HomeMy WebLinkAbout08-04-15 (3) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COl_1NT'�,', PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA � SS "�(115-(���0288
COUNTY OF CUMBERLAND File Numbcr�_��._,_
Personal Representative(s)of the Estate of Mary Elizabeth Beatty
deceased,depose(s)and say(s)that the items appearing in the following inventory incl�i.ide�a!I of the personal assets wherever situate
and all of the real estate in the Coinmonwealth of Pennsylvania of said Decedent,that tl�ie v�:iE uation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and that I=�ece��iG:�nt owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the cnd ot this inventory.
I verify that the statements made in this Inven- �'-��.,�� � �.3 �ls
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) __ (�+�r,nreme Courtl.D.No.)
(Address) ---•--
(Telephone) --�--
!� DECEDENT'S SOG SEC.NO.
DATE OF DEATH LAST RESIDENCE
March 16,2015 5225 Wilson Lane,Mechanicsburg,PA 17011 301-12-7679
FIGURES MUST BE TOTALED n�
Premium Money Market Account#50-0579-8499 PNC Bankk 2,049.83
223,279.64
Refund of eutrance fee to Bethany Villiage
Reimbursement of Lont Term Care expense by insurer(Geuworth)
6,832.40
2,500.00
Silver Tea Service
1,000.00
China and silverware
2,000.00
Coin CollecYi�on
Re�ndr�f oJ�'�p yment by(�rthopedic Ii�stitute of PA 13.55
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(Attach ndditional sheets as needed) ..�._...
TOTAL: 237,675.42
NO'IE. The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election o'I' he personal representative include the value of each
item,but such figures should not be extended into the total of the lnventory. (See�0 Pa.C.S.�3��1 irb)J �
Form RW-09 rev. l0.13.06 ���