HomeMy WebLinkAbout02-25-11 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
COUNTY, PENNSYLVANIA
File Number ?1
Personal Representative(s) of the Estate of BETTY ANN ROCKER ~ ``=' -,-,
deceased de ose s and sa (s) that the items a earin in the followin tnvento include all of the erson ets whex~ver si te~'-~
P ~) Y PP g g ~ ry P ~~ ~ ,.. .
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed ~~ eac~em o~~ ~?ai~,
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real es~~Fide q£,~rle .~.
,~. ~ J~ cs~~ -
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this 'nvent ry. - r~; ,;~; . '
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I verify that the statements made in this Inven- - .T~ ~ c„~ ~ _ -T
tort' are true and correct. I understand that false state- -~ 4-;
ments herein are made subject to the penalties of A ~I. -EXECUTOR y ~,,,a
~j ~' .
18 Pa. C.S. § 4904 relating to unsworn falsification to THOMAS D ROCKER, C - XECUTOR
authorities.
Attorney -- (Name) DAVID H STONE, ESQUIRE (Supreme Court 1. D. 1Vo.) 39785
(Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070-
(Telephone) ~ ~ ~ ° ~-~ ~1 ~" ~~ ~-'1 '~ S
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
616 HARDING STREET
9/20/2010 NEW CUMBERLAND PA 17070- 162-22-1232
FIGURES MUST BE TOTALED
Claremont Nursing Home-refund received 2,500.00
M&T Bank-Checking Acct #10454128 I 21,288.08
Princ. $21,288.08, Int. $.06 Clarence R Rocker predeceased decedent
M&T Bank-Checking Acct #10454128 -Accrued Interes ~ 0.06
Miscellaneous deposit ~ 246.15
Nationwide Insurance-refund I 51.12
(Attach additional sheets as needed)
TOTAL: I 24,085.41
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
10 10'19
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