HomeMy WebLinkAbout04-11-06 (2)
INVENTORY
Estate of Ira M. Blocher
No.21
06
0067
, Deceased
Date of Death 1/18/2006
Social Security No. 195-07-6371
also known as
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. IfWe
verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
1.0. No.: 55895
::~;;;,~4 n<~
Robert M. Blocher
Name of
Attorney: Anthony J. Foschi, Esquire
Address: Shumaker Williams, PC - 3425 Simpson Ferry Road
Dated
~.-l-.o. - Co'-=-
Camp Hill
Telephone: 717-763-1121
PA 17011
Description
Value
o
Sovereign Bank
Certificate of Deposit
Account No: 0575135710
Community Banks
Certificate of Deposit
Account No: 348151298
Citizens Bank
Checking Account
Account No: 6100705048
8,980.48
107,794.17
19,318.09
Total
338,938.50
(Attach Additional Sheets if necessary)
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
I
",' \.'
\ \~
\
Continuation of Inventory
Ira M. Blocher
21
06
0067
Paqe 1
Description of Inventory
Description
Value
Internal Revenue Service
Federal Income Tax Refund
731.00
Commerce Bank
Certificate of Deposit
Account No: 801003
Commerce Bank
Certificate of Deposit
Account No: 801004
Commerce Bank
Certificate of Deposit
Account No: 801005
M&T Bank
Certificate of Deposit
Account No: 31003914467228
Citizens Bank
Certificate of Deposit
Account No: 6140710898
45,434.50
45,434.50
45,434.49
50,359.71
15,451.56
Subtotal $
202,845.76
338,938.50
Grand Total $