HomeMy WebLinkAbout01-21-11 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-10-0553
Lucy Ann Jones
Personal Representative(s) of the Estate of Marion R. Kline
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
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~n ~
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of Lucy Ann J es
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Robert Clofine Esquire (Supreme Court I.D. No.) 37190
120 Pine Grove Commons, York, PA 17403-5151
717/747-5995
DATE OF DEATH
04/13/2010 LAST RESIDENCE Cihapel Pointe Nursing Home
Carlisle PA 17013 DECEDENTS SOC. SEC. N0.
218-38-4056
FIGURES MUST BE TOTALED
Personal Property
Cash ...............................................................................................
fn's
~ ~
'
;:.
47;592.7¢ ~; ~.
1'
'.
Personal Property ........................................................................ ..
r;-_
~-
~ =v '4__....
5~~5.00 .
Stocks/Listed .............
................................................................... .
~=,.~ ~- ~
~ m
r~ ~ -~`
~
Stocks/Closely Held ..................... .~ _ _
......................... i--_ _: ;
Bonds ........................ -- .
._
...-.. - ...__
....
Partnerships and Sole Proprietorships ~
a ~~_.. ,
`
~~ ~,
.~
-~ ~ ~ r_._,
_~ ,.
._ ..
~A ~. '
..................................... _
.. ~
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~
Mortgages and Notes Receivable ............... r ~
................................
All Other Property ........................................................................ ~ .
Total Personal Property .................................
....... 52,667.70
Total Real Property ................................................
Total Personal and Real Property ......................
.. 52,667.70
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 ~0 Pa. C.S. § 3301(b))
Form RW-09 Rev. ~o-~s-loos
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY, PENNSYLVANIA
COUNTY OF Cumberland } File Number 21-10-0553
DATE OF DEATH LAST RESIDENCE Chapel Pointe Nursing Home DECEDENTS SOC. SEC. NO.
04/13/2010 Carlisle, PA 17013 218-38-4056
~b
Federal Employees' Group Life Insurance
First Bank Checking Account No. 2270
Wachovia Bank Checking Account No. 3811
Accrued interest on above item through date of death
Total Cash
personal Proms
2001 Nissan Sentra automobile
Total Personal Property
7,522.50
34,080.11
5,989.90
0.19
47,592.70
5,075.00
5,075.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 52,667.70