HomeMy WebLinkAbout04-13-06 (2)
Register of Wills of Cumberland County, Pennsylvania
Estate of Diven, Anita L.
INVENTORY
also known as
No. 21 - 05 - 01033
Date of Death 2/5/2005
Social Security No. 206-32-1942
, Deceased
Tonia L. Fasnacht
The 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 located 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 the 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. //We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
Attorney:
Personal Repre~ . y ~ .
SIgnature: / ru )-.CL ').62/n() C~
Tonia L. Fasnacht
David Patrick Perkins
1.0. No.:
34342
Signature:
Signature:
Address:
--'.......,
4 James Circle
Shippensburg, P A 17257-2165
..'
Telephone: 717/658-653 I
Address: 105 HoIIar A venue
Shippensburg, P A 17257'
Telephone: (717)532-6994
..-;
Personal Propertll
C)
Dated:
=-
M&T Bank - checking account No. 97209392
28 Walnut Bottom Road
Shippensburg, PAl 7257
175.89
Nationwide Insurance-tenant's insurance refund
Mutual of Omaha-refund
43.00
Capital Blue Cross- medical insurance
6.50
Capital Blue Cross-medical insurance
519.63
Social Security
395.94
1,113.00
Tota. Persona' Property
$2,253.96
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$2,253.96
pt