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HomeMy WebLinkAbout06-16-08INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA t COUNTY OF Cumberland f SS COUNTY, PENNSYLVANIA File Number 2008 - 00325 Personal Representative(s) of the Estate of Alice A. O'Donnell 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 the 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 of this inventory. I verify that the statements made in this Inven- tory are true and correct. I understand that false state- ments herein aze made subject to the penalties of 18 Pa.C.S. § 4904 relating to unswom falsification to authorities. Attorney -- (Name) (Address)- (Telephone) DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. 01/08/2008 Claremont Nursing and Rehabilitation Center, Carlisle, PA 17013 070-28-6109 REAL PROPERTY PERSONAL PROPERTY Clothing Furniture Art Work Jewelry Collectibles Stocks and Bonds Cash/Cash Equivalents Rugs China/Glass Silver Cumberland FIGURES MUST BE TOTALED VALUATION (APPROXIMATE) $00.00 Insurance Policies (Cash Surrender Value) Coin and Stamp Collections Other (autos, boats, linen, household goods, tapestry, etc.) (Attach additional sheets as needed) $500.00 $00.00 $00.00 $00.00 $00.00 $00.00 $00.00 $00.00 $00.00 $00.00 $00.00 $00.00 $00.00 AL: C7 ~~ O -~ ~~ - -~ `~ _ _ _ -'~ _~ ..~ --+ r.3 w s 0.00 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)) (Supreme Court I.D. No.), Form RW-09 rev. /0.13.06 Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF ~ a~ MGR c~ ~ COUNTY, PENNSYLVANIA Name of Decedent: /¢~/ ~ t ~. O ~ ~d .civc ~- L Date of Death: /~~~~ a v ~`' File Number: ~ oa & - 002 S` Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete :.................... ®Yes ®No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: i z~ 3/~d~ ~ 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a fmal account with the Court? ....... ®Yes ®No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... Yes ~No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and~m-a~y be attached'to-7this report. Date S' ~ 3 ~'~ ~ ~t ~ ~~ ~~ ~~gnatur~on Filing this Form - Capacity: ®Personal Representative ®Counsel ~ EX~c~-rtnc ~' . ~}~ ''u ( ;~r'~IIJ Name of Person Filing this Form 2 ~ 2 3 ,E a9-lca?/~ ~~i~ . Address /" ~ ^-~ lac ~l/0~ ~ L~/°'"(~ ~ ~ c^~ C7 ~ (h~) (~3~ 3 1 7 z L ~- a~ ~?~ Telephone C~ ~ ~ ~'~~ ~~~ - f`' ~ / Form RW-10 rev 1QilTi,~04 .. .