HomeMy WebLinkAbout06-22-10 (2)INVENTORY
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10 c~~ 00245,
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Personal Representative(s) of the Estate of CLAIRE G. BLACKWELDER ~ ~=-~'-~ ~ `- _'`_
._! MRS II ' `,.~,_!~~r; r
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the persona~'s'wher~r situate.
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed a~~each~m of~said"_
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estutside o~he ~ - , _.; ~
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. ~ '~-+ :. ~ ~:~~ :', ~j
I verify that the statements made in this Inven- _.. C~.~-~-
tory are true and correct. I understand that false state- JUDITH A. BITNER
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) CHARLES E. PETRIE (Supreme Court 1.D. No.) 29029
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF DAUPHIN
COUNTY, PENNSYLVANIA
File Number ?2
DATE OF DEATH
10
(Address) 3528 BRISBAN STREET HARRISBURG PA 17111
(Telephone) (717) 561-1939
LAST RESIDENCE DECEDENTS SOC. SEC. NO.
54 STRAWBERRY DRIVE
CARLISLE PA 17013 04$126771
GARBAGE TAGS REIMBURSEMENT
CAR INSURANCE REIMBURSEMENT
FIGURES MUST BE TOTALED
ACCOUNTS AT MEMBERS FIRST FEDERAL CREDIT UNION
CHECKING ACCOUNT ATM & T BANK
CREMATION SOCIETY REIMBURSEMENT
PONTIAC GRANDAM
CASH ON HAND
54.00
189.82
99,061.07
3,490.56
844.57
4,500.00
383.00
(Attach additional sheets as needed) ~
TOTAL: ~ 302,498.27
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(b))
Form RW-09 rev. 10.13.06
Continuation of Inventory
CLAIRE G. BLACKWELDER 22 10 00245
~ Decedent Name Page 1 File Number
Description of Inventory
COMCAST CABLE REIMBURSEMENT
PERSONAL PROPERTY SOLD AT AUCTION
HOMEOWNERS INSURANCE REFUND
LINCOLN FINANCIAL ANNUITY
37 SHARES OF MET LIFE STOCK
REAL ESTATE AT 54 STRAWBERRY DRIVE
SOUTH MIDDLETON TOWNSHIP, PA
36.85
1,191.88
8.70
63,649.38
1,389.84
127,698.60
Subtotal ~ 193, 975.25
Grand Total S 302,498.27