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HomeMy WebLinkAbout02-28-13 (2)INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-12-1288 Karen L Shillings and Gregory Kerwin Personal Representative(s) of the Estate of Shirley S Engle 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 ced opposite,each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent ow no real es~e ~ outside of the Commonwealth of Pennsylvania except that whic pears in a Oran mat the end of tlgQ 11~40entory. ~ m n I verify that the statements made in this Inven- ~, ~ a° -o ,..,., G?' ~ tory are true and correct. I understand that false state- ~ Kar Shillin ~ ?~ r-- ~ ments herein are made subject to the penalties of ~ b, ~ ~ ~ ~ r 18 Pa.C.S. § 4904 relating to unsworn falsification to Grego e ~ ~ ~ ,~ authorities. ~' c> 'L "~t `~"f ~ ca _, < - -,~ ---~ r'_' ~ t Attorney -- (Name) Gregory M Kerwin ~' (Supreme Court I.D. No.) O fis o Cx~ 21222' (Firm) Kerwin & Kerwin, LLP (Address) 4245 State Route 209, Elizabethville, PA 17023 (Telephone) 717-362-3215 ' DATE OF DEATH LAST RESIDENCE 453 Pawnee Drive DECEDENTS SOC. SEC. N0. 12/05/2012 Mechanicsburg, PA 17050 FIGURES MUST BE TOTALED Personal Propgl~y 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 Property ........................ 10,991.00 10,991.00 10,991.00 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 X20 Pa. C.S. § 3301(b)) Form RW-09 Rev. ~o-~s-loos INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-12-1288 _ DATE OF DEATH LAST RESIDENCE 453 Pawnee Drive DECEDENTS SOC. SEC. NO. 12/05/2012 Mechanicsburs~, PA 17050 Personal Pro~rtT 2005 Subaru Station Wagon -Blue Book Value 10,231.00 Items sold at yard sale 350.00 Refund on homeowners insurance 410.00 Total Personal Property 10,991.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 10,991.00