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INVENTORY
Estate of Anna E. MorQan
No. 21 06 0416
Date of Death 4/26/2006
Social Security No. 164263966
also known as
, Deceased
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.
Name of
Attorney: David H. RattiQan, Esquire
1.0. No.: 34475
Executor
Address: Ten Westwood Road
Dated
Pottsville
Telephone: 570-622-5933
PA 17901
Description
Value
Stocks & Bonds
MetLife, Inc., stock, 48 shares @ $51.00
(Exhibit B-1)
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Cash, Bank Deposits, & Misc. Personal Property
Community Banks, checking account
Capital Blue Cross, refund
MetLife Life Insurance, proceeds
Total
(Attach Additional Sheets if necessary)
~48.00
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0"274.30 ,.i
2,872.04
21,667.13
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.
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