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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Michael G. Shenk and Nancy S. Cantone
Personal Representative(s) of the Estate of Dorothy L. Shenk
File Number
21-07 <:b(o
-----------..-- --_.__..._----------_.~--_._-_._-_._.__.~----_.,---_.-
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. S 4904 relating to unsworn falsification to
authorities.
deceased, depose(s) and say(s) that the items ap[learing 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.
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Nancy S. _ tone
Attorney.- (Name)
(Firm)
(Address)
(Telephone)
Michael L. Bangs
(Supreme Court I.D. No.)
41263
-------..-.---___ ____n_.____.______.___
---,' ----- ----- ------.___..._________m___.___.._____..____________ ________._____
~_9 South 18th Street, Camp Hill, PA17011___~_H__ _________ ____
717/730-7310
------.------...-------..-.-.-----~- "_____.___ ..m____
DATE OF DEATH
12/10/2006
LAST RESIDENCE 603 Manor Road
Camp Hill, PA 17011
FIGURES MUST BE TOTALED
DECEDENT'S SOC SEC. NO
204-03-9256
Personal Propertv
Cash................................................................................................... .
Pe rso na I Pro perty .............................................................................
Stoc ks/L isted.....................................................................................
Stoc ks/C lose Iy Held.........................................................................
Bo n d s.................................................................................................
Partnerships and Sole Proprietorships ........................................
Mortgages and Notes Receivable..................................................
All Other Property........ .................... ........... .... ..................................
. -~ 25,~?J.66
.--,,_1
./J
1-59.60
'J i
C,-'-I
I)
C)
C"'.
Total Personal Property......................... ..................
25,630.26
Total Real Property.............................. .....................
Total Personal and Real Property...........................
25,630.26 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. 93301(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 21-07
DATE OF DEATH
12/10/2006
LAST RESIDENCE 603 Manor Road
Camp Hill, PA 17011
DECEDENTS SOC SEC. NO
204-03-9256
Cash
Automobile - 1995 Cadillac Seville sedan (see paperwork attached)
2.400.00
Christian Baker - Refund of unearned renters insurance
144.20
Civil Service Annuity
543.00
M& T Bank - Account No. 77676726
2.290.21
M& T Bank - Account No. 15004207043031
566.57
M& T Bank - Account No. 15004213068388
5.15
Refund from Mutual Benefit Insurance - Refund of unearned automobile
insurance premium
119.20
Refund from West Shore Pathology Assoc.
22.00
Refund of 2006 IRS income tax
534.00
Shenk Athletic Equipment - (paycheck)
361.06
U. S. Office of Personnel Management - Annuity CSA 2 617664 0
1.000.00
Wachovia - IRA
10.790.13
Wachovia - Certificate of Deposit
5.986.02
Wachovia - IRA distribution
709.12
Total Cash
25.470.66
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
25.630.26
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-07
DATE OF DEATH
12/10/2006
LAST RESIDENCE 603 Manor Road
Camp Hill, PA 17011
DECEDENTS SOC. SEe NO
204-03-9256
Stock I Listed
30.0000 shares U.S. Gold Stock - 30 shares of stock
159.60
Total Stock / Listed
159.60
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