HomeMy WebLinkAbout03-0963PETITION FOR PROBATE and GRANT OF LETTERS
Estate of
also known as
William H. McKeon
cial Security No. 183-12-3320
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the executors named
in the last will of the above decedent, dated October 14~ 2002
and codicil(s) dated N/A
No. 21-03- ~,-~
To~
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
(state relevenat circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
the Decedent's last family or principal residence at 442 Walnut Bottom Road
(Carlisle Borou§h)~ Carlisle, PA 17013
(list street, number and municipality)
Decedent, then 87 years of age, died
at 442 Walnut Bottom Road, Carlisle~ Penn.qylvanla
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
.after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
~ncompetent: Kathryn Shoemaker McKeon died February 13~ 2003
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
October 16, 2003
500,000.00
0.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters Testamentary
thereon.
K~'hy l~SKeon R6dgers / ~r -
315 Gl'6ndale Street
Carlisle, Pennsylvania
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
OATH OF PERSONAL REPRSENTATIVE
COMMONWEATLH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
e this/~:7day of November 2003
.~~cKeon;Rodgers/ -~- -
Register
Estate of
William H. McKeon
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW~')Ff_5~, ~ ,2003 in consideration of the petition on
the reverse side he~reof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated October 14, 2002
described therein be admitted to probate and filed of record as the last will of
William H. McKeon
and Letters Testamentary
are hereby granted to Kathy McKeon Rodgers
Probate, Letters, Etc.
Sho~t Certificates( )
~a~ion
FEES
$ x. ~-,/-~, oo
$ /~'~
$
Total $
Filed ~'. ?..-,~,~,....~ ...~... ...................
Robert G. Frey, 46397
A'ITORNEY Ss-uP. Ct. I.D. No.)
5 South Hanover Street
Carlisle, Pennsylvania 17013
ADDRESS
(717) 243-5838
PHONE
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
ROBERT G. FREY,
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified
according to law, depose(s) and say(s) that he was present and saw William H. McKeon,
the testator, sign the same and that he signed as a witness at the request of the Testator,
his presence and (in the presence of each other) (in the presence of the
other subscribing witness(es).
Sworn to or affirmed and subscribed before
~' ~""' _~..__day of
~,~ister
5 South Hanover St., Carlisle, PA 17013
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
ROBERT M. FREY,
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and
say(s) that he is familiar with the signature of William H. McKeon, the Testator of (one of t
the will presented herewith and that he believes the signature on the will is in the
handwriting of William H. McKeon, to the best of his knowledge and belief.
Sworn to or affirmed and subscribed before
%/../t h i s / ~) 7-/-/ day of
Regist~,r /
Robert M. Frey~
5 South Hanover St., Carlisle, PA 17013
(Name)
(Address)
his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 74S704
No.
Local Registrar
OCT 1 7 200
Date
I~tll~
KINK
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS
CERTIFICATE OF DEATH
,. W:l. lll.am H McKeon
· · ~'~ '. 183 -- 12 -- 2 4 ,/ 03
~ 87 ~,.~ : ~ . ~5/31/1916 [No~h Wales,PA
442 Wa~ut ~t~ ~d ~'~'~ ,7..n.,. PA
~lisle, PA 17013 I~*~
,~ Willi~ J~ ~K~n I',. ~ - ~n
$. ~-S IINF~M~'S ~IU~
~.315 Gl~le St~t, ~rl~sle, PA 17013
~.t. Patrick's N~ ~rl~sle, PA 17013
012633'L Brokers ~eral ~, ~rlisle, PA 17013
LAST WILL AND TESTAMENT
OF
WILLIAM H. McKEON
I, WILLIAM H. McKEON, married man, of South Middleton Township, Cumberland
County, Pennsylvania (mailing address: 19 Strawberry Drive, Carlisle, Pennsylvania 17013), being
of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare
this as and for my Last Will and Testament, hereby revoking and making void any and all Wills by
me at any time heretofore made.
1. I direct my hereinafter named Executor to pay all of my debts to which I am bound and
the expenses of my funeral, last illness, and of the administration of my estate as soon after my
death as may be found convenient to do so. I further direct that my hereinafter named Executor
make arrangements for my burial at the family grave at St. Patrick's Cemetery and that the expense
of engraving the gravemarker at the said family grave be paid as soon as practicable after my ~teath
as a part of the expense of the administration of my estate.
2. I declare that I am married to Kathryn Shoemaker McKeon, and that I have one
daughter, Kathy McKeon Rodgers. I further declare that I have no other children.
3. I give and bequeath all my tangible personal property, including automobiles, together
with all insurance on such property, to my wife, Kathryn Shoemaker McKeon, provided she shall
survive me by a period ninety (90) days. In the event that my said wife should predecease me or
fail to survive me by the aforesaid period of ninety (90) days, then in such event all of my said
tangible personal property shall be added to the residue of my estate.
4. I give and bequeath an amount equal to the balance in my Individual Retirement Account
at the time of my death to those persons and in the proportions as stated below.
Doris McHugh Christensen
12 Cedar Court
Carlisle, PA 17013
1%
Peggy McHugh Dean
· +~.~- Kelling Lane
Glencoe, IL 60022
0.5%
Charles Henery
1121 Hagy Lane, Box 234
Dauphin, PA 17108
Susan Kolva Leitzel
653 Ridge Street
Halifax, PA 17032
2%
0,5%
Paul Kolva, Sr.
313 West Main Street
Lykens, PA 17048
Paul Kolva, Jr.
Hamilton Dr, R.D. 4
Chambersburg, PA 17201
0.5%
1%
Page 1 of 6 pages
Robert Kolva
300 Market Street
Lykens, PA 17048
Kathryn Lenker
RD 1, Box 201
Millersburg, PA 17061
Edna McHugh Collins
19964 Window Rock Drive
Surprise, AZ 85374
Joseph & Eleanor McHugh
116 Pine Tree Drive
Newville, PA 17241
Rev. Andrew J. Fontanella
Personal
140 E. Pomfret Street
Carlisle, PA 17013
Laura McKeon Rodgers
250 South Pitt Street
Carlisle, PA 17013
Allison E. Rodgers
250 South Pitt Street
Carlisle, PA 17013
Kathy McKeon Rodgers
250 South Pitt Street
Carlisle, PA 17013
William Rodgers
250 South Pitt Street
Carlisle, PA 17013
Dorothy Schwenk
449 North Street
Lykens, PA 17048
Chris Skocznski
530 Clermont Drive
Harrisburg, PA 17112
Nancy McHugh Vincent
110 Hillcrest Road
Camp Hill, PA 17011-1905
William Rodgers
1118 Poplar Avenue
Tyrone, PA 16686
1%
1.0%
5%
2.5%
5%
10%
10%
10%
10%
0.75%
5%
0.5%
0.5%
Page 2 of 6 pages
Karen Byers
1025 S. West Street
Carlisle, PA 17013
0.5%
Nancy L. Mallein
250 McKnight St.
Carlisle, PA 17013
1.5%
Randy Brenneman
35 Parker Street
Carlisle, PA 17013
0.5%
Joyce Palm
254 W. North St.
Carlisle, PA 17013
0.5%
Kathryn Shoemaker McKeon
19 Strawberry Drive
Carlisle, PA 17013
20%
Hans & Betty Uberseder
25 Front St.
Lititz, PA 17543
0.5%
Lois Stum
356 Roxburry Road
Newville, PA 17241
1%
Russell Allen
5 Shakespeare Dr.
Singing Spring, PA
19608
1%
John Sward
150 Garfield Drive
Carlisle, PA 17013
0.5%
Should any persons predecease me or fail to qualify me by a period of ninety (90) days, that
share shall lapse and be added to the residue of my estate. Further, any balance remaining after the
payment of the above-stated bequests shall be added to the residue of my estate.
5. I give and bequeath the sum of $500.00 to St. Patrick Church, Carlisle, Pennsylvania.
6. All the rest, residue, and remainder of my estate, real, personal, or mixed, and
wheresoever the same may be situate, I give, devise, and bequeath as follows:
a. 5% to my grandchild, Laura McKeon Rodgers.
b. 5% to my grandchild, Allison E. Rodgers.
c. 90% to my daughter, Kathy McKeon Rodgers.
Page 3 of 6 pages
Provided, however, that each shall survive me by a period of ninety (90) days, and if any of the
above-named persons fail to so survive me, the share that person would have received shall pass to
her issue per stirpes, and if there be no such issue, the share shall lapse and be added to the
remaining share or shares.
7. Should any person less than 21 years of age be entitled to distribution from my estate,
in such event the share that person would otherwise have received shall be paid to my daughter,
Kathy McKeon Rodgers and her husband William G. Rodgers, or either of them, in trust. I
authorize the herein named trustee to receive and invest the same, and to pay the income arising
therefrom, together with so much of the principal thereof as in his or her opinion is necessary or
desirable to be expended for the proper maintenance, support, and education of such person, to or
for the benefit of such person, and upon such person attaining 21 years of age to pay to him or her
the then remaining principal together with any undistributed income.
8. I direct that all inheritance, estate, and succession taxes payable by reason of my death
with respect to property passing under my will or any codicil of my will, pursuant to any
beneficiary designations contained in any insurance policies on my life, or pursuant to any joint
ownership with me of any property, shall be paid out of residue of the estate without charge or
contribution from any person so receiving property as aforesaid.
9. I hereby nominate, constitute, and appoint my daughter, Kathy McKeon Rodgers, as
Executrix of this my Last Will and Testament, but should she predecease me or fail to qualify, then
in such event I nominate, constitute, and appoint William G. Rodgers, as Executor, and I further
direct that neither of them shall be required to post any bond to secure the faithful performance of
his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction.
10. In addition to the powers conferred by law, my herein named Executors and Trustees
are empowered:
a. To invest any part of the trust corpus in such securities, investments, or other
property as may be deemed advisable and proper, irrespective of whether the same are
authorized for the investment of trust funds under the laws of any governing jurisdiction.
b. With respect to any corporation, the stocks, bonds, or other securities of which
may be held, to vote in person or by proxy on any shares of stock; to consent to the merger,
consolidation or reorganization of such corporations; to consent to the leasing, mortgaging,
or sale of the property of any such corporations; to make any surrender, exchange or
substitution of such stocks, bonds, or other securities as an incident to the merger,
consolidation or reorganization of such corporations; to pay all assessments, subscriptions
and other sums of money which may be deemed wise and expedient for the protection and
maintenance of the proportionate interest of the investment in such corporations; to exercise
any option or privilege which may be conferred upon the holders of such stocks, bonds, or
other securities of such corporations either for the conversion of the same into other
securities or for the purchase of additional securities, and to make any and all necessary
payments which may be required in connection therewith; and generally to have and
exercise as to all such stocks, bonds, and other securities, the powers of an individual owner
who is under trust obligation.
c. To hold the trust corpus in one or more consolidated funds in which separate
shares shall have undivided interests.
Page 4 of 6 pages
d. To sell at public or private sale for cash or upon credit, or partly for cash and
partly on credit, and upon such terms and conditions as shall be deemed proper, any part or
parts of the trust estate, and no purchaser at any Such sale shall be bound to inquire into the
expediency or propriety of any such sale or to see to the application of the purchase money
arising therefrom.
e. To keep on hand and uninvested such moneys as may be deemed proper and for
such period as may be found expedient.
f. To compromise, settle, or arbitrate any claim or demand in favor of or against the
trust estate.
g. And authorized in the discharge of fiduciary duties, to employ counsel and to
determine and to pay such counsel reasonable compensation which shall be charged against
the principal or income of the trust fund, and shall further be entitled to charge against the
principal or income such other reasonable expenses and charges as may be necessary and
proper to incur for the proper discharge of fiduciary duties and for the proper management
and administration of the trust estate.
h. In making any division of property into shares for the purpose of any distribution
thereof directed by the provisions of the trust, to make such division or distribution, either in
cash or in kind, or partly in cash and partly in kind, as shall be deemed most expedient, and
in making any division or distribution in kind may allot any specific security or property or
any undivided interest therein to any one or rnore of such shares, and to that end may
appraise any or all of the property so to be allotted and the judgment as to the propriety of
such allotment and as to the relative value for purposes of distribution of the securities or
.property so allotted shall be final and conclusive upon all persons interested in the trust or
in the division or distribution thereof.
i. Authorized to register any shares of stock or other assets of any trust in their own
names or in the name of a nominee.
Page 5 of 6 pages
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and
Testament written on 6 pages, this /t{/~ day of October, 2002.
(SEAL)
WILLIAM H. McKBON
Signed, sealed, published and declared, by WILLIAM H. McKEON, the Testator above
named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request,
and in the presence of each other, have hereunto subscribed our names as attesting witnesses.
Page 6 of 6 pages
LAST WILL AND TESTAMENT
OF
WILL/AM H. McKEON
FREY & TILEY
ATTO R N EYS -AT- LAW
5 South Hanover Street
Carlisle, PA 17013
Telephone (717) 243-5838
Name of Decedent:
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Date of Death: 0 C .~--~ ~ L.f- I(~
Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of~he Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on ~J o~'~ ~_. ~,~.~- Z ~. 2Oo ~
I
Name Address
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
Signature
Name
Address
Telephone ('7/~ Z/-st'3 --
Capacity: /~Personal Representative
Counsel for personal representative
Doris McHugh Christensen
12 Cedar Court
Carlisle, Pennsylvania 17013
Peggy McHugh Dean
422 Kelling Lane
Glencoe, IL 60022
Charles Henery
1121 Hagy Lane, Box 234
Dauphin, PA 17108
Susan Kolva Leitzel
653 Ridge Street
Halifax, PA 17032
Paul Kova, Sr.
313 West Main Street
Lykens, PA 17048
Paul Kolva, Jr.
Hamilton Drive, R.D. 4
Chambersburg, PA 17201
Robert Kolva
300 Market Street
Lykens, PA 17048
Kathryn Lenker
2391 Route 209
Millersburg, PA 17061
Edna McHugh Collins
14478 West Powderhorn
Surprise, AZ 85374
Eleanor McHugh
116 Pine Tree Drive
Newville, PA 17241
Rev. Andrew J. Fontanella
4188 Lawson Barnes Road
Crisfield, MD 21817
Laura McKeon Rodgers
315 Glendale Street
Carlisle, PA 17013
Allison E. Rodgers
315 Glendale Street
Carlisle, PA 17013
Kathy McKeon Rodgers
315 Glendale Street
Carlisle, PA 17013
William Rodgers
315 Glendale Street
Carlisle, PA 17013
Dorothy Schwenk
449 North Street
Lykens, PA 17048
Chris Skocznski
530 Clermont Drive
Harrisburg, PA 17112
Nancy McHugh Vincent
2601 Garden Hill Drive, Apt. 202
Raleigh, NC 27614
William Rodgers
1118 Poplar Avenue
Tyrone, PA 16686
Karen Byers
1025 S. West Street
Carlisle, PA 17013
Nancy L. Mallein
30 Pine Creek Drive
Carlisle, PA 17013
Randy Brenneman
35 Parker Street
Carlisle, PA 17013
Joyce Palm
257 Bohnybrook Road
Carlisle, PA 17013
Hans & Betty Uberseder
25 Front St.
Lititz, PA 17543
Lois Stum
356 Roxburry Road
Newville, PA 17241
Russell Allen
5 Shakespeare Dr.
Singing Spring, PA
19608
John Sward
356 Dogwood Drive
Delmont, PA 15626
St. Patrick Church
87 Marsh Drive
Carlisle, PA 17013
;oMMo,; ,,oF REV-1500
PENNSYLVANIA I
INH
DEPT.2~1 ~ ERITANCE RETURN
DECEDENTS N~
Z
William H. McKeon
DATE OF DEATH (MM-DD-YEAR)
DATE OF BIRTH (MM-DD-YEAR)
10/16/2003 5/31/1916
IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
~o_~
O~a3 [~]~. OeceqenlOiedTestate(AttachcopyofWill)
Robert G. Frey
FIRM NAME (If A,opricable)
0
Supplemental Return
z
Future interest Compromise (date of death after 12-12-82)
Deceqent Maintained a Living Trust (Ailach copy of Trust)
COMPLE3E MAILING ADDRESS
5 South Hanover Street
Carlisle, PA 17013
OFFICIAL USE ONLY
FILE NUMBER 21-03-0963
183-12-3320
REGIS/mai( OF WILLS
SOCIAL SECURITY NUMBER
F-~5. Federal Est=re Tax Return Required
.~0 8. Total Number of Safe Deposit Soxes
~m)l 1. Election IO tax under Sec. 9113(Al (Attach Sch O)
717-243-5838
1. Real Estate (Schedule A) (1) .NONE
2. Stocks and Bonds (Schedule S) (2) -
3. Closely Held Co~oration, Partnership or Sola-Propitetomhip (3) NONE
4. Mortgages & Notes Receivabla (Schedule D) (4) NONE
5. Cash, Bank Deposits & Miscellaneous Personal Properly
(Schedule E) (5)
6. JolnityOwned Property (Schedule F) NONE
[r--'~ Seqamta Billing Requested (6)
7. Inter-Vivos Transfer& Miscellaneous Non-Probate Property
(Schedule G or L) (7).NONE
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)
11. TOTAL DEDUCTIONS (total Lines 9 & 10)
12. NET VALUE OF ESTATE (Line 8 minus Line 11)
13. Charitable and Govemrnental Bequests/Sec 9113 Trusts for which an election to tax has not
been made (Schedule J)
14. Net Vstue Subject to Tax (Line 12 minus Line 13)
297,974
100~457
(8) ..
8,741
478
(12)
(13)
(14) _
398~431
9,219
389~212
500
388~71~
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate ,or transfers under Sec.9116 (a)(t .2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibrlag rate
18. Amount of Line 14 taxable at collatarar rate
19. Tax Due
x .0
385,512 x .0 45
x .12
2,700 x .15
(is)
(17)
(la)
(lei_
0
17,348
0
405
~17,753
William H. McKeon 183-12-3320
217
De(~edent's Complete Address:
STREET ADDRESS
Inut Bottom Road
STATE
Pennsylvania
ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CredOs/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
15,000
750
(t) 17~753
Total Credits ( A + B + C ) (2)
3. Interest/Penalty ~ applicable
D. Interest
E, Penalty
Total InterestJPenarty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request e refund
(4)
5. if line 1 + line 3 is grester than line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due.
(SA)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(Se)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ...................... [] []
b. retain the right to designate who shall use the properly transferred or its income; ........... [] []
C. retain a reversionary interest; or .............................. [] []
d. receive the promise for lifo of either payments, benefits or care? ................. [] []
2. If death occurred after December 12,1982,did decedent transfer properly within one year of death
without receiving adequate consideration? ............................ [] []
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .... [] []
4. Did decedent own an Individual Retirement Account, annuity or other non-probate pmper[y which
contains a beneficial'/desi~lnation? ............................... [] []
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 penaltie~ of perjvly, I declare tha~ I have examined this return, including act~mpanying schedules and statements, and to the best of my kr~wledge and belief, il Ls true,
15,750
0
0
2~003
2,003
SIGNATUREO PE ON RESPONSIB OR lUNG RETURN
DATE
Decemberc~.~
DATE
December ~ ~ 2004
5 South Hanover Sl~eet~ Carlis~ PA 17013
For dates of death on or afte¢ July t, 1994 and befcl e Januwy 1 1995, the tax rote imposed on the net value of trarlsfers lo or for the use of the survNtng spouse ~ 3%
[72 P S Section 91 t 6 (a}(l. 1
For dates of death on or after Jan[~ry t, 1995. the tax tale impOsed on the net value of transfers ~o or for the use of the surviving spouse [s 0% [72 P S Section {~ 116 (a)(1 1 )(ii)]
The statute does not exempt a transfer to a surviving spouse lrom tax, and the statutory reqL~iremenLs for d~sclosure of asse~s and fl~lng a tax return are still applicable even if
the surviving spouse is the only beneficiary
For dates Gl death on or after July 1, 2000:
The tax rate impOsed on [he net val~e of {ransfers from a deceased child Iwenty-one years of age or younger at dea[h to or for the use of a ns ur'al paten[ an adoptive patent,
or a s~epparenl of the child is 0%172 P.,S Section 9116(a)(1 2)]. '
The tax ra~e imposed on the r~t Value of f ransfers to or for the use of the decedent's lineal beneficiaries b 45%, except as noted In 72 PS. Section 9116( 1.2) [72 P.S Section 9116(a)(1 )]
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is
ir)dh/id ual who has at least one parent in common with the decedent, whether by blood or adoption
217
REV-1503 EX+ (6~98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF FILE NUMBER
William H. McKeon 2%03-0963
All proper~j jolnfly..owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Merdll Lynch Individual Retirement Account
88 Shares, Agilent Technologies, CUSIP 00846U101
59 shares AT&T Wireless, CUSIP 00209A106
50 shares, Carlisle Cos., CUSIP 142339100
50 shares, Dell, CUSIP 24702R101
50 shares, PEPSICO, Inc., CUSIP 713448108
100 shares, Rite Aid Corp., CUSIP 767754104
107 shares, Wachovia, CUSIP 929903102
7642 shares, Blackreck Gov. Income Fund, CUSIP 090929729
3750 shares, Eaton Vance Ltd. Duration Income Fund, CUSIP 27828H105
3671 shares, Evergreen Sel. Adjustable Rate Fund, CUSIP 299913103
1600 shares, John Hancock Pfd. Income Fund, CUSIP 41021P103
3266 shares, Neuberger Berman Real Estate
TOTAL (Also enter on line 2, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
8,244
2,130
491
2,609
1,813
2,393
585
4,785
75,656
69,094
35,058
38,600
56,518
$ 297~974
AT
' REV-1508' EX + (1.97) (I)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAN eETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS,& MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
William H. McKeon 21-03-0963
iTEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1,
M & T Bank Account No. 1348205
Accrued interest on the above account
M & T Bank Account No. 15004204212936
Accrued interest on the above account
1978 Cadillac, see appraisal attached
TOTAL (Also enter on line 5~ Recapitulation)
more space is needed, insert additional sheets of the same size)
19,870
13
74,348
26
6,200
$ 100,457
217
REV-1511 EX + (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
William H. McKeon 21-03-0963
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
2+
2+
5.
6.
7.
8.
9,
FUNERAL EXPENSES:
Carlisle Memorial Services, Inscription
Luncheon following Memorial Service
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Secudty Number(s) / EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
Attumey Fees
Family Exemption: (If decedents address is not the same as claimants, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Return Preparers Fees
Emergency Room Physicians
Automobile appraisal
Death Certificates
State Zip
125
606
7,500
368
15
100
27
TOTAL (Also enter on line 9, Recapitulatio~ $ 8~741
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (6-98) AT
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
William H. McKeon 21-03-0963
Include unrelmbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Pennsylvania income tax owed 478
TOTAL (Also enter on line 10, Recapitulation) $ 478
(If more space is needed, insert additional sheets of the same size)
217
REV-1513 EX + (9~30)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE T,~X RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
William H. McKeon 21-03-0963
NUMBER
1.
2.
3.
4.
II.
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116 (a) (1.2)]
Specific Bequests, see attached
RELATIONSHIP TO DECEDENT
Do Not List Trustee{s)
5%
Laura McKeon Rodgers
315 Glendale Street
Carlisle, PA 17013
Allison E. Rodgers
315 Glendale Street
Carlisle, PA 17013
Kathy McKeon Rodgers
315 Glendale Street
Carlisle, PA 17013
Granddaughter
Granddaughter
Daughter
AMOUNT OR SHARE
Of ESTATE
5%
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 500
(If more space is needed, insert additional sheets of the same size)
B. CHARITABLE AND GOVERNMENTAL D[B'I~ISUTIONS
St. Patrick's Chumh
140 East Pomfret Street
Carlisle, PA 17013
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MACE
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18~ AS APPROPRIATE~ ON REV-1500 COVER SHEET
5OO
9O%
Specific Bequests:
Doris McHugh Christensen
12 Cedar Court
Carlisle, Pennsylvania 17013
Peggy McHugh Dean
422 Kelling Lane
Glencoe, IL 60022
Charles Henery
1121 Hagy Lane, Box 234
Dauphin, PA 17108
Susan Kolva Leitzel
653 Ridge Street
Halifax, PA 17032
Paul Kova, Sr.
313 West Main Street
Lykens, PA 17048
Paul Kolva, Jr.
Hamilton Drive, R.D. 4
Chambersburg, PA 17201
Robert Kolva
300 Market Street
Lykens, PA 17048
Kathryn Lenker
2391 Route 209
Millersburg, PA 17061
Edna McHugh Collins
14478 West Powderhorn
Surprise, AZ 85374
Eleanor McHugh
116 Pine Tree Drive
Newville, PA 17241
Rev. Andrew J. Fontanella
4188 Lawson Barnes Road
Crisfield, MD 21817
Friend
Friend
Friend
Friend
Friend
Friend
Friend
Friend
Friend
Friend
Friend
82.44
41.22
164.88
41.22
41.22
82.44
82.44
82.44
412.20
206.10
412.20
Laura McKeon Rodgers Granddaughter 824.40
315 Glendale Street
Carlisle, PA 17013
Allison E. Rodgers
315 Glendale Street
Carlisle, PA 17013
Kathy McKeon Rodgers
315 Glendale Street
Carlisle, PA 17013
William Rodgers
315 Glendale Street
Carlisle, PA 17013
Dorothy Schwenk
449 North Street
Lykens, PA 17048
Chris Skocznski
530 Clermont Drive
Harrisburg, PA 17112
Nancy McHugh Vincent
2601 Garden Hill Drive, Apt. 202
Raleigh, NC 27614
William Rodgers
1118 Poplar Avenue
Tyrone, PA 16686
Karen Byers
1025 S. West Street
Carlisle, PA 17013
Nancy L. Mallein
30 Pine Creek Drive
Carlisle, PA 17013
Granddaughter
Daughter
Son-in-law
Friend
Friend
Friend
Friend
Friend
Friend
824.40
61.83
412.20
41.22
41.22
41.22
123.66
Randy Brenneman
35 Parker Street
Carlisle, PA 17013
JoycePalm
257 Bonnybrook Road
Carlisle, PA 17013
Friend
Friend
41.22
41.22
Hans&BettyUberseder Friend 41.22
25Front St.
Lititz, PA 17543
Lois Stum
356 Roxburry Road
Newville, PA 17241
Russell Allen
5 Shakespeare Dr.
Singing Spring, PA 19608
John Sward
356 Dogwood Drive
Delmont, PA 15626
Friend
Friend
Friend
82.44
82.44
41.22
Baumanns ,zl utomotive Appraisal Services
1319 Spring Road Carlisle, P,, 17013
Appralsals...Pre-purehase inspections...Research
717-240-0386 e-mail-heybowz~_ffa, net
Date:03~22~04
Name:Kathy Rodgers
Street:31$ Glendale Street
City:Cariisle Pa,17013
Subject:1976 Cadillac Coupe DeViile"E1Deora"
Vin#6D4 7S6Q284 723
Dear Kathy Rodgers
Enclosed please find your appraisal report of the 1976 Cadillac Coupe DeVille.
The vehicle was inspected on 03/22/04 by John Baumann as per your
request. The inspection was performed to determine the "fair market
value ". Fair market value is determined from auction and private sales
of similar condition vehicles. B.~4.A.S. scoring is as follows...
A=Superb/Min~Show or trailered vehicle. No wear..4s new. Not driven
B=Exeilent. Quality restoration or excellent original. Minimal wear.
Limited driver.
C=-Very Good. Some wear or older restoration. Very good original. Street
Driven.
D=Goot~ Original showing proper wear for age. Older amateur restoration.
Driven almost daily.
E. =Below. average. More than allowable wear for age. Rust or dents. Not
m running condition.
F=Poor. Parts or donor car. Frame or floor rust. Incomplete vehicle.
Based on our research. Fair market value for this 1976 Cadillac Coupe DeVille
Vin#6D4 7S6Q284723 is.. $6200.00.. This was based on the vehicle. Condition
and fair market value of other vehicles sold in similar condition.
499 Mitchell Road, Millsboro, DE 19966 MaiI Code DE-MB-12
Frey & Tiley
Attorneys At Law
5 South Hanover Street
Carlisle, PA 17013
Phone (302) 934-2909
F ax 002) 934-2955
December 15, 2003
Re: Estate of William H McKeon
Social Security: 183-12-3320
Date of Death: October 161 2003
Dear Sir or Madam:
Per your inquiW dated November 21, 2003, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
1. Type of Account
Account Number
Ownership (Names oJ)
Opening Date
Balance on Date of Death
Accrued Interest
Total
Checking Account
1348205
William H McKeon
Kathy McKeon Rodgers, POA
11/01/96
$19,870.41
$ 13.24
7~e of Account
Account Number
Ownership (Names oJ)
Opening Date
Balance on Date of Death
Accrued Interest
Total
Savings Account
!500420,1212936
William H McKeon
06/03/03
$74,347.96
$ 26.48
For further account information, closures and/ur reimbursement of funds please call the High Street Carlisle Office at #71%240-4536.
Please be advised, there was no safe deposit box found for the above decedent.
Merrill Lynch
November 24, 2003
Richard M. Coffee
Vice President
Financial Advisor
Private Client Group
214 Senate Avenue
Suite 501
Camp Hill, Pennsylvania 17011
717 975 4626
800 937 0735
FAX 717 975 4663
Richard_Col fee~ral.com
Frey & Tiley
Attorneys-At-Law
Attn.: Robert Frey
5 South Hanover Street
Carlisle, PA 17013
RE: Estate of William H. McKeon
Dear Mr. Frey,
As per the request of Kathy McKeon Rodgers, executrix, I am sending you
the date of death value of the above referenced account as of October 16,
2003. Enclosed is the historical pricing sheet that shows the value of all
securities held in the account on that date, as well as copies of his October
statement.
Please contact me with any questions you may have.
wyn Wertz ~
Client Associate to
Richard Coffee
Financial Advisor
Encl.
016J2 - AGILENT TECHNOLOGIES INC
Date High Price
10/16/2003 24.390
Historical Pricing Inquiry
Cusip: 00846U101
Low Price Close Price Volume
24,020 24.320 1662800
019A2- AT~TWIRELESSSVCSINC Cusip: 00209A106
Date High Price Low Price Close Price Volume
10/16/2003 8,400 8.230 8,270 11639000
14289 - CARLISLE COS INC Cusip: 142339100
Date High Price Low Price Close Price Volume
10/16/2003 52.800 51.560 52,030 562100
228M8 - DELL INC Cusip: 24702R101
Date High Price Low Price Close Price Volume
10/16/2003 36,770 35.750 36.510 15033000
31E27 - EATON VANCE LTD DURATION INC
Date High Price
10/16/2003 18.500
Cusip: 27828H105
Low Price Close Price Volume
18.350 18.400 235400
31FB8 - HANCOCK JOHN PFD INCOME FDI
Date High Price
10/16/2003 24.240
CuSp: 41021P103
Low Price Close Price Volume
24.010 24.010 65200
60739 - PEPSICO INC Cusip: 713448108
Date High Price Low Price Close Price Volume
10/16/2003 48.080 47.620 48,020 3204000
65005 - RITE AID CORP Cusip: 767754104
Date High Price Low Price Close Price Volume
10/16/2003 5,950 5,740 5.770 4490000
97U81 - BLACKROCK FDS Cusip: 091929729
Date Bid Price Offer Price
10/16/2003 9.900 9,900
H9AE7- HOUSEHOLD FIN Cusip: 44181EUC0 Maturity: 5/15/23 Coupon: 5.5
Date High Price Low Price Close Price Volume
10/16/2003 88,720 88.720
The information has been obtained from sources we believe to be reliable but we do not guarantee its accuracy. Past performance is not
indicative of future performance.
9D9UO-WACHOVIA CORP 2ND NEW
Date High Pdce
10/16/2003 45.120
Historical Pricing Inquiry
Cusip: 929903102
Low Price Close Price Volume
44.320 44.820 5348000
97KL7- BLACKROCK FDS
Date
10/16/2003
Cusip: 091928374
Bid Price Offer Price
11.040 11.560
97P31 -EVERGREEN SELECT ADJRATE FD
Date Bid Price
10/16/2003 9.550
Cusip: 299913103
Offer Price
9.550
The information has been obtained from sources we believe to be reliable but we do not guarantee its accuracy. Past performance is not
indicative of future performance.
LAST WILL AND TESTAMENT
OF
WILLIAM H. McKEON
I, WILLIAM H. McKEON, married man, of South Middleton Township, Cumberland
County, Pennsylvania (mailing address: 19 Strawberry Drive, Carlisle, Pennsylvania 17013), being
of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare
this as and for my Last Will and Testament, hereby revoking and making void any and ail Wills by
me at any time heretofore made.
1. I direct my hereinafter named Executor to pay all of my debts to which I am bound and
the expenses of my funeral, last illness, and of the administration of my estate as soon after my
death as may be found convenient to do so. I further direct that my hereinafter named Executor
make arrangements for my burial at the family grave at St. Patrick's Cemetery and that the expense
of engraving the gravemarker at the said family grave be paid as goon as practicable after my death
as a part of the expense of the administration of my estate.
2. I declare that ! am married to Kathryn Shoemaker McKeon, and that I have one
daughter, Kathy McKeon Rodgers. I further declare that I have no other children.
3. I give and bequeath all my tangible personal property, including automobiles, together
with all insurance on such property, to my wife, Kathryn Shoemaker McKeon, provided she shall
survive me by a period ninety (90) days. In the event that my said wife should predecease me or
fail to survive me by the aforesaid period of ninety (90) days, then in such event all of my said
tangible personal property shall be added to the residue of my estate.
4. I give and bequeath an amount equal to the baiance in my Individuai Retirement Account
at the time of my death to those persons and in the proportions as stated below.
Doris McHugh Christensen 1%
12 Cedar Court
Carlisle, PA 17013
Peggy McHugh Dean
· +~ Kelhng bane
Glencoe, IL 60022
Charles Henery
1121 Hagy Lane, Box 234
Dauphin, PA 17108
Susan Kolva Leitzel
653 Ridge Street
Halifax, PA 17032
Paul Kolva, Sr.
313 West Main Street
Lykens, PA 17048
Paul Kolva, Jr.
Hamilton Dr, R.D. 4
Chambersburg, PA 17201
0.5%
2%
0.5%
0.5%
1%
Page 1 of 6 pages
RolSert Kolva
300 Market Street
Lykens, PA 17048
Kathryn Lenker
RD 1, Box 201
Millersburg, PA 17061
Edna McHugh Collins
19964 Window Rock Drive
Surprise, AZ 85374
Joseph & Eleanor McHugh
116 Pine Tree Drive
New~ille, PA 17241
Rev. Andrew J. Fontanella
Personal
140 E. Pomfret Street
Carlisle, PA 17013
Laura McKeon Rodgers
250 South Pitt Street
Carlisle, PA 17013
Allison E. Rodgers
250 South Pitt Street
Carlisle, PA 17013
Kathy McKeon Rodgers
250 South Pitt Street
Carlisle, PA 17013
William Rodgers
250 South Pitt Street
Carlisle, PA 17013
Dorothy Schwenk
449 North Street
Lykens, PA 17048
Chris Skocznski
530 Clermont Drive
Harrisburg, PA 17112
Nancy McHugh Vincent
110 Hillcrest Road
Camp Hill, PA 17011-1905
William Rodgers
1118 Poplar Avenue
Tyrone, PA 16686
1%
1.0%
5%
2.5%
5%
10%
10%
10%
10%
0.75%
5%
0.5%
0.5%
P~e2of6p~es
Karen Byers
1025 S. West Street
Carlisle, PA 17013
0.5%
Nancy L. Mallein
250 McKnight St.
Carlisle, PA 17013
1.5%
Randy Brenneman
35 Parker Street
Carlisle, PA 17013
0.5%
Joyce Palm
254 W. North St.
Carlisle, PA 17013
0.5%
Kathryn Shoemaker McKeon
19 Strawberry Drive
Carlisle, PA 17013
20%
Hans & Betty Uberseder
25 Front St.
Lititz, PA 17543
0.5%
Lois Stum
356 Roxburry Road
Newville, PA 17241
1%
Russell Allen
5 Shakespeare Dr.
Singing Spring, PA 19608
1%
John Sward
150 Garfield Drive
Carlisle, PA 17013
0.5%
Should any persons predecease me or fail to qualify me by a period of ninety (90) days, that
share shall lapse and be added to the residue of my estate. Further, any balance remaining after the
payment of the above-stated bequests shall be added to the residue of my estate.
5. I give and bequeath the sum of $500.00 to St. Patrick Church, Carlisle, Pennsylvania.
6. All the rest, residue, and remainder of my estate, real, personal, or mixed, and
wheresoever the same may be situate, I give, devise, and bequeath as follows:
a. 5% to my grandchild, Laura McKeon Rodgers.
b. 5% to my grandchild, Allison E. Rodgers.
c. 90% to my daughter, Kathy McKeon Rodgers.
Page 3 of 6 pages
Provided, however, that each shall survive me by a period of ninety (90) days, and if any of the
above-named persons fail to so survive me, the share that person would have received shall pass to
her issue per stirpes, and if there be no such issue, the share shall lapse and be added to the
remaining share or shares.
7. Should any person less than 21 years of age be entitled to distribution from my estate,
in such event the share that person would otherwise have received shall be paid to my daughter,
Kathy McKeon Rodgers and her husband William G. Rodgers, or either of them, in trust. I
authorize the herein named trustee to receive and invest the same, and to pay the income arising
therefrom, together with so much of the principal thereof as in his or her opinion is necessary or
desirable to be expended for the proper maintenance, support, and education of such person, to or
for the benefit of such person, and upon such person attaining 21 years of age to pay to him or her
the then remaining principal together with any undistributed income.
8. I direct that all inheritance, estate, and succession taxes payable by reason of my death
with respect to property passing under my will or any codicil of my will, pursuant to any
beneficiary designations contained in any insurance policies on my life, or pursuant to any joint
ownership with me of any property, shall be paid out of residue of the estate without charge or
contribution from any person so receiving property as aforesaid.
9. I hereby nominate, constitute, and appoint my daughter, Kathy McKeon Rodgers, as
Executrix of this my Last Will and Testament, but should she predecease me or fail to qualify, then
in such event I nominate, constitute, and appoint William G. Rodgers, as Executor, and I further
direct that neither of them shall be required to post any bond to secure the faithful performance of
his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction.
10. In addition to the powers conferred by law, my herein named Executors and Trustees
are empowered:
a. To invest any part of the trust corpus in such securities, investments, or other
property as may be deemed advisable and proper, irrespective of whether the same are
authorized for the investment of trust funds under the laws of any governing jurisdiction.
b. With respect to any corporation, the stocks, bonds, or other securities of wh/ch
may be held, to vote in person or by proxy on any shares of stock; to consent to the merger,
consolidation or reorganization of such corporations; to consent to the leasing, mortgaging,
or sale of the property of any such corporations; to make any surrender, exchange or
substitution of such stocks, bonds, or other securities as an incident to the merger,
consolidation or reorganization of such corporations; to pay all assessments, subscriptions
and other sums of money which may be deemed wise and expedient for the protection and
maintenance of the proportionate interest of the investment in such corporations; to exemise
any option or privilege which may be conferred upon the holders of such stocks, bonds, or
other securities of such corporations either for the conversion of the same into other
securities or for the purchase of additional securities, and to make any and all necessary
payments which may be required in connection therewith; and generally to have and
exemise as to all such stocks, bonds, and other securities, the powers of an individual owner
who is under trust obligation.
c. To hold the trust corpus in one or more consolidated funds in which separate
shares shall have undivided interests.
Page 4 of 6 pages
parily on c~redit, and upon such terms and conditions as shall be
parts of the trust estate, and no purchaser at any such sale shall be bound to inquire into
expediency or propriety of any such sale or to see to the application of the purchase money
arising therefrom.
e. To keep on hand and uninvested such moneys as may be deemed proper and for
such period as may be found expedient.
f. To compromise, settle, or arbitrate any claim or demand in favor of or against the
trust estate.
g. And authorized in the discharge of fiduciary duties, to employ counsel and to
determine and to pay such counsel reasonable compensation which shall be charged against
the principal or income of the trust fund, and shall further be entitled to charge against the
principal or income such other reasonable expenses and charges as may be necessary and
proper to incur for the proper discharge of fiduciary duties and for the proper management
and administration of the trust estate.
h. In making any division of property into shares for the purpose of any distribution
thereof directed by the provisions of the trust, to make such division or distribution, either in
cash or in k/nd, or partly in cash and partly in kind, as shall be deemed most expedient, and
in making any division or distribution in kind may allot any specific security or property or
any undivided interest therein to any one or more of such shares, and to that end may
appraise any or all of the property so to be allotted and the judgment as to the propriety of
such allotment and as to the relative value for purposes of distribution of the securities or
property so allotted shall be final and conclusive upon all persons interested in the trust or
in the division or distribution thereof.
i. Authorized to register any shares of stock or other assets of any trust in their own
names or in the name of a nominee.
Page 5 of 6 pages
WILLIAM H. McKEON
Signed. s~;~i :~::, published and declared, by WILLIAM H. McKEON, the Testator above
named, ~ts and 2,[' ti. i.ast Will and Testament, in our presence, who, in his presence, at his request,
and in the ?rcscr~.'e ,~ each other, have hereunto subscribed our names as attesting wimesses.
Page 6 of 6 pages
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENTOFREVENUE
BUREAU OFINDIVlDUAL TAXES
DEPT280601
HARRISBURG, PA 17128 0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 004770
FREY ROBERT G
5 S HANOVER STREET
CARLISLE, PA 17013
ESTATE INFORMATION: SSN: 183-12-3320
FILE NUMBER: 21 03- 0963
DECEDENT NAME: MCKEON WILLIAM H
DATE OF PAYMENT: 12/27/2004
POSTMARK DATE: 12/27/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 10/16/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 ~2,003.00
TOTAL AMOUNT PAID:
$2,003.00
REMARKS:
SEAL
CHECK# 140
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
dUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
ROBERT G FREY
FREYc~ TILEY
,5 S HANOVER ST
CARL:l$LE
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-07-2005
MCKEON
10-16-2003
21 03-0963
CUMBERLAND
101
'*
REY-15~7 EX AFP 112-0~1
WILLIAM
H
Allount Rellitted
PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CVTALONGli:!tHIS Lil.NJ .... RETAIN LOWER PORTION FOR YOUR RECORDS ....
Ii:V:IA~7&--A')-~--6'!'r-NoT-icE-oF-l'NHEiti"lN-cE-TAx-APplA-fsEMEN'~--A[tOWANCE-OR-----------------
(~ I, .' DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MCKEON WILLIAM H FILE NO. 21 03-0963 ACN 101 DATE 03-07-2005
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
.....,-
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
r~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. AMount of Line 14 at Spousal rate (IS)
16. AlIount of Line 14 taxable at Lineal/Class A rate (16)
17. AlIount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX C
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
297.974.00
.00
.00
100.457.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgaga Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Velue of Tax Return
13. Charitable/Governllental Bequests; Non-elected 9113 Trusts
14. Net Value of Estate Subject to Tax
(9)
(10)
8,741.00
478.00
(11)
(12)
(13)
(14)
(Schedule J)
NOTE:
.00 X
386,012.09 X
.00 X
2,699.91 X
+
INTEREST/PEN PAID (-)
.00
AMOUNT PAID
2,003.00
DATE
12-27-2004
NUMBER
CD004770
~
INTEREST IS CHARGED THROUGH 03-22-2005
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
398,431. 00
g.ng 00
389,212.00
500.00
388,712.00
00 =
045 =
12 =
15 =
.00
17,370.54
.00
404.99
17,775.53
(19)=
2,003.00
15,772.53
502.64
16,275.17
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV'1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
William H McKeon
FILE NUMBER
Deborah Washington
ACN
2103-0963
101
REVIEWED BY
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
The value of the estate has been adjusted as the result of the correction of an error in
arithmetic.
ROW
Page 1
Cumberland County - Register Of wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/15/2005
RODGERS KATHY MCKEON
315 GLENDALE STREET
CARLISLE, PA 17013
RE: Estate of MCKEON WILLIAM H
File Number: 2003-00963
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by: 10/16/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
.~~AJ.~
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date:
9/15/2005
FREY ROBERT G
5 S HANOVER STREET
CARLISLE, PA 17013
RE: Estate of MCKEON WILLIAM H
File Number: 2003-00963
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after
July I, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by: 10/16/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
;; ~"'. d!.L. I'~
-0" ~i ' , , " i:a:zt;./h//J
~.~ "~o :4'/t-l'&A.J ok. '~~ _Zv
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Personal Representative(s)
Judge
t.J,.
LL!
C.)
E~- -
----', .
'-."
STATUS REPORT UNDER RULE 6.12
Name of Decedent: William H. McKeon
Date of Death:
October 16. 2003
Will No.
2003-00963
Admin. No. 21-03--0963
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion ofthe administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes () No (X )
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete: December 31, 2005.
3. If the answer to No. 1 is Yes, state the following:
(a) Did the personal representative file a fmal account with the Court?
Yes () No ( )
(b) The separate Orphans' Court no. (if any) for the personal
representative's account is:
(c) Did the personal representative state an account informally to the parties
in interest? Yes ( ) No ( )
(d) Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attached to
this report.
Date: October 17,2005
~..J
'~ -LJ
en
u')
Robert G. Frey
5 South Hanover Street
Carlisle. Pa 17013
r'~:-'
~-;.
(717) 243-5838
;--
Capacity: ( ) Personal Representative
C___J
1._-;,
c::::'
.._~- ,
0--,
( X) Counsel for personal representative
Vh
STATUS REPORT UNDER RULE 6.12
Name of Decedent: William H. McKeon
Date of Death:
October 16. 2003
Will No.
2003-00963
Admin. No. 21-03--0963
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 ( X ) No (X )
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete: December 31,2005.
3. If the answer to No.1 is Yes, state the following:
(a) Did the personal representative file a final account with the Court?
Yes () No ( )
(b) The separate Orphans' Court no. (if any) for the personal
representative's account is:
(c) Did the personal representative state an account informally to the parties
in interest? Yes (X ) No ( )
(d) Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attached to
this report.
Date: January 30, 2006
I~' \ \-1
\ / ""~~^vSJ~
v
Robert G. Frey
5 South Hanover Street
Carlisle. Pa 17013
(717) 243-5838
Capacity: ( ) Personal Representative
( X) Counsel for Personal Representative
~t;
STATUS REPORT UNDER RULE 6.12
Name of Decedent: William H. McKeon
Date of Death:
October 16.2003
Will No.
2003-00963
Admin. No. 21-03--0963
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 ( X ) No ( )
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete: December 31, 2005.
3. If the answer to No.1 is Yes, state the following:
(a) Did the personal representative file a final account with the Court?
Yes () No ( )
(b) The separate Orphans' Court no. (if any) for the personal
representative's account is:
(c) Did the personal representative state an account informally to the parties
in interest? Yes (X ) No ( )
(d) Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attached to
this report.
Date: January 30, 2006
(\ \ \11 A ~
V ~-:J.'
Robert G. Frey
5 South Hanover Street
Carlisle. Pa 17013
(717) 243-5838
,Capacity: ( ) Personal Representative
-1
,~
( X) Counsel for Personal Representative
6 Z :5 1:'1 1--
r-'
)i,,;
~:t
COMMONWEAL TH OF PENNSYl VANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96j
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RODGERS KATHY MCKEON
315 GLENDALE STREET
CARLISLE, PA 17013
-------- fold
ESTATE INFORMATION: SSN: 183-12-3320
FILE NUMBER: 2103-0963
DECEDENT NAME: MCKEON WILLIAM H
DA TE OF PAYMENT: 07/20/2006
POSTMARK DATE: 07/20/2006
COUNTY: CUMBERLAND
DATE OF CEATH: 10/16/2003
NO. CD 006998
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $18.89
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: KATHY M RODGERS
CH ECK# 2053
SEAL
INITIALS: eM
RECEIVED BY:
REGISTER OF WILLS
$18.89
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF II,DIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RODGERS I(ATHY MCI(EON
315 GLENDALE STREET
CARLISLE, PA 17013
__nun fold
ESTATE INFORMATION: SSN: 183-12-3320
FILE NUMBER: 2103-0963
DECEDENT NAME: MCI(EON WILLIAM H
DA TE OF PAYMENT: 06/26/2006
POSTMARK DATE: 01/12/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 10/16/2003
NO. CD 006883
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $15,000.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARI(S:
CHECK# 101
SEAL
INITIALS: MW
RECEIVED BY:
REGISTER OF WILLS
$15,000.00
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONW,.i\lTH OF PENNSYLVANIA
DEPARTlvlE~JT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEFT 280601
HARRISE,URC.3, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 003431
DUPLICA TE
RODGERS I<ATHY MCKEON
315 GLENDALE STREET
CARLISLE, PA 17013
______u fold
ESTATE INFORMATION: SSN: 183-09-8310
FILE NUMBER: 2103-0158
DECEDENT NAME: MCI<EON KATHRYN SHOEMAK
DATE OF PAYMENT: 01/12/2004
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 02/13/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $15,000.00
I
I
F I
I
I
I
I
I
TOTAL AMOUNT PAID:
$15,000.00
REMARKS: I<ATHY MCKEON RODGERS
CHECI<# 101
SEAL
INITIALS: SK
RECEIVED BY:
'J () to -LU L O\l?{t:,1J {(~{f~_. ~
C- '\ I -l ;-\ t'7 0,.:2..
-:J '-.tiLL 'Z.. f(_~. -..) .)-1 ~u
LOn' ~~ - (1, \Clc~e C\\ ~C-
QL (~L-'--1")+~ &:}:'O
~')~ . \r\ 1\
J \()LiJr~ LL_LV (X-~---
/,c\2lDlub
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,', r~'-';-!"\ (\:::r!:('f C;INHERITANCE TAX
IIIERITANCE TAX DIVISION \::[~,ii '\'" ;'-t; .'.,,<l \)-:.STATEMENT OF ACCOUNT
PO BOX 280601 ! ',. '..,' ,,). ,.. '
HARRISBURG PA 17128-0601
'*
REV-1607 EX AFP (03-05)
II \
,
r ~ ,. r\ IJ
t .' \)
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
07-03-2006
MCKEON
10-16-2003
21 03-0963
CUMBERLAND
101
AIIOW\t R_i Hed
WILLIAM
H
ROBERT G FREY
FREV & TILEV
5 S HANOVER ST
CARLISLE
PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax pa~.nt.
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
---------------------------------------------------------------------------
REV-1607 EX AFP (03-05)
--- INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF MCKEON WILLIAM H FILE NO.21 03-0963 ACN 101 DATE 07-03-2006
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHONN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-07-2005
PRINCIPAL TAX DUE: 17,775.53
PAVMENTS (TAX CREDITS):
INT
AT
REV
PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-27-2004 CD004770 .00 2,003.00
01-12-2006 CD006883 .00 15,000.00
EREST IS CHARGED THROUGH 07-18-2006 TOTAL TAX CREDIT 17,003.00
THE RATES APPLICABLE AS OUTLINED ON THE
ERSE SIDE OF THIS FORM.- BALANCE OF TAX DUE 772.53
INTEREST AND PEN. 1,180.40
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 1,952.93
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
f)C(\nDnc~~~lE"(~NCE TAX
r\:I.\.AST~t~M~~(: OF ACCOUNT
\-"'J~(',\"._" - - I,' -j 'i' '.!
1",1,)...
'*
v
REV-1607 EX AFP (03-05)
ROBERT G FREY
FREY & TILEY
5 S HANOVER ST
CARLISLE
I?' ,~TE
ie.' ESTATE OF
DATE OF DEATH
FILE NUMBER
,~pOUNTY
ACN
08-07-2006
MCKEON
10-16";2003
21 03-0963
CUMBERLAND
101
Alaount R..i tt.d
WILLIAM
H
'lGOS ~JJG \ L}
PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
NOTE: To insure proper credit to your 8ccountl submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE
--. REtAIN LOWER PORTION FOR YOUR RECORDS +--
---------------------------1------------------------------------------------
REV-1607 EX AFP (03-05)
*** lNHERITANCE TAX STATEMENT OF ACCOUNT KKK
ESTATE OF MCKEON WILLIA H FILE NO. 21 03-0963 ACN 101 DATE 08-07-2006
THIS STATEMENT IS PROVIDED TO ADVISE OF HE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUEl A PLICATION OF ALL PAYMENTS I THE CURRENT BALANCEI ANDI IF APPLICABLE I
A PROJECTED INTEREST FIGURE. !
DATE OF LAST ASSESSMENT OR RECORO ADJUSTMENT: 03-07-2005
PRINCIPAL TAX DUE: 171775.53
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER IN~EREST/PEN PAID (-)
I
01-12-2004 CD006883 789.47 151000.00
12-27-2004 CD004770 16.94- 21003.00
07-20-2006 CD006998 18.89- 18.89
.
TOTAL TAX CREDIT 171775.53
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATEI SEE REVERSE! TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I
( IF TOTAL DUE IS LESS THAN $11
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRll
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l