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HomeMy WebLinkAbout07-11-14 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA. COMMONWEALTH OF PENNSYLVAN)A � Ss 2013-01111 COUNTY OF File Number Personal Representative{s)of the Estate of D U RYEA CAM E RO N deceased,depose(s}and say{s)that the items appearing in the fallowing inventory include all of the personal assets wherever situate and alt of the real esta.te in the Commonwealth of Penrisylvania 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#he Commonwealth of Pennsylvania except that which appears in a memorandum at the e this inventory{� :�= � ,.. �C' �.. �i t";. a= �, �r. ": I verify that the statements made in this Inven• �°' � � � �--- ,- t: tary are true and correct. I understand that false state- (signature) �.`'�,- _ - , � ments herein are made subject to the penatties of �,J` �v>.:� :" �'' 18 Pa.GS. 4904 retatin to unsworn falsification to signature) t.� -v � �~`� § � n�-=! � _:- �, authorities. ��� ,-_ �, Attorney-- (t�ame) James D. Cameron (supreme Court I.X�No.) 58�$ �� 1325 North Front Street, Harrisbur�, PA 17102 �`' � (Address) -— ('I'elephone) (717) 236-3755 pATE OF DEATFE I.AST RE3IDENCE DECEDEN7'S�C.SE0.1d0. October 11, 2013 1952 High Street, Camp Hill, PA 17011 219-18-0255 FIGURES MUST BE TOTALED Centric Bank certificate of deposit number 3055332 100,000.00 Accrued interest, Centric Bank certificate of deposit number 3055332 44.79 Integrity Bank certificate of deposit number 1037751 100,068.15 Mid Penn Bank certificate of deposit number 317000673 101,000.00 Accrued interest, Mid Penn Bank certificate of deposit number 317000673 676.18 PNC Bank custody account number 3986001-005-27-27 588,908.51 Accrued interest and dividends, PNC Bank custody account 2,760.68 number 3986001-005-27-27 (please see attached continuation sheet) (Attach additlonal sheets as neededJ TOTAL: $1,687,075.47 AI01'E: The Memorandusn of real estate oatside the Commonwealth of Pennsylvania may,at the election of tha personal represantative{nclude the value of each item,but such�igures should not be extended into the total of the Inventory. (See 20 Pa,C.S.§3301(6)) Form RW-D9 rev.10.13.06 RW-09 Estate of Duryea Cameron, deceased No. 2013-01111 INVENTORY (page 2) Sovereign Bank certificate of deposit number 2335550279 100,024.33 Accrued interest, Sovereign Bank certificate of deposit number 2335550279 162.38 Highmark Blue Shield 40.93 (refund of unused premium—prescription coverage) Highmark Blue Shield 603.46 (refund of unused premium—supplemental health insurance) Vanguard account number 88011453008 692,760.14 Accrued interest, Vanguard account number 88011453008 1.60 Verizon Wireless 24.32 (refund of overpayment on account)