HomeMy WebLinkAbout12-05-13 (2) ■ 111 I
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 13 1032
Personal Representative(s)of the Estate of ETHEL P. DILLARD a/k/a ETHEL PATRICIA DILLARD
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- <' I �
tory are true and correct. I understand that false state- Cathy L dsey, Executri ; 14
ments herein are made subject to the penalties of
IS Pa.C.S-§4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Christa M. Aplin (Supreme Court LD. No.) 207949
C (Address) 845 Sir Thomas Court, Suite 12 Harrisburg PA 17109
(Telephone) 717-541-5550
DATE OF DEATH CAST RESIDENCE DECEDENT'S SOC.SEC,NO,
1000 CLAREMONT ROAD
8/3112013 CARLISLE PA 17013 1
FIGURES MUST BE TOTALED
Transamerica Non-Qualified Annuity#02MSF334946 65,573.19
Wells Fargo checking account#1000665449665 20,223.09
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Claremont Nursing & Rehabilitation Center; patient care account °� ° cIT'i c 358.08
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(Attach additional sheers as needed)
TOTAL: 86,154.36
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. 10.1106