HomeMy WebLinkAbout05-03-10 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF YORK J SS
COUNTY, PENNSYLVANIA
File Number 21-09-00780
Personal Representative(s) of the Estate of BRETT H. BRILLINGER
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 memoran um at the end of this inventory.
I verify that the statements made in this Inven- ~ ~°-`~""`~ ~ ~ ~ ,. ~,
tory are true and correct. I understand that false state- ~ ~ ~ ~ ~~
menu herein are made subject to the penalties of Amy C . r i 11 i n g e r
18 Pa.C.S. § 4904 relating to unsworn falsification to I~ ' 1
authorities.
Attorney -- (Name) G. STEVEN MCKONLY
(Address) 119 BALTIMORE ST., HANOVER, PA 17331
(Telephone) 717-637-8828
DATE OF DEATH LAST RESIDENCE
JULY 29, 2009
SEE ATTACHED EXHIBIT
DECEDENT'S SOC. SEC. N0.
187-64-9283
92,156.68
,•~~
~~ ~~
PQ
-o :..~.
-`=~ ~ ~
.~ ~ W _
,
_.__
a -,
(Attac% additional sheets as needed)
TOTAL: ~ 92,156.68
NOTE The Memorandwn 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))
Form RW-09 rev. 10.13.06
(Supreme Court LD. No.) 24804
1337 MCCORMICK RD., MECHANICSBURG, PA 17055
FIGURES MUST BE TOTALED
r`
Estate of BRETT H. BRILLINGER
Estate Inventory
Valued as of Date of Death
Miscellaneous
Commonwealth of Pennsylvania -
payroll $ 6,223.75
E Trade Securities - IRA 1,270.91
State Employees' Retirement
System - Death Benefit 84,662.02
Total Miscellaneous
Total Inventory
$ 92,156.68
$ 92,156.68
Page 1 (1)