HomeMy WebLinkAbout11-03-09 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland
Barbara J. Brumagim
c~ .a
Z
File Number 21-09-0757 n
Personal Representative(s) of the Estate of Helen B. Johnson
deceased, depose(s) and sayy((s) that the items appearing in the following inventory include all of the pperso
situate and all of the real estafe in the Commonwealth of Pennsylvania of said Decedent, that the valuatiol
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent o'
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of
I verify that the statements made in this Inven- ~~
tory are true and correct. I understand that false state- } ~"l'
ments herein are made subject to the penalties of ~ Barbara J. Brumagim
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Gary L. James Esq.
(Supreme Court I.D. No.) 27752
James, Smith, Dietterick 8~ Connelly, LLP
134 Sipe Avenue, Hummelstown, PA 17036
717/533-3280
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane Suite 304 DECEDENTS SOC. SEC. NO.
08/06/2009 Mechanicsburg, PA 17055 38$-17-6436
FIGURES MUST BE TOTALED
Personal Propertv
Cash ...............................................................................................
Personal Property .........................................................................
Stocks/Listed .................................................................................
Stocks/Closely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
-Total Personal Property .........................................
Total Real Property ...................................
Total Personal and Real Property .........................
795.97
1,000.00
0.00
1,795.97
1
w
-Ti 3
opposit~ach E,... w.r~ ,
no
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(b))
Form /24th-09 Rev. 10.132006
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-0757
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane Suite 304 DECEDENTS SOC. SEC. NO.
08/06/2009 Mechanicsburs~, PA 17055 38$-12-6436
Cash
AARP -membership refund
Lititz Mutual Insurance Company -refund for apartment insurance
Patriot-News -subscriber refund
Verizon Benefits Center -dental benefit refund
Total Cash
Personal Prouerty
Personal Property -valued per executor
Total Personal Property
Stock /Listed
20,000.0000 shares Daelyte Service Company B Preferred Stock -security is worthless
Total Stock /Listed
17.57
59.00
157.50
561.90
795.97
1,000.00
1,000.00
0.00
0.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 1,795.97