HomeMy WebLinkAbout04-15-15 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COi1�[�I'-CY, PENNSYLVANIA
COMMONWEALTH OP PENNSYLVANIA i SS 2014 00675
COUN'fY OF CUMBERLAND 1 file Number
Personal Representative(s)of the Estate of Pauline K. Hostetler
deceased,depose(s)and say(s)Chat the items appearing in the foliowing inventory include afl of the personal assets wherever situate
and all of the real estate in the Commonwealth of Pennsyivania 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 end of tl�is inventory.
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(veri that the statemenis made in this Inven- "�
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tory are true and correct. I understand that false state- rederic L. Hartsock
ments herein are made subject to the penalties of
F8 Pa.C.S. §4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) JaCqUeline A Kelly . (Supreme Court/.D. No.) 91973
(�tddress) 845 Sir Thomas Court Suite 12 Narrisburq PA 17109
(Telephone)717-541-5550
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.NO
100 Mt.Allen Drive
5/25/2014 Mechanicsbur PA 17055
FIGURES MUST BE TOTALED
Messiah Lifeways at Messiah Village; refund 633.92
Messiah Lifeways at Messiah Village; personal account 4,594.10
Maryfand State Retirement Agency; pension paid to Estate 116,825.15
2015 income tax refund 128.00
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(Attcich ndditi�i�a1 slieets as neededJ
TOTAL: �22,�8�.��
NOTE: The Memurandum of real estate uutside the Commonwealth of Pennsytvania may,at the election oFthc personal representative include the value�I'each
item,but such figures should not be extended into the total of the Inventory.(See 20 Na C.S. $3.301(t�1;�
Fawr RW'-09 rev. !0.f 3.OG
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