HomeMy WebLinkAbout04-21-15 (3) INVENTORY
REGISTER OF WILLS OF C U M E R L A N D COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA SS ~'
COUNTY OF C U M E R L A N D File Number 21 �,4 ��5 -2.., �_
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Personal Representative(s)of the Estate of K E N N E T H G S P A N G L E R =�� � r�- � �-t �
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deceased,depose(s)and say(s)that the items appearing in the following inventory include al l of the�er�e`,�nai asse�s vhe�'��situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valuation p�a d 6 po ' each��te�of said
inventory represents its fair value as of the date of the decedent's death,and that Decedent owned nQ re�>es�te ou�ide o�tHt�
Commonwea lt h o f Pennsylvania except that which appears in a memorandum at the end of this inven�o�+; s �� c'>
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I verify that the statements made in this Inven- G�� ��� c�p `�
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tory are true and correct. I understand that false state- K A H E R I N E B E N N E T T, E X E C U T R I X
ments herein are made subject to the penalties of
18 Pa. C.S. §4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) DAVID H STONE, ESQUIRE (SupremeCourtl.D. No.) 39785
(Address) 414 BRIDGE STREET P • 0 . BOX E NEW CUMBERLAND PA 1707�-
(Telephone) �71?) 7 7 4-7 4 3 5
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.N0.
824 LISBURN RD, APT 235
7/30/2014 CAMP HILL PA 1701,1-
FIGURES MUST BE TOTALED
Comcast-refund 3� • 57
PA National Mutual Ins-rent insurance refund 49 • 00
Proceeds from National Guardian Life Ins Co ],3,809 • 30
from trust which the estate was beneficiary
T E Connectivity-Pension check received 1,310 • 64
VA Pension checks received 2 ,792 • �0
Verizon-refund 6 • 09
(Attach additional sheets as needed)
TOTAL: 17,997 • 6�
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may,at the election of the personai representative include the value of each
item,but such figures should not be extended into the totai of the Inventory.(See 20 Pa. C.S.§3301(b)J
Form RW-09 rev. 10.13.06 �
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