HomeMy WebLinkAbout09-04-13 (3) INVENTORY
REGISTER OF WILI,S OF Cumberland COiJN"I'Y,PENNSYLVANIA
COCaIM4NWEAI.Tf10FPENNSYLVANtA �
COUNTY 6F Gunberland SS File Number 2112-1319
Persorml Representative(s}o£the Estate of �rhen°°Collins Cax
deceased,depose{s)and say(s)that the items appearing in the following inventory incJude att of the pe�sonai assets wherever situate
and all of the reai estate in the Commonwealth of Pennsylvania of said Decedent,that the valuation placed oppoeite each item of said
inventory represeaxu its fair vai�as of the date of the decedeot's death,and that[7�edent owned oo real estate outside of#he
Commonweahh of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statemems made in this Inven- � � (��!! £'X��--�
tory are kue and correct. I understand tfiat fatse state- ri ----i
ments herein are made sabject to the penaldes of
I8 Pa.C.3. § 490d relating to unsworn faisification to
authoriries.
Attor�ey-- (Name} {SupremeCourtLD.No.}
(Rddress)
(7'elephone)
DATE OF OEA7H U$T RESIOENCE DECEDENTS SOG.SE6 N4
12-i4-20t2 4405 E.Trindle Raad,Apt.35 Bldg I,Mechenicsburg,PA 1705q
FIGURES MUST BE TGTALED
Srokerage Accuuni with 3tocks and MM F�md q4,414.79
Cas6,CD's,Ba�lc Deposits aixl Miscei3anaw�s Pecsonal PmperiY 35,195.46
No Real Estate
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(AAf�cli�Inwd�eapr o ncaied)
'I+pTp[,: 99,615.75
N07E: TNc Memolandtan of real tstate ou�side the Commonweelth of Penn,rylvenia mey, et tice elrction of ihe perscw�el represen[ative inclWe the vaiue of each
item,bn such figwes should trot be e#aded ime the tota3 of the Inventmy. (See 20Po.C.S§33Qt(d}}
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