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HomeMy WebLinkAbout01-0751 REV-1500 EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128.0601 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT / (, OFF,,!~~Y_ <f '" - ;l 60- FILE NUMBER 2 1 o 1 00751 COUNTY CODE YEAR NUMBER I- Z W C W o w c DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITlAL) SWEENEY, JEANNE W, DATE OF DEATH (MM-DD-YEAR) DAlE OF BIRTH (MM-DD-YEAR) July 16, 2001 September 9, 1914 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) N/A SOQAL SECURITY NUMBER 199-36-4818 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER ... Z W o Z o .. U) W '" '" 8 ~ 1. Original Return 0 2. Supplemental Return 03. Remainder Retum (date ofdealh prioclo 12-13-82) o 4 limited Estate 0 4a. Future Interest Compromise (date of death after 12-12-82) ~ 5. Federal Estate Tax Return Required ~ 6. Decedent Died Testate (Attach copy of Will) 0 7. Decedent Maintained a Living Trust (Attach copy of Trust) ~ 8. Total Number of Safe Deposit Boxes D 9. Litigation Proceeds Received D 10. Spousal Poverty Credit (date Dr deatll between 12-31.91 an;! 1-1-95) D 11. Election to tax under See. 9113(A)(Attach Sell 0) THIS.'$ECTlON MUS,..'IlE CoMpLE"Eb;.'ALLCORll.~$RONDENCE'l\lilD'cONflDE""""""H!iI'~iiIIilFGRMA,.iON,SH6tJLO:BE,.PiRECT~O TO; NAME COMPlETE MAILING ADDRESS Thomas R. Kellogg FIRM NAME (If Applicable) Strong Stevens & Wyant TELEPHONE NUMBER 610-832-5900 1250 W. Germantown Ave. Suite 300 Plymouth Meeting ,,,'1:'A' 19462 -2444 W I- ::.::~UJ 0"''' w"o J:~O oQ.ffi !i;: 1. Real Estate (Schedule A) (1) OF'FICW.. USE ONLY Stocks and Bonds (Schedule B) (2) 1,429,914 2 I 3 Closely Held Corporation, Partnership or Sole-Proprietorship (3) U"J 4. Mortgages & Notes R6!vable (Schedule D) (4) 5 Cash, Bank Deposits & Miscellaneous Personal Property 55,998 (Sdledule E) (5) vJ Z 6. Jointly O\M1ed Property (Schedule F) (6) 0 D Separate Billing Requested ~ 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (7) ::::l (Schedule G or L) l- e:: 8. Total Gross Assets (total Lines 1-7) (8) 1,485,912 <I: 0 29,560 w 9. Funeral Expenses & Administrative Costs (Schedule H) (9) C<: 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 25,325 11. Total Deductions (total Lines 9 & 10) (11) 54,885 12. Net Value of Estate (Line 8 minus Une 11) (12) 1,431,027 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an eleetion to tax has not been made (Schedule J) (13) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 1,431,027 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax. Z rate, or transfers under Sec. 9116 (aX1.2) x .0 _(15) 0 1,431,027 45 64,396 ;:: '" 16. Amount of Line 14 taxable at lineal rate x .0 _(18) I- ::> .. 17. Amount of Line 14 taxable at sibling rate x .12 (17) " 0 0 18. Amount of Line 14 taxable at collateral rate x .15 (18) ~ Tax Due (19) 64,396 I- 19. 20. o CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT "'f; ;,. 'l.~'> ISE.Sll~ElVO ANl!WER All.'" t;ll;STllillllS:ONiR ~ L~ j, ~1;!!Sll~j~,p:[m;~JO;QK'It.tAta[ ,<,,~. , OW46451.000 Decedent's Complete Address: sM' ADDRESS 24 A North 36th Street 'Ciimp Hill I ~ltTE I7iP7011 Yes o o o o D D contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " D EJ 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 perjury. I declare that I have eJlElminecl this return, induding accompanying schedules and statements, and to the best of my knO'Nledge and belief, it is true, correct and complete. tion of preparer other than the peffi<mal ~\atiIIe Is based on all information of which prep r any knowledge. IGNA RE OF PERSON E FOR FILING RElURN Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credils/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 48,000 21400 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty TotallnferesUPenally (0 + E) (3) 4. If Line 2 is greafer 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) A. Enter the interest on the tax due. (5A) B. (5B) PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its (ncorne; . c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments. benefits or care? . . . . . . . . . 2. If death occurred after December 12, 1982. did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account. annuity. or other non-probate property which 5~6.U/4.. PA 64, 396 50,400 13,996 13,996 No EJ EJ EJ EJ EJ EJ 2- DATE Ill" Stevens & Wyant, lOW. Germantown Pike, Ste 300, Plymouth Meeting, PA 19462-2444 _JJlJJlIIlIlll~M 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 survi....ing spouse is 3% [72P.S.~9916 (a) (1.1) (i)). For dales of death on or after January 1, 1995, the tax rate Imposed on the net value of transfers to or fer the use aithe Surviving spouse 'IS 0% 172 P.S. ~ 9116 (a) (1.1) (ii)] The statute does not ex-emot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum 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, af\ adoptive parent, or a stepparent of the child is 0% 172 P.S. ~ 9116(8)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's Uneal 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 decedenfs 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 adop1ion. OW46461.000 t.:'v.S,JR:pjh JSWEENEY.WIL DISK 144 lU/lb/95 St Original relainc" ir, Wi', null 01 rong Sleven~ Briscoa & Hamilton Glue Be!!, PA *~ WILL 21-01-751 I, JEANNE W. SWEENEY, now of Harrisburg, Pennsylvania, make this my last Will, hereby revoking all prior Wills and Codicils. FIRST: EXECUTORS AND TRUSTEES: I appoint my children, MARTIN J. SWEENEY, 3rd, DENNIS C. SWEENEY and SHEILA S. VAN VALKENBURGH, as Executors of, and Trustees under, this will. No Executor or Trustee shall be required to file any bond or enter any security for the performance of any duty hereunder. Any individual Executor or Trustee may resign at any time without Court approval. SECOND: PECUNIARY BEOUESTS: I give the sum of FIVE THOUSAND ($5,000.00) DOLLARS to the following grandchildren of mine who shall survive me: ELIZABETH J. SWEENEY-CHISHOLM ALES SANDRA M. SWEENEY KATHERINE W. SWEENEY MARTIN J. SWEENEY, IV JOSHUA S.B. SWEENEY BRET B. LINFOOT KRISTIN C. LINFOOT THIRD: TANGIBLE PERSONAL PROPERTY: All my tangible personal property together with all insurance policies thereon and any claims relating to this property I give in equal shares to my 1 . children, MARTIN J. SWEENEY, 3rd, DENNIS C. SWEENEY and SHEILA S. VAN VALKENBURGH, as shall survive me, the issue surviving me of any child of mine who shall not survive me to take per stirpes the share the deceased child would have taken had the deceased child survived me. The Executor shall represent any beneficiary less than age twenty-one (21) in any division of this property and shall deliver to the person standing in the place of a parent to the beneficiary, without bond, the portion of the beneficiary's share of this property as the Executor, after considering the wishes and needs of the beneficiary, shall deem appropriate, and shall sell the balance of the share and add the proceeds to the principal of the trust for the beneficiary referred to in Paragraph FIFTH of this will. If I shall leave a memorandum signed by me requesting that a particular article be given to a certain person, it is my request, but not my direction, that my memorandum be honored by delivering the article to that person. FOURTH: RESIDUE: All the rest, residue and remainder of my estate, real and personal, I give and devise in equal shares to my children, MARTIN J. SWEENEY, 3rd, DENNIS C. SWEENEY and SHEILA S. VAN VALKENBURGH, as shall survive me, the issue surviving me of any child of mine who shall not survive me to take per stirpes the share the deceased child would have taken had the deceased child survived me. 2 ~ FIFTH: PRINCIPAL RETENTION: Unless otherwise provided in this Will, the Trustee shall hold any property distributable under this will to any beneficiary who is less than age twenty-five (25), IN TRUST; invest and manage the principal; apply income and principal as necessary for the support or education of the beneficiary; accumulate and add to principal all income not expended in a calendar year for these purposes; pay the net income to the beneficiary at least quarterly after attaining age twenty- one (21); and distribute all remaining principal and accumulated income to the beneficiary upon attaining age twenty-five (25) or to the beneficiary's estate in the event of the beneficiary's death prior thereto. SIXTH: ADMINISTRATION EXPENSES AND TAXES: All deb t s , administration expenses and taxes, and interest and penalties thereon, that may become payable by reason of my death with respect to the property comprising my gross estate for tax purposes, whether or not the property passes under this Will, shall be paid from the principal of my residuary estate as if they were my debts, without apportionment or right of reimbursement. SEVENTH: PROTECTIVE PROVISION: The interest of any beneficiary under this Will, shall be free of the debts, contracts, alienations, assignments and anticipations of the beneficiary and 3 ~ shall not be liable to any levy, attachment, execution or sequestration, legal or equitable. In addition to the powers EIGHTH: -MANAGEMENT PROVISIONS: granted by law, the Executor or Trustee, without order of any court, and until the actual distribution of all property, may: (a) Retain any property regardless of diversification, risk or nonproductivity. lack of (b) Invest in, purchase or sell any property as may be prudent without being confined to legal investments for fiduciaries, including, without limitation, all types of real property in any form; stocks, bonds, or other securities; shares of investment companies; and participations in common trust funds, proprietary mutual funds or mutual funds managed by a corporate Trustee. (c) Adjust, compromise (with or without security), abandon and settle claims of or against my estate or any trust hereunder. (d) Sell any real or personal property at public or private sale for cash or credit; lease or mortgage property for any period of time; give options for sales, exchanges or leases; and manage, develop, alter, repair, improve, subdivide, exchange or join in the partition of real property. (e) Apply or retain income or principal to which any beneficiary is entitled directly for the beneficiary's support or education should the Executor or Trustee in the Executor's or Trustee's sole discretion deem the beneficiary incapable of receiving it by reason of age, illness or any infirmity or incapacity, or pay it to any person selected by the Executor or Trustee to disburse it, whose receipt shall be a complete acqui ttance, wi thout the intervention of any guardian and accumulate and add to principal all income not needed for these purposes. (f) Distribute in cash or in kind, or partly each. 4 ~ (g) Open and maintain a custodian account, employ investment counselors or otherwise empower persons or entities to assist in the administration of my estate or any trust, the costs of which shall be charged as an expense of my estate or the trust. (h) Exercise any option, or amplify or modify any provis~on of this will which may be advantageous from the viewpoint of overall tax reduction. (i) Execute and deliver all writings necessary or appropriate for the exercise of any power and do all other acts in the Executor I s or Trustee's judgment necessary or desirable for the proper management, investment and distribution of my estate or any trust. NINTH: INTERPRETATION: The following shall be applied in the interpretation or construction of this will: (a) As the context may require the use of any gender shall include all genders and the singular shall include the plural and the plural the singular. (b) The word "education" shall include, without limitation, education in a school, college or university and any graduate, professional or vocational training, or training in the arts, taking into consideration other financial resources the beneficiary may have. (c) The word "support" shall include, without limitation, in addition to support, food, shelter and clothing, the expenses of any accident, illness or other emergency, medical, surgical, hospital or other institutional care, premiums for health insurance and the payment of the expenses of last illness, funeral and burial, including a grave marker taking into consideration both the standard of living to which the beneficiary has been accustomed and other financial resources the beneficiary may have. TENTH: HEADINGS: Any heading preceding the text of the Paragraphs and subparagraphs of this Will is inserted solely for 5 ~ the convenience of reference and shall not affect the meaning, construction or effect of this will. fl WITNESS 11'- day of WHEREOF, I hereunto ~/ set my hand and seal this A.D. 1995. J~ ~Ltt~AL) JEANNE W. SWEENEY (j SIGNED, SEALED, PUBLISHED and DECLARED by the above-named Testatrix, JEANNE W. SWEENEY, as and for her last Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have hereunto set our names as witnesses. c. l-V: \~t~ Address: 640 Sentry Parkway, First Floor, Blue Bell, PA 19422-2361 /fkdJ/.h~ j" Address: 640 Sentry Parkway, First Floor, Blue Bell, PA 19422-2361 6 . SELF PROVING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~~~ SS , and , th Testatrix an the witnesses, respectively, whose names are signed to the foregoing will, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed this instrument as her free and voluntary act for the purposes therein expressed, that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness, and that to the best of their knowledge, the Testatrix was at that time eighteen (18) years of age or older, of sound mind, and under no constr~nr or undue 'nfluence. :.J~ I . JEANNE W. SWEENEY ,. ~ VI: ,\+:-~ -;:fr. Wltn ss . ~llI.~/O witness , subscribed, sworn S ENEY, .~h esta t {I. 7 - day of to, and acknowledged before me by. JEANNE W. ix, an40subscri~d and sworn~efore me by . and ~ttI.-I~, .witnesses, this , '~}?}J}~ Notary Public NOTARIAL SEAL EliZABETH R MANTECNA. Notary Public Whltp3,(\ iWp Montgomery County My Co'mmlS'iIOn Expires June 26. 1999 h .. ~ REV-1503 EX + (1-97) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER JEANNE W. SWEENEY, DECEASED 21-01-0751 All property jolntly~owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. 5. 10. 11. 12. 13. 14 . 15. 16. 17. 18. 6. 7. 8. 9. DESCRIPTION PrOducts Corp., 800 Shs. Amerlcan Home CUSIP # 026609107 656 shs. BP PLC, @ 48.05 per sh., common (ADRs), CUSIP # 055622104 1600 shs. Bristol Myers Squibb Co., @ 52.39 per sh., common, CUSIP # 110122108 Dividend on item 3 declared 7/3/01, payable 8/1/01 to holders of record on 7/6/01. 1200 shs. E.l. DuPont DeNernours & Co., @ 45.015 per sh., common, CUSIP # 263534109 3200 shs. Johnson & Johnson, @ 53.41 per sh., common, CUSIP # 478160104 1200 shs. Pepsico Inc., @ 46.075 per sh., common, CUSIP # 713448108 @ 58.44 per sh., common, VALUE AT DATE OF DEATH 46,752 31,521 83,824 440 54,018 170,912 55,290 82,518 72,216 342 55,240 165,648 129,572 433,752 1,488 44,720 308 1,353 1200 shs. Procter & Gamble Co., @ 68.04 per sh., common, CUSIP # 742718109 1800 shs. Bellsouth Corp., @ 40.12 per sh., common, CUSIP # 079860102 Dividend on item 11 declared 7/10/01, payable 8/1/01 to holders of record on 7/12/01 2000 shs. Campbell Soup Co., @ 27.62 per sh., common, CUSIP # 134429109 1920 shs. Exxon Mobil Corp., @ 86.275 per sh., common, CUSIP # 30231G102 3726 shs. First Union Nat. Bank, @ 34.775 per sh., common, CUSIP # 337358105 9300 shs. General Electric Co., @ 46.64 per sh., common, CUSlP # 369604103 Dividend on item 16 declared 7/5/01, payable 7/25/01 to holders of record on 7/9/01 800 shs. Verizon Communications, @ 55.90 per sh., common CUSIP # 92343VI04 Dividend on item 9 declared 7/6/01, payable 8/1/01 to holders of record on 7/10/2001 stock dividend of 160 shs. Zimmer Corp. payable by Bristol-Myers Squibb on 8/6/2001 to shareholders of record on 7/27/2001, declared 7/5/2001 TOTAl (Also enter on line 2, Recapitulation) $ 1,429,914 OW46961.000 (If more space is needed. insert additional sheets of the same size) Estate valuation Date of Death: valuation Date: Processing Date: 01/16/1001 01/16/2001 01/08/2002 Estate of: Jeanne W. Sweeney Account: Estate Report Type: Date of Death Number of Securities: 13 File 10: Sweeney, Jeanne 1) 3) 41 51 1) 8) 9) 101 111 13) 141 15) Shares or Par: Security Description Mean and/or Div and lot Security Adjustments Accruals value High/t'l.Sk Low/Bid 800 AMERICAN HOME PRODS CORP (026609107) NYSE 01/16/2001 58.13000 58.15000 H/L 58.440000 46,151.00 656 BP PLC (055622104) NYSE 01/16/2001 48.30000 41 . 80000 H/L 31,520.80 48.050000 1600 BRISTOL MYERS SQUIBB CO (110122108) NYSE 01/16/1001 52.95000 51.83000 H/L 83,824.00 52.390000 Div: 0.275 Ex: 07/03/2001 Rec: 07/06/2001 Pay: 08/01/2001 440.00 1200 DU PONT E I DE NEMOURS & CO (263534109) NYSE 01/16/2001 45.43000 44.60000 H/l 45.015000 54,018.00 3200 JOHNSON & JOHNSON (418160104) NYSE 01/16/2001 54.00000 52.82000 H/l 53.410000 1200 PEPSICO INC (1134481081 NYSE 01/16/2001 46.65000 45.50000 H/L 46.015000 1200 PROCTER & GAMBLE CO (142118109) NYSE 01/16/2001 69.49000 68.04000 H/L 68.165000 800 VERIZON COMMUNICATIONS (92343Vl04) NYSE 01/16/2001 56.38000 55.42000 H/L 55.900000 170,912.00 55,290.00 81,518.00 44,120.00 Div: 0.385 Ex: 01/06/2001 Rec: 01/10/2001 Pay: 08/01/1001 308.00 1800 BE11S0UTH CORP {019B60102j NYSE 01/16/2001 40.44000 39.80000 H/L 12,216.00 40.120000 Oiv: 0.19 Ex: 01/10/2001 Rec: 07/11/2001 Pay: 08/01/2001 342.00 2000 CAMPBELL SOUP CO (134429109) NYSE 01/16/2001 21.80000 21.44000 H/L 21.620000 55,240.00 Div: 0.225 Ex: 01/03/1001 Rec: 01/06/1001 Pay: 01/31/2001 1920 EXXON MOBIL CORP 130231G102) NYSE 01/16/2001 450,00 86.99000 85.56000 H/L 86.215000 165,648.00 3726 WACHOVIA CORP 2ND NEW (337358105) NYSE 07116/2001 35.05000 34.50000 H/L 129,571.65 34.115000 Page 1 This report was produced with EstateVa1 2000, a product of Estate Valuations & Pricing Systems, Inc. If you have quest~on5, please contact EVP SY9t~~~ ~t (818) 313-6300, (Revision 6l0.~) . Date of Death: Valuation Date: ~rocessing Date: 07/16/2001 07/16/2001 0110812002 Estate of: Jeanne W. Sweeney Account: Estate Report Type: Date of Death Number of Securities: 13 File 10: Sweeney, Jeanne Shares or Par Security Description High/Ask Low/Bid Mean and/or Oiv and 1nt Adjustments Accruals Security Value 161 9300 GENERAL ELEC CO (369604103) NYSE 07116/2001 47.50000 45.78000 H/L 46.640000 03,752.00 Div: 0.16 Ex: 07/05/2001 Rec: 07/09/2001 Pay: 07/25/2001 1, 488.00 Total Value: Total Accrual: Total: $1,429,010.45 $1,425,982.45 $3,028.00 Page 2 This report was produced with EstateVal 2000, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300. (Revision 6.0.3) ~ REV-15GB EX + (1_97) COMMONWEALTH OF PENNSYl V AN\A INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF JEANNE W. SWEENEY, DECEASED FILE NUMBER 21-01-0751 Include the proceeds of litigation and the date the proceeds 'Here received by the estate. All property Jolntly-owned with the rfght of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Decedent's Jewelry - see appraisal by John S. Price Jewelry, Inc. attached VALUE AT DATE OF DEATH 9,186 2. Accounts and certificates of deposit at First Union National Bank, Attn: Account Verifications, P.o. Box 40028, Roanoke, VA 24022-7313 a CAP Checking Account #9984984599 accrued interest at d/o/d 30, 972 35 b Certificate of Deposit #247412040725789 accrued interest at d/o/d 3,269 1 c Certificate of Deposit #247412041225255 accrued interest at d/o/d 5,241 83 d Checking Account #1000663253345 615 e savings Account #3059980243333 accrued interest at d/o/d 3,381 2 3. Income from the Adele G. Winternitz Trust accumulated but but undistributed at the date of decedentrs death 3,213 TOTAL (Also enter on line 5, Recapitulation) $ 55,998 (If more space is needed, Insert additional sheets of the same size) , OW46AD 1000 ~J; ~~;~ELER cf'::.:~:~ N v INC. FRAZER SHOPPING CENTER - RT. 30 FRAZER. PA 19355 PHONE: (610) 647-6168 E [5) tall!: e AfPJ fPJ Fadl [5) fdlE TO WHOM IT MAY CONCERN: This is to certify that we are engaged in the jewelry business, appraising diamonds, watches, jewelry and precious stones of all descriptions. We herewith certify that we have this day carefully examined the following listed and described articles, the property of: NAME: The Estate of Jeanne W. Sweeney We estimate the value as listed for cash value at approximately 25% of the current retail value, excluding Federal and other taxes. ~~~~DESCRIPTION ___VALUE 1. One (1) 14 karat yellow gold locket style watch fob. The fob is keystone shaped with two (2) oval openings in the center. There is a seven (7") inch gold chain connected to the fob. The piece weighs 16.0 grams. $125.00 2. One (1) ladies gold pin with two (2) birds silting on a branch. The bodies of the bird consist of a green cabochon gemstone with one (1) diamond in the tail. There are two (2) clusters of small red rubies on the branches. $ 75.00 3. One (1) ladies 18 karat white gold Longines watch with a 15 jewel movement. The watch contains twelve (12) single cut diamonds. six (6) set on each side of rectangular case. The diamonds have an approximate total weight of .24 carat. The 14 karat band is a fine floral design in white gold. $250.00 4. One (1) pair of 14 karat yellow gold diamond stud earrings. The diamonds measure approximately 4.1 mm and have an approximate total weight of .50 carat, 11 clarity, I-J color. $200.00 5. One (1) ladies 14 karat yellow gold gooseneck style necklace weighing 75.0 grams and measuring 15 1/2" in length. $545.00 6. One (1) ladies 14 karat gold filled floral style bangle bracelet. $ 20.00 7. One (1) ladies 14 karat gold filled wider floral style bangle bracelet with five (5) bezel set synthetic blue stones. $40.00 " ~.-Jt, ~:";~ELER t:1':.,:~:~ ~. ~ INC. FRAZER SHOPPING CENTER - RT. 30 FRAZER, PA 19355 PHONE: (610) 647-6168 8. One (1) 14 karat gold filled Elgin pocket watch with a floral case and engraving MDC in center. $ 50.00 9. One (1) ladies 14 karat yellow gold station necklace with five (5) oval blue topaz bezel set on fine chain. $ 35.00 10. One (1) pair of ladies 14 karat white gold oval aquamarine earrings with an outer bezel design. $ 62.00 11. One (1) ladies 14 karat yellow gold antique style bracelet containing five (5) square cut amethyst set in bezels. The bracelet weighs 12.0 grams. $100.00 12. One (1) ladies 14 karat white gold diamond bow pin/pendant. There is one (1) large old European cut diamond set in the center and one (1) set at each end of the tail. The bow itself contains 85 old European cut diamonds. The entire piece has an approximate combined total weight of 1.93 carats. $1030.00 13. One (1) ladies 14 karat white gold antique style onyx and diamond ring bead set with twenty (20) old European cut diamonds and one (1) bezel set old European cut diamond in the center of a marquise shaped onyx. (The onyx is cracked.) The diamonds have an approximate total weight of .83 carat. $ 275.00 14. One (1) ladies 14 karat yellow gold butterfly pin bezel set with four (4) round rubies, one (1) in each part of the wings. The body is bead set with fourteen (14) single cut diamonds. $125.00 15. One (1) ladies 14 karat yellow gold enhancer set with one (1) oval cabochon emerald measuring approximately 10.5 x 9.5 mm. There are three (3) round brilliant cut diamonds set randomly around the emerald in a geometrical gold enhancer. $350.00 16. One (1) ladies yellow gold dangle style earrings each set with one (1) oval cabochon emerald measuring approximately 11 x 7 mm. $325.00 17. One (1) ladies 14 karat yellow gold freshwater pearl station style bracelet. There are sixteen (16) fresh water pearls set in between 1" long gold tubular sections. $ 25.00 18. One (1) ladies 14 karat yellow gold pear shaped mabe pearl ~ ~J; ~:";~ELER v INC. FRAZER SHOPPING CENTER - RT. 30 FRAZER, PA 19355 PHONE: (610) 647-6168 enhancer. The pearl is bezel set with one (1) round brilliant cut diamond set at the top of the enhancer. $135.00 19. One (1) pair of ladies 14 karat yellow gold cultured pearl studs measuring approximately 8.3 mm. The pearls are very blemished. $38.00 20. One pair of ladies 14K white gold black and white pearl and diamond earrings. The pearls each measure approximately 6.2 - 6.4 mm. The four single-cut diamonds have an approximate total weight of .08 ct. $85.00 21. One gold plate heart with pave style cubic zirconia. $5.00 22. One black freshwater pearl necklace on a filament necklace. There is one small diamond set above pearl. $25.00 23. One ladies 18K yellow gold owl pin bezel-set with brown agate. $89.00 24. One pair of ladies 14K oval dangle earrings with a cut-out tree on an ear wire $20.00 25. One pair of ladies 14K yellow gold earrings in a three dimensional design of an Indian mask. $38.00 26. One pair of 14K yellow old tapered high-polished yellow gold hoops earrings. $30.00 27. One pair of 14K yellow gold twisted hoop earrings. $30.00 28. One pair of 14K ladies oval cabochon jade earrings with a fancy bezel and ear wire closures. $60.00 29. One pair of 14K hammered-disc style earrings approximately the size of a nickel. $25.00 30. One pair of ladies 14K yellow gold love knot earrings. $50.00 31. One pair of 14K yellow gold ball earrings with one bezel-set cubic zirconia. $13.00 32. One pair of 14K yellow gold oval amethyst earrings. Each one measures 10 x 8 mm. The amethysts are prong-set with an outer bezel design. $75.00 ~ ~~ ~:";~ELER ~ INC. FRAZER SHOPPING CENTER - RT. 30 FRAZER, PA 19355 PHONE: (610) 647-6168 33. One pair of flat circular earrings with a floral inlaid design in royal blue. $25.00 34. One pair of ladies oval boulder opal earrings set in four prongs in 14K yellow gold. $37.00 35. One ladies 14K yellow gold opal triplet pendant, bezel-set in yellow gold. $50.00 36. One pair of 14K yellow gold huggy-style earrings. One side of earring contains five channel-set square sapphires. The reverse side contains five channel-set rubies. $65.00 37. One pair of 14K gold earrings with a white gold edge, mother of pearl center and one 2 mm cultured pearl. $37.00 38. One pair of 14K yellow gold disc-style earrings with a ribbed gold center and an blue enamel edge. $25.00 39. One ladies 14K yellow gold charm bracelet containing twenty 14K charms. The bracelet weighs 45 grams. $400.00 40. One ladies 14K yellow gold charm bracelet containing twelve 14K gold charms. The bracelet weighs 24 grams. $200.00 41. One gents open-face 14K white gold Hamilton pocket watch. The watch has a twenty-three jewel movement. $600.00 42. One ladies 14K yellow gold slide with an Aztec bird design. The slide weighs 6.5 grams. $60.00 43. One ladies 14K yellow gold freeform cast gold pin set with six diamonds. The diamonds are each set in four-prong heads set randomly across the pin. The pin weighs 23 grams. $225.00 44. One ladies 14K white gold diamond bar pin, bead-set with seventeen old European-cut diamonds set in a straight row. There is a very delicate filigree outer edge. The diamonds have an approximate total weight of 1.36 carats. $525.00 45. One ladies 14K yellow gold charm bracelet containing ten large gold charms. The bracelet weighs 59 grams. $475.00 46. One pair of ladies 14K yellow gold earrings in the design of an ~ ~~ ~:";~ELER t.:?:.,:::~ "" ~ INC. FRAZER SHOPPING CENTER - RT. 30 FRAZER, PA 19355 PHONE: (610) 647-6168 Aztec bird. $50.00 47. One pair of ladies 14K yellow gold earrings consisting of an egg- shaped disc with a three dimensional llama in the center. $50.00 48. One ladies 14K yellow gold charm bracelet with eight assorted charms weighing 78 grams. 50. One ladies pearl shortener with five cultured pearls. $400.00 $700 $25.00 49. One crystal pineapple charm with gold-filled chain. 52. One ladies silver ring with an Indian mask design. $25.00 $700 51. One ladies pearl shortener with five cultured pearls. 53. One ladies gold-filled pocket watch case converted into a locket with two pictures. $12.00 54. One ladies 14K yellow gold charm bracelet containing eight 14K gold charms. The bracelet weighs 50 grams. $400.00 55. One ladies 14K yellow gold enhancer set with one 21 x 16 mm pear-shaped smoky topaz. $38.00 56. One pair of ladies 14K yellow gold oval smoky topaz earrings. The stone measures 17 x 13.5 mm. $65.00 57. One ladies 14K white gold necklace with 14K yellow gold oval bead stations. $38.00 58. One strand of graduated freshwater pearls measuring approximately 21 inches. Pearls have a yellowish luster and a 14K yellow gold claps. $89.00 59. One endless strand of baroque pearls. the strand measures approximately 46 inches with no clasp. 60. One ladies 14K yellow gold bow pin with one round ruby. $150.00 $65.00 61. One ladies large circular pin with an Asian design carved in jade with silver backing. $75.00 ~ ~--:A ~~;~ELER ~:~:~ 101 'W INC. FRAZER SHOPPING CENTER - RT. 30 FRAZER, PA 19355 PHONE: (610) 647-6168 62. One ladies 10K yellow gold coin ring with one panda coin, bezel-set in the center. $50.00 63. One strand ollreshwater and coral beads measuring 36 inches in length. $25.00 64. One 14K yellow and green gold lreeform pin with gold-fringed areas. $75.00 65. One 14K yellow and green gold freeform earrings with gold-fringed areas. $75.00 66. One ladies 14K two-tone bracelet with white gold nails-head sections and yellow gold X sections. The bracelet has a heavy box clasp. $100.00 67. One ladies 14K yellow gold filigree link necklace measuring approximately 21 inches in length and weighing 12 grams. $90.00 68. One ladies 14K ankh cross measuring approximately 21/4 inches in length suspended from a gold-filled rope chain. $35.00 69. One ladies 14K yellow gold circular link bracelet with one $1 gold coin in the center. The bracelet weighs 6.5 grams. $50.00 70. One pair of large circular cuff links with a mother of pearl carving. The cuff links measures approximately 1 1/8 inches. $15.00 71. One sterling initial "J" charm. $2.00 72. One atocha coin bezel-set suspended from a 14K Gucci-link chain measuring 20 inches. $75.00 73. One ladies 18K yellow gold rectangular pin with a raised relief design of a Greek warrior in the center of the pin. The pin weighs 15 grams. $150.00 74. One pair of ladies 14K tear-shaped, brushed gold earring jackets. $25.00 75. One ladies costume pin with pink 1I0wers in a open filigree background. $3.00 76. One pair of sterling silver earrings with three dangling quartz stones encased in wire. $5.00 77. One ladies 10K white gold ring mounting with no center stone. There are sixteen baguette sapphires bezel-set around the opening. The majority of the sapphires are broken or chipped. $25.00 .. ~~ ~;-;~ELER t:::f':..:~:~ '" 'W INC. FRAZER SHOPPING CENTER - RT. 30 FRAZER, PA 19355 PHONE: (610) 647-6168 78. One ladies sterling silver match case with engraved initials and floral design. $25.00 79. One sterling cigar cutter with fancy filigree design. $8.00 80. One ladies sterling silver cigarette case with hand engraved initials and a floral design. $50.00 81. One ladies sterling silver and turquoise cuff style bracelet. $19.00 82. One ladies silver bangle bracelet with ornate design on the outer side. $20.00 83. One pair of 18K yellow gold freeform knot earrings approximately one inch in length with omega backs. Earrings weigh 15 grams. $150.00 84. One platinum plain wedding band 1.4 mm wide. $38.00 85. One ladies 14K yellow gold ring set with three marquise rubies. The rubies are set in a row, stacked vertically in the center. The shank is a split style. $50.00 86. One ladies 14K yellow gold insert ring with a freeform shape. The ring weighs 5.5 grams. $50.00 ,~PM!;" d2CvL- APPRAISER IO!/~/(){ I DATE The foregoing Appraisal is made with the understanding that the Appraiser assumes no liability with respect to any action that may be taken on the basis of this Appraisal. " reo 14 LUUL Ij'~~ FfJ!3N' NtU"VLU~1 ~VI~~ULIMIWIJ I' ~' . ~' T ~' I Reference IV; 204128 FirSf U/1ion NatIonal Bank Alto: Account V~rifications POBox 400ts Roanoke VA 24022-73 13 October 15, 2001 SHEILAH VAN V ALKENBURGH 794 TAYLOR ROAD DOWNlNGTOWN, PA \9335 SUBJECT; VenficatIon I Confumation of ~cco\1nt and Balance lnfonnalion provided for: JEANNE SWEENEY (SSN# 199~6-4818) Dat. of D..tl1: July 16, 2001 DtDosit Account Information AC:COllnt Type ACc;Olll1l NI..lJllbtr Due of Delth S.lance Averatc Bllance- P..~t Opened Maturity Interest Accrued VID DBI( O~te R)tt In\ere81 lnleresl'paid Closc:d CAP CHECKING ACCOUNT 9984964S99 L.EGAL TITLE: JEANNE W. SWliENJ:.Y POA. SHELlA $, VAN VALK..r:.N,BURGH SlO.912G8 4/26fZOQO S35.15 lonnOOI CERTlFlCA TE Of DePOSIT "4741204G725789 (BoAL TITLE JEANNE W. SWEENEY i),76S.?:! 6/1511999 6/1512002 $on $75.d2 CHECKING. 1000663253345 LEGAL TITLE, JEANNE W SWEENEY S6t5.22 6iI6/20~ $82.76 ...~ $24073 . fr:.'~ ru.;l< <<lh4l +d(ro",dd. ,V\ [{~t~'* 3/16/2001 NA CER nflCA TE OF DEPOSIT 247412041225ZSS ___AS,24().n --- LbGAL TITLE' JEANNE w. SW - 5HELlA VAN VAll<.ENBURGJi SA VlNGS 30:S9980243JJJ lEGAL rtTLE JEANNE W. SWEENEY 1311~U2 71l119:94 $1.85 $2110 9126/Z0Ql . Duo! to system limitations, we can only provide a twelve momh average balance on depository ICCoW'llS. Other Account Information Account Tyo< U!<.OKERAGE i\tCtlUnl Number DllteofDc.th Balance 76537895 SG.O<J Date Opened 4/26/JOOO D.te Closed Tille{S.) JIlANNE W. SWEENEY SHEL1A S. V AN VA1..K.EN8URGH, l'OA SAFE OEVOSIT BOX 00300(9)00014 11/8/1996 JEANNE W. SWEENEY SHEUA V-AN V ALKENBURGH LOCA TED AT >9> N E OCEAN BL VO STUAIU FL 34996 """OJ2 REV-1511 EX + (1-97) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF JEANNE W. SWEENEY, DECEASED FILE NUMBER 21-01-0751 Debts of decedent must be reDorted on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Undertaker - Mauger Gronist Funeral Home 5,635 2. Catering for dinner after funeral 2,400 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Dennis C. Sweeney, et al. Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 3 6 3 Carmell Drive City Upper St. Clair Stale PA Zip 15241 Year(s) Commission Paid: Commissions waived 2. Attorney Fees 10,000 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland Co. Register of Wills 584 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Penn National Insurance - auto insurance 130 8. PPL Resources - electricity for PA residence 470 9. BellSouth - telephone at FL residence 198 10. Verizon - telephone at PA residence 118 11. AT&T - long distance at PA residence 104 12. Lakeside Condo Assoc. - quarterly fee for FL residence 850 13 . Adelphia - cable at FL residence 206 14. Companion Property & Casualty - prop. ins. for FL residence 515 15. John Price - appraisal of jewelry 950 16. FPL - utilities at FL residence 298 17. Service America Service Contract - utilities at FL residence 391 18. Albert Schauffhauser - rent for PA residence 2,580 From continuation sheet 4,131 TOTAl (Also enter on line 9, Recapitulation) $ 29,560 (If more space is needed, insert additional sheets of same size) OW46AG 1.000 Estate of Jeanne W. Sweeney, Deceased SS# 199-36-4818 Attachment to Form REV-1500, Schedule H In addition to Dennis C. Sweeney, the other executors are: Martin J. Sweeney, 3rd - SS# 187-38-7056 BoxT Jackson, NH 03846 Sheila S. Van Valkenburgh - SS# 187-38-7065 794 Taylor Road Downingtown, PA 19335 REV-1511 EX + (1.97) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX REnJRN RESIDENT DECEDENT ESTATE OF JEANNE W. SWEENEY, DECEASED - Continuation Sheet FILE NUMBER 21-01-0751 Debts of decedent must be reDorted on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERJ>L EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. Continuation of Administration Expenses 19. Met Life Auto & Home - insurance for PA residence 300 20. Sylvia Askew - housekeeping for FL residence 100 2l. Martin J. Sweeney, III - reimburse plane fare, etc. 660 22. E.N. Van Valkenburgh - reimburse for parking & mailing 130 23. S.S. Van Valkenburgh - reimburse for plane fare, maili~g & loss 665 of one day1s work 24. Reserve for additional expenses 2,000 25. William J. Mansfield - advertising grant of letters 231 26. Clerk of the Orphans' Court, Chester Co. - commission 25 TOTAL (Also enter on line 9, Recapitulation) $ 4,131 (If more space is needed, insert additional sheets of same size) OW46AG 1.000 REV-1512 EX + (1-97) COMMONlNEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF JEANNE W. SWEENEY, DECEASED SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-01-0751 Include un reimbursed medical exnenses. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. DESCRIPTION Internar Revenue Serv~ce - estlInatea 30 quarter U. S. ~ncome tax payment PA Dept. of Revenue - estimated 3d quarter PA income tax payment Universal Card - credit card Sears - charge account American Express - credit card First USA Bank - credit card Interim - home health care aids STS - personal alarm bracelet R.O. Tunno, DDS - dental work PA Dept. of Revenue Surgical Specialties - medical Beth Herr - companion/cleaning AMOUNT 3{700 520 10{474 224 1{084 1{804 2,371 25 75 446 34 4/568 TOTAL (Also enter on line 10. Recapitulation) $ 25,325 OW46AH 1.000 , (If more space is needed. insert additional sheets of the same size) REV-1513 EX + (9-00) SCHEDULE J . BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF JEANNE W. SWEENEY, DECEASED NUMBER I. 10. 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)J Dennis C. Sweeney, 363 Carmell Drive, Upper St. Clair, PA 15241 Martin J. Sweeney, 3rd, Box T, Jackson, NH 03846 Sheila S. Van Valkenburgh, 794 Taylor Road, DowningtoWTI, PA 19355 Elizabeth J. Sweeney-Chisholm, 605 Ravenwood, Woodstock, GA 30188 Alessandra M. Sweeney, 1367 Christmas Lane, Atlanta, GA 30329 Katherine W. Sweeney, 363 Carmell Drive, Upper St. Clair, PA 15241 Martin J. Sweeney, IV, Box T, Jackson, NH 03846 Joshua S. B. Sweeney, Box T, Jackson, NH 03846 Bret B. Linfoot, 6 Medal Drive, Limerick, PA 19468 Kristin Linfoot Wyne. 700 Clarke Drive, Memphis, TN 38104 . FILE NUMBER 21-01-0751 RElATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE Of ESTATE 2. 3. 4. 5. 6. 7. 8. 9. son 1/3 residue son 1/3 residue daughter 1/3 residue granddaughter 5,000 granddaughter 5,000 granddaughter 5,000 grandson 5,000 grandson 5,000 grandson 5,000 granddaughter 5,000 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 OW46A12.000 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART 11- ENTER TOTAl. NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) BUREAU OF INDIVIDUAL TAXES TNHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-06nl CONN¢ ;EALTH OF PENNSYLVANIA ~RTNENT OF REVENUE iNHERITANCE TAX RECORD ADJUSTNENT REV-lEgS EX AFP THOHAS R KELLOGG STRONG ETAL 1250 W GERHANTONN AVE PLYHOUTH HTG PA 19~62 DATE 01-27-200~ ESTATE OF SWEENEY DATE OF DEATH 07-16-2001 FTLE NUNBER 21 01-0751 COUNTY CUHBER LAND ACN 101 I Amoun~ Remi~ed JEANNE HAKE CHECK PAYABLE AND RENZT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~ ~o your account, submi~ ~he upper portion of ~his form wi~:h your ~ax payment. CUT ALONG THIS LINE ~ RETATN LOWER PORTION FOR YOUR RECORDS ~ ESTATE OF SWEENEY JEANNE W FILE NO. 21 01-0751 ACN 101 DATE 01-27-Z00~ ADJUSTNENT BASED ON: BOARD OF APPEALS REFUND VALUE OF ESTATE: 1. Real Es~a~e (Schedule A) 2. S~ocks and Bonds (Schedule B) $. Closely Held S:tock/Par~cnership Tn~eres~ (Schedule C) q. Nor~gages/No~es Receivable (Schedule D) S. Cash/Dank Deposi~s/Hisc. Personal Proper~y (Schedule E) 6. Jointly Owned Proper~y (Schedule F) 7. Transfers (Schedule 6) 8. To~a! Asse~s DEDUCTIONS AND EXENPTZONS: 9. Funeral Expenses/Administrative Costs/ Niscellaneous Expanses (Schedule H) 10. Deb~:s/Nor~gage Liabili:~ies/Liens (Schedule z) 11. To,al Deductions 12. Ne~ Value of Tax Re~urn (1) .00 (z) 1/$~7/090.00 ($) .00 .00 (6) 56/586.92 (6) .00 (7) .00 (8) 1,~05,676.92 (9) 27,002.00 (10) 25,$25.00 (11) (12) 15. lq. TAX: TAX CREDITS: I~AYRIr. N I DATE Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) Ne~ Value of Es~a~e SubSec~ ~o Tax 15. Amoun~ of Line lq e~ Spousal ra~e (15) 16. Amoun~ of Line lq ~exable a~ Lineal/Class A ra~e (16) 17. Amoun~ of Line lq a~ Sibling ra~e (17) 18. Amoun~ of Line lq ~exable a~ Collateral/Class B ra~e (18) 19. Princlpal Tax Due K~lYl UI~UUNI [*J NUHBER INTEREST/PEN PAZD (-) 10-12-2001 0~-0~-2002 06-17-2002 CD000587 CDO010~8 REFUND (15) (lq) 2,526.$2 .00 .00 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADD/T/ONAL INTEREST. 52/327.00 1/351/$~9.92 .00 1/351/3~9.92 .00 60z810.75 .00 .00 60/810.7~ .OOX O0 1/351/$~9.92x Oq5= .OOX 12 .OOX 15 (19) AHOUNT PAID ~8,000.00 13,996.00 10.99- TOTAL TAX CREDTT I BALANCE OF TAX DUE TNTEREST AND PEN. TOTAL DUE 6~,511.$$ 3,700.59CR .00 $,700.59CR ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE V~/ A REFUND. SEE REVERSE SIDE OF THTS FOR. FOR TNSTRUCTTONS.) BOARD OF APPEALS, DEPT. 281021 HARRISBURG, PA 17128-1021 COMMQ.NWF. ALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE THOMAS R KELLOGG ESQ STRONG STEVENS & WYANT 1250 GERMANTOWN PIKE STE 300 PLYMOUTH MTG PA 19462-2444 IN RE ESTATE OF: SWEENEY JEANNE W DOCKET NO.: TAX TYPE: APPEAL TYPE FILE NUMBER: ACN: APPRAISEMENT: PETITION FILED: EXAMINER: MAILING DATE: 0321876 Inheritance Refund 2101-0751 101 5/27/2002 10/29/2003 WILLIAM J ZDRADZlNSKI Direct Dial: (717) 787-5761 Fax: (717) 787-7270 Email: wzdradzins@state.pa.us January 15, 2004 DECISION AND ORDER On May 27, 2002, the Department issued an appraisement and assessment which accepted the asset values as reported on the original inheritance tax return. Petitioner has now supplied documentation that decedent, at her death, actually owned 960 shares of Exxon Mobil Corp. common stock and not 1,920 shares as reported at item 12 on Schedule B. At $86.275 per share, the taxable value of that stock should, therefore, be reduced by $82,824.00. Petitioner has also established that the estate failed to report the $588.92 date of death value of Waypoint Bank Savings Account #200068542 as an asset of this decedent. Accordingly, it is hereby, Ordered that the petition for refund is granted. The Department is directed to reduce the taxable value of Schedule B Item 12 to $82,824.00 and increase the taxable value of Schedule E property by $588.92. It is further Ordered that a refund be issued for any resulting overpayment, plus appropriate interest. FOR THE BOARD OF APPEALS JOSEPH R. SLEEK, MEMBER SWEENEY J~ANNE W BOARD DOCKET NO. 0321876 Page 2 of 2 ANY APPEAL FROM THIS DECISION MUST BE FILED WITH THE BOARD OF FINANCE AND REVENUE, 1101 SOUTH FRONT ST., SUITE 400, HARRISBURG, PA 17104, WITHIN NINETY (90) DAYS OF THE MAILING DATE OF THIS DECISION. TELEPHONE (717) 787- 2974 A CASH REFUND CHECK WILL BE MAILED TO YOU BY THE BUREAU OF INDIVIDUAL TAXES. IF YOU REQUIRE THIS INFORMATION IN AN ALTERNATE FORMAT UNDER THE PROVISIONS OF AMERICANS WITH DISABILITIES ACT OF 1990, PLEASE CALL (717) 783-3664, OR FOR SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND SPEAKING NEEDS: 1-800-447-3020 (TT ONLY). 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 004088 KELLOGG THOMAS R 1250 W GERMANTOWN PIKE SUITE 300 PLYMOUTH MEETING, PA 19462-2444 ........ fold ESTATE INFORMATION: SSN: 199-36-4818 :ILE NUMBER: 2101-0751 DECEDENT NAME: SWEENEY JEANNE W DATE OF PAYMENT: 06/25/2004 POSTMARK DATE: 06/23/2004 COUNTY: CUMBERLAND DATE OF DEATH: 07/1 6/2001 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $156.00 I TOTAL AMOUNT PAID' $156.00 REMARKS: SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS 60-7311/2433 DOLLARS °'~' MEMC 1510:2 0 ;~Or~ i~O ~-oqq Law OFFICES Strong STEVENS ~ WYANT, P.C. 1250W. GERMANTOWN PIKE, SUITE 300 PIY~4OUTH MEETINg, PA 19462-2444 Register of Wills Cumberland County One Courthouse Square Carlisle, PA 17013 HEV-1500 EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY FILE NUMBER COUNTY CODE __ 0 1 0 0 7 5 1 YEN:{ NUMBER SOCIAL SECURITY NUMBER ~' SWEENEY, JEA1W-NE W. Z 199-36-4818 LLI DATE OF DEaTh (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) t~t THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 'W July 16 2001 ISeptember 9, 1914 o ' REGISTER OF WILLS UJ (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) · I~) SOCIAL SECURITY NUMBER N/A I11 ~ ~ 2. Supplemental Return [~ 3. Remainder Retum (date of aealh pdor to12.13-82) I- 1. Odginal Retum ~L~ 4. Limited Estate __[~J 4a. Futura Interast Compromise (dine of death after 12-12.82) ~'~ 5. Federal Estate Tax Return Required OO I"l 6. Decedent Died Testate (Attach copy of Will) [~ 7. Decedent Maintained a LMng Trust (Attach copy of Trust) 8. Total N um her of Safe Deposit Boxes o ~-~ 2 ~ 9. Litigation Proceeds Receivad I I 10. Spousal Poverty Credit (dateefdeathbetwee. 12-31-91and1.1.95) ~ 11. Election to tax under Sec. 9113(a)(A.achSchO) COMPLETE MAILING ADDRESS NAME Thomas R. Kellogg FIRM NAME (If Applicable) Strong Stevens & Wyant TELEPHONE NUMBER 610-832 -5900 1250 W. Germantown Ave. Suite 300. Plymouth Meeting, PA 19462-2444 Z 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnemhip or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) [~] seParate Billing ReqUested 7~Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) I 1. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 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) 1,347,090 59,845 (8) 27,002 25,325 (11) (12) (13) (14) OFFICIAL USE ONLY 1,406,935 52,327 1,354,608 1,354,608 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15,Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (aX1.2) O ~ ' 1,354,608 ~: 16. Amount of Line 14 taxable at lineal rate I-- ~ 17. Amount of Line 14 taxable at sibling rate O (3 18. Amount of Line 14 taxable at collateral rate X ~- 19. Tax Due x.O X.0 __ x .12 X .15 (15) 45 (16) (17) 08) (t9) 60,957 60,957 0W4645 1 000 .- Decedent's Complete Address: s~ Ht::b ~ ADDRESS 242 A North 36th Street Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3.' Interest/Penalty.if applicable D. Interest E. Penalty 58,284 2,526 (4) JZ/~7 011 60,957 Total Credits (A + B + C) (2) 60,810 147 Total Interest/Penalty (D + E) (3) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I 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) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Pa, to: REGISTER OF WlLLS, AGENT (5B) 156 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; ....................... r~ ['~ b. retain the right to designate who shall use the property transferred or its income; ......... c. retain a reversionary interest; or ................................ ~ r'~ d. receive the promise for life of either payments, benefits or care? ................. r~ 2. if death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................ [] r~ 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. Under penalties of perjury, I declare that I have examthed this retum, including acc~,anying schedules and ~;~[~.ents, and to the best of my knowledge and betief, R is true, correct nd complete.. Dec?~amtion of preparer other than the pecso~al representative is based on all infomlatJon of which precarer has any ~.~ledge. ~GNAI~JRE OF PERSON I~F~kPON~ FOR FILING RETURN "~ 363 CarmeZZ Drive, LTpper St. Ct'lair, PA 15243. SlGNA~jJJ~ OF PREPARER ~.~:U_ R ~ REPREJSENTATIVE / ss) Stron9 Stevens & Wyant, 125 . Germantown Pike, Ste 300, Plyraouth Meeting, PA 19462-2444 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. § 9916 (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 su~ving 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)]. 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. 0W4646 1.000 REV-I~08 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER JEANNE W. SWEENEY, DECEASED 21-01-0751 include the proceeds of litigation and the date the proceeds were received by the estate. Ail property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER d f DESCRIPTION iDecedent's Jewelry - see appraisal by John S. Price Jewelry, Inc. attached Accounts and certificates of deposit at First Union National Bank, Attn: Account Verifications, P.O. Box 40028, Roanoke, VA 24022-7313 CAP Checking Account #9984984599 accrued interest at d/o/d Certificate of Deposit #247412040725789 accrued interest at d/o/d Certificate of Deposit #247412041225255 accrued interest at d/o/d Checking Account #1000663253345 Savings Account #3059980243333 accrued interest at d/o/d Certificate of Deposit # accrued interest at d/o/d Waypoint Bank, P.O. Box 1711, Harrisburg, PA 17105, account 200068542 accrued interest at d/o/d Income from the Adele G. Winternitz Trust accumulated but undistributed at the date of decedent's death TOTAL (Also enter on line 5, Recapitulation) $ VALUE AT DATE OF DEATH 9,186 30,972 35 3,269 1 5,241 83 615 3,381 2 3,258 588 1 3,213 59,845 (If more space is needed, insert edciitional sheets of the same size) 0W46AD 1000 Estate of Jeanne W. Sweeney, Deceased SS# 199-36-4818 Form REV-1500, PA Inheritance Tax Return Attachment to Second Supplemental Return This is the second Supplemental Return filed by the Decedem's personal representatives. After the first Supplemental Return was filed on or about October 21, 2003 another certificate of deposit at Wachovia Bank was discovered. The value of the CD as ofthe date ofthe Decedent's death (July 16, 2001) was $3,258. At this time a letter from the depository stating the value (including accrued interest at date of death) is not available. The identifying number of the certificate is also not available at present. Since this is the only change from the first Supplemental Return, only Schedule E and the Form REV-1500 have been changed and filed. Schedule E has been amended to include the new certificate of deposit and the value of the assets subject to tax has been adjusted accordingly. The tax has been recalculated. The result is an underpayment of $156. RICHARD K. STEVENS~ JR. ~IAMES H. STEVENS EMORY A. WYANT~ JR. THOMAS R. KELLOGG KAMI S. MILLER 1aw OFFICES STRONG STEVENS & WYANT A PROFESSIONAL CORPORATION 1250 GERMANTOWN PIKe, SUITE 300 PLYmOUth MEETING, PA 19462-2444 (610) 832-5900 FAX (610) 832-5914 E- MAIL strongstevens~aol.corn July 12, 2004 OF COUNSEL JEFFREY E JANOSKI SAMUEL L. SAGENDORPH (1917-1996) GEORGE V. STRONG, UR. (1925-2002) Register of Wills Cumberland County Hanover and High Street Carlisle, PA 17013 Re: Estate of Jeanne W. Sweeney, Deceased File No. 2001-00751 Dear Sir/Madame: Enclosed is a Status Report for the Estate of Jeanne W. Sweeney, Deceased. This is filed pursuant to the requirements of Supreme Court Orphans' Court Rule 6.12. The winding up of this estate has been delayed by the necessity of filing amended death tax returns and an additional year of fiduciary income tax returns. However, the administration should be complete by the end of September of this year. With appreciation of your cooperation, I am Prof. Dennis C. Sweeney Sincerely, Thomas R. Kellogg .STATUS REPORT UNDER RULE 6.12 Name of Decedent: JEANNE W o 8WIgENEY Date of Death: July 16, 2001 Will No.: 2001-00751 Admin. No.: 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: 1. State whether administration of the estate is complete: Yes ['-] No ~ o If the answer is No, state when the personal representative reasonably believes that the administration will be complete: September 30, 2004 If the answer to No. 1 is Yes, state the following: ao 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 [-] Co Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: July 12, 200~ Signature Thomas R. Kellogg Name Strong 1250 W. Plymouth Address Stevens & Wyant Germantown Pike, Suite 300 Meeting, PA 19462-2444 (610) 832-5900 Telephone No. Capacity: [--] Personal Representative [-~ Counsel for personal representative BUREAU OF INDIVIDUAL TAXES INHERITANCE T;~X DIVISION DEPT. 280601 HARRISF ~,~ PA 17128-0601 COHHONNEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-I~4? EX AFP C01-03) THOHAS R KELLOGG STRONG ETAL 1Z50 N GERHANTONN AVE PLYNOUTH MTG PA 19462-2qqq DATE 08-09-200q ESTATE OF SNEENEY DATE OF DEATH 07-16-2001 FILE NUHBER 21 01-0751 COUNTY CUMBER LAND ACN 101 I Amoun~ Rem/.k~ed JEANNE NAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGISTER OF WILLS CUNBERLAND CO COURT HOUSE CARLZSLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS 4 DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF SNEENEY JEANNE NFZLE NO. 21 01-0751 ACN 101 DATE 08-09-200~ TAX RETURN WAS: { } ACCEPTED AS FILED { X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Es.ko.kc (Schedule A) (1) 2. S.kocks and Bonds (Schedule B) (2) 3. Closely Held S.kock/Par.knership Zn.keros~ (Schedule C} ($) q. Mor.kgages/No.kes Receivable (Schedule D) (q) 5. Cash/Bank Deposi.ks/Misc. Personal Proper.ky (Schedule E) ($) 6. Jointly Owned Proper.ky (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To.kal Assa.ks APPROVED DEDUCTZONS AND EXEMPTZONS: 9. Funeral Expenses/Adm. Cos.ks/Misc. Expanses (Schedule H) (9) 10. Deb.ks/Mor.kgage Liabili.kies/Liens (Schedule T) (10) 11. To.kal Deductions 12. Ne.k Value of Tax Re.kurn NO. 01 .00 .00 .00 .00 31213.13 .00 .00 (8) .00 .00 NOTE: To insure proper credi.k ~o your accoun.k, submi.k ~hm upper por.kion of ~his form wi.kh your ~ax paymen.k. 13. lq. NOTE: 3,213.13 ALL IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDZT/ONAL INTEREST. 08-02-200q NUMBER ~ SUMMARY DZSCOUNT (+) INTEREST/PEN PAID (-) 06 PAYMENTS 2,526.32 2.34- (15) (16) 1,354,56:~ X Oq5 .::":: ~0,955.3q (1G) .00 ) AMOUNT .00 TOTAL TAX CRE9ZT, BALANCE OF TAX DUE J 00 ZNTEREST AND PEN. ~ .00 TOTAL DUE ~ .00 ( ZF TOTAL DUE ZS LESS THAN $1~ NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR)~ YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) ASSESSHENT OF TAX: [5. Amoun.k of Line lq a.k Spousal re.ko 16. Amoun.k of Line lq .kaxabla a.k LineaZ/Class A re.kc 17. Amoun.k of Line lq a.k Sibling re.kc 18. Amoun.k of Line lq .kaxable a.k Colla.karal/Class B re.kc 19. Prlncipal Tax Due TAX CREDZTS: PAYMENT RECEIFI DATE Chari~able/Govarnmen.kal Bequas.ks; Non-elec.ked 9113 Trusts (Schedule J) (15) . O0 Ne~ Value of Es.ko.kc SubSec.k 'ko Tax (lq) 1,35~,563.05 Z~ an assess=ent ~as issued p~eviously, 11nes 1~, 15 and/o~ 16, 17, 1~ and 19 ~ill ~e~lect ~igu~es that include the total o~ ALL ~etu~ns assessed to date. (11) . O§ (12) 3,213.13 RESERVATION: PURPOSE OF NOT[CE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCDUNT: PENALTY: INTEREST: Estates of decedents dying on or before December IZ, 1982 -- if any futura interest in the estate is transferred in possession or enjoyment to Class B (collateral) 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 B (collateral) rate on any such future interest. To fulfill the requirements of Sect[on Z140 of the Inheritance and Estate Tax Act, Act Z5 of ZOO0. (TI P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Mills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-iS13). Applicat[ons ara available at the Off[ca of the Register of Nills) any of the Z5 Revenue District Off[cas, or by ca11[ng the special Z4-hour answering service for forms ordering: 1-800-56Z-ZO50; services for taxpayers eith special hearing and / or speaking needs: 1-800-447-3020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of daduct[ons, or assessment of tax (including discount or interest) as sheen 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. 281021, Harrisburg, PA 17128-1021, 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 Rev[aH Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1SOi) for an explanation of administratively correctable errors. If any tax due is paid within three (5) calendar months after the decedsnt's death, a five percent (5Z) discount of the tax paid is allowed. The 1SZ 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 end of the tax amnesty par[od. This non-participation penalty is appealable in the same manner and in the the same time 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 Gna (l) 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 (BI) percent par annum calculated at a daily rate of .000164. A11 taxes ahich became delinquent on and after January 1, 1982 ~ill bear interest at a rate which wi1! vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZO0~ ars: lntarast Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rata Factor ~ ZOZ .000548 ~'~-~'8-1991 llX .000301 ~ 9Z .000247 1983 162 .000438 199Z 92 .O00Z~7 ZOOZ 6Z .000164 198~ 112 .000301 1995-199~ 72 .00019Z 2003 52 .000137 1985 13Z .000356 1995-1998 9Z .000Z47 ZO0~ 4Z .000110 1986 iOZ .000274 1999 7Z .O0019Z 1987 lOZ .000Z74 ZOO0 7Z .O0019Z --Interest is calculated INTEREST = BALANCE OF as follows: TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Not[ce 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 shown on the Notice, additional interest must be calculated. rEV-1470 EX (6-88) ,~~ INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 28O6O1 HARRISBURG, PA 17128-0601 FILE NUMBER :3ECEDEN~S NAME Sweeney, Jeanne W. 2101-0751 ^CN REVIEWED BY Daniel Heck 101 ITEM EXPLANATION OF CHANGES SCHEDULE NO. E Accepted additional assets. ROW Page 1 BUREAU OF 'rND'rVTDUAL TAXES XNHERTTANCE TAX DI*VT-'::TON DEPT. 280601 HARRTSBURG, PA 17128-0601 THOMAS R KELLOGG STRONG ETAL 1250 N 6ERMANTONN AVE PLYMOUTH MTG PA COMMONNEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTZCE OF DETERMZNATZON AND ASSESSMENT OF PENNSYLVANZA ESTATE TAX BASED ON FEDERAL CLOSZNG LETTER DATE ESTATE OF DATE OF DEATH FZLE NUMBER :? '~ ~OUNTY ACN 11-01-200q SHEENEY 07-16-Z001 21 01-0751 CUMBERLAND 202 Amoun'l: Remi~:~:ed RE¥-75& EX AFP (Ol-O~:l JEANNE MAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGXSTER OF WXLLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credit: ~:o your account:, submi~ ~che upper por~:ion of ~hi$ form wl*h your ~:ax peymen*. CUT ALONG THZS LZNE ~'~ RETAZN LO~ER PORT'rON FOR YOUR FZLES ~ REV-736 EX AFP (01-02) ~ NOT'rCE OF DETERMZNATZON AND ASSESSMENT OF PENNSYLVAN'rA ESTATE TAX BASED ON FEDERAL CLOS'rNG LETTER ~ ESTATE OF SNEENEY JEANNE N FZLE N0.21 01-0751 ACN ZOZ DATE 11-01-Z00q ESTATE TAX DETERHZNATZON 1. Cred/t For State Death Taxes as Ver/f/ed 2. Pennsylvan/a Inher/tance Tax Assessed (Exclud/ng D/scount and/or Interest) 1nheritance Tax Assessed by Other States or Terr/tor/es of the Un/ted States (ExcludAng Discount and/or Interest) Total Xnheritance Tax Assessed 5. Pennsylvania Estate Tax Due 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return 7. Additional Pennsylvania Estate Tax Due TAX CREDZTS: 58,q29.01 .00 ~9,986.00 58zq29.01 .00 .00 .00 PAYMENT RECEZPT DZSCOUNT (+) AMOUNT PAZD DATE NUMBER ZNTEREST/PEN PAZD (-) TOTAL TAX CRED'rT BALANCE OF TAX DUEI I ZNTEREST AND PEN. TOTAL DUE ~ZF PAZD AFTER THZS DATE, SEE REVERSE STDE (ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS RE~UZRED FOR CALCULATZON OF ADDZTZONAL ZNTEREST. ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT' (CR),, YOU MAY BE DUE A REFUND. SEE REVERSE SZDE OF THZS FORM FOR ZNSTRUCTZONS.) .00 .00 .00 .00 PURPOSE OF NOTICE: PAYNENT: REFUND CCR): OBJECTIONS: ADNIN- ISTRATIVE CORRECTIONS: PENALTY: INTEREST: To fulfill the requirements of Section 2160 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S. Section 9160). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. -- Hake check or money order payable to: REGISTER OF NILES, AGENT. A refund of a tax credit may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Nills, any of the 23 Revenue District Dffices or from the Department's 26-hour anseering service for forms ordering: 1-800-362-2050; services far taxpayers with special hearing and/or speaklng needs: 1-800-667-3020 (TT only). Any party in interest not satisfied mith the assessment of tax as shown on this notice may object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, --electing to have the matter determined at audit of the personal representative, OR --appeal to the Orphans' Court OR Factual errors discovered on this assessment should be addressed in eriting to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. ZB0601, Harrisburg, PA 17128-0601, Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. The 152 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 1D, 1996, tho first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Additional Pennsylvania Estate Tax assessed as a result of a change on the Federal Estate Tax closing letter becomes delinquent at the expiration of one (1) month from the date the final notice of the increase in Federal Estate Tax is received. Taxes which became delinquent before January l, 1982 bear interest at the rate of six (62) percent per annum calculated at a daily rate of .000166. All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate ahich mill vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. Interest Daily Yaa__r Rate Factor Year 1982 ZOZ .000566 1988-1991 1983 162 .000638 1992 1986 117. .000301 1993-1996 1985 132 .000356 1995-1998 1986 IOZ .000276 1999 1987 92 .000247 2000 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID The applicable interest rates for 1962 through 2004 are: Interest Daily Interest Daily Rate Factor Yea~ Rate Factor 112 .000301 ZOO1 92 .000247 92 .000267 2002 67. .000164 72 .000192 2003 52 .000137 92 .000247 2006 42 .000110 72 .000192 82 .000219 X NUHBER OF DAYS DELZNI~UENT X DAILY 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 shown on the Notice, additional interest must be caXculated. BUREAU OF INDIVIDUAL TAXES TNHERZTANCE TAX DTVTSTON DEPT. 280601 HARRTSBURG;, PA 171Z8-0601 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE INHERITANCE TAX STATEIflENT OF ACGOUNT REV-1607 EX &FP C01-03) THOHAS R KELLOGG STRONG ETAL 1250 W GERHANTOWN AVE PLYHOUTH HTG '04 SEP 15 DATE 08-16-2004 ESTATE OF SWEENEY DATE OF DEATH 07-16-2001 FILE NUHBER 21 01-0751 :2~OUNTY CUHBERLAND ACN 101 JEANNE I Amouni: ReIi~ted I ~-'/-~: HAKE CHECK PAYABLE AND REHIT PAYHENT TO.' REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper port/on of this fore with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ESTATE OF SWEENEY JEANNE W FILE NO. 21 01-0751 ACN 101 DATE 08-16-2004 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHO~/N BELOW/ IS A SUNHARY OF THE PRINCIPAL TAX DUE., APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE.. AND., IF APPLICABLE., A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSNENT OR RECORD ADJUSTHENT: 08-02-2004 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYHENTS (TAX CREDITS): 60,955.33 PAYHENT RECEIPT DISCOUNT (+) AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) ~ SUHHARY OF 08-02-2004 08-02-2004 IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE ZS LESS THAN $1, NO PAYHENT IS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), ALL 006 PAYHENTS ~ 2,526.32 2.34- .00 58,431.35 TOTAL TAX CREDIT 60,955.33 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. STATUS REPORT UNDER RULE 6.12 Name of Decedent: JEANNE W. SWEENEY Date of Death: Jul y 1 6, 2001 Will No.: 2001-00751 Admin. No.: Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes JiLl No 0 2. lfthe 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 IiI b. The separate Orphans' Court No. (if any) for the personal representative's account is: N / A c. Did the personal representative state an account informally to the parties in interest? Yes 0 No UI Date: Feb. 11, c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the. Orphans' Court and may be attached to thi/9oy. III 2005 (~~. Signature ~ (:.:::> Thomas R. Kellogg Name Strong Stevens & Wyant 1250 W. Germantown Pike, Suite 300 Plymouth Meeting, PA 19462-2444 Address 610-832-5900 Telephone No. Capacity: 0 Personal Representative []I Counsel for personal representative ~