HomeMy WebLinkAbout01-26-15 (3) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-14-0165
Sue E. Gilbert
Personal Representative(s)of the Estate of Kimberly Anne Mentzer
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 memorarjdum.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- Suet bil6e-rt
ni
ments herein are made subject to the penalties of 7 rri
18 Pa.C.S.§4904 relating to unsworn falsification to :� .= Cn -Z)
authorities. "� r`
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Attorney-- (Name) Douglas H. Gent Esq (Supreme Cour LD No.) 2596
(Firm) Law Offices of Douglas H. Gent -� f rn
(Address) 1157 Eichelberger Street, Suite 4, Hanover, PA 17331
(Telephone) 717-632-4040
DATE OF DEATH LAST RESIDENCE 132 N. Pitts Street
FIGURES MUST BE TOTALED
Personal Property
Cash............................................................................................... 17,445.43
PersonalProperty........................................................................
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 17,445.43
Total Real Property................................................. 89,790.41
Total Personal and Real Property........................ 107,235.84
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 M Pa.C.S.§3301(b)) 1
Form RW-09 Rev.10-13-2006 n
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-14-0165
DATE OF DEATH LAST RESIDENCE 132 N. Pitts Street
Cash
Automobile-Sale of 2013 Ford Fiesta Titanium; Mileage 26,893 12,500.00
Automobile-Refund of Unused Warranty on 2013 Ford Fiesta Titanium 1,189.26
Geico-Refund of Insurance Premium 156.01
Personal Property-Sale of Jewelry 147.00
PSECU -Savings Account#7154001344468; Reference#S1 1,595.78
PSECU-Savings Account#7154001344468; Reference#S1;Accrued Interest(2/1/14 0.03
-2/5/14)
PSECU-Checking Account#7154001344468; Reference#S4;Accrued Interest(2/1/14 0.02
-2/5/14)
PSECU-Checking Account#7154001344468; Reference#S4 1,455.28
I
The Clark Group,Inc.-Reissue of Payroll Check 302.05
United Healthcare-Refund of Insurance Premium 100.00
Total Cash 17,445.43
Real Estate
Real Estate-132 N. Pitt Street,Carlisle, PA 17013 89,000.00
Real Estate-132 N.Pitt Street,Carlisle, PA 17013-Tax Proration 790.41
Total Real Estate 89,790.41
(Attach additional sheets if necessary) Total Personal Property and Real Estate 107,235.84