HomeMy WebLinkAbout06-17-09INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
KAREN L. ROZMAN
Personal Representative(s) of the Estate of THOMAS J. ROZMAN
COUNTY, PENNSYLVANIA
File Number 21-09-00288
deceased, depose(s) and say(s).that the items appearin in theyfollowing inventory include all of the ersonal assets wherever
situate and all of the real esta n{sntshfaCvalueoas of the date of the decede t s death and that Decedent owne no ~eal a fate ch
item of said inventory represe
outside of the Commonwealth of Pennsylvania except that which appears in a memor~anDdum at the end of this inven~ ~~
I verify that the statements made in this Inven- ~ ,,/~~j.~,¢..-.. ol- v %""r"r-'-•~ ~
tory are true and correct. I understand that false state- KAREN L. ROZMAN
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) EDMUND G. MYERS
(Firm) JOHNSON DUFFIE
(Address) 301 MARKET STREET, LEMOYNE, PA 17043
(Telephone) (717) 761-4540
DATE OF DEATH
0212712009
LAST RESIDENCE 1424 TIMBER CHASE DRIVE
MECHANICSBURG, PA 17050
FIGURES MUST BE TOTALED
Personal Property
Cash ...............................................................................................
Personal Property .........................................................................
StockslListed .................................................................................
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 .........................
13,251.57
15,300.00
~~
C? ° ,
;~ ~ C
~ ~ ~? ~ "-i
``~ v~ ~ C =i _~~
~_;} v ~-t
-~ `i
~j ~ 28,55'f~.'57
-- r Y ~
bQQ• ..~._ . __
136,700~i10
165,251.57
NOTE: liem butlsuchdfguresrshould ntot be elxtended ~ to~the totaltof t eenventory! (See 20 PaeC IS~§ 3301(b))personal representative include the value of each
(Supreme Court I.D. No.) 20558
DECEDENTS SOC. SEC. N0.
181-58-8220
Form RW-09 Rey. ~o-~3-zoos
INVENTORY
COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-09-00288
COUNTY OF Cumberland
DECEDENTS SOC. SEC. NO.
DATE OF DEATH LAST RESIDENCE 1424 TIMBER CHASE DRIVE 181-58.8220
02/2712009 MECHANICSBURG, PA 17050
Cash 3.68
Cash
8,496.35
Commonwealth of Pennsylvania -final salary check and unused -vacation.
3,861.54
PSECU Checking Account. -Date of death balance.
890.00
United States Treasury -refund - 2008 Form 1040.
13,251.57
Total Cash
Personal Properi~' ( 14.200.00
Automobile - 2008 G35 Sedan Journey -Sale Price
1,100.00
Household Goods -appraised value
15,300.00
Total Personal Property
Real Estate 136,700.00
Condominium - No. 1424 Timber Chase Drive, Hampden Township, -
Cumberland County, PA. (Book 157, Page 112)
Sale Price -Copy of Settlement Statement attached.
136,700.00
Total Real Estate
165,251.57
(Attach additional sheets if necessary) Total Personal Property and Real Estate