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HomeMy WebLinkAbout08-22-08INVENTORY Estate of GERALDIEN F. MCCORMICK No, 21 08 0389 also known as Date of Death 3/8!2008 ,Deceased Social Security No. 178165264 Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the persona{ 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. INVe understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: SUSAN H CONFAIR LD. No.: 70241 Address: 2331 MARKET STREET CAMP HILL PA 17011 Telephone: 7177631383 Description Stocks & Bonds Closely-Held Corporation, Partnership or Sole-Proprietorship Mortgages & Notes Receivable Cash, Bank Deposits, & Misc. Personal Property PENNSI(LVANIA STATE BANK - #10121846 PO BOX 38 EAST PETERSBURG, PA 17520 INSURANCE REFUND (Attach Additional Sheets if necessary) xs , k ~CGLcc~/- ~ Dated O/~~~.U r,~ ~~ Valus . ~ a.~~ ,~ ~-.~? - Gy -~ N _ -;, - r~ -,ti, c„ Total 9,098.70 460.41 9,859.11 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. RW-4 Continuation of Inventory GERALDIEN F. MCCORMICK 21 08 0389 Pa e 1 Description of Inventory