HomeMy WebLinkAbout03-23-07 (3)
INVENTORY
, Deceased
No. 21 06 1118
Date of Death 12/18/2006
Social Security ~o. 189-09-4854
Estate of JOHN E. MINICH
also known as
i
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 Deejedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, ~d that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the nd of this inventory. IMle
verify that the statements made in this inventory ate true and correct. IMle understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. i
Personal Represent,tive:
Name of
Attorney: William P. Douglas
1.0. No.: 37926
Address: 57 W. Pomfret St.
Carlisle,
Telephone: 717-243-1790
Ellsworth G. Minich
Rosie M. Burton i
i
I
Dated January 25~ 2007
PA 17013
Description
Value
M&T Bank, checking account
3,703.30
Refund, Claremont Nursing Home
3,211.05
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Total
6,914.35
(Attach Additional Sheets if necessary)
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
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