HomeMy WebLinkAbout94-01024
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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
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A. UIJA~'7 A..doVJ.._
MilA. L. PI.o.,( I.." r
Relnlionshlp
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THEREFORE, pelitloncr(s) respccll'ully rcquest(s) the grul1l 01' leltcrs or ndmlnlstrntlon In the
npproprlnte rorm to Ihe undersigned.
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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.
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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~
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CERTIFICATE OF DEATH
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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
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r., A- ({Po 'I A. KD ",1/ <;() ,.J
WITNESS_ ~ ,t; ~?... -
hand this T ~ day or Al-. - , ,
,19.2iL.
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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/
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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
.
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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.
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
REY.I500 U. 17.9'1
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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
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iii
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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
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5
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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
+
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B
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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._-
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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
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(181
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(191
(201
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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'
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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.'~~
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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...)
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SHULL - KOONTZ
130 East Queen St,
Chambersburg. PA 17201
Phone: 717.26.4.6916
lame/).... { t/ /) ,,(.7,
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ConlraclWork Per. hr. __________
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Name on bilCk
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I..,.. . . .............. ....................... tako full responslbllltv for the
accuracy 01 Ihe above spellings and dates
[J Check How 10 leller Leller Ihls WilY' opposite
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Jnlt Prlrp S . ~ . I:lnwpr \I.ell ~ rn"n'u' D".' C
t' . .
FOUNDATION
WARRANTY
ORD
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--'. ... -----..--.----
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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
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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:
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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
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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
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Name (Please type or print)
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L I'; 81 S? ft'.! OJ.
(il?) r:r~ - 77'1'.7
Tel. No,
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Capacity:
r<. Personal Representative
Counsel for personal
representative
(MAHlrmf/AM3)
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