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HomeMy WebLinkAbout12-05-11 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA l SS COUNTY OF <=umberland ) Raymond C. Devereaux, Administrator COUNTY, PENNSYLVANIA File Number 21-09-1147 Personal Representative(s) of the Estate of Todd R. Devereaux 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- aymo evereaux, mi is ra or menu herein are made subject to the penalties of 2702 L gan Street 18 Pa.C.S. § 4904 relating to unsworn falsification to Camp Hi PA authorities. Attorney -- (Name) Richard C. Snelbaker (Supreme Coi~trt LD. No.) 6355 (.Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055 (Telephone) 717-697-8528 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. 12/3/2009 2023 Yale Ave., Camp Hill Borough, Camp Hill, PA 17011 207-60-7995 FIGURES MUST BE TOTALED 1. 1996 Toyota Gorilla, sale value 2. Health Equity, refund due the decedent from health savings account 3. Household goods retained by family 4. Internal Revenue Service, refund due the decedent on 2009 taxes ~. Real estate located at 2023 Yale Avenue, Camp Hill Borough, Camp Hill, PA 17011 (Keal Estate was foreclosed on by PNC Bank, N.A. on September 7, 2011) (Attach additional sheets as needed) 800.00 375.33 67s.oo 941.07 0.00 © _ . _Z 7 ` ~ - ~ ~ ~ : r- ` = .'ti - c. } "'t .. ...,.. L'~`J' t ~,. TOTAL: ~ 2,791.40 tiOTE: 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 10 Pu. C.S. § 3301(b)) Forrn Rw'-09 rev. 10.13.06