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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland
Linda Mary Fortini , Executrix
File Number
21-05-0827
Personal Representative(s) of the Estate of Mary B. Clifford
deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe 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 memorandum at the end of this 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. 9 4904 relating to unsworn falsification to .
authorities.
~.~ ~ ..-r'-7-:..;
Linda Mar~ortini, Executrix
Attorney -- (Name)
R;rh~rrl r. Snplhakp-r
(Supreme Court J.D. No.) 06355
(Address) uu \Jpqt- M~;n St-rpP-t, Mpr:hanicRhl1q~, PA 17055
(Tekphon~ (717) 697-8528
DATE OF DEATH
September 8, 2005
LAST RESIDENCE
2100 Bent Creek Blvd., Mechanicsburg, PA
DECEDENTS SOC. SEC. NO.
167-14-7308
PERSONAL TV:
1. Agere Systems, Inc., 16.30 shares of common stock valued at $10.26
2. AT&T Corp., 204 shares of common stock valued at $19.59
3. Avaya, Inc., 49 shares of common stock valued at $10.10
4. Bellsouth Corp., 2,509 shares of common stock valued at $26.25
5. Lucent Technologies, Inc., 596 shares common stock valued at $3.15
6. NCR Corp., 'Inc., 58 shares common stock valued at $33.20
7. Comcast Corporation, 331 shares common stock valued at $30.46
8. Commerce Bank, checking account #536308034
9. M&T Bank, savings account #015004205864893
10. Orrstown Bank, checking account #111000690
11. Household goods retained by family and donated to Goodwill
12. ROBC Limited Partnership (Bent Creek), refund on resident care
13. U.S. Treasury, refund due on 2005 Final Individual Income Tax
TOTAL PERSONALTY:
FIGURES MUST BE TOTALED
167.24
3,996.36
494.90
65,861.25
1,877.40
1,925.60
10,082.26
100,464.34
45,220.34
93,118.13
409.00
2,106.17
288.00
326,010.99
REAL ESTATE:
1. At the time of her death the Decedent did not own any real estate
TOTAL PERSONALTY AND REAL ESTATE:
]2 W
\..0
(Attach additional sheets as needed)
TOTAL: 326,010.99
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. f 3301 (b))
Form RW-09 rev. 10.13.06
Page 1
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