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Home My WebLink About07-22-11 (2)~NVENTORIf REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland ~ Michael D. Boone and Richard A. Boone CUMBERLAND Personal Representative(s) of the Estate of Heidi C. BOOne 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 pp rs ~ emora at the end of thi inventory. I verify that the statements made in this [nven- ~ ~ , ~ ~ ~~ •~al 1 tory are true and correct. I understand that false state- ~ Michael D. Boone menu herein are made subject to the penalties of 1$ Pa.C.S. § 4904 relating to unswarn falsification to Richard A. Boone authorities. Attorney -- (Name) ,lames D. Bogar {Supreme Court I.D. No.) 19475 (Finn) Bogar,& Hipp Law Offices {address) One West Main Street, Shiremanstown, PA (Telephone) {717) 737-8769 DATE OF DEATH LAST f2ESlDENCE 1100 Crandon Way DECEDENTS SOC. SEC. N0. 04/23/2011 Mechanicsbur PA 17050 193-12-5275 FIGURES MUST BE TOTALED Cash ............................................................................................... Personal Property ........................................................................ StockslListed ................................................................................ StockslClosely Held ..................................................................... Bonds ............................................................................................ Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ........................................................................ Total Personal Property ........................................ Total Real Property ................................................ Total Personal and Real Property ........................ 71;220: NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may at the election of the personal representatlve include the value of each item, but such figures should not be extended into the total of the Inventory. (See 10 Pa. C.S. § 3301 {b)) ..J ^ ..,.J `...i,. ... ~~ ~J .. C,..P. ~~t .7 S,._:~ COUNTY, PENN.. '~ NIA ~ ~ _ - r.~ -~ CI ~ ~ ~ . ~ ;3Ti ~~ ~ ., , `~~ ...w File Number 21-11-0550 8,720.44 s2,sao,ao 71,220.44 Form RW-09 Rev. io-~~-loos INVENTORI( REGISTER OF WILLS OF CUIIABERLAND COUNTY, PENNSYLVANIA __ COMMONWEALTH OF PENNSYLVANIA } SS couNTY o~ Cumberland } Michael D. Boone and Richard A. Boone File Number 21-11-0550 Personal Representative{s) of the Estate of Heidi C. BOOne deceased, depose(s) and say{s) that the items appearing in the following inventory include all of the persona! assets wherever situate and atl 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 awned no real estate 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 Michael D. Boone 7 $ Pa.C_S. ~ 4904 relating to unsworn falsification to ~ Richard A. Boone authorities. AttomeY - (Nama) James D. Bogar (Supreme court I.D. No.) 19475 (Frm,) _Bogar 8~ Hipp Law Offices (Address) One West Main Street, Shiremanstown, PA (7'elep/rone} (717) 737-8781 . Dam oa: oEart~ ~asT rt~stDENC~ 1100 Crandon Way oFCEDErrrs SOC. sEC. No. 04/2312011 Mechanicsbu PA 17050 193-12-5275 FIGURES MUST BE TOTALED Person 1 Prooerty_ Cash ............................................................................................... Personal Property ........................................................................ Stocks/Listed ..............................................................................., StockslClosely He(d ..................................................................... Bonds ............................................................................................ Partnerships and Sole Proprietorships ........................:............ Mortgages and Notes Receivable ............................................... All Other Property ........................................................................ Total Personal Prop®rty ........................................ Total Real Property ................................................ Total Personal and Real Property ........................ 8,720.44 s2,5ao.oo 71,220.44 N07E: The Memorandum of real estate outside the Commonwealth of Pennsylvania may at the election of the pen.onal represematlve dude the value ofi each ltern, taut such fi~un3s should not be extended into the total of the Inventory. (See 10 Pa. C.S. g 3341(b)j Form RUI~09 Rev. ~ar~2vos INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-11-0550 DATE OF DEATH LAST RESIDENCE 1100 Crandon Way DECEDENTS SOC. SEC. NO. 04/23/2011 Mechanicsbura. PA 17050 193-12-5275 ~b Emeritus -Refund of assisted living fee 958.00 Genworth Life Insurance Company -Refund 60.65 PNC Bank, N.A. -Checking Account No. 5140005615. Date of death balance $7,691.63; 7,691.79 accrued interest $0.16. Rolling Green Cemetery -Refund of overpayment 10.00 Total Cash 8,720.44 Series HH Savings Bonds -1 - $500.00 and 62 - $1,000.00 Series HH Savings Bonds. 62,500.00 See attached copies. These bonds were title to Heidi C. Boone or John A. Boone. The said John A. Boone died November 27, 2006, whereupon full and complete title became vested in Heidi C. Boone, surviving spouse. Total Bond 62,500.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 71,220.~•~