HomeMy WebLinkAbout05-21-10 (2)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21 - 10 - 0146
Donald R. Widener
Personal Representative(s) of the Estate of Widener, Ralph S
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.
A
I verify that the statements made in this Inven- i ~~~ - ,
tory are true and correct. I understand that false state- } u
---- ----------- -----
ments herein are made subject to the penalties of onald R. Widener
18 Pa.C.S § 4904 relating to unsworn falsification to
authorities. -
attorney -- (Name) Gary A. Delafield
(Supreme Court I.D. No.) 16145
--
- -- ---
(Firm) Delafield, McGee, Jones 8 Kauffman, P.C. - - - - -
(Address) 112 West Foster Avenue, Suite 300
State College, PA 16801
-- _-
---- - -
__ __ -
e ep one) 814/237-6278
DATE: OF DEATH LAST RESIDENCE 770 South Hanover Street DECEDENT'S SOC. SEC. NO
1/2/2010 Carlisle, PA 17013 170-12-6917
FIGURES MUST BE TOTALED
Personal Property
Chapel Pointe at Carlisle Nursing Home- Refund of Apartment Contract Balance 26,800.00
Total Personal Property 26,800.00
r.,
!""~ e~
~_ ,~
T
-~%; -~ ~-
-~_ -~
i-Tl N ,
,~
....
_ ~J
_ _~:
N _
,<
t~ '
(Attach additional sheets if necessary) Total Personal Property and Real Estate $26,800.00
l
I )