HomeMy WebLinkAbout05-21-10 (3)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Steve A. Kauffman
COUNTY, PENNSYLVANIA
File Number 21-08-0826
Personal Representative(s) of the Estate of Clinton E. Kauffman
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 whic a pears in a error ndu t the end pf~this invent.
I verify that the statements made in this Inven- ~ ,~,~, y~. ~ ;:__,7 0 . ~
tory are true and correct. I understand that false state- _-, - ~-'-
Steve A. Kauffman ~ ~ ~""
ments herein are made subject to the penalties of ~ it ~ -~
18 Pa.C.S. § 4904 relating to unsworn falsification to - '~ N -- -
authorities. `'
c - ~..
Attorney -- (Name) Robert C. Saidis Esq. (Supreme Courtl.D. No.jC~ 21458'
(Firm) Saidis, Flower & Lindsay
(Address) 26 West High Street, Carlisle, PA
(Telephone) 717-243-6222
DATE OF DEATH I LAST RESIDENCE 48 Llmeklln Road
FIGURES MUST BE TOTALED
Personal Property
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 ........................
789, 278.02
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(b))
Form RW-09 Rey io-is-zoos
568,833.02
7,445.00
576,278.02
213,000.00
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY, PENNSYLVANIA
COUNTY OF Cumberland } File Number 21-08-0826
DATE OF DEATH LAST RESIDENCE 48 Limekiln Road
Cash
Department of the Treasury -Refund for the 2008 personal income tax return
Erie Life Insurance Proceeds
ING Direct Deposit
Life Insurance -Deposited 4-9-2009
M & T Bank Checking Account #3740994300
M 8~ T Bank Saving Account 015004198283704
Misc Deposit
Refund
Refund from American Education Services
Refund from Capital Blue Cross -for Alexander Spring Emergency Physicians
Refund of Overpayment of Insurance -Erie policy
West Perry School District -Final paycheck
Total Cash
Personal Property
2004 Saturn Vue
Total Personal Property
2,732.00
401,039.50
277.53
156,098.16
493.58
1, 544.90
95.68
204.07
158.51
594.00
37.00
5,558.09
568,833.02
7,445.00
7,445.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 789,278.02
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
uH i t Ur UtATH
07/30/2008
LAST RESIDENCE 48 Limekiln Road
Carlisle, PA 17015
File Number
COUNTY, PENNSYLVANIA
21-08-0826
DECEDENT'S SOC. SEC. N0.
176-44-1014
Residence-48 Limekiln Road, Carlisle, PA -All that certain parcel of land with
improvements thereon erected known and numbered as 48 Limekiln Road more
particularly bounded and described in Deed Book 273 at page 3522 with a tax parcel
identification number 46-20-1780-009.
Total Real Estate
CUMBERLAND
213,000.00
213,----_
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