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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
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File Number 21
07
0051
Personal Representative(s) of the Estate of MERRILL F. SIMPSON
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 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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D. JOANNE KROUT, EXECUTRIX
Attorney -- (Name) DAVID H. STONE, ESQUIRE
(Address) 414 BRIDGE STREET
(Telephone) (717) 774-7435
(Supreme Court J.D. No.) 39785
NEW CUMBERLAND
PA 17070-
DATE OF DEATH
LAST RESIDENCE
1300 YORK HAVEN ROAD, LOT 65
YORK HAVEN
DECEDENT'S SOC. SEC. NO.
12/31/2006
PA 17370
716-09-6646
FIGURES MUST BE TOTALED
AmeriHealth-refund on insurance
28.45
Beverly Healthcare-refund on account
117.64
Highmark-refund
110.70
PA Treasury Dept.-annuitant check
73.45
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PNC Bank-Checking Acct. #5003843671
Prine. $5,390.11, Int. $.19
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$,390.11
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PNC Bank-Checking Acct. #5003843671 - Accrued Interest
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0.19
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PNC Bank-Savings Acct. #5003549595
13.06
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(Attach additional sheets as needed)
TOTAL:
209,096.73
NOTE: The Memorandum ofreal 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. 9 3301(b))
Form RW-09 rev. /0./3.06
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Continuation of Inventory
MERRILL F. SIMPSON
Decedent Name
Page 1
Description of Inventory
PNC Investments-Cash acct
14187,192 shares PNC Investments-Eaton Vance Mutual Funds @ $9.790 each
Trust Diversified Inc Fd CI A
1790.435 shares PNC Investments-Eaton Vance Spllnvt Tr @ $21.040 each
Large Cap Value Fd CI A
PNC Investments-MMarket Funds
Unclaimed property claimed
US Treasury-refund on decedents 2006 1040 return
Subtotal
21
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$
07
0051
File Number
117.42
138,892.60
37,670.75
25,672.36
500.00
510.00
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203,363.13