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DONALD B. OWEN
130 RIOOI!VIIIW DR IV.
M...RYSVILLE, P.... 170!l3
COUNSELOR-AT.LAW
LAST WILL AND TESTAMENT
-------
I, LEWIS C. ROBBINS, of Camp Hill, Cumberland County, Pennsylvania, being
of sound and disposing mind, memory ond understanding, hereby moke and publish ond do
declare this to be my Lost Will ond Testcment, hereby revoking and making null and void
any ond all Wills or papers of 0 similar nature by me at any time heretoFore mode.
FIRST:
I order and direct my Executrix hereinaFter named to poy 011 my
just debts and Funeral expenses os soon as moy be conveniently done aFter my decease.
SECOND:
All the rest, residue and remoinder of my Estote, whether reol,
personol or mixed, of whatsoever kind ond wheresoever situate, I give, devise ond bequeath
unto my beloved wife, MARY K. ROBBINS, absolutely and in Fee. However, in the event
thot my beloved wife, MARY K. ROBBINS, should predecease me or die on or beFore the
thirtieth (30th) day Following my death, then I give, devise and bequeath the remainde,'
of my Estote equally, shore ond shore alike, unto my issue per stirpes, NANCY A. ROBBINS,
of Camp Hill, Cumberlond County, Pennsylvania, and JEAN M. (nee' Robbins) JURJEVIC,
of Graton, Connecticut, living on the thirty-first (31st) doy Following my deoth.
AND LASTLY:
I hereby nominate, constitute ond appoint my beloved wife,
MARY K. ROBBINS, to act os Executrix of this my Last Will ond Testament, without bond.
In the event that my wiFe, MARY K. ROBBINS, should predeceose me or Fail to
Page I of 2 Poges
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probale of Wills and granting of Letters of Aaih~I~~~r.M'i~ and for the Counly of
Cumberland, personally came
MARY K. ROBBINS
who, being duly
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depose and say lhal as Executrix
3..c.111
of lhe last Will and Teslament of
LEIIIS C. ROBBINS
deceased
CllE will well and truly administer the goods and chattels, righls and credits of said deceased according to law. AnI!
also will diligently comply with lhe provisions of the law relaling to Transfer Inheritances~',;?Rll jd s~bscribe\d before me.
Nov. 19. 1980 A,D., 19_ "7J 7n Ii I. 1/ /O/!L{)vL/
MA~~OBB~_N~. ~~
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DECREE
Be il remembered lhal on lhe 20th day of November 8
,A.D.,19~, there was probated and
recorded lhe lasl Will and Testamenl of [V,.IT" r "0P"Tll" lale of
1226 Yverdon Dr., Camp Hill,
,Cumberland County. Pennsylyania,
Deceased. Letters "f' .,,('>~+ rnl"lpn+ nl"J' were granted to
Witness my hand and official seallhe day and year aforesaid,
MM~V I( Rryp.lHW::~
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COUNTY 140, ,c, ' '. ,"
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
R~".'lg EX+ (7-60)
. COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT OECEOENT
STATE NO.
Other
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Under pen allies 01 pl!rjury, 1 declare that I have examined this return and
to the best 01 mv knowledge end belief it is true, correct end complete.
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SIJnaturt;! of Fiduciary Date
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OEPARTMENT VALUATION
(OFFICIAL USE ONLY)
ESTIMA TED MARICE T
VALUE
DESCRIPTION
TYPE OF ASSET
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I do hereby certify that the above assets were appraised in accordonce with Pennsylvania law.
OFFICIAL
USE
ONLY
March 27, 1981
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APPRAISER
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DEOUt TIONS ALLOWED
INSTRUCTIONS
ASSETS:
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TYPE OF ASSET _ Indicale whether the o"et i. reol e.tote, pe..anal property, tron.ler or jaintly.owned,
DESCRIPTION _ Li.t 0\1 a"ets awned solely by the decedent or owned jointly with enother party or partie. as tenants in
common or as loint tenon Is with right 01 survivorship 01 the time of death. Include tho decedenl's percentogo 01 ownership,
Ihe nome Is) and relationship to Ihe decedent 01 the .urviving joint owne.. and the estimated market valuo 01 the decedenl's
intere.t a. 01 the dote 01 death. Include intangible personal property titled in the nome of the decedenl but payable at death
10 another porty or parlies including but not limited to P.O,D, U.S. Savings Bond. and tentalive trust accounts. Lisl any
property tronslerred by the decedenl within two years of death for which he/.he did not receive valuable and adequate
consideration.
Describe all real estate located in Pennsylvania by lot and block number, street oddrc55, number of acres and include a
general description of the lond and building. Also, include the book and pnge number in which the deed i. recorded and the
c~act title 05 indicated on the deed.
DEBTS & DEDUCTIONS _ Unsalisfied liobililie. incurred by the decedent prior to his/her death arc deductible ogainsl
his/her tOlCoblc estate. In odditic..n to debts incurred by the decedent, other items arc claimable including the cost of
administration, attorney fces, fiduciary fcos, funeral and burial Cll:pcnscs including the cost of a burial lot, tombstone or
grove marker. list the date on which each debt waS incurred and/or paid and the names of each poyce. Provide a brief
explanation of the nature of each debt cleimed end the emount being claimed
Evidence 10 supporl Ihe decedent's or the oslate's liahilily for the debts being claimed should be attached to Ihis relurn
A family e,emplion moy be claimed by a spouse of 0 decedent who died domiciled in Pennsylvania. \I there is no spouse,
or if the spouse has forfeiled his/her right., then ony child of the decedenl who is a member of Ihe .omo household con claim
Ihe e,e",plion. In Ihe even I there is no such spouse or child, the exemption can be claimed by a parent or parenls who are
members ef the seme household as the decedent.
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INFORMATION
PLACE FOR FILING _ The return is to be filed in duplicate wilh the Register 01 Wills of the county wherein Ihe decedenl
resided.
liME FOR FILING _ The return is due nine months oher the decedent's deeth, unless on extension for filing has been applied
for end granted by the Secretary of Revenue within the ninc..month period.
FAILURE TO FILE RETURN _ Section 791 of the 1961 Statute provides that" " .any person who willfully fails 10 file a
return or other report required of him .hall be personally liable. . .100 penalty of 25~o of the lax ultimalely found 10 be
due or Sl,OOO whichever is the less to be recovered by the Deportment of Revenue os debls of like amount ore recoverable
by law."
NOTE: Fees paid 10 on estate representative; namelv. an executor or administralor, for services performed in ad.
ministering on estate is reportable for Pennsylvania Income Tax purposes. This taxable income item shoud be reported an
larm PA,40.lndividuol Income Tax Return.
010.'01010 IO.riG
COMMONWEALTH Of' PENNSYLVANIA
March 11. 1981
SUBJECT, Estate of Lewis C. Robbins
21-80-0735 DOD 8-27-80
TO, Mary ~. Robbins
2115 S. ~I!d St.
Steo1ton. Pa. 17113
'.0'"" Gloria Richard. C. Appraiser
Dauphin tn. Inberit4nce Tax
1846 Brookwnod St.
IarrU,burg. Pa. 17104
Please liend IIIlI tbe llUIIIber of sbares of Rite Aid stock owned by tbe
above decedent. Was it co~n stock? Wbat i8 the value per share on
date of deatla? IStJ,
3 I 'It
The jointly owned real el>tllte you have listed, whoso naJIIQ" was it
in at date of death? What relationship are you to decedent?
Your cooperation will be appreciated.
"
INFORMATION
To insure propor credit 10 your account, tho nomlt of 1ho cstalu and rile number should be clonrly print.
ed on tho chock or money order.
This assessment is made in accordance with Section 708 of tho Inheri13nco and Estato Tax Act of
1961 {72 P.S. ~ 2485.708}.
To the 8xtent that inheritance tax is paid within threo (3) monthS aftor tho doath of the decedent. a
discount of five (5) percent is allowed 172 P,S. ~ 2485.716}.
Inheritance TOK, other than tax on a future interes!. is dul.! at tho dalO of Iho decedent's death and becomes
delinquent at the expiration of nine (91 months after Ihe decedent's death 172 P,S lj 2485.711). Inheritance
Tax on a future interest is payable within three (3) monthS alter tho transfer wkcs effect in possession and
enjoyment and is delinquent thereafter (72 P,S. 9 248S.712j. Calculato interest from the delinquent date shown
on the face of this form to the date of actual payment using ths following interest table:
---------..--------------------- --- ----------- -- - - --- - --- --.-------- -- -- -----
1 month .005 4 months ,020 7 months .035 10 months .050
2 months ,0\0 5 months .025 8 months .040 11 months .055
3 months ,015 6 months ,030 9 monthS .045 12 months .060
1 days ,00017 11 days .00186 21 days .00352
2 days ,00034 12 days ,00203 22 days .00369
3 days .00051 13 days .00220 23 davs .00386
4 days .00068 14 days .00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days .00101 16 days .00267 26 days .00437
7 days .00118 17 daY5 .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days ,00318 29 days .00488
10 days .00169 20 days ,00335 30 days .00500
- - ------------------- -- - - --- -- --- ..--- -- -- -- ---- -- -- - - - - --------- ---.....
Any party in interest. including the Commonwealth and the personai representative, not satisfied with
the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S. ~ 2485,1001).
Make check or money order p"yable 10:
"Register of Wills. Agenl"
Mail 10 the address listed below: