HomeMy WebLinkAbout07-06-15 INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-14-1184
Doris I Blouin
Personal Representative(s)of the Estate of Leslie L Blouin
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 valu n placed or" site eac5!
item of said inventory represents its fair value as of the date of the decedent's death,and that Decede�wned no rei estate
outside of the Commonwealth of Pennsylvania except that w ich appears in a memorandum at the enftf f@s invenW. rr' C-)
1 verify that the statements made in this Inven- �,,� , _0
tory are true and correct. I understand that false state- Doris I Blouin D rnM rri
ments herein are made subject to the penalties of 7C, CO xs C:s
18 Pa.C.S.§4904 relating to unsworn falsification to `=
authorities.
M
Attorney-- (Name) Marielle F. Hazen Esq. (Supreme Court I.D. No"'f 68003
(Firm) Hazen Elder Law
i
(,address) 2000 Linglestown Road, , Harrisburg, PA 17110
(Telephone) 717-540-4332
DATE OF DEATH LAST RESIDENCE 13 George Circle DECEDENTS SOC.SEC.NO.
11/19/2014 Mechanicsburq, PA 17055
FIGURES MUST BE TOTALED
Personal Property
Cash...............................................................................................
Personal Property........................................................................ 33,803.00
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 33,803.00
Total Real Property................................................
Total Personal and Real Property........................ 33,803.00
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 M Pa.C.S.§3301(b))
Form RW-09 Rev.fo-f3-2om
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-14-1184
DATE OF DEATH LAST RESIDENCE 13 George Circle DECEDENT'S SOC.SEC.NO.
11/19/2014 Mechanicsburq, PA 17055
Personal Property
1957 Ford Fairlane-appraised value 32.000.00
2002 Mercury Sable GS-150,000 miles 1,803.00
Total Personal Property 33,803.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 33.803.00