HomeMy WebLinkAbout01-22-79
Form RC C .10
'.
DEDUCTIONS ALLOWED IN
OFFICE OF THE
REGISTER 0.... WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF .......
0<0
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OF
CUMBERLAND COUNTY
AND AGENT OF THE CO"1"'ONW&:ALTH
ESTATE OF
Dessie E. Skelly
L.ATE OF West Pennsboro Townshi p
C\;fz (L l ~~JIi tF DEATH October 1, 1 g78
DATE OF FILING APPR^ISEMENi'~~
DATE: NO. OF NAMIi: OF PAYEE RE"'ARKS I A"'OUNT
VOUCHIiiR
T
11 17 1 MGM Ph::>rrn::>ru morH Q_?? t-,..., o_?n !:)8 10
4 Fogelsanger Funeral Home funeral 1170 i 60
John H. Brou~osi Esquire attorney fee, declaratorl judg. i 125 1 00
5 Register of il s letters. short certifica es 20 I 00
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6 Evening: Sentinel advertisinQ' estat€'e i ?11 1 1 r:;
7 Cumberland Law Journal advertising estate 1 18 00
8 Presbyterian Home, Inc. nursing home care 0/14 - q/25 117 12
nursing home care 9/27 - 1M2!:)l I .
9 Graham Medical Clinic nhvsicians care !:)71nn
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11 Shippensburg Chronicle advertising estate I 14 . 00
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10 Yo~t Stephanie notary fee 4 00
12 ReQ'ister of Wills. filing inven. ~ebts & Deduc. Inher. tax form 0 00
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF _ Cumberland
I, Irvin G. Van Sc:yoc
'I
JS.:
HEREBY CERTIFY. THAT. TO THE BEaT OF
,",y KNOWL.I!:DGE AND BELIEF. THE: FORc:aOING IS A JUST A"-ID THU E STATEMENT OF DEBTS. FUNERAL EXPENSES AND EXPENSD OF
ADMINISTRATION SUBMITTED TO THE EST^TE OF
INHERIYANCE TAll', FUR-POSES.
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SWORN AND SU8SCRIBED eEFORE ME THIS "'" ,{ ,.. /".....-
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SIEPHANiE J. YCST, ((~t~:'{ p~lic
Carlisle, Cumb2r\~nd (<)., Pa. ')
My Commi$siol1 Expires Feb. 22, 198-
(L. S.l
Inventory of the real and personal estate of
Dessie E. Skelly
deceased.
Real Property: None
Personal Property:
1. Clothing and personal effects
2. Blue Cross - Blue Shield Check No. 45213599
45305928
62174341
3. Series E Savings Bonds
$100.00 - C624 682 E, 7-19-41, Anna B. Skelly
POD to Dessie E. Skelly
$100.00 - C624683E, 7-19-41, Anna B. Skelly
POD to Dessie E. Skelly
interest -I
TOTAL 759.10
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4.
$50.00 - L675763E, 7-19-41, Anna B. Skelly
POD to Dessie E. Skelly
(*Note: Anna B. Skelly deceased 4-25-60)
Metropolitan Life Insurance Co.
Policy #134-400-428
Beneficiary: Anna B. Skelly who deceased 4-25-60
5. Penn Mutual Life Insurance Co.
Policy # 1 066 751
6. Commonwealth National Bank
Bal. from Trust 11,031 Units Fund A $11,031.00
Accrued interest on above to 11/1/78
Principal cash balance 10/1/78
Income cash balance
7. Reimbursement for amounts expended by.Dessie E.Skelly,
Administratrix c.t.a. for Estate of Anna B. Skelly
in administering estate
8. Refund, Presbyterian Homes.
TOTAL
II
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-0-
6 00
1 34
5 36
299 80
299 80
9 60
149 90
452
73
1062 70
11,416 I 55
I
1,272 20
11 00
111986 98
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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55:
G. Irvin Van Scyoc .
being duly sworn __ according to law, deposes and says that he G. Irvin Van Scyo~_
Executor of the Estate of Dessie E. Skelly
late of _~_m~~est:pen12s_b2r() TO\<Jl1sl1Jp._______ , Cumberland County, Pa., deceased and that the
within is an inventory made by __ G. Irvin Van Scyoc._., the said Executor
of the entire estate of said decedent, consisting of all the personal propdrty 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.
Sworn
and subscribed before me,
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STEPH,;N!E J. r 0;", ,.. ',. ,. Publ
Carlisle. C~'llbsr:dnd Co., Pa, I
My Commission Expires Feb. 22, 1982
Address
Date of Death
First
Day
October
Month
1978
Year
INSTRUCTIONS
r. An inventory must be filed within three months after appointment of personal representative.
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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