HomeMy WebLinkAbout02-12-10 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
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COMMONWEALTH OF PENNSYLVANIA
couNTY of Cumberland 1 ss
Marci S. Miller
Cathy J Martsolf
Personal Representative(s) of the Estate of Loretta Young
deceased, deposes} and say(s) that the items appearing to the following inventory include ail of the ppersonal assets wherever
situate and all of the real estate in the Commonwealth of Pennsylvania of satd 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 verify that the statements made in this Inven-
toryare true and correct. I understand that false state-
ments herein are made subject to the penaltie.~ of
18 Pa.C.S. § 4904 relating to unsworn faisirication to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
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Cathy J a sol f
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(Supreme ty.D. No.
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Hazen Elder Law ~' '~ ° -- "'`'
2000 Linglestown Road, Harrisburg, PA 17110 ~ ''
717-540-4332
File Number 21-09-0600
DATE OF DEATH I LAST RESIDENCE 1 OO Mt. Allen Drive DECEDENTS SOC. SEC. N0.
05/25/2009 Mechanicsburg, PA 17055 187-22-7462
FIGURES MUST BE TOTALED
Personal Prooert
Cash .........................................................................................-
Personal Property ......................................................,
Stocks/Listed ..............................................................
Stocks/Closely Held ...................................................
Bonds ..........................................................................
Partnerships and Sole Proprietorships ...................
Mortgages and Notes Receivable .............................
All Other Property .......................................................
ORIGINq~
Total Personal Property .........................................
Total Real Property ................................................
Total Personal and Reai Property .........................
5,539.05
10,445.73
15,984.78
15,984.78
NOTE: The Memorandum of real estate outside the Commonvreatth of Pennsylvania may, a! the election of the pen-onal 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))
Font fifrV-09 Rev. 10-r3-2006
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-0600
DATE OF DEATH LAST RESIDENCE 100 Mt. AIIen Drive DECEDENTS SOC. SEC. NO.
05/25/2009 Mechanicsburg, PA 17055 187-22-7462
Cash
Messiah Village -refund from assisted living facility
Mobile X-Ray Imaging -refund
Penn Treaty -partial refund of premium for long-term care insurance policy
PNC Bank checking account #5070087124
Total Cash
Stock !Listed
16.0000 shares Alcatel-Lucent stock
21.0000 shares Delphi Automotive Systems stock
61.4420 shares Footlocker stock
20.0000 shares PPL Corp. 4.60% PRFD stock
263.8710 shares PPL Corp. stock
Total Stock /Listed
3,399.28
21.79
81.96
2,036.02
5,539.05
38.56
1.47
652.51
1,465.00
8,288.19
10,445.73
(Attach additional sheets if necessary) Total Personal Properly and Rea! Estate 15,984.78