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12-04-09 (2)
INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } ss File Number 21-09-0557 Carolyn M. Miller Personal Representative(s) of the Estate of Miriam E. Creamer deceased, depose(s) and say(s).that the items appearing in the following inventory inGude 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. /~ n 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 unswom falsification to authorities. Miller Attorney - (Name) Gary L. James Esq. (Supreme Court i.~. No.) 27752 (Firm) James, Smith, Dietterick ~ Connelly, LLP (Address) 134 Sipe Avenue, Hummelstown, PA 17036 (Telephone) 7171533-3280 DATE OF DEATH LAST RESIDENCE 20 West Factory Street DECEDENTS SOC. SEC. NO. 03/15/2009 Mechanicsburg, PA 17055 196-14-2554 FIGURES MUST BE TOTALED Personal Proaerty 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 ......................... 1,502.75 1,500.00 r.a ~ ~=: I ~~ ~^^ r~ ~ JLL~1 t rt ` ~~i © -y ~-~~ ~' , ~ ~..~ 3,07.5 "'~• 85,000.00 ~', ~ 88Oti2.75 NOTE: The Memorandum of real estate outside the Commorrvvealth 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)) Fam RW-09 Rev. ~afs2oos INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-09-0557 DATE OF DEATH LAST RESIDENCE 20 West Factory Street DECEDENT'S SOC. SEC. NO. 03/15/2009 Mechanicsburg, PA 17055 196-142554 Cash Members 1st Savings Account # 266238-00 -valued per letter dated April 30, 2009 Accrued interest on above item through date of death PSERS -final pension payment Total Cash Personal Property Personal Property Total Personal Property Real Estate Real Estate located at 20 W. Factory Street, Mechanicsburg, Cumberland County, Pennsylvania -valued per sales price Total Real Estate 871.83 0.25 630.67 1,502.75 1, 500.00 1,500.00 85,000.00 85,000.00 (Attach additional sheets if necessary) Total Personal Property and Real Estate 88,002.75