HomeMy WebLinkAbout09-23-10 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND f SS 21-09-0761
File Number
John B. M is. Jr nd Dnnalrl T M rric FXPr`tltnrc
Personal Representative(s) of the Estate of MART' C. MERRIS
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 appear 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- John B. Mer is, Jr " Donald L. Merris
ments herein are made subject to the penalties of 921 Shetter Lane
18 Pa.C.S. § 4904 relating to unsworn falsification to 407 Penn Ayr Road
authorities. Camp Hill, PA 17011 Camp Hill, PA 17011
Attorney -- (Name) Richard C. Snelbaker, Esquire (Supreme Cozzrt LD. No.) 6355
(Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
08/08/2009 335 Wesley Dr., Lower Allen Twp., Mechanicsburg PA 17055 177-16-1773
FIGURES MUST BE TOTALED
1. United States Savings Bonds, 14 EE bonds
2,80.96
2. 1997 Pontiac Grand AM Sedan, sale value
1,000.00
3. Citizens Bank, checking account, #6100707660
960.57
4. Citizens Bank, checking account #6204136716
3,615.75
5. Citizens Bank, certificate of deposit
#6140-700728
, 14,020.86
6. Citizens Bank, certificate of deposit, #6140-713013
3,216.96
7. Citizens Bank, certificate of deposit
#6140-753325
, 8,013.32
8. Citizens Bank, certificate of deposit
#6140-884438
, 6,592.86
9. Citizens Bank, certificate of deposit
#6251-643340
, 3,266.97
10. Citizens Bank, certificate of deposit, #6255-985688
55,637.06
11. Household goods, retained in-kind by family members
250.00
12. Riversource, annuity #9920-5940714
51,363.64
13. State Farni Insurance, refund unused premiu
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43.30_,
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TOTAL: - X 50,562 2~~
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. ~' 3301(6))
Form RW-09 rev. 10.13.06