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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland i SS
COUNTY, PENNSYLVANIA
File Number 21-08-1212
JOHN K. ROLLER JR.
Personal Representative(s) of the Estate of DOROTHY L. ROLLER
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deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal as -~wherevgr~,-t-~
situate and all of the real estate in the Commonwealth of Pennsylvania of Bald Decedent, that the valuation laced
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned nWsite ealxh
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inuea(,~state_
I verify that the statements made in this Inven- /Jn ~ /~
tory are true and correct. I understand that false state- ~tr~" 7Z ~ ~ if ~L ~' ~~ ''^
menu herein are made subject to the penalties of ~ J~4N K. ROLLER JR. ~ -
18 Pa.GS. § 4904 relating to unsworn falsification to } ~
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authorities.
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Attorney -- (Name)
(Firm)
(Address)
(Telephone)
JERRY R. DUFFIE
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(Supreme Court I.D. No.) 09601
JOHNSON, DUFFIE, STEWART & WEIDNER
301 MARKET ST., Lemoyne, PA 17043-0109
I71717GA wcen
~n i e ur uEgTH
01/05/2008
usT RESloervcE 4P ONEIDA ROAD
Camp Hill, PA 17011
FIGURES MUST BE TOTALED
Personal Prooertv
Cash........
.......................................................................................
Personal Property .........................................................................
StockslListed .................................................................................
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 .........................
18,728.26
18,728.26
NOTE The Memorantlum 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 eztentled into the total of the Inventory. (See 20 Pa. C.S. § 3301(b))
Form RW-09 Rev. f0-13-2006
NO.
188-12-0156
16,777.04
1,951.22
V V
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland } SS
01/05/2008
Cash
LAST RESIpENCE 42 ONEIDA ROAD
Camp Hill, PA 17011
File Number
COUNTY, PENNSYLVANIA
21-08-1212
Delta Equity Services, Corp. -Investment Account No. 39K-220166 -
consisting of 4,237.760 Shares -General Money Market Fund CL B - $4,237.76;
$13,000.00 Household Fin. Corp. Internotes @ 96.4560 = $12,539.28.
Total Cash
Stock /Listed
33 Shares - MetLife Inc. Trust Interests @ $59.127950
Total Stock /Listed
INVENTORY
CUMBERLAND
16,777.04
16,777.04
1,951.22
1,951.22
(Attach additional sheets if necessary) Total Personal Property and Real Estate
18,728.26