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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUN1Y OF CUMBERLAND
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FileNwnber 21-06-01129
Personal Representatlve(s) of the Estate ofMa be 1 P. Mowe rv
deceased, depose(s) andsay(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in tho Commonwealth of Pennsylvania ohaid Decedent, that the valuation placed opposite each item of said
inventory repre$ent$ its fair value u of the date of the dec~dent's death, and that Decedent owned no real estate outside 0 f the
Commonwealtp ofPeM$ylvania exceptthatwhich app'ears in a memorandum at the end of this inventory.
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I verify that the statements made in this Inven- }
tory are true and c.orrect. 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. .
Attorney n (Name) Joseph A. Macaluso
(Address) PO Box 83, 'Orrstown, PA 17244
(I'e/ephone)
(Supreme Court J.D. No.) 38262
OA TE OF OEA TH
LAST RESIOINCI
OECEOENT'S SOC. SEC. NO.
12-
17241
201-16-3932
Real estate
1.
Residence at 135 Roxbury Road
Shippensburg, PA 17257
$130,000.00
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Bank Account
2.
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CD
Checking account #620211
Orrstown Bank
P.O. Box 250
Shippensburg, PA 17257
1,335.48
, Miscellaneous
3.
Refund - Jackson Life Insurance payment
64.57
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TOTAL
$131,400.05
. .
NOTE: The Memorandum of real est&te'outside the Commonwealth of PeMJylvania may, at the election of the personal representative include the value of each
item, but such fiiures should not be extended into the total of the Inventory. (See 20 fa. C.S. ! JJOJ(b))
Form RW-09 rev. 10.13.06
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