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03-27-09
INVENTORY REGISTER OF WILLS OF Cumberland COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF Cumberland COUNTY, PENNSYLVANIA File Ntmtber 2049'00145 Personal Representative(s) of the Estate of Hilda Margaret Hamer 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 , ~ _ that the valuation placed opposite each item of said inventory represents its fair value as of the date of the decederlt's death, that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears id a me dum at the ~end..~hi'S~nventory. ~ ~ 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 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name)- (Address)_ (Telephone) d3/z ~/a ' ~~ic%4~ ~~~2n~F5 ~/7/~/rS~~iSiiC -~~ ~Elv to A? E/ / 70 70 (Supreme Court LD. No.) DATE OF DEATH IAST RESIDENCE DECEDENTS SOC. SEC. NO. July 03, 2008 325 Wesley Drive, Mechanicsburg, PA 17055 165-20-5111 FIGURES MUST BE TOTALED ' PNC Joint Checking Account Hilda H. Harney/Jane M. Bames #50-0441-5329 Fulton Bank Hilda H. Harney Burial Reserve Account CD #406-0043042 International Ladies Garment Workers Union Hilda H. Hamer "UNITE" insurance death benefit ?,843.67 6,106.34 2,500.00 N 0 J- © w _ ~ ~ ~J ' zn ~ r , - r'rt N - ~: _ C~ =T t =, _;,tJ ~ -1 'C7 - ~ (Attach addltlonal sheets as needed) TOTAL: I 16,450.01 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 l0 Pa C.S. § 3301(b)) Form RW-09 rev. 10.13.06