HomeMy WebLinkAbout04-14-10 (2)INVENTORY
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1 SS
COUNTY OF Cumberland f
File Number 2 0 0 9 D 1015
Personal Representative(s) of the Estate of Harry L. Fehl, Jr.
deceased, depose(s) and say(s) 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 verify that the statements made in this Inven- ~ P~ /J . ~,,,~ u ~s'~ ~. v ~ o
tory aze true and correct. I understand that false state- ~' ~+~ °YU~+ --
menu herein aze made subject to the penalties of heri A. Little
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) John A. Carpenter, Esquire (Supreme Court LD. No.) 07612
(Address) 101 N. Eleventh Street Sunbury PA 17801
(Telephone) 570 286-7000
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
CLAREMONT NURSING & REHAB CENTER
4/3/2009 CARLISLE PA 17013 16 8142292
FIGURES MUST BE TOTALED
Stocks & Bonds c7 e
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Closely-Held Corporation, Partnership or Sole-Proprietorship r _ _
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ems:
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7;~ F~
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Mortgages & Notes Receivable ~
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Y ~ n C
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Cash, Bank Deposits, & Misc. Personal Property L~ _
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Sovereign Bank, Elysburg, PA, account 1681706342 8,436.17
Sovereign Bank, Elysburg, PA, account 1685419671, certificate of deposit 51,161.02
Sovereign Bank, Elysburg, PA, account 1925046938 5,033.52
(AiYach additional sheets as needed)
TOTAL: 71.751.42
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(6))
Form R W-09 rev. 10.13.06
Continuation of Inventory
Harry L. Fehl, Jr. 20 09 01015
Decedent Name Paae 1 File Number
Description of Inventory
Coin collection, proceeds of sale 1,586.23
Stamp collection, proceeds of sale
Commonwealth of Pennsylvania, two-day retirement due
U. S. Treasury, refund
~ Patient account, nursing home
Conesco Insurance, nursing policy benefits
Commonwealth of Pennsylvania, state retirement
~ Central PA Gas, Inc., refunds
~ Embarg Corp., refund
~ Service Health Ins. Co. of PA, refund
1 Real Estate
1,644.00
59.30
6.00
44.08
3,000.00
593.04
67.51
13.24
107.31
subtotal S 7,120.71
Grand Total S 71.751.42