HomeMy WebLinkAbout09-15-06 (3)
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INVENTORY
, Deceased
No. 21 06 0068
Date of Death 10/31/2005
Social Security No. 196-14-0190
Estate of Jeannette M. Gottshall
also known as
Personal Representative(s) of the above Estate. deceased. verify that the ite~s 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. IflNe
verify that the statements made in this inventory are true and correct. (fINe understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of
Attorney: Stephen J. HOQQ, Esquire
I.D. No.: 36812
Address: 19 S. Hanover Street, Ste. 101
Carlisle
Telephone: 7172452698
Sandra B. Dean
Dated 09/15/06
PA 17013
Description
Value
M& T Checking Account # 604186
33,555.02
Pension Check
417.00
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Interest Payment 11/21/05
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Interest Payment 12/21/05
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Interest Payment 01/20/06
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Interest Payment 02/07/06 1.25
Total
(Attach Additional Sheets if necessary)
40,780.80
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
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Jeannette M. Gottshall
Description of Inventory
Description
Sale of Mobile Home
Security Deposit Return
Christmas Club Close-out Transfer
Continuation of Inventory
PaQe 1
Subtotal $
Grand Total $
21
Value
06
0068
6,500.00
100.00
200.27
6,800.27
40,780.80