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Home My WebLink About97-00531 .-' U'I ...,...C l'ET1TlON liOH l'HOnATe "1Il1 GllANl' 011 LETrEltS EJlall o/.-!lLBER'f 0~!--- No. :)\ - q, -~;;.3 L--,- also knOll'11 os To: ___,_-" Reglsler of WillI for Ihe _ . Deceased, County of . CUMBERI.AND In Ihe Social Secllrlty No. 189-09-8522 _ Commollweahh of Pennlylvanla The pelHlolI of Ihe unumlglled lcspcctlully leprelcnl1 thaI: Your pClhloller(s), who IlAl~ 18 yenrl of age or older all the e~eeul.--!:ix IlIlhe \asl wl\l of lhe above dccedellt, tlaled _ october 28, alld codlell(l) dated - na~ed t 19.1.- - = (~\f\1C lclcV:Ul1 CllCllllUlnllCU, e.G. lCllulICll\\lon, dCl'lh of e.l.ccUlOlf etc., D~eedent \I'M domiciled nl dCAlh III cumberland County, Pennsylvania, whh \, is lalt famlly or prlllclpa\ resldellee at 680 N. St. John 's Drive , ~~mp~~n Tn~nQhip (lisl ,,~rcell nUlllllcr. '1'\\'(1. lJr UOlo.1 -- Pecellelll.lhell 80 )'e8l1 of n~e, died _ ~Fril 18, ,19 97 al 680 N. st. John'S Drive . E~cept as followl, de~cdelll did 1101 marry, was 1I0t divorced and did not have a child born or ado pled afler eMeullolI of lhe will orfered for probale; was 1101 Ihe vlcllm of a killlllg and was never adjudlcaled IlIcompelenl: Decedellt at dealh oll'lIed properlY wilh clllmoled values as follows: (If domlclled III Po,) All pCrlOllal properly (If nol domIciled In Pa,) personal properly In Penns)'lvonla (If nol domlcllcd In I'a,) Persollol property In Coullly , Vnlue of real eslale \n PeIlIlS)'lI'allla sllualed as folloll's: s~,ooo.oo s s s WHEREFORE, pelilloncr(s) respeclfully prcsented herewllh alld Ihe nralll of lellers Iheron, le~est~) Ihe ~robale of Ihe lasl will and codicll(s) es amen .ary -' (le.stlmcn\ITYlldmlnh\fatlon c.t.I.; adminlstrallon d.b,n.c.\.I.) ,- i r l' 1~ OATH OF rEHSONAL REPRESENTATiVE COMMONWEhLl'll OF l'ENNSYLVAN,lA } 55 COUNty OF2~LAND - The pelllloner(s) Rbove'"Rllled swenr(s) or arrlrOl{s) Ihallhe slalemcntsln lhe foregoIng pellllon arc II ue and corrtcllo lhe be,1 of 11.e knowledge nlld belief of relhloncr(s) Gnd Iha\ as rcrsoORllcpresen. IGllve(s) of Ihe above dccedclIl pcl\lloncr(s) will well and \ruly admlnlslcr Ih cslale according 10 law. Sworn 10 or Dlf111112ed and subscrIbed ~ a.. L ,;.-'_b- /" 11'! , before me Ihls 3RO _ day of Ann L. Keelev , t l-<;..P./}. i1rn'l:M;t1 '1-;-- MARY C LE~IS Ilcgisl'JJ 0 :s: - \(1''-'"'''' n""Nll ~ PlMIAMIHT ..C....i 'I'hil II '" ,,'lIil'y d'ill ,he 1111'<<1'11,,111011 \11'11' 1;'1'<'11 iv ","", ii,' '''l'i".II'''''' ,," ""I'.II),'! ,,,,lili,,1I1' ,,' '\".1111 '\lIly libl wld\ 1111' ,IS Im"\ H"I\illl,lI, 'I'lll' IIril',i1,,'! ,,'lIil'i, ,,\I' willi", (,,"\',11,\,,<1 '" rill' '''"'' "i','! 1(""",1" (111;,,' ,,,' 1"'IIII,II"'II' fll\II!", WARNING: Ills 11I0{lO\ to duplloato Ihls oopy by photostat or photograph, h'(' Ill! dd~ \l'ltllk;(II', S),{iU jlif'.'ijililiilin"-,,..., ,(,"",~\o.\.W Of Pl,t,""',. 'I::'~~.!'" ,~,......:t~'");~'L-...~'" ~ /,'~ .~ ' . ( ,;;: . "". ~ . 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''11''''.''-11'''''' ( ) '" I; ",I II II I [ II ... ,,,,' ... \ ... - ~_ ____ ,.. '" _ ", _ ;;': __" _ _ _ ,,,....'w"',,,,., , ;:'~':~~':~:\:~,..". :"".':"~"':':::'.~.) llilll'" ~':~~'~':l{':.~..U l"\''''x1' '~.l - --- ---~---_. CI~J::,:~~~\\;..~7~"~.,,, ,...".",~";,.,'".".,'" "!'~"'"""'"'' ,1".,0 -"""."1"""" ,;.'.,,-, ,j.,,, I",j,,".-( ;1" I 101M,"0'.''''' ~.......... MolII..,Ulr04MI<> ....10~~.1.1ICi"'.""" It ".l.~ III '.',','llI~~t D"~OIlli~\ JIM" .- L .? - - 1,'.,,( '~Jmvol:,I""'''I''14' "'~~ - .' . "-...,,,,,,,,,,,,,,,,,,,,,,",,,,,,.,,,,,,,..,,.,,,..,,.,,, ,.., '''', "" , ,"" ," >,~...' <; , .N~'''.''--'''..'''''''''''~'' ..".."'.".,.""....~",,"I."'."''''''''''''''N I [ "...'""""...".,,"",.."""....,~OC...UY!fflltAHt IlIum/lilll""'''j'I' l"""'N ~ .'t...., rn!J ,"''''''' ....,,,,,,,....... '\' .,.. 1"<' j ................",..~..."'"."..,..",'''"'."''''.",''''..'''''''''''''''''''',.,,.",,,,.,, ",,,,,,,,,"' "".."",. II ~\ ,2' 1:J ''.; ,,1 ,,,."''' "",,,. ."" . . .. ..' . . . . .. ... ~_... ._ .__ ~ . ~ _ _ b!!'....~" cl ..J:L" LIE'i..1- =~:=-.:-ti'.:.L~:.~~; """" J I :iJi;;;Z;;,l1'U- .. --= .-..,-----. ' --~_.~.-.. ~ ~ ~ 1 1.0 ~R c\i~ "tr r.>- " L, Sri tc p:j ~ 1'0- p' ill\:; 00 l ~. I, ; ~ffid , , . .... !!lzd l!l III ~~p I ~~q ~ x 0 ., . , , '. .' l" !; j ~ -;,- I, . . " , j ~ "', -III " IRD/AullUSt 24, 1993/2849 , , IV. Should my wife, ANN L, KEELEY, predecease me, I devise and hequeath to my daughter, DEBORAH A, KEELEY, my leasehold interest in the Land Lease (Plat No, OOIC461) pertaining to real estate situate In Pine Grove Furnace, Cooke Township, Cumherland County, Pennsylvania, together with the collage erected thereon and lhe furnishing and personal pf'<lp~l'ly locat~d th~rein, V. I give to my Trustee, hereinafter named, to hold IN TRUST (hereinatler referred to as the "Credil Shelter Trust"), in addition to all assets received directly hy Trustee that arc esc1udahle from my gross taxahle eslate for federal estate tax purposes, assets of a total value eqm,1 to the largest amount, if any, that can he passed free of federal estale tas hy reason of th~ uniti~d credit and any other credits availahle tllr federal estale tax purposes except: (i) The state death tax credit to the estent the use woold require an increase In the amount of state death taxes paid; and (Ii) The credit for tax on prior transfers to the extent that credit arises from transfers to me from individuals who die atler m~, Such laller amount shall he reduced hy Ihe value 1(11' federal estate illS purposes of uny gift which do not qualify for the marital or charitahle deduction mude hy me under this Will, or otherwise, and fUlther reduced hy an amount equal 10 the sum of ail charges to prlndpal, eseept death taxes (since I direct hereafter that such death taxes he paid from this Trust), that are not deducted in computing my federal estate lax, I recognize that depending upon the amolmt of hequests under my Will, my non-testamentary dispositions, the amount of state death taxes and administration expenses, ami other factors, this Trust might be nonexistent or might consume all estate assets, so thut no ussets muy I'emuln to pass outright to my wife pursuant to the residuary gift, JRD/Augu8t 24, 1993/2849 IX. If my wife, ANN L, KEELEY, and I shall die under clrcumslllOces which render the order of our death uncertain, for purpose.~ of residual marital gift. as set thrth In Paragraph VI, It shall be conclusively presumed that my wife survived me, X. Should any of my Issue, e~cept my children, DEBORAH A, KEELEY and WILLIAM D, KEELEY, entitled to a share of my estate not attained the agc of thirty (30) years at the time of distribution 10 him or her, I devise and hequeath the share nf cach such iSSllllto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrlshurg, Pennsylvania, IN SEPARATE TRUST, to hold. managc, Invest and reinvest the shares so received and the accumulatinn of incnme thereon, and to use and apply the Income and principal, or such much thereof as, In Trustee's sole and ahsolute discretion, may he necessary and appropriate for such Issuc's supporl and educatinn (Induding trade schoul and college education, both graduate and undergraduate) without regard to his ur her parent's ahility to prnvlde for such support and education and to make payments thr these purposes, without further respnnsihllity, to such Issue or such issue's parent or to any person taking care nf such issue, Any income nOI so used or applied shall be accumulated and added to and thereafM treated as part of principal. After each such issue shall attain the age twenty-one (2\) Trustellshall distrihute tn each such issue the net annual income from his or her separate trust at least as often as quarter-annually, When each such issue shall attain the age of thirty (30) years, his or her separate trust shall terminate allll the principal and any accumulated and undistributed Income shall he distrihuted to him or her ahsolutely. If he or she dies hefore attaining the age of thirty (30) years, the Trust shall terminate and the then remaining principal together with any accumulated and undistrihuted income shall he distrlhuted to s<lid issue's then living issue, per stirpes, and In default of said Issue said share shall he distrihuted tn s<lld issue\ person<ll reprcsent<ltive, XI. No Interest In Income or principal shall he assign<lhle hy <I henelieiary availahlc to anyone having a claim against a beneficiary hefore actual payment to thc henctklary, , , I ~ ,\ 1l II ;/ JRD/AulIUI124, 1993/2849 XII. My Execulrlx alld Trustees, alld their successors, shall huve Ihe tllllowlng puwers in addition to those liven by law 10 he exercised by Ihem In their IIhsolute discretion, which puwers shall he appllcahle 10 all properly held hy them, effective without the order of any coul'l ami until actual dlslrlhutlon of all such properly: A, To relaln any inveslments al dlscretlun Including stock of any corporale fiduciary, or the . holding company conlrolllng It. 8, To Invesl and relnvesl at discrellon withoutrestriclion tothe su called "Iegullnveslments" with a specitic right tu Invest In comtllun uml prefel'1'ed stocks ill1d in such cummon stock, dlversitied, money tllllrketllnd tllutuul funds us thllY deem uppl'Oprlate, C, To sell, granl options for sale of, or otherwise convert any reul or personal property, or Inleresl therein, al puhllc or private sule, IllI' such prkes, aI such times, In such manner and upon such lerms and they may think propel', IInll to execute und deliver good and sufficient conveyances, usslgnments und tmnsfers thereof withuut lIahlllty of any purchaser to see to the lIpplicalion of the purchase prke, D, To borrow money and secure Its repayment !ly tllOrtgUgll uf reul estule or personal properlY, pledge of Investments 01' otherwise, withuut Iiuhility on the part of the lender 10 see 10 Its application, E, To compromise claims hy or against my eslale ur uny trusl created hy this, my last will. F, To make distrlhutlons In cush or in kind, 01' purtly in euch. 0, To regislerinveslments in the nume uf 1I nominee 01' to hold the sume unregistered In such form that they will pass hy delivery, J s~ ISC, 'R'EV -1500 6 ;<( -~_.~,~,_."~...,"~-~_..._-'-.~........--~ nfTIC1Al U'lf_ ONl.Y REV-1500 EX.' (1-07) . '. , .,.,.-..._._--."---,.,_.._~.~.----~~.._...,,-~-"- .""_'m"'T_'_~"'_'_~__"'__~'~.~__ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN DEPT,200001 =__m HA~~I.~fl~R51,l'A 1~~0;080~=cCC"~~==.~~~JP~t-.lT .[)~~EDENT " Roal Estale \Schadulo A) (1) 2, Stocka and Bonds (Schodule B) (2) 3, Closoly Held Corporation, Partnership or Solo-Proprietorship (3) 4, Mo~gages & Nola. Rocolvablo (Sohodule D) (4) 5, Cash, Bank Deposits & Miscellaneous Personal Propo~v (Schedulo E) (5) 6, Jolnllv Ownod Propo~y (Schodulo F) (6) 7, In1er-Vlvos Transfers & Mlscellanooup- RECAPIT - Non-Probato Proporty (Schodulo G or L) (7) ULATION 14, Net Value Sub eet to TaM Uno 12 minus Line 13) 15, Amount of Ino 14 :::~~\~allhOspOU931 __..__.____ 47,349,00 . ~ (15) Soo Instructions all page 2 lor appllcablo porcontago la, Amount of Uno 14 ta)(ablo at 6'% rala 17, Amount of 11110 14 la.abloaI15%lala ___ 0,00 . ,15 (17) 16, To. Dua .. ~ \'6l _ 10 CHeCK HERe-IF YOU ARIHlEQUE,TINQ II AEFUNO OF AN OVEI1PAVMEHTI ' .... BE SURe TO ANSWER ALL QUeSTIONS ON PAGe 2 AND RECHECK MATH << Under ponaltles oTporiurv, I doclmo thaI I havo oxamlnod this roturn, lncllldln~ accompanying schodulos and slaternonls, and to the heml 01 my knowledge and bollof. It lslruo, corract and complote. Ooclarallon 01 proparor olher than lho person'll ruprosonlallvo is basad on alllnlorma!lon 01 which proparor has any knowledgo, ..___. "D,?",!n' OFl"/I',ON """ONSI/lLE FO/l fILIN<l R<1 URN At'DR'''" DATE . C ~ ;; 0.&. iJ~ See Schedule attached .___._~__ . 7~/;f/J SIt.lNATlJAE OF Pf1(PAflUIOHtF. H FlEf'Rn\EN11\TIVl' AnDfIE!j~j DECEDENT CHECK APPRO- PRIATE BLOCKS CORRES- PONDENT TAX COMPUTA- TION FILE NUMBER :'>1 L(IIJN'TYt;Olll cJ?2r~1 __.=".,,~~Jilll~__ DECEDENT'S NAME (LAST, FIRST, AND MIDDl.E INITIAl.) ~~~1~~~~j~~~1~ ." ..J~~g~2~]~I_~~j__ . . __ . .IO.JAr~L;(:lt~T~:~-:..~'_..."~===~=-_-===: V\',~i;J:~'~~'~if/[i\~Jtl~~'I~\\~\I'OlJ'H'rl NAM! (I A''! SOCIAL SECURITY NlJMBHl THIS RETURN MUST BE FILED IN DUPLICATE l<g8IEY..L~r.:~.__~_........ .. _ _. ~Q ~:2~ 3071,-__.. _ ____ .\'iIT!i THE REGI~.TER OF WILLS !' Olgl"IR I' ~ 2 Sit IR I Y 3 fI,,,,,,,,',,/I,',,,,, , r. a 0 nil ' upp nmot\ fI 0 urn (d,ltll of d"",U1111I(H to I~ \ l-M) 4 I d E 4Q luIIHnlnlllrn~IIIHnrll(It11111l . Urn to' 9lato (d,'In, r (llI,'Ili ,lfl~r 1"1 12 ~"I) ~l Foeloral Entalo Ta)( RIm Requlrod o (lIlClldtlnlDiildI1l31,llll 7 {llHultllnIM,llnl'llr\lHI,llrvlnn[li,,1 0 B T I IN 10 10 lIB , (AIli1cl1 COllY of WllIl IAlt,\(;h IllflYU! Ifll~1) 0 E\ 0 0 <,IU 0 cpos 0)(09 O Lltl II P . d Rid 10 "[111111,,1 PovlHty l rllllll (dill! III dll,lIh h,'lwnun '--n 11 llllctror1lu IdltuOl!ltr SilO U113(Al -:.._~.!.l-!.~(,(Jtl 9 ueo VO ~_~ ~......J1....LL.ll~!!!!J...L.'liL.__~~...~_...._.-------------LL-t!l!J.it~.QL :rHIS SECTION M,~ST l!..~9_0MP~~J'EO. ~'!'J:_COR.!:\!!.!!.~@.!!NOE ,~..CONPIOEt!TJ~L TAX INFQ.!lMAT10N s!'gy!:!1. Be DIReO'~l,) Tal NAME COMPLETE MAILlN<1 ADDRESS cTAMES.....!/",,_ KINZER ...___._...,.._.-.~_ 425 N, 21ST SWEET FIRM NAME (If Appllcablo) CAMP Iln.,!" PA 1.'/011 BOYER & RITI'ER . ._-~--_.-~- TELEPHONE NUMBER 717-761-7210 gQ .. 1!. N<1;;e None .~ :I) ~~ OfFIl.,>ll :gE ONLY f None None 0' -0 I'J ,1\ 0\ f.fJ. Q, 100,000 ;Hc 24,984,00 20,000,00 8, Total Grooo Aooolo (Iolal Llnos 1-7) 9. FlIneral Exponsos & Admlnlstratlvo Costs /~Oh9duI1l H) (9) 10, DobIs 01 Decodent, Mo~g, Liabilities, & Liens (Soh, 'I (10) (0) 21,142,00 None 144 , 984 , 00 11, Total Deductlono (tolal Llnos 0 & 10) 12, Net Value of E.tat. (Llno 8 II11nU9 Llno 1 I) 13, Charitable and Governmental Boquosts/Soc 9113 Trusts lor which an olecllon 10 tax has nol boon mado {Schodulo .ll 21,142,00 123,842,00 (11) (12) ., (13) NclDe (14) 123,842,00 ._____0,00 76,4~3,OO . 4,590,00 ,00 (16) 0,00 4,590,00 425 N, 21ST S'I'REE:!' ('.AMP HILL, PA 17011 DATE ...l~1 J--~~_ "'. l'~""~~J,'"''';r,';:'\'It'..'"t'(.1~1':_,,,-,1.i.,,'''''',''''' i'..~_',~, '1,-'" 'i'....' .,".' ,.',.,,---.',',,,.. ',' ,"' ' " "' , y.' .), .:::.',.{1',....,,~...,. '"I:~''' ~.J"W"""I /W:~\.~, L 'f',', , .,', '." r .-,".' ,,;'>'" \.~, ~.~':'.~\,., 'j'1.1'" I,<J.\ ;"... '/ ':'4' ",;r' 'l'i";'';-':' '''~.:1... "",",".', '._" ','i II nl'''~.J''f, ';: <=.,,'." 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'.;"';'<";;Si2;.2::'2JL...;.;;iiU'i~t~~~';;f~i 1JIttllt l\ltU anb Wellt&.ment OF WILBERT R. KEELEY I,WILBERT R. KEELEY, of Hampden Township, Cumberland County, Penn~ylvanla, declare this to be my last will and revoke any will previously made by me, I. . I direct that all my legal debts and funeral expenses, including my gravemarker and all expenses of my last Illness, shall be paid, unless otherwise provided, from my residuary estate as soon as practicable after my decease as a part of the expense of tbe administration of my estate, II. I bequeath my automobiles, household goods and personal effects and other tangible personalty of a like nature (not including cash or securities), together with any ex Isting insurance thereon, to my wife, ANN L, KEELEY, provided she shall survive me, Should my wife, ANN L, KEELEY, predecease me, I bequeath such tangible personalty and Insurance thereon, except those items of personal property hereinafter specifically bequeathed, to my children, DEBORAH A, KEELEY and WILLIAM D, KEELEY, to be divided between them by my Executor with due regard for their personal preferences In as nearly equal shares as practical. III. Should my wife, ANN L, KEELEY, predecease me. I bequeath to my wife's niece, JAN ADIAR BARNES, the Nain Persian rug, approximately five feet by eight feet (wilhout medallions), further provided that 'AN ADIAR BARNES shull survive me. .. I, . "~______"T__'_T_T.___~___________""-""'----'__""_ IV. Should my wife, ANN L, KEELEY, predecease me, I devise and hequeath to my daughter, DEBORAH A, KEELEY. my leasehold Interest in the Land Lease (Plat No, OOIC461) pertaining to real estate situate In Pine Grove Furnace, Cook!l Township, Cumhl~rland County. Pennsylvania, together with the cottage erected thereon and the furnishing and personal property located therein, V. I give to my Trustee, hereinafter named, to hold IN TRUST (hereinafter refmed to as the "Credit Shelter Trust"), In addition to allllSsets received directly by Trustee that arc excludable from my gross taxable estate for federal estate tax purposes, assets of a total value equal to the largest amount, if any, that can be passed free of federal estate tax by reason of the unitled credit and any other credits avallahle for federal estate tax purposes except: (1) The state death tax credit to the extent the use would require an Increase In the amount of state death taxes paid; and (II) , The credit for tax on prior transfers to the extent that credit arises from transfers to me from individuals who die after me, Such latter amount shall be reduced by the value for federal estate tax purposes of any gift which do not qualify for the marital or charitable deduction made by me under this Will, or otherwise, and further reduced by an amount equal to the sum of all charges to principal, except death taxes (since 1 direct hereafter that such death taxes be paid from this Trust), that are not deducted In computing my federal estate tax, I recognize lhllt depending upon the amount of hequests under my Will, my non-testamentary dispositions, the amount of state death taxes and ndmlnlstration expenses, and other factors, this Trust might be nonexistent or might consume all est~te assets, so that no assets may remain 10 pass outright 10 my wife pursuant to the resldu~ry gift. .. ( .---...----- ,"---_. _.~. .' ,.- -'. -- (2) One-third (1/3rd) thereof or Fifty Thousand ($50,000,00) Dollars, whichever Is less, to my granddaughter, JENNIFER LYNN KEELEY, provided she Is tllen- \lvlng, (3) One-third (1/3I'd) thereof 01' Fifty Thousand ($50,000,00) Dollars, whichever Is less, to my son's wife, KYM KEELEY, provided she is then-living, (4) The balance thereof, If any, to my daughter, DEBORAH A, KEELEY, provided she Is then living, In the event lhat my daughter, DEBORAH A, KEELEY, \s not then living then the balance thereof, If any, shall be distributed to my daughter'S then living issue, per stirpes, VI. I devise and bequeath the residue of my estate of every nature and wherever situate to my wife, ANN L, KEELEY, provided she shall survive me, VB. Should my wife, ANN L, KEELEY, predecease me then I devise and bequeath the residue of my estate of every nature and wherever situate, in equal shares, 10 my children. DEBORAH A, KEELE.Y and WILLIAM D, KEELEY, In the event that my daughter, DEBORAH A, KEELEY, shall predecease me, then I devise and bequeath her share to her then living issue, per stirpes, and in default of said Issue I devise and bequeath her share to my son, WILLIAM D, KEELEY, In the event my son, WILLIAM D, KEELEY, shall predeceast: me then I devise and bequeath his share to my daughter. DEBORAH A, KEELEY, or hr,r then living Issue, per stirpes, VIII. If my wife, ANN L, KEELEY, disclaims all or any pan of her Interest In the residuary gift provldr.d In Paragraph VI, such disclaimed property shall be added to and held and distributed In accordance with the tel' illS of the Credit Shelter Trust. If fOl' any reason the Credit Shelter Trust shall not have been created or shall have been exhausted, such property shall be held and distributed under the same terms as set forth for the Credit Shelter Trust, ,.., IX. If my wife, ANN L, KEELEY, and I shall die under clrc\lmstanccs which render the order of our death uncertain, for purposes of residual marital gift, as set forth In Paragraph VI, It shall be conclusively presumed that my wife survived me, X. Should any of my Issue, except my children, DEBORAH A, KEELEY and WILLIAM 0, KEELEY, entitled to a share of my estate not attained the age of thirty (30) years at the time of distribution to him or her, I devise and bequeath the share of each such Issue to DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, IN SEPARATE TRUST, to hold, manage, Invest and reinvest the shares so received and the accumulation of income thereon, and to use and apply the Income and principal, or such much thereof as, in Trustee's sole and absolute discretion, may be necessary and appropriate for such issue's support and education (including trade school and college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education and to make payments for these purposes, without t\lrther responsibility, to such Issue or such issue's parent or to any person taking care of such issue, Any income not so used or applied shall be accumulated and added to and thereafter treated as part of principal. After each such issue shall attain the age twenty-one (21) Trustee shall d istrlbute to each such Issue the net annual income from his or her separate trust at least as often as quarter-annually, When each such Issue shall attain the age of thirty (30) years, his or her separate trust shall terminate and the principal and any accumulated and undistributed income shall be distributed to him or her absolutely, If he or she dies before attaining the age of thirty (30) years, the Trust shall tcrmlnate and the then remaining principal together with any accumulated and undistributed income shall be distributed to said Issue's then living Issue, per stirpes, and In default of said issue said share shall be distributed to said issue's personal representative, XI. No Interest in income or principal shall be assignable by a beneficiary available to anyone having a claim against a beneficiary before actual payment to the beneficiary, . ',) '[I' --1-:_ 'I' "".-,-~,!,.,,"-- !!,'~ " , , .' ,"" ,,,I_ ,~~,r''- j ',~,,,'il XII, My Executrix and Trustees, and their successors, shall have the following powers In addition to those given by law to be exercised by them In their absolute discretion, which powers shall be applicable to all property held by them, effective wlthoutlhe order of any court and until actual distribution of all such property: A, To retain any Investments at discretion Including stock of any corporate fiduciary, or the holding company controlling it. B. To Invest and reinvest at discretion without restriction to the so called "legal investments" with a specific right to Invest in common and preferred stocks and in such common stock, diversified, money market and mutual funds as they deem appropriate, C, To sell, grant options for sale of, or otherwise convert any real or personal property, or Interest therein, at public or private sale, for such prices, at such times, in such manner and upon .uch terms and they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase price, D, To borrow money and secure its repayment by mortgage of real estate or personal property, pledge of Investments or otherwise, without liability on the part of the lender to see to its application, Eo To compromise claims by or against my estate or any trust created by this, my last Will, F. To make distributions in cash or in kind, or partly in each, O. To register Investments In the name of a nominee or to hold the same unregistered In such form that they wlll pass by delivery, " ,."" .~ ,,,_,,.-, ~__"N.'"."---___:_".- ---." - ',,-, '''", .' """""""I...q~4.... ~'A;:, n, To lllanage, operate, repair, alter or Improve real estate or other property, and 10 lcue real estate and other property upon such terms and for such period as my Executor and Trustee deems advlsahle even for more than five (5) years and beyond the duratlol1 of any trust. I. To deduct administration expenses upon either the federal estate tllx or fiduciary Income tax retnrn, with or without adjustment hetwecn principal and Income" as my Executrix shall determine, J, To join with my wife and file any Income tax or gift tax returns that may he due on my behalf and to pay so much of such taxes as my Executrix may deem appropriate and to consent to any gifts made by the wife heing treated as having been made one-half (1/2) by me, K. To retain accountants. custodians. Investment advisors and other agents as my Executrix and Trustee shall determine and to compensate them out of principal or income or hoth as my Executrix and Trustees shall determine, L. To do all acts and things necessary or appropriate in the management, administration and distribution of my estate, XIII. My Executrix and Trustee shall pay all estate, inheritance and other death taxes (including the supplemental estate tax on certain qualitied plans but not including uny generation skipping tax imposed on a direct skip), together with any interest and penalties. whkh shull he payable with respect 10 property or interests subject to taxation by reason of my death and whether passing lindeI' my Will or otherwise, including Jointly held or other non-testamentary property, My Executrix and Tnlstee shall pay the same out of principal of the Credit Shelter Trust without apportionment. Only to the extent that the Credit Shelter Trust Is Insuftlcient or unless my wife predeceases me shall any such payments be made from my residuary estate, ''lrtlHllHl . PlMWiefll IUClliIl!l Hl\,'hl(, This i, I" end!'r Ihal tI", IIdi'II",II,", 11l'1" 1',il'I'II I, ""I",tlr ,,,pied 1,,,", all "rl,',IIi.1I ,,'lIdi, ,Ill' "I 11",111\ d,II~' li!..d wi,h "'" ." l.ol.1I \("1',1,,,,11', 'l'h.. 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Sf! tAt" ,IJ f Wlltflf:RT Ni KJ.i:&lI.P.Y 21 n l!J 91.0 If 31 RUMM~RVD' ~LLbc~'IONS '0 nSNE'lClhRIES c la '_11 ^ WILnER'r DEUORAH Wl1lLIAM R, IOl~LteY K 'LYNN KEE:Li:\' CREDI. 'RUST 31; 609' . 00 :\ 4 j 9 e 4.0,0 10-,0 Q 0 I 00_ 111,/ 493, o-(} " Pogo 2 PA REV-l!ioo EX (1-1\1) Deo.!dI!!t'!.2l!ml1!!!e_Ad.~r...~: .-___.__.~..._.~_~__._~.___~_.---....------- STREn ADDRESS .6BO l>l.,.iir,_.J.O!l~ r)I<I\lrL---..~ -~"-_._,._-_._-_. <---~_.."..~--,._.,._.~~.__.------------_...._-- --- .--l STATE PA -izIP' 17011 CITY CAMP HU,L fex Ply""nt. and Credit.: ----,-----,- 1, Tox OliO (Pogo 111na 18) 2. Crodll./Paymonlu A, Spoll.al PovOIty Crodl! _, B, Pllor paymonl' C, Dlsoount (1) 4,590.00 Tol,l CrodU, (A + B + C) (2) 0,00 3. Inloros1/PonoUy II ,ppllc.blo D,lntoro,t E, Pon.IIV 205,00 TOI.llnloro,1/Pon.Uy (0 + E) 4, IllIno 21, groatallhan IIno 1 + IIno 3, onlor tho dllloronco, Thl.l. tho OVERPAYMENT, Chack box on Pogo 1 L1no 19 10 .aqooolo !Olund 5, II Uno 1 +;U"O 319 greator thAn lino 2, onlor tho dlfferonco. Thlels 1ho TAX DUE. II" Enter tho Interesl on tho lax duo. B, Enter tho t01,1 01 L1no 5 + 5A, Thl' Is tho BALANCE DUE, Mako Chock Payoblo 10: REGISTER OF WILLS, AGENT (3) 205,00 (4) (5) 4,795,00 (M) 0,00 (58) 4,795,00 PLEASE ANSWER THE FOLLOWING QUESTIONS BV PLACING AN "X" IN THE APPROPRIATE BLOCKS Yes No :' 8 ~ ': 8 ~ 1, Old docodant m,ko a "an,lor and: s, retain tho uae 01 Income ollila proporty translorred; , , , b. retain the right to dos-Ignale who shall uso tho proporty translorrod or lis In\)ome:, , ' c, retain a reversIonary Interest; or. . . , . . ' d, receive lhe promise for Illa 01 either payments, benellts or care? . . , ' . 2. If death occurred on or belore December 12,1982, did decedent within two years preceding death transfer property wilhoul receivIng adequate consideration? II doath occurred alter December 12,1982, did decedent transfer property within one yenr 01 death wllhout receIving adequate consideration?, 3. Old decedent own an "In trust for" or payable upon death balll< account or secllrlly alhl,or hor death? " """"", 4, Old decedent own an Individual rotirement account, annuity, or other non-probate property?, , ' Iii o 8 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES. YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN 12 P.S. ~91~6 (a) (1,1) (I) provided for the roducllon 011he tax rate Impo3od on tho net valuo 01 transfers to or lor the lIse 01 the surviVing spouse from 6% 10 3% for dales of death on or atter July 1, 1994 and beforo January 1, 1995, 12 P,S, 89116 (a) (1,1) (11) provided for tho roduction 01 the rato Imposed on tho nel valllO of translers 10 or for tho use of Iho surviving spouse from 3% 10 0% for dales of dealh on or attor January 1,1995. The statuto does not oxomR! a transfer to a sllJvlvlng spouse from lax, and Ihe statutory requirements for dlnclosure 01 assets and IllIng a t81t return are stili appllcablo even IIlho surviving spOllse 19 tho only boneflclary, FOR DATES OF DEATH ON OR AFTE.R JANUARY 1, 1995.- Ploaso en,wer tho following quo,lton by piecing an "x" In 1110 approprlato spaco, Old Iha dacodanl c.oola a I.oot o. Blmllo, .".ngomlnl which I. Bcllly for Iho surviving opouao'o bonollllo. hlo o. ho. onllro IItallmo? Yao 0 NO@ II you answered yes to tho aboVo question, the talt on tho trust or similar arrangemont Is postponod 1I1llH HlO death ollila socond SpOllOO, at which time II will be fully to:<able at the rate(s) applicable to tho romalnder benoliclary(los), Enter tha value 01 the trust on Schodule J, ParI II, In order to remove It Irom the calculation of lhe taK duo In this estate, You may wish 10 lilo Schodlllo 0 In order to make tllo election availablo under Section 9113, If the election If) madoj the trust or similar arrangement Is taKed In tho ostato 01 ttlO first docodont SpOllSO, tho portIon 01 tho Irust or similar (lrrangoment which benefits tho surviving spouse is taxed al the zero taK rato, and the romalndm Islnxod at tho rato(o) applicable 10 nUl romainder bonoUclary(los), II you chooso to make tho oloctlon, you must aUnch Schedule 0 to a tlmoly~mod tax return, along with Schodule(s) K and/or M In ardor to f1llow the appor1lonmenl 01 tho trust or sImilar arrangement between tho survivIng apollso nnd tho'romalndor bonellclary(los), 7 PA15002 NTF ,"010 00pyrlghl Forms SoltWArIl Only, 1991 Nlllco, Inc. \ SCHEDULE E \ COMMONWEALTH OF PENNSYLVANIA CASU, BANK DE P OSIT.S, & MISC.. . INHERITANCE TAX RETURN PERSONAL PROPERTY ~EN.L~CEDENT '''=~.'o=,~;-~="=."''=,.'''~==:.,~co,~'~' ~~ BSTATE Of FILE NUMBER WIUlER'!' R, J<F.,ELIo.y~______.~,..__._._-_w--'_."'-'" _._,.~ 21-1997 ~31 , ,,,,,"", "",,,,,", "" .,'"". do" 1"",!,~:~!-"!!':"','!!"~l."'.!.!.'.~O,'".~".P".JU"!.I)\IV~,,.,,!'..~_~!th [\itl.'-lI!.!Il.lI!~,,'ohJP m.~,!i!!!J!!....I...d D" Soh, f, ITEM VALUE AT NO, ._____~~RIP!l9I'l...--.--- DATE OF DEATH , REV-fooD EX + (1-07) -,,-,~ 1 100,000 DAUPHIN DEfDSIT CER'l'IFICA'l'E OF DENSr!' 100,000.00 TOTAL IAlso enler on line 5, Reoo Ilulo\lon $ (II more spso. Is needod, Inse~ eddlllonol sheets 01 tho same sl'e) 100 000,00 1 CPAIl NTf ",08 Cllflyr(gtlt Forms floflwarll OnlY, \991 NIloD, (no, '\>~lii!!t~../ ~pN TIW/!r!J!!,I'!.- nAU1'IIIN DJ,:.'OSl'r BANK ANT) TRUST COl\!r.~\:f,y OI.l'OHt '.'"\(111 II/'LlIt,OLiUUl' I,~ ^NN I ~rr& ~v ------ n.' o. 0 r,)I!IIN~ 0" (W>I"twJli.lIll\ \ r" :~:~j-Ea"MOi---~""U'i1r [fIiIi;ifiii "'/'~;;~~;iUlJli/~;!l7 --...-,- ---------- -----', - II"AHC:H n....."".'VAlnCUllfIIltllln II AIJlftMa'I(,,""" ~1"IW..U CU'''<IIoIl ____, ,~1. 4 ..J!j 40fj!l4Ql!L .., .JW!~W' 2\;":1')'0 :i~o ........, "..."'.....-. 1l~lllllf'lIllf(D IN lW~ MJ,j1( &[_2'1II,!!~:l,q4l INlTlI\L '.-J!!!!t'!!T 'A~"~i!r ju """-;r;;,~,, t"fHI'U!..M!! II MONItItV tJ "MI ANNUAlIv fIll'M'UAlInt! t) 200 lI11UA' ,,,";' r'j ANNUAllY II (..'lIlf "cel.NO, . _.. ::':....11.,6.' M~t'\ll\llV ._ "".:1'7 ".I."'~" ~~ ~").19)V ,." ..... ~ ~ J I -' '/ . '- . :~~~~~::. '. ~...(,;~.!Y-'=.ee...u,,~~ -...... '-'NO~.:.NtQOll~.N~~ i NI~~.Il\'~~f,r."AlIl. DAlJPIIIN DEPOSIT BANK AND TRUST COMPANY Mtlmbcr r DW O!POlllTORISI IylLJ(l.!i.!&Y__~._..__._ .. _l!.14001.6:t\'!L -_I~..llt~1L [~j1t8.~l101k;~~=.'_--~ . -'-_.~~m:n HAS CttmSITln 1M TMtli MNl( ['-'- -- ---"--::-1 5--2.~~,OOO'~~1 ----.----,.-----..."---., -m-Mo,-- t'l1'ITIPlC"!-, 3 MONTHS MA fU~Tv ._----WL. 01/15/96 o 1"'1(1l1 M"'I,jI," Iml1l.IC..-n II AUlO...U.CAU. r.lNtw..,U (:~'I'IC"'lI 1 eMNt;'tl 016 --'I~'"TlA~- _'~-"_,. ~T~-Kii'ffi'VAilr-"-"~~I-MA--;;~'~.- ._~,.._,..~ I Yu'STIl4T1; a MbNTtnV C srM'-^NNUAI.I.Y tit r..VITAUZlb . 5.530 o._~_~~~!._~~...~l~~'-L_ 0 ~~~. 0,_ L~- _ ~~~ _~~~~~'~.UN' f1:;:? \WJ U0' r ---_.,-- -_._--~..,'~~--- ''''HOO''(O -Jj.,. "Lld.,/,1.-/'.t""" /- S'QNA'rV"e........-'~7____.~_:.(~~_'-_.. .NON:N[OOTI....Li I NON-y'R.NSfEMAllf! AUPHIN DEPOSIT BANK AND TRUST COMPANY . " M~ml;Jer pOle ANN L KEELEY WILlERT A ~EELEY 180 ST JOHNS DA CAMP Wllll'A llP~L_ 'rlftMOf C ,nl'ICAn MATU~ITY OAU 1 MONTIIS 05/15/9" ,IIlQI.IIMATVIUNCIIfIWICAn IUlAN(.'H AU'oM"'1~lUI"IW"'UClAfl.lt..t. 016 " NO, ___ 8140771~ ---- ----iiW~~~I:--. "---,w.-.._" -- 51 1.~~OO~,OO I HAS O~")'ITLO IN TUlS BANK ..~.~-_. iNitiAL' _~~!t.'AVABl.~ 0 MAil CHICI( l~!!'UT_~!\n l1 ~nNTIH.V f.1 SU.cI.A~NVAllV tlII C"MlAlIUD 5 080 U OUAI\WIil,Y U ANNUAllY . D t~~~._ ~'pt _n.~~;~:#~~~~.] _" O!S~"'~1''' 821 .J -" .1 , 'UTH~~"'. ~"!I A :. "II Ii t.).. .L:.'.. "".ATUII' -4f,1.l1(f' ^".4d-~<.t&,,!_~_ . v' ...1:.:,I';"'~'I;:' =, " ~' I , ;', ,,,1'" ': ,:j~, ~ ,-:: ~ ':.~ ',', .' , THE.Vanguil1"d:.ROUI\ WILIlEIlT R KEELEY & ANN L KlmLlW & DEBORAH A FLYNN J'I' TEN. WIlOS JUIlC 3D, 1997, YCllr,.to-d\ll<' , Pilgc 2 or 3 Vanguard Money Market Rescrvcs- Prlmc Ilortfo1io - Voyager Scrvice 30 9906755971 008300686 (800) 280245 Fund numbcr: Account number:' , Statement number: AOOE.l,JJi!"y~_LU E_~~QQ..1.~~1~ $0.00 On 6/30/07 $ 27.162,68 Transaotlon . ___~-"--___.~_w_....._..pou.1!! amo.~._$.tw!.~J?rtq.*L-___1=?bgtQ1UrllXl.!?..t,-cted _ Tot~~Qp.~s owned ,Balance on 12/31/06 $ 1,00 ,000 . . Check purohase . $ 6Q,000,00 1,00 60,000,000 60,000,000 Incomedlvldend 190,50 1,00 190,500 60,190,500 . Cheokwrltlng 1001 .20,000,00 1,00 ,20,000,000 40,190,500 Income dividend ' 260,00 1,00 260,000 40,450,500 Checkwrlllng 1002 .13,442,00 1,00 .13,442.000 27,008,500 Income dividend 154,16 1,00 154,160 27,162,660 Balance on 06/30/07 $ 1 ,00 27,162,680 I!!l~e dale . 4/08 . 4/30 . 5/26' 5/31 - . '6/19 6/30 Income dividends $ 604,66 ------_._-~~--_._- Purchases year.to,date Redempllons year.to.dale $ 60,000,00 33.442,00 INVEST.BY.MAIL Do not aller Ihls slip, Usa only 10 purchase addlllonal shares In: Vanb'l,ard Money Market Reserves- Prime Portfolio . Fund numb or: 3D Account numbor: 9900755971 Milke checks pay"blo 10: The Vanguard Group' 30 Lint each oheck separately, . Tol"lamounl enclosod ~____J___n_ ~____.___In $ I $ -L.__ 0030 0'1'106755'171 3D April May June Annualized Compound __.J'!eld _~.nn~alJl~ld 5,25% 5,36% 5,31 5.44 5,35 5.46 Dlslrlbullon payable da,!! 5/01/97 6/02/97 7/01/97 WILBeRT R KeeLEY & ANN L KeELEY & DEBORAH A FLYNN JT TEN WROS 680 SAINT JOHNS DR CAMP HILL PA 17011,1337 o Chock box II changing your address; nolo now address on reverse, VANGUARD VOYAGER SERVICE PO 60X 7800 PHILADELPHIA PA 19101-9892 3~ 013~07 1111111111111111111111111111111111111111111111 " -,~" J j:" d:' .. ~ I" ... .~ .'l., \, "~, . ,~..,:. ~." ..... 'J , I.. d '~' ,',..ic.'''';!:JI':, I 'fHNanguard:iROur, ' WILBERT Ii KEELEY & ANN L KEELI~Y&.... DEBORAH A FLYNN JT'mNWROS':. ',. -, :';-'> .::""': 'Trod..! date . 'rr.n~~cllcir\' ,,': ,.:" ,.'.Salancoan 12/31/96 '4/07"' " ,., Chock purchase, -: . . Balance On 06/30;97'.' .....w.'..-_ ,>,_',:"". Purchases ~ea("to.dale ' ."'.;...'.' June 30,1997, year-to"dalo PIIIle! 3 of 3 VlInglli\l'(l Spcclalizcd I'ortlolios- Encrgy Portfolio (800) 284'7245 Fund number: Account number: . Sllltomonl number: Voyager Servlcc 51 9906755971 008300686 ".;- '.'. . .,.. . ',,' .n, '; " , "':. .. .'.. .~CCOI,l-'~T V ^.L"lJ.L._.. On 12131/96 $0,00 On 6/30/97 $17,080.34 "" '... ".. . " " Dollar '''l9.~!!lL__J>.h~!~Erlc. .___Shar.. tr.n.~t~I.I.har.. owned $ 22,54 ,000 $ 15,000,00 20,91 717,360 717,360 $ 23,81 717,360 $ 15,000,00 Total cost basis On 6/30/97 Average cost per share INVEST.BY'MAIL Do not allar this slip, . . Use only to purchaseaddlllo~al shares In: . Vanguard SpcciaUzed Portfolios- . Energy Portfolio": : <. ':': . , Fund number: . . 51' . Account number: 9906755971, Make checks payable 10: T/18 Vanguard Group. 51 List each check s,eparately, '~~, Total amount onclosed $ $ $ $. DOS]' 0'li:JOb?55'l7]' L___ I L__ 3D $ 15,000,00 20,91 . WILBERT R KEELEY & ANN L KEELEY & DEBORAH A flYNN JT TEN WROS 680 SAINT JOHNS DR CAMP HILLPA 17011,1337 o Chock box II changing your address; nole new address on reverse, VANGUARD VOYAGER SERVICE PO BOX 7800 PHILADELPHIA PA 19101~9892 34 3. 3 1"1 3100 M2 2 kJ 013408 1111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIII~IIIII REV-iB10 EX. (1"07) ~J SCHEDULE G , COMMONWEALTH OF PENNSYI.VANIA INTER-VIVOS TRANSFERS Be INHERITANCE TAX RETURN Mise NON PROBATE PROPERTY RE~o.ECED':"lT_=_=====,.'.__=.~.,..:~,======~=___=-..___ E8TATI! OF FILE NUMBeR WIlBERT R, KEELEY ----~---_._~_...,_.~.--_..._---.-,.._,~--- 21-1997-0531 Thl. .ohodulo muol Ix. complotod and 1II0d IIlho an.war 10 /lny 01 quo'llon. t Ihrough 4 on Iho rovomo .Ido ollho REV-IOOO COVEA SHEET 10 yoo, DESCRIPTION OF PROPEA~- --- ---- %OF EXCLUSION ITEM INCLUDE NAME OF THE lRANSFEHEE, THEIA DATE OF DEATH DECO'S (IF. TAXABLE VALUE RELATIONSHIP TO DECO & DATE OF TRANSFER NO, ATTA~H COpy OF THE DEED F_OR REAL ESTATE, VALUE OF ASSET INTEREST APPLICABLE) 1 GIF'I'S W11lUN 1 YEAR OF DEATH 20,000.00 20000 20,000,0 , . J o 7 CPAOl 'NTF "'" TOTAL (Aloo~er on IIno 7, Rooapllulellon) J. (II more .paco I. needed, Inoert additional oheol. ollho sarno olze) 20,000,00 COPVrlgtl1 Fnrm. SollwI'. On IV, BI91 N.loo, ItIC, REV-i611EX. (1"01) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEQENT... __ ESTATE OF WILBER'tB,,-~;:Y _,_______~.____... SCHEDULE H FUNEHAL EXPENSES & ADMINISTRATIVE COSTS ,___,_",,'_'T'_~'____".' "~,.~__._._~..'~~'~'_._'.__.__ ..,-~-,.., .'._--,-,-----,.,~,.~-,.._-,_.._'-""" fiLE N\IMBEfI 2:l,-1997-0531 ---" ----~.~..,--,---~~"~'--~........-- Doblo .f de.ada"t m.uot b__~~~<<!,~!'..~Qh.d'!!!J......_._....._~__.. ITEM NO, DESCRIPTION A, FUNERAL EXPENSES: AMOUNT 1 NEILL FUNERAL HCME 2 ROLLING GREEN CEME:I'ARY 8,01.0,00 792,00 B, ADMINISTRATIVE COSTS: 1, Personal Reprosenllltlve's Commissions Name of Personal Ropre.entatlve(s) Social Security Number(s)/EIN No, of Petsonal RopresonlaIIVo(s) Slrool Addross City Slalo 0,00 Zip Yoar(s) CommlasloJl Paid 2. 3, Attornoy Fees Family E,omptlon: (If docodont's oddtossls not tho oarno as ololmant's, a\lach o'planatlon) Claimant Street Addross 6,000,00 0,00 City Stata Zip Rolatlonshlp 01 Claimant to Docodont 4, Probale Fees 0,00 5, Accountant's Foes 6,000,00 0, Tax Return Preparol's Fees 0,00 7 s:rE:\IEN W, BARRETI' REAL ESTATE 250,00 APPRAISAL FEE 8 CHUCK BRICKER AUCrIONEER 90,00 APPRAISAL FEE TOTAL (Also onlot on IIno 0, Rocapitulatlon) . (II moro .paco Is noodod, In.o~ additional .hoot. cf tho aamo .110) 21. ,142, OQ.. 7 CPAl1 NT' '''" CoPVrlght Forml Sollwar. Onlv, 191:11 Nelco, Ino, . 3S01 J)rlRRY STRlmT HARRISBURG. PA 111" (711) S(,4.2633 , , cJ1' · I~UNl~RAI, HOME INC. "For Ihe Perfect Tribute" ~~# 3401 MARKP.T STRr!lIT CAMP 11I1.1" PA 17011 (717) 737-8726 S'IIWIIRN J. WILSMClI, fO, SUPERVISOR '0 -= =--"""!- CARL 1\, IIORN, IR" I'D IAMIlS \" I'ICKRS, I'D, SUl'RRVISOR April 25, 1997 Ann L, Keeley 680 St. JohllS Dr, Camp Hill, PA 17011 Services for: J.Yjlbel't R. Keele}!, $ .\60,00 2,68000 720,00 200,00 \50,00 150,00 250,00 2,975,00 .__~_I~'OO_ $ 8,010,00 -~- Lhno\lsine/Olher V chicle and Driver Visitation Concluding at Graveside Cemelery Death Certitlcates.IOO @ 2,00 ca, Rev, J, Stewart Hardy Organist & Sexton Trinity Lutheran Church Casket: Capitol Solid Cherry Vault. Gaurdian Total Funeral Charges Payment Received $ (1,470,00) Balance Due on Account (Dlle date: 05/18/1997) CollllDCI No,: IOUU29U I Cnso No,: 14(,1. $ 6,540,00 r~d( . Q ./ ~~~/. 5--- ~lrf7 ,u" C \ \ ',{I w _QWtlO, Olllif.N CII^i:lf.IlV..r;OIN'AN~. 11111 1;,./11.:0 R..,d 0 (,.." lilli, P^ 17011 . C117)761.~0>> " ' ,', I'" ',",. . 1,11. . \I ~. 001144 , ,,' '/ Ct:M\<:n:lty. INTI.;JtI\U:N'I' IUGJI'I'S, M\<:RCIIANIlISr,; ANI> S\<:ItVICI<:S l'UltCIIASI<:/SJi:CURITY AGRr~EMENT. '". .' TillS AGIU:ICM\<:NT rltOVII)JiS JlOIt I~NDOWMI':NT CAlt\<;' 'I" ':' "",", '.':',: ' '''",..,'' " .' ItETAJI.INSTAI,J,MICNTCONTRACT""",I""'I',.I':.,. '.1'0.'1'<'\"'>' ,I " ,,,,, .' """"., ",:''''''_~-'-- .~,:,,>~1 . TI;I;A&r~elllellt, modelhis .,__dJ.'~~~-~..~ '~IY(;f..-1).pIL'L... ~_.cC._.. .__. _' 19'}..'.L~> byond bclweenlheunderslg.,cd ~s.lIer' .nd___"7,_..p-j'-'-c~".':f:~-clV cJL'O f:'--.' ....__...__....__,._".....~-..-.....-'._..- .._,~__hereln.l1el""lIedUle 'PurclUlSCf' Address _,7(') tL..:L:,...-,-._.:J.L._0iL.~iL'.:'-_:"c,_."..~J..'.(L1,:.uJ.-.J~LL~~~~O..L7..C1..L' , i RcsidencoT.lephonc'\QS,L~L)_~..'1la.L:-5..3.'q____._.l>lIYTe{~hoheNO,L~_,.L.-,-. s.." . ' lip'. '.,..... W1TNESSIlTH THAT: '111e Sellelnr/",,'lo scllnnd I~Ul:hllscr IIgre<.'.lo buy lhe following de!;Cribed lotennenl RlghlS, Merehnndi.. and Servlccs, Destriptlon or Jntennenl Righl.: ,=.J2Lr~~R-4.- _=;c.2.r.r~,.,,:::.ll l_, ..;.=- .-<==",.. .....=::-":'0 Developed 0 Prcdevclo,ped No, __________. IlmlRMENT RI~JIITS. ~ERCHANDISE AND SERVICES ,',,' i,-I I."un.nt Rlgbt.(lno, s._.....___.._...._._,~t) s~_......_,_ .IA'VI\Cryp' ,'I',',', .\......... ,",. ,. ~', ,',. ,I, i'". ,",.. ' ,:~...i,.__..,,.___ Momon.liutlon.T)"" j,g,L,~~('l.:;,.Q..,,~_._. ~___.c Size ~_.__~_~___I~gn _,_~_~_________ ___~1,;~.cii:!l M,monal Du..1')'I'O .;.i,J .j.\Li.llL.::.,,---- Size ;,; X X :Q -=t-- CotOC' --_.-- Momonalln.o;UlI.tlon/In>pOction reo ,'," , , , , , , , , , , , ~1emori.1 Maintena.nco.. ..','... ........... ". ....,' ----~. Outer Duria' Container-Type Size '--_ W.lght _.:-:..- Load Cap'-- Intcnncnt-.nd Recording"~oc ....",..,...,.,.... " Proc...lng Fee, """",',,,,,,,,,,,,, """",," --;:!7:'fJ cT .^ (.' I: ,Olh.. _____. / ! I L Travel rrotcctionPlan(sCcbclow). ,.".... .... ..... ---- ,/.' ~... \ I (:. ' Salc-s"I:'''' .......,.....;........"',.,.,.,.,,..... '~'/...I 1'--- '/ . s rJ.J ') / 7r . , / (a) Total Cui, Price (Including Sol.. TIX)", ",',",' ...J.. f2I. i...::....-." The Tlllvel Protection Planbelng pUlCIi3SCdilereu1Ideris a producl provided byWorldAcccss eorporation;not by the eemetel)' identiJiedabOve, World Access' Corpor.tion is not o\\ned by or affilialed with suchccme\el)'. and that ci.1Ileler)' shall hnye 110 responsibility for the perrOnIlai1.,;, oflhe SCTVices associated \11th the Tral'el Protection PllI1l. The Purchascrwill be required loenler Inlo a sepamtecontrncl with World AcccssCorpomtion I"'f\lllning the Tml'el rrolection Plm:' Thai plm hos been referellced in thisAgreemenl and included In the plrrchnse price obove solely for the convenlencc of the l'un:haser in mnldng 'ymcnts, ITEMIZATION OF AMOUNT FINANCED: $ .. . . . shall be credited 10 your accollnl with the Seller for Ihe Inlennenl RighlS, Merchandise and Services the Seller is providing 10 you (this amounl is equal to Ihe Total Cash Price less your down payment, ifany), I (j' .J.J..l.1.:L D . 9:)(1,/< ' _.,------'----'-'-- Leu: ,,:i' 1>0""" ra~ ~ili .', ,f, . , . . . ,I, , ','. . ' , , , , . . . . .' ' . . Cttdi1For ...:.~__~:~~.-,-~~---.----:.-._-~_--.--:.. (b) Total Down Payment. ',"'"''''~'''''''',''''' (e) Unpaid IJ.\lance ofCuh Price (Amount PinMeed): ' (d) Servloc Charge (Finane< Charg.) , , , , , , , , , , , , , , , (0) Ctt<1~ Life In.<uranoc '.'..,",.. .. .. , ' .. .. .. .. (I) Timollal""" (f~Ij\I~.rP'Ym~II),,, , ".,....;'" (g)'fimeSal~PriCCl, ,;. '.' .:. ......".., ',"" ,',,' ~.... $ (s_7?,?J1L) ('- -) (S'l'J;) I.'? ) ., (/\ T' --' Remm: /,,'" /,/~ ANNUAL PERCENTAGE. UA..-rIL....... ___ ...... "'- \FINANCE CHARGE .' " ,... ,11)<; dollararooui~ ~ciI.'l\il . Amount Finanee,d ' ., Total of paymellts..,,, , 'Th:amxmlofcredttpro-, Thearnounlyou,l,ill have ,:,: yj@1.!!!lWO.!.9J1.)~!_~. i1!c!.OJ!cS~'~!.&: 9.':1'.!~n!1_. Total Sale Price :'. , 'The lotal oosI of)OO1'~' .' ~.~~.s~.~l~}~~~t 1\'_ _ _ ~ ~~LUNG GREEN CEMETERY COMPAN1RENEED COUNSELOR SALES RECEIPT 1811 CARLISLE RD 624 No,0000645 CAMP HILL PA 17011 717-761,4055 I I) .. \./JI " DATL~/.._,?J'I-"!l.i..-- RECEIVED FROM L!f::Ji.!I,.L...15..e...(?.l!W-:.-'.._- ...---.--.-.....----...--- - . 0 ~ -7 I Nomo 01 Purch"o' - ." /" , - - / " THE AMOUNT OF ~{I:,J. dJa.x:L{,lu.dL ~/2L11. /~I I~ L..:LJ-.ZLLARS ($?9 :J- rf~" ) AS: DOWN PAYMENT [] \. PAYMENT IN FULL I~/ REGULAR PAYMENT D CASH 0 CHECK lI}......../. VISNMASTER CHARGE 0 FOR THE PURCHASE OF INTERMENT RIGHTS AND/OR MERCHANDISE AND SERVICES FROM THE ABOVE NAMED CEMETERY, RECEIVED BY CEMETERY SALES COUNSELOR ,'I /} ,) ,) , DATE .f, BY N L/i.', il IiI, ,... it; 11.),/" I rOR"', ~--'~--.- .-,-----..-....- AME .lt4Lfc. 1_,._.ll,(.~",',J!.t.t!..{!.r.-:::::' ... R~Ii\~~ Ii"J~X~t,eM~l~t,u' ~~~';u ~~;:i;'~(~;~~;~;'i;;;;i,';ri~iy.~~~U.I~,~.;~;I~';.;if~;'bY .;~;;;O~, ~rf;;~.~i;~;;,;! ~cr,;,;i 1"lId I;.;\;\~;;t in fu)l';rj~J,P,n~"' ' .. <7.~, r'"';"',, 1":';"',\"'; ," ~ .11 ,,.:.,)'''' I, ,I I' ',' ,( . h ." I . ....J \ " i . ", .' , .. , ~ 'I ., STAT1ENIEHf FromCtlUC;/L l3!-/c/LtR- A(/c.T /rJ)ltt~ CU..J.:5KA.( IJ M..J /'Jcc#AIfJ.C-5t3~'I0..131..-_L-US:S- ____19.:11 To J f~&y_1:lliEE:lS_6T.~,----_.._- - Address .:l11Jl..d..J-..11Ag&f S12..l.__-M-'-~ City J.tf..t::Lo.Y.JdtJ3..f-.fl.P..If..-J..- Terms .A~l ~ {t~ S , . .~ .. ,'}.-'I"",' .. ..., " . " . 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(1-97) SCHEDULE I DEBTS OF DECEDENT I MORTGAGE L1ABILlT1E~& LIENS FILE NUMBER 21-1997-0531 COMMONWEALTfI OF PENNSYLVANIA INHERITANCE TAX RETURN RES'DENT DECF.DENT ESTATE OF WIlBERT R, KEELEY --- Include unrelmbur80d modioal ~~-- ITEM NO, AMOUNT - DESCRIPTION None --" TOTAL Also onlo, on IIno 10, Roco Itulatlon $ (It mo'o spocolS n..dod, Insort additional shoots olth. sa"" Blzo) 7 CPA12 NTF "," Copyllght Forml Softwllte Only, 1997 Neloo, Ino, 0,00 ~" '" ~ IIlJlWAlI 01' INDIVIDUAl. TAXES m:p~, '.1KM01 . IIAIIRISlIlJRO,I'A 1112K.0601 COMMONW~;AL'I'lI OF' I'.;NNSYLV ANIA m;PAR'I'M~;N'I' 01' R~;V~;NU~; January 22, 1998 JAMES W KINZIlR CPA BOYIlR AND RITTIlR PO BOX ,8300 CAMP HM PA 17001-8300 Dear Mr, Kinzer I Re: Estate of File No, : Wilbert R, Ke~ley 2197-0531 This is in response to your request for an extension to fils the Inhed,tance Tax Return for the above-referenced estate. In accordance with Section 9136(d) of the Inheritance and Estate Tax Aot of 1995, the time for filing the return is extended for an additional period of six (6) months, This extension will avoid the imposition of a penalty for failure to make a timely return, However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date, The return must be filed with the Register of Wills on or before July 20, 1998, Because Section 9136 (d) of the 1995 Act allows for only olle eitra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted, ~Sincer,/-y ')/,'VJ, . f.! ?t~7''/o John C, Murphy, -l(ief~ Inheritance Tax Division S-ITIINflB3 11 amnii t\43 /j-, I g(, / '/ IUREAU Of INDIV~AL fAXES I~RtT~ TAX DIVISION DE"I, 200001 HARAlllUftG, PA 171".0'01 COllllONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE '*' (' . NOTICE OF INNERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSE&SHENT OF TAk UW.\U1"'" 1".'11 11-30-1998 KEELEV 04-18-1997 21 97-0531 CUMBERLAND 101 E~.!'~~f~IHa.!!- J MAKE CHECK PAVABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOllER PORTION FOR YOUR RECORDS .. iiIY:ii;;'f-iiCA;:P-iiiF9'ri-iioi"icr-ciF"Ytiiiiiiii'Aii'Ci-YAX-rP"PRAiSiifiiir;-ALDiwAii'ci-oli----------------- DISALLOllANCE OF DEDUCTIONS AND ASSESSMENT OF TAX WILBERT R FILE NO. 21 97-0531 ACN 101 DATE 11-30-199S TAX RETURN WAS' I ) ACCEPTEO AS FILEO I Xl CHAHGEO SEE ATTACHED NonCE ELYSE E ROGERS METTE EVANS . WOOPSIDE 3401 N FRONT ST HARRISBURG DATE ESTATE OF DATE OF DEATH FILl NU~ER COUNTY. ACN WIL BERT R , "I' (~l i PA 17110-0950 ESTATE OF KEELEY RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISID VALUE OF RETURN BASED ONI ORIGINAL RETURN 1, Roal Eatate lSOhedUla A) 2. stool<a _ 1Iond. (SohodUla B) 5, Clo..b ttald Stook/Partnerohlp Xnt.ra.t IS.hodula C) 4, Ilort_a/Ilota. R..alvabla ISehoclula D) i, Clllh/Bank Dapo.It./Hho. Par.enol Proparty (Sohodula EJ 6, Jointly Dwnad pr_rty ISOhadula Fl 7. T'r...fa,'. ISohedula OJ B. TGtel A..at. MOTEl To inlure proper oredit to your .coount, .ubIolt tho uppor porUon of thll for_ Mith your tax p.y..nt. ,00 .00 ,00 ,00 108,154.15 ,00 ,DO (8) (1) 12J (5) 14) (i) (6) (71 108,154,15 18,570,20 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funeral EKpen.../AdIt. Coati/Hila. Expen... (Sohedul. H) (9) 10, Dabh/Ilort_ LlabI1IUa./lI.n. (Sohedula I) lID) ,00 11, Total aaduoUono Illl 12, ttat Value of Ta. Raturn (12) 15, Charltabla/Govarnaantal laquo,hl Non-alaotad 9115 Truat. (Sohadula J) IlSI 14, ttat Value of Eatata Subjaot to Ta. 1141 NOTII If.n ........nt w.. i..uld pr.viou.1Y, lin.. 14. 15 .nd/or 16, 17 .nd 1S will refl.ct figur.. th.t in01ud. the tot.l af ~ r.turn. .......d to d.t.. ASSESSMENT OF TAXI 15, Aaount of Line 14 at Spou.al rat. 16, Aaount of Line 14 ta.abla at Lln..l/Cla.. A rata 17, Aaount of line 14 ta.abla at Cell.taral/Cla.. Brat. IB, Principal Ta. Qua TAX CRIDITSI PAVMENT OATE 07-15-1998 lA.I;70 '0 89,583,95 ,00 89,583,95 (15J 1161 (17)- 52.444,24 X ,00. 37,139.71 X ,06. ,00 X ,15. 118) ,00 2,228,38 ,00 2,228,38 RECEIPT IlUNBER AA296427 DISCOUNT I + I INTEREST/PEN PAlO (-) 97:97- AHOUNT PAlO 4,795,00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 4,697,03 2,468,65CR ,00 2,468,65CR . If PAlO AftER OATE INOICATED, SEE REYERSE fOR CALCVLATIOH Of AOOITIOHAL IMTEREST, C If TOTAL DUE IS LESS THAN .1. NO PAVMEMT IS REQUIREO. If TOTAL DUE IS REfLECTEO AS A "CREOn" ICR), YOU MAV IE OUE A REf UNO , SEE REVERSE SlOE Of THIS fORM fOR INSTRUCTIONS,) . .... M.St!~VAT10.41 ElUte. of _edenh dVlng on or before o.oBber 12, 1.62 ~.. if ..,v future inter..t In tM..t,t. 11 trlnlf.rrttd 1n po.....lan ar aniovlltflt to Cia.. I (ClCtlhtlraU .....flol.rl.. ot ttte deC~t aftlr thl Ixplr.Uon of MY .It,t. for II" or for V..r., the c~.lth herebv1Mpro.1lv r.serv.. the riGht to apprll.. wnd ...... tr~.f'r I~rlt~. llx" at tht lMi,ul Cl." . ioollateret) rete on any .uoh future Inter..t, _Of MOUce:1 To fulfUl the nqulr..-nh of Slction nitO of the IntMrltMlal and e,tet. hM Aot, Act 21 of 1995. (n P.I. Section '11\11), PAVME"'I betaoh thll top portion of this Notiol IIfKI ,uMilt tilth your ply..nt to thli Rlllhter of Wllh prlnt.ct on the river.. .tde. nMIIk. cn.ck or lIOl'My order plvlbl. to: REOISTER OF MILLS, AOENT REFUND (ORll A refund of . tlM credit, whloh WI' nut reque.ted on the 'aM R,turn, .~y be r~.t.d by c~l.tlng .., "Appllestlon for Refund of P.nn.ylv~ia Inherit.le. and E.tat. T.~w (REV~1315), ApplicMtion. ar. .~allabla at the Offlca ef the A_,l.tar ef WIll., ~y ef the 25 R.~.nue 01.triot Offlo." or by ceiling the .peclel 24-hour ~....rh", .ervloa nuIlbJl" for -far" ordering I In PaM,Ylvanle 1-800"362-2050, GUhlde Pann,vlvanla end ,wUhln 1001I1 Harrisburg ere. (7171 7a7~8094, TOOl (717) 772-2252 Utearing ",pail'lId Only). OBJECTIONS I Any party in Int.r.,t not ,ati.fl.d with the sppt.l....nt, allow.nce or di..llowanc. of deduction" or .......-nt of t.~ (Including diloount or lnt.r.,t) .. ,hown on thl, Notloe .u.t Object wIthin .I~ty (60) day' of r.e.ipt of thh Mollo. b)l'l -w.r'tt~ prota.t to tha PA n.part..nt of Rav.nu., loard of App.als, D.pt. 281021, H.rrl_burg, PA 17128-1021, OR ~-.l.ctlon to have the ..tt.r dat.ralned at .udit of the acoount of the perIanal rapr..ant.tlv., OR --appfIal to the Orphan" Court. ADMIN ISTRAT1VE CORRECTIONS I F~tu.l .rror. dl.cov.r.d on thi. ........nt Ihould h. .ddr....d lnwrltioa tal PA Dep.rt..nt of R.~'nua, lur.au of Indlvldu.1 T.~.', ATTHI po.t ........nt R.vlew Unit, n,pt. 280&01, Harrl.bur., PA 17128-0601 Phone (717) 767-65US. s.. pl" 5 of thl booklet "In.tructlon. for Inherltanc. T.~ neturn for. R..ldant o.c.6tntW (RtV-1S01) for ~ .~pl.n.tlon of ~lnlstratly.IY corractabla .rror., If tnV t.~ due I. paid within thr.. (5) cal.ndar aonth' aft.r the d.cedent'. death, . flY' p.teent (5X) dilcount of the ta~ paid I. ellowld. The 15X t.~ .-na.ty non-p.rtlclpatlon ~nalty 1. coaput.d on the tot.l of the t.~ Iftd Intar..t .......d, and not paid bofor. J.ouary la, 1996. the flr.t day eft't the .nd of the t.~ ..n..ty p.rlod. Thl. non~p.rtlolp.tlon PWlli!tV is eppe,elebl. In the .... .annat tnd In the the ... U'1lI p.rlod .. you would appaal the ta~ and int.re,t thlt h" bean .......d .. Indleetad on thl' notIce. Int.r..t 11 ch.r"d ~Innlng with first d.y of d.llnqUencY, or nl~ (9) .~"th. and one (1) d.y fro. the d.t. of death, to the d.t. of p,y","t. T'~.' whleh b.c... delinquent before Janvary 1, 1982 btler Inter..t at the rat. of .I~ ('X) prroant per .~ calculrt.d at . dally ret. of .000164. All t.~.s whloh b.c..e dollnquent on and a.,.r ,January 1, 1982 will baar Inter..t .t a rat. which wUl y.ry frot cal.nder y..r to olllander y.er wUh that rat. announced by the PA DepartHOt of R.v.nuII. The eppllclhl. Int.,..t r.t.. for 1912 through 199a ero, U!! Intar..t M.t. !!!.!U....!D.t.ra.t F.ctOI' :!!!r Int.re.t Rete OallY Int.r..t Factor 19.2 20X .0005ftl 1987 9% .0002ft7 1"5 16% .00008 19.1-1991 lli: .00OSOl 1.84 11i: .000501 1992 91: .0002ft7 1985 151: ,0005% 1995~1994 7Z .000192 1.06 lOX .000274 1995-1991 9% .000247 --lnterllt II caloulated .. follow" OlSCUUMT I PENALlY I INTEREST 1 INTEREST . BALANCE OF TAX UNPAIO X NUNBER OF OAYS OELINQUENT X OAILY INTEREST FACTOR -".nv Motie. I.aued .ft.r the t.~ ~Qoaa' delinquent will r.fl.ct an lnt.r..t calculation to fifteen (15) daya beYond the det. of the ......lMIlt. If p.y.."t it .ed. eft.r the Int.r..t COIIpUtlUon data .hoWn on the Matic., addltlonal Int.r.,t au.t be c.lcul.tod. PROBATE 181 JBA 0 DATE:11I1BIIB "~.IOOI!It\e-_l .. INHERITANCE TAX EXPLANATION OF CHANGES CoMMONWEA~ TH OF PENN9V~VANIA DEPARTMENT OF REVENUE BUREAU Of INDIVIDUAL TAXES DEPT 1110OO1 1 ' DECEDENT'S NAME W'I R K I I bert ' ee ey FILE NUMBER 2197.0531 101 ACN 8CHEDULE ITEM NO, EXPLANATION Of CHANGE8 -- -- E 1 Adjusted to $108,154,15 to reflect the correct date of death balance, F 1,2 Adjusted to zero, Both accounts created within one year prior to the date of death from funds held .........,.........-'. ..,... . jointly by the decedent and his spouse, G 1 Adjusted to zero, Transfer made from funds held jointly by decedent and his spouse, H 8.1 Adjusted to $3,000, ",,,....,,,.....,. ......,.m............,........ H 8.2 Adjusted to $3,000, ~_,,., ..... ..__ ,_...... "._m"'__"~ .,m"'_ ~..m'...m.-'". n.'.'.'...,.... ,.'m.<...'~...,~ ~n.n'" .....' ..~."mm'.....m.~.~...'..'m....'.,_....,.~...U<......n ,..............,.'....'.-.. mn-" ." H 8-4 Adjusted to $273, H 8.5 Adjusted to $3,000, .-~~.....,,_..n'.nn.._..m'......_.......m..--. ..m..'.,~..,"mnm......-h...'m'--..m..."....,....." .m.....m.."........---'....'............' ,..,m.......n'.m._'mm...'..~.....'..~....'.m.... ...n..,~'m. H K Additional expenses of $155,20 for advertising, short certificates, and a filing fee Included, The surviving spouse was 68 years, 6 months, and 27 days old as of the date of death, ._..,.n__.....n'...~...,..m...' ,'..nm...m..m..~m_..._..n..'...,...,.mnm...~..-...,.. ..., ._."...~_..,,"~..,~,.an..'. ...'.... ,..,,,..._m....m'" ..., _.._,.,.~,m"nm_.wmn. The correct factor from Table S, 7,8%, age 69, is ,5tl542, The values of the life estate and remainder interests have been adjusted accordingly, The information which you have submitled concerning Schedule 0 is accepted as a valid election under Section 9113(a), There will be no additional tax due on the decedent's .._.....'~....._m__,....m__'"'........ ,..', '", . .' .... ,.. ....-". n...... .mn...m.._....~., "um..'.._m.~..'.~_....~n..' .'.~.~_.~._,,-- m.',.n.....nm......~...". ..._.._~~_.....m.u"~..,...m...."......,..mnn. testamentary trust in the estate of Ann L. Keeley, __...,....~.nd.~.~....m...-.' ,<........',~ '... ..." .",mn....m..m . .........m..".. .....',y. n.........m.,........."...... an.,..mm...___..<~,......~...~,,~~...~m~.n.~--.-~~.-.u_,..._..- ...,~_..~~_.....,....".._.,...,.,,~.....,nn'..'.' ,," ,." ..,.. ............ ."n." n......' .....'.-n.. '...,.. ,,,,,,.,,..m........ ,.......,,. ..._.._u.,...'n...."._...."mm_'y~'_._,.m-n_'.....,..._........"~'-,,. ~.~......~.H......"._.'n......-~'...,...~,,.....n...._.n.....'.~,..,.,...._n..,cnn..~~'....'...,..-,'.<Y~n.,,~m......'......,.~""~..~~'....<Y........~".....--"~,,~'~..-yv''''..,.................,....._.~,. .,~~~"'.~-.--..."".n_'...'..m...~_'m.....'..m'''_'n~n''....n.....~."....n..,".....n....'m.."..'....,"'....,....,,"'__,.."""'~..."~......."._n....m',,"'...m..."_,~..'n.._...mn~"'<Y"..~......,,~....,"..~n ,~_.~...........,.........,........._._..".~.nn.......,..'.".mn"~~n~''''_m'''.._m..~~n...'.T_.."~~......~'''~~....,_~m...~..".mH...~.~".,..'n''...~'..-"m..-....~...,,-~_...~~...._., ..T"......,.~m..~....,.."n..'.."nn'."..'......'-' ..mn....'.......,..........',,"..n..'..,.......,'.,.,...,....,......,...............".."...'........,...-,.. ,_.....nH.'''.._'n'''__'m'''".....,.,,,..~.....,.'''.''n-.-....,wm~_._. PAGE 1 TAX EXAMINER: Shawn e, Young /J-/ t~ -1'1 BUREAU Of INDIVIDUAL TAKES INHERITANCE 'AK DIVISlON Ot:PT. ~"'Ol HMtRJSIURU, PA 1112l~0601 COMMONWBALTH OF PBNNSY~VANIA DB~ARYMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT ELVSE E ROGERS METTE EVANS & WOODSIDE 3401 N FRONT ST HARRISBURG PA 17110-0950 DATE ESTATE OF DATE OF DEATH FILE NUMBBR COUNTY ACN r e...-.. * In-'''' 11I1" m.th 01-04-1999 KEELEV 04-18-1997 21 97-0531 CUMBERLAND 101 Aaount Rolli Had WIL BERT R "1 MAKE CHBCK PAVABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 MOTF.1 To InOllre pr_r oradlt to your aooount, aubalt tha uppar portion of thh for.. with your tel( pa_t, CUT ALONG THIS LINB .. RETAIN LOWER PORTION FOR YOUR RECORDS ..... RIy:U;;jj-ix-AFP-iiii :i;y------iiiiii-iNHiiii'fAiicrTAX-si,'ATEMEiiT-OF-ACciiijiiT--..ii----------------- uU BSTATE OF KEELEV WILBERT R FILE NO.21 97-0531 ACN 101 DATE 01-04-1999 THIS STATEMENT IS PROVIOEO TO ADVISE Of THE CURR~NT STATUS Of THE STATEO ACN IN THE NAMEO ESTATE, SHOWN BELOW IS A SUHHARV Of THE PRINCIPAL TAM DUE, APPLICATION Of ALL PAVMENTS, THE CURRENT BALANCE, ANO, If APPLICABLE. A PROJECTED INTEREST fIGURE, DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 11-23-1998 PRINCIPAL TAX DUE, 2 ,228,38 PAYMENTS (TAX CREDITS), PAYMENT DATE 07-15-1998 12-18-1998 RECEIPT NUMBER AA296427 REFUND DISCOUNT (+) INTEREST/PEN PAID (-) 97,97- ,00 AMOUNT ~HD ,,' 4.7'S',OO 2.468,65- ,. i l.;\ TOTAL TAX CRBDIT BALANCE OF TAX DUE INTIRBST AND PBN. TOTAL DUE 2.228,38 ,00 ,00 ,00 . If PAlO AfTER THIS OATE. SEE REVERSE SlOE fOR CALCULATION Of AOOITIOMAL INTEREST, ( If TOTAL DUE IS LESS THAN f1, NO PAVHENT IS REQUIREO, If TOTAL DUE IS REfLECTEO AS A "CREOn" (CR), VDU MAV IE DUE A REfUND, SEE REVERSE SlOE Of THIS fORM FOR INSTRUCTIONS, ) PAMHTt PetlClh thw top portion (If thh NoUOI Inct ..H tilth ~our PIYHnt _.. PIY.iato tM "... ttnet IIddr... prlnttd,on t~ rIVlr.. I'd.. ~.. If Rf.SlDENT DECf.bENTIUlkI otlMk or IIOMY ardlr PlY"!" hi REQISTER Of WILLS, AQENT. -~ If NOH-RESIDENT DECEDENT .... ohRk or lIOMy arMr plylbl. tOI CottHOHWEAl TH OF PENNSVLVANIA. .FUND (Cfth A r.fund of . tll( credit, NhIClh "'.. not rlque.tld on thtl hI\' Return. ..y be r.que-.ted by capllUng an wAppllcIUOIl for R,fund of Penn'Ylvanl. Intt.rltanol Imd Elt,t, rill:" O":V-15UL AppUcIUon. 't' IYIU_11 at t~ Office of t~ R...tt.r of Will., any 0' thtl 23 Revenue Dl.trlot Offlc.. ~r fro. t~ o.p.rt.-nt'l "-hour __....rlno ..tvlet nullber. for 'or.. or_rinll In PennSYlvania l-100-362.2050, o'lhlM PannlvlvlWll. end Nlthln lOCI. H.r,.taburl .t.. (717) 787-8094, TOOl (717) 172-2252 (He.rlng r.,..rad only), REPLV rOl GulI.Uonl rql,'dlng .trot. Cont.IMd on this notiol .hot.iJ.d tM addr...ed tal PA o.p.rt..nt of ..v....... luruu of Individual Ta~a', ATTNI Po.t A.......nt Ravlaw UnIt, Dept. 280601, Klrri.tKlrg, PA 17128-0'01, ~ (117) 787-6505. DISCCQfT I If .IY tax dUIi h paid within thr.. CJ) nl.oo:ar aonth. aftar the dee.dent', Math, . five percent (5;0 dhcount of the tax paid I. all~, PENALTY, The 15~ ta~ .-ne.ty non-partlcJpatlon p.nalty I, C08putad 00 the total of the t.x and Intere.t .......d, and not p.ld before J~ry 13, 1996, the flr.t day aft'r the .nd of the tex .-nIlty p.rlod. INTEREST I Inter.llt II ehar.-cl tt.llmlng with flr.t day of deUnquency, 01' nIne (9) IIC.Iflth. Met on. (1) day frOll the data of ..th, to the data of pay..nt. TalC.. which bee... deUnquent bafor. JlRlfflry 1, 1"82 bear Int.r.,1\ at tM r.t. of alM ('~) pareant par annua caloui~t~,at . daily rata af ,000164. All taM.. which bee... d*llnquent on end aft.r J~ry 1, 1982 .,111 bear Int.r..t .t a rata Which will vary fru. calendar ,year to oalendar y..r .,ith that rat. ~~ by the PA Dapart-.nt of .avanue, The appllcabl. lnt.ra.t rat., for 19A2 thr~1 I"" er., V.ar Int.re.t Rat. nelly Int.r..t Factor V..r Interut Rat. Dally Int.r..t fantor 1902 20:< ,00l'l548 1988-1991 11% , GOnGl 1911 161( ,000451 1992 O~ .000241 I.... II~ .0001Sl 1993~1"4 n .000192 1M' UX ,0OOlS6 1995-1998 OX .000241 1906 10% .010274 1999 n ,000192 1917 OX .0001:47 --Inter..t IN oaloulatad al follow., INTEREST c BALANCE OF TAX UNPAID X NUNIER DF DAYS OELINQUENT X OAILY INTEREST FACTOR --My NoUoe 1.,,\.Md aft.r tM tal( 1Mc0H' dallflCtUOnt "lIl r.flaet an 'nt.r..t oalcul.Uon tc fiftMn (15) day. beyond the date of the ........nt. If p.~..nt II ..de aft.r ttM int.r..t o~tation date Ihown on the Notlc., ackUtiOMI Int.r..t IlUlt b. oalculatad, IJ~/?~'N COMMONWIALTH OF PINNSYLVANIA DIPARTMINT OF RBVBNUI NOTICB OF DBTIRMINATION AND ASSBI.MBNT OF PINNSYLVANIA ISTATB TAX IASID ON FIDBRAL ISTATB TAX RBTURN '*' lY lUReAU Of INDIVIDUAL TAKES IMHERlTM4t[ TAX DIYISION DEPT, 10..01 HARlUllURQ, PA 17UI~06l1 ",......", ""'11 " ELVSE E ROGERS METTE EVANS I WOODSIDE 3401 N FRONT ST HARRISBURG DATI 04-26-1999 I!STATE OF KEELEY WILBERT R DATE OF DEATH 04-18-1997 FILl NUMBIR 21 97-0531 COUNTY CUMBERLAND ACN 201 Aaount ~"Ittad --l MAKB CHICK PAVAILI AND RIMIT PAVMBNT TOI u el.i PA 17110-0950 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE I To inoura pr_r oradlt to your ..count, aubollt tho UPllOr portion cf thh fora with your ta. P._t. CUT ALONG THIS LINE .. RITAIN LOWER PORTION FOR YOUR FILES .. iiiy:Ui-iie-A';jiToi:'-97Y----il.-ijoficl"oi'--liii'iRMiiiA"fioN-Aifli-AisiiiiiMiN'T-----------------------m-- OF PENNSVLVANIA ISTATB TAX IASID ON FBDBRAL ISTATI TAX RBTURN .. ISTATI OF KEELEY WILBERT R FILB NO.21 97-0531 ESTATE TAX DETERMINATION ACN 201 DATI 04-26-1999 1. Credit For Stete D..th T.xe. .. Verifi.d 10,485.00 2. Penn.ylv.ni. Inherit.nce T.x A......d (Excluding Di.count Qnd/or Int~r..t) 2.228.38 3, Inherit.nc. T.x A......d by Oth.r St.t.. or Territorie. of the Unit.d st.t.. (Excluding Di.count .nd/or Inter..t) .00 4. Tot.l Inh.rit.nc. T.x A......d 2.228.38 5. P.nn.ylv.ni. E.t.t. T.x Due 8.256.62 TAX CRIDITSI PAYMENT DATE DISCOUNT (+) INTEREST/PEN PAID (-) RECEIPT NUMBER AMOUNT PAID WIf PAID AfTER THJS OATE, SEE REVERSE SIDE fOR CALCULATION Of ADOJTJOHAL JHTEREST, TOTAL TAX CRBDIT .00 BALANCE OF TAX DUB 8,256.62 INTIREST AND PBN. 904.24 TOTAL DUB 9,160.86 (If TOTAL DUE JS LESS THAN .1, NO pAYHENT XS REquXREO Jf TOTAL OUE IS REfLECTEO AS A "CREOIT" ICRI, YOU HAY IE DUE A ~EfUND, SEE REVERSE SlOE Of THJS fORK fOR INSTRUCTIONS.) INTEREST IS CHARGED THROUGH 05-04-1999 AT THE RATES APPLICABLE AS OUTLINEO ON THE REVERSE SIDE OF THIS FORM,. _or HOTlCEI To fulfill the "....,....nt. of &MUon 2141 (b) of thl If'herttlfl(ll Mtd btat. Tel( Act, Aot 21 of 1995. (12 P.I. s.otl~ 9145). PAVlIEIlTI Det~ the top portion of thi. Motto. end sua.lt ..lth your PfIYMnt to ttM R-oht.r of MUll print" on tt- rev.t.. "eM. __ tIM. oMok or 110M)' 01'.1' paYM1. tOI REGISTER OF MILLS, AGENT. R€fUMD CCRh A r...... of . te. credit _:.I be r.....ted by OOlIlPleUng arl "ApplioaUon for RefUnd of p.."..,vh.,le Inhertt~ end Elt.t_ 'Il(" (REY-131S). Appllc.tlon. .t. .valllbl. It thl Offlo. of the R....t,r of Will., ..y of the IS R.~ Dbtriot Offlc.. or frM ttw hptlrtHntl. ZIt-holJr .,....ring ..tyin nuWMir. for fO"'1 ordering I In Penn.)'l~l. 1-"0-162-2050, out. Ide PennIYlvenJ, end within lo~l Hlrr'lburg '1''' (717) 7.7-1''', 'DDI (717) nZ-USl (....rlnt I.tlred only), OBJECTIONS. Any ",rtv 1n lnt.r..t not ..ti.fI_ with the ..H.......t of tlX II shoWn on this noUe. My obj~t wlthln .I.t)' (60) dly. of receipt 0' thi. Motlo. bYI --written prote.t to the PA o.p.rt..nt of R.venue, IOlrd of .~.1., Dlpt, Z&1021, ",rrllbur" PA 17128"1021, ~ N-.I.cUne to hev. the .Itt.r det.r.lned It audit of the ptlrlOilllI reprl.."taUv., OR "~~l to the Or~I' Court. ADMIN- ISTRATIVE CORRECTlONS1 Faotu.1 .rrorl dlaao'l4lred on thl1 .....lHnt shOuld be IIddr...ed In ..riting to; PA o.p.rtMnt of Revenue, IUre8U of Individual 11.1" AllNI Po.t A...~...nt Rlvlew unit, Dept. 280601, KerrllbYrg, PA 17121-0601, PhoM (117) 787-6.0S. s.. peoII S of thlt book1at "In.tructlon. for InilIrltenc. la. Rlturn for. R..ldant DtcedwIt.. CREYN1S01) for In ..pUn.tlon of ..lnlltraUvlh corr.ot8bl. .rrora. PENALlY1 lh1 lSX t.. ......ty non-pettlcl....Uon pe"'1t~ 11 cDIlPUted on the tot.l of tM ta. and Int.r..t ....ued, - not paid bafor. ......r~ 18, 1996, the flnt da~ aft.r the end of the tllC .ne.t~ p41rlod. lhis non-participation J*M1t~ it .....lllbl. In the I" IIIMIr and In the thl ... U.. period I' you IlIOUld 1PPH1 thl t.M end lnt.r..t thet tMI. bHn .....ted .. Indlc.ted on thlt notlCI. INTEREST I For dlt.. of dMth on or IU.r 10-3-91, p.m.v1\lWlI. Estatl 'llC b..1Id on the F.derl1 Estat. lax r.tum bloOM' "'H~t It tho ..plr.Uon of nine CO,) IIOflth. frOll thll dlt. of de.th. For dat.s of dl8th print to 10.5-91, Penns~lvenia E.tat. 11. ba.ed on thl Federll Estlte T.. return bIof.'MII' dlll~t at the elCplraUon of eighteen UII IIOf1ths frOll till dlt. of cMi.th. 'e.e. which bIG_ dtlllnquwlt bafore JllnUary 1, 191Z bAr Int.r..t .t the ,'.'te of .he (6X) petOflnt p.r .... OIlou1atad at a dally rate of .000164. All tIM.' Nhloh bee... del1~t on or .ft.r January 1, 191Z ~111 balr Int.r..t .t . r.t. which will v.ry frOlll olt"'r y..r to calendar ye.r tilth thllt r.t. announced bY thl PA o.plrt8lnt of RevMUI. ThI applicable Int.r..t r.t.. for 191Z throuth 1999 Ir.t V..r 1nt.r..t R.t. o.lly Inter.lt f.ctor V..r Inter..t Rlt, DIUy Jnter.at FltCtor -- 190Z !OX .000SltI 19A&~1991 11:< .000301 1911 16lC .000~3& 1992 9X .000241 191M lIX .000301 1993Nl994 7X .00U9Z 1985 ISlC .0005S6 1"5-1"1 9X .000247 1... lOX .OIOZ1it ,... T< ,000192 1907 9X .IOOZit7 -~Inter..t 1. 0I1cul1tad .. follOM.1 IIIftU8T . 'ALANCE Of TAX UNPAID X NUlIBER DF OA YB OELINQUENT X OAlLY INTEREST FACTOR ..Any Notice 1I1U1d Ifter thl t.\II: beCOH. dlllnqtMflt tll11 r.fllot If! Illt.r..t c.lculatlon to flft..... ns) dlv. beyond thl dIIte of thI .....tMnt. If PIYIlIOt II ... .fter thl Inter.lt COIIpUt.Uon dlt. IhOMn on tt.. Motlo., Iddltlonel Intere.t lUst be c.1out,tad. COMMONWBALTH OF PINNSVLVANIA DBPARTMBNT OF RIVINUB NOTICB OF DBTIRMINATION AND ASSBSSMINT OF PINNSYLVANIA ISTATB TAX IASID ON FBDIRAL CL081NG LBTTIR DATE BSTATE OF DATE OF DIATH FILE NUHlIR ICOUNTV ACN Ib-/f6~ 1'1 IURIAU Of INOIVIOUAL TAMES n.EAJfAMCf TAM IJIYJSloN DEPT. 2'06'1 ~IIIUAO, PA 11126-0601 ELYSE E ROGERS METTE EVANS a WOODSIDE 3401 N FRONT ST HARRl$BURG PA 171 b~0950 1'....... * NOTE! To Inlura proper oradlt to your aooount, lubalt tho uppar portion of thla for~ with your ~.x payaant. CUT ALONG THIS LINB .. RETAIN LOWBR PORTION FOR YOUR FILBS ... itiV' :U'-iiCAjijiToi-.-97r----...i-NOii ci'-oj:--lii;'.RMiiiAfiolniili-AssiiistiiNi'--.-. n__._...._.______n_.__ OF PENNSVLVANIA BSTATE TAX IASID ON FEDBRAL CLOSING LBTTIR RM In.''' II..' n..", 05-03-1999 KEELEY 04-18-1997 21 97-0531 CUMBERLAND 202 [==, ~~Raalttad MAKI CHECK PAVAILB AND RIMIT WILBERT R J PAVMINT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ACN 202 DATI! 05-03-1999 ESTATI OF KEELEY WILBERT R FILE NO.21 97-0531 ESTATE TAX DETERMINATION 1, Cr.dit For stat. D..th Tax.. a. Varifi.d 10,485,00 2, P.nn.ylv.ni. Inh.ritanc. Tax A......d 2,228,38 (Excluding Di.count .nd/or Int.r..t) 3, Inh.rit.nc. T.x A......d by Othor State. .00 or T.rritori.. of the Unit.d Stat.. (Excluding Di.count .nd/or Int.re.t) 5, P.nnaylv.nia E.t.t. Tax Du. 8.256,62 6, Amount of P.nn.ylv.ni. E.t.ta Tax Pr.viou.ly A......d Ba..d on F.d.ral E.tet. Tax R.turn 8 ,256,62 7. Additional P.nn.ylvania E.tat. Tax Du. ,00 TAX CRIDlTSI PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CRIDIT ,00 IALANCE OF TAX DUI . ,00 INTlRIST AND PIN. ,00 TOTAL DUE ,00 _If PAID AfTeR THIS OATE,' SEE REVERSE SlOE Uf TOTAL OUE IS LESS THAH .1" NO PAYNENT IS REquIRED fOR CALCULATION Of AOOITIONAL IHTEREST, If TOTAL OUE IS REfLECTEO AS A "CREOIT" (CR), YOU KAY IE OUE A REfUND, SEE REVERSE SIDE Of THIS fORM fOR INSTRUCTIONS.) ..-llf NOTICE i To fUlfill thl r.qulr.-.nt. of Station 2145 (b) of thl InherltlnCs .od Elt.t_ 'IK lot, Aot 21 of 1991, (7Z'~,., Section 9145). PAVMEHTI o.tltCh the top portion of thh Motle. lIOd tublllt with !iour plyeent to tMi RI,hter of N11l1 printed on the r...,.r.. .lde. __ MIke eheote. or ttOnCtY order p.:ilbltt tOI REOISTER OF MILLS, AGENT. REflllO (eRl I " ,..fund of . tll( credit ..y tMl ".qUllted by (I_IaUna lIt1 "Application for Refund of Plnnsy!y..l_ Inhef'ltMCII IInd Estate TIM" (REV~Un), Applications .r. ...,.Uabl. at thl OfflClI of thl RCl8lst.r of Nlllt, Ml!t of the 23 ".\lemHI Olltdet OffiCI' or trOll thl Depart..nt'. Z4~hour Imswlrtng IIIrvlol nuMMir' for for.' orct.rJOII In Penn'lIlv"'._ l-aoO~5'2-ZD:.D, ouhlde Pennsylvanl. Bnd \IlHhln 100a1 H."rhburg .r.. (717) 7a7~'09lt, TOO' (717) 77Z~ZZ5Z (....rlng IllPllrad OnhO, OIJECTIONSl Any partv In Int.r..t not ..thHed with the .".....nt of tlX .. shown on ttllt notice ..V objlct wUhln si~ty (60) d8Y. of rec.ipt of thl. Notlc. bYI --tlrlttan prot..t to thtl PA IMpartHnt of Rav.nlM, Board of App..h, Dept, 281021, HarrisbUrg, PA 11128-1021, OR --lleotlO1 to ~VI the ..tt.r dat.r.lned at eudit of the p.r.onal repr...nt.tlv., OR --..pesl to the Orphan.' Court ADMIN- ISTRAnVE CORRECTIONSI FactUlI .,'ron disoov.r.d on this ........nt .hould be adctr....d In tldUng tOI PA Dep.rt""t of R.wM'llMl, luraau of IndividUal 'a~'" AlTNl Po.t A.....Hnt Revlaw Unit, Dapt, 210601, H.rri.burg, PA 11121-0601, ~~ (717) 117-6S0S. S.. page 5 of the bookl.t "In.tructlon. for Inherltenoa T.~ Return for a Ra.ldent Decedent" (RF.Y-lS01) for an 'Mplanatlon of .o.lnl.tr.tlvaly oorrectable .rror.. PENAL TY I T~ ISX taM ~.ty non-p.rtlolpatlon ~ltY I. c~,tad on the total of the taM ~ Int.ra.t ......ed, cod not paid bafor. J.nuarY ii, 1996, the flr.t d.y .ftar the and of the ta)( NM'ty period. Thlt nowpartlolpaUon penaltY 11 IIPpeal..la In the .... aann.r BOd In the thlll .... U.. period II you would .",.l thl tal( IIOd Intsr..t tMt hal btteo ........ a. Indica tall on thit not ie.. INTEREST I AddltlOOllI p.nnsvlvlWlla E.tat. "M ......8d al . r.,ult of a changll on the F.deral Eltat. Taw cloting iattar blIOOHI dellnq1JMlt at the .ltplraUon of onll U) lonth fro' the d.t. thtt flnel noUc. of tM IflCIr.... In Fadersl Eltata 'aM I. rae.lv.d, 'aK" ~Ioh bee... delinquent blfora JlHlUary 1. 1982 Mil' Int.r..t at the rat. of .he (6in percent par ~ oalcul.ted at a d8lh r.t. of ,00lUM. All tSIt.. which bee... cNllnquent 00 or .ft.r January I, lta2 wUI be.r Int.r..t .t . r.t. whIch wUI v.ry frOll (1I111.nd.r y.ar to c.l.ndar y..r wittl that t.t. 1IIM0unc.d by tM PA Dapert""t of R.venue, The appllcabla lnt",...t r.t.. for 19IZ through l"~ .rll ~ Int.r.at R.t. Dally Int.r.Rt f.ctor ~ Inter..t Rat. D.l1li' Int.,.!!l.!..~ 190' 20:< ,OOOS",I 1911-1991 11% ,000501 19&5 16:': .000418 199Z 9% .D002lt7 19" IlX .000501 1993-1994 n .000192 190' 1'5:< ,000556 1995-19'1& 9~ ,OOOllt7 1.06 10:< ,OOO'l11t ,... 7X .000192 1901 'X .OO02lt1 --Int.r..t II c.laul.tad al fol1ow'l INTEREST C IALANCE OF TAX UNPAIO X NUNIER OF DAYS OELINQUENT X DAILY INTEREST FACTOR --Any MoUo. I..uad eft.r thl t'l< HelOMI dallnquant tllll r.flaot an lnt.rut c.lculatlon to flft.." (1!U day. beYond thl d8tll of the ......aant, If p'YJI8nt II "ad. .ft.r the Int.,...t ou.put.tlon deh .hOWn on the Notice, addltlon.l lnt.r.lt .ult be o.lcul.t.d, IURIAU 0' JNDXVIDUAL TAMIS INHlRIT~r. TA~ DIVIOION IIlPT, UO". HARRtllURl, PA 1111'~"'1 COMMONWIALTH 0' PINNIYLVANIA DIPAITMINT 0' RIVINUI PINNSYLVANIA IITATB TAX RICORD ADJUITMINT ELYSE E ROGERS METTE EVANS . WOODS~DE 3401 N FRONT ST ,,\ ' HARRISBURG PA 17110-0950 DATI .ITATE OF DATI OF DBATH FILB NUIlIBR COUNTY ACN [ 6- 08-04-1999 KEELEY 04-18-1997 21 97-0531 CUMBERLAND 201 Aaount R..lttad '*' ",.I"...m lU.th WILBERT J MAKB CHICK PAVABLB AND RIMIT PAYMINT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 IIOTE I To In.ura pr_r oradlt to your eooount, aubollt tho _r portion of thh fora with your ta. P._t, CUT ALONG THIS LINI .. RITAIN LOWIR PORTION FOR YOUR FILBS .. iilY: 16Zl'-iX-APji-ioy:m------..-jiiiiNsvLvitiiA--iiTAfi-;'Al,(-iiiCiliiD'-liijiisTMiiif-.ii----"------"- ------ IITATI 0' KEELEV WILBERT R FILB NO.21 97-0531 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION 1. Cr.dit For St.t. D..th T.x.. .. V.rifi.d 2, p.nn.ylv.ni. Inh.rit.ne. T.x A......d <Excluding Di.count .nd/or Int.r..tl 3. Inh.rit.no. T.x A......d by Oth.r St.t.. Dr T.rritori.. of the Unit.d st.t.. <Excluding Di.count .nd/or Int.r..tl 4. Tot.l Inh.rit.nce T.x A......d 5. P.nn.ylveni. E.t.t. T.x Du. 6. Amount of P.nn.ylv.ni. E.t.te T.x Pr.viou.1Y A......d a...d on F.d.reI E.t.t. 'f.x R.turn 7, Addition.l ".nn.ylv.ni. E.t.t. T.x Du. TAX CRIDITSI PAYMENT DATE RECEIPT NUMBER DISCOUNT (+l INTEREST/PEN PAID (-l ACN 201 CODE 2,228,38 ,00 AMOUNT PAID DATI 08-04-1999 706 2i228.38 ~i228.38 ~.!!L. ,00 ,00 ,00 R .00 ,00 ,00 TOTAL TAX CRIDIT BALANCB OF TAX DUI --- INTIREST AND PBN. TOTAL DUI If TOTAL OUE JS LESS THAN tl, 110 PAYMENT IS REllUIRED. If TOTAL DUE IS REflECT EO AS A "CREOn" <<CRJ, YDU MAY BE DUE A REfUHO, SEE REVERSE SlOE Of THIS fORM fOR JNSTRUCTIONS,) . If PAID AfTER THIS DATE, SEE REVERSE SlOE << fOR CALCULATXON Of ADOJTIOHAL INTEREST. PAVIlENT. o.tllGtl thI tap portion Df'thh HoUat WId 'lIb"t wlth your Plv.nt ... PIY.1I to tM ... _ "rIll printed on thl taW"" IJde. -. _. _ ., _. .,dot ........ to. REGISTER Of IIILLS, AGENT, __ (etUI A refund of . 'IX orMJt, whloh w.. not ,......ted on thel 'Ill. Return, ..y 1M r...ted by o"f)ltUntl In .....l.I01ltlon for R,fund of Penn'1I1v.ol. JnhlIl'JtIlflH .00 Elt.t. hI(" (REV-un), ApplloeUon. Ir. .",UIb., _t the OfflC* of the Meehtt,. of N1UI, eny of ttMI n Rlv.nut 01.trlot Offjo.. or frOll tt.. (teptrh..nt', 24-huur .,...."lft1 Hrvl01 nullber. for forti. orderlngl In PennlvlYlnl1 1-'OOwJ62~ZOSO, outll_ Pennlwhenl, ~ Ntthln 100.1 ~trllburD It" (717) 787-8094, TDDI (717) 712-2252 (He.rlng l.,.lred only), , ~LY TOI I'I~LTY. INTEREST I au..tlon. resardlng .rrot. oontalned on thl. notlo. '~.Ild be addr.,.ad In writing tOI PA o.p.rt-.nt of R.y~, lure.u of Indlvl~l 'IMI', ATTNI Po,t A......-nt R.vlew unit, o.pt. Z80601, Harrisburg, PA 17128-0601, Phone (117) 717-6505. 'M lQ tlk ..,..ty non-p.rticip.tion penllh .. cOllpUted on thl tchl of thl tax .00 intar..t .....nd, Met not paid afcr. Jenuery la, 1996, thl first dly Ift.r thl find of the tllC .....ty period. For o.t. of noath Ifter 10~3~'1 Penn.vlw~il E.tlt. ,.x ba.ed on the F.derll E.t.t. 'IX r.turn bIG~. delinquent .t t~ expiration of nin- (,) ~th. froe thl date of de~th (A...,...nt control nuablr (ACN> 201 only). For Dat. ct o..th prior to 10~3~91 Penn.ylwanll E.tlta 'IX baled on thl Federll E.tata 'ax return beC~. dlllnquent tlghtlln UI) IOnth. froe thl det. of de.th U....lHnt Control NI.MbIr (A,CN) 201 only}. Addltlonel PInn.ylwanla E.t.t. 'llC ......Id a. I r..ult of . chlntt bl.ed vn the Federll E.t_t. l~ clo.lng lett.r beeOMI dlU~t .t the .lCpiration of one (l) lenth frOll the eMit. of the finll noUc. of thl- loor.... 1n Federal E.t.t. Tax i. r1C81wld. (A.....-.nt Control Nv~r (ACM) tOZ only.) TaM.' whiCh bee... delinquent before JHnUlry 1, 1982 ~r 1nt.r..t .t the rat. of .ix (6X) perc.nt pet ~ caloulated at a dally rat. of .000164. All taxe. which ~ delinquent on cr .ft.r January 1, 19.2 Nll1 ~r l"t.r..t Ilt I rat. Nhloh ,dU Vlry fr. C1elend.r y..r to C111ender' YNr with thllt ,.,te II'lnOUnClM by thl PA Dap.tt-.nt of Revenue. ThI eppllotble lnter..t rlt.. for 1982 through 1999 .t., VAr Int.r..t A.t. DIlly Int.r..t Factor Yoo, Int.r..t Rlt, O.Uy IM.r.at FRtor 1902 lOX .OOO~I 19aa~I991 11i: .000301 I'" 16X .00001 1992 'X ,00ft247 ,_ \LX .00OSOl 1"3-199'1 7X .000192 1915 lSX .000556 1995wl998 'X .000247 ,_ lOX .000274 19.. 'Ii: .1100192 .917 9X .000247 -~Int.t..t 1. cllculatad I' follow'l INTBRElT . BALANCE OF TAX UNPAIO X NUNIER OF OAYS OELINqUENT X OAILY INTEREST FACTOR --Any NotJoa 1.aued .ft.r the t.x bIc~. delJnquent will raflact 10 Int.r..t C111culltJon tc flttaan (15) day. bI~ond thl d.ta af the ........nt. If ply..nt J. .161 aft.r the Intar..t cu.rutatlon d.te .hewn on the MoUoe, addltlon.J Int.rllt .ust btI c.loul.t.d. 'If' "r"---~ \ ,