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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNTY of Cumberland } ss
} File Number 21-08-00589
Linda G. Mulder
Personal Representative(s) of the Estate of Madeline S. Gottshall
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 saki 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
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Robert Clofine Esquire
120 Pine Grove
717/747-5995
unie OF DEATH
02/15/2008
~tntla G. M
York, PA 17403-5151
LAST RESIDENCE 72 Greenspring Drive
Mechanicsburg, PA 17050
(Supreme Court I.D. No.) 37190
DECEDENTS SOC. SEC. N0.
_ 198-32-7987
FIGURES MUST BE TOTALED
Personal Propertv
Cash ...............................................................................................
Personal Property .........................................................................
Stocks/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 .........................
45,59$.56
RECORDED OFFICE OF
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the p. REGISTER OF FILLS
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(b)) 2009 APRIL 8
Form RW-09 Rev. ~a~a-2oos CLERK OF
ORPH:~NS' COURT
CU~IBERL<~ND CO., P.~
S'~
45,598.56
45,598.56
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA }
couNTY of Cumberland } ss
un i t DF DEATH I LAST RESIDENCE
02/15/2008
Cash
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-08-00589
72 Greenspring Drive DECEDENT'S SOC. SEC. NO.
Mechanicsburg, PA 17050 198-32-7987
Cash distribution from George Gottshall Estate -balance of elective share
M 8 T Bank checking account #0727
Western-Southern Life Assurance Co. Annuity Contract No. W0020539702 -
received as part of the elective share from the George Gottshall Estate
Total Cash
14,035.06
673.31
30,890.19
45,598.56
(Attach additional sheets if necessary) Total Personal Property and Real Estate
45,598.56