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REV-1500
INHERITANCE TAX RI;TURN
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT.28llllll1
HARRISBURG. PA 17128-0601
DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL)
McKEOWN, VIRGINIA S.
DATE OF DEATH (MM.DD-YEAR)
DATE OF BIRTH (MM.DD-YEAR)
OFFICiAL USE ONLY
I
FILE NUMBER
21 2005 1011
COUNTY CODE YEAR NUMBER
SOC~lSECURITYNUMBER
146-30-1361
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 4. Limited Estate
~
o
2. Supplemental Return
o 4a. Future Interest Compromise (date of death after
12-12-82)
o 7. Decedent Maintained a Living Trust (Attach
copy of Trust)
o 10. Spousal Poverty Credit (date of death between
12-31.91 and 1-1-95
3. Remainder Retum (date of death prior to.12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11.Election to tax under Sec. 9113{A) (Attach Sch 0)
1. Original Return
6. Decedent Died Testate (Attach copy
of Will)
9. Litigation Proceeds Received
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11/06/2005
10/30/1912
COMPLETE MAILING ADDRESS
3901 Market Street
Camp Hill, PA 17011-4227
(1 ) None
(2) 177,332.34
(3) None
(4) None
(5) 149,515.34
(6) None
(7) 102,000.00
(8)
(9) 39,884.50
(10) 1,329.32
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
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(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL)
AME
Lisa Marie Coyne
IRM NAME (If applicable)
Coyne & Coyne, P.e.
ElEPHONE NUMBER
717/737-0464
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation. Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
f'.)
(,.,)
428,847.68
(11)
41,213.82
387,633.86
(12)
(13)
(14)
387,633.86
15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a)(1.2)
Z 387,633.86 .045 (16)
S 16. Amount of Line 14 taxable at lineal rate x
~ 17. Amount of Line 14 taxable at sibling rate x .12 (17)
2
0
U
~ 18. Amount of Line 14 taxable at collateral rate x.15 (18)
19. Tax Due (19)
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
17,444.00
17,444.00
Copyright 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
113 Summer Lane
CITY
Enola
I STATE PA
I ZIP 17025-2150
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
17,444.00
872.00
Total Credits (A + 8 + C) (2)
872.00
3. interest/Penalty jf applicable
D. Interest
E. Penalty
Total Interest/Penalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT.
Check box on Page 1 line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE.
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + 5A. This is theBALANCE DUE.
(3) 0.00
(4)
(5) 16,572.00
(SA)
(58) 16,572.00
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BV PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Ves No
a. retain the use or income of the property transferred;............................................................................. ~ I
b. retain the right to designate who shall use the property transferred or its Income~................................
c. retain a reversionary jn~rest; or............................._...............,'...........................................................
d. receive the promise for life of either payments, benefits or care?..........................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.......... .... .............. ....... .................................... .......................... ............... ~ 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?............................ ..... .......................... ........................... ....... .................. ~ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, VOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury. I declare that I have examined this retum, indudlng accompanying schedules and statements, and to the best of my knowledge and belief, it Is true, correct and complete. Declaration
preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SIGNAT~R OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
Eri eKeo? ~ _. 20 Susquenita Hills Road
X '.x3. 111t~ Duncannon,PA 17020 /,.. '1- "
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
Lisa Marie Coyne
ADDRESS
DATE
3901 Market Street
Camp Hill, PA 17011-4227
Forda
The 18
parent
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P .S. ~9116 (a) (1.1) (i)).
For da' .. . -- . . - - .. . M~ the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.~ 00 lot exemota transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of aSSI l t?a/4 )Ie even if the surviVing spouse is the only beneficiary.
')UO ct.u
~70.0 V
!1///ed VIO/ f)b (iP-
ers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
he child is 0% [72 P.S. ~9116 (a) (1.2)].
The fa
1.2) [7
The tc
under
[ers to or for the use of the decedenfs lineal beneficlaries is 4.5%, except as noted in 72 P.S. ~9116
fers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)]. A sibling is defined,
at least one parent in common with the decedent, whether by blood or adoption.
*'
SCHEDULE B
STOCKS & BONDS
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF McKEOWN, VIRGINIA S.
\ FILE NUMBER
21 - 2005 - 1011
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER DEATH
1 646.807946 Shares of PNC Bank Common Stock 61.28 39,636.00
2 868.626 Shares of Arner High Income Tr (AHTBX) 12.11 10,519.00
3 1067.038 Shares Bond Fund of America (BFABX) 13.18 14,064.00
4 970.348 Shares Intermediate Bond Fund Arner (ffiFBX) 13.39 12,993.00
5 200 Shares of Public Storage 8.6% PFD (PSA'Q) 28.00 5,600.00
6 270 Shares ofWachovia PFD Fund 7.25% (WNA') 27.20 7,344.00
7 1 Share First Bank PFD 5.5% 23943. 23,943.00
8 1 Share Evergreen Money Market Acct. 876.32 876.00
9 1578.714 Shares GNMA Fund (AARP Invest. Program) 14.89 23,507.00
10 5059.2930 Shares Federated FD US Govt. Sect. A 7.58 38,349.00
(FUSGX)
11 10 Shares of MetLife 50.05 501.00
TOTAL (Also enter on line 2, Recapitulation) 177,332.00
PNC: Historical Prices for P N C FIN SVCS GR - Yahoo! Finance
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PNC Financial Services Group Inc. (PNC)
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. 4-Nov-05
61.10
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60.62
61.28 762,400
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At10:02AM ET: 51.14 '1'0.62(1.:
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4-Nov-05
50.35
50.37
49.75
50.05 1,792,000
50.05
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End Date: ~ D 12005
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AGNMX: Historical Prices for SCUDDER GNMA FUND CLASS AARPND - Yahoo! Finance
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4-Nov-05
14.70
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Checkin2 Accounts:
Number:
Date Opened:
Balance at Date
of Death:
Name of Joint
Owner, if any:
Savin2S Accounts:
Number:
Date Opened:
Balance at Date
of Death:
Name of Joint
Owner, if any:
Certificates of DeDosit:
Number:
Date Opened:
Name of Joint
Owner, if any:
Balance at Date
of Death:
Maturity Date:
Interest Rate:
Interest Paid Quarterly,
Semi-Annual, etc.
Debts:
4<< 9-1 t./S'
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Estate of: VIRGINIA S. McKEOWN
Date of Death: November 6, 2005
:rflif DD b .
7/-'/-I
Name of Bank: Marysville National Bank
~fi0--- CSR. '
Signah!re of Bank or Savings Assoc. Official
Jul- aull 4}l'Jfullfllf
oJ
VJ:RG:INA S. MCREOWN
I, VIRGINA S. MCKEOWN, residing in the Township of
Haddon, County of Camden and State of New Jersey, being of sound
and disposing mind, memory and understanding, publish and declare
this my Last Will and Testament, hereby revoking any and all wills,
codicils or testamentary writings by me at any time heretofore
made, in manner and form as follows:
ARTICLE I
I direct the payment of all my just debts and funeral
expenses, together with the expenses of the administration of my
estate, as soon as possible after my demise.
All inheritance, estate, transfer, and succession taxes
payable by reason of my death shall be paid out of my residuary
estate, without reimbursement from any beneficiary.
ARTICLE II
Provided he shall survive me for a period of thirty (30)
days, I give, devise and bequeath unto ERIC S. MCKEOWN, my beloved
son, all the rest, residue and remainder of my estate, whether
real, personal or mixed and of whatsoever kind and wheresoever
situate, whereof I may die seized, possessed or entitled to.
ARTICLE III
In the event that my said son, ERIC S. MCKEOWN should
predecease me or we should perish in a common accident or
catastrophe, then, and in either said events, I give devise and
bequeath 25% of my estate to my grandson, MATTHEW ERIC MCKEOWN.
The balance of my estate shall be divided between JENNIFER ANNE
MALONE and MELISSA ANN BAKER, equally, share and share alike.
In the event that my grandson, MATTHEW ERIC MCKEOWN
predecease me, his share shall be divided equally between my
a-1:'OlJ-lbll
grandaughters, JENNIFER ANNE MALONE and MELISSA ANN BAKE:R, equally,
share and share alike. If either of my grandaughters shall
predecease me her share shall then pass to my surviving
grandaughter.
ARTICLE IV
Should said beneficiary be under the age of twenty- one
(21) at the time of my death, I give, devise and bequeath his,
her, or 'their shares to my Trustee, hereinafter named, IN TRUST
NEVERTHELESS, for the following uses and purposes:
(1) To invest and reinvest the share devised or
bequeathed to said beneficiary hereunder in any investment as 'long
as it shall seem prudent, without restriction to investments
authorized by law;
(2) To use and apply the net income therefrom or to
reinvest the income where advisable, in the sole discretion of the
Trustee, for the maintenance, support, education and protection of
the health of the respective beneficiary;
(3) In the event that it appears to my Trustee that the
net income from the share held in trust for the minor beneficiary
is insufficient to properly care for, maintain, support or educate
said beneficiary, or should any illness or extraordinary disaster
befall said beneficiary making it advisable, in the judgment of
said Trustee, to devote more than the net income from said share to
accompliSh the, purposes above stated, I authorize and direct that
said Trustee shall have the right, in their sole discretion to use
and apply all the principal of said share or such part thereof, as
they may deem necessary, to accomplish the purposes which I have
indicated;
(4) If said beneficiary should die before reaChing the
age of twenty-one, the remaining share shall pass to his/her heirs
at law.
(5) To distribute without reservation of any character
2
the share devised or bequeathed to said beneficiary hereunder when
such beneficiary shall attain the age of twenty-one.
ARTICLE V
I hereby nominate, constitute and appoint my son, ERIC
S. MCKEOWN as Executor of this my Last Will and Testament.
In the event,' however, of the death of ERIC S. MCKEOWN
before me or should he fail to qualify or choose not to qualify or
cease to act after qualifying but before completion of his duties,
I then appoint my grandaughter, MELISSA ANN BAKER, as Alternate
Executrix of this my Last Will and Testament with all the powers,
duties, immunities and discretion vested in my Executrix first
named.
ARTICLE VI
My Executor/Executrix and Trustee (inCluding any
substitute or successor Executor/Executrix or Trustee) shall have
the following powers, in addition to, and not in limitation of, all
powers conferred by N.J .S:A. 3B: 14-23, or similar provision of
Subsequent law: to
(a) invest, reinvest, retain or abandon assets as long
as shall seem prudent, without restriction to investments
authorized by law;
(b) sell, convey, exchange mortgage, lease or otherwise
dispose of all or any part of my property, real or personal, at
public or private sale, for such prices and upon such terms and in
such manner as such fiduciary may deem advisable;
(c) receive the proceeds, rents, issues, incomes and
profits therefrom;
(d) borrow money from themselves or others;
(e) employ and compensate custodians, accountants,
attorneys and other agents;
(f) register securities or other property, real or
personal in nominee or bearer form;
(g) liquidate or compromise any and all claims due to
3
II
or by my estate;
(h) make distributions of such property in cash or kind
or partly in each, in divided or undivided interests;
(i) exercise federal tax elections under the Internal
Revenue Code,
with or without making compensation among
beneficiaries;
(j) retain and manage any business;
(k) account to adults;
(1) pay Executrix/Executor's commissions and attorney's
fees on account;
.
(m) to execute and deliver all necessary deeds of
conveyance and any other documents necessary to f accomplish the
orderly settlement of my estate without the necessity of formal
court approval.
I further authorize my Executor/Executrix to sign all
necessary deeds of conveyance and any documents necessary to
accomplish the orderly settlement of my estate without the
necessity of formal Court approval.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this ft:( day of January, 1997.
ftiff/VfU#,R ~ ~
IR A S. MCKEOWN
4
SIGNED, SEALED, PUBLISHED and DECLARED by the within
named as and for her Last Will and Testament, in the presence of
us, who, at her request and in her presence and in the presence of
each other, all being present at. the same time, have hereunto
subscribed our names as witnesses subsequent to the signing thereof
by the said Testatrix.
l~~e/
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this instrument this
I, VIRGINA 5. MCKEOWN, the Testatrix,
'Iii.
sign my name to
day of January, 1997, and being first
duly sworn, do hereby declare to the undersigned authority that I
sign and execute this instrument as my Last Will and Testament and
that I sign it willingly, that I execute it as my free and
voluntary act for the purposes therein expressed, and that I am 18
years of age or older, of sound mind, and under no constraint or
undue influence.
0.u""'" I. 7rrj0M~
Joseph M. 5andone, Jr.
and
Jeanne Valentino
the witnesses, being first duly sworn, do each hereby declare to
the undersigned authority that the Testatrix signs and executes
this instrument as her Last Will and Testament and that she signs
it willingly, and that each of us states that in the presence and
hearing of the Testatrix, we hereby sign this Will as witnesses to
the Testatrix's signing, and that to the best of our knowledge the
Testatrix is 18 years of age or older, of sound mind, and under no
constraint or undue influence.
)f~
r/VJ 'y;;fpA"-.....
STATE OF NEW JERSEY
COUNTY OF CAMDEN 5S
Subscribed, sworn to and acknowledged before me by , the
Sandone, Jr.
and
Jeanne Valentino
Joseph M.
. 0'-i+\
, witnesses, this fl
Testatrix, and subscribed and sworn to before me by
day of January, 1997.
~o..P~
RHONDA A. PALMER
,';OrARY PUBllC OF NEW JERSEY
.\. . -')MMISSlONEXPlRES APRIl. 15, 2001
6