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HomeMy WebLinkAbout06-18-10 (2)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS Wayne M. Minich File Number 21-10-00014 Personal Representative(s) of the Estate of Geraldine M. Minich C7 ~ deceased, depose(s) and say(s). that the items appearing in the following inventory include all of the personal.ts where esr ~~r ~ I f I P pp ~' '~'~' situate and al of the real estate In the Commonwealth o Pennsylvania of said Decedent, that the va uation o osite.~ach ~~,- ; _~- item of said inventory represents its fair value as of the date of the decedent's d th, and that Decedent owner I esi ,~ ~: ~.r, . ~..::t outside of the Commonwealth of Pennsylvania except that which appear in a morandum at the a of th4~-~ ry. _ ~~ ~ ~~~ I verify that the statements made in this Inven- ~,~,~ ~ ~~Zs _' U~,a ~ _:. tory are true and correct. I understand that false state- } - - - - - - `~-~,'~~--- - ~-~-- ments herein are made sub'ect to the enalties of Way a M. Minich f-^-' ~-~? ~'- ~ ~ T~ a 1 P ~ ~:~ r ~- , .,~ 4+ ..... 18 Pa.C.S. § 4904 relating to unsworn falsification to _________ ~ =~_ ___ _ authorities. ~ ~ -~ -'~ ?~ CrJ `. ~ ~.; .~" Attorney -- (Name) Michael L. Bangs (Supreme Court I.D. No.) 41263 (Firm) -- -----------_.. - ----- - ------ ---- ---------------- (Address) 429 South 18th Street, C_a_ m__p_ Hill, PA 17011 (Telephone) 717/730-7310 DATE OF DEATH LAST RESIDENCE 104 W. Green Street DECEDENT'S SOC. SEC. NO. 12/17/2009 Shiremanstown, PA 17011 185-22-0910 FIGURES MUST BE TOTALED Personal Proaert 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 ......................... 14,128.10 14,128.10 140,930.15 155,058.25 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 Rev. ~o-~s-loos CUMBERLAND COUNTY, PENNSYLVANIA s~'{~ 1 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-10-00014 DATE OF DEATH LAST RESIDENCE 104 W. Green Street DECEDENT'S SOC. SEC. NO. 12/17/2009 Shiremanstown, PA 17011 185-22-0910 Cash Allstate Insurance -Refund of auto insurance policy 108.50 Allstate Insurance -Refund/cancellation of homeowners policy 165.00 Allstate Life Insurance Company -refund of unearned premium 23.50 Citizens Bank -checking account 7,042.77 Citizens bank -checking account 250.03 Citizens bank -savings account 5,001.19 Discover Card -refund of overpayment 10.35 Peoples Benefit Services Inc. refund 3.59 Refund from AMA Insurance Agency 19.94 Refund from Comcast 19.90 Refund from Heritage Medical Group 7,32 Refund from Shipley Oil 1,276.01 Sale of china 200.00 Total Cash 14,128.10 (Attach additional sheets if necessary) Total Personal Property and Real Estate 155,058.25 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-10-00014 DATE OF DEATH LAST RESIDENCE 104 W. Green Street DECEDENT'S SOC. SEC. NO. 12/17/2009 Shiremanstown, PA 17011 185-22-0910 Real Estate Real Estate -Sold 5/20/10 (see HUD attached; estate received proceeds of $130,299.15; $10,631.00 being held by title company pending approval of PA 1500) Total Real Estate 140,930.15 140,930.15 -2-