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INVENTORY ;~~.;
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REGISTER OF WILLS OF CUMBERLAND COUNT ~NN S~V I~I~
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COMMONWEALTH OF PENNSYLVANIA } SS ~ ~ ~
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COUNTY OF Cumberland } File Number 21-12-Ob~4~"' +~
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Karen B Rogan ° ~
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Personal Representative(s) of the Estate of Marjorie J Bortner -~ '~ ~
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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 a memorandum at the end of this inventory.
I 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
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
ren B
Attorney -- (Name)
(Firm)
Mark A. Mateya (Supreme Court I.D. No.) 78931
(Address) 55 W. Church Avenue, Carlisle, PA 17013
(Telephone) 717-241-6500
DATE OF DEATH LAST RESIDENCE 106 Fourth Street DECEDENT'S SOC. SEC. NO.
06/08/2012 Boiling Springs, PA 17007
FIGURES MUST BE TOTALED
Personal Property
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 ........................
123,303.13
586.32
5,009.46
57,498.33
186,397.24
120,000.00
3IJfi,397.24
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-~9 Rev. 10-13-2006
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-12-0694
DATE OF DEATH LAST RESIDENCE 106 Fourth Street DECEDENTS SOC. SEC. NO.
06/08/2012 Boiling Springs, PA 17007 _
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CNA -Refund -Check No. 400725908
Kate Rogan - Transfer of asset prior to date of death without adequate consideration -
See attached list
Metro Bank - Transfer of funds from Metro Bank to Citizens Bank -Decedent's funds
York Hospital -Refund for duplicate payment on Invoice No. E2911279
Total Cash
Stocks/Listed
19.0000 shares Met Life -Proceeds from sale of stocks CUSIP no. 59156R10
Total Stocks/Listed
Mortgages/Notes Receivable
Russell Yinger -Payment for 7/12 mortgage contract
Russell Yinger -Payment for 7/12 mortgage contract
Russell Yinger -Payment for 9/12 mortgage contract
Russell Yinger -Payment for 10/12 mortgage contract
Russell Yinger -Payment for 11/12 mortgage contract
Russell Yinger -Payment for 12/12 mortgage contract
Total Mortgages/Notes Receivable
4,340.00
92,812.94
26,000.00
150.19
123,303.13
586.32
586.32
834.91
834.91
834.91
834.91
834.91
834.91
5,009.46
(Attach additional sheets if necessary) Total Personal Property and Real Estate 306,397.24
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-12-0694
DATE OF DEATH LAST RESIDENCE 106 Fourth Street DECEDENTS SOC. SEC. N0.
06/08/2012 Boiling Springs, PA 17007
Real Estate -106 Fourth Street, South Middleton Township, Boiling Springs, PA -See
Attached Settlement Sheet
Real Estate -Vacant lot in Boiling Springs, Cumberland County, PA - Parcel No. 40-30
-2659-055
Total Real Estate
All Other Pron~rtvr
Auer Cremation Services of PA, Inc. -Pre-Payment of funeral/cremation services
Transamerica Life Insurance Co -IRA -Policy No. 02CBT129982
Total All Other Property
115,000.00
5,000.00
120,000.00
1,744.20
55,754.13
57,498.33
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