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HomeMy WebLinkAbout09-13-10 (2)INVENTORY REGISTER OF WII.LS OF euMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~ SS File Number 21 09 1:16 Personal Representatives} of the Estate of NELL M. BERULIS deceased, deposes) and say(s) that the items appearing in the following inventory include afl of the personal asswrts herever 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 Dcccdent owned no real estate ou 'de of the Gommonwealth of Pennsylvania except that which appears in a memorandum at the end o 's inventory~. ~ I verify that the statements made in this Inven- /' ~ / - ~ tory are true and correct. I understand that false state- .IOSEPH WILKAS `~ meats herein are made subject to the penalties of 18 Pa. C.3. § 4904 relating to unsworn falsification to authorities. Attorney -(Name) DAVID H RADCLIFF, ESQ. (Supreme Court LD. (Address) 1011 MOMMA ROAD STE 201 LEMOYNE (Telephone) 717 236-9318 oxre of ~TM usr -~swEnct: oec~ 5225 WILSON LANE ~ FIGURES MUST BE TOTALED Federal Employees Group Life Insurance (Payable to Estate) Pn~dential Life Insurance Policy #029704620 (Payable to Estate) PNC Bank Acct #5000962536 Asbury Communities (Refund) MI Bank Deposit Program CMA Money Fund Refund - 2009 PA Income Tax (Attach addJtlonal streets as soc. sEC: wo. 3,250.00 4,739.46 15,241.40 4,511.40 0 16,956.25 a ~ {~ w ~~, ~ b a oo Q =~ ~: 3 ~ ~~~ ~D ; TOT 687,516.27 NOTE: T'he Memorandum of mat eatste outside the Gonnmonweatlh of Pennsylvania nary, st the election of the personal repteaentative dude the value of each item, but such figurra should n~ be extended into lIm total of the lnvartory. (See 20 Pa. C.S. § 3301(b)) Form RW-09 rev. 10.13.06 25483