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HomeMy WebLinkAbout08-01-11INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA 1 COUNTY OF CtiMBERLAND f SS File N 21-I1-0329 Personal Representative(s) of the Estate of LEO A. WAGNER 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, ti~at 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 otttside 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. Attorney -- (Name) DOUGLAS G. MILLER, ESQUIRE ci~ G-'L-~'" (Supreme CourtLD. No.) 83776 (Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013 (Telephone) (717) 249-2353 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC SEC. NO. 12/20/1933 1883 GEORGE AVENUE, CARLISLE, PA 17013 204-26-9581 FIGURES MUST BE TOTALED 38 SHARES OF PEPSICO STOCK JEWELRY/COINS PERSONAL PROPERTY 1996 CHEVROLET S10 EXTENDED CAB F&M TRL ST -CHECKING ACCOUNT #33-09487 MEMBERS 1ST FEDERAL CREDIT UNION -SAVINGS ACCOUNT MEMBERS 1ST FEDERAL CREDIT UNION -CHECKING ACCOUNT (Attach additional sheets as needed) 2,381.08 246.43 10,819.50 3,120.00 2,530.79 45.27 4,244.85 ;7 - - , ... . ~~ :...~_ - , ~ ~ - : ~ , ~~ ~ ,~..~~ T) _.:. . e t ~ i_a3 _- i''~- __.. -T1 TOTAL: I 23,387.92 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(6)) Form RW-09 rev. 10.13.06 ~°"~° `" . COUNTY, PENNSYLVANIA L'