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HomeMy WebLinkAbout09-09-10 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS File Number 21-08-0136 John R. Lauver, Jr., Executor Personal Representative(s) of the Estate of Esther A. Lauver deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal asset wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposit each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real es to 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 aze true and correct. I understand that false state- hn R. Lauver, r. , E to m ments herein are made subject to the penalties of 70 Black Wal ut Drive r ~ 18 Pa.C.S. § 4904 relating to unsworn falsification to Valley Green Heights "'o authorities. Etters, PA 17319 ~ ~ ~, -- (Name) Richard C. Snelbaker Attorne (Supreme Cour 6355 y (Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055 © _ ' "= 717-697-8528 (Telephone) ~~ ~~_ `n' DATE OF DEATH 01/15/2008 LAST RESIDENCE Messiah Village, 100 Mt. Allen Road, Mechanicsburg, PA 17055 DECEDENT'S S 203-10-753 .SEC. NO. FIGURES MUST BE TOTALED i 1. Ameriprise Financial, mutual fund account #01 140666083 4 002 ~ 12,512.16 2. Delphi Corporation, 77 shares of common stock valued at $.16 per share 12.32 3. 2 cemetery lots in Slate Hill Mennonite Church cemetery 100.00 4. Capital Blue Cross, refund unused premium 269.80 5. Cash found in Decedent's residence 228.69 6. Edward Jones, investment account #270-04321-1-1 6,213.90 7. Household furnishings, sale proceeds 400.00 8. PNC Bank, savings account #5003632217 21,457.19 9. PNC Bank, checking account #5070092732 36,632.56 10. PPL, dividend due the decedent i 179.29 11. United States Treasury, 2008 Economic Stimulus payment 300.00 12. United States Treasury, refund on 2007 Individual Income Tax Return 2,621.00 (Attach additional sheets as needed) TOTAL: 80,926.91 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative in lode 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)J Form RW-09 rev. /0.13.06 ii ill ____ - - _ _L - -