HomeMy WebLinkAbout03-09-10 (2)INVENTORY
.REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1 SS
COUNTY OF CUMBERLAND J
COUNTY, PENNSYLVANIA
File
2009-01073
Personal Representative(s) of the Estate of Alvin E, Bush
deceased, depose(s) and say(s) that the items appeazing 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 appeazs in a memorandum at the end of this inventory. _
I verify that the statements made in this Inven- /
tory aze 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) Duane P. Stone (Supreme Court I.D. No.) 85715
(Address) 8 N. Baltimore Street, Dillsburg, PA 17019
(Telephone) 717-432-2089
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
Sept. 29, 2009 28 Palmer Drive, Camp Hill, PA 17011 202-10-7787
FIGURES MUST BE TOTALED
Bank Account
(Attach additional sheets as needed)
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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
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