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07-13-12 (2)
INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA 1 SS COUNTY OF CUMBERLAND J COUNTY, PENNSYLVANIA File Number 21-12-0553 Personal Representative(s) of the Estate of JOYCE G. JOHNSON deceased, depose(s) and say(s) that the items appearing in the following inventory include al I 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 memorandum at the end of this inventory. I verify that the statements made in this Inven- ,~y~ ~ ~ ~' ~~, (~~ tory are true and correct. I understand that false state- ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) JOYCE G. JOHNSON (Supreme Court 1. D. No.) 6282 (Address) 60 WEST POMFRET STREET, CARLISLE, PA ]7013 (Telephone) (717) 249-2353 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEG. NO. 04/13/2012 3495 ENOLA ROAD, CARLISLE, PA 17015 180-26-0767 FIGURES MUST BE TOTALED 3495 ENOLA ROAD, CARLISLE, PENNSYLVANIA SERIES I & EE SAVINGS BONDS PERSONAL PROPERTY M&T BANK -CHECKING ACCOUNT ORRSTOWN BANK -MONEY MARKET ACCOUNT ORRSTOWN BANK -STATEMENT SAVINGS ACCOUNT CASH 156,000.00 37,938.00 5,327.00 3,586.50 7,092.70 1,817.71 1,299.84 «_~ © ^' "~"t ~ ` ~c7 ~- C ~~;) t ~~ _ ;~.._ .~ _ --- , ~ ' ` r .... r. l ~1 1 _ y'._~ ~ ~ c .~- .` t-. Tl ~7 " .~ (Attach additional sheets as needed) TOTAL: 213,061.75 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. [0.!3.06 ~ ~~~