HomeMy WebLinkAbout08-05-13 (2) INVENTORY
REGISTER OF WILLS OF DAUPHIN COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COIJNTY OF DAUPHIN SS File Number 21 13 0296
Personal Representative(s)of the Estate of GILBERT W. PROBST
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 Jo as A. Diffenbau , dministrator C.T.A.
18 Pa.C.S. §4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Jacqueline A. Kelly (Supreme Court I.D. No.) 91973
(Address) 845 Sir Thomas Court, Suite 12 Harrisburg PA 17109
(Telephone) 717-541-5550
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC SEC.NO.
5 Chester Road
2/19/2013 Enola PA 17025
FIGURES MUST BE TOTALED
2012 Subaru Outback 24,000.00
proceeds from willing buyer
Premier Eye Care; refund 176.00
Allstate; refund for policy changes 32.08
CVM; refund for online registration overcharge 5.00
John Deere cart, chainsaw, soldering gun, tractor 3,970.00
proceeds from sale
Highmark; refund � 270.40
..{�:�-, ,_�?�������1�
�� Vi 4-� `'ea t� .a s..
� i#��>�E1 avs �� �1-,�
Comcast; refund 53.43
,,, _
�,��,,� �•,� �f j r 7 i�..
� � t�J:1 � � :j i�—i�'
(Attach additional sheets as needed) �. _� __ _-: ..}
��3 .��� j �`� �=-� _��-:� TOTAL• 240,941.24
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 tota(of the Inventory.(See 20 Pa.C.S.�3301(b))
Form RW-09 rev. 10.13.06 ''�
Continuation of inventory
GILBERT W. PROBST 21 13 0296
Decedent Name
Pa e 1 File Number
Description of Inventory
Allstate; premium refund 29 99
Real property located at 5 Chester Road, Enola, PA 17025 210,000.00
see attached settlement sheet
Reimbursement for items paid in advance of settlement for sale of 5 Chester Rd, Enola PA 17025 2,404.34
(city/county/school tax reimbursement)
Subtotal $ 212,434.33
Grand Total $ 240,941.24