HomeMy WebLinkAbout06-29-12 (3)RECQRUEC ~~F~iCE ~
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2~l~~~R~ §S OF
COMMONWEALTH
COiJNTY OF I-tEY
INVENTORY
Cumberland
fSYLVANIA ~ SS
%OUflT
COUNTY, PENNSYLVANIA
File Number 2011-01100
Personal Representative(s) of the Estate of Thomas M. Richards, Jr.,
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.
l verify that the statements made in this Inven- ~ ~~~ O ~~~
tory aze true and correct. I understand that false state- r~ -~
meats herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Marvin Beshore, Esquire (Supreme Court LD. No.) 31979
(Address) 130 State Street, P.O. Box 946, Harrisburg, PA 17108-0946
(Telephone) (717) 236-0781
DATE OF DEATH LAST RESIDENCE L~CEDEM'S SOC. SEC. NO.
October 1, 2012 4719 E. Trindle Road, Mechanicsburg, PA 17050 196-14-4993
FIGURES MUST BE TOTALED
4719 E. Trindle Road, Mechanicsburg, PA 17050 (tenant in common)
2003 Chevrolet Malibu
PNC Bank certificate of deposit
Citizens Bank of PA checking account
PNC Bank certificate of deposit
PNC Bank certificate of deposit
PNC Bank certificate of deposit
Highmark Blue Shield (refund)
AFBL insurance (refund)
addltfonal sheets as needed)
74,950.00
3,650.00
19,761.38
893.29
87,505.77
3,128.08
3,684.11
188.05
903.87
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(b))
Farm RW-09 rev. 10.13.06