HomeMy WebLinkAbout04-14-08 (2)
Register of Wills of
CUMBERLAND
County, Pennsylvania
INVENTORY
Estate of Norma J. Kapp
No. 21-07-0890
also known as Norma Jean Kapp
Date of Death 09/25/2007
,Deceased Social Security No. 183 -12-2397
Carol A. Rider,
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 of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this
Inventory. I me verify that the statements made in this Inventory are true and correct. Ime understand that false statements herein
are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative
Name of
Attorney:
Marlin R. McCaleb Esq.
signature:/C~ a ~~ ~
Carol A. Rider }
1.0. No.:
06353
Signature:
Address:
219 East Main Street
Address:
1052 Smithridge Road
Mechanicsburg, FA 17055
Bridgeport, NY 13030
Telephone: 717/691-7770
Telephone: 315/72 7 - 7344
Dated: ./ 4- /0- or
Description Value
(See continuation page(s) attached)
(')
.SO
::0
~
'';Lo
.i...f-
2fif
.. .:. (/1 :;n
<) (~. "'^'
.' ..._,iO
\--) --T7
c:
::0
.:0 --I
_1:.::.
{~
......}
c:;:,
c:c
.:c..
-0
:::0
-
....
;j?
N
..
-
C
(Attach additional sheets if necessary)
Total:
76,580.57
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.
()
Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems, Inc.
Estate of:
Date of Death:
County:
INVENTORY
Norma J. Kapp
09/25/2007
Cumberland
CASH:
Sovereign Bank, - Checking
account #1681736969;
principal balance as of
D.O.D.: $494.41; interest
accrued to D.O.D.: $0.09.
494.50
494.50
PERSONAL PROPERTY:
2004 Chevrolet Monte Carlo LS
coupe.
10,435.00
County of Cumberland, -
pension benefit.
401. 36
Country Meadows Associates, -
refund of assisted living
charges.
234.19
Cumberland County, - pro-rated
retirement benefit.
32.82
Furniture at Country Meadows
Assisted Living, - 4-pc.
bedroom suite (bed, dresser,
2 tables) ($150.00);
roll-top desk ($200.00);
kitchen corner cupboard
($100.00).
450.00
-1-
Jewelry - diamond solitaire
ring ($250.00); gold wedding
band ($14.50); opal and
diamond fashion ring
($175.00); lavalier necklace
($75.00); miscellaneous
pieces of costume jewelry
($10.00) .
524.50
Parthemore Funeral Home, -
pre-need funeral agreement.
9,000.00
U. S. Treasury, - 2007 federal
income tax refund.
8.20
REAL ESTATE/PA:
House and lot, - 214 West
Simpson Street, Borough of
Mechanicsburg, Cumberland
County, PA, acquired by
Decedent by deed dated
06/02/2004, recorded in Deed
Book 263, Page 2244.
55,000.00
TOTAL RECEIPTS OF PRINCIPAL......... ......
-2-
21,086.07
55,000.00
76,580.57
----------------
----------------