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HomeMy WebLinkAbout07-27-12 (3)Register of Wills of CUMBERLAND INVENTORY Personal Represent Signature: ~.~.,.. ' t-4~~ Dennis L. Sarver Signature: Estate of Betty M. Sarver also known as Betty Mildred Sarver Address: 270 Youngs Church Road Dennis L. Sarver, Personal Representative(s) of the above Estate, deceased, verify 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 /We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: Marlin R. McCaleb Esq. I.D. No.: 06353 Address: 219 East Main Street Mechanicsburg, PA 17055 Telephone: 717/691- 7770 Description (See continuation page(s) attached) (Attach additional sheets if necessary) Value n C., `' ~ rv ~) ' Ti ` iV C }C. ~ ;'o ~, r ~~? -~ Total: 121, 704.69 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. ~` Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form #R W-7 (1992) County, Pennsylvania No. 21-12-00438 Date of Death 10/27/2011 Deceased Social Security No. 162-22-4367 Shermans Dale, PA 17090 Telephone: 717/582 - 7859 Dated: ~ °~ 7- ~ (~ / INVENTORY Estate of: Betty M. Sarver Date of Death: 10/27/2011 County: Cumberland CASH: Checking Account No. 6215380109, Citizens Bank, - principal balance as of DOD: $3,684.69; interest accrued to DOD: $0.00. 3,684.69 3,684.69 PERSONAL PROPERTY: ------------------ Federal Employees' Group Life Insurance, - claim for FEGLI insurance benefits payable on life of Decedent's late husband, Ivan L. Sarver (died: 05/18/2011). Household contents, furniture and furnishings - (per appraisal by Chuck Bricker, Auctioneer). Myers-Buhrig Funeral Home, Mechanicsburg, PA, - pre-need funeral contract. 8,250.00 570.00 7,200.00 16,020.00 -1- REAL ESTATE/PA: --------------- House and lot, - at 200 E. 102,000.00 Coover Street, Borough of Mechanicsburg, Cumberland County, PA, acquired by deed of Joseph Francis Nolan et ux, dated 05/31/1967 (Deed Book "J", Volume 22, Page 137; value based on appraisal by Brett Lechthaler, PA State Cert. Gen. Appr.. 102,000.00 TOTAL RECEIPTS OF PRINCIPAL ............... 121,704.69 ---------------- -2-