HomeMy WebLinkAbout09-22-15 (3) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21-IS-0223
Holly A. Poplaski, Executrix
Personal Representative(s)of the Estate of Robert E. Bahn a/k/a Robert Eugene Bahn
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-
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of 12 Morari Drive
18 Pa.C.S. § 4904 relating to unsworn falsification to 12 Morurg,Drive
17019
authorities.
Attorney-- (Name) Keith O. Brenneman (Supreme Court /.D. No.) 47077
(Address) Law Office of Keith 0. Brenneman, P.C.,44 West Main Street,Mechanicsburg,PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
02/14/2015 21 S. Walnut Street, Mechanicsburg, PA 17055
FIGURES MUST BE TOTALED
1. Real Estate known as 21 South Walnut Street,Mechanicsburg Borough,Cumberland County, 110,105.53
Mechanicsburg,PA 17055,sale value
2. Manulife Financial Corporation,436 shares of common stock valued at$17.41 per share 7,590.76
3. Prudential Financial,Inc.,36 shares of common stock valued at 580.09 per share 2,883.24
4. Virtus Investment Partners,Inc., 8 shares of common stock valued at 5144.39 per share ;. , 1,155.12
5. AXA,annuity account#308 655 178 u51.01
6. Equitrust,annuity account#EQ0001158419F C>
m cD5Q80.95
7. PNC Bank,N.A.,investment account#97787450 r -o t 4b� 93.12
8. PNC Bank,N.A.,investment account#1245038 �� t� 47018.00
D
9. Proceeds from sale of 2010 Cadillac DTS automobile y0.00
10. United States Treasury,refund due the decedent on 2014 income tax return
_
L 260.00
co 1711
11. Western&Southern Life,annuity account#W0020208324 -~ "_ r15,N9.21
N co —T1
(Attach additional sheets as needed)
TOTAL: F 972,436.94
NOTE: The Memorandum of'real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value ol,each
tem;but such figures should not be extended into the total of the Inventory. (See 20 Pa.C.S.§3301(h))
Foran Rff'-09 rev. /0.13.06