HomeMy WebLinkAbout12-08-09 (2)Register of 11Vills of
County, Pennsylvania
INVENTORY
Estate of Peter J. 5cheuren No. 21-09-00333
also known as Date of Death 04/01/2009
_ ,Deceased Social Security No. 206 - 38 - 2 960
Teresa Lafey,
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
place>d 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 78 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative
Name of
Attorney: Marlin R. McCaleb Esq. Signature: f ~~~~r~ ~~~%,~j
Teresa Lafey ~ -~
I.D. No.: 06353 Signature:
Address: 219 East Main Street Address: 621 Georgian Place
Mechanicsburg, PA 17055 _ Harrisburg, PA 17111
Telephone: 717/691- 7770
Telephone: 717/558 - 0320
Dated: ;,,~~ ~ ,~ /j~ ~1`
Description
(See continuation page(s) attached)
(Attach additional sheets if necessary)
Value
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Total: 272 ,106.35
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. 1
Prepared by the Pennsylvania Bar Association
-. ,.. ,.,,~,,,.,,,„,~ i„,- Form#RW-~ (1992)
INVENTORY
E:>tate of : Peter J. Scheuren
D<3te of Death: 04/01/2009
County:
CASH:
Metlife Bank, N.A., - money 10,282.70
market account ~~5001288645:
principal balance as of
D.O.D.: $10,269.40; interest
accrued to D.O.D.: $13.30.
10,282.70
PERSONAL PROPERTY:
1999 Mazda Protege DX sedan, - 1,900.00
4D, 130,000 miles; value
based on sale to Jonathan R.
Nye on 06/13/2009.
Comcast, - refund of cable 20.85
charges.
Highmark Blue Shield, - 655.00
reimbursement for medical
expenses.
Household goods, contents, 3,032.00
furniture and furnishings.
Long Term Care Partners, LLC, 75.12
- refund of premium.
Long Term Care Partners, LLC, 538.00
- refund of premium.
Long Term Care Partners, LLC, 54.30
- refund of premium.
-1-
Long Term Care Partners, LLC, 10.08
- refund of premium.
Mairs and Power, - Growth Fund 5,784.81
~'~2480007013; principal
balance as of D.O.D.:
$5,784.81.
Richard W. Fritz Funeral Home, 2,610.51
- pre-paid Burial Reserve
Account.
State Farm Mutual Automobile 174.67
Ins. Co., - refund of
automobile insurance
premium.
State Farm Fire & Casualty 33.73
Co., - refund of homeowner's
insurance premium.
The Patriot-News, - refund of 14.10
subscription.
Third Avenue Fund, - account 5,798.17
~~0443-XXXXXX9026; principal
balance as of D.O.D.:
$5,798.17.
U. S. Treasury, - refund of 780.00
2008 federal income tax.
Vanguard Individual Account - 35,336.08
(~~09958805714 and
~~09914697393 )
West Shore Tax Bureau, - 6.23
refund of 2008 local income
tax.
56,823.65
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REAL ESTATE/PA:
---------------
House and lot, - known and 205,000.00
numbered as 6 Mellwood Lane,
Silver Spring Tonship,
Cumberland County, PA;
acquired by Decedent by deed
of The Donald L. and Janet
L. Comerer Trust, dated
08/30/2004, recorded in Deed
Book Volume 265, Page 3903;
value based on sale to Hung
Duong and Tam Bui, his wife,
on 06/12/2009.
205,000.00
TOTAL RECEIPTS OF PRINCIPAL ............... 272,106.35
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