HomeMy WebLinkAbout02-27-09INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1 SS
COUNTY OF Cumberland )
Personal Representative(s) of the Estate of LOUISE V. COOK
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 th end of this inventory.
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I verify that the statements made in this Inven- ~ ~~'• u r` a '~ ~ ~~~ ~,
tory are true and correct. I understand that false state-
menu herein are made subject to the penalties of ASST, VICE P2E51DE°aT
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Robert R. Church, Esquire Keefer, Wood, Allen & Rahal, LLP (Supreme Court LD. No.) 40385
(Address) P.O. Box 11963 Harrisburg, Pa 17108-1963
(Telephone) (717) 255-8059
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
05/31/2008 553 Brighton Place, Mechanicsburg,PA 17055 209-16-3130
FIGURES MUST BE TOTALED
REAL ESTATE
LIFE INSURANCE
COMMON STOCKS
PERSONAL EFFECTS
CASH
File Number 21-08-0656
160,000.00
10,237.22
1,790.10
635.25
5,215.19
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(Attach additional sheets as needed)
TOTAL: ~ 177,877.76
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(6))
Form RW-09 rev. 10.13.06
WILL NUMBER: 21-08-0656
INVENTORY FOR THE ESTATE OF Louise V. Cook
Who Died on 05/31/08
Real Estate
553 Brighton Place Condominium Unit,
located in the Borough of Camp Hill,
Cumberland County, PA, Per Deed dated
10/08/96 and recorded in Record Book
147, Page 438, et seq., of the records
of Cumberland County, PA valued per
attached Appraisal 160,000.00
Common Stocks
30 Shs. MetLife 1,790.10
Life Insurance Policies
Life Insurance Proceeds Contract
#0069298540 10,237.22
Personal Effects
Household Effects - Sale Price 635.25
Cash
Genworths - Date of Death Balance 1,610.00
M&T Bank Checking Account #23918977 -
Date of Death Balance 2,663.60
Interest accrued to 05/31/2008 .02
Miscellaneous Credits - Date of Death
Balance 5.65
Received from Randall C. Cook - Payment
on Purchase of Automobile 500.00
State Farm Fire & Casualty Insurance -
Refund on Policy #38-EN-4818-5 135.92
FORWARD $ 177,577.76
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WILL NUMBER: 21-08-0656
INVENTORY FOR THE ESTATE OF Louise V. Cook
Who Died on 05/31/08
FORWARD
Cash (cont'd)
$ 177,577.76
U.S. Treasury - 2008 Economic Stimulus
300.00
Payment
TOTAL PRINCIPAL RECEIPTS
$ 177,877.76
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