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03-09-11 (2)
r INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND COUNTY, PENNSYLVANIA File Number ? 1 Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. ~`_=1 r`" ~ `,~ '..__ ", )i _~ ~. I verify that the statements made in this Inven- zi ~ ~ ~ ~- '? tort' are true and correct. I understand that false state- • • ~~- ments herein are made subject to the penalties of Stepha i A. Goldsmith ~., ~~~ _© 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) Joel R. Zullinger (Supreme Court I.D. No.) 17516 (Address) 14 North Main Street, Chambersburg PA 17201 (Telephone) (717)264-6029 DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO. 722 Brenton Street 6/9/2010 _ Shippensburg PA 17257 202202562 ,- Personal Representative(s) of the Estate of Bernita M. Kunkleman ~ ~~- deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personals where situ~~e! ,- ~ and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed o~~,bt~ach~ of ~sd inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real est~te~de of tie Stocks & Bonds FIGURES MUST BE TOTALED Investment Account#4888-1763, Sammons Securities Co., copy of valuation attached 137 shares common stock Prudential Financial @56.11 Closely-Held Corporation, Partnership or Sole-Proprietorship Mortgages & Notes Receivable Balance due as of date of death under purchase agreement dated 11/9/2001 for puchase of business interests in Vapor Jet Professional Cleaning Services, Inc. by Richard B. Kunkleman, copy of amortization schedule attached Cash, Bank Deposits, & Misc. Personal Property 44,808.97 7,687.07 108, 809.53 (Attach additional sheets as needed) TOTAL: 382, 544.61 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 rev. 10.13.06 10 0639 Continuation of Inventory Bernita M. Kunkleman 21 10 0639 Decedent Name Pa e 1 File Number Description of Inventory IRA Account # 3900303857, with Prudential, named beneficiary "Estate of Bernita M. 6,877.95 Kunkleman" making this account part of the probate estate, balance of account on date of death 810.447 shares @8.61 per share, see valuation attached Proceeds from sale of decedent's automobile 5,450.00 Verizon, refund 25.24 Allstate, refund 131.60 PA Treasury Department, return of unclaimed property 872.00 Sale of personal property 3,471.00 Kanawha Insurance, long term care 3,843.00 Kanawha Insurance, long term care 6,846.00 Prudential Alliance Account #4351000602875 5,230.63 Cash received for private sale of decedent's jewelry 1,005.00 Checking Account#32354800, M&T Bank 1,154.37 Checking Account#97352594, M&T Bank 21,061.68 Shippensburg Health Care Center, refund of 204.00 overpayment for care services Americas, refund 566.57 4~' ReaiEstate Tract of real estate, together with improvements thereon erected, lying and being situate in the Borough of Shippensburg, Cumberland County, Pennsylvania, appraised by Tim L. Ausherman, with copy attached. It is the intention of the estate to sell the real estate and Subtotal $ 56,739.04 Continuation of Inventory Bernita M. Kunkleman 21 10 0639 Decedent Name Page 2 File Number Description of Inventory the same is listed with a realtor, but no offers to purchase have been received. 164,500.00 Subtotal $ 164,500.00 Grand Total $ 382.544.61