HomeMy WebLinkAbout07-08-11INVENTORY ;.-.'
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REGISTER OF WILLS OF Cumberland COUNTY, PENNSYL~JIA c..- ~,
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COMMONWEALTH OF PENNSYLVANIA ~ ~' `n
COUNTY OF Cumberland } SS File Number 201 I -00040 ~ Cr~~ ~ ~
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Personal Representative(s) of the Estate of Patsie A.Q. Nichols -o ~-~ ~r'~..,-~
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deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherevr~t 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
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.
Attorney -- (Name) David C. Anderson
(Address) 816 Rudytown Road, New Cumberland, Pa 17070
(Telephone) 717-554-4736
GATE OF OEATH LAST RESIDENCE DECEDENT'S SC~C. SEC. N0.
12/29/2010 615 Southview Drive, Mechanicsburg, PA 17055 204-28-081'1
FIGURES MUST BE TOTALED
American Equity Annuity -Contract # 609529
Curiae Capital Traditional IRA Account #RA2321500V
Sovereign Bank Checking Account
1984 Honda Accord
Jewelry
U.S. Savings Bonds - 76 ($25 and $50)
Erie Insurance Cancellation - Unused Premium
Household Items -Auctioned value
Comcast Refund
Verizon
PSECU Savings Account (closed)
2010 IRS Refund
Prudential Insurance Long Term Care Premium Refund
Refund Macy's Credit Card
Proceeds from sale of Real Estate (6I5 Southview Drive, Mechanicsburg, PA 17055)
(Attac/t additional streets as seeded)
31,136.94
70,005.93
63,384.84
1,ooo.0a
1,190.00
5,675.86
324.00
12,998.00
14.15
7.62
44.12
964.00
668.58
37.79
85,000.00
TOTAL: ~ 272,451.83
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
(Supreme Court 1. D. No.) 82573