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ENVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, pBNNSYLVANIA
j COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND } SS File Number 2012-00716
Personal Representative(s) of the Estate of Gerald E. Miller
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the perssets whMver
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation place site eac em QTs2ld
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned n
ete qutsrde rqf t
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventoFX. M ca
I verify that the statements made in this Inven- 71 01~,7 cJ r =i
tory are true and correct. I understand that false state- I _3
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unworn falsification to
authorities. - cn -w 1
Attorney (Name) Sean M. Shultz 90946
(Supreme Courtl.D. No.)
(Address) Sale Sullivan & Rogers, 26 West High Street, Carlisle, PA 17013
(Telephone) 717-243-6222
DATE OF DEATH LAST RESIDENCE
DECEDENT'S SOC. SEC. NO.
June 20, 2012 37 Hassinger Road, Newburg, PA 17240 344-30-1517
FIGURES MUST BE TOTALED
Patriot Federal Credit Union Checking Account 1,625.51
Patriot Federal Credit Union Savings Account 9,051.57
Egger Funeral Home, Inc. - refund of overpayment 9.41
Car Insurance Premium Refund
47.56
Ford - reimbursement for recall work
1,203.86
2005 Ford Freestar
4,100.00
Misc. Personal Property 1,000.00
CUNA Mutual Life Savings - insurance proceeds 500.74
VFW Post 6070 - death benefit
300.00
2012 Income Tax Refined
380.00
(Attach additional sheets as needed)
TOTAL: 18,218.65
'I 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. 10.13.06