HomeMy WebLinkAbout12-05-12 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
CUMBERLAND
Maretta K Schmidt
Personal Representative(s) of the Estate of Rita Helene Krantz
File Number
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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 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- arena K Schmi t
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to -- -
authorities.
Attorney -- (Name) Linda J. Olsen, Esq.
(~""') Hazen Elder Law
(.address) 2000 Linglestown Rd. ,Harrisburg, PA 17110
(Telephone) 717-540-4332
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(Supreme Court I.D. No.) 92858
DATE OF DEATH I LAST RESIDENCE 824 LlSburn Rd DECEDENT'S SOC. SEC. NO.
03/12/2012 Camp Hill PA 17011 317-20-7790
FIGURES MUST BE TOTALED
Personal Pro~er~y
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 ........................
7 09,740.43
333.60
110,074.03
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 fgures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(b))
Form l~W-~9 Rev. f0-13-2006 ~~
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-12-0573
DATE OF DEATH LAST RESIDENCE g24 Lisburn Rd DECEDENT'S SOC SEC. NO.
03/12/2012 Camp Hill, PA 17011 317-20-7790
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Belco Community Credit Union Acct. #18110 - S1
Belco Community Credit Union Acct. #18110 - SS
Belco Community Credit Union Certificate # 1000(59131)
Citizens Bank Cking. Act. #6100690059
Citizens Bank MM Act. # 6225658444
Refund - Genworth Longterm Care Insurance premium
Refund - Highmark Medicare Services -payment
Refund -IRS 2011 personal income tax
Refund - PA DOR 2011 personal income tax
Total Cash
Savings Bond Series EE - $200 -See attached inventory
Total Bonds
996.19
16,333.07
6,413.65
78,476.52
1,956.24
800.00
137.76
3,877.00
750.00
109,740.43
333.60
333.60
(Attach additional sheets if necessary) Total Personal Property and Real Estate 110,074.03