HomeMy WebLinkAbout04-04-12 (3).~.
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OP PENNSI'LVANIA ~ SS
COUNTY OF CUMBERLAND
File Number 21 11 0525
Personal Representative(s) of the Estate of Mary D. Sampson
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-
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Stephen J. Hoao, Esquire (Supreme Court I.D. No.) 36812
(Address) 19 S. Hanover Street, Ste. 101 _ Carlisle PA 17013
(Telephone) 7172452698
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. N0.
90 Salem Church Road, Lot 526
3/2/2011 Mechanicsbur PA 17050 202-20-1048
FIGURES MUST BE TOTALED
Trailer
3,500.00
M&T Bank Checking Account Number 9843866808 jointly held with a DOD balance of $1,970.17 ~ 985.09
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(Anaclr addltianal sheets as needed)
__ TOTAL: 4,485.09
NOTE: The Memorandum oi'real estate outside [he Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should nol be extended into the total of the Inventory. (See 10 Pa. C.S. ,¢ 3301(bJJ
Form RW-09 rev. 10.13.06