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HomeMy WebLinkAbout06-26-14 INVENTORY REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS File Number 21-13-1068 Personal Representative(s)of the Estate of Roy L.Miller 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. I verify that the statements made in this Inven- 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 unworn falsification to authorities. Attorney-- (Name) Jacqueline M.Verney,Esquire (Supreme Court J.D.NO) 23167 (Address) 44 S.Hanover St. Carlisle,PA 17013 (Telephone) 717-243-9190 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO. 10/01/2013 103 IA Waggoners Gap Road Carlisle,PA 7013 FIGURES MUST BE TOTALED 1.Real estate at 1031A Waggoners Gap Road,Carlisle,PA 17013 186,000.00 2.M&T bank checking acct 4539287 17,334.00 3.Mutual of Omaha Ins.Co.refund 744.76 4.Proceeds from sale of truck to Family Ford,Carlisle,PA 3,500.00 5.Hartford Ins truck ins.refund 96.00 6.Comcast cable refund 128.71 LL 00 O J Cl) LU _J _G C � O iL li O U ° C w -;z w tit C-3 h (V -J Q 1X (f) Z U 2 W CC7 O CC C C= T> o O N (Attach additional sheets as needed) TOTAL: 207,803.47 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)) Form RW-09 rev.10.13.06 1n•—1 OV