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HomeMy WebLinkAbout02-06-13"~ REV-1500 EX(02-tt}(F!} PA DepaNnent of Revenue Bureau of Individual Taxes Pa sox aeo6ol Harrisburg, PA 1 7 1 28-0601 1505611,185 OFFiGIAL USE ~1LY County Code Year File Number INHERITANCE TAX RETURN 21 12 D 561 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Oate of Death MMDDYYYY 201-18-4292 05012D12 Last Name Suffix CLARK (lf Applicatale} Enter Surviving Spouse's information Below Spouse"s Last Name Suffix Spouse's Social) Security Number Date of Birth MMDDYYYY 03271926 Decedent's First Name MI FLORENCE I Spouse's First Name M I THIS RETURN MUST BE FILED IN DUPLICATE WITIi THE - - REGISTER OF WILLS FILL IN APPROPRUITE BdXES BELOW 1, Original Return ^ 2. Suppiementaf Return ^ 3. Remainder Return (Date of Death Prior to 12-t3-82} ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date af' ^ 5. Federal Estate Tax Retum Required ® 6. Decedent Died Testate Q death after 12-12-82} 7. Decedent Maintained a Living Trust Q_ 8. Total Number of Safe Deposit Baaoes (Attach Copy of Will} (Attach Copy of Trust.} ^ 9. Litigation Proceeds Received ^ 1 t}. Spousal Poverty Credit (Date of Death ^ 11 ~ Election la Tax under Sec. 8113(A) Between 12-31-91 and 1-1-95} (Attach Scttedtrle O}~ti CdRRESPONQENT - THIS SECTION MUST 9E COMPLETED. ALL CORRESPONDENCE AND COiMFIDENTL4L TAX INFW~t.T1OFr 3HQUL.~ DIR O: Name Daytime Tt~sh Number ~ MARK E • HALBRUNER, ESQ • ~ 0 717-'~1~i6l30 ~t~ ~ ~ First Line Of Address 1D13 MUMMA RD, STE 1DD Second Line of Address City ar Posl Office State ZIP Cade LEMOYNE PA 17D43 CvrrespondertYs e-mail address:: M• H A L B R U N E R a~ G A T E S L A W F I R M• C O M REQIS't - LLS ONt „~ N ~ ~ ~ ' O ~ _"" ~ ~ f" `~ --~ C.J ~ 1> _.L: DATE FILED Under penalties of perjury, 1 dedare that t have exarnlned this rehrm, irtduding aowmpanying Schedules and statanertts, and to the best of my knarHedge and bend, it is true, correct and complete. OeGaration of preparer other than dve personN representative is based all i anon M which preparer has any knowledge. 51Gh1ATU12EUF PERSON RESPONSIBLE FOR FILING RETURN ~' DATE DONNA L- THOMAS, EXECUTOR _ /~pm, ~ J(~rff.4_ «pC /~~~~j~ 126 ORE BALK ROAR rDILLS URG, PA 9 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE /~ / MARK E• HALBRUNER, ESQ- ~.,,, n ~ ~ l ~1~i1 r'~ 1D13 MUMMA RD, STE 1D0 LEMOYNE, PA 17043 PLEASE USE ORIGINAL FO M ONLY 1505611185 Side 1 OM4847 3.W0 1505611285 J C, J 1505611285 REV-1500 EX (FI) Decedent's Social Security Number Decedent's Name: CLARK FLORENCE I RECAPITULATION 1. Real Estate (Schedule A) 1 $ ~ - 0 ~ 2. Stocks and Bonds (Schedule B) . 2 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3 4. Mortgages and Notes Receivable (Schedule D) 4 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. 8. Total Gross Assets (total Lines 1 through 7) 8 Side 2 9. Funeral Expenses and Administrative Costs (Schedule H). g, $ 2 5 , 5 0 9.5 6 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10 $1 ~, 2 - 8 4 11. Total Deductions (total Lines 9 and 10) , _ 11 $ 2 S , 6 2 2 • 4 0 12. Net Value of Estate (Line 8 minus Line 11) 12. $ 2 4 5 ,17 5.13 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) , 1 g. $ ~ - ~ 0 14. Net Value Subject to Tax (Line 12 minus Line 13) . 14 $ 2 4 5 ,17 5.13 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers un~er Sec. 9116 16. Amount of Line 14 xable 4~ at lineal rate X 0 . $ 2 4 5 ,17 5.13 16. 17. Amount of Line 14 taxable at sibling rate X .12 $ Q - ~ ~ 17. 18. Amount of Line 14 taxable at collateral rate X .15 $ 0 . 0 (] 18. 19. 7AX DUE 19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505611285 155611285 $0.00 $0.00 $0.00 $21,761.18 $61,064.62 $187,971.73 $270,797.53 $O.oo $11,032.88 $0.00 $0.Oo $11,032.88 L~ OM4646 3.000 REV-1500 EX (FI) Page 3 File Number 71. ~.a fl ~Ll. UCGCUCrR7 vVn~f.Jlcw /'1MVI~iJ~. ~•~ ~~ ---- DECEDENTS NAME A K FLORENCE I STREET ADDRESS CLIMBER AND CITY STATE ZIP CARETS E PA 7 13- Tax Payments and Credits; 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments $ 9, x x x• x x B. Discount $ 4 7 3.6 ? 3. Interest Total Credits (A + B) (2) 4. If Line 2 is greater than tine 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. {1) $11,x32.88 $9,473.67 (3) $ x • x x (5) $1, 559.21 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 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? . . h? ^ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her deat 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. §91 16 (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. §91 16 (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(x)(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(x){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)(i.3)}. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. OM4671 2.000 REV-1508 EX+ (0&12) Pennsylvania SCHEDULE E DEPPRTMENTOF REVENUE CASH, BANK DEPOSITS & MISC. RESIDENT DECEDENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Florence I. Clark 21 12 0561 Include the proceeds of litigation and the date the proceeds were received by the estate. All ropert 'ointl owned with ri ht of survivorshi must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~. Susquehanna Valley Federal Credit Union Savings Acct. No. 14936 $95.60 2 Susquehanna Valley Federal Credit Union Certificate of Deposit No. 11885 $3,457.51 3 Susquehanna Valley Federal Credit Union Certificate of Deposit No. 12064 $5,041.24 4 MST Bank Checking Acct. No. 407259 $10,107.06 5 1998 Toyota Camry LE $2,950.00 6 Central PA Auto Club refund $36.75 7 The Sentinel refund $25 22 8 The Patriot-News refund $47 80 TOTAL (Also enter on line 5 Recapitulation) 3 ~ $21 761 18 r 2wasnD 2.000 If more space is needed, use additional sheets of paper of the same size. REV-1509 IX+ (Ot-10} pennsylvania SCHEDULE F DEPARTMENT OF REVENUE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Florence I. Clark 21 12 0561 If an asset became jointly owned wfthin one year of the decedent's date of death, it must be reported on Schedule G c, o,innMr_ InINrr7a.InNrr~C1 Nlnncac~ ADDRESS R~ATIONSF#PTO DEC,Bl9~lf A Thomas, Donna L JOINTLY OWNED PROPERTY; 126 Ore Bank Road, Dillsburg, PA 17019 Daughter R~ NU~Bfft LETTER FOR JOINT TENANT LATE M4 DE JOINT DESCR~nON OF PROP132TY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUM9ER Oft SIMLAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. ~~ ~ DFATI'I VAU1E OF ASSET °k OF pC{,®BY1'S INVEST DATE OF DEATH VALUE OF DECHJ6VT'S IN(H~EST 1 A Vc'ir'lOllS 74 Series I and EE U. S. Savings Bonds owned jointly with the decedent and her daughter, Donna L. Thomas. See attached Inventory. $122,129.24 50.0000 $61,064.62 TOTAL (Also enter on Line 6, Recapitulation) S $ 61 , 0 64.62 swaeAE 2.00o If more space is needed, use additional sheets of paper of the same size. REV-1510 EX + (OS-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Florence I. Clark 21 12 0561 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1511 is yes. ITEM NUMBE DESCRIPTION OF PROPERTY INCLIAE THE NOIRE OF TF£ TRANSFEREE, THEIR RELATIONSHIP 70 DECEDEM AND 7FE DOTE OF TRANSFER. ATTACHACOPV OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION IF APPLICABLE TAXABLE VALUE ~• FLORENCE I. CLARK REVOC. TRUST 1,647.231 Units USAA Income Fund $21,842.28 100.0000 $0.00 $21,842.28 2 USAA Money Market $1,129.45 100.0000 $0.00 $1,129.45 3 One-story, single-family dwelling, located at 110 Old Gap Road, Carlisle, North Middleton Township, Cumberland County, Pennsylvania; being Tax Parcel No. 29-07-0471-025; $165,000.00 100..0000 $0.00 $165,000.00 transferred by Florence I. Clark to herself as Trustee of The Florence I. Clark Revocable Trust dated May 8, 1997, by Deed dated September 19, 1997, and recorded in the Cumberland County Recorder of Deeds Office at Book 169, Page 69. (See attached appraisal.) TOTAL (Also enter on line 7, Recapitulation) $ $187,971.73 If more space is needed, use additional sheets of paper of the same size. 9 W4fiAF 2.000 REV-1511 EX+ (10.09) Pennsylvania DEPARTMENTOF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Florence I. Clark 21 12 0561 Decedent's debts must be reported on Schedule 1. 1TEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~ St. Paul's Lutheran Church funeral luncheon $255.99 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 PPL Electric Utilities utility service 2 Cumberland Law Journal publication fee Total from continuation schedules . $12,713.04 $3,000.00 $143.50 $264.60 $75.00 $9,057.43 TOTAL (Also enter on Line 9, Recapitulation) ~ $ $25 , 509.56 9W46AG 2.000 If more space is needed, use additional sheets of paper of the same size. Estate of: Florence I. Clark Schedule H Part 1 (Page 2) Item No. Description 2 Hoffman-Roth Funeral Home ~ Crematory, Inc. funeral goods & services 3 Westminster Cemetery LLC monument and inscription Total (Carry forward to main schedule) 21 12 0561 Amount $9,787.04 $2,926.00 $12,713.04 Estate of: Florence I. Clark 21 12 0561 Schedule H Part 7 (Page 2) 3 Lawn Maintenance & Yard Work $1,990.00 4 York Waste Disposal trash removal $149.19 5 Executor's mileage incurred during administration, including trips to and from property. $2,028.76 6 U.S. Postal Service postage $19.25 7 Robin Sollenberger, Tax Collector real estate taxes $2,246.42 8 Corneal, Inc. home repairs $537.65 9 Aero Energy fuel ail service $1,239.60 10 J.H. Troup Appraisers real estate appraisal $300.00 11 Fehl Awning Company, Inc. home repair $238.50 12 Susquehanna valley Federal Credit Union bank fee $42.00 13 Miscellaneous administrative expenses for cleaning and maintenance of property. $266.06 Total (Carry forward to main schedule) $9,057.43 REV-t512EX+(12-08) SCHEDULE t Pennsylvania DEPARTMENT OF REVENUE DEBTS OF DECEDENT, 1NHERITANCETAXRETURN MORTGAGE LIABILITIES ~ LIENS RESIDENT DECEDENT ESTATE OF rl~t rvumaf`R Florence I. Clark 21 12 0561 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ewaenH z.ooo If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) Pennsylvania pEPARTMENTOF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Florence I. Clark 21 12 0561 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECENING PROPERTY Do Not List Trustee(s) OF ESTATE 1 TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Donna L. Thomas 126 Ore Bank Road Dillsburg, PA 17019 All of Residue: $245,175.13 Daughter $245,175.13 'ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. 11 NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBU-f10NS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ S $ 0 . 0 0 If more space is needed, use additional sheets of paper of the same size. 9W46AI 2.D00 SCHEDULE J BENEFICIARIES PHOTOCOPY OF THE CERTIFIED DEATH CERTIFICATE LG~AL REGISTRAR'S ~RTII~I~`IGt~ t~IW :~E~~TI~ W'ARNiNC: It is ill~gat tc~ dtxplir~t~ t~tis ~t~~}~ h~u ~~~~=crta~t~~t sit g~h(~)(j,~t~~~k~} .ris certificate. S6.O(l P X8487404 ___ x~l Certification Number Type/Print In permanent Black Ink ,I ~ !~7i ~ ~ " I~1C 1[if(?i'il'2tltU[] h're °J~C ;,~~~~~~ ~~ pfh~, ,In(c tl' ~~z ~ )~ ail 1)I),linal ; irrti{)~ate (if f? _'- ~ - - '~ ~s.~, cil~4~ t)i.t ~~ ~ ~~ t.,)cd~ f~e~Yi~trar The orig ~ ~ __ ~:~ ,t•rt)ti~x(~ t t 1,u~~arded to the. State ~ v, vv)' `3 q. ~~'i, UCit~ tf r t ,'C'Vflh1)iCT1t 11y1(l!,1. n 1 ~\/ `~ ~ ~ _ ~ Af ` 2 ~ d -- - - __-__ _-------T- ,,,,,,,,,,,,,Iii~~- _----~ ~_(>, )! tl;~~~,i~a; Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS CERTIFICATE OF ~EA7H 1. Decedent's legal Name (First, Mlddle, Last, SufFlx) 2. Sex 3. Social Security Number 4. Of Death (Mv Day ) ( pall 0) /,~ ,.e ~ .~ CGa rk- Femme 201-18-4292 5s. Aga-Last Birthday (Yrs) 5b. Under 1 Year Sc. Under 1 Oa 6. Date of Birth (Mojbay/Yea r} (Spell Month) 7a. Birthplace (CIty and Stara or FO gn Country) 66 Months Days Hpurs Minutes March 27, 1926 iJSle PA 76. Birthplace (county) 1 n 8e, Residence (State or FO(elgn Country) gb. Residence (Sercet and Number - Include Apt No.) BG. Pid Decedent live In a Townahlp7 pA 110 01d Gap Rd. Q9 vas, decedent rived m N. Mi.t3dlt?ton ewp. ga. Reaiden~e (cpunty) Cumberland 8e. Residence (Zip Code) [~ No, decadent Ilved within limits of city/born. 9. Ever in US Armed Forces? 10. Marital Status at Tlme Of Death Q Married Widowed 11. Surviving Spouse's Name (If wife, give name prier to first marriagel Q Yes Q9 No ~] Unknown Q Divorced =] Never Mauled Q Vnknown 12. Father's Nama (First, Mlddle, Laai, SufFlx) 13. Mother's Nama Prior to First Marriage (P)rat, Middle, Last) - Safe C. Bentzel 14a. Informant's Name 14b. Relatlonahlp t0 Decedent 14c, mfoimanYS Matlln AddRr'gs: (Street d Number, Clty, State, ZI PA ~ ~9 D~3labur CQi g, , Donna L_ TYlamas daughter 126 Ore g G `eJ~ ................ .... .,.............................,.Q° .. ° ...on y one .............................. ......,....,............_.,........ ............. ........................ ........................................ a. ace o ....................._.........,.... 11 peach Occurred In a Hospital: ~ Inpatient S1f Death Occurred Somewhere Other Than a Hospital: ~ Hospice Facility [~DetedenCS Home Emergency Room/Outpatient Dead on ArHval Q Nurc{n Home/Eon -Term Care Fadlity Dther (Specify) r 15b. FacllKy Nam¢ (if not InstltuHon, gWe street and number) 15c. City or TOWn, SU[e, and Zip Code 15 d. County o1 Death Dau hin a Harriabu Hos ital p Harrisburg, PA 17101 . - iga. McChod Of Disposition Burial Cremation i6b. Oats of Diaposi[lon 16c. Platt of Oispositlvn (Name of cemetery, crematory, or other place) ~ , p Removal from state O Dpnanvn May 4, 2012 W@SttLtln9t@r CE>i)fT~tE'Y'y Other (5 edfyj 16d. LOCitlgn of Olspos{tlon (City or Town, Slate, and tip) ns¢e or Person In Gharga of Interment 17a. Wre of funeral 5¢ ce 17b. License Number Carlisle, PA 17013 ~ 013144E 17c. Name and Complete Address Of Funeral Facility HofPmasn-Roth Funeral Home & Cramer , 219 North Hanover Street, Carlisle. PA 17013 .~ 18. Decedent's Education -Check the box Thar 6ezt describes the 19. Decedent of Hispanic Origin -Check the 20. Decedents Race -Check ONE OR MORE races to Indicate what t- highest degree or level of school rompleted at the time of death. box that beat deurlbes whether the decedem the tleced¢nt considered himself or herself to be. Q 8th grade or less is Spanlah/Hispanic/LatinO. Check the "No• [~ White Q Korean Q No diploma, 9th - 12th grade box if decedent is nqt Spanlzh/Hlspanic/Latlno. [~ Black or African American [] Vietnamese ® High school graduate pr GED completed No, not Spanish/Hiapanlc/Latino j=] American Indian or Alaska Natlye Q Other Asian ~] Asian Indian Q Netlve Hawaiian i A i Chi M ~ mer cano ex can can, Yes, Mexican, [,] Some college credit, but no degree Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican Q Chinese Q 6uamanlan or Chamorro Q Bachstor•z degree (e.g. BA, AB, BS) Q Yes, Cuban [] Filipino [] Samoan Q Master's degree (e.g- MA, M5, MEng, MEd, MSW, MBA) Q Yes, other SpanlahjHlspanlc/Latino [] Japanese D Other Paclflc Islander Q DOCtgrate (e.g. Phb, Edo) or ProPosslonal degree (Specfy) Q Other (Specify) e. MO ODS DVM LLB JD 21. Decedent's Single Race Self-Dealgnadon -Check ONLY ONE t0 indicate what the decedent consltl¢r¢tl himself or herseK to be. 22a. becedents Usua Occupation -indicate type of work QQ White Q JaPSnese [] Samoan done during most of working IHe. 00 NOT USE RETIR EO. an Q Korean ~] Other Paclflc Islander ri A A me c frican ~j Black or HOmema3eeY' Q American Indian or Alaska Nat We (~ Vietnamese Q Don't Know/Not Sure 0 Asian Indian (~ Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q NaHye Ha Wallah Q Other (Specify) OWn Homt? Filipino Q GuamaMan or ChamOrro 1 E 5 23e - 2! MU BE GOMPI D 3 to Pronpunced sad. MO ay 23 . Signature o Person Pronouncing Deat my w en app scab ¢ 23c, License Num er 7 / 6Y PERSON WHO PRONOVNCES OR ! / CERTIFIES OEATN 23d. Oete Signed (MOJDay/Yr) 24. Tlm De h 25. Was Medlin Examiner or Coroner Cantacted7 [] Yes No CAUSE OF DEATH Approximate 26. Part t. Enter the chain of events-diseases, injuries, or complications-the[ directly caused the death. DO NOT enter terminal events such as cardiac arrest interval: t to Death y ohs cause on a line. Add additional Iln¢s if necessary ! Onse nt er onl Khout showing the eHOlogy. DO NOT ABBREVIATE. E w respiratory arrest, or ventricular fibrlllalion / ~ ~ ~ ~ / ~ / IMMEDIATE CAUSE --------y a- (- A /rf ~ ~~./~ E O(P / (Final disease or wndttlon Due To (or as a cons¢ ante ot): resulting In death) b ~`~~ 1~ ~~~~ ~ • //'1 5equentlally ilai condKtonz, D to for as a cons<q uence of): If any, leading To the cause listed on Ilne a. Enter the c. VNDERLYING CAVSE Due to (or as a Cvnsequ¢nc¢ Of): ~ (disease or injury that Initiated the events resulting d. _ ulnce of): o nae O e t (o s a u p r a c q In death) LAST- t 26. Part 11. Enter ocher 1 ifl t cpnditi nz nt ibuti t d th but not resulting in the underlying cause given In Part 1 37. Was an autopsy p med7 Yes NO # 28. Were autopsy tin n s evallable ~. to complete the cause of death? yes No 29. If Female: 30. Did Tobacco Use contrlbuq t0 beath7 31. Manner of Death [~~NOt pregnant within past year Q Yes (~ Probably ~ Natural ~ Homicide °m' Q Pregnant at time of death ~ Not pregnant, but pregnant within 42 days of death Q No ~ Unknown ~ Accident 0 Pending InyestigaHOn [] Suicide ~ COUId not be determined but pregnant 43 days to 1 year before death Q Not pregnant 32. Date of Injury (MO/Day/Yr) (Spell Month) r. , Q Unknown If pregnant within the pas[ year 33. Time of Injury 34. Place of Injury (¢.g. home: ronstruttlan site; farm; school) 35. Locat{on of Injury (Street and Number, City, State, 21p Code) 36. Injury at Wvrk 37. If Transportation Injury, SpecHy: 36. Describe Now In)ury Occurred: Q Y!s [~ Orlver/Operator p Pede:man No ~ Passenger ~ Other (Specify) 39a. CertMer (Check only one): Certifying physician - To the beat of my knowledge:, death Occurred due to the cause(s) and manner stated and due to the wuse(a) and manner stated and place date death occurred at The time t of m knowledge h i T th be i ~ , , , y , ys an - e s c o Pronouncing 8. Certlfying p her stated Q Medical Examiner/Corona - On the basis o minatlon, and/vr investigation, in my opl neon, death occurred at the time, date, and place, and due to the cause(s) and y~} f~Sd~/f d'7 Signature Of certifier; Title of ceKifler: License Numb¢r: 99b. Name, Address and ZI Co P s^r~COmpl¢ting Gauss Dea I~m Z6 /1 /AY/ 6 ~- ~ f7~o1 39c. Da 51 ad (Mo/Day/Yr) ~ . ~f~--- 40. Reg attar s District Num er 41. Rlglat gnature ~ 42. Reg strsr Flle Date Mo Day a~-aw ~ - ~ 43. Amendments LAST WILL AND TESTAMENT OF FLORENCE I. CLARK LAST WII,L AND TESTAMENT OF FLORENCE I. CLARK I, Florence I. Clark (a.k.a. Irene Clark), a resident of, and domiciled in, Cumberland County, Pennsylvania, do make, publish, and declare this to be my Last Will and Testament, in the manner following, hereby revoking all of my previous Wills and Codicils (but not that certain Trust Agreement referred to in Articles II and IV herein, if the same be determined to be testamentary in nature}. ARTICLE I GENERAL PROVISIONS (1) STATEMENT OF CITIZENSHIP I declare that I am a citizen of the United States of America, and that my Social Security Number is 201-18-4292. (2) FAMILY MEMBERS At the time of the execution of this Will, I am a widow and my children are: Donna Lee Thomas and Linda Kay Russell (hereinafter collectively and individually, as the case may be, referred to as "my children" or "my child"). For purposes of this instrument and for all other purposes, the terms "child," "children," "grandchildren," "descendants" and "issue" shall exclude adopted persons, step-children, step-grandchildren and their issue; the term "issue" shall include only the Testatrix's blood line- descendants of whatever degree. Furthermore, for purposes of this instrument and for all other purposes, a person in gestation, later born alive, shall be considered a person in being. Notwithstanding anything to the contrary contained in this instrument or elsewhere, the Testatrix specifically states that no property under this Will shall pass or be distributed to her daughter, Linda Kay Russell, nor to her issue, for reasons best known to the Testatrix. The Testatrix hereby declares that such omissions are intentional and not occasioned by accident or mistake. ARTICLE II DEBTS AND TAXES (1) PAYMENT OF DEBTS AND EXPENSES I direct that all of my legally enforceable debts and expenses, including, but not limited to, any expenses of my last illness, any funeral or cremation expenses (including, but not limited to, the costs of memorials of all types .and memorial services), any allowances by court order for those individuals dependent upon me, and any expenses of the administration of my estate (including any expenses of any ancillary proceeding that may be necessary in another state or country), be paid as soon as practical after my death by my Personal Representative, and I hereby authorize and empower my Personal Representative, in the case of any claim made against my estate, to settle and discharge any such claim, in the sole and absolute discretion of my Personal Representative. (2) DISCHARGE OF LIENS In the event that any property, or interest in any property, passing under this Will, or otherwise, by reason of my death, shall be encumbered by a mortgage or lien, or shall be pledged to secure any obligation (whether or not the property, or the interest in any such property, so encumbered or pledged shall be owned by me individually or jointly), then it is my intention that any such indebtedness shall not be charged to, or paid by, my estate. (3) PAYMENT OF TAXE5 I direct that all of the estate, inheritance, or other death taxes of any nature (including the federal supplemental estate tax on certain qualified plan benefits), together with any interest and penalties, that may be payable upon or with respect to any property, or any interest therein, required to be included in my gross estate or taxable to any person receiving any such property under the provisions of any present or future domestic or foreign laws, regardless of whether any such property, or any interest therein, passes under or outside of this Will, and regardless of whether the said taxes are payable by my estate or by any recipient or beneficiary of any such property, including any generation-skipping transfer tax on any direct skip (except by reason of disclaimer) due to the express terms of this Will or that certain Trust Agreement known as The Florence I. Clark Revocable Trust dated ./` ~' , 1997, but excluding any other type of generation-skipping transfer tax, d also excluding any additional estate tax unpaid pursuant to Section 2032A(c) of the Internal Revenue Code of 1986 (hereinafter referred to as "the Code"), as amended, shall be paid, or other provision for any such payment made, by my P rsonal Representative and the Trustee of The Florence I. Clark Revocable Trust dated 1997, out of the principal of the Trust Estate held under that certain T st Agreement, with no right of reimbursement from any recipient or beneficiary of any such property or interest, except as provided in Section (2) of Article IV of that certain Trust Agreement. Notwithstanding the foregoing, my Personal Representative shall make a claim, to the extent permitted by law, for any death taxes assessed against my estate because of any power of appointment which I may have, and my Personal Representative may make a claim for any death taxes assessed against my estate due to the inclusion of any qualified terminable interest property in my gross estate. Moreover, to the extent that the assets of my probate estate, exclusive of any real estate or tangible personal property, are insufficient to pay all, or any part of, the legally enforceable debts and expenses of my estate, any estate, inheritance, or other death taxes of any nature, or any cash bequests under this Will, if any, my Personal Representative shall mand payment thereof from the Trustee of The Florence I. Clark Revocable Trust dated l~~ 1997, but subject to the terms, conditions, and limitations of that certain Trust Ag ement which are applicable to the payment of any such sums. 2 ARTICLE III SPECIFIC BEQUESTS (1) PERSONAL EFFECTS All of my clothing, jewelry, personal effects, boats, automobiles, and all other tangible personal property, not otherwise specifically disposed of herein or otherwise, which are owned by me at the time of my death (except any cash on hand or on deposit, any property used in a trade or business, and any other property held for the production of income), I bequeath to my residuary estate. (2) PROPERTY INSURANCE POLICIES All of my insurance policies which provide indemnity for the loss of any of my personal or real property by fire, windstorm, or any other casualty, including any claim for any such loss of any such property which I might have at the time of my death against any insurance company, I bequeath any such policies or claims respectively to those persons who shall become owners of the applicable properties by reason of my death, whether or not any such ownership be acquired under this Will or otherwise. (3) COST OF DELIVERY If, with respect to the aforementioned bequests, it is necessary to effect the delivery of my tangible personal property or any insurance policies to a beneficiary who is to respectively receive the said bequests, my Personal Representative shall arrange for, and pay the costs of, any shipments incurred in making any such deliveries. ARTICLE IV RESIDUARY ESTATE (1) RESIDUARY DISTRIBUTION I give the balance of my estate, all of which is herein referred to as my residuary estate, to the Trustee of The Florence I. Clark Revocable Trust dated , 1997, to be administered by the terms provided in the said Trust Agreemen as it now exists or as it may be amended at the time of my death, notwithstanding that any such amendment or amendments may have been made subsequent to this Will. It is not my intention to exercise any power of appointment I may have, except as any such power of appointment may be specifically exercised. The receipt of the said Trustee under the said Trust Agreement shall be a full acquittance and discharge to my Personal Representative for the property so distributed. Upon distribution to the said Trustee, the administration of my estate shall cease with respect to the assets passing to the said Trustee, and the said Trustee shall not be subject to the control of any court in which my Will may be probated. 3 (2) SAVINGS PROVISION If, for any reason, the aforementioned Trust Agreement shall not be in existence at the time of my death, or, if for any reason, a court of proper jurisdiction shall declare this transfer to the said Trustee of the said Trust Agreement to be invalid, then I direct that the residuary estate shall be held, managed, invested, and reinvested in exactly the same manner described in the said Trust Agreement, giving full effect to all of the then existing amendments to the said Trust Agreement, and the residuary estate shall be managed by the same Trustee (or, as appropriate, the successor or successors therein named, as defined in that certain Trust Agreement). Thus, for those purposes, I do hereby incorporate that certain Trust Agreement by reference, into this, my Will. Notwithstanding the foregoing, if my Personal Representative has presumptive evidence that the reason the said Trust Agreement is not in existence at the tune of my death is due to my intention and act to revoke the said Trust Agreement (by physical destruction or otherwise), then it is my intention that my Personal Representative and any court of proper jurisdiction shall, in good faith, ignore the dispositive scheme called for under the said Trust Agreement, and instead, my estate shall be distributed in accordance with the controlling intestacy laws then in effect. ARTICLE V THE PERSONAL REPRESENTATIVE (1) NOMINATION I hereby nominate Donna Lee Thomas as my Personal Representative. In the event that my Personal Representative is unable or unwilling to serve or to continue to serve in such capacity for any reason, then I nominate Rachel Thomas as the Successor Personal Representative. (2) COMPENSATION Any Personal Representative shall be entitled to compensation which is allowed to Personal Representatives by the laws of the Commonwealth of Pennsylvania. Any Personal Representative shall also be entitled to reimbursement for any expenses necessarily incurred by any such Personal Representative in the administration of my estate. (3) BOND To the extent allowed by law, no Personal Representative shall ever be required to give bond or other security, to qualify, to make an accounting to any court under the provisions of any present or future laws of any state or temtory, or to obtain the approval or order of any court in the exercise of any power or discretion herein given (unless otherwise provided in this instrument) . 4 ARTICLE VI THE POWERS AND DUTIES OF THE PERSONAL REPRESENTATIVE (1) GENERAL POWERS AND DUTIES My Personal Representative, or any successor, shall be governed by the appropriate provisions of the Pennsylvania Statutes, as amended, that aze not in conflict with this instrument, and shall have all of the additional powers and protection granted by statute to Personal Representatives. In addition to, but not in limitation of, any common-law or statutory authority, and without application to any court, the Personal Representative, or any successor, shall follow the directions hereinafter given and shall exercise, in the Personal Representative's sole and absolute discretion (unless otherwise provided in this instrument), the powers and responsibilities hereinafter given. The aforementioned shall also apply to any Trustee, at the time of application, with respect to any Trust Agreement created under this instrument. (2) INVESTMENT AND OTHER POWERS AND DUTIES With respect to both real and personal property, and for the purposes of obtaining funds for the payment of any debts, expenses of administration, taxes, payment of devises, and for making distributions, conversion into cash, management of property, and for every other purpose, my Personal Representative may acquire, retain, invest, reinvest, exchange, lease, sell, borrow, mortgage, pledge, transfer, and convey in any such manner, on any such terms, and at any such times, all without limit, as my Personal Representative may deem advisable (unless otherwise provided in this instrument), even if any such terms may extend beyond the expected administration of my estate. No person dealing with my Personal Representative shall be required to inquire into, or shall be held liable with regard to, the necessity or propriety of any transaction, nor as to the application of any money or property paid or delivered in connection with any such transaction. (3) POWER TO DISPOSE OF ESTATE ASSETS I hereby give to my Personal Representative the full power and authority, at any time, to sell, mortgage, pledge, exchange, dispose of, or otherwise deal with any property comprising my estate, upon any such terms as my Personal Representative shall deem advisable; to settle and compromise any and all claims in favor of, or against, my estate as my Personal Representative shall deem advisable; and for any of the foregoing purposes, to make, execute, and deliver any and all deeds, contracts, mortgages, bills of sale, or any other instruments necessary or desirable therefor. My Personal Representative is expressly authorized to postpone the final distribution of my estate pending the final determination of any tax liabilities in connection therewith. (4) PAYMENTS OR DISTRIBUTIONS TO MINORS In the event that there is to be a payment or distribution from my estate to a donee who is a minor at such tune, then at such time, as my Personal Representative deems advisable, any f such payment or distribution shall be made by my Personal Representative (i) to any such minor 5 directly, (ii) to any such parent of the minor, (iii) to any such other person having custody of the minor, (iv) to the legally appointed guardian, conservator, or committee of any such minor, or (v) to a custodian selected for any such minor under a Uniform Transfers to Minors Act (or similar or successor statute), whether or not the applicable custodian is selected by my Personal Representative or has already been serving as the said custodian. If there is no such custodian, the applicable custodian may be appointed by my Personal Representative, and any person or entity serving as my Personal Representative may be appointed as the said custodian (unless otherwise provided in this instrument). (5) CHARITABLE PLEDGES My Personal Representative may pay any pledges made by me in writing, if, in the discretion of my Personal Representative, Iwould have wanted such pledges paid. (6) TAX MATTERS (a) Tax Returns: I specifically authorize and empower my Personal Representative to execute and file any applicable income tax returns for the year in which my death occurs, and for any years prior- thereto. I also authorize and empower my Personal Representative to execute and file any gift tax returns, if any such gift tax returns are required for the year in which my death occurs, and for any years prior thereto. My Personal Representative shall incur no personal liability for any action taken in good faith in accordance with either of the foregoing authorizations. (b) Tax Elections In General: I am cognizant of the fact that the provisions of the Code, and any other applicable laws, in force at the time of my death and as applicable to my estate, may permit my Personal Representative to elect to claim certain administration and other expenses as deductions either in the income tax returns of my estate or in the estate tax return. It is my desire that my Personal Representative elect to claim, from time to time, any such expenses as deductions on the particular tax returns which, in my Personal Representative's opinion, may result in the smallest combined taxes being paid, irrespective of whether any such expenses shall be payable from the income or the principal of my estate. My personal representative shall have the power to allocate to the income or the principal of my estate, in whole or in part, any of the receipts and the disbursements of my estate, in my Trustee's reasonable discretion (unless otherwise provided in this instnunent). Also, my Personal Representative is authorized, but not required, to make any adjustments, in the reasonable discretion of my Personal Representative, between any property interests passing to any beneficiaries under this instrument which may be substantially affected as a result of any election under this Article. It is my direction that any such property interests, which may be determined as a result of my Personal Representative's reasonable discretion, shall, in fact, be the interests that any such beneficiaries shall receive under this instrument. (c) Generation-Skipping Transfer Tax Authorization: I have ex ressly authorized the Trustee of The Florence I. Clark Revocable Trust dated ~ 1997, to exercise, in the said Trustee's discretion, the allocation of any porti n or all of my exemption under Section 2631(a) of the Code to any property as to which I am the transferor, including any property transferred by me during my lifetime as to which I did not make any such allocation 6 prior to my death. If Section 2631(a) of the Code is not interpreted as to allow a Trustee to allocate the said exemption, then my Personal Representative is nonetheless directed to follow the said Trustee's instructions with respect to the said exemption. ARTICLE VII SIMULTANEOUS DEATH PROVISIONS (1) OTHER BENEFICIARIES If any beneficiary and I shall die under such circumstances that there is not sufficient evidence to presumptively determine the order of our deaths, then it shall be presumed that I shall have survived any such beneficiary, and my estate shall be administered and distributed in all respects in accordance with such a presumption (unless otherwise provided in this instrument). ARTICLE VIII JOINTLY-OWNED PROPERTY If, at the time of my death, I am a joint owner, co-owner, or individual owner of any real estate, bank account, or savings account in any commercial bank or savings institution, bond, or any other security or instrument of indebtedness which is registered or issued in my name and that of another person or persons, or any other property held as joint tenants with right of survivorship, or which is payable to either a co-owner or to the survivor of them, then I give, devise, and bequeath ail of my right, title, and interest in any such property to the surviving joint owner thereof. It is my understanding that all of my right, title, and interest in and to any such property will pass to any such surviving joint owner or owners upon my death by operation of law, but I do, nevertheless, make these provisions in order to eliminate any question as to the right of any such surviving joint owner or owners to succeed to the ownership of any such property upon my death. ARTICLE IX RULES OF INTERPRETATION (1) HEADINGS The headings used in this instrument are for convenience only and shall not be resorted to for any interpretation of this Will. (2) MISCELLANEOUS Whenever the context so requires, the masculine shall include the feminine and the neuter, the feminine shall include the masculine and the neuter, the singular shall include the 4 plural, and the plural shall include the singular. If any portion of this Will is held to be void 7 or unenforceable, the balance of this Will shall, nevertheless, be carried into effect. Also, the provisions of this Will shall be interpreted pursuant to the laws of the Commonwealth of Pennsylvania, in which state I have made my domicile. IN WITNESS WHEREOF, I have affixed my signature to this, my Last Will and Testament, consi t' g of nine (9) typewritten pages, including the next page, on this _~? day of 1997. v ~-? ~., Florence I. Clark, Testatrix SIGNED, SEALED, PUBLISHED, AND DECLARED by the said Florence I. Clark, as the Testatrix's Last Will and Testament, in the presence of the undersigned who, at the Testatrix's request and in the Testatrix's presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto, this ~5'' day of _~_ , 1997. Witnesses: .% ~,. _ , ~. ~~; '/ Residence: /~ ~._. 8 AFFIDAVIT OF PROOF OF WILL COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND ) ,- We, Florence I. Clark, ! ft /~~ S ~ / (Witness) and ~!~ L- ~ ~ ~ ~`' ~ / ~ ,the Testatrix and the (Witness) witnesses, respectively, whose names are signed to the foregoing Last Will and T stament, being first duly sworn do hereby declare to the undersigned officer that on the day of 1997, the Testatrix signed, sealed, published, and declared the foregoing went as the Testatrix's Last Will and Testament; that the Testatrix signed the instrument as' the Testatrix's free and voluntary act for the purposes therein expressed; that each of the witnesses, in the presence and hearing of the Testatrix, at the Testatrix's request, and in the presence and hearing of each other, signed the Last Will and Testament as a witness; and that to the best of the knowledge of each of the witnesses, the Testatrix was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. c~ ~~ ~ ,, Florence I. Clark, Testatrix SWORN TO AND ACKNOWLEDGED BEFORE ME liy the Testatrix, Florence I. Clark, and sworn to and acknowledged before me by ~~ ~ ~ ~ ~.~ and ~~~~~~ --~ - ~ z.~ the witnesses, this ~ day of , 1997. Notafy Public . My Commission Expires: / Notarial Seai PauUne T. Serfass, Notary Public Milford Twp., Bucks County My Commission Expires Jan. 27, 2001 Member, Pennsylvania Association of Notaries 9 THE FLORENCE I. CLARK REVOCABLE TRUST DATED MAY 8,1997 THE FLORENCE I. CLARK REVOCABLE TRUST ~- ~~ THIS TRUST AGREEMENT, made this ~ day of , 1997, is entered into by and between Florence I. Clark (a.k.a. Irene Clark),~as the Settlor (and hereinafter referred to in the first person), of Cumberland County, Pennsylvania and Florence I. Clark, as the Trustee (and hereinafter referred to as "my Trustee"), of Cumberland County, Pennsylvania. WHEREAS, I, desiring to create this Trust for the benefit of the beneficiaries hereinafter set forth, do hereby or intend to assign, transfer, convey, and deliver to my Trustee the property (which shall comprise and hereinafter be referred to as the "Trust Estate") described in the Schedule A attached hereto and made a part hereof, including any such property contributed by any other person, and which Schedule A may also describe any insurance policies or similar contracts on the life of me or any other person which are or will be made payable to my Trustee, and any other contracts (including, but not limited to, any qualified or non-qualified plans of any kind) which are or will be made payable to my Trustee, under the terms hereof; and WHEREAS, any additional property may be assigned, transferred, conveyed, and delivered to my Trustee by me, or by any other person, and any insurance policies or similar contracts on the life of me or any other person which are made payable to my Trustee, and any other contracts (including, but not limited to, any qualified or non-qualified plans of any kind} which are made payable to my Trustee, by Will or otherwise, from time to time, shall constitute additions to the Trust Estate, and all such further additions shall be dealt with by my Trustee pursuant to the terms hereof, provided that all such additions shall be acceptable to my Trustee. Such further additions may be described in the aforementioned Schedule A attached hereto. NOW, THEREFORE, IT IS AGREED that such properties in trust shall be administered upon the following terms: ARTICLE I GENERAL PROVISIONS Section 1. Statement of Citizenship I declare that I am a citizen of the United States of America, and that my Social Security Number is 201-18-4292. Section 2. The Name of this Trust This Trust shall, for convenience, be known as The Florence I. Clark Revocable Trust dated ~ ~ , 1997, and it shall be sufficient that it be referred to as such in any deed, assignment, devise, or beneficiary designation. Assets may be registered to this Trust as Florence I. Clark, Trustee of The Florence I. Clark Revocable Trust dated G' ~ , 1997, but other forms of registration are permissible. 2 Section 3. Certificate of Trust In order to facilitate the convenient admuustration of this Trust, including the registration and transfer of assets to and from this Trust, my Trustee shall have the power to execute a Certificate of Trust describing any Trust matter, including, but not limited to, a description of the terms of this Trust, the administrative powers of my Trustee, and the identity of any current Trustee. Any person who receives an original or a photocopy of the said Certificate. of Trust shall be held harmless in relying on the same, and any such person shall not be obligated to inquire into the terms of this Trust or to maintain a copy of this Trust. Section 4. Family Members At the time of the execution of this Trust, I am a widow and my children (hereinafter collectively and individually, as the case may be, referred to as "my children" or "my child"), are: Donna Lee Thomas Linda Kay Russell For purposes of this instrument and for all other purposes, the terms "child, " "children, " "grandchildren, " "descendants" and "issue" shall exclude adopted persons, step-children, step- grandchildren and their issue; the term "issue" shall include only the Settlor's blood line descendants of whatever degree. Furthermore, for purposes of this instrument and for all other purposes, a person in gestation, later born alive, shall be considered a person in being. 3 Section 5. Interpretation of the Trustee's Discretion With regard to the management and distribution of the Trust Estate, my Trustee shall consider vested and income beneficiaries as my Trustee's primary interest and responsibility, and shall consider contingent and remainder beneficiaries as of secondary interest and responsibility (unless otherwise provided), and, therefore, I request that my Trustee, in resolving any doubtful matters relating to any such matters, take the aforementioned interpretation into consideration. Section 6. Governing Law Provision This Trust shall be construed and regulated in all respects by the laws of the Commonwealth of Pennsylvania, notwithstanding any residence in another jurisdiction by me or any other beneficiary hereunder. Furthermore, the initial situs of this Trust shall be in the Commonwealth of Pennsylvania. ARTICLE II ADMINISTRATION DURING THE LIFETIME OF THE SETTLOR Section 1. Right to Revoke and Amend This Trust I expressly reserve the right, at any time during my lifetime (unless otherwise provided in this instrument), effective upon a written notice delivered to my Trustee, to revoke and amend this Trust, in whole or in part, provided, however, that if this Trust is amended, the duties, powers, and responsibilities of my Trustee shall not be substantially changed without my Trustee's consent. In the case of any revocation, whole or partial, all of the insurance policies, 4 securities, or any other property held in Trust hereunder, or that part thereof as to which the Trust may be revoked, shall be delivered by my Trustee to me, or in accordance with my written directions. Section 2. Investment Rights I do not reserve the right specifically to approve or disapprove of each and every Trust purchase or sale before it is made. However, I do reserve the right to elect, at any time during my lifetime (unless otherwise provided in this instrument), to advise my Trustee and to direct my Trustee concerning the purchase or sale of any Trust assets. Should I elect to exercise my right to advise or direct my Trustee to purchase or to sell any Trust asset, I shall do so by a written notice. If that is not practical, I shall, as soon thereafter as it is practical, approve of any such purchase or sale by a written notice, as requested or required by my Trustee. My Trustee is hereby specifically relieved of all liability for loss which may be occasioned by the purchase or sale of any asset of the Trust Estate when my Trustee has been advised or directed to make such purchase or sale by me. Section 3. Disposition. of Income and Principal (a) Income Distributions During my lifetime and while the Trust Estate shall include cash, securities, or other income-producing property, my Trustee shall manage, invest, and reinvest the Trust Estate, shall collect the income therefrom, and shall pay over the net income to me or shall apply the same for my benefit, in convenient installments (but at least quarter-annually), unless I direct that the 5 net income earned by this Trust shall be accumulated and reinvested as part of the Trust Estate. Any undistributed income received by or accrued in this Trust at the time. of my death shall be added to and become a part of the principal. (b) Principal Distributions In addition, my Trustee, during my lifetime, is hereby authorized, at any time and from time to time, and in my Trustee's discretion, to (i) pay to me for my health, education, maintenance, or support, or to apply, for any such purposes, any part, or all, of the assets comprising the Trust Estate; (ii), pay to, or for, my legal dependents for their health, education, maintenance, or support, in amounts as my Trustee deems to be reasonable, considering any such beneficiary's other sources of income and funds; and (iii) pay to, or on behalf of, me the amount of any and all taxes, state, county, federal or otherwise, which are caused by the sale or possession of any of the assets comprising the Trust Estate, or which are charged against me or the Trust Estate under the laws of the Commonwealth of Pennsylvania, the United States of America, or other appropriate laws, which deal with the taxation of tangible or intangible personalty or realty which is part of the Trust Estate. Notwithstanding the foregoing, I hereby reserve the right, for any reason, and effective upon a written notice delivered to my Trustee, to withdraw any or all of those assets comprising the Trust Estate, at any time and from time to time (unless otherwise provided in this instrument). 6 Section 4. Testamentary General Power of Appointment I hereby reserve a general power to appoint by my Will (irrespective of the date of execution of any such Will) all or any portion of the Trust Estate, including the principal, undistributed income, and any proceeds or other benefits of any insurance or other contracts, if any, which may be payable to this Trust, to any such person or persons that I may choose, including my Personal Representative, outright or in further trust (unless otherwise provided in this instrument). In order to exercise the said power to appoint, it is necessary that my Will make specific reference to this Section and Article of this instrument. For this and all other purposes, if no such Will is made known to my .Trustee within thirty (30) days following my death, then my Trustee shall be fully protected in relying on the presumption that no such instrument exists. If I fail to exercise the said power to appoint for any reason, then the assets of this Trust shall nevertheless remain a part of this Trust, and shall be administered and disposed of in accordance thereof. ARTICLE III DISABILITY AND INCOMPETENCY During any disability or incompetency (whether temporary or permanent) of me as defined in this Article, I shall be relieved of all of the powers heretofore reserved by me in my individual or fiduciary capacity, as the case may be. During any such disability or incompetency, all such powers shall be suspended, and the current Trustee or Successor Trustee, whichever is applicable, shall have or continue to have those powers with respect to the Trust 7 Estate given in this Trust to a Trustee. During my disability or incompetency, my Trustee is specifically authorized to arrange for the services of a companion or registered or practical nurse to remain with me, on around-the-clock basis, if necessary, in my home, or alternatively, to arrange for convalescent care or nursing home care, with or without such a companion or nurse, as my Trustee determines to be advisable from time to time. In addition to any such payments of income and principal for the benefit of me, my Trustee may pay to, or apply, for the benefit of my legal dependents, such amounts from the income and principal of this Trust, in such shares and proportions, in my Trustee's discretion, that my Trustee shall determine to be advisable from time to time, for such a person's health, education, maintenance, or support (including, but not limited to, such a person's medical, dental, nursing, and nursing home expenses), taking into consideration, to the extent that my Trustee deems advisable, any such person's other income and funds. I may regain all of the powers heretofore reserved by me in my individual or fiduciary capacity, as the case may be, when such disability or incompetency is removed in the same manner as was followed to establish my disability or incompetency as provided herein. Additionally, the following definitions shall also be utilized in the determination of the disability or incompetency (whether temporary or permanent) of any individual who is to serve or has been serving as a Trustee under this Trust. 8 Section 1. Definition of Disability This .term shall apply at any time during my lifetime that my Trustee hereunder receives a written notice signed by (i) a physician of mine and (ii) a member of my most immediate family, indicating that I am too disabled to continue my involvement in this Trust, except as a beneficiary hereunder. Section 2. Definition of Incompetency This term shall apply at any time during my lifetime that my Trustee hereunder is in possession of any of (i) a court order, which my Trustee deems jurisdictionally proper and currently applicable, and which holds me to be legally incompetent to act in my own behalf, or appoints a guardian of my person or property to act for me; (ii) duly executed, witnessed and acknowledged written affidavits of two physicians who possess M.D. or D.O. degrees, each certifying that the respective physician has examined me and has concluded that, by reason of an accident, physical or mental illness, progressive or intermittent physical or mental deterioration, or other similar causes, I had, at the date of the applicable written affidavit, become incompetent to act rationally and prudently in my best interests; or (iii) evidence, which my Trustee deems to be credible and still currently applicable, that I have been unaccountably absent for more than three (3) months, or that I have been detained under duress in which I am unable, effectively and prudently, to handle my financial interests. Wherever my Trustee is authorized or required to act in the case of the disability or incompetency of any beneficiary 9 (including me) or any other Trustee under this Trust, my Trustee shall be fully protected in the determination of such disability or incompetency by a reliance upon the aforementioned standards. ARTICLE IV ADMINISTRATION UPON THE DEATH OF THE SETTLOR Upon my death, this Trust shall become irrevocable and my Trustee shall have the following duties and shall dispose of the Trust Estate in the following manner: Section 1. Insurance Proceeds (a) Collect Proceeds My Trustee shall collect the proceeds of any life insurance policies or similar contracts that are payable to my Trustee, and shall hold such proceeds together with any additional property heretofore or hereafter added to this Trust from any source. Such proceeds and property shall constitute part of the Trust Estate. (b) Authority to File Suit on Behalf of this Trust My Trustee shall have full authority to take any action (as my Trustee deems advisable) in regard to the collection of the proceeds of any life insurance policies or similar contracts and to pay any expenses relating thereto from the Trust Estate. However, my Trustee shall not be required to enter into, or maintain, any litigation to enforce payment of any such proceeds until my Trustee shall have been fully indemnified, to my Trustee's satisfaction, against all expenses 10 and liabilities to which my Trustee might, in my Trustee's judgment, be subjected to by any such litigation. My Trustee shall have full authority to make any compromise or settlement with respect to any such policies or similar contracts, which my Trustee may deem expedient, and to give to any insurance company, all of the necessary and proper releases, acquittances, and full discharges of all of such an insurance .company's liabilities under any such policies or similar contracts. (c) Discharge of Insurance Companies No insurance company, whose policy or similar contract shall be deposited hereunder, which shall make payments of the proceeds thereof to my Trustee, shall be required to inquire into, or take notice of, any of the provisions of this Trust or to see to the application or disposition of the proceeds of any such policies or similar contracts, and the receipt of my Trustee given to any such insurance company shall be effectual to release and discharge any such insurance company for any payment so made and shall be binding upon the beneficiaries of any Trust hereby created. Section 2. Payments For the Benefit of the Settlor's Estate (a) The Settlor's Debts, Expenses, and Taxes Upon my death, my Trustee shall exercise one or more of the following in order to deal with the debts, expenses, and taxes of my estate: - 11 1. Payment of Debts and Expenses From the Trust Estate My Trustee shall pay from the Trust Estate any part, or all, of the legally enforceable debts and expenses of my estate, including, but not limited to, any expenses of my last illness, any funeral or cremation expenses (including, but not limited to, the costs of memorials of all types and memorial services), any allowances by court order for those individuals dependent upon me, and any expenses of the administration of my estate (including any expenses of any ancillary proceeding that may be necessary in another state or country), not paid from my probate estate. - 2. Payment of Taxes From the Trust Estate My Trustee shall pay from the Trust Estate the death taxes with respect to my estate as provided herein: i) Directions in the Settlor's Will After my death, that portion or all or none of the estate, inheritance, or other death taxes of any nature (including the federal supplemental estate tax on certain qualified plan benefits), together with any interest and penalties, that may be payable upon or with respect to any property, or any interest therein, required to be included in my gross estate or taxable to any person receiving any such property under the provisions of any present or future domestic or foreign laws, regardless of whether any such property, or any interest therein, passes under or outside of this Trust, and regardless of whether the said taxes are payable by my estate or by any recipient or beneficiary of any such property, including any generation-skipping transfer tax on any direct skip (except by reason of disclaimer) due to the express terms of this Trust or my Will, but excluding any other type of generation-skipping transfer tax, and also excluding any 12 additional tax unpaid pursuant to Section 2032A(c) of the Internal Revenue Code of 1986 (hereinafter referred to as "the Code"), as amended, shall be paid, or other provision for any such payment made, as I shall direct in my Will, by my Trustee out of the principal of the Trust Estate, with no right of reimbursement from any recipient or beneficiary of any such property or interest (unless otherwise provided in this instrument). ii) No Postponement of Distribution If my Trustee is so directed to pay any such taxes, together with any interest and penalties, that direction shall not postpone the disposition of the remaining Trust Estate, but my Trustee shall have the right to withhold any amount as my Trustee deems necessary to pay that portion of any such taxes, interest or penalties that my Trustee is so directed to pay. If the amount so withheld is insufficient for that purpose, the additional amount required shall be paid proportionately by the persons, Trusts, or Shares, whichever the case may be, to whom the remaining Trust Estate was distributed at my death. If the amount so withheld is more than the amount ultimately required for that purpose, the excess amount shall be distributed proportionately to the persons, Trusts, or Shares, whichever the case may be, to whom the remaining Trust Estate was to be distributed at my death, in accordance with the amount or amounts called for under the provisions of this Trust. 3. Loan to the Settlor's Estate My Trustee shall lend to my probate estate sufficient funds, upon such terms regarding security, interest rate, and maturity which my Trustee may deem advisable, to pay all, or any part of, the aforementioned debts, expenses, and taxes. Such a loan or loans need not 13 be secured if, in my Trustee's opinion, it is in the best interests of the beneficiaries of this Trust not to obtain security in light of the overall objectives and requirements of such beneficiaries and my probate estate. 4. Purchase From the 5ettlor's Estate Alternatively, or additionally, my Trustee shall acquire by purchase, exchange, or otherwise, sufficient assets from my probate estate to provide my probate estate with sufficient cash to pay the aforementioned debts, expenses, and taxes, even though such assets may not be of the character prescribed by law for the investment of trust funds. Although acquisition of such property may result in a large percentage of the Trust Estate being invested in one class of property, my Trustee may, without liability for any loss or depreciation, retain such property so acquired for as long as my Trustee may deem advisable. (b) Cash Bequests After providing for any of the aforementioned items delineated in Subsection (a) of this Section of this Article, my Trustee shall distribute to my Personal Representative, or as my Personal Representative may direct, directly to the applicable beneficiaries, outright and free of trust, any cash bequests I have made in my Will. (c) Specific Bequests and Devises After providing for any of the aforementioned items delineated in Subsection (a) of this Section of this Article, my Trustee shall also deliver to my Personal Representative, or as my Personal Representative may direct, directly to the applicable s beneficiaries, outright and free of trust, any property in the Trust Estate which is specifically bequeathed andlor devised by my Will. 14 (d) The Personal Representative's Certification: All of the payments described under Subsections (a) and (b) of this Section of this Article shall be made upon the demand of my Personal Representative and upon the certification by my Personal Representative that the assets of my probate estate (which might include any real property, tangible personal property, or other assets that, in my Personal Representative's judgment, do not have a readily realizable market value) are insufficient for such purposes, but this Trust shall only be liable to the extent of such shortage. (e) Reliance on the Personal Representative While or while not one or more of the same persons or entities, or both, may be acting as my Trustee and as my Personal Representative, my Trustee is authorized to rely conclusively upon my Personal Representative's certification of (i) the estimation of all of the taxes imposed upon my estate; (ii) the amount, if any, required to satisfy any debts and expenses of my estate; (iii) the amount, if any, required to satisfy any cash bequests made by me in my Will; and (iv) the designation or characterization of the applicable assets which are fiduciary accounting principal and which are fiduciary accounting income. My Trustee shall have no duty to (i) determine the accuracy, designation or characterization, or propriety of any amount, of assets so certified; (ii) see to the application of any amount paid, or any property delivered, to my Personal Representative; or (iii) withhold distribution of any applicable asset or assets (unless otherwise provided in this instrument). 15 ARTICLE V DISTRIBUTION UPON THE DEATH OF THE SETTLOR Section 1. Distribution of the Trust Estate Upon my death, in default of the total or partial, as the case may be, exercise of the general power to appoint described in Section (4) of Article II of this instrument, my Trustee shall distribute the principal and the accumulated income, if any, of the Trust Estate to the following beneficiaries as follows: a. Cash Bequests None b. Special Bequests The Trustee shall distribute the Settlor's tangible personal property pursuant to the letter of instruction she has placed, or will place, in the Essential Documents Section of this Trust Binder. c. Special Devises None d. Residual Trust Estate The remaining Trust Estate shall be distributed to DONNA LEE THOMAS. In the event that Donna Lee Thomas is not living, the remaining Trust Estate shall be distributed to Donna Lee Thomas' then living issue, per stirpes, subject to the postponement of possession as provided in Section (2) of this Article. 16 Notwithstanding anything to the contrary contained in this instrument or elsewhere, the Settlor specifically states that no property under this Trust Agreement shall pass or be distributed to her daughter, Linda Kay Russell, nor to her issue, for reasons best known to the Settlor. The Settlor hereby declares that such omissions are intentional and not occasioned by accident or mistake. Section 2. Continuing Shares for any Younger Beneficiaries (a) Existing Share or Trust If any additional property is distributable to a beneficiary for whom a Share or Trust has been created hereunder, said property shall be added to that Share or Trust; and (b) No Existing Share or Trust If any property is distributable under the provisions of this Article to any beneficiary for whom a Share or Trust has not been created, and who has not yet attained the age of twenty-one (21) years, my Trustee shall retain any such property for any such beneficiary in a separate Share or Trust for any such beneficiary in which the said beneficiary's interest is indefeasibly vested, to be distributed to the said beneficiary when the said beneficiary reaches the age of twenty-one (21) years. My Trustee shall apply as much of the net income and principal of the Share or Trust so retained as my Trustee believes desirable for the health, education, maintenance, or support of the said beneficiary, after considering all of the circumstances and factors deemed pertinent by my Trustee. Any undistributed net income shall be accumulated and added to the principal of the applicable Share or Trust for the said beneficiary. 17 Section 3. No Surviving Beneficiaries In the event that none of the beneficiaries .set forth herein are surviving at the time that the entire Trust Estate is to vest, then, upon the death of the last surviving beneficiary, the then remaining Trust Estate shall be distributed to my estate (excluding however, my daughter, Linda Kay Russell, and her issue}, in which the identity of my heirs shall be determined under the intestate laws of the Commonwealth of Pennsylvania. Section 4. Generation-Skipping Transfer Tax Authorization (a) Power to Allocate My Trustee has the authority to allocate any portion or all of my exemption under Section 2631(a) of the Code to any property as to which I am the transferor, including any property transferred by me during my lifetime as to which I did not make any such allocation prior to my death. If Section 2631(a) of the Code is not interpreted as to allow a Trustee to allocate the said exemption, then my Trustee is expressly authorized to instruct my Personal Representative to allocate the said exemption. (b) Division of the Trust Estate and Allocation of the Exemption: If a Trust or Share hereunder would be partially exempt from the federal generation-skipping transfer tax by reason of an allocation of the federal generation-skipping transfer tax exemption to such a Trust or Share, then before such an allocation, my Trustee may, in my Trustee's discretion, divide such a Trust or Share into two separate Trusts or Shares of equal or unequal value so that one such Trust or Share will have an inclusion ratio of zero and the other such Trust or Share will have an inclusion ratio of one, so as to permit an allocation 18 of the exemption solely to the one Trust or Share which would be entirely exempt from the federal generation-skipping transfer tax. In addition, if a Trust or Share hereunder is entirely exempt or non-exempt from the federal generation-skipping transfer tax and that by adding property to such a Trust or Share would partially subject such a Trust or Share to the federal generation-skipping transfer tax, my Trustee, in my Trustee's discretion, may hold the said property as a separate Trust or Share in lieu of making such an addition. Except as otherwise provided in this Trust, the aforementioned two Trusts or Shares shall have the same terms and conditions, but my Trustee may (i) make different tax elections with respect to each separate Trust; (ii) expend the principal and exercise any other discretionary powers differently with respect to each separate Trust; (iii) invest the principal differently with respect to each separate Trust; and (iv) take any and all other actions consistent with each separate Trust being separate entities. However, my Trustee shall not make any discretionary distributions from the income or the principal of the exempt Trust or Share to the beneficiaries who are non-skip persons so long as any readily marketable assets remain in the non-exempt Trust or Share. If my Trustee considers that any distribution from a Trust or Share hereunder, other than pursuant to a power to withdraw or appoint, is a taxable distribution subject to the federal generation-skipping transfer tax payable by the distributee, my Trustee may increase the distribution by an amount which my Trustee would estimate to be sufficient to pay such a tax, and my Trustee shall charge the same against the Trust or Share to which the tax relates. 19 If my Trustee considers that any termination of an interest in Trust property hereunder is a taxable termination subject to the federal generation-skipping transfer tax, my Trustee may pay such a tax from the portion of the property as to which the tax relates, without any adjustment of the relative interests. of the applicable beneficiaries. ARTICLE VI THE TRUSTEE Section 1. Nomination and Appointment (a) Named Trustees I hereby nominate and appoint myself, Florence I. Clark, as Trustee of this Trust. In the event that I am unable or unwilling to serve or to continue to serve in such capacity for any reason, then I appoint Donna Lee Thomas as the Successor Trustee. (b} Resignation Any Trustee or Successor Trustee may resign by a written notice, and any such resignation shall become effective thirty (30) days after the later of the delivery of such a written notice to me (unless I am at that time deemed to be disabled or incompetent as defined under Article III of this instrument, in which case such a delivery shall be to any appointed legal representative of mine, but only if there be one) and to the next successive Trustee. After my death, any Trustee or Successor Trustee may resign by a written notice, and any such resignation shall become effective thirty (30) days after the later of the delivery of such a written notice to all of the then current income beneficiaries who are of legal age (and to the guardians of the then 20 current income beneficiaries who are minors, or are deemed to be disabled or incompetent, as determined under Section (1) of Article VIII of this instrument) and to the next successive Trustee. All of the written notices described in this Article, and elsewhere in this Trust, as applicable, shall be by certified mail, with return receipt requested, and any such notices shall be deemed delivered upon their mailing. (c) Successor Trustee Anyone shall, upon request, deliver, transfer, and pay over any assets of this Trust to a Successor Trustee upon presentation of the applicable prior Trustee's death certificate, written notice of such prior Trustee's resignation or removal, or written evidence of such prior Trustee's disability or incompetence (as defined in Article III of this instrument), without any' duty on the part of any such third parry to inquire further as to these matters, and any such third party may fully rely upon these, written instruments from the applicable Successor Trustee and shall be fully protected in dealing with any Trust matter. Any Successor Trustee shall have all of the powers, duties and discretions conferred or imposed on the original Trustee. No Successor Trustee shall be obliged to examine the accounts and actions of any previous Trustee. No Trustee shall be liable for any act or omission of any previous Trustee, unless the same be due to such Trustee's own misconduct or gross negligence. Any Successor Trustee shall become responsible for the Trust Estate only when the same shall be received by the said Successor Trustee, and in determining what constitutes the said Trust Estate, the said Successor Trustee shall only be responsible, in this regard, to make a reasonable inquiry from the Trust records which are available from the prior Trustee. 21 (d) Successor Trustee Appointment If all of the named Trustees, all of the named Successor Trustees, and all of the appointed Successor Trustees, if any, are unable or unwilling to serve or to continue to serve in such capacity for any reason, thereby requiring the appointment of another Successor Trustee, then a majority of the then current income beneficiaries who are of legal age (and the guardians of any of the then current income beneficiaries who are minors, or are deemed to be disabled or incompetent, as determined under Section (1) of Article VIII of this instrument) shall appoint a Successor Trustee. In the event a majority of the then current income beneficiaries who are of legal age (and the guardians of any of the then current income beneficiaries who are minors, or are deemed to be disabled or incompetent, as determined under Section (1) of Article VIII of this instrument) shall fail, for any reason, to promptly appoint such a Successor Trustee, the then or last acting Trustee may then apply to a court of proper jurisdiction for such an appointment and for a settlement of account. Section 2. Compensation and Accounting (a) Compensation Any Trustee shall be entitled to compensation which is allowed to Trustees by the laws of the Commonwealth of Pennsylvania. Any Trustee shall also be entitled to reimbursement for any expenses necessarily incurred by any such Trustee in the administration of this Trust. 22 (b) Accounting My Trustee shall render an annual statement of account of receipts and disbursements, upon written request, to any beneficiary who is eligible to receive current income from this Trust. In addition, to the extent allowed by law, I waive any requirement of giving formal or informal notice of any Trust proceedings to any person, such as may be required under the laws of the Commonwealth of Pennsylvania or any other jurisdiction in which my Trustee may act or qualify. Furthermore, to the extent allowed by law, this Trust shall not be registered in any court, except any such temporary filing or registration as may be required by any court action involving this Trust. Any statement of account rendered hereunder may be approved (i) by a written notice of approval delivered to my Trustee; (ii) by the failure of any person receiving any such statement of account to express an objection, in writing, to the said account, delivered to my Trustee within ninety (90) days from the date upon which the said account was delivered; or (iii) by a decree of a court of proper jurisdiction. Upon the receipt of any such written notice of approval, or upon the passage of the said period of time within which an objection may be filed, but without which any such objection, in writing, was, in fact, delivered to my Trustee, any such account shall be deemed to be approved, and my Trustee shall be released and discharged as to all of the items, matters, and things set forth in any such account, as if any such account had been settled and allowed by a decree of a court of proper jurisdiction. Any such approval by any such court shall be upon a petition by my Trustee, or by the party objecting to the said account, with notice to any such persons and in such manner as the said court shall determine. In regard to any and all such written instruments, if any applicable beneficiary is disabled or 23 incompetent (whether temporarily or permanently, and as defined under Section (1) of Article VIII of this instrument), my Trustee may use, in my Trustee's discretion, any of the alternatives available to my Trustee under the provisions of Section (1) of Article VIII of this instrument, and any of the said alternatives shall suffice in regard to the approval of any statement, inventory, or account and shall have the same effect as if any such beneficiary had been of full age, or without disability or incompetency, as the case may be, and as if the said beneficiary had directly approved the said statement, inventory, or account. Furthermore, any records of this Trust shall, at all reasonable times, be open to the reasonable inspection of myself, the aforementioned income beneficiaries, and any such other persons as I or the said income beneficiaries may designate for that purpose. Section 3. Bond To the extent allowed by law, no Trustee shall ever be required (i) to give any bond or any other security; (ii} to qualify; (iii) to make an accounting to any court under the provisions of any present or future laws of any state or territory, or (iv) to obtain the approval or order of any court in the exercise of any power or discretion herein given (unless otherwise provided in this instrument). 24 ARTICLE VII THE POWERS AND DUTIES OF THE TRUSTEE Section 1. General Powers and Duties (a) Investment and Other Powers and Duties My Trustee of each Trust or Share established hereunder shall have continuing and discretionary powers (unless otherwise provided in this instrument) to deal with any property, real or personal or mixed, held in any such Trusts or Shares. Such powers may be exercised independently and without the prior or subsequent approval of any court or judicial authority, and no person dealing with my Trustee shall be required to inquire into the propriety of any of the actions of my Trustee. Also, my Trustee shall not be limited as to the type and character of any investments in which my Trustee may invest the funds of this Trust. Furthermore, my Trustee shall have the following general powers in addition to, and not by way of limitation of, the powers provided by law: 1. To retain any such property for any period, whether or not the same be of the character permissible for investments by fiduciaries under any applicable law, and without regard to any effect the said retention may have upon the diversification of the assets in the Trust Estate; 2. To render liquid the Trust Estate, or any Trust or Share created hereunder, in whole or in part, at any time, and to hold cash or any readily marketable securities of little or no yield (unless otherwise provided in this instrument), for any such period as my Trustee may deem advisable; 25 3. To make a division or distribution of the Trust Estate, or of the principal of any Trust or Share created hereunder, in cash or in kind, or partly in cash and partly in kind, in any proportion my Trustee deems advisable, and to cause any specific Trust or Share, or distribution, to be composed of cash, other property, or undivided fractional shares in any such property (unless otherwise provided in this instrument), different in kind from any other Trust, Share, or distribution, and to have the specific authority to distribute or otherwise deal with any such property in the Trust Estate on anon-pro-rata basis; 4. To allocate to principal or to income, in whole or in part, all of the receipts and the disbursements of the Trust Estate, in my Trustee's reasonable discretion (unless otherwise provided in this instrument); 5. To open and maintain any bank or other account and any safe deposit box with any bank or safe deposit company (including any Trustee hereunder), with the specific right to nominate any agent pertaining to any such bank or other account or safe deposit box; 6. To sell, transfer, exchange, convert, otherwise dispose of, or grant options with respect to, any security or property, real or personal or mixed, held as part of the Trust Estate, at public or private sale, with or without security, and in such manner, at such time, for such purposes, for such prices, and upon such terms, credits, and conditions as my Trustee may deem advisable; 7. To invest and reinvest in common trust funds (including any such funds which may or may not be or have been established and operated by and under the control of my Trustee), common stocks, preferred stocks, bonds, options, securities, mutual funds, money market funds, or other liquid asset funds maintained by brokerage houses and other financial 26 institutions, partnerships, and other property, real or personal or mixed, foreign or domestic, whether or not such investments may be of the character permissible by fiduciaries under any applicable law, and without regard to the effect any such investment or reinvestment may have upon the diversification of the assets in the Trust Estate. This includes, but is not limited to, short sales, buying on margin, maintaining margin accounts, and pledging any securities as security for loans and advances made to my Trustee; 8. To vote in person at any meetings (and during any adjournment of any such meetings) of stock or security holders, and to vote by general or limited proxy with respect to any such shares of stock or other securities held by my Trustee; 9. To join in, become a part of, or oppose any reorganization, readjustment, recapitalization, foreclosure, merger, voting trust, dissolution, consolidation, or exchange, and to deposit any securities with any committee, depository, or Trustee, and to pay any and all fees, expenses, and assessments incurred in connection therewith, and to exercise conversion, subscription, or other rights, and to make any necessary payments in connection therewith, and to sell any such privileges; 10. To hold any securities in the name of a nominee without indicating the Trust character of any such holdings, whether or not such holdings are unregistered or are in such a form as will pass by delivery; 11. To possess, manage, insure against loss by fire or other casualties, develop, subdivide, control, partition, mortgage, lease, or otherwise deal with any and all real property, and to satisfy, discharge, or extend the term of any mortgage thereon, and to execute the necessary instruments and covenants to effectuate the foregoing powers, including the giving 27 or granting of options in connection therewith, and to make improvements, structural or otherwise, and to abandon the same if any such real property be deemed to be worthless or not of a sufficient value to warrant keeping or protecting, in my Trustee's reasonable discretion, and to abstain from the payment of any taxes, water charges, rents, assessments, repairs, or maintenance and upkeep of the same, and to permit any such real property to be lost by a tax sale, or any other proceeding, and to convey the same for a nominal consideration, or without any consideration, and to set up appropriate reserves out of the income for repairs, modernization, and the upkeep of any buildings, including reserves for depreciation and obsolescence, and to add any such reserves to the principal, and, if the income from any such applicable property itself should not suffice for any such purposes, to advance any income of this Trust for any sums needed therefor; 12. To lease any asset of the Trust Estate (whether or not any such asset be real, personal, or mixed property in nature) beyond the period fixed by statute for leases made by a Trustee, and beyond the duration of the Trust Estate or any Trust or Share created hereunder; 13. To deal in any way with any insurance or other contract (including any life insurance policy on my life or the life of another beneficiary of this Trust), with such a power to include, but not be limited to, any rights consistent with all of the incidents of ownership, payments, dividends, surrender values, and benefits of any kind which may accrue on account of any such contract, and the right at any time to assign, pledge, use, or borrow money thereon, or to change the beneficiary thereof, provided, however, that any such contract is, in fact, owned by this Trust at any such applicable time or times; 28 14, To borrow money for any purpose, from any source, including my Trustee, or any other fiduciary at any time acting hereunder, and to secure the repayment of any and all of the amounts so borrowed by a mortgage or pledge of any property, or to hypothecate any Trust asset as security; 15. To pay, compromise, compound, adjust, submit to arbitration, sell, or release any claims or demands of the Trust Estate, or any Trust or Share created hereunder, against others, or of others against my Trustee, as my Trustee may deem advisable, and including the acceptance of any deeds of real property in satisfaction of bonds and mortgages, and to make any payments in connection therewith, which my Trustee may deem advisable; 16. To employ attorneys, or other special agents, as my Trustee may deem necessary for the best interest of the Trust Estate, but my Trustee shall not be responsible for any of the acts of any such persons or entities beyond my Trustee's obligation to use reasonable care in the selection of any such attorneys or other agents; 17. To incur and pay from the Trust Estate any and all of the reasonable expenses in connection with the management, preservation, and administration of any of the Trusts or Shares hereof (including the compensation for any Trustee, and including any reasonable fees and charges of any attorneys or other agents); and 18. To execute and to deliver any and all of the written instruments which are deemed advisable by my Trustee to carry out any of the foregoing powers. No party to any such instrument signed by my Trustee shall be obligated to inquire as to the validity of any such instrument. 29 Section 2. Administration of Shares My Trustee may administer any and all of the Trusts and Shares created herein, in my Trustee's reasonable discretion, as separate and distinct but commonly administered Trusts or Shares, as the case may be (unless otherwise provided in this instrument) . Section 3. Merger of Trusts If at any time my Trustee is a Trustee of two or more Trusts or Shares with substantially the same terms and benefitting the same beneficiaries, and created hereunder or under any other instrument by me or by any other person, my Trustee may commingle the assets of such Trusts or Shares and may hold them as a single Trust. Section 4. Minimum Trust Fund Notwithstanding anything to the contrary herein, if the value of any Trust created hereunder is valued at less than fifty thousand dollars ($50,000.00) on (i) the date as of which any such Trust shall have become fully funded, or (ii) on any subsequent date as of which any such Trust shall be valued, my Trustee may, in my Trustee's reasonable discretion, terminate the said Trust and transfer, convey, and pay over the assets of the said Trust, outright and free of trust, proportionately to the then current income beneficiaries of the said Trust, in accordance with the amount or amounts called for under the provisions of the said Trust, and in which event any applicable remaindermen shall not be considered as having a vested interest in the said Trust so conveyed. 30 Section 5. Tax Equalization My Trustee is authorized, but not required, to equalize the tax treatment given to any beneficiary, due to this Trust being potentially complex in nature and subject to the throwback rules of the Internal Revenue Code of 1986 (hereinafter referred to as "the Code"), as amended. Any such equalization of any such tax treatment shall be in the reasonable discretion of my Trustee. Section 6. Tax Returns My Trustee shall furnish to my Personal Representative such information with respect to this Trust, including the value of the assets in the Trust Estate, as my Personal Representative may, from time to time, request for the purpose of preparing any and all of the applicable tax returns, and any such other information as may be required or requested by my Personal Representative during any audit process relating to any such tax returns. Section 7. Business Interests If at any time, during my lifetime or after my death, my Trustee is the owner of any business, whether as a sole proprietor, as a holder of a substantial interest in any partnership, or as a holder of a substantial interest in the outstanding stock of any corporation, including the stock of a professional corporation, my Trustee shall complete the terms of any buy-sell or other agreement in regard to the sale or other disposition of any such business, which may be in existence at such applicable time. In the event that there is no such existing agreement, my Trustee may continue any such business, as allowed by law, so long as my Trustee shall deem 31 it in the best interest of this Trust, and my Trustee may exercise all of the powers with respect to any such business which I could have exercised as an owner. These powers shall include, but not be limited to, the power to sell or liquidate any such business at any such price and upon any such terms as my Trustee shall deem advisable; the power to name or change directors, officers, and employees; and the power to expand, limit, alter, incorporate, merge, or reconstitute any such business in any way, as my Trustee shall deem advisable. In the absence of any actual notice to the contrary, my Trustee may accept, as correct, any financial or other statements rendered by the managers of any such business as to the same's conditions and operations, from time to time. If any such business is retained and continued by my Trustee, my Trustee shall receive such compensation, in addition to that to which my Trustee would otherwise be entitled as a Trustee, if any, as will reasonably compensate my Trustee for my Trustee's additional services in regard to the management and operation of any such business, and my Trustee shall in no way be liable for any loss resulting from any such retention, continuance, management, or operation of any such business, the acts of any such business, or the acts of any directors, officers, or employees of any such business, except where any such loss is the result of my Trustee's own misconduct or gross negligence. (a) S Corporations If at the time of my death, I, or this Trust, holds any stock in an S corporation, and my Trustee deems it advisable for any such corporation to maintain its Subchapter S status, in my Trustee's reasonable discretion, my Trustee may take all of the necessary actions to segregate any such S corporation stock and assets of this Trust, and may form new Trusts and may amend 32 the terms of this Trust (but only for this purpose) as would be necessary to establish any Qualified Subchapter S Trusts to hold any such S corporation stock and assets, in compliance with Sections 1361(b) and 1361(d)(3) of the Code. Section 8. Special Trustee If at any time during the existence of this Trust, any real property located outside of the state or territory in which any corporate Trustee then serving hereunder is authorized to do business becomes part of the Trust Estate, or if any transfer to this Trust of any such real property is contemplated, and if any such corporate Trustee is unable or unwilling, for any reason, to act or to continue to act as a Trustee for any such real property, then, in that event, any such corporate Trustee shall appoint an individual or individuals or another proper corporation, or a combination thereof, to act as a Special Trustee hereunder in the place of the said corporate Trustee, but solely with regard to any such real property. Any such appointed Special Trustee shall have full responsibility and authority over any such real property, as if the said Special Trustee were originally named hereunder, the aforementioned corporate Trustee shall retain unto itself sole authority over all of the other assets in the Trust Estate, and any such appointed Special Trustee shall have no responsibility, authority, or liability, in any way and at any time, over any other assets in the Trust Estate. Any such appointed Special Trustee shall serve in such a capacity over the aforementioned real property only for as long as the applicable real property remains an asset in the Trust Estate, or until the said Special Trustee is removed by a written instrument, at the discretion of the aforementioned corporate Trustee, from such a capacity. During such time that any such appointed Special Trustee serves hereunder, the said 33 Special Trustee shall remit all of the applicable income to the aforementioned corporate Trustee, at least annually, and at any such time as the applicable real property is no longer an asset of the Trust Estate, then the said appointed Special Trustee shall cease to serve in such a capacity and all of the applicable assets, together with any accumulated or undistributed income thereon, shall be turned over to the aforementioned corporate Trustee, and the said Special Trustee shall thereupon be discharged from any further responsibility, authority, or liability for any of the applicable assets. Section 9. Environmental Matters (a) Trust-Related Assets Defined Trust-related assets shall mean all of the property, whether real, personal, tangible or intangible, in which my estate (or any entity in which my estate has, or at any time had, an interest) has, or at any time had, an interest. (b) Right to Investigate No Trustee so nominated and appointed shall be obligated to serve in any such capacity until such a time as such a Trustee has been given an opportunity to conduct any such environmental or other investigations, as such a Trustee deems appropriate, in connection with any matter such a Trustee deems relevant in this regard. Furthermore, I agree that this Trust shall indemnify and hold harmless any such Trustee from and against any and all losses, suits, obligations, fines, damages, judgments, penalties, interest, claims, injunctive relief, charges, costs, and expenses (including any reasonable attorneys' fees and disbursements) which may be imposed on, incurred, or paid by, or asserted against any such Trustee by reason of, or on 34 account of, or in connection with, any environmental matters in any manner relating to or arising out of any Trust-related assets, whether or not arising out of my actions or negligence, or otherwise, whether or not arising from any events occurring prior to or after the execution of this instrument, and whether or not arising before or after any such Trustee is appointed hereunder, but excluding any matters directly arising from the misconduct or gross negligence of any such Trustee. Such matters shall include, but not be limited to: 1. Failure to Comply The failure or alleged failure of any person to fully comply with all of the requirements of any federal, state, or local law or regulation having as its object the protection of the public health, natural resources, or the environment, including, but not limited to, the Resource Conservation and Recovery Act, the Comprehensive Environmental Response, Compensation and Liability Act, the Toxic Substances Control Act, the Federal Water Pollution Control Act, the Clean Air Act, and any applicable state and local laws and regulations (hereinafter collectively referred to as the "environmental laws"); and 2. Release or Presence of Certain Substances The release or presence, or alleged release or presence, of any substance of which the manufacture, use, treatment, storage, transportation, removal, or disposal is regulated by any environmental laws (hereinafter collectively referred to as the "hazardous substances"). (c) Other Rights Any such Trustee may specifically disclaim any powers held as a fiduciary hereunder on the basis that the said Trustee has determined, in the said Trustee's discretion, that any such powers will or may cause the said Trustee to incur liability under any environmental laws. 35 Moreover, any such Trustee may accept as correct the interpretation of any environmental laws as set forth in (i) any judicial or administrative proceedings, or (ii) any guidance, proposed guidance, publication, draft guidance, policy, practice, or other pronouncement, promulgation, or statement of or from the Environmental Protection Agency of the United States, the Department of Environmental Regulation of the Commonwealth of Pennsylvania, or any other agency or municipality or authority with jurisdiction over any Trust-related assets. Also, any such Trustee, with respect to any Trust-related assets, shall have the discretionary power to notify any federal, state, or local governmental authority of the presence or release of any hazardous substances, or of any noncompliance, past, present, or future, with regard to any environmental laws. In addition, the following rights shall be held by any such Trustee: 1. No Duty to Investigate Any such Trustee shall be under no duty to exercise any of the aforementioned powers dealing with any environmental matters in regard to the said Trustee, and any such Trustee shall not be liable to any beneficiary or other person for exercising or failing to exercise any such powers; and 2. Discretionary Power Over This Trust Any such Trustee, with respect to any Trust-related assets, shall have the discretionary power (unless otherwise provided in this instrument) to use and expend the income and principal of this Trust: i. To conduct any audit, assessment, or investigation, deemed appropriate by any such Trustee, regarding the compliance with any environmental laws or the presence or release of any hazardous substances; 36 ii. To remedy the presence or release of any hazardous substances or any failure to comply with any environmental laws; iii. To comply with any governmental order directing the assessment or remedy of the presence or release of any hazardous substances, or to contest such order, as any such Trustee may determine; iv. To institute any legal proceedings concerning any environmental matters, or to contest or settle any legal proceedings brought by any local, state, or federal agency, or private litigant concerning any environmental matters; and v. To employ legal counsel, environmental consultants, and any other agents to.assist any such Trustee in exercising any of the foregoing powers. In regard to any such Trustee, all of the aforementioned shall survive the resignation of the said Trustee, if applicable, and the closing of my estate and any Trust or Share under this Trust. Section 10. Co-Trustee Provisions While two or more Trustees are acting, the following provisions shall apply where the context permits (unless otherwise provided in this instrument) (a) Custody of the Assets One Trustee may have custody of the Trust Estate and of the books and records of the Trust; (b} Power to Buy and Sell the Assets Florence I. Clark shall have the power to buy or sell any Trust asset, and the power to establish any bank or similar account (including the power to draw on any applicable checks or drafts, and to make any withdrawals from any such account), on the sole authority and signature of Florence I. Clark, and without the approval of any other Trustee, but in all other cases, any Co-Trustees must act jointly with each other; and (c) Delegation of Joint Powers With respect to any matter as to which any Trustees have joint powers, any given Trustee, at any time and from time to time, may delegate any or all of such a Trustee's rights, powers, duties, and discretions (as a Trustee) to any other Trustee or Trustees then serving, with the consent of the latter. ARTICLE VIII ADMINISTRATIVE PROVISIONS The following provisions shall apply to the Trust Estate created hereunder and to each Trust or Share thereof: Section 1. Disability or Incompetency of a Beneficiary In the event that the income, or any payment or distribution of principal, from the Trust Estate, or any Trust or Share, becomes payable to a minor, to a person who has been adjudicated incompetent (whether temporarily or permanently), or to a person not adjudicated 38 incompetent, but who, by reason of illness, or mental or physical disability (whether temporary or permanent), is, in the opinion of my Trustee, unable to administer properly such a payment or distribution, then during such time or times, as my Trustee deems advisable, such a payment or distribution shall be made by my Trustee (i) to any such beneficiary directly; (ii) to the legally appointed guardian, conservator, or committee of any such beneficiary; (iii) to a relative or friend of any such beneficiary, for such beneficiary's health, education, maintenance, or support; (iv) to a custodian selected for any such beneficiary under a Uniform Transfers to Minors Act (or similar or successor statute), whether or not the applicable custodian is selected by my Trustee or has already been serving as the said custodian; (v) to directly provide, in any other manner, for such a beneficiary's health, education, maintenance, or support; or (vi) to retain such a payment or distribution in Trust for up to twenty-one (21) years of age of such a beneficiary, in the discretion of my Trustee, and if not otherwise sooner paid or distributed, any such payment or distribution shall be paid or distributed directly to such a beneficiary, or to the estate of such a beneficiary upon the death of such a beneficiary. Notwithstanding anything to the contrary herein, this specific Section shall not apply when I am the applicable beneficiary. Section 2. Spendthrift Provision No disposition, charge, or encumbrance of either the income or the principal of any of the separate Trusts or Shares of this Trust, in whole or in part, by any beneficiary hereunder, by way of anticipation, shall be of any validity or legal effect, or be in any way considered by my Trustee, except for any such beneficiary's right to disclaim. No such income or principal, in whole or in part, shall in any way be payable to any claim of any creditor, by any kind of 39 legal or equitable process (including bankruptcy proceedings), in satisfaction of any debt or liability no matter when incurred in regard to any such beneficiary, except in those cases where my Trustee, in my Trustee's discretion, approves the credit extended and the assignment of such a beneficiary's interest hereunder as collateral therefor. In exercising any such discretion, my Trustee shall ascertain whether or not it would be in the best interest of such a beneficiary that credit be accepted and collateral given. My Trustee is specifically authorized to withhold any payments or distributions that would otherwise be payable to any such beneficiary, in order to enforce the terms and provisions of this Section. Section 3. Incontestability If any beneficiary of this Trust, other than myself, directly or indirectly shall contest or dispute the validity of this Trust, or any of its provisions, or any amendments thereto, including the dispositions made or provided herein, or the person or persons named as my Trustee or Successor Trustee, either during my lifetime or after my death, or maintains before any judicial body that this is not a valid Trust, or seeks to cancel or avoid any of the provisions of this Trust, then I revoke absolutely the gift or provision for that person herein contained and declare any such gift or provision void. Any such contesting beneficiary shall be deemed to have predeceased me without leaving any lineal descendants for all purposes in regard to this Trust, and any such gift whatsoever in regard to this Trust shall lapse. 40 Section 4. Accrued Income Any income accrued or undistributed at the termination of any interest under this Trust or any Share thereof, shall be paid by my Trustee as income to the persons entitled to the next successive interest, in the proportions in which any such persons are entitled to take any such interest (unless otherwise provided in this instrument) . Section 5. Minimum Income No Trustee shall be required to comply with the provisions of any present or future laws of any state or territory. which deal with unproductive or under-productive assets, or any minimum income requirements of any kind (unless otherwise provided in this instrument). Section 6. Rule Against Perpetuities Savings Clause Notwithstanding anything to the contrary herein, no Trust or Share, in whole or in part, created herein shall continue longer than twenty-one (21) years after the death of the last of all of the beneficiaries hereunder who were living at my death. Any such Trust or Share so terminated shall be distributed, outright and free of trust, proportionately to the then current income beneficiaries of the said Trust or Share, in accordance with the amount or amounts called for under the provisions of the said Trust or Share, and in which event any applicable remaindermen shall not be considered as having a vested interest in the said Trust or Share so conveyed. 41 ARTICLE IX SIMULTANEOUS DEATH PROVISIONS Section 1. Other Beneficiaries If any beneficiary and I shall die under such circumstances that there is not sufficient evidence to presumptively determine the order of our deaths, then it shall be presumed that I shall have survived the said beneficiary, and the Trust Estate shall be administered and distributed in all respects in accordance with such a presumption (unless otherwise provided in this instrument). ARTICLE X RULES OF INTERPRETATION Section 1. Construction I direct that any devises under this instrument shall be construed under the rules of construction relating to devises under a Will as found in the Pennsylvania Probate Code, as amended, including, but not limited to, the provisions dealing with general definitions, abatement, advancements, improper distributions, nonpayment of interest, a right of retainer, and the effect of a subsequent birth. 42 Section 2. Headings The headings used in this instrument are for convenience only and shall not be resorted to for any interpretation of this Trust. Section 3. Definitions a. Trustee Trustee shall also refer to any successor or alternate trustee. All successor or alternate trustees shall have the same powers, authorities, obligations, and limitations as the original trustee unless other provisions specifically provide to the contrary. b. .Per Stirpes Per Stirpes means a distribution in equal shares among living children and the descendants of deceased children, the latter to take by representation, except that if all persons qualified to take a portion of a distribution are of the same degree of kinship to the ancestor referred to, then such persons shall take in equal shares. c. Per Capita Per Capita means a distribution in equal shares according to the number of individuals, all of whom stand in equal degree of kinship to the decedent, without reference to right of representation. 43 Section 4. Miscellaneous Whenever the context so requires, the masculine shall include the feminine and the neuter, the feminine shall include the masculine and the neuter, the singular shall include the plural, and the plural shall include the singular. If any portion of this Trust is held to be void or unenforceable, the balance of this Trust shall, nevertheless, be carried into effect. 44 ARTICLE XI ACCEPTANCE BY THE TRUSTEE My Trustee acknowledges receipt of the property described in the Schedule A attached hereto, accepts the Trust hereby created, and covenants that my Trustee will faithfully discharge all of the duties and responsibilities of the office under this Trusteeship. IN WITNESS WHEREOF, Florence I. Clark has signed and sealed this Trust Agreement, consisting of forty-six (46) typewritten pages, including the next page, and has acknowledged and declared it to be the Settlor's Trust Agreement, and Florence I. Clark has accepted the Trust imposed thereunder, upon the terms and conditions contained therein, on this day of 1997. Witnesses as to the Settlor: C' ;' Witnessest,~'to the Trustee: v ,-~ Florence I. Clark, Settlor / ;, , L _ /^ ,'1 ~ Florence I. Clark, Trustee ,,/G~ rr~ f C/, v i / 45 AFFIDAVIT OF PROOF OF TRUST COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ~ ~ ) We, Florence I. Clark, (/~J /~/~ S ~. /~ / ~h , J/ ,, / ~ (Witness) and ~/ ~5 iC-F~ ~~ /~~ /~C ,the Settlor and the (Witness) witnesses, respectively, whose names are signed to the foregoing Trust, being first duly sworn, do hereby declare to the undersigned officer that on the ~ day of , 1997, the Settlor signed, sealed, acknowledged and declared the foregoing >; ent as the Settlor's Trust Agreement; that the Settlor signed the instrument as the Settlor's free and voluntary act for the purposes therein expressed; that each of the witnesses, in the presence and hearing of the Settlor, at the Settlor's request, and in the presence and hearing of each other, signed the said Trust as a witness; and that to the best of the knowledge of each of the witnesses, the Settlor was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. (~. n 6' ~- Florence I. Clark, Settlor Witness `% . ; /' Witness / SWORN TO AND ACKNOWLEDGED BEFORE ME by the Settlor, Florence I. Clark, and sworn to and acknowledged before me by ,.~~.~~ ~ • ~~ ~~ and / ,Y -.,/ the witnesses, this _~ day of 1997. Notary Public My Commission Expires: ~ Notarial Seal Pauiine T. Serfass, Notary Public Milford Twp., Bucks County My Commission Expires Jan. 27, 2001 Member, Pennsylvania Association of Notaries 46 GENERAL ASSIGNMENT TO TRUST AND DECLARATION OF TRUST OWNERSHIP The undersigned Assignor hereby sets over, conveys and assigns to Florence I. Clark (a.k.a. Irene Clark) as Trustee of the Revocable Living Trust Agreement entitled "The Florence I. Clark Revocable Trust" previously but on this date duly executed by the Assignor, as SETTLOR and as Initial TRUSTEE, as the same may be amended from time to tune (hereinafter referred to as the "Assignee" and/or as the "Trust"), any and all assets and interests in assets of whatsoever nature of kind, real or personal, of the Assignor, whether presently owned or hereafter acquired. (regardless of the means by which acquired), including, but not limited to, bank accounts (such as checking, savings, certificates of deposit, and the like); mutual and money market funds of all kinds; securities (such as stocks, bonds, treasury bills, notes receivable, and the like); agency and custody accounts (such as accounts with banks, brokerage firms, and the like); and real estate and interests in real estate wheresoever located (such as whole, partial and/or undivided ownership interests, in fee simple or otherwise, mortgages, land contracts, leaseholds, mineral interests, and the like), EXCLUDING HOWEVER, any assets which may now or hereafter be owned by the Assignor and any other person(s) as joint tenants} but including any such jointly titled assets immediately upon the termination, whether by death or otherwise, of the ownership interests of all other joint tenant(s). The undersigned further affirms and declares that, from and after the date hereof: 1. All assets described above will be held by the Assignee solely and exclusively for and in behalf of the Trust as true owner [subject to any and all instructions from the then acting Trustee(s) of said Trust]; 2. Except to the extent of beneficial interests provided to the Assignor under the terms and provisions of the Trust (as now written and as the same may be amended in the future from time to time), the Assignor have and shall have no personal interest in any of the assets or interests in assets described above; and 3. All liabilities which relate in any way to the acquisition, retention and/or improvement of, or which are a lien upon, any of the assets referred to in this Assignment and Declaration shall be borne by the Trust. This Assignment and Declaration is intended to be, and shall be, binding upon the heir(s), administrator(s), executor(s), successor(s) and assign(s) of the Assignor and shall be revocable only by a written instrument executed with the formalities of a deed to be recorded by the Assignor and/or by any one (1) or more of the then acting Trustee(s) of said Trust (with or without indicating such fiduciary capacity). SCHEDULE A The following is a description of the original assets of The Florence I. Clark Revocable Trust. Cash in the amount of One Hundred Dollars ($100). All of the Settlor's jewelry, wearing apparel, personal effects, furniture, furnishings, rugs, books, papers, pictures, prints, paintings, objects of art, silverware, china, glass, linens, other household effects and supplies, and all other unregistered tangible personal property of whatsoever description and wheresoever situated. PA REV-1500 SCHEDULE E CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY U~QUEHANNA ALLEY FEDERAL CREDIT U N I O N August 31, 2012 Law Offices of Gates, Halbruner, Hatch & Guise Attn: Mark Halbruner 1013 Mumma Road Suite 100 Lemoyne, PA 17043 RE: Estate of Florence I. Clark Dear Mr. Halbruner: 3850 Hartzdale Dr. Camp Hill, PA 17011-7809 339 East Park Dr. Harrisburg, PA 17111-2730 Local: 717-737-4152 Toll Free: 800-948-1454 Fax: 717-737-0589 Below is the information you requested regarding the account for Florence I. Clark at Susquehanna Valley Federal Credit Union. • Florence I. Clark was the exact title on account #14936 and Florence was the only owner of the account • Account was established on November 13, 2006 • There were no joint owners added to the account • The date of death balance on the savings account was $95.60 • The date of death balance on certificate #11885 was $3,457.51 • The date of death balance on certificate # 12064 was $5,041.24 • The interest earned from January 1, 2012 on this account was $18.59 If you have any questions or you need further information, please feel free to contact me at 717- 737-4152 ext. 119. Kind regards, /`~~~ U Jayme Emerson Head Teller www. S V F C U. o r g ~~ ~g Page 1 of 2 Mark Halbruner From: Mcintyre, Rosemary jrmcintyre@mtb.com] Sent: Friday, August 31, 2012 12:59 PM To: Mark Halbruner Subject: RE: Date of Death Inquiry Hi Mark, Answers below: Rosemary From: Mark Halbruner [maiito:m.halbruner@gateslawr=frm.com] Sent: Thursday, August 30, 2012 11:56 AM To: Mcintyre, Rosemary Subject: Date of Death Inquiry Hi Rosemary: I'm assisting the Executor, Donna L. Thomas, with the estate of her late mother, Florence 1. Clark, who died on May 1, 2012. I believe Mrs. Clark did her banking at M&T Bank's Carlisle branch. Are you able to provide the following information for Mrs. Clark's M8T account(s)? 1. The exact title on the account, including the account number and the name of any joint owners, powers of attorney, and beneficiaries. Florence I. Clark, Owner, POA listed is Donna L. Thomas 2. The date on which the account was established. 9/1/1967 3. The date on which any joint owners were added to the account. T have sent for the original signature card, but I don't see any joint owners. 4. If there was a change of ownership on the account within one year prior to the date of death, please provide: (a) the date of the change, and (b) the title on the account prior to the change. I don't see any changes of ownership in the past year. 5. The date of death account balance. $10,147.06 on 5/1 /12. This balance included the FAS-Cleveland AR ANN Payment of $1,799.55 that posted on 5/1/12. 6. The interest earned from January 1, 2012, to the date of death. NA I have attached the Short Certificate and an Authorization for Release of Financial lnformation signed by the Executor. 8/31 /2012 t~ Page 2 of 2 Thank you! Mark E. Halbruner Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 717-731-9600 (phone) 717-731-9627 (fax) www. GatesLawF irm. com This email may contain privileged and/or confidential information that is intended solely for the use of the addressee. If you are not the intended recipient or entity, you are strictly prohibited from disclosing, copying, distributing or using any of the information contained in ~~he transmission. If you received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. This communication may contain nonpublic personal information about consumers subject to the restrictions of the Gramm-Leach-Bliley Act and the Sarbanes-Oxley Act. You may not directly or indirectly reuse or disclose such information for any purpose other than to provide the services for which you are receiving the information. There are risks associated with the use of electronic transmission. The sender of this information does not control the method of transmittal or service providers and assumes no duty or obligation for the security, receipt, or third party interception of this transmission. 8/31/2012 Kelley Blue Book ~• ~'f:; tt ~~~ ~~~~. ~~~'[!1[ TRUSri17~E5~U1tC[ r ? R~-V4 advertisement Trade-In/Sell Values Page 1 of 3 ~ ~ ~~ ,-~~a -~ ~~ 1995 Toyota Cam ry Style: LE Coupe 2D ~ Mileage: 97500 .~+o D~viw V~1~ ~n ~~_~___~__ _._e_ _w__._____.__._, Excellent } $3,250 Very Good $3,050 Good $2,950 s I Fair ~ $2,450 Vehicle Highlights ~ MPG: City 19/Hwy 26 Doors: 2 ' t in• FWD Drive ra EPA Class: Midsize Cars r Country of Origin: Japan ~_....._._----___.__ ..._____..._~_r___._.~. Max Sep Engine: Transm Body St Country Your Configured Options Our pre-selected options, based on typical equipment for this car. ,. ~~, httn~Uwwv~_khh_com/tovota/camrvl1995-tov~ata-camrv/le-coupe-2d/?vehicleid=$42Q&n?ten..._ S/13_/20.12 Kelley Blue Book OOptions that you added while configuring this car. Engine Comfort and Convenience 4-Cyl, 2.2 Liter Air Conditioning Transmission Power Windows Automatic °:,v:er Door Locks Drivetrain Your O inion Counts! p Cruise Control FWCI Steering Power Steering Your input can influence the automotive industry in tl~g Tilt Wheel future. Entertainment ,and Instrumentation Please take a few moments to provide your opinions ~~ Stenso your voice be heard! Cassette no thanks continue New C~~ rs ~ ~E .. ~' 2012 Toyota Camry 2012 Hyundai Sonata 2012 Honda Civic Glossary of Terms Kelley Blue Book® Trade-in Value -This is the amount you can expect to receive when you trade in your car to a dealer. This value is determined based on the style, condition, mileage and options indicated. Kelley Blue Book® Private Party Value -This is the starting point for negotiation of a used-car sale between a private buyer and seller. This is an "as is" value that does not include any warranties. The final price depends on the cars actual condition and local market factors. Excellent Condition: 3% of all cars we value meet this criteria. This car looks new and is in excellent mechanical condition. It has never had paint or bodywork and has an interior and body free of wear and visible defects. The car is rust-free and does not need reconditioning. Its clean engine compartment is free of fluid leaks. It also has a clean title history, has complete and verifiable service records and will pass safety and smog inspection. Page 2 of 3 SafE I WhE httn://www.kbb:com/tovota/camrv/1995-toyota-camry/le-coupe-2d/?vehicleid=8420&inten... 5/ 13/2012 Kelley Blue Book Very Good Condition: 23% of all cars we value meet this criteria. This car has minor wear or visible defects on the body and interior but is in excellent mechanical condition, requiring only minimal reconditioning. It has little to no paint and bodywork and is free of rust. Its clean engine compartment is free of fluid leaks. The tires match and have 75% or more of tread. It also has a clean title history, with most service records available, and will pass safety and smog inspection. Page 3 of 3 Good Condition: 54% of all cars we value meet this criteria. This car is free of major mechanical problems but may need some reconditioning. Its paint and bodywork may require minor touch-ups, with repairable cosmetic defects, and its engine compartment may have minor leaks. There are minor body scratches or dings and minor interior blemishes, but no rust. The tires match and have 50% or more of tread. It also has a clean title history, with some service records available, and will pass safety and smog inspection. Fair Condition: 18% of all cars we value meet this criteria. This car has some mechanical or cosmetic defects and needs servicing, but is still in safe running condition and has a clean title history. The paint, body and/or interior may need professional servicing. The tires may need replacing and there may be some repairable rust damage. © 2012 Kelley Blue Book Co., Inc. All rights reserved. 5/10/2012-5/17/2012 Edition for Pennsylvania 17050. The specific information requ~ determine the value for this particular vehicle was supplied by the person generating this report. Vehicle valuations are opinions and may ~ vehicle to vehicle. Actual valuations will vary based upon market conditions, specifications, vehicle condition or other particular circumstanr to this particular vehicle or the transaction or the parties to the transaction. This report is intended for the individual use of the person gen. report only and shall not be sold or transmitted to another party. Kelley Blue Book assumes no responsibility for errors or omissions. (v.12i http://www.kbb. com/toyota/camry/ 1995-toyota-camry/le-coupe-2d/?vehicleid=8420&inten... 5/ 13 /2012 NOlld!!Od!!3d StHl JNOIV 1N3WfIQO4 3AOW3ti •xaaga ~uptsodap aio;aq auauiaaa~s sn~ u~ai pug gasYaQ 'SZiZ-£S£ (£9S) [[Ea saUinbul io3 . aHn3~x xa~x~sgns ZZ'SZ 00' ZZ'SZ Z'COZiY£/5 LL9L ~~N ~'COA~T ~~1 ~~I '~ # ~~~U~NI 3.1~I~li~.LdJS ~~1~J,3.IIU~I ZZ`SZ*********$ ZIOZ/t£/S ~ £IOLT ~'d ~'ISI'i2I~'~ I6bti08Z pox x~~x~ .L~~.LS H,L?IOri .LS~v'd LSti z~rl.I.rr~rs ~i a r~ o '° nXp ~ o ;'' w ~~ o ~ w 00 '~ I? 0 w 0 0 f ~ • N r .t> Y'~ 7 I D PA REV-1500 SCHEDULE F JOINTLY OWNED PROPERTY Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 05/2012 Page 1 of 2 Total Price Total Vafue - Total Interest YTQ Interest $47,500.00 $116 502.62 $69 002.62 $2 234,46 Bonds: 1-43 of 43 Serial # Series Denom Issue Next Final Issue Price Interest Interest Value Nate Date Accrual l~laturtty Rate M005746981I I $1,000 08/2005 06/2012 0$(2035 $1,000.00 $314.40 4.28% $1,314.40 M005746982I I $1,000 08/2005 06/2012 08/2035 $1,000.00 $314,40 4,28% $1,314.40 M005464584I I $1,000 03/2004 06/2012 03/2034 $1,000.00 $364.00 4.18% $1,364.00 M005464583I 1 $1,000 03/2004 06/2012 03/2034 $1,000.00 $364.00 4.18% $1,364.00 M003705445I I $1,000 10/2002 06/2012 10/2032 $1,000.00 $548.40 5.09% $1,548.40 M003684752I I $1,000 10/2002 06!2012 10/2032 $1,000.00 $548.40 5.09% $1,548.40 M003684751I I $1,000 10/2002 06/2012 10/2032 $1,000.00 $548.40 5.09°fo $1,548.40 M003684750I 1 $1,000 10/2002 06/2012 10/2032 $1,000.00 $548.40 5.09% $1,548.40 0008140552I 1 $100 10/2002 06/2012 10/2032 $100.00 $54.84 5.09% $154.84 L007642875I I $SO 10/2002 06/2012 10/2032 $50.00 $27.42 5.09% $77.42 X2403983EE EE $10,000 02/1993 08/2012 02/2023 $5,000.00 $8,412.00 4.00% $13,412.00 X2186032EE EE $10,000 08/1992 08/2012 08/2022 $5,000.00 $8,680.00 4.00% $13,680.00 X2176893EE EE $10,000 05/1992 11/2012 05/2022 $5,000.00 $8,956.00 4.00% $13,956.00 X2176892EE EE $10,000 05/1992 11/2012 05/2022 $5,000.00 $8,956.00 4.00% $13,956.00 X2176891EE EE $10,000 05/1992 11/2012 05/2022 $5,000.00 $8,956,00 4.00% $13,956.00 V2350812EE EE $5,000 08/1992 08!2012 08/2022 $2,500.00 $4,340.00 4.00% $6,840.00 V2550995EE EE $5,000 02/1993 08/2012 02/2023 $2,500.00 $4,206.00 4.00% $6,706.00 V5888380EE EE $5,000 02/2002 06/2012 02/2032 $2,500.00 $894.00 1.19% $3,394.00 V5897117EE EE $5,000 03/2002 06/2012 03/2032 $2,500.00 $890.00 1.19% $3,390.00 M45658301EE EE $1,000 45/1992 11/2012 05/2022 $500.00 $895.60 4.00% $1,395.60 M456S8302EE EE $1,000 05(1992 11/2012 05/2022 $500.00 $895.60 4.00% $1,395.60 M45658303EE EE $1,000 05/1992 11/2012 05/2022 $500.00 $895.60 4.00% $1,395.60 M45658304EE EE $1,000 05/1992 11/2012 05/2022 $500.00 $895.60 4.00% $1,395.50 L319268658EE EE 11/2017 $25.00 $58.40 4.00% --*S8,r4A- r L319268657EE EE 11/2017 $25.00 $58..40 4,00% -~ff~ a D19937088EE EE $500 09!1985 09/2012 09/2015 $250.00 $754.00 4.00°l0 $1,004.00 L352665301EE EE $50 09/1985 09/2012 09/2015 $25.00 $75.40 4.00°!0 $100.40 R34861761EE EE $200 09/1985 09/2012 09/2015 $100.00 $301.60 4.00% $401.60 R34861760EE EE $200 02/1985 08/2012 02/2015 $100.00 $309.60 4.00% $409.60 C165274815EE EE $100 02/1985 08/2012 02/2015 $50.00 $154.80 4.00% $204.80 R34861759EE EE $?_00 02/1985 08/2012 02/2015 $100,00 $309.b0 4.00% $409.60 R34861758EE EE $200 02/1985 08/2012 02/2015 $100,00 $309.60 4.00% $409.60 L352665300EE EE $50 12/1984 06/2012 12/2014 $25,00 $77.40 4,00°!0 $102.40 C165274814EE EE $1.00 09/1984 09/2012 09/2014 $50.00 $158.88 4.00% $208.88 D199370877EE EE $500 09/1984 09/2012 09/2014 $250.00 $794.40 4.00% $1,044,40 L352665299EE EE $50 05/1984 11/2012 05/2014 $25.00 $81.54 4.00% $106.54 C165274813EE EE $1.00 02/1984 08/2012 02/2014 $50.00 $163.08 4.00% $213.08 R34861757EE EE $200 02/1984 08/2012 02/2014 $100.00 $326.16 4.00°!° $426.16 M29414319EE EE $1,000 02/1984 08/2012 02/2014 $500.00 $1,630.80 4.00% $2,130.80 M29414320EE EE $1,000 02/1984 08/2012 02/2014 $500.00 $1,630.80 4.00% $2,130.80 L352665298EE EE $50 10/1983 10/2012 10/2013' $25,00 $83.66 4.00% $108.66 L352665297EE EE $50 01/1983 07/2012 01/2013 $25.00 $109.72 4.00% $134.72 L352665296EE EE $50 12/1982 06/2012..12/2012 $25.00 $109.72 4.00% $134.72 Totals for ~ Bonds $47,500.00 $69002.62 ~?'d7S62:62 Notes ~~ ~ ~ ~ ~ ~n ~,~b~ . ~~,. ., NI Nut issued `~ NE Not eligible for payment_ ~Q~ r p U,1 Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 05/2012 Page 1 of 1 Total Price Total Value Totai Interest YTD Interest $2,525.00 $5,793.42 $3,268.42 $80.18 Bonds: 1-33 of 33 Serial # Series Denom Issue Next Finai Issue Interest Interest Value Note date Accrual Maturity Price Rate 78214879 EE $1,000 10/2001 06/2012 10/2031 $500.00 $193.20 1.19%. $693.2Q 45909467 EE $500 08/1995 08/2012 08/2025 $250.00 $197.20 1.12% $447.20 149970875 EE $200 04; 1998 06/2012 04/2028 $100.00 $65.52 1.19% $165.52 156694793 EE $200 06/1999 06/2012 06/2029 $100.00 $54.32 1.19% $154.32 136478352 EE $200 09/1996: 09/2012 09/2026 $100.00 $70.32 1.12% $170.32 121147418 EE $200 01/1995 06/2012 01/2025 $100.00 $98.72 4,00% $19$.72 67842176 EE $200 07/1990 07/2012 07/2020 $100.00 $196.16 4.00% $296.16 52874354 EE $200 01/1989 07/201.2 01/2019 $100.00 $214.32. 4,00% $314.32 548257827 EE $100 11/1995 11/2012 11/2025 $50.00 $37.56 0.76% $87.56. 447340138 EE $100, 01/1994 06/2012 01/2024 $50.00 $53.36 4.00% $103.36 361525811 EE $100. 06/1992 06(2012 06/2022 $50.00 $86.80 4.00°Jo $136.80 309158754 EE $100 09/1991 09/2012 09/2021 $50.00 $92.36 4.00°10 $142.36 309311165 EE $100 10/1991 10/2012 10/2021 $50.00 $92.36 4,00% $142.36 310774968 EE $100 11/1991 11/2012 11/2^21 $50.00 $92.36 4.CC°,~c $142.36 309037694 EE $100 08/1991 08/2012 08/2021, $50.00 $92.36 4.00% $142.36 308928904 EE $100 07/1991 07/2012 07/2021 $50.00 $92.36 4.00% $142.36 266712347 EE $100 10/1990 10/2012 10/2020 $50.00 $98.08 4.00% $148.08 266886353 EE $100 .11/1990 11/2012 11/2020 $50.00 $98.08 4.00°!0 $148.08 220631810 EE $100 02/1990 0812012 OZ/2020 $50.00 $101.04 4.00% $151.04 219256095 EE $100 .10/1989 10/2012 10/2019 $50.00 $104.08 . 4.00% $154.08 219256128 EE $100 11/1989 11/2012 11/2019 $50.00. $104.0$ 4,00% $154.08 220631750 EE $100 01/1990 07/2012 01/2020 $50.00 $101.04 4.00% $151.04 191014105 EE $100 02/1989 08/2012 02/2019 $50.00 $107.16 4.00% $157.16 200145946 EE $100 03/1989 09/2012 03/2019 $50.00 $107.16 4.00% $157.16 201291113 EE $100 05/1989 11/2012 05/2019 $50.00 $107.16 4.00% $157.16 201291134 EE $100 06/1989 06/2012 0612019 $50.00 $104.08 4.00% $154.08 201291135 EE $100 06/1989 06/2012 06/2019 $50.00 $104.08 4.00%, $154.08 201291163 EE $100 07/1989 07/2012 07/2019 $50.00 $104.08 4.00% $154.08 201291168 EE $100 08/1989 0$/2012 08/2019 $50.00 $104.08 4.00% $154.08 191014093 EE $100 01/1989 07/2012 01/2019 $50.00 $107.16 4,00% $157.16 549474583 EE $50 09/1996 09/2012 09/2026 $25.00 $17.58 1.12% $42.58 557146804 EE $50 04/1997 10/2012 04/Z027 $25.00 $16.62 1.12% $41.62 387562859 EE $50 12/1988 06/2012 12/2018- $25.00 $53.58 4.00% $78.58 Totals far 33 Bonds $2 525.00 $3 268.42 $5 793.42 Notes NI Not Issued NE Not eligible for payment P5 .Includes 3 month interest penalty MA Matured and not earnin interest PA REV-1500 SCHEDULE G INTER-VIVOS TR.A,NSFERS and MISCELLANEOUS NON-PROBATE PROPERTY ~~ 9800 Fredericksburg Road San Antonio, Texas 78288 USAA® September 5, 2012 Gates, Halbruner, Hatch, & Guise, P.C. C/O Mark E. Halbruner 1013 Mumma Rd Ste 100 Lemoyne, PA 17043 Reference: Estate of Mrs. Florence Clark Dear Mr. Halbruner: USAA is committed to providing excellent service to its members. As you requested, we are providing the following information for the account registered to the Florence I. Clark Revocable Trust: Account # ending in Fund Name 9362 Income Fund 4130 Money Market The account values on May 1, 2012, were as follows: Account # ending in Shares Share Price Accrued Div Value Opened Date 9362 1647.231 $13.26 N/A $21,842.28 5/2/1988 4130 1129.450 $1.00 N/A $1,129.45 2I2I1999 Should you need any additional assistance, please contact us at 1-800-531-1045. Sincerely, vJrit~-~ In`veSiriiGnt S~:iJi(:es USAA means United Services Automobile Association and its affiliates. Investment Products and Services offered by USAA Financial Advisors, Inc., a registered broker dealer and USAA Investment Management Company, a registered im•estment adviser and broker dealer i I y X36 1~ P, Made this ~ day of ~"'k ~~+.,-~rti.; 199 between FLORi~~i?I. ' ~ f t(`I ? CLARK, a widow, Gran or, of l I0 Old Gap Road, City of Carl le, County of Cumberland, State of Pettnsylvanla, and FLORENCE I. CLARK, Trustee of THE FLORENCE I. CLARK REVOCABLE TRUST, dated May 8, 1997, Grantee, of 110 Old Gap Road, Ciry of Carlisle, County of Cumberland, State of Peru+sylvania. In consideration of Zero Dollars (50.00}, in band paid, the receipt of which is acknowledged, grantor releases and quitclaims to grantee, all that property located in the County of Cumberland, Commonwealth of PENNSYLVANIA; At.l. That certain pieta or parcel of land situat¢ in North Middleton Township, Cumberland County, pennaylvnnla, morn particularly bounded and desezibed as follows: BEGINNING at s post at the Southwest corner of other land of the Grantees; thence along land of Koerner South 76 degrees 58 minutes 30 seconds West, a dir+tnnae of 12K feet, more nr lass, to a point in the right-nf-way line of Ponnsyluania Rou[n 74; thence along salt right nC way lino Norctt 15 degrees 28 minutes West, a distance of u3 feat, more or less, to a point in line of Iand about to be conveyed to Robert Itowartt ut u:c; thence along said land North 74 clegreea 32 minutes West, a distance of 130 feet, more or less, to a point in line of lanri of th¢ Crant¢es; thence by a curve to the right, ? cliatanre of 70 feet, more nr less, to a point, the place of beginning. ODNTAINING 8,150 square feet, more or less. 88ING part of the premLses which Ramane 5. Kruger, Widnes, et al, ~y Deed dated September e, 1953, and recosded in the Cumberland County Recorder's Office in Oeed Book "L", VoI, 1S, Page 47, granted and conveyed unto Krugoz Dairy Farms ,. Grantor herein. UNDfiR AND SUBJECT to restrictions of Kruger Dairy Farms dated May 26, 1955, and recorded in the Office aforesaid May 2?, 1945, in Misc. Book 113, Page 548. 0001( ~sy PhGE ~,, f FLORENCE CLARK, a widow, taking her interest by reason of being the sole beneficiary of the Will of Thaddeus J. Clark, deceased grantor, died [plate on August 18, 1986 whereby Florence Clark, surviving apouce, became the sole owner of the remaining interpt in this parcel by reason of Decedent's will. Being the same property conveyed to grantor herein by deed executed by Kruger Dairy Fartas, dated June 22, 1971, and recorded oa Novetabec 29, 1971, in Book/Votume 24, Page 1030 in the office of the recorder of Cumberland County, Pennsylvania. PARCEL ID tY 2~ -Q, -O ~7/ - O ,? .S~ W WITNESS WHEREOF, Graator has set Grantor's hand the day and year first written above. S/ig]n~ed and delivered in the presence of: tom, WITNESS SIGNA Fitmttce I. Clark,'Grantor ~hris-~rneG-Sn~l)ma.n .~otkvr~~oc~n~ J~ I~TS~ Pri-nQt-name and address (~L~~ ~~ WITNESS SIGNATURE flta.nnt L. L'l~.r~lt~(liuplcrr~ow~. PR 15'9Sf Print. name and address aUOK X69 i'AGf 7U STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss this ~ da of,~~•~-•~- ~-~-- 1 .before me, ' ~~' ~- - ,the undersigned officer, personally appealed Florence 1, C k, known to. me or sfactorily proven to be the ptuson whose name is subscribed to the within itutrument and sckrtowiedged that she executed the same for the purposes therein contained. 1N WITNESS WHEREOF, I henetrnto set my hats and official staff. Grantee hereby certifies by her signature below that her permanent address is: 110 OM Crap Road Carlisle, PA 17013 Florence T. Clark, Ttusue, Grantee Mrs. Flottincc I. Clark 110 Old Gap Road Carlisle, PA 17013 ~~ .~ .~.~ NOTARY PUBLIC My Comm. Expires: ~~~~ •~~~ r Nolaral Baal M#.~~~•~ •~~r' .~:'• PauAna T. SaA.va, Notary Pubac ~:d?l:'c ~• lAibni Tvp.. Backe ~ ' ~ _". - ,. ktr Canxnhsbn ExpMaa Jan. T Zoot : ,t9 • "~."'~"dfl ~ ~ u,; ~ Mein nsyMn4 tlon d Nouriw ~,re1~~„~". ~t , o. .~MV Stets of Pennaylvanla l County of Cumberland I $s eto-ded in the office for the recording of Deady e L 1 and f Berland County.~Pg i Boob _Vo'~ Peg roses my ha d seal of of i of Carlisle, PA this day oi~ 1 COr r eoalc 169 Pace 71 z ~~~ ~~ rr ~ ~ .n g~ ., AFCOAOfR'S USf ON3Y __ ' ~~~ _~ \ REALTY TRANSFER TAX ,,, ,,, ~~~ COMeONwl,tTN Or ^FNN3VlVANIA I STATTfAAENT Of VALUE OE.,•TM/n1T O[ R[VFNUE vqr 6UAEAV W IN0IVIOYeI TAA[t ~ ~ oE[T. I/flee] ~ -____ ( >.,^^rsu.c,-.,naaw. Sys Rw~ra~ fo- lnstruetions ~~ "~ Compia• each »ction and 61• in dupgcore with Recerd•r of Deeds wMn {1) tM ivl{ voludeondderotion i/ no ^et forth {n the deed, (2) when tb d/ed v, ithour comid•retion, er by 9~• or {7) o taa •^emp+ien i/ defm/d. A Slofement of Value i/ not r•quind ii the transfer B wholly .e•mp1 item Imr bond on: (I) lemily relationship or {I) public utNity eo/ement. If man [pea i• heeded, e+TOCA addBheeel •be-t{/). • • • • ~ str..t~dd..,4~ ~ A P c/y Ar.ae t>d. l 7/1 1 ~ ~~ 3i4r7e /?CI.t3 .. ,.n•• .et / 6 i 9 9.1 OKEf1CF ~' ~.~QrCIL Eck :~,rr_.~ano ~7t/9~ /O OLd GAP ~d _.__.___.. ~?jA ~ ~P wd• 'ty tp e ~',¢K~~tLE V/l' /7U/~ 1. CMd Appropriate 0e: Below fw E.empl(en Ckim•d ^ Will er inr•/tote mcnuion _ i •w. w 0•odvivl (.qp Nv vl ~~~~~~ ..: Trombr to Industrial Dwelopm•m 4gency. ^ Trond« Te o tru.t. (Attach mmpoo copy of trVit agreement identifying ell berreFcivris^.) r ; Gonsier btwa.n principal and og.nt. (Pnach compote copy of og.ney/draw pony ogre.m.nr.) ^ Tren^i•n to the Cammonweebh, +M Unihd Stme• and Innrum•MOlirio by gih, dedication, condemnation or in lieu of condemnmon. (II condemnation or in lieu of cendemnorion, enech copy of roelwien,) Tren.F•r from mengogor to a holder o/ o mortgage .n default. Mortgage ReoY Nun.ber ,~_ , page Numbe. ____~___., ^ Corrsaive or <onlirmorory deed. (Attach complHe copy of the prior deed being cornoed or confirmed.( ^ Statutory eerporote comelidotion, merger er division. (ARaeh copy of erH /.) ~ / Q ~ /~~ ^ Oth•> IpiRtrle .,olwin eEteTpBen ddmed. iF oTher than ILled abet.. ~j`/~/~LX~,, \`e~//H Under penoltiee~ low, I deden Ebel l hew eaamined this Stetemen+, indudfny eceanpenylnq in(estedien, oed+o Ilte be/t of my knewbdle end 6doi, N b trwr eoaect end cernpbh. ehrn • Men nt w efp a le FAILURE TO COMILETE THIS pORM PROPERLY OR AT'1 Ag161fEt-OL~CDEdCLMlM4TION MAY RESl1lT 1N THL' REGCSRDEI•S Rg11fA1 TO RECORD THE DEID. 11~gJJ YY ^,tMG TaxDB Result Details Detailed Results for Parce129-07-0471-C DistrictNo 29 Parcel ID 29-07-0471-025. MapSuffix HouseNo 110 Direction Street OLD GAP ROAD Owner! CLARK, FLORENCE I TR C/O PropType R PropDesc LivArea 1288 CurLandVai 43900 CurImpVal 115800 CurTotVal 159700 CurPrefVal Acreage .66 CIGrnStat TaxEx 1 SateAmt 0 SaleMo 12 SateDa 08 SaieCe l9 SaleYr 97 DeedBkPage 00169-00065 YearBlt 1957 HF Fite Date 11!12/2004 HF_Approval_Status A Page 1 of 1 i25. in the 2010 Tax Assessment Database httpa/taxdb.ccpa.net/details.asp?id=29-07-047.1-025.&dbselect=l _ _ 5/13/2012 Uniform Residential Anoraisat Report wd ~~„~,~~,~ The ur ose of this summa a sisal re ort is to rovide the lender/client with an accurate, and ad oats! su orted, o inion of the market value of the subject re Pro a Address 110 Old Ga Rd C' Carlisle State PA Zi Code 17013 Bonower N/A Owner of Public Record Florence I Clark Trust Coun Cumberland Le al Descri lion BooklPa a 00169!00065 Assessor's Pazcel # 29070471025 Tau Year 2011 A.E. Taxes $ 2 696 Nei hborhood Name North Middleton Townshi Ma Reference See APN Census Tract 0119.02 Occu ant Owner Tenant Vacant S cial Assessments $ 0 ^ PUD HOA $ 0 er ear ^ er month " Pro Ri hts raised Fee Sim le Leasehold Other describe Assi nment T e Purchase Transaction ^ Refinance Transaction Other describe Market Value Lender/client N/A Address N/A Is the sub et ro currentl offered for sale or has tt been offered for sale in the twelve months riot to the effective date of this a raisai? ^ Yes No Re ort data sources used, otterln rice s ,and dates . MLS I ^ did ^ did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the contract for sale or why the analysis was not erformed. ,- Contract Price $ Date of Contract Is the seller the owner of btic record? Yes No Data Source s Is there any financial assistance (loan charges, sale concessions, gift or downpayment assistance, etc.) to be paid by any party on behatt of the bonawer? ^ Yes ®No tt Yes~rt the total dollar amount and describe the items to be paid. $0;; Note: Race and the racial from of the rK hborl-ood are nOt isal }actors. Locatlon Urban Suburban Rural Pro a Values ^ Increasin Stable Dec{inin PRICE AGE One-Unit 76 % Built-U Over 75% 25-75% Under 25% Demanll/Su Shorts In Balance Over Su I $000 rs 2-4 Unit 2 % ;Growth R id Staple Slow Maricetin Time Under 3 mths 3-6 mths Over 6 mths 25 Low 1 Mufti-Famil 3 % Nei hborhood Boundaries The suE' is bcaled soul hf Rt 76 weal or Rt 1 t north of Rt 81 8 seal of Rt 64 which is considered 500 Hi h 200 Commercial 4 % tho n ' hborhood. "Oltrer under lend use Mcludes uses not Fsted: vecanl muniei etc. 170 Pfed, 55 Other 15 % Ne' pod Descri ' n The sub'ed is located in a residential area amon ro rties of similar st le and market a sal. Homes in the area are maintained and occu fed. All conveniences are Basil accessible to the sub'ect. The sub"ect ro has access to lace of worshi sho in centers and schools. Em to ment o rtunities are available in the surroundin communities. Market Conditions inciudin su rt forthe above conclusions Interest bu downs are not revalent at this time with conventional rates around 4-5%. Seller concessions are usual) limited to Gosin costs andlor mort a e discount pints. Dimensions not available Area 28 750 sf Sh e A rox. Rectan le View N Res• S ec'rfic Zonin Classification R Zonin Desc ' 'on Residential Zonin Com Hance Le al Le al Noncontormi Grandfathered Use No Zonin Ills al describe Is the hi hest and best use of sub ect roe as im roved or as ro osed r ens ands cttications the resell use? Yes No tt No, describe Utilities Public Ollkr(desaibe) Publk Other(dascrlbe) Off-afte s- Public Private Electric' Water well Street As halt Gas None San' Sewer rivets Nle None ^ FEMA S ial Food Hazard Area Yes No FEMA Food Zone X FEMA M # 42041C0227E FEMA Ma Date 03/16!2009 Are the u6lilies and off-site im ovements ' al for the market areal Yes No tt No, describe Are there an adverse site conditions a external factors easements, encroachments, environmerdal conditions, land uses etc. ? Yes No tt Yes, describe No adverse site conditions or external factors were observed at the time of ins edion. The su ect does not a ar to lie in a FEMA desi noted flood hazard zone. The su 'ed has ical site im rovements for this nei hborhood. Units One One with Accesso Unit Concrete Slab Crawl S ace ~; ~ Foundation Walls CB/Av Fbors ^C Win UHdwd/Av # of Stories 1 Full Basemerd Partial Basement Extedor Walls Alum/Brick/Av Walls PP/WaIIP/Av T Det. Att. S-DetJEnd Unit Basemem Area 1 288 s .fG Roof Surface Shin Ies/Av . Trim/Finish Wood/WPJAv Exis6n Pr sed Under Const. Basemerrf Finish 68 % Gutters & Downs tits Yes/Av . Bath Floor C UAv t)esi n S e Ranch Outside E /Exit Sum Pum Window T DH/CasemUAv . Bath Wainscot FG/CTile Year Buitt 1957 Evidence of Infestation Storm Sash/Insulated Yes/Av . Car Store a None Effective A rs 12 Dam ness Settlement Screens Yes/A Drivewa # of Cats 4 Attic None Heatin FWA HWBB Radiant Amenities Woodstove s # 1 Drivewa Surface As halt Dro Stair Stairs Other Fuel oil Fre aces # 0 Fence 1 Gar e # of Cars 1 Floor Scuttle Cooli Central Air Conditioni Patio/Deck 1 Porch 1 C rt # of Cars 0 Finished Heated Individual Other none ®Pool 1 Other None ^ Att. ^ Det. ®Bultt-in !fences Retri rotor Ra /Oven Dishwasher Dis osal ^ Microwave ®WasherlD er Other describe Rnished area above rode contains: 6 Rooms 3 Bedrooms 2.0 Baths 1 286 S ware Feet of Gross Livin Area Above Grade . Additional features s cial Boer efficient items, etc.. Detached Shed. In round ol. Home is well maintained. Describe the condition of the roe includi needed re airs, detedoration, renovations, remodelin etc.. C3 No u ales in the riot 15 ears•The su ~ect has avers a functional utilit . Are there an h sical deficiencies or adverse condidions that affect the livabil' ,soundness, or structural inte r' of the roe ? Yes No If Yes, describe Does the roe eneral conform to the nei hborhood functional u51' , s le, condition, use, construction, etc. ? Yes No If No, describe The sub'ect is amon ro rties of similar s le a e and a al. rreaare rvrac roan /0 March 2u05 UAD Version 912011 Page 1 of 6 Fannie Mae Form 1004 March 2005 Form 1004UAD - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Uniform Residential Appraisal Report ~„_~r ~~„~,.,~,~ There are 0 com arable rc rties currenU offered for sale in the sub' ct net boyhood ran in in rice from $ 0 to $ 0 There are 3 com arable sales in the sub' ct net hborflood within the ast twelve months ran in in sale rice from $ 137 900 to $ 169 D00 FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 110 Old Gap Rd Carlisle PA 17013 151 Shatto Dr Carlisle PA 17013 211 Fern Ave Carlisle PA 17013 2 Ridge Ave Carlisle PA 17013 Prollim to Sub' ct =~ -~~ ` ' , 0.44 mites NW 1.87 miles E 3.13 miles NE Sale Price $ _ " ''; ~ ~` $ 169 000 $ 137 900 ;' $ 159 000 Sale Price/Gross Liv. Area S s .tt. $ 140.13 s tt. ; "' ` ~ `~ . $ 132.60 s .tt .. ' , . - ` ' $ 123.45 s .ft. '. Data Sources ~ ` ' «< ~ mIs10188614•DOM 575 mIs10216402~DOM 28 mIs10213D15 DOM 84 Verffication Sources ~ fir`- ' .R..a Coun Records Count Records Count Records VALUE ADJUSTMENTS I?ESGR!PTION DESCRIPTION + - $ Ad'ustment DESCRIPTION + - $ Ad' strnent DESCRIPTION + - $ Adbstment Sales or Financing Concessions _~ ~ .: ~`a ~¢` ~ ; sv'^ y'`•, ArmLth Conv0 ArrnLth FHA•6895 -6 895 ArmLth cash uiv 5000 -5 000 Date ofSale/Fime ``_ ~-~' s10/11•Unk s01112•Unk s11/11•Unk Location N•Res N•Res• _ N•Res MRes LeaseholdlFee Sim ie Fee Sim le Fee Sim le Fee Sim le Fee Sim le Slte 28 750 sf 27 878 sf 0 20 038 sf 0 13 068 sf +4 000 View N~Res~ N•Res• N~Res• MRes Desi n S e Ranch Ranch Ranch Ranch Ouali of Construction Q4 44 Q4 Q4 Actual A e 55 47 0 47 0 54 0 _ Condition C3 C3 C3 _ C3 Above Grade Tata! Brims. Baths Total Bdnns. Baths Total Bdans. Baths Total Brims. Baths Room Count 6 3 2.0 5 2 1.0 +Z 000 6 3 1.0 +2 000 6 3 1.0 +2 ODO Gross Livin Area 1 288 s .tt. 1 206 s .tt. 0 1 040 s .tt. +4 960 1 288 s .tt. 0 Basement 8 finished Rooms Below Grade 1288sf844sfwo 1rrObr0.1ba1o 1206sf12065iwo 1rrObrl.Oba0o 0 -1000 1040sf1040siwo 1rrObr0.Oba0o 0 +500 1288sf800sfwo 1rribr0.1ba0o 0 -2000 Functional 1161' Avera a Avera a Avera a Avera e Heatin Conlin HWBBMone HWBBJNone EBB/None 0 FWA/CA -2 000 Ener Efficient Gems Standard Similar 0 Similar 0 Similar 0 : Gera Ca rt 1 C Gars e ~ c c. c ~ -3 000 1 C Ca ort +1 000 None +2 000 ' PorctVPatio/Deck Pch/SunrlPatio Patio +4 000 None +6 000 rota Around Deck +2 000 • Fire lace oodstove _ 1 Woodstove 1 FP 0 None _ +1 000 None +1 000 • In Ground Pool Yes None +4 000 None +4 000 None +4 000 Net Ad'ustment plat ; .~. °'- -~ ~c~<:... I + - S 6 000 + ^ - $ 12 565 + - $ 6000 Adjusted Sale Pnce of Com araWes ~ ',~ ~ r, ~ ' Net Adj. 3.6 % Gross Ad'. 8.3 % $ 175 000 Net Adj. 9.1 % Gross Ad . 19.1 % $ 150 465 Net Adj. 3.8 % Gross Ad'. 15.1 % $ 165 000 I did did not research the sale or transfer histo of the sub' ct a and com arable sales. lt not, a lain M research did did not reveal an riot sales or transfers of the sub' ct ro for the three ears 'or to the effective date of this a raisal. Data Sources MLS M research did ®did not reveal an nor sales ar transfers of the com arable sales for the ear riot to the date of sale of the com arable sale. Data Sources MLS Re rt the results of the research and anal sis of the riot sale or transfer histo of the sub' ct a and cam arable sales re ort additional nor sales on e 3 . ITEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3 Date of Prior Sale/Transfer Price of Prior Sale/Transfer Data Sources Coun Records Coun Records Coun Records Coun Records Effective Date of Data Sources 05/16!2012 05/16/2012 05/16/2012 05/16/2012 Ana is of 'or sale or transfer histo of the sub' ct roe and com table sales Research of sub'ect and com arabies show no a livable riot sale hIS10 SUmm of Sales Com orison roach All sales are dosed trensadions r source identified. Focus was aced on fmdi transfers that are similar in size amenities a e and condRion to the sub ed. After a throe h search of the market the above sales were considered to be the most re resentative of the sub ed.DUe to the relative IimHed number of trensadions that were similar to the subject it was necessa to salad sales that were over six months old !i com arabies located more than three miles from the sub'ed. No other similar com arabes could be found in the sub•ed's area. Co arabies listed on the re ort are considered to be and indicators of value based on the simile ' to the sub'ed. Com arabies were sebded from the sub ad's ne' hborhood. Ad'ustments were made accordi to tfie market's readion to the differences. Utilities were on & world at the time of ins dion. No oolin water was observed in the basement.The MLS does not rovide s uare foot or the finished basement area nor of basement exit in roses re uired of UAD h is estimated. Indicated Value b Safes Com orison A roach S 165 000 Indicakd Value :Sake Com rison roach S 165 000 Cost AP h (ff Bevel S 165 240 Income A h ('d deve S The market a roach is the best a roach for this ro rt and the one for which the most reliable data is available. The income approach is not • a livable to the sub~ect because the bu er is more interested in the amenities than the income the ro art would roduce. This appraisal is made ®"as is", ^ subject to completion per plans and specdications on the basis of a hypothetical condition that the improvements have been completed, ^ subject to the following repairs or alterations on the basis of a hypothetical condition that the repairs or alterations have been completed, or ^ subject to the • follovrin re wired ins ction based on the exhaordina assum lion that the condition ar deficient does not re wire alteration or re ir: • Based on a eompkte visual inspectlon of the interior and exkdor areas of the subiect property, defined scope of work, statement of assumptions and limiting conditions, and appraiser's certification, my (our) opinion of the market value, as fined, of the real property that is the subject of this report is S 165 000 e: of D5/16/2D12 which is the rink of in: and the efketlve date of this refaai. irreaale Mac corm rD Marcn Z0o5 UAD Version 912011 Page 2 of 6 Fannie Mae Form 1004 March 2005 Form 1004UAD - "WinTOTAL' appraisal software by a la mode, inc. -1.800-ALAMODE Uniform Residential Aonraisal Renlort Cf6lt n~i~ai~n~~ Pu ose and Function of A sisal 'The Intended User of this a sisal re art is the Lender/Client. The Intended Use is to evaluate the ro rt that is the sub'ect of this a sisal for a mart a e finance transaction sub ect to the stated SrA a of Work ur ose of the a sisal re ortin re uirements of this a sisal re art form and Definition of Market Value. No additional Intended Users are identified b the a raiser." Extent of A sisal Process The a sisal is based on the information athered b the a raiser from ublic records other identified sources, ins coon of the sub~ect r rt and nei hborhood and selection of cam arable sales within the sub'ect market area. The on final source of the cam ambles is shown in the Oata Source section of the market rid alon with the source of confirmation if available. The data and sources are considered reliable. When conflicti information was rovided the source deemed most reliable was used. Data deemed to be unreliable was not included in the re art nor used as basis for the value conclusion. Additional Environmental limitin Conditions _ The value estimated is based on the assum lion that the ro ert is not ne ativel affected b the existence of hazardous substances or detrimental environmental conditions unless otherwise stated in this re art. The a raiser is not an a ert in the identification of hazardous substances or detrimental environmental conditions. The a raisers routine ins ection of and in uiries about the sub'ect roe did not develo an information that indicated an a arent si nificant hazardous substances or detrimental environmental conditions which would affect the • ro ert ne ativel unless otherwise stated in this re art. It is ossible that tests and ins coons made b a ualified hazardous substance and environmental e rt would reveal the existence of hazardous substances or detrimental environmental conditions on or about the r that would affect its value. These Conditions ma include but are not limited to leakin under round fuel tanks lead base aint mold radon asbestos • etc. • I have not rformed an services re ardin the sub~ect ro rt within the three ears riot to this assi nment and I have no current or ros dive interest in the sub~ect ro rt or arties involved. -,_ 45 -- __ .._-.~ Provide ode uate inionnation for the lender/client to r licate the bebw cost f ures and calculations. Su rt for the inion of site value su of cam table land sales or other methods for estimatin site value Site value was estimated based on market extraction techn' ue due to the lack of recent vacant land sales in this area. ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION Of SITE VALUE ............_.____.-......_.....____ ..................._. _$ 44 000 Source of cost data Known contractor costs 8 market extraction DWELLING 1 288 S .Ft. @ $ 95.00 ............. _$ 122 360 Oual' tall tram cost service avers a Effective date of cost data 2012 basement 1 288 S .Ft. @ $ 5.00 ............. _$ 6440 - Commends on Cost A roach ross livin area calculations, de eciation, etc. Built ins: Porch/PatiolSunrooml1 CGara a __.__.. _$ 14000 • See Attached Sketch For Calculations Gara Ca art S .Ft. @ $ __-.._ _$ Total Estimate of Cost-New _$ 142 800 Less Ph sical Functional Erdemal De reciation 28 560 =$ 28 560 De eciated Cost of Im rovements _.__-........._..-_.. __._ ..............._ _$ 114 240 "As-is" Value of Site Im vemeMs __......_..._.-------'.------_.._ _$ 7000 Estima~d Remainin Economic LKe HUD and VA onf 48 Years INDICATEDYALUEBYCOSTAPPROACH ____--,....-__---._-_------___.... =s 165 240 xf~_ - . ~ 1 ._~ ~ • Estimated Month Market Rent $ X Gross Rent Multi Ner = $ Indicated Yalue by Income Ap roach Sum of lncome roach includin su art for market nerd and GRM Is the Bevel r/builder in control of the Homeowners' Association HOA ? Yes No Untt e s Detached Attached Provide the followi kdornation for PUDs ONLYrf the develo gbuilder is in control of the HOA and the sub' ct ro is an attached dwellin unit. Le al Name of Pro ct • Total number of hoses Total number of units Total number of units sold Total number of units rented .Total number of units for sale Data source s Was the ro'ect created b the conversion of exisfln buildin s into a PUD? Yes ^ No tl Yes, date of conversion. Does the ro' ct contain an mull-dwellin units? Yes No Data Source Are the units, common elements, and recreation facildres cam lets? Yes ^ No If No, describe the status of cam letion. Are the common elemerds leased to orb the Homeowners' Association? Yes ^ No h Yes, describe the rental terms and o lions. Describe common elements and recreational facilities. I-reddie Mac form !a March 2005 UAD Version 9/2011 Page 3 of 6 Fannie Mae Form 1004 March 2005 Form 1004UAD - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE urnTOrm nes~aent~a~ Flk N 05/16/2012 This report form is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit; including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a manufactured home or a unit in a condominium or cooperative project. This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value, statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certfications are also not permitted. However, additional certifications that do not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an appraisal organization, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requirements of this appraisal report form, including the following definition of market value, statement of assumptions and limiting conditions, and cert"dications. The appraiser must, at a minimum: (1) pertorm a complete visual inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the comparable sales from at least the street, (4} research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal report, INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of this appraisal for a mortgage finance transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he or she considers his or her own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U. S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions" granted by anyone associated with the sale. *Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgment. STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the following assumptions and limiting conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it, except for information that he or she became aware of during the research involved in performing this appraisal. The appraiser assumes that the title is good and marketable and will not render any opinions about the title. 2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements. The sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in this appraisal report whether any portion of the subject site is located in an identffied Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the research involved in performing the appraisal. Unless otherwise stated in this appraisal report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, this appraisal report must not be considered as an environmental assessment of the property. 6. The appraiser has based his or her appraisal repoR and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will be performed in a professional manner. 1=reddie Mac Form 70 March 2005 UAD Version 9/2011 Page 4 of 6 Fannie Mae Form 1004 March 2005 Form 1004UAD - "~nTOTAL" appraisal software by a la mode, inc. -1 800-ALAMODE un~rorm Kesiaentiai Appraisal Report File// 05/16/2012 APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that 1. I have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in this appraisal report. 2. 1 performed a complete visual inspection of the interior and exterior areas of the subject property. 1 reported the condition of the improvements in factual, specffic terms. I identified and reported the physical deficiencies that could affect the livability, soundness, or structural integrity of the property. 3. I performed this appraisal in accordance with the requirements of the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 4. I developed my opinion of the market value of the real property that is the subject of this report based on the sales comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach for this appraisal assignment. I further certify that i considered the cost and income approaches to value but did not develop them, unless otherwise indicated in this report. 5. I researched, verified, analyzed, and reported on any current agreement for sale for the subject property, any offering for sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report. 6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable sale, unless otherwise indicated in this report. 7. I selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property, 8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that has been built or will be built on the land. 9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject property and the comparable sales. 10. I verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in the sale or financing of the subject property. 11. I have knowledge and experience in appraising this type of property in this market area 12. I am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing services, tax assessment records, public land records and other such data sources for the area in which the property is located, 13. I obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that I believe to be true and correct. 14. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property or that I became aware of during the research involved in performing this appraisal. I have considered these adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject property. 15. I have not knowingly withheld any signfficant information from this appraisal report and, to the best of my knowledge, all statements and information in this appraisal report are true and correct. 16. I stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the assumptions and limiting conditions in this appraisal report. 17. I have no present or prospective interest in the property that is the subject of this report, and I have no present or prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or opinion of market value in this appraisal report on the race, color, religion, sex, age, marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law. 18. My employment and/or compensation for pertomting this appraisal or any future or anticipated appraisals was not conditioned on any agreement or understanding, written or otherwise, that I would report (or present analysis supporting) a predetermined specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of any party, or the attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending mortgage loan application). 19. I personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If I relied on significant real property appraisal assistance from any individual or individuals in the pertormance of this appraisal or the preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks performed in this appraisal report. I certify that any individual so named is qualified to pertorm the tasks. I have not authorized anyone to make a change to any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and I wi{I take no responsibility for it 20. I identified the lender/client in this appraisal report who is the individual, organization, or agent for the organization that ordered and will receive this appraisal report. rreaaie mac rorm ru marcn zuua UAU Version 912011 Page 5 of 6 Fannie Mae Form 1004 March 2005 Form 1004UAD - "WinTOTAI" appraisal software by a la mode, inc. -1-800•ALAMODE unirorm Kes~aentiai Appraisal Report FilerF 05/16/2012 21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the borrower; the mortgagee or its successors and assigns; mortgage insurers; government sponsored enterprises; other secondary market participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions; without having to obtain the appraiser's or supervisory appraiser's (if applicable) consent. Such consent must be obtained before this appraisal report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public relations, news, sales, or other media). 22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. Further, { am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves any one or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any intentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that: 1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report is either asub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to pertorm this appraisal, and is acceptable to pertorm this appraisal under the applicable state law. 4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. APPRAISER Signature Name ro Compan ame J. H. rou raisers Company Address 1271 Eisenhower Boulevard Harrisburg, PA 17111 Telephone Number (777) 939-8380 Email Address jhtroup~ihtrouy.com Date of Signature and Report 05116!2012 Effective Date of Appraisal 05/16/2012 State Certification # RL-139833 or State License # or Other (describe) State # State PA Expiration Date of Certification or License 06/30/2013 ADDRESS OF PROPERTY APPRAISED ^ Did not inspect subject property 110 Old Gap Rd ^ Did inspect exterior of subject property from street Carlisle. PA 17013 Date of Inspection APPRAISED VALUE OF SUBJECT PROPERTY $ 165.000 ^ Did inspect interior and exterior of subject property LENDER/CLIENT Date of Inspection Name Donna L Thomas Company Name NiA Company Address N/A SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature Name Company Name , Company Address - Telephone Number Email Address Date of Signature State Certification # or State License # _ State Expiration Date of Certification or License SUBJECT PROPERTY COMPARABLE SALES ^ Did not inspect exterior of comparable sales from street ^ Did inspect exterior of comparable sales from street Date of Inspection Email Address f~reddie Mac Form 70 March 2005 UAD Version 9/2011 Page 6 of 6 Form 1004UAD - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Fannie Mae Form 1004 March 2005 PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS .. ~, J 219 North Hanover Sheet Carlisle, Pennsylvan'~a 17013 717.243.4511 toll free 1.86b.451.4511 ~ tax 717.243.3723 ~~ ~~ ' %~~ `~ ' ~' ~~~''~- ~i!~' ' www.hoffmanroth.com ;.~ , ` ~ FUNERAL HOME bi CREMATORY, INC. into@hottmarxom.com _ ~ ~/ 9~ l~}' l ~s~-~-~~ ~~~r~~ May 9, 2012 Donna L. T"homas `~ ~ 126 Ore Bank Road I ~( o~ ~ ~ ~ ~~ Dillsburg, PA 17019 ,J Statement of Funeral Expenses for: Florence Irene Cfark Date of Death: May 1, 2012 Account Id: 16539-106 PACKAGE: Traditional Funeral Service at Another Facility ` - including Transportation, Embalming, Other Prep of Body, Public Viewing and Cremation. ~ OPTION 1 -Cremation $ 4,650.00 ` Sub Total: $ 4,650.00 MERCHANDISE: Casket: Classic $ 2,695.00 Outer Container: Monticello $ 1,620.00 Sub Total: $ 4,315.00 TOTAL FUNERAL HOME CHARGES: $ 8,965.00 CASH ADVANCES: 8 Certified Death Certificates at $ 6.00 each $ 48.00 Newspaper Notice -Sentinel $ 119.32 Newspaper Notice -Patriot $ 229.22 Clergy $ 100.00 Flowers $ 185.50 Hairdresser $ 40.00 Organist $ 100.00 Sub Total: $ 822.04 Total Funeral Expense: $ 9,787.04 ;`~ r F ~ Balance: $ $,7 7.04 „` Receipt ~ ~ Ufa No. ~~~g6 Date y !~ QG FROM~~^ Q ~~.C,ZL~1Ctl,~ ~T ~~~J~. ! 7 o ~,.,. ,.,, ~o O FOR RE,,/N~T ~ ~~ ~_~-~ {` l FOR YV1~1Mt s ~4~V~P~~ llll~l.~i.C'~l+l FROM TO ACCT. ~ ~~ cash PAID S,i~ ~; CttBCk ~~ a /~`~!~'"~'~'p DUE , ,~ money 8Y~(~~{//~Li((~~ 2.7a9ta "- ~. `` Osiris Holding of Pennsylvania, Inc. Retail Installment Contract and Security Agreem ~ 3Z;~ "Oo 7g : ~ ~ . ;iris Holding of Pcnnrylvenia LI.C ("LLC' ^ Tri-County Memorial Gardens LLC ("LLC") enmmater Cemetery LLC ("LLC•') Comract a oneMor Prnnsylvania Subsidiary LLC ("Company") SfoneMor Prnnsylvenia Subsidiary LLC ("Company') StoneMor Prnneyivanie Subsidiary LLC (''Company") timberland Valley Memorial Gardrnt ("Cemetery") Tri-County Memorial Gardens C`CerrrcterY") Wcstminshr Cemetery ("Gamete 1921 Rimer Hi hwa ,Carlisle, PA 17013 740 ry ) g y Wyndamerc Road, Iswisbeny, PA 17339 1159 Newville Road, Carlisle, PA 17013 717-247-7541 717-936.1433 717-244-2024 and Company (sometimes referred W collectively in this Agreement as "Seller's arc oxmets end operators of the Cemetery. THIS AGREEMEN'T' is made by and between Scaer and ? )[ ]t \t\ 0. t v\prv\ri C hercinsfter called the "Purchaser". NESSI: TH'i'HAT Purchaser agrees to buy and LLC and Company agrrxs to sell to Ptacla°w, or his designated beneficiary in ecmrdance with the lama Txteot; the following items m be provided or used at the above checked lagoon. ~ESCRIPI'ION OF BURIAL RIGHTS The Budal Aighu covered by the Agreement are shown by the map of such gerdaJhuilding on file in the ofTice of the CEMETERY, and arc more panicuhdy described below. _ Burial R'rghfa In: _ Grave Spa«(a) `+Matrwleum: O Chapel ^ Garden O Tandem O Side-by-Side O Single O Developed ^ Prcconstmction _ Lawn Crypt: O Double Depm ^ Side-by-Side _ Niche: ^ Chapel O Garden ~ Single O Companion O Developed O PreconsWCtion Single ^Developed ^PreennatNCtlOn aMoximum rn+F+r du,w+imu re~lrnrrh a5 ^, widd, Tq^, heithr la" 1st Choi« 2nd choice 1st Choke ~ 2ad Cho)« Garden Garden Section ~ Section Lest ,__.,_, Lot Space(s) __ Space(s) MERCHANDISE: ^ Check here if merchandise is being purcluud for use et another «metery. Cemetery's Namc: A. VAULT(S) NI. Description - N2. Description B. URN(S): Nl. Description _ N2.Ikscoption __ C. MEMORIAL INFORMATION: Memorial Design: Vase: Y / N Btonu Siu X M~~ t- Granite Siu 1 X Location (Section,etcJ ~Qj1. T ,3~ '~ !E~ D. MONUMENT INiFORMATIO+'N: (~ Type: ~OOT ML1Lt1~[NCrf~_ Color:~V~ 17~1~~ Siu: Z- O x 1- D x D -~ P Die: x _ x P Base: x x P & CASKET(S): I. Model: _ 2. Model: Gauge: Gauge: Building _ Building Section Section No.(s) _ No.(s) i.evel _ Le+el 3. ITEMIZATION OF CHARGES LLC+ Company+ (A) Burial Rights (o ar>oixd t, Pen. I .tour) __ S (B) PerpNnal Cue =_ S "'- (C) Leu Certificate Discount S (D) Second Right of Interment S (E) Vault(s) ~ _ S ~Um(s) ~ S ausoleum Lettering/Crypt Plate ~po~ ~ ~'. ~ G )pM ~ S l t O 3. Oo " ' j~,(ftaPMemorial/Monumrnt S (1) Granite Base(s) _ S - (1) Installation Charge ._.1__ E ~ S a 0~. (K) Caskets ' _ _ S (L) ]nitial F« for Infemeht _L__ m,~f.n S ~OS lS V • ~O (M)F~{I~IntennenUEntombtnenUlnumment Fee Z,Z~00 S • 10 (T~ Petmanen ecords & Processing Fee ~ S '~:~• f iSCOU/1~ (O)Othcr 4,p (P) Selea Taz S S 4. TOTAL CASH PORCHASH PRICE (A TFiRU P) S a G~o2 , 0 p ITEMIZATION OF THE AMOUNT FINANCED (I) Total Cash Pries ............................... ...f z~~ (2) A. Down Payment O Cash O Check O Croda Card .. ... S -0 B. Trade In: _ ....... ... S -~' Old Agreement No. _ ^^ /~ ! a ` ~ C. Total Down Payment (2A + 2B) ................. P ... S Cd '~ (3) Unpaid Balance of Cash Pri« (I - 2C) ............. ... S (4} Finance Charge ................................ ... S -~ (5) Total Unpaid Bslsnce (3 + 4) ..................... ... S ~-' 'he LLC and the Company shall each remain secondarily liable to the other for the sales o(items and services provided by one another pursuant to this Agreement however, Purchaser shall not be required to exhaust remedies against me LLC or the Company before proceeding against the other. PAYMENT. Tire Puruhaxer shall pay FJME AMOUNT FINANCED TOTAL OF PAYNENTB TOTAL BALE SELLER for such rights in atxordan« the met d your reeds w a yaery The tldler amours as audt wN u. The annexes d creels prWidad to Yo The amount yen asT two paid The rote and d m Ixedt, inrlud- th me following disclosure statement: m lour own tNu6. haov made et paynanta as led. Irre down d S x s s s s DUR PAYMENT Number of Peyme nt of Payments Flrst Payment Due Date Thereafter, Payments Are Dug CHEDULE WILL BE: ~ B ^ Manmly on me _ a ECURITY: You are giving ^ murity interest is thn s m property being purchased or in yn of the funds paid des this Agreement held in a Merohandise T t Fund. REPAYMENT I(you py oR early, you will c to pay ^ prntlty and you may he mdtled to a refund of of the Fimnce Charge. OTICE: Sa the rcmairder of this Ag lading Genenl Provisions on the rcveru aide hereof) for itional infom+ation about ~npaymcnL dtfa delinquency charge, security Vntercsts, any required payment in full hefote the scheduled date, and prepaymrnt reds and penalties. THIS AGREEMENT ARISES OUT OF A CONSUMER CREDIT SALE AND IS SUBJECT 70 THE ADDITIONAL GENERAL PROVISIONS CONTAINED ON THE REVERSE SIDE F THIS AGREEMENT, WHICH ARE A PART OF THIS AGREEMENT. Phis Agreement shall be binding upon the heirs, executors, administretr3rs, sutxessors and assigns of the parties hereto. 7'fIIS AGREEMENT AND THE FAMII,Y PROTECTION CERTIFICATE, TF APPLICABLE, CONTAIN ALL THE COVENANTS AND PROMISES BETWEEN THE PARTIES, AND O AGENT, SALESPERSON, OR l71'I~R REPRESENTATIVE OF EITHER PARTY HAS A[]THORITY TO MODIFY, ADD TO OR CHANGE ANY OF THE TERMS AND ONDITIONS CONTAINED IN THIS AGREEMENT AND/OR THE FAMILY PROTECTION CERTIFICATE. NOTTCF TO ASSIGNEE-S OF ~ELL•ER Any holder of this rorrsutner credit contraM is subiect to all cJaisns attd defetfaes which the debtor tPnrrhaser) i:ould assert against the Seller of goods or services obtained pursuant hereto r with the proceeds hereof. Recovery hereunder by the debtor (Purchaser) shag not exceed the amount paid by the deblm (Purchaser) hereunder. NOTICE TO THE PURCHASER (I) Do not sign this Agreement before you read it or if it contains any blank spaces. (:L) Yea are entitled !n a completely filled in copy of this ,Agrcement at the :imc you sign it. (I) Under the law, you have the right to pay off in advance the full amount due and under certain conditions to obtain a partial refund of the finance charge; to redeem me property if repossessed for a default; to require, ands certain conditions, a resale of the property if repossessed. PURCHASER'S RIGHT TO CANCEL If this Agreement was solicited at your residence and you do sot want the goods or servlL•es, yoty the Purchaser, rosy cancel this Agreement at any time prior to midnight of the third usiness day aRer the date of thta Agreement. (For an explanation of thS right, see the attached Notice of Cancellation form. ) Recovery Fund: A Real Estate Recovery Fund ptists to ¢imburse persons who have suffered monetary loss and have obtained an uncollectible judgement due to fraud, misrepresentation, or deceit in a ;al estate transaction by a Pennsylvania licensee. For completes details call (717) 783-3658 or 1-8(10-822-2113. ,ryI7.F RF.VFRSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS V 1YITNFSS WHEREOF has executed fhb Agreement this ~_ day of ~rsZ . By exe~c/uti~ng rhea Agreement, Purchaser acknowledges receipt of a tropy of this Agreement ourtselor~ ---- _ I. Purchase/1[_!/-°'n'''~• i~ ` sip,.NR. Email -Date of Bira~..srZ~~ ~ ~ `S..L- eller by _ y. - 2. PuiChaser ._ tV si ewe !OT'ICE: Ardhorutd Repres ntative is signing on behalf oJboth LLC and Company. ~ ~~ Email ,gyp L ~ _ Date of Birth %str Agreement it nd valid and/ signed by an Aathorized Represesudive of the Seller. Addrrs~/_~?1.,__Qer~~ ~-~c~. /[ r ~9- /7 ° i y V Ciry Sate Zip Hurinl Rights Cenifutc to be printed in Neme(a) mhv than Purchasers, then provide Name(s) hart: ,A t-f 3 }- 9 ~/ ~ Home Phone Numbe -_ .~__ 1. Employer __. __-.______. Phone Mate License No. _ 2. Employers -..-- -Phone -..__ WHI1E CDPY -The Compny't (Seller) Copy YELLOW COPY - Rttordr Corponte PINK COPY- Pwchaxr's Copy CAtD COPY ~ Putthuer s Copy 7hls contract is Subject to a security Interest ,n favor of Bank of Amenca, N.A., as collateral agent RECEIPT FOR PAYMENT ------------------ ------------------- GLENDA FARNER STRASBAUGH Receipt Date: 5/16/2012 Cumberland County - Register Of Wills Receipt Time: 08:33:10 One Courthouse S uare Receipt No.: 1069894 Carlisle, PA 1713 CLARK FLORENCE I - Estate File No.: 2012-00561 Paid By Remarks: DONNA L THOMAS DMB ------------------------- Receipt Distrib ution ----- -------- ------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 60.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 40.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN - Check# 1364 --------------- $143.50 Total Received......... $143.50 Page 1 of 1 ?„~7•...\ ~"'•r,K:r~.~,...js,•7 v".-:. j. r,Y• ~ ---...~.~.e. .Ly _ r.: ~.a t'a~ ^ ~~a.r , '1~{ ESTATE OF fLORENCE 1 CLARl[ y+n+ 1 O Z GONNA L THOMAS, E%EC. CR)DONNA L.TNONAS t 1240RE BANK FIOAO a~A LC 1/ ~ J a ~ . G • °~ BUNG, PA 17919 ~ ~ i ~ ~ ~ ~~ l~1MS~TBank ~ aev~ nt:lae Fx v- ~:0 3 i 30 29 5 5i: 98 58886 i OMO 30 2 ~'0000015000~~ j ' t 17'~aT'77aF11~ Liyy1~ A.ay. .: __ 10.0 ~~~ ~,- PA.~/ /p~iPiy~G IA~MT..~.fS I ~ ,300, O O - _ ~ 1 y./A 7l{•Mft~ ~J ~ o DOLL RS W E~n~„ ~/ >031315036< ~M$ITDWIa(' Oxxatavn Bank Shippenabaxq, P71 17257 V~ Phone: 717-532-6114 ` Bas Date• 06/14/20]2 ~ xau pp.nyiJ7T X 3/iJ., A- ^:~ ~:0 3130 2 9 5 54 98 5888 6 3 OB'0 300 BxaBCh/Tellax 0043/0222 ,...,.~, 06/14/2012 17 :18:04 http: //afreshlinquiry/servlet/inquiry / //( a J ~yi _ 1/10/2013 Page 1 of 1 ESTATH OF FLORENCE 1 CLAfiK' ~ ~+~" 11 O "` DONNA ~ iNOwas, exEC. c+o ooNKA ~.7}gMAB n~ Q,,,,-~o~~ 1x ORE BARK ROAD _'~-"7 OLlSBURG, PA 1709 ~ ~~..P l~yJ~ers ' $„300.06 e ~~~~ Yi8~0~ ~ l+~v im OOW0.4 8 ~`: ~~ ~aletf~ y wr..awar 403i302955~: 9858886i7D OilO >031315036G Oxrstown Bank Shippenaburq, pA 17257 phone: 717-532-6114 Bus Date: 08/10/2012 exanuh/Tellex 0043/0226 08/10/2012 17:15:01 -~~.°,~' r.-r±r..~-,,.r - - '- Vie. yy ;r-.~.-.~,-~. .y ....~..ti_.'.- ESTATE OF fIORENCE 1 CLARK v ss0it S D 5 DONNA L T11OMA8, E%EC. aoooRKA~rHOws zl l u+n S l aS~~ < 124 ORE BANK ROAD ~ .L , DILLS6Ui1G. PA 17079 ~ .c ei~6± ~ZL ._ _-- --~ E .~U S . U O ~''`1 d Ti /n~!y' ~ ~i Y'~ ~ !_ r~ _ ~ ______-_uT(Y--Dau.A/S 8 =-.. t/na M&TBBCilC ~ ... i ~:031302955~: 9858886i7 0~' i05 .AO~~~Q~ES3'r t -p - ~, ' ' ~. `-O 13bOr~Sr3f ~ ~ piC 13W7P.~ Pll Fb x:892 4~Q11 ~-•~- - L ~ ~ V i a ~~ '~~ ~, http://afresh/inquiry/servlet/inquiry 1/10/2013 ~ ,~~ a _ ~~ ESTATE OF FLORENCE 1 CLARk r+~~aa fair 1 ~ A DONNA L TNOMAS, EXEC. in one B~wc now ~ eo n cr r~ ~7o rs s s---via 1 ~, // ~~ ) '~ ~ ~T'u~~ ~ `~SOO.OG B4 7p ORD "~o y rct Fluno~rccl ~ nocur,~ 8 ~... 1~1M&TBank 6 „y,~osrerr YeM4itln c~,[~r~~T[.Z'1GQ19•h_~ n .~, y.~tl+a` ~:031302955~: 9858886L 'rOLi4 ESTATE OF FLORENCE 1 CLAR~ ~ » 111 DOWIA LTHOYAS, E=EC. _. ._ GOOONNaL7lO~M8_ n - -._.- S 1WLLSl~Un~-Anp~p MtI KIJ~at~o~!}. i Y7 41 MiYTY "~ ODQJ~A~ 8 ~.~: e ~ s~1M~TBank a~eaoGal~e ye.d ab~K ~~~FiXie.. r 1:0 313D 29 5 51: 98 5888 6 i 70r01 l i Page 1 of 1 _.~`_~ a Ov >031315036c ` Orratoarn Bank Shippanabarq, pA 17257 Phone: 717-532-611 Sus Data: 09/21/2012 Branch/Taller 003/0226 09{21)2012 17:27:57 ~~ 09lOd12012 02:4iPM PA0379 1457 5620.00 1819 D (~ http:J/afresh/inquiry/servlet/inquiry _ _ 1/10/2013 ~ ~ ~ v~ . ~ ~ r~' O ~ m Q m O Ln L f1 ~ ~ ~ ~ ~ C O ~ m Dl _ c m ~ a cu vC, ri od ~d ~ O. 01 ~C~^ n ~ a ~, a n an ti.C~~ O ~ y~ N ~ ~QM ~ 0 a {-' ~ o ~ oo :i (,~ v r-1 * ~~+, a ,~~~ ` ~*'~a~+~~r .~• •~~ ~s e y ' ~` a m U a N ~~„~ U ~ U p a w ~ O ~ ~ a t0 u a"'i ~ C `0 ~ R •~ ~ m m v d 0 L a ~L V 11J L 3 O v-^ N a Op r`o s U ~~+ F. 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X37 7 • j ~ G ~~V ~ ~ m ~> 3 7 u ~ ~ "' m a o - ayo~ ~ 0 4 ~ r ~ 1 I 1 1 ~ 'p O > ~; os o .fl ~ ~ E o ~3 >~ ~ u~ to d u a ~ ~ p ~ d y~ oN o O ~~ ~~ T O TO ~~ O rya 'C j Gm ai C tin `~'° ~~ .~ o m v co ~' u, -a ~ a`~3c 4 m 7 ~ ~~ ~ A ~ ~ +L' ~ T O O O-~ O O 'O ,~01`~ ~~ Ld LOT N CL~ ~~ ~ ~Y tO N St7t1. ~~ osL m~c° jr„ ~ ~~vL ,flv ~~Da ~~ X00 ~ yin ~ p~ > d~O~,~O ~EC . ¢' V C V f6 ~ r N Y C »~ 39 ~° m ~- n - ti d ~ O b J Q ~~ ( Q,/1 SRO '"d0~ ~ s -` ~ N'tD '0 ~ E C'. C L io . 1'n LL u~ to +- p 7 N Q ~ . o m o ® A ~ ~ p H ,~ ~ ~ Q o ~ u ~ Z c ~Z3 u ' C ~~ Cd ' ~DU a~ Tz o'Q ~ ~ ¢ mNIJ is r6~ ~ a `~ O0 '~ i4M~~ ~e0 aad'8nd 3~~~+/W ~ oc~ ~ CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3168 fax: (717) 249-2863 August 31, 2012 Cumberland Law Journal is published every Friday by the Cumberland County Bar Assaciatian and is designated by the Court of Comman Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Mark E. Halbruner, Esquire RE: Florence I. Clark Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: August 17, August 24, and August 31, 2012 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA ss, COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, ] 952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: August 17, August 24, and August 31. 2012 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. _-~ is Marie Co e, Editor SWORN TO AND SUBSCRIBED before me this 31 daY of August, 2012 Clazk, Floreace I., deed. Late of North Middleton Town- NOtary ship. Executrix: Donna L. Thomas c/o Mark E, Halbruner, Esquire, Gates, Halbruner, Hatch ~ Guise, P. C., 1013 Mumma Road, Suite NOTARIAL SEAL 100, Lemoyne, PA 17043. Attorneys: Mark E. Halbruner, DEBORAH A COLLINS Esquire, Gates, Halbruner, Hatch Notary Pu61ic & Guise, P. C., 1013 Mumma CARLISLE BOROUGIi, CUMBERLAND COUNTY Road, Suite 100, Lemoyne, PA My Commission Expires Apr 28, 2014 17043. ~"~ O r O C ~j O r E Y V m L U c O E a m o u o i '~ c ~ 0 .a z a ° m ° Z y U ~ v H _ w C7 = c V ~ ~" ~ Q ~ 3 ~ G J w ~ ~ W U = C 2 U ~ ~ E ~ ~ ~ m a V ~_ > o C LL a x m W ~.. W _ ~ Q O N N N ~ N N ~ r ~ U ao > ~ ap '~~eq uo sl!e~ep ~saRVeay l~uroeg N r 0 W N ~ ~ ~ ~ Z p O ~ O ~!f ti {~} Y d n mQ M ~ J ~e~^ a' J ~ ~+ ~ a ~°c z~ a U V d W N cs «s 8 _ ~~ ~ yo~ Q oQrn = oaf ~ az~ W ~o~ Z ~~~ ~ f~ m p W Q +~ _. 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Irene Clark) Ail miles since June have been to sort, clean & prepare house, contents & property for sale in March Date Description Mlles Expense 05/01/12 Home to Funeral Home 11 Funeral Home to Cemetery 2 Cemetery to Home 14 05/02/12 Home to Cemetery RT 30 05/05/12 Home to Clark House RT 26 05!06/12 Home to Clark House RT (pool work) 26 05/08/12 Work to Clark House to home (trash/bills) 28 05/09/12 Work to Attorney RT 6 05/12/12 Home to Clark House RT (realtor) 26 05!13!12 Home to Clark House RT (yardwork) 26 05/15/12 Work to Courthouse, Bank, Clark House, Home 32 Courthouse Parking $ 0.75 05/16/12 Work to Courthouse, Bank, Post Office, Home 32 Courthouse Parking $ 0.50 05/19/12 Home to Clark House RT 26 05/20/12 Home to Clark House RT 26 05/23/12 Work to Clark House to home 28 05/24/12 Home to Clark House RT (A/C repair, Clean car) 26 05/26/12 Home to Clark House RT (sell car, yard work) 26 05/27/12 Home to Clark House RT (yard work) 26 05/28/12 Home to Clark House RT (yard work) 26 06/03/12 Home to Clark House RT 26 06/04/12 Work to Clark House to home 28 06/06/12 Home to Clark House RT 26 06!08/12 Work to Clark House to Home 28 06/09/12 Home to Clark House RT 26 06/10/12 Home to Clark House RT 26 06/12/12 Work to Clark House to Home 28 06/14!12 Work to Clark House to Home 28 06/16/12 Home to Clark House RT 26 06/17/12 Home to Clark House RT 26 06/18/12 Work to Attorney RT 6 Work to Clark House to Home 28 06/20/12 Work to Clark House to Home 28 06/23/12 Home to Clark House RT 26 06126!12 Work to Clark House to Home 28 06/29/12 Work to Clark Hause to Home 28 06/30/12 Home to Clark House RT 26 07/01/12 Home to Clark House RT 26 07!04!12 Home to Clark House RT 26 07/05/12 Home to Clark House RT 26 07/06/12 Home to Clark House RT 26 07/07/12 Home to Clark House RT 26 07/08/12 Home to Clark House RT 26 07/10/12 Home to Clark House RT 26 07/12/12 Work to Clark House to Home 28 07/15/12 Home to Clark House RT 26 07/18112 Work to Clark House to Home 28 L~ / , 07/20/12 Home to Clark House RT 07/21112 Home to Clark House RT 07/22/12 Home to Glark House RT 07/24/12 Work to Clark Hause to Home 07/26/12 Work to Ciark House to Home 07/28/12 Home to Ciark House RT 07/29/12 Home to Clark House RT 08/02/12 Home to Clark House RT 08/03/12 Home to Clark House RT 08/05/12 Home to Clark House RT 08/07!12 Work to Clark House to Home 08/11/12 Home to Clark House RT 08/12/12 Home to Clark House RT 08/14!12 Work to Ciark House to Home 08/16/12 Work to Clark Hause to Home 08/18/12 Home to Ciark House RT 08/19/12 Home to Clark House RT 08!28!12 Work to Clark House to Home 08/29/12 Work to Clark House to Home 09/01/12 Home to Clark House RT 09/02/12 Home to Clark House RT 09/03!12 Home to Ciark House RT 09/08/12 Home to Clark House RT 09/09/12 Home to Clark House RT 09/11/12 Work to Ciark House to Home 09/13/12 Work to Clark House to Home 09/15/12 Home to Clark House RT 09/16/12 Home to Clark House RT 09!18!12 Work to Clark House to Home 09/20/12 Work to Clark House to Home 09/22/12 Home to Clark House RT 09/23/12 Home to Clark House RT 09!25!12 Work to Clark House to Home 09/27/12 Work to Clark House to Home 09/29/12 Home to Clark House RT 09/30/12 Home to Clark Hause RT 10!02!12 Work to Clark House to Home 10/04/12 Work to Clark House to Home 10/06/12 Home to Clark House RT 10/07/12 Home to Clark House RT 10/09/12 Work to Clark House to Home 10/10/12 Work to Clark House to Home 10/13/12 Home to Clark House RT 10!14!12 Home to Clark House RT 10/16/12 Work to Clark House to Home 10/17/12 Work to Clark House to Home 10/20/12 Home to Clark House RT 10!21/12 Home to Clark House RT 10/23/12 Work to Clark House to Home 10/25/12 Work to Clark House to Home 10/27/12 Home to Clark House RT 10!28/12 Home to Clark House RT 26 26 26 28 28 26 26 26 26 26 28 26 26 28 28 26 26 28 28 26 26 26 26 26 28 28 26 26 28 28 26 26 28 28 26 26 28 28 26 26 28 28 26 26 28 28 26 26 28 28 26 26 11/02/12 Home to Clark House RT 26 11/03/12 Home to Clark House RT 26 11/04/12 Home to Clark House RT 26 11/08/12 Work to Clark House to Home 28 11/10/12 Home to Clark House RT 26 11/11/12 Home to Clark House RT 26 11/12/12 Home to Clark House RT 26 11/13/12 Home to Clark House RT 26 11/14/12 Home to Ciark House RT 26 11/15/12 Home to Clark House RT 2g 11/16/12 Home to Clark House RT 2g 11/17/12 Home to Clark House RT 26 11/18/12 Home to Clark House RT 26 11/21/12 Work to Clark House to Home 28 11/22/12 Home to Clark House RT 26 11/23/12 Home to Clark House RT 2g 11/24/12 Home to Clark House RT 2g 11/25/12 Home to Clark House RT 26 11/27/12 Work to Clark House to Home 28 11/29/12 Work to Clark House to Home 28 12/01/12 Home to Clark House RT 26 12/02/12 Home to Clark House RT 26 12/06/12 Work to Clark House to Home 28 12/08/12 Home to Clark House RT 26 12/09/12 Home to Clark House RT 26 12/11/12 Work to Clark House to Home 2g 12/12/12 Work to Clark House to Home 2g 12/15/12 Home to Clark House RT 2B 12/16/12 Home to Clark House RT 26 12/20/12 Work to Clark House to Home 2g 12/22/12 Home to Clark House RT 26 12/23/12 Home to Ciark House RT 26 12/25/12 Home to Clark House RT 2g 12/27/12 Work to Clark House to Home 28 12/29/12 Home to Clark Hause RT 26 12/30/12 Home to Clark House RT 26 12/31/12 Home to Clark House RT 26 3519 Total 2012 X $0.555 51,953.05 $ 1.25 01/01/13 Home to Clark House RT 26 01/05/13 Home to Clark House RT 26 01!06/13 Home to Clark House RT 26 01/08/13 Work to Clark House to Home 2g 01/10/13 Work to Clark House to Home 28 134 To Date 2013 X $0.565 $75.71 Total To Date 51,954.30 575.71 52,030.01 Correal, Inc. Pools & Spas 1953 A West Trindle road Carlisle, PA 17013 (717)243-5240 THOMAS, DONNA 126 ORE BANK ROAD DILLSBURG, PA 17019 Invoice DATE INVOICE # 9/22/2012 17717 Terms DUE DATE Net 30 10/22/2012 Date Serviced Item # Qty Description Rate Total Amount SPECIAL OR... labor SPECIAL OR... 429015 410015 50 5 t 1 2 FT PVC FZEX PIPE LABOR TO REPLACE SKIMI~~R PIPE PVC TEE 1.5" PVC COUPLING s x s ].5"PVC 90 STREET ELBOW mpt x s i 2.45 74.95 3.78 1.09 2.55 122.SOT 374.75T 3.78T 1.09T S.IOT - ~~1 J ~~ ~ (`~ " ~~\ -y v_t \ ~` ~ 0 ~~ Subtotal $so7.z2 ALL LATE INVOICES ARE ASSES ED A SERVICE CHARGE OF 2%PER MONTH Sales Tax (6.0%~ $30.43 Totai $537.65 HIC#PA42987 E-mail PaymentslCredit8 $o.oo poolman222@aol.com Balance Due $537.65, [~ rvvw.aeroenergy.com OFFICE ADDRESS BILL TO ADDRESS DELIVERY ADDRESS T 2 C p ~ -I _ _ m m ~ m r~ < D r ~ T J.+ ..v ^' C O ~ ~ m ~ D 9 9 x X D 3; ~ ^ ~ { C ~ m r m o ~ W C7 o m r m ~ m D 'n ` ~ m D - I ~ ~ ~ m m fJ ~ c~ ~m m ~ ~ ~ --I ^ ^_' ~ D ~ r -i D ^ vDi x CUSTOMER COPY r' I -.. .._ I - - ;, . _ __ .. i. .. .tea 1' - _~_._.. __ - , t ~ -- _, _ _ ~~~!i _~.. I. THIS IS YOUII INVOICE See back for important safety information! ~~ INSERT TH~~ ~I)~ iJ~ ~Jt - -- - - ~.. r~..~~ ...._ T.- --3 S _ . ~....L _ _ ._-_.f ~. ri __--` 1 `. ~HtS IS Y~4III fN\/QECE Online Payment & Services Available at www.AeroEnergy.com Y X ^ N~~ DELIVER FULL RECEIVED ~ ~ ^ caSH PAYMENT ~ CHFCK F"°~~ INVOICE J. H. Troup Appraisers ~ I ~ `•;•~ 1271 Eisenhower Boulevard ., Harrisburg, PA 17111 ,- ;-s%?.;;.. 05/1672012 Tekphorx Numbx: (717)939.8380 Fax Number: _ ,e f.1 :Sy,~.,.._ T0: Intamd Order M: Donna L Thomas LenderCakM: 126 Ore Bank Road CIkM Fik a': Dillsburg, PA 17019 Meln Flk X on loan: Other Flk M on forth: Telephone Number: Fax Number: F~daral Tu 10: 1-81-48J267 Aherrgle Number: EileB: Empbyer ID: lender: WA ClienC Purchsser/Borrawer. fJ/A Property Address: 110 Okf Gap Road City: Carlisle County: CumberlaM Slap: PA Zip: 17013 LeyM DesCdp9on: Book/Page 00169/00065 300.00 ~wi~ pv. SUBTOTAL i soo.oo ChsekM: Dsb: 05/16/2012 Deslxlptlan: paitl by personal check 300,00 Chsck N: Dek: Oaserlp8orr: Check M: Dace: Daaiptbn: SUBTOTAL 300.00 TOTAL DUE S o Form NNS - MKmTOTAL' appraisal sdtware by a k mode, inc. -1-800•ALAMODE JH Troup, Inc. Appraisers (717)93&8380 ~' OG W 0 z 0 a a c+~ a o '~' Sri M Z 7 Q t{S 0 a ~ ~ N W ~ O r r LL ~ 4 Q. 111 Q J d N Y ~ ~(0 N ~ U ~„~„ a zft a Q ,y uS Q o ~ -__._.~ ~ ~ Z a O `~ ~ ° w ~ ~ t1- U O ~ 4 0 T O o ~ ~ ~ ~ > tC t„~--.._r.C9 ~ O U t~ *- w W a G ~ - N N .~ Q ~ '`~ '' N ~ ~ a`4. ~TARG~E'T CARLI'>LE: - 717-243-3887 05/05/2012 1.0:54 FU1 EXPIRES 08/03/12 GROCERY 055090544 MILKY WAY FN $0.79 2712DD424 PEf~SI DIET FT $2.50 1 Saved $1.28 ofi $3.78 HEALTH-BEAUTY-C()SNIET:L'CS 037110500 l1UL.LFROG MOS T $7.99 l STATIONERY-OFFICE 08101D426 COMP BUUK T $2.99 08105D783 EiXPAND f=ILE T $5.99 TOYS-SPORTING GOO[)S - 091110327 GUPPIES T $7.99 SUBTOTAL $28.25 T = PA TAX 6.ODD01> on $27.46 $1.65 TOTAL $29.90 CASH PAYMENT $40.00 CHANGE DUE $10.10 1 INDI.CA"I'E:`.i SAVINGS ~s TOTAL SAVIIJG".i THIS TRIP ~/ (~ 61..73 j~ ~- q 5 ~ Target Pharmacy Vde're here to help! gam - 'pm M-F Siam `i ~m Sat 1.leun •- €iprr Sun RECf12-2126-209':)-008ii-9653 0 VCDH751-281-142 ~, L~ / ~.., i 1 ~ u rl ~ l(~: ~ ,~?~~9~ .~ AMERICAN LUNG ASSOCIATION. 'vFYt2 Fightlng forlUr 0077 -~I m C X X ~~ D \m o-1 -max m o or-, o oa ~ r~r~ atx~x ~< ~ ~.o ~ in \ o N X w w XHD ~ [ J l D ° Z O ~ m ~f N w °'~XX-Ir - o i ° o = Off, O7 \ X ~ J Z T .Z7 O d .-i a a ca x x cn r+ J -Zi c, Aft ~ " rn (7 p ; sp s ° am N ~ w ~rj1D ~ ~ ~ rn c -~n~< oxmz -~ ~ ~' ' N .-i ~ ~ m o cn ~ no m -1~0~ ern r mccnc JT~ N~ m ~ o ~ - oN~ ~Cm O ~ -J O ~ AN f,J1 1 T -K O v Z O O N a C 7 { C ~ ~' N ~ .( ~ O Q j~ f 11® ~ W ~ _ ~ O C \ O -~ A O D H T Z O 03i O VJ -s C O fD m .-~ cn ° *' o o a a in o z o rn 4n vs ion ~ A N a .A O O o0 O O _ t0 tD fo~~',~ ~~~ ~.~~o.~yy~ Lo vu E~ __1NTPR~YIHG LIIYE'S HONE CENTERS, INC. 650 EAST HIGH STREET CARIISI.E. PA 17013 (117) 256-7700 - SALE - SALESY: 51710CA2 1538446 TRRNSB; 19539505 D9-O1-12 92432 40 UB TOD SOIL 4.50 3 B 1.50 SUBTOTAL: 4.50 TAX: 0.27 INVOICE' 19224 TOTAL: 4.77 CASH : 5.00 CHANGE: 0.23 STORE: 1710 TERMINAL: 19 09/01/12 16:15:21 o OF ITEMS PURCHASED: 3 EKCLUDES FEES SERVICES AND SPECIAL ORDER ITEMS THANK YOU FOR SHOPPING LOYE'S. SEE REVERSE SIDE FOR RETURN POLICY, STORE MANAGER: RICH TROSS UE NAVE THE LOYEST PRICES, fiUARANTEED! IF YOU FIND A LOVER PRICE, YE YILL BEAT IT fiY 108. SEE STORE FOA DETAILS. * YQUR OPINIONS COUNT! * ~ REGISTER TO YAI A 15.000 LOVE'S GffT CARD! * iRE6ISTRESE PARR GANAR UNA TARJETA DE REGRLO LOVE'S! * * * * REGISTER BY COMPLETING R GUEST SATISFACTION SURVEY * # YITHIN ONE YEEK AT: wMa.lO~es.con/suruer * * Y O U R I D Y 19224 1710 245 * * * * NO PURCHASE NECESSARY TO ENTER OR YIN. * * VOID YHERE PROHIBITED. MUST BE 16 OA OLDER TO ENTER. * * OFFICIAL RULES d YINNERS AT: uuW.lO~es.c0~fsuruer ****x**************a*********~********************:***** STORE: 1710 TERMINAL: 19 09/81112 18:45:21 'acme to Rutter's Farm Store 0014 699 North i1.S. Rt.15 Dillsbury Pennsylvania ~-. 71 r 432-';~44 5 ~ WINSTON GOLD 60X $27.55 20 .POSTAGE STAMPS 45 CENTS $9.00 Suh Total $36.55 `~,.`-:}~' Tax pp $1rr~~.65 Tota l ~3V . LO wDebiryt~: $38.20 CHAFE UUE $O.UU Debit. Card Num X};XXXXXXXXXX7158 Ter!Dinai : JDa255763300) Ruth#: "139936 Sequence :641720 WHY GO ANYWHEIIL ELSE REG#2 C5H# SpanDR# 1 TRAN# 2067666 6/2/2017 6:13:08 PM ST# 0014 (Custo~ler CoPyl :~ , ze ~' usa ;S $ i2 1. i1 -- ~9 l 1( L,- n ~~,C. <i0U~1TRY f_IVI'rlu TI-tA~F; YOU X115 M~t40i la,~i.'a.` FIRC~ 5EE11 T1 P~.Di E;IRD sEE~ 1;. $I.is( TA1 $3.~i TY,3 $O.iE TL '~ ~ _'2~ ~~ 5 ~~D ~ S rm Ex+cHa~u~E Car us?e 8ks Main Store 717-243-2463 09~'? !800 ~1~-4U,0900-1900 TNU, 0500-i800 FRI & SAT, 110C-1700 SUN FOOTWEAR L 7 8 TAUPE 4577 02265307782 RNO UP ~,'D & GRSS KL'_ - GNS i . `~ 07018358066 18.61 AS(1TV MAGIC MESH 740275008 MICHEL08 LIGHT 6PK 1202 01820000956 -•' - A~GE VERIFIED SMIRNF 9L' RY LMNDE 6PKGAR 08200 7,75 AGE VERIFIED BUDWEISER SELECT °EF.R 01820007985 ~- AGE VERIFIED B&J SANGRIA 4PK 1202 08500004486 4.90 AuE VERIFIED MILITARY SPEC VODKA 80PF 1L G~~5Z3212710 AI,E VERIFIED MLTRY SPED ST BOURBON 8.~? 1L 09674°':3120 r--~+~5-~ At~E VERIFIED T D T A L $88.95 DEE3IT CARD $88.95 ;~?%`;XXXXX,XXY,0615 ~~PI:RY: XX/X,X SWIPED BANK AUTFi# 561814 SEQA' 3592 ITEMS 9 G5;04;""2012 17:08 7521 02 OOG107 1273 r~ > ~(~~ ~~~,,~ ~. ~~ c ~ .a- ~ ~ 1 ;; ~,:~ ~~. -:r LouuE'~ N~~~~VIHG LOYE'S HONE CENTERS, INC. 050 EAST HIGH STREET CARLISLE, PA 17013 (717) 250-7100 - SALE - SAIESi: 51710LR1 1184881 TAANSi: 10369571 00-30-12 368310 DURAZONE 1.3 6Al RTU YEEO 19.77 SUBTOTAL: 19.77 raX: 1.1s INVOICE 10024 TOTAL: 20.96 CASH : 21.00 ' CNANOE: 0.04 STORE: 1710 TERMYNAL: 10 00/30/12 19:33:02 p OF ITEMS PURCHASED: 1 EXCLUDES FEES. SERVICES AND SPECIAL ORDER ITEMS THANK YOU FOA SHOPPING LOYE'S. 5EE REVERSE SIDE FOA RETURN POLICY. 5TORE MANAfiER; RICH TROSS YE HRVE THE COYEST PRICES. fiUAAANTEED! IF YOU FIND A LOYEA PRICE. YE YILL BEAT Ii BY 10;;. SEE STORE f0R DETAILS. **xx**x*xx**xxxxxxxx***~:*xx***xx*x**x***xx***xx*xxxxxxx * YOUR OPINIONS COUMT! * * REGISTER TO YIN R 55,000 LQYE'S GIFT CRRD! * * iREGISTRESE PARR GANAR UNA TAAJEIA DE REGRLO LOYE'S! * x x * REGISTER BY COMPLETING A SUEST SATISFACTION SURVEY * UITHIN ONE PEEK AT: uua.loues.cee/survey * Y O U R I D i 10024 1710 243 * * x * NO PURCHASE NECESSARY i0 ENTER OR MIN. * * VOID YHERE PROHIBITED. MUST BE 18 OR OLDER i0 ENTER. * x OFFICIAL RULES d NINNEAS AT: uvu.loues.con/survey * *xxxxxxxxxxxxxxxxxxxxxxx*xxxxxxxxxxxxx**xxx*xxxxxxxx*x*x STORE: 1710 TERMINAL; 10 06/30/12 19:33:02 /-: 'YYeffiS 7HRNKSi f i F: SIIU'PIPJ(~ WE °; PIIaRKfTS 11199 2' F (i BIIPI131_G E,F E HUI. L OW KURD MF(F;11Nff:~(iUFfC'. Fyl 1 T055 TEa. (PI-IUN _ : ~ 1 /. i'') .,- P397 1'OUP, C:RSF 1.1:11 "r.)ORl` !1R'~. .L;cub 2F!q.GS iIIRF;; .[fl I'C 9.38 T ':;C Jn.n q.69-T 4(!1,EFS [lFr r.1Kr Pc r 5(; 8 <;C iol:. ?. Lilers 0 Hl-f3 `.;C ':;I~.e .! L i f e r s 0.89-8 SC CtJhe 1 I_i(ers 0.89-H cr inl:.'_ ~. Lifer _, ir- g l IIIJ I;1 ZO I11 t PC ~ ,y I `.~L' `LJFI I1a~~0 HT S 0-20-i k ] lilg9h J SHF:U 3.79 F 2 F! 3.6` HFr F~(IF ~ rfls PC ~~-38 F `--C uRFIFT iiIW(iEF'S 3 69-F L (iUF:I1E ( MUFF l Fl C .I M q 49 1= s~lE:i: r :.o1tr, 2 99 F F;;CRII CRM1 (?R 1 qq F F I;A r :;H04~ hJRI ('C 9 q'3 I S? F I;Hr ;H HEALIiI O ~I9 i FF:IiiNI:H I.ORF 2 qq I ?_ (v C.'i`, li!i'' 12!E,.';+9 '~rl'!E 1 09 [(na(rr[s 1 18 r N l WI! is JOf.O TR('I! 3.79 F 3~o.1ts: S'C n 1 lk !I .~34 0.22-F SC ni Ik4 day i? 22 F :~C ^J Ik.l1. .034 '7 7<-I 4fIFNl; ~usTe[I q i9 r Tf1;{ '- 2.01 ***M E~FiI..hIJCE 63.46 #~3F M~'3F#M p 1'. f#~•r fit R'4 is #~~*#:~: ... #:f ~]lRMfc YiF if 1'>~ ~ ~ WEL", MRRUE:'f3 It 190 ' V ~~ 21!1(1 EUM[LEi IEi_ RORfI rIECFIRN'Irs f!URG. PR 1 0'.:5 ^~ ~1" DEBIT PnYr9iNr Mare isaving. • Mare doing:" CARLISLE PA 17013 STORE MANAGER MARC COCHRAN 717 249-1771 4149 00007 02043 12/13/12 06:48 PM CASHIER ROCHELLE - RCS11)0 042369735575 FLOORING <A> 35.55 12X12"PBS BLACK MARBLE-26320-45SF CA 088969065131 TM CARRARA <A> 12X12" P&S CARRARA MARBLE-46513-30SF 2v29.70 59.40 088969965134 CARRARA MBLE ~A> 12X12" PBS CARRARA MARBLE-46513- EA 40.99 3.96 SUBTOTAL 98.91 SALES TAX 5,94 TOTAL $104.85 XXXXXXXXXXXX715B DEBIT 104.85 AUTH CODE 762088 1~ II III~IIINNIII~NIIN~IINI~ININII~~I 4149 0 204 12 2 RETURN POLICY DEFINITIONS "" ~ 'C Fl1YS POLICY EXPIRES ON A 90 03/13/2013 THE HOME DEPO1 RESERVES THE RIGHT TO LIMIT i DENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN :IN STORES FOR DETAILS. BUY ONLINE PICK-UP IN STORE AVAILABLE NOW ON HOMEDEPOT.COM. CONVENIENT, EASY AND MOST ORDERS READY IN LESS THAN 2 E10URS1 xxxx*xrrxWx,errrrJrrr^xwtxxxx•ex~xxwx*xtcxxxxxx ENTER FOR A CHANCE TO WIN A 5 000 HOME DEPO U~IFT CARDf Share Your Opinion With Usi Complete the brief survey about your store visit and enter for a chance to win at: www.homedepot.coln/opinion COMPARTA SU OPINION EN UNA BREVE ENCUESTA PARR LA OPORI- UNIDAD DE GANAR• Ussr ID. 8524 4382 Passward• 12513 4375 Entries must be entered by 01/12/2013. Entrants must be 18 or older to enter. See complete rules on website. No purchase necessary. ~. _~ as O p O O p O O p O N ¢ p rn D b~ p .- ~ ~ 3 LI'1 ~ O N Q L O A M ~ z ~ OC Q O C M Y1 !Y O ,~ N b U T ¢ V S Q O i 3 0. N O .- Cn o O> t=h W ~ W ~ ¢ W - ~ ~ ,~j W W ,~ U' m C7 - ~ .. N to N N ~ , ,Z., v ~ ¢ ` . Z [Y N Y N W~ ~ Z L d LL l J c0 p E W G " ~ ~ m N W U p ~` Q V E O ~~ . 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MORTGAGE LIABILITIES and LIENS PPL Elec!-ic Utllitles 827 Hausman Road Allentown, PA 18104-9392 Tel. 800.342.5775 Fax 484.634.3484 www.pplelectric.com THADDEUSCLARK 110 OLD GAP RD CARLISLE PA 17013 May 24, 2012 ,~, ~ ~ ~ ~ i ^ p p ' ~••, 1~~~ ~~ ^ ^ ^• - ~~ rM Bill Account #: 83653-10478 ABP Plan Remove Date: 05/24/12 For: 110 OLD GAP RD Due Date: 06/11/12 CARLISLE PA Balance Due: $33.10 17013 Dear Thaddeus Clark: As you requested, we removed your account from our Automatic Bill Payment Plan on the date shown above. Your current bill WILL NOT be automatically withdrawn from your bank account. You can pay your bill either on-line by signing up at www.pplelectric.com or mail your payment to: PPL Electric Utilities Cash Processing Center - GENN 1 2 N. 9`~ Street Allentown, PA 18101 If you cannot pay the account balance by the due date, please call us at 1-800-342-5775 to make other arrangements. Sincerely, PPL Electric Utilities abprem l .doc_030765_1664143 p~ D~ C T T N T '~ ~' 1~ C)-'Z~ CD ~°DO iv A c AD ~p m o~ ~o Z ~ ~ rn` m0 m ~~ D~ - C ~~ n ~O 1 O G) w 'V ~~ O T ~y ~ ' ~ m W N /~ N t~ ~ ~ Q ~ ~d ~ / e~ < ~ `~ v m C D ~° ~ 2 n= ~~~ O Q ~ ~^ '~ w N n ~ ° ~ ~ m ~ D C 2 (n m _ ~yT z .~ O ? n ynOy ~ y 5 'O a:. ¢ a 1 4 ~ < ~ G C C W O ~ - .. 3 V 6 pp~n< ADN OCR ~ T- AA 7rfw Om ~~ m~ of $~ i "' om T ~1 r C Z A Gf m O~ T -1 D~ r m z A A -~ O a x N Z 0 0 0 0 V m ti j m ~ <m ~m iQ D m D r m D D=p .Z7 ~ QJ T r Z D ~o<n °o m~0 m Dm ~ Z m 0 m o O ~ 3 ~ o m G m O m ~; d~ aH ui me D n w Z < D ~ ~ ~~ f ~~,,~ CenturyLinkTh~ P.O. Box 1319 Charlotte, NC 28201-1 31 9 Account Name: MAJ THADDEUS CLARK Account Number: 313635996 Page: 1 of 3 Bill Date: May 25, 2012 Contact Numbers Pay Online www.centurylink.com/myaccount Pay by Phone 1-866-712-1996 Customer Service 1-800-788-3500 Customer Service Hours Mon-Fri 8 a.m.-7 p.m. Repair Service 1-800-788-3600 Visit us online www.centurylink.com Current Charges Summary Detail Page Late Fees o . 25 -- - Total Current Charges 0.25 Previous Balance Payments 8 Adjs Pas1t D ~ ~ ant Charges Amount Due Date DUe 34.25 I 14.24 CR I 20.01 I 0.25 I 20,'16 I Jun. 22, 2012 Just a frie order that your account is past due. If you have already made your payment, thank you for bringing your account up to date. The Due Date On This Bill Applies to Current Charges Only ~ 2 3 a 6 ""PLEASE FOLD, TEAR HERE AND RETURN THIS PORTION WITH YOUR PAYMENT"' PLEASE REMIT PAYMENT TO: F D 051112 I'I~~'~~~"I~~'~1~'III~~1~1111~1~11~~~1'Il"I~II111~"I~IIIII~'ll Account Number: 313635996 CenturyLink P.O. Box 1319 Charlotte, NC 28201-1319 Amount Due By Jun. 22, 2012 20.26 AT 01 178466 96352B699 A,'"3DGT MAJ THADDEUS CLARK 126 ORE BANK RD DILLSBURG, PA 17019-9388 ~I'~"I'11111'1.~I"IIII'II.~I'I"II'~'ll~'ll'll~lll~l'~"'lll~~~ FOR CHANGE OF ADDRESS OR PAYMENT AUTHORIZATION: Please check here and complete reverse. Thank You. ~ ~ t- 0000313635996100DOODOD2001600000DOOOD5251200000020264500000'~ -i`{lRk---- 1RAS"ti, I)1SPOS.4i. ~--~. 3730 Sandhurst Drive York, PA 17108 Account Number 3-0611-1409666 Invoice Date March 15, 2012 Invoice Number 0611-000912720 Previous Balance ;49.73 Paymerrts/Ad)ustmertffi -549.73 Unpaid Balance ;0.00 Current Invoke Charges 549.73 $49.73 Due By: 04/29N2 • e Customer Service (717) 845-1557 Customer Service (800) 210-9675 FOR YOUR CONVENIENCE TWO ALTERNATIVE METHODS TO PAY: W WW.DISPOSAL.COM 1]R PAY BY PHONE ~ 87792-9729 BOTH METHODS HAVE NO PROCESSING FEE. PAYMENTS POSTED ONLINE OR THRU THE PAY BY PHONE SYSTEM WILL APPEAR ON YOUR BANK/CREDR CARD STATEMENT AS: REPUBLIC SERVICES/ALLIED WASTE PHOENIX AZ ~4: To pay on-line or sign up far convenient auto pay, go to: t+vww.disposal.com FLORENCE CLARK Invoice Page 1 of 2 PaymentslAdj ustments Data Description Reference Amount 03/05 Payment -Thank You 7331 -;49.73 Current Invoice Charges Florence Clark 710 Old Gap Rd (Li) Carlisle, PA Contract: 9811020 (C2) 1 -Trash Cart (95196 Gallon) Scheduled Service (S1) Data Description Reference uantl Unk Price Amount 03/15 Residential Service 04/01/12-06/30/12 549.73 ;49.73 Currentlnvoice Charges ;49.73 Q(~~\C ~~ ~ ~ k / \ ~ ~ C~J~ J ~~~ ~ AA r~ ~ • Vlsk our wsbette, www.dbposel.com to make your payment elect-onica0y ~ or 1o sign up for our rAmonkM automatk: payment plan. ~~ Plsaae see revewa aide for terms and conditions ~;-~~~