HomeMy WebLinkAbout01-15-10 (3)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
Hans S. Romberger
CUMBERLAND
File Number
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C O U N'~Y, '~'Nfi1 SYLVAN IA
ZUiO JAMI 15 AM II ~ 54
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Personal Representative(s) of the Estate of ~r t rr~;t ` ! ~., PP.
Jean L. Romberger ~ - -
deceased, depose(s) and sayls) that the items appeal
situate and all of the real estaffe in the Commonwealth
item of said inventory represents its fair value as of thl
outside of the Commonwealth of Pennsylvania except
I verify that the statements made in this Inven-
toryare true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 49tH relating to unsworn falsecation to
authorities.
Attorney ~ (Name)
(Firm)
(Address)
(Telephone)
DATE DF DEATH
04/15/2009
n the following inventory include all of the personal assets wherever
ennsylvania of said Decedent, that the valuation placed opposite each
e of the decedent's death, and that Decedent owned no real estate
which appears in a memorandum at the end of this inventory.
} I%,d~ ~~
Hans S. Romberger
J. Ronaldo Legaspi (Supreme Court l.D. No.) 200240
Goldberg Katzman, P.C.
320 Market Stt
(717) 234-4161
PA 17108
LAST RESIDENCE 9225 Wesley Drive
Mechanicsburg, PA 17055
FIGURES MUST BE TOTALED
Personal Pronertv
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 .........................
DECEDENTS SOC. SEC. NO.
204-28-1936
21,863.91
25,576.79
47,440.70
47,4+{0.70
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 eMended into the total of the Inventory. (See ZO Pa. C.S. § 3307 (b))
Fwm RW-09 Rai. ~o-~szoos
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland } SS
ur, i r yr utarH
04/15/2009
Cash
CUMBERLAND COUNTY, PENNSYLVANIA
FileNumher 21-09-0406
LOST RESIDENCE 5225 Wesley Drive
Mechanicsburg, PA 17055
DECEDENTS SOC. SEC. NO.
204-28-1936
Stifel Nicolaus -Money Market Account
846.17
Susquehanna Valley Federal Credit Union -Checking Account opened on 10,260.00
5/28/96
Susquehanna Valley Federal Credit Union -Savings Account opened on
9/16/77 10,374.86
Susquehanna Valley Federal Credit Union -Savings Account opened on
10/14/1998 382.88
Total Cash
21.863.91
Stock /Listed
466.6300 shares American Balanced Fund -Class A
6.234.18
291.8758 shares Chevron Corporation
19,342.61
Total Stock /Listed 25,576.79
(Attach additional sheets ff necessary) Total Personal Property and Real Estate
47,440.70