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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 10 0343
Personal Representative(s) of the Estate of EUC~tNt h. rU t l tlt~trt
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the perso al sets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed) op dsite 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'sta a 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- ',
tory are true and correct. I understand that false state- DY L. R
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -(Name) JILL M. WINEKA ESQ. _ (Supreme Co~rtl,1.~D. No.) 58802
(Address) 1719 NORTH FRONT STREET HARRISBURG ~ j PA 17102
(Telephone)
DATE OF DEATH
Brethem in Christ Foundation
TAP Acct. No. xx93
LAST RESIDENCE
i50 SALMON ROAD
SOC. SEC. NO.
PA 17050 I2~1180788
FIGURES MiJST BE TOTALED
Brethem in Christ Foundation
Certificate of Deposit Acct. No. root-13496
Brethem in Christ Foundation
IRA Acct. No. xxxx190
Decedent's personal property
PNC Bank Checking Acct. No. roc-xx~ot-8178
PNC Bank Certificate of Deposit Acct. No. ~oooooot5832
PNC Bank Certificate of Deposit Acct. No. ~ocxx~ooc5833
(Attach addltiona! sheets as
102,332.11
205,218.28
n 5.65
,t~v
~ -~.
Z 720.00
o
204,3.65
1,951.33
2,444.71
975.77
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representjaativ~e ilnclude 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))
Form RW-09 rev. 10.13.06 !, '~
li i
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Continuation of Inventory
EUGENE H. POTTEIGER 21 10 0343
Decedent Name P89e ~ File Number
Description of Inventory
Mennonite Mutual Aid
40.04
subtotal S 40.04
Grand Total ', S 529,975.77
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