HomeMy WebLinkAbout08-13-09 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Nttmber 21-09-00498
Fonda 0. Tavlor
Personal Representative(s) of the Estate of Dorris M. Ocker
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- `-_,;~~a~ ~ / /;2 , Z.(!,/~~
tory are true and correct. I understand that false state- Fonda 0. 'r or
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Keith 0. Brenneman (Supreme Court 1. D. No.) 47077
(Address) 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
Mav 20. 2009 513 W. Louther Street, Carlisle Borough 162-22-2978
FIGURES MUST BE TOTALED
I. REAL ESTATE.
Property and residence at 513 W. Louther Street,
Borough of Carlisle
II. MISCELLANEOUS PERSONALTY.
a. Homeowner's Insurance refund:
b. Blue Cross premium refund:
Total:
(Attach additional sheets as needed)
$108.00
355.10
TOTAL:
$86,100.00
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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. ,¢ 330](bJ)
Form RW-09 rev. 10. /3.06
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