HomeMy WebLinkAbout09-30-10 (2)INVENTORY
COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF C U M B E R L A N D
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
File Number 21 10 0 415
Personal Representative(s) of the Estate of J E S S I E E- J O H N S O N
sed de ose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
decea P
f the real estate in the Commonwealth of Pennsylvania of saihDnd thattDecedent owned no real esotateooutstde of the of sai
and all o
inventory represents its fair value as of the date of the earsan a smemorandum at the end of this inventory.
Commonwealth of Pennsylvania except that which app
I verify that the statements made in this Inven-
tory are true and correct. I understandenalties of tate-
ments herein are made subject to the p J E S M • JOHNS O
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities. '"
(Supreme Court I.D. No.) 94892
Attorney -- (Name) DAVID J • LEDERMANN pA 17011
CAMP HILL
(Address) 3425 SIMPSON FERRY ROAD
(Telephone) 717-763-1121 DECEDENT'S SOC. SEC. NO.
DATE OF DEATH
4/
PA 17015 1177-74-90
FIGURES MUST BE TOTALED
WRONGRLANDECOUNTYRCOURT OFT COMMONAPLEASOEEDS
CUMBE
DOCKET N0~ 10-5178
GROSS PAYOUT OF CLAIMS $125,000AL7ACTIONOCLAIM•TO WRONGFUL DEATH CLAI
AND 30i ALLOCATED TO THE SURVI
n
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f'rl
..niloit 1
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$37,500.00
NOTE: The Memorandum of real estate outside the Comm he total of the Inventorya (See 20 Pa. C.SIl§ 3301(b)~ ersonal representative include the value of each
item, but such figures should not be extended into t
tAST RESIDENCE
476 STONEHOUSE ROAD
$37,500.00
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Form RW-09 rev. 10.13.06