HomeMy WebLinkAbout04-20-78 (2)
OFFICE OF THE
REGISTER OF WILLS
:..( I ~ " t w7?,
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
THE SUM OF. $ L'I"Sb2,f~
(;l',t:;ro )~cS:,t~:~?"
~Igbtlr' of Wilh, Ag \,~
Form RCC-lO
OF
C IID1berland
COUNTY
AND AGENT OF THE COMMONWIi:AL TH
~j
L.ATE OF
CUrrberland
-'"
John E. Ocker
ESTATE OF ~
r N ~L,
OATE OF FILING APPRAlSE''''N. '.~BJ.
,1978
DA T& OF DEATH
January 19. 1978
DATI': NO, OF NAME OF PAYEE REMARKS AMOUNT
VOUCHEJt
Register of Wills Letters Testamentary 23 00
Iegister of Wills Short Certificates 6 00
The News Chronicle Mvertise Letters 10 00
ClID1berlan::l Law Journal Mvertise Letters 18 00
BartJour Funeral Home Funeral Costs 1628 00
- Lucille M. Ocker Widow's exenption 2000 00
Ray Martin Book Acct. , corrbining 55 00
R. B. Miller Book Acct. 199 83
tiaLe Iea.L Estate ~pllSaJ. 3~5 ~~
Boyd MJrrow BOOk Acct.
Federal Crop Service Book Acct. 79 50
Wickard Feed Corrpany Book Acct. 4752 50
Atlantic Breeder's Assn. Book Account 134 70
Larry Welker Book A=unt OL./ JO
Best TV Book Account 22 10
M::Cune LlID1ber .Corrpany Book Account 457 45
Locust Point Quarnes Book =uncc L.UU '!L.
Dr. Simrrs \eterinarian Book Acct. 27 00
IXmald Uppennan Book Account 52 66
,"" Veterinarian Book Acct. 88 00
Emily paclarronsky, Tax Cbll. 1977 Ieal Estate Tax 892 20
CUrrberland Valley Coop. Book Account 40 82
Ralph Hock Book Account (Hay) 600 00
Matthews M=rrorial Division MJnurrent 575 00
Shetron Tlre Servlce ~~ :'~:~ (Straw) OL. 00
,,~C M~r+-;n 215
~~~~; ~s~f" c ~rt:le Transfers acct. 3~ 88
Fl lnq Inventorv, debts. etc
M. Davison, Notary Affidavits .LU uu
Register of wills Filing Account, Schedule, eta. 50 00
M::Crea & Davis Atto:rney Cbrmnission 535 56
Lucille M. Ocker ExecutrlX ConmiSSlon J.>J JO
COMMONWEAL.TH OF PENNSYLVANIA
COUNTY OF
CIID1ber lan::l
Lucille M. Ocker
}..,
14,367.86
I,
MY kNOWLEDGE AND BELIEP', THE FOREGOING .8 A JUaT AND TRU. arAT_MINT OP'
ADMINI8TRATION aUBMITTED TO THI: .I'TATI 0,.. .Tnhn F (){-.In:::lr
'NMIUtITANCE TAX PURPOa.e.
DI:BTe,
HCRCBY CERTIFY, THAT. TO THlf aUT 0"
P'UNI:RAL EXPIN8.S AND EXPEN8U OF
t'lI:CU....O. A. DEgUCTION8 FOR
/ .',;-1 /-\
.WO"'N ANI) aU..CRlaID BEFOIU MI THI. . i gAY Of'
~r .' l.La-
&~ . /~c;/~"',,il
My Corrm. expires July 8. 1978
i!
(L,8.)
Executrix Estate of John E. Ocker,
Deceased
, R C C~33 14-73)
F1.( ~( ,<
~
Vl'\~'\"'.-
V
COMMONWEALTH OF PENNSYLVANIA
','1 :) DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
/ \ LIe 0," '2>
RESIDENT DECEDENT
\\8
COUNTY OF
CUMBERLAND
IMPORTANT,
This return must be completed in detail and filed in duplicate, with all attached, with the Register of Wills of the
County where decedent resided; Return is due within nine months after date of death, unless an extension is granted
by the Secretary of Rcycnue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
(STATE FULL NAME OF DECEDENT)
} AFFIDAVIT OF
EXECUTOR
ADMINISTRATOR
IN THE MATTER OF THE ESTATE OF
JOHN E. OCKER
Late of
Southanpton 'IWP.. CUrrberland
County
State of Pennsylvania
County of Cumberland
~
} ..,
Lucille M. Ocker
Excc~
of the estate of the above-named decedent being duly sworn, depose 5
and say 5
January
(MONTH)
Name and address of attorney or }
other authorized representative to whom
all corres.pondence should be mailed.
(DAY)
, 19~J testate leaving a lost will, copy of which is hereto attached. }
(YEAR) ~
Decedent di ed
19
J'vh""'rpr.t & t1;:Ivi!=:.. Atrnrnp..y!=:.
24 West King Street, Shippensburg, Pa. 17257
That as such Executrix deponent is familiar with the affairs of said estate and the property constituting
(EX ECU TO R-ADMINI ST RA TOR)
the assets thereoF and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or
as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the
exception of the following: -
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
The First National Bank of Jnhn Po. ~nrl
Shipp<>n"hllrg I>.nn" .T.
That the contents of said safe deposit box or boxes are itemized under Schedules
with the exception' of the following, for the reasons hereinafter set forth:
of this return,
That Schedule A attached hereto and made part hereof sets forth fully and in detail all the real property
in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at
death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the
columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof
as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property
wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of
death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings
banks, trust companies, or other institutions, whether individually, or in trust for any other person or persons
giving also separately the accrued interest thereon, if any, down to the last interest day prior to decedent's
death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal
savings, treasury certificates or notes and other evidence of indebtedness of the United States to the de-
cedent; all obligations, whether by statute or agreement they are designated as tax free, of the United States,
or any state, or political subdivision thereof, or of any foreign country, which are owned at the time of death;
all wearing apparel, jewelry, silverware, pictures, books, works of art, household furniture, horses, carriages,
automobiles, boats, and any and all other personal chattels of whatsoever. kind or nature, left by decedent,
together with the fairly estimated market value thereof; all bonds and mortgages held by decedent and of all
claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing
for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if
any, giving the face value and estimated fair market value thereof, and if such estimated fair-market value be
less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys
payable to the estate from life insurance policies carried by decedent; all annuity and endowment contracts
the proceeds of which were payable upon the death of the decedent; all and the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of decedent's
death and other investment securities owned by the decedent at the time of death, with the-market value there-
of at such time.
In the case of securities of' close or family corporations, the values reported are as far as
possible substantiated by f'inancial statements of the corporations, showing the assets and liabilities
thereof as of' the date of death. The schedule also sets forth the interest of rlecedent at the time of
death in any co-partnership or business, and in support of' the value of such interest there is annexed to
said schedule, financial statements showing the assets and liabilities of' said co-partnership or "husiness.
A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the ligreement)
together with a statement setting f'orth the character of the business, its location, and such other facts
pertaining to the business as may be pertinent to a f'air and just appraisal of' the decedentl s interest
therein mHst be submitted. It should also set f'orth in itemized form, together with the fair market value
thereof', any other property. owned or bequeathed by the decedent at the time of' deaUh
The Schedule C attached hereto and made part hereof' sets forth a true answer to each inquiry
contained therein and in the case of' transf'ers of'property, real or personal, within two years of' decedent's
death, in contemplation of' decedent's death, or intended to take effect in possession or enjoyment at or
after death, said schedule sets forth the nature and value of such property, to whom transferred, the
relationship of' the transferees to the decedent, the proportionate share received by each transf'eree and
all other f'acts of a pertinent nature regarding said transf'ers. In the case of transf'ers intended to
take ef'f'ect in possession or enjoyment at. or after death, there is also attached to the schedule a copy
of the deed, trust agreement or other instrument creating the trust. TheN~ is also set forth in said
schedule a list of all property, real and personal, with its value, which pa~ses at decedent's death by
virtue of' the exercise by decedent, either individually, or jointly with another, or any power of' appoint-
ment vested in decedent, either individually or jointly, by the will, deed, or other instrument of' another,
with a copy of' the instrument creating such power attached to the schedule.
That Schedufe D attached hereto and made part hereof' sets f'orth the names and addresses of all
persons benef'icially interested in this estate at the time of' decedent's death, the nature of their res-
pective interests, their relationship, if' any, to the decedent, together with the ages at the time of
decedent's death of' all minors, annuitants and beneficiaries for lire under decedent's Will. It also
contains a statement showing which of the beneficiaries named in t.he decedent's will, if' any, died prior
to decedent, the dates of their death, their issue, rold the relationship of' such issue to the benef'iciary.
That Schedule E attached hereto and made a part hereof sets f'orth all property, real and per-
sonal, owned by the decedent jointly with another or others, including intangible, standing in the name
of the decedent and others, plus the date and place of record of instrlwents ef'fecting the vestiture of'
real estate and the date of acquisition of personalty, plus the name, address and relationship, if any,
of co-owners to the decedent.
That Schedufe F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed f'or and on behalf of' this decedent's estate, including fUneral expenses paid;
f'amilyexemption, where applicable; costs of administ.ration of this estate; counsel f'ees and fudiciary's
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence of' the death of' the decedent; debts and claims owing and unpaid. at time of
death; taxes accrued chargeable for period prior to decedent's death (except those allowed under Section
651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged f'or obliga-
tions, if any. It is agreed that the fiduciary will present proof of' said claimed obligations upon re-
quest, that if' the amount actually paid in settlement of any f'ee, commission or debt is less than the
estimated amount claiming and allowed, that the same will be reported to the Regist.er of' Wills, and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of' the appropriate columns in Schedules "A", "B", "en, "E", and "F" as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this
19l)1 .... day of .
.l/ld.i'..i)(
N~ Public .'
/J I tJ/),i, jf) lj/JIJ'/J
NOTE: Bef'ore signing affidavit make sure all blank spaces in the aff'idavit a.nd schedules annexed are
:filled in with details or the worrl "None", and in case the assets include rare amI unlisted securities,
securi ties of close or family corporations or an interest in any co-partnership or business, that the
data and statements requi red under the paragraph above relating to Schedule "8" are attached. Also make
certain that column #1 in the "Sununary" has been properly complet.ed as above-directed.
April
')
~/I .,:J
. ."...':.~....~.~:,"'!:Lt.-.(
.....19m7..8.,
'. __ {.! ..L r,:(:.r.;Oi/)j.( .:.:./tJ,..:oC,..,.mo..
(E"'ecutor-~
............~~.....~~......~? mom
(Street Number)
...Shi~!:lll~....mE>E'!~l"cn:tiCl
(City or Town and State)
1725
PC C-34 j 4-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITAi'lCE TAX
RESIDENT DECEDENI
SCHEDULE "A"
REAL PROPERTY
.
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dent. Property held by the decedent as tenant in common with another or ather, should be identified
as to quantum of interest and the estimated value should be that of the decedent's interest only. (Property
held as joint tenants with right of surviorship or tenancy by entireties should be reported an Schedule "E.")
The real property located In the Commonwealth of Pennsylvania should be (1) (2) (3\
described by lot and block number, street and street number, together with DEPARTMENT
a general description of the property, with a reference to the record of the ASSESSED VALUE VALUATION
conveyance by which the decedent took title; if a farm state number of a- FOR YEAR OF ESTlMA TED CAUTION
cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write
of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DEATN In this space)
to be listed on Schedule "F" and must not be deducted from this schedule.
None None
Insert this total apposite "real prapedy", Schedule "A" in the X X X X X
"As Reported" column an the last page of this return.
None
.RCC-36
COMMONWEALTH OF PDINSYLVAJl'IA
TRANSfER INHEIUTANCE TAX
SCHEDULE "c"
TRANSFEllS
~.".'..
~
RESIDENT DECEDENT
(1) Did decedent, within two years of'death, make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) fK)
(2) Did decedent, within two years of death, transfer proper~y from himself to himself and another or
others (including a spouse) in joint ownership? (Answer yes or no) no
(3) If the answer to (1) or (2) above is in the affirmative state: rot applicable
(a) Age of decedent at time of transfer
(b) State of decedent's heal th at time of' making the transfer. (Note 1).
(c) Cause of' decedent' 5 death. (Note 1).
(4) Did decedent, in his I1f'etime, make any transfer of' property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no)~______
(a) Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition? (Answer yes or no) no
(b) What was the transferee's age at time of decedent's death?
(5) Did decedent in his lifetime make any transfer wi thout receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end bef'ore his death:
(a) The possession or enjoyment of or the right to income f'rom the property transferred?
(Answer yes or no) rK)
(b) The right to dp-signate the persons who shall possess or enjoy the property transferred or
income theref'rom? (Answer yes or no) no
(6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent
alone or others not aooli....~hl~
(7) Did decedent in his I ifetime make a transfer, the consideration f'or which was transferee's promise to
pay income to or for the benefit of care of transferor? (Answer yes or no) fin
(8) Did decedent, at any time, transf'er property, the beneficial enjoyment of which was subject to change,
because of a reservert power to al ter, amend, or revoke, or which conld revert to decedent under terms
of transfer or by operation of' law? (Answer yes or no) no
(9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no) not applicable
NOTE 1: The anSwers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death cel"tificate.
NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property
transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with
relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based.
NOTE 3: List applicable property below in manner 1n which provided in Schedules A, B, or E.
ITEM
DESCRIPTION
MARKET VALUE
(Es tima ted)
DEPT. VALUATION
(Dept. Only)
None
None
None
Insert this total opposite "Transfers", Schedule "eft in the
"As Reported" column on the last page of this return.
None
-
RCC- 37 (12-63)
COMMON\\'E.'l.LTIl OF PENNSYYLANIA
TRANSFIlR INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED
(If step-children or DATE INTEREST OF
State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIARY
lve an interest, vested. contingent or other are involved, set STATE YES IN ESTATE
wise, in estate) forth this fact.) OR NO BIRTH
Lucille M. Ocker wife yes sui juris ).00%
!<. ,u. lTJ Pa 17'1<:'7
Carol Ocker v,,<: 9/24/51
RR.#5 , Shippensburg, Pa.
~o~ EiI~Ocker III son uoo 9/26/52
Shippensburg , Pa. 17257
,
Patti Ocker daughter Yes 4/22/57
j(.!(., Jb
Shi urq, Pa. 17Z!57 dauqhter
William Ocker son yes 7/7/59
"'. ,L'.. 1t.J p" 17')~7
Deponent further says that all the above-named beneficiaries are living at this time except below:
no exception
NAME
DATE OF DEATH
RESIDENCE
------
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SUMMARY
(Sch. "A")
..................(Sch. "B")
.................. ...... .......(SCh. "e")
Real Property
Personal Property
Transfers
Gross Taxable Estate
(1 )
(As Reported)
$ . N;Jpe
$10,711. 25.
$ . None
$. ...
$..
$.. 10,711. 25
(2)
(As Determined)
$
$
$
$
$.
$
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. RCC--'8 .
RESIDENT DECEDENT
SCHEDULE "E"
JOINTL Y OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
INSTRllCTIONS: Th is schedul emus t disc lose all proper ty, re 0.1 and personal, owned by the deceden t join tly
with another or others, including intangibles, standing in the name of' the decedent and others. List
real estate first, itS entireties, or joint tenants, giving brief' description, as indicated Imder Schedule
"A", pItiS the dat.e and place of record of instrument effecting vestiture, but do not include entireties
or out of state real estate value in estate valuation column. Personal property should be listed as in
Schedule "B", plus date of' acquiSition, and the name, address and relationship (if any) of co-owners to
the decedent.
.
Deser ipt ion of Property, Date of' Acquisi tion, Name Unit percentage Estate DEPARTMENT VALUATION
Address and Relationship of Co-Owners, and PI ace Value Share V 0.1 un t ion CAUTION-Do not Write
of' Record of Instrument, where Real Es to. te. In This Space.
Y>< 'XV :xx :xx XX 'XV ::>0 XX :x: XX ::xx ;sg Value or Value or
~ 0 xx M 'X 'XV 'XV ~ <S< )< 'X l<.,'n tl re Decedent's
~ :x :so<: 'X ;00 <S< ~ 'X Y> )<
N :x (;0. Property Interest
None None
Insert this total opposite ",Jointly Owned Property", Scheuule "E"
in the "As Heported" column on the last page of' this return.
*'
RCC-81 (6-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YIJUR REPL Y PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING or APPRAISEMENT
LlLc..iU.e M. Ocke/l.
R.D. 5
Sh.i..ppeYL6b~, Pa.. 17257
(Executor or Administrator)
In Re: Estate of
John E. Ocke/l.
CumbeJLtand
County - File No. 21-78-0073
Dear
You are hereby notified that the OJr..,i,gil'l.ai.
appraisement in the estate of John E. Ocke/l.
has been filed in the office of the Register of Wills of CumbeJLta.nd
County an JlLI1.e 26, , 197..1-, Said appraisement reflects the fallowing
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total $
None
IQ..lLI.25
None
None
10,7.Z1,25
As to such tax that is paid within three months from date of death, a five (5%)
percent discount is ollowoble. As to any tax that remoins unpaid after nine (9) months
(fifteen months when death occurred from December 22,1965 to June 16,1971, inclusive;
ond twelve months when deoth occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
Estote Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373.
Date
JlLI1.e 26. 1978
Signed
r')-~,.(.(-;,
,L,: ~'/
,_'_,".:.---.L~,=;}_-,:~_,
Title.
CHIEf APPRAISER
(
-..------.--
Note: This is not 0 bill.
.............
RCC-2 (2-64)
. DEPARTMENT DF REVENUE
BUREAU DF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
June 26. 1978
CwnbeJ!1.a.nd
21-78-0073
COUNTY
FILE NO.
Whereas,
John E. Oc.kell.
Cwnbell.i'.and
late of
Southampton Twp.
in the County of Commonwealth of Pennsylvania, having died on
the 19th day of Janu.aJtu 19-.Z!, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, llU1 K. GieJ.m , an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix
the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future Interest.
Unit Agpraisement
DelcrJgt!on of Auet Valuel Made for Inheritance
Tax PurgOlel
ReiLt PtwpeJr.tU $ NOne
P eJt6 0 niLt Ptw p eJr.ty 10,711 25
Joint: He.f.d PltoeeJr.ty None
T ILan6 f. eJt6 None
TOTAL ASSETS $ 10,711 25
~
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in con~
formity with Jaw on this ? Io:th day of 111Yl~) ~';.' 19-LL.
- ~', '"' ~ j \ . \,~ " ~"'-
Appraiser
(N'umber and Stnet)
HaJc1!i.!.bU/Lg
(Po.t; 0ftI~)
, Penna.
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