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INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA 1 SS
COUNTY OF' CUMBERLAND J
CUMBERLAND
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_._ 21-OS-1078 -'
Personal Representative(s) of the Estate of BETTY A. WARNER
deceased, depose(s) and say(s) that the items appearing in [he following inventory include all of [he personal assets wherever situate
and al] ofthe real estate in the Commonwealth of Pennsylvania of said Decedent, [hat 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 [hat which appears in a memor dum al the end of [his inventory.
[ verify that the statements made in this Inven-
tory are true and correct. 1 understand that false state-
ments herein arc made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney -- (Name/ Richard W. Stevenson (Supreme Coarr LD. NoJ 7120
(Address) 100 Pine Street, P.O. Hux 1166, Harrisburg, PA 17108-I 166
(Telephone) (717) 237-5200
DATF OF DEATH LAST RESIUFNCE DECEDEM'S SOC. SEC. NO.
July 30, 2008 Bethany Village, Lower Allen Township, Cumberland County, PA 163-36-9125
FIGURES MUST BE TOTALED
SEE ATTACHED ~ 14,866.29
(Attach additional shee6' as
NOTE' The Memorandum nl real estate outside the Commonwealth of Pennsylvania may, al the election of the personal representative include the value of each
item, hw such libures should not he cxtrndal mio she total aF the Inventory. lSee 20 Pa. CS ,$ 330/(6))
Form RW-09 rte lll.l ).Ofi
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Estate of BETTY A. WARNER
Estate lnventoty
Valued as of Date of Death
Cash & Cash Equivaleats
PNC Bank Checking Account No.
5080032514
Total Cash & Cash Equivalents
Miscellaaeous
Board of Pensions -Death Benefit
payable to Estate
U.S. Treasury -Refund re decedent's
2008 income [ax return
Total Miscellaaeous
Total Iaveutory
$ 6,159.69
$ 6,159.69
$ 8,406.60
300.00
8,706.60
$ 14,866.29
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