HomeMy WebLinkAbout12-30-09 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21 - 09 - 00620
Mary L. Martino Nancy H. Weimer
Personal Representative(s) of the Estate of Hizer, Anna R.
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.
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 unswom falsification to
authorities.
Mary
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Attorney - (Name) Debra K. Wallet t„Q.,~. j(, i,Jµ,,,,r (Supreme
(Firm) Law Offices of Debra K. Wallet
(Address) 24 North 32nd Street
Camp Hill, PA 17011
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(Telephone) 7171737-1300
DATE OF DEATH LAST RESIDENCE 100 Mt. Allen Drive DECEDENTS SOC. SEC. N0.
6/20/2009 Mechanicsburg, PA 17055 219-07-6556
FIGURES MUST BE TOTALED
Personal Property
Wachovia Bank acct. #1010049618798 30,562.45
Refund of Blue Cross/Blue Shield premium 591.40
Independence Blue Cross payment -refund of supplemental insurance 1,068.00
Lancaster Emergency Associates -patient credit 33.46
No personal items -only clothes (in skilled nursing) 0.00
No cash in possession of Decedent (in nursing home) 0.00
Total Personal Property 32,255.31
(Attach additional sheets if necessary) Total Personal Property and Real Estate X32,255.31