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HomeMy WebLinkAbout08-28-07 (2) INVENTORY Estate of Stella M. Wise , Deceased No. 21 07 0558 Date of Death 4/11/2007 Social Security No. 204308063 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: William P. Douglas 1.0. No.: 37926 Carlisle, Telephone: 717-243-1790 PA 17013 ........, (") g (:0 ~ I "~:o :.e..- 65 Fairfield St., Carlis~~A 170lii , ',' ']>r'- Dated ~ 1zz/2007 , ' > :~; S8 ~ I ' -, .>) /', <;3~ ~ --'~,..1 ._~l ) (',') (-".J ---:--, _.~! ~.- --- ! Cletus L. Wise Address: 43 W. South St. ,'T) , ,) ,'0" '::-:J n --I or:> N . C') Description Value 1.Members First - CD 15,000.00 2. Members First - Money market 16,743.10 3.Members First - Checking account 6,679.66 4.Government Annuity, death benefit 1,853.72 5, 2000 Chrysler, private sale price 4,000,00 6.Real Estate, 9 Green Meadow Dr., Carlisle, PA, selling price 60,000.00 Total (Attach Additional Sheets jf necessary) 106,964.43 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 ~ Continuation of Inventory Stella M. Wise 21 07 0558 PaQe 1 Description of Inventory Description Value 7. Personal Property 500.00 8. Cash 589.00 9. IRS, tax return 1,026.00 10.lnterest received from Members First 11. Real estate tax proration 12. Members 1st checking account 97.01 84.27 391.67 Subtotal $ Grand Total $ 2,687.95 106,964.43