HomeMy WebLinkAbout12-22-08 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUN"I'Y OAF CUMBERLAND
Personal F;epresentative(s) of the Estate of JOHN H KEEFAUVER SR
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 1:he 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 inventory.
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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 BONNIE L SHOLLEY, EXECUTRIX
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
q~t cunl ~•rt ' -- (Name) JEFFREY S COHICK EA
(Address) 390 ALEXANDER SPRING ROAD, CARLISLE, PA 17015
Telephone) 717-249-5321
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
03/20/2008 1634 WALNUT BOTTOM ROAD, CARLISLE, PA 17015 184-12-4895
COUNTY, PENNSYLVANIA
File Number 21-08-0388
FIGURES MUST BE TOTALED
RESIDENCE (a> 1634 WALNUT BOTTOM ROAD, CARLISLE, PA 17015 SOLD
MISCELLANEOUS HOUSEHOLD GOODS SOLD
2007 PA REAL ESTATE TAX REFUND FROM PA DEPT OF REVENUE
HIGHMARK BLUE SHIELD -HEALTH INSURANCE REFUND
MAGAZINE SUBSCRIPTION CANCELLED
CASH ON HAND
REAL ESTATE TAX REFUND AT SALE OF RESIDENCE ON HUD STATEMENT
2007 I<:AWASAKI MULE 4WD
1998 BUICK CENTURY - 4 DOOR SEDAN
MARLIN .22 GUN MODEL 25N SERIAL #10664730
HUSQVARNA GUN .300 WIN MAG SERIAL #357312
LOT OF VARIOUS FISHING EQUIPMENT
STATE FARM FIRE & CASUALTY CO -HOUSE INSURANCE REFUND
(At~'ach additional slTeets as needed)
110,000.00
1,180.82
300.00
152.73
11.40
400.00
~.,, 642.31
-~ ~~-.
,~~
5,645.00
::v c~ _
';--, ~.:~ 3,575:04
;,-
_.
~`~~ 2,5.00
N
-
- 11.6.00
_ _ ~..,
~'_= ' ~~ 32.00
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TOTAL: ~ 122,121.42
NOTG. 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 20 Pa. C.S. §' 3301(b))
Form RW-09 rev. 10.13.06
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(Supreme Court L.D. No.)