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HomeMy WebLinkAbout07-21-14 (2) INVENTORY REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COLINTY OF Cumberland SS File Number 2012-01170 Personal Representative(s)of the Estate of Shirley J.Graham 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 decedenYs 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 unsworn falsification to authorities. Attorney-- (Name) Kari E.Mellinger,Esquire (Supreme Court I.D.No.) 316046 (Address) 3513 N.Front St.Harrisburg,PA 17110 (Telephone) �17-234-7828 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO. 5/27/2012 1822 Walnut Bottom Rd,Newville,PA 17241 FIGURES MUST BE TOTALED Survival Benefits/Claim 149,355.65 �:> � � � ��� r--_,�: � �' � tr- `o ��. .� Et'V -�,_i . i'� � � .Ct� -: . S. �� '9 � <-. �L —i'; a= � i''� ,°'�T's �--� .. f___ � �n� 1 � (Attach additional sheets as needed) TOTAL: 149,355.65 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