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Home My WebLink About01-0813 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Claude Lewis, Jr. also known as No. To: 21-01-813 Social Security No. Deceased. 498-14 7610 Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or in the last will of the above decedent, dated June 18. 2001 and codicil(s) dated named . 19_ (state relevant circumstances. e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with is 1;s~f~mi}rtSr ri~~:~Jgr~~~';.tr I ;;r~ Strayer Drive. Carlisle, PA 17013 (list street, number and muncipality) Decendent, then 76 years of age, died August 4 at 121 Strayer Drive. Carlisle. PA 17013 Except as follows, decedent diCl 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: . ~ 2001 . Decendent at death owned property with estimated values as fellows: (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: 121 Strayer Drive. Carlisle, PA $ 1,400 , 000.00 $ $ 170/3 130,000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) - ~ " := ~ 3: Manufacturers and Traders Trust Company H ~~}lir~W~j ~"5 ~v1'~-(1ri!.~ -.P. tx l'rust Officer ~ ~ ;;, :ii OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PE~NSYL VANIA I 58 COUNTY OF Cumberland J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and .:orrect 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 truly administer the estate according to law. Sworn to or affirmed and before me this 27th ~~"!pr2~ 'vI>> ~ 0;' :: l:l :: .., rus!- Officer -...;. No. 21-01-813 Estate of Claude Lewis~ Jr. , Deceased DECREE OF PROBATE AND GRANT OF LETTERS and Letters are hereby granted to AND ""OW AUGUST 31 xx2001. "d' f th . . ,.. l~_. In COnsl erauon 0 e penuon on the reverse side hereof. satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated June 18, 2001 described therein be admitted to probate and fIled of record as the last will of Claude Lewis, Jr. testamentary Manufacturers and Traders Trust Company ''?7(.? %~ij-'~nj #J' .J ,O~ egJster of WtlIs FEES Probate, Letters. Etc. .."...... Short Certificates( )........... Renunciation ................ JCP $ $ $ $ TOTAL _ $ . . . . . . " . . . . AUG. 27.,. "200.1 . . . . . . . . . 865.00 30.00 ATTORNEY (Sup. Ct. 1.D. No.) 5.00 909.00 ADDRESS Filed PHONE T_T'(\".\;"I''' ~,r:::.\r 0,'0(. 'This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 p 7578278 No. 21-01-813 2\....... ~. ~eu..~~ Local Registrar AUG 7 2001 Date -il0S.: 4J R.., 2187 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH STATE ~llE ~UM8lR SOCIAL SECURITY NU~BER DATE OF OEAT~ IMond'I. 08.... '''''1 .T IT ( NAME OF DECEOENT IF,..,.. 1lA.dc.e. l_1 ,. Claude Lewis Jr. .. Male SEX AGE (LastSofthOay) UNOEA 1 YEAR Month. 0.11 UNOEA 1 D1f:t Hourti i "!nul.. 76 v... d\ .. COUNTY OF OERH Currt>erland s, ... Ie. t : d. DUE 10 (OA AS A CONSEOUENCE Of): DUE 10 (OR AS A CONSEOUENCE Of): WERE AUlOPSV FINDINGS MANNER OF DEATH .M.WLA8t.E PRIOR 10 ~ COMPLEllON OF CAUSE 0 OF DERH? ........ HomiCide -.. 0 Pending tnYnllgllton 0 Yes 0 No [j/ ........ 0 Could not be ctet.rm'ned 0 DATE OF INJURY lMonln. o.v. "'I .. 498 - 14 .. August 4, 2001 ="'10 RACE - Al'MnCaft IncH". I!Mack. Whit.. Me '_"'1 ,.. Whi te SUAVMHG SPOuSE I"..... QMI madtrl t'\If'n.l Twp. ..... CifY~. ""~ ... '....,."Dximat. :inIeMl1w.." I DnMl: and cM.tfl I i PART II: Othef SigniAcanl. ~ concribuIlnglOdHth, but f'IOl rMUltif'IQ inttM ~ceuM c;..n in PART I. ~/fJ)t't~ - '7T ./ /1.et?-/7/d TIME OF INJURY INJURY I(f WORK? DESCRIBE HON INJURY OCCURRED. Yoo 0 ",,0 M, LOCATION ~... C.ty/TowrI. Stalel ZOJ. PlACE OF INJURY. AI hOme. farm. srrMt. faclorr. otfiC. buitdInQ. Me. ISpec.....l -, /1'J? a.. 211t. Cl.RTIFIER 10.:. only onel -CEJffntNQ PHYSICIAN lPtlySCatl cfll1lfylng cause d dNlh wf\erl ~ phVSICoan has ptonounc:.d de.lf! an(I ccrnplelecl!leon 23) To........, my knowMdge, de.ttlaccul'Nd.......thec.u.e(.).ndtn.nnet.. alated.......,.....,..............,...,... .~INQ AND CERTIF'YING I'HYSICIAN cl'hyscJan boltl ."onounc'"9 deillh.and certllylng toCauMoI de."'l To the beet 0' my kno~ft. de.'" OCCun'M.' the ttIne. d.ta. andplec:.. af'ldd..-tolheC'UM(...tldtn'''Mr.. .taled.....,.................... .MEDlCAL DAMINERlCORONEA On the b..ls of .nmlNltlon andlorinYuUgation, In my opinion, death occurred at the lime, dale, and place, and du. to the cau..(.) and m."ner a. .laIH....,. ..,......................................................................................... 31.. REGISTRAR'S SIGNATURE AND N 1& \ 1(3<, \ 101 II. :TE FlLEO._ o..,.~ . ~ d,CO\ . FIFILESIDA T AFILEIWILLSI5637-H.WILL4 LAST WILL AND TESTAMENT 21-01-813 I, CLAUDE LEWIS, JR., of the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made. 1. I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. 2. I devise and bequeath all of my tangible personal property, as well as my personal residence situate at 121 Strayer Drive, Carlisle, Pennsylvania, to my son, GREGORY L. LEWIS. 3. I make the following specific bequests: a. I give and bequeath the sum of Fifteen Thousand Dollars ($15,000.00) to MRS. CARL BRANNON of St. Louis, Missouri; b. I give and bequeath the sum of Two Thousand Dollars ($2,000.00) to MRS. PAUL 1. VENKER of St. Louis, Missouri; c. I give and bequeath the sum o~ Ten Thousand Dollars ($10,000.00) to MRS. JEROME 1. VENKER of St. Louis, Missouri; d. I give and bequeath the sum of Six Thousand Dollars ($6,000.00) to MRS. BILLY B. LOVELL of Las Vegas, Nevada; e. I give and bequeath the sum of Four Thousand Dollars ($4,000.00) to MR. ROBERT HARRISON of Millsap, Texas; 1/ _ '- ' C.L. Page 1 of 4 Pages f. I give and bequeath the sum of Twenty Thousand Dollars ($20,000.00) to MR. RONALD HARRISON of St. Louis, Missouri; g. I give and bequeath the sum of Fifteen Thousand Dollars ($15,000.00) to my loyal and faithful administrative assistant, MRS. SYLVIA KAUFFMAN of Carlisle, Pennsylvania; h. I give and bequeath the sum of Five Thousand Dollars ($5,000.00) to CENTRAL METHODIST COLLEGE, of Fayette, Missouri, to be held as "Claude Lewis Scholarship Fund"; and 1. I give and bequeath the sum of Five Thousand Dollars ($5,000.00) to ALLISON UNITED METHODIST CHURCH of Carlisle, Pennsylvania. 4. I hereby exercise the power of appointment over the Marital Trust under paragraph 2, b, (3), ofthe Second Amended and Restated Schedule "B" to Agreement of Trust of Aletha A. Lewis Dated August 29, 1994, in favor of my residuary estate, governed by my Agreement of Trust dated August 29, 1994, as from time to time amended. 5. I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal property, unto MANUFACTURERS AND TRADERS TRUST COMPANY, a New York banking corporation, formerly KEYSTONE FINANCIAL BANK, N.A. of Carlisle, Pennsylvania, or its successor, as Trustee under Agreement of Trust dated August 29, 1994, as from time to time amended.. 6. I nominate, constitute and appoint the said,MANl)F ACTURERS AND TRADERS TRUST COMPANY, a New York banking corporation, or its successor, as Executor of my estate. 7. I direct that my Executor and Trustee shall not be required to file a bond to secure the faithful performance of its duties in any jurisdiction. C!/v.--- C.L. Page 2 of 4 Pages 8. I authorize and empower my Executor and Trustee, in its sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms and such prices as it may deem advisable; to borrow money for any purposes connected with the protection and preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share; to employ agents, attorneys and proxies and to delegate to them such power as my Executor and Trustee considers desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may be necessary to carry out any of these powers. In addition, I direct that my Executor shall have the power to conduct an inventory of any safe deposit box necessary to the administration of my estate. IN WITNESS WHEREOF I have hereunto set my hand and seal this fi! #V day of June, 2001. (l~~EAL) Claude Lewis, Jr. SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testator and of each other. ~~~ {~1~-C Page 3 of 4 Pages . . COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, Claude Lewis, Jr., Ivo V. Otto III, and /11 tJ r tAL Y. tt'J-v, ~ , the Testator / and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his last Will and that the Testator has signed willingly, and that the Testator executed it as his free and voluntary act for the purposes therein expressed, and that each ofthe witnesses, in the presence and hearing ofthe Testator, signed the Will as a witness and that to the best of his /her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~OAdOrP LV'>~' T~~ . ~~ '~Yd -> Witness 4::'-~ '1' ~~ Subscribed, sworn to and acknowledged before me by Claude Lewis, Jr., the Testator, and subscribed and sworn to before me by Ivo V. Otto III and m~rc.( -tt. y {' 0 h-r-f+ry\ , the witnesses, this 18~ day of June, 2001. ~ .~ ~ --! No aiy Public . NOTARIAL SEAL CORRlNE l. MYERS, Notary Public .. ~.!rIlsle Boro. C~r:'.1berlandCountY MV liommlssiOn EXDlres Mav 27, 2003 Page 4 of 4 Pages \/?-~-~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-1U7 EX AFP lDl-D21 IVO V OTTO III MARTSON ETAL 10 E HIGH ST CARLISLE ESQ '02 JUiJ 17 DATE ESTATE OF DATE OF DEATH FILE NUMBER g :0 !COUNTY ACN 06-10-2002 LEWIS 08-04-2001 21 01-0813 CUMBERLAND 101 CLAUDE \; PA 1701(3~!: Allount Re..itted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REy=i 6'ifj-EX--AFP-foY=02Y------...--i NifiRITANCE--TAX- -STA-fEMENT-'ifF'-AccoUiff--...--------------------- ESTATE OF LEWIS CLAUDE FILE NO.21 01-0813 ACN 101 DATE 06-10-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-03-2002 PR I NCI PAL TAX DU E : ........................................................................................................................................................................................................................... 25,071.74 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0477 1,253.59 23,818.16 TOTAL TAX CREDIT 25,071.75 BALANCE OF TAX DUE .01CR INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .01CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J /?- -<,/- ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-liD? EX AFP (01-02) 'OZ JUi~ 17 n .r"-. ,'~~ .1 . DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-10-2002 LEWIS 08-04-2001 21 01-0813 CUMBERLAND 102 CLAUDE IVO V OTTO III MARTSON HAL 10 E HIGH ST CARLISLE ESQ Allount Rellitted r'., l>."\' PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i60'7-EX-AFP--foY=02Y------...--fNHERiYANC'E--TAX-STAYEM'E-NT-'ifF-A'ifcoi:iNY--.-..--------------------- ESTATE OF LEWIS CLAUDE FILE NO.21 01-0813 ACN 102 DATE 06-10-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-03-2002 PR I NCI PAL TAX DU E : ........................................................................................................................................................................................................................... 99,862.42 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-02-2001 CDOO0477 2,956.94 56,181.84 05-03-2002 CDOO1143 .00 40,723.64 TOTAL TAX CREDIT 99,862.42 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ""CREDIT"" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: M & T INVESTMENT GROUP 1415 RITNER HIGHWAY CARLISLE, PA 17013 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 498-14-7610 FILE NUMBER: 21-2001- 0813 DECEDENT NAME: LEWIS CLAUDE JR DA TE OF PAYMENT: 11/02/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/04/2001 ACN ASSESSMENT CONTROL NUMBER 101 TOTAL AMOUNT PAID: REMARKS: M & T INVESTMENT GROUP CHECK# 754102 SEAL INITIALS: DO RECEIVED BY: REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 000477 AMOUNT -------- I $80,000.00 I I I I I I I I $80,000.00 MARY C. LEWIS REGISTER OF WILLS E" - CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: CLAUDE LEWIS, JR. Date of Death: AUGUST 4, 2001 Will No. 21-01-813 Admin. No. To the Register: I certify that notice of (beneficial interest) 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 OCTOBER 3, 2001 Name MRS. CARL BRANNON MRS. BILLY B. LQVELL MR. RONALD HARRISON MRS. SYLVIA KAUFFMAN MRS. PAUL J. VENKER MR. ROBERT HARRISON MRS. JEROME J. VENKER ALLISON UNITED METHODIST CHURCH 99 MooRELAND AVENUE, CARLISLE, PA 17013 CENTRAL METHODIST COLLEGE ATTN: RUTH BENNER 411 CMC SQUARE, FAYETTE, MO 65248-1198 Address 4144 LOUGH BOROUGH AVE., ST. LOUIS, MO 63116 3505 S. FMI13, MILLSAP, IX 76066 600 SWEET SPRINGS, MOBERIX, MO 65270 25 WILSON STREET, CARLISLE, PA 17013 823 DUMONT PLACE, ST. LOUIS, MO 63122 400 BULL RUN, MILLSAP, IX 76066 c/o BETHESDA-DILWORTII NURSING HOME, 9645 BIG BEND BLVD, ST. LOUIS }f() 63122 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: NO\} 2 8 100' Signature iJ::::c~a MANUFACTIJRERS & TRADERS TRUST COMPANY 1415 RITNER HIGHWAY CARLISLE, PA 17013 Name '.... Cr (V) II) Address ,.,,) ..- .-' c::r: "C~1 _,I": I:~ I;:) C,) ~ fV) I c:..:J c::J '::H Telephone (717) 240-4505 p ':) ,', .0 ."r_ ,::: ~= Cu Capacity: ~ Personal Representative _Counsel for personal representative 4 .--.. I ~ M&T Investment Group IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. Whether you \\ill recci\e any money or property will be detertlllned wholly or partly by the decedent's \\ill. If the decedent died \\ithout a \\ill. whether you will recei\e any money or property will be determined by the lllteslacy 1;1\\ s of Pennsyhania. BEFORE THE REGISTER OF WILLS. COUNTY OF CUMBERLAND. CARLISLE. PA In re Es[ateofCLAUDE LEWIS, JR.. deceased. Estate NO.2 1-0 I-X I.' TO Mrs. Carl Brannon .J.I.J..J. Lough Borough A \e. St. Louis MO 6311 () Mrs. Paul 1. Venker X23 DUIllonl Place St. Louis. MO 6312) Mrs. Jerome 1. Venker c/oBethesda-Dilworth Nursing Home 96.J.) Big Bend Blvd. SI. Louis. MO 63122 Mrs. Billy B. LO\ell ,)0) S. FM II., Millsap. TX 7606() Mr. Robert Harrison .J.OO Bull Run Millsap. TX 76066 Mr. Ronald Harrison 600 Swect Springs Moberly. MO 6)270 Mrs. Syl\ia Kauffman 2:' Wilson Street Carlisle. PA !70n Central Methodist Collegc Attn: Ruth Benncr .J.I I CMC Squarc Fayctte. MO 6)2.J.X-lllJX Allison United Methodist Church lJlJ Mooreland A\enue Carlisle. P A 17013 Please take notice of the death of decedent and the grant of letters to the personal representati\e(s) named below. The Decedent CLAUDE LEWIS, JR.. dicd on the .J.th day of August 200 I. at Carlisle. Cumberland County. Pennsyhania. The Decedcnt died testate. A copy of the Will is enclosed. The personal representative of [he Decedent is Manufacturers and Traders Trust Company I.J.I) Ritner Highway Carlisle. P A 17013 717 -2.J.O-.J.)O) The \\ill has been filed with [he Office of the Register of Wills of Cumberland County. I Courthouse Square. Carlisle. P A 17013. Phone No. 717 -2.J.O-(J3.J.:M '..... II) Om Date OctQ~r3. 200 I~ ':,: ',." To... f"") I c..:l o ~: .::]i S. )/.. Ignature: .. . ..', -' /. ,< Name(prinl) DAVID C GORITY Manufacturers and Traders Trust Company I.J.I) Ritner Highway Carlisle. P A 170 I3 (717) 2.J.O-.J.)O:, :~} o c.;; a, 0: ..- ;:::? p , (l) ,(. ..0 .~ s:: \1>= GD Capacity: Personal Representati\e cc: ho V Olto. III. Esquire COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT OTTO IVO VICTOR III 10 E HIGH STREET CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 498-14-7610 FILE NUMBER: 2101-0813 DECEDENT NAME: LEWIS CLAUDE JR DATE OF PAYMENT: 05/03/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/04/2001 REMARKS: IVO V OTTO III ESQUIRE CHECK# 755809 SEAL ACN ASSESSMENT CONTROL NUMBER 101 TOTAL AMOUNT PAID: INITIALS: AC RECEIVED BY: REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 001143 MARY C. LEWIS REGISTER OF WILLS AMOUNT $40,723.64 $40,723.64 /?- -Y'-R ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 ESQ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN DATE ESTATE OF DATE OF DEATH FILE NUMBER : : I! COUNTY ACN '* REV-483 EX iFP IDl-OU IVO V OTTO I II MARTSON ETAL 10 E HIGH ST CARLISLE 12-16-2002 LEWIS 08-04-2001 21 01-0813 CUMBERLAND 201 CLAUDE Allount Rellitted PA 170.13 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~ REV =483--Ei(AFP-Toi:-021-----..-NcfficE--oF--liETERMIifATICfti-Aifli-AS-SESS-MENY----------------------- ----- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF LEWIS CLAUDE FILE NO.21 01-0813 ACN 201 DATE 12-16-2002 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 123,295.34 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 120,723.63 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 120,723.63 5. Pennsylvania Estate Tax Due 2.571.71 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 12-24-2002 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,571. 71 REVERSE SIDE OF THIS FORM.. INTEREST AND PEN. 98.69 TOTAL DUE 2,670.40 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) J j::> ~~,- --.-.--... . - - --~7 ---....-..-,,-~.__ . ". ..---......--"....- / .. CQMtD.~.. nr __ : ~ OF INDIVDJUAL TAXB DEPARTMENT aF REVENUE-'- ~=lTAX DIVISmII NOTt~ OF DETERMINATION AND HAIUUSlURr;. P" 171u-a601 ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED.OM FEDERAL ESTATE TAX RETURN DATE ESTATE OF DATE OF DEATH FILE NU"ER COUNTY ACN ------taT 11'I-4" a ... m.an IVO V OTTO III MARTSON ETAL 10 E HISH 5T CARLISLE ESQ 12-16-2002 LEWIS 08-04-2001 21 01-0813 CUMBERLAND 201 ~t ...iUIICI CLAUDE PA 17013 1- 1 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 NOTE: To insure proper" credit ta your account.. __1t i:he upper portion of thia forti with )rGUr tax pey-.nt. . CUT-ALONG THIS LINE.. -_. ... - RETAIN LOWERPoilTioN FaR YOUR FILES - ~- iEV':'U--ESrAFP--Coi7o2')----iii-No-fic"E-oj:--DETElOOiiifioNAifJi-issisiMENy--------------------------- OF PENNSYLVANIA ESTATE TAX lASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF LEWIS CLAUDE FILE NO.21 01-0813 ACN 201 DATE 12-16-2002 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Veri~ied 123.295.3'i 2. Pennsylvania Inheritance Tax Assessed (Excluding Di$count and/Dr Interest) 120.723.63 3. Inheritance Tax Assessed by Other States Dr Territories D~ the United States (Excluding Discount and/Dr Interest) .00 4. Total Inheritance Tax Assessed 120.723.63 5. , Pennsylvania Estate Tax Due 2.571.71 TAX CREIl%TS: PAYMENT RECEIPT ---.... - DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 12-24-2002 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED DN THE BALANCE DF TAX DUE 2,571,71 REVERSE SIDE OF THIS FORM.~ INTEREST AND PEN. 98.69 TOTAL DUE 2,670.40 IE:IF f'ADl AFTER TtaS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN 81. NO I'AYMENT IS REQUZRED FOR CALCULA.TION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REfLECTED AS A "CREDI'r' (eR).. YDU nAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOIUI FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT OTTO IVO V III ESQUIRE 10 EAST HIGH STREET CARLISLE, PA 17013 _n_____ fold ESTATE INFORMATION: SSN: 498-14-7610 FILE NUMBER: 2101-0813 DECEDENT NAME: LEWIS CLAUDE JR DA TE OF PAYMENT: 12/23/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/04/2001 NO. CD 001979 ACN ASSESSMENT CONTROL NUMBER AMOUNT 201 I $2,670.40 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: IVO V OTTO III ESQUIRE CHECK# 200076603 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $2,670.40 DONNA M. OTTO DEPUTY REGISTER OF WILLS .. . COORT OF COMMON PLEAS OF COMBERLAND COONTY, PENNSYLVANIA ORPHANS' COORT DIVISION NO. 21-01-0813 ESTATE OF CLAUDE LEWIS, JR., DECEASED ------------------------------------- ------------------------------------- FIRST AND FINAL ACCOONT OF Manufacturers and Traders Trust Co., Executor -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Date of Death: August 4, 2001 Date of Executor's Appointment: August 31, 2001 Date of First Advertisement of Letters: September 19, 2001 Accounting for the Period: August 28, 2001 to May 8, 2003 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Purpose of Account: Manufacturers and Traders Trust Co., Executor, offers this account to acquaint interested parties with the transactions that have occurred during this administration. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: David C. Gority, Trust Officer Manufacturers and Traders Trust Co. 1415 Ritner Hwy. Carlisle, PA 17013 717/240-4505 GROSS ESTATE (Principal Receipts + Income Receipts) 1,947,254.35 ------------ ----------.-- SUMMARY 'OF AC~OUNT Estate of Claude Lewis, Jr., Deceased For Period of 08/28/2001 through 05/08/2003 Page Proposed Distributions to Beneficiaries PRINCIPAL Receipts: Per Inventory Filed 1-3 Subseq Prn Receipts Net Gain (or Loss) on Sales or Other Disposition 4-7 Less Disbursements: Debts of Decedent 8 Funeral Expenses 9 Administration Expenses 9 Federal and State Taxes 10 Fees and Commissions 11 Family Exemption Balance before Distributions Distributions to Beneficiaries 12-14 Principal Balance on Hand 15 For Information: Investments Made Changes in Investment Holdings 16-18 INCOME Receipts: This Account 19-21 Net Gain (or Loss) on Sales or Other Disposition Less Disbursements 22 Balance Before Distribution Distributions to Beneficiaries 23 Income Balance on Hand 24 Investments Made Changes in Investment Holdings COMBINED BALANCE ON HAND Current Value ======-- --== 1,718.43 10,709.36 3,563.02 735,338.33 59,841. 80 0.00 0.00 .. Fiduciary Acquisition Value ----------- 0.00 ======- 1,898,042.76 18,230.05 36,912.58 --------------- 1,953,185.39 --------------- --------------- 811,170.94 1,142,014.45 331,592.01 ------...-------- 810,422.44 30,981. 54 0.00 --------------- 30,981. 54 1,982.23 --------------- 28,999.31 27,606.63 --------------- 1,392.68 811,815.12 =============== SCHEDULE A RECEIPTS OF PRINCIPAL CASH: 12/17/01 09/04/01 AARP - Membership refund Aletha A. Lewis TUA - Final income 11/06/01 Capital Blue Cross-PA Blue Shield - Refund of premium 09/04/01 Claude Lewis, Jr. TUA - Income to date of death 10/18/01 Comcast Cable - Refund 10/30/01 Life Investors Ins. Co. of America - Proceeds 10/30/01 Life Investors Ins. Co. of America - Premium refund 10/05/01 M&T Bank Cert. of Dep. #31003908266363 - Surrender proceeds 12/19/01 National Geographic - Subcription refund 09/10/01 Pennsylvania State Bank - Uncashed check 12/18/01 Peoples Benefit Policy #010LU59375 - Proceeds 03/26/02 Sprint - Final credit 01/18/02 The Hartford Cert. #210 - Premium reimbursement 09/04/01 The Sentinel - Refund - subscription cancellation -1- 7.68 12,670.78 316.90 58,835.03 17.56 6,000.00 44.83 100,000.00 31.17 4.77 3,000.00 4.09 16.57 71. 67 . Fiduciary Acquisition Value 10/16/01 Time, Inc. - Reimbursement for unused subscription 10/05/01 Transfer Cash - From income to principal - accrued interest to date of death M&T cert. of dep. #31003908266363 09/04/01 United Hea1thcare Insurance Co. - Reimbursement for medical expenses 11/09/01 UNUM Life Insurance Co. of America - Procees 02/12/02 USAA Insurance - Refund of auto insurance premium 10/15/01 Venator Group Pension - Retirement benefit PERSONAL PROPERTY: 10/15/01 2000 Lexus STOCKS/LISTED: ------------- 09/10/01 6,000.000 shares Allied Irish Banks PLC Spans ADR 09/10/01 9,621. 000 shares Community Banks, Inc. Mil1ersburg, PA 09/10/01 13 ,095.000 shares M&T Bank Corporation 10/15/01 10/15/01 M&T Checking Acct. #762946 M&T IRA Acct. #35004200309860 10/15/01 M&T Savings Acct. 1'115004200037479 -2- 4.99 153.53 1,735.66 1,000.00 28.23 2,864.41 36,915.00 132,990.00 257,433.91 1,056,373.65 14,268.53 10,176.32 20,930.83 & 186,807.87 36,915.00 10/15/01 09/10/01 10/26/01 06/13/02 05/07/03 08/07/02 04/24/02 09/06/02 Orrstown Checking Acct. 11106001045 464.000 shares Pennsylvania State Bank Camp Hi 11 REAL ESTATE/PA: Real Estate at 121 Strayer Drive SUBSEQUENT PRINCIPAL RECEIPTS: - - - - - ---- - -- --- - -- -- - --- - - --- Miscellaneous Receipt - Refund of subscriber savings acct. from USAA Miscellaneous Receipt - Refund of overpayment of federal estate tax Pennsylvania Department of Revenue - Individual income tax refund Sprint - Final credit United States Treasury - Individual income tax refund 47,477.65 4,669.00 130,000.00 3,359.76 2,571. 70 1,172.00 7.59 11,119.00 TOTAL RECEIPTS OF PRINCIPAL............... -3- a 1,544,319.89 130,000.00 18,230.05 1,916,272.81 =--==----- 12/03/01 12/11/01 12/20/01 12/21/01 12/31/01 01/17/02 01/25/02 SCHEDULE B GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS - PRINCIPAL Gain 464.000 shares Pennsylvania State Bank Camp Hi 11 Net Proceeds Fid. Acq. Value 4,431.05 4,669.00 6,000.000 shares Allied Irish Banks PLC Spons ADR Net Proceeds Fid. Acq. Value 136,130.65 132,990.00 3,140.65 621.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds Fid. Acq. Value 16,712.66 16,616.41 96.25 500.000 shares Community Banks, Inc. Mil1ersburg, PA Net Proceeds Fid. Acq. Value 13,469.55 13,378.75 90.80 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds Fid. Acq. Value 13,479.79 13,378.75 101.04 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds Fid. Acq. Value 13,419.79 13,378.75 41.04 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds Fid. Acq. Value 13,244.80 13,378.75 -4- Loss 237.95 133.95 03/15/02 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 13,749.79 Fid. Acq. Value 13,378.75 371. 04 03/15/02 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 13,744.79 Fid. Acq. Value 13,378.75 366.04 03/15/02 1,095.000 shares M&T Bank Corporation Net Proceeds 87,204.49 Fid. Acq. Value 88,333.65 1,129.16 03/15/02 1,000.000 shares M&T Bank Corporation Net Proceeds 79,888.80 Fid. Acq. Value 80,670.00 781.20 03/20/02 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 13,727.44 Fid. Acq. Value 13,378.75 348.69 03/20/02 2,000.000 shares M&T Bank Corporation Net Proceeds 162,855.55 Fid. Acq. Value 161,340.00 1,515.55 03/25/02 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 13,769.79 Fid. Acq. Value 13,378.75 391. 04 03/25/02 2,000.000 shares M&T Bank Corporation Net Proceeds 163,477.54 Fid. Acq. Value 161,340.00 2 , 13 7 . 54 03/27/02 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 13 , 769.79 Fid. Acq. Value 13,378.75 391. 04 -5- 03/27/02 2,000.000 shares M&T Bank Corporation Net Proceeds 162,717.55 Fid. Acq. Value 161,340.00 1 ,377 . 55 04/12/02 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 13,769.58 Fid. Acq. Value 12,809.44 960.14 04/12/02 2,000.000 shares M&T Bank Corporation Net Proceeds 164,175.05 Fid. Acq. Value 161,340.00 2,835.05 04/29/02 500.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 13,569.59 Fid. Acq. Value 12,809.44 760.15 04/29/02 1,000.000 shares M&T Bank Corporation Net Proceeds 84,579.45 Fid. Acq. Value 80,670.00 3,909.45 05/07/02 2,000.000 shares M&T Bank Corporation Net Proceeds 173,879.76 Fid. Acq. Value 161,340.00 12,539.76 02/07/03 700.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 19,249.41 Fid. Acq. Value 17,933.22 1,316.19 02/12/03 1,000.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 27,509.17 Fid. Acq. Value 25,618.88 1,890.29 02/27/03 1,000.000 shares Community Banks, Inc. Millersburg, PA Net Proceeds 27,709.16 Fid. Acq. Value 25,618.89 2,090.27 -6- 03/07/03 1,000.000 shares Community Banks, Inc. Mil1ersburg, PA Net Proceeds Fid. Acq. Value 28,144.15 25,618.88 TOTAL GAINS AND LOSSES/PRINCIPAL........... LESS LaSS............................. NET GAIN OR LaSS...... . . . . . . . . . . . . . . . . . . . . . -7- 2,525.27 -- - -- - ------ -- --- - - -- -- ----- 39,194.84 2,282.26 36,912.58 ----------- ---------- 2,282.26 09/04/01 09/04/01 09/04/01 09/04/01 09/05/01 09/13/01 09/13/01 09/18/01 09/28/01 10/02/01 10/15/01 SCHEDULE C DISBURSEMENTS OF PRINCIPAL SCHEDULE C-1 DEBTS OF DECEDENT -------------...--- American Express - Credit card payment AT&T Wireless - Wireless service First USA Bank, NA - Credit card payment PPL Electric Utilities _ Electric expense Sprint - Telephone expense AARP Health Care Options _ Medical insurance premium Betra In Home Care - Home health aide & clean up AT&T Wireless - Wireless service Reader's Digest - Payment for order Critical Care Systems _ Medical expense South Middleton Twp. Authority - Water & sewer service 23.30 55.06 273.81 129.54 48.25 483.00 476.00 55.06 25.41 50.00 99.00 -------------- TOTAL DEBTS OF DECEDENT.............. ...... ..... .... -8- 1,718.43 09/04/01 09/05/01 09/05/01 09/04/01 09/13/01 09/27/01 10/02/01 10/10/01 10/15/01 10/18/01 10/22/01 10/23/01 10/24/01 SCHEDULE C-2 FUNERAL EXPENSES Dickinson College - Food expense for funeral service Gregory Lewis - Reimbursement for funeral expenses Hoffman-Roth Funeral Home, Inc. - Funeral expense 408.00 1,844.16 8,457.20 TOTAL FUNERAL EXPENSES.............................. SCHEDULE C-3 ADMINISTRATION EXPENSES Register of Wills - Letter testamentary Cumberland Law Journal - Advertising fee PPL Electric Utilities - Electric expense Sprint - Telephone expense The Sentinel - Legal advertising Forest Meadow Condominium Assoc. - Condo assessment Cumberland Law Journal - Balance due legal advertising PPL Electric Utilities - Electric expense Sprint - Telephone expense Diversified Appraisal Services - Real estate appraisal -9- 909.00 60.00 66.76 70.31 87.35 201.70 15.00 52.71 25.06 250.00 10,709.36 11/19/01 11/23/01 11/23/01 11/28/01 12/26/01 12/26/01 01/23/02 01/31/02 05/03/02 04/24/03 11/02/01 05/03/02 05/03/02 12/18/02 Tuckey Mechanical Services, Inc. - Heating/cooling system maintenance & cleaning at 121 Strayer Drive PPL Electric Utilities - Electric expense Sprint - Telephone expense USAA Insurance - Auto insurance premium PPL Electric Utilities - Electric expense Sprint - Telephone expense Sprint - Telephone expense PPL Electric Utilities - Electric expense Register of Wills - Fee to file PA Inheritance Tax RESERVE - Miscellaneous expenses 49.95 89.27 8.02 456.59 55.15 46.95 7.27 96.93 15.00 1,000.00 TOTAL ADMINISTRATION EXPENSES................. ...... SCHEDULE C-4 FEDERAL AND STATE TAXES Register of Wills - Estimated PA Inheritance Tax Register of Wills - Balance PA Inheritance Tax United States Treasury - Federal Estate Tax Register of Wills, Agent - PA Estate Tax -10- 80,000.00 40, 723 . 64 589,560.29 2,670.40 3,563.02 05/07/03 05/07/03 04/24/02 OS/23/02 06/27/02 04/24/03 Pennsylvania Department of Revenue - Balance of fiduciary income tax due 2,742.00 United States Treasury - Balance of fiduciary income tax due 19,642.00 TOTAL FEDERAL AND STATE TAXES.... ................... SCHEDULE C-5 FEES AND COMMISSIONS Martson, Deardorff, Williams & Otto - Balance attorney's fee 9,000.00 Martson, Deardorff, Williams & Otto - Partial attorney's fee 9,091.80 Frank J. Marrella - Tax preparation & consultation 950.00 Manufacturers & Traders Trust Co. - Executor's fee - TO BE PAID 40,800.00 TOTAL FEES AND COMMISSIONS.......................... TOTAL DISBURSEMENTS OF PRINCIPAL.................... -11- 735,338.33 59,841. 80 811,170.94 ------- ----------- SCHEDULE D DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES 2000 Lexus 12/21/01 2000 Lexus - Delivered to Gregory Lewis Allison United Methodist Church 12/12/01 Allison United Methodist Church - Specific bequest Central Methodist College 12/12/01 Central Methodist College - Specific bequest M&T Checking Acct. #762946 12/21/01 M&T Checking Acct. #762946 - Delivered to Gregory Lewis M&T Savings Acct. #15004200037479 --- -- --- -- --- -------------- -- ---- 12/21/01 M&T Savings Acct. #15004200037479 - Delivered to Gregory Lewis -12- 36,915.00 5,000.00 5,000.00 14,268.53 20,930.83 Mr. Robert Harrison ------------------- 12/12/01 Mr. Ronald Harrison 12/12/01 Mrs. Billy B. Lovell -------------------- 12/12/01 Mrs. Carl Brannon 12/12/01 Mrs. Jerome J. Venker --------------------- 12/12/01 Mrs. Paul J. Venker -----------------..- 12/12/01 Mr. Robert Harrison - Specific bequest 4,000.00 Mr. Ronald Harrison - Specific bequest 20,000.00 Mrs. Billy B. Lovell - Specific bequest 6,000.00 Mrs. Carl Brannon - Specific bequest 15,000.00 Mrs. Jerome J. Venker - Specific bequest 10,000.00 Mrs. Paul J. Venker - Specific bequest 2,000.00 -13 - Mrs. Sylvia Kauffman -------------------- 12/12/01 Mrs. Sylvia Kauffman _ Specific bequest 12/21/01 Orrstown Checking Acct. #106001045 - -- -.. -- -- - - -- ---- - - -- -- - - ------ -...- Orrstown Checking Acct. #106001045 - Delivered to Gregory Lewis Real Estate at 121 Strayer Drive 12/21/01 - - ----.. - - - - -- --- - --- -- - ------..-- Real Estate at 121 Strayer Drive - Delivered to Gregory Lewis TOTAL DISTRIBUTIONS TO BENEFICIARIES...... -14- 15,000.00 47,477.65 130,000.00 -------------- 331,592.01 =.::.-- -----== PRINCIPAL BALANCE ON HAND # Units Description Current Value Fiduciary Acquisition or as Noted Value Vision Instit. Prime Money Market M&T IRA Acct. #35004200309860 800,246.12 0.00 800,246.12 10,176.32 --------------- --------------- 800,246.12 810,422.44 --------------- --------------- --------------- --------------- -15- SCHEDULE F CHANGES IN INVESTMENT HOLDINGS - PRINCIPAL 2000 Lexus 10/15/01 12/21/01 inventoried distributed Allied Irish Banks PLC Spans ADR -- ---- -- - - -- - -- ---- -- -- --------- 09/10/01 12/11/01 6,000.000 shares inventoried (6,000.000)shares sold -------------- 0.000 ----===- -= Community Banks, Inc. Millersburg, PA - - - - - - -- - --- - --- - ----- - -- --------- 09/10/01 12/20/01 12/21/01 12/31/01 01/17/02 01/25/02 03/15/02 03/15/02 03/20/02 03/25/02 03/27/02 04/12/02 04/12/02 04/29/02 02/07/03 02/12/03 02/27/03 03/07/03 9,621.000 shares inventoried (621.000)shares sold (500.000)shares sold (500.000)shares sold (500.000)shares sold (500.000)shares sold (500.000)shares sold (500.000)shares sold (500.000)shares sold (500.000)shares sold (500.000)shares sold (500.000)shares sold 200.000 shares received in stock split (500.000)shares sold (700.000)shares sold (l,OOO.OOO)shares sold (l,OOO.OOO)shares sold (l,OOO.OOO)shares sold 0.000 ==--====---= -16- Cost 36,915.00 (36,915.00) 0.00 ======---== 132,990.00 (132,990.00) 0.00 --------- ---------- 257,433.91 (16,616.41) (13,378.75) (13,378.75) (13,378.75) (13,378.75) (13,378.75) (13,378.75) (13,378.75) (13,378.75) (13,378.75) (12,809.44) 0.00 (12,809.44) (17,933.22) (25,618.88) (25,618.89) (25,618.88) 0.00 ------------ ----------- M&T Bank Corporation -------------------- 09/10/01 03/15/02 03/15/02 03/20/02 03/25/02 03/27/02 04/12/02 04/29/02 05/07/02 13,095.000 shares inventoried (l,OOO.OOO)shares sold (1,095.000)shares sold (2,000.000)shares sold (2,000.000)shares sold (2,000.000)shares sold (2,000.000)shares sold (l,OOO.OOO)shares sold (2,000.000)shares sold 1,056,373.65 (80,670.00) (88,333.65) (161,340.00) (161,340.00) (161,340.00 ) (161,340.00) (80,670.00) (161,340.00) 0.000 0.00 === -- ----------- ------------ M&T Checking Acct. #762946 - - - - -- - - - - -- ---- - -- - --- --- 10/15/01 12/21/01 inventoried distributed 14,268.53 (14,268.53) 0.00 M&T IRA Acct. #35004200309860 -- -- -- ----- -- ------- --------- 10/15/01 inventoried 10,176.32 10,176.32 ======-- M&T Savings Acct. #15004200037479 ------ --- - - - -- - --- --- --- ------ --- 10/15/01 12/21/01 inventoried distributed 20,930.83 (20,930.83) 0.00 -------- ------------ Orrstown Checking Acct. #106001045 -- - -- - -- - - - - -- - -- --- - ---- -- --- ---- 10/15/01 12/21/01 inventoried distributed 47,477.65 (47,477.65) 0.00 ========== -17- Pennsylvania State Bank Camp Hill - - - -- -- - -- - ----- ---- -- - - - - --- ---- 09/10/01 12/03/01 464.000 shares inventoried (464.000)shares sold 4,669.00 (4,669.00) 0.000 0.00 --------- --------- ------- -------- Real Estate at 121 Strayer Drive -- -- - - - -- - - - --- --- - - - --- - - - - - - -- 10/26/01 12/21/01 inventoried distributed 130,000.00 (130,000.00) 0.00 -----......--- -------- -18- SCHEDULE G RECEIPTS OF INCOME SCHEDULE G-1 DIVIDENDS 10/09/01 Allied Irish Banks PLC Spons ADR -- - -.. -- --................ -- -- ---- --.... --- 6,000.000 shares Community Banks, Inc. Mil1ersburg, PA - ---.......... ----------- --- --.. --.. --- ----- 10/09/01 01/02/02 04/01/02 07/01/02 10/01/02 01/02/03 9,621.000 shares 9,621.000 shares 6,000.000 shares 3,700.000 shares 3,700.000 shares 3,700.000 shares M&T Bank Corporation -------------------- 10/09/01 12/31/01 03/29/02 13,095.000 shares 13,095.000 shares 13,095.000 shares 1,635.57 1,635.57 1,020.00 666.00 666.00 740.00 -------------- 3,273.75 3,273.75 3,273.75 -------------- TOTAL DIVIDEND INCOME..................... SCHEDULE G-2 INTEREST 11/01/01 Life Investors Ins. Co. of America .. -- -----.. -- ------ -_.. -------------- Interest on policy EG6004582 10/05/01 M&T Bank Cert. of Dep. #31003908266363 -- ----.. -----.. -- ---................ --- ---.... --.... Interest after date of death -19- 1,672.80 6,363.14 9,821. 25 -------------- 17,857.19 -------- ---------- 65.32 76.74 Peoples Benefit Policy #010LU59375 - -- - - - -- - - - - - - ---- ---- ------ - ----- 12/18/01 Interest Vision Institutional Prime Money Market -- -- --.. -- - - - - -- - - - ---- ------ - - -- --- ---- 10/02/01 11/01/01 11/01/01 12/03/01 12/03/01 01/02/02 01/02/02 02/01/02 02/01/02 03/01/02 03/01/02 04/01/02 04/01/02 05/01/02 05/01/02 06/03/02 06/03/02 07/01/02 07/01/02 08/01/02 08/01/02 09/03/02 09/03/02 10/01/02 10/01/02 11/01/02 11/01/02 12/02/02 12/02/02 01/02/03 01/02/03 02/03/03 02/03/03 03/03/03 03/03/03 04/01/03 04/01/03 05/01/03 05/01/03 133.13 342.35 11.24 12.35 163.24 10.63 221. 63 16.71 289.10 14.37 264.84 9.58 595.68 5.76 1,295.87 7.32 962.39 5.05 913.11 1.86 921.99 2.79 903.21 2.22 871.57 1.68 894.83 2.28 746.45 1.65 668.62 1.09 633.87 1.37 580.34 1.11 660.56 0.43 627.45 -------------- TOTAL INTEREST INCOME...... ...... ......... -20- 39.74 12,799.72 -------------- 12 , 981. 52 ------------ -------------- Miscellaneous Receipt --------------------- 05/07/03 SCHEDULE G-3 OTHER INCOME ------------ Refund of overpayment of federal estate tax TOTAL OTHER INCOME.......... .............. TOTAL RECEIPTS OF INCOME..... ............. -21- 142.83 ----..--------- 142.83 ==--== 30,981. 54 ===------- 10/05/01 01/24/02 04/15/03 SCHEDULE I DISBURSEMENTS OF INCOME Transfer Cash - From income to principal - accrued interest to date of death M&T cert. of dep. #31003908266363 153.53 Reader's Digest - Balance due 26.96 Income Commission _ Manufacturers & Traders Trust Co. - 11/26/01-04/15/03 1,801. 74 TOTAL DISBURSEMENTS OF INCOME.... ....... ....... -------------- -22- 1,982.23 ==========----== .. SCHEDULE J DISTRIBUTIONS OF INCOME TO BENEFICIARIES Miscellaneous Disbursement - - - - --- - - - - - - - - - -- - - - - - - -- 03/20/02 Miscellaneous Disbursement - Quarterly income distribution to acct. #415227602 06/20/02 Miscellaneous Disbursement - Quarterly income distribution to acct. #415227602 09/20/02 Miscellaneous Disbursement - Quarterly income distribution to acct. #415227602 12/20/02 Miscellaneous Disbursement - Quarterly income distribution to acct. #415227602 03/20/03 Miscellaneous Disbursement - Quarterly income distribution to acct. #415227602 12,194.08 6,740.13 3,209.17 2,993.93 2,469.32 TOTAL DISTRIBUTIONS TO BENEFICIARIES...... -23- 27,606.63 27,606.63 ------- -= ift Units Description INCOME BALANCE ON HAND Vision Instit. Prime Money Market -24- Current Value or as Noted 1,392.68 . Fiduciary Acquisition Value --------------- --------------- 1,392.68 1,392.68 1,392.68 --------------- --------------- --------------- --------------- / ,/ ,~", '1- /7 - C ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISIDN DEPT. 280601 HARRISBURG, PA 17128-0601 ESQ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER Recor DATE nra( > J ESTATE OF DATE OF DEATH FILE NUMBER '03 JUN 30 1~ 7 :s ~OUNTY ACN '* REV-H' EX IFP 101-01l IVO V OTTO II I MARTSON ETAL 10 E HIGH ST CARLISLE 06-30-2003 LEWIS 08-04-2001 21 01-0813 CUMBERLAND 202 CLAUDE Allount Rellitted C.sr PA l70BlIn08fk f~i~ MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ...... REV=736--Eir-AFP--COi":.-02r----..-NCfficE'-OF--DETE-RMiNAfiori-AN-D-ASSESSMENY------------------------- - -- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF LEWIS CLAUDE FILE NO.2l 01-0813 ACN 202 DATE 06-30-2003 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 123,295.34 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 120,723.63 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 120.723.63 5. Pennsylvania Estate Tax Due 2.571.71 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return 2,571.71 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) t' ? - 'l" - <v \, BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-I6D7 EX AFP lDl-G3l IVO V OTTO II I MARTSON ETAL 10 E HIGH ST CARLISLE ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-21-2003 LEWIS 08-04-2001 21 01-0813 CUMBERLAND 201 CLAUDE Allount Rellitted PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV:i6'ifj-E;f-AFP--(oY:oiT------...--iNirERi'~fANCE--fAX-Si'jrfit:iENf-oF'-ACCOLiNy--.-..---------------- ----- ESTATE OF LEWIS CLAUDE FILE NO.21 01-0813 ACN 201 DATE 01-21-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-16-2002 PR I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 2,571. 71 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-23-2002 CDOO1979 98.27- 2,670.40 TOTAL TAX CREDIT 2,572.13 BALANCE OF TAX DUE .42CR INTEREST AND PEN. .00 lIE IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .42CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~K STATUS REPORT UNDER RULE 6.12 Name of Decedent: Claude Lewis, Jr. Date of Death: 8/4/01 Will No. 21- 01-0813 Admin. No. 21-01-0813 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: c. Did the personal representative state an account informally to the parties in interest? Yes No '<;j d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. ~r~1 :5 J sf!!f:4 tl7 - Date: July 8, 2003 "J" ;:Ju David C. Gority, Trust Officer M & T Investment Group One West High Street Carlisle, P A 17013 (717) 240-4505 p Capacity: Personal Representative REV' 1500 e1 + lS..(tO) ~'v /:' ~ ~ .J" ~/7/1 0'-(- .'1 _ ' ^- f, U_ *' REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE OI.L Y 17- 4/- P J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 171211-0601 ~- DECEDENT'SNAME (lAST. FIRST. AND MIDDLE INITIAL) LEWIS, JR., CLAUDE ... z w o w o w o FILE NUMBER 21 01 00813 NUMBER UATFOFTIEATH (MM-DD-YE:AR) 08/04/2001 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) COUNTY CODE YEAR SOCIAL SECURITY NUMBER 498-14-7610 THIS RETURN MUST BE FilED IN DUPLICATE WITH THE ___+ ____~!=GIS!ER_~_I=..~~~LS ______ I SOCIAL SECURITY NUMBER ----03~a;iiilerl<etum (dateOfdeath prior to 12-13-82) IlJ 1. Original Return 0 2. Supplemental Return w ... 0 4. Limited Estate 0 4a. Future Interest Compromise (date of death x:<(Ul uii:X: after 12-12-82) wo..O 6. Decedent Died Testate (Attach copy IBI 7. Decedent Maintained a Living Trust (Attach xOO IBI ug:~ of Will) copy of Trust) a.. 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (date of death between <( 0 12-31-91 and 1-1-95 IBI 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11.Election to tax under Sec. 9113(A) (Atlach Sch 0) 'I- UlZ ww rr:o rr:z 00 1.)0.. A E i Ivo V. Otto, III, Esquire I=-iRMNAME (If applicable) I Martson Deardorff Williams & Otto I trElEPHONE NUMBER 717/243-3341 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) z o >= <( -' ::J l- ii: <( o w er:: 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5, Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) 11. Total Deductions (total lines 9 & 10) 12. Net Value of Estate (Line 8 minus line 11) 10 East High Street Carlisle, PA 17013 (1) 130,000.oq:; ~~-~-- (2) 1,451,466.56' (3) (4) None None (5) 216,710.27 ------ (6) 65,077.34 (7) 1 , 905 , 4 8 2 . 8 8 (9) 73,072.38 ---_...~--~_.._- (10) 1,718.43 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (line 12 minus line 13) OFFICIAL USE.QNl Y C . \'J ~J.j ~J (8) 3,768,737.05 (11 ) 74,790.81 (12) 3,693,946.24 --~ -- --_._----~--- (13) 1,067,631.32 (14) 2,626,314.92 (15) --~~~--- - (16) 114,944.17 -----".---------.. _.- (17) 3,240.00 (18) 6,750.00 (19) 124,934.17 _._---~_.~----- SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of line 14 taxable at the spousal tax rate. or transfers under Sec. 9116(a)(1.2) z o >= <( I- ::> a.. ::e o o ~ ... 16. Amount of line 14 taxable at lineal rate 17. Amount of line 14 taxable at sibling rate 18. Amount of line 14 taxable at collateral rate 19. Tax Due x .00 2,554,314.92 x .045 27,000.00 x .12 45,000.00 x .15 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) \. Decedent's Complete Address: STREET ADDRESS 121 Strayer Drive CITY Carlisle STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 124,934.17 80,000.00 4,210.53 Total Credits (A + 8 + C) (2) 84,210.53 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (58) 0.00 40,723.64 40,723.64 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;............................................................................. ~ 0 b. retain the right to designate who shall use the property transferred or its income;................................ ~ 0 c. retain a reversionary interest; or............................................................................................................ 0 ~ d. receive the promise for life of either payments, benefits or care?.......................................................... 0 ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?........... ..................... .... ........ ... ........... ...... .......... ...... ........... ...... ..... ...... '" 0 ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?...... 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?............................................................................................................... 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. I b Underpenalties of pe~ury, I declare thatl have examined lhis return, including accompanying schedules and statements. and to the best of my knowledge and belief, it is true, correct and compte-te.-- Declaration of preparer other than the personal representalive is based on all information of which preparer has any knowledge. SI~-- :~'ff~~'m\st C~~'" - - - P.O. Box 220 By: Carlisle, PA 17013 s~ E FOR FILING RE (URN ADDRESS DATE 5/3/02 -------- ---DATE' ~. '~"~'""","""""'M ADDRESS DAlE 1 0 East High Street Carlisle, P A 17013 5/3/02 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (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%, except as noted in 72 P.S. 99116 1.2) [72 P.S. 99116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116 (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. " *' SCHEDULE A REAL ESTATE I L-_~___~~_ ________ ---- ~IFILE NUMBER ---------- I 21-01-00813 I COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEDENT ESTATE OF LEWIS, JR., CLAUDE All real property owned sOlely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property wllicti is jointly-owned with right of survivorship must be disclosed on schedule F. Co-ndominium situate at 121 Strayer Drive, Carlisle, South Middleton Township, Cumberland CouniY~-- Parcel No. 40-23-0602-064-U341213. Value per appraisal attached VALUE AT DATE OF DEATH 130,006~oo- ITEM NUMBER I DESCRIPTION TOTAL (Also enter on Line 1, Recapitulation) 130,000.00 ------~._-~-_._~ -- ESTATE OF LEWIS, JR., CLAUDE I I i ._L- . FILE NUMBER I 21 - 01 - 00813 { *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM~-I <no DESCRIPTION I UNIT VALUE I VALUE AT DATE NUMBER ~ OF DEATH --1 . 6000 shares, Allied Irish Banks, CUSIP 019228402 -- ~ I 22T65~32,9-90.00 2 9621 shares, Community Banks, Inc., Millersburg, PA, CUSIP 203628102 26.75751 257,433.91 3 113095 shares, M&T Bank, CUSIP 55261F104 464 shares, Pennsylvania State Bank, CUSIP 709142103 I, 80.67 1,056,373.65 4 10.0625 4,669.00 I I .- - - - -m-J----- TOTAL (Also enter on line 2, Recapitulation) I 1,451,466.56 ... ~ ~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. ~ PERSONAL PROPERTY [ I I t L~~_____ __~~_ I- FILE NI.JMBER---~ 21 - 01 - 00813 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF LEWIS, JR., CLAUDE Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER ] DESCRIPTION VALUE AT DATE OF DEATH - - ---12, 670:78-- A]etha A. Cewis Trust, accrued income due decedent 2 Claude Lewis Jr. Trust, accrued income 58,835.03 3 M&T Bank, C.D. #31003908266363 100,000.00 4 Pennsylvania State Bank, uncashed check 4.77 5 Vena tor Group, pension due 2,864.4 ] 6 The Sentinel, refund 71.67 7 Life Investors Insurance Co. of America, refund 44.83 8 United Hea1thcare Insurance Co., reimbursement for medical expense 1,735.66 9 4.99 Time, Inc., refund Comcast Cable, refund ] 7.56 10 11 Blue Cross/Blue Shield, premium refund 316.90 12 AARP, refund 7.68 ]3 National Geographic, refund 31.17 14 USAA, premium refund 28.23 15 Sprint refund 4.09 16 2000 Lexus automobile 36,915.00 17 Proceeds from sale of household goods 3,157.50 TOTAL (Also enter on Line 5, Recapitulation) 216,710.27 '- . SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT --- ----_._._~.._---- ~_.-_.~---~--- ---..-'- ---,-.---.--.---------- ----" -'-- ~- - -- _.._-----~ ~.._- ------'--- ESTATE OF LEWIS, JR., CLAUDE I FILE NUMBER , 21-01-00813 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME A Gregory L. Lewis ADDRESS RELATIONSHIP TO DECEDENT 504 Bosler Drive, Carlisle, P A Son JOINTLY OWNED PROPERTY: IT~M 1:6i~ji~T--~~6~ 1'ncl~d~ n~me ~~~;~:=I~~~~~i~::n~~~~~~~untnum~~E OF DE~THI:~~J.;r--~A0~~~~~~~H-- :_MBERJ TENANT JOINT _ . !~~~~~Iar Identifying num~er. Attach deed for JOlnllY-_he~reaj' !VALUE OF ASSET INTERES~I~E~:.D~T'~N~RES~ 1 I A 05/3012000 M&TCheckingAccount#762946 14,268.53 50%t 7,134.27 2 A 05/30/2000 M&T Savings Account #15004200037479 20,930.83 50% 10,465.42 3 A 11/10/2000 Orrstown Bank, Checking #106001045 47,477.65 100% 47,477.65 TOTAL (Also enter on line 6, Recapitulation) ! L I I 65,077 .34 '- . SCHEDULE G INTER-VIVOS TRANSFERS & COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN ,MISC. NON-PROBATE PROPERTY _ RIOSIDENT[)ECEDE~~_~_~__ ___~_____ ______._ LEWIS, JR., CLAUDE FilE NUMBER 21 - 01 - 00813 ESTATE OF - ----~---This schedule must be completed and filed if the answer to any of questions 1 through4 onpage2iSY;s~~ ---- - - I ---r ITEM DESCRIPTION OF PROPERTY 'DATE OF DEATH % OF Include the name of the transferee. their relationship to decedent and the date of transfer. l ~ E F S T DECO'S EXCLUSION I TAXABLE VALUE NUMBER Attach a copy of the deed for real estate. IvALU 0 AS E INTEREST (IF APPLICABLE) - -~ Claude Lewis, Jr. Trust Under Agreement dated 1,202,150.47 100% --~r)02,T50.47- 08(29(1994, .. =ended. See ,lntement """hed I I ! 2 Aletha Lewis Trust Under Agreement dated August 29, 1994, as amended, Schedule "B", Item 2, d. See statement attached 703,332.41 100% 703,332.41 I I I _L__~_ _1__ ___ I I l 1,905,482.88 TOTAL (Also enter on line 7, Recapitulation) '- *' I I I I ~,_-1___,,_____,,__ _~__ ..~-.-- ---------r FILENUMBER~--- I I 21 - 01 - 00813 SCHEDULEH FUNERAL EXPENSES & ADMNISTRATlVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN _...._~D~NT DE~_E~~~.____ __1 ESTATE OF LEWIS, JR., CLAUDE Debts of decedent must be reported on Schedule I. --ITEM ! NUMBER - A.-- FUNERAL EXPENSES: I Hoffman-Roth Funeral Home, Carlisle, PA DESCRIPTION AMOUNT 2 Dickinson College, funeral receiption 3 Gregory L. Lewis, reimbursement for miscellaneous funerallburial expenses B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Manufacturers & Traders g~ ~umber(s) I EIN Number of Personal Representative(s): 2. Street Address P,O. Box 220 City Carlisle State P A Zip 17013 Year(s) Commission paid 2002 Attorney's Fees Martson Deardorff Williams & Otto (estimated) 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 2 3 Other Administrative Costs Cumberland Law Journal, advertising Letters Testamentary The Sentinel, advertising Letters Testamentary Diversified Appraisal Service, appraisal of real estate 8,457.20 408.00 1,844.16 40,800.00 18,000.00 909.00 75.00 87.35 250.00 Total of Continuation Schedule(s) I 2,241.67 ------ __n~ ------.- - . -.-..--.- --- ----1-.-- TOTAL (Also enter on line 9, Recapitulation) 73,072.38 . - ~---------~- ---- -_.._~-_. -.- -~~------~._._------- I I ------------- -~------------- -- ----- -- --- --iF1LE NUMBER- --- i 21 - 01 - 00813 Scheclde H Funeral Expenses & AdninistratNe Cosis continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF LEWIS, JR., CLAUDE --4-1 PPL, electric service pending settlement 5 I Sprint, telephone service pending settlement 6 I Forest Meadow Condominium Association, maintenance fees pending settlement -T 360.82 8 9 USAA Insurance, insurance premium pending settlement 157.61 201.70 49.95 456.59 15.00 7 Tuckey Mechanical Services, maintenance 10 Register of Wills, filing fee, inheritance tax return Reserved for additional probate fee, filing fees and other miscellaneous expenses 1,000.00 I l Page 2 of Schedule H . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA ~l INHERITANCE lAX RETURN RESIDENT DECEDENT ___m__ __ ___~____.____ I I ____ ___________1__ --~~~ ~IFllE-NUMBER-------- 21 - 01 -- 00813 I _ _n___ ESTATE OF LEWIS, JR., CLAUDE Include unreimbursed medical expenses. ITEM NUMBER 1 American Express, credit card account DESCRIPTION AMOUNT 23-30 2 AT&T Wireless, account payable 11 0.12 3 First USA Bank, credit card account 273.81 4 PPL, account payable 129.54 5 Sprint, account payable 48.25 6 Betra In Home Care, account payable 476.00 7 AARP, medical insurance premium 483.00 8 Readers Digest, account payable 25.41 9 50.00 10 Critical Care Systems, account payable South Middleton Township Authority, sewer/water, account payable 99.00 --- ----- --,-- ------ ----- ---------. _._~~~ TOTAL (Also enter on Line 10, Recapitulation) 1,718.43 . I SCHEDULE J BENEFICIARIES I ~.. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 21 - 01 - 00813 --NUMBER T----- NA~E AND ADDRESS OF PERSON(S) RECEIVING PROPERTY -+- R R:E~~~~~~~~ TO II AMO~~~~T~~~RE- I - 00 Not List Trusteelsl - ~-- I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) r I Gregory L. Lewis Son I [504 Bosler Place, Carlisle, PA 17013 (Residence, personalty, vehicle) I 2 : Mrs. Carl Brannon Sister I ! S1. Louis, MO I 3 i Mrs. Paul Venker Sister I S1. Louis, MO ' ESTATE OF LEWIS, JR., CLAUDE 170,072.50 15,000.00 2,000.00 4 Mrs. Jerome Venker S1. Louis, MO Sister 10,000.00 5 Mrs. Billy Lovell Las Vegas, NV Collateral 6,000.00 6 I Robert Harrison . Millsap, TX Collateral 4,000.00 See Continuation Schedule(s) attached ! Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover sheE II. INON-TAXABLE DISTRIBUTIONS: !A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT IBEING MADE I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Allison United Methodist Church, Carlisle, PA (Claude Lewis Trust) 5,000.00 2 ! Central Methodist College, Fayette MO (Claude Lewis Trust) I I Central Methodist College, Fayette, MO (charitable remainder unitrusts; see Sch. M) 5,000.00 3 982,631.32 4 Central Methodist College, Fayette, MO (Aletha Lewis Trust) 50,000.00 5 Allison United Methodist Church, Carlisle, PA (Aletha Lewis Trust) 25,000.00 TOTAL OF PART 11- ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE T 1,067,631.32 ------ ---TFILE-NUMBER----- -- ---- i 21 - 0 I - 00813 I I REL;;~~~~~~ T01 ~OUN~OR"~AAE-n Do Not List Trustee(s) OF ESTATE ~~--._---~---- Collateral 20,000.00 . SCHEDULE J BENEFICIARIES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF LEWIS, JR., CLAUDE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Ronald Harrison St. Louis, MO 7 8 Sylvia Kauffman I Carlisle, P A 9 I Gregory L. Lewis 10 Manufacturers & Traders Trust Co., Claude LewisTr UA dtd 8/29/94 as amended, present value of life interest of Gregory L. Lewis (See Sch. M) I II Manufacturers & Traders Trust Co., Aletha LewisTr UA dtd 8/29/94 as i amended, present value of life interest of Gregory L. Lewis (See Sch. M) I Collateral 15,000.00 Son 100,000.00 Son 1,783,667.89 Son 435,497.19 Page 2 of Schedule J . SCl-EDULEM R.ITURE MERESTCOIVPROIVISE (CheckBox4a 00 Rev-1500 CoverSheet) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER --- 21 - 01 - 00813 ~ ---------- ---~~ LEWIS, JR., CLAUDE This schedule is appropriate only for Estates of decedents dying after December 12, 1982. This schedule is to be used for all future interests where the rate of tax which will be applicable when the future interest vests in possession and enjoyment cannot be established with certainty. Indicate below the type of instrument which created the future interest and attach a copy to the tax return o Will 181 Trust 0 Other I. I Beneficiaries I NAME OF BENEFICIARY RELATIONSHIP DATE OF BIRTH AGElO I ~~=~ ------- .~ -- ..-J __oj ~f. Gregory L. LewIs -2. 3. 4. 5. II. For decedents dying on or after July 1, 1994, if a surviving spouse exercised or intends to exercise a right of withdrawal within 9 I months of the decedent's death, check the appropriate block and attach a copy of the document in which the surviving spouse I exercises such withdrawal right. , 0 Unlimited right of withdrawal 0 Limited right of withdrawal III. Explanation of Compromise Offer: See attached Son ) IV. Summary of Compromise Offer: 1. . AmGuntof Future Interest: 2. Value of Line 1 exempt from tax as amount passing to charities, etc. (also indude as part of total shown on Line 13 of Cover Sheet) 3. Value of Line 1 passing to spouse at appropriate tax rate. \ Check One 0 6% 0 3% 0 0% (also include as part of total shown on Line 15 of Cover Sheet) 4. Value of Une 1 Taxable at AI. S .,., ~ de.. 1 (also include as part of total shown on Line 16 of Cover Sheet) 5. Value of Une 1 Taxable at 15% Rate (also include as part of total shown on Line 17 of Cover Sheet) __ ~_ T~~~alue of Future Interest (sum of Lines 2 thru 5 must equal Line 1) $3,201, 796.40 982,631.32 2,219,165.08 3,201,796.40 1 F\FILESIDA T AFILE\ WlLLS\S637-H WlLL.4 LAST WILL AND TESTAMENT I, CLAUDE LEWIS, JR., of the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made. 1. I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. 2. I devise and bequeath all of my tangible personal property, as well as my personal residence situate at 121 Strayer Drive, Carlisle, Pennsylvania, to my son, GREGORY L. LEWIS. 3. I make the following specific bequests: a. I give and bequeath the sum of Fifteen Thousand Dollars ($15,000.00) to MRS. CARL BRANNON of St. Louis, Missouri; b. I give and bequeath the sum of Two Thousand Dollars ($2,000.00) to MRS. PAUL J. VENKER ofSt. Louis, Missouri; c. I give and bequeath the sum of Ten Thousand Dollars ($10,000.00) to MRS. JEROME J. VENKER of St. Louis, Missouri; d. I give and bequeath the sum of Six Thousand Dollars ($6,000.00) to MRS. BILLY B. LOVELL of Las Vegas, Nevada; e. I give and bequeath the sum of Four Thousand Dollars ($4,000.00) to MR. ROBERT HARRISON of Millsap, Texas; 1.____ c.L. Page 1 of 4 Pages f. I give and bequeath the sum of Twenty Thousand Dollars ($20,000.00) to MR. RONALD HARRISON of S1. Louis, Missouri; g. I give and bequeath the sum of Fifteen Thousand Dollars ($15,000.00) to my loyal and faithful administrative assistant, MRS. SYLVIA KAUFFMAN of Carlisle, Pennsylvania; h. I give and bequeath the sum of Five Thousand Dollars ($5,000.00) to CENTRAL METHODIST COLLEGE, of Fayette, Missouri, to be held as "Claude Lewis Scholarship Fund"; and 1. I give and bequeath the sum of Five Thousand Dollars ($5,000.00) to ALLISON UNITED METHODIST CHURCH of Carlisle, Pennsylvania. 4. I hereby exercise the power of appointment over the Marital Trust under paragraph 2, b, (3), ofthe Second Amended and Restated Schedule "B" to Agreement of Trust of Aletha A. Lewis Dated August 29. 1994, in favor ofmy residuary estate, governed by my Agreement of Trust dated August 29, 1994, as from time to time amended. 5. I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal property, unto MANUFACTURERS AND TRADERS TRUST COMPANY, a New York banking corporation, formerly KEYSTONE FINANCIAL BANK, N.A. of Carlisle, Pennsylvania, or its successor, as Trustee under Agreement of Trust dated August 29, 1994, as from time to time amended. . 6. I nominate, constitute and appoint the said MANlJP ACTURERS AND TRADERS TRUST COMPANY, a New York banking corporation, or its successor, as Executor of my estate. 7. I direct that my Executor and Trustee shall not be required to file a bond to secure the faithful performance of its duties in any jurisdiction. (ftv- / c.L. Page 2 of 4 Pages 8. I authorize and empower my Executor and Trustee, in its sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms and such prices as it may deem advisable; to borrow money for any purposes connected with the protection and preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share; to employ agents, attorneys and proxies and to delegate to them such power as my Executor and Trustee considers desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may be necessary to carry out any of these powers. In addition, I direct that my Executor shall have the power to conduct an inventory of any safe deposit box necessary to the administration of my estate. IN WITNESS WHEREOF I have hereunto set my hand and seal this l2 #V day of June, 2001. ~~ML) SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testator and of each other. ~~} orr: ~~1~C Page 3 of 4 Pages COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, Claude Lewis, Jr., Ivo V. Otto III, and n t,. r tilL 'Yo ~-h-1 ~( , the Testator / and the witnesses, respectively, whose names are signed to the foregoing instrument, being fIrst duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his last Will and that the Testator has signed willingly, and that the Testator executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing ofthe Testator, signed the Will as a witness and that to the best of his /her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. dOM-kJr3 ~~. T~.tor .~~ ~ Witness ~1V~1 ~ (;>- Wit ess ' Subscribed, sworn to and acknowledged before me by Claude Lewis, Jr., the Testator, and subscribed and sworn to before me by Ivo V. Otto III and h1~r(:i. -t1... Y Co h"P+fY,\ , the witnesses, this /8 ~ day of June, 2001. C~~VOJ Notaiy Public .. Page 4 of 4 Pares 2 AMENDED AND RESTATED AGREEMENT OF TRUST AMENDED AND RESTATED AGREEMENT OF TRUST made and entered into this ist- day of ~r, 2000, by and between CLAUDE LEWIS, JR. of the Borough of Carlisle, Cumberland County, Pennsylvania (hereinafter referred to as "Settlor") and KEYSTONE FINANCIAL BANK, N.A. of Carlisle, Pennsylvania, (hereinafter referred to as "Trustee"). WHEREAS, Settlor has previously established a certain Agreement of Trust dated August 29,1994, amended by Amended and Restated Agreement of Trust dated September 2, 1999; and WHEREAS, Settlor wishes to amend and restate such Agreement of Trust. NOW, THEREFORE, intending to be legally bound hereby, the parties hereto do hereby agree that such Agreement of Trust is hereby amended and restated and Trustee shall hold and manage such property held in such Trust, as well as any other property that is a part ofthe Trust or that may be added to the Trust for the following uses and purposes: ARTICLE I Settlor hereby transfers to Trustee, in trust, for the purposes hereinafter set forth, the property as set forth in Schedule" A" attached hereto and made part hereof and such other property as from time to time transferred by Settlor to Trustee. ARTICLE II The Trustee shall collect the income from the Trust Estate and shall pay all proper charges and expenses. The net income of the Trust Estate after payment of all such charges and expenses shall be held, administered and invested by the Trustee, to be distributed, together with the net income and such accumulated income and corpus, as provided in Schedule "B" hereto and made part hereof. Upon the death of Settlor, the corpus and accrued income, if any, shall be distributed as further provided in Schedule "B", attached hereto signed and dated and as from time to time revised and made part hereof. All dividends payable in shares of stock in the corporations declaring the dividends shall be treated as principal without regard to the number of shares payable. ARTICLE III During the lifetime of Settlor, this Trust may be revoked by the said Settlor by giving five (5) days written notice to the Trustee hereunder, and in such case, all property whether principal or accrued income or any combination of the foregoing being held in the Trust shall be distributed to -1- Settlor. Further, during the lifetime of Settlor, this Trust may be altered or amended by amendment of this Trust Agreement signed by both Settlor and Trustee. ARTICLE IV No part ofthe income or principal ofthe property held under this Trust or trusts subsequently created hereunder shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over the net income and the principal of the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary of these trusts, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ARTICLE V In addition to the powers conferred by case law, by statute, and by other provisions hereof, the Trustee and successor Trustees, shall have the following discretionary powers applicable to all property held which powers shall be effective without order of any court and shall exist until final distribution: A. To retain any property of any nature received for whatever period the Trustee shall deem advisable; B. To invest and reinvest all or any part of said property in such stocks, bonds, securities or other property, real or personal, as the Trustee shall deem proper, without regard to statutes limiting the property which a fiduciary may purchase; C. To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of any trust herein, without liability on the purchasers or lessees to see to the application of the proceeds, and to give options for these purchases without the obligation to repudiate them in favor of a higher offer; D. To execute and deliver any deeds, leases, assignments or other instruments as may be necessary to carry out the provisions of the Trust; E. To borrow money, including the right to borrow money from any bank and to mortgage or pledge any asset of the estate as security; -2- F. To assume continuance ofthe status of any beneficiary with regard to death, marriage, divorce, illness, incapacity and the like in the absence of information deemed reliable without liability for disbursements made on such assumption; G. To pay from the corpus of the Trust, or the income therefrom, all debts, claims, taxes or similar charges; H. To make any distribution hereunder either in kind or in money, or partially in kind and partially in money. Distribution in kind shall be made at the market value of the property distributed, and the Trustee, in its absolute discretion, may cause the share distributed to any distributee to be composed of property similar to or different from that distributed to any other distributee; 1. To exercise any subscription right in connection with any security held hereunder, to consent to or participate in any recapitalization, reorganization, consolidation or merger of any corporation, company or association, the securities of which may be held hereunder, to delegate authority with respect thereto, to deposit investments under agreements, to pay assessments, and generally to exercise all rights of investors; J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries of the Trust hereunder; K. To continue in any partnership, joint venture, joint ownership or other business enterprise of which Settlor is a part at the time of his death; L. To compromise claims; M. To continue for whatever period of time as the Trustee shall deem necessary any ownership as a tenant in common or as a partner, in real estate or other property and to act as Settlor could have acted while living; N. To employ agents, attorneys and proxies and to delegate to them such power as my Trustee considers desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; O. To do all other acts in the judgment of the Trustee necessary or desirable for the proper management, investment and distribution of Settlor's Estate. -3- ARTICLE VI The compensation of the Trustee hereunder shall be in accordance with its fee schedule in effect when services are rendered hereunder. ARTICLE VII This Trust shall be administered and interpreted in accordance with the laws of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, Settlor and Trustee have hereunto set their hands and seals the day and year aforesaid. Wit~S: ~S-" ~~ Claude Lewis, Jr." (SEAL) Attest: fJiIIId C ~ 'I TRUSTEE: KEYSTONE FINANCIAL BANK, N.A. By~,~&b. -4- SCHEDULE "A" SCHEDULE"B" 1. During the lifetime of Settlor, the net income of the Trust, if any I shall be paid to or for the benefit of Settlor in at least quarterly installments, and the principal of the Trust, if any, or any portion of the principal, shall be paid as Settlor, or someone acting legally on Settlor's behalf, may demand. Even though Settlor is not adjudicated incompetent, if Settlor is under a legal disability or because of mental or physical disability is, in the opinion of the Trustee hereunder, unable to make reasoned demands for amounts from the principal, the Trustee hereunder shall pay for Settlor's benefit such amount from the principal as may be necessary to maintain for Settlor a standard of living approximately equal to that maintained by Settlor during Settlor's lifetime, and to meet Settlor's expense arising froth ill health or invalidism. 2. Upon the death of Settlor, the principal and undistributed income, if any, shall be distributed as follows: a. The sum of One Hundred Thousand Dollars ($100,000.00) shall be distributed immediately to Settlor's son, GREGORY L. LEWIS, provided he shall have survived Settlor by thirty (30) days. b. The remaining assets ofthe Trust shall be held by the Trustee, in trust, for the following purposes: (1) Payment of Unitrust Amount. In each taxable year of the Trust, the Trustee shall pay to Settlor's son, GREGORY L. LEWIS, (hereinafter referred to as "the Recipient") during the Recipient's life an aggregate unitrust amount equal tQ the lesser of: (i) the Trust income for the taxable year, as defined in Section 643(b) of the Internal Revenue Code (herein the "Code") and the regulations thereunder, or (ii) five percent (5%) of the net fair market value of the assets of the Trust valued as of the first day of each taxable year of the Trust (the "valuation date"). Notwithstanding the foregoing, and in addition, the unitrust amount for any year shall also include any amount of Trust income for such year that is in excess of the amount required to be distributed under the foregoing language ofthis paragraph 2b( I) to the extent that the aggregate of the amounts paid in prior years was less than the aggregate of the -B-1- ------" amounts computed as five percent (5%) of the net fair market value of the Trust assets on the valuation dates. The unitrust amount shall be paid in quarterly installments. Subject to the foregoing provisions of this paragraph 2b(1), any income of the Trust for a taxable year in excess of the unitrust amount shall be added to principal. If for any year the net fair market value of the Trust assets is incorrectly determined, then within a reasonable period after the value is finally determined for federal tax purposes, the Trustee shall pay to the Recipient (in the case of an undervaluation) or receive from the Recipient (in the case of an overvaluation) an amount equal to the difference between the unitrust amount properly payable and the unitrust amount actually paid. (2) Deferral Provision. The obligation to pay the unitrust amount shall commence with the date of my death, but payment of the unitrust amount may be deferred from such date until the end ofthe taxable year of the Trust in which occurs the complete funding of the Trust. Within a reasonable time after the end of the taxable year in which the complete funding of the Trust occurs, the Trustee must pay to the Recipient (in the case of an underpayment) or receive from the Recipient (in the case of an overpayment) the difference between: (i) any unitrust amounts actually paid, plus interest compounded annually, computed for any period at the rate of interest that the federal income tax regulations under Section 664 of the Code prescribe for the Trust for such computation for such period; and (ii) the unitrust amounts payable, plus interest compounded annually, computed for any period at the rate of interest that the federal income tax regulations under Section 664 prescribe for the Trust for such computation for such period. (3) Proration of the Unitrust Amount. In determining the unitrust amount, the Trustee shall prorate the same on a daily basis for a short taxable year and for the taxable year ending with the Recipient's death. (4) Distribution to Charity. Upon the death ofthe Recipient, the Trustee shall distribute all of the then principal and income of the Trust (other than any amount due the Recipient or the Recipient's estate under the provisions above) to -B-2- CENTRAL METHODIST COLLEGE (hereinafter referred to as "the Charitable Organization"). If the Charitable Organization is not an organization described in Sections 170(c) and 2055(a) of the Code at the time when any principal or income of the Trust is to be distributed to it, then the Trustee shall distribute such principal or income to one or more organizations described in Sections 170(c) and 2055(a) as the Trustee shall select in its sole discretion. (5) Additional Contributions. No additional contributions shall be made to the Trust after the initial contribution. The initial contribution, however, shall be deemed to consist of all property passing to the Trust by reason of my death. (6) Prohibited Transactions. The Trustee shall make distributions at such time and in such manner as not to subject the Trust to tax under Section 4942 of the Code. Except for the payment of the unitrust amount to the Recipient, the Trustee shall not engage in any act of self-dealing, as defined in Section 4941 (d) ofthe Code, and shall not make any taxable expenditures, as defined in Section 4945( d) of the Code. The Trustee shall not make any investments that jeopardize the charitable purpose of the Trust, within the meaning of Section 4944 of the Code and the regulations thereunder, or retain any excess business holding, within the meaning of Section 4943(c) of the Code. (7) Taxable Year. The taxable year of the Trust shall be the calendar year. (8) Governing Law. The operation ofthe Trust shall be governed by the laws of the Commonwealth of Pennsylvania. The Trustee, however, is prohibited from exercising any power or discretion granted under said laws that would be inconsistent with the qualification ofthe Trust under Section 664( d)(2) and (3) ofthe Code and the corresponding regulations. (9) Limited Power of Amendment. The Trustee shall have the power, acting alone, to amend the Trust in any manner required for the sole purpose of ensuring that the Trust qualifies and continues to qualify as a charitable remainder unitrust within the meaning of Section 664(d)(2) and (3) of the Code. -B-3- (10) Investment of Trust Assets. Nothing herein shall be construed to restrict the Trustee from investing the Trust assets in a manner that could result in the annual realization of a reasonable amount of income or gain from the sale or disposition of Trust assets. Schedule B executed this J5r day of ~r ,2000. Witnes\: ~r- \J ~~ Claude Lewis, r. Attest: TRUSTEE: KEYSTONE FINANCIAL BANK, N.A. ~ .:mLJ, -B-4- 3 wills\5637-w.1ru 8/25/94—chn AGREEMENT OF TRUST AGREEMENT OF TRUST made and entered into this a9*day of Aluat 19Vy, by and between ALETIHA A. LEWIS of the Borough of Carlisle, Cumberland County, Pennsylvania (hereinafter referred to as "Settlor") and FARMERS TRUST COMPANY and GREGORY L. LEWIS of Carlisle, Pennsylvania, (hereinafter referred to as "Trustees"). Intending to be legally bound hereby, the parties hereto do hereby agree as follows: ARTICLE I Settlor hereby transfers to Trustees, in trust, for the purposes hereinafter set forth, the property as set forth in Schedule "A" attached hereto and made part hereof and such other property as from time to time transferred by Settlor to Trustees. ARTICLE II The Trustees shall collect the income from the Trust Estate and shall pay all proper charges and expenses. The net income of the Trust Estate after payment of all such charges and expenses shall be held, administered and invested by the Trustees, to be distributed, together with the net income and such accumulated income and corpus, as provided in Schedule "B" hereto and made part hereof. Upon the death of Settlor, the corpus and accrued income, if any, shall be distributed as further provided in Schedule "B", attached hereto signed and dated and as from time to time revised and made part hereof. All dividends payable in shares of stock in the corporations declaring the dividends shall be treated as principal without regard to the number of shares payable. ARTICLE III During the lifetime of Settlor, this Trust may be revoked by the said Settlor by giving five (5) days written notice to the Trustees hereunder, and in such case, all property whether principal or accrued income or any combination of the foregoing being held in the Trust shall be distributed to Settlor. Further, during the lifetime of Settlor, this Trust may be altered or amended by amendment of this Trust Agreement signed by both Settlor and Trustees. ARTICLE IV No part of the income or principal of the property held under this Trust or trusts subsequently created hereunder shall be subject to attachment, levy or seizure by any creditor, 4- spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustees shall pay over the net income and the principal of the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary of these trusts, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary_ ARTICLE V In addition to the powers conferred by case law, by statute, and by other provisions hereof, the Trustees and successor Trustees, shall have the following discretionary powers applicable to all property held which powers shall be effective without order of any court and shall exist until final distribution: (a) To retain any property of any nature received for whatever period the Trustees shall deem advisable; (b) To invest and reinvest all or any part of said property in such stocks, bonds, securities or other property, real or personal, as the Trustees shall deem proper, without regard to statutes limiting the property which a fiduciary may purchase; (c) To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of any trust herein, without liability on the purchasers or lessees to see to the application of the proceeds, and to give options for these purchases without the obligation to repudiate them in favor of a higher offer; (d) To execute and deliver any deeds, leases, assignments or other instruments as may be necessary to carry out the provisions of the Trust; (e) To borrow money, including the right to borrow money from any bank and to mortgage or pledge any asset of the estate as security; (f) To assume continuance of the status of any beneficiary with regard to death, marriage, divorce, illness, incapacity and the like in the absence of information deemed reliable without liability for disbursements made on such assumption; (g) To pay from the corpus of the Trust, or the income therefrom, all debts, claims, taxes or similar charges; (h) To make any distribution hereunder either in kind or in money, or partially in -2- kind and partially in money. Distribution in kind shall be made at the market value of the property distributed, and the Trustees, in their absolute discretion, may cause the share distributed to any distributee to be composed of property similar to or different from that distributed to any other distributee; (i) To exercise any subscription right in connection with any security held hereunder, to consent to or participate in any recapitalization, reorganization, consolidation or merger of any corporation, company or association, the securities of which may be held hereunder, to delegate authority with respect thereto, to deposit investments under agreements, to pay assessments, and generally to exercise all rights of investors; To invest in endowment, insurance or annuity policies on the lives of beneficiaries of the Trust hereunder; (k) To continue in any partnership, joint venture, joint ownership or other business enterprise of which Settlor is a part at the time of his death; (1) To compromise claims; (m) To continue for whatever period of time as the Trustees shall deem necessary any ownership as a tenant in common or as a partner, in real estate or other property and to act as Settlor could have acted while living; (n) To employ agents, attorneys and proxies and to delegate to them such power as my Trusteess consider desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; (o) To do all other acts in the judgment of the Trustees necessary or desirable for the proper management, investment and distribution of Settlor's Estate. ARTICLE VI In the event GREGORY L. LEWIS shall be unable or unwilling to continue to serve as Trustee hereunder, then FARMERS TRUST COMPANY shall continue to serve,as sole Trustee. Notwithstanding the foregoing, during such time as the said GREGORY L. LEWIS shall serve as Trustee hereunder, the said GREGORY L. LEWIS shall have the power, in his sole discretion, to remove FARMERS TRUST COMPANY as corporate fiduciary and replace the said FARMERS TRUST COMPANY with any institutional trustee having appropriate powers under the laws of its jurisdiction to function as a trustee hereunder. -3- J ARTICLE VII The compensation of any corporate trustee hereunder shall be in accordance with its fee schedule in effect when services are rendered hereunder. ARTICLE VIII This Trust shall be administered and interpreted in accordance with the laws of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, Settlor and Trustees have hereunto set their hands and seals the day and year aforesaid. Witn ss: SETTLOR: 7 1 I (SEAL) etha A. Lewis TRUSTEE: Attest: FTRUST CO Y 7 - - it t / Witness: TRUSTEE: d-regIVy 9. Lewis -4- 7i;RI4ER; ?t1 T r 3 Q E SECURITY HOLDINGS a,:!. of 18/2911994 Account NumbeT: 20005224017 ALETHA A LE41S TUA ►;IISIP NO. SECURITY NAME SHARES/PAR INVT P COST 901957,109 iMFP, IFI 1 TEL FO 850.0000 49,066.4 379860102 BELLSOUTH CORP 975.0000 #91853.1' iIB613UL4 BUCKS CO 4.8% 94 -5,000.0000 15,000.00 238282107 DAUPHIN DEPOS[T C;IRP 1,000.00007.3,375.00 z 314'19204 PA MUNICIPAL FUND 4,119.6500 4,229.65 L 'J 3:37348547 FIRST TR 9172 25.0000 25,005.00 457925165 S;UNAMFRICA TiE INSP•,D ;1988.0000 16,241.60 4580814606 INS M1IN #204 15.0000 ''4 ,006.25 458810306 PA INTERMEDIATE TiF ',486.6103 x5,000.00 670632860 NUVEEN f'!E BO FO 2"28 150.0000 4,705.73 61093U266 NUVEEN NAIL INS #96 400.1510 9,977.97 67093U357 NUVEEN NAIL INS 999 241.0000 2-2,514.53 �?096J490 NUUEEN TiE #189 200.0000 19,948.56 670960494 NUVEEN TiE PA 952 i2$.000f 12,265,48 670968120 NUVEEN PA INSURED 65 561.9931, 49,915.81 670968310 NUVEEN PA INSURED 72 100.0020 9,140.39 6709611172 NUVEEN PA 149 245.0000 25,+51.70 :i70961)297 NOV€€N IlE 123 250.0000 25,612,50 ;71010868 NUVEEN PA SERIES 169 :;00.0000 :10,939.00 738839501 4---A INS MUN INC TR 611 45.0000 43,069.05 '0B84D51? 'V�KM INS PA # 177 30.0000 ;0,047.%0 912827047 IIS TREAS 6.751 6/99 43,000.0200 35,950.04 ='=2318106 WINDSOR FUND 1,227.3430 15,033.54 %073)9 VANGUARD INTERN FUN►) {15.0940 47,794.57 ,,^1937407 VANGUARD HIGH YIELD 2,636.83`:0 25,434.16 931142103 WAL MART STORES, 4NC :,000.0000 55,525.00 973585201 4INDSOR iI 3,3B2,9500 46,177.26 TOTAL SECURITIES ;'18,41 3.i 65 ':'4,9;9. INCOME CASH ,fir'-'S PRINCIPAL CASH ,, << IOTAL COSI Cr'NF`ilfiT.F T'A" F\FILES\DATAFILE\WILLS\5637CHA.B2 SECOND AMENDED AND RESTATED SCHEDULE "B" TO AGREEMENT OF TRUST OF ALETHA A. LEWIS DATED AUGUST 29, 199 1. During the lifetime of Settlor,the net income of the Trust, if any, shall be paid to or for the benefit of Settlor in at least quarterly installments, and the principal of the Trust, if any, or any portion of the principal, shall be paid as Settlor, or someone acting legally on Settlor's behalf, may demand. Even though Settlor is not adjudicated incompetent, if Settlor is under a legal disability or because of mental or physical disability is, in the opinion of the Trustee hereunder, unable to make reasoned demands for amounts from the principal, the Trustee hereunder shall pay for Settlor's benefit such amount from the principal as may be necessary to maintain for Settlor a standard of living approximately equal to that maintained by Settlor during Settlor's lifetime, and to meet Settlor's expense arising from ill health or invalidism. 2. Upon the death of Settlor, the principal and undistributed income, if any, shall be distributed as follows: a. If Settlor's spouse, CLAUDE LEWIS, JR., survives Settlor by thirty (30) days, the Trustee shall divide the Trust(including any assets received under Settlor's Will) into two portions known as the"Marital Trust" and the "Credit Trust". (1) The Marital Trust,which shall not be reduced by any taxes by reason of Settlor's death, shall be that fractional proportion of Settlor's estate determined as follows: the numerator of such fractional proportion shall be the smallest amount which, if allowed as a marital deduction,would result in the least possible Federal Estate Tax being paid as a result of Settlor's death, after allowing for the unified credit against Federal Estate Tax and all available credits and deductions claimed. The numerator shall be reduced by the value of any property which passes to Settlor's spouse which qualifies for the marital deduction and shall further be reduced by that amount, if any, which, when added to the Settlor's taxable estate, will result in Federal Estate Tax no larger than the credit for State Death Taxes allowed in Settlor's estate without increasing any State Death Taxes payable as a result of Settlor's death. The denominator of this fraction shall be the value of the entirety of Settlor's estate. B-1- j Values assigned to the property for the purposes of this computation shall be those values finally determined for Federal Estate Tax purposes. (2) The Marital Trust shall be held and managed by my Trustee in accordance with item 2(b) hereunder. (3) The Credit Trust shall be held and managed by the Trustee in accordance with Item 2(c) of this Schedule. (4) The Trustee shall have the power to distribute assets in cash or in kind to the Marital Trust or to the Credit Trust and to select specific property to be distributed to the Marital Trust or the Credit Trust without regard to income tax basis of such property. In making these allocations, the Trustee shall use the value of the assets as of the date or dates of distribution so that each distribution shares proportionally in the appreciation or depreciation of assets between the date of Settlor's death and the date of or dates for distribution. No allocation of assets shall be made to the Marital Trust which are not qualified for the marital deduction. To the extent that other assets would qualify for the marital deduction are available, there shall not be allocated to the Marital Trust any assets with respect to which an estate tax credit for taxes paid is allowable or United States Treasury Bonds that are eligible for redemption at par value in payment of the Federal Estate Tax. In computing the marital deduction, all generation skipping transfer orders for which Settlor is the "deemed transferor" shall be disregarded. b. The Trustee shall hold the assets received into the Marital Trust for the following purposes: (1) To pay the net income, at least quarterly, to Settlor's spouse, CLAUDE LEWIS, JR., for life. In addition,the Trustee may and,are encouraged to, invade the principal of the Trust to provide for the proper and adequate support of Settlor's spouse, CLAUDE LEWIS, JR.. It is Settlor's specific intent and direction that the assets comprising the Marital Trust shall not be preserved at the expense of the comfort and care of Settlor's spouse, CLAUDE LEWIS,JR.,but that principal as well as income shall be made liberally available for such purposes so as to enable B-2- Settlor's spouse, CLAUDE LEWIS, JR., to maintain a standard of living approximately equal to that maintained by her during Settlor's lifetime. Trustee shall also pay such sums from the principal of the Marital Trust to or for the benefit of Settlor's issue as Settlor's spouse, CLAUDE LEWIS,JR.,by specific reference to the Marital Trust hereunder may during his lifetime direct the Trustee in writing and shall pay to Settlor's spouse, CLAUDE LEWIS, JR., if and to the extent he so requests of the Trustee in writing such additional sums of the principal of the Marital Trust not to exceed the amount of any gift taxes imposed on such payments. (2) The Trustee shall pay to Settlor's spouse, CLAUDE LEWIS, JR., annually, such sum from the principal of the Trust as Settlor's spouse may request in writing, provided,however, that said sum may not exceed the greater of$5,000.00 or 5%of the aggregate value at the time of said request of the principal of the Marital Trust. (3) Upon the death of Settlor's spouse, CLAUDE LEWIS, JR., then all property held in the Marital Trust shall be distributed as he may by her Will appoint, making specific reference to this Trust. The power to make such appointment and the conditions to which it may be made subject,and the pennissible beneficiary shall be without restriction or qualification of any kind. The power of appointment shall be exercised by Settlor's spouse, CLAUDE LEWIS, JR., alone and in all events, and there shall be no power in any other person to appoint any part of the property passing hereunder to any other person. To the extent Settlor's spouse, CLAUDE LEWIS, JR., should fail to exercise effectively his power of appointment over any part of the property in the Marital Trust, the Trustee shall (except to the extent that Settlor's spouse expressly directs to the contrary in his last Will or writing delivered to the Trustee during his lifetime)hold or distribute all of the principal and accrued income, if any, in accordance with the terms of paragraph 2,d of this Schedule B. C. The Trustee shall hold the assets received into the Credit Trust for the following purposes: (1) To pay the net income, at least quarterly, to Settlor's spouse, B-3- CLAUDE LEWIS,JR.,for life. In addition,the Trustee may and, are encouraged to, invade the principal of the Trust to provide for the proper and adequate support of Settlor's spouse, CLAUDE LEWIS, JR.. It is Settlor's specific intent and direction that the assets comprising the Credit Trust shall not be preserved at the expense of the comfort and care of Settlor's spouse, CLAUDE LEWIS,JR.,but that principal as well as income shall be made liberally available for such purposes so as to enable Settlor's spouse, CLAUDE LEWIS, JR., to maintain a standard of living approximately equal to that maintained by him during Settlor's lifetime. Trustee shall also pay such sums from the principal of the Credit Trust to or for the benefit of Settlor's issue as Settlor's spouse, CLAUDE LEWIS,JR.,by specific reference to the Credit Trust hereunder may during his lifetime direct the Trustee in writing and shall pay to Settlor's spouse, CLAUDE LEWIS, JR., if and to the extent he so requests of the Trustee in writing such additional sums of the principal of the Credit Trust not to exceed the amount of any gift taxes imposed on such payments. (2) The Trustee shall pay to Settlor's spouse, CLAUDE LEWIS, JR., annually, such sum from the principal of the Trust as Settlor's spouse may request in - writing, provided, however, that said sum may not exceed the greater of$5,000.00 or 5%of the aggregate value at the time of said request of the principal of the Credit Trust. (3) Upon the death of Settlor's spouse, CLAUDE LEWIS, JR., the remaining principal and accrued income, if any, shall be held or distributed in accordance with the terms of paragraph 2,d (1) through (3)of this Schedule B. d. If Settlor's spouse, CLAUDE LEWIS,JR., does not survive Settlor by thirty (30) days, the sum of One Hundred Thousand Dollars ($100,000.00) shall be distributed immediately to Settlor's son, GREGORY L. LEWIS,provided he shall have survived Settlor by thirty (30) days. The remaining assets of the Trust shall be held or distributed by the Trustee of the Trust as follows: (1) The sum of Fifty Thousand Dollars($50,000.00) shall be distributed to CENTRAL METHODIST COLLEGE, Fayette, Missouri. B-4- (2) The sum of Twenty-five Thousand Dollars ($25,000.00) shall be distributed to ALLISON UNITED METHODIST CHURCH,Carlisle,Pennsylvania. (3) The remaining assets of the Trust shall be held by the Trustee,in trust, for the following purposes: (a) Payment of Unitrust Amount. In each taxable year of the Trust, the Trustee shall pay to Settlor's son, GREGORY L. LEWIS, (hereinafter referred to as "the Recipient") during the Recipient's life an aggregate unitrust amount equal to the lesser of: (i)the Trust income for the taxable year, as defined in Section 643(b) of the Internal Revenue Code (herein the "Code") and the regulations thereunder, or(ii)five percent (5%) of the net fair market value of the assets of the Trust valued as of the first day of each taxable year of the Trust(the"valuation date"). Notwithstanding the foregoing,and in addition, the unitrust amount for any year shall also include any amount of Trust income for such year that is in excess of the amount required to be distributed under the foregoing language of this paragraph 2d(3)to the extent that the aggregate of the amounts paid in prior years was less than the aggregate of the amounts computed as five percent(5%) of the net fair market value of the Trust assets on the valuation dates. The unitrust amount shall be paid in quarterly installments. Subject to the foregoing provisions of this paragraph 2d(3), any income of the Trust for a taxable year in excess of the unitrust amount shall be added to principal. If for any year the net fair market value of the Trust assets is incorrectly determined, then within a reasonable period after the value is finally determined for federal tax purposes,the Trustee shall pay to the Recipient(in the case of an undervaluation) or receive from the Recipient (in the case of an overvaluation) an amount equal to the difference between the unitrust amount properly payable and the unitrust amount actually paid. (b) Deferral Provision. The obligation to pay the unitrust amount shall commence with the date of my death, but payment of the unitrust B-5- .bW i amount may be deferred from such date until the end of the taxable year of the Trust in which occurs the complete funding of the Trust. Within a reasonable time after the end of the taxable year in which the complete funding of the Trust occurs,the Trustee must pay to the Recipient(in the case of an underpayment) or receive from the Recipient (in the case of an overpayment)the difference between:(i)any unitrust amounts actually paid, plus interest compounded annually, computed for any period at the rate of interest that the federal income tax regulations under Section 664 of the Code prescribe for the Trust for such computation for such period; and (ii) the unitrust amounts payable,plus interest compounded annually, computed for any period at the rate of interest that the federal income tax regulations under Section 664 prescribe for the Trust for such computation for such period. (c) Proration of the Unitrust Amount. In determining the unitrust amount,the Trustee shall prorate the same on a daily basis for a short taxable year and for the taxable year ending with the Recipient's death. (d) Distribution to Charity. Upon the death of the Recipient, the Trustee shall distribute all of the then principal and income of the Trust(other than any amount due the Recipient or the Recipient's estate under the provisions above) to CENTRAL METHODIST COLLEGE (hereinafter referred to as"the Charitable Organization"). If the Charitable Organization is not an organization described in Sections 170(c) and 2055(a) of the Code at the time when any principal or income of the Trust is to be distributed to it, then the Trustee shall distribute such principal or income to one or more organizations described in Sections 170(c) and 2055(a) as the Trustee shall select in its sole discretion. (e) Additional Contributions. No additional contributions shall be made to the Trust after the initial contribution. The initial contribution, however, shall be deemed to consist of all property passing to the Trust by reason of my death. B-6- (f) Prohibited Transactions. The Trustee shall make distributions at such time and in such manner as not to subject the Trust to tax under Section 4942 of the Code. Except for the payment of the unitrust amount to the Recipient, the Trustee shall not engage in any act of self-dealing, as defined in Section 4941(d) of the Code, and shall not make any taxable expenditures, as defined in Section 4945(d)of the Code. The Trustee shall not make any investments that jeopardize the charitable purpose of the Trust, within the meaning of Section 4944 of the Code and the regulations thereunder, or retain any excess business holding, within the meaning of Section 4943(c)of the Code. (g) Taxable Year. The taxable year of the Trust shall be the calendar year. (h) Governing Law. The operation of the Trust shall be governed by the laws of the Commonwealth of Pennsylvania. The Trustee, however, is prohibited from exercising any power or discretion granted under said laws that would be inconsistent with the qualification of the Trust under Section 664(d)(2) and(3) of the Code and the corresponding regulations. (i) Limited Power of Amendment. The Trustee shall have the power, acting alone, to amend the Trust in any manner required for the sole purpose of ensuring that the Trust qualifies and continues to qualify as a charitable remainder unitrust within the meaning of Section 664(d)(2)and(3) of the Code. 0) Investment of Trust Assets. Nothing herein shall be construed to restrict the Trustee from investing the Trust assets in a manner that could t. r result in the annual realization of a reasonable amount of income or gain from the sale or disposition of Trust assets. Schedule B executed this 2nd day of September , 1999. Witne SETT R: AlethaA. Lewis, by her Attorney-in-fact, Claude Lewis, Jr. Attest: TRUSTEE: KEYSTONE FINANCIAL BANK, N.A. �`t�:� result in the annual realization of a reasonable amount of income or gain from the sale or disposition of Trust assets. Schedule B executed this 2nd day of September , 1999. Witne SETT R: AlethaA. Lewis, by her Attorney-in-fact, Claude Lewis, Jr. Attest: TRUSTEE: KEYSTONE FINANCIAL BANK, N.A. _ �i ` i' � - .. i f a .e j, a result in the annual realization of a reasonable amount of income or gain from the sale or disposition of Trust assets. Schedule B executed this 2nd day of September , 1999. Witne SETT R: Aletha A. Lewis, by her Attorney-in-fact, Claude Lewis, Jr. Attest: TRUSTEE: KEYSTONE FINANCIAL BANK, N.A. 3 �