HomeMy WebLinkAbout05-17-10 (3)INVENTORY
REGISTER OF WILLS OFCUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 2 O 10 0 0 013
Personal Representative(s) of the Estate of Donald C Stouffer
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.
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I verify that the statements made in this Inven- ;~, , , ~ ` ' ~ ~'r -
tor are true and correct. I understand that false state- ~ ' `" ',
meets herein are made subject to the penalties of Phyllis George ' ; ~ ~~-c ~ , -~
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18 Pa. C.S. § 4904 relating to unswom falsification to
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authorities. ~ ~ ~_:
(Supreme Cou'rt~D. No.) x,7993 ~` r=~
Attorney -- (Name) Jan L Brown ~~ ,
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(Address) 845 Sir Thomas Court Suite 12 Harrisburg ~' f~A 1710
(Telephone) 717-541-5550
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
304 Lamp Post Lane
12/31/2009 Cam Hill PA 17011 201-16-5402
FIGURES MUST BE TOTALED
Citizens Bank Checking 610076-475-3
Citizens Bank Savings 6140-186099
Real estate tax reimbursement
State Farm; auto insurance cancellation refund
2005 Chevrolet Malibu LS
VIN 1G1ZT52895F305024
Household goods and furnishings
304 Lamp Post Lane, Hampden Township, Cumberland County, PA
(Attach additional sheets as needed)
20,176.03
1,141.84
203.67
81.13
6,000.00
3,036.00
280,100.00
TOTAL: ~ 310,738.67
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. 5~ 3301(b))
Form RW-09 rev. 10.13.06