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HomeMy WebLinkAbout01-11-13INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } COUNTY OF Cumberland } SS Heather L Moore CUMBERLAND COUNTY, PENNSYLVANIA Fiie Number 21-12-01083 Personal Representative(s) of the Estate of Kelley A Way 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 memorandum at the end of this inventory. I verify that the statements made in this Inven- toryare true and correct. I understand that false state- ~ - _ ments herein are made subject to the penalties of Heather LMoo e - _ - - - - - - --__ 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. -- --------------------_.-. Attorney -- (Name) Heather L MOOre ----- (Firm) -_--__- _---- ---_- - - (address) 7 East Front Street, Shiremanstown, PA 17011 (Telephone) -- ____- DATE OF DEATH 06/11 /2012 ~ASTeESIDENCE 433 Garden Drive FIGURES MUST BE TOTALED Personal ProO Cash .................. ....................................................... Personal Pro a ~~~~~~~~~~~~~~~""" p rty ........................................................................ Stocks/Listed ............................... ................................................. Stocks/Closely Held ..................................................................... Bonds ..................... ............................... Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ............................................... Total Personal Property ........................................ Total Real Property ................................................ Total Personal and Real Property ..................... (Supreme Court 1. D. No.) DECEDENT'S SOC. SEC. N0. w m ~ ~ c_ Gy o ~ ~ m=~ _~ s u?~ ~ ~ r N ..( r~rl r~~r b ~ 75 U= N ;;~ cs ' x ca ~ c'w <-- 67.01 _ ~ cy ,-,o s s ~~ c~ -;i _~ Aq~83.94 .~~ cc+ ~ _ r;~ r-- --'1 } r> ~ G I'-A 10,250.95 1'Qi250.95 NOTE: The Memorantlum of real estate outsitle the Commonwealth of Pennsylvania may at the election of the personal representative inclutle the value of each item, but Such fgures should not be extentled into the total of the Inventory. (See 10 Pa. C.S. § 3301(b)) Form RW-09 Rey. to-i3-zoos