HomeMy WebLinkAbout06-16-14 (2) 1 1595610105
�J REV-1500 EX'a�""FI'
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania
Bureau of Individual Taxes County Code Year Fite Number
PO BOX 28o6oi INHERITANCE TAX RETURN / ` 'I� �q
Harrisburg,PA 17i28-o6oi RESIDENT DECEDENT 1
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Dale of Birth MMDDYYYY
04/14/2014 01/19/1918
Decedent's Last Name Suffix Decedent's First Name MI
Young Leona A
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
aff) 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4.Limited Estate O 4a.Future Interest Compromise(date of O S. Federal Estate Tax Return Required
death after 12-12-82)
m 6.Decedent Died Testate O 7.Decedent Maintained a Living Trust S. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT—THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
R. Scott Cramer (717)834-5700 ^'
o ;)o
C) s m
REGISTE PDAILLS USFOONNLY n
s 77 C O
co -0 Z
First Line of Address ::a D r I--• rt rrT
P.O. Box 159 a cn rn l
0
Second Line of Address v n O
0
�p G A
I� r m
City or Post Office State ZIP Code O Ire-AILED O
Duncannon PA 17020
Correspondent's e-mail address:
Under penalties of perjury.I declare that I have examined this rearm,including accompanying schedules and statements.and to the best of my knowledge and belief.
it Is true,correct and complete.Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SIGN^RE OF PERSON R SPONSIBLE FOR FILING RETURN x !D TE�/
ADDRESS •O.tJ (0 (�
J? Se� �uf rtw 1)unoa 4 a 2 Q6 SP,01 L L EIJOLA n f70Zs
SIGNA F P 'SPA THAN R1EPRESENTATNE DATE
ADD SS�•G. �i�' 170a
r PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610105 1505610105 J
1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: Young, Leona A.
RECAPITULATION
1. Real Estate(Schedule A). .................. 1,
2. Stocks and Bonds(Schedule B) ........... ......... 2. 152,697.31
3. Closely Hold Corporation,Partnership or Sole-Proprietorship(Schedule C) ... 3. 1
4. Mortgages and Notes Receivable(Schedule D)........................... 4
S. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5.1 90,436.11
6. Jointly Owned Property(Schedule F) =) Separate Billing Requested ....... &
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) C=:) Separate Billing Requested.,.... 7. 144,657.06
& Total Gross Assets(total Lines 1 through 7)............................. 8. 387,790.48
9. Funeral Expenses and Administrative Costs(Schedule H)........... ....... 9. 22,344.03o
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1).. ...... 10,
W Total Deductions(total Lines 9 and 10)...... ....................... 11. 1 22,344.031
12. Net Value of Estate(Line 8 minus Line 11) ...............__.... _ 12 i
� 365,446A5'
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) ....._ ....... ....... 13.
14, Net Value Subject to Tax(Line 12 minus Line 13) ..... ...... ........ K 365,446,45!
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.0—
16. Amount of Line 14 taxable
at lineal rate X.045 365,446.45 , 16.i 16,445.01
17, Amount of Line 14 taxable
at sibling rate X 12 17..
18. Amount of Line 14 taxable
at collateral rate X.15
19. TAX DUE...... ...... 19. 16,445.01
20, FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505610205 1505610205
REV-1500 EX(Fit Page 3 Fife Number
Decedent's Complete Address:
DECEDENTS NAME
Leona A.Young
STREETADDRESS
5225 Wilson Lane
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 16,445.01
2. Credits/Payments
A.Prior Payments
B.Discount 822.25
Total Credits(A+B) (2) 822.25
3. Interest
(3)
4. If Line 2 is greater than Line 1+Line 3,enter ft difference. This is the OVERPAYMENT.
Fill 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) 15,622.76
Make check payable to: REGISTER OF WILLS,AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
t. Did decedent make a transfer and: Yes No
a, retain the use or Income of the property transferred..............._......................................................................... ❑ 0
b. retain the right to designate who shall use the property transferred or Its income ............................................ ❑ 0
a retain a reversionary interest ....... ..................................................................................................................... ❑ I♦
d. receive the promise for life of either payments,benefits or care?,,................................................................. ❑
2. It death occurred after Dec, 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration?.............._...,._..........................__........,....................,.........,,._............. N ❑
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.
For dates of death on or after July 1,1994,and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent 172 P.S.§9116(a)(1.1)(i)).
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P,S.§9116(a)(1.1)(ii)).The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)).
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in(72 P.S.§9116(a)(1)).
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)).A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
SCHEDULE B
STOCKS AND BONDS
Estate of Leona A. Young No. 2014-00391
1. Investment Accounts
Ameriprise Financial Services,Inc
70100 Ameriprise Financial Center
Minneapolis,MN 55474
Mutual Fund Acct# 02144438302 002 $68,954.99
Annuity Deferred Vantage Acct#93007560497 004 $83,742.32
TOTAL(Also enter online 2 Recapitulation)_$ 152.697.31
(if more space is needed, insert addidonafsheen of same sin.)
SCHEDULE E
CASH, BANK DEPOSITS AND MISCELLANEOUS
Estate of Leona A. Young
PERSONAL PROPERTY
(All Property jointly owned with Lot must be disclosed on Schedule r.) NO. 2014-00391
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
I. Bank Accounts
Riverview Bank
P.O. Box B
Marysville,PA 17053
CD Account# 3068000 $ 50,000.00
DOD accrued interest $ 411.12 $ 16,803.71
Qointly hold with daughters Linda A.Hite and Betsy A.Strayer)
Orrstown Bank
2695 Philadelphia Ave.
Chambersburg, PA 17201
CD Account#4000035307 $ 60,000.00
DOD accrued interest $ 173.26 $ 20,057.75
(jointly held with daughters Linda A.Hite and Betsy A.Strayer)
CD Account#4000035308 $ 20,000.00
DOD accrued interest $ 57.75 $ 6,685.92
Qointly held with daughters Linda A.Hite and Betsy A.Strayer)
CD Account#4000035309 $ 20,000.00
DOD accrued interest $ 57.75 $ 6,685.92
(jointly held with daughters Linda A.Hite and Betsy A.Strayer)
CD Account#4000035310 S 20,000.00
DOD accrued interest $ 57.75 $ 6,685.92
(Jointly held with daughters Linda A.Hite and Betsy A.Strayer)
Checking Account#2200272301 $ 89,412.03
DOD accrued interest $ .98 $ 29,804.34
(Jointly held with daughters Linda A.Hite and Betsy A.Strayer)
2. Miscellaneous
Pennsylvania Employees Benefit Trust Fund- $ 224.55
Asbury Communities, Inc.—refund check $ 3,488.00
TOTAL $90,436.11
REV-1510 EX+(08-09)
Iff pennsytvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Leona A. Young 2014-00391
This schedule must be completed and filed if the answer to any of questions I through 4 on page three of the REV-1506 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF OECDS EXCLUSION TAXABLE
IXUTO rMENF TRA 1RErcACAORA NYO MDSE A m4MATE AND
NUMBER TO��re or rwwsrat. nrtAaAmvr or rino�o wa peN ESTATE. VALUE OF ASSET INTEREST 19 MMucaun VALUE
1, 2018 shares of PNC Financial stock @ 7117
Linda A.Hite and R.Keith Hite,daughter and son in-law 147,657.06 100 3,060.00 144,657.06
Betsy A.Strayer and James W.Strayer
daughter and son-in-law
i
TOTAL(Also enter on Line 7,Recapitulation) $ 144,657.06
If more spare is needed,use additional sheets of paper of the same size.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
Estate of Leona A. Young No. 2014-00391
Debts of decedent must be reported on Schedule I
ITEM
NUMBER DESCRIPTION
A. FUNERAL EXPENSES: AMOUNT
Auer Cremation Services of Pennsylvania $ 2,180.47
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commission -
Name of Personal Representative(s) -
Social Security Number(s)/EIN Number of Personal Representative(s)
Address:
2. ATTORNEY FEES - R. Scott Cramer $ 13,380.00
3. 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 -Son
4. Home Instead Senior Care $ 5,533.83
5. Ronald C.L. Smith Funeral Home $ 375.00
6. Register of Wills—Cumberland County $ 533.50
7. Medicine Shoppe $ 61.23
8. Flagship Rehabilitation $ 105.00
9. Rice Memorial Works $ 175.00
TOTAL Also enter on line 9 Reca ihJation 22 344.03
SCHEDULEJ
BENEFICIARIES
Estate of Leona A. Young No. 2014-00391
ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT
NUMBER SHARE OF ESTATE
A.Taxable Bequests:
I. Linda Hite Daughter 50%
2. Betsy Strayer Daughter 50%
ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
NUMBER SHARE OF ESTATE
B.Charitable and Governmental Bequest
NONE
CHARITABLE AND GOVERNMENTAL BEQUESTS(Also enter on line 13,Recapitulation)
$0.00 _
(Ijmore space is needed,insert additional sheets of same Size)
Ameriprise Financial Services,Inc. Ameriprise 13.
RiverSource Life Insurance Company Financial
70100 Ameriprise Financial Center
Minneapolis, MN 55474
ameriprise.com
May 6, 2014
R Scott Cramer
5 South Market Street
PO Box 159
Duncannon, PA 17020
Dear R Scott Cramer,
We received your request for the account values of Leona A Young's accounts. Following are the values
as of April 14, 2014:
Account Type: Account Number: Amount:
Mutual Fund 02144438302 002 $68,954.99
Insurance VATG 90903275627 004 $48,360.11
Annuity Deferred Vantage93007560497 004 $83,742.32
Please note:
• Accounts may be subject to market fluctuation depending on the product.
• If the insured is deceased, values indicated for life insurance product(s) reflect the gross
death benefit at the date of death, not the cash value.
• If the owner of the policy is deceased and the insured is living, the values indicated for life
insurance product(s) reflect the cash value as of the date of death.
• We provide these values as a service to our clients. Actual values used in preparation
of tax returns or for planning purposes should be verified by your qualified legal and tax
professionals.
For more information or assistance, please contact an Ameriprise Financial client service
representative at 800.862.7919 and select Estate Settlements, Monday through Friday, 7 a.m. to 6 p.m.
Central time.
We appreciate the opportunity to serve you.
Sinncer_elly,- I
U J"
George T(((QJJJsafaridis
Senior Vice President, Service Delivery
Ameriprise Financial Services, Inc.
RIVERVIEW BAND
AND ITS OPERATING DIVISIONS
200 Front Street,PO Box B,Marysville,PA 17053.
www.riverviewbankpa xom
May 1,2014
R Scott Cramer RE: Leona A Young
5 South Market Street DOD:4/14/2014
PO Box 159
Duncannon PA 17020
Account Number(s) 3068000
Type of Account CD
Date Opened July 7,2010
Principal Balance at date of death $50,000.00
,
Interest Rate 3.0500%
Accrued Interest not $411.12
disbursed as of date of death
Maturity Date July 7 2015
Primary Owner of Account Leona A Young
Name of Joint Owner(s),if any Linda A Hite
Betsy A Strayer
Beneficiary,if any
Date Joint Ownership was
Established July 9,2010
If within I year of death of
Decedent could prior Account
Be traced into a prior Joint
Account in existence over
1 year prior to death of
Decedent
N/A
Safe posit Box(s) d Lo non
By:
Steve lliams
Halifax Bank Marysville Bank
300 Market street 200 Front Street
PO Box PO Box
s t s. Ile t 1 Marysville,PA 17053
Halifax Bank Halifax,PA 17032 arysv
www.halifaxbankpa.com www.marysviliebankpa.cam
URRSTOWN
ti 7,
A 1 iut%iLio',.aJ L,.ce fence
May 8, 2014
R --oi[Cmm,er
5 S ,2arket St F.O. Box 159
D_u_cannon,Fa 17020
FEY: 717-524-7700
Rz': Estate of Leona r_ Young
Soci::: Seca ity Hrmlber 2-04-30-5939
sat:, cr"De£th G4/1 /20i
IT -,S I IEREBY CERTIFIED T7A kT THE ABO V E NAMED DECEDENT HAD THE
FG�_.,'1v11v3C.,.,�!i_ Will l'_lJ_.,•.5i OWN B.ti1\IL.
��•_i::�:itis NG- <:00 0 02 53'0 7
j-3-. r'1
D£:e vtJ°IIEd- 3 V/-4/09
x �:r�_= a _e/date; VES/Leona A"cat-g/Linda A Hite/Betsy A Strayer 10/14/09
$60,000.00
Ac<._ a 1CcreSi �.2 was paid cut oa The day of death
D --.r
Da- 3ptned- iu%_4/G9
2 !Linda A Hite/Betsy A Strayer 10114/09
____c_cSi :v£SJ£IG out vL`ehB day of death
rz
:mme/date, !'' S/Leona A `Voting fl inda.A Hite/Betsy A Strayer 10/14/09
B i_'sGe
a20,000.00'
r�-"^.-,_TIi5ICSt .� i:. '•ry E.;ii.'^_''d 0ut on t_he day of death
V.17701
_-:.4"E1iB_•Y�]F.�a1t'::_::� ',—}iv_...�- u;.v3.'_. ..
DEPOSIT
Ac=allt No- 40000353i0
L-com- C CD
20/"4/09
ame/date) -,Ci-S /Leona A Yomne I Linda A Hite Betsy A Strayer 10/14/09
520,000.00
7"was paid, out on the day of death
Acv_ec lnzares-t
— ierast Checkin.c
Opeaed- 04/1 6/i 987
't—ES /Leona; Young Linda A Hite Betsy A Strayer 04/16/87
$sr
S 8 9:412.03
2est Regards,
Lisa R. Kh;le
`-3:;--ssing Representative III
#pmputershure
ColTgiugBSham
P.O.SDx 43078
PrOddence,RT,02940.3079
C 0000952397 ETRD1 PNC
Transfer Request
tLrrsRAaountlMvrmaYOn - .
Name THE PNC FINANCIAL SERVICES GROUP Holding COMMON STOCK
,
N STEWART S YOUNG &LEONA A YOUNG TEN ENT ACCOUe
Name Nnmbrr C0000952397
Address MAPLEWOOD ASSISTED LIVING 5225 WILSON Reason Fw Generafrronsfer TTpeoT AllASSets
LANE SUITE 303 MECHANICSBURG PA 17055 Transfer Tra Mar
Shares to Transfer-Reacted taboo shtlred only
Book
Plan
CAMII.ndc Note:1!epWisgble.Tou moil Send In original certigcaMla)with
(� 2018 .y1e[h eh. mte defy be bander amount.See Ne 7ranfter 1 A.
Total I"ca
Cur ent Account Holder Signabrra(s)
AulhorlxCd TRis alQion must he Signed and stamped for our transfer to be executed. a REQUIRED MEDALLION GUARANTEE STAMP
bignaMrGS: T (Notary Seat is Ng)•cteolable)
The undersigned does(do)hereby irrevocably canstItute and appoint
C4mpa[b5hare as attorney to transfer the sold stock,a5 the Cade
may be, on the books of Said Company, with full power of t 11C� t! r-� n
Substitution In the premises. 3IGNA)URE C-'UAPiAI,.TEED
'A E tN GUkM1wNTEED
TM1L s}gnatV ref s)bNOV an IRIS transfer Request form mUtC ,)_�•,r p
correspond exactly with the name(s)as shown upon the face of the
stock certificate or a Compotemhare-Issued statement for book-entry
Shares,without alteration or enlargement or any change whatsoever. _
The below must be signed by all e.,,*At registered holders,or a / ..+.td
legally Aut"W iced e o
representativ with Wisedan of his or be, pacity ` v 3708
next to the siona[ure. S8^_.+° -G Y4■A�5(?3=A3pn'_t115.4A.+'Jx sP=yyy73ru'.la:"
Note: tatbyure(s)mustba vial natlwith, Ncd a,an Signature
GWran[GC by•quall0otl financial institution,suU as a cpmmerclll t Elif 6F iC: If !l li It
bank,Savings bank,savings and ban.US Stockbroker and securby
dealer,or credit union that is participating in as approved Medallion
Signature Guarantee program.
(A NOTARY SEAL IS NOT ACCEPTAOLE)
SIGNATURE OF ALL CURRENT HOLDERS pit LEGAL REPRESEtsTATIVEi 'DATE(mmJdd/VM)
_Zia-7�c< - tJ/g 12 o 13
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P.01=are
076
providence,For 02940-3078
new Holder/Recipient Infommaten
ACCOUNT I
Account Type Joint Tenant Shur.to Transfer 1009
Joint Holder I SSN/EVN 206-38-9882
First Name Linda MIDDLE INITIAL A
Lost"me Hite
Joint Holder 2
First Name R. Keith MIDDLE INITIAL
Last Name Hite
5beet Address 2605 Spring Hill Lane
city Enola
4Eonn W-9{For use in cerldiNins-the Taxpayer Identification Number provided above): %
-Forin W-9-This Section must be Signed by the NEW HOLDER/RECIPIENT,as shown above,whose SSN/EIN Is entered above.
Certification:Under penalty of perjury,I certify that(1)the numbershown on this form is my correct Taxpayer identification number,
and(2)1 am not subject to backup withholding because(a)I am exempt from backup withholding or(b)I have not been notified by
the IRS that I am subject to backup withholding as a result of failure to report all Interest or dividends,or(c)the IRS has notified me
that I am no longer subject to backup withholding,and(3)1 am a US citizen or other US person.
Certification Instructions:You must cross out item(2)in the above paragraph if you have been notified by IRS that You are
currently subject to backup withholding bacause you have failed to report all Interest and dividends on your tax return.
Sig-- roof!iold -/dd/�yyyy)_
ACCOUNT 2
ft.u.tTirpa Joint Tenant Sh.restmTransfeir 1009
Joint Holder I $1SKIER" 1176-34-9751
First Me., Betsy MIDDLE INITIAL A
Last Name Strayer
Joint Holder 2
First Name James MIDDLE INITIAL W
Lost Name Strayer
street Addrere; 32 Sulphur Springs Road
city Duncannon State I PA 1 aF 17020
9(For use In certifying the Taxpayer identification Wthober-(rrovided above)
*Forrn W-9:This section must be signed by the NEW HOLDER/RECIPIENT,as shown above,whose SSN/EIN is entered above.
upmputershare .F
Computershare
arov denim,RI,02940-3078
Certification:Under penalty of perjury,I certify that(1)the number shown on this form is my correct Taxpayer Identification number,
and(2)I am not subject to backup withholding because(a)I am exempt from backup withholding or(b)I have not been notified by
the IRS that I am subject to backup withholding as a result of failure to report all interest or dividends,or(c)the IRS has notified me
that I am no longer subject to backup withholding,and(3)I am a US citizen or other US person.
Certification Instructions:You must cross out item(2)in the above paragraph if you have been notified by IRS that you are
currently subject to backup withholding bacause you have failed to report all interest and dividends on your tax return.
Stgnawm of trolder GATE(mm/ad/7yyy)
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Sep 26,2013 73.13 73.46 72.04 7144 2,054,900 71.17
Sap 25,2013 72.67 73.66 72.22 73.05 3,092,500 71.77
dR7 0=-r!917 5/21/2014
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LAST WILL
C_' _2
1, LEONA A. YOUNG, of Cumberland County, �P
declare this to be my Last Will, hereby revokes al
31 0 DP9 I r-5-,cc) C>
�.i Wills and Codicils .
I direct that the expenses of my last illnesS
and funeral be paid out of my estate as soon after my death
as is convenient and expeditious in the judgment of TrLv cc—
Executors, hereinafter named.
SECOND* I give, devise and bequeath my entire estate to
my two (2) daughters, Betsy Strayer and Linda A. Hite, in
equal shares, share and a share alike.
t. THIRD: All estate, inheritance and other death taxes,
together with any interest and penalties payable with respect
to property or interests therein subject to taxation by
reason of my death and whether passing under my will or any
H codicil thereto, or otherwise including jointly held and
other non-testamentary property shall be paid out of the
principal of my residuary estate without apportionment.
it
FOURTH: I hereby nominate, constitute and appoint my
"
two (2) daughters, Betsy Strayer and Linda A. Hite, Co-
Executors of this my Last Will. I further direct that they
shall not be required to post any bond to secure the faithful
performance of their duties in the Commonwealth of
Pennsylvania or in any other jurisdiction.
Sy
.J IN WITNESS WHEREOF, I have hereunto set my hand and seal
to this my Last Will, which consists of one (1) sheet of
paper, dated this y day of
2010.
kj
(SEAL)
v 4
R.SCOTTCRAM
ER Leona A. Young
Attomey at Law
5.S.Market St.
P.O.BOX 159
ouncannon,PA 17020
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COMMONWEALTH OF PENNSYLVANIA)
) SS
COUNTY OF
I, Leona A. Young, testatrix, whose name is signed to
the attached or foregoing instrument, having been duly
qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will; that I
signed it willingly; and that I signed it as my free and
voluntary act or the purposes therein expressed.
Leona A. Young
SWORN or affirmed to and
acknowledged before me by
Leona A. Young, testatrix,
this W? day of 2010
R.SCOTrCRAMER
Attomey at Law
5.S.Market St.
P.O.Box 159
Dumniton,PA 17020 i-)
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P",agnm�',' Big"c' I
tae ..-_ --:SeS ..hose na-;es a re Sicned to the attached or
i foregoing instrument, being duiy gusli2ied according to 1a-vi,
do depose and say that we were present and saw te_-Latrix sign
and execute the instrument as her Last Will; that Leona A. '
Young signed willingly and that she executed it as her free
and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the testatrix signed
the will as witnesses; and that to the best of our knowledge
the testatrix was at the time 18 or more years of age, of
Sz sound mind and under no constraint or undue influence.
h
SWORN or affirmed to and subscribed j
to before me by -&'A/I"
and +� witnesses, i
�NlJh lr� L2r�-rmlu/L,
this day of 2010. .'
y�
R.SCOTTCRAMER i Nyf- r
Attorney at law -
5.S.Markel St. ! fit EI
P.O.Box 159 <
Duncannon•PA 11020 iq �,1" �iK'�lR Pc a'Y"' �•y- 1,�4,�„t�� �1 j
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