HomeMy WebLinkAbout02-26-15 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
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COMMONWEALTH OF PENNSYLVANIA } SS � � � � �� �
couNTv oF Cumberland } File Number 21 -09-00204r�7 -•- ,;� � � � j
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Douglas G.Clouser Debra A. Houseman � �-�� c� '
Personal Representative(s)of the Estate of CIOUS2�, DBVId H � •� ^"
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal asse�s 1r�+here�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 decedenYs death,and that Decedent owned no real estate outside of`t#�e � � y-,7
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. , ' ' ,.� t ,
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I verify that the statements made in this Imen- ������
tory are true and correct. i understand that false state- } ��
ments herein are made subject to the penalties of ougla . Clouser
18 Pa.C.S.§4904 relating to unsworn falsification to }
authorities. Debra A. Houseman
Attorney-- (Name) Michael Oresto Palermo (Supreme Court I.D.No.) 93334
(Firm) Palermo Law Offices
(Address) 3300 Trindle Road
Camp Hill, PA 17011
(Telephone) 717/635-9591
DATE OF DEATH LAST RESIDENCE 1204 M itchell Drive DECEDENT'S SOC.SEC.NO.
2/20/2009 , PA 17050 184-26-5048
FIGURES MUST BE TOTALED
Personal Propertv
Contents of 1204 Mitchell Drive, Mechanicsburg, PA 17050 22,830.61
Member's 1st Escrow Refund 5.19
Paul's Stor-All Refund 120.00
Total Personal Property 22,955.80
Real Estate
1204 Mitchell Drive, Mechanicsburg, PA 17050 151,000.00
Total Real Estate 151,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate $173,955.80
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