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SUPPLEMENTAL
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEAL 1H OFPENN5YL VANIA
CQUNTY OF
CumOerland
} 55
File Number 2006-1038
Personal Representative(s) of the Estate of Joan E. Hbll
deceased, depose(s) and say(s) that the items appearing in the following inventory incfude 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 memorandum at the end of this inventory.
ljlu~' ~(~Ldi;4:
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.
Attorn~--~am~ Gregory J. Katshir
0~~~ 900 Market Street
(Telephone) ( 7 1 7) 763 - 8 1 33
(Supreme Court LD. No.) fi 1 q h 7
Lemoyne PA 17043
DATEOF DEATH
11/04/06
LAST RESIDENCE
DECEDENT'S sac.see NO
3 Charisma Dr. Cam Nill PA 17011
FIGURES MUST BE TOTALED
Pennsylvania State Employees' Retirement
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(Attach aJldJtionaJ sheets as needed)
TOTAL:
NOTE: The Memorandwn of real estate outside theCommonweallh of Pennsylvania may, at the election of the personal represmtative include the value of each
item. but such figures should not be extended into the total of the Inventory. (See 20 Po. c.s. 93301(b))
Form RW4J9 rev. 10.13.06
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