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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COM ON WEAL TH OF PENNSYLVANIA
CO TY OF CUMBERLAND
} SS
File Number 21-07-0579
Pers nal Representative(s) of the Estate of JON A. SPAYD A/KJ A JOHN K. SPAYD
dece sed, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and 1 of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said
inve tory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the
Co onwealth of Pennsylvania except that which appears in a me dum at the end of this inventory.
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I verify that the statements made in this Inven- }
tory re true and correct. I understand that false state-
men s herein are made subject to the penalties of
18 P .C.S. S 4904 relating to unsworn falsification to
auth riti(~s.
Art ney -- (Name) DOUGLAS G. MILLER, ESQUIRE
(Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013
(Telephone) (717) 249-2353
(Supreme Court J.D. No.) 83776
OAT OF DEATH
LAST RESIDENCE
DECEDENT'S SOC. SEC. NO.
05/ /2007
409 E. COOVER STREET, MECHANICSBURG, P A 17055
207-22-0490
FIGURES MUST BE TOTALED
HARES OF QWEST COMMUNICA TlONS INTERNA TlONAL, INC.
2,334.45
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(. ttach additional sheets as needed)
TOTAL:
2,334.45
NO E: 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 Fa. c.s. ~ 3301(b))
Fo RW-09 rev. 10.13.06