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REGISTER OF (MILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21-11-0367
Jane O Shoap
Personal Representative(s) of the Estate of Olwyn Mary W Otter
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever
situate ana all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each
item of said inventory represenks 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- J ne O Shoop
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Finn)
(Address)
(Telephone)
Diane G Radcliff
DATE OF DEATH I LAST RESIDENCE Messiah Village DECEDENTS SOC. SEC. NO.
01/04/2011 Mechanicsburg, PA 17055 171-01-4285
FIGURES MUST BE TOTALED
Personal Propg~,y
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
3448 Trindle Road, Camp Hill, PA 17011
(717) 737-0100
Total Real Property ................................................
Total Personal and Real Property ........................
(Supreme Court I.D. No.)
2;398.15
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2,398.15
2388.15
NOTE: The Memorandum of real estate dutside 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 ~0 Pa. C.S. § 3301(b))
Form RW-09 Rev. 10.13-2006
•.~~
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-11-0367
DATE OF DEATH LAST RESIDENCE Messiah Village DECEDENTS SOC. SEC. NO.
01/04/2011 Mechanicsbu PA 17055 171-01-4285
~b
Messiah Village Trust Fund
PSECU -Checking Account
Total Cash
2,374.82
23.33
2,398.15
(Attach additional sheets if necessary) Total Personal Property and Real Estate 2,398.15
JANE 0. SHOOP
1572 Boiling Springs Road
Boiling Springs, PA 17007
Register of Wills
C:~mberland County Courthouse
One Courthouse Square
,.~_
Carlisle, PA 17013 r~~ ~- ~-~ ~=~
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Re: Estate of Olwyn Mary Otter
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No. 21-11-0367 -~ ~ `=" ~ `~ ~
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Dear Sir/Madam: .~
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Enclosed please find the following documents for fili ng with your office:
1. Inheritance Tax Return (Original + 2 copies)
2. Inventory (Original + 2 copies)
Please return aclocked-in copy of the above documents to me in the envelope provided.
Very truly yours,
Jane O. Shoop, Administratrix