HomeMy WebLinkAbout04-09-15 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SSFile Number
21-14-1223
Personal Representative(s)of the Estate of Betty J.Adrian,a/k/a Betty Jane Adrian
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- AJL_tl_� &,
tory are true and correct. I understand that false state 1 :Ea ria o- xecu rix
merts herein arc madle subject to the penalties or d
18 Pa.C.S. § 4904 relating to unsworn falsification toGal F. Lockhart, Co Executrix
authorities.
Attorney— (Name) James K.Noel,IV,Esquire (Supreme Court I.D.No.) 60332
(Address) 570 Lausch Lane,Suite 200,Lancaster,PA 17601
(Telephone) (717)581-3709
DATE OF DEATH . . . - .LAST RESIDENCE: .,. - ,. .:.,.. DECEDENT'S SOC..SEC.NO. ... .,
December 3,2014 100 Mount Allen Drive,Mechanicsburg,PA 17055
FIGURES MUST BE TOTALED
SEE ATTACHED 218,558.76
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(Attach additional.sheets as needed)
TOTAL: 218,558.76
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.10.13.06
Estate of Betty J. Adrian
Estate Inventory
Valued as of Date of Death
Cash and Cash Equivalents
Erie Insurance,refund $ 5.00
PNC Bank Savings Account
#5006132154 217,010.31
Interest at Date of Death 15.22
Total Cash and Cash Equivalents $ 217,030.53
Miscellaneous
Prudential Life Insurance, death
benefits $ 1,528.23
Total Miscellaneous 1,528.23
Total Inventory $ 218,558.76
Page 1
Wallace & Nurick Lac
MtNees
100 Pine Street* PO Box 1166 *Harrisburg,PA 17108-1166 David E.Gruver,Pa.C.P.
Tel: 717,232.8000 e Fax: 717,237,5300 Paralegal
Direct Dial:717.237:5362
Direct Fax:717.260.1658
dgruver@mwn.com
April 8, 2015
Cumberland County Register of Wills
1 Courthouse Square
Suite 102
Carlisle, PA 17013
RE: Estate of Betty J. Adrian
Date of Death: December 3, 2014
File No: 21-14-1223
Dear Sir or Madam:
Enclosed for filing are the following documents for the above mentioned Estate:
Inventory
Inheritance Tax Return Resident Decedent (REV-1500)
Please date stamp our file copy and return to me in the envelope provided. Please contact me if
you have any questions.
Thank you.
Kind regards,
David E. Gruver, Pa.C.P.
Paralegalgg
Enclosures . _&'
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