HomeMy WebLinkAbout03-05-15 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-14-0924
Anthony Fortini
Personal Representative(s)of the Estate of Mario R. Fortini
Mario Richard Fortin! a/k/a Bill Fortini
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 e n a rUwx endurn at the end of this inventory.
I verify that the statements made in this Inven-
to are true and correct. I understand that false state- � •
tory Anthony Fortini
ments herein are made subject to the penalties of
18 Pa.C.S.§4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Wayne M Pecht Esq. (Supreme Court I.D.No.) 38904
(Firm) Pecht&Associates, PC
(Address) 650 North Twelfth St, Lemoyne, PA 17043
(Telephone) 717-691-9808
DATE OF DEATH LAST RESIDENCE Golden Living Center DECEDENTS SOC.SEC.NO.
09/05/2014 Camp Hill, PA 17011
FIGURES MUST BE TOTALED
Personal Property
Cash............................................................................................... 29,086.35
Personal Property........................................................................
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................
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ri
MutualFunds................................................................................ c `- , rn c�
Partnerships and Sole Proprietorships
Mortgages and Notes Receivable............................................... r'
All Other Property........................................................................ ` (-n t:.)
t:.)
Total Personal Property........................................ 19-:,06.35
rrn
Total Real Property................................................
Total Personal and Real Property........................ 29,086.35
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'O Pa.C.S.§3301(b))
Form RW-09 Rev.10-13-2006
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-14-0924
DATE OF DEATH LAST RESIDENCE Golden Living Center DECEDENT'S SOC.SEC.NO.
09/05/2014 Camp Hill, PA 17011
Cash
Allianz 2,087.28
Golden Living Center-refund unused nursing home care 8,105.93
RRB Treasury 1,584.94
Santander Bank#xxx0536-checking account 17,308.20
Total Cash 29,086.35
(Attach additional sheets if necessary) Total Personal Property and Real Estate 29,086.35