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HomeMy WebLinkAbout05-21-12M REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS CouNTV OF Cumberland } John R Valle Personal Representative(s) of the Estate of Janine L Valle 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- ~ ~~ ~lJ,,, ~~ tory are true and correct. I understand that false state- ~Ohn R Valle ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) EDMUND G. MYERS (Eton) JOHNSON DUFFIE (Supreme Court I.D. No.) 20558 YLVA~IA ~-.° s ~, , m c;~ ~.. c, c.; rv N (Address) 301 MARKET STREET, Lemoyne, PA 17043 (Telephone) (717) 761-4540 INVENTORY CUMBERLAND COUNTY, File Number 21-11-0983 DATE OF DEATH LAST RESIDENCE 108 Parkvlew Road OECEDENT'$ SOC. SEC. NO. 08121/2011 New Cumberland, PA 17070 183at2-3646 FIGURtS MUST BE TOTALED Personal Property Cash ....................... Personal Property StockslListed........ 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 19,888.01 4,250.00 24,138.01 24,13t#.01 NOTE: The Memorantlum of real estate outsitle [he Commonwealth of Pennsylvania may at [he election of the personal representative inclutle the value o(each item, but such figures shoultl not be extentletl into the total o(the Inventory. (See X20 Pa. C.S. § 3301(b)) Form RW-09 Rev f0-13-2006 J" - REGISTER OF WILLS OF INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA couNrroF Cumberland } ss File Number 21-11-0863 DATE OF DEATH LAST RESIDENCE 108 Parkview Road DECEDENT'S SOC. SEC. NO. 08/2112011 New Cumberland, PA 17070 _ 1832-3646 ~s35t1 Citizens Bank Estate Checking Account -Stop Payment on Pinnacle Check 109 83.53 Herbert Simon -Security Deposit Refund 300.00 Highmark, Inc. - PA Unclaimed Property 353.00 PA Motor Truck Association -Final payroll check from PMTA 1,840.80 PA Motor Truck Association -Insurance Reimbursement 28.12 PA Motor Truck Association -Insurance Reimbursement 27.56 PA Motor Truck Association -Insurance Reimbursement 28.12 PA Motor Truck Association -Insurance Reimbursement 357.00 Pennsylvania State Employees Credit Union Checking Account 258.30 Pennsylvania State Employees Credit Union Savings Account 477.50 Pinnacle Health Hospital Cardio Studies 83.53 Pinnacle Health Hospital Cardio Studies 35.69 Pinnacle Health Hospital Lab 125.51 Pinnacle Health Hospital Lab 1,079.50 Pinnacle Health Hospital Medical In Patient 420.66 Pinnacle Health Hospital Medical In Patient 1,283.41 Pinnacle Health Hospital Medical In Patient 94.37 (Attach additional sheets if necessary) Total Personal Property and Real Estate 24,138.01 r REGISTER OF WILLS OF INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-11-0863 DATE OF DEATH LAST RESIDENCE 108 Parkview Road DECEDENT'S SOC. SEC. NO. 08/2112011 New Cumberland, PA 17070 183-42-3646 Pinnacle Health Hospital Medical In Patient 762.10 Pinnacle Health Hospital Outpatient 478.51 Quantum Imaging and Surgery 221.40 Quantum Imaging and Surgery 12.37 Quantum Imaging and Surgery 12.37 Quantum Imaging and Surgery 12.37 Quantum Imaging and Surgery 12.37 Quantum Imaging and Surgery 12.37 Quantum Imaging and Surgery 12.37 Sovereign Bank Interest Checking Account No. 771028857 5,531.80 Sovereign Bank Statement Savings Account No. 774042840 6,458.86 United Concordia Life and Health Insurance - PA Unclaimed Property 71.00 Verizon -Refund on Account 13.52 Total Cash 79,888.01 Personal Prepertrr Lady's 14K Yellow Gold Tennis Bracelet -See attached appraisal 4,250.00 Total Personal Property 4,250.00 -2-