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Home My WebLink About06-03-10___ ~ i INVENTORY REGISTER OF WILLS OF C U M B E R L A N D COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~OUNTY OF CUMBERLAND ~ SS File Number 21 0 9 ~ 1211 N resentative(s) of the Estate of D O R I S M• PHILLIPS A/ K/ A D• M A R I E PHI L l R P IPS ep ersona deceased, depose(s) and say(s) that the items appeazing in the following inventory include all of the personal sets wherever. situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed op osite each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estat outside of the Commonwealth of Pennsylvania except that which appeazs in a memorandum at the end of this inventory. I I verify that the statements made in this Inven- ` ~- tory aze true and con: ect. I understand that false state- J E S S A N Z E R I, C- E X C 0 R ments herein aze made subject to the penalties of 18 Pa. C.S. § 4904 relating to unsworn falsification to 3 3 3 5TH S T•, NEW C U M B E R L N D, P A 17 0 7 0 authorities. j Attorney -- (Name) GERALD J• S H E K L E T S K I (Supreme Court If D. No.) 4 0 4 8 6 (Address) 414 BRIDGE ST • , NEW CUMBERLAND PA 17070 (Telephone) ~ 717) 7 7 4- 7 4 3 5 DATE OF DEATH LAST RESIDENCE 46 ERFORD ROAD DE EDENTS SOC. SEC. NO. 12/25/2009 CAMP HILL PA 17011 19 3129727 FIGURES MUST BE TOTALED PERSONAL PROPERTY _~ C 1• 59 SHARES METLIFE COMMON STOCK ~ ^} 16 ~ 2~:~• Wn~ ~ c;'::;i7 ct~ 2• PSECU ACCOUNT #0193129727 - SAVINGS C J r~ ms=s ==?8~•5? -. - ~ ~ ~ , ~ ~t ~ ~ 3 • PSECU ACCOUNT #01931299727 - CHECKING ~`.~~ . r".^r_ 17~~ • 70 w ~-, 4• PSECU ACCOUNT #0193129727 - MONEY MARKET 135.20 5• PNC BANK CHECKING ACCOUNT #514D223858 1,549.71 6• BEVERLY ENTERPRISES, GOLDEN LIVING CENTER, WEST SHORE 1,310 60 REFUND CHECK Attach addltlonal sheets as needed) TOT 175,373.57 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representativ f ach e include the value o e item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(6)) Form RW-09 rev. 10.13.06 ~ Q~ .../ i _ __ _ _ Continuation of Inventory DOF~iS M• PHILLIPS A/K/A D~MARIE PHILLIPS 21 09 1211 Decedent Name Pa e ~ File Number Description of Inventory 7• COMCAST REFUND CHECK 8• METLIFE DIVIDEND CHECK 9• COMMONWEALTH OF PENNSYLVANIA UNCLAIMED PROPERTY, CLAIM #10D582574• REAL ESTATE 1• 507 PARK AVENUE, NEW CUMBERLAND, PA 17070 2.77 62.88 1,418.98 151,500.00 subtotal S 152,984.63 Grand Total S 175,373.57 INVENTORY ~r • REGISTER OF WILLS OF C U MBE R L A N D COUNTY, PENNSYLVANIA OOIrONON1YFALT~1 OF PENNSYLVANU ~ SS Coul~rrYOF CUMBERLAND File Number Personal R,eprese~ative(s) of the Estate of R 11 • r h r n i i w y • n w n .- ~. ~ • •• de~',aped, ye(s) wd ay(s) thta the items eppevlgg m ebe lrolbw6~g inwaAoiy h~cWde sil of the wets wherever dtauae and aU of the nDal estate is the Commonweahh of P+wsylvmia of ssid Deosdent, that the valu~ion opposite each item of said invs~tory rape+esants its ihir vahte as of the date of the decedait's death, and thst Decedent owned no real esE~e outside of the Commomweahh of pemuylvaaia except that which appear: in a memorandum at ffie end of this inv i I verity that the stabeinmts made in this Inven- tory are true and correct. I underst~d that fabe state- F • IPS II F~I~DR mssJb berdfn are made subject ~ the penalt;a of ' 1 g Pa C.S. ~ 4904 rotating to uouworn falsitlCStion to 5046 GL,IIVBI~OOK DR. , ~ SFAQi, SC~ 29579 authortt~. ~ti:_ __ _ ~_ __ ' INVENTORY r { REGISTER OF WILLS OF C U M B E R L A N D COUNTY, PElJ1~JSYI-VANIA ap~lpNWEALTH OF pFavNSriVANU ~ SS Fife Number 21 D9 ', 1211 oouNr~roF CUMpERLAND persansi tative(s) of the lsabte of OR S M • PH P A / / A D • MA R P LIP S deoased, delwse(i) aad say(=) dut the items appearing ja the foUowina inveotory hmhide all of the web wherever situate vania of said Decedent, that the vahmtion opposite each item of:aid sad all of the ral estate in the Commoaweahh of Pamsyl ~, neproamb ib fxir value as of the date of the decedent's dedh, and that Decedent owned ao tnei o ide of the Canmoawealth of pquuyiwaia except that which sppesr: in a mem ~at the end of •r yr/ . I verity- that the atatetaee~s made m this Inver- `: tory w true •nd onnset. I undees~d dint ihbe bate- PHILLIPS , .- memo herein at+s mSde abject b tho paullies of la Pa. C.S. ;4904 tag b wwora fa4iRc+aion to 354 BAILEY GT. , PAID'! .... ~ FL 34684 aa~hoddes. _.