HomeMy WebLinkAbout12-18-08 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CiTMBERLAND File Number 21-08-0579
Personal Representative(s) of the Estate of Daniel Sims
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 me orandum at the end~gf this inventory.
i'
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.
Attorney -- (Name) Terrence J. Kerwin, Esq.
(Supreme Court I.D. No.) 29922
(Address) 27 North Front Street, Harrisburg, PA 17101
(Telephone) 717-238-4765
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
1/23/2006 1007 Bridge Street, New Cumberland, PA 17070 211-58-8546
FIGURES MUST BE TOTALED ~ ~
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Fidelity Investments -Diocese of Harrisburg 401(k) plan- Account #57506 '~~'~ ~ ~ ~ `' '
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(Attach additional sheets as needed)
TOTAL: 5,258.04
NOTE: The Memorandum of real estate outside the Cotnmonwealth 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(6))
Form RW-09 rev. 10.13.06