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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COtV1MONWEALTIi OF PENNSYI.VANIA
COUNTY OF CUMBERLAND SS File Number 21 12 0959
Personal Representative(s)of the Estate of KATHRYN J HORST AKA KATHRYN W AKA KATHRYN J WIEAND HORST
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 memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- L HORST, EXECUTOR
ments herein are made subject to the penalties of
18 Pa.C.S. §4904 relating to unworn falsification to
authorities.
Attorney -- (Name) DAVID H STONE ESQUIRE (Supreme Court LD. No.) 39785
(Address) 414 BRIDGE STREET NEW CUMBERLAND PA 17070-
(Telephone)(717) 774-7435
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOc,SEC.NO,
5225 WILSON LANE
8/26/2012 IMECHANICSBURG PA 17055
FIGURF,S MUST BE TOTALED
Asbury Comm.-overpayment of Bethany Village stay 513.00
Judgment Note to Byron Horst dtd 7-11-04 &5-1-12 balance due 17,000.00
Judgment Note to Jamie Riley dtd 9-20-06 balance due 6,000.00
Judgmt Note to Sara Schweitz dtd 8-25-04 & 1-18-05 balance due 8,730.00
Omnicare-refund 789.7M
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Unclaimed property received - "� 140'95
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(Allach additional sheets as needed)
TOTAL: 33,043.13
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 RIt'-09 rev. 10.13.06