HomeMy WebLinkAbout07-18-14 (2) INVENTORY
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COiJNTY OF Cumberland SS File Number 2013-00601
Personal Representative(s)of the Estate of Martha M.Gates
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- ��Q°
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) N�A (Supreme Court I.D.No.)
(Address)
(Telephone)
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
03-16-2013 325 Wesley Drive,Apt 3104,Mechanicsburg,PA 17055
FIGURES MUST BE TOTALED
1.PNC Bank Checking Account#50-7007-2635 19,991.27
2.Cash in purse 51.05
3.Nationwide Insurance Company Renters Refund 51.00
4.Asbury Communities Inc.Rent Refund 58.68
5.PNC Bank Interest 0.10
6.Remininsce Magazine Refund 20.00
7.Household furnishings,clothing,ect.contained in 2-room apartment in retirement community 1,000.00
�
�.�ifty-ei�'t(58)U.S.Q ings Bonds listed on two(2)attached schedules 195,245.60
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(Attach additional sheets as needed)
TOTAL: 216,417.70
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 extanded into the total of the Inventory. (See 20 Pa.C.S.§3301(b))
Form RW-09 rev.10.13.06
�
REV-1503 E7C+(&12) �
� pennsytvarria SCHEDULE B
- DEPARTMENT OPHEVENUE
INHERITANCE TAX RETURN STOCKS 8� BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
!�i.AF'^IiA M GATES 21-�3-06G1
All property ja�iy owned Nritl�rigM of survivorship must be discbsed on Schedule F.
� VALUEATDATE
NUMBER DESCRIPTION OF DEATH
t. UNITED STAT�S SA�iNuS BOND - SERT_ES � - M00590?540�
i, 000.00
2. JNITED STF"_'=.S SAZ'=NGS BOND - SER=Ej T - M0059v7jd_3I ?� 000. 00
3. UA'ITED S^'A'?'^S S�ti=NGS BOND - SER�ES I - MOU59C7542I =, OOC. 00
4 . �JNIT�D STATES SAVINGS BOND - SEF�ES � - MOO59C7J4iI 1, 000. 00
c . JNiTED S"_'A'"FC SA�'INGS BOND - SER�ES i - ?�00'359835I � G, 000. OC
6. IIN-?'ED S?`ATES SAJINGS BOND - SERIEc � - X0013�9834I iC�, 000. 0�
7. UNITr�D STz':�!'EJ SAV�NGS BOND - SERT�S �E - M719250�:iEE �, 90"8.�0
8. UN?TED STATES SAVINGS BOIQD - S�RILS E� - M71°250SOEE _, 968.��
9. UNITED STATES SAS%INGS BOND - S�R�ES E� - X450i702EE "�0, �28. 00
�0. IIN_T�D STF."'ES SAVINGS BOND - SER_ES E� - N1,7855297EE i� 9b�, L�
l�. UNITED STrTES S�VINGS BOIQD - S�RIES � - M003711c�Q2I �, ppp. p�
i2. UN?TEr C^_'AT�,S SAV"lNGS BOND - SERIES I - DOG25a4962I 50C. GO
i3. UNITED S^_'ATES SA�=NGS BOND - SER�ES I - D0025�496iI 50G. OQ
_� . UN�TED STATES SAViNGS BOND - SERIES i - MOOsii�89GT _, 000.00
15. UNITr�D STATES SAvINGS BONL - SERIES I - D002�44963I �Op. pp
�6. UNITED S'?'ATES SAVINGS BOND - S��=FS � - D00254496�I �OG. 00
?�. UNS'^ED STF,TES SA`'INGS BOND - SER�ES � - M003711893I i, 000. 00
18. UNITED S'T�TES SAVINGS BOND - SERIES I - M0037i1891I i, 000. 0�
19. UNITED SmA"'ES SAV�NGS BOND - S�,RIES I - Z�002iSi70%I �, OUv.GC
20. UNITED ST�"_'ES SAVINGS BOND - SER?ES I - VOCG?51706I 5, 000. 00
21. UNiTED STA_TES SAV"INGS 30ND - SERIF'S i - V002i51705I �, 000. 00
22. UN�T�D STATES SP_V'INGS BOND - SER-ES I - V002'_5i704I 5, 000. 00
23. UNITED STP_TES SAVINGS BOND - SER�ES EE - X2i77814EF �4,236.OG
24. UNITED S�FTES SP.VINGS BOND - SERIES EE - X22S3212�� i3, 956.00
2�. UNITED STP_TES SAGINGS BOND - SERIES EF - X4�56827EE � p, g2g,pp
26. UNITED STATES SAVINGS BOND - SERIES EE - Ml?855295E� �, 9ng. 4p
27. UNITED ST?�mr,S 5AV?"NGS BOND - SER.IFS �� - X2_77815EE �
4, 236. 00
28. Un1TED STAT�S SAVINGS 30ND - SERIES EE - X2177813EE iq, �36.00
29. UN=TED STA?'F'� SAViNGS BOND - SER�ES EE - N17855296EE �, 968.40
30. UNITED S"_'ATES SA'vINGS BOND - SER_ES EE - M17855298EE _, 968.40
31. UI�I?'ED ST�TES SAV-NGS BOND - SER�ES EE - N?1785�299EE 1, 968.40
32. UNiiED STATES SA�_N�S BOND - SEtZIES EE - N=7855300EE 1, 968.�G
33. UNITED STATES SAVINGS BOND - SFR�ES E� - M178�53G1EE '_, 968.SU
34 . UNITED STATES SAVINGS BOND - SERIES EE - Mi7855302EE 1, 968.40
35. JNITED STATES SFViNGS BOND - SERIFS EE - M17855303EE =, 968.4C
36. UNITED STA'_"�S SAVINGS BOND - S�RT_ES EE - M17855304EL �, 968. 40
3�. UIvTITED STATES SAV=NGS BOND - S�R.I�S EE - N117857305EE �r9ng,4Q
38. UNiTED STATES SAVINGS 30ND - SERIES EE - N'17855306E� 1, 968. ti0
39. JNITED STATES SPVINGS 30ND - SER�ES EE - M'7855307EE 1, 968.40
40. UNITED ST�TES SAJINGS BOND - SER��S EE - M17855308EE 1, 96E.90
rROM CONTINUATION SCH�DJLE. 35, 431.20
TOTAL(Also er�ter on line 2,Recapitufation) S , 9 5 �q�. d�,
If more space is needed,insert addi6onai sheets of the same size
REV-'S03 EX+((r12)
� pennsytvarria SCHEDULE 6
. DEPARTMENT OFREVENUE
INHERtTANCE TAX RETURN STOCKS 8� BONDS
RESIDENT DECEDENT
ESTATE OF FlLE NUMBER
N`,I-�n^_'H.�: N �A?'ES 2�-13-06C1
All properly jarrtly owned with right of surv'worship must be disclosed on Scbedufe F.
�M VALUEATDATE
NUMBER DESCRIPTION OF DEATH
1.
41. JN=T�D ST�TES SP_�'�NGS BOND - S�R=�S �E - ?�178553�9Er� ? , 968. 4C
42. UNI^_'ED S'I'ATES SP.VT_N�S BOND - SER�ES �E - N_`=785�s10EE , 968. 4C
�3. JNIT�D STAT�S SA�INGS BOND - SER.T_ES EE - N_785�3_iEE _, g6�, cp
44 . IIN=:'FD STA'1'ES SIyvINGS BOND - SER=�S EE - N17ts�5280�E _, 968.4C
55. JN_TED STATES SAVINGS BOND - S�RIES E� - N178552�1�E _, 96g, c�.
46. UNiTED STATES SAVINGS BOND - SERIES EE - M!�JH��282EE " 96�. tiG
47. UNTTED S?`RTES SAVINGS BON� - SERIES EE - ?�'_7855283EE l, g6E. 4C
48. JN"'TED STATES SAVINGS BOND - SERIES E� - Ni7855284EE 1, 96�. �0
d_9. UNITED S�'P.TF'S SFV�NGS BOND - SERT_ES M.,t. - ?✓_1785:285EE 1, 968. 4C
50. UI��TED STF.TES Sv�TiNGS BOND - SERiES EE - M17855286EE �, 968.�G
�i. JNTT�D STP.TEti SAVIN�S BOND - SERIES EE - I�i7855287EE 1, 968.40
52. JNImFt� cmF;TES SAVINGS BOND - S�RiES EE - ?�`1?855288EE • �_, g68. 40
53. UN�TED S"'ATES SAV"INGS BOND - SER=ES EE - ?�!1?855289EE 1, 968.4C
54 . UNITED STF�mES SfiV�N�S BOND - SER;ES �E - I�?178552a0EE � , 96�.40
55. JNITE� S"'ATES SAVINuS BON� - SERI�S EE - N1''85529�EE 1 a
_, 96�. .0
5E. UN�TED S'�'ATES SAVIN�S BOND - SER�ES E�' - M17855292EE _, 968.40
�7. JNITED S^'ATES SAVINGS BOND - SERLS EE - Mi?855293EE ?, 968.90
5E. UNITED STATES SAV"INGS BOND - S"RT_EJ EE - M17855294EE '_, 968,cp
TOTAL lAlso enter on line 2.Recapitulation) i -� 4 3_.c 0
li more space is needed,insert addifional sheets of the same size