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INVENTORY
RFGORpFD OFFICE OF
RFGIS7ER OF w,LtS
REGISTER OF WILLS OF CUMBERLAND COUNT1i~~I~Y~VgN,I,AZo
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COMMONwEaLTH OF PENNSYLVANIA } ~ H,q IV$ • R T
COUNTY OF Cumberland } File Number 20-OB-0~~~~~~~ CCU
Christi Lyn Cubbler 0•• Pd
Personal iiepresentatrve(s) of ~ Estate of Carole A. Cubbler
deceased, depose(s) and say(s) that the Stems appearing in the falbwing inventory include all of the personal assets wherever
situate and al! of the real estate in the Commonwealth of Pennsylvania of said ^eeedent, that the valuation placed oppoatte each
item of said invanfory represents lts fair value as of the date of the dec~dant's death, and that ant owned no real estate
outside of the Commonwealth of Pennsylvania except that whic rs a randu rrd of this inventory.
i verity that the statements made in this levee- i
tory are true end correct. I understand that false state- f gt Lyn Cu ar
meets herein are made sub}ect to the peneltles of i
i B Pe.C.8. § 4904 rols8ng to unswom faisfflcatfon to J
aulhotities.
Attorney - (Name) Jeff R. Lawrence
(supreme Covet l.D. No.) 209725
(Firm)
(Address) 230 York 5traet Hanover PA 17331
(!'elaphone) 717-632-4656
ogTEOF DEATN LAST RESI6ENCE 280 Nail Road uECt3tFarrs SoC.5EC. N0.
01/31/2006 Shiapensburst. PA 172&7 19&26-8835
FIGURES MUST BE TOTAl.Et3
Personal Property
Cash ...............................................................................................
•Personal Property .......................................................................
StockslListt:d ................................................................................
StockslClosely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
137,988.74
53,273.44
191,262.18
191,282.18
NOTE: Tha MerrwneeltNn of real e~ele outside the Comreomnedlh er Pannsylvanla may a<the election or Nye perwrrel repreaentaliva lndude Nis value of each
Item, but such Ifpurss should not bs extended Into Ilw total orthe inventory. (See X10 Pa. C.S. § 3901(b))
roan RW-09 rev. iafazooe ~~
. ,,
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
COUNTY OF Cumberland } File Number 20-06-0266
DATE OF DEATN LAST RESIDENCE 280 Neil Road DECEDENTS soc. SEC. No.
01/31/2006 Shi nsbu PA 17257 198-26-8835
S'aBS~]
1998 Mercury Grand Maruis GS Sedan 4D (Fair Codition) -See Kelley Blue Book value
attached
CMS -Refunds
Final distribution from Estate of Anne Vold (decedent's mother-in-law)
Household Furnishing -See Appraisal from Martin's Auction Service
Life Insurance (name of insurance company is unknown) -Claim proceeds
Orrstown Bank -Checking Account #103001071, Principal 514,337.89, Accrued Interest
5.40 (See tatter attached)
Orrstown Bank -Checking Account #109001828, Principal 5109,576.70, Accrued
Interest 5180.13 (See letter attached)
Total Cash
Gteckc/Lic_ted
100 Shares -Procter 8 Gamble Co. Corn (PG)
20 Shares -Dow Jones 8: Co. Inc. Com (DJ)
273 Shares -Exxon Mobil Corp. Com (XOM)
453 Shares -General Electric Co. Com. (GE)
52 Shares - BP Amoco PLC Sponsored Adr. (BP)
53 Shares - 3M Co. Com. (MMM)
60 Shares - Wyeth Com. (WYE)
1,900.00
115.92
634.28
9,135.00
2,108.62
14,338.09
109,758.83
137,988.74
5,783.00
786.00
18,614.78
15,755.34
3.584.88
4,011.57
2,911.20
(Attach additional sheets if necessary) Total Personal Property and Real Estate 191,282.18
s.
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland } File Number 20-06-0266
DATE OF DEATH LAST RESIDENCE 280 Neil Road DECEDENTS SOC. 3EC. NO.
01/31/2006 Shi nsbur PA 17257 198-26-8835
76 Shares -Coca Cola Co.' 3,182.12
Accrued Interest 51.80 and Ex-Dividends 5136.81 " 138.61
Federated Money Market Fund * 525.94
* See Orrstown Financial Advisors statement attached
Total Stocks/Listed
53,273.44
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