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HomeMy WebLinkAbout94-01024 . ~J., ~..J..t . , ~~\6:':;;"" . --- ,.. _ .__- .- """" If '" . ii". . "l!II';.' '-M"lr;-',;,,''f',\tft~ _.u",,:.iW~;' ,';;,,:w.o'~iti;~.;,;:/~_,~:; .. ."'-'" ..-._.~..._.,,-'~ .. -"'.'"'-: ----..-.....- ..--- ...-.-,.,.- ,'-~-_." IIETITION I'OR GI{ANT 01' LETTERS 01' AI>MINISTI{ATION Eslat~ of Ilnfc"'LJ1-1:-I1.~"tP"'.r,,^ also known as No. To: .;? 1- 9.Y:. - 1Cbl~ DrC('lI.'it!ll. Sorlal Security No, I ~/-.:l C - r.; N' 7 ReglSler or Will, I'm Ihe COUI1lY or Cc,,.,d,Q e..*,," In the Commonwelllth or I'ellnsylvllnlll The pelltlon or Ihe undersigned respeelrully represenls thlll: Your petltloner(s), who Islllre 18 yellrs or nge or older, lIPplles ror lellers or lIdmlnlslrllllon on Ihe eSlate or (d,h.f1.; pendente 1I1e; duranle uh\Cllllu: durnlllt' I11lnurilillC) the ahove decedenl. Decendent was domlcllcd 01 dealh In C Qo" ".r^ t,,,,,,,o County, Pennsyl\'anla, wllh h....~ last family or principal residence nI ..,2.2.s'" C <:'4'1' Ih .N'-~" rA" G {""<1 "'-4 I?~~r (11\1 Mrt\'l, number uhd munlclpalll)') at Decendem,lhen ? Y yellrs orllgc, dled-'II ~ 7/~ C~"'I1''''A.tAtVn C::,p",.,rL. AJltJAr........4 ~./~IHK r ,19 Decendent 01 denlh owned properly with estll1lllled vnlues liS I'olllo\\'s: (lI'domlclled In I'n.) All personnl property (II' not domiciled In Pn.) PersonnlproperlY In I'ennsylvllnlll (II' not domiciled In Po.) l'ersonnlproperlY In Coul1lY Value or real eslale In I'ennsylvanln sltualed as rollows: A/ "'N ~ S~e750e:.. S S S Pelltioner_ arter n proper senrch h~ lIscerlnlned Ihm dccedenllert no will nnd was survived by the rollowlng spouse (II' any) and heirs: Nome rL't5AA.. Rc,4,.(.,.oJ,.", A. UIJA~'7 A..doVJ.._ MilA. L. PI.o.,( I.." r Relnlionshlp ~ol"- JA" Gu-r..r.... --Ll../I u,~ rK,.... --->f:...,.. Residence ~,.~ ;.I"'''''d~~....,.",J\'''' . __t..-" "-1V""r4 ,.... .. "..., '7..; cJ> _ 'lp;l)4f~" .J'~. .,,.r;' CM~""I6.J...",~..t;,-., 17~"1 .~, c~t..""""'7 '-(.':"111 Ad rN4"'d""~~."~~iI .(,1#L1'tu' "NIC\. ~LJ C.llAG~'(r;~.. '-'.Acrl .... " I'?,.,.r- - THEREFORE, pelitloncr(s) respccll'ully rcquest(s) the grul1l 01' leltcrs or ndmlnlstrntlon In the npproprlnte rorm to Ihe undersigned. j 1-. ,_a.~ 'tJ_ ....~ r ~ /PIt) 6uN:Z/l""-1- ~. l~ () _ll ~o. l!'- ~o i Vi . ., ,""~ """"""',,~n,",''''''-';'',~",' OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } S8 ,'ii;..1 . ".' :Iil The petltloner(s) above. named swear(s) or arnrm(s) that the statements In the foregoing petition ore true and correct to the best of the knowledge and belief or petltloner(s) and that lIS personal representatlve(s) or the above decedent petltloner(s) will weli and truly administer the estate according to law. Sworn to or arnrmed and subscribed {r ~, .a. ~. before me this I r F day of IlJ,Jd'14t.~~7it~M~7J . MARY C. LE IS Reg r CI Cli. ii\ j No, 21 - 94 - 1024 Estate of NAOMI M. ROBINSON , Deceased GRANT OF LETI'ERS OF ADMINISTRATION AND NOW DECEMBER 7. 19.2.L-, In consideration of the petition on tbe reverse side hereor. satlsraetory proor having been I!reSenled before me, IT IS DECREED that GARRY A. ROBINSON Islare entitled to Lellers or Admlnislratlon, and in accord with sueh finding, Lellers of Administration ore hereby granled to GARRY A. ROBINSON NAOMI M. ROBINSON 7Jfil'Yf ~JiZrr~.(UJl' @mr:lo;&. U RraI.lot of Will. . 7F (J MARY C. LEWIS in the estate or FEES Lellers of Administration ..... $ 25.00 Short Certlficates(l ) .......... $ 3.00 Renunciation ................ $ 5 . 00 JCP $ 5.00 TOTAL _ $ 3A.00 Flied ..O~k!;l:laER.7,...... A.D. 19-9L "TIORNBY (Sup. Ct. I.D. No.) ^DDRI!SS PHONB Malled letters and order to Admlnlstrator on 12-7-94. """'1\ This i\ 1U rl'r1if)' Ih,lI Ihe ;llrllflll,t1iulI Iwrt' ~jn'll i, lOr rn II)' u1pj('d '10111 .111 t1f'ij.:in.t1u'nHkillt: 01 d('.lIh dilly fill'd willi I Ill' .IS 1.0\'.11 HClIiSIr.lt. Th(: III i,Aill.a1ll'rlifilllll' will he 'lll.\\.oItdl.t1rtl the..' SI,tH- V it.d Hnl II d.. Oll;u' Itlr 1lt:III1I1I1Clll Iilin}.:, WARNING: 1111 lIIog81to dupllcato thll copy by photoltat or photograph. Fl'C (01" Ihl, (l'r1iricall'. $2.IHI .72!~li~,()i~ 2666732 .._____,L/ .{IF- LtP1_ D.lle No. III..,.., CO....D..WEAl'"Ofl p!NHan""HI". DlPA"'M!N' 0' HULlH. VitAL "!CORDS CERTIFICATE OF DEATH ------.-.-. - ~._...- -... '-I'~~- ..........pon........... .19/ - 26 ROOINSON ... I r"mal(l ..._" -,,,"""......, ...,.......'...'.,1 ..'-.. 73 '. Cumb,JL(4"d . ....-::=r..;:~~=:':" \1...........\""""',.# ,.-.-...-....- . tlIOI'I'if..t..~MlllN..~,...'-'_,....... 31S Cta..mont V~iv. ,. C""tiJot.. PA 170/3 ,.... IU......_I... Rob,A( SmUh - 1!'tf~.~I~Q~,-'L~_n.4~ 'Nn ::...-==-=. 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"'rocAiiff_oo~..:. ~I"".~' ...,. ../o~('r )"IJ o 11:Ic (;"'Lf,., 1.Ir"(..rp _ " ".......4..... I:, I /;', ", U.I. , _l...~, .~ ~fJf'7~ -....MIO~~""'.......h...__""._....,..........._........, .......................,---....-.-.--,--......-.,--"..- ..OlC....n'-~.. DlI.......".,___.............."IM.....,........ "'''''__''01'''_.''''. w......_.... 1.......INt.,.... 11.-.......".....",......;...................,...,............ ........"."".,...." ~"'..:T " . '" . ~.- " ~ "'"-""">"-""~ ^'" .:,~~~~~;:~l::"-~~~~'~~~~~:':f'0:,;.~~t~~~r:~'L;/~1~~hfZ~lliri ;~;~t~~~h~~~~i~l~~~~~\,~rt~i,l~ 21 - 94 - 1024 .,-. . . .'<; n,'.. ,','/,J >" ~ '.... :....;.. ,,;,,' ';,0,:,., . .;\>,'::;' "<.:,'<:;<.~'~;,. ,"'," .,'. \;>'f>,.;... ..,'" .J;,;" ,';"..'''' ' , ..\.:,',' ::",,>:;." ,,;'.::'.;:" .,....... ""'::..; ;,.:,.,."..., ..'. . <.-,. ,...; . .'. '. : ..'C,';" '.' ,'" ','" .;,,; i'-;;';' :,' >:' ",:,:'X:H,'\: ..":' ; ,<,.';;, ':')'~:,~~~';' ..... . .: ',:' .".~'.~.:. ,'" ", ;';'.'.:':", ,', ': , .'.";:,..:',:,:/ .>,. ,'::.;. ,,:..;.':',: ",,:,: :.'..: , ::.);' :'>;IC . '. :" . , ,': "':: ii;, ; ," '.'.::'..> :/Y'." :Y:."" i', ,. Y.,.... , , ...~,; ': ';,": <~,:;>.::;;... :>. . , :, ,:.':,'; '.,:; },'. , "." ,.< > ':";'.,:...' ";"'.:' '.' .',<' ""':', ',;., ;......; ; , . '," 'i' .",', ,.;:..: ':. . ;". ': " .' . '0 ;,.. ..n ,.' .: .', .", '. ,,',,' '. '. "';.,';. ;........ :.",' ,.,... ':<::'; :.' .. "., ;'.. \" i;i;;,'~ '..... ',3',' ,,';: ,):.;. ,.'::, '.,:,.,..' ;.......:: ,'.;,.,..,' ',./' "'~:; .: .., :....:...;':::. ,;~;;....,::.j,;:.,:<.::,}:."";,, ./: ..:, ..',"..,' ,'c' ;t'..;,>:' f"." ":~:'.:" ';:;', :Jj~ ;.:.,.;' , :.i .'. ,:,', >. .:: 'u': ", >i:....:.. " .... ',M L~~3J::} ::"i.>.'Z" i :.':e' .,.:'- : . :,,: , ,;.~.;,\ ?~, "'. ,'-;. 'I "';".'; ".::':'.; :.l:.~ :<:... :., ::;'.';..'...."., .'.: '.: ;', ".... :;: . .' " : :"':,, ::'j:;-,: :;::',';" '" ;i;~:, '" :v..~) ~,,~ t:lt!'h:t;) \:--~:~~ ~, <~ t. ..... ?g'/.'"> .. " .. ." " .' ~!t~.,. .. .. ,. <',:, " ::i.- '., ;;. .c. " ' F" ., ..'" " ,;0;.0,0 , I~f' :_,.": ~i"" . 1~{1;' IJ':, 1',,' . I - .,;,,' -,." , :,', ""'" .. . .- ,~; , . '.".,f, '.;'.' . ......., ~ , . . ,. ' .' ',.c" " -. ., ;' 1 'j.! . "".... ....-'.<r1....'~. ",,"'y_ ,..,,~..,.,"",(:'(.";.;.,...">-_ 21 - 94 - 1024 RENUNCIATION In Re Eslate of !\/ "'-0 t>> ; (J1, '/< ~ h I,JS'(J,J deceased. To the Register or Wills of (I .... fYI b f2.1!.1 dNt'A County, Pennsylvania, The undersigned E.l7t'v<. r=, 1t~lI.ey e. a.v.1 I1l/M.llt1. R. of the above decedent, hereby renounce(s) the right 10 administer the estale and respectrully ask(s) that Lellers be Issued to /') -;? L . r., A- ({Po 'I A. KD ",1/ <;() ,.J WITNESS_ ~ ,t; ~?... - hand this T ~ day or Al-. - , , ,19.2iL. ,/".7 ~ ~- ----" /Y!A) :::; - L/ }./..-:.--. (Slsnllure) c9 9(1 N~q..~+ C:V1fA"'~ K.J .}'7..26l? (Addr...) r- ~c.R~ \ (Sllnllure) ~..;-( , ...." . C':_ ~ I r:...1 f:1 ~'1lJS. f"l'\(~ &A p'i~~'(~~",h~..~v,\ (Add,...) Lo J i.:: iJ8 -Y1J.d-1.nA-1< ~~ (Slsnllur.) ~.J.fO Cou:;z. if< tf() C.tWl1 kIiJLtl-'j.. Add,...) (j !- 1... --'!.J ~ ....----- JI r.l'ol I ~ .- \lt1fir 1 , _,r.,q~!,,"1;'# I,..",.~",.....,...,~ ..,.d>...._ . . '--.-...:....'~...Vll...................I""7~,~,::~..~:"-::-:- -". Rec:cr.1 . I1V..'1 CERTIFICATION OF NOTICE UNDER RULE 5.6(6) . (Jf . I 'i.' ~ II (; Name of Decedentl 11//1".,,, /Y1. I\'eu/'/A/.r...", '95 HAY -lJ P 2 :52 Date of Deathl n/..(1 7/ "r CIUII' (.urt Gur(lll..;i ."'., iU '-'V'I IJA Admin. No. ~/~ <f~-Ia./"1' Will No. - To the Registen I certify that notice of beneficial interest required by Rule 5.6(a) of the orphans' Court :Rules was served on' or mailed to the (ollowing beneficiaries of the above-captioned estate on I Name Address ffJA/Cl//.J tO~Av.." ..2~p", c"'"....,..-"'..,-tit) t':,u6"''''''''.rA'"...'-' ....A-I?-le/ , ,. "7 ,. A td)Il~)' 1i'L) r. "ue 1?e'd',~J..^, ~"7", f. /11 ,"'" .r~ CHAd.d /If '.8,',v.r",,,,,, J 90 .t:I AU/r4A'd'^,A (,~ ~./A""""""d~... ~ -""A 17~&"P- ""7'" "' p Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date I '7/..<j:/'?'-<;'''''- ~....- /,,- Le"', -- , . Signa re ' Name c:; -!/ A' A t., 4- A'" /t'./""J" ...'" / Address ~/e; L]'t'//Ctr'"",,-.. Rod c .""C:, .r,(,1" ~A /7e/.:r-.~-"J" Telephone(7) a2 ('"'p- O~:TY Capacity: L lrersonal Representative Counsel for personal representative . .~, --;2(/ 4-1~<r>. JRDIJune 30, 1992/17858 ,. Estate No.: 21 - 94 - 1024 ORPHANS' COURT DIVISION, COURT OF COMMON PLEAS Ol< CUMBERLAND COUNTY PENNSVLV ANIA InRe: Estateof NAOMI M. ROBINSON Late of MinD! rc;n TOWNSHIP No. NOTICE OF FAILURE TO FILE CERTlflCATJON AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5,6(0), SUPREME COURT ORPHANS' COURT RULE Personal Representative: GARRY A ROBINSON Counsel for Personal Representative: Date of Grant of Original Lelters: DECEMBER 7, 1994 Date of Delinquency Notice: MARCH 28, 1995 The undersigned, Mary C. Lewis, Register of Wills, In accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal represenlalive nor the above named counsel fur the personal representative hove filed with the Register of Wills or Clerk of the Orphans' Court his, her or Itl. certification required by Rule 5.6(d), Supreme Court Orphans' Court Rule aod that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Register of Wills on MARCH 2B. 1995 ,19_, and that the ten (10) day notice to file the certification has expired. Accordingly, In accordance with Rule 5.6(e) the Court Is hereby notified of such delinquency and the undcnlgned requests tbat a Court conduct 0 hearing to determine whether sanctions should be Imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: APRIL 19, 1995 ~. Distribution: Personal Representative Counsel for Personal Represelllatlve Estate File ,,/ A HEARING IS SET FORhkJN /11/1 T J.A ~f'tl5 AT J: (Jf:) /! /n IN COURT ROOM NO. 1. 'J./ . IF THE CERTIFICATION OF NOTICE IS FILED PRIOR TO THE HEARING DATE, THE HEARING WILL AUTOMATICALLY BE CANCELLED. ;f~ ~ ~~~ .5"- ~ _,?<,- ~ HAR~[f~;;~{1 P. J. _,.,=r<...... .... .,,~_.'<_....._. ~, Y_' .,; .'__.< " IS.;;J., - ~ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) REY.I500 U. 17.9'1 ~ ~:5~ uf- *. C}. '9. If/. ' COMMONWfAllH 0' 'fNNSiYlYANIA DE'ARtMENt 0' REVENUE Dm 21.60' HAUISlUIO.,'" 17121.0601 DEe 0 N ' HAM (lAS. IU. AND MIDDlIIHI 'A'I I> ,OA OATIS 0' DIATH Ann 12/31/91 CHICK HIAI I' A SPOUSAL POVIATY CRlDIT IS CLAIMID 0 fILl NUMIIA dl.j crt.f / -...,~ 'I YEAR lil Ii! iii .. COUNTY CODE OlerOEN 'S COM,U ( ADellU \~llrr't:,Lf\U\rlL i'-Ol[lli)' /.j1-\ f..':I t%' It1r\'II:;U? 'PE'NNSYLVAMIA /7Dt:' CO<l1l1 I ..,) AMOUN' UCUY(O ISlI INsnUC:1I0NS' ~ 1. Original R.lu,n o ... lImlt.d E,'al. 0 .0. Fulur. Inl.,." Compromh. (f.r da'" 01 d.a.h alt.. 12.12.82) 06. O.e.d.nt Di.d re,'al' 0 7. D'Cld,nt Maintained a living TruI' (Attach copy of Willi (Attach copy 0' Trult) :COIRUPONDINCI AND CONPlDINTlAL TAX IN.ORMATlON SHOULD 81 DIRICTlD TO,"','" ,-.(..'I!l<.;,,,'1 V, '!,;l,', "'/c,;':'.t'.'!'. COM'UIl MAIliNG AD )Q t0I'30I\GNOf<: .,OrTD CAKLISLEI Pt::tItJ.5'1LVANJA J7QI3 ~ o 2. Supplemental Relurn 13lil =.. BIi! .. 5 ! .. 1. Atal Ellalt (Sch.dulo Al (1 I 2. S'ach and Band. (Sch.dul. BI 121 3, Clastly H.ld S'acklPar'nenhlp Inltrell (Sch.dul. q (3 I 4&. Mortgag.. and No'.. Receivable (Sch,dul, 0) 14 I 5. Ca.h. Bonk Deposits & Mlle.llaneoul Personal Property ( 5 I (Sch.dul. EI 6. laln.ly Own.d Prapor'y (Sch.dul. FI (61 7. Tran./en (Schodul. GI(Sch.dul. II (7 ) 8. Total Gran A..lllllolollln.. 1.71 9. Fun.ral Expenl", Admlniltrallv. COlli, Mlle.llaneoul (9) Expen... (Sch,dul, HI 10. D.b... Marl8ag. lIabllltltl. lI.n. (Sch.dul. II (101 11. Total O.dudlon. (tolallln.. 9 & 10) 12. Nt' Value of Ellol.llInt B mlnulLlnt 11) 13. Charitable and Governmental a.qulIlI (Schedule JI lA. Nit Volue Sub td 10 Tax (lint 12 mlnv.lInt 13) 15. Spousal Tron,f,,, Ifor dal.. of death oft., 6.30.94) SI' In..rudlon. for Ar,pllcabl. Percenlagt on Rlv,n. (15) Sid,. 11ndudt volu.. rom Sch.dul. K or Sch.dul. M.) 16. Amount of Lint 1.. taxabl. af 6% ral. (16) Ilnclud. valu'l from Sch.dul. K or Sch.dul. M.I 17. Amounl of lIn. U taxobl. 01 15% ral. (11) Ilnclud. valu.. from Sch.dul. K or Sch.dul. M.) 18. PrlnclpallOJll. due (Add to.. from lIn.. 15. 16 and 17.1 19. Cr. dill Spaulal Pov"'y Cr.dil Prior Paym.nll + .. i . B S 03. 05, NUMBER R.malnd.r R.lurn (lor da'" 01 d.a,h prior 10 12.\3.821 Fed.ral Eltat. To.. R.turn R.qulr.d _ B. Tolal Numb.r of Safe D.palU 80.... ~OSF\.$_ lr,";:l'l.5./0 M._- )C .06- M .15 _ Dllcaunt Int.r"l 20. If L1n. 1911 gr.al.r Ihan lIn. 18, .nl.r Ih. dlff.renc. an lIn. 20. This Is Ih. OVERPAYMENT. aD 21. If lIn. 18 Is grealtr 'han lIn. 19, .nltr Ih. dlff.renc. an lIn. 21. ThilII th. TAX DUE. A. Enltr th. Inltr'" on th. balanc. due an lIn. 21 A. 8. Enter ,h,'a.al a/ lIn. 21 and 2tA an lIno 2tB. Thl. I. ,h. BALANCE DUE. Make Ch.ck Payabl. '01 R'1I1,'er of Will" AI.n' .Ii U. ,ANlWUALL QUISTlONION IIVI.I 1101 AND TO' Un .r p.na II.. 0 ptrlury. I .c or. I 01 I av. uamln.d Ihlt r.lurn, Including accompanying .ch.dul.. ond "al.m.nll, and '0 Ih. b..t of my Ilnawl.dg. and b.lI.f, II Is tru., carr.d and campl.I.. I d.clar. thaI all r.al 11101. has b..n reporl.d atlru' mark.' valu.. D.c1aratlan of pr'par.r o'htr Ihan Ih. p.rsonal r.pr...ntallve II bal.d on olllnformallon of which ,. or.r has on Ilnowltdg.. ION UI 0 , liON IurON IIU 01 lUNa InUIN ADOIUS r; / " d "1\ 6 """ ~;... It,p DAti - If. C,.N. ~ 41' 17 &/-7 -p.,-<~ (1'7/.281 '15 ADD.... r:-v,,~ ..... DAli" , ""....LA.\. liVe >:'''-/<. ~CrV\(.e::; On/. "J' re- f-~. ')) I' \' . \.-,n I , f"' / _d. 0. _'1 '-\ F-c.l\NI~il.\).:j'J\l.lt:; , . I .) ,) 1')'.51'10 + CIII'clt hl'f1' II vUU 1111' ll'IJIH'\lmcJ CI .pfund 01 vour OVl.'ljlflVnll'lIl. (21) (21AI (2181 (8 ) .;l.oSFl.S7 Illl (121 (13) (1~1 ~~1;. J~ - ,. I ) " o (181 '\ \ (191 (201 .. ~~Lf:.:-::~~~-;:~t."j r . i L' , H' " Ad '48 of 1994 pravld.. for the r.ductlon of the tax rat.. Impo..d on the n.t valu. of tran".r. to or for the u.. of the .pau... Th. rat.. a. pr..erlb.d by the .tatut. will bl! . 3~ (.03) will b. applleabl. for ..tat.. of d.e.d.nh dying on or aft.r 7/1/94 and b.fore 1/1/96 I.' . 2~ (.02) will b. appllcobl. for ..tot.. of d.c.d.nh dying on or after 1/1/96 and b.fare 1/1/97 . 1~ (.01) will b. appllcabl. for ..tot.. of d.e.d.nt. dying on or aft.r 1/1/97 and b.fore 1/1/98 . Spau.al tran".n occurring an or aft.r 1/1/98 will b. ...mpt from Inh.rltanc. tax. ;. '.t; PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (...) IN THE APPROPRIATE BLOCKS. ,~ :_~ ". ~- 1. Old deced.nt make a transler and: ,,' ~i::; a. retain the us. or Income of the property transferred, ....................................................... r, b. retain the right to designate who Ihall UlO the property translerred or It I Income, ............... '- c. r.taln a reversionary Intere.t; or ................................................................................... d. receive the promllO for life of eIther paymenll, beneflll or core' ....................................... 2. If death occurred on or before December 12, 1982, did decedent within two yea" precedIng death trander property without receiving adequate conllderatlon' If death occurred after December 12, 1982, did decedent trander property within one year of death without receivIng adequate consideration' too..... .................. ....... It..... .........,.,.. ....... ....... ot..... ............... It. ...... 3. Old decedent own an 'In trult for' bank account 01 his or her d.ath....................................... o j IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST ~pMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, '1 ',- ~1' ""; ......' .' ".. r.~ , 1'- I t., :":-J L..:.:" '-' ' ma....: a: '" p, _~I ~ (.>t> 1IY-ltMII.IU1J w SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY COMMONwl.n~ 0' ~INNIYIY'NI' INHUltAN I 1A InUIH '''IDIN ole DINt ~~onl\ Y'f'\. {l...t>e.HI'DQ\-l IAII ''''.''1 101.'Ir-..~ with ,... II,h' ., ,.,.I_.hl, ...., IN ~I..I...~ .. ,....~... '1 ITIM NUMBER DESCRIPTION VAWE AT DATE OF DEATH I, CLO'5ED Ou.., GIASS-r f:='l.l,loJb AceolJ~-r c.u.~~E'~\..PlNb (1.ouroJ'-'{ NU."&IN(, {n2- -oq-<1S) - 5 E" Er A T-rAC.I-H::() . AT HOME I 2.0S8.SC! (AUach addltlonal8Ya" M n" ,hut. If mo,e 'pace" needed.) _ '!i.'~~ ~~_. "'-- . , I.VIlII".I"'1 ITEM NUMBER A. B. . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Ploa.o Print or T 0 COMMONWEAltH 0' PfNNSYlVANIA INHUItANC( 'AlC InUIN I"IDINT DICEDEN' DESCRIPTION AMOUNT 1. Funoral Expon.o.. fio"!f;J<;?'J,lltErJ ST (mfl~kl:~ ftT tHE C/{A/r/64(S~G, 1'r1- (13..01 GF?A vesl-rlf:.) t=OGeLSANG{JR_81{'~l<E:I<. F()'II/G""'IlL .J-1"""EJ.1 IN"'. 1/1. We-S--r' J<ING:,. 57 ""v", "" ,sHIN5NS,z,wf(G.I'IA (7:1...57 fU'lt:r,J SVCS. c.~S/<.Q-t; Admlnlltratlvo co.t.. !,Id.....cr.. o..t"\J. :;0-"-_' Personal Ropr..entallV1l Comml..lons t>se,,-t-s Jr:r- ~'-'I ~ Social Security Number 01 Personal RepresontollV1l1 Year Comml..lons paid Sl.~l. 10 19t( .I!U' J, 1. 2. Attorney Fees 3. family e..mpllon Claimant Addre.. of Claimant at deceden"s death Street Addre.. Relallonshlp State Zip Code City 4. Probate Foes C. MI..ollanoou. Expon.o.. 1. 2. 3. 4. 5. 6. 7. 8. TOTAL (Also enter on line 9, Recapitulation) (II moro .pa.o I. noodod, In.ort additional .hoot. 0' .amo .1...) S G,.;i 'T I .... '" . ... '" o 'N .... , H ,; ~ I' . , II ! IlL . g .. ! e!~ ~ z g 0 ~ ,~'I i .. OJ 1: OJ .. III '~I~ i - OIl a: "" lU u i ! WI' 0 .. .. III '~f, I " :z: .. ill III ... .. 9h U'l ro -1 ... N ::s 8!1 ... .. " ~ 0 - .. Ii III ::t- o l\ ~ .J u V) ~ 0 '" '" '" }- " '" ~ '" ... ... \- 51 i :! 'Z. \U 8 = '" Iii $ '" ~. - " '" Cl :t: - N 0 Cl . ~ <I: '. r r c::t . '~~'M.f,;;~t...-',~,j,-,"+-'" .<':;-,.,.':trr--. "',!'Y' -'.0',.1""' I,.!,,':/ ,'t,''",\' 'I".. . '.=.I'~ ~_":::~r - , , ",::'-: '" ,,-..,,- {'t-r: r'?:';.\::;T:~]t5Y~::;~~5t~f'l,'. ~ 4., '-l ::l ~ '~ ~ - 0: '" ~ Q IN .5 .~ ... - .0 ~l~ Q " .... ~ 0. ~ 0. . ~~~ ~ - ::[ . 'oJ IN g J3~ ~ :,) ~ ,35 .0 .0 <U S '~'a ~ <.) iIN': ... ... IN'... l'> 0 r. !I ~ 1 q; IS If ~ '" '" . '" '" ... . IN ..,.. 11 J J ~l J1 ~ J! if I \ ~ ......'\-- lU~ - ., V ~IU ~~ ..... Q ..j ~<i \1.1 ~ ~~ " ~~ \fl LI. C( ~ l,\,!.-h. c::: \\) \u ~ :.t:. :v:. '.oJ-:\- Sl u '\:'~ :t.~ \-- ,~ I :.0 L'l -0 l"1 ~ . I..rJ \;" <'\ llJ ...... .., ." \ \!).........ni Z ~ ~ \~) ~'Z .~1I') Gi'C3~(" c!)~ ~c: '"' 0 c:.J ... ..... G~ "Z. == ~ ",-, i f 1 ..... S '" l:> . "' .., '" . '" .... '" '" <"> - - - . . I . .., - - - .. c:. .. IN IN '" . I . '" '" .... ..,...... <I> "'",c:. "'",c:. . . . Lf'l Q C). ~;e":c -' i ~~..,.."" io ! tJ'B~ j !iJ .... 0. 0. - . .... IN :,) .0 S <.) "" l'> ! ~ .... <'S ~i 11 !Jj c:.",,,, c:.",_ . . . "'..,.., --0. - ...... I "" ~ J ~ I ! ~ :,)~ ~ i a",~ 1 -0 - ~.~ ... 8 f 2 ~t - ~ '''' ] ~-'I~~~ ~~ .o~ll :a ... 1 ~.... < ".... e Lf,~ ~ g .. . .. ,'1." '0 f ,..... ""'-, , - ....., ~ '- '"' II "f,_,.. , .".~J-+.<i,,",,-::-:' ....~ltl::-~,...;~ '~;.*,:~__ _.., ___ SHULL - KOONTZ 130 East Queen St, Chambersburg. PA 17201 Phone: 717.26.4.6916 lame/).... { t/ /) ,,(.7, I , , /" , ,ddre., ._.. ....... .... t. _ .~n'-._.___-:". 'h ( I':. L I, :;'._~ one_-L_.'. u._I..-L . I), ' /' !/, r , /'., < 1/ .. .. . . ~__ - ._.OO .. I- I Aonumenl _ ,Ianl _... .. II,e level ira" Marker d r!.f x {.'. Y , ., '-' r 1-. I. j( J. y' . ;. "", ....L I - )c~lgn ......fi.,..._. I A./::_7 /} LJ Ill) L Ie /? 7/ ,/ /Y) (' r J/ /. A! 1/ (\ II? / '/7). /-- [" 1:/ /,/l' \/ 1..1 ,", /... /t:.... .' L.I . f // /It: (. II..: . __I' (' / '-/, 7 / /' 1.1 I \.'1 //1'1 /. /-' 1/ 1'.'-: _~._____..-_/l._ ... >_ ;)/./ Date Zip ..'.' ;.'. F:. ::.s:llt (: ~-: i '0 _......_~_. ...--- I" I I " .' ConlraclWork Per. hr. __________ Corner Posts [L..~ dU. ~~_ ~.~ Flower Vilses I ~ I /~/.!^ Kind of Granito ( /l . _!.;./JJ /~I__.-:..'- Cemetery / .. I ('.i.. .' . .:' ( ,/1.. .,f' ,,('. j) . Name on bilCk ~~ .,"', .,.., ,'1, I..,.. . . .............. ....................... tako full responslbllltv for the accuracy 01 Ihe above spellings and dates [J Check How 10 leller Leller Ihls WilY' opposite , ~ r ,/ . .. Jnlt Prlrp S . ~ . I:lnwpr \I.ell ~ rn"n'u' D".' C t' . . FOUNDATION WARRANTY ORD P,O' --'. ... -----..--.---- POS GRA VAS POSTS GAR S COM. O&J Tnt.' C r" : .\ ( .' .\ , / i5~ .:?- S '\ v RIV-1547 IX AFP 112-94* COtMDHWUl TH DI" POINSVl YANIA DEPUftEHT Of' A[VDAJE: IlRUU Of' INDIVIDUAL fAXEI PEPf. 111'11 HARAIIIURG, PA 1711'-0'Dl ACN 101 NOTICE OF INHERITANCE TAX ArrRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSE~ENT OF TAX DATI 11-06-95 FILE NO. DATI OF DIATH 11-27-94 COUNTY CUMBERLAND NOTE. TO INSURE rROrER CREDIT TO YOUR ACCOUNT. SUlHIT THE UrrER PORTION OF THIS FOR" WITH YOUR TAX rA~ENT TO THE REGISTER OF WILLS, ~E CHECX rAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: OARRY A ROBINSDN 610 BURONDR RO CARLISLE PA 17013 REOISTER OF WILLS CUMBERLAND CD CDURT HDUSE CARLISLE, PA 17013 ~t R..HtH CUT ALDNG THIS LINI ~ RITAIN LDIIER PDRTION FDR YDUR RICDRDS .... iiiii=i!jitj-iif-AFji-nF91ii-iioYicnij1-YNHiiiifANCi-YAX-APPRAisiifiii'r;-,UrciIiA;(ci-i:iIi--m--m------- DISALLDWANCE DF DEDUCTIONS AND ASSESSMENT OF TAX ISTATE OF RDBINSDN NADMI M FILE ND. 21 94-1024 ACN 101 DATI 11-06-95 TAX RETURN WAS, I X I ACCErTED AS FILED I I CHANIlED RESERVATION CDNCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED DN: DRIOINAL RETURN 1. R..I E.t.t. ISOhadul. AI III 2, Stock. and Bond. lSOhaduI. BI 121 S. Cla..ly Hold Stock/P.rtnarahlp Int.r..t ISchaduI. CI ISI 4, IIortG_./Hot.. R...habl. ISe_l. 01 141 5, C.ahlll_ Dapodh/"he. r...on.l rr_.b lSe_l. EI 151 6. Jointly Owned rr_rty ISe_l. FI 161 7. Tr8nlf.r. ISchedule g) (7) I, Tot.1 A...t. .00 .OD '!!.!!.. .00 2,058.59 .00 ,00 III 2.058,59 APPROVED DEDUCTIDNS AND EXEMPTIONS: 9. Funeral EKpenl../A~. Caatl/Hila. EKpen... (Schedul. H) (9) la, Dabt.lKortgaga Llabllltl../Llon. ISe_l. II Ilal ,00 11, Tot.l Daduotlon. 1111 12. Net Valu. of Tax R.turn (12) IS, Ch.ritabl./Go..rnoont.1 Baquo.t. ISchoduI. JI IlSI 14. Hat V.lue of E.t.t. Subj..t ta Tax 1141 NOTE: If an a..a...ant wa. 1..uad pr.v1ou.ly, 11n.. 14. 15 and/or 16, 17 and 18 refl.ct f1gur.. that 1nclud. the total of abb r.turn. a......d to dat.. ASSESSMENT DF TAX: 1&. AltOW\t of Line 14 .t Spou..l r.t. US) 16. Aaount of Line 14 t.Kabl. .t Line.I/CI... A rat. (16) 17. ~t of Line 14 taKable .t Callat.r.I/CI... 8 rat. (17) 18. Prlncip.l Tax Due TAX CREDITS: rAY"ENT DATE 6,275.10 & . :n 5..Ul.... 4.217.10- .00 4.217.10- will .00 .00 .00 X,03. X ,06. X .1S. UII ,00 ,00 .00 .00 RECEIrT H'JIlIIER DISCOUNT I +I INTEREST I. J AIIOUNT rAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE ,00 ,00 .DO .00 -.----.,......, . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS THAN .1. NO rAY"ENT IS REQUIRED, IF TOTAL OUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,I ~' ~L ~ if} !;,tor J ~~ ,I' ;.l~ ".; i'j "i ~ .1t I, ~ '\ ~~ , ~.~ t !f ~ .. ILl .. :<', . '. (.,: , ' 0' 1 -. I:', '''L.~. r~ \;", I" .... :.l G() ItUDYAnD.h lE,bt.. of deoedent. 11>>1,... on or blf.r' DeoeiIIIJIr 11, lHI .... Sf InV futuro Int.r." In the .,ut, 11 t.......red In po.....lon or -nJo,...t to el... . Ccou.t....n .....'I...rl.. .f the dtoedent .ft.r the ....l,.Uon .f ." .,tIIt, fer Ufo or for v..r., the Ca .....lth her.v IXPnllb ,....rve. the right to .".... MIl ...... ,,,,,,,'er InherlbnGe T.... .t tM I..Jul el... . (coUe'.r.n r.t. on MY IUCh futuro 1nt.r.l\. "-01' MOna. To fulfUl the ,.....,....,. of ..Uon IlU of the JnlMrU... ... ht,t. TalC lat, Aot II of 1"1. n P.I. ..Uon 1140. PAYMDfTI De,.... the top portion of thh NoUn'" ....It Mlth your ptI~t to the ...ht.r .f MUh printed on the rwe.... ,'de. ........ CIhIck Dr .,.y .rder "'-1' tOI REGISTER OF MILLI, AGENT All ~t. 'M,lweI ...11 flnt " ."U_ to InY l"t.r..t ....Ich _, be ... ..Uh InY ,._1,..... ...11... to the tille, RUUCD (ath A nhnl of . tax oredlt, ....lch .... not ......tect on the Ta .Itum, ..v be .......ted by cOIlPl'Uf'II - ......Untlon for Rotund of ,-"".,Iv.nI. JnhlrltlftOl Ind !.t.t. ,..- CREV.ISIS). application. .r. avwlllbl. .t the afflCl of the R..l.t.r of NIII., ~ of the IS R~ DI.trl~t afflc", or b, call1nl the .,.al.l ".hOUr .,..rlnl ..",,1_ ....n far f.,..' ar.rlnll In Pem.,lvenl. 1.....561.1110, out. Ide P..,.,Iv.nI. ... within locel Herrllbur. .r.. (717) 7.7."", TDDI (717) 111.rlSl ("--rlne 1.,.lred Onl'). alJ[CTlOHIa NrI por" In Int.r..t not ..ttltled with the lIPP,..l~t, .U...... or dl..U...... of deduction., or ......-t of t.. (lnaludl". dllaoutt or Int.r..n .. .,.., on \hI. Matl_ ..,.t MaJeot within .1_., C'U .,. of .....I't of thll NoUce bJl ..wrltten prot..t to the PI DIp.rt.-nt of ROY~. Ioerd of .,....., Dept. 111011, HorrllbUr., PI 111'1.1"1. o. ...I_Uon to hrIa tho _tt.r ...,..Inod .t _It of tho M'OOU\t of U. .,.r...1 rapr..en"UVI, 01 ..eppeIIl to the Drphwl" Court. ....IN IIT1lATlW CDRRfCTJDHlI ,..tu.1 arron dllOOV.rod on thl. .....~t IhoUld be addr...ed In ..rltlna tal PI a.p.rbwtt of RI\"WIUO, lur..u of Indlvl~1 ,...., ATTNI Po.t A.....-ent A.vt.. Unit. Dept. 21"01. Hlrrtabur., PA 17111."'1 Phone (717) '1'-'505. ...,... 5 of tho boOkl.t -In.truo.lon. for Inhlrlt~ 'aM R.turn for. R..ldlnt ~t- CREV.1S01) for on explanation of adllnl.tr.tlv.lv aorreot...l. .rror.. DIICIlUNTI If ..., t.. ~ II ,old within thr.. U) aa."r -.nth. oftor tho dMedlnt'. ..th, 0 tlvo percent (~) dl....,t .f tho t._ ,lid I. .llowed. JNTtR!ITI lnt.r..t .. chlr..- bltlMlna .,lth flr.t doy of dlllnquonCIv. or nino (,J MJf1th. and .,. elJ do, fro. the dot. of ....th, to tho dlt. 0' ,..,...t. T.... which becIM dlllnql,lMlt tN'or. .....rv I, 1'.2 ~r Int.r..t .t tho nt. 0' .1_ (0) porcent por onnuo colcuhted .t . dilly r.t. 0' .000164. All t.... .....Ich ___ delinquent on .... .ftor ~rr I, .'11 will belr Int.r..t .t . r." .....Ich will vwr, fr" c.lendar ,oer to ..Iondor ,oer ..Ith thot rot. ~ b, thI Pi Dopert.-nt of ROY..... ThI ...l1allbl. I"t.r..t r.t.. '0' I'" thrQUlh 1"5 .r'l ~ lnt.r..t Rat. Doll, Int.r..t Foato, ~ Int.rut R.t. a.ll, Int.,..t Foo'or .,.2 lOX .011541 1t'7 OX .lIn" I'U lOX .IIUJI 1'".1"1 III .OIlSIl 1914 IIX .100501 I"' .. ..aOl" ,.., ID .aOnM 1")-1'" n .000191 I'" lOX .0001" I"' .. .000n1 ..In..,..t 1. oolcula.1d .. followll INTERElT . IALANCE OF TAX UNPAIO X KUKlER OF DAYI DELI"QUENT X DAILY IHTERERT FACTOR uAny NoUN ...... oft.r tho 'u a.co.. delll"MlUlnt ..Ill t.u... on In..,..t calwl.Uon '0 UftlMtl UI) dov. be,and .ho de'. of tho .......,.. If pav-ont .. .... .fter ,ho In'.ru' CDIPU..Uon dot. Ihown on the Notlo., eddltl~l In..,..t au.t be oolcul.tld. ..., - - .-- ---. ~--~- -- .-.- ~ -_. -- -- - -~ " ..-. ..-.......' .'" -'. . , ... -- -~.. - ---- .,-- P_. .___ .____ ____ '_ __.__ _._. ..~_ ._m5~.tf,et"rtl~~:: ACN ASSESSMENT P:' CONTROL I;iI NUMBER RECEIVED FROM, & AMOUNT ALBERT J HAJJAR ESQUIRE 1300 MARKET STREET SUITE B LEMOYNE, PA J7043 I, lvt ..;J,le....ly -HJCDHfI, lOlDHU'. ISTATE IN/ORMATION, S I M 21-1994-1021 m NAME 0/ DECED NT LAST) 1;1 BRINTON ANNE 8 II rE 0/ P,," MEN SSN 170-I:i!O-6:521 (IIR T) MI CUMBERLAND DATE 0/ DEATH fa TOTAL AMOUNT PAID .3,181.19 PB REMARKS STEPHEN 0 HOOPES CIO ALBERT J HAJJAR SEAL CHECK.. 1204 *nIIS RECEIPl' itILl. REPIJICE RECEIPl' ^^ 184968 ESQUIRE I wr- --: - -~-. - - - _.~ .-.. --~ ~~- --" .~:- .__~~ REGISTER OF WILLS "-, , -', RECEIVED BY /),;v.r..../ C rfu4i /Jr.:-!/' ;'/ S10NA:_U~ ' f.' j/, . MARY C. LEWIS :.p .1/'A'J'f;;/J ,/".. REGISTER OF WILLB t: --- -'- ----- -- - ..-- - - - -- - ~ - ~ - - --.--:-- I '._ I "! -..,. " ,. , . I ~, . ..: r .' , . --.. -.,..-.--' . .,.--. -....---.. -::;---::.............. J t..- \ .,.1f~~ . , . Cumberland County - Register Of Wills Hanover and High street Carlisle, PA 17013 Phone I (717) 240-6345 Datel 11/19/1996 GARRY A ROBINSON 610 BURGNER RD CARLISLE, PA 17013 REI Estate of ROBINSON NAOMI M File Number I 1994-01024 Dear Sir/Madam I 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 will become delinquent on 11/27/1996. Your prompt attention to this matter will be appreciated, Thank You, Sincerely, '-r\l,wl~~v.h~ ~Y C. LEWIS v ~ REGISTER OF WILLS CCI File Counsel Judge t~ . " II c... STATUS REPORT UNDER RULE 6,12 Name of Decedent I A/A u"1 I /J1, ~.,. duv.r",^, Date of Death: n/dl.?,/?,/ Will No, J'1''''~ ~ olo~"';/ Admin, No, 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 ~ No 2, If the answer is No, state when the personal representative reasonably believes that the administration will be complete: J. If the answer to ~o. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes~...._ No ij-. , b. The separate Orphans I Court No, (if any) for the personal representative's account iSI , 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 Cerk of the Orphans' Court and may be attached to this report, Date: II/.U/",t \/?_----~. ~ -sig~e c;' ;f /t A~ A. /P e" ,/f, oIV" J'.. ...,. Name (Please type or print) " .. - \1,-' I r I 7..z I ;> -d... ~ /' 'n~ 'I:) 1-2 Y ~''''I d",r,... c A- r Address ~ L I'; 81 S? ft'.! OJ. (il?) r:r~ - 77'1'.7 Tel. No, I' .J !.1 Capacity: r<. Personal Representative Counsel for personal representative (MAHlrmf/AM3) -