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Home My WebLink About10-22-12 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS } File Number 21-12-0455 Robert E. Youn Personal Representatwe(s) of the Estate of Mary J. Eldridge 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 of this inventory. I verify that the statements made in this Inven- tory are true and correct. I understand that false state- Robert E. Youn ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unswom falsification to authorities. Attorney -- (Name) Linda J. Olsen, Esq. (Firm) (Supreme Court 1. D. No.) 92858 Hazen Elder Law (address) 2000 Linglestown Rd ,Harrisburg, PA 17110 (Telephone) 717-540-4332 - DATE OF DEATH 03/02/2012 LAST RESIDENCE g15 Crooked Stick Dr Mechanicsburg, PA 1 FIGURES MUST BE TOTALED Personal Proms 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 ........................ DECEDENT'S SOC. SEC. NO. r"? ~ a~ ~ _ zl -- ~ ri ~, N -. ~:-j --i C~C~ .~,- .Y. := C O ~ ~, ~ ~_ ~ __ : D N ~ 42,203.39 d2,?Q3.39 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)) Form RW-09 Rev ~o-is-loos REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS DATE OF DEATH LAST RESIDENCE g15 Crooked Stick Dr ~b DECEDENTS SOC. SEC. NO. MidPenn Bank CD #312-000298 12,488.63 Navy Mutual Aid - (life insurance death benefit decedent received from death of 23 000 00 spouse, 9N 5/1986) , . Refund - Brasstown Manor 2,940.00 Refund -Genworth premium 43.34 Refund -IRS 2010 personal income tax 190.94 Refund -IRS 2011 personal income tax 581.00 Refund -Pharmacy/returned medication 6.36 Reimbursement -Genworth -Feb. medical expense 1,984.00 USAA Federal Savings Bank - Cking.Act. #01011-3059-7 969.12 Total Cash 42,203.39 INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-12-0455 (Attach additional sheets if necessary) Total Personal Property and Real Estate 42,203.39