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INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
Kenneth P. Smith
Personal Representative(s) of the Estate of
taut 5. Smith
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 whiff ap ear a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~ l//1U~0 ~~/~~/~
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of ii Kenneth P. Smtth
1S Pa.C.S. § 4904 relating to unsworn falsification to I
authorities.
Attorney-- (Name) Jennifer B.
(Firm)
(Address)
(Telephone)
COUNTY, PENNSYLVANIA
File Number 21-12-0650
(Supreme Court 1. D. No.) 86556
Boyar and Hipp Law Offices
1 West Matn Street Shiremanstown PA 17011
717-737-8761
~ni c ~r utHTH LAST RESIDENCE
03/15/2012 7100 Crandon Way, Apt. 622
Mnehanirc6.,... ow •~n~~
FIGURES MUST BE TOTALED
Personal Proo
Cash ........................................................
Personal Property .....................................................................
Stoc ks/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 ........................
DECEDENTS SOC. SEC. NO.
209-12-7994
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11,382.75
11,382.75
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may at Me election of the personal representative include the value of each
item, but such fgures should not be extended into the total of the Inventory. (See ~D Pa. C.S. § 3307(b))
Form RW-09 ae~. fo-vs-zoos
CUMBERLAND
(Attach additional sheets if necessary) Total Personal Property and Real Estate
11,382.75
f '~
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH LAST RESIDENCE 1100 Crandon
COUNTY, PENNSYLVANIA
File Number 21-12-0650
51.t DECEDENT'S SOC. SEC. N0.
55 209-12-7994
~3S):1
M&T Bank -Checking Account No. 80063721. Date of death balance $11,332.75. This 11,332.75
account was non-interest bearing.
Total Cash 11,332.75
Personal Propert'r
Personal Property - sold at private sale 50.00
Total Personal Property 50.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 11,382.75