HomeMy WebLinkAbout10-05-07
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF CUMBERLAND
Kelly F. Stanley
File Number 21-06-00927
Personal Representative(s) of the Estate of Janet C. Horn
deceased, depose(s) and say(s) 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 of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
, ~
I verify that the statements made in this Inven_} ~~Y ~ h1(i!L
tory are true and correct. I understand that false state- K 11 V S 1 E' {j-
h. d b' hi' fey tan ey, xecutr
ments erem are ma e su ~ect to t e pena tIeS 0 .
18 Pa.C.S. 9 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Address)
(Telephone)
Kei th O. Brenneman (Supreme Court I.D. No)
44 West Main Street, Mechanicsburg, PA 17055
(717) 697-8528
47077
DATE OF DEATH
October 4, 2006
LAST RESIDENCE
Mechanicsburg, Cumberland County, PA
DECEDENT'S SOC. SEC. NO
207-22-1662
I. REAL ESTATE - NONE
FIGURES MUST BE TOTALED
II. MISCELANEOUS PERSONAL PROPERTY
A. Citigroup Smith Barney Investment Account
45,898.00
B. 2006 Individual tax refund - PA Dept. of Revenue
100 . 00
C. 2002 Chevrolet Impala Sedan
6,855.00
~~,' .
'.__J
~}
r,...)
(Attach additional sheets as needed)
TOTAL: I
52,853.00
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, (See 20 Pa, CS f 330/(b))
Form RW-09 rev. /0,/3.06
7'