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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Catherine Kastanas and Dennis Veronikis
File Number 21-10
Personal Representative(s) of the Estate of Helen Veronikis
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal a:ssE;ts 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 ~ emorandum at the end of this inventory.
I verify that the statements made in this Inven- Ca.' '>„~~
tory are true and correct. I understand that false state- Catherine Kastana
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to Dennis Veronikis
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Nicole Marie Weigel
Hazen Elder Law
(Supreme Court 1. D. IVo.) 206827
2000 Linglestown Rd, Suite 202, Harrisburg, PA 17110
717-540-4332
DATE OF DEATH LAST RESIDENCE 5216 Oxford Drive DECEDENT'S S~JC. SEC. NO.
10/01/2010 Mechanicsbur PA 17055 452-74-2610
FIGURES MUST BE TOTALED
Personal Property
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 ........................
~
r-- 2,890
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2,897.90
~_ 2,897`,90
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-Zoos
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10
DATE OF DEATH LAST RESIDENCE 5216 Oxford Drive DECEDENT'S SOC. SEC. NO.
10/01/2010 Mechanicsbur PA 17055 452-74-2610
Cash
M8~T Checking Acct. # 9849838702
Refund -Blue Cross/Blue Shield premium
Refund - Verizon Phone
Sovereign Checking Acct. # 1051152585
Total Cash
2,059.57
510.30
5.60
322.43
2,897.90
(Attach additional sheets if necessary) Total Personal Property and Real Estate 2,897.90