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REGISTER OF WILLS OF
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland L
File Number 21-08-0802
Robert D. Zook
Personal Representative(s) of the Estate of Edlth C ZOOk
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 Robert D. Zook
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Wayne M Pecht
(F'm') Pecht 8< Associates, PC
(Address) 1205 Manor Drive, Suite
(Telephone) 717-691-9809
Mechanicsburg, PA 17055
(Supreme Court I.D. No.) 38904
DATE OF DEATH I LAST RESIDENCE West Shore Health 8c Rehabilitation DECEDENTS SOC. SEC. NO.
10/19/2007 Camp Hill, PA 17011
FIGURES MUST BE TOTALED
Personal Property
Cash ....................................................................................................
Personal Property .............................................................................
Stoc ks/Listed .....................................................................................
Stocks/Closely Held .........................................................................
Bonds .................................................................................................
Partnerships and Sole Proprietorships ........................................
Mortgages and Notes Receivable ..................................................
All Other Property .............................................................................
Total Personal Property ...........................................
Total Real Property ...................................................
Total Personal and Real Property ...........................
14,356.82
14, 356.82
.14,356.82
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election or 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))
F«m RW-09 Rey. ~o-~s-zoos
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-08-0802
DATE OF DEATH LAST RESIDENCE West Shore Health 8c Rehabilitation DECEDENTS SOC. SEC. NO.
10/19/2007 Camp Hill, PA 17011 193-14-7746
Cash
Department of Veterans Affairs -private source funds per letter dated 3/4/2008
Total Cash
14,356.82
14,356.82
(Attach additional sheets if necessary) Total Personal Property and Real Estate 14,356.82