HomeMy WebLinkAbout08-21-12 (3)INVENTORY
REGISTER OF WILLS OF Cumberland
COMMONWF..AL;1'H OF PENNSYLVANIA ~ SS
COUNTY OF Cumberland
COUNTY, PENNSYLVANIA
File Number 21-11-00919
Personal Representative(s) of the Estate of Lytle, Tami N.
deceased, depose(s) and say(s) that the items appearing in the following inventory include ail ofthe 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 verify that the statements made in this lnven- _,~/~
tory are true and correct. I understand that false state- ~- ~ ~ a ~ ~ ~a ~ J1
meats herein are made subiect to the penalties of
l8 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Thomas A. Capper
(Address) 2303 Market Street, Camp Hill, PA 17011
(Supreme Court 1. D. No.) 75020
(Telephone) (717) 232-8731
DATE OF DEATH LAST RESIDENCE
5/31 /2011 31.22 Yale Avenue, Camp Hill, PA i 7011
FIGURES MUST BE TOTALED
Personal Property:
Orrstown Financial Services, Inc. (ORFF) - 12.5526 shares
PSECU -Individual Account
(S4) Money Handler
(S7) Money Market
(S 1) Savings
Members 1st Savings Account
Prudential Reti:etnen*. - Pinnacle Health System 403(b) TSAT Pian
Distribution
Susquehanna Valley Pain Management, P.C. 401(k) Profit Sharing Plan (706)
(Attach additional sheets as needed)
DECEDENT'S SOC. SEC. NO.
200-50-5024
325,b1
593.13
603.85
99.02
58.38
9,667.98
778.40
TOTAL: 12;):6.37
NOTE: "fhe Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representati~i~tude the valf each...:.;
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item, but such figures should not be extended into the total of the Inventory. (See ~O Pa. C.S. ~' 3301(bf) 1 ~ , ^; ., ,`~
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