HomeMy WebLinkAbout10-03-11 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA l SS
COUNTY OF CUMBERLAND )
COUNTY, PENNSYLVANIA
File Ntunber //~' ~' ~ 1 ~ ~ ~ ~"'~
Personal Representative(s) of the Estate of ETHEL C. ADAMS
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and al] 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 valu exceot that which appears in anmemorandum at helend of this inventory eal estate outside of the
Commonwealth of Pennsylvania p ~ ~ / ~~~
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) ROGER B. IRWIN, ESQUIRE
(Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013
(Telephone) (717)249-2353
DATE OF DEATH
05/26/2011
ORRSTOWN BANK
FIGUILES MUST BE TOTALED
DECEDENT'S SOC. SEC. NO.
204-03-0259
10,372.25
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(Attach additional sheets as needed)
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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 R W-09 rev. 10.!3.06 (~~~~
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(Supreme Court LD. No.) 6282
LAST RESIDENCE
700 WALNUT BOTTOM ROAD, CARLISLE, PA 17013