HomeMy WebLinkAbout10-22-12 (3)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Daniel V. Bonawitz
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-12-0926
Personal Representative(s) of the Estate of Mary R. Fortn
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 memoranda at the end of this inventory.
I verify that the statements made in this Inven- ~. ,~ ~ ~~".~2G(,tL ' ~'
tory are true and correct. I understand that false state- ~ Daniel V. Bonawitz ~ ~; `~`--' _ }~"~? ~~,
ments herein are made subject to the penalties of ~ ~ ~ `_' ~r_`
coo --~,+ e-~ ~ .., <_ .:
18 Pa.C.S. § 4904 relating to unsworn falsification to ;°r~`~ ~~- ""~ _ ~--~,~-
authorities. `- ~~ ` N "
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Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Michael L. Bangs
Bangs Law Office, LLC
429 South 18th Street, Camp Hill, PA 17011
7171730-7310
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(Supreme Cout~.~:+No.) ••4126~n d
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DATE OF DEATH LAST RESIDENCE 11 East Locust Street DECEDENT'S SOC. SEC. NO.
07/28/2012 Enola, PA 17025 178-16-6469
FIGURES MUST BE TOTALED
Personal Pro eg! 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 ................................................
253,015.80
87,700.00
Total Personal and Real Property ........................
252,028.11
987.69
340,715.80
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 Rey. ~o-~s-loos
~~
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-12-0926
DATE OF DEATH LAST RESIDENCE 11 East Locust Street DECEDENT'S SOC. SEC. NO.
07/28/2012 Enola, PA 17025 178-16-6469
Cash
Consolidated Rail Corporation -monthly benefit
Metro Bank - 50 Plus Checking Account
Metro Bank -Personal Statement Savings
PNC Bank -Savings Account
Refund from Highmark Blue Shield
Total Cash
Stocks/Listed
33.0000 shares MetLife, Inc.
Total Stocks/Listed
Real Estate - 11 East Locust Street, East Pennsboro Township, PA (Tax Parcel No. 09
-16-1050-066). Tax assessment value $87,700.00.
Total Real Estate
79.35
88,878.28
107,690.13
55,315.78
64.57
252,028.11
987.69
987.69
87,700.00
87,700.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 340,715.80