HomeMy WebLinkAbout01-20-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland SS File Number 21-10-1160
Carl D. Kirbv. Executor
Personal Representative(s) of the Estate of Helen B. Kirby
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 collect. I understand that false state- ar it y, x u o
ments herein are made subject to the penalties of 704 East Marble reet
18 Pa.C.S. § 4904 relating to unsworn falsification to ec anics urg,
authorities.
Attorne ame Richard C. Snelbaker 6355
Y -- ~ ) (Supreme Court LD. No.)
(.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.
11/06/2010 Manor Care Nursing Home, 940 Walnut Bottom Rd., Carlisle, PA 206-10-911 ~
FIGURES MUST BE TOTALED
1. Edward Jones, Investment account #608-06880-1-0
2. United States Treasury, refund on 2010 income tax return
(Attach additional sheets as needed)
5,030.82
4,504.00
TOTAL: ~ 9,534.82
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(6)1
Form RW-09 rev. 10.13.06
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