HomeMy WebLinkAbout12-31-09 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 09 0374
Personal Representative(s) of the Estate of DOROTHY A. FOSTER
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the perso 1 assets wlf~ver situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation plat osite eae`F~item-q€s X'ei
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real ~: outsid~'the ~~,'-~; ~~~'
Commonwealth of Penns Ivania exce t that which a ears in a memorandum at the end of this invento ~ •` ~''~~
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I verify that the statements made in this Inven- ~-~ ~ -fl ~ ~~
tory are true and correct. I understand that false state- ~ - ~-'
ments herein are made subject to the penalties of ,' ~ ~ tV ~`~= F
18 Pa. C.S. § 4904 relating to unsworn falsification to ' `.;~'~
authorities. t+~
Attorney -- (Name) MARK A. MATEYA (Supreme Court I.D. No.) 78931
(Address) P.O. BOX 127 BOILING SPRINGS PA 17007
(Telephone) 717-241-6500
DATE OF DEATH
LAST RESIDENCE
MEMBERS 1ST FEDERAL CREDIT UNION
SAVINGS ACCOUNT NO. 328484-00
MEMBERS 1ST FEDERAL CREDIT UNION
CHECKING ACCOUNT NO. 328484-11
DECEDENTS SOC. SEC. NO.
FIGURES MUST BE TOTALED
MEMBERS 1ST FEDERAL CREDIT UNION
INVESTMENT SAVINGS ACCOUNT NO. 328484-05
MEMBERS 1ST FEDERAL CREDIT UNION
VISA ACCOUNT 4848
PURITY ABSTRACT CO
BALANCE OF ESCROW FOR SEPTIC REPAIR FROM SALE OF HOME ON 2/2/09
US TREASURY
2008 INCOME TAX REFUND
PROGRESSIVE INSURANCE
REFUND OF INSURANCE PREMIUM
POLICY NO. 57096327-7
(Attach additional sheets as
31.33
3,599.81
3.34
25.93
316.30
2,137.00
26.00
11, 967.01
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 RW-09 rev. 10.13.06
Continuation of Inventory
DOROTHY A. FOSTER 21 09 0374
Decedent Name File Number
Page 1
Description of Inventory
2002 SATURN VUE AUTOMOBILE 4,500.00
KELLY BLUE BOOK VALUATION
PERSONAUHOUSEHOLD ITEMS 1,000.00
LIBERTY MUTUAL
REFUND ON INSURANCE POLICY NO. H32-281-173638-609
PRUDENTIAL
DIVIDEND ON ACCOUNT 00018673053
293.00
34.30
Subtotal S 5,827.30
Grand Total S 11,967.01
MATEYA LA~V F I R[vt
A PROFESSIONAL CORPORATION
P.O. BOX 127
Boiling Springs, Pa 17007
Phone 717-241-6500 Fax 717-241-3099
www.mateyalaw.com
Apri123, 2009
Cumberland County Register of Wills
Cumberland County Courthouse
Hanover & High Streets
Carlisle P~1 17013
Re: Estate of Dorothy A. Foster
No. 21-09-003 74
To Whom it May Concern,
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Enclosed herewith, please find an original and three (3) copies of the Inheritance Tax
Return and Inventory for the above-referenced matter, along with the filing fee for same. Please
accept the original and one copy for filing and return the remaining time-stamped copies to me in
the enclosed self-addressed stamped envelope.
Thank you for your usual fine service. If you are in need of additional information or
have any questions, please contact my office. I may be reached at (717) 241-6500 or by e-mail
at mam@mateyalaw.com.
Sincerely,
~~ ,
Mark A. Mateya, Esq.
MAM/aa
Enclosure
cc: Katherine. Rife Executrix
420 3`d Street
Enola PA 17025
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