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No. 21.80 258
PETITION FOR PROBATE' OF WILL AND LETTERS TESTAMENTARY
in the Estate of l\NNA J. OCKER , deceased.
Harold B. ~1\fJ., Acting
To Register of Wills for the County of Cumberland,
. '
in the Commonwealth of Pennsylvania,
IS
Petitioner(s) CllJlS the execuLor named in the Last Will and
Testament of Ann" J. Ocls&r dated February 10, 197?
Decedent was a citizen of the United States and a resident of
~
Borough, Cumberland County, Commonwealth
Shippensburg
of Pennsylvania.
Decedent died on Tuesday the 8th
A. D. 19 8~0 in the County of f(- Yh1 k J / vi
peV]", L_'/f'v1,'~ at the age of ~o years.
~ her
Decedent has not been married and hos not had children born to mm:
since the execution of the above described Will.
Decedent was possessed of personal property to the value af
jJ '3 / J 000 , 00 and of real estate to the value of
tf .
~'t.5) 0 00 .Go
day of APril
State of
as near as can be ascertained; said real
estate situated as fallows
':!he Borouqh of Shippensburq. Countv of
Cunberland, pp.nnByl vania
~
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and far Letters Testamentary thereon.
Dated APril 14 . 1980
Name and address
of Petitioner(s)
PIDPLES NATIONAL BANK OF SHIPPENSBURG,
PENNSYLVANIA /
BY:~/3-.?~Iv/
Alan Rinehart, Trust Officer
East King Street
I' <), 1:;07 '1
Shippensburg, PA 17257
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERU\ND
Alan Rinehart. Trust Officer of peoples National Bank of Shinoensburg
named in above application, being duly
say(s) that the statements set farth in
sworn according to law
this petitian are true to the
best of
his
knowledge and belief. /J ~ -J(?!~L;/
subscribed before ~.P- /
Alan Rinehart, Trust Officer
sworn
ond
me r.pri1 14 1930
,
N~, ...Ld- /.3 ~'0'JC' 4~-. j . {[i'jJ.
'-h--,}R~'i~f~r
Harold B. ~, Acting
C%
Filed;
j.o~ 1-[1) -<><..sr
19:)0
nX:REA & DAVIS
Attorney: 2ft. \1cst King St.
Shippensburg, PA 17257
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LAST WILL AND TESTAMENT
I, ANNA J. OCKER, a resident of the Borough of Shippensburg,
County of cumberland and commonwealth of pennsylvania, being of
sound mind and memory, do make, publish and declare this to be
my Last Will and Testament, hereby revoking any and all Wills
by me heretofore made.
FIRST: I hereby direct my Executor, hereinafter named, to
pay all my just debts and funeral expenses as may conveniently
be done after my decease.
SECOND: I give, devise and bequeath the sum of Two Hundred
($200.00) Dollars to my grandson, Ray Sprecher.
THIRD: I give, devise and bequeath the sum of Two Hundred
($200.00) Dollars to my grandson, Donald Sprecher.
FOURTH: I give, devise and bequeath my roll-top desk to my
grandson, Edwin Lee Sprecher.
FIFTH: I give, devise and bequeath the real estate situate
at and known as No. 15 North Queen street, Shippensburg, Pa.,
and my cherry drop-leaf table to my daughter, Frances Sprecher.
SIXTH: I give, devise and bequeath the real estate situate
at and known as No. 21 North Queen Street, Shippensburg, Pa.
to the issue of my son, John E. Ocker, Deceased, to-wit: Carol
Shurman, John E. Ocker III, patti K. Ocker and William H. Ocker,
equally, share and share alike.
SEVENTH: I direct my Executor, herein named, to sell the
real estate known as No. 17 North Queen street, Shippensburg, Pa.
at either public or private sale, and divide the proceeds there
from as follows: One-half to my daughter, Frances sprecher, or
her heirs, and one-half to the issue of of my son, John E.
Ocker, Deceased, to-wit: Carol Shurman, John E. Ocker III, patti
K. Ocker and William H. Ocker, equally share and share alike.
EIGHTH: All the rest, residue and remainder of my estate,
MCCREA & DAVIS
ATTDRNUS,U LAW
NtWVILlt , SHlPPtN68URG
PUtt",
8[.,7
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMBERLAND 88:
Before me, the Register for the Probate of Wills and gl'llnling of Letters of Administralion in ani! for
the County of Cumberland, personally came ,!lJ,oo..l\i..n<;):\9X:l;..,..:r);1.)llj;..QUj,~!::,...l.',eplllr;!i>"Naj;j,Qnal.,:a<U1l>.
who, being duly ......RWQm......"...., do l'llO...... depose and say that as..",ElIe<::ut.o:l:""""""""...."............".".."
of the last Will and 1'estament of ......."...."...~""..::r.:"~~!'!);'..."....""......"........".......,,....""......""....deceased
...............!:.€!...... will well and truly administer the goods and chattels, rights and credits of said deceased
according to law. And also will diligently comply with the provisions of the law relating to Transfer
Inheritances. .........~m...".". and subscribed
before me,
................~.~~~.....~.~....."............." A. D" 19 .~~........
~:l;z:1r;j~j~/~
Harold B. ~, Acting
.~.e::..7;::r~:i~!~m...
Alan Rinehart, Trust Officer
..................................................................................
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DECREE
B 't b d I h 15th d I' April BO h
e 1 remem ere t lat on t e ..."................... ay 0 ......................".................."...., A. D" 19 ........, t ere
was probated and recorded the last Will. and Testament of ...."......".~,~,:..~."......"........................,
lateof......~~.~!?~~~~..J?:C?~.l;l.'il!:........"......................, Cumberland County, Pennsylvania, Deceased. Letters
...,..,...!~~~~,......,.".......... were granted to .~~p.~~~,.~~t:~<?~,'?:~..~.<:!~..9~.,~~~?~~~.I?~.g",................
Witness my hand and official seal the day and year aforesaid.
PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file
a return:
a. The personal representative of the estate of the decedent as to property at the decedent administered by him
and such additional property which is or may be subject to Inheritance Tax of which he/she shall have or
acqui re knowl edge;
b, The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute,
including a trustee of property transferred in trust, provided that no separate return need be made by the transferee
of property included in the return of a personal representative.
2, PLACE FOR FILING
The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided,
3. TIME FOR FILING
The return is due nine months after the decedent's death, unless an extension for filing has been applied for and
granted by the Secretary of Revenue within the nine-month period.
4. FAILURE TO FILE RETURN
Section 791 of the 1961 Statute provides that" . . .any person who willfully fails to file a return or other report
required of him. . .shall be personally liable.. .to a penalty of 25% of the tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by
law."
5. TAX RATES
Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daughter.in-Iaw and at the rate of 15% as to all others.
6. PAYMENT OFTAX
The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest
at the rate of 6% per annum accrues thereafter unti I payment is made, All payments received are fi rst appl i ed to any
interest which may be due.with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENTS DEATH, A DISCOUNT OF5% OF THE TAX PAYMENT IS ALLOWED.
All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are
received subject to the final determination of the Department of Revenue.
7. FAILURE TO PAY
The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's
estate or against any property belonging to a transferee liable for the tax.
B. FtLlNGOF FALSE RETURN
Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the
1961 Statute, be guil,ty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or both,
R'EV.451 (1.801
COMMONWEALTH OF PENNSVLVANtA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
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SCHEDULE "B"
PERSONAL PROPERTY
{Instructions on Roverse Sido}
Estate of
ANNA J. OCKER
ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO, VALUE VALUE (OFFICIAL USE ONL YJ
-
(1) Checking Acct. No. 43-805-7, peoples National
Bank of Shippensburg 1,278.38
.
(2) Savings Acct. No. 043-850-220, peoples National
Bank ofShippensburg I, 34,323.94
Accrued interest on above savings acct. to
date of death 185.84
(3) Household furnishings and personal property per
attached itemized appraisal 1,370.50
(4) Ibll-top desk 250.00
(5) Cherry Drop-leaf table 325.00
(6) . M:ldicare payrrent 492.80
(7) Blue Shiie1d 65 Special payrrent 123.20
(8) united Telephone (brrpany of Penna., refund 1. 75
.
TOTAL THIS PAGE 38,351. 41 3~.Jn.lf/ ,
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Jate - Apr1l17, 1980, "" " ,/~,::. "
uocation _ 21 North Queen Strll~1i,,.Shipp'en'sb\1rg, Pa. 17257;: :.'
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~pprai8al b1 _ Danie+ D'. Hers~e~ ~"Auo~~ol1eer
J:xeeutor " "'/ ,".' ',. . ",
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3mall Kelvin~tor re!rigeraOor" '{
[roning board
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3peed Queen wringer washer (common) .
~ Piece break!astset
letal utility cabinet
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~ooden base cabinet, .", ",':.::,
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JODon miscellaneous dishes:,in kitchen" ;!J';~,( ,!
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11s0. pots" pans, skillets, ete '\'~~:'Xi"~,,:'
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)ollllllonkitchen,.tableware ::, . ;:':~-i ,
100den b.Bse cabinet ,: "~{;j: ';
~ooden, bench . " : ;::'" ' ,: ',' ". '"i"
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'ush type reel mower
~ound back chair
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)ommon 4 pc.' bedroom suite w/metal springs & mattress
'oster double ~ed w/metal springs & mattress
/all mirror
3mall stand
~lectric wa~l clock
lPiece living room suite
jlass top coffee table
)mall stand
3mall stsnd
.
?lat!orm rocker
locker
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lCA table mode~ radio(older model)
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? \Jall' pictures @ $ 12.00 es;"-"
'loor light ' ,"
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\a1 a e amp.j , ' ".,.'
tCA approx. 21" table model color ~el~.ision(us'd approx. 5 yrs.)
~able light ",:'
loston type rocker
itand
',.E. electric fan
loot stool
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50.00
2.50
10.00
, 25.00
10.00
4.00
25.,00 "
20.00 '
25.00
, 6.00
6.00
5.00
,6.00
65.00
,25.00
7.00
12.00
;.50
45.00
6.50
;.50
15.00
,
20.00
10.00
5.00
24.00
6.00
60.00
125.00
5~00
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25.00
5.00
6.50
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2 Sl1Ia,ll wall pictur~8 G . 1.50),ea. :""',~,r,::>,;.,,
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....ooden clothes tree I' ',:OI.:,!,',:, ' :'\ "-r$'~il '~"
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Ou druser "I ,I , .:' : U',
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Small oak washstand
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Oak mirror
Small sta~d '
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Double bed w/epring,& mattress (common)
Common misc. ,costume Jewelry'
Metal wardrobe
Small floor light
Metal utility cabinet
2 Common end tables t $ 2.50-e8.
Oak dresser
Tredle type Singer sewing machine
Wall picture ,
Small camel back trunk
Large camel back trunk
6 Cane seated chairs (in rough)'.. 12.00 ea.
2 Cane seated rockers (in rough) 0 . 30.00 ea.
,
2 Porch rockers C S 8.00 ea.
, '
High back' rocker (in rough)
4 Oak dining room chairs @ $ 8.00 ea.
Wooden double ladder
2 ....ooden step ladders @ & 7.00 ea.
5 Solid bottom chairs (in rough) . $'7.00 ea.
2 Cast iron pots @.$ 6.00 ea.
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IJooden bench
portable ale. heater
20" Push type rotary lawn mower(older'model)
Meat saw
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20.00
40.00
60.00
12.00
6.00
15.00
15.00
.12~00
3.00
5.00
5.00 .
65.00"
15.00
2.50
30.00
40.00
72.00
60.00
16.00
12.00
32.00
15.00
14.00
35.00
. 12.00
5.00
8.00
15.00
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QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years or death, Iiwke any tl;;nsfol 01 allY Iiiilteriill part of his estiltr. wilhout receiving
villuilble ilIH! mleQualr. cOllsidemlion? (AnswCl "Yes" 01 "No".) No
2, Did decedent, within two years of death, tmnslor properly from himself/ herself to himself/llOrself ilnd onolllOr party
or parties (including a spouse) in joint ownClship? (Answer "Yes" or "No",) ..N!:l-
3, If the answer to one or two above is "Yes" and the transfers are clilimed 10 be nontilxilble, provide the following
information: not applicable
a, Age of decedent at time 0 f transfer.
b, Copy of death certificate.
c, Affidavit by the attending physician indicating the stilte of decedent's heillth at time of tmnsfer.
d. All other information supporting lIonlaxilbility of Imllsfer.
4, Did decedent, in his/her lifetime, make any transfer of plOperty without receiving il valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No",) No
a, Was there any possibility that the property transferred might return to transfelOr or his/her estate or be subject
to his/her power of disposition? (Answer "Yes" or "No",) not applicable
b, What was the transferee's age at time of decedent's death? not applicable
5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor
under which transfelOr expressly or impliedly reselves for his/her life or any period which does in fact end before his/her
death:
a, The possession or enjoyment of or the righlto income from the property transferred? (Answer "Yes" or "No" ,) No
b. The right to designate the persons who shall possess or enjoy the property transferred or income thereflOm?
(Answer "Yes" or "No",) No
6, If the answer to five b, above is "Yes," state whether the right was reserved in decedent alone or others.
not applicable
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transfelOr7 (Answer "Yes" or "No".) No
8. Did decedent, at any time, transfer plOperty, the bBleficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No",) Nn
9, If the answer to eight n:-.o~e is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone o(the decedent and others? (Answer "Yes" or "No".) not applicable
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all propertY, real and personal, owned by the decedent jointly with another
party or parties as joint tenants with right of survivorship, Both tangible and intangible property are to bl)
included, List real estate first.
1. Describe all real propert y as indicated in the instructions for Schedule" A". Describe all personal property
as indicated in the instructions lor Schedule "B". include the name, address and relationship to the
decedent of the co.owner (s) and the date the joint ownership was established,
2. Indicate the total market value of the jointly owned property.
3. Indicate the percentage of the decedent's interest.
4, Indicate the market vaiue of the decedent's interest.
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REV-484 C::X+ (3.00)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
File Number ~ .fZ..!~__R..C!._-::~'!?J:.a:
Estate Name ___~~/lr1(~-5'...,- _,_.;r.:~~_,~_cZc.~::1:~
Date of Death
>>_ 0 - gO
:1...._._ Q, n..__n.______
Social Security Number
REPORT OF INHERIT ANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser io and for the County of Cumberland
Pennsylvania, do respectfully report that ( have appraisod the real Gnd personal property as roported in the foregoing
return at the values set forth opposite each item in the last column to the right in Schedules HA", HB", fie", and liE"
Doted: September 25. 1980
..fllm',/o ) .~!ola/li)
INH~R'TANCE TAX APPRAISER
ADJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
Real Property (Schedule A) I ,0 00+ 92+
Personol Property (Schedule B) 'II 10+
Joint-Held Property (Schedule E) 21J+
Transfers (Schedule C) 30+
TOT AL GROSS ASSETS ?.J fl.)'/ 1/
-,~--)- -,
Leu D.bts and Deductlons 40- 93-
(SCHEOULE F)
CLEAR VALUE OF ESTA1'E
Valuation of life estates or ~ FACTOR PRIHCIPLE VALUE CODE
annuities. . . . . . . . . . . . . .
FOR USE OF REGISTER ONLY
T ax on $
CODE
COMPUTATION OF TAX
$
$
$
$
I
6'.
"
Tax on $
15%
Tax on $
Tax on $
Tax on :$
Exemptions
Tofol Estato
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
I
Less Crodlts
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
S
+ 5
5
=
$
=
+
--
BALANCE S
INTEREST FROM
BAL ANCE DUE
TO
S
S
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I,
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ss:
....,__A)-an J3,-Rh~e.!:1~rt.Ll\S['; ~1:-1'~1:_Q~tice~'I,l?~pl~EU!I~j:ip[lAU~9nJL9t s.I1Jp~sl;lJ,U:g" ___
being duly Sl>Um _ ______ according to law, depose. and says that ha ____as..Executor---on-, --'-
___..__________'____ of tho Estate of Anna J. Ocker
late of _f;be..Bor:ough of Shippensburg----,------, CumbarlanJ County, Pa., deceased and that the
within is an inventory made by _....____,__,..him,-,-..------ --- ----..-..-, tha .aid_ Executor
of the entire estate of said decedent, consisting of all the personal proputy and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figure. opposite each item of the Invantory represent it's fair value
as of the date of decedent's death,
~mto.
~~g~~r/.~tiona1 Bank of Shi~sburg,
__..~Ll'-L3-. rl-(/',-k--L_--
/J _E,.r.ulor'~'
/v'>!', / YIAJ"vl.J 1'17-"- d.J,;/
,__.l?-39_~st King Street
Shippensburg, Pa. 17257
Address
Date of Death ___S_tll...-
O'Y
April
Month
1980
Yoar
INSTRUCTIONS
I. An inventory must be filed within three month. after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets,
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
ANNA J. OCKER
deceased,
(1) Real estate situate at and known as No. 21 North Queen St., Shippensburg, \
Pa. conveyed unto J. Edwin Ocker and Anna J. Ocker, his wife, by deed
dated April 3, 1957 and recorded in currberland county Deed Book "S",
Vol. I, Page 398. J. Edwin Ocker died October 8,1961. 14,000 00
(2) [buble house known as Nos. 15-17 N. Queen St., Shippensburg, Pa. conveyed
unto J. Filwin Ocker and Anna J. Ocker, his wife, by deed dated July 6,
1959 and recorded in CUIrberland county Deed Book "G", Vol. 19, Page 3l.
J. Edwin Ocker died October 8, 1961.
(3) Checking [\CGt. l'!o. 43-805..7, peoples National Bank of Shippensburg
(4) Savings Acct. No. 043-850-220, peeples National Bank of Shippensburg
Accrued interest on above savings acc.-t. to date of death
(5) Household furnishings and personal property (per appraisal)
(6) BOll-toP desk
(7) ChertY Drop-leaf table
(8) M:ldicare payrrent
(9) Blue Shield 65 Special payrrent
(10) United Telephone conpany of Penna., refund
31,500 00
1,2,78. 38
34 ,323" "
94
185 84
1,370 50
250 00
325 00
492 80
123 20
1. 75
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McCREA & DAVIS
ATTDRMEYIl AT LAW
NEWVILLE & SlurPENSIlUll1l
PEttN",
FIRST AND FINAL ACCXlUNr OF THE PEOPLES NATIONAL
BANK OF SIlIPPENSBURG, EXECUTOR OF THE U\ST IVILL
AND TESTAMENT OF ANNA J. OCKER, DECEASED, LATE
OF THE BOROUG! OF SHIPPENSBURG, CUMBERLAND CXlUMl'Y,
PENNSYLVANIA
*************************************************
Date of ~ath - April 8, 1980
Date of Letters - April 15, 1980
Dates Letters Advertised:
In Cunber1and Law Journal - r.1ay 2, 9, 16, 1980
In News Chronicle - April 24, r'1ay 1, 8, 1980
*******************************************
Estate No. 21-80-258
.c.:
i"'cC:cea ,i' Davis, Attorneys
24 West King Street
Shippensburg, Pa. 17257
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FIRST AND FINAL ACCOUNl' OF T!ffi POOPLES NATIONAL
BANK OF SHIPPENSBURG, EXECUI'OR OF THE IAST HILL
AND TESTAMENT OF ANNA J. OCKER, DECEASED, LATE
OF TlIE BOROUGH OF SHIPPENSBURG, ClM3ERLAND COUNTY,
PENNSYLVANIA
TlIE ACCOUNl'l\NT Qll\RGES ITSELF \l1TH TIlE FDIJ:.a'IING:
Checking Account # 43-805-7, peoples national Bank of
ShippeI1SblJrg............................................. .
Savings A=unt #0430850-2 20, peoples National Bank of
Shipt:ensburg.................................... Q.........
Accrued Interest on Savings Account #0430850-2 20, peoples
National Bank of Shippensburg, to date of death. . . . . . . . . . .
Real Estate, 21 North Queen Street, Shippensburg, PA,
Appraised va.1oo...........................................
Real Estate, 15 North Queen Street, Shippensburg, PA,
Appraised va.!1Je....... . . . . ....".. . . ., . .,. ., ...... .. .. . .....
\
Real Estate, 17 North Queen Street, Shippensburg, PA,
Appraised value (1/2 interest in this property sold by
devisees to Frances Sprecher et vir for $7,250.00) . . . . . .. .
Household furnishings, appraised value.....................
Boll-top desk, appraised value.............................
Cherry drop-leaf table, appraised value.... .. ...... .. .... . .
r~di.care payrrent.................... . ., . .,. ..... . .. . ... I'" .
Blue Shield payrrent. .. . . .. . .. . . . . . .. .. . . . . .. .. . . .. .. .. . . .. .
United Telephone Co., refund................ ...............
Valley Nutual Insurance Co., refund........................'
'lbtal Principal Assets
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1 McCREA & DAVIS
I AncUIUS AT LAW
\ NtWVILLt & SHIPl'tMSDUilll
, PENHA.
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T!ffi ACCOUNTl\Nl' CREDITS ITSELF \'1ITH THE FDU.oiIING:
Register of \'lills, Letters 'l'estarrenta-ry.. . . . $
cunberland LaW Journal, Advertise Letters...
News Chronicle, Advertise Letters. . . . . . . . . . .
Register of \~ills, Short Certificate........
Register of Nills, filing inventory.........
49.00
18.00
15.00
3.00
3.00
"pr' 9~J ,:' 2
.."" f I
$ 1,278.38
34,323.94
185.84
14,000.00
17 ,000 .00
14,500.00
1,370.50
250.00
325.00
492.80
123.20
1.75
5.00
$ 8~,856.41
U1COt-1E ACCOUNT
THE ACCOUNTANT QlMGES I'l'SELF 1'II'll! THE FOLl.(J;'lING:
peoples National Bank of Shippensburg, interest on
Savings Account j} 043-850-2 20 From 4/9/80 to 4/16/80..... $
peoples National Bank of Shippensburg, interest on
Savings Account jf 044-742-2 20:
6/1/80. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9/1/80.. .. . . .. ...... . .. . .. . . . . . .. . .... ., . . . .. ......
peoples National Bank of Shippensburg, interest on Certificate
of Deposit #2416- 4/21/80 to 10/21/80, 6 mos. $56.42.......
peoples National Bank of Shippensburg, interest on certificate
of Deposit j~2504 from 5/7/80 to 11/5/80, 6 mos. $134.88....
prudential Insurance Company, dividends on Life Insurance
Policy #13-459-847.........................................
THE ACCOrnrANr CHARGES ITSELF HI'llI THE FQLl.(J;'lING:
peoples National Bank of Shippensburg, eomnission
on incorre.....................................$ 74.24
, 74.24
Incorre Account Balance $1,410.61
$1,484.85
RECAPTIUIATION
40.34
133.86
116.07
338.52
809.28
46.78
$ 1,484.85
$1,484.85
principal Account Balance......... $ 21,477.84
Income Account Balance............ 1,410.61
Total Balance for distribution..... $ 22,888.45
MCCREA & DAVIS
ATTDRKtvB AT l-.w
NEW'IlLlE & SHIPPtKSBURB
PEMH".
~:5r 9'1 5
RCC-B4
tB,771
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
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OFFICIAL NOTICE OF
INIjERITANCE TAX
ASSESSMENT
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DATE OF DEATH Gi?7 _ (' I +:h)
DATE
ESTArE.OF
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FILE NO,
COUNTY OF ' (
---------------------- ----------- -- - - --- - - - - --- - - - - ---- ---- - - -.- - - - - - --
Appraised Value of Estate:
Real Est'lte
Personal Property
Jointly Held Property/Transfers
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
Amount Taxable @ 6% Rate
Amount Taxable @ 15% Rate
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
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$ ') ,.,) .:) '''if '~/i '; tax due $ </-,3 ;;':::'.J.9
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tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ II 3 J.3 ,d-.y
DISCOUNT
INTEREST
TAX CREDIT
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9ALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
Interest will accrue at the rate of six (6) percent per annum on the unpaid balanco of
Inheritance tax from_ _to the date of payment.
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Assessed by:
SEE REVERSE SIDE FORINsTRucnoNs
REGiSTER OF WILL'S COPY
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate,
In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including lhe cost of a burial lot, tombslone or grave marker,
GENERAL INHERITANCE TAX INFORMATION
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule.
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania,
If there is no spouse, or if the spouse has forfeiled his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is'being claimed, indicate the claimant's name, address and his/her relationship to the
decedenl. Enter "family exemption" in the remarks column and the,amount claimed in the amount column,
2, Assign consecutive numbers to each item listed.
3, Enter the date on which each debt was incurred and/or paid.
4, Enter the names of each payee,
5, Provide a brief explanation in lhe remarks column for each debt claimed,
6. Enter the amount of each debt being claimed.
7, The form must be signed by lhe person who has assumed the responsibility for paying the debts,