HomeMy WebLinkAbout08-10-10 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVAM;A
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND f SS
File Number 21-10-0113
Personal Representative(s) of the Estate of Dorothy P. Clymer,
deceased, depose(s) and say(s) that the items appearing in the following inventory include ail 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- ~~.~~;2~~' ~'~ ~~~'~2--"~"""~"~
tort' are true and correct. I understand that false state-
ments herein are made subject to the penalties of Geoffrey N. Clymer, Co-Executor
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities. ~
At me -- m Robert R. Church, Esq. ~~ ~ ~-~~.,~~,~,,.~~,, 40385
to y (Na e) ~ ~~ (Su reme Court L D. No. )
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(Address) Keefer Wood Allen & Rahal, LLP, P.O. Box 11963, Harrisburg, PA 17108-1963
(Telephone) (717) 255-8059
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. N0.
January 22, 2010 1117 Country Club Road, Camp Hill, PA 17011 209-14-7273
FIGURES MUST BE TOTALED
1. Townhouse at 1117 Country Club Road, Camp Hill, East Pennsboro Township, Cumberland County,
PA 17011-1023, as apprised by Robert Ensminger, Pennsylvania Certified Residential Appraisal,
title per Deed dated July 28, 2005 recorded in Cumberland County Record Book 270, at pages 856,
et seq.
2. Direct TV -Refund
3. Verizon, cell phone refund
4. Misc. Deposit Refund
5. 1998 Ford Explorer Sport Utility 4D vehicle
6. Decedent's income tax rebate/refund
(Attach additional sheets as needed)
~, 6.17
23.68
7.84
2,500.00
750.00
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TOTAL: ~ 318,287.69
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
315,000.00
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