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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland )
Diana L Shaw
Personal Representative(s) of the Estate of Nila J. SUTPHEN
3s ~ C~ fi7 Q
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the ~rstxna assE~vhe~irsm
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valg®ti~ ~ced~ogpositei h
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent g_wrtad normal ety
outside of the Commonwealth of Pennsylvania except that whic ppears in a mor um at the e~ cti#hii3'inventory.
I verify that the statements made in this Inven- ~~ ~ ~ - c~ ~ ~~ -o ~ n
tory are true and correct. I understand that false state- ~ -~T -~ °~~
Diana L Shaw ~ ~ ~, ;
ments herein are made subject to the penalties of ~ ,%,T rv r-- I•;.y
18 Pa.C.S. § 4904 relating to unsworn falsification to -o ~~ ~ o
authorities. ~ W -'n
Attorney -- (Name)
(Firrrr)
(Address)
(Telephone)
JERRY R. DUFFIE
JOHNSON, DUFFIE STEWART 8r WEIDNER
301 MARKET ST., LEMOYNE, PA 17043-0109
(717)761-4540
DATE OF DEATH I LAST RESIDENCE 993 West Tflndle Road DECEDENT'S SOC. SEC. NO.
01114/2012 Mechanicsburg PA 17055 149-18-3777
FIGURES MUST BE TOTALED
Personal Pronertv
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 ........................
897,730.28
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))
COUNTY, PENNSYLVANIA
File Number 21-12-0285
(Supreme Court I.D. No.) 09601
11,459.98
12,570.30
24,030.28
873,700.00
Form RW-09 Rey fo-f3-2ooe I n~
V.,
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-12-0285
DATE OF DEATH LAST RESIDENCE 993 West Trindle Road DECEDENT'S SOC. SEC. NO.
01/14/2012 Mechanicsburg, PA 17055 149-18-3777
~..~I]
Cash
Cash
Internal Revenue Service -Refund on Taxes
M&T Bank Personal Checking Account No. 82979324 -Date of Death Balance on
Account
Pa Department of Revenue -Refund on 2009 Taxes
Pa Department of Revenue -Refund Received
Rental Property -Back Rent owed to Decedent prior to Death
Travelers Insurance Refund
Travelers Insurance Refund
Verizon -Refund on Account
Total Cash
S o kc/l is4arll
360.0000 shares Metlife Trust Interests
Total StockslListed
Real Estate locates at 809 Boiling Springs Road Tax Parcel No. 22-24-0779-017A
387.85
154.06
1,584.00
3,850.18
489.04
77.03
4,200.00
171.32
514.00
32.50
11,459.98
12,570.30
12,570.30
322,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 897,730.28
. t
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COUNTY OF Cumberland } File Number 21-12-0285
DATE OF DEATH LAST RESIDENCE g93 West Trindle Road DECEDENT'S SOC. SEC. NO.
01/14/2012 Mechanicsburg, PA 17055 149-18-3777
Real Estate locates at 993 West Trindle Road, Tax Parcel No. 22-24-0779-017 551,700.00
Total Real Estate
COMMONWEALTH OF PENNSYLVANIA } SS
873,700.00
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