HomeMy WebLinkAbout10-27-11 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
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COMMONWEALTH OF PENNSYLVANIA ~ ~~ } ~ "~
COUNTY OF Cumberland File Number 21-11-0245 ` ~~ ,--, ` ',
Deborah Troutman - ~ ~ ~ s .s - -
Personal Representative(s) of the Estate of Margaret M. Burkett -
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deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personai~assets wMerev~r; > ~~~
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuationplaced oppr~5ite each "~''
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no reaFestate
outside of the Commonwealth of Pennsylvania except that whichars in a memorandum at the end of this imr~ntory.
I verify that the statements made in this Inven- ~---- ; ~ ",
tory are true and correct. I understand that false state- ~ ~~`- -~ - -
Deborah Troutman - ~ --
ments herein are made subject to the penalties of ~ :_ __
18 Pa.C.S. § 4904 relating to unsworn falsification to _~
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authorities. `
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Attorney-- (Name) Marielle F Hazen, Esq._
(Supreme Court I.D. No.) 68003
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Firm) Hazen Elder Law
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(address) 2000 Linglestown Road, Harrisburg,. PA 17110
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Tetephone) 717-540-4332 --
DATE OF DEATH LAST RESIDENCE $ NeponSlt Lane DECEDENT'S SOC. SEC. NO.
02/11/2011 Cam Hill PA 17011 198-22-8467
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 ........................
5, 662.20
393.72
6,055.92
125,000.00
t31,055.92
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 l?tN O9 Rev. f0-13-2006
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
DATE OF DEATH I LAST RESIDENCE g Neponsit Lane
02/11/2011 Camp Hill, PA 17011
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File Number 21-11-0245
DECEDENT'S SOC. SEC. NO.
198-22-8467
PNC Bank Checking Acct. No. 5005710653
PNC Certificate of Deposit No. 31900338569
Real Prop sale -School Taxes, 8/2/11 - 7/1/12 - as per attached HUD-1 Settlement
Statement, Line 409
Real Prop sale -Sewer, 8/2/11 - 10/1/11 - as per attached HUD-1 Settlement Statement,
Line 410
Real Prop sale - Co. Taxes, 8/2/11-1/1112 - as per attached HUD-1 Settlement Statement,
Line 407
UGI refund from final bill
United Healthcare Svs. Inc. premium -refund of premium and funds received after
termination date
Verizon refund from final bill
Total Cash
Personal Pro rtv
Personal Property - Rowe's auction Service -See sale statement attached
Total Personal Property
Real Property - 8 Neponsit Lane, Camp Hill, PA 17011 -Sale price as per attached HUD
-1 Settlement Statement
Total Real Estate
3,165.83
1, 019.51
1, 082.02
67.79
260.61
23.02
35.00
8.42
5,662.20
393.72
393.72
125,000.00
125,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 131,055.92