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HomeMy WebLinkAbout11-18-14 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS File Number 21 14 00180 Personal Representative(s)of the Estate of MARY T . M 0 H N A L 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- --z- tory are true and correct. I understand that false state- C O N S T A N C E E . P R E S C O T T�, E X E C UI X ments herein are made subject to the penalties of -71 M 18 Pa. C.S. §4904 relating to unsworn falsification to e M authorities. C:3 C) Attorney -- (Name) GERALD J • SHEKLETSKI, ESQ • (Supreme Crour'Q..©TNo.)0N 6o (Address) 414 BRIDGE ST • NEW CUMBERLAND.; .79A 1 7 10 (Telephone) (717) 774-7435 DATE OF DEATH LAST RESIDENCE DECEDENTS Sq�SEC�ffl<-j 34 COLGATE DRIVE - F., 2/21/2014 CAMP HILL PA 17011 FIGURES MUST BE TOTALED PERSONAL PROPERTY SOVEREIGN BANK SAVINGS ACCOUNT #0774304679 12 , 998 . 04 SOVEREIGN BANK CHECKING ACCOUNT # 1390086550 727 . 65 1995 BUICK CENTURY AUTOMOBILE 1,251 . 02 2013 FEDERAL INCOME TAX REFUND 1,087 . 00 ALLSTATE AUTO INSURANCE REFUND 155 . 20 M&T BANK CHECKING ACCOUNT NUMBER 61177717 819 . 84 (Attach additional sheets as needed) TOTAL: 173,029 . 43 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(6)) Form RW-09 rev. 10.13.06 ��{�� Continuation of Inventory MARY T . MOHNAL 21 14 00180 Decedent Name Page 1 File Number Description of Inventory M&T BANK CHECKING ACCOUNT NUMBER 61178632 31060 .79 POSTMARK CREDIT UNION SAVINGS ACCOUNT 6442-00 11332 . 94 MUTUAL OF OMAHA REFUND 7 . 09 HOMELAND HOSPICE REFUND 20 . 98 PAA DENTAL REFUND 22 . 08 MUTUAL OF OMAHA PREMIUM REFUND 23 . 03 PATRIOT NEWS NEWSPAPER REFUND 45 . 29 AMA MID . ATL . INS . GROUP REFUND 27 . 44 PENNSYLVANIA AMERICAN WATER REFUND 30 . 89 PROPERTY TAX REBATE 250 . 00 CASH RECEIVED - SCRAP METAL 62 . 55 M&T BANK CREDIT 75 . 00 MISCELLANEOUS PERSONAL PROPERTY-AUCTION SALE PROCEEDS 156 . 60 REAL ESTATE 34 COLGATE DRIVE, CAMP HILL, PA 17011 1501876 . 00 Subtotal $ 1551990 . 68