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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Samu.1 C. Gibson
Personal Representative(s) of the Estate of M.rlln C. Gibson
File Number 21-07-0066
deceased, depose(s) and say(s) that the items ap~earing in the following inventory include all of the personal assets wherever situate
and all of the real estate in t1ie 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 D t owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a ndu t end is inventory.
J
I verify that the statements made in this Inven- }
tory are true and corred. I understand that false state-
ments herein are made subjed to the penalties of Samu.1 C. Gibson
18 Pa.C.S. ~ 4904 relating to unsworn falsification to }
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
James D. Bogar
Bogar & Hlpp Law OffIc.s
On. West Main Street, Shireman.town, PA 17011
717-737-8761
(Supreme Court 1.0. No.)
19475
DATE OF DEATH
12/15/2006
LAST RESIDENCE 79 On.lda Road
Camp Hili, PA 17011
FIGURES MUST BE TOTALED
DECEDENT'S SOC. SEC. NO.
189-09-1731
P.rsonal Prop.rty
Cash...............................................................................................
86,524.20
2,420.00
P.rsonal Property. ....................... .............. ...................................
Stocks/Listed..................................................................................
Bonds.............. ..... .......... ...... .... .... .... .... .... I' ........ I... ... .... ... ....... .......
(")
~c;; 0
"-.:0
, t~.......
-+0
-..,-;: ,.--
'-'-:,.rn
..:(~.5~
t'-..)
r:::::;,
c::;
-.J
Stocks/Closely Held......................................................................
Partn.rshlps and Sole Proprietorships .....................................
Mortgages and Notes Rec.ivable...............................................
All Other Property...... ..... ...... .......... ............. ........ .........................
~
J::;J'"
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C',
--:, ~~ ~:(~
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Total Personal Property.........................................
. .',
'.~J~D
:::u-'
88,i44.20
c...'1
0-\
Total Real Property................................................
Total P.rsonal and Real Property.........................
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))
Form 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..fJ7 -0066
DATE OF DEATH
12/15/2006
Cash
LAST RESIDENCE 79 Oneida Road
Camp Hill, PA 17011
DECEDENTS SOC. SEC. NO.
189..fJ9-1731
Erie Insurance - car insurance refund
196.00
Loyalton of Creekview - rent refund
1.186.00
Sovereign Bank Checking Account No. 0571109071 - Merlin C. Gibson
Custodian, Betty J. Gibson UTMA ; date of death balance $2,167.48; accrued
Interest $0.00
2.167.48
Sovereign Bank Savings Account No. 0574107058 - Merlin C. Gibson
Custodian, Betty J. Gibson UTMA ; date of death balance - $82,862.65; accrued
Interest $112.07
82.974.72
Total Cash
86.524.20
Personal Prooertv
1996 Chevy Cavalier - per appraisal
1.300.00
Personal Property - per appraisal
1.120.00
Total Personal Property
2,420.00
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
88.944.20