HomeMy WebLinkAbout02-18-10 (2)INVENTORY
REGISTER OF WILLS OF Cumberland
COMMONWEALTH OF PENNSYLVANIA 1 SS
COUNTY OF Cumberland J
Personal Representative(s) of the Estate of Robert C. Klick, Sr.
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- ~ ~ ~}~.'~`~ c
tort' are true and correct. I understand that false state-
ments herein are made subject to the penalties of
~ 8 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) John F. King
(Address) 19 S. Hanover Street, Suite 103, Carlisle, PA 17013
(Telephone) (717) 258-4343
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
December 28.2009 30 North Road, Mechanicsburg, PA 17050 201-16-1848
FIGURES MUST BE TOTALED
1. Real Property -- 30 North Road, Mechanicsburg, PA
2. Automobile
3. Savings Account
4. Checking Account
5. CD (two of them -- $60,390 and $11,194.19
6. 2009 Interest
(Attach additional sheets as needed)
149,900.00
1,700.00
12,835.39
7,251.61
71,584.74
483.53
TOTAL: ~ 243,755.27
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))
(Supreme Court I.D. No.) 61919
COUNTY, PENNSYLVANIA
File Number 2009-00018
,mot>;•rr Rai'-09 rev. 10.13.06