HomeMy WebLinkAbout09-26-14 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21-13-0519
Personal Representative(s)of the Estate of F.CLYDE BURGETT
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever situate
and all ofthe 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 unsworn falsification to
authorities.
Attorney-- (Name) DOUGLAS G.MILLER (Supreme Court I.D. NO.) 83776
(Address) 60 WEST POMFRET STREET,CARLISLE,PA 17013
(Telephone) (717)249-2353
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
04/17/2013 3605 SPRING ROAD,CARLISLE,PA 17013
FIGURES MUST BE TOTALED
3605 SPRING ROAD,CARLISLE,PA 17013 1,100,000.00
SOVEREIGN BANK-CHECKING ACCOUNT#1661337074 6,016.13
SOVEREIGN BANK-MONEY MARKET ACCOUNT#7673013983 6,280.12
M&T BANK- CHECKING ACCOUNT#9858887830 19,823.24
ORRSTOWN BANK-ACCOUNT#4000045383 19,820.09
WESTERN&SOUTHERN LIFE-ANNUITY#W0020603584 10,090.72
WESTERN&SOUTHERN LIFE-ANNUITY#W0020736776 7,139.60
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(Attach additional sheets as needed)
TOTAL: 1,169,169.90
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(6))
Form RW-09 rev. 10.13.06