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HomeMy WebLinkAbout08-08-11INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA 1 SS COUNTY OF CUMBERLAND J COUNTY, PENNSYLVANIA File Number 2010-01141 Personal Representative(s) of the Estate of Bernice Fithian, aka Bernice M. Fithian deceased, depose(s) and say(s) tom onwealth op Pe ngylvan a olf said Deced nt that the valuat on placed opposite each item of said and all of the real estate in the C inventory represents its fair valuexceot that wh ch appears in anmemorandum at heDend of this nventory eal estate outside of the Commonwealth of Pennsylvanta p ~"-'~ I verify that the statements made in this Inven- 1 tory are true and correct. I understand that false state- ~"e~-ed (_, 't-~-c~~~, ~XeC . ments herein are made subject to the penalties of ] 8 Pa.C.S. § 4904 relating to unsworn falsification to authorities. (No Attorney) Attorney -- (Name)~_ (Address)- (Telephone) DATE OF DEATH LAST RESIDENCE November 11, 2010 Sarah Todd Memorial Home, Borough of Carlisle, PA FIGURES MUST BE TOTALED 1.36 shares, MetLife common stock, DOD value 46.70640 per share 2. PNC Checking account, # 5140184086, DOD value $2,248.42 3. United Church of Christ Homes (Sarah Todd Home) refund of account balance, $833.42 4. Dividend checks to cash for Met Life stock, $45.36 5. MetLife insurance policy # 660835521 MS, proceeds (Supreme Court I. D. No.) DECEDENT'S SOC. SEC. NO. 148-18-7493 n! •- I ~. 1,681.43 2,248.42 833.42 45.36 3,864.49 ~? _: ; ~_~ r ~~J ~,~ Cxt ~', ~~J `"' -- -~ t ` ~ Q _„u „aa;.;,,.,~~ chvatc as needed) TOTAL: 8,673.12 NOTE. The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include die value of each item, but such tigures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 330/(b)) -._~ s" Form RW-09 rev. !0.13.06 _...