HomeMy WebLinkAbout09-04-07 (2)
.
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNS LVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Patricia A. Haslam
Personal Representative(s) of the Estate of
} SS
}
File Number 2141741519
John F. Peifer Jr.
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal asse wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposit each item of said
inventory represents its fair value as of the date of the decedenfs death, and that Decedent owned no real estate 0 tside of the
Commonwealth of Pennsylvania except that which appears in a me a dum at the end of this invento .
I verify that the statements made in this Inven- }
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. S 4904 relating to unsworn falsification to }
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Michael L. Bangs
(Supreme Court 1.0 No.)
429 South 18th Street, Camp Hill, PA 17011
717/730-7310
?5 -~ ~7
DATE OF DEATH
09/18/2003
Green Ridge Village
Newville, PA 17241
FIGURES MUST BE TOTALED
DECEDENT SOC. SEC. NO.
178-16 511
LAST RESIDENCE
Personal Property
Cash.......................................................................... ..........................
Personal Property............... ....... .......... .............. ...... ........... ..... .........
Stoc ks/Listed.....................................................................................
Stoc ks/C lose Iy Held.........................................................................
Bo nds.................................................................................................
Partnerships and Sole Proprietorships ........................................
Mortgages and Notes Receivable..................................................
All Other Property........................ .......... ................... ..... ..... ..............
f-2
:-~\.-
:-1 (J
.~, c:
.~~ ;J
; ~ (:o:?
=n
.~G --/
_,L;.~
Total Personal Property...........................................
Total Real Property...................................................
".::>
<:::;;)
5,88:1.69
~
i . f
-0
I
.&:-
-0
::JJ:
'>:>
c..n
(II
5,884.69
41263
Total Personal and Real Property...........................
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include he value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. S 3301 (b))
Form RW-09 Rev. 10-13-2006
-r
. ...
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-47 -4519
DATE OF DEATH
09/18/2003
T LAST RESIDENCE Green Ridge Village
I Newville, PA 17241
I DECEDENTS SOC. SEC. NO.
178-16-4511
Cash
Citizens Bank - Account 610071-684-8
5.884.69
Total Cash
5.884.69
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
5.884.69