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HomeMy WebLinkAbout07-31-12 (2) 1505610140 1500 EX `°'_'°' -' REV - OFFICIAL uSE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number Po Box 280601 INHERITANCE TAX RETURN 2 1 1 2 0 1 0 9 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Deat h MMDDYYYY Date of Birth MMDDYYYY 5 2 0 1 2 0 6 1 4 1 9 3 1 Decedent's Last Name Suffix Decedent's First Name MI S A N T O R O F R A N K D (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW o 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) 0 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number B E N J A M I N J B U T L E R 7 1 7 2 3 6 1 4 8 5 REGISTER OF WILLS USE O~ n ~..a ~."t First line of address ~ ~; =;-j ,C r.~~ 1 0 0 7 M U M M A ~` w R O A D ~ ~~ ~ ~ `~' ~ ~ ._.. :73 Second line of address ~' ~ _ DATE F1`~D -- ~ e ~ ~ rtr-~ City or Post Office State ZIP Code _ __ ---~ ~ cs `~~ L E M O Y N E .c- P A 1 7 0 4 3 ' Correspondent's a-mail address: LAWYERS(cf~,BUTLERLAWFIRM.COM Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN EiOF PERSON ESP FOR ENdAMG RETURN DATial I ~ ~ iI ~-- 803 MAND~' ANE CAMP HILL PA 17011 SIGNATURE OF EP THE AN SENTATIVE DATE ~_ ~~`~2_ 1007 MUMMA ROAD, SUITE 101 LEMOYNE PA 17043 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 1505610240 REV-1500 EX Decedent's Social Security Number Decedent's Name: FRANK D• SANTORO RECAPITULATION 1. Real Estate (Schedule A) ......................................... .. 1. 2. Stocks and Bonds (Schedule B) .................................... .. 2. 5 9 7 0 . 8 9 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 4. Mortgages and Notes Receivable (Schedule D) ........................ .. 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 2 2 4 3 . 3 4 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property S h d l G ~ S 2 6 ~ 9 3 9 0 ( c e u e ) eparate Billing Requested ..... .. 7. . 8. Total Gross Assets (total Lines 1 through 7) ......................... .. 8. 3 5 0 0 8 • 1 3 9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9• 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) ............. 10. 11. Total Deductions (total Lines 9 and 10) ............................... 11. 12. Net Value of Estate (Line 8 minus Line 11) ........ ........... ....... .. 12• 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .. ........... ....... .. 13• 14. Net Value Subject to Tax (Line 12 minus Line 13) .. ........... ....... .. 14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 _ 0 0 0 15. 16. Amount of Line 14 taxable at lineal rate X .045 1 1 1 8 4. 1 8 16. 17. Amount of Line 14 taxable at sibling rate X .12 0 0 0 17. 18. Amount of Line 14 taxable at collateral rate X .15 0 0 0 18. 19. TAX DUE ......................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610240 1 6 8 3 0. 4 7 6 9 9 3. 4 8 2 3 8 2 3. 9 5 1 1 1 8 4. 1 8 1 1 1 8 4. 1 8 D. 0 0 5 0 3. 2 9 0. 0 0 0. 0 0 5 0 3. 2 9 1505610240 .EV-1500~EX Page 3 decedent's Complete Address: DECEDENT'S NAME FRANK D. SANTORO STREET ADDRESS 1000 West South Street File Number 21 12 0109 CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1• Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments - B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) 503.29 Total Credits (A + B) (2) (3) 0.00 (4) 0.00 (5) 503.29 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 : .................................................................. .... ^ 0 b. retain the right to designate who shall use the property transferred or its income; ........................... .... ^ X^ c. retain a reversionary interest; or ............................................................................................ .... ^ X^ 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? ................................................................................... .... X^ ^ 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? .............................................................................................. .... ~ ^ 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 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only 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)]. Asibling is defined, unde Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1503 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 6 STOCKS & BONDS ESTATE OF FILE NUMBER FRANK D. SANTORO 21 12 0109 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 171.00 shares MetLife, Inc. (MET) @ $34.9175 5,970.89 TOTAL (Also enter on line 2, Recapitulation) I $ 5 970 89 (If more space is needed, insert additional sheets of the same size) 2EV-1508 EX+ (11-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF; FILE NUMBER: FRANK D. SANTORO 21 12 0109 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Ambler Savings Bank -N.O.W. Checking Account No. 001-3080585 286.56 with accrued interest of $.50 2. Ambler Savings Bank -Savings Account No. 00-17004534 382.70 with accrued interest of $.06 3. 2011 1040 -Refund 1,285.00 4. 2012 1040 -Refund 16.00 5. MetLife, Inc. -Dividend with record date before death but payable after death 253.08 6. Fulton Bank -Checking Account 20.00 TOTAL (Also enter on Line 5, Recapitulation) I $ 2 243 34 If more space is needed, insert additional sheets of paper of the same size REV-1510 EX+ (08-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER FRANK D. SANTORO 21 12 0109 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DUMBER DESCRIPTION OF PROPERTY INCIUDETHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENiAND THE DATEDFTRANSFER.ATTACHACOPYOFTHEDEEDFORREALESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST EXCLUSION (IFAPPLICABLE) TAXABLE VALUE 1. Ambler Savings Bank -IRA Account No. 00-18104707 22,793.90 100.00 22,793.90 Beneficiaries: Frances Ann (Santoro) Thomas, Nancy Alberta (Santoro) Schappell and Madeline Marie (Santoro) Reilley [all lineal] 2. Cash transfer to Frances Ann (Santoro) Thomas within 1 year of death 5,000.00 100.00 3,000.00 2,000.00 3. Cash transfer to Madeline Marie (Santoro) Reilley within 1 year of death 5,000.00 100.00 3,000.00 2,000.00 TOTAL (Also enter on Line 7 Recapitulation) I S 26 793 90 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (70-09) ' pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER FRANK D. SANTORO 21 12 0109 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hetrick-Bitner Funeral Home, Inc. 3,973.13 2. Urban Funeral Home, Inc. 5,173.00 3. Headstone 600.00 4. Flowers 512.00 5. William Penn Inn -Funeral Reception 1,739.64 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: 2, Attorney Fees: Butler Law Firm 3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant SVeet Address 4. 5. 6. 7. 8. 9. 10. 11. 12. City State ZIP Relationship of Claimant to Decedent Probate Fees: Accountant Fees: Tax Return Preparer Fees: 2010 1040 and PA-40; 2011 1040 and PA-40; 2012 1041 and PA-41 Cumberland Law Journal -Estate Advertising The Sentinel -Estate Advertising Cumberland County Register of Wills -Additional Short Certificates Notary Fee Photocopies Cumberland County Register of Wills -Filing Fee 3,720.00 183.50 5 85.00 75.00 221.40 12.00 5.00 0.80 30.00 TOTAL (Also enter on Line 9, Recapitulation) 3 16,830.47 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-OS) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER FRANK D. SANTORO 21 12 0109 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Sarah A. Todd Memorial Home 6,502.12 2. Cumberland Goodwill Fire Rescue EMS 41.66 3. I West Shore EMS 4. Carlisle Hospital 5. (Miscellaneous Medical Bills 221.78 78.67 149.25 TOTAL (Also enter on Line 40, Recapitulation) I $ If more space is needed, insert additional sheets of the same size. 2EV-1513 EX+ (01-10~ pennsylvania ~ SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: FRANK D. SANTORO 21 12 0109 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSONS} RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).) 1. Madeline Marie (Santoro) Reilley Lineal 4,394.73 921 Van Sant Lane Ambler, PA 19002 2. Frances Ann (Santoro) Thomas Lineal 4,394.73 105 Regiment Court Ft. Washington, PA 19034 3. Nancy Alberta (Santoro) Schappell Lineal 2,394.72 803 Mandy Lane Camp Hill, PA 17011 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN: 1. 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, use additional sheets of paper of the same size. LAST WILL AND TESTAMENT OF FRANK D. SANTORO I, Frank D. Santoro, of 501 Bellaire Avenue, Fort Washington , Pennsylvania, 19034, do make, publish and declare the following as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments or Writings in the nature thereof, or Codicils at any time heretofore made by me. FII2ST: I direct that all my just debts, not barred by the statute of limitations, and the expenses of my last illness and funeral shall be paid as soon as practicable after my death as a part of the expenses of the administration of my estate. SECOND: I give the rest, residue and remainder of my estate, of whatsoever kind and wheresoever situate, to my wife, Madeline Marie Santoro, absolutely. THIl2D: Should my wife, Madeline Marie Santoro, predecease me or die '~ ~ on or before the thirtieth (30 )day following my death, then and in such event, the residue of my estate of whatsoever kind and wheresoever situate, is to be distributed as follows: A. Tangible Personal Property: I give all my tangible personal property including, but not limited to, any and all automobiles, household furniture and furnishings, clothing, jewelry and all personal effects used by me about my person or home, together with all policies of insurance thereon, in equal shares, per stirpes, to those of my children, Madeline Marie (Santoro) Reilley, Frances Ann (Santoro) Thomas and Nancy Alberta (Santoro) Schappell, who survive me by thirty (30) days. In the event that any of my children shall not survive me and also shall not be survived by descendants, then the share of any such child or children shall be divided among the surviving children and the descendants of any of my children who have not survived me; such descendants to take per stirpes, not per capita. Any item of tangible personal property allotted to a minor may, as my executrix thinks advisable, either be delivered to the minor (whose receipt therefore shall be fully effective) or to any person to hold for the minor, or be sold and the proceeds paid to my Trustee as provided in the FOURTH item of this Will. I direct that the expense of packing, shipping, insuring and delivering any such property to any beneficiary entitled thereto shall be paid by my Executrix as an administrative expense of my estate. ~~ While this bequest is absolute, it is my wish that an memorandum I ma Y y leave addressed to my personal representative indicating my desire with respect to the disposal of all or any of these items shall be regarded. B. Residuary Estate: I give the residue of my estate, real and 2 personal, in equal shares, per stirpes, to those of my children, Madeline Marie (Santo) Reilley, Frances Ann (Santoro) TLomas and Nancy Alberta (Santoro) Schappell, who survive me by thirty (30} days. In the event that any of my children shall not survive me and also shall not be survived by descendants, then the share of any such child or children shall be divided among my surviving children and the descendants of any of my children who have not survived me; such descendants to take per stirpes, not per capita. FOURTH: In order to avoid court proceedings for appointment of guardians for. beneficiaries under the age of twenty-one (21) years (hereinafter called "minors") or otherwise disabled, I direct that if any minor or any person, who is, in the opinion of my executrix, disabled by advanced age, illness or other cause, becomes entitled to any distribution hereunder, such distribution shall be held in a separate trust by my Trustee, to pay so much of the income or principal or both as is deemed necessary in the sole and absolute discretion of my Trustee for the health, education (including trade, vocation, and college education), support ~- ;1 and maintenance of such beneficiary or his or her dependents, for those purposes - (by paying bills directly or by payments to the beneficiary, his or her guardian, or any person or organization taking care of the beneficiary), provided that the net income shall be paid to or for the benefit of the beneficiary at least annually, and the balance of such income or principal shall be invested and held by my Trustee and shall be paid to the minor when he or she attains the age of twenty-one (21) years or to a disabled person when he or she, in my Trustee's sole and absolute opinion, becomes free of disability. FIFTH: If my Trustee, in her sole discretion, determines that it is impractical to administer any fund held hereunder as a trust, my Trustee, without further responsibility, may pay the fund to the person then eligible to receive income from it. If that person is a minor or is, in my Trustee's opinion, disabled by advanced age, illness or other cause, my Trustee may pay the fund to the guardian of the beneficiary or to any person or organization taking care of the beneficiary or, in the case of a minor, may deposit it in a savings account in the minor's name, payable to him or her at age 21; provided that funds held for any beneficiary shall be paid to his or her legal representative. My Trustee shall have no further responsibility for any fund so paid or deposited. /~ „~ SIXTH: Should any of my beneficiaries who survive me by thirty (30) days be twenty-one (21) years of age or older at the time of my death, then the Trust created in the FOURTH Item of this Will shall have no effect whatsoever. SEVENTH: To the greatest extent permitted by law, before actual payment to a beneficiary, all principal and income shall be free from anticipation, pledge, or obligation of any beneficiary, and shall not be subject to attachment, execution or any other legal process. EIGHTH: All federal, state, and other death taxes payable on the property forming my gross estate for that purpose, whether or not it passed under this will, 4 shall be paid out of the principal of my probate estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. NINTH: In addition to the authority conferred upon the fiduciaries by law, my Executor and Trustee shall have the following powers with respect to both principal and accumulated income, as well as other matters, and such powers shall continue until distribution is actually made: (a) To accept in kind and retain any real or personal property which I may own at my death, and to invest in and purchase any form of property, real or personal, without restrictions to legal investments for fiduciaries. (b) To purchase investments at a premium, and at their discretion, to charge such premium on any investment owned by me at my death, either to principal or income. ( c) To give proxies and to join in any merger, reorganization, voting trust plan or other concerted actions of security holders affecting investments. (d) To sell at public or private sale, exchange or lease for any period of time, any real or personal property, or to give options for sales or leases at such prices or terms as they shall in their sole discretion deem best. 5 (e) To borrow money and to mortgage or pledge any real or personal property. (fj To compromise claims. (g} To distribute the property in kind. (h) To conduct alone or with others any business in which I am engaged or in which I have an interest at my death with all the powers of an owner with respect thereto. All powers, authorities and discretion granted by this Will shall be in addition to those granted by law and shall be exercisable without court authorization. All decisions under this Item shall be made in the sole discretion of my Executrix and/or Trustee and shall be conclusive upon all persons concerned. TENTH: I hereby nominate, constitute and appoint my wife, Madeline Marie Santoro, to serve as Executrix of this, my Last Will and Testament. In the event that my wife shall predecease me or fail to survive me by thirty (30) days, then and in such event, I hereby nominate, constitute and appoint (T' my daughter, Madeline Marie (Santoro) Reille , to serve as Executrix of m Y y estate. ELEVENTH: In order to effectuate the provisions set forth in the FOURTH Item of this Will, I appoint my daughter, Madeline Marie (Santoro) 6 Reilley as Trustee of any trusts established in the FOURTH Item of this Will. If she is unable to act as Trustee, then I appoint her husband, John Reilley as substitute Trustee. TWELFTH: I direct that my Executor, Trustee and/or Guardians, as well as their successors, shall not be required to give bond or post security for the faithful performance of their duties in any jurisdiction in which they may act. IN WITNESS WI~REOF, I have hereunto set my hand and seal this ~~ day of ~~~~, 2005. ~`~~ FRANK D. SANTORO SIGNED, SEALED, PUBLISHED, and DECLARED, by the above-named Testator, as and for his Last Will and Testament, in the presence of each other, the said Testator executed the preceding instrument consisting of this and s'~ (~ }other typewritten pages, each identified by the signature of the Testator, also done in our presence and in the presence of each other and we have on this day hereunto subscribed our names as witnesses. Name Name -~S ~ Vie. o~,~ ~1c~ Address ~~ ~ 03~ Address 7 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF MONTGOMERY We, Frank D. Santoro, ~i;//LDP ~,q. ~c~~_, and ~~{~ ® ~~~, the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed this instrument as his Last Will and that he signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of their knowledge, the Testator was at the time eighteen years or age or older, of sound mind and under no constraint or undue influence. ~,~ ~, FRANK D. SANTORO ~~~ _ ~ ~~ Subscribed, sworn to and acknowledged before me by Frank D. Santoro, the Testator, and subscribed and sworn to before me by/~'Ni m~A.Sc~Att1~ and ~~~ ,witnesses,-this ~_ day of~~~~ ~~~' , 2005. ~~ ~~ Notary Public /~ T'atricia A. Zaff / ` District Justiceano Montgomery Count y District Court 3g_~'i0'4 My Commission Expires g 1 °' Monday of January 2006 MET Historical Prices ~ MetLife, Inc. Common Stock Stock -Yahoo! Finance Page 1 of 2 ' i.. Ni, Benjamin Sign t?ut Help Preview Mail wl Y! Toolbar Mail My Y! Yahoo! r _ .. _.. _._.. ~.____..__..... r..___.-._ Search Search Web f. .. _.. _.:.:.... ~- - _... HOME INVESTING NEWS PERSONAL FINANCE MY PORTFOLIOS EXCLUSIVES FANTASY FINANCE l Get Quotes ':. Tue, Mar 20, 2012, 3:38PM EDT- U.S. Markets close in 22 mins. Dow 30.42% Nasdaq 30.05% ,~..~ttroa. E~`1"i~t~-CJE' MET OPEN d OPEN Atd ACta1lNT ..,... c+~rx~or s~euRrtrcs uc MetQLife, Inc. Common Stodc (MET)- NYSE Ada to Portfolio uke ! a~ 3 V . ~O 1' ~. ~ ~ ~~.28%~ 3:38PM EDT -Nasdaq Real Time Price Historical Prices cet Hlstorlcal Prlces ror:' GO Set Date Range __ (o; Daily Start Date:.Jan 13 2012 Eg. Jan 1, 2oto ;_:~ Weekly ___ End Date: Jan ~= 17 ' 2012 ~;_:' Monthly i_! Dividends Only Get Prices Prlces Date Open High Low Close Jan 17, 2012 35.62 35.98 34.50 34.65 Jan 13, 2012 35.17 35.31 33.88 35.24 ' Close price adjusted for dividends and splits. !'~! Download to Spreadsheet Currency in USD. ~o . yy = 2 f~9-~~ =. 2.. First ~ Previous ~ Next ~ La; Volume Adj Close' 10,763,100 34.65 10,962,600 35.24 First ~ Previous ~ Next ~ La; 3s.2~) 3y-5°~r Copyright r?r?012 Yahoo! Ina AA r~hls reservad Privacy Pnliry - Aoout Our Ads -Terms ai Servico - CopyriahUlP Peficy -send r-eadback -Yahoo. -ABC News Network Quotes for NYSE, Nasdaq and NYSEAmex are Real-time and sourced from Nasdaq Last Sale when available. If not available from NLS, quotes will appear delayed from primary listing source, See also delay times for other exchanges. Ouoies and other inforrnation supplied by independent providers identified on the Yahoo! Finance partner page.0uoies are updated automatically. but wit{ be turned off after 25 minutes of inactivity. Ctuotes are delayed at least 15 n>inutes. All information providetl "as is" for informational purposes only, nai intended for trading purposes or advice. Neither Yahoo! nw any of independent providers is liable for any informational errors, incompleteness, or delays, or for any actions taken in reliance on information contained herein. By accessing the Yahoo! site, you agree not to redistribute the inforrnation found therein. http://finance.yahoo.com/q/hp?s=MET&a=00&b=13&c=2012&d=00&e=17&1=2012&g=d 3/20/2012 ENDORSEMENT OF ATTACHED CHECK CONSTITUTES RECEIPT IN FULL PAYMENT OF ACCOUNT AS SHOWN. RETURN IF INCORRECT: DETACH BEFORE DEPOSITING ' - ACCOUN - ~ - T NUMBER AMOUNT DESCRIPTION $669.26 01/27/12 Check #:74587 Teller #: 53 WDR TO CLOSE 01-70-04534 $382.70 01-30-80585 $286.56 ~~ BANK Founded 1874 Form 1040 2011 FRANK SANTORO 207-24-7819 Pa e 2 Tax and ~ Amount from line 37 (adjusted gross income) ......................................... . 38 24 196 . CredltS Standard Deduction for - 39a Check ~ XBYou were born before January 2, 1947, 8 Blind. Total boxes if: Spouse was born before January 2, 1947, Blind. checked ~ 39a b If your spouse itemizes on a separate return or you were adual-status alien, check here ........ - 39 b 40 Itemized deductions (from Schedule A) or your standard deduction (see instructions) .................. 1 . 0 7 83 . • P l h 41 Subtract line 40 from line 38 ........... ........ ..................................... . 41 -12 987 , e w eop o check any box 42 Exemptions. Multiply $3,700 by the number on line 6d .. ............................. . 42 3 700. on line 39a or 39b or who can 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0 ....................................................... . 43 0 . be claimed as a dependent, see instructlons 44 Tax (see instrs). Check if any from: a b B Form(s) 8814 c 962 election Form 4972 .......................... . 44 0. . 45 Alternative minimum tax (see instructions). Att ach Form 6251 ......................... . 45 0 , • All others: 46 Add lines 44 and 45 ............................................................... ~ 46 0, Single or Marri d fil 47 Foreign tax credit. Attach Form 1116 if required ............ 47 e ing separately, 4g Credit for child and de ndent care ex enses. Attach Farm 2441.......... ~ p 48 $5,800 49 Education credits from Form 8863, line 23 .................. 49 Married filing jointl or 50 Retirement savings contributions credit. Attach Form 8880.. 50 y Quallfying 51 Child tax credit (see instructions) .......................... 51 widow(er), $11 600 52 Residential energy credits. Attach Form 5695 ............... 52 , Head of 53 Other crs from Form: a ~ 3800 b ~ 8801 c ~ 53 I household, $8 500 54 Add lines 47 through 53. These are your total credits ........ ..... .................... . 54 , 55 Subtract line 54 from line 46. If line 54 is more than line 46, enter -0 .................. - 55 0 . Other 56 Self-employment tax. Attach Schedule SE ..................................................... . 56 Taxes 57 Unreported social security and Medicare tax from Form: a ~ 4137 b ~ 8919 ..................... . 57 58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required ................. . 58 59a Household employment taxes from Schedule H ....................................... . 59a b First-time homebuyer credit repayment. Attach Form 5405 if required .................. . 59b 60 Other taxes. Enter code(s) from instructions -------------------- - 60 61 Add lines 55-60. This is your total tax ..................................................... - 61 . 0 . Pa ments 62 Federal income tax withheld from Forms W-2 and 1099 ..... 62 1 285 . If you have a 63 2011 estimated tax payments and amount applied from 2010 return........ 63 qualifying 64a Earned income credit (EIC) ............................... h ld tt h 64a c i , a ac Schedule EIC. b Nontaxable combat pay election..... - 64b 65 Additional child tax credit. Attach Form 8812 ............... 65 66 American opportunity credit from Form 8863, line 14........ 66 67 First-time homebuyer credit from Form 5405, line 10........ 67 68 Amount paid with request for extension to file .............. 68 69 Excess social security and tier 1 RRTA tax withheld......... 69 70 Credit for federal tax on fuels. Attach Form 4136 ........... 70 - - 71 Credits from Form: a ~ 2439 b ~ 8839 c ~ 8801 d ~ 8885. 71 72 Add Ins 62, 63 64a, & 65-11. These are our total mts ......................................... - 72 Refund 73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid ............... 73 74a Amount of line 73 you want refunded to ou. If Form 8888 is attached, check here - ~ 74a - bRouting number........ XXXXXXXXXX - c T e: Checking Savings Direct deposit? d Account number....... . See instructlons. 75 Amount of line 13 au want a lied to our 2012 estimated tax ....... ~ 75 Amount 76 Amount you owe. Subtract line 72 from line 61. For details on how to pay see instructions ............... - 76 YOU OWe 77 Estimated tax penalty (see instructions) .................... ~ 77 1, 2 1,2 1,2 Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)?........... X^ Yes. Complete below. ~ No Designee Designee's Phone Personal identification name - GREGORY H. DENK, CPA no. (717) 652-4952 number (PIN) - 82265 Sign Under penalties oP perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Here Your signature Date Your occu anon Da ime hone number Joint return? ' p ~ p See instructions. RETIRED Keep a copy Spouse's signature. If a joint return,,both must sign. Date Spouse's occupation ~f the IRS nt you an Identity for your records. , Protection~IN, enter d here (see insq PrintlType preparer's name Preparer's signature Date Check it PTIN Paid GREGORY H. DENK CPA self-employed P00180723 Preparer's Firm's name -DENK & ASSOCIATES PC Use Only Firm's address - 4755 LINGLESTOWN ROAD STE 207 Firm's EIN - 25-1896394 HARRISBURG PA 17112 Phone no. (717) 652-4952 Form 1040 (2011) FDIA0112L 11!07/11 ch Limerick Branch A iil B bl B h S h k B m ranc wen sv e ran er c Member LER AM Phone: (215) 646-8400 Phone: (610) 287-8301 Phone: (610) 495-22G5 CDt~ ~ SAVINGS r eauu um LENDER BANK www.amblersavingsbank.com founded 1874 STATEMENT DATE JAN 31 12 FRANK SANTORO STATEMENT NUMBER 0013080585 MADELINE SANTORO SUMMARY OF YOUR DEPOSIT ACCOUNTS ACCOUNT ACCOUNT ACCOUNT MATURITY DESCRIPTION NUMBER BALANCE DATE SAVINGS ACCOUNT 00-17004534 $ .00 TRADITIONAL IRA ACCT 00-18104707 $ 22,793.90 10/22/13 N.O.W. CHECKING 001-3080585 $ .00 TOTAL OF YOUR DEPOSIT ACCOUNTS $ 22,793.90 c r f (106) IDD7B0-01 001-]OB06B5 11]1(IO pp onSa - 02