HomeMy WebLinkAbout08-14-08 (2)INVENTORY
Estate of Gordon D. Osbourn No, 21 08 0338
also known as
Deceased
Date of Death 12/3/2007
Social Security No.
Personal Representative(s) of the above Estate, deceased, verify 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 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. 1/We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unswom falsification to authorities.
Personal Representative:
Name of -~'1/~~i
Attorney: SUSAN H CONFAIR
I.D. No.: 70241
Address: 2331 MARKET STREET Dated ~~/~fD~
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
SPECIFIC BEQUEST - M & T CHECKING ACCOUNT 39927520
499 MITCHELL STREET, MILLSBORO, DE 19966
COLLEEN M. GALLAHER
MINNESOTA LIFE -ANNUITY
400 ROBERT STREET
ST. PAUL, MN 55101-2098
(Attach Additional Sheets if necessary)
Value
Total
697.12
25,651.60
27,248.72
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.
-_>
C%
\ _
4'....
5.;~'
,,-~ .,
- a~;
•-
RW-4
Continuation of Inventory
Gordon D. Osbourn 21 08 0338
Pa9g 1
Description of Inventory