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HomeMy WebLinkAbout03-03-08 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } Sherwo1od Witmer and Connie Byerly Personal F1epresentative(s) of the Estate of Harry E. Bordner File Number 21-- ,. . ~ l t. .'~ \,,__; , deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherflver situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposde 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. . tory ~r~~~:~ t:~~ t~~:~~i~~uen~:r~~~~ ~~~~~~II~:~~~te- >4k;~/1{~~~7~;' t/:e~ - - . ments herein are made subject to the penalties of } ,.SJ1erwood. ~jtmer ~ ~: 1; 18 Pa.C.S. 94904 relating to unsworn falsification to ~.~.&I.t authorities. Connie Byerly'" Attorney.- (Name) (Firm) (Address) (Telephone) Earl Richard Etzweiler Etzweiler and Associates 105 North Front Street, Harrisburg, PA 17101 (717) 234-5600 (Supreme Court I.D. No.) 06398 DATE OF DEATH 12/06/:W07 LAST RESIDENCE 1700 Market Street Camp Hill, PA 17011 FIGURES MUST BE TOTALED DECEDENTS SOC SEC. NO. 199-07 -9225 Personal Property Cash............................................................................................... Person al Property......................................................................... Stocks/Listed................................................................................ . Stocks/Closely He Id...................................................................... Bonds............................................................................................ . Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable............................................... All Other Property......................................................................... 94,835.98 4,604.40 Total Personal Property.. ................ ..... .................. 99,440.38 Total Real Property....................... ..... .................... 99,4fl0.38 .1 Total Personal and Real Property......................... NOTE: n,e 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. !l 3301 (b)) Form RW-09 Rev. 10-13.2006 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } File Number 21-- DATE OF DEATH 12/06/:~007 LAST RESIDENCE 1700 Market Street Camp HiJI, PA 17011 DECEDENTS SOC. SEC. NO. 199-07 -9225 Cash Halifax National Bank Checking Account #210332210, date of death balance $4,701.36 4.701.36 Highmark - reimburse for medical expenses 41.58 Highmark - reimburse for medical expenses 92.25 PNC Bank Certificate of Deposit #5004876096, balance of $88,294.99 88.294.99 PNC Bank, Checking Account #5004389845, balance of $1,705.80 1.705.80 Total Cash 94.835.98 Stoc~: I Listed 72 shares of MetLife Insurance Company stock @ $63.95 per share = $4,604.40 4.604.40 Total Stock I Listed 4.604.40 Total Personal Property and Real Estate 99.440.38 (Attach additional sheets if necessary)