HomeMy WebLinkAbout11-12-10 (2)INVENTORY
REGISTER OF VNILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Mark A. Kovalcik
File Number 21-10-0573
Personal Representative(s) of the Estate of Joseph A. Kovalcik
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets whereupr
situate and all of the real estate ir; 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 na real estate
outside of the Commonwealth of Pennsylvania except that which appears in 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- ~'~'~,
ments herein are made subject to the penalties of Mark A. Kovalcik
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Michael L. Ban s (Supreme ;;our! !.D No.) 41263
--- - - g---- -__----- ------- - --------__ -- --- --- - -
(Firm)
(Address) 429 South 18th Street~Camp Hill PA 17011
(Telephone) 7171730-7310
DATE OF DEATH LAST RESIDENCE 407 Woodland Avenue L'tC:EuEi~lT'S SUC. SEC. NO.
02/16/2010 New Cumberland. PA 17070 209=20-9463
FIGURES MUST BE TOTALED
Personal ProRertv
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 ........................
C7 ,-~
`~ = -
o -
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- .
_
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r~ ;
._~
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~i 1 C..
1,679.56
0.00
~- 1,679.56
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 RUV-~9 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10-0573
DATE OF DEATH LAST RESIDENCE 407 Woodland Avenue DECEDENT'S SOC. SEC. N0.
02/16/2010 New Cumberland, PA 17070 209-20-9463
C~ i
1995 Oldsmobile 88 Royale Sedan - (see Kelley Blue Book value attached; vehicle is in
fair condition)
M8~T Bank -Checking account joint with wife Janet Kovalcik who predeceased
decedent.
Total Cash
Real Estate - 407 Woodland Avenue, New Cumberland, PA.
At this time we are unable to provide a value as the real estate has not been sold yet.
We will file a supplemental return for the real estate and any additional assets as soon
as possible.
Please suspend the assessment of tax on this asset.
Total Real Estate
1,550.00
129.56
1,679.56
0.00
0.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 1,679.56