HomeMy WebLinkAbout07-02-09 (3)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA I SS
COUNTY OF Cumberland }
Vivian B. Donlevy
Personal
Cs[a[e or Norma Jane
Fiie Number 21-08-283
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 CommonweaRh of Pennsylvania except that which appears in la 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- -~/ t;,c
menu herein are made subject to the penalties of ~ Vivian B.
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney - (Name)
(Fimr)
Michael L. Bangs
to 1V -s r,";~.
_ ~`
'' z i .
(Supreme t~rrt .D. No.) rs 4183. i
r
(Address) 428 South 18th Street, Camp Hill, PA 17011
(Telephone) 717/730-7310 ---
DATE OF DEATH I LAST RESIDENCE 325 Wesley Drive, Apt. 312 DECEDENT'S SOC. SEC. NO.
03/10/2009 Mechanicsburg, PA 17055 226-325497
FIGURES MUST BE TOTALED
Total Personal Property .........................................
Total Real Property
Total Personal and Real Property .........................
88,011.32
88,011.32
~8619t,31
NOTE: The MemorenGum of real estate outsitle the Commonwealth of Pennsylvania may, at the election of the personal representative inclutle the value of each
item, but such figures shoultl not be extentled into the total of the Inventory. (See 20 Pa. C.S. § 3301(b))
Form ftt`tr-09 Rev. iPf3-2006
Personal Prooertv
Cash ...............................................................................................
Personal Property .........................................................................
Stoc ks/Listed .................................................................................
Stocks/Closely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
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a
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland
COUNTY, PENNSYLVANIA
File Number 21-09-283
DATE OF DEATH
0311012009 LAST RESIDENCE 325 Wesley Drive, Apt. 312 DECEDENTS SOC. SEC. N0.
Mechanicsburg, PA 17055 226-32-5497
Cash
PNC Bank -Account #5005301147 10,148.02
PNC Bank -Account #5140076237 1.539.79
Refund from Bethany Towers 225.85
Refund from Bethany Towers 91.00
Refund from Capital Blue Cross 156.40
Refund from Erie Insurance 25.00
Refund from Herd Chiropractic 284.00
Transamerica Life Insurance -Annuity #02CBT106174 75.561.16
Total Cash 88,011.32
(Attach additional sheets it necessary) Total Personal Property and Real Estate 88,011.32