HomeMy WebLinkAbout02-20-15 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
courvTvor Cumbedantl } 55 FiieNumeer 21-14-1788 _
Emily B Nearhood
Personal Representative(s)of the Estate o( Samuel Loy Leib .
deceased,tlepose(s)and say(5)that ihe items appea�ing in the(ollowing irneNory include all of lhe personal assets wherever
situate and all oithe real eslate in lhe Commonwealth of Pennsylvania of said Decedent,ihal the valuation placed opposite each
item of said imentory represenis its fair value as of ihe tlate of the decedenfs death,antl that Decedent owned no real estate
outsitle of the Commonweal�h of Pennsylvania except�ha�whi appears in a m/e��poran 0m at ihe entl of lhis inventory.
I veriry Iha��he s�atemenis made in ihis Imen- ,tie� . ,�! � . � ',rr�
lory are lme and correct. I understand ihat false sta�e- � Emily B. arhood ' � �
ments herein are made suhject to the penal�ies of 7
18 Pa.GS. §4904 relating to unsworn falsifca�ion to 1
authorilies.
Attorney-- (Name) Gary L.James Esq. (suPreme co�rri.o.No./ 27752
�F""'1 James,Smith, Dietterick&Connelry LLP _ .____
�aderess� 1345ipeAvenue. Hummelstown, PA 77036
(ielephone) 7 7 715 3 3-32 80
oareoroenrN usraesmervce g01N. Hdnov¢rSheet oeceoeHrssoc.sec.rvo
7 1/2 412 01 4 Carlisle PA 17013
FIGURES MUST BE TOTALED
Personal Prooertv
Cash............................................................................................... 115,359.56
Personal Property........................................................................ 500.00
StockslListed................................................................................ �-�
�
G ,-; rr�
StockslClosety Held..................................................................... �= o _., ;" c�
Bonds............................................................................................ :- :o � .�:' -->
Mutual Funds................................................................................ 1 r.: ; ro '� �. ��,
0
Partnerships and Sole Proprietorships ..................................... : � .
" ,
MoRgages and Notes Receivable............................................... � : - ,
All Other Property........................................................................ - � �, ._ -..;
�
Total Personal Property........................................ . �15.85�.e9
Total Real Property................................................
Total Personal and Real Property........................ 115,859.56
NOTE: �em bNsucM1(ime snouitlroiDeetlenUeaotometotel�oitheinveni0niamay itneelec0onofiM1eversonalrepresentalivelnclutlelnevalueo�eacn
i gw ry.($ee20Pa.CB.§3301(�))
Fa�RW-09 Rev.io-�azoos �
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF CUrtlb¢d311d } 55 FileNumber 2144-1188 . _
on*e or oen.H wsraesioervce 807 N. Hanove�Street oweoexrs soc.sec.rvo.
11/24/2014 Carlisle, PA 17013
Cash
Church of God Home-refund 10,237.56
F 8 M Money Management Personal Account#0007�06077-valued per sWtement 98.341.79
dated December 1q 2014
Accrued interest on above item through tlate of death 17.32
F&M Senior Checking Accounl Number 0003467597-valued per statement datetl 6,283.96
December�0,2014
Accmed interest on above item through date of death 0.07
Jackson National Life Insurance -annuity 65.53
Mass Mutual Life Insurance Company Annuiry#450191 -November 330.88
Mass Mutual Life Insurance Company Annuity#450192-November 88.45
TOtal Cash N5,359.56
Personal Propertv
Personal Property 500.00
Total Personal Property 500.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 715,859.56