HomeMy WebLinkAbout02-05-10 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
File Number 21 09 0520
na
.... o
Personal Representative(s) of the Estate of GEORGE D. DeVORE ~~ r j G ~'
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the perso whergver si ~t
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placedgp} eaclidlem o~~aid}
inventory represents jts fair value as of the date of the decedent's death, d that Decedent owne o real e§k~ilt,7lt<trt~ide c},fihe ~;~; ~_,.,a
Commonwealth of Pennsylvania except that which appears in a memoran at t nd of inv ntory. C~ Q ~ ~ ;;: ~'~
c7~ ..
_i - r_
I verify that the statements made in this Inven- ~~s o `'' ~,~
tory are true and correct. I understand that false state- 4
ments herein are made subject to the penalties of ILBERT G. D V RE
] 8 Pa. C.S. § 4904 relating to unswom falsification to
authorities.
Attorney -- (Name) MARK A. MATEYA ESQ. (Supreme Court I.D. No.) 78931
(Addre~~s) P.Q. BOX 127 BOILING SPRINGS PA 17007
(Telephone) 717-241-6500
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
550 N HANOVER STREET
5/15/2009 CARLISLE PA 17013 219146692
FIGURES MUST BE TOTALED
REAL ESTATE LOCATED AT 550 N. HANOVER STREET
CARLISLE, PA 17013
EMBARO
TELEPHONE SERVICE.CREDIT REFUND ON ACCOUNT
ACCOUNT NO. 717-243-8755-090
NATIONWIDE ALLIED INSURANCE CO
REFUND ON HOMEOWNERS INSURANCE POLICY
ACCOUNT NO. 846361101
STATE FARM INSURANCE
REFUND ON AUTOMOBILE INSURANCE PREMIUM
POLICY NO. 550 -186-D25-380
PPL ELECTRIC UTILITIES CORP
REFUND ON OVERPAYMENT OF ACCOUNT
ACCOUNT NO 807707800500
CITIZENS BANK
CHECKING ACCOUNT
ACCOUNT NO. fi100727793
COMCAST
CABLE TELEVISION REFUND ON ACCOUNT
ACCOUNT NO. 09547-36299601
162,000.00
20.55
99.00
28.66
43.61
137, 089.69
46.96
(Attach additions/sheets as needeu
22
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. § 330/(bJ)
Form RW-09 rev. 10.13.06
1`
' ~ Continuation of Inventory
GEORGE D. DeVORE
Decedent Name
Page 1
Description of Inventory
1994 CROWN VICTORIA AUTOMOBILE
FAIR CONDITION
1985 CUTLASS SIERRA AUTOMOBILE
FAIR CONDITION
TRANSAMERICA LIFE INSURANCE CO
NON-QUALIFIED TAX DEFERRED ANNUITY
ANNUITY NO. 26161505
MICHELLE DeVORE
MONETARY GIFT RECEIVED FROM DECEDENT ON 4/28/09
CHECK NO. 1074
PATRICIA MERRITT
MONETARY GIFT RECEIVED FROM DECEDENT ON 4/6/09
CHECK NO. 1069
21 09 0520
File Number
2, 500.00
800.00
91, 074.75
500.00
5, 000.00
subtotal S 99,874.75
Grand Total S 399,203.22