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,
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
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- --------..---------- ------
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
John A. Schaeffer
Personal Representative(s) of the Estate of
} SS
}
File Number
2006-00530
-.---.-...-.----.--.-.-.-.--..-.-.-------.--.-.-.-....-_.-
Margueritte E. Schaeffer
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever
situate and al 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 ~nd of this inventory.
I verify that the statements made in this Inven- } ~ / ~~yJ//~ /- I 9 o?
tory are true and correct. I understand that false state- ~... - - ~rp--- ~
ments herein are made subject to the penalties of J n A. Scliae er
18 Pa.C.S. S 4904 relating to unsworn falsification to } - - -
authorities.
Attorney --
(Name)
(Firm)
(Address)
(Telephone)
Jeff~1I Esquire
---- ---- ----- ----- ----- ..---- -- -- - - - - - -- - - - -
- - --
Boswell, Tintner, Piccola & Alford
--- -..-- -- ----..--.----..--------------..---..-.-----..------- - - - - - -
31~ f'J.~ro_n~_S!!'e~t,_Harr~!;IJ_urg.l'A ~710~-07_~_ __ --- -
717 -236-9377
(Supreme Court 1.0. No.)
25444
DATE OF DEATH
06/09/2006
LAST RESIDENCE HCR ManorCare
Camp Hill, PA 17011
FIGURES MUST BE TOTALED
DECEDENT'S SOC. SEC. NO.
198-22-9297
Personal Property
Cash...............................................................................................
Personal Property............................................ .............................
Stocks/Listed.................. ............................. ....................... ...........
Stocks/Closely Held...... ................................................. ...... .........
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable.. ........ ......... ............ .................
All Other Property......................................... ................................
(_'.!
:;~~1
.)
c.. .
i:;,$12.67
7~2.00
-"r!
C0
'.J
i'~'"
.1:-
en
Total Personal Property...... ...................................
15,794.67
Total Real Property................................................
Total Personal and Real Property.........................
15,794.67\
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. 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 2006-00530
----.------ ---"-- -- ----
06/09/2006
LAST RESIDENCE HCR ManorCare
Camp Hill, PA 17011
DECEDENT'S SOC. SEC. NO.
198-22-9297
DATE OF DEATH
Cash
HCR ManorCare - Personal trust fund
326.86
Wachovia - Checking Acct. No. 1000661328890
7.545.81
7,872.67
Total Cash
Personal Property
John E. Neumyer Funeral Home - prearranged funeral
7.922.00
7.922.00
Total Personal Property
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
15.794.67