HomeMy WebLinkAbout05-23-11 (2)INVENTORY
REGISTER OF WILLS Or CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PlNNSYLVANiA ~ SS file Number 21 11 0324
COUNTY OF CUMBERLAND
Personal Representative(s) of the Estate of Ma M. Wen er
deceased, depose(s) and say(s) that the items appearing in the following inventory inclu~ evaluation l aced opposite eacl item of said
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that t P
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. C understand that false state-
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsifcation to
authorities.
Attorney -- (Name) William S. Dick (Supreme Court I.D. No.) 24566
Wa nesboro PA 17268
(Addt•ess) 13 W. Main Street Suite 210
(Telephone) 717-762-1160
DECEDENT'S SOC. SEC. N0.
DATE OF DEATH LAST RESIDENCE
2100 Bent Creek Blvd.
03/05/11 Mechanicsbur PA 17050 175-03-2385
FIGURES MUST BE TOTALED
F&M Bank, money market account #..5226
F&M Bank, checking account #..7320
US Treasury, 2010 federal income tax refund
PA Dept. of Revenue, 2010 state income tax refund
ROBC, refund of overpayment for nursing care services
:-
ndlltln-~rrl sheets as treerlerl)
TOT
r~
1 -~-
1 ~
I ~•
«.~
W
70,703.89
19,742.98
783.00
128.00
3,293.00
':~ ~ ~7
C~~
~~
-°~
4.650.87
NOTE: The Memorandum of t-eaf 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 hrvcntory. (See 20 Aa. GS § 3301(b))
Forirt RW-09 rev. 10.13.Ob
~J