HomeMy WebLinkAbout01-11-11 (2)Irf VENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
CONIMONWEALTH OF PENNSYLVANIA
File Number 21 10 0874
COUNTY OF SS
Personal Representative(s) of the Estate of RUTH M. CROZIER
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- ~ ~ ~
tory are true and correct. I understand that false state- G ge G enn Crozier Ro ert .Crozier
ments herein are made subject to the penalties of
V
18 Pa. C.S. § 4904 relating to unsworn falsification to aul R. Crozier Georg R. Markey
authorities.
Attorney -(Name) Georgia R.MarkeV (Supreme Courtl.L>. No.) n/a
(Address) 6020 Piney Hollow Road Dover PA 17315
(Telephone) 717-292-6002
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
442 WALNUT BOTTOM ROAD
4/27/2010 CARLISLE _ PA 17013 192-34-7456
FIGURES MUST BE TOTALED
Bank of Landisburg, Checking Acct. 609196 I 4,485.56
Capital Blue Cross, refund of health ins. premium ~ 482.68
United Church of Christ Homes - Thornwald Homes, refund ~ 7,741.75
Nickel Funeral Homes, prepaid funeral I 8,197.70
Pharmacy -refund 30.00
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(Attach add~itonal sheds as needed)
TOTAL: 20,937.69
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