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HomeMy WebLinkAbout10-28-11 (2)- _ r INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF File Number 21 11 0297 Personal Representative(s) of the Estate of DOROTHY J KELCHNER 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- tory are true and correct. I understand that false state- DARLA M MAGA GLE ments herein are made subject to the penalties of 18 Pa. C.S. § 4904 relating to tmsworn falsification to authorities. Attorney -- (Name) DAVID H RADCLIFF ESQ. (Supreme CourtLD. No.) 25483 (Address) 1011 MUMMA ROAD STE 201 LEMOYNE PA 17043 (Telephone) 717 236-9318 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. 4920 WOODBOX LANE FIGURES MUST BE TOTALED 32 Shares Prudential Financial ~$62.955lsh 2,014.56 $50 EE U.S. Savings Bond Issued 09/1986 90.94 American Progressive Life -Unearned Premium 598.89 Prudential Financial -Dividend 82.49 Jersey Shore State Bank Acct #385034 ::,' 8,348.35 ~ :a ~: ,~ --.-, , . PNC Bank Acct #51-1202-9812 '' ~ ~ 7 ?~- r-- _ _ .~~~, . -~10,94'7.Ofi" ?m 'r j~ rte:, ;.,; CJ _- , Muncy Bank & Trust Company ~ ~ ~ ~" 5,575 42; .~,. ~.1 `~ -rl ~..' sheets as 27.872.16 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)) FormRW-09 rev. 10./3.06 ._ `~ Continuation of Inventory DOROTHY J KELCHNER 21 11 0297 File Number Decedent Name P e 1 Description of Inventory Muncy Bank -interest ING - 43.50 170.96 Subtotal i 214.46 Grand Total 5 27,872.16