HomeMy WebLinkAbout11-09-12 (3)INVENTORY c-~ ~=~ ~='
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REGISTER OF WILLS OF Cumberland COUNTY, PENNSYL~A~NIA `~:-' _ : `='
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COMMONWEALTH OF PENNSYLVANIA _.. ~~ ,
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COUNTY OF Cumberland } File Number 2012-00231 ~ , °~'
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Personal Representative(s) of the Estate of Martha L. Warner a~
deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe 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-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Nar~re) Michael R. Warner, Executor
(Addres•s) 101 Penns Run Road, Mechanicsburg, PA 17050
(Telephone) 717-796-7615
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
02 14/2012 17 Pheasant Street, Mechanicsburg, PA 1750 211-18-1230
FIGURES MUST BE TOTALED
1. Real property located at 17 Pheasant St., Silver Spring Twp. Mechanicsburg, Cumberland County, PA
Value per appraisal
2. Real property located at 116 Linden Drive, Lower Allen Twp., Camp Hill, Cumberland County, PA
Value per appraisal
3. 1,398.129 shs. Dreyfus Fund (u ~9.25,~sh; account #0026-3345021319
4. 1,312.0290 shs. Harris Large Cap Value Fund Class A (cc $15.43- sh.; Natixis account #4000022568
5. 758.096 shs. Wells Fargo Advantage Equity Value fund Class A (cc $13.11!sh.; account #65019627
6. Orrstown Bank checking account #149000754; principal plus accnied interest
7. Myers-Buehrig Funeral Home -prepaid funeral account
8. 2005 Lincoln Town Car
9. Misc. household furnishings
10. Highmark -reimbursement of insurance premium for drug plan
11. AMA Insurance Agency -refund due to death
12. BJ's Visa credit card -refund from credit balance
13. US Treasury - 2010 Federal Income Tax refund
14. Pa. Dept. of Revenue - 2009 income tax refund
(Attach additional sheets as needed)
170,000.00
146,000.00
12,932.69
20,244.61
9,938.64
44,620.43
12,968.00
8,400.00
2,500.00
57.20
1.57
31.05
8.39
108.19
TOTAL: I 427,810.77
NOTE: The Memorandum of real estate outside the Cotmnon«-ealth of Pennsvh-ania may, at the election of the personal representati~~e include the ~-alue of each
item, but such Yigures should not be extended into the total of the Ins-entor~•. (Sec ~0 Pn. C'.S. ~ 33011h~i
(Su~r•errre Court I.D. ~Vo.)
For•~rr Rib' 09 rer. 10.13.06