HomeMy WebLinkAbout07-11-08 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMGNWEALTH OF PENNSYLVANIA ~ SS 21-08-00372
COUNT`.l OF CUMBERLAND Fite Number
Susan I. Meadows
Personal Representative(s) of the Estate of Elizabeth E. Machusak
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 th end of this inventory.
]: verify that the statements made in this Inven- ~w~ _ ~~
tory are true and correct. I understand that false state- Susan I . Meadows
ments herein are made subject to the penalties of
18 Pa.C;.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(A
Keith 0. Brenneman (Supreme Court I.D. No.)
44 West Main Street, Mechanicsburg, PA 17055
(Telephone) (717) 697-8528
DATE Of= DEATH LAST RESIDENCE
March 22, 2008 1051 AllE
PERSONALTY
47077
DECEDENT'S SOC. SEC. NO.
FIGURES MUST BE TOTALED
1. PNC Bank, N.A., checking account No. 51-4017-2114
2. Rent deposit refund
3. PNC Bank, N>A., money market account No. 5001893341
4. U.S. Treasury -economic stimulus payment
5. Verizon -credit balance refund
6. Patriot News -subscription refund
7. Prudential dividend payment
8. Prudential, balance of Alliance account
9. Fidelity Merclc & Co. Medicare benefit refund
10. Miscellaneous personal property and furnishings
(Attach additional sheets as needed)
~:
~ ~~
~ r -
r-°
,~~; _.~
; 3,77~.55 <
~ 80
-
2b
~~' ,
.
.
33 ~ ~-~
2]-x
2
.
,
3.00
9.73
63.25
327.57
6.81
18.00
475.00
TOTAL:~~7,456.04
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. 10.13.06