HomeMy WebLinkAbout04-05-12 (4)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND ! SS
COUNTY, PENNSYLVANIA
File Number 2110-0142
Personal Representative(s) of the Estate of OLIVE JANETTE HAAS EBERT
deceased, depose(s) and say(s) that the items appearing in the following inventory include al l 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-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Paul Daggs
(Address) 2132 Market Street, Camp Hill, PA 17011
(Telephone) 717-975-9446
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. N0.
02/03/2010 6 Houston Drive, Mechanicsburg, PA 17055 204-03-0024
FIGURES MUST BE TOTALED
Misc Household Items & Tangible Personal Property
Real Estate: 6 Houston Drive, Mechanicsburg, PA 17055
Cash & Bank Accounts
2,000.00
130,000.00
1,254.00
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(Attach additional sheets as needed)
TOTAL: ~ 133,254.00
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))
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(Supreme Court I.D. No.) 64688
Form RW-09 rev. 10.13.06
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