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HomeMy WebLinkAbout04-13-09INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-08-01123 Gary L. Miller _ _. Personal R.epresentative(s) of the Estate of Nellie E. Miller 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 emote outside of the Commonwealth of Pennsylvania except that which ap ears in a me orandum at the end of tl~ inventory.: verify that the statements made in this Inven- ~ . `~ Q ~ _ ~~ tory are true and correct. I understand that false state- - ---- - - ~ ~- ments herein are made subject to the penalties of Gary L. Miller - ~ - - 18 Pa.C.:>. § 4904 relating to unsworn falsification to } _ _ _______ _ _ - _____ cN ~„ Ca -~ ' __ - _ --~-- authorities. ~"~ b. -, ~` j `_.- ~~ O ,. -- Attorney -•• (Name) Jan M Wiley t~ ~ (Supreme Court I.D. No.) 06978 tl' ~ _ (Fin") The Wiley Group, P __ _ (Address) 130 W. Church Stre t, illsburg, PA 17019 _ -_- __ (Telephone) 717-432-9666 DATE OF DEATH LAST RESIDENCE Church of God Nursing Home DECEDENTS SOC. SEC. NO. 11/0112008 Carlisle, PA 17013 202-36-8519 FIGURES MUST BE TOTALED Personal Property Cash ............................................................................................... Personal Property ......................................................................... StockslListed ................................................................................. StockslClosely Held ...................................................................... Bonds ............................................................................................. Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ......................................................................... Total Personal Property ......................................... Total Real Property ................................................ Total Personal and Real Property ......................... 57,053.70 82,104.32 139,158.02 139,158.02 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)) Foam RW-09 Rev. ~a~3-Zoos INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONV'JEALTH OF PENNSYLVANIA couNTY of Cumberland } SS File Number 21-08-01123 DATE OF DEATH LAST RESIDENCE Church of God Nursing Home DECEDENT'S SOC. SEC. NO. 11/01/2008 Carlisle, PA 17013 202-36-8519 Cash Church of God Home {refund): Citizens Bank Checking Account Number 6100741923: Citizens Bank Savings Account Number 6140-178665: Propane refund: Total Cash Stock /Listed 1,216.0000 shares PNC Financial Corporation Stock: Total Stock /Listed 5,625.09 3,666.51 47,662.10 100.00 57,053.70 82,104.32 82,104.32 (Attach additional sheets if necessary) Total Personal Property and Real Estate 139,158.02