HomeMy WebLinkAbout07-24-12 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF Cumberland f SS
JOAN T. SHEARER, EXECUTRIX
COUNTY, PENNSYLVANIA
File Number 21-11-0429
Personal Representative(s) of the Estate of CHESTER B. HOLLINGER, SR., A/WA CHESTER B. HOLLINGER
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and al I 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.
1 verify that the statements made in this Inven- (~~~.~ ~ ~~~~~
tory are true and correct. I understand that false state- Joan T. Shearer, Executrix
ments herein are made subject to the penalties of 312 West Green Street
18 Pa.C.S. § 4904 relating to unsworn falsification to Shiremanstown, PA 17011
authorities.
Attorney -- (Name) Richard C. Snelbaker
(Supreme Court /. D. No.) 6355
(Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
03/26/2011 312 West Green Street, Shiremanstown, PA 17011 204-18-6974
I FIGURES MUST BE TOTALED
1. Highmark, premium refund due the decedent 705.72
2. Household goods bequeathed to Joan T. Shearer in Item I[1 of Will 1,360.00
3. United States Treasury, refund due the decedent on 2010 Individual Tax Return (Form 1040) 2,377.00
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(Attach additional sheets as needed)
TOTAL:
4,442.72
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 tigures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(6))
Form RW-09 rer. 10.!3.06
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