HomeMy WebLinkAbout12-13-10INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ~ SS File Number 21 10 ' 1128
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Personal Representative(s) of the Estate of HAZEL ERB
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the person assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placeli o posite each item of said
invernory represents its fair value as of the date of the decedent's death, and that Decedent owned no real les to outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory ~,,
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I verify that the statements made in this Inven- ~,
tory are true and correct. I understand that false state- J Y L. RB, Executor
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to ttnsworn falsification to
authorities. ',
Attorney -(Name) Jacqueline A. Kelly (Supreme C¢ur~t LD. No.) 91973
(Address) 845 Sir Thomas Court, Suite 12 Harrisburg PA 17109
(Telephone) 717-541-5550
DATE OF DEATH LAST RESIDENCE EQEDENTS SOC. SEC. NO.
46 Ertord Road
10/6/2010 Cam Hill PA 17011 I! 2 -28-6713
FIGURES MUST BE TOTALED ~ ~~
Promissory Note between Jerry L Erb (Borrower) and Hazel Erb (Lender) dated ' ~! 128,520.02
June 3, 2010; Face Value $149,267.00; 22 month term @ 2% interest;
unpaid balance: $128,520.02
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(Attach addldonal sheets. as needed)
TOT 128,520.02
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the persona! representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Po. C.S. § 3301(6))
Form RW-09 rev. 10.13.06
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