HomeMy WebLinkAbout05-12-09 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
Personal Representative(s) of the Estate of Elvie M Oberman
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- ~~D `' ` ~ ~' ~ '~
ments herein are made subject to the penalties of Sh' ey L S art
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities. J e I Cas
Attorney -- (Name) JAN L B R 0 W N (Supreme Court LD. No.) 67993
(Address) 845 SIR THOMAS CT STE 12 HARRISBURG PA 17109
(Telephone) 717-541-5550
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. Np.
1700 Market Street
2/5/2009 Cam Hill PA 17011 208-24-2722
FIGURES MUST BE TOTALED
PNC Bank Checking 51-4004-7399 5,269.16
Monumental Life; cash surrender check 746.60
Monumental Life; cash surrender check 1,866.60
Capital BiueCross; refund 161.62
HCR ManorCare; private pay portion patient refund 829.68
c~
RxAmerica; credit refund -`=r; ~-~,~ ~ ~: ' 39.31
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(Attach additional sheets as needed)
TOTAL: 8,912.97
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the per:~onal 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(bJ)
File Number 20091 00186
Fornt RW-09 rev. 1 D.13.06