HomeMy WebLinkAbout04-28-11 (2)INVENTORY
REGISTER OF WILLS OF C U M B E R L A N D COUNTY, PENNS~'LVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS
File Number 21 10 1021
Personal Representative(s) of the Estate of
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 estates outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum 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-
ments herein are made subject to the penalties of ~~_
18 Pa. C.S. § 4904 relating to unsworn falsification to ~ •
authorities. RICHARD BLOSSER
Attorney -- (Name) SUSAN H• C O N F A I R (Supreme Court I..U. No.) 7 0 2 41
(Address) 2331 MARKET STREET CAMP HILL _ PA 17011
(Telephone) 717-763-1383
DATE OF DEATH LAST RESIDENCE
315 FIFTH AVENUE DECE:DENT'S soc. sEC. No.
9/30/2010 NEW CUMBERLAND PA 17070 202204411
FIGURES MUST BE TOTALED
Stocks & Bonds ~~_ ._:.. -~-~
•-. -. .r. ~-~ -,--,
- ~ ~~- ~__
-~-,. ~-...~~' ..m - -
i f i "' .
Closely-Held Corporation, Partnership or Sole-Proprietorship _~ ~ ~ ~~.~~r~~~ _ --
Mortgages & Notes Receivable ~~~ -`~
~~
.. -~
Cash, Bank Deposits, 8 Misc• Personal Property
PNC BANK - ACCOUNT #5140095817
600 GRANT STREET, PITTSBURGH, PA 15219 337,145.46
HIGHMARK REIMBURSEMENT
179.10
THE PATRIOT-NEWS REIMBURSEMENT
(Attach additional sheets as needed)
69.80
TOTAL: ~ 556, 756.86
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
Continuation of Inventory
Decedent Name 21 10 1021
Pa e 1 File Number
Description of Inventory
PERSONAL PROPERTY
500.00
Real Estate
315 FIFTH AVENUE, NEW CUMBERLAND, PENNSYLVANIA - SOLD FOR
$40,000.00 SETTLEMENT SHEET ATTACHED, SPECIFIC BEQUEST TO
RICHARD D• BLOSSER
507 EUTAW AVENUE, NEW CUMBERLAND, PENNSYLVANIA -
FAIR MARKET VALUE - SPECIFIC BEQUEST TO RICHARD D• BLOSSER
40,000.00
178,862.50
Subtotal $ 219, 362.50
Grand Total $ 556,756.86