HomeMy WebLinkAbout08-10-10 (2)INVENTORY ~.~
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REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSY~;INIA =~ '
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COMMONWEALTH OF PENNSYLVANIA ~ ~ U - r
CUMBERLAND } SS File Number 2010-00311 -~ '~~
COUNTY OF ,_` k _a_~~~
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Lena R. Stover ~-` ~ ,~-_. ~ ,_
Personal Representative(s) of the Estate of
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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 ecedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memoran m t t e epd of this inventory.
I verify that the statements made in this Inven- ~-
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tort' 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.
El se E. Ro ers
Attorne -- Name y g
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(Address) Keefer Wood Allen &
(Telephone) 717-612-5801
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
February 23, 2010 1000 West South Street, Carlisle, PA 17013 172-01-9445
FIGURES MUST BE TOTALED I
Citizens Bank Checking Account 621873 102.42
Wachovia Bank CD 247412051329567 ].5,000.00
Interest accrued to date of death on above item 16.53
Wachovia Bank CD 247412081635830 50,000.00
Interest accrued to date of death on above item 36.17
Orrstown Bank CD 4000027629 10,000.00
Interest accrued to date of death on above item 5.21
Citizens Bank CD 6246747863 50,000.00
Interest accrued to date of death on above item 4.93
Citizens Bank CD 6140833205 50,000.00
Interest accrued to date of death on above item 4.93
PNC Bank CD 11020023104 15,000.00
Interest accrued to date of death on above item 0.56
PA Dept of Revenue, 2009 PA-40 254.00
Highmark Refund 111.65
Highmark Health Care Premium Refund 404.94
(Attach additional sheets as needed)
TOTAL: I 190,941.34
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
LLP,
~~ (Supreme Court L D. No.) 41274;
12th Street, Suite 400, Lemoyne, PA 17043
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