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HomeMy WebLinkAbout05-19-15 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA I SS 21-11-0949COUNTY OF CUMBERLAND File Number Personal Representative(s)of the Estate of Paul A.Mattus deceased,depose(s)and say(s)that the items appearing in the following inventory include al l of the 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 I nventory 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- ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney-- (Name) Shaun E.O'Toole (Supreme Courl I.D.NO)44797 (Address) 220 Pine Street,Harrisburg,Pennsylvania 17101 (Telephone) 717-695-0389 DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.NO. 08/30/2011 514 Partridge Court,Mechanicsburg,PA 17050 FIGURES MUST BE TOTALED 1. Paul A.Mattus Agency&Sons,Inc.-Decedent owned 100 of 199 outstanding shares of corporation 154,274.48 2. 3810 Market Street,LLC,PA limited liability company;Decedent owned a 50%of entity 5,001.30 3.'2002 Ford truck 4,000.00 o M M, e o r 7l rrr t n Co :7 CD c") C) <3 �� .r 71 17- r."t r- Cn O (Attach ad&donal sheets as needeig TOTAL: 163,275.78 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election 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.§3301(6)) Form RW-09 rev.10.13.06