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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Steven M. Csajka
Personal Representative(s) of the Estate of CSAJKA, LUCY L.
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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.
Iverifythatthestatementsmadeinthislnven- } ,~.. ~ l{~'\()~
tory are true and correct. I understand that false state- ~ .
ments herein are made subject to the penalties qf Steven M. CsaJka
~~t~~~~~~~ ~ 4904 relating to unsworn falsification to } ________.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
DATE OF DEATH
3/17/2007
File Number 21 - 07 - 1082
John M. Smith
Gingrich, Smith, Klingensmith & Dolan
(Supreme Court 1.0. No.) 19520
222 South Market Street, Suite 201
P.O. Box 267
Elizabethtown, PA 17022
717/367-1370
LAST RESIDENCE
DECEDENTS soc. SEC. NO.
174-20-5202
Golden Living Center
Camp Hill, PA 17011
I FIGURES MUST BE TOTALED I
Personal ProDertv
Wachovia Bank Checking Account, closing balance
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7,828.56
Total Personal Property
$7,828.56
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Total Personal Property and Real Estate
(Attach additional sheets if necessary)
$7,828.56
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