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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
File Number 21-12-0900
Gail T. Gillis
Personal Representative(s) of the Estate of Rachel M. Dailey
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 thevaluation pled o os#e each
item of said inventory represents its fair value as of the date oft a decedent's death, and that Die,4nt own6fto r Mate
outside of the Commonwealth of Pennsylvania except that whi appear a memorandum at We"d of thls'iaventoryQ)
I verify that the statements made in this Inven- rr Co :,J
tory are true and correct. I understand that false state- Gail T. Gillis
72r, 17,1
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification toT
1
authorities. 711 -.p
n
Attorney (Name) Michael L. Bangs ` t
(Supreme Court I. D. No.) 41263
(Firm) Bangs Law Office, LLC
(Address) 429 South 18th Street, Camp Hill, PA 17011
(Telephone) 717/730-7310
DATE OF DEATH LAST RESIDENCE 4905 E. Trindle Road DECEDENT'S SOC. SEC. NO.
07/19/2012 Mechanicsburg, PA 17050 174-20-8201
FIGURES MUST BE TOTALED
Personal Property
Cash 21,363.95
Personal Property
Stocks/Listed
Stocks/Closely Held
Bonds
Partnerships and Sole Proprietorships
Mortgages and Notes Receivable
All Other Property
Total Personal Property
21, 363.95
Total Real Property
Total Personal and Real Property 21,363.95
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))
Form RW-09 Rev. 10-13-2006 ~
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
} File Number 21-12-0900
DATE OF DEATH LAST RESIDENCE 4905 E. Trindle Road DECEDENT'S SOC. SEC. NO.
07/19/2012 Mechanicsbur , PA 17050 174-20-8201
Casb
BNY Mellon - direct deposit (7/31/12) 21.92
Citizens Bank - Circle Checking Account 2,485.00
Citizens Bank - Circle Checking with Interest 16,701.45
Citizens Bank - Circle Savings 10.00
Mellon Bank - Retirement benefit payment (8/1/12) 160.99
Refund - PA Department of Revenue (2011 tax return) 52.00
Refund - Country Meadows West Shore 4 1,780.07
TransAmerica Life Insurance - annuity premium payment (8/6/12) 152.52
Total Cash 21,363.95
(Attach additional sheets if necessary) Total Personal Property and Real Estate
21,363.95