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HomeMy WebLinkAbout07-31-15 (2) nr�rmEn INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS File Number ��-�0-0(l7 Jody A Wheeler and Steven M Meredith, Co—Executors Personal Representative(s)of the Estate of Carl A. Meredith 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 ofi the decedent's death, and that Dccedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. n 1 verify that the statements made in this Inven- l�l � / tory are true and correct. 1 understand that false state- o . �ee ez . r dith ments herein are made subject to the penalties of 108 as Earl Street 1535 Ridge Road 18 Pa.C.S. � 4904 relating to unsworn faisification to oi ing prings,-�W�e �s���A 17365 authorities. Attorney-- (Name) Richard C. Snelbaker ��S"z�preme Coz�rt l.D. No.) 6355 (Address) 44 West Main Street, Mechanicsburg,PA 17055 (Telephone) �17-697-8528 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO. 06/09/2010 339 East Old York Road,South Middleton Twp,Carlisle, PA ]7015 FIGURES MUST BE TOTALED 1. Proceeds from wrongful death action for professional medical negligence(Docket#12-191-CIVIL) 196,884.81 ;�� � � � �. G � C"9 �r � � Q ca i-- �n � n � --� � �� �. c~ c,� -.} rn ��� ►---� � . ��;,.? " ' _.,� � '.,...".F ,., -, ..�..�� "7-� � � �� " � �J _ C;t,A r= rrt c'— G7 ���,1 � �7 - CI7 (Attach additiona!sheets ns needecl) TOTAL: 196,884.81 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the clection of the personal representative include the v�Iue uf each item,but such tigures should not be extended into the total of the Inventory. (See 20 Pn.C.S.�3301(b)) � Fornt Rlv-09 rev. 10.13.06 �