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HomeMy WebLinkAbout01-21-10 (3)f _ Reset Form__ _l REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND INVENTORY CUMBERLAND File N COUNTY, PENNSYLVANIA 21-08-1168 Personal Representative(s) of the Estate of Catherine H. Gordon 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- ~ `-r,C. 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 J~~lfl authorities. Attorney -- (Name) Bradford Dorrance (Supreme Court LD. No.) 32147 (Address) 210 Walnut Street, P.O. Box 11963, Harrisburg, PA 17108-1963 (Telephone) (717) 255-8014 DATE OF DEATH !AST RESIDENCE 29 Southmont Drive DECEDENT'S SOC. SEC. NO. 12/23/08 Enola, PA 17025 022-24-8798 FIGURES MUST BE TOTALED 1. 29 Southmont Drive, Enola, PA 17025 $56,543.48 2. Two Burial Plots; Fot2at,Lawn Menioxial Gardens $ 4,590.00 5755 Malslory Rd. College Park, GA 30349 3. Prudential Financial, Inc. Stock (17 shares) $ 549.53 4. 201 Buick $ 3,000.00 5. Geico Car Insurance Refund $ 67.04 6. Prudential Dividend Check $ ',` 9;55 x n © ., - --~-, ~ . N ~ ; ~ t ~ / i ~J ..~.~ I _.~ /\ ~..~~ ~. Y'1 ...'~.. •. ~ .., J ~ 1 ;...~ ? ~ . _ ,` -' ~_ rr`~ `i . ~.,> ,--a Gn _T ~ (Attach additional sheets as needed) TOTAL: ~ $64, 769.60 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.!3.06