HomeMy WebLinkAbout10-01-12 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21 - ~ Z - ~U ~U
Judy A. Chronister
Personal Representative(s) of the Estate of Pauline F. Chronister
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 e~ate
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of inventory -
I verify that the statements made in this Inven- ~ ~ ~ c~ i~
tory are true and correct. I understand that false state- ~ udy ronister xy ; -~ c
ments herein are made subject to the penalties of t ~ ! ~ ~
18 Pa.C.S. § 4904 relating to unsworn falsification to _ -
authorities. ~C ," -n ~"
C7 C~ ~
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
~ ~., c~ O
-rr
Suzanne H. Griest Esq. (Supreme Courf I.D. No.) n" 34362
Griest, Himes, Harrold, Schaumann, Reynosa LLP
129 East Market Street York PA 17401
717-846-8856
DATE OF DEATH LAST RESIDENCE 570 Dogwood Drive DECEDENTS SOC. SEC. NO.
07/0112012 Mech_an_icsburg, PA 17055
FIGURES MUST BE TOTALED
Personal Pro~grty
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 Properly ........................
208,977.44
208,977.44
206,977:44
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 lie extended into the total of the Inventory. (See ~0 Pa. C.S. § 3301(b))
Form RW ~9 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21
DATE OF DEATH LAST RESIDENCE 570 Dogwood Drive DECEDENTS SOC. SEC. NO.
07/01/2012 Mechanicsburg, PA_ 17055
~S.I]
Bankers Life 8 Casualty Co -dividend 55.58
Commonwealth of Pennsylvania -rent rebate 250.00
Fulton Bank -Certificate of Deposit #7788 44,220.89
Fulton Bank -Certificate of Deposit #9860 23,860.76
PNC -Certificate of Deposit #8146 18,515.02
Accrued income on above item through date of death 2.56
PNC -decedent's checking account #5339 2,062.81
PNC -decedent's money market account #7777 116,856.06
Accrued interest on above item through date of death 2.11
Riversource Llfe Insurance Co. -refund of premium payment 1,965.75
Riversource Llfe Insurance Co -reimbursement for nursing home 1,185.90
Total Cash 208,977.44
(Attach additional sheets if necessary) Total Personal Property and Real Estate 208,977.44