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03-07-12 (2)
INVENTORY REGISTER OF WILLS OF Cumberland COMMONWEALTH OF PENNSYLVANIA l SS COUNTY OF Cumberland J COUNTY, :PENNSYLVANIA File Number 21-11-0634 Personal Representative(s) of the Estate of Blair McClenachan deceased, depose(s) and say(s) that the items appearing in the following inventory include all ol'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 memorandum at the end of this inventory, I verify that the statements made in this Inven- I tory are true and correct. I understand that false state- 3~~~ ~ ments herein are made subject to the penalties of ~""''~'°~'° ~ 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (IWame) (Supreme Court L D. No.) (~dddress) ('T'elephone) DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. April 11, 2011 1880 Douglas Drive, Carlisle, PA 17013 166-16-2711 FIGURES MUST BE TOTALED 800 shares, Exelon Corporation common stock, $40.18 per share: 144.00 a~ 1999 Pontiac Sunfire ~ ter. '-Cj ,x;085.00 ~ ~ ~ ~? ;, ~ x ~ .r; ~ ;?,~ `7 ©-T7 ~ ~ ~ --i-~ ;`;~ Y` ~--=, ~ ~~ (Attach additional sheets as needed) 35,229.00 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 RW-09 rev. 10.13.06