HomeMy WebLinkAbout07-12-11 (2)~'~-,,:3
...~
INVENTORY ~'o .~_~~, c
~ ~ ~,~
REGISTER OF WILLS OF CUMBERLAND COUNTY,, PE N
~ cr'~ ~ ~' ~ ; '
c~ ;,. ._ .
_Y,~ -~ ;,
COMMONWEALTH OF PENNSYLVANIA ~ ~ ~ ~ `Y"• ,. ~` ~"~
SS File Number 21 11 ~ ~0~- ~-~-~ '~'
COUNTY OF DAUPHIN ~.p --~ `,7
~.
Personal Representative(s) of the Estate of JUDITH E. POGUE
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 valuatic-n 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.
HEATHER D ROYER, ESQUIRE (Supreme Court LD. No.) 76327
Attorney -- (Name)
(Address) 4431 N. FRONT STREET 3RD FLOOR HARRISBURG PA 17110
(Telephone) (717) 234-2401
DECEDENT'S SOC. SEC. N0.
DATE OF DEATH LAST RESIDENCE
15 CORAL DRIVE
12/8/1938 CARLISLE PA 17013 204-30-7433
I FIGURES MUST BE TOTALED ~
PERSONAL PROPERTY & HOUSEHOLD FURNISHINGS 3,500.00
MEDICARE REFUND
COMCAST & HIGHMARK REFUND
245.00
289.02
PROCEEDS FROM SALE OF DAYBED, DRESSER, MEAT SLICER, SOFA TABLE AND I?ND TABLESI 215.00
HOMEOWNERS INSURANCE PREMIUM REFUND
CENTRAL PA TEAMSTERS PENSION FUND FINAL PAYMENT
(Attach additional sheets as needed)
86.00
145.00
AL: ~ 4,480.02
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
~,"