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HomeMy WebLinkAbout06-17-10'F INVENTORY r ' REGISTER OF WILLS OF C U M B E R L A N D COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~ SS couNTYOF CUMBERLAND File Number 21 ~ 9 Personal Representative(s) of the Estate of D O R I S M• PHILLIPS A/ K/ A D• M A R I E PHI L deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed o~ inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real est; Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. 11 gets wherever situate .site each item of said outside of the I verify that the statements made in this Inven- -- tory are true and correct. I understand that false state- J E S S A N Z E R I C- E X C ments herein are 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, authorities. i Attorney -(Name) GERALD J • SHEKLETSKI (Supreme Courtl.~. No.) 40486 (Address) 414 BRIDGE ST • , NEW CUMBERLAND ~ PA 17070 (Telephone) ~ 717) 7 7 4- 7 4 3 5 DATE OF DEATH LAST RESIDENCE DEC DENTS SOC. SEC. NO. 46 ERFORD ROAD 12/25/2009 CAMP HILL PA 17011 19 129727 FIGURES MUST BE TOTALED PERSONAL PROPERTY 1• 59 SHARES METLIFE COMMON STOCK 2• PSECU ACCOUNT #019312972? - SAVINGS 3• PSECU ACCOUNT #01931299727 - CHECKING 4• PSECU ACCOUNT #0193129727 - MONEY MARKET 5• PNC BANK CHECKING ACCOUNT #5140223858 c~ C~ fT`! ~~ ~~ ~ ~ 6• BEVERLY ENTERPRISES, GOLDEN LIVING CENTER, WEST SHORE REFUND CHECK addltlonal sheets as needed) ru Q ~ 2'•16 C i ! .J ., ~ r_._ ;_-, ~ ' ~_~ Y ..~_~ .' ^' t 17n~4~ • 70 `~~~ 135.20 1,549.71 1,310.60 TOTAL: 175,373.57 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. § 3301(6)) Form RW-09 rev. 10.13.06 _ r_ • Continuation of Inventory DOfi;IS M• PHILLIPS A/K/A D~MARIE PHILLIPS 21 D9 1211 File Number Decedent Name Pa e 1 Description of Inventory ?• COMCAST REFUND CHECK I 2.77 8• METLIFE DIVIDEND CHECK ~~, 62.88 9• COMMONWEALTH OF PENNSYLVANIA UNCLAIMED PROPERTY, 'i 1,418.98 CLAIM #100582574• REAL ESTATE ', 1• 507 PARK AVENUE, NEW CUMBERLAND, PA 17070 I it 151,500.00 subtotal S 152,984.63 Grand Total i 175,373.57 _~ INVENTORY r REGISTER OF WILLS OF C U I18ER L A N D COUNTY, PENNSYLVANIA couN'iY~o~CU11~ER~ N v,~NU+ I ss Flle Nwnber Peawi wa(s) ofthe F.~ of OR M • PH P - Ai i ~ y • nw •- • •.~ deceased, depose(s) and asy(s) dua the ~ app~'1oi is the foUow~g inventory ~~ all of the web wherever sitwte Ivania of said Decedent, that the valusRion oPP~h° each it~n of:aid and aq of the real estate in the Cotmaonwadth of ~Y ~verNory represlenb ib fair vahte as of the date of the dececbna darn atof ventory oubide of the Commonwealth of Pemsylvania except that which appears I verity that the b made in this Inven- tory are true and correct. I understmd that fade state- F _ ipg, II , F~TPOIt ntent: heeein are made dubjecx tD the penalties of I g Pa. C.S. ~ 4904 refadag to uruwara fdsif~ation to 5©~16 GLII~1EIt100K DAR. , BFAC~i, SC~ 2579 wthorities. .ti:n _ _ .. _ _, ~ ~, ~ INVENTORY ~,a~r ~ REGISTER OF WILLS OF C UMBERL A N D COUNTY, PEIV1~iSYLVANIA CpMMONN-EALTH 0>: pp1TNSYLVANIA } SS File Nu<nba 21 09 1211 CouN'rYOF CUMBERLAND Persond Repca~enpaive(s) of the lEstate of Q R M• P H P A// A D• M A R P L L I P S dowsed, dapoie(=? and ~(~) ~ the items appeariog is the foUowh~ invs~ory iachide aU of the web wherever situate end all of tip ral estaoe is the Commanweahh of Pennsylvania of said Decedent, that the vahMion oPPa~ each itan of :aid inva~a~y ropr~eseab ib fsir vahu as of the date of the decedent': , and that Deeedeot owned no rail o ide of the Commonwealth of penn:ylvania except that which appear: is a mom ~at~ theme end of r I verify that die stateneob made in thb Inver- ~y:U ~' Cory taro true snd ccn+scx. I ~mder~d dint Labe state- PHILLIPS ~ .. menb berab aer made subject b the pmahia of - I= Fa. C.S. ~ 49I)4 relatini to wwa~n 5bification to 354 BAILED CT. , PAIM ~ ~ FL 34684 wWccitles. li i II, I i i ICI I