HomeMy WebLinkAbout08-05-10 (2)(i
Estate of Beulah L. Baum
also known as Beulah B. Baum rl ~~,~~ :,r-
'- ~ '~-~~~ ~ Deceased
Nn 21 09 01056
Date of Death 11 /5/2009
Social Security No. 203109214
Personal Representative(s) of the above Estate, deceased, verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/V1/e understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of
Attorney: Stephen J. Hogg, Esquire Arla Basile
I.D. No.: 36812 940 Forest Court, Carlisle, PA 17013
Address: 19 S. Hanover Street, Ste. 101
Carlisle PA 17013
Telephone: 7172452698
Description
M&T Checking Account No. 9838898626
Interest November 2009 -April 2010
ING Financial Annuity Life Insurance Company Refund
West Shore A.L.S. Refund
Prudential Refund
Prudential Refund
(Attach Additional Sheets if necessary)
~~~~ ~~~ --~ F~~ ~~ 57
Dated
Value
0.94
1, 578.69
80.75
23.80
21.25
Total
9, 397.14
11,102.57
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.
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