HomeMy WebLinkAbout08-31-10 (2)
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1
COiJNTY OF Cumberland J SS
COUNTY, PENNSYLVANIA
File Number 210-00$27
Personal Representative(s) of the Estate of James K. Harvey
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- ~ '' ~ ~ a ~ ~_~ ~~
tory are true and correct. I understand that false state- ~. O
ments herein are made subject to the penalties of ~' `=~~ =~ ~'`~
~-..- ~ ,
18 Pa.C.S. § 4904 relating to unsworn falsification to '- ~ ~1-~----s~~' . '
r,f
authorities. _ --._.r ---
Attorney -- (1Vame) (Supreme Court LD:, ~9.-
=... _:
(Address) ' "-~ ~:..; , -,
~.~ `~_.
-_._ , r~
(Telephone) _ ~ ~.,
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
July 6, 2010 707 S. 21st St., Camp Hill, PA 17011 192-09-7818
I FIGURES MUST BE TOTALED I
Rite Aid Stock 2,000 shares 1,978.00
c/o M&T Securities , 285 Deleware Ave., Suite 2000, Buffalo, NY 14202
Reinsurance Group of America 21 shares 972.93
c/o Mellon Shareholder Serv., P.O. Box 358035, Pittsburgh, PA 15252
2002 Buick LeSabre Sedan, VIN No.1G4HP54K82U226558 5,090.00
Met Life Insurance Policies No 130281675 and 114724687 646.67
PO. Box 330, Warwick, RI 02887 722 67
Veterans Insurance, Policies No. V 1375023 and V 1375010 765.00
P.O. Box 7208, Philadelphia, PA 19101 1,308.00
M&T Bank, Checking account No. 41651731 10,746.00
433 S. 10th St., Lemoyne, PA 17011
Uncashed travelers checks (3) 150.00
(Attach additional sheets as needed)
TOTAL: ~ 22,379.27
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))
Form RW-09 rev. 10.13.06
.~~v\
CERTIFICATION OF NOTICE UNDER Pa. Q.C. Rule 5.6(a)
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Name of Decedent: James K. Harvey
Date of Death: July 6, 2010 File Number: 210-00827
Date Letters Granted: August 12, 2010
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
August 19, 2010 .
Name: Address:
Paula L. Snyder 15664 Oakcrest Circle, Brooksville, FL 34604
Kim A. Pulsipher 9530 Gladolus Preserve Circle, Ft.Myers, FL 33908
Janet L. Roberts 1150 W. 13th St. # 202, San Pedro. CA 90731
Mary A. Richards 76 Tannery Rd. Dillsbur~, PA 17019
(If more space is needed, attach separate sheet. )
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
mare Au~vst 19.2010
SignatureY~fPerson Fil~/tg this Form
Capacity: /[] Personal Representative ^ Counsel
_Lyla J. Harvey
Name of Person Filing this Form
707 S. 21st St.
Address
Camp Hill, PA 17011
717 761 1763
Telephone
Form RW-OS rev. 10.13.06