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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS
File Number 21 - 1 I - 1337
Personal Representative(s) of the Estate of HELEN M. SHELLEY
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all ofthe 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- ~ j
tory are true and correct. I understand that false state- ~
menu herein are made subject to the penalties of
I8 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) JOHN R. ZONARICH, ESQUIRE
17 S. 2ND STREET, 6TH FLOOR, HARRISBURG, PA 17]01
1717-233-1000
(Supreme Court L D. No.) 19632
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
12/05/2011 824 LISBURN ROAD, CAMP H[LL, PA 1701 ] 204-O1-5947
FIGURES MUST BE TOTALED
PLEASE SEE ATTACHED
]77,429.49
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additional shee[s as
177,429.49
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 [he total of the Inventory. (See 20 Pa. C.S. § 330! (b))
Form RW-09 rerz 10.13.06
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Estate of HELEN M. SHELLEY
Estate Inventory
Valued as of Date of Death
Page 1
Cash and Cash Equivalents
Merrill Lynch -Balance in account
Merrill Lynch Cash Account No.
872-38070
Merrill Lynch Investment Account
No. 872-56623
MetLife Insurance Co. -Refund of
premium for long term care
insurance
The Woods at Cedar Run -Refund
Verizon -Refund
Total Cash and Cash Equivalents
Tangible Personal Property
Personal Effects
Total Tangible Personal Property
Total Inventory
110.06
17,685.49
153,968.29
2,384.38
3,078.82
2.45
$ 177,229.49
200.00
200.00
$ 177,429.49
(1)
Skarlatos~".-~~~~.~r.c~ LLc
Sound:\dvice. Smarter Decisions.
May 4, 2012
Office of Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Cazlisle, PA 17013
RE: Estate of Helen M. Shelley
No. 21-11 -1337
To Whom It May Concern:
17 South Second Street, 61h Floor
Harrisburg, PA 17101-2039
717.233.1000 Voice
717.233.6740 Fax
www.ska rlatoszona rich.com
Enclosed for filing is an original and one copy of the Inheritance Tax Return and
Inventory for the above referenced estate. Also enclosed is a check in the amount of $20.00
representing the filing fees.
Please time-stamp the extra copies and return to me in the envelope provided. Thank
you.
Sincerely,
Sharon K. Shaffer
Estate Administrator
sharon(a~ skarlatoszonairich. com
Enclosures
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