HomeMy WebLinkAbout10-28-11 (2)1505610101
REV-1500 °`t°'-'°' m
OFFICIAL USE ONLY
PA Department of Revenue Pennsylvania Coun Code Year File Number
oewnm[xr or •EVexue
Bureau of Individual Taxes INHERITANCE TAX RETURN
PD sox zso6oi ~ ~ ~ p p D D f7
Harrisburg, PA s~~z8-o6oi RESIDENT DECEDENT
S
oci
a
l
S
e
curit
y
Nu
m
r
b
e Da
t
e
f D
o
eafh MMDD
YYY
Y Date of Birth MMDDYYY
Y
~~
''
((
~~
~~
''
~~
~~
~~
~~
lI
;
'
W.Z'LJ.~L~J~~ '~
~~
~
~
~
~
'
~
G.L'lJ `~ ~ LJ ~ `~ 1- _ / 9 LI
Decedent's Last Name Suffix Decedent's First Name
MI
A/ SD ~-~•
® LC ~1 1~
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
~~
Spouse's Social Security Number
~--~••~ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
- t ' REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Retum O 2. Supplemental Return O 3. Remainder Realm (date of death
prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required
death after 12-12-82)
~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust l7 8. Total Number of Safe Deposit Boxes
(Attach Copy of Wifl) (Attach Copy of Trust)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
s , , , , , ~ ~ ~-re-a•~~
REGISTER OF WILLS USE ONLY
First line of address ~ p_~
~~
G D ~
7~ Q7 C., ~..T ; .
D ./~
~
Second Ifne of address .-z,
~ --a ,t,
'~a- ~ ^~ n~
~~ a
~
:~Oii r,
City or Post Once State ZIP Code ~ FILED ~
e A ics uR ~~~ ~9 ~ ~; ;_:
~~ o
Correspondent's a-mail address: L' @Sh; e~o/s3(J L'onaeaat yet
Under penaltles of perjury, I declare that I have examined this return, inducting accompanying schedules and statements, and to the best of my knowledge and belief.
k is true, correct and complete. Declaretion of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNAT(Ip~p-E OF PERSON//p/'~}SPONSIBLE FOR FILING RETURN DATE
ADDRESS ~.u ~ F (~Il U.SON J / Z ~{ COGIfGI.%1 Sf~ /17e(AfRX i PS~ H /~~ P/K / 70.5
SIGNATURE ~ PAgjER OTF~EFj TH RE~r~TATIVE DATE i
/o/~~/!/
ADDRESS ~//rQ[ES E. SH/E~,S ~ C/ouser- ana~ /ye~j~;esbu~'~ P~¢ /7oss
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610101 1505610101 J
REV-1500 EX
Decedent's Name: ~'~IE/') m• ~/ w~ ~ hs0~'1
1505610105
1. Real Estate (Schedule A) ........................................... .. 1.
2. Stocks and Bonds (Schedule B) ..................................... .. 2.
3. Closety Held Corporatkm, Partnership or Sole-Proprietorship (Schedule C) ... .. 3.
4. AAortgages and Notes Receivable (Schedule D) ......................... .. 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5.
6. Jointty Owned Property (Schedub F) O Separate Billing Requested ..... .. 6.
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate P-opertY
(Schedule G) O Separate BNling Requested...... .. 7.
8. Total Gross Assets (total Lines 1 through 7) .......................... ... 8.
9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9.
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... ... 10.
11. Total l~ductions (total Lines 9 and 10) .............................. ... 11.
12. Net Yalue of Estate (Line S minus Line 11) ........................... ... 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ..................... ... 13.
Decedent's Social Security Number
6 1 ~ z~ S3_?,_8 9.1 . ~ _~ ~
7a.g6o.8(
14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14.
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers Under $eC. 9116 ~ "~'~ '• rr~gpywun P~~ sms
(ax1.2) X .OfZ A 1 ~i ' G o 15.
16. Amount of Line 14 taxable
at lineal rate X .0~ D O i6.
17. Amount of Line 14 taxable
at sibling rate X .12 ~ a y S ~ 17.
18. Amount of Line t4 taxable
at collateral rate x .1s , , ~{ 3, ~{ 9 6- N $ 18.
19. TAX DUE .........................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING AREFUND OF AN OVERPAYMENT
~S~2Z,~i9
f Z 1 3~
6 z 3 ~~
55.9z4,o~
Side 2
1505610105 1505610105
O
J
~T•aX L'•K cuc.~ T oN ~~ Esc ~ of Ezc~ ~ . G~oe9i~/~Sod.
NFr ~.a~uE s~r,ar~zT 7
/.~X sff=7e~Z A~ 1SE-.D~r~r~orus
.Ayv~ .duow.¢ir~ {~.~ ~'.fi~'lr.~BL~' _ ~tiT.Qi.B~r ryo,~r = ~sS, 4~ y, oq.; _
,~ _
,~~
E _~'
"~
aos o,~ :6z, ~~7.8z -
f _
_
~
_ ~? y ~7, sb
.
~7'z. .~ /~1~19u' . ~ _
~ a70Jo q'e h1, /37 8z
12, '/ ~7, 56
/fl~r~~~. f cS,~ a70fv old lP21 ~7, 82 . ~/.?
S~Z7, s7.
.
. ~ctc~ = l5~c = ~
~. SG~f./3 j
.+ /~c~r~t~ ~ ~~~.~ ~~ o~ 6z~/37.sz = ~ G,zl3,~ 78'
~ ~w ~
/S~o
t; 93z,o7 _
} ~ ~~ ~. _
y
soy. o~ G,2,/3~~z --
_ _.
~~, ,
~.~e
. z
niece = lS~o
+_ _ f
y32,0~ _
- _
j <<.,c .,P. ~6~irs~., - _
___
..__
~ _ _ _
</a/ s~,~aX= ~ 015.78 ~1'Z ~ o1s.78 ___ _
_
__ _
,t
~.
_ _
_
~j _ _ __
_ __ _ _
;,
}
;
1
:;
COA1MpIWEALT71 OF PBrNSV~vMnn
D~MTMH~ OF 11EVENVE REV•1182 EX(11-88)
lU11fAU OF MIOIVIWK TAI(ES
DEPT. 2!0601
IMIIIIg6U11G, PA 77126.0607
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014168
ROBINSON PAUL EUGENE
1124 COCKLIN ST
MECHANICSBURG, PA 17055
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
___ ,.»
ESTATE INFORMATION: sSN: 19t-ta-3236
FILE NUMBER: 211 1-0007
DECEDENT NAME: ROBINSON ELLEN M
DATE OF PAYMENT: 03/22/2011
POSTMARK DATE: 03121 /201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 12/24/2010
101 ~ 56,412.50
TOTAL AMOUNT PAID:
REMARKS:
$6,412.50
CHECK#1003
INITIALS: SAP
s~-L RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
REV-1500 EX Page 3
Decedent's Complete Address; ~~ Number ,Z/-// - 00'7
DECEDENTS NAME /I~
~~~~ m I~opigSOn
STREETADDRESS
~"2 z ~ !vi%son Last
cirr q,,
/'1~~./CS6~ STATE n~ ~p -
/" / ~ o SS
Tax Payments artd Credits;
1. Tax Due (Page 2, Line 19)
B. Discount T ~ 3'i3 7. So
3. Interest Total Credits (A + g) (2) ~ 6, 7S0 . ° °
4. ff Line 2 is greater than Line 4 + ~ 3, enter the diflerenoe. This Ls the OVERPAYMEIMT. (3) O
FNt ~ Duel an Pape 2, Line 20 to roquaat a rotund.
t4) ~ 3.8~
5. N Line 1 + Line 3 ~ greater than Line 2, enter the difle-ence. TMs is the TAX DUE
(5) ~ ~~ 26 9, G?~
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:
a. retain the use w income of the Yes
property transferred :........................................ ^
b. retain the right to desgnate wfw sfra8 use the property transferred w its income : ............................................ ^
c. retain a reversionary interest: w ................................... ...................
d. receive the promise for life of either payments, benefits w care? ......................
2. ff death occurred after Dec. 12, 1982, did decedent transfer ................................................ ^
without rer;eivi P-oPe-hr within one year of death
ng adequate conside-ation? ........................................
...........................
3. Did decedent own an "in trust for• w able. .......................................... .
Pat upon-death ink account or seaxity at his w her death? ..............
4. Did decedent own an irxiividual retirement account, annuity w otirernon-probate pnppgrty, ~~h
contains a benefiaary designation? ...................................
~ THE ANSMYER TO ANY OF THE ABOVE QUESTIONS IS
r~~
YOU MUST G~LETE SCHEDULE G AN0 FILE RAS PART t
--
Fwdates of death on Drafter July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on ttte net value of transfers to or for the use of the
3 perGertt [72 P.S. §9116 (a) (1.1) (i)I• surviving spouse is
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the r>et value of transfers to w for the rye of the
(72 P.S. §9116 (a) (1.1) (ii)]. The stahrte does not exempt a transfer to a surviving spouse from tax, and the ~~~ ~ 0
fiHrKj a tax return' are stiN applicable even if the surviving spouse is the only bertefiaary, statuEort' requirements for disclosure of assets and
For dates of death on or after July 1,2000:
• The tax rate imposed on tfte net value of transfers from a det~ased child 21 years of age or younger at death to w for the use of a natural parerU, an
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(ax1.2)).
• The tax rate imposed on the net value of transfers to or for the use of the decedents lineal beneficiaries is 4.5 percent, except ass nod in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)).
• The tax rate imposed on the net value of transfers to w for the use of the decedents sibNn~~ss is 12 percent (72 P.S. §9116(aH1.3)). A sibling is defined, under
Section 9102, as an individual who has at least one parent in common witty the decedent, whether by bid ~ arfoptan.
aFw,woo~.tl+n
SCHEDULE E
COMMONwEALiNOFFENNSYWANU CASH, BANK DEPOSITS, 8i MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
-~--
o..+. ~ yr FILE NUMBER
~71cn /n. inSo~
Indude the ~/ - // r DO 7
prOCeeds of Wipatlon and the dale the Proceeds wem received by the estate. AN propsAy jpinyy.owned rvNh the right of survhrorship must bs dleclossd on schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
Of DEATH
~~ i8e/Co Crtd'f ~fn:on .¢e~ yv. 56300
A~. Rc~u/ar Sarn9s
C'• Chtck:.~
D. ~t'h f ac~cr, r6 dod sa 21r~wL'
sec /a/aafiin /e/1~`~r q/~`a ~fud)
off. i4s6aMy ~fNM~l.nifi'es, ?tt:. (~e{~,~ village} r'~*~.nc>t
(sae Staf¢/liCnt affae%ed
3. U.S. TreasurJc ~~~d on paxscno~ income {•yc
`f- ~// ~Prsona/fy o~ L1ny ~x a'ts~ss~ Gil f wR s t.li~ etf
/UUl~~1/ic IIKC~io4 6y Chu/~k ~3~:~ker ire ~•c/~arahbr~ ~n•~
e/~ ~rR r1 c e : a /b // i//~rri,, ~io~rre_
s. ~ba'~ Gpl/11tcn:l7~sv ~.~ A+v~i(i'~uq~/ ~~hy/
~. ~enehts P2atS~on ~w~n-e-,.t
7, ~ocia./ ~Seeurity P~~t
R. I Z„ ~(rp,nsi+, uACrto~;1-~d Qu,}oma~ia ~rans~r ~eM ~¢mcrgoris~
(If more space is needed, insert
TOTAL (Also enter on line 5, Recapitulation) I S
sheets ~ the same size)
~/7, /83.3!
s, zq
1~ 2,/03./6
¢ D. /~
~!~ 200. •o
~~ ~5! 2 y
~I~ oZl. IS
~ 9~z.oo
~ ~65<. mo
~,saa.z3
89/. !/
~.~ir/ii
~ BE
LCO
C~MMUNIT~' IrKFDIT UNION
Charles E. Shields,III
Attorney-At-Law
6 Clouser Road
Mechanicsburg, Pa. 17055
February 16, 2011
Re: Estate of: ELLEN M ROBINSON
S.S. 191-18-3236
Dear Attorney Shields,
Here is the information for the above referenced account. If you need any further
information, please call me at 717 720 6414.
Sincerely,
Yvonne J es ~~-
Finance Department
DECEDENT ESTATE INFORMATION
1. Name(s) in which the account was held: ELLEN M ROBINSON
2. Account number: ~~
3. Balance as of date of death: $19,286.47
Balance Accrued Dividends YTD Dividends Opened
Regular SavingF S1 $17,183.31 $g.29 $32 ~ t R7D s
Christmas Club: S2
Money Market: . S6
Checking: S4 $2,103.16 $0.16 $3
~ lA1 ~ 0 9
Money Market: S15 .
Certificates: Balance Accrued Dividends Certficate Number YTD Dividends
$ $
4. Date the account was initiated:
5. Name(s) in which Safe Deposit Box was held: N/A
8. Date the box was initially rented:
7. Branch address at which the box is located:
8. Loan Information: Balance Accrued Interest Per Diem Int
A. Unsecured Loans: N/A
L14 Classic Visa Card
B. Secured Loans: N/A
C. Mortgage Loans: N/A $ $
$ $ $
$ $ $
9. Miscellaneous:
sz.~zas~ s.oo sz,~zas~
I Statement Data Due Date ACCOUNT NUMBER
12/31/2010 Upon Receipt 2485
AMOUNT PAID S
Please make check payable to BETHANY SKILLED NURSING
MS. ELLEN M ROBINSON Remit To:
c/o MR PAUL ROBINSON BETHANY VILLAGE
1124 COCKLIN STREET 325 YYESLEY DRIVE
MECHANK:SBURG, PA 17055 MECHANICSBURG, PA 17055
Please detach and return this portion with your remittance to the address above.
Comments
our deai amount wiN be electron funds withdrawal from r bank accorxrt.
Balance Forward $9.538.98
12/14/10 -12/14!10 ACH Payment 12/2010 Check #ACH
12/20/10 -12/20/10 Hospke of Central PA Check #44865
' 11/29/10 -11/29110 BesutylBarber Shop Charge 1 $18.00 $18.00
12/01/10 -12/01/10 Be8'ulyBafber Shop Charge 1 $18.00 516.00
12/01/10 -12/01/10 Portable•Oxygen Tank Rental 1 54.00 $4,00
12/01/10 -12/23/10 Medical Supplies 23 $7.25 ;166.75
12/01/10 -12/23/10 Inoontlnence Care ModMeavy 23 $11.00 ;253.00
! 12/03/10 -12/05/10 Portable Oxygen Tank Rental ~ 3 $4.00 ;12.00
~ 12/05/10 -12/05/10 ~ Medical Supplies 1 $1.28 61.26
j 12/05/10 -12/05/10 Medical Supplies 1 ;1.86 51.96
i 12/05/10 -12N5/10 Medical Supplies 1 ;2.38 52.38
12/06/10 -12/06!10
t Beauty/Barber Shop Charge 1 ;16.00 $18.00
12/07/10 -12!10/10 Portable Oxygen Tank Rental 4 54.00 516.00
12/11/10 -12/11/10 MedicaFSupplies 1 51.213 51.26
12/11/10 -12/11/10 Medical Supplies 1 $2.38 ;2.38
12/13/10 -12/13/10 BeaulyBerber Shop Charge 1 518.00 518.00
12/13/10 -12/13/10 Portable Oxygen Tank Rerdal 1 54.00 ;4.00
12/15/10 -12/15/10 Beauty/Barber Shop Charge 1 518.00 $16.00
12/15/10 -12/15/10 Portable Oxygen Tank Rental 2 $4.00 58.00
' 12/17/1D -12/19H0 Portable Oxygen Tank Rental 3 $4.00 572.00
12/19/10 -12/19/10 Medical Suppliea 1 51.26 ;1.26
12/19/10 -12/19/10 Medical Supplies '1 $1.96 ;1.98
12/1 9/1 0 -12/19110 Medical Supplies 1 52.38 52,38
1220/10 -122W10 Beauty/Barber Shop Charge 1 518.00 518.00
12/21!10 -12/22/10 Portable Oxygen Tank Ftentai 2 54.00 ;8.00
12/23/10 -1223%10 Medical Supplies 1 150.84 $50.84
1224/10 -12!31/10 Monthly Fee (8); ,,, S{906.00) 5(2,448.00)
$9,b38.98
$330.00
FACILITY NAME RESIDENT NAME ACCOUNT NUMBER
BETHANY SKILLED NURSING MS. ELLEN M ROBINSON 2485
a
Statement Date Due Date ACCOUNT NUMBER
12/31/2010 Upon Receipt 2485
• _ ' ~ 50.00
AMOUNT PAID 5
Please make check payable to BETHANY SKILLED NURSING
M5. ELLEN M ROBINSON Remk To:
do MR PAUL ROBINSON
1124 COCIQ.IN STREET BETHANY VILLAGE
MECHANICSBURG, PA 17055 328 WESLEY DRIVE
MECHANIC3BURG, PA 17055
Please detach and return this portkm with your remiManoe to the address above.
12/31H 0 -12131/10 Refund: MorNhy Fee
12/31/10 -12/31/10 Refund: Medical Supplies
12/31/10 -12!31/10 Refund: Incwntinence Care ModMeevy
TOTAL BALANCE DUE:
52,106.32
67.25
511.00
50.00
FACILITY NAME RESIDENT NAME ACCOUNT NUMBER
BETHANY SKILLED NURSING MS. ELLEN M ROBINSON 2485
REVasia Ex • (+sn
COMAtONVVEALTH OF PENNSYLVANIA
INNERRANCE TAX RETURN
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF ~ ~ f ~ 50~ t ~~~ FILE NUMBER
ni. d/- //- 007
This sdredule must be completed and filed 'rf the answer to arty of questions 1 through 4 ar the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
iNCwnETMeuAA~EOrTHETgreis~F,n~nnaATa~wtoxt~oerrunn~EwTEOFTwvavFert
ATGCHACOP/OFTEOEEpFOnpEALE$fATE.
DATE OF DEATH
V(~ OF ASSET ~, OF
DECD'S
INTEREST
EXCLUSION
Aaaiae~E
TAXABLE VALUE
1. /f ~1lSr.~t7riSG F.'ntt~:./ ~.-yotx~. , prt~niCt; /~c%'ve
~or'l'~~as, ~/li, 000689$.?663 (02/ f
3
06 y
/d 0 ~v
--O - ~
T an.~,- on Qt~hf c%syeahins.• ~
7O 3 8, d6I, 7e
~. Pau 1 F lib; nson aa9o
t~rol~r = ~7, 6/3 9~ ,
~rsf GIn~1td /Y/etlod,5f G'~urcl, /Ofo
C/lari y - f 3, SDG.97
C. El;zabef~i (xrtgcr ao fo
Nicec ~ ~ 7, ~ 13,94
t`7. /-lrrrily ~. Slade Zofo
Ni cu - *7, G~3. ~~
F /~iG~trrr/ l! Qs'bioSnn yp 90
r1 p~p/,cw = f~, ~b6. y9
N~'c~ ~3, 8oG.91
A'
b:
~r ru+ p.
a
n~e~
/1P,~O~itN~ = 3, 8n6, 97
(see ~a/ua~io4 ~+d ~~shi6w~oq dafi'a
a>Fa t:h~d )
more space is needed, insert additional sheets of the same
TOTAL (Also enter an line 7, Recapitulation) I S 3 ~~ O 6 5', 7n
fewer Page 1 of 2
CIIaM VbMrar
Awlaacwnpan• Amer3pNse
f'iMnCla1
Y~~eeiiM PRfi11R ~: A.~T~ Pbl'F~'~ia~", ~ , .,.... -. :: . ~ ... .
AeeouM ProtIM ~ ~~ ~ Chock. I.auW
Yeww _ f1w~ _ Tlw~~ T.-~--u-..- ..... ........_._.
vwu oeie18i33 B 0210
CTNE ACCUMULATION CONS
-- srship__~._._.---.-..,._ LLEN M ROBIN90NTOD _-...._.
Ian Type^_.___._._._ - _ ON-QUALIFIED-~.---°__----.__.~---
aociaOadTIN: -_. ------191-18-3298-----. -- .._._.__._..__.--.--__.._--...
._
_ .- . ....
789345001 -_.-..._.........-_ .~_..._....._-,.....-
___ ~-IOUSEHOLD i
'BINARY BENEFICIARY ~~
'AUL E ROBINSON BROTHER 20.0096
EL17.H8ETH LINGER NIECE 20.0096
AERRILY R SLAOE NIECE 20.0046
i1CHARD C ROBINSON NEPHEW 10.0096
.YNN A RAPP NIECE 10.0096
ITEPHEN P ROBINSON NEPHEW 10.0096
'IRST UNITED METHODIST CHURCH 10.0096
IECHANICSBURY PA
I'S SUCCESSORS OR ASSIGNS
Ticker ~_
Oesaiption Quenclly Eadnrale
Symbol Held PdOa Pryc• Oak Market
-~_.~.__.~,-__ -__---, Value
)L OIV INC W CDVWX ._...._._ _____....----
;~ ~:~;:~:::_., ..._.._ 12.8 0/122011 s5dsir
CSCWX I 51.945 ~574.18+10M22011, -5738.58
-~
ttps://www8 • ex.is.ameriprise.com/oat/securefAccountprofile/Accountprofile.asp?alKey... 10/13/2011
Z'2•d £LbLS6L~01 b8b6 S2S LiL
3SI21dI2J~ki~IJOa~ HZS~ii iiOZ-£i-1~0
accounts a9 of 12/24/2010.
Account Information
Premier -Active Portfolios
Account Number Ownership
00068782663 6 021 individual -TOP
Premier -Active Portfolios
Account Number T
00068782663 6 021 i Value
538,069.7
fleet Nasw:Amerrlrb9 Atlfile POItbBoa, ACTIVE ACCUMUIJgT~I OONB, t3LEN M ROBINBt)IV TOO
Acct No'.000BB182tiB3 OQ1 Acct7ypr.Nwl~uat6Ne
Aaad Nnla ile6ar Broai 61of. Nsrae grannty PMea Ip Y611w ~
G8M 111.33 1.00 111.99
col AB3LT RTN CIi18l91C - w RACWx• ~ IN ~~ 16969 1o,a 1,801.52
COL OIVER91F6cD BtTND - W RVBW1t• LON(aIMf1Ep1~D1 COLLOrbIA
ATE- HINDS 0110UP 2,95097 487 14,680.94
COL OIV6>4<ND INOOME - w t9i1NYx LAflR1c CAP COl_ tJ~191A~~~ 43.0{ tAO~ 968.04
COL dVIDle11D OPP - W ~~ LAItOE CM COLUMBIA 72.78 T.78 508
25
STOCK FUND9 ORDl1P .
1971. EMERCIINO tVBtiS BD - W REMYVX• M
A>~NpT ~ 208.49 11.18 2,101.43
~ ~
COL GLOBAL BOND - W R• ptI6tNAT10IM1 COLUMBIA 316!44 7.01 238.25
POtLD NC06AE FL040.R GROUP
COLF60NYIB.OBOIO-w RI4YWX• F00B)N1t:OME F~GI10lJP 1,097.10 27'9 2p52.18
COLIN6'OME-w CPIINX LONQBNi
IRE-TgAM I COLUMBIA
FtMWS aRDUP 381.34 9.01 9,760.79
COL INFLATION PRO 9EC - W RIPWX' LONiHiINEpI U ~ 105.75 10.9{ 1,D83.4T
COLLARfM•COREQUWT-W RDEWIC• LAROECAP COLUMBIA 14260 5.43 774
32
970CK ftMD9~iRDUP .
COL LARGE ORW t2tlANT - W RDLW7t~ LSARRiEK CAP CQlU ~~
r 176.25 6.76 1,565.01
COL LARGE VALUE GUANT - W RLCYYX' LARGE CAP COLUAIBIA 106.25 T.55 1106.15
STOCK Fi91D80RDUP
COLNIONEY6IARIQrT-W RC,'YY)Ot` CI1_SH ~s C~O(.UMBU~_._
675 O
nvuP 1,141.77 tA0 1.141.77
Ct71. SMN1 CAP CORE- W C9CYVx L CI1P
S D ~ 5193 19.x2 006
10
IC ~
Q .
RVS OI$CPID INTL EvIY - w ROMIX• 94IERhIAT10IML COUItIBIA 211.89 7.32 1
551
77
s1acK F1o4DS oR1wP ,
.
Rvs OLRCPLD s-1~AIiCP Eo - w R3EWX• MIDISMALL CAP COLUi1B1A 6F,ffi glD 7,r
g ~
S70CK F1IID8 0110UP ,~
~~ i36~6B.70
The date of death values provided are for estate tax purposes and are not a value to be paid. Accounts may be
subject to market fluctuation as governed by oath product Please note that the values indicated for any Life
Insurance product(s) with the insured deceased reflect the gross death benefit at date of death and not the cash value.
Values indicated for Life Insurance Products with only the owner docoased reflect the cash value as of the date of
death. Values for any proprietary mutual funds include accrued dividends as applicable. Values provides for
brokerage products are manually calculated, and should be used as estimates only. Theprices used to provide values
are estimates obtained from outside sources believed to be reliable. Ameriprise Financial provides these values as a
service to its clients. Actual values used in preparation of tax returns or for planning purposes should be verified by
your legal and ac~unting advisors,
£i2'd £LbLS6L:01 b8b6 S2S LiL 3SI21dI213l~ti:W021d ti9S:T1 TT02-ZT-100
We appreciate tha opportunity to be of service to you. Please conuict us if you have any questions.
Sincerely,
Mthoay H Gusto
Death 3ettletnanta Processing Taarrs
Ameriprise Financial Center
Minneapolis,lrrlN SS474
1-800-862-7919, Option 2, ask for Palate Settlemenq
Please do not repy to this email. This database does not support lnooming mail. Please call the phone #
within the letter B you n9quire assistance. Thank you.
Life Events Team
£~£'d £LbL56L~01 bi3b6 SZS LlL 35I21dI213Wtl~l.gNd tl9S~Ti iTOc-i?Z-170
REV-1511 EX+(10-06)
SCNEDYLE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8i
INHERITANCE TAX RETURN
RESIDENT DECEDENT ADMINISTRATNE COSTS
ESTATE OF FILE NUMBER
~~~P.I) ~i-1Son o~- // -ODD
Debts of decedent must be reported on Schedule L
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
h1echan i es 6tir~ CCIII~f 7,rr, ~r .9uria.~ r tti -
J
t`
~FSD, DO
z, Reyt.rs F/o[~/~ ,~r ~T•wu- SPrQy, ~t;,»b. ~ ~a../ ~Cod;nsoh S~
'~3 fig
3. ~unc•ta.J ~'IGaI- /T7abe~ Si'r~oc1C, r~imb. t P~.r.J Zlo6;ns6n .
¢1I 8,~8
~• F/vnar~rikMS-- ~Gv. ~iaMPa, ~W, ~rnwn~n4, gym. ~ngrrcha~+~noryan-
i5f
/7'l
D
~
'
,
try/lai
l
, Norp.;
ona/d Barnes, cf ux, ,TQgifiS~ n+'m~ ~ maw ~SSp
00
~AbinS+n ,
S Non•/u/y~~ttn~ ~ ~i~t'nCr first'' ~# F,1-sF 4ni/i!t~ Me.Kud%t ChNr•..11 fy~ h~ tu~l'G. ¢/po..o
meal. Ker mb fr ~,..1 f2sb~n5est
e. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
11
Name of Personal Representative(s) !~Q„y,l E. ~p p. A So•1
~ 2, O 2 S.7-/O
street Address 11 ~ ~ ~nek/: n .~;
nn
Ciry Ih2G/14Ati CSI7rt ~+S State I"R Zip 17 G SS
Year(s) Commission Paid:
2• Attorney Fees ~.f1A,--~GS ~ cYni~G/Q/S
3• Famiy Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant NO D/re G~~ i 6/G Non ~
Street Address
Ciry State Zip
Relationship of Claimant to Decedent l
4• Probate Fees pw( Otl~i~na~ ~13s?ttG oy~ SG~,tort eCr~r n~~s ~//~•~
5• Accountants Fees ~ Cryrrs~'QI N~C~B r!' 7r'~' vc%Se-Op,~' /D~D, /Ojrs ~O ~p~$"D, 00
6• Tax Relum Preparer's Fees 7D-" ~~~// ~~ ~/j /~ _~S, ~ ~.3~0.60
'. Re;~nb~.rsement ~o taa./ ~'. (iii nson -~r add:f dea,f~t ecrl: ~ 9v. oa
8. ~jYrtisi~9 hi L~k~,6trGsyrd La•.J ,7varn,r/ ~ 75, ea
/B• F:/ice~ Fae fp ~~qis~,- o~ !~~'//~ f~s.ao
//. ~Pddyh:aa/ pnvdaf {>ce ~f~ o0
C~,~t-~
TOTAL (Also enter on line 9 Recapitulation) I S $, 3 ~ ~ ~ S~
(If more space is needed, insert additional sheets of the same size)
i
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Date: 1/03/2011
Cumberland County - Register Of Wills Receipt Time: 14:29:05
One Courthouse Square Receipt No. 1063881
Carlisle, PA 17613
ROBINSON ELLEN M
Estate File No.: 2011-00007
Paid By Remarks: CHARLES E SHIELDS III
SAP
Receipt Distribution
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 45.00 CUMBERLAND COUNTY GENERAL FUN
WILL 15.00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 24.00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE
AUTOMATION FEE 23.50
5.00
----- BUREAU OF RECEIPTS
CUMBERLAND COUNTY & CNTR
GENERAL M.D
FUN
Check# 2006 -----------
$112.50
Total Received......... $112.50
_ _ ___
VitalChek Receipt
Transaction ID: V99-1282682-1 (~~~~~,~~~~~~I~~
Date!['ime Requested: 1/27/2011 (a7 2:42 pm
Certificate Type: DEATH
Name on Certificate: ELLEN M ROBINSON Credit Card Authorization Code:
Father's Name: CHARLES W ROBIlVSON
Copies: 7 Request Fee this Item: $63,00
Carrier: UPS NEXT DAY AIR Other Agency Fees this Item: S 0.00
Delivery Telephone(s): (717)766-8922 J (717)766-8922
Handlin
g A
y
O
VCN Fee Fee
Carrier Fee Request
Fee Age
ncy Fee Total Fee
$ 10.00 $ 0.00 $ 17.00 S 63.00 S 0.00 $ 90.00
Ship To: PAUL ROBINSON
1124 COCKLIN STREET
MECHANICSBURG. PA 17055
i
.'
~~~"~
*** THE GROSS-ERY ***
30B Cheryl Avenue
Mechanicsburg PA 17055
12/28/10 1717)95806138 OPER 12
59999 Valued Gross-ery Customer
999972 NONINV gift card 5127
1 8 25.00 ~ 25.00
827009 IMPERL CUP PAPER HOTS 2Z
1 A 3.75 3.75
Merchandise Total $28,75
Tax $,23
Invoice Total $ggT~g-
AMOUNT TENDERED ~~
Check $-
'6'~-g~
ORDER# 865947 59999 PIECES 2
Invoice #585451
K i N O N O ~ N {
«
s ~ \ C y ~ N n N N O ~
2
« + ~ ~ N a ~r rm r~ ro ~ a
e « -r n i a x
k
+
O O .-
-+- C Z
C
#
\ ~ .-,
~ [')
a N
ti 3 Gl
k 4 +
+ m ~ ~ C7 m m 1 C W 3££ T ~O E ~C =
k
i
~
N
m
a s m
V
0 ~--i D O 47
D
o-r r A L O
m
~
O
« D
1"- C 4 -
O N d
M < ~ ~ .
r X r
1"" 0 .~
D 2 3 T S m
?7 .
A D
~ S Z N V7
k
{ N
+
H T W
' m ~ y ~
T N~
N _ P
O D D C7 ~ O ~
k N t ~ ~ ~ ["J N S = D C O ~~i
D O O N
« A 1C + ~ N fl'I ~ ~ '
O
« m m + X d ~ a 1l
~
y
°O v z m
R ~n + p o y N D~ N
° c
« N + of C7
K
«
}
O fJ~ 7C
« + 6 m
* . O m _
O -~ -+ O ~ N O O N W ~
~ N
~ p
C
O
W
~
+ V• V7 O b ~p ~ O
O O
0 W
* + I
T ~i T Ti T ~1
A SPecia~ Note...
~~ any-•~-,~t ~ ~. mss'
~'Cc,aJ ~~ .33. 2 `~
//x.78
~ 3uLV -
E
~-~-~
• YERS`
jtowers(yjtjtt BJ'S WHDLESRLE CLUB
3015 GETTYS RD 3805 HRRT2DRLE DRIVE
CAMP HILL, PA CRMP HILL, Pq.
(717)730-4090 717-763-9550
Clerk#: 53 LAUREN 12/27/2010 0025 002 9873 12/29/10
Transaction: 86077 REG #1 4:24pm CR5H-1
ts3 1 t7:o5:3s
Ln# Pn Descr Oty Amount Ext Amt ****^*****^*^~rr*^^**^^^***************
1 20 FUNERAL 1 92.95 92.95 *** MEMBERSHIP ID. 2580971983 ***
2 20 FUNERAL 1 92.95 92.95 *** MEMBERSHIP EMPIRES ON 01/5 *r*
3 23 FUNERAL 1 125.00 125.00 ***********ff*************************
TaX: 18.66 60903277371 19 OUNCE JRR awf"
qy
Total: 329.56 90000016287 B8JHAMRLI6CT ,
t.99N
VISA Tender: 329.56 90000016287 68JHRMRLI6CT 1.99N
90000018731 SAND BUN 12P 3
29N
Account: XXXX-XXXX-XXXX-8078 EXp XX/XX 20356300000 K HONEY HRM .
19.99N
Transaction #:31609629 20399700000 LDL WHT CHSE 2
79N
Trans Type: Auth 20359700000 LOL YEL CHSE .
2
62N
Entry: SWiped 9970006922 OM TURKEY .
6
99N
Validation Cade: 5J5G 3950063202 LOL HRLF .
Merchant I0: 1670198007
3805519221 SWEET BDLDG* 1 99N
6
Trans ID: 16036177Q686613
90oooo2s27s WF SWISS 2LB .99N
7
AuthCode: 242861
19572 PIL'K N' PRCK .69N
5.98N
Thank-You For Your Patronage 73197199?5 WIEJSKE 96Z
5910091900 BUTTER 3.29N
WWW.rOyerS.COm CHIPS
7676255010 BEAN SLO 692 3.g9N
6
2
ITEM TOTRL 15 .
9N
5UB
Cardholder Copy
Order Number: 27033
Delivery Date: 12/30/2010
Recipient: ROBINSON
Address: 135 SIMPSON ST
City/State: MECHANICSBURG PA
Order Number: 27035
Delivery Date: 12/30/2010
Recipient: ROBINSON
Address: 135 SIMPSON ST
City/State: MECHANICSBURG PA
Order Number: 27036
Delivery Date: 12/30/2010
Recipient: RDBINSON
Address: 135 SIMPSON ST
City/State: MECHANICSBURG PA
TOTRL 77 82
PR 5TRTE TRX 6X 98
TDTRL 78.30
CHECK ~-- ~ ~7
-~-~-
iHANH YOU FOR SHOPPING RT BJ'S
may. 9 /
~~~~~"~
^1229025029873^
weir
THANKS FOR SHOPPING WEIS MRRKETS X58
5140 SIMP50N FERRY RD
MECHpNICSBURG, PR. 17050
TELEPHONE: 717-697-1230
YOUR CASHIER TODRY WAS Melanie
MAXWEL HOUSE 4.49 F
WD FRT CKTL 1 19 F
ICED TER 2.59 F
DIET TEA 1.59 F
W PR TRKY 4.99 F
2@6.97
AMISH POTATO SL PC 13.94 F
SC AMISH POTATO DISC 0.98-F
SC RMISH POTATO DISC 0.98-F
3 LB EGG 8 PDT PC 6.97 F
SC 3 LB EGG & PO DISC 0.98-F
16 HOAGIE RMERICRN 6.99 B
STICKY BUNS Q~cc~,, PC 99 f
SC STICKY BUNS piSC ~ 00-F
TRX 0.42
**+~* BALANCE 43.22
VF PERSONRL CHECK 43.22
CHAN6E 0.00
TOTRL NUMBER OF ITEMS SO' 0 ~°370~~~
Weis Club Savings Total 3.94
Your Total Savings: 8Z 53.94
12/29/10 05:SOr~n 58 109 26 108
J ~.~ ~
~~
~ ~ o
0 J
J
Q 0
n n A
S S S
O O O
<_. 5. <.
o~ m m
C7 n C7
~ ~ ~
N N N
~ n O
F 7C 7r
7 7 7
00 t0 t0
v
\!
~?
W Z
O C
~ ~
t0
D ~ D °~'
n ~ n
n
d
~n
Tl T T1 (~
> > > .~.
N N W
m m d
m c~
> > >
f0 N Q01
N
T r T ~
C C C N
N O N O
d ~ d
j f0
C
a ~ a
~ ~ ~
`~
~ ~ ~ n
D
3
0
0 ocn "m
0 0 0 0
0 0 0 ~
0 0 o j
N
N
C
N
AUtk t -iti~1ATI0N SERVICE
4100 )ONES70WN RD
HARRISBURG, PA 17109
12/31/2010 11:31:10
MerchantlD: 000000001669325
terminallD: 02508749
235177570993
CREDIT CARD
VISA SALE
CARD # X)OOOOOOOOOU(8078
INVOICE 0002
Batch #: oG0100
Approval Code: 321020
Enby Method: Matual
Approved: Online li
SALE AMOUNT $251,80
Mr. Paui Robinson
1124 Cocklin Street
Mech anicsburg, PA 17055
NATION SERVICES OF PENNSYLVANIA, INC.
PA 17109 • 1-500-720-8221 • Fax 717-541-9943 • Shawn E. Carper, Supervisor
Dec 24, 2010
Ellen M. Robinson - Deceased
SPECIAL CHARGES
X Direct Cremation $1,595.00
X Nationwide Guarantee Program $295.00
Worldwide Travel Protection
TOTAL SPECIAL CHARGES
PROFESSIONAL SERVICES
Services of Funeral Director & Staff
Other Preparation of ahe Body
Facilities & Staff for Memorial Service
Staff & Equipment for Memorial Service
Witnessing the Cremation
Private Family Viewing/Witnessing Cremation
Packaging And Forwarding Cremated Remains
X Personal Delivery of Cremated Remains
Scattering of Cremated Remains
Medical Documents/Courier Fee
TOTAL PROFESSIONAL SERVICES
AUTOMOTIVE EQUIPMENT
Removal Vehicle
Lead Car/Clergy Car
Family Car
Service Vehicle
TOTAL AUTOMOTIVE EQUIPMENT
$85.00
101328 DAA
.$1,890.00
$85.00
$0.00
MERCHANDISE
X Register Book $45.00 6$ Tax
X Memorial Cards 100 @ $70.00 6~ Tax
X Thank You Cards 2 @ $24.00 6& Tax
X Remembrance Package $120.00 6$ Tax
Arrange For Burial
X Minimum Oak Urn @ 148340
Urn Burial Vault
Veterans Flag Case
Grave/Memorial Marker
TOTAL MERCHANDISE
CASH ADVANCED ITEMS
$2.70 $0.00
$4.20 $0.00
$1.44 $0.00
57.20 $127.20
Grave Opening
Cemetery Equipment
X Harrisburg Patriot Newspaper Notice
Newspaper
Vault Service Charge
Clergy
Church/Organist/Soloist
Flowers
Crematory Charge
X Cumberland County Coroner Approval Fee
X 10 Certified Copies of Death Certificate
TOTAL CASH ADVANCED ITEMS
SUMMARY OF CHARGES
Special Charges $1,890.00 -„
Professional Services $85.00
Automotive Equipment $0.00
Merchandise ~. $352:20
Cash Advanced Items $274 60
SUB TOTAL
CREDITS
AMOUNT PREPAID Date
TOTAL
AMOUNT PAID Date
BALANCE DUE
52,601.80
-$1,140.00
May 11, 1996-$1,210:00
$251.80
Dec 31, 2010 -$251.80
$0.00
$225.00
$189.60
$25.00
$60.00
$352.20
$274.60
THIS STATEMENT MAY NOT REFLECT ALL NEWSPAPER CHARGES
Unline Services - U;nlme Image
Yage 1 of 2
WACHOVIA
ONLINE IMAGE
Account Numt~er: 1010008235222
Check Number
Amount Date Posted
3087 $450.00 01!03@011
_.
_____ . ~
r ao~ NJ1. .
i:03~00~31:i010008~'3S~22r' 3 8?
>03y31503tSt
Orrstawn Bank
Shipp~nshn=g, P11 17257
L>boaez 717-532-6114
tans Dste: 12/31/2010
t3ran<sb/Teiles Dols/o3zs
i2/asi2oao ].2:18:2!
How To Save This Image
PC users
IMemet 1=xplorer:
Right-dick on the check image, and choose "Save Picture As..."
Others:
Right-dick on the d~rek image, and choose "Save Image As.."
MAC users
Internet Explorer:
Click ~ hold on the check image, and choose "Download Image to Disk."
Others:
Click 8 hold on the check image, and choose "Save this Image as
https://icid.wachovia.corn/webapp/icid_app/servletfTitanium 1/13/2011
P1111L Hltl'i8lIE p(1RIN60N 308
~t BT,~ ns~ ...~vi ~ o
tA~, frA 17006
REV-1512 EX+ (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCMEDYLE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & DENS
ESTATE OF n_~/~ J,ON/ ~G~~ ~, FILE NUMBER
!C() 021- /l- Ooh
Report dahts incurred try the decedent prior to death whleh remalnad unpaid as o(the date of death. Including unreBn6ursad maul .x~uAAAa
(ir mac space is neeeeo, Insert additional sheets of the same size)
REV-1513 EX+ (9.00)
SCNEDYLE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF ~,LLE~ ~ B l~.S~ ~ FILE NUMBER
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not Ust Trustee(s) AMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)1
1. ~ewl ,I:. 1Pab:assn ,hr. K~e.r ~fo
I [z4 '~.oc'kl:n at, /hcchar.icsbk,~, pA~ 17osS
a. El%z.l~Kt A~. u~9cr n:eoe o?p9o
353 EYxsfs R.i/yc Tnt; /~ Rt/~~rt4, GA 3o3t~
`~ /ylGrri/y T, v/ade
//Y /l7anb Rd., k/tsl;n~rN,iYC ?7s~~ ~~«- ao po
s: Ri~hq•~ e ~26,ns..,
"~~""'
I o ~o
/9 Cedar Gene, ~fZw~i~s~rvre, OR~ /7.363
6, [yy„ ,~. ~aOp
39 Non6ySuek/e fir,, /1leChanitsbur~, Pi4 hasp h;e~ -D ~o
Stiff P. ~Pr6,~s'~r
/336 Z.i1l/7tr~aa /~., ~ar/.s/~, ~A /7oi3
net hec~ y
l D /a
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
n NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1' ~%~st Gin~fzd /~1Y.adsf ~ItKroh o~' /Ylech.tvtics/uvq
l 0 90
(3S W. 5%stQ3oh 5fi., MechaniP,s6urr~, ~ 17oss ~
~
~°' z ~ 3.79
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S 5, S~f~.
pt more space is needed, insert additional sheets of the same size)
LAST WILL AND TESTAMENT OF ELLEN M. ROBINSON
I, ELLEN M. ROBINSON, single woman, currently of Bethany Village, Mechanicsburg,
Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do make, publish and declare this my Last Will and Testament, hereby
revoking and making void any and all prior Wills by me at any time heretofore made.
L
I direct the payment of all my just debts and funeral expenses as soon after my decease as the
same can conveniently be done.
2.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise, and bequeath in the following manner:
A) Twenty (20%) percent thereof to my brother, PAUL E. ROBINSON.
B) Twenty (20%) percent thereof to my niece, ELIZABETH A. LINGER.
C) Twenty (20%) percent thereof to my niece, MERRILY J. SLADE.
D) Ten (10%) percent thereof to my nephew, RICHARD C. ROBINSON.
E) Ten (10%) percent thereof to my niece, LYNN A. RAPP.
F) Ten (10%) percent thereof to my nephew, STEVEN P. ROBINSON.
G) Ten (10%) percent thereof to the FIRST UNITED METHODIST CHURCH OF
MECHANICSBURG.
3.
I nominate, constitute and appoint my brother, PAUL EUGENE ROBINSON, a.k.a. PAUL
E. ROBINSON, to be the Executor of this my Last Will and Testament. In the event that he is
unable or unwilling to act as Executor, I appoint my said brother's wife, MARJORIE A.
ROBINSON, to be Executrix in his place and stead. In the event that she is unable or unwilling to
act as Executrix, I appoint my niece, LYNN A. RAPP, to be Executrix in her stead. In the event
that she is unable or unwilling to act as Executrix, I appoint my nephew, STEVEN P. ROBINSON,
to be Executor in her place and stead. I further direct that they shall not be required to file bond or
other security in the Office of the Register of Wills for the purpose of administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~_ day of
/Yis^-. , A.D. 2007.
~31+..~ ~lK a.>~..o,r..- (SEAL)
ELLEN M. ROBINSON
~~ .
1
Signed, sealed, published and declared by the above-named ELLEN M. ROBINSON, 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 subscribed our names as witnesses.
~ ~
d~~o~~
~~~~
~~~ ~~ ~~~