HomeMy WebLinkAbout05-19-11 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALT}I OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS Pile Number 21 11 013$
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Persona! Representative(s) of the Estate of ROBERT D. MYERS ~ "
deceased, depose(s) and say{s) that the items appearing in the following inventory include all of the personai'asseiswhere_~er situate
and a!1 of tlTe real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placedtp eactiLi~m of said.
inventory represents its fair value as of the date of thppedecedent's death, and that Decedent owned no reaYertatep`utsstde of the
Commonwealth of Pennsylvania except that which a ars in a memorandum at the end of ilvs inventor . ;
1 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.
:,
REBECCA S. MYERS, EXECUTOR
DAVID R. GETZ ESDUIRE (Supreme CaruY LD. No.) 34838
Attorney -- (Name)
(Address) WIX WENGER & WEIDNER !'O BOX 845 HARRISBURG PA 17108
(Telephone)
DATE OF DEATH LAST RESIDENCE
100 MT. ALLEN DRIVE
11
67 UNITED STATES SAVINGS BONDS
FIGURES MUST BE TOTALED
VARIOUS SECURITIES HELD WITH PAFIENTEBEARD WEALTH MANAGEMENT
COINS REFERENCED ON SAFE DEPOSIT BOX INVENTORY
ORDINARY HOUSEHOLD GOODS AND FURNISHINGS, INCLUDING
GRANDFATHER CLOCK
REFUND CHECK -HOME INSTEAD SENIOR CARE
REFUND CHECK -HOLY SPIRIT HOSPITAL
REFUND CHECK - MALPEZZI FUNERAL HOME (VETERAN BENEFIT)
DECEDENT'S SOC. SEC. NO.
X03249571
74,444.00
313,173.9A
157.60
1,000.00
282.55
116.25
100.00
(Attach addilwnal sheets as needed) j
TOTAL: 389,274.34
NOTE: The Memorandum of real estate outsido the Commonwealth of Pennsylvania may, at Ihn election of the personal representative inclpde the value of each
item, but such figures should not be extended into the total of the 7m~cntory. {See 20 Pa. C.S. § 3301(b)) i
Fonn Rli'-09 rev. 10.13,06