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INVENTORY
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REGISTER OF WILLS OF KAY M. YORTY COUNTY, PEI`11~AN~'A r. - ,.
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CO~~1CvlONN'EALTH OP PENNSYLVANIA ~ W ~"'
COUNTI' or CUMBERLAND SS File Number 21 11 ~'~~1109 ~, ~'~
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Personal Representative(s) ofthe Estate of Kay M. Yorty
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
Colnmomvealth 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.
Attorney -- (Name) Stephen J. Hogg, Esquire (Supreme Court I.D. No.) 36812
(.9ddress) 19 S. Hanover Street, Ste. 101 Carlisle PA 17013
(Telephone) 7172452698
DF.TE OF DEATH LAST RESIDENCE
2421 Spring Road
FIGURES MUST BE TOTALED
Members 1st Checking Acct#62323-11
Members 1st Savings Acct#62323-00
Certificate Account#414943-40
Certificate Account#414943-41
Interest 9/30/10 Savings Acct
Interest 10/30/11 Savings Acct
Interest 11/29/11 Savings Acct
(Attach nddiliorra/ sheets as needed)
DECEDENTS SOC. SEC. NO.
437.20
4,261.92
35,085.23
20,558.45
0.88
0.91
0.82
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(6))
Form Rli! 09 rev. 10.13.06
Continuation of Inventory
Kay M.Yorty 21 11 1109
Decedent Name Page ~ File Number
Description of Inventory
Share Dividend Certificate 0041 I 2.70
Accrued Interest to DOD
Share Dividend Certificate 0040 I 4.61
Accrued Interest to DOD
Members 1st Savings Acct#414943-00 ~ 5.00
Interest Accrued to DOD Savings Acct#62323-00 ~ 0.23
Members 1st Checking Account#244756-11 jointly-owned I 20.29
DOD value $40.48
Members 1st Savings Account#244756-00 jointly-owned I 82.01
DO.D value $164.02
Subtotal ~ S 114.84
Grand Total ~ S 60.458.25