HomeMy WebLinkAbout11-13-07 (3)
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COMMONWEALTH OF PENNSYL VANIA:
SS
COUNTY OF CUMBERLAND
JEAN c. HOFFMAN being duly SWOrn according to law, deposes and says that she is the
Executor of the Estate ofMEL VA A. DERICKSON, late of Mechanicsburg, ClUUberland County,
PennsYlvania, deceased and that the within is an inventory made by JEAN c. HOFFMAN, the said
Executor of the entire estate of said decedent, consisting of all the personal property and real estate,
except real estate outside the CommonWealth of PennsylVania, and that the figures oPposite each item of
the Inventory represent its fair value as of the date of decedent's death.
SWorn and subscribed before me,
9
, 2007,
(l...~/ e, ~".L._ ".
U- EXecl1t& ~
809 East Walnut Street
Hanover, P A 17331
Da
.
Februarv
Month
2007
Year
Day
INSTRUCTIONS
1.
2.
3.
4.
An inventory must be filed within three months after appointment of personal representative.
A supplement inventory must be filed within thirty days of discovery of additional ~ets.
Additional sheets may be attached as to personality or reality. '" ""
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See Article IV, Fiduciaries Act of 1949. S
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Inventory of the Real and Personal Estate of
MELVA A. DERICKSON, deceased
1990 Chevrolet Cavalier Sedan
$500.00
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TOTAL
$500.00