HomeMy WebLinkAbout05-12-10 (2)INVENTORY
REGISTER OF WILLS OF _ ___ CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
CARL A. DICKSON
Personal Representative(s) of the Estate of JAMES A. DICKSON __
COUNTY, PENNSYLVANIA
File Number 21-10-0192 _ _ _ - _ __ ____ - _
deceasad~ aepof the)reaae tate)in the Commonwealth IogPennsylvania o IsaidnDecedentd, that the valpation placed oppos to each
situate
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real esta e
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- ---- - --- - -
- r-a
tory are true and correct. I understand that false state- CARL A. DICKSON `~
C~~ --- _
~__
ments herein are made subject to the penalties o ---- ~~~ ~y
-~-~ x:
18 Pa.C.S. § 4904 relating to unsworn falsification to - _ ~-
authorities. ~~ r_~~ ,~ _- i
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
DATE OF DEATH
12/0212009
EDMUND G. MYERS - ____ ___
_-- -
JOH_NSON DUFFIE __ -
301 MARKET STREETS LEMOYNE, PA 17043 __
(717) 761-4540___-____ _-___- -
LAST RESIDENCE BETHANY VILLAGE WEST
MECHANICSBURG, PA 17055
FIGURES MUST BE TOTALED
Personal Proaerty_
Cash ...............................................................................................
Personal Property ........................................................................
StockslListed ................................................................................
StockslClosely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
891.00
891.00
891.00
NOTE- Item buff suchdf guresrshould not be edxtended ~ to~theWOtalitof theenvent ry' (See 20 PeC ISC§ 3301(b))personal representative include the value of each
~~- ~ i ~
,,-~` ~ -~
(Supreme Co~rtX b. I~o.) =~'~ 2055$.--_;
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----ram- --zn -, ,
OO
DECEDENT'S SOC SEC. NO
174-20-3225
Foam RW-09 Rey. io-~s-zoos ~~'
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INVENTORY
REGISTER OF WILLS OF __ CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-10-0192 __ _ _ _
__ _-_
COUNTY OF Cumberland
DECEDENT'S SOC. SEC. NO
DATE___----
-__--
~h
LAST RESIDENCE BETHANY VILLAGE WEST 174-20-3225
nnFCHANICSBURG, PA 17055
Internal Revenue Service - 2009 Individual Income Tax Refund
Pennsylvania Department of Revenue - 2009 Individual Income Tax Return Refund
Total Cash
856.00
35.00
891.00
891.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate