HomeMy WebLinkAbout07-13-10 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA.
COUNTY OF CUMBERLAND SS File Number 21-10-4162
Geoffrey A. Shearer, Executor
Personal Representative(s) of the Estate of EVELYN F. SHEARER
deceased, depose(s) and say(s) that the items appearing in the following inventory include alt 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 sapd
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of tlhe
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-
tory are true and correct. I understand that false state- rey A. Shearer, Executor
ments herein aze made subject to the penalties of 1111 Turnbridge Lane
18 Pa.C.S. § 4904 relating to unsworn falsification to Mechanicsburg, PA 17050
authorities.
Attorney -- (Name) Keith O. Brenneman
(Supreme Court 1. D. No.) 47077
(Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
GATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. N0.
0/11/2010 2001 Market Street, Camp Hill Borough, Camp Hill, PA 17011 184-09-1919
I FIGURES MUST BE TOTALED I
1. Citizens Bank, checking account #6100610357 4,935.26
2. Federated, money market account #9880535 1,676.16
3. Internal Revenue Service, refund due the Decedent on 2009 (Form 1040) income tax return 544.00
4. John Hancock, annuity #BK2048032 15,334.39
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(Attach additional sheets as needed)
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22,489.81
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