HomeMy WebLinkAbout02-27-07 (2)
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
INVENTORY
Estate of JAMES N. BRENNEMAN
No.21
06
0621
, Deceased
Date of Death 71212006
Social Security No. 206-32-4025
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. I/We
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.
Personal Representative:
Name of
Attorney: Jill M. Wineka, Esquire
I.D. No.: 58802
Address: 1719 North Front Street
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Jill L. Mellios, Executrix
2/12/u7
Dated
Harrisburq,
Telephone: (717) 234-4178
PA 17102
Description
1450 Timberbrook Drive, Mechanicsburg, Cumberland County, PA
Tax Parcel No.: 10-15-1283-011-U113
Value
124,900.00
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-'j 829.38
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Adjustment for taxes and homeowner's association dues on HUD-1
Settlement Statement
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1,009.57
-c
Refund of 2006/2007 School taxes from real estate settlement
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Health Savings Account
N 81.73
N
2001 Hyundai Elantra GLS; VIN# KMHDN45D31 U031318
4,200.00
Commerce Bank Checking Acct. No, 0536720857
45.49
Total
134,552.75
(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
J
Continuation of Inventory
JAMES N. BRENNEMAN
21
06
0621
PaQe 1
Description of Inventory
Description
Value
Health Savings Account
62.50
Misc. personal property
300.00
MetLife - disability check
1,187.36
MetLife - disability check
1,246.72
E-Count
690.00
Subtotal $
Grand Total $
3,486.58
134,552.75