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HomeMy WebLinkAbout01-20-11 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNiSYLVANIA COMMONWEALTH OF PENNSYLVANIA ' COUNTY OF DAUPHIN SS File Number 21 10 ~' 0504 I 1 R r sentative s of the Estate of ELEANOR F. HACKMAN Persona ep e ( ) i deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the perso al sets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation place o pbsite each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real s e outside of the Commonwealth of Pennsylvania except that which appeazs in a memo dum at end o thi inventory. i r, '~, I verify that the statements made in this Inven- ~ ~ !~N f ~~~ '~ tory are true and correct. I understand that alse state- ! Ma E en H ner ments herein aze made subject to the penalties of 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities. ' II Attorney -- (Name) JILL M. WINEKA (Supreme Co urt LSD. No.) 58802 (Address) 1719 NORTH FRONT STREET HARRISBURG PA 17102 (fiele hone) 717-234-4178 P DATE OF DEATH LAST RESIDENCE D CEDENTS SOC. SEC. NO. 100 MOUNT ALLEN DRIVE 4/15/2010 MECHANICSBURG PA 17055 1 -32-2101 FIGURES MUST BE TOTALED PNC Bank Checking Account No. xxxxxx1188. ~', ~'i 7,412.80 State Employees' Retirement System -final pension check ~ ~I ~: _' 895.77 ~ ~ 2009 Federal Income Tax Refund I ~ ~ = ' G ::. _~~' 900.00 _ 4.~; i, ~ ~ i. ' - .,..J ~ ~ Security Benefit Life Insurance Company - demutualization membership ~ ~ 104.52 - one time payment , _~. `~•' c•- ,, ~ ~ u~~ c~ Alert Pharmacy -refund ~'~~ I I ~ 51.40 ' Personal property -bedroom suite, love seat, secretary's desk, TV, cabinet, 3 chairs, ', '~ 100.00 costume jewelry j l ING Annuity Contract No. xxxxx38150 '~, I 11,408.78 (Attach additional sheets as needed) TOT 20,873.27 mm nw th of Penns Ivania ma at the election of the rsonal re resen NOTE: The Memorandum of real estate outside the Co o eal y y, pe p iv 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. 10.13.06 iii LAW OFFICES Purcell, Krug ~ Haller HOWARDB.KRUG 1719 NORTH FRONT STREET LEON P.HALLER HARRISBURG, PENNSYLVANIA 17102-2392 JOHN W. PURCELLJR. TELEPHONE (717) 234-4178 JILL M. WINEKA Fax (717) 783-4939 LISA A. RYNARD January 20, 2011 Register of Wills Cumberland County Court House One Court House Square Carlisle, PA 17013 Re: Estate of Eleanor F. Hackman No. 2110-0504 Dear Register of Wills: Enclosed for filing, please find the following: HERSHEY (q l7) 533-3836 JOHN W. URCELL(1924-2009) JOSE~H I'SSLEY (1910.1982) I I HAND-DELIVERED ~,~' j 1. Two original Inheritance Tax Returns and two copies of the Return; 2. An original and two copies of the Inventory; 3. A check payable to the Register of Wills in the amount of $30.001 filing fees for the Inheritance Tax Return and the Inventory; and -~ f ~n ~. _._. ,. ~ r. ~, ;~, c_ 1..~.~ rv ;~ ' ~; O _z:~ _~ _ ...i'i w w cr payment of the 4. A check payable to the Register of Wills, Agent in the amount of ~3gT,48 for payment of the inheritance taxes due. Please return two date-stamped copies of the Inheritance Tax Return and jth Inventory to me. Thank ou. Y I Sincerely, '! I ~~ ~ ' ~~%~ li ~ Ji `M. Wineka i JMW/bas Enclosures cc: Mary Ellen Hackman, Exec. w/o enc.