HomeMy WebLinkAbout06-11-12INVENTORY
LS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WIL
21 12 0367
OF PENNSYLVANIA ~ SS File Number
COMMONWE~-TH
COUNTY of CAMBRIA
Mar aret L. Balo
items a gearing in the following inventory ina Jude all of the personal assets wherever sr ua e
Personal Representative(s) of the Estate of t the valuation placed opposite each item of said
deceased, depose(s) and say(s) that the P
the date of the decedent's death, and that D ecedent owned no real estate outside oft e
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, t end of this inventory.
inventory represents its fair value as of ears in a memo~ndum at th
Commonwealth of Pennsylvania except that which app
I verify that the statements made in this Inven-
tory are true and correct. I understandenaltiessof tate-
ments herein are made subject to the p
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Ga L• Costlow Es uire Johnston
(Supreme Court I.D. No.) ~' p°`' ^^ A
(Address) 35~ t3uunc,u ., --
8142620564 DECEDENT'S SOC. SEC. NO.
(Telephone)
LAST RESIDENCE PA 17055 175188654
DATE OF DEATH 100 Mount Allen Drive
2/12/2011 Mechanicsbur
FIGURES MUST BE TOTALED ` ,
~' -x,,
hJ ~~~~
03 ~
_~
Stocks & Bonds ~ ~ ~ ~ t '~
hi or Sole-Proprietorship ~ -; •; ~ -n ~:`, -,
Closely-Held Corporation, Partners p ~.•~ ~ -, :,
a ~ _ ~n
GJ -'T~
es & Notes Receivable ~
Mortgag
Cash, Bank Deposits, & Misc. Personal Property
PNC Bank, N.A. PA 17055
Bethany Village Branch, 325 Wesley Drive, Mechanicsburg,
Checking Account No. 51 401 991 81 PA 17055
PNC Bank, N.A.
Bethany Village Branch, 325 Wesley Drive, Mechanics urg,
Savings Account No. 5006277169 nchburg, VA 24506-9939
Genworth Life Insurance Company
Long Term Care Ins mansu anceon, P.O. Box 40007, LY
Refund for Long Ter
29,251.30
35,108.37
2,339.74
1,410,705.8=-
(Attach additional sheets as needed) TOTAL:
at the election of the personal representative include [he value of each ~
lvan~a may, 3301(b)) l
NOTE. The Memorandum of real estate outside the Commonwealth of Pennsy _~ v~
item, but such figures should not be extended into the total of the Inventor (See 20 Pa. C_S. §
Form RW-O9 reV• 10.13.06