HomeMy WebLinkAbout10-25-07 (3)
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Donald L. Tappan
Personal Representative(s) of the Estate of
} SS
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File Number 21-07 -0486
Elizabeth E. Tappan
deceased, depose(s) and say(sl 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 e valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent' death, and that Dec ent owned no real estate outside of the
Commonwealth of Pennsylvania except that which app~ars in emorandum d of this inventory.
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. 94904 relating to unsworn falsification to }
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Michael L. Bangs
(Supreme Court I.D. No.)
4126L
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_ 429 South 18th Street, Camp Hill, PA 17011
717/730-7310
DATE OF DEATH
05/04/2007
LAST RESIDENCE
Outlook Point Nursing Home
Dillsburg, PA 17019
FIGURES MUST BE TOTALED
DECEDENTS SOC. SEC. NO.
184-16-7071
Personal Property
Cash ........ ......... ... ... ...... ... ...... .................. ... .............. .......... ............ .....
Persona I Property.. ................................. .............. ........... .................
Stocks/Listed .....................................................................................
Stocks/Closely Held.........................................................................
Bonds.................................................................................................
Partnerships and Sole Proprietorships ........................................
Mortgages and Notes Receivable..................................................
All Other Pro pe rty ......................................... ...................... ..............
159,047.95
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'-""~.J
Total Personal Property...........................................
t~'. '.
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159,Q47.95
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Total Real Property...................................................
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Total Personal and Real Property...........................
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159,047.951
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. ~ 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 21-07 -0486
DATE OF DEATH
05/04/2007
LAST RESIDENCE
Outlook Point Nursing Home
Dillsburg, PA 17019
DECEDENTS SOC SEC. NO
184-16-7071
Cash
PNC Bank - Certificate of Deposit
133.20~.18
I
25.78'.26
PNC Bank - Checking Account
Total Cash
,
5'.51
I
159.04t.;5
State Employees Retirement System - Final payment from retirement
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
159.047.95