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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Gloria Stites
Personal Representative(s) of the Estate of
} SS
}
File Number 2006-0230
Donald J. Blessing
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 tne 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- } ~ P..... -L { /~ y / t> ;.,
tory are true and correct. I understand that false state- /~_ -: ~_~ - ~ _~ / I .,
ments herein are made subject to the penalties of Gloria Stites
18 Pa.C.S. 94904 relating to unsworn falsification to } ~_
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
_.Jeffrey_R'~oswe~ESq.~ ,,----..kile<t- (S_me Coo" 1.0. No.)
B~!",,~II, !i~~I!~r,_~i~c~~___IfO~~~~_~~___~ __.__~_ _~~~. ~_
~1 ~~~ f.!o!'!t Str~~~_H~rrisbu~g,-'~~L!?1 Q8-0?~!~~____.._
717 -236-9377
DATE OF DEATH
02/14/2006
LAST RESIDENCE 63 Autumn Lane
Enola, PA 17025
FIGURES MUST BE TOTALED
DECEDENT'S SOC. SEC. NO.
718-18-8155
Personal ProDertv
Cash...............................................................................................
Personal Property................................ ....................... ..................
Stocks/Listed.................................................................................
Stocks/Closely Held......................................................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable................................................
All Other Property............................... .................................. ........
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Total Personal Property.........................................
Total Real Property.................... ............................
Total Personal and Real Property.........................
25444
~4.43
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8,038.58
8,038.58 I
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 2006-0230
DATE OF DEATH
02/14/2006
LAST RESIDENCE 63 Autumn Lane
Enola, PA 17025
DECEDENrs soc, SEC, NO,
718-18-8155
Cash
Allstate Insurance Company - Renters Insurance Refund
2.00
Comcast - Refund
45.25
Farmers New Century Insurance Company - Insurance Refund
8.98
Insurance Refund
340.00
PA Department of Revenue - 2005 Income Tax Refund
117.00
Railroad Retirement Board - Funeral Benefit
1.074.10
Springdale Apartments - Security Deposit
325.00
U.S. Treasury - 2005 Income Tax Refund
1.074.10
U.S. Treasury - Refund
418.00
Total Cash
3.404.43
Personal ProDertv
Coin and Gun Collection - As per Ibis Appraisal Services Estate Appraisal
Report
1.474.15
Personal Property - Furniture, clothing, miscellaneous, etc.
3.160.00
Total Personal Property
4.634.15
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
8.038.58