HomeMy WebLinkAbout07-21-14 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF Cumberland ? SS File Number 21-13-10.87
Russell C. Hair
Personal Representative(s)of the Estate of Mearl E. Hair
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 Tppearsip ndum 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- Russell C. Hair
ments herein are made subject to the penalties of
18 Pa.C.S.§4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) George F Douglas, III Esq. (Supreme Court I.D. No.) 61886
(Firm) Salzmann Hughes, P.C. _
(Address) 354 Alexander Spring Road, Suite 1, Carlisle, PA 17015 _
(Telephone) 717-249.6333
DATE OF DEATH LAST RESIDENCE 119 Maple Drive DECEDENTS SOC.SEC,NO.
09/28/2013 Mechanicsbur PA 17050 188-32.2501
FIGURES MUST BE TOTALED
Personal Property
Cash............................................................................................... 21,010.86
Personal Property........ .................................... 0N).00
Stocks/Listed................................................................................ x'
Stocks/Closely Held..................................................................... 00 c r
rrI
Bonds............................................................................................ E:.
MutualFunds................................................................................
Partnerships and Sole Proprietorships ............._..................
.... n
Cr C3
Mortgages and Notes Receivable........................ r—
AllOther Property........................................................................ r `�
Total Personal Property........................................ 54,060.86
Total Real Property................................................ 140,000.00
Total Personal and Real Property........................ 1 11;,184,060.86
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 Rey 10.13-2006
t 4
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } 5S File Number 21-13-1087
DATE OF DEATH LAST RESIDENCE 119 Maple Drive DECEDENT'S SOC.SEC,NO.
0912812013 Mechanicsburg, PA 17050 188-32-2501
Si3srh
Blue Cross-refund unused premium 121.80
Citizens Bank,Checking Account No.564-1 11,934.38
Commonwealth of Pennsylvania-2013,PA40 income tax refund 67.00
Medicare-reimbursement for medical expenses paid 118.16
Medicare-reimbursement for medical expenses paid 13.99
Medicare-reimbursement for medical expenses paid 428.20
Medicare-reimbursement for medical expenses paid 92.27
Medicare-reimbursement for medical expenses paid 79.58
U.S.Treasury-2013, 1040 income tax refund 8,113.00
Verizon -refund 42.48
Total Cash 21,010.86
Personal Pro pert
1977 Ford Bronco taken in kind 50.00
2002 Ford Explorer taken in kind 3,000.00
2012 Buick Enclave 28,000.00
Household goods taken in kind 2,000.00
Total Personal Property 33,050.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 194,060.86
INVENTORY
REGISTER OF WILLS OF _ CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland ss Fite Number 21-13-1087
DATE OF DEATH LAST RESIDENCE 119 Maple Drive DECEDENT'S SOC.SEC.NO.
0912812013 Mechanicsburg, PA 17050 188-32-2501
Real -,ta t c±
Real estate situate at 119 Maple Drive,Mechanicsburg,Silver Spring Township, 140,000.00
Cumberland County, PA
Total Real Estate 140,000.00
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