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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY , PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Mary Marjorie Nielson
Personal Representative(s) of the Estate of
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File Number
21-07-0919
Mildred E BROWN
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- ~} ~ ~. ':/J d
tory are true and correct. I understand that false state-} '-!.. ){jA~. .. rJh~ .P ~-~-
ments herein are made subject to the penalties of } Mary M JOr! N 1jon ~
18 Pa.C.S. 94904 relating to unsworn falsification to '- ...-- 8-0------5-
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Attorney --
(Name)
(Firm)
(Address)
(Telephone)
EDMUND G. MYERS
Johnson Duffie
301 MARKET STREET, LEMOYNE, PA 17043
(717) 761-4540
DATE OF DEATH
09/01/2007
LAST RESIDENCE Church of God Nursing Home
Carlisle, PA 17013
FIGURES MUST BE TOTALED
DECEDENT'S SOC. SEC. NO.
204-01-2016
Personal Property
Cash...............................................................................................
Personal Property.........................................................................
Stocks/Listed.................................................................................
Stocks/C losely Held......................................................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
A II Other Property.........................................................................
14,756.19
Total Personal Property.........................................
14,756.19
Total Real Property ................................................
14,756.191
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 Pan C.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 21-07-0919
DATE OF DEATH
09/01/2007
LAST RESIDENCE
Church of God Nursing Home
Carlisle, PA 17013
DECEDENT'S SOC. SEC. NO.
204-01-2016
Cash
Cash Received
25.00
Commerce Bank Checking Account
3.842.58
Ecumenical Community Home - Resident Refund
735.75
Masland & Barrick Daily Income Money Market Account
10.152.86
Total Cash
14.756.19
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
14.756.19
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