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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland ~ SS File Number 21-10-0318 _ __
Stephen M. Shaak
Personal Representative(s) of the Estate of Lester M. Shaak
deceased, depose(s) and say(s) that the items appearing in the following inventory include 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 apps in a memorandum at the end of this inventory.
1 verify that the statements made in this Inven- ~ _ J___~_!_
tory are true and correct. 1 understand that false state-
ments herein are made subject to the penalties of Stephen .Shaak
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Amy M. Moya
(Firm) Law Offices of Susan E. Lederer
(address) 5011 Locust Lane, Harrisburg PA 17109
(Telephone) 717-652-7323
DATE OF DEATH LAST RESIDENCE
01 /0312010
Bethany Village
Mechanicsburg, PA 17055
FIGURES MUST BE TOTALED
Personal Property
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 ................................................
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23;0.67
Total Personal and Real Property ........................
23,850.67
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))
(Supreme Court 1. D. No.) 91402
DECEDENT'S SOC. SEC NO.
23,850.67
Form RW-09 Rey. ~o-~s-loos
~ f"'i-
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-10-0318
DATE OF DEATH LAST RESIDENCE Bethany Village DECEDENT
01/03/2010 Mechanicsburg, PA 17055
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Check from Prudential Insurance - (proceeds from policy cashed out prior to death)
Checking Account No. 76865010, held at M&T Bank, titled to Lester M. Shaak ($0.18
accrued interest)
Savings Account No. 15004213584194, held at MStT Bank, titled to Lester M. Shaak
Total Cash
'S SOC. SEC. NO.
17,550.28
5,869.77
430.62
23,850.67
(Attach additional sheets if necessary) Total Personal Property and Real Estate 23,850.67