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HomeMy WebLinkAbout05-20-11 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~ SS couNTY of Cumberland } P. Personal Representative(s) of the Estate of MBUrICe K. 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 o Ite each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real es~tside ot~tte 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- ~ ` -'`' (7ll/~` I ~ I tory are true and correct. I understand that false state- '~~ ' - ~ ~ ments herein are made subject to the penalties of Berwyn P. Logan ~ : , "~-~ 18 Pa.C.S. § 4904 relating to unsworn falsification to } ~ ; ~~ t~ i ] ; authorities. _ ' ` ~i,: ~-; Attorney -- (Name) (Firm) (Address) Gerald J Brinser Brinser, Wagner & Zimmerman 6 E. Main Street P.O. Box 323 Palmyra, PA 17078 G~ ~ S 'i 7 (Supreme Court I.D. No.) 09655 (Telephone) 7171838-0348 DATE OF DEATH I LAST RESIDENCE Manorcare Health Services DECEDENTS SOC. SEC. NO. 10/31/2010 Camp Hill, PA 17011 199-07-2162 FIGURES MUST BE TOTALED Personal Property The Columbia Bank -Checking Account #0155003986 103.620.22 Railroad Retirement 207.99 Total Personal Property 103,828.21 File Number 21 -11 - 0187 (attach additional sheets if necessary) Total Personal Property and Real Estate $103,828.21