HomeMy WebLinkAbout12-31-08 (2)~~
INVENTORY
REGISTER OF WILLS OF ~l"~~~ COUNTY, PENNSYLVANIA ~=' __.,
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COMMONWEALTH OF PENNSYLVANIA 1 -' ~ 7 '
J SS File Number 2l 08-0405 ~--1 ~.
COUNTY OF -. _
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Personal Representative(s) of the Estate of Russell J. Bohner -'" - _ _:
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal wets whe~+er situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that tht; valuation. placed is~posite each-item of satd :,
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate oth~de of the
Commonwealth of Pennsy}vania except that which appears in a memorandum 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-
ments herein are made subject to the penalties of ~
18 Pa.C.S. § 4904 relating to tmsworn falsification to
authorities.
Heather D. Royer, Esquire (Supreme Court I.D. No.) 76327
Attorney -- (Name)
(Address) 4431 N. Front Street, 3rd Floor, Harrisburg, PA 17110
(Telephone) (717) 234-2401
DATE OF DEATH LAST RESIDENCE
04/01/2008 3404 Hawthome Drive, Camp Hill, PA 17011
FIGURES MUST BE TOTALED
1. Proceeds from sale of 3404 Hawthorne Drive, Camp Hill, PA 17011
2. 197 US Series E and EE Savings Bonds
3. 16 shares of FairPoint Communications Stock
4. .787611 shares of AT&T Inc. stock
5. 2004 Buick LaSabre
6. Belco Account No. 11390
7. 38 clocks plus tools and parts
8. Gate of Heaven Cemetery Piot
9. Prepaid Funeral Contract
10. Personal Property and Household Items
11. FairPoint Communications Cash in Lieu proceeds
12. Verizon -final pension check
13. 2007 IRS Refund
14. Verizon - commission/refund
I5. Highmark Premium Refund
l,4ttaeh additional sheets as needed)
DECEDENT'S SCx:. sec. rvv.
204-14-5519
144,992.16
68,808.10
136.96
30.82
10,000.00
3,069.32
1,900.00
645.00
10,664.00
6,728.85
2.71
1,477.48
3,947.50
23.51
119.60
AL: ~ 252,546.01
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(bJ)
Form RW-09 rev. 10.13.06
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16. PNC Checking Account No. 5140005375
17. PNC Money Market Account No. 5004977989
18. Perm Waste Refund
19. Proceeds from Avaya Stock buyout in 2007
20. 2007 Stimulus payment
21. State Farm Auto Insurance Premium Refund
22. State Farm Home Owners Insurance Premium Refund
23. Cumberland County Veterans Burial Allowance
24. Penn Waste Refund
TOTAL
15,009.03
48,381.26
18.75
2,292.50
939.00
112.24
44.00
100.00
18.75
$66,915.53