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INVENTORY
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
COMMONWEAL TH OF PENNSYL VANIA
COUNTY OF Cumberland
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File Number 21-07-0694
Personal Representative(s) of the Estate of Ethel L. Wickard
deceased, depose(s) and say(s) that the items appearing in the following inventory include all ofthe 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 memo~dum at the end of this inventory.
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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. S 4904 relating to unsworn falsification to
authorities.
Attorney __ (Name) Robert R. Black, Esq.
(Address) 36 South Hanover Street, Carlisle, PA 17013
(Telephone) 717-243-3727
(Supreme Court J.D. No.) 6267
DATE OF DEATH
LAST RESIDENCE
DECEDENT'S soc SEe NO.
71l2/2007
1000 West South Street, Carlisle, PA 17013
198-30- I 622
FIGURES MUST BE TOTALED
1. Wachovia Bank Checking Acct.- # 1000324157418
2. M & T Bank Annuity Acct. - #AZD-443687-1
3. M & T Bank Annuity Acct. - #AZD-443687-1- Reture of August, 2007, payment
4. United Church of Christ- Nursing Home Care Rebate
5. Public School Employees' Retirement System- Prorated Payment
6. Estate of George B. Wickard ( Cumbo Cty # 2006-01113)- Distribution
15,467.33
29,128.38
6,500.00
4,462.18
245.02
48,026.84
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(Attach additional sheets as needed)
TOTAL:
103,829.75
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 330/(b))
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Form RW-09 rev. 10.13.06