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REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
Karen Stasko
File Number 21-08-0196
Personal Representative(s) of the Estate of
Rita Mosko
deceased, depose(s) and say((s).that the items appearing in the following inventory include all of the ppert
situate and all of the real estafe In the Commonwealth of Pennsylvania of said Decedent, that the valuat
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end
I verify that the statements made in this Inven- ~~~ ,~~tad~
tory are true and correct. I understand that false state- ~ Karen Stasko
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to __ _ ___ ___ _ _____ __-
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Marci S. Miller
Hazen Elder Law
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6
(Supreme Court l.D. No.) 204083
2000 Linglestown Road, Harrisburg, PA 17110 _
717-540-4332
DATE OF DEATH LAST RESIDENCE Messiah Village DECEDENTS SOC. SEC. NO.
02/04/2008 Cumberland, PA
FIGURES MUST BE TOTALED
Personal Propertv
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 ................................................
2,201.64
102,804.80
105,006.44
170,000.00
Total Personal and Real Property .........................
.275,006.44
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 Rey. ~a~s-zoos
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
r
REGISTER OF WILLS OF
Credit for -county/town taxes paid in advance of real estate closing (7118108 -
12/31/08); see attached settlement statement line #406
Credit for -school taxes paid in advance of real estate closing (7118/98 -
10/1/08); see attached settlement statement line #407
Credit for -sewer paid in advance of real estate closing (7118108 -10/1108); see
attached settlement statement line #409
Credit for -Homeowners Association dues paid in advance of real estate
closing; see attached settlement statement line #410
Northern Trust -Rite Aid pension payment for month of death
Refund -East Pennsboro Twsp. -sewer/trash
Refund from Foremost Insurance Co. -homeowner's premium refund
Refund - UGI Utilities
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-08-0196
DATE OF DEATH LAST RESIDENCE Messiah Village DECEDENTS SOC. SEC. NO.
02/04/2008 Cumberland, PA
Cash
Bond
Total Bond
204.68
1,556.11
95.83
18.06
12.94
115.00
188.50
10.52
2,201.64
12.756.80
36,444.00
53,604.00
102,804.80
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
Total Cash
(14) United States Savings Bonds -Series EE - $1,000 each; issued October,
1993
(6) United States Savings Bonds -Series EE - $5,000 each; issued April, 1991
(9) United States Savings Bonds -Series EE - $5,000 each; issued January,
1992
(Attach additional sheets if necessary) Total Personal Property and Real Estate 275,006.44
~. ~
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-08-0196
DATE OF DEATH LAST RESIDENCE Messiah Village DECEDENTS SOC. SEC. NO.
02/04/2008 Cumberland, PA
Real Estate
150 Lee Ann Court, Mechanicsburg, PA -contract sales price as per attached
Settlement Statement
Total Real Estate
170,000.00
170,000.00
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