HomeMy WebLinkAbout10-21-11 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-0953 _
Stephanie Ayers and Staci L Hair _
Personal Representative(s) of the Estate of Jeremy L. Ayers
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 appears in a mepiorandum at the end of this inventory. '
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I verify that the statements made in this Inven- ` ~ I n - - ~ `'-'
tory are true and correct. I understand that false state- ~ ephanie A_ ~ 1 -- ~; ~LL -
ments herein are made subject to the penalties of ,-~ ~~
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18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ~ Staci L Hai ~' -'
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
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(Supreme Court L D. No.) r . 27474
DATE OF DEATH LAST RESIDENCE 29 Mountain Street DECEDENT'S SOC. SEC. NO
09/09/2009 Mount Holly Springs, PA 17065 197-68-7518
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 ............................................
3,075.00
6,293.00
9,368.00
81,748.01
Total Personal and Real Property ........................
91,116.01
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-zoos
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-0953 _ __
DATE OF DEATH LAST RESIDENCE 29 Mountain Street DECEDENT'S SOC. SEC. NO.
09/09/2009 Mount Holl S rin s PA 17065 197-68-7518
~b
Members 1st -Savings Account No. 228826-00
U.S. Treasury - 2009, 1040 income tax refund (will not receive due to debt owed to the
IRS of $6,779.23)
Total Cash
Personal Pronert~
2000 Ford Truck -VIN 1 FTRXI8WXYNC09164
Household goods - at proceeds of sale
Total Personal Property
Real estate situate at 29 Mountain Street, Mount Holly Springs, PA 17065 -NOTE: This
property was subject to mortgage foreclosure and conveyed via Sheriff Sale to lender
for $1.00
Total Real Estate
81,748.01
81,748.01
5.00
3,070.00
3,075.00
s,ooo.oo
293.00
6,293.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 91,116.01