HomeMy WebLinkAbout02-12-14 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21-13-0711
Personal Representative(s)of the Estate of CAROLYN G.HUMPHREYS
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 unsworn falsification to
authorities.
Attorney-- (Name) ANN E.RHOADS (Supreme Court I.D.No.) 49631
(Address) 244 W MAIN STREET,HUMMELSTOWN,PA 17036
(Telephone) 717-482-8392
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
May 19,2013 3609 Kohler PI.,Apt. 17,Camp Hill,PA 17011
FIGURES MUST BE TOTALED
Country Meadows Refund 440.02
Citizens Bank Checking Account#6225118393 22,060.60
Citizens Bank 9-month CD#623512126 4,007.86
2013 Federal Income Tax Refund 679.00
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(A&ach additional sheets as needed)
TOTAL: 27,187.48
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.10.13.06