HomeMy WebLinkAbout04-1048
PETITION FOR PROBATE and GRANT OF LETTERS
Estate oj Henrietta S. Robison No. cJ.. \ - '\:J '-\ _ '0\"\ ~
also known as To:
Register of Wills for the
, Deceased. County of Cumberland in the
Social Security No. 197-22-0296 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/xPe 18 years of age or older an the execut or named
in the last will of the above decedent, dated March 5, 1998 ~3_
and codicil(s) dated
(state relevant circnmstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
her last family or principal residence at 604 Park Ave., New Cumberland Borough,
Cumberland County. PA
(list street, number and muncipality)
Decendent, then 79 years of age, died September 21, 2004 ,x~ ,
at 604 Park Ave.. New Cumberland. Cnmhprl ;:Inn CntlTIty J PA
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:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 500,000.00
(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 :fust will lfud codicil(s)
. presented herewith and the grant of letters testamentary
theron. (testamentary; administration c.I.a.; administr~n d.b.n.c.(a.)
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" 604 Park Avenue
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" .... William J. RObison New Cumberland, PA 1'7,070
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA I
COUNTY OF CUMBERLAND J SS
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 represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
SWom to m affi,m~d and ,ubscdbed { X, tV J'k.., e' p(J~ V)
clQ'
before me this " "<'\. ~ day of William J. obison ::s
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""~ ""~ I ~~ ~
~ ~\Z~, ~~" ~ Reg'ster ~
No. 'J..\-'\:J\..\- "~4 ~
Estate of _ Henrietta S. Robison , Deceased
DECREE OF PROBATE AND GRANT 0)1.7 LETTERS
AND NOW ~~~~~ 'l, ~ ~~-- ~--, in consideration of the petition on
-- ---- the reverse si.de hereof, satisfar.tory proof having been presented before me,
IT IS DECREED thaI the instrument(s) dated____March 5, 1998._
described therein be admitted to probate and filed of record as the last will of -.!!~_~rietta S. Robison
-_.~-.~- .- ------* ,
and Letters Testamentary__ ._.,-,._--_.~..
are hereby granted to William J. Robiso~
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R~r ~Ni!ls ~~ \) ~
FEES ~,,~ ~
Probate, Letters, Etc. ......... $ ~'-\~ David H. Stone 1139785
Short Certificates( ).......... $ ,~ A TIORNEY (Sup. Ct. I.D. No.)
-Rcrumeiation ~~~~. ~.~...... $ 'J.L\ . 414 Bridge St., New Cumberland, PA 17070
":! ~ S? $ ,~ ADDRESS
TOTAL _ $ ~'\ ~
Filed ................................... (717) 774-7435
PHONE
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This is to certify that the information herc givcn is correctly copied from an original certificne of death till:; 'iLd with me as
Local Registrar~ The original certificate will be forwarded to the Statc Vital Rccords Officc hr pClnanent fil'llg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $2.00 1"I"/lfI~"'OF."P"---____ /J~ ~
"~' <.~\. '(4'.;1,,,-- lM1/n.- /..:.
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/1 '" ~\ Local R~gistrar
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P 10685102 ~~\)~~~\l SEP 2 420lJ4
No. ""'0//,,"'111 Date
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'J H., 2187 COMMONWEALTH OF PENNSYlVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS _,
CERTIFICATE OF DEATH ---.1
NAME Of DECEDENT jfll'sl. M_doIe. Las) I
t. Henriet ta S. Robison .. September 21, 2004
UNDER 1 YEAR UNDER t oA.'i- -aIfUH"'fiLACm'f'dr.d
MonIN : Days Houra: Minul" 3taleJl:t-cu~oqnCOUflll'fl
'! Silver Run,MD ERI~"... LJ 00.0 ~oIylO
. Cumberland New Cumberland 604 Park Avenue
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DECEOENT'S USUAL OCCUPATION WAS DECEDENT eVER iN MARtTAl STATUS. u.rlltd SUAVMNG SPOUSE
,Citv. ~ofWQfk done dunng mosI U_S. ARMEO FORCES? N....., Merr.. Widowred. I"...... ~ I'Nld8n namel
oI_"'fI...,....."""......, Yoa 0 No 0 "",,"codlSl>ecoly'
.... ker.... Domestic ". 13. ... Married ...William J. Robison
. DECEDE..T'S.......IHGAllORESS(Sl.....C~.SO"'.Z"'CoootI ~~~~"T'S 11.. sr... Pennsylvania Ood 11..0,..._-......... ....
604 Park Avenue :.s::.~ ~
... New Cumberland, PA 17070 0''''__' 17b.County Cumberland _? 11..1]:"'"":,:,,'::::,,, New Cumberland -..
FATHER'S NAME (filS!. Middle. last) MOTHER'S NAME IFIIS. Mod(je, Malden Surname)
It. Molly E. Brown
INfORMANT'S MAflING AOOAESS tStJ.... C.....IIown, SIaee.lip Code)
Robison ~. 604 Park Avenue, New Cumberland, PA 17070
DATE OF OISPOSITtON PlACE OF DISPOSITION. NMIe Of Cemetllfy, CremalOly LOCATION _ C.."IlOwn. StMe. rap coo.
. (Monlh. Day, llNr) Of 01,* PlM:.
o 21b~eptember 24, 2004 PA 17003
SEE OR PERSON ACTING AS SUCH LICE"SE NUMBEA In c .
.... FD 013 340
&he bNtot my know.... death occuned.r lhe lime. dale.and place staled
eandTItie.
2~. 23c.
~s CASE ReFERRED TO MEOfCAl EXAMlHERK:OAOHER?
Z /2.004 zo..... 0 NoD
I Appfo.mate PART II: Other $lQf1~ 000diIi0nII conIrlbuling 10 dedi.. but
: ~ behften noI r.SUI6ng WI.... undlIrIytng c;..,.. giwn in PART I
I 0nseI and deaIh
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OUElO(ORASAC ENCEQfJ, ,
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,. DUElO(ORASACONSEOUENCEQfJ, ---. :
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DUE 10 (OR AS A CONSEOUENCE QfJ' :
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WERE AU10PSY FINDINGS MANNER Of DEATH DATE OF INJURY TlUE Of INJURY INJURY AT WORK? DESCRIBE HOw ~URYOCCURAEO.
A\otIUt.A8lE PRtOA 10 lMonItl. Day, 'l'eaJ)
COMPLETION OF CAUSE 0 0
OF DEATH? -..... Horn..... 0 0
AccJdenl 0 Pending Invest~lion 0 Yes No
No 0 V.. 0 No 0 SUOC.... 0 Could noc be "I....""", 0 PLACE OF lNJU,iv' ~;;'m. ....... 10CIG<y. _. ... LOCATION 1Str_ C"Y1Town StoI.,
building, _ 15pel;,lv}
a.. 21b. 21. :JOe.
c.EATIAER (Check 0f'M\' onet
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To...._,o.myknow'.............c.".........................,...........Io.........'.)....m.n".,...'.,... L] J1L....._.._~.Ql~:3.f2. ~ ".. _ 09- }. 3 (.. .
NAME AND AOOAESS OF PERSON WHO COMPLETED CAUSEOtDEAlH ~ A"i'\
'MEDlCALEXAM...EAlCOAO..EA 1".mmT,...",.;::~ lOer- '"DvnKe/ h,.."""a-" IVl!l
On lh. b..," 01 ...m'n.llon .ndJor 'nv..".."o~:'~~, op'n'on. ....h ~~.~~~~. ~llh.llm.. ..". .n. pl.... .n. .u.,o Ih. co...(.).n. L J J C1J' '( . '^-'.:::J. p
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ep\wills\robison.hs\12-97
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LAST WILL AND TESTAMENT
OF
HENRIETTA S. ROBISON
I, HENRIETTA S. ROBISON, of the Borough of New Cumberland, County
of Cumberland, and Commonwealth of Pennsylvania, declare this to be my
.. -.... .'~-
last will and revoke any will previously made by Irte.
ITEM I: I bequeath my automobiles, household and ~rsonal
'--
'"'.':~'
effects and other tangible personalty of like nature (net including
--.J
cash or securities) together with any existing insurance~thereon, to
''-'',1
my husband, WILLIAM J. ROBISON, if he survives me by th~tty (30) days.
Should my husband, WILLIAM J. ROBISON, not be living on the thirty-
first (31st) day after my death, I bequeath such tangible personalty
and insurance thereon to such of my children as are living on the
thirty-first (31st) day after my death, to be divided among them by my
Executor with due regard for their personal preferences in as nearly
equal shares as practical.
ITEM II: If my husband, WILLIAM J. ROBISON, survives me by
thirty (30) days, and if the federal estate tax due because of my
death will be reduced by making this gift for his benefit, I devise
and bequeath to my husband, WILLIAM J. ROBISON, absolutely, an amount
equal to the least amount (based upon values as finally determined for
federal estate tax purposes) as shall be needed for the federal estate
tax unlimited marital deduction to reduce the federal estate tax to
the lowest possible figure after full use of all other deductions and
credits allowable in calculating the federal estate tax, except that
Page 1 of 9
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such amount shall be calculated without regard to the augmenting of my
taxable estate by reason of generation-skipping transfers and without
regard for any credit for state death taxes that would not otherwise
be payable. Accordingly, I direct that:
A. If the marital deduction, or any similar benefit, is
allowable with respect to any property, including property held by
entireties, which my husband has received prior to my death or at my
death will receive otherwise than pursuant to this Item II, the value
of such property shall be taken into consideration in calculating the
size of the gift under this Item II.
B. No property ineligible for the marital deduction, or any
similar benefit, shall be distributed to this gift for my husband,
WILLIAM J. ROBISON, pursuant to this Item II.
c. Either cash or investments or both may be allocated to
the gift under this Item II.
D. Any property allocated under this Item II in kind shall
be valued at the value at which it is finally included in my gross
estate for federal estate tax purposes, provided that the aggregate
market value thereof on the date of allocation (plus the value as
finally determined for federal estate tax purposes of all other
property qualifying for the marital deduction) is at least equal to
the dollar value of the marital deduction as finally determined for
federal estate tax purposes.
E. If any provision of this Item II shall result in
depriving my estate of the marital deduction for federal estate tax
Page 2 of 9
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c
purposes, such provision is hereby revoked and this Item II shall be
read as if any portion thereof inconsistent with allowance of the
marital deduction for federal estate tax purposes is null and void.
ITEM III: If my husband, WILLIAM J. ROBISON, survives me by
thirty (30) days, I devise and bequeath the residue of my estate, of
every nature and wherever situate, to the Co-Trustees hereinafter
named, IN TRUST, for the following uses and purposes:
A. To pay the net income therefrom to my husband, WILLIAM
J. ROBISON, for and during his lifetime in such periodic installments
as Co-Trustees shall find convenient, but at least as often as
quarter-annually.
B. As much of the principal of this trust as Co-Trustees,
in their sole discretion, may from time to time think advisable for
the support of my husband to maintain him in the station of life to
which he is accustomed at my death, shall be either paid to him or
else applied directly for his benefit by Co-Trustees after taking into
account her other readily available assets and sources of income.
C. Co-Trustees may apply the net income of this trust for
the support of my husband, WILLIAM J. ROBISON, should he by reason of
age, illness or other cause, in the opinion of Co-Trustees, be
incapable of disbursing it.
D. In addition to the above provisions, my husband shall
have the power to direct Co-Trustees to pay to him or to apply out of
principal in each year, including the year of my death, an amount not
in excess of the greater of Five Thousand ($5,000.00) Dollars or five
Page 3 of 9
.
(5%) percent of the then aggregate value of the trust principal. This
power is non-cumulative and can be exercised only by an instrument in
writing signed by my husband, and delivered to Co-Trustees.
E. Upon the death of my husband, WILLIAM J. ROBISON, the
Co-Trustees shall distribute the balance of the principal and any
accumulated and undistributed income to my children, WILLIAM H.
ROBISON and JAMES E. ROBISON, or their issue, per stirpes.
ITEM IV: If my husband, WILLIAM J. ROBISON, predeceases me or
dies on or before the thirtieth (30th) day following my death, I
devise and bequeath the residue of my estate of every nature wherever
situate in equal shares to such of my children, WILLIAM H. ROBISON and
JAMES E. ROBISON, as survive me by thirty (30) days. Should any of my
above named children predecease or die on or before the thirtieth
(30th) day following my death, I devise and bequeath the share of such
child to his issue, per stirpes, living on the thirty-first (31st) day
following my death; and should any such child of mine leave no such
issue living on the thirty-first (31st) day following my death, I
devise and bequeath the share of such child to my issue, per stirpes,
living on the thirty-first (31st) day following my death.
ITEM V: Should any person entitled to a share of my estate not
have attained the age of twenty-one (21) years at the time of distri-
bution to him or her or, in the opinion of the Co-Trustees, be
incapable of disbursing his or her share because of illness or other
cause, I devise and bequeath the share of each such issue to the Co-
Trustees hereinafter named, IN SEPARATE TRUST, to hold, manage, invest
Page 4 of 9
.
and reinvest the share so received, and the accumulation of income
thereon, and to use and apply the income and principal, or so much
thereof as, in the Co-Trustees' discretion, may be necessary or
appropriate for such child's support and education (including college
education, both graduate and undergraduate) without regard to his or
her parent's ability to provide for such support or education, to make
payment for these purposes, without further responsibility, to such
child or such child's parents or to any person taking care of such
child. Any principal or income not so applied shall be distributed to
such child absolutely when he or she attains the age of twenty-one
(21) years or become competent. If he or she dies before obtaining
age twenty-one (21) years or before becoming competent, the trust
shall terminate and such shares shall be distributed to his or her
personal representative.
ITEM VI: The interests of the beneficiaries hereunder shall not
be subject to anticipation or voluntary or involuntary alienation.
ITEM VII: All federal, state and other death taxes payable
because of my death, with respect to the property forming my gross
estate for tax purposes, whether or not passing under this will,
together with any interest or penalty imposed in connection with such
tax, shall be considered a part of the expense of the administration
of my estate and shall be paid from my residuary estate without
apportionment or right of reimbursement.
ITEM VIII: My Executor and Co-Trustees shall have the following
powers in addition to those vested in them by law, and by other
Page 5 of 9
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provisions of my will applicable to all property, whether principal or
income, including property held for minors, exercisable without court
approval and effective until actual distribution of all property:
A. To retain any or all of the assets of my estate, real or
personal, including stock of a corporate fiduciary or of its parent
holding company, without regard to any principle of diversification.
B. To invest in all forms of property, including stocks,
common trust funds and mortgage investment funds whether operated by
my corporate fiduciary or others, without restriction to investments
authorized for Pennsylvania fiduciaries, as they deem proper, and
without regard to any principle of diversification.
C. To sell at public or private sale, to exchange or to
lease for any period of time, any real or personal property and to
give options for sales, exchanges or leases, for such prices and upon
such terms or conditions as they deem proper.
D. To allocate receipts and expenses to principal or
income, or partly to each, as they, from time to time, think proper in
their sole discretion.
E. To borrow from, or to sell to, my Co-Trustees even
though such Co-Trustees may be my Executor.
F. To compromise any claim or controversy.
G. To join with my husband, WILLIAM J. ROBISON, or his
personal representative, in filing a joint income tax return without
requiring him to indemnify my estate against liability for the tax
attributable to his income and to consent to any gift made by my
Page 6 of 9
husband during my lifetime being treated as having been made one-half
by me for purposes of the federal gift tax law.
ITEM IX: I appoint my sons, WILLIAM H. ROBISON, and JAMES E.
ROBISON, Co-Trustees of any trusts created by this my last will.
ITEM X: I appoint my husband, WILLIAM J. ROBISON, Executor of
this my last will. Should my husband, WILLIAM J. ROBISON, fail to
qualify or cease to act as Executor, I appoint my sons, WILLIAM H.
ROBISON and JAMES E. ROBISON, Co-Executors with the same powers and
duties of this my last will.
ITEM XI: I direct that my Executor and Co-Trustees and their
successors shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, HENRIETTA S. ROBISON, have hereunto set my
hand and seal this stZ. day of .71) ?VL~JJ , 199.l...
J-~~~~.. I~
HENRIETTA S. ROBISON
SIGNED, SEALED, PUBLISHED and DECLARED by HENRIETTA S. ROBISON,
the Testatrix above named, as and for her Last will and Testament, and
in the presence of us, who at her request, in her presence and in the
subscribed our names as witnesses.
/},oL-' (<..J-t ~A. ~ , ~
. ne~ Address
.~~ 4~~1f.
Witness 2i./ Address (
Page 7 of 9
COMMONWEALTH OF PENNSYLVANIA)
) SSe
COUNTY OF CUMBERLAND )
I, HENRIETTA S. ROBISON, 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 this
instrument as my last will; that I signed it willingly and that I
signed it as my free and voluntary act for the purposes therein
contained.
~}1/J//Lif; ~. rP~
/ HENRIETTA S. ROBISON
Sworn to or affirmed to and acknowledged before me by HENRIETTA
S. ROBISON, the Testatrix, this 6""(.., day of fY1A.It~ , 199~.
.
N'(FtH'" (''CA' I ~ ~ ~ L
' ", ,."'~ --:L: ... 6' . ~..L...t' @b
, KAYE R. LUCI<EY, t~\)tary Pubi:c ! otar lic
,~ew CUillben~.1n(j 30ro. CLifi1bor;and Co, J Y
:Y Commissioll EXfJir~ March ~?.'J
COMMONWEALTH OF PENNSYLVANIA)
) SSe
COUNTY OF CUMBERLAND )
We, D..... >-Ls-L.'!1 and~dJ6( ,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
Page 8 of 9
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we were present and saw Testatrix sign and execute the instrument as
her last will; that Testatrix signed willingly and that she executed
it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed the
will as witnesses; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no constraint or undue
Sworn to or affirmed to and acknowledged before me by
~Jt"'" I-. \. .f1"u ,v~ and Gerald.- ~ 8 '" l'? L I P+.5: k i ' , witnesses,
this ~\.. day of ()e<::.Jl._~ , 199 ce .
~~ '-1f1 ~ &.< .<Lcr==:::
. otary ublic
-
N~---
KAYE R Ulr :IIAl SFAi
~, ..... LUCi<EY N;+~'- ,
-w Curnberl3'ld Sf>' .h.ry Punlic
COmmissjo~ Ex~ro. Cumberland Co.
'~~.
Page 9 of 9
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COMMONWEALTH OF PENNSYLVANIA '*
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601 NOTICE OF INHERITANCE TAX
HARRISBURG, PA 17128-0601
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX REY-15~7 EX iFP (01-03)
DATE 09-06-2004
ESTATE OF CLEVENGER HELEN I
DATE OF DEATH 11-14-2003
FILE NUMBER 21 03-1048
COUNTY CU~.LAND
RICHARD L WEBBER JR ESQ ACN IDE If d ::r
WEIGLE & ASSOCS -< ~' ~ fl
I Allou~r Relli Ued
126 EKING ST VJ
SHIPPENSBURG PA 17257 rrl
-0
MAKE CHECK PAYABLE AND R~IT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT ({gUSE
CARLISLE, PA ~17013 E
~
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV =is'4-j-E'x-AFP--foY:03Y-NoTicE--oF-YtiHEifiTANcE-i"-A'Sc-A-PPRAisEifENT-:--ALrowAtfcE-oi-------------- ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CLEVENGER HELEN I FILE NO. 21 03-1048 ACN 101 DATE 09-06-2004
TAX RETURN WAS: (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) 140,000.00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 subllit the upper portion
4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this forll with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 59,836.67 tax paYllent.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 199,836.67
APPROVED DEDUCTIONS AND EXEMPTIONS: 6,750.50
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 3,479.68
11. Total Deductions (11) 10.230 18
12. Net Value of Tax Return (12) 189,606.49
13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 189,606.49
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 189,606.49 X 045 = 8,532.29
17. Allount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Allount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 8,532.29
TAX CREDITS:
nu m::n l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-11-2004 CD003554 407.89 7,750.00
07-16-2004 CD004166 .00 374.40
TOTAL TAX CREDIT 8,532.29
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
lIE IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D~ t
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ,
RESERVATION: Estatas of dacadants dying on or bafora Dacambar 12, 1982 -- if any futura intarast in tha astata is transfarrad
in possassion or anjoymant to Class B (collataral) banaficiarias of tha dacadant aftar tha axpiration of any astata for
lifa or for yaars, tha Commonwaalth haraby expressly reserves tha right to appraisa and assess transfer Inheritanca Taxas
at the lawful Class B (collateral) rata on any such future intarest.
PURPDSE OF
NDTICE: To fulfill tha requirements of Section 2140 of the Inheritance and Estate Tax Act, Act Z3 of 2000. (12 P.S.
Section 9140).
PAYMENT: Detach the top portion of this Notice and submit with your payment to tha Register of Wills printed on the reverse side.
--Maka check or money order payable to: REGISTER OF HILLS, AGENT
REFUND (CR): A refund of a tax cradit, which was not requested on tha Tax Return, may be requestad by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at tha Dffice
of the Register of Wills, any of the 23 Ravenue District Dffices, or by calling the special 24-hour
answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or
speaking needs: 1-800-447-3020 (TT only).
DBJECTIONS: Any party in interest not satisfied with the appraisament, allowanca, or disallowance of deductions, or assessmant
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 17128-1021, OR
--election to have the matter detarmined at audit of the account of tha personal representativa, OR
--appeal to tha Drphans' Court.
ADMIN-
ISTRATIVE
CDRRECTIDNS: Factual errors discovered on this assassment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 5 of tha booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
DISCOUNT: If any tax due is paid within three (3) calendar months aftar the dacedent's death, a five percent (57-) discount of
the tax paid is allowed.
PENALTY: The 157- tax amnesty non-participation penalty is computed on the total of the tax and interest assassed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time 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) months and one (1) day from the date of
death, to the date of payment. Taxes which became dalinquent before January 1, 1982 bear intarest at the rate of
six (67-) percent per annum calculated at a dailY rate of .000164. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revanue. The applicable interest rates for 1982 through 2004 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
~ zor- :oow+8 ~-1991 ~ :oornT zrn -W- .om4r
1983 167- .000438 1992 97- .000247 2002 67- .000164
1984 117- .000301 1993-1994 77- .000192 2003 57- .000137
1985 137- .000356 1995-1998 97- .000247 2004 47- .000110
1986 107- .000274 1999 77- .000192
1987 107- .000274 2000 77- .000192
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will raflect an interest calculation to fifteen (15) days
beyond tha date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
II
!
CERTIFICATION OF NOTICE UNDER RULE 5.6Ca)
Name of Decedent: Henrietta S. Robison
Date of Death: September 21, 2004
Will No. 2004-01048
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 29, 2004.
William J. Robison James E. Robison
604 Park Avenue 344 Cherie Court
New Cumberland, PA 17070 Ft. Walton Beach, FL 32548
William H. Robison
202 Green Lane Drive
Camp Hill, PA 17011
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) . CQ~-
Date: Ahv. 029. ;fooY
-
David ne, Esquire
.- 414 Bridge Street
.. New Cumberland, PA 17070
717-774-7435
f'--
I Capacity: Personal Representative
X Counsel for Personal
" Representative
p
-,..,
~ '--
0'--
,
REV-1500EX+(6_00) REV-1500 OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE INHERITANCE TAX RETURN ----_._.._.._-~._----,--_.-
DEPT. 280601 FILE NUMBER
HARRISBURG, PA 17128.0601 RESIDENT DECEDENT 21 -0 4 1 048
cooN'"rYC'CiOE ---VEAR- - - ~R- -
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
I-
z Robison, Henrietta, S 1 9 7 - 2 2 - 0 2 9 6
W DATE OF DEATH (MM.OO-Year) DATE OF BIRTH (MM-DD-Year) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
C
W 9/21/2004 4/2/1925 REGISTER OF WILLS
U
W (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAl) SOCIAL SECURITY NUMBER
C
Robison, William J. 2 1 0-1 2 - 8 7 7 7
w (R] 1. Original Return o 2. Supplemental Return o 3. Remainder Retum (date of death prior to 12-13-82)
I-
~~U) o 4. limited Estate o 4a. Future InlereslCompromise (date of death after 12-12-82) o 5. Federal Estate Tax Return Required
u"''''
w~(.)
J:o::9 ~ 6. Decedent Died Testate (AltachcopyotWill) o 7. Decedent Maintained a Living Trust (AltachoopyoITruSl) _ B. Total Number of Safe Deposit Boxes
uo,..
0,
.. o g. Litigation Proceeds Received o 10, Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o 11. Ejection to tax under Sec. 9113(A) (AIlach Seh 0)
I- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TD:
z NAME COMPLETE MAILING ADDRESS
w
0 David H. Stone Es uire 414 Bridge Street
z
0
0, FIRM NAME (If Applicable)
'"
w Stone LaFaver & Shekletski
'"
'" TELEPHONE NUMBER
0
u 717-774-7435 New Cumberland PA
17070
OFFICIAL USE ONLY l
1. Real Estate (Schedule A) (1) I
2. Stocks and Bonds (Schedule B) (2) 528,654.85
3. Closely Held Corporation, Partnership or Sale-Proprietorship (3) I
4. Mortgages & Notes Receivable (Schedule D) (4) i
10,056.50 i
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) i
Z (Schedule E) ~::::l_~ __J
0 6. Jointly Owned Property (Schedule F) (6)
i= o Separate Billing Requested
<(
...J
:J 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
I- (Schedule G or l)
ii:
<( 8. Total Gross Assets (total lines 1-7) (8) 574,540.87
U
w 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10,056.80
0::
10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) (10)
11. Total Deductions (tota/lines 9 & 10) (11) 10,056.80
12. Net Value of Estate (line 8 minus line 11) (12) 564,484.07
13, Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) 528.654.55
made (Schedule J)
14. Net Value Subject to Tax (line 12 minus line 13) (14) 35,829.52
SEE INSrRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
Z 15. Amount of line 14 taxable at the spousal lax
0 35,829.52 X ~ (15)
i= rale, or transfers under Sec. 9116 (a)(1.2) 0.00
<( 16. Amount of Line 14 taxabJe at lineal rate 0.00 X _ (16) 0.00
I-
:J
II.. 17. Amount of line 14 taxable at sibling rate 0.00 X .12 (17) 0.00
~
0 18. Amount of line 14 taxable at collateral rate 0.00 X .15 (18) 0.00
U
~ 19. Tax Due (19) 0.00
20. 0
<<
I
Decedent's Complete Address:
STREET ADDRESS
604 Park Ave
CITY I STATE I ZIP
New Cumberland PA 17070-
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1) 0.00
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2) 0.00
3. InteresVPenalty if applicable
D. Interest
E. Penalty 0.00
TotallnteresVPenalty (D + E) (3)
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 (4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
A. Enter Ihe interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00
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. retain the use or income of the property transferred; ............ .............................................................. 0 IKJ
b. retain the right to designate who shall use the property transferred or its income; .... ................................... 0 IKJ
c. retain a reversionary interest; or ........... ....................... ...................... ........................................... 0 IKJ
d. receive the promise for life of either payments, benefits or care? ............. ............................................... 0 IKJ
2. If death occurred after December 12, 1982. did decedent transfer property within one year of death
without receiving adequate consideration? ..................... ........................ .............. ................................ 0 IKJ
3. Did decedent own an "in trustlor" or payable upon death bank account or security at his or her death? .... ............. IKJ 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .... .................. ....... ................ ...... .................................. ........... .... [Xl 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.
-L
PA 17070
QATE
C .0._1'....
ADDRESS
PA 17070
For dates of dealh 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 PS. 39116 (a) (1.1) (i)l
For dates of death on or after January 1, 1995, the tax rale imposed on the nel value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 39116 (a) (1.1) (ii)].
The statute does not exempt a 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 Iransfers 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. 39116(a)(1.2)J.
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneftciaries is 4.5%, except as noted in 72 P.S. 39116(1.2) [72 P.S. 39116(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. 39116(a)(1.3)]. 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.
~EV-1503 EX + (6-98)
'* SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
,
ESTATE OF FILE NUMBER
Robison Henrietta S 21 04 1048
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 2017 shares Smith Barney Citigroup- PPL Corp. stock @ $46.90 each 94,597.30
2 5064 shares Smith Barney Citigroup-ACNB Corp stock @ $25.25 each 127,866.00
3 992 shares Smith Barney Citigroup-Exxon Mobile Corp. stock @ $49.49 each 49,094.08
4 264 shares Smith Barney Citigroup-Fortune Brands stock @ $74.44 each 19,652.16
5 756 shares Smith Barney Citigroup-Mercantile Banks stock @ $47.70 each 36,061.20
6 1566 shares Smith Barney Citigroup-PNC Financial stock @ $53.88 each 84,376.08
7 3057 shares Smith Barney Citigroup-Strategic Partners stock @ $14.33 each 43,806.81
8 2069 shares Smith Barney Citigroup-VanKampen Emerging Growth @ $35.38 each 73,201.22
TOTAL (Also enter on line 2, Recapitulation) $ 528654.85
(If more space is needed, insert additional sheets of the same size)
~EV-1508 EX + (6-98)
. SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT ,
ESTATE OF FILE NUMBER
Robison Henrietta S 21 04 1048
Include the proceeds of Htigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F,
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 10056.5 shares Smith Barney Citigroup-Money Market@ $1.00 each 10056.50
TOTAL (Also enter on line 5, Recapitulation) $ 10 056.50
(If more space is needed, insert additional sheets of the same size)
.
fEV-1509 EX + (6-98)
'* SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTL Y.OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT ,
ESTATE OF FILE NUMBER
Robison Henrietta S 21 04 1048
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT{S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. William J Robison 604 Park Avenue Spouse
New Cumberland, PA 17070-
B
c
JOINTLY-OWNED PROPERTY:
LEITER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT IDENTlFVING NUMBER. AITACH DEED FOR JOINTL V-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1 A 09/30/0, Met-Life Investors Annuity #A2074366 52,350.07 50 26,175.04
joint with husband, William J. Robison on 9-02
2 A 09/30/0, Nuveen Investments-PA Premium Inc Municipal Fd 2 15,802.50 50 7,901.25
1050 shs. joint with husband, William J. Robison
TOTAL (Also enter on line 6, Recapitulation) $ 34 076.29
(If more space is needed, insert additional sheets of the same size)
---
.REV-1510 EX + (6-98)
'* SCHEDULE G
INTER-VIVOS TRANSFERS &
COMMONWEALTH OF PENNSYLVANIA MISC. NON.PROBATE PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT ,
ESTATE OF FILE NUMBER
Robison Henrietta S 21 04 1048
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV.1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME Of THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER THE OATE OF TRANSFER ATIACH A COPY OF THE DEEO FOR REAl ESTATE VALUE OF ASSET INTEREST VALUE
(lFAPPlICA6LE)
1 PNC Bank-IRA Accl. #65001010046 1753.23 100. 1,753.23
beneficiary-William J. Robison
TOTAL (Also enter on line 7 Recapitulation) $ 1 753.23
(If more space is needed, insert additional sheets oflhe same size)
---
~EV-1511 EX + (12-99)
'* SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT , I
ESTATE OF FilE NUMBER
Robison Henrietta S 21 04 1048
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A FUNERAL EXPENSES:
1. Parthemore Funeral Home-funeral expenses 6,467.70
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees David H. Stone, Esquire 2,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City Slate lip
Relationship of Claimant to Decedent
4. Probate Fees Probate and copies 392.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Cumberland Law Journal-advertising grant of letters 75.00
8. The Patriot News Co.-advertising grant of letters 121.60
9. Reserve for closing expenses 500.00
TOTAL (Also enter on line 9, Recapitulation) $ 10,056.80
(If more space is needed, insert additional sheets of the same size)
-----
HEV.1513EX.(,* SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT ,
ESTATE OF FILE NUMBER
Rohison H'mrip.tt". S 21 04 104R
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (al (1.2)]
1 William J Robison Spousal 35,829.52
604 Park Ave
New Cumberland PA 17070-
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
TI. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1 William J Robison Credit Sheltered Trust 528,654.55
604 Park Ave
New Cumberland PA 17070-
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PARTII- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 528 654.55
(If more space is needed, insert additional sheets of the same size)
-----
LAST WILL AND TESTAMEliIT
OF
HENRIETTA S. ROBISON
I, HENRIETTA S. ROBISON, of the Borough of New Cumberland, County
of Cumberland, and Commonwealth of Pennsylvania, declare this to be my
last will and r~voke any will previously made by me.
ITEM I: I bequeath my automobiles, household and personal I
effects and other tangible personalty of like nature (not including
cash or securities) together with any existing insurance thereon, to
my husband, WILLIAM J. ROBISON, if he survives me by thirty (30) days.
.
Should my husband, WILLIAM J. ROBISON, not be living on the thirty-
first (31st) day after my death, I bequeath such tangible personalty
and insurance thereon to such of my children as are living on the
thirty-first (31st) day after my death, to be divided among them by my
Executor with due regard for their personal preferences in as nearly
equal shares as .practical.
ITEM II: If my husband, WILLIAM J. ROBISON, survives me by
thirty (30) days, and if the federal estate tax due because of my
death will be reduced by making this gift for his benefit, I devise
and bequeath to my husband, WILLIAM J. ROBISON, absOlutely, an amount
equal to the least amount (based upon values as finally determined for
federal estate tax purposes) as shall be needed for the federal estate
tax unlimited marital deduction to reduce the federal estate tax to
the lowest possible figure after full use of all other deductions and
credits allowable in calculating the federal estate tax, except that
Page 1 of 9
c._..,...,.,., '. y) 'J;"i*;'f:"Ji!J'l~\~~~
",'-'
such amount shall be calculated without
taxable estate by reason of generation-skipping transfers and without
regard for any credit for state death taxes that would not otherwise
be payable. Accordingly, I direct that:
A. If the marital deduction, or any similar benefit, is
alloW-able with-respecl: to any property, including property held by
entireties, which my husband has received prior to my death or at my
death will receive otherwil!e than pursuant.to this Item II, the vallie
of such property shall be taken into consideration in calculating the
size of the gift under this Item II.
B. No properly ineligible for the marital deduction, or any
similar benefit, shall be distributed.to this gift for my husband,
WILLIAM J. ROBISON, pursuant to this Item II.
C. Either cash or investments or both may be allocated to
the gift under this Item II.
D. Any property allocated under this Item II in
be valued at the value at
the dollar value of
federal estate tax purposes.
E. If any provision of this Item II shall result in
depriving my estate of the marital deduction for federal estate tax
Page 2 of 9
purposes, such provision is hereby revoked
read as if any portion thereof inconsistent with allowance of the
marital deduction for federal estate tax purposes is null and void.
ITEM III: If my husband, WILLIAM J. ROBISON, survives me by
thirty (30) days, I devise and bequeath the residue of my estate, of
every nature and wherever situate, totheco~Truatees hereinafter
!
named, IN TRUST, for the following uses and purposes:
A. To pay the net income therefrOm to my husband, WILLIAM
J. ROBISON, for and during his lifetime in such periodic installments
as CO-Trustees shall find convenient, but at least as often as
quarter-annually.
B. As much of the principal of this trust as Co-Trustees,
in their sole discretion, may from time to time think advisable for
the support of my husband to maintain him in the station of life to "
which he is accustomed at my death, shl;l.11 ,~ ,!lIi~O~(.~diQ ~~ldf .',t'
. ~ : ~ "\:';"0 ,~~ !'~{ I
, _,.",~J\:;,'f. ::);'lii,,-:~_ _"-~>_:t "_;~~); ___~_-_ :,.,';':_> '):_~_~~:>>,::;
principal in each ,.yea'!;, inciluding,.the. Year,'Qfil~tJj;l~.''fi~.,
in excess of the greater of Five Thousand ($5,000.001 DOllarlil' or,five;
, .. '--",
Page 3 of 9
. ,:.......:...:.....";....,~'~ "",,,,,,,,.,,.,,,,,,",,.,,,,"
,>' '''''~'::'i,^:)]iL''''': ,,~:. ;:'n~~~~~~:;r!~P;1~1;:,:1;'''".",
;y.,.'....,.".......". ".'
(5%) percent of the then aggregate value of the trust principal. This
power is non-cumulative and can be exercised only by an instrument in
writing signed by my husband, and delivered to Co-Trustees.
E. Upon the death of my husband, WILLIAM J. ROBISON, the
Co-Trustees shall distribute the balance of the principal and any
accumUlated and undistributed income to my children,WILLIAMB.
1
ROBISON and JAMES E. ROBISON, or their issue, persti-rpe$, '...'-. W\~
ITEM IV: If my husband, WILLIAM J. ROBISON, ~ll::~eae...~_ '.;tI(~ "
dies on or before the thirtieth (30th) day followinC} my d6a'b:h:J.WllJi'''''''1!:
devise and bequeath the residue of my estate of every nature wherever
situate ineqdal 'lIharEls' tcf" such of my Children, WILLIAM H. ROBISON and
JAMES E. ROBISON, as survive me by thirty (30) days. Should any of my
above named children predecease or die on or before the thirtieth
(30th) day following my death, I devise and bequeath the share of such
child to his issue, per stirpes, living on the thirty~first
following my death; and should any such
bution.to
. .' .. '_'~.,:.~ ~x,':'''}':::~;'.. .~
incapable of disbursing hisori"h'en";s'\\'
cause, I devise and bequeath the share of each
Trustees hereinafter named, IN SEPARATE TRUST, to hold, manage, invest
Page 4 of 9
.
and reinvest the share so received, and the accumulatibn'i:>1i'" ,
thereon, and to use and apply the income and principal, or so much
thereof as, in. the Co-Trustees' discretion, may be necessary or
appropriate for such child's support and education (including college
education, both graduate and undergraduate) without regard to his, or
-her parent's ability to provide for-such support or education,'to.make
!
payment for these purposes, without further responsibility, to J3uch
child or such child's parents or to any person taking care of such;,'
child. Any principal or income not so applied shall be distributed to
such child absolutely when he or she attains the age of twenty-one
(21) years or-beComE!" 'coTlipetent. If he or she dies before obtaining
age twenty-one (21) years or before becoming competent, the trust
shall terminate and such shares shall be distributed to his or her
personal representative.
ITEM VI: The interests of the beneficiaries hereunder shall not
be subject to anticipation or vpluntary,ol;:",.ill'llO,lg.qIt,
.. ,.'....:i)'-;i;~')~~,).i:.,~
apportionment or right
-; "")\" ;.:;! ).~,~J>.,,/, ,'<"i:e:.; ::"::':>':,/'::.;i';,;'t:,:-..,;?<;:,i,'\:1
ITEM VIII: My Executor and Co-Trustees shall havetheifdiI.;oliiing' ';
powers in addition to those vested in them by law, and by other
Page 5 of 9
.,' "f'
provisions of my will applicable to all property, whether principal or
income, including property held for minors, exercisable without court
approval and effective until actual distribution of all property:
A. To retain any or all of the assets of my estate, real or
personal, inClUding stock of a corporate fiduciary or of its par~nt
holding company, without regard to any principle of diversification.
!
B. To invest in all forms of property, -i-nc;Luding stqcks,
common trust funds and mortgage investment funds whet;I:!.~X' ~,p!'ii:~~e~+~:y
my corporate fiduciary or others, without restriction to investments
authorized for Pennsylvania fiduciaries, as they deem proper, and"
....'" , "-'.. without regard' to any principle of diversification.
c. To sell at public or private sale, to exchange or to
lease for any period of time, any real or personal property and to
give options for sales, exchanges or leases, for such prices and upon
such terms or conditions as they deem proper.
D.
income, or to each, as
personal representative, in
requiring him to indemnify my estate against liability for the tax
attributable to his income and to consent to any gift made by my
Page 6 of 9
husband during my lifetime being treated as having been made one-half
by me for purposes of the federal gift tax law.
ITEM IX: I appoint my sons, WILLIAM H. ROBISON, and JAMES E.
ROBISON, Co-Trustees of any trusts created by this my last will.
ITEM X: I appoint my hU,sband, WILLIAM J. ROBISON, Executor of
this my last will. Should my husband, WILLIAM J. ROBISON, fail to ,
" ----
qualify or cease to act as Executor, I appoint my sOfia, >\W<m.1\.i:tl_ II- '
ROBISON and JAMES E. ROBISON, Co-Executors with the'lili1tletMil'~~~:'?'
,,:-','~h'.~,,-::.,>({$.'>" "";-,,,r.l'd!~"
duties of this my last will.o;>'"""'l'\"",!'~,!1Iii,'1t,""j.;
ITEM XI: I direct that my Executor and Co-Trustees and their
"successors shall not be required to give bond~or the faithful
performance of their duties in any jurisdiction.
XH WX~S WHEREOF, I, HENRIETTA S. ROBISON, have hereunto set my
hand and seal this S~, day of ff)~Vf -L./ , 199L.
;J;I--oMJ;~'/ ~~
HENRIETTA S. ROBISON
,<...,~:~ -
~~~Ii.
Address ,
Page 7 of 9
~
COMMONWEALTH OF PENNSYLVANIA)
) 55.
COUNTY OF CUMBERLAND )
I, HENRIETTA S. ROBISON, the Testatrix whose name is signed to
the attached or foregoing instrument, having been duly qualified
according to raw do hereby acknowledgetliat I signed and executed this
. i
instrument as my last will; that I signed it willingly and that I
signed. it as my free and voluntary act for the pUrposes the~ein
contained.
. ~ 2i~/74; J: 7?~,~~
/ B:ENRIETTA S. ROBISON.'..
Sworn to or affirmed to and acknowledged before me by HENRIETTA
S. ROBISON, the Testatrix, this 6+L. day of. 1l1~ , 199'8 _
.
NOTARIAL SEAl
KAYE R. LUCKEY. Notary Public
New' .
the witnesses whose names
instrument, being duly qualified according to law,
Page 8 of 9
'-. '...................
we were present and saw Testatrix sign and execute the instrument as
her last will; that Testatrix signed willingly and that she executed
it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed the
will as witnesses; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind arid !
under no constraint or undue influence.
.-'"., . .
Sworn to or affirmed to and acknowledged before me by
~Il~ to\ ..r-.;-nA..Jtr and G P:.r;".f J... :r ,~l," ~ I.d.:." lu' , witnesses,
this b"\. day of {)Pc:..D -.. '- a..- , 199~.
Page 9 of 9
"""T 0:;........ -=-....l:...J..... ...,-............. "..........",,'
...
o PNCBAN<
January 27, 2005
David H. Stone
414 Bridge Street
P.O. Box E
NewCumberIand,PA 17070
RE: Estate of Hemietta S. 'Robison, deceased .,
SSN: 197-22-0291> ..
DOD: 912112004
Dear Mr. Stone:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
CheclWag ACCOUDt
Aciiount#5]40053318 ~ .", Established 0910111971
WILLIAM J ROBISON
HENRlE1TA S ROBISON
DOD balaooe: SI6,]00.74 + S.74 accrued interest
SaYings Account
Account #5000625556 Established 07/1411999
HENRlETIA S ROBISON
WILLIAM J ROBISON
DOD balance: SI8,910.03 + S3.82 aocrued interest
IRA AUOllIIt
Account #65001010046 Established 0]/]6/1986
HENRlElTA S ROBISON
DOD balance: $1,751.07 + $2.16 accrued interest
For IRA or BeDdidary inrormatioD, plea.e calJl..fl88-PNC-IRAS.
The decedent lI'a;nta;...-.t Investment Account (INV #71476195). For further information
A:u may call the Brokera~ Department at 1-800-762-6111. A....f\"";';; +
cd MS..J",,,t w l.u\t\\o...... -::r Rob151f't'o- lP"\. '1-o~ dI... 'nut. '
~~.
Page Jof2
.
JHN-O::::b-O;:::IQl:::J:::;. .1(.,,)( r1'1.....'OHl'1r'\ -'.1."-. ''-''-' .....,......... , ..........
Sefe Deposit Box
lIlT Established 12/0411987
WILLIAM J ROBISON
HENRlElTA S ROBISON
Located:
NEW CUMBERLAND BRANCH
331 BRIDGE STREET
NEW CUMBERLAND PA 17070
717-774-8743
Please note that this office only provides date of death balances for deposit accounts
(IRAs, CDs, CMnn"lg and Savings accounts). We do Dot process any fiDeDCial
traDIlIdioD' or provide ltatemeDtl. If you need assistance with any of these items,
please call1-888-PNC-BANK. (1-888-762-2265) or SlOp by your local PNC Bank branch
office.
Sincerely,
~Lt L/Je1h.
Rachelle Wells
1-800-762-1775
P7-PFSC-04-F
500fimAvc.
Pil1sbuqjh P A J 5219
Page2of2
'". . Membc< FDIC
SMITH BARNEY.... March 4, 2005
CltlgroUpJ
David H. Stone
Stone LaFaver & Shekletski
4 I 4 Bridge Street
P.O. Box E
New Cumberland, PAl 7070
RE: Account Number 652-59661-12-214
Estate of Henrietta S. Robison
DaD: September 21,2004 .
Dear Mr. Stone:
The following are the date of death values for the above referenced account:
Quantity Security High Low Close
10,056.50 Bank Deposit Program 1.00 1.00 1.00
Money Market
5064 ACNB Corp. 25.50 25.00 25.25
992 Exxon Mobil Corp 49.62 48.49 49.49
264 Fortune Brands 74.44 73.81 74.44
756 Mercantile Banks 47.90 47.39 47.70
1566 PNC Financial 53.91 53.22 53.88
2017 PPL Corp 46.95 46.50 46.90
3057 Strategic Partners 14.33 14.33 14.33
2069 VanKampen Emerging Growth 35.38 35.38 35.38
If you have any questions or need anything further, feel free to give me a call at 215-854-
6117. Thank you.
cardino
Senior Client Services Assistant to
Brian Stephenson
Financial Consultant
Gtlgronp Global Muk,,, Int. On, Lib",y PI", 1650 Muktt S"ttt. 45th Floo, Phil,ddphi,. PA 19103-7301 Td 215 854 6000 F" 215 854 6125 Toll F", 800 2331414
THE INFORMATION SET FORTH WAS OBTAINED FROM SOURCES WHICH WE BELIEVE RELIABLE BUT WE DO NOT GUARANTEE ITS ACCURACY OR COMPLETENESS.
NEITHER THE INFORMATfON NOR ANY OPINION EXPRESSED CONSTITUTES A SOLICITATION BY US OF THE PURCHASE OR SALE OF ANY SECURITIES.
I .........~ w"
.Lu. .LU j.L t t...JUUL....... Il,....
U..../LU/Lt.JU:..J FAX NO. 5!54574301 .'. 01
. ~:51 Ai': NEil ENGLAND. ANNUITIES
/0 : -- / ;'/Jq
MetLifelnvestors .,
M:<y 20, 20US
WII-LI..\.M& IlcNRJtTTA ROilISOl\,
A TT~: BONNlI3 SNYDER
FA>: (717) 730.0254
IU:: Coa"'~ NUmber: A2074366
Dear Sir Or Mlld_:
TIuudc you for your r<<eat i11qlliry regilfdinll the date of dclldlllCcollnl nluo ofOOe 3l1I\Uity
contJ"lICt ...ferencod above. As ofSeprembtr 21,2004. the a.ccount value "'as $52.350.07.
Thank }'Ou a.lIin for the oppol1Wlity to scnre }'OIII' mvCSlmem needs. We appreciate }'Our busi""..
rtyou have lIlY qUCllliollS COIlcorning the ab.>vc, Or)'OUr tODlr1lC1 in ~aI, please call an Anm,it;.
Polity SCI'\'icc R~ at (800) 284-4S36. Our SllIffwill gladly 1ISIIiSl you betwCC!J the hours
of7:30 am. lIlId 5:30 P.JD., CCDtraI Time. Monday throush Thllnday. ilId Jiom 7~30 a.m. until 5 ')(l
p.m.. Friday.
(}ftik ffaM-h~
Amb",. HlIrthoo",
Annuity Policy Service Dcplllllntlnl
-"'-lIM_c",,-
,..,... a.w All CA. ~. . .......__ I'w '-_,,*, "h, ~(.:,;: .~ .:3:3(,.
.~~") c.,;.,., I-~.:.-;...'< :~I '\.'.<)~ :,\ ,'J.PIOg..::s.;.:; ...l.-'Co) i;~I;JQ'.......' 'bt....;.~ 5...!.... 2D\J V"L: .),..~ ,....\..;,.'" ... ~":':26t",'V:;;
. MSN Money - NPY - Stock chart, Index chart Page 1 of2
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Quote, Chart, News Name or SYmbol: npy IGol Find Symbol Print Reoort
Snapshot
Company Report Download File 5nol,>\I Chart
Quotes Nuveen PA Premium Income Muni Fund
Charts Date High Low Close Volume
Historical 9/30/2004 15.1800 15.0100 15.1200 19,000
Real-Time Intraday 9/29/2004 15.2400 15.1800 15.1800 14,100
Key Developments 9/28/2004 15.3000 15.1700 15.2300 7,800
Recent News
9/27/2004 15.2300 15.0800 15.2300 2,000
Research 20,800
9/24/2004 15.1500 15.0600 15.1400
5EC Filings
Advisor FYI 9/23/2004 15.1400 15.1000 15.1000 3,800
Stock Rating 9/22/2004 15.1300 15.0800 15.1300 4,300
Earnings Estimates 9/21/2004 15.1300 14.9700 16,600 /5_05 X (050
Analyst Ratings 9/20/2004 15.0800 14.9800 1S.0200 14,200 i( 5,80;)-50
Financial Results
Insider Trading 9/17/2004 15.1500 15.0300 15.1500 7,800
Ownership 9/16/2004 15.1600 15.0200 15.1500 10,500
Community 9/15/2004 15.1500 15.0500 15.1500 14,000
Guided Research 9/14/2004 15.1500 15.0900 15.1500 7,300
Research Wizard 9/13/2004 15.1900 15.0800 15.1900 4,500
Find Stocks 9/10/2004 15.2000 15.0700 15.1700 11,900
Stock Screener 9/9/2004 15.1900 15.0500 15.1900 9,100
Power Searches
9/8/2004 15.1900 15.0200 15.1500 10,700
Top Rated Stocks
9/7/2004 15.1500 15.0500 15.1500 4,100
Related Links 9/3/2004
EXRert Picks 15.1900 15.0000 15.1100 25,300
E,rnail & Alerts 9/2/2004 15.3500 15.1500 15.1800 10,600
IPO Center
MesSilge Boards 9/1/2004 15.1800 15.0000 15.1500 9,600
Ci3pital_ Gains Analysis
I Trade Now I
http://moneycentral.msn.comJinvestor/charts/chartdl.aSP?Symbol=npy&DateRangeForm=... 6/15/2005
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
Estate of Henrietta S Robison No.21 04 1048
also known as Date of Death 9/21 /2004
, Deceased Social Security No. 197-22-0296
William J. Robison. Executor
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 in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. IfWe
verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
perso:?{ Repr:.sentative:
Name of ~ 1$;-4'-771 ;), JQlI~
Attorney: David H. Stone, Esquire i iam J Robison
1.0. No.: #39785 604 Park Ave New Cumberland 17070-
Address: 414 Bridqe Street Dated ?/Z"2/ay
New Cumberland PA 17070
Telephone: 717-774-7435
Description Value
10056.5 shares Smith Barney Citigroup-Money Market@$1.00each 10,056.50
1566 shares Smith Barney Citigroup-PNC Financial stock @ $53.88 each 84,376.08
2017 shares Smith Barney Citigroup- PPL Corp. stock @ $46.90 each 94,597.30
5064 shares Smith Barney Citi9roup-ACNB Corp stock @ $25.25 each 127,866.00
992 shares Smith Barney Citigroup-Exxon Mobile Corp. stock @ $49.49 e 49,094.08
264 shares Smith Barney Citigroup-Fortune Brands stock @ $74.44 each 19,652.16
Total
538,711.35
(Attach Additional Sheets jf necessary)
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the erection of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
-
Continuation of Inventory
Henrietta S Robison 21 04 1048
Paqe 1
Description of Inventory
Description Value
756 shares Smith Barney Citigroup-Mercantile Banks stock @ $47.70 eac 36,061.20
3057 shares Smith Barney Citigroup-Strategic Partners stock @ $14.33 e ch 43,806.81
2069 shares Smith Barney Citigroup-VanKampen Emerging Growth @ $3 .38 each 73.201.22
Subtotal $ 153,069.23
Grand Total $ 538,711.35
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
Estate of Henrietta S Robison No.21 04 1048
also known as Date of Death 9/21/2004
, Deceased Social Security No. 197-22-0296
William J. Robison Executor
Personal Representative(s) ot 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 in the Commonwealth of Pennsylvania of said Decedent. that the valuation
placed opposite each item of said inventory represents Its fair value as of the date of the Decedent's death. and that Decedent owned no
real estate outside 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 false statements herein made are subject to the
penalties of 18 Pa. C,S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative: .
Name of J!flt/$L~n. >>, !Q(J~~
Attorney: David H. Stone, Esquire i iam J Robison
1.0. No.: #39785 604 Park Ave New Cumberland 17070-
Address: 414 Bridqe Street Dated ~ /Z2/(J..?'
New Cumberland PA 17070
Telephone: 717-774-7435
Description Value
10056.5 shares Smith Barney Citigroup-Money Market @ $1.00 each 10,056.50
1566 shares Smith Barney Citigroup-PNC Financial stock @ $53.88 each 84,376.08
2017 shares Smith Barney Citigroup_ PPL Corp. stock @ $46.90 each 94,597.30
5064 shares Smith Barney CitigrouP-ACNB Corp stock @ $25.25 each 127,866.00
992 shares Smith Barney CitigrouP-Exxon Mabile Corp. stock @ $49.49 e .49,094.08
264 shares Smith Barney Citigroup-Fortune Brands stock @ $74.44 each 19,652.16
Total
538,711.35
(Attach Additional Sheets jf necessary)
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may. at the election of the personal representative,
include the value of each item. but such figures should not be extended into the total of the Inventory.
RW-4
Continuation of Inventory
Henrietta S Robison 21 04 1048
Pa e 1
Description of Inventory
Description Value
756 shares Smith Barney Citigroup-Mercantile Banks stock @ $47.70 eacr 36,061.20
3057 shares Smith Barney Citigroup-Strategic Partners stock @ $14.33 e ch 43,806.81
2069 shares Smith Barney Citigroup-VanKampen Emerging Growth @ $3 .38 each 73,201.22
Subtotal $ 153,069.23
Grand Total $ 538,711.35
09-26-2005
ROBISON
09-21-2004
21 04-1048
CUMBERLAND
101
APPEAL DATE: 11-25-2005
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~~!_~~9~9_!~!~_~!~~------~---~~!~!~_~9~~~_~9~!!9~_E9~_Y9~~_~~~9~~~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
HENRIETTA S FILE NO. 21 04-1048 ACN 101
BUREAU Of INOIVIDUAL:TAXES--, ,"'-,/,\-
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE Of INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT Of TAX
t'Jr .~,.
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
~ 1 ~
'.'. J
DAVID H SlONE
STONE HAL
414 BRIDGE ST
NEW CUMBERLAND
ESQ
PA 17070
ESTATE OF
ROBISON
REV-1547 EX AFP 106-05)
HENRIETTA S
TAX RETURN WAS: (X) ACCEPTED AS fILED
CHANGED
DATE 09-26-2005
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule f)
7. Transfers (Schedule G)
8. Total Assets
11)
(2)
(3)
(4)
(5)
(6)
(7)
.00
528,654.85
.00
.00
10,056.50
34,076.29
1,753.23
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
110)
10,056.80
.00
(11)
112)
113)
114)
NOTE:
IT an assessment was issued previously, lines
reTlect Tigures that include the total oT Ahh
ASSESSMENT OF TAX:
IS. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at
17. Amount of Line 14 at Sibling
18. Amount of Line 14 taxable at
19. Principal Tax Due
TAX CREDITS:
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
574,540.87
10.056 80
564,484.07
528,654.55
35,829.52
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
..."...:.., """.~~.., .+, AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
35,829.52 X 00 "
.00 X 045"
.00 X 12 "
.00 X 15 "
119)=
Lineal/Class A rate
rate
Collateral/Class B rate
115)
116)
117)
118)
· If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
.00
.00
.00
.00
.00
Rt.
If TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
If TOTAL DUE IS REflECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS.)
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Henrietta S. Robison
Date of Death: September 21, 2004
Will No.
21-04-1048
To the Register:
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.
Yes ~
State whether administration of the estate is complete:
No
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 representative file a final
account with the Court? Yes No X
(b) The separate Orphans' Court No. (if any) for the
personal representative's account is: N/A
(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 a be at ached to this
report.
Date:
II- 3-<0<
o ,\1 ire
, v
414 Brldge Street
New Cumberland, PA 17070
717-774-7435
r-
o
Capacity:
Personal Representative
..
t ,~'
X Counsel for Personal
Representative
;,'~~:
d
est\rel\ROBISON,HENRIETTA-recrelwaiv
IN RE: ESTATE OF HENRIETTA S.
ROBISON
LATE OF THE BOROUGH OF
NEW CUMBERLAND, CUMBERLAND
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-04-1048
RECEIPT, RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, WILLIAM J. ROBISON, being
one of the beneficiaries under the will of Henrietta S. Robison, do
hereby acknowledge that I have received all sums of money and property
due me by virtue of the death of Henrietta S. Robison, in full satisfac-
tion and settlement of all of my rights and claims under her estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportuni ty to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court of
Common Pleas of Pennsylvania having jurisdiction over the same and duly
audited and confirmed.
AND THEREFORE, I, WILLIAM J. ROBISON, do by these presents, remise,
release, quitclaim and forever discharge the Executor, his heirs,
successors and assigns, from the acts of the Executor as aforesaid, and
of and from all actions, suits, payments, accounts, reckonings, claims,
and demands whatsoever, for or by reason thereof, or any other act,
matter, cause or thing whatsoever, and I do hereby consent to the
discharge of the said Executor.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the
2\( day of ()<-~')~... , 2005.
;~..t
..-( -
Wi \
"
L(/1?~\:i. /;<~~
WILLIAM J. dOB~SON
COMMONWEALTH OF PENNSYLVANIA:
SS:
COUNTY OF CUMBERLAND
~
On this, the d~ day of
B~"V
, 2005, before me
a Notary Public, the undersigned officer, personally appeared WILLIAM J.
ROBISON, known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day
and year first above written.
~
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
KATHLEEN KEIM, Notary Public
New Cumberland Bora. Cumberland Co.
My Commission Expires Dec. 5, 2006
-2-