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HomeMy WebLinkAbout02-09-11 (2)INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-09-758 Donna M Schle el Personal Representative(s) of the Estate of Adam W Thomas 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 w 'ch appears in a me randum 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- Donna M Schlegel ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) (Firm) (Address) (Telephone) Wayne M. Pecht Esq (Supreme Court I.D. No.) 38904 Pecht 8~ Associates PC 1205 Manor Drive, Suite 200, Mechanicsburg, PA 17055 717-691-9808 DATE OF DEATH 07/31/2009 Mechanicsburg, PA 17055 FIGURES MUST BE TOTALED Personal Prooertv Cash ............................................................................................... Personal Property ........................................................................ StockslListed ................................................................................ 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 ........................ DECEDENTS SOC. SEC. N0. 197-09-6180 ..., c= 0 --- -~ ~ ~, -.~, ~ rat C7 ~:.. ~: ~ F"~ . G. 238,341.08 238,341.08 236,341.08 NOTE: Item but suchf lgures Should not be extended 1nto~ the totaltof theenventory ~ (Seey20 PaeCS~§ 330 (b))~rsonal representative include the value of each LAST RESIDENCE 61 Hellam Drive Form RIN-~9 Rev. 10-13-2006