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Home My WebLink About10-19-121505611188 REV-1500 EX (02-11)(FI) ~~' Pennsylvania OFFICIAL USE ONLY PA Department of Revenue °""1MEM10P1'`'"""` County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280801 Harrisburg, PA 17128-0801 RESIDENT DECEDENT 21 11 116 9 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 180 32 2048 10 01 2011 10 14 1941 Decedent's Last Name Suffix Decedent's Frst Name MI Althouse Janet S (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Frst Name MI Spouse's social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Retum O 2. Supplemental Retum D 3. Remainder Retum (Date of Death Prior to 12-13-$2) O 4. Limited Estate O 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required death after 12-12-82) ~ 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 0 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death D 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 Confldentlal Tax Information Should be Directed to: Name Daytime Telephone Number Elyse E• Rogers, Esquire 71? 612 5801 Frst Line of Address Saidis, Sullivan & Rogers Second Line of Address 635 North 12th Street, Suite 400 City or Post Office State ZIP Code Lemoyne PA 17043 correspondent's a-mall address: erogers@ssr-attorneys.com REGISTE WILLS USE t~G.Y Q ~ ~ ' -i `- - ~ f:~ ~ y ~~ ` N ~ ~ - E~IL E D J Under penalties of perjury, I declar have examined this retur cludin ccompanyingschedules and statements, and to the best of my knowledge and belief, it is true, correctand complete. eclarat' n of the pr rer other n per a epresentative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RE LE FO ET ~T~! ~' ~/~ See schedule attached Lemoyne, PlA 17043 ~-J PLEASE USE ORIGINAL FORM ONLY J LJ r~s' ~. n~ Side 1 1505611188 1505611188 1505611188 J REV-1500 EX (02-111(FI) pennsylvanta OFFICIAL USE ONLY PA Department of Revenue oe+~.rnc!no~..,ve~s, County Code Year File Number Bureau oflndividualTaxes INHERITANCE TAX RETURN PO BOX 280601 Harrisburg, PA 17128-0801 RESIDENT DECEDENT 21 11 116 9 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 18D 32 2048 10 01 2011 1D 14 1941 Decedent's Last Name Althouse (If Applicable) Enter Surviving Spouse's information Below Spouse's Last Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return Suffix Decedent's First Name MI Janet S Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS O 2. Supplemental Retum 0 3. Remainder Return (Date of Death Prior to 12-13-82) (~ 4. Limited Estate f~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required death after 12-12-82) ~ 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) [~ 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 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 Elyse E• Rogers, Esquire 717 612 5801 REGISTEROF WILLS USE ONLY Frst Line of Address Saidis, Sullivan & Rogers Second Line of Address 635 North 12th Street, Suite 400 City or Post Office State ZIP Code Lemoyne PA 17D43 See schedule attached DATE FILED ADDRESS 63 North 12th Stre Lemoyne, P 17043 PLEASE USE ORIGINAL FORM ONLY 1505611188 Side 1 1505611188 Correspondent's a-mail address: erOgerS@SSr-attOrneyS.COm Under penalties of perjury, I declare that) have examined this return, including accompanying schedules and statements, and tothe bestot my knowledge and belief, it is true, correct and complete. Declaration of the preparer other than personal representative is based on all information of which preparer teas any knowledge. Estate of: Janet S. Althouse Executor L. Bruce Althouse III Lynn A. Kopnisky 5264 Deefield Avenue 1628 Churchill Road Mechanicsburg, PA 17050-6842 Harrisburg, PA 17111-4898 180-32-2048 1505611288 Rev-1500 EX (FI) Decedent's Social Security Number 180 32 2048 Decedent's Name: Janet S Althouse RECAPITULATION 0 • 0 0 1. Real Estate (Schedule A) ......................................... 1. 2. Stocks andBonds(Schedule6)....•.•..••••••••••••••••••••••••••• 2. 443,463.71 3. gosely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) • • • • • • 3. 0 • 0 0 4. Mortgages and Notes Receivable (Schedule D) •.•••••.••••••••••••••••• 4. 0'00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) • • • • • • • 5. 5 0 , 9 9 D . 7 3 6. Jointly Owned Property (Schedule ~ D Separate Billing Requested • • • • • • 6. 0 ' 0 0 7. Inter-~vos Transfers & Miscellaneous Non-Probate Property 4 6 4 9 9 5 3.0 4 (Schedule G) ~ Separate Billing Requested • • • • • • 7. , , 8. Total GrossAssets(totalLineslthrough7)•••••••••••••••••••••••••••• 8. 5,144,407.48 9. Funeral Expenses and Administrative Costs (Schedule H) .................. g. 4 5 , 0 0 7 ' 0 7 2 , 415.09 10. 9 9 ( ) ............. Debts of Decedent, Mort a e Liabilities, and Liens Schedule I 10, 11. Total Deductions (total Lines 9 and 10) .............................. 11. 4 7 , 4 2 2.16 5 , 0 9 6 , 9 8 5 •3 2 12. Net Value of Estate (Line 8 minus Line 11) ...................... • ...... 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 4 5 , 6 9 9 •5 3 an election to tax has not been made (Schedule J) ........... • ........... 13. 5 , 0 51, 2 8 5 •7 9 14. Net Value Subject to Tax (Line 12 minus Line 13) • ..... • ................ 14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of lJne 1a taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 0 • 0 0 15. 16. Amount of Line 14 taxable at lineal rate x .045 5, 0 51, 2 8 5 •8 0 1 s. 17. Amount of Line 14 taxable at sibling rate X .12 0 • 0 0 17, 18. Amount of Line 14 taxable 0 • 0 0 at collateral rate X .15 18. 19. TAX DUE .................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0.00 227,307.86 0.00 0.00 227,307.86 O Side 2 1505611288 1505611288 Rev-1500 EX (FI) Page 3 Decedent's Comalete Address: Flle Number 21 11 1169 DECEDENTS NAME Janet S. Althouse STREET ADDRESS 2100 Bent Creek Blvd CITE' Mechanicsbur STATE PA ZI P 17050 Tax Payments and Credits: 1. Tax Due (Page 2 Line i9) 2. Credits/Paymerns A. Prior Paymerns 216,250.00 B. Discourn 11.057.86 (1) 227.307.86 Total Credits (A + B) (2) 227, 307.86 3. I merest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a retund. 5. If Line 1 + Line 3 is greater than Line 2, erner the difference. This is the TAX DUE. (3) 0.00 (4) (5) 0.00 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 ..................................... ® ^ b. retain the right to designate who shall use the property transferred or its income ................ ® ^ c. retain a reversionary interest ................................................... ^ d. receive the promise for life of either paymerns, benefits or care? ........................... ^ 2. If death occurred after Dec. 12, 1982, did decedern transfer property within one year of death without receiving adequate consideration? ....................................... ^ 3. Did decedent own an "intrust for" orpayable-upon-death bank account or security at his or her death? .. ^ 4. Did decedent own an individual retirement accourn, 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 peroern [72 P.S. sect. 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. Sect. 9116(a)(1.1)(ii)]. The statue does not exempt a transfer to a surviving spouse from tax, and the statutory requiremerns 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 stepparern of the child is 0 percent [72 P.S. Sect. 9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedern's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. sect. 9116(a)(1)]• • The tax rate imposed on the net value of transfers to or for the use of the decedern's siblings is 12 peroern [72 P.S. Sect. 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedern, whether by blood or adoption. REV -1503 EX+ (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENTDECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Janet S. Althouse 21 11 1169 All property lolntly-owned with right of survlvorhslp must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 ABM Inds Inc 2,781.30 2 Abbott Labs 2,872.90 3 Allergan Inc 3,537.50 4 Allete Inc 3,046.20 5 American Finl Group Inc Ohio 3,242.20 6 American Wtr Wks Co Inc NEW 1,024.68 7 Amsurg Corp 2,685.00 8 Apache Corp 2,461.87 9 Avnet Inc 2,689.70 10 BMC Software Inc 3,215.21 11 Badger Meter Inc 1,502.41 12 Baker Hughes Inc 1,896.51 13 Bard C R Inc 3,667.44 14 Baxter Intl Inc 3,448.75 Dividend on above stock declared prior to decedent's death 19.22 15 Becton Dickinson & Co 3,500.40 16 Brady Corp CIA 2,662.00 17 Bristol Myers Squibb Co 4,245.01 18 Caci Intl Inc CIA 3,056.14 19 Church & Dwight Inc 4,831.48 20 Clorox Co Del 2,386.08 21 Coach Inc 4,898.58 Total from continuation Schedule(s) 379,793.13 TOTAL (Also enter on line 2, Recapitulation) ( 443,463.71 (If more space is needed, insert additional sheets of the same size) Estate of: Janet S. Althouse Schedule B -Stocks and Bonds Page 2 21 11 1169 Item Value at Date Number Description _ of Death Dividend on above stock declared prior to decedent's death 21.15 22 Conocophillips 3,269.24 23 Cubic Corp 1,634.33 24 DST Sys Inc Del 1,820.49 25 Darden Restaurants Inc 4,527.60 26 Dentsply Intl Inc New 2,521.30 Dividend on above stock declared prior to decedent's death 4.15 27 EQT Corp 3,895.83 28 Emerson Elec Co 3,473.97 29 Family Dlr Stores Inc 4,221.69 Dividend on above stock declared prior to decedent's death 14.94 30 Flowserve Corp 2,588.69 Dividend on above stock declared prior to decedent's death 11.20 31 Gardner Denver Inc 5,213.33 32 Global Pmts Inc 2,499.38 33 Graco Inc 3,012.54 34 Heinz H J Co 3,697.27 Dividend on above stock declared prior to decedent's death 35.04 35 Helmerich & Payne Inc 3,322.91 36 Honeywelllntllnc 4,562.48 37 Hormel Foods Corp 5,090.10 38 Intel Corp 3,777.62 39 J & J Snack Foods Corp 2,639.86 TOTAL. (Carry forward to main schedule) ...... 61,855.11 Estate of: Janet S. Althouse Schedule B -Stocks and Bonds Item Page 3 21 11 1169 Value at Date of Death Dividend on above stock declared prior to decedent's death 6.46 40 Johnson & Johnson 2,668.58 41 Johnson Ctls Inc 2,481.60 Dividend on above stock declared prior to decedent's death 15.04 42 Kaydon Corp 1,627.64 Dividend on above stock declared prior to decedent's death 11.40 43 Kellogg Co 2,238.61 44 Kimberly Clark Corp 4,410.22 Dividend on above stock declared prior to decedent's death 43.40 45 Laboratory Corp Amer Hldgs Com NEW 3,302.57 46 Landauer Inc 2,072.39 Dividend on above stock declared prior to decedent's death 23.10 47 Mastercard Inc CIA 4,765.54 48 Matthews Intl Corp CIA 1,805.25 49 McCormick & Co Inc Com Non Vtg 3,815.93 50 McGraw Hill Cos Inc 1,722.00 51 Merck & Co Inc NEW 2,599.00 Dividend on above stock declared prior to decedent's death 30.40 52 Microchip Technology Inc 3,900.63 53 Murphy Oil Corp 2,277,18 54 Nextera Energy Inc 2,269.89 55 Nordson Corp 6,538.74 56 Norfolk Southern Corp 1,224.95 TOTAL. (Carry forward to main schedule) ...... 49,850.52 Estate of: Janet S. Althouse Schedule B -Stocks and Bonds Item 57 Novartis A G Sponsored ADR 58 Occidental Pete Corp Del Dividend on above stock declared prior to decedent's death 59 Otter Tail Corp 60 Owens & Minor Inc NEW 61 Park Electrochemical Corp 62 Patterson Companies Inc 63 Paychex Inc 64 Pepsico Inc 65 Pfizer Inc 66 Pharmaceutical Prod Dev Inc 67 Piedmont Nat Gas Inc Dividend on above stock declared prior to decedent's death 68 Pricesmart Inc 69 Qlogic Corp 70 Qualcomm Inc 71 Raymond James Financial Inc 72 Schein Henry Inc 73 Schwab Charles Corp NEW 74 Sensient Technologies Corp 75 Sigma Aldrich Corp 76 Smucker J M Co NEW 77 Snyders-Lance Inc Page 4 21 11 1169 Value at Date of Death 4,228.26 2,994.09 19.32 1, 340.28 2,203.70 2,664.06 2, 961.66 3,297.97 3,214.64 3,686.28 2,115.54 2,875.00 29.00 2,841.54 1, 590.94 2,690.33 3, 374.15 3,842.76 1,687.11 4,902.38 4,662.56 3,651.43 2,270.40 TOTAL. (Carry forward to main schedule) ...... 63,143.40 Estate of: Janet S. Althouse Schedule B -Stocks and Bonds Item Number Description 78 Southern Copper Corp 79 Standex Intl Corp 80 Steris Corp 81 Syntellnc Dividend on above stock declared prior to decedent's death 82 Sysco Corp 83 TJX Cos Inc NEW 84 Techne Corp 85 Thermo Fisher Scientific Inc 86 Tidewater Inc 87 Tiffany & Co NEW Dividend on above stock declared prior to decedent's death 88 Tim Hortons Inc 89 United Nat Foods Inc 90 United Parcel Service Inc CI B 91 V F Corp 92 Wolverine World Wide Inc 93 World Fuel Scvs Corp Dividend on above stock declared prior to decedent's death 94 Xilinx Inc 95 Bunge Limited 96 Europacific Growth Fd Shs CI F-2 97 Fox Chapel PA Area Sch Dist TOTAL. (Carry forward to main schedule) ..... . Page 5 21 11 1169 Value at Date _ of Death 2,492.00 3,124.75 2,907.17 3,176.78 4.38 2,450.46 3,318.00 3,383.20 3,140.30 3, 544.49 3,793.94 17.98 3, 849.13 3,077.64 1, 969.90 15, 298.75 3,258.86 3,747.75 4.28 2,289.04 2,411.85 7, 809.16 25, 396.88 100,466.69 Page 6 Estate of: Janet S. Althouse 21 11 1169 Schedule B -Stocks and Bonds Item Value at Date Number Description _ of Death 98 Neshaminy PA Sch Dist 25,414.88 Interest on above bond accrued as of decedent's death 420.76 99 Pocono Mtn PA Sch Dist 25,721.63 Interest on above bond accrued as of decedent's death 330.56 100 Spring-Ford Area Sch Dist PA 52,256.25 Interest on above bond accrued as of decedent's death 333.33 TOTAL. (Carry forward to main schedule) ...... 104,477.41 REV-1508 EX+(11-10) ~`1 Pennsylvania SCHEDULE E #~' pEpA,R7t4EN'. QF RF:Y~kNUF CASH, BANK DEPOSITS, & MISC. INHERITANCETAXRETURN RESIDENTDECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Janet S. Althouse 21 11 1169 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must he disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Orrstown Bank Checking Account 111000286 20,142.97 Interest on above item accrued as of decedent's death 0.45 2 Bryn Mawr Money Market Account -Trust U/A 11,497.75 3 Bridges at Bent Creek Refund 4,386.08 Per 10/21 /11 a-mail from Kelly Groscost at Bryn Mawr 4 Highmark Blue Shield Refund 738.85 5 Patriot News Refund 170.25 6 Delta Dental Refund 49.97 7 Quantum Imaging Refund 12.28 8 PA Department of Revenue, PA-40 refund 158.00 9 Rehab Care Group, refund for over-payment in July and August 2010 118.05 10 Proceeds from Prudential Policy M04717116 1,326.59 Insured: Decedent's father, John Stolarz Beneficiaries: Decedent and her three siblings 11 Proceeds from Prudential Policy 11913715 2,121.40 Insured: Decedent's father, John Stolarz Beneficiaries: Decedent and her three siblings 12 Proceeds from Prudential Policy 10,268.09 Insured: Decedent's father Beneficiaries: Decedent and her three siblings TOTAL (Also enter on line 5, Recapitulation) 50,990.73 If more space is needed, insert additional sheets of the same size REV-1510 EX+(08-09) r, Pennsylvania UE.PAH IME'N7 pf H(;~y~';N11E INHERITANCETAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Janet S. Althouse 21 11 1169 This schedule must be completed and filed if the answerto any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUM DESCRIPTION OF PROPERTY INCLUDE NAMEOFTRANSFEREE, RELATIONSHIPTO DECEDENT& DATEOFTRANSFER.ATTACHCOPYOFDEEDFORREALESTATE DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IFAPPLICABLE) TAXABLE VALUE 1 Bryn Mawr IRA 4,569,953.04 100 4,569,953.04 Beneficiaries: 1 % to Multiple Sclerosis Society and remainder divided equally between Decedent's children, L. Bruce Althouse, III and Lynn A. Kopnisky Per Estate Val and a-mail from K. Groscost 2 $13,000 cash gift to Decedent's daughter-in- 13,000.00 100 3,000.00 10,000.00 law, Kim Althouse, 1/5/11 3 $13,000 cash gift to Decedent's son, Bruce 13,000.00 100 3,000.00 10,000.00 Althouse, 1/5/11 4 $13,000 cash gift to Decedent's granddaughter, 13,000.00 100 3,000.00 10,000.00 Drew Althouse, 1/5/11 5 $13,000 cash gift to Decedent's grandson, 13,000.00 100 3,000.00 10,000.00 Daniel Althouse, 1/5/11 6 $13,000 cash gift to Decedent's daughter, Lynn 13,000.00 100 3,000.00 10,000.00 Kopnisky, 1/5/11 7 $13,000 cash gift to Decedent's son-in-law, 13,000.00 100 3,000.00 10,000.00 Thomas Kopinsky, 1/5/11 8 $13,000 cash gift to Decedent's grandson, 13,000.00 100 3,000.00 10,000.00 Bruce Kopinsky, 1/5/11 9 $13,000 cash gift to Decedent's granddaughter, 13,000.00 100 3,000.00 10,000.00 Amelia Kopinsky, 1/5/11 TOTAL (Also enter on Line 7, Recapitulation) ~ 4,649,953.04 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+(10-09) Pennsylvania t?EPARI'MfN>' OF RkV~NVP INHERITANCETAX RETURN RESIDENTDECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Janet S. Althouse 21 11 1169 Decedent's debts must be r~epor6ed on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL IXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s~. Bruce Althouse, III/Lynn A. Kopnisky Street Address 5264 Deerfield Ave/1628 Churchill Rd Gty Mechanicsburg/Harrisburg state PA Z;p 17050/1711 Year(s) Commission Paid: 2012/2013 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Gaimant Street Address Gty State Zip Relationship of Gaimant to Decedent 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: See schedule attached 34, 000.00 9,000.00 498.50 1, 508.57 TOTAL (Also enter on Line 9, Recapitulation) 45,007.07 If more space is needed, use additional sheets of paper of the same size. Estate of: Janet S. Althouse Schedule H, Part B -Administrative Costs Miscellaneous Expenses Page 2 21 11 1169 Item Number Description Amount 7 Register of Wills, additional probate fee 50.00 8 Saidis, Sullivan & Rogers, reserve for out of pocket expenses 150.00 9 Register of Wills, filing fees 10 Bryn Mawr Trust Company, market value fees 11 Bryn Mawr Trust Company, wire transfer fee 12 M&T Bank, fees for duplicate copy of statement 13 Estate Valuation & Pricing Systems 14 Saidis, Sullivan & Rogers, out of pocket expenses TOTAL. (Carry forward to main schedule) ..... . 30.00 501.33 22.00 12.00 313.87 429.37 1, 508.57 REV-1512 EX+(12-08) Pennsylvania Uf,NARI MfNr Of Ht YE',Nti'£. INHERITANCETAX RETURN RESIDENTDECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Janet S. Althouse 21 11 1169 Report debts Incurred by decedent prior to death that remained unpaid at the date of death, Including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Rosa Lucidon & Team of Cert. Nurses 1,805.00 2 Alert Pharmacy Service 206.48 3 Comcast gg 97 4 Camp Hill Emergency Physician 12.20 5 Urology of Central PA 14.71 6 Holy Spirit Hospital 125.79 7 Center for Kidney Disease 59 79 8 Carlisle HMA Physician Mgt 22.14 9 Silver Spring Ambulance and Rescue 85.01 TOTAL (Also enter on Line 10, Recapitulation) I 2,415.09 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) Pennsylvania SCHEDULE J INHERITANCETAX RETURN BENEFICIARIES RESIDENTDECEDENT ESTATE OF: FILE NUMBER: uanet ~. Hltnouse 21 11 116 9 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBE NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY DO Not Llst Tru s OF ESTATE z TAXABLE DISTRIBUTIONS [Include outright spousal distributions, and transfers under Sec. 9116(a)(1.2).] See schedule attached ENTER DOLLAR AMOUNTS FOR D ISTRIBUTIONS SHOWN ABOVE ON L INES 15 TH ROUG H 18 OF REV-1500 COVER SH EET, AS APPROPRIATE. zi NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1 National Multiple Sclerosis Society 45,699.53 Central Pennsylvania Chapter 2040 Linglestown Road, Suite 104 Harrisburg, PA 17110 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. 45,699.53 If more space is needed, use additional sheets of paper of the same size. Estate of: Janet S. Althouse Schedule J, Part I -Taxable Distributions Page 2 21 11 1169 Amount or Share Num. Name and Address of Person(s) Receiving Property Relationship to Decedent of Estate L. Bruce Althouse III Son 2,495,642.90 5264 Deerfield Avenue Mechanicsburg, PA 17050-6842 Lynn A. Kopnisky Daughter 2,495,642.90 1628 Churchill Road Harrisburg, PA 1 71 1 1-4898 Kim Althouse Daughter-in-law 10,000.00 5264 Deerfield Avenue Mechanicsburg, PA 17050 Drew Althouse Granddaughter 10,000.00 5264 Dee~eld Avenue Mechanicsburg, PA 17050 Daniel Althouse Grandson 10,000.00 5264 Deerfield Avenue Mechanicsburg, PA 17050 Thomas Kopnisky Son-in-law 10,000.00 1628 Churchill Road Harrisburg, PA 17111 Bruce Kopnisky Grandson 10,000.00 1628 Churchill Road Harrisburg, PA 17111 Amelia Kopnisky Granddaughter 10,000.00 1628 Churchill Road Harrisburg, PA 17111 Estate of Janet S. Althouse Date of Death: October 1, 2011 Pennsylvania Inheritance Tax Return Decedent maintained a living trust The Decedent maintain a living trust with The Bryn Mawr Trust Company. Assets subject to the trust agreement are set forth on Schedules B and also Schedule E, Item 2, as the assets poured into Decedent's probate estate upon Decedent's death. Schedule J, Part IIB Decedent designated the National Multiple Sclerosis Society as the beneficiary of 1 % of her Individual Retirement Account with The Bryn Mawr Trust Company. Estate of Janet S. Althouse Pennsylvania Inheritance Tax Return All references are to Inheritance Tax Schedules Assets Probate Schedule B $ 443,463.71 Schedule E $ 50,990.73 Schedule G -IRA Schedule G -Transfers Total Assets $ 494,454.44 Deductions Schedule H $ 45,007.07 Schedule I $ 2,415.09 Charitable Total Deductions $ 47,422.16 Net Amount Subject to Tax Taxable at 4.5% Prepayment Discount Balance Due Shares Shares of others Bruce Lynn Total Shares Non-Probate Taxable $ 443,463.71 $ 50,990.73 $ 4,569,953.04 $ 4,569,953.04 $ 80,000.00 $ 80,000.00 $ 4,649,953.04 $ 5,144,407.48 $ 45,007.07 $ 2,415.09 $ 45,699.53 $ 45,699.53 $ 45,699.53 $ 93,121.69 $ 5,051,285.79 $ 227,307.86 $ 216,250.00 $ 11,057.86 $ 0.00 $ 60,000.00 $ 2,495,642.90 $ 2,495,642.90 $ 5,051,285.79 i i Q ~~~ ~ 01~ ~ JANET S. ALTHOUSE I, JANET S. ALTHOUSE, of Silver Spring Township, Cumberland County>, Pennsylvania, do make, publish and declare this to be xn ~ j- Testament, hereby revoking all Wills and Codicils 5 Last ~ x11 and by me heretofore made. ITEM I: Family Information. I am a widow having been married to L. BRUCE ALTHOUSE, who is referred to as my "husband" in Wxll. I have two children: L. BRUCE ALTHOUSE, III and LYNN A. KOPNIS this These are described in this Will as "my children," or as "a child of mine." KY person born to or adopted by issue of mine is to be included as issue of m ~ Any Provided, however, no adopted person shall benefit under this Will unless the or decree of adoption is entered before the adopted pex•son attains the age of twen er one (21) years. tY IT__E1V1__II: Death Taxes. I direct that all inheritance and estate taxes becoming due by reason of my death, whether Payable b ~ m estate ox° by any recipient of any property, shall be paid. by the Executor out of the residue of my estate, as an expense and cost of administration of m T that no taxes shall be charged against an 5 estate, except charitable deduction in my estate. The Exe ift qualifying for the marital or utor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds o insurance or other property not passing under this Will. f Page 1 v ITEM III: Debts and Final Ex enses. I direct the I Executor to pay the expenses of my last illness, my legally enforceable debts, and j my funeral expenses from the residue of my estate as an expense and cost of administration of my estate. 1T_: Tane~ible Personal Pro ert . (a) Written List. I may leave a written list in my safe deposit box or elsewhere disposing of certain items of my tangible personal property. The Executor shall dispose of items of my personal property as specified in the written list. If no written list is found in my sa:E'e deposit box or elsewhere and properly identified by the Executor within thirty (30) days after the probate of my Will, it shall be presumed that there is no other statement or list. Any subsequently discovered list shall be ignored. ~') 1'ro~perty Not on List. I give my tangible personal property not set forth in a writt;en list to my children, to be divided between them as they shall agree. Should there be no agreement, this property shall be divided between my children by the Executor in as nearly equal portions as is deemed practical in the discretion of'the Executor, having due regard to their personal preferences. ITEM V: Residue. I give the residue of my estate, not disposed of in the preceding portions of this Will, to my children, in equal shares. any of my children do not survive me, the share of my deceased child shall be ai If to his or her then liven issue p d g ,per stirpes. However, if any beneficiary has not attained the age of thirty (30) years at the time of distribution, the share of the beneficiary who has not attained that age shal] be held by HERSHEY TRUST Page 2 ~- "' ~' COMPANI', as Trustee, IN TRUST, for his or her benefit in accordance with ITEM VI. ITEM VI: Trust for Beneficiary Under Age of Thirty (30~. In each Trust established for a beneficiary under the age of thirty (30) years (each the "Beneficiary" of his or her Trust): (a) Net Income. The Trustee shall pay to the Beneficiary in convenient, at least annual, installments so much of the net income as the Trustee, in the discretion of the Trustee, considers necessary for the proper support, maintenance, health care and education, including college or other post-secondary education, of the Beneficiary. Income not distributed shall be accumulated and added to principal. (b) Principal. The Trustee shall also pay to or for the benefit of the Beneficiary so much of the principal as the Trustee, in the discretion of the Trustee, considers necessary for the proper support, maintenance, health care and education, including college or other post-secondary education, of the Beneficiary. (c) Termination of Trust. Upon the attainment of the age of twenty-five (25) years by the Beneficiary, the Trustee shall pay i to the Beneficiary one-half of the principal of his or her Trust. Upon the attainment of the age of thirty (30) years by the Beneficiary, the Trust shall terminate and the Trustee shall pay to the Beneficiary the remaining assets of the Trust. Page 3 (d) Death before Termination. Should the Beneficiary die before final distribution of the assets of his or her Trust, the Trust j shall terminate and the Trustee shall pay the assets of the Trust: to t he then lxvxng issue of the Beneficiary, per stirpes. However, if any issue has not attained the a e of twent five 25 g y- ( )years at the time of distribution, the Trustee shall continue to hold th e share for that issue j as Custodian under the Pennsylvania Unif"orm Transfers to Minors Act I for the benefit of that issue. (e) Trust V~Tithout Beneficiaries. If before final distribution of the assets of any Trust established for my issue, there is no living i beneficiar~T of that Trust, it shall terminate. The assets of the Trust i i shall be paid to the then living issue, on a per stirpital basis, of the nearest deceased ancestor (with issue living at the time of,distr~ xbutxon) of the Beneficiary who is me or my issue. However, if there is there in existence any tx•ust created under this Will for the benefit of that issue, the share which would have been distributed to that issue shall be added to the principal of his or her trust, to be administered and distributed as provided in this Will. (~ Rule Ae~ainst Pert~etuities. Notwithstanding any other provision of this Will, each Trust. arising under this V4Ti11 shall I terminate no later than twent3~ (20) years after the death of the last to die of my issue living at the time of m T S death. Upon termination, the principal shall. be distributed to the then income beneficiary of the Trust. i (g) Failure of Issue. In the event I am not survived by any issue, or if there are no issue of mine surviving upon the I Page 4 ~.. x 1` `^~-~ termination of any trust, the residue (or principal) shall be divide din I two (2) equal parts. One part shall be paid to those persons who would j then be entitled to my estate under the intestate laws of Pennsylvania then in effect as if I had died at that time intestate. One part shall be i paid to those persons who would then be entitled to my husband's estate under the intestate laws of Pennsylvania then in effect as if my husband had died at that time intestate ownin that y g part of m estate. I IT_ EM VII; Spendthrift Clause. No part of the income or principal of any Trust created by this Will shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt of income or principal distributed. The Trustee shall pay the net income and the principal to the beneficiaries specified by me, as their interests may appear, without regard to any attempted anticipation, pledging or assignment, and without regax•d to any claim or attempted levy, attachment, seizure or other process against the beneficiary. i ITE_II: Administrative Po~~ers. In addition to the powers granted at law, the Executor and the Trustee shall each possess the ~ followin g powers each of which shall be construed broadl T and ma T 5 3 be exE rcised I without court approval, but in a fiduciary capacity only: ~a) Retain Investments. To retain any investments I have at my death, including specifically those consisting of stock of• any banl: even if I have named that bank as the Executor or Trustee. i (b) Vary Investments. To vary investments, to make loans, I and to invest in bonds, stocks, notes, real estate mortgages or other Page 5 ~ ~~ ~r~- securities or in other property, real or personal, without. being restricted to so-called "legal investments", and without being limited b5= any statute or rule of law regarding investments by fiduciaries. (c) Division of Assets. In order to divide the principal of a Trust. or for any other purpose, including final distributions, the Executor and Trustee are authorized to divide and distribute personal property and real property, partl3r or wholly in kind, and to allocat;e specific assets among beneficiaries and Trusts so long as the total max•ket value of each share is not affected by the division, distribution or allocation in kind. The Executor and Trustee are each authorized to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, or other obligations, with as wide powers as an individual owner in fee simple. , (d) Sell_ Assets. To sell either at public or private sale real and personal property severally or in conjunction with other persons, and to consummate sale(s) by deed(s) or other instrument(s) to the purchaser(s), conveying a fee simple title. No purchaser shall be obligated to see to the application of the purchase money or to make inquiry into the validity of any= sale(s). The Executor and Trustee are authorized to execute, acknowledge and deliver deeds, assignments, options or other writings as necessary or convenient to any of the Power conferred upon the Executor and Trustee. (e) Encumber Real Estate. To mortgage real. estate, and to make leases of real estate. Page 6 ; ~, ~. /~"'~- (f) Borrow Monev. To borrow mone5> from any person, including the Executor or Trustee, to pa~T indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate or any Trust established by this Will. (g) Pa Costs. To pay all costs, taxes, expenses and charges in connection with. the administration of my estate or any Trust established under this Will. (h) Distributions without Court Order. To make i ~ distributions of income and of principal to the proper beneficiaries, i during the administration of my estate, with or without court order, in such manner and in such amounts as the Executor deems rude P nt and i appropriate. (i) Vote Stock. To vote shares of stock which form a part of rmy estate or any Trust established under this Will, and to exercise all the powers incident to the ownership of stock. (j) Reor anize. To unite with other owners of property i similar to property in my estate to carry out plans for the reorganization of any company whose securities form a part of my estate. (k) Disclaim. To disclaim any interest in property which i would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as ari I appointee under the exercise of a power of a ppointment, as a person Page 7 /~ ~. i ; d~ entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under athird-part3T beneficiary contract. ~ (1) Tax Returns. To prepare, execute and file tax returns of any type reduired by applicable law, including but not limited to :filing a joint tax return with my surviving spouse, and to make all tax elections authorized by law. (m) Emplov Advisors. To employ custodians of property, investment or business advisors, accountants and attorneys as the Executor or Trustee deems appropriate, and to compensate these persons from assets of my estate or trust, without affecting the compensation to which the Executor and Trustee are entitled. (Il) Divide Trusts. To divide any Trust created in this Will into two or more separate Trusts so that inclusion ratio for purposes of the generation-skipping transfer tax shall be either zero or one, in order that an election under Section 2652(a)(3) of the Internal Revenue Code inay be made with respect to one of the separate Trusts, or foz• any other reason. (o) Allocate Expenses. To allocate administrative expenses to income or to principal, as the Executor or Trustee deems appropriate. However, no allocation to income shall be made if the effect of the allocation is to cause a reduction. in the amount of any estate tax marital deduction or estate tax charitable deduction. (p) Adiust Basis. To make any adjustment to basis authorized by law, including, but not limited to increasing the basis of Page 8 ~,-, r r any property included in my estate, whethex• or not passing under this VGTill, liy allocating any amount by which the bases of assets may be increased. The Executor shall be under no duty and shall not be required to allocate basis increase exclusively, primarily, or at all to assets which pass as part of my probate estate as opposed to other property for which a basis adjustment is allowable. The Executor shall allocate basis increase equitably among those beneficiaries receiving property as a result of my death, but shall not be liable to any person, nor subject to removal or surcharge, for any reasonable allocation of basis increase. (q) Compromise Claims. To compromise claims. (r) Terminate Trust. To terminate any trust, if in the opinion of the Trustee, the expense of administration of the trust is not justified. Upon termination, the Trustee shall distribute the trust property to the person(s) then entitled to receive or have the benefit of the income therefrom. If there is more than one current income beneficiary, the Trustee shall distribute trust assets to the income beneficiaries in the proportion in which they receive income, or if no proportion is designated, in equal shares to the income beneficiaries. This power may only be exercised by a Trustee who is an independent Trustee, and this power shall be ineffective to the extent that the effect of the power is to vest in any Trustee or beneficiary a general power of appointment. (s) Oth_ er 1~cts. 'I'o do all other acts in his or her judgment necessary or desirable for the proper and advantageous management, Page 9 `' F investment and distribution of the estate and Trusts established under this ~~~ill. ITEM IX: Accounting. The Trustee, on an annual ~ basis, shall provide each income beneficiary who has attained the age of eighteen (18) years, and the Guardian of the person of any income beneficiary who has not ~ attained the age of eighteen (18) years, statements showing transactions of each i Trust established for the benefit of that beneficiary. The beneficiary, or t;he ~ Guardian of the person. of such beneficiary, may waive this right to receive an i annual accounting. The Trustee may, at any time, settle any account, or questions i concerning the administration of any Trust established under this Will, by agreement with the then current income beneficiaries of the Trust, if legally competent, or if not legally competent, with the Guardian of the person of'the j beneficiary, the legally competent spouse of the beneficiary, or the oldest :Legally i competent relative of the beneficiary who would take a portion of the estate of the beneficiary were the beneficiary to die at that time intestate under the laws of the i Commonwealth of Pennsylvania. Any settlement made in accordance vc=it.h this Item shall bind all persons who have an interest in the Trust, and shall constitute a release and discharge of the Trustee with respect to transactions specified in the i settlement. ITEM X: Distributions t;o or for Beneficiaries. The Trustee is authorized to distribute principal and/or income in any one or more of the following ways if the Trustee, in the discretion of the Trustee, considers the beneficiary unable to apply distributions to the beneficiary's own best. interests, or if the beneficiary is under a legal disability: (a) To Beneficiary. Directly to the beneficiary; Page 10 r``7 (b) To Guardian or Conservator. To the legal guardian or conservator of such beneficiary; (c) To Custodian. To the Trustee, or to another person i selected b~~ the Trustee, as custodian under the Pennsylvania Uniform Transfers to Minors Act as to a beneficiary under the age of twenty- ~~ five (25) years; (d) To Relative. To a relative of the beneficiary, to be expended by that relative for the benefit of the beneficiary; or (e) Direct Application. By directly applying distributions for the benefit of the beneficiary. ITEM ~I: 1 Merger of Trusts. Should my deceased husband, L. BRUCE ALTHOUSE, by Will or Agreement of Trust, have established Trusts similar to the Trusts I have established for the benefit of my issue, the Trustee of each Trust created in this Will shall have the right to merge it with the similar Trust created by my husband for the same beneficiaries. If merged, the Trustee shall operate the merged Trusts as a single Trust. ITEM III: Survival. Any person who has died. within ~ thirty (30) days of m3= death, or under such circumstances that the order o:F our deaths cannot. be established by proof, shall be deemed to have predeceased me. ' Any person (other than myself) v=ho has died at the same time as any beneficiary under this Will, or in a common disaster with that beneficiary, or under such circumstances that the order of deaths cannot be established by proof, shall be deemed to have predeceased that beneficiary. Page 11 ~ <-- J ~, ;~--- ITEM VIII: Trust Situs. The initial situs of e~ ach Trust created under this Will shall be the county where I am domiciled at the time of m 3 death. The Trustee may determine, from time to time, to change the situs of any ', Trust established under this Will. However, no change in situs shall be effective until written notice is provided to the living beneficiaries of the Trust. ITEM fiIV: Exe tutors and Trustees. I make the following provisions with respect to Executors and Trustees: (a) Initial Executor and Trustee. I appoint HERSHEY TRUST COMPANY to be the Executor and Trustee. ~ (b) Acceptance of Office. A Trustee shall be deemed to have accepted the office of Trustee as to Trust property only to the extent it i accepts that property by written instrument delivered to the Executor. Should a Trustee refuse to accept property, the Executor shall have the i i pourer to select another person to serve as Trustee, or to divide any Trust created by this Will so as to permit one person (or persons) to serve as Trustee with respect to some Trust property and another person (or persons) to serve as Trustee with respect to other Trust property. (c) Resignation. Any Trustee may resign upon ninety (90) days v~rritten notice to the then. income beneficiary and each adult slu furls remainder beneficiary of the Trust; provided, however, that the. resignation shall not become effective until and unless at least one person is then serving as Trustee of the affected Trust. (d) Res onsibilit No Trustee shall be responsible for the acts or omissions of any other Trustee. 1~ ~.i ~r ~% (dj Responsibility. No Trustee shall be responsible for t;he acts or omissions of any other Trustee. (e) Duty to Investigate. In the absence of actual knowledge of a breach of trust, or information concerning a possible breach of trust that would cause a reasonable person to inquire, a successor Trustee is under no duty to examine the accounts and records of any predecessor Trustee, or to inquire into the acts or omissions of such predecessor, is not liable for any failure to seek redress for any act; or omission of such predecessor, shall have responsibility only for property which is actually delivered to the Trustee by such predecessor and shall have all of the powers conferred upon a Trustee hereunder. (~ Compensation. The Executor and Tx•ustee shall have the right to receive reasonable compensation for services rendered and reimbursement for reasonable expenses. (g) Standard of Care. The Trustee shall not be liable or accountable for any loss that may result from the good faith exercise of the authority granted in this Will. This shall specifica115~ include decisions of the Trustee with respect to discretionary distributions of income a.nd/or principal to any beneficiary. (h) Security. The Executor and Trustee are specifically relieved from the duty of filing bond or entering security. Page 13 -- `~ IN WITNESS WHEREOF, I have set my hand and seal to this, my Last V~Till and Testament, consisting of this and the preceding thirteen (13) pages, at. the end of each page of which I have also set my initials for greater security and better identification this ~ da ~ of ~;~; ~~,. ~~; ~^. 'JANET S. AL'I°~-iOUSE ~'e, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last V4Ti11 and Testament, in the presence of us, who, at her request and i:n her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. i~%~~ / ~~ - ~ i (SEAL) Residing at ~: v ~. L,, ~ „_ ,, ~, ; , ~ -r= ~ (SEAL) Residing at ~ ~ ~ C, ~! r,; ,~%_ ~,,-,~; ~-~ ~ , /~' ~ /-mi'l' ~ f _: S /%,~: ter' / ff-j ~, -,~ ~- `" - ~~, ~ .f` ~~~_. COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF' ~,~~ ~ /~~6' j SS: I, JANET S. ALTHOUSE, Testatrix, whose name is signed to the attached ox• foregoing instrument, having been duly qualified according t;o law, do hereby acknowledge that I signed and executed. the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. -, ~ ~/. ~ ~ ~ (SEAL) a7ANET S. ALT OUSE Sworn to and subscribed before me this 3 day of ~-° ~ Notary Pu li My Commission Expires: (SEAL) Notarial seal Elyse E. Rogers, Notary Public Camp Hill Boro, Cumberland County PJiy Commission Expires Apr. 5, 2oC?5 Marnber, Pennsylvania Assoclatian of tVouari~ts AFFIDAVIT COMMON~rEALTH OF PENNSYLVANIA ) SS: COUNTY OF ) We, and the Witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix, JANET S. ALTHOUSE, sign and execute the instrument as her Last gill and Testament; that Testatrix signed willingly and that she executed said Will as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as Witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ' Witness Witness Sworn to and subscribed before me this day of 20 . Notary Public My Commission Expires: (SEAL) COMMONWEALTH OF PENNSYLV ANIF, DEPARTMENT Or REVENUE BURcAU OF INDIVICU A_ TgXE`_ DEP7.28060'~ HARRISBURG, PA ; 71 28-O60t RECEIVED FROM: REV-1162 EX117-961 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 015390 ALTHOUSE L BRUCE 111 5264 DEERFIELD AVENUE MECHANICSBRUG, PA 17050-6842 ,alc ESTATE INFORMATION: ssN: ~ so-32-zo4$ FILE NUMBER: 21 1 1-1 169 DECEDENT NAME: ALTHOUSE JANET S DATE OF PAYMENT: 1 2/28/201 1 POSTMARK DATE: 1 2/28/201 1 couNTY: CUMBERLAND DATE OF DEATH: 1 0/01 /201 1 REMARKS: CHECK#1003 SEAL ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 5216,250.00 TOTAL AMOUNT PAID: INITIALS: HEA RECEIVED BY: 5216,250.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER Estate Valuation Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 1D0 File ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 1} 146 ABM INDS INC (000957100 ) COM New York Stock Exchange 09/30/2011 19.94000 19.06000 H/L 10/03/2011 19.36000 17.84000 H/L 19.050000 2,781.30 2) 56 ABBOTT LABS (002824100) COM New York Stock Exchange 09/30/2011 52.25000 51.14000 H/L 10/03/2011 51.70730 50.11000 H/L 51.301825 2,872.90 3) 43 ALLERGAN INC (018490102 ) COM New York Stock Exchange 09/30/2011 84.81000 82.35000 H/L 10/03/2011 82.55000 79.36000 H/L 82.267500 3,537.50 4) 83 ALLETE INC (018522300) COM NEW New York Stock Exchange 09/30/2011 37.41000 36.58000 H/L 10/03/2011 36.87500 35.94000 H/L 36.701250 3,046.20 5) 104 AMERICAN FINL GROUP INC OHIO (025932104) COM New York Stock Exchange 09/30/2011 31.81000 31.07000 H/L 10/03/2011 31.56000 30.26000 H/L 31.175000 3,242.20 6) 34 AMERICAN WTR WKS CO INC NEW (03D420103} COM New York Stock Exchange 09/30/2011 30.61000 30.03000 H/L 10/03/2011 30.64000 .29.27000 H/L 30.137500 1,024.68 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 7) 120 AMSURG CORP (03232P405} COM The NASDAQ Stock Market LLC 09/30/2011 23.04000 22.08000 H/L 10/03/2011 22.85000 21.53000 H/L 22.375000 2,685.00 8) 31 APACHE CORP (037411105) COM New York Stock Exchange 09/30/2011 81.51000 80.05000 H/L 10/03/2011 79.63000 76.47000 H/L 79.415000 2,461.87 9) 104 AVNET INC (053807103) COM New York Stock Exchange 09/30/2011 26.92000 26.07000 H/L 10/03/2011 25.91000 24.55000 H/L 25.862 500 2,689.70 10) 83 BMC SOFTWARE INC (055921100) COM New York Stock Exchange 09/30/2011 40.21000 38.56000 H/L 10/03/2011 38.51000 37.67000 H/L 38.737500 3,215.21 11) 52 BADGER METER INC {056525108) COM New York Stock Exchange 09/30/2011 29.67000 28.66000 H/L 10/03/2011 29.53000 27.71000 H/L 28.892500 1,502.41 12) 41 BAKER HUGHES INC (057224107) COM New York Stock Exchange 09/30/2011 47.36000 46.04500 H/L 10/03/2011 47.15000 44.47000 H/L 46.256250 1,896.51 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 7.1.0) Date of Death: 10/01/2011 Valuation Date: 10/01/2011 Processing Date: 11/28/2011 Shares or Par Estate of: Janet S. Althouse Account: Janet S. Althouse TUA Report Type: Date of Death Number of Securities: 100 File TD: Althouse, Janet TUA 0089 Security Mean &/or Div & Int Security Description High/Ask Low/Bid Adj'ments Accruals Value 13) 42 BARD C R INC (067383109) COM New York Stock Exchange 09/30/2011 89.66000 87.45000 H/L 10/03/2011 87.73000 84.44000 H/L 87.320000 14) 62 BAXTER INTL TNC (071813109) COM New York Stock Exchange 09/30/2011 56.99000 55.51000 H/L 10/03/2011 56.43000 53.57000 H/L 55.625000 0.31 E 09/07 R 09/09 P 10/03/11 15) 48 BECTON DICKINSON & CO (075887109) COM New York Stock Exchange 09/30/2011 74.59000 73.29000 H/L 10/03/2011 73.37000 70.45000 H/L 72.925000 16) 100 BRADY CORP (104674106) CL A New York Stock Exchange 09/30/2011 27.58000 26.41000 H/L 10/03/2011 26.99000 25.50000 H/L 26.620000 17) 135 BRISTOL MYERS SQUIBB CO (110122108) COM New York Stock Exchange 09/30/2011 31.90800 30.78000 H/L 10/03/2011 31.93000 31.16000 H/L 31.444500 18) 62 CACI INTL INC (127190304) CL A New York Stock Exchange 09/30/2011 50.78000 49.90000 H/L 10/03/2011 49.71000 46.78000 H/L 49.292500 19.22 3,667.44 3,448.75 3,500.40 2,662.00 4,245.01 3,056.14 Page 3 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 19) 110 CHURCH & DWIGHT INC (171340102) COM New York Stock Exchange 09/30/2011 44.85000 43.99000 H/L 10/03/2011 44.36000 42.49000 H/L 43.922500 20) 36 CLOROX CO DEL (189054109) COM New York Stock Exchange 09/30/2011 67.60000 66.27000 H/L 10/03/2011 66.77000 64.48000 H/L 66.280000 21) 94 COACH INC (189754104) COM New York Stock Exchange 09/30/2011 54.09000 50.35000 H/L 10/03/2011 53.50000 50.51000 H/L 52.112500 0.225 E 09/01 R 09/06 P 10/03/11 22) 52 CONOCOPHILLIPS (208250104) COM New York Stock Exchange 09/30/2011 64.64000 62.98000 H/L 10/03/2011 62.91000 60.95000 H/L 62.870000 23} 42 CUBIC CORP (229669106) COM New York Stock Exchange 09/30/2011 40.04000 39,01000 H/L 10/03/2011 39.47000 37.13000 H/L 38.912500 24) 42 DST SYS INC DEL (233326107) COM New York Stock Exchange 09/30/2011 44,86000 43.79000 H/L 10/03/2011 43.63000 41.10000 H/L 43.345000 21.15 4, 831.48 2,386.08 4,898.58 3,269.24 1,634.33 1, 820.49 Page 4 This report was produced with EstateVal, a product of Estate 'Valuations & Pricing Systems, Inc. If you have questions, please contact E'VP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.0;) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 100 File TD: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'mants Accruals Value 25) 105 DARDEN RESTAURANTS INC (237194105} COM New York Stock Exchange 09/30/2011 44.56000 42.63000 H/L 10/03/2011 43.82000 41.47000 H/L 43.120000 4,527.60 26) 83 DENTSPLY INTL INC NEW (249030107) COM The NASDAQ Stock Market LLC 09/30/2011 31.37000 30.65000 H/L 10/03/2011 30.59820 28.89.000 H/L 30.377050 2,521.30 0.05 E 09/23 R 09/27 P 10/06/11 4.15 27) 73 EQT CORP (26884L109) COM New York Stock Exchange 09/30/2011 54.86000 53.30000 H/L 10/03/2011 53.75000 51.56000 H/L ' 53.367500 3,895.83 28) 83 EMERSON ELEC CO (291011104) COM New York Stock Exchange 09/30/2011 43.26000 41.31000 H/L 10/03/2011 42.20000 40.65000 H/L 41.855000 3,473.97 29) 228.138 EUROPACIFIC GROWTH FD (29875E100) SHS CL F-2 Mutual Fund (as quoted by NASDAQ) 09/30/2011 34.23000 Mkt 34.230000 7,809.16 30) 83 FAMILY DLR STORES TNC (307000109) COM New York Stock Exchange 09/30/2011 52.13000 50.50000 H/L 10/03/2011 51.24000 49.58500 H/L 50.863750 4,221.69 0.18 E 09/13 R 09/15 P 10/14/11 14.94 Page 5 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 7.1.0) Date of Death: 10/01/2011 Valuation Date: 10/01/2011 Processing Date: 11/28/2011 Estate of: Janet S. Althouse Account: Janet. S. Althouse TUA Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div- & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 31) 35 FLOWSERVE CORP (34354P105) COM New York Stock Exchange 09/30/2011 77.28000 73.81000 H/L 10/03/2011 74.76000 70.00000 H/L 73.962500 2,588.69 0.32 E 09/28 R 09/30 P 10/14/11 11.20 32) 25000 FOX CHAPEL PA AREA SCH DIST (351 352JS9) Financial Times Interactive Data DTD: 12/01/2006 Mat: 04/01/2012 3.75% 09/30/2011 101.59200 Mkt 10/03/2011 101.58300 Mkt 101.587500 25,396.88 Full coupon paid on 10/01/2011 33) 83 GARDNER DENVER INC (365558105) COM New York Stock Exchange 09/30/2011 64.82000 62.87000 H/L 10/03/2011 63.92000 59.63500 H/L 62.811250 5,213.33 34) 62 GLOBAL PMTS INC (37940X102) COM New York Stock Exchange 09/30/2011 41.09000 40.10000 H/L 10/03/2011 40.96000 39.10000 H/L 40.312500 2,499.38 35) 89 GRACO INC (384109104) COM New York Stock Exchange 09/30/2011 34.93000 33.78990 H/L 10/03/2011 34.50000 32.17500 H/L 33.848725 3,012.54 36) 73 HEINZ H J CO (423074103) COM New York Stock Exchange 09/30/2011 51.84000 50.47000 H/L 10/03/2011 50.72000 49.56000 H/L 50.647500 3,697.27 0.48 E 09/20 R 09/22 P 10/10/11 35.04 Page 6 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.0) Date of Death: 10/01/2011 Valuation Date: 10/01/2011 Processing Date: 11/28/2011 Shares or Par Security Estate of: Janet S. Althouse Account: Janet S. Althouse TUA Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 Mean &/or Div & Int Security Description High/Ask Low/Bid Adj'ments Accruals Value 37) 83 HELMERICH & PAYNE INC (423452101) COM New York Stock Exchange 09/30/2011 42.52000 40.60000 H/L 10/03/2011 39.93000 37.09000 H/L 40.035000 38) 104 HONEYWELL INTL INC (438516106) COM New York Stock Exchange 09/30/2011 45.35000 43.82000 H/L 10/03/2011 43.99000 42.32000 H/L 43.870000 39) 188 HORMEL FOODS CORP (440452100) COM New York Stock Exchange 09/30/2011 27.68000 26.93000 H/L 10/03/2011 27.18000 26.51000 H/L 27.075000 40) 177 INTEL CORP {458140100) COM The NASDAQ Stock Market LLC 09/30/2011 22.07000 21.33000 H/L 10/03/2011 21.40000 20.57000 H/L 21.342500 41) 55 J & J SNACK FOODS CORP (466032109) COM The NASDAQ Stock Market LLC 09/30/2011 49.71000 47.87000 H/L 10/03/2011 48.94000 45.47000 H/L 47.997500 0.1175 E 09/13 R 09/15 P 10/05/11 42) 42 JOHNSON & JOHNSON (478160104) COM New York Stock Exchange 09/30/2011 64.74000 63.15000 H/L 10/03/2011 64.21000 62.05000 H/L 63.537500 6.46 3,322.91 4,562.48 5,090.10 3,777.62 2,639.86 2,66$.58 Page 7 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.0) Date of Death: Valuation Date: Processing Date: Shares or Par 10/01/2011 Estate of: Janet S. Althouse 10/01/2011 Account: Janet S. Althouse TUA 11/28/2011 Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 Security Mean &/or Div & Int Security Description High/Ask Low/Bid Adj'ments Accruals Value 43) 94 JOHNSON CTLS INC (478366107) COM New York Stock Exchange 09/30/2011 27.17000 26.23000 H/L 10/03/2011 26.76000 25.44000 H/L 26.400000 2,481.60 0.16 E 09/07 R 09/09 P 10/04/11 15.04 44) 57 KAYDON CORP (486587108) COM New York Stock Exchange 09/30/2011 29.69000 28.67000 H/L 10/03/2011 28.98000 26.88000 H/L 28.555000 1,627.64 0.2 E 09/08 R 09/12 P 10/03/11 11.40 45) 42 KELLOGG CO (487836108) COM New York Stock Exchange 09/30/2011 54.01000 53.15000 H/L 10/03/2011 53.41000 52.63100 H/L 53.300250 2,23$.61 46) 62 KIMBERLY CLARK CORP (494368103) COM New York Stock Exchange 09/30/2011 71.65000 70.97000 H/L 10/03/2011 71.38000 70.53000 H/L 71.132500 4,410.22 0.7 E 09/07 R 09/09 P 10/04/11 43.40 47) 42 LABORATORY CORP AMER HLDGS (5054 08409) COM NEW New York Stock Exchange 09/30/2011 81.45000 78.60000 H/L 10/03/2011 78.72000 75.76000 H/L 78.632500 3,302.57 Page 8 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 48) 42 LANDAUER INC COM New York Stogy 09/30/2011 10/03/2011 0.55 E 09/07 (51476K103) ~k Exchange 51.31000 48.87000 H/L 50.69000 46.50000 H/L 49.342 500 2,072.39 R 09/09 P 10/04/11 23.10 49} 15 MASTERCARD INC (57636Q104) CL A New York Stock Exchange 09/30/2011 324.23000 312.48000 H/L 10/03/2011 324.00000 310.10000 H/L 317.702 500 4,765.54 50) 59 MATTHEWS INTL CORP (577128101) CL A The NASDAQ Stock Market LLC 09/30/2011 31.34000 30.51000 H/L 10/03/2011 31.38000 29.16000 H/L 30.597 500 1,805.25 51) 83 MCCORMICK & CO INC (579780206) COM NON VTG New York Stock Exchange 09/30/2011 47.12000 45.82000 H/L 10/03/2011 46.19000 44.77000 H/L 45.975000 3,815.93 52) 42 MCGRAW HILL COS INC (580645109) COM New York Stock Exchange 09/30/2011 41.82000 40.55000 H/L 10/03/2011 41.87000 39.76000 H/L 41.000000 1,722.00 53) 80 MERCK & CO INC NEW (58933Y105) COM New York Stock Exchange 09/30/2011 33.32000 32.35000 H/L 10/03/2011 32.72000 31.56000 H/L 32.487500 2,599.00 0.38 E 09/13 R 09/15 P 10/07/11 30.40 Page 9 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: loo File ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 54) 125 MICROCHIP TECHNOLOGY INC {595017104) COM The NASDAQ Stock Market LLC 09/30/2011 31.98000 31.10000 H/L 10/03/2011 31.40000 30.34000 H/L 31.205000 3,900.63 55) 52 MURPHY OIL CORP (626717102) COM New York Stock Exchange 09/30/2011 45.16790 44.01000 H/L 10/03/2011 43.88990 42.10000 H/L 43.791950 2,277.18 56) 25000 NESHAMINY PA SCH DIST (64084FEP2) Financial Times Interactive Data DTD: 05/01/2004 Mat: 04/15/2012 3.65% 09/30/2011 101.66400 Mkt 10/03/2011 101.65500 Mkt 101.659500 25,414.88 Int: 04/15/2011 to 10/01/2011 420.76 57) 42 NEXTERA ENERGY INC (65339F101) COM New York Stock Exchange 09/30/2011 54.74990 54.00000 H/L 10/03/2011 54.58000 52.85000 H/L 54.044975 2,269.89 58) 166 NORDSON CORP (655663102) COM The NASDAQ Stock Market LLC 09/30/2011 40.84000 39.67000 H/L 10/03/2011 39.90000 37.15000 H/L 39.390000 6,538.74 59) 20 NORFOLK SOUTHERN CORP (655844108) COM New York Stock Exchange 09/30/2011 62.64000 61.02000 H/L 10/03/2011 61.49000 59.84000 H/L 61.247500 1,224.95 Page 10 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 Shares Security Mean &Jor Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Va1ue_ 60) 76 NOVARTIS A G (66987V109) SPONSORED ADR New York Stock Exchange 09/30/2011 56.41000 55.73000 H/L 10/03/2011 55.72000 54.68000 H/L .55.63 5000 61) 42 OCCIDENTAL PETE CORP DEL (674599105) COM New York Stock Exchange 09/30/2011 73.77000 71.32000 H/L 10/03/2011 71.73100 68.33000 H/L 71.287750 0.46 E 09/07 R 09/09 P 10/15/11 62) 73 OTTER TAIL CORP (689648103) COM The NASDAQ Stock Market LLC 09/30/2011 18.91000 18.28000 H/L 10/03/2011 18.55000 17.70000 H/L 18.360000 63) 78 OWENS & MINOR INC NEW (690732102) COM New York-Stock Exchange 09/30/2011 29.20000 28.46000 H/L 10/03/2011 28.680D0 26.67000 H/L 28.252500 64) 125 PARK ELECTROCHEMICAL CORP (700416209) COM New York Stock Exchange 09/30/2011 22.41000 21.35000 H/L 10/03/2011 21.81000 19.68000 H/L 21.312500 65) 104 PATTERSON COMPANIES INC (703395103) COM The NASDAQ Stack Market LLC 09/30/2011 29.38000 28.62000 H/L 10/03/2011 28.59000 27.32000 H/L 28.477500 19.32 4,228.26 2,994.09 1,340.28 2,203.70 2,664.06 2,961.66 Page 11 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Alt house TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securi ties: 100 Fil e ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 66) 125 PAYCHEX INC (704326107) COM The NASDAQ Stock Market LLC 09/30/2011 27.12500 26.36000 H/L 10/03/2011 26.52000 25.53000 H/L 26.383750 3,297.97 67) 52 PEPSICO INC (713448108) COM New York Stock Exchange 09/30/2011 62.99000 61.85000 H/L 10/03/2011 62.20000 60.24000 H/L 61.820000 3,214.64 68) 208 PFIZER INC (717081103) COM New York Stock Exchange 09/30/2011 18.05000 17.66000 H/L 10/03/2011 17.88000 17.30000 H/L 17.722500 3,686.28 69) 73 PHARMACEUTICAL PROD DEV INC (717 124101) COM The NASDAQ Stock Market LLC 09/30/2011 26.06000 25.45000 H/L 10/03/2011 32.63000 31.78000 H/L 28.980000 2,115.54 70) 100 PIEDMONT NAT GAS INC (7 20186105) COM New York Stock Exchange 09/30/2011 29.54000 28.69000 H/L 10/03/2011 29.18000 27.59000 H/L 28.750000 2,875.00 0.29 E 09/21 R 09/23 P 10/14/11 29.00 71) 25000 POCONO MTN PA SCH DIST (730436XP 2) Financial Times Interac tive Data DTD: 08/15/2004 Mat: 11 /15/2012 3.5% 09/30/2011 102.89000 Mkt 10/03/2011 102.88300 Mkt 102.886500 25,721.63 Int: 05/15/2011 to 10/0 1/2011 330.56 Page 12 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Tnc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 100 File TD: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Ac~~ruals Value 72) 46 PRICESMART INC (741511109) COM The NASDAQ Stock Market LLC 09/30/2011 65.46000 61.51000 H/L 10/03/2011 62.57000 57.55000 H/L 61.772500 73) 125 QLOGIC CORP (747277101) COM The NASDAQ Stock Market LLC 09/30/2011 13.21000 12.68000 H/L 10/03/2011 12.83000 12.19000 H/L 12.727500 74) 55 QUALCOMM INC (747525103) COM The NASDAQ Stock Market LLC 09/30/2011 50.30000 48.63000 H/L 10/03/2011 49.35000 47.38000 H/L 48.915000 75) 130. RAYMOND JAMES FINANCIAL COM New York Stock Exchange 09/30/2011 26,98000 10/03/2011 26.25000 0.130000 E 09/29 R 10/0: INC (754730109} 25.96000 H/L 24.11000 H/L 25.825000 3 P 10/18+10.130000 25.955000 76) 62 SCHEIN HENRY INC (806407102) COM The NASDAQ Stock Market LLC 09/30/2011 63.62000 61.95000 H/L 10/03/2011 63.02990 59.32000 H/L 61.979975 77) 150 SCHWAB CHARLES CORP NEW (808513105) COM The NASDAQ Stock Market LLC 09/30/2011 11.49950 11.17000 H/L 10/03/2011 11.41000 10.91000 H/L 11.247375 Page 13 2,841.54 1,590.94 2,690.33 3,374.15 3,842.76 1,687.11 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 7.1.0} Date of Death: 10/01/2011 Valuation Date: 10/01/2011 Processing Date: 11/28/2011 Shares Security or Par Description High/Ask Low/Bid 78) 150 SENSIENT TECHNOLOGIES CORP (8172 COM New York Stock Exchange 09/30/2011 33.54000 32.51000 10/03/2011 33.14000 31.54000 Estate of: Janet S. Althouse Account: Janet S. Althouse TUA Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 32.682 500 Mean &/or Div & Int Security Adj'ments Accruals Value 5T100) H/L H/L 79) 75 SIGMA ALDRICH CORP (826552101) COM The NASDAQ Stock Market LLC 09/30/2011 63.85000 61.78000 H/L 10/03/2011 62.75000 60.29000 H/L 62.167500 80) 50 SMUCKER J M CO (832696405) COM . NET~7 New York Stock Exchange 09/30/2011 74.45000 72.89000 H/L 10/03/2011 73.40400 71.37000 H/L 73.028500 81) 110 SNYDERS-LANCE INC (833551104) COM The NASDAQ Stock Market LLC 09/30/2011 21.15000 20.69000 H/L 10/03/2011 20.97000 19.75000 H/L 20.640000 82) 100 SOUTHERN COPPER CORP (84265V105) COM New York Stock Exchange 09/30/2011 25.60000 24.86000 H/L 10/03/2011 25.21000 24.01000 H/L 24.920000 83) 50000 SPRING-FORD ARE Financial Times DTD: 11/01/2006 09/30/2011 10/03/2011 Int: 08/01/2011 A SCH DIST PA (849534LN0) Interactive Data Mat: 02/01/2013 4~ 104.51700 Mkt 104.50800 Mkt 104.512500 to 10/01/2011 Page 14 3'•33.33 4,902.38 4,662.56 3,651.43 2,270.40 2,492.00 52,256.25 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type : Date of Death Number of Securities: 100 Fil e ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Tnt Security or Par Description High/Ask Low/Bid Adj'ments Accr uals Value 84) 100 STANDEX INTL CORP (8542 31107) COM New York Stock Exchange 09/30/2011 32.72000 31.10000 H/L 10/03/2011 31.81000 29.36000 H/L 31.247500 3,124.75 85) 100 STERIS CORP (859152100) COM New York Stock Exchange 09/30/2011 30.38660 28.58000 H/L 10/03/2011 29.56000 27.76000 H/L 29.071650 2,907.17 86) 73 SYNTEL INC (87162H103) COM The NASDAQ Stock Market LLC 09/30/2011 44.55000 43.15000 H/L 10/03/2011 43.80000 42.57000 H/L 43.517500 3,176.78 0.06 E 09/28 R 09/30 P 10/14/11 4.38 87) 94 SYSCO CORP (871829107) COM New York Stock Exchange 09/30/2011 26.41000 25.85000 H/L 10/03/2011 26.30500 25.71000 H/L 26.068750 2,450.46 88) 60 TJX COS INC NEW (872540109) COM New York Stock Exchange 09/30/2011 56.94000 54.40000 H/L 10/03/2011 55.89000 53.97000 H/L 55.300000 3,318.00 89) 50 TECHNE CORP (878377100} COM The NASDAQ Stock Market LLC 09/30/2011 69.68000 67.88000 H/L 10/03/2011 68.75000 64.34600 H/L 67.664000 3,383.20 Page 15 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 7.1.0) Date of Death: 10/01/2011 Valuation Date: 10/01/2011 Processing Date: 11/28/2011 Shares Security or Par Description High/Ask Low/Bid 90) 62 THERMO FISHER SCIENTIFIC INC {gg COM New York Stock Exchange 09/30/2011 52.08000 50.43020 10/03/2011 51.13000 48.96000 Estate of: Janet S. Althouse Account: Janet S. Althouse TUA Report Type: Date of Death Number of Securities: 100 File ID: Althouse, Janet TUA 0089 50.650050 Mean &/or Div & Int Security Adj'ments Accruals Value 3556102) H/L H/L 91) 85 TIDEWATER INC (886423102) COM New York Stock Exchange 09/30/2011 43.19000 41.47000 H/L 10/03/2011 41.98950 40.15000 H/L 41.699875 92) 62 TIFFANY & CO COM New York Stogy 09/30/2011 10/03/2011 0.29 E 09/16 NEW (886547108} ~k Exchange 63.73000 60.20000 H/L 62.18000 58.66000 H/L 61.192500 R 09/20 P 10/11/11 93) 83 TIM HORTONS TNC (88706M103) COM New York Stock Exchange 09/30/2011 47.16000 46.27000 H/L 10/03/2011 46.53000 45.54000 H/L 46.375000 94) 83 UNITED NAT FOODS INC (911163103) COM The NASDAQ Stock Market LLC 09/30/2011 38.25000 36.94000 H/L 10/03/2011 37.36000 35.77000 H/L 37.080000 95) 31 UNITED PARCEL SERVICE INC (911312106) CL B New York Stock Exchange 09/30/2011 64.69000 63.12000 H/L 10/03/2011 64.16000 62.21000 H/L 63.545000 Page 16 17.98 3,140.30 3,544.49 3,793.94 3,849.13 3,077.64 1,969.90 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Tnc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse TUA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 100 Fil e ID: Althouse, Janet TUA 0089 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 96) 125 V F CORP (918204108) COM New York Stock Exchange 09/30/2011 126.18000 121.52000 H/L 10/03/2011 124.24000 117.62000 H/L 122.390000 15,298.75 97) 94 WOLVERINE WORLD WIDE INC (978097 103) COM New York Stock Exchange 09/30/2011 35.29500 33.11000 H/L 10/03/2011 36.29000 33.50000 H/L 34.54 8750 0.120000 E 09/29 R 10/03 P 11/01+10.12 0000 34.668750 3,258.86 98) 114 WORLD FUEL SVCS CORP (981475106) COM New York Stock Exchange 09/30/2011 33.83000 32.63000 H/L 10/03/2011 33.10000 31.94000 H/L 32.875000 3,747.75 0.0375 E 09/14 R 09/16 P 10/07/11 4.28 99) 83 XILINX INC (983919101) COM The NASDAQ Stock Market LLC 09/30/2011 28.31000 27.44000 H/L 10/03/2011 27.79500 26.77000 H/L 27.578750 2,289.04 100) 42 BUNGS LIMITED (616962105) COM New York Stock Exchange 09/30/2011 59.26000 57.63000 H/L 10/03/2011 57.81000 55.00000 H/L 57.425000 2,411.85 Total Value: $442,068.60 Total Accrual: $1,395.11 Total: $443,463.71 Page 17 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 7.1.0) v.~t~~ 1'UW N BANK A Trpditinn of Excellence December 12, 2011 Lain Offices of Saidis, Sullivan 8, Rogers Cayle D. Swindler, Legal Assistant b35 North 12a' Street, Suite 400 Lemoyne, PA 17043 Fax: 612-58D5 Re: Estate of Janet S. Althouse Social Security Number 180-32-2048 Date of Death 10/1/2011 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE FOLLOWING ACCOUNT WITH ORRSTODdN BANK: CHECKING ACCOUNT Account No.- Account Type- Date Opened- Date Closed- Joint Account (name/date)- Balance- Accrued Interest- 111000286 50+ Interest Checking 6/18/2001 11 /7/2011 No $20,142.97 $ 0.45 Best Regards, . ~- ~.,1..~~c 11 R. Worhhington Deposit Processing Clerk ,~_ 2695 Philadelphia Avenue Chambersburg, PA 17201 1.888.ORR5TOWN 0 a O U L //h 1~1 .~ O N O W CO Z I f'~ X `~' O ~ at ~ ~ W °o ~ o ~ /' ^ ° U V ~f N O ~~ .. 01 a~ ~ '~ D E Z O c ~ ` ~ V o V U U Q {• W j O J Q ti W 2 Q 0 c O U u Q a O LL Q 0 L a .. 0 U O Q d rn w Q z s Wo =o ~o U ~ jp« 0000 C y 0 0 0 0 I-(p0000 o Q O L d m 0 0 0 ~ Q7 L F r 0 0 0 r Q o cr, ri ri .Ut` ti ti N C ~ f• ~ W ~ ~ ~ O O O O r' l+1 W N N CO Ln M ~ ., h h N O NON N r Q C7 > O v v a 2 Lr u7OC*~N ON N p r I'~ O OD O la7 O r a~(°.In=lnr~o~oio c ~ rnrncoo~vo u-, ~ O d' I~ N W 'CY m M W r N N T tY C ~D m ~ ~ zF g~ ~ N Q O ~ ~ O = ~0 u~i~GZr ~ fnz ~ O a0¢r (np U ~ o_w ~cnQwQ L o= G O~ Q~ Q ap rcnzwz~OH- o¢Ocn0000 aUmGZH¢ I- ~~ ~ lC~ N > V ( lC; CO O ~ V lfl N N 'O 1~ N D I~ O ~ a v; o N ~ N 0 J . ~ ~ w i- w ~~ o z O ~ ~._. r tf7 I~ O (`~ r '~ N CO O N OD '(~ CO 07 ~ M N O i~ h (V N ~ ~- N N r 1~ I~ tD (V I I t7 ~ O O ~ O ('7 (D r ("~ t`") O I~ Op r d V01 ~ O O IOCJ ~ LL tt lf) C7 V O N tp fh S N ~7 N I~ I N ~ ~ ~ F- ~ J 2 ~~ ~ _O ~ ~ F- W F ¢ ~ W W ~ ~ ~ F- V ~ W d W F- , W ~ Y ~ a m G W ~ ` ~ Q ~ U G W Z Y ~ wo,~0 ~ Q ~~_2Q ~ W w 1- U U H, _ = O ~ W C ~ Q o O ~~n .a W Z qV~W~ Q j Z Z _WV ~z 2 c7 V ~ ll~U1~ Oa W U Z_ D Q m ? u ¢ w ? O a Cayle Swindier From: kgroscost@bmtc.com Sent: Thursday, December 15, 2011 7:43 Awl To: Cayle Swindler Subject: Re: Janet Afthouse IRA Sorry Cayle...l always forget about the cash... IRA = $237,666.59 Janet's TUA = $10,431.91 (Principal); $1,050.24 (Income) L. Bruce TUW = $52,875.45 (Principal); $44.97 (Income) L. Bruce TUAI = $37,635.36 (Principal); $52.04 (Income) Thank you, Kelly J. Groscost Fiduciary Specialist BMTC -Wealth Mgmt Hershey (717) 520-5679 (DD) kgroscost a(~,bmtc.com Estate Valuation Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse IRA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 1) 600 ABBOTT LABS (002824100) COM New York Stock Exchange 09/30/2011 52.25000 51.14000 H/L 10/p3/2011 51.70730 50.11000 H/L 51.301825 30,781.10 2) 150000 ABBOTT LABS (002824AQ3) New York Bond Exchange DTD: 03/18/2004 Mat: 03/15/2014 4.35% 09/30/2011 109.18000 108.27000 A/B 10/03/2011 109.22000 108.34000 A/B 108.752500 163,128.75 Int: 09/15/2011 to 10/01/2011 290.00 3) 5688.282 ALLIANZ FDS (018918698) NFJ SMCP VAL I Mutual Fund (as quoted by NASDAQ) 09/30/2011 27.07000 Mkt 27.070000 153,981.79 4) 1000 AMERICAN WTR WKS CO INC NEW (030420103) COM New York Stock Exchange 09/30/2011 30.61000 30.03000 H/L 10/03/2011 30.64000 29.27000 H/L 30.137500 30,137.50 5) 800 BARD C R INC (067383109) COM New York Stock Exchange 09/30/2011 89.66000 87.45000 H/L 10/03/2011 87.73000 84.44000 H/L 87.320000 69,856.00 6) 400 BECTON DICKINSON & CO (075887109) COM New York Stock Exchange 09/30/2011 74.59000 73.29000 H/L 10/03/2011 73.37000 70.45000 H/L 72.925000 29,170.00 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse IRA Processing Date: 11/28/2011 Report Type• Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 7) 800 CACI INTL INC (127190304) CL A New York Stock Exchange 09/30/2011 50.78000 49.90000 H/L 10/03/2011 49.71000 46.78000 H/L 49.292500 39,434.00 8) 440 CLOROX CO DEL (189054109) COM New York Stock Exchange 09/30/2011 67.60000 66.27000 H/L 10/03/2011 66.77000 64.48000 H/L 66.280000 29,163.20 9) 1500 COACH INC (189754104) COM New York Stock Exchange 09/30/2011 54.09000 50.35000 H/L 10/03/2011 53.50000 50.51000 H/L 52.112500 78,168.75 0.225 E 09/01 R 09/06 P 10/03/11 337.50 10) 1000 DARDEN RESTAURANTS INC (237194105) COM New York Stock Exchange 09/30/2011 44.56000 42.63000 H/L 10/03/2011 43.82000 41.47000 H/L 43.120000 43,120.00 11) 1200 DENTSPLY INTL INC NEW (249030107) COM The NASDAQ Stock Market LLC 09/30/2011 31.37000 30.65000 H/L 10/03/2011 30.59820 28.89000 H/L 30.377050 36,452.46 0.05 E 09/23 R 09/27 P 10/06/11 60.00 12) 50000 EMERSON ELEC CO (291011AT1) New York Bond Exchange DTD: 04/29/2003 Mat: 05/01/2013 4.5% 09/30/2011 105.45380 105.37320 A/B 10/03/2011 105.4'6200 105.38150 A/B 105.417625 52,708.81 Int: 05/01/2011 to 10/01/2011 937.50 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 7.1.0) Date of Death: Valuation Date: Processing Date Shares or Par 10/01/2011 Estate of: Janet S. Althouse 10/01/2011 Account: Janet S. Althouse IRA 11/28/2011 Report Type: Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Security Description Mean &/or Div & Int Security High/Ask Low/Bid Adj'ments Accruals Value 13) 4526.736 EUROPACIFIC GROWTH FD (29875E100) SHS CL F-2 Mutual Fund (as quoted by NASDAQ} 09/30/2011 34.23000 Mkt 34.230000 14) 300 FLOWSERVE CORP (34354P105) COM New York Stock Exchange 09/30/2011 77.28000 73.81000 H/L 10/03/2011 74.76000 70.00000 H/L 73.962500 0.32 E 09/28 R 09/30 P 10/14/I1 15) 1311 FULTON FINL CORP PA (360271100) COM` The NASDAQ Stock Market LLC 09/30/2011 8.04000 7.63000 H/L 10/03/2011 7.83000 7.41000 H/L 7.727500 0.050000 E 09/29 R 10/03 P 10/14+10.050000 7.777500 16) 100000 GENERAL ELECTRIC CO (369604AY9) New ..York Bond Exchange DTD: 01/28/2003 Mat: 02/.01/2013 5% 09/30/2011 105.06000 104.45000 A/B 10/03/2011 105.07000 104.32000 A/B 104.725000 Int: 08/01/2011 to 10/01/2011 17) 100000 GEORGIA PWR CO (373334FN6) New York Bond Exchange DTD: 11/22/2002 Mat: 11/15/2012 5.125% 09/30/2011 104.54100 Mkt 10/03/2011 104.54220 Mkt 104.541600 Int: 05/15/2011 to 10/01/2011 Page 3 96.00 154,950.17 22,188.75 10,196.30 104.,725.00 833.33 104,541.60 1,936.11 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse IRA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 52 Fil e ID: Althouse, Janet IRA 0865 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 18) 50000 GOLDMAN SACHS GRP INC MTN BE (38 141EA33) Financial Times Interactive Data DTD: 05/06/2 009 Mat: 05/01/2014 6~ 09/30/2011 106.09000 104.26000 A/B 10/04/2011 105.09000 103.12000 A/B 104.818333 52,409.17 Int: 05/01/2011 to 10/01/2011 1,250.00 19) 110000 GOLDMAN SACHS GROUP INC (38143UAB7) New York Bond Exchange DTD: 01/13/2004 Mat: 01/15/2014 5.150 09/30/2011 104.00000 103.17000 A/B 10/04/2011 103.20000 103.20000 H/L 103.456667 113,802.33 Int: 07/15/2011 to 10/01/2011 1,195.94 20) 75000 HONEYWELL INTL INC (438516AP1) New York Bond Exchange DTD: 03/14/2006 Mat: 03/15/2016 5.4% 09/30/2011 116.15010 A/B 10/03/2011 116.47650 Mkt 116.313300 87,234.98 Int: 09/15/2011 to 10/01/2011 180.00 21) 763 HOST HOTELS & RESORTS TNC (44107P104) COM New York Stock Exchange 09/30/2011 11.21000 10.87000 H/L 10/03/2011 11.03000 10.17000 H/L 10.820000 8,255.66 0.04 E 09/28 R 09/30 P 10/17/11 30.52 22) 1200 INTEL CORP (458140100) COM The NASDAQ Stock Market LLC 09/30/2011 22.07000 21.33000 H/L 10/03/2011 21.40000 20.57000 H/L 21.342500 25,611.00 Page 4 This report was produced with EstateVal., a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at {818) 313-6300 or www.evpsys.com. (Revision 7.1.0) Date of Death: 10/01/2011 Valuation Date: 10/01/2011 Processing Date: 11/28/2011 Estate of: Janet S. Althouse Account: Janet S. Althouse 2RA Report Type: Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Shares Security or Par Description High/Ask Low/Bid Mean &/or Div & Int Security Adj'ments Accruals Value 23) 125000 JPMORGAN CHASE & CO (46625HBV1) New York Bond Exchange DTD: 09/15/2004 Mat: 09/15/2014 5.125% 09/30/2011 105.77000 105.53000 A/B 10/03/2011 106.10000 105.20000 A/B 105.650000 Int: 09/15/2011 to 10/01/2011 24) 25000 JPMORGAN CHASE & CO (46625HDF4) New York Bond Exchange DTD: 10/04/2005 Mat: 10/01/2015 5.15% 09/29/2011 105.81000 104.84000 A/B 10/05/2011 105.14000 104.18000 A/B 105.059000 Fu11 coupon paid on 10/01/2011 25) 50000 JOHNSON & JOHNSON (478160AM6) New York Bond Exchange DTD: 05/22/2003 Mat: 05/15/2013 3.8% 09/30/2011 105.28170 Mkt 10/03/2011 105.29080 Mkt 105.286250 Int: 05/15/2011 to 10/01/2011 26) 100000 KIMBERLY CLARK CORP (494368AX1) New York Bond Exchange DTD: 08/05/2003 Mat: 08/15/2013 5% 09/30/2011 107.96000 105.64000 A/B 10/03/2011 107.97000 105.56000 A/B 106.782500 Int: 08/15/2011 to 10/01/2011 27) 800 LIMITED BRANDS TNC (532716107) COM New York Stock Exchange 09/30/2011 39.87000 38.510.00 H/L 10/03/2011 39.12000 37.36000 H/L 38.715000 Page 5 132,062.50 284.72 717.78 26,264.75 52,643.13 106,782.50 638.89 30,972.00 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse IRA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 28) 200 MASTERCARD INC (57636Q104) CL A New York Stock Exchange 09/30/2011 324.23000 312.48000 H/L 10/03/2011 324.00000 310.10000 H/L 317.702500 63,540.50 29) 1200 MCCORMICK & CO INC (579780206) COM NON VTG New York Stock Exchange 09/30/2011 47.12000 45.82000 H/L 10/03/2011 46.19000 44.77000 H/L 45.975000 30) 500 OTTER TAIL CORP (689648103) COM The NASDAQ Stock Market LLC 09/30/2011 18.91000 18.28000 H/L 10/03/2011 18.55000 17.70000 H/L 18.360000 31) 750 OWENS & MINOR INC NEW (690732102) COM New York Stock Exchange 09/30/2011 29.20000 28.46000 H/L 10/03/2011 28.68000 26.67000 H/L 28.252500 32) 500 PEPSICO INC (713448108) COM New York Stock Exchange 09/30/2011 62.99000 61.85000 H/L 10/03/2011 62.20000 60.24000 H/L 61.820000 33) 100000 PEPSICO INC (713448BF4) New York Bond Exchange DTD: 05/21/2007 Mat: 05/15/2012 5.15% 09/30/2011 102.75750 Mkt 10/03/2011 102.72940 Mkt 102.743450 Int: 05/15/2011 to 10/01/2011 Page 6 55,170.00 9,180.00 21,189.38 30,910.00 102,743.45 1,945.56 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse IRA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 34} B00 PFIZER INC (717081103) COM New York Stock Exchange 09/30/2011 18.05000 17.66000 H/L 10/03/2011 17.88000 17.30000 H/L 17.722 500 14,178.00 35} 1300 POWERSHARES QQQ TRUST (73935A104) UNIT SER 1 The NASDAQ Stock Market LLC 09/30/2011 53.61000 52.46000 H/L 10/03/2011 52.85000 51.11000 H/L 52.507500 36) 3052.864 PRICE T ROWE GROWTH STK FD INC (741479109) COM Mutual Fund (as quoted by NASDAQ) 09/30/2011 28.94000 Mkt 28.940000 37) 60000 PROCTER & GAMBLE CO (742718DA4) New York Bond Exchange DTD: 08/10/2004 Mat: 08/15/2014 4.95% 09/27/2011 112.30000 111.56000 A/B 10/03/2011 111.84780 Mkt 111.864 240 Int: 08/15/2011 to 10/01/2011 38) 800 RUDDICK CORP (781258108) COM New York Stock Exchange 09/30/2011 40.03000 38.95000 H/L 10/03/2011 39.81000 38:09000 H/L 39.220000 39) 800 SMUCKER J M CO (832696405) COM NEW New York Stock Exchange 09/30/2011 74.45000 72.89000 H/L 10/03/2011 73.40400 71.37000 H/L 73.028500 Page 7 379.50 68,259.75 88,349.88 67,118.54 31,376.00 58,422.80 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse IRA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 40) 1200 STANDEX INTL CORP (854231107) COM New York Stock Exchange 09/30/2011 32.72000 31.10000 H/L 10/03/2011 31.81000 29.36000 H/L 31.247500 37,497.00 41) 7856.844 TEMPLETON TNST FDS INC (880210505) FGN EQUITY SER Mutual Fund (as quoted by NASDAQ) 09/30/2011 16.76000 Mkt 16.760000 131,680.71 42) 41477.942 TOUCHSTONE FDS GROUP TR (89155H652) INTER FXDIN INST Mutual Fund (as quoted by NASDAQ) 09/30/2011 9.12000 Mkt 9.120000 378,278.83 43) 550 UNION PAC CORP (907818108) COM New York Stock Exchange 09/30/2011 84.28000 81.66000 H/L 10/03/2011 83.04000 79.80000 H/L 82.195000 45,207.25 0.475 E 08/29 R 08/31 P 10/03/11 261.25 44) 100000 UNITED STATES TREASURY NT (9128277L0) OTC DTD: 02/15/2002 Mat: 02/15/2012 4.875% 09/30/2011 101.79300 101.76200 A/B 10/03/2011 101.77700 101.74600 A/B 101.769500 101,769.50 Int: 08/15/2011 to 10/01/2011 622.62 45) 125648 UNITED STATES TREAS NTS (912828AF7) Government/Agency (Dealer Quotations) DTD: 07/15/2002 Mat: 07/15/2012 3% 09/30/2011 102.87500 102.81250 A/B 10/03/2011 102.87500 102.81250 A/B 102.843750 129,221.12 Int: 07/15/2011 to 10/01/2011 798.96 Page 8 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 7.1.0) Date of Death: 10/01/2011 Valuation Date: 10/01/2011 Processing Date: 11/28/2011 Estate of: Janet S. Althouse Account: Janet S. Althouse IRA Report Type: Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Shares Security Mean &/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 46) 100000 UNITED STATES TREAS NTS (912828CJ7) Government/Agency (Dealer Quotations) DTD: 05/15/2004 Mat: 05/15/2014 4.75% 09/30/2011 111.37500 111.34375 A/B 10/03/2011 111.46875 111.43750 A/B 111.406250 111,406.25 Int: 05/15/2011 to 10/01/2011 1,794.16 47) 100000 UNITED TECHNOLOGIES CORP (913017BH1) New York Bond Exchange DTD: 04/29/2005 Mat: 05/01/2015 4.875% 09/30/2011 111.78000 A/B 10/03/2011 111.99000 A/B 111.885000 111,885.00 Int: 05/01/2011 to 10/01/2011 2,031.25 48) 1500 VALUECLICK INC (92046N102) COM . The NASDAQ Stock Market LLC 09/30/2011 16.00000 15.45000 H/L 10/03/2011 15.77000 14.89000 H/L 15.527500 23,291.25 49) 59157.067 VANGUARD FIXED INCOME_SECS FD (922031836) STRM INVGRA AD Mutual Fund (as quoted by NASDAQ) 09/30/2011 10.66000 Mkt 10.660000 630,614.33 0.02402 E 09/30 R 09/30 P 10/03/11 1,420.95 50) 600 VANGUARD INTL EQUITY INDEX FD (922042858) MSCI EMR MKT ETF NYSE Arca Equities Exchange 09/30/2011 37.28000. 35.80000 H/L 10/03/2011 36.38000 35.13000 H/L 36.147500 51) 2600 WORLD FUEL SVCS CORP (981475106) COM New York Stock Exchange 09/30/2011 33.83000 32.63000 H/L 10/03/2011 33.10000 31.94000 H/L 32.875000 0.0375 E 09/14 R 09/16 P 10/07/11 Page 9 97.5D 21,688.50 85,475.00 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 7.1.0) Date of Death: 10/01/2011 Estate of: Janet S. Althouse Valuation Date: 10/01/2011 Account: Janet S. Althouse IRA Processing Date: 11/28/2011 Report Type: Date of Death Number of Securities: 52 File ID: Althouse, Janet IRA 0865 Shares Security Mean ~/or Div & Int Security or Par Description High/Ask Low/Bid Adj'ments Accruals Value 52) 100000 WRIGLEY WM JR CO (982526AB1) New York Bond Exchange DTD: 07/14/2005 Mat: 07/15/2015 4.65% 09/30/2011 106.81400 A/B 10/03/2011 105.12500 Mkt 105.969500 105,969.50 Int: 07/15/2011 to 10/01/2011 981.67 Total Value: Total Accrual: Total: $4,332,286.45 $4,313,164.74 $19,121.71 Page 10 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 7.1.0) C ~ O~ g a ~' h. ~ H m ~ ~ ~ pE ~ CJ O ~~ ^ O a. ~ a ~-. N ~ 0 N '~ ~~ A ~' . , . ='a N O ~ ~ • y ~ = O m O rl u'1 ['~ V ++ `_ _~ ~ ^ V a .~ n ° ~ ~ ~ rt ~ ~, a ° ~ ~ ~ ~ ~ ~~ ~ ' ~ .. - z ~ ~ a :~ T~ M `~ ~, y C .di ~U~ ~ , ~ ~ ~ t~ O U O F-