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HomeMy WebLinkAbout07-08-14 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTYOF CUMBERLAND SS File Number 2014 00392 Personal Representative(s)of the Estate of Mildred E. Sourbeer 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- z tory are true and correct. I understand that false state- ments herein are made subject to the penalties of Kenneth L. Sourbeer, Executor 18 Pa. C.S. §4904 relating to unsworn falsification to authorities. Attorney -- (Name) Jacqueline A. Kelly (Supreme Court I.D. No) 91973 (Address) 845 Sir Thomas Court, Suite 12 Harrisburg PA 17109 (Telephone) 717-541-5550 DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC,NO. 220 Salt Road 4/112014 lEnola PA 17095 FIGURES MUST BE TOTALED Members 1st checking account; account#0000476742-0011 343.17 Members 1 st savings account; account#0000476742-0000 5.00 n n..: co r x'3 rn r— cr OD O. C7 (Attach additional sheets as needed) TOTAL: 348.17 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(h)) Form RW-09 rev. 10.13.06