HomeMy WebLinkAbout05-10-10INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNTY of Cumberland } ss File Number 21-09-1175
Jeffrey P. Weaver
Personal Representative(s) of the Estate of Ina M. Keller
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 op~ite each..-~
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent QD~ned no restate _,~; ..'
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end d~inventol~ ~- -~
I verify that the statements made in this Inven- ' 3 ~"~ ~ -c ~" -
tory are true and correct. I understand that false state- ~ ^- -, ~-,
J re P. Weaver ~'~ ~ o
ments herein are made subject to the penalties of r, ~~ - _~
18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ~ n ,.,~
authorities. '~'~ .-- - =
~~~ ~ ,;
ti ~~ a
Attorney - (Name) John E. Slike Esq. (Supreme Court I.D. No.) , .06262
(F""') Saidis, Flower ~ Lindsay
(Address) 2109 Market Street, Camp Hill, PA 17011
(Telephone) 717-737-3405
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane DECEDENTS SOC. SEC. ND.
1210912009 Mechanicsburg, PA 17055 175-10-7404
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 ........................
60,186.66
219,942.40
83,343.33
8,500.00
371,972.39
371,972,39
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. ~o-i3-2ooe ~'
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY OF Cumberland }
DATE OF DEATH
12/09/2009
~b
LAST RESIDENCE 5225 Wilson Lane
File Number 21-09-1175
DECEDENTS SOC. SEC. N0.
175-10-7404
Bethany Village -Refund from Asbury Communities, Inc. 949.52
Bethany Village -Refund from Asbury Communities, Inc. 13.50
Highmark Prescription Drug Plan -Premium Refund 36.01
Merrill Lynch IRA Acct 898-79687 -Cash 293.46
Merrill Lynch Primary Acct 898-03R63 5,650.00
Merrill Lynch Primary Acct 898-61489 971.16
Accrued interest on above item through date of death 7.50
Penn Treaty Network America Insurance Company -Claim #P231272!1 3,240.00
Policy #P231272
Reimbursement for Care at Bethany Village Retirement Center 9/22-9/30/2009 $810.00;
1011-10/3/2009 $270.00; 10/8-10/31/2009 $2160.00
Penn Treaty Network America Insurance Company -Policy #P231272 4,500.00
Reimbursement for Care at Bethany Village Retirement Center
Penn Treaty Network America Insurance Company -Refund of Premium 138.18
PNC Certificate of Deposit 8/13/2010 - 25 Month Fixed Rate of 3.73%; Investment 16,897.23
#31400240679
Accrued interest on above item through date of death 44.91
PNC Checking Account #50-7007-5801 8,860.21
Accrued interest on above item through date of death 0.27
PNC Money Market Account #50-0096-2544 15,521.45
(Attach additional sheets if necessary) Total Personal Property and Real Estate 371,972.39
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland } File Number 21-09-1175
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane DECEDENTS SOC. SEC. NO.
12/09/2009 Mechanicsburg, PA 17055 175-10-7404
Accrued interest on above item through date of death 5.16
Refund from Highmark -Premium refund 294.76
Refund from Penn Treaty -Refund of partial premium payment 2,763.34
Total Cash 60,186.66
Stock /Listed
69.0000 shares ABB Ltd -Adr Sponsored
53.0000 shares Abbott Labs -Com
Merrill Lynch Acct #898-03R63
42.0000 shares Aetna Inc New -Com
25.0000 shares AGCO Corp -Com
311.1570 shares American Capital Income Builder CL C -Mutual Fund (as quoted by NASDAQ)
Merrill Lynch Acct 898-61489
558.6720 shares American Income Fund of America CL C -Mutual Fund (as quoted by NASDAQ)
Merrill Lynch Acct 898-61489
49.0000 shares Ansys Inc -Com
22.0000 shares Apache Corp -Com
25.0000 shares Apple Computer Inc -Com
13.0000 shares Barrick Gold Corp -Com
15.0000 shares BHP Billiton Ltd -Sponsored Adr
1,226.48
2,830.47
1,290.66
766.75
14,926.20
8,558.86
1,965.15
2,037.31
4,855.88
530.86
1,092.60
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-1175
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane DECEDENTS SOC. SEC. NO.
12109/2009 Mechanicsburg, PA 17055 175-10-7404
242.0000 shares Black Rock Global - Part of Merrill Lynch Acct #898-79687 3,362.39
600.0000 shares Blackrock Enhcd Govt, Inc. -New York Stock Exchange 10,509.00
Merrill Lynch Acct 898-61489
1,283.1750 shares Blackrock Global Allocation Fd Inc. C -Mutual Fund (as quoted by NASDAQ) 21,634.33
Merrill Lynch Acct 898-61489
55.0000 shares Blackstone Group LP -Com Unit Repstg L Pint 733.43
126.0000 shares CBS Corp New CL B 1,723.68
174.0000 shares Cisco Systems Inc -Com 4,117.71
13,000.0000 Citigroup Inc -Com 503.10
35.0000 shares Coach Inc -Com 1,230.78
34.0000 shares Cognizant Technology Solutions Corp - CL A 1,492.77
40.0000 shares Covidien PLC SHS 1,875.80
61.0000 shares Direct TV Group Hldngs CLA 2,004.16
25.0000 shares Entergy Corp New -Com 2,017.13
68.0000 shares Exxon Mobil Corp -Com 4,952.10
15.0000 shares Flir Systems Inc -Com 451.05
55.0000 shares Flowers Foods Inc -Com 1,260.60
8,243.3260 shares Franklin Income FD CL C -Mutual Fund (as quoted by NASDAQ) 16,898.82
Merrill Lynch Acct 898-61489
-3-
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-09-1175
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane DECEDENTS SOC. SEC. NO.
12/09/2009 Mechanicsburq, PA 17055 175-10-7404
20.0000 shares Fti Consulting Inc -Com 906.90
4,000.0000 shares General Elec Cap Corp -Notes GLB 3.500% 8/13/2012 4,164.40
DTD: 8/13/2009
20.0000 shares General Mills Inc -Com 1,374.80
14.0000 shares Goldman Sachs Group Inc -Com 2,294.39
475.0000 shares HCP, Inc. -New York Stock Exchange 15,078.88
Merrill Lynch Acct 898-61489
45.0000 shares Hewlett Packard Co -Com 2,223.23
17.0000 shares HSBC Holdings PLC - Spon Adr New 969.00
50.0000 shares Ingersoll-Rand PLC 1,737.00
87.0000 shares JPMorgan Chase & Co -Com 3,571.79
86.0000 shares Las Vegas Sands Corp -Com 1,322.25
21.0000 shares Liberty Media Corp -Liberty Starz Ser A 1,014.51
70.0000 shares Macys, Inc. 1,139.25
72.0000 shares McDermott Intl Inc -Com 1,614.60
26.0000 shares National-Oilwell Inc -Com 1,076.79
54.0000 shares Nexen Inc -Com 1,229.65
720.0000 shares Nuveen Multi-Strategy -New York Stock Exchange 5,266.80
Merrill Lynch Acct 898-61489
-4-
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-09-1175
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane DECEDENTS SOC. SEC. N0.
12/09/2009 Mechanicsburg, PA 17055 175-10-7404
143.0000 shares On Semiconductor Corp -Com 1,167.60
840.5930 shares Oppenheimer Rochester National Muni FD CL C -Mutual Fund (as quoted by 5,858.93
NASDAQ)
Merrill Lynch Acct 898-61489
97.0000 shares Oracle Corp -Com 2,116.54
38.0000 shares Packaging Corp American -Com 838.68
60.0000 shares Pepsico Inc -Com 3,694.50
205.0000 shares Pfizer Inc -Com 3,703.33
961.6010 shares Pimco Total Return FD CL A -Mutual Fund (as quoted by NASDAQ) 10,471.83
Merrill Lynch Acct 898-61489
75.0000 shares Procter 8~ Gamble Co -Com 4,654.13
30.0000 shares Qualcomm Inc -Com 1,335.75
92.0000 shares Regal Entertainment Group - CL A 1,287.08
30.0000 shares Reinsurnce Group America 1,378.65
21.0000 shares Royal Dutch Shell PLC Spons ADR A 1,247.72
54.0000 shares Sba Communications Corp - CL A 1,719.36
19.0000 shares Silgan Holdings Inc -Com 1,024.10
45.0000 shares Staples Inc -Com 1,077.53
217.0000 shares Taiwan Semiconductor Manufacturing Co - Adr Sponsored 2,359.88
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-09-1175
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane DECEDENTS SOC. SEC. NO.
12/09/2009 Mechanicsburg, PA 17055 175-10-7404
79.0000 shares Terex Corp New -Com 1,473.35
44.0000 shares Teva Pharmaceutical Industries Ltd - Adr 2,310.22
43.0000 shares Thermo Electron Corp -Com (Thermo Fisher Scientific) 2,054.76
21.0000 shares Transocean LTD 1,679.37
22.0000 shares Union Pacii'ic Corp -Com 1,389.08
20.0000 shares United STS Steel Corp New -Com 908.80
42.0000 shares Wabco Holdings, Inc. 1,027.74
30.0000 shares Waste Connections Inc -Com 988.80
95.0000 shares Wells Fargo 8 Co New -Com 2,478.08
105.0000 shares XL Capital Ltd - CL A 1,864.28
Total Stock /Listed 219,942.40
~~
500,000.0000
BP Capital Markets PLC -Company Guarnt GLB 03.87% 3/10/2015
5,242.14
Merrill Acct 898-03R63
New York Bond Exchange
Dtd: 3/10/2009 Mat: 3/10/2015 3.88%
Accrued interest on above item through date of death
47.90
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland } File Number 21-09-1175
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane DECEDENTS SOC. SEC. NO.
12/09/2009 Mechanicsburg, PA 17055 175-10-7404
600,000.0000 Citigroup, Inc. -Subordinated GLB 05.00% 9/15/2014 5,848.22
Merrill Acct 898-03R63
New York Bond Exchange
Dtd: 9/16/2004 Mat: 9/15/2014 5.00%
Accrued interest on above item through date of death
500,000.0000 E.I. DU PONT DE NEMOURS -GLB 04.875% 4/30/2014
Merrill Acct 898-03R63
New York Bond Exchange
Dtd: 4/30/2004 Mat: 4/30/2014 4.88%
Accrued interest on above item through date of death
400,000.0000 Federal Natl Mtg Assoc -NOTES 5.375%; 6/12/2017
DTD: 6/08/2007
Accrued interest on above item through date of death
400,000.0000 Hewlett Parkard Co -GLB 06.00% 7/01/2012
Merrill Acct 898-03R63
New York Bond Exchange
Dtd: 6/26/2002 Mat: 7/01/2012 6.50%
Accrued interest on above item through date of death
400,000.0000 McDonald's Corp - SER MTN GLB 05.350% 3/01/2018
Merrill Acct 898-03R63
New York Bond Exchange
Dtd: 2/29/2008 Mat: 3/01/2018 5.35%
Accrued interest on above item through date of death
70.00
5,433.12
26.41
4,550.63
105.71
4,000.00
114.11
4,342.55
58.26
-7-
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland } File Number 21-09-1175
DATE OF DEATH LAST RESIDENCE 5225 Wilson Lane DECEDENTS SOC. SEC. NO.
12/09/2009 Mechanicsburg, PA 17055 175-10-7404
300,000.0000 Merck 8~ Company, Inc. -GLB 05.00% 6/30/2019 3,177.92
Merrill Acct 898-03R63
New York Bond Exchange
Dtd: 6/25/2009 Mat: 6/30/2019 5.00%
Accrued interest on above item through date of death
500.000.0000 MetLife, Inc. -GLB 06.75% 6/01/2016
Merrill Acct 898-03R63
New York Bond Exchange
Dtd: 5/59/2009 Mat: 6/01/2016 6.75%
500,000.0000 Prudential Financial, Inc. - Ser Mtn 4.75%; 9/17/2015
DTD: 09!15/2009
Accrued interest on above item through date of death
1,400,000.0000 U. S. Treasury Note - 2.375%; 9/30/2014
DTD: 9/30/2009
1,100.000.0000 U. S. Treasury Note -1.375%; 10/15/2012
DTD: 10/15/2009
Accrued interest on above item through date of death
Accrued interest on above item through date of death
United States Savings Bonds (HH Series)
Total Bond
68.33
5,729.53
5,097.23
55.42
14.210.00
11,079.06
63.94
22.85
14,000.00
83,343.33
-$-
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH ( LAST RESIDENCE DECEDENT'S SOC. SEC. N0.
12/09/2009 5225 Wilson Lane
Mechanicsburg, PA 17055 175-10-7404
Demand Notes with Board of Missions of the Central Pennsylvania Conference
Total Mortgage /Note Receivable
File Number 21-09-1175
8, 500.00
8,500.00
-9-