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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Marilyn K Duck
Personal Representative(s) of the Estate of
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File Number 21-07-0914
Velda I SOURBEER
deceased, depose(s) and say(s) that the items ap~earing in the following inventory include all of the personal assets wherever situate
~nd all of the real est~te il1 ttie Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite ~h item of~id
Inventory represents Its fair value as of the date of the decedent's death, and that Decedent owned no real estate out$fe of the ;:-,i
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventot1;2 --' :>':,:-~
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tory ~~~~ t:~~ t~.::~r~nn:::~~ \~~~~I~:~~~te-} 11\ ~~ t, . J ':\~ 8, ~';,~t
ments herein are made subject to the penalties of } Marilyn Duck '. .:2::.SJ., ~~
~~t~~~~~'. ~ 4904 relating to unsworn falsification to --, ~;:~ J:. (~'o ~~
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Attorney - (Name)
(Firm)
(Address)
(Telephone)
EDMUND G. MYERS
Johnson Duffie
301 MARKET STREET, LEMOYNE, PA 17043
(717) 761-4540
(Supreme Court I.D. No.)
20558
DATE OF DEATH
09/11/2007
LAST RESIDENCE Thornwald Home
Carlisle, P A 17013
FIGURES MUST BE TOTALED
DECEDENTS SOC. SEC. NO,
206-10-9008
Personal ProDertv
Cas h...............................................................................................
Personal Property.........................................................................
Stocks/Listed .................................................................................
Stocks/Closely Held......................................................................
Bonds............. ............. ...................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property.........................................................................
283.02
Total Personal Property......................... ................
283.02
Total Real Property................................................
283.02 I
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. ~ 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 -0914
DATE OF DEATH
09/11/2007
LAST RESIDENCE Thornwald Home
Carlisle, PA 17013
DECEDENT'S SOC. SEC. NO.
206-10-9008
Cash
Embarq Management Company
13.02
Erie Insurance - Refund
6.00
River Source Long Term Care Insurance
264.00
Total Cash
283.02
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
283.02