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HomeMy WebLinkAbout11-30-07 (3) / INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland Heather M Sigler Personal Representative(s) of the Estate of } SS } File Number 21-07 -00629 Emma Seiders McLaughlin 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 tlie 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 o;;~entory. I verify that the statements made in this Inven- } '1b. ~'"Jk Lt..v tory are true and correct. I understand that false state- .4. ./ ments herein are made subject to the penalties of Heather M SIgler 18 Pa.C.S. ~ 4904 relating to unsworn falsification to } authorities. Attorney -- (Name) (Firm) (Address) (Telephone) EDMUND G. MYERS Johnson Duffie 301 MARKET STREET, LEMOYNE, PA 17043 (717) 7614540 (Supreme Court I.D. No.) 20558 ._~---.~-_.~~~-~-'------------~~- DECEDENT'S SOC. SEC. NO. 172-01-9468 (") Co ":::0 ;--0 'Ie; )""1>' ::>~lj; (.1)7' .C)(") 0'::;:-' c= :s ~ DATE OF DEATH 06/20/2007 LAST RESIDENCE 1304 Carlisle Road Camp Hill, PA 17011 FIGURES MUST BE TOTALED Personal Property Cash............................................................................................... Persona I Property......................................................................... Stocks/Listed................................................................................. Stocks/C losely Held...................................................................... Bonds............................................................................................. Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable............................................... All Other Property......................................................................... Total Personal Property ......................................... Total Real Property................................................ Total Personal and Real Property......................... = '0 --.J ""T", % ,~') o c:) ..c: ::r.J ~- CJ W rn o CJ 385.36":) C) -0 -"'R ::lI: . -.:... C) ,_ <11 :...,r) '~~1 N .. c.n N 385.36 385.36 I 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. C.S. !j3301 (b)) Form RW-09 Rev. 10-13-2006 ,-I . ./ . INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } File Number 21-07 -00629 DATE OF DEATH 06/20/2007 LAST RESIDENCE 1304 Carlisle Road Camp Hill, PA 17011 DECEDENTS SOC. SEC. NO. 172-01-9468 Cash Highmark Bluecross/Blueshield Reimbursement 319.32 VISA Card - Credit Refund 66.04 Total Cash 385.36 (Attach additional sheets if necessary) Total Personal Property and Real Estate 385.36