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REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 2008-00642
Jeffrey P. Ludwig
Personal Representative(s) of the Estate of Doris L. Ludwig _ _ __ ___
deceased, depose(s) and say(s),that the items appearing in the f
situate and all of the real estate In the Commonwealth of Pennsyy
item of said inventory represents its fair value as of the date of th
outside of the Commonwealth of Pennsylvania except that which
I verify that the statements made in this Inven-
t d rrect I understand that false state-
ving inventory include all of the personal assets
is of said Decedent, that the valuation laced o
~cedent' death, and that Decedent o ed no r~
ear a mem du at the end of ,' _ ven
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tory are rue an co Jeffre P.
ments herein are made subject to the penalties of ~ Y
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Marielle F Hazen
Hazen Elder Law
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(Supreme Court l.D. No.) 68003
2000 Linglestown Rd., Harrisburg, PA 17110 _ _
717-540-4332
DATE OF DEATH
05124/2008
LAST RESIDENCE Bethany Village
Mechanicsburg, PA 17055
FIGURES MUST BE TOTALED
Personal Propertv
Cash .........................................................
Personal Property ...................................
Stocks)Listed .................................................................................
Stocks/Closely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
Alt Other Property .........................................................................
Total Personal Property .........................................
Total Real Property ................................................
Total Personal and Real Property .........................
DECEDENTS SOC. SEC. NO.
204-14-4602
1,341.70
1,000.00
2,341.70
2,341.70
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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. § 3301(b))
Forth RW-~9 Rev. f0-13-2006
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REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COUNTY OF Cumberland } File Number 2008-00642
DATE OF DEATH LAST RESIDENCE Bethany Village DECEDENTS SOC. SEC. NO.
05/2412008 Mechanicsburg, PA 17055 204-14-4602
Cash
PNC Bank -checking account number 5140124921 1,341.70
Total Cash 1,341.70
Personal Property
personalty -various used furniture 1,000.00
Total Personal Properly 1,000.00
COMMONWEALTH OF PENNSYLVANIA } SS
(Attach additional sheets if necessary) Total Personal Property and Real Estate 2,341.70