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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Jane W. Kohn
Personal Representative(s) of the Estate of
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File Number
21-07-0710
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William Dean Matter
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deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal <iI's$letsJwhe~er situate:;::
and all of the real estate in tlie Commonwealth of Pennsylvania of said Decedent, that the valuation placed op~ite each4tem of sai(j )
inventory represents its fair val.ue as of the date. of the decegent's death, and that Decedent o"Yn~d no real eS!ate outside"lIf the . I .' ,
Commonwealth of Pennsylvama except that which appears In a memorandum at the end of this Inventory. "".. (..).,
I verify that the statements made in this InVen-} (Y:" __. If. v. ~, C.//~~~. co
tory are true and correct. I understand that false state- ~ ~J ~
ments herein are made subject to the penalties of Jane W. Kohn
18 Pa.C.S. 9 4904 relating to unsworn falsification to )
authorities.
Edward P. Seeber (Supreme Court I.D. No.)
James, Smith, Dletterlck & Connelly, LLP
Suite 204, 5020 Ritter Road, Mechanlcsburg, PA 17055
7171533-3280
76084
Attorney - (Name)
(Firm)
(Address)
(Telephone)
DATE OF DEATH
0411012007
I LAST RESIDENCE
803 N Hanover Street
Carlisle, PA 17013
fFIGURES MUST BE TOTALED I
DECEDENTS SOC. SEC. NO.
176-32-5575
Personal Property
Cash...............................................................................................
Personal Property' .........................................................................
32,590.92
88.14
Stocks/Listed.................................................................................
Stocks/Closely" Held......................................................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property'................ .........................................................
Total Personal Property' ............................... ..........
32,679.06
Total Real Property' ................................................
32,679.06 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
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-07-0710
DATE OF DEATH
0411012007
Cash
LAST RESIDENCE 803 N Hanover Street
Carlisle, PA 17013
DECEDENTS SOC. SEC. NO.
176-32-5575
CNA - reimbursement for Insurance premium
5,200.50
IRS - 2006 Income tax refund
212.00
M & T Bank checking account # 58277668 - valued per letter dated August 23,
2007
22,149.42
Patriot News - reimbursement for subscription
100.00
The Church of God Home, Inc. - security deposit
4,929.00
32,590.92
Total Cash
Personal Property
Personal property - valued per sale price
88.14
88.14
Total Personal Property
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
32,679.06