HomeMy WebLinkAbout10-01-08 (3)INVENTORY
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
Personal Representative(s) of the Estate of GENEVIEVE L. MARTIN
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 o~osite each~m of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real est~~gtttside o~te
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Commonwealth of Pennsylvania except that which appears in a memorandum at the end of thi inventory. ~ ti c-~
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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. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) JAN L. BROWN (Supreme Court I.D. No.) 67993
(Address) 845 SIR THOMAS COURT SUITE 12 HARRISBURG PA 17109
(Telephone) 717-541-5500
REGISTER OF WILLS OFCUMBERLAND COUNTY, PENNSYLVA1vIA
File Number 2008 00755
STEP N F. J. MARTIN, Executor ~~.>`-„
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DATE OF DEATH LAST RESIDENCE
4905 E. Trindfe Road
7/7
FIGURES MUST BE TOTALED
Franklin Bank
Checking Account No. 02000018560
Franklin Bank
Savings Account No. 02020001162
Franklin Bank
Certificate of Deposit No. 02460000183
Franklin Bank
Certificate of Deposit No. 02460000184
PSECU
Regular Shares, S01
PSECU
Certificate of Deposit, C53
PSECU
Certificate of Deposit, C54
(Attach additional sheets as needed)
DECEDENTS SOC. SEG. NU.
17050 1191-1
3,851.77
7,701.11
55,188.51
55,188.52
8,608.44
54,295.35
54,295.35
291,664.44
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
GENEVIEVE L. MARTIN 2008 00755
File Number
Decedent Name Pa e 1
Description of Inventory
Northern Trust
Western-Southern Life Account No. 9800141181
Erie Insurance Group, premium refund
Country Meadows Associates, refund
Household Goods & Personal Effects
United States Treasury, stimulus payment
38,563.27
107.00
665.12
12,000.00
1,200.00
Subtotal S 52,535.39
Grand Total 3 291,664.44