HomeMy WebLinkAbout10-28-14 (2) INVENTORY
REGISTER OF WILLS OF C U M B E R L A N D COLTNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVAMA �
couNTYOF CUMBERLAND ss
File Number 21 � 14 �2 3 2
Personal Representative(s)of the Estate of M A R G A R E T A • R 0 S S
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- � �t J►'�'�.P?'��./
ments herein are made subject to the penalties of H E L E N M • S Z E M E S I� �
l8 Pa. C.S. §4904 relating to unsworn falsification to
authorities. 268 BOAS ST . APT - 3 HARRISBURG, PA 171�2
Attorney -- (Name) GERALD J . SHEKLETSKI, ESQ . (SupremeCourtLD. No.) 40486
(Address) 414 BRIDGE ST • NEW CUMBERLAND PA 1,7070
(Telephone) 7��7- 7�y- 7�"3�"
DATE OF DEATH LAST RESIDENCE
9 C 0 U R T L A N D R 0 A D DECEDENT'S SOC SEC N0.
2/2/20],4 CAMP HILL PA 1,7011 188123545
FIGURES MUST BE TOTALED
PERSONAL PROPERTY
2001 PONTIAC GRAND AM GT AUTOMOBILE 1„500 • 00
,-.�
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201,3 FEDERAL INCOME TAX REFUND CHECK �' � � �
� o c-� �-t�1�2� • 0 0
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� ,y> �... N J
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REAL ESTATE �:,
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, ,
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9 COURTLAND ROAD, CAMP HILL , PENNSYLVANIA 17011 ��ry
; . . 5��,�� • 00
_b� 5
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-- �-_
._, �,7 G�
. C7 ��
� S
(Attach additional sheets as needetl)
TOTAL: 52,5zo . oa
NOTE: The Memorandum of rea]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(bJ) �
Form RW-09 rev. 10.13.06 �