HomeMy WebLinkAbout01-12-091505607121
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN _
_ Harrisburg, PA 17128-D601 RESIDENT DECEDENT ~~ ~~ ~~ C ~ `I
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 9 7 1 6 9 7 9 6 0 6 1 7 2 0 0 8 1 0 2 2 1 9 2 3
Decedent's Last Name Suffix Decedent's First Name MI
~1 A R G I N A D D A M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
N J A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REG{STER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required
death after 12-12-82)
6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust Q 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. 0)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
J E D W A R D B E C K J R 7 1 7 7 6 2 3 3 3 1
Firm Name (If Applicable)
REGISTER OF WILLS USE ONLY
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DATp`KILED
K E L L E R K E L L E R A N D B E C K
First line of address
3 4 3- B S P O T O M A C S T R E E T
Second line of address
City or Post Office
W A Y N E S B O R O
State
P A
ZIP Code
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Correspondent's e-mail address:
Under penalties of fury, 1 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 a complete. Declaration of parer other than the personal representative is based on all information of which preparer has any knowledge.
P~wi~RFRRnN RFSP(~NSI81 R,FILIN ETURN //-' ~ I DATE'lt
ADDRESS i
8 WEST THIRD STREET r' WAYNESBORO PA
SIGN E PR A R THE HAN REPRESENTATIVE DAT / , c
VO ~
AD ESS
3 3-B SOUTH POTOMAC STREET WAYNESBORO PA
PLEASE USE ORIGINAL FORM ONLY
Side 1
15D5607121 1505607121
~~
~.
REV-1500 EX
],505607221,
Decedent's Social Security Number
Decedents Name: A D D A M r1 A R G I N 1, 9 7 1, 6 9 7 9 6
RE CAPITULATION
1. Real estate (Schedule A) ..................................... . .. 1.
2. Stocks and Bonds (Schedule B)
................................ 2.
.. 4 0 3 5 7 0 6 ~
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.
6. Jointly Owned Property (Schedule F} ^ Separate Billing Requested ..... .. 6. 1 7 6 7 6 , 4 2
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested ..... .. 7.
8. Total Gross Assets (total Lines 1-7) ......................... .. 8. 4 2 1, 2 4 7 . ~ 2
9. Funeral Expenses & Administrative Costs (Schedule H) .............. .. 9• 2 7 5 8 4 , 9 5
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .......... .. 10. 2 9 ~ 3 5
11. Total Deductions (total Lines 9 & 10) ......................... .. 11. 2 7 8 7 5 . 3 ~
12. Net Value of Estate (Line 8 minus Line 11) ....................... .. 12. 3 9 ~ 3 7 Jr , 7 2
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ................ .. 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ................ .. 14. 3 9 3 3 7 1, • 7 2
TAX COMPUTATION -SEE fNSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X.0 ~ ~ ~ D 15. O. N N
16. Amount of Line 14 taxable
at lineal rate X .045 3 9 3 3 7 1. 7 2 16. L 7 7 ~ 1. 7 3
17. Amount of Line 14 taxable
~ 0 p
1
~
~
~
at sibling rate X .12 7. .
18. Amount of Line 14 taxable
~ ~ ~
~
~
0
at collateral rate X .15 18.
19. Tax Due ...................
........................... .. 19. ~, 7 7 Q L. 7 3
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1,5OS6~7221,
],505607221,
REV-1500 EX Pare 3
Decedent's Complete Address:
File Number
00
DECEDENT'S NAME
ADDA M. MARGIN
STREET ADDRESS --
415 WEST NORTH STREET
CITY -~-
CARLISLE PATE 1117013
Tax Payments and Credits:
~. Tax Due (Page 2 Line 19) (1)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval 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.
B. Enter the total of Line 5 +5A. This is the BALANCE DUE.
17,701.73
0.00
(3) 0.00
(4)
(5)
(5A)
(5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
17,701.73
17.701.73
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 : .................................................................... .. ^ ^X
b. retain the right to designate who shall use the property transferred or its income; ............................. .. ^ ^X
c. retain a reversionary interest; or .............................................................................................. .. ^ 0
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? ..................................................................................... .. ^ Q
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ....... .. ^ Q
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate properly 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
For dates of death on or after July 1, 1994 antl 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) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, antl 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. §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. §9116(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. §9116(a)(1.3)]. Asibling 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 1503 EX + (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ADDA M. MARGIN 0 0
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
1.
400 sh. 3M Co. @ $75.275 per share
30,110.00
2. 730 sh. Chemed Corp. @ $36.995 per share 27,006.35
3. 400 sh. Clorox Co. @ $53.305 per share 21,322.00
4. 400 sh. FPL Group; lnc. (a7 $67.755 per share 27.102.0(1
5. 120 sh. M&T Bank, @ $78.33 per share 9,399.60
6. 700 sh. MFS Inter Income Trust @ $6.24 per share 4,368.00
7. 1,235 sh. PNC Financial Services @ $60.06 per share 74,174.10
8. 5,705 sh. Provident Bankshares @ $7.145 per share 40,790.81
9. 335 sh. Susquehanna Bancshares @ $16.425 per share 5,535.23
10. 6,027.538 sh. Mainstay Funds Hi Yield @ $5.95 per share 34,718.62
11. 2,800.7$8 Van Kampen Tax Exempt Trust @ $10.09 per share 28,259.95
12. 49,095.11 Money Market 49,095.11
13. 5,000 sh. Montgomery Cnty PA Indi Dev Bond @ 5.05% 4,960.02
14. 25,000 Pennsylvania St Pub School Bond @ 4.5% 24,115.00
15. 25,000 sh Lehman Bros Hldgs Inc. @ 6.0% 17,526.13
TOTAL (Also enter on line 2, Recapitulation) I $ 403 570.60
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
ADDA M. MARGIN
Decedent's Name Page 1 File Number
Schedule B -Stocks 8~ Bonds
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
16. 5,000 Goldman Sachs Group lnc @ 6.55% 5,043.23
17. 4 sh. Provident Bankshares sold 10/13/08 @ net of 24.07
18. 2 sh. Susquehanna Bancshares sold on 10/13/08 @ net of 20.38
SUBTOTAL SCHEDULE B 5,087.68
GRAND TOTAL SCHEDULE B $ 403.570.60
REV-1509 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ADDA M. MARGIN 0 0
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
A
B Paula Green
415 West North Street
Carlisle, PA 17013
Daughter
c
.fOINTLY-OWNED PROPERTY:
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1. A.
1. A. 5/20/92 F&M Trust checking acct #81-04100 35,352.84 50. 17,676.42
TOTAL (Also enter on line 6, Recapitulation) I $ 17,676.42
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+!10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
ADDA M. MARGIN 0 0
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Auer Memorial Home and Cremation Services, Inc., cremation and services 2,486.60
1. Karen Tartaglia, reimbursement for Pastor ($500), soloist ($150), food ($350} 1,000.00
3. Green Hill Cemetery, burial lot 300.00
4. Green Arbor, cemetery landscaping 347.85
5. Wagonier's Memorials, grave marker 475.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) Karen Tartaglia
Street Address 8 West Third Street
city Waynesboro state PA Zip 17268
Year(s) Commission Paid: 2008
2 Attorney Fees Keller, Keller and Beck, LLC
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
claimant
4.
Street Address
City State _
Relationship of Claimant to Decedent
Probate Fees Register of Wills of Cumberland County
5 Accountant's Fees
6. Tax Return Preparer's Fees
7.
7.
8.
9.
Cumberland County Law Journal, estate advertising
The News-Chronicle, estate advertising
11,000.00
11,000.00
402.00
75.00
96.50
TOTAL (Also enter on line 9, Recapitulation) I $
Zip
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE t
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, 8~ LIENS
ESTATE OF FILE NUMBER
ADDA M. MARGIN 0 0
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1, Pennsylvania Dept. of Revenue, 2004 tax lien 290.35
2.
3.
TOTAL (Also enter on line 10, Recapitulation) I $ 290.35
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (5-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ADDA M. MARGIN n n
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
1. Sec. 9116 (a) (1.2)]
1. Karen Tartaglia Lineal
8 West Third Street 1/5 of estate
Waynesboro, PA 17268
2. Alison Donley Lineal
310 Valley Road 1/5 of estate
West Grove, PA 19390-0440
3. Kathy A Failor Lineal
20 Moongale Drive 1/5 of estate
Carlisle, PA 17013-2115
4. h'aula A. Green Lineal
415 West North Street 1/5 of estate
Carlisle, PA 17013
5. Alexander Margin Lineal
24525 Seattle Road 1/5 of estate
Waynesville, MO 65583
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(lt more space Is needed, Insert additional sheets of the same size)
LAST WILL P.ND TESTAMENT
I, Ada Mae Margin, of I7 Pen Mar Street, Waynesboro, Franklin
County, PA 17268, declare this to be my Last Will and revoke any will
previously made by me.
I. The expenses of my last illness and funeral shall be paid
by my estate.
II. If any named beneficiary herein is indebted to me at the
time of my death, I release and discharge such indebtedness but direct
that such beneficiary's inheritance shall be reduced by the amount of
such indebtedness, including any amounts of principal and interest
which is due and owing at the time of my death.
III. I direct that the residue of my estate be divided into five
(5) equal shares and I give to each of the following who survives me
the number of shares set forth below:
A. To Karen Tartaglia, my daughter, one (1) share.
B. To Kathy Failor, my daughter, one (1) share.
C. To Alexander Margin, my son, one (1) share.
D. To Paula Green, my daughter, one (1) share.
E. To Allison Donley, my daughter, one (1) share.
If any of .the above-named beneficiaries fails to survive me, I
direct that that beneficiary's share shall descend to that
beneficiary's surviving issue, per stirpes. In the event that any of
the above-named beneficiaries fails to survive me without issue then
surviving, I direct that his or her share be added to the shares of
the others in the same proportions they now bear to each other.
IV. I further direct that any beneficiary under this Will who
has not attained the age of twenty-one (21) years who shall inherit
under this my Last Will and Testament shall have his or her share
deposited into an account established pursuant to the Pennsylvania
Uniform Transfers to Minors Act (or the similar law of the state in
which the beneficiary resides at the time of my death). Said
account shall have custodian for the beneficiary, the parent of the
beneficiary who is a child of mine. In the event the beneficiary
has no living parent who is a child of mine, then the beneficiary's
surviving parent shall be the substitute custodian of the
beneficiary's account.
V. All administrative costs, including inheritance taxes, estate
taxes and transfer taxes imposed upon my estate passing under my will
or otherwise shall be paid out of the principal of my residuary
estate.
VI. I appoint as Executrix of this my Last Will Karen Tartaglia.
In the event an alternate or successor Executrix be required, I
appoint as such Allison Donley. I direct that no trustee, executor,
guardian or other fiduciary named, nominated, or appointed in this
Will shall be required to post any bond or give any security of ar_y
type for any purposes whatever.
IN WITNESS WHEREOF, I, Ada Mae Margin, the above-named Testatrix,
have to this, my Last Will and Testament, set my hand and seal this
7th day of May 2004.
.~-~,
,~
Ada Mae Margin
SIGNED, SEALED, PUBLISHED PND DECLA~ZED by the above-named
Testatrix, as and for her will, in the presence of us, who at her
request, in her presence, and in the presence of each other, have
hereunto subscribed our names as witnesses in attestation thereof.
iL~l-, !~, r ~.J!-~~~ Address 343-B S. Potomac St. Wa nesboro PA 17268
~. ~ ~ ~ ~ y
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~i''~;,~~~' /~`~~ t/~ Address 343-B S. Potomac St., Waynesboro, PA 17268
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF FRANKLIN
ss
We, Ada Mae Margin, Cindy Lee Daley and
Roxanne 0. Martin the Testatrix and the witnesses
respecti~.rely, 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 TPStamF?nt and that she e_x_ec~_~_ted it as her free and voluntary act
for the purposes therein expressed, and that each of the witnesses, in
the presence and hearing of the Testatrix, signed the Will as
witnesses and that to the best of their knowledge the Testatrix was at
the time eighteen years of age or older, of sound mind and under no
constraint or undue influence. ~~
`--
Ada Mae Margin
j{ •,.
~ ., ____
Witness ,,~ !~
~~
,_
Wi~riess
Subscribed, sworn to and acknowledged before me by the Testatrix
and subscribed and sworn to before me by -Cindy Lee Daley
and Roxanne 0. Martin witnesses, this 7th day of
May 2004.
~ , ' '~
Notary Public
CoitA~~0i~~'~'dl/~1~1'fl O~ Pii1Ji~lSY1.VATJIA
Notarial .eal
Sharon llarlene Sense, Notary Public
V~jaynesboro Boro, Frtn!ain County
My Commission Expires Sept. 26, 2(30
Member, Peri;rsy!vania Association o Notaries
Peter D. Walters, AAMS®
Financial Advisor
35 East Main Street
Waynesboro, PA 17268
Bus. 717-762-0911
Fax 888-668-2542
www.edwardjones.com
EdwardJones
MAKING SENSE OF INVESTING
October 7, 2008
Mrs. Karen Tartaglia, Executrix
8 West Third Street
Waynesboro, PA 17268-2602
Dear Mrs. Tartaglia:
1-S P." HC;(;nllnt [Vl~rj~bP.r t_31.j-C)6`~i 145- I-7
Valuation Date: June 17, 2008
I am writing to provide valuation for the following securities belonging to Adda Mae Margin, now deceased.
Qty Description Cusip or Symbol Value per item Total Value
400 3M Co MMM $75.275 $30,110.00
730 Chemed Corp CHE $36.995 $27,006.35
400 Clorox Co CLX $53.305 $21,322.00
400 FPL Group Inc FPL $67.755 $27,102.00
120 M & T Bank MTB $78.33 $9,399.60
700 MFS Inter Income MIN $6.24 .$4,368.00
Trust
1,235 PNC Financial PNC $60.06 $74,174.10
Services
5,709 Provident PBKS $7.145 $40,790.81
Bankshares Corp
337 Susquehanna SUSQ $16.425 $5,535.23
Bancshares
6,027.538 Mainstay Funds Hi MHCAX $5.95 $35,863.85
Yield
2,800.788 Vam Kampen Tax ACTHX $10.09 $28,259.95
Exempt Trust
49,095.11 Money Market MFIS $1.00 $49,095.11
Qty Description Maturity Rate Total Value Accr Int
Date
(*muni)
5,000 Montgomery Cnty PA Indl 06/01/29 5.05% $4,960.02 $11.22
Dev Bond
25,000 Pennsylvania St Pub 06/01/36 4.5% $24,115.00 $50.00
School Bond
25,000 Lehman Bros Hldgs Inc. 02/24/36 6.0% $17,526.13 $470.83
5,000 Goldman Sachs Group 06/23/08 6.55% $5,043.23 $41.85
Inc.
The values were obtained from an outside historical pricing service, and while we believe that they are
reliable, we do not guarantee their accuracy.
Respectfully,
~„~
Peter D. Walters
Financial Advisor
CC: Ed Beck
EnwARn3oNEs
201 PROGRESS PARKWAY
ST.I,OUIS, MO. 6 304 3-304 2
TEL 314-515-2000
TRADE CONFIRMATION
CLIENT COPY
BETAiN FOR YOUR PERMANENT TAX RECORDS
EST OF ADDA MAE MARGIN
KAREN TARTAGLIA EXEC
8 WEST THIRD STREET
WAYNESBORO PA 1726$-2602
EdwardJones
YOUR FINANCIAL ADVISOR:
PETER D. WALTERS
35 EAST MAIN STREET
PO BOX 585
WAYNESBORO, PA 17268
BRANCH NUMBER : 0$131
FINANCIAL ADVISOR #: 813138
ANY QUESTIONS CALL ~ 717) 762 - 0911
WE ARE PLEASED TO CONFIItM THE FOLLOWING TRANSACTION SUBJECT TO THE INFORMATION,
DISCLOSURES, AND TERMS ON THE FRONT AND REVERSE SL~i ES OF THIS DOCUMENT:
IN YOUR CASH ACCOUNT 813 -13849 -1- 2
ON TRADE DATE 10 / 13 /2008 FOR SETTLEMENT DATE 10/ 16 /2008 S!-
A.~ Ain ~/.* JF2IVA~L'c P1uTCE y k (~~il ll~
~ VY SVLV V . VVVV
DESCRIPTION:
PROVIDENT BANKSHARES CORP PRINCIPAL AMOUNT $ 32 , 24
COM
SOLICITED coMNnssloN 3 , 22
ACCOMMODATION TRADE
TRANSACTION FEE 4.95
TOTAL $ 2l} , 07
ORDER ti1351161y PROCESSED ON lU/13/Z008 ®13:56:49 cusrP 743859100 (PBKS)
WE EXECUTED THIS TRANSACTION AS YOUR AGENT.
If the phrase "we make a mkt in this security" appears on this confirmation, we have acted as principal functioning as a secondary
market maker.
• If the phrase "unsolicited" appears on this confirmation, the transaction was conducted pursuant to an unsolicited order to buy or sell
placed by the client.
• For debt securities transactions, call features may exist which could affect yield; additional information available upon request.
• For zero coupon transactions, no periodic payment and callable below maturity value, without notice by mail to holder unless registered.
• If the phrase "average price" appears on this confirmation, details regarding the actual execution prices are available on request.
THANK YOU FOR ALLOWING EDWARD JONES THE OPPORTUNITY TO SERVE YOU.
n n n_>, T n~ ~
EDWARD JONES
201 PROGRESS PARKWAY
ST.LOUIS, MO. 63043-3042
TEL 314-515-2000
TRADE CONFIRMATION
CLIENT COPY
itETAiN FOR I'()(T1~ PERMANENT TAX RECORDS
EST OF ADDA MAE MARGIN
KAREN TARTAGLIA E%EC
8 WEST THIRD STREET
WAYNESBORO PA 17268-2602
EdwardJones
YOUR FINANCIAL ADVISOR:
PETER D. WALTERS
35 EAST MAIN STREET
PO BO% 585
WAYNESBORO, PA 17268
BRANCH NUMBER : 0$131
FINANCIAL ADVISOR #: 813138
ANY QUESTIONS CALL (717) 762 -0911
__
WE ARE PLEASED TO CONFIRM THE FOLLOWING TRANSACTION SUBJECT TO THE INFORMATION,
DISCLOSURES, AND TERMS ON THE FRONT AND REVERSE SIDES OF THIS DOCUMENT:
IN YOUR CASH ACCOUNT 813 -13849 -1- 2
ON TRADE DATE 10/ 13 /2008 FOR SETTLEMENT DATE 10/ 16 /2008
YOU SOLD L JH.41(ri YK1l.Y, .7 lY. V / VV
DESCRIP'T'ION:
SUSQUEHANNA BANCSHARES INC PA PRINCIPAL AMOUNT $ 28.14
COM
UNSOLICITED col~ussloN 2.81
ACCOMMODATION TRADE
TRANSACTION FEE 4.95
TOTAL $ 20.38
ORDER 813512618 PROCESSED ON 10/13/2008 ®13:55:31 cuslP 869099101 (SUSQ)
WE EXECUTED THIS TRANSACTION AS YOUR AGENT.
If the phrase "we make a mkt in this security" appears on this confu~mation, we have acted as principal functioning as a secondary
market maker.
• If the phrase "unsolicited" appears on this confirmation, the transaction was conducted pursuant to an unsolicited order to buy or sell
placed by the client.
• For debt securities transactions, call features may exist which could affect yield; additional information available upon request.
• For zero coupon transactions, no periodic payment and callable below maturity value, without notice by mail to holder unless registered.
• If the phrase "average price" appears on this confirmation, details regarding the actual execution prices are available on request.
THANK YOU FOR ALLOWING EDWARD JONES THE OPPORTUNITY TO SERVE YOU.
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