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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1 SS
COUNTY OF DAUPHIN J
File Number
Personal Representative(s) of the Estate of HELEN E. ALLEMAN
deceased, deposes} and say(s) that the items appeazing in the following inventory include all of the personal assets wherever situate
and ail 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 [he end of this inventory.
I verify that the statements made in this Inven- ~~c ~~'-~~~
tory aze true and correct. I understand that false state- D~/~~~///"`` I~~~~D LIFTMAN `'~"~-"-
ments herein are made subject to the penalties of - L~_
18 Pa. C.S. § 4904 relating to unswom falsification to pATRICIA LIFTMAN
authorities.
Attorney -- (Name) CHARLES E. PETRIE (Supreme Court LD. No.)
(Address) 3
(Telephone) 717 561-1
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEG. NO.
1700 MARKET STREET
1/16/2013 CAMP HILL PA 17011
FIGURES MUST BE TOTALED
US SAVINGS BONDS ~ ~
~~ 26,281.2
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CHECKING ACCOUNT AT WELLS FARGO BANK ~ n rte--, c~ ~ 25,849.3
nom
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SAVINGS ACCOUNT AT WELLS FARGO BANK
~~ ,
° ~ -°,b ° 25,125.0
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CERTIFICATES OF DEPOSIT AT WELLS FARGO BANK y rv u~ ~ 33,199.1
w -~
CHARNEY INVESTMENTS 1,010,682.9
CAPITAL BLUE CROSS REFUND 432.7
MANOR CARE REFUND 5,081.2
(Attach additional sheets as needed)
TOTAL: 1,127,082.87
...,. ~ . ... .. .. ... ... .,... ., .,. .,,..a.......,, ......., ..., .., ... ,,...w.,W .,,,..,_........., ....,....._ ....._..., ... _...,..
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(bJJ
Form RW-09 rev. 10.!3.06
9 ~
Continuation of Inventory
HELEN E. ALLEMAN 21 13 107
Decedent Name File NuMber
Paue 1
Description of Inventory
HIGHMARK BLUE CROSS REFUND I 58.20
IRS REFUND I 373.00
Subtotal ~ 5 431
Grand Total ~ S 1.1