HomeMy WebLinkAbout02-03-06 (2)
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INVENTORY
Estate of Mary W. StillwaQon
No.21
05
00394
also known as
, Deceased
Date of Death 11/16/2004
Social Security No. 201-01-8186
Personal Representative(s) of the above Estate, deceased, verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. /!We
verify that the statements made in this inventory are true and correct. l!We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attorney: Stephen J. HOQQ, Esquire
1.0. No.: 36812
Personal Representative:
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Address: 19 South Hanover Street, Suite 101
Carlisle
r,
Dated
PA 17013
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Telephone: 1717)245-2698
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Description
Prudential Financial Life Insurance - Policy# M07186420
Value
2,260.16
Prudential Financial Life Insurance - Policy# M07186419
2,260.16
Refund: Patriot News
41.25
Refund: Comcast
42.24
Refund: Erie Car Insurance
RK.
23.00
Personal Property - Household Furniture
3,360.00
(Attach Additional Sheets if necessary)
Total
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
13,706.92
RW-4
Mary W. Stillwagon
Continuation of Inventory
Description of Inventory
Pa e 1
21
05
00394
Description
Car - Grand Marquise
VIN: 2MELM74W3RX635090
Value
3,000.00
PA Treasury Department Annuitant
2,027.23
Interest earned from May 2005 - January 2006
692.88
Grand Total $
5,720.11
13,706.92
Subtotal $