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HomeMy WebLinkAbout12-22-10 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND Marielle F. Hazen Hazen Elder Law COMMONWEALTH OF PENNSYLVANIA couNTY of Cumberland } ss File Number 21-10-1026 Marie Sheaffer Personal Representative(s) of the Estate of Helen Marie Ebersole 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 decedents 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 inventor I verify that the statements made in this Inven- ~ ~ tory are true and correct. I understand that false state- ~ f'~': ,,s ments herein are made subject to the penalties of Marie Sheaffer ,~~n c-~ ~_~ 18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ~~ N ~~- authorities. ~~~ r `, ~.°.,~ Attorney - (Name) (Firm) (Address) (Telephone) COUNTY, PENNSYLVANIA ~p~ ~p (Supreme Court LD. No.) DATE OF DEATH I LAST RESIDENCE 100 Mount Allen Dr I DECEDENTS SOC. SEC. NO. 09/25/2010 Mechanicsburg, PA 17055 061-20-3323 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 ........................................ 2000 Linglestown Road, Suite 202, Harrisburg, PA 717-540-4332 Total Real Property ................................................ Total Personal and Real Properly ........................ Pv ~~ ~~ w 68003 324,096.97 545,552.34 157,830.53 1,027,479.84 1,027,47s.s4 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. io-~s-zoos INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-10-1026 DATE OF DEATH LAST RESIDENCE 100 Mount Allen Dr DECEDENTS SOC. SEC. NO. 09/25/2010 Mechanicsburg, PA 17055..._._____ ______ 061-20-3323 ~b Citizens Checking Acct # 622291-994-B Federated Prime Value OBL SVC -Money Market Account M8~T Bank Checking Acct. # 30190401 Refund -Apria Healthcare premium Refund -Apria Healthcare premium Refund -Auer Cremation Society Refund - Verizon Telephone Veterans Administration payment toward burial reserve Wachovia Bank CD Act. # 24741209-2016226 Total Cash Stock /Listed 100.0000 shares Consolidated Edison Co. NY Inc. PFD -Preferred Stock 3,095.9750 shares Dodge and Cox Income Fund -Mutual Fund 1,914.2420 shares Hussman Strategic Growth Fund -Mutual Fund 3,346.7200 shares Pimco Commodity Real Return Strategy Fund CL D -Mutual Fund 3,401.3610 shares Pimco Munigo Fund Class D -Mutual Fund 4,570.3840 shares Pimco Real Return Fund Class D -Mutual Fund 5,995.48 202,061.87 85,973.95 30.12 4.77 25.00 17.82 100.00 29,887.96 324,096.97 9,498.00 41,733.74 25,421.13 27,041.50 36,666.67 52,605.12 (Attach additional sheets if necessary) Total Personal Property and Real Estate 1,027,479.84 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-10-1026 DATE OF DEATH LAST RESIDENCE 100 Mount Allen Dr DECEDENTS SOC. SEC. NO. 09/25/2010 Mechanicsbur PA 17055 061-20-3323 9,674.7370 shares Pimpco Total Return Class A -Mutual Fund 111,646.46 3,875.9690 shares Vanguard GNMA Fund -Mutual Fund 42,635.66 3,005.6570 shares Vanguard Inflation Protected Securities Fund -Mutual Fund 39,885.07 13,969.9290 shares Vanguard PA Long Term Tax Exempt Fund -Mutual Fund 158,418.99 Total Stock I Listed 545,552.34 C.~. Advisors Disciplined TR Unit 288 Insured Tax Exempt Municipal port SER 1 -Unit 21,178.73 Investment Trust Advisors Disciplined TR Unit 327 Insured Tax Exempt Municipal port SER 2 -Unit 20,637.20 Investment Trust Allegheny County PA ARPT Auth Arpt Rev FRDGSER A -Municipal Bond 21,600.00 Morgan Stanley Dean Witter Discover 8~ Co. MTN "Step CPN" -Corporate Bond 25,250.00 Pennsylvania HSG Fin Agy Single Family Mtg REV SER 100A -Municipal Bond 5,150.00 Scranton PA Sch Dist Ser B -Municipal Bond 26,000.00 State College PA Area Sch. Dist. RFDG -Municipal Bond 25,000.00 US Savings Bonds - Series E -Beneficiary is Decedent's husband, Cletus Ebersole, 13,014.60 who died on February 1, 2008. See attached inventory 4 bonds Total Bond 157,830.53 -2-