HomeMy WebLinkAbout04-15-13 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
CUMBERLAND SS File Number 21-12-1114
Personal Representative(s)of the Estate of MILDRED A.LEBO
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 memordnd 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 unworn falsification to
authorities.
Attorney-- (Name) Michael Cherewka,Esquire (Supreme Court I.D. No.) 35073
(Address) 624 North Front Street,Wormleysburg,PA 17043
(Telephone) 717-232-4701
DATE OF DEATH LAST RESIDENCE
FIGURES MUST BE TOTALED
1. M&T Bank,Checking Account#9830243524 5,651.85
2. Reimbursement from Claremont Nursing&Rehab Center 141.62
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(Attach additional sheets as needed)
TOTAL: 5,793.47
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(6))
Form R W-09 rev. 10.13.06
Law Offices of
Michael Cherewka
624 North Front Street
Wormleysburg, Pennsylvania 17043
(717) 232-4701
Fax (717) 232-4774
April 11, 2013
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Register of Wills Office 0 z o? ;
Cumberland County Courthouse rn v r"
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Carlisle,PA 17013
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Re: Estate of Mildred A. Lebo ro to '+
Docket#21-12-1114 �
Our File No.: 4174.00
Please find enclosed REV 1500 (in duplicate) and Inventory,together with an estate
'check in the amount of$30.00 to cover the cost of filing. There is no tax due as this is an
insolvent estate. Also enclosed is a copy of the Rev-1500 and Inventory that we ask you to time-
. stamp and return to us in the stamped self-addressed envelope enclosed.
Should you have any questions, please contact our office immediately.
4 slitruly yourse Leach, Assistant
Enclosures
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