HomeMy WebLinkAbout11-14-11 (2)INVENTORY
REGISTER OF 1fVILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-11-0382
Kimbra Jo Kurtz and Ma~tk Edward McClellan
Personal Representative(s) of th8 Estate of Phyllis Marlene McClellan __
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 est~lte in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each
item of said inventory repres$nts its fair value as of the date of the decedent's death, and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~ ~ •„~„ G~ ~~~
tory are true and correct. I understand that false state- ra J ,~urtz---v-
ments herein are made subject to the penalties of ~ fin ~.~~`- _ __
18 Pa.C.S. § 4904 relating to unsworn falsification to Mark Ed and McClellan
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Michael L. Bangs (Supreme Court I.D. No.) 41263
4g9 South 18th Street, Camp Hill, PA
717830-7310
DATE OF DEATH
03/15/2011 LAST RESIDENCE 339 Stonehedge Lane
Mechanicsbur PA 17055 DECEDENTS SOC. SEC. N0.
210-24-8676
FIGURES MUST BE TOTALED
Personal Property
Cash ...............................................................................................
C7
754.20
p rty ........................................................................
Personal Pro a `-n
-~ __
-~
~;
Stocks/Listed ................................................................................ -r =° c7
~_ t
_ -=
-
Stocks/Closely Held ..................................................................... ~ -y ~
~ =' _ -
x- ` __.
Bonds ........................... ....................... ................................. :
~7 --.,
Partnerships end Sole Proprietorships ,~~ -" " _
-
: ~-~
.-
Mortgages anid Notes Receivable ............................................... --{
v .
_
"~"' " =
r ,
r-~-t
a
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-
All Other Progerty ........................................................................ ,~,: T,
Total Personal Property ........................................ 7,554.20
Total Real Property ................................................ 127,359.92
Total Personal and Real Property ........................ 128,914.12
NOTE: The Memorandum of real e$tate 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 ~0 Pa. C.S. § 3301(b))
Form RW-09 Rev. ~a~s-2oos
INVENTORY
REGISTER OF 1MILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-11-0382
DATE OF DEATH LAST RESIDENCE 339 Stonehedge Lane
~V
DECEDENTS SOC. SEC. NO.
210-24-8676
Automobile - 2005 Chevrolet Cobalt (see Kelly Blue Book attached; private party value
used)
Refund - 2010 IRS income tax
Refund - Comcast Cable
Refund from PA Department of Revenue
Refund of homeowners insurance premium
Total Cash
6,679.00
102.00
95.20
250.00
428.00
7,554.20
Real a a _
Real Estate - 339 Stonehedge Lane, Upper Allen Township, Cumberland County (Tax 121,359.92
Parcel Nb. 42-10-0646-064). Sold on 911111 (see HUD attached)
Total Real Estate 121,359.92
(Attach additional sheets if necessary) Total Personal Properly and Real Estate 128,914.12