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HomeMy WebLinkAbout06-08-09 (2)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS couNTY OF Cumberland } CYNTHIA S. HUBLER CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-09-0119 Personal Representative(s) of the Estate of FRANCES M. SCHUCKER 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 whichappears 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. Attorney -- (Name) (Firm) (Address) (Telephone) (Supreme Court I.D. No.) DATE OF DEATH LAST RESIDENCE 54 BURD DRIVE DECEDENT'S SOC. SEC. NO. 01/27/2009 CAMP HILL, PA 17011 FIGURES MUST BE TOTALED Personal Property 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 ......................... 174,363.65 1,213.00 r ~? ~~--, -~ c-~ C. _ - ,.~ ~ I-~c~ ~ -- `-' _T^ `:~ , _., __ _~ .. _~ 175,576d35 c^ 138,500.00 314,076.65 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(b)) Form RW-O9 Rev. f0-13-2006 IA S. RUBLE INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-09-0119 DATE OF DEATH LAST RESIDENCE 54 BURD DRIVE DECEDENTS SOC. SEC. NO. 01/27/2009 CAMP HILL, PA 17011 Cash Alcoa Retirement -final pension check. Cash in decedent's possession. Citizens Bank -Certificate of Deposit No. 6241-083134 -Date of -death balance, plus accrued interest. Citizens Bank -Certificate of Deposit No. 6244-045284 -Date of death - balance, plus accrued interest. Citizens Bank -Certificate of Deposit No. 6245-257633 -Date of death - balance, plus accrued interest. Citizens Bank -Checking Account No. 610078-544-0 -Date of death -balance, plus accrued interest. Comcast -refund -cable service. M8~T Bank -Certificate of Deposit No. 31003917269035 -Date of death balance, plus accrued interest. M8~T Bank -Checking Account No. 9846286376 -Date of death balance. Total Cash Personal Property 1883 - $5.00 US Gold Coin -appraised value. 1903 - $2 1/2 Dollar US Gold Coin -appraised value. 347.72 311.99 47,665.32 60,354.20 12,221.31 3,951.99 20.50 49,465.61 25.01 .174,363.65 225.00 190.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 314,076.65 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland } File Number 21-09-0119 DATE OF DEATH I LAST RESIDENCE 54 BURD DRIVE - I DECEDENTS SOC. SEC. NO. 01/27/2009 CAMP HILL, PA 17011 Household Goods -appraised value. Real Estate 798.00 Total Personal Property Real Estate - 54 Burd Drive, East Pennsboro Township, Cumberland -County, Pennsylvania. (Deed Book W, Volume 30, Page 493). Sale Price Copy of Settlement Statement attached. Total Real Estate 1,213.00 138,500.00 138,500.00 -2-