HomeMy WebLinkAbout08-11-11 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } C7 _ -1-~
COUNTY OF Cumberland SS -- _r-, --,-;
} File Number 21-10-1162 ~ ~ - ~ -='I "
Ronald M. Katzman _L ~7 ,.~-,
Personal Representative(s) of the Estate of Antonie T. Klar ~=' --n ,r
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deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the persczn~kassets wh~Cever - ,
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation pled opposite eacFa- ~"`'
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent ov~ed no real e&tate i'~ C
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventoryi
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- Ronald M. Katzman
ments herein are made subject to the penalties of ~ f
18 Pa.C.S. § 4904 relating to unsworn falsification to --
authorities.
Attorney -- (Name) J. Ronaldo Legaspi (Supreme Court I.D. No.) 200240
(Firm)
(address) 320 Market Street, Harrisburg, PA 17108 __
(Telephone) 717-234-4161
DATE OF DEATH LAST RESIDENCE 1435 HIIICrest Court DECEDENT'S SOC. SEC. N0.
11/09/2010 _Camp Hill, PA 17011 133-30-4477
FIGURES MUST BE TOTALED
Personal Property
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 ........................
19,326.57
3,816.44
246.70
23,389.71
23;389.71
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))
Fo.m RW-09 Rey ro-rs-zoos
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10-1162
DATE OF DEATH LAST RESIDENCE 1435 HiIlCrest Court DECEDENT'S SOC. SEC. NO.
11/09/2010 Camp Hill, PA 17011 133-30-4477
Cash
Highmark Blue Shield -Refund of premium
PNC Bank, Checking account, #5005032805 -DOD value
Total Cash
Personal Pronert~
1996 Oldsmobile -net of sale to private buyer
Tangible personal property of the decedent -Sold by Red Door Consignment
Total Personal Property
Stocks/Listed
10 shares of Alico, Inc., common stock at $ 24.67 per share. -Price is based on the
value reported on NYSE.
Total Stocks/Listed
320.00
19,006.57
19,326.57
500.00
3,316.44
3,816.44
246.70
246.70
(Attach additional sheets if necessary) Total Personal Property and Real Estate 23,389.71