HomeMy WebLinkAbout10-26-09 (2)SUPPLEMENTAL INVENTORY
REGISTER OF WILLS OFCUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
Personal Representative(s) of the Estate of Calvin D McCarthy Jr
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 memorandum at the end of this inventory.
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I verify that the statements made in this Inven- ~ ~ . C~~IXJ ~ ~ ~c~ ~ I
tory are true and correct. I understand that false state- 1~`
ments herein are made subject to the penalties of Diane L Cline
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) JAN L BROW N
(Address) 845 SIR THOMAS CT STE 12
(Telephone) 717-541-5550
DATE OF DEATH LAST RESIDENCE
60 Glendale Drive
9/ 2 5/ 2 0 0 7 Mechanicsburg
PA 17050 1162-22-0400
FIGURES MUST BE TOTALED
1982 Chevrolet Truck C30
(Valued and reported on original Inventory at $2,000; subsequently sold for $3,000; difference of $1,000.)
Cessna 150 Plane
(Additional asset not reported on original Inventory.)
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(Attach additional sheets as needed)
TOTAL:
1,000.00
7,000.00
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8,000.00
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))
COUNTY, PENNSYLVANIA
File Number 2 0 0 7 010 4 4
(Supreme Court I.D. No.) 67993
HARRISBURG__ PA 17109
DECEDENTS SOC. SEC. NO.
Form RW-09 rev. 10.13.06