HomeMy WebLinkAbout02-10-11 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF
COUNTY, PENNSYLVANIA
File Number 21 10 0547
Personal Representative(s) of the Estate of VIOLET H. ELLENBERGER ~ T~ ~ ~ ~ ~~ '-~ 1 1
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deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the person~:ra~~here~er sit>x~he ~-;.
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed ,t each~m of-sad_-
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real e - J ~^ ~~ >Ide owe - ~'
Commonwealth of Penns lvania exce t that which a ears in a memorandum at the end of this invento ? C~_ - ~W f '
:~ --.- -- r ; -~--n
I verify that the statements made in this Inven- . ~ ~ ~'' ~~ ,~"' `'Y~
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) David H. Radcliff, P.C. (Supreme Court LD. ~'o.) 25483
(Address) 1011 Mumma Rd, Ste 201 Lemoyne PA 17043
(Telephone) 717 236-9318
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
805 North Walnut Street
5/17/2010 _ Mechanicsburg PA 17055 188-2,0-'7575
FIGURES MUST BE TOTALED
1328 Sh Invesco VanKampen Senior Income Trust @$4.61075
Riversource Life Ins Co Policy #9100-5932321
1992 Chrysler LeBaron
M&T Checking Acct #30556708
Five $20 Travelers Checks
Refunds -State Farm Insurance
Refund -United Water
(Attach additional sheets as needed)
6,123.08
1,242.72
650.00
5,499.21
100.00
48.35
15.87
TOTAL,: I 13,979.81
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(6))
Form RW-09 rev. 10.13.06
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Continuation of Inventory
VIOLET H. ELLENBERGER 21 10 0547
Decedent Name Page 1 File Number
Description of Inventory