual Fund (as quoted by NASDAQ) 07/15/2011 21.87000 Mkt 21.870000 4,594.60 14) 77.97 VANGUARD INDEX FDS (922908876; VSCIX) S CP STK INST Mutual Fund (as quoted by NASDAQ) 07/15/2011 37.45000 Mkt 37.450000 2,919.98 15) 153.184 ARTISAN FDS INC (04314H2O4; ARTIX) INTL FD Mutual Fund (as quoted by NASDAQ) 07/15/2011 22.71000 Mkt 22.710000 3,478.81 16) 79.231 DFA INVT DIMENSIONS GROUP INC (233203421; DFCEX) EMER MKT COREQ Mutual Fund (as quoted by NASDAQ) 07/15/2011 21.98000 Mkt 21.980000 1,741.50 17) 54.878 HARBOR FD (411511306; HAINX) ZNTL FD INSTL Mutual Fund (as quoted by NASDAQ) 07/15/2011 62.69000 Mkt 62.690000 3,440.30 18) 3024.56 Cash (CASH) 3,024.56 Fidelity Prime Inst MM Total Value: $88,632.61 Total Accrual: $0.00 Total: $88,632.61 Page 2 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 7.1.1)