HomeMy WebLinkAbout02-03-06 (2)
INVENTORY
Estate of Donail~~'lStc~~~ac~i; [2. ~,O
also known as
No. 21 05
0540
c:'
, Deceased
Date of Death 5/3/2005
Social Security No. 162-24-1071
,r.t
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. I/We
verify that the statements made in this inventory are true and correct. I/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.
1.0. No.: 23989
Personal Representative: P. A . .. y
~ ~..~,
Mark D. Schumack
P.O. Box 731 AlbriQhtsville 18210
Name of
Attorney: Debra K. Wallet
Address: 24 North 32nd Street
Dated
2/1/{)(,
,
Camp Hill
Telephone: (717) 737-1300
PA 17011
Description
Value
2004 Subaru Forester 2.5 Turbo
15000.00
Allstate Auto Insurance Refund
41 .40
M & T Bank Checking Acocunt #11793430
1774.08
M & T Bank Personal Savings Acct #15004206021153
10843.09
M & T Bank Premium Interest Account #98084615
19960.55
PP&L Utilities Refund
9.92
Total
(Attach Additional Sheets if necessary)
47,708.94 .
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.
RW-4
pt
Continuation of Inventory
Donald D. Schumack
21
05
0540
Paqe 1
Description of Inventory
Description
Value
Vitamin Catalog Refund
79.90
Subtotal $
Grand Total $
79.90
47,708.94