Loading...
HomeMy WebLinkAbout10-06-10 (3)INVENTORY REGISTER OF WILLS OFCUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA 1 SS COUNTY OF CUMBERLAND f File Number 21 1 ~ ~ 13 7 Personal Representative(s) of the Estate of LOUISE A. GRAY a/k/a LOUISE ANNA GRAY 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 es~e outside o~ie _~ ry <~ ~ -~-„t-t Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this invento C ~,:, ; : } ~~ ~ ~,,; -o ATTACHED !_-Y',,, ? n "{ `~ ' ', ;: `- I verify that the statements made in this Inven- ~-= ~ m 1 r!:_; •':I :~ tory are true and correct. I understand that false state- N. NELL GAY, C -EXECUT - ~~ ~ -v ~_ _.:T menu herein aze made subject to the penalties of ~ - ` ~_, ~ , .~.t _ --,-~ 18 Pa. C.S. § 4904 relating to unsworn falsification to DAVID A. GRAY, CO-EXEC OR °~~--' z, v authorities. ~ ~ ~ ,gin ~? Attorney -- (Name) DAVID R. GETZ ESQUIRE (Supreme Court LD. No.) x$38 (Address) WIX WENGER & WEIDNER PO BOX 845 HARRISBURG PA 17108 (Telephone) 717 234-4182 DATE OF DEATH LAST RESIDENCE 735 OAK OVAL 1/14/2010 MECHANICSBURG PA 1 FIGURES MUST BE TOTALED STOCKS HELD AT MERRILL LYNCH METLIFE TOTAL CONTROL ACCOUNT MERRILL LYNCH "BANK DEPOSIT" PROGRAM/CASH PNC BANK CHECKING ACCOUNT XXXX8744 PNC BANK SAVINGS ACCOUNT XX)CX5885 MESSIAH VILLAGE REFUND ESTIMATED REFUND FOR 2009 FEDERAL INCOME TAXES tAttach additional sheets as needed) 34,102.48 20,120.74 9,009.67 17,204.56 33,815.85 1,564.00 727,398.94 853,175.24 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)) DECEDENT'S SOC. SEC. NO. 158481148 Form RW-09 rev. 10.13.06 INVENTORY REGISTER OF WILLS OFCUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS File Number 21 10 0137 Personal Representative(s) of the Estate of LOUISE A. GRAY a/Wa LOUISE ANNA GRAY 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. 1 verify that the statements made in this Inven- \ ~ e '~ tory are true and correct. 1 understand that false state- N. CORNELL GRAY, CO EC ments herein are made subject to the penalties of ATTACHED 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities. DAVID A. GRAY, CO-EXECU Attorney -- (Name) DAVID R. GETZ, ESQUIRE (Supreme Courtl.D. No.) 34838 (Address) WIX, WENGER & WEIDNER, PO BOX 845 HARRISBURG PA 17108 (Telephone) (717) 234-4182 DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO. 735 OAK OVAL 1/14/2010 MECHANICSBURG PA 17055 158487,148 FIGURES MUST BE TOTALED STOCKS HELD AT MERRILL LYNCH 727,398.94 METLIFE TOTAL CONTROL ACCOUNT 34,102.48 MERRILL LYNCH "BANK DEPOSIT" PROGRAM/CASH 20,120.74 PNC BANK CHECKING ACCOUNT X)CXX8744 9,009.67 PNC BANK SAVINGS ACCOUNT XXXX5885 17,204.56 MESSIAH VILLAGE REFUND 33,815.85 ESTIMATED REFUND FOR 2009 FEDERAL INCOME TAXES 1,564.00 (Attach additional sheets as needed) -rn~rei . 853,175.24 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 figtu~es should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(bj) Form RW-09 rev. 10.13.06 Continuation of Inventory 21 10 0137 Decedent Name Page 1 File Number Description of Inventory ESTIMATED REFUND FOR 2009 STATE INCOME TAXES ORDINARY HOUSEHOLD GOODS AND FURNISHINGS 99.00 3,153.00 JEWELRY ~ 6,707.00 Subtotal ~ $ 9,959.00 Grand Total ~ $ 853,175.24