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HomeMy WebLinkAbout05-18-09INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA 1 SS File Number 21 09 0242 COUNTY OF CUMBERLAND f Personal Representative(s) of the Estate of Jac uel n L. Peffer alk/a Jac ueline L. Peffer 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 Pennsyly~ ii is death,Dand thattDecedent owned no real~o outs1 ~ftthe of said inventory represents its fair value as of the date of the dece - Commonwealth of Pennsylvania except that which appears 1n a memorandum at the end of this inventory -~~-, ~ l ~~ ~~' ~~ ~ ~ , I verify that the statements made in this Inven- ~~~,,.,-,_a.s~~ _ ~, -~ tory are true and correct. I understand that false state- Ronald D. Peffer, Executor ,~ =; -x- ments herein are made subject to the penalties of _; _.._ , , P C S § 4904 relating to unsworn falsification to ~~ 18 a. authorities. ~"n (Supreme Court I.D. No.) 91973 Attorney -- (Name) Jac ueline A. Kell pA 17109 Harrisbur (Address) 845 Sir Thomas Court Suite 12 (Telephone) 717 541-5550 DECEDENTS SOC. SEC. N0. DATE OF DEATH LAST RESIDENCE 204 FOUR SEASONS LANE pA 17025 174-20-8326 211612009 ENOLA FIGURES MUST BE TOTALED 28,068.97 AmeriChoice Federal Credit Union Certificate of Deposit #32267-63 28,054.08 AmeriChoice Federal Credit Union Certificate of Deposit #32267-64 24,059.78 AmeriChoice Federal Credit Union Certificate of Deposit #32267-65 1, 825.03 AmeriChoice Federal Credit Union Checking Account #32267-16 4,717.80 AmeriChoice Federal Credit Union Money Market Account #32267-18 42.35 AmeriChoice Federal Credit Union Savings Account #32267-01 15.00 Boscov's [HSBC] credit card refund (Attach additional sheets as needed) TOTAL: 87,301.5 Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each (See 20 Pa. C.S. § 3301(6)) Th e NOTE: item, but such figures should not be extended into the total of the Inventory. Form RW-09 rev. 10.13.06 Continuation of Inventory 21 09 0242 Jacquelyn L. Peffer a/k/a Jacqueline L. Peffer File Number Decedent Name Pa e 1 Description of Inventory Erie Insurance Group renter's insurance refund Highmark FreedomBlue premium refund Winterdale Arms LLC security deposit refund 9.00 148.40 361.18 subtotal ~ 5 518.58 Grand Total ~ S 87,301.59 JAN L. BROWN 8~ ASSOCIATES ATTORNEYS AND COUNSELORS AT LAW JAN L. BROWN, ESOUIRE' JACQUELINE A. KELLY, ESQUIRE 'ADMITTED IN PA AND DISTRICT OF COLUMBIA OLDE ENGLISH GAP 845 .SIR THOMAS COURT SUITE 12 HARRISBURG, PA 17109 EMAIL: jlbassoc@verizon.net www.janbrownlaw.com TELEPHONE (717) 541-5550 FACSIMILE (717) 541-9223 May 15, 2009 BRENDA F. KEPHART, LEGAL ASSISTANT PAULA K. WHITE, LEGAL ASSISTANT .JUDITH A. EBERSOLE, ADMINISTRATIVE ASSISTANT ev ~_~ 5=_} C~ ~. Register of Wills `~ Cumberland County Courthouse ' ^r' ==~ =~~ ~ -< One Courthouse Square ~- ~_ -- _ Carlisle, PA 17013 «' -~, Re: Estate of Jacquelyn L. Peffer a/k/a Jacqueline L. Peffer ~, M. - -,, --, .. Estate No. 2009-00242 = ._... Executor: Ronald D. Peffer `~=' To Whom It May Concern: Enclosed for filing are an original and two copies of the Inheritance Tax Return and an original and one copy of the Inventory for the Estate of Jacquelyn L. Peffer a/k/a Jacqueline L. Peffer. A check in the amount of $4,121.45 made payable to the Register of Wills, Agent, is enclosed for payment of Pennsylvaniae~re the check sumarked as received w than the 31month month prepayment period. Please mak prepayment period. Also enclosed is a check in the amount of $105.00 for the filing fees and additional probate fees. Please return atime-stamped copy of each document in the envelope provided. Also, please forward the receipt of payment to my office. If you have any questions, please feel free to contact me. Sincerel 1 ~ hrista M. Aplin JAK/cma Enclosures