HomeMy WebLinkAbout07-09-09 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
David E. Dodge
CUMBERLAND
File Number
COUNTY, PENNSYLVANIA
21 - 09 - 00359
Personal Representative(s) of the Estate of Dodge, Helen M. r,,,
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the perso I assets wi~ever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placesite ea~item oaf ~sai.~!
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real ~t~utsid~f th~ '
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. . ~ ~> n I =
I verify that the statements made in this Inven- ~~~ ~ ~ ~ -,~ ~~ ~
~-C ~D-E ~ ~ f--? ~,
tory are true and correct. I understand that false state-} D v~ G ,'cam ~', ~ -- .
a id E. Dod a ;-. ~--- -
ments herein are made subject to the penalties of g ~, __ ._
18 Pa.C.S. § 4904 relating to unsworn falsification to } -~-~ ~:' ;
authorities. ~ p
Attorney -- (Name) Galen R Waltz (Supreme Court I.D. No.) 39789
(F~rm) Turo Law Offices -
(Address) 28 South Pitt Street
Carlisle, PA 17013
(Te-ephone) 717/245-9688
DATE OF DEATH LAST RESIDENCE Claremont Nursing and Rehab Center DECEDENTS SOC. SEC. NO.
4/14/2009 Carlisle, Pa 211-22-6690
FIGURES MUST BE TOTALED
Personal Property
PSECU Account No. 0211-22-6690 5.07
Share Account
1 Credit Union Place, Harrisburg, Pa. 17110-2990
PSECU Account No.. 0211-22-6690 8,223.58
Checking
1 Credit Union Place, Harrisburg, Pa. 17110-2990
PSECU Account No. 0211-22-6690 45,587.68
Money Market
1 Credit Union Place,Harrisburg, Pa. 17110-2990
(Attach additional sheets if necessary) Total Personal Property and Real Estate $67,151.24
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INVENTORY
(continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
CouNTY of Cumberland } ss File Number 21 - 09 - 00359
DATE OF DEATH LAST RESIDENCE Claremont Nursing and Rehab Center DECEDENTS SOC. SEC. NO.
4/14/2009 Carlisle, Pa 211-22-6690
PEBTF Health Insurance Refund Check
150 S. 43rd St.
Harisburg, Pa. 17111-5700
Burial Reserve: Account No. 105-113-5-60
First National Bank of Liverpool
104 N. Front Street
Liverpool, Pa. 17045
Claremont Refund
Claremont Nursing and Rehab Center
1000 Claremont Road
Carlisle, Pa. 17013
1,107.34
7,530.46
4,697.11
Total Personal Property 67,151.24
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