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HomeMy WebLinkAbout07-28-08 (3)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } David J. liens File Number 21-07-1096 Personal Representative(s) of the Estate of Robert D. liens 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 emo an u 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- --- -- -- `~=' menu herein are made subject to the penalties of David J. liens n© ~ _ 18 Pa.C.S. § 4904 relating to unsworn falsification to } _ - yz7 ~-- ' authorities. ~ `~- __ _. ,;, ~- , ~ , t> _, ~_ ~.a CJ {J,j!\ _ _ ~- - ~-~ .~ ~.._il ~ Attorney -- (Name) Gary L. James Esq. (Supreme Court I:{~ No.) X27752 (Fir"' James, Smith, Dietterick 8~ Connelly, LLP - _ (Address) 134 Sipe Avenue, Hummelstown, PA 17036 (Telephone) 717/533-3280 DATE OF DEATH LAST RESIDENCE 404 Bethany Drive DECEDENT'S SOC. SEC. NO. 10/28/2007 Mechanicsburg, PA 17055 110-20-4286 FIGURES MUST BE TOTALED Personal Prope Cash ............................................................................................... Personal Property ......................................................................... Stoc ks/Listed ................................................................................. Stocks/Closely Held ...................................................................... Bonds ............................................................................................. Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ......................................................................... Total Personal Property ......................................... Total Real Property ................................................ Total Personal and Real Property ......................... 16,684.89 13,800.00 30,484.89 30,484.89 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 o9 Rev. 10.13-2006 CUMBERLAND COUNTY, PENNSYLVANIA INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA couNTY of Cumberland } ss File Number 21-07-1096 DATE OF DEATH LAST RESIDENCE 404 Bethany Drive DECEDENT'S SOC. SEC. NO. 10/28/2007 Mechanicsburg, PA 17055 110-20-4286 Cash Individual Retirement Account - 2007 MRD Pennsylvania State Employees Credit Union Moneyhandter Account -valued per statement Pennsylvania State Employees Credit Union Regular Shares Account -valued per statement Pension -Final Pension payment Total Cash Persona! Property Toyota Avalon -valued per Kelley Btue Book Total Personal Property 7,602.64 5,697.64 164.61 3,220.00 16,684.89 13,800.00 13,800.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 30,484.89