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INVENTORY
REGISTER OF WILLS OF _ CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-14-0120
James C. Buck
Personal Representative(s)of the Estate of Doris J. Broude
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 decedenYs 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- �a s . BuCk
ments herein are made subject to the penalties of �
18 Pa.C.S. §4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Michael L. Bangs (Supreme Court I.D. No.) 41263
(Firm) Bangs Law Office, LLC
(address) 429 South 18th Street, Camp Hill, PA 17011
(Te�ephone) 717/730-7310
DATE OF DEATH LAST RESIDENCE 216 Cumberland Drive DECEDENTS SOC.SEC.NO.
01/29/2014 Cam Mill PA 17011
FIGURES MUST BE TOTALED
Personal Pro�
Cash............................................................................................... 235,810.56
Personal Property........................................................................
Stocks/Listed................................................................................ `,''
n 2,�1.95 �
c -� � m
Stocks/Closely Held..................................................................... o ��
� J3 ;7 p
Bonds............................................................................................ � � ^'� --
r� `� :n :��
Partnerships and Sole Proprietorships � r�- N °--+ `;'
Mortgages and Notes Receivable....................................... � G7 r� "'� I � `-'
All Other Property........................................................................ --, ` ,, -� ;� �
' :.
_,.
, �_ °n
_,.
,� __
Total Personal Property........................................ ' 23�2 5'� m
- ' � c� Q
r�, o
Total Real Property................................................ 87,994.98
Total Personal and Real Property........................ `325,917c49
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 Rev.10-13-2006
�
. ,
INVENTORY
REGISTER OF WILLS OF __ CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNn oF Cumberland } File Number 21-14-0120
DATE OF DEATH LAST RESIDENCE '1�s CU11lI�@CIa�1C� DrIV@ DECEDENTS SOC.SEC.NO.
01/29/2014 Cam Hill PA 17011
�S�
Automobile-2004 Chevrolet automobile(see Bill of Sale) 4,000.00
Members 1st Federal Credit Union-Regular savings 1,685.48
Members 1st Federal Credit Union-Investment savings account 14,158.95
Members 1st Federal Credit Union-Certificate of Deposit 14381-40 10.000.00
Members 1st Federal Credit Union-Certificate of Deposit 14381-41 5,000.00
Members 1st Federal Credit Union-Certificate of Deposit 14381-45 5,000.00
Met Life-Trust interests dividend 11.83
Metropolitan Life Insurance Company-Policy 024 442 318 A(face amount of policy 1,000.00
$1,000.00)
PNC Bank-Interest Checking 11,316.50
PNC Bank-CD 31100313615 18,000.00
PNC Bank-CD 31800312903 2,000.00
Refund -US Treasury Refund 2013 income taxes 890.00
Refund from Ohio Casualty-Homeowners insurance 88.00
Refund from PA American Water Co. g,gg
Refund from PP&L Electric-duplicate payment 24.32
Refund from Progressive Insurance-(automobile insurance) 610.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 325,917.49
, ,
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSY�VANIA } SS
COUNTY OF Cumberland } File Number 21-14-0120
DATE OF DEATH L,AST RESIDENCE 2�s CU�YIb@�I811CI DFIV@ DECEDENT'S SOC.SEC.NO.
01/29/2014 Cam Hill PA 17011
Refund from ServiceMaster 294.41
Refund from United Health Care Services 208.30
Refund from Verizon 179.94
Revenue Rebate 250.00
Riverview Bank-Account 101026330 19,426.67
Riverview Bank-Account 101126930 1,766.77
Riverview Bank-Account 100997930 1,000.00.
Symetra Life Insurance Company-Modified Single Premium Annuity; beneficiary is the 138,706.52
estate
Thrivent Financial for Lutherans-distribution 1/28/14 183.19
Total Cash 235,810.56
�`tock�J is d
43.0000 shares MetLife-Trust Interests 2,111.95
Total Stocks/Listed 2,111.95
Real Estate
Real Estate-216 Cumberland Drive, Lower Allen Township,Cumberland County.Tax 87,994.98
Parcel No. 13-23-0555-044;sold 5/30/74(see HUD attached). Estate received proceeds
of$74,795.73;$13,199.25 is being held pending approval of the Pennsylvania
inheritance tax return.
Total Real Estate 87,994.98
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