HomeMy WebLinkAbout11-21-11 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Sandra Bair
Personal Representative(s) of the Estate of Lee J F
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-11-00266
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 ppears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~-,
tory are true and correct. I understand that false state- ;~ _:,,_} ___ _,
`Sandra Bair
ments herein are made subject to the penalties of ~ :.r, ~~
18 Pa.C.S. § 4904 relating to unsworn falsification to ,_~_, -~-
authorities. ~ ` -. .-
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
EDMUND G. MYERS
JOHNSON DUFFIE
_.,
;:. ; , ; ,-
__
__ l.% ~ r~
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(Supreme Colt LD. No.) .. 2055$` "
301 MARKET STREET, Lemoyne, PA 17043
(717) 761-4540
DATE OF DEATH I LAST RESIDENCE 634 State Street DECEDENT'S SOC. SEC. N0
02/18/2011 Lemoyne, PA 17043 194-20-5047
FIGURES MUST BE TOTALED
Personal Pro ertv
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 ........................
7,059.57
2,996.00
10, 055.57
58, 000.00
68,055.57
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-O9 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-11-00266
DATE OF DEATH LAST RESIDENCE 634 State Street DECEDENT'S SOC. SEC. ND.
02/18/2011 Lemoyne, PA 17043 194-20-5047
~~
PA Department of Revenue -Refund
Real Estate located at 634 State Street, Lemoyne, Cumberland County, PA 17043 -
ReimbursementlRefund of County taxes ($66.90); School taxes ($582.25) and Refuse
($26.41)
Sovereign Bank Checking/Savings Account
Total Cash
Parsonal Property
2001 Mercury Sable Automobile
Miscellaneous Personal Property
Total Personal Property
Real Estate located at 634 State Street, Lemoyne, Cumberland County, PA 17043 -
Contracted Sales Price. A copy of the Settlement Sheet is attached.
Total Real Estate
500.00
675.56
5,884.01
7,059.57
2,896.00
100.00
2, 996.00
58,000.00
58,000.00
(Attach additional sheets if necessary) Totaf Personal Property and Real Estate 68,055.57