HomeMy WebLinkAbout02-13-15 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 14 0668
Personal Representative(s)of the Estate of TREVA R LUCK
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-
tory are true and correct. I understand that false state- JAMES A. LUCK, EXECUTOR
ments herein are made subject to the penalties of
18 Pa. C.S. §4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) DAVID H STONE, ESQUIRE (Supreme Court I.D. No.) 39785
(Address) 414 BRIDGE STREET P.O. BOX E NEW CUMBERLAND PA 17070-
(Telephone) (717) 774-7435
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.NO.
310 EVERGREEN STREET
5/23/2014 NEW CUMBERLAND PA 17070- 193-24-3530
FIGURES MUST BE TOTALED
AAA Insurance Agency-premium refund 1.05
Continental Life Insurance Co-premium refunds 444.23
Discover-refunds received 78.51
C rTl C7.
John Hancock-long term care premium refund UD -0 � 2,135.63
Miscellaneous coins/cert found in safe deposit box �-' 184.00
c.7 •-� C, � —rt
rn
Monumental Life Ins Co-cancer insurance refund `�{ N 58.85
Cf1 -n
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SecurChoice-Prepaid Funeral Acct#708989 11,499.85
(Attach additional sheets as needed)
TOTAL: 14,481.53
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
TREVA R LUCK 21 14 0668
Decedent Name Page 1 File Number
Description of Inventory
Summit Physicians Services-refund received 79.41
Subtotal $ 79.41
STONE LAFAVER & SHEKLETSKI
ATTORNEYS AT LAW
414 BRIDGE STREET
DAVID H.STONE POST OFFICE BOX E OF COUNSEL
GERALD J.SHEKLETSKI NEW CUMBERLAND,PA 17070 CHARLES H.STONE
www.stonelawnet JON F.LAFAVER
TELEPHONE(717)774-7435
February 11, 2015 FACSIMILE (717)774-3869
Register of Wills Office
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013-3887
RE: Estate of Treva R. Luck
No. 21-14-0668
Greetings :
Enclosed please find an original and one copy of the Inheritance
Tax Return and Inventory for the above mentioned estate . Please
clock in the copy of the Inventory and send it back to my office
along with any receipts in the enclosed stamp addressed envelope .
Also, enclosed is check 43 in the amount of $30 . 00 for additional
probate costs .
Should you have any questions, please do not hesitate to contact
my office.
Very truly yours,
STO*FVORHEKLETSKI
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To. Register of Wills Office
Cumberland County Courthouse
1 Courthouse Square=
Carlisle, PA 17013-3887