HomeMy WebLinkAbout04-13-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-11-01078
Georgia Moder Martin
Personal Representative(s) of the Estate of Kathryn Elizabeth Moder
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 memorandu,~m,,a`t the,~e'nd ofst'his~' ventory.
I verify that the statements made in this Inven- ~ ~U'£ ~ ~~'G,~rG~-ri/L~ // ~~l~L~~+/ _
tory are true and correct. I understand that false state- Georgia oder Martin
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney - (Name) Marielle F Hazen, Esq. (Supreme Court I.D. No.) 68003
(Firm) Hazen Elder Law
(Address) 2000 Linglestown Road, Harrisbur , PA 17110
(Telephone) 717-540-4332
DATE OF DEATH I
09/05/2011 LAST RESIDENCE Bethany Towers, Apt. 2O5
Mechanicsburg, PA 17055 DECEDENTS SOC. SEC. NO.
162-22-3560
FIGURES MUST BE TOTALED
Personal Prog_ertv
Cash ...............................................
................................................
~
~ ~
~
_.
`4~83.3~' ~ =
J'
Personal Pro ert
p Y ............................................... `p -z ~ ~
.........................
Stocks/Listed ~
................................................................................
Stocks/Closely Held ..................................................................... -'
~ ~,
__. ~
'_ cn ~ _;
~~
_ .
- -
Bonds ......................................................... •.............................•
- ~__,, -~-! _
~ -
Partnerships and Sole Proprietorships
..................................... - -tea
- ~-x , --
Mortgages and Notes Receivable :i
v _~G
~- --''
...............................................
All Other Property ........................................................................ r_
Total Personal Property ...................................
..... 4,883.38
Total Real Property ................................................
Total Personal and Real Property ........................
4,883.38
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-f79 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-11-01078
DATE OF DEATH LAST RESIDENCE Bethany Towers, Apt. 205 DECEDENT'S SOC. SEC. NO.
09/05/2011 Mechanicsbur PA 17055 162-22-3560
~b
M&T Bank checking acct. #61131873
Refund -Bethany Towers -rent rebate of overpayment
Refund -Bethany Towers -security deposit
Refund from Erie Insurance - -renters insurance premium
Total Cash
4,276.65
148.00
451.73
7.00
4,883.38
(Attach additional sheets if necessary) Total Personal Property and Real Estate 4,883.38