HomeMy WebLinkAbout11-02-10 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Jon M. Gruber
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-10-0338
Personal Representative(s) of the Estate of Doris H. Jenkins
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 a pears in a morandum at the end ~is inventor --
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I verify that the statements made in this Inven- ~,~„ ~ ~ ~ ~~~~~' '"~>
tory are true and correct. I understand that false state- ~ "~~ C`> ..C _~, k•~~
J M. Grub r ~5 r--- ,~_. ~_ -~
ments herein are made subject to the penalties of ~ r.;, ~~_ m --~- ,-- ~ ; - i
18 Pa.C.S. § 4904 relating to unsworn falsification to - 4'~ ~~
authorities. .'' C"7 ~~ ..~ ~: _
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Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Jon M. Gruber
Russell, Krafft & Gruber, LLP
930 Red Rose Court, Suite 300, Lancaster, PA
717-293-9293
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(Supreme Courf LD. No.) ~ 17540
DATE OF DEATH LAST RESIDENCE 1 OO St. Johns Drive DECEDENTS SOC. SEC. N0.
03/29/2010 Cam Hill PA 17011
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 ................................................
86,440.16
8,793.50
144,777.68
240,011.34
142,000.00
Total Personal and Real Property ........................
382,011.34"
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 Rey. ~o-~s-zoos
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10-0338
DATE OF DEATH LAST RESIDENCE 100 .St. Johns Drive DECEDENTS SOC. SEC. N0.
03/29/2010 Cam Hill PA 17011
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Cash -found in wallet 94.43
Comcast Cable -refund of overpayment 10.29
Commonwealth of PA -refund 316.00
Commonwealth of PA -Rev. Rebate 250.00
Evergreen Fund Administrator -SEC settlement check recd In the Matter of Evergreen 28.40
Investments Services, Inc. and the Evergreen Investment Mgmt., Co. Administrative
Proceedings File No. 3-13507
GGNSC Administrative Services, LLC -refund from Golden Living Center 519.72
Golden Living Center -refund 150.01
HUD adjustments for items paid by seller in advance 1,696.50
Keystone Oil Products Copr -refund of credit on account 446.70
M&T Bank Checking Account -DOD 12,998.11
Accrued income on above item through date of death 0.13
Ohio Casualty -refund of premium 98.00
Penn Mutual -annuity payment 54.45
PSECU Credit Union 5.33
PSERS -pension payment 479.10
Transamerica Life Inc. Annuity #02SFD030541 66,581.21
(Attach additional sheets if necessary) Total Personal Property and Real Estate 382,011.34
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10-0338
DATE OF DEATH LAST RESIDENCE 1 OO St. Johns Drive DECEDENTS SOC. SEC. N0.
03/29/2010 Cam Hill PA 17011
Wachovia Checking Account -DOD value 2,369.67
Accrued income on above item through date of death 0.04
Wells Fargo -DOD -cash 342.07
Total Cash
Personal Proms
Personal Property -per sale by Rowe's Auction Service
Personal Property -Dinner Ring -price per Finch Jewelers' appraisal
Personal Property -Multiple Diamond Rings -price per sale
Total Personal Property
Stock /Listed
1,348.7100 shares Evergreen Adjustable -DOD
2,589.5390 shares Evergreen Diversified -DOD
7,130.4730 shares Evergreen PA Tax Free -DOD
1,399.5250 shares Pimco Total Return Fd -DOD
819.0000 Wells Fargo Stock -DOD
Total Stock /Listed
Real Estate located at 100 St. John's Drive -price per sale
86,440.16
6,193.50
1,500.00
1,100.00
8,793.50
12,192.34
13,983.51
77,722.16
15,408.77
25,470.90
144,777.68
142,000.00
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10-0338
DATE OF DEATH LAST RESIDENCE 1 OO St. Johns Drive DECEDENTS SOC. SEC. NO.
03/29/2010 Cam Hill PA 17011
Total Real Estate 142,000.00
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