HomeMy WebLinkAbout04-06-09INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
File Number 21 08 0969
Personal Representative(s) of the Estate of Marlin H. Klouser
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 estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- `
meets herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
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Patsy L KI 2r
Attorney -- (Name) Harry J. Brown, Esquire (Supreme Court LD. No.) 17861
(Address) 1800 West End Avenue Pottsville PA 17901
(Telephone) X570) 622-5693
DATE OF DEATH LAST RESIDENCE
FIGURES MUST BE TOTALED
ALL THAT CERTAIN tract or parcel of land situate in the Township of Silver Spring, County of
Cumberland and Commonwealth of Pennsylvania, more accurately described in a certain Deed
dated December 3, 2007, and recorded in the Office of the Recorder of Deeds for Cumberland
County, at Instrument Number 200745053.
Cumberland County Tax Parcel # 38-08-0567-021 B
Assessed Value $219,050.00 x Common Level Ratio 1.26 = $276,003.00 Fair Market Value
Members 1st Federal Credit Union
Account No. 263602-00
Date of Death Balance
Members 1st Federal Credit Union
Account No. 263602-11
Date of Death Balance
Erie Insurance Exchange
Policy # Q07 1206389 H
Refund of Unused Premium
276, 003.00
49.01
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(Attach additional sheets as needed)
,. ,, 17, 895.29
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TOTAL: 294,034.30
NOTE: "The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include [he value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 330!(b))
Form RW-09 rev. 10.13.06