HomeMy WebLinkAbout09-05-07
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15056041147
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
21 07
0094
Date of Birth
192163146
12172006
04111922
Decedent's Last Name
Suffix
Decedent's First Name
MI
WALDRON
JR.
JAMES
J
(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 OVALS BELOW
.X 1. Original Return
2. Supplemental Return
D
D
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
4. Limited Estate
48. Future Interest Compromise
(date of death after 12-12-82)
x
6. Decedent Died Testate
(Attach Copy of Will)
7. ~~:cdheC~~:~ftTr~~1) a living Trust
8. Total Number of Safe Deposit Boxes
9. Litigation Proceeds Received
10. ~~~::~ ~3~~r!9?~~dt 1(df_t~5)f death
D
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
MICHAEL L. BANGS 7177307310
Firm Name (If Applicable)
REGISTER 9F WILLS W:~E ONL Y
--.J
First line of address
~../
429 SOUTH 18TH STREET
I
C' ,
Second line of address
CAMP HILL
State
PA
ZIP Code
17011
D~*FILED
f'0
City or Post Office
1".)
.&:-
Correspondent's e-mail address:
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Decl~tion of preparer other than the personal representative is based on all information of which preparer has any knowledge.
OiIGN URE OF.,PIiRS N RESPONSIBLE FOR FILING RETURN ~, DATE
I ;' /' Michelle Kenney , "~ I - <,::". '\
A DtlR ESS
72 Bali Hai Road, Mechanicsburg, PA 17050
flGNATURE OF 1REJAR.r;~ OTHER N REPRESENTATIVE
'\l",/ ' / (. "" H.--/ Michael L. Bangs
ADDRESS
429 South 18th Street, &mp Hill, PA 17011
c::2
.....J
DATE
" -
c=~l--()
Side 1
L
15056041147
15056041147
--.J
--.J
15056042148
REV-1500 EX
Decedents Name James J. Waldron Jr.
RECAPITULATION
1. Real Estate (Schedule A)..
2. Stocks and Bonds (Schedule B)
3 Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).. 3.
4. Mortgages & Notes Receivable (Schedule D).....
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F) [] Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) n Separate Billing Requested.............
8. Total Gross Assets (total Lines 1-7)
9.
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10).........
12. Net Value of Estate (Line 8 minus Line 11) ................ ...............................
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................... ...................
14. Net Value Subject to Tax (Line 12 minus Line 13)
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~ 0.00
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
166,337.32
0.00
0.00
19. Tax Due
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
L
15056042148
Decedent's Social Security Number
192163146
1.
2.
4.
5.
156,098.34
6
7.
44,197.98
200,296.32
24,980.87
8,978.13
33,959.00
166,337.32
8.
10.
11.
12.
13.
14.
166,337.32
15.
0.00
16.
7,485.18
0.00
17.
18.
0.00
19.
7,485.18
D
15056042148
--.J
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
James J. Waldron Jr.
-- -----
STREET ADDRESS
72 Bali Hai Road, Mechanicsburg
File Number 21-07-0094
Mechanicsburg
r STATE
I
z~
CITY
PA
17050
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B Prior Payments
C. Discount
(1)
7,485.18
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
0.00
Total Interest/Penalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
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 the TAX DUE.
A. Enter the interest on the tax due.
(3)
(4)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5)
(5A)
(5B)
7,485.18
7,485.18
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:
a. retain the use or income of the property transferred; .................. .........................
b. retain the right to designate who shall use the property transferred or its income;......... ......................
c. retain a reversionary interest; or ......................... ................ .........................................
d receive the promise for life of either payments, benefits or care? ..................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .................... ...................................................
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?..
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................... ..................................................... .................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Yes
[J
[J
[J
1-
1----'
No
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. S9116 (a) (1.1) (i)].
F or 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. !l9116 (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.
F or 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. !l9116 (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 PS !l9116 1.2) [72 P.S. !l9116 (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. !l9116 (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-1508 EX+ (6-98)
'.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Waldron, James J. Jr.
FILE NUMBER
21-07 -0094
Include the proceeds of litigation and the date the proceeds were received by the estate
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Automobile - 1999 Lincoln Continental (see Kelley Blue Book value attached)
VALUE AT DATE
OF DEATH
7.250.00
2 Department of Veterans Affairs - reimbursement of medical care account
15.00
3 DW Scudder - Balanced Fund
14,438.80
4 DW Scudder - High Income Fund
16,861.15
5 DW Scudder - Blue Chip Fund
15,503.25
6 M& T Bank - Account 88356973
11.988.48
7 M& T Bank - Account 015004213032870
90.041.66
TOTAL (Also enter on Line 5, Recapitulation)
156,098.34
(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+ (6-98)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONVVEAl TH OF PENNSYLVANIA
INHERITANCE TAX. RETURN
RESIDENT DECEDENT
ESTATE OF
Waldron, James J. Jr.
FILE NUMBER
21-07 -0094
This schedule must be completed and filed If the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S TAXABLE
EXCLUSION
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 Putnam - Account A013001 0507277146. The 13.339.73 13.339.73
beneficiary of this account was Alice E. Waldron
who predeceased the decedent on December 10,
2006. The residuary beneficiaries of the account
were the decedent's three children.
2 Putnam - Account A0230020507227350. The 13.034.32 13.034.32
beneficiary of this account was Alice E. Waldron
who predeceased the decedent on December 10,
2006. The residuary beneficiaries were the
decedent's three children.
3 Putnam - Account A2930750507654314. The 17.823.93 17.823.93
beneficiary of the account was Alice E. Waldron
who predeceased the decedent on December 10,
2006. The residuary beneficiaries of the account
are the decedent's three children.
TOTAL (Also enter on Line 7, Recapitulation) 44.197.98
(If more space is needed, additional pages of the same size)
Copyright (e) 2002 form software only The Lackner Group, Inc
Form PA-1500 Schedule G (Rev. 6-98)
REV-1151 EX+ (12-99)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Waldron, James J. Jr.
FILE NUMBER
21-07 -0094
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
10,245.36
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Michelle Kenney
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address 72 Bali Hai Road
City Mechanicsburg
Year(s) Commission paid
State PA Zip 17050
5,000.00
2
Attorney's Fees
Michael L. Bangs
5,000.00
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Michelle W. Kenney
Street Address 72 Bali Hai Road, Mechanicsburg
City Mechanicsburg State PA Zip 17050
Relationship of Claimant to Decedent Daughter
3,500.00
4.
Probate Fees
314.00
5.
Accountant's Fees
700.00
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
221.51
TOTAL (Also enter on line 9, Recapitulation)
24,980.87
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX'" (6-98)
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Waldron, James J. Jr.
FILE NUMBER
21-07 -0094
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Myers Funeral Home
7.920.00
2
Visaggio's, Inc. - funeral luncheon
2.325.36
Subtotal
10.245.36
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONVVEALTH OF PENNSYLVANIA
INHERITANCE TAX RETIJRN
RESIDENT DECEDENT
ESTATE OF
Waldron, James J. Jr.
FILE NUMBER
21-07 -0094
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Cumberland Law Journal - estate advertising
75.00
2
Register of Wills - additional short certificates
24.00
3
The Sentinel - estate advertising
122.51
Subtotal
221.51
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETLRN
RESIDENT DECEDENT
ESTATE OF
Waldron, James J. Jr.
FILE NUMBER
21-07 -0094
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Chase Card
VALUE AT DATE
OF DEATH
2,451.56
2 Discover Card
1,340.20
3 Kohl's
27.89
4 Social Security - return of unearned benefit (March 2007)
986.20
5 Social Security - return of unearned benefit (January 2007)
986.20
6 Social Security - return of unearned benefit (February 2007)
986.20
7 Space Mart Self Storage
183.38
8 Space Mart Self Storage
183.38
9 Space Mart Self Storage
185.50
10 United American Insurance - premium due
541.90
11 United American Insurance - premium due
541.90
12 United American Insurance - premium due
541.90
13 Verizon Wireless
21.92
TOTAL (Also enter on Line 10, Recapitulation)
8,978.13
(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 I (Rev. 6-98)
REV-1513 EX+ (9-00)
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Waldron, James J. Jr.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-07 -0094
RELATIONSHIP TO
DECEDENT
Do Not List Trustee s
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
Michelle Kenney
72 Bali Hai Road
Mechanicsburg, PA 17050
Daughter
one-third
Lisa T. Patterson
1010 Simpson Street
Ocean City, NJ 08226
Daughter
one-third
James J. Waldron III
313 White Church Road
York Springs, PA 17372
Son
one-third
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 11- 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)
Kelley Blue Book - Suggested Retail Pricing Report - Lincoln, Continental
Page 1 of2
Kelley Blue Book
THE TRllSTED RESOURCE
kbb.tom
~: Send to Print
advertisement
1999 Lincoln Continental Sedan 40
BLUE BOOK' SUGGESTEDRHAIL VALUE
advertisement
Condition
Value
..t Excellent
$7,250
(Selected)
Suggested Retail Value
Assumes Excellent
Condition... More
Average Consumer Rating (6 Reviews)
Read Reviews
4.8 out of 5
Review This Vehicle
Selected Equipment
Standard
Air Conditioning
Power Steering
Power Windows
Power Door Locks
Tilt Wheel
Cruise Control
AMjFM Stereo
Cassette
Dual Front Air Bags
ABS (4-Wheel)
Traction Control
Dual Power Seats
Alloy Wheels
Vehicle Highlights
Mileage:
Engine:
Transmission:
Drivetrain:
95,000
va 4.6 Liter
Automatic
FWD
Blue Book Suggested Retail Value
The Kelley Blue Book Suggested Retail Value is representative of dealers' asking
prices and is the starting point for negotiation between a consumer and a dealer.
This Suggested Retail Value assumes that the vehicle has been fully reconditioned
and has a clean title history. This value also takes into account the dealers' profit,
costs for advertising, sales commissions and other costs of doing business. The final
sale price will likely be less depending on the vehicle's actual condition, popularity,
type of warranty offered and local market conditions.
Close Window
Vehicle Condition Ratings
../ Excellent (Selected)
http://www.kbb.com/KBB/U sedCars/PricingReport.aspx?Manufacturerld=28& Yearld= 1999& V e... 8/20/2007
Kelley Blue Book - Suggested Retail Pricing Report - Lincoln, Continental
Page 2 of2
$7,250
"Excellent" condition means that the vehicle looks new, is in excellent
mechanical condition and needs no reconditioning. This vehicle has never had
any paint or body work and is free of rust. The vehicle has a clean title history
and will pass a smog and safety inspection. The engine compartment is clean,
with no fluid leaks and is free of any wear or visible defects. The vehicle also
has complete and verifiable service records. Less than 5% of all used vehicles
fall into this category.
* Pennsylvania 8/20/2007
http://www.kbb.comlKBB/UsedCarslPricingReport.aspx?ManufacturerId=28& YearId= 1999& V eoo. 8/20/2007
~M&TBank
499 Mitchell Road, Millsboro, DE 19%6 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
June 19,2007
Bangs Law Office
Attorneys At Law
429 South 18th Street
Camp Hill, Pennsylvania 17011
Re: Estate of: James J Waldron Jr
Social Securitv: 192-16-3146
Date of Death: December 17, 2006
Dear Sir or Madam:
Per your inquiry dated May 29,2007, please be advised that at the time of death, the above-named decedent had on deposit
with this bank the following:
1.
Type of Account
Checking Account
Account Number
88356973
Ownership (Names of)
Alice E Waldron, James J Waldron Jr *
Opening Date
07/28/70
Balance on Date of Death
$11,988.48
Accrued 1nterest
$
0.72
Total
$11,989.20
2.
Type of Account
Savings Account
Account Number
015004213032870
Ownership (Names of)
Alice E Waldron, James J Waldron Jr *
Opening Date
01/18/06 Closed 03/21/07
Balance on Date of Death
$90,041.66
Accrued 1nterest
$ 223.50
Total
$90,265.16
Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the information
above, you believe there are additional accounts not referenced, please provide us with an account number and/or
the name of any possible joint account holder. For any additional information on the above accounts, including
ownership and any changes, closures and/or reimbursement of funds, please call the West Shore Plaza Office # 717-
255-2271.
Sincerely,
/)~
/7. '~.. /1"."'. 'l) / /"''i-;.::;--
.' ".;;:t:?;,.. Z .. L-z. ~ '/;
1/ t/
,/
Nancy Clagett
Records Management
P.O.l3ox 219151
Kansas City MO 64121-9151
1-800-62 1-\ 048
C9~~
Deutsche Bank Group
April 20, 2007
Bangs Law Office
Attn: Michael L. Bangs, Attorney at Law
429 South 18th Street
Camp Hill, P A 17011
Fund:
Account #:
Registration:
Multiple Funds-Class A
00100077542
.Iames.l. Waldron.lI. &
Alice E. Waldron JTWROS
Dear Mr. Bangs:
I am writing in response to your recent letter regarding the DWS Scudder account referenced above. I tried to
contact you by telephone on Friday, April 20, 2007, but was unsuccessful in reaching you.
Please not~ ,;,at this is the only account that I have located using both Mr. and Mrs. Waldron's Social Security
Numbers.
Balance of Accounts
Because December 10,2006 and December 17,2006 were not valid business days, below I have provided the
number of shares, share prices, and dollar values of the funds in this account as of December 8th, 11 th, 15t\ and
18th, 2006.
December 8, 2006
Fund Name (Class A) Number of Shares Share Price Dollar Value
DWS Balanced Fund 1,469.172 $9.88 $14,515.42
DWS High Income Fund 3,105.542 $5.48 $17,018.37
DWS Blue Chip Fund 683.582 $22.81 $15,592.51
L--___~___________=........~___i__ ,
December 11, 2006
Fund Name (Class A) Number of Shares Share Price Dollar Value
DWS Balanced Fund 1,469.1 72 $9.90 $14,544.80
DWS High Income Fund 3,137.055 $5.42 $17,002.84
DWS Blue Chip Fund 683.582 $22.89 $15,647.19
December 15, 2006
Fund Name (Class A) Number of Shares Share Price Dollar Value
DWS Balanced Fund 1,471.845 $9.85 $14,497.67
DWS High Income Fund 3,110.913 $5.42 $16,861.15
DWS Blue Chip Fund 677.886 $23.02 $15,604.94
December 18, 2006
I Fund Name (Class A) I Number of Shares I Share Price I Dollar Value I
DWS Balanced
_ DWS High IncOl
DWS Blue Chi
Fund 1,471.845 $9.81 $14,438.80
ne Fund 3,110.913 $5.42 $16,861.15
pFund 677.886 $22.87 $15,503.25
Please note that this is a Joint account and does not contain a beneficiary file. All assets pass to the Estate of
James .1. Waldron.lr. because Ms. Waldron predeceased him.
Please submit the following documentation to reregister the above referenced account to an Estate account and
redeem the shares:
. A signature guaranteed Change of Account Ownership form signed by Michelle W. Kenney as
Executor. We have enclosed this form for your convenience.
A signature guarantee will protect your account by assuring us that each person signing the request is
authorized to do so. Before the letter or form is signed, it must be taken to a local bank, credit union, or
broker to obtain a "signature guarantee". A representative will verify your identity, witness your
signature, stamp the form, and sign his/her name and title. It is important to remember that a
"signature guarantee" is different from a Notary Public's stamp.
. A certified copy of the Appointment of Executor for the Estate of James.T. Waldron Jr. To be properly
certified, the copy must bear an original seal or stamp by the court of the appropriate jurisdiction and be
dated within 60 days of your request.
. To redeem from the new Estate account, please include a letter of instruction signed by Michelle W.
Kenney as Executor.
Please submit this documentation in the postage paid envelope provided.
If you have any questions, please contact our Shareholder Services Department at (800) 621-1048. Our
representatives will be happy to assist you Monday through Friday, 8:00 a.m. to 5:00 p.m. Central Time.
Sincerely,
(--X -,T 'J'.' " i/ j/ ,,/(1) '1- /
'- , f/} i / ("" /,
Am~i1da Lindsay i_
Mutual Fund Representative
20748935
Enclosure(s): Change of Account Ownership form
Postage paid envelope
Putnam Investor Sel-vices
Post OJ/ice Box 412()3
Providence, Rhode IsLiLiLd ()294().12U3
tvww.pulnamtnv,cum
PUT NAM INVESTMENTS
April 20, 2007
MICHAEL L BANGS ESQ
BANGS LAW OFFICE
429 SOUTH 18TH ST
CAMP HILL P A 17011
Dear Attorney Bangs:
Reference No.: 0466998278
Thank you for contacting us regarding the retirement plan account listed on the enclosed
Account Reference Page and informing us of the deaths of James and Alice Waldron.
We wish to infonn you that the financial markets were closed on December 10, 2006 and
December 17,2006. The tables below provide values as of the previous business day's closing
fund prices.
Alice E. Waldron
Account Number
A0130010507715932
A0230020507422119
A2930750506776592
James J. Waldron
Account Number
A0130010507277146
A0230020507227350
A2930750507654314
12/08/2006
12/08/2006
12/08/2006
306.478
243.059
724.903
$17.96
$19.77
$10.01
$5,504.35
$4,805.28
$7,256.28
Date
Value
12/15/2006
12/15/2006
12/15/2006
738.634
651.716
1780.612
$18.06
$20.00
$10.01
$13,339.73
$13,034.32
$17,823.93
A review of our records indicates that Mr. and Ms. Waldron named each other as their sole
primary beneficiaries for their respective retirement plan accounts. This following infonnation
outlines all required documentation to transfer or sell the shares. Please be aware that due to the
death of both individuals, and because the shares were not claimed by the respective beneficiary,
the requirements vary based upon the date of death.
e
Attorney Bangs
Page Two
April 19,2007
Based on the infonnation provided, we understand that Ms. Alice E. Waldron predeceased Mr.
James J. Waldron. Under the Putnam IRA Plan document, in the event that the primary
beneficiary dies after the participant but before the assets are distributed, Mr. Waldron's
beneficiary's interest in Ms. Waldron's plan assets would pass to his estate. The following
options are available for an Estate Beneficiary.
. Close the account now with 100% liquidation
. Close the account with a series of payments using the remaining single-life
expectancy, non-recalculated, of the deceased participant. Please complete the
enclosed Request for Required Minimum Distribution From an IRA form.
To sell the shares or to transfer the shares and receive systematic distributions, please
provide us with the following documentation:
. The Appointment of Legal Representative for James]. Waldron's estate certified
by a judge or clerk of the issuing court, to be in full force and effect and dated
within 120 days of Putnam's receipt. If you wish to submit a copy, please note the
certification must be original. A court seal must be affixed to this document.
Please be advised that for Putnam's purposes, the certification of the submitted
documentation will expire on May 3Ft, 2007. If the requested documentation is
submitted after this date, new certification will be required.
. A letter of instructions bearing the guaranteed signature of the Legal
Representative appointed for James J. Waldron's estate. A signature guarantee
for the Legal Representative's signature is required to prove that the signature is
genuine. This guarantee may be obtained from an investment dealer or a bank. In
accordance with federal law, we are required to obtain the name of the
administrator, the mailing address, and the taxpayer identification number of the
Estate.
. For all payout distributions described above, the Legal Representative must
specify a tax withholding election or to "opt-out" of tax withholding in writing.
Otherwise, Putnam is required to withhold 10% for payment of federal income
tax.
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Attorney Bangs
Page Three
April 19,2007
. (For 100l% liquidation) Putnam is required to obtain the taxpayer identification
number for the Estate. The information may be submitted in writing or the
enclosed Fonn W -9 may be used to provide the information to us.
. (For transfer and receive payments) The appropriate retirement plan application
must be completed and signed by the Legal Representative to establish a
Beneficiary IRA account and the Request for RlvID from an IRA forn1 to schedule
payments.
James J. Waldron named no contingent beneficiaries for his retirement plan assets. Accordingly,
under the terms of the Putnam IRA Plan Document, in the event that no beneficiary is properly
designated for the account, or the named beneficiary is deceased, the default beneficiaries are as
follows:
I) The participant's spouse.
2) The participant's issues per stirpes.
3) The participant's estate.
The payout options for a non-spouse beneficiary are:
. Close the account now with 100% liquidation.
. Close the account with a series of payments using the single-life expectancy, non-
recalculated, of the beneficiary. Please complete the enclosed Request for
Required Minimum Distribution From an IRA form.
The payout options for an estate as beneficiary are:
. Close the account now with 100% liquidation
. Close the account with a series of payments based on the remaining single-life
expectancy, non-recalculated, of the decedent. Please complete the enclosed
Request for Required Minimum Distribution From an IRA form.
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Attomey Bangs
Page Four
April 19,2007
We will require the following documentation for verification of all eligible beneficiaries and
their relationship with James J. Waldron:
. A letter of instructions signed by the Legal Representative named for the decedent
or from the Attomey representing the IRA participant's estate. The Legal
Representative or the attomey must document the names of any children (living
and deceased) or the decedent had no surviving spouse or children (living and
deceased). An attomey's letter must be submitted on the attomey's or the law
firm's letterhead.
. (If Legal Representative submits verification letter) The Appointment of Legal
Representative for the decedent certified by a judge or clerk of the issuing court,
to be in full force and effect and dated within 120 days of Putnam's receipt. If
you wish to submit a copy, please note the certiflcation must be original. A court
seal must be affixed to this document.
Please be advised that for Putnam's purposes, the certification of the submitted
documentation will expire on May 31st, 2007. If the requested documentation is
submitted after this date, new certification will be required.
To sell the shares or to transfer the shares and receive systematic distributions, we will
require the following additional documents from each beneficiary (issues per stirpes) or
the decedent's Legal Representative (estate as beneficiary), as is determined above:
. A letter of instructions signed by each beneficiary or the Legal Representative for
the Estate. A signature guarantee is required for the beneficiary's or Legal
Representative's signature to prove that the signature is genuine. This guarantee
may be obtained from an investment dealer or a bank. In accordance with federal
law, we are required to obtain the name, the residential address, Social Security or
taxpayer identification number and the date of birth for the beneficiary or the
Estate (Bi11h date not applicable to Estate beneficiary).
For all payout distributions described above, the beneficiary or Legal Representative
must also specify a tax-withholding election or to "opt-out" of tax-withholding in writing.
Otherwise, Putnam is required to withhold 10% for payment of federal income tax.
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Attorney Bangs
Page Five
April 19,2007
. (For transfer and receive payments) The beneficiary must complete and sign the
appropriate retirement plan application in the enclosed Putnam IRA Kit to
establish the Beneficiary IRA account and complete the Request for RMD from an
IRA form to schedule payments.
. (For 100% liquidation) Putnam is required to obtain the taxpayer identification
number for the beneficiary or Estate. The infornlation may be submitted in
writing or the enclosed Form W-9 may also be used to provide the required
information to us.
Putnam is unable to accept new accounts if any required information or documentation is not
provided or ~lany registered owner is a nonresident alien. If Putnam is unable to verify the new
shareowner's identiZv, the account will be closed at the then-current net assets value, and the
proceeds will he sent to the address of record.
To assist us in the processing of your request, please include our reference number shown on
page one when responding to this letter. We will transfer or sell the shares at the net asset value
in effect on the day we receive the requirements.
Should you have any questions, simply call us at 1-800-662-0019. One of our Retirement Plan
Representatives will be pleased to assist you.
Sincerely,
/:L
o
plJ"Z;,-. />, / L ,f/i
Gail R. Delancy
Putnam Investor Services
enc. IRA Kit (2)
Request for RMD from IRA Form (2)
Fonn W-9 (2)
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Attorney Bangs
Page Six
April 19, 2007
Reference No.: 0466998278
Account Reference Page
Account No.: A2930750506776592
Account No.: A0130010507715932
Account No.: A0230020507422119
Registration: Alice E Waldron
IRA Rollover Plan
Account No.: A0130010507277146
Registration: James J. Waldron
IRA Rollover Plan
Account No.: A0230020507227350
Account No.: A2930750507654314
Registration: James 1. Waldron
IRA Plan
e
VlS/\GGIU > S f<I~31.0RAhl.f.E
CASTEL CASTAGNA BALLROOM
0014<'1 TABLE # D9!:J #Party 0
JOHN L SvrCk:1 14:30 12/22/06
1 OPEN ~UUD > dlllOUrlT. :307. 5U,
HDR3 lJ llEUVRES :307 '
1 OPEN FOOD, amount 143.50.
NA BEVERAGE 143.5U
1 OPEN HIlJD, cllllDUlli l1t..UO,Fll[[ 115.00
1 OPEN FOUD, amount 220.00,
CHICKEN 220.00
1 OPEN FOOD, amount !J52. 00,
CRAB CAKES 552.00
1 OPEN FOOD, amount 202.95,
DESSERT 202.95
1 DPEN 11OUUR, amount 2[)b.80,BAR ~!5ll.80
Sub Total: 1851.15
TAX: 96.06
Sub Tot a 1: 1953.81
20% GRATUIT 371.55
1'2122 14:34 TOTAL: 2325. ~ifj
NOt..., OPEN
CASTEL C:ASTAGr~A
VISAGGIO'S BALLROOM
WEDDING RECEPTIONS, HOLIDAY PARI l~.
CORPORATE FUNCTIONS, BUSINESS MEt INGS
SEATING FOR 225
711---f)97 --BOB2
~~
-'
BE IT REMEMBERED THAT:
I, JAMES J. WALDRON, 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 and making void any and all
other wills by me at any time heretofore made.
FIRST: I direct that my Executrix hereinafter named shall pay all my
just debts and funeral expenses as soon as conveniently may be done after my
decease.
SECOND: All the rest, residue and remainder of my estate, whether real,
personal or mixed, and wheresoever situate, I hereby give, devise and bequeath
unto my wife, ALICE E. WALDRON, if she survives me by a period of thirty days.
If my said wife does not survive me by a period of thirty days, then this gift
to her shall be divested and I then give, devise and bequeath my entire estate
unto those among my children who survive me, in equal shares.
THIRD:
I hereby nominate, constitute and appoint my wife, ALICE E.
WALDRON, as Executrix of this, my Last Will and Testament. If the said Alice E.
Waldron should predecease me, fail to qualify or cease to act as such, then
I nominate, constitute and appoint my daughter, MICHELLE KENNEY, as Executrix.
FOURTH: No fiduciary acting under this Will shall be required to post
bond in this jurisdiction or in any jurisdiction in which he may act.
IN WITNESS WHEREOF, I, JAMES J. WALDRON, the Testator, have unto this,
my Last Will and Testament, set my hand and seal this ~'.'/t;~ day of October,
/1. f
A. D., 1988.
l~/u,~ '?/-~.,,:;;#4~dlt./k^Ji
/Tames J .,;Yaldron
//,/ '/
,/
(SEAL)
"
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY
OF
CUMBERLAND
I, JAMES J. WALDRON, Testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my LAST WILL, that I
signed it willingly and that I signed it as my free and voluntary act for the
purposes therein expressed.
<--'?':/~/?A!;~/ (--7---'C'';/-;<>'>
JA},mS 'j. WALDRON '
I"?/;,I-< '
~>l w' ;..1.....
Sworn or_~~irmed to and acknowledged
this ,_~)-<~.day of October, 1988.
by JAMES J.
/
'----,
/
7DRou..-~)tator ,
/
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY
OF
CUMBERLAND
".--
We, /l-LBt::.c::,/2 TL: t1()?;'-f/2 T and ~:j 0/,) {/l h~{./!Ei\?
the witnesses whose names are signed to the attached or foregoing instrument
being duly qualified according to law, do depose and say that we were present
and saw Testator sign and execute the instrument as his LAST WILL, that
JAMES J. WALDRON signed willingly and that he executed it as his free and
voluntary act for the purposes therein expressed; that each of us in the hearing
and sight of the Testator signed the WILL as witnesses and that to the best of
our knowledge, the Testator was at the time 18 years or more of age, of sound
mind and under no constraint or undue influence.'--,,~
. . ,.--':..---j- ')
,,/.'" c~v . ~ ~
C:"'"'' """, ",,"'~~S', ,.,'~ P.\b- ~ ,
- '., (~-'~L~.
(, .., ,'. (' /
"j ") , ," "/')5. t~:i>'
I:>' ~,L.. \,...._' ',' C ,/, / <.t,.... ~_
Sworn or affirmed to and acknowledged
1988.
~::l(:'
me this --./ --- day of October,
/ ~----.,