HomeMy WebLinkAbout07-02-12 (3)INVENTORY
REGISTER OF WILLS OF cuMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
File Number 21 11 0444
Personal Representative(s) of the Estate of R O B E R T L• B U R L E S O N
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 memorand mat the end of this inventory.
I verify that the statements made in this Inven- "^, ~ ~~!~~~u/O'`'C.i'
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.
JOHN E• BURLESON
Attorney -- (Name) SUSAN H• C O N F A I R (Supreme Court L D. No.) 7 0 2 41
(Address) 2331 MARKET STREET CAMP HILL PA 17011
(Telephone) 717-763-1383
DATE OF DEATH LAST RESIDENCE
3755 SULLIVAN STREET
/2/2011 MECHANICSBURG
FIGURES MUST BE TOTALED
Stocks & Bonds
182 SHARES OF PRUDENTIAL COMMON STOCK
Closely-Held Corporation, Partnership or Sole-Proprietorship
Mortgages & Notes Receivable
Cash, Bank Deposits, & Misc• Personal Property
M & T BANK - CHECKING ACCOUNT #18707696
1992 FORD TOPAZ
(Attaci: additional sheets as needed)
DECEDENT'S SOC. SEC. N0.
49
11,378.64
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N 9, 429
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200.00
TOTAL: ~ 100,093.38
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. ~ 330/(b)) ~
Form RW-09 rev. 10.!3.06
v
Continuation of Inventory
ROBERT L• BURIESON 21 11 0444
Decedent Name File Number
Page 1
Description of Inventory
PERSONAL PROPERTY ~ 1,50D•DO
BOWLES ENERGY REFUND ~ 85.13
Real Estate
3755 SULLIVAN STREET, MECHANICSBURG, PENNSYLVANIA - DECEDENT 77,500.00
OWNS AN UNDIVIDED ONE-HALF INTEREST IN THE REAL ESTATE (COPY
OF DEED ATTACHED AND APPRAISAL WITH DATE OF DEATH VALUE)
APPRAISED VALUE AS OF 4/2/11 IS $155,000.00 DECEDENT
ONE-HALF INTEREST IS $77,500
Subtotal S 79,085.13
Grand Total 3 100,093.38