HomeMy WebLinkAbout02-25-15 (3) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-14-0627
Anita D. Thompson
Personal Representative(s)of the Estate of Ralph R. Domene III
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 memorandu 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- J Anita D.Thompson
ments herein are made subject to the penalties of
18 Pa.C.S. §4904 relating to unsworn falsification to
authorities.
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Attorney-- (Name) Michael L. Bangs (Supreme C0144IRNo.) 12&3
(FIrm) Bangs Law Office, LLC
(Address) 429 South 18th Street, Camp Hill, PA 17011 R� =
(Telephone) 7171730-7310
DATE OF DEATH LAST RESIDENCE506 Lamp Post Lane DECE . N,SOC.$,EN0.
05/26/2014 Camp Hill PA 17011
FIGURES MUST BE TOTALED -C t� "7
Personal Property_
Cash............................................................................................... 54,746.79
Personal Property........................................................................
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 54,746.79
Total Real Property................................................ 234,729.00
Total Personal and Real Property........................ 289,475.79
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(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 21-14-0627
DATE OF DEATH LAST RESIDENCE 506 Lamp Post Lane
Cafib
Integrity Bank-Checking Account 14,742.67
Integrity Bank-Savings Account 25,120.15
Refund from Chase 142.16
Refund from Comcast Cable 81.92
Refund from Hanlon Investment 148.38
Refund from Motorists Mutual Insurance Co. 316.96
Refund from New Hampshire Insurance Company 5.00
Sale of Automobile 9,218.42
SERS Annuity payment 4,971.13
Total Cash 54,746.79
Real Estate
Real Estate-506 Lamp Post Lane, Hampden Township. Tax Parcel No. 10-19-1598-194. 234,729.00
(Assessed value$237,100.00 x Common Level Ratio Factor for Cumberland County
[.99]=fair market value$234,729.00)
Total Real Estate 234,729.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 289,475.79