HomeMy WebLinkAbout12-30-14 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COl1NTY OF CUMBERLAND ss File Number 21-14-01027
Personal Representative(s)of the Estate of C.ADRIAN SHOEMAKER
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever situate
Gnd all of the real estat�in the Commonw�alth af Fennsy:va;.ia of said Dec�dent,that the�aluatian placed opposite each itern o:sai�
inventory represents its fair value as of the date of the decedent's death, and that Deceden e"��,eal estate outside of the
Commonwealth of Pennsylvania except that which ap ears in a me orandum a t "o ^
I verify that the statements made in this Inven- ��Crl '�
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 falsifica '
authorities.
Attorney-- (Name) MARCUS A.McKNIGHT,III (Supreme Courtl.D. No.) �5476
(.4ddress) 60 WEST POMFRET STREET,CARLISLE,PA 17013
(Telephone) ��17)249-2353
DATE OF DEATH � LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
08/21/2014 1 LONGSDORF WAY,CARLISLE,PA 17013
FIGURES MUST BE TOTALED
NATIONWIDE INSURANCE LIFE INSURANCE POLICY 43,381.56
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(Attaeh additional sheets as needed)
TOTAL: 43,381.56
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 6gures should not be extended into the total of the Inventory. (See 20 Pa.C.S.§3301(b))
Form RW-09 rev. !0.l3.06
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