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REGISTER OF WILLS 4F CuMSERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND f SS 1'ileNumber 21 10 0925
Personal Representative(s) of the Estate of THOMA S E• T E N E Y C K
deceased, deposes}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.
[ verify that the statements made in this Inven-
tory are true and correct. I understand that false state-
meets herein are made subject to the penalties of
1.8 Pa. C.S. § 4904 relating to unsworn falsification to
CHRIS PHER TENEYCK
authorities.
Attorney -- (Name) SUSAN H • CONFAIR (Supreme CourtLD. No.) 70241
(Address) 2331 MARKET STREET CAMP HILL PA 17011
(Telephone) 717-7b3-13$3
- --
DATE OF DEATH LAST RESIDENCE
1665 REVERE DRIVE
Stocks 8. Bonds
DECEDEM"S 54C. SEC. NO.
PA 17050 1154347099
FIGURES MUST DE TOTALED
Closely-Held Corporation, Partnership or Sole-Proprietorship
Mortgages $ Notes Receivable
Cash, Bank Deposits, & Misc• Personal Property
COMMONWEALTH OF PENNSYLVANIA DEFERRED COMPENSATION PROGRAM 457
PLAN - PAYABLE TO THE ESTATE
eal~Fstate
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(~eh add sheets as needed)
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1913, 583.11
AL:J 1911,583.11
NOTE: Ti-e Mernoranduin of reai estate outside tl}e Commonweafifi o£Pennsy{vania may, at the election of t3~e persanaf representative include the value of oach
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. f 3301(b)J
Form RW-09 Irv. 10.13.06