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INVENTORY
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REGISTER OF WILLS OF
CUMBERLAND x~=~~ ~ '=
COUNTY, PE YLV~IA f'-~ ~?
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COMMONWEALTH OF PENNSYLVANIA
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COUNTY OF Cumberland } SS
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Jane Bishop
2012-00793
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Personal Representative(s) of the Estate of Raymond C. BIShOD
deceased, depose(s) and say(s) that the items appearing in the followin invento
situate and all of the real estate in the Commonwealth of Pennsylvania of said Deceldent~thatl the valpation alaced os wherever
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owPed no realoestateach
outside of the Commonwealth of Pennsylvania except that which a
ppears in a memorand m a~ the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of Jane B' hop
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (/dame) Earl Richard Etzweiler
(Firm) (Supreme Court I.D. No.) 06398
Etzweiler & Associates
(Address) 105 N. Front Street, Harrisbur , PA 17101
(Telephone) 717 234-5600
DATE OF DEATH LAST RESIDENCE
07/03/2012 11 Wild Rose Lane DECEDENTS SOC. SEC. N0.
Mechanicsburg, PA 17050 185-32-9578
FIGURES MUST BE TOTALED
Personal Property
Cash ...............................................................
................................
Personal Property ........................................
................................
Stocks/Listed ..............................................
..................................
Stocks/Closely Held .....................................
................................
Bonds .............................................
Partnerships and Sole Propri.etorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .................
.......................................................
Total Personal Property ................................
Total Real Property ...................
.............................
Total Personal and Real Property ........................
257.96
11,052.00
11,309.96
11,349.96
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(b))
Form f~W 09 Rev. 10-13-2006
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL
VANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
} File Number 2012-00793
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State Employees Retirement System, portion of monthly benefit
Total Cash
PerSnnal Prr..,s.-~.,
2008 Hyundai sedan Elantra
Total Personal Property
DATE OF DEATH LAST RESIDENCE
07/03/2012 11 Wild Rose Lane
Mechanicsburg, PA 17050
DECEDENT'S SOC. SEC. N0.
185-32-9578
257.96
257.96
11,052.00
11, 052.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate
11,309.96