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INVENTORY
Estate of Evelyn Z. Bankert
No. 21
07
0282
, Deceased
Date of Death 3/19/2007
Social Security No. 207037947
also known as
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 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 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 made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of
Attorney: William P. Douqlas
I.D. No.: 37926
Address: 43 W. South St.
Carlisle
Telephone: 7172431790
Cordelia L. Kutz
628 W. Old York Rd., Carlisle, PA 17015
Dated May 29 ,2007
PA 17013
Description
Value
Stocks & Bonds
Fidelity Investments- Account # X47-182443
348,561.36
1'-,__)
Mortgages & Notes Receivable
Closely-Held Corporation, Partnership or Sole-Proprietorship
..!::--
L'
Cash, Bank Deposits, & Misc. Personal Property
C'.)
AFL Insurance Co., long term insurance, 19 days @$80
3,680.00
Total
453,670.81
(Attach Additional Sheets if necessary)
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.
RW-4
q)
Continuation of Inventory
Evelyn Z. Bankert
21
07
0282
PaQe 1
Description of Inventory
Description
Meadows Living Center, refund of reservation deposit
Value
500.00
two Series H U.S. savings bonds
10,000.00
2006 Federal Income Tax refund
2,779.00
Citizens Bank - date of death balance -
32,389.04
Cornerstone Federal Credit Union date of death bal.
32,895.43
Diakon Lutheran Social Ministries, Cumberland Crossings, refund
2,424.07
Peoples Benefit Life Ins. Annuity
20,441.91
Grand Total $
101,429.45
453,670.81
Subtotal $