HomeMy WebLinkAbout04-06-09 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
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COMMONWEALTH OF PENNSYLVANIA ~ SS }
COUNTY OF CUMBERLAND File Number 21 08 ~ 0752 .A r~ `'?
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Personal Representative(s) of the Estate of Ethel G. Smith = ``
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the perso whe~ver si~uatei-I
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placedCia~ site eac~tem al~~i
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real e~t2loutside A~the t ^ ~ j
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.
.e
Thomas G. Smith
Attorney -- (Name) JOEL R. ZULLINGER (Supreme Courtl.D. No.) 17516
(Address) 14 NORTH MAIN STREET CHAMBERSBURG PA 17201
(Telephone) 7172646029
DATE OF DEATH LAST RESIDENCE
700 Walnut Bottom Road DECEDENTS SOC. SEC. NO.
7/5/2008 Carlisle PA 17013 205 070081
FIGURES MUST BE TOTALED
Real estate, together with improvements thereon erected, situate at 27 Wyrick Avenue, 147,900.00
Shippensburg, PA, to be sold to Frank B. Sweigart for purchase price of $147,900.00
Investment Account #50001979004, Orrstown Bank, including accrued interest 89,956.03
to date of death
Vanguard Account #09922121660, including dividends accrued to date of death 35,155.33
Independence Tax Credit Plus LP I 360.00
Independence Tax Credit Plus LP II 350.00
Account #6100794652, Citizens Bank 13,187.54
Account #6243928352, Citizens Bank, including interest accrued to date of death 5,749.71
(Attach addltlonal sheets as needed)
367,084.58
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
Continuation of Inventory
Ethel•G.' Smith 21 08 0752
Decedent Name page ~ File Number
Description of Inventory
Account #6245647164, Citizens Bank, including interest accrued to date of death 8,290.82
Account #6248823907, Citizens Bank, including interest accrued to date of death I 27,693.03
Irrevocable Burial Fund Certificate of Deposit #0030049804, Orrstown Bank, including 10,692.53
interest accrued to date of death
Certificate of Deposit #4000023568, Orrstown Bank, including interest accrued to 22,188.59
date of death
Penn Treaty Network America, refund of unearned premium I 3,000.00
Refund, AIG Insurance 380.00
Refund, Penn Treaty Network America 200.00
Refund, Forest Park Health Center 25.05
Proceeds from sale of personal property 575.00
Tanner Home Energy, refund of balance paid into budget plan 1,380.95
Subtotal 3 74,425.97
Grand Total S 367,084.58