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07-23-12 (2)
INVENTORY REGISTER OF WILLS OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA ~ SS COUNTY OF CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-11-0775 Personal Representative(s) of the Estate of BETTY L. THOMAS 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 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 mem andum at the end of this in entory. I verify that the statements made in this Inven- tory are true and correct. I understand that false state- menu herein are made subject to the penalties of A J 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) ROGER B. IRWIN, ESQUIRE (Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013 (Telephone) (717) 249-2353 (Supreme Court LD. No.) 6282 DATE OF DEATH LAST RESIDENCE 07!02/2011 9 HELEN AVENUE, MECHANICSBURG, PENNSYLVANIA FIGURES MUST BE TOTALED 9 HELEN AVENUE, MECHANICSBURG, PENNSYLVANIA PERSONAL PROPERTY WELLS FARGO -SAVINGS ACCOUNT M&T BANK -CHECKING ACCOUNT CASH V~ ,~ N Q O ~..~_ ;~_ a. ~ LiJ 1_J ~ C~ ~ ~- m ~ ~ ~~ © ~ t-.~ ~ !Attach additional sheets as needed) DECEDENT'S SOG. StG. rvv. 135,000.00 710.00 1,292.58 4,722.89 635.00 TOTAL: ~ 142,360.47 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