HomeMy WebLinkAbout10-02-12 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA J SS
COUNTY OF CUMBERLAND )
File
COUNT`t', PENNSYLVANIA
2012-(1042
Personal Representative(s) of the Estate of Austin A. Towner
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all ofthe 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 appeazs in a memorandum at the end of this inventory.
[ verify that the statements made in this Inven-
tory aze true and corcect. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Llyse E. Rogers ~ ~ (~'
Saidis, Sullivan & Roge~s, 635 North
(Supreme Court LD. No.) 41274
Suite 400, Lemoyne, PA 17043
717-612-5801
PATE OF DEATH LAST RESIDENCE DECEDENTS SOG. SEC. NO.
01/06/2012 5 Bridle Lane, Camp Hill, PA 17011 214-36-9322
FIGURES MUST BE TOTALED
5 Bridle Lane, Camp Hill 187,500.00
Misc. Household items 5,289.00
2011 Federal Income Tax Refund 6,258.00
Coventry Long Term Care Insurance Refund/Verizon Refund 287.09
Shipley Energy Refund 39.31
2007 Ford Edge SE 12,000.00
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(Attach additional sheets as needed)
TOTAL: ~ 211,373.40
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, a[ the election of [he personal representative include the value of each
item, but such figures should not be extended into [he total of the Inventory. (See 20 Pa. C.S. § 3101(6))
Form RW-09 rev. l0./3.Oh ' \