HomeMy WebLinkAbout09-17-10 (2)INVENTORY
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYL~iJANIA
COMMONWEALTH OF PENNSYLVANIA l~jf /0~~5~
COUNTY OF Cumberland f SS File Number
Personal Representative(s) of the Estate of Nora A Rosebeny
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 o os~ite each item of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned nor 1 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) (Supreme Court LA. No.)
(Address)
(Telephone)
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
6/18/2010 824 Lisburn Rd Camp Hill PA 17111 441- 0-3005
FIGURES MUST BE TOTALED '
USB Financial Services Inc Investment Account #LV95878-RS 54,751.00
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(Attach additional sheets as needed)
54,751.00
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 10 Pa. C S. § 3301(6))
Form RW-09 rev. 10.13.06