HomeMy WebLinkAbout04-30-14 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-12-1052
Sadie C. Pounder
Personal Representative(s)of the Estate of Louis B. Cantone
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 decedenYs 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- � Sadie C. Pounder
ments herein are made subject to the penalties of � ��,��
18 Pa.C.S. §4904 relating to unsworn falsification to � ��G�
authorities.
Attorney-- (Name) Jeffrey R. Boswell, ESqUII'@ (Supreme Court I.D. No.) 25444
(Firm) Boswell, Tintner& Piccola
(Address) 315 North Front Street, Harrisbur�, PA 17101
- __ _- - ----
(Telephone) 717-236-9377
DATE OF DEATH LAST RESIDENCE 425 Poplar Church Road DECEDENT'S SOC.SEC.N0.
09/09/2012 Wormleysburq, PA 17043
FIGURES MUST BE TOTALED
Personal Pro e�rtv_
Cash............................................................................................... 25,898.43
Personal Property........................................................................ � ,,.�, 1,62�:25
Stocks/Listed................................................................................ � ° � �
Stocks/Closely Held..................................................................... � � � � .
C� -� --�r� .... Cs
Bonds............................................................................................ rn x � ao cr, a�
� �, c"" � ---d =7
MutualFunds................................................................................ � � r-?, � � r-�
�� �r� v
Partnerships and Sole Proprietorships ..................................... � - � �, �,,,
Mortgages and Notes Receivable............................................... � .� � � -�
All Other Property........................................................................ ° ►—► �., cr
� � rn
� � �
Total Personal Pro ert �''' : � �,g$.6g
p Y........................................
Total Real Property................................................ - 172,684.41
Total Personal and Real Property........................ 200,203.09
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(b))
Form RW-09 Rev.io-is-2oos
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INVENTORY
REGISTER OF WILLS OF _ CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 2�-12-�052 _ _ _ __
DECEDENT'S SOC.SEC.N0.
DATE OF DEATH LAST RESIDENCE 425 Poplar Church Road
09/09/2012 WormleVSburq, PA 17043 189-
Total Cash 25,898.43
personal Pro�ertv
Personat Property -per Summary Appraisal Report/Personal Property Estate, dated 1,620.25
November 4, 2012, prepared by Ibis Appraisal Services(attached), adjusted for sale of
personal property by Rowe's Auction Service,less commission paid (attached), and
items distributed to family members
Total Personal Property 1,620.25
R�al Estate
Real Estate-425 Poplar Church Road, Camp Hill, Cumberland County, PA-($171,500 172,684.41
plus adjustments of$1,168.41)see Settlement Statement(HUD-1)attached-Settlement
Date: March 28, 2014
Total Real Estate 172,684.41
-2-
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-12-1052
DATE OF DEATH LAST RESIDENCE 425 Poplar Church Road DECEDENT'S SOC.SEC.N0.
09/09/2012 Wormleysburq, PA 17043
Cash
Citizens Bank-Checking Account No.XXXXXXXXXX075-4 17,734.25
Commonwealth of Pennsylvania-State Retirement Payment 474.63
Donegal Insurance Group-insurance refund 174.00
Donegal Insurance Group-insurance refund 292.00
Insurance Refund 382.00
Mid-Atlantic Insurance Group-refund 11.84
Ohio National -refund 42•�8
PSERS -08/31/12 payment 114.64
PSERS-09/29/12 payment 114.64
U.S.Treasury-1040A-2012 federal tax refund 565.71
U.S. Treasury -unclaimed property 78.00
United Healthcare-refund 42.50
United Healthcare-AARP benefit 2,121.75
United Healthcare-AARP benefit 2,567.25
West Shore ALS-refund 16.32
West Shore ALS-refund 109.50
West Shore EMS -overpayment 1,056.62
(Attach additional sheets if necessary) Total Personal Property and Real Estate 200,203.09