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HomeMy WebLinkAbout05-12-11 (4)~~ INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND File Nttmber 2011-0311 Personal Representative(s) of the Estate of Elizabeth B. Stoessel 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 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. Vance E. Antonacci, Esquire (Supreme Court I.D. No.) 83725 Attorney -- (Name) (Address) 570 Lausch Lane, Suite 200, Lancaster, PA 19601 (Telephone) 717.581.3701 DECFAENr3 SOC. SEC. NO. DATE OF DEATH LAST RESIDENCE 02/28/2011 222 Messiah Circle #465, Mechanicsburg, PA 17055 182-16-9403 FIGURES MUST BE TOTALED 5EE ATTACHED 364.02 ~., _:O °° ~7 t'~ 1 ~-f'Tt V.. _ _r ~i _ ` ~ -'.1 r -- -_7 .., -' - ....._... --''r s... ~. :-T't .-. ~~ Q n.: -,-' (Attach additional sheets as needed) TAT.7 . 364.02 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania oyPat the ~ ~~ of the personal representative include the value of each ium, but such figures should not be extended into the total of the Inventory. (Se (b)) Form RW-09 rev. 10.13.06 Estate of Elizabeth B. Stoessel Estate Inventory Valued as of Date of Death Page 1 Cash and Cash Equivalents Conexis, refund on health insurance Donegal Insurance Company, refund on homeowner's policy United Concordia, refund of dental insurance premium Total Cash and Cash Equivalents Miscellaneous Cumberland County VA Death Benefit Total Miscellaneous Total Inventory (1) $ 50.00 29.00 185.02 $ 100.00 264.02 100.00 $ 364.02