HomeMy WebLinkAbout02-28-12 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1 SS
COUNTY OF DAUPHIN J
File Number 21-10-05f1R
Personal Representative(s) of the Estate of ROBERT VARRICCHIO
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 this inventory.
I verify that the statements made in this ]nven-
tory aze 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.
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Attorney -- (Name) RYAN R. GAGER, ESQUIRE (Supreme Court LD. No.) 93990
(Address) SAUL EWING, LLP 2 NORTH SECOND STREET, 7TH FL, HARRISBURG, PA 17101
(Telephone) 717.257.7524
DATE OF DEATH LOST RESIDENCE DECEGEM'S SOC. SEC. NO.
03 18-10 1705 SUSQUEHANNA STREET, HARRISBURG, PA 17102 021-24-7854
FIGURES MUST BE TOTALED
REAL ESTATE 0.00
PERSONAL ESTATE:
SCHEDULE'E' ATTACHED 138,005.72
SCHEDULE'G' ATTACHED 21,274.54
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(Attack additional sheets as needed)
AL: ~ 159,280.26
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal represerrtative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 10 Pa. CS § 3301(6))
Form RW-09 rev. 10.13.06
REV-1506 EX+ (11-10)
~ Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TA% RETURN
RESIDENT DECEDENT
SCNED~iLE E
CASHr BANK DEPOSITS & MISC.
PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Robert Varricchio 21-10-0508
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be discbsed on Schedule F.
if more space is needed, use additional sheets of paper of tfie same size.
REV-tb10 EX+ (08.09)
s pennsytvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIYOS TRANSFERS ~
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Robert Varricchio 21-10-0508
This schedule must be completed and filed if the answer to any of questions 1 through b an the reverse side of the REV-1500 COVER SHEET is yes.
YfEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NAMEOFTlIETRANSFEREE,THEMRELATIONSHIPTODECEDENTAND
THE DATE OFTRAMSFER.ATTACHACOPYOFTHEDEEDFORREALESTATE.
DATE OF DEATH
UALUEOFASSET
%OFDECD'S
INTEREST
EXCLUSION
ppAPPUCAeLEI
TAXABLE
VALUE
t. Sentry Life Insurance Company 21, 274.54 100 21, 274.59
Deferred Compensation
TOTAL (Also enter on fine 7, Recapitulation) I ; 21, 2 7 4 . 5 4
(If more space is needed, front additional shoals of the same s¢e)