HomeMy WebLinkAbout12-14-09 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-0847
Donna M. Ewing
Personal Representative(s) ofthe Estate of Mary K. Bowermaster
deceased, depose(s) and say(s), that the items appearin~ in the following inventory include all of the
situate and all of the real estate m the Commonwealth o Pennsylvania of Bald Decedent, that the va
item of said inventory represents its fair value as of the date of the decedent's death, and that Dece~
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the E
I verify that the statements made in this Inven- 1
tory are true and correct. I understand that false state- j
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
M. Ewing
iaQUplaced opte each k
1 no rea taterr', f-~
~ T nvento ~ ~ ?
c_s ~-, .-, ~.,. -.
John E. Slike Esq. (Supreme Court LD. No.) 06262
Saidis, Flower & Lindsay
2109 Market Street, Camp Hill, PA 17011
717-737-3405
DATE OF DEATH LAST RESIDENCE 1700 Market Street DECEDENTS SOC. SEC. NO.
08/19/2009 _ Camp Hill, PA 17011 203-104845
Personal Proaert
FIGURES MUST BE TOTALED
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 .........................
3,027.50
~~ ~ •,~`~ Sri
3,027.50
3,027.50
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 RYIr-09 Rev. 1413-2006
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21
DATE OF DEATH LAST RESIDENCE 1700 Market Street
08!19/2009 Camp Hill, PA 17011
Cash
Capital Blue Cross -Refund of partial premium
HCR Manor Care -Refund of prepaid care
New York Life Insurance Company -Policy 29590927
Refund of premium
New York Life Insurance Company (2nd) -Policy #30381910
Refund of premium
-09-0847
DECEDENTS SOC. SEC. NO.
203-10.4845
Total Cash
126.00
2,838.00
48.80
14.70
3,027.50
(Attach additional sheets if necessary) Total Personal Property and Real Estate 3,027.50
LAW OFFIC:$S
JOHN E. SLIKE
ROBERT C. SAIDLS
JAMES D. FLOWER JR
CAROL J. LINDSAY
JOHN B. LAMPI
DANIEL L. SULLIVAN
DEAN E. REYNOSA
THOMAS E. FLOWER
MARYLOU MATAS
JASON E. KEISO
SAIDIS, FLOWER & LINDSAY
A PROFESSIONAL CORPORATION
2109 MARKET STREET
CAMP HILL, PENNSYLVANIA 17011
TELEPHONE: (717) 737-3405 -FACSIMILE: (717) 737-3407
EMAIL: attorney®sfl-law.com
www.sfl-law.com
December 11, 2009
CARLISLE OFFICE:
26 WEST HIGH STREET
CARLISLE, PA 17013
TELEPHONE: (?17)243-6222
FACSIMILE: (717)243-6486
REPLY TO CAMP HILL
Office of the Register of Wills ~
Cumberland County Courthouse c ~, -~ ~ ,
One Courthouse Square ~ -~c~
~
~ r°*t r' ;' r-
Room 102 -
~ ~ `r'
Carlisle, PA 17013 °. ° cr'y
~' c~ ~
~,
~
7~
~ ~,
Re: Estate of Mary K. Bowermaster ~
~ ~~' m
File No.: 21-09-0847 y ~' ~ ~~.~
Dear Sir or Madam:
Enclosed are two (2) originals and one copy of the Inheritance Tax Return for the Estate
of Mary K. Bowermaster and one (1) original and one copy of the Inventory to be filed in your
office. Please time-stamp the copies of the Inheritance Tax Return and Inventory and return the
time-stamped copies to me in the enclosed postage-prepaid envelope.
If you have any questions, please call.
Very truly yours,
SAIDIS, FLOWER & LINDSAY
Jo Seker
Paralegal
Js
Enclosures