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HomeMy WebLinkAbout10-21-05 REV-1500 EX {6.()()1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT Od- L3-_ NU/,fl R I- Z W C W () W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ROBINSON PATRICIA A REV-1500 FILE NUMBER 2-L-Ll5 COUNTY CODE YEAR i SOCIAL SECURITY NUMBER i 176 34 ! THIS RETURN MUST BE FILED IN DUPL CATE WITH THE I REGISTER OF WI LS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) N/A , SOCIAL SECURITY NUMBER DATE OF DEATH (MM-DD-YEAR) 1/21/2005 I DATE OF BIRTH (MM-DD-YEAR) ! 2/1/1944 ! w ..., ~:Slll uQ:~ wQ.U :I: 00 uQ:..J Q.1lI Q. <( 00 1. Original Return o 4_ Limited Estate 00 6. Decedent Died Testate (Alfach copy of Will o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dale of dealh after 12-12-821 o 7. Decedent Maintained a Living Trust (Alfach copy of Trust) o 10. Spousal Poverty Credit (dale of dealh between 12-31-91 and 1-1-95) o 3. Remainder Return (dale of dealh p' II> 12-13-82) o 5. Federal Estate Tax Return Req ired 1 8. Total Number of Safe Deposit oxes o 11. Election to tax under Sec. 911 (A) (AIIach SchO) 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 & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate BUling Requested 7. Inter-VIVos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental 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) NAME ROBERT G. FREY FIRM NAME (If Applicable) FREY & TILEY TELEPHONE NUMBER 717-243-5838 z o ~ ..J => !::: a. < () W 0:= COMPLETE MAILING ADDRESS 5 SOUTH HANOVER STREET CARLISLE, PA 17013 (1) (2) (3) (4) (5) $12,943.20 (6) (7) (8) $12,943.20 (9) 9,807.03 (10) 1,533.17 (11) (12) (13) 11 ,340. 20 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) 1,603.00 z o ~ ~ => a. ::E o () >< ~ 15. Amount of Line 14 taxable 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 Line 14 taxable at collateral rate 19. Tax Due 1,103.00 x .0 (15) 45 x .0____ (16) 49.64 x .12 (17) 500.00 x .15 (18) 75.00 12 .64 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (19) r Decedent's Complete Address: STREET ADDRESS 317 DWELLING COURT CITY SHIPPENSBURG I STATE PA I ZIP 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) $124.64 Total Credits (A + 8 + C ) (2) 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) A. Enter the interest on the tax due. (5) (5A) 124.6 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 124.6r. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCt S 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 [Xl b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [Xl c. retain a reversionary interest or.......................................................................................................................... 0 [Xl d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 @ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 [Xl 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 j[] 4. Did decedent own an Individual Retirement Account. annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF n E RETURN. Under penalties of perjury, I dedare Ihat I have examined Ihis return, including accompanying schedules and statemenls, and to Ihe best of my knowledge and belief, tt is true, correct and complete. Declaration of preparer olher Ihan the personal representative is based on an infonnalion of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN _ j t .4-. ( n c:. LL ~ DATE FARMERS & MERCHANTS TRUST CO. BY~~~ \____T:1AlA.J 10/21/ 005 ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE m... ...._____.. ..... __"_ ._.._._. on .._..._____~......_...... n.._ - .-....... _."_____......._.........._____.._..., .... .................-.."--........ --. ----......- .- ..... ..........~_..._...... ........._-. ADDRESS 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 i~ 3% [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to The statute does not exempt a transfer to a surviving spouse from tax. and the statutory requiremenl 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 or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiarie~ The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 1, individual who has at least one parent in common with the decedent, whether by blood or adoption. ~e... l.c 0 (.)0 "Pc.\. L\ S . L~D \\..r D Ie::;;- - 6'0 72 P.S. 991 6 (a) (1.1) (ii)]. 1 are still a plicable even if parent, an doptive parent, Cff -~\ [72 P.S. 991 6(a)(1)]. under Secti n 9102, as an I _ma',~ '* COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER ROBINSON PATRICIA A 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 di! Iosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. KENNY'S AUCTION, PROCEEDS FROM SALE OF PERSONAL PROPERTY $ 6,272.50 CASH FOUND IN RESIDENCE 12.57 PATRICIA A ROBINSON TRUST, JEAN SHORT TRUSTEE--CHECKING ACCOUNT 4,900.00 NUMBER 34-56641 ERIE INSURANCE GROUP, REFUND POLICY # Q522306907 F&M TRUST CO. CHECKING ACCOUNT 32-80616 PA EMPLOYEES BENEFIT TRUST FUND, REFUND NATIONWIDE INSURANCE, REFUND AUTO POLICY JEWELERY, APPRAISED VALUE DECEDENT'S BROTHER, DESIRING THAT ALL EXPENSES AND BEQUESTS BE PAID IN FULL, HAS ADVANCED CASH TO DECEDENT'S ESTATE SUFFICIENT TO PAY ALL SAID, EXPENSES AND BEQUESTS AND TAXES ON THE SPECIFIC BEQUESTS 11.00 236.94 305.12 46.30 1,103.00 55.77 . . TOTAL (Also enter on line 5, Recapitulation) $ 12 , 943 . 20 L~~WlgS 'i \ I I SINCE 1877 Phone (717)264-7693 121 South Main Street Chambersburg, P A 17201 Member, American Gem Society Ann Ludwig Wagner, Registered Jeweler Jane Ludwig Mentzer FAIR MARKET VALUE APPRAISAL The fair market value is an estimation of a price arrived at willingly by a buyer and a seller d not under duress. Because jewelry appraisal and evaluation is not a pure science and is therefore subjective, estimations of fair market value may vary from one appraiser to another and such a varianc not necessarily constitute error on the part of the appraiser. Mountings prohibit the full and accurate observation and grading of Diamonds. Therefore 0 y a provisional grade will be given. The weights are estimations determined by formula based n available dimensions. If a Diamond is regraded or weighed unmounted the grades or weight may vary. EST ATE OF PATRICIA A. ROBINSON Oct. 6, 2005 1. One lady's 10 karat yellow gold Diamond cluster ring contains 3- .005ct. single-cut Diam nds set in a white gold flower design top. The yellow gold shank is 7mm. wide at the top and ta rs to 1.8mm. wide in the back. The mounting is lightweight. $ 0.00 . 2. One lady's 14 karat yellow gold plain wedding band is 3mm. wide and weighs 1.3dwt. 3. One lady's 18 karat white gold Diamond filigree ring contains: 1- . 1 Oct. old European-cut Diamond Dia.- 3.Omm. Cutting- poor Color- F Provisional GIA Clarity- II" " The Diamond is set in a white gold plate atop a filigree base and shoulders. $ 00.00 4. One lady's 10 karat yellow gold Diamond solitaire ring contains: 1- .18ct. princess-cut Diamond Length- 3.4mm. Width- 2.92mm. Cutting- fair Color- H Provisional GIA Clarity- 11 " " ESTATE OF PATRICIA A. ROBINSON Page 2, #4 continued The Diamond is set in a four prong white gold head. The yellow gold shank is 3.8mm. wid . $125.00 5. One lady's 14 karat yellow gold Diamond solitaire ring contains 1- .03ct. full-cut Diam nd set in a 5.6mm. square white gold illusion head. The yellow gold shank is 2.6mm. $30.00 6. One lady's 14 karat yellow gold plain wedding band weighs .8dwt. $10.00 7. One lady's 14 karat yellow gold Diamond solitaire ring contains: 1- .69ct. Brilliant-cut Diamond Dia.- 5.5- 5.54mm. Depth- 3.71mm. Cutting- fair Color- J Provisional OIA Clarity- VVS2" " Fluorescence- strong blue The Diamond is set in a white gold six prong head with a 1.5mm. wide yellow gold shank. 8. One lady's 14 karat yellow gold wrap ring contains 3- .0075ct. single-cut Diamonds. TOTAL ESTIMATED FAIR MARKET VALUE OF ALL ITEMS- $1063.00 CARL E. OCKER AUCTIONEER 4401 Philadelphia Avenue Chambersburg, PA 17201 (717) 264-6578 Personal Property Appraisal for Patricia Robinson Estate 317 Dwelling Ct Shippensburg P A 17257 GROUP OF COSTIJME JEWELRY ..............................................................40.00 TOTAL ......................................................................................................... .$40.00 I, DO HEREBY CERTIFY that I have examined the tangible personal property of Patricia Robinson Estate, 317 Dwelling Ct, Shippensburg P A 17257 And do value and appraise the same at $40.00 as being fair market Value of said property ou this date of April~, f'l\ _ _ __ m Date 1- / ~ (} /0 5" Carl E. Ocker ('1. /)~ I Appraiser ~ I _-15I1EX'('~ *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ROBINSON PATRICIA A Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES: 1. FOGEL SANGER BRICKER FUNERAL HOME AMOUNT $6,~17.50 1. ADMINISTRATIVE COSTS: Personal Representative's Convnissions Name of Personal Representative (s) FARMERS & MERCHANTS TRUST CO. Social Security Numbel{s) I EIN Number of Personal Representative(s) S1reetAddress P.O. BOX 6010 City CHAMBERSBURG Slate PA Zip 17201 2,(00.00 B. Year(s) Commission Paid: 2006 2. 3. A~F~ ROBERT G. FREY Famly Exemption: (If dec:edenfs address Is not the same as c1aimanfs, a1lach explanation) Claimant Street Address WA1VED City Relationship of Claimant tl Decedent Slate Zip 4. ProOOteF~ REGISTER OF WILLS 91.00 5. Accountanfs F~ 6. Tax Return Preparel's Fees 7. THE SENTIENEL, EXECUTOR NOTICE CUMBERLAND LAW JOURNAL, EXECUTOR NOTICE KENNY'S AUCTION, COMMISSION ON SALE OF PERSONAL PROPERTY REGISTER OF WILLS, ACCOUNT FILING FEE 173.15 75.00 ],120.38 130.00 TOTAL (Also enteron fine 9, Recapitulation) $ 19,807.03 (If more space Is needed, Insert additional sheets of the same size) REV-1512 EX' (12-03) .. COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE L1ABIUTIES, & LIENS ROBINSON PATRICIA A FILE NUMBER Report debts Incurred by the decedent prior to dealh which remained unpaid as of lhe dale of death, Including unreimbursed medical expenses. ITEM VALUE AT D IE NUMBER DESCRIPTION OF DEAT 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 1. GIANT, CHECK NO. 4311, CLEARED ON 1/31/05 NATIONWIDE INSURANCE, CHECK NO. 4309, CLEARED ON 1/26/05 COTTAGES OF SHIPPENSBURG PPL UTILITIES FIRST ENERGY, PENELEC SPRINT, TELEPHONE CHARGES SUMMITT BEHAVIORAL HEALTH CARLISLE REGIONAL MEDICAL CENTER SHIPPENSBURG FAMILY PRACTICE CHAMBERSBURG HOSPITAL MOFFITT HEART & VASCULAR GROUP CUMBERLAND VALLEY MEDICAL SVCS $ 38.20 179.80 558.00 169.15 152.52 59.51 88.40 21.70 18.93 30.94 9.18 206.84 TOTAL (Also enter on line 10, Recapitulation) $ 1,533.17 (If more space is needed, insert additional sheets of lhe same size) REV-1513 EX. (9-00) f. '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF ROBINSON PATRICIA A NUMBER NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS ~ndude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] GLORIA GARDNER 32 MITCHEL LANE NEWBURG, PA 17240 SCOTT TYLER ROBINSON 949 BALTIMORE ROAD SHIPPENSBURG, PA 17257 SPENCER BRIAN ROBINSON 949 BALTIMORE ROAD SHIPPESNBURG, PA 17257 SHENELLE PATRICIA ROBINSON 949 BALTIMORE ROAD SHIPPENSBURG, PA 17257 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) NIECE GRANDSON GRANDSON GRANDAUGHTER FILE NUMBER AMOUNT OR Sf ARE OF ESTATE $500.0p SPECIFIC BEQUEST SPECIFIC BEQUEST PER ITEM 3A SPECIFIC BEQUEST PER ITEM 3B SPECIFIC ~EQUEST PER ITEM 3C ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN M30VE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET " NON-TAXABLE DISTRIBUTIONS: A. SPOUSAl DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART" - 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) J J (s.. \2) LAST WILL AND TESTAMENT OF PATRICIA A. ROBINSON I, PATRICIA A. ROBINSON, widow, of Lot 165 Shippensburg Mobile Estates, Shippensburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor to pay all of my debts to which I am bound and the expenses of my funeral. last illness, and of the administration of my estate as soon after my death a:; mayh~ ['Jund convenient to do so. 2. I declare that at the time of the writing of this my Last Will and Testament, I am a widow. I further declare that I have one (1) child by my marriage to Kenneth E. Robinson, who is Scott J. Robinson. I further declare that I have no other children. 3. I give and bequeath the following items of personal property: a To my grandson, Scott Tyler Robinson, my first engagement ring and wedding band which is located in my safe deposit box at F & M Bank. b. To my_grandson, Spencer Brian Robinson, my wedding ring set which is located in my safe deposit box at F & M Bank. ./ c. To my granddaughter, Shenelle Patricia Robinson, all of my other jewelry, including my 25th wedding anniversary diamond wrap-a-round ring. Should any of the above mentioned persons predecease me or fail to survive me by a period of ninety (90) days, then the bequest tothat person shall lapse and be added to the remainder of my estate. Should any of the above mentioned persons be under the age of twenty-one years (21) of age, then I authorize my hereinafter named Executor, to hold said above mentioned items in Trust, pursuant to paragraph 6 below, until that person attains the age of twenty-one (21) years. 4. I give to my niece, Gloria Jean Gardner, the sum of $500.00. ~ 5. All of the rest, residue, and remainder of my estate, real, personal, or mixed, and wheresoever the same may be situate, I give, devise, and bequeath to such of my grandchildren as shall survive me by a period of ninety (90) days, the share any deceased grandchild would have received to pass to his or her issue per stirpes and if there be no issue, such share shall lapse and be added to the remaining share or shares per stirpes. At the present time I have three (3) grandchildren, Scott Tyler Robinson, Spencer Brian Robinson and Shenelle Patricia Robinson. I have intentionally made no provision for my son, Scott J. Robinson, for the reason that my son has been adequately provided for during my lifetime and it is my desire to provide for my grandchildren. 6. Should any person less than twenty-one (21) years of age be entitled to a distribution from my estate, in such event the share that person would otherwise have received shall be paid to my hereinafter named Executor in trust. I authorize the herein named Trustee to receive and invest the same, and to pay the income arising therefrom, together with so much of the principal thereof as in its opinion is necessary or desirable to be expended for the proper maintenance, support, and education of such person, to or for the benefit of such person, and upon such person attaining twenty-one (21) years of age to pay to him or her the then remaining principal together with any undistributed income. It is my intention that all of the residue be for the use and benefit of my grandchildre!1on~e they have ~!ttained adulthood !!Cld I direct that any expenditures deemed by my . Executor to be necessa....y prior to distribution of the Trust corpus be made directly to the provider. of support, maintenance andeducaribfiand no payments'should oeas'l>ubstitutefot any parental support to which the trust beneficiary would be entitled. 7. I hereby nominate, constitute, and appoint the F & M Bank, of Chambersburg, Franklin County, Pennsylvania, or its successors and assigns, as Executor of this my Last Will and Testament. I further direct that it shall not be required to post any bond to secure the faithful performance of its duties in the Commonwealth of Pennsylvania or in any other jurisdiction. Page 1 of 3 Pages , ' J ~ ~ ~ \ I 8. In addition to the powers conferred by law, my herein named Executor and Trustee is empowered: a. To invest any part of the trust corpus in such securities, investments, or other property as may be deemed advisable and proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. b. With respect to any corporation, the stocks, bonds, or other securities of which may be held, to vote in person or by proxy on any shares of stock; to consent to the merger, consolidation or reorganization of such corporations~ to consent to the leasing, mortgaging, or sale. of the property of any suchc;orporations; to make any surrender, exchange or sllbstitution of such stocks, bonds, or other securities as an incident to the merger, consolidation or reorganization of such corporations; to pay l.lll assessments, subscriptions and other sums of money which maybe deemed wise and expedient for the protection and maintenance of the proportionate interest of the investment in such corporations; to exercise any option or privilege which may be conferred upon the holders of such stocks, bonds, or other securities of such corporations either for the conversion of the same into other securities or for the purchase of additional securities, and to make any and all necessary payments which may be required in connection therewith; and generally to have and exercise as to all such stocks, bonds, and other securities, the powers of an individual owner who is not under trust obligation. c. To hold the trust corpus in one or more consolidated funds in which separate shares shall have undivided interests. . d. To sell at public or private sale for cash or upon credit, or partly for cash and partly on credit, and upon such terms and conditions as shall be deemed proper, any part or parts of the trust estate, and no purchaser at any such sale shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase money arising therefrom. e. To keep on hand and uninvested such moneys as may be deemed proper and for such period as may be found expedient. f. To compromise, settle, or arbitrate any claim or demand in favor of or against the trust estate. g. And authorized in the discharge of fiduciary duties, to employ counsel and to determine and to pay such counsel reasona~le compensation which shall be charged against the principal or income of the trust fund, and shall further be entitled to charge against the principal or income such other reasonable expenses and charges as may be necessary and proper to incur for the proper discharge of fiduciary duties and for the proper management and administration of the trust estate. h. In making any division of property into shares for the purpose of any distribution thereof directed by the provisions of the trust, to make such division or distribution, either in cash or in kind, or partly in cash and partly in kind, as shall be deemed most expedient, and in making any division or distribution in kind may allot any specific security or property or any undivided interest therein to anyone or more of such shares, and to that end may appraise any or all of the property so to be allotted and the judgment as to the propriety of such allotment and as to the relative value for purposes of distribution of the securities or property so allotted shall be final and conclusive upon all persons interested in the trust or in the division or distribution thereof. i. To register any shares of stock or other as.si\ts of any trust in their own names or in the name of a nominee. . j. To retain any investments including mutual funds which I may own at the time of my death and in addition to invest any part of the Trust corpus in such mutual fund or mutual funds as may be deemed advisable or proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. Page 2 of 3 Pages . . 9. If any beneficiary under this Will shall directly or indirectly, by legal proceedings or otherwise, challenge or contest this Will or any of its provisions, or shall attempt in any way to oppose or set aside the probate of this Will or impair or invalidate any of the provisions I have made in it, any gift to, or other provision for, that person under this Will is revoked and shall be disposed of in the same manner as if that contesting beneficiary had predeceased me without issue. . IN WITNESS WHEREOF" I have he:reuQ.Jo set my hand and seal to this my Last Will and Testament consisting of 3 pages, written this 2lf.nmy of October. 200 1. Gi4 . .. . .~ rf(~(SEAL) .. atricia A. Robinson Signed, sealed, published and declared, by Patricia A. Robinson, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. j qD l!1 . fli rM. J.Q UQ Page 3 of 3 Pages