HomeMy WebLinkAbout01-12-15 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COI�NTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-14-0432_ _
Faith H. McGill-Cossick —
Personal Representative(s)of the Estate of Francis G. COSSiCk _ _ _ ___ -
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 w i h ap e rs i e o n� m at th of this inve ry. �
I verify that the statements made in this Inven- � � rn
tory are true and correct. I understand that false state- � � r? �
Faith H. McGill-C s ' k r� �
ments herein are made subject to the penalties of r�� -° � �� �
18 Pa.C.S. §4904 relating to unswom falsification to � � ' � � ►–' :�y r`7
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authorities. _ i'� � �
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Attomey-- (Name) Scott Alan Mitchell, Esquire (supreme��urt I.D. No� �,,._.`76�124
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(Firm) Rhoads & Sinon LLP —_ ""'� n� � �
(Address) p,0. Box 1146, Harrisbur�, PA 17108 _
(Telephone) 717-233-5731
DECEDENT'S SOC.SEC N0.
DATE OF DEATH LAST RESIDENCE 27 South 17th Street
10/09I2013 Camp Hill, PA 17011
FIGURES MUST BE TOTALED
Personal Propertv
Ca s h...............................................................................................
PersonalProperty........................................................................ 100,000.00
Stocks/Listed................................................................................
StockslCloselyHeld.....................................................................
Bonds............................................................................................ 84.48
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................ 0.00
Total Personal Property........................................ 100,084.48
Total Real Property................................................
Total Personal and Real Property........................ 100,084.48
NOTE: Ifem bumsucha guresrshould ntot be etltended�t the otalltof thelnventory I(See 20 PaeC ISC§3301(b))personal representative include the value of each
Po�m RW-O9 Rev.10-13-2006 `
INVENTORY
REGISTER OF WILLS OF CUMSERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } ss File Number 21-14-0432
DATE OF DEATH LAST RESIDENCE 2� South 17th Street DECEDENT'S SOC.SEC.NO.
10/09/2013 Camp Hill, PA 17011
Personal Pro�
Estate of Francis G. Cossick vs. Estate of David Brown McCormick-On 1/7/15,the 100,000.00
Executrix of the Estate of Francis G. Cossick signed a settlement agreement. Per
attorney email of 1/8/15,this settlement is attributable to wrongful death.
Total Personal Property 100,000.00
Bonds
United States Savings Bond-Owned by decedent alone. 84.48
Total Bonds 84.48
All Other Prp�rtv
Travelers UIM litigation claim -Litigation concerning the UIM claim is pending with no
known value at this time. Supplemental return to be filed upon settlement or decision
by the court.
Total All Other Property
(Attach additional sheets if necessary) Total Personal Property and Real E�tate 100,084.48