HomeMy WebLinkAbout04-23-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
} File Number 21-11-0980
Karl C Thoma
Personal Representative(s) of the Estate of Karl H Thoma
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 whic appears in a memorandum at the end of this inventory. }_ ;
I verify that the statements made in this Inven- ---~._ _n
tory are true and correct. I understand that false state- `' O "~ .~=
ments herein are made subject to the penalties of Kar C Thoma e , ,-:, ~ ;
18 Pa.C.S. § 4904 relating to unsworn falsification to j ~ r" '`~ s '
authorities. ~~ -- : -~j
:~ r" =~
~-
Attorney -- (Name) Mark A. Mateya r° ~~ ~'~ f~~ ' T'
(Supreme Court LD. No.) ~,, 7$931
(Firm)
(Address) 55 W. Church Avenue Carlisle, PA
(Telephone) 717-241-6500
u„itur utaiH
08/06/2011
LAST RESIDENCE
PA
FIGURES MUST BE TOTALED
DECEDENTS SOC. SEC. N0.
103-20-5661
Personal Pro~rtv
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 ........................
90,829.74
2,842.23
2,177.50
95,849.47
95,$49.47
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-09 Rey. ~o-~s-loos
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
couNTY of Cumberland } ss
uH i t Uh DEATH
08/06/2011
~b
}
LAST RESIDENCE
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-11-0980
DECEDENT'S SOC. SEC. NO.
PA 103-20-5661
Bethpage Federal Credit Union -Savings Account - Accoun 55786010
1,797.97
Bethpage Federal Credit Union -Checking account Account No. 5578688
1,615.31
Bethpage Federal Credit Union -Money Market Account No. 900005578618
33,977.18
Diakon Lutheran Social Ministries -Refund on Assisted Living Account
37.25
Northrop Gumman -Savings Plan
46,600.03
Ross Funeral Home -Pre-Paid funeral Expense
5,182.00
US Treasury -Personal Income Tax Refund - 2011
1,620.00
Total Cash
S#~ck / ictpd 90,829.74
1.0000 share Northrop Gumman -Stock Certificate Cusip 666807 10 2 Certificate No
17292
. 55.73
4.0000 shares Northrop Gumman -Stock CUSIP 666807 10 2 Certificate No. 14242
222.92
46.0000 shares Northrop Gumman -Stock CUSIP No. 666807102 Certificate No
21025
. 2,563.58
Total Stocks/Listed
~
S 2,842.23
.
US Savings Bond -Series EE -Issue date 01/1989
Serial No. C204216193EE 154.08
US Savings Bond -Series EE - $100.00 Issue date 11/1988 Serial No. C193749007EE
154.08
US Savings Bond -Series EE $100.00 Issue date 04/1988 Serial No. C172963767EE
157.16
(Attach additional sheets if necessary) Total Personal Property and Real Estate
95,849.47
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
ur~i[ Vr utAfH
08/06/2011
~~
LAST RESIDENCE
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-11-0980
I PA DECEDENTS SOC. SEC. NO.
103-20-5661
US Savings Bond -Series EE $100.00 denomination Issue date 06/1988 Serial No.
C176717856EE
US Savings Bond -Series EE $100.00 denomination Issue date 08/1988 Serial No.
C181789256EE
US Savings Bond -Series EE $100.00 Denomination Issue date 09!1987 Serial No.
C154208737EE
US Savings Bond -Series EE $100 denomination Issue date 11/1987 Serial No.
C158166614EE
US Savings Bond -Series EE $100.00 denomination Issue date 01/1988 Serial No.
C165066424EE
US Savings Bond - EE Series $100.00 denomination Issue date 04/1987 Serial No.
C147174552EE
US Savings Bond -Series EE $100.00 denomination Issue date 05/1987 Serial No.
C133298961EE
US Savings Bond -Series EE $100.00 denomination Issue date 7/1987 Serial No.
C152557406EE
US Savings Bond -Series EE $100.00 denomination Issue date 02/1987 Serial No.
C1410219852EE
US Savings Bond -Series EE $100 denomination Issue date 12/1986 Serial No.
C124384636EE
US Savings Bond -Series EE $50 denomination Issue date 09/1986 Serial No.
L270178027EE
Total Bonds
157.16
157.16
160.32
160.32
160.32
163.52
163.52
163.52
166.80
166.80
92.74
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