HomeMy WebLinkAbout10-24-12 (2)• INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-12-0133
couNTY OF Cumberland
Ma Jane Fortne
Personal Representative(s) of the Estate of Lee E FORTNEY, Sr.
s that the items appearing in the following inventory include all of the personal assets wos to each
deceased, depose(s) and say( )
situate and all of the reel resent it hfaC value as of the date of thle decedent s deah~ and t at Decedent~on ned no reap state
item of said inventory p rn
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum t the nd ~invento ~ ~r J ~
I verify that the statements made in this Inven- ~ ~'e- ,~ ~ +_ ~ ~-
tory are true and correct. I understand that false state- Mary Jane ortney _ _ _ r _ ~ -
ments herein are made subject to the penalties of l ~ ~~~ ; ~ c r
18 Pa.C.S. § 4904 relating to unsworn falsification to J ~C ~
authorities. _- '{''n)
_ ~ ~ f~~
D ^`i W ~
O
Attorney - (Name)
(Firm)
(Address)
(Telephone)
EDMUND G. MYERS (Supreme Court I.D. No.) 20558
JOHNSON DUFFIE
301 MARKET STREET Lemo ne PA 17043
(717)761-4540
DECEDENTS SOC. SEC. NO.
DATE OF DEATH
0112312012
LAST RESIDENCE 10 B Richland Lane
~~mn Neu. P4 17011
FIGURES MUST BE TOTALED
personal Property
Cash ...............................................................................................
Personal Property ........................................................................
StockslListed ................................................................................
StockslClosely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property........••••••••••••••••••••••••••••••°
Total Real Property ................................................
Total Personal and Real Property......•.•••••••-••••••••
15,500.00
15,500.00
15,500.00
NOTE: item but~such figures shouldt ntot be eldctended Into theWOtal of heenventory~ (See X20 PaeCIS § 3301(bj)~rsonal representative inGude the value of each
Form RIN-O9 Rev. 10-13-2006
t,~
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
LAST RESIDENCE 10 B Richland Lane
DATE OF DEATH Camp Hill, PA 1701
0112312012
~~
Mg,T Bank CD
MB.T Bank Checking Account
14,000.00
1,500.00
15,500.00
X55
~~
._ :~
INVENTORY
CUMBER=~
Total Cash
~----
Total Personal
COUNTY, PENNSYLVANIA
File Number 21-12-0133
DECEDENTS SOC. SEC. NO.
and Real Estate
aaamo~d~ ~~ ~a~.~ ..