HomeMy WebLinkAbout01-23-12 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 11 0542
Personal Representative(s) of the Estate of H LOUISE CLEMENTS
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- DO . NI SE O- TRICE
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to DIANE M. WAY, CO-EXECUT E
authorities.
Attorney -- (Name) DAVID H STONE, ESQUIRE (Supreme Court I.D. No.) 39785
(Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070-
(Telephone) 717 774-7435
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. N0.
525 GRANDVIEW AVE
4/24/2011 CAMP HILL PA 17011- 184-12-4830
Household goods sold by Rowes Auction
FIGURES MUST BE TOTALED
Personal property sold by Cordier Antiques
& Auctions on September 23, 2011 and September 30, 2011
Property located at 525 Grandview Ave Camp Hill, Wormleysburg Borough, Cumberland
County, PA sold to: Shane Norford, single individual,.and Maja
Bozic, single individual, as j/t/w/r/s on October 28, 2011
Silver coins sold by R. -Cooper Coins
~~
(Attach additional sheets as needed)
1,711.55
1,252.00
143,000.00
365.00
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146.328.55
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