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HomeMy WebLinkAbout07-18-11 (3)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-10-1072 COUNTY OF Cumberland Anthon F Thomas Personal Representative(s) of the Estate of Thomas C McDonnell 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 de edent's death, and that D cedent owned no real estate outside of the Commonwealth of Pennsylvania except that which rs in a memor um a end of this inv~ tory. I verify that the statements made in this Inven- ~ tory are true and correct. I understand that false state- Anthony F Tho s ments herein are made subject to the penalties of ~ - 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. (Supreme Court -.D. No.) 09601 Attorney -- (Name) JERRY R. DUFFIE (F~rmJ JOHNSON DUFFIE STEWART & WEIDNER (address) 301 MARKET ST. LEMOYNE PA (Telephone) (717) 761-4540 DECEDENT'S SOC. SEC. N0. DATE OF DEATH LAST RESIDENCE 211 Cumberland Drive 206-32-4186 10/18/2010 Camp Hill, PA 17011 FIGURES MUST BE TOTALED ~grSOnal Prooerty ............ 6,4~,~.71 .............................................................................. Cash..... C7 ,. ~,~ Personal Property ........................................................................ ~~ ~_ ~-; ~ Stocks/Listed. ~~n ~.. r°' c °__ J ....................... ~ - - Stocks/Closely Held .............................................. ~ ~ cx-, - , . Bonds... ................................................................................. ........ ~c"~q -r. r _ -._ Partnerships and Sole Proprietorships ..................................... C~C~''~ -~° ,'~', Mortgages and Notes Receivable ............................................... '1'-n -a .. .~~ b r- ~ ~ All Other Property ........................................................................ _- p rty ........................................ Total Persona! Pro a 6,458.71 p rty ................................................ Total Real Pro a 127,000.00 Total Personal and Real Property ........................ .133,458.71 nthe t tal of t e Inventory (See 20tPaeClSc§ 3301t(b))personal representative include the value of each NOTE: t nded i ext d nto shou u e f n o e t be l r s Item butsuch g Form RW ~9 Rev. f0-13-2006 INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland } DATE OF DEATH 10/18/2010 ~;~ CUMBERLAND COUNTY, PENNSYLVANIA LAST RESIDENCE 211 Cumberland Drive Camn Hill, PA 17011 2010 Federal Income Tax Return Refund Fidelity Investment Pension Payment File Number 21-10-1072 DECEDENT'S SOC. SEC. NO. 206-32186 Fidelity Investment Pension Payment -Adjustment to Overpayment PNC Checking Account No. 5140040154 Refund to Account Residence located at 211 Cumberland Drive, Cumberland County, PA -Reimbursement for payment of County Taxes ($281.69) and Sewer payments ($46.20) State Farm Home Owners Insurance Policy -Refund Total Cash Residence located at 211 Cumberland Drive, Cumberland County, PA -Tax Parcel No. 13-24-0797-159. Contracted Sales Price Total Real Estate 171.00 590.74 27.10 4,834.77 23.14 327.89 484.07 6,458.71 127,000.00 127,000.00 Total Personal Property and Real Estate 133,458.71 (Attach additional sheets if necessary)