HomeMy WebLinkAbout07-25-11 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~.,,,
Cumberland SS 21-11-02'?0 ~ ~''
COUNTY OF File Number ~---- :~-!
Kathleen Hoffman, Executrix ~ ~ ~~ ~W,.~ ~--~
~~~ ~. ct~ ~ ~~
Personal Representative(s) of the Estate of Ruth E. Sheibley rn ~ .-- , .
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the persoi~ wherever s~tu~t~_~`
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed eacem of said!
inventory represents its fair value as of the date of the decedent s death, and that Decedent owned no~estate offside of
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventor -~ ~_ r
a
.~:` .
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 Kathleen Hof fma , xecutrix
18 Pa.C.S. § 4904 relating to unsworn falsification to 9~9 Ronnv T.anP
authorities. Mechanicsburg, PA 17055
Attorne ame Keith O. Brenneman 47077
Y -- (N ) (SuprE.me Court LD. No.)
(Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
February 10, 2011 801 North Hanover Road, Carlisle Borough, Carlisle, PA 17013 209-12-7081
FIGURES MUST BE TOTALED I
1. Woodlawn Memorial Gardens, Inc., two cemetery plots
2. Members 1st Federal Credit Union, savings account #224207-00
3. Members 1st Federal Credit Union, savings account #224207-01
4. Members 1st Federal Credit Union, checking account #224207-11
5. Members 1st Federal Credit Union, money management account #224207-OS
6. Bankers Life and Casualty Company, refund unused health insurance premium due the decedent
(Attach additional sheets as needed)
1,000.00
6,179.32
4,603.91
1,562.42
0.51
114.78
TOTAL: ~ 13,460.94
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 RTC-09 rev. 10.13.06
~~