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HomeMy WebLinkAbout09-29-11 (3)INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF COUNTY, PENNSYLVANIA File Number 2011-00041 Personal Representative(s) of the Estate of Nicole F. Berman 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 memo dum at the end of this inventory. I verify that the statements made in this Inven- ~ - 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) Elizabeth P. Mullaugh, Esq. (Supreme Court LD. Ncr.) 76397 (Address) 100 Pine Street, P.O. Box 1166, Harrisburg, PA 17108-1166 (Telephone) (717) 237-5243 DATE OF DEATH LAST RESIDENCE DECEDENTS:iOC. SEC. NO. December 29, 2010 740 Colonial Court, Mechanicsburg, Silver Spring Twp., PA 17050 144-80-3144 FIGURES MUST BE TOTALED SEE ATTACHED _T ~- ~7 ~y _ ~ ~ G`--, ~_ _~- _: ~,.~ ~„ c;". . - c ilr . . .. . _ J `..~., L> i ! ~ i _ [1 i' ' .Z CU (Attach addittonal sheets as 51,272.88 TOTAL: I 51,272.88 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(6)) Form RW-09 rev. /0.13.06 Estate of Nicole F. Berman Estate Inventory Valued as of Date of Death Cash and Cash Equivalents MidPenn Legal Services -Paycheck UNUM Checking Account No. 811529906 US Treasury -Refund re 2010 individual income tax return Wachovia Bank Savings Account No. 7919 Total Cash and Cash Equivalents Tangible Personal Property Personal Property Proceeds Total Tangible Personal Property Total Inventory $ 1,094.83 46,197.93 1,571.00 19.12 $ 2,390.00 $ 48,882.88 2,390.00 $ 51,272.88 Page 1