HomeMy WebLinkAbout08-03-05
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Register of Wills of Cumberland County
INVENTORY
E;tateof ChRrl PC: W DetFilgr
Iso known as
EstateNo. 21-0'1-161
Date of Death 2/10/05
Social Security No. 165-24-7492
, Deceased
. Personal Representative(s)'
: above Estate, deceased, verifY that the items appearing on the following inventory include all of the personal assets wherever situate and all 0
.1 estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its f,
lue as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that whir
pears in a memorandum at the end of this inventory (PEF ~ 3301). lfWe verifY that the statements made in this inventory are true and correct.
Ve understand that false statements herein made are subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to
thorities.
N ime of Attorney: Jacqueline M. Verney Personal Representative: Susie V. Miller
I ). No.:
23167
44 S. Hanover St
Carlisle> PA 17013
Address: 51'5 E. Onmge St
Shippensburg, PA 17257
Signature: ~~ 14. tIa-~
Date: 8-3-05
A :idress:
T :Iephone: 717-741-9190
Description
Value
1. PSECU Savings acct
2. 1996 Chevrolet Monte Carlo
3. 1987 Skyline Mobile Home
4. 2004 Federal tax refund
5. Refund Ronan Funeral Home
6. Refund PPL Gas Utilities Corp
7. Refund Sentinel
8. Refund Mutual of Omaha life ins premium
9. Refund Patriot News
10. Refund Nationwide ins homeowners & car ins
11. Refund Aero Energy
12. Refund PMI security deposit
13. Refund Waste Management
14. PSECU checking acct
15. PSERS april payment
16. 2004 local income tax refund
17. Refund Comcast
18. Refund PEBTF
11 >810. 88
1>800.00
0.00
417.00
100.00
103.11
16.80
17.90
18.45
268.20
263.30
100.00
46.80
1>435.65
409.15
17.60
42.41
8.01
16,875.26
(Attach Additional Sheets if necessary)
Total
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative. incltt.::-:'
value of each Item, but such figures should not be extended into the total of the Inventory. C) 2~
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