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02-09-12 (2)
INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA l SS COUNTY OF CUMBERLAND ) File 2011-012.45 Personal Representative(s) of the Estate of Betty L. Cover 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 memorandum at the end of tYiis inventory. I verify that the statements made in this Inven- tory are true and correct. I understand that false state- ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) John A. Feichtel (Supreme Court I.D. No.) 77426 (Address) Saidis, Sullivan & Rogers, 635 North 12th Street, Suite 400, Lemoyne, P'A 17043 (Telephone) 717-612-5800 DATE OF DEATH iAST RESIDENCE DECEDENTS SOC. SEC. NO. October 16, 2011 2100 Bent Creek Blvd., Mechanicsburg, PA 17050 182-22-8406 FIGURES MUST BE TOTALED Continental Casualty Company refund of long term health care insurance premium Continental Casualty Company long term care benefit payment 8/24/11-9/30/11 Continental Casualty Company long term care benefit payment ] 0/1/11-10/16/11 Bridges at Bent Creek refund of rent 10/16/11-10/21/11 Citizens Finance refund of overpayment of auto loan paid off prior to Decedent's date of death Capital Blue Cross refund of health insurance for the period 10/17/11-12/31/11 140.42 6,080.00 2,560.00 545.00 9.90 526.43 . ~ ~ ,~. , ~; ~ ~~ - : ~ ~~~ .~.. ~ t ~, . - --~, ~ ~ _ `..r <. " y ~ ,. _ r-, ~~ ~, (Attach additional sheets as needed) TOTAL: I 9,861.75 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(6)) COUNTY, PENNSYLVANIA Form RW-09 rev. 10.13.06 Law Offices of ROBERT C. SAIDIS DANIEL L. SULLIVAN ELYSE E. ROGERS JOHN A. FEICHTEL DEAN E. REYNOSA TODD F. TRUNTZ MARYLOU MATAS SEAN M. SHULTZ JASON E. KELSO SAIDIS, SULLIVAN & ROGERS A PROFESSIONAL CORPORATION 635 NORTH 12TH STREET, SUITE 400 LEMOYNE, PENNSYLVANIA 17043 TELEPHONE: (717) 612-5800 - FACSIMILIE (717) 612-5805 EMAIL: attorney®ssr-attorneys.com www.ssr-attorne sy com February 8, 2012 REPLY TO LEMOYNE 717-612-5803 ifeichtel@ssr-attorneys.com CERTIFIED MAIL R/R/R Register of Wills of Cumberland County One Courthouse Square Carlisle, PA 17013 Re: Estate of Betty L. Cover Date of Death: October 16,2011 File No. 2011-1245 Dear Madam: Enclosed for filing with your office are the following: 1. Pennsylvania Inheritance Tax Return (in duplicate); 2. Inventory; and 3 Check in the amount of $30 for your filing fees. CARLISLE OFFICE: 26 WEST HIGH STREET CARLISLE, PA 17013 TELEPHONE: (717)243-6222 FACSIMILE: (717)243-6486 Of Counsel JOHN E. SLIKE STEPHEN L. GROSE t~ 0 ~~in ~~~ ~~~ ~~©~ ;~ C ~Y ;.~> N w N -r~ ~'~c~ r~'~ ~•• ::~~ _~.; _, -r> _ -T-ji V~ Please stamp the enclosed extra copy of this letter and return it in the enclosed envelope. Sincerely y rs, _,.. ,, , .~ .. ,- ._. ~~ ,, { ". ,., John A. Fei e cjr Enclosures cc: Michael S. Cover `~ ~ . r~ ~~:. ~. ., ~ o~ ~ O ~F ~ f Q O M ti ? \ .. ~ R.W~ rVl. ~~ ~ ~ ~; ~ 1 f 1 ~71.W J ~, r. Q. ~ o N ~ ~~-q ~~~ _g ~-~ ?~ ~ Z LL ~ o ~- 0 i N ~ v oo ~ k y~ O ~0 N = O ORPH~+N'~ ~ C1~18ERiAA~G C+~., PA U a~ '~ O a ~ a~ ~ o ~~ ~ ~ cn a ~ ~ w a' C+~ N ~ ~ ~ ~ ~ O c ~ ~ ~ x ~ o~ ~ ~ ~ ~ ~:~ ova • M ~ _ ~~ ~ ~ ~ r y • y ?~ C~ p~ o U O I- N ti a ~ ~ ------_ __-------~- ru o """ ~ o ~~ o a o ~~ ~~ ~ a ~~ a N