HomeMy WebLinkAbout09-28-12INVENTORY
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REGISTER OF WILLS OF CUMBERLAND COUNTY
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COMMONWEALTH OF PENNSYLVANIA ~ `
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COUNTY OF Cumberland File Number _
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Adam Smith -
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Personal Representative(s) of the Estate of Gary L Smith
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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 ap ears in a m~orandum ~ th of this inventory.
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verify that the statements made in this Inven- ~,,. ,~~~ --` . .,,.
tory are true and correct. I understand that false state- ~ ~ ~ ~ ~ ~ ~ ~-~' "' ~~
Adam Smith ~--
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Mark A. Mateya (Supreme Court I.D. No.) 78931
(Firm)
(Address) 55 W. Church Avenue, Carlisle, PA
(Telephone) 717-241-6500
DATE OF DEATH LAST RESIDENCE 684 N Middle Road DECEDENT'S SOC. SEC. N0.
01/01/2012 Newville, PA 194-40-4562
FIGURES MUST BE TOTALED
Personal Pro ~rtv
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
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 ........................
43,764.33
337,952.60
381,716.93
137,000.00
518,716.93
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 20 Pa. C.S. § 3301(b))
Form RW 09 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland 1 SS
DATE OF DEATH I LAST RESIDENCE 684 N Middle Road
01/01/2012 Newville, PA
Cash
Total Real Estate
117.56
1.41
600.00
30,244.66
529.61
8,173.96
1,595.41
960.36
150.00
64.38
101.74
1,225.24
43,764.33
137,000.00
137,000.00
DECEDENT'S SOC. SEC. NO.
194-40-4562
Comcast -Refund on account for Cable. Account No. 09547-24098006
Dominion -Refund
GMG Management -Apartment rental refund for 703 Louisa Lane, Mechanicsburg, PA
New Cumberland Federal Credit Unioin -Checking account No. 76979-S4
New Cumberland Federal Credit Union -Savings Account No. 76979-S1
New Cumberland Federal Credit Union -IRA Account No. 76979
PNC Bank -Checking Account No. xxxxxx8974
PNC Bank -Mortgage payment for June 2012 and funds to correct overdraft of bank
account
PNC Bank -Funds to refresh personal checking account
State Farm Fir 8< Casualty Co. -Refund on Policy No. 38-BO-C329-2
State Farm Mutual Automobile Ins. Co. -Refund on Policy No. 1109379613
US Treasury -Pension check
CUMBERLAND
Total Cash
Real Estate - 684 N Middle Road, Newville, PA -Assessed Value
COUNTY, PENNSYLVANIA
File Number 21-12-0063
(Attach additional sheets if necessary) Total Personal Property and Real Estate 518,716.93
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH
01 /01 /2012
LAST RESIDENCE 684 N Middle Road
Newville, PA
All Other Prop
Federal Retirement Thrift Savings Plan
File Number 21-12-0063
DECEDENT'S SOC. SEC. NO.
194-40-4562
Total All Other Property
337,952.60
337,952.60
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