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HomeMy WebLinkAbout09-21-05 REGISTER OF WILLS OFC'.il~gE~ll\t./,)COUNTY, PENNSYLVANA INVENTORY Estate of Lotta H Bushonq No.3/ 05 0022 also known as Date of Death 12/24/2004 Social Security No. 198-36-4105 , Deceased JUDITH A. BUSHONG Personal Representative(s) of the above Estate, deceased, verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statemailt:::a:3deinthisinventory8retrue2ndcorrect.!/.!./e underst;;JflC that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: David H. Stone, Esquire Personal Re~ /J-., l ~~/'J Judith A. Bushonq . -, 7 2613 Talbot Rd., Baltimore, MD 21216 Dated 09-1q-2005 1.0. No.: 39785 Address: 414 Bridge Street New Cumberland PA 17070- Telephone: (717) 774-7435 Description M&T Bank-Checking Acct. #18845002 Value 1901.45 ,.~ r.,:" 2 '-") '''j -J r....) -<;,' (_.j c...:> -...J Total (Attach Additional Sheets if necessary) 1,901.45 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. RW-4 ", , , , i ) ", PJ(. REGISTER OF WILLS OftUIllBI1,{j.l!/Yy COUNTY, PENNSYLVANA INVENTORY Estate of Lotta H Bushong No.U 05 0022 , Deceased Date of Death 12/24/2004 Social Security No. 198-36-4105 also known as JUDITH A. BUSHONG Personal Representative(s) of the above Estate, deceased, verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. I.D. No.: 39785 . pe6;uJ("~~ \futjfth A. Bushong ur 2613 Talbot Rd., Baltimore, MD 21216 Dated 09-1lf-2005 Name of Attorney: David H. Stone, Esquire Address: 414 Bridge Street New Cumberland PA 17070- Telephone: (717) 774-7435 Description M&T Bank-Checking Acct. #18845002 Value 1901.45 , .', r _..-~ ,'.-i ~'--,.) ( ..) (.,~) -.I Total (Attach Additional Sheets if necessary) 1,901.45 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. RW-4 pJ(