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HomeMy WebLinkAbout07-09-15 (2) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS File Number 21-15-0446 Personal Representative(s)of the Estate of FRANCES G.SWARTZ 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 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney-- (Name) Thomas P.Gleason (Supreme Court I.D.NO) 82259 (Address) 49 West Orange Street,Shippensburg,PA 17257 (Telephone) (717)532-3270 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO. April 12,2015 121 Walnut Bottom Road,Shippensburg,PA 17257 FIGURES MUST BE TOTALED Orrstown Bank Trust Account#20000190002 169,559.38 Orrstown Bank Checking Account#688738 22,178.44 Office of Federal Employees Group Life Policy payable to Estate 3,751.70 Bankers Life Policy payable to Estate 3,031.68 Orrstown Bank Stock(166 shares) 2,689.20 Refund from Fogelsanger Bricker Funeral Home 602.52 Cumberland County Burial Credit 100.00 Refund from the Medicine Shoppe 31.71 Orrstown Stock dividend , rn n 11.62 O C:.. 07 p rn ti M rn Ca C7 C� C'a c� C c> o N r' rn r—' D Cwt 1 ©rt (Attach additional sheets as needed) TOTAL: 201,956.25 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 0