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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
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COUNTY PENNSYi, V ANIAiS
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File Number 21--06-0915."~YG r~
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COMMONWEALTH OF PENNSYL VANIA } SS
COUNTY OF
Yvonne H. Glass, Executrix
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Personal Representative(s) of the Estate of Orville W. Glass, Jr. . .' ~ co. Up;
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the pers~ assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite eaCIi 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. 9 4904 relating to unsworn falsification to
authorities.
Richard C. Snelbaker
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onne H. Glass, ecutrix
5 Kent Drive
Mechanicsburg, PA 17055
Attorney -- (Name)
Snelbaker & tlrenneman, P.L
qq West Main Street, Me>('h,::m; rc:hnrg I PA 170')')
(717) 697-8528
(Supreme Court J.D. No.)
06355
(Address)
(Telephone)
DATE OF DEATH LAST RESIDENCE 415 Kent Drive, Upper Allen Twp
March 25, 2006 Mechanicsbur~ Cumberland County, PA
PERSONAL TV: I FIGURES MUST BE TOTALED I
1. Tyco International Ltd., 124 shares of common stock valued at
$27.28 per share
DECEDENTS SOC. SEC. NO.
206-26-8833
$ 3,382.78
TOTAL PERSONAL TV:
$
3,382.78
REAL ESTATE:
1. At the time of his death the Decedent did not individually own any real estate
$
0.00
TOTAL PERSONAL TV AND REAL ESTATE:
$
3,382.78
(Attach additional sheets as needed)
TOTAL: $
3,382.78
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. f 3301 (b))
Form RW-09 rev. 10.13.06
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