HomeMy WebLinkAbout01-13-10 (3)INVENTQRY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-
Maureen Palese
Personal Representative(s) of the Estate of Thomas J Rodgers
deceased, depose(sj and say(sj 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 Maureen Palese ~
18 Pa.C.S. § 4904 relating to unsworn falsification to } ~ o
authorities " -,- ~7 ~„_ r.. . ~-- ,
Attorney -- (/Name)
(Firm)
(Address)
(Telephone)
Mark G Duffle
'-~ ~ ~ -~,
-- `
1 > r
r-n . ;
--
~
1 ~ ~ ,
r
_ "1 , ,
(Supreme Cou/rtijt~jNo~
~ '
Johnson Duffle Stewart & Weidner -~~ •- '
,~ ,
301 Market Street, Lemoyne, PA 17043 c,~ ~''
DATE OF DEATH I LAST RESIDENCE 24 Center Drive DECEDENT'S SOC. SEC. N0.
1011312009 Camp Hill, PA 17011 161-32-3161
FIGURES MUST BE TOTALED
Personal Property
Cash ................................................................... ..
..........................
1
200
00
Personal Property ..........
..
. ,
.
...
........................................
.................
Stocks/Listed ..
.
.
....
....................................................
.....................
StockslClosely Held ......................................................................
Bonds ...............
..
..
..........................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
Total Personal Property .........................................
1,200.00
Total Real Property ................................................
Total Personal and Real Property ......................... 1.,200.00
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))
Form 12tH ~9 Rav.f0-13-2006
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH LAST RESIDENCE 24 Center Drive DECEDENT'S SOC. SEC. NO.
10113/2009 Camp Hill, PA 17011 161-32-3161
Cash
Ameriprise Financial -Annuity
File Number 21-09-
1,200.00
1,200.00
Total Cash
(Attach additional sheets if necessary) Total Personal Property and Real Estate 1,200.00