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HomeMy WebLinkAbout01-0463 Register of wills of cumberland county, pennsylvania PETITION FOR GRANT OF LETTERS Estate of Anne P. Robbins No. also known as , Deceased Social Security No. 197-18-2768 Pe(ICiOfUtlt... who i.,... 18 ye... 01 age d. aide.. atlP'V(iul IOf: (COMPLETE" A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s)~are the execut ors named in the Last Will of the Decedent, dated October 4. 2000 and codicil(sl dated ~ Stet. f..V8nC ai'~\8nC". ..g., renunciation. de.h 01 executo., etc. Except as follows. Decedent did not marry, was not divorced. and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: NONE Q B. Grant of Letters of Administration (c.t.... d.b.n.c.t...: ~dent. lice; du'Bnle ab..nlla; du..u. minORt.'e) Petitioner(s) after a proper, search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets ,it necessary. Lower Allen Townshlp Decedent was domiciled at death in Cumberland residence at Apartment 601, 824 Lisburn Road. Camp County, Pennsylvania, with his/her last family or principal Hill. Pennsylvania Holy Spirit Hospital ,20Ql,atEast Pennsboro Twp., Camp Hill, PA (list SlIeel, numb<H iiud municipality) Decedent. then 89 years of age, died April 29 ILocallonl Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property .............................. $ 70 J 960 18 (If not domiciled in PAl Personal property in Pennsylvania. . . . . . . . . . . . . . . . . $ (If not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . . . . . . . . . . . . $ Value of real estate in Pennsylvania ............................................... $ 5,000.00 Real Estate situatedT::a;OI;~~~:' 'Lot' #'1'7'; 'Section 'n . and' Lot' #8',' 's~~ti~~ 'n ~ . i~~'a:t~ci. tn tl~. ~~~~~~s of Landisville Campmeeting Association in the Township of East Hempfield, County of Lancaster. Wherefore. Petltioner(s) respectfully request(sl the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: -.~ Typed or printed name and residence Rut M. Enloe 506 East Winding Hill Road, Mechanicsbur M. Neil Enloe 506 East Wind in Hill Road Mechanicsbur 588f~~E tin~~f&-:~y. Mt. Ephraim, NJ 08059 DOa Stige~man 5 East Klng Highway, Mt. E hraim, NJ 08059 17055 . PA 17055 PA Oath of Personal Representative Commonwealth of Pennsylvania County of Dauphin The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. day of Sworn to and affirmed and subscribed before me this ~~ ~1 ~ ~~.~ 'i... QJt<t ,J1,-t:~p Y-1-f.{ t4/'-- DECREE OF REGISTER Deceased 21-01-463 Estate of ANNE P ROBBINS also known as No. Social Security No: Date of Death: April 29, 2001 197-18-2768 AND NOW, MAY 10 , 20~, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters Xl Testamentary 0 of Administration IC.La.. d.b_n.t':_t.; pendente lile; (Jurante absentia; dUlanttt minofllalel are hereby granted to RUTH M ENLOE, M NEIL ENOLOE, CHARLES A STIGELMAN AND ORA STIGELMAN in the above estate and that the instrument(s), if any, dated OCTOBER 4, 2000 described in the Petition be admitted to probate and fjled of record as the last Will of Decedent. FEES Letters. . .. ... . . ... '" . . .. . . .. ... . Short Certificate(s).. .(.~ I.... Renunciation....... ........... Affidavit ( )................. Extra Pages ( )............ Codicil. ......................... JCP Fee........................ Inventory & Tax Forms... Other........................... . $ 200.00 \ ~uY'(?-X('~' ;14/</ /)t ~ A-?-""'r Registe. of W.lIs ~ $ $ $ $ $ $ $ $ 12.00 ~ ~J~~s:(J (Attorney Signat~ ' Attorney: Earl Richard Etzweiler 1.0. No: 06398 Address: 105 North Front Street Harrisburg, PA 17101 3.00 5.00 TOTAL............,... $ 220.00 RW-7a Telephone: (717) 234-5600 DATE FILED: WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COM'VlON';vEfo,i,_ DEPARTMENT Of 'Jl1..NIA HEC'ORDS LOCi~,L REGjSfRAR S ,f:!, TION OF DEATH 4873708 5-1-200 Anne P. Robbins -.-...-- -- ......_.._-- Female 197-18-2768 Date 4-29-2001 March 13, 1912 Phi 11 i P~~LJI'gLti~_ , E. Pennsboro Il.IIp~__ft'!!':0S:Jfbt~CI~~ Holy Spirit Hos ital Cumberland Widow Paint Store Emp. F:orces ('{ es l\lc: '\ No White 824 Lisburn Rd _ Camp Hill__p_PJL~2illl Ruth Enloe D oug:LC:l~LI.BQY(3r Boyer Funeral Home , 230 N. Hi.ghSt._,-'oILn_Ci:Hloan.PAJ.1D20 interval Between Onset and Deat~ CVA occu~'rF;,ci xx Clet~?rrn~ne;'=~ 11.Jt,,-~__________ (fv1 D. DO.. Coroner. ME.) 4753 E. Trindle Rd., Mechanic:~q_~!'fLL_P,l}. 17055 H. Coffen t; j (::oo!ed frcrT'\ C11j 0) ! al cert ficate rtlflcate VI! 1 t, fo arded t(l the 5-1-2001 lt~~~:e~1~=~~:7068 LAST WILL AND TESTAMENT OF ANNE P. ROBBINS I, ANNE P. ROBBINS, a resident of Apartment 601, 824 Lisburn Road, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this instrument to be my Last Will and Testament, hereby revoking any and all wills by me at any time heretofore made. ITEM I: I direct my hereinafter named CoExecutors to pay all my just debts, funeral expenses, administration expenses and inheritance, estate, succession or excise taxes, which I owe or may become due on account of my death, as soon as may be convenient after my decease. ITEM II: All the rest, residue and remainder of my estate, be it real, personal or mixed, of whatever nature and wheresoever situate which I may own or have the right to dispose of at the time of my decease I give, devise and bequeath to be divided equally between the following two charitable organizations: A. Deer Meadows, formerly the Baptist Home, of 8301 Roosevelt Blvd., Philadelphia, P A. B. The Woods at Cedar Run, 824 Lisburn Road, Camp Hill, PA 17011 1. If either of the above-named charitable organization would no longer be in existence at the time of my decease, then such share shall pass to the above-named charitable organization that remains in existence at the time of my decease. JIl ""V1' . j-/I' \; ) 't' I T c.... 'to }. L /' ). , " , "1 ,J" '/ '-.l.j" 'y\/:) (SEAL) Anne P. Robbins ITEM IV: It is my desire and request that no portion of my estate pass to any of my relatives. ITEM V: I hereby nominate, constitute and appoint Ruth M. Enloe, M. Neil Enloe, both of 506 East Winding Hill Road, Mechanicsburg, P A 17055, Charles A. Stigelman and Ora Stigelman, both of 50 East King Highway, Mt. Ephraim, NJ 08059, CoExecutors of this my Last Will and Testament, with full power in their discretion to do any and all things necessary for the complete administration of my estate, without being required to file bond for the performance of their duties, with full power to sell at public or private sale and without order of court any real or personal property belonging to my estate, and to compound, compromise or otherwise settle or adjust any and all claims, charges, debts and demands whatsoever against or in favor of my estate as fully as I could if living. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this Jf~ day of October, 2000. A Ii) /}) < \. I~ III \it; l,v \'V'-<-(SEAL) Anne P. Robbins Signed, sealed, published and declared by the above-named Anne P. Robbins, as and for her Last Will and Testament, in the presence' of us, who at her request, in her presence and in the presence of each other, we believing her to be of sound and disposing mind, memory and understanding, have hereunto subscribed our names as witnesses this f ~ day of October, 2000. e~A~ AJ/J /) U/l~/4. /f)c0CuI , / _..1 Register of Wills, of Cumberland County, Pennsylvania OATH OF SUBSCRIBING WITNESS Estate of Anne P. Robbins No. DENISE A. BAILEY a subscribing witness to the Last Will and Testament presented herewith, being duly qualified according to law deposes and says that she was present and saw the above Testatrix sign the same and that he signed as a witness at the request of Testatrix in her presence and in the presence of the other subscribing witness on the Last Will and Testament, EARL RICHARD ETZWEILER, deceased. 3635 Surrey Drive. York. PA 17402 (Address) Sworn and subscribed to before me this 9th day of May, 2001. "~~~~~c' ~ ~~\N: lC ~ NOTARIAL SEAL . [TV L STROHECKER, Notary PublIC PP\ H~rriSburg, DauphinJCOu~ty 2003 My commission ExpIres an. . (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: To be taken by officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization. RW-ll Register of Wills of Dauphin County, Pennsylvania OATH OF SUBSCRIBING WITNESS Estate of ~~'<\.L ~. ~I;:) \,.~\ ~~ No. also known as , Deceased l t:, yo- \ ~ ~ ~~,"1-r-~~ L'\-1-\..;j~ ,\~ (each) a subscribing witness to the 0 codicil(s) Owill(s) presented herewith, (each) being duly qualified according to law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rixl sign the same and that she/he/they signed as a witness at the request of Testator(rix) in his/her/their presence and 0 in the presence of each other 0 in the presence of the other subscribing witness(es). ~ 1.. ., 9---. k 10. IS;9n,,",el ~7~ ~ (Signature) (Addressl Sworn to or affirmed and..subscribed before me this '6-\-\.. day of ~ ~~ ~'0J:r Nota Public My C mission Expires: ~ ,20~. (Signature and seal of Notary or other official NOTE: To be taken by officer authorized to administer oaths. Please have present the original or copy of Instrument(s) at time of notarization. qualified to adtTMnisler oaths. Show date 01 expiration 01 Notary's commisslOIl.} RW-11 Earl Richard Etzweiler Christian S. Daghir ETZWEILER AND ASSOCIATES ATTORNEYS-AT-LAW 105 NORTH FRONT STREET HARRISBURG, PA 17101 (717) 234-5600 2 West Main Street Elizabethville, PA 17023 (717) 362-8395 HALIFAX LINE (717) 896-3737 Fax Line: (717) 234-5610 May 9, 2001 225 Market Street Millersburg, P A 17061 (717) 692-2519 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Anne P. Robbins Dear Sir or Madam: Please find enclosed for processing the following: 1. The original and one copy of the Last Will and Testament of Anne P. Robbins; 2. The original and one copy of the Petition for Grant of Letters; 3. The original and one copy of the Estate Information Sheet; 4. Original Death Certificate; 5. The original and one copy of the Oath of Subscribing Witness, Earl Richard Etzweiler; 6. The original and one copy of the Oath of Subscribing Witness, Denise A. Bailey; and 7. Our check in the amount of $220.00 representing your fee for processing the enclosed documents. I have included with this mailing a self-addressed, stamped envelope for your convenience in returning the Letters Testamentary and Short Certificates to our office. Thank you for your assistance in this matter. Sincerely, :f3~~~ Earl Richard Etzweiler ERE:haf Enclosure E CERTIFICATION OF NOTICE UNDER RULE 5.6(a} NAME OF DECEDENT: DATE OF DEATH: WILL NO.: Anne P. Robbins April 29. 2001 2001-00463 ADMIN. NO.: 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 May 17, 2001: Name Address Deer Meadows. 8301 Roosevelt Boulevard. Philadelphia. P A 19152-2006 The Woods at Cedar Run. 824 Lisburn Road. Camp Hill. P A 17011 Notice has been given to all persons entitled thereto under Rule 5.6(a) except NONE .C'./. //1.;; 1/ P j ~\ Date: May 17, 2001 c'- U "1 JL --ftL <A::t_k-:r/-(!!;;:c.7~::.-~~ Signature ,> Name Earl Richard Etzweiler, Esquire Address 105 N. Front Street Harrisburg, PA 17101 Telephone (717) 234-5600 X Counsel for Personal Representative Earl Richard Etzweiler Christian S. Daghir ETZWEILER AND ASSOCIATES ATTORNEYS-AT-LAW 105 NORTH FRONT STREET HARRISBURG, PA 17101 (717) 234-5600 2 West Main Street Elizabethville, P A 17023 (717) 362-8395 HALIFAX LINE (717) 896-3737 Fax Line: (717) 234-5610 May 21, 2001 225 Market Street M illersburg, P A 17061 (717) 692-2519 Register of Wills Office A TTN: Anne Cumberland County Courthouse Hanover and High Streets Carlisle, P A 17013 RE: ESTATE OF ANNE P. ROBBINS Dear Anne: Please find enclosed the revised Death Certificate which we received from Boyer's Funeral Home. Mr. Boyer has also indicated that the local Registrar forwarded the correction information to the Department of Health, Vital Records Division in New Castle. Please return the incorrect Death Certificate to our office in the self-addressed, stamped envelope provided. S~I Earl Richard Etzweiler ERE:haf Enclosure 1&-d30'-1 e../ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES Rec;,J:)EPARTME~T 280601 HPAf3RtSBURG,PA 17128-0601 January 31, 2002 '02 FEB 13 f\10 :47 Telephone (717) 787-3930 FAX (717) 772-0412 Law Offices of Etzweiler & Associates 105 North Front St. Harrisburg, Pa. 17101 .";~'-l"; l...,,,,;6. Cume""" , f-~, Re: Estate of Anne P. Robbins File Number 2101-0463 Dear Mr Etzweiler: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before July 29,2002. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension( s) will be granted that would exceed the maximum time permitted. Sincerely, Jeffrey D. Hollenbush, Supervisor Document Processing Unit Inheritance Tax Division Register of Wills of CUMBERLAND County, Pennsylvania v INVENTORY Estate of Anne P Robb ins No. 2001-00463 also known as Date of Death 04/29/2001 . Deceased Social Security No. 197 -18 - 2768 Ruth M Enloe and M. Neil Enloe, Ch~rles A. Seigelman and Ora Stigelman, Personal Representative(s) ot the above Estate. deceased. verify that the items appearing in the following Inventory include all ot the personal assets wherever sitllate 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 of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I lINe verify that the statements made in this Inventory are true and correct IlINe understand that false statements herein are made subject to the penalties ot 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative AName of Earl Richard Etzweiler Itorney: Harrisburg, PA 17101 -~, ~iL t~~-L S_ . $ji J\. M. .Nei E e - Signatu~~ CHarles A. Sti 1man Signature ~ ~ o~ Ora Stige1man a ~r~9/o506 East Winding Hill Road LD. No.: 06398 Address: 105 North Front Street Telephone: 717/234.5600 Mechanicsburg, PA 17055 Telephone: Dated: 9/S/0;L Description Value (See continuation page(s) attached) (Attach additional sheets it necessary) Total: 80,064.51 NOTE: The Memorandum at real estate outside the Commonwealth of Pennsylvania may. at the election of the personal representative. . . '- .....- ..-I....,.,f ..,."h item. but such figures should not be extended into the total of the Inventory. Estate of: Date of Death: County: INVENTORY Anne P Robbins 04/29/2001 Cumberland CASH: Blue Cross/Blue Shield - premium refund 318.45 First Union - checking account no. 1000077392041 7,843.90 MAB Paints - group life insurance payable to estate. 4,005.67 Mellon Bank - account no. 01093997. DOD value of $50,000.00, plus accrued interest in the amount of $2,185.84. 52,185.84 Mellon Bank - account no. 100-014-6843. DOD value of $6,277.16, plus accrued interest in the amount of $7.09. 6,284.25 Prudential - life insurance payable to estate 4,300.72 STOCKS/LISTED: 22.00 shares Prudential - stock 625.68 REAL ESTATE/PA: Real estate known as Cottage #58, 201 Church Street, Landisville, Campmeeting Association. 4,500.00 TOTAL RECEIPTS OF PRINCIPAL.... ........... 74,938.83 625.68 4,500.00 80,064.51 ============= Earl Richard Etzweiler Christian S. Daghir ETZWEILER AND ASSOCIATES ATTORNEYS-AT-LAW 105 NORTH FRONT STREET HARRISBURG, PA 17101 (717) 234-5600 2 West Main Street Elizabethville, P A 17023 (717) 362-8395 HALIFAX LINE (717) 896-3737 Fax Line: (717) 234-5610 225 Market Street Millersburg, P A 17061 (717) 692-2519 September 10, 2002 Register of Wills Cumberland County Courthouse Hanover and High Streets Carlisle, P A 17013 RE: ESTATE OF ANNE P. ROBBINS File No. 2001-00463 Dear Sir or Madam: Please find enclosed for processing the following: 1. Two original copies of the Inheritance Tax Return; 2. The original Inventory; and 3. A check in the amount of$15.00 representing your processing fee. Please also find enclosed a cover page for both the Inheritance Tax Return and Inventory. Kindly time-stamp the cover pages and return them to our office in the self- addressed, stamped envelope provided. Thank you for your assistance in this marter. Sincerely, ,--,{-lt0:.k~~\ O~= \0LG~-~lf5:h, Heather A. Frownfelter Legal Administrative Assistant to Earl Richard Etzweiler HAF Enclosure +~~ . .l(. ~ -lt~c!(!l 1l _ _ \u.l~ u..! c? \ 10-, P ." \LW.J ~. cr;;. \~~ ~ -- \ i...... .-: ,H /~ V. ,..-.:.,__" '.. /1 ~<~:)5g;;~,-,~- .. ~" /""~ '\ <ie" f> ~\ t/ji; ~ (J.) ':-~~ fu .~ ~'" , t'ft ..J a 2 ~ cg, ~ ..J o u; " - ) ~ . \fi ~ ~~ (.) (j)~ o ........ (I) ~ ..: 0 (I).JCJ>t: 4ia~.... Och~~ -- ~ c _ ~cee -"'u..:) ffi~€o~ :..J to - Z:r. U1 10 ~ ~ N lis QI r<1 III /' 5 II) 0 -5~\ ~ QI . ~ QI ,.- o ~ t,)~(t ~t'~\\.. .-IgoM orIo~ ~t,)"Cl \\ ..... -' t:l o .~ <<I.- ~ ~ ~ ~ CIJ ~ ClI ._ ..... Ql t i.. ~1'J ~t,)~ REV- 1500 EX + (6-00) CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R D E E S N T C o M P T U A T X A T I o N f., - :J?>O FILE NUMBER <21 0/ COUNT-l CODE YEAR SOCIAL SECURITY NUMBER 197-18-2768 THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT D E C E D E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 DECEDENT'S NAME (lAST, FIRST, AND MIDDLE INITIAL) Robbins Anne P DATE OF DEATH (MM-DD- YEAR) DATE OF BIRTH (MM-DD-YEAA) c:.. OFFICIAL USE ONLY ~& 3 NUMBER INITIAL REGISTER OF WILLS SOCIAL S CURl Y NUMBER X 1. Original Return 4. Limited Estate X 6. Decedent Died Testate 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12- 12-82) 7. Decedent Maintained a U....lng "Trust (Attach copy of Trust) (Attach copy of Will) o 9. litigation Proceeds Received 3. date of death . Remainder Return prior to 12~ 13-82} 5. Federal Estate Tax Return Required 8. Total Numberof Safe Deposit Boxes 010. Spousal Poverty Credit 0 11. Election to tax under Sec. 9113(A) (date of death between 12-31-91 and 1-1-95) (Attach Sch 0) "'TKI$,SECT101'l1lllUS;:B$CQMPLEtElt.,ALt',CORRESPPNDENCEl/i~FjlleN'F.IAL:r.-x'tJi/Fo 'Ml.,:tl)tl:S~il~ Ell:lliilj;ciEltt'l!i>';;g;: NAME COMPLETE MAILING ADDRESS Earl Richard Etzwei1er fiRM NAME (If Applicable) Etzweiler and Associates TELEPHONE NUMBER 105 North Front Street Harrisburg, PA 17101 R E C A P I T U L A T I o N 3 -56 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Misceltaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities. & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (1) (2) (3) 4 ,500 ,. 0 625.68 None (4) (5) None 66,632.44 (6) None None 7,972.09 3,405.82 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES ""..~ OFFICIAL USE ONLY (8) 71,758.12 (11) 11.377.91 (12) 60,380.21 (13) 60,380.21 (14) 0.00 0.00 X .0 0 (15) 0.00 X .0 45 (16) 0.00 X .12 (17) 0.00 X .15 (18) (19) 15. Amount of Line 14 tax.able at the spousal tax rate. or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Une 14 taxable at collateral rate 19. Tax Due 20. IF YOU AilE RIiQUl!$TIIiICl A. RllFUNDOf' AN OVER"AYlillmT URIi TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND, TO RECHECK MATH! ~<.' CopyrIght (e) 2000 form software only The Lackner Group. Inc. 0.00 0.00 0.00 0.00 0.00 ),.:" p) ~:,,~:f:WS::i\ "'>;,~" y" Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS Ant. 601, 824 Lisburn Road CITY I STATE I ZIP Carnn Hill PA 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 Total Credits ( A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty TotallnterestlPenalty ( 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) 5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax dUe. (SA) 8. Enter the total of Line S + SA. This is the 8ALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 0.00 0.00 0.00 0.00 m::mmm::::ll~t~~~~,:~~~~~~:'+~~l:~l~tt~~II~~l:~~:~~+~~~~lll~~I:~~~li:~~ll~~ 1. UjijiH -"X'i" iiIWiiiWiiiii!Wi!iWIIIIWlllliili:ii!iIWi!!!I!W!mmWWWWW!iWlilillmil!i!!!!I!!!!!!!!!!!:!! IN THE APPROPRIATE BLOCKS Did decedent make a transfer and: a. retain the use or income of the property transferred; b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or . d. receive the promise for life of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate 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. Yes No ~~ o o o IT] IT] IT] Under penalties of perjury, I declare that J have examined this return. including accompanying schedules and statements, and to the best of my knowledge and belief, (tis true, correct and complete. Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOA FILING RETURN Ruth M Enloe ~:o<:~_ 7-',- ,"'-,~j .,d ~-~~~h~~i~-,;~~;i;"}/~N6~~-~~_u__m_m__uu Etzweiler and Associates 105 North Front Street DATE S'-.<J.9-();;L. DATE 0\ _ \ G -C"""- For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (a) (1.1 )lil]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) (ii)J. 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S, 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(a)(1.3)]. 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. Copyright (e) 2000 form software only The Lackner Group. In<:. Form REV-1500 EX (Rev. 6-00) ADDITIONAL Personal Representatives Estate of Anne P Robbins SS# 197-18-2768 04/29/2001 *************************************************** Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is :::::,::~.,' '^' ''"'''''~~~__l,,--- M. Neil Enloe ~ 506 East Winding Hill Road Name Address Line Address Line Ci ty, State, 1 2 Zip Mechanicsburg, PA 17055 Date Signature ~r '~ ~~.... -_..._...~ Name Address Line 1 Address Line 2 City, State, Zip Charles A. Stigelman 50 East King Highway Mount Ephraim, NJ 08059 q_ '1- DL Date Signature ~ ~~~p~ Ora Stigelman 50 East King Highway Name Address Line 1 Address Line 2 Ci ty, State, Zip Date Mount Ephraim, NJ 08059 1-0'/-07- LAST WILL AND TEST AMENT OE ANNRP. ROBBINS I, ANNE P. ROBBINS, a resident of Apartment 601, 824 Lisbum Road, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this instrument to be my Last Will and Testament, hereby revoking any and all wills by me at any time heretofore made. ITEM I: I direct my hereinafter named CoExecutors to pay all my just debts, funeral expenses, administration expenses and inheritance, estate, succession or excise taxes, which I owe or may become due on account of my death, as soon as may be convenient after my decease. ITEM II: All the rest, residue and remainder of my estate, be it real, personal or mixed, of whatever nature and wheresoever situate which I may own or have the right to dispose of at the time of my decease I give, devise and bequeath to be divided equally between the following two charitable organizations: A. Deer Meadows, formerly the Baptist Home, of 8301 Roosevelt Blvd., Philadelphia, PA. B. The Woods at Cedar Run, 824 Lisbum Road, Camp Hill, PA 17011 1. If either of the above-named charitable organization would no longer be in existence at the time of my decease, then such share shall pass to the above-named charitable organization that remains in existence at the time of my decease. It l\; V~ ~, . T c. . r f \ ... L . i .f.j jJ.Y I../::l (SEAL) Anne P. Robbins ITEM IV: It is my desire and request that no portion of my estate pass to any of my relatives. ITEM V: I hereby nominate, constitute and appoint Ruth M. Enloe, M. Neil Enloe, both of 506 East Winding Hill Road, Mechanicsburg, P A 17055, Charles A. Stigelman and Ora Stige1man, both of 50 East King Highway, Mt. Ephraim, NJ 08059, CoExecutors of this my Last Will and Testament, with full power in their discretion to do any and all things necessary for the complete administration of my estate, without being required to fIle bond for the performance of their duties, with full power to sell at public or private sale and without order of court any real or personal property belonging to my estate, and to compound, compromise or otherwise settle or adjust any and all claims, charges, debts and demands whatsoever against or in favor of my estate as fully as I could if living. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this J;-~ day of October, 2000. I \ '"'' c Tn OJ 1".- I:. Anne P. Robbins /,"" ,...:......\ "I) i..;, \ I",.., J'I, \, i,. \\~/.'-'(SEAL) Signed, sealed, published and declared by the above-named Anne P. Robbins, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, we believing her to be of sound and disposing mind, memory and understanding, have hereunto subscribed our names as witnesses this 1- -~ day of October, 2000. ~~.~~ Aj~/;'W-il/4 , .., <<..' J /. ,tu..-ud j REV-1S02 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Anne P Robbins SS# 197-18-2768 04/29/2001 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledae of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Sehedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 Real estate known as Cottage #58, 201 Church Street, Landisville, 4,500.00 Garnpmeeting Association. SCHEDULE A REAL ESTATE TOTAL (Also enter on line 1, Recapitulation) $ 4,500.00 (If more space is needed, insert additional sheets of the same size) Copyright (el 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1-97) ~ HUD - 1 UNIFORM SElTLEMENT STATEMENT OMB Approval No. 2502.0265 A. U.S. D~PARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT B. TYPE OF LOAN 6. file Number: 7. Loan Number: l. FHA 2. FmHA 4474.50 3. X Cony. Unins. 4. VA 5. Conv. Ins. 8. Mortgage Insurance Case Number C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.D.C.)" were paid outside the closing; they are shown here for infonnational purposes and are not included in the totals. NOTE: TIN = TaxD8ver's Identification Number D. NAME AND ADDRESS OF BORROWER; E. NAME. ADDRESS AND TIN OF SELLER; F. NAME AND ADDRESS OF LENDER; Dennis S. Laub Sr. Estate of Anne P. Robbins Judy L. Laub 5 Xing Road ,c/o Earl Etzweiler, Esquire Cochranville, PA 19330 105 N. Front St., Harrisburg G. PROPERTY LOCA nON; H. SETTLEMENT AGENT NAME. ADDRESS AND TIN Cottage #58, 201 Church St. , Hartman Underhill &: Brubaker LLP 23-2047861 Landisville Campmeeting 221 East Chestnut Street f-,anc:aster PA 17602-2782 Association PLACE OF SETTLEMENT l. SETTLEMENT DATE 22~ Bast Chestnut Street 07/03/2002 Landisville PA 17602-278' J. SUMMARY OF BORROWER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 101. ontractsalesnrice 4,500.00 102. Personal orooertv 103. Settlementcharll.cs to bOn'Ower(Line 1400\ 1..33"1.12 104. 105. K. SUMMARY OF SELLER'S TRANSACTION 400. GROSS AMOUNT DUE TO SELLER; 40I.C ntractsalesoricc 4 500.00 402. Personal orooertv 403. 404. 405. Adiustments for items oaid bv seller in advance 106. City/town taxes 107. C tax.. 108. Assessments 109. 110. 111. 112. 120. GROSS AMOUNT DUE FROM BORROWER 5 837.12 Adiustments for items naid bv seller in advance 406. City/town taxes 407. County taXes 408. Assessments 409. 410. 411. 412. 420. GROSS AMOUNT DUE TO SELLER 4 500.00 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER; 201. Deoosit or earnest monev 2.250.00 501. Excess dcoosit 2 250.00 202. Princinal amount of new loan(s 502. Settlement charl!es to seller (Line 1400 203. Existin loanls) taken subiect to 503. Existinlr {oan(s) taken sub'eetto 204. 504. Payoff of first morU~age loan 205. 505. Pavoffofsecond mort2aJle toan 206. 506. 207. 507. 208. 508. 209. 509. Adiustments for items unnaid bv seller Adiustments for items unnaid bv seller 210. City/town taxes 510. Citv/toWll taxes 211. County taxes 511. County taxes 2 \2. Assessments 512. Assessments 213. 513. 214. 514. 215. 515. 216. 5\6. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 2 250.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 2 250.00 300. CASH AT SETTLEMENT FROMfTO BORROWER 600. CASH AT SETTLEMENT FROMffO SELLER 301. Gross amount due from borrower (Line 120 I 5 837.12 601. Gross amount due to seller fLine 420) 4 500.00 302. Less amount "aid bv/for borrower (Line 220 2 250.00 602. Less reduction in amount due seller (Line 520) 2 250.00 303. CASH FROM BORROWER I 3 587.12 603 CASH TO SELLER I 2 250.00 SELLER'S STATEMENT The infonnation contained in Blocks E. G. H, and I and on tine 40 l (or. if line 401 is asterisked. line 403 and 404) is important tax information and is being tumished to the Internal Revenue Service (see Seller Certification). If you are required to file a return. a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the lRS determines that it has not been reported. You are required to provide the Settlement Agent with your coneet tOl.'tpayer identification number. If you do not provide the Settlement Agent with your correct taxpayer identification number. you may be subject to civil or criminal penalties imposed by law. Under penalties of perjury. I certify that the number shown on s state nt is my c taxpayer identifie' number. 11 er's Signal e) Estate of Ruth M. Enloe o EASY SOFT. Inc. 1999 Previous editions are obsolete &he.. Page I o a Stigelman form HUD-l (3/86) ref Handbook 4305.2 L. SETTLEMENT CHARGES 700. TO:AL SALES/BROKER's COMMISSION based on rice S 4 500.00 @ Divis\.1fi of Commission line 700 as follows: PAID FROM BORROWER'S FUNDS AT SETTLEMENT PAID FROM SELLER'S FUNDS AT SETTLEMENT 70\ $ 702.$ 703. Commission aid at Settlement 704. 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Orl inatia" Fee 802. Loan Discount S03. A raisal Fee to 804. Credit re ort to 805. Lender's Ins cetion Fee 806. Mort a e Insurance A !icalian Fee to 807. Assum tion Fee 808. 809. 810. 811. 900. ITEMS RE VlRED BY LENDER TO BE PAID IN ADVANCE 901. Interest from 902. Mort a e Insurance Premium for 903. Hazard insurance Premium for 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard insurance 1002. Mort a e insunmce 1003. Ci Pro e Taxes 1004. Coun Pro e Taxes laOS. Annual assessments 1006. 1007. 1008. A ate Accountin Ad'ustment 1100. TITLE CHARGES 1101. Settlement or closin fee to 1102.AbstractortitlesearchtoN t Searched - Not C rti ied 1103. Title Examination to 1104. Title insurance binder to 1105. Document aralion to 1106. No fees to 1107. Attorn's tees to Har includes line numbers: 1108. Title Insurance to Not: Insured includes line numbers: 1109. Lender's covera e $ Not Insured 1110. Owner'scovera e $ 0.00 1111. 1112. 1113. \200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordin fees: Deed $ 71.00 Mort e $ 1202. City/en tax/stam s: Deed S 4 S . 00 Mort a e S 1203. State tax/starn s; Deed $ 4S. 00 Mort a e $ 1204.Filin Fee - Lancaster Count Exem lified Record 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Surve to 1302. Pest ins ection to 1303.2002 Annual Assessments 1304. 1305. 1306. 1307. \308. 1400. TOTAL SETrLEMENT CHARGES enter on lines 103 Section J and 502 Section K 1 337.12 CERTIFICATION: I have carefully reviewed the HUD-l Se and to the best of my knowledge and belief, it is a true and accurate statement ofal] receipts a disbursements made on my account or by i this transac that I received a copy of the HUD-I Settlement Statement. Under ill & Bruha er LLP 450.00 ~----- "~~"'- - ~ -~ -"--,- - Release $ n.oo 45.00 45.00 23.00 703.~2 S ~ Estate Dennis S. Laub Sr. i el a Ora Stige man Borrower Judy L. Laub Ol.~JflerWwh1ch I have prepared IS a"'1rue and accurate account of the funds disbursed or to be disbursed by the undersigned as part of the settlement 07/03/2002 Settlement Agent Hartman Underhill & Brubaker LLP Date W ARNlNG: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section lOlD. o EASY SOfT, Inc. 1999 Previous editions are obsolete Page 2 fonn HUD~I (3/86) ref Handbook 430:5.2 REV-15C3 EX. (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Anne P Robb ins SSfl 197-18-2768 04/29/2001 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE NUMBER OF DEATH 1 22 shares Prudential - stock 28.44 625.68 TOTAL (Also enter on line 2, Recapitulation) 625.68 (If more space is needed, insert additional sheets of the same size) Copyright (c;) 1996 form software only CPSystems, Inc, Form REV-1503 EX (Rev, 1-97) 230110 M1Ei)fSAlli I I I? GRO~'~RocrEDS ffiOMmK8; tIC,! /..., i I 625.68 Prudential's Demutualiz.1Iion Proceeds copy B . For Recipient AC~~'JMJtJUl,l~R(OPJJOf1AlttRECIPlErfr\ II)rJ111n~1t,On_~_QM~pt KEEP FOR YOUR RECORO_ 744320102 Prudential Financial, Inc. BARlEmrlG - 4.;.. :PSDERAL IN,COME, TAX WITtlHELD' [FEsr:Rlrno!t 01125/02 Hn's ~JAM[, SlUED ADORESS (ItlClUDING All[ NO.). ellY, STAlE, ArlO ZIP CODE 131-36860 197-18-2768 1429426 131-36860 ANNE P ROBBINS 824 L1SBURN RD APT 601 CAMP HILL PA 17011 '--PAYER'S HfJ.U-.'fft'lERAlIOEfllJflr..AnOll-tIlJfdBER Pmdenlial Financial. Illc. 22-3703799 ,"-- ';< .REPOR1fDDV; 020013136860 EquiServe Trust Company, N.A 1-800-243-1701 is IMPORWH T/lXlNfORMAltON AND IS BE.ING fURNISHED 10 IHE INlERNAL REVENUE SERVICE. IF YOU ARE REQUIRED m Fill A REruRN,A IGftlCE PENALlY OR OmER s.vICnOH MAY BE IMPOSED ON YOU IF THIS IflCQf.1[ IS IAXI\BLE j\NO lHE IRS DE1ERMU~ES llIAT IT HAS tlOTBEEtI RIED. -~i~.?:t;(;',~, _-/ ,~- ~ E_ __~1J:'l- _ ~ ~~-,""<< ~ ~ 01/25/02 Ref<rellce Number; 131-36860 Retain for Your 2002 Tax RecordS \Ve're plcas~d to inform you that Prudential has completed its conversion from a mutual company to a stock company. As part of our conversion. we arc i.5suing cash payments to eligible owners of the company. TIus includes anyone who owned an eligihle policy or annuity conlract <IS of December 15, 2000. Your ebeel, is below. Tbis does nol IlJreel YOUI' insumnee polic)' or ""nuily in Ilny WilY, Your payment is a benefit of holding an cligibk policy or contract. It does not replace your policy or contract. or change your benefits, cash values. eligibility for policy dividends or guarantees. You do nol have to give anything up to receive your payment. lIow )'our paymenl was determined. Company actuaries and extcnlal advisors developed a pl:m for dividing the value of Prudential among its o\vners. Factors such as the type of life, annuity or health policy or contract you owned. the face value, and how long you owned it detennined your compensation. Your payment was first calculated as a number of stock shares. These shares were then converted to an c-quivtllent value in cash. Compensation for all of your policies eligible for cash payment is included in dlis check. SEE BACK FOR MORE DETAILS. ~ How)Oannbllns vou were entitled" _,l, <''v' .. ,- ',; - - l'l'Ice pel' shaJ'e " " ,i", ~ ,'- '..{' . Your cash pa\'Jnent ,,,::>,,: "'(<lUllsed ,;n vour p~IiCles <l)' [ootl'acll; ""i-: Ap'.,l': '(sei!'I)(;;.'kf"rnllJred~(~il;}"" '::-':';:, " . ,'Ii.f~"C l,,';,cS " Oi:,; '- --' <-.,-..'- >". "'-' . ',-, iJi ~ ~ fg ~ f!! ~ " 22,0000 S28.44 $625.68 Questions? Call 1-800-243-1701 weekdays from 8:00 a.m. to 7:00 p.lII. (ET). (Te\ecorrnnunications Device for lhe Deaf, 1-800-619-2837.) 1429426 VOID WITHOUT BLUE BACKGROUND AND GENUINE CHAIN LINK WATERMARK 2301 10 131-36860 CHECK DATE Please Cash Within 180 Days 01/25102 CHECK NUMBER 001429426 ~ 119 >rudential ~ Financial CHECK AMOONT A Y TO THE ORDER OF ANNE P ROBBINS 824 LISBURN RD APT 601 CAMP HILL PA 17011 $615.68","***i<*,y* r(~ FU7iT BliNK, HARTFORD, (7 ~SecunIyFe..lI,ar""ln<;jUde<l(~..~santM<:k) .. Authorized Official EquiServe. Inc. 11'00 ~t, 2"lt, 2bll' 1:0 ~ ~"l00t,t, 51: b80 2811' REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHEAITANCE:TAX RETURN RESIDENT DECEDENT ESTATE OF Anne P Robbins SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER SSIf 197-18-2768 04/29/2001 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 Blue Cross/Blue Shield DESCRIPTION premium refund VALUE AT DATE OF DEATH 318.45 2 First Union checking account no. 1000077392041 7,843.90 3 Mellon Bank account no. 01093997. DOD value of $50,000.00, plus accrued interest in the amount of $2,185.84. 52,185.84 4 Mellon Bank - account no. 100-014-6843. DOD value of $6,277.16, plus accrued interest in the amount of $7.09. 6,284.25 TOTAL (Also enter on line 5, Recapitulation) $ 66,632.44 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV...1508 EX (Rev. 1-97) f_N' Reference ID: 167731 First Union National Bank Attn: Account Verifications POBox 40028 Roanoke VA 24022-73 13 May 25, 200 I ETZWEILER & ASSOCIATES ATTORNEYS AT LAW 105 N FRONT STREET HARRISBURG, PA 17101 SUBJECT: Veritication / Confinnation of Account and Balance Information provided for: ANNE P ROBBINS (SSN# 197-18-2768) Date of Death: April 29, 2001 Denos!t Account Information Account Type Account Number Date of Death Balance Average Balance'" Date Opened 11211950 Maturity Interest Accrued YTD Date Date Rate Interest Interest Paid Closed CHECKING 1??oo77392041 LEGAL TITLE: MRS. ANNE P. ROBBfNS 57,843.90 50.00 50.00 . Due to system limitations, we can only provide a twelve month average balance on depository accounts. '" Date of death balance does not include accrued interest. . If date of death Qccurrs on a weekend or a holiday, date of death balance does not include any transactions that were made during that time period. May 25, 2001 tative Date Drema Rubinoff Depository Representative Servicenter Associate Title (540)563-7323 Phone Number abs; kt 001032 @ P.O. BoX 7899 Philadelphia, PA 19101-7899 Mellon Bank May 25,2001 Etzweiler and Associates 105 N. Front Street Harrisburg, PA 17101 Ann: Earl R. Etzweiler Estate Of Anne P Robbins Date of Death: 04/29/200 I SSN 197-18-2768 Dear SirlMadam: In accordance with your request, the attached infonnation sheet has been provided in the above decedents name as ofhis/her date of death. For IL or LC accounts, contact our Loan Department at 1-800-537-5591. For all other inquiries, please call (215) 553-1585. Sincerely, ~ Mellon Bank, NA Deposit Support Services 199-5355 Page 1 of 2 ~ Mellon Bank Friday, May 25,2001 Account Number Account Title 01093997 Anne P Robbins 100-014-6843 Anne P Robbins Date Opened: 08/24/2000 Principal Sal Intfrom Last as of DOD Posting to DOD $50,000.00 $2,185.84 Date Opened: 09/06/2000 Principal Sal Int from Last as of DOD PostIng to DOD $6,277.16 $7.09 Account Type: TO Account Sal YTD Int to as of DOD DOD $52,185.84 $1,051.70 Account Type: 00 Account Sal YTD Int to as of DOD DOD $6,284.25 $65.70 Page 2 of 2 REV-1S11 EX .. (1-97) COMMONWEALTH OF PENNSYLVANIA INHE~ITANCE TAX RETURN RESIDENT DECE.DENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Anne P Robbins FILE NUMBER 551t 197 -18-2768 04/29/2001 Debts of deeedent must be reported on Schedule t. ITEM NUMBER A. B. DESCRIPTION AMOUNT 1 FUNERAL EXPENSES, Dolly DeNicola 25.00 music at funeral service 2 Rev. John DeNicola - minister funeral service 100.00 3 Rev. Shane Wilson - minister funeral service 100.00 1. ADMINISTRATIVE COSTS, Personal Representative's Commissions Name of Personal Representative(s) Ruth M Enloe Social Security Number{s) I EIN Number of Personal Representative(s) Stre.t Address 506 East Winding Hill Road City Mechanicsburg Stale PA Zip 17055 3,587.06 Year{s) Commission Paid: 2. 3. Attorney's Fees Etzweiler and Associates Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 3,587.06 4. Register of Wills 220.00 Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Cumberland Law Journal - advertise Letters Testamentary 75.00 2 Denise A. Bailey - witness will 15.00 3 Etzweiler and Associates - notary fee, postage, photocopies and long distance telephone calls. 100.00 4 Register of Wills out of county oath 15.00 5 Register of Wills one Short Certificate 3.00 6 Register of Wills exemplified record. 15.50 7 The Sentinel - advertise Letters Testamentary 129.47 TOTAL (Also enter on line 9. Recapitulation) $ 7,972.09 (If more space is needed, insert additional sheets of the same size) Copyrlght{c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Re.... 1-97) Estate of: Anne P Robbins Sac Sec #: 197-18-2768 Date of Death: 04/29/2001 Continuation of Schedule H-Bl (Personal Representative's Commissions) Item # Description Amount 1 Ruth M. Enloe, M.Neil Enloe, Charles A. Stigelman and Ora Stigelman (CoExecutor's Fee) 3,587.06 3,587.06 REV-1!l1ZEX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERIT -"NeE T J4X RETURN RESIDENT DeceDENT ESTATE OF Anne P Robb ins SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS FilE NUMBER SSff 197-18-2768 04/29/2001 Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION Allstate - Apartment Insurance AMOUNT 8.50 2 AT&T - balance due telephone service 3.36 3 Ferre11gas - gas (cottage) 65.67 4 PA Department of Revenue - 2001 Individual Income Tax Due 65.67 5 PP&L balance due electric service. 15.98 6 PP&L - balance due electric service. 23.67 7 The Woods - replace carpet in rented room and final rent payment. includes flowers and food for memorial service/ see invoice Verizon - balance due telephone service 2,981.09 8 16.66 9 William S. Kirwan, Esquire- fees and costs associated with clearing the title to the real estate known as Cottage #58, 201 Church St., Landisvi11e, Campmeeting Association. 225.22 TOTAL (Also enter on line 10, Recapitulation) $ 3,405.82 (If more space is needed, insert additional sheets of the same size) Copyrjght (c) 1996 form software only CPSystems. Inc. Form REV-1512 EX (Rev. 1.97) Au~ 27 O? OS:50a Ruth Enloe (717) 766-6752 p.1 The Woods at Cedar Run \ GCCC 824 Lisburn Road Camp Hill, PA 17011 Invoice DATE INVOICE # 5/1/2001 3296 I BILL TO Anne Robbins 824 Lisburn Road Apt. # 601 Camp Hill, PA 17011 Meal Charges - Memorial Sem ~ERMS OUE DATE I ROOM NUMBER AMOUNT r Net 5 5/6/2001 i 601 2954.82 I - .- - ON QTY RATE AMOUNT 2001 - One BedCoom 1-'--- 1,033.00 1,033.00 7 thru 4/24/0 I 5 125 6.25 (food table 79.50 , 79.50 ce) 27.99 27.99 ! 'ce Meal 5/8/01 ! 159.35 1~9.35 , ) Repairs and main&. 40& 1,675.00 1,675.00 I . ty Deposit ~-t ~e(j on cJf; Cq+jo~ SClme size ! S ~ OESCRIPTI Residential Apartment - May Milk Charges - deliveries 3/2 i , Flowers for memorial service centerpiece & piano centerpie Cake Carpet Replacement (estimate , costs re-imbursed from Secun , I ! Replacement of bathroom tile~~ ; costs ~QHrS-ecunty Deposit ! /JfI 75.00 ( _ 75.00) I Total I I --$~ ~98J.o91 UL- M- '7 7/:7/0/ 1 REV., lS 13 EX ~ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Anne P Robbins SS{j 197-18-2768 04/29/2001 NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [Include outright spousal distrIbutions, and transfers under Sec. 9116(aX1.2)j RELATIONSHIP TO DECEDENT Do Not List Trustee.(s) FILE NUMBER AMOUNT OR SHARE OF ESTATE ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18. AS APPROPRIATE. ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Deer Meadows 8301 Roosevelt Boulevard Philadelphia, PA 19152-2006 The Woods at Cedar Run ajk/a Great Commission Care Communities 824 Lisburn Road Camp Hill, PA 17011 TOTAL OF PART 11- ENTER TOTAL NON- TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyright (c.)2CCC form software only The Lac.kner Group, Inc. 30,190.10 30,190.11 60,380.21 Form REV-1513 EX (Rev. 9-00) COMMONWEALTH OF PENNSYLVANIA OFFICE OF ATTORNEY GENERAL MIKE FISHER ATTORNEY GENERAL December 23,2002 Public Protection Division Charitable Trusts & Organizations Section 14th Floor, Strawberry Square Harrisburg, PA 17120 Telephone: (717) 783-2853 Fax: (717) 787-1190 Earl Richard Etzweiler, Esq. ETZWEI LER & ASSOCIATES 105 North Front Street Harrisburg, PA 17101 RE: ESTATE OF ANNE P. ROBBINS Dear Attorney Etzweiler: This will acknowledge receipt of your letter dated December 10, 2002 regarding the above-captioned matter. After reviewing the First and Final Account and Last Will and Testament, I have no objection. At your earliest convenience, kindly forward me a copy of the Court's executed decree or the fully executed releases, whichever method you employ. Please be advised that the above review was made pursuant to the parens patriae function of this Office and has no bearing on any matter unrelated to that function. ~;;'t!1J Thomas M. Devlin Senior Deputy Attorney General TMD/mlm Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: \~e:-\...000CY:. o..-\- Cedx...-R\.J..I'\ e>.J~ 6~-\- ~"'n;\.....\s.<:"Qr-.. C:as~ Ct:~m~n\+u~c.s; 'Dd.-1-.\ ~\& ~0rn Koa2l ~Q~ \-\-~ \ \ f ~ \ 10 \\ 3. Service Type J3..Certified Mail o Registered o Insured Mail o Express Mail La, Return Receipt for Merchandis, o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service label) PS Form 3811, August 2001 7001 0320 0002 6574 5455 Domestic Return Receipt 102595-01-M-25' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. ill Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: b ~ e..r- \\'\~d6~'S.. <3~\ t<-oc,s,<e-",-e.-\-\-- ~\vd fh\\.6.",Je.\V\)'-c,- fp.,. \C\~ s,.;L- .s..cuC. l!Y'Agent o Addresse C. Date of Deliver 12-/2.02- D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No 3. Service Type l&Certified Mail o Registered o Insured Mail o Express Mail lit Return Receipt for Merchandis, o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service label) PS Form 3811, August 2001 7001 0320 0002 6574 5462 Domestic Return Receipt 102595-01-M-25 Earl Richard Etzweiler Christian S. Daghir ETZWEILER AND ASSOCIATES ATTORNEYS-AT-LA W 105 NORTH FRONT STREET HARRISBURG, PA 17101 (717) 234-5600 2 West Main Street Elizabethville, PA 17023 (717) 362-8395 HALIFAX LINE (717) 896-3737 Fax Line: (717) 234-5610 December 31, 2002 225 Market Street Millersburg, P A 17061 (717) 692-2519 Register of Wills Cumberland County Courthouse Hanover and High Streets Carlisle, P A 17013 RE: ESTATE OF ANNE P. ROBBINS FILE NO. 2001-00463 Dear Sir or Madam: Please find enclosed for processing the original correspondence which this office received from the Office of the Attorney General. Please note in the first line of paragraph two, the Office of the Attorney General has no objection to the First and Final Account. Please also find enclosed copies of the return receipt cards evidencing that each of the two charities, having a residual interest in the estate, has received a copy of the First and Final Account for review. Should you require anything further, please contact either myself or my secretary, Heather, who is familiar with this matter. Since~,< , /J~G-:/;. Earl Richard Etzweiler ERE:haf Enclosure ESTATE NO. 2001-00463 First and Final Account and Statement of Proposed Distribution of and by Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors ofthe Estate and under the Last Will and Testament of Anne P. Robbins, Deceased, Late of Lower Allen Township, Cumberland County, Pennsylvania Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors as aforesaid and Accountants herein, aver as follows: Date of Decedent's Death: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. April 29, 2001 Date Letters Testamentary Issued: .......................................... May 10,2001 Accounting for this Period: ...................... April 29, 2001 to November 22,2002 Date Executor's Notice Advertised: Cumberland Law Journal .................................. May 25, June 1, 8, 2001 The Sentinel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. May 22, 29, June 5, 2001 Purpose of Account: Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors, offers this account to acquaint interested parties with the transactions that have occurred during their administration. The account also indicates the proposed distribution 0 the estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with the following individual: Etzweiler and Associates C) 7 /7 ~ /7/ p_> ByC--~ -' -;::-/;;~ /"E Q^-_U~ Earl Richard Etzweiler, E -quire Sup. Ct. J.D. No. 06398 105 North Front Street Harrisburg, PA 17101 (717) 234-5600 FIRST AND FINAL ACCOUNT PRINCIPAL RECEIPTS: Cash Stocks/Listed Real Estate/P A 74,947.33 625.68 4.500.00 $80,073.01 DISBURSE: Debts of Decedent Funeral Expenses Administration Expenses Fees & Commissions 3,106.43 225.00 1,173.19 7.174.12 -11.678.74 Balance before Distributions 68,394.27 Distribution to Beneficiaries -50.000.00 PRINCIPAL BALANCE ON HAND: $18,394.27 INCOME RECEIPTS: Interest 3.455.74 $3,455.74 DISBURSE: P A Department of Revenue - 2001 Fiduciary Income Taxes 94.00 -94.00 INCOME BALANCE ON HAND: $3.361.74 COMBINED BALANCE ON HAND $21.756.01 Exhibit Summarv: Exhibit "A" Exhibit "B" Exhibit "c" Exhibit "0" Exhibit "E" Exhibit "F" Last Will and Testament of Anne P. Robbins dated October 4, 2000 The Sentinel - Copy of Proof of Publication Cumberland Law Journal - Copy of Proof of Publication Inventory filed September 12,2002 Pro Rata Release - Deer Meadows Pro Rata Release - The Woods at Cedar Run a/k/a Great Commission Care Communities -2- 04/29/01 04/29/01 04/29/01 OS/24/01 OS/24/01 07/19/01 08/02/01 04/29/01 07/03/02 06/30/01 06/30/01 06/30/01 06/30/01 11/16/01 OS/28/02 06/30/01 06/3 % 1 06/30/01 05/17/01 05/09/01 RECEIPTS OF PRINCIPAL Description Cash: Mellon Bank - account no. 01093997 First Union - checking account no. 1000077392041 Mellon Bank - account no. 100-014-6843. Blue Cross/Blue Shield - premium refund Allstate - Apartment Insurance Prudential- life insurance payable to estate. MAB Paints - group life insurance payable to estate **omitted from original inventory in error Stocks/Listed: 22.00 shares Prudential - stock Real Estate/P A: Real estate known as Cottage #58,201 Church Street, Landisville, P A Fiduciary Acquisition Value 52,185.84 7,843.90 6,284.25 318.45 8.50** 4,300.72 4,005.67 625.68 4,500.00 $74,947,33 $625.68 $4.500.00 Total Receipts of Principal ...................................... $80,073.01 DISBURSEMENTS OF PRINCIPAL Debts of Decedent: AT&T - balance due telephone service PP&L - balance due electric service. The Woods - replace carpet in rented room and final rent payment. Verizon - balance due telephone service PP&L - balance due electric service. Ferrellgas - gas (cottage) Funeral Expenses: Dolly DeNicola - music at funeral service Rev. John DeNicola - minister funeral service Rev. Shane Wilson - minister funeral service Administration Expenses: Cumberland Law Journal - advertise Letters Testamentary Denise A. Bailey - witness will -3- 3.36 15.98 2,981.09 16.66 23.67 65.67 25.00 100.00 100.00 75.00 15.00 $3,106.43 ------- ----- $225.00 05/09/01 06/04/01 06/08/01 07/08/01 05/08/02 OS/28/02 09/1 0/02 11/15/02 11/22/02 08/26/02 08/26/02 11/15/02 11/15/02 Register of Wills - Letters and four short certificates Register of Wills - one Short Certificate The Sentinel - advertise Letters Testamentary Register of Wills - exemplified record. Register of Wills - out of county oath William S. Kirwan, Esquire- fees and costs associated with clearing the title to the real estate in Landisville, P A Register of Wills - file estate papers Etzweiler and Associates - notary fee, postage, photocopies and long distance telephone calls Register of Wills - reserve for filing fees, accounting fees and other costs associated with the administration of Decedent's estate. Fees and Commissions: Etzweiler and Associates - legal services Ruth M. Enloe, M.Neil Enloe, Charles A. Stigelman and Ora Stigelman (CoExecutor's Fee) 220.00 3.00 129.47 15.50 15.00 225.22 25.00 100.00 350.00 3,587.06 3.587.06 $1,173.19 $7,174.12 Total Disbnrsements of Principal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $11,678.74 Prior Distribution of Principal to Beneficiaries The Woods at Cedar Run - partial inheritance$ Deer Meadows - partial inheritance Total Prior Distribution of Principal to Beneficiaries -4- 25,000.00 25.000.00 $50,000.00 04/29/01 to 11/15/02 03/27/02 Receiots of Income Descriptions Interest: Citizen's Bank 3,455.74 Total Receipts ofIncome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $3,455.74 Disbursement of Income PA Department of Revenue - 2001 Fiduciary Income Taxes Total Disbursements of Income -5- 94.00 $94.00 STATEMENT OF PROPOSED DISTRIBUTIONS TO BENEFICIARIES Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors and Accountants herein, propose to distribute the balance of the Estate of Anne P. Robbins, Deceased, to wit: $21,756.01 in accordance with the Last Will and Testament of said Decedent as follows: Per Item II of Will: Deer Meadows 8301 Roosevelt Boulevard Philadelphia, P A 19152-2006 Inheritance Prior Distribution 35,878.00 25.000.00 $10,878.00 The Woods at Cedar Run alk/a Great Commission Care Communities 824 Lisburn Road Camp Hill, PA 17011 Inheritance Prior Distribution 35,878.01 25.000.00 $10.878.01 Total Proposed Distribution $21,756.01 It is therefore requested that distribution be made as outlined above. ~,'-TrJ. ~ R M. Enloe, CoExecutor ~l" ~ ',' :,..,,~..~ ,: V ; .. . Nei nloe, CoExecutor _. @~~ Charles A. Stigelm n, CoExecutor tJ2?/L ~,fl..144f Ora Stigelman, oExecutor Dated: I~ - ~ -0 Q -6- AFFIDAVIT Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors and Accountants under the Last Will and Testament of Anne P. Robbins deceased, hereby declares under oath that they have fully and faithfully discharged the duties of their office; that the foregoing Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to their knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the estate have been paid. ~ i . ~eil 'l' Co xecu~ ~-~ Charles A. Stigelman, oExecutor ~=~ Ora Stigelman, C xecutor ~:~~st~a~u~;cribe~te~~re!..;;t[~~002, /( :,1'.',1 ...,;' i'~ {j"' Ii tt ~. .' / ! ,^. ./1 ( (L . Notary Public Notarial Seal Karen L Paul Notary Public Cit~ of Harrisburg, Dauphin County My Commission Expires May 13. 2004 -7- IN THE MATTER OF THE ESTATE OF ANNE P. ROBBINS, DECEASED IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2001-00463 CERTIFICATION OF NOTICE In accordance with the Cumberland County Orphans Court Rules, I, Earl Richard Etzweiler, Attorney for the Estate of Anne P. Robbins, do hereby certify that I have served a copy of the First and Final Account and Proposed Schedule of Distribution of Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors for the Estate of Anne P. Robbins by mailing a copy of said Account and Proposed Schedule of Distribution, via certified mail/return receipt requested as follows: Deer Meadows 8301 Roosevelt Boulevard Philadelphia, PA 19152-2006 The Woods at Cedar Run a/k/ a Great Commission Care Communities 824 Lisburn Road Camp Hill, PA 17011 Date: "APO//) -~~ J-oo d' ~:' _ /7 - .; , . L . s.,." ') i' / /' /," FL:- ,~I/, (,-?"Z_~,,t-<-;.....A':;t:'L.~'-/ vLl-.l... _.>'-J.:.:.,~ Earl Richard Etzweilef, Esquire 105 N. Front Street Harrisburg, PA 17101 (717) 234-5600 -8- LAST WILL AND TESTAMENT OF ANNE P. ROBBINS I, ANNE P. ROBBINS, a resident of Apartment 601, 824 Lisburn Road, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this instrument to be my Last Will and Testament, hereby revoking any and all wills by me at any time heretofore made. ITEM I: I direct my hereinafter named CoExecutors to pay all my just debts, funeral expenses, administration expenses and inheritance, estate, succession or excise taxes, which I owe or may become due on account of my death, as soon as may be convenient after my decease. ITEM II: All the rest, residue and remainder of my estate, be it real, personal or mixed, of whatever nature and wheresoever situate which I may own or have the right to dispose of at the time of my decease I give, devise and bequeath to be divided equally between the following two charitable organizations: A. Deer Meadows, formerly the Baptist Home, of 8301 Roosevelt Blvd., Philadelphia, P A. B. The Woods at Cedar Run, 824 Lisburn Road, Camp Hill, PA 17011 1. If either of the above-named charitable organization would no longer be in existence at the time of my decease, then such share shall pass to the above-named charitable (SEAL) organization that remains in existence at the time of my decease. /ty'v V\. ;( T 1'.1}' L'. . . - .1 . _Jj/ 'y'/-l Anne P. Robbins ITEM IV: It is my desire and request that no portion of my estate pass to any of my relatives. ITEM V: I hereby nominate, constitute and appoint Ruth M. Enloe, M. Neil Enloe, both of 506 East Winding Hill Road, Mechanicsburg, P A 17055, Charles A. Stigelman and Ora Stigelman, both of 50 East King Highway, Mt. Ephraim, NJ 08059, CoExecutors of this my Last Will and Testament, with full power in their discretion to do any and all things necessary for the complete administration of my estate, without being required to file bond for the performance of their duties, with full power to sell at public or private sale and without order of court any real or personal property belonging to my estate, and to compound, compromise or otherwise settle or adjust any and all claims, charges, debts and demands whatsoever against or in favor of my estate as fully as I could if living. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this Jf~ day of October, 2000. A~ , \ ^. /.1,: !c- Anne P. Robbins \.' .l\.....<{SEAL) Signed, sealed, published and declared by the above-named Anne P. Robbins, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, we believing her to be of sound and disposing mind, memory and understanding, have hereunto subscribed our names as witnesses this 1- ~ day of October, 2000. e~~-2-q~ ~11A.i{ ft. Ativtul /, .J PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 STATE OF PENNSYLVANIA: ss. COUNTY OF CUMBERLAND : Roger M. Morgenthal, Esquire, Editor of the Cumberland Law Journal, ofthe 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, V1Z: MAY 25, JUNE 1,8,2001 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. Robbins. Anne P., dec'd. Late of Lower Allen Twp. Co-Executors: Ruth M. Enloe, 506 Winding Hill Road, Mechanics- burg. PA 17055, M. Neil Enloe, 506 Winding Hill Road. Mechan- icsburg. PA 17055, Charles A. Sti- gelman. 50 East King Highway, Mt. Ephraim, NJ 08059 and Ora Stigelman. 50 East King Highway, Mt. Ephraim, NJ 08059. Attorney: Earl Richard Etzweiler, Esquire, 105 N. Front Street, Har- risburg. PA 17101, (717) 234- 5600. ~~ RogelM. Morgenthal, Editor SWORN TO AND SUBSCRIBED before me this 8 day of JUNE. 2001 NO EAt LOIS E. SNYDER, Notary Public ~Boro, Cumberland County My Commlssion Expires Marth 5, 2005 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland. Sherry Clifford, Classified Ad Manager 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 13th, 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 dates, viz Copy of Notice of Publication ESTATE NOTICE Letters T~stamentary on the Est81e of ANNE P. ROBBINS of Lower Allen Township, Cumberland County, CamR HiI/, Pennsylvania, deceased having been' granted to the undersigned, all persons indebted to said estate are requested to make immediate payments, and those having claims will present them for set- tlement to: Co-Executors: Ruth. Enloe 506 Winding Hill Road Mechanicsburg, PA 17055 M. Neil Enloe 506 Winding Hill Road Mechanicsburg, PA 17055 Charles A. Stigelman 50 East King Highway Ml. Ephraim, NJ 08059 Ora Stigelman 50 East King Highway Ml. Ephraim, NJ 08059 Or to: Earl Richard Etzweiler Esquire 105 N. Front Street Harrisburg, PA'17101 (717) 234-5600 May 22,29 & June 5, 2001 Affiant further deposes that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication are true. Sworn to and subscribed before me this day of June , 2001. ~~ 0 - JJ-at-'l~/VJ 6th Notary Public My commission expires: NOT ARIAL SEAL , SHIRLEY Q. DURNil\!, NGtary Pub,~ Carlisle Boro., Cum.berland Cou~1j ") My Commission ExpIres Aug. 9, ,-00-0 Register of Wills of CUMBERLAND County, Pennsylvania (C(Q)[PY INVENTORY Estate of Anne P Robb ins No. ?001-00461 also known as Date of Death 04/29/2001 . Oeceased Social SltCl.Irity No. 197 -18 - 2768 Ru~h M Enloe and M.Nei2 Enloe. Charles A. Stigelman and Ora Stigelman. Personal R~s) of the above Estate. deceased. verify that the items appearing in the following Inventory include all at the personal assets wherever situate and all of the real es1ate in the Commonwealth of Pennsylvania of said Oecedent. that the valuation placacl opposite each item of said Inventory representS its fair value as of the date of the Decadent's death. and that Decedent owned no real es1ate oU!Sic:leof the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I /We verify that the statements made in this Inventory are true and corrKt. I/We understand that false statements herein are made subject to the penalties of 18 Pa. c.s. Sedion 4904 r-'ating to unswom falsification to authoritillS. Personal Representative Name of Earl Richard Etzweiler Attomey: LD. No.: 06398 Address: 10S'North Front Street Harrisburg, PA 17101 Telephone: 717/234-5600 Signature: .......;:;, '- ~Jf ~ '7? L, f!.,u: ..;....L.. Ru:ttr M,-Enlpe i S"~: 'J\) '11~)/ )1 P" M. 'Nell Enllre Signatul.'l""/~( ~ Ch'arles A. Sti lman'" Signature ~ ~:'1 .,~ Ora Stigelman 4 ~~/o506 East Winding Hill Road Mechanicsburg, PA l70S5 Telephone: Dated: 9(8/(;'.2- . ' -=. ..-. Description d Valu~ --> 1'.J (See con~inua~ion page(s) a~tached) "'....- ," j:;;. OJ (Attach additional sheets if necessary) Total: 80,064.51 NOTE: The Memorandum of real estate outside the Commonwealth at Pennsylvania may, at :he election of the personal representative. include the value of each item. but such figures should not be extended into the total of the Inventory, Pntpared by 1".Pennsytvani~ Bar _!lon INVENTORY Estate of: Date of Death: County: Anne P Robbins 04/29/2001 Cumberland CASH: Blue Cross/Blue Shield - premium refund 318.45 First Union - checking account no. 1000077392041 7,843.90 MAB Paints - group life insurance payable to estate. 4,005.67 Mellon Bank - account no. 01093997. DaD value of $50,000.00, plus accrued interest in the amount of $2,185.84. 52,185.84 Mellon Bank - account no. 100-014-6843. DaD value of $6,277.16, plus accrued interest in the amount of $7.09. 6,284.25 Prudential - life insurance payable to estate 4,300.72 74,938.83 STOCKS/LISTED: 22.00 shares Prudential - stock 625.68 625.68 REAL ESTATE/PA: Real estate known as Cottage #58, 201 Church Street, Landisville, Campmeeting Association. 4,500.00 4,500.00 TOTAL RECEIPTS OF PRINCIPAL............... 80,064.51 IN THE MATTER OF THE ESTATE OF ANNE P. ROBBINS, LATE OF LOWER ALLEN TWP. CAMP HILL, DAUPHIN COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY , PENNSYLVANIA ORPHANS I COURT DIVISION NO. 2001- 00463 PRO RATA RELEASE Deer Meadows, of 8301 Roosevelt Boulevard, Philadelphia, PA 19152-2006, does hereby acknowledge that it has received of and from Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors of the Estate of Anne P. Robbins, deceased, TWENTY-FIVE THOUSAND AND 00/100 DOLLARS ($25,000.00), as a pro rata payment of the share inherited from the Estate of Anne P. Robbins, deceased, effective upon receipt, with the same effect as if it had been duly awarded by the Orphans I Court Division of the Court of Common Pleas; and therefore it, for itself its successors and assigns, does by these presents remise, release, quitclaim and forever discharge the said Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors of the Estate of Anne P. Robbins, his/her, executors, administrators, successors and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever as a result of said pro rata advancement from the beginning of the world to the day of these presents. Deer Meadows ATTEST: (SEAL) r Vice President ~ itJ, McuJ~ Se etary or Treasurer Dated: II. JJ - 02 IN THE MATTER OF THE ESTATE OF ANNE P. ROBBINS, LATE OF LOWER ALLEN TWP. CAMP HILL, DAUPHIN COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY , PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2001- 00463 PRO RATA RELEASE The Woods at Cedar Run a/k/a Great Commission Care Communities, of 824 Lisburn Road, Camp Hill, P A 17011, does hereby acknowledge that it has received of and from Ruth M. Enloe, M. Neil Enloe, Charles A. Srigelman and Ora Stigelman, CoExecutors of the Estate of Anne P. Robbins, deceased, TWENTY-FIVE THOUSAND AND 00/100 DOLLARS ($25,000.00), as a pro rata payment of the share inherited from the Estate of Anne P. Robbins, deceased, effective upon receipt, with the same effect as if it had been duly awarded by the Orphans' Court Division of the Court of Common Pleas; and therefore it, for itself its successors and assigns, does by these presents remise, release, quitclaim and forever discharge the said Ruth M. Enloe, M. Neil Enloe, Charles A. Stigelman and Ora Stigelman, CoExecutors of the Estate of Anne P. Robbins, his/her, executors, administrators, successors and assigns, of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever as a result of said pro rata advancement from the beginning of the world to the day of these presents. The Woods at Cedar Run a/k/a Great Commission Care Communities (SEAL) ATTEST: ~~o~ Dated: /0-3/-02 Cumberland County - Register Of Wills Hanover and High Street Carlislel PA 17013 Phone: (717) 240-6345 Date: 3/10/2003 RUTH M ENLOE 506 EAST WINDING HILL ROAD MECHANICSBURGI PA 17055 RE: Estate of ROBBINS ANNE P File Number: 2001-00463 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 4/29/2003 Your prompt attention to this matter will be appreciated. Thank You. SincerelYI DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: /File Counsel Judge STATUS REPORT UNDER RULE 6.12 / r:.;., l) O~ Name of Decedent: Anne P. Robbins Date of Death: April 29. 2001 Will No. 2001-00463 Admin. No. Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate. 1. State whether administration of the estate is complete: Yes X 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 X No. b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No. d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Dated: 3/21/03 (0 ()//-/~ ~/~~,JU'~~ ." - ~~ Signature Earl Richard Etzweiler, Esquire 105 North Front Street Harrisburg, P A 17101 (717) 234-5600 Capacity: _ Personal Representative X Counsel for personal representative