HomeMy WebLinkAbout10-19-09 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1 SS File Number 2009 0~'~
COUNTY OF CUMBERLAND f
Personal Representative(s) of the Estate of Be w• Case
deceased, depose(s) and say(s) that the itemlth of Pennst lvaniaoof said De edentYthatltheevaluation placid oppos to each item of said
and all of the real estate in the Commonwea Y
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 inventor}.
I verify that the statements made in this Inven- J ,(!~ • ~~~
tory are true and correct. I understand that false state- Kathleen D. Roth, .Executrix
menrs herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to tutsworn falsification to
authorities.
(.Supreme Court I.D. No.) 207949
Attorney -- (Name) Christy M. A lin
Harrisbur PA 17109
(Address) 845 Sir Thomas Court Suite 12
(Telephone) 717-541-5550
DATE OF DEATH LAST RESIDENCE
2100 Bent Creek Boulevard pA 1
/26/2009 Mechanicsbur
FIGURES MUST BE TOTALED
Morgan Stanley Smith Barney
Security Account#651-75117-1-0-247
Bridges at Bent Creek Refund
United Healthcare Refund
(Attach addltlonal sheets as
DECEDENTS SOC. SEC. NO.
X01-16-3214
66,615.53
183.87
175.68
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975.08
NOTE: The Memorandum of real e'd not be extended into the total of the Invent rya (See 20 Pa. C.St § 3301(6)Personal representative include the value of each
item, but such figures shou
Form RW-09 rev. 10.13.06