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Register of Wills of Cumberland County, Pennsylvania
INVENTORY
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Estate of C '-Claik, iIellAi F. ..:.' c..
also known as
("or!
, Deceased
No. 21 - 06 - 00823
Date of Death 9/4/2006
Social Security No. 206-10-8996
Christy Rae Clark
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located 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 the 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/We verify that the statements made in this Inventory are true
and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
I.D. No.:
23989
Personal Repres~ ~
Signature: ~ ~_
C' e ark
Signature:
Attorney:
Debra K. Wallet . fl. . "L.. ~
~~.~
Signature:
Address:
24 North 32nd Street
Camp Hill, PA 17011
Address: 1322 Longfellow Circle
Roseville, CA 95747
Telephone: 717/737 -1300
Telephone: (916) 771-4314
Dated:
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Personal PrODertv
M&T Bank Checking Account #950798124
33,115.52
M&T Bank CD #31003913154587
69,593.14
The Woods personal care home account
380.00
Miscellaneous personal property at personal care residence (Lazy Boy chair, cabinet armoire)
50.00
Cash in possession of Decedent
20.00
Personal jewelry (2 rings, watch, broken earrings)
50.00
M&T Bank check
7.03
Patriot-News credit
3.20
Credit from The Woods
957.00
Total Personal Property
$104,175.89
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$104,175.89