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HomeMy WebLinkAbout09-18-09INVENTORY REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS File Number 21-2009-0272 Personal Representative(s) of the Estate of Fredith Nolan 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 which appears in a memorandum at a end of this ' entory. 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 ~ t ~x~ L ~~~;-~ 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) H. Anthony Adams (Supreme Court LD. No.) 25502 (Address) 49 West Orange Street, Suite 3, Shippensburg, PA 17257 (Telephone) (717) 532-3270 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. March 1, 2009 10 Water Street, Newburg Borough, Cumberland Co, PA 17240 186-28-5112 FIGURES MUST BE TOTALED (1) 1857 One Dollar Gold Piece 214.99 (1) 1991 Five Dollar Gold Piece 35.00 1986 U.S. Liberty Coin Set 24.00 (1) 1990 American Eagle Silver Dollar 49.99 (1) 1863 Indian Head Penny N°c~ 5.50._ ,,~ Cut Glass Pieces = - ~ w cn •~~~ - (2) Don Whitlatch Prints (Chickadee and Titmice) } ~ rn- "o ~~; , k~• Wine Glasses (assorted) t v~ ~ ~ fiQ•4$' Cameo Costume Jewlrey ~~ ~ 0 ~ 'c.) ~ 1~~.99 ,- Hummel Figures (13) Christmas Ornaments - 10 assorted boxes --i iv `49'.9 Santa Claus Figures (5) ~ 152.86 2005 Toyota Corolla (Good Condition -Valued (a, Kelly Blue Book) 10,455.00 Deposit (Cash From Safe Deposit Box) 501.00 Deposit (Cash and change from Residence) 373.50 Bedroom Furniture 300.00 (Attach additional sheets as needed) TOTAL: I 16,466.21 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the pr:rsonal 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-09 rev. 10.13.06 PAGE 1 OF 2 C,/fi/ INVENTORY REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA SS 21-2009-0272 COUNTY OF Cumberland File Number Personal Representative(s) of the Estate of Fredith Nolan 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 which appears in a memorandum at the end of this inventory. /'~ I verify that the statements made in this Inven- ~~ ~x P_G~s•/ tort' are true and correct. I understand that false state- ments herein are made subject to the penalties of ~~~n~ 5 ~) ~,~--moo v ~. ~p~~o~ 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) H. Anthony Adams (Address) 49 West Orange Street, Suite 3, Shippensburg, PA 17257 (Telephone) (717) 532-3270 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. March 1, 2009 10 Water Street, Newburg Borough, Cumberland Co, PA 1724() 186-28-5112 FIGURES MUST BE TOTALED BALANCE FROM PAGE -1- M&T Certificate of Deposit (Account #31003915527592) M&T Certificate of Deposit (Account #31003913802839) M&T Checking Account (Account #15004210910706) M&T Premium Checking Account (Account #98130951) M&T Select Checking Account (Account #9847645596) M&T Checking Account (Account #97432105) M&T Joint Checking Account (Account #98220209) -Joint account w/Valeria Nolan ($50,156.40) Symetra Annuity (Contract LP1073643) -Date of Death Value Jackson National Life Insurance (Policy #1002663356) -Date of Death Value AIG Annunity Insurance Company (Policy #AN202714) -Date of Death Value Public School Employee's Retirement System Public School Employee's Retirement System _' :~ Orrstown Bank Certificate of Deposit (Account #4000002242) -Joint account wNaleria Nolan ($10,000) -J a (Attach additional sheets as needed) C7 rr-n _~ ~' 16,466.21 10,972.77 3,000.00 3,805.02 20,266.74 3,260.33 2,992.68 25,078.20 ~ 57,554.96 ~ 24 ~~1'9x 'ti e, ~ 8~a~fi:f14 c 1~6~;:1•Q ~ - , ..r.} ~ 5.;(~A4@0 r - ;,~~ O ( 1 206,375.04 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. fi 3301(b)) Form RW-09 rev. 10.13.06 (Supreme Court LD. No.) 25502 PAGE 2 OF 2 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 9/21/2009 Cumberland County - Register Of Wills Receipt Time: 12:15:24 One Courthouse Square Receipt No.: 1058314 Carlisle, PA 17 13 NOLAN FREDITH Estate File No.: 2009-00272 Paid By Remarks: DENNIS HOOVER JN ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name INVENTORY 15.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 108, $15.00 Total Received......... $15.00