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INVENTORY ~~ ~ ~~;-~, ~~I-,
REGISTER OF WILLS OF CUMBERLAND ~ y.~ ~ ~ '_~- ` _-'
COUNTY, PENNSY~NIA -- " ~ ' `^''
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COMMONWEALTH OF PENNSYLVANIA ~C.; ~ ~`~-~ ~~-~
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COUNTY OF Cumberland File Number ••
R. Michael Bretz, Executor ~'' ~ ~'
Personal Representative(s) of the Estate of Harvie A. Bretz, Jr.
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 memorandum at the end of this inventory.
verify that the statements made in this Inven- ~ ,,~ -
tory are true and correct. 1 understand that false state-
ments herein are made subject to the penalties of R. Michael Bretz, xecutor
18 Pa.C.S. § 4904 relating to unsworn falsification to 1 ~ 1 S O1 d Wi 1 1 ~w Mi 11 Read
authorities. Mechanicsburg, PA 17050
Attorney -- (Name) Richard C. Snelbaker
(Supreme Court L D. No.) 6355
(Address) Snelbaker & Brenneman, P.C., 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
08/12/2010 5415 Wertzville Road, Hampden Township, Enola, PA 17025 177-24-5470
FIGURES MUST BE TOTALED
1. Property known and numbered as 5415 Wertzville Road, Hampden Township, Cumberland County, 177,407.04
Enola, PA 17025, sale value.
2. U.S. Savings Bonds, 23 EE bonds 28,502.80
3. 1947 Willys Jeep, appraised value 475.00
4. 1977 Trailer, appraised value 500.00
5. 1980 Ford pickup truck, sale value 500.00
6. 1996 Ford Ranger truck, sale value 1,450.00
7. American Sentinel Insurance Co., refund due the decedent 3.63
8. Central Reserve Life Co., refund due the decedent 192.89
9. Comcast Financial Agency, refund due the decedent 60.74
10. Nationwide Mutual Insurance Co., refund due the decedent 61.90
1 1. West Shore Pathology Assoc., Inc., refund due the decedent 57.02
12. Williams Grove Historical Steam Engine Assoc., refund due the decedent 384.80
(Attach additional sheets as needed)
TOTAL: ~ 209,595.82
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 tigures should not be extended into the total of the Inventory. (See 20 Pa. C.S. ~ 3301(b))
For,n RW-09 rer. l0.13.06
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