HomeMy WebLinkAbout06-08-10 (2)Irf V~NTORY
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1 w / v
COUNTY OF Cumberland J SS File Number
Personal Representative(s) of the Estate of Harry H. Dawson
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 memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~~-a~~~
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S: § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Craig A. Hatch (Supreme Court LD. No.) 76361
(Address) Gates, Halbruner, Hatch & Guise, P.C., 1013 Mumma Road, Suite 100, Lemoyne, PA 17043
(Telephone) 717-731-9600
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
3/31 / 10 2 I ~ Bent Creek Boulevard, Mechanicsburg, PA 1705'0 218-24-9821
.FIGURES MUST BE TOTALED
M&T Bank -checking account number 9850596108 453.99
The Bridges at Bent Creek -nursing home reimbursement 4,389.Op
Maipezzi Funeral Home -overpayment of funeral costs 1,356.01
Highmark -overpayment on health insurance 193.10
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(Attach addltiona+l sheets as needed)
TOTAL: 6,392.1 Q
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))
Farm RW-09 rev. 10.13.06