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Register of Wills, Cumberland County, Pennsylvania
INVENTORY
Estate of
Anna V. Burkholder
No.
2006-00491
, Deceased
Date of Death 05/18/2006
~_._._---,_._--_._---_.,.-
Social Security No. 174-20-6382
also known as
Connie L. Kohr
Ttie-Pe~rsol1al Representative(s) of the above Estate, deceased, verify that the items appearing in the fcHowing Inventory
include all of the personal assets wherever situate and all of the real estate located 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 the 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/We verify that the statements made in this Inventory
are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S.
Section 4904 relating to unsworn falsification to authorities.
Attorney:
Personal Reoresentative
~Clme!t G. Morgan,~ Jr.____~_ Signature: ~;z:~ ~--
Connie L. Kohr
I.D. No.:
06897
Signature:
Signature:
Firm:
TJ.lc::ker Arensberg. P .C.
Telephone:
111 North Front St.
POB 889
H~!r!sburg, ~A 17108-08~~~~_~_
(717) 234-4121
Address: 99 Mountain Lane
Enola, PA 17025
Telephone: (717) 766-6055
------.----...--------
Address:
Dated:
Personal Property
Cash...............................................................................................
Person a I Property.........................................................................
Stocks/Listed .................................................................................
Stocks/Closely Held........................ ..............................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
A II Other Property.........................................................................
207,048.62
4,11~~0
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Total Personal Property.........................................
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211, 16~:82
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Total Real Property................................................
211,162.821
Total Personal and Real Property.........................
Total Out-of-State Real Property..........................
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Register of Wills, Cumberland County, Pennsylvania
INVENTORY
~---------;l)eceased--
Social Security No.
21-06-0491
05/18/2006
174-20-6382
Estate of
Anna V. Burkholder
No.
_.._----~--_..._._.__._------- ---------"---
also known as
Date of Death
Cash
Federal Employees' Group Life Insurance Claim No. 20060904953
4.782.21
M&T Bank - Certificate of Deposit No. 031003914381270
19.000.00
Accrued interest on above item through date of death
44.27
M& T Bank - Certificate of Deposit No. 031003914448327
6.398.74
Accrued interest on above item through date of death
8.31
M&T Bank - Savings Acct. No. 015004207088821
1.639.97
M&T Bank - Savings Acct. No. 015004207088821 - accrued interest
0.31
PNC Bank - Checking Acct. No. 5140179535
101.769.82
Accrued interest on above item through date of death
12.52
PNC Bank - Savings Account No. 5130109058
55.859.78
PNC Bank - Savings Account No. 5130109058 - accrued interest
80.15
Prudential Insurance Company of America - Policy No. 24 733818
10.515.04
Prudential Insurance Company of America - Policy No. M48 324 355
3.826.61
Prudential Insurance Company of America - Policy No. M52 558 857
1.474.11
U.S. Treasury - 2006 income tax refund
943.00
United States Tresury - Claim No. CSF 3055110 -lump sum retirement
693.78
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
211.162.82
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Register of Wills, Cumberland County, Pennsylvania
INVENTORY
Total Cash
No. 21-06-0491
Date of Death 05/18/2006
Social Security No. 174-20-6382
207.048.62
Estate of Anna V. Burkholder
also known as
------ -------;-Oeceased
Stock I Listed
60.0000 shares PNC Financial Services Corp.
4,114.20
Total Stock / Listed
4.114.20
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