HomeMy WebLinkAbout03-04-10 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF
File Number 21 06 00369
Personal Representative(s) of the Estate of RICHARD H. HARRIS. 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 memoran~ 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 aze made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -(Name) DAVID H RADCLIFF, ESQ (Supreme Covet LD. No.) 25483
(Address) 1011 MUMMA ROAD STE 201 LEMOYNE PA 17043
(Telephone) 717 236-9318
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. N0.
837 BRIARWOOD LANE
2/4/2006 CAMP HILL PA 17011 165-38-1144
FIGURES MUST BE TOTALED
ING LIFE INS POLICY #00212172-0 (Cash Value)
ING LIFE INS POLICY #00247975-7 (Cash Value)
2,816.50
2,289.06
n.a
0
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(Attach additional sheets as needed)
~rnTS>r ~ 5.105.56
NOTE: The Memorandum of real estate outside tHt; Cbthmbtiwealth of ~ehnsylvahia may, Nt the t;lection 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(6))
Form RW-09 rev. /0.13.06
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVAMA ~ SS
COUNTY OF
File Number 21 06 00369
Personal Representative(s) of the Estate of RICHARD H. HARRIS, 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 memorandu~ 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) DAVID H RADCLIFF, ESQ (Supreme Court I.D. No.) 25483
(Address) 1011 MUMMA ROAD STE 201 LEMOYNE PA 17043
('t'elephone) 717 236-9318
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
837 BRIARWOOD LANE
2/4/2006 CAMP HILL PA 17011 165-38-1144
FIGURES MUST BE TOTALED
ING LIFE INS POLICY #00212172-0 (Cash Value) 2,816.50
ING LIFE INS POLICY #00247975-7 (Cash Value) I 2,289.06
(Attach additional sheets as needed)
-rn~r s i .• 5,105.56
NOTE: The Memorandum of real est8te outside the Cbthmbhwealth of ~ehnsylvahia may, rtt thti taection 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. !0.13.06
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF
File Ntunber 21 06 00369
Personal Representative(s) ofthe Estate of RICHARD H. HARRIS, JR.
deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe personal assets wherever situate
and all ofthe 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 ofthe decedent's death, and that Decedent owned no real estate outside ofthe
Commonwealth of Pennsylvania except that which appears in a memoran~u~ 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) DAVID H RADCLIFF, ESQ _ (Supreme Court LD. No.) 25483
(Address) 1011 MOMMA ROAD STE 201 LEMOYNE PA 17043
(Telephone) 717 236-9318
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
837 BRIARWOOD LANE
2/4/2006 CAMP HILL PA 17011 165-38-1144
FIGURES MUST BE TOTALED
ING LIFE INS POLICY #00212172-0 (Cash Value) 2,816.50
ING LIFE INS POLICY #00247975-7 (Cash Value)
(Attach additional sheets as needed)
AL:
2,289.06
5,105.56
NOTE: The Memorandum of real estate outside the Cbtnmbhweslth of 1'ehnsylvahia may, dt tht: election ofthe personal representative include the value of each
item, but such figures should not be extended into the total ofthe Inventory. (See 20 Pa. C.S. § 330/ (b))
Form RW-09 rev. 10.13.06