HomeMy WebLinkAbout06-24-11 (3)1 ~
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSIr'LVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-11-0498 __
Douglas C. Wallick and David W. Wallick
Personal Representative(s) of the Estate of Betty W. WaIIICk
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 e o de edent' th, and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except t at ich a in a me randum 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 s ' W
18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ---
authorities. av' allick
Attorney -- (Name)
(Firm)
(Address)
(Telephone,
_....
~o_~°
onald W. Dorr
Buchen, Wise &Dorr
846 Broadway, Hanover, PA 17331
717-637-2160
(Supreme Court LG~. No.) 07358
DATE OF DEATH LAST RESIDENCE Bethany Village DECEDENTS SOC. SEC. NO.
04/04/2011 Mechanicsbur PA 17055 185-24-5588
FIGURES MUST BE TOTALED
Personal Propg~
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
11,716.48
t7
Q :...~. :~cr
-~
-ti~ ,~ ~-
--j=-. _1
_ ,._, _ ;._
,~.
,
~ ~ ____
_.. _ ; -.
c ~j ~ •.~ "~'.i
Tj ~ C~ 3 ~,~ r`t"7
~' _ r~ `~
c.~~_
11,716.48
~ ~7~~s.4s
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))
Foam RW-09 Rey. ~o-~s-loos
~ •
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-11
DATE OF DEATH LAST RESIDENCE Bethany Village DECEDENTS SOC. SEC. NO.
04/04/2011 Mechanicsburg, PA 17055 185-24-5588
Cash
ACNB Bank -Checking Acct #1361767
Auer Cremation Services -Pre-paid funeral contract
Bethany Village -Refund of overpaid care fees
PA State Education Retirement System -final payment
Rest Haven Cemetery -pre-paid burial contract
U.S. Treasury -Income Tax Refund
Total Cash
7,388.82
1,828.00
782.50
120.16
1,535.00
62.00
11,716.48
(Attach additional sheets if necessary) Total Personal Property and Real Estate 11,716.48