HomeMy WebLinkAbout04-01-09 (3)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA }
couNTY of Cumberland } ss
Jay N. Dutweiler
File Number
21 - 09 - 0083
Personal Representative(s) of the Estate of LeGay, Leroy K. Sr.
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 aY • Dt eiler -
18 Pa.C.S. § 4904 relating to unsworn falsification to }
authorities.
Attorney -- (Name) Keith D. Wagner
(F~rm) Brinser, Wagner $ Zimmerman (Supreme Court LD. No.) 43891
(Address) 6 E. Main Street
P.O. Box 323
Palmyra, PA 17078
(Telephone) 717/838-6348 -
DATE OF DEATH
1/11/2009 LAST RESIDENCE
Messiah Village
DECEDENT'S SOC. SEC
N0
Mechanicsburg, PA 17055 .
.
203-07-4352
FIGURES MUST BE TOTALED
Personal Property
Citizens Bank -Circle Gold Checking Account #621904-086-8
51.17
Citizens Bank -Certificate of Deposit #6251-642115
(Includes accrued interest of $243.86) 111,617.84
Citizens Bank -Certificate of Deposit #6251-642743
(Includes accrued interest of $60.24) n 106 X3.23
PNC Bank -Checking Account #50-0105-6201
(Includes accrued interest of $2
58 o A,
~~n ~ ~_'"' ~~~'
45 ~-,
613
rn 5
~
~
.
) ,
.
_
~^
^
~
C~3 ~v
_
_-
~
~ -t-i ~ -- -,
CJ
~-1 f V F _ _:
~ •_ .
-.J
(Attach additional sheets if necessary) Total Personal Pro e
p rty and Real Estat
e $386,912.62
~~
INVENTORY
(continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland SS
PNC Bank -Premium Money Market Account #50-0488-3798
(Includes accrued interest of $49.90)
} File Number 21 - 09 - 0083
Fi LAST RESIDENCE
Messiah Village DECEDENT'S SOC. SEC. NO.
Mechanicsburg, PA 17055 203-07-4352
PNC Bank -Certificate of Deposit #31300263439
(Includes accrued interest of $262.58)
Highmark -Premium Refund
VEBA Benefit -Medical Reimbursement
U.S. Treasury - 2008 Income Tax Refund
PA Dept. of Revenue - 2008 Income Tax Refund
60,944.81
100,262.58
468.54
800.00
750.00
121.00
Total Personal Property 386,
na
b
•l~ : ~ .-
~
~
~.
C`~ ,
~
a,i
~p t
.
,~
X .,
~- _x 4.....i
C~~~
Q 'V c.. '~
~
i
~
- =-,
3 ,~
~
~ --t
~, t
r--
., .,
~
-.J
DATE OF DEAT
1!1112009
2