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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
Personal Representative(s) of the Estate of JOHN W. HALBERT
File Number 21 12 0043
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 D edent, that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's de ,and at Deceden no real Mate outside of the
Commonwealth of Pennsylvania except that which appears in a me ora at the en f juts in ento ,~ L,
1 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 Diane L.
18 Pa. C.S. § 4904 relating to unsworn falsification to
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Attorney -- (Name) MELANIE W. SCARINGI (Suprerr~ Ca2lLt~ D. No.) ~~
(Address) 2000 LINGLESTOWN RD SUITE 106 HARRISBURG c~ ~~ ~~ ~ P~~- :IY110
(Telephone) 717-657-7770 _ ~ ~ ~._. ~'„. i~r~t
DATE OF DEATH LAST RESIDENCE DECED~S SOC. SEC~10
9 South Rupp Ave
12/25!2011 Shiremanstown PA 17011
FIGURES MUST BE TOTALED
House - 9 South Rupp Ave, Shiremanstown, PA 17011 -Gross Sale Price 141,500.00
Ford Escape, 2008, KBB trade in value on 3/5!12 11,278.00
Members 1st Savings Account - 173833-0 15.09
Members 1st Money Management Account - 173833-05 121,297.91
Metro Bank Checking Account - 32002925 8,492.95
State Farm Insurance Refund 223.09
Highmark Blueshield Ambulance Reimbursement 720.00
additional sheets as needed)
TOT
288, 573.04
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(bJ)
Form RW-09 rev. 10.13.06
~ ~~~ Continuation of Inventory
JOHN W. HALBERT 21 12 0043
Decedent Name
- _ Paae 1 File Number
Description of Inventory
U.S. Treasury -IRS tax refund 3 179.00
County Tax Reimbursement from Real Estate Purchaser on HUD ~ 223.19
School Tax Reimbursement from Real Estate Purchaser on HUD I 1,604.95
Sewer Reimbursement from Real Estate Purchaser on HUD ~ 13.86
Erie Insurance Refund for homeowner's insurance ~ 25.00
Subtotal S 5,046.00
Grand Total S 288,573.04