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HomeMy WebLinkAbout08-08-11 (2)s INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA couNTY of Cumberland Ronald A. Davis Personal Representative(s) of the Estate of CUMBERLAND } SS } COUNTY, PENNSYLVANIA File Number 21-10-1104 Doris I. Davis 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 Deced ent, that the valuation placed opposte each item of said inventory represents its fair value as of the date of the edent's death, , d that Decedent owl~,i no real esfate outside of the Commonwealth of Pennsylvania except that whit ears i a mem a dum at the end of th3si'~ento -~~ ry ~ ----, I verify that the statements made in this Inven- ~ ~ -"~,~ '" ~~ ~ tory are true and correct. I understand that false state- _. ~ ~=: ~ f-' - Ronald A. Davis ments herein are made subject to the penalties of ~~ ~ ~; 18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ~,~ authorities. ? ~-:~ -r, - -_: - . ~ J --i , ~ :-i°i _.r.7 Attorney -- (Name) Aaron C. Jackson Esq. (Supreme Court I.D. No.) - 200490 (F'r"') Tucker Arensber , P.C. (,address) 111 North Front Street, Harrisbur , PA (Telephone) 717-234-4121 DATE OF DEATH I LAST RESIDENCE 21 OO Bent Creek BOUIeVard DECEDENTS SOC. SEC. N0. 10/24/2010 Mechanicsburg, PA 17050 179-12-3955 FIGURES MUST BE TOTALED Personal Progertv Cash ............................................................................................... Personal Property ........................................................................ Stocks/Listed ................................................................................ Stocks/Closely Held ..................................................................... Bonds ............................................................................................ Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ........................................................................ Total Personal Property ........................................ Total Real Property ................................................ Total Personal and Real Property ........................ 93.98 29,425.76 29,519.74 29,519.74 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 Rey. ~o-~s-zoos INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } File Number 21-10-1104 DATE OF DEATH LAST RESIDENCE 2100 Bent Creek Boulevard DECEDENT'S SOC. SEC. NO. 10/24/2010 Mechanicsburg, PA 17050 179-12-3955 ~b Refund -unknown 40.08 Refund -unknown 53.90 Total Cash 93.98 U.S. Savings Bonds - U.S. Savings Bonds Total Bonds 29,425.76 29,425.76 (Attach additional sheets if necessary) Total Personal Property and Real Estate 29,519.74