HomeMy WebLinkAbout06-23-10 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
File Number 21 09 0912
Personal Representative(s) of the Estate of EVANGELINE T BOWEN
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- 1 /,~' I
tory are true and correct. I understand that false state- C C T, JR., CO-EXECUTO
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to ~
authorities. DA ID H. S O O-EXECUTOR
Attorney -- (Name) DAVID H STONE, ESQUIRE (Supreme Court 1. D. No.) 39785
(Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070-
(Telephone)
A 17070-
DECEDENT'S SOC. SEC. NO.
-30-4897
DATE OF DEATH LAST RESIDENCE
717 HILLTOP DRIVE
/22/2009 NEW CUMBERLANC
FIGURES MUST BE TOTALED
2000 Ford Taurus SE Sedan sold to Jody Clement
Fulton Bank-Checking Acct #36190-35404
Fulton Bank-line of credit refund
Pinnacle Health Hospital-refund
Property located at 717 Hilltop Dr New Cumberland, Cumberland County, PA
sold to Robert L. Brewbaker, Sr. and Jeannette E. Brewbaker, husband and wife, on
June 22, 2010
Susquehanna Valley Pain Managmt-Refund
Wells Fargo-cash acct
C7
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1,675.00
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0
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~='4,52.72
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~~ rv
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1'3.54
x$0.00
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172, 000.00
(Attach additional sheets as needed)
5.21
A L:
106.04
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(6))
10.00
Form RW-09 rev. 10)3.06
Continuation of Inventory
EVANGELINE T BOWEN
21 09 0912
Decedent Name File Number
Page 1
Description of Inventory
Wells Fargo-Prudential Select Annuity ##0188901
beneficiary is estate
Wells Fargo-Prudential Select Annuity #E0116215
beneficiary is estate
Erie Insurance-refund on car insurance
IRS-income tax refund on decedent's 2009 return
Miscellaneous personal property in house
9,478.80
303,272.77
313.00
715.00
1,000.00
subtotal ~ S 314, 779.57