HomeMy WebLinkAbout10-26-09INVENTOR
Estate of BEVERLY J.
also known as
21 07 X017
No ° .,.
.
--
~ }
' ~'} `~ ~~
`
Date of Death 10/19/2Q9 o
Social Security No.162~2{,~'66a N ''
c~
-~ --~
:
r
=~ ~., -
Personal Representative(s) of the above Estate, deceased, verif~lthat the items a peering in the following inventory incwae au or cne
personal assets wherever situate and all of the real estate in the 4~ommonwealth Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair v I e as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except t t which appea in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and co ct. I/We unde tend that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 494 relating to unswom falsifi ion to authoritie .
Personal Representative:
Name of III ill
Attorney: HAROLD S. IRWIN 111 I I ~.~(/~ -u ~~+~"'`~1!
LD. No.: 29920 I ~ DALE L. MASTERS
Address: 64 SOUTH PITT STREET
Telephone: 717-243-6090
Description
PHARMERICA -Refund
M ~ T BANK -Checking Account Balance
CUNA MUTUAL GROUP -Insurance Refund
US TREASURY -Income Tax Refund
PSECU -Checking Account Balance
(Attach Additional Sheets 'rf necessary)
17015
Dated AUGUST 2~j; 2009
Value
180.40
2,284.11
295.00
1,782.90
113.44
Total
4,655.85
NOTE: The Memorandum of real estate outside the Common alth of Pennsy ma may, at the election of the personal representative,
include the value of each item, but such figures should not be ended into the t tal of the Inventory.
RW-4
.,~ i _ _ --