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HomeMy WebLinkAbout06-22-10 (3)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } rn -cry ~..~ ~~ ~., ~- ~7 James D. Bogar (Supreme Coc~.~~) Bogar & Hiaa Law Offices ~ `~c-~' ~' Glenn C. Thompson Personal Representative(s) of the Estate of Jean A. Wolfe 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 tha ecedent owned no real estate outside of the Commonwealth of Pennsylvania except that which a in a r the end of this inventory. I verify that the statements made in this Inven- ~ ~v/D tory are true and correct. I understand that false state- enn C. Thomps ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ~ ~ authorities. ~~ ~, Attorney -- (Name) (Firm) (Address) (Telephone) CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-10-0355 One West Main Street, Shiremanstown, PA 717-737-8761 ~ ~ ~~ r~ ~ r. ': :', 1947-3 .~ ~' ./..I.~-~ - ..j ~..M '- ~-, .. C~~-lr DATE OF DEATH LAST RESIDENCE Church of God Home DECEDENT'S SOC. SEC. NO. 03/25/2010 Carlisle, PA 17013 201-16-5212 FIGURES MUST BE TOTALED Personal Pro~er~ 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 ........................ 281,123.03 9,000.00 290,123.03 290,123:03 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-~s-loos INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-10-0355 DATE OF DEATH LAST RESIDENCE Church of God Home DECEDENT'S SOC. SEC. NO. 03/25/2010 Carlisle, PA 17013 201-16-5212 Cash Church of God Home -Refund Highmark -Prescription drug plan refund Highmark -Health insurance premium refund PNC Bank -Checking Account No. 5070028335. Date of death balance $32,732.07; accrued interest $0.09 PNC Bank -Savings Account No. 5004876061. Date of death balance $0.09; accrued interest $0.00 PNC Investments Account No. 1425-0452 -Various investment funds. Total date of death value $240,850.53. Total Cash Personal Proms Furniture -Mrs. Wotfe had no furniture of contents of any value. She was a resident of the Church of God Home since 2005. Jewelry - 3 diamond rings -per appraisal Total Personal Property 7,255.87 69.46 214.92 32,732.16 0.09 240,850.53 281.123.03 0.00 9,000.00 9.000.00 (Attach additior~a! sheets if necessary) Total Personal Property and Real Estate 290.123.03