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HomeMy WebLinkAbout01-23-15 (2) J , INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland ) SS File Number 21-13-0840 Robert W Sipe Personal Representative(s)of the Estate of LOIS J SIPE �v C") C deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the pers�t*Pssets vMreveP M situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valuatip)Pced op&site h7> item of said inventory represents its fair value as of.the date of the decedent's death,and that Decedentrown-ydM re4statj� '::� outside of the Commonwealth of Pennsylvania except that which upears in a 2meorardum at the end Qf�ttgs ilr>vent� --I vp 1 verify that the statements made in this Inven- ESR ;;. r c tory are true and correct. I understand that false state- Robert W Si ments herein are made subject to the penalties of .., 3 18 Pa.C.S. §4904 relating to unsworn falsification to -- -- authorities. ? N M _r- co o -a —n Attorney- (Name) Edmund G. Myers (Supreme Court/.D.No.) 20558 (Firm) JOHNSON DUFFIE (Address) 301 MARKET STREET, Lemoyne, PA 17043 (Telephone) (717)761-4540 DATE OF DEATH LAST RESIDENCE 2102 Ridge Road FIGURES MUST BE TOTALED Personal Pro eeM Cash............................................................................................... 77,587.42 Personal Property........................................................................ 1,390.00 Stocks/Listed.................................................:.............................. Stocks/Closely Held..................................................................... Bonds............................................................................................ MutualFunds................................................................................ Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable............................................... All Other Property........................................................................ Total Personal Property........................................ 78,977.42 Total Real Property................................................ 145,000.00 Total Personal and Real Property........................ 223,977.42 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 XM Pa.C.S.§3301(b)) Form RW-09 Rev.10-13-2006 J ♦ 1 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-13-0840 DATE OF DEATH LAST RESIDENCE 2102 Ridge Road Cash Blue Cross Rebate 180.70 Cash 59.51 Cash 72,71 Comcast-Reimbursement/Refund on Account 64.09 Erie Insurance-Refund on Account 375.00 M&T Bank Select 6 Month CD Account 31003913821293 21,463.55 M&T Bank Select Checking with Interest Account No.9843039117 5.01 Metro Bank 24 Month Certificate of Deposit Account—7000170939 41,910.22 PA Tax Rebate 750.00 PNC Bank Individual Checking Account No. 5140058741 11,171.47 PPL Rebate 70.00 Real Estate located at 2102 Ridge Road,Camp Hill,Cumberland County,PA- 1,186.01 Reimbursement to Estate for School Taxes Paid.A copy of the HUD-1 Settlement Sheet is Attached Reimbursement/Refund Check Received 29.15 Sovereign Bank Checking Account No.2107865620 250.00 Total Cash 77,587.42 (Attach additional sheets if necessary) Total Personal Property and Real Estate 223,977.42 a A x INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } ss File Number 21-13-0840 DATE OF DEATH LAST RESIDENCE 2102 Ridge Road Personal Property Personal Property -Valued and appraised by Chuck Bricker,Auctioneer AUU94-L 1,390.00 Total Personal Property 1,390.00 Real Estate Real Estate located at 2102 Ridge Road,Camp Hill,Cumberland County,PA- 145,000.00 Contracted Sales Price. Real Estate sold on January 8,2015. A copy of the HUD-1 Settlement Sheet is Attached Total Real Estate 145,000.00 -2-