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NO, 21.80
PETITION FOR LETTERS OF ADMINISTRATION
IN 1'1I1~ I~S1'A'l'1~ OF ",..""9.~~.~~t.N.,..)H~IGJ5.I::~R.......,.......""..,, DECEASED,
4",,-,
Iff .'
v,,",
'ro .."M.lil.r.Y.,,~.,.. .L.,C;!.w.~.~...,..., ......... ""........., ".".... ......". .......... ......." "...".."" ""..""
ReliiRter of Wills 1'01' the ('Ollllt). of ClImbedalld. ill the Commollwealth of PeIlIlS)'ll'allia.
The Pet i lioll 0 I' ........ .t'l.\l.(.1~.1,.. J?.....II);'J \:; '~'i\);,.....,.........................................................................................,....
....... ...... .......... ........................... ........ I'especl flllly showel h t11111 .. ...9.~.~.~.!:..N,.. ..!l.\'.:i:~;~.S .\'..... ............. ...............
.\ l ,. silver Sp'rin<> Towllship. 1 I I (' l ~t l I' I' I
was II resl( en 0 ........................ ........."'.....................~MXKtb ,( 11111 lei' alll .01111 )'. " a e 0 ellllsy-
vania, and a Citizell of United Sla(eR, alld deparled lhis life illtestate ill the COllllly of ...c,>!!n\l!i!,r.;1,.\\II9..
......,................................. and Stat e of ... .~!m.ni1y.;I"y.m).i-.H................... ....... .......... ................ ..................... .......,.......
on ....~!?n~.~.y.............,....... the .........l,~.t\1.................... da)' of .......Mi'lll.................................... A. D.. In..~.Q...,
at the ag'e of .....~~....... ye:U'R.
That the said ............Q~.~.\l.L.~,....!l!:J~.~~!:............................ deceasell, left slll'viving the following'
named widow or hURblllld, heh's and lIext to kill. to wil:
Name
Relatiollship
Residence
170 Texaco Road
. .~~.9. \}.~.n.i-.9. p. P.\-!!:g.. ..p.~.nn.9y.h: 1lJ.\ ~ a
..gR:,...R,...~.,...r;.i'lr.l~Rl~.,...P.,~!)J.\!ill.j, van ia
~ ~exaco Roau
. M~.ch;;J,nic:s b.urg.. ..p.enns.y.l.v.ani a
.. ~~~.~, ~...E.,~... ~.~~~I~ ~.I:'........................
..~'?~,':!.::.t..9.:...~.E~.S~~.E.....................
..~,l:!~.~ ~ ~,~.. ..~,:... .~~'.~ sk..~!;'...................
..............Wg:~.....................
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................................................................
............................,......."......
................................................................
................................................................
..........................,.....,..."..,...
.......,....",..,..............................................
................................................................
.............................,..............
..............,.................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
That those above named include all of the next of kin, so far aR known,
The said decedent was posRessed of pel'Rol1ll1 property to the estimated value of $h'.\1~.9.j;,i-.'!!i!.t~g...,...
and of Real I~state, less incumbl'ance, to the estimated value of $.....!)~.r:!~.................... as near as can be
ascertained,
That the said Real l,:state in so far as iR known is located in ......&1.1...............................,...................
...........................................................................................................,............................................................................
Therefore, your petitioner(R) respectfully appl)'(ies) for Letters of Administration in the above
named estate.
Dated ........~~~~......~.3...................... A. D.. 1!1..8.R..
Signature alld Addl'e<s
.~....~I.t....~~f<......................,.....................
of PetitioIlt'I'(:'-)
"......"......,."....,.....,.........................................................
Mabel E. Bricker
170 Texaco Road
........................................................................................
., ~~ ~I: a.~. ~~.~ ?~. :.~. ~....p.~ .'::~~.~ ~.~.a. ~~. ~~........ ......... ,'"
COMJlWNWEALTH OF PEKKSYLVANIA
COUNTY OF CUMBERLAND
1
f ss:
I
......,.............................. Mi!.l~~ ~... E..:... II. !:.i.S k..e.!:................ .............................................................................. named
in the above application IlCinl.( tlul)' .......s.wrn~n............................. accol'llinl.( 10 I....... say that the facts set
forth in the ahove application are true tll the heRtllf ...hl:'.f...... knnwlt>dge and belief.
..............~~.'?!:.~................................. and snhscrihed.1 ....)!1<.~1-<(.:.:....~-f.d.4:~"'.......................................
\
I
before me,
,...................~~~!...~~...................... A. 11.. 1!I...~Q...
..,..91(aM.f;...e..:.. 41.<<I..~4/..........:..........
I ---I' Re"(1~tt.'r
.......,......"..,.,.....,............,................................................
.......",.....,............,.......,...................................................
......."..,...,........,......,......,................................"...........
'/k
f.iled: ......~~.~~.....l~.,,,.,,..~~.~9,,,,,..,,..,,.,........,," Atltll'llt'~':
(over)
.~!)~~.b~~.l:'r.,..~r;a.~(?1:!..!ior..f-J~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
MABEL E. BRICKER
--. - ---..- -----.. -.----------------- -..---. ..--.------
._._.~,___,_...__ __~_.__.____d._______ --
law, deposes and says that she ..._J.s...:the_-.-.--_._. ---.-
01 the Estato 01 Oscar N. ill'icl<cr
_ __, Cumberland County, Pa., deceased and that tho
within is an inventory mode by . . ~lalJeJ .E. Bricl<gr__.-- - ..' .-, the said iidm:lJ1'i stJ~;!:tri1L-
of the entire estate 01 said decedent. consisting 01 all the personal prop.rty and real estote, except real ostate outside
tho Commonwealth el Pennsylvania, and that the ligures opposito each item 01 the Inventory represent it's loir value
as of the date of decedent's death,
being duly SWOTD_.. .. _____ according to
Administratrix
---------.....------- ...--..-' ..- ,...._-
lato 01 Silver Spring Township
Sworn
and subscribed belore me,
/.J21.a/~t {" ~~v
~~M- . Adminiltrator
@rh./lb/"<" 19 80
~h.wO '(f! ~<"""-< )
CATHARINE E. nOUSUM. NOTARY PUBLIC
MEGill, ICSBURG BOROUGII
CUMBI:.RLANO COUNTY
MY CO~MISSION EXPIRES FEB. 27, 1982
170 Texaco Raod
.-----.------
Mechanicsburg, Pennsylvania 17055
----.----
Address
Day
May
Month
1980
Date 01 Doath
---....----..-..-----.-
19th
Year
INSTRUCTIONS
g
I, An inventory must be filed within three months alter appointment of pe"enal representative.
2. A suppiement Inventory must be filed within thirty days 01 discovery 01 additienal assets.
3, Additional sheets may bo altached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Date of Death Nny 19, 1980
Social Security # 204-03-1li03
17055 Bureau File # 21-80-1102
(Zip)
County File # 21-80-LfQ2
'.
Commonwoalth of Pllnnlylvllnle
Department of Revenue
Tran,ter Inheritance Tal(
A.,ldent Dleedlnt
Rev-464 EX+ (1.80)
INHERITANCE TAX RETURN
FOR ESTATES WITH GROSS ASSETS
UNDER $10,000.00
Estate of Oscar N. Brickcr
Last Address 170 'fexaco Raoel
Mechanicsburg I~
(City) (Slato)
1. Decedent died:
00 Intestate (without a willi
o Testate (leaving a last will - copy attached I
2.
o Executor/Executrix
IX] Administrator/Administratrix
Name Mabel E. Bricker
Address 170 Texaco Road
Mechanicsburp;
(City)
pennsy 1 van in
(State)
3. All correspondence should be mailed to LXI Attorney 0 Fiduciary.
4. If an attorney is representing the estate, indicate:
Name SNELBAKER, McCALEB & ELICKER
Address 44 West Ma in Street
Mechanicsburg
(City)
pennsylvania
(State)
17055
(Zip)
17055
(Zip)
REAL PROPERTY _ Ldentify real property Located in Pennsylvenie by lot and block number, street address and I
include a statement of mortgage ancumbrances as of the date of death.
NONE
Total
Estimated
Market Value
NONE
NONE
.
I Department Valuation
(Official Use Onlyl
.'
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
(State full namn and addrossOI of all who hl'lve an interott
either vested. contingont or other Interest!
RELATIONSHIP
TO DECEDENT
SURVIVED
DECEDENT
STATE YES
OR NO
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
INTEREST OF
BENEFICIARY
IN ESTATE
son
yes
Intestate share:
!?20.000.00
of balance of esta"Ul
Intestate share:
1. Mabel E. Bricker
170 Texaco Road
Mechanicsburg, PA 17055
2. Robert O. Bl' ickel'
R. D. B
wife
yes
Carlisle., PA 17013
3. Charlas E. Bricker
93 Texaco Road
Mechanicsburg, PA 17055
son
yes
estate
Intestate share:
(~) of ba lance of
estate
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INFORMATION
PLACE FOR FILING _ The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided.
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.
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 tile 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."
INHERITANCE TAX SUMMARY SHEET
REV,'" EX' (3-801 (BUREAU USE ONL Yl
File Number 21-80-1102
,
Estate Nome ..!:!.~.:mt' ~:-'lt'J~_:.r__--__-
.---.------
Dote of Deoth _ ~lay ~~80 _______
20ll-03-1L103
Sociol Security N,lmber
I, the undersigned duly oppointed Inheritonco Tax Appraiser in and for tho County 01 Cumberland
Pennsylvania, do respecth,lIy report that I hove appraised the real and personal property os reported in the loregoing
return at the voluos set forth opposite each Item in the lost column to tho right in 5chedulos "A", "B", "C", ond "e"
REPORT OF INHERITANCE TAX APPRAISER
Doted: October 23. 1980
Ai'i ~., /., i -/Pit ;{ In ,( )
INl-l.ERITANce TAX APPRAISER
INVENTORY
VALUE AS APPRAISED
ADJUSTMENTS
CODE (HARRISBURG USE ONLY) REMAIHDER APPRAISEMENT CODE
92+
Real Property (Schedule A)
Personal Property (Schedule B)
Jolnt.Held Property (Schedule E)
Transfer. (Schedule C)
$
0 00+
6.898 1.7 '0+
1,071 13 20+
0 30+
i,969 liD
40-
93-
TOTAL GROSS ASSETS
leu D.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
annuities. . . . . . . . . I . . . .
ill:E
FACTOR
PRINCIPLE
VALUE
CODE
FOR USE OF REGISTER ONLY
To)( on $
CODE
COMPUTATION OF TAX
$
$
$
$
6%
15%
T ax on $
Tax on $
Tax on $
5
Tax on S
Exemptlons
Total Estate
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
Less Credits
OATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
S
+ $
5
=
$
=
+
INTEREST FROM
BALANCE DUE
BALANCE
TO
$
5
S
on
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GENERAL INHERITANCE TAX INFORMATION
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 the cost of a burial lot, tombstone or grave marker,
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.
\
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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 forfeited 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
decedent, 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 tlie date on which each debt was incurred and/or paid,
4, Enter the names of each payee,
5. Provide a brief explanation in the remarks column for each debt claimed,
6, Enter the amount of each debt being claimed,
7. The form must be signed by the person who has assumed the responsibilitY for paying the debts.
.._..... __ ~ __ ~ __ r_ ...,.. ,..,..... ~ __
~;~~,~.)i~1,~~,h,i\ii... ,.. 'C.O.M M.ON WEA.L.THOFPENNSYLVANIA . .
~t:~i~\~"\(I'\S:,,~:/-;'1?h;:~/:!:,:.~'::':"'>/",!,:'""'> ,';"" ',., . ,_ , """ , ' ,. ,
4NO;QO .. ..,',;>;(.,'. .. .... ... ...... DEPARTMENT OF REVENUE .'
, ,/!it~lgj;;"'~'~~"OffIC~L RECElPI"' PEN,NSYLVANIA INHERITANCE AND ESTAl< T.,.
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TAX AT 6%
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RECEIVED
FROM
TAX AT 15%
Snelbalcozo. McCaleb & Blick ZOfA^1;t:y\.
ADDRESS
44 W. Main Stzooot
ESTATE TAX
MachaniaabuZ'lJ. pa. 17055
TOTAL TAX CREDIT
92.22
.-----------------------
ESTATE INFORMATION:
DA TE OF DEATH Ma 19 1980
21-80-402
FILE NUMBER
'",
:, NAME OF DECEDENT
\
COUNTY
OSCAR S. BRIC1<IR
C\IIIbedand
m
--- - m
LESS DISCOUNT
PLUS__% INTEREST
(FROM TO_I
i
I
TOTAL AMOUNT PAID
92.22
DATE OF PAYMENT
October 31. 1980
POSTMARK DATE
REMARKS: .PAID IN FULL"
SEAL
RECEIVED BY
'.1 I / I
I l. f..~.f C :/;(-iL'~,5./
Miry S~~A~ia
Reg'iatozo of Willa
t
REGISTER OF WILLS
INFORMATION
To insure proper credit to your account. the name of the estate and file number should be clearly print-
ed on the check or money order.
This assessment is made in ec.:cordance with Section 708 of the Inheritance And Estate Tax Act of
1961 (72 P.S. 92485-708).
To the extent that inheritance tax is paid within three (31 months after the death of the decedent, a
discount of fivo 15) percent is allowed 172 P.S. 9 2485.716}.
Inheritance Tax, other than tax on a future interest. is due at the date of the decedent's death rind becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. g 2485-711). Inheritance
Tax on a future interest is payable within thrt:Jc (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P,S, S 2485.712), Calculate interest from the delinquent data shown
on the face of this form to the date of actual payment using the following interest table:
--------------------- ---------- --- ---- ---------~, - --- - --- -------.- -- -- -- - -- --
1 monlh .005 4 months .020 7 m\'lnths .035 10 months .050
2 months .010 5 months .025 e Inonths .040 11 months .055
3 months .015 6 months .030 9 months .045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00369
3 doys .00051 13 days .00220 23 days .00386
4 days .00068 14 days .00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days .00101 16 days .00267 26 days .00437
7 days .00118 17 days .00284 27 days .00454
S days ,00135 18 days .00301 28 days .00471
9 doys .00152 19 days .00318 29 days .00488
10 days .00169 20 days .00335 30 days .00500
----------- --- ------- --- --..- ----- -- -- ------ ---- ---- - - - - --------- ------
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section
1001 01 the Inheritance and Estate Tax Act of 1981 172 P.S. 9 2485.100l).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to Ihe address listed beiow: