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HomeMy WebLinkAbout01-0333 PETITION FOR PROBATE and GRANT OF LETTERS IX>rothea S. Lenker Estate of also known as No. To: Register of Wills for the Deceased. County of Cumberland in the Social Security No. 206-j6-~jn Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who i~ 18 years of age or older an the execut or in the last will of the above decedent, dated March 9. and codicil(s) dated None 21-01-333 named 2000 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Lower Allen Twp., Decendent was domiciled at death in CUmberland County, Pennsylvania, with her last family or principal residence at Bethany Village. 325 Weslev Drive. Mprh~nirqhlr~, PA 170~~ (list street, number and muncipality) Decendent, then 84 years of age, died March 2, at F.~qt- PF>nn!=:Ooro 'l'own!=:hip. Cumberland County. Pennsylvania Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: None Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: , ~ 2001 , $ 7 , 500.00 $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) prec;ented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. - VI '0;" " c <> "C_ .- '" "'- <> ... CI::<> C "CO c':; ca ": -<> ",Q.. '0;",- ;0 <U c "" Vi ~~ Lb~"+ BV: im E. Garrett, Trust Officer First Union National Bank 100 N. Queen street T.~nr~!=:t-pr, PA 17f\01 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF.PENNSYLVANIA I ss COUNTY OF Cumberland J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and tr ly administer the estate according to law. Sworn to or . affirme d. and sub scribed { before me this 23rd- day of 'MARC~ 2001 /6-_2;26~'Y(>. H/Jf/tW/l'lx" ~~';r' No. 21-01-333 Estate of Dorothea S. Lenker , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MARCH 29 XW 2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated March 9, 2000 described therein be admitted to probate and filed of record as the last will of Dorothea S. Lenker Testamentary Kim E. Garrett, Trust Officer First Union National Bank and Letters are hereby granted to ~". "r?"1tl//n f.",u/--C.t" /.~,&/ ~' Rister of Wills (j FEES Probate, Letters, Etc. ......... Short Certificates( ).......... ~:eg~fia~tion ................ JCP $ $ $ $ 5.00 TOTAL _ $ 63.00 . .~~.~ '?~'" .~99.1................. 40.00 12.00 6.00 James D. Bogar, Esquire 19475 ATTORNEY (Sup. Ct. I.D. No.) One W. Main St. Shirp-m~nstown. PA 17011 ADDRESS .",.-.... . Filed (717) 737-8~76i PHONE ~.=> -;x2(~ 4) -62~~~~ HI05.805 REV 9/86 This is to certif}' that the information here given is correctly copied fro~ an original certificate of death dul~ filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 No. ./) t-rt. ':/r/l(./ _.~?.., ,.,.?-"" /~..( ~7~U~-p:,?-.~.f,Z_._ Local Registrarr- p 7178192 t.jAR 0 6 200t Date 21-01-333 . '4J Roy 2187 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDeNT (hSl. MiGde. lMI t. VoJto:the.a. S. Le.nke.Jt AGE (LaII -Yl UNDER 1 YEAR UNDER , 0IIII MonIha Dt.ye Hour.!: M_ v... SEX STAlE FilE NUM8EA SOCIAL SECURITY NUMBER . 84 COUNTY OF DEArH ,. Fe.ma1.e. 3. '1.06 - 36 - 839'1. Pl.ACE OF OERH IQ\eQ Of1Ily Ilf\e -- ... 'fl$lfucbons on orher SIde) HOSPITAL OTHER: 1- 0 OOA 0 ::::0 0 =.....0 Cumbe.Jt.f.a.nd DECEDENT'S AI. ClCCUMION (~~:''':.'''':::2:i' RACI:. ""'-"can __n. BIac:k. White. IIIC. cs-..,) 10. Wh.i.te. SUR\I1VIHG SPOUSE llf....... QNeITlaldenI'\lln'te) 3'1.5 We.~le.y VJt.i.ve. '.. Me.eha.n.i.e~ bUlL 9 , P A ~'S N.WE (Fir.. _.last) 17055 Twp. ..... d1y- a. . . ....s CASE REFERRED 10 MEDICAL EXAMINERlCORCNER? -u FV Ho~ ... 'Approximate PART A: OIhefsigniftcantcondlliDnaClDnlrilMAinglodNth.buI :~~ not nNUtlingn In. ~caUN given in PART I. I 1 I I,. c. . WERE AUlOPSV FINDINGS -.u&lE PRlOA 10 COOolPUmoN OF CAUSE OF DERH? Of): DUE 10 (OR AS ACONSEOUENCE Of): Voa 0 MANNER Of DEATH HaI...aI tw ........... 0 -.. 0 Panct.ng InvnI'U.Uon 0 - 0 Couki noli be deI.nnaned 0 DATE OF INJURY (Monlh. Day. 'Mal) TIWEOF INJUAY INJURY /Ii1 'M>RK? DESCRIBE HOW INJURY OCCURRED. No 00 Yoo 0 NoD .. 2.b. caJlTlFlElIlCheck onr, one) -CERTIFYING PHYSICIAN Whysc.an CP.lt.ytng cause cI dnIh whert another phVSIC...... has pronounced dNlh ana completed teem lJ) To thIbeetot...,llnowledge. ..... OCCUrred due..... cau..(.) and manner...t11Ied. .............................. ... . ~ PlACE OF INJURY. AI home, farm. str.... lac:cory. allee building. lICe. ISpecIfy) _. .1'fIONOUNC1HG AND CERTIFYING PHYSK:IAH (Ph)'SlClal1 bolh plQrlOUOCIf"Ig oea&h and Ceodyng tocause of dealhl To... beet a' my knowledge. "'alttOCcurred althe..... dala, andpl.c.. and due 10 IhecauM(sJ and manner.. ".18(1 3GI. SlGHRURE AND TITLE OF CERTIFIER J!'J 31b. lICENSE ~'.l/'BER o 31c. /IIQp/O '1.l .)- J:! 31.. /1I1",,....z. 2.'v NAME AND ADORESS OF PER5g0 WHO co..t>LETED \OtUSf OF DEATH "., ellem 27) Type 01 Prinl /r4 V/ of ... "-Ii F"'. &;4" 4--'"; I"'t 1,/. .z,7 It.-..~.,. HJ~ C",.,..~ WI'lf AI" )&//1 'MEDICAL EXAMINEFUCOftONER On the baai. 0' exam'nation andlor jnwes.Ug.lion. in my opinion, death OCCurred at the Uma. date. and place. and due to the cause(a) and mann.ru.tated...................... ....................... .... .......... ...... ...... ....... ...... ... .......... Jla. AEGIST~S SIGNATURE AND NUM8E~ 33. ~ ~~..., _ ~& o ~I/~I""I" I U. DATE FILED (Month. Day. ~alJ 34. ~ ~ <>l "c I --_.~~-~---~-~~._--..- 21-01-333 LAST WILL AND TESTAMENT OF DOROTHEA S. LENKER I, DOROTHEA S. LENKER, of Mechanicsburg, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I give and bequeath all of my jewelry to my cousin, ELVIN APPLEBY DAVIS, of 1198 Channing Avenue, Spring Hill, Florida, provided that should she predecease me, then to her issue per stirpes by representation, with power in my Executor, as hereinafter named, to deliver any such property to which a minor may be entitled either to the minor or to another to hold for such minor during minority, or to sell the same and apply the proceeds for the benefit of the minor in such manor as my Executor may determine. SECOND: I bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, to FIRST UNION NATIONAL BANK, of Harrisburg, PA, to be added to an hereafter treated as a part of that certain inter vivos trust created by me on ~,~q , 2000, of which FIRST UNION NATIONAL BANK, of Harrisburg, Pennsylvania, is Trustee, to have and to hold, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof, including any alterations and amendments thereto, or any other inter vivos trust which may hereafter be substituted therefor. THIRD: I direct that all inheritance, estate, trans- fer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. In making the payment of the ... .. taxes from my residuary estate, I direct that all shares passing to charitable beneficiaries shall be free from tax, and no death taxes shall be apportioned against such beneficiaries. It is my intent that the non-charitable beneficiaries shall bear all the death taxes attributable to my estate. FOURTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. FIFTH: I authorize my Executor, without court approval, to retain any property pending distribution hereunder, to invest in or purchase any property without restriction to legal investments for fiduciaries, to distribute property in kind, to compromise claims, and to sell any property at public or private sales. SIXTH: I nominate and appoint FIRST UNION NATIONAL BANK, of Harrisburg, Pennsylvania, Executor of this, my Last will and Testament. I direct that my Corporate Executor shall not be required to file a bond in any jurisdiction and that my Corporate Executor shall receive compensation for the performance of its functions hereunder in accordance with its schedule of fees in effect from time to time during the period over which its ser- vices are performed. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last W~ll and Testament, this ~ day of ~~ 2000. , () ~_D i L)IJ->-LA--LL._<<-- ,h" - rJ- ,((LI2.~ (SEAL) DOROTHEA S. LENKER 2 , 4, Signed, sealed, published and declared by the above- named Testatrix as and for her Last will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address ~t2~ c4r,u;L !5phh:b0 Address 3 REGISTER OF WILLS OF cnmERLAND COUNTY OATH OF SUBSCRIBING WITNESS Lisa A. Kishbaugh and James D. Bogar witnesses codicil.-"-:_ ~ subscribing ~ to the will presented herewith, nad1) being duly qualified according to law, depose(s) and say(s) that they were present and saw IX>rothea S. Lenker the testat rix , sign the same and that they signed as a witness at the request of testatrix in h er presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affIrmed and subscribed before me this day of 19_ ~ ~ ~ mrP l~a Jr.. 1St! ~ 'L 825 Epp1y Road (Name) Mechanicsburq, PA 17055 (Address) (Name) reet, Shiremanstown, PA 17011 (Address) Register As to Lisa A. Kishbaugh: Sworn to and subscribed before me this 19th day of March, 2001. ~, No ry Public Notarfal Seal Shlreman~to:.m ~:~rs, Notary Public My CommiSSion ExP~~~:~~ ~~~ty REGISTf!R', II Notal'~ COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of codicil will of (one of the subscribing witnesses to) the presented herewith and codicil believes the signature on the will is in the handwriting of testat that to the best of knowledge and belief. Sworn to or affirmed and subscribed before me this day of 19_ (Name) (Address) Register (Name) (Address) . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUfl.E.~JJoOF INDIVIDUAL TAXES . LJEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 000582 FIRST UNION NATIONAL BANK 123 SOUTH BROAD STREET PHILADELPHIA, PA 19109-9989 ACN ASSESSMENT AMOUNT CONTROL NUMBER __nun fold ---------- -------- 101 I $1,059.96 ESTATE INFORMATION: SSN: 206-36-8392 I FILE NUMBER: 21-2001- 0333 I DECEDENT NAME: LENKER DOROTHEA S I DATE OF PAYMENT: 12/03/2001 I POSTMARK DATE: 11/30/2001 I COUNTY: CUMBERLAND I DATE OF DEATH: 03/02/2001 I I TOT AL AMOUNT PAID: $1,059.96 REMARKS: FIRST UNION NATIONAL BANK CHECK# 47162046 INITIALS: CW SEAL RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS THIS RECEIPT REPLACES CD 000581 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUIlE,A"" OF INDIVIDUAL TAXES ~ DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT RECEIVED FROM: REV-1162 EX(11-96) NO. CD 000581 FIRST UNION NATIONAL BANK 100 NORTH QUEEN STREET LANCASTER, PA 17603 ACN ASSESSMENT CONTROL NUMBER --.----- fold 101 ESTATE INFORMATION: SSN: 206-36-8392 FILE NUMBER: 21-2001- 0333 DECEDENT NAME: LENKER DOROTHEA S DATE OF PAYMENT: 12/03/2001 POSTMARK DATE: 11/30/2001 COUNTY: CUMBERLAND DATE OF DEATH: 03/02/2001 TOTAL AMOUNT PAID: REMARKS: FIRST UNION NATIONAL BANK CHECK# 47162046 SEAL INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS AMOUNT $1,059.96 $1,059.96 THIS RECEIPT IS BEING REPLACED WITH CD 000582 I ~ "'-;)).0 - q BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-01-2002 LENKER 03-02-2001 21 01-0333 CUMBERLAND 101 R+ . '02 APH -5 '\10 :59 VERONICA R MURPHY FIRST UNION NATL BANK 123 S BROAD ST PA13Q.~,::..; PHILA PA Gt~W Allount Rellitted *' RE'I-1547 EX iFP 101-021 DOROTHEA S MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV :i54j~Ex~Ai=P~~(oY:02T~NoTicE~~oF-YNHEifi;:ANcE-TAirAPPRAiSEi.fENT~~-AL1-oWAifcE-oR~-----~~~-----~-- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF LENKER DOROTHEA S FILE NO. 21 01-0333 ACN 101 DATE 04-01-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Est.te (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. "ortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/"isc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ( ) CHANGED (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 10,376.48 .00 365.242.91 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/"isc. Expenses (Schedule H) 10. Debts/"ortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllent.l Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. A.ount of Line 14 taxable at Lineal/Class A rate (16) 17. A.ount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .. ... DATE 06-01-2001 11-30-2001 .~. . ~BER AA496681 CD000582 (+J INTEREST/PEN PAID (-) 1,320.00 .00 15,922.90 1.238.69 (11) (12) (13) (14) (9) (10) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 375,619.39 17.161 59 358,457.80 175,391.40 183,066.40 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = .00 X 045 = .00 X 12 = 183.066.40 X 15 = (19)= A"OUNT PAID 25,080.00 1, 059.96 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 27,459.96 27,459.96 27,459.96 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU ~Y BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) E CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Dorothea S. Lenker Date of Death: March 2, 2001 will No. 21-01-0333 Admin. No. To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on May 4, 2001: Name Ralph L. Heagy Elvin Appleby Davis Scholarship Endowment Fund of the Class of 1933 of Gettysburg College Endowment Fund of the Zion Lutheran Church Harrisburg Hospital Saint Francis Fund of the Trinity Evangelical Lutheran Church Care Assurance Fund of Bethany village Address 429 Ellisburg Road Genesee, PA 16923 1198 Channing Avenue Spring Hill, FL 34606 300 North washington Street Gettysburg, PA 17325 4th & Market Streets Harrisburg, PA 17101 Pinnacle Health P. o. Box 8700 Harrisburg, PA 17105-8700 2000 Chestnut Street Camp Hill, PA 17011 325 Wesley Drive Mechanicsburg, PA 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: May 4, 2001 Ja es D. Bo a , Esquire One West Ma' Street Shiremanstown, PA 17011 (717) 737-8761 Capacity: Personal Representative X Counsel for Personal Representative i I I iO I ~ I x w I '" '" 0 0 I >- 0 0 w I a: . ...-t I- 0 .:> ] <X) Z OJ CO => 0 C' j <.0 0 I :2; If) 111 (0 <( OJ N I (1) \fl III I ~ I <( I <( .... I 0 0 I ..... Z I- J iIj-la: I z:2;~llJ u(/)I-[]J j >< <((/)z:2; 0 <C llJO=> o<X W ..... ~Uz :2; .... <( llJ t: Q: Q. <( > j W -l Ui <( .... - I- u <c<C W 0 llJ I -.... 0 I- a: zen I <cW W I >0 a: ...JZ I ><C ..J ~ I en <C ZW I zO - wZ 0 ell J a.<C - 0' !:: LL ('T) a: LL lJ) I W I 0 ::.:: ...0 I :J: Z t'I) Z <r I Z r m I- ...0 f=' <! 00 W 0 0: E ..J W(T) ru ~ I J <I IrO U Z I- -.0 Z <I..... I <( 0 (ll ('- I..') [f) mru I z ..... ..... [J) ID <( I- Z <I mID j > 1Il <I W W (D --' >- w Z W<I :I. OlD I OOwx a :JtL (l) ~I- w..u ~=>~ <0 Z C (!) 1-0 a::..;t I 0 z WZ..J cO 0 0 (l) ~(( .... ..... 0 ..... 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Q \\\ ~ J .~ _Ill 1 !i - (/)2 1 ~Q) z ~oo.. ~~lli I ~~~ i5 C::s- - CX)IllOQ) - O:'.:::(/)"5l 1:C (t) ~ '" I: ..... ~~:2 .. c:.!:..... 0.. ~ .. ff) ro r<) \ o I 0- Ll') :r rn >- rtJ - c: :3 o U "0 c: CO L:: Q) ...c E ::J U '0 U) ~ Ll') ru c c c ru Ll') c Q) ~('t') CO "I""" :30 0"1'- 00"1""" Q) Q)~<( o~g(L~ .... 0... Q) ~L:~(j) .~ 1:; 0 .~ O>-u CO &8"1"""0 c c C I'- .. - .. - - --;;: :::: .- - ... .' -- - .- - -- '-:;: '-:' - === .. -- -- "-a := -:: .' ~ -- (,'.1 ":' .... .,.... .::;. "-:1 ,..:- I ...;. 0''''. ...., .... "" ..... :.:-j~j8 f~N. First Union National Bank PAl308 Inheritance Tax Department 123 South Broad Street Philadelphia, PAl 9109-1 199 Tel 21 5 985-6000 June 1,2001 Register of Wills of Cumberland County Courthouse 1 Courthouse Square Carlisle, P A 17013 RE: Estate of Dorothea S. Lenker Date of Death: March 2, 2001 Social Security Number: 206-36-8392 File Number: 21-01-0333 Dear Sir or Madam: We wish to make payment on the account ofthis estate's PA Inheritance Tax liability within the discount period, and, accordingly, enclose our check in the amount of $25,080.00, calculated as follows: $176,000.00 X 15% = Less: 5% Discount Net Discount Payment $26,400.00 (1,320.00) $25,080.00 ---------- ---------- Please date-stamp the enclosed copy of this letter and return it to us using the enclosed self- addressed prepaid envelope. Please send us your usual receipt covering this payment of tax. Very truly yours, V:;-~J/7. i3Q&~" Fred S. Bachman Assistant Vice President cc: James D. Bogar, Esquire Kim E. Garrett, Trust Officer First Union National Bank Capital Management Group PA1308 123 South Broad Street Philadelphia, Pennsylvania 19101-7558 -'" f~bN Veronica R. Murphy Direct Dial (215) 670-6398 Fax (215) 670-6422 Email: Bonnie.Murphy@firstunion.com November 29,2001 CERTIFIED MAIL RECEIPT #7001 0320 0001 8563 6826 Register of Wills, Cumberland County Courthouse Carlisle, P A 17013 Re: Estate of Dorothea S. Lenker Date of Death: March 2, 2001 Social Security # 206-36-8392 File Number 21-01-0333 Gentlemen/Ladies Enclosed for filing with your office is the following for the above mentioned account: 1. Pennsylvania Inheritance Tax Return (In Duplicate) 2. Check in the amount of$1,059.96 representing balance due with the return. Kindly acknowledge receipt of these enclosures by signing and returning the accompanying copy of this letter to the attention of the undersigned in the envelope provided. Si}~~ ' ~h~ Tax Officer nc ,.. -- c<<' ::1 ~. 0"" -c' g;. . Ene. /vrm cc: O:~ James D. Bogar, Esquire Kim E. Garrett, Trust Officer "1) );',. d - o CJ I W ::g N Ui U1 :0 l't. 1_-' ..' () " ",.-\ r I ~ ~ ~ ~ (. 5 a~ ;~: <J: ~;)In 11 ......0 _~ r )J::::l:J:=,~=5 "-:i:~ j~("f')j~ 1111..~~ ~;<: ;; ~j ;~ 5: a. ,=> U"',1 ...._''l '--J'q- .'lO 1:"0 !;; .LJ.!~~. ,;;;) ~,;;;) ~--=j .:===-~ ,..., iii_.=~! I~ i:=::~; ~I ~ q~1 ..J] ro ., ~: ' ~ j-, ri'- i: ~.~ Jr. ". .,: c:J ru I'T\ C' ,...:; c:J c:J fl"- O'l O'l - - "S ~ ~ w 0. <l.) 0 p;:, 5t;o; "'"@ ~ C/') I""""l 8 ()"'Cl< '~ ~~p.. Z E-< ~ <\l' ~ <l.) ....c .:E o U~P. '~oo ~ ::l a::l ~ +JO"'Cl ::J 0 'C C/'J <\l ~~o;("j~ ~<...c:N...c: t.L:p..,s_p.. @ Z -- o o o o "-0 If) N 0:: ;'t') I c....J CJ l l' 13 1-) li> :., uc - -- ca :E U) U) ca - C.) ... U) ... -- LL 'b.O ~ 0. o l/) '-' - o 00 \0 o M '" '" co D ~ ... (.t: >.. ..... = ;::l o U "'0 ~ i:: Q) ..0 S ;::l u M ....- ~ 0 ~ r--- ~Q)~ ~C/'JA... O;::l ~ '"" 0 Q) -B...c:tij C/'J t ._< .- ;::l ....... bl)o~ ~uu t' .. Reeer" t..-( ~)i~ , ~ "'-'" Jf ,$ .- "- '02 FEa 19 P 3 :05 Gb Cw If:", j (:0, ~ c ;:, o () "C C ro 1:: Q) .oN Eo ;:'T'"" ()E~ ~ () 0 J!2 0 t... :-::a:::T'"" ~ (ll ~ ~ o C/) Co. Q) ~ g ~..c .:B..c~() ,~ t.~ 0) ;:, 1:: c Q)oro= a:::()()~ k, -- -- - --. - ,. - -- - - - -- --- -- - - '-" o .... o I~' (f.' ti ;;:\? " ill' .... '" ~rst Union National Bank Capital Management Group PA1308 123 South Broad Street Philadelphia, Pennsylvania 19109-1199 f~t'l Veronica R. Murphy, Tax Officer Direct Dial (215) 670-6398 Fax (215) 670-6422 Email: Bonnie.Murphy@firstunion.com February 15, 2002 Register of Wills, Cumberland County Courthouse Room 102 Carlisle, PA 17013 Attn: Cheryl RE: Estate of Dorothea Lenker Date of Death: 03/02/01 File #21-2001-0333 Dear Cheryl Enclosed is our check representing the following for the above mentioned account: $15.00 Filing Fee Kindly acknowledge receipt of this payment by signing and returning the accompanying copy of this letter to the attention of the undersigned in the envelope provided. Sincerely 21~(~ Veronica R. Murphy Tax Officer Enc. /v.:~m lrl P C", D- 0'\ .- co w.J u.. '.1./ .Q is";; ."... --" "'''r~ .-,~ .-, o (l.l 0: ~ OK c/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Dorothea s. Lenker . Date of Death: March 2, 2001 Will No. 21-01-0333 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X No b. The separate Orphans' Court No. (if any) for the personal representative's account is: N/A c. Did the personal representative state an account informally to the parties in interest? Yes No X d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: 2/26/03 James D. Bo ar, Esquire Name (Please, type or print) One West Maln St. Shiremanstown, PA 17011 Address (717) 737-8761 Te 1. No. Capacity: Personal Representative (MAH:rmf/AM3) x Counsel for personal representative . Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/07/2003 BOGAR JAMES D 1 W MAIN STREET SHIREMANSTOWN, PA 17011 RE: Estate of LENKER DOROTHEA S File Number: 2001-00333 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/02/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~:::~~~ DEPUTY REGISTER OF WILLS ~ cc: /'File ~sonal Representative(s) Judge I. C OFFICIAL USE ONLY REV-1500 110- .;2 ;2CJ- c; INHERITANCE TAX RETURN FilE NUMBER RESIDENT DECEDENT 21 01 0333 COUNTY CODE YEAFl NUMBER REV."SOO EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 I DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) I' SOCIAL SECURITY NUMBER !Lenker, Dorothea S. . 206-36-8392 ! DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) ! THIS RETURN MUST BE FILED IN DUPLICATE : 03/02/01 07/14/1916 WITH THE REGISTER OF WILlS ! (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST FIRST. AND MIDDLE INITIALI I SOCIAL SECURITY NUMBER , ! DECE- DENT CHECK ! ~ 1 Onglnal Return APPRO- , 4 Umlled Estate PAlATE; 6. Deceoen! Died TestatE! , iAtlacncopyofWIII) BLOCKS: 9. LJl1gatlon Proceeds Received ~ 2, Supplemental Retum 4a. Futu'e ''''erest Comorom'se ,datil 01 Oedo! ~ alte' ']-' J- ~.?l 7. ::e~ed.e"\ ~~'!""'.a,".ea.lo'~ ,,"g T"',ls,t AllaC".l. CCOVOI Y'uS11 1 Q. :::o'-'Jo.l.' P~~erty Cree,t, JJle 01 deal n eel""een 12-3 1_ ~ 1 ane ! -, -'IS) 3. Remainder Return 8 (date 01 death prior 10 12-13-82) 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes 011. EIf!ctlOnto talC under Seco9113(A) (A.ttach Sch 0\ COR- RE- SPON DENT THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE & CONFIDENTIAL TAX INFORMATION SItOI,lU)RQllJeC'I'ED TO: NAME COMPLETE MAILING ADDRESS Veronica R. Murphy, Tax Officer i 123 S. Broad Street - PAl308 . FIRM NAME (If Applicable) Philadelphia, PA 19109 . First Union National Bank TELEPHONE NUMBER (215) 670-6398 4 Mongages & Notes Receivable (Schedule D) (4) 5. Cash, BanK DepOSits & Miscellaneous Personal Property (Schedule E) (5) 6. JOintly Owned Property (Schedule F) o Separate Billing Requested (6) None None :l'flrie 1lG~e i'':'r' '. 10,376.48 OFFICIAL USE ONLY 1 Real Estate (Schedule A) (1) 2. StocKS and Bonds (Schedule B) {2} 3 ::DSf!ly Held Corporation, Parlnf!fshlp or SDle-P'oor,t!o'S.-o (3) d - ;D:O (~ ill rr:,' 0 .~ '~.J:,. (S~ ::~:I None CJ c-:> I w 21 ~........; lOTi U1 ,", RECA- PITULA- nON 7 Inler-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) (7) 365,242.91 J,j') o -- ::;eOISDf Decedenl, Mortgage Llablhlles, & L,erls\':;cneou,e 1,(10) (8) 15,922.90 1,238.69 (11) (12) (13) 375,619.39 8 Total Gross Assets (total Lines 1-7) 9 Funeral Expenses & Administrative Costs IS:;neo... e "'(9) 10 ill ; 12 13 Total Deductions (total lines 9 & 10) Net Value of Estate (Line 8 minus Une 11) Charitable and Governmental Be~uests/Sec 9113 Trusts lor which an clecflon to tax has not been made (SchedUle J) 14 Net Value Subject to Tax (Line 12 minus Lme 131 17,161.59 358,457.80 175,391-40 (14) 183,066 -40 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES : 15 Amounl 01 l.ne 14 la~able allhe spousalla~ 'I 'J.le,u<('ansiefsunceISec.9\\6iali1.2j X 0 (15) TAX 16 A"'OunlOll,ne 14ta~ableallinealrate 0.00 X.O 45 (16) COMPU~, 17 A"'ounl 01 LJl"le 14 tallablealslbllngrate 0.00 x .12 (17) TATlON i 18. AmountOI line 14tallablealcollaleralrale 183,066040 x .15 (18) : 19 Tax Due (19) ,20. 0 I CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT I ! 0.00 0.00 27,459.96 27,459.96 >> BE SURE TO ANSWER ALL QUESTlONS ON PAGE 2 AND RECHECK MATH<< o PA15001 \In: 29755 COPYrlghl2000 GreatlanClINeu;D lP - ~','ms ~()llwJfe Only . -. . LAST WILL AND TESTAMENT OF DOROTHEA S. LENKER I, DOROTHEA S. LENKER, of Mechanicsburg, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and codicils heretofore made by me. FIRST: I give and bequeath all of my jewelry to my cousin, ELVIN APPLEBY DAVIS, of 1198 Channing Avenue, Spring Hill, Florida, provided that should she predecease me, then to her issue per stirpes by representation, with power in my Executor, as hereinafter named, to deliver any such property to which a minor may be entitled either to the minor or to another to hold for such mino~ d~~ing ~ino=ity, or to sell the same and apply the proceeds for the benefit of the minor in such manor as my Executor may deter~ine. SECOND: I bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, to FIRST UNION NATIONAL B~~K, of Harrisburg, PA, to be added to an hereafter treated as a part of that certain inter vivos trust created by me on iI4.:-ck!-{ , 2000, of which FIRST UNION NATIONAL BANK, of Harrisburg, Pennsylvania, is Trustee, to have and to hold, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof, including any alterations and amendments thereto, or any other inter vivos trust which may hereafter be substituted therefor. THIRD: I direct that all inheritance, estate, trans- fer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. In making the payment of the -. . . taxes from my residuary estate, I direct that all shares passing to charitable beneficiaries shall be free from tax, and no death taxes shall be apportioned against such beneficiaries. It is my intent that the non-charitable beneficiaries shall bear all the death taxes attributable to my estate. FOORTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthe~ore, shall not be subject to pledge, assignment, conveyance or anticipation. FIFTH: I authorize ~y Executor, without court approval, to retain any property pending distribution hereunder, to invest in or puro~ase any property wit~cut restriction to legal invest~ents for fiduciaries, to distribute property in kind, to co~prcmise clai~s, and to sell any property at public or private sales. SIXTH: I nominate and appoint FIRST UNION NATIONAL 3~~K, of Harrisburg, Pennsylvania, Executor of this, my Last will and Testa~ent. I direct that ~y Corporate Executor shall not be re~uired to file a bond in any jurisdiction and that my Corporate Executor shall receive compensation for the performance of its functions hereunder in accordance with its schedule of fees in effect from time to time during the period over which its ser- v ices are perfor:ned. . IN WITNESS WHEREOF, I have hereunto set my seal to this, my Last Will and Testament, this cr~~ , 2000. hand and day of 1"'\..\........'-.1........ ,__ 1._.' .. ___.' ! (SEAL) DOROTHEA S. LENKER 2 I . - . Signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address I .,t;~/ ___--,~"_' / / I'- tCi _ J Address ,\ / i <....---'--::1 "I )/' fl ,/ ,'r_r': /,' f..j y 3 Estate of: !):)rothea S. Lenker , 2~-0~-0333 SlM-1ARY OF ALLCCATIONS m BENEFICIARIFS Taxable at collateral rate Ralph L. Heagy Elvin Appleby Davis 87,695.70 95,370.70 183,066.40 PA R€V-H500 EX (6-00) Decedent's ComDlete Address: ~REET AO,DRESS Be Villaqe Page 2 325 Weslev Drive CITY Mecr.anic Tax Payments and Credits: Tax Que (page '\ Lme '9) 2. CredIts, Payments A Spousal Poverty Credit B Prror Payments C DISCOU nI I STATE PA I ZIP 17055 (1) 27,459.96 25,080.00 1,320.00 Talal CredIts (A + B + C) (2) 26,400.00 J InlcresVPenaltv If apphcable D In1erest E Penalty TOlallnterestJPenally (0 .. E) 4 II uno 2 IS qrealer than une 1 .. line 3. enter the dl"crcncc This IS Ihe OVERPAYMENT. Check box on Page 1 Une 20 to request a refund 5 II Lme , .. une 3 15 qrcater than line 2 enler the OIt1erence. ThiS IS the TAX DUE. A Enlor the Inlerest on the fax Clue B En1Cf the tolal olune 5 .. SA ThiS IS the BALANCE DUE. Make ChOCk PavaOI. 10: REGISTER OF WILLS. AGENT (3) 0.00 (4) (5) 1,059.96 (SA) 0.00 (58) 1,059.96 J o Ictaln me use at Income ot the propertv tlanslCTlccj; rclam tho nghllo deslqnalo wno shall uso mo property transferred or Its income: /Clarn a reverSIonary INerest or IN THE APPROPRIATE BLOCKS Yes No ~ ~ 8 ~ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" Old decedent makO a transfer ana c " a receIve Ihe promtse lor Ille 01 either payments. benefits or care? II death occurred atter December 12. , 982. did dcccdcnllransler property within one year of death ....tlhoul recelvmg adequate conSider allan? Did decedent own an In lrusl for or payable upon dealh bank account or security at his or her death? Old decedent own an InO\\lloual RetlfC1TlCnl Account annurty, or other non-probate property which contains a beneflCtary dCSlonalJon? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. o ll.S J . Undcr ccnaltJcs 01 pequry, I doctarc tnal r ~a"e examrnnd thIS rerum, Includmg accompanying schedules and statements, and to the best of my knowled and bellef. It IS true. corrcel ana complete OOClaratlon of preparer olher than the personal representative IS based on information of wh Ch carer has an k led e ESPONSI C'" tAL MANAGEMENT GROUP. T/lJ{ .., ",;". AOELPHIA, PA 19109-1199 DATE ADDRESS ;~, ".t~I!'\;l' ~~al" en O' aI1~. ..;"1,,, , ':134 an::l ::I!"~'I!' ~~"''''''V j. '.35 j"", 1,10 '..sll!' """osed on the net value at Iransters 10 orfor use '1 P ',. II ""0; '411' 1110.'1 ;-~, r:lJ:~~~' ~1!'''1'' ('" 0' 41ter J.I"ua.",' ~ "9~, :~e:JC '.1:11' ~ ....oo~~o D" I"e "I!'t ..alu' Of t'ansfers to or tor the use of the SUrVIVing spouse IS O%{72 P.S. i 9116(a)(1.1)(ii)]. . ~I!' ~'..sl~'. ;;:;;;U;:;;;~J:.Atlmg,l a I'Jl"~I~' l'l <ll ~..'" .~~ H;~~~' "~'" !J._. J."::I1"e \lJ.lulor'l" reQuirementS for disclosure of assets and filing a tax return are stillapl1hcable even if '~e ~w'. ....<; ~::lO"~' ,'> I'"e """V tlenel'c'a..., , ,,::u..\;;' ::I!'al" a.. D' .ttt~I..;"I.." .;'GOO '~~ u_ '..sl~ ''''O::l~~O Dn Il'le fie! ...41". 011...s..\11!"5 ,,~... a :;!~e~u~O en.." t...~n1V-(l'" Vea.rs of age or YOUl'Iger at death to or for the use ot a natural parent, an adoptive parent, '4 ~'''~~J'I!'~I '" j"", O""::I.S 0.'01'1 P 'J.1I~1'''"..' = : '~.. t.10' .Hi' ''''OC\~O "" '''I!' "I!'I "411.111' o' 1..1..\......!- c' ,-, '~I!' ,,~. 0' j"~ jI!'CI!',,~..'s "fleal oen.flc'arl~S IS 4.5%, ellcept as notea in 72.P.S,S 9t Hi(t.2.1 [72 P.S.19116\a}(1)). '~I!' 'lO .,,~ ....tH'...d <:0" l"ll' "el "Jl\"~ OJ ~'Jl"\'I!" ~ .; ,. -, '~I!' ..... ." !'" j~O"'t1~." 5 5' 01'"9S'5 11% [72 P.S. Ii 9116(a)(1.3)]. A Sibling IS defined, under Section 9102, as an individual .....0 ''-'~..s1 ."45l ~..", oJ..e"l ,,, cO......O.. ...'1" !"'I!' ::I!':"';:~~' "''''''!''~' Ov 0 OOd D' 4::1001,0". o PA'S002 -.fI'"1<J156 :~cv' ~~'.' """,~,.,,'1'''''''c'' l. P - ~')""~ 5ollw4'I!'Onfy Estate of: D:>rothea S. Ienker , 21-01-0333 The follcwing person(s) are signing the retum as representative(s) of the estate: First Union National Bank 123 S. Broad Street - PAl30S Philadelphia. PA 19109 REV,1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF D:lror:hea S. Lenker SCHEDULE E CASH. BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER "'crude croce.as p' H'Qat.on & :1.11" p'oceedS w"." 'eCf"veo tlv '''e enate. AU 21-01-0333 -owned with rl ht 01 survivorship must be disclosed on Sch. F. VALUE AT DATE OF DEATH ITEM I NO I DESCRIPTION 1 Firsr: Union Nar:ional Bank CIA ~ :000590271827 1,153.69 2 Beaudry Oral Sll..rgery - Refund of overpayrrenr: 150.00 3 rtlC 3ank - Savings Accounr: 1,001. 80 4 ,Casn recelved :rom Cap Blue Cross Pa Blue Shield - benefits paid :or services 01/15/01 44.80 5 Cash received :rom GE Capital Assurance - refund on uearned pre:ru ~"TI 351. 19 ~ :-i::any style ,iia.'n::nd .~..'1gagerrer:t ::--ing set ::": pl.at:..'lu'11 ?>>r:;ppraisal prepared by Henderson & Co Jewelers) 4,500.00 7 :....acTl'S :Jiarro:1cl Sarto Ri:1g ?>>r- appraisal prepared by Hender-son & Co Jewelers) 375.00 8 Wdy's Jiarror1d ?dshicn Ring per- appraisal pr-epared by He.'1der-son & Co. Jewelers) 2,800.00 TOTAL (Also enter on line S. Reca itulation) $ (II morc soacc 13 needed Insert additional sheets of the same size) 10,376.48 7 CPA81 ','. . ~,,'~ ;: y' ;~. + '~, . .....""" "~J.. . .~, ....,r.' REV-'510 EX. (1-97) COMMOt~WEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF D::>rot:hea S. Lenker SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-01-0333 ThiS schedule must be completed and tiled II the answer to any of questIons 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NO DESCRIPTION OF PROPERTY INCLUDE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECO & DATE OF TRANSFER ATTACH COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF EXCLUSION DECD.S (IF INTEREST APPLICABLE) TAXABLE VALUE D::>rothea S. Lenker created a Revocable Tnlst Agreerrent with CoreStates Hamilton Bank, N/K/A First Union National Bank, trJSt:ee, dated 5/24/91, as amended to 3/9/2000. (Account # 15191637881 1 The assets that comprised this Tnlst Account as of date of deat:h, have been revalued as of 3/2/01, as follows: I i 41,889.509377 Uts. Evergree.!1 Incarel plus Fund Cl I (Fd #4611 655.286 Uts. Evergreen Core Equity I Fund Cl I (Fd #457) I 231,582.34 2 47,488.58 3 155.557 Uts. Evergree~ Strategic Value Fund Cl I (Fd #450) 35,563.44 4 Principal Cash balance of TrJSt: Account as of 3/2/01 4,799.96 5 Incare Cash balance of Trust: Account as of 3/2/01 6,979.99 6 500 Shs. BellScuth Corp. 21,005.00 7 360 Shs. Verizon Corrmunications 17,823.60 7 CPA01 ..TF'0910 TOTAL (Also enter on line 7. Recapitulation) $ (If more space IS needed. Insert additional sheets of the same siZe) 365,242.91 :JV"l'" ~...,,,..s :.);Jll...."'e un!",. 1991Nelco. Inc. . REVOCABLE :'\U;-';AGDfE:\T TRt:ST between :JOR',lT"L\ S. LE:."KD, . ".' :~: 'l' - 9;' /", __( .... C' and ~ CoreStates Hamilton Bank ~) . ': ..~, ",' I '> : ,,' ~ CoreStates Haminon Bank REVOCABLE ~ANAGE:\1ENT TRUST I. ...... Jorothea S. Lenker..... of....... .Cumb.erla.nd................... County, Pennsylvania. herebv transfer certain property to Hamilton Bank as trustee, to hold it and any additions to it 1:-1 TRUST as follows: DISPOSITIVE PROVISIONS I. Lifctimc Trust: DUrInI'( mv liietlme. mv trustee shall keep the principal invested and shall distribute the net income and the prIncipal as iollows: .'1. .'Is much-even Ii all-oi the nellncome and the principal as 1 may from time to time direct in writing shall be paid eIther to me or as I may ':)pecliy: B_ .-\, much of the nellncome and the prInCipal as my corporate trustee may from time to time think desirable for my "r mv spuuses welfare. comfort or support shall be applied directly for those purposes if 1 am, in my corporate :ru::;tee'~ opinion. disabled tn any way: and C. .-\nI' cematntng nellnCOme ,haillrom time to time be accumulated and added to the principal. 11. Disposition at Dcath: ['pon mv death mv tcustee shall pay the then remaining principal and any undistributed ,nc"me to the bene!lClanes and In the amounts set iorth in my Last Will and Testament, provided. however, no such :unds 'hall be used to pav mv bequests ior a speCliic sum oi money unless, and to the extent. that the assets of my estate 'hall be tnSutf,clent to tulflll any such bequest. [n theevent I die intestate. 1 direct my trustee to pay theentire (orpus I){ thIS tru:,t to my pt'r~ona! repre~entatl\"e for distribution as pan of my estate. .\D:\II:\ISTRATIVE PROVISIONS Ill. PO\H'rS Rcscrvcd by :\Ic: I shall have the iollowtng powers. exercisable whenever and as often as 1 may wish: .-\_ T" wIthdraw anv part cJr all ot the pnnClpal: B. To add to thts trust upon appro\'al and acceptance by my trustee: and l. To altar or revoke thl, tcust In whole or In part by a writing-other than a will.delivered to my trustee: provided thaI no alteration ,hall Increase mv corporate trustee's responsibilities without its written consent. 1\' Protcctive Provision: :0;0 Interest tn lncome or principal shall be assignable by, or available to anyone having a -:lalm al'(alnst. a beneiiclar\' before actual payment to the beneficiary. \" :\Iana~emen( Provisions: I autho,nze my trustee: .'1 To retain and to ]n\'est tn all iorms oi real and personal property (including common trust funds managed by Hamilton Bank and. or anv of ItS aiiil,ates and stock or other securities of CoreStates Financial Corp.). without bt..tnl< confined to tn\'<'Slments aUlhorIzed by a statutory list and without being required to diversify; B. Tel compromise claims and to abandon any property which. in my trustee's opinion, is of little or no value; C. To hold reasonable amounts oi cash untn\-ested in any bank or trust company, including Hamilton Bank. for such perIods oi time as my trustee deems reasonable for the efficient administration of any trust hereunder; [) Tl) hold propt.:'rty unreglSlt'red nr In tht' name of a nominee: E. 1'0 borrow trom anyont'o t.'\'t'n It t ht.'It'ndt.'r IS a lrustee hereunder, and to pledge property as security for repayment qt the funds borrowt'd: . PAGE TWO F. To sell at public or private sale. to exchange orto lease for any perIod oi tIme. any real or personal property. and to give optIons ior sales or leases: G. To Join ]n any merger. reorganizatlOn. votlng.trust plan or other concerted action of security holders. and to delegate discretlOnary duties WIth respect thereto: H. To pay iunds disbursed dUrIng my disability to such person or persons as my corporate trustee may select (the receipt oi such person or persons to discharge mv trustee completely as to such payments); I. To allocate any property received or charge Incurred to prlnctpal or Income or partly to each. without regard to anv law deiinlng principal and income. as my corporate trustee mav think appropriate: and 1. To distrIbute in cash or in kind. These 3uthorItles shall extend to all propertv at an" time held OV m" trustee and shall continue in full force until the actual d]strIbutlOn oi all such propertv. .-\11 powers. authorities and dbcretlon granted by this deed shall be in addition to those grJnted by 13\1,.' and shall be exercisable without (ourt Juthonzauon. \'1. Compensation: Hamilton Bank shall recel"" compensatIon :n accordance with its standard schedule of fees in effect \I.:hilt ItS :,erVlces are performed. \'II. Situs and Governing Law: The Situs oi all trusts hereunder shall be In the Commonwealth of Pennsylvania. and all questIOns regarding the validity. diec!. or Inter;JCl.tat]<Jn 'li: his deed or the administration oi the trusts hereunder ,hall be gO\'erned by the law oi Pennsvl\'Jnl3. EXt:cuted '!ay ,. -- . l~:) I 1'~ r_.'. I'C:;'_,/~ ~. (~,_" ( -~ R2-,J~ JCROT"E.\ S. LE:,KER / //' !/ SlAtE OF PE:-::-:SYLV.-\:-:L-\ (OC:-:TY OF ~ 55. On 5"..2.719 'I ( ,beiore me. the underSIgned oiiicer. personaih' appeared ~ c r 0'* -e u.. So Ce Y\ Ice (' and in due iorm oi law acknowledged the ior~gOlng Instrument to be hIS act and deed and desired the same to be recorded as such. Witness my hand and nota PHYL~~~oc:;"":: .;~:~~ ,.:, " 'ald. 't<:d~ rV / :br::;: '. ~ .~::.'...F,.~.,..~ ;", Notary p~ r..~"I CC~,"7:. :. l~ _ '~.. _ :-"ly Commission Expires: The ioregolng deed llf trust was delivered. and ]s herebv accepted. at +i"</lC/;' '/1'1 . Pennsylvania, on 11"1 .:( Y , 19'7/ Hamilton Bank BY 4! '_/~ W~ ,--,eo 5 r CJ P/= /C; :e.....e...... II ,I I' . TRUST AGREEMENT BETWEEN DOROTHEA S. LENKER AND HAMILTON BANK OF MECHANICSBURG, PENNSYLVANIA DATED: AUGUST 12, 1991 II [' I ': THIS AGREEMENT OF TRUST, executed this 12th day of August, 1991, by and between DOROTHEA S. LENKER, of 466 Bethany Drive, Mechanicsburg, Pennsylvania, hereinafter referred to as "SETTLOR", and HAMILTON BANK, of Mechanicsburg, pennsylvania, hereinafter referred to as "TRUSTEE". ARTICLE I 1.01 TRANSFER IN TRUST The Settlor has transferred and delivered to the Trustee the property described in Schedule "A", which is attached hereto and is ~ade a part hereof, the receipt of which is hereby acknowledged by the Trustee. Such property and all other property transferred to and received by the Trustee to be held pursuant to this trust shall constitute the "Trust Estate" and shall be held, administered and distributed by the Trustee as hereinafter provided. 1.02 ADDITIONS TO TRUST ESTATE The Settlor, either during her life or by will at her death, or any other person, shall have the right at any time to add other property acceptable to the Trustee to the trust. Such property, when received and accepted by the Trustee, shall become part of the Trust Estate. ARTICLE II REVOCATION OF TRUST 2.01 REVOCATION DURING LIFE OF SETTLOR During the life of the Settlor, this trust may be amended, altered, revoked or terminated, in whole or in part, or any provision 'I I , . hereof, by an instrument in writing signed by the Settlor and delivered to the Trustee. 2.02 DETERMINATION OF SETTLOR Settlor shall have the right to determine whether Trustee is to retain complete investment discretion or whether Trustee shall be required to consult with Settlor concerning any changes to be made in the investment portfolio. 2.03 CotrSENT OF TRUSTEE TO AMENDMENT The trust may not be amended to change the obligations, duties or rights of the Trustee without the written consent of the ~~ustee to such a~end~ent. 2.04 TReSTEE'S DCTIES ON REVOCATION If the entire trust is revoked by the Settlor, the Trustee shall transfer to the Settlor all of the Trust Estate and shall execute and deliver to the Settlor all instruments which are necessary or appropriate to release all interests of the Trustee in the trust. 2.05 IRREVOCABILITY OF TRUST ON DEATH OF SETTLOR From and after the death of the Settlor the trust created hereby shall become irrevocable and shall not be altered or amended. '-RTICLE III DISTRIBUTIONS BY TRUSTEE 3.01 NET INCOME TO SETTLOR During the life of the Settlor, the Trustee shall pay to or apply for the benefit of the Settlor in quarterly or other convenient 2 installments all of the net income from the Trust Estate unless other- wise directed in writing by the Settlor. 3.02 INVASION OF PRINCIPAL FOR SETTLOR The Trustee may pay to or apply for the benefit of the Settlor, in addition to the net income from the Trust Estate, such amounts from the principal of the Trust Estate, up to the whole thereof, as the Settlor in its discretion may from time to time deem necessary or advisable for the Settlor's use and benefit or as the Settlor may from time to ti~e request in writing. If at any time or times the Settlor is under a legal disability, or by reason of illness or mental or physical disability is, in the opinion of the Trustee, as certified by Settlor's personal physician, unable to manage her affairs, the Trustee shall use the income and such part or all of the principal of the Trust Estate as it deems necessary or advisable, in such manner as it deems best, for the care, support, comfort and maintenance of the Settlor, or for any other purpose the Trustee deems to be in the best interest of the Settlor. 3.03 PAYMENT TO SETTLOR'S ESTATE On the date of death of the Settlor, Trustee shall payout of the income or principal of the Trust Estate, at its discretion, the expenses of the funeral and burial, including a grave site, marker and perpetual care, if deemed appropriate, of the Settlor, along with any and all lawful and necessary administration expenses and Federal and State Inheritance taxes due, unless the Trustee determines that other 3 . adequate provisions have been made for such expenses. Said payment or payments shall be made to Settlor's estate. 3.04 TERMINATION After the death of the Settlor and payment of the expenses of her last illness, funeral and burial, and other expenses authorized by this Trust Agreement, this Trust Agreement shall be deemed termi- nated and the Trustee shall distribute all the rest, residue and remainder of all principal and accumulated income as follows: (A) I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, as follows: (1) Ten (10%) percent but not less than Twenty-five Thousand and No/100 Dollars ($25,000.00) thereof to my daughter, ANN E. LENKER, outright and absolutely. (2) Ninety (90%) percent or the remainder thereof to my hereinafter named Trustee, IN TRUST, to hold, manage, invest, and re- invest same, and to use and apply from time to time such portion of income and principal for ANN E. LENKER'S support, maintenance and welfare, for as long as she may live, as my Trustee, in its sole discretion, deems advisable, provided, however, that said payments be made in regular installments, said installments being at least on a quarterly basis. The Trustee, in exercising its discretionary authority with respect to the payment of income or principal of the 4 within Trust to ANN E. LENKER, shall take into consideration any income or other resources available to ANN E. LENKER from sources outside this Trust. In addition, my hereinafter named Trustee shall have the right, in its sole discretion, to purchase and pay for out of the principal, as well as income, such insurance policies as will provide for the proper medical care of ANN E. LENKER. (3) Upon the death of ANN E. LENKER, or in the event that ANN E. LENKER predeceases me, I direct that the interest of ANN E. LENKER in said Trust shall cease with any income and principal, along with the remainder of my Estate, being dividided as follows: (a) Fifty (50%) percent thereof to the SCHOLARSHIP ENDOWMENT FUND OF THE CLASS OF 1933 OF GETTYSBURG COLLEGE, Gettysburg, Pennsyl- vania. (b) Twenty-five (25%) percent thereof to the ENDOWMENT FUND OF THE ZION LUTHERAN CHURCH, 4th and Market Streets, Harrisburg, Pennsylvania. (c) Twelve and One-half (12-1/2%) percent thereof to the HARRISBURG HOSPITAL, Harrisburg, Pennsylvania. (d) Twelve and One-half (12-1/2%) percent thereof to the CARE ASSURANCE FUND OF BETHANY VILLAGE, Mechanicsburg, Pennsylvania. 5 . ARTICLE IV POWERS OF TRUSTEE 4.01 RETAIN INVESTMENTS OF SETTLOR The Trustee is authorized to retain in the trust for such time as it may deem advisable any property, including shares of its own stock, received by it from the Settlor, whether or not such property is of the character permitted by law for the investment of trust funds, and to operate at the risk of the Trust Estate any business or property received by it from the Settlor. 4.02 MANAGEMENT OF TRUST PROPERTY The Trustee shall with respect to any and all property which may at any time be held by it in trust pursuant to this Agreement, whether such property constitutes principal or accumulated income of any trust provided for this Agreement, have power, exercisable at the Trustee's discretion at any time and from time to time on such terms and in such manner as Trustee may deem advisable, to: (A) Sell, convey, exchange, convert, improve, repair, manage, operate and control; (B) Lease for terms within or beyond the term of any trust provided for in this Agreement and for any purpose, including explora- tion for and removal of gas, oil, and other minerals; and enter into any covenants and agreements relating to the property so leased or any improvements which may then or thereafter be erected on such property; 6 (C) Encumber or hypothecate for any trust purpose by mortgage, pledge or otherwise; (D) Carry insurance of such kinds and in such amounts at the expense of the trusts provided for in this Agreement as the Trustee may deem advisable; (E) Commence or defend at the expense of any trust provided for in this Agreement such litigation with respect to any such trust or any property of the Trust Estate as it may deem advisable; (F) Invest and reinvest the trust funds in such property as the Trustee may deem advisable, whether or not of the character permitted by law for the investment of trust funds, specifically including, but not by way of limitation, interests in any common trust fund or funds now or hereafter established and administered by the Trustee solely for the investment of trust funds; (G) Vote and give proxies to vote any securities, including stock of the Trustee, held by it in trust pursuant to this Agreement, having voting rights; (H) Pay any assessments or other charges levied on any stock or other security held by it in trust pursuant to this Agreement; (I) Exercise any subscription, conversion or other rights or options which may at any time attach, belong or be given to the holders of any stocks, bonds, securities or other instruments held by it in trust pursuant to this Agreement; 7 (J) Subject to any limitations expressly set forth in this Agreement and the faithful performance of its fiduciary obligations do all such acts, take all such proceedings, and exercise all such rights and privileges as could be done, taken or exercised by an absolute owner of the trust property. 4.03 POWER TO BORROW MONEY The Trustee shall have the power to borrow money from any person, firm or corporation, for any trust purpose on such terms and conditions as the Trustee may deem proper and to obligate the trust to repay such borrowed money. 4.04 POWER TO LOAN MONEY TO TRUST The Trustee is authorized to loan or advance its own funds to the trust for any trust purpose at the rate of interest being charged by the Trustee at the time such loan or advance is made to other persons having a net worth equal to that of the Trust Estate for similar loans or advances. Any such loan or advance, together with the interest accruing on such loan or advance, shall be a first lien against and shall be repaid from the Trust Estate. 4.05 DEALINGS WITH SETTLOR'S ESTATE The Trustee is authorized to purchase securities or other property from and to make loans and advancements from the Trust Estate with or without security to the executor or other representative of the Settlor's estate. 8 ARTICLE V ADMINISTRATIVE PROVISIONS 5.01 UNDISTRIBUTED INCOME ON TERMINATION OF BENEFICIAL INTEREST Whenever the right of any beneficiary to payments from the net income or principal of the Trust Estate shall terminate, either by reason of death or other cause, any accrued or undistributed net income from the Trust Estate undistributed by the Trustee on the date of such termination shall be held, administered and distributed by the Trustee in the same manner as if such income had accrued and been received by the Trustee after the date such beneficiary's right to receive payments from the trust terminated. 5.02 OTHER INCOME OF BENEFICIARY FOR DISCRETIONARY PAYMENTS In exercising its discretionary authority under this Agree- ment to make payments to or for the benefit of any beneficiary from the net income or principal of the Trust Estate, the Trustee shall take into consideration any' income or other means of care, maintenance, support or education available to such beneficiary from sources outside the trust that may be known to the Trustee. 10 5.03 SPENDTHRIFT PROVISION Except as otherwise expressly provided in this Agreement, no beneficiary of any trust provided for in this Agreement shall have any right, power or authority to alienate, encumber or hypothecate his or her interest in the principal or income of such trust in any manner, nor shall such interest of any beneficiary be subject to claims of his or her creditors or liable to attachment, execution or other process of law. 5.04 PAYMENTS TO INCOMPETENTS In any case where payment is to be made to an incompetent, the Trustee may make such payment to the guardian for the person of such incompetent. 5.05 EXERCISE OF POWERS BY INCOMPETENT Unless otherwise specifically provided in this Agreement, all powers granted to any person by the provisions of this Agreement may be exercised by such person at any time during his or her life, except that if a guardian for the person or estate of any such person has been appointed by a court of competent jurisdiction then neither such person nor any such guardian shall have any power to exercise any powers granted such person by any provision of this Agreement. . 5.06 DEFINITION OF "INCOMPETENT" AND "INCOMPETENCY" The terms "incompetent", "incompetency" or other words of similar import shall be construed as used in this Agreement to refer to all cases where a guardian for the person or estate of any person 11 II [ having rights under this Agreement has been appointed by a court of competent jurisdiction for any reason except minority of such person. Any person having rights under this Agreement shall be deemed "compe- tent" and his "competency" shall be unquestioned by the Trustee until a court of competent jurisdiction has appointed a guardian for the person or estate of such person. 5.07 DISTRIBUTION IN KIND OR IN CASH On any final or partial distribution of the assets of the Trust Estate the Trustee may distribute or divide such assets in kind or make distribution or division in cash or partly in cash and partly in kind. 5.08 TAX PROVISION If upon the death of the Settlor any inheritance, estate, transfer or succession taxes are assessed against or by reason of the assets of this trust or the interest of any beneficiaries thereof, the Trustee shall pay such taxes, including any interest and penalties thereon, out of the principal of the trust estate as a whole, or make provision for such payment, without charging them against the interest of the several beneficiaries. If any such tax is assessed in part by reason of this Trust Estate and in part by reason of other property, , the Trustee shall pay that proportion of the total tax which the assets of this trust bear to the total property taxed, taking into considera- tion deductions, exemptions and other factors which it deems pertinent, and the judgment of the Trustee as to what is a fair and reasonable 12 apportionment shall be conclusive upon all parties interested in this Trust Estate. ARTICLE VI RESIGNATION AND COMPENSATION OF TRUSTEE 6.01 RESIGNATION OF TRUSTEE The Trustee shall have the right to resign at any time and on such resignation, the Settlor shall appoint a successor Trustee. In i the event of the failure, refusal or inability of the Settlor to appoint such a successor Trustee, the Trustee or any beneficiary of any trust provided for in this Agreement may secure, at the joint expense of all trusts provided for in this Agreement and then in existence, the appointment of a successor Trustee by a court of competent jurisdic- tion. 6.02 RIGHTS AND POWERS OF SUCCESSOR TRUSTEE Any successor Trustee appointed as provided in section 6.01 of this Agreement because of the death, resignation or other act of the ' Trustee shall, on such appointment being made, immediately succeed to all title of the Trustee of the Trust Estate and to all powers, rights, discretions, obligations and immunities of the Trustee under this Agreement with the same effect as though such successor were originally . named as Trustee in this Agreement. 6.03 COMPENSATION OF TRUSTEE The Trustee shall be compensated for services rendered under this trust in accordance with its schedule of fees for services in 13 effect at the time services are rendered. 6.04 BOND No bond shall be required of the original Trustee hereunder or of any successor Trustee; or if a bond is required by law, no surety shall be required on such bond. 6.05 ANNUAL ACCOUNTING The Trustee shall make an annual accounting to the primary beneficiary or beneficiaries of the trust created by this Agreement. The accounting shall include a report of the receipts, disbursements and the distributions since the last accounting, and the status of the principal and any undistributed income on hand at the date of the accounting. The approval of any account by such primary beneficiary or beneficiaries shall be final and binding upon all persons as to the matters and transactions shown in that account. Notwithstanding the foregoing, the Trustee may at any time apply for jUdicial settlement of the accounts. Any primary beneficiary shall have the right to inspect the books and records of the Trustee relating to the trust, and the Trustee shall make such books and records available for inspection by beneficiary, or by the representative of such beneficiary, at all reasonable hours. 14 ARTICLE VII CONSTRUCTION OF TRUST 7.01 APPLICABLE LAW The trust created by this Agreement has been accepted by the Trustee of the Commonwealth of Pennsylvania, will be administered by the Trustee in Pennsylvanra, and the validity, construction and all rights under this Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. 7.02 INVALIDITY OF ANY PROVISION Should any provision of this Agreement be or become invalid or unenforceable, the remaining provisions of this Agreement shall be and continue to be fully effective. IN WITNESS WHEREOF, the Settlor has hereunto set her hand and seal and the Trustee has caused the execution hereof by its President and affixing and attesting of its corporate seal the day and year first above written. WITNESS: I ./',/<1 1;',,-,-. rJ ~;.X/ Cj /;;L;<-tLCl, .,-' 1 Iii 42c,,) (SEAL) DOROTHEA S. LENKER ATTEST: HAMILTON BANK OF MECHANI CS BURG , PENNSYLVANIA /). ;;' I' I 11 L.k t--~ ~~ "L-Z--- ..I.~,-p Ann E. Wulf c:> . J rust Officer B~f~ (SEAL) 15 CASH $20,000 $10,000 182 shs. 300 shs. 200 shs. 857 shs. $10,000 $20,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $ 5,000 $10,000 $ 5,000 $10,000 $ 5,000 $ 5,000 $ 5,000 SCHEDULE "A" $ 17 ,013.39 Council Rock PA School Dist. 7.15% dtd. 6/1/88 due 6/1/2001 Dauphin County PA Hospital Auth. Rev. 8.125% dtd. 11/1/87 due 7/1/2007 American Real Estate Partners LP Depositary Unit . Bellsouth Corp., Common Nynex Corp., Common Saloman Brothers Fund, Inc. Continental Bank NA CD dtd. 3/15/89 9.35% due 3/15/93 Greenwood Trust Co. Del. CD dtd. 1/25/89 9.10% due 1/25/93 Greenwood Trust Co. Del. CD dtd. 9/13/89 8.35% due 9/13/91 Greenwood Trust Co. Del. CD dtd. 10/4/89 8.30% due 10/5/92 Greenwood Trust Co. Del. CD dtd. 12/20/89 8.10% due 12/21/92 Greenwood Trust Co. Del. CD dtd. 3/21/90 8.35% due 3/23/92 Greenwood Trust Co. Del. CD dtd. 6/13/90 8.30% due 6/15/92 CCNB B&~K, N.A. CD #104343 dtd. 10/25/88 due 10/25/91 at 8.65% Hamilton Bank C.D. #5944694 dtd. 10/26/90 due 1/26/92 at 7.70% Hamilton Bank C.D. #5778735 dtd. 4/26/90 due 10/26/91 at 8.07% Hamilton Bank C.D. #5780047 dtd. 5/18/90 due 5/18/92 at 8.11% Treasury Note 8 5/8% dtd. 5/15/90 due 5/15/93 Treasury Note B 3/8% dtd. 7/2/90 due 6/30/92 Treasury Note 8% dtd. 7/31/90 due 7/31/92 Treasury Note 8 1/8% dtd. 8/31/90 due 8/31/92 COMMONWEALTH OF PENNSYLVANIA COUNTY OF a~~ SS. On this, the /CIYA day of a~ , 1991, before me, the undersigned officer, personally ~p~~ared DOROTHEA S. LENKER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed same for the purposes therein contained. seal. IN WITNESS WHE~OF, I have hereunto set my hand and official (]m,,-He Notary Public 0- (/ /.2 , '?a/'Ac:l: My Commission Expires: NOTARIAL SEAL CATHERINE J. BARRA. NOTARY PUBLIC SHIREMA.~STOWN BORO. CUMBERLAND CD. PA. MY COMMISSION EXPIRES SEPl 9. 1991 COMMONWEALTH OF PENNSYLVANIA --;)","_ ~,~ SS. COUNTY OF ~~. '- On this, the/iT/; day of H"-{. 'T '-{ s / , 1991, before me, the undersigned officer, personaiiy appeared JOSEPH L. PEASE, known to me (or satisfactorily proven) to be the person whose name is sub- scribed as Assistant Vice President and Trust Officer, and who acknowledges himself to be the Assistant Vice President and Trust Officer of Hamilton Bank, and that as such officer, being authorized to do so, executed the within instrument for the purposes therein con- tained. seal. IN WITNESS WHEREOF, I have hereunto set my hand and official .~.~~. Notary Pub ic My Commission Expires: r.jQT:~~1"~.\.- r-;;;..c,~ P~~'{LL:S f:,'S'.',C'! :':"~::"" ::-,~t!i: i~a:'-':,;:''''~ ';-i::;:':':~ C::':,-.t'f_ PA ~,~v C:::;;:mi;:~.'J~ E;:J:rlls J1.i>; l~. 1S'~2 is/ CJ 10:Y}'i?' 31~]b I AMENDED AND RESTATED REVOCABLE DECLARATION OF TRUST FOR DOROTHEA S. LENKER BETWEEN DOROTHEA S. LENKER AND FIRST UNION NATIONAL BANK OF HARRISBURG, PENNSYLVANIA DATED: KARCH 9, 2000 Trustee shall transfer to the Settlor all of the Trust Estate and shall execute and deliver to the Settlor all instruments which are necessary or appropriate to release all interests of the Trustee in the trust. 2.05 IRREVOCABILITY OF TRUST ON DEATH OF SETTLOR From and after the death of the Settlor the trust created hereby shall become irrevocable and shall not be altered or amended. 2.06 TERMINATION CLAUSE FOR ECONOMIC REASONS If at any time, my Corporate Trustee, in its absolute discretion, should determine that this Trust, or any share hereun- der, is impracticable to administer, my Trustee, may, in full discharge of its duties, without formal court accounting, make distribution of the principal thereof to the person then entitled to the income. Should any such person be a minor, or, in the opinion of my Corporate Trustee, be mentally or physically incapacitated, my Trustee may pay the share to the parent or guardian of the beneficiary, or to any person taking care of the beneficiary, or, in the case of a minor, may deposit the share in a savings account made payable to the minor upon his attaining majority. ARTICLE III DISTRIBUTIONS BY TRUSTEE 3.01 NET INCOME TO SETTLOR During the life of the Settlor, the Trustee shall pay to or apply for the benefit of the Settlor in guarterly or other 3 convenient installments all of the net income from the Trust Estate unless otherwise directed in writing by the Settlor. 3.02 INVASION OF PRINCIPAL FOR SETTLOR The Trustee may pay to or apply for the benefit of the Settlor, in addition to the net income from the Trust Estate, such amounts from the principal' of the Trust Estate, up to the whole thereof, as the Settlor in its discretion may from time to time deem necessary or advisable for the Settlor's use and benefit or as the Settlor may from time to time request in writing. If at any time or times the Settlor is under a legal disability, or by reason of illness or mental or physical disability is, in the opinion of the Trustee, as certified by Settlor's personal physician, unable to manage her affairs, the Trustee shall use the income and such part or all of the principal of the Trust Estate as it deems necessary or advisable, in such manner as it deems best, for the care, support, comfort and maintenance of the Settlor, or for any other purpose the Trustee deems to be in the best interest of the Settlor. 3.03 PAYMENT TO SETTLOR'S ESTATE On the date of death of the Settlor, Trustee shall pay out of the income or principal of the Trust Estate, at its discre- tion, the expenses of the funeral and burial, including a grave site, marker and perpetual care, if deemed appropriate, of the Settlor, along with any and all lawful and necessary administration expenses and Federal and State Inheritance taxes due, unless the Trustee determines that other adequate provisions have been made 4 for such expenses. Said payment or payments shall be made to Settlor's estate. In making the payment of the taxes from my residuary estate, I direct that all shares passing to charitable beneficia- ries shall be free from tax, and no death taxes shall be appor- tioned against such benefitiaries. It is my intent that the non- charitable beneficiaries shall bear all the death taxes attribut- able to my estate. 3.04 TERMINATION After the death of the Settlor and payment of the expenses of her last illness, funeral and burial, and other ex- penses authorized by this Trust Agreement, this Trust Agreement shall be deemed terminated and the Trustee shall distribute all the rest, residue and remainder of all principal and accumulated income as follows: (A) Twenty-five (25%) percent thereof to my nephew, RALPH L. HEAGY, of 241 Shawnee Drive, Belleville, Pennsylvania, provided that should he predecease me, then to his wife, COLLEEN L. HEAGY, and, further, if both RALPH L. HEAGY and COLLEEN L. HEAGY predecease me, then to STEPHEN M. HEAGY, son of RALPH L. HEAGY. (B) Twenty-five (25%) percent thereof to my cousin, ELVIN APPLEBY DAVIS, of 1198 Channing Avenue, Spring Hill, Florida, provided that should she predecease me, then to her issue per stirpes by representation. (C) Ten (10%) percent thereof to the SCHOLARSHIP 5 ENDOWMENT FUND OF THE CLASS OF 1933 OF GETTYSBURG COLLEGE, Gettysburg, Pennsylvania, in memory of my husband, LUTHER A. LENKER. (D) Ten (10%) percent thereof to the ENDOWMENT FUND OF THE ZION LUTHERAN CHURCH, 4th and Market Streets, Harrisburg, Pennsylvania. (E) Ten (10%) percent thereof to the HARRISBURG HOSPI- TAL, Harrisburg, Pennsylvania. (F) Ten (10%) percent to the SAINT FRANCIS FUND of the TRINITY EVANGELICAL LUTHERAN CHURCH, camp Hill, Pennsylvania, in memory of my daughter, ANN E. LENKER. (G) Ten (10%) percent thereof to the CARE ASSURANCE FUND OF BETHANY VILLAGE, Mechanicsburg, Pennsylvania. ARTICLE IV POWERS OF TRUSTEE 4.01 RETAIN INVESTMENTS OF SETTLOR The Trustee is authorized to retain in the trust for such time as it may deem advisable any property, including shares of its own stock, received by it from the Settlor, whether or not such property is of the character permitted by law for the invest- ment of trust funds, and to operate at the risk of the Trust Estate any business or property received by it from the Settlor. 4.02 MANAGEMENT OF TRUST PROPERTY The Trustee shall with respect to any and all property which may at any time be held by it in trust pursuant to this Agreement, whether such property constitutes principal or accumu- 6 lated income of any trust provided for this Agreement, have power, exercisable at the Trustee's discretion at any time and from time to time on such terms and in such manner as Trustee may deem advisable, to: (A) Sell, convey, exchange, convert, improve, repair, manage, operate and control; (B) Lease for terms within or beyond the term of any trust provided for in this Agreement and for any purpose, including exploration for and removal of gas, oil, and other minerals; and enter into any covenants and agreements relating to the property so leased or any improvements which may then or thereafter be erected on such property; (C) Encumber or hypothecate for any trust purpose by mortgage, pledge or otherwise; (D) Carry insurance of such kinds and in such amounts at the expense of the trusts provided for in this Agreement as the Trustee may deem advisable; (E) Commence or defend at the expense of any trust provided for in this Agreement such litigation with respect to any such trust or any property of the Trust Estate as it may deem advisable; (F) Invest and reinvest the trust funds in such prop- erty as the Trustee may deem advisable, whether or not of the character permitted by law for the investment of trust funds, specifically including, but not by way of limitation, interests in 7 any proprietary mutual fund or funds now or hereafter established, administered and operated by the Corporate Trustee solely for the investment of trust funds; (G) Vote and give proxies to vote any securities, including stock of the Trustee, held by it in trust pursuant to this Agreement, having voting rights; (H) Pay any assessments or other charges levied on any stock or other security held by it in trust pursuant to this Agreement; (I) Exercise any subscription, conversion or other rights or options which may at any time attach, belong or be given to the holders of any stocks, bonds, securities or other instru- ments held by it in trust pursuant to this Agreement; (3) Subject to any limitations expressly set forth in this Agreement and the faithful performance of its fiduciary obligations do all such acts, take all such proceedings, and exercise all such rights and privileges as could be done, taken or exercised by an absolute owner of the trust property. 4.03 POWER TO BORROW MONEY The Trustee shall have the power to borrow money from any person, firm or corporation, for any trust purpose on such terms and conditions as the Trustee may deem proper and to obligate the trust to repay such borrowed money. 4.04 POWER TO LOAN MONEY TO TRUST The Trustee is authorized to loan or advance its own funds to the trust for any trust purpose at the rate of interest 8 being charged by the Trustee at the time such loan or advance is made to other persons having a net worth equal to that of the Trust Estate for similar loans or advances. Any such loan or advance, together with the interest accruing on such loan or advance, shall be a first lien against and shall be repaid from the Trust Estate. 4.05 DEALINGS WITH S~TTLOR'S ESTATE The Trustee is authorized to purchase securities or other property from and to make loans and advancements from the Trust Estate with or without security to the executor or other representative of the settlor's estate. 4.06 MANNER OF HOLDING TRUST SECURITIES The Trust may hold securities or other property subject to this Agreement in its name as Trustee under this Agreement, in its own name without a designation Showing it to be Trustee under this Agreement, in the name of its nominee, or the Trustee may hold such securities unregistered in such condition that ownership will pass by delivery. 4.07 DETERMINATION OF PRINCIPAL AND INCOME Except as otherwise specifically provided in this Agreement, the Trustee shall have full power and authority to determine, in its discretion, what shall constitute principal of the Trust Estate, gross income from the Trust Estate and net income of the Trust Estate distributable under the terms of this Agree- ment. 4.08 TAXES AND EXPENSES OF TRUST All property taxes, assessments, fees, charges and other 9 expenses incurred by the Trustee in the administration or protec- tion of the trusts created by this Agreement, including the compen- sation of the Trustee provided for in this Agreement, shall be a charge on the Trust Estate and shall be paid by the Trustee prior to final distribution of the Trust Estate in full out of the principal or in full out of the income of the Trust estate, or partially out of the principal and partially out of the income of the Trust Estate, in such manner and proportions as the Trustee may deem advisable. ARTICLE V ADMINISTRATIVE PROVISIONS 5.01 UNDISTRIBUTED INCOME ON TERMINATION OF BENEFICIAL INTEREST Whenever the right of any beneficiary to payments from the net income or principal of the Trust Estate shall terminate, either by reason of death or other cause, any accrued or undistributed net income from the Trust Estate undistributed by the Trustee on the date of such termination shall be held, administered and distributed by the Trustee in the same manner as if such income had accrued and been r~ceived by the Trustee after the date such beneficiary's right to receive payments from the trust terminated. 5.02 OTHER INCOME OF BENEFICIARY FOR DISCRETIONARY PAYMENTS In exercising its discretionary authority under this 10 I Agreement to make payments to or for the benefit of any beneficiary from the net income or principal of the Trust Estate, the Trustee shall take into consideration any income or other means of care, maintenance, support or education available to such beneficiary from sources outside the trust that may be known to the Trustee. 5.03 SPENDTHRIFT PROVISION Except as otherwise expressly provided in this Agreement, no beneficiary of any trust provided for in this Agreement shall have any right, power or authority to alienate, encumber or hypoth- ecate his or her interest in the principal or income of such trust in any manner, nor shall such interest of any beneficiary be subject to claims of his or her creditors or liable to attachment, execution or other process of law. 5.04 PAYMENTS TO INCOMPETENTS In any case where payment is to be made to an incom- petent, the Trustee may make such payment to the guardian for the person of such incompetent. 5.05 EXERCISE OF POWERS BY INCOMPETENT Unless otherwise specifically provided in this Agree- ment, all powers granted to any person by the provisions of this Agreement may be exercised by such person at any time during his or her life, except that if a guardian for the person or estate of any such person has been appointed by a court of competent jurisdiction then neither such person nor any such guardian shall have any power 11 to exercise any powers granted such person by any provision of this Agreement. 5.06 DEFINITION OF "INCOMPETENT" AND "INCOMPETENCY" The terms "incompetent", "incompetency" or other words of similar import shall be construed as used in this Agreement to refer to all cases where a.guardian for the person or estate of any person having rights under this Agreement has been appointed by a court of competent jurisdiction for any reason except minority of such person. Any person having rights under this Agreement shall be deemed "competent" and his "competency" shall be unquestioned by the Trustee until a court of competent jurisdiction has appointed a guardian for the person or estate of such person. 5.07 DISTRIBUTION IN KIND OR IN CASH On any final or partial distribution of the assets of the Trust Estate the Trustee may distribute or divide such assets in kind or make distribution or division in cash or partly in cash and partly in kind. 5.08 TAX PROVISION If upon the death of the Settlor any inheritance, estate, transfer or succession taxes are assessed against or by reason of the assets of this trust or the interest of any benefi- ciaries thereof, the Trustee shall pay such taxes, including any interest and penalties thereon, out of the principal of the trust estate as a whole, or make provision for such payment, without charging them against the interest of the several beneficiaries. If any such tax is assessed in part by reason of this Trust Estate 12 and in part by reason of other property, the Trustee shall pay that proportion of the total tax which the assets of this trust bear to the total property taxed, taking into consideration deductions, exemptions and other factors which it deems pertinent, and the judgment of the Trustee as to what is a fair and reasonable appor- tionment shall be conclusi~e upon all parties interested in this Trust Estate. In making the payment of the taxes from my residuary estate, I direct that all shares passing to charitable beneficia- ries shall be free from tax, and no death taxes shall be appor- tioned against such beneficiaries. It is my intent that the non- charitable beneficiaries shall bear all the death taxes attribut- able to my estate. 5.09 MINORITY AND INCAPACITY CLAUSE If a beneficiary is a minor, or in the opinion of my Corporate Trustee, is incapable because of physical or mental incapacity of properly using any payments of principal or income to which he is entitled, my Corporate Trustee may use any payment to which the beneficiary shall be entitled for the maintenance, support, health, and education of the beneficiary. Any amounts not required may be held by my Trustee and invested in accordance with the provisions covering investments by my Trustee; and any princi- pal and accumulated income shall be paid over to the beneficiary upon the termination of his minority or incapacity, or, in the event of his death, to his personal representative. 13 ARTICLE VI RESIGNATION AND COMPENSATION OF TRUSTEE 6.01 RESIGNATION OF TRUSTEE The Trustee shall have the right to resign at any time and on such resignation, the Settlor shall appoint a successor Trustee. In the event of ~he failure, refusal or inability of the Settlor to appoint such a successor Trustee, the Trustee or any beneficiary of any trust provided for in this Agreement may secure, at the joint expense of all trusts provided for in this Agreement and then in existence, the appointment of a successor Trustee by a court of competent jurisdiction. 6.02 RIGHTS AND POWERS OF SUCCESSOR TRUSTEE Any successor Trustee appointed as provided in section 6.01 of this Agreement because of the death, resignation or other act of the Trustee shall, on such appointment being made, immedi- ately succeed to all title of the Trustee of the Trust Estate and to all powers, rights, discretions, obligations and immunities of the Trustee under this Agreement with the same effect as though such successor were originally named as Trustee in this Agreement. 6.03 COMPENSATION OF TRUSTEE The Trustee shall be compensated for services rendered under this trust in accordance with its schedule of fees for services in effect at the time services are rendered. 6.04 BOND No bond shall be required of the original Trustee 14 hereunder or of any successor Trustee; or if a bond is required by law, no surety shall be required on such bond. 6.05 ANNUAL ACCOUNTING The Trustee shall make an annual statement to the primary beneficiary or beneficiaries of the trust created by this Agreement. The statement shall include a report of the receipts, disbursements and the distributions since the last statement, and the status of the principal and any undistributed income on hand at the date of the statement. The approval of any statement by such primary beneficiary or beneficiaries shall be final and binding upon all persons as to the matters and transactions shown in that statement. Notwithstanding the foregoing, the Trustee may at any time apply for judicial settlement of the statement. Any primary beneficiary shall have the right to inspect the books and records of the Trustee relating to the trust, and the Trustee shall make such books and records available for inspection by beneficiary, or by the representative of such beneficiary, at all reasonable hours. ARTICLE VII CONSTRUCTION OF TRUST 7.01 APPLICABLE LAW . The trust created by this Agreement has been accepted by the Trustee of the Commonwealth of Pennsylvania, will be adminis- tered by the Trustee in Pennsylvania, and the validity, construc- tion and all rights under this Agreement shall be governed by the laws of the Comm0nwealth of Pennsylvania. 15 7.02 INVALIDITY OF ANY PROVISION Should any provision of this Agreement be or become invalid or unenforceable, the remaining provisions of this Agree- ment shall be and continue to be fully effective. IN WITNESS WHEREOF, the Settlor has hereunto set her hand and seal and the Trustee has caused the execution hereof by its President and affixing and attesting of its corporate seal the day and year first above written. WITNESS: .'~ ;1 /. '1/~ / ~t("f>J/I \, '-- , / - -, /_ C\-.1.-..~' '<...,' <- f /e..:.. '":.. (SEAL) DOROTHEA S. LENKER ATTEST: FIRST UNION NATIONAL BANK OF HARRISBURG, PENNSYLVANIA ,/;7 By:, (SEAL) President 16 95-2 9~ 19:14 ESTATE SETT~EMENT I ID=717 295 3815 appraisal I I I 1 I ) , , This \ I was prepared for the estate of: Dorothea S. Lenker First Unio~ National Bank c/o James D. Bogar 1 West Main Street l Shiremanstown, .JP1\. 17011 'j,.,' ! by ., Henderson & Co.:Jewelers , I 5202 Simpson Ferry Rd. Mechanicsburg, FA 17050 (717) 766-7771 his appraisal was prepared April 10f 2001. The price of gold as $260.00 per au ceo The price of [platinum was $561.00 per unce. he following equi inocular Microsco stone ial gauge able Gauge ectronic Scale i ment I el \ preparing \ ' this appraisal: was used in I was Henderson; gemologist of the of America, no~ 3561240. P92 . . . S5-29-S1 lS:14 ESTATE SETTLEMENT ID=717 295 3815 PS3 !~ DIAMOND SOLITAIRE RING Basic "Tiffany" style diamond engagement ring in platinum (stamped 10' iridium platinum). This ring mounting consists of a rounded shank measuring 2.54 mm wide X 2.8 mm thick tapering to 1.68 DIm wide X 1.45 mm thick, a heavy V style four prong !head holds the single round diamond. Condition of mounting 'at time of examination was very good. DIAMOND: One Round Old European Cut . -.__._.._--~._.. ,.. ~ - ~' ~, ~ """'!"" -.,.- Diameter: 7.68 mm to 7.82 mm, average 7.75 mm iDepth: 4.,71 mm . . Weight: approximately 1.73 carat by formula 'Table: 3'16 mm 3.~ mm,-.-3.75 DIm average, -48' ",- Crown: 1.i5 Mm, 1 ~%I Pavilion: 3.01 1'139' Color: M : Clarity: 1SI2 *dU, to bruise in center of table Comments: I This diamond has an open culet &.a medium rough to grainy gi~dle. A large natural is visible at the girdle extending ,onto th~ crown. A single large chip has cleaved from the stone.l This ~hip indents the girdle slightly & extends about 2 rom down tltel pavilion. NUlllerous smaller chips are visible. :crown f,\-cets are somewhat abraded. This stone was most likelr cut b1fore the mid-1920s. Total weight of d alllOnd & mounting: 3.4 dwt. , Estate Value..... ........................................$4500.00* . *Based on ~ecent ,u~tion figures for similar product m~nus damage plus cost ~o recu~ di~mond to ideal standards. Recutt1ng would dramatical!ly illlpr~ve :the clarity, probably to VS1. The color and overal~ appea~ance would also be enhanced. The stone could lose up tOI .50 aa at if recut. I i B5-29-B1 1B;15 ESTATE SETTLEMENT 1D=717 295 3B15 PB4 DIAMOND BAND RING This ten stone diamond band ring is constructed of 90% platinum- iridium (stamped)\.: It is a light weight mounting manufactured by Byard F. Broga~; Inc. of Glenside, PA. The diamonds are all round brilliant cuts. one diamond is chipped. Stones are bead set. Condition. of mounting at time of examination was fair. 1 \ f i . t 1 I DIAMONDS: Ten Noiuid Brilliant Cuts Diameter: 1.8 mm! . ,Weight: .025 carat each, approximately .25 ct. t.w. : Clarity: SI I Color: G-H Total Weijht of mruinting I diamonds: 1 ~s-awt. - -v Estate Value.. -. .1-:..... ............... ............. ..... $375.00* I , I : , I *Based On\distres yalue of a similar new item from same cOmpany. i I I I , I I ! - - - !ilS-2 -!ill l!il:1S ESTATE SETTLEMENT ID=717 29S 3815 P!il5 , """ ....,.!lltl"...I. .,lW" t -:Ii'_.l..'..'.....~'" _ II ~...,....';"~~~. '.'...~~r' .,'j.................., PLATINUM DIAMOND FASHION RING Lady's right hand ring (fashion ring) hand-assembled in platinum (stamped Platinum-Iridium). Three center diamonds are held in a diagonal, elevated row of four prong settings forming the focal point of this ring. Ten more round diamonds (five on each side) are bead set on the by-pass style shank. CENTER DIAMONDS: Three Round Old European Cuts (Left to right from side of ring with quality mark) 1. Diameter: 4.83 mm to 4.93 mm, 4.88 mm average - Depth: 3.28mm ._.~__~~_. . ____~.......__ _. _. ~.~ Weight: approximately .48 carat by formula Clarity: VS, i Color: approximately H ComlDents: Open ~~~t. Thin to llIedium ~irdle. Girdle is rough with two naturalsl ~ several small cleavages visible. I I"" 2. Diameter: 4.~2 mm to 4.89 rom, 4.855 mm average Depth: 3.18 rom I ' Weig~t: approxi~~ely .46 carat by formula Clan.ty: vS1 I i Color: approxill1ai~lY H Comments: Very trin to medium girdle of grainy appearance. Several small Chi[S are visible. The stone has an irregular open culet. I 3. Diallleter: 4'j1' l\Ill1 to 4.53 mm, 4.47 mm average Depth: 2.86 l\Ill1 : Weight: app,oXimrt,elY .33 carat by formula Clarity: VS : Color: approxilDar~lY I Comments: Mediuml~o heavy frosted to grainy 91rdle with one small natural. T e culet is open & off~center. - S5-2 Sl lS:t5 ESTATE SETTLEMENT ID~7t7 295 3815 PS6 - , ~MINOR DIAMONDS: Ten Round Old European Cuts ',Diameter: 2.5 mmte~ch iweight: approximately .06 carat each, .60 ct. t.W. I Clarity: VS1 to 911" one is I, ,Color: approximate y H i Comments: Four of! these stones are chipped; three badly. ioutlines & facetslare irregular. Stones have open culets. I ' Total weight of mounting & diamonds: 5 dwt. Estate Value............................................$2800.00* !*Based on auction I prices for similar product 1n similar condition. ~~~ - ,. S5~ 2~t S 1 lS:15 ESTATE SETTLEMENT ID=717 295 3815 PS7 - purpoliles only. preparin9 this Thilil appraisal was prepared for estate I G.I.A. qradinc;terminology walil used in appraisal. ] The ~alues qiven reprelilent a fair price the items could be - -- -.-----.---y-..,..,.,.,...,.....,..........-_. . ---~.----......~ ~ expected to bri,nq in a reasonable time period :if sale was -' - .~ necessary to s~ttle the estate. This represents a price similar objects. in a like condition bring in our area at the time I 1 ,'" ..' . .' this aPiraisal ~as prepared. This aPrraisal oes not represent an offer to buy, nor does Henders n & Co., have any stake in these i te\1lS. "'.., .- - - REV-1511EX. (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Corothea S. Lenker SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-01-0333 Debts of decedent must be reported on Schedule I. ITEM NO. A. FUNERAL EXPENSES; DESCRIPTION AMOUNT 1 Reverand Ralph L. Heagy - reirnburserrent for Honorarium, headstone engraving, entenrent fee 855.66 B. ADMINISTRATIVE COSTS; 1. Personal Representative's Commissions Name of Personal Representative(s) First Union National Bank Social security Number(s)/EJN No. of Personal Representative(s) Street Address City State Zip 7,380.00 Year(s) Commission Paid: 2. Attorney Fees Name ; James D. Bogar, Esquire 3. Family Exemption: (If decedenfs address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 7,380.00 0.00 4. Probate Fees 0.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7 Register of Wills - Probate fees 63.00 8 Cumberland Law Joumal - Legal Advertising expense 75.00 9 Henderson & Co Jewelers, Ine. - appraisal fee 70.00 10 The Patriot News Co - legal advertiserrent 99.24 TOTAL (Also enter on line 9, Recapitulation} $ (If more space is needed, insert additional sheets of the same size) 15,922.90 7 CPA11 NTF10911 Copyright Forms Software Only. 1997 Nelco, Inc. REV-1512 EX. (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Dorothea S. Lenker Include unrefmbursed medical expenses. ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES. & LIENS FILE NUMBER 21-01-0333 DESCRIPTION AMOUNT 1 Alert PhanPacy at Betbany - Balance due for phanPacy purchases 236.14 2 Colonial I:ental Group - Balance due for dentalv.ork 67.50 3 First union National Bank - Balance due for preparation of the decedent's PA State and Federal 'Inccme Tax Returns for the year 2000 425.00 4 Bethany Village - Balance due for hair care se:r:vices (wash & set) 11.76 5 Verizon - Balance due for telephone se:r:vices 19.71 6 AT&T - Balance due for leased telephone equiprent 7.83 7 Bethany Village - Balance due for February roan and board 145.75 8 Quantum Imaging & Esate - se:r:vices provided 10/14/00 45.00 9 Lower Allen Township J\rcl)ulance Se:r:vice 280.00 1 CPA12 NTF 10912 TOTAL (Also enter on line 10, Recapitulation' $ (If more space is needed, insert additional sheets of the same size) 1,238.69 Copyright Forms Software Only, 1997 Nelco, Inc. REV-1513 EX. (1-97) COMMClNWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES Co=thea S Lenker No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTlONS (include outright spousal distributions) 1 Ralph L. Heagy 241 Shawnee Drive Belleville, PA 2 Elvin Appleby Davis 1198 Channing Avenue Spring Hill, FL FILE NUMBER RELATIONSHIP TO DECEDENT 00 Not Ust Trustee(s) Nephew Cousin 21-01-0333 AMOUNT OR SHARE OF ESTATE 87,695.70 95,370.70 ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See Schedule attached Total frcm continuation page (s) 7 CPA13 NTF 10913 TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ Copyright Forms Software Only, 1997 Nelco, (nc. (If more space is needed, insert additional sheets of the same size) 175,391.40 175,391. 40 . . Estate of: wrothea S. Lenker SOlEOOLE J, Part 2 Charitable and Gove:rnmental Distributions Item No. Des=iption 1 Scholarship Endowment Fund of the Class of 1933 of Gettysburg College Gettysburg, PA 2 El:rdowm2nt Fund of the Zion Lutheran Church 4th and Market Streets Harrisburg, PA 3 Harrisburg Hospital Harrisburg, PA 4 Saint Francis Fund of the Trinity Evangelical Lutheran Church Camp Hill, PA 5 Care Assurance Fund of Bethany Village Mechanicsburg, PA 17055 TC::1ThL. (Carry fonvard to main schedule) . . . . . . Page 2 21-01-0333 Arrount 35,078.28 35,078.28 35,078.28 35,078.28 35,078.28 175,391.40