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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Kathleen K Putt
Personal Representative(s) of the Estate of Marion G LIST
} SS
}
File Number 2007 -00211
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 he real estate in ttie 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-} . J ~ i ~
tory are true and correct. I understand that false state- K (j .
ments herein are made subject to the penalties of ) Kathleen K Putt
18 Pa.C.S. ~ 4904 relating to unswom falsification to
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
EDMUND G. MYERS
Johnson Duffie
301 MARKET STREET, LEMOYNE, PA 17043
(717) 761-4540
(Supreme Court I.D. No.)
20558
DATE OF DEATH
02120/2007
LAST RESIDENCE 810 North Hanover Street
Carlisle, PA 17013
FIGURES MUST BE TOTALED
DECEDENrs soc. SEC. NO.
187-16-5131
Personal Property
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.. ...... ...... ........... ..... ...... .....
141,151.03
Total Real Property................................................
Total Personal 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 2007-00211
DATE OF DEATH
02120/2007
LAST RESIDENCE 810 North Hanover Street
Carlisle, PA 17013
DECEDENT'S SOC. SEC. NO.
187-16-5131
Cash
2006 Federal Income Tax Refund
30.00
Medicare Reimbursement for Prescriptions
492.57
Pa Treasury Department - Annuity Payment - Final Annuity Payment
976.30
RlverSource - Long Term Care Insurance
1.520.00
The Church of God Home - Reimbursement of Client Account
6.504.58
United Health Care - Reimbursement of Services
240.00
Wachovla Bank, N.A. High Performance Money Market Account 1010127460062
131.387.58
Total Cash
141.151.03
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
141.151.03