HomeMy WebLinkAbout01-14-13 (3)INVENTORY
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REGISTER OF WILLS OF Cumberland COUNTY, PI~SYLV~YiZIIA'
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COMMONWEALTH OF PENNSYLVANIA ~t ~-' ~.~ y ' ';
COUNTY OF Cumberland ss File Number 21-12-0654'-' ~,.~ ~°'` ~
Susan Rene MacBean, Executrix = ~~ :~~°~, ~.; ~=Y
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Personal Representative(s) of the Estate of Bonnie L. Bowers a/k/a Bonnie Lee Bow~"s T ""~' ~ ~-` -~'
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of'lhe p~arsonal assets v~herir`~er situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuatip.~ placed oppp~te eat ~~~m of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no reaC estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
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I verify that the statements made in this Inven- ~~'`~ ~ ~ :_.~,~ J ~,
tort' are true and correct. I understand that false state-
ments herein are made subject to the penalties of ~ Susan Rene MacBean, Executrix
18 Pa.C.S. § 4904 relating to unsworn falsification to ~ a nPV ~~PnL,P
authorities. Toms River, NJ 08753
Attorney -- (Name) Keith O. Brenneman, Esquire
(Supreme Court 1. D. No.) 47077
(Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. N0.
06/05/2012 106 Old Town Road, South Middleton Twp., Gardners, PA 17324 164-30-3536
FIGURES MUST BE TOTALED
1. Property located at 106 Old Town Road, South Middleton Twp., Gardners, PA 17324, sale value 120,592.63
2. The Sentinel, subscription refund due the decedent 9.19
3. 2009 Chevy Colbalt, appraised value 9,000.00
4. China closet and blue willow china bequeathed in Will to Susan Rene MacBean (appraised value) 80.00
5. Conunonwealth of Pennsylvania, revenue rebate due the decedent 500.00
6. Gold watch and chain, bequeathed in Will to David Luther Beetem (appraised value) 1 10.00
7. Highmark, insurance premium due the decedent 202.94
8. State Farm, homeowners insurance premium refund due the decedent 260.25
9. N.~usehold hoods, appraised value 735.00
10. M&T Bank, certificate of deposit #31003920249115 7,01 1.82
1 1. M&T Bank, savings account #15004200129672 22,709.05
12. M&T Bank, checking account #3740590520 3,203.50
13. Prudential Insurance Company of America, investment account #4351001000095
14. Social Security benefit due the decedent
15. State Farm Mutual Automobile Insurance Compnay, auto insurance premium due the decedent
16. Teamsters, death benefit due the decedent
(Attach additional sheets as neede~!)
17,443.13
1,258.00
264.67
189.00
TOTAL: ~ 183,569.18
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 ZO Pa. C.S. ~ 330/(6))
Form RW-09 rer. 10.13.06 ` ~
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