HomeMy WebLinkAbout03-13-07
INVENTORY
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
} SS
File Number No. 21-06-0609
Personal Representative(s) of the Estate of Jane W. Sipe, Deceased
deceased, depose(s) and say(s) 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 of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- } ~ VM ~, ~~_
tory are true and correct. I understand that false state- I' t
ments herein are made subject to the penalties of
18 Pa.C.S. ~ 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Bridget M. Whitley, Esq (Supreme Court J.D. No.) 3~~n
(Address) Skarlotos and Zonarich, LLP , 17 S. Second Street, Harrisburg, P A 17101-2039
(Telephone) 717-233-1000
DATE OF DEATH
LAST RESIDENCE
DECEDENTS SOC. SEC. NO.
6/30/2006
Lower Allen Twp., Cumberland County, PA
160-16-0740
FIGURES MUST BE TOTALED
Boscov's Gift Cards vauled at
Citizen's Bank Checking Account #61-00683192 @ DOD Value
Citizen's Bank Green Savings Select #6247-569330 @ DOD Value
Accrued Interest to DOD for above
Citizen's Money Market Account #610090-133-5 @ DOD Value
Credit Balance at Kaplan's Cleaners
Cumberland County Veteran's Benefit Payment
East Pennsboro Ambulance Service refund
Hershey Medical Center refund
Patriot News Subscription Refund
Stone & Murray Funeral Home - unused pre-need funeral account
US Treasury - 2006 1040 return refund due decedent
Personal Property sold at Haar's Auction $401.24 less commission $160.50
[".,....)
.-:=-)
=
-...j
300.00
40.00
2,006.08
2.94
290.00
252.54
100.00
218.50 .
123.96-;
76.00
J.25.00.
468.00
240.13
w
C.I
N
CD
(Attach additional sheets as needed)
TOTAL:
4,243.77
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. (See 20 Pa. C.S..9 3301(b))
Form RW-09 rev. /0.13.06
~
Mrs. Sharon M. Garcia
P.O. Box 274
Camp Hill, PA 17001-0274
March 12, 2007
Cumberland County Register of Wills
One Courthouse Square
. Carlisle, PA 17013
Re: Jane W. Sipe Estate
No. 21-06-0609
Gentlemen;
Enclosed please find copies of the P A Inheritance Tax Return, Inventory, and a
check in the amount of $30 to cover the filing fee for these documents. Please date-stamp
the two enclosed single pages and return to me in the self-addressed, stamped envelope.
You may call me at (717) 761-6925 if you have any questions regarding these
documents.
Very truly yours;
~aM'v rh ~~
Sharon M. Garcia, Executor
Cc: Bridget M. Whitley, Esq
w
-a
N
CD