HomeMy WebLinkAbout09-19-08 (3)INVENTORY _
REGISTER OF WILLS OF Cumberland COIJ1~
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF Cumberland f SS ~ l ,_,., . --
File Number 2108-0084 ~, ~';."i;~. '.~~"
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Personal Representative(s) of the Estate of Kathleen B. Heckman
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 the end of this i vento
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- ~~~ -~1~~
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) NSA
(Supreme Court I.D. No.)
(Address)
January 21, 2008
LAST RESIDENCE
One Ridge Ln. Green Ridge Village Newville, PA 17241
FIGURES MUST BE TOTALED
1. Refund from Presbyterian Homes Inc. per Residence and Care Agreement
2. F & M Trust Company checking account 33-04612
3. F & M Trust Company money market account 70-57105
4. Miscellaneous coins located in safe deposit box at F & M Trust Company
5. Household contents located at One Ridge Ln. Green Ridge Village Newville PA 17241
6. Refund from State Farm Insurance Co. renters insurance
7. Final pension payment from PEBTF
8. Refund from Comm of PA 2007 Income Tax
9. IRS Federal Tax Incentive payment 2007
(Attach additional sheets as needed)
TAT ~ r
DECEDENTS SOC. SEC. NO.
175-03-1969
63,000.00
1,122.00
26,444.00
642.00
1,235.00
70.00
80.00
41.00
300.00
- -- - • --•• 92,934.00
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 ZO Pa. C.S § 3301(6))
Form RW-09 rev. /0.13.06
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