HomeMy WebLinkAbout03-18-11 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
File Number 21-10 --~9
Irene Heisey -
Personal Representative(s) of the Estate of EMMA B. HENRY
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 me ra~dum 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- ~ ise
Irene He y
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) John M. Smith Esq. (Supreme Court I.D. No.) 19520
(Firm) Gingrich, Smith, Klingensmith & Dolan
(Address) 222 S Market Street, Suite 201, Elizabethtown, PA __
(Te-ephone) (717)367-1370
DATE OF DEATH LAST RESIDENCE 442 Messiah Circle DECEDENTS SOC. SEC. N0.
06/27/2010 Mechanicsburg, PA 17055 198-14-5040
FIGURES MUST BE TOTALED
Personal Pro e~rtv _
n
Cash ............................................................................................... ,---- . _ _. ,
-- ~~ 8,134.68 - _ -r?
4
_,_} _
Personal Property ........................................................................ =~- ,-
_~ -
_:
Stocks/Listed ................................................................................ _ - .- .r_I _.._
(" ....,
Stocks/Closely Held ..................................................................... - ;.,
_: -~~ _.
Bonds ............................................................................................ , . _,-~ ~,
Partnerships and Sole Proprietorships ..................................... - __ :,, -~-=;
_~?
,~ __. ,
Mortgages and Notes Receivable ............................................... ~'' ~ `1'~'
P Y ........................................................................
All Other Pro ert
Total Personal Property ........................................ 8,134.68
Total Real Property ................................................
Total Personal and Real Property ........................ 8,134.68
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-O9 Rev. 10-13-2006
- INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10
DATE OF DEATH LAST RESIDENCE 442 Messiah Circle DECEDENT'S SOC. SEC. NO.
06/27/2010 Mechanicsburg, PA 17055 198-14-5040
Cash
HARP -refund
PNC Bank -decedent's checking account
Total Cash
212.00
7,922.68
8,134.68
(Attach additional sheets if necessary) Total Personal Property and Real Estate 8,134.68