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HomeMy WebLinkAbout09-22-08 (3)INVENTORY REGISTER OF WII.,LS OF Cumberland COMMONWEALTH OF PENNSYLVANIA ~ SS CouNTY of Cumberland COUNTY, PENNSYLVAI~TIA File Number 21-08-0678 Personal Representative(s) of the Estate of Elizabeth Arlene Leahy deceased, depose(s) and say(s) that the items appearing in the following inventtory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedetit, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the decedent's death, avid that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandurlt 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. Mark K. Lea ..fib Charbtte K. ~.eah y p ,,_ c~ _ - _ ~ -- : x7 _, -C? rTl ~-,' , ; Attorney -(Name) (Supreme Court I.D 11~e -z-~ (Adch~ess) ' ~ %'. ~ (Telephone) , ~ ; ~ - .; DATE OF DEATH LAST RESIDENCE DECEB~IT'SaSOC. SEC. NO. ~ June 4, 2008 8 East Winding Hill Road, Mechanicsburg, Pa. 17055 201-i6-2161 ~ :_ - -- t~ 1. Jewelry (costume) 2. Wearing Apparel 3. Household Goods FIGURES MUST BE TOTALED 4. Furnishing 5. Automobile, 2003 Saturn Ion 3, 4 Door Sedan, Mileage 28985, Good Condition 6. Pennsylvania Pension Check From June 1~, 2008 7. Delta Dental Refund Check of unused premium for June 2008 8. Cumberland County Veterans Allowance Refund Checc 9. M 8 T Bank, 5219 Simpson Feny Rd, Mchsbrg, Pa. 17050, Checking Account #54661560 10. Pennsylvania State Employees Credit Union, Credit Union Place, Harrisburg, Pa. 17110 Account # 0197406171, Saving $1327.70, Checking $3397.57, Money Market $3557.96, Certificate (S50) $9308.92, Certificate (S51) $10176.33 11. Citizens Bank, 255 Cumberland Pkwy, Mchsbrg, Pa, 17055, Checking Account # 610063-152-4, Certificte Account # 6247-35114 12. House, 8 East Winding Hill Road, Mchsbrg, Pa, 17055, Transfer to Mark K. Leahy (son) and Charlotte K. Leahy (daughter), on February 27, 2004 - (Attach additional sheets as needer~ 100.00 650.00 355.00 905.00 8,020.00 53.26 27.78 100.00 5,099.19 27,768.48 11,005.29 95,000.00 TOTAL: ~ 1 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 twt be extended into the total of the Inventory. (See 20 Pa CS § 3301(b)) Form RW-09 rev. 10.13.06