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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DAVID R. HAMLIN
File Number 21-07 -00064
Personal Representative(s) of the Estate of
DANIEL R. HAMLIN
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 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 m oran.d.u uJJ ~t the end of this invent.ory.
I verify that the statements made in this InVen-} Ail I( 'tL -';L
tory are true and correct. I understand that false state- Xi
ments herein are made subject to the penalties of DAVID R. HAMLIN
18 Pa.C.S. 94904 relating to unsworn falsification to }
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
RICHARD W. STEWART
JOHNSON, DUFFIE, STEWART & WEIDNER
301 Market St., Lemoyne, PA 17043-0109
(717) 761-4540
(Supreme Court /.D. No.)
18039
DATE OF DEATH
01/13/2007
LAST RESIDENCE 93 HALDEMAN AVE
New Cumberland, PA 17070
FIGURES MUST BE TOTALED
DECEDENT'S sac SEC. NO.
071-18-4001
Personal Property
Cash...............................................................................................
Personal Property..... ....................................................................
Stocks/Listed.............................................................................. ...
Stocks/C losely Held.................... ...... ....................... ................. ....
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable................................. ..............
All Other Property.........................................................................
52,079.24
35,9i~:ao
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Total Personal Property.........................................
88,00~4
Total Real Property................................................
Total Personal and Real Property.........................
88,002.04 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. !l 3301 (b))
Form RW-09 Rev 10-13-2006
I
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEAL TH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-07 -00064
DATE OF DEATH
01/13/2007
LAST RESIDENCE 93 HALDEMAN AVE
New Cumberland, PA 17070
DECEDENT'S SOC. SEC. NO.
071-18-4001
Cash
Church of God Home - refund - unused days - month of January, 2007.
6.181.69
Cigna - HealthCare - ambulance reimbursement
675.13
Comcast - cable refund
15.99
Internal Revenue Service - refund - decedent's 2006 Form 1040.
3.978.00
New York State Teacher's Pension - benefits - 1/1/2007 - 1/13/2007
1.048.58
PNC Bank - Savings Account No. 5004262115 - Date of death balance, plus
accrued interest.
2.334.01
Wachovia Bank - Certificate of Deposit No. 2474023024257680 - Date of death
balance, plus accrued interest.
20.980.01
Wachovia Bank - Checking Account No. 1010049419560 - Date of death
balance, plus accrued interest.
1.778.01
Wachovia Bank - Money Market Account No. 1010080268987 - Date of death
balance, plus accrued interest.
15.087.82
Total Cash
52.079.24
Stock I Listed
147 Shares - Nationwide Financial Services, Inc. @ $53.81 per/share
7.910.07
Wachovia Securities Investment Account No. 4124-3916 consisting of -
various Open End Mutual Funds - Date of death value.
28.012.73
Total Stock / Listed
35.922.80
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
88.002.04