HomeMy WebLinkAbout04-25-11 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Diane G. ZIMMERMAN
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-10-0520
--
Personal Representative(s) of the Estate of ANNA VIRGINIA SHIELDS
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 whi ppears in a memo andum at the end of this inventory.
I verify that the statements made in this Inven- ~ ~~~~~__
tory are true and correct. I understand that false state- Diane G. ZIMME AN
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) EDMUND G. MYERS
(Firm) JOHNSON DUFFIE
(Supreme Court 1. D. No.) 20558
(Address) 301 MARKET STREET, LEMOYNE, PA
(Telephone) (717) 761-4540
DATE OF DEATH LAST RESIDENCE 819 Hummel Avenue DECEDENT'S SOC. SEC, N0.
04/16/2010 Lemo ne PA 17043 202-20-6099
FIGURES MUST BE TOTALED
Personal Pro~ertv
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
1,33,' 07
C7 3,043:.25
te- F. /~
~~f
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r ..
._
l ~.~ TT
4,375.32
4,375.32
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 ~9 Rev. f0-13-2006
~~~
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10-0520
DATE OF DEATH LAST RESIDENCE g19 Hummel Avenue DECEDENT'S SOC. SEC. N0.
04/1612010 Lemoyne, PA 17043 202-20-6099
~~
Independence Blue Cross -Reimbursement of benefits
M&T Bank Classic Checking w/Interest Account No. 9840368782
Total Cash
Personal Proms
Cash received for the Personal Property sold at Auction
Total Personal Property
10.26
1,321.81
1,332.07
3,043.25
3,043.25
(Attach additional sheets if necessary) Total Personal Property and Real Estate 4,375.32
JERRY R. DUFFLE WADE D. MANLEY
RICHARD W. STF,WAR'I' ELIZABETH D. SNOVER
EDMUND G. MYF.RS L A W O F F I C E S ANDREW P. DOLLMAN
DAVID W. DELUGE SARAH E. HOFFMAN
JOHN A. STATLER ANDREW J. PETSU, JR.
JEFFERSON J. SHIPMAN CAROLYN B. MCCLAIN
JEFFREY B. RETT[G
KEVIN E. OSBORNE
OF COUNSEL
MARK C. DUFFLE
JOHN R. NINOSKY HORACE A. JOHNSON
MICHAEL J. CASSIDY C. ROY WEIDNER, JR.
MELISSA PEEL GREEVY
R LEE SHIPMAN
(1965-2006)
April 21, 2011
Register of Wills Office
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
RE: Estate of Anna Virginia Shields '
~:.. .~~,
Date of Death: April 16 2010 _
n o - - ~ ~ '-'
Your File No.. 21-2010-0520 ~- --~~ ~>> ~ " ~
Our File No. 14137-1 ~ ` `' - `
.
L7 P ~-
Dear
Register: A
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Enclosed for f Irng please find the following documents for the above referenced decedent: ~ ~
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1. 2 Original PA Inheritance Tax Returns. There is no tax due. This is an insolvent estate.
e ...
2. Inventory
3. One copy of Page 1 of the Pa Inheritance tax return, which we ask that you time-stamp and return to us in the
enclosed envelope.
4. 1 copy of the Inventory ,which we ask that you time-stamp and return to us.
5. Estate Check in the amount of $30.00 representing the $15.00 filing fee for the Inheritance Tax Return and
$15.00 for the Inventory.
matter.
Should you have any questions, please do not hesitate to contact our office. Thank you for you assistance in this
Very truly yo rs,
-- N, U ,STEWART &WEIDNER
ana seman
Estate Administration Paralegal
Enc.
c: Diane G. Zimmerman, Executrix
:438807
301 MARKET STREET P.O. BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109
WWW.JDSW.COM 717.761.4540 FAX: 717.761.3015 MAIL@JD~~W.COM
JOHNSON, DUFFIE, STEWART &WEIDNER, P.C.
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