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HomeMy WebLinkAbout02-18-09INVENTORY REGISTER OF WILLS OF C U M B E R L A N D COUNTS', PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF File Number 21 0 8 0117 8 Personal Representative(s) of the Estate of DONNA M. PURSLEY 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 said 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- tory are true and correct. I understand that false state- ments herein are made subject to the penalties of 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities. KARE ANDREOLI, EXECUTRIX 505 BARBARA DRIVE, MECHANICSBURG, PA 17050 Attorney -- (Name) GERALD J S H E K L E T S K I (Supreme Court 1. D. No.) 40486 (Address) 414 BRIDGE ST • NEW CUMBERLAND PrA~ 17070 _n . , (Telephone) 717 7 7 4 7 4 3 5 n 'L' -_ --~ -__ .: DATE OF DEATH LAST RESIDENCE D ~ SOC.t~. N0. ~ i , '; 4902 CARLISLE PIKE `~= r"" r 11/16/2008 MECHANICSBURG PA 17050 2Q=9~`'rn02'F7D =~, r~~ FIGURES MUST BE TOTALED r ~ ~~ "~ -r` PERSONAL PROPERTY ~ i`'~' ~..r> .~ ' N UNITED STATES SERIES EE SAVINGS BONDS VANGUARD FUND & ACCOUNT NUMBERS 0030-09888586404, 0021-09888586404, 0077-09888586404 AND 0036-09888586404 FIDELITY INVESTMENTS ACCOUNT 2BG-741612 INTEGRITY BANK CHECKING ACCOUNT NUMBER 201014676 INTEGRITY BANK SAVINGS ACCOUNT NUMBER 401000410 INTEGRITY BANK ACCOUNT NUMBER 1015110 -CERTIFICATE OF DEPOSIT ttach additional sheets as needed) 9, 029.60 72, 847.36 41,873.32 9,277.14 23, 034.70 11,105.05 267,228.36 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. 10.13.06 f Continuation of Inventory dONNA M. PURSLEY 21 08 01178 Decedent Name Page 1 File Number Description of Inventory INTEGRITY BANK ACCOUNT NUMBER 1018021 -CERTIFICATE OF DEPOSIT 9,142.40 INTEGRITY BANK ACCOUNT NUMBER 1018963 -CERTIFICATE OF DEPOSIT 8,729.46 INTEGRITY BANK ACCOUNT NUMBER 5009864 -CERTIFICATE OF DEPOSIT 6,054.31 INTEGRITY BANK ACCOUNT NUMBER 1024021 -CERTIFICATE OF DEPOSIT 5,299.00 INTEGRITY BANK ACCOUNT NUMBER 1024955 -CERTIFICATE OF DEPOSIT 10,151.39 436.9 SHARES HERSHEY FOODS COMMON STOCK 14,837.64 PNC BANK ACCOUNT NUMBER 11020071177 -CERTIFICATE OF DEPOSIT 9,363.59 WACHOVIA BANK CERTIFICATE OF DEPOSIT 6,483.40 TREASURY DIRECT ACCOUNT #1300-047-6436 30,000.00 REAL ESTATE NONE subtotal 3 100,061.19