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HomeMy WebLinkAbout10-02-07 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland Sally Ruth Maurer Personal Representative(s) of the Estate of } SS } File Number 21-07 -0303 Kathryn B. WILSON 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 ec;lC~ item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no reCilI ~state outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory." C .:..:: tory ~r~e::Je t:~~ t~~r~~~:e~uenn~:r~:~~ ~~~~i~II~:~~~te_ }-V~ 22;~~~ '...' ments herein are made subject to the penalties of SaUy ~h Maurer ;,',) 18 Pa.C.S. S 4904 relating to unsworn falsification to } authorities. Attorney -- (Name) (Firm) (Address) (Telephone) EDMUND G. MYERS Johnson Duffie 0(__\) 1'0 (Supreme Court /.D. No.) 20558 301 MARKET STREET, LEMOYNE, PA 17043 ___n________________ _______ __ _____u_ (717) 761-4540 DATE OF DEATH 03/05/2007 LAST RESIDENCE 1465 Hillcrest Court Camp Hill, PA 17011 FIGURES MUST BE TOTALED DECEDENT'S SOC. SEC. NO. 189-03-4601 Personal Property Cas h............................................................................................... Personal Property...... .... ... .... ...... ... ...... ...... ...... ......... .............. ...... Stocks/Listed................................................................................ . Stocks/Closely Held .... ... ...... .... ......... ...... ...... .... ....... ...... ...... ......... Bon ds............................................................................................. Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable............................................... A II Other Property. ....... ............... ...... .......... ........ .......... ........ ........ 152,688.70 475.00 221,806.01 Total Personal Property........... ............ .................. 374,969.71 T ota I Real Property... ................................ ............. Total Personal and Real Property......................... 374,969.71 I 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. S 3301 (b)) Form RW-09 Rev. 10-13-2006 1...'7" INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } File Number 21-07 -0303 DATE OF DEATH 03/05/2007 LAST RESIDENCE 1465 Hillcrest Court Camp Hill, PA 17011 DECEDENT'S SOC SEC. NO. 189-03-4601 Cash AARP Refund 40.03 Cash 301.55 Cash 185.63 Check Deposited into Account 13.57 Members First Certificate of Deposit Account 175519-45 3.284.92 Peerless Insurance - Rental Insurance Refund 24.92 Sovereign Bank Certificate of Deposit Account 0575138565 34.542.27 Sovereign Bank Certificate of Deposit Account 0575138755 12.339.97 Sovereign Bank Certificate of Deposit Account 2335253874 25,014.17 Travelers Insurance - Refund on Account 101.64 U.S. Treasury Department - 2006 Individual Income Tax Refund 170.00 United Health Care - Reimbursement of Benefits 29.52 Wachovia Bank Certificate of Deposit Account No. 247412051183362 76.640.51 Total Cash 152,688.70 Personal Property 1989 Buick LeSabre - Valued using Kelly Blue Book.com Valuation is attached to th is Retu rn 475.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 374.969.71 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } File Number 21-07 -0303 DATE OF DEATH 03/05/2007 LAST RESIDENCE 1465 Hillcrest Court Camp Hill, PA 17011 Total Personal Property DECEDENT'S SOC. SEC. NO 189-03-4601 475.00 Stock I Listed 4.419.8970 shares Franklin Tax Free Trust - PA Tax Free Income A 46.320.52 1.541.0000 shares Nationwide Financial Services Inc - CL A 82.250.88 8.830.5750 shares Putnam PA Tax Exempt Inc Fund - Shares Ben Interest 80.888.07 674.2050 shares Van Kampen Merr PA Tax Free Fund A - Cone 11.778.36 32.6350 shares Van Kampen Merr PA Tax Free Fund B - CL B 568.18 Total Stock / Listed 221.806.01 -2-