HomeMy WebLinkAbout06-06-14 (2) MENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 2012-00526
Personal Representative(s)of the Estate of Clarence A.Dittenhafer,Jr.
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the perso@ assets whwaver ajtua�g-
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valuation placedxpl§ite eac item&
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned ngTfk state oo3ide R&e
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this invent zu n or � Q
zrn rn rnm
I verify that the statements made in this Inven- 1 �y _1 o
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. §4904 relating to unsworn falsification to Q
authorities. b C 1 t> o
CJ `7i
Attorney-- (Name) Anna Borro Hays (Supreme Court LD.No) 70375
(Address) Saidis,Sullivan&Rogers,635 North 12th leet,Suite 400,Lemoyne,PA 17043
(Telephone) 717-612-5804
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
04/11/2012 431 Croghan Drive,Carlisle,PA 17013
FIGURES MUST BE TOTALED
350.7597 shs Chevron Corp 35,64145
I sh Foot Locker,Inc 30.13
PSECU Checking Account 0195268389-04 18,743.98
PSECU Regular Shares Account 01953268389-01 5.00
PSFCU Money Market Account 01953268389-07 4,643.73
2007 Lexus ES350 20,000.00
Genworth Financial Premium Refund 55.84
HMA Physician Refund 5.00
Apria Healthcare Refund 38.22
PA Treaury Dept Annuity Payment($2,026.98 minus$1,283.75 returned on 9/13/12) 743.23
Proceeds of North American Company Policy LWS0016563 250,941.78
(Attack additional skeet,as needed)
TOTAL: 330,849.36
NOTE: The Memorandum of real estate outside the Common vealth 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 tow]of the Inventory. (See 20 Per CS.§3301 ni))
Form RW-09 rev. 10.13,06