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REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND f SS
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 2011-00275
Personal Representative(s) of the Estate of HELEN M. SHOLLY
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- ~~ ~ 7~
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to -
authorities.
Attorney -- (Name) ANDREW J. BENDER, ESQUIRE ~
(Supreme Court LEI. No.~ 05763
(Address) 61 WEST LOUTHER STREET, CARLISLE, PA 17013
(Telephone) (717) 249-1177
DATE OF DEATH LAST RESIDENCE -
DECEDENT';i SOC. SEC. NO.
02/06/2011 624 GUTSHALL ROAD, BOILING SPRINGS, PA 17007 182-22-$949
FIGURES MUST BE TOTALED
PNC BANK CHECKING ACCOUNT ENDING IN NUMBER 1923
PNC BANK SAVINGS ACCOUNT ENDING IN NUMBER 1696
2000 HONDA ACCORD DX SEDAN
DIAMOND RING
APRIA HEALTHCARE REFUND DUE AND OWING AT DATE OF DEATH
HEALTHCARE PROVIDER REFUND DUE AND OWING AT DATE OF DEATH
(Attach additional sheets as needed)
16,154.94
84,002.60
6,500.00
50.00
7.55
50.00
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TOTAL: _ 106,765.09
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. (See 20 Pa. C.S. ¢' 3301(b))
Form RW-09 rev. 10.13.06
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ANDREW J. BENDER, ESQUIRE
PA Supreme Court ID#: 205763
Allied Attorneys of Central Pennsylvania, L.L.C.
61 West Louther Street
Carlisle, PA 17013
(717) 249-1177
(717) 249-4514 Fax
ESTATE OF
HELEN M. SHOLLY,
DECEASED
REGISTER OF WILLS
CUMBERLAND COUNTY,
PENNSYLVANIA
NO. 2011-00275
CERTIFICATE OF SERVICE
The undersigned does hereby certify that, on the date indicated, a true and correct copy of
the foregoing Inventory was served on the following person(s) by forwarding same via US Postal
Service First Class Mail at the address(es) below:
Kathleen Daly
624 Gutshall Road
Boiling Springs, PA 17007
Josette D. Fought
534 Paige Hill Road
Landisburg, PA 17040
DATE: C%~' ~ ~ 1 ~
William R. Sholly
9946 Fort Robinson Road
Ickesburg, PA 17037
Jaime Fought
202 West Middlesex Drive
Carlisle, PA 17013
ANDREW J. BENDER, ESQUIRE
Allied Attorneys of Central Pennsylvania, L.L.C.
PA Supreme Court ID # 205763
61 West Louther Street
Carlisle, PA 17013
(717) 249-1177
(717) 249-4514 Fax