HomeMy WebLinkAbout01-22-09 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY OF Cumberland }
Tina A. Middleton
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-0$-0773
Personal Representative{s) of the Estate of Marian T. Kerin
ra
deceased, deposes} and say(s}.that the items appearing in the following inventory include all of the persorl~~~snets wheS~+er `=
situate and all of the real estate In the Commonwealth of Pennsylvania of said Decedent, that the va(luation- d opposii~.each ,?
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owns o eat es~ite ~_.
outside of the Commonwealth of Pennsylvania except that which appears to a memorandum at 'the end of this r%v~tory. ~= t ~ `
t verify that the statements made in this Inven- ~ ,~^--'. ..t,o--.---~. ~ ~ _
tory are true and correct. I understand that false state- '','~"`~ ~ ~Yr'~`~`~' ~ ~,. ~ --;
Tina A. Middleton ` : ~~ -~
meats herein are made subject to the penalties of ; ` _7
18 Pa.C.S. § 4904 relating to unsworn falsification to } ~ ~,.+- a ~
authorities. l --~ d ~ ', :k
Attorney - (Name) Jennifer B. Hipp
(Supreme Courtl.D. No.) 86556
(F;rm) Bogar and Hipp Law Offices
(Address) 1 West Main Street, Shiremanstown, PA 17011
(Telephone) 717-737-8761
DATE OF DEATH IAST RESIDENCE g01 N. Hanover Street DECEDENTS SOC. SEC. N0.
05/2212008 Carlisle, PA 17013
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 Reat Property ................................................
Total Personal and Real Property .........................
L _ 13,825.16
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))
13,775.16
50.00
13,825.16
Form RtN 09 Rev. f0-~3-2006
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
couNTYOF Cumberland } File Number 21-08-0773
DATE OF DEATH LAST RESIDENCE g01 N. Hanover Street DECEDENTS SOC. SEC. N0.
05/22/2008 Carlisle, PA 17013 198-14-2952
Cash
Church of God Home -Refund
Commerce Bank -Checking Account No. 537303968; principal balance
$7399.76; accrued interest $0.96
Continuing Care RX -Refund
Highmark -Premium Refund
Humana, Inc. -Refund
Total Cash
Personal Proaerty
Personal Property -Estimate of value -Alt items donated to Church of God
Home
Total Personal Property
5,862.26
7,400.72
371.16
58.52
82.50
13,775.16
50.00
50.00
COMMONWEALTH OF PENNSYLVANIA } SS
(Attach additional sheets if necessary) Total Personal Property and Real Estate 13,825.16