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HomeMy WebLinkAbout03-0309PETITION FOR PROBATE and GRANT OF LETTERS also known as To: Register of Wills for the, - ~9 Deceased. County of Social Security No. '7,2 -7 / - 302 ~'-7 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or.,,older in the last wilt of the above decedent, dated and codicil(s) dated in the named (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in /J&~ ~e~--/~ d . County, Pen~ylvania, .wittl.. last family or principal residence at (list street, number and muncipality) Decendent, then '-fl ~7 years of age, died ~/?/~ dt~(~ ~ 7 tale ~2OO CB at ~ O0 Od, [/o,,//oo..., S'~.~ ~ts.. /~.//.e. / ~, ' ' Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will of. ffr. e,.~ for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ ,~--6 ~r O O O (If not domiciled i~ Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Penns.y, lvania $___~5'D/ooo situated as follows: ~00 tO, {Ad.//~c.,.2 5'P. ~-,q~/tX,/~.. ~.. WHEREFORE, petitioner(s) respectfully re_quest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters ~ J ha-~,~o,~ ~t~ "'7 (testamentary; adrdinistration c.t.a.; administration d.b.n.c.t.a.) theron. OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief,,ot,petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s)will well ar~ trUly/Tad~ the estate according to law. Sworn to or affirmed and subscribed r---X -~//~/ befo~re me this "~7-~ day of ! //// /~-/o No. Estate of ~ J,//~gr~ :- /~E,OT//~/(-r- , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated /~,~,~g?/ l~, ~>o.~ described therein be admitted to probate and filed of record as the last will of and Letters ~5T~mff~ ~ are hereby granted to ~ ~ ~SZ/a~ FEES Probate, Letters, Etc .......... $~ Short Certificates( ) .......... $ {e~, ~c> Cn~ation ................ $ TOTAL __ $~ Filed ~:~2~',(: .~ ·. ~.~ ex-~' ............... ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE his is to certify that the information here given is correctly copied from an original certificate of death duly flied with me as Local Registrar. The original certificate will be. forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 9190696 No. Local Registrar Date T COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH , William J. Keating JSEX SOC,^tSECU.,rV~UMS~. ,~aE,t~.y u~,,v~, u.~,,~ ~-- ,~le .. 727--01 -- 3287 ,. ~rch 2~,~3 .... Professor of Law 3~ West Will~ St. ~rch 31, ~3 J,~ndaint~ ~p Nat'l Ce~te~ A~ville, PA 9:30 =.. a~. March 27. 2003 LAST WILL AND TESTAMENT OF WILLIAM J. KEATING I, WILLIAM J. KEATING, of Carlisle, PA, declare this to be my last will and testament. I hereby revoke all wills and codicils previously made by me. ITEM I I bequeath $1,000 to PA HELPLINE, Harrisburg, PA. ITEM II I bequeath the rest, residue and remainder of my estate to my six children equally , share and share alike. In the event that one or more of my children predecease me and are survived by minor children of their own, then the parent's share shall be distributed in equal shares into Pennsylvania Uniform Gifts to Minors Act accounts for the benefit of surviving minor children until the age of 21. If one or more of my children predecease me and are survived by children who are not minors, then the parent's share shall be distributed among their issue per stirpes. If one or more of my children or issue predeceases me and leave no children of their own, their bequest shall lapse and be distributed to my children that survive me. ITEM III I appoint John C. Oszustowicz of Carlisle, PA to be executor of this, my last will and testament. If he is unable or unwilling to serve as executor, I appoint Gerald L. Brenneman, CPA, of Carlisle, PA to be my executor. ITEM IV I appoint John C. Oszustowicz to be the custodian of any UGMA accounts created hereunder. ITEM V I direct that neither my executor nor my trustee needs to file a bond in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~day of March, 2003. WILLIAM J~ KkA~IN~ Signed, sealed, published and declared by the above-named testator, WILLIAM J. KEATING, 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 thereto. ~, WIL~'--~ J. KEA~ING, A~/ ~. ~-~ andJg~a~. ~ ~., ~th& testator-an~-%-~-'~itnesses, being d~ qualified, ' acknowledged that WILLIAM J. KEATING signed the foregoing instrument as his last will and testament, and that the witnesses observed the signing. signed freely and for the purposes expressed therein. time of the signing testator was over the age of 18. ~~. ~_~_., and ..... - this /~4~ Ail of us acknowledge that we At the Notarial Seal Tricia D. Naylo~, Notary Public Carlisle Boro, Cumberland County My Commission Expires Oct. 2, 2006 STATUS REPORT UNDER RULE 6.12 .ame of Decedent: Date of Death: 31 Will No. ZOCo~- Admin. No. Zl-CD% oO~Oq Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete: Yes__ No ~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ~7 /~-/ 2oO~ 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: ¢//~/~ / C, Osmium+ow i cz Name (Please type or print) Address Tel. No. Capacity: __Personal Representative X Counsel for personal representative (MAH:rmf/AM3) CERTIFICATION OF NOTICE UNDER RULE Name of Decedent: William J. Keating Date of Death: March 27, 2003 Will No. 2003-00309 Adn~n. No. 21 -03-0309 To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a).of th~.Orp/ha, ns' ~o(~ules was served on or mailed to the following beneficiaries of the above-captioned estate on aprl± ztt, Name Address Contact Helpline P.O. Box 90035 Harrisburg, Pa 17109 Molly K. Stein 514 E. Oxford St. Duluth, MN 55803 Terrance A.'Keating 240 Heather Dr. Harrisburg, PA 17112 See attached sheet for additional beneficaries Notice has now been given to all persons entitled thereto under Rule 5,6(a) except Date: Signat}lr9/ Name John C. Oszustow~cz Address 104 S. Hanover St. Carlislet PA Telephone (71 ~ 24'3-7437 Capacity; XX Por~onal R~preaontative 17013 Counsel for personal representative Certification of Notice cont. Estate of William J. Keating Will No. 2003-00309 William B. Keating 4321 Los Feliz Blvd #102, LA, CA 90027 Timothy P. Keating, Esq. 231 Harris #3 Harrisburg, PA 17102 Patrick J. Keating 422 Hillside Dr New Cumberland, PA 17070 Jaime M. Keating 901 N. College St. Carlisle, PA 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 002724 OSZUSTOWICZ JOHN C ESQ 236 SOUTH HANOVER ST CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 727-01-3287 FILE NUMBER: 2103-0309 DECEDENT NAME: KEATING WILLIAM J DATE OF PAYMENT: 06/23/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 03/27/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $27,500.00 REMARKS: TOTAL AMOUNT PAID: JOHN C OSZUSTOWlCZ ESQUIRE $27,500.00 SEAL CHECK//"C" INITIALS: JA RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: OSZUSTOWICZ JOHN C ESQ 236 SOUTH HANOVER ST CARLISLE, PA 17013 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DUPLICATE NO. CD REV-1162 EX(11-96) 003355 ........ fold ESTATE INFORMATION: SSN: 727-01-3287 FILE NUMBER: 2103-0309 DECEDENT NAME: KEATING WILLIAM J DATE OF PAYMENT: 12/22/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 03/27/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $7,263.26 TOTAL AMOUNT PAID: $7,263.26 REMARKS: SEAL CHECK# 502 INITIALS: JA RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Z Keating, William J. FILE NUMBER 2 1 _ 03 0309 COUNTY CODE YF. AR NUMBER SOCIAL SECURITY NUMBER 727 --01 -- 3287 DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 03-27-2003 12-26-1924 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIALSECURI]TNUMBER [] 1. Original Pamm --]4. Limited Estate [[X~ 6. Decedent Died Testate (~ta,m co~y,~w~ [] 9. Litigal~oa Proceeds Received r--] 2. Supplemental Relum []4a. Futura Interest Compromise (date ~'dealh alter 12-12-82) ]7. Decedent Maintained a Living Trusl (~ad~ c;~ a'Tms~) ]10. Spousal Poverty Credit (4a~e ddaath belwem 12-31-91 and 1-1415) J--] 3. Remainder Return (da~ d~h ~to f2-13-82) r~5. Federal Estate Tax Retum Required O 8. Total Number of Safe Deposit Boxes [---~ 11. Election to tax under Sec. 9113(A) (~,d~ s~ o) z z n C. Oszustowicz O ~ of John C. Oszustowicz O TELEPHONE NUMBER (717)243-7437 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporatien, Partnership or Sole-Pmpdelorship 4. Morlgages & No~es Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Join~ Ovmed Property (Schedule F) LJ Saperate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Li~se 1-7) 9. Funeral Expenses &Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabili~es, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Eetata (Line 8 minus Une tl) (1) COMPLETE MAIUNG ~DRE~ 104 $. Hanover St. Carl±slet PA 17013 260,000.00 (2) 53,454.39 (3) (4) (5) 116,021.89 423,863.57 (9) 27,819.07 (10) 19,840.99 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject te Tax (Une 12 minus Line 13) (8) 853,339,85 (11) 47,660.06 (12) 805,679.79 (13) 1,000.00 (14) 804,679.79 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES 15. Amount of Line 14 taxable at the spousel tax rate, or lmnsfers under Sec. 9t16 (a)(1.2) x .0 (15) 804,679 79 * 4 16. Amount of LJne14 taxable at lineal rato ..... '___ x .u , 5 (16) 17. Amount of Line 14 taxable at sibling rate ........ x .12 (17) 18. Amounl of Line 14 taxableat cdtataralrate ........ x .15 (18) 19. Tax Due (19) 20.[~] " ~ ' ' t'-/e'~! ''- ' II :1 ;- Iii · .a II '','[ a 36,210.59 36,210.59 Decedent's Complete Address: STREETADDRESS 300 W. Willow St. c~ Carlisle Tax Payments and Credits: 1. Tax Due (Page 1 Dna 19) 2. Credits/Payments A. Spousal Poverty Credil B. Prior Payments C. Biscount 27,500.00 1,447.33 Iz~P17013 (1) 36,210.59 3. Interast/Penalty if applicable Total Credits (A + B + C ) (2) 2 8,9 4 7.3 3 D. Interest E. Penalty Total Interest/Penalty ( D + E ) If Line 2 is greater than Line 1 + Une 3, enter the difference. This is the OVERPAYMENT, Check box on Page I Line 20 to request a refund (3) 5. ff Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (4) (5) (5A) (SB) 7,263.26 B. Enter the total of IJne 5 + 5A. This is the BALANCE DUE. 7,2 6 3.2 6 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the properly lmnsfermd; .......................................................................................... [] [] b. retain the right to designate who shall use the property Imnsferred or its income; ............................................ [] ~ c. retain a reversionary interest; or ................................................... [] d. receive the promise for ife of either payments benefits or cam') 2. If death occurred alter December 12, 1982, did decedent lransfer properly 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 beneticiary designation? ........................................................................................................................ [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Dedamtio. of prepa~.[.~olner than lhe personal re~esentalbe b ~ ~ ~ ~ ~ ~ pm~ ~ ~ ~ SIG~TURE ~N RES~.~,R .UNG R.URN ~DRESS ~ S Hanover St. Carlisle, PA 17013 SIGNATURE OF PREP~ER OmER ~ RE~E~NTA~ DATE /,2, -?-2 -03 DATE ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of Irensfers to or for the use of the survMng spouse is 3% [72 RS. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the lax rata imposed on the net value of transfers to or for the use of the .surviving spouse is 0% [72 P.S. {9116 (a) (1.1) (ii)]. The statute does not exempt a Iransfer lo a sun~Mng spouse from tax, and the statetory requirements for disclosure of assets and filing a lax retum am still applicable even if the su~ving spouse is the only beneficiary. For dates of death on or alter July 1, 2000: The lax rote imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% 172 P.s. {9116(a)(1.2)]. The tax rate imposed on the net value of lransfers to or for the use of the desedent's lineal beneficiariea is 4.5%, except as noted in 72 RS. {9116(1.2) [72 RS. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 RS. {9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common wi~ the decedent, whether by blood or adoption. REV-1502 EX+ (6-98) SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Keatinq, William J. 21-03-0309 All real property owned solely or as a tenant In co,.,,,on must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is Jointly-owned with right of survlvor~h!r- m-_~t be d!--c!~_-ed on Schedule F. ITEM NUMBER BESCRIPTION 1. Single Family Home 300 W. Willow St. Carlisle, PA 17013 See Attached Deed Description VALUE AT DATE OF DEATH 260,000.00 TOTAL (Nso enter on line 1, Recapitulation) $ 2 6 0,0 0 0.0 0 (If more space is needed, insert additional sheets of the same size) BEGINNING at a point on the comer of South College Street and West Willow Street; thence along the west side of South College Street, South 16 degrees 32 minutes 30 seconds West, 111.26 feet to an iron pipe; thence along the line of lands now or formerly of Louis Del Luca, North 75 degrees 02 minutes 45 seconds West, 126.75 feet to a nail found in a wood fence post; thence along lands now or formerly of David M. Schroeder, North 16 degrees 19 minutes 15 seconds East, 115.05 feet to pin detected (not uncovered) on the south side of West Willow Street; thence along the south side of West Willow Street, South 73 degrees 20 minutes 10 seconds East, 127.15 feet to the place of BEGINNING. CONTAINING 14,363 square feet. BEING Tracts 1 and 2 of a deed from Thelma N. Hall to William J. and Mary Ellen Keating, dated June 6, 1996 as recorded in the Recorder of Deeds in and for Cumberland County, Pennsylvania in Deed Book 140, Page 735. BEING improved with a brick, ranch-type dwelling known as 300 West Willow Street. Excepting and reserving, however, to said John C. and Ruth H. Fletcher, their heirs and assigns, the full, free liberty and right at all times hereinafter and forever, to have and use the driveway in common with William J. and Mary Ellen Keating (Grantees in a previous deed), their heirs and assigns, across the northwestern comer of the tract of land hereby conveyed and bounded and described as follows: BEGINNING at a point in the south side of West Willow Street, said point being 116.4 feet North 73 degrees 15 minutes West of the western side of South College Street; thence by the south side of West Willow Street, North 73 degrees 15 minutes West a distance of 10.6 feet to an iron pipe; thence by lands now or formerly of John C. Fletcher and wife, South 16 degrees 46 minutes West, a distance of 19.5 feet to a point; thence in a northeasterly direction, 22.3 feet to a point on the south side of West Willow Street, the place of Beginning; for any and all purposes of ingress, egress and regress connected with the use and occupation of the other's land now or formerly of John C. Fletcher and wife, adjoining the lot herein conveyed. REV-1503 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Keating, William J. SCHEDULE B STOCKS & BONDS FILE NUMBER 21 -03-0309 ITEM NUMBER 1. See All property jointly.owned with right of survivorship must be disclo#d on Schedule F. DESCRIPTION , Attached Schedule TOTAL (Nso enter on line 2, Recapitulation) (if mom space is needed, insert addi~nal sheets of the same size) VALUE AT DATE OF DEATH $53,454.39 Estate of Keating, William J. File Number 21-03 00309 Item Nu,mber 2 8 10 11 SCHEDULE B STOCKS & BONDS Descdotiqn Tyco International, LTD CUSIP 20510290212410 44 shares @ $13.08 Vanguard 500 Index Fund CUSIP 922908108 50.283 shares @ $80.45 AT&T Common Stock CUSIP 001957505 98.9830 shares@S16.81 AT&T dividend Payable to stockholders of record 3/30/03 WGL Holdings CUSIP 92924F106 44.0055 shares @ $26.72 Nuveen Investments CUSIP 67065Q400 77.58 shares @ $9.31 Avaya CUSIP 053499109 31 shares@S2.22 Lucent CUSIP 549463107 93 shares@S1.50 Franklin Pennsylvania Tax Free Bond CUSIP 354723801 2028.52 shares @ $10.43 Units Municipal Investment Trust CUSIP 626231690 20 shares @ $126.87 Northampton County Bond CUSIP 683549DJ9 10,000 shares @ $88.81 Value at Date Of Death 575.52 4,045.27 1,663.90 18.75 1,175,83 722.27 68.82 139.50 21,157.46 2,537.40 8,881.00 12 The Solomon Brothers Fund, Inc CUSIP 795477DRP 1253.4781 shares @ $9.12 11,431.72 13 AT&T Wireless Common Stock CUSIP 00209AIO6AWE 155 shares @ 1,030.95 53,454.39 REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT E~¥ATE OF Keating, William J. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21 -03-0309 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER See VALUE AT DATE DESCRIPTION OF DEATH Attached Schedule TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 116,021 .89 Estate of Keating, William J. File Number 21-03 00309 Item .N. gmber 1 2 3 SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERS PROP Description Legg Mason Cash Reserve Trust Accrued interest on item # 1 Allfirst Bank Checking Account # 00503-8081-8 4 1992 Chevrolet Cavalier VIN 1GIJC5449N7101468 5 1990 Nissan Axxess Wagon VI N JN 1 HM 15J6LX001067 6 Misc. Household goods 7 Penn State Salary - Special Salary Direct deposit to Allfirst (3/31/03) 8 Aetna Annuity Payment Direct deposit to Allfirst (4/1/03) 9 Refund from Carlisle Country Club 10 Refund from Borough of Carlisle 11 Refund from Saidis, Shuff, Flower & Lindsay 12 Refund from Comcast Cable 13 IRS refund 14 Smith Barney Money Fund 15 Accrued interest & dividends on item #14 16 Autoharp 17 Clothing 18 IRS interest payment 19 IRS refund Value at Date of Death 17,795.53 3.55 33,287.09 1,678.00 1,975.00 1,386.00 5,620.88 937.33 232.50 15.08 340.00 18.22 1,474.66 45,805.32 73.89 50.00 1,137.00 83.88 4,107.96 116,021 .89 REV-1510 EX* (~-97) (I) ~ COuIdONwF. N.TH ~ PENN$¥LVNqIA INHERITANCE TAX RETURN RESIDENT'DECEDENT. ESTATE OF Keating, William J. SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPER..TY FILE NUMBER ' ' 21 -03-0309 This schedule must be completed and filed if the answr to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is, ,es. DESCRIPTION OF PROPERTY % OF DECD S ITEM ~CL~T~ ~aEo~'r~ m~F..'n~a.~TmNSm'TO=EC~Cew~'n~E ~TE~'nVNS~'E~. DATE OF DEATH INTEREST EXCLUSION TAXABLE VALUE NUMBER VALUE OF ASSET 1. See Attached Schedule TOTAL (Nso enter on line 7, Recapitulation) ~ 2 3 r 8 6 3.5 7 (If more space ~s needed, insert additional sheets of the same size) Estate of Keating, William J. File Number 2003 00309 Item Number 2 3 4 5 6 7 10 11 SCHEDULE G Description Legg Mason IRA 20,000 Doral Bank Certificate of Deposit (CUSIP 258115CS1) Maturity 6/20/03 5.05% Accrued interest on item #1 Legg Mason IRA 10,000 Capital One FSB Certificate of Deposit (CUSIP 14040VCA0) Maturity 8/29/03 4.20% Accrued interest on item #3 Legg Mason iRA 20,000 Providian Natl Bank Certificate of Deposit (CUSIP 74407MC94) Maturity 6/21/04 5.2% Accrued interest on item #5 Legg Mason IRA 10,000 Household Bank Certificate of Deposit (CUSIP 441802BW4) Maturity 9/20/04 4.3% Accrued interest on item #7 Legg Mason IRA 10,000 MBNA America Bank Certificate of Deposit (CUSIP 55264DR73) Maturity 9/6/05 3.15% Accrued interest on item #9 Legg Mason IRA 10,000 Discovery Bank Certificate of Deposit (CUSIP 25467BX60) Maturity 12112/05 3.0% Value at Date % of Decds of Death Interest 21,134.40 100% 19.37 100% 10,096.30 100% 27.62 100% 2O, 644.8O 100% 276.38 100% 10,300.60 100% 9.42 100% 10,101.90 100% 19.85 100% 10,046,40 100% Exclusion Taxable Value 21,134.40 19.37 10,096.30 27.62 20,644.80 276.38 10,300.60 9.42 10,101.90 19.85 10,046.40 12 Accrued interest on item #11 87.12 100% 87.12 Item Number Description 13 Legg Mason IRA Cash 14 Accrued interest on item #13 15 TIAA Annuity Y035452-5 16 TIAA Annuity B169028-4 17 CREF Annuity Z035452-3 18 CREFAnnuity Q169028-1 19 $11,000 to Molly K. Stein daughter of decedent, transferred 3/21/03 20 $11,000 to Terrance A. Keating son of decedent, transferred 3/21/03 21 $11,000 to William B. Keating son of decedent, transferred 3/21/03 22 $11,000 to Timothy P. Keating son of decedent, transferred 3/21/03 23 $11,000 to Patrick J. Keating son of decedent, transferred 3/21/03 24 $11,000 to Jaime M. Keating son of decedent, transferred 3/21/03 Value at Date % of Decds of .Death Interest 26,977.10 100% 12.35 100% 79,953.84 100% 113,574.97 100% 44,032.59 100% 28,548.56 100% 11,000.00 100% Exclusion 3,000.00 Taxable Value 26,977.10 12.35 79,953.84 113,574.97 44,032.59 28,548.56 8,000.00 11,000.00 100% 3,000.00 8,000.00 11,000.00 100% 3,000.00 3,000.00 3,000.00 11,000,00 100% 11,000.00 100% 8,000.00 8,000.00 8,000.00 11,000.00 100% 3,000.00 ,8,000.00 423,863.57 Teachers Insurance and Annuity Association College Retirement Equities Fund 730 Third Avenue, New York, NY 10017-3206 212 490-9000 1 800 842-2733 SUBSTITUTE FORM 712 This statement has been prepared as a substitute for U.S. Treasury Department Form 712 which does not apply to our annuity contracts/certificates since they have no life insurance features. Type of Contract/Certificate ' I Contract/Certificate Number I Date Contract/Certificate Issued Immediate Annuity, Y035452-5 [ March 1, 2000 Name of First Annuitant Date of Birth Date of Death William J. Keatin§ December 26, 1924 March 27, 2003 Name of Second Annuitant Date of Birth Date of Death Mary E... K.~eating. November 1, 1929 July 12, 2001 Name of Decedent Date of Birth ' Date of Death Remaining Investment in Contract $o.oo 79,953.84 VALUE OF CONTRACT AT DECEDENT'S DEATH , value of accumulation (Deferred Annuity). , present value of life annuity to surviving annuitant or beneficiary(ies). ~-] The payment(s) made on was the f'mal installment due the decedent. The annuity(les) was terminated without any further value. The information below will only be provided to the Executor of the Estate upon receipt of the Letter of Appointment. BENEFICIARY(IES) ENTITLED TO PAYMENT AT DEATH OF LAST SURVIVING ANNUITANT -NAME Nk~4E 1. Mary Keating Stein, daughter 2. Terrance A. Keatin§, son 3. William B. Keating, son 4. Timothy P. Keating, son ,/ 5. Patrick J. Keating, son 6. Jaime M. Keating, son THE UNDERSIGNED OFFICER OF TIAA-CREF HEREBY CERTIFIES THAT THIS STATEMENT SETS FORTH CORRECT AND TRUE INFORMATION. rSignature [Title '~~ ~'~ I Manager. Individual Services IDate April 29, 2003 Teachers Insurance and Annuity Association College Retirement Equities Fund 730 Third Avenue, New York, NY 10017-3206 212 490-9000 1 800 842-2733 SUBSTITUTE FORM 712 This statement has been prepared as a substitute for U.S. Treasury Department Form 712 which does not apply to our annuity contracts/certificates since they have no life insurance features. Type of Contract/Certificate ] Contract/Certificate Number I Date Contract/Certificate Issued Immediate Annuity, Z035452-3 [ March 1, 2000 Name of First Annuitant Date of Birth Date of Death William J. Keatin§ December 26, 1924 March 27, 2003 Name of Second Annuitant Date of Birth Date of Death Mary E. Keating November 1, 1929 July 12, 2001 Name of Decedent 'Date of Birth Date of Death Remaining Investment in C~,./ract $o.oo 44,032.59 ~-] The payment(s) made on was the f'mal installment due the decedent. was terminated without any further value. VALUE OF CONTRACT AT DECEDENT'S DEATH , value of accumulation (Deferred Annuity). , present value of life annuity to surviving annuitant or beneficiary(ies). The annuity(ies) The information below will only be provided to the Executor of the Estate upon receipt of the Letter of Appointment. BENEFICIARY(IES) ENTITLED TO PAYMENT AT DEATH OF LAST SURVIVING ANNUITANT NAME 1. Mary Keating Stein, daughter 2. Terrance A. Keating, son 3. William B. Keating, son 4. Timothy P. Keating, son 5. Patrick J. Keating, son 6. Jaime M. Keating, son THE UNDERSIGNED OFFICER OF TIAA-CREF HEREBY CERTIFIES THAT THIS STATEMENT SETS FORTH CORRECT AND TRUE INFORMATION. Signature rTitle . Manager, Individual Services IDate April 29, 2003 Teachers Insurance and Annuity Association College Retirement Equities Fund 730 Third Avenue, New York, NY 10017-3206 212 490-9000 1 800 842-2733 SUBSTITUTE FORM 712 This statement has been prepared as a substitute for U.S. Treasury Department Form 712 which does not apply to our annuity contracts/certificates since they have no life insurance features. Type of Contract/Certificate I Contract/Certificate Number ] Date Contract/Certificate Issued Deferred Annuity ~ B169028-4 ] February 1, 1981 Name of First Annuitant Date of Birth Date of Death Name of Second Annuitant Date of Birth Date of Death Name of DeCedent - ......... Date of Birth ........ Date .ot~.Death William J. Keating December 26, 1924 March 27, 2003 Rem~_!ning Investment in Contract $o.oo [-'-! $ 113,574.97 VALUE OF CONTRACT AT DECEDENT'S DEATH , value of accumulation (Deferred Annuity). , present value of life annuity to surviving annuitant or beneficiary(les). The payment(s) made on was the final installment due the decedent. The annuity(ies) was terminated without any further value. The information below will only be provided to the Executor of the Estate upon receipt of the Letter of Appointment. BENEFICIARY(IES) ENTITLED TO PAYMENT AT DEATH OF LAST SURVIVING ANNUITANT ..... NAME ~ 5. 1. Mary Keating Stein, daughter 2. Terrance A. Keating, son 3. William B. Keating, son 4. Timothy P. Keating, son e Patrick J. Keating, son Jaime M. Keatin§, son THE UNDERSIGNED OFFICER OF TIAA-CREF HEREBY CERTIFIES THAT THIS STATEMENT SETS FORTH CORRECT AND TRUE INFORMATION. ISignature Title I Date ,~~ ,.~'~ Manager, Individual Services I April 29, 2003 Teachers Insurance and Annuity Association College Retirement Equities Fund 730 Third Avenue, New York, NY 10017-3206 212 490-9000 1 800 842-2733 SUBSTITUTE FORM 712 This statement has been prepared as a substitute for U.S. Treasury Department Form 712 which does not apply to our annuity contracts/certificates since they have no life insurance features, Type of Contract/Certificate [ Contract/Certificate Number [ Date Contract/Certificate Issued Deferred Annuity I Q169028-1I February 1, 1981 Name of First Annuitant Date of Birth Date of Death Name of Second Annuitant Date of Birth Date of Death Name of-Decedent ....................... Date of Birth Date of Death William J. Keating December 26, 1924 ...... ~lar~:h 27, ~003 i Remaining Investment in Contract $0.00 ~ $ 28,548.56 VALUE OF CONTRACT AT DECEDENT'S DEATH , value of accumulation (Deferred Annuity). , present value of life annuity to surviving annuitant or beneficiary(ies). ~-~ The payment(s) made on was the f'mal installment due the decedent. The annuity(ies) was terminated without any further value. The information below will only be provided to the Executor of the Estate upon receipt of the Letter of Appointment. BENEFICIARY(IES) ENTITLED TO PAYMENT AT DEATH OF LAST SURVIVING ANNUITANT 1. Mary Keating Stein, daughter 2. Terrance A. Keating, son 3. William B. Keating, son 4. Timothy P. Keating, son 5. Patrick J. Keating, son 6. Jaime M. Keating, son THE UNDERSIGNED OFFICER OF TIAA-CREF HEREBY CERTIFIES THAT THIS STATEMENT SETS FORTH CORRECT AND TRUE INFORMATION. ISignature ITitle ,.ff~ ,~~ [ Manager, Individual Services rDate April 29, 2003 REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Keating~ William J. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 -03-0309 Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION A. 1. 5. 6. 7. FUNE~L~PENSES: Hoffman Roth Funeral Jaime Keating - food Home ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: AttomeyFees John C. Oszustowicz Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address city Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Retum Preparer'$ Fees Legal Advertisement State Zip Gerald Brenneman- 2003 tax return TOTAL (Also enter on line 9, Recapitulation) AMOUNT 709.20 913.54 5,200.00 550.00 300.00 146.33 $27,819.07 (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDEN'r DECEDENT ESTATE OF Keating, William J. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21 -03-0309 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION See Attached Schedule TOTAL (Also enter on line 10, Recapitulation) (If mom space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH $ 19,840.99 Item Number SCHEDULE I Debts of Decedent Description 1 Aetna Life Insurance Co. - annuity overpayment 2 All Tel - Utility expense 3 Allstate - Auto insurance 4 Borough of Carlisle - Utilities 5 Capital Tax Collection Bureau -2002 6 Dauphin Oil Co. - heating oil 7 Donald K. Heishman - Mow grass 8 Gerald Brenneman - 2002 Tax Preparation 9 PA Dept of Revenue - 2002 form PA-40 10 PPL- Utilities 11 Sprint - Utilities 12 US Treasury - 2002 Form 1040 13 Walsh's Lawn & Landscaping 14 W. Bernard Keating - travel 15 Deluxe Check 16 Darlene Moyer CTCB - Pers Tax 17 Rowe's Auction Service Value at Date of Death 937.33 268.76 38.38 77.68 4.69 551.77 205.0O 431.08 58.00 239.51 345.69 14,006.00 514.10 2,000.00 12.00 11.00 152.o0 $1g,852.99 REV-1513 EX* (9-00) SCHEDULE l COMMO.W~, OF P~.SYLV~.~ BENEFICIARIES ~NHE.~T~CE T~X ~ RES~E~ DEC~T ESTATE OF FILE NUMBER ~ ~ -~ea~n~, William J. 21-03-( 309 NUMBER NAME AND ADDRESS OF PERSON(S) RECENING PROPERTY TAXABLE DISTRIBUTIONS [include ~-;g;,[ spOUsal d;~,;b~,~c~s, and lransfers under Sec. 9116 (a) (1.2)] See Attached Schedule RELATIONSHIP TO DECEDENT Do Not Uet ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: ' A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR Wi.iICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Contact Helpline P.O. Box 90035 1,000.00 Harrisburg, PA 17109 See Attached 501 (c) (3) TOTAL, OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ I, 0 0 0.0 0 (if more space is needed, Ir~rt additional sheets of lhe same size) AMOUNT OR SHARE OF ESTATE Estate of Keating, William J. Schedule J Beneficiaries Number Name and Address 2 3 6 Molly Stein 514 E. Oxford St. Duluth, MN 55803 Terrance A. Keating 6012 Candlestick Dr. Harrisburg, PA 17111 Barney Keating 4321 Los Feliz Blvd, Apt. 102 Los Angeles, CA 90027 Timothy P. Keating 231 Harris #3 Harrisburg, PA 17102 Patrick J. Keating 422 Hillside Dr. New Cumberland, PA 17070 Jaime M. Keating 529 Bosler Ave. Carlisle, PA 17013 File Number 21-03 00309 Relationship Share of to Decedent Estate Daughter 1/6 Son 1/6 Son 1/6 Son 1/6 Son 1/6 Son 1/6 Address any reply to: 401 N. Broad St., Philadelphia, Pa. 19108 Internal Revenue Service Date: , . In l~Z~l 107~]DF: 900 South JLr~n J~ve. Harl~slml-g ~ l~'. 17109 Purposo: , Gentlemen:. Address Inquiries to tho District · Director of* Internal Revenue: File Returns With: Accounting Period Ending: Pbt~adelphia Mid-Atlantic Service Center Deoember 31 Based on information supplied, and assuming your operations will be as 'stated in' your exemption application, -we have determi~ied that yOu are .exempt from Federal ·income tax under Section'501(C)(3) of the Internal Revenue Code. Any change in your purposes,. character, or method of 'operation .must be reported to us so we may 'consider the effect of the change on your ·exempt status. You must also report any' change in your name and address. Pending issuaac, e of regulations under Section 509 of the Code, -we are unable to make a determinatiop. as to whether you are a private foundation'as defined in that sec- tion. Upon issuance of'the·regulations we will evaluate your application;' make a deter- ruination as to your status under Section 50~ of t.he Code, .and notify you of our decision. For years beginning prior to january 1, 1970, you are/_~equired to file the annual information'return, Form 990-A. For each subsequent year, please refer to the in- structions accompanying the information return for that particular yea~' to determine whether you are required to file~ If filing is required, you must file the information return by the 15th day of the fifth'month ~ter the end of your antiua! accounting period. ¥o'u are not required to file FederalHnCome tax returns unless you are subjec~ ~o the tax on unrelated business income Under Section 511 of the Code. If you are subject to this tax, you. must fi'lo an income tax retufii:o"n Form 990-T. In this letter we are not de- termining whether any of your present or proposed activities is unrelated trade or business a~ defined in ~cction 513 of thc Code, (O~Jer) ~O~M M^a--56~ (,~ LAST WILL AND TESTAMENT OF WILLIAM J. KEATING I, WILLIAM J. KEATING, of carlisle, PA, declare this to be my last will ~nd testament. I hereby revoke all wills and codicils previously made by me. ITEM I I bequeath $1,000 to PA HELPLINE, Harrisburg, PA. ITEM II I bequeath the rest, residue and remainder of my estate to my six children equally , share and share alike. In the event that one or more of my children predecease me and are survived by minor children of their own, then the parent's share shall be distributed in equal shares into Pennsylvania Uniform Gifts to Minors Act accounts for the benefit of surviving minor children until the age of 21. 'If one or more of my children predecease me and are survived by children who are-not minors, then the parent's share shall be distributed among their issue per stirpes. If one or more of my children or issue predeceases me and'leave no children of their own, their bequest shall lapse and be distributed to my children that survive me. ITEM III I appoint John C. Oszustowicz of Carlisle, PA to be executor of this, my last will and testament. If he is unable or unwilling to serve as executor, I appoint Gerald L. Brenneman, CPA, of Carlisle, PA to be my executor. ITEM IV I appoint John C. Oszustowicz to be the custodian of any UGMA accounts created hereunder. ITEM V I direct that neither my executor nor my trustee needs to file a bond in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~day of March, 2003. WILLIAM J~ Kk~TIN~ Signed, sealed, published and declared by the above-named testator, WILLIAM J. KEATING, 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 thereto. acknowledged that WILLIAM J. KEATING signed the foregoing instrument as his last will and testament, and that the BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 17118-0601 'O4 FEB 20 :21 ,JOHN C OSZUSTONICZ J C 0SZUST0~/ICZ LAN OF 10~ S HANO~R~T.~ -~ ~ CARLISLE Ct~mbcrRA'~l 7~ PA CONNONNEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE NOTICE OF DETERNZNATZON AND ASSESSNENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN DATE 02-16-2004 ESTATE OF KEATZNG NILLIAH J DATE OF DEATH 05-27-2005 FILE NUNBER 21 05-0509 COUNTY CUHBERLAND ACN 201 Amoun~ Rem~ed HAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGISTER OF HILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper cred/~ ~:o your account, submit: ~he upper por~:ion of ~his for. wi~:h your ~ex payment. CUT ALONG THIS LINE ~" RETAIN LONER PORTION FOR YOUR FZLES REV-483 EX AFP (01-03) ~ NOTZCE OF DETERNZNATZON AND ASSESSNENT OF PENNSYLVANZA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ESTATE OF KEATZNG NILLIAH J FTLE HO.Z1 05-0509 ACH 201 DATE OZ-16-ZO04 ESTATE TAX DETERHZNATZON 1. Credit For S~ca~ce Death Taxes as Verified .00 Z. Pennsylvania Inheritance Tax Assessed (ExcZud~ng Discount and/or Interest) $. Tnher~tance Tax Assessed by Other States .00 or Territories of the Un,ted States (Excluding D~scount and/or Interest) 4. Total Inheritance Tax Assessed 5. Pennsylvania Estate Tax Due .00 TAX CREDZTS: 34~763.2Z 34~763.22 PAYHENT RECEIPT DISCOUNT (+) DATE NUHBER INTEREST/PEN PAID (-) AHOUNT PAID ~ZF PAZD AFTER THZS DATE, SEE REVERSE SZDE FOR CALCULATZON OF ADDZTZONAL ZNTEREST. TOTAL TAX CREDZT .00 BALANCE OF TAX DUEI .00 ZNTEREST AND PEN. I .00 TOTAL DUE I .00 (ZF TOTAL DUE *rS LESS THAN $1, NO PAYNENT ZS RE~UZRED ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SZDE OF THZS FORN FOR ZNSTRUCTZONS. ) PURPOSE OF NOTICE: PAYNENT: To fulfill the requirements of Section ZlqO (b) of the Inheritance and Estate Tax Act, Act Z$ of ZOOO. (72 P.S. Section 91qO). Detach the top portion of this Notice and submit aith your payment to tho Rmgister of Hills printed on tho reverse side, -- Hake check or money order payable to: REGISTER OF #ILLS, AGENT. REFUND (CR): OBJECTIONS: ADNZN- ISTRATIVE CORRECTIONS: A refund of a tax credit may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-131$). Applications arm available at the Office of the Register of Nills, any of the 25 Revenue District Offices or from the Department's Z~-hour answering service for forms ordering: 1-800-362-20501 services for taxpayers aith special hearing and / or speaking needs: 1-800-I17-30Z0 (TT only). Any party in interest not satisfied with the assessment of tax as shown on this notice may object aithin sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-10Z1, --electing to have the matter determined at audit of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dapt. Z80601, Harrisburg, PA 171Z8-0601, Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. OR PENALTY: INTEREST: The 1SI tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same mannmr and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. For dates of death on or after 10-3-91, Pennsylvania Estate Tax based an the Federal Estate Tax return becomes delinquent at the expiration of nine (09) months from the date of death. For dates of death prior to 10-3-91, Pennsylvania Estate Tax based on the Federal Estate Tax return becomes delinquent at the expiration of eighteen (18) months from the data of death. Taxes ahich became delinquent before January 1, 1982 bear interest at the rate of six [SI) percent par annum calculated at a daily rate of .00016q. All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Yea__r Rate Factor Yma__r Rate Factor X98Z ZOZ .0005q8 1987 91 .O00Zq7 1999 7Z .000192 1983 16X .000~38 1988-1991 11Z .000301 ZOO0 81 .000219 198~ llZ .000301 1991 91 .O00Zq7 2001 9X .O00Zq7 1985 132 .000356 1993-1994 7Z .O0019Z ZOOZ 6Z .00016~ 1986 iOZ .O00Z7q 1995-1998 92 .000247 2003 51 .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date sheen on the Notice, additional interest must be calculatmd. CERTIFICATION OF NOTICE UNDER RULE' Name of Decedent: William J. Keating Date of Death: March 27, 2003 Will No. 2003-00309 Adn~n. No. 21 -03-0309 To the Register: I certify that notice of (beneficial interest) estate administratio_n required by Rule 5.6(a)_of th$.Orp~h~ns' ~o(~ules was served on or mailed to the following beneficiaries of the above-captioned estate on Apr,_± gq, Name Address Contact Helpline P.O. Box 90035 Harrisburg, Pa 17109 Molly K. Stein 514 E. Oxford St. Duluth, MN 55803 Terrance A. Keating 240 Heather Dr. Harrisburg, PA 17112 See attached sheet for additional beneficaries Notice has now been given to all persons entitled thereto under Rule 5,6(a) except Signat, grg/ Name John C. Oszustowicz Address 104 S. Hanover St. Carlislee PA Telephone (71 7 243-7437 Capacity; .xx P~raonal R~preaentative 17013 Counsel for personal representative Certification of Notice cont. Estate of William J. Keating Will No. 2003-00309 William B. Keating 4321 Los Feliz Blvd #102, LA, CA 90027 Timothy P. Keating, Esq. 231 Harris #3 Harrisburg, PA 17102 Patrick J. Keating 422 Hillside Dr New Cumberland, PA 17070 Jaime M. Keating 901 N. College St. Carlisle, PA 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIWDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 002724 OSZUSTOWlCZ JOHN C ESQ 236 SOUTH HANOVER ST CARLISLE, PA 17013 fold ESTATE INFORMATION: SSN: 727-01-3287 FILE NUMBER: 21 03-0309 DECEDENT NAME: KEATING WILLIAM J DATE OF PAYMENT: 06/23/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 03/27/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $27,500.00 TOTAL AMOUNT PAID: $27,500.00 REMARKS: JOHN COSZUSTOWICZESQUIRE SEAL CHECK# "C" INITIALS: JA RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-0309 ESTATE OF WILLIAM J. KEATING, DECEASED Late of Carlisle Borough, PA FAMILY SETTLEMENT AGREEMENT AND RELEASE OF JOHN C. OSZUSTOWICZ, EXECUTOR Date of Death: March 27, 2003 Letters Granted: April 8, 2003 First Complete Advertisement of Grant of Letters: April 21, 2003 Account stated to April 29, 2004 John C. Oszustowicz, Esq. 104 South Hanover Street Carlisle, PA 17013 (717) 243-7437 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-0309 ESTATE OF WILLIAM J. KEATING, DECEASED Late of Carlisle Borough, PA FAMILY SETTLEMENT AGREEMENT AND RELEASE OF JOHN C. OSZUSTOWICZ, EXECUTOR Date of Death: March 27, 2003 Letters Granted: April 8, 2003 First Complete Advertisement of Grant of Letters: April 21, 2003 Account stated to April 29, 2004 John C. Oszustowicz, Esq. 104 South Hanover Street Carlisle, PA 17013 (717) 243-7437 AGREEMENT TO INDEMNIFY, RECEIPT, AND RELEASE THIS AGREEMENT, by and among John C. Oszustowicz, Executor of the Estate of William J. Keating Deceased and Mary Keating Stein, Terrance A. Keating, William B. Keating, Timothy P. Keating, Patrick J. Keating and Jaime M. Keating. WHEREAS, William J. Keating died March 27, 2003, testate, a residem of Cumberland County, Pennsylvania; and WHEREAS, the Last Will and Testament of William J. Keating dated March 12, 2003, was duly probated in the Office of the Register of Wills of Cumberland County, Pennsylvania as appears of record at Number 21-03-0309 (a copy of the Will is attached hereto and marked Exhibit A); and and WHEREAS, Letters Testamemary were issued to John C. Oszustowicz on April 8, 2003; WHEREAS, said Executor has duly administered the estate according to the laws of the Commonwealth of Pennsylvania; and WHEREAS, in ITEM SECOND of his Will, decedem directed Executor to give, devise and bequeath his estate as follows: C. All the rest, residue and remainder of his estate to his six children equally absolutely and in fee simple. WHEREAS, Mary Keating Stein, Terrance A. Keating, William B. Keating, Timothy P. Keating, Patrick J. Keating and Jaime M. Keating have been furnished with a complete listing of the estate assets, receipts and disbursements; and WHEREAS, it is the desire of the parties to this Agreement that final distribution of this estate be accomplished without a formal accounting to the Orphans' Court Division of the Court of Common Pleas of Cumberland County, it being the desire of the parties to avoid the expense, delay and publicity ora formal accounting. NOW, THEREFORE, in consideration of the mutual promises, covenants and agreements recited herein, the parties do agree as follows: Mary Keating Stein, Terrance A. Keating, William B. Keating, Timothy P. Keating, Patrick J. Keating and Jaime M. Keating do hereby release and forever discharge John C. Oszustowicz, Executor, fi:om any and all liability which he had or may have or which may fi:om time to time arise in connection with his service as Executor of the Estate of V~rflliam J. Keating, Deceased, and hereby authorize and request the Orphans' Court Division to charge the same against their shares of said estate, and in consideration for said distribution, hereby agree to refund any mounts so distributed which may be required to fully discharge any tax liability of the estate, debts of the decedent, or administration expenses. Each party to this Agreement acknowledges that this Agreemem shall be indexed and recorded in the estate proceedings and that the terms hereof shall be binding upon their respective heirs, successors, executors, administrators and assigns. This Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. DATED this q~h day of l~iary Ke61~ Stein, B~ehe~iary Terrance A. Keating, Beneficiary W~'flliam B. Keat~ng, l~eneficiary ~ff ~x,~e M. Keating, Beneficiary Exhibit A LAST WILL AND TESTAMENT OF WILLIAM J. KEATING I, WILLIAM J. KEATING, of Carlisle, PA, declare this to be my last will and testament. I hereby revoke all wills and codicils previously made by me. ITEM I I bequeath $1,000 to PA HELPLINE, Harrisburg, PA. ITEM II I bequeath the rest, residue and remainder of my estate to my six children equally , share and share alike. In the event that one o~ more of my children predecease me and are survived by minor children of their own, then the parent's share shall be distributed in equal shares into Pennsylvania Uniform Gifts to Minors Act accounts for the benefit of surviving minor children until the age of 21. If one or more of my children predecease me and are survived by children who are not minors, thenthe parent's share shall be distributed among their issue per stirpes. If one or more of my Children or issue predeceases me and leave no children of their own, their bequest shall lapse and be~distributed to my children that survive me. ITEM III I appoint John C. Oszustowicz of Carlisle, PA to be executor of this, my last will and testament. If he is unable or unwilling to serve as executor, I appoint Gerald L. Brenneman, CPA, of Carlisle, PA to be my executor. ITEM IV I appOint John C. Oszustowicz to be the custodian of any UGMA accounts created hereunder. ITEM V I direct that neither my executor nor my trustee needs to file a bond in any jurisdiction. IN wITNEss WHEREOF, I have hereunto set my hand and seal this ~day of March, 2003. Signed, sealed, published and declared by the above-named testator, WILLIAM J. KEATING, 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, havehereunto subscribed our names as witnesses thereto. ac~owtedged that WILLI~ J. K~TING si~ed the foregoing inst~ent as his last will and test~ent, ~d that the of uS acknowledge that we expressed therein. At the was over the age of 18. BUREAU OF INDIVIDUAL TAXES TNHERTTANCE TAX DXVZSTON DEPT. Z80601 HARRTSBURG, PA 17128-0601 COHHONNEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DTSALLOHANCE OF DEDUCTIONS AND ASSESSMENT OF TAX '04 FEB 13 P3:29 JOHN C OSZUSTOWICZ d C OSZUSTOWICZ LAW OF lOq S HANOVER ST CARLISLE PA REV-lSd7 EX AFP (B1-03) DATE OZ-16-ZOOq ESTATE OF KEATING DATE OF DEATH 05-27-2005 FILE NUNBER 21 05-0509 COUNTY CUHBERLAND ACH 101 I Amoun~ Remi~ed NILLIAH J HAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS L/NE ~ RETA/N LONER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03} NOT/CE OF INHER/TANCE TAX APPRAZSEHENT, ALLONANCE OR DTSALLONANCE OF DEDUCTTONS AND ASSESSNENT OF TAX ESTATE OF KEATING NILLIAH J F/LE NO. 21 03-0509 ACH 101 DATE 02-16-200~ TAX RETURN NAS: (X} ACCEPTED AS FTLED ( ) CHANGED RESERVATION CONCERNTNG FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. ReaZ Es~a~e (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S~ock/Per~nership Zn~eres~ (Schedule C} ($) q. Mortgages/No,es Receivable (Schedule D} (~) 5. Cash/Bank Deposi~s/Nisc. Personal Proper~y (Schedule E) (5) 6. Jointly O~ned Proper~y (Schedule F} (6) 7. Transfers (Schedule G) (7} 8, To,al Asse~s APPROVED DEDUCTIONS AND EXENPTZONS: 9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H) (9) 10. Dab,s/Mortgage Liabilities/Liens (Schedule ~) (10) 11. To,al Deductions 12. Na~ Value of Tax Re~urn 260~000.00 53~R5~.39 .00 .00 116z021.89 .00 NOTE: To insure proper cradi~ ~o your account, submi~ ~ha upper portion of ~his fore wi~h your ~ex payment. ~23/863.57 (B) 853,339.85 27,819.07 19~8q0.99 (11) ~7.~6n.06 (12) 805,679.79 13. 1~. NOTE: reflect flgures that include the total of ALL returns assessed to date. 1,000.00 ZF PAID AFTER DATE TNDZCATED, SEE REVERSE FOR CALCULATION OF ADDTTZONAL /NTEREST. ASSESSHENT OF TAX: 1.6. Amoun~ of Line 1~ a~ Spousal ra*e 16. Amount: of Line lq ~exable e~ Lineal/Class A ra~e 17. Amoun'l: of Line lq a~c Sibling re'ce 18. Amoun~ of Line lq ~:axable a~ Collateral/Class B ra~e 19. Principal Tax Due TAX CREDITS: PAYMENT RECEIP1 DT$COUNT (+) DATE NUNBER TNTEREST/PEN pATD (-) 1,~7.37 .00 (la) .00 x O0 : .00 (16) 80q,679.79 x OqS= 36,210.59 (17) .00 x 12 = .00 (Ts) .00 x 15 = .00 (Tg)= 36,210.59 AMOUNT PAID 27,500.00 7,26:5.26 TOTAL TAX CREDIT I 36,210.63 BALANCE OF TAX DUEI .OqCR INTEREST AND PEN.I .00 TOTAL DUE I .0qCR ( TF TOTAL DUE TS LESS THAN $1, NO PAYMENT ZS RE~UZRED. ZF TOTAL DUE 13 REFLECTED AS A 'CREDTT' (CR), YOU MAY BE DUE~ A REFUND. SEE REVERSE STDE OF THIS FORM FOR INSTRUCTIONS.) CDOO27Zq CD003355 06-23-2003 12-22-2003 Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) Ne~ Value of Es~:a~:e SubSec~c 'ko Tax (lq) 80q,679.79 If an assess, ent was issued prev/ously, lines 1~, 15 and/or 16, 17, 18 and 19 RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND (CA): OBJECTIONS: ADNIN- /STRAT/VE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on ar before December 1Z, 19aZ -- if any future interest in the estate is transferred in possession or enjoyment to Class B (calletaral) beneficiaries of the decedent after the expiration of any estate for life or for years) the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class D (collateral) rate on any such future interest. To fulfill the requirements of Section 21qO of the Inheritance and Estate Tax Act, Act 25 of ZOO0. (7Z P.S. Section 91qO). Detach the top portion of this Notice and submit eith your payment to the Register of Hills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS, AGENT A refund of a tax credit, which was nat requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISIS). Applications ara available at the Office of the Register of Hills, any of the 25 Revenue District Offices, er by calling the special gq-hour answering service for forms ordering: 1-800-$SZ-ZOSO; services for taxpayers with special hearing and / or speaking needs: 1-800-~47-$0Z0 iTT only). Any party in interest net satisfied with the appraisement, alloaanca) or disallowance of deductions) or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue) Board of Appeals, Dept. gBlOgl) Harrisburg) PA 171ZB-IOZ1, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue) Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. gBOSO1) Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (5) calendar months after the dacedent's death) a five percent (SI) discount of the tax paid is allowed. The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tiaa period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1) 198Z bear interest at the rate of six (SZ) percent par annum calculated at a daily rate of .00016~. All taxes which became delinquent on and after January 1) 198Z will bear interest at a rate which will vary free calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOOS are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20Z .0005q8 1987 9Z .0002q7 1999 7Z .00019Z 1983 16Z .OOOq38 1988-1991 llX .000301 ZOO0 8Z .OOOZ19 198q IIZ .O00SO1 1992 9X ,OOOZ~7 2001 9X .OOOZ~7 1985 13Z .O00SS6 1993-199q 7Z .OOO19Z ZOOZ 6Z .00016~ 1986 lOX .O00Z7~ 1995-1998 9Z .O00Zq7 ZOOS 5Z .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUIqBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date sho~n on the Notice, additional interest must ba calculated. STATUS REPORT UNDER RULE 6.12 Name of Decedent: ~%1/%(~¥'~ J, Date of Death: ~J~O~'C~'~ Z-7, ~(2~ Will NO. ZOO3- O0'-~Oq Admin. No. 'Z~ oO~- O~O9 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete: Yes ~ No__ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes__ No 2' b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes ~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Ioq S Honovc sr., ph'sle.. Address ' Tel. No. Capacity: __Personal Representative Counsel for personal representative (MAH:rmf/AM3) ():3- .Ja] March 28, 2005 To: Cumberland County Register of Wills From: John C. Oszustowicz Executor, Estate of William J. Keating As of the date and time indicated herein, I express my intention to re-open the Estate of William J. Keating, if it is necessary for me to do that, in order to pursue a claim against TIAA--cREF. ~ZV~ J~ szustowicz Executor ~ COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INOIVIOUAl TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT OSZUSTOWICZ JOHN C ESQ 236 SOUTH HANOVER ST CARLISLE, PA 17013 n_nn_ fold ESTATE INFORMATION: SSN: 727-01-3287 FILE NUMBER: 2103-0309 DECEDENT NAME: KEA TING WILLIAM J DA TE OF PAYMENT: 11/02/2005 POSTMARK DATE: 11/02/2005 COUNTY: CUMBERLAND DATE OF DEATH: 03/27/2003 NO. CD 005958 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $96.16 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JOHN OSZUSTOWICZ, ESQ CHECK# 507 SEAL INITIALS: RSK RECEIVED BY: REGISTER OF WILLS $96.16 GLENDA FARNER STRASBAUGH REGISTER OF WILLS I"- o 10 :; ~I I !iil ~ ~ <A 'JiI ". Iii ~ , ';II ~~ ~ -k I] :go ~ C i' "'-0 ""::.': "I I co ~ I. 00 "~ '- " <D " \) ,;i " /,[ <( I' 1:1 ~ ill !;iM I~I ~ ~r- ;1 ~Nlli;:? 'I :;~ll:o :Ia/:$ ~ tii ~ :iV'l j ~ ffi a: '-<"-(/)e; . ~V~::IzLlJ : If'lU.N<l:u5 (/)I:J : /JOO(J)ll: i V'w <l: (/1-c.jtSu <( ~ I-Z (/)J: Wo w~ J: I- ~ <8 ~ cr- ~ 0 Ln 0 ~ Ul - \ I~ ~ LIl ~ 0 ~ - 6~ 0 0 0 ;:;z~ 0 ~~ ,.. .. - r1'l , , lJ" I.../) Ul tJ CCl \ - ;,; r1'l . - r1'l !i 0 ~-.: 'O~ z o ~ .- :;) a. :E o o ~ REV'1~ EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C W o w c DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL) Keating, William J. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 03/27/2003 12/26/1924 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST, AND MIDDLE INITIAL) W I- ~~!:1 ~~g :J:l:l:.... 0....11I .... -< o 1. Original Return o 4. Limited Estate o 6. Decedent Died Testate (Attach copyolWilQ o 9. Litigation Proceeds Received ~ 2. Supplemental Return o 4a. Future Interest Compromise (dale 01 death afler 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy 01 Trust) o 10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95) I- Z W Q Z o .... l1J W l:l: l:l: o o NAME John C. Oszustowicz FIRM NAME (If Awlcable) Law Office of John C. Oszustowicz TELEPHONE NUMBER (717) 243-7437 (1) (2) 1,719.45 . (3) (4) (5) (6) (7) (8) (9) (10) COMPLETE MAILING ADDRESS 104 S. Hanover St. Carlisle, PA 17013 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) FILE NUMBER 21 03 0309 z o 5 :;) !:: a. <( o W 0:: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. JoinUy Owned Property (Schedule F) o Separate BiUing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) COUNTY CODE YEAR NUMBER 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due x .0_ (15) 1.719.45 x.O ~ (16) x .12 (17) x .15 (18) SOCIAL SECURITY NUMBER 727-01-3287 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (dale of death prior 10 12-13-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sdl 0) I r', .., I ....._.~ " -,,-.- ~ " 1,719.45 (11) (12) (13) (14) 1,719.45 77.38 (19) 77.38 Decedent's Complete Address: STREET ADDRESS elTYC 1'1 arise STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B.PriorPayments C. Discount (1) 77.38 Total Credits (A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty 7.17 11.61 Total Interest/Penalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 18.78 A. Enter the interest on the tax due. 77.38 (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 96.16 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 ~ b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~ c. retain a reversionary interest; or.......................................................................................................................... 0 W d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [i] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 [i] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 IKl 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 [KJ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of petjury, I declare thaI I have examined this return, including acaxnpanying schedules and statements, and to the best of my knowledge and belief, it is !rue, correct and complete. of preparer other than tha peISOIl8l representative is based on allnformation of which prepaI8r has any knowledge. SIG AT OF PERS RESPONSIBLE FOR FILING RETURN "" Rec. ADDR S 104 . Hanover St., Carlisle, PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE /1 /2.- JOF , , DATE ADDRESS 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 3% [72 P.S. ~9116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P,S. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent. whether by blood or adoption. . REV-1503 EX+ (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Keating, William J. FILE NUMBER 21-03-0309 ITEM NUMBER 1. All property jOlntly-owned with right of survivorship must be disclosed on Schedule F. DESCRIPTION 10 Sh Agere Systems, Inc. Common stock, CUSIP 00845V30B 2 47.273 Sh Nuveen Tax-free unit Trust TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 15.20 1,704.25 1,719.45 . REV.1513 EX+ (~) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Keating, William J. FILE NUMBER 21-03-0309 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not LIst Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 Molly Stein, 514 W. Oxford St., Duluth, MN 55803 Daughter V(; 2 Terrance A. Keating, 6012 Candlestick Dr., Harrisburg, PA 17111 Son Y<,.. 3 Bamey Keating, 4321 Los Feliz Blvd, Apt. 102, Los Angeles, CA 90027 Son y" 4 Timothy P. Keating, 231 Harris #3, Harrisburg, PA 17102 Son Y<.. 5 Patrick J. Keating, 422 Hillside Dr., New Cumberland, PA 17070 Son }/v 6 Jaime M. Keating, 529 Bosler Ave., Carlisle, PA 17013 Son X, 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 TOTAL OF PART" - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) 12-26-2005 KEATING 03-27-2003 21 03-0309 CUMBERLAND 101 APPEAL DATE: 02-24-2006 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 9Yr_~~9~~_r~~~_~~~~______~___~~!~!~_~Q~~~_~Q~!!Q~_~Q~_YQ~~_~~gQ~~~__~____________________ REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX WILLIAM J FILE NO. 21 03-0309 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIYISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX {", ~~:. DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN JOHN C OSZUSTOWICZ J C OSZUSTOWICZ LAW OF 104 S HANOVER ST CARLISLE PA 17013 ESTATE OF KEATING TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Mortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 .00 1.719.45 .00 .00 .00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax .00 .00 Ul) (2) (3) (4) REY-1547 EX AFP (06-05) WILLIAM J DATE 12-26-2005 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 1,719.45 00 1,719.45 .00 806,399.24 NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 806,399.24 X 045 = 36,287.97 .00 X 12 = .00 .00 X 15 = .00 (9)= 36,287.97 . ". ..~... n~~~~. l+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-23-2003 ~ CD002724 1,447.37 27,500.00 12-22-2003 " CD003355 .00 7,263.26 11-02-2005 ~ CD005958 6.40- 96.16 TOTAL TAX CREDIT 36,300.39 BALANCE OF TAX DUE 12.42CR INTEREST AND PEN. .00 TOTAL DUE 12.42CR · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I{)A ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) - BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) ., r DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-23-2006 KEATING 03-27-2003 21 03-0309 CUMBERLAND 101 WILLIAM J JOHN C OSZUSTOWICZ J C OSZUSTOWICZ LAW OF 104 S HANOVER ST CARLISLE PA 17013 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: CUT ALONG THIS LINE NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 REV-1607 EX AFP (03-05) --------------------------------------------------------------------------- -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- ESTATE OF KEATING WILLIAM J FILE NO. 21 03-0309 ACN 101 DATE 01-23-2006 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. *** INHERITANCE TAX STATEMENT OF ACCOUNT ... DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-26-2005 PAYMENTS (TAX CREDITS): PRINCIPAL TAX DUE: 36,287.97 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-23-2003 CD002724 1,447.37 27,500.00 12-22-2003 CD003355 .00 7,263.26 1l-02-2005 CD005958 6.40- 96.16 01-09-2006 REFUND .00 12.42- TOTAL TAX CREDIT 36,287.97 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 If IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) RK COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-1162 EX111-961 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 016738 OSZUSTOWICZ JOHN C 104 SOUTH HANOVER STREET CARLISLE, PA 17013 ~a~~ ESTATE INFORMATION: ssN: 727-oi-3287 FILE NUMBER: 2103-0309 DECEDENT NAME: KEATING WILLIAM J DATE OF PAYMENT: 1 1 /06/201 2 POSTMARK DATE: 1 1 /06/201 2 couNTY: CUMBERLAND DATE OF DEATH: 03/27/2003 REMARKS: RECEIPT TO ATTY CHECK#11458 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 5301.91 TOTAL AMOUNT PAID: 5301 .91 INITIALS: WZ RECEIVED BY: GLENDA EARNER STRn~Rnl IrN REGISTER OF WILLS REGISTER OF WILLS J 1505610105 REV-1500 rxi°z"""' PA Department of Revenue pennsytvania OFFICIAL USE ONLY Bureau of Individual Taxes ~`~~~~"`'~~"~`°`"" INHERITANCE TAX RETURN County Code Year File Number POBOx28o6of Harrisburg PA 17128-0601 RESIDENT DECEDENT ~ I ~~~ l.: ~~n `~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 727-01-3287 03/27/2003 12/26/1924 Decedent's Last Name Suffix Decedent's First Name MI Keating William J (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS O 1. Original Return ~ 2. Supplemental Return O 3. Remainder Return (Date of Death Prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Com romise date of P ( O 5. Federal Estate Tax Return Required death after 12-12-82) O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number John C Oszustowicz (717) 243-7437 First Line of Address 104 S Hanover St. Second Line of Address City or Post Office Carlisle Correspondent's a-mail address: jOhnO(O~COmCaSt.net State ZIP Code PA 17013 REGISTER OF WILLS USE ONLY F~ J r- c ~, ~~, ~ ~J C? m 1- .~ ~o °L. "~ ~ ~ Lr: - . I` ~ xy D!~}9LED -' _. __ - -T'J--_~ ~'"y .r a rv ~~ -~ -n ~.,~ :~: <=: r; n C- ~- rn ~'> O -r-, Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, Corr ct d lete. De ration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE O RSO E O FOR FILING RETURN DATE ADDRESS // ~ ~'~ 104 S HaylgVer t., Carlisle, PA 17013 SIGNATURE F PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 1505610105 J i~ ~~ _J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decedents Name: Williarn J. Keating 727-01-3287 RECAPITULATION 1. Real Estate (Schedule A) ............... 1. 2. Stocks and Bonds (Schedule B) . . ....................... ....... ... 2. 6,709.00 3. Closely Held Corporation, Partnership or Sale-Proprietorship (Schedule C) .. ... 3. 4. Mortgages and Notes Receivable (Schedule D) ........................ ... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. 6. Total Gross Assets (total Lines 1 through 7) ........ 8. 6,709.00 9. Funeral Expenses and Administrative Costs (Schedule H)... ... 9. 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............ ... 10. 11. Total Deductions (total Lines 9 and 10). 11. 12. Net Value of Estate (Line 8 minus Line 11) .......................... ... 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ...... .............. ... 14. 6,709.00 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 15. 16 Amount of Line 14 taxable at lineal rate X .0 45 6,709.00 16. 301.91 17. Amount of Line 14 taxable at sibling rate X .12 17 18. Amount of Line 14 taxable at collateral rate X 15 18 19. TAX DUE ............................. _ ..... ................. ..19. 301.91 20 FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O 1505610205 Side 2 1505610205 J REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME William J. Keating STREET ADDRESS 300 W. Willow St CITY 'STATE ZIP Carlisle I PA 17013 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 301.91 (3) (4) (5) 301.91 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred .....................................__........_............................... ....... ^ b. retain the right to designate who shall use the property transferred or its income ..................................... ....... ^ c. retain a reversionary interest ....................................................................................................................... ....... ^ d. receive the promise for life of either payments, benefits or care? ............................................................... ....... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?........__ .........................._.._......................................................... ..... ^ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ........ ...... ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? .................................................................................................................. ...... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only benefciary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (1) Total Credits (A + B) (2) REVa5o3 EX+ (8-12) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER William J. Keating 21-03-0309 All property jointly owned with right of survivorship must be disclosed on Schedule F. [f more space is needed, insert additional sheets of the same size REV-1513 F%+ (01-10) pennsylvania SCHEDULE ] Dt"ARTMENT Dr REVENUE BENEFICIARIES INHERITANCE TA% RETURN RESIDENT DECEDf NT ESTATE OF. FILE NUMBER: William J. Keating 21-03-0309 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS Of PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (11).) 1. Molly Keating Hans 4 S West St., Shiremanstown, PA 17011 Daughter 1 /6 2 Terrance A. Keating 156 Holly Hills Dr., Harrisburg, PA 17110 Son 1 /6 3 William B. Keating 1626 Micheltorena St., Los Angeles, CA 90026 Son 1 /6 4 Timothy P. Keating 3121 Pennwood Rd., Harrisburg, PA 17110 Son 1/6 5 Patrick J. Keating 1642 Lowell Ln, New Cumberland, PA 17070 Son 1 /6 6 Jaime M. Keating 529 Bosler Dr., Carlisle, PA 17013 Son 1/6 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUG H 18 OF REV-1500 COVER SHEET, A S APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET, $ If more space is needed, use additional sheets of paper of the same size. BUREAU OF INDIVIDUAL TAXES '' , "I I~FI~F~;~,~,~-'NCE TAX INHERITANCE TAX DIVISION Po Box 280601 `:S.TATEM~NT~.OF ACCOUNT HARRISBURG PA 17128-0601 ~ ~ ~' - . --_. JOHN C OSZUSTOWICZ ~ ~ ~`~ ~ ' ~ ' ~-'~~'~ ~_ t. ~... `.~.e J ' J C OSZUSTOWICZ LAW OF 104 S HANOVER ST CARLISLE PA 17013 pennsyLvania ~. _ ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-11) DATE 11-19-2012 ESTATE OF KEATING WILLIAM J DATE OF DEATH 03-27-2003 FILE NUMBER 21 03-0309 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE _ ~_ _ _ RETAIN LOWER PORTION FOR YOUR RECORDS _ F-- REV-1607 EX AFP C12-11~ *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:KEATING WILLIAM J FILE NO.: 21 03-0309 ACN: 101 DATE: 11-19-2012 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-19-2005 PRINCIPAL TAX DUE: 36,287.97 PAYMENTS CTAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-~ AMOUNT PAID ~~* SUMMARY OF ALL 005 PAYMENTS *** 11-Ob-2012 1,447.37 .00 11-06-2012 6.40- 35,148.91 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. 3b,589.88 301.91CR .00 TOTAL DUE I 301.91CR * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: REV-'1162EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 017261 OSZUSTOWICZ JOHN C 104 SOUTH HANOVER STREET CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: ssN: FILE NUMBER: 2103-0309 DECEDENT NAME: KEATING WILLIAM J DATE OF PAYMENT: 03/04/2013 POSTMARK DATE: 03/04/201 3 COUNTY: CUMBERLAND DATE OF DEATH: 03/27/2003 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ S 135.37 TOTAL AMOUNT PAID: REMARKS: CHECK#11592 SEAL INITIALS: DMB S 135.37 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 ~ ~ ~ ~ HARRISBURG PA 17128-0601 R~GOE,~~~ C~~"1G~ 0~ REG3~ ~ ~~ t~f !i~_~.S '~. i3 ~fl~ ~ ~t~ i ~.~ "3 JOHN C OSZUSTOWICZ G(-~~,~( ~~ 104 S HANOVER STO~~A~1~-~~(,R j CARLISLE GUMB~R~.~~Q (},~ ~A NOTICE OF INHERITANCE TAX APOFADEDUCTIONSLANDAASSESSMENTAOFOTAXCE ~~~~, Pennsylvania DEPARTMENT OF REVENUE REV-1547 EX AFP (09-12> DATE 02-26-2013 KEATING WILLIAM J ESTATE OF DATE OF DEATH 03-27-2003 FILE NUMBER 21 03-0309 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 04-27-2013 (See reverse side under Objections Amount Remitted MAKE REGISTER OFB WI LNS REMIT PAYMENT T0: 1 COURTHOUSE SQUARE CARLISLE PA 17013 ~ RETAIN LOWER_PORTION FOR_YOUR RECORDS F~ RESERVATION: Estates of decedents dyin v future interest in the estate is transferred in possession or enjoyment to ClassfBrCcollateral)96eneficiaries of the decedent after the expiration of an life or for years, the Commonwealth hereby expressly reserves the right to a at the lawful Class B (collateral) rate on an y estate for v such future interest. pp raise and assess transfer Inheritance Taxes NOTICE OF INHERITANCE TAX it pennsyLvarna APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX INHERITANCE TAX DIVISION REV-1547 EX AFP (09-12) PO BOX 280601 HARRISBURG PA 17128-0601 RECORDED !t REGIS OF DATE 02-26-2013 ~t}pp L, 1 ESTATE OF KEATING WILLIAM J ?013 1 illli; ! i` Lp ! DATE OF DEATH 03-27-2003 FILE NUMBER 21 03-0309 JOHN C OSZUSTOWICZCLERK 0. COUNTY CUMBERLAND RPHAfS'a'' i ACN 101 104 S HANOVER S APPEAL DATE: 04-27-2013 CARLISLE C M DERi*H R-U2D 1PA (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT-ALONG-THIS-LINE - --1~ RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS--4 - EV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: KEATING WILLIAM JFILE NO.:21 03-0309 ACN: 101 DATE: 02-26-2013 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO. 02 1. Real Estate (Schedule A) Cl) .00 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) (2) 6,70 9.00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portion of this form with your 4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 6. Jointly Owned Property (Schedule F) (6) 00 7. Transfers (Schedule G) C7) 00 8. Total Assets C8) 6.709.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .00 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00 11. Total Deductions (11) 00 12. Net Value of Tax Return C12) 6,709.00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 813, 108.24 NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will reflect figures that include the total of all returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at spousal rate (15) .00 X 00 = .00 16. Amount of Line 14 taxable at lineal rate (16) R13.1 nR 94 X 045 = 36,589.88 17. Amount of Line 14 at sibling rate (17) nn X 12 = .00 18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00 19. Principal Tax Due (19)= 36,589.88 TAX CREDITS: PAYMENT RECEIPT DISCOUNT DATE NUMBER fOALL EST/PEN PAID AMOUNT PAID SUMMA05 PAYME NTS 11-06-2012 1,447.37 .00 6.40- 35,148.91 BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-07-2012 TOTAL TAX PAYMENT 36,589.88 BALANCE OF TAX DUE .00 INTEREST AND PEN. 135.37 TOTAL DUE 135.37 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. pennsyLvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12) INHERITANCE TAX DIVISION RECOWtASENME T F ACCOUNT PO BOX 280601 ~L� HARRISBURG PA 17128-0601 REGISTER O F 11 I S L7 DATE 03-18-2013 yLIS 1 22 Pn ESTATE OF KEATING WILLIAM J DATE OF DEATH 03-27-2003 CLERK OF FILE NUMBER 21 03-0309 O HAAS- COURT COUNTY CUMBERLAND JOHN C OSZUSTOWICZ ACN 101 104 S HANOVER ST CUMBERLAND CO., IPA Amount Remitted CARLISLE PA 17013-3420 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS -4- REV-1607 EX-AP ( 2-12)r r r r *** NHRTACrTAX STATEMENT OV CCDUNT r*** -- ---- --- r r r r r ESTATE OF:KEATING WILLIAM J FILE NO. : 21 03-0309 ACN: 101 DATE: 03-18-2013 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-19-2013 PRINCIPAL TAX DUE: 36,589.88 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) *** SUMMARY OF ALL 006 PAYMENTS *** 03-04-2013 1,447.37 .00 03-04-2013 141.77- 35,284.28 TOTAL TAX PAYMENT 36,589.88 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. }