HomeMy WebLinkAbout05-15-14 (2) INVENTORY
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COIJNTY OF Cumberland SS 21-13-0951
File Number
T. Allan Bietsch, Executor
Personal Representative(s)of the Estate of Tom H.Bietsch
deceased,depose(s)and say(s)that the items appearing in the fol lowing inventory include all of the personal assets wherever situate
and ali 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.
1 verify that the statements made in this Inven- y��� ���Q �K�c'���^
tory are true and correct. I understand that false state- �
ments herein are made subject to the penalties of T. Allan Bietsch, Executor
18 Pa.C.S. § 4904 relating to unsworn falsification to 55[�5 FaGt Fvargraan R1��� � TTni t ��n5
authorities. Vancouver, WA 98661
Attorne ame Richard C. Snelbaker 6355
Y" � � (Supreme Court I.D. No.)
(Address) Snelbaker&Brenneman,P.C.,44 West Main Street,Mechanicsburg,PA 17055
(Telephone) �17-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.NO.
08/26/2013 1000 West South Street,Carlisle Borough,Carlisle,PA 17013
FIGURES MUST BE TOTALED
1. Vanguard,investment account#20113514 2,297,545.19
2. CSO,health insurance premium refund due the decedent 2,989.00
3. Genworth Financial,long term care insurance premium refund due the decedent 768.32
4. M&T Bank,checking account#446920 99,923.68
5. Sarah Todd Nursing Home,refund due the decedent 1,566.67
6. U.S.Treasury,refund due the decedent on 2013 Final Individual Income Tax Return 150.00
7. Wells Fargo,savings account ending in 7238
190,282.84
8. Wells Fargo,checking account ending in 5709 9,004.52
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(Attach additional sheets as needed)
TOTAL: 2,602,230.22
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include [he value of eac
item,but such figures should not be extended into the total of the Inventory. (See 20 Pa.C.S.§330!(b))
Form RW-09 rev. 10.13.06