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HomeMy WebLinkAbout01-14-13AMENDED INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OP PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND File Number 2009 00411 Personal Representative(s) of the Estate of REBA B. PETERS deceased, depose(s) and say(s) that the items appearing in the following inventory include al] of the personal assets wherever situate and all of the real estate in the Commonwealth of Permsylvania 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. I verify 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 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities. Attorney - (Name) _ (Aclclress) ('telephone) r ~:~_' L C~r~~ - JEN IFE B. (BORD ER) G ODYEAR (Supreme CourtLD. No.) DATE OF DEATH 9 LAST RESIDENCE 3814 LAMP POST LN CAMP HILL PA 17011 FIGURES MUST BE TOTALED DECEDENT'S SOC. SEC. NO. ALL ASSETS LISTED ON ORIGINAL INVENTORY WERE ACTUALLY OWNED JOINTLY BY DECEDENT AND HER HUSBAND, BENJAMIN S. PETERS, JR. AND WERE ERRONEOUSLY REPORTED AS PROBATE ASSETS. THERE WERE NO PR06ATE ASSETS. n C < $ _ ~: ~ ~l ~7 ~ r~. a .,. L~_ ~~ ~ i ~. (Attach additional slaeets as needed) n I"" +';.l w-:F 0.00 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include [he value of each item, but such figures should not be extended into the total of the Inventory{See 20 Pa. C.S. § 3301(G)) Fornr RW-09 rev. !0.13.06 0.00 =__; ~.s ~1 '~ c. Psl Grn> _23 ~ J `- G7 ~ "3 -~ ~; i rP . L":J ...~,y C::'~ ~ ~ 7 f_...a _ ._...] ` C3 ~.^v ~T C~ `"7