HomeMy WebLinkAbout07-15-09 (2)INVENTORY
CUMBERLAND COUNTY, pE~SyLVANIA
REGISTER OF WILLS OF
SS File Number 2008 01074
COUN ONO EA CUMBERLANDVANIA 1
of the Estate of William E Mattern
Personal Representative(s) earin in the following inventory include all of the personal assets wherever sttuate
that the valuation placed~posite eacem of said
deceased, depose(s) and say(s) that the items app g lvania of said Decedent, utsideo~~t- he ., : _
c_ ~ '
and all of the real estate in the Common~'ealth of Pennsy ~
resents its fair value as of the date of the decedena' memorandum at the end of thus inventorye~~~ ~..
inventory rep ears m ,_,
lvania except that which app ; ~ ~~
Commonwealth of Pennsy ,~. I;
~\
is made in this Inven- ~ ~ ~ ~~/~' _ _ _
I verify that the statemen , L; -n
~J Ann M Donohoe ~ ;`_
tory are true and correct. I understandenaltiessof tate- ~
ments herein are made subject to the p
:~~ ~
18 Pa. C.S. § 4904 relating to unsworn falsification to ~.~
authorities. 67993
(Supreme Court LD. No.)
Attorney -- (Name) ,JAN L BROWN HARRISBURG
(Address) 845 SIR THOMAS CT STE 12
(Telephone) 717-541-5550
DATE OF DEATH
10/16/200
PA ~
FI UG RES MUST BE TOTALED
Sovereign Bank Checking Account 1051071089
Claremont Nursing and Rehabilitation Center; private pay refund
Genworth Life Insurance Company
International Brotherhood Of Electrical Workers
National Electrical Benefit Fund
United States Treasury; 2008 1040 refund
United States Treasury; refund
(,attach additional sheets as needed)
PA 17109
DECEDENT'S SOC. Std nom.
04-03-6922
2,871.48
339.49
819.19
70.00
447.05
50.00
14.85
148,862.06
at the election of the personal representative include the value of each
NOTE: The Memorah f m of real estate outside the Commonwealth of Pennsylvama may,
~ ures should not be extended into the total of the Inventory (See 20 Pa. C.S. § 3301(b~~
item, but suc S
LAST RESIDENCE
904 Bosler Avenue
Continuation of Inventory
William E Mattern
Decedent Name
Description of Inventory
ne, Cumberland County, Pennsylvania
904 Bosler Avenue, on certified appraisal by Leon D Gerlach.)
(Valuation based up
IBEW Local #143 Pension Fund; life ins death benefit payable to Estate
Trust International Brotherhle to Esta eorkers Pension Benefit Fd;
Life ins death benefit payab
2 p p 8 0 1 0 7 4 File Number
141,000.00
250.00
3,000.00
144,250.00
Subtotal $
Grand Tota- $ 148,862.06