HomeMy WebLinkAbout02-18-09 (3)INVENTORY
REGISTER OF WILLS OF .CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-08-0834
John W Horn and Donald F Tesno
Personal Representative(s) of the Estate of Roland R. Tesno
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal ets wherev
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation pia posite h
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owneal estate'' ?'_
outside of the Commonwealth of Pennsylvania except that which ap ea/-rsfin a emorandum at the end of thislV tory. ~ r ' ' '-
I verify that the statements made in this Inven- ,- r-
tory are true and correct. I ,nderstandPhat false state- } "'~ ~ T_ C7 r~ L ~ ~-
ments herein are made sub ect to the enaltles of Jo W Hor~Jy / ~
18 Pa.C.S. § 4904 relating to unsworn falsification to } ~Q'yhp_/{F ~. ~_..P~iYta - ~ = --~ ~ --,
authorities. Donald F Tesno ~"' -~-'~
r ,,
cv l
Attorney -- (Name) Marielle F Hazen
_. (Supreme Court LD. No.) 6$003
(Firm) Hazen Elder Law
(address) 2000 Linglestown Rd., Harrisburg, PA 17110
(Telephone) 717-540332
DATE OF DEATH LAST RESIDENCE 5'125 WII$On Lane DECEDENTS SOG SEC. NO.
05/17/2008 Mechanicsburg, PA 17055 201-05-2227
FIGURES MUST BE TOTALED
Personal Prooertv
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 .........................
593,599.53
576.44
44,072.00
638,247.97
638 247.97 ..
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 extentled into the total of the Inventory. (See 20 Pa. C.S. § 3301(b))
Form RW-09 Rev. tats-loos
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
COUNTY, PENNSYLVANIA
File Number 21-08-0634
DATE Of DEATH I LAST RESIDENCE 5225 WIISOn Lane DECEDENTS SOC. SEC. NO.
05/17/2008 Mechanicsburg, PA 17055 201-05-2227
Cash
HARP premium refund
Cash
Citizens Bank - CCO Investments IRA -Acct. No. L7C-040207, Paid to Estate
Citizens Bank Checking Account #610076-626-8
Donegal Insurance -Refund of Premium
Morgan Stanley -Allstate Annuity -Policy No. 683918 -Paid to Estate
RiverSource Life Insurance Company -Annuity -Contract No. 9920-5942848 -
Paid to Estate
Security Benefit NQ Annuity - No. 7003105333 -Paid to Estate
United States Treasury -Stimulus Rebate
Total Cash
Personal Prooertv
Tangible Personal Property -Jewelry
Total Personal Property
Stock /Listed
787.0000 shares Principal Financial Group Inc.
Total Stock /Listed
71.13
67.50
69,758.79
34,118.39
13.00
420,087.78
50,493.17
18,691.77
300.00
593,599.53
576.44
578.44
44,072.00
44,072.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 638,247.97