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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
Jeff Bouder
File Number 21-12-151
Personal Representative(s) of the Estate of Gail Louise Bouder
deceased, depose(s) and say(s) that the items appearing in the following inventory i
situate and all of the real estate in the Commonwealth of Pennsyl 'a of said
item of said inventory represents its fair value as of the date o e d ced d h
outside of the Commonwealth of Pennsylvania except that ich ~
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- e g I
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
Mark A. Mateya (Supreme Court I.D. No.) 78931
55 W. Church Avenue Carlisle PA
717-241-6500
DATE OF DEATH LAST RESIDENCE 2267 Rittner Highway DECEDENTS SOC. SEC. N0.
01/15/2012 Carlisle, PA 17013
FIGURES MUST BE TOTALED
Personal Prooertv
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
95,000.00
568,759.29
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 ~0 Pa. C.S. § 3301(b))
i u II of the personal assets wherever
ie t the va n placed opposite each
an t Decedent~ned no real estate
gran t the end oft is inventory.
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461,149.95
473,759.29
Form RW-09 Rev. 10-~s-2oos
c y
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
} SS
COUNTY OF Cumberland File Number 21-12-151
DATE OF DEATH LAST RESIDENCE 2267 Rittner Highway DECEDENTS SOC. SEC. NO.
01/15/2012 Carlisle, PA 17013
~b
CenturyLink -Refund on overpayment for telephone service -Check No. 0003952738 13.74
Comcast -Refund on Cable TV Account 09547-38593101 85.74
Encompass -Refund on auto insurance premium -Policy No. 281387776 175.00
Encompass Home 8 Auto Ins. -Refund on Homeowners Insurance -Check No. 35.00
0071291939
Highmark -Refund on Medical Insurance Premium 423.07
M&T Bank -Checking Account 9842596414 2,878.14
SEI Private Trust -Retirement distribution from Carlisle Corporation Tire 8ti Wheel 199.86
The Sentinel -Refund of Newspaper Subscription 48.79
Total Cash 3,859.34
Personal Property
Miscellaneous Personal Property -Appraised by William Rowe, Rowe's Auction Service
8,750.00
- See attached appraisal
Total Personal Property 8,750.00
Real Estate - 2267 Ritner Highway -
Total Real Estate
95,000.00
95,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 568,759.29
~ 'Y
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-12-151
DATE OF DEATH LAST RESIDENCE 2267 Rittner Highway DECEDENTS SOC. SEC. NO.
01/15/2012 Carlisle, PA 17013
All O her Property
LSW -IRA Annuity Contract No. 664658X
LSW -Non-qualified Annuity; Contract No. 530355X
Prudential -Annuity Contract #E0273514
Sentinel Advantage -Non-qualified Annuity; contract No. NL9010210
Total All Other Property
99,407.86
217,407.80
96,913.29
47,421.00
461,149.95
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