HomeMy WebLinkAbout03-04-10 (3)INVENTOKY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA l SS
COUNTY OF CUMBERI-AND f
File Number 21-09-0135
Personal Representative(s) of the Estate of JAMES F. BALLARD
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 o~ h t wahich ath ears in anmemorandum athheend of this inventory eal estate outside of the
Commonwealth of Pennsylvania excep PP
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.
i`
MICHAEL CHEREWKA (Supreme Court I.D. No.) 35073
Attorney -- (Name)
(Address) 624 North Front Street, Wormleysburg, PA 17043
(Telephone) 717-232-4701
DECEDENT'S SOC. SEC. NO.
DATE OF DEATH
May 13, 2009
LAST RESIDENCE
Enola, PA
1. 2007 PA Property Tax/Rent Rebate
2. 2007 IRS Income Tax Refund
3. Camp Hope Refund
4. CPARC FICA Refund
5. CPARC Replacement Payroll checks
6. Cash
~a ff,.,.H odd;tinnal sheets as needed)
FIGURES MUST BE TOTALED
1200-56-4097
650.00
197.00
151.00
140.92
176.53
132.00
r•-~
~
.
- ~ _
~,
~ -~
_
-~
~~
-~
~
~
;
< -
}_
..
rc-
,.y
t
~. r _~
_.
;_
.._ ~~~ ~ _
--
,.
~ r
_-
- _..!
AL:
1,447.45
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(6))
Fnrm RW-09 rev. 10.13.06