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INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Louann Zimmerman
CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21-11-0640
Personal Representative(s) of the Estate of Isabelle M. Walters
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 ptemarandum at the end his inventor
I verify that the statements made in this Inven- ~,~„ (// r:~
tory are true and correct. I understand that false state- ~ Louann Zi rman ~ x,.. ~fi'-'j
ments herein are made subject to the penalties of ~ x r~ ;
18 Pa.C.S. § 4904 relating to unswom falsification to ~ ~ rr
authorities. J~~ ~ :~'
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Attorney - (Name) Amy M. Moya (Supreme Court I.D. No.~y 9`~
(Firm)
(Address) LO of Susan E. Lederer 5011 Locust Lane, Harrisburg, PA 17109
(Telephone) 71752-7323
DATE OF DEATH I LAST RESIDENCE 325 Wesley Drive I DECEDENTS SOC. SEC. NO.
05/0212011 Mechanicsbursl, PA 17055
FIGURES MUST BE TOTALED
Personal Propgrtv
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 ........................
137,088.19
137,088.19
137,086.18
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may et the election of the personal representative inGude the value of each
item, but such figures should rrot be extended into the total of the Inventory. (See X20 Pa. C.S. § 3301(b))
Form IZW-09 Rev. 10-1&2008 \~\Y\
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REGISTER OF WILLS OF
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH
05/02/2011
l~Sld
LAST RESIDENCE 325 Wesley Drive
File Number 21-11-0640
DECEDENTS SOC. SEC. NO.
Certificate of Deposit held at Walnut Street Securities, Inc. in Account No. 33W113023, 40,763.60
titled to Isabelle M. Walters (accrued interest 5783.80)
Check from ArguslHumana (prescription reimbursement) 15.45
Check from Continuing Care Rx (refund of prescription overpayment- copy of check 49.50
not available)
Check from Delta Dental (refund of dental insurance premium) 101.79
Check from Highmark (refund of health insurance premium) 289.98
Check from Kohl's Department Stores (refund of credit balance) 2.92
Check from Nationwide Mutual Fire Insurance Company (refund of renters Insurance) 148.00
Check from Omnicare, Inc. (prescription refund) 42.90
Check from Weis Markets, Inc. (refund from pharmacy) 1.67
Checking Account No. 88858007, held at M8T Bank, titled to Isabelle M. Walters 93,837.97
Metlife Bank Money Market Account, held at Walnut Street Securities, Inc. in Account 2,054.41
No. 33W113023, titled to Isabelle M. Walters
Total Cash 137,088.19
(Attach additional sheets if necessary) Total Personal Property and Real Estate 137,088.19