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Register of Wills of CUMBERLAND
INVENTORY
Estate of Charles E. Detwei 1 er
Address: P. 0. Box 357
also known as
County, Pennsylvania
No. 21-2011-01:37
Date of Death 01/27/2011
Deceased Social Security No. :195 -16 - 2819
Emily Burbage Russ Ipsen,
Personal Representative(s) of the above Estate, deceased, verify 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 D~acedent owned
no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end cf this
Inventory. I /We verity that the statements made in this Inventory are true and correct. I/We understand that false statements herein
are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative
Name of
Attorney: Marlin R. McCaleb Esq.
I.D. No.: 06353
Signature: Y` c ~~
E ily Burba e Russ en
Signature:
Address: 219 East Main Street
Mechanicsburg, PA 17055
Telephone: 717/691- 7770
Description
(See continuation page(s) attached)
(Attach additional sheets if necessary)
Value
n C} r -~, =7*-y
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Total: 6 9 ,112.3 5
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.
Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems, Inc. Form #f;Hf-7 (1992)
Lincolndale, NY 105~F0
Telephone: 914/248 - 5 744
Dated: ~,,f°'
INVENTORY
Estate of: Charles E. Detweiler
Date of Death: 01/27/2011
County: Cumberland
CASH:
PNC Bank, - Checking Account
~~5070079298; principal
balance as of D.O.D.:
$53,731.55; interest accrued
to D.O.D.: $1.40.
53,732.95
53,732.95
PERSONAL PROPERTY:
Banker's Life and Casualty
Co., - reimbursement for
December medical care
expenses at Messiah Village.
Bankers Life and Casualty Co.,
- reimbursement for January
medical care expenses at
Messiah Village.
Commonwealth of Pennsylvania,
- refund of Medicare Part B
penalty.
Neil Funeral Home/AML
Insurance Co., - pre-need
funeral contract, purchased
01/20/2011.
PNC Bank, - refund of safe
deposit box rental.
1,240.00
1,040.00
135.10
9,711.00
22.00
-1-
Romberger Memorials, - 2,932.00
pre-need gravemarker
purchase (purchased
01/25/2011).
State Employees' Retirement 298.13
System, - direct deposit of
retirement annuity.
U. S. Treasury, - refund of 1.17
2010 federal tax
withholding.
15,379.40
TOTAL RECEIPTS OF PRINCIPAL ...............
65,112.35
-2-