HomeMy WebLinkAbout10-24-11 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-11-0889
Randall F. Byra and Judith M. Byra
Personal Representative(s) of the Estate of Grace J. Tipton
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 inv ntory.
I verify that the statements made in this Inven- ~ G 1~-~ 1~ ~C~; ~ 1
tory are true and correct. I understand that false state- ~ R 1 F. yra
ments herein are made subject to the penalties of ~ ~ ~ /~' - / 7 -~~ //
18 Pa.C.S. § 4904 relating to unsworn falsification to dith M. Byra
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
James D. Bogar (Supreme Court I.D. No;) 19475
Bogar 8~ Hipp Law Offices
One West Main Street, Shiremanstown, PA 17011
(717) 737-8761
DATE OF DEATH LAST RESIDENCE Claremont Nursing 8r Rehabilitation Center DECEDENT'S SOC. SEC. N0.
07/24/2011 Carlisle, PA 17013 201-18-6093
FIGURES MUST BE TOTALED
Personal Property
Cash ............................................................................................... :'~ 5,873:30
Personal Pro e ; `T? ~ ~ ''~
p rty ........................................................................ ,-- , - -
,.
-~ , .. ,
Stocks/Listed ................................................................................ ,=- ~~ :..-~
- ,;
Stocks/Closely Held ..................................................................... ~ ~ -~~ ~~
- --
Bonds ............................................................................................ ; .-;
_ '' --
Partnerships and Sole Proprietorships ..................................... - ~-
-._:
Mortgages and Notes Receivable ............................................... n ~ -' ~~' -- ~~`
All Other Property ........................................................................ -,~,
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
5, 873.30
5,873.30 '
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))
Form RW-09 Rey. ~o-~s-loos
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-11-0889
DATE OF DEATH LAST RESIDENCE Claremont Nursing $c Rehabilitation Center DECEDENT'S SOC. SEC. N0.
07/24/2011 Carlisle. PA 17013 201-18-6093
~.I]
Blue Cross/Blue Shield -Refund
Claremont Savings/Activities Fund Account -Date of death balance - $1,735.47
PNC Bank -Checking Account No. 5140064391; date of death balance $3,852.76. This
account was non-interest bearing
Veteran's Administration -retirement payment
Total Cash
195.07
1,735.47
3,852.76
90.00
5,873.30
(Attach additional sheets if necessary) Total Personal Property and Real Estate 5,873.30