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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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File Number 2006-1097
Personal Representative(s) of the Estate of DORIS LEE JONES
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 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 of the
Commonwealth of Pennsylvania except that which appears in a memorand at e end fthis inventory.
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) Robert P. Grubb, Esq. (Supreme Court [D. No.) 76057
(Address) Metzger, Wickersham, pc., P.O. Box 5300, Harrisburg, PA 17110-0300
(Telephone) 717-238-8187
DATE OF DEATH
LAST RESIDENCE
DECEDENT'S SOC. SEC. NO.
Nov. 16,2006
151 Lee Ann Court, Enola, P A 17025
430-38-5873
FIGURES MUST BE TOTALED
I. Hillsboro Manor Life Care Center - refund of prepaid services
2. Commerce Bank Checking Account
3. Commerce Bank Savings Account
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1,203.00
;~~ 76,027.04
10,243.64
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(Attach additional sheets as needed)
TOTAL:
87,473.68
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. ii 3301(b))
Form RW-09 rev. 10.13.06
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