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HomeMy WebLinkAbout04-09-14 INVENTORY REGISTER OF WILLS OF CUMBERI.AND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS 21 13 1225 File Number Personal Representative(s)of the Estate of MARY ELLEN HORNING 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. [ verify that the statements made in this Inven- tory are true and correct. I understand that false state- P q . Y C O-EXECUTRIX ments herein are made subject to the penalties of �: 18 Pa. C.S. §4904 relating to unsworn falsification to MICHAh L W. H RNING, - XECUTOR authorities. Attorney -- (Name) DAVID H STONE, ESQUIRE (Supreme Court LD. No.) 39785 (Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070- (Telephone) (717) 774-7435 DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.NO. 2015 GOLDEN COURT 8/26/2013 MECHANICSBURG PA 17055- FIGURES MUST BE TOTALED Met-Life - life insurance policy#602770218A 1,827.86 with estate being beneficiary PNC Bank NA-Checking Acct#5140030263 6,245.13 United Commercial Travelers of America-premium refund 48.04 . � � � � rn � m � � � �? o rn n � � � � r— --+ ° r m M � n �, ta �n 0 � 7� � O G:7 � —O -ri 'Tt C7 � 3 � C"� : t'`iJ f'� �7'� N � O (Attach udditional sheets as needed) f' tl� � TOTAL: 8,121.03 NOTE: T'he 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 �