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HomeMy WebLinkAbout09-22-08INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND File Number 21 07 0255 Personal Representative(s) of the Estate of Geraldine E. McCauslin 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. s 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 ichard King l8 Pa. C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) JANE M ALEXANDER. ESQ. (Supreme Court I.D. No.) 07355 (Address) 148 S BALTIMORE ST DILLSBURG PA 17019 (Telephone) 7174324514 DATE OF DEATH LAST RESIDENCE 310 Hemlock Road DECEDENTS SOC. SEC. NO. PA FIGURES MUST BE TOTALED 720 shares of ACNE Corporation Certificate no. AC33493 issued 9/10/2001 at $18.15 per share 36 shares of ACNB Corporation Certificate no. AC36887 issued 12/15/2006 at $18.15 per share 37 shares of ACNB Corporation Certificate no. AC39595 issued 12/14/2007 at $18.15 per share 628 entry shares of Sovereign Bankcorp, Inc. at $24.84 per share 2 shares of AT&T - Computershare account number 00009255796 at $36.00 United States Treasury - 2006 income tax refund PA Department of Revenue -2006 income tax refund (Attach additional sheets as needed) -= C> ~, - -~a r c= ~J _ -~ _~ Y c~ r-~ rv tV ~." N _,:13,068.00 t - $653.40 .- ,=; $671.55 $15,599.52 $72.00 $726.00 $88.81 TOTAL: ~ $253,191.64 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. 10.13.06 Continuation of Inventory Geraldine E. McCauslin 21 07 0255 Decedent Name Paqe 1 File Number Description of Inventory Adams County National Bank checking account no. 1967622 (joint owned Gilbert McCauslin, husband, died $13,689.33 11129/2000) Adams County National Bank -certificate of deposit no.139127 (joint owned with Gilbert McCauslin, husband, died $63,102.02 11!2912000) Adams County National Bank - certficate of deposit no. 146570 Qoint owned with Gilbert McCauslin, husband died I $40,712.42 Sovereign Bank -certificate of deposit no. 0575137229 I $104,378.85 Pennsylvania Employees -premium refund I $387.74 PA Department of Revenue - 2007 income tax refund I $13.00 Holy Spirit Hospital -refund I $29.00 Items bequeathed in Codicil: Marble top table and 6 plank bottom chairs, Doughtry, Cherry drop table, and Horse shoeing box were given to Richard and Ronald when house sold in December 2002,1998 Ford Crown Victoria automobile sold by decedent in 2003 Subtotal S $222,312.36 Grand Total 5 $253,191.64