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HomeMy WebLinkAbout02-20-09INVENTORY REGISTER OF WILLS OF Cumberland COMMONWEALTH OF PENNSYLVANIA 1 COUNTY OF f SS COUNTY, PENNSYLVANIA File Number 21-08-0932 Personal Representative(s) of the Estate of Betty M. Smith deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate and al l 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 inventory. 1 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) Jacqueline M. Verney, Esquire (Address•) 44 S. Hanover St Carlisle, PA 17013 (Telephone) 717-243-9190 (Supreme Court 1. D. No.) 23167 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. 05/13/2008 4570 Enola Road Newville PA 17241 182-46-4917 FIGURES MUST BE TOTALED 1. Adams County National Bank P.O. Box 3129 Gettysburg, PA 17325 checking acct # 2153106 2. Egger Funeral Home, lnc. 15 Big Spring Ave Newville, PA 17241 prepaid funeral 3. Adams County Electric refund 9,345.94 8,329.37 151.34 7 ° ~y Q 0 ~ ~ _, :i 3-U ~.1 _.. i } i~1 r-(~ ~~. r- - Q ~ _ r?-; ~ , r,: :=t ct,~ O _~, -_f - ~ t ~ - -. ~ + - - - - - ,:~ ~ o ~ r . `> ~ ~-, ~ - cJt (Attach additions! sheets as needed) TOTAL: 17,826.65 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the persona] representative include the value of each item, but such figures should not be extended into Che total of the Inventory. (See 20 Pa. C.S. § 3301(6)) Form RW-09 rei•. /0.13.06