HomeMy WebLinkAbout08-08-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
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Personal Representative(s) of the Estate of EVELYN I GLINES
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 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 L EL, EXECUTRIX
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) DAVIDH STONE, ESQUIRE (Supreme Court 1. D. No.) 39785
(Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070-
(Telephone) (71 ?) 774-7435
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
730 FIFTEENTH STREET
FIGURES MUST BE TOTALED
2002 Chevy Blazer to Bert E. Glines as
mentioned in Item "Third" in: will
Ambulance refund
Benefit Now Account # 210191369
Central PA Teamsters Pension Fund-death benefit
from deceased's spouse
Personal property in house divided among children
as mentioned in Item "Thirc±" of will
Social security death benefit
United States Treasury-refund from 2011 income tax
additional sheets as needed)
9£ :Z
File Number 21 12 0002
3,736.00
635.74
15,127.53
502.00
500.00
255.00
2,280.00
036.27
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylv~a~.~t~1~"t~ personal representative include the value of each
item, but such figures shoulc' not be extended into the total of the Inventory. (ee Z''~~ ppal.JJC'.~~~)
Form RW-09 rev. 10.13.06
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