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HomeMy WebLinkAbout11-18-08 (2)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } Edna R Shaw File Number 21-08- Personal Representative(s) of the Estate of Donald Shaw 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 whicch appears in a memorandum at the end of this inventory. I verify that the statements made in this Inven- ~~--YL-~?-- ,1 ` ~ tory are true and correct. I understand that false state- } ~/ ~zl`ti~-- ments herein are made subject to the penalties of Edna R Shaw 18 Pa.C.S. § 4904 relating to unsworn falsification to } _______ _ _. __ _ __ _ ------- authorities. Attorney -- (Name) (Firm) (Address) (Telephone) Marielle F Hazen (Supreme Court r.o. No.) Hazen Elder Law 2000 Linglestown Rd., Harrisburg, PA 17110 _.. ___ 717-540-4332 aRnn~ DATE OF DEATH LAST RESIDENCE 711 East Winding Hill Rd DECEDENT'S SOC. SEC. NO. 02/27/2008 Mechanicsburg, PA 17055 206-16-7497 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 ................................................ ~? rv 0.00 © r ~~ ~~ ~ ea ~~ _' 1 ~ ~ 6 9,9 06` ~' ~ J -- -~., r ~ _ ._ ~~ ; ~- - = c :~7 3~ -: ; , t~ ~__ ~ _ , ; I ~~ ~, N } ~i 70,229.06 Total Personal and Real Property ......................... 70,229.06 CUMBERLAND COUNTY, PENNSYLVANIA 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 ~o-~s-zoos REGISTER OF WILLS OF INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-08- DATE OF DEATH LAST RESIDENCE 711 East Winding Hill Rd DECEDENT'S SOC. SEC. N0. 02/2712008 Mechanicsburg, PA 17055 206-16-7497 Cash Bureau of Unclaimed Property -Receipt of Claim #100142256 Prudential Financial Inc Demutualization Cash Bureau of Unclaimed Property -Receipt of Claim #100142257 -Penn Treaty American Corporation/Underlvinq funds Total Cash Stock /Listed 7.0000 shares IBM Corp 1,726.0000 shares Manulife Financial Corporation Total Stock /Listed 599.24 160.76 760.00 808.78 68,660.28 69,469.06 (Attach additional sheets if necessary) Total Personal Property and Real Estate 70,229.06