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INVENTORY
Estate of Artie G. Nuss
No.21
07
0529
also known as
Date of Death 3/16/07
Social Security No. 283128714
I Deceased
Personal Representative(s) of the above Estate, deceased, verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. INoIe
verify that the statements made in this inventory are true and correct. INoIe understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. ection 4904~lating to unsworn falsification to authorities.
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Personal Representative:
Name of
Attorney: John C. Ze
Michelle Denise Krewson
I.D. No.: 52662
Rhonda Renee Summers
Address: PO Box 204
Dated 11/14/07
York Springs
Telephone: 7175288900
PA 17372
Description
Value
PIMCO Funds & Allianz Funds
1,140.73 Shares @ 10.46
Adams County National Bank
Checking Acct. # 1761 056
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LPL Financial Services Refund Check
BlueCross B1ueShield Refund Check
Blair Refund Check
Adams County National Bank
Savings Acct. #9672427
Total
(Attach Additional Sheets if necessary)
11,932.08
....],2,806.35
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O'l 99.97
1,179.31
29,142.25
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.
RW-4
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Continuation of Inventory
Artie G. Nuss
21
07
0529
Page 1
Description of Inventory
Description
Value
Lou Gehrig's Disease Refund
67.47
Subtotal $
Grand Total $
67.47
29,142.25