HomeMy WebLinkAbout08-31-10 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND f SS
Judith I. Scholl,
Personal Representative(s) of the Estate of Benjamin S. Lyons
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 n,Yemorandum at the end of this inventory.
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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) Mark E. Haibruner, Esquire
(Supreme Court 1. D. No.) 66737
(Address) Gates, Halbruner & Hatch, P.C., 1013 Mumma Road, Suite 100, Lemoyne, PA 17043
(Telephone) 717-731-9600
File Number 2109-0617
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
April 28, 2009 130 E. Locust Street, Mechanicsburg, PA 170SS 201-68-6705
FIGURES MUST BE TOTALED
Duty's Lock Safe & Security, Inc. -reimbursement
Commonwealth of Pennsylvania - 2008 state income tax refund
Commerce Bank -Checking Acct. No. OS369S9323
U.S. Treasury - 2008 federal income tax refund
Dutys Lock Safe & Security, Inc. -final paycheck
1993 Volkswagen Corrado -VIN WVWEE4SOXPK003302
US Treasury - 2009 federal income tax refund
Settlement from Erie Insurance Policy Nos. Q 10-7906239 and QO l -2507984
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(Attach additional sheets as needed)
30.00
18.86
1,261.42
521.35
473.73
300.00
1,460.00
S7,S00.00
600.00
TOTAL:
62,165.36
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 l0 Pa. C.S. ,¢ 3301(6))
Form RW-09 rev. 10.13.06 ~~
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