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Home My WebLink About04-19-13 (3) INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS File Number 21 12 0803 Personal Representative(s)of the Estate of JEAN L. BROTZMAN deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever situate and all 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 mem andum at the en of this inventory. I verify that the statements made in this Inven- tory are true and correct. 1 understand that false state- ments herein are made subject to the penalties of T RA FAULKNE 18 Pa.C.S. §4904 relating to unworn falsification to authorities. Attorney -- (Name) David H. Radcliff (Supreme Court LD, No.) 25483 (Address) 1011 Mumma Road, Suite 201 Lemoyne PA 17036 (Telephone) 717.975.9600 GATE OF DEATH LAST RESIDENCE DECEDENTS SOc.SEC.NO. 1132 Mountain Road 7!1812012 Newburg PA 17240 FIGURES MUST BE TOTALED 1132 Mountain Road, Newburg, PA X2,400.00 o _ n rn Social Security Check rn ;'o 1,386.00 a + t , —4 C.7 n z trt cry MM zcrxa Adams County ational Bank-checking ° c� ty 9 0 0 0 *r 34,045.62 �i r\,) rn Adams County National Bank-savings y. th o 7,669.73 co 'n Household Furnishings(See List Attached) 2,225.00 Chevrolet Trail Blazer(2008) 13,687.00 Federal Income Tax Refund 2,999.00 (Attach addidwrat sheets as needed) TOTAL: 244,830.53 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may,at the election of the persona(representative include the value of each item,but such figures should not be extended into the total of the Inventory.(See 20 Po.C.S.§3301(b)) Form RW-09 rev. 10.13.06 Continuation of Inventory JEAN L. BRQTZMAN 21 12 0803 Decedent Name Page t Fite Number Description of inventory Highmark Insurance Refund 207.18 Erie Insurance Premium Refund 66.00 Erie Insurance Co. - Homeowners Insurance Refund 145.00 Subtotal $ 418.18 Grand Total $ 244,830.53 Estate of JEAN L BROTZMAN File No. 21-12-00803 Bath Linens $ 5.00 Full Length Mirror $ 10.00 Misc. Racks and Storage $ 20.00 TV Cabinet $ 10.00 TV $ 10.00 Jewelry Box $ 5.00 Engagement Ring $100.00 Wedding Bands $ 50.00 Bed $ 30.00 Misc. Bedroom Furnishings $ 40.00 Cedar Chest $ 75.00 Bed $ 10.00 Bed $ 10.00 Misc. Lamps&Decorative items $ 15.00 Dresser $ 10.00 Luggage $ 10.00 Bedding $ 20.00 Home Safe $ 20.00 Holiday Decorations $ 20.00 Sofa $ 25.00 Love Seat $ 25.00 Comer Hutch $ 10.00 Comer TV Case $ 10.00 TV $ 25.00 Side Table $ 10.00 Misc. Decorative Items $ 50.00 Dry Sink $ 15.00 Hutch $ 20.00 Table &Chairs Set $ 20.00 Wood Cabinet $ 10.00 Set Mixing Bowls $ 20.00 Collector Plates $ 50.00 Misc. Decorative Items $ 50.00 Amana Refrigerator Freezer $ 40.00 Kenmore Freezer $ 40.00 Microwave $ 10.00 Misc. Small Appliances $ 50.00 Pots & Pans $ 20.00 Misc. Plates, Bowls $ 20.00 Tupperware $ 10.00 Flatware $ 5.00 Misc. Utensils $ 10.00 Bakeware $ 10.00 Table $ 10.00 Misc. Kitchen Furnishings $ 50.00 Washer/Dryer Set $100.00 Linens $ 5.00 Misc. Decorative Items $ 10.00 Seatee& Furnishings $ 10.00 Garden tools&Lawn Chairs $20.00 Recreation and Hobby Equipment $995,00 TOTAL $2,225.00