HomeMy WebLinkAbout07-05-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND f SS
File Number 21 12 0081
Personal Representative(s) of the Estate of DOMENICA ALFANO AKA DOMENICA ANN ALFANO AKA MAMIE ANN ALFANO
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.
PAULA A BOYER, ECUTRIX
Attorney -- (Name) DAVID H STONE ESQUIRE (Supreme Court LD. No.) 39785
DATE OF DEATH
10/15/2011
IAST RESIDENCE
120 S FILBERT STREET
MECHANICSBURG
FIGURES MUST BE TOTALED
M&T Bank-Checking Acct #60105448
Princ $2,438.01, Int. $.01
M&T Bank-Savings Acct #15004211547441
Princ. $3,147.55, Int. $.03
Blue Cross-refund
SecurChoice -Pre-Need and Individual Trust Agrmt
Acct #705013
(Attach additional s/reefs as needed)
DECEDENT'S SOC. SEC. NO.
17055- 163-24-8474
2,438.02
3,147.58
388.02
8,000.63
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TOTAL: ~ 13,974.25
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(6))
Form RW-09 rev. l0. /3.06
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(Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070-
(Telephone) X717) 774-7435