HomeMy WebLinkAbout11-27-07
INVENTORY
REGISTER OF WillS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Carolyn S. Miller
Personal Representative(s) of the Estate of
} S8
}
File Number
21-07-0492
Helen S. Egolf
deceased, depose(s) and say(s) that the items ap~earing in the following inventory include all of the personal assets wherever situate
and all of the real estate in ttie 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-} ~g jJ1 ~
tory are true and correct. I understand that false state- J
ments herein are made subject to the penalties of Carolyn S. Miller
18 Pa.C.S. ~ 4904 relating to unsworn falsification to }
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Jay R. Wagner Esquire
Stevens & Lee
111 North Sixth Street, Reading, PA 19603-0679
610-478-2109
(Supreme Court 1.0. No.)
65595
DATE OF DEATH
02/23/2007
LAST RESIDENCE
210 Big Spring Road
Newville, PA 17241
FIGURES MUST BE TOTALED
DECEDENT'S SOC. SEC. NO.
198-22-9115
Personal Property
Cash......................................................... ........ ..............................
Personal Property......................................................... ................
Stocks/Listed. ........................................................................... .....
Stocks/Closely Held......................................................................
Bonds............................ ...... ...........................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property................................................ ..... ....................
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Total Personal Property... ......... .... .........................
7,401.35
Total Real Property..................... ...........................
Total Personal and Real Property.........................
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. !i 3301 (b))
Form RW-09 Rev. 1{}-13-2006
~
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-07 -0492
DATE OF DEATH
02/23/2007
LAST RESIDENCE
210 Big Spring Road
Newville, PA 17241
DECEDENTS SOC. SEC. NO.
198-22-9115
Cash
Green Ridge Village - refund of nursing home expenses
2,084.35
PA Dept. of Revenue - 2006 PA income tax refund
79.00
U.S. Treasury - 2006 federal income tax refund
1,238.00
Total Cash
3,401.35
Bond
8 - $500 Series HH U.S. Savings bonds dated March 1981
4,000.00
Total Bond
4,000.00
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
7,401.35