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HomeMy WebLinkAbout03-07-12INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA 1 COUNTY OF CUMBERLAND f SS File Number 21-11-00708 Personal Representative(s) of the Estate of Mary E. Kitzmiller deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe personal assets wherever situate and all ofthe 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 o~this it~ntorv_ I verify that the statements made in this Inven- tory are true and correct. I understand that false state- ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) Craig A. Hatch, Esquire (SupremeCourtLD.No.) 76361 (Address) Gates, Halbruner, Hatch & Guise, P.C., 1013 Mumma Road, Suite 100, Lemoyne, PA 17043 (Telephone) 717-731-9600 DATE OF DEATH LAST RESIDENCE 06/13/2011 DECEDENT'S SOC. SEC. NO. 222 Messiah Circle, Mechanicsburg, PA 17055 161-32-7426 FIGURES MUST BE TOTALED 1. Highmark Check, prescription drub plan premium refund 2. PNC Bank Checking Account #5112070399 29.13 17,957.24 :~ O wC'~_~ ' V y ~~ ~ ' t ~~ ., ~ ~ \ ~~ ~ : ~ _~ ~ ~ ~ -.o. . - T7 _ C/~ ''r7 Q ~~ (Attach additional sheets as needed) AL: J 17,986.37 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