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REGISTER OF WILLS OF
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
CouNTY OF CUMBERLAND }
DOROTHY A. BELL
File Number 21-08-01014
Personal Representative(s) of the Estate of GLADYS M. COX
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 OROTHY A BE
18 Pa.C.S. § 4904 relating to unsworn falsification to }
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
JERRY R. DUFFIE
JOHNSON, DUFFIE, STEWART 8~ WEIDNER
301 MARKET ST., Lemoyne, PA 17043-0109
(717) 761-4540
(Supreme Court I.D. No.) 09601
DATE OF DEATH I
09/19/2008 LAST RESIDENCE MANOR CARE I
CAMP HILL, PA 17011
FIGURES MUST BE TOTALED
Personal Property
Cash ............................................................................................... 161,662.00
Personal Property ......................................................................... ~-, ~,
-- 0.0
Stocks/Listed ................................................................................. : c7 ~,
_
Stocks/Closely Held ...................................................................... ~. ,
~` c. ~ _~~
Bonds ............................................................................................. ~ rv
~'
Partnerships and Sole Proprietorships ..................................... _.... ~
,''-~ -;
, .-, ,.
Mortgages and Notes Receivable ............................................... _
-~
-,=
~- -;
All Other Pro ert
p Y ......................................................................... _:o _._ _
.-~~ -~' r'`~
.. __ ~`~
~,
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n
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Total Personal Pro ert
p Y ......................................... _
w
161,662.00
Total Real Property ................................................
Total Personal and Real Property ......................... ~ 161,662.00
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylva nal 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 io-i3-zoos
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND } SS File Number 21-08-01014
DATE OF DEATH LAST RESIDENCE MANOR CARE DECEDENT'S SOC. SEC. NO.
09/19/2008 CAMP HILL, PA 17011
Cash
Total Cash 161,662.00
Blue Shield Medigap Blue -premium refund 372.52
M8~T Bank -Select checking account with Interest. -Account No. 5,121.06
00000002431878. Date of death balance, plus interest.
MB~T Securities, Inc. - MTB Money Market Fund Class A2 -Account No. 44,108.89
AZD-494847. Date of death, plus accrued interest.
PSECU -Certificate No. 8004000000-51 -Date of death balance, plus accrued 18,335.89
dividends.
PSECU -Certificate No. 8004000000-53 -Date of death balance, plus accrued 20,003.64
dividends.
PSECU -Certificate No. 8004000000-55 -Date of death balance, plus accrued 10,817.30
dividends.
PSECU -Certificate No. 8004000000-56 -Date of death balance, plus accrued 16,175.40
dividends.
PSECU -Certificate No. 8004000000-62 -Date of death balance, plus accrued 25,170.68
dividends.
PSECU -Certificate No. 8004000000-63 -Date of death balance, plus accrued 21,551.34
dividends.
PSECU -Share Account NO. 8004000000-01 5.2g
(Attach additional sheets if necessary) Total Personal Property and Real Estate 161,662.00
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY of CUMBERLAND }
File Number 21-08-01014
DATE OF DEATH I LAST RESIDENCE MANOR CARE
Personal Proaerty
Household Goods -Paragraph II of Will - Adeemed.
Total Personal Property
0.00
0.00
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