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HomeMy WebLinkAbout10-20-10 (3)INVENTOR'S !REGISTER OF V~ILLS GF CUMBERLAND:. COUNTY, PENIVSY:LVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS ~ File Number 21 -1 0 - 0 8 4 9 Darren W. Myers Personal Representative(s) of the Estate of Paul E . A . Myer s deceased, depose{s) and say(s) that the items appearing iri 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 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. Attorne ame Anthony L. DeLuca, .Esquire (Supreme Court 1. D. No.~ 1 8067 Y -- (N ) . (Address) 113 Front Street, P.O. Box 358, Boiling Springs, PA 17007 (Telephone) 717-258-6844 DATE OF DEATH LAST RESIDENCE O u n a 1 n DECEDENT'S SOC. SEC. N0. 8/11/2010 Boiling Springs, PA 17007 171-30-5004 FIGURES MUST BE TOTALED. 1. Residence situated at 524 Mountain Road,. Boiling Springs, PA 17007 2. 3. Checking account, Numbered 33-10000, at F&M Trust Miscellaneous items of personal property a~ i 4d ._~ sw 1, . Q 1~ ~- C , '~ . i . ~_... ... -.. .. _A t .~ (Attach additional sheets as needed) $156,000.00 8,182.38 12,215.00 TOTAL: I $1 76, 3~7. 38 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 2'0 Pa. C.S. ,¢ 3301(b)) Form RW-09 rev. 10.13.06