HomeMy WebLinkAbout02-11-11 (2)INVENTORY
REGISTER OF WILLS OF cuMeERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSY VANIA
COUNTY OF ~„~~~ ~ ~ ~ SS
File Number 21 10 0638
Personal Representative(s) of the Estate of HAMILTON M . H E N R Y
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-
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) SUSAN H - CONFAIR
(Supreme Courtl.D. No) 70241
un i c yr utA ~ M
/6/
(Address) 2331 MARKET STREET CAMP HILL
PA 17011
(Telephone) 717-763-1383
LAST RESIDENCE
408 HUNTINGTON AVENUE DECEDENTS SOC. SEC. NO.
Stocks 8 Bonds
GE/FULTON STOCK
FULTON DIVIDEND
PA 17025 X04924
FIGURES MUST BE TOTALED
Closely-Held Corporation, Partnership or Sole-Proprietorship
Mortgages & Notes Receivable
Cash, Bank Deposits, & Misc- Personal Property
METRO BANK - CHECKING #512002064
3801 PAXTON STREET, HARRISBURG, PA 17111
(Attach additional sheets as needed)
9,861.50
3.15
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6,669.48
ru'1'AL: 19 , 5 4 2.8 6
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. /0.13.06
Continuation of Inventory
HAMILTON M• HENRY 21 10 0638
Decedent Name Page 1 File Number
Description of Inventory
FUNERAL REIMBURSEMENT
CASH ON HAND
PERSONAL PROPERTY
COUNTY BURIAL AWARD
COMCAST REFUND
AUTO POLICY REFUND - ERIE INSURANCE
HOMEOWNER'S INSURANCE POLICY REFUND
Real Estate
2,000.00
25.00
500.00
100.00
73.73
229.00
81.00
Subtotal 5 3, 0 0 8.7 3
Grand Total S 19,542.86