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Home My WebLink About10-01-07 .-J REV -1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 15056041158 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICiAl USE ONLY County Code Year 21 07 File Number 0160 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 183-12-2284 01302007 Date of Birth 09111921 Decedent's Last Name HECKMAN Suffix Decedent's First Name ROBERT MI M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix HECKMAN Spouse's First Name JOAN MI C Spouse's Social Security Number 174-20-2392 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW [K] 1, Original Return o 4. Limited Estate [K] 6. Decedent Died Testate (Attach Copy of Will) o 9. Litigation Proceeds Received Supplemental Return o o 3. Remainder Return (date of death prior to 12-13-82) Future Interest Compromise (date of death after 12-12-82) Decedent Maintained a Living Trust (Attach Copy of Trust) Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number PETER J. RESSLER, ESQUIRE 717-232-5000 02. 04a. 07. 010. 5. Federal Estate Tax Return Required L1- 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) Firm Name (If Applicable) METTE, EVANS & WOODSIDE REGISTER OF WILLS USE ONL (") = c:; 0 --J . ='::J c::::> ~3Q ~ I~' I ~~ First line of address 3401 N. FRONT STREET .:'J Second line of address PO BOX 5950 , -) ""'I -0 State ZIP Code PA 17110--0950 DATE-F.ll,.eDl '.~._3 N City or Post Office HARRISBURG ....; -.J Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and com plate. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SI RE OF PERSON ESPO IBLE FOR FILING RETURN DATE l!! 500 NOBLE BLVD., PA 1701 J. RESSLER, ESQUIRE 3401 N. FRONT ST., HARRISBURG, PA PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056041158 6M4647 2.000 15056041158 .-J ~ --.J 15056042159 REV-1500 EX Decedent's NameH E C K MAN ROB E R T RECAPITULATION 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 & Notes Receivable (Schedule D). . . . . . . . . . . . . . 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E). . 5. 6. Jointly Owned Property (Schedule F) D Separate Billing Requested . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested . 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . 8. 9. Funeral Expenses & Administrative Costs (Schedule H). . 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). 10. 11. Total Deductions (total Lines 9 & 10). . . . . 11. 12. Net Value of Estate (Line 8 minus Line 11) . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers u:lger Sec. 9116 (a)(1.2)X.0_ 403560.73 16. Amount of Line 14.1axable at lineal rate X .O~ 786076 . 78 17. Amount of Line 14 taxable at sibling rate X .12 0.00 18. Amount of Line 14 taxable at collateral rate X .15 0 . 00 19. TAX DUE . . . . . . 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 15056042159 6M4648 2.000 Decedent's Social Security Number 183-12-2284 M 0.00 1225234.91 0.00 0.00 15105.08 0.00 0.00 1240339.99 50220.97 481.51 50702.48 1189637.51 0.00 1189637.51 15. 0.00 16. 35373.46 17. 0.00 18. 0.00 19. 35373.46 IX] 15056042159 --.J REV-1500 EX Page 3 o d t' C File Num bar 0160 I t Add ece en sample e ress: DECEDENrs NAME HECKMAN ROBERT M STREET ADDRESS 500 NOBLE BOULEVARD CUMBERLAND COUNTY CITY I I STATE I ZIP CARLISLE PA 17013- Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 35373.46 0.00 41038.57 1768.67 Total Credits (A + B + C) (2) 42807.24 3. InteresVPenalty if applicable D. Interest E. Penalty 0.00 0.00 TotallnterestlPenaily (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (3) 0.00 7433.78 (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 0.00 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: a. retain the use or income of the property transferred; . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? ........ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes D D B D D [K] No 00 00 00 00 D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent[72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. 99116 (a) (1.1) (ii)). The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 89116(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. 6M4671 1.000 REV-1503 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS FILE NUMBER Robert M. Heckman 21 07 0160 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTlON VALUE AT DATE OF DEATH 1. 10,000 Par Advanta Bank Corp - UT Coupon 5.05% Mature 11/3/08 (Smi th Barney Account) CUSIP: 00759TRC5 Interest accrued to 1/30/2007 9,927.90 121.75 2 325 Shares ~legheny Technologies Inc. - 325 shares CUSIP: 01741R102 33,169.50 3 1,980 Shares ~lied Irish Banks - 1,980 shares CUSIP: 019228402 114,424.20 4 15,000 Par CIT Bank UT Coupon 5.05% Mature 1/30/12 CUSIP: 17284PWZ4 14,773.05 5 10,000 Par Capital One Bank - VA Coupon 4.9% Mature 12/20/11 CUSIP: 14041AQR3 Interest accrued to 1/30/2007 9,785.30 55.04 6 77 Shares AT&T Inc. - 77 shares CUSIP: 00206R102 2,839.76 7 10,000 Par Discover BK Greenwood DE Coupon 4.35% Mature 7/6/10 CUSIP: 25467JH87 Interest accrued to 1/30/2007 9,660.80 28.60 8 10,000 Par Corn Belt BK TR Pittsfield ILL, Coupon 4.6%, Mature 4/15/10 CUSIP: 218892BUO Interest accrued to 1/30/2007 9,751. 40 18.90 9 550 Shares Avnet, Inc. - 550 shares CUSIP: 053807103 16,722.75 Total from continuation schedules 1,003,955.96 3W4696 1.000 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1,225,234.91 Estate of: Robert M. Heckman 183-12-2284 Schedule B (Page 2) Item No. Description Value at Date of Death 10 10,000 Par First Bank Idaho Ketchum Coupon 4% Mature 8/12/09 CUSIP: 319151BT2 Interest accrued to 1/30/2007 9,658.90 86.57 11 10,000 Par First Bank Financial Centre Coupon 5.2% Mature 5/11/11 CUSIP: 31911QBD6 Interest accrued to 1/30/2007 9,910.30 113. 97 12 10,000 Par Flushing Savings Bank NY Coupon 4.8% Mature 12/7/10 CUSIP: 344030AY7 Interest accrued to 1/30/2007 9,777.00 71.01 13 10,000 Par Discover Bank - DE Coupon 4.8% Mature 11/9/09 CUSIP: 25457.JX30 Interest accrued to 1/30/2007 9,833.60 107.83 14 10,000 Par GMAC Automotive Bank - UT Coupon 4% Mature 11/10/09 CUSIP: 36184PED4 Interest accrued to 1/30/2007 9,631.10 87.67 15 20,000 Par BMW Bank of North America - UT coupon 5.1% Mature 3/2/09 CUSIP: 05566RM69 Interest accrued to 1/30/2007 19,856.60 419.17 16 1,404 Shares BP PLC - 1,404 shares CUSIP: 055622104 88,950.42 17 10,000 Par Lehman Brothers Commerical BK Coupon 4.7% Mature 1/12/09 CUSIP: 52520KDU8 Interest accrued to 1/30/2007 9,859.60 23.17 18 10,000 Par Capital One FSB - VA Coupon 4.9% Mature 5/22/07 Interest accrued to 1/30/2007 9,980.50 92.63 19 10,000 Par General Motors Accept Corp Coupon 3.8% Mature 8/15/07 CUSIP: 3704AOPPl Interest accrued to 1/30/2007 9,841.00 79.12 Total (Carry forward to main schedule) 188,380.16 Estate of: Robert M. Heckman 183-12-2284 Schedu1e B (Page 3) Item No. Description Value at Date of Death 20 400 Shares Citigroup Inc. - 400 shares CUSIP: 172967101 21,624.00 21 10,000 Par Peoples Bank Winder GA Coupon 4.45% Mature 5/6/10 CUSIP: 710799AJ6 Interest accrued to 1/30/2007 9,705.00 102.41 22 145 Shares Comcast Corp Cl A - 145 shares CUSIP: 20030NI0l 6,343.03 23 6,000 Par Treasury BK Alexandria VA Coupon 3.6^ Mature 10/15/08 CUSIP: 89465ACJ5 Interest accrued to 1/30/2007 5,817.36 8.87 24 10,000 Par Discover BK Greenwood DEL Coupon 3.4% Mature 01/14/08 CUSIP: 25467JEAS Interest accrued to 1/30/2007 9,805.50 14.90 25 5,000 Par Unibank - FL Coupon 4.75% Mature 1/5/09 CUSIP: 90458GAG7 Interest accrued to 1/30/2007 4,912.80 16.26 26 400 Shares Duke Energy - 400 shares CUSIP: 26441CI05 7,748.00 27 11,000 Par Warthen George D BK Coupon 4.05% Mature 10/20/09 CUSIP: 936541AD3 Interest accrued to 1/30/2007 10,615.33 124.49 28 10,000 Par Everbank - FL Coupon 3.25% Mature 2/19/08 CUSIP: 29976DAB6 Interest accrued to 1/30/2007 9,772.30 146.02 29 10,000 Par Washington Mutua1 Bank - NV Coupon 5% Mature 11/15/10 CUSIP: 939369E26 Interest accrued to 1/30/2007 9,847.50 104.10 Tota1 (Carry forward to main schedule) 96,707.87 Estate of: Robert M. Heckman 183-12-2284 Schedule B (Page 4) Item No. Description Value at Date of Death 30 2,100 Shares Exelon Corp. - 2,100 shares CUSIP: 30161N101 124,918.50 31 15,000 Par Washington Mut BK FA Stockton Coupon 4.5% Mature 10/14/08 CUSIP: 939369EG5 Interest accrued to 1/30/2007 14,763.15 199.72 32 1,444 Shares Exxon Mobil Corp. - 1444 shares CUSIP: 30231G102 106,798.24 33 10,000 Par Washington Mutual Bank - NV Coupon 5.2% Mature 8/16/11 CUSIP: 939369SC9 Interest accrued to 1/30/2007 9,911.40 237.91 34 10,000 Par Washington Mutual Bank - NV Coupon 5% Mature 9/20/10 CUSIP: 939369WEO Interest accrued to 1/30/2007 9,853.30 180.82 35 10,000 Par Oil City PA SCH DIST Rfdg Coupon 5.05% Mature 5/15/07 CUSIP: 677857EC4 Interest accrued to 1/30/2007 10,011.30 105.15 36 10,000 Par Washington Mutual Bank - NV Coupon 4.9% Mature 3/10/08 CUSIP: 939369FE9 Interest accrued to 1/30/2007 9,932.50 190.63 37 509 Shares Unitrin, Inc. - 509 shares (339 shares @ Smith Barney) CUSIP: 913275103 26,027.72 38 200 Shares Spectra Energy Corp - 200 shares CUSIP: 847560109 5,251.00 39 100 Shares Harsco Corp - 100 shares CUSIP: 415864107 8,180.50 Total (Carry forward to main schedule) 326,561. 84 Estate of: Robert M. Heckman 183-12-2284 Schedule B (Page 5) Item No. Description Value at Date of Death 40 1,200 Shares PPG Industries, Inc. - 1,200 shares CUSIP: 693506107 78,420.00 41 500 Shares PPL Corp - 500 shares CUSIP: 69351T106 17,630.00 42 462 Shares Pennsylvania Commerce - 462 shares CUSIP: 708677109 12,594.12 43 2,000 Shares M&T Bank Corp - 2,000 shares CUSIP: 55261f104 240,660.00 44 418 Shares Newell Rubbermaid Inc. - 418 shares CUSIP: 651229106 12,362.35 45 100 Shares General Electric Co. - 100 shares CUSIP: 369604103 3,605.00 46 348 Shares Ford Motor Company - 348 shares CUSIP: 345370860 2,890.14 47 190 Shares Fresenius Medical Care - 190 shars CUSIP: 358029106 8,444.55 48 265 Shares FirstEnergy Corp. - 265 shares CUSIP: 337932107 15,699.93 Total (Carry forward to main schedule) 392,306.09 REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Robert M. Heckman FILE NUMBER 21 07 0160 Include the proceeds of litigation and the date the proceeds were received by the estate. All property lolntly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Half Fast Investment Club 5,016.13 2 Smith Barney Cash Account #73H-02695-19 5LP Interest accrued to 1/30/2007 10,051. 45 37.50 3W46AD 1.000 TOTAL (Also enter on line 5 Recanitulation\ $ (If more space is needed, insert edd~ional sheets of the same size) 15,105.08 R~V-1511 EX +'(12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert M. Heckman ITEM NUMBER A. B. 3W46AG 1.000 2 FILE NUMBER 21 07 0160 Debts of decedent must be reported on Schedule I. DESCRIPTION 1. FUNERAL EXPENSES: Sunnyside Restaurant Hoffman Roth Funeral Home Total from continuation schedules 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Joan C. Heckman Street Address 500 Noble Blvd City Carlisle Zip 17013 State PA Relationship of Claimant to Decedent SURVIVING SPOUSE 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Carlisle Borough Tax Account 2 Cumberland Law Journal - estate advertising Total from continuation schedules TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) AMOUNT 484.45 6,265.97 458.00 37,500.00 3,500.00 810.00 900.52 75.00 227.03 50,220.97 Estate of: Robert M. Heckman 183-12-2284 Schedule H Part 1 (Page 2) Item No. Description Amount 3 Carlisle Memorial Service, Inc. - Gravemarker 458.00 Total (Carry forward to main schedule) 458.00 Estate of: Robert M. Heckman 183-12-2284 Schedule H Part 7 (Page 2) 3 4 5 The Sentinel - estate advertising Register of Wills - Additional Short Certificates Register of Wills - Filing Fees 137.03 60.00 30.00 Total (Carry forward to main schedule) 227.03 REV-1512 EX + (12-03) COMMONWEAL lH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert M. Heckman SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21 07 0160 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Carlisle Borough Tax Account 4.90 2 Spring Road Family Practice 131.00 3 West Shore EMS 32.00 4 Cumberland Goodwill EMS 193.61 5 Celtic Living Assistance Services - caregiver services 120.00 3W46AH 2.000 TOTAL (Also enter on line 10, Recaoltulation\ $ (If more space is needed, insert additional sheets of the same size) 481.51 REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert M Heckman SCHEDULE J BENEFICIARIES FILE NUMBER 21 07 0160 NUMBER I 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Residue Trust of Robert M. Heckman RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 100% of Residue: $1,189,637.51 Residue Remainder: 786,076.78 Trust 786,076.78 2 Joan C. Heckman 500 Noble Boulevard Carlisle, PA 17013 Life Estate in Residue Trust of Robert M. Heckman Surviving Spouse 403,560.73 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18. AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 3W46A11.000 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space IS needed. insert additional sheets of the same size) $ 0.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE K LIFE ESTATE,ANNUITY & TERM CERTAIN REV-1514 EX+ (12-03) Check Box 4 on REV-1500 Cover Sheet FILE NUMBER Robert M. Heckman 21 07 0160 This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death from 5-1-89 to 4-30-99, and in Aleph Volume for dates of death from 5-1-99 and thereafter. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. o Will 0 Intervivos Deed of Trust 0 Other LIFE ESTATE INTEREST CALCULATION NAME(S) OF LIFE TENANT(S) DATE OF BIRTH NEAREST AGE AT DATE OF DEATH TERM OF YEARS LIFE ESTATE IS PAYABLE Joan C. Heckman 09/18/1926 80 Term of Years Term of Years Term of Years Term of Years 1. Value of fund from which life estate is payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. Actuarial factor per ap~riate table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest table rate - U 3 1/2% 0 6% 0 10% ~ Variable Rate 5.60000% 3. Value of life estate (Line 1 multiplied by Line 2) ............................. $ Term of Years 1,189,637.51 0.33923 403,560.73 ANNUITY INTEREST CALCULATION NAME(S) OF LIFE ANNUITANT(S) DATE OF BIRTH NEAREST AGE AT DATE OF DEATH TERM OF YEARS ANNUITY IS PAYABLE 1. Value of fund from which annuity is payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. Check appropriate block below and enter corresponding (number) . . . . . . . . . . . . . . . . . . . Frequency of payout -0 Weekly (52) 0 Bi-weekly (2U Monthly (12) o Quarterly (4) 0 Semi-annually (2) 0 Annually (1) []Other () 0 3. Amount of payout per period ....................................... $ 4. Aggregate annual payment, Line 2 multiplied by Line 3 . . . . . . . . . . . . . . . . . . . . . . . . . 5. Annuity Factor (see instructions) Interest table rate -0 3 1/2% 0 6% 0 10% 0 Variable Rate 0.00000% 6. Adjustment Factor (see instructions) ................................... 7. Value of annuity -If using 3 1/2%, 6%, 10%, or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 . . . . . . . . . . . . . . . . . . . . $ If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Term of Years Term of Years Term of Years Term of Years 0.00 0.000 0.00 0.00 0.00000 0.00000 0.00 0.00 NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13 and 15 through 18. (If more space is needed, insert additional sheets of the same size) 3W46AJ 3.000 REV.1649 EX. (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RE1URN RESIDENT DECEDENT SCHEDULE 0 ELECTION UNDER SEC. 9113(A) SPOUSAL DISTRIBUTIONS ESTATE OF FILE NUMBER Robert M. Heckman 21 07 0160 Do not complete this schedule unless the estate is making the election to tax assets under Section 9113(A) of the Inheritance & Estate Tax Act If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the Trust (marital, residual, A, B, By-pass, Unified Credit, etc.) If a trust or similar arrangement meets the requirements of Section 9113(A), and: a. The trust or similar arrangement is listed in Schedule 0, and b. The value of the trust or similar arrangement is entered in whole or in part as an assel on Schedule 0, then the transferor's personal representelive may specifically identify the trust (all or a fractional portion or percentage) to be included in the election to have such trust or sim- ilar property treeled as a texable transfer in this estele. If less than the entire value of the trust or similar property is included as a taxable transfer on Schedule 0, the personal representetive shall be considered to have made the election only as to a fraction of the trust or similar arrangement. The numerelor of this fraction is equal to the amount of the trust or similar arrangement included as a taxable assel on Schedule O. The denominelor is equal to the total value of the trust or similar arrangement. PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's surviving spouse under a Section 9113(A) trust or similar arrangement. Description VALUE Residue Trust of Robert M. Heckman 1,189,637.51 Part A Total $ 1 189.637.51 PART B: Enter the descriotion and value of all interests included in Part A for which the Section 9113(Al election to tax is being made. Description Value Residue Trust of Robert M. Heckman 1,189,637.51 Part B Total $ (If more space is needed, insert additional sheets of the same size) 1 189,637.51 3W46E2 2.000 : . mast mill auil westament f"_' o g ~~ ~ , -'- () co .)~!;~~ ~ ..' ;::' c:. ~ --,01i ....... -" c: ::: ...J ::I.I N I, ROBERT M. HECKMAN, of Cumberland County, Penn~r-Vania, .;;.. o declare this to be my last Will, hereby revoking all prior wills and codicils. OF -- ;; 1 '.-.. -:--. >- < -::1 -J . ROBERT M. HECKMAN - . _~~:J :",) (.~ ~~-~:. ~";'~~ :j') :"',.-) FIRST: The expenses of my last illness and . funeral shall be paid from my estate. SECOND: I may leave a written list in my safe deposit box or elsewhere disposing of certain items of my tangible personal property. The Executor shall dispose of items of my personal property as specified in the written list. If no written list is found in my safe deposit box or elsewhere and properly identified by the Executor within thirty (30) days after the probate of my Will, it shall be presumed that there is no other statement or list. Any subsequently discovered list shall be ignored. I give and bequeath, absolutely and in fee simple, my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment not mentioned in the written list and all policies of insurance thereon to my spouse, JOAN C. HECKMAN, provided that -if my spouse dies before the thirtieth (30th) day following the day of my death, this gift shall lapse or be divested and I make said bequest to my issue, per stirpes, living at the time of my death, to be Page 1 d?1~ divided among them as they shall agree. If they cannot agree for any reason, my Executor shall make the decision and its decision shall be fmal. My Executor shall represent any minor child in any division of such property and shall deliver to the person standing in the place of a.parent to such minor, without bond, such portion of the minor's share as my Executor, after considering the minor's wishes, deems appropriate and shall sell the balance and pay the proceeds to my Trustees to be retained for the minor under Item SIXTH hereof. THIRD: The gift to my spouse in this Item is intended to give my estate the marital deduction effective under the Internal Revenue Code to reduce Federal estate tax. Any provisions in this Will which conflict with or fail of this intention shall be so reconciled or amplified as to accomplish this objective. If my spouse, JOAN C. HECKMAN, survives me, I direct that my Trustees, hereinafter named, hold, IN TRUST, an amount free of all taxes equal to the maximum marital deduction allowable to my estate for Federal estate tax purposes, reduced by the aggregate marital deduction allowable for Federal estate tax purposes for other property or interests that pass or shall have passed to my spouse otherwise than under this clause and that qualify for the said marital deduction; and further reduced by an amount, if any, needed to increase my taxable estate to the largest amount that after allowing for the unified credit and state death tax credit (provided the use of this credit does not require an increase in state death taxes) available to my estate, will result in no Federal estate tax, and pay the net income therefrom, beginning at my death, not less frequently than quarterly to my spouse for life. My spouse shall have power to appoint all or any part or parts of the principal of Page 2 A,,~ . this Trust to herself or a class composed of the issue of myself and my spouse. This power shall be exercisable by her alone and in all events by specific reference thereto in her Will, or by delivery at any time or times during her lifetime of a written direction to my Trustees who shall thereupon make payment as she directs. My Trustee shall pay to her personal representatives from any unappointed principal the difference between all taxes, interest and penalties which they must pay by reason of her death and th<?se which would be payable by them if such unappointed principal were not taxable in her estate and shall add the balance of such unappointed principal to my residuary Trust. FOURTH: I give and devise the residue of my estate, real and personal, to my Trustee hereinafter named, IN TRUST, as follows: (a) The net income ~herefrom shall be paid to my spouse, for life. (b) My spouse shall have the power to appoint to herself up to the greater amount offive percent (5%) or $5,000 annually from the principal of the residuary trust under this Item. This power of appointment shall be noncumulative and may be exercised during my spouse's lifetime only by her giving the Trustee written direction other than by her Will. (c) Upon the death of the survivor of myself and my spouse, the principal shall be divided into as many equal shares as there are children of mine then living and children then dead, leaving issue then living. Thereafter: Page 3 P'lrd&.t (i) One share shall be paid outright to each of my children who survive me by thirty (30) days. (ii) One share shall be subdivided into subshares for the issue, per stirpes, of each of my children who do not survive me by thirty (30) days. Thereafter: (A) The net income from one sub-share may, in the absolute and sole discretion of Trustee, be paid to or accumulated on'behalf of each of my said living issue until they attain the age of twenty-one (21) years, at which time the income shall be paid to each child for life, provided however, that each such child shall have the right to withdraw one-third (1/3) of his or her share of the principal and accumulated income when he or she shall attain the age of twenty-five (25) years, one-half (1/2) of his or her remaining share of the principal and accumulated income when he or she shall attain the age of thirty (30) years, and the remaining balance of his or her share of the principal and accumulated income when he or she shall attain the age of thirty-five (35) years. The rights of withdrawal may be exercised from time to time in whole or in part and the said rights of withdrawal shall be cumulative. (B) Upon the death of each of my aforesaid issue of a deceased child who survive the survivor of my said spouse and myself, the share of principal from which he or she is eligible to receive income shall be paid to his or her surviving issue, per stirpes, or in default of such issue, shail be divided among that issue's siblings shares, if any, otherwise added proportionateley to the other shares created hereunder and distributed outright or held in trust as the case may be. (C) If no issue of my children survive the survivor of my said' spouse and myself, the remaining undistributed principal and accumulated income Page 4 .A7J~ shall be divided into two equal shares and one share shall be paid to my heirs who would be entitled thereto under the Intestate Laws of Pennsylvania in effect at the death of the survivor of myself and my spouse; and the other share shall be paid to my spouse's heirs who would be entitled thereto under the Intestate Laws of Pennsy]vania in effect at the death of the survivor of my~elf and my spouse as if my spouse had then died Intestate. FIFTH: During my spouse's life time, Trustee may use principal of the trust under Item THIRD hereof (Marital Deduction Trust)and Item FOURTH hereof (Residue Trust), only for the benefit of my spouse. Upon the death of my spouse, my Trustee may use principal from the trust under Item FOURTH hereof (Residue Trust) for the benefit of my issue as that Trustee deems necessary: (a) To meet the expense of any accident, illness or other emergency befalling any of them; (b) For maintenance, support and education (including college and graduate school); (c) To pay funeral expenses, including the cost of a grave marker and perpetual care of the grave. Any principal used for the benefit of my issue shall be charged as an advancement from his or her family's share of the trust. Further, any invasion on behalf of any issue cannot exceed the amount that would be allocated to his or her family's share of such trust. Page 5 ~ " Notwithstanding the foregoing, the power to consume, invade or appropriate property for the benefit of my spouse and issue shall be limited by ascertainable standard relating to health, education, support or maintenance within the meaning of subparagraph (a) of Section 2041(b)(1) of the Internal Revenue Code of 1954 or any similar provision whi$ may be in effect at the time of my death so that such power will not constitute a general power of appointment. SIXTH: I appoint my Trustee as Guardian to hold for minors all property payable by law to a guardian appointed by my Will and use the same for the minor's maintenance and education, either directly or by payment to any person selected to disburse it, whose receipt shall be a complete acquittance therefor. All unexpended income and principal shall be paid to the minor at majority. For purposes of this Will, majority shall be construed to be when the individual attains the age of twenty-one (21) years. SEVENTH: No provision of this Will is intended to exercise any power of appointment, including any power of appointment granted to me by my spouse's estate planning or other documents. EIGHTH: All taxes, interest and penalties thereon payable by reason of my death with respect to property comprising my gross estate, whether or not passing under this Will, shall be paid from the principal of my residuary estate, provided however, that funds of my Trust created herein may be used to pay taxes, interest and penalties attributed to such trust assets. NINTH: No interest of any beneficiary under this Will or any codicil hereto shall be subject to anticipation or voluntary or Page 6 L/hcflJ involuntary alienation, and the personal receipt of such beneficiary shall be the sufficient and only discharge of my Executor and Trustee unless otherwise provided herein. TENTH: In addition to powers given them by law, my Executor and Trustee and their successors and any guardian acting hereunder shall have the following discretionary powers applicable to all real and personal property held by them, effective without court order and until actual distribution: (a) To retain all property received by them including the stock of any corporate fiduciary acting hereunder, provided such property remains productive; (b) To invest in all forms of property without restriction to investments authorized to fiduciaries, so long as such investments are productive; (c) To join in any incorporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors; (d) To compromise controversies; (e) To exchange or sell for cash, property or credit, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of the trusts hereunder, without liability on the purchasers or lessees to see to application Page 7 Lf:?P~ . . of the consideration, and to give options for these purposes without obligation to repudiate them in favor of a higher offer; (0 With respect to my residuary trust under Item FOURTH hereof, I to allocate items of receipt or disbursement between income and principal as they deem equitable regardless of the character given such items by law; (g) To apply income or principal to which any beneficiary is entitled directly for his or her maintenance and support should they deem such beneficiary incapable of receiving the same by reason of age, illness or any infirmity or incapacity, or to pay the same to such person as they select to disburse it, whose receipt shall be a complete acquittance therefor, without the intervention of any guardian; (h) To borrow money, including the right to borrow from any corporate fiduciary acting hereunder, and mortgage or pledge as security; (i) To hold investments in the name of a nominee; (j) To distribute in cash or kind or partly in each at valuations fixed by them; (k) To assume continuance of the status of any beneficiary with . reference to marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liability for disbursements made on such assumption; Page 8 ?~M (q) To undertake any and all acts deemed necessary and proper by it for the proper and advantageous management of any trust and the settlement of my estate. ELEVENTH: I No fiduciary who is a beneficiary of my residuary trust created in Item FOURTH hereof shall participate in the exercise of any discretionary power to use the principal thereof for the benefit of any person or to apportion or allocate items of charge or credit between principal and income of such trust. TWELFTH: Any person, other than my spouse, who shall have died within thirty (30) days of my death, shall be deemed to have predeceased me. If my spouse and I die simultaneously, or under such circumstances that the order of our deaths cannot be established by proof, my spouse shall be deemed to have survived me. Any person (other than myself) who shall have died at the same time as any then recipient of income, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased such beneficiary. THIRTEENTH: I appoint my spouse, JOAN C. HECKMAN, Executrix, and my said spouse and my children, JEFFREY HECKMAN, JON HECKMAN, and JAMES HECKMAN, as Trustees under this my Will. In the event my spouse can not act as Executrix hereunder, for any reason, my said children shall act in her place. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. Page 10 ~/ , receive compensation for the performance of its functions hereunder in accordance with its Schedule of Fees in effect from time to time during the period over which its services are performed; provided, however, that if any Corporate Fiduciary shall act in a co-fiduciary. capacity, its schedule of fees shall be apportioned among all fiduciaries in relationship to the services that each fiduciary provides. FOURTEENTH: My Corporate Fiduciary, if any, shall IN WITNESS WHEREOF, I have hereunto set my hand and seal this - /f-daY of ,1/444 ' 2002, to this snd the preceding ten (10) pages, snd I have also placed my initials on each preceding page for better identification and greater security . SIGNED, SEALED, PUBLISHED. and DECLARED by the above-named Testator, ROBERT M. HECKMAN, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses: p ~ I~ -"'-~ -<~ , Residing at "t/J r. Ii" ~~~ AI ~-LA.' a r7dJ? / Residing at t,,b C-/ N~ /'f/J//)- ~u<-< f?C. /7.c;J)" I - ~1e,t<:~. ACKNOWLEDGMENT . COMMONWEALTH OF PENNSYLVANIA :SS. COUNTY OF UC\\Jp\1i() I, ROBERT M. HECKMAN, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. #h-ftA~) Sworn to and subscribed before me this ~ day of ffiD(c..h ,2002. ~tik. Public~ My Commission Expires: (SEAL) NOIIriaI Seal a:?~=:U&: M7 eo-a.;~ JID. 5. ~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTYOF 'l::nvFhi() We, ~ r;~ ~ 1'. kf"'$ '7~b~d ;J;;",..J c: 4~the Witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw Testator, ROBERT M. 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Ooo,.!'Jo.!'J ~~~m~ ...... a ~ 0 ~ ~ 0 CiJ a ...... Ul 0 '" ~~ ~.?l 0, t ~. . Ul ~ Ul ~ .!'J ~ ~ ~ ;.." ...... \ c}) "C... 3. D' o 5 c: en =v c I (') .... ii' - o' ::s I) C III ::s - ~ 'V ... ti' CD ~ c' ::l" - r- o !. ~ CD III ::s - tn 3 c ... ~ ~ ... c !. HALF FAST 04/02/07 Members Status Report as of February 13, 2007 PAD) IN TOTAL PAD) IN UNl:TS TOTAL CQGIOUND SINCE PAJ:D m PLUS SINCE UN:ITS CUllRJlN'.r PZRCBNT UTURN ANN UT NO. NAME 12/20/06 TO DAD BUNDfGS 12/20/06 ONNBD VALUB OMNRSBP sma 12/31/00 1 Albright, StarU 200.00 10230.00 10230.00 22.105338 1334.193793 12422.42 12.11% 168.78% 17.54115 2 A1.wood, William 120.00 6740.00 6740.00 13.263202 854.984170 7960.59 7.76\ 201.69% 19.78% 3 Bachlllan, N_l 50.00 2680.00 2680.00 5.526335 330.580456 3077.97 3.00% 259.52\ 23.26\ 4 Cook, Richard 100.00 3000.00 3000.00 11. 052668 428.672459 3991.29 3.89% 62.17% 10.57\ 5 Dellinger, Mich 50.00 2470.00 2470.00 5.526334 348.370041 3243.61 3.16\ 56.52% 8.53\ 6 Goril, Robert 200.00 7440.00 7440.00 22.105337 846.474434 7881.36 7.69\ 411.30% 30.56% 7 Bare, J_. E. 40.00 2900.00 2900.00 4.421067 413.434835 3849.41 3.75% 57.12% 8.33' ~ Beckman, Robert 0.00 4580.00 4580.00 0.000000 567.097998 5280.14 5.15\ 232.64lls 21. 70\ - """"'. -.... 9 Heineman, Dougl 120.00 5880.00 5880.00 13.263203 724.327732 6744.08 6.58' 199.70' 19.65' 10 Keller, Earl 60.00 2700.00 2700.00 6.631601 330.516359 3077.37 3.00\ 271. 98% 23.95' 11 Keller, William 40.00 2650.00 2650.00 4.421068 328.207813 3055.88 2.98% 250.34lls 22.74115 12 Sharp, Ronald 30.00 2980.00 2980.00 3.315801 362.115310 3371.59 3.29\ 286.27% 24.71\ 13 Sh~er, C. A 80.00 6380.00 6380.00 8.842134 734.485337 6838.65 6.67% 381.24' 29.27\ 14 Shughart, Dale 50.00 3260.00 3260.00 5.526334 472.427482 4398.68 4.29\ 61.10% 9.23\ 15 ami th, Barold 50.00 4840.00 4840.00 5.526335 592.630447 5517.87 5.38\ 249.51lls 22.69% 16 Stewart, David 0.00 7150.00 7150.00 0.000000 896.086928 8343.29 8.14\ 209.60% 20.28\ 17 Ward, John 0.00 6850.00 6850.00 0.000000 835.746082 7781.47 7.59% 231.56% 21.64115 18 Wertz, Robert J 50.00 5075.00 5075.00 5.526334 614.192998 5718.63 5.58\ 286.10' 24.70\ --------- ---------- ---------- ---------- ----------- ---------- ------- TOTALS 1240.00 87805.00 87805.00 137.053091 11014.544674 102554.33 100.00\ 272.87 24.00 ~a \.e-c-t; ~eeJi (f/{;YJ v;;:; /)1 ~ ()1J1:~ ~ bd ~()I/i (iJ p;% fI St1/&. I 3 ~ ~d. (!~~ /'" q)~fm He'd )( tlY)fJ YJ HALF FAST 04/02/07 Valuation Statement as of February 13, 2007 FDUlT BUY SBAIlBS COST PlUCIt: PER TOTAL PERCBNT TOTAL CC>>G'OUND OR VALUATN ONNBD PER TOTAL SBUJ: VALUJ: OF RJ:TURN ANN. RJ:T. SJ:CtJRl:'.rY TS DRP DATE TBXS DATE SJIAlUI: COST TRIS DATE TRIS DATE TOTAL SINCB 02/20/98 Alltel AT 09/27/00 175.000 47.2999 8277.48 61.9300 10837.75 10.6% 43.75% 5.85% tiP BP OS/22/02 40.000 52.4188 2096.75 62.8100 2512.40 2.4% 20.89% 4.09% Boeing Co. SA 11/18/06 23.000 92.9765 2138.46 89.2900 2053.67 2.0% -3.97% -15.62% Carlisle COS. CSL 02/20/98 100.000 52.0425 5204.25 90.5000 9050.00 8.8% 126.31% 9.52% Citizens Communi CZN 11/01/06 100.000 14.9700 1497.00 14.7000 1470.00 1 . 4% -1.80% -6.19% Conocophillips COP 03/12/06 80.000 31.0925 2487.40 67.2000 5376.00 5.2% 116.13% 129.98% Dentsply XRAY 03/30/04 135.000 45.4441 6134.95 32.8200 4430.70 4.3% -36.94% -14.82% Dentsply XRAY 04/01/03 210.000 15.9105 3341.20 32.8200 6892.20 6.7% 225.35% 35.63% FIll ton bank FULT 06/10/05 176.000 16.9976 2991.57 16.0100 2817.76 2 . 7% -4.16% -2.50% General Electric GE 09/20/02 500.000 31.2154 15607.69 35.7700 17885.00 17.4% 24.03% 5.02% Rarsco RSC 04/01/03 149.000 55.3541 8247.76 86.9800 12960.02 12.6% 193.07% 32.02% Rersh8y Company RSY 11/18/06 40.000 55.2105 2208.42 50.8300 2033.20 2.0% -9.41% -33.97% Hospira Inc. RSP 06/01/04 10.000 0.0000 0.00 36.9300 369.30 o . 4% 0.00% 0.00% Micro-Soft Corp MaFT 10/06/03 215.000 27.4802 5908.25 29.0100 6237.15 6 . 1% 8.90% 2.57% Nokia NOr.: 06/01/06 100.000 21.5600 2156.00 22.2400 2224.00 2.2% 3.15% 4.51% PP&L PPL 09/14/05 40.000 33.4950 1339.80 36.9300 1477 .20 1 . 4% 11.90% 8.27% Windstream Corp WIN 08/10/06 180.000 0.0000 0.00 14.8700 2676.60 2.6% 0.00' 0.00% ---------- ---------- Total Securities this Date 69636.98 91302.95 89.0% Returns for Securities Shown from First Buy or Valuation Date 182.42% 12.26% Security Returns from start or Switchover to this Date 12.19% 1.29' Cash on Rand - Bank 1186.09 1186.09 1.2% Cash on Rand - Broker 10065.29 10065.29 9.8' Cash on Rand - Suspense 0.00 0.00 0.0% ---------- ---------- Total Cash Accounts this Date 11251. 38 11251.38 11.0' ---------- ---------- Total Securities and Cash Accounts This Date 80888.36 102554.33 100.0% Petty Cash $ 0.00 Total number of Valuation Units to Date 11014.544674 Value of Each Unit This Date $ 9.311 Number of Units Each $10.00 will Purchase 1.074 ., . lomputershare April 27, 2007 COmpute......re Investor Services 250 Royall Street Canton Massachusetts 02021 www.computershare.com TINA LOTTO MATTE EVANS & WOODSIDE ATTORNEYS AT LAW 3401 NORTH FRONT STREET PO BOX 5950 HARRISBURG PA 17110-0950 Company Name: Holder Account Number: Registration: UNITRIN INC I UTR C0000027367 Robert Heckman Dear Ms. Otto: The following provides the information you requested for account number C0000027367, as of the close of business on January 30, 2007: Share Balance: 170 Value Per Share: $51.12 Total Dollar Value of Shares: $8,690.40 Current Dividend Rate Per Share: $0.445 Dividend Payment Cycle: Quarterly Date Investment Was Established: March 31, 1990 If you have any further questions, please visit our web site at www.comoutershare.com. Or you may contact us by phone at 781-575-2879. We offer an automated telephone service to assist you at any time, or you may reach a representative Monday through Friday, 9 AM to 5 PM Eastern Time. Sincerely, ~M Steve Fleming Canton Contact Center Group Computershare Shareholder Services REF: SF/UIB0000551218 Enclosures: Transfer of Ownership form. 'jJ~ ~~