HomeMy WebLinkAbout03-14-14 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 2113-0678
Scott R.Burgoon,
Personal Representative(s)of the Estate of John R.Burgoon
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 unsworn falsification to
authorities.
Attorney-- (Name) Mark E.Halbruner,Esq. (Supreme Court 1.D.No.) 66737
(Address) Halbruner,Hatch&Guise,LLP,2109 Market Street,Camp Hill,PA 17011
(Telephone) 717-731-9600
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC NO
June 15,2013 5255 Wilson Lane,Apt.225,Mechanicsburg,PA 17055
FIGURES MUST BE TOTALED
Fulton Bank-Checking Acct.No.3623-51271 5,912.34
2003 Saturn L200 650.00
Various Firearms 1,587.00
Miscellaneous Personal Property 2,699.73
Cash 212.00
Bethany Village-refund 24,629.53
Donegal Insurance-refund 34.00
Bank of America-refunds 61.16
United States Treasury-2013 federal income tax refund r 473.00:37)
CT
r _ � is✓i�
0
(Attach additional sheets as needed)
TOTAL: 36,258.76
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 C.S.§3301(6))
Form RW-09 rev.10.13.06
i
Law Offices of
LLP
2109 MARKET STREET•CAMP HILL, PENNSYLVANIA 17011
MARK E.HALBRUNER (717) 731-9600•FAX:(717) 731-9627 BRANCH OFFICE:
CRAIG A.HATCH,CELA CORRESPONDENCE ADDRESS: 3 WEST MONUMENT SQUARE,SUITE 304
Certified as an Elder Law Attorney by Camp Hill Office LEWISTOWN,PA 17044
the National Elder Law Foundation (717)248.6909
CLIFTON R.GUISE WEB SITE: STACEY L.NACE
Also Admitted to practice before the www.hhgllp.com Paralegal
U.S.Patent&Trademark Office
TRACI L.SEPKOVIC
JOHN H.MCCULLOUGH Paralegal
Of Counsel TRACI L HILFERDING
Paralegal
March 12, 2014
C-) -:
Cumberland County Register of Wills ;,
One Courthouse Square
Room 102 r
Carlisle PA 17013 o c
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RE: Estate of John R. Burgoon e,D
File No. 2013-00678 a4
Dear Register of Wills:
Enclosed for filing are the Information Notice and Taxpayer Response forms (in duplicate)
for the Estate of John R. Burgoon. Also enclosed for filing are the Pennsylvania inheritance tax
return (in duplicate) and Inventory. Please notify our office if there are any additional probate or
filing fees due.Also,please time-stamp the additional photocopy of each document and return them
to our office in the enclosed envelope.
Thank you for your assistance in this matter.
Sincerely,
of .
Traci L. Sepkovic
Paralegal
Enclosures
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