HomeMy WebLinkAbout02-14-11 (2)
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWF,ALTH OF PENNSYLVANIA ~ SS
COUNTY of CUMBERLAND ~~
COUNTY, PENNSYLVANIA
File Number ? 1
Personal Representative(s) of the Estate of KATHRYNE E O'HARA
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 est,~ outside o~e
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. ~='~ _-- ~
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I verify that the statements made in this Inven- ,~ - , ~ ~„~~. ~ ~~ 'ry~ ~'
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tort' are true and correct. I understand that false state- TERRY L. HARA, EXECUTOR x ~'' ='~~ j
ments herein are made subject to the penalties of _~~~ ~-~~
18 Pa. C.S. § 4904 relating to unsworn falsification to ~'_ ;` ~~ ~' ~ ^~
authorities. ~ =~ :- r ~ ~+
( p 39785 -~
Attorney -- (Name) DAVID H STONE, ESQUIRE __ Su reme Court LD. No.)
(Address) 414 BRIDGE STREET
('Telephone) (717) 774-7435
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
5249 EAST TRINDLE ROAD
5/16/2010 MECHANICSBURG PA 17050- 201-16-0215
FIGURES MUST BE TOTALEll
AMA Insurance-refund
Govt Pension checks for 2010
Long Term Insurance check received
Property located at 314 Eutaw Ave New Cumberland, County of Cumberland, PA
at appraised value by Rick Sellars Appraisals
PSECU-Retirement pension check
Susquehanna Valley FCU-Acct #403-40 Checking Acct
Tax rebate
(Attach additional sheets as needed)
9.40
2, 399.64
426.22
102,000.00
759.16
5, 955.45
250.00
TOTAL: ~ 113,376.87
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))
NEW CUMBERLAND PA 17070-
10 0627
H'orm RW-09 rev. 1 D.13.06
Continuation of Inventory
KATHRYNE E O'HARA 21 10 0627
Decedent Name Page 1 File Number
Description of Inventory
Met Life stock 38 shares @ $41.50 per share
1,577.00
Subtotal ~ $ 1,577.00