HomeMy WebLinkAbout12-03-14 (3) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21 - 14 -00246
Jacqueline Jones
Personal Representative(s)of the Estate of Jones,Agnes T.
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 emorandum 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
auti�orill es.
Attorney-- (Name) Debra K Wallet ,6,.�. ���� (Supreme�ourtl.D.No.)�X239 yq`m
(Firm) Law Offices of Debra K.Wallet
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(Address) 24 North 32nd Street - z M rr rrrl
Camp Hill, PA 17011 co
(Telephone) 717/737-1300 C_—
DATE
DATE OF DEATH LAST RESIDENCE 20 Cherish Drive DYE,9ffNT'S SOC.ESnt.NO�_ rn
3/5/2014 Camp Hill, PA 17011 o
FIGURES MUST BE TOTALED
Personal Property
Independence Blue Cross refund 442.02
Blue Cross payment for Holy Spirit Hospital invoice 1,184.00
PA National Insurance Co. refund 40.00
Emeritus at Creekview rent refund 2,285.00
Verizon refund 40.05
PP&L refund 73.49
Total Personal Property 4;064.56
(Attach additional sheets if necessary) Total Personal Property and Real Estate $4,064.56
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