HomeMy WebLinkAbout03-05-09 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-8 -0085
Michelle L. Novosel
Personal Representative(s) of the Estate of Jack Edward Henry
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~tate
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end o 's inventor
O ~ ~~'
I verify that the statements made in this Inven- ~ ~. - ~ - -~~ ~. ~ .~
tory are true and correct. I understand that false state- -- ap r-- ~., .,--
ments herein are made subject to the penalties of Michelle L. Novosel i•- ? rn~ ~ r-3- _;
18 Pa.C.S. § 4904 relating to unsworn falsification to -____ `~ J
authorities. ~ ~~ ~~ 7~ C " ~ =~'
Attorney - (Name) EDMUND G. MYERS
(Firm) JOHNSON DUFFIE _ _ __ ____
(Address) _ 301 MARKET _STREET, LEMOYNE, PA 17043
(Telephone) (717) 761-4540
DATE OF DEATH LAST RESIDENCE 434 Reno Avenue DECEDENT'S SOC. SEC. N0.
11/29/2007 New Cumberland, PA 17070 182-22-5549
FIGURES MUST BE TOTALED
Personal Property
Cash ...............................................................................................
Personal Property .........................................................................
Stocks/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 .........................
30,812.98
CEO -~-~ ~ 4
~~ +~ ',
]" -- _.
(Supreme Court I.D. No.) 20558
30,712.98
100.00
30,812.98
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 20 Pa. C.S. § 3301(b))
Form RW-09 Rev. ~o-~3-zoos
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-8 -0085 __
DATE OF DEATH LAST RESIDENCE 434 Reno Avenue DECEDENT'S SOC. SEC. N0.
1112912007 New Cumberland, PA 17070 182-22-5549
Cash
M&T Bank Checking Account No. 9837558031
M&T Bank Individual Savings Account No. 015004214919845 -Balance of
Account on Date of Death
Pennsylvania Municipal Retirement System
Total Cash
Personal Property
Tangible Personal Property -Consisting of chair, tv and table
Total Personal Property
25.97
30,131.38
555.63
30.712.98
100.00
100.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 30,812.98