HomeMy WebLinkAbout09-26-12 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CumbeHand } SS File Number 2012-00056
Robert D Brinhart
Personal Representative(s) of the Estate of Deane D Clark
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 Commonweath 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 whi ppears in a m randum a he end of this inventory.
I verity that the statements made in this Inven- ~ ~ ~u/j f~
tory are true and correct. I understand that false state- Robert D Brillhart --
ments herein are made subject to the penalties of ~ ^'
18 Pa.C.S. § 4904 relating to unsworn falsification to ~°.
authorities. ^- Z7
Attorney- (Name)
(Finn)
(Address)
(Telephone)
DATE OF DEATH
12/28/2011
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Ryan P Siney (Supreme Court;~Q,3t~.)
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2 Lemoyne Drive, Suite 200, Lemoyne, PA 17043 ~
717 234 4121
LAST RESIDENCE 2912 Marion Road, Camp Hill, PA 17011 ~ DECEDENTS 60C. SEC. NO.
PA 177-24-5408
~ FIGt1RES MUST BE TOTALED
Personal Prooarty
Cash ...............................................................................................
Personal Property ........................................................................
StockslListed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Properly ................................................
Total Personal and Real Property......
30,668.78
6,267.46
36,936.24
134,014.00
170,9b0.24 ''
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, et the eledian of the personal rcprcseMative include the value of each
item, but such flgurcs should not be emended imo the total of the Inventory. (See 20 Pa. C.S. § 3301(b))
Form fttN-09 Rev. 10.13-1008