HomeMy WebLinkAbout09-01-10 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY,
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
File Number 21-10-0682
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Personal Representative(s) of the Estate of
Dana Viti
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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
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 pears in memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~ ~-~ 7 _ ~ C7
tory are true and correct. I understand that false state- Cecilia Viti
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney - (Name) James D. Bogar (Supreme Court I.D. No.) 19475
(Firm) Bogar 8r Hipp Law Offices
(Address) One West Main Street Shiremanstown, PA
(Telephone) 717-737-8761 ___
DATE OF DEATH LAST RESIDENCE 50 West Allen Street DECEDENTS SOC. SEC. NO.
06/19/2010 Mechanicsburg, PA 17055 195-38-9198
FIGURES MUST BE TOTALED
Personal Prooertv
Cash ......................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
8,013.80
8,013.80
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may at the election of the personal representative inGude the value of each
item, bul such figures should rql be extended into Me total of the Inventory. (See ~0 Pa. C.S. § 3301(b))
Form Rl/t1-~9 Rev. 10.13-2006 `\ ^
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10-0682
DATE OF DEATH LAST RESIDENCE 50 West Allen Street DECEDENT'S SOC. SEC. N0.
06/19/2010 Mechanicsburg, PA 17055 195-38-9198
~~$.V
Federated Distribution Fund -Payment of funds regarding administrative proceeding
Foresters -Reimbursement of unused insurance premium
Highmark -Premium Refund
Highmark -Premium Refund
PNC Bank -Checking Account No. 5005132232; date of death balance $7,041.61. This
account was non-interest bearing.
Total Cash
349.77
63.40
159.72
399.30
7,041.61
8,013.80
(Attach additional sheets if necessary) Total Personal Property and Real Estate 8,013.80