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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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File Number 21 -07-0006
Personal Representative(s) of the Estate of Sylvia C. Conti
deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe 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.
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. ~ 4904 relating to unsworn falsification to
authorities.
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Attorney -- (Name)
(Address)
(felephone)
(Supreme Court J.D. No.)
DATE OF DEATH
LAST RESIDENCE
DECEDENT'S SOC. SEC. NO.
12/31/2006
1846 Holly Drive, Camp Hill, P A 17011
I FIGURES MUST BE TOTALED I
220-14-6000
PROBATE ASSETS
1) 1846 Holly Drive,Camp Hill, Cumberland County, Pennsylvania 17011
2) Lot of household furniture and furnishings
3) 1998 Buick Century Custom Sedan
4) M & T Bank Account
5) Fidelity Investments Account in the name of Sylvia C. Conti
6) Long Term Care Insurance - premium refund
7) Health Insurance - premium refund
8) Income Tax Refund
9) Transamerica Corporation - pension payment
10) Sun Life Annuity - annuity payment
NON-PROBATE ASSETS
11) Fidelity Investment Account in name of Sylvia C. Conti TOD
12) Fidelity Investment Individual Retirement Account in name of Sylvia C. Conti
13) Members 1st Federal Credit Union Accounts in joint name with Kathy K. Conti
158,533.34
1,350.00
3,980.00
533.15
5,657.43
1,821.68
1,211.00
532.00
119.27
46.82
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17,086.39
71,115.83
27,289.35
(Attach additional sheets as needed)
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TOT AL:
289,276.26
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NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the eJectio~pf'Ule: perspnaJ'representative include the value of each
item. but such figures should not be extended into the total of the Inventory. (See 20 Pa. Cs. f3301 (b)).jl '-...:..", ,;:.
FormRW-09 rev./O,/3.fJ6