HomeMy WebLinkAbout09-07-10 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland SS File Number 21-10 "' ~' ~ c~,(~'
Eugene E. Kapp
Personal Representative(s) of the Estate of Kapp, Selma E.
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 memoran at the end of this inventory. ~
I verify that the statements made in this Inven- ~/ -~ ,~
tort' are true and correct. I understand that false state-
ments herein are made subject to the penalties of Eugen .Kapp
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Gerald J. Sri nser N (Supreme Court L D. 1Vo.) 09655
(Address) 6 E. Main Street, PO Box 32~, Pa1J~prra SPA 17073
(Telephone) (717)838-6348
DATE OF DEATH LAST RESIDENCE DECEDENT"'S SOC. SEC. NO.
6/16/2010 222 Messiah Circle, Room 416, Mechanicsburg, Pa 17('155 205-07-0258
FIGURES MUST BE TOTALED
Personal Property
Verizon-Refund
Donegal Insurance-Refund
Total Personal Property
13.52
23.00
36.52
,.
. r--~,,
~ ,, ,
. _.
_..
r
;
~ 1y
;
, G
I `~
} ' .+ i~
__ .... y 1
~'
(Attach additional sheets as needed)
TOTAL: ~ .36.52
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. ,¢ 330/(b))
Form RW-09 rev. /0.13.(16
~M