HomeMy WebLinkAbout08-11-15 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMON WEAL'I'H OF PE,NNSYLVANIA �
Cot11v'rY oF CUMBERLAND _g" SS
File Numbu- 2� 15 0224
Personal Representative(s)of the Estate of Jean L. Weigand
deceased, depose(s)and say(s)that the items appearmg in the tollow�ng�nventory 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 owue o real estate outside of the
Commonwealth of Pennsylvania except tl�at which appears in a memoranduin at the end of t ' inv ntory.
1 verify that the statements made in this lnven- G��
tory are true and correct. 1 understand that false state- �
ments herein are made subject to the penalties of
18 Pa. CS. $ 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Stephen J. Hogq Esquire
(Szapr•eme Cozrrt LD. No.) 36812
(,�cldi-ess) 19 S. Hanover Street Ste. 101 Carlisle PA 17013
(Telephone) 7172452698
DATE OF DEATH LAST RESIDENCE
442 Walnut Bottom Road DECEDENT'S SOC SEC NO.
1/7l2015 Carlisle PA 17013 288143037
FIGURES MUST BE TOTALED
Blue Cross Refund
163.16
AmeriChoice Savings Acct#312940001 20.05
AmeriChoice Checking Acct#312940013 4,224.29
AmeriChoice Money Market Acct# 312940018 17,299.37
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(Attnc{e additiona[sfeeets qs neederl)
TOTAL: 21,706.87
tiO�l`�: The Memorandum of real estate outside the Commonw�ealth of Pennsylvania ma��_at the eleetion oY the personai representative incl�ide the value of each
item,but such tigures should not be extended into the[otal ofthe lnventory.(See ZO Pa. C.S.J+330//b))
Form R}�'-09 rev. IO.l.i.06 �
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