HomeMy WebLinkAbout05-14-09 (2)., - ~,
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTV of Cumberland }
Barry S. Free
Personal Representative(s) of the Estate of Ne
deceased, depose(s) and say((s) that the items appearing In the
situate and all of the real estafe in the Commonwealth of Penns
item of said inventory represents its fair value as of the date of t
outside of the Commonwealth of Pennsylvania except that whicl
I verify that the statements made in this Inven-
tory are true and correct. 1 understand that false state-
ments herein are made subject to the penalties of ~ Bt
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Kenneth H. Howard
APPEL & YOST LLP
33 North Duke Stree
717/394-0521
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 2108-1269
(Supreme Court I.D. No.) 10380
.cwt - -. .. _.
r, j r _
entory include all of the personal >p t~tere
d Decedent, that the valuation pl pposite$~ach
s death, and that Decedent owned n~eal estaZa _
a memorandum at the end of this~iue~i tory.
~~~~ N
Gt
Lancaster. PA 17602
DATE OF DEATH
11 /28/2008
LAST RESIDENCE 210 Big Springs Road
Newville, PA 17241
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 .........................
N
0
.o
DECEDENTS SOC. SEC. NO.
160-16-5355
299,205.33
6,087.35
305,292.68
3@5;292.9b''
NOTE; The Memorantlum of real estate outsitle the Commonvvealth of Pennsylvania may, at the election of the personal representative inclutle the value of each
Item, but such figures shoultl not be eztentletl into the total of the Inventory. (See 20 Pa. C.S. § 330t (b))
Form RW-O9 Rev. 1P13-2008
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CumbeMand } SS File Number
COUNTY, PENNSYLVANIA
2108-1259
DATE OF DEATH LAST RESIDENCE 210 Big Springs Road DECEDENTS SOC. SEC. N0.
11/29/2008 Newville, PA 17241 160-16-5355
Cash
Blue Cross -insurance refund 144.40
Fulton Bank Certificate of Deposit #436-0300123 10,032.67
Accrued Interest on above item through date of death 172.14
Fulton Bank Certificate of Deposit #436-0313571 43,000.00
Accrued Interest on above item through date of death 375.60
Fulton Bank checking #0069-77482 12,284.23
Graystone Bank Certificate of Deposit #3000015583 24,158.38
Accrued interest on above item through date of death 21.01
Graystone Bank Certificate of Deposit #3000036632 5,988.80
Accrued Interest on above item through date of death 6.32
Graystone Bank Certificate of Deposit #3000083329 94,961.17
Accrued interest on above item through date of death 96.16
Graystone Bank Certificate of Deposit #3000086731 8,081.11
Accrued Interest on above item through date of death 13.08
Provider Services -refund 39.95
(Attach additional sheets if necessary) Total Personal Property and Real Estate 305.282.68
M ~ r
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS Fila Number 210$-1268
DATE OF DEATH IAST RESIDENCE y10 Big Springs Road DECEDENTS SOC. SEC. N0.
11/29/2008 Newville, PA 17241 160-16-5355
Province Bank Certificate of Deposit #1100184298 6,802.78
Accrued interest on above item through date of death 77.63
Smith Barney Account 37270293215747 1,354.20
Wachovia Bank Certificate of Deposit #247402053613506 64,383.83
Accrued Interest on above item through date of death 95.22
Wachovia Bank Certificate of Deposit #247402053726963 25,948.04
Accrued interest on above item through date of death 35.41
Total Cash 288,205.33
Stock /Listed
1,055.0000 shares Nuveen Multi-Strategy
Total Stock /Listed
-2-
6,087.35
6,087.35