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05-29-15
I IIIII II MI� I J `."p• ' penns�lvania 150561b403 oEPARTME OFREVEN�eX(03-14) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes CountyCode Year File Number / Po BOx 280601 INHERITANCE TAX RETURN �� Harrisburq,PA 17128-0601 RESIDENT DECEDENT 21 l� � (� ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYWY Date of Birth MMDDYWY 207 28 2014 �1 14 1914 DecedenYs Last Name Su�x Decedent's First Name M� FULK PAUL F (If Appiicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1. Original Retum � 2. Supplemental Retum � 3. Remainder Return(date of death ❑ prior to 12-13-82) 4, Agricultural Exemption(date of � 5. Future Interest Compromise(date of � 6, Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) � 7. Decedent Died Testate � 8, Decedent Maintained a Living Trust � 9. Total Number of Safe Deposit Boxes (Attach copy of will) (Attach copy of trust.) ---- � 10. Litigation Proceeds Received ❑X 11. Non-Probate Transferee Return � 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) � 13. Business Assets � 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT•THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number BRUCE J WARSHAWSKY 717 238 6570 First Line of Address 2320 NORTH SECOND STREE Second Line of Address City or Post Office State ZIP Code HARRISBURG pq __., :� CorrespondenYs email address: �cclawpacom `� sr, .� � � �� I� GISTER�ILLS#1 ''QNLY ^ -_ s--� � t REGISTER OF WILLS USE ONLY "" ('� -,� DATE FILED MMDDYYYY Cf� � � � + _�7 � ` 1 �� ...j � � _ ,.`> � ,... r�7 , _ � ' DATE F ED ,/�MP� . � Side 1 � I IIIIII IIIII�IIII'�Iil IIIII�II�I II�II IIIII IIIII�II�I IIII II�I � 1505618403 � y ` �v�� Printed with pdfFactory Pro trial version - purchase at www.pdffactory.com I IIII II ql■ I � 1505618411 REV-1500 EX DecedenYs Social Security Number oecedenrs Name: Fulk, Paul F 2 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 and Notes Receivable(Schedule D).................................................... 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).......... 5. 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 2 4 0,7 9 7 .0 3 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) � Separate Billing Requested............ 7. 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 2 4 0,7 9 7 • 0 3 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 1,4 6 5• 0 0 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 9,0 7 9• 91 11. ToWI Deductions(total Lines 9 and 10)................................................................ ��, 1 D,5 4 4 • 91 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 2 3 O,2 5 2 • 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. 2 30 ,2 5 2• 12 TAX CALCULATION-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.00 15• 0 • 00 16. Amount of Line 14 taxable at lineal rate X .045 2 3 0,2 5 2• 12 �6. 10,3 61 • 3 5 17. Amount of Line 14 taxable at sibling rate X.12 0 •0 0 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 0 •0 0 18. 0 •00 19. TAXDUE................................................................................................................ 19. 10,361 • 35 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Under penalties of perjury,I declare I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and beliei, it is true,correct and complete.Declaration of preparer other than the person responsible for filing the return is based on all information of which preparer has any knowledge. SIGNAT OF PERSON RES SIBLE O FILING RETURN patricia A. Matthews DATE � r�t.C��c,w�--� ,�T��. ADDRESS 1216 Fenwick Drive, Harrisburg, PA 17110 SIGNATU PREP RER HER T REP ESENTATIVE Bruce�l.Warshawsky DATE 7 AD S 2320 North Second Street, Harris rg, PA � Side 2 � � rnrn � n � � � � � 1505618411 1505618411 �F created with adfFactorv Pro trial version www.adffactorv.com i i i ui■ i REV-1500 EX Page 3 File Number 21 Decedent's Complete Address: DECEDENT'S NAME Fulk, Paul F STREET ADDRESS 100 Mt.Allen Drive CITY STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 10,361.35 2. Credits/Payments A. PriorPayments 11,000.00 B. Discount 0.00 Total Credits(A +B) (2) 11,000.00 3. Interest �g� 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4� 638.65 Check box 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. �5� 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:.................................. ❑ 0 c. retain a reversionary interest;or............................................................................................................... ❑ ❑X d. receive the promise for life of either payments,benefits or care?............................................................ � 0 2. If death occurred after Dec. 12, 1982, did decedent transfer property within ane year of death without ❑ ❑ receiving adequate consideration?.................................................................................................................... x 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ �x 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................................................................................................. ❑ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 January 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 siatu#ory requirements for disclosure of assets and filing a tax retum are still appiicable 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 ears of age or younger at death to or for the use of a natural parent,an adoptive parent,or a step-parent of the child is 0 percent[72 P.S,§9116(a)�1.2)]. • The tax rate imposed on the net value of transfers to orforthe 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 nei value 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 individual who has at least one parent in common with the decedent,whether by blood or adoption. Printed with pdfFactory Pro trial version - purchase at www.pdffactory.com ii i ■■ i Rev-1509 EX+(01-10) �� pennsylvania SCHEDULE F DEPARTMENTOFREVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Fulk Paul F 21 If an asset was made Jolnt wlthin one year oi the decedenYa date oi death,it must 6e reported on schedule G. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. Patricia A Matthews 1216 Fenwick Drive Daughter Harrisburg, PA 17170 B. C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY DATE OF DEATH ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH %OF VALUE OF NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATfACH DEED FOR VALUE OF ASSE DECD�S DECEDENT'S INTEREST TENANT JOINT JOINTLY-HELD REAL ESTATE. INTEREST 1 A 10/16/2001 Edward Jo�es-#896-08944 113,081.56 50.000% 56,540.78 2 A 10/16/2001 Edward Jones-Tax Exempt 131,490.48 50.000% 65,745.24 3 A 03/09/1999 Janney Montgomery Scott 80,360.97 50.000% 40,180.49 4 A 06/17/2003 PNC Checking#5003548445 22,083.63 50.000% 11,041.82 5 A 10/11/2000 Stock held in Joint Account-CGM Focus avg. 48,134.91 50.000% 24,067.46 price$38.70-1243.796 6 A 10/11/2000 Stock held in Joint Account-IBM avg.price 84,969.91 50.000% 42,484.96 $183.91-462.019 shares 7 A 03/18/1999 Stock held in Joint Account-Walmart avg. 1,472.56 50.000% 736.28 price$75.64-19.468 shares TOTAL(Also enter on Line 6, Recapitulation) 240,797.03 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. FoRn PA-1500 Schedule F(Rev.01-10) Printed with pdfFactory Pro trial version - purchase at www.pdffactory.com i i i ■i■ i REV•1517 EX+(08-15) � pennsylvania SCHEDULE H DEPARTMENTOFREVENUE FUNERAL EXPENSES AND RESIDENTDEC ENTTURN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Fulk, Paul F 21 DecedenYs debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A.' FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid 2. Attorney's Fees Cunningham, Chernicoff 8�Warshawsky, P.G. 1,000.00 3, Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation) Claimant Street Address City State Zip Relationshio of Claimant to Decedent 4. Probate Fees 15.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 400.00 7. Other Administrative Costs 50.00 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 1,465.00 Copyright(c)2013 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.08-13) Printed with pdfFactory Pro trial version - purchase at www.pdffactory.com ii i ■■ i SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Fulk, Paul F 21 ITEM NUMBER DESCRIPTION AMOUNT Other Administrative Costs 1 Fee to obtain DOD values 50.00 H-B7 50.00 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) Printed with pdfFactory Pro trial version - purchase at www.pdffactory.com ii .i a■ i Rev-7512 EX+��y-�2) SCHEDULE 1 � pennsylvania DEBTS OF DECEDENT, '�� DEPARTMENT OF REVENUE INHERITANCETAXRETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Fulk, Paul F 21 Report debts Incurred by the decedent prior to death that remained unpald at the date of death,including unreimbursed medical expensea. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Alert Rx 391.10 2 Capital Health(20.16+13.20) 33.36 3 Messiah 8,603.69 4 Obilex 43.28 5 Paul Dalbey g,qg TOTAL(Also enter on Line 10, Recapitulation) 9,079.91 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-12) Printed with pdfFactory Pro trial version - purchase at www.pdffactory.com . . I IV.Il '.II.■1.�. 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D., o� � �.�-. � � � � V t�ii � o � � �it$ � O � 3id �i � � � I IJ�,,1 � w 'v�i ��p V y~� � �-• ��-p• wpp o _ � � O a . •� I• � 01 N ? 01 01 O � V 01 O : _�,..� � a� (� � _-�� -�- " � � � � � � e; y O � � D I� � ,� iX � ��� � 3 � � � � o °= � r � � � < �o � � � � a ,� — °�� � rt � F-� F�+ I-+ F+ ...� QN , pp � �p �$ F+ '+ ►+ r G � N � v� ,� � � 3t w � !v }n (D � u� N -''C� oo � o $' ootO+ c�i� � o � � � 000000Sig $ $ m � �m � C1 �: �� � c m � � �� �. (Q � O � V � O 1 � � a �' �� � g � � � � � � � �.� � � i i i si■ i JANNEY MONTGOMERY SCOTT LLC � � 20 Erford Road Suite 315 Lemoyne,PA 17043 'h"`ted Adv�w"for Ge"`r'd°n' 717.731.4400 T 800.622.7200 F 717.731.4411 vwvw.janney.com February 17,2015 Cunningham Chernicoff&Warshawsky, PC Attorneys At Law Attn: Bruce Warshawsky PO Box 60457 . Harrisburg PA 17106-0457 � � RE: Paul Fulk Bruce: Enclosed per your request,please�nd the date of death valuation for the above referenced deceased client,as well as print outs detailing the interest and dividends and dates received. The official 1099 will follow via regular US mail. Mr. Fulk's accoun#was established March 9, 1999,and the capacity was joint tenants with rights of survivorship. Should you require any additional information, please do not hesitate to contact me directly at 717-731- 2102 or via email at kmartson@iannev.com. Sincerely, ___ _.___ - _� Kristy J. Martson Private Client Assistant THE HIGHEST STANDARD OF SUCCESS IN FINANCIAL RELATIONSH�PS. MEMBER:NYSE,FINRA,SIPC i i i ■u i Estate Valuation Date of Death: 05/28/2014 � � Estate of: Paul F. Fulk � Valuation Date: 05/28/2014 Account: 3480-0619 Proceseinq Date: 02/17/2015 Report Type: Date of Death Number of Securities: 6 Bhares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 2665 EATON VANCE PA MUN BD ED (EIP) COM NY3E AMEX Equities 05/28/2014 13.23000 13.10000 H/L 13.165000 35,084.73 Div: 0.06442 Ex: 05/21/2014 Rec: 05/23/2014 eay: 05/30/2019 171.68 2) 10 IN9URED MUN9 INCOME TR (45809R678) UT 539 CM Miscellaneous 05/28/2014 983.02000 A/B 983.020000 9,830.20 3) 8 INSURED MUN9 INCOME TR (45829D923) UT SER 605 CM Miscellaneous OS/28/2014 971.12000 A/B 971.120000 7,768.96 4) 12 INSURED MUNS INCOME TR (45829D506) UT609 CASH MTH Miscellaneous - 05/28/2014 974.68000 A/B 974.680000 11,696.16 5) 6 IN3URED MUNS INCOME TR (45824H523) UT646CM Miscellaneous OS/28/2014 927.39000 A/B 927.390000 5,564.04 6) 56 TAX EXEMPT SECS TR (87676E430) UT NATL 339 M Miscellaneous OS/28/2014 182.95000 A/e 182.950000 10,295.20 Total Value: $80,189.29 Total Ac c�'��' $171.68 Total: $80,360.97 �� Paqe 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. Janney Montgomery Scott LLC assumes no responsibility for the accuracy or completeness of the information provided, the Date of Death and the specific seGurities, which are valued. While we deem this information to be reliable,.we do not warranty or guarantee its accuracy. This service is not intended to constitute legal or tax advice. You should consult with you tax professional and attorney to discuss estate settlement and any 1ega1 matters. , ii ia■ i 4�:�,�-r.::Jan, 22. 2015;�;10.06AM� � PNC Bank' �'�����' �.��-� .:�� :� . . . . ....... . .. .. . ,,. ., ��, ';r.;��,...,,;��.,-.:.�;��No. 2887", .��P, 2�..::,.., . ., ' • • .:po. �,��� � .r�;u�y 2a,aors . Er;n H Duf�'y pNC Bank ' Linglcstown Road Bxanch RE: Paul�Fulk SSN:207-07-8838 � � DOD: OS-28-2014 Dear 1VIs. Duffy: � In r�sponse to your rcquest for Date of be�th(DOD}.ba�auces fbr#he custom�r noxed�bo�ve,our records show the foIlowing. Checki�ng Account A,ccount#SOQ3S48445 Es�ab�ished: 06-i�7-2003 PAUL F FULIE ' PATR.ICY?i A.MATT�EWS DOD balance: $22,083.54+0.49 ccrue�interest Please note tha�this a�iC'xce provides dars of dcatb�balauces for deposit aecoun�s(�2.A.s,CDs,Checiciug and Savings). We do not proce�s anp fiha�acis!transactione or prow�de statemants. Yf you need assistance vvit� any o�these items,pleaso ca.�� 1-888-pNC=BANK(1-888-762-2265)or stop b�r your local�'�1C Bank bxanch office. Sineerely, Na�i.onal�inancial Sar�nices Center PNC Banl�,I�.A. ' Member FAIC This message is intended for the use of the ir�div�dual or ennty tn wh�ch it�S.adu'r`essed anc3'may . contai�i inforrrcarion that�s privilegec� con,f�dential anc�exempt�vrra d'isclosza^e under applica�le law. 1'f the reader of th�s message�s not the intended reciptent or the errcptoyee or agent responstble for , deliver�ng this message!o t�ie irztetta'ed recipt�rit,you are hereby natified that`arry disseminarYo�, distr�burian or�copyfng of this cammuurzreatfons is st�ictly�rohYbztec� 1"fyou have receivec�rhis commun�ccrtion irz e�ror,please noti,�'y rree Ymmedtately 6y r�ply ori by telepho�e at g00-762-1775 and rmmedfately desrroy th�s faxed docume�r, �. Page 1 of� - r+,-� n�x R ' '. � . R �,�. -..�, - �xtY�" `v�w���..ht�.�.a�?si4"":A'H�F�. . .. � �t.�i�'-R . .�t� ���'�31tl��� v. � 7Mr~ �f . �.-M1 �•ciai*u��a � J��y.eT. . . , o.t-. k .�'?Q't�s��14'�Id''x. ��9LYi�iL�,�' '��.�"+�7A�� i.1 ' �... � i i ' i o■ i The CGM Funds Post Office Box 8511 Boston,Massachusetts 02268 800-343-5678 April 15, 2015 CUNNINGHAM CHERNICOFF & WARSHAWSKY PC ATTORNEYS AT LAW ATTN BRUCE J WARSHAWSKY PO BOX 60457 HARRISBURG PA 17106-0457 REFERENCE: 07543040 THE CGM FUNDS PAUL F FULK & PATRICIA A MATTHEWS JTWROS Dear Mr. Warahawsky: We are writing with regard to your correspondence concerning the referenced account previously held in The CGM Funds . At this time, we confirm that on May 28, 2014, the account held 1, 243 . 796 shares. The net asset value of The CGM Focus Fund on that date was $38 . 70, giving the account a value of $48, 134 . 91 . If you have any questions regarding this matter, please do not hesitate to contact our Customer Service Center toll free at 1-800-343-5678 Monday through Friday 5 : 00 a.m. to 6 : 00 p.m. EST. A Customer Service Representative will be happy to assist you. �/ Sincerely, � Shareholder Servicea i i i ■i■ i Page i of t Home �� g�ry Newa Sporta Finanu Wealhe/ Gamao Answars Saeen Flidtr Mabf�a I Mon �Upproa�to ths new Phefo Seerch Rnena seprch yyeb. Slpn In Mall Finance Home My PorffWio My Quotes Newa Market Data Yahoo Odginala Businees 8 Finenee Personal Finance CNBC Contributop �EntmSymbol �•_ � � � . . ... ,._. _. . ..... . .. . .. Wed,hn 1�,7013,11:SEAM Eg7.V.9.Mukeq doa�in{ha]min� R�pal an I�su� Dow 1.6+• .7 9t . I �,� ,� FUNDPfCKf.._..� r �FId4I SUSQ ! , �i n...ww o `,Can�F�ci,±)CoM��}�tw.mnn.�, �; ___ � ^t'. �...Addto�Patfo110�.� 3$ 7�. p..47(1,2Q%).�.n t� . _... Hlstorlcal Prices � � GN Hbtorled p�las}on nuU� .... ..__. ..__.. S�t Dat�Ranp� _ . . e1N Wht M + ""__.,.. r�y�Dally. TR���� �.: �y'�, 20 201A Ep.J�nl,2ofo �a,WN�, y f �d���� e�a nw:(Ma . 3p_ 2014� C'4 MonthlY � r' + �4X;.,�,",�'u;� F!DWidsndt Only f � .M.P�, I • � • Flrst�ProWou��Nexl�Last � Pric�� ; Dab Open Hlph Low Cloas Volums AdJ Ctoss• i May 30,2014 38.80 38.80 38.80 38,gp 0 38.80 � May 29 2014 38 BB 3B 80 39.80 3B 8E, 0 38 98 l � ,�� M.y�q�i��as, , �:� �e�o � �a xd" a'�: � ��;�e�o � r 8 : �.-�' , o; aa�o �:i �Mry 27;'101A 38,94 38.84 3�.81 38.84 0 38.94 � ;�a May 23,2011 38.83 38.83 38.89 38.8 3 0 38.83 � ���� ���� Mdy 22,]01/ 38.40 38.40 30.40 38,40 0 38.10 � "�'�`�` �'� M�y 21,2014 38A4 38.02 38.02 � �� 3B:D2 0 38:02 3 Map20,20f4 37.81 37.61 37.81 37.61 " 0 37,81 � �A�F 'Clw�Pda MludW for dNid�nd►�M pllb. �fi��� '. . Fltlt�Prsviou��.Npcl�Last I �� ��Download ta Spreadeheat E S, Currency In USD. ! ' p� q�Y r�yr S.�J&�. u 4t�k�+ 4i t 7!`�°'r��i'.4`5.Y���,�. � f n'i�?F. .�ss�+�Y`,' �...�¢'�.d�!t���.. i r�}';�.pEl1N0�7rICm'��}, i..._..,-�.-_.._..�_... 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In response to your request, on May 28, 2014, account number C0002344530 heid 462.019 shares. On that date, the closing price was $183.08 per share.This security historically has paid a quarterly dividend, most recently at the rate of USD $1.1000 per share. The assets were received in the account on October 11, 2000. Should the above information not fulfill your request for information, please write to us indicating clearly that you are looking for EXCEPTION information, and include a copy of this letter with your request. If you.have further questions, please call uS at 1-888-426-6700, or if you are outside of the United States please dial 1-781-575-2727.This connects you to our teleservicing system for around-the-clock access to routine, helpful information. If you wish to reach a service representative, simply press zero once. Our telephone representatives are available Monday through Friday between the hours of 9:00 AM and 5:00 PM Eastern Time. Please note that any available representative can assist you. Please vtsit our Investor Centre at www.computershare com/ibm to obtain answers to frequently asked questions and information about our available serVices. Sincerely, _ � , Service Representative Enclosure: None i � i n■ i P�ga r af i Homs Mail 3eerdf Newa SpoAs Finenc� WeathaP Gema� Anewere Screan Flirkr MoWI� I rybro 1�Upgrad�tv�he new Ftrefa Search Flnerxe Search yYep Sign In Mall Finance Home My PorlFollo My Quotes News Market Data Yahoo Odginale Buslnesa 8 Finance Persanai Fina.nce CNBC Cantrlbuton ���n� '� �4,�+n 14.tDi3.11:9EAM E9T•U.B.MarkeV dow�n!hn 2 mMs R�port�n I��u� DOW 1. .•. ..�„� �B� •:�,r� �zils ;� �1�1REPIDING7 � . .«.i• EiFTE�qpE" ' �� 'T.._ oPEN AN A2cOUtVi'� � � . o�� ... _ .. ;. � ------ .... __�,_�. li�brnstlonal Bu�In�as Machl e��orporvtion IB .. --- --- � ,. , ,r.: ,.,, . � IN�-NYef"kWikhllN+r� � Add W PoMo110j . . . . .. . . . ... , _.,... ...........� �rJ�tQ9��;4 72(1.09°�oj:'»aenMeer•N.wwR.anm.Pn�. ,..�.�, Htstorfcal PHcer oq H�seone.i Pr��o ror.nuli �� ..__,_.....�.�..._,...... 9�t Da»R�np� a���y awt G�M a: Ma • 20� 2014�ep..un t,201Q �e Wsekly e � ene ow�[M�a�3p__2014 V f?Monu�y � °i+� • �awd.na ony ;�,e; .f ,.:� Flrst�Previow�Next�La�t �Prlc�� Dab Open Hiyh Low Cloer Volums Aq Cloe�• May 36,2011 183,98 184.67 182.40 1B4.3B 4,820,600 182.03 M�y 29 2014 te�d4 183 79 ._ 102.,3�1 � 1Q9 70 Z 759,900 101 44 183�9i A��MoY�?�,��14, ' ,, 1e�48, ";: .ted.QO il� �e�:e� .ie�oa . ; s��a,a�e , ;''�eo�f :> Mey 47;2014 184.80 185.E6 183.83 1D4.7q �.7B9,B00 182.M May23,2p14 Q8�,8+ 188.11 185.31 186.84 2,562,900 189,5Y May22,201� 18E.4S 188.�5 1&5.03 186.88 2,218,000 183.33 ,S: May21,7014 185.86 187.1E 1B4.9b 188;39 2,988,000 184.09 M�y 20,2014 186.2'J 188.70 184.70 184.99 3,028,500 182.56 'Clow pla WJud�A for�vk�nd�mE�pllp. � Flrol�Previow�Ne�A�Lasi � �'iDownload;o 9proadahaat Curcency in USD. � � �.e{; +m .. . . _. .. .. . .._ _..__._... :..............�., . . . . . . Ad Toplu That MIghE intere�t You... t i ..... _ __..._._ _._..._. __..._� _.._..._ �___�.___.___......_.; l" 1.#1 Penny&xk to Buy 6 IBM SMek Htatory i � . . . _ , 2.IRA Oold Invasbner�fs 6 Hfph neld Dlvidand�Stpe�cs i . . .. .. .. ... .. . .. . . ... .. ... .. .. ,..... .._ _.... ... .... ; �.ETFs to Invast In 7.1C Beat Stock�to Buy . .... . . ...,. _ .. .. .. _.. ... .. ._ __... ._ _ _. ....._ . .,.. i 4.Hlgh Dlvidand Ind�x Funds 8.IBM 9toek PndlcUons Fsa��ek . ... .. . �.. � rrw.�y•aww our�a.•T.mn•8ma F.eae�•Yahool-ABG Newe Nolwork Oualns are rnlalm�la NReoAq,ryYSE,end NVSH b1KT.&»�No tlalry tM�Na fq pyip sk�JMn�.p�Mfarmetloh qovid�d'aa b'Por Infamalbnal purpofM onFj.mf Infendatl yr fr�diny PurPosM ar etMaa.NaIIhN Y�ool nof�ny of Ind�p�n4�M prov�m h q�bN 1w�ny Infwmaqaql erton,4wqrtpleunea,or d�hy�.or la eiry eclbna lakao Iq reWnp on pdammpon coMdned haralrt.By eeonNny IAe Yahool qt�,yw�epm ral In r�dIWIbW�Ih�Inkrm�tlon lound Iheroin. - Fundanrnld ao�siiy dola pro�lded by peplul IG.Hlelwlal dxrt de4 e�dally updala proWded py commou�y 6y�bmr,lna(cfil},Inlemauanal nklodsal choA Ma,dely upcWy,hp�d ewnmary,ImM Porbrinuta,tAvklcqd dala end A1aMinpelar Indm deU pwWed by MumLp�yr,Ina hltp:/�nancayskoo,mm/qJhp7�lBMda.oq&1i�io8cc.zoiq&d.o¢&rx�od�f.aoi4d�g.d �h/�/soi5 i � i n■ � �,omputershare P.O. Box 43080 Providence, RI 02940-3080 Phone: 1-800-438-6278 E-mail: walmartCalcom��tershare com March 12, 2015 CUNNINGHAM CHERNICOFF& WARSHAWSKY PC ATTN: BRUCE]WARSHAWSKY � PO BOX 60457 HARRISBURG PA 17106-0457 Comparry: WAL-MART STORES INC Registration: PAUL F FULK& PATRICIA A MATTHEWS JT TEN Holder Account Number: C1002768701 Document I.D.: 15068WF00005061 Our Reference: WMT/0120150309/63534194/Frank Summaria Dear Shareholders, Thank you for your inquiry regarding the account referenced above. We appreciate the opportunity to be of service to you. Our records indicate that the above referenced account was established with Computershare on 03/18/1999.This account is considered as a Joint Tenant account with Wghts of Survivorship. On 05/28/2014,the above referenced account held 19.468 shares. On that date,the closing price was$75.53 per share. The total share balance at that time was$1,470.41 which included any accrued dividends. The total amount of dividends pafd from 01/01/2014 to 05/28/2014 are as follows: On 01/02/2014 a dividend was reinvested in the amount of$9.04 and on 04/01/2014 a divldend was reinvested in the amount of$9.29.These dollar amounts are based on the total amount of shares held at the time the dividend was recorded on the holder's account. If you have any additional questions, please call Walmart Shareholder Services at Computershare. We can be reached toll free at 1-800-438-6278 between the hours of 8:00 a.m, and 6:00 p.m., Central Time, Monday through Friday. Any one of our associates will be glad to assist you. You can visit our website at www.computershare.com/investor to access your account online. Sincerely, IV�GM""' �v 1 1 Walmart Shareholder Services Enclosure: None i � u i n■ � r�.,�', Home Mall Search Newa SpoAs Fina�a WeaVier Gemu Mawere Screen Flickr MobiN I Mora `Upgreds to Ihe new Firefo. 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R, �� Ad Topics That MIphQ Inhrosl You... � 1.ETF�to Im�;t In 6,Stoolu to Buy Now i . .. .._.._. � ... .. , .._ . .__..._:._ ... �.. ........ _ ._ ...... ... , ' 2 e paet stoelµto Buy 6.Hiph Divid.end Indax Fund"s I _. .. _. . .. .�.. ...._ .. . ,.� /1 3.Penny 9tocka to 8iry 7 Stocks Payinp Hlah D1vWend � _ � . . .. . ,, . . _. _. . _ .. _ ...... 4.BOst 9tack�To Invat !.Hlph-Dfvldend ETFs j Fa�dh�ck .. . . ._ ..ay. . arrv�-�now our�wa•Tamr.s.�w p..�p,cn•Yahool•ABC News NelWork ' Ouota�oro mMlm��br NABDAp,N1'8E,and NYSE MKT.9��eko delay tlmo,to�atlier exd�onp��.A1 IMamaqoo quNdad•u 1�•fw IMormatlonal purpoue only,m41MSMW fmtipipnp purpwor or�d+leo.NNlh�r Yohqol na any of hW�pmdent providm b hbl�fur siry InformeYooN ertan,InwmpNbnsu,or tlNryt,a for eiry eclbno taken tn ropena on Inpprmotlon aonhlnrd berdn.8Y aa�sNnp w�Yallool olls,Yui eprse iwl b rWbUibW�Ih�Informatlm yund U�erNn. � FundanxpW aomp�rc�C�u proyitled qy Coplld 10.Hlualwl eh�rl dah md dNy updalal proulded tiy Cortnqrqly�6yRlartr.Ina(CSq.Inlainelion�hI�WrIeN cAsA dau,Oyy updelu.lund wmmery,mnd perfarmenee,dWldsnO tlOh ahd MominpNal hdn dab prwidad by Momiqgefu.In¢. hltp://finance.yatiw.rnm/q/hp7�-Whff&a.oq&Ihno&aaoiq&dtoq&e.go&fysmp&g-d thq/amg I 111II II NI■ 1 . � � �� RICHARD S. SIMPSON II CPA 282 Lowther St.,Ste 201 , ( LEMOYNE, PA 17043-2043 �� � (71� ?74-6040 Simprsii@gmail.com August 25,2014 , Paul F. Fulk 1316 Fenwick Drive Harrisburg,PA 17110 Statement of Charges for Services Rendered: Tax Preparation Fees: 2013 Federal,PA, &Loca1 $ 400.00 Total fee $ 400.00 ; � � � . . i � i. i n■ � 7oRnnrt D. CUNNIl�iGHAM,CHE1tNICOFF&WARSHAWSKY,P.C. S�sT C���� ATTORNEY3 AT LAW •�DRE93; RosERT$. P.O.BOX 60457 2320 NORTH c�xxico� H.�1t�ssvRa,PA 17106-0457 SEcoxn S� I�iaxx�sBtrxa, BRUCSJ. �pNg; (717)238-6570 PA 17110 WaRsx�►wsic�t FnX: (717)238-4809 R�H M. IItS No. 3�� 23-2274133 JOHANNA H. Writer'a Direct Email: � , biwCa�cclswoc.com February 10,201 S Jannay Montgomery Scott,LLC 20 Erford Road Suita 315 • Lemoyne,PA 17043 � ATT'ENTION:Kristy � RE: Paul F.Fulk,deceased � Account No: 3480-0619 '\ � File No: 900115 Deaz Kristy: Pursuant to your email correspondence to ma dated February 9,2015,enclosed fmd a check in the amount of$50.00 representing the required fea for the data of death valuation in tha above-referenced matter. Should you requira any additional information or have any questions,do not hesitate to contact ma. Very tculy yours, CUNNINGHAM,CHEItNICOFF& HAWSKY,P.C. d Bruce J.W hawsky BJW/ja Enclosure cc Patricia A.Matthews F:1Home�B]W1DOC3�FULK.PAUL1AccouateVamey Montgomery Scou.l.wpd , . , � � - � � • , � �� - • • - . .. - . - •�� . _ . �_ . �:- . •��, - •„�, ... . ;, , • ,,•• ,�' , •.. • r „ •, ,� - .��,.�� r . .' �,, �� �•�{r � e�` +� � � - ,�r _r .�w ., M1. •. ♦..y�:w�`J-�.:�-� .• .� �r S� !.��,� 1�..�,�f� i,•,`4 �J .I�yM� 1 ! .a.� ♦D ` � �. �♦♦ '• t �. �1 f'�. • • ♦ r�� � � +, • * � � � F ������a� �A �!"y,y�" � �rd�,J'71�`�•.:r��? �r� ������A��� .� � � • ( � i� « i� 1� y.. �i ' :i �� �{�� �4�.: � ��'yr yL��� .i ;., . :,r,,. ,�.!-�..�c�.i,:3_ y,�..�t .; ..l' e<..+.. �, � y •' ., .1�; �F��,�{<d�•�•' � : � ,: .., a � �'1„�,� ..� :; • • - � !s w v'' i . -�� � ' ��..i•;... 1 �•� .,;,�,• , � ,, ..... v�. �� /. _�;.��:�Hj�,:r��A •�� .��L• •• c� � � �������'J`,_1�.�. �:i 4, .�,:;� ;.� ;wj,:i;... : i •.,�7 S,;%..�,•��,�: � L 1�: i��I:• � a'�3�..� �� ¢.� yi� a..,.�k�.� �• -Z ��K„ t , + r„ r�;��,��!� A � ,� �� • �`g�lF����+r ♦ jk � ��' 1�i �R'., ,:.f`Iv1q �VL�'i°���.i� {":.��*,.�: i rL �� a. 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FULK 1316 FENWICK DRIVE HARRISBURG,PA 17110 TOTAL AMOUNT DUE $8 603.69 DATE DUE 06/30/2014 � • • '� • • �• • • • • . • • . 1 1 �• • • � DATE DESCRIPTION RATE �ays� CHARGE$ CREDITS BALANC� Unfb. Balance Forward 9,439.86 05/20/2014 PAYMENT RECEIVED-THANK YOU!!! 9,439.86 0.00 ***Nursin�Care *** 05/27/2014 RM/BRD-NURSING-SEMI-PVT 05/O1-05/2 310.00 2�.00 8,370.00 8,370.00 05/31/2014 CO-INSURANCE 8.00 47.15 8,417.15 OS/31/2014 THERAPY CHARGES 11.00 186.54 8,603.69 a � RESIDENT# CURRENT OVER 30 OVER 60 OVER 90 OVER 120 TOTAL AMOUNT DUE 80101 8,603.69 0.00 0.00 � 0.00 0:00 $8,603.69 . RESIDENT NAME Mr.PAUL F.FULK wA P&01 Please make check payable to Messiah Lifeways at Messiah V'illage. A 1%finance charge may be assessed on accounts for which payment has not been received by the due date. Thank you! If you have any questions or concerns$bout your bill,please address them directly to Fiscal Services at 790-8220. Thank You! i � i i n■ � . . • . . . . . .. . . Q S A . 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FULK 5 KACEY COURT, SUITE 202 101 MESSIAH CIRCLE MECHANICSBURG, PA 17055-9222 MECHANICSBUI�G, PA 17055-8619 Account Number: 5899 Closing Date: 06/11/2014 Date: Code: Description: Charge: Credit: 22-Apr-2014 11721 DEBRIDE MYCOTIC NAIL 6 OR MORE $55.00 Paid by Insurance/Adjustments $46.52 DUE FROM PATIENT 8.48 . I��� �I �I�� , ! :h� ' "v`�+�• . ��,� '-'n!?�.'�'e \?��d . !fi'��,��'t�f,�j�°�'1m',°q"l"r,.� � i� ..y�fd'y�'A4.��tg�j�b . . '�a a � � .+p. .:`�:19��A°6��� � .5�,,a.'a.+y�Y.�?4�, A 'Pi �►d�r' ��.��91 n�� t�� Total Due From Patient $8.48 Charges Marked* Have Appeared on a Previous Bili Your prompt payment is appreci Current Over 30 Days Over 60 Days Over 90 Days Total Balance $8.48 $0.00 $0.00 $0.00 $8.48 _ .� � •