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HomeMy WebLinkAbout03-0190 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Barbara C. Robinson No. al" O~,~'~1~ also known as Barbara M. Robinson , Deceased Social Security No. 123 - 18-1663 3ames M. Robinson Petitioner(s), who is/are 18 years of age or older, apply(les) for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut or named in the last Will of the Decedent, dated 03/16/1982 and codicil(s) dated None State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (c.t.a.; d.b.n.c.t.a; pendente lite; durante absentia; durante minoritate) Petitioner/s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: IName Relationship Residence I William F. Robinson Husband 508 8th Street, New Cumberland, PA (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family or principal residence at 508 8th Street, New Cumberland, New Cumberland, PA 17070 (list street, number, and municipality) Decedent, then 75 years of age, died 11/27/2002 at Holy Spirit Hospital, PA (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 82,310.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 66,2..50.00 situated as follows: 508 8th Street, New Cumberland, Cumberland County, Pennsylvania Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersi~lned: Si~ln,ature Typed or printed name and residence I 112 Valley View Drive, New Cumberland, PA 17070 Prepared by the Pennsylvania Bar Association Copyright (c)1996 form software only CPSystems, Inc. I q~'"' ] ¢~ ',~"" 7 Form RW-1(1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~, Sworn to or affirmed and subscribed /~-~ /~"~.~ before me ,his~C~''h--'~ day of ~es M. Royinson ~ r5. ~.~ For the Re'giste~J Estate of Barbara C. Robinson Deceased Social Security No: 123-18-1663 Date of Death: 11/27/2002 of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ~] Testamentary r--] of Administration (c.t.a.; d.b.n.c.ta.; pendente lite; durante absentia; durante minoritate) are hereby granted to James M. Robinson in the above estate and that the instrument(s) dated 03/16/1982 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........... $ Short Certificate(s) ..... $ Renunciation ........ $ ~, (~)(_,-) Attorney: James M. Robinson Affidavits ( ) .... $ I.D. No: 84133 Turo Law Offices Extra Pages ( ) .... $ ~;2 · ~)(-.~ Address: 28 South Pitt Street Codicil ........... $ Carlisle, PA 17013 JCP Fee .......... $ /~ · (~D(-~ Telephone: 717/245-9688 Inventory .......... $ ~' - 3-3 ~' 03 O,her ........... TOTAL ......... $ D~'~'~ ~ ~-'~--~--~L'X~"~'-([~ Form RW-1(1991) Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, inc. Register of Wills of Cumberland County, Pennsylvania OATH OF SUBSCRIBING WITNESS Estateof Barbara C. Robinson No. ¢2~}-0~'~-' lqO a~so known as Barbara M. Robinson , Deceased Roy C. Weidner, Jr. Dianne Leni~ (each) a subscribing witness to the r--] codicil(s) ~'~ will(s) presented herewith, (each) being duly qualified according to law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and that she/he/they signed as a witness at the request of Testator(rix) in his/her/their presence and ~ in the presence of each other ~] in the presence of the other subscribing witness(es). (Signature) Roy C. Weidner, Jr. 301 Market Street Lemoyne, PA 17043 (Address) (Signature) -- Dianne Lenig ~ ~ 301 Market Strt~lf Lemoyne, PA 17043 (Address) Sworn to or affirmed and subscribed before me this ~ZI~J)~--V~ day of ~ ~- ~ ~ ~ 2L.bCx'5 _ Notary Public My Commission Expires: (Signature and seal of Notary or other official NOTE: To be taken by officer authorized to administer oaths. qualified to administer oaths. Show date of Please have present the original or copy of instrument(s) expiration of Notary's commission.) at time of notarization. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form #RW-2 (1991) Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estateof Barbara C. Robinson No. also known as Barbara M. Robinson , Deceased The undersigned, Spouse and son of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respecffully request(s) that Letters be issued to Ja~ljes M. Rob WITNESS ~,, hand this (Signature) William F. Robinson 508 Eighth Street New Cumberland, PA 17070 (Address) (Signature) /Dennis W. R3~inpon ~' 20 Forge Road~/-~ Boilin~ Sprinss, PA 17007 (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this c'~'~'/"l~ day . ~ //';~.J / ~ ' J Notarial Seal ! Robert J. Mulderig, Notary Public ~g~fx~4~-j ~:/~'~~ ~ Carlisle Bore, Cumberland County ~lotary Pub~' ' ' ~ [ My Commission Expires Nov. 13, 2004 My Commission Expires: (Signature and sea! of Notary or ether official qualilqed to administer oaths. Show date of NOTE: Renunciations executed outside the Office of Register of Wills expiration of Notary's con?mission.) in some counties are required to be notarized. Prepared by the Pennsylva.ia, Bar A~sociation Copyright (c) 1996 form soRware only CPSystems, Inc. Form i~RW-4 (1991) 'l'his is to certi~, that the infformation here given is correctly copied from an original certificate of death dui)' filed with me as Ix)cai Registrar. The origimd certificate will be forwarded to the State Vital Records Of'rice for permanent filing WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~ Date ~3 Rev 2/~7 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH STATE ~ILE NUMBER ~- Barbara H. Robinson · female a, 123 ~ 18 -- 1663 ~ OV~ C 75 w. : i December 7, ,~ ~ , ~ .~ ' ~ , 1926 inghamton. ~ .~ ~ ~m~,,..~ ~ ~ ~ .e. Cumberland I Pennsboro ~p. ~ I .~.~oa~....~ m white ... Homemaker .b. Domestic ~u ~ 2 (~'~) ~,. ,3. ,~. Married ,,. William F. Robinson DECE~NT'~ M~LI~ A~ESS ~r ~. C~n ~ate. Z~ C~ [~CE~NT'S Pennsylvania ,~.~ 508 ~ighCh S~ee~ J";~"c~ ~. New Cumbe:laad, ~A [7070 ~,,,,o.) ~.~ Cumbecland ~"~ ~z~.~,~m~,,~ New Cumbecland tL Edwagd C. Cook ~e. ~ane ~ya~ :~. William Y. ~obi~son ~ 508 ~1~hCh SLgeeL, Ne~ Cumbeclaad, ~A 17070 ~ ~H~ ~ DIS~SITI~ ~ JDATE ~ ~S~TI~ ] P~E OF ~S~SITION - N~ ~ Ce~e~ Cr~at~ J L~ATION - C~, ~,~ ~-~) ~ December 2, 2002 I Rolling Green Memorial Parkl Lower Allen ~p.. PA 17011 ~21,. 121b. J21e. ~21~. ~Sm.ATU.E~FU~EL~EEO. P~.~,~SUCH JLmE.S~.U~eE. ' I"~"E~'Li~ Per.he .... ~. ~ me T~ ~ .- ~k~~ ,2b FS 012 849 L [22c P 0 Box 431 New Cumberland. PA 17070-0431 ~lll iI~s ~ ~ly~i~ ' ]~ I~ ~101 my k~wl~, ~atb ~curred al I~ (ime. d~e a~ ~ace stal~ L~ENSE NUMAR ID~E S~NED I PER~ORMED?~ AN AU~PSY COMPLaiN ~E ~RE AU~SY FI~I~ ~ ~ CAU~ ~ IJ MANNER OF ~ATH~¢~ Nalm~ ~ Pe~ In~lmn ~<~ ~ (M~.D~E ~ I~URY ~, Yea~) TIME ~ INJURy I~Y ~ ~RK? 3~. ~ ~ ~ 1~2~g .... s ..... ) LICENSE NUMAR V IDAT~NED ~. Day. NAME ~O AD'ESS ~ PE ~S6~HO C~PLETED C~ OF 0~H - On the b..ll of ,ximin.tion ,n~or Inveslioation. in my opinion, death occur,ed it the lime. date and place and due to me ciusel,) and ( eJ~l I ~l ~ ~ I I-~rC hi, minnef ~e IIIIH .......... ' : ....................... I, BARBARA C. ROBINSON, of New Cumberland Borough, Cumber- land County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my last will and testament, hereby revoking all other testamentary dispostions heretofore made by me. ARTICLE I I direct the payment of my just debts and the expenses of my last illness and the disposition of my remains from my estate as soon after my death as conveniently may be done. All of the foregoing shall be considered expenses of the administration of my estate. ARTICLE II I devise and bequeath all of the rest, residue and remainder of my estate, of whatever nature and wherever situate, together with the proceeds of any insurance thereon, unto my husband, WILLIAM F. ROBINSON, provided he survives me by thirty (30) days. ARTICLE III Should my husband, WILLIAM F. ROBINSON, predecease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of the rest, residue and remainder of my estate, of whatever nature and wherever situate, together with the proceeds of any insurance thereon, in equal shares unto my sons, DENNIS W. ROBINSON of New Cumberland, Pennsylvania; RICHARD E. ROBINSON of Fort Lauderdale, Florida; JAMES M. ROBINSON of New Cumberland, Pennsylvania; WILLIAM W. ROBINSON of Lemoyne, Pennsyl- vania; and DAVID C. ROBINSON of New Cumberland, Pennsylvania, per stirpes. ARTICLE IV I appoint COMMONWEALTH NATIONAL BANK of Harrisburg, Pennsyl- vania, guardian of any property which passes either under this will or otherwise to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not apply to property distributable to a minor for whom I have otherwise made special provision, and provided fUrther that this appointment of a guardian shall not supersede the right of any fiduciary, in its discretion, to distribute a share where possible to another for the minor's benefit. Such guardian shall have the power to use principal as well as income, from time to time, for the minor's support and education, (including trade school and undergraduate aD~ graduate college education) or to make payment for those purposes, without further responsibility to the minor or any person taking care of the minor. ARTICLE V I nominate and appoint my husband, WILLIAM F. ROBINSON, as executor of this, my last will and testament. Should my husband, WILLIAM F. ROBINSON, fail to survive me or be unable or unwilling - 2 - to act as executor, I nominate and appoint my son, DENNIS W. ROBINSON, as executor of this, my last will and testament. Should WILLIAM F. ROBINSON and DENNIS W. ROBINSON fail to survive i me or be unable or unwilling to act as executor, I nominate and ~ appoint my son, JAMES M. ROBINSON, as executor of this, my last will and testament. ARTICLE VI I direct that my executor, or his successor, shall not be required to give bond for the faithful performance of their duties in any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so. IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~ ~day of March, 1982. Barbara C. Robinson 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, in her sight and presence and in the sight and presence of each other have hereunto subscribed our names as witnesses. - 3 - OF BARBARA C. ROBINSON MYERS, MYERS, FLOWER & JOHNSON ATTORNEYS AT LAW LEMOYNE, PENNSYLVANIA CARLISLE, PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Barbara C. Robinson Date of death: November 27, 2002 Will No. 2003-00190 Admin. No. 21-03-0190 TO THE REGISTER: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above captioned estate. Name Address William F. Robinson 508 8th Street, New Cumberland, PA 17070 Notice has now been given to all persons entitled thereto under Rule 5.6(a). Respectfully Submitted TURO LAW OFFICES ~-~- D~ j sM.~Rob~' or~,~ Date 2~'9outh. Pitt ~~ Esquire Carlisle, PA 17013 (717) 245-9688 Capacity as Counsel for Personal Representative co..o.w~.o,..~v,~ INHERITANCE TAX RETURN F,.E.UM... DEPAR'IMENT OF R~ oE..~, RESIDENT DECEDENT 21 03 00190 Fd~RRISBURG, PA 17128-0~01 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INmAL) SOCIAL SECURITY NUMBER Robinson, Barbara Mae 123 - 18-1663 ~ DATE OF DEATH 0VIM-DD-YEAR) DATE OF B~RTH (MM-DO-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ,,° l 1/27/2002 12/07/1926 REGISTER OF WILLS Q (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INmAL) SOCIAL SECURITY NUMBER Robinson, William F. 120-20-8245 [] 1. Original Ratum [] 2. Supplemental Ratum [] 3. Remainder Re, Nm (date of death prior to 12-13-82) X '~ ~ [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death ,,O,, ~ ~ after 12-12-82) [] 5. Federal Estate Tax Return Required °[m'r ,., .a [] 6. Decedent Died Testate (Attach co~py [] ?. Decedertt Maintained a Living Trust (Attach 0 8. Tatal Number of Safe Deposit Boxes of Will) copy of Trust) ~ [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date ~ death betwean [] 11.Election to tax under Sec. 9113(A)(AttachSchO) 12-31-91 and 1-14~ qAME COMPLETE MAILING ADDRESS :IRM NAME Of applicable) o I¢ Turo Law Offices 28 South Pitt Street FELEPHONE NUMBER Carlisle, PA 17013 717/245-9688 '~ OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) 66'250'00~-; 2 ~. ,.. 2. Stocks and Bonds (Schedule B) (2) ] 32,900.23 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 560.00 (Schedule E) ..~ 6. Jointly Owned Property (Schedule F) (6) None z ~. [] Separate Billing Requested _ .~ 7. Inter-VIVos Transfem & Miscellaneous Non-Probate Property (7) None = (Schedule G or L)  8. Total Gross Assets (total Lines 1-7) (8) 199,710.23 a: 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 12,838.71 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (11) 12,838.71 12. Net Value of Estate (Line 8 minus Line 11) (12) 186,87 l. 52 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to lax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 186,871.52 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14taxable st the spousal tax rate, 186,871.52 x .00 (15) 0.00 or tmnefem under Sec. 9116(a)(1.2) z o_ 16. Amount of Line 14 taxable st lineal rate x .045 (16) ~ 17. Amount of Line 14 taxable at sibling rate x .12 (17) 8 ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 0.00 20.1-'1 Copyright 2000 form software only The Lackner Group, Inc. Form REV-I$00 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 508 8th Street IC~Y New Cumberland [STATE pA ]ZIP 17070 Tax Payments and Credits: 1. Tax Due (Page l line19) (1) 0.00 2. Credits/Payments A. Spousal Poverty Credit B. Prior Pa~nnents C. Discount Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty T(Xal Interest/Pena#y (D + E) (3) 0.00 4. IfLJne2isgreaterthanLinel+tine3, enter the difference. ThJs is the OVERPAYMENT. (4) Check box on Page I Line 20 to request a refund 5. If LJne l * Line 3 is greater than LJne 2, erderthedifrem~ce. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) B. Enter the to~ of Line 5 + 5A. This is the BALANCE DUE. (SB) Make Check Payable to: REGISTER OF I/PILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. re~ain the use or income of the pro~ transferred; ..................................................................................... r-I ¢. r~ain a r~iona~ inter, t; or .......................................................................... d. r~t~ the promise for life of ~h~ p~/ments, I:~'~ or care.* .................................................................. 2. If doath o~x:urred after D~:~mt~ 12, 1082, did ~ transfer ~'o~ ~thin o~e yesr of d~lh w~thout ng uate o on.* .......................................................................................................................... [] [] $. Didd~o~h~o~en'intrustfo~ orpalral~u~d~athba~kae~:mnter.~ouffo/athisorherd~alh.* ............... [] [] 4. Did doc.~ent o~n an IndMdua~ Ratir~'d ^c~nt, annu~, or uth~ non-prolmte propedy which cx~nt~ins a ben~:ia~ des~jnat~en.* ........................................................................................................................ [] [] IF ?H£ ANSI~R ?O A~ O~ ?HE ,~OYg QUE$?IO~ 18 ¥£$, YOU 1111.181 CO~PL~I'E $CHfiDUI.£ O AND F#.~ W AS PARI OF ?HE i~'IURN. S~TURE OF PERSON I~,ESPONSIBLE FOR F~ J~:'TURN ADDRESS DATE New Cmnberland, PA 17070 SIC-:-:-:-:-:-:-:-:-~A~JRE OF PREF~A~R THAN RI~RE~,~E'NT^TIVE ADDRESS DA~E James M Robins~ ~_ · // / f ' ~ .... '/'Y/ //~/../.... · 28 South Pitt Street For dates of July 1, 1994 and before January 1, ~085, the tax rate imposed on the net value of transfers to or for the use of the suwiving spouse is 3% [72 P.S. §9116 (a) (1.1) (0]. For dates of death on or alter Jenuaty 1, 1995, fl~e tax rate imposed on the rn~ value of transfers to er for I]he use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does no( exempt a transfer to a suwiving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the suwiving spouse is the only benef~a~/. For dates of dea~ on or after July 1, 2000: The tax rate impesed on the ue~ value of transfers from a deceased child twenty-ene years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a step~arent of the child is 0% [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or fer the use of lhe decedenfs lineal benefw, iaries is 4.5%, except es noted in 72 P.S. §9116 ~.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the r~ value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3}]. A sibling is defined, und~ Section 9102, as an individual who has at least one parent in common wilh Ihe decedent, wl~e~er by bkx)d or adoption. ,~ SCHEDULE A REAL ESTATE COMMOM~r. ALTH OF PEM~SY LVA,~A lik~r::RJ TANCE TAX RETUR~ RESJ I:~NT DECEDENT ESTATE OF FILE NUMBER Robinson, Barbara Mae 21 - 03 - 00190 Aatll .re.a! prope .r~y owq..ed, solely or as a ~nant in c...o, mm. on must be _reported at fa. ir market value. Fair market value is defined as the price wmcn. p. m. perty, w.ou~a ~ excn. ang .ed. b.etw_een.a wamg ~)uyer. a.nq a..w~n..g se~er, neit~..er .be~n~ ,g compelled to .buy or sell, both having sc~ua~eleFK, nowle(]ge o! me relevan! rac~s, l~eal property Whlcn IS jolnuy-owned with right of survlvomh,p must be disclosed on ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 508 8th Street 66,250.00 New Cumberland, Cumberland County, Pennsylvania TOTAL (Also enter on Line 1, Recapitulation) 66,250.00  SCHEDULE B STOCKS & BONDS RES~DENI' DECEDENT ESTATE OF FILE NUMBER Robinson, Barbara Mae 21 - 03 - 00190 All property jointly.owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 [BM Common Stock 87.7 5,963.60 2 Exxon Mobil Common Stock 34.96 55,376.64 3 PPL Common Stock 33.54 10,934.04 4 J.P. Morgan Chase Common Stock 25.19 6,876.87 5 Travellers Property Casualty Corp. Class A Stock 14.87 847.59 6 Travellers Property Casualty Corp. Class B Stock 14.971 1,751.49 7 Citigroup Common Stock 38.75 51,150.00 TOTAL (Also enter on line 2, Recapitulation) 132,900.23 I  SCHEDULE E CASH, BANK DEPOSITS, & MISC. ~o.~o~.oF.~.~.v~.^ PERSONAL PROPERTY ESTATE OF FILE NUMBER Robinson, Barbara Mae 21 - 03 - 00190 Inclu.de the. proceeds of '..li~galion and the date theproceeds were received by the estate. All property jointly-owned with the right of survworsmp must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 1990 Chevrolet Lumina Sedan 560.00 TOTAL (Also enter on Line 5, Recapitulation) 560.00 COMM OMfl,~ALTH OF PEM~SYLV.N~A RESIDENT DECEDENT ESTATE OF Robinson, Barbara Mae FILE NUMBER [ 21 - 03 - 00190 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: 1 Parthemore Funeral Home & Cremation Services, Inc. 8,749.60 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 C~mant William F. Robinson Street Address 508 8th Street City New Cumberland State PA Zip 17070 Relationship of Claimant to Decedent Spouse 4. Probate Fees Register of Wills 316.00 Cumberland Law Journal 75.00 The Sentinel 102.11 5. Accountant's Fees 6. Tax Ratum Preparer's Fees 7. Other Administrative Costs 1 PennDOT - Transfer car title 6.00 2 UPS - Courier Fees for stock transfer 90.00 TOTAL (Also enter on line 9, Recapitulation) 12,838.71 REV-1513 EX+ (94)0) SCHEDULE J co. Mo.w~,~, oF PE..S~V^N~ BENEFICIARIES , INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robinson, Barbara Mac J :2 ! - 03 - 00190 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE ~. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 William F. Robinson Spouse 100 percent 186,87].52 508 8th Street New Cumberland, PA !7070 IEnter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet ~o NON-TAXABLE DISTRIBUTIONS: ' iA SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT I B~ING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I, BARBARA C. ROBINSON, of New Cumberland Borough, Cumber- land County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my last will and testament, hereby revoking all other testamentary dispostions heretofore made by me. ARTICLE I I direct the payment of my just debts and the expenses of my last illness and the disposition of my remains from my estate as soon after my death as conveniently may be done. All of the foregoing shall be considered expenses of the administration of my estate. ARTICLE I I I devise and bequeath all of the rest, residue and remainder of my estate, of whatever nature and wherever situate, together with the proceeds of any insurance thereon, unto my husband, WILLIAM F. ROBINSON, provided he survives me by thirty (30) days. ARTICLE III Should my husband, WILLIAM F. ROBINSON, predecease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of the rest, residue and remainder of my estate, of whatever nature and wherever situate, together with the proceeds of any insurance thereon, in equal shares unto my sons, DENNIS W. ROBINSON of New Cumberland, Pennsylvania; RICHARD E. ROBINSON of Fort Lauderdale, Florida; JAMES M. ROBINSON of New Cumberland, Pennsylvania; WILLIAM W. ROBINSON of Lemoyne, Pennsyl- vania; and DAVID C. ROBINSON of New Cumberland, Pennsylvania, per stirpes. ARTICLE IV I appoint COMMONWEALTH NATIONAL BANK of Harrisburg, Pennsyl- vania, guardian of any property which passes either udder this will or otherwise to a minor and with respect to which I am authorized to appoint a guardian and have not otherwiSe specifically done so, provided that this appointment of a guardian shall not apply to property distributable to a minor for whom I have otherwise made special provision, and provided fUrther that this appointment of a guardian shall not supersede the right of any fiduciary, in its discretion, to distribute a share where possible to anOther for the minor's benefit. Such guardian shall have the power to use principal as well as income, from time to time, for the minor's support and education, (including trade school and undergraduate and graduate college eduCation) °r to make paYment for 'those purposes, without further responsibility to the minor or any person taking care of the minor. ARTICLE V I nominate and appoint my husband, WILLIAM F. ROBINSON, as executor of this, my last will and testament. Should my husband, WILLIAM F. ROBINSON, fail to survive me or be unable or unwilling - 2 - to act as executor, I nominate and appoint my son, DENNIS W. ROBINSON, as executor of this, my last will and testament. Should WILLIAM F. ROBINSON and DENNIS W. ROBINSON fail to survive me or be unable or unwilling to act as executor, I nominate and appoint my son, JAMES M. ROBINSON, as executor of this, my last will' and testament. ARTICLE VI I direct that my executor, or his successor, shall not be required to give bond for the faithful performance of their duties in any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so. IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~ ~day of March, 1982. Barbara C. Robinson 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, in her sight and presence and in the sight and presence of each other have hereunto subscribed our names as witnesses. - 3 - COMNONNEALTH OF PENNSYLVANZA BUREAU OF ZNDZVZDUAL TAXES DEPARTNENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 180601 HARRISBURG, PA 17118-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX RE¥-lS~7 EX &FP DATE 10-21-2005 ESTATE OF ROBINSON BARBARA C DATE OF DEATH 11-27-2001 FILE NUMBER 21 05-0190 JAMES H ROBINSON 'i~ !....'i ~/ * ,5 COUNTY CUMBERLAND .... ACM 101 TURO LAN OFFICES I Amount Remitted 28 S PITT ST CARLZSLE PA 17d15 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF MILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ' ' ' ' ................. DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ROBINSON BARBARA C FILE NO. 21 03-0190 ACN 101 DATE 10-21-2003 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 66~250.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) 13zzgoo.z3 credit to your account, $. Closely Held S~ock/Par~narship Znterest (Schedule C) ($) .00 submit the upper port/on q. Mortgages/Notes Receivable (Schedule D) (q) .00 of ~his fore w/th your S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) ($) 560.00 ~ax payment. 6. Jolntly Owned Property (Schedule F) (6) . O0 7. Transfers (Schedule G) (7) .00 8. To,al Asse~s (8) 199,710.23 APPROVED DEDUCTIONS AND EXEMPTIONS: 12,838.71 9. Funeral Expenses/Adm. Costs/M/sc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule Z) (10) 11. Total Deductions (11) 12.8~8.71 12. Net Value of Tax Return (12) 186,871.52 15. Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) .00 1~. Nat Value of Estate Subject to Tax (1~) 186,871.52 NOTE: Zf an assess, ant .as issued previously, 1/nas 1~, 15 and/or 16, 17, 18 and 19 ~ill re~lect ~igures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of L/ne lq at Spousal rata (15) 186,871.52 x O0 = .00 16. Amount of L/ne lq taxable at Lineal/Class A rata (16) .00 X Oq5 = .00 17. Amoun~ of Line lq at Sibling rate (17) .00 X 12 = .00 18. Amoun~ of L/ne lq ~axabla at Collateral/Class B rata (18) .00 X 15 = .00 19. Princ/pal Tax Due (19)= .00 TAX CREDITS: PAYMENT RECEIPI DISCOUNT AHOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUEI .00 ~NTEREST AND PEN. .00 TOTAL DUE . O0 IF PAID AFTER DATE INDICATED, SEE REVERSE ( ZF TOTAL DUE TS LESS THAN $1, NO PAYHENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) RESERVATION: Estates of decadents dying on or before December 1Z, 198Z -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estmta for life or for years, the Coeeoneealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the laaful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act Z$ of ZOO0. (72 P.S. Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Make check or money order payable to: REGISTER OF HillS, AGENT REFUND (CR): A refund of a tax credit, which ams not requested on the Tax Return, amy be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of #ills, any of the 25 Revenue District Offices, or by calling the special Z4-hour answering service for fores ordering: 1-800-562-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-50Z0 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty [60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17IlS-lOll, OR --election to have the matter determined at audit of the account of the persona[ representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in ariting to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Rsviea Unit, Dept. ID0601, Harrisburg, PA 17lZ8-0601 Phone (717) 787-650S. Ssa page S of the book[et "Instructions for Inharitmnce Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid aithin three (5) calendar months after the decadent's death, a five percent (5Z) discount of the tax paid is allowed. PENALTY: The lSg tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January lA, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the saaa manner and in the the saea tiaa period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) sonths and one (1) day free the date of death, to the date of payment. Taxes which became delinquent before January I, lgDZ bear interest at the rate of six (6Z) percent par annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January l, 2982 will bear interest at a rate ahich will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicabIe interest rates for 198Z through ZOO3 are: Interest Daily Interest Daily Interest Daily Year Eats Factor Year Rate Factor Year Rate Factor [gBZ lOX .000548 1987 9Z .OOOg47 1999 7Z .O0019Z 1963 16X .000458 1988-1991 llX .00030! 2000 8Z .0002X9 1984 llZ .O0030X X99Z 9Z .000247 ZOOX 9Z .OOOZ47 1985 15Z .000356 1995-1994 7Z .OOO19Z ZOOZ 6Z .000164 1986 IOZ .000274 1995-1998 9Z .000Z47 2005 5Z .000157 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. FAMILY SETTLEMENT AND FINAL RELEASE ESTATE OF BARBARA C. ROBINSON KNOW ALL MEN BY THESE PRESENTS, that Barbara C. Robinson, late of the Borough of New Cumberland, Cumberland County, Pennsylvania, deceased, died testate on November 27, 2002, having first made her Last Will and Testament, which was duly executed on March 16, 1982 and probated in the Office of the Register of Wills of Cumberland County, on March 3, 2003. WHEREAS, the said Barbara C. Robinson, by the aforesaid Last Will and Testament, named James M. Robinson as Executor of said Last Will and Testament; WHEREAS, Letters Testamentary on the Estate of the said decedent were duly issued by the Register of Wills of Cumberland County, Pennsylvania, to the said Executor, hereinafter called personal representative; WHEREAS, the personal representative has gathered the assets of the Estate of the said decedent and the assets consist of personal and real property with the total value of $199,710.23 as set forth in Exhibit "A", which is a copy of the Pennsylvania Inheritance Tax Return filed and approved by said personal representative, and which is attached hereto and made a part hereof, and marked Exhibit "A"; WHEREAS, the debts and deductions, including the payment of inheritance tax in the said Estate, which have now been paid, leave a balance for distribution of $186,871.52, also as set forth in the statement of said personal representative, which is attached hereto and marked Exhibit "B"; WHEREAS, the balance for distribution as shown in the said statement marked Exhibit "B" has been reduced to cash and has been distributed as herein indicated in accordance with the terms of the Last Will and Testament of the said Decedent; NOW, THEREFORE, William F. Robinson being the sole heir under the Last Will and Testament of the said decedent, and being that person entitled to inherit under said Last Will and Testament, does hereby acknowledge that he has this day had and received from the aforesaid personal representative, in full satisfaction and payment of all sums of money, legacies, bequests, and devises as are given, devised and bequeathed to him by the said Last Will and Testament, the amounts due us under said Last Will and Testament, which amounts he has received this day or prior to this day; and, he hereby stipulates that in order to avoid the expense and time involved in the filing of a formal account and schedule of distribution, he agrees that no account is necessary and he does hereby agree that he does consent to distribution being made without the filing of an account and schedule of distribution, the same to be with the same force and effect as if they had been filed and confirmed by the Orphan's Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania. THEREFORE, William F. Robinson does hereby remise, release, quitclaim and forever discharge the said personal representative, James M. Robinson, his heirs, executors, administrators and assigned, of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever, touching upon the Estate of the said decedent, and he does further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Agreement, he does hereby covenant and agree with aforesaid personal representative, that he will contribute pro-rata his share of the Estate to satisfy any and all claims, demands, suits or causes of action which may be successfully prosecuted against the said Estate or the aforesaid personal representative after the signing, sealing and delivery of this Family Settlement Agreement and Final Release. IN WITNESS WHEREOF, he has hereunto set his hand and seal the day and year noted below. Date CONHONNEALTH OF PENNSYLVANZA BUREAU OF INDIV/DUAL TAXES DEPARTNENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA Z71ZB-0601 NOT/CE OF ZNHERITANCE TAX APPRAISENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX REV-lSd? EX AFP CDI-OS) DATE lO-Z1-ZO05 ESTATE OF ROBINSON BARBARA C DATE OF DEATH 11-27-2002 FZLE NUNBER 21 05-0190 COUNTY CUNBERLAND JANES N ROBINSON ACN 101 TURO LAW OFFICES 28 S PITT ST Amoun~ RealiZed I CARLISLE PA 17015 HAKE CHECK PAYABLE AND RENZT PAYHENT TO: REGZSTER OF N[LLS CUNBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THZS LZNE ~ RETAZN LONER PORTZON FOR YOUR RECORDS REV-1547 EX AFP (01-03) NOTZCE OF ZNHERZTANCE TAX APPRAZSEHENT, ALLONANCE OR D~SALLONANCE OF DEDUCTZONS AND ASSESSNENT OF TAX ESTATE OF ROBINSON BARBARA CFZLE NO. 21 03-0190 ACN 101 DATE 10-21-2005 TAX RETURN NAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATZON CONCERNZNG FUTURE ZN¥~kEST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e {Schedule A) (1) 661Z50.00 NOTE: To insure proper 2. S~ocks and Bonds (Schedule B) (2} 15Z~900.25 credi~ ~o your account, $. Closely Held S~ock/Par~nershlp /n~eras~ (Schedule C) ($) .00 subm/~ ~hs upper portion ~. Nor~gages/No~es Receivable (Schedule D) (~) .00 of ~his form ~i~h your 5. Cash/Bank Deposi~s/Nisc. Personal Proper~y (Schedule E) (5) 560.00 ~ax payeen~. 6. Jointly O~ned Proper~y (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. To,al Asse~s (8) 199,710.25 APPROVED DEDUCTZONS AND EXENPTZONS: 12,858.71 9. Funeral Expenses/Ada. Costs/Hist. Expenses (Schedule H) (9) 10. Debts/Not,gage Liabilities/Liens (Schedule /) (10) .00 11. To,al Deductions (11) 12. Na~ Value of Tax Re~urn (12) 186,871.52 15. Char[~able/$overnmen~al Bequests; Non-elected 9/15 Trusts (Schedule J) {15) .00 lq. Ne~ Value of Es~a~e Sub~ec~ ~o Tax (1~) 186,871.52 NOTE: [f an assessnent ~as issued previously, lines 1~, 15 and/or 16, 17, 18 and 19 ~ill re~lect ~igures that include the total of ALL returns assessed to date. ASSESSNENT OF TAX: 15. Amoun~ of Line 1~ a~ Spouse1 ra~a (15) 186,871.52 X O0 = .00 16. Amoun~ of Line lq ~axabla a~ Lineal/Class A ra~e (16) .00 X Oq5 = .00 17. Amoun~ of Line 1~ e~ Sibllng ra~a (17) .00 X 1Z = .00 18. Amoun~ of Line lq ~axable a~ Collateral/Class B ra~e (18) .00 X 15 = .00 19. Principal Tax Due (19)= .00 TAX CREDZTS: PAYHENT ; RECEZPT DISCOUNT ANOUNT PA/D DATE NUHBER ZNTEREST/PEN PA/D (-) TOTAL TAX CRED'rT I .00 I BALANCE OF TAX DUE .00 ZNTEREST AND PEN.I .00 TOTAL DUE . O§ /F PAZD AFTER DATE /ND/CATED, SEE REVERSE ( /F TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED. FOR CALCULATZON OF ADDZTIONAL ZHTEREST. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE S/DE OF TH/S FORN FOR ZNSTRUCTZONS.) co..o~o~,.o,~v~.~ INHERITANCE TAX RETURN FI'£.UMBER DEPARTMED'~r OF REVENUE o~.. ~o, RESIDENT DECEDENT 21 03 00190 HARRISBURG, PA 17128-0601 COUNT~ CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INmAL) SOCIAL SECURITY NUMBER Robinson, Barbara Mae 123-18-1663 DATE OF DEATH (MM-DE)YEAR) [ DATE OF BIRTH (MM-DD YEAR) THIS RETURN Mus'r BE FIL~eD IN DUPUCATFWITH I'HE 11/27/2002 12/07/1926 REGISTER OF WILLS 0F APV,C^BLE~ SURWV~ S~OUSeS NAME ( ~ST, mST AND M~DOLE ~NmAL) SOC~L SECuRrrv NUMBER Robinson, William F. 120-20-8245 [] 1. Original R~tum [] 2. Supplam~ntal Ratum [] ;3. Ramaindar R~tum (date of death priorto 12-~3-82} [] 4. Limited Estata [] 4a. Future Interest Compromise (clam of claath after 12-12-82) [] $' Fedoral Eslat~ Tax Roturn Required [] 6. Decedent Died T~stalo (Attach copy [] '/. DecedentMaintainedaUvingTmat(^ttach 0 8. TotaINumberofSafaDepositBoxes of Wil0 copy of Trust} -- [] 9. Utigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between [] 11.Election to tax under Sec. 9113(A)(AttachSchO) 12-31-91 and 1-1-95} THIS SECTI°N MUS'r B~= coMPLETED; ALL. cORREs~NDENcE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: qAME COMPLETE MAILING ADDRESS James M Robinson =IRM NAME Of applicable) Turo Law Offices 28 South Pitt Street [ Carlisle, PA 17013 FELEPHONE NUMBER 717/245-9688 1. Real Estate (Schedule A) (1) 66,250 00 ' ~ OFFICIAL USE QNLY 2. $tock~ and Bonds (Schedule B) (2) 132,900.231~ :5. Closely Held Corporation, Partnership or Sole-Proprietorship (:5) None 4. Mortfages 8, Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 560.00 (Schedule E) 6. Jointly Owned Property (Schedule F) (6) None · · [] Separate Billing Requested 7. Inter-Vivos Transfem & Miscellaneous Non-Probate Property (7) None (Schedule G or L) 8. Total Gross Assets (total Unes 1-7) (8) 199,710.23 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 12,838.71 I 0. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Unes g & 1 O) (11 ) ] 2,8 3 8.7 ] 12. Net Value of Estate (Line 8 minus Line 11 ) (12) 186,871.52 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) ] 86,87 l. 52 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, 186,871.52 x .00 (15) 0.00 or transfers under Sec. 9116(a)(1.2) z _o 16. Amount of Line 14 taxable at lineal rate x .045 (16) == 17. Amount of Line 14taxableat sibiing rate x .12 (17) ~ 18. Amount of Line 14 taxable at collateral rote x .15 (18) 19. Tax Due (19) 0.00 20. [] Copyright 2000 form software only The Lackner Group, Inc. Form REV-1600 EX (Rev. 6.00) Decedent's Complete Address: ISTREET ADDRESS 508 gth Street CITY New Cumberland STATE PA ZIP 17070 Tax Payments and Credits: 1. Tax Due (Page I Line 19) (1) 0.00 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 0.0 0 3. Interest/Penalty if applicable D. Interest E. Penalty Total InterestJPenalty (D + E) (3) 0.00 4. If Line 2 is greater than l_ine l + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page I Line 20 to request a refund 5. If Line l + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.0 0 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. m{ain the use or income of the property transferred; ..................................................................................... 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? ................................................................................................................. [] [] 3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? ............... [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate proper[ywhich contains a beneficiary designation? ........................................................................................................................ [] [] 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 perjury. I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is line, con,ect and complete. Declaration of ~rej:)arer other than the personal representative is based on all information of which preparer has any knowledge. s~TuP~ OF PERSON ~SPONS,~, ~ FOR ~O RE~U~ ADDRESS James M. Robinson " 112 Valley View Road SIGNATU O 17 ~OR FLUNG I~RN ADDRESS DATE RE F PERS RESPONSIBLE SIGNA'nJRE OF PREPARE~ OTHER 1TIAN REPRE}~ENT~,~-IVE ~. ADDRESS DATE JamesMRobinso]a/ ~ ~ I] /! /A ..... /7'/ J_~,~-,~. . 28 South Pitt Street ~/~/,~ ............ f i :, ........... For dates of dea~ an or after July ~, lgg4 ~nd before Janu~n! 1, lggS, ~he ~ r~e impo~:l on ~he net wlue of lmnsfers ~o or for ~he use of ~he surviving spous~ is 3% ~72 P.S. §g115 (a) (1.~) (~]. For dates of de~h an or after January 1, lggS, the lax rate imposed on lhe n~ ~u~ of ~ransfers to or for the use of ~he sur~ving spouse is 0% ~2 P.S. §gl '1~ (~) [1.~] 001. The st~u~e does not e.x~mp! a transfer ~o a sunning spouse from ~ and the stat.u~ory requirements for disclosure of ~ss~s ~nd filing ~ ~ax re~um ~re still applicable even if ~he surviving spouse is the only beneficiary. For dates of desth on or after July 1, 2000: The ~ax rate imposed on ~he n~ value of t~ansfers from a decessed child h~nty-one yesrs of ag~ or younger at d~h ~o or for ~he use of ~ n~ural parent, en adopfiYe preenS, or ~ stepp~mnt of ~h~ child is 0% ~72 P.S. §gl '1~ (a} ['1.2)~. The ~ rate imposed on ~he net wlue of ~mnsfers ~o or for ~he use of the decedent's line~ beneficiari~ is 4.5%, except The tax r~e imposed on the n~ wlue of ~nsf~rs ~o or for the use of ~he deced~nt's siblings is 12% ~2 P.S. §gl "1~ (a} ~'1.3}~. A sibling is d~ined, under Senfion g~02, as an individual who has ~ lees~ one p~rent in common with the decedenL whether by blood or ~opfion.  SCHEDULE A REAL ESTATE COMMON0~r. AL~'I OF PE.I~tlSY LVAEIA ESTATE OF FILE NUMBER Robinson, Barbara Mae 21 - 03 - 00190 All .rea! property owned solel~ or as a tenant in comm. on must. be reported at fair m.arket value. Fair market value is defined as the price at wnicn property would be excnanged between a willing buyer ana a willing seller, neither oeing compelled to buy or sell, both having rea. son. a.ble_knowledge of the relevant facts. Real property which is jointly-owned with Hght ofsurvivorship must be disclosed on scneaule r. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 508 8th Street 66,250.00 New Cumberland, Cumberland County, Pennsylvania TOTAL (Also enter on Line 1, Recapitulation) 66,250.00  SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PE~I~SYLVAFIA ESTATE OF Robinson, Barbara Mae FILE NUMBER 21 - 03 - 00190 All property jointly-owned with right of su~ivomhip must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 IBM Common Stock 87.7 5,963.60 2 Exxon Mobil Common Stock 34.96 55,376.64 3 PPL Common Stock 33.54 10,934.04 4 J.P. Morgan Chase Common Stock 25.19 6,876.87 5 Travellers Property Casualty Corp. Class A Stock 14.87 847.59 6 Travellers Property Casualty Corp. Class B Stock 14.97 1,751.49 7 Citigroup Common Stock 38.75 51,150.00 TOTAL (Also enter on line 2, Recapitulation) 132,900.23  SCHEDULE E CASH, BANK DEPOSITS, & MISC. oo..o.~.~ o~..,~y.v~,^ PERSONAL PROPERTY ESTATE OF Robinson, Barbara Mae FILE NUMBER 21 - 03 - 00190 Include the proceeds of liti§ation and the date theproceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on scheduleF. · ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 1990 Chevrolet Lumina Sedan 560.00 TOTAL (Also enter on Line 5, Recapitulation) 560.00 ESTATE OF FILE NUMBER Robinson, Barbara Mae 21 - 03 - 0019O Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL 'EXPENSES: 1 Parthemore Funeral Home & Cremation Services, Inc. 8,749.60 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 Claimant William F. Robinson Street Address 508 gth Street City New Cumberland State PA Zip 17070 Relationship of Glaiment to Decedent Spouse 4. Probate Fees Register of Wills 316.00 Cumberland Law Journal 75.00 The Sentinel 102.11 5. Accountant's Fees 6. Tax Return Prepamr's Fees 7. Other Administrative Costs 1 PennDOT - Transfer car title 6.00 2 UPS - Courier Fees for stock transfer 90.00 TOTAL (Also enter on line 9, Recapitulation) 12,838.71 REV-1513 EX+ (900) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BEN EFICIARIES iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Robinson, Barbara Mae 21 - 03 - 00190 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE ~'. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 William F. Robinson 'Spouse 100 percent 1116,871.52 508 8th Street New Cumberland, PA 17070 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet I~. i 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 II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET EXHIBIT "B" GROSS ESTATE $199,710.23 LIABILITIES A. Parthemore Funeral Home $ 8,749.60 B. Family Exemption 3,500.00 C. Register of Wills 316.00 D. The Sentinel 102.11 E. Cumberland Law Journal 75.00 F, PennDOT - Transfer Car Title 6.00 G. UPS - Overnight Courier Fees 90.00 AMOUNT REMAINING TO BE DISTRIBUTED $186,871.52 100% DISTRIBUTION TO WILLIAM F. ROBINSON $186,871.52 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 ROBINSON JAMES M 28 SOUTH PITT STREET CARLISLE, PA 17013 RE: Estate of ROBINSON BARBARA C File Number: 2003-00190 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 will become delinquent on: 11/27/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerqly, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge Name of Decedent: STATUS REPORT UNDER RULE 6.12 6AR-8l::JeA C. Q 0.8, 1'.1 ~ II-d/-D~ ~ \ . 0:5 . 00 111 D Admin. No.: Date of Death: Will No.: Pursuant to Rule 6.12 of the Supreme Court Orphal'1s' Comi Rules, I repOli 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 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal ~resentative 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~resentative state an account informally to the parties in interest? Y es ~ No 0 ~',:, c. Copies of receipts, releases, joinders and approval of formal or informal accounts maybe filed with the Clerk of the Orphans' Court 3_1_0s-afldmaYbe attached to ~~ r ~ -=r ~~ fY'\ . ~I ,.jSo..,) Name d.8 SOU~ ~\TI ~~(~..eT tA/C.L.\, bL-e PA , , 0 /3 I Address Date: ( , n) a ,-\S - q lPcf'f Telephone No. Capacity: M Personal Representative 'D Counsel for personal representative ;