HomeMy WebLinkAbout09-26-11 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-08-00403
Richard H. Bennie
Personal Representative(s) of the Estate of Thelma E. Bennie
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 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- ~ ~'~~~,Zc~,,,.,.~
tory are true and correct. I understand that false state- Richard H. Bennie
ments herein are made subject to the penalties of
18 Pa.C.S. § 49fl4 re{atirg to unsworn falsi`'cation to
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Amy M.
_LO of Susan E. Lederer, Harrisburg, PA 17109
717/652-7323
(Supreme Court 1. D. No.) 91402
DATE OF DEATH
07/10/2007 LAST RESIDENCE 410 Deerfield Road
Camp Hill, PA 17011 DECEDENTS SOC. SEC. NO.
191-12-5055
FIGURES MUST BE TOTALED
Personal Prooertv
Cash ............................................................................................... ~~
__~
D83.73 -,
4
Personal Pro a
p ~'tY ........................................................................ z t~
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-~ ,
- -~,
-~
Stocks/Listed ................................................................................ ;; ~
.; ~ ;- r
Stocks/Closely Held ................................ r-n
- ~ .~ _D
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c,-
Bonds .................................... -:
_;
~ c.~ {
..._
........................................................ } ;,
Partnerships and Sole Proprietorships ..................................... -,~ _ - ,
Mortgages and Notes Receivable ............................................... ~> . , ~--~ = ~;
All Other Property ........................................................................ ~,
Total Personal Property ........................................ 4,083.73
Total Real Property ................................................
Total Personal and Real Property ........................ 4,083.731
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. to-fs-2oos
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND_
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY, PENNSYLVANIA
COUNTY OF Cumberland } File Number 21-08-00403
DATE OF DEATH LAST RESIDENCE 410 Deerfield Road DECEDENT'S SOC. SEC. N0.
0 711 012 0 0 7 Camp Hill, PA 17011 191-12-5055
Cash
Litigation proceeds, Thelma Bennie v. Merck & Co, Inc. (vioxx claim)
Total Cash
4,083.73
4,083.73
{Attach additional sheets if necessary) Total Personal Property and Real Estate 4,083.73