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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Michele Z Baker
Personal Representative(s) of the Estate of MOnte E Baker
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever
situate and aN of the real estate in the Commonweath 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 memorandumum t~ of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- Michele Z Baker
menu herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) EDMUND G. MYERS (Supreme Court f ~. ND.) 20558
(Firm) JOHNSON DUFFIE i _
(Address) 301 MARKET STREET Lemoyne, PA 17043 _ ,_
(Telephone} (717) 761-4540 _ _ __ _
DATE OF DEATH LAST RESIDENCE
06/05/2012
PA
FIGURES MUST BE TOTALED
Personal Prooertv
Cash ...............................................................................................
Personal Property ........................................................................
StockslListed ................................................................................
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 ........................
DECEDENT'S
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~ '} _ ~ ~~068.39
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r\'r ti7 r„y
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23,262.50
23,262.50
NOTE: The Memorantlum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value o(each
item, but such (~gures Should no[ be eztentletl into the total of the Inventory. (See 20 Pa. C.S. 3 3301(b))
COUNTY, PENNSYLVANIA
File Number 21-12-0836
Form RW 09 Rev. +o>s-zoos
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 21-12-0836
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC SEC. N0.
O6I05/2012 pA
~i83t1
BELCO Federal Credit Union Regular Checking Account No. 856172 - A copy of the
Date of Death Letter from Belco is attached.
BELCO Federal Credit Union Regular Savings S1 Account No. 856172 - A copy of the
Date of Death Letter from Belco is attached.
State Employees Retirement Account -Payable to the Estate
Total Cash
decks/Listed
57.0000 shares UBS Financial Services Stock Plan
Total StockslListed
20,350.74
62.33
1,781.04
22,194.11
1,068.39
1,068.39
(Attach additional sheets if necessary) Total Personal Property and Real Estate 23,262.50