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HomeMy WebLinkAbout12-13-12 (2)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } David L. Johnson and Debra A. Cassatt Personal Representative(s) of the Estate of Jerry L. Johnson File Number ~.:: rte, 3~° ~~ ~Q ~IA COUP~Nf~YL ~ `'~ C~ ~:. ~ ~~! ~~v6 ~ c:::+ ...,~ iJ ~- 21-2f-0 - ct~ ::: n;"~ r~° i-rt t O ,y ~ ~"1 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- ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. CUMBERLAND Attorney -- (Name) James D. BOgar (Supreme Court I.D. No.) 19475 (Firm) gogar & Hipp Law Offices (Address) One West Main Street, Shiremanstown, PA 17011 (Telephone) (717) 737-8761 DATE OF DEATH LAST RESIDENCE 5002 Balmoral Court DECEDENTS SOC. SEC. NO. 05/06/2012 Mechanicsburg, PA 17050 200-24-1191 FIGURES MUST BE TOTALED Personal Property Cash ............................................................................................... Personal Property ........................................................................ Stoc ks/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 ........................ 135,041.14 22,635.00 157,676.14 255,000.00 412,676.14 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 eMendetl into the total of the Inventory. (See 20 Pa. C.S. § 3301(b)) Form RW-09 Rev. io-73-2006 f, s~ r INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } DATE OF DEATH LAST RESIDENCE 5002 Balmoral Court n~inr,.~..~.. DECEDENT'S SOC. SEC. NO. 200-24-1191 Americhoice Federal Credit Union -Regular Savings Account Number 00145-0001. Date of death balance $69.88; accrued interest $0.00. Americhoice Federal Credit Union -Sub Share Account No. 00145-0018. Date of death balance $10,420.05; accrued interest $0.00. Americhoice Federal Credit Union -Certificate of Deposit No. 00145-0068. Date of death balance $79,472.79; accrued interest $303.46. Americhoice Federal Credit Union -Certificate of Deposit No. 00145-0069. Date of death balance $37,363.34; accrued interest $159.71. Americhoice Federal Credit Union -Checking Account No. 00145-0016. Date of death balance $7,230.66; accrued interest $0.00. Holy Spirit Hospital -Refund of overpayment Total Cash Personal Pronert~ 2011 Ford Fusion -VIN # 3FAHPOJA3BR102505. Personal Property Total Personal Property COUNTY, PENNSYLVANIA i=i~e Number 21-21-0586 69.88 10,420.05 79,776.25 37.523.05 7,230.66 21.25 135,041.14 18,500.00 4,135.00 22,635.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 412,676.14 REGISTER OF WILLS OF INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-21-0586 DATE OF DEATH LAST RESIDENCE 5002 Balmoral Court DECEDENT'S SOC. SEC. N0. 05/06/2012 Mechanicsburg, PA 17050 200-24-1191 Rpal FctatP Real Estate -All that certain piece or parcel of real estate having erected thereon a dwelling house being known and numbered as 5002 Balmoral Court, Mechanicsburg, Pennsylvania. The property was acquired by Jerry L. Johnson, by deed dated January 31, 1991 and recorded February 5, 1991 in the Cumberland County Recorder of Deeds Office. The above-described real estate was sold pursuant to an Agreement of Sale for Real Estate dated August 2, 2012. Final settlement occurred on September 18, 2012. The sale price of the real estate was $255,000.00 Total Real Estate 255.000.00 255,000.00 -2-