HomeMy WebLinkAbout04-01-14 (2) INVENTORY
REGTSTER OF WILLS OF CUMBERLAND C4UNTY,�ENNSYLVANIA
COMMONWEALTI-�OF PSNNSYLVANIA '
COi3131YOF ss FileNumber 21 13 0895
Persanal Representative(s)of the Estate of Patricia M. Shaw
deceased,depose(s)an�d say(s}that the items appearing in the followin:g inventory include all of the personal assets wherever sitc�ate
and all of the reai estate in the Commonwealth of Pennsylvania of said Decedcnt,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 af Ponnsylvania except that which appears in a memorand at the end of this inventory.
I verify that the statements made in this Inven- J�� � • ,
tory are true an.d correct. I understand that false state-
ments herein are made snbject to the penalties of
18 Pa.C.S.§4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Theres�L. Shade Wix, Esp. (Supreme Court I.D.No.) 43089
{Address) 4705 Duke Street Harrisburg PA 17109
(Telephone) (T47)652-8455
PATE OF DEATH U13T RESIOENCE DECEDENT$SOC.SEC.NO.
8601 Temple Hills Road, Lot 145
11/13/1994 Tem ie Hiils MD 20748
FIGURES MUST BE TQTALED
1. 9759 Sheepford Road, Mechanicsburg, PA 8,540.00
2. Scl�oot Tax Refund 161.21
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{Attach additionat sheets as needed)
TOTAL: 8,661.21
N01'E: The Memoraz�dum of reai estato outside the Commonwealth of Pennsyivania may,at the etection of the personal represeaitative include the vaiue of each
item,but such figures Should noi be extended into the totei of the Inventory.(See 20 Pa.C.S§3301(b))
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Form!tW-09 rex 10.13.06