HomeMy WebLinkAbout02-18-14 (2) INVENTORY
REGISTER OF WILLS OF Cumberland COLTNTY, PENNSYLVANIA
, _.:
COMMONWEALTH OF PENNSYLVANIA � �C� .,� ,- .��
COUNTY OF Cumberland SS FileNumber 21-13-1023 �; -� -; -
Dawn D. Fentress, Executr�x �;T' ��
� �
r � =;
Personal Representative(s)of the Estate of Kay I.Brenneman �;`:_ '
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the pe,��al assets�± erever situate
':��.-_
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valuation placed fl�posite�eh itarrr_q€�,�id
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned� real esta��putside3¢f�he
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. 1 understand that false state-
ments herein are made subject to the penalties of Dawn D. Fentress, Executrix
18 Pa.C.S. § 4904 relating to unsworn falsification to ��� �'•ed.z�Jeed--���ve
authorities. Carlisle, PA 17013
Attorney-- (Name) Keith O.Brenneman (Supreme Court I.D. No.) 47077
(Add�•ess) 44 West Main Street,Mechanicsburg,PA 17055
(Telephone) �17-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
09/16/2013 30 Cave Hill Drive,North Middleton Twp.,Carlisle,PA 17013
FIGURES MUST BE TOTALED
1. Property known and numbered as 30 Cave Hill Drive,North Middleton Township,Cumberland 100,891.42
County,Carlisle,PA 17013,sale value
2. U.S. Savings Bonds(17 EE bonds) 772.04
3. AT&T,refund due the decedent 7.68
4. Carlisle Petroleum,Inc.,refund due the decedent 157.53
5. CenturyLink,refund due the decedent 338
6. Cornerstone Federal Credit Union,account#963,savings account 138.00
7. Cornerstone Federal Credit Union,account#963,checking account 100.10
8. Cornerstone Federal Credit Union,account#963,christmas club account 1,387.00
9. DirectTv,refund due the decedent 7.54
]0. DS Waters,refund due the decedent 24.00
1 L Highmark,insurance premium refund due the decedent 305.07
12. Household items retained by family 4,784.00
13. Household items sold at auction by Haar's Auction 779.50
14. Social Security Administration,social security benefit due the decedent 1,547.00
(Attach additional sheets as needed)
TOTAL: 110,904.26
NOTE: The Memorandum of reai estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of eac
item,but such figures should not be extended into the total of the Inventory. (See 20 Pa.C.S.§3301(b))
Fornr RW-09 rev. 10.13.06