HomeMy WebLinkAbout01-21-14 (2) A INVENTORY
REGISTER OF WILLS OF COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA I
SS
COUNTY OF File Number
Personal Representative(s)of the Estate of
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 unswom falsification to
authorities.
Attorney-- (Name) (Supreme Court I.D. No)
(Address)
(Telephone)
DATE OF LAST RESIDENCE DECEDENTS SOC.SEC N0,
FIGURES MUST BE TOTALED
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(Attach additional sheets as needed)
TOTAL: 0.00
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,but such figures should not be extended into the total of the Inventory. (See 20 Pa.CS§3301(6))
Form RW-09 rev. 10.13.06
Assets value Trish Marigif Marion Mar' Margate Marily n
M&T Checking+Verizon Ref $11,010.14 $2,752.54 $2,752.54 $2,752.54 $2,752.52 $0.00
1998 Buick Century $2,500.00 $0.00 $0.00 $0.00 •$2,500.00 $0.00
12 Beaver Road less$3K $145,000.00 $0.00 $0.00 $0.00 $0.00 $145,000.00
109 shares Met Life FMV on DOD $4,003.57 $1,000.89 $1,000.89 $1,000.89 $1,000.90 $0.00
AIG Annuity THIS IS NOT LIFE INS $21,482.10 $5,370.53 $5,370.53 $5,370.53 $5,370.51 $0.00
Life Insurance NOT Taxable $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$183,995.81 $183,995.81 $9,123.96 $9,123.96 $9,123.96 $11,623.93 $145,000.00
Expenses
$15,496.95 $15,496.95 $3,099.39 $3,099.39 $3,099.39 $309939 $309939
$168,498.86 $6,024.57 $6,024.57 $6,024.57 $8,524.54 $141,900.61
Tax at 4.50% $7,582.45 $271.11 $271.11 $271.11 $383.60 $6,385.53
5%Discount Not Sure Correct ($42.52) ($10.63) ($10.63) ($10.63) ($10.63)
Inheritance Tax Due $7,539.93 $260.48 $260.48 $260.48 $372.97 $6,385.53
$7,539.93
$850.00 $212.50 $212.50 $212.50 _ __ $212.50 . $0.00
$47.-98-- $47.98 $47.98 $160.47 $6,385.53
$850.00 $18,888.89
$4,722.22
$212.50
$10.63
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