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INVENTORY
REGISTER OF WII.LS OF Cumberland COUNTY, PENNSYLVA~T1'A
C~MMUNWHALTfi OF SYLVANIA
CoUNrY OF ~QsY~e ~,/ S3 File Ntttnber 21-10-0757
Personal Representstive($) of the Bstate of E. Robert Keller
decxased, depose(s) and say{s) that the items appearing in the following inventory include all of the personal wherever situate
and all ofthe real estate is the Commonwealth of Pennsylvania of said Decedent, drat the vah>Ietion plaosd o 'te each item of said
inventory r+~r~eseMs its fair value as of the date of the decedent's death, end that Decedent owned no roaI b:~tate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the and of this inventory.
I verify that the statements made in this Inver- ~ ~~ ~ ~~~.~
tory are true and correct. I understand that false state- (signswre)
menu herein aro made subject to the penalties of
18 PaC.S. $ 4904 relating to unsworn falsi>xcation to signawre
authorities.
Attorney _ ~Q1ffe~ Jerome J. MCdOnald ~,~pr.~ C'ourt 1:A. Nb.) 44697
(,~d~439 Walton Ave., Hummelstown, PA 17036
{'1'etephone) 717-566-2127
QME CF DEATH - - lAti'i HESIOENCE RECEDE 80C. tiEC. WD.
Jul 13, 2010 1059 Country Club Rd., Camp Hill, PA 17011 194-~~-8141.
FIGURES MUST BE TOTALED
1. Edward Jones account 896-07879-1-2
2. AmeriChoice Federal Credit Union account 4564
8,971.70
346.51
ev
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(Attach addlttonal ahssts as needsdj
NOTE: The Memorandum of real sable oubide the Commas-vroslth of Pennsylvania may, st the election of the personal
item, but such Braes should not be eztendcd into the total of the Inventory. (Sss IO Pa ~S § 3301(G))
18.21
ova' inch~de the vslue of each
Form RW-09 rsv. 10.13.06 RW-09