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08-04-15 (3)
} Pennsylvania 150561862? 3M464710.000 DEPARTMENT OF REVENUE PX(03.14)(TIO) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 21 15 0424 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 02012015 06051918 Decedent's Last Name Suffix Decedent's First Name M I YINGER JEAN T (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return F7 2. Supplemental Return 3. Remainder Return(date of death ❑ prior to 12-13-82) 4. Agriculture Exemption(date of 5. Future Interest Compromise(date of ❑ 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) 0 7. Decedent Died Testate 8. Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) 10. Litigation Proceeds Received X❑ 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) 71 13. Business Assets F1 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CRAIG A . HATCH, ESQ • ?17-731-9600 First Line of Address 2109 MARKET STREET Second Line of Address v City or Post Office State ZIP Code CAMP HILL PA 17011-�, © Correspondent's email address: C • H A T C H a H H G L L P • C 0 M r70 n tom-- n REGISTEROF,Wl'$USE ONLh ` 5 f1 i. REGISTER OF WILLS USE ONLY r-� C 7 DATE FILED MMDDYYYY �'" r-' 17- _3 7- _3 DATE FILED STAMP PLEASE USE ORIGINAL FORM ONLY Side 1 1111111111 IN IN 1505618627 1505618627 J 1505618635 REV-1500 EX(TP) Decedent's Social Security Number Decedent's Name:Y I N G E R JEAN T RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $0 . 00 2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . 2. $0 • 00 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C), , , , . 3, $0 • 00 4. Mortgages and Notes Receivable(Schedule D). . . . . . . . . . . . . . . . . . 4. $0 • 00 5• Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E), , , , , , 5. *311662 • 55 6. Jointly Owned Property(Schedule F) 7 Separate Billing Requested. . . . . 6. $0 • 00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) 71 Separate Billing Requested. . . . . 7. $9 0,7 7 2 . 74 8. Total Gross Assets(total Lines 1 through 7) , , , , , , , , , , , , , , , , , , 8. $122 -1435 • 29 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. $4 ,687 • 95 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1). , , . , , . . . . 10. $1 1938 • 30 11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11. $6 1626 • 25 12. Net Value of Estate(Line 8 minus Line 11) , , , , , , , , , , , , , , , , , , , 12, $115,809 • 04 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J), , , , , , , , , , , , , , , , 13, $0 • 00 14. Net Value Subject to Tax(Line 12 minus Line 13), , , , , , . .. , ... , , , , , 14. *115-,809 - 0 4 TAX CALCULATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers uer Sec.9116 (a)(1.2)X.01?_ $0 . 00 15. $0 . 00 16. Amount of Line 14Pable at lineal rate X.0 _ $1151809 . 03 16. $5,211 . 41 17. Amount of Line 14 taxable at sibling rate X.12 $0 . 00 17. $0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 $0 . 00 18. $0 . 00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . 19. $51211 • 41 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0 Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the person responsible for filling the return is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURNr DATE MARTHA J . WOOD 'I �'/ice v .10 J, ADDRESS 108 THOMAS AVENUE DALLAS OW , PA 17313 SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING RE DATE CRAIG A . HATCH, ESQ . ADDRESS 2109 MARKET STREET /AMP' HIVLL PA 17011 I�II�I II��I III I I�I�IIII I I�I I'� � �IIII'(I� IIII I��I Side 2 1505618635 1505618635 J 3M464810.000 REV-1500 EX(TP) Page 3 File Number Decedent's Complete Address: 21 15 0424 DECEDENTS NAME YINGER JEAN T STREET ADDRESS 5225 WILSON LANE CUMBERLAND CITY STATE zip MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) *5,211 . 41 2. Credits/Payments A. Prior Payments $0 . 00 B.Discount $0 . 00 (See instructions.) Total Credits(A+B (2) $0 . 00 3. Interest (3) $0 .00 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) $0 . 00 5. If Line 1 + Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) $51211 - 41 Make check payable to: REGISTER OF WILLS, AGENT, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7X 7 b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . . . . . KI 7 c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7X 7 d. receive the promise for life of either payments,benefits or care? . . . . . . . . . . . . . . . . . . . . . . 7X 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? 4. Did decedent own an individual retirement account,annuity,or other non-probate property,which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FX ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(1)), For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116 (a)(1.1) (ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a step-parent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S.§9116(a)(1.3)]. A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. 3M4671 4.000 REV-1508 EX-(08.12) pennsylvania SCHEDULE E DEPARTMENTOF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RESIDENT DECE ENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Jean T. Yinger 21 15 0424 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Highmark refunds $418.19 2 U. S. Treasury 2014 federal income tax refund $153.91 3 M&T Bank Checking Acct. No. 9849867511 $8,017.97 4 Citizens Bank Checking Acct. No. 6100701085 $2,576.56 5 M&T Bank IRA No. 35004110096896 (Paid to Estate. ) $10,922.42 6 Omnicare refund $5.26 7 Wellcare refund $0.43 8 Citizens Bank Checking Acct. No. 6234473206 $6,170.80 9 Citizens Bank Checking Acct. No. 6234474326 $3,397.01 TOTAL(Also enter on line 5,Recapitulation) $ $31,662.55 2w46AD 2.000 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(OS-09) SCHEDULE G pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Jean T. Yinger 21 150424 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLLDETFENAME OFTHE TRANSFEREE,THEIR RELATIONSHIP TODECEDENT AND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE NUMBE THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST IFAPPUCABLE VALUE 1 JEAN T. YINGER TRUST M&T Bank Savings Acct. No. 15004226759875 $90,772.74 100,0000 $0.00 $90,772.74 a TOTAL(Also enter on line 7,Recapitulation)$ $90,772.74 If more space is needed,use additional sheets of paper of the same size. 9W46AF 2.000 A k REV-1511 EX-(08-13) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Jean T. Yinger _ 21 15 0424 Decedent's debts must be reported on Schedule I. ITEM - NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: Trinity United Methodist Church funeral reception $250.00 Total from continuation schedules . . . . . . . . . $429.12 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: � If Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: $3,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: $215.50 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Cumberland Law Journal publication fee $75.00 2 Deluxe Checks check order $9. 99 Total from continuation schedules . . . . . . . . . $208.34 TOTAL(Also enter on Line 9,Recapitulation) $ $4,687. 95 3W46Ac 2.000 If more space is needed, use additional sheets of paper of the same size. f Estate of: Jean T. Yinger 21 15 0424 Schedule H Part 7 (Page 2) 3 Patriot-News publication fee $208.34 Total (Carry forward to main schedule) $208.34 REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Jean T. Yinger 21 15 0424 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, Bethany Village nursing home bill $1,497.60 2 Medicine Shoppe pharmacy bill $223.78 3 Holy Spirit EMS emergency medical transport $128.90 4 Camp Hill Physicians medical bill $60.69 5 Quantum Imaging medical bill $27.33 TOTAL(Also enter on Line 10,Recapitulation) $ $1,938.30 2w46AH 2.000 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) SCHEDULE J pennsylvania DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Jean T. Yin er 21 15 0424 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1. Martha J. Wood 108 Thomas Avenue Dallastown, PA 17313 One Third of Residue: $38,603.01 Daughter $38,603.01 2 Sandra Ennis 300 Lake Avenue NE Regal Palms - Apt. 331 Largo, FL 33771 One Third of Residue: $38,603.01 Daughter $38,603.01 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. [[ NON-TAXABLE DISTRIBUTIONS A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ $0.00 9W46Al 2.000 If more space is needed, use additional sheets of paper of the same size. Estate of: Jean T. Yinger 21 15 0424 Schedule J Part 1 (Page 2) Item No. Description Relation Amount 3 Mary Hertzler 11302 South Mountain Road Fayetteville, PA 17222 One Third of Residue: $38,603.01 Daughter $38,603.01 DEATH CERTIFICATE LAST WILL AND TESTAMENT ` F LAST WILL AND TESTAMENT OF JEAN YINGER I, JEAN YINGER, of liIECHANICSBURG, Pennsylvania, revoke my former Wills and Codicils and declare this to be my Last Will and Testament. ARTICLE I PAYMENT OF DEBTS AND EXPENSES I direct that my just debts, funeral expenses and expenses of last illness be first paid from my estate. ARTICLE H DISPOSITION OF PROPERTY A. Residuary Estate. I direct that my residuary estate be distributed to my spouse, WAYNE D. YINGER. If my spouse does not survive me, my residuary estate shall be distributed to my child(ren) in equal shares. If a child of mine does not survive me, such deceased child's share shall be distributed in equal shares to the children of such deceased child who survive me, by right of representation. If a child of mine does not survive me and has no children who survive me, such deceased child's share shall be distributed in equal shares to my other child(ren), if any, or to their respective children by right of representation. If no child of mine survives me, and if none of my deceased child(ren) are survived by child(ren), my residuary estate shall be distributed to my heirs-at-law, their identities and respective shares to be determined under the laws of the State of Pennsylvania then in effect relating to the succession of separate property that is not attributable to a predeceased spouse. Initials: ARTICLE III NOMINATION OF EXECUTOR I nominate MARTHA WOOD, of DALLASTOWN, Pennsylvania, and SANDRA YINGER, of KITTY HAWK, North Carolina, as Co-Executors, without bond. If one of the above nominees does not serve for any reason,I nominate MARY HERTZLEB, of YORK, Pennsylvania, as Co-Executor, without bond. ARTICLE IV EXECUTOR POWERS My Executor, in addition to other powers and authority granted by law or necessary or appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or otherwise encumber any real or personal property that may be included in my estate, without order of court and without notice to anyone. ARTICLE V MISCELLANEOUS PROVISIONS A. Paragraph Titles and Gender. The titles given to the paragraphs of this Will are inserted for reference purposes only and are not to be considered as forming a part of this Will in interpreting its provisions. All words used in this Will in any gender shall extend to and include all genders and in numbers when the context or facts so require, and any pronouns shall be taken to refer to the person or persons intended regardless of gender or number. B. Spouse. I am married to WAYNE D. YINGER and all references in this Will to "my spouse" are references to WAYNE D. YINGER. C. Children. The names of my children are: MARTHA WOOD MARY HERTZLER SANDRA ENNIS Page 2 of 6 initials: All references in this Will to "my child" or "my children" include the above child (or children) and any other children born to or adopted by me after the signing of this Will. IN WITNESS WHEREOF, I have subscribed my name below, this day of JjrAN YINGER We, the undersigned, hereby certify that the above instrument, which consists of pages, including the page(s)which contain the witness signatures, was signed in our sight and presence by 1 . �J v�r�— (the "Testator"), who declared this instrument to be his/her Last Will and Testament and we, at the Testator's request and in the Testator's sight and presence, and in the sight and presence of each other, do hereby subscribe our names and addresses as witnesses on the date shown above. Witness Signature: e_a_ 1� Witness Name: Witness Address: Puy Page 3 of 6 Initials:l �� Witness Signature: ��2�r�. �� v Witness Name: Witness Address: / / l'��� �r�7"� Zl- F7 s,7 C 1i9 17 Page 4 of 6 Initial S nitials AFFIDAVIT STATE OF ti'sV COUNTY OF Lih Before me, the undersigned, on this day personally appeared JEAN YINGER, E s S i c jq 7 . A'9,E r2 , and PPI s �E, z�-/I P, , known to me to be the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument. All of these persons were first duly sworn by me. JEAN YINGER, the Testator, declared to me and to the witnesses, in my presence,that the foregoing instrument is the Testator's Will and that the Testator willingly signed and executed such instrument (or expressly directed another person to sign the instrument for the'Testator in the Testator's presence) in the presence of the witnesses, as the Testator's free and voluntary act for the purposes expressed in the instrument. Each of the witnesses declared in the presence and hearing of the Testator that the foregoing instrument was executed and acknowledged by the Testator as the Testator's Will in their presence and that they, in the Testator's presence, hearing and sight and at the Testator's request, and in the presence of each other, did subscribe their names to the instrument as attesting witnesses on the date of the instrument. The Testator, at the time of the execution of such instrument, was of full age, of sound mind, and the witnesses were sixteen years of age or older and otherwise competent to be witnesses. JEAN YINGER, Testato Witness --,� Zl , Witness Page 5 of 6 initials: Subscribed, sworn to and acknowledged before me by JEAN YINGER, the Testator; and subscribed and sworn before me by --3-8 s S i c<t Z:>. Band kc,1, ,witnesses, this,--a6"*"day of Notary Public, or other officer authorized to take and certify acknowledgements and administer oaths NOTARIAL SEAL Linda L.Willis,Notary Public Borough of Mechanicsburg,County of Cumberland My Commission Expires Sept. 11,2003 Page 6 of 6 lnitials. — � State of Pennsylvania County of (�X r?,I,-1"d On this the / � �� day of ��.� ��,u� fir,� , before me, Lpersonally appeared JEAN YINGER, known to me (or satisfactorily proven)to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same as for the purposes therein contained. In witness whereof I hereunto set my hand and official seal. Notary Public Title (and �inda L.Willis,Notary Public = �$ff,oug of Mechanicsbu Co o u�0erland 1VIy co S jY � sit a � Notary Address: T Page 5 of 6 Initials THE JEAN T. YINGER TRUST DATED DECEMBER 21, 2011 THE JEAN T. YINGER TRUST THIS TRUST AGREEMENT is executed in triplicate on this 21St day of December,2011, by and between JEAN T.YINGER,by and through her agent,MARTHA J.WOOD, now of 108 Thomas Avenue, Dallastown, York County,Pennsylvania 17313, (hereinafter called "Settlor") and MARTHA J.WOOD,now of 108 Thomas Avenue,Dallastown,York County,Pennsylvania 17313 (hereinafter called "Trustee"). ARTICLE I. PARTIES, PERSONAL DATA AND DISCLAIMER 1.01. Parties and Personal Data. The Settlor is widowed. The Settlor has three children, MARTHA J.WOOD,SANDRA L.ENNIS,and MARY J.HERTZLER. Throughout this Trust Agreement: (a) JEAN T. YINGER, will be referred to as the Settlor; and, (b) MARTHA J. WOOD, SANDRA L. ENNIS, and MARY J. HERTZLER will be referred to as the Settlor's children or the children of the Settlor. 1.02. Disclaimer. The Trustee shall have the right to disclaim, in whole or in part, prior to its acceptance by the Trustee, any interests in property for any reason, including but not limited to a concern that such property could cause potential liability under any federal, state, or local environmental law. ARTICLE H. TRUST ESTATE 2.01. Transfer to Trust. Settlor does hereby assign,transfer and deliver to the Trustee and its successors and assigns the property described in Schedule "A" attached hereto and made a part hereof, or as Schedule "A" may be amended. As further evidence of such assignment, the Settlor has executed or will execute or cause to be executed such other instruments as may be required for the purposes of completing the assignment or transfer of title to such property to the Trustee. The Trustee accepts such transfer and assignment to itself as Trustee,and the Trustee undertakes to hold, manage,invest and reinvest the assets of this Trust, and to distribute the income and principal of the Trust in accordance with the provisions of this Agreement. 2.02. Additional Transfers to Trust. The Settlor, and any other person, with the consent of the Trustee, shall have the right at any time to make additions to the corpus of this Trust or any shares thereof hereby established. All such additions shall be held,controlled,and distributed by the Trustee in accordance with the terms and conditions of this Agreement. ARTICLE III. LIFE INSURANCE POLICIES 3.01. Transfers of Life Insurance to Trust. If any insurance policies are transferred into this Trust, the Trustee shall be vested with all right, title, and interest in and to the transferred policies of insurance,and are authorized and empowered to exercise and enjoy, for the purposes of the Trust herein created and as absolute owner of such policies of insurance,all the options,benefits, rights and privileges under such policies,including the right to borrow upon and to pledge them for a loan or loans. The Trustee takes all rights, title, and interest in and to such insurance policies subject to any prior split-dollar life insurance agreement which may be in effect at the time of the transfer. The insurance companies which have issued such policies are hereby authorized and directed to recognize the Trustee as absolute owner of such policies of insurance and as fully entitled to all options, rights, privileges, and interests under such policies, and any receipts, releases, and other instruments executed by the Trustee in connection with such policies shall be binding and conclusive upon the insurance companies and upon all persons interested in this Trust. 3.02. Payment of Premiums. It is the intention of the Settlor to pay any and all premiums, assessments or other charges necessary to keep each policy included in the Trust in force unless such premiums shall be paid by the insured thereunder (where the insured is someone other than the Settlor)or in some other manner,but the Settlor shall be under no duty in this respect and shall incur no liability to the beneficiaries of the Trust or to any other person if the Settlor shall permit any such policy to lapse for nonpayment of premiums,assessments or charges,or otherwise permit any such policy to become uncollectible. The Trustee shall be under no obligation to pay the premiums which may become due and payable under the provisions of any policy of insurance which may be transferred or assigned to this Trust, or to make certain that such premiums are paid by the transferor of such policy, or to notify any persons of the nonpayment of such premiums, and the Trustee shall be under no responsibility or liability of any kind in case such premiums are not paid, except that the Trustee shall apply any dividends received by the Trustee on such policies to the payment of premiums thereon. Upon notice at any time during the continuance of this Trust that the premiums due upon such policies are in default,or that premiums which will become due will not be paid, either by the transferor or by any other person,the Trustee,within its sole discretion,may apply any cash values attributable to such policy to the purchase of paid-up insurance or of extended insurance, or may borrow upon such policy for the payment of premiums due thereon, or may accept the cash values of such policy upon its forfeiture. In the event that the Trustee receives the cash value of such policy upon its forfeiture for nonpayment of premiums,the amount received shall be added to the corpus of this Trust, and shall be administered according to the terms of this Agreement. If the insured under such policies of insurance, becomes totally and permanently disabled within the meaning of. 2 any policies and because thereof the payment of premiums, or any of them, shall, during the pendency of such disability,be waived,the Trustee,upon receipt of such knowledge,shall promptly notify the insurance company which has issued such policies, and shall take any and all steps necessary to make such waiver of premium provision effective. 3.03. Rights in the Life Insurance Reserved to Settlor. The following rights,exercisable without the consent of the Trustee or the beneficiaries of the Trust, are expressly reserved by the Settlor during the Settlor's lifetime with respect to each policy included in the Trust insuring the Settlor's life and owned by the Settlor and made payable to the Trustee hereunder: (i)to exercise all options, elections, rights and privileges accorded to the Settlor under the terms of any such policy, (ii) to obtain all or any part of the loan value of any such policy, (iii) to use any such policy as collateral for a loan, (iv) to sell, assign or pledge any such policy, (v) to receive any dividends, distributive shares of surplus earnings, disability benefits, surrender values or the proceeds of matured endowments,(vi)to change the named beneficiary to whom the proceeds of such policy are payable on the insured's death, and (vii)to convert any or all policies into other forms of insurance or annuities or to permit the same to lapse. The Trustee agrees to execute any and all instruments that may be necessary to permit the exercise of any such right by the Settlor, without liability to anyone for so doing. Upon the maturity of any life insurance policy included in the Trust, whether at the insured's death or at any other time, the Trustee shall collect the proceeds thereof. 3.04. Duties of Trustee Regarding the Life Insurance. The Trustee shall be under no obligation or duty whatsoever except with respect to the safekeeping of such policies of insurance and the duty to receive such sums as may be paid to it, in accordance with the requirements of this Trust, by the companies issuing such policies, and to hold, manage and disburse such proceeds subject to the terms of this Agreement. Upon the death of the insured, the Trustee shall make reasonable efforts to carry out the provisions of this Agreement, including the maintenance or defense of any suit,provided,however,the Trustee shall be under no duty to maintain or enter into any litigation unless its expenses, including counsel fees and costs, have been advanced or guaranteed in an amount and in a manner reasonably satisfactory to it. The Trustee may repay any advances made by it or reimburse itself for any such fees and costs from any corpus or income of this Trust. ARTICLE IV. DISTRIBUTIONS FROM TRUST 4.01. Distributions During Settlor's Life. The Trustee shall pay to,or apply for the benefit of, the Settlor: (1) so much of or all of the income and so much of or all of the principal as the Trustee deems desirable for the most comfortable care, support, maintenance, welfare, education, happiness,luxuries and any needs arising from illness,accidents or other emergencies of the Settlor, and (2) so much of or all of the income and so much of or all of the principal as the Settlor shall request. 3 4.02. Distributions Upon the Death of the Settlor.Upon the death of the Settlor,JEAN T. YINGER,and the payment of all necessary and appropriate taxes, fees, costs and expenses, the Trustee shall divide the Trust into separate and equal shares,with one share for each of the Settlor's children, MARTHA J. WOOD, SANDRA L. ENNIS, and MARY J. HERTZLER. Each share shall be distributed as follows: (A). The share for MARTHA J.WOOD shall be distributed to her upon the termination of the Trust. If and in the event that MARTHA J. WOOD does not survive this distribution,then her share shall be distributed to her children,TERRY L. MARKEY and NIHIKI J. GRIM, in equal shares, per stirpes. (B). The share for SANDRA L. ENNIS, shall be held, IN FURTHER TRUST,with her children,CYNTHIA D.ENNIS,HOWARD E.ENNIS,III,and BRYAN ENNIS, serving jointly or individually as Trustees, provided that if SANDRA L. ENNIS does not survive this distribution, then her share shall be distributed in equal shares to her children, CYNTHIA D. ENNIS, HOWARD E. ENNIS,III, and BRYAN ENNIS, per stirpes. The Trust for SANDRA L. ENNIS shall be held according to the following terms and conditions: (1) This Trust is established for the purpose of improving the quality of life of the Beneficiary, SANDRA L. ENNIS, for and during all the term of her natural life. As the result of current or future physical and mental deteriorations of her age and infirmities, the Beneficiary, SANDRA L. ENNIS, suffers or may suffer from substantial mental and physical disabilities and may require additional medical care. She may be entitled to benefit from various governmental programs which provides for her basic or supplemental care. It is the purpose of this Trust to provide the Beneficiary, SANDRA L.ENNIS,with a higher quality of life beyond that which would be provided by these public entitlement programs and to provide her with a proper funeral and burial. (2) Settlor's intent in creating this Trust is that the Trustees use the Trust created herein to promote the happiness, welfare and benefit of the Beneficiary,SANDRA L.ENNIS,through income and principal distributions, without in any way reducing the services or financial assistance and basic maintenance,support,medical or dental care which the Beneficiary may receive without charge from any local, state or federal government agency or department thereof,and without using any portion of the Trust income or principal to reimburse any local, state or federal government agency or department thereof for basic maintenance,support,medical or dental 4 care received by the Beneficiary. Settlor's intent is that the Trust income and principal is not to be considered income, assets, nor resources of the Beneficiary, for any purpose, including but not limited to,the determination of income, assets or resources as stated in any rules or regulations set forth in any local, state or federal government agency or department thereof. In the event the Trustees are requested by any department or agency to release principal or income of the Trust to or on behalf of the Beneficiary to pay for equipment, medication or service which other organizations or agencies are authorized to provide, or in the event the Trustees are requested by any department or agency administering such benefits to petition the Court or any other administrative agency for the release of Trust principal or income for this purpose,the Trustees shall deny such request and are directed to defend at the expense of the Trust estate, any contest or other attack of any nature. (3) The Trustees shall distribute to the Beneficiary,SANDRA L.ENNIS, or expend and apply for her benefit, so much of or all of the income and principal of this Trust, as the Trustees, in their sole and absolute discretion, determine to be advisable for the Beneficiary's special needs for happiness and comfort to achieve the purpose of the Trust herein set forth. The "special needs" which the Trustees may provide to the Beneficiary, SANDRA L. ENNIS, include but are not limited to spending money, additional food, clothing,gifts on their birthdays and major holidays,small appliances that would provide the Beneficiary with entertainment or amusement, computer equipment, vacations, athletic contests, movies, trips, money to purchase appropriate gifts for relatives and friends, any recreational items that would be of use to her and other monetary requirements to enhance her self-esteem or situation. "Special needs" shall also include medical and dental expenses, annual independent check-ups, rehabilitation and physical therapy equipment, programs of training,education,treatment,physical therapy and rehabilitation, private residential care,eye glasses,transportation(including vehicle purchase), maintenance, and insurance (including payment of premiums of insurance on the life of the beneficiary) and other requisites for maintaining the good health, safety, and welfare of the Beneficiary when,in the discretion ofthe Trustees,such requisites are not being provided by any public agency,office,or department of any state or of the United States. Nothing herein shall preclude the Trustees from purchasing those services and items which promote the Beneficiary's happiness,comfort and welfare. The Trustees shall also 5 have authority in their absolute and sole discretion to make gifts to any community residence in which the Beneficiary may be residing. (4) Any net income not expended for or applied to the special needs of the Beneficiary, SANDRA L. ENNIS, shall be accumulated and added to the Trust principal. (5) The Trustees shall have no obligation to expend Trust assets for the Beneficiary's special needs, but if the Trustees, in their sole discretion,decide to expend Trust assets,under no circumstances should any amounts be paid to, or reimbursed to, the federal government, any state, or any governmental agency for any purpose, including for the care, support, and maintenance of the Beneficiary. This Trust is created expressly for the Beneficiary's extra and supplemental care,maintenance,support and education in addition to, and over and above the benefits they otherwise receive or may receive as a result of handicap or disability, from any local, state or federal government,or from any other private agency,any of which provides service or benefits to persons with disabilities. It is Settlor's express purpose that this Trust be used only to supplement other benefits that the Beneficiary may receive. (6) Because the Beneficiary may be dependent on the support and aid of others,the Trustees shall, in the exercise of its best judgement and fiduciary duty, seek support and maintenance for them, or request the guardian of the Beneficiary to seek support and maintenance for them,from all available public resources, including, but not limited to, Social Security Administration benefits, the Supplemental Security Income Program(SSI),any such supplemental income program offered by or through the Commonwealth of Pennsylvania, the Old Age Survivors and Disability Insurance or successor programs, U.S. Civil Service Commission benefits, Medicaid, and Federal Social Security Disability Insurance (SSDI), and any other comparable programs, state, federal, or local. The Trustees shall take into consideration applicable resource and income limitations of any public assistance programs for which the Beneficiary is eligible when determining whether or not to make any discretionary distributions. In carrying out the provisions of this Article,the Trustees shall be mindful of the probable future needs of the remaindermen of this Trust. If necessary, the Trustees may seek appropriate authority to collect,expend,and account for separately all such governmental assistance benefits,but shall not commingle them 6 with these Trust assets. In addition, in making distributions for the special needs of the Beneficiary, the Trustees shall take into consideration the applicable resource limitations of the public assistance programs for which they are or may become eligible. (7) The Trustees shall regard this Trust as existing for the welfare and benefit of the Beneficiary, SANDRA L. ENNIS. Accordingly, the Trustees shall exercise their discretion as to disbursements and investments with this standard in mind. (8) The Trustees shall exercise reasonable diligence. However, the Trustees shall not be liable for any acts or omissions done or performed in good faith. (9) The Trustees shall not be required to make an accounting to any public official except to the extent otherwise required by law. The Trustees shall, however, keep and maintain complete and open accounts of the Trust principal and income and any expenditures from the Trust. Anyone having an interest in the Trust shall have a right to inspect the accounts at reasonable times and with reasonable notice to the Trustees. All discretion conferred on the Trustees shall be absolute and unlimited, and its exercise by the Trustees shall be conclusive and binding on all persons. (10) The Trustees shall pay reasonable burial expenses including a suitable and proper grave marker for the Beneficiary, SANDRA L. ENNIS. (11)Upon the termination of this Trust,the proceeds shall be distributed in equal shares to the children of SANDRA L. ENNIS, with said children being CYNTHIA D. ENNIS, HOWARD E. ENNIS,III, and BRYAN ENNIS, per stirpes. (C). The share for MARY J. HERTZLER, shall be held, IN FURTHER TRUST, with her children, WAYNE D. HERTZLER and KENNETH HERTZLER,serving jointly or individually as Trustees,provided that if MARY J. HERTZLER does not survive this distribution, then her share shall be distributed in equal shares to her children, WAYNE D. HERTZLER and KENNETH HERTZLER, per stirpes. The Trust for MARY J. HERTZLER shall be held according to the following terms and conditions: 7 (1) This Trust is established for the purpose of improving the quality of life of the Beneficiary, MARY J. HERTZLER, for and during all the term of her natural life. As the result of current or future physical and mental deteriorations of her age and infirmities, the Beneficiary,MARY J.HERTZLER, suffers or may suffer from substantial mental and physical disabilities and may require additional medical care. She may be entitled to benefit from various governmental programs which provides for her basic or supplemental care. It is the purpose of this Trust to provide the Beneficiary, MARY J. HERTZLER, with a higher quality of life beyond that which would be provided by these public entitlement programs and to provide her with a proper funeral and burial. (2) Settlor's intent in creating this Trust is that the Trustees use the Trust created herein to promote the happiness, welfare and benefit of the Beneficiary,MARY J.HERTZLER,through income and principal distributions, without in any way reducing the services or financial assistance and basic maintenance, support, medical or dental care which the Beneficiary may receive without charge from any local, state or federal government agency or department thereof, and without using any portion of the Trust income or principal to reimburse any local, state or federal government agency or department thereof for basic maintenance,support,medical or dental care received by the Beneficiary. Settlor's intent is that the Trust income and principal is not to be considered income, assets, nor resources of the Beneficiary, for any purpose, including but not limited to, the determination of income, assets or resources as stated in any rules or regulations set forth in any local, state or federal government agency or department thereof. In the event the Trustees are requested by any department or agency to release principal or income of the Trust to or on behalf of the Beneficiary to pay for equipment, medication or service which other organizations or agencies are authorized to provide, or in the event the Trustees are requested by any department or agency administering such benefits to petition the Court or any other administrative agency for the release of Trust principal or income for this purpose,the Trustees shall deny such request and are directed to defend at the expense of the Trust estate, any contest or other attack of any nature. (3) The Trustees shall distribute to the Beneficiary, MARY J. HERTZLER, or expend and apply for her benefit, so much of or all of the income and principal of this Trust, as the Trustees, in their 8 sole and absolute discretion, determine to be advisable for the Beneficiary's special needs for happiness and comfort to achieve the purpose of the Trust herein set forth. The "special needs" which the Trustees may provide to the Beneficiary, MARY J. HERTZLER, include but are not limited to spending money, additional food, clothing,gifts on their birthdays and major holidays,small appliances that would provide the Beneficiary with entertainment or amusement, computer equipment, vacations, athletic contests, movies, trips, money to purchase appropriate gifts for relatives and friends, any recreational items that would be of use to her and other monetary requirements to enhance her self-esteem or situation. "Special needs" shall also include medical and dental expenses, annual independent check-ups, rehabilitation and physical therapy equipment, programs of training,education,treatment,physical therapy and rehabilitation, private residential care,eye glasses,transportation(including vehicle purchase), maintenance, and insurance (including payment of premiums of insurance on the life of the beneficiary) and other requisites for maintaining the good health, safety, and welfare of the Beneficiary when,in the discretion of the Trustees,such requisites are not being provided by any public agency,office,or department of any state or of the United States. Nothing herein shall preclude the Trustees from purchasing those services and items which promote the Beneficiary's happiness,comfort and welfare. The Trustees shall also have authority in their absolute and sole discretion to make gifts to any community residence in which the Beneficiary may be residing. (4) Any net income not expended for or applied to the special needs of the Beneficiary, MARY J. HERTZLER, shall be accumulated and added to the Trust principal. (5) The Trustees shall have no obligation to expend Trust assets for the Beneficiary's special needs, but if the Trustees, in their sole discretion,decide to expend Trust assets,under no circumstances should any amounts be paid to, or reimbursed to, the federal government, any state, or any governmental agency for any purpose, including for the care, support, and maintenance of the Beneficiary. This Trust is created expressly for the Beneficiary's extra and supplemental care,maintenance,support and education in addition to, and over and above the benefits they otherwise receive or may receive as a result of handicap or disability, from any local, state or federal government,or from any other private agency,any of which provides service or benefits to persons with disabilities. It is Settlor's express 9 purpose that this Trust be used only to supplement other benefits that the Beneficiary may receive. (6) Because the Beneficiary may be dependent on the support and aid of others,the Trustees shall,in the exercise of its best judgement and fiduciary duty, seek support and maintenance for them, or request the guardian of the Beneficiary to seek support and maintenance for them,from all available public resources,including, but not limited to, Social Security Administration benefits, the Supplemental Security Income Program(SSI),any such supplemental income program offered by or through the Commonwealth of Pennsylvania, the Old Age Survivors and Disability Insurance or successor programs, U.S. Civil Service Commission benefits, Medicaid, and Federal Social Security Disability Insurance (SSDI), and any other comparable programs, state, federal, or local. The Trustees shall take into consideration applicable resource and income limitations of any public assistance programs for which the Beneficiary is eligible when determining whether or not to make any discretionary distributions. In carrying out the provisions of this Article,the Trustees shall be mindful of the probable future needs of the remaindermen of this Trust. If necessary, the Trustees may seek appropriate authority to collect,expend,and account for separately all such governmental assistance benefits,but shall not commingle them with these Trust assets. In addition, in making distributions for the special needs of the Beneficiary, the Trustees shall take into consideration the applicable resource limitations of the public assistance programs for which they are or may become eligible. (7) The Trustees shall regard this Trust as existing for the welfare and benefit of the Beneficiary, MARY J. HERTZLER. Accordingly, the Trustees shall exercise their discretion as to disbursements and investments with this standard in mind. (8) The Trustees shall exercise reasonable diligence. However, the Trustees shall not be liable for any acts or omissions done or performed in good faith. (9) The Trustees shall not be required to make an accounting to any public official except to the extent otherwise required by law. The Trustees shall, however, keep and maintain complete and open accounts of the Trust principal and income and any expenditures from the Trust. Anyone having an interest in the Trust shall have a right to 10 inspect the accounts at reasonable times and with reasonable notice to the Trustees. All discretion conferred on the Trustees shall be absolute and unlimited, and its exercise by the Trustees shall be conclusive and binding on all persons. (10) The Trustees shall pay reasonable burial expenses including a suitable and proper grave marker for the Beneficiary, MARY J. HERTZLER. (11)Upon the termination of this Trust,the proceeds shall be distributed in equal shares to the children of MARY J.HERTZLER, with said children being WAYNE D.HERTZLER and KENNETH HERTZLER, per stirpes. ARTICLE V. POWERS OF TRUSTEE 5.01. General Powers. In addition to such other powers and duties as may have been granted elsewhere in this Trust, but subject to any limitations contained elsewhere in this Trust,the Trustee shall have the following powers and duties: A. In the management, care and disposition of this Trust, the Trustee shall have the power to do all things and to execute such deeds, instruments, or other documents,as may be deemed necessary and proper,including the following powers, all of which may be exercised without order of or report to any court: (1) To sell, exchange, or otherwise dispose of any property, real, personal or mixed, at any time held or acquired hereunder, at public or private sale, for cash or on terms, without advertisement, including the right to lease for any term notwithstanding the period of the Trust, and to grant options, including an option for a period beyond the duration of the Trust. (2) To invest all monies in such stocks, bonds, securities, investment companies or trust shares, mortgages, notes, choses in action, real estate, improvements thereon, and other property as the Trustee may deem best,without regard to any law now or hereafter in force limiting investments of fiduciaries;except that the Trustee may not invest in any stock or securities issued by the corporate Trustee or issued by a parent or affiliate company of such Trustee. 11 (3) To retain for investment any property deposited with the Trustee hereunder; except that the Trustee may not retain for investment any stock or securities in the corporate Trustee or in a parent or affiliate company of such Trustee. (4) To vote in person or by proxy any corporate stock or other security and to agree to take any other action in regard to any reorganization, merger, consolidation, liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security held by this Trust. (5) To use lawyers,real estate brokers,accountants and other agents, if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the Trust and to agree to any rescission or modification of any contract or agreement affecting the Trust. (7) To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or conveying any property of the Trust,including the power to borrow from the Trustee (in the Trustee's individual capacity) at a reasonable rate of interest. (8) To retain any business interest transferred to the trustee, as shareholder,security holder,creditor,partner or otherwise,for any period of time whatsoever,even though the interest may constitute all or a large portion of the trust principal;to comply with the provisions of any agreement restricting transfer of the interest; to participate in the conduct of the related business or rely upon others to do so, and to take or delegate to others discretionary power to take any action with respect to its management and affairs which an individual could take as outright owner of the business or the business interest, including the voting of stock (by separate trust or otherwise regardless of whether that separate trust will extend for a term within or beyond the term of the trust)and the determination of all questions ofpolicy;to execute and amend partnership agreements;to participate in any incorporation, reorganization, merger, consolidation, sale of assets, recapitalization, liquidation or dissolution of the business, or any change in its nature, or in any buy-sell, stock restriction,or stock redemption agreements;to invest in additional stock or securities of, or make secured, unsecured, or subordinated loans to, the business 12 with trust funds;to take all appropriate actions to prevent identify,or respond to actual or threatened violations of any environmental law or regulation thereunder; to elect or employ with compensation, as directors,officers,employees,or agents of the business,any persons, including a trustee of any trust held under this instrument, or any director,officer,employee,or agent of a corporate trustee of any trust held under this instrument, without adversely affecting the compensation to which that trustee would otherwise be entitled; to rely upon reports of certified public accountants as to the operations and financial condition of the business, without independent investigation; to deal with and act for the business in any capacity (including in the case of a corporate trustee any banking or trust capacity and the loaning of money out of the trustee's own funds)and to be compensated therefor; and to sell or liquidate the business or any interest in the business. (9) To register any stock, bond or other security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary capacity, but accurate records shall be maintained showing that the stock, bond or other security is a trust asset and the Trustee shall be responsible for the acts of the nominee. (10) To merge this Trust with any other trust created in my Will or otherwise,with similar provisions and purposes and the same beneficiary or beneficiaries, but only to the extent that the merger of the trusts will not cause the imposition of gift tax, estate tax, or generation-skipping tax, federal or otherwise. (11) To set aside as a separate trust, to be held and administered upon the same terms as those governing the remaining trust property, any interests in property, for any reason, including but not limited to a concern that such property could cause potential liability under any federal, state, or local environmental law. B. Whenever the Trustee is directed to distribute any trust principal in fee simple to a person who is then under twenty-one (2 1)years of age,the Trustee shall be authorized to hold such property in trust for such person until he becomes twenty- one(2 1)years of age, and in the meantime shall use such part of the income and the principal of the Trust as the Trustee may deem necessary to provide for the proper support and education of such person in the standard of living to which he has become accustomed. If such person should die before becoming twenty-one (21) years of age, the property then remaining in trust shall be distributed to the personal 13 representative of such person's estate. C. In making distributions from the Trust to or for the benefit of any minor or other person under a legal disability,the Trustee need not require the appointment of a guardian, but shall be authorized to pay or deliver the distribution to the custodian of such person,to pay or deliver the distribution to such person without the intervention of a guardian,to pay or deliver the distribution to the legal guardian of such person if a guardian has already been appointed, or to use the distribution for the benefit of such person. D. In the distribution of the Trust and any division into separate trusts and shares,the Trustee shall be authorized to make the distribution and division in money or in kind or in both,regardless of the basis for income tax purposes of any property distributed or divided in kind,and the distribution and division made and the values established by the Trustee shall be binding and conclusive on all persons taking hereunder. The Trustee may,in making such distribution or division,allot undivided interests in the same property to several trusts or shares, E. If at any time after Settlor's death the total fair market value of the assets of any trust established or to be established hereunder is so small that the Trustee's annual fee for administering the trust would be equal to or less than the minimum annual fee set forth in the Trustee's regularly published fee schedule then, in effect, the Trustee in its discretion shall be authorized to terminate such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be entitled to the income of such trust. If the amount of income to be received by such persons is to be determined in the discretion of the Trustee, then the Trustee shall distribute the property among such of the persons to whom the Trustee is authorized to distribute income, and in such proportions, as the Trustee in its discretion shall determine. F. The Trustee shall be authorized to lend or borrow, including the right to lend to or borrow from the Settlor's estate, at an adequate rate of interest and with adequate security and upon such terms and conditions as the Trustee shall deem fair and equitable. G. The Trustee shall be authorized to sell or purchase, at the fair market value as determined by the Trustee, any property including any property to or from Settlor's estate, or any trust created by Settlor during life or by will,even though the same person or corporation may be acting as executor of Settlor's estate or as trustee of any such other trusts and as the Trustee of this Trust. 14 H. The Trustee shall have discretion to determine whether items should be charged or credited to income or principal or allocated between income and principal as Trustee may deem equitable and fair under all the circumstances, including the power to amortize or fail to amortize any part or all of any premium or discount, to treat any part or all of the profit resulting from the maturity or sale of any asset, whether purchased at a premium or at a discount,as income or principal or apportion the same between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or other distribution on any investment as income or principal or to apportion the same between income and principal,to charge any expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any asset subject to depreciation or obsolescence,all as the Trustee may reasonably deem equitable and just under all of the circumstances. 1. The Trustee is hereby authorized and empowered to purchase such insurance policies as it deems appropriate. 5.02. Actions and Voting by Trustees. When the authority and power under this Trust is vested in two (2) or more Trustees or Co-Trustees, the authority and powers are to be held jointly or individually by the Trustees or Co-Trustees such that either Trustee may act and by doing so bind the Trust. 5.03. Trustees Power to Deal with Environmental Hazards. The Trustee shall have the power to use and expend the trust income and principal to(i)conduct environmental assessments, audits, and site monitoring to determine compliance with any environmental law or regulation thereunder;(ii)take all appropriate remedial action to contain,clean up or remove any environmental hazard including a spill,release,discharge or contamination,either on its own accord or in response to an actual or threatened violation of any environmental law or regulation thereunder;(iii)institute legal proceedings concerning environmental hazards or contest or settle legal proceedings brought by any local, state, or federal agency concerned with environmental compliance, or by a private litigant; (iv) comply with any local, state or federal agency order or court order directing an assessment,abatement or cleanup of any environmental hazards;and(v)employ agents,consultants and legal counsel to assist or perform the above undertakings or actions. Any expenses incurred by the trustee under this paragraph may be charged against income or principal as the trustee shall determine. ARTICLE VI. SPENDTHRIFT PROVISION 6.01. General Provisions. No beneficiary shall have the power to anticipate,encumber or transfer his interest in the Trust Estate in any manner other than by the valid exercise of a Power of Appointment. No part of the Trust Estate shall be liable for or charged with any debts, contracts, is liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. ARTICLE VII. CONSTRUCTION OF TRUST 7.01. Choice of Law. This Trust shall be administered and interpreted in accordance with the laws of the Commonwealth of Pennsylvania. 7.02. Code. Unless otherwise stated, all references in this Trust to section and chapter numbers are to those of the Internal Revenue Code of 1986,as amended,or corresponding provisions of any subsequent federal tax laws applicable to this Trust. 7.03. Other Terms. Unless the context otherwise requires,the use of one or more genders in the text includes all other genders, and the use of either the singular or the plural in the text includes both the singular and the plural. 7.04. Captions. The underlined captions set forth in this Agreement at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application. 7.05. Situs of Trust. The Trust shall have its legal situs at York County, Pennsylvania. ARTICLE VIII. COMPENSATION OF TRUSTEE AND APPOINTMENT OF SUCCESSOR TRUSTEE 8.01. Compensation. The Trustee shall receive as its compensation for the services performed hereunder that sum of money which the Trustee normally and customarily charges for performing similar services during the time which it performs these services. 8.02. Removal of Trustee. Settlor,during Settlor's lifetime,may remove the Trustee at any time or times, with or without cause, upon thirty (30) days written notice given to the current Trustee. Upon the death of Settlor's spouse, a majority of the current income beneficiaries may remove the Trustee at any time or times, with or without cause,upon thirty(3 0)days written notice given to the current Trustee. Upon removal of the Trustee, a successor Trustee shall be appointed in accordance with the terms set forth in Paragraph 8.03. 8.03. Successor Trustee. The Trustee may resign at any time upon thirty(30)days written notice given to the Settlor if Settlor is living, or in the event of Settlor's death, upon thirty(30) days written notice given to the current income beneficiary or beneficiaries (including a beneficiary's natural or legal guardian or legal representative), hereunder. Upon the death, resignation, removal 16 or incapacity of the Trustee, a successor trustee may be appointed by the Settlor during Settlor's lifetime,or,after Settlor's death,by a majority of the current income beneficiaries. Unless otherwise designated, Settlor prohibits the appointment of the beneficiary's or beneficiaries' natural or legal guardian or legal representative as Trustee and any attempt to do so shall be without authority under this Agreement. Unless otherwise indicated herein or by separate document, the successor Trustee shall be the Settlor's granddaughter, TERRY L. MARKEY. 8.04. Exoneration of Trustee. No Trustee shall be liable for any loss or depreciation in value sustained by the Trust as a result of the Trustee retaining any property upon which there is later discovered to by hazardous materials or substances requiring remedial action pursuant to any federal, state, or local environmental law,unless the Trustee contributed to the loss or depreciation in value through willful default, willful misconduct, or gross negligence. 8.05. Indemnification of Trustee Upon Distribution. Notwithstanding any contrary provision in this Trust Agreement, the Trustee may withhold a distribution to a beneficiary until receiving from the beneficiary an indemnification an agreement in which the beneficiary agrees to indemnify the Trustee against any claims filed against the Trustee as an"owner"or"operator"under the Comprehensive Environmental Response,Compensation and Liability Act of 1980,as from time to time amended, or any regulation thereunder. ARTICLE IX. REVOCATION AND AMENDMENTS 9.01. Reservation of Powers. The Settlor expressly reserves the powers to: (i)revoke this Agreement by an instrument in writing delivered to the Trustee while the Settlor is alive,(ii)to alter, amend or modify this Agreement at any time or from time to time by an instrument or instruments in writing delivered to the Trustee while the Settlor is alive, but no such alteration, amendment or modification shall increase the duties nor change the basis for compensation of the Trustee without their written consent, and (iii)withdraw from this Trust any life insurance policy or other property forming a part of this Trust, which property or the proceeds therefrom was added to this Trust by Settlor. Any such withdrawal by the Settlor shall be considered a revocation of this Trust solely with respect to the policy or other property withdrawn. 9.02. Effect of Settlor's Incapacity. A. If Settlor Incapacitated. If at the time of any attempted exercise of(a) powers reserved to the Settlor or (b) any other powers to demand and receive the principal of this Trust (if any are granted in this Agreement), the Settlor is incapacitated (as defined below in subparagraph (C)), through illness, age or other cause, then the Trustee shall disregard any instructions from the Settlor which have the effect of remaking, altering, amending or modifying this Agreement in whole or in part or enabling the Settlor to withdraw from the Trust any life insurance policy 17 or any other property forming a part of this Trust. B. Settlor's Retained General Power of Appointment. Notwithstanding the above provisions, the Settlor shall always have the right to exercise a general power of appointment, by a will, specifically referring to the reservation of this general power of appointment in this subparagraph (B), to appoint all of the Trust property to the estate of the Settlor,the creditors of the Settlor,or the creditors of the Settlor's estate. C. Definition of Incapacity. For purposes of this Trust, the Settlor or a Trustee shall be deemed to have become incapacitated upon the happening of either one of the following events: (1) Admission of Incapacity. Delivery,by hand,or by mail to the Trustee then serving, of a written instrument from the Settlor or a Trustee declaring that said person no longer considers that he or she should possess the power (as Settlor) to exercise any of the powers reserved by the Settlor in this Article IX or any other powers to demand and receive the principal of this Trust, except the general power of appointment reserved above in subparagraph 9.02(B),or the power(as Trustee) to continue to serve as Trustee, or (2) Medical Certification of Lack of Capacity. Delivery, by hand or by mail,to the Trustee then serving,of written instruments by two physicians licensed to practice medicine, one of whom must be a board certified psychiatrist and the other of whom must be a board certified internist,that the Settlor or a Trustee no longer has the capacity,as a result of illness, age or other cause: (i) in the case of the Settlor, to exercise any powers reserved by the Settlor over the Trust under the terms of this Article IX or any other powers to demand and receive the principal of this Trust, except that notwithstanding any other provision to the contrary, the reserved general power of appointment of the Settlor, as set forth in subparagraph 9.02(B) above, shall always be exercisable by the Settlor or (ii) in the case of a Trustee, to continue to serve as a Trustee. (3) Powers Personal to Settlor. The powers reserved by and to the Settlor in this Article IX shall be personal to the Settlor and shall not be exercisable by any conservator, committee, guardian or like fiduciary, except a valid Power of Attorney, nor shall they be assignable to nor extend to the executor or administrator of the 18 Settlor's estate,nor to any beneficiary named herein. Upon the death of the Settlor this Trust shall be deemed irrevocable. ARTICLE X. ACQUISITION OF UNITED STATES TREASURY BONDS ELIGIBLE FOR TAX PAYMENT; PAYMENT OF TAXES, FUNERAL EXPENSES,AND EXPENSES OF ADNIINISTRATION 10.01. Acquisition of Bonds. The Trustee may, at any time, without the prior approval or direction of the Settlor and whether or not the Settlor is able to manage his own affairs, acquire United States Treasury Bonds selling at a discount, which bonds are redeemable at their par value plus accrued interest thereon for the purposes of applying the proceeds to the payment of the United States estate tax on the Settlor's estate;and the Trustee may borrow from any lender,including itself, with or without security, to so acquire these bonds. 10.02. Payment of United States Estate Tax by Bond Redemption. The Settlor directs that any United States Treasury Bonds which may be redeemed at their par value plus accrued interest thereon for the purpose of applying the proceeds to the payment of the United States estate tax imposed on the Settlor's estate, and which are held by the Trustee, shall, to the extent of the amount determined to be required for payment of the estate tax, be distributed to the legal representative of the Settlor's estate to be used by the legal representative ahead of any other assets and to the fullest extent possible to pay the estate tax. 10.03. Payment of Death Taxes and Other Estate Settlement Costs. After the Trustee has complied with paragraph 10.02,above,and ascertained from the legal representative that all such bonds have been redeemed in payment ofthe United States estate tax,the Trustee shall also ascertain from the legal representative whether the legal representative has sufficient assets to pay the remaining legacy,succession,inheritance,transfer,estate and other death taxes or duties(except the additional estate tax imposed by Section 2032(c), or corresponding provisions of the Internal Revenue Code of 1986 applicable to the Settlor's estate and imposing the tax), levied or assessed against the Settlor's estate (including all interest and penalties thereon), all of which taxes, interest and penalties are hereinafter referred to as the death taxes, interest and penalties. If the legal representative advises the Trustee that insufficient funds exist to pay all the death taxes,interest and penalties, the Trustee shall then pay to the legal representative from the trust property, an amount equal to all the death taxes, interest and penalties in excess of the funds available to the legal representative for this purposes,which payments are to be made without apportionment. In making the payments, the Trustee shall use only those assets or their proceeds which are includable in the Settlor's gross estate for purposes of the United States estate tax. If the Settlor's legal representative advises the Trustee that there are sufficient funds available to pay the death taxes, interest and penalties, then the Trustee may nonetheless pay to the legal representative from the trust property, all or any portion,as the Trustee in its sole discretion deems advisable and in the best interests of the 19 Settlor's beneficiaries named in this Trust,of(a)any such death taxes,interest and penalties,whether or not on property held in or payable to the Trust, said payments to be made without apportionment, (b)the Settlor's funeral expenses, (c)claims and other debts of the Settlor,whether allowed against the Settlor's estate or not, (d)expenses of administering the Settlor's estate, and, (e)bequests under any will or codicil executed by the Settlor. In making any such payments, other than to satisfy bequests under any will or codicil executed by the Settlor, the Trustee shall use only those assets or their proceeds which are includable in the Settlor's gross estate for purposes of the United States estate tax. IN WITNESS WHEREOF,the Settlor and Trustee have hereunto set their hands and seals as of the day and year first above written. WITNESS: s (SEAL) JEAN T. YING R,by and through her agent, MARTHA J.WOOD, SETTLOR :1 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND On this,the 21" day of December,2011,before me,a Notary Public,the undersigned officer, personally appeared JEAN T.YINGER,by and through her agent,MARTHA J.WOOD,known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Trust Agreement, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have set my hand and official Seal. Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA Notarial$eal Traci L.Sepkovic,Notary Public Lemoyne Boro,Cumberland County My Commission Expires March 18,2012 Member;Pennsylvania Association of Notaries 20 The foregoing Trust Agreement was delivered, and is hereby accepted, at Lemoyne, Pennsylvania, on December 21, 2011. (SEAL) MARTHA J. WOOD, TRUSTEE 21 SCHEDULE "All SCHEDULE REFERRED TO IN THE ANNEXED TRUST AGREEMENT DATED DECEMBER 21,2011 FROM JEAN T.YINGER, SETTLOR TO MARTHA J.WOOD,TRUSTEE ----------------------------------------------------------------------------------------------------------- PROPERTY DESCRIPTION: INITIAL TRUST INVESTMENT SHALL BE APPROXIMATELY $230,000 LOCATED IN AN ACCOUNT AT M&T BANK. 22 PA REV-1500 SCHEDULE E CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY r _ '-- — — \p}=�irnporwe Cape Horn Office If you have any questions, pl80S8 call our Telephone 8dOk1hg C8Ot8[ at 1-800'724-2440 Today's Date: 8UG1O8s8 Date: 07/10/2015 07/10/2015 "\ 1O' Time: 38 AN ' ~u�Vc Checking Deposit $153.91 **#0897 \ ' OSO5/15 24 Thanks for visiting un today. We are hnonv to assist yOU| $$$$$$$$$$$$$$$$$$$$ Certificate Number: 16147 006105 530250 Give Us your opinion for d chance to WIN CASH PRIZES! T8ke a short GW[v8y and let Us know how we're doing. To participate and to sae complete [Ul0S` visit: This invitation GXpi[88 7 days from date of r8C8ipt. NO purchase Or transaction required to enter. $$$$$$$$$$$$$$$$$$$$ cvqg C F�a imens Bank , Account Number Account Title 6100701085 Martha Jean Wood/Jean T Date Opened ginger Account Type 412111971 Princi al Balance as of DOD Checking Interest from Last Posting to DOD $2576.56 Account Balance as of DOD $ .00 YTD Interest to DOD $2576.56 $ .00 f C tizens Ban Account Number Account Title 6234473206 Date Opened Martha Jean Wood Rep Payee for Jean T Yinger Account Type 4/5/2012 Princi al Balance as of DOD Checking Interest from Last Posting to DOD $6170.80 Account Balance as of DOD $ .00 YTD Interest to DOD $6170.80 $ -00 1,1`9 Citizens Bank R CZ Account Number 6234474326 Account Title Jean T Yinger Date Opened 4/19/2012 Account Type Checking Principal Balance as of DOD $3397.01 Interest from Last Posting to DOD $ .00 Account Balance as of DOD $3397.01 YTD interest to DOD $ .00 M M&TBank 499 Mitchell Road,Millsboro,DE 19966 Records Management Phone 888-5024349 Fax (302)934-2955 June 22.2015 Law Offices of Halbruner, Hatch & Guise, LLP 2109 Market Street Camp Hill, PA 17011 Re: Estate of: Jean T Yinger Social Security: Date of Death: February 1, 2015 Dear Sir or Madam: Per your inquiry on June 9,2015, please be advised that at the time of death,the above-named decedent had on deposit this bank the following: I. Type of Account Checking 5c L Account Number 9849867511 Ownership(Names of) Martha J Wood(POA) Jean T Yinger Opening Date 04/19/2012 Balance on Date of Death $8,017.93 Accrued Interest $ .04 Total $8,017.97 2. Type of Account Savings C 11 �- Account Number 15004226759875 Ownership(Names of) Martha J Wood(Trustee) Jean T Yinger(Grantor) Opening Date 12/21/2011_ Balance on Date of Death $90,771.44 Accrued Interest 1.30 Total $90,772.74 l 3. Type of Account Individual Retirement Account S C. L Account Number 35004110096896 Ownership(Names of) Jean T Yinger Opening Date 10/02/2006 Balance on Date of Death $10,921.07 Accrued Interest 1.35 Total $10,922.42 For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds,please call West Shore Plaza at 717-731-1730. We were unable to locate any safe deposit box for the above-mentioned decedent. This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of Uniform Transfers,Representative Payee,or Trustee under a Written Agreement. Sincerely, Tomara Williams Records Management PA REV-1500 SCHEDULE G INTER-VIVOS TRANSFERS and MISCELLANEOUS NON-PROBATE PROPERTY M M&TBank 499 Mitchell Road,Millsboro,DE 19966 Records Management Phone 888-502-4349 Fax (302)934-2955 June 22,2015 Law Offices of Halbruner,Hatch & Guise, LLP 2109 Market Street Camp Hili, PA 17011 Re: Estate of: Jean T Yinger Social Security: Date of Death: February 1,2015 Dear Sir or Madam: Per your inquiry on June 9,2015, please be advised that at the time of death,the above-named decedent had on deposit this bank the following: 1. Type of Account Checking G (�✓ Account Number 9849867511 ' Ownership(Names of) Martha J Wood(POA) Jean T Yinger Opening Date 04/19/2012 Balance on Date of Death $8,017.93 Accrued Interest S 04 Total $8,017.97 2. Type of Account Savings cr Account Number 15004226759875 Ownership(Names of) Martha J Wood(Trustee) Jean T Yinger(Grantor) Opening Date 12/21/20 11 L Balance on Date of Death $90,771.44 Accrued Interest 1.30 Total $90,772.74 f 3. Type of Account Individual Retirement Account Account Number 35004110096896 Ownership(Names of) Jean T Yinger Opening Date 10/02/2006 Balance on Date of Death $10,921.07 Accrued Interest 1.35 Total $10,922.42 For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please call West Shore Plaza at 717-731-1730. We were unable to locate any safe deposit box for the above-mentioned decedent. This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of Uniform Transfers,Representative Payee,or Trustee under a Written Agreement. Sincerely, Tomara Williams Records Management PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS i 4S0 wa 4�0 Walmo iiattarn Rood C�sfe, pq�fl� Roo C60ikim PA.1'M3 t7 T7; UX-2344 tARKETS , . 345 MARKETS tt { �.� �� .l T U DATE S ., ZE o -'�� ��J1 t"h\,,SA- yh' -E rc " R QTY, DESCRIPTION PRICE PRICE EXT. QTY. DESCRIPTION PRICE PRICE EXT. �a -E , c CUSTOMER INVOICE fUSTOM }. ; SIGNATUf L " INVOICE X L � OFFICE USE ONLY OFFICE �•- USE ONLY INV.# f �i .nth INV.# ,�; f -✓ y '; J Lt � s Aft Malpezzi Funeral Home 8 Market Plaza Way {7l 7} 697-4696 Mechanicsburg, PA 17055 www.MalpezziFLineralHoiiie.coiii Jeremy J.Shartzer,FD Michael J. Malpezzi,Owner,FD Kyle C. Knipe,FD February 6, 2015 Martha J. Wood 108 Thomas Avenue Dallastown, PA 17313 This is the final statement for the funeral services of Jean Thelma Yinger We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way, PROFESSIONAL SERVICES: Services of Funeral Director/Staff $5,760.00 FUNERAL HOME SERVICE CHARGES $5,760.00 SELECTED MERCHANDISE: Poplar Veneer Casket $3,650.00 Sentinel Vault $1,450.00 Brown Register Book Package $75.00 THE COST OF OUR SERVICES,EQUIPMENT,AND MERCHANDISE THAT YOU HAVE SELECTED $10,935.00 CASH ADVANCES: .41 the time funeral arrangements were made, we advanced certain payments to others as an accomodation. The following is an accounting of those charges. Opening Grave $950.00 Cemetery Equipment $210.00 Certified Death Certificates $72.00 Newspaper Notices-Patriot $420.40 Newspaper Notices-York $133.82 Newspaper Notices-Carlisle $158.37 Clergy/Mass Offering $150.00 Organist-Pat Brown $150.00 Custodian-Betty Noss $50.00 Sound Technician-Merle Crumlich $50.00 Flowers $185.50 Monument Engraving $175.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES $2,705.09 CONTRACT PRICE $13,640.09 HISTORY: 02/01/2015 Discount Pre-Need Guarantee $150.04 02/03/2015 Payment Homesteaders Life Company $13,060.93 TOTAL AMOUNT DUE BY March 3,2015 $429.12 If you have any questions or concerns regarding this bill, please call our office at(717) 697-4696. RECEIPT FOR PAYMENT ------------------- LISA M. GRAYSON, ESQ. Receipt Date : 4/16/201--- . Cumberland County - Register Of Wills Receipt Time : 12 : 42 : 31 IDne Courthouse Suare Receipt No. : 1081097 rt Carlisle, PA 17913 YINGER JEAN Estate File No . : 2015-00424 1 Paid By Remarks : MARTHA J WOOD DB1 - - -- - -- - - - - - - - - - - -- - - --- Receipt Distribution - - ----- --- -- ----- - - - - - - - Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 45 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN RENUNCIATION 10 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M. D AUTOMATION CERTIFICATE 30 . 00 CUMBERLAND COUNTY GENERAL FUN FEE 5 . 00 CUMBERLAND COU4�7TY GENERAL FUN INVENTORY 1,- , ()0 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL 'FUN ------ - - - - -- -- - - - Check# 7757 170 . 50 Total Received. . . . . . . . . Aw CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717)249-3166 Fax:(717)249-2663 May 22, 2015 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Craig A. Hatch, Esquire RE: Jean T. Yinger Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: May 8, May 15, and May 22, 2015 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 ------------- Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director The Patriot-News Co. 2020 Technology Pkwy the a rla ~ ews Suite 300 Mechanicsburg, PA 17050 Now you know Inquiries - 717-265-8213 HALBRUNER, HATCH &GUISE, LLP 2109 MARKET STREET CAMP HILL PA 17011 STATEMENT ALL CHARGES ARE NET ACOT NAME AD QRDER# DATE EDITION ADDTL.INFO, TYPE OF CHARGE AMOUNT 245301 HALBRUNER,HATCH&GUISE,LLP 0002335417 05/19/15 XXX Yinger BASIC AD CHARGE $67.78 245301 HALBRUNER,HATCH&GUISE,LLP 0002335417 05/26/15 XXX Yinger BASIC AD CHARGE $67.78 245301 HALBRUNER,HATCH&GUISE,LLP 0002335417 06/02/15 XXX Yinger BASIC AD CHARGE $67.78 AFFIDAVIT CHARGE $5.00 TOTAL: $208.34 This is not an invoice. Please do not remit payment from this Statement. An invoice will be generated at the end of the month. --Thank you. NOTE: This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication The Patriot-News Co. -07_. Technology Pkwy the a r10jw tws Suite 300 Mechanicsburg, PA 17050 Now you know Inquiries - 717-265-8213 HALBRUNER, HATCH &GUISE, LLP 2109 MARKET STREET CAMP HILL PA 17011 THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin) ss Amy Kotula, being duly sworn according to law, deposes and says: That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 2020 Technology Pkwy, Suite 300, in the Township of Hampden, County of Cumberland, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 1900 Patriot Drive, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/Community Weekly editions which appeared on the date(s)indicated below. That neither she nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book"M", Volume 14, Page 317. . PUBLICATION COPY This ad# 0002336417 ran on the dates shown below: LETTERS TESTAMENTARY for the May 19,2015 Estate of Jean T.YInver,deceased,late of Lower Allen Township,Cumberland May 26,2015 County,Pennsylvania,having been granted to the Executor named below, June 02,2015 all persons Indebted to the estate are requested to make Immediate Payment and those having claims against the estate are requested to present them for settlement without delay to the following: Martha J.Wood,Executor c/o Craig A.Hatch,Esq., SW n subs ed before me this 09 day of June, 2015 A.D. HALBRUNER,HATCH &GUISE,LLP 2109 Market Street Camp HIII,PA17011 lotary P14�Iic COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Sheryl Marie Leggore,Notary Public Hampden Twp.,Cumberland County My Commission Expires July 16,2018 MEMBER, PENNSYLYAWIA ASSOCIATION OF NOTARIES PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS . l..! ii'ir.�,i`�,�r:1 C—`Y�t. .A4•:�f'''� .,.a ���+��*.««L+ Bethany Village Mechanicsburg PA 17055 325 Wesley Drive•Me A4 F- 02 1 P ' 0000841 752 klAll FI7 FROM 0,A V) c� 01� r-rotn , I I r,ruugn I lCharges,,, -v t.reoits I - RESIDENT RESPONSIBILITY 12/31/2014 Balance Forward $8,155.00 Received(1/21/2015) -$8,155.00 $0.00 2/1/2015 2/7/2015 Assisted Living Room and Board 6 $261.00 $1,566.00 $1,566.00 1/16/2015 1/16/2015 Nutritional Supplements 1 $1.20 $1.20 $1,567.20 1/16/2015 1/16/2015 Meal Credit 12 -$5.00 -$60.00 $1,507.20 1/16/2015 1/16/2015 AL Laundry Credit 12 -$0.35 -$4.20 $1,503.00 1/16/2015 1/16/2015 AL Housekeeping Credit 12 -0.45 -$5.40 $1,497.60 Your Billing Contact is Dana Alexander at 717-591-8029 TOTAL.RESIDENT RESPONSIBILITY . �MEDICINE SHOPPE 1982 A FINANCE CHARGE OF 1.50 %, PER MONTH 4999 LOUISE DR STE 204 (AN ANNUAL PERCENTAGE RATE OF 18.0 ) WILL BE MECHANICSBURG, PA 17055 CHARGED ON ALL AMOUNTS 30 DAYS OR MORE PAST DUE fill Jill I I III III I III W1111111111111111 11 STATEMENT OF ACCOUNT STATEMENT DATE: 01/31/2015 PMT DUE. . 02/25/15 JEAN T YINGER YINGJ MARTHA WOOD GRP-BVGM 108 THOMAS AVE PAGE 1 DALLASTOWNPA 17 313-9 7 7 6 AMOUNT PAID T::DUE: . PT,RASF. T)RTnf+u wpvv MIM-1 IOVMTTMTT mnn E MEDICINE SHOPPE 1982 4999 �STE-l64 MECHANICSBURG, PA 17055 ili-by5-yuna :APT >ME DATE x NUMBER QT'Y DESCRIPTION cn /;o AMOUNT' SALES TAX ITEM TO F ** ACTIVITY FOR Y NGER JEAN T - INGJ - 01/14/15 6071558 29 PANTOPRAZOLE SOD 01 6. 00 .00 6.01 00378-6689-10 01/14/15 6071559 58 REPAGLINIDE 0.5 M 01 6.00 . 00 6. 01 00378-3121-01 01/14/15 6071560 29 SIMVASTATIN 10 MG 01 6. 00 .00 6. 0( 16729-0004-15 01/14/15 6071561 29 VITAMIN B-12 500 01 * 2 . 99 .00 2.9' 37205-0491-05 01/14/15 6071562 29 VITAMIN D 1, 000 U 01 * 2.99 . 00 2 .9' 00904-5824-60 01/15/15 6086566 10 TAMIFLU 75 MG CAP 01 9.00 .00 9.0( 00004-0800-85 01/28/15 6089194 10 CETIRIZINE HCL 5 01 * 2.99 . 00 2 .9' 00378-3635-01 01/28/15 6089195 5 PREDNISONE 10 MG 01 1.50 . 00 1.5( 00054-0017-25 01/28/15 6089196 60 DIPHENHYDRAMINE 2 01 * 3 .60 . 00 3 .6( 37205-0742-78 01/29/15 2004195 30 MORPHINE SULF 100 01 6. 00 . 00 6. 0( 00406-8003-30 01/29/15 4005998 30 LORAZEPAM 1 MG TA 01 3 .00 . 00 3 .0( 00603-4247-28 01/29/15 6089334 30 NYSTATIN 100, 000 01 6.00 . 00 6. 0( 00603-7818-78 01/29/15- 6089335 142 BAZA CLEAR OINTME 01 * 4 .52 . 00 4 .5� 11701-0048-14 PAY 223 . 78 **IF PAID BY 02/25/20 . 00 138 . 72 85 . 06 TOTAL TAX LEGEND NON-LEGEND FOR MONTH FOR MONTH TTE AMO PREVIOUS BALANCE. -CHARGES - .FINANCE� CHARGE- :�TOTALCHARGES S` TOTAL THIS':MONTH ... - PAYMENTS CREDITS 68 . 44 + 223 . 78 + . 00 - 292 . 22 - 68 . 44 = 223 . 78 Chec �'9 Citizens Banff State Account 1-8$8-910-4100 Statement Call Citizens Phone8ank anytime for account information,current rates and answers to your questions. 0 OF 3 Beginning February 13, 2015 through March 12, 2015 Images for account XXXXXXX108-5 MARTHA JEAN WOOD rX.W. 5020 —.,—JEAN WOOD 5021 JEAN T VINGER JEAN T VWGER 1.1...,ME /} see ThO�S AW. QHlABTDYYlII PA 17318-Y77! pME� yY V l"I TMe PA�1TS5?'DTl6 M� K'JO../� j J fb cam- C(Cit tens Bank- ,_H,r�s IICttizens Rank* .�.o 4,n1J s,xp_z3yan �YIt.�.� , �tf -- 'i lbl =- Id ss,r�� -+:0360761501. 63007010a5r so?a ++:0 360 7 6 1 50/: F.&GU?0i0asr soli 5020 0211712015. $223.78 5021 02i24i2015 $1497.60 "MARTHA JEAN WOOD JEAN T VINGER led TNON AVC o It STGWN,PA 1731301779 -M S •r/�~ a OcE�.�r �11u1 41:0 3 60 76 1 501: 61D070101550, 5022 }� '- 5022 02t23i2015 $128.90 Member FDIC �� Equal Housing Lender STATEMENT OF ACCOUNT (1) CAMP HILL EMERGENCY PHYSICIANS Statement Date: February 25,2015 PO BOX 13693 , ACCOUNT NUMBER: HYP49736457 PHILADELPHIA, PA 19101-3693 L"111 Patient Name:JEAN T YINGER gra f Tax ID#: 20-4667340 Account Balance: $60.69 Amount Pending ..4inswrance: $0.00 Amount Due Flom Patient(Current): $60.69 Jkli S7-06 Annnint Due Fjorn 00 to 1P1 411000MMI IYI IW4 111.10 10 JEAN T YINGER 5225 WILSON LN STE '301 PLEASE EEMIT PAYMENT BY"PAYME III 011V Ay"OW�Tl 1AW YOU, 1400 010 MITI INK'"WO(I PA I /W11) (11,101 to coupon below lot payltiefil instructions. Pay your rift sccuiuzy online anytime at www.MyMedicalPayments.com Date It Dotxriplion Charge Paid By Paid Ely Paid By Amount Due From PATIENT First Ins. Other Ins. Patient Adjusted Insurance BALANCI 01/16/15 1 9J285 ENICf<G;I'KOY OVAL v MGM I(LVL, $1,323.00 ';RITHOSPTAL 02/13/15 f,ICDICARECOI ITI"?ACTLJALALLO-;',-! $-1,174.94 02/13/15 MCDC'ARE SEOUESTRATION-RED'.._,r III FEDERA. - -- sm-f to 02/1 3/15 C,MUCTIFU "8.50 02/19/15 $.17.47 $60-6! S: $1,323.00 _$68.50 417=47 $0,_00_T, $60.69 Important k1f_,ss:2�gos: This statement is(0,the direct t,ea wiw of I), stoo k,;-ie you recently received from an Emergency Physician at Holy Spirit Hospital.The fees for this private physician are billed separately lf=flany�lhusp,Wchatgas or u."I Piolessional fees for which you may also be responsible. Therefore,should you receive a bill from the hospital or other physicians fur charges in connection with _.,,;t,it will not include the items listed on this statement. ayment Plans"Accepted Quostimis ali- state men t?/LIame de Lunes a Viernes? C:,!! - ,ionday through Friday 9:30AM -4:00PM. YOUr autcfnialcd systein _,:ss code is 0801-49736457, or you can send email to _questions@emcare.com. Ap Account: 21691 Services Rendered At: HOLY SPIRIT HOSPITAL ProcPayments Date Code Description Charge * Adiustments Balance 71010 CHEST SINGLE VIEW FRONTAL 36.00— 9.11 ,,IV3012015 CR Adjustment NIEDICARE-NOVi" "!-UTIONS 26.89 1/17/2015 71010 CHEST SINGLE VIEW FRONTAL 36.00 9.11 1/30/2015 CR Adjustment MEDICARE-NOW", -1-UTIONS 26,89 1/20/2015 71010 CHEST SINGLE VIEW FRONTAL 36.00 9.11 2/3/2015 CR Adjustment P,1E!-)!CARE-N0V1: :-JTIONS 26.89 Current 31 -60 61 lio -vur 120. BALANCE DUET j $27.33_p 0.00 27.33 O.UO I U.Uu )0 PAY BY Due Upon Receipt THIS ACCOUNT BALANCE IS YOUR RESPO!:-.:;: .:.I I Y. Foi Milling questions call: (717)932-5955 PLEASE REMIT PAYMENT IN FULL OR CALL QU.\1 or, (877)932-5955 OFFICE IF PAYMENT ARRANGEMENTS AN!",!0P Fax: (717)932-4856 INSURANCE INFORMATION IS NECESS"",: 011i,-x Hours: 8:00 AM - 4:30 PM To pay your bill online and register for eStaternent please visit us at: wwW.qita.cof-n SEE RE:.V -!7,�— BILLING INFORMATION 19670-15 END OF ATTACHMENTS