HomeMy WebLinkAbout05-13-10 (3)INVENTORY
. ~ REGISTER OF WILLS OF CUMBERLAND • -:.
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSY~,VANIA 1 SS
COUNTY OF Cumberland ) ~ File Number 21 -1 0 - 01 8 5
Linda K. Palmer and Kathy B. Homan
Personal Representative(s) of the Estate of Jeanne E . Bear
deceased, depose(s) and say(s) that the items appeazing iri 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 appeazs in a memorandum 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- ~'~" ~O1rr~P~1'
ments herein are made subject to the penalties of ,
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name Anthony L. DeLuca, Esquire
) (Supreme Court 1. D. No.) 1 8 0 6 7
(Address) 113 Front Street, P.O.Box 358, Boiling Springs, PA 17007
(Telephone) 717-258-6844
DATE OF DEATH IAST RESIDENCE
DECEDENTS SOC. SEC. NO.
2/16/10 770 S. Hanover Street, Carlisle, PA 201-18-3404
FIGURES MUST BE TOTALED
Checking account, #741337, at M&T Bank $2,104.33
Savings .account, #1500422052839, at M&T Bank 40,912.24
Refund of Capital Blue Cross Premium 177.70
Refund from Chapel Pointe at Carlisle Nursing Facility 3,158.48
Apex II Variable Annuity#E0501335 11,534.89
Apex II Variable Annuity #E0501335
11,527.35
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(Attach additional sheets as needed)
TOTAL: ~ 69,41.4.99
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 extcnded into thetotal of the Inventory. (See 2'0 Pa C.S. ,¢ 3301(b))
Form RW-09 rev. 10.13.06