HomeMy WebLinkAbout06-23-11 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Nicole M. Jordan
Personal Representative(s) of the Estate of Connie Sue Jordan
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 pears in a memorand 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 Nic a M. Jordan
18 Pa.C.S. § 4904 relating to unsworn falsification to ~ --- -
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Patricia R. Brown Esq.
Salzmann Hughes, P.C.
354 Alexander Spring Road, Suite 1, Carlisle, PA 17015_
717-249-6333
(Supreme Court 1. D. No.) 27474
DATE OF DEATH LAST RESIDENCE 360 Old State Road DECEDENT'S SOC. SEC. NO.
07/23/2009 Gardners PA 17324 190-54-4743
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 ........................
121,163.48
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))
COUNTY, PENNSYLVANIA
File Number 21-09-0813
14,135.37
4,500.00
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102,528.11
Form RW Q9 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-09-0
DATE OF DEATH LAST RESIDENCE 360 Old State Road
07/23/2009 Gardners PA 17324
Cash
Carlisle Regional Medical Center -refund of overpayment
Cornerstone Federal Credit Union, Regular Share Account #79712-01
Cornerstone Federal Credit Union, Regular Share Account #9712
Cornerstone Federal Credit Union, Share Certificate #9712-10
Accrued interest on above item through date of death
Cornerstone Federal Credit Union, Share Certificate #9712-11
Accrued interest on above item through date of death
Cornerstone Federal Credit Union, Share Draft Account #9712-07
Lightstyles Ltd. -final pay check
PSECU, Checking Account
PSECU, Savings Account
United States Treasury -refund of overpayment of 2009, 1040 income tax
813
DECEDENT'S SOC. SEC. NO.
190-54-4743
Total Cash
Personal Proms
1996 Ford Truck -VIN 1 FMDU35PSTUC58925
2002 Nomad Trailer -VIN 1SN200P202H000206
Total Personal Property
350.00
3.52
26.78
9,240.48
27.29
1,155.08
3.41
16.79
626.40
363.98
305.64
2,016.00
14,135.37
500.00
4,000.00
4,500.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 121,163.48
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-09-0813
DATE OF DEATH LAST RESIDENCE 360 Old State Road DECEDENT'S SOC. SEC. NO.
07/23/2009 Gardners PA 17324 190-54-4743
Rea I Estate
Real Estate situate at 370 Old State Road, Gardners, -Cumberland Co., PA at value
owed to Mortgage Company (NOTE: This property was subject to mortgage
foreclosure and conveyed via Sheriff Sale to lender for its lien and its costs ($1.00).
Total Real Estate
102,528.11
102,528.11
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