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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
~'ECOR[`~n kFlcE OF
REG,~'~ ~~ ~ ~,r. , Aq~ I e
COUNTY, PENNSYLVANIA
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COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland
WiOiam L Albert
File Number 21-12-051E1pQ4-(pN'C t~(
Personal Representative(s) of the Estate of Herman F Grissinger
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 ~ moran mat the end of this inventory.
I verify that the statements made in this Inven- ~ ~~~ ~~~` ~d~`I ~Y~
tory are true and correct. I understand that false state- William L Albert
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney - (Name)
EDMUND G. MYERS
(Supreme Court I.D. No.) 20558
(Firm)
(Address)
(Telephone)
JOHNSON DUFFLE
301 MARKET STREET Lemoyne PA 17043
(717)761-4540
DATE OF DEATH I LAST RESIDENCE 4ti Erford Road DECEDENTS SOC. SEC. N0.
02/04/2012 Enola PA 17025 174-20-0115
FIGURES MUST BE TOTALED
Persopal Prooertv
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
StockslClosely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ...............................................
Total Personal and Real Property ........................
23,504.04
23,504.04
23;~04:IMd'
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may at the election of the personal representative inGude the value of each
item, but such figures should not be extended into the total of the Inventory, (See DLO Pa. C.S. § 3301(b))
Fwm Rt'V ~9 Rev. 10.13-2006 ~,•A~/LLr%J1[--
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REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland
COUNTY, PENNSYLVANIA
File Number 21-12-0513
DATE OF DEATH LAST RESIDENCE 46 Erford Road DECEDENTS SOC. SEC. N0.
02104/2012 Enola PA 17025 174-20-0115
~c88.1]
Golden Living Center -Camp HIII -Refund on Account 90.89
Golden Living Center -Camp Hlll -Refund on Account 1,323.11
Highmark 306.17
M8T Bank Select Account with Interest No. 73771244 21,783.87
Total Cash 23,504.04
(Attach additional sheets if necessary) Total Personal Property and Real Estate 23 504 04