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HomeMy WebLinkAbout06-25-15 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNT�', PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA SS 21-15-0412 COUNTY OF CUMBERLAND File Number Personal Representative(s)of the Estate of Ruth A.Bowers 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- , ments herein are made subject to the penalties of c� � �.✓ / in 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney-- (Name) Anna Borro Hays,Esquire (Srrprenie Court I.D.No.) �0375 (Address) Saidis, Sullivan & Rogers, 635 N. 1 th St. , St.e. 400, Lemoyne, PA 17043 (Telephone) 717-612-5804 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO. O1/15/2015 19 Natures Crossing,Enola,PA 17025 196-22-9422 FIGURES MUST BE TOTALED 60 shs Met Life,Inc.stock 2,913.30 Cemetery lots-Juniata Memorial Park,Inc. 100.00 Celtic Health Care-refund 90.00 State Farm-car insurance refund �' 143�14 c: ,:� � Proceeds of sale of 1999 Buick Century �� � c_ 2��i�(��9� ROBC Limited Partnership-refund -�" '� � 2'��� �:_- . .�.., ,.., �; ,: _, _t � - c . � :� _ . i-� , . - - �rt ... . ��- ,, -,,1 _ . , •� ,1 ; a N� ___ -_> -;:+Il � C� "7 ;,, . _ t-il � `;�a W � . `,� O __i CJ.� -�t1 .� � (Attac{i additio�ial sheets as needed) TOTAL: 7,994.74 NOTE: The Memorandwn of real estate outside the Coimnonwealth 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 5�3301(b)) � Form RW-09 rev.10.13.06 �