HomeMy WebLinkAbout11-20-09 (3)Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of
THEODOSIA M. RABER
also known as
Deceased Social Security No.
185-24-8376
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 of 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 are made subject to the penalties of 18. Pa. C.S. Section 4904 relating to unsworn falsification to
authorities. ~ ~n
'~ ,c r--~
~ ` `~~ - ~/ Personal Representative
Name of RY~`R . GAGER, E QUYRE - ~"~ ~~ ~~
Attorney: ,~' ~'`~'~-C~
LD. No.: 93990 ~,~~,11~~:~~-~
Address: P • O . BOX 12 91 pa~e~ October 7~ / 2 0 0 9
HARRISBURG, PA 17108-1291
Telephone: ~ 717) 2 5 7- 7 5 2 4
REAL ESTATE:
Description
See Schedule "A" Attached
PERSONAL ESTATE:
See Schedule "B" Attached
See Schedule "E" Attached
See Schedule "G" Attached
I Value
$192,000.00
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~~ 715u6 4
. --~ _ >
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98~~54r,~4 ~
a
1;6-2,~58~9 '
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_ i . .
1 ~ ~~
~.+
TOTAL ~ $453,128.77
(Attach Additional Sheets if necessary) j
No. 21-09-0522
Date of Death MAY 31 , 2 0 0 9
~54682.~ ~1/I/09 ~1
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jet pennsylvania SCHEDULE A
"~ DEPARTMENT OF REVENUE
,NHER,TAN~E TAX F2ETURN REAL ESTATE
P,ES1DENi DECEDENT
ESTATE OF
FILE NUMBER
_ 21-09-0522
All real property owned solely or as a tenant in common must be reported at fair market value, Fair market value is defined as the price at which property
t^,ould be exchanged between a willing buyer and a wiAing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
If more space is needed, insert additional sheets of the same size.
REV-7503 EX+ (5-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
_- -- - --
ESTATE OF FILE NUMBER
21-d9-0522
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
(If more space is needed, insert additional sheets of the same size)
REV~i50B EXt (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN PERSONA!. PROPERTY
RESIDENT DECEDENT
--_. -
ESTATE OF FILE NUMBER
21-09-0522
Include the proceeds of litigation and the dale the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
(If more space is needed, insert additional sheets of the same size)
REV-?S?D EX+ (G-58)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21-09-0522
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFERATTACHACOPYOfTHEDEEDFORREALESTATE
DATE OF DEATH
VALUE OF ASSET
% OF DECD'S
INTEREST
EXCLUSION
QFAPPUCABLE)
TAXABLE
VALUE
1. Met-Life Annuity No. 9094002 9,040.33 100% 9,040.33
7. Met-Life Annuity No. 2289422 i2z,6iz,oo 100% i22,~lz.oo
3. Transamerica Life Annuity No. 26159595 30,406.36 100% 30,406.36
TOTAL (Also enter on line 7, Recapitulation) I $ 16 2 , 0 5 8 . 6 9
(Ii more space is needed, insert additional sheets of the same size)