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HomeMy WebLinkAbout12-01-05 (2) Register of Wills Cumberland County r Pennsylvania INVENTORY Estate of Rose A. Myers also known as , Deceased Jean A. Adams, Co-Executor, No. 21-05-00281 Date of Death 03/02/2005 Social Security No. 172-01-3610 Personal Representative(s) of the above Estate. decaased, verify that the items appearing in the following inventory include ail of the personal assets wherever situate and all of the reel estate in the Commonwealth of Pennsylvania of said Decedent. that the valuation placad opposite each item of said Inventory represents its feir value as of the date of the Decedent's death, and that Decedent owned no real estate outside of 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 stataments herein are made subject to the penalties of 18 Pa. C.S. Seotion 4904 relating to unsworn falsification to authorities. Name of L II R GtE . Att owe. a es, sqUire orney: 46779 Gates, Halbruner & Hatch, P.C. 1013 Mumma Rd., Ste. 100, Lemoyne, PA 17043 Telephone: (717) 731-9600 1.0. No.: Address: Description ~ Deted )/ //- 01-..:L - V 6' Value Citizens Bank Checking Acct. #610070-192-1 Citizens Bank Savings Acct. #6140-168147 Internal Revenue Service - refund on 2004 income tax return $41,774.69 $2,008.77 $324.00 (Attach Additional Sheets if necessary) - . " . I - _'.. Mol .r.- Co Total: $44,107.46 NOTE: The Memorandum of real estate outside the Commonweatth 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-B -'::'~,rl :;-J