HomeMy WebLinkAbout06-23-08 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND f SS
COUNTY, PENNSYLVANIA
File Number 21-08-0307
Personal Representative(s) of the Estate of RICHARD E. BLACK
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 are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) ROGER B. IRWIN, ESQUIRE
(Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013
(Telephone) (717) 249-2353
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
02/28/2008 7 N. OLD STONEHOUSE ROAD, CARLISLE, PA 17015 207-22-0895
FIGURES MUST BE TOTALED
635 ALE.'~ANDER SPRING ROAD, CARLISLE, PA 17015
PERSONAL PROPERTY
ORRSTOWN BANK -CHECKING ACCOUNT
2004 CHEVROLETS 10 PICKUP
135,000.00
355.00
2,249.61
11,770.00
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(Attach additional sheets as needed)
TOTAL: ~ 149,374.61
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 shouid not be extended into the total of the Inventory. (See ZO Pa. C.S. ~' 3301(b))
(Supreme Court LD. No.) 6282
Form RW-09 rev. 10.13.06