HomeMy WebLinkAbout02-01-13 (2)INVENTORY
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REGISTER OF WILLS OF CUMBERLAND COUNTY, R~I~VSYLV~'Vt~'. ~
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COMMONWEALTH OF PENNSYLVANIA } ~ ~ ~ ~ ~~ *a ,
couNTY of Cumberland } ss File Number 21-12-0583~~ ~ ~ `~~~
Ann M Kirwan ~~::~ ~ ~ -~
Personal Representative{s) of the Estate of Jo Ellen Kirwan ~~ ---~ i r -
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 reef estate
outside of the Commonwealth of Pennsylvania except tha# wt-i~h appears in a memorandum at the end of this inventory.
1 verify that the statements made in this Inven- , ~ ~ ~- ~"-l s x3 y . ~. ~ , ,.i ~ - ` ~ { > . ~, ,
tory are true and correct. I understand that false state- ~ ~ ~ ~n M Kirwan ~- ~ ~" ~'` ~~
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn faisificaiion to
authorities.
Attorney -- (Name) Jessica L Fisher
(Supr~sme Court I.D. No.) 310018
(F"'"~ Keystone Elder Law P.C.
(Address) 555 Gettysburg Pike ,Mechanicsburg, PA 17055
(Telephone) 717-697-3223
DATE OF DEATH ULST RESIDENCE 1771 Kendall Drive DECEDENTS SOC. SEC. NO.
05/06!2012 Mechanicsbu PA 17055 202-36054
FfGURES MUST BE TOTALED
Personal PrQ}~erty
Cash ...............................................................................................
Persona! Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Meld .....................................................................
Bands ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
Atl Other Property ........................................................................
Total Personas Property ........................................
Totes Reat Property ................................................
Totes Personal and Real Property ........................
114,843.51
15,000.00
129,843.51
'129,843.51
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 Mventory. (See X10 Pa. C.S. § 3301(b))
Form RW-09 Rev. io-~~-loos
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-12-0583
DATE OF DEATH LAST RESIDENCE 1771 Kendall Drive DECEDENTS SOC. SEC. NO.
05/06/2012 Mechanicsburg, PA 17055 202-36-6054
Cash
Sovereign Bank Checking Account 114,843.51
Total Cash 114,843.51
Personal Prop~j~
Subaru Forester 2009 - fi082 miles 15,000.00
Total Personal Property 15,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 129,843.51