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HomeMy WebLinkAbout01-21-09 (2)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } Wendy Karen Smith CUMBERLAND COUNTY, PENNSYLVANIA -_ File Number 21-07-1113 Personal Representative(s) of the Estate of Muriel Smith 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 saki 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 which appears in a memorandum at the end of th>~ inventory. I verify that the statements made in this Inven- ~ -~ ~-~ ~~ tory are true and correct. I understand that false state- } - - _ ' '? ~7 ~ ~ , ments herein are made subject to the penalties of Wendy K ren Smith E 18 Pa.C.S. § 4904 relating to unsworn falsification to ~ _ ___ __ _ _'~ ~ ~____- authorities. ''` ~ ~~_~ ~:~ -~ ~ ~ ~ s .' Attorney -- (Name) Amy M. MOya (Supreme Court I.D. No.) '1402 (Firm) Law Offices of Susan E. Lederer (Address) 5011 Locust Lane, Harrisburg, PA 17109 ___ ____ (Telephone) 7171652-7323 DATE OF DEATH LAST RESIDENCE 101 Maple Avenue DECEDENT'S SOC. SEC. NO. 10/22/2007 Camp Hill, PA 17011 FIGURES MUST BE TOTALED Personal Property 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 ......................... 2,968.21 2,968.21 0.00 2,968.21 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 Re~.io-is-zoos REGISTER OF WILLS OF INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-07-1113 DATE OF DEATH LAST RESIDENCE 101 Maple Avenue DECEDENTS SOC. SEC. NO. 10122/2007 Camp Hill, PA 17011 025-14-3391 Cash 1994 Saturn S-Series, titled to Muriel Smith (sale price) check from Comcast (refund of cable service) check from Cooks Illustrated (subscription refund) check from US Treasury - (rebate stimulus payment) household goods Regular Share Account No. 876440038 held at PSECU, titled to Muriel Smith (accrued interest $0.01) Total Cash Real Estate House and Lot located at 101 Maple Avenue, Camp Hill, Pennsylvania, Parcel No.10-21-02770175, titled to Muriel Smith - Atthis time we are unable to provide a value as the real estate has not been sold yet. We will file a supplemental return for the real estate as soon as possible. Please suspend the assessment of tax on this asset. Total Real Estate 2,100.00 32.05 24.50 300.00 500.00 11.66 2,968.21 o.oo 0.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 2,968.21