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HomeMy WebLinkAbout05-25-07 ...- . \ -I 15051:.041147 . 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 161344032 09062006 REV-1500 OFFICIAL USE ONLY County Code Year INHERITANCE TAX RETURN 21 RESIDENT DECEDENT File Number 06 0909 Date of Birth 08111942 Decedenfs Last Name Suffix VOGELSONG Decedent's First Name WALTER MI N (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix VOGELSONG Spouse's First Name KAREN MI G Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW [!] 1. Original Return 0 2. Supplemental Return 0 3. Remainder Return (date of death prior to 12-13-82) 4. Lirnited Estate D 48. Future Interest Compromise 0 5. Federel Estate Tax Return Required (date of death after 12-12-82) [K] 6. Decedent Died Testate 0 7 Decedent Maintained a living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Win) . (Attach Copy of Trust) 0 9. Litigation Proceeds Received D 10 Spousel Po~ CredIt ~date of death 0 11. Election to tax under Sec. 9113(A) . between 12-31-91 and -1-95) (Attach Sch. 0) ~ORRESPONDENT' THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ame Daytime Telephone Number CHRISTOPHER E. RICE 7172433341 Firm Name (If Applicable) HARTSON LAW OFFICES REGISTER OF WILLS USE ONLY First line of address 10 EAST HIGH STREET o :TJ -...J : . Second line of address f' " ',J Cl City or Post Office CARLISLE State PA ZIP Code 17013 DAte' FII!.ED - ::J ---I . -~" Correspondent's e-mail address: Under penalties of ~ury. I declare that I have examined this return, induding accompan~lng schedules and statements, and to the best of my knowledge and belief. it is true, correct and complete, Dedaretion of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN U OF PE N RESPONSIBLE FOR FILING RETURN DATE Karen G ng 6169 Haymarket Way, Mechanicsburg, PA 17050 SIGnRE ~PREPARER OTHER THAN REPRESENTATIVE ~ ~ S ~ Christopher E. Rice ADDRESS DATE P!#7~? 10 East High Street, Carlisle, PA 17013 Side 1 L 15051:.041147 15051:.041147 -I . \ -.J 1SDSbD42148 REV-1500 EX Decedent's Social Security Number 161344032 Oecedent'sName: Walter N. Vogelsong RECAPITULATION 0.00 1. Real Estate (Schedule A~..................................................................................... 1. 2. Stocks and Bonds (Schedule B).......................................................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D)....................................................... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E.).............. 5. 24,520.51 6. Jointly Owned Property (Schedule F) D Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous.Non-Probate Property (Schedule G) D Separate Billing Requested............ 7. 157,377.99 8. Total Gross Assets (total Lines 1-7).................................................................. 8. 181,898.50 --_..~,-_..~ 9,247.80 19,468.79 28,716.59 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. 153,181.91 14. Net Value Subject to 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, of transfers under Sec. 9116 (a)(1.2) X ~ 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line i4"iaXable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 153,181.91 o . 00 15. o . 00 16. o .00 17. o .00 18. 0.00 19. 0.00 153,181.91 o . 00 0.00 19. Tax Due............................. ......... ................. ..... ................................................... 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. o Side 2 L 1SDSbD4214a 1SDSbD42148 -.J ~ REV.1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Walter N. Vogelsong ~TREET ADDRESS 6169 Haymarket Way f------ File Number 21-06-0909 Mechanicsburg I STATE PA jZIP - I 17050 CITY Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 0.00 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is thEOVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is theBALANCE DUE (3) (4) (5) (5A) (5B) 0.00 0.00 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;............................................................................. p [!:: b. retain the right to designate who shall use the property transferred or its income;................................ x c. retain a reversionary interest; 0[........................................................................................................... x d. receive the promise for life of either payments, benefits or care?........................................................... x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................................ ..................................................... ~.lt 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death:?....... Ix: 4. Did decedent own an Individual Retirement Account, annuity, or other non.probate property which contains a beneficiary designation?.... ...... ...... ..... ..................................... ..................................................... ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. ~9116 (a) (1.1) (i1)]. The statutecloes not exemDta transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum 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. ~9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P .S. S9116 1.2) [72 P.S. ~9116 (a) (1 )]. The tax rate Imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. S9116 (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.15G8 EX+ (8.88) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PeNNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vogelsong, Walter N. FILE NUMBER 21.06.Q909 Include the proceeds of IiUgation and the date the proceeds were received by the estate. All property Jolntly-owned with the right of survivorship must be dlscloslld on schedule F. ITEM NUMBER DESCRIPTION 1 2006 Pontiac Torrent VALUE AT DATE OF DEATH 15.002.81 2 Cumberland Valley School District, wages owed at date of death 2.432.07 3 Members 1 st CD 5.085.63 4 Personal property 2.000.00 TOTAL (Also enter on line 5, Recapitulation) 24.520.51 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule E (Rev. 6-98) Rev-1510 EX+ (8-18) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEAl. TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF Vogelsong, Walter N. FILE NUMBER 21..06..0909 This schedule must be completed and flied if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM ..~ I OF ,~-. y DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COpy OF THE DEED FOR REAL ESTATE. 1 PSERS, retirment account; beneficiary: Karen G. 157.377.99 100.000 157.377.99 Volegsong, spouse TOTAL (Also enter on Line 7, Recapitulation) 157.377 .99 (If more space is needed. additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV.1151 EX+ (12.99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vogelsong, Walter N. Debts of decedent must be reported on Schedule I. FILE NUMBER 21.Q6.Q909 ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 8,472.80 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State _ Zip 2. Attorney's Fees Martson.Law Offices (estimated) 500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Karen G. Vogelsong Street Address 6169 Haymarket Way City Mechanicsburg State PA Zip 17050 Relationship of Claimant to Decedent Spouse 4. Probate Fees Cumberland County Register of Wills 260.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 15.00 TOTAL (Also enter on line 9, Recapitulation) 9,247.80 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H (Rev. 6-98) Rev.1502 EX+ (8-98) *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vogelsong, Walter N. FILE NUMBER 21-06-0909 ITEM NUMBER DESCRIPTION 1 Parthemore Funeral Home, New Cumberland, PA AMOUNT 6.203.20 2 Rolling Green Cemetary, grave opening 1.195.00 3 Susquehanna Club, funeral luncheon 1.074.60 Subtotal 8.472.80 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H-A (Rev. 6-98) ~ Rev.1502 EX+ (&.98) *' SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Vogelsong, Walter N. FILE NUMBER 21-06-0909 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Register of Wills, filing fee, Inheritance Tax return 15.00 Subtotal 15.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rey.1512 EX+ (8-98) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESlOENT DEceDENT ESTATE OF Vogelsong, Walter N. FILE NUMBER 21..Q6..Q909 Inc:lude unrelmbursed rnedl~1 expenses. ITEM NUMBER DESCRIPTION 1 GM Master Card 5523190800883486, account payable VALUE AT DATE OF DEATH 4.465.98 2 Members 1st, balance due on 2006 Pontiac Torrent vehicle 15.002.81 TOTAL (Also enter on Line 10, Recapitulation) 19,468.79 (If more space is needed. additional pages of the same size) Copyright (c) 2002 fonn software only The Lackner Group, Inc. Fonn PA.1500 Schedule I (Rev. 6-98) REV-1513 EX+ (NO) . SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER Vogelsong, Walter N. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal oistributions and transfers under Sec. 9116(a)(1.2)] Karen G. Vogelsong 6169 Haymarket Way Mechanicsburg, PA 17050 RELATIONSHIP TO DECEDENT Do Not List Trulteelll FILE NUMBER 21-06..0909 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. Spouse All of estate residue Total 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 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) . ., rr:CQ)fP'W' LAST WILL AND TESTAMENT OF WALTER N. VOGELSONG I, WALTER N. VOGELSONG of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST I direct the payment of my debts and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment, owned by me at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care, using therefor funds from my estate, and I authorize my personal representative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall designate. Further, in this connection, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable, for the purchase, erection and inscription of a suitable marker for my grave. SECOND I give, devise and bequeath my entire estate of whatever nature or wherever situate to my wife, KAREN G. VOGELSONG should she survive me by thirty (30) days. In the event I am not so survived, I give, devise and bequeath my entire said estate in as nearly equal share~ as possible to my children Kerry L. Vogelsong and Thomas Vogelsong, both of Cumberland County, Pennsylvania. ; ~ -., . , . ;$ \ \ ~ ;R . \ , . . THIRD I direct that no trustee, personal representative, guardian or other fiduciary named, nominated, or appointed by this my Last will and Testament shall'be required to post any bond or give any security of any type for my purpose whatsoever, any law or rule of the court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. FOURTH My personal representative and trustee shall have the following powers in addition to those vested in them by law and by other provisions of this will, applicable to all property, real, personal or mixed and wheresoever situate, including property held for minors, whether principal or income, exercisable without court approval, and effective, with respect to each item of said property until actual distribution thereof. A) To retain, as investments of my estate or trust, any or all assets of my estate, real, personal, or mixed, without regard to any principal of diversification or risk. B) To pay all taxes, charges and expenses of maintenance, upkeep, improvements, development, protection, preservation and investment of any retained or acquired real or personal property, such payments to be made from the principal of my said trust. C) To invest any and all funds, whether principal or income, in any real or personal property without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification; to exercise all rights of a security holder or share holder in any corporation; and to lease, mortgage, pledge, give options upon or sell at public or private sale and without approval of any court, any real or personal property, or portion or portions thereof, irrespective of the manner or the means by which the same was acquired by my said trustee. ~ cB , t D) To make payment or distribution herein provided for in cash, kind or partly in cash and partly in kind, at valuations fixed by my trustee at the time of distribution. FIFTH Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable to the said children, or any of them, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. SIXTH I appoint my wife, KAREN G. VOGELSONG Executrix of this my Last will and Testament. In the event my said Executrix shall for any reason fail to so serve, I appoint my children KERRY L. VOGELSONG AND THOMAS VOGELSONG Co-Executors of this my Last Will and Testament~ IX WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three (3) typewritten pages, the first two (2) of which bear my signature in the margiQ for the purpose of identification, this 11~~ day of {)e c ~ "*'" l,,,,,, w~9~v~ WALTER N. VOGELSONG (seal) '" Signed, sealed, published and declared by the above named testator, WALTER N. VOGELSONG, as and for his Last will and Testament, in the presence of us, who, at his request, in his sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ," .' I · '. ',--, t ,V !'- :(/ f\ o;.J..... l'j ) . "~I~'Y,!'.r( P... ADDRESS ""7 r.{/ . I ! f~C. ! 'i.v;' _~,_ ......~ I . ,../ !'::''''~ ! ',f '-"". .<'-. ' {' "'. r~N J'-;/~",.r' , t'~ cJ,_, r3~~~ ADDRESS J.5 fA )l1Ildt/M '; (l~ j)l-1'ltJ/!3 COMMONWEALTH OF PENNSYLVANIA . . 55. COUNTY OF CUMBERLAND Af).rv'''-tv ;Yf- tiJ'"o.f~ an , the testator and the 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 signed and executed the instrument of his Last will and Testament, and that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as witnesses, and that to the best of their knowledge, the testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me this /~ day Of~ 1996. ~ 1 ~ 7?-> ~__ h...L ~ NOTARIAL SEAL L.lnda M, Babskl, Notary Public Hampton "lWp., Cumberland County My Commission Expire. Mar, 23, 2000 -.. . ~ Send Inquires to: 5000 Louise Drive PO Box 40 Mechanlcsburg, PA 17055 www.memberslst.org Main Switchboard: (717) 697-1161 or (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 TOO: (717) 697-5312 or (800) 283-2328 ex!_ 5312 TeleBranch: (717) 795-6049 or (800) 237-7288 . . . MEMBERS 1st FEDERAL CREDIT U:\ION :':,57: : AV C.293 2::33-:5570 -- ~ ~ ES -= = "==::= = '==::= = :-=: - ~ III .111".111"11111,11'"11,11"1,1,, 11111111,11111,1,1, 11,,1 WALTER N VOGELSONG CIO KAREN VOGELSONG 6169 HAYMARKET WAY MECHANICSBURG PA 17050-5236 Statement of Accounts Aug 25, 2006 thru Sep 24, 2006 Account Number: Account Balances at a Checking: Savings: Certificates: Loans: Money Management: Page: Your current Member Loyalty Reward level is Gold Give us your email address and you could win a $100 VISA Gift Cardl See the enclosed insert for more details. Did you know that you are eligible for FREE bill payer? Sign up today at www.members1st.org and login to Members 1st Online. 208255 - Glance: 702.67 2,601.91 5,085.63 5,733.51 0.00 - - 1 of 2 CHECKING ACCOUNTS 11 - CHECKING Date Aug 25 Sep 01 Sep 16 Sep 24 Transaction Description Balance Forward Joint Owner: KAREN G VOGELSONG Withdrawal Transfer To Loan 02 Withdrawal Transfer To Loan 01 Ending Balance Additions Subtractions Balance 1,374.20 998.53 702.67 702.67 SAVINGS ACCOUNTS 00 - REGULAR SAVINGS Date Transaction Description Aug 25 Balance Forward Joint Owner: KAREN G VOGELSONG Aug 31 DeposIt DiVidend 1.000% Annual Percentage Yield Eamed 1. OOC/% from 08/01/2006 through 08/31/2006 Sep 11 Deposit by Check Sep 24 Ending Balance 375.67- 295.86- Additions Subtractions Balance 2,591.10 2,593.30 CERTIFICATE ACCOUNTS 2,601.91 2.601.91 2.20 8.61 46 - 11 MONTH CERT Maturity Date - Mar 27, 2007 t~3 ~ Additions Q~~_______J@nsaction Description . Aug 25 Balance Forward Aug 31 DepOSit DIVidend 4.890% Annual Percentage Yield Eamed 5. OOC/% from 08/01/2006 through 08/31/2006 Sep 24 Ending Balance Subtractions 21.03 S'~L. L~ - - - Continued on following page - - - Balance 5.064.60 5,085.63 5,085.63 ;~ ,I' st ~IY ; . ~~~Il~.R.S~.: Send Inquires 10: 5000 Louise Drive PO Box 40 Mechanlcsburg, PA 17055 www.members1st.org Main Switchboard: (717) 697-1161 or (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 TOO: (717) 697-5312 or (800) 283-2328 ex!. 5312 TeleBranch: (717) 795-6049 or (800) 237-7288 .,; 1140-15570 Aug 25, 2006 thru Sep 24, 2006 Account Number: 208255 Page: 2 of 2 LOAN ACCOUNTS - Amount Interest Fees Principal Balance 6,008.24 Share 11 295.86 21.13 0.00 274.73- 5,733.51 5,733.51 - 01 - INDIRECT NEW AUTOS .0;;;;0;;;;;;; ~ 0;;;;0;;;;;;; "= 0;;;;0;;;;;;; ""-- ==== , iiiiiiiiiii ===- - ==== .- -. = _ 0;;;;0;;;;;;; !!!!!!!!!!!B Date Transaction Description Aug 25 Balance Forward Sep 16 Payments Transfer From Sep 24 Ending Balance Annual Percentage Rate 4. 14QOk Daily Rate .011342% 02 - INDIRECT NEW AUTOS Date Aug 25 Sep 01 Sep 11 Transaction Description Amount Balance Forward Payments Transfer From Share 11 375.67 Payments by Check 15,024.35 INDIRECT NEW AUTOS Closed ""This is the final statement presenbng Information on this product"" ~ .... Please retain this final statement for tax reporting purposes .. .. .. Interest Fees Principal Balance 307.53-_~~.~ 15,002.81- 0.00 68.14 21.54 0.00 0.00 YTO SUMMARIES TOTAL DIVIDENDS PAID 00 REGULAR SAVINGS 11 CHECKING 46 11 MONTH CERT 20.00 0.00 85.63 TOTAL LOAN INTEREST PAID 01 INDIRECT NEW AUTOS 02 INDIRECT NEW AUTOS 220.44 306 .93 Total Year To Date Dividends Paid NOTE: Total includes closed shares Penalties Assessed . 232.91 170.13 Don't forget about our new Member Loyalty Rewards Program. The more products you have with us, the more benefits you'lf receive. Ask an associate for details or visit our website at www.members1st.org for details. ~~ L/~' d J~~ . COMMONWEAL TH OF PENNSYLVANIA PUBLIC SCHOOL EMPLOYEES' RETIREMENT SYSTEM J'I-Iaili"K Addrt!,~.~ PO Box 125 Hilrrisburg P A 171 OX-O 125 Toll-Free - l-XXX-77~-774X ( l-XXX-PSERS4U) L(1('al- 717-7S7-X540 Build;,,/: LII('at;mr 5 North 5th Street Harrishurg P A Web Addre.\',\: lI'\1'lI'psl!/"s.slal(,pll./lS November) 3, 2006 KAREN G VOGELSONG 6169 HAYMARKET WAY MECHANICSBURG, PA 17055-5236 RE: VOGELSONG, WALTER N SSNO: ###-##-4032 Dear Karen G Vogelsong: In 7 to 10 business days a payment will be issued on your behalf. A payment for $157,377.99 will be directly rolled over to Nfs: $ + $ 0.00 157,377.99 157,377.99 Taxfree Rollover Taxable Rollover Total Direct Rollover Payment If you have any questions, please contact the PSERS Member Service Center by calling toll-free 1-888-773-7748 (l-888-PSERS4U); Harrisburg local callers, please use 787-8540. For your convenience, the Member Service Center is staffed each business day from 7:30 a:m. to 5:00 p.m. Exception Processing Center \ \11111 \\1111 \1~IIIIIIIIIIIIIIIIIIIIIIIIH 1111I 11111 11111 IIIH 111111111111111111111111111111111 J~G:LL , 1111111/11111111111111111111111111I111111 .~L I\WI4nE{WI~ \" O/).1li.c().1I-I-~O-CYP-BE"7I(1RD .SI.c4110*