HomeMy WebLinkAbout10-18-11 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-11-0803
Lester E. Ma ber
Personal Representative(s) of the Estate of Helen C. Mayberry
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- ~ - ~ c. ~° ~ C .~ti
tory are true and correct. I understand that false state- Lester E. Mayberry
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Patricia R. Brown Esq. (Supreme Court I.D. No.) 27474
Salzmann Hughes, P C
354 Alexander Spring Road, Suite 1, Carlisle, PA 17015
717-249-6333
DATE OF DEATH
04124/2011
LAST RESIDENCE g01 N. Hanover St
Carlisle PA 17013 DECEDENTS SOC. SEG. NU.
186-09-9008
FIGURES MUST BE TOTALED
Personal Pronertv
Cash ...............................................................................................
6,881._64
Personal Property ........................................................................ Q - -- ~,
;- _ = ' ~--~
;y :_r~ -
Stocks/Listed ................................................................................ ~~
Stocks/Closely Held ..................................................................... m --- _.
, ~ ~,~
-- -;~~
Bonds ............................................................................................ ~ --, -
z , ~_.
Partnerships and Sole Proprietorships ' -ry' - ' '
"
Mortgages and Notes Receivable ............................................... r~ ~-~i
.. -
'
;~ ~•
All Other Property ........................................................................ _~
,~_
Total Personal Property ........................................ 6,881.64
Total Real Property ................................................
Total Personal and Real Property ........................ 6,881.64
NOTE: Itefell but~suchdfgures should ntot be extended Intonthe totaltof the Invent ry ~ (Seey20 PaeC ISC§ 3301(b))personal representative include the value of each
Form RW-09 Rey ~0-~3-loos
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-11-0803
DATE OF DEATH LAST RESIDENCE 801 N. Hanover St DECEDENT'S SOC. SEC. NO.
04/24/2011 Carlisle. PA 17013 186-09-9008
Cash
Citizens Bank, Checking Account No. 6100706117
Commonwealth of Pennsylvania -Public School Employees' Retirement System,
payment for April
Commonwealth of Pennsylvania -Public School Employees' Retirement System,
payment for May
The Church of God Home, Inc. -refund
Total Cash
3,938.39
202.41
202.41
2,538.43
6,881.64
(Attach additional sheets if necessary) Total Personal Property and Real Estate 6,881.64