HomeMy WebLinkAbout01-27-12 (3)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
Jay K. Morrow
File Number 21-11-1221
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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
pears in a emorandum at the end of this inventory.
I verify that the statements made in this Inven-
toryare true and correct. I understand that false state- ~~~ ~ ~~'~% /~ , Z 3 _ / Z_
ments herein are made subject to the penalties of ~ Jay K. Morrow
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) James D. Bogar
(Firm) Bogar & Hipp Law Offices
(Address) One West Main Street, Shirema
(Telephone) (717) 737-8761
vni~vr utHlH
07/12/2011
PA 17011
LAST RESIDENCE 33 Scarsdale Drive
Camp Hill, PA 17011
FIGURES MUST BE TOTALED
Personal Pro .+..
Cash .........................................................
......................................
Personal Property ........................................................................
Stoc ks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ....................................
Total Real Property ............................................
Total Personal and Real Property ........................
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(Supreme Court 1. D. No.) 19475
DECEDENT'S SOC. SEC. NO.
162-22-4244
41, 536.03
41,536.03
41,536.:03
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 ;o-~s-2oos
CUMBERLAND
i
'7
INVENTORY
REGISTER OF WILLS OF
~b
File Number 21-11-1221
DECEDENT'S SOC. SEC. NO.
162-22-4244
Highmark -Insurance Premium Refund
Morgan Stanley Smith Barney -Account No. 724-13048-10-550.
Total Cash
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
DATE OF DEATH LAST RESIDENCE
07/12/2011 33 Scarsdale Drive
Camp Hill PA 17011
102.00
41,434.03
41, 536.03
(Attach additional sheets if necessary) Total Personal Property and Real Estate
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