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HomeMy WebLinkAbout07-26-111505610143 --~ REV-1500 Ex (o,_,o, OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number Bureau of Individual Taxes OEFIIRTMENT OF REVENUE PO 60X.280601 INHERITANCE TAX RETURN 21 (~ '~ Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 067 24 3887 10 16 2010 O1 06 1920 Decedent's Last Name Suffix Decedent's First Name MI HOWLEY KATHARINE M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return 4. Limited Estate ~ qa_ ~ uture Interest Compromise date of death after 12-12-82) 6 Decedent Died Testate ~ ~ (Atta~cheCopy~of Trust)a Living Trust (Attach Copy of Will) 9. Liti ation Proceeds Received g ~ 10. Spousal Povert Credit date of death between 12-31 ~1 and 1<-1-95) MI 3, Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRecTeo rv: Name Daytime Telephone Number J RONALDO I,EGASPI 717 23a4~ 4161 `.. -~ ,x~ First line of address 320 MARKET STREET Second line of address City or Post Office HARRISBURG State ZtP Code PA 17101 `~ O _._ -~1 -T"t C"7 ~~t" i.' ~. C.7 REGISTERtCRS USf"ONLY_ ~`- _ ~? c r z~ _ _, ._: ` tJ~„ f=j r _,~ ~C.7` i ~ r'~ TJ ; _. -n --I - - ~. ~ -c~ .~° DATE FILED rl oldber katzman.com Correspondent's a-mail addr s: 1 @g g Und a I f perju la that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it rue, co and plete claration of preparer other than the personal representative is based on all information of which preparer has any knowledge. (GNAT E PERS N RES NSIBLE FOR FILING RETURN ~7 DATE i~ / ~ Z A R S 901 Herita a Hills Dr. York PA 17402 SIGN OF A R OTHER THAN REPRESENTATIVE DATE L ~ ~ ~ J. Ronaldo Legaspi 7~2 j ~~~ arke~St`t'eet, Harrisburg, PA 17101 Side 1 1505610143 1505610143 /~ t 1505610243 REV-1500 EX Decedent's Name: i"iOWiey, Katharine M. Decedent's Social Security Number 067 24 3887 RECAPITULATION 1. Real Estate (Schedule A) ...................................................................................... . 1. 2. Stocks and Bonds (Schedule B) ............................................................................ . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)........ . 3. 4. Mortgages & Notes Receivable (Schedule D) ....................................................... . 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .............. . 5. 3 , 630.00 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested........... . 6. 5 9 , 603.67 7. Inter-Vivos Transfers & Miscellaneous Inn; Probate Property u Separate Billing Requested........... . 7. (Schedule G) 8. Total Gross Assets (total Lines 1-7) ................................................................... .. 8. 63 , 233.67 9. Funeral Expenses & Administrative Costs (Schedule H) ..................................... .. 9. 1, 355.61 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) .............................. 10. 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 13 Charitable and Governmental Bequests/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. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 (a)(1.2) X .00 16. Amount of Line 14 taxable 0 , 00 16. at lineal rate X .045 17. Amount of Line 14 taxable 0 , 0 0 17. at sibling rate X .12 18. Amount of Line 14 taxable 61 , 8 7 8 . 0 6 18 at collateral rate X .15 19. 19. Tax Due .................................................................................................................. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 1,355.61 61,878.06 61,878.06 0.00 0.00 0.00 9,281.71 9,281.71 Side 2 L 1505610243 1505610243 J REV-1500 EX Page 3 nennrlnn4~c (_mm~lafP OrlrlrPSS' File Number 21 DECEDENT'S NAME Howley, Katharine M. STREET ADDRESS 5225 Wilson Ln CITY Mechanicsburg STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 9,184.56 464.09 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (3) (4) (5) Make Check Payable to: REGISTER OF WILLS, AGENT. 9,281.71 9,648.65 366.94 (1) Total Credits (A + B) (2) 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 :............................................................................... ^ ^x b. retain the right to designate who shall use the property transferred or its income :.................................. ^ 0 c. retain a reversionary interest; or ............................................................................................................... d. receive the promise for life of either payments, benefits or care? ............................................................ ^ 0 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?....... ^ ^x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which ^ ^ contains a beneficiary designation? .................................................................................................................. x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the 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 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 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 percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1508 EX+(6-98) SCHEDULE E CASH, BANK DEPOSITS, 8~ MISC. PERSONAL PROPERTY COMMON WEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Howley. Katharine M. 21 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. (If more space is needed, additional pages or the same size/ Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+(6-98) SCHEDULE F COMMONWEP.LTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Howie ,Katharine M. 21 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Richard F. Howley 901 Heritage Hills Drive Nephew York, PA 17402 B. C tnlurt v nwNt`n PRnPFRTY~ ~,,. , ~ . ITEM NUMBER ,..._.___ . • LETTER FOR JOINT TENANT --- - DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH DECEDENTS NTEREST 1 PNC Bank, Checking account, # 50-8003 119,207.33 50.000% 59,603.67 -2901, DOD value TOTAL (Also enter on Line 6, Recapitulation) I 59,603.67 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) REV-1151 EX+(10-06) CnMMnIJwFAI TH OF PENNSYLVANIA SCHEDULE H FUNERAL EXPENSES & ESTATE OF FILE NUMBER Howlev. Katharine M. 21 ucuw vi 46V~iY~.n~ ... .~~ vv •vr. _. ..... _.. __..__--- -- ITEM DESCRIPTION AMOUNT N M R A- FUNERAL EXPENSES: See continuation schedule(s) attached B, ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City Year(sl Commission paid State Zio 2, Attorney's Fees Goldberg Katzman, P.C. 3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationshio of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 405.61 850.00 100.00 TOTAL (Also enter on line 9, Recapitulation) I 1,355.61 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF (FILE NUMBER Howie ,Katharine M. 21 ITEM NUMBER DESCRIPTION AMOUNT Funeral costs 405.61 H-A 405.61 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) REV-1513 EX+ (11-08) COMMN NWITAN TF P RN T$,RNANIA SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Howie ,Katharine M. 21 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NAME AND ADDRESS OF DECEDENT NUMBER PERSON(S) RECEIVING PROPERTY (Words) ($$$) TAXABLE DISTRIBUTIONS [include outright spousal I. distributions, and transfers under Sec. 9116(a)(1.2 Richard Howley 901 Heritage Hills Drive York, PA 17402 Nephew I ~ Total ~ Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 cover sheet, as a ro I NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) KATHARINE HOWLEY SSN: 067-24-3887 INDEX PENNSYLVANIA INHERITANCE TAX RETURN EXHIBIT SCHEDULE OF RETURN DESCRIPTION A Death Certificate (copy) DOD: 10/16/2010 B Co y of Will C F Copy of PA Inheritance Tax Notice (valuation of PNC Bank account) D E Kelly Blue Book Valuation {00549564;x1} 549564.1 l.ll! ILLS 1.1 ,!(1 WAFdNlNG: It is illey~al to duplicate this copy by photostat or photograph. e for this certificate, $6.OQ This is to certify that the information here liven is correctly copied from an on final Certificate of Death duly filed with me as Local Rer~istr:~r. The original cerrificate wi11 be forwarded to the State Vital Records Office for permal7ent filing,. P 16809864 Certification 1~lumbea- `Local Re~~~ t~ Date Isued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS H10Sta3 REV ,12006 r ~ P~ ~w CERTIFICATE OF DEATH eLArac qIN (See instructions and examples on reverse) STATE FlLE NUMBER 2. Sax 1 SodN SeaxNy Number 4. Pak d DeaN IMmN, day YaaA ,. Namedoemaeral~Le~~~"d6x) Female 067 _ 24 - 3887 October 16 2010 le Ba Plem a DeaN Check ore lhxkx, 6. Date d Bkn, Maras, 7.6iM lam and statemMe' Other: 5. Age (Lari fiknday) fMider 1 Hoep6at 90 ^ lrpanera ^ ER 1 Dulpedem ^ OOA Nursing Homo D Residanm ^ anar - speony '"°""` °"' "°°' ~"a January 6, 1920 Wi1ks-Barre, PA Yrs. aaeet end narrber) P. was Decoded a Hlspanrc odpnT ~ No ^ tee to. Ram: Nnedmn mean. eiadr. wnb, arc. ee. GamY d DeNh fic uty, Som, Tay. a Dean, ed. FwHy ~» m nd kadbam, ~ lq Y~ ~N cw.n IsPe~ Lacer Allen r~~~ Bethany Village Mearin, Pueb Rkzn, .k.) white Cuumberland y ~~r ~ ,a. uan1N sraM: Married. Narar Married. ,s. sarvakg Space (n wqa, give maiden coma) • ,,. peceddrfsl)sral don Krrldwakdona morid 'e. DondsWe 72. Was OemtleM ewr b Ne ,3. pemdarYS Etlumtbn ISPecnY aaY Y+~ mnpatetll WNarad, Divormd (SpedNl d aeinessnrieutry u.s. Amed ramex Elementary I SemMary (6,z) coEe9e Its a 5.) l(ind d wan va~ Depot ®ree ^ Na 4 never married Registered tVUrse Didoeceaem Demdanre Live ~ a np. ®res. Decoded l;rea n L~r Allen T•p. 18. pemmnrs MNlkg Addmss IStmel cdY Ytown, sofa, np ~e1 Acbal Residenm 17a. Stale pA TowrssNp7 _ 5225 Wilson Dane Cumberland na.^No, Demdent liretl wnNn GNYt3ao 176. Canty A wN urlNS d Mechanicsbur PA 17055 ,g.,,bN,r,N„n,IF;a,,mkaa,m.wn>,anama) ,a. FaNere Name (Feel, maae.la=L sd~) Mary Ellen Coulter Martin A. Howley zm. mlamem'e Maakg amrsas IsfreeL wY I to.n, riate, rip mm) zoe. ldamad'B Name (typal Priml 6004 Devonshire Road, Harrisburg, PA 17112 Francis J. Hanle 2,0.DabdDisposnonlManN.daY.Yaar) x,aPlamdOapmiemlNanrsdmrmlery.c.matayaeNnWam) ztd.fnmtimiGtylb.n,riau,:q _ zta McNOd d Dkwoeimn p Gematim ^ Donaem Mt . 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Date Filed (Lb^tlt my. yaa0 ~ ^ A rN 1-i-a A 0 36.A rats Sry~afue Aral Distr' t ~ .~ i i ~ ~~ i i ~~ ~ ~ (~. CJ i ~ ~ V V J 1 v N+ Disposi0on Parma No. ~ Y I I LAST WILL AND TESTAi~iENT OF KATHARINE M. HOWLEY I, KATHARINE M. HOWLEY, now of Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, do hereby make, publish, and declare this to be my Last Will and Testament, hereby revoking and making null and void all prior Wills and Codicils made by me at any tune heretofore. ITEM I. I direct that all my legally valid debts, funeral and administrative expenses, and debts incurred or payable because of my death, shall be paid by my Executor, hereinafter named, from my residuary estate as soon after my death as practicable. All death taxes, including federal, state, and other death taxes, with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed thereon, shall be considered an expense of administration of my estate, without apportionment or right of reimbursement. Taxes on future interests may be prepaid. ITEM II. I give and bequeath certain items of tangible personal property that are solely owned by one at the time of my death and that are identified in any separate writing directing distribution thereof after my death which is dated and is signed by me at the end thereof, to those persons designated in such separate writing who survive one. If any item of tangible personal property is identified in more than one separate writing, I 1 direct that, unless stated to the contrary, the separate writing bearing the last date shall govern the disposition of such item. ITEM III. I bequeath the household and personal effects, jewelry, automobiles, and other tangible personalty of like nature that are solely owned by me at the time of my death, not otherwise disposed of above, into my residuary estate under ITEM IV. below. Such property shall be divided by my said beneficiaries as they shall agree. As to those items upon which they shall not agree, distribution shall be determined by my Executor. ITEM IV. I give, devise and bequeath all of the residue of my estate, whether real, personal, or mixed, and wherever situate, including any property subject to any power of appointment which I may now have or hereafter as follows: A. One-fourth (1/4) to FRANCIS J. HOWLEY, if such named person survives me by thirty (30) days. If such named person does not so survive me, I then give, devise and bequeath this share to PAULA J. HOWLEY. B. One-fourth (1/4) to PAULA J. HOWLEY, if such named person survives me by thirty (30) days. If such named person does not so survive me, I then give, devise and bequeath this share to FRANCIS J. HOWLEI'. 2 C. One-fourth (1/4) to RICHARD HOWLEY, if such named person survives me by thirty (30) days. Provided, however, that if such named person does not so survive me, but leaves descendants who so survive. me, such descendants shall receive, per sti~pes, the share such person would have received had he or she so survived me. D. One-fourth (1/4) to KATHLEEN HOWLEY, if such named person survives me by thirty (30) days. Provided, however, that if such named person does not so survive me, but leaves descendants who so survive one, such descendants shall receive, per sti~pes, the share such person would have received had he or she so survived me. ITEM V. The interest of beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. ITEM VI. I hereby appoint, RICHARD HOWLEY, to serve as executor (the "Executor"), of this, my Last Will and Testament. In the event of the refusal or inability of the named person to so serve, I then appoint KATHLEEN HOWLEY, to so serve as Executor. In the event of the refusal or inability of suc11 named persons to so serve, I then grant to the person last so nominated and capable of serving the right and power, exercisable in his or her exclusive discretion, to nominate and appoint, whether in advance while competent, or at the tune of a renunciation or resignation, a person or 3 persons to serve as such Executor, which nomination shall be honored as if I had made such an appointment in this Will. ITEM VII. I direct that my Executor shall not be required to give bond or post any other security for the faithful performance of duties in any jurisdiction. ITEM VIII. My Executor shall have the following powers in addition to those invested in them by law and by other provisions of my Will applicable to all property, whether principal of income, exercisable without Court approval, and effective until distribution of all property: A. To retain any investments I may have at my death so long as my Executor may deem it advisable to my Estate or so to do. B. To vary investments, when deemed desirable by my Executor, and to invest in such bonds, co~ninon trust funds controlled by any Executor, stocks, notes, real estate mortgages, or other securities or in such other property, real or personal, as any Executor deem wise, without being restricted to so-called legal investments. C. In order to effect a division of the principal of my Estate or for any other purpose, including any final distribution, my Executor is authorized to make said divisions or distributions of the personalty and 4 realty partly or wholly in kind. If such division or distribution is made in kind, said assets are required to be divided or distributed at their respective values on the date or dates of their division or distribution. D. To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my Estate, any or all real or personal estate or interests therein owned by my Estate severally or in conjunction with other persons or acquired after my death by any Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge, and deliver any and all deeds, assigmnents, options, or other writings which inay be necessary or desirable, in carrying out any of the powers conferred upon any Executor in this paragraph or elsewhere in my Will. E. To mortgage real estate, and to make leases of real estate for any period of time as is deemed reasonable by them. 5 F. To borrow money from any party to pay indebtedness of mine, or of my Estate, expenses of administration, or inheritance, legacy, estate or other taxes. G. To pay all costs, taxes, expenses, and charges in connection with the administration of my Estate. My Executor shall pay expenses of my last illness and funeral expenses. H. To vote any shares of stock which form a part of any Estate, and to otherwise exercise all the powers incident to the ownership of such stock. I. In the discretion of my Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of my Estate. J. To compromise claims and to abandon any property which, in my Executor's opinion, is of little or no value. K. To manage or continue any business that I may own or be entitled to so act in such capacity. 6 ITEM IX. Any person who shall have died at the same time as ine, or in a common disaster with me, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased me. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, consisting of seven (7) typewritten pages, this ~ day of October, 2005. t~l KATHARINE M. HOWLEY We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix, KATHARINE M. HOWLEY, as and for her Last Will and Testament, in the presence of us, who at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that at the tune of the execution thereof, the said Testatrix was of sound and disposing mind and memory. f -~~~v`TG..-„ ~-~~z"~~ residing at ~~lv~~.. ( ~~-Y-' residing at COMMOl`'WEALTH OF PENNSYLVANIA SS. COUNTY OF ~ ' 1~~~, . We, the Testatrix, KATHARINE M. OWLEY and ~.~.~-rn.trz ~ ~'~~~o and ~ ~,eQ ..~ the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his/her knowledge the Testatrix was at that tune eighteen years of age or older, of sound mind and under no constraint or undue influence. KATHARINE M. HOWLEY Witness '~'~~-~ ~ ~~~ti .~ Witness Subscribed, sworn to and acknowledged before me by the Testatrix, KATHARINE M. HOWLEY, and subscribed and sworn to before lne by and ,witnesses, this day of October, 2005. v C~ Notary Pu is (SEAL) 126790.1 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 11-0077 Po Box zao6ol TAXPAYER RESPONSE ACN 11109507 HARRISBURG PA 17128-0601 DATE 02-14-2011 RICHARD HOWLEY JR 901 HERITAGE HILLS DR YORK PA 17402-8406 EST. OF KATHARINE HOWLEY SSN 067-24-3887 DATE OF DEATH 10-16-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. PNC BANK NA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call C717) 787-R327 with quostians. - COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5080032901 Date 06-12-1995 7o ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 119,207.33 payable to "Register of Wills. Agent". Percent Taxable )( 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 59,603.67 months of the decedent's date of death, Tax Rate X 15 deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential TaX Due $ 8,940.55 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX AS5E5SMENT A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or check box "A" and return this notice to the Register of C H E C K Wills and an official assessment will be issued by the PA Department of Revenue. C ONE BLOC K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. PART If indicating a different tax rate, Please state OFFICIAL USE„ ONLY, U AAF relationship to decedent: PA DEPARTMENT' OF REVENUE N JOINT/TRUST ACCOUNTS PAD TAX RE TURN - COMPUTATION OF TAX O 1 LINE 1. Date Established 1 ~ 2 2. Account Balance 2 ' 3. Percent Taxable 3 X 3 $ 4 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 5 fi 6 6. Amount Taxable 6 ` X 7 7. Tax Rate 7 $ 8 8. Taz Due 8 PART DEBTS AND DEDUCTIONS CLAIMED ne-rF perm PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. H OM E C ) WORK ( ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE IUTAL ~tnLer vn amine ~ ..~ ~o.. .-~ r --~--••- 1991 Geo Prizm -Private Party Pricing Report -Kelley Blue Book Page 1 of 2 - _ __ ~.,, ~~ ...,~, ~,a ~~-~ ~' Kelley Blee Book _ __ , rr ' ~ THE TRUSTED RESOURCE sE .rcCrJ Home Ne><v Cars Certified Pre-0wned Used Cars Research Reviews & News Dealers &. Inventory Used Cars For Sa£c Loans & Insurance Used Car Values ~ Search Uped Car Classifieds ~ Certified Pre-Owned ~ Compare Vehicles I Pertect Car Finder ~ Most P.esearched Vehicles ~ CA'r,FAX Ve;ticle History Welcome Back ~ ,; t ~ c..~ ^.cr;?unt ~ nt'y KBB ZIP Code: 1710! Re::Ently Viewed You hlidhl ,nlso Like =rc C -ulr;: a> ~uoe PA£lJCf'ESI11lE ~ ~-107aa _ _.. ter _ - . ,, t~ I -, Mnntr: Usac !:are, t•.~.e ;,,... ..t+~n Notchback Sedan 4D 1991 Geo Prizm Notchback Sedan 4D Trade-Ui Value Private Party Value BLUE BOOK'S PRIVATE PARTY VALUE ', ,., SuggestF•d F:etall Value '" '~ ~ u val~F= ~~ '' Condition .. Value Photo Gallery + - _ Excellent $1 975 ~a•s For a~i ~ ,{: , Coml}are veh, .les - GOOd $1,825 ksiue t3i)oK Fzevlew .... Fair $1,375 Con SL'Rler Ratings Find your NeXt Car I`7ore Photos SUeilrications M n 1 T T ~ ~ ~ ~ ~ « SEARCH LOCAL. LIS°iNGS 1~ " 1 ! BUY A USED CAR ~ 1 On Blue Book Classifieds'" CARFAX Record Check Power ](} d b Geo ~ e y VIN: Prizm ~ 76 Miles Nn VIN % No Prod~le(rt! Near ZIP 17101 ' News, Reviews & Top iDs To View Ads, Click '. ;C Coolest Cars Um;er 31S.OO~:t '. ' .! tvcr+ Nan'e:; for 20ii c4:n, Shopping Tools ~ :.. ,awa c tea L-.. tacos ' ~:.' r .: pc o.. t.^ci: ': ter, 11 ~_,: Retlesigned i'ehicle ?ut ~ Lrs; r: rr r -. i,?• ;aP~: ,''. `gag A (~dnverUble mar Make "o., Dear - .sacs ~et'~our GerJit ~a;re Ncv: '., REad :r-lure '. Paynten!1 ~a.-ikola,,,. r Average Consumer Ratio 40 Reviews 9 ~ ) Read Reviews i5xten;ir- •,;va~ra, r;e; ~.~uetr.`. >. -?4~r'r.^ ~~ 4.6 out of 5 Review thr_ 1,9.1 Geo Prizm ,. k Vnitl Far Sala Siyn • Share with Friends ` Setter s ,et up to-data live Toolkit Vehicle Highlights vawe%~ Mileage: 36,000 Get Your Todlkit Engine: 4-Cyl, 1.6 Liter Transmission: Manual, 5-Spd Drivetrain: FWD Find The Right Car Compare Used vs. New Under 55,000 ~ Selected Equipment Change Equipment Both New and Used - Standard Air Conditioning AM/FM Stereo 5 ~d i,t _ ( - Power Steering Steel Wheels To View List, Click Blue Book Private Party Value View Another Vehicle Kelley Blue Book Private Pally Value is the amount a buyer can expect to Select Year - paY ~+hen buying a used car from a private party. The Priva [e Party Value ... assumes the vehicle is sold "AS ]s° and carries no warranty (other than any remaining factory warranty). The final sate Orire may vary depending on [he l J vehicle's actual condition and heal market cond ikons. This value may also de used to derive fair Market Value for insurance and vehicle tlonation _ purposes. Vehicle Condition Ratings ... Seat chi ..,.. News .._.,. _.., rae~:.. i:.a ,. tnY ;.oo.; rl u .. ~:l::i. ap_ F" SUbt° Veh Ue i~ Prim E to .~~. Fs0i7KNlnRK ~ KE... '''ss? Estimated Payments C);t'k for L'C 4>ils Get a Pre~Uwned Lcan from 3 99°;a nPR Get Your Credit Score Nnw Get a Free Insurance Quote http://www.kbb.com/used-cars/goo/prizm/1991 /private-party-value/pricing-report?conditio... l /14/2011 a d VertlSernEl;[ 1991 Geo Prizm -Private Party Pricing Report -Kelley Blue Book Page 2 of 2 Or r~arc 7J r` ;'::d~~ Check Vehir,Ie Ttle History Excellent _ 51,975 • Looks new, is in excellent mechanical condition and needs no reconditioning. • Never had any paint or body work and is free of rust. • Clean title history and will pass a smog and Safety inspection. • Engine compartment is clean, with no Fluid leaks and is free of any wear or visible defects. • Complete and veririable service records. Less than 5 % of all used vehicles fall into this Category. Goad r_%z~~ ~{ $1,$25 • Free of any major defects. • Clean title history, the Daints, body, and interior have only minor (i(any) blemishes, and there are no major mechanical problems. • little or no rust on this vehicle. • Tires match and have substantial tread wear left. • A "good" vehicle will need some reconditioning to be sold at retail. Ihost ConSU mef owned Vet11CIe5 fall into [his Cdtegdry. Fair :_i.:.i i_+ $1,375 • Some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. • Clean title history, the Daint, hotly andior nri'encr need v:crk performed by a professional. • Tires may need to be replaced. • There may be some repairable rust damage. POpY -- N J A • Severe mechanical and/or cosmetic defects and is in poor running condition. • May have problems that cannot be readily fixed such as a damaged frame or crusted-through body. • Branded title (salvage, flood, 2tc.) or unsubstantiated mileage. Kelley Blue Book does no[ attempt to report a value on a "poor" vehicle because the value of these vehicles varies greatly. A vehicle in poor condition may require an independent appraisal to determine its value. " Pennsylvania 01/14/2071 Accurate Condition Appraisal Change Condition Accurately appraising the condition of a vehicle is an important aspect in determining its Blue Book value. Taking our 16 question condition quiz will ensure you know the correct condition rating. C /t ~ ~ ~ ~ ~ ~ SEARCH LOCAL LISTINGS rt 20t1 Kelley Blue Book Co., Inc All rights re_:rrved. 1,x14;20 7 1-112 01:071 FAitron. The specNic in/ormation required to determine fhe value Poe Nis particular' vehicle was .supplied by the person generating [his report'. Vehicle valuations arr. opinions anA may very /torn vehicle to vehicle. Ac cue! valuations' will vary buseA upon market conditions, .cpecifira[lorrs, vehrde condrtion or orfrer particular circumstanr.-es prrfinenf to this articular vehicle or the transaction or the parties- to the transaction. 7brs rgv;rt is inrrnde0 Jor' Ne individual use o! the person yeneraciny (Iris rrpnrt- only and shah not Or sold or transmitte0 fu another party. Kelley D/ue Eonk assumes rro responsibility roe rnors or ornissinns. (v. 17013) On KUB. CUm :~rlr• II .:ir', ~..' .,.. alt 1 ..::::1 :.. .~.;C:.). ;' 2,.t ..;.,. .e. .. :i .1.. ~:ti rt.. ...n k....,l..l. ,..> ~ ~ ., ( ... e.. _.____ . ... ., .... ...,.. „ ~. .-.., •..~, ~.. .v. ,~1 era I I. :. ~. Y.. U~In::r ~. IN :J :nU :r tJ li?•• S.tiK fh':. bl_ _k ~ S Lr 1„ ,,.r I... •,I_ About KBB ;~...;'r l: ::n[,i::t l _- I'-:`r.,l< fAQ Me:t ± Ad`erfi5lrG I.'n4 nc 1'r"-:..r<~y ::[ pan C'Ipvr:)ht .a l' G(•r •.114, ire'. 5 )'tier,,-i::r - N O 1995-2011 Kelley Blue Book Co., lnc I.IC., I ~ !: ,u<„ 1 http://www.kbb.com/used-cars/geo/prizm/ 1991 /private-party-value/pricing-report?conditio... 1 / 14/2011 July 25, 2011 Glenda Fanner Strasbaugh, Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013-3387 gE: Estate of Katharine M. Howley Dear Ms. Strasbaugh: . ^~-l ~ n r^ - - 1 ~ ~7 C, _ ~' C!7 ~ t./ ~ ~ / ~ .._ p.. - _ _. 1 ,~ _ _ ~- _ . r %~ `-~ .~- Enclosed for filing please find the following: An original and one copy of the REV-1500 Pennsylvania 1, of REV- Inheritance Tax Return with exhibits. One copy 1500 without exhibits. 2 A check payable to Cumberland County Register of Wills in the amount of $15.00 for filing fees. Kindly time-stamp the extra copy of the REV-1500 return it to our office in the self-addressed stamped envelope. If you should have any questions, please do not hesitate to contact my office. Thank you for your attention to this matter. JRL,:jdw Enclosures cc: Richard Howley (w/encl.) {00185639;v1 } I ~ { , . , ,. ~... . ~ .,.. I - °- w ~4~ ~ o ~ ~u ~ Yr ~ ~ Y( to ~.i ,r~+y CV ~ O ti~~ 4,~.,A R `L3 ~' .,.f :~+~ ~ t+~` {~ ~~~ i t i,__ V --~ J-' , ' ~~_ ~ ~ -. J ..: -- Lti . ~~ r'~ .. Z J ~ C)L~~, ~.. Y_ } ~s U7 a, ~ . .. ~~ r. _ . ~ ~~C.. ~ /. a _. ~~ ^~ ~_ w O ~. +.+ ti ~ .~ ~ ~ O Z ~ U ~ ~ ~ a p" M E" ~ Tom. ~ (/1 ~ C/1 ~ N ~ C7 ~'~ o`er ~ ~ ~ A ~~ -~~v N ~ .~ O a~i ~ °' ~ ~ C7U0 V