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Home My WebLink About05-20-08 INVENTORY REGISTER. OF WILLS OF CUMBERLAND COUNT'(, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } 5S COUNTYOF Cumberland } . . File Number 21..07-0769 TerriL.Kaptain ,formerly TerrfLee B~rkey and StevenD.Gray Personal Representative(s)of the Estate of Donald A. Gray deceased, depose(~).. andsay(s) that the items.appearing in the following . inventory include all. of the personal.. assets wherever situateandallofthereal estate in the Commonwealth of Pennsylvania, of saidDecedent,thatthe valuation placed opposite each item of said inventory represents its fair value as of the dateofthe decedent'sdeath,and that Decedentowned no real estate o. utsid..El o. ft.h. ec.o.mm... o. n. w.e. altP.ofP. .enns. ~vaniae.x..ce..Ptthatwh;ch ppears.in.a memo.;rar d. urn at i\le end of this inventory. I verifythatthe statements made in this I nven- . {{(l ( tory are true and correct (understand that false state- .......... . .. ... .. .... ... m~nts herein are. made subjecttothe penaltiElspf .. erri L.Kaptam, formerly Tern Lee Berkey 18 Pa..~.S.~ 4904 relatingtounswomfalsifieationto l.. .. ... .... . .. ........ authontles. .StevenD. Gray Attorney -. (Name)' (Firm) (Address) (Telephone) . JamesD.Bogar Bogar & Hipp Law Offices One WestMain5treet,Shiremanstown, PA 17011 717-737-8761. (Supreme Court I.D. No.) 19475 DATE. OF DEATH 07/25/2007 ~03AllendaleRoad.. ...... Mechanicsburg, PA17055 FIGLJRES MUST BE TOTALED DECEDENT'S SOC. SEC. NO. 202-20.;2721 Personal Property ~ 20 1,~.30 ..;~. .38,~.OO[.... ~.~;~ -< ( ',~~32 ~ Cash.. ....1...... ..'iI... ......:.'~ ..... ..1.. ..... II"" ......~.... ..... Ii.... .............. ...... ..-..... Ii ....~:"........ II.... ..PersonaIPropertyu.................................................. ...n..... ............. Stoc-ks/Listed.'...'...................................... II -.. ........:..........'..';..,..:".........~. .' '. - ' ',' , '.- ,. ',: .. . . Stocks/Closely He Id ~.. ........... .......... ................ ............. ................. Bonds.......~ ..,...... .Ii. ..... ...~. ...... i ~~.... ~....... .... ........ ... ...... ................................. ...... Ii.. ~:'~3~ <:i5 --1 .." .2 Partnerships and Sole Proprietorships ..................................... Mortgages and ..NotesReceivable...... ..........~...................... ........ AU Other . Property. ............... ...........,..... .................;....................... c.n Q U1 Total Personal Property........... ................. ............. 40,021.30 Total Real Property........... ................;.................... 146,000.00 Total Personal and Real Property......................... NOTE: The Memorandum oheal 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 9f the Inventory. (See 20 Pa. C.S. !j3301 (b)) Form RW~09 Rev. 10-13-2006 ~'\ INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTYOF Cumberland} File Number 21-07-0769 Terri L. Kaptain , formerly Terri Lee Berkey and Steven D. Gray Personal Representative(s) of the Estate of Donald A. Gray 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 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- tory are true and correct. I understand that false state- ments herein are made subject to the penalties of 18 Pa.C.S. S 4904 relating to unsworn falsification to authorities. } T~taill~ TeZl~e2 ~~~~ } Steven D. Gray ., Attorney - (Name) (Firm) (Address) (Telephone) James D. Bogar Bogar & Hipp Law Offices One West Main Street, Shiremanstown, PA 17011 717-737-8761 (Supreme Court 1.0. No.) 19475 DATE OF DEATH 07/25/2007 LAST RESIDENCE 903 Allendale Road Mechanicsburg, PA 17055 FIGURES MUST BE TOTALED DECEDENTS SOC SEC. NO. 202-20-2721 Personal Property Cas h........................................................................................... .... Person al Property......... ...... ......... ... ........... ....... ...... .... .... .............. Stoc ks/Listed.. ............................................................................... Stocks/Closely Held........... ............. ...................... ....... ...... ...... ..... So n ds............................................................... .......... .................... Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable............................................... All Other Property.... ........... .......... ...................... .......................... 1,551.30 38,470.00 Total Personal Property........................... .............. 40,021.30 Total Real Property................................................ 146,000.00 Total Personal and Real Property......................... Ii ',' ."186,021jol NOTE: The Memorandum of real estate outside the Commonwealth oi Pennsylvania may, at the election oi 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. !j3301 (b)) Form RW-09 Rev. 10-13-2006 CUMBERLAND. COUNTY, PENNSYLVANIA REGISTER OF WILLS OF COMMONWEAL TH OF pENNSYLVANIA CqUNTY OF Cumberland . DATE OF DEArH 07/25/2007 Cash Fila Number 21-07 -0769. DECEDENT'S SOC. SEe: NO. 202-20-2721 Cash- Nine (9) Two ($2.00lbills found in safe deposit box Corneast., Refund 18.00 20.64 M&TSankSavings Account No. 25004920155957 -Date of death balance . '$900.72; accrued interest$0.14 . . 900.86 Mid Atlantic Insurance Group- Refund Pennsylvania Employees >Benefit TrustFund-Pension Bel'lefit ... 294.00 191.80 Personal PropertY 1965 Corvette Stingray. ~VIN#18752531515GR -Per' apptais~1 126.00 1.551.30 25.000.00 . . 1972 Chevrolet CheveUe - VIN,#1D37H2B68567f:"perappraisal . . 1998 Oldsmobile 88- VIN# 1 G3HN52KXW4825593 -Per appraisal 7,500.00 4.725.00 . Personal Property-Per appraisal 1.245.00 Total Personal Property 38.470.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 186.021.30 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland DATE OF DEATH 07/25/2007 . File Number 21-07-0769 DECEDENT'SSOC. SEC. NO. Real Estate- AU thosetwo.(2)certainpleces..orparcelsof landcoJlectively known and numblitred a.s 903 AUendale Road, Mechanicsburg,Pennsylvania 17055. . The.property was acquired by Donald A.'Gray and Marguerite. G.. Gray, 11 is wife, by deeds dated December 3, 1962 and July 24, 1971,8nd recorded in the Cumberland County Recorder of Deeds Office in Dee(f Book "S", Vol~ 20,. p... a.'. ge. 528andDeedB.ook"F'",Vol. 24, Page 440. respectively. The said Mcu-9ueriteG.Gray died November 7, 1998, whereupon full and completetit.le to the within. described real property became vested solely in DonaldA Gray, theDecedenthereln;Thedate of death value of said property has been . determined pu/'SuanUoanAppraisal of Real Property performed by Dennis L. Shover, Certified Real Estate Appraiser; Acopyof said Appraisal~ containing copiesoftheabove-referenced deeds, is attached hereto and incorporated . herein. The value.ofsaid property is $146,000.00. 146.000.00 -2- 146.000.00