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HomeMy WebLinkAbout11-25-13 (2) r ' �_1 REV-1500 Ex(02-11) 15D5610143 PA Department of Revenue OFFICIAL USE ONLY p Pennsylvania County code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE Po BOx.280601 INHERITANCE TAX RETURN 21 13 0421 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 01 22 2013 07 11 1924 Decedent's Last Name Suffix Decedent's First Name MI BENTZ ROBERT L (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW a1. Original Return ❑ 2. Supplemental Return 1:1 3. Remainder Return(Date of Death Prior to 12-13-82) ❑ 4. Limited Estate 4a•Future Interest Compromise d F . Federal Estate Tax Return Required (date of death after 12-12-82) 5 ❑ q g Decedent Died Testate ecedeot Maintt ned a Livin Trust 0 X (Attach Copy of Will) 7 Attach copy of�Crust) 9 8. Total Number of Safe Deposit Boxes ❑ 9. Litigation Proceeds Received ❑ 10 beivieeri P1-31 J1 andtt<Da;%�f Death ❑ 11.Election to tax under Sec.9113(A) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number BARRY BOHMUELLER ESQ 215 256 6440 REGI R OF WILLeVE OWYfM' First Line of Address � Grn) O 29 MAINLAND ROAD rnca cn �' r- Iv rri r"7 Second Line of Address 1> � CJ 1 City or Post Office gi3TEILEj State ZIP Code , HARLEYSVILLE PA 19438 1-" C, CD Correspondent's e-mail address: bbohmueller@hotmaill.Com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE 2f PERSON RES SIBL OR FILIN RETURN DATE Thomas E. Bentz / ADDRE S 228 Gree Hill Road Newvofe, A 172 41 SIGNATUR O REPAIRER `r R THAN REPRESENTATIVE DAT Matthew R. Kessler Esq. �/ �D ADDR SS 1008 denjamin Franklin Highway-West, Douglassville, PA 19518 Side 1 L 1505610143 1505610143 PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF FILE NUMBER Bentz, Robert L. 21-13-0421 Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. Signature#2 Name Ruth Ann Gensler Address1 485 Galway Drive Address2 City, State,Zip Bethel Park,P�A1 15/102 Date Signature#3 Name Ronald R.Bentz Address'! 371 Army Heritage Road Address2 City, State,Zip Carlisle,PA 17013 Date 1l"�✓-l� i 1505610243 REV-1500 EX Decedent's Social Security Number Decedent's Name: Bentz, Robert L. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 101,518 . 40 6, Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous Nnn Probate Property (Schedule G) LJ Separate Billing Requested............ 7. 266,303 . 93 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 367,822 . 33 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 31,356. 00 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 2 , 707 . 05 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 34 ,063. 05 12. Net Value of Estate(Line 8 minus Line 11)......................................................... 12. 333, 759.28 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 333,759.28 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.00 15. 0 . 00 16. Amount of Line 14 taxable 333,759. 28 at lineal rate X .045 16. 15,019. 17 17. Amount of Line 14 taxable at sibling rate X.12 0 . 00 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 0 . 00 18. 0 . 00 19. TAX DUE................................................................................................................ 19. 15,019. 17 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 1 Side 2 L 1505610243 1505610243 J REV-1500 EX Page 3 File Number 21-13-0421 Decedent's Complete Address: DECEDENT'S NAME Bentz,Robert L. STREET ADDRESS 619 N.Hanover Street CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due{Page 2,Line 19) 15,019.17 2, Credits/Payments A. Prior Payments 15,500.00 B. Discount 750.96 Total Credits(A +3) (2) 16,250.96 3. Interest (3) 4. If Line 2 is greater than Line I +Line 3,enter the difference. This is the OVERPAYMENT. (4) 1,231.79 Check box on Page 2,Line 20 to request a refund 5, If Line I+Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) Make Check Pa able 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:................. ......................___......... ❑ Fx� b. retain the right to designate who shall use the property transferred or its income;................. ...... c. retain a reversionary interest;or............................-............I..........-....................................................... ❑H �X 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?................................................................................................................... ❑ I—XI 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?........_........... ............ ......____.........__.............._..._....... ❑ ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 111111231111111111 i For dates of death on or after July 1,1994 and before Jan.1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)). For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: •The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent,or a stepparent of the child is 0 percent 172 P.S.§9116(a)(1.2)], •The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in [72 P.S.§9116(a)(1)]. •The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. Rev-1508EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Bentz, Robert L. 21-13-0421 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH I Cash-Found in Home-(See attached deposit slips from Metro Bank) 729.11 2 Citizens Bank-Checking Acct#:6238228400-(See attached Citizens Bank date of death 70,190.87 valuation report) 3 Fidelity&Life Guarantee-2013 RMD Payment-(See attached check stub) 5,840.50 4 1998 Carry On Trailer-VIN#: 4YMUK0818WH000540-Sold to John E.Stewart-See attached 400.00 registration and transferred title reflecting sales price. 6 2009 Subaru Forester-VIN#:JF2SH64689H726644-Sold to Cumberland Valley Motors-See 17,000.00 attached registration card and check from Cumberland Valley Motors 6 Coins-Sold to Paul Bauder-(See attached check and receipt) 265.80 7 Gun Re-load Items-Sold to Coles on 3119113 (See attached Purchase Order) 300.00 8 Miscellaneous Guns-Sold to Coles on 2/11113-(See attached Invoice) 3,000.00 9 Miscellaneous Guns-sold to Coles on 2112113-(See attached Invoice) 380.00 10 Personal property contained in real estate-sold in bulk to Dave Shank-(See attached 1,600.00 receipt signed by Mr.Shank and deposit slip) 11 Recycled items-Sold to Cumberland Recycling Inc on 4116113-(See attached receipt) 14.76 12 Sheet aluminum and copper-Sold to Cumberland Recycling,Inc.-(See attached receipts) 139.96 13 Television-Sold to Ruth Gensler-(See attached deposit slip) 400.00 14 Borough of Carlisle-Sewer Refund due to prior double billing 72.90 Total of Continuation Schedule See attached page TOTAL(Also enter on Line 5,Recapitulation) 101,518.40 (if more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10) Rev-1508 EX+(11.10) SCHEDULE E pennsylvania DEPARTMENT OF REVENUE CASH, BANK DEPOSITS, & MISC. RESIDENT EDEN TURN PERSONAL PROPERTY RESIDENT DECEDENT continued ESTATE OF Bentz, Robert L. FILE NUMBER 21-13-0421 ITEM NUMBER DESCRIPTION 7.13 TE 15 Carlisle Regional Medical Center-Refund of Overpayment-(See attached 8.87 3/21/13 16 Carlisle Regional Medical Center-Refund of Overpayment-(See attached 3/21/13)17 Comcast-Refund .84 18 Erie Insurance-Auto Insurance Premium Refund 277.00 19 Erie Insurance-Refund 68.00 20 Liberty Land Transfer,Inc.-Sewer Escrow Refund relating to sale of real estate 66.57 21 The Patriot-News-Subscription Refund 163.75 22 The Sentinel-Subscription Refund 58.29 23 UGI-Refund 23.88 24 Verizon Wireless-Refund 2.17 25 Verizon Wireless-Refund 41.01 TOTAL(Also enter on Line 5,Recapitulation) 101,518.40 i Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10) O C" co c j o C O— _"' 1 i i c ay i a p i ° w c .r cc M N 1 1 O � I � I o �slornoo !¢ 3 c oo Nrno ►- i o l o 0 0 0 0 . Cl) ; i 64 64 H4 b4 64 , b4 METRO 888.937:0004 BANKmyme-trobank.com Deposits may not be available for immediate withdrawal.For deposits made before 6:00 PM,that business day will be considered the day of your deposit. Funds from your cash and check deposits will be available to you on the first business day after the day we receive your deposit. i 99 10:55 3!1!2013 1108 TIrCurrExchange $ 54.84 CARLISLE STORE111 S-16 3MM 1/121NT � L1 i Metro Bank Metro Bank Carlisle Carlisle 65 Ashlana Avenue 65 Ashland Avenue CARLISLE PA 1.7013 CARLISLE PA 17013 2/28/2013 6:21:08 PM ti, 2/28/2013 6:31:35 PM Refere:ife 4: 20167029024 Reference #: 20168029603 Coin Count Total Coin Count Total $0.01 1614 $16.14 $0.01 653 $6.53 ' $0,01 66 $3.30 $0.05 111 $5.55 $0.10 33 $3.30 $0.10 81 $8.70 $0.25 1014 $253.50 $0.25 759 $189.75 $0.50 4 $2.00 $0.50 93 $46.50 $1.00 12 $12.00 $1.00 39 $39.00 TOTAL: 2743 $290.24 TOTAL: 1742 $296.03 j yfj �Ax, 4 BANKnnYmet c)bank.com Deposits may not be available for immediate withdrawal.For deposits made before 6:00 PM,that business day will be considered the day of `—-- Funds from your cash and check deposits will be available to you on the first business day after the day we receive your deposit. your deposit. 7 18:45 3/1/2013 1112 TlrCurrExchange $586.27 CARLISLE STORE191 S-16 3MM 11/12 INT f7 6J r, ' MAY. 3. 2013 12:05PM ACCOUNT SERVICES NO. 101 P. 3 Citizens Bank Account Number 6238228400 Account Title Robert L Bentz Date Opened 1/17/2013 Account Type Obeckin Principal Balance as of DOD $70190.87 Interest from Last Posting to DOD $.23 Account Balance as of DOD $70191.10 YTD Interest to DOD $ .00 `ls r,IV Fidelity.& � Guaranty p.0.Box 81497 1_incoln,NE 68501-1497 NO: 5526005 KW4 DATE ACCT. NO. DESCRIPTION DR. CR. 01/28/2013 513151 2013 RMD PAYMENT L9205572 5, 840. 50 01/2,8/2013 000000 ESTATE OF ROBERT BENTZ 0 . 00 i { COMMONWEALTH OF PENNSYLVANIA REGISTRATION C1EpEN((gL ,EXPIRY: FEB 28,2.013 VALID PLATE XS99962 REG CRQSS-'NT 02000 VITLEe. 51843113201 BE VIN 4YMUK0818kH000540 UNLApEN 11EYGwC 04330 _ YR/MAKE: '1498 CAORY flN __.._�_..,..�..� ._ TYPE 7RL I hereby acknowledge this day that I have received __.. NID 12fl17 1b93 040311 00'3 f t P morons of Section 3709 of the a Vehicle o roy . 029207 S' ■, ROBERT L BENTZ 619 N HANOWR ST CARLISLE PA.:, ti , 17013 J 5 - r r i all f LIE t d CER �: IC ' E OFTr'TL FC)R A VEHICLE . b63 E 113 5b IIC#63>Li6114 21 4Y4:UK#1$ 8ldHDC# 1 �r 399$ �ARR4� �F3Q + . E z� ff. {) ER 'T 71FlCA-1,F s.,a .: YEAFi� ( ��• ,�... t - TRI; t , �� 1� -r --_ Cdr .E4T .�• PRIOR 71Tt£STATE. ) ObpM;PRO •DATE MILES -ODOM STATUS Et i-�.^ I' -gib-- ._ :` x _•_:c: ••,,.'� .-. �..rtuEI1 HT:I �GC�W� -.GCWR TITLE BRANDS ODOMETER STATUS k'n I D=ACTUAL MILEAGE 'MILEAGEEfGEEDSTt•E htECHA!•HCN. •,:^ UMITS - .. 2 JtYT THE ACTUALIJI EAGE NOT:THE ACTUAL M1IEAOE ODCl;7ER i� TAMPERING V`'rIFlED .: .: �'-:L�14.. d=17Er.:P'FFROMODOrht�'ER DISCLOSURE 0D.0{fE'tEft D:ISCLQSURE E rs 1D s xlt�,y�� !`+ �? : TITLE BRANDS is REGISTERED OiVIQER($I x A°ANTIQUE VEHICLE -Yi.,.e r T ! t>Dr Ar Err F =OUT COUNTRY Cl£CLASSIC VEHICLE ROBERT L BENTZ f �t _ 619 N HANd ER ST.-- D18�9V ONFGO fLRtKk111S 'CR�RLI rL'E Pay:.`1701.3 r r -F H°AGRIDDLTUpAL.YEN.I«:E r err �"I L �t:OIIGING:vEHICBE 01 P z ISINAS A POLICE VEHICLE '.' •. R.RECONSTRUCTED S=STREET ROD - -m .. T=RECOVERED THEFT VEHICLE V.VEHICLE CONTAINS REISSUED VIN W=FLOOD VEHICLE ° s• X=.M,'WAS A TAXI' - FIRST LIEN FAVOR OF. - - - SECONDiLiEN t•AVOR n It.a second G_nmtder::is.tisted upon satisfaction of the fast fien• the first . .. , UenhoWer.must fdrvrard��this Title:to.the Bureau of Moto Vehicles with the FIRST.LIEN RELEASE[) appropnate`folm and tee r- DATE gY SECOND LIEN RELEASED ' - ,A.T RIZED REPRESENTATIVE '. .'. DATE MAILING ADDRESS .' ... - ® Q29.2Y7 ev .AUTHORIZED REPRESENTATIVE ";• ROBERT L BENTZ Y 619 N HANOVER ST I, CARLISLE PA 17013 , - a Pennsylvania r DEPARTMENT OF TRANSPORTATION I, o BARRY J . SCHOCH, P. E• o I witty es of the dale of Issue,fire ofitlal records of the Pennsylvania Department a of Transporter on reflect that the porson(s)or wmDany named henHn is the IavdW owner . of me soot vehkle Secretary of Transportation •1f.. nu sum car �swDRV °L•v ''-if a d0�purcltasei other than your spouse is listed and you want the title to =�_ i r TO g_Oy 'l>e hstetl as Joint Tenants Wdh Right of Survivorship'(On death of one - t owner.:NO goes tp'sUrvivir.4 owner):.CHECK HERE a otherwise,the. w111'heissued as ellaflt8 m.Commort'(On:Cidto of one Owner,interest.of fix• deDeased owner goes to his/her hails Or estate). •._ Nr vEPe^•:c3•r�a^T e:G oATe! IF No LIEN CHECKO IS THIS AN FLT?OF YES..RN REQUIRED) YES❑ N00 , ` a 'U YST UENHOLDER FINANCIAL INSTITUTION NUMBER: ����n� tsT Li�NttDl��t raiJE i_ c3 STREETr G Y cm' .' STATE ZIP �i1 1F NO 2ND LIEN CHECK Q IS THIS AN ELT?(IF YES,FIN.REQUIRED)YES❑NO❑ '.i 'Rt :.r-:s•s<�a, ro- .nalcffi'apFtxe:t^.r::, v'e:J,A'ate.d Ttle b Uq Wliela:cf—b[d.. .._:. • .� I!:•.E�_�'•:;:cocas me eTn!a^a.t:i:na.f�t loilh here. .. . 2ND I:1f tHOLOER FINANCIAL'ItJSTtTUTtON NUMBER: 2Nb LIFJ•1FIOLOER'NAME 'V S.3 VLTURE OF APPL!-.A%'.OR AVngPo2ED SIGNFA C_.S7 S C=D' '..: CfiY.. STATE ZIP -fnTLE OF AUTHDRQLD SIGNER DF C6APPL .. a:Ys2:. I (TYPE OR PRI"Cerfificate of Title must be submitted within 20=days,unless the purchaser is a registered dealer holding the vehicle for resale. > WARNING FEDERAL AND STATE LAWS REOUIRE THAT YOU STATE THE MILEAGE IN CONNECTION WITH THE TRANSFER OF OWNERSHIP:FAILURE CD TO COMPLETE OR PROVIDING A FALSE STATEMENT MAY RESULT IN FINES OR IMPRISONMENT. ".,I aeda6a�tase anm maY+ne tans MV2TA w MVFlm LAST FIRST MIDDLE NAME A. ASSIGNMENT OF TITLE•�rcme�acy�.ita �aTa �«tic o _ S,,dI D m me ml d UM f—m be a. PURCHASER OR FULL p '`� , V4Ys cerlflY,to the best of rtrytourr krtowtedga fhaf the odoReter teadirM is 4 BUSINESS NAME x� V- m TENTHS o CW'URCKASM s X mLS aw refects,Ire actual mGoage of ft votme. STREET .\� ( . I unMcs one of the fMlawimf taxes is diackad: i ADDRESS �J ! �"{ JL.ilrmtu eir..,nuxttN nfvniMxn!i^ t''�t tr.N4T the.rnYn:tt tnilc.tlp, CITY u I.._I in excess of tts medtaTgcal lilMts .t;,J wARNING:pdaiwler discny `.'.: .• I c: i IANe turd er ce t!y iTw?t the iM e W free i.A any enmimbranca and that the ermersiNP 19 hereby Pt7RG iASE PRICE transtenad to iho persrni(aT m'ihe dealer bsleff. STATE f ZtP OR DIN V ao N SUBSCRIBED AND SWORN m T EF ME: DnY t ? rF '> �,( C ._` TuRE — CD N CO-PURCHASER SIGNATURE:. CD .. HASER fQ connnnarwiAt: FPrn�NsYCVANia. RMER73TEX' —' -✓-� y to rsOTaR�u.sEaz - ,ELUER C- ALMA YVETTE Gcx±#?.AUEZ,NOWY Pub .: ' .=- 9 a S.M/��a,W��x1,.e�,,.�.t„o,,,,n,,�LLT,,�w,,.�p.;CumbefIwW ply CD wurrW nr EXPiMS MarCh 18,�}j7 - sl TAM F MSELIF w CQ SEtS.ER AND/OR 'ti.t..`'1- ? 0 HANDPRINT NAAME HERE rT B. Mo cerdty,to the best of mylaur W-Metlge that ete odometer readafg is »LAST FIRST IAODLE NAME tD . .. -.TENTHS ' e. b :}{ml7e'a and reflects the aclwaN ralleage of the value)-, PORci A.SER'OR Fill uraess one ul the folWwing III Is'daaci(ed: .. ) .CO?UliG1ASER - G EljI''�� Renacts the amoul7t of mileage Is NOT Ole acfaal mileage,' < in excess of is mef9ank ai bmits ❑ WARNING:Odometer dtscadpandy 'STREET VWe lurthar certdy that the vehicle Is tree of arty enaxnnbiance and that the owrtersNp is hereby ADDRESS pi transferzed to Ana pessmitsT orthedeater Toted. - CITY � SUBSCRIBED AND SWORN D' TO BEFORE ME::: <:'.. PURCHASE PRICE., 10 MO. DAY YEAR 'STATE ZIP — : sv StGNATtiRE OF PERSON AOMtMSTBW4 OATH PURCHASER SIGNATURE :,_�,.• � Q .. iD LU ? C,3 tX1P AE n .PURCHASER AND/OR.: tlAtit�MRRGI EN,MAEMHgBg - QSI TURE OF Sl R n E-- +- - SELLER MUST Ct3 1 "HANOPRMMME'HEIII m rn J12IWENT OF:TITLE BY REGISTERED DEALER Q I/We certify,to the nest.A my/our knowledge emt the odornater wading W LAST FIRST MIDDLE NAME ID X miles and reflects fire actual manage of the vehicle, PURCHASER OR FULL to WS94ESS NAME until can of fm follovAng bonds is disked: 7 ❑.Reflects the damun(of mileage .( 1 Is NOT the actual"Illeage CO-PURCHASER tZ in excess of NL9 medtaoiticat tkra"is {.•.� WARNNING:OdortWtor discrepancy STREET y� Wle hlrther oedify that Mevehicte is free of any enctorbrarice and that the ownership 3 hereby ADDRESS m trartsferted to the person(s)or.Ttie,deafer listed. On -- --"---'��__ — CRY ^o SUBSCRIBED AND SWORN - — TO BEFORE ME. ' STATE ZIP PURCHASE PRICE p MO. DAY YEAti OR DIN. SlGPtATtTFlE OF PERSON ADNftP7� rn . E RE i1 _..ft SEAS RRMlOUR. Q AM — � a 4 O Q - °- .. EIGHA-- OF A MUST . q SNANt)FRINT'NAME HERE ixT • r a a C tb uWe cetify,to me best of mylour knowledge Nutt TfW odometer reatgng Is LAST FIRST MIDDLE NAME - � TENTHS — _.......__.._—.a.__._:...._ X codes and reflects are actual mileage of the vehicle, PURCHASER OR FULL :. C Rt15—INFSS NAME utaess one M the tokowing boxes Is cher9red: CO-PURCHASER O tt 11 Reflects the arnoum of mileage ff "�1 Is NOT the actual"Ifleage � L .1 in excess of its mechanical M. L_J WARNING:Otlomnfer d xaepancy STREET O ime funtasr certify fret iha vetdde is free of any srlcumbrancia and Mat the ormerstlip ti hereby ADDRESS S� Imnsfarted to lire ftersorr(s)m the<Waler Nsled. . CITY � SUBSCRIBED AND SWORN TO BEFORE ME: y,TA �, PURCHASE PRICE 0 DAY •YEA i .ORDIN . SIGNATURE OF PERSON AOMMI TERING OATH � PU� SGNATURE . LU rn PURCHASER AND/OR R S NA RE it _ rXI�PURt:#iASER MUST - zv 0 HAN IN . o 0- :- " is .. ... .. .. .. `r <2 SIGNATURE OF SELLER. r2 I 4 _ I G �, CHECK HERE tF APPLICATION FOR DEALER Tfii ,A1VD COIIAPLETE SECTION D TITLING FEES.$. U) - HANOPRINTNAME HERE COfA,A--'NWWEALTH qF FENNSYLVAhfG.F �_,gA71(5f�Cf,E6ENTIAL ':' _ .`- ...._-.___........._.__....__ i EXPIRY NOV 30, 2012 VALID 10/28/11 PLATE:.MR65483 TITLE.-. 66169371001 BE C.:, 7 _:'AV1 ' V.ZN JF2SH6:46&0 7. .344 t----——.. _ ._.. ._...— ---- -- _ YR%HAKE: 2009 SUBARU I hereby acknowledge this day that 1 have received TYPE -.SN '. noti.e of the provisions of Section 3 705 of the Vehicle NID 11266 0027 003?24-002 Code. EMISSIONS INSPECTION REQUIRE)/DIESEL VEHICLES EXEMPT COUNTV: CUMBERLAND ■ r• r rr■ u � r r � ■ 029207 ROBERT L BE14TZ 619 N HANOVI:R ST � . CARLISLE PA,: i �,�ti tir • 17013 � rl � 1• t r �� J. rr 55 L � .......... ._..... __ rt 10. ru r � o .• w. o \ h ' O .� °.. tj En ru ru i ul � Ln '� i Rn «i „' Lo pzi a {:_; PAUL M.BOUDER 3 3266 PH.717-243-9096 2264 RITNER HM- CARLISLE,PA 17015 DATE _ PAY TO THE � ' �►�r"� ORDER OF p ti ti DOLLARS 8 � Al Shield" INMEMmk 3 Spina Garden Off- 4 MEMO 1:03L3029SS': 983372 85911' 3266 BOUDER'S ANTIQUES & COLLECTIBLES Buying Coins,Currency,Jewelry-Gold&Silver Old Toys,Marbles,Dolls,Toy Trains Sports Cards&Memorabilia Most Antiques and Collectibles Free Appraisals • Auction Service By Appointment Only Paul"Mike"Bouder 2264 Ritner Hwy (717) 2431-9096 Carlisle,PA 17015 Cell (717) 422-8995 Date_ 1_ 304 ITO Cl* nceou►rc zi c l� lt ' Ap 4 - f r i 1J( 'Sinus account utated to dale,if error is`ound z3.urn ai once. k PURCHASE ORDER : r. TO DATE ADDRESS ` DATE-,REQUtRtD CITY,STATE,ZIP TERMS SHIP TO Haw SHIPPED ADDRESS ! REQ.NO.OR DEPT CITY,STATE,ZIP { FOR QUANTITY DESCRIPTION PRICE UNIT 1 2 h i 3 4 i 10 F4f 12 IMPORTANT PURCHASE ORDER NUMBER MUST APPEAR PLEASE SEND COPIES OF YOUR ON ALL INVOICES-PACKAGES, ETC. INVOICE WITH ORIGINAL SILL OF LADING. PLEASE NOTIFY US IMMEDIATELY IF YOU ARE PURCHASING AGENT UNABLE TO COMPLETE ORDER BY DATE SPECIFIED. ;$d�►►s 5831 ,, OFFICE COPY 1 - INVOICE ... �. SOLD TO SHIPTO ADDRESS ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP CUSTOMER ORDER NO SOLD TEtMS#; F.O.B. DATE ORDERED SHIPPED DESCRIPTION ^ PRICE UNIT AMOUNT , { °. : r,l,�.�....}�:-...--t„W.�. t t'/.,,Y t E .✓.'. t w .. P"'^ X/'"2"�'�«.: ,x`s-j„. y _. ;"` � 3 5840 __. ... SOLD TO { .____�.w...................._.� _____... _._. ____- ...-- Y SHIP TO i ADDRESS { ' `"'� --•.;:. -_.. � -. . � ADDRESS CITY,STATE,ZIPI STATE,ZIP CUSTOMER ORDER NO. SOLD BY TERMS,x i O.B.F. DATE �.. ORDERED SHIPPED DESCRIPTION PRICE UNIT AMOUNT b 584{3 ' EXPLANATION AMOUNT COLE'S BICYCLES INC. 8 4 19 327 N.HANOVER S E& CARLISLE,PA 17013 (M 7)249-3833 60-8762-2313 PAY r AMOUNT OF DOLLARSI CHECK ~ OATS 70 THE ORDER OF CHECK AMOUNT NUMBER .. REFERENCE t CORNERSTONE t - Ptz,mtttn-cros,o,ravo,s ,.� G I�"M°, 1190B41,911, 1: 2 3 1 38 76 281: 06 21081 5O-4ii� INVOICE SOLD TO ....--, SHIP TO r, ADDRESS_ A3RRE CITY,STATE,ZIP CITY,STATE,ZIP r.. , CUSTOMER ORDER NO. SOLD.BY„w. ..., TERMS F.O.S. DATE ORDERED SNIPPED DFQ- I,"'AON PRICE UNIT AMOUNT : f t Y • -KPLANAI IUN AMuuml COLE'S BICYCLES INC. 8429 327 N.HANOVER STRE& CARLISLE,PA 17013 (n 7)249-3833 1 60-8762-2323 PAY i 1� AMOUR, OF !!! "'OUDOLLARSt CHECK DATE TpTiiEpRDEROF CHECK AMOUNT NUMBER REFERENCE r... . CORN ISTONE 11.084 2911' 1s 23138?G 281: 06 2 108 150411, ? i s Ms.Catherine '2.Bentz *4e was -roe. -/OA! � l t r• F Customer Receipt Please be sure to enter this transaction in your records. Transaction Date Amount Description Account Number 0 1 f / � 1n�; . rF� 0 CUri (uXX kX421 0 a sr;00.00 Funds from your deposit may not be available for immediate withdrawal.All transactions are subject to 22089-BUNKER 8W 1 WPK verification as outlined in the rules and regulations of the Bank, Member FDIC Custot-ner copy#0 - PAID 1W W . CUMBERLAND RECYCLINC, INC. w 121 STt:VER E`RI E.CARUSL:E PA 1 r 015'017- -3-8-7881 �� Printed on Ttc sett Tuesday by Debra i Teresa Grass Tare Net Prke Amount #1 PREPARED-5'&UNDER 345 10M 123 Totai-->$14,76 OS14el PaY by CaSh: $ 4.76 cash LLiSZQ,'h`2Y Name,- iT',r r+2GE2?5'c PA PcL�L�'�"LFf S Ownership:€hereby state that i am the €aixfa:€ owner of the Material dtscrbed€reran,that f have a right to seg san3e and that for payfneret. received in fnf€,hereby,acknortttedgedi t set!and canveY fide Of sable i1D'CUFAREt2LsND RECYCLING INC. x f�rc.}c:�iti3 5�ftv<t,e=lSc�r.�Rrrltw Customer copy#D - PAID CUMBERLAND RECYCLING INC. 111 STU'VER-DRIVE C••SRUSLE PA 170-157 V 0677 Printed on rc€cet#: . Tuesday U09►2i13 02,20,03PPR by €ebra! Teresa Grass Tare Net Pr}ce Amount SHEET ALtlEi,9. c 1067 4 $0.40 Ib 51.60 #2 COPPER 10677 4 Sa8SI;} $11.40 #1 COPPER 14 10677 9 :x3.00 to $27.30 PaY by"CaSh: $40.0€1 Tom Bentz. custmer Name In Li+erize _e PA Ownership:I hereby state that i ant the fa�xfu;j owner of the material descrit ed tteron,titai I ttay.e a right to se#same a-nd that for payment recd in fu#i,hereby acknowedgeri,1 and COOVOY title of same to CUMBERLAND RECYCLING INC. . aicjrsa=��e: F'iac�arprissi. /// 3 Customer copy##a - PAID CUMBERLAND -RECYCLING, INC. P P 121 STOVER CRI E GARLISLE PA 17015.717- 2 3-0781 068 Printed an T•ic Eat#: Tuesday by Debra# Teresa Grass Tare Net Price Atnaupt YELLOW BRASS SHELLS 3a 1oya1 34 $1.55!) S^2.7 YELLOW BRASS 33 10A61 27 51.75 Pv $47.2:5 Pity by Cash; $99.95 Tom Bentz oust aar Name I12, License Pr's Address Ownership.t hereby state that I am the lawf *f owner of the material described heron,that i have a right to sell same and that for payment welved In tuff,hereby acknomedged,I.sea and convey title of same to CUMBERLAND RECYCLING WC. aiejnasa s fingerprint. ft.w '1; Snfhvr1M,t?�v4 Ftlp�i;. Customer Receipt Please be sure to enter this transaction in your records. Transaction Date Amount Description Account Number L/ sjl �" frr,# x+ 11 1 t 7 �las��tr{�j f� •'�'�[� L+fi=t= ft�y}�tttfiai,? �4Tt!1c €ti ANC a+ rr���r[:{ n E,'r �f{�t•��5 Y: [' �{�,r {jt r 1{/l..+t�fuC ? �.i IYiE Funds from your deposit may not be available for immediate withdrawal.All transactions are subject to 22089-BUNKER 8/06 1M/PK verification as outlined in the rules and regulations of the Bank. Member FDIC Carlisle Carlisle TUESDAY, SEPTEMBER 24, 2013 MONDAY, SEPTEMBER 16, 2013 09:55 10:35 Please save this receipt until you have Please save this receipt until you have verified your account statement. verified your account statement. Deposit Deposit Account Number: XXXXXXXXX)0O(4860 Account Number: XXXXXXXXX)XX486O Amount; $96.78 Amount; $33.84 d ~Ca��rs�� ,��9� �DmcgS•T dlQ Teller Number: !020260 Teller Number; 1042630 Bank: 060 Bank: 060 Branch; 289 Branch: 289 Transaction 4; 3289044787 Transaction #; 3289024426 •i;it , .,:.n:, .•r1 ^n+L^nti�,i, igRGIJK1111n1J (i(17.7n CI 4,7 (1AQ � �i^`,4'x.� ''4.N'F"s€v�'-.'�.�"...u 'A4._..<�Ly.'ed'Yl;'"- 4tl�ic1S•�6��E��S:�i�,aswC'-1.3a„-n::.2.►'+CS'��'�'1'�iL�7'i'�°"Ytrl'aT,.rstxeaw.-ssacmtx.sn.R wr'�,z'S .�. l""'•. i�Il rt/�si� �llCtl ' VOID.AFTER 90 DAYS.. CARLISLE REG MED CTR ;�.:z atfs 361 ALEXANDER SPRING: ROA NEI.LS PARGO HAtfIC NA. NAPLES,.FL . �. CARLISLE, .PA 17.015 O'15I891 n 64-975/61 tA PAY TWO HUNDRED EIGHTEEN&87/1 00 ;a DATE� . , . ` AMOUNT 03/21/20.13 k * * *278.87 TO BENTZ, ROBERT L 'ai ORDER 619 N HANOVER ST OF CARLISLE, PA 17013— 0 (? ll'0 i5 i89 iil• 1:061 209756l: 2079900585476ii• t f� .aith Maziag r �r�i VOID;AFTER 90 DAYS . !t CARLISLE REG.:MED.:,CTR { 361 ALEXANDER..SPRING::ROA NsLrs 8AEG0 sApc Ma MAPLES PL CARLISLE a -PA 17015 0151921 s 4=05/612, PAY TWO HUNDRED THIRTY ONE& 13 1100 DATE ,:.: ;., AMOUNT a i . 03/21/20-13 $* #* **231.13 y} TO BENTZ, ROBERT L i f THE 940 WALNUT BOTTOM RD OF CARLISLE, PA 17015— 0 112015 19 2 &us 1:061 2097561: 20799005854?6ii" f os or _> >:� 1700 0151891 INV.OIGE QATE. INV.OI'CE.NUMBER F31'SGRIP710N. ATVlO�it!"�'I?0.iD 11/28/2012 9540231 OVERPAID 218.87 CARLISLE REG MED CTR HEALTH MANAGEMENT ASSOCIATES, INC. 1700 0151921 1NVOI0QA7E INUIiCE IVUR71# R D150iilR.T.D1J`::::;:::>:.,,. :?::>?;Ct)ililNl h1 QhSC tt1�fT .' A1�Rf3i :'p�ftZ 01/14/2013 1309764 OVERPAID 231.73 y COMCAST 1555 SUZY STREET AT°TN: LEBANON SUPPORT SERVICES LEBANON, PA 17446 Ccomcast ROBERT BENTZ 21367 0696-60-11-3DG 619 SANOVER ST x CARLISLE, PA 11013-1934 ill�lll�{1{{Ihhlu..{{:J�11{Ig11{IIl III Igo III]{"Illlll!'��Il� PAYMENT SUARIMY CHECK NO 0011619741 ACCOUNT NO: 09547-36303201 CHECK DATE: 09/06/13 Dear ROBERT BBNTZ, The attached check represents a refund for account number 09547-36303201 in the amount of $33.84. If you are a Comcast XFINITY customer and have questions regarding your refund check, you can write us at the address above, call Comcast's toll free customer service number at 1-888-CONCAST (1-888-266-2278), or chat with us at www.co=ast.com/chat. our representatives are available to assist you 24 hours a day, 7 days a week. if Tou are a Comcast Spotlight client or agency, please contact your local Spotlight office. DETACH AND RETAIN THSSTATEMENT THEATTACH✓EO CHECK IS IN PAYMBJT OF ITEMS DESCRIBED ABOVE. IF NOT CORRECT,PLEASE NOTIFY US PROMPTLY.NO RECEIPT DESIRED . fltM.d.Nwrl comcast, Account Number 09547 363032-01-6 Billing Date 08/21113 Total Amount Due -$33.84 Payment Due by No Payment Due Page 1 of 2 Contact us: Na www.comcast.com 1-888-931.1379 ROBERT BENTZ Previous Balance 49.95 For service at: 619 N HANOVER ST Payment-08102/13-thank you -49.95 CARLISLE PA 17013-1934 New Charges-see below -33.84 Total Amount Due $33.84 News from COmcast .Payment=Due by No Payment Due You have a credit balance of-33.84. Make no payment! Our records indicate that you have a credit balance. All Partial Month Charges&Credits -33.84 credit balances of$1.00 or more will automatically be Changes were made to your account.this month. refunded to you. If your credit balance is less then$1.00 See tthhe following pages for Morse details. and you would like us to send you a refund, please Total New Charges ,$33.84 0 contact our office by mail or phone with your forwarding address. However, if you are still a customer,this ;.. 4 •.. balance will be transferred to your new account. 7 P UMN> x Hearing/Speech Impaired Call 711 a Detach and enclose this with our coupon Y payment.Please write your account number on your check or money order:Do not send casFi. comcast, Account Number 09547 363032-01-6 Payment Due by No Payment Due PO BOX 985 TOLEDO OH 43697-0985 Total Amount Due 433.84 AV 01 006252 22123B 17 A"SDGT Amount Enclosed $ 11111111111111111111'1 lll'1l'1'1 all ll'1'1I III III Make checks payable to Comcast ROBERT BENTZ 619 N HANOVER ST CARLISLE PA 1 701 3-1 934 COMCAST CABLE P 0 BOX 3005 SOUTHEASTERN PA 19398-3005 09547 363032 01 6 5 003384 �4 1 � j ce Yzj AM CIA � a Co.ta boo. ro MQA h � r un O cD cr .J�'�.�..L { 0 std Q• a. w W F hJ F' \ rLI ¢a r �„ ru �1 Y3Q gat > zA ,. yµ. oco s U. a$.. ru D ' .;.gyp, -'. cc ¢a°CJ Z'. IM cc rLs -sxr�c o uj W rLs ul �t 54 I Oct. 04.2013 01:23 PM BENTZ 7177767538 PAGE. 1 NOTICE OF PREMIUM REFUND DATE Erle � MO. DAY YR. �122 09127 2013 Insurance 100 Erne Inc.14. • Erie.PA 16530 REFUND AMOUNT $68.00 POLICY/ACCOUNT NO. 0582604529 AGENT NO. AA7881 AGENT NAME AADVANTAGE INSURANCE GROUP INC CHECK NO. 2001320290 REFUND REASON OVERPAYMENT 000 0000004 00000000 001 001 00004 INS:0 0 ROBERT L BENTZ AA7881 NON-NEGOTIABLE C/O THOMAS BENTZ 228 GREEN HILL RD NEWVILLE, PA 17241 THIS REFUND CHECK HAS BEEN ISSUED TO YOU AS A RESULT OF A PREMIUM OVERPAYMENT AGAINST THE POLICY/ACCOUNT INDICATED ON THE BELOW CHECK. IF YOUR RECORDS DO NOT AGREE, PLEASE NOTIFY YOUR AGENT. C142757 v.08 5.4.2011 1 Check No. 20747768 Date 9/19/13 ROBERT L BEN"M 619 N HANOVER ST CARLISLE PA 17013 Invoice 0 Inv Date Pa Number Description Gross D6lcount Net Amount Amount Amt Pabi 30917MM 2013.09-17 M ZM733613031b19N YLR 23, 0.00 23,93 Direct Inquires to: Accounts Payable Dept.,PO Box 13578,Reading^1%12 3578 Total 0.00 23,88 LIBERTY LAND TRANSFER.INC. T#96847 Check#74981 74981 SETTLEMENT7RUSTACCOUNT Date Payee Line# Description Amount 8131/2013 Robert L Bentz&Catherine Bentz Trust 1307 Sewer Escrow uh�,, Check Amount $66.57 i Thank You • • • . wic Patfiot-MWA Your Customer Account Information 2020 Technology Pkwy,Suite 300 AOCOC111t Number 11300-011:52718 Mechanicsburg,PA 17050 `Notic:e Date 07/02112 ".'' :RENEVYAL DJ17E 07/26/72 sD livery Address; 6 9:N HA!NOVER ST QARLIS LE?A 17Q i:3-1934 10.120821 AT 0.374F1850S011.ps 406248 4.6 002082 +�I�ihtPll�lhl�lll�d1�d44���thl�t�Ihul111�l�llrullhl ROBERT BENTZ 619 N HANOVER ST CARLISLE PA 17013-1934 Your Account .Advance Central Services PA PO BOX 1038 Wilmington DE 19899-1038 0001 000 0000187 00000000 001 001 00167 INS:00 ROBERT BENTZ 619 N HANOVER ST CARLISLE, PA 17013-1934 2— Page 1 of 1 (- -Invoice No. invoice Date -VoucheriD Gross Amount -Discount Taken -Paid Amount 011527181 ,2013-02-12 02112/2013 00002838 163.75 0.00 163.75 Newspaper Subscriber Refund SUBSCRIBER REFUND For information on how to receive your payments faster or questions regarding this payment,please call(866)211-2620 CHECK NUMBER DATE VENDOR NO. NAME TOTALAMOUNT 6700000794 02/14/2013 9999999999 ROBERT BENTZ $163.75 o+wn.18 a te.2012 Advance Gendr ,Seriitc�s RR pO soxa3s 1PMo{ga N A CHECK NO 50-937/213 < ��YdhHngfon DE X9899-i`i13� ,�s Syracuse.NCt�zBSS� : .007'94 DAT E OF;CHECCK .. 021 14/20'13 . PAY: ONE HUNDREO'SIXTY THREE AND 75A00.DOLLARS ' PAY TO THE ORDER OF: ' ' CHECKAMOUNT 8 .ROBERT BENTZ u=rL o l $163.75 619N HANOVER ST CARLISLE;PA.17013-1934. . Sq�nyng 11'6700000794u' 1:0213093791: 60i8791 5811' The Sentinel 457 E North Street Renewal Notice PO Box 130 Carlisle, PA 17013 05/01/12 154-00004023 05/28/12 r►�`. 010702 Robert Bentz 619 N HANOVER ST For any billing or delivery inquiries, CARLISLE PA 17013-1934 call Customer Service at: 717-240-7135 or 866-589-4469 Subscriptions @cumberlink.com www.cumberlink.com/subscriptions WYE SENTINEL c> Cx No: 2860653 ay 457 EAST NORTH.STREET CARLISLE PA 17013. 1/17/2013 $*********58.29 REMITTANCE STATEMENT •INVOICE#:. IIwOICE INVOICE IIWOICE .DATE. .AMOUNT :.` 'DIESCUijht'I INVO)CttE NAT' 4023 .1/17/2013 58.29 00 58.29 SUBSCRIBER REFUND idents the -rs in a is from ceive !uld like to ease remittance II (717) For inquiries call(563)383-2128. Detach and retain this statement before depositing check. REMOVE DOCUMENT ALONG THIS PERFORATION a j f l i + 1 1 1 1 1 1 1 1 1 1 ..0 � B�� �'R•i��li'! I M � • C � � � O , ! � + �e �i p w 4• J 1 t J i p �t'ii•_.•�.^.'..% .z1--• �r,;'�.<�:',a%«t�:y:...;.,h•`�r',s.�,'�F�:: -;, ,�'r? 1':Y�- i:�`.';L'..`*r '-^�'-. 5' i". 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":-��. I°.�..�:�v: _..r»-.`•���..�:,�i'L7:<'f,�"'r: 'I'.tiJ x"0... ..i.,,,,,� ..� ..r.,..1 ti.�"�.-r.L ,�-^ ..'�-•.. ,.�.., :�... _' - - �.,;,+ .�, _`•I:-=�.",:�a�:.i <:I..-t:.:.•ta:_> _ _`i:==�".,�-iL^: ..Z ....s-::.�Z�'.....J1.*,,~dL�:a_ L-1 v+�'� `.t.:.✓- � j,v.,.. _ .�� �.,"1�v1' - `'.i•; ,.,r-1a - ..!'1.vry� „r.,:J-:. ,,..j. .•t,'✓.�- �j-j. - Verizon Wireless INVOICE NUMBER INVOICE DATE DESCRIPTION GROSS DISCOUNT NET AMOUNT 00001A000002054886320419746168 04/06/2013 CREDIT REFUND 41.01 41.01 e(-K M Check`No Check 0ato= Vendor Ma HancNing Code Total 541.01 13191828 04/10/2013 0000803908 $41.01 RE Questions? Call 866/824-1444 BU APCRF i f Rev-1510 EX+(08-09) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Bentz, Robert L. 21-13-0421 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OECD'S NUMBER THE DATE OF RANSTRANSFEREE R. TACH A COPY OF RELATIONSHIP DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) TAXABLE IF ) VALUE 1 Fidelity&Guaranty Life-Annuity M L9206572-(See 64,371.39 64,371.39 attached Statements from Fidelity&Guaranty Life)- Beneficiaries: Ruth Ann Gensler(33%),Thomas E. Bentz(33%),Ronald R.Bentz(20%)and Ronald E. Bentz(14%) 2 Shenandoah Life-Annuity#:001054130-(See 41,837.17 41,837.17 attached correspondence from Shenandoah) Beneficiaries: Ruth Ann Gensler(30%),Thomas E. Bentz(30%), Ronald R.Bentz(20%)and Ronald E. Bentz(20%) 3 Cornerstone Federal Credit Union-CD Acct M 6897 2,874.79 2,874.79 -10-IN TRUST-(See attached Cornerstone date of death valuation letter) 4 Cornerstone Federal Credit Union-Checking Acct M 11,297.05 11,297.05 6897-07-IN TRUST-(See attached Cornerstone date of death valuation letter) 5 Cornerstone Federal Credit Union-Savings Acct M 3,915.97 3,915.97 6897-01 -IN TRUST-(See attached Cornerstone date of death valuation letter) 6 Prorated County/City Tax relating to sale of real estate 319.94 319.94 -IN TRUST-(See attached HUD-1 Settlement Statement) 7 Prorated School Tax relating to sale of real estate-IN 1,687.62 1,687.62 TRUST-(See attached HUD-1 Settlement Statement) 8 Real estate located at 619 N.Hanover Street,Carlisle, 140,000.00 140,000.00 PA 17013-IN TRUST--Sold August 30,2013(See attached HUD-1 Settlement Statement) Total of Continuation Schedule See attached page TOTAL(Also enter on Line 7,Recapitulation) 266,303.93 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09) Fidelity FIDELITY & GUARANTY LIFE y INSURANCE COMPANY Guaranty LifeSt1 777 Research Drive,Lincoln,NE 68521 P O Box 82068,Lincoln,NE 68501 866-702-2194(Office) 402-479-0198(Fax) www.fglife.com February 12,2013 Ruth Ann Gensler 485 Galway Drive Bethel Park, PA 15102 STATEMENT OF BENEFITS Policy Numbers L9205572 Death Benefit $21,242.56 Market Value Adj. Surrender Charge Interest from to at Settlement Interest $0.00 Tax Withholding ($2,124.26) Subtotal 1 $19,118.30 TOTAL $19,118.30 Payee: Ruth Ann Gensler Taxable Amount: $21,242.56 An Asset Account checkbook will be mailed to you under separate cover. If you should have any questions,feel free to contact our office at 1-866-702-2194. Sincerely, Claims Department/ps Fidelity &Guaranty Life Insurance Company Fidelity&Guaranty Life is the marketing name of Fidelity&Guaranty Life Insurance Company and,In New York only,Fidelity&Guaranty Life Insurance Company of New York.Only Fidelity&Guaranty Life insurance Company of New York is authorized to sell insurance and annuities In New York. Fidelity & INSURANCE COMPANY Guaranty LifeSM 777 Research Drive,Lincoln,NE 68521 P O Box 82068,Lincoln,NE 68501 866-702-2194(Office) 402-479-0198(Fax) www.fglife.com February 12, 2013 Thomas E Bentz 228 Green Hill Rd Newville,PA 17241 STATEMENT OF BENEFITS Policy Number s L9205572 Death Benefit $21,242.56 Market Value Ad'. Surrender Char e Interest from to at Settlement Interest $0.00 Tax Withholdin ($2,124.26 Subtotal $19,118.30 TOTAL $19,118.30 Payee: Thomas E Bentz Taxable Amount: $21,242.56 An Asset Account checkbook will be mailed to you under separate cover. If you should have any questions,feel free to contact our office at 1-866-702-2194. Sincerely, Claims Department/ps Fidelity & Guaranty Life Insurance Company Fidelity&Guaranty Life is the marketing name of Fidelity&Guaranty Life Insurance company and,in New York only,Fidelity&Guaranty Life insurance company of New York.Only Fidelity&Guaranty Life Insurance company of New York is authorized to sell insurance and annuities in New York. FIDELITY & GUARANTY LIFE Fidelity i INSURANCE COMPANY Guaranty L-i( �Ft 777 Research Drive,Lincoln, NE 68521 P O Box 82068,Lincoln, NE 68501 866-702-2194(Office) 402-479-0198(Fax) www.fglife.com ........................................................................................................................................................................................................................................................................................................................... February 12, 2013 Ronald R Bentz 371 Army Heritage Dr Apt 13 Carlisle,PA 17013 STATEMENT OF BENEFITS Policy Number(s) L9205572 Death Benefit $12,874.28 Market Value Ad'. Surrender Charge Interest from to at Settlement Interest $0.00 Tax 11"ithboldin ($1,287.43 Subtotal $11,586.85 TOTAL $11,586.85 Payee: Ronald R Bentz Taxable Amount: $12,874.28 An Asset Account checkbook will be mailed to you under separate cover. If you should have any questions, feel free to contact our office at 1-866-702-2194. Sincerely, Claims Department/ps Fidelity&Guaranty Life Insurance Company Fidelity&Guaranty Life is the marketing name of Fidelity&Guaranty Life Insurance Company and,in New York only,Fidelity&Guaranty Life Insurance Company of New York.Only Fidelity&Guaranty Life Insurance Company of New York is authorized to sell Insurance and annuities in New York. I ACCT.' :' NO: . E NO. :;..'.: ,::.:;: ::_:: 5533292 HMT DESCRIPTION ;' DR .. CR. 02/I2/2013 '218002 :FEDERAL, 'TAX CR. 02/12/2013 500615. :'EIA FP DEATH CLAIM RNWAL • 2 901 0 02/12/20i3. .000000 DEATH BENEFIT PROCEEDS 4` ; 011. 99 . 0:00. T 1 .e Please retain"s portion for yourrecortls - N F�deLty 8 Guaranty Life lrlst�rance Company PO Box 81497 Lincolri;NE 68501'. z Fideti#y 8'Guaraiity Ljte fnsurancelCampany f , µ JPMorgari Chasel3ank N A P 0 Box 81497 Uncoln ;NE 68501.1497 Y x. Columbus OH NQ 5533292 1 s x F � u a- '. +. - r -' � -.}'• 6-1544 s ; y rt r Voidl <f Not Cashed Within 60 Days - .5 441 D February ate„ 12 2©13 /?�Y Eight Thousand One Hundred Ten and.7911UQ t � -1Jn[rrtr t - O dRr O/ 6 19 N HA1VOVER rST Authwfi•d 5gr1aN•, g re' SHENANDOAH LIFE INSURANCE COMPANY February 21, 2013 RUTH ANN GENSLER 485 GALWAY DR BETHEL PARK PA 15102-2305 RE: ROBERT L BENTZ, deceased POLICY: 001054130 CLAIM: 0000049235 Dear RUTH ANN GENSLER: Enclosed is the claim proceeds check payable for this policy. The amount of the death benefit consists of- Face Amount of Policy $.00 Accumulated Value $41,837.17 "TOTAL PAYABLE $41,837.17 Minus Proceeds Payable to Other Beneficiary(ies) ($29,286.02) Minus Federal Tax Withheld ($1,010.13) TOTAL PAYABLE TO YOU $11,541.02 If you have questions, please contact me at(800)848-5433,ext. 2059. Sincerely, (-�6� Robyn Sledd Claims Support Specialist I Enclosure(s) cc: EARL E RENSHAW RENSHAW'S INSURANCE PO BOX 0159 CAMP HILL, PA 17001-0159 P.O.Box 12847 • ROANOKE,VIRGINIA 24029 • (800)84 8 5 4 3 3 • fax:(540)857-5957 • www.shenlife.com I /O NSURANCE CO LIFE COMPANY P.O.BOX 12847-ROANOKE, VIRGINIA 24029 14800-848-5433 Policy: 001054130 DATE: 02/21/2013 Payee Name: RUTH ANN GENSLER Check Amount: 11,541.02 Description: DEATH OF ROBERT L BENTZ CLAIM # 0000049235 Check Number: 657383 User Id: RLSLED DETACH AT PERFORATION BEFORE.DEPOSITING WELLS FARGO BANK,N.A SHENANDOAH .LIFE 66 758 531 INSURANCE COMPANY VOID IF NOT CASHED WITHIN MONTHS� P.O.BOX 12847-ROANOKE, VIRGINIA 24029 ' <GH�C �iUM�E�Z �r.�FIECKD TE�� 1=800-848-5433 . 657383. 02/21/2013 PAY ELEVEN THOUSAND FIVE HUNDRED FORTY-ONE AND 02/100 DOLLARS $*****11,541.02 TO THE RUTH ANN `GENSLER ORDER OF 485 GALWAY D.R . BETHEL. PARK PA 15102-2305- �2g sPDeA Authorture 1130006S731331I' COS3101S611: 20 799 2000 2 1S911' WELLS FARGO BANK N.A •..1JHENC]l V DILL>i 1 LIFE 66-156 31 531 INSURANCE COMPANY VOID IF NOT CASHED MT IN 6 MONTHS P.O.BOX 12847-ROANOKE, VIRGINIA 24029 I DAT 1-800-848-5433 657384 02/21/2013 PAY ELEVEN THOUSAND'FIVE HUNDRED FORTY-ONE AND 02/100 DOLLARS $*****119541.02 TO THE THOMAS E BENTZ ORDEROF 228 GREEN HILL RD NEWVILLE PA 17249 LSPDEA Authorized S tore 112000657384l►' 1:05310L56Li: 2074,920002159v RE: ROBERT L BENTZ, deceased POLICY: 001054130 CLAIM: 0000049235 Dear THOMAS E BENTZ: Enclosed is the claim proceeds check payable for this policy.The amount of the death benefit consists of Face Amount of Policy $.00 Accumulated Value $41,837.17 TOTAL PAYABLE $41,837.17 Minus Proceeds Payable to Other Beneficiary(ies) ($29,286.02) Minus Federal Tax Withheld ($1,010.13) TOTAL PAYABLE TO YOU $11,541.02 SHENANDOAH LIFE SURANCE COMPANY February 21. 0,1. : RONALD R.BENTZ 371 ARMY HERITAGE DR APT 13` CARLISLE PA 17013-7307 RE: ROBERT L BENTZ, deceased POLICY: 001054130 .. CLAIM: 0060049235 Dear RONALD R BENTZ: Enclosed is the claim proceeds check payable for this policy.The amount of the death benefit consists of.- Face Amount of Policy $.00 Accumulated Value $41,837.17 TOTAL PAYABLE $41,837.17 Minus Proceeds Payable to Other.Beneficiary(ies) ($33,469.73) Minus Federal Tax Withheld ($673.42) TOTAL PAYABLE TO YOU $7,694.02 If you have questions,please contact me at(800)848-5433,ext.2059. Sincerely, Robyn Sledd Claims Support Specialist I Enclosure(s) cc: EARL E RENSHAW RENSHAW'S INSURANCE PO BOX 0159 CAMP HILL,PA 17001-0159 P.O.Box 12847 + ROANOKE,VIRGINIA 24029 • (800)848-5433 • fax:(540)857-5957 • www.slienlife.com i. g' INSURANCE COMPANY P.O.BOX 12847-ROANOKE, VIRGINIA 24029 14X*-848-5433 Policy: 001054130 DATE: 02/21/2013 Payee Name: RONALD E BENTZ Check.Amount 7,694.01 Description: DEATH OF ROBERT L BENTZ CLAIM # 0000049235 Check Number: 657386 User Id: RESEED DETACH AT PERFORATION BEFORE DEPOSITING WELLS FARCOannac N.n " SHENANDOAH LIFE' S 53, INSURANCE COMP_ANY VOID 1F NOT CASHED WnUN 6 NONMS P.O.BOX 12847-ROANOKE, VIRGINIA 24029 H A 14300-848.5433 657386 02/21/2013 PAY SEVEN THOUSAND SIX HUNDRED MNETY FOUR AND O1/100 DOLLARS $******79694.01 TO THE RONALD E BENTZ ORDER OF 619 N HANOVER ST CARLISLE PA 17013-1934 LSPDEA Authorized S g lure 11'00065738611' 11:053101561e: 20799 2000 215911' CORNERSTONE P.O.Box 1181,5 Eastgate [give,Carlisle, PA 17015 C r e d i t U ri i a n Telephone (717) 249-1661 FAX (717) 249-8208 117einher,fbzm.ded— S6-vice based www.cornerstonefcu.coop March 27, 2013 RE: The Estate of Robert L. Bentz At the time of his death, Robert L. Bentz was a joint owner of revocable trust account 6897 with Catherine R. Bentz which included a savings account, checking account and a certificate of deposit. Listed below is the information you have requested: Account Type of DUD Number Account Balance 6897-01 Savings $3,915.97 6897-07 Checking $11,297.05 6897-10 Certificate $2,874.79 There was also an active VISA credit card with a DOD balance of$0.00. If you require any further information, please call me at 717-249-1661. Sincerely: Hillary Fraker, Financial Service Administrator MEMBER SAVINGS ACCOUNTS FEDERALLY INSURED TO $25Q,000 BY THE NATIONAL CREDIT UNION ADMINISTRATION s U.S.DEPARTMENT OF HOUSING and URBAN DEVELOPMENT OMB No.2502-0265 SETTLEMENT STATEMENT TITLEPRO- LIBERTY LAND TRANSFER, INC. B.TYPE OF LOAN 4660 Trindle Road, Suite 201 1.FHA 2.RHS 3.CONV.UNINS. Camp Hill, PA 17011 a.vA 5.CONY.INS. 6.FILE NUMBER: 7.LOAN NUMBER: Phone:717-975-9915 FAX:717-763-7460 96847 20629879 MORT.INS.CASE NO.: C.NOTE:This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agent are shown. Items marked"(p.o.c.)"were paid outside the dosing;they are shown here far information purposes and are not Included in the totals. D.NAME AND ADDRESS OF BORROWER: E.NAME AND ADDRESS OF SELLER: F.NAME AND ADDRESS OF LENDER Ronald Eugene Bentz Robert L. Bentz and Catherine R.Bentz Revocable Cornerstone Federal Credit Union Living Trust, Ruth Ann Gensler,Ronald R.Bentz& 5 Eastgate Drive Thomas E.Bentz,trustees Carlisle PA 17015 G.PROPERTY LOCATION: H.SETTLEMENT AGENT: Liberty Land Transfer I.SETTLEMENT DATE: 619 N.Hanover Street Aug 30 2013 Carlisle,PA 17013 Friday Carlisle Borough PLACE OF SETTLEMENT: 5 Eastgats Drive Cumberland County.PA Carlisle.PA 17015 J.SUMMARY OF BORROWER'S TRANSACTIO 4 K.SUMMARY OF SELLER'S TRANSACTION 100. Gross Amount Due From Borrower 400. Gross Amount Due to Seller 101.Contract sales price 140,000.00 401. Contract sales price 140,000.FX 102. Personal Property 402. Personal Property 103. Settlement Charges(line 1400) 5,891.40 Z. 104. 404. 105. 405. Adjustments for items paid in advance by seller(s) Adjustments for Items paid in advance by seller(s) 106. Cityrrown tax to 406. Cityrrown tax to 107.County/City tax 8/302013 to 121312013 319.94 407. County/City tax 8/302013 to 121312013 319.9 108.Assessments to 408. Assessments to 109.School Tax 8/302013 to 6/302014 1,687.62 409. School Tax 8/302013 to 61302014 1,667.62 110. to 410. to 111, to 411. to 112. to 1 412. to 120.Gross Amount Due from Borrower 147,898.96 420. Bross Amount Due to Seller 142,007.5 00.Amounts Paid By Or In Behalf Of Borrower 500. Reductions In Amount Due To Seller 01. Deposit or earnest money 501. Excess deposit(see instructions) 02. Principal Amount of new loan(s) 119.000.00 502. Settlement Charges to seller(line 1400) 1,562.00 03. Existing loan(s)taken subject to 503. Existing loan(s)taken subject to 04. 504. Payoff of First Mortgage Loan 05. 505. Payoff of Second Mortgage Loan 06.Borrower Fees pd by lender 50.00 506. 07.Gift of Equity 28,000.00 507. Gift of Equity 28.000.0 08. 508. 09. 509. Adjustments for items unpaid by seller Adjustments for items unpaid by seller 10.Cityrrown tax to 510. Chyrrowntax to 11. County/Cttytax to 511. County/Citytax to 12.Assessments to 512. Assessments to 13.School Tax to 513. School Tax to 14. to 514. to 15. to 515. to 16. to 516. to 17. -517. 18. 518. 19. 519. 20.Total Paid by/for Borrower 147,050.00 520. Total Reduction In Amount Due Seller 29,562.0 00.CASH AT SETTLEMENT Fromrro BORROWER 600, CASH AT SETTLEMENT To/From SELLER 01. Gross amount due from borrower(line 120) 147,898.96 601. Gross Amount due Seller(line 420) 142,007.56 02. Less amounts paid by/for borrower(line 220) 147,050.00 602. Less reduction In amt.due seller(line 520) 1 29,562.0 03.Ca� FROM TO Borrower 848.96 603. Cash®TO FROM Seller 112,445.5 Buyer or Borrowers Signature Sellers Signature HUD-1 L.SETTLEMENT CHARGES Case#86647 700. Total Real Estate Broker Fees S Paid From Paid From Division of commission(line 700)as follows: Borrower's Seller's 701• to Funds At Funds At 702. to Settlement Settlement 703. Commission paid at Settlement 704. to 800. Items Payable In Connection With Loan 801. Our origination charge 1,155.00 (from(GFE#1) 802. Your credit or charge(points)for the interest rate chosen$ (from(GFE 92) 803. Your adjusted origination charges to. (from(GFE A) 1,155.00 0.00 804. Appraisal Fee to Diversified Appraisal Svs. ($350.00 poc) (from(GFE#3) 125.00 805. Credit Report to CBC Credit POC by lender (from(GFE#3) 50.00 806. Tax Service to (from(GFE#3) 807. Flood certification to CBC Flood (from(GFE#3) 25.00 808. Investor Fee to Investor 595.00 809. Tax Tian Fee to Cornerstone Federal Credit Union 64.00 810. to 811. to 812. to 813. to 814, to 900. Items Required by Lender to So Paid In Advance 901. Daily Interest charges from 8/30/2013 to 8/31/2013 @ $ 15.4900 /day (from(GFE#10) 30.98 902. Mortgage Insurance premium for 0 months to (from(GFE#3) 903. Homeowners Insurance premium for 1 years to Erie Ins.Group$464 POC 8 (from(GFE#11) 904. t0 1000. Reserves Deposited with Lender 1001. Initial deposit for your escrow account Cornerstone Federal Credit Union (from(GFE#9) 859.92 0.00 1002. Homeowners Insurance 2 Months @$ 38.67 /Month 77.34 1003. Mortgage Insurance 0 Months @$ 21.82 /Month 1004. Property taxes 6 Months C$ 79.12 /Month 474.72 1005. School 2 Months @$ 188.85 /Month 337.70 1006. 0 Months @$ /Month 1007. Aggregate Adjustment - 29.84 1100. Title Charges 1101. Title services and lenders title Insurance (from(GFE fl4) 1,270.00 0.00 1102. Settlement or dosing fee to Liberty Land Transfer 1103. Owners We insurance to Liberty Land Transfer (from(GFE#5) 105.00 1104. Lenders title Insurance 1,250.00 1105. Lenders title policy limit $ 119,000.00 1106. Owners title policy limit $ 140,000.00 1107. Agent's portion of the total title insurance premium 1,190.00 1108. Underwriters portion of the total title Insurance premium 165.00 1109. Notary Fees to Holy Keller 12.00 1110. to 1111. to 1200. Government Recording and Transfer Charges 1201. Government recording charges (from(GFE#7) 156.00 1202. Deed$ 67.00 Mortgage$ 89.00 elbadseferpf Deeds 1203. Transfer taxes (from(GFE#8) 1,400.00 1204. City/County tax/stamps Deed$1,400.00 Mortgage$ Recorder of Deeds 1205. State tax/stamps Deed$1,400.00 Mortgage$ Recorder of Deeds 1,400.00 1206. Assn.of Mortgage to Record of Deeds 55.50 1300. Additional Settlement Charges 1301. Required services that you can shop for (from(GFE 46) 0.00 1302. to 1303. to 1304. to 1305. to 1306. to 1307. Sewer Escrow to Carlisle Borough Auth. 1 150.001 1400. Total Settlement Charges(enter on lines 103.Sections J and 502,Sections K) 5.891.40 1.562.00 - Parties agree that no liability Is assumed by Settlement Agent for the accuracy of Information furnished by othem as shown on the HUD-1.Settlement Statement. HUD CERTIFICATION OF BUYERS AND SELLERS In fully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and d y., o my account by me in this transaction. I further certify that 1 have received a copy of the HUD-1 Settle ant Stat ante 4 i l � Buyer or Borrowers Signature Sellers Signature Buyers Address&Phone: Satleh New Addreac A Phone: The HUD-1;ettlemerd Statement which 1 have prepared Is a true and accurate account of this transaction.1 have caused or will cause the funds to be disbursed in accordance with this sletem� Settlement Date WARNING:It is a crime to knowingly make false statements to the United States on this or any similar form.Penalties upon conviction can include a fine and Imprisonment For , details see Title 18:U.S.Code Section 1001 and Section 1010. REV-1511 EX+(10.09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND RESIDENT DECEDENT ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Bentz, Robert L. 21-13-0421 Decedent's debts must be reported on Schedule I. ITEM N E DESCRIPTION AMOUNT A. FUNERAL EXPENSES: See continuation schedule(s)attached 10,251.96 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip. Year(s)Commission Paid Waived 2. Attornev's Fees Bohmueller Law Offices, P.C. 12,450.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 8,654.04 See continuation schedule(s)attached TOTAL(Also enter on line 9,Recapitulation) 31,356.00 Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Bentz, Robert L. 21-13-0421 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Evans Cemetery Memorials-Grave Marker 1,182.00 2 Ewing Brothers Funeral Home,Inc-Funeral Expenses 9,069.96 H-A 10,251.96 Other Administrative Costs 3 Bohmueller Law Offices,P.C.-Reimbursement of The UPS Store expense 27.75 4 Borough of Carlisle-Water/Sewer expenses post death 151.26 5 Carlisle Borough Authority-Sewer Escrow-(See attached HUD-1 Settlement Statement) 150.00 (Paid from Trust) 6 Carlisle Borough Tax Collector-2013-2014 School Tax 1,985.73 7 Carlisle Borough Tax Collector-2013 County PC Tax 4.90 8 Carlisle Borough Tax Collector-2013 County/City Real Estate Tax 930.45 9 Cumberland County Landfill-Trash Disposal Fees 135.22 10 Cumberland Law Journal-Estate Publication 75.00 11 Erie Insurance-Homeowners Insurance 30.00 12 Harrisburg Patriot-News-Estate Publication 141.24 13 Holly Keller-Notary Fee -(See attached HUD-1 Settlement Statement)(Paid from Trust) 12.00 Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Bentz, Robert L. 21-13-0421 ITEM NUMBER DESCRIPTION AMOUNT 14 Kough's Oil Service-Heating Oil expenses following death of decedent 1,445.08 15 Mark Heckman-Appraisal Fee 400.00 16 PA Dept of Health-Division of Vital Record-Fee for obtaining death certificate for 36.00 decedent's wife 17 PPL-Electric expenses post date of death 638.47 18 Realty Transfer Tax -(See attached HUD-1 Settlement Statement)(Paid from Trust) 1,400.00 19 Thomas Bentz-Reimbursement for bills of the decedent paid by Thomas Bentz-including 772.10 bills to Masland Associates($48.78),Carlisle Regional Medical Center($450.00),Watershed Urology($40.00),Verizon Wireless($43.18),Century Link($40.14)and Molly's Place($150.00) 20 Thomas Bentz-Reimbursement for Trash Dumpster 144.00 21 UGI-Gas expenses post date of death 174.84 H-B7 8,654.04 Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98) Rev-1612 EX+(12.08) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Bentz, Robert L. 1 21-13-0421 Report debts Incurred by the decedent prior to death that remained unpaid at the date of death,Including unreimbursed medical expenses, ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Carlisle Regional Medical Center-Medical Bills 1,050.00 2 Century Link-Final Telephone Bill(Landline) 29.07 3 Cumberland Goodwill Fire Rescue EMS-Medical Bill 199.58 4 Health Network Laboratories-Medical Bill 31.49 5 Manor Care Health Services,LLC-Medical Bill 1,290.00 6 Masland Associates,Inc.-Medical Bill 65.90 7 Verizon Wireless-Phone Bill 41.01 TOTAL(Also enter on Line 10,Recapitulation) 2,707.05 (If more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev.12-08) REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Bentz, Robert L. 21-13-0421 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$) Not List s I• TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116(a)(1,2)] Ronald E.Bentz Grandson 66,751.85 619 N.Hanover Street Carlisle,PA 17013 Ronald R.Bentz Son 66,751.85 371 Army Heritage Road Carlisle,PA 17013. Thomas E.Bentz Son 100,127.79 228 Green Hill Road Newville,PA 17241 Ruth Ann Gensler Daughter 100,127.79 485 Galway Drive Bethel Park,PA 15102 Total 333,759.28 Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as appropriat e. NON-TAXABLE DISTRIBUTIONS: II• A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) i LAST WILL AND TESTAMENT (Pour-Over Wilt) OF ROBERT L.BENTZ IDENTITY L residing in the County of Cumberland Commonwealth of Pennsylvania, I,ROBERT L. BENTZ, ty y , , being of sound mind and memory, and not acting under duress or undue influence of any person whomsoever, hereby declare this to be my Last Will and Testament, and I do hereby revoke all other former Wills and Codicils to Wills heretofore made by me. My Social Security Number is 179-12-3536. All reference made herein to "spouse or my spouse" refers to the person to whom I am currently married,namely, CATHERINE R. BENTZ. By the ensuing provisions of this Will, it is my intention to dispose of my interest in our property; I do not intend to dispose of anything belonging to my wife or to put her to any election. I have the following children. Ruth Ann Gensler,born June 13, 1943 and currently residing in Bethel Park, PA;Ronald IL Bentz,born November 4, 1945 and currently residing in Newville, PA; and Thomas E.Bentz,born December 18, 1954 and currently residing in Newville,PA. DEBTS,TAXES AND ADMINISTRATION EXPENSES I have provided for the payment of all my debts,expenses of administration of property wherever situated passing under this Will or otherwise,and estate,inheritance,transfer,and succession taxes,other than any tax on a generation-skipping transfer that is not a liability of my Estate (including interest and penalties, if any) that become due by reason of my death, under THE ROBERT L. BENTZ AND CATHERINE R. BENTZ REVOCABLE LIVING TRUST executed on even date herewith (the "Revocable Trust"), or if my spouse predeceases me, under the Survivor's Trust created by the said Revocable Trust. If the Revocable Trust assets should be insufficient for these purposes, my Executor shall pay any unpaid items from the residue of my Estate passing under this Will, without any apportionment or reimbursement. In the alternative,my Executor may demand in a writing addressed to the Trustee of the Trust an amount necessary to pay all or part of these items, plus claims, pecuniary legacies,and family allowances by court order. PERSONAL AND HOUSEHOLD EFFECTS It is my intent that all my personal and household effects were transferred to the Revocable Trust as a result of the Declaration of Intent signed this date. If there are any questions regarding the ownership or disposition of these assets, it is my desire that such assets pour into the Revocable Trust,signed by me this date in accordance with the provisions of the section titled"Residue of Estate." RESIDUE OF ESTATE I give, devise and bequeath all the rest,residue and remainder of my property of every kind and description (including lapsed legacies and devices), wherever situated and whether acquired before or after the execution of this Will,to the Trustee under that certain Trust executed by me on the same date of the execution of this Will. The Trustee shall add the property bequeathed and devised by this item to the POUR OVER WILLS Page 1 Testator corpus of the above described Trust and shall hold,administer and distribute said property in accordance with the provisions of the said Trust, including any amendments thereto made before my death. If for any reason the said Trust shall not be in existence at the time of death,or if for any reason a court of competent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under said Trust as it exists at the time of my death to be invalid, then I give all of my Estate including the residue and remainder thereof to that person who would have been the Trustee under the Trust, as Trustee, and to their substitutes and successors under the Trust, described herein above, to be held, managed, invested,reinvested and distributed by the Trustee upon the terms and conditions pertaining to the period beginning with the date of my death as are constituted in the Trust as at present constituted giving effect to amendments, if any, hereafter made and for that purpose I do hereby incorporate such Trust by reference into this my Will. EXECUTOR I hereby nominate and appoint Catherine R. Bentz as my Independent Executor of this,my Last. Will and Testament,to serve without bond. In the event the first named Executor shall predecease me or is unable or unwilling to act as my Executor for any reasons whatsoever,then and in that event, I hereby nominate and appoint Thomas E. Bentz,Ruth Ann Gensler,and Ronald R.Bentz to serve without bond as my Joint Executors. In the event that one of the Joint Executors shall predecease me,or is unable or unwilling to act as my Executor for any reason whatsoever, then and in the event I hereby nominate and appoint the I remaining Joint Executor(s)to serve without bond as my Joint Executor(s). i Whenever the word"Executor"or any modifying or substituted pronoun therefore is used in this my Will, such words and respective pronouns shall be held and taken to include both the singular and the plural,the masculine, feminine and neuter gender thereof,and shall apply equally to the Executor named herein and to any successor to substitute Executor acting hereunder, and such successor or substitute Executor shall possess all the rights, powers, duties, authority, and responsibility conferred upon the Executor originally named herein. EXECUTOR POWERS By way of Illustration and not of limitation and in addition to any inherent, implied or statutory powers granted to executors generally, my Executor is specifically authorized and empowered with respect to any property,real or personal, at any time held under any provision of this my Will: to allot, allocate between principal and income,assign,borrow,buy,care for,collect,compromise claims,contract with respect to,continue any business of mine,convert, deal with,dispose of,enter into,exchange,hold, improve, incorporate any business of mine, invest, lease, manage, mortgage, grant and exercise options with respect to,take possession of,pledge,receive,release,repair,sell,sue for,make distributions in cash or in kind of partly in each without regard to the income tax basis of such asset and in general,exercise all of the powers in the management of my Estate which any individual could exercise in the management of similar property owned in its own right upon such terms and conditions as to my Executor may seem best, and execute and deliver any and all instruments and do all acts which my Executor may deem proper or necessary to carry out the purpose of this my Will,:without being limited in any way by the specific grants or power made,and without the necessity of a court order. My Executor shall have absolute discretion,but shall not be required,to make adjustments in the rights of any Beneficiaries, or among the principal and income accounts to compensate for the POUR OVER WRLS Page 2 Testator consequences of any tax decision or election, or of any investment or administrative decision, that my executor believes has had the effect, directly or indirectly, of preferring one Beneficiary or group of Beneficiaries over others. In determining the Federal Estate and Income Tax liabilities of my Estate,my Executor shall have discretion to select the valuation date and to determine whether any or all of the allowable administration expenses in my Estate shall be used as Federal Estate Tax deductions or as Federal Income Tax deductions and shall have the discretion to file a joint income tax return with my spouse. SPECIFIC OMISSIONS I have intentionally omitted any and all persons and entities from this, my Last Will and Testament, except those persons and entities specifically named herein. If any person or entity shall challenge any term or condition of this Will, or of the Living Trust to which I have made reference in the sections "Household and Personal Effects"and"Residue of Estate,"then, to that person or entity, I give and bequeath the sum of only one dollar ($1.00) only in lieu and in place of any other benefit, grant, bequest or interest which that person or interest may have in my Estate or the Living Trust and its Estate. SIMULTANEOUS DEATH If my spouse and I should.die under circumstances such that the order of our deaths cannot be determined, then it shall be conclusively presumed for the purpose of this Will that my spouse survived me. If any other Beneficiary should not survive me for sixty (60) days, then it shall be conclusively presumed for the purpose of this my,Will that said Beneficiary predeceased me. ROBERT L.BENTZ Testator POUR-OVER WILLS Page 3 This instrument consists of 5 typewritten pages, including the Attestation Clause, Self-Proving Clause, signature of Witnesses, and acknowledgment of officer. I have signed my ram bottom of each of preceding Zes. This instrument is being signed by me on this day of ATTESTATION CLAUSE The Testator whose name appears above declared to us, the undersigned, that the foregoing instrument was his Last Will and Testament, and he requested us to act as witnesses to such instrument and to his signature thereon. The Testator thereupon signed such instrument in our presence. At the Testator's request, the undersigned then subscribed our names to the instrument in our own handwriting in the presence of the Testator. The undersigned hereby declare, in the presence of each of us, that we believe the Testator to be of sound and disposing mind and memory. Signed by us on the same day and year as this Last Will and Testament was signed by the Testator. WITNESSES: ADDRESSES/I: I � (Printed NaniJ of Witnessy City,State,Zip /s &126 (Print 6d Name of Witness) City,State,Zip POUR-OVER WILLS Page 4 Testator COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SELF-PROVING CLAUSE E, the undersigned a4tb rity, on da personally appeared ROBERT L. BENTZ, _ and / , known to me to be the Tes ator and a witnesses,respective) ,whose names are subscribed to the foregoing instrument in their respective capacities,and all of them being by me duly sworn,ROBERT L.BENTZ,Testator,declared to me and to the witnesses, in my presence, that the instrument is his Will and that he had willingly made and executed it as his free act and deed for the purposes therein expressed; and the Witnesses,each on his or her oath,stated to me in the presence and hearing of the Testator,that the Testator had declared to them that the instrument is his Will and that he executed the same as such and wanted each of them to sign it as a witness; and upon their oaths, each witness stated further that he did the same as a witness in the presence of the Testator, and at his request and that he was at that time eighteen(18)years of age or over and was of sound mind,and that each of the witnesses was then at least fourteen(14)years of age. � i ROBERT L. BENTZ Testator tneL k d (Printed Name of rtness) Wi (Prin Name of Wrtness) SUBSCRIBED AND ACKNOWLEDGE b y OBERT L. BENTZ, Testator, and s ribed worn to before me by and Alt��✓ J wi esses, this the day of No ic,Commonwealth of Pennsylvania NOTARIAL SEAL TODD B.CARRY,Notary Pu�Cjounttyf Lower Southampton Twp.,Bucics M Commission Expires Ma 3, POUR-OVER WILLS Page 5 REVOCABLE LIVING TRUST AGREEMENT T AGREE720 NT AND DECLARATION OF TRUST, made effective the day of ,between ROBERT L. BENTZ AND CATHERINE R. ENTZ,husband and . ' e; residents of the County of Cumberland, Commonwealth 'of Pennsylvania, as Grantors, ROBERT L. BENTZ AND CATHERINE R. BENTZ, as Settlors, and ROBERT L. BENTZ AND CATHERINE R.BENTZ,as Co-Trustees; WITNESSETH; WHEREAS, in order to provide the future comfort and security of themselves and the other beneficiaries hereafter mentioned, Grantors desire to create a revocable trust for the purposes hereinafter set forth; ARTICLE ONE Terms of the Trust Section 1.01 -Trust Estate Defined NOW,THEREFORE,in consideration of the premises and of the mutual covenants herein contained,this Revocable Trust is formed to hold title to real and personal property for the benefit of the Settlors of this Trust and to provide for the orderly use and transfer of these assets upon the death of the. Settlors. The "Trust Estate".is defined as all property transferred or conveyed to and received by the Trustee held pursuant to the terms of this instrument. The Trustee is required to hold, administer, and distribute this property as provided in this Trust Agreement. The name of this Trust Agreement shall be: THE ROBERT L.BENTZ AND CATHERINE R.BENTZ REVOCABLE LIVING TRUST AGREEMENT DATED A,�, 20 Section 1.02-Definitions of Terms In the interpretation or construction of the provisions of this Trust Agreement, the following words and phrases.shall have the meanings set forth below: 1. The term"Husband"shall mean ROBERT L.BENTZ 2. The term"Wife"shall mean CATHERINE R.BENTZ. 3. The term"Settlor"shall refer individually and collectively to Husband and Wife. 4. The term "Descendant" shall mean the lawful issue of a deceased parent in the line of descent,but does not include the issue of any parent who is a descendant of the deceased person in question and who is living at the time in question. REVOCABLE LIVING TRUST AGREEMENT Page 1 5. The terms "Child" and "Descendant" include any issue born to decedent, a child legally adopted by the decedent,and a posthumous child of a decedent. A posthumous child is to be considered as living at the time of his or her parent's death. 6. The term"Survives"or"Surviving",unless otherwise indicated herein,shall be construed to mean surviving the decedent for at least sixty (60) days. If the person referred to dies within sixty (60) days of the death of the decedent, the reference to him or her will be construed as if he or she had failed to survived the decedent;provided,however,that any such person will have, during such period, the right to the use and enjoyment as a life tenant of all property in which his or her interest will fail by reason of death during such period. 7. The term "Issue" will include all natural and adopted children, if applicable, and descendants and those legally adopted into the line of descent. 8. The term "Per Stirpes" means strict per stirpes and does not mean per capita with representation. Beneficiaries entitled to take under a "per stirpes" clause will include both natural and adopted children and their descendants. 9. The terms "Trust Assets" and "Trust Estate" include all assets of any trust created hereunder and income derived from such assets and all proceeds of any description derived from the sale,exchange,or other disposition of such assets. 10. When required to give reasonable effect to the context in which used, pronouns in the masculine, feminine, or neuter gender include each other, and nouns and pronouns in the plural or singular number include each other. Section 1.03-Trustee Designation Husband and wife are hereby designated as Co-Trustees. The Co-Trustees shall serve jointly and severally and either shall have full authority to act for the Trust independently. Should either husband or wife become unable because of death,incapacity, or other cause to serve as a Co-Trustee,or should either resign as Co-Trustee before the natural termination of this Trust, the remaining Co-Trustee, husband or wife, shall thereafter serve as sole Trustee. The term"Trustee"as used in this Trust Agreement shall refer, collectively to husband and wife so long as they serve as Co-Trustees, to the spouse who serves as the sole Trustee, and/or to any Successor Trustee who assumes the role of Trustee. These Trustees shall serve in the order as provided in Section 9.01 of this Trust Agreement. Section 1.04-Additions to Trust Properties 1. The Trustee, at any time during the continuance of this Trust in his or her sole discretion after consideration of the possible tax consequences to all concerned, is authorized to receive into the Trust additions of cash and other properties from any source whatsoever, whether by gift, will, or otherwise. However, the Trustee shall accept all assets which any person or persons may give, devise, or bequeath by Last Will and Testament to this Trust, and shall accept all assets transferred to this Trust pursuant to the provisions of any other Trust document or documents. 2. In addition,any person or persons may designate this Trust as the Beneficiary,Primary or Contingent, of any death benefits to include insurance benefits,pension benefits,or other benefits. Until such benefits mature,the Trustee shall have no responsibility with respect to those benefits. REVOCABLE LIVING TRUST AGREEMENT Page 2 Section 1.05-Apportionment The Trustee of the Trust is directed to apportion receipts and expenditures of the types described below between principal and income as follows: 1. Whenever the principal,or any part thereof, of the Trust property is invested in securities purchased at a premium or at a discount, any premium will be charged against principal and any discount will be credited to principal; 2. Any stock dividends and rights to purchase additional stock issued on securities held in trust will be treated as principal. All other dividends, except liquidating distributions, will be treated as income; and 3. The amount of any applicable depletion allowance for federal income tax purposes will. be treated as income. Section 1.06-Administration of Trust During Our Lifetime During our lifetime,the trust shall be held and administered as follows: 1. All property and other assets transferred to this trust shall be allocated to and held in separate shares, the first such share being designated the "Robert L. Bentz Trust Share" and the second share being designated the"Catherine R.Bentz Trust Share". 2. Each Grantor's separate Trust Share shall be composed of the assets as follows: a. The Grantor's one-half interest in jointly held property tran sferred to the Trust; and b. The Grantor's individually owned property which is transferred to the Trust. While each share shall be held and administered separate from the other, for tax and accounting purposes, the Trustee is authorized to hold or invest the separate shares in common investments and co-ownership of assets. 3. The Trustee shall pay to or apply for the benefit of ROBERT L. BENTZ all of the net income of the ROBERT L.BENTZ Trust Share,in convenient installments,not less often than quarter-annually, and in addition thereto, shall pay so much of the income and principal of such Trust Share to or for the benefit of ROBERT L. BENTZ as he may direct from time to time,or in the absence of a direction,as the Trustee may determine to be advisable for his medical care, support,maintenance,and general welfare. 4. The Trustee shall pay to or apply for the benefit of CATHERINE R. BENTZ all of the net income of the,CATHERINE R. BENTZ Trust Share in convenient installments, not less often than quarter-annually,and in addition thereto, shall pay so much of the income and principal of such Trust Share to or for the benefit of CATHERINE R. BENTZ as she may direct from time to time, or in the absence of a direction, as the Trustee may determine to be advisable for her medical care, support, maintenance, and general welfare. REVOCABLE LIVING TRUST AGREEMENT Page 3 All property that a Settlor transfers to the Trustee pursuant to this instrument which was community property, quasi-community property; or separate property at the time of the transfer shall remain respectively community property, quasi-community property, or the separate property of the Settlor transferring such property to the Trust. Community and quasi-community property transferred to the Trustee by the Settlors shall be their community property and treated as such. This property, as invested and reinvested,together with the rents,issues,and profits therefrom(hereinafter referred to as the "Community Estate" or the "Community Property") shall retain its character as community property during the joint lifetimes of the Settlors in spite of any change in the situs of the Trust, subject,however,to the provisions of this Agreement. Section 1.07-Discretionary Termination The Trustee may terminate any Trust when,in the opinion of the Trustee,the principal is reduced to such an extent that it is not in the best interest of the Beneficiary or Beneficiaries to continue the Trust. The judgment of the Trustee with respect to this decision to terminate will be final and not subject to judicial review. If the Trustee terminates a Trust according to this Section, the date the Trust terminates will be deemed the date fixed for termination of the Trust, and the Trustee will distribute the assets of the terminating Trust to the Beneficiary or Beneficiaries pursuant to this Agreement. Section 1.08-Amendment and Revocation We hereby retain the following powers,exercisable at any time during our lifetimes: 1. To withdraw any of the property included in our separate share of the Trust Estate by giving the Trustee written notice specifying the property so withdrawn, in which event, the Trustee shall promptly transfer and deliver such property to us or our designee. 2. To amend the provisions of this Trust declaration in any respect without the necessity of securing the consent of the Trustee to such changes, in which event, a copy of the amendment shall be promptly furnished to the Trustee;provided,however,that following the death of one of us, the.survivor shall have no power to amend the terms of the Trust declaration with respect to the Trust Share of the first of us to die. 3. To revoke this Trust by giving he Trustee written notice of such revocation, in which g event, the Trustee shall promptly transfer and deliver the property constituting the Trust Estate to us or our designee together with an accounting therefore; provided, however, that following the death of one of us, the survivor shall have no power to revoke the terms of the Trust declaration with respect to the Trust Share of the first of us to die. Section 1.09-Revocation or Alteration by Settlor Alone The rights of revocation, withdrawal, alteration, and amendment reserved in.this Article may only be exercised by the Settlor and may not be exercised by any other person, including an agent, a guardian, or a conservator. Section 1.10-Irrevocability Except as otherwise provided, on the death of either Settlor, the designation of Beneficiaries of specific gifts in this Trust shall become irrevocable and not subject to amendment or modification. REVOCABLE LIVING TRUST AGREEMENT Page 4 Section 1.11 -Settlor Powers The surviving Settlor shall be the Trustee unless and until he or she resigns in writing or is determined incompetent under the terms provided herein. The surviving Settlor shall retain all absolute rights to discharge or replace any Successor Trustee of any portion or share of the Trust which is revocable by the surviving Settlor so long as the Settlor is competent. ARTICLE TWO Trust Administration Section 2.01 -Trust Income During the joint lives of the Settlors,the Trustee shall at least annually,unless otherwise directed by both Settlors in writing, pay to or apply for the benefit of husband and wife, all of the net income from the Trust Estate in the same proportions as each of the spouse's respective interests in the Trust Estate. Section 2.02-Protection of Settlor in Event of Incapacity During the joint lives of the Settlors,should either Settlor become incapacitated as defined in Section 2.03 below, the Trustee may, in the Trustee's absolute discretion, pay income and principal for the benefit of the incapacitated Settlor. In addition, the Trustee, in his or her absolute discretion,may pay to or apply, for the benefit of that Settlor, such sums from the net income and from the principal of the Settlor's separate Estate as the Trustee believes is necessary or advisable for the medical care, comfortable maintenance,and welfare of the Settlor. Section 2.03-Incapacity 1. A person is determined to be incapacitated if any Trustee or Beneficiary hereunder comes into possession of any of the following: a. A jurisdictionally applicable court order holding the party to be legally incapacitated to act on his or her behalf and appointing a guardian or conservator to act for him or her;or b. Written certificates which are duly executed, witnessed, and acknowledged of two licensed physicians, each certifying that the physician has examined the person and has concluded that, by reason of accident, mental deterioration, or other cause, such person has become incapacitated and can no longer act rationally and prudently in his or her own financial best interest; or C. Evidence which such Trustee or Beneficiary deems to be credible and currently applicable that a person has disappeared, is unaccountably absent, or is being detained under duress, and that he or she is unable to effectively and prudently look after his or her own best interests,then in that event and under those circumstances: 1) Such person is deemed to have become incapacitated, as that term is used in this Trust agreement; and 2) Such incapacity is deemed to continue until such court order, certificates, and / or circumstances are inapplicable or have been revoked. REVOCABLE LIVING TRUST AGREEMENT Page 5 2. A physician's certificate to the effect that the person is no longer incapacitated shall revoke a certificate declaring the person incapacitated. The certificate which revokes the earlier certificate may be executed by either the original certifying physician or by two other licensed, board certified physicians. No Trustee shall be under any duty to institute any inquiry into a person's possible incapacity. The reasonable expense of any such inquiry shall be paid from the Trust Assets. Section 2.04-Principal Invasion During the joint lives of the Settlors, should the net income of assets contained in this Trust be insufficient to provide for the care,maintenance, or support of the Settlors as herein defined,the Trustee may, in the Trustee's sole and absolute discretion,pay to or apply for the benefit of the Settlors or either of them, or any of their dependents, such amounts from the principal of the Trust Estate as the Trustee deems necessary or advisable for the care,maintenance, or support of the Settlors. Section 2.05-Residence If the Settlor's residence property is a part of the Trust, the Settlors shall have possession of and full management of the residence and shall have the right to occupy it free of rent. Any expenses arising from the maintenance of the property and from all taxes, liens, assessments, and insurance premiums, are to be paid from the Trust to the extent that assets are.available for payment. It is the intent of the Settlors to retain all homestead rights available to them under the applicable state law. ARTICLE THREE Administration upon Death of First Settlor Section 3.01 -Provisions After The First Death On the death of either Settlor leaving the other Settlor surviving him or her, the Trustee shall collect all insurance proceeds payable to the Trustee by reason of such death and. all bequests and devises distributable to the Trust Estate. Section 3.02-Control of Assets The surviving spouse may, at any time by written notice, require the Trustee either to .make any nonproductive property of this Trust productive or to convert productive property to nonproductive property, each within a reasonable time. The surviving spouse may further require the Trustee to invest part or all of this share of Trust Assets for the purpose of maximizing income rather than growth or growth rather than income. Section 3.03-Division into Shares 1. Upon the death of either Settlor, if the deceased Settlor is survived by the other Settlor, the deceased's individual Trust Share, including any additions made by reason of the deceased Settlor's death, shall be divided into two shares. 2. The Trustee, in his or her sole discretion,may defer the division or distribution of the deceased's individual Trust Share until six months after the deceased Trustor's death. If the division or distribution of the deceased's individual Trust Share is so deferred, the deferred division or distribution shall be made as if it had taken place at the time prescribed above. In addition, all REVOCABLE LIVING TRUST AGREEMENT Page 6 rights given to the Beneficiaries under the provisions of this Trust Agreement which follow shall be considered to have accrued and vested as of that prescribed time. 3. Upon the death of the first Settlor to die ("Predeceased Spouse"), the Trustee shall divide the deceased's individual Trust Share (which shall include any property which may be added from the Predeceased Spouse's general estate)as follows: a. The Trustee shall divide the balance of the deceased Trustor's individual Trust Share into two (2) separate shares (hereinafter designated as "Share A" and "Share B"). Share B shall be composed of cash, securities, and/or other property of the deceased's individual Trust Share(undiminished by any estate, inheritance, succession, death, or similar taxes) having a value equal to the maximum marital deduction as finally determined in the Predeceased Spouse's federal estate tax proceedings,less the aggregate amount of marital deductions, if any, allowed for such estate tax purposes by reason of property or interest in property passing or which have passed to the Surviving Spouse otherwise than pursuant to the provisions of this paragraph;provided,however,that the amount of Share B hereunder shall be reduced by the amount, if any, needed to increase the Predeceased Spouse's taxable estate (for federal estate tax purposes) to the largest amount that, after allowing for the unified credit against federal estate tax and the state death tax credit against such tax(but only to the extent that the use of such state death tax credit does not increase the death tax payable to any state), will result in the smallest (if any) federal estate tax being imposed on the Predeceased Spouse's estate. The term "Maximum Marital Deduction" shall not be construed as a direction by the Predeceased Spouse to exercise any election respecting the deduction of estate administration expenses, the determination of the estate tax valuation date, or any other tax election which may be available under any tax laws, only in such manner as will result in a larger allowable estate tax marital deduction than if the contrary election had been made. The Trustee shall have the sole discretion to select the assets which shall constitute Share B. In no event,however, shall there be included in Share B any assets or the proceeds of any asset which will not qualify for the federal estate tax marital deduction. Share B shall be reduced to the extent that it cannot be created with such qualifying assets. The Trustee shall value any asset selected by the Trustee for distribution in kind as a part of Share B at the value of such asset at the date of distribution of such asset. The balance of the deceased's individual Trust Share, after the assets have been selected for Share B, shall be allocated to Share A. Share A and Share B shall be administered and distributed as hereinafter set forth. Section 3.04-Credit Shelter Trust If either of the Settlors survives the other, the Trustee shall set apart and hold as a separate trust (the "Credit Shelter Trust") the assets referred to as Share A in Section 3.03 above. The Trustee shall hold, manage,invest,and reinvest the assets of this Credit Shelter Trust,shall collect the income therefrom,and shall pay the net income to or for the benefit of the surviving Settlor in convenient installments at least quarter-annually; provided, however, that the surviving Grantor may elect to pass any portion of said income to the remainder Beneficiaries of the Trust. In addition, the Trustee may pay to or for the benefit of the surviving Settlor for the health, education, maintenance, or support of the surviving Settlor, any part or all of the principal of this Trust, as the Trustee may determine in its sole discretion, without considering other resources available to the surviving Settlor. The surviving Settlor shall have the right to demand and receive, from the principal of this Trust in each of its fiscal years, the greater of five thousand dollars ($5,000.00) or five percent(5%) REVOCABLE LIVING TRUST AGREEMENT Page 7 of the fair market value of such principal determined as of the last day of such fiscal year. Such right shall lapse to the extent it is not exercised in any year. Any commission payable with respect to principal so withdrawn shall be charged against such principal. No person, who at any time is acting as Trustee hereunder, shall have any power or obligation to participate in any discretionary authority which the Settlor has given to the Trustee to pay principal or income to such person, or for his or her benefit or in relief of his or her legal obligations; provided, however, that if an individual Trustee has discretion to invade principal for himself or herself and such discretionary authority is limited by an ascertainable standard,then such Trustee may invade principal(if limited by such standard)for himself or herself,but not in relief of his or her legal obligations. The plan of distribution and all terms of this Credit Shelter Trust shall be irrevocable and unamenable at any time after said Credit Shelter Trust comes into being. The Credit Shelter Trustee(s) shall invest the assets of the Credit Shelter Trust to produce a reasonable income for the benefit of the surviving Grantor without subjecting the principal to unreasonable risk of loss. The Credit Shelter Trustee(s) shall be authorized and empowered to invest, reinvest, manage, transfer, and convey any and all property held in this Credit Shelter Trust, including all powers now or hereafter conferred upon Trustees by applicable state law,and also those power appropriate to the orderly and effective administration of the Trust. The Credit Shelter Trustee(s) shall make a written accounting to all income and remainder Beneficiaries or to their guardians at least annually and at the time that all assets of this Credit Shelter Trust are distributed. Said accounting shall consist of a record showing assets on hand at the time of the last accounting, plus additions, minus expenses and distributions, which shall equal current assets on hand. The Credit Shelter Trustee(s) shall not be required to obtain authority or approval of any court. in the exercise of any power conferred upon the Trustee(s), nor shall said Trustee(s) be required to make accountings or reports to any court. Upon the death of the surviving Settlor, any accrued income shall be paid to the estate of the surviving Settlor and the remaining principal of this Credit Shelter Trust shall be held, administered, and disposed of in accordance with the dispositive provisions of this agreement. Section 3.05-Qualified Terminable Interest Trust If either of the Grantors survives the other and there are assets allocated to Share B described in Section 3.03 above, then the Trustee shall set apart said assets and hold them as a separate trust (the "Qualified Terminable Interest Trust"). The Trustee shall hold, manage, invest, and reinvest the assets of this Qualified Terminable Interest Trust, shall collect the income therefrom,and shall pay the set income to or for the benefit of the surviving Grantor in convenient installments at least quarter-annually. Upon the surviving Grantor's death, any accrued, undistributed income shall be distributed to said surviving Grantor's estate. The remaining principal shall be added to and become part of the Credit Shelter Trust and shall be held and administered and disposed of in accordance with the plan of distribution for the Credit Shelter Trust as provided in Sections 3.04 and 4.03, after provision has first been made for the payment of any estate, inheritance, transfer, succession, or other death taxes, payable by reason of the inclusion of the value of the Trust property in said surviving Grantor's estate. The Trustee(s) of the Qualified Terminable Interest Trust are hereby authorized, in the Trustee(s) sole discretion, to determine whether to elect (under Section 2056(b)(7) of the Internal Revenue Code) to qualify all or a specific portion of the Qualified Terminable Interest Trust created herein for the federal estate tax marital deduction. The Trustee(s)of the Qualified Terminable Interest Trust,in exercising such REVOCABLE LIVING TRUST AGREEMENT Page 8 discretion, shall attempt to minimize, or eliminate if possible, the federal estate tax payable by the estate of the decedent spouse's estate. However, if the Trustee(s) of the Qualified Terminable Interest Trust determine that it is in the best interest of the persons who may receive any assets after the decedent spouse's death and after the surviving Grantor's death to pay some federal estate tax in the decedent spouse's estate, taking into consideration any other tax that is to be paid because of the decedent spouse's death and the surviving Grantor's death, and any income tax liability that may be affected by the election, the Trustee(s) of the Qualified Terminable Interest Trust may elect to take a marital deduction that does not reduce the tax to zero if the payment of the tax will not jeopardize the ability of the Qualified Terminable Interest Trust to provide the surviving spouse with the level of support and maintenance contemplated by this Declaration of Trust. The decision of the Qualified Terminable Interest Trustee(s)to make this election shall be final and binding on all persons. The Trustee(s) of the Qualified Terminable Interest Trust is (are) authorized and empowered to invest, reinvest, transfer, and convey any and all property held in this Qualified Terminable Interest Trust. This includes all power now or hereafter conferred upon Trustees by applicable state law, and also those powers appropriate to the orderly and effective administration of the Trust. The Trustee(s)shall make a written accounting to the surviving Grantor at least annually and shall make a written accounting to all remainder Beneficiaries at the time that all assets of.this Qualified Terminable Interest Trust are distributed. Section 3.06-Power to Appoint Agents The surviving spouse shall have the right to retain an accountant and / or an attorney at law for professional services on behalf of the Trust Estate or Estates herein. The surviving spouse shall not be responsible for the acts of such agents beyond his or her obligation to use reasonable care in the selection of such agents. Section 3.07-Maximum Marital Deduction Except as otherwise expressly stated herein, the term "Maximum Marital Deduction" shall not be .construed as a direction by the deceased Settlor to exercise any election respecting the deduction of Estate administration expenses, the determination of the Estate tax valuation date, or any other tax election which may be available under any tax laws,only in such manner as will result in a larger allowable Estate tax marital deduction than if the contrary election had been made. Section 3.08-Trust Income After The First Death Following the death of either Settlor and until the death of the surviving Settlor,the Trustee shall,at least annually, pay to or apply for the benefit of the surviving Settlor all of the net income from the Trust Estate. Section 3.09-Simultaneous Death If the Settlors should die under circumstances which would render it doubtful as to which Settlor died first, it shall be conclusively presumed for the purposes of this Trust that Robert L. Bentz died first. If any other Beneficiary and a Settlor should die under such circumstances, it shall be conclusively presumed that the Beneficiary predeceased such Settlor. REVOCABLE LIVING TRUST AGREEMENT Page 9 Section 3.10-Last Expenses Upon the death of each of the Settlors, the Trustee of this Trust may, in its discretion,pay any part of or all of the funeral and burial expenses, probate claims, administration expenses, and any estate; inheritance, succession, or other death taxes, which are payable as a result of the death of each of the Settlors, out of that portion of the Trust Estate constituting the deceased Settlor's separate Trust Share. The Trustee may make any such payments directly to the creditors or taxing authority in question,or may remit funds to the personal representative of the Estate of the deceased spouse for such payments. ARTICLE FOUR Administration1distribution of Survivor's Trust Section 4.01 -Common Pot Trust At the death of the Surviving Settlor, the Trustee shall not create a Common Pot Trust. All of the Trust Estate that has not been distributed under prior Articles of the Trust Agreement shall be held, administered,divided, and distributed according to the provisions that follow. Section 4.02-Second Death On the death of the last Settlor to die(the"Surviving Settlor"),the Trustee shall distribute the principal of the Trust and any accrued or undistributed income from the principal of the Trust in such a manner and to such persons,including the Estate or the Creditors, as directed in this Trust Agreement. Section 4.03-Payment of The Second Death Expenses On the death of the Surviving Settlor, the Trustee shall pay from that portion of the Trust Estate constituting the deceased Settlor's separate Trust Share the expenses of the surviving Settlor's last illness, funeral, burial, and any inheritance, estate, or death taxes that may be due by reason of the Surviving Settlor's death, unless the Trustee in his or her absolute discretion determines that other adequate provisions have been made for the payment of such expenses and taxes. Section 4.04-Trust Income and Principal Distribution Upon The Death of The Surviving Trustor 1. The Trustee shall apply and distribute the net income and principal of each of the shares of the resulting Trust Estate, after giving effect to the section of this Trust Agreement entitled"Special Directives"to the following Beneficiaries in the indicated fractional shares: Ruth Ann Gensler 3110 Ronald R.Bentz . 2110 Thomas E.Bentz 3110 Ronald E.Bentz 2110 2. If any of the above Beneficiaries,or any other Beneficiary, is under the age of 21 years when the distribution is to be made, the Trustee shall have authority to distribute the same, in whole or in part,to a custodian for the minor appointed under a Uniform Gifts or Transfers to Minors Act,or the Trustee may retain any such property and administer and distribute the same for the benefit of the minor,paying to or.for the benefit of such minor so much of the income and principal of the retained property from time to time as the Trustee deems advisable for the health, education, support, and maintenance of the minor. When the person for whom the property is held attains the age of 21 years, the property shall thereupon be distributed to him or her free of trust unless REVOCABLE.LIVING TRUST AGREEMENT Page 10 otherwise stated in this Agreement. If the minor should die before attaining the age of majority, the property shall then be paid and distributed to the estate of the minor. 3. If all of the Settlor's Beneficiaries and their children should fail to survive the final distribution of the Trust Estate, all of the Trust Estate not disposed of as hereinabove provided shall be distributed as provided for in this Trust Agreement. Section 4.05-Principle of Representation Unless indicated differently in this Trust Agreement or in the"Special Directives"section that follows,in the event any of the named Beneficiaries should predecease both Settlors,all of that person's share of the Trust Estate is to be divided equally among the deceased Beneficiary's children or issue per stirpes. In the event the predeceased Beneficiary leaves no surviving children or issue,then all of that person's share of the Trust Estate shall be divided equally among the remaining Beneficiaries per stirpes. If a Beneficiary of the Settlors survives both Settlors,but should fail to survive to collect his or her share at distribution,that share shall pass to the surviving issue of that deceased Beneficiary per stirpes and with right of representation. ARTICLE FIVE Trustee Powers&Provisions Section 5.01 -Non-Income Producing Property During the joint lives of the Settlors, the Trustee is authorized to retain in the Trust, for so long as the Trustee may deem advisable,any property received by the Trustee from the Settlors, whether or not such property is of the character permitted by law for the investment of Trust funds. Section 5.02-Trustee Powers The Trustee shall have all powers conferred upon a Trustee by law for the orderly administration of the Trust Estate. If any property is distributed outright under the provision of this Trust Agreement to a person who is a minor,distribution may be made under the Pennsylvania Uniform Transfer to Minors Act ("PAUTMA'). The Trustee is further authorized to sign,deliver,and/or receive any documents necessary to carry out the powers contained within this Section. The Trustee of any trust created under this Trust Agreement (including any substitute or successor Trustee)will have and be subject to all of the powers, duties, and responsibilities granted or imposed by the Pennsylvania Consolidated Statutes (20 Pa. C.S. Section 101 et seq.) as such Statute may provide at the time of administration of the Trust, except to the extent that the same are inconsistent with the provisions of this Agreement. Section 5.03-Specific Powers of Trustee In addition,the Trustee will have the following specific powers: 1. Trust Estate: The Trustee may leave invested any property coming into its hands hereunder in any form of investment even though the investment may not be of the character of investments permitted by law to trustees, without liability for loss or depreciation in value. The Trustee may sell, exchange, or otherwise dispose of and reinvest property which may at any time be a part of REVOCABLE LIVING TRUST AGREEMENT Page 11 the Trust Estate upon such terms and conditions as the Trustee may deem advisable. The Trustee may invest and reinvest the Trust Assets from time to time in any property, real, personal, or mixed, including without limitation, securities of domestic and foreign corporations and investment trusts or companies, bonds, debentures,preferred stocks, common stocks, mortgages, mortgage participation, and interests in common trust funds, all with complete discretion to convert realty into personalty or personalty into realty or otherwise change the character of the Trust Estate, even though such investment (by reason of its character, amount, proportion to the total Trust Estate, or otherwise) would not be considered appropriate for a fiduciary apart from this provision and even though such investment caused part or all of the total Trust Estate to be invested in investments of one type or of one business or company. 2. Holding Property: The Trustee may hold property in the Trustee's name, as trustee, or in the name of a nominee without disclosing the Trust. 3. Release of Power: If the Trustee deems it to be in the best interest of the Trust and its Beneficiaries,the Trustee,by written instrument signed by such Trustee,will have the power and authority to release, disclaim,or restrict the scope of any power or discretion granted in this Trust Agreement or implied by law. 4. Agents, Employees: The Trustee may employ one or more agents to perform any act of administration, whether or not discretionary, including attorneys, auditors, investment managers, or others, as the Trustee shall deem necessary or advisable. The Trustee may compensate agents and other employees and may delegate to them any and all discretions and powers. 5. Leases: The Trustee may lease any Trust Assets generally or for oil, gas, and mineral development, even though the lease term may extend beyond the term of the Trust of which the property is a part. The Trustee may enter into any covenants and agreements relating to the property so leased or concerning any improvements which may then or thereafter be erected on such property. 6. Common Funds: The Trustee may hold any of the Trust Assets in a common fund with property from other trust estates and may make investments jointly with any other trust, the property of which is included in the common fund. 7. Securities: With respect to securities held in the Trust Estate, the Trustee may exercise all the rights, powers, and privileges of an owner, including but not limited to, the power to vote, give proxies, and to pay assessments and other sums .deemed by the Trustee necessary for the protection of the Trust Estate. In addition, the Trustee may participate in voting trusts, foreclosures, reorganizations, consolidations, mergers, and liquidations, and in connection therewith, to deposit securities with and transfer title to any protective or other committee under such terms as the Trustee may deem advisable. In addition,the Trustee may exercise or sell stock subscription or conversion rights and may accept and retain as an investment any securities or other property received through the exercise of any of the foregoing powers, regardless of any limitations elsewhere in this instrument relative to investments by the Trustee. 8. Purchases from Estate: The Trustee may purchase property of any kind from the Executor or Administrator of our Estates. 9. Lending: The Trustee may make loans, secured or unsecured, to the Executor or Administrator of our Estates, to any Beneficiary of the Trust, or to the Trustee. Further,.the Trustee may use Trust Assets to guarantee obligations of any income Beneficiary of the Trust (unless such Beneficiary is serving as Trustee). REVOCABLE LIVING TRUST AGREEMENT Page 12 10. Distributions to or for Beneficiaries: The Trustee may make any distribution contemplated by this Trust Agreement(1)to the Beneficiary; (2) if the Beneficiary is under a legal disability or if the Trustee determines that the Beneficiary is unable to properly manage his or her affairs, to a person furnishing support,. maintenance, or education for the Beneficiary or with whom the Beneficiary is residing for expenditures on the Beneficiary's behalf; or(3) if the Beneficiary is a minor, to a trustee of an existing trust established exclusively for the benefit of such minor, whether created by this Trust Agreement or otherwise, or to a custodian for the Beneficiary, as selected by the Trustee, under the Pennsylvania Uniform Transfer to Minors Act. Alternatively, the Trustee may apply all or a part of the distribution for the Beneficiary's benefit. Any distribution under this paragraph will be a full discharge of the Trustee with respect thereto. On any partial or final distribution of the Trust Assets, the Trustee may apportion and allocate the assets of the Trust Estate in cash or in kind, or partly in cash and partly in kind, or in undivided interests in the manner deemed advisable at the discretion of the Trustee and to sell any property deemed necessary by the Trustee to make the distribution. The Trustee may distribute gifts of up to$10,000.00 per year per donee out of principal and/or interest. 11. Insurance: The Trustee may purchase new life insurance, pay the premiums on existing life insurance on the life of any Trust Beneficiary,purchase annuities (either commercial or private) from any corporation, trust, or individual, and may procure and pay the premiums on other . insurance of the kinds, forms, and amounts deemed advisable by the Trustee to protect the Trustee and the Trust Estate. 12. Borrowing: The Trustee may borrow money from the Trust Estate and others. To secure the repayment thereof, the Trustee may mortgage, pledge, or otherwise encumber part or all of the Trust Assets, and in connection with the acquisition of any property, the Trustee may assume a liability or may acquire property subject to a liability. 13. Repairs: The Trustee may make ordinary and extraordinary repairs and alterations to buildings or other Trust Assets. 14. Reserves: The Trustee may establish such reserves out of income for taxes, assessments,repair, and maintenance as the Trustee considers appropriate. 15. Continuation of Business: The Trustee may continue any business or businesses in which the Trust has an interest at the time of the Settlors' death for so long as the Trustee may, in its sole discretion, consider necessary or desirable, whether or not the business is conducted by the Settlors at the time of their death individually,as a partnership,or as a corporation wholly owned or controlled by them, with full authority to sell, settle, and discontinue any of them when and upon such terms and conditions as the Trustee may, in its sole discretion, consider necessary or desirable. 16. Retain Property for Personal Use: The Trustee may retain a residence or other property for the personal use of a Beneficiary and allow a Beneficiary to use or occupy the retained property free of rent and maintenance expenses. 17. Dealings with Third Parties: The Trustee may deal with any person or entity regardless of relationship or identity of any Trustee to or with that person or entity. The Trustee may hold or invest any part of or all of the Trust Estate in common or undivided interests with that person or entity. 18. Partitions, Divisions, Distributions: The Trustee will have the power to make all partitions, divisions, and distributions contemplated by this Trust Agreement. Any partitions, divisions, or REVOCABLE LIVING TRUST AGREEMENT Page 13 other distributions may be made in cash, in kind, or partly in cash and partly in kind, in any manner that the Trustee deems appropriate(including composing shares differently). The Trustee may determine the value of any property, which valuation will be binding on all Beneficiaries. No adjustments are required to compensate for any partitions, divisions, or distributions having unequal consequences to the Beneficiaries. 19. Claims,Controversies: The Trustee may maintain and defend any claim or controversy by or against the Trust without the joinder or consent of any Beneficiary. The Trustee may commence or defend at the expense of the Trust any litigation with respect to the Trust or any property of the Trust Estate as the Trustee may deem advisable. The Trustee may employ, for reasonable compensation, such counsel as the Trustee shall deem advisable for that purpose. 20. Merger of Trusts: If at any time the Trustee of any trust created hereunder shall also be acting as trustee of any other trust created by trust instrument or by trust declaration for the benefit of the same beneficiary or beneficiaries and upon substantially the same terms and conditions, the Trustee is authorized and empowered, if in the Trustee's discretion such action is in the best interest of the Beneficiary or Beneficiaries,to transfer and merge all of the assets then held under such trust created pursuant to this Trust Agreement to and with such other trust and thereupon to terminate the trust created pursuant to this Trust Agreement. The Trustee is further authorized to accept the assets of any other trust which may be transferred to any trust created hereunder and to administer and distribute such assets and properties so transferred in accordance with the provisions of this Agreement. 21. Termination of Small Trust: Any corporate Trustee which is serving as the sole Trustee of any Trust or any Share thereof may at any time terminate such Trust or Share if,in the Trustee's sole judgment, the continued management of such Trust or Share is no longer economical because of the small size of such Trust or Share and if such action will be deemed to be in the best interests of the Beneficiary or Beneficiaries. In case of such termination, the Trustee will distribute forthwith the share of the Trust Estate so terminated to the income Beneficiary,per stirpes. Upon such distribution, such Trust or Share will terminate and the Trustee will not be liable or responsible to any person or persons whomsoever for its action. The Trustee will not be liable for failing or refusing at any time to terminate any Trust or a Share thereof as authorized by this paragraph. 22. Power to Determine Income and Principal: Dividends payable in stock of the issuing corporation, stock splits,and capital gains will be treated as principal. Except as herein otherwise specifically provided, the Trustee will have full power and authority to determine the manner in which expenses are to be borne and in which receipts are to be credited as between principal and income. The Trustee has the power to determine what will constitute principal or income and may withhold from income such reserves for depreciation or depletion as the Trustee may deem fair and equitable. In determining such matters,:the Trustee may give consideration to the provisions of the Pennsylvania Statutes (or its successor statutes) relating to such matters, but it will not be bound by such provisions. 23. Generation-Skipping Taxes and Payment: If the Trustee considers any distribution or termination of an interest or power hereunder as a distribution or termination subject to a generation-skipping tax,the Trustee is authorized: 24. To augment any taxable distribution by an amount which the Trustee estimates to be sufficient to pay such tax and charge the same to the particular trust to which the tax related without adjustment of the relative interests of the Beneficiaries; REVOCABLE LIVING TRUST AGREEMENT Page 14 i a. To pay such tax, in the case of a taxable termination, from the particular trust to which the tax relates without adjustment of the relative interests of the Beneficiaries. If such tax is imposed in part by reason of the Trust Assets, the Trustee will pay only the portion of such tax attributable to the taxable termination hereunder taking into consideration deductions, exemptions, credits, and other factors which the Trustee deems advisable; and b. To postpone final termination of any particular trust and to withhold any portion or all of the Trust Estate until the Trustee is satisfied that the Trustee no longer has any liability to pay any generation-skipping tax with reference to such trust or its termination. Section 5.04-Special Provision for S Corporation Stock Notwithstanding what is otherwise provided in this Trust Agreement,if at any time the Trust contains any stock of a corporation which elects or has elected treatment as an "S Corporation" as defined by Section 1361(a)(1) of the Internal Revenue Code (or any corresponding successor statute), such stock will be segregated from the other assets of such and treated as a separate trust. The Trustee will further divide the separate trust into shares for each Beneficiary and such shares will be distributed outright or held in trust as herein provided. In addition,all other provisions of this Trust Agreement will apply to each share held in trust (and constituting a separate trust) except that the Trustee will distribute all of the income from each separate trust to its Beneficiary in convenient installments at least annually. It is the Settlors' intent that each separate trust will be recognized as a "Qualified Subchapter S Trust" ("QSST") under Section 1361(d)(2) of the Internal Revenue Code (or any corresponding successor statute). Notwithstanding any provisions of this Trust Agreement to the contrary, the Trustee's powers and discretions with respect to the administration of each separate trust (including.methods of accounting, bookkeeping, making distributions, and characterizing receipts and expenses) will not be exercised or exercisable except in a manner consistent with allowing each separate trust to be treated as a QSST as above described. ARTICLE SIX Trustee Powers with a Probate Estate Section 6.01 -Coordination with Settlor's Probate Estate . 1. At any time during the continuance of this Trust, including subsequent to the death of either Settlor, the Trustees may, in their sole and uncontrolled discretion, distribute to the deceased Settlor's Probate Estate cash and/or other property as a Beneficiary of the Trust. 2. All other provisions to the contrary notwithstanding, under no circumstances shall any restricted proceeds,as hereinafter defined,be either directly or indirectly: (i)distributed to or for the benefit of the Settlor's Executors or the Settlor's Probate Estate; or(ii)used to pay any other obligations of the Settlor's Estate. The term"Restricted Proceeds"means: a. All qualified plans, individual retirement accounts,or similar benefits which are received or receivable by any Trustee hereunder, and which are paid solely to a Beneficiary other than the Executor of the Settlor's Gross Estate for Federal Estate Tax purposes; and b. All proceeds of insurance on the Settlor's life which, if paid to a Beneficiary other than the Settlor's Estate, would be exempt from inheritance or similar death taxes under applicable state death laws. REVOCABLE LIVING TRUST AGREEMENT Page 15 Section 6.02-Direction to Minimize Taxes In the administration of the Trust hereunder, its Fiduciaries shall exercise all available tax related . elections, options, and choices in such a manner as they, in their sole but reasonable judgment (where appropriate,receiving advice of tax counsel),believe will achieve the overall minimum in total combined present and reasonably anticipated future administrative expenses and taxes of all kinds. This applies not only to said Trust,but also to its Beneficiaries, to the other Trusts hereunder and their Beneficiaries, and to the Settlor's Probate Estate. Without limitation on the generality of the foregoing direction (which shall to that extent supercede the usual fiduciary duty of impartiality), such Fiduciaries shall not be accountable to any person interested in this Trust or to Settlor's Estate for the manner in which they shall carry out this direction to minimize overall taxes and expenses (including any decision they may make not to incur the expense of a detailed analysis of alternative choices). Even though their decisions in this regard may result in increased taxes or decreased distributions to the Trust,to the Estate,or to one or more Beneficiaries,the Fiduciaries shall not be obligated for compensation readjustments or reimbursements which arise by reason of the manner in which the Fiduciaries carry out this direction. Section 6.03-Judgment and Discretion of Trustee In the absence of proof of bad faith,all questions of construction or interpretation of any trusts created by this Trust Agreement will be finally and conclusively determined solely by the Trustee, according to the Trustee's best judgment and without recourse to any court. Each determination by the Trustee is binding on the Beneficiaries and prospective Beneficiaries hereunder, both in being and unborn, as well as all other persons, firms, or corporations. The Trustee, when exercising any discretionary power relating to the distribution or accumulation of principal or income or to the termination of any trust, will be responsible only for lack of good faith in the exercise of such power. Each determination may be relied upon to the same extent as if it were a final and binding judicial determination. In the event of a conflict between the provisions of this Trust Agreement and those of the Pennsylvania Statutes,the provisions of . this Agreement will control. ARTICLE SEVEN Resolution of Conflict Section 7.01 -Resolution of Conflict Any controversy between the Trustee or Trustees and any other Trustee or Trustees,or between any other parties to this Trust,including Beneficiaries,involving the construction or application of any of the terms, provisions, or conditions of this Trust shall, on the written request of either or any disagreeing party served on the other or others, shall be submitted to arbitration. The parties to such arbitration shall each appoint one person to hear and determine the dispute and,if they are unable to agree,then the two persons so chosen shall select a third impartial arbitrator whose decision shall be final and conclusive upon both parties. The cost of arbitration shall be borne by the losing party or in such proportion as the arbitrator(s) shall decide. Such arbitration shall comply with the commercial arbitration rules of the American Arbitration Association, 140 West 51 st Street,New York,NY 10200. REVOCABLE LIVING TRUST AGREEMENT Page 16 Section 7.02-Incontestability The beneficial provisions of this Trust Agreement are intended to be in lieu of any other rights,claims,or interests of whatsoever nature, whether statutory or otherwise, except bona fide pre-death debts, which any Beneficiary hereunder may have in Settlor's Estate or in the properties in trust hereunder. Accordingly, if any Beneficiary hereunder asserts any claim(except a legally enforceable debt),statutory election, or other right or interest against or in Settlor's Estate, or any properties of this Trust, other than pursuant to the express terms hereof, or directly or indirectly contests, disputes, or calls into question, before any court,the validity of this Trust Agreement,then: 1. Such Beneficiary shall thereby absolutely forfeit any and all beneficial interests of whatsoever kind and nature which such Beneficiary or his or her heirs might otherwise have under this Trust Agreement and the interests of the other Beneficiaries hereunder shall thereupon be appropriately and proportionately increased; and 2. All of the provisions of this Trust Agreement,to the extent that they confer any benefits,powers, or rights whatsoever upon such claiming, electing, or contesting Beneficiary, shall thereupon become absolutely void; and 3. Such claiming, electing, or contesting Beneficiary, if then acting as a trustee hereunder, shall automatically cease to be a Trustee and shall thereafter be ineligible either to select, remove, or become a Trustee hereunder. Section 7.03-Specific Omissions Any and all persons and entities, except those persons and entities specifically named herein, have been intentionally omitted from this Trust Agreement. If any person or entity shall successfully challenge any term or condition of this Trust Agreement, then, to that person or entity shall be.given the sum of one dollar($1.00) in lieu and in place of any other benefit, grant,or interest which that person or interest may have in the Trust Estate. Section 7.04-Benefits Confidential The Settlors further declare that it is their desire and intent that the provisions of this Trust Agreement are to remain confidential as to all parties. The Settlors direct that only the information concerning the benefits paid to any particular Beneficiary shall be revealed to such individual and that no individual shall have a right to information concerning the benefits being paid to any other Beneficiary. ARTICLE EIGHT General Provisions Section 8.01 -Distribution in Kind or in Cash On any division of the assets of the Trust Estate into shares or partial shares, and on any final or partial distribution of the assets of the Trust Estate,the Trustee, at his or her absolute discretion,may divide and distribute undivided interests of such assets on a pro rata or non-pro rata basis, or may sell any part of or all of such assets and may make divisions or distributions in cash or partly in cash and partly in kind. The decision of the Trustee, either prior to or on any division or distribution of such assets, as to what constitutes a proper division of such assets of the Trust Estate,shall be binding on all persons interested in any trust provided for in this Trust Agreement. REVOCABLE LIVING TRUST AGREEMENT Page 17 Section 8.02-Spendthrift Provision Neither the principal nor the income of the trust shall be liable for the debts of a Beneficiary. Except as _ otherwise expressly provided in this Agreement, no Beneficiary of any trust shall have any right,power, or authority to alienate, encumber, or hypothecate his or her interest in the principal or income of this Trust in any manner, nor shall the interests of any Beneficiary be subject to the claims of his or her creditors or liable to attachment, execution, or other process of law. The limitations herein shall not restrict the exercise of any power of appointment or the right to disclaim. Section 8.03-Definition of Children The terms "Child"and "Children" as used in this Agreement mean the lawful issue of a Settlor or of the Settlors together. This definition also includes children legally adopted by a Settlor or by the Settlors together. Section 8.04-Handicapped Beneficiaries Any Beneficiary who is determined by a court of competent jurisdiction to be incompetent shall not have any discretionary rights of a Beneficiary with respect to this Trust, or to their share or portion thereof. The Trustee shall hold and maintain such incompetent Beneficiary's share of the Trust estate and shall,.in the Trustee's sole discretion, provide for such Beneficiary as that Trustee would provide for a minor. Notwithstanding the foregoing, any Beneficiary who is diagnosed for the purposes of governmental benefits(as hereinafter delineated) as being not competent-or as being disabled,and who shall be entitled to governmental support and benefits by reason of such incompetency or disability, shall cease to be a Beneficiary of this Trust. Likewise, they shall cease to be a Beneficiary if any share or portion of the principal or income of the Trust shall become subject to the claims of any governmental agency for costs or benefits,fees,or charges. The portion of the Trust Estate which,absent the provisions of this section,would have been the share of such incompetent or handicapped person shall be retained in trust for as long as that individual lives. The Trustee, at his or her sole discretion, shall utilize such funds for the maintenance of that individual. If such individual recovers from his or her incompetency or disability and is no longer eligible for aid from any governmental agency,including costs or benefits, fees, or charges, such individual shall be reinstated as a Beneficiary after 60 days from such recovery and the allocation and distribution provisions as stated herein shall apply to that portion of the Trust Estate which is held by the Trustee subject to the foregoing provisions of this section. If said handicapped Beneficiary is no longer living and shall leave children then living,the deceased child's share shall pass to those children per stirpes. If there are no children,'the share shall be allocated.proportionately among the remaining Beneficiaries. ARTICLE NINE Successor Trustee Appointments Section 9.01 -Trustees All Trustees are to serve without bond. The following will act as Trustees of any Trusts created by this Trust Agreement, in the following order of succession: First: The undersigned,Robert L.Bentz and/or Catherine R.Bentz. Second: The Surviving Spouse. REVOCABLE LIVING TRUST AGREEMENT Page 18 Third: Upon the end of the terms of the original Trustees,Ruth Ann Gensler,Ronald R. Bentz,and Thomas E.Bentz are designated as Joint Successor Trustees. Fourth: In the event that one of my Joint Successor Trustees is unwilling or unable to serve,then the remaining Joint Successor Trustee(s)shall continue to serve. Last: A Trustee chosen by the majority of Beneficiaries,with a parent or legal guardian voting for minor Beneficiaries; provided, however, that the children of any deceased Beneficiary shall collectively have only one vote. Section 9.02-Allocation and Distribution of The Trust Assets The Trustees shall allocate,hold,administer,and distribute the Trust Assets as hereinafter provided: 1. Upon the death of the first Settlor, the Trustee shall make any separate distributions that have been specified by the deceased Settlor. The Trustee shall also take into consideration the appropriate provisions of this Article. 2. Upon the death of the Surviving Spouse,the Trustee shall hold,administer,and distribute the Trust Assets in the manner hereinafter prescribed. Section 9.03-Personal Property Distribution Notwithstanding any provision of this Trust Agreement to the contrary, the Trustee must abide by any memorandum by the Settlors, particularly that contained in the section entitled "Special Directives" incorporated into this Trust Instrument, directing the disposition of Trust Assets of every kind including, but not limited to, furniture, appliances, furnishings, pictures, china, silverware, glass, books,jewelry, wearing apparel, and all policies of fire, burglary, property damage, and other insurance on or in connection with the use of property. Otherwise, any personal and household effects of the Settlors shall be distributed with the remaining assets of the Trust Estate. Section 9.04-Liability of Trustee The Trustee will not be responsible or liable for any loss which may occur by reason of depreciation in value of the properties at any time belonging to the Trust Estate nor for any other loss which may occur, except that the Trustee will be liable for each Trustee's own negligence,neglect,default,or willful wrong. The Trustee will not be liable or responsible for the acts, omissions, or defaults of any agent or other person to whom duties may be properly delegated hereunder(except officers or regular employees of the Trustee) if such agent or person was appointed with due care. The Trustee may receive reimbursement from the Trust Estate for any liability, whether in contract or in tort, incurred in the administration of the Trust Estate in accordance with the provisions hereof,and the Trustee may contract in such form that such Trustee will be exempt from such personal liability and that such liability will be limited to the Trust Assets. Section 9.05-Successor Trustees Any Successor Trustee shall have all the power,rights,discretion, and obligations conferred on a Trustee by this Trust Agreement. All rights,titles, and interest in the property of the Trust shall immediately vest in the successor Trustee at the time of appointment. The prior Trustee shall,without warranty,transfer to the Successor Trustee the existing Trust property. No Successor Trustee shall be under any duty to examine, verify, question, or audit the books,records, accounts, or transaction of any preceding Trustee; and no Successor Trustee shall be liable for any loss or expense from or occasioned by anything done or REVOCABLE LIVING TRUST AGREEMENT Page 19 neglected to be done by any predecessor Trustee. A Successor Trustee shall be liable only for his or her own acts and defaults. ARTICLE TEN Rule Against Perpetuities Section 10.01-Perpetuities Savings Clause Notwithstanding any other provision of this instrument, the Trusts created hereunder shall terminate not later than twenty-one (2 1) years after the death of the last.survivor of all Settlors and any other Beneficiary or Beneficiaries named or defined in this Trust living on the date of the death of the first Settlor to die. The Trustee shall distribute remaining Trust principal and all accrued or undistributed net income hereunder to the Beneficiary or Beneficiaries. If there is more than one Beneficiary, the distribution shall be in the proportion in which they are Beneficiaries;if no proportion is designated,then the distribution shall be in equal shares to such Beneficiaries. ARTICLE ELEVEN General Provisions Section 11.01-Governing Law It is not intended that the laws of only one part icular state shall necessarily govern all questions pertaining to all of the Trust hereunder. 1. The validity of the Trust hereunder, as well as the validity of the particular provisions of that Trust, shall be governed by the laws of the state which has sufficient connection with the Trust to support such validity. 2. The meaning and effect of the terms of this Trust Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. 3. The administration of this Trust shall be governed by the laws of the state in which the principle office of the Trustee then having custody of the Trust's principal assets and records is located. The foregoing shall apply even though the situs of some Trust Assets or the home of the Settlor, a Trustee,or a Beneficiary may at some time or times be elsewhere. Section 11.02-Invalidity of Any Provision If a court finds that any, provision of this Trust Agreement is void, invalid, or unenforceable, the remaining provisions of this Agreement will continue to be fully effective. Section 11.03-Headings The use of headings in connection with the various articles and sections of this Trust Agreement is solely for convenience and the headings are to be given no meaning or significance whatsoever in construing the terms and provisions of this Agreement. REVOCABLE LIVING TRUST AGREEMENT Page 20 Section 11.04-Internal Revenue Code Terminology As used herein, the words "Gross Estate," "Adjusted Gross Estate," "Taxable Estate," "Unified Credit," "State Death Tax Credit," "Maximum Marital Deduction," "Marital Deduction," and any other word or words which from the context in which it or they are used refer to the Internal Revenue Code shall be assigned the same meaning as words have for the purposes of applying the Internal Revenue Code to a deceased Settlor's Estate. Reference to sections of the Internal Revenue Code and to the Internal Revenue Code shall refer to the Internal Revenue Code amended to the date of such Settlor's death. REVOCABLE LIVING TRUST AGREEMENT Page 21 SPECIAL DIRECTIVES OF ROBERT L.BENTZ I, ROBERT L. BENTZ a resident of the County of Cumberland, Commonwealth of Pennsylvania, being of lawful age, and of sound and disposing mind and memory, and not acting under duress, fraud,or undue influence,hereby make,publish and declare this to be my Special Directive,and I incorporate THE ROBERT L. BENTZ AND CATHERINE R. BENTZ REVOCABLE LIVING TRUST AGREEMENT. FIRST The natural objects of my affection are: 1. My Wife- Catherine R.Bentz 2. My Children- Ruth Ann Gensler Ronald R.Bentz Thomas E.Bentz SECOND I direct that all estate and inheritance taxes payable as a result of my death, not limited to taxes assessed on property, shall be paid out of the residue of my Estate,and shall not be deducted or collected from any League,Devisee,or Beneficiary hereunder. THIRD In the event any of my named Beneficiaries should predecease me,all of that person's share of the Trust Estate shall be divided equally among that person's issue per stirpes. In the event any such predeceased Beneficiary leaves no surviving children or issue, then all of that person's share shall be distributed to the remaining Beneficiaries. FOURTH In the event all of my named Beneficiaries and their children and issue predecease me, all of the Trust Estate shall be distributed to my heirs at law. FIFTH I direct that all outstanding debts and/or loans owed by any Beneficiary. shall be forgiven and deemed as having not existed. REVOCABLE LIVING TRUST AGREEMENT Page 22 SIXTH I direct that, before any distribution of the assets of the Trust Estate to the named Beneficiaries, certain specific distributions, if any, shall be made from the assets as set forth on the list attached hereto and marked"Exhibit A." SEVENTH I hereby acknowledge and accept the "Special Directives," if any, of my spouse. REVOCABLE LIVING TRUST AGREEMENT Page 23 SPECIAL DIRECTIVES OF CATHERINE R.BENTZ I, CATHERINE R. BENTZ, a resident of the County of Cumberland, Commonwealth of Pennsylvania, being of lawful age, and of sound and disposing mind and memory, and not acting under duress, fraud,or undue influence,hereby make,publish and declare this to be my Special Directive,and I incorporate THE ROBERT L. BENTZ AND CATHERINE R. BENTZ REVOCABLE LIVING TRUST AGREEMENT. FIRST The natural objects of my affection are: 1. My Husband- Robert L.Bentz 2. My Children- Ruth Ann Gensler Ronald R.Bentz Thomas E.Bentz SECOND I direct that all estate and inheritance taxes payable as a result of my death, not limited to taxes assessed on property, shall be paid out of the residue of my Estate,and shall not be deducted or collected from any League,Devisee, or Beneficiary hereunder. THIRD In the event any of my named Beneficiaries should predecease me,all of that person's share of the Trust Estate shall be divided equally among that person's issue per stirpes. In the event any such predeceased Beneficiary leaves no surviving children or issue, then all of that person's share shall be distributed to the remaining Beneficiaries. FOURTH In the event all of my named Beneficiaries and their children and issue predecease me, all of the Trust Estate shall be distributed to my heirs at law. FIFTH I direct that all outstanding debts and/or loans owed by any Beneficiary shall be forgiven and deemed as having not existed. REVOCABLE LIVING TRUST AGREEMENT Page 24 SIXTH I direct that, before any distribution of the assets of the Trust Estate to the named Beneficiaries, certain specific distributions, if any, shall be made from the assets as set forth on the list attached hereto and marked"Exhibit A." SEVENTH I hereby acknowledge and accept the"Special Directives," if any, of my spouse. REVOCABLE LIVING TRUST AGREEMENT Page 25 DATED to be effective this day of SETTLORS: ROBERT L.BENTZ S CATHERINE R.BENTZ ACCEPTED BY CO-TRUSTEES: y t ?-�-�— ROBERT L.BENTZ d � CATHERINE R.BENTZ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND This instrument was acknowledged before me on the date herein set forth by ROBERT L. BENTZ as Settlor and Co-Trustee to certify which witness my hand and seal of office. Notary Pu ommonwealth of Pennsylvania NOTARIAL SEAL TODD B.GARRY,Notary Public Lower Southampton Twp.,Bucks County COMMONWEALTH OF PENNSYLVANIA Commissan Expires May 3,2004 COUNTY OF CUMBERLAND This instrument was acknowledged before me on the date herein set forth by CATHERINE R. BENTZ as Settlor and Co-Trustee to certify which witness my hand and seal of office. C Notary P , ommonwealth of Pennsylvania NOTARIAL SEAL TODD B.GARRY,Notary PuW t0euj th2mptcr►Twp�I.,Budc3.2004 REVOCABLE LIVING TRUST AGREEMENT Page 26 THE ROBERT L.BENTZ AND CATHERINE R.BENTZ REVOCABLE LIVING TRUST AGREEMENT Declaration of Intent The undersigned hereby declare that, as Trustee of THE ROBERT L. BENTZ AND CATHERINE R. BENTZ REVOCABLE LIVING TRUST, they are acquiring and will hold in the name ROBERT L. BENTZ and CATHERINE R. BENTZ, but without further reference to their fiduciary capacity, all items listed on the attached schedule(s) hereto and incorporated herein as amended, from time to time, as well as household furnishings, automobiles, jewelry, bank accounts, securities, bonds, clothing and other personal property of any kind in their name or in either of their names and henceforth such assets shall and will belong to said Trust and not to them individually; and they further declare that, except to the extent of interest provided to them under the terms and provisions of said Trust, they have no personal interest in any of the above itemized personal properties, it being intended and this Declaration constitutes an affirmation of Trust ownership and an assignment to this Trust and shall be binding on their heirs,administrators, executors and assigns. IN W,,TINESS WHEREOF,the undersigned have executed this instrument thisd�O�7 day of OBERT L.BENTZ Settlor/Trustee CATHERINE R.BENTZ Settlor/Trustee COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND BEFORE ME, the undersigned authority, on this day personally appeared ROBERT L. BENTZ and CATHERINE R. BENTZ, known to me to be the persons whose names are subscribed to the foregoing instrument, and acknowledged to me that they executed the same for the purposes and consideration therein expressed and in the capacity therein stated. SUBSCRIBED AND SWORN this day of Notary Publ ommonwealth of Pennsylvania WTAFM SEAL. 'TOM 9,CAM,Notary Public 1 Up.,Bucks County C mntsion Expires May 3,2004