HomeMy WebLinkAbout04-10-13 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-12-0858
James W Smith
Personal Representative(s)of the Estate of Thressa E Smith
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 real estate
outside of the Commonwealth of Pennsylvania except that which appears in a mem irandum 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- mes W Smith
ments herein are made subject to the penalties of
18 Pa.C.S. §4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Linda J. Olsen Esq. (Supreme Court 1.D. No.) 92858
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(Firm) Hazen Elder Law
(address) 2000 Linglestown Road, Ste 2_02, Harrisburg, PA 17110
(Telephone) 717-540-4332
DATE OF DEATH LAST RESIDENCE Green Ridge Village DECEDENT'S SOC.SEC.NO
07/10/2012 Newville, PA 17241
FIGURES MUST BE TOTALED
Personal Property
Cash............................................................................................... c7 _.-
e
PersonalProperty........................................................................
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................ co
Partnerships and Sole Proprietorships
,_.._.
Mortgages and Notes Receivable............................................... •_ ,.�
AllOther Property........................................................................
Total Personal Property........................................ 1,585.99
Total Real Property................................................
Total Personal and Real Property........................ C 1,585 99'
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
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-12-0858
DATE OF DEATH LAST RESIDENCE Green Ridge Village DECEDENT'S SOC.SEC.NO.
07/10/2012 Newville, PA 17241 376-05-3995
Cash
PA Unclaimed property(Prudential & Highmark) 1,585.99
Total Cash 1,585.99
(Attach additional sheets if necessary) Total Personal Property and Real Estate 1,585.99