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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Patricia A. Peterson
Personal Representative(s) of the Estate of
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File Number 21-07-0831
Kathryn E. Miller
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- } Airv~ d/~ IId3 /0 1-
tory are true and correct. I understand that false state- ~. .', I cJ /
ments herein are made subject to the penalties of t"atrlcla A. Peterson >'"" '.";
18 Pa.C.S. 9 4904 relating to unsworn falsification to } ',; ---,
authorities.
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Attorney - (Name)
(Firm)
(Address)
(Telephone)
James D. Bogar
Bogar & Hipp Law Offices
One West Main Street, Shiremanstown, PA 17011
717-737-8761
(Supreme Court6D. No.) 19475
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DATE OF DEATH
08/22/2007
LAST RESIDENCE 5225 Wilson Lane
Mechanicsburg, PA 17055
FIGURES MUST BE TOTALED
DECEDENTS SOC. SEC. NO.
187-16-4395
Personal Property
Cas h.. ............. ................ ...... .... ......... ........ ..... ..... ....... ...... ...... ........
Personal Property.. .................... .............. .................... .................
Stocks/Listed.................................................................................
Stocks/Closely Held......................................................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property... ....... ................ ...... ............ ............... ..............
185,925.58
400.00
25,031.84
Total Personal Property........ ............. ...... .... ..........
211,357.42
Total Real Property................................................
Total Personal and Real Property.........................
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. S 3301 (b))
Form RW-09 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-07-0831
DATE OF DEATH
08/22/2007
LAST RESIDENCE 5225 Wilson Lane
Mechanicsburg, PA 17055
DECEDENT'S SOC. SEC. NO.
187 -16-4395
Cash
Bethany Village - refund
1.250.00
Members 1st - Certificate of Deposit No. 239804-52 - date of death balance
$16,260.29; accrued interest $49.40
16.309.69
PNC Bank - Certificate of Deposit No. 31500250711 - date of death balance
$22,220.27; accrued interest $0.00
22.220.27
PNC Bank - Certificate of Deposit No. 31500257915 - date of death balance
$11,081.51; accrued interest $1.50
11.083.01
PNC Bank - Certificate of Deposit No. 31600261721 - date of death balance
$16,574.40; accrued interest $26.92
16.601.32
PNC Bank - Certificate of Deposit No. 31600290662 - date of death balance
$46,081.99; accrued interest $118.50
46.200.49
PNC Bank - Certificate of Deposit No. 31900230149 - date of death balance
$38,609.14; accrued interest $20.69
38.629.83
PNC Checking Account No. 5140043443 - date of death balance $2,513.37;
accrued interest $0.29
2.513.66
PNC Savings Account No. 5003783736 - date of death balance $31,072.27;
accrued interest $45.04
31.117.31
Total Cash
185.925.58
Personal Property
Personal Property - Sold at Private Sale
400.00
Total Personal Property
400.00
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
211.357.42
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } 55
COUNTY OF Cumberland }
File Number 21-07-0831
DATE OF DEATH
08/22/2007
LAST RESIDENCE 5225 Wilson Lane
Mechanicsburg, PA 17055
DECEDENrs soc. SEC. NO.
187-16-4395
Bond
Series EE U.S. Savings Bonds - 31 Bonds - date of death values determined
per attached Savings Bond Calculator - total price $8,900.00; total value
$25,031.84; total interest $16.131.84
25.031.84
Total Bond
25.031.84
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