HomeMy WebLinkAbout06-29-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF DAUPHIN
Personal Representative(s) of the Estate of '~ S. McCormick
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 melgorandum at th ~ d o ~~ ventot~ n ~_ T
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities. 0 ~ ~ ~QC~
Heather D. Royer, Esquire ~ ~ 763i`I ~~
Attorney -- (Name) (Supreme Court ~~Vo.) _ ~~ G~ , ';;
(Address) 4431 N. Front Street, 3rd Floor, Harrisburg, PA 17110
(Telephone) (717) 234-2401
File Number 2011-01163
i , tV
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
10/50/2011 1147 Country Club Road, Camp Hill, PA 17011 164-22-0668
__
FIGURES MUST BE TOTALED
1. Loan to Mr. H. Robert Kranich
2. 1998 Mercedes-Benz SLK
3. Articles of Jewelry
4. PSECU Savings Account #1488015842795
5. PSECU Checking Account #1488015842795
6. Metro Bank Checking Account #536737661
7. Prepaid Funeral Plan with Neill Funeral Home, Inc.
8. Medical Expense refunds, Comcast refund and State Farm auto insurance refund
9. GTL Health Insurance Refund
10. CNA Long Term Care Insurance Refund
11. Merrill Lynch CMA Account #6BA-94119
12. Merrill Lynch Dividends
13. Personalty-Rug
14. Cash on hand
15. Readers Digest Refund
(Attach additional sheets as needed)
1,000.00
6,791.00
5,000.00
14.50
21,474.32
581.07
8,356.82
1,956.29
46.29
1,720.39
65,536.83
567.42
2,250.00
50.60
30.71
TOTAL: ~ 115,376.24
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 10 Pa. C.S. § 3301(b))
Forst RW-09 rev. 10.13.06