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Home My WebLink About05-25-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0801 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WilLIAM A DUNCAN ESQ 1 IRVINE ROW CARLISLE, PA 17013 -----~-- {old ESTATE INFORMATION: SSN: 091-28-7207 FILE NUMBER: 2105-0889 DECEDENT NAME: SAlESE CANIO J DA TE OF PAYMENT: OS/25/2006 POSTMARK DATE: OS/25/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 08/26/2005 NO. CD 006733 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $27,683.60 I I I I I I I I TOTAL AMOUNT PAID: $27,683.60 REMARKS: CHECK# 1106 SEAL INITIALS: MW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WillS '!t ...... ; .-I 15056041169 REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO Box 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year File Number INHERITANCE TAX RETURN RESIDENT DECEDENT ~\ oS 00'889 Date of Birth 091-28-7207 08262005 07301933 SALESE CAN I 0 MI J Decedent's Last Name Suffix Decedent's First Name (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW !Xl 1. Original Return Supplemental Return o o 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required Limited Estate o 2. o 00 o 10. 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 8. Total Number of Safe Deposit Boxes o 4. 00 o 9. 6. Decedent Died Testate (Attach Copy of Will) Litigation Proceeds Received o 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number RONALD S. KEARNS (717) 263-391fl., .-, :;~~ 804 WAYNE AVENUE .-'"1 Firm Name (If Applicable) RErnSTER OF WILlS.L!SE O~~ SMITH ELLIOTT KEARNS & COMPANY, LLC First line of address ~""'..) Ci Second line of address City or Post Office State ZIP Code C0 DATE FllEP CHAMBERSBURG PA 17201 Correspondent's e-mail address:RKEARNS@SEK.COM Under penalties of pe~ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of pre parer other than the personal representative is based on all information of which pre parer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE E'~~ L0h tv\~ _ ~i~.t () ADDRE 440 LAU EL DRIVE, MARTINSVILLE, VA. 24112 SIGNAT REPA ER THER T N R RE TATIVE 5-ll1-()~ LA DATE -:"/t?- Q AVENUE, CHAMBERSBURG, PA. 17201 PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056041169 15056041169 .-I 'j ~ t,' ....J 15056042160 REV-1500 EX Decedent's Social Security Number Decedent's Name: CANTO J SALESE RECAPITULATION 091-28-7207 1. Real estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 2/726.11 0.00 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 4. 0.00 6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested. . . . . .. 7. 8/583.90 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ........ 5. 8. Total Gross Assets (total Lines 1 - 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 212/388.75 223/698.76 37/709.05 1/432.37 39/141.42 184/557.34 0.00 9. Funeral Expenses & Administrative Costs (Schedule H) . . . . . . . . . . . . . . . . . . . . . 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . .. 10. 11. Total Deductions (total Lines 9 & 10) .................................. 11. 12. Net Value of Estate (Line 8 minus Line 11). . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J). . . . . . . . . . . . . . . . . . . . . . .. 13. 14. Net Value Subjectto Tax (Line 12 minus Line 13)........................ 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0_ 16. Amount of Line 14 taxable at lineal rate x .0 17. Amount of Line 14 taxable at sibling rate x .12 18. Amount of Line 14 taxable at collateral rate x .15 18 4 / 5 5 7 . 3 4 184/557.34 19. TAX DUE ........................................................ 15. 0.00 16. 0.00 17. 0.00 18. 27/683.60 19. 27/683.60 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT o Side 2 L 15056042160 15056042160 ....J I, . REV.1500 EX Page 3 Decedent's Complete Address: File Number 21- 05 - 0889 DECEDENTS NAME canio J. Salese STREETADDRESS 940 Walnut Bottom Road CITY I STATE iZIP Carlisle Pa 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount 27,683.60 Total Credits (A + 8 + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty TotallnterestJPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 27,683.60 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (58) A. Enter the interest on the tax due. 27,683.60 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 GJ b. retain the right to designate who shall use the property transferred or its income; . . . . . . . . . . . . . . . . . . ., 0 0 c. retain a reversionary interest; or ......................................................... 0 0 d. receive the promise for life of either payments, benefits or care? ................................ 0 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 tnust 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 6J 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. 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 three (3) percent [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 zero (0) percent [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 zero (0) percent [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 four and one-half (4.5) percent, 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 twelve (12) percent [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. REV-1502 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Carrio J. Salese 21-05-0889 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 exchange 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 which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1503 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER canio J. Salese 21-05-0889 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 76.9198 Shs General Electric Reinvestment Account# 1018432359 Statement Attached M&T Securities Account #AZD-160372-Statement Attached 2,564.51 2 161.60 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets ofthe same size) 2,726.11 , . REV-1504 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP ESTATE OF FilE NUMBER Canio J. Salese 21-05-0889 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1505 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C-1 CLOSELY-HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF FILE NUMBER State _ Zip Code 21-05-0889 State of Incorporation Date of Incorporation Total Number of Shareholders Canio J. Salese 1. Name of Corporation Address City 2. Federal Employer 1.0. Number Business Reporting Year 3. Type of Business ProducUService 4. TYPE TOTAL NUMBER OF PAR VALUE NUMBER OF SHARES VALUE OF THE STOCK Voting/Non-Voting SliARES.OUTSTANDING OWNED BY THE DECEDENT DECEDENT'S STOCK Common $ 0.00 Preferred $ 0.00 Provide all rights and restrictions pertaining to each class of stock. 5. Was the decedent employed by the Corporation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes DNo If yes, Position Annual Salary $ Time Devoted to Business 6. Was the Corporation indebted to the decedent? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes DNo If yes, provide amount of indebtedness $ 7. Was there life insurance payable to the corporation upon the death of the decedent? . . . . . . . . . . . . 0 Yes 0 No If yes, Cash Surrender Value $ Net proceeds payable $ Owner of the policy 8. Did the decedent sell or transfer any stock in this company within one year prior to death or within two years if the date of death was prior to 12-31-82? DYes DNo If yes, o Transfer DSale Number of Shares Transferee or Purchaser Consideration $ Date Attach a separate sheet for additional transfers and/or sales. 9. Was there a written shareholder's agreement in effect at the time of the decedent's death? . . . . . . . DYes DNo If yes, provide a copy of the agreement. 10. Was the decedent's stock sold? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes DNo If yes, provide a copy of the agreement of sale, etc. 11. Was the corporation dissolved or liquidated after the decedent's death? . . . . . . . . . . . . . . . . . . . . . . 0 Yes 0 No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 12. Did the corporation have an interest in other corporations or partnerships? . . . . . . . . . . . . . . . . . . . . DYes DNo If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest. THE FOllOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedent's stock. B. Complete copies of financial statements or Federal Corporate Income Tax returns (Form 1120) for the year of death and 4 preceding years. C. If the corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals have been secured, attach copies. D. List of principal stockholders at the date of death, number of shares held and their relationship to the decedent. E. List of officers, their salaries, bonuses and any other benefits received from the corporation. F. Statement of dividends paid each year. List those declared and unpaid. G Any other information relating to the valuation of the decedent's stock. (If more space is needed, insert additional sheets of the same size) I' REV-1506 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C-2 PARTNERSHIP INFORMATION REPORT ESTATE OF FILE NUMBER Canio J. Salese 21-05-0889 1. Name of Partnership Date Business Commenced Address Business Reporting Year City State Zip Code 2. Federal Employer 1.0. Number 3. Type of Business Product/Service 4. Decedent was a D General D Limited partner. If decedent was a limited partner, provide initial investment $ 5. PARTNER NAME PERCENT PERCENT BALANCE OF OF INCOME OF OWNERSHIP CAPITALACCOUNT A. B. C. D. 6. Value of the decedent's interest $ 7. Was the Partnership indebted to the decedent? ......................................... DYes DNo If yes, provide amount of indebtedness $ 8. Was there life insurance payable to the partnership upon the death of the decedent? . . . . . . . . . . . . DYes D No If yes, Cash Surrender Value $ Net proceeds payable $ Owner of the policy 9. Did the decedent sell or transfer an interest in this partnership within one year prior to death or within two years if the date of death was prior to 12-31-82? DYes DNo Transferee or Purchaser Attach a separate sheet for additional transfers and/or sales. If yes, DTransfer DSale Percentage transferred/sold Consideration $ Date 10. Was there a written partnership agreement in effect at the time of the decedent's death? . . . . . . . . . DYes D No If yes, provide a copy of the agreement. 11. Was the decedent's partnership interest sold? .......................................... DYes 0 No If yes, provide a copy of the agreement of sale, etc. 12. Was the partnership dissolved or liquidated after the decedent's death? . . . . . . . . . . . . . . . . . . . . . . DYes DNo If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 13. Was the decedent related to any ofthe partners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes 0 No If yes, explain 14. Did the partnership have an interest in other corporations or partnerships? . . . . . . . . . . . . . . . . . . . . DYes DNo If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest. THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedent's partnership interest. B. Complete copies of financial statements or Federal Partnership Income Tax returns (Form 1065) for the year of death and 4 preceding years. C. If the partnership owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals have been secured, attach copies. D. Any other information relating to the valuation of the decedent's partnership interest. ~ . REV-1507 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE ESTATE OF FILE NUMBER Canio J. Salese 21-05-0889 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 4, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-150B EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FilE NUMBER canio J. Salese 21-05-0889 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 4 5 6 7 8 2002 Chevrolet Cavalier Sedan-Kelly Blue Book valuation Attached Commonwealth of Pa.-Unclaimed Moneys Less 20%-Statements attached State Farm Insurance Co-Refund US Treasury-2005 income tax refund applied for State Farm insurance Co-Refund State Farm Insurance Co-Refund Master Card-Refund Surburban Oil-Refund 5,905.00 1,162.76 96 .30 455.00 268.11 21.44 594.37 80.92 1 2 3 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 8,583.90 REV-1509 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y.QWNED PROPERTY ESTATE OF FILE NUMBER Canio J. Salese 21-05-0889 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINTTENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TOTAL (Also enter on line 6, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) REV-1510 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Canio J. Salese 21-05-0889 FILE NUMBER ITEM NUMBER 1. This schedule must be completed and filed ifthe answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. EXCLUSION (IF APPLICABLE) 2 3 4 Merrill Lynch IRA Account # 2AR-18x39 Beneficiaries: Michael Wharton (Nephew) 50% and Elizabeth Gillispie (Niece) 50% Bank Statement Attached David Connor-Refund of real estate taxes from sale,Liv Tr Legg Mason Account # 360-00612-Deposit in transit, Liv Tr Van Kampen Securities, Living Trust-Valuation Attached: Account # 216/671975601 Account # 225/671975601 Account # 277/671975601 Scottrade,Inc.Account # 71601257, Living Trust-Val Attach Orrstown Bank-Checking Account # 108006066, Living Trust Orrstown Bank-savings Account # 108006066, Living Trust Residence, 403 Arch Street, Carlisle, Pa, Living Trust Deed Book Vol 252, Page 4414 Sale Price-Settlement Sheet Attached 5 6 7 8 DATE OF DEATH VALUE OF ASSET 58,945.00 % OF DECD'S INTEREST 721.88 100 2,973.83 100 10,603.72 100 27,595.50 100 6,940.23 100 11,825.75 100 395.40 100 1,387.44 100 91,000.00 100 100 TOTAL (Also enter on line 7, Recapitulation) $ (If more space is needed, insert additional sheets ofthe same size) TAXABLE VALUE 58,945.00 0.00 0.00 0.00 721.88 2,973.83 0.00 10,603.72 27,595.50 6,940.23 11,825.75 395.40 1,387.44 91,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212,388.75 REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Canio J. Salese 21-05-0889 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. 1. DESCRIPTION AMOUNT FUNDERAL EXPENSES: Ewing Bros Funeral Home, Inc Elizabeth Gillispie-Reimbursement for Expenses Richard Gillispie-Reimbursement for Expenses Michael Wharton-Reimbursement for Expenses $8,238.00 1,060.25 745.25 87.56 10,131.06 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Elizabeth W. Gillispie Social Security Number(s)/EIN Number of Personal Representative(s) 229 - 54 - 63 20 Street Address 440 Laurel Drive City Martinsville State Va ZIP 24112 Year(s) Commission Paid: 2006 5,000.00 2. Attorney Fees 2,000.00 3 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees 334.00 5. Accountant's Fees 5,250.00 6. Tax Return Preparer's Fees 7. Schedule Attached 14,993.99 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 37,709.05 Item No. 8 9 10 11 12 13 14 Schedule H (continued) Administrative Expense Estate of Canio J. Salese File No. 21-05-0889 UGI - Gas PP&L - Electric Borough of Carlisle - Water & sewer Suburban Oil Co. - Fuel oil Tucker Plumbing - Maintenance Clean Sweep - Cleaning house Elizabeth Gillispie - Reimbursement of expenses & travel - Trip One 7/21-23/2005 - Trip Three 8/23-25/2005 - Trip Five 9/22-23/2005 - Trip Six 10/7/2005 - Deliver automobile - Trip Eight 2/23-25/2006 - Trip Nine 3/23-24/2006 15 Richard Gillispie - Reimbursement of travel to assist Elizabeth Gillispie - Trip Eight 2/23-25/2006 16 Dugan Appraisal - Appraise real property 17 State Farm Ins. Co. - Auto insurance 18 Sprint - Telephone 19 Com cast - Cable 20 David Connor - Allocation of real estate tax from property sale 21 Settlement expense - Sale of real property Subtotal $ 586.27 325.83 480.82 463.09 210.58 396.57 520.69 $ 62.91 69.30 210.70 1,044.63 89.20 1,079.00 2,983.85 356.00 275.00 94.90 38.02 54.78 516.00 8,119.70 14,993.99 REV-1512 EX+ (12-03) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Canio J. Salese 21-05-0889 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. VALUE AT DATE OF DEATH ITEM NUMBER DESCRIPTION 1. 8.54 10 2 3 UGI-Gas PP&L-Electric Dorothy Mitchell-Rent Refund Georgetown Hospital System-Medical West Shore EMS- Ambulance Sprint-Telephone Manor Care Nursing Home-Nursing Care Cumberland Woodwill-Ambulance Smith Elliott Kearns & Company,LLC-Prepare 2005 Individual Income Tax Return Pa Dept of Revenue-2005 Income Tax 115.00 4 5 6 7 8 9 104.66 225.00 21.86 32.00 135.83 162.50 51.98 575.00 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets oflhe same size) 1,432.37 \, . REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Canio J Salese 21-05-0889 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 1 Elizabeth W. Gillispie Niece 60% 440 Laurel Drive Martinsville, Va. 24112 2 Michael Wharton Nephew 15% 1307 Brookstown Avenue Winston Salem, NC. 27101 3 Robert Wharton Nephew 5% 6909-129 Park Messa Way San Diego, Calif. 92111 4 Alex Hamilton Nephew 20% 11145 West Alamo place Littleton, Co. 80127 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) . . REV-1514 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE K LIFE ESTATE, ANNUITY & TERM CERTAIN (Check Box 4 on REV-1500 Cover Sheet) ESTATE OF FilE NUMBER canio J. Salese 21-05-0889 This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death from 5-1-89 to 4-30-99, and in Aleph Volume for dates of death from 5-1-99 and thereafter. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. o Will 0 Intervivos Deed of Trust 0 Other I LIFE ESTATE INTEREST CALCULATION 1 NAME{S) OF LIFE TENANT{S) DATE OF BIRTH NEAREST AGE AT TERM OF YEARS DATE OF DEATH LIFE ESTATE IS PAYABLE o Life or 0 Term of Years o Life or 0 Term of Years o Life or 0 Term of Years o Life or 0 Term of Years o Life or 0 Term of Years 1. Value of fund from which life estate is payable .............................................. $ 2. Actuarial factor per appropriate table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest table rate - 031/2% 06% 010% OVariable Rate % 3. Value of life estate (Line 1 multiplied by Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ 0.000000 0.00 I ANNUITY INTEREST CALCULATION I NAME{S) OF LIFE ANNUITANT{S) DATE OF BIRTH NEAREST AGE AT TERM OF YEARS DATE OF DEATH ANNUITY IS PAYABLE o Life or 0 Term of Years o Life or 0 Term of Years o Life or 0 Term of Years o Life or 0 Term of Years 1. Value of fund from which annuity is payable ................................................ $ 2. Check appropriate block below and enter corresponding (number) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Frequency of payout - 0 Weekly (52) 0 Bi-weekly (26) 0 Monthly (12) Oauarterly(4) o Semi-annually (2) DAnnually(1) o Other ( ) 3. Amount of payout per period ............................................................ $ 4. Aggregate annual payment, Line 2 multiplied by Line 3 ....................................... 5. Annuity Factor (see instructions) Interest table rate- 031/2% 06% 010% o Variable Rate % 6. Adjustment Factor (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Value of annuity -If using 31/2%,6%,10%, or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . ., $ If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x line 6) + line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ o 0.00 0.000000 NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13 and 15 through 18. (If more space is needed, insert additional sheets of the same size) " . REV-1644 EX+ (3-04) INHERITANCE TAX SCHEDULE L COMMONWEALTH OF PENNSYLVANIA REMAINDER PREPAYMENT INHERITANCE TAX RETURN OR INVASION OF TRUST PRINCIPAL FILE NUMBER 21-05-0889 RESIDENT DECEDENT I. ESTATE OF SALESE CANIO J (Last Name) (First Name) (Middle Initial) This schedule is appropriate only for estates of decedents dying on or before December 12, 1982. This schedule is to be used for all remainder returns when an election to prepay has been filed under the provisions of Section 714 of the Inheritance and Estate Tax Act of 1961 or to report the invasion of trust principal. II. REMAINDER PREPAYMENT: A. Election to prepay filed with the Register of Wills on (Date) B. Name(s) of Life Tenant(s) Date of Birth Age on date Term of years income or Annuitant(s) of election or annuity is payable C. Assets: Complete Schedule L-1 1. Real Estate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. Stocks and Bonds ....................... . $ 3. Closely Held Stock/Partnership . . . . . . . . . . . . . . $ 4. Mortgages and Notes. . . . . . . . . . . . . . . . . . . . . . $ 5. Cash/Misc. Personal Property . . . . . . . . . . . . . . . $ 5. Total from Schedule L-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0.00 D. Credits: Complete Schedule L-2 1. Unpaid Liabilities. . . . . . . . . . . . . . . . . . . . . . . . . $ 2. Unpaid Bequests . . . . . . . . . . . . . . . . . . . . . . . . . $ 3. Value of Un includable Assets. . . . . . . . . . . . . . . . $ 4. Total from Schedule L-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0.00 E. Total Value of trust assets (Line C-5 minus Line D-4) ............................... $ 0.00 F. Remainder factor (see Table I or Table II in Instruction Booklet) . . . . . . . . . . . . . . . . . . . . . . . . G. Taxable Remainder value (Line E x Line F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0.00 (Also enter on Line 7, Recapitulation) III. INVASION OF CORPUS: A. Invasion of corpus (Month, Day, Year) B. Name(s) of Life Tenant(s) Date of Birth Age on date Term of years income or Annuitant(s) corpus or annuity is payable consumed C. Corpus consumed .......................................................... $ D. Remainder factor (see Table I or Table II in Instruction Booklet) . . . . . . . . . . . . . . . . . . . . . . . . E. Taxable value of corpus consumed (Line C x Line D) .............................. $ 0.00 (Also enter on Line 7, Recapitulation) " . REV-1647 EX+ (9-00) SCHEDULE M FUTURE INTEREST COMPROMISE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT (Check Box 4a on Rev-1500 Cover Sheet) ESTATE OF FILE NUMBER canio J. Salese 21-05-0889 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 0 Trust 0 Other I. Beneficiaries NAME OF BENEFICIARY RELATIONSHIP DATE OF BIRTH AGE TO NEAREST BIRTHDAY 1. 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 months of the decedent's death, check the appropriate block and attach a copy of the document in which the surviving spouse exercises such withdrawal right. 0 Unlimited right of withdrawal 0 Limited right of withdrawal III. Explanation of Compromise Offer: IV. Summary of Compromise Offer: 1. Amount of Future Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. Value of line 1 exempt from tax as amount passing to charities, etc. (also include 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 Line 1 taxable at lineal rate Check One 06%, 04.5% ....................... . $ (also include as part of total shown on Line 16 of Cover Sheet) 5. Value of Line 1 taxable at sibling rate (12%) (also include as part of total shown on Line 17 of Cover Sheet) . . $ 6. Value of line 1 taxable at collateral rate (15%) (also include as part of total shown on line 18 of Cover Sheet) . . $ 7. Total value of Future Interest (sum of Lines 2 thru 6 must equal Line 1) . . . . . . . . . . . . . . . . . . $ 0.00 (If more space is needed, insert additional sheets of the same size) " ' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX DIVISION ESTATE OF SCHEDULE N SPOUSAL POVERTY CREDIT (AVAILABLE FOR DATES OF DEATH 01/01/92 TO 12/31194) REV-1648 EX (11-99)(1) FILE NUMBER Carrio J. Salese 2l-05-0BB9 This schedule must be completed and filed if you checked the spousal poverty credit box on the cover sheet. I PART I - CALCULATION OF GROSS ESTATE I 1. Taxable Assets total from line 8 (cover sheet) .............................................. . 1. 2. Insurance Proceeds on Life of Decedent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 3. Retirement Benefits .................................................................. . 3. 4. Joint Assets with Spouse .............................................................. . 4. 5. PA lottery Winnings .................................................................. . 5. 6a. Other Nontaxable Assets: List (Attach schedule if necessary). . . 6a. 6b. 6c. 6d. 6. SUBTOTAL (Lines 6a, b, c, d) .......................................................... . 6. 0.00 7. Total Gross Assets (Add lines 1 thru 6) ................................................... . 7. 0.00 8. Total Actual Liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 9. Net Value of Estate (Subtract line 8 from line 7) ............................................ . 9. If line 9 is greater than $200,000 - STOP. The estate is not eligible to claim the credit. If not, continue to Part II. 0.00 I PART II - CALCULATION OF JOINT EXEMPTION INCOME - (Attach copies of Federal Individual Income Tax I Return for decedent and spouse.) Income: 1. TAX YEAR: 19 2. TAX YEAR: 19 3. TAX YEAR: 19 a. Spouse ........... . 1a. 2a. 3a. b. Decedent ......... . 1b. 2b. 3b. c. Joint . . . . . . . . . . . . . . 1c. 2c. 3c. d. Tax Exempt Income . . 1d. 2d. 3d. e. Other Income not listed above ....... . 1e. 2e. 3e. f. Total . . . . . . . . . . . . . . H. 0.00 2f. 0.00 3f. 0.00 4. Average Joint Exemption Income Calculation 4a. Add Joint Exemption Income from above: (H) o . 0 + (2f) o . 0 + (3f) 0.0 0.00 (+3) 4b. Average Joint Exemption Income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. = If line 4(b) is greater than $40,000 - STOP. The estate is not eligible to claim the credit. If not, continue to Part Ill. 0.00 t PART III -CALCULATION OF SPOUSAL POVERTY CREDIT FOR RESIDENT AND NONRESIDENT ESTATES I 1. Insert amount of taxable transfers to spouse or $100,000, whichever is less. . . . . . . . . . . . . . . . . . . . . . . 1. 2. Multiply by credit percentage (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 3. This is the amount of the Resident Spousal Poverty Credit. Include this figure in the calculation of total credits on line 18 of the cover sheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. 0.00 4. For Nonresidents. enter the ratio of the decedent's gross estate in PA to the value of the decedent's gross estate ............................................................... . 4. 5. Multiply line 3 by line 4 and enter the total here. This is the amount of the Nonresident Spousal Poverty Credit. Include this figure in the calculation of total credits on line 18 of the cover sheet. . . . . . . . 5. 0.00 ,. . REV-1649 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 0 ELECTION UNDER SEC. 9113(A} (SPOUSAL DISTRIBUTIONS) ESTATE OF FilE NUMBER Carrie J. Salese 21-05-0889 Do not complete this schedule unless the estate is making the election to tax assets under Section 9113(A} of the Inheritance & Estate Tax Act. If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the Trust (marital, residual A, B, By-pass, Unified Credit, etc.). If a trust or similar arrangement meets the requirements of Section 9113(A), and: a. The trust or similar arrangement is listed on Schedule 0, and b. The value ofthe trust or similar arrangement is entered in whole or in part as an asset on Schedule 0, then the transferor's personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the election to have such trust or similar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property is included as a taxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal to the total value ofthe trust or similar arrangement. Part A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's surviving spouse under a Section 9113(A) trust or similar arrangement. Description Value Part A Total $ Part B: Enter the description and value of all interests included in Part A for which the Section 9113(A) election to tax is being made. 0.00 Description Value Part B Total $ 0.00 (If more space is needed, insert additional sheets of the same size) '1 . ~1 J STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND SHORT CERTIFICATE I, GLENDA FARNER STRASBAUGH es ta te of CANIO J SALESE Register for the Probate of wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on the 7th day of October, Two Thousand and Five, Letters TESTAMENTARY in common form were granted by the Register of said County, on the , late of SOUTH MIDDLETON TOWNSHIP (First. Middle. Last! in said county, deceased, to ELIZABETH W GILLISPIE (First, Middle, Last! and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 24th day of February Two Thousand and Six. File No. 2005-00889 PA File No. 21-05-0889 Da te of Dea th 8/26/2005 S.S. # 091-28-7207 ~ld!l/ JUflJ(", ./brt'Sbtt/-")L . RerJlster WI s ~ ~ -t^- '---1!1" Ptj/flS NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL " n~ul~ 11:::" vr VVILL;) "l.:'MBERLAND County, Pennsylvania CERTIFICATE OF GRANT OF LETTERS , . I ..1 i i /, " .\....\ ... '.... i(J ',' o ':. 'I.:-t1\-/'~)> ....~. ~'., .1 . 'Y-F": ~ '\ ~ "'~':lo ':. I.:')' I' <'l~.t r'/ . J ~) y~~ ,,. . ; :'! \-{; .~~,J it () .l ':\'~~" 'iJ:;.,,J ., .. '. , . ? .. I,>;. ,':. ..(\ -~ """"'1 .:' ~. ,'\ (') ":. .'\\... ". .....,,"'''''-,. ..~ . -. .,.., ..... " .. . .......... ...' "',- ,.' .. llll ~): . I .... No. 2005-00889 PA No. 21-05-0889 Es ta te Of: CANIO J SALESE (First. Middle. ust) Late Of: SOUTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY Deceased Social Securi ty No: 091-28-7207 WHEREAS, on the 7th day of October 2005 an instrument dated July 18th 2002 was admitted to probate as the last will of CANIO J SALESE (First. MiddkJ. ustJ la te of SOUTH MIDDLETON TOWNSHIP, CUMBERLAND County, who died on the 26th day of August 2005 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: ELIZABETH W GILLISPIE who has duly qualified as EXECUTOR(RIX) and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 7th day of October 2005. " . ki ~ ~ I Irla.. ~O.A Y\.1:.., '- mJlf).Jl' ' 1 ~L:> Register 0 Wl s o/~~ 'if ~ Deputy * *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) //.. ..(.y, ..... ()... , (;;,3S(s~ ,~ ~ ' 1& . ( LAST WILL AND TESTAMENT OF CANIO J. SALESE Dated: JvL~ I /'r Prepared by: MARTIN I. KLEINMAN, ESQUIRE 1518 WALNUT STREET 18TH FLOOR PHILADELPHIA, PA 19102 215 790-0303 c{{ ~~ , 2002 ~ . Jt. . ( LAST WILL AND TEST AMENT OF CANIO J. SALESE I, Canio J. Salese, a resident of and domiciled in the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. The provisions of this Article FIRST shall not apply to the extent that contrary provisions concerning the payment or apportionment of any such taxes have been or shall be made in any inter vivos instrument executed by me relating to any insurance, trusts, gifts or other transfers, jointly ( owned property or accounts, or property subject to power of appointment. SECOND: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), to the trustee under the following trust to be held and disposed oCin accordance with the terms, covenants and conditions of such trust: Canio J. Salese Living Trust Dated: Even Date Herewith. THIRD: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of twenty-one (21) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in , . .. ( Article FIFTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. *- FOURTH: I appoint Elizabeth W. Gillispie to be my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any , jurisdiction. ~ FIFTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to pay any legacy or distribute, divide or partition property in cash or in kind, or partly in kind, and to allocate different kinds of property, disproportionate amounts of property and undivided interests in property among any parts, funds or shares, and to determine the fair valuation of the property so allocated, with or without regard to tax basis; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. ( \ SIXTH: If any beneficiary under this will and I die in a common accident or under circumstances in which it is difficult or impractical to determine who survived the other, such beneficiary shall be deemed to have predeceased me. IN WITNESS WHEREOF, I, Canio J. Salese, sign, seal, publish and declare this instrument as my last will and testament this j}(f'day of J v to y ,2002. I also have affixed my initials on the bottom of each of the preceding pages hereof. ~ J .x:10---/eI1-f2_L.S. Canio J. Shlese The foregoing instrument was signed, sealed, published and declared by Canio J. Salese, the above-named Testator, to be his last will and testament in our presence, all being present at the same time, and we, at his request and in his presence and in the presence of each other, have subscribed our names as witnesses on the date above written. 2 . cJ at residlD., (" 3 ; , } , (' ! ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, Canio J. Salese J~ 4--rH 7 ~. co Jf I C. J~ ~,., ~ J JOH~ A. 13 0 vJ t.1t~ , the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator, Canio J. Salese, signed and executed said instrument as his last will and testament in the presence and hearing of the witnesses, and that he had signed willingly, and that he executed it as his free and voluntary act and deed for the purposes therein expressed, and that each ofthe witnesses at the request of the Testator, in the presence and hearing of the Testator and each other, signed the will as witness, and that to the best of his or her knowledge the Testator was at the time at least eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence. ; ~ J;J~ Witness Subscribed, sworn to and acknowledged before me by the said Canio J. Salese, Testator, and subscribed and sworn to before me by the above-named witnesses, this I f1\day of -.J \J L r ' 2002. Notarial Seal Joseph J. Curreri. Jr., Notary Public Upper AII~ Twp., C~mberland County MY CommiSSion Expires Feb. 16, 2004 ..,.. :. J (- . MEMORANDUM OF TRUST KNOW THAT, Canio J. Salese, having an address at 403 Arch Street, Carlisle, P A 17013, as Grantor, created a revocable trust, known as the Canio J. Salese Living Trust, by executing a Living Trust, dated J 1..( L r I ~ ,2002, naming Canio J. Salese, having an address as aforesaid, as trustee (referred to as the "Trustee"), and Elizabeth W. Gillispie, as successor trustee (referred to as the "successor Trustee"). This Memorandum of Trust is executed as evidence of the existence of the foregoing Living Trust. Any person may rely upon this Memorandum of Trust as evidence of the existence of said Living Trust, and is relieved of any obligation to verify that any transaction entered into by a Trustee or successor Trustee thereunder is consistent with the terms and conditions of said Living Trust. The Living Trust and the trusts created thereunder may be referred to by the name: "Canio J. Salese Living Trust". Any transfers to the Living Trust or any trust thereunder may refer to the aforesaid name or to "Canio J. Salese as Trustee under Canio J. Salese Living Trust" , with or without specifying any change in Trustee or any amendment to the Living Trust. I,,' IN WITNESS WHEREOF, the Grantor has executed this Memorandum of Trust as of this I g~ day of J rJ L Y , 2002. , ~lj~ , Canio J. Salese Grantor It\. .. ( COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. On this/rtay of J vl. (; ,2002, hefore me, the undersigned officer, personally appeared Canio J. Salese, own to me (or satisfactorily proven) to be the person whose name is subscribed to the within Memorandum of Trust, and acknowledged that be executed the same for the uses and purposes therein contained. IN WITNESS WHEREOF I hereunto set my band and official seal. Notarial Seal Joseph J. Curreri, Jr., No~ PeoUbluntylC U~ Allen Twp., Cumber_.... MY commission expires Feb. 16, 2004 \ -'I. "\ I ( ( ASSIGNMENT OF PERSONAL PROPERTY ASSIGNMENT, made as of this I~ A day of J J L y , 2002, between Canio J. Salese, having an address at 403 Arch Street, Carlisle, P A 17013, as the assignor hereunder (hereinafter referred to as the "Assignor"), and Canio J. Salese, having an address at 403 Arch Street, Carlisle, P A 17013, as Trustee under the Living Trust of even date herewith, known as the Canio J. Salese Living Trust, made by Canio J. Salese and said Trustee, as the assignee hereunder (hereinafter referred to as the" Assignee"). WITNESSETH, that Assignor, in consideration of Ten Dollars and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby assign unto Assignee and the heirs, executors, administrators, successors and assigns of Assignee forever, the tangible personal property more particularly described in Exhibit A attached hereto and made a part hereof, TO HAVE AND TO HOLD the same unto Assignee and the heirs, executors, administrators, successors and assigns of Assignee forever. IN WITNESS WHEREOF, Assignor has duly executed this Assignment on the date first above written. ~~JJ~ Canio J. Salese Assignor I . \.) (' ( COMMONWEALTH OF PENNSYL VANIA, COUNTY OF CUMBERLAND, ss. On this If{ day of J Ii Ly , 2002, before me, the undersigned officer, personally appeared Canio J. Salese, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Assignment, and acknowledged that he executed the same for the uses and purposes therein contained. IN WITNESS WHEREOF I hereunto set my hand and official seal. Notarial Seal Joseph J. Curreri, Jr., No~~ PuCo~~ U~r Allen Twp., Cumberldllu .....,. My Commission Expires Feb. 18, 2004 I J ,. LIVING TRUST made as of J u L y , I'? , 2002 by Canio J. Salese Grantor and Canio J. Salese Trustee ) Name Of Trust: Canio J. Salese Living Trust PREPARED BY: MARTIN I. KLEINMAN, P.C. 1518 WALNUT STREET 18TH FLOOR PlllLADELPIDA, P A 19102 215790-0303 'llL'to /.. ~t;;. c.'~ ''Z... Ir li ~u. Lcll{ ) ~ C '~ ~---- ! --- t,. h. ~. ;,j '-n~ fuu':t..V) ~ I '-f ~1\ czL_ UV-L- ~~~ j 05 ~<~ ~~L (). ~ r ) LV/16J) / - ?~. 6- - '--I 0 "-j - 6> S- V is I' ,.. ) TABLE OF CONTENTS \ J .' ARTICLE FIRST - Directions of Grantor ARTICLE SECOND - Disability of Grantor ARTICLE TIDRD - Successor Beneficiaries ARTICLE FOURTH - Minors or Incompetents ARTICLE FIFTH - Payment of Debts ARTICLE SIXTH - Life InsurancelDeath Benefits ARTICLE SEVENTH - Right to Revoke or Amend ARTICLE EIGHTH - Powers of Trustee ARTICLE NINTH - Appointment of Trustee ARTICLE TENTH - Accounts of Trustee ARTICLE ELEVENTH - Trustee Decisions Conclusive ARTICLE TWELFTH - Simultaneous Death ARTICLE THIRTEENTH - Rights Not Assignable ARTICLE FOURTEENTH - Construction ARTICLE FIFTEENTH - Binding Effect ARTICLE SIXTEENTH - Short Name , . . . . LIVING TRUST JVL~ I between Canio J. Salese, having an address at 403 Arch Street, Carlisle, P A 17013, as grantor fh LIVING TRUST, made as of this /8 day of , 2002, (hereinafter referred to as the "Grantor"), and Canio J. Salese, having an address as aforesaid, as trustee (hereinafter referred to as the "Trustee"). WIT N E SSE T H: WHEREAS, the Grantor desires to create a revocable trust ofthe life insurance policies and other property described in Schedule A hereto, together with such monies, \ \ ! securities and other assets as the Trustee hereafter may hold or acquire hereunder (said life insurance policies and other property, monies, securities and other assets, together with any additions thereto received pursuant to the Grantor's last will and testament or as the proceeds ofinsurance on the Grantor's life, or as death benefits or otherwise, being hereinafter referred to as the "trust estate"), for the purposes and upon the terms and conditions hereinafter set forth. NOW, THEREFORE, in consideration of the covenants herein contained and other valuable consideration, the receipt and sufficiency of which hereby are acknowledged, the Grantor hereby transfers, conveys, assigns and delivers to the Trustee as and for the trust estate the property more particularly described i~ Schedule A hereto, to hold the same, and I a \ 1 any other property which the Trustee hereafter may acquire, IN TRUST, for the purposes and upon the terms and conditions hereinafter set forth: ARTICLE FIRST Directions of Grantor The Trustee shall hold, manage, invest and reinvest the trust estate, shall collect the income therefrom, and shall pay any part or all of the income and principal to whomever the Grantor from time to time may direct in writing. Until the Grantor hereafter may direct to the contrary, the net income shall be paid to the Grantor quarter-annually. Any income not so paid or applied shall be accumulated and added to the principal of this trust at least quarter-annually. ) ARTICLE SECOND Disability of Grantor If at any time the Grantor, in the judgment of the successor Trustee, shall be under any legal disability or shall be unable to manage properly his affairs by reason of illness or mental or physical disability (whether or not a court of competent jurisdiction has declared the Grantor incompetent or mentally ill or has appointed a legal representative for the Grantor), the successor Trustee may payor apply so much or all of the net income and the principal of the trust estate as the successor Trustee deems necessary or advisable for the health, education, maintenance or support of the Grantor, or for the payment of insurance 2 , . ~) . ) premiums on the life of the Grantor. Any income not so paid or applied shall be accumulated and added to the principal of this trust at least quarter-annually. In making any payment hereunder, the successor Trustee may consider, but shall not be required to consider, the income and other resources of the Grantor. No such payment shall be charged upon a subsequent division of the trust estate against the principal of any share which may be set apart for any beneficiary hereunder. ~--.,. ARTICLE TIDRD Successor Beneficiaries Upon the death of the Grantor, the Trustee shall pay and distribute sixty per cent (60%) of the trust estate at that time remaining to the Grantor's niece, Elizabeth W. Gillispie; fifteen per cent (15%) ofthe trust estate to the Grantor's nephew, Michael Wharton; five per cent (5%) ofthe trust estate to the Grantor's nephew, Robert Wharton and twenty per cent (20%) of the trust estate to the Grantor's nephew, Patrick Wharton, if then living, in equal shares, discharged of trust. If the Grantor's niece, Elizabeth W. Gillispie, shall predecease the Grantor, then her share of the trust estate shall be distributed so that Patrick Wharton's share shall be increased to forty (40%) of the trust estate and the balance shall be distributed in equal shares to Michael Wharton and Robert Wharton, per stirpes. If the Grantor's nephew, Michael Wharton, shall predecease the Grantor, then his share of the trust estate shall be distributed to his then living issue, in equal shares, per stirpes. If the Grantor's nephew, Robert Wharton, shall predecease the Grantor, then his share of the trust estate shall be distributed to the other 3 ',' beneficiaries named herein in proportion to their original distributions. If the Grantor's nephew, Patrick Wharton, shall predecease the Grantor, then his share of the trust estate shall be distributed to his thern living issue, in equal shares, per stirpes. ARTICLE FOURTH Distributions To Minors Or Incompetents In any case in which the Trustee is authorized or directed by any provision of this Agreement to payor distribute income or principal to any person who shall be a minor or incompetent, the Trustee, in the absolute discretion of the Trustee and without authoriza- tion of any court, may payor distribute the whole or any part of such income or principal to such minor or incompetent personally, or may apply the whole or any part thereof directly to the health, education, maintenance or support of such minor or incompetent, or may payor distribute the whole or any part thereof to the guardian, committee, conservator or other legal representative, wherever appointed, of such minor or incompetent or to the person with whom such minor or incompetent may from time to time reside, or in the case of a minor, may pay or distribute the whole or any part thereof to a custodian for such minor under any gifts to minors or transfers to minors act. Evidence of such payment or distribution or the receipt therefor by the person to whom any such payment or distribution is made shall be a full discharge of the Trustee from all liability with respect thereto, even though the Trustee may be such person. The Trustee, in the absolute discretion of the Trustee, may defer payment or distribution of any or all income or principal to which a minor may be entitled until such 4 .,' . ~ ~ . ) minor shall attain the age of twenty-one (21) years, or to make such payment or distribution at any time and from time to time, during the minority of such minor, holding the whole or the undistributed portion thereof as a separate fund vested in such minor but subject to the power in trust hereby given to the Trustee to administer and invest such fund and to use the income or principal thereof for the benefit of such minor as if such fund were held in trust hereunder. No bond or other security and no periodic accounts shall be required with respect to such fund, and the same shall be subject to commission as if it were a separate trust fund. The Trustee shall pay and distribute any balance of such fund to such minor when such minor shall attain the age of twenty-one (21) years. Except as is herein above provided, if such minor shall die before attaining the age of twenty-one (21) years, the Trustee shall pay and distribute such balance to the executors, administrators or legal representatives of the estate of such minor. The word "minor", wherever used in this Article FOURTH, shall mean any person who has not attained the age of twenty-one (21) years. ARTICLE FIFTH Payment of Debts Upon the death of the Grantor, the Trustee may pay from the principal of the trust estate the amount of any estate or death taxes (and any excess accumulation excise tax), by whatever name called, imposed under the laws of any jurisdiction by reason of the Grantor's death, whether in respect of property passing under this Agreement or the Grantor's last will and testament or otherwise, and the amount of all of the debts which the Grantor's estate must pay, the expenses of his last illnesses and funeral, and the expenses of 5 I). l\' ) administering his estate. The Trustee may rely upon the written certification of the executors, administrators or legal representatives of the Grantor's estate as to the amount of any such tax, debt or expense, without any duty to inquire as to the correctness thereof, and, in its discretion, may make payment thereof either to said executors, administrators or legal representatives or to the taxing authority or person to whom such amount is owed. ARTICLE SIXTH Life Insurance and Death Benefits With respect to any insurance policies or employee death benefits payable to the Trustee, the Trustee, upon being advised that any sum is so payable by reason of the death of the Grantor, shall endeavor to collect the same, and may bring a suit or action therefor, or may compromise, adjust, settle or submit to arbitration any claims therefor. The Trustee shall be entitled to reimbursement from the trust estate for expenses incurred by the Trustee in collecting or attempting to collect any such sum by suit, action or otherwise. The Trustee, however, shall be under no duty to bring a suit or action unless the expenses of the Trustee, including attorneys' fees, shall have been advanced or guaranteed to the satisfaction of the Trustee. The Trustee may repay, out of the trust estate, any advances made by the Trustee or reimburse the Trustee for expenses incurred in collecting or attempting to collect any sum as aforesaid. The Trustee in no case shall be under any duty or obligation to make any claim against the Grantor's estate, or take any action against the executors, administrators or legal representatives of the Grantor's estate, for reimbursement for any reduction of the sums 6 I,' 'I' ) payable upon the death of the Grantor by reason of unpaid premiums or for any other cause, including any loans and interest thereto secured by any insurance policies. During the life of the Grantor, the Trustee may; in its discretion, apply the net income or principal of the trust estate to the payment of premiums on any life insurance policy of which the Trustee or any trust hereunder is beneficiary. If the net income and principal is insufficient to pay such premiums, the Trustee may notify the Grantor and the beneficiaries of the trust of such insufficiency and give them the opportunity to furnish the necessary funds. If neither the Grantor nor any of the beneficiaries furnishes the funds necessary to pay the premiums, the Trustee may, but shall not be obligated to, obtain the funds required to pay such premiums by selling a portion of the principal of the trust estate, by borrowing on the security of such principal, by borrowing against the cash surrender value of the policy or by surrendering some policies and using the proceeds to pay the premiums on other policies. The Trustee also is authorized to convert such policies to paid-up or extended term insurance if the trust estate does not have the necessary funds to pay the premiums. If no funds are available for the payment of the premiums of any insurance policy, the Trustee may assign ownership of such policy to the then living income beneficiaries of the trust. The Grantor retains, during his life, all of the rights, options and privileges reserved to or conferred upon him by the terms of said insurance policies or employee death benefit plans, including without limitation the right to borrow upon and pledge the same, to change the beneficiary thereof, to convert the same into other forms of insurance, to collect the cash value thereof, to permit or direct the same to lapse, and to receive dividends and other 7 ',' lifetime benefits of any kind payable to him by the terms thereof. The Grantor may exercise the foregoing rights without the consent of the Trustee or any beneficiary hereunder. The following provisions concern retirement benefits that become distributable to the Trustee (whether directly or through the Grantor's estate) by reason ofthe death of the Grantor. As used herein, "retirement benefits" means amounts held in or payable pursuant to a plan (of whatever type) qualified under Section 401 ofthe Internal Revenue Code, or an individual retirement arrangement under Section 408 or 408A of the Code, or a tax sheltered annuity under Section 403 of the Code, or any other benefit plan subject to the distribution rules of Section 401(a)(9) of the Code, or the corresponding provisions of any subsequent Federal tax law. \ .J (a) The Trustee in the absolute discretion ofthe Trustee may exercise any right to determine the manner and timing of payment of retirement benefits that is available to the recipient of the benefits. (b) The trustee is authorized to identify and designate the person who, pursuant to the regulations under Section 401(a)(9), is the "designated beneficiary" whose life expectancy may be used to measure payments to any trust. (c) No retirement benefits shall be used to pay taxes, debts and expenses ofthe estate of the Grantor. (d) If the Grantor's wife survives the Grantor and retirement benefits are distributable to the Trustee either directly or through the Grantor's estate 8 . . , (other than by reason of disclaimers by the Grantor's wife) the Trustee (other than the Grantor's wife) is authorized, but not directed, in the absolute discretion of the Trustee, to distribute the right to all or part of such benefits outright to the Grantor's wife, or to disclaim all or part of such benefits, and any benefits so disclaimed shall be payable to the Grantor's wife outright, and the Grantor's wife may exercise any right to determine the manner and timing of payment of such distributed or disclaimed benefits that is available to the recipient of the benefits. In exercising this discretionary power, the Trustee may, but need not, consider solely the needs and desires of the Grantor's wife and not those of any other beneficiary. The Grantor hopes that the Trustee will consider distributing or disclaiming if the Grantor's wife wishes to "roll over" ) the benefits to an individual retirement arrangement and such distribution or disclaimer will help effectuate the rollover, but this precatory expression shall not limit the discretion of the Trustee and it is not meant to direct a distribution or disclaimer even if the Grantor's wife wishes to "roll over" the benefits. ARTICLE SEVENTH Grantor's Right to Revoke or Amend The Grantor reserves the right, at any time during the life of the Grantor and without the consent of any person or notice to any person other than the Trustee, to amend or revoke in whole or in part this Agreement or any trust created hereunder, including the right 9 , , , , .. to change the terms or beneficiaries thereof, by delivering to the Trustee written notice of such amendment or revocation signed by the Grantor. This Agreement shall become irrevocable upon the death ofthe Grantor. No amendment ofthis Agreement, however, shall increase the obligations or reduce the commissions ofthe Trustee without the consent ofthe Trustee. Upon any such revocation, the Trustee shall deliver to the Grantor all property in the possession or control of the Trustee with respect to any trust which has been revoked and shall execute and deliver any instruments necessary to release any interest ofthe Trustee in such property. The sale or other disposition by the Grantor of the whole or any part of the trust estate held hereunder shall constitute as to such whole or part a revocation of this Agreement and the trust or trusts affected thereby. The Grantor reserves the power and right during the life of the Grantor to ) collect any rent, interest or other income which may accrue from the trust estate and, in his .. sole discretion, to accumulate such income as a trust asset or to pay such income to the Grantor individually and not in any fiduciary capacity. The Grantor further reserves the power and right during life of the Grantor to mortgage or pledge all or any part of the trust estate as collateral for any loan. ARTICLE EIGHTH Powers of Trustee In the administration of any property, real or personal, at any time forming a part of the trust estate, including accumulated income, and in the administration of any trust created hereunder, the Trustee, in addition to and without limitation ofthe powers conferred 10 ) on trustees under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended or any successor thereto, or otherwise provided by law, shall have the following powers to be exercised in the absolute discretion of the Trustee, except as otherwise expressly provided in this Agreement: (a) To retain such property for any period, whether or not the same is of the character permissible for investments by fiduciaries under any applicable law, and without regard to the effect any such retention may have upon the diversity of investments; (b) To sell, transfer, exchange, convert or otherwise dispose of, or grant options with respect to, such property, at public or private sale, with or without security, in such manner, at such times, for such prices, and upon such terms and conditions as the Trustee may deem advisable; (c) To invest and reinvest in common or preferred stocks, securities, limited liability companies, investment trusts, mutual funds, regulated investment companies, bonds and other property, real or personal, foreign or domestic, including any undivided interest in anyone or more common trust funds, whether or not such investments be of the character permissible for investments by fiduciaries under any applicable law, and without regard to the effect any such investment may have upon the diversity of investments; (d) To render liquid the trust estate or any trust created hereunder in whole or in part, at any time and from time to time, and to hold unproductive property, 11 .,' . " ) cash or readily marketable securities of little or no yield for such period as the Trustee may deem advisable; (e) To lease any such property beyond the period fIxed by statute for leases made by fIduciaries and beyond the duration of any trust created hereunder; (1) To join or become a party to, or to oppose, any reorganization, readjust- ment, recapitalization, foreclosure, merger, voting trust, dissolution, consolida- tion or exchange, and to deposit any securities with any committee, depository or trustee, and to pay any fees, expenses and assessments incurred in connection therewith, and to charge the same to principal, and to exercise conversion, subscription or other rights, and to make any necessary payments in connection therewith, or to sell any such privileges; (g) To form one or more corporations or limited liability companies, alone or with any person, in any jurisdiction, and to transfer assets to any new or exist- ing corporation or limited liability company in exchange for stock or member- ship interests; to form one or more partnerships with any person in any jurisdiction, to have any trust or a nominee be a general or limited partner, and to transfer assets to any new or existing partnership as a capital contribution; to enter into one or more joint ventures or associations with any person in any jurisdiction, and to commit assets to the purposes of those ventures or associations; and to retain as an investment for any period any securities, partnership interests or other assets resulting from any such actions; ) 12 (h) To vote in person at meetings of stock or security holders and adjournments thereof, and to vote by general or limited proxy with respect to any stock or securities; (i) To hold stock and securities in the name of a nominee without indicating tlIe trust character of such holding, or unregistered or in such form as will pass by delivery, or to use a central depository and to permit registration in the name of a nominee; ) 0) To initiate or defend, at the expense ofthe trust estate, any litigation relating to this Agreement or any property of the trust estate which the Trustee considers advisable, and to pay, compromise, compound, adjust, submit to arbitration, sell or release any claims or demands of the trust estate or any trust created hereunder against others or of others against the same as the Trustee may deem advisable, including the acceptance of deeds of real property in satisfaction of notes, bonds and mortgages, and to make any payments in connection therewith which the Trustee may deem advisable; (k) To borrow money for any purpose from any source, including any trustee at any time acting hereunder, and to secure the repayment of any and all amounts so borrowed by mortgage or pledge of any property; (I) To possess, manage, develop, subdivide, control, partition, mortgage, lease or otherwise deal with any and all real property; to satisfy and discharge or extend the term of any mortgage thereof; to execute the necessary instruments and covenants to effectuate the foregoing powers, including the giving or 13 granting of options in connection therewith; to make repairs, replacements and improvements, structural or otherwise, or abandon the same if deemed to be worthless or not of sufficient value to warrant keeping or protecting; to abstain from the payment of real estate taxes, assessments, water charges and sewer rents, repairs, maintenance and upkeep of the same; to permit to be lost by tax sale or other proceeding or to convey the same for a nominal consideration or without consideration; to set up appropriate reserves out ofincome for repairs, modernization and upkeep of buildings, including reserves for depreciation and obsolescence, and to add such reserves to principal and, ifthe income from the property itself should not suffice for such purposes, to advance out of other income any sums needed therefor, and advance any income of the trust for the amortization of any mortgage on property held in the trust; (m) To purchase from the legal representatives of the estate of the Grantor or from the trustees of any trust established by the Grantor any property constituting a part of such estate or trust at its fair market value and to make loans for adequate consideration to such legal representatives or trustees, upon such terms and conditions as the Trustee may determine in the absolute dis- cretion of the Trustee; (n) To carry insurance of the kinds and in the amounts which the Trustee considers advisable, at the expense ofthe trust estate, to protect the trust estate and the Trustee personally against any hazard; 14 . .. ( (0) To make distribution of the trust estate or of the principal of any trust created hereunder in cash or in kind, or partly in kind, and to cause any distribution to be composed of cash, property or undivided fractional shares in property different in kind from any other distribution, and to determine the fair valuation of the property so allocated, with or without regard to the tax basis; to hold the principal of separate trusts in a consolidated fund and to invest the same as a single fund; to split trusts for purposes of allocating GST exemptions (within the meaning of Section 2642(a) of the Internal Revenue Code); and to merge any trusts which have substantially identical terms and beneficiaries, and to hold them as a single trust; (p) To employ and pay the compensation of accountants, attorneys, experts, investment counselors, custodians, agents and other persons or firms providing services or advice, irrespective of whether the Trustee may be associated therewith; to delegate discretionary powers to such persons or firms; and to rely upon information or advice furnished thereby or to ignore the same, as the Trustee in its discretion may determine; (q) To change the situs and/or governing law of any trust hereunder to any State the Trustee from time to time may deem desirable, and to take such further actions, including without limitation the amendment to the terms of the trust, as may be necessary or advisable to effectuate such change; (r) To execute and deliver any and all instruments or writings which it may deem advisable to carry out any of the foregoing powers; and 15 . .. ( (s) To exercise all such rights and powers and to do all such acts and enter into all such agreements as persons owning similar property in their own right might lawfully exercise, do or enter into. Except as otherwise provided herein, the Trustee may determine, when there is reasonable doubt or uncertainty as to the applicable law or the relevant facts, which receipts of money or other assets should be credited to income or principal, and which disbursements, commissions, assessments, fees and other expenses should be charged to income or principal. Any distributions or dividends payable in the stock of a corporation, and rights to subscribe to securities or rights other than cash declared or issued by a corporation, shall be dealt with as principal. The proceeds from the sale, redemption or other disposition, whether at a profit or loss, and regardless of the tax treatment thereof, of any property constituting principal, including mortgages and real estate acquired through foreclosure or otherwise, shall normally be dealt with as principal, but the Trustee may allocate a portion of any such proceeds to income if the property disposed of produced no income or substantially less than the current rate of return on trust investments, or if the Trustee shall deem such action advisable for any other reason. The preceding provisions of this paragraph shall not be deemed to authorize any act by the Trustee which may be a violation of any law prohibiting the accumulation of income. No person who deals with any Trustee hereunder shall be bound to see to the application of any asset delivered to such Trustee or to inquire into the authority for, or propriety of, any action taken or not taken by such Trustee. 16 Notwithstanding anything to the contrary contained herein, during such time as any current or possible future beneficiary of any trust created hereunder (other than the Grantor) may be acting as a Trustee hereunder, such person shall be disqualified from exercising any power to make any discretionary distributions of income or principal to himself or herself (unless the discretion to make such distributions is limited by an ascertainable standard within the meaning of Section 2041(b)(1)(A) of the Internal Revenue Code), or to satisfy any of his or her legal obligations, or to make discretionary allocations of receipts or disbursements as between income and principal. No Trustee who is a current or possible future beneficiary of any trust hereunder (other than the Grantor) shall participate in the exercise of any powers of the Trustee which would cause such beneficiary to be treated as the owner of trust assets for tax purposes. f \ No Trustee shall be liable for acts or omissions in administering the trust estate or any trust created by this Agreement, except for that Trustee's own actual fraud, gross negligence or willful misconduct. If any Trustee becomes liable as Trustee to any other person who is not a beneficiary in connection with any matter not within the Trustee's control and not due to the Trustee's actual fraud, gross negligence or willful misconduct, such Trustee shall be fully indemnified and held harmless by the trust estate and any trust created hereunder giving rise to such liability, as the case may be, against and in respect of any damages that such Trustee may sustain, including without limitation attorneys' fees. No successor Trustee shall incur any liability, by reason of qualifying as a Trustee hereunder, for the acts or omissions of any predecessor Trustee. 17 . . . The Trustee is authorized, but not required, to accept any property transferred to the Trustee by any person during such person's lifetime or by such person's last will and testament. Any property so transferred to, and accepted by, the Trustee shall become a part of such trust or trusts created by this Agreement as such person shall direct and may be commingled with the other property in the trust or trusts to which such property has been added and shall be held, administered and disposed of as a part of such trust or trusts. ARTICLE NINTH Appointment of Trustee The Grantor appoints himself as Trustee hereunder. The Grantor hereby appoints Elizabeth W. Gillispie, as successor Trustee hereunder in the event ofthe death ofthe Grantor, or his physical or mental incapacity. The term "Trustee" wherever used herein shall mean the trustee in office from time to time. Any such trustee shall have the same rights, powers, duties, authority and privileges, whether or not discretionary, as if originally appointed hereunder. No bond, surety or other security shall be required of any Trustee acting hereunder for the faithful performance of the duties of Trustee, notwithstanding any law of any State or other jurisdiction to the contrary. ARTICLE TENTH 18 Accounts of Trustee The Trustee, at any time and from time to time, may render to the Grantor an account of the acts and transactions of the Trustee with respect to the income and principal of any trust created hereunder, from the date of the creation of such trust or from the date of the last previous account of the Trustee. After the death of the Grantor, the Trustee, at any time and from time to time, may render an account to the living person or persons who are entitled, at the time of such account, to receive all or a portion of the income of the trusts herein created. The approval of any person of full age, or a guardian or parent of a minor or incompetent person, to whom an account is rendered shall, as to all matters stated therein, be final and binding upon him or such minor or incompetent person, or any persons claiming through him or such minor or incompetent person, as the case may be. A person of full age, or a guardian or parent of a minor or incompetent person, to whom an account is rendered shall be deemed to have approved the account if he assents to the account in writing or if he does not communicate to the Trustee his written objections to the account within sixty days after the receipt of the account (provided the account was accompanied by a notice of said sixty day period within which to raise objections). The Grantor shall have full power and authority on behalf of all persons interested in any trust hereunder, whether such interest relates to income or principal, to settle any account of the Trustee. Such settlement shall be final and binding upon all persons so interested in such trust. Upon such settlement, the Trustee shall be fully and completely discharged and released from all further liability with respect to acts and transactions set forth in the account so settled. 19 . . , The Trustee shall not be required at any time to file any account in any court, nor shall the Trustee be required to have any account judicially settled. Nothing herein, however, shall be construed as limiting the right of the Trustee to seek a judicial settlement of any account. ARTICLE ELEVENTH Decisions of Trustee Are Conclusive The determination of the Trustee in respect of the amount of any discretionary payment of income or principal from any trust established hereunder, and ofthe advisability thereof, shall be final and conclusive on all persons, whether or not then in being, having or claiming any interest in such trust, and upon making any such payment, the Trustee shall be ( released fully from all further liability or accountability therefor. The right of any beneficiary to any payment ofincome or principal shall in every case be subject to any charge or deduction which the Trustee may make against the same under the authority granted to the Trustee by any law or by this Agreement. ARTICLE TWELFTH Simultaneous Death If any beneficiary under this Agreement shall die simultaneously with the Grantor or any other person upon whose death such beneficiary shall become entitled to receive either income or principal under this Agreement, or in such circumstances as to render it difficult or impracticable to determine who predeceased the other, then for purposes ofthis 20 . ! Agreement such beneficiary shall be deemed to have predeceased the Grantor or such other person. The provisions of this Agreement shall be construed as aforesaid, notwithstanding the provisions of any applicable law establishing a different presumption of order of death or providing for survivorship for a fixed period as a condition of inheritance of property. ARTICLE TIDRTEENTH Rights of Beneficiaries Are Not Assignable No disposition, charge or encumbrance on the income or principal of any trust established hereunder shall be valid or binding upon the Trustee. No beneficiary shall have any right, power or authority to assign, transfer, encumber or otherwise dispose of such income or principal or any part thereof until the same shall be paid to such beneficiary by the ( \ Trustee. No income or principal shall be subject in any manner to any claim of any creditor of any beneficiary or liable to attachment, execution or other process oflaw prior to its actual receipt by the beneficiary. ARTICLE FOURTEENTH Construction The validity and construction of this Agreement and the trusts created hereunder'shall be governed by the laws of the Commonwealth of Pennsylvania. Any provision herein which refers to a statute, rule, regulation or other specific legal reference which is no longer in effect at the time said provision is to be applied shall be deemed to refer to the successor, replacement or amendment to such statute, rule, regulation 21 . . I or other reference, if any, and shall be interpreted in such a manner so as to carry out the original intent of said provision. For purposes of this Agreement, the disability or incapacity of an individual , - (including the Grantor or any Trustee) shall be conclusively established by a written statement signed by such individual's then attending physician and filed with the records of any trust established hereunder attesting that, in such physician's opinion, such individual is unable to manage his or her affairs. Such written statement shall be conclusive evidence of such fact, and any third party may rely on same in dealing with any trust established hereunder and shall not be obliged to inquire whether such individual is no longer under such disability or incapacity at the time of such dealings. Wherever used in this Agreement and the context so requires, the masculine ( shall include the feminine and the singular shall include the plural, and vice versa. The captions in this Agreement are for convenience of reference, and they shall not be considered when construing this Agreement. If under any of the provisions of this Agreement any portion of the trust estate would be held in trust beyond a date twenty-one years after the death of the last survivor of the Grantor and the beneficiaries hereunder in being when this Agreement becomes irrevocable, or such later date permitted by the rule against perpetuities applicable in the Commonwealth of Pennsylvania; then, upon such date, the trust of such portion shall termi- nate and the principal, and any unpaid income thereof, shall be paid and distributed to the person or persons then living who would have been entitled to receive the income therefrom had the trust continued, in the proportions to which they would have been so entitled. 22 . .. ARTICLE FIFTEENTH Binding Effect This Agreement shall extend to and be binding upon the heirs, executors, administrators, successors and assigns of the undersigned Grantor and upon the Trustee acting hereunder. ARTICLE SIXTEENTH Short Name This Agreement and the trusts created hereunder may be referred to, in any other instrument, by the name: "Canio J. Salese Living Trust". Any transfers to this Agreement or any trust hereunder may refer to the aforesaid name or to "Canio J. Salese as ( Trustee under Canio J. Salese Living Trust", with or without specifying any change in Trustee " or any amendment to this Agreement. IN WITNESS WHEREOF, this Agreement has been duly executed as of the date first above written. ~~:JJ~ , Canio J. Salese GrantorlTrustee 23 . : COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, 55. On this J i&::y of J v L 7' ,2002, before me, the undersigned officer, personally appeared Canio J. Salese, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the uses and purposes therein contained. IN WITNESS WHEREOF I hereunto set my hand and official seal. ( \ I; Notarial Seal Joseph J. Curreri, Jr., Notary Public Up~r AIIEII1 Twp., Cumberland County My Commission expires Feb. 16, 2004 24 ( . " SCHEDULE A TRUST ESTATE PROPERTY A /...'- F J ~/lJ 1"-V (l...tZ- A#~ ~..(;<. ~ O,.J ~ f'/Z-olf' ~ J l'l c L Ii d,N I M-O~,k... Vbht c..~:r. 25 . . '. REQUEST FOR CHANGE OF BENEFICIARY OF LIFE INSURANCE POLICY TO: Re: Policy No. Ladies/Gentlemen: Please change the designated beneficiary of the above policy from its current status to: Canio J. Salese, having an address at 403 Arch Street, Carlisle, P A 17013, as Trustee under the Living Trust of even date herewith, known as the Canio J. Salese Living Trust, made by Canio J. Salese and said Trustee. If the foregoing trust is not in effect, the following shall be the designated as the alternate beneficiary: A Memorandum of Trust is included herewith for your information. Dated: , 2002 Canio J. Salese Assignor In the presence of: . . . BANK LETTER TO: Re: Account No. Ladies/Gentlemen: Please change the above-referenced bank account to the name of my living trust: Canio J. Salese, having an address at 403 Arcb Street, Carlisle, P A 17013, as Trustee under the Living Trust of even date herewith, known as the Canio J. Salese Living Trust, made by Canio J. Salese and said Trustee. Tbe trustee or trustees will have the authority to sign on the account. Please use the Social Security Number as the tax identification number on the account. A Memorandum of Trust is included herewith for your information. Dated: , 2002 Canio J. Salese Assignor . . ASSIGNMENT OF CERTIFICATES OF DEPOSIT ASSIGNMENT, made as of this day of ,2002, between Canio J. Salese, having an address at 403 Arch Street, Carlisle, P A 17013, as the assignor hereunder (hereinafter referred to as the "Assignor"), and Canio J. Salese, having an address at 403 Arch Street, Carlisle, P A 17013, as Trustee under the Living Trust of even date herewith, known as the Canio J. Salese Living Trust, made by Canio J. Salese and said Trustee, as the assignee hereunder (hereinafter referred to as the" Assignee"). WITNESSETH, that Assignor, in consideration of Ten Dollars and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby assign unto Assignee and the heirs, executors, administrators, successors and assigns of Assignee forever, the certificates of deposit more particularly described in Exhibit A attached hereto and made a part hereof, TO HAVE AND TO HOLD the same unto Assignee and the heirs, executors, administrators, successors and assigns of Assignee forever. IN WITNESS WHEREOF, Assignor has duly executed this Assignment on the date first above written. Canio J. Salese Assignor .. GE STOCK DIRECT P.O. Box 19552, Nowark, NJ 07195-0552 800-STOCK-GE (800-786-2543) hltp:/Islockbny .com/go G E'Sharoown8fs@bankolny.com SEOIt 000713~ 111111111111111I11.11111111I11.1'11.11'11.11..11.....11.1111.1 .....................SNGLP 170 CANIO SALESE it03 ARCH ST CARLISLE PA 17013-3806-03 Company Number Account Number Current Dividend Record Date Payment Date 2206 1018432359 17.58 09/26/05 10/25/05 , CURRENT DIVIDEND REINVESTMENT INFORMATION steos Held On Record Dale For Reinvestmenl Gros. Dtvidonds Tax.. Nol Dalars Rar- Shar.. Hold By You + Shar.. Held By = Total Plan Shar.. Paid Withhold RoInwslod in C<<tificar- Form Plan Admlnlalrator .0000 7'.8910 79.8910 .220000 17.58 .00 17.5" YEAR-TO-DATE TRANSACTIONS Transaction Dol... L..s: Net Transacllon PrIc. Por Total Shar.. Transacllon Dale Transacllon DellC~ Transacllon Dol... Shar. Transaction Sh.... Held by Admlnlalralor F.. 10/26/04 BALANCE FORWARD 47.9409 10/27/04 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 33.6500 2.9421 50.8830 12/01/04 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 35.6900 2.7739 53.6569 12/29/04 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 36.5100 2.7116 56.3685 01/25/05 PLAN DIVIDEND 11.80 11.80 35.7250 .3303 56.6988 01/26/05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 35.7750 2.7673 59.4661 03/02/05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 35.3750 2.7986 62.2647 03/30/05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 35.9050 2.7573 65.0220 04/25/05 PLAN DIVIDEND 13.08 13.08 36.3100 .3602 65.3822 04/27/05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 36.2150 2.7337 68.115' 06/01/05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 36.7450 2.6942 70.8101 06/29/05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 35.1850 2.8137 ~:~38 07/25/05 PLAN DIVIDEND 15.58 15.58 34.'500 .4458 696 07/27/05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 34.7350 2.8502 C 76.9198"") 0~'31/05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 33.3200 2.9712 79 :1I9rO V05 ELECTRONIC FUNDS TRANS. 100.00 1.00 99.00 33.4800 2.9570 82.8480 . .03/05 UNITS LIQUIDATED 2802.75 10.00 27'2.75 33.8300 82.8480 .0000 10/25/05 PLAN DIVIDEND 17.58 17.58 33.8800 .5189 .5189 , See reverse sIde for Important Information. I THE BANK OF NEW YORK EI.N. 13-5160382 P.O. BOX 19552, NEWARK, NJ 07195-0552 1-800-STOCK GE (1-800-786-2543) http://stockbny.com/ge . FORM 1099 DlV BELOW. PLEASE DETAaf . DIVIDENDS AND DISTRIBUTIONS OMB NO. 1545-0110 PAYER'S FEDERAL IDENDIFICATION NUMBER 14-0689340 AS AGENT FOR: GENERAL ACCOUNT NUMBER 1018432359 ELECTRIC COMPANY RECIPIENT'S IDENTlACATION NUMBER 091-28-7207 lA. TOTAL ORDINARY DIVIDENDS lB. QUALIFIED DIVIDENDS $58.04 $58.04 CANIO SALESE 403 ARCH ST CARLISLE PA 17013-3806-03 $0.00 THIS IS IMPORTANT TAX INFORMATION AND IS BEING FURNISHED TO THE INTERNAL REVENUE SERVICE. IF FORCORPEYC,BpIENT YOU ARE REQUIRED TO FILE A RETURN, A NEGLIGENCE PENALTY OR OTHER SANCTION MAY BE IMPOSED ON YOU IF THIS INCOME IS TAXABLE AND THE IRS DETERMINES THAT IT HAS NOT BEEN REPORTED. FOR TAX YEAR 2005 FORM I 1099.DIV 2206 1002 1018432359 5 00000001000 \.In. nIstuncl:U 1"'nces ror \.1~N ~L~CIK1C CU - Yahoo! .timance Page 1 of3 . . . YI.M21 My Vahool MIll Make Vahoo! your home page '3e~rch the \i..leb Search I YAs:oot FINANCE ~~~~s~~ Si(WUp Finance Home - Help Home Thursday, April 20, 2006, 12:03PM ET - U.S. Markets close In 3 hours and 57 minutes. Dow ;_::. Investing New, & Commentary Retirement & Planning Banking & Credit loans Nasdaq -O.5~ Taxes My Port ~1arket Overview ~.1arket Stats Stocks ~.1utual Funds ETFs Bonds Options Industries Currency Education Get Quotes eGO -! Symbol Lookup I Anance Search General Electric Co. (GE) .. At 11:43AM ET: 33.78 ... CASH BONUS ~ EARN FREE TRADES "''''''''' ~ A $7stocktrades Trade smarter. Join Ameritrade today Historical Prices Get H"torlcal Prices for: GO SET DATE RANGE Start Date: Aug End Date: Aug 26 26 2005 Eg. Jan 1, 2003 Daily Weekly Monthly Dividends Only 2005 I Get Prices ! 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Page 1 of2 . , , ", :'/',;'"fiOME;: "- r" ,,-\\-\ NEWCAIt.S '~;'" ,r "~) Quick Dealer Price Quote ,;, Search Used Car Listings (;} Lis USED CARS '\ . , ~ ,..;, ,'<UVIEW5 & tA.lll'1G$ ;'h,:, , BWE BOOK BLUE BOOK"" PRIVATE PARTY REPORT Virginia · September 3, 2005 2002 Chevrolet Cavalier Sedan 40 S~l~~:h U;:s6 f , "......\, ", ..,'..,.j :~~__ "... '~'.t.; ~ ",t' '.' ..~I;,;~. . '. ..~-=--:.@~ t'i.'i.ic Search Listings for This Car ListY our_Car FOt Sale.. Online Quick.New,Car Price Quote Free.. CARFAX..RecordCheck Auto..LoansJromA.99%_APR Insurance_Quote PrineFor.8ale" Sign Payment. Calculator Quickly bro~ 600,000 USE to find exacl you want. -adv Get a_l.5 ,Minute Response When .You Apply for a Blank Check@ Auto loan t. l' Engine: 4-Cyl. 2.2 Uter Trans: Automatic Drive: FWD Mileage: 37,800 Equipment Air Conditioning Power Steering Tilt Wheel AM/FM Stereo Single Compact Disc Dual Front Air Bags ABS (4-Wheel) Consumer Rated Condition: Good "Good" condition means that the vehicle Is free of any major defects. This vehicle has a clean title_history , the paint, body and interior have only minor (if any) blemishes, and there are no major mechanical problems. There should be little or no rust on this vehicle. The tires match and have substantial tread wear left:. A -good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. . Private Party Value Search Local Listings I List This Car for. Sale $5,905 Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing / factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation / purposes. 1(}" , / "'--- >':-(,., ( I.:~ ;' / , .~, ",';' /- II ;-; J--.-_ Get a Used Car Trade"In Value Get.Invoice.&. MSRP ,on_New_Cars f /., ct, ~p {/ .1' ...............'......... .... . '^ ' ;; " ( .~ '~~ .;~- http://www.kbb.com/kblki.dll/kw.kc.ur?kbb.VA:543745:V A(}<)O&?411 ?'+n&7?1.rhpvrnlf>t Q/,V?{){)" MAY-09-2006 03:06 PM P.04 . . , . Commonwealth of PenDsylvania Treasury Department Harrisburg, Pennsylvania 17105 February 27, 2006 CANtO SALESE C/O ELIZABETH GILESPIE 440 LAUREL DR MARTINSVllLE, VA 24112 RE: Claim 99671489. UNCLAIMED PROPERTY Dear Elizabeth Gllesple We recently received your claim for unclaimed property and are processing it. Please find enclosed your original doeument(s) you provided to support your claim. We have maintained a copy for our records. In the event that additional evidence Is needed to support your claim, you will be contacted by a claims examiner. 11 you have any questions, please contact this office, referencing your claim number listed above, at 1.800-222-2048, Monday through Friday 8:00 a.m. to 4:30 p.m. Sincerely, iy~ Sn,-~' Margaret Mustin Imaging Unit mmuslin@tre.state.pa.us 1-800-222-2046 7:00 a.m. to 3:00 p.m. MAY-09-2006 03:03 PM P.01 . . , Corporate Accounting Client Refund Ditlision PO Box 42 Franklinvillet NJ 08322 To: Listed Owner or Listed Company 'j ~ From: Office of the Controller FinalliotificatiQn Attempt Re: Escheated Funds .~~~~~~~~~~~~~~=~~~~~______~~_~~__._____~~.~~~e~~_~~~.--~~_~~~__~_~__w~___--- Pursuant to company polley, we are required to make one final written not1ftcatlon of aforementioned funds. If you are not the legal recipient of these funds. please disregard this notltlcatton or fOlWard to the correct party. Since our Accounting Department is self funded, a twenty ..,perce!!~eSSing char~e will be due once you receive your ftna1 disbursement check. ain. this is our last correspondence concerning fhese uncialmedluIRIs. If you wish for these funqs to be returned. 1t 1s imperative that you return th...m notlflcation form. Ea1lure to retum this nottftcatlon could signtficantly delay the retu.rI\.of these funds. Fundi OWed To: SAl.E8I CANtO ^ ReponIng CompIny. COMMERCIAl PROPERnES 3 LIMITED PARTNeRSHIP Amount &0 bI RtIf~ "72.07 Address- of.R-eC6n:h Same as mailmg-of-this norinca.tiuh (Please complete all of the information below) Current Address: 1Ill--'''r-'-'si;.i;d. vi. oi1H;i~ ...----.... -~ . 4040 Laurol Dt. ------ City, State, Zip:__ ~~1IeVA!4~1~~:__.________ Phone Number (if applicable):~l~~..:fL~ ___ Work Number (if applicable): ____ _---- Person Claiming Funds:_U~ lbUh-w-.h;u ~-<-~~~~ ; ~~ Signature of Person Claiming Funds:..u..b,.~ h.u'A_~("'" ~ _____ To expedite the recovery of your funds, kindly fax this notification to us at 800-523-6093 If you have already recovered these funds, please disregard this notification. MAY-09-2006 03:04 PM P.02 . . , . : .". ,. C(, . ,\ "" bV . \~'-'\ C, / ~y~' ~ Corporate Accounting Client Refund Division PO Box 42 Franklinville, NJ 08322 To: Listed Owner or Listed Company From: Office of the Controller Final Npti6catiOI) t\ttem~t Re: Escheated Funds _____________________________~_~____N______________________________________._______ ." .... PuI'SuMt'tO. ~6It1p8lfY']50Jrcy: -we are required.To 'make one .final wrttten ." notlftcatlon of aforementioned funds. If you are not the legal recipient of these funds. please dIsregard thIs nottfication or forward to the correct part; Since our Accounting Department is self funded. a twenty percent processlr charge will be due once you receive your final disbursement check. Again. this is our last correspondence concerning these unclaimed funds. If you ~sh for these funds to be returned. it is imperative that you re~!:!m ,!hIs notiftcation Conn. Failure to return this notification could signtficantly dela' the return of these f\lnds. FundS Owed To: SALESE CANtO A Reporting company: COMMERCIAl. PROPERfIES 3 LlMITEO PARTNERSHIP, (.":"' C ~Q Amount to be Refunded, ~ :J 0 J. ":;0 <t~~:} N ry .,Address of Record: Sam, e ~~_~ai.li~g_ofth, is~~t~f,i<<;atiqn ".. ". - ..-. ".. . .. - ~."' ,.~ -~~ . ~ . (Please complete aU of the information below) Current Address:_l:l.tiQ.._~l--12.:C.....--_-_______ City, State, Zip:__ (YI~ N -..... .Q~J1s-__V ~_..a.~:J....____ Phone Number (if applicable):__-d.11L:..~ .~ 8 -l..j 1 2.G------ Work Number (if applicable):______________~______ Person Claiming Funds:.' . . ..::~_k Q ~I\AA Cv Signature of Person Claiming Funds: F,~'_ ~~~ ______~\i.~ ~~ To expedite the recovery of your funds, kindly fax this notification to us at 800-523-6093 If you have already recovered these funds. please disregard this notification. I N ~ Ov P hol'Je..- 1t=' ~ "YU..a.. \- ~ -k.v- ~ ~~ -.4l 4-0 ~ , . . , · Quote · My Financial Picture . Customer Service · Help · Site Map Balances 2.AR~1.8X39JLRAj 1\1 of Close of Business: 08/1212005 Brokerage Accounts I.Qtll Account ~ Cub Money ~ Margin Portfolio N\.Im!>-e.f Registratiol) Balance A~Y.r.ltl L"-Y.~_S-tJJUIJ'-~ e.~ Vily., LJ 2AR-18X39 IRA 1 3,029 56.116 0 59,146 Total 1 3,029 " 56,116 0" '59;44& V;.5T/!.;l3ui," O"J 3- IS - <J:::- ( ";:0 0.::::- ..5"89~S- In~r:r,~ 6~~hvalues ~nt-AWn-u'iJ Contrad Values (if':;Pfc:btJ are used to calculate Total Portfolio Value. These values are as of Close of Business one business day prior to the 'as of date shown above. Insurance Cash Values may not reflect immediately available funds due to loan balances and/or policy charges. Annuity Contract Values may not reflect immediately available funds due to contract charges. Annuities and life insurance products are not held in your account. Their values are listed here for your convenience. r.t1J. Click here for a printer-friendly version of this page. Please note that the "last login" time found at the top of this page is Eastem Standard Time. Also, clients who have enrolled in an aggregation service (e.g., My Financial Picture, Yodlee) should be aware that those systems update their information daily (usually in the early morning), and that the time of the update will be reflected in the login time. For Informational Purposes Only. Account Statement is Offlcial Record of Holdings and Balances. Contact Us ~ 2005 Merrill Lynch. Pierce. Fenner & Smith Incorporated. 8/1412005 All rights reserved. Member, Securities Investor Protection Cornoration CSIPC). 12:43:12 PM System availability and response time are subject to market conditions and possible unscheduled outages. Click here for additionallnformalion about business continuity. Please check our site's SQ1hv~R!NlI!rem!l.rUI. Trademark Notices C758 D47F PrIvacy Statement Aareements and Disclosures https://www.fs.ml.comlaccounts/mlmcfbalancesummary.asp?MA=l . f~al~;~;; Holdings Open Orde Available F Unrealized Asset A1loe Insurance' Visa Activit 8/14/2005 . . . 'I.. ."f .,. ..0 ..' . A;j~ ~'\.. _~ . ~ i :: ~ ~._~ ,.... lc ~ t ,v, :: r, , 5 I Van Kampen Investor Services Inc. 2800 Post Oak Boulevard Houston, TX 77056 November 4, 2005 ELIZABETH W GILLISPIE 440 LAUREL DR MARTINSVILLE VA 24112-0332 Reierence: 00364298 Re: 216, 225, 277 / 671975601 Dear Ms. Gillispie: Thank you for your recent inquiry regarding the above referenced VanKampen accounts for The Canio J. Salese Living Trust. In your letter, you stated that Mr. Salese has passed away and requested the liquidation of the accounts. You also requested the account values as of Mr. Salese's date of death. Please accept this letter as confimlation that the accounts were liquidated on October 31 , 2005, and the redemption checks have been mailed to you at your address. The following is a summary of the share balances and net asset value (NA V) information as of August 26, 2005. The value of.an account may fluctuate depending on market conditions. . ACCOUNT # DATE SHARES NAV RESULTING V.AI-VE 216/671975601 08/26/05 309.869 $34.22 $10;603.72 225/671975601 08/26/05 3,190.231 $8.65 $27,595.50 277/67t975601 08/26/05 . .. 1,515.335 $4.58 $6,940)3 . \"...# ~~..... ';"<.~~ ....-: ~ :....;.:'.t.~ :,..::,~. ~'. ~ . ~ .... '. . ~', .' ~-'-:~.,: ~'''!''''''. ~:-~. . ~~".~.: i....::;.,~-;~ ~~::.. ~:\~:i:,~;ii.:..;.~'~:~".3..:' ~~J':;~ .>:.... :. '. <.~ "; . ., "0.1_ : ~ ........ ~;~.. .:'...: f:":--:~: ~'-:. :..:..~!~ ~r-.~!.. ..~:- ~ :..~._':: . t=' ::'~.:~\. ;~ ~~ '.rr;-;~-~!. . . ::~.....".'.~ "~::~1.:..((~~~':-::~~.~~ ~.~:~' :~~~~~'~::'.:~!;:~!~li ':~.~..; ~r!;_"*:-r~ :;~:." j: . .'~~~ .~.. '; ...... .:. ': ~ . ~, ';:'} ',:'.:~. :-:; ;'.C;'l,_ ...~ ~ ; ,. ~':. :-:.;':, ,. t~'.d : .;.'; ; ':,;r::~ ~'~'_ .:. ~. : :~- : J. . I ~'. ,,:,:,';~-(:"'~':':'::i,~,.,,~;~"::,";.i~~i' '. ,. ~ . ." ',I ~ .:~ .' " ..' . ,.i '.' . . , , SCOTTRADE INC 'PO BOX 31759 ST. LOUIS MO 63131-0759 FOR THE YEAR 2005 COMPOSITE SUBSTITUTE 1099 STATEMENT ACTIVITY DETAIL THIS IS IMPORTANT TAX INFORMATION AND IS BEING FURNISHED TO THE INTERNAL REVENUE SERVICE ("IRS' IF YOU ARE REQUIRED TO FILE A RETURN, A NEGLIGENCE PENAL TV OR OTHER SANCTION MAY BE IMPOSED ON YOU IF THIS INCOME IS TAXABLE AND THE IRS DETERMINES THAT IT HAS NOT BEEN REPORTED. 131118+<115:388231 ~ QAIE. SYMBOL DESCRIPTION AMOUNT INTEREST INCOME NOT INCLUDED IN BOX 3 01/10105 05131105 08131105 09I30I05 10104105 TOTAL INTEREST INCOME NOT INCLUDED IN BOX 3 CR INT 9 DAYS Q 0 1/2% CR INT 24 DAYS @ 1/2% CR INT 31 DAYS 0 1/2% CR INT30 DAYS@ 1% CR INT 3 DAYS @ 1 1/2% 0.22 0.01 0.01 1.01 1.50 2.711 I QY.IDf QUANTITY SYMBOL DESCRIPTION ~~6J$ AMOUNT ( SALES PROCEEDS ~,. ' (.L"~ 035128206 09123105 25 AU ANGLOGOLD (SOUTH AFRICA) AHANTI L TD gg$_.t:So 1,067.95 268648102 09/23105 150 EMC EM C CORP (MASS) } '1' ~ &" !r() 1 ,878.42 369604103 09/23105 5 GE GENERAL ELECTRIC CO /f$ ~.. 7~ 159.49 380956409 09123105 125 GG GOLDCORP INC NEW (CANADA) ,;;2../ 70_ ao 2,430.39 710198102 09123105 45 PBCT PEOPLES BANK BRIDGPORT CONN /36~, 'So 1,287.39 710198102 09/23105 100 PBCT PEOPLES BANK BRIDGPORT CONN -30 ..2.~ dO 2,853.88 859317109 09/23/05 25 SLFI STERLING FIN'L CORP $5 OTC $a 3.. 75 506.47 887317105 09/23/05 100 TWX TIME WARNER INC / 7~J, .~~ 1,810.92 TOTAL SALES PROCEEDS //1 11,!f4.91 a u t/7 e5> 8 ~ :2.0 - as' << g:zs; 7.5-' n.u. U~:HVU"'41 rul,;~:S lUI l'lJ.'lU'LVUVLU f\';'.l1.f\J.'Ul Ll - yanoo!! .l:'mance - Share Price... Page 1 of3 YIIml1 My Yahool7 Yahool Mall I Make Yahool7 Your Home Paoe S..oh I thtlJtb II ~lIaoOr'FINANCE Sign In .1~ e<$}' [New User? Sian UD] Friday, April 21, 2006, 2:29AM AEST - The Austl'llllan Stockmarket opens In 7 hours and 31 minutes. To cr.ate a watch list or portfolio of FINANCE HOME PAGE INVESTING FINANCE NEWS PERSONAL FINANCE Enter symbol(s): (J() I Symbol Lookup I Exchanges AngloGold Ashanti Ltd. (AU) Historical Prices Get H"torlcal Prlcee for: At 2:08AM AEST: 53.17 USD .. )G01 I_~ SET DATE RANGE Start Date: Aug End Date: Aug 26 26 2005 2005 Eg. 'an 1, 2003 Daily Weekly Monthly ; Dividends Only Get Prices First I Prey t Next I Last PRICES Date Open High Low Close Volume Adj Close. vt 26-Aug-05 35.31 35.55 35.01 35.34 572,200 35.27 ~1/.e oS: 32 · Close price adjusted for dividends and splits. First I Prey I Next I Last .JJ; Download To Spreadsheet ADVERTISEMENT http://au.finance.yahoo.comlq/hp?s=AU&a=07 &b=26&c=2005&d=07 &e=26&f=2005&g=d 4/20/2006 .Lan",. .L.u:.:nvu,-," .r u'-~::t .LVI .1J J.Y.l '-" '-"r - .l ~JUU! I r lUl1Ilct' - ;)nare rnces, L-nanS, l'1eWS an... .t'age 1 ot j . 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At 11:43AM ET: 33.78 .... ~.'.l'f..)J ';.;'" ".,. . ~'. ~ - CASH BONUS + EARN FREE TRADES , iD .'1\': $utQQ;Jrades Tr<:!dsl.smgr,teL JQjoAmE!fitn~d~.tCl(ja.':l Historical Prices Get Hl8torlc.ll Prlca for: GO SET DATE RANGE start Date: Aug End Date: Aug 26 26 2005 Eg. lan 1, 2003 , Daily Weekly Monthly Dividends Only 2005 I Get Prices I First I Prey I Next I Last PRICES Date Open High Low Close Volume Adj Close. .;';: 26-Aug-05 33.50 33.55 33.31 33.38 17.598,900 32.68 /IV 33. .3;/ · Close price adjusted for dividends and splits. First I Prev I f'.Jext I Last -JJ.: Download To Spreadsheet ADVERTISEMENT http://finance.yahoo.comlq/hp?s=GE&a=07&b=26&c=2005&d=07&e=26&f=2005&g=d 4/20/2006 . t uu: mswncaJ .rnces lOr UVLU\..-UAr ll'l\..- - I anoo! 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'an 1, 2003\ Weekly Monthly ,', Dividends Only Get Prices First I Prey I Next I Last PRICES Date Open High Low Close Volume Adj Close* 26-Aug-05 30.40 30.40 29.55 30.07 237,900 29.65 ;i# 11- 11 3 t'-. ;z.~ * Close price adjusted for dividends and splits. First I Prey I Next I Last .-&' Download To Spreadsheet ADVERTISEMENT http://au.finance.yahoo.com/q/hp?s=PBCT &a=07&b=26&c=2005&d=07 &e=26&f=2005... 4/20/2006 ;:'Lrl: mSlOnCW .rnces ror ;:'U:,.lU.-ll'lU rll'lL \..-1'" - UlfiOO!l rmance - ;:,nare 1"'nces, \..-nart... .rage 1 or j . . Yib22l1 My Yahool7 Yahool Mall I Make Yahoo" Your Horne P""e ~.t> I II 'T'lI:EiOOJ'FINANCE SignIn ..I.~ .@I [New User? Si.9..n.J1Q) Friday, April 21, 2006, 2:55AM AEST - The Australian Stockmarket opens In 7 hours and 5 minutes. To create a watch list or portfoliO of FINANCE HOME PAGE INVESTING FINANCE NEWS PERSONAL FINANCE Enter symbol(s): GO I Symbol Lookup I Exchanges Sterling Financial Corp. (PA) (SLFI) Historical Prices Get Hlatorlclll Prlcee for: At 2:27AM AEST: 21.33 USD . IGOI 1_-, SET DATE RANGE Start Date: Aug End Date: Aug 26 28 2005 2005 .~:Daily Eg. 'an 1,2003 Weekly Monthly Dividends Only Get Prices First I Prey I Next I Last PRICES Date Open High Low Close Volume Adj Close* 26-Aug-05 20.39 20.56 19.90 19.90 56,700 19.51 --# /l-]/ :2.. 0-__ / 5' * 00S8 price adjusted for dividends and splits. First I Prey I Next I Last .J~ Download To Spreadsheet ADVERTISEMENT http://au.finance.yahoo.com/q/hp?s=SLFI&a=07 &b=26&c=2005&d=07&e=26&f=2005&... 4/20/2006 ~ Y'.L~. .J.U.,..VII",," ....11'-''''., .LV. .,L.L1.Y.J..A,j .,y.c-u."-L~.&..;i'''''' ,&..L"V - .I.Q,UVV:' ..L'III"",U"",,,, - 1r,..11,1CU"'.L ,11""""", ""'IJQ.l... ..L ''is'''' J. V.l J . . . . YJIHl2lZ My Yahool7 Yahoot Mall I Make Yahool7 Your Home Paae S,..,oII I thtlJtb II ~T;AEOO"FINANCE SignIn .1~ .~I [New User? Sl91L!1R] Friday, April 21, 2006, 2:58AM AEST - The Australian Stockmarket opens In 7 hours and 2 minutes. To create a watch list or portfolio of FINANCE HOME PAGE INVESTING FINANCE NEWS PERSONAL FINANCE Enter symbol(s): GO I Symbol Lookup I Exchanges Time Warner Inc. (TWX) Historical Prices At 2:38AM AEST: 16.77 USD .. Get H"toral Pr~ for: I GO ] S!T DATI! RANGE Start Date: Aug End Date: Aug 26 26 2005 2005 Eg. Jan 1, 2003 Daily Weekly Monthly DivicJends Only I Get Prices I First I Prey I Next I Last PRICES Date Open High Low Close Volume Adj Close. 26-Aug-05 17.65 17.72 17.52 17.56 13,121,700 17.41 f? V- ~ 7.. !aJ * Oose price adjusted for dividends and splits. First I Prey I Next I Last .,/~ Download To Spreadsheet ADVERTISEMENT http://au.finance.yahoo.comlq/hp?s=TWX&a=07&b=26&c=2005&d=07&e=26&f=2005&... 4/20/2006 APK-20-2006 THU 02: 19 PM ORRSTOWN STONEHEDGE . . . . C1.NIO J BALEB& LIVING TRUST 403 ARCH STREET CARLISLE PA 17013 17172490905 Date 9/09/05 PrimaJ:Y Accoun t Enclollure8 SAVINGS ACCOON'l'S AOOOUnt. '1'1t.18 CANtO J SAI.J:SJll LIVINQ 'fiWS'r S~atement S&v1nt.. Account:. Number Previous Balanoe 1 D8posits/Cradit.a 1 Cheoke/Peb.:l.t.. Servioe Charge lnt.ere.t:. Paid li:nd~ng ilalanoe G8700~ 1,387. 280.00 1,108.47 .00 .00 S5B.517 StatemAnt:. D.~e. S/11/05 t:.hru Day. In The st:.at~.nt. Period. Average Ledger Average CollAet.ed Interelllt:. Earned Annual Percentage Yield marned 2005 Interest Paid P. 007/007 Page 3 108006066 o 9/11/0.5 32 1,059.26 1,059.26 .47 0.5111I 1.51 Dat. De8orip~on 8/31 Regular Withdrawal g/02 soe SEe us TREASURY 303 I?PP Referenoe 005071490 020111:1043 Amount 1,108.111'1- 280.00 Balance 278.Q7 559.97 AP~-20-2006 THU 02: 19 PM ORRSTOWN STONEHEDGE .. iii ~: 17172490905 P. 005/007 Oat. 9/09/05 Primary Account Enclolin:u:es paqe 1 108006066 CANIO J SAU:SE LIVING TROST 403 ARCH S'rJUI:E~ CARLISLE PA 17013 Wi! PUT THE LOW IN LOANS I ASK ABOUT OUR SPECIAL LOW RATE HOlG EQUITY LINK !rOPAY I CALL l-B88-0RaSTOWN ABOU~ TarS LIMITED TIMm OFFE~! AccQun t Number 10BOOS06S 708700390 ACCOUNT Aocount '1'1'1:1e Carr1age Club Statement Sav1nta SUMMARY CUJ:'rent Balanoe 3,827.88 15!5B.97 Enclosure. CHECKl~G ACCOUN'l'S Accoun'l: Title CANIO J SALESE LIVIN~ ':RUS'l' Carriage Club ,Agcoun t NuDlbar Previous Balance 5 Depo81'1:a/Cradit. 18 Check./Debits Servioe Fee Interest. Paid Current Balance 109006066 1,912.06 6,503.37 4,1587.74 .00 .19 3,827.B9 Check Safekeeping Statement Cat.. S/11/05 thru Days In The Statement Per10d Average Ledger Average Collec'l:ed Interest: Earned Annual Percentage Yield Earned 2005 Interest Paid 9/11/05 32 2,755.53 2,151B.27 .19 0.09' .59 Activity In Data Order Data Description 'Xraoe No Amount Balance 8/1S Clilpo.it 006083140 250.00 2,162.06 8/15 PAYHENTS CISCOVlilR AAC 012289033 64.79- 2,OSl7.27 CHECK It 907 8/15 Check gOB 006078S10 45.75- 2,051.52 8/15 Check 906 003067190 72.00- 1,979.52 8/15 Check 904 003051870 9.17~ 1,970.35 8/17 Check lill! 002034150 4;5.62- 1,474.73 8/17 Cheek 903 001004060 10g.S0- 1,365.23 8/17 Check 905 002074980 70.01- 1,295.22 8/18 Check SlOD 00100~010 10.00- 1,295.22 B/19 Check 910 002047360 10.00- 1,275.22 ~PR-ZQ-2006 THU 02: 19 PM ORRSTOWN STONEHEDGE .. 17172490905 p, 006/007 Oate 9/09/05 p~imary AOClount. Enclosures Paie 2 108006066 CANIC J SALl.SZ LIVING i'RtJST 403 ARCH Si'REIil'l' CARLISLE PA 17013 CaX'~iag. Club 108006066 (Continued.) Act.ivity In Oat.e Ord.r Dat.a Desoription 'l'raae No Amount Salance 8/:24 Depoe:l.t 003052190 463.94 1,739.16 8/24 Check !il13 003042380 150.00- 1,599.16 .,L:> tS .L:> 8/25 Check 912 002028610 1,193.76- 3Q~.4Q 8/26 SUP PAY'MNT GIilNERAL ELIilCTRIC 054451688 100.00- 295.40 PPtl 8/29 Deposit. 006086870 2,9'73.83 3,269.23 8/29 IilLIilC BILL 1'11' 041371307 51.25- 3,217.98 PPD 8/:U Deposit. 00.15071480 1,108.47 4,32G.45 9/01 CIVIL SERV US TRJ.ASURY 312 005802274 1,707.13 6,033.58 P1'D 9/01 Check 914 002050660 225.00- 5,808..158 lil/07 Check !ill? 0020U140 1,060.25- 4,748.33 9/07 Check 91S 002019150 596.27- 4,162.06 9/07 Check 916 002019160 325.93- 3,836.23 9/0B UGI BILL UGl: U'l'll.ITIJ!lS 972430703 8.54- 3,827.69 1'1'0 9/11 Inter.at. Depoait. .19 3,827.88 Date 8/17 8/15 a/17 8/15 e/15 8/'-5 8/18 8/19 . Denotaa Check No 903 904 905 lilOS 907 908 $109 910 lI'Iieainl7 --- CHECK SUMMARY --- Amount Referenoe Date 109.50 001004060 8/17 9.17 003051870 8/25 70.01 002074990 8/24 72.00 003067190 9/01 -See aCove-0122B9033 9/07 45.75 006078810 9/07 10.00 001009010 9/07 10.00 002047360 oheok nurnbe7:s Check No SIll 912 913 914 915 !il16 $117 Amoun~ Reference 4$15.62 002034150 1,193.76 002028610 150.00 003042390 225.00 002050660 586.27 002019150 325.83 002019160 1,060.25 002019140 **************************************.*.....*.******.**.**.*********.......... iPR-2~-2006 THU 02: 19 PM ORRSTOWN STONEHEDGE 4 . CANIO J SALESE l.IVING TRUST 403 ~CH STREET CARLISLE PA 17013 17172490905 Date 9/M/05 pr:t.mary Agcoun t Enclollures Aooount. Tit.le SAVINGS ACCOUN'l'S CAA:I:O J SALB:SE LIVING; DUS'l' Statement Savin'!:.a Acoount Number Previous Balance 1 Deposits/Credit.. 1 Cheoke/Oeb:i.t.. Servioe Charge :tntereat. Paid :&lncUng Balanoe 708700380 1,387.44 280.00 1,108,47 .00 .00 558.97 Statement. Datell 8/11/05 t.hru Days In The statement. Period Average I.e~er Average Collect.ed Intere.t !lazoned Annual Percentage Yield Earnea 2005 Interest Paid P. 007/007 Page :3 108006066 o 9/11/05 32 1,OSQ.26 1,059.26 .47 0.51\ 1.51 Oat. Description 8/31 Regular Withdrawal 9/02 SOC SEC US TREASURY 303 PPD Referenoe 005071490 02011Q043 Amount 1,108.47- 280.00 Balanoe 27B.ln 558.97 .; ,. A. Settlement Statement U.S. Deparrnwnt oi Housing and Urban Development OMB No. 2502-0265 B. Type of Loan 1. 0 FHA 2.DFmHA 3. E]Con\'. Unins. 4. OVA 5,OConv. Ins. 6. File Number 7. Loan Number S. Mortgage Ins. Case Numbt:r GR06-1051REP C. This form is furnished as a statement of aClllal serrlem<,nt cosrs. Amounts paid to and by the settkment agent are shown. Items marked (p.o.c) were paid outside the closin;: they de shown ior informational purposes and are not included in totals. D. Name and AddreSS of Borrower E. !\ame and Address of Seller F. Name and Address of Lender David G. Connor Canio J. Salese, Trustee of Cani 0 J. Mid Penn Bank. Salese Living Trust 5500 Allentown Blvd 3408 Hawthorne Dr Harrisburg, PA 17112 Camp Hi 11 . PA 17011 G. Property Lo\:ation H. Serrkment Agent Great Road Settlement Services, LLC 403 Arch Street Plac.: of S.:rrlement 1. Serrl.:mt"nt Dat= Carlisle. Pennsylvania 17013 Borough of Carlisle, Cumberland County 2157 Market Street 03/23/2006 Camp Hi 11 PA 17011 J. SUMMARY OF BORROWER'S TRANSACTlOS: K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101. Comract saks pri\:e 91.000.00 401. Contract saks price 91,000.00 102. Personal property 402. Personal property 103. Settkmem chargeS ro borrowefl)ine 1400. 3,094.28 403. 104. overnight 404. 105. Mid Penn - undisbursed funds 12,200.00 405. Adjustments ror items paid by selkr in ad\'ance Adjustments for items paid by seller in advance 106. City/town taxes to 406. City/town taxes to 107. County taxes 03/23/20000 12/31/2006 398.98 407. County taxes 03/23/20061 12/31/2006 :198.98 108. Assessments 03/23/200fu 06/30/2(106 322.90 408. Assessments 03/23/2006.1 06/30/2006 :122.90 109. 409. 110. 410. ] II. 4] 1. 112 4]2 120. GROSS AMOUNT DUE FROM BORROWER 107.016.16 420. GROSS AMOUNT DUE TO SELLER 91. 721.88 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER . 201. Deposit or earnest money 5.000.00 501. Excess deposir(see Instructions) 202. Principal amount of new loan(5" 85.000.00 502. Settlement charges to seller(line 1400) 8,635.70 203. Existing loan(s) taken subject [U 503. Existing 1001ll(S) taken subject to 204. 504. Payoff of first mortgage Joan 205. 505. Payoff of second mortgage loan 206. 506. 207. 507. 20S. 50S. 209. 509. Adjustments rur icems unpaid by seller Adjustments for items unpaid by seller 210. City/town taxes to 5]0. City/town taxes to 211. County taxes to 511. County taxes to 1 212. Assessments co 512. Assessments to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 21S. 51S. 219. 519. ~ J: It is a (rim.: to knowingly m~lk.: fal,,, sra[~m~n[, III th~ Unir<:'d Srares W AP.J>r any oth.:r similar form. Penaltks upon ,'onvicrion can include a tine op.tlprisonmem, For details s<:,e: Title IS U.S. Code S~cti,m 1001 & 1010. SETTLEMENT STATEMENT PAGE 2 - L. SETTLEMENT CHARGES PAID FROM PAID FROM 700. TOTAL SALES/BROKER'S COMM1SS10:-" bas<:,d on pri...e S 91.000.00 @ 6.0 % - S 5.460.00 BORROWER'S SELLER'S Division of commission \.line 700\ as fLlllows FUNDS AT FUNDS AT 701. S 2.755.00 co ERA NRT SETTLEMENT SETTLEMENT 702. S 2,705.00 co Straub & Asso:iates 703. Commission paid at Sertlemem 5 ,460 .00 704. Transaction Fee ERA NRT $125 (s) 125.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN SOl. Loan Origination Fee o .7500 ~( Hlj Penn Sank 637.50 802. Loan Discoum ~:t 803. Appraisal Fee [[l 804. Credit Repon [0 805. Lender's Inspe(tion Fe.: 806. Morrgage Insuranl'e Applicarion Fee co 807. Assumption Fee 808. Mid Penn Bank doc prep 285.00 flood cert -' 15.00 809. Mid Penn Bank 810. Mid Penn Bank real estate evalua:ion 150.00 811. 900. ITEMS REQUIRED BY LENDER TO BE PAID];>; .-\DVANCE 901. Imerest from to @S /day 902. Morrgage Insurance Premium for mLlnrh, [Ll 903. Hazard Insurance Premium for y~ars rll 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 100 1. Hazard insurance monrhs @ S per monrh 1002. f',longage insurance rhlnchs @ S per monrh 1003. City properry raxes n'.onrhs @ S per month 1004. County property taxes monrhs @ S 43.00 per monrh 1005. Annual assessrnenrs D;l)nrhs @ S 99 . 48 p~r monch 1006. rmnrhs @ S per month 1007. rr,onrhs @ S per month 1008. 1100. TITLE CHARGES 1101. Settkment or closing f<:'e co GRSS 1102. Abstract or titk search to GRSS Ionn; POC $111.00 1103. Tirk examination to GRSS 1104. Tirle insuranc~ binder (0 GRSS 1105. Document preparation (0 GRSS 1106. Notary fees to cash 25.00 5.00 1107. Attorney's fees to Duncan & Hartman. PC $975 attny fee; $120 courier 1.095.00 (includ~s abov~ it~ms Numbers: ) 1108. Title insurance 10 GRSS (Stewart Title Guaranty) 724.28 (includc:s above items Numbers: ) 1109. Lendc:r's coverage S 85.000.00 Mid Penn Bank 1110. Ownc:r's coverage S 91. 000.00 Connor 1111. endorsements 100. 300, 900 150.00 1112. closing service letter 35.00 1113. John B. 0' tJei 11 2006 county tax 516.00 1200. GOVERNMENT RECORDING AND TR.~_'iSFER CHARGES ..' 1201. Recording fees: Dc~d S 43.00 :~Iorrgage S 52.50 ;Rekases S 95.~jO 1202. City/county rax/stamps: D~ed S 910.00 ;Morrgage S 910.00 1203. State tax/stamps: D~~d S 910.00 :Morrgage S 910.00 1204. record assignment of rents 27.00 1205. 1300. ADDiTIONAL SETTLEMENT CHARGES .', 1301. Surv~y to 1302. Pest inspection to Penn Pest Inc. 40.00. 524.70 ~ r 1303. Borough of Carllsle water/sewer (. OC $16.18 seller)