HomeMy WebLinkAbout11-18-10 (3)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
} SS File Number 21
COUNTY OF Cumberland
Gary W. Peck
Personal Representative(s) of the Estate of Shirley M. Peck
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
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outside of the Commonwealth of Pennsylvania except that whic ppears in memorandum at the end of th~ inventory. ~
I verify that the statements made in this Inven- _
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tory are true and correct. I understand that false state- G W. Peck n ~? n°c
ments herein are made subject to the penalties of ;~ ~; rn _ ~::
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18 Pa.C.S. § 4904 relating to unsworn falsification to ~
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Attorney -- (Name) Jennifer B. Hipp (Supreme Court I.D. No.) -86556
(Firm) Bogar and Hipp Law Offices
(Address) 1 West Main Street, Shiremanstown, PA
(Telephone) 717-737-8761
DATE OF DEATH LAST RESIDENCE Chapel Pointe DECEDENT'S SOC. SEC. NO.
09/09/2010 Carlisle, PA 17013 201-18-0974
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 ................................................
Total Personal and Real Property ........................
5,390.00
76.00
5,466.00
C 5,466.00
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 Rev. ~o-~s-loos
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY, PENNSYLVANIA
COUNTY OF Cumberland } File Number 21
DATE OF DEATH LAST RESIDENCE Chapel Pointe DECEDENT'S SOC. SEC. NO.
09/09/2010 Carlisle, PA 17013 201-18-0974
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Chapel Pointe -Refund of overpayment 5,390.00
Total Cash 5,390.00
Series EE US Savings Bond -This bond had a face value of $50.00. (No copy of the
bond was made, nor do we have a record of its serial number.) The bond was
redeemed for $75.00 and some cents. However, we are reporting the amount of $76.0()
for purposes of this inheritance tax return, given the failure to obtain records of this
transaction.
Total Bond
76.00
76.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 5,466.00