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HomeMy WebLinkAbout03-0682 Estate of Gertrude S. Robinson also known as PETITION FOR PROBATE and GRANT OF LETTERS ~ 1-03-lJJg~ No. To: Register of Wills for the Deceased. County of Cumberland in the Social Security No. 201-16-6444 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executrix in the last will of the above decedent, dated June 10 and codicil(s) dated NONE named ,19~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 1700 Mark!>t St _. r.amp Hi 11. PA 17011 (list street, number and muncipality) Decendent, then 94 _ years of age, died Jul v 24 ,~ 2003 , at Manor Care Rea i rh ..$.f;rvi re!':. t~e!': t Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: NONE Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 2.000.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) - ~ u !3 ~~~-~, ~~ ~ l:; Adrienne M. Nailor = -g.g 312 Brandy Lane ~~ Mechanicsburg. FA 17055 ~c.. u'- ; 0 ;; = 00 i:ii OATH OF PERSONAL REPRESENTATIVE COMMONWEALT~ OF PE~NSYLVANIA } S8 COUNTY OF I U.JYlI3E:RLAN V I fJ-/.5g-Z The petitione.(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and corre::t to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. subscribed { U ~ -m. 7l~ day of ~ egister CI:l OQ' ::: Cl - ::: ~ ~ No. CAI-03-~g~ Estate of Gertrude S. Robinson , Deceased DECREE OF PROBATE AND GRANT OF LETTERS a(J[) ~ AND NOW Au..ft LL0 T ) ~ .;1_, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated June 10, 1988 described therein be admitted to probate and f1led of record as the last will of Gertrude S. Robinson and Letters Testamentary are hereby granted to Adrienne M. Nailor ~ FEES (J Probate, Letters, Etc. ......... sU Short Certificates( 1) ...... . . .. S J 00 Renunciation ......: ~r :f)' .. S Lo J 00 ~sIO.OO TOTAL _ $~ ~ii.~ Debra K. Wallet (23989) AITORNEY (Sup. Ct. 1.0. No.) 24 N. 32nd St., Camp Hill, PA 17011 ADDRESS Filed (717) 737-1300 PHONE ~~ ~Udtr. 'JL1~) :~ [s;: t. d t: l O~rJ m. ",-. j fj ;:,l-j Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 6/15/2005 WALLET DEBRA K 24 N 32ND ST CAMP HILL, PA 17011 RE: Estate of ROBINSON GERTRUDE S File Number: 2003-00682 Dear Sir/Madam: 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 is due by: 7/24/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, /~f~'-~t&U~ GLENDA FARNER ~TRASBA~H- REGISTER OF WILLS cc: File Personal Representative(s) Judge ~ H'DA~2s'tfi~y""!:A~':'1reCh~~i,;;cSb'urg, Pa. 17055 PlACE OF OISPOSlT10H. '. '-- : 0ftMI Md duttl , i ...xx PART II: OIheI ~~contrQAinglO _th. blM ltOC~inthe~CIlI.-.peninPAATI. .. WERE AU'TOPSY FINDINGS MANNER OF DeATH DArE OF INJURY -....u PlUOR 1tl lMonwa. 0.0" "-I CCfoIPlETION Of' CAuse iX 0 Of' 0EAJH1 ....... --- - 0 -..-...... 0 No~ ....0 No 0 ........ 0 Could not bt det-.n1Md 0 TIMe OF INJURV INJURY AT WOAK? DESCfUee HOW INJURY OCCURRED. .... 0 NoO "MEDICAL EXAMINER/CORONER On.... ~. 0' ..."..inalion and/or inv..ligollion, in my opinion, d.ath OCcurr.d It the 11m manner.. s'aIM.. 2t., REGISTRAR"S SIGNATURE 4NO NUWBER o - n. ~ICt'lICkonrY<JOeJ oCUTlFY1NG PHYSICIAN IPhySIC"" cetlrl)rnQ c~se 0' Ct'.-...."... M\OIhef on"s.oc.." h.1s pt~ de~ ana comgtllf4ld f!ern 231 To........ot...yknowllldge. ..UI OC;CUn'ed due to lNC.-u"'ltlftd"..,.,..,.. l'atM,.............,...........".,..". 4~ ANa CIRTtFYlHG "HYSICIAN IPh.,.SIC~ f)I)1h 0Jf0l"\0l.lrlC1/"I9 08<I1h ..OOCet1Ifyong IOC4IuSe 01 ONCh) To Ihe bMI ."'Y kno~.. death Gecwr,,,, allhe lime. qte, and piece. and d~ to the c.uM(.J and manner.. .'.Ied.. ~ J2.J~ 32. DATE FILEOJ""Olllh D4I.,. "..." 7 x:?/~3 J4. 021-03-<Dg~ .. qUI:':) c:", rC' f \ '.' 09\/ (0. L::::I' (.. 0 l. ~ LAST WILL AND TESTAMENT OF GERTRUDE S. ROBINSON I, Gertrude S. Robinson, of Hampton Township, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last will and Testament, hereby revoking all Wills and Codicils made by me at any previous time. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by my Executor out of the property passing under this Will, which is not specifically devised or bequeathed, as an expense and cost of administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor even though on proceeds of insurance or other property not passing under this Will. If the assets not specifically devised or bequeathed are not adequate for the pay- ment of all such taxes, then the recipients of the property specifically devised and bequeathed shall each pay a pro rata portion of any such taxes based upon the valuation of the property received by each such recipient as finally determined for Federal Estate Tax purposes, or if no such determination is made, then for applicable State Inheritance Tax purposes. ITEM II: I give, devise and bequeath all the rest, residue and remainder of my estate, whether real, personal or mixed, to my niece, Adrienne M. Nailor. In the event that Adrienne M. Nailor should predecease me, then I give and devise all the rest and remainder of my estate to her husband, Jacob Nailor. In the event that both Adrienne M. Nailor and Jacob Nailor should predecease PAGE I OF 2 PAGES , me, then I give and devise all the rest and remainder of my estate to Craig Hocker, of 792 Upper Temple Road, Biglerville, Pennsylvania. ITEM III: Any person who shall have died at the same time as Testatrix or in a common disaster with her, or who does not survive her by thirty (30) days, shall be deemed to have predeceased her. ITEM IV: I nominate, constitute and appoint Adrienne M. Nailor to be my Executrix. In the event of the death or resignation of Adrienne M. Nailor or her refusal or inability to serve, I nominate, constitute and appoint Jacob Nailor to be my Executor. In the event of the death or resignation of Jacob Nailor or his refusal or inability to serve, I nominate, constitute and appoint Craig Hocker, of 792 Upper Temple Road, Biglerville, Pennsylvania 17307, to be my Executor. My Executrix or Executor is hereby relieved from the duty or obligation of filing any bond or bonds. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, consisting of this and the preceding one (1) page this/.e:~,.tiday of ~ ' 1988. ~ l2&.~ . .k/" ~// ' ,,/,'. ';;I~-t./L" ~-/ ;~'?'<1~d~~}SEAL) /' Gertrude S. Robinson ' We, the undersigned, hereby certify that the foregoing will was signed, sealed, published and declared by the above-named Testatrix 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, have hereunto set our hands and seals the day and year above written, and we certify that at the time of the execu- tion thereof, the said Testatrix was of sound and disposing mind and memory. 0n \.;) "J JiJL ~'WJ y, ~~Mu / (SEAL) ~, JJ- ,/ ( SEAL) Residing at j / /':)~iJ){t~ Ctui \IC{ {(Oj~/jJ4Ltcv/ f:'),L) J 70s J ~ Residing at if Go'.,. QJ= ~ ~ ~./710? (SEAL) Residing at PAGE 2 OF 2 PAGES r ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF DAUPHIN I, Gertrude S. Robinson, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Willi and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by Gertrude S. Robinson, the Testatrix, this I&r::t day Of. 1. ~ 1988. (7 ~h-/P~~ Gertrude S. Robinson 7 ~ /r7.4Jt / t;tary ~ub~ic " - My Commlsslon Expu::.e&; A- P !U:' PatricIa ; elTT.,r Notary Public tlarrisb'Jr], Da~;Jhin County My Commission :':xpires: June 29, 1989 (SEAL) AFFIDAVIT ........... ,- i I"!' f., ',- ), JJ.cAJUUJ ,Z. ) ) ) ') !' "') ~' ,. 'U SS COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN We, · ~CL.J.I{ )j :. and , the witnesses whose names are signed to the attached or foregoing instrument, being duly quali- fied according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Willi that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each sub- scribing witness, in the hearing and sight of the Testatrix, signed the will as a witnessi and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. '(~l:::: ~;. O:;:;Q:ed and ~ ~~Tie..~Y , witnesses, this I t1'4- day of and cf~z-- , 1988. /" " . ,. <J' J{C:ilCX:U C;/ ~ Witness ~~.JJ-> Wltness (SEAL) ~..." otary Public My Commission Expires'atricT A; Peiffir Notary Public Harrisburu, Dauphin County My Commission Expires: June 29, 1989 ~ .J; (:) -~_J ~ t,-t ~ ~I-t - ~ ~~ t~t ~ = tt "t-i = ~t $$ ~ ~t-=f ~ a ~ e z o CJ) Z H ~ o p::; . CJ) r.:l Cl ~ p::; E-i p::; r.:l ~ ~ I-U Z Q l!l ..... ~ ~ ~ 9 ::::>...l rt:) o G9 ~ l!l 5 ,J 1Il ~ i I-L< >- ll< l.ll IJ.l >< . zoo (j ~ lXl ~ z 8 ~ ~ ~ 2 . ~ >< ~ :I: ..... ~ ,. '- f'. .,t .03 co 13 r; ...., 1 . _~ :~, .:: BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Gertrude S. Robinson Date of Death: July 24, 2003 Will No, 2003-00682 To the Register: 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 following beneficiaries of the above-captioned estate on November 26, 2003. Name Address Adrienne M. Nailor 312 Brandy Lane Mechanicsburg, P A 17055 Craig Hocker 792 Upper Temple Road Biglerville, P A 17307 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: November 26,2003 ~~.~ Debra K. Wallet, Esquire 24 N. 32nd Street Camp Hill, PA 17011 (717) 737-1300 Counsel for personal representative Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Robinson, Gertrude S also known as , Deceased No. 21 - 03 - 00682 Date of Death 7/24/2003 Social Security No. 201-16-6444 Adrienne M. Nailor The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the vaiuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. l!We verify that the statements made in this Inventory are true and correct. l!We understand that faise statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. I.D. No.: 23989 Personal Representative Signature:.&~ "-n? .<-n a., ..,~ J~ - ~drienne M. Nailor Signature: Attorney: Debra K. Wallet Signature: Address: 24 North 32nd Street CampHill,PA 17011 Address: 312 Brandy Lane Mechanicsburg, PA 17055 Telephone: 717/737-1300 Telephone: (717) 766-9644 Dated: '7-/5'" - 0 rf- Real Estate 14440 Twining Avenue, Pt. Charlotte, FL (based on offer from buyer) 2,000.00 Total Real-J:state d .C>. $2,000.00 <- c. r ~ C>, .. ',_.'i (Attach additional sheets if necessary) Total Personal Property and Real Estate $2,000.00 0--- REV_I500EIl+ ll-lHll w ~ "~,, "~,, w~8 .~...I ,,~.. ~ ~ *' OFFICi.,,!. USE O~JLY REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 1712a.0601 ~ Z w Q w " W Q DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Robinson, Gertrude S ~~/::~:T; (MM.OO.YEAR)muj ~~;I~~;;~; (MM.OO.YEAR) (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) , -+1 13. Charitable and Govemmental Bequests/Sec 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) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of line 14 taxable at the spousal tax rate, x .00 or Iransters under Sec. 9116(a)(1.2) -. ..~ ~ffi ~Q QZ ,,~ -~ 1. Original Return o 4. Limited Estate ~ 6. o 9. 1IllIliism~iilliiliimi.i~iIIii AME Debra K. Wallet ,,' '-"QlU~ii[,"-' Decedent Died Testate (Attach copy of Will) Litigation Proceeds Received D 2. Supplemental Return o o o 10. IRM NAME (If applicable) Law Offices of Debra K. Wallet ELEPHONE NUMBER 717/737-1300 ,. Real Estate (SeIledule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship Z Q 3 => ~ ii: ~ ~ 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Properly (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) Z o " ~ => ~ '" Q " S 16.Amount of Line 14 taxable at lineal rate 17.Amount of Line 14 taxable at Sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due FILE NUMBER 21 03 COUN~~ODE YEAR SOCIAL SECURITY NUMBER 00682 NUMBER 201-16-6444 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11.Election to tax under Sec. 9113(A) (Attach Sch 0) 24 North 32nd Street Camp Hill, PA 17011 ........ .-~ -- ,'. (1) 2,000.00 (2) None (3) None (4) None (5) None (6) 1,295.34 ---_.._._-~ (7) None (9) 555.00 ----...-.-- (10) 3,429.49 '''''OFFICIAL USE m.JLY '-- 0:- r ~ :y, ,ofl (8) 3,295.34 (11) 3,984.49 (12) insolvent (13) (14) (15) x .045 (16) x .12 (17) x .15 (18) (19) Copyright 2000 form software only The Lackner Group, Inc. CHECK HERE IF YOU ARE REQUE5TING A REFUND OF AN OVERPAYMENT o 20. 0 Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 1700 Market Street CITY "ISTATE PA IZIP 17011 Camp Hill Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits (A + 8 + C) (2) 0.00 3. interesUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. 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 the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) 0.00 (5) (5A) (58) 0.00 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT I!Im m II PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;................................................................................~ II b. retain the right to designate who shall use the property transferred or its income;.......................,........... c. retain a reversionary interest; 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, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of pefjury, I declare thai I have examined this return, including 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 whl~h P!~a!l!r has any knowledge. ___._~_ __ SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS Adrienn M. Nailor DATE IBlEFO ~ FILING RETURN 312 Brandy Lane . Mechanicsburg, PA 17055 ADORES$"- 7,,I.s: - &lor: DATE ADDRESS SiGNATURE OF PREPARER OTHER THAN REPRESENTATIVE Debra K. Wallet DATE 24 North 32nd Street Camp Hill, PA 17011 IIIUU' ~,~,~JUIlliIl_ I 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)]. ~~ .s?~v 10'1 For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)], The statute does not exemOB transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4,5%, except as noted in 72 P.S. ~9116 1.2) [72 P.S. ~9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)J. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. I COMMONW~NS"'VAN,^ j INHERITANCE TAX RETURN RESIDENT DECEDENT ____.__.,u.. SCHEDULE A REAL ESTATE ESTATE OF i i I FILE NUMBER 21 - 03 - 00682 "--_._----- ~-_._._.._~ All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. Robinson, Gertrude S ITEM NUMBER --~ 1 DESCRIPTION VALUE AT DATE OF DEATH 2,000.00 14440 Twining A venue, PI. Charlotte, FL (based on offer from buyer) TOTAL (Also enter on Line 1, Recapitulation) 2,000.00 *' SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I J~ILE_~~~;~~00682 ~. If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. ESTATE OF Robinson, Gertrude S SURVIVING JOINT TENANT(S) NAME A Adrienne M. Nailor ADDRESS RELATIONSHIP TO DECEDENT 312 Brandy Lane Mechanicsburg, PA 17055 Niece JOINTLY OWNED PROPERTY: ITEM ' L~:;:"E;! DATE NUMBER FOR JOINT MADE TENANT JOINT A 1986 DESCRIPTION OF PROPERTY I ';' OF DATE OF DEATH Include name of financial institution and bank account number DATE OF DEATHr!. DECO'S VALUE OF ,or similar identifying number. Attach deed for jointly-held real VALUE OF ASSET :INTEREST DECEDENT'S INTEREST iestate. _.... .--1 I checking account 2,590.67 50% 1,295.34 TOTAL (Also enter on line 6, Recapitulation) 1,295,34 *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER : 21-03-00682 ESTATE OF . Robmson, Gertrude S Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT 1. i ADMINISTRATIVE COSTS: , Personal Representative's Commissions B. Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Year{s) Commission paid Attorney's Fees Debra K. Wallet State Zip 2. 450.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 80.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. I Other Administrative Costs 1 Postage, photocopies, mileage, etc. 25.00 I I L TOTAL (Also enter on line 9, Recapitulation) 555.00 . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robinson, Gertrude S FILE NUMBER , L 21 - 03 :(j(j682___ Include unreimbursed medical expenses. ITEM NUMBER I Back taxes on Florida property DESCRIPTION AMOUNT 400.00 2 Camp Hill Fire Co. (ambulance bills) 3 West Shore EMS 4 East Pennsboro Ambulance 5 Manor Care 6 West Shore Pathology 7 West Shore Anesthesia 8 Orthopedic Institute ofPA 9 Jackson Gastroenterology 10 Ljubisa M. Stankovic, M.D. 1,022.00 37.14 362.00 1,169.00 10.45 18.60 209.21 26.67 174.42 TOTAL (Also enter on Line 10, Recapitulation) 3,429.49 REV-1513 EX+ (9-G0) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER 21 - 03 - 00682 RELATIONSHIP TO AMOUNT OR SHARE "_ ~!;~~DENT OF ESTATE Robinson, Gertrude S NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Adrienne M. Nailor 312 Brandy Lane Mechanicsburg, PA 17055 Niece ! 100% of residuary Estate i Enter dollar amounts for distributions shown above on lines 15 through 18. as appropriate, on Rev 1500 cover she~t II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT ,BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE Cumberland County - Register Of Wills One Courthouse Square Carlislel PA 17013 Phone: (717) 240-6345 Date: 5/31/2006 WALLET DEBRA K 24 N 32ND STREET CAMP HILLI PA 17011 RE: Estate of ROBINSON GERTRUDE S File Number: 2003-00682 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 7/24/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report I please disregard this notice. SincerelYI ~.h_~~ I~ Glenda Farner Strasbaugfi Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/31/2006 NAILOR ADRIENNE M 312 BRANDY LANE MECHANICSBURG, PA 17055 RE: Estate of ROBINSON GERTRUDE S File Number: 2003-00682 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date, 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 is due by: 7/24/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~a0~ Glenda Farner Strasbaug1i Clerk of the Orphans' Court cc: File Counsel STATUS REPORT UNDER RULE 6.12 Name of Decedent: Gertrude S. Robinson Date of Death: 7/24/03 2003-00682 Will No. 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 X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: unknown 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders an~ approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Da te : 7/21/06 ~..... . &J.u.t- Signature '.......J Debra K. Wallet, Esq. Name (Please type or print) 24 N. 32nd St., Camp Hill, PA 17011 Address , ',,) os . iI' ", . I 1. J ~? 2 --ii:!" ~,!. (717 ) _737-1300 Tel. No. Capacity: Personal Representative X Counsel for personal representative (MAH: rmf/AJ13) C-- Pa. O.C. Rule 6.1? ST:~TUS .REPORT 1Z1=GISTER OF ~~~ILLS OF CLIMBERL,AND COWTY, PENNSY"L~'.aNT.-~ Name of Decedent: Gertrude S. Robinson Date of Death: July 24, 2003 File Number: 2003-00682 Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration oP the above-captioned estate: V I. State whether administration or the estate is complete :.................... ^ YeJ ;~ No ?.. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: unknown 3. If the answer to No. 1 is Y;/S, state the followins: a. Did the personal representative ile a tinal account with the Court'? ....... ~~ Yes ~~ Rio b. T'ne separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest`' ............................... ^ Yes '~ No d. Copies of receipu, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Coun and may be attached to this report. Dare_7/23/08 ~•~;~ M~}- Signature of Pzrson Filing this Form i 0 ~Zi Ord ~I~ _,~? ~~>~t _ _...... _,'.J ~ .. _... _..~ ..~ Capacity: ~ Personal Representative ~Counse! Debra K. Wallet, Esq. :Name of Person Filing thu Form 24 N. 32nd St. address Camp Hill, PA 17011 (717) 737-1300 Tzleoirone ~~ Form d5i! !0 rev. IO.IJ.06 Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Gertrude S. Robinson Date of Death: July 24, 2003 File Number: 2003-00682 Pursuant to Pa. O.C. Rule 6.12, 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 :.................... Q Yes Q No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: unknown 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^ Yes ^ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: 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 Clerk of the Orphans' Court and may be attached to this report. pate 6/30/09 ~.CI U' ~, ` I71 1~JU ~r ~'~~ % ~ i, ~~ ~~~ ~ ~ - iii ~~i~ Fornr RW=10 `rev-7(b13.Ob. .. ~- x ~~-- Signature of Person Filing this Form Capacity: ©Personal Representative ®Counsel Debra K. Wallet, Esq. Name of Person Filing this Form 24 North 32nd Street Address Camp Hill, PA 17011 (717) 737-1300 Telephone C~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 ~,-,, ,~-,,..,~ ~ Phone: (717) 240-6345 ~'- ~ ~'f-4"~~~..(~.~~~r ZQI~ .ltJN 16 PM I ~ 59 CLERK OF ORPHAN'S COURTI CUMFE4~L~ND CO ,EPA. Date: 6/16/2010 WALLET DEBRA K 24 N 32ND STREET CAMP HILL, PA 17011 RE: Estate of ROBINSON GERTRUDE S File Number: 2003-00682 Dear Sir/Madam: This notice is to serve as a reminder that the Status RepQ~rt by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RUL~S, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on ~r after July 1, 1992, the personal representative or his counsel,iwithin two (2) years of the decedent's death, shall file with the Re~ister of Wills a Status Report of completed or uncompleted adminis ration. This filing is due by: 7/24/2010 Please feel free to contact this office with any question you may have. If you have already filed your Status Report, plea$e disregard this notice. Sincerely, /f4~~G~LaQ~ l~~ ~~ Glenda Farner Stra~ h Clerk of the Orpha s ourt cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 ~~`~'"~l~'~~'^ ;~f~~~ ~. Phone: (717) 240-634 ~ ~~; ,~ -, ,,- -t+A+! ZQiO JUN i 6 i'Ff i ~ 59 Date: 6/16/2010 NAILOR ADRIENNE M 312 BRANDY LANE MECHANICSBURG, PA 17055 RE: Estate of ROBINSON GERTRUDE S File Number: 2003-00682 Dear Sir/Madam: Ci~RK Ofi ORPHAP!'S COURT CUti?BFRL.~^,t~L~ CQ. PA This notice is to serve as a reminder that the Status Repcprt by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RUL S, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on ~r after July 1, 1992, the personal representative or his counsel, '',within two (2) years of the decedent's death, shall file with the Re~ister of Wills a Status Report of completed or uncompleted adminisi$ration. This filing is due by: 7/24/2010 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, l~z~~ Glenda Farner Stra$ h Clerk of the Orph~r~s' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REt31STER OF WILLS OF CUMBERLAND COUNTY, PENNS1frLVAN1A Name of Decedent: Gertrude S Robinson Date of Death: 07/2412003 File Number. 21 - 03 -00682 Pursuant to Pa. O.C. Rule 6.12, !report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: ^ l~es © No i 2. If the answer is No, state when the personal representative ~I reasonably believes that the administration will be complete: ~~ ~I unknown 3, If the answer to No. 1 is YES, state the following: !I a. Did the personal representative file a final account with the Court? ^ Y ^ No I b. The separate Orphans' Court No. {if any) for the personal ~~~ representative's account is: _ __ I c. Did the personal representative state an account informally to the parties in interest? ^ Y~ ^ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report. ~„ 07/22/2010 ~~ ~--- t] G'~ ...a ..gg~~,,,, Or ~ - - ,- J s _: C1 CJ~ C'V _..j J ~ ~~~ U~L ~ ~~ ~ ~ V Form RIAti10 Rev. tat3-2ooe srynature ~ Fbraon FNlnp t>as Fomr Capacity: ^ Peraonat Representative ® Counsel Name o1 F+er~n FlHrp th/s Form ~i 24 North 32nd Street Camp Hill, PA 17011 II CXy, Stele. Z!p 71TR37-1300 _ Ter~o~ Copyright (c) 2006 Torrn software ony The Lackner Grasp, Inc. Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Gertrude S Robinson Date of Death: 07/24/2003 File Number: 21 - 03 - 00682 Pursuant to Pa. O.C. Rule 6.12, 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: unknown 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ^ Yes ^ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: 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 Clerk of Orphans' Court and may be attached to this report. Date 0 6/2 212 0 1 2 ~~~ ~ ~ ~~,+. Signature of Person Filing this Form Capacity: ^ Personal Representative ~ Counsel t"- ~ ~ ~ ~ Debra K Wallet ~ ~ I "~ ~- ``3.. ~ Name of Person Filing this Form ~ ~' U ~ -_ '' ' cv ~,~~ 24 North 32nd Street , , 1 _ Address _ _ rs: ~~'? - --! J ~=~ Cx ~-.u..; Camp Hill, PA 17011 C~ c_ ~ , ~ t f~ + J ~ ~ ~-- m {,[ ~ City, State, Zip ~ '-~ c" ~ ~ 7171737-1300 ~' r~~ Form RW ~O Rev. f0-13-2006 Telephone Copyright (c) 2006 form software only The Lackner Group, Inc. \ 1'i Pa. O.C. Rule 6.12 �TATUS REPORT REGISTER OF WILLS �F CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Gertrude S Robinson Date of Death: 07/24/2003 File Number: 21 -03 -00682 Pursuant to Pa. O.C. Rule 6.12, 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: unknown 3, ifi the answer to No. 1 is YES, state the foHowing: a. Did the personai representative file a final account with the Court? ❑ Yes ❑ No b. The separate Orphans' Court No. (if any)for the personal representative's account is: c. Did the personal representative state an account informatly 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 Clerk of Orphans' Court and may be attached to this report. Da1e Q07112/FlPl3 � �,�,.'� h�)tAA„��_� u �' � �y . Signatu2 01 FerSOn Ftling th�s Porm � C7 � � � � O c-> Capacity: � Personaf Representative � Gounsel � O O " � � Y • � Gl [_r � � � .q . �� � •"� � Q a Debra K Wailet � �n � = w Q Name o�Person Filing Ihis Form 6 � �'�'7 � m v w o � � � o c�a 24 North 32nd Street " Address Camp Hill, PA 17011 C¢y,Sfate,Lp 7171737-1300 ie�ephone Form RW�0 Rev f0-f3-2Q06 Capyrighl(cJ 2006 fortn software only The Lacknet Gto�p,inc. \ P �A\ �V Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 ti Date : 7/01/2014 >- o n m D c _ o Cn M WALLET DEBRA K =_� Y r _4 CD 24 N 32ND STREET ry fil o CAMP HILL, PA 17011 e -n -n,r C r= m —{ r co o CT) RE: Estate of ROBINSON GERTRUDE S File Number: 2003-00682 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . 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 is due by: 7/24/2014 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice . Sincerely, O Lisa M. Grayson, Clerk of the Orphans ' Court Pa, O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Gertrude S Robinson Date of Death: 07124/2003 File Number: 21 -03 -00682 Pursuant to Pa. O.C. Rule 6.12, 1 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 F No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: unknown 3_ If the answer to No. 1 is YES, state the following: a, Did the personal representative file a final account with the Court? ❑ Yes ❑ No b. The separate Orphans'Court No. (if any)for the personal representative's account is: 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 Clerk of Orphans' Court and may be attached to this report. Dare 0711612014 AAA,, V. JM~r_ Signature of Person Filing this Form Capacity: ❑ Personal Representative o Counsel 1 � C7 G? tt7 w M1.1 ,-_-Z6 Debra K Wallet ch-- »=' ` c Name of Peon Filing this Form _- J?v. ko = « 24 North 32nd Street _J ` '.'mot Address !� - �L.0 Camp Hill, PA 17011 I- a City.State.Zip L ` _ 7171737-1300 Telephone Form RW-10 Rev.1043-2006 Copyright(c)2006 farm software Only The Lackner Group,Inc. fttnt,,f o`I Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Gertrude S Robinson Date of Death: 07/24/2003 File Number: 21 -03 -00682 Pursuant to Pa. O.C. Rule 6.12, 1 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 0 No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: unknown 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ❑ Yes ❑ No b. The separate Orphans' Court No. (if any)for the personal representative's account is: 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 Clerk of Orphans' Court and may be attached to this report. Date 07/06/2015 044M a IC- 4"4,-r Signature of Person Filing this Form UCapacity: E] Personal Representative Counsel e.a Z: c+-y jZ7 ---L- Debra K Wallet d C) Name of Person Filing this Form U tom- USI s> 24 North 32nd Street �J � Address a- LU mL Camp Hill, PA 17011 Q:LLJ 0 City,State,Zip q 717/737-1300 Telephone Form RW-10 Rev.10-13-2006 -- Copyright(c)2006 form software only The Lackner Group,Inc. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 Date : 6/30/2015 C> s, WALLET DEBRA K c 24 N 32ND STREET :i (71 CAMP HILL, PA 17011 "' "''; � c c> OD C rl r C ) 0. Q RE : Estate of ROBINSON GERTRUDE S File Number: 2003-00682 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . 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 is due by: 7/24/2015 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice . L Sincerely, o 00 �: c Lisa M. Grayson, Es Clerk of the Orphans ' Court C� LU