HomeMy WebLinkAbout01-08-09 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland } SS File Number 21-08-1115
Brian NSmith - ----
or the tstate of Ida
_,
_ _- ~ _ _
deceased, depose(s) and say(s) that the items a !~ s ~ ='
situate and all of the real estate in the CommonWeaeth lof Pennsylvlan al of lsaidnDecedenttlthalt the valuado s wheFever ~-- ~
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent o real mate ~-' i''?
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of gytvgntory. ~.;.; ,,,__,
I verify that the statements made in this Inven- -r ~ a
tory are true and correct. I understand that false state- -~ ^!_' _ ~_ ~ _ __ _ Z
:. ?
ments herein are made subject to the penalties of Brian N Smlth ~~ _0
~-
18 Pa.C.S. § 4904 relating to unsworn falsification to ~ _- _ - t- "-~~';
authorities. --- - -- _. __ -_ _ -_____srr_._ -,
Attorney •• (Name)
(Firm)
(Address)
(Telephone)
~~~~n
10/10/2008
Marielle F Hazen (Supreme Court I.D. No.) 68003
azen Elder Law
- -.
__ _.-
- ----
2000 Linglestown_Rd , Harrisburg, PA 17110
-._
717-540-4332 _ -
~nsrizesloENDE Sarah A. Todd Memorial Home
Carlisle, PA
FIGURES MUST BE TOTALED
Persona~em,
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 ................................................
Total Personal and Real Property .........................
__ __
DECEDENTS SOC. SEC. ND.
168-28-5530
77,579,27
9,010.00
20,749.09
107,338.36
NOTE: The Memorantlum of real estate outside the Commonwealth of Pennsylvania may, at the election or the personal representative include the value of each
item, but such fgures should not be extendetl into the total of the Inventory. (See 20 Pa. C.S. § 3307(b))
Po~ RW-09 aee m-r3-2oos
~~`~~
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland } SS
,.., ~~~~rA~n
10/10/2008
Cash
File Number 21-08-1115
~nsT RESiDENDE Sarah A. Todd Memorial Home
Carlisle, PA 17013
Bank of Landisburg -Certificate of Deposit Acct. No. 700019479
Bank of Landisburg -Certificate of Deposit Acct. No. 700020513
Bank of Landisburg -Direct Deposit Acct. No. 2601958
Refund from HARP Health account premium
Refund of equity from Nickel Funeral Home
Resident Refund from Sarah Todd Home
Social Security payment for September
Total Cash
DECEDENT'S SOC. SEC. NO.
168-26-5530
20,022.68
26,006.56
24,747.76
1,172.28
257.07
5,109.62
863.30
77,579.27
Personal Prooertv
2000 Ford pick-up truck -Private party valuation as per attached Kelley Blue
Book
2002 Saturn sedan -Private party valuation as per attached Kelley Blue Book
Personalty
Stock /Listed
CUMBERLAND COUNTY, PENNSYLVANIA
Total Personal Property
Raymond James Investment Acct. #20404750
Total Stock /Listed
3,825.00
4,435.00
750.00
9.010.00
20,749.09
20,749.09
(Attach additional sheets if necessary) Total Personal Property and Real Estate
107,338.36