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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PEt\TNSYLVANIA }
COUNTY OF CUMBERLAND
SS
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Personal Representative(s) ofthe Estate of ~1I:1!/tJ /.I.. L4~f'g""
deceased, depose(s) and say(s) that the items appearing III the followmg mventory mclude 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.
File Number
21-07-00947
1 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
] 8 Pa.C.S. S 4904 relating to unsworn falsification to
authorities.
Keith O. Brenneman
k:'~~ A, :~~~
~ruce A. arson ---
Attorney -- (Name)
(Supreme Court J.D. No.)
44 W. Main Street, Mpchanir~hl1rg, PA 170C;C;
(717) 697-8528
47077
(AddresJ)
(Telephone)
DATE DF DEATH
LAST RESIDENCE DECEDENT'S SOC. SEe. ND
October 5, 2007
; 100 Mt. Allen Drive, Mechanicsburg, PA
207-34-6609
FIGURES MUST BE TOTALED
PERSONALTY
Smith Barney investment account No. 724-03502
$163,415.20
REAL ESTATE: NONE
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(Attach additional sheets as needed)
TOTAL: 163,415.20
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. g 3301 (b))
Form RW-09 rev. 10.13.06
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