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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY,PENNSYLVAJUA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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FileNumber 2007
00314
Personal Representative(s) of the Estate of Kathryn E Ball
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.
}~~~
o R Ward
~~~"
(Supreme Court J.D. No.) 67993
HARRISBURG PA 17109
Attorney _ (Name) JAN L BROWN
(Address) 845 SIR THOMAS CT STE 12
(Telephone) 71 7 - 5 4 1- 5 550
DATE OF DEATH
DECEDENT'S SOC. SEC. NO.
3/4/2007
LAST RESIDENCE
1700 Market St (ManorCare Health Services)
Cam Hill PA 17011 PA 17011
FIGURES MUST BE TOTALED
184-05-0269
Sovereign Bank; Account 771101376
Social Security; February 2007 benefit
PSERS; prorated pension
Mayflower National Life Insurance Co; estate beneficiary
Conseco; long-term care final reimbursement
Yd
HCR Manor Care; patient refund
\
United States Treasury; 2006 1040 refund
(Attach additional sheets as needed)
TOTAL:
170.99
866.00
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240 .00
1,834.54
750.00
66,606.76
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 Po. C.S. S 330J(b))
Form RW-09 rev. 10./3.06
~
Continuation of Inventory
Kathryn E Ball
Decedent Name
2007 00314
File Number
Page 1
Description of Inventory
One-half interest in real estate, as follows:
518 Eutaw Avenue, New Cumberland Borough, Cumberland County
62,500.00
Grand Total $
62,500.00
66,606.76
Subtotal $