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HomeMy WebLinkAbout11-29-10 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland } David M Bilunas File Number 21-09-00428 Personal Representative(s) of the Estate of Jean Ruth Bilunas 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 whic pe s inmor um at the en/d ~of~~is inventor I verify that the statements made in this Inven- ~~..~~ (~-~~~ ~ -' `~ y' tory are true and correct. i understand that false state- David M Bilunas ~ '~-r, ~-~ ""'~ ments herein are made subject to the penalties of "-' -" ~ ;~-} cv s., _, 18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ~ ~f:~ r~: -' _. _ authorities. ~ ~ ' ` ~~ .~ c~ `'~' ~~-' Attorney -- (Name) Marielle F. Hazen (Supreme Court I.D. No.) `-~ 68003 (Firm) (Address) (Telephone) Hazen Elder Law 2000 Linglestown Rd., Harrisburg, PA 17110 717-540-4332 DATE OF DEATH LAST RESIDENCE 1808 Chatham Dr DECEDENT'S SOC. SEC. N0. 04/1012009 Camp Hill, PA 17011 176-34-8029 FIGURES MUST BE TOTALED Personal Property Cash ............................................................................................... Personal Property ........................................................................ Stocks/Listed ................................................................................ StockslClosely Held ..................................................................... Bonds ............................................................................................ Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ........................................................................ Total Personal Property ........................................ Total Real Property ................................................ Total Personal and Real Property ........................ 153.00 60,660.00 60,813.00 ~- 60,813A0 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(b)) Form Rw ~9 Rev. 10-13-2006 INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA } SS COUNTY, PENNSYLVANIA COUNTY OF Cumberland } File Number 21-09-00428 _^ DATE OF DEATH LAST RESIDENCE 1808 Chatham Dr DECEDENT'S SOC. SEC. NO. 04/10/2009 Camp Hill, PA 17011 176-34-8029 ~~b Mobile-Rec Inc. -insurance premium refund 153.00 Total Cash 153.00 Personal Pro~er~ty Personalty -jewelry - as per attached appraisal by DiaMonte Jewelers Total Personal Property so,sso.oo 60,660.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 60,813.00