HomeMy WebLinkAbout12-16-11 (2)- ~~ -~,;~. ~l~ INVENTORY
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REGISTER COF WILLt S OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF C U M ~~`~Ai~~ j SS File Number 21 11 0 9 4 6
C1~~~f~tly+`, r`~~~~ iC}T
Personal Representative(s) of the ,Estate of JAMES A • $ T E R N E R
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- 1 ~`~ ~, ~ n
tory are true and correct. I understand that false state- p A T R I C I A STERNER , A D M I N S T R A T R I X
ments herein are made subject to the penalties of
1 8 Pa. C.S. § 4904 relating to unsworn falsification to 2 3 0 W• 3RD S T ,APT • 2 0, W I L L I A M S P O R T, P A
authorities.
Attorney -- (Name) GERALD J • SHEKLETSKI (Supreme Court 1. D. No.) 40486
(Address) 414 BRIDGE ST • NEW CUMBERLAND PA 17070
(Telephone) (717) 7 7 4- 7 4 3 5
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
525 POPLAR CHURCH ROAD
8/28/2011 WORMLEYSBURG PA 17043 194364424
FIGURES MUST BE TOTALED
PERSONAL PROPERTY
UNITED STATES SERIES E SAVINGS BONDS
73 SHARES METLIFE COMMON STOCK
PNC BANK CHECKING ACCOUNT #5001077029
PNC BANK SAVINGS ACCOUNT #5001114096
AMERICHOICE REGULAR SAVINGS ACCOUNT - MEMBER NUMBER 4859
IBM 401(K) PLUS RETIREMENT PLAN
(Attach additional sheets as
2,193.87
2,363.74
88,642.29
6,322.06
126.10
29,164.45
179,87,2 • 51
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)J
Form RW-09 rev. !0./3.06
Continuation of Inventory
JAMES A• STERNER 21 11 0946
Qecedent Name Page ~ File Number
Description of Inventory
REAL ESTATE
S2S POPLAR CHURCH ROAD, WORMLEYSBURG, PENNSYLVANIA.
51,000.00
subtotar a s 1, o 0 0• o 0
Grand Total S 179,812.51