HomeMy WebLinkAbout03-11-15 (2) INVENTORY
REGISTER OF WTLLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
CAUN7YOF DAUPHIN SS PileN�mber 21 14 1064
Personal Represe�tative(s)of the Estete of �EAN M. POET
deceased,depose(s)and say(s)thal(he items appearing in�he following imentory i�clude all ofthe persunel assets whecever situate
and all ofthe real esta[e in Ihe Commonwealth of Pennsylvania of said llecedent,that[he valualion plaeed opposite each item of seid
imenmry represents its fair value es of[he date ofthe decedwPs death, and Ihat Decedent owned w real es[a[e ou[side of the
Commonwealth ofPennsylvania exwpt that which appears in a memorandum at the end ofthis inventory.
1 verify tha[Ihe s[a[ements made in[his Inven- �� _ ,/ F'��
tory are ttue and cortecL I understand thet false state- � y
ments herein aze made subject to the penalties of CHARLES E PETRIE
18 Pa.C.S. §4904 relating to unswom falsification to
authorities.
Atlorney -- (.Nome) CHARLES E. PETRIE /SupremeCourt/D. No) Z9�29
lAddress) 3528 BRISBAN STREET HARRISBURG PA 17111
(TelephaneJ (717) 561-1939
on.Eoroea.N us.aEsioencE oeceoervrssoc.scc.rvo
10 HOUSE AVENUE
10/11/2014 CAMPHILL PA 17011
� FICURES MUST BE TOTALED
REFUND FROM GOLDEN LIVING 1,896.62
REVERSE MONTHLY SERVICE CHARGE 14.95
53 SHARES OF PRUDENTIAL STOCK 2,73020
�
REFUND FROM VFW �� o �� <� 1,130.00
- ��
- _—�'
- _ �
r
�
n� ' i".
r" ' -:i
�
(AttoeN adMNana[sheefs as needed)
TOTAL: 5,771.77
NOP6 TheMemnrandumoYreelcstemowsideNeCommonwealthol'Prnnsylvwiamegauheelcetlonof�hcperronalmqmsanaiiveincluJe�hevalucofcach
i�cm,bm mch figures shoWd not be exmnded lo�o Ihc mtal of ihc Imcninry./See IO Pa C S 6330[/�/)
/ I
Form RlV-09 rev. ]O.i3D6