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HomeMy WebLinkAbout05-08-14 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COCJNTY OF CUMBERLAND SS Fite Number 21 13 1109 Personal Representative(s)ofthe Estate of DOLORES L ZIMMERMAN deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever situate and ali of the real estate in the Commonwealth of Penr►sylvania 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- PA I ER CO-EXEC TOR ments herein are made subject to the penalties of '� 18 Pa. C.S. §4904 relating to unsworn falsification to Y R AN, CO-EXECUTOR authorities. Attorney -- (Name) DAVID H STONE ESQUIRE (Supreme Court LD. No.) 39785 (Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070- (Telephone)5717) 774-7435 DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.N0. 375 CLAREMONT DRIVE 10/13/2013 CARLISLE PA 17013- FIGURES MUST BE TOTALED Americhoice FCU-Checking Acct#0011 12,771.77 Americhoice FCU-Money Market Acct#0018 185,649.36 Americhoice FCU-Regular Savings#0001 5.00 Homesteaders Life Company-Certificate held for funeral expenses 9,045.27 US Treasury-refund on 1040 2013 tax return 580.00 u.. cx� o cn o .� w .��1 N h �- r--{ [� ' 4— :.,_ E t.� —�"�, CJ Lz.. f.�_. � C:3 � ... � �; i�a , � t.�a :�* �: c� t'.,� �.� t� c%:a �,— CJ � � (�t F� ad�onal s�t�s needed) � �` ^ � TOTAL: 208,051.40 0 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.§330!(b)) �� � FormRW-09 rev. l0.l3.06 \� �� \ INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COi1NTYOF CUMBERLAND SS FileNumber 21 13 1109 Personal Representative(s)ofthe Estate of DOLORES L ZIMMERMAN 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,an�l 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- `'i��� � ' tory are true and correct. I understand that false state- ��'�C��— ments herein are made subject to the penalties of P ZIM � CO-EXECUTOR 18 Pa. C.S. §4904 relating to unsworn falsification to /�� authorities. I E AN, CO-EXECUTOR 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 DECEDENT'S SOC.SEC.N0. 375 CLAREMONT DRIVE 10/13/2013 CARLISLE PA 17013- FIGURES MUST BE TOTALED Americhoice FCU-Checking Acct#0011 12,771.77 Americhoice FCU-Money Market Acct#0018 185,649.36 Americhoice FCU-Regular Savings#0001 5.00 Homesteaders Life Company-Certificate held for funeral expenses 9,045.27 US Treasury-refund on 1040 2013 tax return 580.00 (Attach additional sheets as needed) TOTAL: 208,051.40 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)J Form RW-09 rev. 10.13.06