HomeMy WebLinkAbout07-22-11 (2)INVENTORY
REGISTER OF WILLS OF C U M B E R L A N D COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
File Number 21 10 0638
Personal Representative(s) of the Estate of HAMILTON M • H E N R Y
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 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.
SHERRI L• MILLER
Attorney -- (Name) SUSAN H• C O N F A I R (Supreme Court 1. D. No.) 7 0 2 41
(Address) 2331 MARKET STREET CAMP HILL PA 17011
(Telephone) 717-763-1383
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
408 HUNTINGTON AVENUE
6/6/2010 ENOLA PA 17035 049241985
FIGURES MUST BE TOTALED
Stocks & Bonds
STOCK DIVIDEND CHECK
~__.~ 60.00
~ L~ ~=~
;.,--:..
Closely-Held Corporation, Partnership or Sole-Proprietorship ~-~ ~= ~~~`~-1
,~ rn r.a ,
-r... ~
-; ~ >~
. J
Mortgages & Notes Receivable }F 4J~ ;y ",-=.
-
~,
;w
T
:;
._._ -_ f
~ i~
Cash, Bank Deposits, & Misc• Personal Property -G~"~ »~
c ~~
2010 IRS INCOME TAX REFUND 1,825.00
Real Estate
(Attach additional sheets as needed)
TOTAL: 1, 8 8 5.0 0
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