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Home My WebLink About11-06-13 (3) , � � 1505610101 REV-1500 EX�°1_i°> . PA Department of Revenue pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes �""pT"`�'�p "°` County Code Year File Number INHERITANCE TAX RETURN �� ,� � � *� ;. �� -� PO BOX z8o6o1 -�� `�` - Harrisburg,PA i�iz8-o6o� RESIDENT DECEDENT L.:� � � � �� , . �� . .o. �� ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY � %��-�� 7�6 0� o�� i �a��o i �3 0 � o�� Eq ��o�, � I�8�6� � ` � ��n� m �� f �� , : , , �r ,� . �,� Decedents Last Name Suffix DecedenYs First Name MI � � .� � � � �, a.�,�, � 3 5 � � � �O� N � � � � t�, �,x � � � � � � � � `L � � �rrl a�� r , � � � � � � ��.��.-_� �� _L=r 4 �` � �_� � � �� , . w�o � . ��.. , , �,�� (If Applicable)Enter Surviving Spouse's Information Below Spouse s Last Name Suffix Spouse's First Name M� � �-. � „� s r e ..a � i: i - -- , ...il�.-= ..aan i ;�,:,F� � �r.�ti: � �, �� n ; _ s w� � ' � ' '. ' � �` a� � . �� § _ �. ,-.w�r.�� _. .�,..� ..-�, m. � P,,. , . ��+� . zw. ,c�- ' ,x . �. . :.. , - _s�� . .. ,.�..� ,_c � Spouse's Social Security Number "`� ;��" �'�� ' ; �`�� THIS RETURN MUST BE FILED IN DUPLICATE WITH THE � � �r _.��_.� � � �_,�� j��,- � REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1.Original Return p 2.Supplemental Return O 3. Remainder Return(date of death . prior to 12-13-82) Q 4. Limited Estate p 4a. Future Interest Com romise date of P ( O 5. Federal Estate Tax Return Required death after 12-12-82) � 6. Decedent Died Testate Q 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received p 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 T0: Name Daytime Telephone Number � p v i `d �l.f � o b i t � i L �L �.,�� .'x�� c.= �7 ► �7`�7�j =3�3�1 ��5 . ��. REGISTER�WI�17�ONLY � � C? CJ � First line of address � d � f J • � G7 � � C7 � � L I =1V0. R � R, I � � � rn � � ,� Second line of address � :� p � • � � -r� „�.� L 0 'fi" � c� r' c � � � City or Post Office State ZIP Code F� � � �E. ch � N ''i � 5b �.�� ` �' �' � p : �AC � 7= a 5 � � -� CorrespondenYs e-mail address: �f� Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN RE OF PERSON RESP SIB FO FILING RE URN D TE AD RESS • � � � � 8a l-�� c� DRir��_ , L-a � 3�� (�ech�qN�c�b�q, PA I `7d5Q SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505610101 1505610101 J � 1505610105 REV-1500 EX Decedent's Social Security Number DecedenYs Name: �Rr'J' . ��T1 N N �� b�� /T� � �� RECAPITULATION � �,-�� .� �� -�� 1. Real Estate(Schedule A). ..... .. ..... .. .. .... ......... .. ....... . . .... 1. � � � � ��0°'� .'� •� �:.-'�A�" �4; g Ax.�r'3r^ :��A��3�... � ' 2. Stocks and Bonds(Schedule B} .... . ...... ... ...... .. ................. 2 � � � � ��0 r �R ` � �� ' ,�� °�:�i �� F_��.�� ; � � � , � 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . .... 3 � �; � � � � �� _ � � ��= ��i �� "� �: . ,_ �F 4. Mort a es and Notes Receivable Schedule D � � � 3 'e � . /^� 9 9 ( ). ...... .... . . . .... .. ....... 4 ° � �V�' �a ; �*�x��,+�W��.° fi �j�� . 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). .. .. .. 5 � � � � t � �O �� ,, �� .�;��:��v� �3.. � � 6. Jointly Owned Property(Schedule F) p Separate Billing Requested . .. . .. . 6 � � � � ' � ,�� ` 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property � _`��*� '��°�'��s�� '"� � `��h� (Schedule G) p Separate Billing Requested... . . . . . 7 � � � � �� r��, , � .� � �� ,� �� ,� �� 8. Total Gross Assets total Lines 1 throu h 7 • g ° � �� 3 �� ( s ). .. .. . . . .. . . . .. .. .. . . . . . .. ,� � , � 9. Funeral Expenses and Administrative Costs(Schedule H). .. . . . .. . . .. .. .. .. . 9 �� o -�� ;�� $ �°��*�, �� ; 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . .. .. . . 10 � � � ' � � �.r�s��,�� " °�� "�"w�� "' �:, � � 11. Total Deductions(total Lines 9 and 10). .. .. .. .. .. . . . . . . . . . . . . . .. .. . . . . . 11 E ; � � � � � � �� f1 "� � ��" '� �� '; ,5,� 12. Net Value of Estate(Line 8 minus Line 11) . . . .. . . .. . � � �� . . . .. .. . .. .. .. .. . . . . 12 � � * '7"�5�� 3�10�� 13. Charitable and Governmentai Bequests/Sec 9113 Trusts for which � "_��'� '�'��°�� an election to tax has not been made(Schedule J) . .. . .. . . . . . . . . . . . . . . .. . . 13 � � � � � �O�O O �� '�:� ��'�?��a�'��,��'� 14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . . . .. . . . . . . . . . . . 14 � ° .� � � � � r ��r��1 �� TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 �^- � �* � � � ,� ��E�� n��: �� /°��/��, ��t� �a)(1.2)X A— � f p � �Q�V V; 15 � � � � � � � � �� '�� 16. Amount of Line 14 taxable ° � }�` � �:�`�� '�-`'�,� ��,�`a�"��"'"'��. �'^��'��'`�""' ��'�°`�-_ , '�� at lineai rate X.0� � � � -��3�a� � � ' � 16. �� a f � ,, � � � ��r �� g� � :s; 97. Amount of Line 14 taxable *° � ^� �� a " � ° � ��' at sibiing rate X.12 � � � � � � � � , � � � 17. � � � � � � �� 18. Amount of Line 14 taxable �`�� `� � �� ' � at collateral rate X.15 � � � " � � � � � �� ` �� „ � g a � rt. n 18. � ��.��,�� _�� ` . • � ��,� �m ,� 19. TAX DUE . . . . . . . .. . . .. . . . .. . .. . . . .. .. .. .. .. .... . . .. . .. .. .. . . .. .. . . 19.� � � � £�� 1 � I � � �::.��_... ��}�� . .. ��.�,� 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Side 2 � 1505610105 15056101�5 � REV-1500 EX Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME -.—, 1�1�s. J.o�r�n� ,K. ��obi�'�► tt �L � STREETADDRESS - ----- — ---- _ �Ai�ORC�4R�. _ �}�.c�I �I�vic__eS — CARL�SL� � �-� 1/Id�t-L�u.-��o�t' c�rr1 �F�c� q_o�. �ad m �-� C I T Y R �; s L� STATE � � �P � �� -- Tax Payments and Credits: 1 � �� ' I 1. Tax Due(Page 2,Line 19) � � � C 2. Credits/Payments A.Prior Payments _.____ B.Discount 3. Interest Total Credits(A+B) (2) O � � ' �� a� � � � + �� 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4� � Q � . � � 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. �5� 3 � � , � ' Make check payable.to: REGISTER OF WILLS, AGENT. �� .� � � �� ,�� .. . ,..m _ �, . _ ,��a,a..� .�. . , '�`� �, � �s r� ��'..�""S� ,�,� �`�" �"'. k _. . � �. �s�-:� �,. � . ..,� �� PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decetlent make a transfer and: Yes No a. retain the use or income of the property transferretl:.......................................................................................... ❑ �' b. retain the right to designate who shall use the property transferretl or its income:............................................ � (� c. retain a reversionary interest;or.......................................................................................................................... � � d. receive the promise for life of either payments,benefits or care?...................................................................... � 2. If death occurred after Dec. 12, 1982,tlid decedent transfec property within one year of death without receiving adequate consideration?.............................................................................................................. ❑ � 3. Did decedent own an"in trust for"or payabie-upon-tleath bank account or security at his or her tleath?.............. ❑ �[ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ........................................................................................................................ � � IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ��4 °�° � °� �v� `� r��,aw�� , i � �;�� . �: F . . � � ,� s�a^-^�� a � � � .� o < .�._ .. . -. � - � , -,� . � For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (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 transfers from a deceased child 21 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 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent, except as noted in 72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent(72 P.S. §9116(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. REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA �'�' I p No. 2013- 00809 PA No. 21- 13- 0809 Es ta te Of: JOANN K ROBITAILLE /First,Middle,Last) La t e Of: SlL VER SPRING TO WNSHIP CUMBERLAND COUNTY Deceased Social Securi ty No: WHEREAS, on the 25th day of July 2013 an instrument dated November 14th 1995 was admitted to probate as the last will of JOANN K ROBITAILLE � (First,Middle,LasU la te of S/L VER SPR/NG TOWNSH/P, CUMBERLAND County, who died on the 21st day of June 2013 and, WHEREAS, a true copy of the wi11 as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wi11s in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, here�by certify that I have this day granted Letters TESTAMENTARY to: DA VlD A ROBITAILLE who has duly qualified as EXECUTOR(R/X) and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 25th day of July 2013. � I�LC?�. I� �1�� Re ister of ills Deputy **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) ACKNOT�YLEDGMENT AND AFFIDA VIT WE, JO ANN K. ROBITAILLE, HEATHER A. BARBOUR and GAY L. IRWIN, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her last will and that she had signed willingly, and that she executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ��\ � � � � � ,- `_ r � , � �ti��w-- �;� �� JO AN,\ . ROBITAII.L ' ! , �� _C� - °,,-� //��=-ti.r�:.;�:��. HEATI3 .R A. BARBO ' 9. ' /" :�" ,_ , /`-_: �G�AY L. ' IN COMMONWEALTI3 OF PENNSYLVANIA :ss: COUNTY OF CUMBE�tLAND , Subscribed, sworn to and acknowledged before me by JO ANN K. ROBITAILLE, the testatrix herein, and subscribed and sworn to before me by HEATI3ER A. BARBOUR and GAY L. IRWIN, witnesses, this�day Qf November, 1995. 1�, .. � �t� `��?�:�:� �"� ._.. s C..��-_�._,� ,,/'"�� Notary Public �� r � otarial Seal Nero irwin III,Notary Pubtic C�rital��arq,Cumberland Counry My Cornmisglon�xpires Sept.1 A, 199a Ma1Yit�t�t'��k:ir!nqYh+anicl��r�iatic?n of NoL^.rFs . ..: . � . ` ACCOU�+r i� , � ACtOUP1T TYPE STATE�tE�fi';PERIOD. 'PA�f ;: .;,. ;,. . .. .;: .. ..;: 9860633719 MYCHOICE CHECKING JUL.25-AUG.23,?013 1 OF 1 00 0 04345M NM O17 000003182 FIDS1549D01708231308 05 OOOppp ;�� 39426 � ESTATE OF JO ANN ROBITAILLE }'` DAVID A ROBITAILLE, EXEC 82 LINDA DR LOT 32 MECHANICSBURG PA 17050 INTEREST EARNED FOR STATEMENT PERIOD 0.00 STOI�fEliED6E ACCOUNT SUMhiARY 'A�6xlIN�bIG DEPOS�TS`� QTH�R ' SALANCE D�HER::JIDDIFIflNS . CHECKS:.PAID :: SUBT:iUf;3Ii)iVS 7!d�R��cSF PD: $�L�IFIC£: . NO' AMOUNT NO• AMOIM�IT PW.. pM0Ui1T 0.00 2 7,896.11 2 16a.96 0 � 0.00 0.00 7,727.15 ACCOUNT ACTIVITY PQ�7xNG : > i�EP��7'S;x�T�RFS� Cfi�tKS':� 07H�R on�:cv , ; ,:11X7E �RANSI1CTIdli DESfiIlIP?ION ' _ i�:0?HEB ADDITiONS ` �11BTR/►CT�BNS>;: BAGANGE 07-25-13 BE6IMIING BALANCE 07-26-13 DEPOSIT 50.00 7,832.37 07-26-13 DEPOSIT b3 J4 7,896.11 07-29-13 CHECK NUMBER 0098 08-05-13 CHECK NUMBER 0099 43.95 7,6Q2.15 75.00 7,727.15 Ei�ING BALANCE _ 57,727.15 GHEL1(S:PAID SUI�IARY. : _'� 98 07-29-13 43.96 99 08-05-13 7r�,pp _�s,s:i.:� ., � ,�..��-� —_ : � . i_[ AGCQUNt iiq. AGGOUNT TYPE 5TATEMENT PERIOD PA&E. 9860633719 MYCHOICE CHECKING At16.24-SEP.25,2013 1 OF 1 00 0 04345M NM 017 000003935 FIDS1549D01709251309 02 001000 12601 � ESTATE OF JO ANN ROBITAILLE � — DAVID A ROBITAILLE, EXEC 82 LINDA DR LOT 32 MECHANICSBURG PA 17050 INTEREST EARNED FOR STATENENT PERIOD 0.00 STONEHEDGE ACCOUNT SUMMARY BEGINNTlIG DEPOSITS 8� QTH�R Ct#RRENT �NDIMG BALANCE OTHER ADDITIONS CHECKS PAID ' SUBTRACTIONS s INTEREST PD ; BALANCE N0. AMOIMT N0. Af10UNT f�. AMOIINT 7,727.15 0 0.00 0 0.00 1 7,72�.15 0.00 0.00 ACCOUNT ACTIVITY PQSTZNG D�POSITS,INT�RfST CH�CKS & QTH�R' ` DAILY � DATE TRAlISACTIQN DESCRIPTI�Ii & OTNER ADOITIdNS SUBTRACTIONS BALANCE N O q OS-24-13 BEGINNING BAIANCE 57,727.15 a „ 08-27-13 CLOSEOUT 7,727.15 0.00 0 � ENDING BALANCE 50.00 . N N � " YOU MAVE THE FREEDOM TO USE YWR M8T OEBIT CARD THE NAY YOU NANT AT THE a REGISTER- CHOOSING EITHER "CREDIT" OR ••DEBIT"- AND YOU NILL NOT BE CHAR6ED ANY ; TRANSACTION FEES* ON YWR PURCHASES IN THE U.S., EVEN MNEN YOU 6ET CASH BACK! a *MST OOES NOT CHAR6E FEES FOR USIN6 YOUR M8T DEBIT CARD FOR PURCHASES IN THE ; U.S.; HOkEVER, FEES NILL APPLY IF YW USE YOUR CARD OUTSIDE TNE U.S., INCLUDING o ONLINE PURCHASES MITH A MERCHANT LOCATED OUTSIDE OF THE U.S. IN ADDITION, OTHER o FEES, INCLUDING OVERDRAFT FEES, APPLY TO YOUR DEPOSIT ACCOUNT ACCORDING TO THE W TERMS OF YOUR ACCOUNT. � 0 0 0 a i o08(si?2) REV-1511 EX+(10-06) „ � SCHEDIJLE FI COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF � � FILE NUMBER �1R�� i-r�1lU �, . � Obl �'fli � L�. Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ,. �Re.pRi�. F�cr,�r�a,L 1��cvu►�t Fnam F��t��,�yht 1."r�E �r,s,,v�a�c l� � �q. � ��Nt�R P��c�l : �u1 rr �zr, . � , � � � fd � g 3 t+�� F�►ertq� �om�, .��. 5-�� u,�n 9 , (�r.t1n�R. C�,7) ��3 �-��.�.a� d, �Furic��cl � �lU. sa Cvw�b�f�Lcand Ci,� � Fi H�L t7�t� �.�ng rz�x�.�d.. an ��.�{s�ta � �}y �� , 3o Co�f �F ��eac�. 5fov►e av�d Piac.�t-,� en CpJ� _ — �_ _ - 1 �j (> Oa �+A�lJ�.9�1 fi't If�N fY12 ww►orc i a 1 UJ �, g �Tn�, � �� v B. ADMINISTRATIVE COSTS: o K , �-,,�.�a�-3--.��-�d � � 1. Personal Representative's Commissions , , � Name of Personal Representative(s)�r1V��, �ob�tp� LL� �j(�� Y O O i t - — - — .� StreetAddress Sc� L NdQ ��RiV�_� �-O�" � 3 � - - -- _ _ _ c�ty �C� R N 1 C�, ��1.� CA State�z�P _I 7(�_J D Year(s)Commission Paid: Q � O O 2� Attorney Fees � , �O 3� Family Exemption:(If decedent's address is not the same as claimanYs,attach explanation) Claimant G � � � Street Address City State Zip Relationship of Claimant to Decedent 4� Probate Fees ` �g � 1�O f 5� AccountanYs Fees O' O O 6• Tax Retum Preparer's Fees-, �—p(Z �/ Q q(.Z a.�� g 5 O O c �. �9q L (�du�R-1'i 51h �,�, , l � J g � �N�"�N�I� CUU�1 b�R I�n�. La,tl��c,c.RNRL � `p (�j� �� +-�-�� c.hc��{s �� q 8 rd r� `� 9,�� 9�v -� �y9 r-�� . � ��, do � /' 0 �1 � � � , q � TOTAL(Also enter on line 9, Recapitulation) $ �� t(l.� /�p � � � (If more space is needed,insert additional sheets of the same size) ♦ t '1'he Sentinel DAVID ROBITAILLE AD NUMBER PAGE NO. www.cumberliok.com 82LINDADRIVE 423310 1 of1 LOT 32 �� MECHANICSBURG,PA 17050 BILL DATE SALESPERSON caxs„�e ;�r�N;euac c�x�vcouw�r 717-713-3165 08l12/13 wolfc START DATE STOP DATE 07/27/13 08/10I13 AD NUMBER AD DESCRIPTION CLASS LINES 423310 EXECUTOR'S NOTICE LETTERS TESTAMEN 10 PUBLIC NOTICES 76 Publication Insertions Rate Net Amount Gross Amount 3 TNE SENTINEL-LEGAL 3 LGL $84.96 TOTAL AD CHARGE $84.96 3 PROOF OF PUBLICATION 01 PRF $7.00 3 MOBILE SITE PREVIOUSLY PAID MOB2 $2.00 ($93.96) $0.00 $0.00 THE SENTINEL Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS in-column legal ads is 4:00 p.m. two business days prior to PO BOX 540 date of insertion. For questions, call (717)240-7130. WATERLOO IA 50704-0540 Return thls portlon wlth your payment Legal THE SENTINEL ❑ Check# �Credit Card Ad Number 423310 c/o LEE NEWSPAPERS ❑ � ❑ �,� � (� � PO BOX 540 �l�D Billing Date 08/12/13 WATERLOO IA 50704-0540 Acct#: Amount Due $ .00 E�.Date:m m ,� Name on credit card ��' $ Signature Pfease make checks payable to: THE SENTINEL 000i�s THE SENTINEL DAVID ROBITAILLE c/o LEE NEWSPAPERS 82 LINDA DRIVE LOT 32 PO BOX 742548 MECHANICSBURG, PA 17050 CINCINNATI OH 45274-2548 ��n��n��n��i��n�n��n�i�n�� 21540200000004233100000�0000000000�000000000000000 Y � PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tackie Cox, Director of Sales of The Sentinel, of the County and State aforesaid,being duly sworn, deposes and says that THE SENTINEL,a newspaper of general circulation in the Borough of Carlisle,County and State aforesaid,was established December 13�, 1881,since which date THE SENTINEL has been regularly issued in said County,and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): Tuly 27 August 3 10 2013 COPY OF NOTICE OF PUBLICATION � , EXECUTOR��r� p,{'fiant further deposes that he/she is not Letters Testamentery on the Estata ' af Jt7ANN K.ROBITAILLI,�at�of interested in the subject matter of the � Bo�ougRof CaHiskr,C'umberland i cou��r a��ea,havebeen aforesaid notice ar advertisement,and that grants�itv ttw undenigned.Ait petaontknowingthemselveatotte, all 1llC'gdt1011S lt1�12 fOTeg011lg State2T1211t aS indplsted tp as�Estate wili make Raymen4immedlateFy,�,a u,�g to time,place and character of publication having dsims wiH preaent them for � gen�g�c. e. I OavGdAr.itobrtaiils,Faiecutor. ,�, 82 luular flrive,lnt 32' Mechanicsburg,pA f7050! Sworn to and subscribed before me this . i?��' r� � d � �_�(�._..�._. No ry Public My commission expires: COMMONWEALTH OF PENNSYLVANIA NotaHal Seal Bethany M.Holby,Notary Public Cariisle Boro,CumbeHand County My Commisslon Expires Sept.26,2015 MEMSER,PENNSYIVANIA ASSOCIATION OF NOTARIES r ��Np c� c.�J " � Gti��. '�;a.';� '� � �'Q'�SSOCIP�� CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717)249-3166 Fax:(717)249-2663 August 23, 2013 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: David A. Robitaille RE: JoAnn K. Robitaille Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: August 9, August 16 and August 23, 2013 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA : . ss. COUNTY OF CUMBERLAND , Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: Au ust 9 Au ust 16 and Au ust 23 2013 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. r '- � �� , Li Marie Coyne, Edit SWORN TO AND SUBSCRIBED before me this 23 da of August 2013 Notary , Robitaille,Joana K.,dec'd. Late of the Borough of Carlisle. Executor: David A. Robitaille, 82 w�•��°��°�••"�""'°°"'° Linda Drive, Lot 32, Mechanics- �:Gif{F�IAL ScAL burg,PA 17050. (;F;'0(�;�ii A CCJ�.i_INS Attorney: None. ,•,otary Pu�lic ��CARLIS>LE��r��3UGii,CUi:1�ERLr'��iJ�eLtd7Y� � �ty Com�nission ��p�r�s alpr 78,20i4 a.�.�� REV-1513 EX+ (01-10) � pennsylvania SCHEDULE ) DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: � � PILE NUMBER: fY1Rs. �aR�tv �. �o bt �'R r L L � RELATIONSHIPTO 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(a)(1.2),] �Q w ' �J � ��, ,7a �. ��Lh�+�L � �obi�'�i LL� - -- _ _ _ �� 1 �'7 E Cum b�t��.ahd.. Road.., `�G�ol� , �A� 1 �70 �-5 �� R6b�R� K , f�abi�'�� L�� - - - ._ � 5�►� �,, 5'75, �� Sa �i n�d.c� �rz►v�j Lot �3� 1�1 e c 1�r�r�i i�b w2�, �A� I �7 0�0 3: ��,�� , j��b�`-t�►i L L� �- �- - � �- �oI� �, 5 75, ��: . Sa �.� N �� R�v� , c.�t � 3a (Y 1�c.h��t c.s b u.�c� � �C� ! '7 U 5 C1 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. C�I U5�Ou-`f' TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ � 7p/. �. r5 If more space is needed, use additional sheets of paper of the same size.