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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Frances E Kring
Personal Representative(s) of the Estate of
} SS
}
File Number 21-07 -0538
E Jeanne Henry
COUNTY, PENNSYLVANIA
deceased, depose(s) and say(s) that the items argearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in the Commonwealth 0 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 eath, and that D ceden ow d no real estate outside of the
Commonwealth of Pennsylvania except that which app rs in a morandum a e.end a . inventory.
I verify that the statements made in this Inven- }
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. ~ 4904 relating to unsworn falsification to }
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Diane G Radcliff
Diane G. Radcliff, Esquire
3448 Trindle Road, Camp Hill, PA 17011
(717) 737-0100
DATE OF DEATH
OS/20/2007
LAST RESIDENCE 1400 Bent Creek Blvd
Mechanicsburg, PA 17050
FIGURES MUST BE TOTALED
Personal ProDertv
Cas h...............................................................................................
Personal Property.. .... .... ............. .......... ......... ........ .......... ......... ....
Stoc ks/Listed.................................................................................
Stocks/Closely Held......................................................................
Bonds............................................................................................ .
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property..... .... ........................... ...... ........ .......................
Total Personal Property....... ............ ......... .............
Total Real Property ................ .......... ........ ......... .....
Total Personal and Real Property.........................
(Supreme Court 1.0. No)
32112
DECEDENTS SOC. SEC. NO.
178-14-2136
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6,815.57
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6,815.571
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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 -0538
DATE OF DEATH
OS/20/2007
LAST RESIDENCE 1400 Bent Creek Blvd
Mechanicsburg, PA 17050
DECEDENT'S SOC. SEC. NO.
178-14-2136
Cash
New York Life Annuity - Payable to Estate - Policy No. 58089722
2.882.52
New York Life Annuity - Payable to Estate - Policy No. 58089368
3.933.05
Total Cash
6.815.57
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
6.815.57