HomeMy WebLinkAbout04-17-15 (3) INVENTORY
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COLJNTY OF Cumberland SS File Number �1-10-]212
Personal Representative(s)of the Estate of Darrell R.Gordon
deceased,depose(s)and say(s)that the items appearing in the following inventory include all ofthe personal assets wherever 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 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 this inventory.
��
I verify that the statements made in this Inven- :�
tory are true and correct. I understand that false state- �~r.� —
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Kari E.Mellinger (Sa�preme Court I.D. No.) 316046
(Address) 3513 North Front Street,Harrisburg,PA 17110
(Telephone) ��17)234-7828
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
11/24/2010 131Shippensburg Mobile Estate,Shippensburg,PA 17257
FIGURES MUST BE TOTALED
1. Survival Action Settlement(Less 40%for Attorney's fees and litigation costs of$2,161.57) 109,513.43
;�� �
;�• � t�
� �"' rr1 C�
G =� G? �
� � �tn C7
�`T1 c� t--' �r' p
I�"
^i1 �� ,,,J :�.3
- ' �'� , c>
-,�
--� . `' -n
_ 1 c�.� 3 . �,
"`� �� i= C'rt
F� C�. p
' CJ� "T'i
..'y ��
S
(Attaeh additional sheets as needed)
TOTAL: 109,513.43
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the elecfion of the personal representative include the value oF each
item,but such figures should not be extended into the total of the Inventory. (See 20 Pa.C.S.,¢330/lb))
Form RW-09 rev. 10.13.06 �