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HomeMy WebLinkAbout01-11-13INVENTORY REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS 21-12-0235 File Number Marilyn H. Richwine, Executrix Personal Representative(s) of the Estate of Chester L. Richwine deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate and al l 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. 1 verily that the statements made in this Inven- -~' '' ~_ tory are true and correct. I understand that false state- ments herein are made subject to the penalties of Marilyn H. Richwine, Excutrix 18 Pa.C.S. ~ 4904 relating to unsworn falsification to 5 M lwnnrl T, nP authorities. Mechanicsburg, PA 17050 Attorney -- (Name) Keith O. Brenneman, Esquire (Supreme Court I.D. No.) 47077 (Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055 (Telephone) 717-697-8528 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. N0. 12/3U/2U 1 1 5 Melwood Lane, Silver Spring Twp., Mechanicsburg, PA 17050 174-20-6144 FIGURES MUST BE TOTALED 1. Mony I_,ife Insurance Company of America, death benefit from contract #BL14380 & BL14381 56,226.31 n ~ ` ~:~ _' ~.__. ~~ ~ _ ~~ r c~ rr c~ ~ ~~ c r - = ;.,, ~=" ~=~ ~,fr ~~3 / ~~' ~ "~ °4c ' t -- -A _ .w, .. ~. 1~ f .. W ] ~ ~. p*+~ S~ `t ,w.i m ~'tdi "'~ -y,"~ (Attach additional sheets as needed) TOTAL: ~ 56,226.31 NOTE: "I'he Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each item, but such figures should not be extended into the total of the Inventory. (See ZO Pa. C.S. ~' 330/(6)) Fa'rr~ RW-0> rer. 10.13.06 C