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04-06-09 (2)
INVENTORY r REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland } Paul N. Garrett Personal Representative(s) of the Estate of Elizabeth G. Thompson 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 decedents death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the e~ d 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 unswor'n falsification to authorities. Attorney -- (Name) (Firm) (Address) (Telephone) Paul N. Garrett Ralph H. WRIGHT (Supreme Court I.D. No.) 56113 Johnson, Duffie 301 Market Street, Lemoyne, PA 17043 717-761-4540 DATE OF DEATH LAST RESIDENCE ManorCare DECEDENT'S SOC. SEG. NU. 01/05/2009 PA 17011 207-07-7452 File Number 21-09-0060 FIGURES MUST BE TOTALED Personal Property Cash ............................................................................................... Personal Property .....:................................................................... Stocks/Listed ................................................................................. StockslClosely Held ...................................................................... Bonds ............................................................................................. Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ......................................................................... Total Personal Property ......................................... Sn Total Real Property ................................................ Total Personal and Real Property ......................... 6,559.68 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)) Form RW-09 Rey. ro-rs-2ooe C ~_ ~' ~~ .ra - s• ;_ ~ 6 n 68 ~ 5' r -- ~:~ . , ., y i :'.? _ . C:;i r~ ~ ~ j-n s~ c~ _' ~~, © ~ ~ r - a .~ - ' o 6,559.68 t REGISTER OF WILLS OF INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } ss File Number 21-09-0060 DATE OF DEATH LAST RESIDENCE ManorCare DECEDENTS SOC. SEC. NO. 01105/2009 PA 17011 207-07-7452 Cash ManorCare Refund United Healthcare -Refund Verizon Telephone -Refund Wachovia Bank Checking Account No. 7834 Total Cash 230.65 275.84 13.05 6,040.14 6,559.68 (Attach additional sheets if necessary) Total Personal Property and Real Estate 6,559.68