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HomeMy WebLinkAbout09-02-11 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PL'NNSYLVANIA ~ SS COUNTY OF CUMBERLAND File Number 21 11 0 6 6 3 Personal Representative(s) of the Estate of H O R A C E W• EVAN S deceased, depose(s) and says} 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, and that Decedent owned no real estate outside 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- •- - ~~,,L ~,~ ~ tory are true and correct. 1 understand that false state- ~~- ~""~ ~"/`} ments herein are made subject to the penalties of JAN CAR 0 L EVAN S 18 Pa. C.S. § 4904 relating to unsworn falsification to 7 5 SAM S N E A D CIRCLE , E T T E R S, P A 17 319 authorities. Attorney -- (Name) GERALD J • SHEKLETSKI, ESQ • (S:.premeC'ourt I.D. No.) 40486 (Address) 414 BRIDGE ST • , NEW CUMBERLAND PA 17D70 (Telephone) DATE OF DEATH 6/3/20 LAST RESIDENCE 824 LISBURN ROAD APT• 204 CAMP HILL DECEDENT'S SOC. SEC. N0. PA 17011 12D2072787 LFIGURES MUST BE TOTALED PERSONAL PROPERTY MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS ACCOUNT 10,664.58 171D30-00 MEMBERS 1ST FEDERAL CREDIT UNION SAVINGS ACCOUNT 136,605.95 171030-05 THE WOODS AT CEDAR RUN REFUND 3,798.73 REAL ESTATE n _~. ~ G7 - ,, W. J _ _ > --; ~,- i-r7 _v ,.:, ~ n_a ___ --, - .-~ _ ~ _.~, U -~ _ _ _. ~- - r~ -:- ; (Attach additional sheets as needed) TOTAL:I 151,069.26 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. § 330/(6)) Form R 14'-09 rev. 10J 3.06