HomeMy WebLinkAbout01-17-14 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21-13-0520
Personal Representative(s)of the Estate of ANNETTA A.BURGETT
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-
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 unswom falsification to
authorities.
Attorney-- (Name) DOUGLAS G.MILLER,ESQUIRE (Supreme Court LD. No.) 83776
(Address) 60 WEST POMFRET STREET,CARLISLE,PA 17013
(Telephone) (717)249-2353
OAT E OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
04/27/2013 3605 SPRING ROAD,CARLISLE,PA 17013
FIGURES MUST BE TOTALED
SERIES EE SAVINGS BONDS 9,565.76
1 SHARE NATIONAL GRID 59.18
43 SHARES SANTANDER 284.66
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(Attach additional sheets as needed)
TOTAL: 9,909.60
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(6))
Form RW-09 rev. 10.13.06