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Home My WebLink About04-15-15 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND_ _ COUNTY, PENNSYLVANIA COMMONWEALTHOFPENNSVLVANIA } 55 FileNumber 21-14-0755 COUNTVOF CUfllh¢f�3fld �-- ---� � �— - — �-� Michael A. Homse Personal Represen�ative(s)of the Estate ot K¢fRlit W. H0118� __ . —. --. --� - deceasetl,depose(s)and say�s)ihat the ilems appearing in the tollowing inventory inciude of the pers$�al asst�+herever si�uate and all of�he real es�a�e in the Commonweatth of PennsyNania of said Decetlent,t �MG valualio�plac@d�posite each item of said inventory represents its fair value as of the date of ihe decedenCs death,and t ff��cetlent oened`�3 reHl estate outside of�he Commonweallh of Pennsylvania ezcept Ihat which appears in a m/e�m, orandu�r d o7Yhis iN��ry. Iverifythaltheslatementsmatleinthislnven- �}j��Jy�r/. �i6�'W T..tn .;>� � — — tory are true and wrrecL I understand that false state- � MiChael A. HOmsey . � �� ments herein are made subjed lo the penalties of �"` �. '� -�' �' . . .- � _. _ . _ ._. —� � � _,� � t8 Pa.GS.§4904 relating lo unswom falsifcation lo , _ � N r' m authorities __ . — -- — �--t—� �—r — — �� W �' �1 , � Attorney— (Name) MiCh221 L. BaOgs ..._ . (Supreme Covrtl.D. No.) 41263 — — _ _ —.. ..__ � (Fo-ml Bangs_Law OHice, LLC ._. _ _ . — --. _. .— — . — — �add.ess) q29 South 18th Street, Camp Hill, PA 170N . _ . . — _. — -- -- (ielePhonel 7171730-7310 _ . _ —. _ .. _ — -- . . — .- � oecEOENrssoc sEc.Ho onre oF uenm �asT aesotr+ce p925 Maple Road 189-78-7327 07118/2014 Cam Hill PA 77011 FIGURES MUST BE TOTALED p rs� onal Prooertv Cash............................................................................................... 733�036.2� PersonalPropertY........................................................................ StockslListed................................................................................ e,oea.�a Stacks/Closely Held..................................................................... Bo n d s............................................................................................ Partnerships and Sole Proprietorships ..................................... Mortgages antl Notes Receivable............................................... AllOther ProPertll........................................................................ Total Personal Property........................................ 147.tzo.95 Total Real ProPefty................................................ 174.665.06 Total Personal and Real Property........................ 315,786.01 NOTE�. Tne Memoranaum or real eslale outsiae ine Commonvrealih or Pennsylvama may,at IM1e eleclion of tM1e personal representative incluae Ne vaWe or eacn item,�u15ucM1 6gures s�oultl nM be e�ten0etl In�o��e loUl o�Pe Imen�ory.(See 20 Pa.G5.§J301(o)) ��o�m RW-09 ne. +o.iaaooe � INVENTORY REGISTER OF WILLS OF CUMBERLAND _ COUNTY, PENNSYLVANIA COMMONWEALTHOFPENNSYLVANIA } SS FileNumEer 21-14-0755 COUNTYOF CURIb2fland . ._-- . —� -- - —�� OECEDENTSSOC.SEC.ND onrEoroEnm usraEsioEr+cE 2925M2pleR02d 0 711 812 01 4 Cam Hill PA 17017 �89"�B"�3Z� ('aeh Automobile-2001 Catlillac STS;see Bill of Sale attachetl 2.000.00 Fulton Bank 9.880.82 31.85 MetLife divitlend Miscellaneous cash of decedent 7.669.99 PA Deparhnent of Revenue-20t4 income taz refund 340.00 PA Employees Benefit Trust Funtl 1,26528 PNC Bank-Interest Checking 77.338.95 PNC Bank-Premium Money Market 10.756.04 Proceeds fram sale of miscellaneous property at auction 8,163.98 Proceeds from sale of scrap metal �'Z�Z'�0 PSECU-Savings account 16,06272 Re(untl-Nuirition Action Healthletter 8.25 Refuntl for e:tentled warranry on appliances �39'�� 19.23 Refund from AARP Refund Trom Belvoir Metlia Group �4.38 Refund from Comcast 12722 14.85 Refuntl from Fagers (Attach adtlitional sheets if nacessary) Total Personal Pfopefty and Real Estate 3'15,786.01 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTHOFPENNSVLVANIH COUNTVOF Cumberland } 55 FileNumber 21-�4-07$5 _ .. _ onrEOFOEnrH usraEsmEHce 2925M2p12Road oECEOErvrssoc.sEc.rvo. 07/16/2014 Cam Hill PA 17011 189-16-7327 Refund from Harvard Heal[h Publications 45.95 Refund from Kay, LLC 5.245.60 Refund from PA Employees Benefit Trust Funtl 7.032.54 Refuntl from PP&L Electric(recycling program payment) 35.00 Re(und from Public Citizen Foundation 10.00 Refund from SGte Farm Insuran<e-policy on automobile 143.87 Refuntl from Turt Enlerprises 76.95 Refund from Verizon-(close of account) 102.32 Sale of miscellaneous personal properry to Nedra Marshall 1,600.00 State Farm -insuance company refuntl(automobile) <3.48 State Fartn-insurance coverage refund(umbrella policy) 62.61 State Fartn-insurance coveroge refund(homeowners) 333.16 U.S.Treasury -refuntl of 2074 income tax 1.200.00 To[al Cash 733.036.21 Sro .ksl icted 128.6657 shares AXA Group 3.03924 91.0000 shares MetLife,Inc. 5,045.50 Total Stocks/Listed a.08aJ4 -2- INVENTORY REGISTER OF WILLS OF CUMBERLAND _ . COUNTY, PENNSYLVANIA COMMONWEALTHOFPENNSVNANIA } 55 COUNTYOF Cumberland FileNumber 21-�4-0755 _ _ __ �ECEOEIP'S SOC.SEC.NO. onrE oc oEa.H wsr aEsioEr+ce pgy5 Maple Road 07/78/2014 Cam Hill PA 17071 789-18-7327 Rnal EctttP Real Estate-2925 Maple Roatl,Camp Hill(Taz Parcel#01-20-1852-193�. Soltl on 174.665.06 10/28/14(see HUD attached) Total Real Estate 774.665.06 -3-