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REGISTER OF WILLS OF
INVENTORY
CUMBERLAND COUNTY
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland County }
Susan Ann Haverstick
EDMUND G. MYERS
File Number
Personal Representative(s) of the Estate of Shirley D Fisher
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deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the person assets whel~.ver
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite eact
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 memoran mat the end of this inventory.
I verify that the statements made in this Inven- ~ `~ C~rn
tory are true and correct. I understand that false state- Susan Ann Haverstick
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
COUNTY, PENNSYLV~AIIA
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21-10-1187
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(Supreme Court I.D. No.) 20558
JOHNSON DUFFIE
301 MARKET STREET, Lemoyne, PA
17171 761-4540
DATE OF DEATH LAST RESIDENCE 4837 Trlndle Road DECEDENT'S SOC. SEC. N0.
10/23/2010 Mechanicsbur , PA 17050 192-20-1198
FIGURES MUST BE TOTALED
Personal Pro e~rtv
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
42,494.84
6,485.04
48,979.88
48,979.88
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))
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Form f~W-U9 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland County } SS File Number 21-10-1187
DATE OF DEATH LAST RESIDENCE 4837 Trindle Road DECEDENT'S SOC. SEC. NO.
10/23/2010 Mechanicsburs~, PA 17050 192-20-1198
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2010 Federal Individual Income Tax Refund
PNC Bank Checking Account No. 5002006097 -Date of Death letter from PNC is
attached to this Return
Prudential Alliance
Smith Barney FMA Account No. 724-71933-16
Total Cash
Stocks/Listed
Compushare -Shares owned by the Estate of Ray Fisher that pass to the Estate of
Shirley Fisher
Compushare
Total Stocks/Listed
447.00
7,810.15
4,117.73
30,119.96
42,494.84
4,935.18
1,549.86
6,485.04
(Attach additional sheets if necessary) Total Personal Property and Real Estate 48,979.88
JERRY R. DUFFIE WADE D. MANLEY
RICHARD W. STEWART ELIZABETH D. SNOVER
EDMUND G. MYERS L A W O F F I C E S ANDREW P. DOLLMAN
DAVID W. DELUGE SARAH E. HOFFMAN
JOHN A. STATLER CAROLYN B. MCCLAIN
JEFFERSON J. SHIPMAN
RETTIG
JEFFREY B
. OF COUNSEL
KEVIN E. OSBORNE
HORACE A. JOHNSON
MARK C. DUFFIE C. ROY WEIDNER, JR.
JOHN R. NINOSKY
MICHAEL J. CASSIDY
MELISSA PEEL GREEVY F. LEE SHIPMAN
(1965-2006)
July 22, 2011 ~~
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Register of Wills Office o
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Cumberland County Courthouse 4 ~ ~ ~ ~ ~~'?
One Courthouse Square =~. ~ ~
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Carlisle, PA 17013 - -
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RE: Estate of Shirley D. Fisher ~ ~
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Date of Death: October 23, 2010 ~';~ ~ a
Your File No. 21-10-1187 c.~ ~"''
Our File No. 9101-1
Dear Register:
Enclosed for filing please find the following documents for the above referenced decedent:
1. 2 Original PA Inheritance Tax Returns. There is Inheritance tax due in the amount of $11,305.08.
2. Two copies of Page 1 of the Pa Inheritance tax return, which we ask that you time-stamp and return .to
us in the enclosed envelope.
3. Inventory
4. 2 copies of the Inventory which we ask that you time-stamp and return to us in the enclosed envelope.
4. Check in the amount of $30.00 representing the filing fee for the Inheritance Tax Return and Inventory.
Should you have any questions, please do not hesitate to contact our office. Thank you for you assistance in this
matter.
Enc.
c: Susan A. Haverstick, Executrix
:451139
Very truly yours,
JOHNSON, DUFF ,STEWART &WEIDNER
Dana Wieseman
Estate Administration Paralegal
301 MARKET STREET P.O. BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109
WWWJDSWCOM 717.761.4540 FAX: 717.761.3015 MAILC~JDSWCOM
JOHNSON, DUFFIE, STEWART &WEIDNER, P.C.
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