HomeMy WebLinkAbout06-05-15 (3) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21 - 15 -00108
Beverly A. Kreman Wayne C. Nissley,Jr.
Personal Representative(s)of the Estate of Nissley, Lillian M.
deceased, depose(s) and say(s)that the items appearing in the following inventory include all 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
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- 4Beveril A. e Aments herein are made subject to the penalties of18 Pa.C.S. §4904 relating to unsworn falsification toauthorities. e . Nissley,Jr
Attorney-- (Name) Dennis J Ward (Suprema:!CoR 1.D.No. E o
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(Firm) Dennis J.Ward, Attorney at Law r; �- c7 ,
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114 East Main Street r.,.. }`: �J Y
(Address)
Suite A f
Ephrata, PA 17522 a `
(Telephone) 717/733-8411 i r—
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DATE OF DEATH LAST RESIDENCE Manor Care Health Services DECEDENTS soc.SF�vO.
12123/2014 1700 Market St., Camp Hill, PA 17011
FIGURES MUST BE TOTALED
Personal Property
MetLife, Inc. 709.93
Susquehanna Bank-Certificate of Deposit Account No. 10008240383 51,866.48
-Verification attached
Susquehanna Bank-Savings Club Account No.420663026 100.01
-Verification attached -
Holy Spirit Hospital-refund 85.58
SecurChoice -Prepaid Funeral expense 9,332.22
-Verification attached
(Attach additional sheets if necessary) Total Personal Property and Real Estate $62,094.22
a
INVENTORY
(continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21 -15-00108
DATE OF DEATH LAST RESIDENCE Manor Care Health Services DECEDENTS SOC.SEC.NO.
DATE OF 2014 1700 Market St., Camp Hill, PA 17011 173-03-6682
Total Personal Property 62,094.22
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