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HomeMy WebLinkAbout06-07-10 (3)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland } Charlotte A. Houck CUMBERLAND COUNTY, PENNSYLVANIA File Number 2010-00270 Personal Representative(s) of the Estate of Theresa A. ShOVer 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- ~ ~ ~ ~ w ~'~,~~ ~ ~~ ~~ j ~~~~ tory are true and correct. I understand that false state- ' ments herein are made subject to the penalties of Charlotte A. Houck 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) (Fimt) (Address) (Telephone) s Edward P Seeber James, Smith, Dietterick ~ Connel Suite C-400, 555 Gettysburg Pike, 717-533-3280 (Supreme Court 1. D. No.) X6084 -~~' ...~ ..., Total Real Property ................................................ Total Personal and Real Property ........................ t 28,899.10 350.00 29,249.10 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 ~0 Pa. C.S. § 3301(b)) Form RW-O9 Rev. 10-13-2006 DATE OF DEATH LAST RESIDENCE 33 Buttonwood Lane DECEDE C. NO. ~ ;• ~. 03/04/2010 Carlisle PA 17015 194-1 ~ 3 ,~ - ,- FIGURES MUST BE TOTALED Personal Proms Cash ............................................................................................... Personal Property ........................................................................ Stocks/Listed ................................................................................ Stocks/Closely Held ..................................................................... Bonds ............................................................................................ Partnerships and SOIe Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ........................................................................ Total Personal Property ........................................ LLP Mechanicsburg, PA REGISTER OF WILLS OF INVENTORY CUMBERLAND COMMONWEALTH OF PENNSYLVANIA } SS COUNTY, PENNSYLVANIA COUNTY OF Cumberland } File Number 2010-00270 DATE OF DEATH LAST RESIDENCE 33 Buttonwood Lane DECEDENT'S SOC. SEC. NO. 03/04/2010 Carlisle PA 17015 194-12-7400 ~b AEGIS Security Insurance -mobile home insurance premium refund Comcast Cable -refund Cumberland County -burial reimbursement M&T Bank Checking Account No. 9841239669 -valued per letter dated 3/25/10 MSzT Bank Savings Account No. 15004211781289 -valued per letter dated 3/25/10 Patriot News -refund SERS -retirement pay United States Treasury - 2009 income tax refund Valley Rural Electric Cooperative -refund Total Cash Personal Pro~~ 1976 mobile home -valued per sales price since cost for removal would be $3,000 1994 Ford Tempo GL Sedan -valued per Kelley Blue Book Miscellaneous personal property -valued per Kelley Blue Book Total Personal Property 69.00 4.85 100.00 16.897.66 11,223.72 15.50 67.61 320.00 200.76 28.899.10 0.00 150.00 200.00 350.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 29.249.10