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HomeMy WebLinkAbout11-20-09 (3)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS File Number 21-09-0804 Personal Representative(s) of the Estate of EDITH H. CONWAY 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 unsworn falsification to authorities. Attorney -- (Name) STEPHEN L. BLOOM, ESQUIRE (address) 60 WEST POMFRET STREET, CARLISLE, PA 17013 (Telephone) (717) 249-2353 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. 08/16/2009 1414 BRADLEY DRIVE, APT G113, CARLISLE, PA 17013 365-22-1058 FIGURES MUST BE TOTALED ORRSTOWN BANK -CHECKING ACCOUNT #143000872 ORRSTOWN BANK -CERTIFICATE OF DEPOSIT #4000006604 ORRSTOWN BANK -CERTIFICATE OF DEPOSIT #4000015579 ORRSTOWN BANK -CERTIFICATE OF DEPOSIT #4000022048 ORRSTOWN BANK -CERTIFICATE OF DEPOSIT #4000022417 PHEASANT RUN PROPERTIES -SECURITY DEPOSIT VEHICLE PERSONAL PROPERTY (Attach additional sheets as needed) 4,856.70 5,191.58 29,876.12 9,824.36 10,013.32 402.07 4,000.00 1,452.50 na ~ _ ~ ~ ~, " • r- . _, _ : .,n "~, i. ~ .... , ~ ~ ~ `1-t . ~~ E._. . i" ~ '..._ ~ t ; .. ~_.,- ~ W .. ~ . ~ ~ ^r'i ; TOTAL: ~ 65,616.65 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)) Form RW-09 rev. 10.13.06 (Supreme Court I.D. No.) 49811 ~~