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INVENTORY
REGISTER OF WILLS OF ~llmhp-r 1 ;:mn
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PENNSYL VANIA
COUNTY oFCumber I and
Mary M Murphy
} SS
FileNumber21 07-071 c;
Personal Representative(s) of the Estate of Francp-~ K T.P-C"!h l~; rn~r
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.
tory ar; ::i~:~~:::.ta;:~~::t:dd~~ :~:e~:~~} <9h-4Ajr '/Pt- JJr* yj A9.
ments herein are made subject to the penalties of U
18 Pa.C.S. ~ 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) (Supreme Court [D. No.)
(Address)
(Telephone)
DATE OF DEATH LAST RESIDENCE
06/18/2007 3511 Walnut street Camp Hill
nGURESMUSTBETOTALED
DECEDENT'S soc. SEC. NO.
137-14-9034
Stocks and Mutual Funds (Schedule B)
45,112.28
Cash and Annuities (Schedule E)
267,581.62
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(Attach additional sheets as needed)
TOTAL: .312 693.90
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 ofthe Inventory, (See 20 Pa. c.s. S 3301 (b)) .
Form RW-09 rev. 10,13.06
~
.REV-1503 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
FILE NUMBER
Frances K Lechleitner 2107-0715
All property jolnUy-oWl1ed with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
90Shs Tyco International @34.09 per share
3,958.868 Shs Templeton Global Smaller Cos @10.62
VALUE AT DATE
OF DEATH
3,069.10
42,043.18
2
WK4T PA0305-00S 103
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
45,112.28
REV-1508 EX+ (6-98)
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Frances K Lechleitner
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolntly-oWl1ed with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1 .
2.
3.
4.
5 .
6.
7 .
8 .
9.
10
DESCRIPTION
Ameriprise Certificate No. 00804214779 6 001
Ameriprise Annuity No. 93006715235 3 004
Integrity Bank Savings Acct. per bank letter
Integrity Bank Checking Acct. per bank letter
Wester-Southern Life Annuity #W0020737521
Bankers Life Annuity #7658961
Principal Financial Annuity #0175234
American National Ins. Annuity #14377738
Fulton Bank Certificate No. 010-0223270
M&T Bank Certificate No. 031003913332935
FILE NUMBER
2107-0715
VALUE AT DATE
OF DEATH
9,066.56
50,184.15
11,044.22
5,771.63
23,077.47
63,788.83
78,959.46
5,727.78
6,237.71
13,723.81
WK4 T PA030S 010 103
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
267,581. 62