HomeMy WebLinkAbout11-07-11 (3)._.
~ :_ : ~~
u ~ --- -L ' _,j
INVENTORY T, ~ . =
~. ~
-' %-~~-~
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSY);~~fiTIA` ''
~~
COMMONWEALTH OF PENNSYLVANIA ~ , ,,, r"~~
COUNTY OF CUMBERLAND } SS File Number 21 -1 1 0 8 8 ~~:~I .. L , C
Michele Rae Clippinger ~ ~~'~
Personal Representative(s) of the Estate of Jacqueline V . Myers
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
inventary 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 appeazs 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-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name} Anthony L . DeLuca (,Supreme Court I.D. No.) 1 8 0 6 7
(Address)113 Front Street, P,O. Box 358, Boiling Springs, PA 17007
(Telephone) 717-258-6844
DATE OF DEATH LAST RESIDENCE Church of God Home DECEDENT'S SOC. SEC. NO.
August 9, 2011 g01 N. Hanover Street, Carlisle, PA 177-24-5805 -
FIGURES MUST BE TOTALED
227.52 shares of Legg Mason Value Trust @ $35.01
per share
302.93 shares of Legg Mason Special Invest. @ $26.11
per share
111,583 shares of Thrivent Large Cap Stock Fund Class A
@ $20.2? per share
Money Market account, at Morgan Stanley Smith Barney,
account #73H-01281-11 5LP
Accrued interest on bonds/CDs at Morgan Stanle~Z Smith
Barney, account #73H-01281-11 5LP
Certificate of Deposit at Morgan Stanley Smith Barney,
account #73H-01281-11 5LP
(Attach additional sheets as needet~
$7,965.47
7,909.50
2, 261 .79
14,413.12
866.02
89,556.58
122;972.48
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 rev. 10.13.06