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HomeMy WebLinkAbout04-29-10 (2)INVENTORY REGISTER OF WILLS OF Cumberland COMMONWEALTH OF PENNSYLVANIA 1 SS COUNTY OF Cumberland J ~2 ~~a,I~ -~.. ~n~`~ 1 ~o~l ~ _ ~ ~ ~ ~, f Personal Representative(s) of the Estate of Paul E. Fought ~~- ~ ~,,,. ;: ;-='-; deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the persQ~~~ts wl'~sreve . ~tii.e and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placec~~ to a item=of ~a~d r -._ ~ ..__ .; inventory represents its fair value as of the date of the decedent's death, and that Decedent owned nr~l~state outside-`Qf~e Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventdr~ ~-~ ~`~ ~ - '~ ` `-~~~ ~- 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) John M. Eakin (Address) Market Square Building, Mechanicsburg, PA 17055 (Telephone) 717-766-3172 COUNTY, PENNSYLVANIA File Number 21-09-0797 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. 08-O1-2009 100 Mountain View Road, Shermansdale, PA 17090 191-26-6813 REAL ESTATE 303 Allendale Drive, Mechanicsburg, PA 17055 PERSONAL ESTATE 1. Series EE Bonds, Denomination 2. PNC Bank Account #50-7007-9132 3. 1st National Bank of Marysville CD #3066688 4. 1st National Bank of Marysville CD #3066689 5. PNC Bank CD 331600330486 FIGURES MUST BE TOTALED 6. PNC Bank CD #31600276765 7. PNC Bank CD #31600258891 8. Loyalton of Creekview -rent rebate 9. MetLife Investors Insurance Company Contract #940163143 (Attach additional sheets as needed) 130,000.00 3,565.60 2,612.51 10,273.50 5,136.75 46,539.19 10,137.49 23,576.61 1,588.20 25,244.62 TOTAL: I 258,674.47 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.) 6351 Form RW-09 rev. 10.13.06