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02-22-11 (2)
INVENTORY REGISTER OF WILLS OFCUMBERLAND COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND COUNTY, PENNSYLVANIA File Number 21 0 9 12 0 2 Personal Representative(s) of the Estate of WILMA J. SCHEER 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 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- ments herein are made subject to the penalties of 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities. SEE ATTACHED Attorney -- (Name) STEPHEN J. DZURANIN, ESQ/WIX WENGER & WEIDNER (Supreme CourtLD. No.) 52653 (Address) 508 NORTH SECOND ST/PO BOX 845 HARRISBURG PA 17108 (Telephone) (717) 234-4182 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. 1525 SLATE HILL ROAD 11/22/2009 CAMP HILL PA 17011 167122771 FIGURES MUST BE TOTALED 42 SHARES DAIMLER AG (CUSIP D1668R123) @ $42.7575 PER SHARE MISCELLANEOUS HOUSEHOLD GOODS, FURNISHINGS, AND JEWELLY MISCELLANEOUS HOUSEHOLD GOODS, FURNISHINGS, AND JEWELRY MISCELLANEOUS SILVER COINS BOOK OF STATE HALF DOLLARS JEWELRY NOT SOLD AT AUCTION GOLD INDIAN HEAD COINS AND NECKLACE (Attach additional sheets as needed) f...', r:..,1 ~.e t"~' i C3~ tv iV _~`` .i..: s 200.00 1,057.75 4,136.00 2$15.82 ~~ ?, r~ ~ ~._ 7 ~_ .:_~ ~~% ,: 11,f~0.00 __, . .~., ...., .a -~--v ~1 x$7.00 f` ~ l~© "CZ 11,315.58 1,114,632.15 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. (Sege 20 Pa. C.S. § 3301(bj) Fa-m RW-09 rev. 70.13.06 Continuation of Inventory WILMA J. SCHEER 21 09 122 Decedent Name File Number Page 1 Description of Inventory 4 BURIAL PLOTS @ $695.00 EACH 2,780.00 REAL ESTATE SITUATE AT 1525 SLATE HILL ROAD, CAMP HILL, CUMBERLAND 1,020,000.00 COUNTY, PENNSYLVANIA, CONSISTING OF THREE TAX PARCELS TOTALING APPROXIMATELY 43.76 ACRES, TOGETHER WITH IMPROVEMENTS THEREON Subtotal $ 1,022,780.00 Grand Total $ 1,114,632.15 Estate of Wilma J. Scheer SSN 167-12-2771 Estate No. 21-09-1202 Date of Death: November 22, 2009 We verify that the statements made in the foregoing Inventory are true and correct. We understand that false statement herein are made subject to the penalties of 18 Pa. C.S. §4904 relating to unsworn falsification to authorities. Eugene B. Scheer, Co-Executor 120 Winston Drive Mechanicsburg, PA 17055 Gain' .McMillen, Co-Executor 514 ang nd Road ,~ D sb r , A 17019 Lin alina o xecutor 2 est Roe den Blvd. echanicsbur_ , A 17055 Dated: r eh «cvt, ICS , 20 ~ 1 F:\dbw\Estates18293 -Scheer\Signature Page Inventory.doc