HomeMy WebLinkAbout09-26-12 (3)INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21 ~~
COUNTY OF Cumberland } ~--
Ka I M. Wen¢
Personal Representative(s) of the Estate of Eugene L. Foster
osite each
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets w Breve
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation place opp
re resents its fair value as of the date of the decedent's death, and that Decedent owned no real e~at~
outside of the Commonwealth of Pennsylvania except th which appears in a memorandum at the E:nd of this inven ory.
item of said inventory P 9
I verify that the statements made in this Inven- ry entZ
tory are true and correct. I understand that false state ~ I
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
(Supreme CouR LD. No.) 20
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Lauren E. Bogar
717-737-8761
LAST RESIDENCE 2402 Fenwick Avenue
DATE OF DEATH
06/27/2012
FIGURES MUST BE TOTALED
Cash ..............................................................................................
Personal Property .....................................
StockslListed ................................................................................
StockslClosely Held .....................................................................
.........................................
.. ....................
Bonds .........................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property
Total Real Property
..............
Total Personal and Real Prope •.••••••••
DECEDENTS SOC. SEC. N0.
3,697.73
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0
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O y rn
c[7
~p
177 ~
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3,683.73 ~
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3,697.73
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NOTE: Ilem burl such figures shoultlt nttot be el#enOeC Infonthetotal of thelDVentory ~ (SeeY20 PaeC!S. §D33D1(b))personal representative include the value of each
Form rtW-09 Rev 70-13-2006
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF
File Number 21
COUNTY O ~CUTberland YLVANIA } SS
LAST RESIDENCE 2402 Fenwick Avenue
DATE OF DEATH Mechanicsbur PA 17055
0612712012
~~ Andrews and Patel - Physlcran wsitnut-of-pocket payment refund
Banker's Life and Casualty Company -Cancellation Refund
Commerce Insurance -Automobile insurance premium refund
Empire Vision Centers -Contact lens refund
Everence -Health insurance premium refund
Everence -Patient out-of-pocket payment refund
Malpeui Funeral Home -Veteran's Refund
Quincy Mutual -Homeowner's insurance premium refund
Total Cash
DECEO .SEC. NO.
391-28-6758
517.00
24.35
389.00
45.00
2,090.54
310.73
100.00
221.00
3.697.73
Total Personal Property and Real Estate