HomeMy WebLinkAbout06-20-13 (2) �' INVENTORY
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REGISTER OF WILLS OF c u M B E R�a N n COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COiJNTY OF C U M B E R L A N D SS File Number 21 13 0 014
Personal Representative(s)of the Estate of C L A R K C• C 0 0 V E 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 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-
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of J A N E . C 0 V E R
18 Pa.C.S. §4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) S U S A N H• C 0 N F A I R (Supreme Court I.D.No.) 7 0 2 41
(Address) 2331 MARKET STREET CAMP HILL PA 17011
(Telephone) 717-763-1383
" DATE OF DEATH LAST RESIDENCE DECEDENTS SQ�.SEC.NO.
2015 DICKINSON AVENUE ° �
12/31/2�12 CAMP HILL PA 17011 m �
FIGURES MUST BE TOTALED � � c-� � cn �
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Stocks & Bonds � n ...w. � ��
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Closely-Held Corporation, Partnership or Sole-Proprietorship � �f E� " ��
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Mortgages & Notes Receivable
MORTGAGE TO 236 GREEN LANE, LLC FOR THE FACE AMOUNT OF �121,0�0 140,360•00
DATE OF MORTGAGE 9/21/11 AND RECORDED IN LEHIGH COUNTY AT
INSTRUMENT NUMBER 2011029292
PROMISSORY NOTE FOR 532 MCKENZIE STREET, YORK, SECURED TERM NOTE 45,900•OD
BETWEEN DECEDENT AND KIRSCH & BURNS, LLC
PROMISSORY NOTE FOR 2514 BARKLEY LANE, HARRISBURG, SECURED TERM 56,390•00
NOTE BETWEEN DECEDENT AND KIRSCH & BURNS, LLC
Cash, Bank Deposits, & Misc• Personal Property
(Attach additional sheets as needed)
TOTAL: 2 4 2,6 5 0-0 0
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. ]0.13.06
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Continuation of Inventory
CLARK� C- COOVER
21 13 0014
Decedent Name Paqe 1 File Number
Description of Inventory
Real Estate
Jointly-Owned Property
Inter-Vivos Transfers/Misc• Non-Probate Property
Subtotal a
Grand 7'otal S 242,650.00
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