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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
David M Stauffer and Evan E Stauffer Jr
Personal Representative(s) of the Estate of Sara B Stauffer
File Number 21-06-0781
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in trie 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 of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. 0
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I verify that the statements made in this Inven- }
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. ~ 4904 relating to unsworn falsification to }
authorities.
"
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
EDMUND G. MYERS
Johnson Duffie
301 MARKET STREET
(717) 761-4540
N
o
(Supreme Court I.D. No.) - 20558
DATE OF DEATH
07/29/2006
LAST RESIDENCE
325 Wesley Drive
Mechanicsburg, PA 17055
FIGURES MUST BE TOTALED
DECEDENT'S SOC. SEC. NO.
171-42-1130
Personal Property
Cash...............................................................................................
Personal Property.........................................................................
Stocks/Listed.................................................................................
Stocks/Closely Held......................................................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property.........................................................................
76,103.05
11,894.99
5,000.00
Total Personal Property.........................................
92,998.04
Total Real Property................................................
Total Personal and Real Property.........................
92,998.04.1
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. (See 20 Pa. C.S. ~ 3301 (b))
Fann RW-09 Rev. 10-13-2006
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-06-0781
DATE OF DEATH
07/29/2006
LAST RESIDENCE
325 Wesley Drive
Mechanicsburg, PA 17055
DECEDENT'S SOC. SEC. NO.
171-42-1130
Cash
Asbury Communities (Bethany Village) - Refund for Nursing Home Care
974.70
Central PA MRI Center - Refund of Payment
96.56
Magazine Subscription Refund
21.07
Medicare Supplemental Insurance Refund
170.75
PNC Bank Certificate of Deposit Account No. 31200268702
10,010.19
PNC Bank Certificate of Deposit Account No. 31300252431
30,053.47
PNC Bank Certificate of Deposit Account No. 31400252653
10,023.98
PNC Bank Certificate of Deposit Account No. 31600283828
7,659.75
PNC Bank Checking Account 5070075799
11,585.07
PNC Bank Money Market Account No. 5080034288
254.92
Prudential Life Insurance Policy
5,252.59
Total Cash
76.103.05
Stock I Listed
219.0000 shares Praxair Inc - Com
11.894.99
Total Stock / Listed
11,894.99
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
92,998.04
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INVENTORY
o-~
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-06-0781
DATE OF DEATH
07/29/2006
LAST RESIDENCE 325 Wesley Drive
Mechanlcsburg, PA 17055
DECEDENrs soc. SEC. NO.
171-42-1130
Bond
U.S. Treasury Note/ Maturity Date 12/31/2006
5.000.00
Total Bond
5.000.00
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