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HomeMy WebLinkAbout01-14-13 (3) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS } File Number 21-12-0545 Marcella G. Hlppensteel - --- ---- Personal Representative(s) of the Estate of Mark L. SIOthOWer 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 th D n own no real estate outside of the Commonwealth of Pennsylvania except tha which a ears in a me randu a he end of this nventory. 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 Mar ella G. Hippensteel 18 Pa.C.S. § 4904 relating to unsworn falsification to ~ _. authorities. Attorney -- (Name) (Firm) (Address) (Telephone) David J. Lenox (Supreme Court I.D. No.) 29078 The Wiley Group, P.C. 3 N. Baltimore Street, Dillsburg, PA 17019 -- 717-432-9666 ------ ----- DATE OF DEATH 04/29/2012 LAST RESIDENCE 113 Sable Drive Carlisle PA 17013 FIGURES MUST BE TOTALED Personal ProgPrtV Cash ............................................................................ Personal Property .............................................................. .......... 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 Properly ........................ DECEDENT'S SOC. SEC. NO. n ,rte, p `_ . ~ 6~'330.9~ ~ .y.. ~~ ~_ ~ c> ~ ~ 13~0.0~ ~' - - ~ ; ~ r, -.`.t -c t 6~.-~3 ~ ..y `'.~ ...s. A w p^r " _...r 1 rt r._. rv cn c~ ry 19,580.97 19;580.97 NOTE: The 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 ~0 Pa. C.S. § 3301(b)) Form RtN 09 Rev. 10-13-2008 REGISTER OF WILLS OF INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland ? SS DATE OF DEATH LAST RESIDENCE 113 Sable Drive 04/29/2012 Carlisle PA 17013 ~V Book Club Refund Insurance Refund M & T Account 8321 File Number 21-12-0545 DECEDENTS SOC. SEC. NO. Total Cash Personal Pro~rt ++ 2005 Jeep sale price to Brenner Nissan Total Personal Property 61.55 28.28 6, 241.14 6,330.97 13,250.00 13,250.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 19.580.97