HomeMy WebLinkAbout12-23-14 (2) INVENTORY
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland SS File Number Z�-13-1336
Nathan Douglas Patterson, Executor
Personal Representative(s)of the Estate of Cheryl Lynn Patterson
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever situate
and al l 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 of this inventory.
_....
I verify that the statements made in this Inven- �., `` --
tory are true and correct. 1 understand that false state- Nathan Douglas Patterson, Executor
ments herein are made subject to the penalties of 775 yale Street, Apt. ��304
18 Pa.C.S. § 4904 relating to unsworn falsification to Harrisburg, PA 17111
authorities.
Attorney-- (Name) Keith O. Brenneman, Esquire (Supreme Court LD. No.) 47077
(Address) Snelbaker&Brenneman,P.C.,44 West Main Street,Mechanicsburg,PA 17055
(Telephone) �17-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOG SEG NO.
12/14/2013 401 South Arch Street,Apt.#1, Mechanicsburg, PA 17055
FIGURES MUST BE TOTALED
1. Department of the Treasury,refund due the decedent on 2013 income tax 235.00
2. Commonwealth of Pennsylvania,refund due the decedent on 2013 income tax 70.00
3. 2009 Volkswagon Eos,sale value 14,159.00
4. Orrstown E3ank,checking account#149000626 3,059.36
5. Orrstown Bank,checking account#149000858 420.50
6. Travelers Insurance,premiwn refund due the decedent 149.63
7. Holy Spirit Hospital,refund due the decedent 25.00
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(Attach additional sheets as needed)
TOTAL: 18,1 18.49
NOTG: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of[he personal representative include the value of eacl �
item,but such tigures should not be extended into the total of the Inventory. (See 20 Pa.C.S.§330!(b)) �
FonriRW-09 rei�. J0.13.06