HomeMy WebLinkAbout12-16-10 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND' f SS
COUNTY, PENNSYLVANIA
File Number 2010-00721
Personal Representative(s) of the Estate of Lawrence W. Brown
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 which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~.C-
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.
Attorney -- (Name) Elyse E. Rogers
(Address) Keefer Wood Allen & Mahal, LLP, 635 N
5 (Supreme Court 1. D. No.) 41274
Street, Suite 400, Lemoyne, PA 17043'
(Telephone) 717-612-5801
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
March 26, 2010 57 Lee Ann Court, Enola, PA 17025 161-34-4759
FIGURES MUST BE TOTALED
348 Sample Bridge Road, Cumberland County, PA
Interest in L.L. Brown, Inc.
AARP Health Refund
United Healthcare Svs Inc
1,050,000.00
1,992.27
191.90
34.10
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(Attach additional sheets as needed)
TOTAL: ~ 1,052,218.27
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-09 rev. 10.13.06