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HomeMy WebLinkAbout01-06-15 .INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-14-0062 Judith L. Hoar Personal Representative(s)of the Estate of Corinne Marie Shelley 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 whO34Vpears in a me ora dura 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- L. Hoar ments herein are made subject to the penalties of 18 Pa.C.S.§4904 relating to unsworn falsification to authorities. Attorney-- (Name) Judith L Hoar CPA (Supreme Court I.D. No.) (Fin") Trout Ebersole&Groff LLP (Address) 1705 Oregon Pike, Lancaster, PA 17601 (Telephone) 717-569-2900 DATE OF DEATH LAST RESIDENCE 106 Old Schoolhouse Lane DECEDENTS SOC.SEC.NO. 10/19/2013 Mechanicsburq, PA 17055 FIGURES MUST BE TOTALED Personal Property ry Cash............................................................................................... o . Personal Propert �' c' Stocks/Listed................................................................................ n , - rn m Stocks/Closely Held..................................................................... M CD Bonds............................................................................................ o Mutual Funds................................................................................ , c, �, ::E _TI Partnerships and Sole Proprietorships ..................................... r~� r— M Mortgages and Notes Receivable............................................... cn cn All Other Property........................................................................ -` co Total Personal Property........................................ 30,562.25 Total Real Property................................................ Total Personal and Real Property........................ 30,562.25 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 X20 Pa.C.S.§3301(b)) Form RW-09 Rev.10-13-2006 r INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-14-0062 DATE OF DEATH LAST RESIDENCE 106 Old Schoolhouse Lane DECEDENTS SOC.SEC.NO. 10/19/2013 Mechanicsburq, PA 17055 Cash Cash 34.10 Goldman Sachs Roth IRA#7121785 1,416.53 Wells Fargo#1010008810621 9,421.04 Wells Fargo#2197283720 100.01 Wells Fargo#30364519485 501.09 Wells Fargo#3064519477 706.58 Accrued interest on above item through date of death 0.03 Wells Fargo#6199722999 15,086.34 Accrued interest on above item through date of death 1.02 Total Cash 27,266.74 Personal Property 2002 Saturn -Vehicle sold to third party;condition is fair to poor due to numerous 1.200.00 accidents and lack of regular maintenance Bedroom fireplace 75.00 Comcast-refund 67.64 DVD collection 20.00 Holy Spirit Hospital -refund 32.47 (Attach additional sheets if necessary) Total Personal Property and Real Estate 30,562.25 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF Cumberland } File Number 21-14-0062 DATE OF DEATH LAST RESIDENCE 106 Old Schoolhouse Lane DECEDENTS SOC.SEC.NO. 10/19/2013 1 Mechanicsburg, PA 17055 Jewelry-gold weight and scrap value 225.00 Living room fireplace 115.00 Miscellaneous personal property of nominal value(used televisions and electronics) 250.00 Social Security Disability benefit 1,265.40 Travelers-vehicle insurance refund 45.00 Total Personal Property 3,295.51 -2- =4 /c�4 rn CY r ' E � o N w L�+.� r U ! r do a C) Cl) F7 b FM LO ? 0 N o � Z O , N O W � C/) � W O H H ::D LL- cocn v) p U7 t17 �' O S:7 c O U) c7 C {D Ci Grp (si v) p.+ C/) cJ tz.! W r a H a G- NI:?. U) U) W :=) N Hig0i-1 U � t a w w d C' N t/1 V, L LUz W m Z Z W Q W �� 0 C