HomeMy WebLinkAbout01-23-13 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANLA 1
COUNTY OF J SS Fi]e Number 21-12-0292
Personal Representative(s) of the Estate of HAROLD O. JACOBS
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- ~>ti.~~~ ~~
tory are true and correct. I understand that false state-
ments herein aze made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney -- (Name) Michael Cherewka, Esquire
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
November 28, 2011 524 North Thvd Street, Wormleysburg, PA 17043 193-36-4883
FIGURES MUST BE TOTALED
1. Tax Parcel#47-19-1590-099A
2. Tax Parcel#47-19-1590-100
3. 1999 Kawasaki Nittja Motorcycle, Fair Condifion, Sale Ptice
4. 2001 Belmont Utility Trailer
5. Personal Items, Clothing
52,300.00
119,900.00
1,000.00
2,100.00
500.00
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(A#ach adds#oaal sheets as needed) ~~ -i i ~ ' °~~='
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TO`'[' ~ 175,800.00
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, bui such figures should not be eztereded into the total of the Inventory- /See 20 Po, CS § 3301(b))
(Supreme Court LD. No.) 35073
(Address] 624 North Front Street, Wormleysburg, PA 17043
rrolo„y,„„oi 717-232-4701
Form RW-09 rev. 10.!3.06
Law Offices of
Michael Cherewka
624 North Front Street
Wormleysburg, Pennsylvania 17043
(71.7)232-4701
Fax (717) 232-4774
January 21, 2013
Register of Wills Office
Cumberland County Courthouse
1 Courthouse Squaze
Cazlisle, PA 17013
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Re: Estate of Harold O. Jacobs
Docket #21-12-0292
Our File No.: 4168.01
Enclosed please fmd REV 1500, Inheritance Tax Return for Resident Decedent and
Inventory, together with our check in the amount of $30.00 to cover the cost of filing the retum
and Inventory. There is no tax due.
We have enclosed a copy of the front page of the return and a copy of the Inventory. We
ask that youtime-stamp the copies and return them to us in the enclosed stamped envelope.
If you have any questions, please call the undersigned. Thank you for your consideration
in this matter.
Very truly yours,
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Michael Cherewka '`~
MC/11
Enclosures
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