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HomeMy WebLinkAbout01-17-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT Of-REVENUE REV-1162 EX(11-96) BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 2 8-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 015467 GREENWALD ANN 423 SOUTH YORK ST MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTY CHECK# 4816 SEAL INITIALS: HEA RECEIVED BY: REGISTER OF WILLS 5248.38 GLENDA EARNER STRASBAUGH REGISTER OF WILLS J 1505610105 REVS 1500 °` t°Z-~l~ f~> PA Department of Revenue Pennsylvania OFFICIAL USE oNLv Bureau of, Individual Taxes """""`"'""""""` de Year Rte Number .. _..._ .. PO BOX zBo6D1 INHERITANCE TAX RETURN COUnry Co Harrisbur' PA a7iz8-o6oi RESIDENT DECEDENT ~1 ~ ` ENTER DECEeFtur turn uwrn.~ e.. Date of Birth MMDDYYYY 11 /03/1936 Decedents First Name _ _ __.; ;Patricia R Spouse's Flrsf Name _... _..... Ml THIS RETURN MUST BE FILED IN DUPLICATE WITH THE __ -- -- -- -- -- - REGISTER OF WILLS FILL IN APPROPRIATE OVid1Lt3 BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (Date of Death O 4. Limked Estate O 4a. Future Interest Compromise (date of d Pnor to 12-13-82) O 5. Federal Estate Tax Return Required O 6. Decedent Died Testae (Attach Copy of III), eath after 12-12-82) O 7. Decedent Maintained a Livin Trust g 0 8. Total Number of Safe Deposit Boxes O 9. Litigation Proceeds Deceived (Attach Copy of Trust.) O 10, Spousal Pove Credit Date of Death m' ( O Between 12-31-91 and 1-1-95) 11. Election to Tax under Sec. 9113(A) (Attach Schedule O) CORRESPONDENT - TNlS SECTI(JN MtJST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFOR Name ~ MATION SHOULD BE DIRECTED T0: n ons s uire~ Y q __ _. . -. Daytime Telephone Number ..... .... r _ '~ _ » ~ ~ ; 717 238-4777 ~ _ ll _..._ ___ ~ ~ _ ~`' c~ ~ , ;~ r, ', REGISTER OF IIIN~.~_U~SE~ONLY~." , _~ First Line of Address ~ -. r-° ~. ~' r?-; ~ :112 Walnut Street ~ ... __. ___ _ _ .~ ...,,1 •} . ... : `: r _ - Second Line of Address . _ ,„ . _. ' - ~ , -i •, .... Ity or Post Office _ -., 3 L._ .. _ State 21P Code DATE FILED __.. __ . _.... Harrisbur ~ , PA ' 17011 .. ..........:...... Correspondent's a-mail addt Under penalties of perjury, I deGare it ie true, co ect and complete. pec SIGNA E OF PERSON Sea AOORESS 112 W2 C I have examined this return, Incfuding accompanying schedules and statements, and to the best of my knowledge and betlef, '.Ion of preparer other than the personal representative Is Rased on all information of which preparer has any knowledge. 3LE FOR FIL G URN DATE ~-/ 7 ~~/~ csburg, PA 17055 Street, 1505610 1105 IIII PA 17101 PLEASE USE ORIOINpL FORM Side 1 ~ / //' 15D5610105 J J 150561D205 REV-150 EX (FI) 9, Funeral Ex enses a p ~d Administrative Costs (Schedule H} ... . ............... 9. ' 10,384.38 ; 10. Debts of Decedent, I~Aortgage Liabilities and Llens {Schedule I) ........ . ... . . 10 8,886 38 11. Total Deductions t ( Vital Lines 9 and 10) ... . .... . ...... . ... 11 18,270 76 s ............ _. _. _.. ; 12. Net Value of Estate (Line B minus Line 11) ,, , , , , , , , , , , , 12 44,886 04 13. Charitable and Gove mental Bequests/Sec 9113 Trusts for which "" " _. an a action to tax ha not been made {Schedule J} ................ . ....... 13. 14. Net Valua Sub act td 1 I Tax (Line 12 minus Line 13) ........................ 14 44,886.04 TAX CALCULATION • SI 15. Amount of Line 14 tt et the spousal tax ra transfers under Sec. (a)(1.2) X .0_ 16. Amount of Line 14 tz at lineal rate X .0 17. Amount of Lane 14 to at sibling rate X .12 18. Amount of Line 14 to t 8 INSTRUCTIONS FOR APPLICABLE RATES or 16 15, ble '....... _ ...... ,. .. 44,886.04: 16, 2 019 87 .. ~... ale : : 17. .. a co ateral rate X . i ~ 18 19. TAX DUE ........................................................ 19 2,019.87 _.._ .. __ 20. FILL IN THE OVAL If YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15D5610~205 II I Decedent's Social Security Number _ ~o~dam•a Nam®: F~atricia R. Greenwald aka P.R Greenwald ' 396-32-8857 RECAPITULATION --~- 1. Real Estate Schad { ~tle A) ............................................. I ... 1. .... _.. .. ._ ._..._._ _. .............. ... ,... .. 2. ; Stocks and Bonds ~chedule B) ......... { _... .,...._ ........ ....,,,,,,,,.,,,. ..... 2. 3. Closely Neld Corporation, Partnership or Sole-Proprietorship (Schedule C} ..... 3. i j 4. Marigages and Not~s Receivable (Schedule D) , . , 4 _.. 5. Cash, Bank De osit p =; and Miscellaneous Personal Property (Schedule E)....... 5. ; 4,703 77 6. Jointly Owned Prop rty (Schedule F) O Separate Billing Requested ...... r 6 30 398 36 7. Inter-Vivos Transfe 8 Miscellaneous Non-Probate Property , _ . _ ... ' (Schedule G} O Separate Billing Requested........ 7. 29,054.67 B. Total Gross Assets) (total Lines 1 through 7) . . ......................... 8, 64,156,80 Slde 2 15D5610205 O <>~ REV-1500 EX (FI) Page 3 Decedent's Complete Address: Patricia R. Greenwald STREET ADDRES:i~ 423 S York Street ciTv Mechanicsburg Tax Payments and Credits: 1. Tax Due {Page 2, Llne 19) ', 2. CredkslPaymenis A. Prior Payments __ B. Discount -~-t.___~ ---r-- 3. Interest II File Number STATE Ztp PA 17055 (1) 2,019.87 1,697.17 4. If Line 2 is greater than Line 1 +~ine 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 request a refund. 5. If Line 1 + Line 3 is greater than L~ne 2, enter the difference. This {s the TAX DUE. Total Credits (A + B) (2) 1,786.49 (3) (4) f5) 233.38 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER T(I 1. Did decedent mat a. retain the use b, retain the right c. retain a revers d, receive the prc 2. If death occurred, without receiving r 3. Did decedent own 4. Did decedent own contains a benefic IE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS e a transfer and: Yes No Ir income of the property transferred ..................... to designate who shall use the property transferred or its income ......................... Mary interest ............... ^ Wise for life of ekher payments, benefits or care? ....................................... . fter Dec. 12, 1992, did decedent transfer property within one year of death dequate consideration? ............................................................................................................. " . ~ ^ an in trust for" or payable-upon-death bank account or security at his ar her death7 .............. ~ [] 3n individual retirement account, annuity or other non-probate property, which rry designation? ...................... ^ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RETURN, For dates of death on ar after July 1, 1 94, and before Jan.1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 I?S. §9116 (a) (1.1) (i)]. For dates of death an or after Jan. 1 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 perct3nt [72 P.S. §9116 (a) (1.1} (ii)]. The statu does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable ev n If the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2 0: • The tax rate imposed on the net v lue of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of a child is 0 percent [72 P.S. §9116(a)(1,2)]. • The tax rate imposed on the net vale of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except asnoted in [/2 P.S. §9116(a)(1)]. • The tax rate imposed on the net va ue of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a}(1.3)]. A sibling is defined, under Section 9102, as an individua who has at least one parent in common with the decedent, whether by blood or adoption. HEV-1$08 EX+ (7.1-10} pennsy~vani~i SCMEpULE E ~~ DEPAFiTME4T O!' F:NVEAUE CASH, BANK DEPOSITS 8c MISC. iNMER[TANCE TAx RETUaN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: Patricia R. Greenwald P. R. Greenwald FILE NUMBER: 2111-0789 Indude the proceeds of litigation and the date the proceeds were received by the estate. ___ ai Property iointFy owned with right of survh-orship must be dbclosed on Schedule F. ITEM NUMBER ~ DESCRIPTION VALUE A7 DATE OF DEATH 1. Refund: Internal evenue Service 840.00 2. PNC Savings Acc~unt No. 5080515372 - Letter from PNC attached. 1,363.77 3, Furniture and hou~ehold goods. Decedent lived a simple and frugal life. 2,500.00 _. ~ 70TAL (Also enter on Line 5, Recapitulation) ; 4,703.77 If more space is needed, use additional sheets of paper of the same size. - III REV-iSDg EX+ (oi-io) ~ ~~ pennsylvan~a ~~'~~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ~~ SCNEI~IILE F JOINTLY-OWNED PROPERTY P.EV-1510 EX+ {08-09) ~'~'~" ~sennsylvania !' •` DEPARTMENT 4F REVEWUE INHERITANCE TAX REnyRN ftESlDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY Patricia R. Greenwald a/lu ja P. R. Greenwald FILE NuMBEIR 2111-0789 This schedule ri hust be completed and filed if the answer to any of questlans 1 t hrough 4 on page three of the REV 15001s yes ITEM DESCRIPTION OF PROPERTY NUMBER '"~ n+E TfE DATE ~ THE iAaNSR:AEE, THElA AEUT1oN5Hm ro pECOOENT aNO TRANSFER. aTTAgI a croPY or THE oEEa tort aEw ESTaTE DATE OF DEATH VALUE OF S % OF DECD'S EXCLUSION TAXABLE . A SET INTEREST !F AR~I.ICABLE VALUE 4• -2010 Ford Fusion to A n Greenwald daughter of Decedent t f d , rans erre . Appraisal attached. D to of transfer 3-28-2011. 2U,900.00 100 3,000.00: 17,900,00 2• •PNC Investment Acco nt No. 8381- 7411 Transfer on death to Ann Greenwald, daughter & John T. Greenwald, son, PNC investment Itr attached. .. i _. I _ ~ ., ~, • _ 'I , 11,154.G7 . 100: 11,154.67 .: ; _. ...:...... i?Eli 751.7. EX+ (tU-nc'r ~ ~.:: pennsylvan~a DEPq RTMENT OF kEVEiJIhi INHERITANCE TAX RETIVRN ESTATE OF Patricia R. Greenwald a/luCa P. R. Greenwald FILE NUMBER 2111-0789 _ ~' Decedent's debts must he reported on Schedule I. - ITEM ~ NUMBER A, FU1~lERAL EXPENS DtSCRIPTION AMOUNT S: i. Myers-Buhrig Fu neral Home and Crematory, Ltd. 4,663.00 American Legio Post 109 -Room Rental 8 2 6.38 Burial Plot j 500.00 s. AUMINISTRA'~ IVE f ~rSfS: - 1. Personal Represen ~a`.ira Commissions: PJame(si of ~ersonal Representative{s) __ .. ---------------- --- ------ StreetAddr . ~W.._._.___------ 55 ._____.__.~___.~_._._______._-__..------------.---_._..___.._..._.__..__~..----- - Clty ._._.__.__I •- ---.____...~ -- --. - -- __ - __ State ___~__ ZIP ____ Year(s) Com I fission Paid; __`W_--------.__._..__. _.-._ ___._----------__-W._.~~ ,_____- _ 2, I Attorney Fees; ~~ I 4,500.00 ~~ Family Exemption: ~Tf decedent's address is not the same l i ' I as c a mant s, attach explanation.) Claimant -+ --- Street Addre~ _ s ~ _~ -___ ^ T . City _...___.. _. _ -- _._.__...._.._.---__ __ ._..___._..__.._..._.._....__._ State--._..~... 2IP .-_. __.______..__..._ Re}atianchip . f Claimant tc Decedent V_~. _-__ _ -~~._._. ~- -~._____ 4. Probate Fees i S, Accountant Fees: ~', 6• i T•.; Return ~'reparrr~ Fezs: aoo.ao ~• Register's Fees Ex planation -Inheritance Tax Rtrn - $75.00 & Probate wlo Issuance of Letters - $20 00 i . 35.00 i i __~__~ TOTAL (Also enter on Line 9, Recapitulation) .. # 10,384.3$ If more space is needed, ure additional sheets of paper of the same size, ~CHE[~ULE M PIJNERAL EXPENSES AND ADMINISTRATIVE COSTS REV-1512 EX+ (i.2-OB) pennsylvan9a SCHEDULE I .' DEPARTMENT OF REVENUE DEBTS OF DECEDENT INHERITANCE TAX RETIyRN MORTGAGE LIABILITIES >$ LIENS RESIpENT DECEDENT ' ESTATE OF ' FILE NUMBER Patricia R. Greenwald a/k/ P. R. Greenwald 2111-0789 Report debts incurred by a decadent prior to death that remained unpaid at the date of death, including unrelmbursed medical expenses. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1. _ ,_ LI,S. Treasury -1 11 Income Tax 665.00 ' 2. Rhonda Shaffer - E~ayment to landlord for Excess 1Q 2011 utilities 1,000.00 ,. _. 3. I~SAA I~ 161.77 4. GEMB Rental Insu~ance 59.61 _. 5. Hos 'ce of Central P~ PA - 1,000.00 s. Advance from Ann Greenwald for ex nses and attom pe ey's fees 6,000.00 _. i I I !, ,_ __ ... _. ~I ,.. TOTAL (Also enter on Line 10, Recapitulation) # 8,888.38 If more space is needed, insert additional sheets of the same size pin"~yt~a~ria SCH~D~i~.~ ,J INHERiTANLgTA;:R RN B~N~F',~~;~i~ii:~ RESIDE1Vr ~ . lSTATie OF: Patricia R. Greenwald a a p, R, Gt~eanwa[d ~~ NuMeER; 2111-0789 NUMBER NAME ND ADpRESS OF PERSON(S) RECEMNG PROpERTy RELATIONSHIP TO DECEDENT AMOUNT OR SHARE I TAXABLE DISTRIB ONS [Include outright spousal dlstributlons and transfers under Do Not Lbt Trwt~e[t) OF ESTATE Sec, 9!!6 (a) (1.2),) 1• Ann M. Greenwa~d - 423 S York Street, Mechanicsburfl, PA 17056 ~, Daughter 5D% 2. John T. Greenwa~d .4509 Grandv;ew Road, Larsen, VII! 54947 ~ 5D96 ENTER DOLLAR NMOUN 5 FOR pISTRIDUTI0N5 SHOWN ABOVE ON LINES IS THROUGH iB OF REV,I500 COUEA SHEET, AS AppROpwA~, II NON i7JU18[E DI5TRIB TIONS A. SPOUSAL D[STRIB ONS UNDER SCCiION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1, j I B, CHAkITABLE AND GD~IERNMENTAL DISTRIBUTIONS: 1. ', TOTAL OF PART IT - TER TOTAL, NON TAXAB .~~-'_ LE NISTRIBUT[ONS ON LINE 13 OF REV•1500 COVER SHEET. j i If more space Is needed, use' additional sheets of paper of the same size. ' Aug. 5. 2011 1:29PM PNC BANK Na. 1130 P. 1/2 ~'iM l.6A~tJ THE WAY August S, 2011 John F. Lyons, squirt 112 Walnut Stye Flaxrisburg, PA 1 7101 RE~: Patricia Greenwald SSN: 3 -32-8857 bOD: /1512011 Dear Mr. Lyons: In response to yo1ur request for Date of Desth (DOD) balances for the customer noted above, our records show the I following: Checking Acco ~ t Account # 50805 1115 Established; 06/0512007 PATRICIA R (~REENWALD ANN (3~EBNWARLD DOD balaaeo: $ 34,13b.40 + 1.51 aeerucd intece,9t Interest paid O1/ 112011 thnt 04/15/201 I - $4.30 Savings Accoun Accourn # 5080515372 Established: 05/08/1995 PATRICIA R aREENAWALD bOD balances: ~ ,363.72 + .OS accrued interest Itttarest paid 01/0/2011 thru 04/15/2011- $0,17 Investment A t The decedent Investment Accrnmt #97729051. For further infotmadon, you may ca11 the Brokerage tat 1-800-762-6111. Please note that thi I office provides date of death balances for deposit accamb (lltAs, CDs. Checking aad Saviags). We do n t process any flt~nelai tranraetioas or provide statanebts. li'you need assi:tauco wfth aDy oftbese items, )ease call 1-888-1'NC-BANK (1-88762-2265) or stop by Your local PNC Bank branch oflfiae. Sincerely, National Financia~ Services Cetrter PNC Bank, N.A. Member FDIC Page 1 of 2 ACCOUNT: DOCUMENTS: `••~ N~,TIO~NA,L B ANK ra~~; 1 115898480 04/04/2011 3 IIII 002,8, -_ ', PATRICIA R GREENWALD ANN M GREENWALD ' 423 S YORK ST 04 ', MECHANICSBURG PA 17055-6405 O ~ 3 I ---simma==xxiar Ii cxxxi=xxoasaxexo=aaxam.i siox xxiiaisxoxa xca~ta.e c xxo xcam=xcxaais xxxia=x , LOFT MINIMUM INT CKG ACCOUNT-1 1 5 89 8-48 0 ~ - ~ ~ - - `-.-. aaisaecaxoaaax DESC °Ois===asQxsoomaoxoeam=axxxoasxoooo. _ =ai'axxa.~mii=====ii= IPTION = DEBITS CREDITS DATE BA LANCE BALANCE LAST S ATEMENT CHECK ~ 2629 i ..,,,,,, .......... " " " " " " ' 03/04/11 25,231.49 CHECK ~~ 2630 ~ 582.00 03/17/11 24,649.49 CHECK ~~ 2631 536.40 03/18/11 24,113.09 544.44 03/22/11 KANSAS PAYMT C~'R CHILD SUPP 000000042199109 1 544.00 04/04/11 23,568.65 2 INTEREST , 5,112.65 BALANCE THIS S~ 1.03 04/04/11 ATEMENT 25,113.68 .....•,,,.,,,.•...,..••.•.•• „ _ 04/04/11 25,113.b8 TOTAL CREDITS~'I (2) 1,545.03 MINIMUM BALANCE TOTAL DEBITS I (3) 1,662.84 AVERAGE $ALANCE 23,568.65 24,367.25 Cif-x2---Si2--~ Rai22aismxxSa sitmoa=SC-S-Ci i62 ~Cii ii~iii2=2.f i=06222-iiC= 2S®iim=xSil~i 2- YOUR CHECKS SEQUENCED x==~aisa2sQSi~ DATE CHECK 2xx=®==Si=a====:==m.msc2=2 msxo2=asm®aiissoaieiaii2c2aas m222ascxSSi ... . .....AMOUNT DATE...CHECK ~-~,.....AMOUNT DATE...CHECR ~~. .....AMOUNT 03/17 2629 '!, 582.00 03/18 2630 536.40 03/22 2631 544.44 --I-------- INTERES T---------- AVERAGE LEDGER. INTEREST PAID T p-LANCE; T4,3b7r25•- INTEREST EARN~:D: - IS 03 1 INTEREST PAID 2 PERIOD; 1.03 DAYS IN PERIOD; 11: . INTEREST RATE; I 4.10 ANNUAL PERCENTAGE YIELD EARNED; •05Y. .0500 '~ *** C O N T I N U E D SEE REVERSE 61DE FOR fNPORTgNT WFOR ATION. 130 00001 O1 ACCOUNT: DOCUMENTS:. ,~... ~rlo~. B~wK ~~ ~~_.. ', 002181 r,_ III PATRICIA R GREENWALD ANN M GREENWALD 423 S YORK ST MECHANICSBURG PA 17055-6405 04 0 0 __~~~~~~~~ma~aa --- -- -- ~t~~~~~~~s~mmcmoaaammoe~eoooamraaasa~~~~~~~~~ss~aoemss~em®o saaaQOo -- -- --L--OW -HIN-IMUM iNT CK~-AC-COUNT--1-~5$9$4g0 _. T~C~aC ~=pppi QlYCS DESCR _ ~aa~®esme®i~~sa~t~same®s=CC~C=oa~~saam®~~s~tsiiiOCCC~C~a6 T..a :=~o~e~ PTION DEBITS CREDITS DATE BALANCE BALANCE LAST ST KANSAS PAYMT CT TEMENT .................. CHILD SUPP 000000042903273~~~1 INTEREST ,544.00 06/02/11 28,202.72 BALANCE THIS ST 1.10 06/03/11 TEMENT 28,203.82 ............................... 06/03/11 28,203.82 TOTAL CREDITS " TOTAL DEBITS (2) 1,545.10 MINIMUM BALANCE (0) 26,658.72 .00 AVERAGE BALANCE 26,761.65 - - - - - - - - - INTEREST - - - - - - - - - AVERAGE LEDGER B INTEREST PAID TH LANCE; 26,761.65 INTEREST EARNED; IS P 1.10 INTEREST PAID 20 ERIOD: 1.10 DAYS IN PERIOD: 11: 30 INTEREST RATE: 6.24 ANNUAL PERCENTAGE YIELD EARNED: .05X :0500 - - - ITEMIZATION OF OVERDRAFT AND RETURNED ITEM FEES - - - ******** ******************************************************it*,t***** * ~, ~ TOTAL FOR ~ TOTAL _*-------'~ _ ~ THIS PERIOD ~ YEAR TO DATE *-TOTAL- VERDRAFT-FEES:-~----- I ------~ --. 00--~,.-i=--- --- --.~..oo~~ ~*_ . - -~ - -------------i---- 00----* * TOTAL ETURNED ITEM FEES: ~ .00 ------ * PAGE: 1 115898480 06/03/2011 0 L . 1 T __ ,~: ~-~:,LINCOLN ' ~ MERCURY ,._.- %~ ,3 / ,~~~ his z, ~C 1100 Market Street Lemoyne, Pennsylvania 17043 Phone: (717) 761-6700 or (800) 422-3673 FAX; {717) 761-3951 www.lbsmithford.com ~P C 1N 57'MENTS Member FI RAend SIPC August 16, 2011 John F. Lyons 112 Walnut Street Harrisburg, PA 17101 RE: 8381-7411 / Patl Dear Mr. Lyons: The value of the above 0.070 123.659 280.188 If you have any Sincerely, PNC Investments, LLC. Estate Resolution Desk KSJ CC: Mark J, Sharrar The summaries, prices, reliable but are not neci only. Past pertormance R. Greenwald (Transfer-0n-Death Individual) ITerenced account on April 15, 2011 is as follows: ~ i ' ~ rn ^^-- r . I ~-M9 Cr }oil , u Instf Cash Portfolios Money Market _ N/A Icific Growth Fd CIA _ AEPG; Contrafund Advisor New Insights Fd CIA FNIAX Grand Total (Market Value + Accrued Ini _.. i ~ 1.00 $ 0-07 $43.37 $ 5,363.09 $20.67 $ 5.791.51 154.67 ease contact our Estate Resolution Desk at 800-622-7086. 's and/or statistics contained herein have been obtained from sources believed to be fy complete and cannot be guaranteed. They are provided for Informational purposes not guarantee future results. PNC lnvestrl~anes i.lc Member of l~he PNC Financial Services Oroup 1900 East Nihth Street 87-YB13-16-1 Cleveland Ohio 44114-3404 www.pnc.co i Important Imre tments Information: Brokerage and Insurance products are: Not FDIC Inw d • Mot Bank Owrantead ,May l.oae value Securities and b kerage services are provided by PNC Investments LLC, member FINRq end SIPC. Mnl1ilif?c anri nt n u~~„nonno nmrla~,~-,.,~..Ff..~.~l,. n•in ~._.. 11~Iyers - Buhrig Funeral Home :t.ttti Crematory, i.t~i. Serving Our Community for over 104 Years l2ol~eo-t L, tiul~ci,~, sir., Suhc~c~r~lsur - i)ircrc~lnc~tiu~Myc•rs-13ul~rit;.cnfrt - (717! 7C~ii-:~~}"?1 a7 I~;;~si. M~eir~ `il.re•ct Mcx~Ranictihur~; - I'crursyiv;uti.~ - 17Ui5 BIII ~To ::, , ' ~~ Ann Greenwald 423 South York Street ~~ Mechanicsburg, PA 1?055 ~, [INVOICE Invoice Number: 10010 Invoice Date: Apr 18, 2011 Page: 1 ' `~Nsme of.Decer ~ Deta of Dt'otth ~' Payment,Terms , ';' :puneral Director. Patrida Greenwal Aprll 15, 2011 Net 30 Days Robert i.. Buhrig Jr.~ ,, , ;, ~ ~`Descriptbn."~ ~ ~'' ~ ,. , ;:. 'Uni;~Ptice' r~C Faciities, Staff and Equipment M Merchandise SSO-Direct Direct Cremation with Alternative Container CA Cash Advances $ 3,596.00 mouRi . '::.;' -. $ 298.00 $ 209.00 $ 3, 596.00 $ 560.00 Subtotal _ ~$ 4,663.00 Shipping _ $ 0 ~ Sales Tax $ 0 ~ Total Invoice Amount $ 4,663.00 PaymenUCredit Details: C1~006, C10007 Pa ent/Credit Appied $ 4,663.00 ~~ ~ iroT,~:DIi~ _ o.oo Pest due accounts are subJect to late (charges of 1.596 per month. ~~ ~I'I-~•~~,1~ v.~~r tier •~linu~ir~er nc (v~ er*rvr• vi~ct arm v~~rcr iati~i~v ROOM DENTAL APRiL 19, 2011 FOOD $4.95 A PERSON SALAD I~I, BAR TE DER TAX TOTAL THANK Y~U JODi 6 II EC~CEY MANAGER AMERICAIN LEGi~N COST 10~ 198.00 25.00 50.00 13.38 286.38