HomeMy WebLinkAbout08-03-11 (5)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 20
Personal Representative(s) of the Estate of MYRTLE Y. UPHOLD
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, a at Decedent owned no real estate outsid~of the ~- '~-,
Commonwealth of Pennsylvania except that which appears in a memor um at the end of this inventory ~.,, _- -
tatements made in this Inven- `~ /}/'~/Q ~ n / . //J/~? - ~,
I venfy that the s
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) JOHN C. ZEPP, III
(Address) PO BOX 204, YORK S~i~GS
BbNNIE L. MARCHI l '~.r~~ ,
~~ `' C
~ 58662
(Supreme Court LD. No.)
17372
(Telephone) 717-528-8900
DECEDENT'S SOC. SEC. N0.
DATE OF DEATH LAST RESIDENCE
505 GARRETT ROAD
11/7/10 DILLSBURG PA 17019 196145340
FIGURES MUST BE TOTALED
81.38
Highmark BIueRX
RiverSouce Long Term Car Insurance
740.00
Members 1st Checking Account I 43,712.72
Members 1st Savings Account I 5.00
$50 US Savings Bond
50.00
Refund of Advisory Fee from Ameriprise Financial I 999.00
Commonwealth of Pennsylvania Tax Refund I 163.00
(Attach additional sheets as needed)
TOTAL: 45,751.10
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include [he value of each
item, bu[ such figures should not be extended into the total of the Inventory.(See 20 Pa. C.S. § 3301(b))
10 01270
Form RW"-09 rev. 10.13.06