HomeMy WebLinkAbout03-06-12 (2)INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND 21-]0-1125
File Number
Personal Representative(s) of the Estate of DONALD L. HEBEL
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- t<~ ~~ ~ x ~
tory are true and correct. 1 understand that false state- r
menu herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) uougtas L. watmer,l/squire (Supreme Court LD. No.) 89731
(Address) P.O. Box 384, Hershey, PA 17033
(Telephone) (717) 533-8889
DATE OF DEATH LAST RESIDENCE
FIGURES MUST BE TOTALED
1. Metro Bank - 50 Plus (#0536992746) DOD Balance
2. VA Pension -September 2010 payment
3. Hershey Foods Retirement -September 2010 payment
4. Buse Funeral Home -refund
5. Cash found with decedent
6. Conexis -refund of insurance premium
7. HCR Manor Care -refund of partial monthly charge
(Attach additional sheets as needed)
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TOTAL:
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6,545.06
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 10 Pa. C.S. § 330/(b))
5,085.00
90.00
248.64
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Form R W-09 rev. 10.13.06