HomeMy WebLinkAbout08-01-14 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNrY oF Cumberland } ss File Number 21-13-1282
Gregory C. Gnatt
Personal Representative(s)of the Estate of Ruth A. Kilhofer
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wh&[ever
situate and all of the real estate in the Commonwealth of Pennsylvania of said Dece nt,that the valuatior�Jaced opposde each �-�
item of said inventory represents its fair value as of the date of the d denY e and that Decedent oW'- �no real e�fate �j r=;
outside of the Commonwealth of Pennsylvania except that which e en ventory� `�`-'r`.
I verify that the statements made in this Inven- , "'�_` �� ` ' ��
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tory are true and correct. I understand that false state- �-. ; _._. _ .
Greg . na ���. ,: �
ments herein are made subject to the penalties of � _
18 Pa.C.S.§4904 relating to unswom falsification to � C7{ � � ;_� _—.��
authorities. ��: ,�- �`-= r-�=�
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Attorney-- (Name) Jessica Fisher Greene (Supreme Court l.D.No.) 310018
�F'r"'� Keystone Elder Law P.C.
(Address) 555 Gettysburg Pike, Mechanicsburg, PA 17055
(Telephone) 717-697-3223
DATE OF DEATH LAST RESIDENCE g Naragansett Drive DECEDENTS SOC.SEC.NO.
11114/2013 Mechanicsburq, PA 17050
FIGURES MUST BE TOTALED
Personal Propertv
Cash............................................................................................... 294,189.56
Personal Property........................................................................
Stocks/Listed................................................................................ 6,384.24
Stocks/Closely Held.....................................................................
Bonds............................................................................................ �o,000.00
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 310,573.80
Total Real Property................................................
Total Personal and Real Property........................ 310,57`3.80
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))
Fo�m RW-09 Rev.�o-�s-zoos
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNn oF Cumberland } ss File Number 21-13-1282
DATE OF DEATH LAST RESIDENCE g Naragansett Drive DECEDENTS SOC.SEC.NO.
11/14/2013 Mechanicsburq,PA 17050
�b
Alert Pharmacy Prescription Refund 8.11
Citizens Bank Checking Account xxxxxx5067 497.90
Citizens Bank Money Market xxxxxx5390 255,535.22
Citizens Bank Savings xx�cxxx2084 33,251.32
Claremont Nursing�Rehab Center: Health Care Refund 4,320.00
Country Meadows West Shore: Personal Care Home Refund 396.89
Hershey Medical Center Refund 10.00
Hershey Medical Center Refund 10.00
John Hancock Life Insurance Company: Long Term Care Premium Refund 90.15
Patient First -Overpayment 7.5g
State Farm Mutual Auto Insurance Company Refund from Canceling policy 524 6390- 62.39
A16-38R
Total Cash 294,189.56
Stocks/Listed
72.0000 shares Prudential Financial Inc-Com 6,384.24
Total Stocks/Listed 6,384.24
(Attach additional sheets if necessary) Total Personal Property and Real Estate 310,573.80
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTr oF Cumberland } File Number 21-13-1282
DATE OF DEATH LAST RESIDENCE g Naragansett Drive DECEDENTS SOC.SEC.N0.
11/14/2013 Mechanicsburq, PA 17050
Bond�
United States Treasury HH Bonds 10,000.00
Total Bonds 10,000.00
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