HomeMy WebLinkAbout06-22-15 (3) INVENTORY �
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COi1NTY OF CUMBERLAND SS File Number 2 D 14 0 0 6 2 9
Personal Representative(s)ofthe Estate of DORCAS M. SHELLENBERGER
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,thaC tlle valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death,and that Decede��t owiled o real estate outsi�e�of the
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Commonwealth of Pennsylvania except that which appears in a memorand a the end c�f is ' v tcxr�. �--� =�
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I veri that the statements made m this Inven- C ��.�� �
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tory are true and correct. I understand that false state- Robert L Shellenberger J �-- ��
ments herein are made subject to the penalties of ` � '����� � -�-
18 Pa.C.S. §4904 relating to unsworn falsification to � -�
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authorities. ; `�; :� i
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Attorney -- (Name) �acqueline A Kelly (Su reme„Coi�rtl.D. 1V'''?� 9��$'�
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(Address) 845 Sir Thomas Court Suite 12 Harrisburq " -.c PAJ 17`�09
(Telephone) 717-541-5550
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
211 Wood Street
6/],9/2014 Cam Hill PA 17011
FIGURES MUST BE TOTALEU
PSECU Savings (S1) 48.67
PSECU Checking (S4) 211.06
Pennsylvania State Employees' Retirement System; final benefit check 1,263.30
Tax and sewer reimbursement per HUD Settlement Statement dtd 1/30/15 910.13
2003 Lincoln Town Car Signature Sedan; VIN 1 LNHM82W43Y672006 992.00
Value based upon Kelley Blue Book
211 Wood Street, East Pennsboro Township, Cumberland County, PA 130,000.00
Property ID 09-20-1850-218
(Attach additional sheets as needed)
TOTAL: 133,425.16
NOTE: The Memorandum of real estate outside the Commonwealtli of Pennsylvania may,at the election of the yersonal representative include the value of each
item,but such figures should not be extended into the Yotal of the Inventory.(See?0 Pa.C.S.,¢3301(bjJ '�
Form RW-09 rev. 10.13.06 ^�