HomeMy WebLinkAbout01-21-14 (4)-__ INVENTORY
= REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
_— COMMONWEALTH OF PENNSYLVANIA 1
- COiJNTY OF f SS File Number 21-13-1262
Personal Representative(s)of the Estate of Thomas Cook Lorenz
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 m 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
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) � S
(Supreme Court I.D. No.)
(Address)
(Telephone)
DATE OF DEATH IAST RESIDENCE
DECEDENTS SOC.SEC.NO.
03/30/2013 325 Wesley Drive,Mechanicsburg,PA 17055 182-
FIGURES MUST BE TOTALED
Fidelity Investments IRA#****0137
56,907.97
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(Attach additional sheets as needed)
TOTAL: 56,907.97
NOT'E: The Memorandum of real estate outside die 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.10.13.06