HomeMy WebLinkAbout06-08-11INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY OF Cumberland
James R Cook
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COUNTY, PE~~SYLVA~IIA z~
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File Number 21-10-0776 ~~ C7 p x*- "'~~w' ~~:=
Personal Representative(s) of the Estate of Richard R Cook
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 dece ent's death, and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that which app rs in a me rm the end of this inventory.
I verify that the statements made in this Inven- ~ ~ __
tory are true and correct. I unders#and that fa;se state- ~Ja es R Cook
ments herein are made subject to the penalties of ~ ~
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Mark A. Mateya (Supreme Court I.D. No.) 78931
55 W. Church Avenue, Carlisle, PA
717-241-6500
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. N0.
07/03/2010 pq 263-92-5937
FIGURES MUST BE TOTALED
Personal ProRg~
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
ESands............., ...............................~..............................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
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c
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10.09
1,000.00
1,010.09
Total Personal and Real Property ........................
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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 I~UV 09 Rev. 10.13-2006
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