HomeMy WebLinkAbout06-01-12 (2)INVENTORY
REGISTER OF W[LLS OF CUMBERLAND
COMMONWEALTH OE PENNSYLVANIA
COUNTY O} CUMBERLAND SS
Personal Representative(s) of the Estate of BRANDON HETRICK
COUN"T'Y, PENNSYLVANIA
File Number ~~-I 1-1089
deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe personal assets wherever situate
and all ofthe real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item ofsaid
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.
1 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
l8 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
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Attorney -- (Nufne) Bridget Vl. Whitley, Esq. (,Supreme CourtLD. No.) 33580
(Address SkarlatosZonarich LLC, 17 S. 2nd St., 6th Floor, Harrisburg, PA 17101
(Telephone,) 717-233-1000; 888-851-5628
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
5/03/2010 940 Walnut Bottom Road, Carlisle, PA 17015 200-36-9563
FIGURES MUST BE TOTALED
Cash in bank checking account
Cash in patient care account
663.00
761.00
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(Attach additional sheets «s needed)
TOTAL: ~ 1,424.00
NOTL-: 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 he extended into the total of the Inventory. (See 20 Po. C.S. § 330/(b))
Forrn R64'-09 rer. 10.13.06
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