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INVENTORY
"
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF
} SS
File Number 21
07
0082
Personal Representative(s) of the Estate of Uzemack, Patricia G.
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 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. ~ 4904 relating to unsworn falsification to
authorities.
.J
Attorney -- (Name) Gerald J. Shekletski, ESQ.
(Address) 414 BridQe St.
(Telephone) (717)774-7435
DATE OF DEATH
LAST RESIDENCE
928 Shiremont Dr.
Mechanicsbur
DECEDENT'S SOC. SEC. NO.
1/19/2007
PA 17050
498342803
FIGURES MUST BE TOTALED
PERSONAL PROPERTY
1. Sovereign Bank Checking Account #2331040408
114,186.55
2. Sovereign Bank Checking Account #2561006867
8,511.81
3. 2005 Pontiac Montana Extended Minivan 4D
PA Title Number 62008314501 UZ, VIN 1GMDV33E35D147680
14,005.00
4. Pastel Mink and Leather Stroller ($65.00), Muskrat Coat w/Raccoon Collar/Border and Leather'::
Trim ($45.00) and Sheared Beaver Paw Jacket ($85.00) .
.r:.-
195.00
I
--I
5. Lady's 14K yellow gold wide band style ring ($159.00), Lady's 14K white gold diamond culturedJ
pearl pendant ($100.70), Lady's 14K yellow gold diamond and pearl ring ($132.50), Lady's]Dkl
yellow gold opal ring ($100.70) and Lady's 14K yellow gold opal pendant ($100.70).
6. 184.980367 shares General Motors Corporation (GM) common stock
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~~~93.60
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5,863.13
(Attach additional sheets as needed)
TOTAL:
402,474.42
NOTE: The Memorandum ofreal 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))
Form RW-09 rev. 10.13.06
~
Continuation of Inventory
Uzemack, Patricia G.
OJ'cedent Name
21
07
0082
File Number
Page 1
Description of Inventory
7. 554 shares Manulife Financial Corporation common stock
18,631.02
8. Hartford auto insurance refund check
512.00
9. Blue Cross refund check
268.25
10. Patriot-News refund check
229.90
11. Service Oil refund check
794.96
12. Auction sale proceeds - personal property
418.20
13. Hartford Insurance - homeowner's insurance refund check
230.00
14. AAA refund check
35.00
REAL ESTATE
1. 928 Shiremont Drive, Mechanicsburg, PA 17050
238,000.00
Subtotal $
259,119.33
402,474.42
Grand Total $