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INVENTORY
Estate of BEATRICE V. BURGER
No.21
07
0501
also known as
, Deceased
Date of Death 5/16/2007
Social Security No. 166126149
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. l!We
verify that the statements made in this inventory are true and correct. l!We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attorney: DAVID W. REAGER
I.D. No.: 20868
Address: 2331 MARKET STREET
CAMP HILL
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Dated J( +(~(
PA 17011
Telephone: 7177631383
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Description
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Stocks & Bonds
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CD
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CERTEGY INC. - STOCK 24 SHARES
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~196.16
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CHOICEPOINT, INC. - STOCK 16 SHARES
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~23.84
EQUIFAX INC. - STOCK 46 SHARES
1,909.92
RETAIL CREDIT COMMON STOCK NOW EQUIFAX INC. - 2 SHARES
83.04
Closely-Held Corporation, Partnership or Sole-Proprietorship
Total
(Attach Additional Sheets if necessary)
243,355.58
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
BEATRICE V. BURGER
21
07
0501
Description of Inventory
Page 1
Description
Value
Mortgages & Notes Receivable
Cash, Bank Deposits, & Misc. Personal Property
l:-;OMMERCE BANK - CHECKING ACCOUNT 032078743
3801 PAXTON STREET, HARRISBURG, PA 17111
7,871.98
CITIZENS BANK - CHECKING ACCOUNT 6100604764
525 WILLIAM PENN PLACE, PITTSBURGH, PA 15219
5,254.49
CITIZENS BANK - SAVINGS ACCOUNT 6140-217415
525 WILLIAM PENN PLACE, PITTSBURGH, PA 15219
49,551.46
CAPITAL BLUE CROSS REUND
101.80
VERIZON BALANCE REFUND
11.47
PERSONAL PROPERTY
1,632.00
TRAVELERS (HOMEOWNER REFUND)
100.00
EQUIFAX STOCK DIVIDEND AND AFLAC REFUND
18.22
COMPUTERSHARE STOCK DIVIDEND
1.20
Real Estate
113 NORTH 36TH STREET, CAMP HILL, PA 17011
SETTLEMENT SHEET ATTACHED)
175,000.00
Subtotal
$
239,542.62
243,355.58
Grand Total $