HomeMy WebLinkAbout11-06-07 (2)
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of William F. Shuttlesworth
No.
0654 of 2007
also known as
Date of Death: Julv 1. 2007
, Deceased
Social Security No. 206-03-9736
Personal Representative(s) ofthe 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 Pennsylvaniaof 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 ofthe Commonwealth of Pennsylvaniaexcept 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 are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attorney: Shaun E. O'Toole
Personal Representative:
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1.0. No.: 44797
Charles Miller
11/2. /1)7
Address: 2813 North Second Street
Dated
Harrisburg, PA 17110
Telephone: (717) 213-6653
Description
Value
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(1) Personal Residence
19 Poplar Drive
Mechanicsburg, P A 17050
$
117,060.00
$
2,400.20
(2) Cash
(3) Members 1 st Credit Union savings account #200290-00 $ 304.14
(4) Members 1 st Credit Union savings account #200290-05 $ 25.20
(5) Members 1 st Credit Union Certificate of Deposit #200290-41 $ 92,502.48
(6) M&T Bank checking account #950551666 $ 70,062.38
(7) M&T Bank checking account #10640789 $ 35,859.39
(8) American National Ins. Co. Annuity #LAR0020609 $ 140,348.33
(9) TransAmerica Life Ins. Co. Annuity #26162541 $ 19,753.21
(Attach Additional Sheets if necessary)
Total: $ 478,315.33
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.
Form RW-7 (Dauphin County- Rev. 9/92)
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