HomeMy WebLinkAbout12-30-09 (3)Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of Helen J . Tesno
also known as
No. 21-09-0245
Date of Death February 2 8, 2 0 0 9
,Deceased Social Security No.
171-26-6404
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 unswom falsification to
authorities.
Name of
Attorney:
I.D. No.:
Address:
i eiepnvn~. ~ i- ~ ~ --
Description
REAL ESTATE:
Value
See Schedule "A" Attached $149,900.00
PERSONAL ESTATE:
See Schedule "E" Attached $~.3~9, 372 • ~ _.1-,
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TOTAL
(Attach Additional Sheets if necessary)
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Personal Represent ive ~
Dated: December `/ 2 0 0 9
$189,272.42
156057.1 12/10/09
REV-1502 EX+ (11-08)
~ pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE REAL ESTAT E
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF
21-09-0245
Helen J. Tesno
Ali 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 properly
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property that is jointlyowned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold. VALUE AT DATE
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. ~ OF DEATH
NUMBER DESCRIPTION
1. 6011 Robert Drive
Mechanicsburg, PA
See Deed attached -
predeceased - dying
17050
co-owner Edith Tesno
January 25, 2009
149,900.00
TOTAL (Also enter on line 1, Recapitulation.) I ~ 14 9 , 9 0 0 . 0 0
If more space is needed, insert additional sheets of the same size.
REV 1508 EX+ (6-98) SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
COM NHERwTANCE TAX RETURNANIA PERSONAL PROPERTY
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF
21-09-0245
Helen J. Tesno
Include the proceeds of litigation and the date the proceeds were received by the estate.
' i dY-owned with right of survivorship must be disclosed on Schedule F.
y )o n
Alt proper VALUE AT DATE
ITEM DESCRIPTION OF DEATH
NUMBER s c 1
l
tate 9 8 2 7. 9 4
) ~
1. ~
.
Net Residue from Edith Tesno's Estate (exc u es rea es 7 6.7 0
2. Wachovia credit card adjustment 5
14
055
3. Liberty Mutual - Insurance proceeds paid as ,
.
.
contract no. 810650
ia - checking account #10101881.53761
h 14,229.04
4. ov
Wac 2.68
5,~ Cable Refund ~ 69.30
6.
~ Insurance Refund
1996 Toyota Camry LE VIN 4T1BG12KXTU942056 1,775.00
7,
M&T Bank - checking account #85228052 3,349:76
8 38.98
9. AARP Refund 947.88
4
10 Genworth contract no. 3846985 t
,
TOTAL (Also enter on tine 5, Recapitulation) I $ 3 9 , 3 7 2 .4 2
(If more space is needed, insert additional sheets of the same size