HomeMy WebLinkAbout09-27-13 (2) _ __
� 1505610105
REV-1500�`°�"„F°'��
PA Department of Revenue Pennsylvarria OFFICIAL USE ONLY
Bureau of Individual Tazes �� ����� County Code Year file Number
Po eoxzso6oi INHERITANCE TAX RETURN �` 13 , OO �� '
Harrisburg,PA iyia8-o6o1 RESIDENT DECEDENT �
ENTER DECEDENT INFORMATION BELOW
� Social Security Number Date of Death MMDDVVYY Date of Birth MMDDVVYY
12/31/2012 05/12/1932
Decedenfs Last Name Suffiz DecedenYs Fitst Name MI
Crone Jesse ', E
�� (If Applicable)Enter Surviving Spouse's Information Below
' Spouse's Last Name Suffix Spouse's First Name MI
Spouse'S Social Sewrity Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
'�. FILL IN APPROPRIATE OVALS BELOW
' � 1. Original Return O z. Supplemental Return O 3. Remainder Retum(Date of Death
'� Prior to 12-13-82)
� O 4. Limited Estate p 4a. FuNre Interest Compromise(date of O 5. Federel Estate Tax Return Required
�, dea[h after 12-12-82)
'� � 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number o(Safe Deposit Boxes
' (Attach Copy of Wifl) (Attach Copy of TrusL}
�'� O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
I, Between 12-31-9t and 1-1-95) (Atlach Schedule O)„
� CORRESPONDENT- THIS SECTION MU57 BE COMPLETED.ALL CORRESVONDENCE AND CONFIDENTIAL TAX INFORM N SHOULD BE�QIRECTEOTOr-r�
��. Name Day[imea,�,el�one Numbe� � '���'
. . . . .. . . . ...... .. . .. .. . . 4� . -:�
Shaun E. O'Toole (717)pyi�3,@9
. .. . .... . .. ...... ...... ...... .. .... � s. ,.. r.>.. . �-
' 13F'ER'OF WILtS�U3E ONLY-`
1'�l �' -, ',
', FirstLineofAddress �-; C.\ � -�--� � �:
. . .... . ...... ..... ....... ..... ..... ._. �.
. . <.;�� �-... .
220 Pine Street . � --
� Second Line of Adtlress �
�=
'. D� U I `r,'
Ciiy Or POSi OffiC2 �� � � � � ��� St2t¢ ZIP COdB DATE FILED
Harrisburg PA 17101
corresPo�ae�rs e-mau address:sotoole@otoolelawoffice.com
. Untler penalties of perjury,I daclare that i hava examined this re�urn,including accompanying schedules and sWtements,antl to the best oi my knowlatlge antl belie(
I it is true,correc[and complele.Declaralion of preparer other Ihan Ihe pereonal representalive is based on all information of which preparer has any knowletlge.
'� SIGNATURE F PERSON RESP NSIBLE POR FILING RETURN p DATE
l •7.
'��. ADORESS
, 21 Stone ring Lane, Camp Hill, PA 17011
�� SIGNATURE OF PREPARER OTNER TMAN REPRESENTATIVE DATE
i
� ADDftESS
I PLEASE USE ORIGINAL FORM ONLY
' Side 1
', � 1505610105 1505610105 J \
�
J 15056102�5
REV-1500 EX(FI) �
DecedenYS Social Securiry Number
DecetlenTs Name: CfOfIB, Jesse E. '��,
RECAPITULATION
i. Reai estace(s�nedwe a). .... . .. . .. .. ... .. . .. .. ... .. .. .. . .. . .... ... .. i. I 736,392.00
2. Stocks and Bonds(Schedule 8) . ...... .. . .. .. ... ....... .. . .. ... ..... .. 2 '
3. Closely Heltl Corporetion,Partnership or Sole-Proprietorship(Schedule C) . ... . 3. �.
4. Mortgages and Notes Receivable(Schedule D).. .. . .... .. . .. ..... .. . .. .. . 4.
� 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). .. .. . . 5. 34,695.50
� 6. Jointiy Owned Property(Schedule F) O Separate Billing Requested ... .. . . 6.
��� 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property � �� �� ��� � ����� �
, (Schedule G) O Separate Billing Requested.. ... .. . 7. 192,441.83
'� 8. ToWI Gross Assets(total Lines 1 through 7). .. . .. .. .... ... . . .. ... ... 8 � � � 963,529.33
��� 9. Funeral Expenses and Administrative Costs(Schedule H). .. .... .. . ... .... .. 9. 104,003.52
�. 10. Debts of Decedent, Mortgage liabilities and Liens(Schedule I)... .. . .... . . . .. 10. 44,306.56
, tt. ToWI Deductlons(total Lines 9 and 10).. ... ... .. .. ... .. .. .. . .. ..... . .. . 11. 148,310.08 �
' 12. Net Value of Estate(Line 8 minus Line 11) .. .. .. ... .. . .... .. . .. .... . .. . . 12 a1$,21 J.25
� 13. CharitableandGovemmentalBequests/Sec9113Tmststorwhich ������ ��� ������� ����� � �
��, an election to tax has not been made(Schedule J) ... . . .. . .. .. . .. .. .. ... .. 13. �� 0.00 ���
�. 14. Net Value Subject to Tax(Line 12 minus Line 13) ..... .. ... .. ... .. .. ... .. 14. �. 815,219.25
�, TAX CALCULATION-SEE INSTRUCTION$FOR APPLICABLE RATES
'�, 15. Amoun[of Line 74 faxable
'�. at the spousal tax rete,or
�. transfers under Sec.9116 ...... .. . ... ... .815,219.25. . .. .. ..... . ...... ..... ... .
(a)(t2)x.o_ 15. 36,684.87
�'� i6. Amount of Line 14 taxable .... . ..._._. . _. .... _. . .. . . . .. . . ..... .. .._.. . ... ....
' at lineai re�e X.0 16.
.. 17. Amount of line 14 taxable . . . . .. ...... ......... ... . . . .. . ........
'�, at sibling rate X.12 17.
.. 18. Amounl of Line 14 taxable ....... .._. ._..._ ._._. .. .... .._.. ._.._. _.._..
��� a[collateral rete X.15 18.
�s. raxoue . .. .. ... ... .. .. __.. .. _. ... .. _ ... .. .. ... .. . _.. .. . .. . �s _ _ 36,684.87
'� 20. FILL IN THE OVAL IF YOU ARE REOUESTING A REPUND OF AN OVERPAYMENT p
I $Id@ 2
II � 1505610205 15056102�5 J
. _ __ _ _ __
REV�1500 EX(FI) Page 3 Flle Number
D�'cedenYs Complete Address:
�E EDENTSNAME
JBsse Edwin Crone
STIkEETADORESS
2$Westwind Drive
CITY STATE ZIP
L@moyne PA 17043
TaX Payments and Credits:
L ',Taz Due(Page 2,Line 19) (1) 36,684.87
2. �'�,CreditslPaymenis
'',.A.Prior Payments _________--- 0.00
'�B.Discount � 0.00
��. Total Credits(A+g) (p) 0.00
3. '�Interest
� (3) 0.00
4. I If Line 2 is greater than Line 1 +�ine 3,enter the di8erence. This is the OVERPAYMENT.
�I Fiil in oval on Page 2,Line 20 to request a refund. (4}
5. '�,If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 36,684.87
Make check payable to: REGISTER OF WILLS, AGENT.
1 . .:, ' �. � � n �,t '.i 3 1 . . .. . . .
' _ ' �� � , � 'ti� ._, .t. :,. S. .t �,z. ,3 , , � .;:�,', i , r, �(i i,.._ i ,,;::i�, .. , � �E;>>ii.�, u) .�E��'s�e"�
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
�� 1. Did decedent make a transfer and: Yes No
� a. retain the use or income of the properly transferred...................................._.._...._.......................................... ❑ �
��� b. retain the right to designate who shall use ihe propedy iransfeRed or its income .................._........................ ❑ �
c. retain a reversionary interest................................................................__.......................................................... ❑ �
', d. receive the promise for Iite of either paymen[s,benefts or care?...................................................................... ❑ �
'�.. 2. If death cearred after Dec.12,1982,did decedent transfer propedy within one year of death
'�. withoui receiving adequate consideration?..................................................._......................................................... ❑ �
�. 3. Did decedent own an"in tmsf for"or payable-upon-death bank account or secunty at his or her death?.............. ❑ �
�� 4. Did decedent own an individual retirement account,annuily or other non-probate property,which
��.. contains a benefciary designation? .................................................................................................. . � ❑
.....................
IF IfHE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
� ' ,:. �. , .r ...': ' ;;: . ,.' I.,�. s�i i' ii i ,. �;�n�° S �,.� :.i �_�..c;�N�k „ ,�il�k�_�,»5.�=
For�ates of death on or after July 1, 1994 and before Jan 1,1995,the tax rate imposed on the net value of trans(ers to or for the use of the surviwng spouse
is 3 percent�72 P.S.§9116(a)(1.1)(i)].
For pates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72�S.§9116(a)(1.1)(ii)).The statute does not exempl a lransfer to a surviving spouse from tax,and the statutory requirements for di,dosure of assets and
flin a tax retum are still applicable even if Ihe surviving spouse is the only benefciary.
For�ates oi death on or after July 1,2000:
• he tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
doptive parent or a slepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)J.
. ,he tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficianes is 4.5 percent,except as noted in[!2 P.S.§9116(a)(1)].
. �he tax rate imposed on the nei value of transfers to or for the use of the decedenPs siblings is 12 percent�72 P.S.§9116(a)(1.3)].A sibling is de(ned,
nder Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
_ .
REV-ISDl EX+ (12-IZ}
,�j'i pennsylvania SCHEDULE A
� oevnaTnENTOFaEVErvue REAL ESTATE
INHERITANCE TAX RETURN
RESt�ENT DECEDENT
ESTATE OP: FILE NUMBER;
Clrone, Jesse E. 21-13-0022
' AII 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,neifher being mmpelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
. ITEM Indude a copy of the deed showing decedent's in[erest if owned as tenant in common. VALUE AT DATE
I NUMBER OF DEATH
. DESCRIPTION
I Residence: 23 Weshvind Drive,Lemoyne,PA 17043(closing settlement sheet attached) 614,400.00
2. Unimproved Land:26 acres Lower Frederick Twp., Montgomery Counly,PA 121,992.00
Assessed Value:$77,210; CLR Factor: 1.58; $77,210 X 1.58=$121,992.00
i
I
�'�. TOTAL(Also enter on Line 1, Recapitulation.) $ 736,392.00
' If more space is needed,use additionai sheets of paper of the same size.
I
_ r _ _ _ _ __ __ _ _ _
_. �__.._.__�_........
A. Sett1ementSta�emeR� U.S.DapetlmantofMOUSingentlUrbenDavelopment
1. �PNA '�2. OPmHA 3. �Conv.Uniiu. 6.FileNUmber ZlnanNUmber B.MOngagelnwrenrcGxNumber
��YMmY MYiMbOMWU�WmMAtl�IrtlYmwumWNmnsP�bnEWtlnxtllxn�nVnlm�M1mn.
C.N018: mulutl'ynnl"+'�Pb'�bWM YYyu�W�nlw�bYiNmMqaru�vquemMlyypNlMwYa. TXIGE $MIBm �8 lam
/�RNINO.IIY�Cn�qMI�Y4hnWhy�btlellnMBYMMOW [Ae�WnYYbrm.M�lEmu[� V�RN M y!
o.Nnrne oM eoR0.owex: MANUEL PEREGAINO and LAUREL PEREGRINO
c.rvnmeoPSe��ea: THEESTATEOFJ.EDWINCRONE,AKAIESSEEDWINCRONE
_ 73 WESTWIND DRIVF 1 FMOYNP pp 1704
P.NAM[OF;LENDCR:
c.ertovea , aouaass: 23 WCSTWIND DRIVE,LEMOYNE,PA 17043
x.sern.c �NTncervr: Intercounty Iand Transfer,LP,Telephone:717-508-6222Fax:717-508-6223
I
fi14 90 .00 619 900.00
9 ]69.00
<N.
Ol/OB/13 12/31/1] 1 G85.6fi O) OB 13 12/31/1] 1 485.66
0'i/OB/13 O6 30/14 5 9]6.25 0]/08/13 06/30 14 5 9'l9.25
0'!/OB 13 09 30/13 <0.53 0]/08/13 09 30/13 60.52
fi]1 fi69.4] fi21 900.93
10 000.00
4] e]6.09
�� 30 8'l0.3]
BBLT
26 ]11.99
ORRI TOXN BANI(
io 000.00 es ooe.as
631 6fi9.<] 621 90 .<
10 000.00 8 008.65
621 669.43 536 891.98
811B811NiE M�iNBSELLFRSiqTEYEXT'iMYkmWm�OYMM1Mw1YYryYYntivMOmislknuMlshhqNmWiNbIMIfMmNPfMn�ieBMrb IIpuN�pulRtlbPoeereLrn,
�ypy�� Ny WCM WIbF�Em yw XOi MMI M IpWMb M�qpM1E nO�M IPB Eele�mYM TYXM1Y M NM�qP�ltl.ili�CMbM Slu P�ka EefcMaO m
Ilneblfa.e MOmaPiavae]EWWnVYU1b�. 'ry
nu'fM',f1 YbWqM�IaniMYWL��F�A'W.�L�NrvIdN!/NJI��iN��vw�mMeslsbmm�lYmYw�ndby�RebMYlba„nurtbM �
tIN'._i._. I_'_ BELLEflI81SI�NPiVRE151'. /
SELLER�S�N�'!MNLIXOPODPE55�.___._._ _ __.__ ——
SELLER�S�PN�MiE NUMBEP6'. �H) M'I
. _ . . _ _
U.S.D@PARTMLNTOFIIOUSINGANDURBANDCVEI,OPMP.NT FileNumber.IH-2050 pp�E2
T
PAIO FROM PAID FROM
T 614 0.00 = 31 190.0 BORROWER'S SELLER'S
FUNOSAT FUNDSAT
15 585.00 eoward e en eal Estate s rvi SET'fLEMENT SETTIEMEI�R
15 555.00 BROXNSTONE &EAL 89TATE CONPANY
21 140.00
195.00 9 BO5.00
255.31
50].59
0.00 0.0
SMNN E. O'TOOLE E9 . 200.00
CANUY BUR% 5.00 30.00
I TERCOUATY LAND TMN9PBR LP 3 360.00
634 C00.00 - l 3fi0.00
I6TBRCOIMTY LABO TIUMSPER LP 10.00
IPTBRCOUMTY LANO TRANBPER LP 20.00
INTLRCOUMTY LPNO TPANSFER LP 15.50
5.00 fi .
6 46 0 � 6 1J4.00
6 1C . 0 � 144.00
PAITH NICOLA 3 ;]0. 2
PAITH NICOLA 6 091.0]
PENN w Bxs 160.50
B R O fl OP LEM YN6 280.00
BOA0116B OF LENOYNB 90. 0
Americen Nama 8hield 540.00
9 ]69.00 4l 826.09
XIIOCEPTIFIGi1OXOF&IVEPMIO6ELlEfl
NeXUDnBeXW�wq.BYbmn�vqbYaNAW�YMM�lpevqOMYI,NbsoueenJmrsN mwMplYlmxlpusMCbWivneMmeOeanmye¢cwla4yme
In�yil � �a.IN Ip Nl�ew�xeMlBaqyWtlreHW.l9eMnxXSlNmnt ^
M�TEN �LPEX RI WRELG P I10
lHEESiPTEtlFJ.EGWINCPQVE,PNAJE56EEGWIN CqOHE
�V �
By.OPNIELJ.1/RL WJ(EXEWiOP
WRRHIXO:ITI A MEtOWIWIIHOLVM/JtEFMBEBTATEMEMBTOINE LIieXW�18pY MBWairerilMMblM1S.apnpuWba4uavA.awsiava�n�a1N'quernadM.
IINITE�BTAT�ONTN80flINVBYAMflfOflMPFNpl11E9UPONCCHJICi1CN I�ewuueOa�InuMM] MCeWro]IneaaErmnMNY��.
C.W�WOE F��OµIM%11�NMOEN MPoPOET.4L98EEiRLE1B'.
a�: .� �a�i3
_ _ _ _
REV-i5o8 EX+(o8-iz)
,�i pennsylvania SCHEDULE E
Vj oePaRTMenroFaeveNUe CASH, BANK DEPOSITS & MISC.
`""ER`T""`E r"""�u"" pERSONAL PROPERTY
RESIOENT DECEOENT
E5TATE OF: FILE NUMBER:
�rone, Jesse E. 21-13-0022
Indude the proceeds of litigation and the date the proceeds were received by[he estate.
All property jointly owned with right of survivorshfp must be diulosed on Schedule F.
� ITEM VALUE AT DATE
'�NUMBER DESCRIPTION OF DEATH
�. Personal Property-contents of residence (Auctioneer accounting attached) 34,695.50
' TO7AL(Also enter on Line 5, Recapitulation) ; 34,695.50
�. If more space is needed, use additional sheets of paper of the same size.
S. Brian Magaro
Auctiorceer
608 Mags�so Road
Eaola, Peansplvaaia 170Z5-1912
7l7-?32-7940 Fax: ?17.728.3442 exnai2: magaxob�al.aam
AUCITON SETTLEMENT SHEET
Settiement tor: Jessee Crone Eatate Sale Date: 06/30/2013
Total procetds from personat prope�'tp �34,695.50
Eapenses:
-_ C4I6iit3SS14fl Ort SSIB 6f jiBl'SOIlSI PTO�tE]'�,Y�A �Si/o �8,6'13.87
Advertiaing:
Flyers (2S0 Q$O.1Q ea S 25.Q0
F�at Signs $ld3.18
Fry Communications (Guide) $672.UQ
Antique Auctioa News S 225A0
Paxton Herald $236.34
Total Advertising $1,301.40
Adverti$ing contract amount $1,200.00 $1,200,pp
Auetion setup 58 man hrs @�15.40 hr � &?8.00
Auction setup contract amount $ 40p.00 � 400.00
Rental ezpense 2 20'X40' Tents Q S350A0 ea. 5700.00 o ch�g
Total Eapenses $10,273.87 �$�0.273.$7
Tot�l To Jeasae Crone Est�te $24,421.63
Date of Setttement: 07/19/2013
Escraw Check#.
Sellers Signature:
Z'hank yo r t6e opportuoity to serve you and your aaction nceds.
: v a��
S. Brian Magaro
' Auctioneer
_ . . _
aev-is+n ex+ �Qa-a��
`�i"� awpennsylvania SCHEDULE G
,� �EP^Ar^^E�r�FAE�F��E INTER-VIVOS TRANSFERS AND
,NHea�lnncernxaeruar� MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
E5TATE OF FILE NUMBER
¢rone, Jesse E. 21-13-0022
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the 0.EV-1500 is yes.
DESCRIPTION OF PROPERTY
ITEM wcwoEr„ErvnaEOrrrEranncFeaee,rneiaaEUnorvswcra oECeoervrnno DATE OF DEATH °/a OF DECD'S EXCLUSION TAXABLE
NUMBER meen*EOrinaxsrEa. nnnancovrorrxe�eeovoaaeaieslar[. VALUEOFASSET MTEREST 1�FAPP��cne�e� VALUE
1. Ministers&Missionaries Benefit Board(MMBB)Annuity �gp,qq�.g3 100 0.00 192,441.83
�'�� TOTAL(Also enter on Line 7, RecapiNlation) j 192,441.83
�', If more space is needed,use additional sheets of paper of the same size.
__ i
_ _ _ ___ __ .
uev-a5i� ex+ ,or;-;;;
� pennsylvania SCHEDULE H
oeanarMeNroFReveNUe FUNERAL EXPENSES AND
�NHEa�rnNCe Tnx aeruaN ADMINISTRATIVE COSTS
RESroeNr oeceoervr
ESTA!fE OF FILE NUMBER
Crone, Jesse E. 21-13-0022
Decedent's debts must be reported on Schedule I.
ItEM
NU�IBER DESCRIPTION AMOUNT
A, FUNERALEXPENSES:
i Musselman Funeral Home&Cremation Services, Inc.-Lemoyne, PA 17043 6,341.00
B. � ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: 15,000.00
Name(s)of Personal Representative(s) Daniel J. Walchak
street nadress 21 Stone Spnng Lane _ __ __
c;ty Camp Hill s[ate PA ztv 17011
vear(s)Commission Paid: 2013
2. Attorney Fees:
15,000.00
3. Family Exemption: (If deceden['s address is not the same as daimant's,attach explanation.)
Claimant
Street Address
.._. _... .__.. ._. ..
CitY. __. _._ ... ... State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: 603.50
5. Accountant Fees: 620.00
6. Tax Return Preparer Fees:
> Liberty Mutual Insurance-home owner's premium 293.00
�. S.Brian Magaro-Auctioneer-commission,advertising,auctlon costs 10,273.87
$. '13 County&Twp Real Property Tax 1,884.36
�0. '13 School Real Property Tax 116.82
�1. Penn Waste-garbage 119.98
�8. From attached 43,750.99
� TOTAL (Also enter on Line 9, Recapitulation) � 104,003.52
If more space is needed,use additional sheets of paper of the same size.
__ _ _____ _ _
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATION COSTS
ESTATE OF: Jesse Edwin Crone FILE NUMBER: 21-13-0022
Item
Number DESCRIPTION AMOUNT
12. Lemoyne Boro - Sewer $ 320.00
13. American Home Shield - home warranty $ 540.00
14. Cumberland County -realty transfer tax $ 6,144.00
15. Inter County Land Transfer $ 45.50
16. Candy Burk - notary fee $ 10.00
17. Howazd Hanna- real estate commission $ 30,945.00
18. Postage, office supplies, etc. $ 147.50
19. PPL- electric $ 229.24
20. UGI-gas $ 913.06
21. PA American Water-water $ 73.69
22. House repairs and maintenance $ 4,383.00
TOTAL (Enter on Line 12 of Schedule H)
$ 43,'750.99
. _
_
REV-1512 E%+ ;12-12)
� pennsylvania SCHEDULE I
DEPARTMENTOiREVENUE DEBTS OF DECEDENT,
INHERITANCE TAX NETU0.N MORTGAGE LIABILITIES �LIENS
RESIDENT DECEDENT
ESTATE OF FIIE NUMBER
Crone,Jesse E. 21-13-0022
Report debb incurred by the decedent prior to death that remained unpaid at the date of death,includiny unreimbursed medial expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPT[ON OF DEATH
i 8B&T-Mortgage on residence 18,135.00
2. Orrstown Bank-Line of credit 26,091.89
3. Verizon-final telephone bill 79.67
� TOTAL(Also enter on Line 10, Recapitulation) ; 44,306.56 �
If more space is needed,insert additional sheets of the same size.
__ _
REV-1513 Ex+(Ob10)
�' pennsylvania SCHEDULE 7
� �EPAPTMENT Of FEVENUF
INHERITANCE TA%RENRN BENEFICIARIES
RESIDENT DECEDENT
ElSTATE OF: FILE NUMBER:
�rone, Jesse E. 21-13-0022
RELATIONSHIPTO DECEDENT qMOUNT OR SHARE
�NUMBER NAME AND ADDRESS OF PERSON(5)RECEIVING PROPERN Do Not List Trustee(s) OF ESTATE
I iAXABLE DISTRBUTIONS[Include outright spousal dishibutions and transfers under
Sec.9116(a)(1.2).]
1. Dierdre Crone Farrell, 1329 Wuail Hollow Rd.,Harrisburg,PA 17112 Daughter 192,441.63 &1/2Res
2. Darryl Evan Crone,3 W.Richmond Ave.,#12,Point Richmond,CA 99801 Son U2 Residue
�. ENTER DOLLAR AMOUNTS FOR DISTRIBUTfONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRfATE.
' II NON-TAXABLE DISTRIBUTIONS
� A. SPOUSAL DISTRIBUTIONS UNDER SECiION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
��. TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV4500 COVER SHEEL �
If more space is needed,use additional sheets of paper of the same size.
_ . _ _
�� �.]
�� �
� � m �n
�� l_ +7 S�?
RS :::} __.
f�7 �7.3 CT '_" <;% �tJ
Of i `�
:zt :.. r- r,.� r,.z
� oY � C:J ,_..y
�. !!1 j`� ��.. C.l
JESSE E. CRONE `' � � �- ��`' "`' "'
_, . :, ,;
� _..
> �` "
_,
� > ILi
'��'1 �_.. .
... l r� .. �:"r
� F..• ..... "�� .
' I,JESSE EDWIN CRONE, declare this to be my Last Will and Testament and hereby
' revoke all prior wilis and codicils made by me.
FIRST: My Executor shall pay from the residue of my estate all my debts, funeral, and
' administration expenses and all estate, inheritance, succession and transfer taxes imposed by the
' United States or any state, territory or possession which shall become payable by reason of my
death. It shall not be necessary to file any claims therefore, nor to have them allowed by any
court.
SECOND: I give and bequeath such of my tangible personal property as is set forth in a
sepazate, dated and unsigned Letter of Instruction, which I shall place with my Will, to the
persons therein designated. If I have not left a Letter of Instruction or for those articles of
property not distributed under this Letter of Instruction, I direct that such items be distributed, in
' equal shares,to my children who survive me. I direct my Executor to sell, or otherwise dispose
' of, in my Executor's discretion, any such property and to add the net proceeds from the sale to
the residue of my estate.
THIRD: I give and devise the residue of my estate, real,personal and mixed, of
' whatever kind of nature, and whatever situate at the time of my death, including any property
' over which I now have or hereafrer acquire a power of appointment, in equal shares, to my two
', children, Dierdre C. Fanell and Darryl E. Crone, provided that such child survives me by sixty
I 1
_ . _ _ __
(60)days. If either of my children predecease me or is not living on the sixty-first(6151) day
after my death, such child's shaze shall by distributed to his or her issue, per stirpes, living on the
sixty-first(61�`) day after my death and, in default of any such then-living issue, such shaze shall
be added to the share of my other child. If any surviving issue of a deceased child shall not have
attained the age of twenty-three (23),his or her share of the estate shall be distributed to the
Trustee hereinafter named to be held and administered, IN TRUST, for the benefit of said issue
pursuant to the terms of Item FOURTH.
FOURTH: The Trustee shall administer the shaze of any beneficiary who has not yet
attained the age of twenty-three (23), IN TRUST, for the benefit of said beneficiary, as set forth
herein:
A. Trustee shall accumulate the net income and expend and apply so much of
the net income, accumulated income, and principal of this trust as the Trustee, in its sole
and absolute discretion, deems advisable for the health, maintenance, support and
education(including vocation and college education,both undergraduate and graduate) of
the beneficiary, after taking into consideration the beneficiary's other readily available
assets and sources of income, or during illness or emergency. The Trustee may apply the
net income accumulated income, and principal of this trust for the health, maintenance,
support and education of the beneficiary, should the beneficiary,by reason of age, illness,
or any other cause, in the opinion of the Trustee, be incapable of disbursing it.
B. When the beneficiary attains the age of twenty-three (23) years, the Trustee
shall distribute to the beneficiazy all of the principal and accumulated income of the trust
' to the beneficiary.
' C. In the event that any beneficiary shall predecease the complete termination
' 2
�
of the beneficiazy's trust, the remaining principal and accumulated incotne of such
beneficiary's trust shall be d`astributed to such beneficiary's surviving issue, if any, in
equal shazes; or if suoh beneficiary shall have no issue then living, then ta such
beneficiary's siblings, per stirpes. If the beneficiary is nat survived by a sibling, the
remaining principal and accurnulated income of such beneficiary's mist sha11 be
distributed to my then-living issue,per stirpes. If any distributee of this trust has not
attained the age of twenty-three (23), his or her share shall be distributed to the Trustee
hereinafter names ta be held and administered, IN TRUST, for the benefit af said
distributae pursuant to the terms of this item FOURTH.
' FIFTH: I naminate, constituie and eppoint my friend, Uaniel J. Walchak,as the Executor
: �f this my Last Witl and Testament, to serve without band or security,and to make distriburion
oF my estate in eash or in kind,or parily in cash and partiy in kind,and in sueh manner as he may
determine. I authorize, empower and direct rny Executnr to sell and canvey, by good and
sufficient deed, in fee simple estate, anp and all of my real estate, at public ar private sata, for
such price or prices, upon such terms and canditions,as in his judgment is best for my estate,and
to that end to sign, seal, execu?e, acknowlPdge and deliver all deeds or other instruments
necessary therefore, as effectic-ely as I could do if I were personally present.
In the event 1?aniel J. Walchmk dc�es not sur�?ve me, c�r 2cfuses to act as Executar or daes
' not complete the duties of�:xecutor, then I norninate, constitute and appoint Orrstown Bank as
the alternate Executor,to serve without bond or security. My altemate Executor shalt have all of
the powers, privileges, duties and immunities granted to my Executor as prc�vided herein.
SIXTH: I hereby nominate, constih�te and appoint Orrstown �3ank as T'rustee of any
; Trust created herein, to exercise ali of the pqwers conferred upon trustees by taw,and all of the
3
_.._ . _ ._ _r . . .. .__.__ ... .__
discretionazy powers granted herein. The Trustee and any successor trustee shall be entitled to
compensation for services from time to time during the period in which they aze performed.
SEVENTH: My trustee is authorized to invest, reinvest and keep the trust assets invested
in such real and personal estate as a prudent man of intelligence uid discretion would do for
himself for investment and not for speculation, giving due regard to the safety of the principal
' and the adequacy of the income, without being limited to the so-called"legal investment" in the
Commonwealth of Pennsylvania.
EIGHTH: No beneficiary shall have the power to anticipate, encumber or transfer his or
her interest in my estate or any trust created herein in any manner other than by the valid exercise
of a Power of Appointment. No part of my estate or any trust created herein, shall be liable for
or chazged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or
other process by any creditor of a beneficiazy.
IN WITNESS WHERE OF,I,JESSE EDWIN CRONE ,the Testator, have to this my
Last Will and Testament, set my hand and seal this �� day of Ja(� ,2011.
v U
; -=Cv�-a�> � "��'dr'�ti C---'�v-��-�
J�S E EDWIN CRONE
' 4
_..... . . .. . . .
Signed, sealed, published and declared by the above name Testator, as and for his Last
W ilt and Testament, in the presence of us, who have hereunto subscribed our names at his
request, as witness hereto, in the presence of the said Testator, and of each other. 'I'he preceding
document consists of this and four (4) other consecutively numbered typewritten pages.
�(��� ( � u"}-�� g �l.�P,6 �w+� , 1�L� �'11t�
„ residin at �- —
/o.
7�-
� � residingat c/1F1� 1�1�u- PA 170��—
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
) SS.:
COUNTY OF CUMBERLAND �
I, JESSE EDWIN CRONE ,the Testator whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as m Last Will; and that I signed it willingly and as my free
and voluntary act for the purposes therein expressed.
Sworn to or affirmed and acknowledged before me by JESSE EDWIN CRONE,the
Testator this 1°1 day of �4�W ,2011.
�� �_ �s
�i?�;�..LC �,-- ' �'��t-t
Teste`tor
Notary Public or Attomey
5
_
AFIDAV IT
COMMOr1WEALTH OF PENNSYLVANIA )
) SS.:
COUNTY OF CUMBERLAND �
We, 51�C�H � 0
`Tex�IG and 1'�AN �. wA �CisAlc , the
witnesses whose names ate signed to the attached or foregoing instrument,being duly qualified
according to law, do depose and say that we were present and saw the Testator sign and execute
the instrument as his Last Will; that the Testator signed willingly and executed it as his free and
voluntary act for the purposes therein expressed;that each subscribing wimess within the hearing
and sight of the Testator signed the Wili as a witness; and that to the best of our knowledge the
Testafor was at that time �.8 or more years of ape, of sound mind and under no constraint or
undue influence. � �cblt, and
Swom to or affirmed and subscribed to tx:fore me by `-�h4�'^ �• � >
� � ,2011.
���� � �„��LC�i�k�, witnesses,this �`�.day of_�-----
��,��,"� �� -
'itness
� c✓�---------
W11lle55
� K'�
�1 /``,y� �- �.�, `y' � j�.. � �SEtaI_)
=------- —
Notary Yublic or Attorney
fML
��pCMO
�r p��INN CNTf
����Jwi 6.20ta
Yy Com�M�
6