HomeMy WebLinkAbout10-06-08 (2)15056041125
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
PO BOX 280601 2 1 0 7 0 1 4 4
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
0 1 3 0 3 0 1 1 6 1 1 1 1 2 0 0 6 0 4 1 2 1 9 1 4
Decedent's Last Name Suffix Decedent's First Name MI
G R E E N E M Y R T L E E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
0 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
4. Limited Estate
~
4a. Future Interest Compromise (date of
~ prior to 12-13-82)
5. Federal Estate Tax Return Required
^X
6
D
d death after 12-12-82)
.
ece
ent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name paytime Telephone Number
H A R O L D S I R W I N I I I 7 1 7 2 4 3 6 0 9 0
Firm Name (If Applicable)
I R W I N L A W O F F I C E
First line of address
6 4 S O U T H P I T T S T R E E T
Second line of address
City or Post Office
C A R L I S L E
Correspondent's a-mail address: irwlniaW~earthlitlk.net
State
P A
ZIP Code
REGISTER~F~ WILLS USE ~Y
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D~ijE'~'ILED
1 7 0 1 3
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Under penalties of perjury, I declare that I have examined this return, mcludmg accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, come and complete. Dedaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATU OF RS~N-~ESP~- IBLE FOR F~NGIRN DATE /
n
109 SPRING GROVE ROAD PITTSBURGH PA 15235
SIGNAJdJRJa?10F PREPAREROTHER THAN REPRESENTATIVE .,~r~
64 SOUTH PITT ~.STREE
CARLISLE
PLEASE USE ORIGINAL FORM ONLY
PA 17013
Side 1
L 15056041125 15056041125
J
~ ~ t ~
15056042126
REV-1500 EX
Decedent's Social Security Number
Decedents Name: MYRTLE E. GREENE 0 1 3 0 3 0 1 1 6
RECAPITULATION
1. Real estate (Schedule A) .................................... .... 1. 0 , 0 0
2. Stocks and Bonds (Schedule B) ...........
.................... , , , 2. 0
. 0 0
3. Closely Held Corporation, Partnership orSole-Proprietorship (Schedule C) .. ... 3. 0 , 0 0
4. Mortgages & Notes Receivable (Schedule D) ..................... ... 4. 0 , 0 0
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) .... ... 5. 1 2 5 4 8 2. 6 4
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .... ... 6. 6 5 2 1 7 , 0 0
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested .... ... 7. 1 3 1 7 7 5, 8 0
B. Total Gross Assets (total Linesl-7) ,,,,,,,,,,,,,,,,,,,,,,,, ,,, g. 3 2 2 4 7 5, 4 4
9. Funeral Expenses 8~ Administrative Costs (Schedule H) ............. ... 9. 2 1 3 1 0 , 5 1
10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) ......... ... 10. 4 7 9 3 , 7 5
11. Total Deductions (total Lines 9 & 10) ........................ ... 11. 2 6 1 0 4 , 2 6
12. Net Value of Estate (Line 8 minus Line 11) ...................... ... 12. 2 9 6 3 7 1 , 1 8
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ............... ... 13. 0 , 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) ........ . . . .. . . . . . 14, 2 9 6 3 7 1, 1 8
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 .o _ 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate X .045 2 9 7 7 4 0. 9 5 16 1 3 3 9 8. 3 4
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17. 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0. 0 0 1S 0. 0 0
19. Tax Due
.............................................. 19
. 1 3 3 9 8. 3 4
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^
Side 2
15056042126 15056042126
tEV-1500 ~X Page 3
Decedent's Complete Address:
E. GREE
1225 WILSON LANE
APARTMENT 1138
CITY
MECHANICSBURG
fax Payments and Credits:
• Tax Due (Page 2 Line 19)
'. Creditsr'Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
InteresUPenalty if applicable
D. Interest
E. Penalty
If Line 2 is greater than Line 1 +Line 3, enter the difterence. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
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.
B. Enter the total of Line 5 +5A. This is the BALANCE DUE.
ZIP
17055-67tS4
(1) 13,398.34
(2) 0.00
(3) 0.00
(4)
0.00
(5) 13.398.34
(5A)
(5B) 13,398.34
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 : .........................................................
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? .....:................................................. ^
^
X^
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? ......... ^
^ a
^X
4. Did decedent own an Individual Retirement Acxount, annuity, or other non-probate property which
contains a beneficiary designation? ....................... .........
.................................................................. ^ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
or 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
three (3) percent (72 P.S. §9116 (a) (1.1) (i)].
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
'2 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
!ing a tax return are still applicable even if the surviving spouse is the only beneficiary.
or dates of death on or after July 1,2000:
he 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
doptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)],
he 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
2 P.S. §9116(1.2) [72 P.S. §9116(a)(1)j.
he 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. §9116(a)(1.3)]. Asibling is defined, under
~ection 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
File Number
21 07 0144
STATE
PA
Total Credits (A + B + C )
Total InteresUPenalty (D + E )
REV-1502 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
FILE NUMBER
MYRTLE E. GREENE 21 07 0144
Ali real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the rice at which ro
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowt dge of the relepvant facts ould be
Real ro which is ointl owned with rf ht of survivorshi must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION VAOF DEATHTE
1. ~ NONE
0.00
TOTAL Also enter on line 1, Recapitulation) S 0.00
(If more space is needed, insert additional sheets of the same size) ~
REV-15p3 6JC+(6;98),
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONbS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MYRTLE E. GREENE 21 07 0144
All property Jointly-owned with right of survivorship must. be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. NONE
0.00
TOTAL (Also enter on line 2 Recapitulation) ! S 0 00
(If more space is needed, insert additional sheets of the same size)
Rev-tsoa Ex + fs-ss~
' ~ SCHEDULE C
CLOSELY•HELD CORPORATION,
COMMONWEALTH OF PENNSYLVANIA PARTNERSHIP OR
IN RESIDENT DECEDEN RN SOLE-PROPRIETORSHIP
eer~re nr
rl~t nUM6ER
MYRTLE E. GREENE 21 07 0144
Schedule C-1 or C-2 (including ali supporting information) must be attached for each cbsely-held corporation/partnership interest of the decedent, other than a
sole-proprietorship. See instructions for the supporting information to be submitted forsole-proprietorships.
ITEM
NUMBER VALUE AT DATE
DESCRIPTION OF DEATH
1. NONE
TOTAL (Also enter on line 3,
(If more space is rreeded, ~sert additional sheets of the same size)
tEV-1507 EX + (6:98) ,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
:a rA~ c yr FILE NUMBER
MYRTLE E. GREENE 21 07 0144
All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. NONE 0.00
TOTAL (Also enter on line 4, Recal
(If more space is needed, insert additional sheets of the same sae)
REV-1508 EX + (8-9e)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
MYRTLE E. GREENE 21 07 0144
Indude the proceeds of litigation and the date the proceeds were received by the estate.
Ail property joiMty-owned with fight of survivorship must be disclosed on sched„u~ F
ITEM
NUMBER DESCRIPTION
1. FRANKLIN TEMPLETON INVESTMENTS
High Income Fund - Class A - No.105-501236158
Value based on statement attached as Exhibit "B"
2. MFS GOVERNMENT MARKETS INCOME TRUST
Account No. 00000207217
Value based on statement attached as Exhibit "C"
3. PUTNAM INVESTMENTS
Investment Account No. 0628536715
Value based on statement attached as Exhibit "D"
4. 1993 CHEVROLET CAMARO COUPE
VIN No. 2G1FP22S3P2138956
Value based on Kelley Blue Book statement attached as Exhibit "E"
5. COUNTRY MEADOWS
Refund of Pre-Paid Room and Board
6
Unearned Insurance Premium Refund
7. IMFS GOVERNMENT MARKETS INCOME TRUST
Dividends
8. INTEGRITY BANK
CD Nos. 10883,10885, 10887, 10888,11070,11221, 11222,11223
Value based on attached Exhibit "F"
VALUE AT DATE
OF DEATH
6,968.94
9,006.24
20,078.87
2,925.00
31,614.44
156.60
157.31
54,575.24
TOTAL (Also enter on line 5, Recapitulation) I S
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUMBER
~AYRTLE E. GREENE 21 07 0144
Han asset was made joint within one year of the decedenrs date of death, R must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
-. SANDRA E. KENNERDELL 109 SPRING GROVE ROAD DAUGHTER
PITTSBURGH PA 15235
OINTLY-OWNED PROPERTY:
EM
IMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT- DESCRIPTION OF PROPERTY
INCLUDE NAME OF FlNANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-FIELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS -NTERES7
A 612004 MEMBERS FIRST FEDERAL CREDIT UNION 20,334.64 50. 10,167.32
CD Account No. 479686
See Exhibit "G "
A 612004 MEMBERS FIRST FEDERAL CREDIT UNION 20,334.64 50. 10,167.32
CD Account No. 479687
See Exhibit " G"
A 6/2004 MEMBERS FIRST FEDERAL CREDIT UNION 20,334.64 50. 10
167.32
CD Account No. 479688 ,
See Exhibit "G "
A 612004 MEMBERS FIRST FEDERAL CREDIT UNION 27.18 50. 13
59
Savings Account No. 479689 .
See Exhibit " G" .
A 6/2004 SOVEREIGN BANK (formerly Waypoint Bank) 62,215.75 50. 31
107.88
CD Account Nos. 1055481806, 1055481780, ,
1055481772 and 1055481798 -See Exhibit "H "
A 01/2005 COMMERCE BANK 5,142.59 50. 2
571.30
Checking Account No. 0082001223 ,
See Exhibit "I "
A 212005 AMERICHOICE 2,044.54 50. 1,022.27
Account No. 37168-60, Certificate No. 2360
See Exhibit "J"
_ TOTAL (Also enter on line 6, Recapitulation) I S 65,217 00
(If more space is needed, insert additional sheets of the same size)
3EV-1510 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE G
INTER-VIVOS TRANSFERS ~
MISC. NON-PROBATE PROPERTY
:STATE OF _ FILE NUMBER
~AYRTLE E. GREENE 21 07 0144
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.
DESCRIPTION OF PROPERTY
ITEM uxxunEn+eruu~eoFn~rer~,n~Rr~unoNSHiProoEC.~oeNrua~ DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE
UMBER n+Enn~OF~"""nACHA00%'°FTMEOEEOr~~xEST~h. VALUE OF ASSET INTEREST I~~ar~ VALUE
1. STATE FARM BANK (Transfer to Daughter of 50% - 916/06 131,775.80 100. 131,775.80
CD Account No. 1013475786 and 1013475621
See Exhibit "K"
-TOTAL (Also enter on line 7 Recapitulation) ~ S 131,775 80
(If more mace is needed, insert additional sheets of the same sae)
REV-1511 EX + (12-99)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES St
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MYRTLE E. GREENE 21 07 0144
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
~. FUNERAL EXPENSES:
1. NEILL FUNERAL HOME 4,407.17
2. MISCELLANEOUS FUNERAL SUPPLIES 38.91
ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees IRWIN LAW OFFICE
3. Family Exemption: (If decedents address is not the same as claimant's, attach explanation)
Claimant
Street Address
C~' State Zip
Relationship of Claimant to Decedent
4• Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS
5 Accountants Fees
6. Tau Return Preparers Fees SOLIDER TAX SERVICE - 2005 Income Tax Preparation
7. GEORGE W. WEAVER & SON -Moving and Storage
t3. U-HAUL MECHANICSBURG -Storage
9. SANDRA KENNERDELL - Reimbuirsement of Executrix's Travel Expenses
10. OMNI INSURANCE COMPANY -Auto Insurance Premiums
11. CUMBERLAND COUNTY REGISTER OF WILLS -File Inventory and Apprai:
12. AAA / PENNDOT -Expenses to Transfer Car Title
13,017.86
330.00
305.00
1,933.57
643.25
200.00
240.00
30.00
164.75
TOTAL (Also enter on line 9, Recapitulation} I S
(If more space is needed, insert additional sheets of the same size)
0.51
REV-1512 DC + (1~-03~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, ~ LIENS
-" "' " - -' FILE NUMBER
MYRTLE E. GREENE 21 07 0144
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1. VALENTINE ~ KEBARTAS 63.51
T-Mobile Account
2. HEALTH SOUTH
Medical Bill
3. COUNTRY MEADOWS
Nursing Home Bill
4. KILMORE EYE ASSOCIATES
Medical Bili
5. WELTMAN, WEINBERG ~ REIS
Discover Card Account
6. WEST SHORE EMS
Medical Bill
7. VERIZON
Utility Bill
t3. HSBC BANK
Credit Account No. 5937199
TOTAL (Also enter on line 10, Recapitulation) I ;
(If more space is needed, ~sert add~honal sheets of the same size)
37.38
1,782.04
20.00
1,082.48
1,371.53
26.89
410.12
REV-1513 EX + (9-00)
COMMONWEALTH OF PENNSYLVANIA
u~uco~renirc rev em ~.~..
SCHEDULE J
BENEFICIARIES
w ~ r ~ ~ yr FILE NUMBER
MYRTLE E. GREENE 21 07 0144
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
j TAXABLE DISTRIBUTIONS [ndude outri ht spousal distributions, and transfers under
Sec. 9116 (a~ (1.2)]
1. SANDRA E. KENNERDELL Lineal
109 Spring Grove Road 100% Residue
Pittsburgh PA 15235
i 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
1. NONE 0.00
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
i. NONE
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I s
(If more space Is needed, insert additional sheets of the same size)
0.00
EXHIBIT `A'
I, MYRTLE E. GREENE, of 1428 Raven Hill Road, Mechanicsburg, Cumberland
County, Pennsylvania 17055, do hereby make, publish and declare this to be my last
will and testament, hereby revoking all wills heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and
administrative expenses as soon as convenient after my decease.
2. I authorize and empower my personal representative to sell any realty
and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or
bills of sale therefor, in fee simple, as I could do if living. My representative is
authorized and empowered to engage in any business in which I may be engaged at
my death, for such period of time after my death as seems expedient to said
representative.
3. I give, devise and bequeath all of my estate of whatever nature and
wherever situate as follows:
A.
B
The sum of $10,000.00 to my son, Richard G. Greene; and all the
Rest, residue and remainder to my daughter, Sandra E.
Kennerdell.
l_~~
WE, MYRTLE E. GREEN, HEATHER A. BARBOUR and GAY L. IRWIN, the
testatrix and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that
the testatrix signed and executed the instrument as her last will and that she had signed
willingly, and that she executed it as his free and voluntary act for the purpose herein
expressed, and that each of the witnesses, in the presence and hearing of the testator,
signed the will as a witness and that to the best of their knowledge the testatrix was, at
that time, eighteen years of age or older, of sound mind and under no constraint or
undue influence.
MYRTLE E. GREENE
HEATHER A. BARBOUR
GAY L. IRWIN
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
:ss:
Subscribed, sworn to and acknowledged before me by MYRTLE E. GREENE,
the testatrix herein, and subscribed and sworn to before me by HEATHER A.
BARBOUR and GAY L. IRWIN, witnesses, this day of November, 1997.
Notary Pubtic
EXHIBIT `B'
FP 01 073259 25623 B 275 A
MYRTLE E GREENE
1225 WILSON LN APT 1138
MECHANICSBURG PA 17055-6764
~;
e
FRANKLIN TEMPLETON
INVESTMENTS
Transaction Confirmation
November 1 , 2006
Financial HOUSE, Page 1 of 1
Advisor: FRANKLIN TEMPLETON DISTRIBUTORS INC
Customer franklintempleton.com
Service: Shareholder Services 1-800/632-2301
TDD (Hearing Impaired) 1-800/851-0637
Mailing 100 Fountain Parkway
Address: PO Box 33030
St. Petersburg, FL 33733-8030
Franklin Hi h Income Fund -Class A
Fund-Account Number: 105-501236158 NASDA S mbol: AGEFX
Asset Summary Number: 01563276
Transaction Details
DATE TRANSACTION
DOLLAR AMOUNT
11-01-06 BEGINNING BALANCE
11-01-06 DIV PAID OUT 0.0125 $6,968.94 SHARE PRICE
SHARES TOTAL SHARES
11-ol-oe TOTAL ACCOUNT VALUE: $6,968.94 AT $2.10 PER SHARE $2'10 3,318,542
--__ 0.000 3,318.542
Shareholder Information
• Lookingfor a holiday gift that lasts a lifetime? Give the gift of education. Invest in a colleg
financial advisor or call Franklin Templeton at 1-800/818-4030. e savings plan today. For more information, contact your
Please tear at perforation below.
EXHIBIT `C'
~omputershare
August 13, 2007
Irwin Law Office
64 Sou#h Pitt Street
Carlisle, PA. 17013
Computershare Investor Services
250 Royall Street
Canton Massachusetts 02021
www.computershare.com
RE: Estate of Myrlie E. Greene
Company Name: MFS INVESTMENT MANAGEMENT / MFSF
Holder Account Number: 00000207217
Registration: Myrtle E Greene
Dear Sir /Madam:
Thank you for your inquiry regarding the share balance of the above referenced account. We appreciate the
opportunity to be of service to you.
On November 11, 2006 account number 00000207217 held 1392 shares. On that date, the closing price was
$6.47 per share giving the above referenced account a total market value of~9,0006.24.
q.~vbco _~~
If you have any further questions, please visit our web site at www.comoutershare.com. Or you may contact us by
phone at 781-575-2879. We offer an automated telephone service to assist you at any time, or you may reach a
representative Monday through Friday, 9 AM to 5 PM Eastern Time.
Sincerely,
hris ine a II
Canton Contact Center Group
Computershare Shareholder Services
REF: cr/UI60000659620
Enclosures:
EXHIBIT `D'
PU T NA M - 2006 YEAR-TO-DATE STATEMENT
INVESTMENTS l~ii2oo6 - 9/30/2006
>01664 3360923 001 ^92033
MYRTLE E GREENE
5225 WILSON LN APT 1138
MECHANICSBURG PA 17055-6665
Founded in 1937, Putnam
Investments began with the
principle that a balance between
risk and reward is the mark of a
well-rounded financial program.
Today, we manage money with
a focus on consistent results, and
this prudent approach remains
the foundation of our investment
philosophy.
Your client For help with your
number: investments, contact:
0628536715 PLEASE PROVIDE US
WITH THE NAME
OF YOUR INVESThIENT
DEALER & REP
For help with your
account, contact:
Putnam Investments
1-800-225-1581
www.putnam.com
Total value as of 9/30/2006: ~ $20,078.$7
ACCOUNT SUMMARY This quarter Year to date
Beginning balance $19,432.21 $19,626.21
Change in value 646.66 452.66
Ending balance (9/30/2006) $20 078.87 $20,078.87
Need a gift this holiday season? Consider a 529 account for a child in your life. Thanks to recent
changes in the tax law the federal tax-free treatment of qualified withdrawals has been extended
indefinitely,
$ ~v: ~.~~i~~"~'~
S~ ~"
.~- 6.5 ~,~~,~°~«pY~
PAGE 1 OF 4
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EXHIBIT `E'
Kelley Blue Book - Ynvate Party Pricing Report -Chevrolet, Camaro
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USED GRR9 ~ w 1 '~~IIll~i4lll~~
ttamw > .tlsw.d_6an. > 1.44.3. > Shavrslst > tamAra > Stiawte.lR > Eawpm.nt 'iitilJiiiiiii'S Print This
1993 Chevrolet Camaro Coupe 2D ~ '
Trade-In Value
Private Party Value f ~ ~ Estimated Payments
..........................._..._._..___...---...._.........._......_._... BLUE BUQIi PRIYAT~' PARTY VALUE t:A3NHr'ti rNiS>
Suggested Retell Value ~ ._.__....._....._ ................__.._._._.._.._...__........_._. _. ... iI0lgos!_4,~.E%APR
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Consumer Ratings ~ ~ $3,725 I
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$3,350
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Chevrok[
~~ Camaro ~~~
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ZtP Code 17013
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~ Average Consumer Rating (31 Reviews} Read Reviews
{E
Vehide Highlights
j Mileage: 52,000
Engine: V6 3.4 LI[er
j Transmission: Automatk
Drivetraln: RWD
Selected Equipment Change Equipment
I
Standsrd
i
Alr Conditioning AM/FM Stereo
Power Steenng Dual Front Air Bags
Blue Book Private Party Value
Pnvate Parry Value Is what a buyer can expect to pay when buying a used car from a private
party. The Pnvate Party Value assumes the vehlde Is sold "As Is" and carries no warranty (other
s than the continuing factory warranty). The Bnal sale pnce may vary depending on the vehicle's
http://www.kbb.com/KBB/UsedCars/PricingReport.aspx?VehicleId=Ny8yMC8yMDA3 fD... 7/ 18/2007
EXHIBIT `F'
NOTICE TO'~USMER
AS A CONDITION TO THIS INSTTIUTION'S ISSUANCE
OF THLS CHECK, PURCHASER AGREES TO PROVIDE
AN INDEMNITY BOND PR10R TO THE REFUND OR
REPLACEMENT OF THLS CHECK IN THE EVENT TT IS
LOST, MLSPLACED OR STOLEN.
CASHIER'S CHECK
REMITTER
10315
~,.. ~ ~' ~~~,~ ,~ ~~ 60'1878/0313
DRAWN TO THE ,~ .w ,~ ~ . ~ ~ ,~, - ,~..
ORDER OF y ~.?M *- ~ „ : ,. ., 41u:~' ~,za+~~
m s~
~` +" ,~°r;' ~~ rj` ,~ ~` 3' iY; ly~~~ '4 ae14.:`P"P ~;~°'~,`~ t~ ti~ #6{{P J,~ ~` .,#~~F~~ .~~,
ar .P±s ?: 'ri i .w a ~ .r ,~ . #, ty A c ~ r. a k . +t In. g ~. ~'
'. ~~~~ r
r,..\
Integrity ~,
Camv Mill, PA t7ott CUSTOMER'S MEMO:
i~'0 10 3 15ii' ~:0 3 1 3 18 78 7~: 5 2000000 10~i'
EXHIBIT `G'
~~
iVI~~VI~ERS 1`t
FI:U~.ttALCK~t)1T UNtU~i
Member Services
Acct XX~~~395 KENNERDELL,SANDR Eff: 05/23/07 Pst: 05/23/07 Tlr: 0365
ID DUE DATE PRINCIPAL INTEREST FEES NEW BALANCE TRAM AMOUNT SEQ
inTithdrwl from 12 MONTH CERT MONTHLY 40 Prev Bal: 20,334.64
40 05/22/08 20,334.64- 0.00 0.00 0.00 20,334.64 #479686
inTithdrwl from 12 MONTH CERT MONTHLY 41 Prev Bal: 20,334.64
41 05/22/08 20,334.64- 0.00 0.00 0.00 20,334.64 #479687
i+Tithdrwl from 12 MONTH CERT MONTHLY 42 Prev Bal: 20,334.64
42 05/22/08 20,334.64- 0.00 0.00 0.00 20,334.64 #479688
deposit to REGULAR SAVINGS 00 Prev Bal: 27.18
00 61,003.92 0.00 0.00 61,031.10 61,003.92 #479689
Authorized by
ID Source: Driver Lic ~1SigCard ^ Known ^ Other
SANDRA E KENNERDELL
EXHIBIT `H'
• ~ ~ ~ ~;
-..-~ :Sovereign Bank
CONFIRMATION
Reference Number
3851228
09/06/2005
MYRTLE GREENE
BETHANY VILLAGE
1525 WILSON LANE APT 1138
MECHANCSBURG PA 17055
Dear Valued Customer:
This letter is to confirm that we received and processed the address change
request for the following account(s).
Account Product Description
Ending In
1780 48 - 59 Month CD
1806 48 - 59 Month CD
1798 48 - 59 Month CD
1772 48 - 59 Month CD
Your updated information is as follows:
BETHANY VILLAGE
5225 WILSON LANE APT 1138
MECHANCSBURG PA 17055
Please verify that the information is correct. If there is any incorrect information, please
feel free to contact one of our customer service representatives 24 hours per day, 7 days
per week at:
1-877-SOV-BANK
(1-877-768-2265)
1-800-428-9121 (TlY/TDD)
sovereignbank.com
If the information we have listed is correct no further action is needed.
Thank you for your cooperation.
Please know Sovereign Bank values your patronage, and looks forward to a continued
association with you.
Sincerely,
Your Personal Banking Representative
~~', ,~~ ~~ OFFICIAL CHECK
~:~ ~µS overeign Bank
Agent for Travelers Express
~~~~~~
22_,676
960
O7~t~~'~!~37
Vtail~ I ~ At.t~t Omer ~~':jk~~.rk:~r~al~~lc~-~, 21S a ~7.~
TO THE ~~ ~,~~~~~
ORDER OF
ISSUED BY: TRAVELERS EXPRESS COMPANY, INC.
P.O. 80X 9476, MINNEAPOLIS, MN 55480
DRAWEE: US BANK, ST. PAUL, MN
Drawer: Sovereign Bank
NON NEGOTIABLE
CUSTOMER COPY
AUTHORIZED SIGNATURE
Sovereign Bank
Metbo
Account Holder: SgNpRA KENNERDEL~ b2, 215, 75
Account plumber.
Branch Number: 0233
DETACH AND RETAIN FOR YOUR RECORDS
pax ~~~as
EXHIBIT `I'
Commerce
CBank
Commerce Bank/Harrisburg N.A.
3801 Paxton Street
Harrisburg PA 17111
888-937-0004
MYRTLE E GREENE
SANDRA E KENNERDELL
4905 E TRINDLE RD APT 1061
MECHANICSBURG PA 17050
ACCOUNT NO.
* CHECKING PLUS CLUB CYCLE-O1
P.CCOL'NT NUMBER 0092001223
PREVIOUS STATEMENT BALANCE AS OF 11/07/06 ..... 5,142.59
PLUS 3 DEPOSITS AND OTHER CREDITS
LESS 5 CHECKS AND OTHER DEBITS ~~~~~" " " " " 1,553.01
CURRENT STATEMENT BALANCE AS OF 12/07/06 ..... " '"' 1,874.08
NUMBER OF DAYS IN THIS STATEMENT PERIOD 30 " " " " ' 4,821.52
--------------------------------------
--------------------------------------
*** CHECK TRANSACTIONS ***
SERIAL DATE AMOUNT SERIAL DATE AMOUNT
2969 12/01 63.51
-----------------------------------------------------
------------------------
** CHECKING ACCOUNT TRANSACTIONS *** .
DATE DESCRIPTION DEBITS CREDITS
11/15 AC-WEST SHORE CLUB -CASH TRANS 191.97
11/22 DEP DDA 0387 11/22 137.37
12:35500 ROSS ST PITTSBURGH PA
12/01 AC-US TREASURY 310 -SOC SEC 1,415.00
12/04 AC-VERIZON -PaymentREC 47.10
12/04 AC-US TREASURY 310 -REVERSAL 1,415.00
12/05 AC-AARP HEALTH CARE-PRFMIjJjyj 156.50
12/07 INTEREST PAYMENT 64
-----------------------------------------------
---------------------------------
*** BALANCE BY DATE ***
11/07 5,142.59 11/15 4,950.62 11/22 5,087.99 12/01 6,439.48
12/04 4,977.38 12/05 4,820.88 12/07 4,821.52
PAYER FEDERAL ID NUMBER 23-2324730
INTEREST PAID YEAK 'rV LATr; 4x.56
-------------------------------------
• -------
*** INTEREST EARNED THIS STATEMENT PERIOD ***
DAYS IN PERIOD ................ 30
INTEREST EARNED .. ~~~~~~~~~ .64
ANNUAL PERCENTAGE YIELD.EARNED (APY)..,. 0 15$
------------------------------------------------
MANAGING YOUR ACCOUNT IS ABOUT TO GET EASIER...
LOOK FOR OUR NEW STATEMENT DESIGN COMING SOON!
\IATl~_ -
Page 1 of 2
~~ STATEMENT DATE
•-.+. ~. arc nwertat slut rVR IMPORTANT INFORMATION
Member FDIC
EXHIBIT `J'
,~
~~~~.
l~ r~ ~ `~`
~' ~ ~, n i
,r.
~..
~• • •• ~ ~ •
_ __ _.___ 220525
~ ~ ~ ~ ~ 60-8226/2313
1'fwb~ernl~ c~~nlx liP1lUM DATE 4/23/07
THIS IUOCUME'NT h1gS A WgTERMgFfF( ~LUJRF.SCCNTF'lBF{7S, CNEftR1pgL Hk,SiTly Pql-El{
ABSENCE pF TI•IF,SE FEATURES W1L1.1Ng1CATE q CpWV
pAy ********* TWO THOUSAND TWO HUNDRED FOUR DOLLARS AND 54 CENTS *********
AMOUN*('*****2, 204.54**
VOID AFTER 90 DAYS
PAY SANDRA KENNERDELL _
TO THE
ORDER ~
OF
AUTH IZED SIGNATURE
11' 2 20 5 2 511' ~: 2 3 1 38 2 26 7•:0 L 3099999811'
AME MYRTLE E GREENE 4/23/07 CHECK :220525
DATE NUMBER
DEBITS CREDITS ACCOUNT NUMBER TRANSACTION DESCRIPTION
2,204.54 CHECK AMOUNT DISBURSED
2,204.54 CHECK WITHDRAWAL
Ask about our low loan rate!
www.americhoice:org
ACCOUNT NUMBER
37168-O1
ACCOUNT BALANCE ADDITIONAL INFORMATION
TELLER-24/TRANSACTION CODE-14
_ i ~
EXHIBIT `K'
- ~ - j ~ . 008451 1004106
~~.
P.0. Box 2316, Bloomington, Illinois 61702-2316
GREENE OR SANDRA E KENNERDELL
i.'INDLE RD APT 1061
iBURG PA 17050-3662 COn$Ol~dated ACCOUnt
Statement
~i~~~~uu~~~n~~u~~~uu~~~~~~u~i~uu~~~~ Page 1 of 3
Statement Date
December 18, 2006
using State Farm Bank®. We're proud to help tjou manage r~our
..°ormation about our other .financial services, p~Zease contact rlvur -
rent, call 1-877-SF4-BANK (1-877-734-2265), or visit
~.
~~~;~ ;. .
~'~ ~.}.
.a
stions about your account(s), please contact us toll free at 7-877-SF4-BANK (1-877-734-2265).
• Accounts at a Glance
ption Account Number Balance Amount
on 12-18-2006
1013475786
1013475812
81,074.14
50,701.66
`ficates of Deposit
1013475786
09-06-2007
Iev.01-09-2004