HomeMy WebLinkAbout09-27-11 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEAI.,TH OF PENNSYLVANIA ~ SS
COUNTY OF Cumberland
Robert J. Dougherty, Executor
COUNTY, PENNSYLVANIA
File Number 21-10-0985
Personal Representative(s) of the Estate of William R. Dougherty
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, and that Decedent o ned no real esta outside of the
Commonwealth of Pennsylvania except that which appears in a memorandu t the end of thi~ er ory. ~ ~
~ ~ ,: //
I verify that the statements made in this Inven- (.y"li-"'9 ` v- l'
tort' are true and collect. I understand that false state- Robert Doughe y, Executor
ments herein are made subject to the penalties of g Nort Enola Drive
18 Pa.C.S. § 4904 relating to unsworn falsification to Enola, PA 17025
authorities.
Attorney -- (Name) Richard C. Snelbaker (Supreme Court L D. No.) 6355
(Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
September 12, 2010 4905 E. Trindle Road, Hampden Twp., Mechanicsburg, PA 17050 205-01-7718
FIGURES MUST BE TOTALED
1. Various coins owned by the decedent, appraised value
2. Members 1st Federal Credit Union, savings account #2743-00
3. Members 1st Federal Credit Union, checking account #2743-11
4. Members 1st Federal Credit Union, certificate of deposit #2743-40
5. Members 1st Federal Credit Union, credit due the decedent on visa card ending in 3822
a
~.
r,~ --
~
+-= ~f.
':
G.
~~'~:
~_
~l~.
l
~, l
(~ ~ F 'i
l ,..,
~{,!j~
°-
f~~ ._
`- C.7 ~
~
CY" ~--
<tac~ir additienal she 1r~ a
563.50
584.15
24,022.92
616.14
373.17
TOTAL: I 26,159.88
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal represent<ltive 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))
F"orm RGi'-09 rev. 10.13.06
J
J