HomeMy WebLinkAbout05-19-11 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland County }
DAVID W DELUGE
File Number
Kathy A Bolash - -
Personal Representative(s) of the Estate of Mavis H Hart ~_- ~ : ~ ~=~ - -
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the persona.~ssets 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 pears in a memorandum t the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- Kathy A B lash
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
COUNTY, PENNSYLVANIA
~ _ ::. -~~
s,.... ~ -.~ l i ~' l
~- ~ ~ _ .}
~-; r--
21-10-1193 r ~ ~ -
Y ,
(Supreme Court 1. D. No.) 41687
Johnson Duffle
301 Market Street, Lemoyne, PA
717-761-4540
DATE OF DEATH LAST RESIDENCE 4525 Valley Road DECEDENT'S SOC. SEC. N0.
11/19/2010 Enola, PA 17025 225-22-4910
FIGURES MUST BE TOTALED
Personal Pro e~rtv
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 ........................
~~24, 294.10
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))
20,138.10
4,156.00
24,294.10
Foam RW-09 Rey. ~o-~s-loos
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland County } SS File Number 21-10-1193
DATE OF DEATH LAST RESIDENCE 4525 Valley Road DECEDENT'S SOC. SEC. NO.
11/19/2010 Enola PA 17025 225-22-4910
~b
2010 Federal Individual Income Tax Return -Refund due 87.00
Susquehanna Bank Checking Account No. 146004534 20,051.10
Total Cash 20,138.10
Personal P~oper~ty
Personal Property -Value of Furniture purchased 3 days prior to death 4,156.00
Total Personal Property 4,156.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 24,294.10