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HomeMy WebLinkAbout06-13-11 (2),~ INVENTORY REGISTER OF WILLS OF C U M B E R L A N D COUNT~~, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND File Number 21 10 113 8 Personal Representative(s) of the Estate of =regor~, A _ wh ; t p 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 memorandum 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- ments herein are made subject to the penalties of ~~_ 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities. EMILY J• W H I E Attorney -- (Name) SUSAN H• C O N F A I R (Supreme Court 1. D. No.) 7 0 2 41 (Address) 2331 MARKET STREET CAMP HILL PA 17011 (Telephone) 717-763-1383 DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. N0. 3815 CONESTOGA ROAD 3SS'-c/~f -as/I 9/20/2010 CAMP HILL PA 17011 I FIGURES MUST BE TOTALED I Stocks & Bonds Closely-Held Corporation, Partnership or Sole-Proprietorship GREG WHITE CONSULTING (SOLE PROPRIETORSHIP) 3815 CONESTOGA ROAD CAMP HILL, PA 17011-1414 **BUSINESS WAS A CONSULTING BUSINESS AND IS NO LONGER A GOING ~ CONCERN• VALUATION OF BUSINESS IS THE VALUE OF ITS ASSETS WHICH IS A CHECKING ACCOUNT IN THE AMOUNT OF $7,852.44• ,~ C.,~ DISTRIBUTION OF BUSINESS CHECKING ACCOUNT TO SPOUSE• SEE COPY AF ~ ~~ LAST 5 YEAR 1040 SCHEDULE C, PROFIT OR LOSS FROM BUSINESS•** ?' ~ J Mortgages 8 Notes Receivable %~ D Cash, Bank Deposits, & Misc• Personal Property (Attaci: additional sheets as needed) 7,852.44 r~.a e~ ~_ t..... rn~ c`3 C ~-"~ M~~ N try C.R ~"'~ Q' TOTAL: ~ 7 , 9 71.2 8 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-09 rev. 10.13.06 ~ /~ ~ -.~ ~Ti(i Continuation of Inventory 21 10 1138 Decedent Name Page 1 File Number Description of Inventory 2010 INCOME TAX REFUND Real Estate 118.84 Subtotal ~ $ 118.8 4 Grand Total ~ $ 7,971.28