HomeMy WebLinkAbout02-04-09 (3)~ ,
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
Wallace B. Crawford Jr.
Personal Representative(s) of the Estate of
deceased,
situate ant
item of sai
outside of
INVENTORY -;~ __~ :)_ rc.,~,.:~
r"C, J I ~ 1 Li ~ ' -~
CUMBERLAND COUNTY, PENNSYLVAIViX\
2O~9 FEB -4 AM I I ~ 15
File Number 21-08-008~q., CLERK OF
t:RiPEIAI~ S t^.tv !GT
Mary
items appearing in the
mmonwealth of Penns
alue as of the date of t
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 ~ Wallace B.
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Jan M Wiley
(Fir"') The Wiley Group, PC
(address) 130 W. Church Street, Dillsburg, PA 17019
(Telephone) 717132-9666
e all of the personal assets wherever
that the valuation placed opposite each
that Decedent owned no real estate
um at the end of this inventory.
Jr.
~ ~~-/U /'
(Supreme Court I.D. No.) 0697$
DATE OF pEATH LAST RESIDENCE 825 N. Hanover St DECEDENT'S
FIGURES MUST BE TOTALED
Personal Prooertv
Cash ...............................................................................................
Personal Property .........................................................................
Stoc ks/Listed .................................................................................
Stocks/Closely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
Total Personal Property .........................................
Total Real Property ................................................
Total Personal and Real Property .........................
171,600.32
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative inclutle the value of each
item, but such figures should not be a#ended into the total of the Inventory. (See 20 Pa. C.S. § 33g1(b))
Form R W-09 Rev. 10.13-2006 \
V~
171,600.32
171,600.32
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH LAST RESIDENCE 825 N. Hanover St
08/05/2008 Carlisle, PA 17013
Cash
Church of God Home (refund deposit):
Citizens Bank Account Number 6100742008:
Citizens Bank Account Number 6204678152:
Genworth Long Term Care refund:
Hartford Healthcare payment:
IRS Stimulus check:
Marsh premium refund:
Patriot News refund:
Tricare Healthcare payment:
COUNTY, PENNSYLVANIA
File Number 21-08-00831
DECEDENT'S SOC SEC. NO.
Total Cash
27,200.00
24,500.88
118,653.86
214.97
6.62
600.00
283.20
90.75
50.04
171,600.32
(Attach additional sheets if necessary) Total Personal Property and Real Estate 171,600.32