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HomeMy WebLinkAbout02-25-11 (3)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS cotNtT~r of Cumberland Karl E. Klaus CUMBERLAND COUNTY, PENNSYLVANIA Fite Number 2110-0770 Persona) Representatives} of the Estate of Helmut Klaus 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 Commonwes[th of Pennsylvania except that whidt apps in a errand a end of this inventory. I verify that the statements made in this Inver- ~ ~ _ _ tory are Eros and correct.! understand that false state- Karl E. Klaus ments herein are made subject to tits penalties of 18 Pa.C.S. § 4904 relating to unswom falsification to authorities. Attorney -- {Name) Aaron C. Jackson Esq. (supreme court I D. No.) 200480 IFfrrr') Tucker Arensberg, P.C. __ (Address) 111 North Front Street, Harrisburg, PA 17108-0889 _` {rerepnare) 717-234-4121 DATE OF DEATH 04!3012010 Mechanlcsburp, PA 17055 FIGURES MUST BE TOTALED Personal Pro{~#x Cash ............................................................................................... Personal Property ........................................................................ Stocks/Listed ................................................................................ StockslCtoseiy Held ..................................................................... Bonds ............................................................................................ Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ........................................................................ Total Personal Property ........................................ LAST RESIDENCE 5225 Wilson Lane Total Real Property ................................................ Total Personal and Real Property ........................ DECEDENTS SOC. SEC. NO. 153-12-7373 '14,849.79 ,._.._ _. t ~`..~, -'~ ~ °~ F .. -- , _ - ,, , _ ,_ ~: -~ _. -- , , _ u _._ _ - =~~ ~. _ `..._,. 1a;$4s.79 _,7 .... '(4 - .: __..___ ,889.71 NOTE: The Memorandum of real estate outatde the Com-rwnweallh o! Pennsylvania may al 1hs etectton of the personal representative Include the value of each item. but such figures should not be extended Into the total of the Inventory. (See X10 Pa. C.S. § 330}{b)) Form RW-09 Rev. to-l3-soon INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS Fite Number 2'110-0770 OATS OF DEATH LAST RESIOENCE 3225 Wilson Lane OECEDENi'S SOC-SEC. N0. 04!3012010 Mechanicsbu , PA 17055 153-12-7373 ~b AICPA Insurance Trust -Premium refunds Comcast -Cable service refund Continuing Care RX -Refund Newspaper -Refund PNC Bank -Helmut Klaus Trust Account # xx-xxxx~521 held solely by decedent, Westfield Insurance -Renters insurance premium refund Total Cash 150.00 16.18 82.39 14.39 14.603.11 43.64 14,809.71 (Attach additional sheets if necessary) Total Personal Property and Real Estate 14.849.71