HomeMy WebLinkAbout02-11-09 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Jane B. Ha11
Personal Representative(s) of the Estate of Ada H. Behman
COUNTY, PENNSYLVANIA
File Number 200i'-01130
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 Bald 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 this inventory.
I verify that the statements made in this Inven- ~ ~`~~ /h~ ;~~~~~
tort' are true and correct. I understand that false state- /'~/ ~ ~
ments herein are made subject to the penalties of ,,dune B. Hall
18 Pa.C.S. § 4904 relating to unsworn falsification to }
authorities.
Attorney -- (Name) Marielle F Hazen (Supreme Co,ur~ LD. No.)
t . ~ 68003
(Firm) Hazen Elder Law J. `-
(address) 2000 Linglestown Rd., Harrisburg, PA 17110 _; ,-,> c.a
(Telephone) 717-540-4332 `'' _ ;
DATE OF DEATH LAST RESIDENCE Thornwald Home DECEDENT'S~b~. SE
t}~~1~6~3
174 C.. -
-~°- -
11/11/2007 Carlisle, PA 17013 - -
FIGURES MUST BE TOTALED r> _
.s-
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 .........................
1,512.11
1,512.11
1,512.11
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 fgures should not be extended into the total of the Inventory. (See 20 Pa C.S. § 3301(b))
Form RW o9 Rev 70-13-2006
a~~
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUINTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 200i'-01130
DATE OF DEATH LAST RESIDENCE Thornwald Home DECEDENT'S SOC. SEC. NO.
11/11/2007 Carlisle, PA 17013 174-05-0163
Cash
Adams Electric Cooperative -patronage capital retirement
Adams Electric Cooperative -patronage capital retirement
credit balance from Visa account -credited to Susquehanna V~~Iley Federal
Credit Union share 00
Embarq refund
PA Treasury Dept. - PSERS pension for 11/1!07-11/11107
US Treasury - 2007 personal federal income tax refund
US Treasury -economic stimulus rebate
Total Cash
29.07
149.54
12.95
4.61
337.94
678.00
300.00
1,512.11
(Attach additional sheets if necessary) Total Personal Property and Real Estaite 1,512.11