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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF CUMBERLAND
Ray K. LeVesque
File Number
21-07-00315
Personal Representative(s) of the Estate of Dorothy M. LeVesque
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 Decedent owned no real estate outside of the
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.
Keith O. Brenneman
Ray
(Supreme Court J.D. No.)
44 West Main Street, Mechanicsburg, PA 17055
47077
Attorney -- (Name)
(Address)
(Telephone) 717-697-8528
DATE OF DEATH
LAST RESIDENCE
DECEDENT'S SOC. SEC NO.
March 9, 2007
20 North 12th Street, Lemoyne, PA
201-18-8984
FIGURES MUST BE TOTALED
1. REAL ESTATE.
NONE
II. PERSONALTY.
A. Miscellaneous personalty, furniture and furnishings
B. Refund, prescription expense payment
C. U.S. Savings Bond- $50.00
D. Refund - Mancare Nursing Home
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(Attach additional sheets as needed)
TOTAL:
1,939.88
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. J 3301 (b))
Form RW-09 rev. 10.13.06
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