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HomeMy WebLinkAbout01-20-12 (2)f~~,,~ , L. , ~, 'irk ~.~ INVENTORY RET ~~ ~ (~E CUMBERLAND COUNTY, PENNSYLVANIA CO1vA~IONWBALTH OF P COUNTY OF ~ 3S Fik Number 21 11 0541 Personal Represtmtativt:(s) ofthe Estate of VIRGINIA H. RUTH deceased, depose(s) and say(s) that the items ~ 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 vahtation placed opposite each itt3m of said inventory represents its fair vahte as of the date of the decedent's death, and that Decedent owned no real estate autaide of the Commonwealth of Pennsylvania except that which appears in a raomorandura at the end of this inventory. I verify that the staberaents made in this Inven- ~i~ . ~ ~ tort' are true and correct. I understand that false state- AN R T warts herein are made subject to the penalties of 18 Pa. C.S. § 4904 relating to unsworn falsification to JA R. authorities. Attorney -- (Name} ROGER M. MORGENTHAL (53rpreme Court I.D. No.} j ~ 14 3 (Address} 4431 N. FRONT ST., 3RD FLOOR HARRISBURG PA 17I 10 (Telephone) 717-234-2401 DATE OF DEATH IABT RESIDENCE DECEDENTS 80C. SEC. NO. 17 TRINE AVENUE ' a2a/2011 MT. HOLLY SPRINGS PA 17065 182-12-1273 PZGURES MUST BE TOTALED REAL ESTATE: 17 TRINE AVENUE, MT. HOLLY SPRINGS, PA 17065 AS 50LD M 8c T BANK CHECKING ACCOUNT #XXXX3293 M & T BANK SAVINGS ACCOUNT #XXXX4856 M & T BANK CERTIFICATE OF DEPOSIT #XXJIXI877 M dt T HANK CERTIFICATE OF DEPOSIT #XXXJ{9012 M & T BANK CHRISTMAS CLUB 2004 FORD TAURUS VEHICLE - AS SOLD addtHonal streets as needea!) 89,900.00 797.88 744.b2 10,108.08 10,105.33 300.04 4,200.00 NOTE: The Memorandum of real eafate outside the Cotmoonweelth of Peunsylvaa{a may, at the doction of the pusonal representative inoludo the value of each item, txtt such figures should not be extendod into the total of fhe Inventory. (See 20 Pa C.S. ,¢ 9301(b)} Form R W-09 rev. tQ 13.06