HomeMy WebLinkAbout09-04-08 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number
John E Herr
Personal Representative(s) of the Estate of Julia M Herr
COUNTY, PENNSYLVANIA
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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 m,~morandum 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- } ~~=-4~-- ~~~ -- -
ments herein are made subject to the penalties of John E Her
18 Pa.C.S. § 4904 relating to unsworn falsification to } __ __ _
-- - -
-_
authorities.
Attorney -- (Name) John R Miller III (Supreme Courtl.D. No.) 17347
___ __
(Firm) Miller, Kistler 8~ Campbell
(Address) 124 North Allegheny Street, Bellefonte, PA 16823
- __ -- --
(Telephone) 814-355-5474
DATE OF DEATH LAST RESIDENCE Loyalton of Crestview DECEDENT'S SOC. SEC. NO.
01/20/2008 Mechanicsburg, PA 17050 188-14-2387
FIGURES MUST BE TOTALED
Personal Propert
Cash ...............................................................................................
Personal Property .........................................................................
Stocks/Listed .................................................................................
StockslClosely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
Total Personal Property .........................................
Total Real Property ................................................
Total Personal and Real Property .........................
- ~ ~ __
._ C7 , ;r
{ E~
"- ~ 4,050.00 ;
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137,054.38
137,054.38
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 ~o-is-zoos
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-08-
DATE OF DEATH LAST RESIDENCE Loyalton of Crestview DECEDENT'S SOC. SEC. NO.
01120/2008 Mechanicsburg, PA 17050 188-14-2387
Cash
AIG Annuity Insurance Company, No. 111089778
Loyalton of Mechanicsburg, refund of rent from assisted living home
M8~T Bank checking account
M&T Bank savings account
U.S. Treasury, economic stimulus payment
U.S. Treasury, federal income tax refund
Western-Southern Life Annuity No. W0020583781
Western-Southern Life Annuity No. W0020603413
Total Cash
Personal Property
1996 Buick Century automobile, Kelley Blue Book Value (see attached)
Furniture, furnishings & miscellaneous personal items
Total Personal Property
50,191.88
1,004.00
11,992.63
3,748.73
300.00
1,990.00
47,426.42
16.350.72
133,004.38
1,550A0
2,500.00
4,050.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 137.054.38