HomeMy WebLinkAbout07-18-13 (3) � INVENTORY
REGISTER OF WILLS OF �,+rn„rnv�vr nraT. COLJNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
CO[JNTYOF CUMBERLAND SS FileNum6cr �ni �_nni aA
Personal RepresentaNve(s)of the Estate of p a t r i c i a G. H a rm
deceased,depose(s)and say(s)that the items appearing in the fotlowing inventory include all of the personel 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 ouuide of the
Commonwealth of Pennsylvania except that which appears in a m orandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and cocrect. I understand that false state-
meats herein are made subject to the pena(ties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney-- (Name) ntarx T_ Ri t t ; kAr, Ra�,,; ro (SupremeCourt/.D. No.) 33671
(Address) 5922 Linalestown Road , Harrisburg, PA 17112
(7'elephone) �717) 671-1500
DATE OF OEATH IAST RESIDENCE DECEDENTS SOC.SEG.NO.
O1/28/13 20 North 12th St, A t 123 Lemo ne PA 207-22-0611
FIGURES MUST BE TOTALED
1 . Susquehanna Bank checking account #5400631009 $4,425 .43
2 . Refund from Manor Care �84.0�
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3 . Miscellaneous personal property � o c�00e��,'
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(Arcaeh addfNonal sheets os needed)
TOTAL: 5 509 .43
NOTE: The Memonndum of rcal estate outside [he Commonwealth of Pennsylvania mey, et the elec[ion of the personal reprexntative include [he value of each
item,but such figures should not be extrnded into lhc tolel of the Inventory. (See 20 Pa.C.S§3307(b)) �
FormRW-O9 rev. l0.13.06 RW-09 �
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