HomeMy WebLinkAbout04-15-11INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF DAUPHIN
COUNT~~, PENNSYLVANIA
File Number ? 1
Personal Representative(s) of the Estate of MICHAEL C. MCLAUGHLIN
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
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) HEATHER D. ROYER, ESQUIRE (Su~~reme Court LD. No.) 76327
(Address) 4431 N. FRONT STREET, 3RD FLOOR HARRISBURG PA 17110
(Telephone) (717) 234-2401
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
7 WHITE OAK BOULEVARD
6/10/2010 MECHANICSBURG PA 17050 178-38-1026
FIGURES MUST BE TOTALED
PROCEEDS FROM SALE OF 2006 HUMMER H3
PROCEEDS FROM SALE OF 2002 LEXUS
LPL FINANCIAL INDIVIDUAL ACCOUNT 1226-1481
UNUM LIFE INSURANCE POLICY PREMIUM REFUND
CAPITAL BLUE CROSS PAYMENT OF AMBULANCE CLAIM
PA TURNPIKE EZPASS REFUND
ALLSTATE INSURANCE PREMIUM REFUND ~dd ~ ~.)4~ ~~~~~~' 1~~~~'~~~~
~~~~~~~ S.=~lb~d~0
~~ ~!~~~~
(Attach additional sheets as needed)
NOTE: The Memorandum of real estate outside the Commonwealth of Pf
item, but such figures should not be extended into the total of the
Form RW-09 rev. 10.13.06
16,000.00
19,500.00
479.88
1,140.98
1,250.00
16.50
213.92
AL:
38,651.28
~~y, aX,t~e~Ieelion~laf-t person,~l representative include the value of each
~~
10 0635
Continuation of Inventory
MICHAEL C. MCLAUGHLIN 21 10 0635
Decedent Name Pa e 1 File Number
Description of Inventory
ALLSTATE INSURANCE REIMBURSEMENT FOR TOWING
MICHAEL MCLAUGHLIN, LLC
50.00
0.00
MORTGAGE NOTE FROM ROBERTA M. KLEIN TO MICHAEL C. MCLAUGHLIN ~ 0.00
Subtotal ~ $ 50.00
Grand Total ~ $ 38.651.28