HomeMy WebLinkAbout10-09-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
File Number 21 12 0323
Personal Representative(s) of the Estate of CAROL DIANE MCAFOOS
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 memorandum at the end yiffthis~inventory.
I verify that the statements made in this Inven- ~ -
tory aze true and correct. I understand that false state- EMILY M P NIK, ADMINISTRATRIX
menu herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) DAVID H STONE, ESQUIRE (Supreme Courtl.D. No.) 39785
(Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070-
(Telephone) (717) 774-7435
DATE OF DEATH
2004 Kia Sorento at Kelly Bluebook value
FIGURES MUST BE TOTALED
93.805 shares American Funds-#58421927-The Growth Fd of America @ $29.320 each
830.195 shares American Funds-#84632788-The Bond Fd of America-A @ $12.540 each
Department of Defense-last payroll check received
MassMutual Life Ins Co-premium refund on policy
MassMutual Signature Care-return of premium
Members 1st FCU-Checking Acct #20870-11 ~; ~ ~ Q~
1~(1R~; ~,Nb'Hd~IO
(Attach additional sheets as needed) ~ ~ ' ~ Nd ~' .~~{~ ~~~~
DECEDENTS SOC. SEC. NO.
6,540.00
2,750.36
10,410.65
576.91
14.06
65,760.24
882.02
~'~` ~ r~^ ~ rn,-,- .. TOTAL: 236,870.81
y'~ y ... ~
NOTE: The Memorandum of real e:.tate outside the Commonw ~~~~e election of the personal representative include the value of each
item, but such figures sho~r d not be extended into the total of the Inventory. (See 2 a. C.S. § 3301(6))
Form RW-09 rev. 10.13.06
LAST RESIDENCE
603 E. KELLER STREET
Continuation of Inventory
CAROL DIANE McAFOOS 21 12 0323
Decedent Name Page ~ File Number
Description of Inventory
Members 1st FCU-Invstmt Savings Acct #20870-05 ~ 100.04
Members 1st FCU-Savings Acct #20870-00 ~ 32.38
Thrift Savings Plan-death benefit w/Navy Depot ~ 67,947.89
United States Treasury-2011 1040 income tax refund ~ 2,340.00
Federal Employee Group Life Insurance-life insurance proceeds w/ estate as beneficiary ~ 79,516.26
subtotal ~ S 149,936.57