HomeMy WebLinkAbout09-15-09INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN SS File Number 2008-00699
Personal Representative(s) of the Estate of SAMUEL C. TUBING
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 memor dum 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
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Marvin Beshore, Esquire (Supreme Court LD. No.) 31979
(Address) 130 State Street, P.O. Box 946, Harrisburg, PA 17108-0946
(Telephone) (717) 236-0781
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
JUNE 26, 2008 327 State Street, Enola, West Fairview Borough, Pennsylvania 17025 165-26-5739
FIGURES MUST BE TOTALED
Real Estate at 327 State Road, West Fairview Borough, Pennsylvania
M&T Bank Deposit Account
M&T Bank Deposit Account
M&T Bank Deposit Account
Genworth
Stimulus Check
Highmark Premium Refund
Bankers Life and Casualty Co.
HCR Manor Care
Highmark Drug Plan
1988 Dodge Station Wagon
(Attach additional sheets as needed)
57,000.00
9,480.00
8,782.32
623.84
2,673.44
300.00
137.31
3,317.00
540.75
Q 31.39
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TOTAL: I 82,886.05
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(6))
Form RW-09 rev. 10.13.06