HomeMy WebLinkAbout07-31-15 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
cou►vn oF Cumberland } SS File Number 21_-15-0420
Frederick T.Jones,Jr.
Personal Representative(s)of the Estate of Enid G..10t1@S _ __
deceased,depose(s)and say(s)that the items appearing in the following inventory include ail 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 rea�estate
outside of the Commonwealth of Pennsylvania except that whic appears in a memo ndum a the e of this inventory.
I verify that the statements made in this Inven- ,� �� �:����
tory are true and correct. I understand that false state- � rederick T.Jones,JE:'� �
ments herein are made subject to the penalties of � _
18 Pa.C.S.§4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) David D. Nesbit Esq. __ (Supreme Court I.D. No.) 77411
lF��'J Keystone Elder Law P.C. ___ __
(Address) 555 Gettysburg Pike, Mechanicsburg, PA 17055 ___._
(Telephone) 7176973223 ______.
DATE OF DEATH LAST RESIDENCE 450 Woodcrest Drive �EDENT'S SOC.`3�E .NO.� m
11/01/2014 Mechanicsburq, PA 17050 '�$8F32-5141 rn �
FIGURES MUST BE TOTALED r��n -�'' c� � '"� o
�,� � r- w p,�r m
Personal Pronertv �' ~' � `�
Cash............................................................................................... � � , \ -��11d,�9-n
Personal Property........................................................................ .,' 3 .- �
Stocks/Listed................................................................................ �:� w r= m
--i P—
Stocks/Closely Held..................................................................... .- � u' o
Bo n d s............................................................................................
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 2,114.19
Total Real Property................................................ 240,000.00
� , :.
Total Personal and Real Pro e „ : , �a��
P rtY........................ °�'����
NOTE: Item bumsuchf gures should not be extended In omhe ota�ltof thelnvent ry.�(Seey20 PaeC�SC§3301(bj)Personal representative include the value of each
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Form RW-09 Re�.�a�s-2oos �
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number _21-15-0420
DATE OF DEATH LAST RESIDENCE 450 Woodcrest Drive DECEDENT'S SOC.SEC.NO.
11/01/2014 Mechanicsburq, PA 17050 188-32-5141
Cash
American Water refund 22•73
Claremont Nursing&Rehabilitation Center Refund 1,903.21
United Healthcare Insurance Company Refund 188.25
Total Cash 2,114.19
Real Estate
Real Estate at 450 Woodcrest Drive, Mechanicsburg, PA,Appraised Value as of Date of 240.000.00
Death
Total Real Estate 240,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 242,114.19