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03-12-13 (3)
U ;v rrn c G p `a INVENTORY v rrn N '" REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVAN;�,N COMMONWEALTH OF PENNSYLVANIA I SS Q G COUNTYOF CUMBERLAND File Number 21 13 001? C 00 -0 70 rn Y Personal Representative(s)of the Estate of A G N E S C. S M I T R O V I C H z ;r deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever situate z cn and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valuation placed opposite each item of said o c-, p inventory represents its fair value as of the date of the decedent's death,and that Decedent owned no real estate outside of the o c -n Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. - -o 4 I verify that the statements made in this Inven- (v�( Jqda�� tory are true and correct. I understand that false state ELr E T H P . G A L S K I, EXECUTRIX ments herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unsworn falsification to authorities. Attorney -- (Name) GERALD J . SHEKLETSKI, ESQ • (Supreme Court LD.No.) 40486 (Address) 414 BRIDGE ST . NEW CUMBERLAND PA 1?0?0 (Telephone) (71?)??4—?435 DATE OF DEATH LAST RESIDENCE FIGURES MUST BE TOTALED PERSONAL PROPERTY M&T BANK SAVINGS ACCOUNT NUMBER 15004220939481 10?1431. 63 M&T BANK CERTIFICATE OF DEPOSIT ACCOUNT NUMBER 31003920202105 25,545. 29 CITIZENS BANK CHECKING ACCOUNT NUMBER 6220528062 9,690. 01 CITIZENS BANK CHECKING ACCOUNT NUMBER 6223650??2 33,6?8. 6? CITIZENS BANK TIME DEPOSIT ACCOUNT NUMBER 6244561436 15,1??. 0? CITIZENS BANK SAVINGS ACCOUNT NUMBER 625546544? 0. 00 (Attach additional sheets as needed) T0TAL; J 191,522. 6? 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 10 Pa.C.S.§3301(h)) Form RW-09 rev. 10.13.06 � % . om � » 2 � d © � d \ ~ < � 20 . © � � w � y � Q � Continuation of Inventory AGNES C. SMITROVICH 21 13 0017 Decedent Name Page I File Number Description of Inventory REAL ESTATE NONE Subtotal $ Grand Total $ 191,522.67