HomeMy WebLinkAbout09-11-09 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA l SS 21-07-0580
COUNTY OF Cumberland J File Number
Susan Jane Rodgers Fxe~utrix _
Personal Representative(s) of the Estate of R?'YMOND E. DIVELBISS
deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe 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 memorand 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 Susan ne Kod e Executrix
18 Pa.C.S. § 4904 relating to unsworrt falsification to
authorities. New Cumberland, PA 17070
Attorney -- (Name)
Richard C. Snelbaker, Esquire (Supreme Court LD. No.) 6355
Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(Address)
(Telephone) (~ 17 Z 697-8528
DATE OF DEATH
5/31/2007
FIGURES MUST BE TOTALED
Property known and numbered as 1112 Cocklin Street, Borough of Mechanicsburg, Cumberland
County, Mechanicsburg, PA 17055, appraised value
2. 2008 Economic Stimulus payment
3. 2001 Chevrolet Prizm, Kelly Blue Book value
4. Cash found in residence
5. Highmark Blue Shield, refund unused medical premium
6. Household goods sold at public auction
7. Household goods retained by family (appraised value)
8. Jewelry, appraised value
9. Masland Industries, Inc., final pension payment
10. Socia] Security payment for May 2007
11. Sovereign Bank, checking account #1681725088
(Attach additional sheets as needed)
172,000.00
300.00
4,685.00
123.97
221.40
4,674.75
e.a
0
~' 135
OQs,i
n .
-
~ -r ,.
1$:00
~
I -r T- l~'~ r
~
~~P1 _
..1
I
Q
S~
~ rn _
_ ~
;
._
'
82.00-
~%~`-= ~ 319.50;;
~~_ -
[l1
TOTAL: I 183,614.13
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. 10.13.06
LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
1112 Cocklin Street, Mechanicsburg Boro, Mechanicsburg, PA 17055 376-14-7572
~~