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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} 55
File Number 21
07
0684
Personal Representative(s) of the Estate of LILLIAN K. GRIMES
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.eSlate outsid~~t 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. S 4904 relating to unsworn falsification to
authorities.
} VICKI BAKER - EXECUTRIX
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Attorney -- (Name) STEPHEN J. HOGG, ESQUIRE
(Address) 19 SOUTH HANOVER STREET, SUITE 101
(Telephone) (717)245-2698
(Supreme Court J.D. No.)36812
CARLISLE PA 17013
DATE OF DEATH
LAST RESIDENCE
1819 SPRING ROAD
CARLISLE PA 17013
I FIGURES MUST BE TOTALED I
DECEDENT'S SOC. SEC. NO.
5/2/2007
187-18-4019
M&T BANK - NORTH MIDDLETON BRANCH - 1958 SPRING ROAD CARLISLE PA 17013
ACCOUNT # 866598 - DATE OF DEATH BALANCE $27,168.23
ACCOUNT JOINTLY OWNED WITH VICKI BAKER
M& T BANK - NORTH MIDDLETON BRANCH - 1958 SPRING ROAD CARLISLE PA 17013
ACCOUNT # 240433599 - DATE OF DEATH BALANCE $8,100.03
ACCOUNT JOINTLY OWNED WITH VICKI BAKER
HIGHMARK BLUE SHIELD REFUND
13,584.12
4,050.02
405.98
EMBARQ REFUND
8.81
ERIE INSURANCE REFUND
23.00
COMCAST REFUND
45.20
AETNA INSURANCE REFUND
126.20
(Attach additional sheets as needed)
TOTAL:
18,244.72
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. ~ 3301(b))
Form RW-09 rev. 10./3.06
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LILLIAN K. GRIMES
Decedent Name
21
07
0684
File Number
Page 1
Description of Inventory
M&T BANK - ESTATE ACCOUNT 9838893171 -INTEREST - SEPTEMBER 2007
1.39
Subtotal
$
1.39
Grand Total
$ _____~_fh?,44.72 _