HomeMy WebLinkAbout02-24-14 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-13-0751
COUNTY OF Cumberland }
Barbara S. Dawson
Personal Representative(s)of the Estate of Helen L. Schardin
Helen Lucille Schardin
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 Commonweatth 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 decedenYs death,and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that which appears in a memorandu at the end of this inventory.
I verify that the statements made in this Inven- '�%�����/..� � ���G�����i�' �-�
tory are true and correct. I understand that false state- � Barbara S. Dawson �_�
ments herein are made subject to the pena�ties of � _
18 Pa.C.S.§4904 relating to unsworn falsification to ',
, .- �_ i_ :
authorities.
_ , ; - �- -
; •-,_,
Attomey-- (Name) Amy M. Moya (Supreme��flurt I.D. No.�„_, 9_'44Q��
c- —
(Firm) L. O.of Susan E. Lederer
(Address) 5011 Locust Lane, Harrisbur , PA 17109
(Telephone) 7171652-7323
DECEDENTS SOC.SEC.NO.
DATE OF DEATH LAST RESIDENCE g01 North Hanover Street
05/2312013 Carlisle, PA 17013
FIGURES MUST BE TOTALED
Personal Proqertv
Cash............................................................................................... 2,292.84
Personal Pro e 250.00
p rtY........................................................................
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 2,542.84
Total Real Property................................................
Total Personal and Real Property........................ 2,542.84
NOTE: liem bumsuch�fguresrshould ntot be extended Inmo theWOtaltof t elnventory�(See�10tPaeClSc§3301t(bj)Personal representative include the value of each
Form RW-09 Rev.�o-ts-zooe
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNnr oF Cumberland File Number 21-13-0751
DECEDENTS SOC.SEC.N0.
DATE OF DEATH LAST RESIDENCE g01 North Hanover Street
05/2312013 Carlisle, PA 17013
Cash
Cash on hand 123.63
Check from Church of God(nursing home refund) 2,136.37
Check from Delta Dental(refund of dental service-copy of check not available) 32.84
Total Cash 2,292.84
Personal Pro��
Miscellaneous personal property 250.00
Total Personal Property 250.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 2,542.84