HomeMy WebLinkAbout01-29-09 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Patricia E. Fogtman
Personal Representative(s) of the Estate of
~~iner i. rogtman
......_.._
deceased, depose(s) and say(s), that the items appearing in the followin invento p
situate and all of the real estate In the Commonwealth of Pennsylvania of said Decedeti d thalt the valuation placed toppos to 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 a pears 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- V ~C,
ments herein are made subject to the penalties of ~ Patricia E. Fogtman
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities. -
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
~'+~~vr utAlH
05/13/2008
Marielle F Hazen
Hazen Elder Law
2000 Linglestown Rd., Harrisburg, PA 17110
717-540-4332-
LAST RESIDENCE 27 Wetherburn Rd
Enola, PA 17025
FIGURES MUST BE TOTALED
Personal Propertv
Cash ...............................................................................................
Personal Property .........................................................................
Stocks/Listed .................................................................................
Stocks/Closely Held ......................................................................
Bonds ..............................
...........................................................
....
artnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
Total Personal Property .........................................
CUMBERLAND COUNTY, PENNSYLVANIA
} SS
} File Number 21-08-0622
Total Real Property ................................................
Total Personal and Real Property .........................
(Supreme Courtl.D. No.) 68003
DECEDENTS SOC. SEC. N0.
216-46-9161
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180,562.82
'180,562.82
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. oo-is-zoos
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA }
couNTY of Cumberland } ss
DATE OF DEATH LAST RESIDENCE 2] Wetherburn Rd
05/13/2008 Enola, PA 17025
Cash
Fiie Number 21-08-0622
DECEDENT'S SOC. SEC. N0.
216-46-9161
AARP -refund of health insurance premium
168.25
US Treasury -stimulus rebate
300.00
Total Cash
468.25
Stock /Listed
792.0000 shares Exxon Mobile -stock
70,678.08
Accrued dividend on above item through date of death
277.20
600.0000 shares Lockheed Martin -stock
64,770.00
Accrued dividend on above item through date of death
252.00
281.0000 shares M&T Bank Corp. -stock
25,964.40
Accrued dividend on above item through date of death
196.70
500.0000 shares Wachovia Corp. -stock
13,990.00
275.0000 shares Xerox Corp. -stock
3,954.50
Accrued dividend on above item through date of death
11.69
Total Stock /Listed
180,094.57
(Attach additional sheets if necessary) Total Personal Property and Real Estate
180,562.82