HomeMy WebLinkAbout08-31-15 (2) INVENTORY
REGISTER OF WILLS �F CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYIVANiA } SS
counn'�r oF Cumberland File Number 21-14-0892
Craig B Horner
Personal Reptesentative(s)of the Estate of Raymond H Homer
deceased,depose(s)and say(s)that the items appearing in the fol{owing inventory inctude all of the personai assets wherever
situate and ali of the real estate in the Commornuealth of Pennsylvania of saEd Decedent,that the valuation ptaced opposite��ch
item of said inventory represents its fair vatue as of the date of the decedenYs death,and that Deceder}t own�,cb no real est�,
outside of the Commonwealth of Pennsylvania except that which appear�iri a pr(emorandu t th er�d of this�h�tory. �'-' � r�
i verify that the statements made in this Inven- `� � ' ' �� �' �,
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tory are true and corred.I understand that false state- Creig B orner � {V�
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ments herein are made subject to the penalties of 1 �' �
18 Pa.C.S.§4804 relating to unsworn falsiflcation to I
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authorities. �� ';;
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nteorreey- {rvame) Linda J.Olsen (Suprame Court 1.D.Nb.) 85�' `-i
fF+r►►�1 Hazen Law Group
t��� 2000 Lingiestown Road,Harrisburg,PA 17110
(Te�epnone) 717-540-4332
DATE OF DEATM IAST RESIDENCE 1223 Chelsen Cross DECEDENT'S 80C.SEC.NO.
09101/2014 Mechanicsbu PA 1T050 204-01-4113
FIGURES MUST BE TOTALED
Personai Pronertv
Cash............................................................................................... 2,128.04
PersonalProperty........................................................................ 7,838.00
Stocks/Listed................................................................................
Stxks/Ctosely Held.....................................................................
Bonds............................................................................................
MutualFunds................................................................................
Partnerships and Sole Proprietorships..............................•---...
Mortgagesand Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 9,s66.0a
Totai Real Property................................................ 130,000.00
Totat Personal and Real Property...................•-••• 139,966.04
NOTE: �em�butmsudi�fgure�u�ld o�ot b�exte�f�m the�total tt�nl �ry(���e PaeC S§3301(�bj)��I�����ude the value of each
Form RW-09 Rev.rat3-zoo8
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-14-0892
DATE OF DEATH LAST RESIDENCE 1223 Chelsen Cross DECEDENT'S SOC.SEC.NO.
09/0112014 Mechanicsburq, PA 17050
St.e.S.L]
Refund-AAA dues 20.25
Refund-Bankers Life and Casualty Company-Long-Term Care insurance premium 1.454.59
refund
Refund-County/Local real estate taxes-Refunded at real estate settlement as noted 412.19
on HUD-1
Refund-Erie Insurance premium 33.00
Refund-School real estate taxes-Refunded at real estate settlement as noted on HUD 208.01
-1
Total Cash 2,128.04
P�rconal Pronertv
Rolling Green Cemetery plots-2 plots 5.590.00
Vehicle 2000 Buick Regal LS-94,000 miles 2.248.00
Total Personal Property 7.838.00
Real Estate
Real Estate 342 Andersontown Road, Mechanicsburg, PA-Property was sold to a tr;; 130,Q�0.00
disinterested third party. �' � ''� �
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Total Real Estate .-r� � - �� 13O.Qf�.Oo
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(Attach additional sheets if necessary) Total Personal Property and Real Estate 139.966.04
HAZEN � LAW GROUP
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PLAN TODAY. SECURE TOMORROW.
Estate Planning � Elder Care and Disability Planning
2000 Linglestown Road, Suite 202
Harrisburg> PA l71 l0
Phonc 717-540-4332
Fax 717-540-4313
www.H aze n LawG ro up.co in
August 28, 2015
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Cumberiand County Courthouse ., w r°�
One Courthouse Square � t <-�
Carlisle, PA 17013-3387 -�' _ ` �'.;
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Re: Estate of Raymond H. Horner _ ��� �
File No.: 21-14-0892 �i
Social Security No.: 204-01 -4113
In�eritance Tax Return
To: The Register cf Wi�ls:
Enclosec� ror filing plea�e find the original and ore copy of the
above-referer,ce� �nh�rit�rce Tax Reiurn und Inventory, along with a
copy of the fi��t page of the Ir�heritance Tcx Return, Please date stamp
the fiirst page of the return and a c;ep�� c�f the Inver�tory ar�d fpturn them tc
my office in the enclosed sel;-addressed envelope.
If you :�ave, any questions or rec�ire ar�y additio��al inforrr�atiun,
;�itase ao no? r��::itate io �.ontact �7�e.
Si���cereiy,
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Tiffany J. Mutzaba�.�gh
Faralegc�l
Enciosures
cc: Lraig I��c�rr��er, Executor