HomeMy WebLinkAbout03-22-12 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF Cumberland File
Carlvnn E. Crouse, Executrix
21-10-1208
Personal Representative(s) of the Estate of Roselyn B. Crouse
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 correct. I understand that false state- Ca ynn E. rouse , Executrix
ments herein are made subject to the penalties of 29 1 Chestnut Street _
18 Pa.C.S. § 4904 relating to unsworn falsification to Camp Hill, PA 17011
authorities.
Attorney -- (Name) Richard C. Snelbaker, Esquire (Supreme Court LD. No.) 6355
(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.
11/29/2010 230 N. 29th Street, Camp Hill Borough, Camp Hill, PA 17011 188-44-2639
FIGURES MUST BE TOTALED
Property known and numbered as 230 North 29th Street, Borough of Camp Hill, Cumberland
County, Camp Hill, PA 17011 (appraised value).
2. DFAS, final pension payment due the decedent
3. Household goods
4. M&T Bank, checking account #24755877
5. PA Treasury, final annuity payment due the decedent
6. United States Treasury, refund due on 2010 tax return
(Attach additional sheets as needed)
TOTAL: I 313,500.83
NOTF,: 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 (`
i~
230,000.00
732.00
585.00
80,892.90
378.93
912.00
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COUNTY, PENNSYLVANIA