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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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File Number 21-08-0154
Personal R<~resentative(s) of the Estate of JOSEPHINE M. CLOUSER
deceased, d~ose(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 exc~t 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 hen~in are made subject to the penalties of
18 Pa.C.S. ~ 4904 relating to unsworn falsification to
authorities.
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Attorney..- (Name) ROGER B. IRWIN, ESQUIRE
(Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013
(Telephone) (717) 249-2353
(Supreme Court J.D. No.) 6282
DATE OF DEATH
LAST RESIDENCE
DECEDENT'S SOC. SEC. NO.
JANUARY 16,2008
7073 CARLISLE PIKE, CARLISLE, P A 17013
091-28-1721
FIGURES MUST BE TOTALED
SERIES EE SAVINGS BONDS
PSECU SAVINGS ACCOUNT
PSECU CHECKING ACCOUNT
COINS
CASH
MOBILE HOME
18,813.44
935.46
44,767.86
177.17
19.00
4,500.00
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(Attach additional sheets as needed)
TOTAL:
69,212.93
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. S 3301(b))
Form RW-09 rev. 10.13.06
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