HomeMy WebLinkAbout05-09-12 (2)INVENTORY
REG[STER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
COUNTY, PENNSYLVANIA
File
2011-01355
Personal Representative(s) of the Estate of Florence E. Bellomo
deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe 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 decedents 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.
1 verify that the statements made in this lnven-
torv are true and correct. [understand that false state-
ments herein are made subject to the penalties of
I S Pa.C.S. § 4904 relating to unsworn falsification to
authorities. i'
K ~GvVI ~._.
Attorney -- (Name) Robert C. Saidis (Supreme Court [. D. No.) 21458
(Address) Saidis, Sullivan & Rogers, 26 est ig freer, Carlisle, PA 17013
(Telephone) 717-243-6222
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
September 24, 20 ] 1 11 North Thrush Drive, Carlisle, PA 17015 140-14-] 234
FIGURES MUST BE TOTALED
Horizon Blue Cross/Blue Shield Refund ~ 828.00
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TOTAL: I 828.00
NOTE' The Memorandum of real estate onfside the Commonwealth of Pennsylvania may, at the election of the p;rsonal representative include the value of each
item, but such figures should rwt be extended into the total of the Inventory. (See 10 Pa. C.S. § 3301(6)/
Farrrr RlO!09 rev. 10.13.06