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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-0156
Lee C. Swartz
Personal Representative(s) of the Estate of Wllllam V. Bottonari
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever
situate and al of the real estate in the Commonwealth ofPennsylvania 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
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Neil E. Hendershot Esq.
C. Swartz
Tucker Arensberg, P.C.
111 North Front Street, Harrisburg, PA 17108
717-234-4121
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(Supreme Co~~D. No.) N 23316
DATE OF DEATH LAST RESIDENCE 37 South 24th Street DECEDENTS SOC. SEC. NO.
01/11/2009 Camp Hill, PA 17011 165-16-9088
FIGURES MUST BE TOTALED
Personal Proaerty
Cash ............................................................................................... 22,119.04
Personal Property ......................................................................... 1,000.00
Stocks/Listed .................................................................................
Stocks/Closely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
Total Personal Property ......................................... 23,119.04
Total Real Property ................................................ 170,000.00
Total Personal and Real Property ......................... 193,119.04
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. ~o-~3-zoos
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REGISTER OF WILLS OF
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY OF Cumberland }
File Number 21-09-0156
DATE OF DEATH I LAST RESIDENCE 37 South 24th Street I DECEDENTS SOC. SEC. NO.
01/11/2009 Camp Hill, PA 17011 165-16-9088
Cash
Cash -Cash found in Residence by Executor post-mortem 790.00
Debt Repayment -Payment received on balance owed by third-party purchaser 200.00
(Decedent's next-door neighbor's son) on pre-death sale 8- transfer of
Decedent's 1994 Ford Taurus station was~on
Highmark -Refund issued by Highmark for unearned premium 561.18
PA Department of Revenue -Refund check 3.00
100.0000 Stillwater CD -Certificate of Deposit, dated 01/30/08, due 01130109, at 3.5% by 10,000.00
Stillwater National Bank 8~ Trust Co.
Accrued interest on above item through date of death 331.53
100.0000 Wachovia CD -Certificate of Deposit, dated 08113/08, due 05113109, at 4.2% by 10,000.00
Wachovia Bank, N.A.
Total Cash 22,119.04
Personal Proaerty
Furnishings -Household contents & furnishings located in residence, valued 500.00
per estimate by Executor for used furniture in poor condition
Accrued interest on above item through date of death 233.33
Toyota Sedan -1994 Camry, in poor condition (does not start, needs repairs, 500.00
not inspected)
Total Personal Property 1,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 193,119.04
~ •.
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-09-0156
DATE OF DEATH I LAST RESIDENCE 37 South 24th Street I DECEDENTS SOC. SEC. N0.
01/11/2009 Camp Hill, PA 17011 165-16-9088
Real Estate
Residence -House 8~ lot titled in Decedent's sole name located at 37 South
24th Street, Camp Hill (Camp Hill Boro, Cumberland Co.), PA, valued per
appraisal (appraisal ~ deed attached to PIT Return filed with PA DOR)
Total Real Estate
170,000.00
170,000.00
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