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INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland
William Bradley Westhafer
Personal Representative(s) of the Estate of M. Jane Douglass O'Keefe
CUMBERLAND
COUNTY, PENNSYLVANIA
Fite Number 21-09-00413
Jane O'Keefe a/kla M. Jane O'Keefe a/k/a M. Jane Douglass
deceased, depose(s) and say(s) that the items appearin~ in the following inventory include all of the personal assets wherever
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ommonwealth o Pennsylvania of said Decedent, that the valuation placed oppo it each
item of said inventory represents its fair value as of the date of the decedent's death
and that Decedent ow d no real to
,
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of t
ventory
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I verify that the statements made in this Inven-
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tory are true and correct. I understand that false state- - -- -- -- ~ ~~6 ~n----~---- --~~>
ments herein are made subject to the penalties of William Bradley Westhafer .,.M -tea o r a ~,~
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18 Pa.C.S. § 4904 relating to unswom falsification to } _ rte' ~
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Attorney - (Name) Amy M. Moya (supreme coup ~.~. No.) 91402 .
(F~r'r') _ Law Offices of Susan E. Lederer _ _
(address) _ 5011 Locust Lane, Harrisburg, PA 17109
(Telephone) 717/652-7323 - --- __ --- ---
DATE OF DEATH I LAST RESIDENCE 21 O Blg Spring Road DECEDENTS SOC. SEC. NO.
03/18/2009 Newville, PA 17241
FIGURES MUST BE TOTALED
Personal Propertv
Cash ...............................................................................................
Personal Property .........................................................................
Stocks/Listed .................................................................................
StockslClosely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
Total Personal Property .........................................
Total Real Property ................................................
Total Personal and Real Property .........................
112,668,12'
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. § 3307(b))
Form RIN--09 Rev. 10-13-2006
54,488.44
58,179.68
112,668.12
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland
DATE OF DEATH LAST RESIDENCE
03/18/2009
Cash
Check from Holy Spir
Check from M8T Ban
Check from Millenniu
service)
Check from PEBTF -
Check~from. Presbyter
Checking Account No
($0.10 accrued interes
Personal property
Savings Account No.
O'Keefe ($3.47 accrue
Savings Account No.
titled to M. Jane O'Kee
Stock /Listed
File Number 21-09-00413
210 Big Spring Road DECEDENTS SOC. SEC. NO.
Newville, PA 17241
it Hospital - (refund of overpayment) 519.00
k - (refund of line of credit account #12044428602476001) 12.36
m Pharmacy Systems, Inc. - (refund of prescription 188.64
refund from Health Insurance) 685.18
ian Homes - (refund of accommodations) , 3,359.38
.65198689, -,held at M8T Bank, titled to M. Jane O'Keefe.. - .. .8.822.53
t)
500.00
15004208558451, -held at MST Bank, titled to M. Jane 39,790.95
d interest)
82004-00, -held at Members 1st Federal Credit Union, 610.40
fe ($0.21 accrued interest)
Total Cash 54,488,44
69.0000 shares ATBT, Inc., -held at Merrill Lynch, Account No. 872-10520, titled to M. 1,771.92
Jane Douglas O'Keefe ($25.680000/share)
Cash -held at Merrill Lynch, Account No. 872-10520, titled to M. Jane Douglas 0.82
O'Keefe
(Attach additional sheets if necessary) Total Personal Property and Real Estate 112,668.12
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNTY of Cumberland } ss File Number 21-09-00413
DATE OF DEATH LAST RESIDENCE 210 Big Spring Road DECEDENTS SOC. SEC. NO.
03/18/2009 Newville, PA 17241
883.5340 shares Loomis Sayles Invt Grade Bd Fd CIA -held at Merrill Lynch, Account 8,517.27
No. 872-10520, titled to M. Jane Douglas O'Keefe ($9.6400001share)
785.6690 shares Loomis Sayles Strategic Income Fund Class A -held at Merrill Lynch, 8,092.39
Account No. 872-10520, titled to M. Jane Douglas O'Keefe ($10.300000/share)
32,718.0000 shares ML Bank Deposit Program -held at Merrill Lynch, Account No. 32,718.00
872-10520, titled to M. Jane Douglas O'Keefe ($1.00/share)
34.0000 shares Prudential Financial Inc -Account No. 0003149510, titled to M. Jane 770.10
,O'Keefe ($22.65/share)
514.6150 shares Thornburn Income Builder Fund Class A -held at Merrill Lynch, 6.309.18
`Account No. 872-10520, titled to M. Jane Douglas O'Keefe ($12.260000/share).:
Total Stock /Listed 58,179.68
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