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10-23-09 (2)
INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS couNTY of Cumberland } Donald H. Painter File Number 21-09-0581 Personal Representative(s) of the Estate of LOTS H. Barton deceased, depose(s) and say(s).that the items appearing in the following inventory include all of the person I a sets wherever situate and all of the real estate In the Commonwealth of Pennsylvania of said Decedent, that the valuation la d opposite each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owe no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memoran mat the end oft is nventory. c~ I verify that the statements made in this Inven- - { ~ p E ~ t >.~~ tory are true and correct. I understand that false state- } ~'~ --~ ~ r' menu herein are made subject to the penalties of Donald H. Painter t- ~? '~ `-_`7 ~ 18 Pa.C.S. § 4904 relating to unsworn falsification to } _ ~`~ N ~_ j `+~ authorities. '`'~ ~=~"=.? Attorney - (Name) (Firm) (Address) (Telephone) -~ ~ ~~t Michael L. Bangs (Supreme c©urt LD. No.) gP1263 _429 South 18th Street, Camp Hill, PA 17011 7171730-7310 DATE OF DEATH LAST RESIDENCE 325 Wesley Drive DEC~DEINTS SOC. SEC. NO. 05131!2009 Mechanicsburg, PA 17055 16>~-316-6562 FIGURES MUST BE TOTALED Personal Proaertv 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 ......................... 60,732.90 92,852.00 153,584.90 153,584:90 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)) rrorm RW-09 Rev. tav~-loos REGISTER OF WILLS OF INVENTORY CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland File Number 21-09-0581 DATE OF DEATH LAST RESIDENCE 325 Wesley Drive DECEpENfiS SOC. SEC. NO. X5/31/2009 Mechanicsbura. PA 17055 1681-36-6562 Cash Miscellaneous coins 672.50 Miscellaneous personal property -See appraisal of items attached. 7,775.00 PNC Bank, NA -Account 5140003097 13,258.00 PNC Bank, NA -Account 5130061509 7,307.00 PNC Bank, NA -Account 2001005099 31.595.00 Refund from Asbury Communities, Inc. 91.59 Refund from Pinnacle Health Emergency Dept. 33.81 Total Cash 60,732.90 Bond Series EE Savings Bonds - 30 bonds / $1,000.00 denomination 51.408.00 Series EE Savings Bonds - 6 bonds / $5,000.00 denomination 36,444.00 Series HH Savings Bond -1 bond J $5,000.00 denomination 5,000.00 Total Bond 92,852.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 153,584.90