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Home My WebLink About08-25-09 (3)V Estate of WILLIAM T. HERTZLER also known as No. 21 09 0087 Date of Death 1/19/2009 WILLIAM T. HERTZLER ,Deceased Social Security No. 177-16-1252 JANICE HERTZLER Personal Representative(s) of the above Estate, deceased, verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: MARK A. MATEYA INVENTORY I.D. No.: 78931 Address: P.O. BOX 127 BOILING SPRINGS PA 17007 Telephone: 717-241-6500 Personal Representative: ~~~~. ~~ nn Dated V` ~~~~ 1 D ~ ~ ~ Description WACHOVIA SECURITIES CALVERT INCOME FUND 881.5000 SHARES -MEAN $13.75 WACHOVIA SECURITIES CAPITAL INCOME BUILDER 669.1370 SHARES -MEAN $39.19 WACHOVIA SECURITIES CARLISLE COMPANIES 1000 SHARES -MEAN $20.09 WACHOVIA SECURITIES EVERGREEN EQUITY TR 3682.9290 SHARES -MEAN $8.78 WACHOVIA SECURITIES FIRST EAGLE SOGEN FUNDS 532.2000 SHARES -MEAN $15.35 WACHOVIA SECURITIES GABELLI SMALL CAP 527.3250 SHARES -MEAN $18.51 (Attach Additional Sheets if necessary) Value 12,120.63 c7 223.48 _ ~ ~ _=`-' .- v~ - i ~^'1 ~ . r l :~ l .~ ~ ~ ~ T .... ; V _ _ ' ~ 3i36. T2 ` :r~~ ~ .. , _ o cn 8,169.27 9,760.79 Total 1,072,497.96 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. RW-4 Continuation of Inventory WIELIAM T. HERTZLER 21 09 0087 Page 1 Description of Inventory Description WACHOVIA SECURITIES JP MORGAN CHASE & CO 2000 SHARES -MEAN $22.78 WACHOVIA SECURITIES NUVEEN INVT TRUST 801.7610 SHARES -MEAN $10.24 WACHOVIA SECURITIES PEABODY ENERGY CO 500 SHARES -MEAN $24.02 WACHOVIA SECURITIES RUSSELL INVST CO 57970 SHARES -MEAN $1.00 WACHOVIA SECURITIES VAN KAMPEN 303 60 SHARES -MEAN $849.47 WACHOVIA SECURITIES VAN KAMPEN 304 74 SHARES -MEAN $887.67 WACHOVIA SECURITIES VAN KAMPEN 305 50 SHARES -MEAN $860.84 WACHOVIA SECURITIES VAN KAMPEN 311 98 SHARES -MEAN $884.45 WACHOVIA SECURITIES VAN KAMPEN 312 100 SHARES -MEAN $898.77 WACHOVIA SECURITIES VAN KAMPEN 314 50 SHARES -MEAN $891.83 WACHOVIA SECURITIES VAN KAMPEN 280 50 SHARES -MEAN $990.65 WACHOVIA SECURITIES VAN KAMPEN 308 43 SHARES -MEAN $917.29 WACHOVIA SECURITIES VAN KAMPEN 306 101 SHARES -MEAN $917.97 WACHOVIA SECURITIES MONEY MARKET ACCOUNT Value 45, 560.00 8,210.03 12,010.00 57, 070.00 50, 968.20 65,687.58 43,042.00 86,676.10 89, 877.00 44,591.50 49, 532.50 39,443.47 92,714.97 51,112.24 Subtotal I $ 736,495.59 Continuation of Inventory WIiLIAM ti. HERTZLER 21 09 0087 Page 2 Description of Inventory Description THE ROYCE FUNDS TOTAL RETURN FUND FUND NO. 267 -ACCOUNT NO. XXXX6292 THE ROYCE FUNDS DIVIDEND CHECK FUND NO. 267- ACOUNT NO. XXXX6292 UNITED CHURCH OF CHRIST HOMES ASSISTED LIVING REFUND CHECK NO. 050793 ORRSTOWN BANK CHECKING ACCOUNT ACCOUNT NO. XXXXX1725 THE ROYCE FUNDS TOTAL RETURN FUND DIVIDEND FOR ACCOUNT NO. XXXX6292 EMBARQ TELEPHONE/CABLE SERVICE REFUND BNY MELLON ACCOUNT NO. XXXXXXXXBNY7 BNY MELLON ACCRUED INTEREST ON ACCOUNT ACCOUNT NO. XXXXXXXXBNY7 CAPITAL BLUE CROSS REFUND OF INSURANCE PREMIUM CHK NO. 330019300 WESTMINISTER CEMETERY PRE-PAID FUNERAL EXPENSE Value 107,080.91 430.79 2,683.56 17, 376.70 492.33 7.56 96,660.04 4.37 430.82 2,135.00 Subtotal I S 227,302.08 Grand Total $ 1,072,497.96