HomeMy WebLinkAbout03-26-10 (3)INVENTORY
REGISTER OF WILLS OF C U M B E R L A N D
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21 0 9 1115
Personal Representative(s) of the Estate of J A MBE S E• H O F F M A N ,
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-
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.
KATHERINE D. H AN, EXECUTRIX
22 WALNUT LANE, CAMP HILL, PA 17011
Attorney -- (Name) GERALD J • SHEKLETSKI, ESQ • (Supreme Courtl.D. No.) 40486
(Address) 414 BRIDGE ST • , P • 0 • BOX E, NEW CUMBERLAND PA 17070
~T~,~„u~He~ 717-??4-7435
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
22 WALNUT LANE
11/19/2009 CAMP HILL PA 17011 194429028
FIGURES MUST BE TOTALED
PERSONAL PROPERTY
1• UNITED STATES SERIES EE SAVINGS BONDS 8,318.30
2• BELCO COMMUNITY CREDIT UNION ACCOUNT NUMBER 740040 591.98
3. 2002 GMC VAN TITLE NUMBER 57822778101H0, 3,575.00
VINIGKEL19X92B518509
4• DWS INVESTMENT ACCOUNT #9987511508 x,689.31
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REAL ESTATE '
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22 WALNUT LANE, CAMP HILL, PA 17011 _~
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(Attach additional sheets as needed)
AL: ~ 174 , 921.99
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 1.0 Pa. C.S. ~ 3301(6))
Form RW-09 rev. 10. ! 3.06