HomeMy WebLinkAbout03-07-12 (2)INVENTORY
~F:CQ~C~IC C)F~'~ OF
REGISTER OF WILLS OF CUMBERLAND ~, r, . ~ ~ e~ 1 c
~ COUNTY, ]~s~L'~ANtd
COMMONWEALTH OF PENNSYLVANIA ~~t7 ~AR ~~ PM ~~: ! 1
COUNTY OF Ct3MBERLAND } 5S File Number 21-11-1270
Personal Representatives} of the Estate of BEVERLY E. BEERS CY~ ~{~~ 1~~ C~- ~pA
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 Comrrionwealth 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 Decedt§nt 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 ir- this lnven-
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) Robin Holman Loy (Supreme Court LD. No.) 49675
(Address) PO Box 97, New Bloomfield, PA 17068
(Telephone) 717-582-2410
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
10/18/2011 Country Meadows, Mechanicsburg, PA 201-16-1551
FIGURES MUST BE TOTALED I
Rea Estate -NONE
Belco Community Credit Union -Checking Account 2;260.25
Belco Community Credit Union -Savings Account 5.00
Belco Community Credit Union -Money Market Account.: 94,300.45
Metro Bank -Checking Account 2,095.13
PSERS -Retirement benefits SS0.99
Country Meadows -Refund 1,555.41
IRS - 2011 Refund 76.00
Jointly Owned Property -NONE
(Attach addUiona! sheets as needed)
3
NOTE: The Memorandum of rest estate outside the Commonwealth of Pennsylvania may, at the election of the persona{ 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. § 3301(6)) \~
Form RW-04 rev. 10.13.06