HomeMy WebLinkAbout10-10-13 (3) ktECOP,I3FQ 4` ,utk �S
INVENTORY tti
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REGISTER OF WILLS OF CUMBERLAND COUNTII, PENNSYLVANIA
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C'OMMONWEALTtIOFPENNSYLVANIA I SS olil btIS GOtIR'T
COUNTY OF CUMBERLAND File Number 21 Z3`"rp t Q t PQ
Personal Representative(s)of the Estate of ADA GRACE COCKLIN
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever situate
and al I 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- adA l.t_t 1,
.tory are true and correct, I understand that false state- KEY ONE GUARDIANSHIP SERVICES,ADMINISTRATRiX CTA
ments herein are made subject to the penalties of
IS Pa,C.S. §4904 relating to unswom falsification to
authorities. By: Melanie Peters,Vice-President
Attorney -- (Name) DAVID H STONE ESQUIRE (Supreme Court LD. No.) 39785
(Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070-
(Telephone)(717)774-7435
DATE OF DEATH LAST RESIDENCE
FIGURES MUST BE TOTALED
Claremont Nursing Home-refund due 88.37
M&T Bank-Cert of Deposit#4192-44 507.38
Princ$507.36, Int$17
M&T Bank-Cent of Deposit#4192-44-Accrued Interest 0.17
M&T Bank-Savings Acct#4192-00 119.93
Princ$119.93, Int$,03
M&T Bank-Savings Acct#4192-00-Accrued Interest 0.03
Property located at 802 Fairfield St Mechanicsburg, Middlesex Twp., 82,000.00
Cumberland County, PA sold to Mark S. Seltzer, married man on August 9, 2013
Riverview Bank-Checking Acct#36288310 34,973.15
Princ$34,973.15, Int$2.59
(Attach additional sheets as needed)
TOTAL: 124,958.03
NOTE The Memorandum ofreat estate outside the Commonwealth of Pennsylvania may,at the election of the personal representative include the valucof each
item,but such figures should not be extended into the total of the Inventory.(See 10 fa.C.S.§3301(b))
Form NW-09 rev. 10.13.06