You can create this by using the "Path" operation in the "Expression" section ("Menu" - "Object-> Path"). I created the Path by subtracting four ellipses against the rectangle.
The Path.Data for the concave rectangle is given below, the @Kent Fredric logic in the previous answer will be useful for its implementation.
alt text http://img87.imageshack.us/img87/4539/concaverectny1.jpg
M17.200002,0L120.4,0 120.4,2.3066998E-06C120.4,6.7378696,128.10079,12.200001,137.60001,12.200001L137.60001,85.400003C128.10077,85.400003,120.4,90.862138,120.4,97.6L17.200002,97.6C17.200002,90.862151,9.4993697,85.400003,0,85.400003L0,12.199999C9.4993663,12.200015,17.200002,6.7378725,17.200002,0z
See the blog post here http://jobijoy.blogspot.com/2008/11/concave-cornered-rectangle-blend-tip.html
Another way to get this is to create a custom WPF form, as shown below.
public class ConcaveRectangle:System.Windows.Shapes.Shape