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HomeMy WebLinkAbout09-12-08INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland } CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-07-1109 Linda L Klinger Personal Representative(s) of the Estate of Minnie K Peterson deceased, depose(s) and say(s),that the items appearing in the following inventory include all of the personal assets wherever situate and alf 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. ,}1 I verify that the statements made in this Inven- ~ ~ 1~ ~~ ~Q n r~ tory are true and correct. I understand that false state- - ~ ~ z~ ~ -~-- ments herein are made subject to the penalties of Linda L Klinger ~ } t, .,~ > Pj { 18 Pa.C.S. § 4904 relating to unsworn falsificatior. tr? } _____~- . __.-_._._ __,.7 ~_,~ ~.~.~;-_' authorities. _ _. ~ N ~~~ j =~~ ~' - 3 ~ i _ Attorney -- (Name) Wayne M Pecht (supreme Co~ LD. No.) ~ 38904 - (F"'r') Pecht 8~ Associates, PC (Address) 1205 Manor Drive, Suite 200, Mechanicsburg, PA 17055 (Telephone) 717-691-9809 DATE OF DEATH LAST RESIDENCE 391 Sherwood Drive DECEDENTS SOC. SEC. NO. 09/13/2007 Carlisle, PA 17015 168-34-2100 FIGURES MUST BE TOTALED Personal Property Cash ............................................................................................... Personal Property ......................................................................... StockslListed ................................................................................. Stocks/Closely Held ...................................................................... Bonds ............................................................................................. Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ......................................................................... Total Personal Property ..................................... Total Real Property ................................................ Total Personal and Real Property ......................... 33.43 18,274.13 18,307.56 18,307.56 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. § 3301(b)) Form RW-09 Rev. rays-zoos INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } File Number 21-07-1109 DATE OF DEATH LAST RESIDENCE 391 Sherwood Drive DECEDENT'S SOC. SEC. NO. 09/13/2007 Carlisle, PA 17015 168-34-2100 Cash Total Cash Personal Property 2006 Ford Escape -per proceeds checks for purchase of vehicle Members 1st Federal Credit Union Holiday Club Account #34999-02 -Per valuation letter from Members 1st American Health and Life Insurance Company death benefit from CitiFinancial loan insurance per letter dated 09/13/2007 State Farm Mutual Automobile Insurance Company -Hospital and Intensive Care hospital income benefit per check #1134253176 dated 10!3012007 State Farm Mutual Automobile Insurance Company refund of Hospital Income Policy -Per letter from Insurance Agent and copy of insurance check Total Personal Property 33.43 33.43 12,000.00 2,525.40 3,700.00 48.73 18.274.13 (Attach additional sheets if necessary) Total Personal Property and Real Estate 18,307.56 INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS couNTY OF Cumberland ) CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-07-1109 Linda L Klinger Personal Representative(s) of the Estate of Minnie K Peterson 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 ~ Linda L Klinger 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) (Firm) (Address) (Telephone) Wayne M Pecht (Supreme Court 1. D. No.) 38904 Pecht 8 Associates, PC 1205 Manor Drive, Suite 200, Mechanicsburg, PA 17055 717-691-9809 DATE OF DEATH LAST RESIDENCE 391 Sherwood Drive DECEDENTS SOC. SEC. NO. 09113/2007 Carlisle, PA 17015 168-34-2100 Personal Propert FIGURES MUST BE TOTALED Cash ............................................................................................... Personal Property ......................................................................... Stocks/Listed ................................................................................. Stocks/Closely Held ...................................................................... Bonds ............................................................................................. Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ......................................................................... Total Personal Property ......................................... Total Real Property ................................................ n ~Q ~~ n ~i ~~ `,-- ~ ~ _° ~,-, F!_~ ~'1 r.~ ~, 33~~3'~ ~274~'1~3 ; ~ :_~ ~ s: ~ ( ~ ~I ~'~ N . ,,,. 18,307.56 Total Personal and Real Property ......................... 18, 307.561 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. § 3301(b)) Form RW-09 Rey. ro-rs-loos C:,,J INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland } File Number 21-07-1109 DATE OF DEATH LAST RESIDENCE 391 Sherwood Drive DECEDENTS SOC. SEC. NO. 09/13/2007 Carlisle, PA 17015 168-34-2100 Cash Total Cash Personal Property 2006 Ford Escape -per proceeds checks for purchase of vehicle Members 1st Federal Credit Union Holiday Club Account #34999-02 -Per valuation letter from Members 1st American Health and Life Insurance Company death benefit from CitiFinancial loan insurance per letter dated 0 911 312 0 0 7 State Farm Mutual Automobile Insurance Company -Hospital and Intensive Care hospital income benefit per check #1134253176 dated 10/30/2007 State Farm Mutual Automobile Insurance Company refund of Hospital Income Policy -Per letter from Insurance Agent and copy of insurance check Total Personal Property 33.43 33.43 12,000.00 2,525.40 3,700.00 48.73 18,274.13 (Attach additional sheets if necessary) Total Personal Property and Real Estate 18,307.56