HomeMy WebLinkAbout11-07-78
Inventory of the real and personal estate of
SHIRLEY L. THOMPSON
deceased.
INTANGIBLE PERSONAL PROPERTY
Trust Account No. 13229-00-0 with The Commonwealth National Bank,
consisting of:
1
7415 units Commonwealth National Bank
Common Fund A- 1
7,415 00
..-..--3_..00
2
3
4
5
Interest accrued on item 1 to 4/5/78
Principal cash
Undistributed income cash
",./;. ~
7,663.
"--/ "-:"
'-. .;
. 375 ':85-
Refund of April room and board from Villa Teresa
901. 50
18 70
20 00
486 72
114 18
9,412 13
6
Refund of medical insurance premium from Capital Area Blue Cross
Refund of hospital charges covered by Medicare
Claim payment from Medicare
Claim payment from Pennsylvania Blue Shield
7
8
9
Total Personalty
~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
L
J
55:
_u_~RQ~~r~J<. Reitzel-L }rust Mani!.ger of The Commonwealth National Bank
sworn _ ___~__ according to law, deposes and says that he executor
>. . of the Estate of Shirley L. Thompson
late of ____ U-'L:C~~,----:=::_~ ___, Cumberland County, Pa., deceased and that the
within is an inventory made by Jhe.Col111lonwruth National B.ank, the said pxp,",,,tnr
of the entire estate of said decedent, consisting of all the personal proporty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death. 1
/1 /' //
J///
being duly
,5iJJof<N and subscribed before me, l
'-IJ{)V, 16 19 7i
M/l7/1 (J ku}/1~Ul / j
lAN'. rYRONISr,R, Notary PublFe
~arl'<;'e CU~berland Co., Pa.
y Commission ['(pires Nov, 14, 19~T
10 S. Market Squa
Harrisburg, Pa. 17108
Addrns
Date of Death _~_ 5th
Day
Apri 1
Month
1978
Y.ar
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal repre.entative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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