HomeMy WebLinkAbout05-23-12 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-12-0271 -
COUNTY OF Cumberland
James D. Bo ar -
Personal Representative(s) of the Estate of Florence M. Fasick
earin in the following inventory include all of the personal assets wos to each
deceased, depose(s) and say(s) that the items app 9
situate and all of the real estate in is a Commonwealth of Pennsylvania of said Decedent, that the valuation place op
' fair value as of the date of the decedent's death, anduhm atDthe endtof thisanventory state
item of said inventory represents It ears in memo
outside of the Commonwealth of Pennsylvania except that wh' pp S 11 L Z -
I verify that the statements made in this Inven- } Ja es D. Boga
tory are true and correct. l understand that false state- ~ -
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to _
authorities.
(Supreme Court 1.0. No.) 19475
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
James D. Bogar
Bo ar 8~ Hi Law Offices
One West Main Street, Shiremanstown, PA 17011 _
(717) 737-8761
DATE OF DEATH
02127/2012
LAST RESIDENCE Maplewood Assisted Living
.^__r.~.,:~ch„rn_ PA 17055
FIGURES MUST BE TOTALED
Personal Progertv
Cash .............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
StockslClosely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property..•••••••••••••••••••••••••••°"""
Total Real Property ................................................
Total Personal and Real Property.•••••••••••••••••••••••
DECEDENT'S SOC. SEC. NO.
739,305.05
69:00
9
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749,002.05
749,002.05
NOTE: The bUmsuchf guresrshould ntot be extended ~rto the~totailtof t elnventory I (See 20 PaeC ISc§ 3301(b))personal representative include the value of each
item,
Form RW-09 Rev. ~o-~s-zoos
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF ____
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-12-0271
COUNTY OF Cumberland } DECEDENT'S SOC. SEC. NO.
LAST RESIDENCE Maplewood Assisted Living 190-26-6600
DATE OF DEATH
Mechanicsburg, PA 17055
0212712012
~b 100.00
Cash 7.00
Erie Insurance -Premium Refund
081.36
91
f Deposit No. 7700174718. Principal balance at date of death
t
,
e o
Metro Bank -Certifica
986.63; accrued interest $94.73
$90
,
of Deposit No. 31600214329. Principal balance as of date of
t
109,792.74
e
PNC Bank -Certifica
34; accrued interest $205.40
587
.
death $109,
Account No. 5140159833. Principal balance at date of death
35,789.23
PNC Bank -Checking
789.02; accrued interest $0.21
$35
,
Account No. 5112502294. Principal balance at date of death
28,114.30
PNC Bank -Savings
$28,112.80; accrued interest $1.50
434,592.16
PNC Investments -Account No. 005-637645.
0 2335548638. Principal balance at date of
t
39,214.26
Sovereign Bank - Cccru1ed
nter~st$82.93
a
33
131
39
,
.
,
death $ 614.00
2011 Personal Income Tax Refund
U.S. Treasury - 739,305.05
Total Cash
p rconal Prom[ er appraisal
sferred in kind to Peter Montgomery - p 275.00
Personal Property -Property tran
9,422.00
Personal Property -sold at auction
9,697.00
Total Personal Property
Total Personal Property and Real Estate
JJ:F:~nol cnaatc if necessary)
749,002.05