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10-14-10 (2)
INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND File Number 10 0629 Personal Representative(s) of the Estate of Jean E. Coulson ~, 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 e~ta~e outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I verify that the statements made in this Inven- /O ~~, t~~» tory are true and correct. I understand that false state- ments herein are made subject to the penalties of Carolyn J. vin al 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) Benjamin J. Butler (Supreme Court ILD. No.) 81948 (Address) 500 N. Third Street, P.O. Box 1004 Harrisburg ~~ PA 17108-1004 (Telephone) 717.236.1485 DATE OF DEATH LAST RESIDENCE D CEDENTS SOC. SEC. ND. 700 Walnut Bottom Road 4/9/10 Carlisle _ PA 17013 X19 -'18-4467 FIGURES MUST BE TOTALED Cash, Bank Deposits, & Misc. Personal Property Citizens Bank -Checking Account 7,758.50 PSERS -Final Retirement Payment 145.41 Highmark -Refund ~ ~_ o _ 8.28 ~' o ~ r- `: "l za nom?' C_, G~ ' _ - = N __ I rr a ` © ~.: ~: - i t~ ~ (Attach additional sheets as needed) 8.232.19 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal represent~tiv8 imclude the value of each R item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C S. § 3301(6)) Form RW-09 rev. 10.13.06 ._ _ _- ~~~____ _ _ --~ ~ _ L _ _._ __ __ - 500 North Third Street Tel: 717.236.1485 Twelfth Floor Fax: 717.236.7777 Harrisburg, PA 17101 lawyers~butlerlawfirm.com Mailing Address: Post Office Box 1004 Harrisburg, PA 17108.1004 October 12, 2010 Ronald D. Butler Jana Butler Toole Benjamin J. Butler Suzanne M. Butler Register of Wills Cumberland County Courthouse 1 Courthouse Square Room 102 Carlisle, PA 17013 Re: Estate of Jean E. Coulson 2010-00629 Dear Sir or Madam: I have enclosed two originals and one copy of a Pennsylvania Inheritance Tax riet~rn and one original and one copy of an Inventory for the above referenced estate. Please ime stamp the enclosed copies and return them to me in the enclosed self-addressedsta~ri~ped envelope. I have also enclosed a check for $30.00 made payable to Register of vV~lls for filing fees. Your cooperation in this matter is appreciated. Ve truly yours, ~ c Benjamin J. Butler ~ ,~~ c`, ;~ s~'O ,~ ~n `~ -" ~ h " r'% C"~j ~.._, ,._ BJB/mot ~~ -~'' rn ~ ..,,_, c:- 3j ,- , , Enclosure ~ ~ .~- ~ ° i ..~ { ~ - 1i ^ ` Q ~. ~ ~) w ,7, ~ ,' __ _L..I