HomeMy WebLinkAbout11-18-10 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND GOUNTY, PENNSI~'LVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-10-0901
Lisa M. Wiley
Personal Representative(s) of the Estate of LOTS J. KnOttS
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 a edent's death, and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that which a ars in a me randurr~ at the end of this inventory.
I verify that the statements made in this Inver- ~ ~ ' C /~
tory are true and correct. I understand that false state- ~ : ~--
ments herein are made subject to the penalties of Lisa .Wiley
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
James D. Bogar
(Supreme Court I.D. No.) 19475
Bogar & Hipp Law Offices
One West Main Street, Shiremanstown, PA
717-737-8761
DATE OF DEATH LAST RESIDENCE 820 Lisburn Road DECEDENT'S SOC. SEC. N0.
08/21/2010 Camp Hill, PA 17011 198-30-11255
FIGURES MUST BE TOTALED
Personal Propertv
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 ........................
r.a
27,.13
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~z 77 -p 2,.00 ;~{
CCU
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29,930.13
C 29,930.13
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative includes 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 Rev. fo-~s-loos
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-10-0901
DATE OF DEATH LAST RESIDENCE 820 Lisburn Road DECEDENT'S SOC. SEC. N0.
08/2112010 Camp Hili, PA 17011 198-30-12:55
Cash
Blue Cross -Refund
Comcast -Refund
Mallard Run Apartments -Security Deposit Refund
Medicare -Refund
26,969.1800 PNC Investments -Account No. 5114-8897
Progressive Insurance -Refund of renter's insurance premium
Progressive Insurance -Refund of car insurance premium
Verizon -Refund
Total Cash
personal Property
1999 Chevrolet -VIN # 1G1JC5245X7205607 -Sold at private sale
Total Personal Property
131.46
5.12
170.00
62.06
26,969.18
21.02
61.02
10.27
27,430.13
2,500.00
2,500.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 29,930.13