HomeMy WebLinkAbout11-06-14 (2) INVEN'T'ORY
REGISTER OF WILLS OF CUMBER LAND COUNTY,PENNSYLVANIA.
COMMONWEALTH OF PENNSYLVANIA SS 21-13-1174
COUNTY OF CUMBERLAND File Number
Personal Representative(s)of the Estate of DAVID A. BARTLETT
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- (signature)
ments herein are made subject to the penalties of
18 Pa.C.S. §4904 relating to unsworn falsification to (signature)
authorities.
Attorney-- (Name) Michael Cherewka, Esquire (Supreme Court I.D. No.) 35073
(Address)624 North Front Street, Wormleysbur , PA 17043
(Telephone) 717-232-4701
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
April 16k, 2013 Mechanicsburg, Pennsylvania
FIGURES MUST BE TOTALED
1. Rite Aid Employee Stock Option Account, 25,300 Shares @ $2.25 28,024.00
2. Prudential Financial Account, 41 shares @ $56.72 2,325.52
3. Personal Items 1,000.00
4. Rite Aid Employee Stock Awards Account #3516-8906 3,383 7,611.75
Shares @ 2.25
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(Attach additional sheets as needed)
TOTAL: $38,961 .27
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))
RW-09
.Form RW-09 rev.10.13.06 \
Law Offices of
Michael Cherewka
624 North Front Street
Wormleysburg, Pennsylvania 17043
(717) 232-4701
Fax (717) 232-4774
October 23, 2014
Register of Wills Office
Cumberland County Courthouse
1 Courthouse Square
Carlisle,PA 17013
Re: Estate of David A. Bartlett
No. 21-13-1174
Our File No.: 4328.01
Please find enclosed original and one copy of Pennsylvania Resident Inheritance Tax Return
and Inventory for the above captioned Estate,there is no tax due. The filing fees for the Return and
Inventory were paid at the time of probate. We are also enclosing a copy of the first page of the
Return and Inventory to be time-stamped and returned to us in the envelope provided.
Should you have any questions,please contact our office. Thank you for your
consideration.
Very truly yours,
+Leslh, Legal Assistant
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