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HomeMy WebLinkAbout11-13-06 -. Register of Wills of Cumberland Co INVENTORY &mreof Rnnprr M Rpplpy Also known as , Deceased Esmte No. 1-05-01040 Date of Death November 22, 2005 Peraonal Rcpresentative(s) of Ihe above Estate, deceased, verify that the Items appearing on the following inventory include all of the I10nal assets wherever situate and aU of the real estate in the Commonwealth of Pennsylvania of &lid Decedent, that the valuation placed opposite ea h item of said inventory rep~ts its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commo wealth of Pennsylvania except that which appears in a memorandum at the end of this inventory (pEP f 3301). I/We verify that the statements ma e in this inventory are true and COITCct. l/We understand that fitlse statements herein made are subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: Keith O. Brenneman II LD. No.: Address: Personal Representative: Robert M. Eppley, Jr. Address: 47077 44 W. Main Street Mechanicsbur2. PA 17055 717-697-8528 Date: Telephone: Description I. Real Estate improved with a residence and accessory structures known as 175 West Middlesex Drive, Carlisle Club Road Value $226,000.00 II. Personalty. A. Orrstown Bank Account, American Funds Bond Fund B. Orrstown Bank checking account C. M&T Bank checking account D. Misc. personal property, furniture and furnishings and 1997 Ford truck E. U. S. Savings Bond F. Cumberland County FSA crop payment (Attach Additional Sheets if necessary) 24 , 51 7 . 6@:, Co 5:::0 157 . 3~~g 2 552 8",c= Z:::o , . J.c:. u5 ~ ..-;0 20,436. 75~O~ >-'c- :--) :55 ~--1 161. 48j:.. 356.00 T tal 274, 181.98 ~ c::::l c:::> c::r- Z o ..",c: NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the ele lion of tbe personal representative, include the value of each item, but such figures should not be extended into the tIltal of the Inventory. RW-4 if- (..0.) _.0 en C') ,..--....,. \.._~-.,I :rJ ~;.;.,; C:J <:::) --t'l -n C) ill ~ :x "R ~- ...") N 0"\ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTAT OFFICIAL RECEIPT BRENNEMAN KEITH 0 44 W MAIN STREET MECHANICSBURG, PA 17055 __n_n_ fold ESTATE INFORMATION: SSN: 315-09-3012 FILE NUMBER: 2105-1040 DECEDENT NAME: EPPLEY ROBERT M DATE OF PAYMENT: 11/13/2006 POSTMARK DATE: 11/13/2006 COUNTY: CUMBERLAND DATE OF DEATH: 11/22/2005 TOTAL AMOUNT P REMARKS: CHECK#159 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS REV-1162 EX(11-96) E TAX NO. CD 007417 Acr ~ SSEssr v1ENT AMOUNT CONT ~OL NUMB ER --......-....- 1 J1 I $ 1 0, 1 59.00 I I I I I I I I AID: $ 1 0, 1 59.00 GLEND A FARNER STRASBAUGH REGIS" ER OF WILLS ~- -- ---- -- A i!