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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEAI;TH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS � `�}��
File Number _�/�/ L"
Personal Representative(s)ofthe Estate of ROBERTA R. GARNER
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 inve
� � �
I verify that the statements made in this Inven-
tory are true and correct. 1 understand that false state- '����2 � ` � ���� --
ments herein are made subject to the penalties of MA LI(V . GARNER
18 Pa.C.S. §4904 relating to unsworn falsification to � �
authorities. SUSAN L. STARTZEL
Attorney — (Name) HAROLD S. IRWIN, III (Supreme Courtl.D.No.) 29920
(Address) 64 SOUTH PITT STREET CARLAISLE ' PA 17013
(Telephone) 717-243-6090
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.NO.
237 PINE GROVE ROAD
2/2/2011 GARNDERS PA 17324
FIGURES MUST BE TOTALED
HOUSE AND LOT AT 237 PINE GROVE ROAD, GARDNERS, PA 17324 38,000.00
PNC BANK 5,530.78
Checking Account
PNC BANK 5,968.38
Savings Account
MISC HOUSEHOLD GOODS AND PERSONAL ITEMS 1,OO1�.00
1996 CHEVROLET LUMINA 2,000.00
114,000 Miles/Fair Condition �
LIBERTY MUTUAKL 223.50
RefundofUnearnedPremium �'e` ��tJ�' C?�i'�d`i2�38W(1J
_�`d��'��" .SNdNd�30
COMCAST -`:; �;�.p�-�� 17.02
Refund
Jf7 � Ll.� �,Z �,�!�l �!,�,
(Attach additional sheets as needed) ���i i, '', .I� " `_` �;1;���;
_ � ;�. i.`:.i :;,lt�¢,'�`��i�t
TOTAL: 53,775.01
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may,at the election of the pecsonal tepresentative include the value of each
item,but such figures should not be eattended into the total of the Inventory.(See 20 Pa.C.S.§3301(b))
/^ 'V
Form RW-09 rev. 10.13.06 / �
— _ _ ra mr _
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�Continuation of Inventory
ROBERTA R. GARNER
Decedent Name File Number
— Paqe 1
Description of Inventory' � � ° ' ,
CENTURY LINK � ' 22.g4
Refund
CASH ON HAND 184.25
-BLUE CROSS � � 40�.59
Refund of Uneamed Premium ;� , �
MOFFITT MEDICAL 1.21
Refund
WASTE MAMAGEMENT , 31.25
Refund
TAX PRORATION ON SALE OF TREAL ESTATE � � 392.19 '
.. . ' I . , ,. � . . �. I . ,.
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. � � ' _ . 1 - � ' , . � _..
� n • a .
' � subtotal ; , 1,035.33
Grand Total S 53,775.01