HomeMy WebLinkAbout12-29-11INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 11 ~~
Personal Representative(s) o~the Estate of HELEN B. SIMMONS
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 ~halue 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 lnven- ~ '
tory are true and correct. 1 ulnderstand that false state- ~ JUDIE G Z
meats herein are made subject to the penalties of
18 Pa. C.S. ~ 4904 relating tb unsworn falsification to
authorities.
Attorney -- (Name) HAROLD S. IRWIN III (Supreme Court /.D. No.) 29920
(Address) 64 ~OUTH PITT STREET CARLISLE PA 17013
(Telephone) 7117-243-6090 -
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
ALLIANCE DRIVE, APT. 101
10/22/2011 CARLISLE PA 17013 177-01-6608
FIGURES MUST BE TOTALED
MEMBERS 1ST FEDERPI,L CREDIT UNION 16,636.20
Checking Account
PNC BANK 18,484.29
Checking Account
AMBULANE SERVICE 71.15
Refund
1JNITEn WORLD LIFT 1,322 23
Refunds
CHAPEL POINTE NURSING HOME :LL-' 5,340.63
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(Attach additiona[sheets'as needed)
-rn~r e r .• 41.854.50
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