HomeMy WebLinkAbout04-16-09INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
couNTY of CUMBERLAND ss
COUNTY, PENNSYLVANIA
File Number ~ ~ CI ~ ~ ~~
Personal Prepresentative(s) of the Estate of SARA C LEISHMAN
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- BLACK
ments herein are made subject to the penalties of
8 Pa. C.i. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) MARK A. MATEYA (Supreme Court LD. No.) 78931
(Address) PO BOX 127 BOILING SPRINGS PA 17007
(Telephone) 717-241-6500
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
503 "B" S WEST STREET
7/24/2008 CARLISLE PA 17013 186-42-5190
FIGURES MUST BE TOTALED
MONUMENTAL LIFE INSURANCE 6,292.38
PRE-PAID FUNERAL EXPENSE
PNC BANK 1,536.01
CHECKING ACCOUNT XX-XXXX-0235 JOINTLY HELD WITH JANE BLACK
VALUE OF $3072.01 - 1/2 INTEREST
PNC BANK 15,360.11
MONEY MARKET ACCOUNT XX-XXXX-1576 JOINTLY HELD WITH JANE BLACK
VALUE OF 30,720.21 (1/2 INTEREST)
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(Attach additional sheets as needed)
TOTAL: 23,188.50
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. 10.!3.06