HomeMy WebLinkAbout08-29-13 � INVENTORY
REGISTER OF WILLS C7FCUMBERLAND COUN'i'Y, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COCJNTYOF �UMBERLAND SS FiieNumber Zi 33 6567
Personat Represontative{s}of the Estate of Blanche M.T3erick
deceased,deppse(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 va(uation placed opposite each item of said
inventary represents its fair value as af the date of the decedent's death,and that I3ecedent owned no real estate ontside of the
Commonwealth of Pennsylvania exaept that which appears in a memorandum at the end of this inventory.
I verify that the statemenu made in this Inven- ��� � �_ 1?j)_��—
tory are true and correct. I understand that fatse state- �������
ments herein are made subject to the penalties af Sherry nn S da
18 Pa.C.S. �4904 retating to unsworn falsification to
aathorities.
Attarne,y -- (Name) Benjarnin J. Butler {Supreme Court LD.No.) 81948
(Address) 1007 Mumma Road,Suite 141 Lemovna PA 17d43
(Telephone)'717.236.1485
DATE OF 6EATH �A$T RESIDENGE DECEDENTS SOG.SEG MO.
132 Cazol Lane
4/18/13 Enola PA 17025
FIGiTttES riIUST BE TOTALED
Stocks&Bonds
129,00 shares MetLife, Inc. (MET) 4,628.52
au
ca � ; r� r�+
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$1,d00.Od Series HH Savings Bond(M9359163HH} � —�a ,. ' -' �� 1,000.74
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� T; t-.. ,.. f .:..'�,, r,�r
$I,d00.d0 Series HH Savings&ond(M4354164HH} � � i,:' r., ],040.74
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c"� c; :.�. . :`�';
$500.00 Series I-IH Savings Bctnd(D658fi 141 HI-I} � `v i:c 50037
-ca —' �.� ,� �:,
L, ,�
$250.00 West Shore Lodge Sond-Certificate No.439 265.44
$250.00 West Shore Lodge Bond-Certificate No.04D 265.44
(Attack addttlonaf sheets as needed}
TOTAL: 27,410.15
NOTfi: The Memorandum of real cstate ovtside ttu Commonwea(th of Ptnnsylvania may,at the alectian of the personai rcprescntativa include tbc value ofeach
item,but such figures s6ould not be axtended into the rotai of the Imenrory.(See 20 Pa,C.3§330](bJ}
Farm RW-04 rev. l0.13.D6 �
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' Continuation of Inventory
Blanche M. Derick 21 13 0561
Decedent Name Paae 7 File Number
Description of Inventory
$250.00 West Shore Lodge Bond-Certificate No.041 265.44
$250.00 West Shore Lodge Bond-Certificate No. 042 265.44
Cash,Bank Deposits,&Misc.Personal Property
2001 Lincoln Continental (approz. 45,000.00 miles) 6,800.00
PNC Bank-Priority 50 Plus Interest Checking Account No. 51-4011-1637 11,66724
2012 ]040-Refund 600.00
Comcast-Refund 11.23
Patriot News �.ZZ
Erie Insurance-Refund 13233
Subtotal f 19,748.90
Grond Total E 27,410.15