HomeMy WebLinkAbout10-24-12 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Rnhart' t.ee Strayer,
Roselle lean House "' ""'
Personal Representative(s) of the Estate of
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the pars nal assets wiapever
Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite eacR item ot-sa~
and all of the real estate rn the
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 memorand 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- Ro r er, Ex cutor
ments herein are made subject to the penalties of 8236 th L t Mountain Road
18 Pa.C.S. § 4904 relating to unsworn falsification to - Tucson, AZ 85747
authorities.
(Supreme Court LD. No.) 6355
Attorney -- (Name) Richard C. Snelbaker
(Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(7'e/ephone) 717-697-8528
DECEDENT'S SOC. SEC. NO.
DATE OF DEATH
03/OSRO l l
FIGURES MUST BE TOTALED
1. Household goods, sale value
2. U.S. Treasury, refund due the decedent on Final Individual 201 l Tax Retum (Form 1040)
3. 1999 Buick automobile, sale value
4. Central Penn AAA, refund due the decedent
5. Geico, refund on auto insurance policy
6. Household goods retained by residual beneficiaries
7. Household goods, bequest of dark pine sink to Margaret Marie Erickson per Article IV, item number 2
8. Household goods, bequest of small oak writing desk to Ray Richard Strayer per Article IV, number 3
9. Various,jewelry, bequest of all jewelry to Karen LaDawn House per Article IV, item 1
10. Member's 1st Federal Credit Union, savings account #26968-00
I I. Member's Ist Federal Credit Union, checking account #26968-I 1
12. Member's Ist Federal Credit Union, checking account #26968-OS
13. Patriot News, refund due the decedent
14. Penn Waste, refund due the decedent
15. Riding Mower, sale value
l6. Tax refund on 2010 income tax return
17. Real Estate located at 815 West Keller Street, Monroe Twp.,
Mechanicsburg, PA 17055, sale value
(Attach additional sheets as needed)
l ,827.50
28.00
3,750.00
31.36
78.42
640.00
90.00
180.00
l ,240.00
563.22
15,086.25
274.61
178.37
33.12
350.00
49.00
128,062.73
152,462.58
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 rigures should not be extended into the total of the Inventory. (See 30 Po. C.S. § 3301(6))
LAST RESIDENCE
815 West Keller Street, Monroe Twp., Mechanicsburg, PA 17055 210-26-9840
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Fornt RW-09 rer. 10.13.06