HomeMy WebLinkAbout06-04-14 (4) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couni7Y oF Cumberland } SS File Number 21 -13-01258
Jacqueline J.Ayers •
Personal RepresentaHve(s)of the Estate of Grohol, Patricia Mn
deceased,depose(s)and say(s)that the items appearfng in the following inventory include all of the personal assets wherever situate
and ali 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 decedenYs death,and that Decedent owned no real estate outslde of the
Commornvealth of Pennsylvania except that which appears i a memorandum�t the end of this' ventory.
I verify that the statements made in this Inven- `� ` ,� p�Ti`�
tory are trtie and correct.I understand that false state- } �yu ine J.Ayers
ments herein are made sub]ect to the penaltles of �y
18 Pa.C.S.§4904 relating to unswom falsiflcation to }
authorides.
Attorney- (Name) Charles L Holsworth Esq (Supreme Court l.D.No.) 36T87
(Fi�) Holsworth,Sander and Associates� P.C.
(Address) 5801 Brownsville Road
Plttsburgh, PA 15236
(Telephone) 412/653-2556
a►TE o�o�►TM usr�si°°�cE 4119 Nantucket Drive ���'n's SOC.SEC.NO.
9/9t2013 Mechianicsbur , PA 17050
FIGURES MUST BE TOTALED
�
Personal Propertv c o � � �
The Hartford -flnal long term disability check �� -'�°a � ��1
'`-� =� �'� � :,�� �
.-'� ;-,. f— ,,...p i�
PSECU check -Account #0211XXXXXX-money remaining in account ��� �° '_ ? ,s 11��5a�46
Capital Blue CrossNanguard-401 k, plan No 090370 c� c.�'.-� � � T��P72
v � ti.�
. �i � -- c'�
—� �' _
Total Personal Prop�rty r-� 1��69
�--� -n
(Attach addi�onal sheets ff necessary) Total Personal Property and Real Estate $19,643.69