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INVENTORY
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
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File Number 21
08
0060
Personal Representative(s) of the Estate of Kermit L. Shultz
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.
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.
Connie S. Shultz: Personal Representative
Attorney -- (Name) John C. Ze , III
(Address) PO Box 204
(Telephone) 7175288900
(Supreme Court J.D. No.) 52662
York S rin s
PA 17372
DATE OF DEATH
LAST RESIDENCE
1 West Penn
Carlisle
DECEDENT'S SOC. SEC. NO.
12120/07
PA 17013
FIGURES MUST BE TOTALED
187242285
Wachovia
Checking Account
2,815.28
Security Deposit refund
1.33
Com cast Refund
104.57
Embarq Refund
21.57
PPL (Electric Refund)
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(Attach tldditional sheets as needed)
TOTAL:
2,957.73
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. f 330/(b))
Form RW-09 rev. /0.13.06
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