HomeMy WebLinkAbout01-03-13
1505610105
REV-1500 t:x (°2.1'' (Ft
OFFICIAL USE ONLY
PA Department of Revenue Pennsylvania
OFRMTNENT OR REVENUE County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN .~ ~j~~
PO BOX 28o6oi
Harrisburg, PA iYi28-o6oi RESIDENT DECEDENT ~ ~ I ~ l.i ~r4'~.G~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
! 04/21/2012 ' 02/14/1919
Decedent's Last Name Suffix Decedent's First Name MI
Zyki ' Charles
_.
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
QD 1. Original Return
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
O 2. Supplemental Return O 3. Remainder Retum (Date of Death
Prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
QD 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust U 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime T~phone NumbP~i- ~ ~7 ~
~7
Jeffrey N. Yoffie,
Esq• ~
(717) 3~ztt?0 ~~ ~ ~
.. :~ _..._ --w .~~.
First Line of Address
2 Lemoyne Drive
Second Line of Address
Suite 100
City or Post Office
Lemoyne
Correspondent's a-mail address: lYOffe(CaVerlZOn.net
State ZIP Code
PA '.17043
REGIDrE,~.Of`WILLS USE
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DATE FILED
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
S GNATURE OF PERSON RESPONSIBLE F~pR FI}ING RET N ~
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ADDRESS
2 Lemoyne Drive, Suite 100, Lemoyne, PA 17043
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
2 Lemoyne Drive, Suite 100, Lemoyne, PA 17043
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610105 1505610105 J
r •
J
1505610205
REV-1500 EX (FI)
Decedent's Social Security Number
Decedent's Name: Charles Zykl
RECAPITULATION
1. Real Estate (Schedule A) ............................................ . 1.
2. Stocks and Bonds (Schedule B) ...................................... . 2. 375,155.24
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3.
4. Mortgages and Notes Receivable (Schedule D) .......................... . 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)...... . 5. 8,039.73
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ...... . 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested....... . 7.
8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 383,194.97
9. Funeral Expenses and Administrative Costs (Schedule H) ........... ........ 9. 17,399.77
10. Debts of Decedent, Mortgage liabilities and Liens (Schedule I) ....... ........ 10. 12,625.53
11. Total Deductions (total Lines 9 and 10) ......................... ........ 11. 30,025.30
12. Net Value of Estate (Line 8 minus Line 11) ...................... ........ 12. 353,169.67
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. 353,169.67
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
16. Amount of Line 14 taxable
at lineal rate X .0 _ 16,
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 353,169.67 18 52,972.42
19. TAX DUE ....................................................... .. 19. ' 52,975.45
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
O
Side 2
1505610205 1505610205
T
REV-1500 EX (FI) Page 3 File Number
Decedent's Complete Address:
DECEDENTS NAME
STREETADDRESS ----
- ----
CITY STATE ZIP
PA
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments 50,323.80
B. Discount 2,648.62
3. Interest
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.
(1) 52,975.45
Total Credits (A + g) (2) 52,972.42
(3)
(4)
(5) 3.03
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 ........................................................................................................................ ...... ^
d. receive the promise for life of either payments, benefits or care? ............................................................... ....... ^
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ........................................................................................................ ...... ^
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ........ ...... ^
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? ............................................................................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
For dates of death on or after July 1,1994, 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 P.S. §9116 (a) (1.1) (i)].
For dates of death on 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 percent
(72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
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 21 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 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 4.5 percent, except as noted in [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 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.
f
COMMONWEALTH OF PENNSYLVQ """
COUNTY OF CUMBERLAND
SHORT CERTIFICATE
I, GLENDA EARNER STRASBAUGH
Register for the Probate of Wills and Granting
Letters of Administration in and for
CUMBERLAND County, do hereby certify that on
the 16th day of May, Two Thousand and Twelve,
Letters TESTAMENTARY
in common form were granted by the Register of
said County, on the
estate of CHARLES ZYK/ 1 a to of UPPER ALLEN TOWNSH/P
(First, Middle, Load
in said county, deceased, to JEFFREY N YOFFE
(First, Middle Lastl
and that same has not since been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
seal of said office a t CARLISLE, PENNSYLVANIA, this 16th day of May
Two Thousand and Twelve .
File No. 2012-00566
PA Fi I e No . 21- 12- 0566
Date of Death 4/21/2012
S . S . # 201-16-7000
egrs er r s
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eputy
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL
,
LAST WILL AND TESTAMENT
OF
CHARLES ZYKI
I, CHARLES ZYKI, formerly known as Charles Zyk, presently of Swatara Township, Dauphin County,
Pennsylvania, 17110, being of sound mind, memory and understanding, do make and publish this, my Last
Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made.
ITEM I: 1 direct that all my just debts, funeral expenses and inheritance taxes which may become due
as a result of my death, be fully paid and satisfied as soon as conveniently may be after my decease.
ITEM II: I give, devise and bequeath unto my friend, NORMAN M. YOFFE, twenty (20%) percent of
the rest, residue and remainder of my estate of every nature and wherever situate, provided that he survives
me by thirty (30) days after the date of my death. In the event my friend, NORMAN M. YOFFE, predeceases
me or dies on or before the thirtieth (3O`h) day following the date of my death, I give, devise and bequeath his
share, equally, to my other residual beneficiaries or the survivors of them as hereinafter provided.
ITEM Ili: I give, devise and bequeath all of the rest, residue and remainder of my estate of every
' nature and wherever situate, to the follawing individuals, or the survivor of them, in equal shares:
A. To my brother, LEONARD C. ZYKI of 13 Cross Hollow, Greenville, SC 29607; .
6. To my niece, PRISCILLA (ZYKI) HALL, 9062 Bayshore Drive, MI 49837;
C. To my nephew,lOSEPH ZYKI, Roanoke, VA;
D. My nephew, LEONARD ZYKI,IR., 15041 County Line Road, Odessa, FL 33556;
E. My niece, DIANE C. ZYKI, Hyannis, MA.
ITEM IV: In addition to the powers conferred by iaw, I authorize my Executor in his absolute
G ,Z
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1 7
I discretion:
A. To retain in the form received, and to sell either at public or private sale any real
or personal property.
B. To manage real estate.
C. To invest and reinvest only in forms of property defined as legal investments
according to the laws of the Commonwealth of Pennsylvania.
D. To exercise any optional rights arising from ownership of investments.
E. To compromise claims without court approval, and without consent of any
beneficiary.
ITEM V: No interest of any beneficiary under this Will or any Codicil hereto shall be subject to
anticipation or voluntary or involuntary alienation, and the personal receipt of such beneficiary shall be the
sufficient and only discharge my Executor unless otherwise provided herein.
ITEM VI: I hereby nominate, NORMAN M. YOFFE, to be and act as Executor of this, my Last Will and
Testament. In the event NORMAN M. YOFFE, predeceases me or otherwise fails to qualify as Executor, I
appoint,lEFFREY N. YOFFE, ESQUIRE, to be and act as Executor of this my last Will and Testament. No bond
shall be required by my Executor in Pennsylvania or in any otherjurisdidion.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this o~ t ~ day of
P , 1999.
c.~n.~s z~~-
CHARLES ZYKI, formerly known as
Charles Zyk
C7
2 ~
1 ~
The preceding instrument consisting of this and two (2) other typewritten pages, was on the date thereof
signed, published and declared by CHARLES ZYKI, formerly known as Charles Zyk, Testator therein named, as
and for his Last Will, in the presence of us, who at his request, in his presence and in the presence of each
~ other, have subscribed our names and witnesses hereto.
~at,Gt.~ Ca., of
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of
4058/99-596
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CODICIL
I, Charles Zyki, hereby make this Codicil to my Last Will and
Testament dated October 27, 1999.
1. "Item III" as presently appearing shall be re-designated to
read "Item III(1)"
2. The devise in III (1) (A) to Lenoard C. Zyki is hereby deleted
as he has predeceased me on November 11, 1999.
3. A paragraph Item III(2)(a) and (b) are to be added to my
aforesaid Will, to read as follows:
"(a). Anything hereinabove to the contrary
notwithstanding, if any of the individuals named in Item III(1)(A
through E as above) are deceased at the time of my death, or cannot be
located, then I direct that my cousin Nancy Marino, of 10 Middle Road,
Newark, nelaTaare, 19711-614]., be substituted as a devisee for that
deceased person or one who cannot be located (or for one of them if
there is more than one such deceased or un-locatable person).
(b). Any aforesaid devisee, or substituted devisee (in the
case of Nancy Marino) shall be deemed to be un-locatable if my
personal representative cannot located him or her (as the case may
be), 1) after making reasonable efforts to do so for a period of one
year after my death and personal representative's appointment,
whichever is the latest to occur, and 2) until final Court approval of
an Order of Distribution pertaining to my estate, whichever is the
later to occur [as between (b)(1) and (b)(2)].
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
~~ day of ~•, ~~9.~4
`~~- ~~
TESTATOR
~~
CHARLES ZYKI
(SEAL)
WI S ED:
ADDRESS ~~~lY tf < < 11~~j
ADDRESS ~~ ~~ ~- r ~ .
COMMONWEALTH OF PENNSYLVANIA:
§§
COUNTY OF
Charles Zyki, the Testator, along with the above named
witnesses, whose names are signed to the foregoing instrument, being
first duly sworn, each hereby declares to the undersigned authority
that the Testator signed and executed the above Codicil in the presence
of the witnesses and that he had signed willingly, and that he executed
it as his free and voluntary act for the purposes therein expressed,
and that each of the witnesses, in the presence and hearing of the
Testator, signed the above Codicil and that to the best of their
knowledge the Testator was at the time eighteen years of age or older,
of sound mind and under no constraint or undue influence.
Subscribed, sworn to and acknowledged before me by Charles Zyki
the Testator, and subscribed and sworn to before me by the above
witnesses, this ~ g~"`~ day of .1~Ie~*e~er, z''~6~~"~
~u n e , 2_caa-r
.~
NOTARY PUB IC
My Commission Expires : "~,~ a. ti ~ ~o ~o
NOTARN! SEAL
IYDiA R OMVIS
Nobly PubNc
WVALItEA 1WP QA#1PFOr1 COINVry
~h CaTMr~won ExpM~s Jon 27, 2010
zyki\codicil
REV-1503 EX+ (8-1z)
~ Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCFIEDI~LE B
STOCKS & BONDS
ESTATE OF FILE NUMBER
Charles Zyki 2012-0566
All property jointly owned with right of survivorship must be disclosed on Schedule F.
1r more space is needed, insert additional sheets of the same size
REV-i5o8 EX+ (o8-iz)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS & MISC.
PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Charles Zyki 2012-0566
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 on Schedule F.
~~ more space is neeaea, use aaaitionai sheets of paper of the same size.
r ~ 1
REV-151.] EX+ {i[)-09)
~i`1 Pennsylvania
~_ DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Charles Zyki 2012-0566
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
I' Parthemore Funeral Home 2,662.47
2. Emanuel Cemetery 500.00
s. Gingrich Memorals 754.60
e, ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s) Jeffrey N. Yoffie
Street Address 2 Lemoyne, Drive, Suite 100
~;ty Lemoyne _ state PA ZIp 17043
Year(s) Commission Pald:
z• Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4• Probate Fees:
5. Accountant Fees:
6• Tax Return Preparer Fees:
~• Carlisle Sentinel (For Advertising Letters)
$. Cumberland Law Journal (For Advertising Letters)
TOTAL (Also enter on Line 9, Recapitulation) I $
If more space is needed, use additional sheets of paper of the same size.
13,000.00
292.50
115.20
75.00
17,399.77
~• r
REV-7.51.2 EX+ ;.12-17..)
~ Pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Charles Zyki 2012-0566
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1• Owed To Yoffie & Yoffie, P.C. For Services Performed As POA And Attorney Prior To Date Of Death 5,139.23
2. Pinnacle Health (120294044) 50.00
3. Messiah Lifeways (31226) 5,350.00
4. Alert Pharmacy (Zykic GRP-7w) 97.30
5. East Pennsboro Ambulance (12-133595) 25.00
6. Special Event Emergency Medical Services (12-139049) 25.00
7. East Pennsboro Ambulance (12-130095) 25.00
8. Pinnacle Health Hospitals c/0 Computer Credit, Inc. (120261154) 50.00
9. Pinnacle Health (197386) 15.00
10 Susquehanna Twp EMS (8481) 45.00
11. PA Department of Revenue - 2011 Tax Liability 10.00
12. IRS - 2011 Tax Liability 1,794.00
TOTAL (Also enter on Line 10, Recapitulation) I $ 12,625.53
If more space is needed, insert additional sheets of the same size.
y + ~ )
REV-1513 EX+ (01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE ]
BENEFICIARIES
ESTATE OF: FILE NUMBER:
Charles Zyki 2012-0566
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
Sec. 9116 (a) (1.2).]
1. Priscilla Hall Niece 25%
2. Joseph Zyki or Nancy Marino Nephew or Cousin 25%
3. Leonard Zyki, Jr. Nephew 25%
4. Diane C. Zyki Niece 25%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 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, use additional sheets of paper of the same size.
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Statement overview
Accounts
Value on
osr~1RO12
Vanguard Voyager Services®
Voyager Services: 800-2847245
$o.oo
.Total value of all accounts as of[rJune 3D, 2012
vai°e °° Balance trend
os~sonol2
Charles Zyki
Individual account :188,745,85 S0.8p
szoo,ooo
»,-
s100.000 `"""'a
so m-rm`nrrrr
2008 2009 2010 2011 2012
Investment return (market change, dividends, interest, capital gains)
Since June 30, 2007: $25,944.73
For more information on your account, including tools to help you set up a target asset
allocation, log on to vanguard.com.
June 30, 2012, quarter-to-date statement
Page 2 of 6
• ~
a
$ ~cVl~tidCt~ "
'~ Individual aCCOUnt Vanguard Voyager Services®
Charles Zyki Voyager Services: 800-284-7245
Account overview $o.oo
Total vahis of all accounts as of Jena 30, 2012
Year-to-date income
Taxable income $3,068.54
Nontaxable income 0.00
Total ~,ggg,54
Balances and holdings for Vanguard funds
Beginning on January 1, 2012, new tax rules on taxable Inonretirement) mutual fund accounts (excluding money market funds) require Vanguard to track cost basis
information for shares acquired and subsequently sold, on or after that date. Unless you select another method, sales of Vanguard mutual funds, but not ETFs, will
default to the average cost method. We'll begin reporting cost basis to the IR5 in 2013. For more information, visit vanguard.com/costbasis.
Fund & Average puce Balance on Balance on
Symbol Name account _ _ per share Total wst 03/31/2012 06/30/2012
VWEAX High-Yield Corp Fund Adm 0529-0993100D374 - - $106,015.77 $0.00
VFIAX 500 Index Fund Adm 0540-09931 D00374 - - 82,730.08 0.00
5186,745.85 50.00
June 30, 2012, quarter-to-date statement Page 3 of 6
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r Individual account
Vanguard Voyager Services®
Charles Zyki Voyager Services: 800-284-7245
Account activity for Vanguard funds
High-Yield Corp Fund Adm 0529-09931000374
PWaheses Withdrawals Dividends
$0.00 -$105,853.83 $953.07
30-day SEC yield as of 06129/2012' 5.76°,6
"'Based on holdings' yield to maturity for last 30 days; di stribution may differ. For updated information, visit vanguard,com.
Dale Transaction Shares
Amount Share price transacted Total shares
owned Value
Beginning balance on 3/31/2012 $5.84 18,153.386 $106,015.77
04/30 Income dividend $571.00 5.87 97.274 18,250.660
05/18 Sell electronic bank transfer -105,853.83 5.80 -18,250.660 0.000
05/18 Income dividend check 382.07 0.000
Ending balance on 6/30/2012 ~,g~ 0 ~ ~ ~
Effective May 23, 2012, we eliminated contingent redemption fees on 33 Vanguard funds. These fees had been assessed if the funds were sold before their
specified holding periods. For a full list of the funds no longer charging contingent redemption fees, go to vanguard.com/feechanges.
5001ndex Fund Adm 0540-09931000374
Purchases Wdhdrewals Dividends
$O.DO -$76,317.19 $0.00
Date Transaction Shares
Amount Share price transacted Total shares
owned Value
Beginning balance on 3/31/2012 $129.78 637.464 $82
730
08
05/18 Sell electronic bank transfer -$76,317.19 119.72 -637.464 ,
.
0.000
Ending balance on 6/30/2012 5125.55 g,ggg ~ ~
June 30, 2012, quarter-to-date statement
Page 4 of 6
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r Individual account Vanguard Voyager Services®
Charles Zyki Voyager Services: 800-284-7245
Raaflzed gains and losses
You can get cost basis information for both realized and unrealized gains and losses for your Vanguard account at vanguard.com.
Some or all of this information may be reported to the IRS on Form 1099-B Proceeds from Broker and Barter Exchange Transactions. Vanguard provides cost
basis information using the average cost method for mutual funds and first in, first out for other holdings, unless you've selected another method. You may
want to consult a tax advisor to determine the appropriate method for you. Certain adjustments may change the basis we're currently reporting to you. In
that event, we'll send you revised realized gain and loss information. A dash indicates the information on our system was incomplete at the time this
document was generated. See IRS Publication 550 (Investment Income and Expenses) for additional information.
Vanguard funds
High-Yield Corp Fund Adm 0529-09931000374
Term
Date sold
quantity
Proceeds
Total cost
Gain/Loss
Disallowed bss Total gain /
Allowable loss
Short-term
Long-term 05/18
05/18 1 1,229.932
7,020.728 $7,133.60
98,720.23 $7,778.35
111,431.01 ($644.75)
(12,710.78) $0.00
0.00 ($644.75)
(12,710.78)
500 Index Fund Adm 0540-09931000374
Term
Date sold
~uanthy
Proceeds
Total cast
Gain/Loss
Disallowed loss Total gain /
Allowable loss
Shan-term
Lang-term 05/18
05/18 13.175
624.289 $1,577.32
74,739.87 $1,498.06
68,427.13 $79.26
6,312.74 $0.00
0.00 $79.26
6,312.74
June 30, 2012, quarter-to-date statement
Page 5 of 6
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