HomeMy WebLinkAbout03-30-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
11 0854
Personal Representative(s) of the Estate of MARGARET E • B A W N
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 Inven- C~~( ~
tory are true and correct. I understand that false state- J E E R R • W C 0 EXECUTRIX '~/
ments herein are made subject to the penalties of ~~
18 Pa. C.S. § 4904 relating to unsworn falsification to L S A HEAD , C O- E X E C U T R I X
authorities.
Attorney -- (1V'ame) GERALD J • SHEKLETSKI, ESQ • (SupremeCourtLD. No.) 40486
(Address) 414 .BRIDGE ST • NEW CUMBERLAND PA 17070
(Telephone) (717) 774-7435
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
1814 WILLOW ROAD
7/30/2011 __, CAMP HILL PA 17011
FIGURES MUST BE TOTALED
PERSONAL PROPERTY
'_`~ s n
1• 1992 DODGE SPIRIT SEDAN U,
..C7
~~
2• PNC BANK CERTIFICATE OF DEPOSIT ACCOUNT #31800148478 =~
3• PNC BANK CERTIFICATE OF DEPOSIT ACCOUNT #31000271889
4• PNC BANK CERTIFICATE OF DEPOSIT ACCOUNT #31200355992
5• PNC BANK CERTIFICATE OF DEPOSIT ACCOUNT #31500236295
6• PNC BANK CHECKING ACCOUNT #5005032143
(Attach additional s/reets as needed)
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1,001.34
2,009.61
10,347.15
2,217.44
TOTAL: 2 4,0 , 51 7.3 9
NOTE: The Memorsmdum 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 nbt be extended into the total of the Inventory. (See 20 Pa. C.S. ,¢ 3301(bJJ
File Number 21
Form RW-09 rev. !0.!3.06
Continuation of Inventory
MARGARET E• BAWN 21 11 0854
Decedent Name Page ~ File Number
Description of Inventory
7• PNC BANK SAVINGS ACCOUNT #5130190191
8• PATRIOT-NEWS NEWSPAPER REFUND
9• CAPITOL BLUE CROSS REFUND
10• ALLSTATE AUTO INSURANCE REFUND
11• 656 SHARES CHEVRON CORPORATION COMMON STOCK
REAL ESTATE
1• 1814 WILLOW ROAD, CAMP HILL, PENNSYLVANIA 17011
4,D09.82
100.50
291.83
55.3D
68,683.20
145,000.00
Subtotal 3 218 ,14 0.6 5
Grand Total 3 240.517.39