HomeMy WebLinkAbout04-09-07
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF MONTOUR
} SS
File Number 2106-0661
Personal Representative(s) of the Estate of MARY H. MOORE
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- }
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) Robert L. Marks
(Address) 12 W Market St., Danville, P A 17821
(Telephone) 570-275-3411
(Supreme Court J.D. No.) 15689
DATE OF DEATH
LAST RESIDENCE
Forest Park Health Center, 700 Walnut Bottom Road, Carlisle, PA
DECEDENT'S SOC. SEC. NO.
07/10/2006
074-22-6399
FIGURES MUST BE TOTALED
Checking acct., F&M Tr. Col, #34-44066,
IRD, F&M Trust Co., checking acct.,
Contents of storage unit & personal effects @ appraised value,
Cash,
Jewelry @ appraised value,
ACME Storage, refund of security deposit & rent,
Refund of premium, Capital Blue Cross/Blue Shield,
Mary H, Moore Revocable Living Trust,
~?
9,716.60
0.09
4,847.00
1.12
6,186.00
52.74
136.40
1:;~~4, 773.26
(.::...::.)
--..l
:::.::)
I
L0
C>
N
.c-
(Attach additional sheets as needed)
TOTAL:
1,305,713.21
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..li 3301 (b))
Form RW-09 rev. 10.13.06
J