HomeMy WebLinkAbout09-08-09 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
CouNTY of Cumberland }
Sandra B Weaver
File Number 21-09-_ ~~Z
Personal Representative(s) of the Estate of Theda K BURK
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 saki 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- -- -~-
ments herein are made subject to the penalties of Sandra B Weaver
18 Pa.C.S. § 4904 relating to unsworn falsification to } ___ __ _ . _ _ - _ ___
authorities.
Attorney -- (nlame) EDMUND G. MYERS
- - _
(Firm) JOHNSON DUFFIE
(Address) 301 MARKET STREET, LEMOYNE, PA 17043
(Telephone) (717) 761-4540
(Supreme Court I.D. No.) 20558
DATE OF DEATH LAST RESIDENCE 100 Mt. Allen Drive DECEDENTS SOC. SEC. NO.
06/05/2009 Mechanicsburg, PA 17055 207-22-1718
FIGURES MUST BE TOTALED
Personal Proaerty
Cash ...............................................................................................
Personal Property .........................................................................
Stocks/Listed .................................................................................
Stocks/Closely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
Total Personal Property .........................................
Total Real Property ................................................
Total Personal and Real Property .........................
3,291.77
CUMBERLAND COUNTY, PENNSYLVANIA
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3,291.77
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))
Foam RW-09 Rey. ~o-~s-zoos
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-
DATE OF DEATH LAST RESIDENCE 100 Mt. Allen Drive DECEDENTS SOC. SEC. N0.
06/0512009 Mechanicsburg, PA 17055 207-22-1718
Cash
Bedroom Suite -Sold
Chase Bank Rewards
Erie Insurance -Refund on Car Insurance
Leffler Energy Oil Company Refund on Account
Messiah Village -Reimbursement
Penn Treaty -Refund on Account for Prescriptions
Penn Treaty -Refund on Account
Penn Treaty Nursing Home Insurance -Refund on Account
Verizon -Refund on Account
Total Cash
350.00
50.00
69.00
639.08
1,597.03
100.00
7.00
470.00
9.66
3,291.77
(Attach additional sheets if necessary) Total Personal Property and Real Estate 3,291.77