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INVENTORY
Estate of Russell E. Mentzer. Jr.
also known as
Deceased
No. 21 07 0668
Date of Death 7/6/2007
Social Security No. 208425314
Personal Representative(s) of the above Estate, deceased, verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. IlWe understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of
Attorney: William P. Douglas Russell E. Mentzer, Sr.
I.D. No.: 37926 37 Kenwood Ave., Carlisle PA 17013
Address: 43 W. South St. Dated August 29, 2008
Carlisle, PA 17013
Telephone: 717-243-1790 a
Stocks & Bonds
Description
Value
Closely-Held Corporation, Partnership or Sole-Proprietorship
Mortgages & Notes Receivable
Cash, Bank Deposits, & Misc. Personal Property
Pennsylvania State Bank, checking and savings account- see attached
Members 1st F.C.U. Checking and Savings account, see statement
(Attach Additional Sheets if necessary)
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$7,315.16
$131.99
total
$15,151.32
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.
RW-4
Continuation of Inventory
Russell E. Mentzer, Jr.
21 07 0668
Page 1
Description of Inventory