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HomeMy WebLinkAbout08-25-10 (2)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } CUMBERLAND COUNTY, PENNSYLVANIA File Number 21 -' ~ (i - ~~~..' Gregory H. Pearsall Personal Representative(s) of the Estate of Kevin J. Pearsall 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- ~ `, , tory are true and correct. I understand that false state- Gregory H. Pearsall ments herein are made subject to the penalties of ~'`, ~ '~ ~S \~ h 18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ~. authorities. fq..7 ~~, ._ a7 _ Attorney -- (Name) James D. BOgar (Supreme Cour~:!1~?~de,,) X19475 .--~' (Firm) Bogar 8~ Hipp Law Offices ~'~~' ,~~_ ~ ~, `~~ ~ ' (Address) One West Main Street, Shiremanstown, PA , - _ ~ ~ ; ;. ~, ~M --. (Telephone) 717-737-8761 '`-' ~'-! =° - -- -~ - ._.- DATE OF DEATH LAST RESIDENCE 1214 Kings Circle DECEDEN~'~S"S~C SE C. Nom -' ' <~--~ 02/14/2010 Mechanicsburg, PA 17050 549-8~-4970 r~ 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 ........................ 3,268.73 711.58 3,980.31 .3,980.31 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. 10-13-2006 ~,v INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland File Number 21 DATE OF DEATH LAST RESIDENCE 1214 Kings Circle DECEDENT'S SOC. SF_C. NO. 02/14/2010 Mechanicsburg, PA 17050 549-89-4970 ~b Apartment Refunds -Deposited into Members 1st Savings Account February 24, 2010 ($1,102.00 and $250.00) IU Medical Group-Primary Care -Refund of overpayment National Geographic Society -Refund Pioneer Investments Account -Value per statement PSECU Checking Account -Value from statement PSECU Regular Share Account -Value from statement U.S. Treasury - 2009 Personal Income Tax Refund Total Cash 1,352.00 84.00 7.92 862.91 9.90 5.00 947.00 3,268.73 Series EE U.S. Savings Bonds -Consisting of nine (9) $50.00 Bonds and one (1) $100.00 711.58 Bond. Total value per attached Savings Bond Calculator. Total Bond 711.58 (Attach additional sheets if necessary) Total Personal Property and Real Estate 3,980.31