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HomeMy WebLinkAbout01-23-13 (3)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } File Number 21 ~ ~ ~ ~ Gj Mary Beth Stroke Personal Representative(s) of the Estate of Mary D. Kieffer deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate and ali 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. I verify that the statements made in this Inven- ~tcu ~= , ,d=rz~~CSJ - ~ ~ _ ~~-'.; ,;~ tory are true and correct. I understand that false state- ~ Mary Be Stroke ~ © A rn c+ ments herein are made subject to the penalties of "" %'o ~_ ~"~ °=> 18 Pa.C.S. § 4904 relating to unsworn falsification to ~ rn :,.`~~ c: ' --"~c ~ gr r-°' r1~ authorities. I'- .. r "-:; ~ . , , Attorney -- (Name) James D. Bogar (Supreme Court LD. No:) 19475 (Firm) Bogar & Hipp Law Offices -~ fr (address) One West Main Street, Shiremanstown, PA 17011 (Telephone) (717) 737-8761 DATE OF DEATH LAST RESIDENCE 100 Mt. Allen Drive DECEDENTS SOC. SEC. NO. 0811412012 Mechanicsburg, PA 17055 168-36-6416 FIGURES MUST BE TOTALED Personal Prooertv Cash ............................................................................................... Personal Pronertv ........................................................................ StockslListed ................................................................................ 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 ........................ 654.50 654.50 ssa.so 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 20 Pa- C.S. § 3301 (b)) Form RW-09 Rev. 10-13-2006 \~~ V REGISTER OF WILLS OF INVENTORY CUMBERLAND COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } DATE OF DEATH LAST RESIDENCE 100 Mt. Allen Drive SAS!] COUNTY, PENNSYLVANIA File Number 21 DECEDENTS SOC. SEC. NO. 168-36-6416 Highmark -Insurance premium refund Total Cash 654.50 654.50 (Attach additional sheets if necessary) Total Personal Property and Real Estate 654.50