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02-12-09
15056051058 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 17128-0601 -~ RESIDENT DECEDENT 21 08 0'~i GSI.o{a~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 190-18-3196 05/12/2008 06/11/1922 Decedent's Last Name Suffix Decedent's First Name MI Sanzotto Samuel M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI n/a 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 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 Return Required death after 12-12-82) ~: 6. Decedent 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) (:ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Glen R. Grell (717) 433-6613 Firm Name (If Applicable) N {'~ ~ REGISTERd7F FV~4 LS USE OMFgY -: ~ t J First line of address -~ ~ t~ ~ ' , ~ ` 5445 Margaret Court i+ E •~ f 7 _4J ^ + -, ~ f: iT` , v `l- i Second line of address ^ ~-% "t7 . `-" .. ~_..1-~ _ . + -':~ -- _ ` City or Post Office State ZIP Code D~ FILED .~ OD Mechanicsburg PA 17050 Correspondent's a-mail address: glengrell@aOI.COm ~iiaer penaicies or 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 [rue, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF P REj~PO BLE OR F RETURN [ DATE \/~ _ ~~~ ~-~yt ~.~~~ 1 02/12/09 ADDRESS ~/~/`"" 5445 Margaret Court, Mechan csburg, PA 17050 ~j~~ . SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Social Security Number Decedent's Name: SamUei M Sanzotto 190-18-3196 RECAPITULATI _ _ _ _ _ ON 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 8 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. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) `""°"" Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. 10. Debts of Deredent, Mortgage Liabilities, 8 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/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. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES ._., 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0__ 0.00 15. 16. Amount of Line 14 taxable at lineal rate x .0 45 1,513,834.40 16. 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17 18. Amount of Line 14 taxable at collateral rate X .15 0.00 ,a 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 0.00 804,598.74 0.00 0.00 60,020.04 26,830.42 625,937.96 1,517,387.16 3,552.76 0.00 3,552.76 1,513,834.40 0.00 1,513,834.40 0.00 68,122.55 0.00 0.00 68,122.55 15056052059 REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 '! os ' o55s Samuel M Sanzotto STREET ADDRESS c/o Glen R. Grell 5445 Margaret Court CITY Mechanicsburg DECEDENT'S SOCIAL SECURITY NUMBER 190-18-3196 STATE ZIP PA ' 17050 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 68 122 55 2. Credits/Payments , . A. Spousal Poverty Credit 0.00 B. Prior Payments 0.00 C. Discount 0.00 3. Interest/Penalty if applicable Total Credits (A + B + C) (2) 0.00 D. Interest 0.00 E. Penalty 0.00 Total InterestlPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3) 0.00 Fill in oval on Page 2, Line 20 to request a refund. (q) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is th e TAX DUE. (5) 68,122.55 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 68,122.55 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? ...................................................................... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^K ^ 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? ........................................................................................................................ ^x ^ 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) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §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-.ISOZ Ex+ ~iI-oa) ~`~i Pennsylvania ~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Samuel M. Sanzotto 21-08-0566 All real property owned solely or as a tenant in common must be reported at fair market value, Fair market value is defined as the price at which Dronerty ,~ nwie apace is neeaeD, insert aaaitional sheets of the same size. REV-1503 EX+ (6-98) P -. SCHEDULE B COMMONWEALTH 01= PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Samuel M. Sanzotto 21-08-0566 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~ ~ PPL Corporation -Account # 3072852510 - CUSIP # 69351 T106 4,597.355 shares of Common Stock 5/12/2008 value - $48 28/ share . 221,960.30 2. USAA Income Stock Fund -Account No. 35902985294 -Symbol USISX- Fund Code 0035 2,741.993 units - 5/12/208 value - $14.09! unit 38,634.68 3. Vanguard Funds -Individual Accounts Asset Allocation Fund Adm. -- 1,299.604 shares @ $64.86 84,292.32 Capital Opportunity Inv. --1,185.853 shares @ $36.35 43,105.76 International Growth Adm. -- 1,319.881 shares @$77.44 102,211.58 PRIMECAP Fund Adm. -- 3,459.801 shares @ $75.09 259,796.46 Tax Managed Cap. Appreciation Inv. -- 545.153 shares @ $33.99 18,529.75 Prime Money Market Fund -- 36,039.62 @ $1.00 36,039.62 Accrued Dividends on Prime Money Market Fund 28 27 TOTAL (Also enter on line 2, Recapitulation) I $ 804,598.74 (If more space is needed, insert additional sheets of the same size) REV-1508 EX+ (6-98) ~ - COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY tSrATE vF FILE NUMBER Samuel M. Sanzotto 21-08-0566 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed nn schadu~e F ~~~ nwie space is neeaea, insert aaomonal sheets of the same size) REV 15Q~i EX- i> <fft) t` .~,.^ C:OMN10NVVEAt_TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DFiCEOENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Samuel M. Sanzotto 21-08-0566 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 A' Glen R. Grell 5445 Margaret Court, Mechanicsburg, PA 17050 Son-in-law B. C. JOINTLY-OWNED PROPERTY; !~' F f NUP,1CaPF ~« ~R t ~1 f7 t)IN' ENANT ~ ~~E' 1vf?[ ,IGIN? D>SCRIPTION OF PROPERTY INCL.Ut)F NAME OE FINANCIAL INS~~I'U710N AhJp F3ANK ACCC~UN'~ NUMDF.R Oft SIMILAR IDENTIFYING NUMBEF,_AT7ACH DEED POR JOINTLY-HELC HEAL E57ATE. UA'E OF iFv.`N VALUE CF~ ASSET ~ Oc f;FC6S IN7EHES~- nqi~ of=a?II i ~F UI. :: EL?E N~~". t A. 01/01104 Commerce Bank! Harrisburg - 50 Plus Checking #0536623598 53,660.84 50 26.830.42 TOTAL (Also enter on line 6, Recapitulation) I $ 26,830.42 (If more space Is needed, Insert additional sheets of the same size) REV-1510 EX+ (6-98) S' }.. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Samuel M. Sanzotta 21-08-0566 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 SHFFT is vac ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENTAND 1HE DATE OF TRANSFER. ATTACHA COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE ~ Gift to Marcia Boyle -Dec. 2007 12,000.00 100 3,000.00 9,000.00 2. Gift to Patrick Boyle -Dec. 2007 12,000.00 100 3,000.00 9,000.00 3. Gift to Tony Boyle -Dec. 2007 12,000.00 100 3,000.00 9,000.00 4. Gift to Elaine Grell -Dec. 2007 12,000.00 100 3,000.00 9,000.00 5. Gift to Glen Grell -Dec. 2007 12,000.00 100 3,000.00 9,000.00 6. Gift to Cory Grell -Dec. 2007 12,000.00 100 3,000.00 9,000.00 7. Gift to Alyssa Grell -Dec. 2007 12,000.00 100 3,000.00 9,000.00 8. Annuity -Lincoln Financial Group # 96-5361828 --11/16/1988 Non-Qualified -Decedent was owner and annuitant -Estate is Beneficiary p 55,565.98 100 0.00 55,565.98 9. Annuity -Lincoln Financial Group #96-5178143 -- 3/111985 403(b) Tax Deferred 16,278.87 100 0.00 16,278.87 ~ 10. Vanguard Funds -Individual Retirement Account (IRA) Wellesley Income Fund Inv. - 2,127.281 shares @ $21.55 45,842.91 100 0.00 45,842.91 Wellington Fund Adm. - 3,825.912 shares @ $55.74 213,256.33 100 0.00 213,256.33 Health Care Fund Adm. - 2,663.118 shares @ $53.03 141,225.15 100 0.00 141,225.15 GNMA Fund Investor Shares - 8,719.378 shares @ $10.41 90,768.72 100 0.00 90,768.72 TOTAL (Also enter on line 7 Recapitulation) $ I 625,937.96 (If more space is needed, insert additional sheets of the same size) EV-1511 EX+ (12-99) ~ SCFIEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Samuel M. Sanzotto 21-08-0566 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t' Neill Funeral Home, Inc., Camp Hill, PA 17011 Paid 5/19/2008 Total Charges $12,139.14 less pre-paid funeral insurance value of $10,409.00 1,730.14 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 0.00 Name of Personal Representative(s) Glen R. Grell Social Security Number(s)/EIN Number of Personal Representative(s) _ street Address 5445 Margaret Court City Mechanicsburg state PA zip 17050 Year(s) Commission Paid: N/A 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address City State .Zip Relationship of Claimant to Decedent 4. Probate Fees 1,020.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 569.00 ~. Cumberland Law Journal -Legal Notice 5/30/08 75.00 a. The Sentinel -Legal Notice 6/10/08 158.62 TOTAL (Also enter on line 9, Recapitulation) I $ 3,552.76 (If more space is needed, insert additional sheets of the same size) kEV-1512 EXi- (12-Ott) Pennsylvania SCHEDULE I DEanRrMENr of REVeNUE DEBTS OF DECEDENT, I"HERIT"NCE TaX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT G~IAIt OF FILE NUMBER Samuel M. Sanzotto 21-08-0566 Report debts incurred by the decedent prior to death that remained unpaid at the dare „r do~rti ~„~~~~a:..,..,...,.:_~..___~ __~~__, ~~ ~~~~~_ ~Na== ~~ ~~«~r~, ni~en a^^i^°nai sneers of the same size. P,EV-1573 EX+ (lI-08) ~`~i~ Pennsylvania DEPARTMENT"OF REVENUE INHERITANCEITAX RETURN RESIDENT DECEDENT SCHEDULE ~ BENEFICIARIES CJIXIC Ut Samuel M. Sanzotto NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 2116 (a) (1.2).] 1. Elaine S. Grell 5445 Margaret Court, Mechanicsburg, PA 17050 2. Marcia Boyle, 6198 Pintail Court, Loveland, OH 45140 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Daughter Daughter ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE, II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ If more space is needed, insert additional sheets of the same size. FILE NUMBER 21-08-0566 AMOUNT OR SHARE OF ESTATE 50% 50% ~~~~t til ~.rth ~e~#tt~ten# ,..~~ ~ 1 _ ....:.~. .. .. r-'1 ~_.._: . , _ ~ ~ - (.:..) ~l~' , _,~ -_: 7 _ - ,_ ~ :~ ..__ S~IMUEL 1'1 ..___SnTT7.,QTTQ_ _-- ~ '- -'{ ~ ~ - !_.1 f_.J ~~~i ui ( ,~~~i°tUET, 1~1. _l~1V'~TT~~, ,~:1' Hampden Toc~rnsh.i.p, Cumber)_and ' ? 1111, f.. `•i t: ~ ~ 1), J'1 !'' v t ' :1. [t i. Fl , (t <'! m i'r ~.: E7 . 1~ (.! J~ ~ 1 :; F1 13 [ 1, d d E? (~ 1_ r't I' f? t 17 'J. " "t O 1J P Sriv I „7, t ia1i..1_ ). .-t1~Ji `i'f+c "~ aJllent.. 11~'?: eh.y 1"t? .r('~lc_ c* '. i rz ~., .z 1.7_ W .:l i s an cl c:: r, cl i c i 1 s i,y m+> :Jt: azly f.; l.rJJe marts. CTL~M_-..t": :f_ i:t_izec:t that- aJ_1. i_nlter_itance and `~~i:<:Jtf-' tare:; i>Pcozni.l.~~ due by r°as~~r.) o~ rriy death., whether such f:<?. R, E~; zn.:~.y I>e ta,~.va:b;i_R by n>.y estate or by any recipient of any f~J.-::!v+a1: f.~J , ^ilc~rJ_:L I,e ,r•a.id l>y the 1~xectrt:ur ~.;~ut o.f_ t}ze propez'ty t1~1^,`,:i.zl.; ttndel: :C7'T;.IYi ZV of this Wi_1~_, a.s an expense and cost of -? `i 1.1 ? ; . i ., ! . ~_ ~. _ ~.._. ~ J= m ~- ,, t'. a. ,, . T e nave n G d l 1. t y u >_ r.'. ~ ~ r ,„ °, °~ t~ lz Execut!?:~ sha1.1 i '>t, i_ i ~?;1ti_nn_ i;n obtain. reimbursement :Fvr az,:y such ta:~ so paid , ,, •,%(~r~ t; J1oli~ti nn pr("~~:eects of insurance o.r. other pr_oprr_ty not t,:1S:'i1i.; ltnrter. t: ti. i.^ Wi.]_1.. I;CF~I~1"__C~C__ ~ 1: d i" z: ect "the r~ecutoz~ is c:> pay t.J.1e ,,~(:perJ~;4~r r-,f rlv l.a.sL i. .LJ_r.tess azl.d t'1_zrzera:l. F~xpenses fr_oza the f'J'"1)'='1'"F:','' p;l!;~;l.il~? tJl.l!1{~1. t117_S Wl~t.l ;3~! all e.~:jleI1Se cZnCl C'?St o~ "c.J.~JJJ!_LJl'L;; f.:L'dt:i_!:!11. (_?'f. i[1 `v f'St<-ttP_.. t l; T , t.~[ 1 _I f fit: f' T p t e cl. ~ ~ ~ e , t s e zr.t ~ rs i_ :F f~ , -:] r11T1 F . ,,. , _ . ,. L .`, J11J ?.1.~' <1.t.1 !> ~ JR~' t1:~1 t~. O.t_ t, , n f 1 , h d : ur_ ni t1_zrc a.z1d Ft, .rn"_.~1>_a.ngs , boo.l•,s , pic"t:ul'~,~., 1r'c,le~_1.1•-,r, ~:i.)_v~r_ware, atl.tomobi.l_c.~s, wea.r:i.n~ apparel and ,, 1. :l. ~!i:i.ze,- ar.i: .,;a_^t? !.~F l:J.ol_isehold or pfarso1.1a1. use c:r ~.c1c:,,~nmenta..nd .i.l.l t!C;.J_LClefi C?f 1.1.1.;;111aX~J.Ce t~hereozl. 1'f- I do not prertecease my s~'a:i.cl t,Ti.('e, T rn.a_,Jr..F ~'~id beC(UeSi_ tr,. my chl.dr_en 1_ivi..ng at the time T,,1 ~~ f' t .. ~!, of my death., tc> be divided among them as they shall agree. Should there be no agreement, such property shall be divided among them by the Executor in as nearly equal portions as is deemed practi.cal_ in the sole discretion of the Executor, having due .regard to the personal preferences of such children. TTEM .CV: I give, devise and bequeath all t~lie rest, residue and remainder of my estate, not disposed of in th.e preceding portions of this Will, to my wife, JEAN K. SAN?OTTO, anal Y.T.AMILTON J3ANK, Harrisburg, Pennsylvania, as 7'z~ustees (hereinafter collectively referred to as "Trustee"), IN 'TP~iJST NEVEkZ'1'HELESS , to be ,f-urther divided into two parts , each of wh:i.c.h shall be h.e1d in trust and constitute a separate Trust Fund tt:) be l;,nown as "Trust A" and "T.rust B" . "`f'z~ust A"' There shall be placed i.n "Trust A" that fraction of my residuary estate of which the n.tim.erator_ shall be a sum equal to the :Largest:: amount that can pass _free of Federal estate tax under my Will by reason of the uni__fi_ed c.red7.t anal tkie si:ate death ta.ic credit (provided that the use of tl.l.is c7.~edi.t: cle>es noi_: require an i.zzcrea.se i_n st~ttc de~a.t.h t.a;ces) a]_].owable to my estate but no other c.;_edi_t ,a.nd afl:ez taking account of dispositions under athe.r_ items o.f_ this Will and property passing outside of this Will Tahi.ch do not qua"lift' for the marita]_ or_ cha_rita.bin deduction and after taking account of c1,..~..r.ges; t•"~ r,l'i.nC]_pa.1_ that a?'c zzc~t a]_lowed as d!~duct_or~.s i.n computing my Federal estate tax and of which. tlae denominator sha]_1 be the value of my resi.dua.ry estate. For purposes of establishing such fraction, the values final]_y _fixed in the Federal estate t:ax proceeding relating to my estate shall be l?age 2 ~~, ~ used. .C recognize that the numerator of such fraction may be zero (U), in which case no property shall pass under "Trust A" and that said numerator may be af_.f_ected by the action of tl~ie Executor in exercising ,, certain tax elections. "'C r.ztst B" : The balance of my r_ es iduary estate not pJ_a.ced in "Trust ~" shall be placed into "'Trust 13" to be held, administ.e.r_ed and distributed in accor_dan.c:e wit}~. ITEM VI of t}~i.s WiIJ_. ITEM V; The following provisions shalt ap}fly to "Tz~ust A" ; (a) The Trustee shall pay the net income arising f.r.om t}ate principal of this Trust in quarterly in.stai_l.ments to my wife, ~El~N T~. SANZUTTO, during her lifeti_zrte. }~) T_?uring the lifetime of my said wife, the 7'.r_tzstee s}iaJ_J_ pay to or for the benefit of m_y said ~ai.:Fe so ml.zch. cif the principal of this Trust as may be z].ec:essar.y, :iz the sale discretion !?t~ the Trustee, for t}ie proper support, maintenance and medical care of my sai_cl wife. (c j tJpoz.~ the r_leath of my said wife, or upon my death i.F my ~,-,if,e fai]_s to survive me, the Trustee sba.J_J_ rlivi.c}e t}~e principal and any accretions thereto <~T,.d any accumuJ.ations of income into as many equal parts as tb.ere are then living children of .mine and t~}yen deceased chilciz:en of mine represented by then living issue. The Trustee shall hold one such share :Page 3 . ~' ~~< <~ as a separate Trust for the benefit of each living child, and sha11 hold one such share as a separate Trust :f_or the benefit of the issue of each such then deceased child, per sti.rpes. (d) _T..n each Trust thus established for a then living cl.lild of mine, the Trustee shall quarterly pay to or for tl~.e henef_ %t. of such child all of the income ~~i.nd so mur_.h of the pr_%n.cipa.l o.f_ said Trust as, i_n the di.scret_ion of the Trustee, may be necessary to rr~ainta:in. such child in the proper station in life, incl_udi.ng proper support, maintenance, medical care and coJ_lege ar higher education.. Tb.e Trustee shall pay to such child cane--thi..r: d (]. / "3 > of the p.r. inc:ipa:l upon the death of the ^,~:i.r.~~;i_~rc.>~~ ~?f my wife and me. Orx the fifth anniversary c;f such date , tl~e Trustee shall pay to such child one-ha:1_f (l/2.j of_ the then principal. On the tenth ari,~iver.sa.zy of such date, the Trustee shall pa_y to such child th.e balance of the then principal. Should such child die before final cl%stributir~n of the assets of said 7'r_ust, but be survived by then livintr issue, the Trustee shall quartex.~ l_y pay the net income ..€rom said Trust to or for the 1aeriefi_t of said issue, per stirpes, living at each +: .i. [n t_' o` gl.~arterly= distribution; as soon as any one of said. issue attains the age of twenty-one (21) years, a..nd in n%a event later than twenty (20) years following the death of my child, the T.r_ustee shall pay over all of the then assets in the Trust to the then living Page 4 r r.-~;` ,~j _,, :~ :issue of such deceased child, per stirpes. Should sz.zch child die before .final distribution and not be survived by then living issue, the provisions of subparagraph (f) herein shall obtain. (e) Tn each Trust established for the benefit of i~kic~ issue of a cieceasecl c.hi.ld n.f_ mine, the Trustee slialJ_ quarter-l-:y paY the net income to or for the 1_~enef:it of t.lae issue o:E such. deceased child, per stirpes, l:i.vizzg at each tune of quarterly distr~ibtztion; as soon as any one of said issue attains the age of twenty-one (21) years, and in no event later #~harz twenty (20) years following the death of the Sl1]'V].vo.r. of.. my wife and me, the Trustee shall pay over a:lJ_ cif the then assets .n the Trust to the then J...vi.n~ :issue of my deceased child, per stirpes. (f) Tf at any time before final distribution of i~l~e assets o_f_ ~.ny of c}~~i_1_drezt ar issue of :1_iv.i.np bez~.efi.ci.aries terznin<~i~e , a.n.d its a tTzen. ~~:~~.stent. 'T'rusts my children or thei_.r_ the Trusts established .for my deceased children, there are no of said 'T'rust , tl~e Trust shall ssets shall be added to th.e ether created hereixz .f_or the benefit of issue in the same proportions in wl?i.ch the 'T'rusts were origi.nall_y .funded pursuant to t:h.e provisions of subsection (c); provided, that if a.zi.y of said 't'rusts herein created has previously been germinated by payment of its principal to its ber,.eficiaries, said beneficiaries who received payment o:l The p~_ _z~-cipal of that Trust shall collectively be considered az~ "e:xistent Trust" far the purpose of this l~a.rag.r_aph, and one share shalJ_ be paid directly to such bE~nefici.aries i.n the same proportion by which they z~eceive.d tfse principal cif the Trust, or, if any such beneficiary is deceased, the share of said deceased beneficiary shall be paid to his issue, per stirpes. zTEM VI: ~'pPi y to "'Trust R" : The following provisions shall raj Trustee shal7_ have, bold, manage, invest and reinvest the assets of_ this 'Crust, co7_lect the income ~.r.,.d be~;i.cznin.g at my death. pay over_ the net income in cS,tarte.r_ly installments to my wife, JEAN K. SAN70TTQ, dtrri_ng her lifetime. The Trustee shall also, from time to time, pay to my wife such amounts o.f_ principal of this 'Trust as the Trustee (other_ than my said wife) deems rtec:essary .f_or the proper support, maintenance a.ncl medicaJ_ care of_ my wife. (b) T1pon. the death of my wife, the Trustee shall p.~,~ a.:l__1_ accrued income and a:1_.(_ income accumulated but undi.stri.bu~ted to the estate of my deceased wife and shal)_ t:(zPT:eafte~: transfer the tl.~.en remaining pri..ncip,-~l o:f +=hi. , ~1'rtast tc> "Trrust A" i~o be held , administered and d_stribixtecl in. accordance with. the provisions of T'TEM V of this will. (c•. > Tf my wife should not stirvi ve me , then the p.rov.is i oa' o.E "Trust T3" shs_:Ll lie voa_d and the part of my est,=ate wla.ich. would have constituted "Tr_ust B" shall tae added t:.o "Trrust A" to be disposed o.f in accordance w:i t:li. TTE.M V o:F this Will . (r)j The Executor shall he authorized in the F;xecutc>r's sole, exclusive and unrestricted discretion l _..-a.ge .. f''..~' ,,l/ to determine whether to elect (under Section 20 ~ 6 (b) (7) o_f the InternaJ_ Revenue Code of 1986 as amended, o.r any corresponding provision of the Federal estate =1_aw), to qualify all, none o.r a Exaction of "'I'.r_usi- 8" for the Federal estate tax marital rlecluct:i.~~~r~.. Tire decisl.on o1' tl_ze Executor with respect tc, the exercise of the election shall be Einal and conclusi.vP upota all_ persons whose interests in my testate <tr..e directly or. ind.r_ectl.y affected b_y the election. {~nJ_y property wi~.icii is fully eligible for th.e marital deduction under Federal estate tax law si~.all be assigned to this Trust. Notwithstanding e.nyth.iz~g to tla.e contrary contained in this Will, the 'I'riastee of this Trust shall not retain beyond a z:~asonable time any p.roper.ty which may at an_y time be o~~ be~~ome unproductive, nor shall Trustee invest in :u~~p~_ocilYCt~i.ve ,property. I`Totwithstanding the provisions o!: subparagraph. (b) of this Item, ~th.e Trustee shall pay to tine Executor_ of my wife's estate , out of the pY:i.ncipal of th.:is Trust upon the death of my wife, an a.trzount Qqua1_ to the estate, inheritance, transfer, s~_zccess.on and other death taxes ("death taxes"), Fede.ra7., state and other, payable by reason of the i_~~.c1_us;i_rn~ of tk~e va.l.ue of Trost property in my wife's c~st~a.tr~ . ~:,uci:l payment sha]_7_ be equal_ to the amount by cahich t; 7_) t.h.e total of_ such death taxes paid by my r.,,if~'s estate exceeds (2) the total of such death i:ares w:t~ ic11. wo~~J_d have bepr_ payable if the value c;E the 7'a:t~st property ilacl not been izzcluded in wife estete. The determination by my wife's Executor of tl~e amouzlt payable hereunder sha11 be final. l direct the Trustee to iiay such amouza.t promptly upon written rec~ttest. of my wife's Executor. The final r Fag;e 7 :,~ a% ~~' deterrzrinat.on of the amottnf~ due hez-eunde.r shall be based upon the value as finally determined for Federal estate tax purposes in my wife's estate. After payment of the amount finally determined to be due hereunder, the Trustee shall be discharged from any further ~1_i_abi.l~.ty with respect to such payment. My wife may waive he.r estate's right t:o payment under t:l~i.s subparagraph by Will, e~~ecuted after my death, in which my wife specifically refez_~s to the right to payment; l.lez:eunder given to her estate. ;ITEM VIZ: My wj.fe, JEAN K. SANZOTTO, shall_ he.ve t1.ze noz~.cumlz_I_ati.ve right to withdraw FIVE THOUSAND ($5,000] :DOLLARS from the principal of either "Trust A" o.r "Trust B" unde:c this W~_11_ each taxable year during which said beneficiary 7.s then ent%t:l_ed to receive income. If said beneficiary is ] i~Ting c>n the last day o.f_ such year, said beneficiary shall also lravc~ the ,:i~,lat to withdraw an amount equal to five (5/;) percent oi: f:lle aggregate net market value of the principal of "Trust A" a.rrd "Trust D" nn such last clay less the amount of such FIVE '1'ETOiISAi`iD (.~r>,000)) :DOLLARS previously actually withdrawn _from s7_lc.l-r 'I'r.~.zst citrri.r,.g t;1:~e ta_~.al.,le veaz:. Payment r>?.~.all_ be made, ral_t1liD. t~.111rt:.y (3U) days o:F the close of the taxable year, less arty 'I.'rustee's commission payabJ_e witY~. respect thereto. This right or wit:hdrawaJ_ shall be noncumulative and may be exercised or~.:ty :i_z~. w.r.it::i.ng delivered to the `Trustee w:i.thin thirty (30) days lar:ior tc.~ the last clay of_ such taxable year . I'I'~rI._VIIT : In the settlement of my estate and c(urz_n.g 'the cc>z~.tinuance of_ the foregoing Trusts, the Executor and thc~ Trustee sha_1__i_ possess , among others , the _following powers (a) 'I'o retain any investments I may have at m_y death, .n.c7_udi.ng specifically those consisting of P a P e f3 ~/ ~' !i . J% stock of an,y bank even if I have named such bank as the Executor or Trustee herein, so lung as the Executor or Trustee may deem it advisable to my estate SO 't0 ClU . (bj To vary investments, when deemed desirable by the Executor or Trustee, and to invest in such bond^, ^tocks, notes, real estate mortgages or other securities or in such. other p.r.operty, real or per_sona_I_, as they shall deem wise, without being r.estr_:ictecl to so-called "lega]_ investments", and without being lz.mited by any statute or rule of law regarding investments by fiduciaries. (cj In. order to effect a division of the principal of a Trust or for any other purpose, i.n.c~~].udiczg any f:i.nal di.stributivn of a Trust, the Estecut~~:~ or. '1'r~istee i.s autb.ori~.ed to make said cl:i.t~ i s:i.crn^ ~,z~ c:i.:;tribufi:i_ons of the perronaJ_ty and re~~zJ_ty, pa.rtJ.y or wholly in kind, and to allocate speci_f:i.c assets among beneficiaries and Trusts created hel~euncler so long as the total market value of_ an.y slza:re i.s not affected by such division, distribution oz: aJ_l.ocat.i.on. in kixld. Should it appear desirable to part:i.i~_i.on an.y 1-eal estate, file Executor or Trustee is autl.-~orizecl to snake, join i.n and consummate partitions of J.alicls , voluntariJ_y yr i.nvoluntari~_y, including ~i.v~.n~ of lnuttlal deeds, recognizances or other ob I_igai..iozzs , with as wide powers as an individual OWner J. n. fee S].TI1p1P_. <,dj To sell either at public or private sale and txpol~. sz.~ch terms and conditions as the Executor or Page ~? r/ cl.t l`;.. Trustee may cJeem aavalztegenz.as to the estate or Trust , any or all real. or personal estate or interest therein owned b:y tl~e estate or Trust severally or in conjunction. with other persolzs or acquired after my death by the Executor or Trustee, and to consummate said sale or sales by suf_ficiez~t deeds or other instruments to tl:~e purchaser or purchasers, conveying a fee s irnple t. it le , f_ ree and clear o.f all trust and without {?bJ_igation o.r liabi_]_i.ty of the purchaser or pl.~rchasers to see to the application of the purchase money ~:~r. to make inqui.r_y into the validity o_f said sale n:r- sales; aJ_so, to mak?, execute, aclcnowJ_edaP and de:i_ive:r. ~ziy and alJ_ deeds, assignments, options or. ot;lzer tar. iti.ngs which may be necessary or desirable in ca.rr_yil~g out. any of the powers con_ferr_ed upon the ~',tecutoz- or. Trustee in this paragrapl~ or elsewhere in uiv (.v i l :l. . i <~'> To mortgage real estate, and to mare leases (f' j I'o borrow money _f.rom any pa.rt:y-, including the E~~c=_cutor or Trustee, to pay indebtedness of mine or of m.y estate, expenses of administrat~.on or izalier:it~.n.r_,e, l..egacy, estate and other taxes, and to a_.ssi_gn and pledge assets of my estate therefor. E'r_ova_ded, however, that this paragraph shall not a?.i:hori?e borrowing from "~l'r11St R" (g) To pay all costs, taxes, expenses and charges in. connection with th.e administration of my estate or a, Trust. T_f any estate or inheritance taxes ,,: - ' -~ Page J_0 _. ~ '~i~:~ are payable from assets received by the Trustee, such taxes sl~.a=1..1 be paid from the assets constituting "T.rust n" (].~) To vote any shares of stack which: form a part of t;he estate or Trust, and otherwise to e;~ercise al~_ the powers incident to the ownership o.f such stock. (.i.) In the discretion of the Executor_ or_ 'I'z~ustee, to unite with other owners of_ similar praperty :i.n ca,: vying out any plans for_ the reorgan.i.za.tiax~. of any corporation or company whose securities farm a. part of the estate. (,j) 'l'o disclaim any interest in property which would devolve to me or my estate by whatever means, :iczc~~1_ud:ina but z~.ot li.mz.ted to the f.ollowiz~g means: as hez~.efic:_ia.r.y uz~.cler a will, as an appointee under th.e eyerc.i.se of a power of. appaintment, as a person ezzt~.t:a.ed try taYe by intestacy, as a clanee of an i.n.ter v:i.vi>s 1-~°azi.sfer. , a.nd as a donee under e. third-party bene_fici.a~.~y contract. (k) Ta do all other acts in their judgment deemed t~.er_.essary o.r_ desira.ble far the proper and advantageous management, investment and distribution ref the estate or Trust. ITEM IX: Whenever a.nd as often as an_y beneficiary hereunder, to whom payments of income or principal are herein directed to be made, shall be under legal disability, or, i.z~ th.e soJ_e judgment of_ the Trustee, shall otherwise be uxlabJ.e to apply sti.cl~ payments to ]li.s own or her own best ITEM XII: I hereby nominate, constitute and appoint my wife, JEAN K. SANZOTTO, to be the Executrix, herein referred to as "Executor". In the event of her death or her inability or refusal to serve, I nominate, constitute and appoint my son-in-law, GLEN R. GRELL, to be the Executor. The Executor and Trustee are specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding twelve (12) pages, at the end of each page of which I have also set my initials for greater security and better identification this ..~ day of<_~~.~~C.~`%~~~~:--_'~~-- 1990. ^~~.sF.,L~,e:.~_: `lam M~.~EAL) SAMUEL M. SANZOTTO We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. (SEAL) (SEAL) /- 1 -' ~.~`~,;~--~_ F_ ~..~;-.~~.C SEAL ) J. Res i d{ing a tt .~~~"~~ /;Y7r.}, ^~,- .S i ~~s'?~s-i"'r !~ bra ~ ,. 3:.:Z- __ ~~~Lz~'----- Residing at ~(~~e,, Residing at~('~,' F\~ ~~1,1"r" / </.r<r ~':-'~~--~ . ~~ c..~ ~-~~ ,~, -~~= .-~-- ACIZNOWLEDGEMENT rOMMONWEALTH 0~' PENNSYLVANIA ) ) SS: :f.. SAMiJEL K. SANZOTTO, Testator, whose name is signed t-.o i.he rtta.cl~ed or .Foregoing i_nsta'tzmen.t , .having been duly qua:i_~.fi.ecl a.c.co.r.ding to law, do herehy acknowledge that I signed anal executed the instrument as my Taast Wil]_ and Testament; that is s_i~xaed _t. wi.J_l.ngly; and that T_ signed it as my free and vo=tuz~.i~ary act for the purposes therein expressed . .. _, .~~ , -~y ~:..a:: ~. ~ ~ z c: ,~ ~~ Jty~: y , ~ --t ~~_ (SEAL ) SAMUEL T~ . SAPdZOTTO - •~' ~;sac:~rn. z:~.:~• a.r.,.cl subscribed 7 )?i:'~'c>re; nzf: i:i.,.i.s ~~v-c~_ d~tv ,,~~`` , 1~y ~;r~mm:i.ssiozl Expires: (SEAL,) AFrr~AVZT COMMONWEALZ'IT OF PENNSYLVANIA ) ^~ ) SS: CUtTl`TTY OF t~,_) )C~-~-~,~.<..~. ) ,~tzicl~J~r'c_>f~,~%rr-~~_--~ ~_,~.F;_, the Witnesses whose names are s igxzFrcl i::c~ L:liF~ a.tta.c)~.ed or. foregoing inst.rumeni. , being duly qua:l;i.:fi.ed ;a r_.c:c~rd:i.x:i.~ to la_w, do de]~ose anal say that we were ]-~rr~spnt and saw Test~ltor, SAMUEL M. SANZOTTO, sign and execute 1,11P 1_f?.StrillA.ex].1- as I:z~.s Last W3. ]_1 a.nd Testament; that Testator r;igz7ed wiJ_]_~.ng:Ly and that he executed said Wi1J_ as his _fr_ee and vc:~ l.tzxlt.a r,y aci~. for t^.l:i.e ptt.r~oses therein expressed ; that each of us i.n Lhe l.~eariz~g and sight of the Testator signed the Wi.11 as witnesses; and that to the best of our knowledge the Testator was air tb.at time eighteen. (18) or more years of age, of sound rni.n.c! azld tinder no constraint or undue influence. ,., .--'` ~,. .:-- -__ __ ~ ~r ~ ~ 1 ~ - "- ~ 1e17 t1"lP., s S r, -~.. witness /-~ n , / l~ Witness Sworn to anti sl_xbscz-ibed before .me t.t>is ..~~~L day of ~r~., 1 7_«9~. -.-A- _-~ -tom ,1:=-~ ~ ~ ~ ~ ) -~--- -- ~~ ~ 1`Tota~~y _P,.ahl i c. My C:ommi^>si.on F;xpi~.~es: s Dividend Reinvestment PlanAccount Sta_t_ement ~.~.~~:'.~ IMPORTANT Retain this statement for your investment, tax and cost-basis records. ~ ::-- Questions: U S telephone number TOLL FREE: 1-866-280-0245 Outside U. S.: 651-453-2129 _~__ p~ ~~;~ - For online account information, please visit www.shareowneronline.com '~ '.„ Fax number for transaction requests: 651-450-4085 Cusip # 693517106 Page 1 of 1 ACCOUrIt Summary corporation Account# 3n744e~~~n SAMUEL M SANZOTTO AND JEAN K SANZOTTO JT TEN 5445 MARGARET CT MECHANICSBURG PA 17050-7292 Year-to-Date Amounts -Common Gross Dividend Reinvested Federal Tax Withheld Nonresident Alien Tax Withheld Cash Investments Total Invested Commissions Paid by Company Year-to-Date Activity Share Balances Record Date Div Reinvestment Plan 4,164.843 Certiricate(s) 200.000 Direct P.egistration 200.000 Total Common Shares 4,564.843 Current Dividend Record Date $2,913.23 Payable Date $0.00 Dividend Rate -Common $0.00 Recount Value $0.00 Market Value Date $2,913.23 Market Value Price -Common $2.38 Account Market Value -Common Transaction or Transaction Settlement Date T e Gross Amount of T Taxes Net Amount of yp ransaction Withheld Tra nsaction BALANCE FORWARD ~ "' ~ ~ ~~~~ \\ ~~ ' 01107, OS Div Reinvested S 1,384171 $0.00 ~ti~ $1 384 01 04!04108 Div Reinvested ~ $7,529.22 $0.00 ~ :, , $1,529.22; +~~\~"a`~. ~ ~~, nom:.- ~ x4 a~? \ ~ ~a . ~`\ ~ ~ ~~~~ ~~ ~ .. ~"\ a . ~~~ , Apri12, 4,197.355 200.000 200.000 4,597.355 03/10!08 04!01108 $0.335 $217,041.13 Price Shares Increased Total Shares per Share or Decreased Held in Plan ,~~ ~ "~`~~'.` .~ 4,137.728 $51.0414 .~. 27,i 1S ~ 4,164.843 $47.0351 ; ~ 32.512 ~ 4,197.355 P?L Gorporat~on is participating in the Direct PAgistration System ("DRS'. Yeu ma, ch^csA to hav_ yo~~r Plar, anr!lcr DRS shays electronically delver°d ±c or from your shareawner account. For information concerning authorization of electronic share movement, please contact your Broker; Dealer. ------------------------------- ------- tach here. Forward bottom porLon to the address shown below. For other transactions see reverse side. Transaction Request Mail to: Shareowner Services PPL Corporation PP01 Dividend Reinvestment Plan PO Box 64856 St Paul MN 55164-0856 ^ Please change my address as indicated. SAMUEL M SANZOTTO AND JEAN K SANZOTTO JT TEN 5445 MARGARET CT MECHANICSBURG PA 17050-7292 PPL Corporation Account # 3072852510 OPTIONAL CASH PURCHASE ELECTION ^ Enclosed is a check made payable to Shareowner Services for: $ IIIP! iiiii iiiii ilia iaii iiiii iiiii lull iiiiiliiii iiq IIII I Illliui iiiii iii iaii iiq IIII Maximum $80,000.00 per year The deadline for Shareowner Services to receive your payment is 5 p.m. CT on APRIL 30, 2008. Shareowner Services will process your purchase instructions according to your Plan prospectus upon receipt of year properly completed request which includes account number or 5SN and reference to the PPL Plan. We will not be liable for any claim arising out of failure to purchase shares on a certain date or at a specific price. Requests submitted on this form will only affect Dividend Reinvestment Plan shares, not shares held in DRS. m 0 0 Vl H H m a 01 par 7814 Vanguard -Find fund balance by date Pa e 1 of 1 ~~ g ~~ ~,,,5 ,M~~ uj i -(tisii.i :+.;~ _i..:':.i l.E3iia ~ 3.=i't;ri, Find fund balance by date Select the fiend arrd the date yau'd like to view. Historical balances are available online for the past 18 months. If your Bind pays a daily dividend, your accrued dividends will be displayed. Portfolio of Samuel M. Sanzotto n Account Samuel M. Sanzotto-Individual Account Select a holding Asset Allocation Fund Adm Date 05/12/2008 "~'` (mm/dd/YYYY) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. Calculate _._. _. Total Valuation __ Total dollars ' $84,292.32 ~~;1996--20(78 The Vanguard Group, Inc. Ail rights reserved. Vanguard Marketing Corp., Distrih. Terms & conditions of use [Security Center ~ Obtain prospectus https://personal.vanguard.com/us/HoldingHistoricalBalance 10/9/2008 Vanguard -Find fund balance by date Page 1 of 1 ~~~~r~~ ~'iy pr~iif;,!i;? ,- cc~o~tr~t<> tx ~~`ii~iity » Hc~ldiny L~ct:aii5 Find fund balance by date Select the fund and the date you'd like to view. Historical balances are available online far tt~e past 18 months. If your fund pays a daily dividend, your accrued dividends will be displayed. Portfolio of Samuel M. Sanzotto Account Samuel M. Sanzotto-Individual Account Select a holding Capital Opportunity Inv Date 05/12/2008 "~' (mm/dd/YYYY) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. Calculate Balance As of date 'Monday, May 12 2008 Total shares ' 1,185.853 Share price ', $36.35 __ 'Total $43,105.76 Accrued Dividends As of date _ 'Accrued dividends ' $0.0000 Total Valuation ' Total dollars $43,105.76 :~=; 1995-2.1)08 The V~inguard Group, Inc. All rights reserved. Vanguard Marketing Corp., Distrib. Terms & conditions of use ~ Security Center ~ Obtain prospectus https://personal.vanguard.com/us/HoldingHistoricalBalance 10/9/2008 Vanguard -Find fund balance by date Page 1 of 1 r.~~ (. ~~ .ti?~; X35 ~. f?c~ ,ri~y~ ~~id~~1G C1ef:ails Find fund balance by date Select the fund ar~~d the date yau'd like to view. Historical balances are available online for the past 18 months. If your fund pays a daily dividend, your accrued dividends will be displayed. ',„ Partfalia of Samuei M. Sanzotto __ Account Samuel M. Sanzotto-Individual Account Select a holding International Growth Adm Date 05/12/2008 (mm/dd/YYYY) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. y Calculate J 1995--2008 The Vranguard Group, lnr,. All rights reserved. Vanguard Marketing Corp„ Distrib. Terms & conditions of use (Security Center ~ Obtain prospectus https://personal.vanguard.com/us/HoldingHistoricalBalance 10/9/2008 Vanguard -Find fund balance by date Page 1 of 1 r ~~tial~l'd'~' ?7,~ "cr,Iat~.) ;> ~ccn~:nts tX ActiviEy -~ Noleiing Details Find fund balance by date Select the fund and the date you'd like to view. Historical balances are available online for the past 18 months. 7f your fund pays a daily dividend, your accrued dividends will be displayed. Portfolio of Samuel M. Sanzotto Account Samuel M. Sanzotto-Individual Account Select a holding PRIMECAP Fund Admiral Date 05/12/2008 '" (mm/dd/yyyy) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. Calculate ! Ba Ia nce As of date 'Monday, May 12 2008 Total shares 3,459.801 Share price ' $75.09 '' Total ! $259,796.46 i Accrued Dividends __ As of date _ _ _ __ - Accrued dividends ' $0.0000 Total Valuation Tatai dollars ' $259,796.46 O 1995-2008 The Vanguard Group, Inc. A(I rights reserved. Vanguard Marketing Corp., Distrib. Terms & conditions of use (Security Center ~ Obtain prospectus https://personal.vanguard.com/us/HoldingHistoricalBalance 10/9/2008 Vanguard -Find fund balance by date Page 1 of 1 s Find fund balance by date Select the fund and the date you'd like to view. Historical balances are available online far the past lt3 manths. If your fund pays a daily dividend, your accrued dividends will be displayed. Portfolio of Samuel M. Sanzotto Account Samuel M. Sanzotto-Individual Account Select a holding Tax-Managd Cap Apprec Inv Date 05/12/2008 ~' (mm/dd/yyyy) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. Calculate) Baiai~~ce As of date 'Monday, May 12 2008 Total shares ' 545.153 Share price $33.99 Total ' $18,529.75 'Accrued Dividends ` As of date __ - Accrued dividends $0.0000 Total Valuation ' Total dollars ' $18,529.75 Cc) 1095--?_008 The Vanguard Group, Inc. All rights reserved. Vanguard Marketing Carp., Distrib. Terms & conditions of use (Security Center ~ Obtain prospectus https://personal.vanguard.com/us/HoldingHistoricalBalance 10/9/2008 Vanguard -Find fund balance by date Page 1 of 1 F ~,~ "~~r?rt~ R ~~. ~> ~t.~.,~~si t > u Flrtivity ~, H~ItSir~~ Details Find fund balance by date Select the fund and the date you'd like to view. Historicai balances are available online far the past 18 months. If your fund pays a daily dividend, your accrued dividends will be displayed. ': Portfolio of Si~muel M. Sanzotto Account Samuel M. Sanzotto-Individual Account Select a holding prime Money Mkt Fund Date 05/12/2008 (mm/dd/yyyy) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. Calculate t !~ 1995-2008 The Vanguard Group, Inc. All rights reserved. Vanguard Marketing Corp., Distrib. Terms & conditions of use ~ Security Center ~ Obtain prospectus https://personal.vanguard.com/us/HoldingHistoricalBalance 10/9/2008 Tc>tt~1 banking Statement PNC lank For the period 04/2Z/2008~0 05/20/2008 EL SANZOTTO GLEN R GREL 544-IRARGAR~T CT MECHANICSBURG PA 17050-7292 PNCBANK Primary account number: 50-0354-8015 Page 1 of 2 Number of enclosures: 0 p For 24-hour banking, and transaction or interest rate information, sign on to 'a PNC Bank Online Banking at pnc.com. For customer service call 1-866-PNC-4000 between the hours of 6 AM and Midnight ET. Para servicio en espallol, 1-866-HOLA-PNC Movingt Please contact us at 1-866-PNC-4000 ® Write to: Customer Service PO Box 609 Pittsburgh PA 15230-9738 Visit us at pnc.com V+de value your relationship with Pi~C. For questions about your account, ~ TDDterminal: 1-800-531-1648 I11eaSe Call 1-866-PNC-4000. For hearing, impaired clients only Relationship Overview Bank Deposit Accounts Description Account Number Interest Checking Performance Money Market Total Deposits 50-0354-8015 50-0190-2981 Deposit Balance 50,506.07 4,513.97 55,020.04 Sometimes bigger dreams requve larger loans. With highly competitive rates and low down payments, we can offer more mortgage options and better financing solutions. Whether you're shopping for a new primary residence, a second home, or considering a refmance, we can tailor a jumbo mortgage that fits your big plans perfectly. For More Information: > Visit your local PNC Bank branch > Visit pncmortgage.com > Call 1-800-778-6678 Senior Premium Plan Samuel Sanzotto Interest Checking Account Summary Account number: 50-0354-8015 Balance Summary Beginning Deposits and Checks and other Ending balance other additions deductions balance 90,396.50 5,109.57 45,000.00 50,506.07 Average monthly Charges balance and fees 58,355.05 -00 Transaction Summary Checks paid/ Check Card POS withdrawals signed transactions 1 0 Total ATM PNC Bank transactions ATM transactions 0 0 Check Card/Bankcard POS PIN transactions 0 Other Bank ATM transactions 0 Please see the Activity Detail section for additional information. FORM953R-1005 Total Banking Statement For en. ptatrioa 04/22/2oos to o5/2oi2~o8 For 24-hoar information, sign on to PNC Bank Online Banking SAMUEL SANZOTTO , on pnc.cont. Primary account number: 50-0354-8015 Acn-unt number: 50-0;354-8015 -continued Page 2 of 2 Interest Summary As of 05!20, A tOtAl Of $~ 04,63 in interest Annual Percentage Number of days Average collected Interest Paid was pall this year, Yield Earned (APYE) in interest period balance for APYE this period 0.`.',8% 29 ~i8,g.`'i~i,0.`"i 18.17 Activity Detail Deposits and Other Additions There were 3 Deposits and Other Additions Date Arnount Description totaling $5,108.57. O 113U :~,857.(K) Dirert Delx~sit - tlnnuitant PA "1'reasnty Dc pt \\~XS?~XX~~XOI Ol 0;~; O1 1,239.40 Ditc~rt Deposit - I:et Net DFASCIevcland XX\~`tg14Ki 05; '.0 13.17 Interest Pa\'ment Other Deductions There was t Other Deduction totaling Date Amount pescription $45.000.00. 01/'_8 4ri,(KK).(K) ~1'ithdl:c\\•al Rcfcrencr Nn 11`2180384)38 Daily Balance Detail Date Balance Date Balance Data Balance U1i 2`~ 4N),34ki.~iU 04/30 49,2ri;i.!i(1 O~i~20 ~i0,!i(Ki.07 01,/28 4~~,34)li.CiO U3/O1 Ci0,192.5N) I'a}'ing for college? P\[~ 1lalik Can proV Ille SOIUtlO1tS t0 all }'Qitr CIIUCA(lOtl 11naI1Ctllg needs. CaII It0\\' t0 ce\'le\\' ~'Otlt' OI1t10nC \\'-fIt all C7CI)et'1CItCC(~ lOAtl COLrt1CCIOt'. Call PNC Bank: I-g(J(1-762-1(JOI If ~'ou pn fer to apply online, \°isit us at pnconcantpus.cont. Senior Premium Plan Samuel Sanzotto Performance Money Market Account Summary Account number: 50-0190-2981 Balance Summary Beginning Deposits and Checks and other Ending Datance other additions deductions balance 4,~i11.8;; 2.14 .00 4,Ci13.97 Average monthly Charges balance and tees 4, ri 11.4N) .(N) Interest Suttntlnary Annual Percentage Number of days Average collected 'Interest Pald Yield Earned (APYE) in Interest period balance Tor APYE this period Please see the Activity Detail section for additional information. As of 05120, a total of t$23.5tilt in interest wa paid this year. O.t.U% 29 4,ri1L4N> 2.1=1 Activity Detail Deposits and Other Additions There was 1 Deposit or Other Addition Data Amount Description totAling $2.14. 0x,'20 'x.14 Ilntcrrest Pa\•tnent Daily Balance Detail Date Balance Date Balance 0 }: `.`: 4,a 11.8;1 OSi 20 •1,b 13.4)7 -Eiammerce CBank 0184021NY1N00005911 Commerce BanklHarrisburg N.A. P.O BOX 4999 Harrisburg, Pennsylvania 17111-0999 1-888-937-0004 SAMUEL M SANZOTTO GLEN R GRELL C/0 GLEN GRELL POA 5445 MARGARET CT MECHANICSBURG PA 17050 We're here 7 days a week, 24 hours a day at 1-888-937-0004. 50 PLUS CHECKING 0536623598 Statement Balance as of 04!17108 Pius 3 Deposks and Other Credits Less 5 Checks and Other Debits S#atement Balance as of 05!19108 Transactions By Date Date Description 04Y11f08 CHECK # 1079 04/22/08 CHECK # 1100 {14/28/08 DEPOSIT 05!02108 AC-US TREASURY 303 -SOC SEC 05tQ8108 CHECK # 239 05112!08 XFER TO ACCT CK-000512075995 05/13/08 COL BILL PYMT-Messiah Village 05/19/08 INTEREST PAYMENT $15,525.84 $46,075.79 $25,690.05 $35,911.58 Debit Credit Balance S5,400.00 $10,125.84 $1,000.00 $9,125.84 $45,000.00 $54,125.84 $1,071.00 $55,196.84 $1,538.00 $53,660.84 $10,000.00 $43,660.84 $7,754.05 $35,906.79 $4.79 $35,911.58 Check Transactions Number Date Amount Number Date Amount Number Date Amount 239 05108 $1,536.00 1079* 04121 $5,400.00 1100* 04#22 $1,000.00 Items denoted with an "E" are electronic entries and will not have a check image. Interest Summary Beginning Interest Rate Number of Days in this Statement Period Interest Earned this Statement Period Annual Percentage Yield Earned this Statement Period (APY) Interest Paid Year to Date 0.15% 32 $4.79 0.15% $24.47 011 Cycle Page 1 of 2 . - commerce Bank Page 2 of 2 Date 05!19!2008 Account 536623598 0184021NY1N00005911 RGGC111NT-Np..~3ro G_23~.~` .~:. i n~tE ~,~~ rAxrorae s~~~~ _~ ~ ~0,,1.,~s~a~~ -~ ~ ~"03i30i64&a: 023q .f000i7i536Q0.~ ~~-~ .. wrs~, Check 239, $1,536.00 Date Presented 05/08/2008 ssl~.lrs,u-zosra ,rte t100 ~IhYa@aMb e,swutArtw~x ~ !,3 ern.~n fj~,,a1Y:1l~NIC$HNq, 9A ETCaadNle RT C ~,~, ~, ~+~;~~ 19t~~~ -_.~..lqb ....~._. x:03 i 3r11H46~: 53 66 2 i S"i Ba' i i0{7 d"37000 i00000~' $AFRI~, M Srwz0770 +2fii ~ 079 xri-maser ~ ,~ .~ ~~ r: sxtw'iu.t+uawrtv , / ariot,x>a LeEi7ltaNlCfl10{IC. M ~sp,yatts ,c~^ v03i30184~,: 53 X62359 Ala" 107V ,~flRC1Q5;40ptS~' Check 1079, $5,400.00 Date Presented 04/21/2008 Check 1100, $1,000.00 Date Presented 04/22/2008 incaln racial Group® V 46801-2340 Ann Quarterly Statement 1st Quarter 2008 Y~ur~nuait ~Contac __ __. per: SAMUEL M. SANZOTTO Multi Fund: 96-5361828 Representative: Richard D. Hupper SAMUEL M. SANZOTTO Plan Type: Non-Qualified Broker/Dealer: CAMBRIDGE INVESTMENT Contract Effective Date: 11/16/19 RES INC If you have any questions regarding this statement, please call Lincoln Financial Group at 800-454-6265 or visit our website at www.lfg.com Yoar uarteriv Account Value 07 Net Activity Gain /Loss Value 3/31/08 $0'~ $506.48 $55,328.03 contract for surrender charge information. Surrender Value: $55,328.03 Your Asset Allocation Asset Class* Fixed Percentage 100.0 s determined by Lincoln National Life Insurance Company and is not considered investment advice. Account Value $88,328.03 Your Inception 1'irDate Suu-mary s Withdrawals - Gain/Loss $0.00 ;xclude any sales charges or annual fees. y be understated if your contract is subject to administrative fees. $36,888.24 Your Fund'Snmmarv As of 12/31/07 -- As of 3/31!08 Number Number Unit Valae of Units Value Net Activity Gain/Loss Unit Value of Units Value 0.000000 0.0000 $54,821.55 $0.00 $506.48 0.000000 0.0000 $55,328.03 'Your Tutare 4llocations ~, your contract instructions show that additional contributions will be allocated according to these percentages: .ccount Your ~iofrl'icutions and Disclosures tation is prepared by The Lincoln National Life Insurance Company or one of its Life Insurance company affiliates pursuant to its agreement with inderwriter of the insurance securities described herein, for the benefit of the selling broker dealer. >ln promptly if information contained in this document is not accurate. Please feel free to re-confirm any oral cornmunicationrn writing to further ghts. Multi-Fund cial Group is the marketing name for Lincoln National Corporation and its affiliates. ,incoln National Life Insurance Company. SAMUEL M. SANZOTTO 209892 8'.14602 Huooer. Richard P purr zzn Cumberland Va!!ey ~~~~~ Lincoln Financial Group PO Box 2340 Fort Wayne, IN 48801-2340 Financial Group AT 02 105784 578426582 A""3DGT II1~1~~1l~~lllr~l~~llll!'11llll'I'!ll!'ll'1!I"!!'!1'lllllll~lll! SAMUEL M SANZOTTO 222 MES5IAH CIR # 479 MECHANICSBURG PA 17055.8619 Information for You! This quarter, you will notice our newly designed statements. These statements were created to provide you with timely messages, an easy-to-read format and color charts to track investment options. We are excited to introduce a new feature, Your Personal Rate of Return, which is available on the front page along with your Total Account Value. Additional pages include an Overview of Your Account, Activity by Source, Fund Performance and a Message Boarcl. Your Retirement Account 01/01/2008 - 03/31/2008 Account Information Name: Sanzotto Samuel M Account Number; 96-5178143 Plan Type: 403(b) Tax Deferred Effective Date : 03/01/1985 Account Summary Total AccounYVatue as of 03131/200$ $23,959.46 Beginning Balance {as of 01101!2008) Contributions Investment Earnings Withdrawals Account Charges Ending Balance (as of 03131/2008) Total contributions to date Your surrender value is $23,934.46 as of the end of the reporting period. This amount is your value as of 03/31/2008 reduced by a charge that would apply if you cashed in your contract. Refer to your contract for possible surrender charge exceptions. Current Period 528,577,37 $0.00 -$2,592.91 $0.00 -$25.00 $23,959,46 $12,287.00 *Your Personal Rate of Return (as of 03/31/2008) TO review investment results for 3-Month YTD 1-Year B-Y®ar 5-Year alt of the options in your plan, -9.7s°i° -9:76% -5.67°!° 14.02% 69.70% refer to the investment 'Personalized rate of return represents the individual performance of the investment(s) you have performance summary at the selected for your portfolio. The calculation includes activity in your account (such as contributions, exchanges among investment options, etc.) using daily unit price in effect when the activity occurred. end Of thlS Statement. Other performance calculations shown on this statement are different. Because the timing of your investments and withdrawals will vary, your personal investment results will generally not be the same as the investment returns quoted for the individual funds you have chosen. Quoted performance data represents past performance. Past performance does not guarantee nor predict future perforrrance. Current performance may be lower or higher than the performance data quoted. Contact Information Customer Service: Our customer service representatives are available from 8 to 8 EST at 1-800-4Lincoln (1-800-454-6265) ® Online Service: For your updated account values and to make address changes go to www.LFG.com 46078 1!5 12 Page 1 of 5 Vanguard -Find fund balance by date Page 1 of 1 Vanguard. F~t ~`~T~I.~VIG? ~~C.r."L.it7Y iv_t'k.CSI`IitV ~ Fi0iC11 ~<i `-iE:~:~IIS Find fund balance by date Select the fund and the date yau'd like to view. Historical balances are available online for the past 1~3 manths. If your fund pays a daily dividend, your accrued dividends will be displayed. Portfolio of S~~rnuel M. Sanzotto Account Samuel M. Sanzotto-Traditional IRA Select a holding Wellesley Income Fund Inv - 08623843879 Date 05/12/2008 (mm/dd/yyyy) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. ,.Calculate Balance As of date !Monday, May 12 2008 Total shares j 2,127.281 _ Share price _ $21.55 Total ' 545,842.91 Accrued Dividends As of date - Accrtaed dividends $0.0000 Total Valuation Total dollars ! $45,842.91 ©199r-20(79 The Vanguard Group. Inc. All rights reserved. Vanguard Marketing Corp., Distrib. Terms & conditions of use (Security Genler Obtain prospectus ~ Enhanced Support https://personal.vanguard.com/us/HoldingHistoricalBalance 2/12/2.009 Vanguard -Find fund balance by date Page 1 of 1 i`i; ,~~rrtt ~~,=s ,. r,c _~c;1t:~ ~ l~cti~ri"ty » Hoiciing CAE==Cads Find fund balance by date Select the fund and the date you'd like to view. Historical balances are available online for the past 1t3 months. If your fund pays a daily dividend, your accrued dividends will be displayed. Portfolio of Samuel M. Sanzotto ACCOU11t Samuel M. Sanzotto-Traditional IRA Select a holding Wellington Fund Admiral - 08623843879 Qate 05/12/2008 '~: (mm/dd/YYYY) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. Calculate ~~ Balance As of date :Monday, May 12 2008 Total shares 3,825.912 __ _ __ :Share price $55.74 Total X213,256.33 K) t 995-2009 The VrEnguard Group, Inc. All rights reserved. Vanguard Marketing Corp., Distrib. Terms & conditions of use ~ Security Center ~ Obtain prospectus ~ Enhanced Support https://personal.vanguard.com/us/HoldingHistoricalBalance 2/12/2009 Vanguard -Find fund balance by date Page 1 of 1 ~~~" i~g~la~rc~ (~ly ~°r~;t€ ii~7 ,- ,r~z_>t.rt s & ~~caivit~~ » NoiciiE?g t7et:ail Find fund balance by date Select the fund and the date you'd like to view. Historical balances are available online for the past 18 months. If your fund pays a daily dividend, your accrued dividends will be displayed. '' Portfolio of Samuel M. Sanzotto Account Samuel M. Sanzotto-Traditional IRA Select a holding Health Care Fund Adm - 08623843879 Date 05/12/2008 "`'' (mm/dd/yyyy) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. ,Balance _. As of date __ Monday, May 12 2008 Total shares ' 2,663.118 Share price X53.03 Total $141,225.15 Accrued Dividends -r Calculate _~ ~~~ 1995--2009 The Vanguard Group, Inc. All rights reserved. Vanguard Marketing Carp., distrib. Terms & conditions of use (Security Center ~ Obtain prospectus I Enhanced Support https://personal.vanguard.com/us/HoldingHistoricalBalance 2/12/2009 Vanguard -Find fund balance by date Page 1 of 1 .. ~~ .~ (`'. p i'CiE f I` ;ii.! t-ACC{).:i3~~S it ttt::~ayit)~ :> f-f0idl(1~ ~2t~Il.`'s Find fund balance by date Select the fund and the date you'd like to view. Historical balances are available online for the past 18 months. Tf your fund pays a daily dividend, your accrued dividends will be displayed. Portfolio of Samuel M. Sanzotto Account Samuel M. Sanzotto-Traditional IRA Select a holding GNMA Fund Investor Shares - 08623843879 Date 05/12/2008 ~~~ (mm/dd/YYYY) Note: This screen displays only mutual fund accounts. Annuity assets, 529 plans, and brokerage accounts are not included. Calculate Balance As of date __ _ _ _ __ __ _ _ __ Monday, May 12 2008 Total shares :8,719.378 __ _ _ Share price __ _ __ _ $10.41 Total X90, 768.72 https://personal.vanguard.com/us/HoldingHistoricalBalance 2/12/2009 7411 -Neill Funeral Home, Inc. 3401 Market Street Camp Hill, PA 170114428 (717)737-8726 Statement Date: Account Number: Director Name: May 28, 2008 74'1101000024 Kevin J Shillabeer Elaine S Grell 5445 Margaret Court Mechaincsburg, PA 17050 The following is a detailed bill for the professional services and/or merchandise arranged for: Samuel Michael Sanzotto Date of Service: May 17, 2008 Funeral Dir & Staff Srvc Basic Professional Service Fee $2,480.00 Total Funeral Dir & Staff Srvc $2,480.00 Care & Prep of Remains Dressing and Casketing of Deceased $395.00 Embalming $795.00 Total Care & Prep of Remains $1,190.00 Facilities & Related Srvc Religious Facility Funeral Ceremony $495.00 Visitation $495.00 Total Facilities & Related Srvc $990.00 Transportation Funeral Vehicle/Hearsf: $395.00 Service Vehicle $395.00 Transferring Remains to Funeral Home $495.00 Total Transportation $1,285.00 Other Goods &Srvc Flowers $498.20 Memorial Booklet $25.00 Prayer Cards $60.00 Total Other Goods &Srvc $583.20 Merchandise Carnation/Churchill Blue/Vintage/DesertSand/etc $1,595.00 Celmer/Clark/Classic/Laurel/Signature/Wise OBE $1,695.00 Total Merchandise $3,290.00 Statement Date: Account Number: Director Name: 7411 -Neill Funeral Home, Inc. 3401 Market Street Camp Hill, PA 170114428 (717)737-8726 May 28, 2008 741101000024 Kevin J Shillabeer Elaine S Grell 5445 Margaret Court Mechaincsburg, PA 17050 The following is a detailed bill for the professional services and/or merchandise arranged for: Samuel Michael Sanzotto Date of Service: May 17, 2008 Cash Advance Cemetery $1,025.00 Certified Copies $60.00 Clergy /Religious Facility $125.00 Musicians or Singers $100.00 Newspaper Notice $862.54 Other $148.40 T otal Cash Advance $2,320.94 Total Service, Merchandise and Cash Advance Charges $12,139.14 Allowances Insurance Allowance ($2,988.62) Total Allowances ($2,988.62) Assignments Forthought Insuran<e Claim ($7,420.38) Total Assignments ($7,420.38) Cash Received $(1,730.14) Page 2 of 2 Unpaid Balance Due $0.00 3196S N06 COHICK & ASSOCIATES 390 Alexander Spring R Carlisle, PA 17015-9 717-249-5321 1 8 SAMUEL M ANZO 5445 MAR ARE OURT ~VIECHA G, PA 17050 For professional services rendered in connection with the preparation of your 2007 individual tax return: Form 4868 (Application for Extension) ......................................................... Form 1.040 (Individual Income Tax Return) .................................................. Schedule A (Itemized Deductions) ................................................................. Schedule B (11 @ $ 5.00 per item) ............................................................... Schedule D (2 @ $ 29.00 per sale) ................................................................. Form 1.116 (Foreign Tax Credit) .................................................................... Form 8853 (Medical Savings Account} ......................................................... Return Summary ............................................................................................ 2 Yr Comparison Report ................................................................................ Capital Gain Tax Worksheet .......................................................................... General Sales Tax Worksheet ........................................................................ Form 1116 Carryover Report ......................................................................... Form 1116 Carryover Worksheet ................................................................... Limitation Worksheet .................................................................................... Social Security Worksheets ............................................................................ IRA Distribution Report ................................................................................ Pension/Annuity Report ................................................................................. Withholding Report ....................................................................................... 4 1099-R Documents ........................................................................................ PA Summary Report ...................................................................................... PA Form PA-40 (Income Tax Return) ........................................................... PA Schedule W2S (Wage Statement Summary) ............................................ PA Schedule A/B (Interest and Dividend Income} ........................................ PA Schedule D (Sale of Property) .................................................................. PA Schedule G-L (Credit for Other State Taxes) ........................................... PA Income Worksheet ................................................................................... PA Two Year Comparison Report ................................................................. 2 ~1 ~~~ A ount due ~ i ~~ .$ No Charge 112.00 112.00 55.00 58.00 69.00 100.00 No Charge No Charge No Charge No Charge No Charge No Charge No Charge 55.00 95.00 No Charge No Charge No Charge No Charge No Charge No Charge No Charge No Charge No Charge No Charge No Charge J ~bYo~ // CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3166 Fax: (717) 249-2663 July 11, 2008 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Glen R. Grell, Esquire Samuel M. Sanzotto Estate RE: Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: June 27, July 4, and July 11, 2008 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director