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REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland
D. Wayne Cassel
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INVENTORY c° .`
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CUMBERLAND COUNTY, PENN$ ~ANIA-~
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File Number 21 - 12 - 0136 y
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Norma G.
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 fts 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- ~~,6,
tory are true and cortect. I understand that false state- ~ D. Wa ne C sal
ments herein are made subject to the penalties of ~ y
18 Pa.0.S. § 4904 relating to unsworn falsfFcation to
authorities.
Attorney -- (Name) Gerald J Brinser (Supreme Caurt I.D. ND.) 09655
(Firm) Brinser, Wagner 8a Zimmerman
6 E. Main Street
(Adaress)
P.O. Box 323
Palmyra, PA 17078
(Telephone) 717/838$348
PATE OF pEATM IAST RESIDENCE 760 Oak Oval DECEDENTS SOC. SEC. N0.
12117/2011 Mechanicsburg, PA 17055 194-42-9660
FIGURES MUST BE TOTALED
Personal Property
Waddell & Reed -Account No. 00050100535 71,904.53
Citizen's Bank -Checking Account #6230557197 731.18
Everence -Refund 66.41
Erie Insurance -Refund 25.00
Continental -Long-Term Care Insurance 2,682.59
Master Charge -Refund 0.46
(Attach addttional sheets if necessary) Total Personal Property and Real Estate
$76,724.27
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INVENTORY
(continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21 -12 - 0136
DATE OF DEATH LAST RESIDENCE 760 Oak Oval DECEDENT'S SOC. SEC. N0.
72/77/2011 Mechanicsburg, PA 17055 184-42-9660
Social Security Check 1,054.00
Government of Canada -Pension 260.09
Total Personal Property 76,724.27
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland
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